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been tried and failed, and the patients were in a critical condition.
Of these eight cases six recovered and two died.
95—No deductions can rightly be made from such a small number,
but certainly the impression left on my mind up to the present is
that in anti-toxin we have a remedy of undoubted value. Whether
there are any objections or contra-indications to its use can only
be decided by further experience prolonged through several
epidemics. In this way the influence of variations in the type of
the disease can be eliminated.
96—Tracheotomy was performed in seven cases in which there
was extension of false membrane to the trachea and bronchi.
97— Co-existent Diseases. —The fact that the majority of patients
in most fever Hospitals are children, renders the introduction of
juvenile complaints other than that for which they were admitted,
a not unlikely occurrence.
98—At one time there was a widespread belief that the co-existence
of more than one infectious disease in the same individual was
a very uncommon occurrence. This is now known to be incorrect,
and following the example of the Metropolitan Asylums Board I
have prepared a list of such cases in which this occurred, and am
. happy to report that they have been comparatively few.
99 -Table of co-existent diseases:—
Scarlet Fever and Varicella 5
Scarlet Fever and Enteric Fever 1
Scarlet Fever and Diphtheria 1
100—I have now presented the principal facts and statistics
relating to the Hospital department for the year ending 31st March,
1895, and beg to tender my sincere thanks for the cordial support
always accorded me by the Committee in all matters concerning the
management of the Borough Hospital.
I have the honour to remain, Gentlemen,
Yours faithfully,
LEONARD WILDE, M.D., M.R.C.P., D.P.H.,
Visiting Physician.
24th June, 1895.