General—Diseases of the respiratory group. showed an increase over September whilst those of the alimen~ tary group Such as typhoid, dysentery and cholera declined.
Leprosy—One non-resident case succumbed "during the month—a Chinese male, 43° years, a refugee from Chapel Rables—A Chinese male, eight years of age succumbed. to "this disease, He. had not received any fanti-tables treatment.
(Chinese Section)—Admissions numbered 149, Of interest were two cases diagnosed as acute encephalitis, which ended fatally.
Gaol Medleat Service (Chinese Seetion)—The admission of conviels to the Gaol was resumed on October 12, There were 281 new committals who were all vaccinated ana medically" examined; 195. patients were Admitted to the Hospital and 26 the R.S. Blocks. 17 Operations were performed. 18 new patients had to be admitted for pulmonary tuberculosis, and of a total of 37 deaths, 24 were due to this disease. A most unusual and interesting event was an outbreak of scurvy discovered during the last few days of the month when 42 cases were traced and admitted 10) hospital, 'Supplementing the diet with turnips and' oranges brought about rapid Improvement, Venereat Disease Cline.—This Clinic reopened at the Henry Lester Institute of Medical Research on the:
25th, and 85 cases attended including 13 new patients.
Pathological Laboratory Veterinary Surgeon's Report.
Typhold—The Incidence of this disease remained abnormally high. 22 positive diagnoses. were made, Pact. yphosum being isolated in 16 cases from blood, four from facees and two Mik Supply.—The average daily milk production was 20,265 Ibs. cream 300 Ibs, butter 22% Ibs.
Of Atty-eight samples for chemical Jonalysis, three were below standard solidsenot-fat, whilst six Cone] Grade "A" and five Grade of sixty-four samples for bacteriological examination were below standard, Soplember figures, 116 Pact, flexneri remains dominant causal organism: solated in 102 cases.
Chotera—Agglutinable vibrios were Isolated in 811 cases from 1,382 stools. While the total number of specimens shows a marked decrease on the September total the percentage of positive cases remains fairly constant, During the latter part of the month, three dairies, situated in the Western district of the Settlement, were forced to evacuate their premises on account of the change in the military situation.
In one instance 124 animals were removed to safe promises at another dairy by departmental staff in the absence of the dairy management.
Free itllk Serviee—Since Diphtheria.—'The upward trend this disease has been sharply con: tinued, 274° positive diagnoses being made this month ay against 30 September, Cerebro-spinal Meningitis.—No marked increase in the number of eases of this disease was noted, positive diagnoses being made in five cases only. In one case of mening itis, which proved fatal, Pact Hirschfeld (Pact, paratyphosum was Isolated from the cerebra-spinal fluid, This particular organism' appears to be very rare in. Shanghai, only. two other strains having been Isolated during the last ten years.
An(i-Table Institute—37__ persons, including 32, from. the Settlement, three from the Shanghai Elly Government area and two from Outports called for advice, cauterization and/or treatment, and in all cases treatment was advised, 15" received a full course, 18 a precautionary course and our failed to complete the treatment auguration by the. Departmer August 21, 1997, this service _has functioned very satisfactorily. Dur-ug the month, a total of 405. Tbs milk, 1,916 bs. of skimmed milk fand 10 Ibs. of cream were collected Jand distributed to the various refugee camps.
Bovine Communicable Disease-'An outbreak of foot and mouth Aiscase was diagnosed on the 2st, with the assistance of the Police considerable area in the Western District was placed under quarantine, Simultaneously an unlicensed dairy. off Tunsin Road was also found affected. The disease spread rapidly to three more dairies, all of which fare now placed under quarantine.
Disposal of Dairy Animals~—-There were seven deaths amongst the Hicensed dairies. Since no autopsy could be made, the causes of death are unknown except for one anthrax case. All were disposed of at the Municipal Disposal Plant,
Text read from the printed page and cleaned; old type leaves the occasional error.