NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
3
Plague .—The number of specimens of human origin was less than last year but
of animal origin considerably more.
Agglutination re-action for paratyphoid. —It is becoming increasingly common for
medical officers to request that a blood may be tested. against paratyphoids A and B
as well as against typhoid. Hence a large increase in the paratyphoid tests per-
formed. An idea of the relative prevalence of the three infections may be gained. by
inspection of the percentage of positive re-actions.
Per cent.
positive.
Typhoid
..
..
• •
• •
.. •
60
Paratyphoid A
..
..
• •
..
11
Paratyphoid B
21
Wassermann re-action .—There was again a large increase in the number of bloods
sent for this re-action, but the percentage of positive re-actions fell from 53 per cent
to 43 per cent. This probably indicates that whenever a diagnosis is doubtful medi-
cal officers are inclined to try to exclude syphilis by getting the re-action performed.
The re-action should be utilised. to confirm a well-founded suspicion based on other
grounds, not so much to suggest a cause for indefinite symptoms. The want of a
suitable appliance for rapid desiccation in vacuo has hindered to some extent the
preparation of antigen from fœtal livers. It may be possible to overcome this
difficulty when there is a little space in which to work.
A note on this subject by Civil Assistant Surgeon T. Sitapati Ayyar will be
found in Appendix II.
It is suggested that much time would be saved to practitioners and much dis-
comfort to patients if the quantity of blood, about 2-3 c.c., necessary to perform the
Wassermann re-action were to be withdrawn from a vein instead of from numerous
punctures of the fingers or ears.
Diphtheria.—The number of specimens sent for examination rose from 20 to 86,
but positive results were obtained in only 5 cases out of the 8 6 against 8 out of 20
last year.
In 1912, .10 bottles of anti-diphtheritic serum were sent out on application; in
1913, 98 bottles.
It certainly appears that medical officers are becoming much more alive to the
possibility of the occurrence of diphtheria in this country and are treating many cases
with serum on suspicion. The bacteriological findings do not point to any great
increase in the incidence of the disease.
A large number of the negative specimens came from the throats of persons at
St. Thomas' Mount, where an endeavour was being made to trace the origin of a small
but virulent outbreak of diphtheria. Probably a good deal of the anti-diphtheritic
serum issued was used prophylactically to prevent persons who had been in contact
from developing the disease.
The other items in table II do not call for particular notice.
Table III gives the result of the examination of macerated. fœtuses sent from the
Maternity Hospital.
TABLE III.— c o n t .
N u m b e r .
Date of despatch.
Number of
pregnancy.
History of former pregnancies.
Notes of fœtus.
Remarks.
Result of
examination.
1913—cont.
33
7th October
.. Fourth ..
.. All children born at full term, but the children are al 1
dead..
. . . .
. .. ,
Negative.
34 15th
„
.. Second ..
.. Natural
..
..
..
..
..
..
.. Macerated
..
.
No history of syphilis
. . .. .. .. . .
Spirochætes present in
large numbers.
35 16th"..
Sixth
. .
. .
All natural ..
..
..
..
..
..
..
Do.
..
..
Do.
.. ..
. . . . . .
Negative.
36 25th November
" Eighth ..
.. Fiveprevious children born still. Had lan eclamptic
diit soon after delivery this time.
Looks full term. Born
alive. Big
lever
occupying
nearly
the upper 3/4 of abdo-
men. Died seven
hours after birth.
. .
No spirochætes could
be found.
37 25th
„
.. Second ..
.. First pregnancy abortion when one month pregnant
Macerated
..
..
....
Do.
38
3rd December
..
Do.
..
.. N a' ural
..
..
.
..
. . ..
Macerated
eighth
month.
Mother shows signs of tuberole of both apices ..
..
Do.
39
8th
„
.. Seventh ..
.. All natural ..
..
..
..
..
..
.. Macerated
..
..
. .
Do.
4 0
9th
„
.. Third
..
.. Twopregnancies natural, but both died, one at one
year, the other three months.
Do
..
..
. . .
Spirochretes present
in fair numbers.
7
Two hundred and thirty autogenous vaccines were supplied as under—
TABLE V.
Made for
Number of
autogenous
vaccines.
The General Hospital
...
...
. . . . .
8 1
The Royapettah Hospital .
13
The Monegar Choultry Hospital..
. . .
4
The Government Lunatic Asylum, Madras
..
• •
..
...
20
The Government Maternity Hospital, Madras ...
...
...
. . .
7
Private practitioners or medical officers in their private capacity in
Madras city
..
..
...
...
...
...
...
..
45
Hospitals and medical men in the mofussil
...
...
...
. . .
60
Total .. 230
The following is the classification of diseases for which autogenous vaccines were made:—
TABLE VI.
Nature of disease.
Number of
vaccines
made.
Furunculosis
...
...
...
...
...
..
.
.
• •
22
• •
Eczema and sycosis . ...
... . . .
. . .
. . .
. . .
9
Pemphigus ...
...
...
...
...
...
. . .
. . .
8
Acne
...
...
...
... . . .
. . . . . .
. . .
6
Ulcers, septic wounds and sinuses ..
• •
•
..
.. 22
Abscesses
..
...
...
...
...
...
...
...
.. 20
Carbuncles and cellulitis
..
..
... ...
...
...
.. 13
Caries and suppuration of bone
...
...
...
.. 11
Suppurative arthritis
. . .
2
Pyelitis, cystitis and bacilluria
..
...
...•
. . .
9
Septicæmia, endometritis and puerperal sepsis . . .
. . .
. . .
3
Pyorrhœa alveolaris
..
..
..
.. 13
Inflammation of the nasopharynx and antrum
...
...
...
.. 18
Otitis and mastoid abscess ...
...
...
...
...
...
3
Asthma and chronic bronchitis
...
...
. . .
...
34
Tuberculosis of lungs
...
...
...
..
5
Dysentery and hepatitis
..
...
...
...
...
...
25
Gonorrhœal infections
7
In the case of the local institutions material for the preparation of autogenous
vaccines was received either as such or planted out on the appropriate media which
were supplied from the laboratory. In the case of mofussil hospitals culture media
were sent by post with detailed directions regarding the method of inoculation of
the media with the material from the patients. The General Hospital Motor
Ambulance was a convenience to send patients to the laboratory for "clinical
cultures," e.g ., for making cultivations from the sputum of asthma and chronic
bronchitis.
Tuberculins and gonococcus vaccines were used on a large scale by medical
officers of the General Hospital and other institutions in the city and outstations. A
short summary of the results obtained from their use has been given in the appendix.
Sera obtained from the Lister Institute, London, and the Central Research
Institute, Kasauli, were stocked in the cold chambers of the institute and supplied to
different medical men and institutions at their cost prices. A large amount of anti
¬ r i n d e r p e s t s e r u m w a s a l s o s t o c k e d i n t h e c o l d s t o r a g e f o r t h e u s e o f t h e C i v i l
Veterinary department.
TABLE VII.
Nature of serum.
Total
quantity
supplied.
Anti-streptococcus serum..
.. 347 bottles of 10 c.c.
Anti-tetanic serum
.. ..
.. ..
506,,,,
Anti-diphtheritic serum ..
.. ..
..
98 bottles of 2,000 units.
Anti-dysenteric serum ..
.. ..
..
4 bottles of 20 c.c. each.
Anti-venomous serum
..
.. ..
..
13
,,
„
Coley's fluid
.. ..
..
..
..
15 vials of 2 c.c. each.
983
Dysentery .—From September 1st, 1913, Dr. Kesava Poi was, in addition to his
work in the laboratory here, deputed to investigate with the Superintendent of the
Lunatic Asylum, Madras, the causation of the acute and chronic colitis which has
been prevailing at the Asylum.
The results will be found in Appendix I. This work has proved that the disease
had a bacillary origin. A polyvalent vaccine was prepared from the strains isolated
and supplied to the Asylum for prophylactic use. Autogenous vaccines were supplied
for the after-treatment of apparently cured persons to prevent them from becoming
dysentery "carriers."
Buildings.—The enlargement of the main building has been in progress, and the
work of the Bacteriological section has been carried on in holes and corners under
considerable difficulties.
Educational.—Twenty-eight candidates attended the Vaccination class in 1913 and.
all obtained qualifying marks at the end of the course. Five Civil Assistant Surgeons
were instructed in the technique of anti-plague inoculation.
Research work .—Investigations in connection with vaccination and with the
salivary glands of biting insects are in progress.
During the official year Captain Cragg, I.M.S., continued his studies on the mouth
parts of the blood-sucking diptera ; the following papers were published.
Studies on the mouth parts and sucking apparatus of the Blood-sucking Diptera
(No. 2). Some observations on the Morphology and Mechanism of the parts in the
Orthorrapha (Scientific Memoir ) No. 58, Ibid (No. 3). Lyperosia Minuta, Bezzi. (Ibid
No. 4). The comparative Anatomy of the proboscis in the Blood-sucking Muscidæ.
In collaboration with Captain Patton, I.M.S., the following papers were published
in the Indian Journal of Medical Research
:—
No. 1—On certain hæmatophagous species of the genus musca with descriptions
of two new species.
No. 2—A new species of Philœmatomyia with some remarks on the genus.
The following papers were published by Captain Patton, I.M.S., in the Indian
Journal of Medical Research:—
No. 1— Culicoides Kiefferi N. Sp. A new Indian Blood-sucking Midge.
No. 2—Is Kala-Azar in Madras of animal origin ?
Captains Patton and Cragg published their work on Medical Entomology this
year.
J. W. CORNWALL,
M.A., M.D., D.P.H., Major, I.M.S.,
Ag. Director.
THE KING INSTITUTE OF PREVENTIVE MEDICINE,
GUINDY,
5th February 1914.
APPENDIX I.
NOTES ON VACCINE THERAPY.
By Civil Assistant Surgeon M Kesava Poi, M.D.
There was a marked increase in the demand for stock vaccines and the number of autoge
- n
o u s v a c c i n e s p r e p a r e d w a s 2 3 0 a g a i n s t 1 8 9 o f l a s t y e a r . T h e t o t a l n u m b e r o f d o s e s i s s u e d
was 7,087, but this included 1,060 doses of a polyvalent anti dysenteric vaccine supplied to the
Lunatic Asylum for prophylactic inoculation of the inmates of the asylum during the latter part
of the year. As will be seen from table I the number of doses of bacterial vaccines supplied
has been over double that of last year. To facilitate reference and to be better able to have an
idea of the results of bacteriological examination of different pathological conditions that came
under autogenous vaccine treatment during the year, these vaccines have been grouped under
the headings of different groups of diseases and a few notes appended under each.
TABLE I.
Nature of vaccine.
Number of doses supplied.
Total.
Autogenous.
Stock.
B. Coli
..
..
..
..
90
56
146
B. Typhosus ..
..
..
..
.
..
514
514
B. Dysenteriæ ..
..
.
• •
..
59
1,060
1,119
V. Choleræ
..
..
..
..
.
. .
7
7
Staphylococcus..
..
..
..
..
405
505
910
Streptococcus ..
..
..
..
..
576
378
954
Gonococcus
..
..
..
..
.
. .
1,145
1,145
Pneumooccus ..
..
..
..
..
138
125
263
Micrococcus Catarrhalis
..
..
..
20
12
32
Micrococcus Paratetragenus..
..
..
10
..
10
Acne Bacillus ..
..
..
.. • • .
26
36
62
Antileprosy vaccine
..
..
..
...
..
18
18
Old Tuberculin ..
..
..
..
..
..
452
452
New Tuberculin B.E. ..
..
..
..
. .
1,383
1,383
Diphtheroid bacilli
..
..
..
37
..
37
B. Pyocyaneus..
..
..
..
..
27
. .
27
B. Enteritidis ..
..
..
..
..
8
..
8
Total ..
1,396
5,691
7,087
Furunculosis.— Only 22 cases of furunculosis were treated with autogenous vaccines during
the year, the number of such cases being fewer than during the previous two years, probably as
a result of medical officers having been advised to try the stock staphylococcus vaccine of the
Institute in the first instance and, only in case these failed, to have recourse to an autogenous
vaccine. The staphylococcus aureus was invariably the organism isolated in all the cases and.
the result of vaccine treatment was as good as could be desired. Five cases were reported as
cured, three as improved and in one case the vaccine proved neffective. In the remaining 13
cases the results are not known or the vaccines were for various reasons Lot used by the
patients.
3
20
relieved after 12 injections. She had a paroxysm a month or so after the treatment was
stopped and this was also relieved by two more injections. This must certainly have been a
pneumococcus infection, Another case he treated which stock pneumococcus vacoine was a
complete failure, probably because the organism concerned was not the pneumococcus. The
following four cases of asthma treated with 'autogenous vaccines may be of some interest.
Case 126.—Asthma and bronchitis of ten years standing with profuse expectoration and
dyspnoea on the slightest exertion. Five injections of the autogenous pneumococcus vaccine (5,
10, 15, 20 and 30 million) at intervals of 10 to 30 days resulted in complete relief of the dyspnoea
and a great diminution of the amount of expectoration.
case 168.—A strong well-built man of 22 years' suffering from asthma for the past three
years. The pneumococcus was isolated from the sputum and an autogenous vaccine prepared
from it. Five injections of strengths varying from 20 to 100 million per c.c. were given at
intervals of a week to 12 days. There was a reaction after the second injection of 50 million
with severe asthmatic fits for four days. When discharged, the patient was free from asthma for
fully one month, though previously he used to get not less than three attacks every month.
Case 169.—A case of spasmodic cough of three years' duration with accompanying nasal and
pharyngeal trouble. The tender spots in the nasal mucous membrane and. the granuules in the
pharynx were cauterized. without benefit as regards the asthma. Treatment with the autogenous
streptococcus vaccine brought about a marked amelioration of the asthmatic trouble.
Case 196. —Asthma of four years’ durati on, paroxysms occurri ng now and agai n. The
last attack commenced three months ago and continued with varying severity up to the time
vaccine treatment was begun. Streptococcus longus, streptococcus brevis and micrococous
paratetragenus were isolated and a mixed vaccine made. The result of four injections was so
satisfactory that the patient was discharged from the hospital. He reported himself for the fifth
injection on a rainy day about a week after he was discharged, when he was in good health and
free from cough.
TABLE.
Nu mb e r .
Name.
Date of blood
examination
with result
before
salvarsan.
Date of first
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
second
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
third
salvarsan.
Date of blood
examination after
salvarsan with result.
Remarks.
Nu mb e r o f i n j e c t i o n s . D u r a t i o n i n w h i c h p o s i t i v e r e a c t i o n w a s m a i n t a i n e d .
P e r i o d w h i c h e l a p s e d a f t e r f i r s t i n j e c t i o n t o o b t a i n a n e g a t i v e r e a c - t i o n .
R e l a p s e .
1 F. Poonamallee..
..
14th May
1912.
....
21st June
1912.
Positive, weak
(17th
August 1912).
..
Negative (30th January
1913). Negative (28th
March 1913).
2 12 weeks .. 30 and 38
weeks.
Nil.
2 F.
"
..
..
21st May
1912.
....
3rd July
1912.
Negative (17th August
1912).
..
Negative (8th March 1913).
Negative (10th June
1913).
2
..
12, 38 and 50
weeks.
Nil
.
3 S.
"
..
..
24th May
1912.
....
27th June
1912.
Do.
..
Negative
(24th April
1913).
2
..
11 and 44
weeks.
Nil.
4 C.
"
..
..
27th June
1912.
....
24th July
1912.
Positive, moderate (29th
August 1912).
..
Negative (28th March
1913).
2 8 weeks
.. 36 weeks
..
Nil.
5 D.
"
..
..
21st June
1912.
....
Do.
Positive, strong (19th
August 1912).
..
Negative (15th March
1913).
2
"
.. 34 weeks
..
Nil.
6 B.
"
..
..
3rd July
1912.
Negative (3rd August
1912). Negative (15th
March 1913).
22nd May
1913.
....
18th June
1913.
....
3
..
4 and 34 weeks
Nil.
7 C.
"
..
..
31st July
1912.
Negative (4th December
1912).
..
Negative (15th February
1913).
..
Negative (9th April 1913). 1
..
17, 26 and 33
weeks.
Nil.
8 G. " ..
..
27th June
1912.
Positive, strong (29th
August 1912).
..
Negative (21st March
1913).
..
....
1 8 weeks
.. 35 weeks ..
Nil.
9 L.
"
..
..
31st July
1912.
....
23rd Oct.
1912.
Negative (10th December
1912).
..
Negative (5th February
1913). Negative (9th
April 1913).
2
..
18, 25 and 33
weeks.
Nil.
10 N.
"
.. Positive strong
(29th May
1912).
17th July
1912.
Negative (24th April
1913).
..
....
..
....
1
..
37 weeks ..
Nil.
11 S.
"
..
..
31st July
1912.
Negative (4th December
1912).
..
Negative (5th February
1913).
..
Negative (9th April 1913). 1
..
17, 29 and 37
weeks.
Nil.
12 B.
"
..
..
Do.
Negative (23rd November
1912).
..
Negative (30th January
1913).
..
Do.
1
..
16, 24 and 33
weeks.
Nil.
13 J.
"
..
..
5th July
1912.
....
7th Aug.
1912.
Negative (23rd November
1912).
..
Negative (30th January
1913).
2
..
18 and 27
weeks.
Nil.
14 B.
"
..
..
24th July
1912.
....
2nd
Oct.
1912.
Negative (4th December
1912).
..
Negative (15th February
1913).
2
..
13 and 27
weeks.
Nil.
15 K.
"
..
..
10th July
1912.
Positive, trace (21st Aug.
1912).
..
Negative (17th December
1912).
..
Negative (5th February
1913). Negative (9th
April 1913).
1 6 weeks
.. 21, 28 and 36
weeks.
Nil.
16 S.
"
..
..
7th Aug.
1912.
....
30th Oct.
1912.
....
17th Dec.
1912.
Negative (24th April
1913). Negative (30th
July 1913).
3
..
34 and 47
weeks.
Nil.
31
T A B L E —
c o n t
.
N u m b e r .
Name.
Dat e of bl ood exami nat i on wi t h r es ul t bef or e s al var s an.
Date of first
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
second
salvarsaan.
Date of blood
examination after
salvarsan with result.
Date of
third
salvarsan.
Date of blood
examination after
salvarsan with resu
lt.
Remarks.
N u m b e r o f i n j e c t i o n s .
D u r a t i o n i n w h i c h p o s i t i v e r e a c t i o n w a s m a i n t a i n e d .
P e r i o d w h i c h e l a p s e d a f t e r f i r s t i n j e c t i o n t o o b t a i n a n e g a t i v e r e a c - t i o n .
R e l a p s e .
17 C. Poonamallee.
. .
7th August
1912.
Negative (21st August
1912).
30th Oct.
1912.
Negative (12th December
1912).
17th Dec.
1912.
Negative (5th February
1913). Negative (9th
April 1913).
3
. .
4, 20, 28 and
36 weeks.
Nil.
18 C.
„
..
. .
11th Sept.
1912.
. . . . Do.
Negative (21st December
1912) ; positive, moderate
(25th February 1913).
4th June
1913.
. . . .
3
. .
12 weeks
.. 20 weeks.
19 G.
„
..
. . Do.
. . . .
23rd Oct.
1912.
Negative (30th January
1913).
Do.
Negative (28th March
1913). Negative (5th
June 1913).
2
. .
16, 24 and 32
weeks.
Nil.
20 H.
„
..
..
16th Oct.
1912.
. . . .
29th Jan.
1913.
Negative (18th February
1913).
. .
. . . .
2
. .
16 weeks
..
Nil.
21 F.
„
..
. . Do.
. . . .
6th
Nov.
1912.
Negative (15th February
1913).
. .
Negative
(9th
April
1913). Negative (5th
June 1913).
2
. .
16, 24 and 32
weeks.
Nil.
22 F.
„
..
. .
11th Dec.
1912.
. . . .
15th Jan.
1913.
Negative
(24th April
1913).
. .
. . . .
2
. .
16 weeks
..
Nil.
23 C.
„
..
. . Do.
. . . .
22nd Jan.
1913.
Negative (21st March
1913).
. .
Negative (10th June 1913).
2
. .
12 and
24
weeks.
Nil.
24 D.
„
..
. .
30th Dec.
1912.
Negative (18th February
1913).
. .
Negative
(24th
April
1913).
. .
. . . .
1
..
8 and
16
weeks.
Nil.
25 S.
„
..
. .
9th Jan.
1913.
Do.
. .
Do.
..
. . . .
1
. .
4 and
12
weeks.
Nil.
26 M.
„
..
. . Do.
Do.
. .
Negative
(14th
April
1913).
. .
. . . .
1
. . Do.
Nil.
27
,, ..
. .
22nd Jan.
1913.
. . . .
19th Feb.
1913.
. . . . .
. .
Negative
(5th
June
1913). Negative (30th
July 1913).
2
. .
24
and 28
weeks.
Nil.
28 G..
„
..
. .
30th Jan.
1913.
. . . .
5th March
1913.
. . . .
2nd April
1913,
Negative (25th June 1913).
3
. .
24 weeks
..
Nil.
29 H.
„ ..
. .
12th Jan.
1913.
. . . . .
13th March
1913.
Negative (9th July 1913). 14th July
1913.
Positive, trace (2nd Sept.
1913).
. .
28 weeks
.. 36 weeks.
30 S.
„
..
. .
19th Feb.
1913.
. . . .
2nd April
1913.
Positive weak (30th July
1913).
..
Positive (25th December
1913).
2 24 and 40
weeks.
. .
Nil.
31 K.
,, ..
. .
22nd Feb.
1913.
Negative (25th June 1913).
. .
. . . .
. .
. . . .
1
. .
16 weeks ...
Nil.
32 C.
,,
..
.. 22nd Feb.
1913.
Do.
19th Mar.
1913.
. . . .
29th Nov-
1913.
Negative (29th December
1913).
3
. .
16 and 40
weeks.
. .
33 H.
.. ..
. .
26th Feb.
1913.
. . . .
15th Mar.
1913.I
. . . .
9th April
1913).
Negative
(6th August
1913). Negative (15th
December 1913.
3
. .
24 and 40
weeks
..
32
TABLE—Cont.
Number .
Name.
Date of blood
examination
with result
before
salvarsan.
Date of first
salvarsan.
Date of blood
examination after
salvarsan with result
Date of
second
salvarsan .
Date of blood
examination after
salvarsan with result
Date of
third
salvarsan.
Date of blood
examination after
salvarsan with result
.
Remarks.
N u m b e r o f i n j u c t i o n .
D u r a t i o n i n w h i c h p o s i t i v e r e c a t i o n w a s m a i n t a i n e d .
P e r i o d w h i c h e l a p s e d a f t e r f i r s t i n j u c t i o n o b t a i n a n e g a t i v e i n j u c t i o n .
Repl ace.
34 M. Poonamallee.
. .
26th Feb.
1913.
Negative (10th June 1913).
. .
. .
Posi t i ve, moderat e(19t h August 1913].
1
. .
16 weeks
..
35 M.
. . ..
.
Do.
.
.
26th Mar.
1 9 1 3 .
Negative (10th
June
1 9 1 3 ) .
. .
Positive, weak (24th
December 1913).
.
. .
Do.
24 and 40
weeks.
36 H.
. . ..
. .
12th Feb.
1913.
. . . .
2nd
July
1 9 1 3 .
Positive, trace (30th July
1 9 1 3 ) .
. .
Negative (25th December
1913).
2 16 weeks
.. 36 weeks
..
. .
37 L.
..
..
. .
Do
.
Negative (6th
August
1 9 1 3 ) .
. .
Negative (21st
October
1913).
2
. .
20 and 28
w e e k s .
. .
38 B.
. . . .
. .
Do.
.
.
. .
9th
July
1 9 1 3 .
D o .
. .
Do.
2
. .
D o .
-
39 H.
..
. .
. .
15th Mar.
1913.
Negative (6th
August
1913).
. .
. . . .
. .
. . . .
1
. .
20 weeks ..
. .
40 G
. . ..
. .
19th Mar.
1913.
. . . .
9th
April
1 9 1 3 .
. . . .
18th June
1913 ; iv
9th Oct.
1913.
Negative
(6th August
1913). Negative (10th
December 1913) .
4
. .
20 and 36
w e e k s .
. .
41 L. Poonamallee.
. .
Do.
Positive,
trace (23rd
Septembor 1913).
. . . .
. .
1 24 weeks
..
. .
42 H.
"
..
.
26th Mar.
1913.
Negative (25th June 1913).
. .
Negative (14th August
1 9 1 3 ) .
. .
Positive, trace (4th Nov-
ember 1913).
1
. .
12 and 20
w e e k s .
32 weeks
43 K.
"
.
. .
9th
April
1913.
. . . .
11th June
1 9 1 3 .
Negative (6th
August
1 9 1 3 ) .
. .
. . . .
2
. .
16 weeks
. .
44 B.
"
30th April
1913.
. . . .
28th May
1 9 1 3 .
Negative (30th July 1913).
. .
Positive, weak
(18th
September 1913).
2
. .
12 weeks
. 20 weeks.
45 M
"
. .
. .
22nd May
1913.
. . . .
26th May
1 9 1 3 .
Positive, trace (21st July
1 9 1 3 ) .
.
. .
. .
2 8 weeks
..
. .
. .
46 W.
"
. .
. .
Do.
Positive, moderate (18th
September 1913).
. .
. . . .
. .
. . . .
1 16 weeks
..
. .
. .
47 F.
"
. .
. . 4th
June
1913.
Positive,
trace (29th
July 1913.
.
. . . .
. .
. . . .
1 4 weeks
..
48 C. " ..
. . 11th June
1913.
Negative (6th
August
1913).
. .
. . . .
. .
. . . .
1
. .
8 weeks
..
. .
49 B.
"
. .
. .
18th June
1913.
Positive,
trace
(14th
August 1913).
. .
. . . .
. -
. . . .
1 8 weeks
. .
. .
. .
50 R.
"
. .
.
9th
July
1913.
Positive,
weak
(19th
August 1913).
. .
Negative (10th December
1 9 1 3 ) .
. .
. . . .
1 4 weeks
.. 20 weeks
51 C."
.
10th Sept.
1913.
Positive, trace
(24th
Nov. 1913),
. .
. . . .
. .
. . . .
1 8 weeks
. .
-