88 ANDREWS. 



CONCLUSIONS. 



1. The high infant mortality in Manila is due to infantile 

 beriberi. 



2. This high death rate of infants is due primarily to the 

 quality of the mother's milk. 



3. The mother's milk lacks something which is essential for 

 the growth and development of the nerves of the child. 



4. The disease is not due to an infection or toxaemia of either 

 the mother or the child. 



5. Another link has been added in the chain of evidence show- 

 ing that beriberi is a nutritional disturbance. 



6. As a prophylactic measure, the dealers handling rice should 

 be required to keep on hand the undermilled variety, and a cam- 

 paign of education should be carried on for the purpose of en- 

 lightening the poorer classes, especially the pregnant women. 



The writer considers it a privilege, as well as a duty, to extend 

 his thanks to Doctor Hilario, his assistant in the department, 

 and to Doctor Calderon, professor of obstetrics, who with their 

 knowledge of the people and their customs have made the work 

 possible. He also wishes to express his thanks to the Bureau 

 of Health for all assistance given. 



BIBLIOGRAPHY. 



(1) Clark. Brit. Med. Journ. (1900), 1, 1152. 



(2) HiROTA, Z. Ztschr. d. med. Ges., Tokyo (1891), 5. 



(3) Idem. Zentralhl. f. innere Med. (1898), 19, 385. 



(4) Idem. Zentralhl. f. innere Med. (1900), 21, 273. 



(5) MlURA, M. Arch. f. path. Anat. u. f. klin. Med. (1899), 155, 316. 



(6) Tanaka. Wien. klin. Wchnsch. (1910), No. 48, 1710. 



(7) Burgos, M. X. This was the result of a contest authorized by the 



Municipal Board among the Municipal physicians for the best paper 

 as to the cause of the excessive death rate of children and the best 

 means of diminishing the high infant mortality. So far as I 

 know the paper was not published. 



(8) Martinez, M. G. Cronica de Ciencias Medicas de Filipinas, Aiio 



III, No. 



(9) Guerrero, M. S. This paper was not published. 



(10) Albert, J. Phil. Journ. Sci. Sec. B (1908), 3, 345. 



(11) McLaughlin, A. J. and Andrews, V. L. Phil. Journ. Sci. Sec. B 



(1910), 5, 149. 



(12) Guerrero, M. S. and Quintos, J. Beriberi of Infants Due to Breast 



Feeding. Manila, 1910. 



(13) Schauman. Arch. f. Schiffs. -u. Trop. Hyg. (1910), 14, Beihefte. 



(14) Aron, Hans. Phil. Journ. Sci. Sec. B (1910), 5, 81 and 98. 



(15) EiJKMAN. Arch. f. Schiffs- u. Trop. Hyg. (1911), 15, Heft 21. 



(16) Chamberlain, W. P., and Vedder, E. B. Bull. Manila Med. Soc. 



(1912) 4, 26. 



