1871 — Page 203

Of these fatal enses, only two bore marks of vaccination, one the West Indian Poller Constable, and his death can scarcely be attributable to Small for, the immediate cause of his death being Pneumonia; he had suffered from chest disease previously on two occasions, the attack of Small Pox was at fight,

The second was that of the Inspector of Police. He bore 3 apparently fair marks of vncelantion, but it had no Influence on the character of the sease, which was of the most severe confluent furn; head symptonis set in early; he became delirious on the third day after admission, dying on the Orl

and 8th day of the disease,

I spatul.

of the two Chinese children that died, both were lu a nurthund condition on admission, one dying in 2 hours, the other in 24 after coming to The whole of the fatal enses Amongst the European adults were charneterized by the same appearances, a very severe confitent form, with fat puss ges and the surrounding areola of a claret colour, delirium setting in early about the third day. The European child was getting well over the disease, heu a largo abscess formed in the throat, and the child died of exhaustion,

The East Indian destitute, was in poor cripple, who was necustomed to be about the streets of Hongkong bagging, and had no stamina ta resist so emblable a disease as confluent Small Pox.

1

Crown totally unprotected by vaccination,

Vaecluated, bearing 1 good Mark,

Do

Do. 2 or more good. Marks,

TABLE 3.

OF THE STATE OF VACCINATION.

Confluent.

18

Semi- Confluent,

Distinet or Molifled,

Diel.

I

G

1

·

12

+

•

4

R

2

40

13

Tudistbret, and unt bearing any Marks though said to have been vaccinated..........

This table only hears out the well known fret of the comparative lightness of the disense after vaccinatlan; out of the total of 101 rates ested, (10) bore marks of varetuntion, of which only one died, a mortality of 1.5 per cent, whilst 35 were unprotected, of whom & dieil, showing a installty of 29.8 per cent, fine rather remarkalde case decurred after re-vacchiustion, (the only one admitted) In the person of a young Merlinule; be sad been re-vnerlnated about 14 days before the ilsense made its opppearance; It be prohibile he had contracted Small Pox just before or about the time of de re-vareluation, however it proved to be one of the slightest ene treated.

It be most intisfactory to be able to state thint of the whole of the attendants on the sick, ward orderlles, washermen, roulles, bat's crew, &c., about 55 in number, (all prisoners) not one contracted the disease, thanks to the protecting power of re-vaccination, all the attendants having been re-vac- cinated by myself mind the Colonial Surgeon, before entering upon their duties,

The past epidemie of Small Tox originally appeared amongst the Chinese population of the Colony, Nearly the whole of the eases treated at Stone Cutter's Bland could be traced to have origlunted from contact with the Chilis, The 75th Regt,, the men of which were prohibited from ng to the nativo portion of the town, enjoyed a remarkable Immunity, not a ens having treurred amongst them, and only one child of the Regt,, #hilst the Madras Sepoys, whose Intercourse with the antivu population was less restricted, suffered rather severely, us was the ense also with the «a-frlng population and Poller.

Of the fast enous treated, two came from ships that had just arrived from the Northern parts, at Nongkong, and one from the village of Sow-ki- man, where the diverse be will andd to prevoll amongst the Chinese,

The Hospital for Small Pox has, on the whole, proved very sureosfil, a mortality of below 11 por cent on the total enses treated, bears fa- Cournlae comparison with the publbird reports of Small Pox Hospitals in Engeland, during the Înte epidemie there. It is most favourably situated, as pre Lara isolution, for fafections disenses, and is now proved to be satisfactory In a smuitury point,

In conclusion, I would beg strongly to reponemenil to the notice of the Colonial čiavernment of Hongkong, ven ing or modifying the oflivets of splenile Suunil Dox is “compulsory vacehuntion,”

Stone Cutters Island, 31st May, 1871.

Appendix II.

that the only known means of pre-

JOHN IL ROBOTILAM, Staff Surgeon,

Medical Offeer in Charge, Government Small Por Hospital.

Vieronta, Hoxugoşu, 19th February, 1872.

Stn,-1 have the honour to forward to you my Report on the Government Lock Hospital for the year 1871.

2. When I took charge of the Hospital on the 10th of January, 18471, It consisted of two bulblings which were very landeqante to the wants of The Godoy, as from the number of patients ferqquently in Hospital, the averige euble spare would be about Goth feet, Since then, He two buildings hnye boo saneeted, Incrensding the areonmodation by five poems, Hat, 1 feel asured floi no Meillend iant was pouulted as to the proposed mollitions and alterations. If he was sur, fils spintou must have been ignored, me those monolitions for securing the proper ventilution of the wards, without exposing the puntients to u The Angle, which are so tutela. Itosisted on in the construction of Hospitala at home, Inve been, except in the ense of two rooms, quite maltended to, winelowe», des mil intents and purposes, nire doors mematring I feel by ¦ fert 4 Inelers, and openting down to the thor. There, when shut, stop all ventilation. During the day, those whodows are frequently open, and dus the nlr becomes changed; but during the night it is not safe for the patients to lie in a draught, such as is enussl by the opening of one of those window, alrendly referred to,

9. With the exception of une room expable of boldling ton patients, wind formerly uwil by the Civil Hospital as a ward for destitute fonales, the additious and alterntious, kurli ns they are, age completed. At present, giving enel on na avenge 1,000 enbie foot of spare, 77 patients could ba nes commodated; and, when the room above referred to be completed, there will be the maine moment of space for 191 neblitoimi patients,

4. The average number of patients dally In Hospitud during The post year has bượu 34. The greatest muaber in any one day was 47, and the smallest was 20,

5. A reference to Table 21., shows that the type of disense met with be more anteunble to treatment, from the fact that the average number of day, during whileh patients were detained in Hospital has been reshteed to a shorter period than has yet been reached during the past 14 years of the Rospital's existener. In 187,0) it was 23,1 days, while during 1871, It has been 18,5 days,

G. Tables B., C., D., E., and F, show the nimount of Venereal disenso met with fu the Hospitals of this Colony, and the mensures taken to prevent its sprend, it will be seen on reference to Table C. that in two thirds of the admissions Into the Sexmen's and Civil Hospitals, the disense was not contracted In Hongkong. But for the Contagions Discuses Ordinance, there would soon be abundance of Venereal disease in the Colony. I fase this asertion on the fart that about 611 per cent of those who for the first time subuit voluntarily to examination are found to be disenses).

7. I am frequently awared by Surgeims well qualified to give nu opinion on the subject, that there is no pduce so free from this disenise to Hong- Long; and 1 am sure when once the good which enajates from the working of this Ordinance is properly understood at home, it will receive as much support as it now does opposition.

I have the hommtr to be, Sir,

Your oberlient Servant,

R. YOUNG, L.R.C.P., AND S. EDIN..

Surgenn Superintendent.

GEORGE DODs, Esq., M.D.,

Acting Colonial Surgeon,

TABLE A.

Shewing the ADMISSIONS into the GOVERNMENT LOCK HOSPITAL, during the 14 Years of its Existener, with the Number of Diets issued “and the Average LENGTti of Treatment.

ADMISSIONS.

NUMDEH Or Dieta IsaUED,

AVERAGE NUNDER OF DAYS TREATED.

1858, 1859,

124

1858..

4,707

1858,

43.8

162

1850,.

5,380

1850,

30.0

າຍ,

361

0,107

23.7

442

10,778 1801

28.4

***

ANG

490

1809,

AARZEN KANAK-

442

1804,

300 1865,

12,109 IH02, 11,70718),. 11,049 1804, 11,300

23.7

27.0

W

1865,

400

1806,

13,000

1800,

24.fi

434 1867.

13,120 1967,

25.5

570

1808,

26,462

1868,

2916

10,799 1809..

24.8

1800,

►

***.................................................................................................

640

722

1970,.

18.382

1870,

29.1

503

12,308

18.5

Tutal......

6,100

Total........

,107,343