ON THE MEDICAL TOFOGEAFIIY OF SING AFORE. 
465 
Pthisis, we must have subjects for trial in the first stage and not in 
the last. 
In my opinion this climate is well suited to patients affected either 
with a predisposition to tubercular deposit, or where that has ta¬ 
ken place to a slight extent. The moderate heat—the slight va¬ 
riations of temperature-—the moisture of the atmosphere—all assist 
in relieving the lungs by throwing the eleminition of excretions on 
the liver and skin. 
This opinion of mine I would consider of little value if it was not 
powerfully supported by facts. 1 have before me the reports for 4 
years of the admissions and deaths of the patients in the European. 
Hospital, the Convict Hospital, and the Pauper Hospital, with the 
Insane Asylum Singapore. In these four years the total number of 
cases of disease admitted into these Hospitals was 7586, and the total 
number of cases of diseases of the lungs 287, or I in 26. In the 
transactions of the Provincial Medical Association of England in an 
article on Medical Topography and Statistics, it is mentioned that 
the total number of diseases of the lungs in the two lo calities of Wor¬ 
cester and the Land’s End was 3086 ; while the total number of cases 
*■ 
of disease in the two districts was 18,082 giving 1 in 5.8 as the ge¬ 
neral ratio of prevalence, a favorable contrast for Singapore. 
Table No. 6. 
Cases 
of 
Pthisis 
Cases of 
Diseases 
of the 
Lungs. 
Ratio of 
Pthisis. 
Total cases 
of 
Diseases. 
Ratio of 
Pthisis. 
L’ds End & Worcester 
713 
3086 
1 in 4.3 
18,082 
1 in 25.3 
Worcester,. 
416 
1616 
1 in 3.9 
9,255 
1 in 22.2 
Lands End,.......... 
297 
1470 
l in 4.9 
8,827 
lin 28.7 
Plymouth,. 
176 
• • 
* ■ 
5,648 
l in 32.0 
Birmingham,. 
295 
* , 
18,663 
1 in 63.9 
Hobart Town,. 
202 
2502 
1 in 12.3 
30,008 
1 in 148.5 
Singapore,. 
49 
287 
1 in 5.8 
7,586 
1 in 154.4 
From the foregoing table we see that while the ratio of cases of 
Pthisis to diseases of the lungs is not so favorable for Singapore as 
might be expected, yet the ratio of cases of Pthisis toother diseases 
. is so ; and that to such an extent that Van Dieman’s land, suppos- 
Q 
