The _Annales_ for August 1898 give Dr. Ferreira's report of ten years'
work (February 1888 to April 1898) at the Pasteur Institute at Rio.
The number of cases treated was 2647, of whom 1987 were male and 660
female. Beside these 2647 there were 1234 who were not treated,
because it was ascertained that they were in no danger of rabies; 3
who were brought to the Institute, already suffering from the disease;
and 59 who refused treatment.
Of the 2647 persons treated, 10 had pricked their hands at work in the
laboratory, 3 had exposed chance scratches on their hands to the
saliva of rabid animals, and 1 had been bitten by a rabid patient. Of
the rest, 1886 had been bitten on the bare skin, and 747 through
clothing.
In 236 cases the rabies of the animal had been proved by inoculation.
In 1173 it had been recognised by the signs of the disease. In 1238
there was good reason to suspect that the animal had been rabid.
Of the 2647 patients, in 30 cases the treatment was stopped, because
the animals were at last traced, after treatment was begun, and were
found not to be rabid. In 65 cases the patients, after treatment was
begun, refused to go on with it, and 3 of them died of rabies. In 6
cases rabies developed during treatment; 5 of them had been very badly
bitten about the head, and 1 did not come for treatment till the
twenty-first day after the bite, and was attacked by rabies two days
later. And 5 cases died of other maladies that had nothing to do with
rabies. Setting aside these 106 cases, there remain 2541 cases, with
20 deaths = 0.78 per cent. But, of these 20 deaths, 9 occurred within
fifteen days of the end of treatment, before protection was fully
established. If these 9 deaths be excluded, the figures stand at 2532
cases, with 11 deaths = 0.43 per cent.
4. _Paris_
Dr. Pottevin's report on the work of the Pasteur Institute (Paris)
during 1897 (_Annales_, April 1898) must be given word for word,
without abbreviation.
I
During 1897, 1521 patients received the anti-treatment at the Pasteur
Institute: 8 died of rabies. The notes of their cases will be found
at the end of this paper.
If we exclude 2 of these 8 cases--the cases of Heniquet and Morin,
where death occurred before it was possible for the vaccinations to
produce their effect--the results of the vaccinations in 1897 are
Patients treated 1519
Deaths 6
Mortality per cent. 0.39
In the following table these figures are compared with those of
preceding years:--
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