152 M'lAUGHLIN AND ANDREWS. 



These statistics cover nine full years, and from them it will be noticed 

 that the average number of deaths from meningitis in Manila was about 

 410 per year, or 34 per month. The investigation by necropsy of children 

 dead from alleged meningitis began the last week of September, 1909. 

 The number of deaths from meningtis recorded for October dropped to 

 4, for November to 2, and for December to 3. 



Table VI, opposite page 160, shows the cases of alleged acute menin- 

 gitis which came to necropsy, together with the clinical data and patho- 

 logic findings. 



The following is a summary : 



Summary of Table VI. 



Acute meningitis 2 



Pneumonia 2 



Empyema 1 



Beriberi 10 



Cholera . 18 



Undetermined (not meningitis) 3 



Enterocolitis 1 



Total 37 



ACUTE ENTERITIS AND OTHER DIARRHCEAS. 



Tabue VII, opposite page 160, gives an analysis of a number of cases 

 of alleged enteric disease. 



We wish to emphasize the fact that diagnosis in these cases was difficult, 

 or impossible from the clinical symptoms and that the examination of 

 the intestinal contents should be compulsory in all children acutely sick 

 in Manila. In - these instances the classical symptoms of cholera were 

 either absent or overlooked, because of their transient character. Some- 

 times the choleraic signs present were masked by intercurrent diseases 

 and the predominance of cerebral manifestations. 



Summary of Table VII. 



Cholera 15 



Beriberi 2 



Pneumonia 2 



Enterocolitis 3 



Total 22 



INFANTILE CONVULSIONS. 



The diagnosis "infantile convulsions" should not be accepted as a 

 cause of death. It is only a symptom of some specific disease and has 

 no more right to a place in statistics than fever or chills. Table VIII, 

 opposite page 160, shows the results obtained from investigations by 



