SOUTH AFRICA 



241 



3. The Portland Hospital : M odder River and 

 Bloemfontein. The British Medical Journal, 10th 

 November 1900, contains an account by Dr Tooth 

 of the cases of typhoid in this hospital. Concern- 

 ing the preventive treatment, he says: " The 

 experience of my colleague Dr Calverley and myself 

 may be of interest, though we fear that the 

 numbers are too few for safe generalisation. 



"Personnel of the Portland Hospital. We take 

 first the relation of disease and inoculation among 

 the personnel of the hospital. Twenty-four non- 

 commissioned officers, orderlies, and servants of 

 the Portland Hospital, and 4 of the medical 

 staff, were inoculated on the voyage out. All these 

 showed the local symptoms at the time ; that is, 

 pain, stiffness, and local erythema; 17 also pre- 

 sented well - marked constitutional symptoms — 

 general feeling of illness, fever, and headache. Of 

 the orderlies, 9 had enteric fever subsequently. 

 Two had refused inoculation, and both of these 

 had the disease very severely ; in fact one died. Of 

 the inoculated cases, 5 had the disease lightly, and 

 2 fairly severely. One of the sisters had the 

 disease rather severely, and she had not been 

 inoculated. 



" Officers and men admitted to the Portland 

 Hospital. We had under treatment at the Portland 

 Hospital 231 cases of enteric fever, most of which 

 came under our care at Bloemfontein. We have 

 not included in these figures a number of patients 

 who came in convalescent for a short time only, 

 and on their way to the base, and who would 



Q 



