NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
211
CONJE EVERAM.
WATER SAMPLES TAKEN—11TH DECEMBER 1910.
REMARKS.—The river bed of the Vagavati was dry when samples were taken. The supply is intermittent. There has been about
29.10 inches of rain since last analysis.
Bacteriological Analyses.
SAMPLE I.—TAP IN FRONT OF PUMPING STATION.
Total colonies per cc. on agar at 37°— 60.
+
-
C o l o n y n u m b e r .
Lact os e.
S a c c h a r o s e .
Dul oi t e. Ad o n i t e .
I nul i n
V o g e s a n d P r o s k .
I n d o l .
Mot i l t y. G r o u p .
Name of Bacilli.
Group and
Remarks
Bile salt lactose, medium.
1 tube of 20 co. of water taken
. .
1
2 tubes of 10 cc.
"
2
3
"
5 cc.
"I
. .
3
3
"
1 cc.
"
. .
3
3 „ .1 cc.
"
3
No lactose fermenters could be isolated.
3
" .01 cc.
"
. .
3
Fœoal bacilli not present in 60 00.
No vibrios in 100 cc.
S SAMPLE II .— TAP IN WESTERN CORNER ADJOINING THE RESER-
V O I R .
Total colonies per cc. on agar
37—79.
1 + - - - - - + -
I B. Vesiculosus
Uroup
I, 10.
2 + - - - - - +
-
I
Do.
„
II, nil.
3 + - - - - - + -
I
Do.
„
III, nil.
4 + - - - - - + - I
Do.
"
IV, nil.
Bile salt lactose, medium.
+
-
5 + - - - - - + -
I
Do.
6 + - - - - -
+
-
I
Do.
7 + - - - - -
+ -
I
Do Do.
1 tube of 20 cc. of water taken
..
1 8 + - - - - - + -
I
Do.
Class
I, nil.
2 tubes of 10 cc. "
1
1 9 + - - - - - + -
I
Do.
II, nil.
3
„
5 cc.
"
..
3
10 + - - - - - + -
I
Do.
"
III, 10.
3
1 cc. "
1
2
„
3 „ .1 cc.
I /
..
3
3
„ .01 cc
"
..
3
Fœcal bacilli present in 30 co.
Vibrios present in 100 cc.
SAMPLE III.—TAP IN EASTERN CORNER NEAR SEEVARAM TOLL
GATE.
Total colonies per cc . on agar at 37—
1+ - - - - - + -
I B. Vesiculosus
Group
I, 4.
2 + + - - - - + -
IV B. Coscoroba
„
II, nil.
3 + + - - - - + -
IV
Do.
„
III, nil.
Bile salt lactose, medium.
+
-
4
+ + - - - - + -
IV
Do.
IV, 6.
5+ - - - - - + - —
I. B. Vesiculosus.
6
+ - - - - - + - — I
Do.
7 + - - - - - + -
I
Do.
1
8 ++ - - - - + - IV
B. Coscoroba
Class
I, nil.
1 tube of 20 cc. of water taken
..
1
9+ + - - - - + - IV
Do.
" II, 6
2 tubes
3
of 10 cc
5 cc.
"
1
3 10 + + - - - - + - IVDo.
" I I I , 4 .
3 "
1 cc.
"
.. ..
1
2
3 "
• 1 cc.
" "
..
..
3
3
„ 01 cc.
"
..
3
F Fœcal bacilli present in 30 cc.
No vibrios in 100 cc.
REPORT.
There is only one point to take exception to in the results obtained with the samples taken from the
Conjeeveram system this quarter. I refer to the presence of vibrios in the sample drawn from the tap
adjoining the reservoir. How vibrios came to be present in such pure water is difficult to explain. In any
case there cannot be many as neither of the other samples show them in the considerable amount of water
examined. For the rest both chemically and bacteriologically the water is excellent and Conjeeveram is to be
congrat ulated on the present condition of its supply. The first time this supply was examined in August
1908 the results were not good but ever since they have been distinctly above the average.
212
Chemical Analyses.
SAMPLE I.
SAAMPLE III.
Physical appearances.
Colour and
Transparency.
Colourless and clear.
Colourless and clear.
Smell.
None.
None.
QUANTITATIVE.
Total solids
Parts per 100,000
16.800
16.800
Temporary hardness
Do
7.500
7.000
Permanent hardness
Do.
1.500
1.000
Total hardness
Do.
9.000
8.000
Chlorine
Do.
2.130
2.130
Ammoniacal nitrogen
Do.
Trace.
Trace.
Albuminoid nitrogen
Do.
Do.
Do.
Oxygen absorbed (Tidy's Process)
Do.
0.007
0.009
Nitric nitrogen
Do.
0.037
0.050
QUALITATIVE.
Nitrites
Nil.
Nil.
Sulphates
Present.
Present.
Phosphates
Nil.
Nil.
Iron, poisonous metals
Nil, nil.
Nil, nil.
213
VIZAGAPATAM.
WATER SAMPLES TAKEN—14TH & 15TH DECEMBER 1910.
REMARKS.—There has been about 2623 inches of rain since last,analysis. The town supply is constant. The level of water in tank
is about 19 feet.
Bacteriological A nalyses
SAMPLE I .—STORAGE TANK.
N u m b e r . Lactose. Saccharose. Dul c i t e . Ad o n i t e .
I n u l i n .
V o g e s a n d P r o s k .
I ndol .
Mo t i l i t y .
Gr oup.
Name of Bacilli.
Group and
Remarks.
Total colonies per cc. on agar at 37° C—78.
Bile salt lactose, medium.
+
-
1 tube of 20 cc. of water taken
..
..
1
.
1
+
+ - + - + - - IV B. Lactis ærogenes . Group I, nil.
2 tubes of 10 cc.
2
2 + + - + - + - - IV
Do
.. „ II, n i l
.
3
5 cc.
. . ..
2
1
3 + + - + - + - - IV
Do.
III, nil.
3 „ 1 cc. ,, .. ..
..
3 4 + +
+ - + - +- - - IV
..
Do.
..
„
„ IV, 10.
3
,, .1 cc.
..
..
1
2
5 + + - + - + - - IV I
Do.
3
„ .01 cc.
,,.
..
3
6 + + - + - + - - IV
I)o.
7 + + -.—
+ - + - - IV
I)o.
Fœcal bacilli in 5 cc. and upwards.
No vibrios in 100 cc.
8 + + - + - + - - 1V
D o.
. . Class I, nil
9 + + - + - + - - IV
. Do.
.
'
„ II, 10.
10 + + - + - + - - I
Do.
. .
III nil
,,
SAMPLE II.—FIRST TAP AFTER FILTRATION.
1 + + - + - + -
-
IV B. Lactis æ rogenes .. Group I, nil.
2 + + - + - + - - IV
Do.
. . ,, II, nil.
Total colonies per cc. on agar at 37°C—8.
3 + + - + - + - - IV
Do.
. . )7 III, nil.
4 + + - + - + - - IV
I)o.
. . ,, 1V, 10.
Bile salt lactose, medium.
+
- 5 + + - + - + - - IV
Do.
6 + + - + - + - - Iv
Do.
1 tube of 20 cc. of water taken .. ..
1 ..
7 + + - + - + - - T V
Do.
8 + -I- - + - + - - IV
Do.
.. Class I, nil.
2 tubes of 10 cc.
, , .
.
. 2
9 + + - + - + - - IV
Do.
.. „ II, 10.
.
3
„
5 co.
3
10 + + - +
-
+ - -
IV
Do.
. ,, III, nil.
3 „ 1 cc. If . .
. .
. . 3
3
„
. 1 c c .
II .. . .
.
. 3
3
„
. 0 1 c c .
, ,
3
Fœcal bacilli in 20 cc. and upwards.
and upwards.
No vibrios in 100 cc.
SAMPLE III.—EASTERNMOST TAP NEAR BEACH.
Total colonies per cc. on agar at 37° C—10.
Bile salt lactose, medium.
+
—
No lactose fermenters could be isolated
1 tube of 20 cc. of water taken .. ..
.
. 1
2 tubes of
1 0 c c
. . .
. .
.
.
2
3
3
„
5 cc.
,,
..
..
.
.
3
3
„
1 co.
, ,
. .
..
.
.
3
3
„
.1 ec.
,,
3
3
„ .01 co.
..
..
.
.
Fœcal bacilli not present in 60 cc.
No vibrios in 100 cc.
SAMPLE iV.—WESTERNMOST TAP NEAR RAILWAY
STATION.
1 +
+ - + - + - - IV B. Lactis ærogenes .. Group I, nil.
2 + + - + - + - - IV
Do.
„
II, nil.
3 + + - + - + - - IV
1)o.
. . ,, III, nil.
Total colonies per cc. on agar at 37° C-10.
4 + + - + - + - - IV
Do.
IV, 10.
5 + + - + - + - - IV
Do.
Bile salt lactose, medium.
+
-
6 ++ + -- + - + - - IV
Do.
7 + + 4_1 - +- + - - IV
Do.
8 + + - + - + - - IV
1)o.
Class I, nil.
1 tube of 20 cc. of water taken .. ..
1
9 + + - + - + - - IV
Do.
. - ,, II , 10.
10
+
+ - +
-
— +
-
- IV
Do.
.
III nil
1 ,,
- .
2 tubes of 10 co.
2
3 „ 5 cc.,,
3
3 „ 1 cc.
„
..
..
.
. 3
3 „ .1 co.
3
3 „ .01 cc.,,.. . .
Fœoal bacilli in 20 cc.
No vibrios in 100 cc.
54
214
REPORT.
Vizagapatarn is to be congratulated on the condition of its water-supply on this occasion. These results
are much the best that have been obtained since the supply was systematically examined, and it would be well
if the conditions in force when the samples were taken could be noted down for future guidance. There is
really hardly a point to take exception to. The water of the reservoir is remarkably pure and we cannot
complain about the small number of micro-organisms in it or the relatively high figure for organic matter as
they only serve to show how efficiently the filters are working. The total counts in all the filtered samples
have almost been reduced to the vanishing point and only one species of intestinal germ was isolated from the
wholeset.
Chemically the figure for chlorine is high but this stands in no relation to the figures for organic matter,
so must be of mineral origin.
Chemical Analyses.
SAMPLE I.
S A M P L E I V .
Physical appearances.
Colour and
Transparency.
Slightly yellowish
but clear.
Colourless and clear.
S m e l l .
None.
None.
QUANTITATIVE.
Total solids
..
..
..
..
Parts per 100,000 ..
25.000
23.600
Temporary hardness
..
..
..
..
Do.
..
7.000
7.000
Permanent hardness
..
..
..
..
Do . • •
4.500
4 500
Total hardness
..
Do...
11.500
11.500
Chlorine
..
••
..
.
..
Do.
..
6.035
5.680
Ammoniacal nitrogen
..
.
Do.
0.004
0.002
Albuminoid nitrogen
Do.
..
0 . 0 1 2
Trace
Oxygen absorbed ( Tidy's Process)
..
Do.
• •
0 044
0.020
Nitric nitrogen
..
..
..
..
..
Do.
0 037
0.037
QUALITATIVE.
Nitrites ..
..
..
..
...
..
..
..
..
..
Nil.
Nil.
Sulphates
Present.
Present
.
Phosphates
..
..
..
..
..
..
..
..
N i l .
Nil.
Iron, poisonous metals
..
..
..
..
..
..
Nil , n i l .
Nil , nil.
216
Chemical Analyses.
SAMPLE I.
SAMPLE III.
Physical appearances.
Colour and
Transparency.
White and hazy.
White and hazy.
Smell.
None.
None.
QUANTITATIVE.
Total solids..
• •
..
..
per 100,000 ..
44.800
44.400
Temporary hardness
..
..
..
Do...
19.000
19.000
. •
..
Permanent hardness..
..
1.000
1.000
Total hardness ..
..
..
..
..
Do...
20.000
20.000
Chlorine ..
..
..
..
..
Do.
• •
3.905
3.905
Ammoniaca] nitrogen ..
..
..
..
Do.
Trace.
0.004
Albaminoid nitrogen
..
... ..
. .
Do.
0 - 0 0 8
0.007
Oxygen absorbed ( Tidy's Process)
..
..
Do.
0 . 0 4 4
0.029
Nitric nitrogen ..
..
..
..
..
Do... 0.050
0.050
QUALITATIVE.
Nitrites ..
..
..
.
..
.
Nil,
Nil.
Sulphates
..
..
..
..
..
..
..
..
..
Present.
Present.
Phosphates
..
..
..
..
..
..
... .
..
Nil.
Nil.
Iron, poisonous metals, ..
. .
. .
. .
. .
. .
. .
nil.
Nil, nil.
218
REPORT.
The water is of much the same quality as last quarter but nothing like so good as at this season last year.
Considering that the total count is so high the number of fœcal germs is remarkably small. Their kind too
is quite unobjectionable. Filtration has produced a reduction in the total count but not so great a one as
might be expected. Sedimentation in the pipes produces more effect than the filtration and the water can be
said to be delivered in very fair order.
Chemically also the water is not bad. It is only moderately hard and the organic matter is not great in
amount although it is mainly of animal origin.
Chemical Analyses.
SAMPLE I.
SAMPLE III.
Physical appearances.
Colour and
Transparency
Slightly
yellowish but
clear.
Colourless and
clear.
Smell.
None.
None.
QUANTITATIVE.
Total solids
Parts per 100,000
20.800
20.800
Temporary hardness
Do.
8.000
8.000
Permanent hardness
Do.
3.000
3.000
Total hardness
Do.
11.000
11.000
Chlorine
Do.
1.065
1.065
Ammoniacal nitrogen
Do.
0.002
Trace.
Albuminoid nitrogen
Do.
0.009
0.003
Oxygen absorbed ( Tidy's Process)
Do.
0.058
0.022
Nitric nitrogen
Do.
0.025
0.037
QUALTITATIVE.
Nitrites
Nil.
Nil.
Sulphates
Present.
Present.
Phosphates.
Nil.
Nil.
Iron, poisonous metals
Nil, nil.
Nil, nil.
CORRECTION SLIP TO THE REPORT ON THE WORKING OF THE
MICRO—BIOLOGICAL SECTION OF THE KING INSTITUTE OF
PREVENTIVE MEDICINE, MADRAS, FOR THE YEAR 1911.
APPENDIX I.
In the Chemical Analysis Reports of Cannanore Central Jail ( 11 th June 1911) and
Berhampur Central Jail ( 24th June 1911)—
Page. 12 should follow page 10.
P a g e . 1 4 s c h o u l f o l l o w p a g e 1 1 .
REPORT ON THE WORKING OF THE MICRO-
BIOLOGICAL SECTION
OF THE
KING INSTITUTE OF PREVENTIVE
MEDICINE, MADRAS
.
FOR THE YEAR
1911
(WITH APPENDICES).
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS.
1912.
TABLE OF CONTENTS.
PAGE
:Report on the working of the Micro-Biological section by Dr. F. M. Gibson,
M.B., B.Sc., Director ... ... ... ... ... ... i
Work carried out by Captain Patton, I.M.S., during the year 1911
vi
The structure of the Proboscis of Philaeivatomyia insignia, Austen
vii
Notes on Vaccine Therapy by Assistant Surgeon M. Kesava Pai, M.D.
V i i i
Notes on a cutaneous strepto-coccus affection by Assistant Surgeon T. See-
thapathy Aiyar, L.M. & s.
...
...
...
...
...
xiv
PARTS I AND II OF APPENDIX I— Water-supply in Jails.—Report on — for the
half-years ending 30th June 1911 and 31st December 1911.
Jails—
District Jail, Tanjore
. . .
. . .
. . .
. . .
. . .
. . .
. . .
1, 15
1)o.
Cuddalore
. . .
. . .
...
..
...
...
. . .
2, 16
Central Jail, Coimbatore
...
. . .
. . .
...
. . .
. . .
...
3, 17
Do.
Rajahmundry ...
...
...
...
. . .
. . . ...
4, 22
District Jail, Palamcottab ..
. . .
... ...
. . .
...
...
6, 28
Central Jail, Bellary
. . .
... ...
...
. . .
. . .
...
7, 26
Do.
Salem
. . .
. . .
. . .
. . .
. . .
. . .
. . .
8, 27
Do.
Cannanore
. . .
. . .
. . .
. . .
. . .
...
...
9, 19
District Jail, Berhampur
...
. . .
...
...
...
...
. . .
11, 24
Central Jail, Vellore
...
. . .
...
...
...
...
...
13, 23
PARTS I, Il, III AND IV OF APPENDIX II— Water-supplies in Towns .—Report
on — for the quarters ending 31st March 1911, 30th June 1911, 30th
September 1911 and 31st December 1911.
Towns
—
Trichinopoly ...
...
...
...
... ...
...
...
. . .
1, 2,40 & 72
Tanjore
...
. . .
...
...
...
. . .
. . .
. . .
. . .
3, 4, 42 & 74
Madras.
...
...
... ...
. . .
...
...
... 5, 1 ( a), 43 (a) & 70
Adōni
. . .
. . .
...
...
. . .
. . .
. . .
. . .
8, 6, 43 (c) & 76
Cuddapah
. . .
. . .
. . .
. . .
. . .
. . .
10, 8, 44 & 78
Coonoor
. . .
...
...
...
...
...
...
...
12, 10, 47 (a) & 94
Ootacamund
...
...
...
...
...
...
...
14, 26, 48 & 106
Madura
...
...
...
...
. . .
...
. . .
18, 21, 54 & 88
Dindigul
. . .
. . .
. . .
. . .
. . .
. . .
...
. . .
20, 19, 52 & 00
Bezwada
...
....
...
. . .
...
. . .
...
... 22, 12, 45 (a) & 80
Guntū r
...
. . .
. . .
. . .
. . .
. . .
. . .
. . . 24, 14, 45 (c) & 82
Nellore
. . .
. . .
...
. . .
. . .
. . .
. . .
... 26, 15, 45 (e) & 84.
Tirupati
...
...
...
. . .
...
. . .
. . .
. . .
28, 17, 46 & 86
Kurnool
...
...
...
. . .
. . .
. . .
. . .
. . .
31, 23, 56 & 104
Con jeeveram
...
...
. . .
...
...
. . .
...
...
34, 32, 59 & 92
Gudiyā ttam
. . .
. . .
...
...
...
...
. . .
36, 36, 66 & 98
Vellore
. . .
. . .
...
. . .
. . .
. . .
. . .
. . .
38, 38, 68 & 100
Cocanada
...
...
...
. . .
40, 30, 61 & 96
Vizagapatam
. . .
...
...
...
...
...
. . .
42, 34, 64 & 102
Table showing the degree of pollution on each sample
...
. . .
. . .
4 5 , 3 9
( b )
, 6 9
( b )
& 1 1 0
Tabular statement of chemical analysis
...
...
...
. . .
...
4 4 , 3 9
( a )
, 6 9
( a
) & 1 1 1
i i i
L eprosy .—All but one of the eight specimens submitted showed the presence of
ieprae bacilli. .
Spirochaeta pallida .—Seven specimens were sent for report as regards this
organism, but in none of them was it possible to demonstrate it. To some extent
this failure is probably due to the specimens being unsuitable in character. Very
intensive staining is required to show up the parasite ; so films should be extremely
thin and contain as little extraneous matter as possible. The discharge from an open
sore may be said to be quite unsuitable for this examination. If the unbroken skin
near the margin of a sore be blistered and films made with the clear serum, a greater
number of positive cases would probably be got.
Piroplasmosis.—For the third year in succession the hounds were attacked with
piroplasmosis of the new type, but it is fortunate that in Salvarsan a remedy has
been found that appears capable of controlling the disease.
Diphtheria.—Out of thirteen specimens submitted for examination for this bacil-
lus, two gave positive results. As noted in last year's report this disease is so rare
in the plains as to have been regarded as almost non-existent. If the number of
specimens sent for examination be any criterion, it would appear that suspiciously
diphtheroid throats are on the increase, and a close watch should be kept for cases of
this kind.
Water. — I n
t h e b a c t e r i o l o g i c a l e x a m i n a t i o n o f w a t e r , a n e w a n d r e p u t e d l y s i m p l e
method of isolating B. Coli Communis was tried. This consists in the use of aeseulin
agar. The experiment is being continued, but it cannot be said that the results
obtained so far are encouraging, or that the method justifies the claims made for it
by its authors.
The investigation, begun last year, at the instance of Lieut.-Colonel Gilfard,
I.M.S., to show whether syphilis, in one or other of the parents is the cause or the
large number of still-births in which the foetus is extruded in a macerated condition,
was continued. A large number of such foetuses were examined, and the organism
of syphilis was demonstrated in 25 per cent. of these. A tabular statement showing
the history of the eases in so far as it bears on the investigation, is appended.
TABLE II.
S e r i a l
nu
m b e r .
Date of despatch.
Number
of
pregnancy.
History of former pregnancies.
Notes of foetus.
Remarks.
Result of examination.
1910.
1
14th December
..
. . . .
..
. . . .
Negative.
2 21st ,,
. . . .
. .
. . . . .
1911.
.
3
30th January
First
. . . .
Macerated
. . . .
Do.
4 30th
„
Ninth
All natural
Do.
No history of syphilis
Do.
5 11th.. , ,
Seventh
All premature at seven months ; still
Do.
No history of syphilis can be ascertained in the
woman, but her husband gives a distinct history
of syphilis.
Spirochætes present in fair numbers in liver.
6
1st February
Third
First, forceps ; second, natural (alive)
Do.
No history of syphilis in either parent
Spirochætes present in large numbers in
liver, nil in kidney.
7 12th
,,
Third
Two natural
.
Do.
do.
..
.. Negative.
8
1st March
First
. .
Do.
Do.
do.
..
..
Do.
9
11th „
.
..
. .
Do.
. . . .
Do.
10 14th „
First
. .
Do.
No history of syphilis in mother. The father died
six months ago.
Do.
11 20th „
Second
Still born
Do.
.. No history of syphilis
Do.
12
20th ,,
.. Third
First, forceps ; second, natural
..
..
Do.
Do.
Do.
13 31st „
.. Fourth
.. All natural
Do.
.. No history of syphilis in either parent
Do.
14
3rd April
.. Second
.. First forceps ..
..
..
..
..
Do.
Do.
do.
Do.
15
10th „
.. First..
....
Do.
..
Do.
do.
..
..
Do.
16
17th ,,
.. Second
First abortion at third month ; second at
eighth m o n t h .
Do.
..
Do.
do.
..
.. Spirochætes numerous in liver, none in
kidney and placenta.
17
20th
„
.. Sixth
All natural
..
..
..
..
..
Do.
.. Syphilis in mother
..
..
..
..
.. No spirochætes.
18
24th „
.. Second
.. First abortion at the fourth month ..
..
Do.
.. No history of syphilis in either parent
..
.. Negative.
19
8th May
.. Sixth (eight
months)
Natural ; fourth and fifth still-born
..
Do.
do.
..
.. Spirochætes numerous in liver, none in
kidney and placenta.
20
11th „
.. Third
. . Natural ..
..
..
..
..
..
Do.
Do. do. .. ..
Spirochætes fairly numerous in liver, none
in kidney and placenta.
21
12th „
Tenth
..
Do.
..
..
..
..
..
..
Do.. .
Do.
do.
..
.. No spirochætes.
22 13th „
. . Third
..
Do.
Do.
Do.
do.
.. . .
Do.
23
19th ,,
.. Eleventh .. First, second and fourth natural ; third
premature, the rest abortions at three
months.
Do.
..
. . . .
A few spirochætes in liver, none in kidney.
24 10th June
.. First
..
....
Do.
.. No history of syphilis in either parent
.. Negative.
25 10th „
. . Third
. . Natural at home
..
..
..
..
Do..
.
do.
..
..
Do.
26
13th „
.. Second
.. First natural in this hospital
..
..
Do.
.. No history of syphilis ..
..
..
..
..
Do.
27
24th. „
.. First..
.. ..
Do.
..
Do.
..
..
..
Do.
28
29th „
.. Second
.. Healthy
..
..
..
..
Do.
..
Do.
..
..
..
..
Spirochætes present in fair numbers both
in liver and kidney.
29 29th,,
Fifth
. .
Do.
..
Do.
. . . .. .
Negative.
30
3rd July
..
. .
. .
.
.
..
. . . .
No spirochætes.
31
4th „
..
....
Macerated
..
. . . .
Do.
32
27th „..
....
.
Slightly macerat-
ed.
. . . .
Spirochætes present in fair numbers in
kidney, scanty in liver.
TABLE II— cont.
S e r i a l n u m b e r .
Date of despatch.
Number
of
pregnancy.
History of former pregnancies.
Notes of foetus.
Remarks.
Result of examination,
1911.
33
14th August .. First
..
Macerated
..
Negative.
34 16th „
. . Second
.. Natural
Do.
Do.
35
2nd Sept. ..
Third
.. First natural ; second premature at 8
months.
Do.. .
36
12th „
.. Second.
.. First natural premature 81/2 months ; second
natural premature 81/2 months.
Do.
.. Histo:y of syphilis in the woman and her husband.
Do.
37
14th „
.. First
.
Do.
.. No history of syphilis can be ascertained ..
..
Do.
38
14th ,,
.. Third
.. Two still-born ..
..
..
..
..
Do.
Do.
..
.. Spirochætes present in fair numbers in
liver and kidney.
39
15th „
.. Second
. . Natural
..
..
..
..
Do.
.. No history of syphilis in either parent
..
.. Spirochætes abundant in both liver and
kidney.
40
18th „
.. Seventh
..
Do.
..
..
..
..
..
Do.
No syphilis in either parent ..
. ,
. ,
.. Negative.
41
23rd ,,
.. Fifth
. . Three natural ; one still
..
Do.
No history of syphilis
..
..
Do.
42 6th October
.. Eleventh ..
..
Natural..
..
..
..
..
..
. . •
43 9th ,,
. Fourth
..
Do... .
..
..
..
. .
Do.
..
..
..
..
.. Spirochætes present in fair numbers both
in liver and kidney.
44 10th ,,.. Fifth
..
Do.
Do.
Do.
..
..
.. •
00
..
Do.
do.
45 12th ,,
.. Second
..
Do... ..
..
..
..
.
..
Do.
..
..
..
..
Negative.
46
12th ,,
. .
Do. ..
First Forceps, child alive
..
..
..
Do.
..
Do.
..
..
. . ..
..
Do.
47
12th „
Eighth
Natural
Do.
..
..
..
..
.. Spirochætes in large numbers in live.
and kidney.
48
12th „
.. Fifth
..
Do... •
..
..
..
..
..
Do.
..
.. ..
..
..
Negative.
49
16th „
..
Second
twins.
Do.
. . . . .. . . . .
Do.
. .
No history of syphilis in either parent
..
..
Do.
50
16th „
..
51
16th ,,
.. First
. .
.
Not macerated . . Child born 6th October 1911 ; died 14th October
1911 ; weighed 6 1b and 10 oz. ; developed
diarrhoea 11th October 1911, accompanied by
excoriation round anus and a deep red circular
patch involving nose, lips and chin and inner half
of the checks on 13th October 1911; head retracted
rigidly ; died 14th October 1911. Diagnosis
syphilitic meningites. No history of syphilis can
be ascertained.
Do.
52
16th
„
. . First
. .
....
Macerated
. . Patient looks syphilitic. Bridge of nose fallen in
nasal speech.
Do.
53 18th
„
.. First
. .
.. , .
Not macerated .. The child which was born alive developed a rash
suspicions of syphilis on the 7th and died on the
10th day.
Do.
54
19th
„
.. Third
.. First abortion at five months; second abortion
at six months.
Macerated
. . History of syphilis in the husband ..
..
.. Spirochætes present in fair numbers in liver
and kidney.
55
9th November.. Sixth
.. Natural ; sixth, abortion at six months
. .
Do.
. . No history of syphilis in either parent .. Spirochætes present in small numbers i n
liver and kidney.
56
11th
,,
..
..
....
. . . .
.
.
. .
No Spirochætes.
57
4th December .. Eighth
.. Natural ..
..
..
..
Macerated
.. No history of syphilis
.. ..
O.
.
No spirochætes.
58 4th „ ,
.. Tenth
..
Do.
. . .. .. .. ..
Do.
Do.
Do.
59
22nd
„
.. Second
. . Abortion at six months
..
..
Do.
Do.
Do.
x v
2. Adult—male ; age 36 years. A chronic affection of both feet and legs. A few pigmented
areas with vesicles of clear fluid were present. In some places leucodermic patches were also
seen. The patient got better with an autogonous vaccine.
3. Child—male ; age 2 years, 9 months. Eruption confined to scalp. Duration of complaint,
1 year and 4 months. The child was in poor general health. Many medicinal remedies had
been tried without effect. An autogenous vaccine was administered which resulted in a cure.
4. Female—age, 23 years ; an eczematous eruption on both the big toes. Duration since
youth. Is improving on vaccine treatment.
5. Child—female ; age 1 year, 9 months. Pustular eruption on both legs ; of three months'
duration. Local application of various remedies was tried with the result that the eruption got
worse and became converted into bleeding indolent ulcers. Two doses of autogenous vaccina-
tion cured the complaint.
6. Girl—aged 8 years ; pustular eruption confined to right shoulder ; stock vaccine of case
No. 5 effected a cure.
7. & 8. Two children—sister and brother aged 3½ and 1¼ years respectively. Pustular
eruption on legs , and feet ; stock vaccine of No. 1 effected a cure.
9. Male adult ; aged 28 years. Eczematous lesion on big toes. Autogenous vaccine was
made, which effected a cure.
10. Child aged 3 years. Pustular and eczematous lesions all over the body ; duration 6
months. It was successfully treated with an autogenous vaccine.
Two more cases were treated with stock vaccine with good results.
Educational.
On the completion of the Sanitary Engineer's new offices, it was found more convenient to
have the Minor Sanitary Engineering class held there. This class is, therefore, no longer held
at the Institute. The usual class for vaccinators was held in May. There were 20 members of
the class and 19 of these secured qualifying marks at the examination held at the end of the
course.
In addition two medical subordinates received instruction in Elementary Bacteriology.
It is satisfactory to be able to place on record the large amount of good work done in the
section.
THE KING INSTITUTE OF PREVENTIVE
F. MAITLAND GIBBON
,
M.B., B.SC.,
MEDICINE ,
Dirrector..
Guindy,17th _February 1912.
Order—No. 577 L., dated 16th April 1912.
Recorded.
(True Extract.)
T. E. MOIR,
A
g .
S e c r e t a r y t o G o v e r n m e n t .