M 100
Chronic rheumatic endocarditis: The incidence remains higher than ever anticipated. The subtropical climate of South China appears to be almost as favourable as that of North China for the development of acute rheumatism.
Syphilis of the central nervous system: Tabes dorsalis is frequently diagnosed. General paralysis of the insane is very much less prevalent.
Children's Out-patient Clinic: Acute bronchitis and broncho-pneumonia show a high incidence. There are two main factors namely, exposure and defective nutrition. Nutritional disturbances are very prevalent—due mostly to poverty and it is a matter for regret that mothers of the poorer class seem, in greater numbers, to be abandoning the old almost general custom of breast feeding.
Evidence of rickets is found in a small percentage. It is probable that the exposure of the children's naked bodies to the ample sunshine in this climate is mainly responsible for the low incidence.
A certain percentage of children are suffering from stigmata of congenital syphilis.
SPECIAL INVESTIGATIONS.
Cerebro-spinal meningitis: Use was made of a special supply of Ferry's antitoxin generously given to the Medical Unit by Parke, Davis & Co. Unfortunately the number of cases admitted as suitable for early treatment was small. The results are given in a paper for publication—"Antitoxin in the Treatment of Acute Meningococcal Meningitis" (prepared in September, 1937).
It is hoped that further suitable material will be available so that a larger number of cases may be treated by this method which appears to be a definite advance.
Pulmonary tuberculosis: A controlled use of Solganal B (Schering) is being made. The supply of the drug has been generously undertaken by Schering's Ltd. A careful record of the blood sedimentation rate and the Schilling polymorphonuclear cell count is kept throughout the course of treatment. This form of gold therapy is particularly suitable for the early stage of the type showing a tendency to healing and fibrosis.
The open air verandahs of the common wards at the Queen Mary Hospital have already proved a most valuable adjunct in the treatment of suitably chosen cases of pulmonary tuberculosis.
M 100
Chronic rheumatic endocaritis: The incidence remains higher than ever anticipated. The subtropical climate of South China appears to be almost as favourable as that of North China for the development of acute rheumatism.
Syphilis of the central nervous system: Tabes dorsalis is frequently diagnosed. General paralysis of the insane is very much less prevalent.
Children's Out-patient Clinic: Acute bronchitis and bron- cho-pneumonia show a high incidence. There are two main factors namely, exposure and defective nutrition. Nutritional disturbances are very prevalent-due mostly to poverty and it is a matter for regret that mothers of the poorer class seem, in greater numbers, to be abandoning the old almost general custom of breast feeding.
Evidence of rickets is found in a small percentage. It is probable that the exposure of the children's naked bodies to the ample sunshine in this climate is mainly responsible for the low incidence.
A certain percentage of children are suffering from stigmata of congenital syphilis.
SPECIAL INVESTIGATIONS.
Cerebro-spinal meningitis: Use was made of a special supply of Ferry's antitoxin generously given to the Medical Unit by Parke, Davis & Co. Unfortunately the number of cases admitted as suitable for early treatinent was small. The results are given in a paper for publication-"Antitoxin in the Treat- ment of Acute Meningococcal Meningitis" (prepared in Septem- ber, 1937).
It is hoped that further suitable material will be available so that a larger number of cases may be treated by this method which appears to be a definite advance.
Pulmonary tuberculosis: A controlled use of Solganal B (Schering) is being made. The supply of the drug has been generously undertaken by Schering's Ltd. A careful record of the blood sedimentation rate and the Schilling polymorphonu- clear cell count is kept throughout the course of treatment. This form of gold therapy is particularly suitable for the early stage of the type showing a tendency to healing and fibrosis.
The open air verandahs of the common wards at the Queen Mary Hospital have already proved a most valuable adjunct in the treatment of suitably chosen cases of pulmonary tuber-
culosis.
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