242 TYPHOID FEVER. MALTA FEVER 



therefore appear in the admission and discharge 

 book of the hospital. If we did so, of course our 

 percentages would be lower. Of these 231 patients, 

 53 had been inoculated at home or on the voyage 

 out, and of them 3 died, making a percentage of 

 deaths among the inoculated of 5.6 per cent. ; 178 

 had not been inoculated, of whom 2 5 died ; that is, 

 a mortality among the non-inoculated of 14 per 

 cent. The general mortality in enteric fever with 

 us was 28 deaths out of 231 cases: that is, 12.1 

 per cent., which seems to compare favourably with 

 the experience of the London hospitals. 



"It is interesting to record our experience among 

 the officers taken separately. Thirty-three officers 

 were admitted with enteric fever ; 2 1 had been 

 inoculated ; that is, 63.6 per cent., a much larger 

 percentage than among the men. Only one of 

 these officers died, and he had not been inocu- 

 lated. 



4 'These figures are small, but such as they are 

 they are significant, and they dispose us to look 

 with favour upon inoculation. So also does our 

 clinical experience with our patients, for among 

 the inoculated the disease seemed to run a milder 

 course." 



4. No. 9 General Hospital, Bloemfontein. The 

 Medical Chronicle for January 1901 contains an 

 account, by Dr J. W. Smith, of the work of this 

 hospital. He says : " The general impression 

 amongst the medical officers in our hospital was 

 that a single inoculation probably did not confer an 

 immunity lasting very long — the lapse of time differ- 



