3
treated by the ordinary methods only showed a percentage of 9.9 mortality among
the patients treated by the ordinary methods and 8.6 per cent amongst those
treated with curative vaccines.
Tuberculin for curative use was issued on a small scale, but no definite benefit
was reported from its use.
Stock gonococcus vaccine was issued in large quantity to Civil and Military
hospitals and to medical men. Opinions were unanimous with regard to its
efficacy in the metastatic complications including synovitis, arthritis, orchitis,
cystitis and conjunctivitis. As regards its utility in cases of urethritis there is
no agreement, the majority of the cases being unfavourably reported on.
Autogenous vaccines.
Table III shows the nature of the autogenous vaccines made and the number
or cases treated with the results obtained so far as these have been reported.
There was a decrease in the number of these vaccines prepared. It will be seen
from the table that in the majority of cases the results of the treatment were not
reported to this office.
154 autogenous vaccines were made. All the ten cases of furunculosis were
staphylococcal in origin.
The 25 cases of eczema were found to be due to staphylococci or streptococci
or to both of these organisms in combination.
Abscesses, cellulitis, septic wounds, etc., were found to be associated with the
same organisms.
With the exception of one case in which B. Influenzæ was present together
with the streptococcus, all the cases of Pyorrhœa were found to be associated
with streptococci. The result of vaccine treatment was unsatisfactory on the
pyorrhœal condition. In one case, however, that of a Military Assistant Surgeon,
who was suffering from 'sprue' which was attributed to the pyorrhoea, consider
-able improvement was noticed as far as the sprue symptoms were concerned
although the local condition was not appreciably benefited.
Of the 38 cases of chronic bronchitis, the Pneumococcus was found in 20,
the B. Influenzæ in 15, the M. Catarrhalis in 7 and streptococci in 5, these
organisms being chiefly found in combinations of two or more at one time. In
the majority of cases no reports were received regarding the final effect of the
vaccine treatment. In the few cases where a cure or improvement was noted no
evidence is available upon which reliable information can be based as to the value
of the vaccine treatment.
Diseases of the urinary tract .—The beneficial effect of B. Coli vaccine in cases
of cystitis or bacilluria in which this organism is present is very definite. The
reports on the effect of gonococcus vaccine in cases of urethritis and of staphy
-lococcus and streptococcus vaccines in conditions of gleet are not definite.
TABLE III.
Autogenous vaccines made in the year 1919.
Class of cases.
No. of
vaccines
made.
Result.
Cured.
Improved. No effect.
Not used
or not
reported.
Furunculosis . . .
10
1
. . .
3
6
Eczema, pemphigus and skin eruptions . . .
25
2
5
3
15
Abscesses, carbuncles and cellulitis . . .
15
1
2
1
11
Septic wounds and sinuses . . .
5
. . .
2
1
2
Pyorrhœa alveolaris . . .
16
. . .
3
2
11
Inflammation of the mouth, throat, nose, ear and con-
junctiva.
18
. . .
5
2
11
Asthma, bronchitis and lung affections . . .
38
3
7
9
19
Diseases of the urinary tract . . .
19
1
1
4
13
Miscellaneous . . .
8
. . .
. . .
. . .
8
Total . . .
154
8
25
25
96
Table IV shows the issues of the different sera purchased, stored in the cold
room and supplied to Medical Officers on indent. As far as these sera are con
-cerned, this institute merely serves as a purchasing and a storage agency. The
supply was increased by one-third during the year under report.
2