L 41

Fractures-The principal fractures treated were:~

Skull-
Thigh-
Leg
Spine-
Arm
- Forearm
Patella
• Ribs
Clavicle, Jaw

1 - 19 with 16 deaths.
13 9 3
4 4 3 3
2 1
2 1

Malarial Fever:-There was a large decrease in the number of cases treated--112 as against 340 in 1910, 188 in 1909, 282 in 1908, and 247 in 1907.

Appendicitis :-Five cases were under treatment. All recovered after operation.

Typhoid Fever:-There were 22 cases under treatment with 4 deaths.

Paratyphoid Fever:-One case was under treatment. This is the first I have seen and resembled a mild case of typhoid. Tested by the Government Bacteriologist the blood serum was negative to typhoid but markedly positive to paratyphoid.

Parasites: The question of the prevalence of intestinal parasites, as far as this Colony is concerned, not having been settled, I undertook an investigation. I examined the stools of 850 patients with the following results:-41.3 per cent. were infected. Europeans to the extent of 13.7, Indians 22.5 and Asiatics 63.8 per cent. Multiple infection was found in 25.5 per cent.

Ascaris Lumbricoides occurred in 46.6 **
Trichocephalus Dispar 26.2 **
Ankylostoma Duodenale 13.3 **
Clonorchis Sinense 12.9 >>
Tænia Solium one case.
Oxyuris Vermicularis three cases.
Amœbæ 28 cases, all but one being cases of dysentery.

Leishman-Donovani bodies were found in one case, The patient was an Indian Gaol Guard who had been here for a year. The typical ulcer from which the bodies were taken was of 6 weeks' duration.

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