M 63
Out-patient Department:—
Native treatment (new and old cases), Western treatment,
103,757 13,126
It will be seen that of the total (116,883) 88.8% received Eastern and 11.2% Western remedies. This compares with 87.6% and 12.4% in 1914. This marked difference between the in and out-patients may be accounted for by the fact that the out-patient is typically a person suffering from some minor ailment for which he prefers native or "homely" treatment. The smallness of the European-trained staff is also a factor in the matter and, indeed, it is improbable that, as at present situated, a very much increased percentage could receive adequate attention at the European Out-patient Department.
REMARKS ON SPECIAL DISEASES.
Beri-beri.—In all 685 cases were treated with 193 deaths, i.e., 28.1%. In 1914 there were 627 cases with 28.8% death rate.
Beri-beri is the most common of the important specific diseases admitted to the hospital. It is unfortunately difficult or impossible to trace many patients who go "back to Canton" but there certainly appears to be some evidence that such change of surroundings has a beneficial effect and is one to be recommended.
Malaria. There were in all 451 cases treated with 81 deaths, i.e., 17.9% death rate (154 cases with 14.2% death rate in 1914).
The following were the various types found:—
... 420 cases with 76 deaths
Malignant Malaria,
Benign Tertian Malaria,
Quartan Malaria,
... 4 2 0
Malarial Cachexia. ... 25 5
As far as possible quinine is given in all cases but unless the patient is voluntarily under European treatment the amount of good so accomplished is greatly minimised. This can be realised when one remembers that the comparative mortality of European to Chinese treatment of this disease is approximately as 1 : 4.
Pulmonary Phthisis.—There were 472 cases admitted with 286 deaths, i.e., 60.5% mortality. This compares with 693 cases and 44.7% mortality in 1914. There was a considerable reduction in the number of cases under European treatment with a slightly increased death rate (39%). There was a larger number of patients under Chinese treatment with an increased (147%) mortality. As mentioned in my last report much improvement cannot be hoped for from any form of therapy, at present in use, under such general conditions as must inevitably be found in a hospital situated in the centre of a densely populated neighbourhood.
Page 285
Page 286
{
M 63
Out-patient Department:—
Native treatment (new and old cases), Western treatment,
103,757 13,126
It will be seen that of the total (116,883) 88.8% received Eastern and 11.2% Western remedies. This compares with 87 6% and 12-4% in 1914. This marked difference between the in and out-patients may be accounted for by the fact that the out-patient is typically person suffering from some minor ailment for which he prefers native or "homely" treatment. The smallness of the European-
trained staff is also a factor in the matter and, indeed, it is impro- bable that, as at present situated, a very much increased percentage could receive adequate attention at the European Out-patient Department.
REMARKS ON SPECIAL DISEASES.
Beri-beri.-In all 685 cases were treated with 193 deaths, i.e., 28·1%. In 1914 there were 627 cases with 28-8% death rate.
Beri-beri is the most common of the important specific diseases admitted to the hospital. It is unfortunately difficult or impossible to trace many patients who go "back to Canton " but there certainly appears to be some evidence that such change of surroundings has a beneficial effect and is one to be recommended.
Malaria. There were in all 451 cases treated with 81 deaths, i.e., 179% death rate (154 cases with 142% death rate in 1914).
The following were the various types found:-
...420 cases with 76 deaths
Malignant Malaria,
Benign Tertian Malaria, Quartan Malaria, ...
4 2
0
"
་་
(
,1
Malarial Cachexia.
25
5
93
J7
As far as possible quinine is given in all cases but unless the patient is voluntarily under European treatment the amount of good so accomplished is greatly minimised. This can be realised when one remembers that the comparative mortality of European to Chinese treatment of this disease is approximately as 1 : 4.
Pulmonary Phthisis.-There were 472 cases admitted with 286 deaths, i.e... 605% mortality. This compares with 693 cases and 44.7% mortality in 1914. There was a considerable reduction in the number of cases under European treatment with a slightly in- creased death rate (39%). There was a larger number of patients under Chinese treatment with an increased (147 %) mortality. As mentioned in my last report much improvement cannot be hoped for from any form of therapy, at present in use, under such general conditions as must inevitably be found in a hospital situated in the centre of a densely populated neighbourhood.
Page 285Page 286
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