Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the EctozoaCobbold, T. Spencer (Thomas Spencer)
Science
Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the Ectozoa
Cobbold, T. Spencer (Thomas Spencer)
Helminths; Parasites
As regards hydatids I believe the returns to be excessively deficient.
In place of an average of 34 deaths annually from this cause in the
United Kingdom I am of opinion that at least 400 deaths are due to
hydatids. This opinion and the data on which it was founded were
communicated by me twelve years ago to the Linnean Society, and I have
since become acquainted with facts which lead me to conclude that
my original estimate was very much below the mark. The post-mortem
registrar of one of our large hospitals has told me that of late years
as many as _ten_ deaths might be reckoned as annually due to hydatids in
their institution alone. At a smaller hospital I ascertained that the
average was about _four_. Obviously, if these estimates are correct,
the Registrar-General’s returns for the United Kingdom do not record
a tithe of the annual mortality due to hydatids. Perhaps another half
century will elapse before the truth of my deductions be confirmed by
the _official_ returns. For me, it must suffice to have pointed to the
desirability of securing more accurate records.
By a curious coincidence I had only just sent to press the sheet of this
work recording the statistics of hydatid disease in Australia (p. 123),
when a paper dealing with the same subject appeared in the ‘Lancet.’
I refer to the brief memoir of Dr David Thomas, of Adelaide, South
Australia, which was published on the 1st of March, 1879. Dr Thomas
writes as follows:
“It is well known that Australia presents an extraordinary prevalence
of hydatid disease, but, as far as I know, no definite statistics have
been published to illustrate the fact. Consequently, some months ago,
with the kind assistance of the Hon. W. Morgan, the present Chief
Secretary of South Australia, I endeavoured to procure reports from
the Governments of Victoria, New South Wales, Queensland, New Zealand,
Tasmania, and Western Australia, upon this question. Unfortunately, the
mode of registration of the causes of death in most of these colonies
was such as prevented the necessary replies being supplied. However, it
appears that in Tasmania no deaths were returned from this disease in
the ten years 1867-77. During the greater part of the same period no
separate classification of hydatid disease had been adopted in New South
Wales; but in 1875 four deaths were attributed to hydatids; in 1876,
eleven were so returned. In Victoria, however, the record of deaths from
this cause is far more complete, and I append a table based upon the
returns from that colony.
“One case, in which hydatid of the kidney was present, accompanied by
malignant disease of bladder, with stricture, was not returned as a case
of hydatid causing death.
“During the decade 1867-77, 2·5 per 1000 deaths were due to hydatid
disease. In 183 out of the 307 cases the liver was either solely or
conjointly with other organs the seat of disease. Holding the second
place in frequency come the lungs in 71 cases, _i.e._ 53 simple and 18
complicated.”
Public-domain text, read in full here on John Shaqi.
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