352 



EDITORIAL. 



Dr. Vassal, in connection with the above table gives the following 

 details furnished by Dr. Gaide, senior major surgeon of colonial troops, 

 Hanoi, Tonquin. 



Although suppurating hepatitis is not rare at Hanoi', the greater part of the 

 patients treated for this trouble at the military hospital of the city come from 

 different parts of the upper country invalided for paludisine, dysentery, or some 

 other trouble, hepatitis appearing only after their arrival at Hanoi, or they were 

 sent because of this trouble by ambulance to the hospital at Hanoi', in order to be 

 operated on under the most favorable conditions. 



In the course of the last four years the proportion of the mortality in every 100 

 patients treated has been as follows: 28 per cent in 1904; 29 per cent in 1905; 

 26 per cent in 1906; 34 per cent in 1907. 



The mean mortality per 100 patients treated, calculated for the four years 

 indicated above, reaches the average of 41 in 100. 



Dr. E. D. Keith, of the Straits and Federated Malay States Medical 

 School, Singapore, Straits Settlements, has sent us the following table 

 for Singapore: 



Consecutive records examined, l,561f;°- dysentery present in 300 cases. 



Race. 



Number 

 of cases 

 of dys- 

 entery. 



Ame- 

 biasis. 



Abscess 

 of the 

 liver. b c 





270 

 20 

 2 

 2 

 6 





14 

 1 















2 











300 



194 



17 





a These members correspond to about 15,000 cases in the hospitals. 



b The dysenteric condition in the seventeen cases was as follows : 6 advanced, 4 

 marked, 6 slight, 1 very slight. The small intestine was affected as well as the large 

 in 4 out of the 17 cases. 



c Single abscess occurred 5 times ; multiple abscess 12, the right lobe alone was 

 affected 11 times ; the left lobe alone 1 time ; both lobes were affected 5 times. 



John B. McDill. 



THE FREE DISPENSARY OF THE PHILIPPINE MEDICAL 

 SCHOOL. 



The free dispensary of the Philippine Me'dical School was organized in 

 September, 1907, the necessary rooms, pending the construction of the 

 new building in connection with the Philippine General Hospital, having 

 been furnished by the authorities of St. Paul's Hospital, Manila. This 

 clinic, from the beginning, has been markedly popular with the people 

 and has furnished abundant material for the purposes of instruction. 



