M (1) 29
Cases of syphilis reported and 61 cases of gonococcal infection; in 1921 there were 255 and 42 cases, respectively. The increase is probably not a real one but is due to the fact that both patient and medical man are more keen in detection. The group of enteric fevers contained 48 admissions as compared with 15 in the previous year. The death rate was very high—53 per cent for those treated by the European staff and 80 per cent for those who came under the eastern methods of treatment. It is believed that with a properly trained nursing staff the death rate would not be nearly so great. In the statistics, the fevers are not in all cases shown either as typhoid or the paratyphoids, but this is more often due to omissions in registering the cases than that the diagnosis had not been accurately made.
It is pleasant to be able to refer to the comparative absence of cerebro-spinal meningitis; for 22 cases only were seen, whereas the year before there were 74 cases in the hospital. Since 1918 the disease has become less frequent, and this seems to apply not only to this part of the world but to other parts as well.
The Eye department was in charge of Dr. G. M. Harston and Dr. J. Morrison. 2,949 patients attended, and 132 operations were performed.
The Maternity department. This is conducted on European lines, and an increase in the number of patients occurred, there being 1,017 this year and 805 last year.
Operations performed.—268 operations were performed under general anaesthesia.
The University medical clinic was in the care of Dr. C. W. McKenny; no particular variation was made from the methods of teaching in use in former years.
The branch of the Tung Wah Hospital which is situated at Kennedy Town and is used as a hospital for smallpox cases received 46 patients suffering from this disease, and 26 of these died.
A reference is due to the generous and sympathetic manner in which the Board of Directors have performed their onerous duties, not only during the year under review but in the past as well.
VIII. THE BACTERIOLOGICAL INSTITUTE.
Professor C. Y. Wang acted as the officer in charge of this institution and carried out the duties connected with this post throughout the year; his detailed report is submitted in the appendix. The examination of specimens for diagnostic purposes and the periodical examination of samples of the water from the different sources of supply is the routine part of the work. The other work, more or less of a routine nature too, is the preparation of lymph for vaccination; the preparation of typhoid and para-