Sessional_Paper_1900 — Page 533

527

Alcoholism. There were 75 cases admitted with four deaths; two of these, as already stated, developed hyperpyrexia which was the immediate cause of death.

Poisoning. There were 8 cases of poisoning during the year, five were cases of datura poisoning, two of opium and in one the poisonous agent was exalgine; all of these recovered.

Vaccination.-Six hundred and eight vaccinations were performed during the year with the following result:-

Primary cases,... Re-vaccinations,

Successful. Unsuccessful. Total.

115

2

117

290

201

491

608

Fees.The fees received during the year were as follows:-

Government Civil Hospital,..

Lunatic Asylums,.

Infectious Hospitals,.

Government Nursing Institute,

$24,486.21

269.00

682.71

1,465.56

$26,903.48

The fees received from the Government Civil Hospital show an increase of $1,009.87 as compared with the previous year.

Appendix. In the appendix is given the notes by Dr. BELL of four cases of interest that have occurred in the Hospital during the year.

The second one is of particular interest not only from the nature of the disease but that it is the first case of liver abscess in a Chinaman which has been recorded, at any rate, in this Hospital.

Staff-I take this opportunity of thanking cordially the several members of the staff for the assistance rendered during the past year.

Gifts of Flowers, Newspapers, &c.—The patients have been indebted to several residents of the Colony for frequent gifts of flowers, newspapers, &c.

I have the honour to be,

Sir,

The Honourable F. H. MAY. C.M.G.,

Acting Colonial Secretary,

Your obedient Servant,

Appendix.

J. M. ATKINSON, Principal Civil Medical Officer.

HEPATIC ABSCESS.

OPERATION. RECOVERY.

An English officer in the mercantile marine, aged 39, was admitted to hospital on the 7th February. Previous history. He had had an attack of dysentery in 1881. Last March was laid up with an attack of malarial fever on the West Coast of Africa and had two relapses whilst in England.

―

Present history.For the last 5 or 6 months has been troubled with pain in the region of the liver which four days ago became much more severe and was accompanied by pain in the right shoulder. Liver dulness is increased with distinct tenderness in lower intercostal spaces on right side. Breath very short. Temperature 100.8° on the 9th, under chloroform an aspirating needle have proved the presence of pus; an incision was made in the 9th interspace and a drainage tube inserted. The temperature at once came down to normal and remained so up to 25th day when there was a slight rise (100) owing to a small accumulation of pas in the rapidly closing sinus. This was evacitated and the patient was discharged quite cured on the 36th day, having gained 8lbs in a week.