L 69
It is probable that 43 to 45 per cent. represents more nearly the number who elected to be treated by European methods.
Chinese treatment, the percentage is not quite accurate. The number of visits to the out-patient department was 102,158 (107,395 in 1913). Of this number, 91,887 selected Chinese treatment and 10,271 Western treatment.
There were 1,029 vaccinations during the year at the hospital or in connection with it (374 in 1913).
I have inspected the Chinese Mortuary (Yee Chong) on several occasions and found it suitably maintained. The provision of increased accommodation appears to have been amply justified.
Malaria. There were 151 cases admitted in 1914, which together with 3 brought over from 1913 give a total of 154 cases treated with 22 deaths, i.e., a mortality of 14.28 per cent. In 1913 among 152 patients there were 68 deaths, i.e., a mortality of 44.74 per cent.
The treatment is still in many cases a compromise between Eastern and Western methods, and I believe the lower mortality to be due to the fact that fewer patients arrived in a comatose condition, and that the intra-muscular injection of quinine was more usually adopted.
Beri-beri. There were 595 cases admitted which together with 32 from 1913 make in all 627 cases treated with 181 deaths, i.e., a mortality of 28.86 per cent. In 1913, with 544 cases treated, there was a mortality of 25.07 per cent. The slightly increased mortality may partly be accounted for by the bad general condition of many of the individuals admitted. This was especially true of those coolies coming from the South.
Phthisis. There were 693 cases admitted, and of these 311 died, i.e., a mortality of 44.71 per cent. Of these the treatment was as follows:
Western Chinese 258 with 85 deaths, i.e., 32.94% 435 with 226 deaths, i.e., 51.95%In 1913 the figures were:
Western Chinese 104 with 48 deaths, i.e., 46.15% 513 with 238 deaths, i.e., 46.4% 15 11It will thus be seen that with an increased number of cases under Western care there has been a reduced death rate. This is satisfactory, but as the modern treatment of the disease cannot be properly carried out in the hospital on account of its situation, it would be unwise to expect that the present percentage of fatal cases will be reduced in future years, or even to state that it will not be increased.
Plague. There were 520 admissions (143 in 1913) with 493 deaths (140 in 1913), i.e., 94.8 per cent. mortality. Anti-plague
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L 69
It is
Chinese treatment, the percentage is not quite accurate. probable that 43 to 45 per cent. represents more nearly the number who elected to be treated by European methods.
The number of visits to the out-patient department was 102,158 (107,395 in 1913). Of this number, 91,887 selected Chinese treat- ment and 10,271 Western treatment.
There were 1,029 vaccinations during the year at the hospital or in connection with it (374 in 1913).
I have inspected the Chinese Mortuary (Yee Chong) on several occasions and found it suitably maintained. The provision of increased accommodation appears to have been amply justified.
Malaria. There were 151 cases admitted in 1914, which together with 3 brought over from 1913 give a total of 154 cases treated with 22 deaths, i.e., a mortality of 14-28 per cent. In 1913 among 152 patients there were 68 deaths, i.e., a mortality of 44.74 per cent.
The treatment is still in many cases a compromise between Eastern and Western methods, and I believe the lower mortality to be due to the fact that fewer patients arrived in a comatose condition, and that the intra-muscular injection of quinine was more usually adopted.
Beri-beri.-There were 595 cases admitted which together with 32 from 1913. make in all 627 cases treated with 181 deaths, i.e.. a mortality of 28-86 per cent. In 1913, with 544 cases treated, there was a mortality of 2507 per cent. The slightly increased mortality may partly be accounted for by the bad general condition of many of the individuals admitted. This was especially true of those coolies coming from the South.
Phthisis. There were 693 cases admitted, and of these 311 died, i.e., a mortality of 44'71 per cent. Of these the treatment was as follows:-
Western, Chinese,
.258 with 85 deaths, i.e., 32·94% 51.95%
435
226
""
14
In 1913 the figures were:
Western, Chinese,.
104 with 48 deaths, i.e., 46 15%
513
238
15
46.4%
11
It will thus be seen that with an increased number of cases under Western care there has been a reduced death rate. This is satisfactory, but as the modern treatment of the disease cannot be properly carried out in the hospital on account of its situation, it would be unwise to expect that the present percentage of fatal cases will be reduced in future years, or even to state that it will not be increased.
Plague.-There were 520 adinissions (143 in 1913) with 493 deaths (140 in 1913), ie., 948 per cent. mortality. Anti-plague
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