316 



MUSGRAVE AND SISON. 



The records of this clinic, together with certain other statistics which 

 we shall use in the discussion, while not large enough to be conclusive, 

 point to some rather remarkable conditions in our local problem of 

 tuberculosis. 



INCIDENCE. 



The available statistics indicate a very high prevalence of the disease. 

 Over 20 per cent of all patients applying for treatment at St. Paul's 

 Hospital have phthisis and hundreds of advanced cases of this disease are 

 refused admission to that institution every month. In 100 consecutive 

 autopsies in the Malecon Morgue, Gilman : reported about 40 per cent 

 as having active tubercular lesions, and Andrews, in 500 similar autopsies, 

 encountered about 32 per cent. The 914 cases of phthisis considered here 

 represent 22 per cent of all patients applying at the out-patient depart- 

 ment of the Philippine General Hospital during the nine months covered 

 by the record. This record, outlined by city districts, is shown in the 

 following table, which also shows the very general distribution of the 

 patients applying for treatment. 



Table I. — Shoiving residence. 



Districts of the city. 



Number at 

 all climes. 



Number at 

 tuberculo- 

 sis clinic. 



Tondo 



Binondo 



Trozo 



Quiapo 



Santa Cruz 

 San Miguel 

 Sampaloc— 

 Santa Mesa 

 Santa Ana_ 



Paco 



Pandacan _ 



Malate 



Ermita 



Intramuros 

 Provinces . 



456 

 372 

 117 

 194 



98 

 142 

 172 



89 



37 

 354 



61 

 337 

 129 

 647 

 820 



106 

 81 

 36 

 43 



130 

 25 

 33 

 18 

 15 

 85 

 11 

 59 

 15 



101 



156 



The family history (Table II) of the 914 cases shows a prevalence 

 of family tuberculosis which is, so far as we have found, not equaled by 

 any other report in the literature of the subject. The data have been 

 carefully obtained and minimize rather than exaggerate the actual con- 



2 This Journal, Sec. B (1908), 3, 211. 



