KOWLOON AND NEW TERRITORIES.
The number of cases of cerebro-spinal meningitis showed a marked falling off, 30 cases in all being recorded in Kowloon as compared with 329 in 1918. They were evenly distributed throughout the year.
There were in addition 30 cases of bubonic plague and 31 of enteric fever as compared with 34 and 93 in 1918; the small-pox figures for the year were 2, whilst in the three previous years they were 15, 173, and 100. The number of recorded cases of diphtheria was 13 as compared with 24 in 1918.
The year would therefore have been a much healthier one than 1918 but for an outbreak of acute enteritis accompanied on several cases with acute gastritis.
In Kowloon from the 13th August onwards we recorded 100 cases; many of these cases were clinically cholera, but the only ones returned by us as such were those in which the cholera vibrio could be demonstrated in and grown from the stools of the patient. The total number thus certified bacteriologically as cholera was 8, in which death resulted in each case.
The death rate amongst the 100 cases of enteritis was 80%—including dumped bodies and cases diagnosed in the Mortuary. But in connection with these it must be borne in mind that the vast majority of the admissions to Hospital arrived "in extremis", if these patients could have received treatment a few hours earlier, many could have been saved. Of the total cases 85% occurred in August and September and the epidemic had practically died out at the end of the year.
At the Public Mortuary I made 1,486 post-mortem examinations as compared with 1,696 in 1918, and 1,503 in 1917, the decrease in the figures is accounted for by the large epidemics of cerebro-spinal fever and small-pox which swelled the figures for 1918 and 1917 respectively.
During the year 27,915 rats were examined and of these 10 were found plague-infected. The corresponding figures for 1918 were 17,814 rats and 6 plague-infected. The large increase—10,101 rats—was due to re-organisation of the staff associated with this work.
The Tai Po Market Dispensary was without a medical officer till Dr. Tuk went there in June. The patients treated there during the latter half of the year numbered 1,413.
The British Schools and Missionary establishments the Victoria and Blind Homes, Kowloon City—have been examined by me and all scholars and inmates reported on when necessary. These reports are forwarded to parents for compliance with my remarks which mainly concern the condition of teeth, throat, and eyes.
M 52
KOWLOON AND NEW TERRITORIES.
The number of cases of cerebro-spinal meningitis showed a marked falling off, 30 cases in all being recorded in Kowloon as compared with 329 in 1918. They were evenly distributed through- out the year.
There were in addition 30 cases of bubonic plague and 31 of enteric fever as compared with 34 and 93 in 1918; the small-pox figures for the year were 2, whilst in the three previous years they were 15, 173, and 100. The number of recorded cases of diphtheria was 13 as compared with 24 in 1918.
The year would therefore have been a much healthier one than 1918 but for an out-break of acute enteritis accompanied on several cases with acute gastritis.
In Kowloon from the 13th August onwards we recorded 100 cases; many of these cases were clinically cholera, but the only ones returned by us as such were those in which the cholera vibrio could be demonstrated in and grown from the stools of the patient. The total number thus certified bacteriologically as cholera was 8, in which death resulted in each case.
The death rate amongst the 100 cases of enteritis was 80%- including dumped bodies and cases diagnosed in the Mortuary. but in connection with these it must be borne in mind that the vast majority of the admissions to Hospital arrived "in extremis", if these patients could have received treatment a few hours earlier, many could have been saved. Of the total cases 85% occurred in August and September and the epidemic had practically died out at the end of the year.
At the Public Mortuary I made 1,486 post-mortem examinations as compared with 1,696 in 1918, and 1,503 in 1917, the decrease in the figures is accounted for by the large epidemics of cerebro-spinal fever and small-pox which swelled the figures for 1918 and 1917 respectively.
During the year 27,915 rats were examined and of these 10 were found plague-infected. The corresponding figures for 1918 were 17,814 rats and 6 plague-infected. The large increase-- 10,101 rats-was due to re-organisation of the staff associated with this work.
The Tai Po Market Dispensary was without a medical officer till Dr. Tuk went there in June. The patients treated there during the latter half of the year numbered 1,413.
The British Schools and Missionary establishments the Victoria and Blind Homes, Kowloon City-have been examined by me and all scholars and inmates reported on when necessary. These reports are forwarded to parents for compliance with my remarks which mainly concern the condition of teeth, throat, and eyes.
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