3. The attempted suicide cases.
M 118
While many of these patients are temperamental young girls from good homes, there are a certain number of men and women who are brought to this pitch of desperation by poverty and destitution. Since the hospital expends so much skill in bringing these unfortunate people back to life, there seems little point if circumstances will force them to repeat their efforts on discharge from the wards. One old man, for example, who had attempted to take his life by throwing himself from a second-floor balcony was kept in the hospital for several months until he was well enough to go to the Home for the Aged at Kowloon. Other patients have been referred to the Social Service Centre for the Churches and vacancies obtained in the Refugee Camps.
With the extension of the Almoner's Department to other government hospitals, it is hoped to be able to offer some medico-social solution to these problems and the many others which will arise.
M. S. WATSON, B.Sc., (Econ.), Almoner.
Appendix V.
REPORT ON TREATMENT OF CEREBRO-SPINAL MENINGITIS AND CHOLERA
AT THE INFECTIOUS DISEASES HOSPITAL IN 1939.
A. Cerebro-spinal meningitis.
Three methods were given a trial coincidently in order to lessen the effect of random sampling and of a fall in the virulence of the meningococcus as the epidemic progressed and meteorological conditions varied.
The first series were treated by a daily lumbar puncture and with a dose of two grammes of "streptocide" by the mouth on admission, followed by one gramme four-hourly until one week after the temperature became normal and the clinical symptoms had disappeared. The second series received anti-meningoccal serum daily with the lumbar puncture.
The third series were given both "streptocide" and serum, in addition to lumbar puncture.
Eliminating all cases other than those in whom bacteriological proof of the condition was forthcoming, the results of the three series are as follows:-
1st series 2nd series 3rd series Cures Deaths 8 9 11 13 13 18 Percentage mortality rate... 52 50 38The numbers are too small to be of any real importance from the statistical value, but there is some indication that cases treated with "streptocide" and serum do best. The experiment will be continued.
3. The attempted suicide cases.
M 118
While many of these patients are temperamental young girls from good homes, there are a certain number of men and women who are brought to this pitch of desperation by poverty and destitution. Since the hospital expends so much skill in bringing these unfortunate people back to life, there seems little point if circumstances will force them to repeat their efforts on discharge from the wards. One old man, for exampe, who had attempted to take his life by throwing himself from a second floor balcony was kept in the hospital for several months until he was well enough to go to the Home for the Aged at Kowloon. Other patients have been referred to the Social Service Centre for the Churches and vacancies obtained in the Refugee Camps.
With the extension of the Almoner's Department to other government hospitals it is hoped to be able to offer some medico-social solution to these problems and the many others which will arise.
M. S. WATSON, B.Sc., (Econ.), Almoner.
Appendix V.
REPORT ON TREATMENT OF CEREBRO-SPINAL MENINGITIS AND CHOLERA
AT THE INFECTIOUS DISEASES HOSPITAL IN 1939.
A. Cerebro-spinal meningitis.
Three methods were given a trial coincidently in order to lessen the effect of random sampling and of a fall in the virulence of the meningococcus as the epidemic progressed and meteorological conditions varied.
The first series were treated by a daily lumbar puncture and with a dose of two grammes of "streptocide" by the mouth on admission, followed by one gramme four hourly until one week after the temperature became normal and the clinical symptoms had disappeared. The second series received anti-meningoccal serum daily with the lumbar puncture.
The third series were given both "streptocide" and serum, in addition to lumbar puncture.
Eliminating all cases other than those in whom bacteriological proof of the condition was forthcoming the results of the three series are as follows:-
Table I.
1st series. 2nd series. 3rd series.
Cures
Deaths
8
13
18
9
13
11
Percentage mortality rate ...
52
50
38
The numbers are too small to be of any real importance from the statistical value, but there is some indication that cases treated with "streptocide" and serum do best. The experiment will be continued.
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