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TILLIC.O. 133 / 27 ALLY WITHOUT PERMISSION OF THE

PUBLIC RECORD OFFICE, LONDON]

268

I have added in Appendix E. and F., a letter addressed to me by Deputy Inspector General POTTINGER of H. M.'s Naval Hospital; and statistics from Surgeon RAMSAY of H. M.'s 75th Regiment, in reference to the freedom of the ineu of his regiment from contagious disease. The evidence of these gentlemen is extremely valuable and gratifying to myself, under whose care the medical exa- minations have been carried on for the past twelve years. Both gentlemen have had experience of Hongkong, and known what "longkong Disease" was, before the introduction of the Contagious Diseases Ordinance into the Colony-and both agree as to the great contrast.

Dr. POTTINGER says: "Judging from my own experience, I should say that Syphilis has all but disappeared from the Colony." Dr. RAMSAT writes: "I may add that during an experience of 16 years as an Army Medical Officer in "all climates, I have not seen a similar immunity."

16

Dr. POTTINGER refers to my method of examination and says: "The instruments used by you are "admirably adapted for bringing into view the parts, including the Os and Cervix Uteri, very quickly, "thoroughly and without the least pain to the female." Deputy Inspector Dr. BERNARD wrote to me in 1868: "I was much struck by the method adopted by you, combining as it does an efficient search- "ing inspection with great rapidity of execution and appearing to me much better than that made "with the ordinary speculum." Dr. HEFFERNAN, Deputy Inspector General, writing in regard to the sumie matter refers to these instruments thus: "I have witnessed this examination as carried out by 'you here, and consider it to be done most effectually." Surgeon Mujor BARSIER of the French Frigate "Guerrière" who had grent experience in France, after expressing his opinion as to the "

"peut "de gravité et du petit nombre des cas de Syphilis contractés par les Européens dans cette ville," says in reference to these instruments: "J'ai vu examiner ces femmes avec un instrument inventé par "Docteur MURRAY, Colonial Surgeon, et j'ai constaté que l'emploi, d'ailleurs tres facile, de cette instru- "ment, permet d'examiner en moyenne trois femmes par minute." I have only to add that Dr. NEWTON, who has charge of the Lock Ilospitals and the prevention of Syphilis in Japan, uses no other instruments and writes of them: "They are such effective instruments, much superior to any kind of "speculum."

le

I shall be glad to find that the value of these instruments, which a twelve years' daily use las enabled me to perfect, is appreciated by the Profession and that they are brought into general use, as it is impossible to imagine anything that could be used better adapted to the purpose for which they are intended, or more likely to facilitate the carrying out of the Ordinance with advantage. The two points I have constantly kept in view being rapidity of employment combined with an effectual and searching examination, I believe that I have succeeded in attaining these objects. This, however, is no place in which to describe the instruments themselves.

Table XI. shows the approximative estimate of the mortality among the Foreign Residents in Hongkong during the past thirteen years. It does not include Deaths anong Soldiers, Sailors, whether of the Navy or Merchant Service, nor those buried from the Hospitals, who are usually non- Residents. It has no pretension to accuracy, nor can it be any more than approximative, until some system of Registration of Deaths is introduced. This is a matter of the greatest importance and really of more interest to every Resident in the Colony than is generally supposed, for until it is possible to obtain proper statistics, of the actual mortality and the cause of death, in all cases, u valuable aid is withdrawn from the medical practitioner in the treatment of disease.

Table XII. gives the usual information regarding the work performed by the Inspector of Nuisances attached to this Departinent.

Table XIII. shows the Annual Mean State of the Atmosphere during the year 1870, as recorded at the Government Civil Hospital.

J. I. MURRAY, M.D.,

Colonial Surgeon.

January,

1.-POLICE.

тор

135

2.—TABLE showing the Rate of Sickness and MORTALITY in the Police Force, during the Year 1870.

ATERIGE STRENGTH.

Europeans. Colored. Chinese.

TOTAL SICK.

TOTAL DEATES.

RATE OF SICK AKS.

KATE OF MORTALITY.

Total

120

301

204

025

611

10

1.60

per cent.

07.70 per cent. 3. TABLE shering the RATE of SICKNESS and Mourality of the Tuoors verting in Hoxoxona, during the Year 1870.

RATE OF MORTALITY. TO STAKIGTE.

STRENGTH.

ADMISSIONS INTO HOSPITAL.

DEATSS.

RATE OF SICKNESS.

Black.

Total.

White.

518

875

1,303

Black. Total. White. Black.

1,062 1,140 2,108

Total.

157.7

£8

White.

Smali Fex,

2.01

per cent.

per cent.

• Thla number in the Rate of Admissions per cent of Strength, but the average number of men constantly sick was 77.09, 4.-Tanie shewing the Nexuɛn of Ausistors and the Montatzer in the Govensmear fiva HlorriTAL, during the Year 180.

DISEASES.

170.

ADMISSIONS

Bears

Еигоревва,

NENI ¦ 。 | Colored Persons.

Chinese.

Total.

Europeana.

Variploid,

Harrhea, Acute and Chronit.

34

21

Dysentery, do,

du..

13

Intermittent Ferer,

10 120

Remittent do.

G

12

da d

day

Continued Chanere,

do

Habo...

Graorehan Secondary Syphilis. Tertiary

Dropsy......

Abscess,

Boils,.. Cicera

Colored Persutis.

Chiness.

Totu!.

DISEASES.

2

Brought forward.. Stricture of Creth, Orebitis,

7 Phymais,

4 Paraphrinesia, Hydrocele,

3 .

2 Rupture of Bladder,

Aftonunucia, Ever f.ambage, .... llunatism, Bursitis, Synovitis, Periostitis, Dislocation, Tusoara,--..

Unicaris.....

Herpes,

nie leer, Disease...

I

Epistaxis,

Goot,

ferful,

Phthisis,

llamoptysis... Paralysi Mercurialisation,

Iberian Tremu, Tetana,

Tabla skewing the Anmissions into Hospital and Deaths, during the Year 1870.

EUROPKAMS.

COLORED.

CHINESE.

Vertigo.....

Comprasion of Brain,

MONTHI.

TOTAL TOTAL Admissions.] Deaths.

Teaxilitia,

Inferna,

A dimissions.

Denths.

17

Admissions. Deaths. Admissions. Deaths.

17 20

Kronchitis,

Pramonin and Pleoro Pneumonia, Pleurodinia

Pleuritis

*******

10

February,

March,

April,

May,

June, July,

Angust,

September,

Desober, ...

November, 、、、、、 December,

884888668819 | Z

10

Loud Calle,

Constipation AMO of

330 308

.

Tinea

Tumarabu,

Th. Faris.. Serbies,

Elephantiasis...

Filaria Medinenses, Drunkenness,.... Destitution,

9 Gangrene of lez. ......

Debility and Anemia,

Eshaustion from Browning.

Poisoning by Opium.....

DAT Stranoniatu, Fractures, Simple,

Da, Compound, Da

1 Wounds, (lina Shot),

Do (acid)

Da (Contumel).

Do (Lacerated

10 (Punctund),

Bite. Man Lite, .... Chataricas, Sprain, Hacelip

Nasal Polypi, Amymutinu (Arm).

Chalsium Sucking and Eatin

INFO.

ADMASIONA

Colored Persons. I

Earopenos.

Chinese.

Total.

399 368

847

ધોત

DEATHIN

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

Colored l'erossa. Į

Chiarne.

מייך

Total,

178

303

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