M 58
REMARKS ON SPECIAL DISEASES.
Beri-beri.-In all 904 cases were treated with 389 deaths, i.e., 43.03%. In 1917 there were 826 cases with a death-rate of 35.2%. A great difficulty in diagnosis arose during the year owing to the common presence of another form of peripheral neuritis, viz., influenzal. For the most part the latter form yielded more readily to treatment. This disease again easily claims the greatest number of sufferers among the patients and has caused almost 300 more admissions than the influenza epidemic.
Malaria.-There were 91 cases admitted with 23 deaths, i.e., 25.2%. In 1917 there were 303 cases treated with 33.6% mortality.
The following were the various types as differentiated by microscopic examination :-
Malignant, 70 cases with 23 deaths. Benign tertian, 7 >> 14 0 0 71 Malarial cachexia,The usual routine as to treatment was observed.
Plague.--96 cases with 84 deaths were recorded. There were 19 cases with 19 deaths in 1917.
Cerebro-spinal Meningitis.-With the exception of some cases treated at Kennedy Town Hospital and the Kwong Wah Hospital, Kowloon, almost all the actual treatment of the cases which occurred during epidemic took place in this hospital.
The figures on which Lieut. Olitsky largely based his clinical finding in Hongkong were also obtained here.
There were in all 486 admissions and of these 299 died. The remaining 187 were discharged, cured.
This gives a mortality of 61.5%. An analysis of these cases shows that the mortality varies greatly with the form of treatment used :-
1. Western treatment.--This includes lumbar puncture with the injection of serum intra-thecally and into the blood stream directly.
There were 122 cases so treated with 41 deaths, i.e., 33.6% mortality.
Various sera were used but that obtained from the Rockefeller Institute was very much the most potent.
It is hoped, with good reason, that the serum produced in the Bacteriological Institute may be at least equally efficacious.
2. A mixed treatment.- By this, one means that owing to the patient's wishes the proper course of treatment could not be definitely followed.
Of such cases there were 260 with 155 deaths, i.e., 59.6%.
M 58
REMARKS ON SPECIAL DISEASES.
Beri-beri.-In all 904 cases were treated with 389 deaths, i.e., 43.03%. In 1917 there were 826 cases with a death-rate of 35.2%. A great difficulty in diagnosis arose during the year owing to the common presence of another form of peripheral neuritis, viz., influenzal. For the most part the latter form yielded more readily to treatment. This disease again easily claims the greatest number of sufferers among the patients and has caused almost 300 more admissions than the influenza epidemic.
Malaria.-There were 91 cases admitted with 23 deaths, i.l.,. 25.2%. In 1917 there were 303 cases treated with 33.6% mortality.
The following were the various types as differentiated by microscopic examination :-
Malignant,
Benign tertian,
70 cases with 23 deaths.
7
""
>>
14
0 0
71
""
Malarial cachexia,
The usual routine as to treatment was observed.
Plague.--96 cases with 84 deaths were recorded. There were 19 cases with 19 deaths in 1917.
Cerebro-spinal Meningitis.-With the exception of some cases treated at Kennedy Town Hospital and the Kwong Wah Hospital, Kowloon, almost all the actual treatment of the cases which occurred during epidemic took place in this hospital.
The figures on which Lieut. Olitsky largely based his clinical finding in Hongkong were also obtained here.
There were in all 486 admissions and of these 299 died. The remaining 187 were discharged, cured.
This gives a mortality of 61.5%. An analysis of these cases shows that the mortality varies greatly with the form of treatment used :-
1. Western treatment.--This includes lumbar puncture with the injection of serum intra-thecally and into the blood stream directly.
There were 122 cases so treated with 41 deaths, i.e.,
33.6% mortality.
Various sera were used but that obtained from the Rockefeller Institute was very much the most potent.
It is hoped, with good reason, that the serum produced in the Bacteriological Institute may be at least equally efficacious.
2. A mixed treatment.- By this, one means that owing to the patient's wishes the proper course of treatment could not be definitely followed.
Of such cases there were 260 with 155 deaths, i.e., 59·6%.
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