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REPORT OF THE KING INSTITUTE, GUINDY
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agglutinated with the patient's serum in the high dilution, for a paratyphoid, of 1
in 500. An auto-vaccine was made and administered which effected a cure. The
organism was gram-negative, motile, and fermented glucose dulcite and mannite
with the production of gas, but failed to ferment lactose sacharose and inulin.
10. From a case of acute pyelitis, another organism of the paratyphoid group
was isolated which was agglutinated by the patient's serum (1 in 400), but which
did not react to high titre serum of paratyphoid A, B or C. Although it
fermented the same sugars as in No. 9 and was gram-negative and motile, yet
serologically it was different, because it was not agglutinated by the serum of the
other case. These two cases suggest that other paratyphoid. species D, E, etc.,
exist as has been suggested by other observers.
11. Succeeding each other, there were two fatal cases in a house at Saidapet.
It was reported that each had developed a. sudden comatose condition with fits
and asphyxia towards the end. After an investigation and an examination of the
throats and nostrils of the members of the household, it was found out that one
woman was a meningococcus carrier. She was segregated and treated.
12. From an acute case of meningitis from Hoyapetta Hospital, a
pneumococcus was isolated from the cerebrospinal fluid. It was an organism of
type III.
13. An uterus removed for probable malignant growth showed. what appeared
to be an extensive diffuse papilloma on the posterior wall which is a rare tumour
in the uterus. From its wide extent and involvement of the deeper tissues it was
judged wise to call it an adeno-carcinoma, although from its own structure it
appeared to be a papilloma.
14. A portion of the lung limo. of a cow in which tuberculosis was suspected after
slaughter gave rather a puzzling section which was eventually diagnosed as a
secondary chorion epithelioma.
(D) & (E) PUBLIC HEALTH SECTION.
The Public Analyst, Mr. Herbert Hawley, was in charge of the section till
about the end of March, when he proceeded home on furlough leaving the
bacteriological and chemical sub-sections in charge of Mr. llaghavachari and
Mr. Parameswara Ayyar who have collaborated in writing this part of the report.
(D) WATER.
1. Work done.—Samples from all protected water-supplies have been
examined here during the year. The number of municipal supplies has risen
from 35 to 38 and the number of -jail supplies from 10 to 1_1, while the number of
railway supplies has increased from 18 to 50. This, along with the extra work
entailed by the experiments at Kilpauk, has resulted in a great increase in the
number of samples examined as will be seen from Table XIII.
2. A synopsis of the results of the periodical examination of protected water-
supplies is given in Table XIV. The following call for comment :—
Municipal water-supplies.
Ad6ni.—Except for the systematic chlorination practised the condition of the water-supply
continues to be unsatisfactory.
Bezwada.—Samples from the pumping station continue to give a high free ammonia figure.
Cannanore.—This is not a protected supply. 'At the request of the municipality this well is
examined regularly.
Nellore.--After many years with a uniformly excellent record the water-supply showed a
slight deterioration in quality in February 1928.
Periyakulam continues to nave a bad supply. The filters have been out of action.
Chlorination was missed on the first and was not efficient on the second occasion of sampling.
Cocanada.--Though the slow sand filters gave better results this year than last year they
are still below the ordinary standard of efficiency.
Dindigul.—The gallery supply having failed, recourse was had to some wells which were
heavily polluted. Systematic chlorination of this supply was recommended.
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