The Military Surgeon (Volume 30); Journal of the Association of Military Surgeons of the United States (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1912. Excerpt: ... TYPHOID FEVER IN THE PHILIPPINE ISLANDS. By Major WESTON P. CHAMBERLAIN, Medical Corps. (President of the United States Army Medical Board for the Study of Tropical Diseases as they Exist in the Philippine Islands). Part I. Prevalence And Distribution Of Typhoid Fever In The Philippines. Part II. Laboratory Investigations Of Typhoid Fever In The Philippines. Part III. Clinical Aspects Of Typhoid Fever In The PhilIppines. Part IV. A Study Of Recent Typhoid Epidemics In The Philippines. Part V. Conclusions. Part I. Prevalence and Distribution of Typhoid Fever in the Philippines. Introduction. FROM December i, 1908, to date of this writing (April 30, 1911), the Board for the Study of Tropical Diseases has been making for the Philippines Division the routine blood cultures and Widal examinations on the military patients suspected of having typhoid fever and also making for convalescents the cultural examinations of the stools and urine, which are required before a soldier who has had typhoid is allowed to return to duty. For nearly all cases in which we obtained positive laboratory findings a clinical history has been furnished to the Board. From this laboratory and clinical material we have been able to learn much of interest as regards typhoid in the Philippine Islands. The greater part of our material for blood culture comes from a considerable distance, the time consumed en route varying from a day to several weeks. The same applies to the stool and urine specimens and furthermore these excretions are not sent for diagnostic purposes, but only to determine that the convalescent is not a bacillus carrier. Therefore the cultural examinations in a large proportion of our cases are negative. It follows that for diagnostic purposes we must depend mainly on the...