The Archive · 1932

THE HEALTH

THE

Efforts to Emerge rency, Cope vith it The very considerable ariount of extra work which has been thrown unieable disease Will be in ques-upon the Municipal Health Depart-Tt is of interest to note that since ment owing to the gradual return to the vaccination campaign started, normality after the emergency, and the number of smallpox cases has how it has been effectually" dealt steadily dectined." It is impossible, with, are outlined in' the report of however, to draw any definite. the Commissioner of Public Health, duction, since smallpox is a disease Dr. J. H, Jordan, for March, Effort gradually declines as the war-are being made' to restore the con-mer weather approaches, hence a fidence of Chinese residents in the line: in this. ts. t0. northern and north-eastern districts, this time. where that has not yet been fully which any: dedueti recovered since the troubles, so that that a daily increase in the case markets and shops, now functioning below capacity, can resume their number was noted previous to mans epidemic was cut start, ination, hence it is possible that full activities." In his report the Commissioner says: During March 103,130" vaccina-'There were 95 foreign resident tions were performed, "of which, deaths, the death rate being 15.13 23,282 took place in. the various per' thousand compared with 2072 branch health offices as usual, and Jast month, Chinese deaths totalled the rest in refugee camps, markets, 3,054 of which 2,779 were exposed ete, by the mobile units reinforced corpses found on vacant plots with-by Inspectorial staff (detached from in the Settlement limits, The death other less pressing but still essential rate was very slightly below last duties), "Since the beginning of the month, being 95.92 per. thousand year 146,396 vaccinations have been compared with 86.29.

Performed under our direction, quite The confusion in regard to death apart from the large issue of vaerates due to the fluctuating nature cine to charitable bodies also per~ of the population, which was allud~ Torming this work. ed to last month, still persists, hence 'The doses of vaccine issued withthe above figures are given as an oat or with payment during indication of the health of the "months amounts to", 211,025, Settlement rather than as accurate which ig more than' the total' for statistical data, the whole of 1930 which was, how-'As regards Chinese deaths, it is fever, a year of slight incidence, '4 moot point as to whether the pre-'The production of smallpox" vac-Sent figure Is not a more accurate cine continued steadily, and the re-tone than the figures produced during past years. Tt hay frequently Gord gute of 8408 doses were issued, being 100,000 doses more than. deen pointed out in past years that last month. 1,712 doses of bacterial foal "statistics were not accurate Vaccine were issued, and work is. owing to a variety of factors, cer progress on the manufacture' of" tain of which (such as the removal typhoid vaccine, dangerously sick persons to thei In view of the approach of the: country homes) were not operat annual campaign, about 70 litres of during the emergency, On the other [cholera vaccine were made hand ie is quite possible that some Pasteur Treatment.—Due possibly, of the exposed corpses removes {to a increase in the number of from Settlement areas have been stray dogs, owing to recent di brought in to ensure burial. Under {turbanees, more persons than usual these circumstances, to attempt to jealled at' the Institute for advice, draw inferences from the data at lcauterisation and/or treatment. Of our disposal would be of no value. the 58 attending, three were from Diseases of the respiratory group Outports. There were no fatalities. (viz. smallpox, pulmonary" tuber-During the month the police con: culosis, measles, scarlet fever and Jdueted a campaign in the deserted pneumonia) were the chief causes areas, with the result that in the of death amongst both the foreign Northern and North-eastern land Chinese residents, tricts bordering the Settlem Daring the past emergency the total of 184 dogs were shot or pain-position in regard to notification of lessly destroyed, thus lessening the communicable. diseases became rabies menace considerably acute, Although it is known that The month has been marked by there were very numerous cases the gradual return of the hospitals mealles both amongst the foreign to normality, and the transfer from and Chinese population, the figure temporary quarters to their usual notified, viz, J2 foreign cases and 184 Chinese' cases, represented only Conulitions at the slaughterhouse fa fraction of those which actually Jand cattle sheds have not yet roto occurred, and as regards. influenza Jed to normal, though a gradual Tittle information is available Drovement is taking place. The It'is true that the Health Deparrquality of the meat hay also me ment is able to gain information in Yegard to communicable diseases Thi handling an aceumslation of routing Division has been Kept busy other than that supplied through notification, but since this partakes ork, following the return to normal fof the nature of hearsay evidence, conditions, "but in addition {it is to be hoped that when condi: Tuxeo eanipa received Yegulay tan tions become normal again, greater tary attention, whet 22 temporary support in regard to notification will hospitals for "wounded were daily believe, as otherwise the value of inepeeted and measures taken to ae. our' informa ti nin Tegerd to conte sist them in" sanitary matters, Dressings and other soiled ma were removed daily and the disinfection state

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