M (1) 18

The Victoria Hospital for Women and Children.—299 patients were admitted during the year, as compared with 178 in the previous year.

Five deaths occurred

Tuberculosis of Lung ... 1 Pernicious Anaemia 1 Malaria 1 Malaria, Cerebral ... 1 Pneumonia 1 1

Malaria. Of all the diseases, this was the most common. Most of the cases were of a severe type, especially in children in whom the Cerebral form was most common. Thirty-eight cases were admitted during the year, mostly benign tertian origin.

Mumps. An epidemic occurred in the early part of the year, 17 cases being admitted, none of a severe type.

Dysentry.—Ten cases admitted and all treated with Emetine injections and all did well.

Enteric.—Eight cases admitted, all of a severe type and showed a great tendency to relapses.

Diptheria.—Six cases, all of an ordinary type and was not associated with any of the usual complications found in European Countries.

In July last, Dr. Johnson the late P.C.M.O., handed over the hospital to Dr. F. G. Fitz-Gerald as a temporary measure.

In December the maternity block was taken over and all the patients transferred into this new building, till the work on the old building has been completed, when it will be again taken over as a block for general work and the present block in use, taken over as a maternity hospital for Europeans.

The Hospital for Infectious Diseases.—Dr. A. R. Esler was in charge of this hospital during the year. Thirty cases of Smallpox were admitted during the year 1923, and three contact cases for observation. There were 9 deaths, including that of a child, Chinese, born in the hospital who developed the disease. A point of interest in this case was that the vaccination performed within 24 hours of birth appeared to be successful, the smallpox rash appearing about 36 hours after the vaccination vesicles. The child was premature, about 7 months: the mother also died of smallpox.

The other deaths were :—

British ...... 1 Australian ...... 1 American Spanish ..... 1 Japanese ..... 3

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