[ 42 ] 
O associated diseases which probably had no connection there were two 
cases in which death was due to Cerebral Haemorrhage, one in which it was 
certainly due to Leri-ben, one advanced Cirrhosis of the Liver, and one 
vsentery and Hepatic Abscess. Of other associated diseases, in view of 
ie recurrence of the often disproved statements of an antagonism between 
tuberculosis and malaria, it may be noted that parasites of Malaria were 
found m one case of healed Phthisis, in one of early pulmonary tuberculosis, 
and in two of fairly advanced tuberculosis. In several other cases recent 
Malaria pigment was present in the organs. 
As regards occupation, such a large proportion of the persons who attend 
the hospital are or have been mining coolies, that these naturally form the 
large proportion of the patients with tuberculosis. Other occupations 
represented were ricksha pullers, shopkeepers, mechanics, and rarelv 
domestic servants. y 
In two cases there was marked Anthracosis probably from charcoal 
me-. J 
burning. 
Agt. Of 65 in which it could be approximately obtained there were is 
of 25 years of age or under, and 30 over 35 and 15 of these were over 50. 
As half the deaths are under 35 the incidences of this disease in old age is 
rather heavier than in temperate climates for advancing years, but not more 
so than is usual in the Tropics. 
In the lower animals in the state of nature Tuberculosis is apparently 
unknown here. In confinement monkeys, even in well ventilated houses and 
when kept clean frequently acquire it. In all cases seen the lungs were 
affected either alone or more commonly associated with general tuberculosis 
ut show mg the oldest lesions in the lungs. In one case there was a definite 
tubercular nodule in the substance of the brain. 
No tubercles were found either in imported or native cattle slaughtered 
Oi ymg from Rinderpest and I am informed by the Government Veterinary 
burgeon that he has not seen any cases. This is in marked contrast to 
Lntish Guiana, where of animals slaughtered for food a considerable 
proportion are tubercular. 
^ i ncrease in 1 uberculosis in man the development and spread 
of this disease amongst the cattle may be anticipated, as recent evidence is 
al in favour of the occasional communicability of Tuberculosis from man 
to cattle and vice versa. 
Dysentery. 
Dysentery is the direct cause of over 40 per cent, of the deaths in the 
ospital, and is a contributory cause of death in a considerably larger 
proportion of cases. 
In Tuberculosis with or without tubercular disease of the intestine it is 
not uncommon, and superficial ulceration, hardly to be called true dysentery, 
is present in many of the chronic diseases. 
Of the various types of dysentery the most clearly separated is the so- 
called Amoebic Dysentery when it occurs uncomplicated. Unfortunately 
mixed cases or cases not corresponding to the type in which Amoebae are 
invariably found are not uncommon. The lesions w r hich may be considered 
