CO129-474 - Governor Sir Stubbs - 1922 [1-4] — Page 345

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dying at or soon after birth. For, if Syphilis

is a common disease in the adults here (as was

believed), it would certainly show definite

evidence in the number of still-births and

infants dying soon after birth.

The proportion of infants sent to the mortuary is very high, so the material was abundant; in fact, so great that I had to limit

the examination to those dying under the age :

of one month. Even this necessitated giving up more time than could well be spared from

other work.

It is stated that in England (Report of the Infants' Health Department, Bradford, 1916)

that out of 1606 births 148 died. Of these

120 (81.08%) were congenital syphilitics. Of 107 legitimate children who died 83 (77,5%) had congenital syphilis, and of the 41 illəgi- -timate who died 37 (90.2%) had the disease.

Syphilis in the tropics is generally believed to be of a more virulent type than it is at home, and although, as is probable from the records, this was the case formerly, it does not appear to hold good now.

Seeing that syphilitic children my be apparently healthy at birth, I have made a point of exmining all those dying under the age of a month, whether premature or full- term and did not confine the investigation

merely to those which were wasted, marasmic, jaundiced, under-sized, or which exhibited rashs and eruptions of various kinds.

Microscopical examination as well as macroscopical has been carried out in each instance in 250 so far. Of these only 13 have

been

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