XII, B, 2 Mendoza-Guazon: Anatomicopathologic Lesions 



65 



Table I. — Infant mortality due to cholera, Manila, 1910-1916. 



Year. 



Jan. 



Feb. 



Mar. 



Apr. 



May. 



June. 



July. 



Aug. 



Sept. 



Oct. 



Nov. 



Dec. 



1910 



2 



1 









7 



8 



12 



2 



1 



1 





1911. _ _ 









1912 



























1913 





















4 

 5 



4 

 2 



3 

 2 



1914 



4 

 3 



1 

 1 

 2 











7 



22 



26 



1915 



3 









1916 .-.. 





















Total 

























9 



5 



3 







7 



15 



34 



28 



10 



7 



5 







Our statistics show 103 cases, or 10.3 per cent. We believe 

 that this percentage would have been higher if the intestinal 

 contents had been examined for cholera vibrio in those cases 

 that were diagnosed clinically as cholera infantum and anatomi- 

 cally as acute catarrhal enteritis, especially during epidemics. 



McLaughlin, (32) after careful investigation, came to the 

 following conclusions : 



Cholera in children is often unrecognized and unreported as such, being 

 reported as acute or chronic enteritis, gastro-enteritis, entero-colitis, dysen- 

 tery, acute or simple meningitis, and probably also as "infantile" beriberi, 

 convulsions of children, and other diseases. * * * 



The clinical picture of cholera in children is often atypical, and the 

 diagnosis may be extremely difficult if not impossible without a bacterio- 

 logical examination of the intestinal contents. Cerebral manifestations in 

 children suffering from cholera are very common and their severity is in 

 inverse proportion to the age of the child. Acute meningitis is a very rare 

 disease in Manila, in spite of the statistics to the contrary. The percentage 

 of children attacked by cholera is higher than shown by the statistics of the 

 Bureau of Health. 



During this last epidemic of cholera (1916), Doctor Crowell 

 ordered that routine examination of the intestines and gall 

 bladders of all autopsies be made. It was found that many chil- 

 dren that were clinically diagnosed with some intestinal trouble 

 harbored the cholera vibrio. 



Cases. 

 13 

 10 

 15 



7 

 27 



5 

 16 

 11 





Table II. — Age incidence of chol 



Months. 



Oases. 



Yeai-s. 



to 



1 



4 



1 to 1^ 



1 to 



2 



2 



n to 2 



2 to 



3 



3 



2 to 2i. 



3 to 



4 







21 to 3 



4 to 



5 



1 



3 to 3* 



5 to 



6 



3 



3J to 4 



6 to 



7 







4 to 4i 



7 to 



8 







41> to 5 



8 to 



9 



2 





9 to 



10 



1 





10 to 



11 



1 





11 to 



12 



1 





• No age given, 1 case. 



