477
joints, various forms of paralysis and many cases of beri-beri chiefly among emigrant coolies brought in off ships arriving from Singapore in the last stage of the disease, literarily a very large proportion come in to die, many are of advanced age (from 60 to 80) and most in a very emaciated condition. Many incurables are sent to their own homes on the mainland. From my experience I am of opinion that the majority received into this hospital would be put down as hopeless cases even under the best treatment obtainable in a European hospital, they might live a little longer, but are incurable.
I think a great improvement could be made in this hospital by abolishing the three-sided cubicles especially in the lower wards and in cleanliness by the removal of the platforms on which they stand as the floors of the lower wards are of stone; moveable boards might be placed at the bedside-these could easily be moved to clean the floors and easily cleaned themselves, whereas with the existing platforms neither one nor the other can be properly done.
Very much has been done to improve the cleanliness, ventilation, and order in this building since European supervision daily has been made the rule.
In my visits to the hospital I have been greatly assisted by Mr. UI KAI, who has been for many years the senior native apothecary at the Government Civil Hospital, and while doing his work there has attended lectures at the Medical College, and was passed in 1893 as a native doctor. He bas assisted me in my rounds as interpreter and in taking the temperatures of fever cases morning and evening for the purpose of diagnosis, also in persuading some of the patients, principally surgical cases, to permit their removal to the Government Civil Hospital for treatment and has so ingratiated himself with the attendants of this hospital that they are desirous of retaining his assistance as a permanency. We may, therefore, hope by degrees to introduce improved methods of treatment as well as having the hospital under complete supervision.
WOMEN'S HOSPITAL.
This hospital has, since the 1st June last, become the Female Venereal Wards of the Government Civil Hospital,
From that date the voluntary attendance of the women which had been going on for nearly 5 years for the purpose of examination was abolished by a permonitory order from the Secretary of State as I stated in my report for 1893.
VACCINE INSTITUTE.
As will be seen in the report of Mr. LADDS, the Superintendent, this institution has been a great success. It has not only paid its expenses, but has made over $600 profit, and we have had calf lymph in abundance for use and distribution free of cost to the Government.
SANITATION..
The following two tables show the number of deaths among the European and Chinese commun- ities from diseases that may be attributed to filth, with the exception of those that died of plague.
DEATHS AMONG EUROPEANS (BRITISH AND FOREIGN).
FEVERS.
YEARS.
DIARRHEA. Cholera,
Enteric.
Simple Continued. Typhus.
VOMITING
AND PURGING.
TOTAL
1873, 1874,
6
1876,
1875,
1877,
1
1
187,
1879,
1880,
1881,
1882,
1883,
1884,
1885,
1886,
1887,
1888,
1889,
1890,
1891,
1892,
***
1893,
1894,
101 - 10000 1
5
8
15
21
12
17
13
9
ALL DAAN
2
17
25
17
26
18
24
14
24
10
27
9
29
14
38
10
24
10
29
I
13
37
9
19
4
12
23
11
9
19
46
5
8
5
...
18
7
10
6
25
5
4
16
25
50
10
16
4
12
5
15
5
112
6
7
11
17
3
9
Choleraic Diarrhœa 1.
No comments yet.
Private notes are available after approval.