in which the culture tube is to be inoculated. It a procedure which can be carried out by a private practitioner without the slightest difficulty,
is
care
only being required
to carry out the direc-
tions. The swab is taken out from its tube, brushed lightly over the throat of the patient, and then inserted into the culture tube after removal of its cotton
plug,
culture.
Jitdiait Judical
passed over a replaced. The the
DIPHTHERIA RESEARCHES. cases
met with in the
other less
but the numbers
countries,
large,
and
neverthe-
that attention has been drawn
now
to the virtue of
are
laboratory,
the serum and replaced
over
removed,
The mouth of the culture tube is spirit lamp, and its cotton plug two test tubes
where
they
are
are now
returned to
immediately put into
incubator and kept at 35?, and in the course of less than 24 hours the practitioner learns whether he is dealing with a true case of diphtheria or not. an
diphtheria in India are not to be same degree of frequency as in
of
drawn
gently
The swab is then
in its test tube.
JUNE 1895.
The
and
Behring's serotherapy,
we
trust
trifling, and does analysis of urine. similar procedure adopted
The cost for this information is not exceed that now made for an We should like to
see a
possible in India. The laboratories are our contributors will send for publication details few in two in Calcutta, one in Agra and number, of cases which they may be called upon to treat. A one or two in other of parts of India. Something this kind will be particollective investigation be in done these might existing laboratories for cularly useful, and Indian practitioners will, in the localities The absence of they represent. adding their quota of experiences, help in solving laboratories is a great to medical stumbling-block the important question as whether the antitoxin treatment is as efficacious would indicate it to be.
wherever
the first statistics
as
progress in India, and while this condition of affairs exists, India must be content to take its scientific
knowledge second-hand, which, under no circumproblem to be solved is not only whether a stance can be considered a matter for consrratuspecific has been found for diphtheria which is lation, exerting as it does a deadening influence surely a large enough one in itself, but the answer on medical thought and practice. to it involves a still greater issue, for should it The
be
favourable, the widened,
diseases is the
near
found
horizon in
regard
to
bacillary
may expect that in future other infectious diseases will be and
we
It is similar treatment. would like to see India bestirring itself and helping as far as it is able to the elucidation of this absorbing topic as to the amenable
to
because of this that
precise
value of
we
diphtheria
antitoxin.
America and Australia laboratories are equipped to assist the practitioner in
In
Europe, being
now
diagnosing
other affections of the throat. Little boxes containing two sterilised test tubes In the one test tube, plugare kept in readiness.
diphtheria
from
with cotton wool, is the steriled serum culture which the diphtheria bacillus is found to grow most easily. In the other test tube, which is also
ged on
plugged
wool, is a steriled cotton swab. practitioner is called to treat a sus-
with cotton
Immediately picious case of diphtheria, a
boxes
on
which
are
he sends for one of these
instructions
as
to the
manner