( 8g ) 
ligature above the seat of the bite if possible ; 2. Burn the bite itself 
with a hot iron; 3. Apply carbolic acid. The ligation should be 
retained in position for about three hours. The incubation period from 
the bite or contact, to the development of hydrophobia is variable, 
but may be set down at from 4 weeks to 16. 
Suspected dogs and other animals should be firmly tied up and 
kept under observation, or they may be killed by shooting them in the 
head, their spinal cord or a portion of it removed, placed in a bottle 
containing glycerin, and sent to the nearest laboratory to be examin- 
ed as to the exact diagnosis. 
All uncared for animals should be shot for an area of about ro 
miles round the focus of the disease. 
In the unfortunate event of one being bitten by an animal doubt- 
fully mad, the patient should be sent to Saigon or one of the Indian 
Pasteur Institutes, with a piece of the spinal cord of the animal which 
bit him, for confirmation of the fact of madness, and, if confirmed, for 
treatment. The reason for faking the cord is that some animals show 
very rapidly the effect of the poison, and the disease can be with 
certainty diagnosed by injecting them, dnd treatment rapidly started. 
, Hospitals. 
Under the Labour Code which deals practically exclusively with 
Chinese, sec. 79 lays down “that the resident-may order an hospital to 
be built, and a dresser engaged provided not less than 50 labourers 
be employed.” 
Under the Indian Immigration Enactment Rules, “Hospital acco- 
modation of eight beds for every 100, is required, they should be under 
the charge of a resident and qualified apothecary.” The demensions, 
floor-space, etc., are all laid down, it will therefore suffice if I express 
my fixed opinion that the appointment of a qualified resident apothe- 
cary is most advisable in every hospital in this country if good work 
is to be done on estates. 
I have seen every class in charge of the sick I think, and the more 
I see of the estates which endeavour to economise on their medical 
department, the more convinced am I that it is folly of the most 
superior brand. 
I much regret that I have yet to meet the dresser, on $30 to $50 
a month, who is dependable for a diagnosis; returns one can obtain 
galore! but they wither under the light of day. 
The differential diagnosis between say malarial cachexia, and 
Bright’s disease, and anchylostomiasis (with which you are now I trust 
familiar) are of the utmost import to the future of an estate; and again, 
the separation of plague from venereal bubo with fever, small-pox from 
chicken-pox, typhoid from a simple diarrhoea, and cholera from 
ptomaine poisoning, and a host of similar cases which may require 
prompt recognition, must surely prove my point, that the dearer article 
is the cheaper! 
