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

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