1. A massive outbreak of Salmonella typhimurium food poisoning is descriptionbed amongst 175 non-European (African) nurses and 54 non-European patients in the Pretoria General Hospital. 2. The vehicle of spread was a gelatine-and-egg pudding. 3. The organism was cultured from the pudding, and from the faeces of 13 out of 15 patients from whom samples were taken on the day after they had become infected. 4. Two days after the outbreak started 18 specimens of stools from the kitchen staff were cultured. Only one specimen contained S. typhimurium, but this was a false lead, for the person concerned had eaten of the pudding. In this group, however, 2 gave positive agglutination reactions in a titre of more than 1: 50, 8 days after the commencement of the outbreak. Their stools had been negative. 5. Amongst the patients 14 out of 17 gave both Hand o agglutination with the S. typhimurium isolated from the stools, 8 days after the ingestion of the pudding. 6. It is suggested that the infection came from the hen's eggs used in the preparation of the pudding. 7. Two children died as a result of the S. typhimurium infection.
It is possible that the resort to methods of mechanical fixation is an admission of defeat, but I submit that we have turned that defeat into a victory. Conservative methods have failed absolutely, for one reason or another entirely out of our control. Therefore we have had to adopt other methods by force of circumstance. Having regard to the mentality of the patients treated, the hazards of irresponsible ward cleaners, the attitude of the average Bantu nurse, and the lack of proper equipment, I think we have been amply justified in adopting the open method of reduction which has yielded these good results.
A case of double monster, classified as an ischiopagus, is reported. This occurred in a woman with a history of frequent abortions who presented with hydramnios in the 36th week of pregnancy. The delivery is descriptionbed, with an account of the external and internal anatomy of the monster.