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2 years of age ; one was aged 3 years and one 5 years. Bronchopneumonia
was the terminal complication in all the fatal cases.
The disease was associated with measles in 9 cases, with diphtheria
in 4 cases, and with scarlet fever in 3 cases. The fatality
rate was 11.86 per cent. of the cases admitted.
Pneumonia.
All cases of bronchitis and broncho-pneumonia are included
in this group. The number under treatment was 299. Of these,
206 were discharged, 39 died, and 54 remained under treatment at
the end of the year. Of the 245 cases which were discharged or
died, 31 only were adults, suffering from lobar pneumonia, and
of these 6 proved fatal, giving a fatality rate of 19.35 per cent.
The rest were all children under 6 years, suffering from bronchitis
or broncho-pneumonia, and 32 of these proved fatal, giving a fatality
rate of 15.16 per cent. Fifteen of the fatal cases were infants
under one year.
Erysipelas.
A total of 45 cases were under treatment. Of these, 38 were
discharged, 4 died, and 3 remained under treatment at the end
of the year. The face and scalp were the parts affected in 38
cases, the legs in 2 cases, and in 5 cases the disease had spread
over the greater part of the body. Treatment by artificial sunlight
was tried in a few cases, but the results were not very convincing.
Erysipelas antitoxin and polyvalent antistreptococcal
serum was administered to all the cases, the dosage varying from
35 c.c.s to 100 c.c.s. It was difficult to estimate how much
benefit, if any, the patients derived from the serum treatment.
Of the 4 fatal cases 3 were babies under 4 months old. The
other was a woman aged 50 years who had a virulent attack and
died from general toxaemia. The fatality rate was 9.52 per cent.
of the cases admitted.
Seven cases which had been notified as erysipelas were found
to be suffering from the following complaints Cellulitis 4,
dermatitis 1, infra-orbital abscess 1, herpes facialis 1.
Meningitis.
Five cases of cerebro-spinal meningitis were under treatment
and 2 of them proved fatal. All were children under 10 years of
age. Six other cases which had been notified as cerebro-spinal
meningitis were found to be suffering from the following complaints:—Meningism
2, cerebral abscess 1, cerebral tumour 1,
displaced cervical vertebra 1, uraemia ,1.
Pneumococcal meningitis was present as a complication in 2
fatal cases of pneumonia. Tubercular meningitis was the cause
of death in 4 other cases ; 2 of these had been admitted as diphtheria,
1 as whooping cough, and 1 as pneumonia.
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