466 ON THE MEDICAL TOPOGRAPHY OP SINGAPORE. 
ed to be one of the most eligible situations for this class of diseases, 
must yield the palm to Singapore, in the proportion of 1 in 148, to 
1 in 154. If the examination is confined to the Europeans, the total 
number of cases of disease is 662 and the total number of cases of 
Pthisis is 10, being 1 in 66.2 ; but it must be borne in mind that 
none but the most serious cases of disease present themselves for 
admission into the European Hospital, all cases of an ephemeral na¬ 
ture being treated on board of ship, or allowed to pass unheeded. 
Table No. 7. 
Sir James 
Clark. 
Dr. 
Forbes. 
England 
and 
France. 
Lands 
End. 
London. 
Birming¬ 
ham. 
Singa¬ 
pore. 
Relative mortality from 
Pthisis, compared to 
that from other diseases 
1 in 3. 
1 in 4.3 
I in 4.2 
i in 5.3 
lin 11.9 
But when Pthisis is fully established the victim has no escape. 
In the Worcester Dispensary 62 died out of 235 cases of Ptlnsis, 
or 1 in 3.8, in Birmingham the proportion was 1 in 1.38 ; In Singa¬ 
pore there were 49 cases of Pthisis and 40 deaths, being 1 death 
from Pthisis in 1 ^ treated with that complaint. 
In conclusion there cannot be a doubt that the climate of Singa¬ 
pore is one of the most eligible spots under the sun for persons pre¬ 
disposed to diseases of the lungs, but like all other climates, even 
the most favourable, it will not save those in the last stage of Pthisis 
from an untimely grave. 
ON THE SUPERFICIES OF THE ISLAND. 
The next point of consideration is the surface of the island. It 
is situated at the south of the Malay Peninsula, but rather more to 
the western than the eastern aspect, being received as it were into 
a recess of the Peninsula, whose eastern point comes further down, 
so protecting it partly from the N.E. monsoon. On all sides it is 
surrounded by land, its most open quarter being towards the south 
east, and to a less extent the west. In appearance on the map, it 
