﻿IX, B, 5 Willets: Malaria in General Hospital, Manila 

 Table II. — Race, sex, and age distribution. 



443 



Race. 



Num- 

 ber. 



Per 

 cent. 



Sex. 



Age. 



Male. 



Female, a 



Adults. 



Children. 



Num- 

 ber. 



Per 

 cent. 



Num- 

 ber. 



Per 

 cent. 



Num- 

 ber. 



Per 

 cent. 



Num- 

 ber. 



Per 



cent. 



Filipino 



250 

 48 

 33 

 17 



71.9 



13.8 



9.5 



4.8 



188 

 45 

 33 

 17 



75.2 



93.8 



100.0 



100.0 



62 

 3 



24.8 

 6.2 



218 

 45 

 33 

 16 



87.2 



93.8 



100.0 



94.1 



32 

 3 



12.8 

 6.2 



American -_ 



Japanese. _- - _- 



Miscellaneous _- , 







1 



5.9 



Total — 







348 



100.0 



283 



81.3 



65 



18.7 



312 



89.7 



36 



10.3 





* There are few foreign women in Manila. 



LABORATORY EFFICIENCY 

 IN FINDING MALARIAL ORGANISMS IN CASES CLINICALLY POSITIVE 



Seven of the 348 cases diagnosed were not examined in the 

 laboratory. Of the remaining 341, 45 were negative and 296, 

 or 85.1 per cent, were positive. In making the examinations, 

 smears were made in the usual way and Wright's stain was used 

 exclusively. The 45 negative cases have been analyzed as 

 follows : 



Two cases were positive in the laboratory when previously in 

 the hospital. Each was given quinine after one negative exam- 

 ination and later was discharged recovered. 



One was given quinine intravenously several hours before 

 smears were taken. There was one laboratory examination ; the 

 patient was discharged recovered. 



Twenty-one were given no quinine in the hospital excepting 

 iron, quinine, and strychnine to 2 of them. Six gave a definite 

 history of having taken quinine prior to admission. Most of 

 the 21 gave a history of more or less typical malarial paroxysms. 

 Some were doubtless convalescent when admitted. Fifteen were 

 discharged recovered and 4 improved. One died of acute bacil- 

 lary dysentery, chronic malarial splenitis being found at autopsy. 

 One was a surgical case, which had rises of temperature after 

 operation, and which was discharged later, the febrile attacks 

 having subsided without the administration of quinine. 



Ten, in addition to the 6 already mentioned, had been taking 

 quinine before admission. Eight of these were given quinine 

 in the hospital after one negative; 1 of these was given quinine 

 in the hospital after two negative examinations. One was 

 transferred to another institution (San Lazaro) after two neg- 



