CO129-449 - Governor Sir May & Acting Governor Claud Severn - 1918 [7-9] — Page 109

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form of the disease and the prognosis was very unfavourable at the start.

In severe onsen, it is also advised to give 50 to 100 aubic centimeters of serum intravenously. The intravenous injos- tions should supplement the intraspinal. In four of ten moribund cases in the Tung Wah Hospital upon whom blood cultures were made, the meningococcus was found circulating in the blood. The suse type of meningococcus (the parameningoo cocus in all four patients) was found in the blood as was-seted in the spinal fluid. The posfitive blood cultures serve to emphasize the necessity of injecting the antimeningococcio serum intravenously as well as intrespinally. The method is especially indicated where signs of a generalized meningococcio septicemia in in evidence as shown by skin hemorrhages or joint affectious and in fulminating asses.

It is therefore apparent that a great many lives have been lost as a result of improper treatment of the dissase. The Government should use great efforts in attempting to overcome the prejudices of the Chinese to Western treatment. The objeat- ions of the community to proper serum treatment is of courge wholly responsible for the terrible mortality of almost 85 per cent. That this mortality is from three to five times an great as it is under proper treatment should be told the Chinese in a system of education and enlightenment. Their prejudices in respect to vaccination against other diseason, as plague, have been partially overcome; there is hope then that, with the måd of influential members of their community, they may take a more rational view of specific treatment. The Government is therefore

advised to take this matter under consideration.

How with an ample supply of serum at hand, and with ita

systematic use, our hopen are that this disease will be robbed

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