78 The Philippine Journal of Science 1917 



meningitis, in 19 cases of otitis media, and in 8 cases of abscesses 

 located in different parts of the body. 



Parish (39) points to the following factors as causes of the 

 prevalence of respiratory affections among Filipino children. 



1. Lack of proper clothing. 



2. Lack of protection while sleeping. 



3. Cold baths usually taken outdoors, under the faucet many times without 



drying or friction, thus subjecting the child to shock and chilling. 



4. Untreated pertussis and other specific bronchial trouble. 



5. Infantile beriberi with deficient heart action. 



6. Tachycardia which seems to be the rule among Filipinos. Many of these 



cases suffer from dyspnoea, perspire easily and very profusely, and 

 are easily affected by drafts. 



To these I will add the custom of wrapping the newly born 

 infant with flannel or cotton cloth and not bathing the child 

 until after the first or second months. In some instances bath 

 is given, and in these cases tepid water is used until they are 2 

 or 3 years old. 



LOBAR PNEUMONIA 



The anatomic diagnosis of lobar pneumonia was found in 36 

 cases only. 



The age incidence does not correspond with what is expected, 

 that frequency is in direct proportion with age. 



Table XII. — Age incidence of lobar pneumonia cases. 



Cases. 



to 6 months 11 

 6 months to 1 year 5 



1 to 2 years 10 



2 to 3 years 3 



3 to 4 years 5 



4 to 5 years 2 



Total 36 



The youngest is a female 22 days old that had lobar pneumonia 

 of the right upper and inferior lobes. The clinical diagnosis of 

 this was infantile beriberi. Next a male and a female, each 25 

 days old, both showing acute parenchymatous nephritis. 



There is only one case that had pneumonia alba and in whose 

 liver Treponema pallidum was demonstrated by Levaditi's method 

 of impregnation. The child was a female 3 months old that died 

 of chronic hemorrhagic internal pachymeningitis. 



Site of lesion. The left lower lobe was singly affected in 10 

 cases, and the left upper was affected only once. The right upper 



