Annual report of the Board of Control : 6th, 1919.

Date:
1919
Catalogue details

Licence: In copyright

Credit: Annual report of the Board of Control : 6th, 1919. Source: Wellcome Collection.

    51/272 (page 42)
    1919. .SO and more. 10 to 30. liess than 10. No Cases, Total. ^Number of Asylums 14 14 6 34 Total Inmates - 25,111 22,595 9,001 — 56,707 ^ J ,, Cases - 980 249 23 — 1,252 o Propoidion per 1,000 - 39*0 11-0 2*6 — 22-1 ^Case-mortality per cent. - 20-0 26-9 43-5 — 21-8 r Number of Asylums 5 10 12 7 34 m Total Inmates - 4,066 7,991 9,189 4,942 26,188 ^ J ,, Cases 187 212 40 — 439 o Jh Proportion per 1,000 - 46-0 26-5 4-4 — 16-8 0 ^Case-mortality per cent. 26-5 21-7 42-1 — 25-6 ^Number of Asylums _ 2 4 6 12 d Total Inmates - — 547 1,393 2,380 4,320 J ,, Cases - — 25 6 — 31 o Proportion per 1,000 - — 45-7 4-3 — 7-2 d ^Case-mortality per cent. - 20'0 100-0 — 33-3 GQ CLt rNumber of Asylums • 19 26 22 13 80 Total Inmates - 29,177 31,133 19,583 7,322 87,215 o rh ^ „ Cases - 1,167 486 69 — 1,722 o Proportion per 1,000 - 40-0 15-6 3-5 — 19-7 <1 ^Case-mortality per cent. •* 21-1 24-3 47-0 ■ 23-0 We append a few memoranda, kindly furnisked to ns by Medical Superintendents, of tlieir experiences regarding the occurrence of dysentery and diarrhoea in certain asylums. Bainliill Asylum (Dr. Cowen).—A severe epidemic of dysentery occurred in April, no less than 46 patients being attacked during the month. No section of the Asylum was free from the outbreak, which was, however, most severe in the male wards at the annexe. The outbreak continued through May, a further 41 patients falling victims to the disease during that month. Only a few sporadic cases occurred during the summer, but in November the numbers attacked again assumed epidemic proportions and the outbreak had not completely died down by the end of the year, 6 cases remaining under treatment on December 31st. The outbreak affected chiefly the infirmary wards, the epileptic wards and the male admission ward. A great proportion of the patients attacked were of a degenerative type, but a larger number than usual occurred amongst the recently admitted males. A system of rigid isolation has been in force during the whole year. Two wards at the annexe, one for males and one for females, are set apart for patients who have suffered from dysentery. Here they remain for the remainder of their stay in the Institution. Bacillary dysentery is treated with small and frequently repeated doses of chinosol. Amoebic dysentery by the oral administration of large doses of bismuth carbonate and hypodermic injections of emetine hydrochloride for twelve days, after which bismuth emetine iodidi.is given for a further period of three weeks. The stools of all cases are examined under the microscope as a routine practice. If after repeated examinations no pathogenic amoebae are dis¬ covered the case is presumed to be of the bacillary type. The amoeba histolytica was found in no fewer than 21 cases.