106
THE NEW ZEALAND GAZETTE.
dispensary for intermittent fever (form tertian) on
11th July, having then suffered from it for one week;
an aperient of calomel and jalap, and an injection
(hypodermic) of one grain of carbolic acid in half a
drachm of water were administered. He had an
attack at 4 p.m. on the 11th; the injection was
repeated on the 12th; and on the 14th he had had
no fever; since then I have heard nothing of him.

Hospital Cases.

16. Jullien, creole, male, æt. 50, was admitted into
    hospital on July 5th, having had intermittent fever
    for four days, rigors being very severe. An aperient
    of calomel and jalap, followed by castor oil, was
    given; and on the 6th, two-thirds of a grain of car-
    bolic acid in twenty minims of water was injected
    under the skin. On the 7th, he had fever mildly;
    injection was repeated. On the 8th, no fever; re-
    peat injection; quassia, ammonia, chloric æther were
    afterwards given, at times stimulants; but after the
    third injection he had no return of fever. On the
    16th he was discharged cured, and has not since been
    heard of.

17. Ramannah, Coringhy, male, æt. 24; admitted
    to hospital July 6th, suffering from intermittent
    fever, the rigors occuring at 10 p.m.; aperient
    powder of calomel and jalap was given, and at 7:30
    a.m., on the 7th, two-thirds of a grain of carbolic acid
    in twenty minims of water was injected; repeated at
    5 p.m., and again at 7:30 a.m. on the 8th; after this
    he took quassia and iron. Rigors had commenced
    and were present when I gave him the first injection;
    no fever occurred after the second. During my ill-
    ness Dr. Cox prescribed one twenty-fourth of a grain
    of arsenic three times a day, and gave him one dose
    of quinine: but there is no mention made of any
    second attack of fever in the hospital register. I
    have not since heard of him.

18. Gorilla, Coringhy, male, æt. 26; admitted to
    hospital on the 10th July; says he had fever for one
    month, during which time he took Malabar medicines.
    He received one grain of carbolic acid, by hypodermic
    injection, on the 10th, 11th, and 12th. On the
    15th he was discharged cured, and has not since been
    heard of.

Notes.

Many other cases would have been treated by this
method, and would have been reported upon by me,
but that during the latter part of July and the early
part of August I was too ill to give that attention
which a new line of treatment demands, and in the
majority of cases that presented themselves I gave
the usual remedy, quinine. There was, too, at this
time, a break in my hospital and dispensary practice,
Dr. Cox, of Mahébourg, doing my duties for one
week. New cases in my immediate neighbourhood
are now not very numerous, and I cannot attend
those at any considerable distance on three con-
secutive days. Nevertheless, I am convinced that
this mode of treatment deserves fair trial, and I shall
be glad to learn that it will receive this in other
hands than mine. I admit many failures, but I think
the actual "cures" and reliefs outnumber the failures;
and that these themselves might, with proper
attention to the administration of the remedy in
increased strength, or at different periods, have been
converted also into "cures."

I may perhaps be allowed to remark, that I use
the word "cure" in this paper when applied to cases
which have relapsed in a few or more days, simply as
the shortest method of conveying the meaning that
for that period the disease has ceased to be present.
As far as I can do so, I am continuing this treatment,
and at a future date will furnish a further report;
indeed, unless this had been called for by the
General Sanitary Inspector, it was not my intention

THE NEW ZEALAND GAZETTE.
to have presented any statistics or remarks until my
observations had been completed.

Among dispensary patients treated by the sub-
cutaneous injection of carbolic acid, no notes appear
as to any examination of the liver and spleen. In
hospital cases, No. 16, Julien, had both the viscera
slightly enlarged.

I do not conceive that there can be any doubt as
to whether I have or have not dealt in the way above
described, with intermittent or paludal fever, or ague.
I admit that I cannot assert that any case is certainly
due to marsh miasmata and to nothing else, though
not the least doubt seems now to exist that inter-
mittent fevers are due to this cause principally if not
entirely.

Then, again, as to knowing absolutely whether
the patients suffered from intermittent fever or were
malingering, it is obvious that dispensary patients, as
a rule, attend during an intermission and not during
a paroxysm, and it is certain that, of all febrile
disease, the existence of this would be one of the
most difficult to assert without ocular and tangible
evidence. But it so happens that numbers 692, 938,
1032, 1126, 1127, 1135, and 1175 were actually seen
by me in one or other stage of fever; the cases in
the hospital were, of course, seen by me twice or
more daily.

The strength of the injection I used is as under:-

R. Acidi carboli pur: grano vel minim lxiv.
Aqua ounces iv.

and from xii to xxx minims have been used.

W. H. CECIL TASSIER, M.D.

Plaine Magnien,
September 6, 1868.

Downing Street,
8th December, 1868.

SIR, -The Queen has had occasion to observe that
the constant progress of the British Empire in
population, wealth, and enterprise, and the increased
opportunities thus happily afforded to her subjects
of rendering effective services to their Sovereign and
their country, have in some respects outgrown Her
Majesty's means of recognizing those services in a
fitting manner. You are aware that, with the object
of supplying that deficiency, it was found requisite
in the year 1847 to enlarge and modify the ancient
Order of the Bath, and more recently that Her
Majesty has been pleased to create a new Order of
Knighthood, the Star of India, for the reward of
services rendered in relation to Her Indian Empire.
The sphere of usefulness and eminence which is now
open in the British Colonies is so varied and
extensive as to render it, in Her Majesty's judgment,
advisable that to them, as to India, a special form of
distinction should be appropriated.

For this purpose Her Majesty has been graciously
pleased to sanction such a modification of the
Statutes of the Order of Saint Michael and Saint
George, originally instituted by King George III. in
connection with His Majesty's Mediterranean
possessions, and now presided over by a Prince of
the Blood Royal, together with such an enlargement
of its numbers, as will render it available as a reward
of distinguished merit or services in any part of Her
Majesty's Colonial Possessions.

I annex, for publication in the Colony under your
government, copies of so much of the new statutes
as prescribes the qualifications for admission into
the Order and the number of the Knights.

The Queen is confident that this measure will be
received by Her subjects as an evidence of the
importance which Her Majesty attaches to Her
Colonial Dominions as integral parts of the British
Empire, of Her constant interest in their progress, and
of Her desire that services of which they are the