Sessional_Paper_1886-1887 — Page 435

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9. I believe that more efficient means must be taken to trace the locality where the diseases prevail. 10. Altogether, 209 registered women were pointed out, and yet only 78, or 37 per cent, as shown in Table I, were found to be diseased.

11. Of the 57 women reported to have given sores, 18 were detained, and five of them were.in hospital some time before the complaints were received.

Of the 152 women reported to have transmitted gonorrhoea infection, 58 were kept, many of them on account of a little leucorrhoea; and 7 were already in hospital. With the exception of Her Majesty's Army and Navy, few complaints were made from other quarters.

There were received from the Government Civil Hospital 2 complaints of gonorrhoea and 3 of venereal sores; and 2 women were found to be infected.

12. The different classes of men known to have contracted venereal sores and gonorrhoea, together with the months in which they got sick, are recorded in Tables II and III.

13. Only 57 women convicted of having carried on clandestine prostitution were sent to this hospital for examination; 23 of them were found to be diseased, and 2 were suffering from secondary syphilis.

The nature of their diseases with a few remarks are given in Return G.

14. I described in last year's report, the inconvenience and inaccuracy which follow from still keeping in use in this hospital Forms A and C, which were evidently intended for diseases observed amongst men.

To name again an instance, such a simple affection as labial abscess, for want of a proper place in it, has to be entered as "Gonorrhoea and Primary Syphilis combined "; otherwise the exact number of the patients treated would not correspond in Form C.

Moreover these Forms were adopted when there was no daily examination, and under the present changed circumstances they must be altered, if we wish them to be strictly correct.

I also stated last year that for the daily entrances we have to make use of Form D.

The results of the examinations made at Wántsai are recorded in a similar Form F.

15. The suggestion made by me and afterwards recommended by the visiting Justices of Peace, of teaching the patients needle work, has been put in practice and with fair success, as I am informed by the Matron.

Instead of paying the patients for the work done, as I proposed, the Government has been very liberal towards them, by supplying them with the necessary materials for the work, and allowing them to keep it for themselves when finished.

16. Mr. DE SOUZA, who had been for many years Apothecary to this hospital and had done good service, had lately to retire on pension, owing to ill-health.

Mr. ROGERS, the Steward of the Government Civil Hospital, has been appointed to the post of Steward and Clerk to this department.

17. During my illness in the month of November, Dr. G. JORDAN who was then Acting Colonial Surgeon, took charge of this Establishment until your return to the Colony.

18. The disease which required the longest period of treatment was syphilis, with the exception of two cases of leucorrhoea and warts. One woman so affected had to remain 133, and another 123 days in the hospital.

19. For sometime past my attention has been occupied with finding the most effective and rapid method of treating venereal warts. The use of astringents and ligatures does not succeed in every case. Extirpation could not be employed in warts which grow in patches, without producing big sores. Having resorted to many of the official preparations without obtaining a complete cure, I thought of trying the juice of Papaw (Carica Papaya) which has been used in diphtheria.

The leaves of this plant, it is said, are employed in the West Indies to render flesh meat tender.

I directed that a still green fruit cut in slices should be rubbed over the warts.

In a short time, the warts had disappeared, and the slight redness of the skin caused by the juice, vanished within few days.

As this plant is extensively cultivated in the South of China, I have advised the women to make use of this property. It may be that, owing to the advice being followed, there were so few cases of warts last year. In 1885, 40 women were specially treated for this complaint.

20. In the beginning of the year there were under treatment 13 patients, and on the last day of December there was none in hospital.

I have the honour to be,

Sir,

Your most obedient Servant,

L. P. MARQUES.

Medical Officer in charge of the Hospital.

Dr. PH. B. C. AYRES,

Colonial Surgeon,

&en

&C.,

&c.

Page 435Page 436

D.

RETURN showing the NUMBER of TIMES in which WOMEN were examined and treated in the Lock Hospital during the Year 1886.

Gonorrhoea.

Leucorrhoea.

Soft Sore.

FOUND DISEASED.

SYPHILIS.

Primary.

and

Hard cutaneous

Chancro. eruption.

· DISCIiARGED Cured.

SYPHI-

LIS.

Secondary.

Abrasion.

Ul. of os Uteri.

Labial Abscess. Warts.

Free from Disease.

Remained.

Admitted.

Total Treated.

Gonorrhoea.

Leucorrhoea.

Soft Sore.

Secondary.

Abrasion.

Ul. of os Uteri.

Labial Abscess.

Total Discharged.

Remaining in Hospital.

Number

of

1886.

Examin-

ations.

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