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12. The Hospital Mortality of Plague cases treated at Kennedy Town since the first outbreak of the disease in the Colony has been as follows:—

76.0 per cent.

1894,

1895,

1896,.

1897,

1898,

1899,

1900,

1901,

1902,

74.3 75

81.8

""

81.8

77.5

=>

76.5

85.1

1903, (to 6th July).....................

60.6 79

13. When all allowances, such as I have before referred to, have been made, I think it must be admitted that Carbolic Acid is of undoubted value in the treat- ment of Plague, when given in such doses as to allow its sufficient concentration in the blood to exert its antiseptic action on the bacilli. It is, however, by no means a specific remedy; and, while reporting thus favourably on its use, I would urge upon His Excellency's attention the desirability of carrying into effect before next epidemic season proposals already sanctioned for the production locally of a Curative Serum for the treatment of Plague.

14. I attach a Table showing the main facts regarding each of the Plague cases admitted this year, entered in series in the order of their admission to Hospital; and also notes in more detail with temperature charts of six typical Plague cases, illustrating different forms of the disease, and some of them presenting features of peculiar interest.

I have, &c.,

The Honourable

Dr. J. M. ATKINSON,

Principal Civil Medical Officer,

&c.,

fc.,

&c.

J. C. THOMSON.

CASES.*

DM, English, male, æt. 42, Inspector of Police, admitted to Ken- nedy Town Hospital on 16th May, 1903, suffering from Plague.

Had a little fever, and small Right Femoral Bubo, and Plague Bacilli were found in his blood.

Mild case.

Treatment. Liq. v, three times a day. Liquid diet.

Strych. m. x., in mixture, every 6 hours. Quin. Sulph. gr. Belladonna, locally, to Bubo. Brandy, 4 oz., in 24 hours.

25th May. Bubo resolving without suppuration.

30th May. Still a few Plagne Bacilli in blood.

mixture every 4 hours.

6th June. No Plague Bacilli in blood.

8th June. Discharged from Hospital.

Solid diet.

Acid. Carbolic. gr. xii, in

This case is interesting, in that it was an ordinary somewhat mild case, which when apparently quite convalescent still harboured Plague Bacilli, and in which bacilli disappeared within a few days after use of Carbolic Acid.

* The temperature charts accompanying these cases have not been printed.