a omm affracking

to a total of $164,011 ·70, half the total expire ($071,781.92) of the

Def. for the year.

Page 7. General Remarks. The large

Beribar -percentage (12%) of Dvi- beri among

cases admitted to the Tung Wah Hoopt is striking (one also page 28), i.e. 846

fatients with 447% mortality. I desire

to draw

"your

attention to the value in

the treatment of the disinse of

an extract

rice meal (presumably containing

made from

the vitamin lacking

in ove

I which has been widely

-polished ree)

ured with success in

the Filles, the Philiffines, relsewhere. The

Ce also desire to point out that "marmite"

useful for freventing beri bir,

beri.buri, must

ourly, in treating the disease.

folge f.) The car were interested.

note that investi-

gations in Hong Kong covering the previous nine years showg that 15% of plague infections occurred in the Black Rat (Rattus rattus) against 85% in the Brown Rat (Rattus norvegicus This is not in accordance with the observations made in Kenya +464_Anwand Vediend Ropest,-1005) where it is concluded that "plague in Kenya (apart from Mombasa, where Rattus Horvegicus › probably plays a part) is only associated with the black rat

(Rattus rattus kijabius)". No information is given as to the

inical varieties of thɛ disease which existed among the

DRAFT.

C. Davis.

ir G. Grinkl

1181 came

artified, if request that

reforts

manifies

in future, the various kinds of plague

be differentiated.

Page 8.

Ankylostomiasis.

116

The peculiar difficulties in the way of

dealing with soil pollution from the sanitary standpoint in

South Chins are appreciated, The use of Carbon tetrachloride

«ither alone or in combination with oil of chenopodium,

should however prove useful, if systematically applied and

repeated in certain areas at regular intervals, in producing

improvement in the population and possibily in diminishing

infection of the soil.

Itis observed that Page 1

Om -- Franmission. The Principal Civil Medical Officer

combate the theory that leprosy is a contagious disease; but Redeon not advance any fresh argment in support of his belief

that the disease arises from the consumption of imperfectly

sured or salt fish.

Br H. Read

J. Master

Ormsby-k

lave 13.

The suggestion that the unusual prevalence of

malaria vis in part due to the fact that "there were times

then the rainfall was insufficient to scour out the eggs and

larvae of mosquitos from the pools and other collections of

Duke of Devo, water" is perhaps serreat. The difficulties of dealing with

such breeding pingss in riss-growing areas are very consider.

able, as is recognised on page 26 in neting the prevalence of

malaria among the police (seu also page 18, and the Report of

the Sanitary Department 1933, page 8.)

Page 19.

Table II (pagas 21 and 22) shows the

admittance of twelve oases of insanity due to aloshel, but no

sther drug such as opium, or cocaine, etc. appears to have

been an exeiting saUDO,

Page 55.

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