48

of administration was generally in accordance with the instructions sent by
Dr. Brazil.

     The tables below show the results obtained in the two hospitals :—

MODIKHANA HOSPITAL.

MARATHA HOSPITAL

      The small difference in these results, in one case in favour of the controls,
and in the other in favour of those treated with serum, would appear to be.
accounted for by the chance inclusion (Table II) of a few more serious cases
on the one side than on the other.

      In both hospitals the serum appears in several cases to have acted by
reducing the temperature and pulse-rate within the first few hours after admis-
sion. In the Maratha Hospital the rate of breathing was reduced also in some
cases. In the Modikhana Hospital these cases showed a greater mortality than
the control cases, while in the Maratha Hospital the contrary was the case.

      In both hospitals the fatal serum cases lived longer than the fatal control
cases. In the Modikhana Hospital, where the serum-treated cases showed a
higher mortality than the controls, they lived on the average 2.55 days longer.
In the Maratha Hospital, where the serum-treated cases showed a lower morta-
lity than the controls, they lived on the average only 7½ hours longer.

      As regards the few recovery cases, the normal state as regards temperature,
pulse and respiration was sooner attained in the case of the serum-treated cases
than in the controls in the Modikhana Hospital, while in Maratha Hospital the
reverse was the case.

      The type of case admitted to hospital during the time of trial of the serum
was severe, but the above does not warrant us in ascribing to the treatment
any measure of influence on the course of the disease.