Buy Viagra Dogs | Cheap Viagra Europe | Best Pharmacy













































dren were called exudative tonsillitis; therefore no tonsillitis cases are among the diphtherias. The mor- tality for the seven years was 13.06 per cent. During the year from March, 1895, to March, 1896, I treated 64 cases with 5 deaths: a mortality of 7.8 percent. The mortality of the total number, 240 cases, was 1 1.25 per cent. This compares more than favorably with the buy viagra dogs report of the health inspectors, who treated 255 tenement-house cases with antitoxin, with a mortality of 15.69 per cent. 3 Saltmann, of Leipsic, reports 122 antitoxin cases with a mortality of 18 per cent. However, in 18S4 -85 the physicians of Leipzig collected 1,141 cases under general treatment with a mortality of 15 per cent, before antitoxin was known. In 1.32 1 cases col- lected by the British Medical Journal 'in 1858-59 buy viagra dogs the mortality was 14.28 per cent, without antitoxin. 1 These were average years in all respects, and tend to show that from buy viagra dogs 10 percent, to 15 per cent, is the ordi- nary mortality in Germany and England as well as in America. Such cases form a better practitioner's standard than statistics from hospitals, because the latter receive 1 The Lancet, March 7, 1S96, p. 637. 2 Read before the New York Academy of Medicine, June 4, 1896. 3 Biggs: N. V. Med. Jour., April 13, 1895. 4 Reynolds' " System of Medicine," 1879, vo1 - > P- 77- many very severe cases, while mild ones remain at home. It seems a singular coincidence that the number of cases of diphtheria should increase so markedly with the establishment of bacterial cultures in 1893. Dur- ing the three years previous to that year the number of reported diphtheria cases in this city was 4,359, 4.974, and 4.654 respectively. The numbers then jump to 6,469, 9.155, and 9,925 for the next three years, i.e., to the end of 1895. Similar reports come from Berlin, the cases treated in that city being 3,502 and 3,772 in 1891 and 1S92; but bounding to 4,296 in 1893 and to 5,240 in 1894. The cheap viagra europe ratio of deaths had a corresponding fall from 36.7 percent, in 1893 to 28.5 per cent, in 1894. The an- titoxin used in the hospitals could not so change the death rate of the entire city.' My personal experience showed me that many per- sons never presented clinical evidence of buy viagra dogs disease. A case in point is the C family. A boy of five years had diphtheria on October 12th. The Klebs- Loeffler bacilli were found. On November 7th the rooms were fumigated. One week later the inspector reported bacilli in the throats of the mother and an- other child. A week later he reported a fourth child, though neither children buy viagra dogs nor mother believed them- selves ill nor took any treatment. cheap viagra europe Such instances swell the number of reported cases to 9,925. In the New York Infant Asylum when diphtheria existed there " a systematic examination of the throats of the healthy children showed that diphtheria bacilli were present in so large a number buy viagra dogs that in order to iso- late these nearly one-half of the inmates were quaran- tined." We know that the bacilli are in many places and in many throats without cheap viagra europe giving rise to symptoms. Klebs- Loeffler bacilli were found upon the floor of the diph- theria ward of Boston City Hospital, on scrapings from the shoes of attendants and upon their hair. 3 Roux and Yersin found identical bacilli in 26 of 50 healthy children. They believed them to be Klebs- Loeffler bacilli deprived of their virulence. 4 Park buy viagra dogs says : cheap viagra europe " As is well known, cultures of living ba- cilli vary from day to day in their virulence." ' Something more than the presence of bacilli is needed to constitute the disease diphtheria. Koplik gives more practical advice when he says : " It buy viagra dogs is proper to regard all specks on the tonsil as suspicious and liable to be diphtheria." " Virulent diphtheria may coexist with follicular tonsillitis." ' There cer- tainly is an intimate relation between diphtheria and tonsillitis, and I feel sure that in future we shall diag- nosticate fewer cases of tonsillitis and more of diph- theria. In fact, while making the distinction, I have for years given to exudative tonsillitis the same iron treatment I would prescribe for its congener, diph- theria. The number of deaths from diphtheria in this city in 1S94 was 2,359; ' cheap viagra europe n 1895, from the same cause, 1,634. The two years are compared, and by some persons antitoxin is credited with the fall in mortal- ity.' This is not entirely fair, as 1,634, a low rate in a mild year, is compared with the fatal list of 1894, the greatest diphtheria death list on record in this citv, i.e., 2,359. The nearest approach to this was in 1875 when 2,329 died. The following year, in 1876, the diphtheria deaths fell to 1.750 and in 1877 dropped to 9^i, a fall of 800 in a year, and no enthusiasm was cheap viagra europe created. In 1881 the diphtheria deaths were 2,249, 1 Behring: Deutsche Med. Woch., 1895, No. 38, p. 623. Biggs: Med. News, November 30, 1S95. s Weight and Emerson: Sajous' Annual, 1895, vol. i., 1-4. 4 Sajous' Annual, buy viagra dogs 1S92. J. 2. 5 Medical Record, 1895, vol. xlvii,, p. 485. 6 Arch. Pediat., 1S92, vol. ix., p. 662. 'Fowler: Minutes N. V. Co. Med. boc, November 25, 1895.