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Typhoid Fever. The number of cases has been remarkably low and mortality rate has been extremely low.
Dysentery mostly of the amoebic type continues to be prevalent.
Diseases of Metabolism and Vitamin Deficiency. Under this heading there have been few cases. Beri-Beri of the neuritic type is the more common.
Diseases of the Digestive System.
These are prevalent and mainly referable to the stomach.
Diseases of the Respiratory System.
Bronchitis is very prevalent.
Diseases of the Kidney.
Nephritis in its subacute and chronic forms is very prevalent. Directly the cool season sets in there is a great inflow of such cases. The etiology of these is obscure and in a few there has been a recent malarial infection. Close investiga- tion of all nephritis is being continued.
Diseases of the Blood.
Anaemia of a secondary type is common.
Diseases of Circulatory System.
Diseases of the heart are prevalent and particularly Aortic Disease and Mitral Disease in the form of Mitral Stenosis.
Diseases of the Endocrine Glands.
Of these Exophthalmic Goitre is moderately frequent.
Diseases of the Nervous System.
These are very prevalent in the form syphilitic infection of the C.N.S. Multiple Peripheral Neuritis is also very prevalent in most cases of the neuritic type of Beri-Beri.
Diseases of the Skin.
There have been few cases.
Transposition of Viscere-there has been one case.
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Opium Addicts:-Towards the end of the year 1932 the D.M.S.S. requested that some steps be taken to treat a certain number of cases as free inpatients. Six beds in the wards of the Medical Unit were set aside for this purpose.
It has been found very difficult to persuade addicts to come into Hospital for any length of time and up to the end of 1932 only cases had been treated.
In nearly all the method adopted was that of immediate deprivation of opium or derivatives in any form. For a few this treatment appeared too trying as they requested to leave hospital and no methods of persuasion could alter the situation.
Hundreds of addicts have attended the Out-patient Depart- ment of the Medical Unit but
as treatment under such circumstances is useless it was not encouraged.
Sick Children's Clinic.
This clinic is very largely attended and it is to be greatly deplored that there is practically no suitable provision for the accommodation of sick children. This is a pity because the cases dealt with respond well to proper inpatient treatment and it is very obvious from the ever-increasing numbers of parents who bring their sick children to the Outpatient Department of the Medical Unit how popular and how appreciated is the treatment and advice given. Dr. T. Y. Li has been untiring in his efforts to deal with the increasing numbers.
It would appear that the number of cases suffering from improper feeding and under-feeding is unfortunately increasing.
During the year 1932 an electro-cardiograph was installed in the Medical Unit.
I am greatly indebted to Dr. Newton, former M.O. i/c., and to his successor, Dr. Dovey, for all help in the smooth running of the Medical Unit.
Many thanks are particularly due to Mr. Branson, Chief Government Analyst, who carries out ungrudgingly any special blood urea tests required. An additional analysis of O.P.D. cases is attached.
I have also to thank Dr. Valentine, the acting D.D.M.S.S. of 1932, for his kind help and interest in the Medical Unit.
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