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found in 2 and pus-cocci were found in 2, while nothing was determined of the re-
maining 11 oases, although there were distinct buboes in each case. Five cases were
examined for relapsing fever, out of which spirullum was found in three. Three cases
were examined for typhoid fever, but one case only gave the proper test. A case
gave continuous fever chart, but had not the character of any of the typical fevers,
so the blood was examined for Malta fever, with the result that the patient wan found
not to be suffering from Malta fever, he might have had it in the commencement of
fever.
Complication of Plague with other Diseases.—Only two forms of epidemic
diseases were noticed to have complicated with plague, namely, relapsing fever and
small-pox. Seven cases, which were admitted as plague and which had distinct
buboes, had also relapse of fever regularly after 10 and 12 days intervals. In one
case only the blood was examined for spirullum and was found full of them.
Four plague cases were affected with small-pcx :—
(1) T. M., male, aged 24, admitted on the 20th January 1900 for plague
with right femoral bubo, had an eruption of small-pox on the 22nd, 2 days after
admission. He was kept in a separate ward and was discharged cured on the
7th March 1900.
(2) G. T.. female, aged 15, admitted for plague in January 1900, had an
eruption of small-pox, semi-confluent variety, on the 22nd and was discharged cured
on the 20th February 1900.
(3J G, G., male, aged 20, admitted on the 9th February 1900 for plague
with right femoral bubo, had an eruption ol small-pox on the i*th and died on the
17th February 1900,
(4) N. B., female, aged 20, admitted for plague with right femoral bubo on
27th February, had an eruption of small-pox of semi-confluent variety on 1st March,
and was discharged cured on ith April 1900.
Treatment.—The mode of treatment followed in this Hospital has been fully
described in the last year's report. No special treatment, such as the curative serum
treatment or the vapour bath treatment, was adopted this year. The general plan of
treatment consisted in giving stimulants, such as carbonate of ammonia, liquor
strychnia, &c. Alcoholic treatment, z.<?., giving 2 to 4 drachms of ruin every half
hour, was tried in a few cases, but was not found to be of any use. All patients got
rum with their egg flip, but rum or brandy in additional quantity was prescribed
whenever the tension of the pulse became feeble. In cases of gangrenous surfaces a
poultice of Eclipta Alba was found very useful. It acted as a deodoriser and removed
the slough much more rapidly than linseed poultices.
Lozone Treatment.—In the mouth of June 1899 some quantity of Lozone was
sent to this Hospital for trial, and was administered in 3 cases, all of which died.
The drug had very little influence on the temperature, but the pulse and respiration
went up very high as would be seen from one of the charts annexed herewith. It
had no action on the intestines or any other organ. The cases in which it was tried
were of different types. The first was one of very severe type, the second was not
a bad case, and the third was one of mild type.
Hypodermic Injection of Liquor Atropia.—Six cases were given injection of
three minims of liquor atropia every day along with the ordinary treatment, but
only one of these cases recovered.
One drop of Liquor Atropia given by Mouth.—Atropia is said to support heart's
action and with that view liquor atropia in one drop doses twice a day was given
in 25 cases, but the result was not encouraging in any way as .only three oases out
of the 25 got well.