Report of the medical superintendent of Yaws Hospitals.

  • Nicholls, H. A. Alford (Henry Alfred Alford) 1851-1926.
Date:
1878-9]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the medical superintendent of Yaws Hospitals. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    17/28 (page 15)
    A. ' HISTORY OF TWO CASES IN WtirCU THE DISEASE APPEARED A SEOON- TIME IN THE SAME INDIVIDUAL. Case 650. A woman, 23 years of age, was admitted to the Prince Ru • psrts Hospital oa July 1st, 1877, with enerusted tuborcles on the right inner ankle. She was discharged cured on October 1st, and she was then engaged as sub-nurse. Soon afterwards she was removed to the Central Hospital, and she acted as a nurse of this establishmeat until July 9th, 187S, when ske was discharged for naiscondact. On Novem- l)er26th, sho returned to the hospital, having again become affected with kaws, and she was about two monUis advanx^ad in pregrjaacy. I Case 93. A boy 5 years of age was admitted to the Central Hospital pn October 16th, 1877, with tubercles forming a ring round the mouth, pnd other tubercles on the perineura. He was discharged on Decem- ber 18th. Before sending the boy away I made a careful examination [of him, and as I could disCDver no sign of the disease, I wrote a note to tthat effect in the Case-Book, it being the only occasion upon which I Imade such an entry. It was, therefore, much to my surprise when the [child was re-admitted, with fully developed yaws ou both extremities, on pov. §th, 1878, nearly eleven months after iiis discharge. Aslfeltconfi- [dentthat the boy was thoroughly cured on the first occasion, I deter- [mined to spare no trouble in discovering, if possible, the source of the second infection; and. to that end, I sent the Master of the hospital to the village from whence the boy came, to make careful enquiries into the history of the case, and the following facts were then brought to light. A sister of the boy was found concealed, in a hut, in a terribly de- seased condition. Siie had large framboesial tubercles about her face and limbs, her feet were nearly fall of chigoes, she was in a state of gieat emaciation and unable to stand oil accoant of pain and contrac- tion of the flexors of the legs, she was moreover in a most filthy condi- tion and swarming with lice. The girl had been attacked with yaws before her brother, and when the police remeved him to the hospital the girl was hidden away by her friends. After the discharge of the boy he was allowed to associate freely with bis diseased sister, and at night ho slept by hsr aide. Un- der these circumstances it is not to be wondered at that the child be- came infected a second time. ■ B. DIETARY OF THE CENTRAL YAWS HOSPITAL. Breakfast, taken at 9 a. m. Sunday— 8 ounces of bread, 1| ounces of syrup and 1| ounces of chocolate, All otherda ys— 8 ounces of bread and 1| ounces of syrup. Dinner, taken at 4.30 p. m. Sunday— 2 ounces of fresh meat and 4 plantains. Monday— | pint of vegetable soup seasoned with salt pork and | pint of farine. Tuesday— 4 ounces of salt fish, f pin t of farine and |pin t of le monad e. Wednesday—same as Monday. Thursday— 4 ounces of salt fish, 4 plantains and | pint of lemonade. Friday— same as Monday. Saturday— 4 ounces of salt fish and | pint of farine. Fresh is substitutefll for salt fish when it can be obtained: J