Cerebro-spinal fever in the Royal Navy (August 1st, 1917-July 31st, 1918) / by Sir Humphry Rolleston.

  • Humphry Rolleston
Date:
[1919?]
Catalogue details

Licence: In copyright

Credit: Cerebro-spinal fever in the Royal Navy (August 1st, 1917-July 31st, 1918) / by Sir Humphry Rolleston. Source: Wellcome Collection.

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    the Crystal Palace (15), and Chatham (6), provided 74, or 80 per cent. Out of the 509 cases of cerebrospinal fever in the Navy from the beginning of the war up to July 31, 1918, 384, or 75 per cent., arose in the large depots at Plymouth (130), Portsmouth (127), Crystal Palace (74), and Chatham (55), while 59, or' 11*5 per cent., arose in sea-going ships. No case of bacteriologically proved meningococcic meningitis occurred at Osborne or Dartmouth during the war. The monthly incidence, with the results, is shown below:— 1917 August September October November December 1918 January February March April May June July Cases 1 3 1 2 2 16 9 18 11 14 7 8 Deaths 0 0 0 2 2 8 4 6 5 4 0 3 Recoveries 1 3 1 0 0 8 5 12 6 10 7 5 92 34 ... 58 Out of the 92 cases 55, or 60 per cent., occurred during the first four months of 1918, and out of the 509 cases occurring during the first four years of the war 354, or 69*5 per cent., arose during the first four months of the year. Monthly Incidence and Mortality during the Four Years of the War. Gases Mortality 1914-15 1915-16 1916-17 1917-18 Total 1914-15 1915-16 1916-17 1918-19 Total August ... 0 4 3 1 8 0 2 1 0 3 September 0 4 5 3 12 0 3 1 0 4 October... 0 3 3 1 7 0 1 1 0 2 November 1 6 6 2 15 0 5 3 2 10 December 2 8 14 2 26 1 4 7 2 14 January... 27 8 30 16 81 16 3 13 8 40 February 60 26 22 9 117 35 7 7 4 53 March ... 35 20 27 18 100 15 6 7 6 34 April 24 7 13 11 55 8 2 5 5 20 May 12 7 11 14 44 8 0 4 4 16 June 6 3 5 7 21 4 2 1 0 7 July 3 8 4 8 23 3 2 2 3 10 170 104 143 92 509 90 37 52 34 213 Out of the 92 cases 8, or 8*6 per cent., proved fatal within forty-eight hours of the onset; of these fulminating cases 5 occurred in May and 1 each in January, February, and March, thus not conforming to rule that