The Straits Settlements medical report.

  • Straits Settlements. Medical Department.
Date:
[1923]
Catalogue details

Licence: Public Domain Mark

Credit: The Straits Settlements medical report. Source: Wellcome Collection.

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    Percentage of infection with: — Ankylostomes, including Mixed infections. Round-worms Whip-worms The total number of stools examined was 9,554 with results: — 19’2% l7'4% 127% the following Cases. Ankylostoma ova ... ... ... ... 1,273 Ankylostoma ova and Round-worm ova ... ... 247 Ankylostoma ova and Whip-worm ova ... ... 189 Ankylostoma ova, Whip-worm and Round-worm ... 94 Round-worm ova ... ... ... ... 987 Round-worm ova and Whip-worm ... ... 281 Whip-worm ova ... ... ... ... 618 Amoebae ... ... ... ... 158 Negative ... ... ... ... 5,707 9.554 12. Ankylostomiasis.—There were 329 cases where ankylostomiasis was the principal disease with 19 deaths, a rate of 577 per cent compared with 9-52 per cent in 1922. Treatment of AnkylostomiasisDuring the first half of the year Carbon tetrachloride was used for treatment of case, the next four months oil of chenopodium was used, and then mainly Carbon tetrachloride at the end of the year. Analysis of 277 cases : — Average No. Cure. of ivorms. One dose of Oil of chenopodium 23 77% One dose of Carbon tetrachloride 24 72-5% The largest number of worms passed by one patient was 446 after one dose of carbon tetrachloride. In cases where two treatments were given: — Oil of chenopodium expelled 66 per cent of worms after 1st treatment. Carbon tetrachloride expelled 70 per cent of worms after 1st treatment. Ninety per cent of cases are cured with two treatments of either drug, and some patients show marked resistence as shown by the two following cases: — Case 1.— 1st day, Carbon tetrachloride, 63 worms passed, Ova persist. 8th day, Chenopodium, 34 worms passed, Ova persist. 13th day, Chenopodium, no worms passed, Ova persist. 22nd day, Carbon tetrachloride, 2 worms passed, Ova persist. 29th day, Chenopodium, 14 worms passed, Ova persist. 36th day, Chenopodium, 72 worms passed, Ova persist.