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to be called for.
While on this subject it is interesting to know that a number of cases now arrive from the Philippines, where Beriberi is prevalent. The American Scientific Commission, who have been in Manila for some time, lately informed me that their investigations on the subject had been somewhat negative in results, but there is no reason for despairing of some success being attained. At present it seems that really thorough disinfections will give the best results from a Public Health point of view. A full investigation however is required, it does not do to make a report from books or on insufficient data. Dr. Chung informs me that in the interior of China Beriberi is almost unknown, and my own small experience of travelling in the Southern Provinces is the same, so that what the conditions for successful development of the disease are remain to a considerable extent unknown.
The use of Quinine in the Hospital is being gradually increased and the deaths from Malarial fever during the quarter have only numbered 6 out of 64 cases admitted, of these cases being true remittent.
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There has not been the slightest difficulty in the management of the hospital during the quarter, the Chairman of the Directors having always carried out any suggestions offered.
Dr. Chung has as usual carried out his duties in a very satisfactory manner, notwithstanding the fact that his Chinese trained medicals do not view him with at-all-favourable eyes.
I have &c.
(Signed.) James A. Lowson,
Inspecting Medical Officer.
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