18
TABLE XII.
Other cases.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine.
Result.
1
21
The Third Surgeon, General Hospital,
Madras.
Tubercular adenitis.
Streptococcus longus. Cured.
2
161
The Fourth Physician, General
Hospital, Madras.
Pulmonary tuber-
culosis.
Streptococcus and
pneumococcus.
No effect.
3
10
Major F Clarence Smith, Madras . . .
. . .
Streptococcus longus. Not cured.
4
16
Do. . . . Dysentery . . . B. enteritidis . . . Improved but
probably not
due to.
vaccine.
5
30
The Second Surgeon, General Hospital,
Madras.
Empyema . . . Pneumococcus . . . Not used.
6
45
Major
F.F.Elwes, C.I.K., I . M . S . ,
Madras.
Dysentery . . . B. dysenteriæ . . . Not known.
7
52
The Superintendent, Lunatic Asylum,
Madras.
Do. . . .
Do. . . . Cured.
8
66
The Superintendent, Government
Maternity Hospital, Madras.
Puerperal sepsis . . . Streptococcus . . .
Do.
9
69 The Superintendent, Lunatic Asylum,
Madras.
Dysentery . . . B.dysenteriæ . . . Not cured.
10
80
The Superintendent, Gosha Hospital,
Madras.
Puerperal sepsis . . . Streptococcus . . . Not known.
11
89
The District Medical and Sanitary
Officer, Coimbatore.
Meningitis . . . Staphylococcus . . . No effect.
12
100
The Fourth Physician, General
Hospital, Madras.
Dysentery . . . B. dysenteriæ . . . Not used.
13
101
Do.
d o .
Do. . . .
Do. . . .
Do.
14
174 The District Medical and Sanitary
Officer, Malabar.
Abscess of lung . . . Pneumococcus . . .
No effect.
15
179
The Medical Officer, Cantonment
Hospital, St Thomas' Mount.
Puerperal sepsis . . . Streptococcus . . . Not used.
16
188
The Officer Commanding Station
Hospital, Poonamallee.
Do. . . .
Do. . . . Not known.
STOCK VACCINES.
Polyvalent streptococcal vaccine—was used in the General Hospital, Madras, in cases of
pulmonary tuberculosis and chronic bronchitis to bring down the temperature in the secondary
infection of the former disease or to cure the catarrh of the bronchi supposed to be caused
by streptococci. The results obtained in this class of cases were indifferent. Anti-strepto
-
coccus vaccine was also used by the District Medical and Sanitary Officer, Gunt ū r, as a
preventive of suppuration or sepsis after abdominal operations, accidental injuries, amputa
-
tions, obstetric operations, etc. He thinks that the after progress of cases thus treated justifies
the conclusion that the vaccine had the desired effect.
A polyvalent pneumococcic vaccine —was made from a number of strains isolated from
cases of asthma and bronchitis. It was used on a fairly large scale in the wards of the Second
Physician of the Madras General Hospital in cases of chronic bronchitis, asthma and tuber
-
culosis of the lungs, in doses of 2½ to 20 million organisms, with gratifying results.
Anti-gonococcic vaccine.— The results of the use of this vaccine in epididymitis and
arthritis were as usual eminently satisfactory but the urethral cases have continued to give
uncertain results. The Station Hospital at Poonamallee used the vaccine on a large scale,
149 cases having been treated there during 1914. The object of employing this treatment,
according to the medical officer in charge, was more to prevent complications than to
cure the urethritis itself. This it successfully did, the usual doses employed being 5 million,
10 million and upwards. In the Government Ophthalmic Hospital, Madras, cases of gonorrhœal
conjunctivitis, iritis and scleritis are reported to have been greatly benefited. Higher doses
than 200 million of this vaccine have been known to produce severe reactions. Consequently
in routine work a maximum dose of 100 million is recommended.
Tuberculins.—Regarding the efficacy of tuberculin treatment in tuberculosis, especially of
the lungs, opinions have been conflicting. Of 5 cases of tuberculosis of the lungs treated by
the Medical Officer, Jubilee Hospital, Berhampur, one, an advanced case, died, 3 considerably
improved and the fifth was almost cured. One case of bone tuberculosis did not yield at all
to this treatment.
The Second Physician of the General Hospital used stock tuberculin in 38 cases of
pulmonary tuberculosis but with the exception of one case which was greatly relieved, the
results in other cases were quite unsatisfactory.
The observations made by other medical men who were supplied with tuberculin from
the Institute show that though it was not of any use in the advanced pulmonary cases, it has
been very beneficial in the incipient and early cases even when they were febrile.
Anti-leprosy vaccine— was obtained from the Bombay Bacteriological Laboratory in
bulk and issued in divided doses to 4 patients at Kumbakonam. Two of these benefited
whilst in the other two no good whatsoever resulted.