The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates.

H. A. Hare

Date:: [1909], [©1909]

Credit: The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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$Wiis 21..') JHT ccnl.; fioiii ISS2 (o ISSS j(. was I I.I \n-y rent., and In ISSO, VAJ) per ccnl. We may assume, then, tliat the (miinarv mortality of typhoid fever is at ])reseiit less than IT) per cent, in the general run o'i cases, and that in jrood hospitals and |)rivate practice with ^^ood nursing, it varies from 1 to 10 per cent., the more so as many years ago, before the disease had become moch'fied, Murchision })laccd it at 17.45 among 27,951 cases in England. The following statistics of patients treated by general methods show this to be true, and with or without baths a simihir decrease in mortality is evident: Cases. Basel (Liebernieister) 22.3 Basel (Liebermeister) 239 Maidstone, England 1,88.5 Boston (Mason) 676 Homerton (Collie) 677 Glasgow (Collie) 618 Soci^t(5 Mddieale des Hopitaux (1879)i 1,979 Jaccoud 66.5 Riess 900 Boston (Shattuck) 237 Germany (?) Brand has collected . 19,017 Mortality. Per cent. Treatment. 11.7 Calomel. 14.6 Iodide. 7..5 General. 10.4 General. 9.5 General. 8.2 General. 12.47 10.8 General. 7..5 Tepid baths. 9.8 Expectantly and cold sponging. 7.8 All kinds of cold baths. 27,116 10.02 In other words, 27,116 cases in Switzerland, America, England, Germany, and France show that good nursing and careful non- meddlesome treatment will give a mortality of al^oiit 10 per cent. The wide distribution of these cases and the large number of clinicians o-ive us a standard averao-e. At Basel, in 1S73, under the cold bath, there were 163 cases, with a mortality of 10.4 per cent.; during the same year at Glas- gow without baths, 275 cases, with a mortality of 9.4 per cent.; and 305 at Homerton, with a mortality of 9.5 per cent. In 1S74 at Basel the water cases were 200, with a mortality of 10.5 per cent.; at Homerton, 372, with a mortahty of 9.6 per cent.; at Glas- gow, 343, with a mortality of 7 per cent. 1 These statistics are based upon the fact that twenty-one chiefs of hospital service reported to the Societe M^dicale des Hopitaux (1890) 916 cases with 114 deaths, or 12.44 per cent, under general treatment; and for 1888 and 1889, this report also mentions 1063 cases so treated, with 133 deaths, or 12.51 per cent.$