DISPENSARIES AND PLAGUE IN RAJPUTANA.
9
"Quinine and Urea Hydrochloride has been used as a local anæsthetic in
about 6 cases. It appears to need Ethyl Chloride to anæsthetise the skin
unless injected very superficially."
" Emetine Hydrochloride has been used in cases of amœbic Dysentery and
Hepatitis with most gratifying results. It has been given hypodermically in
½ gr. doses."
77. Captain M. F. White, I.M.S., State Surgeon, Alwar, has noted the
following in his report:—
" Salvarsan has been fairly extensively used throughout the year. No bad
results have been experienced in its use. It has invariably been given intramuscu-
larly in doses generally 0.2 gramuel, occasionally 0.3. Neosalvarsan has also
been used with good results and has the advantage of being simpler to prepare.
Results have been in nearly every case satisfactory including several cases of
tertiary and parasyphilitic lesions. An interesting case is that of a young girl,
who has been under salvarsan treatment for several months. She had a
growth the size of a large orange growing from lip and upper jaw, hanging down
over her mouth. Syphilitic history was rather uncertain but the growth under
salvarsan is steadily decreasing and is now reduced to two-thirds of its original
size."
" Nastin.—Continues on its trial : its results are slow and the greatest
difficulty is found in getting patients to continue the treatment. One case who
last year was under this treatment still attends for injections ; his general
health is certainly wonderfully improved, and when an old ulcer reappears, he
invariably returns and asks for more."
78. Captain White had good success in several cases of tetanus with
Carbolic injections.
79. " Surgical cubes.—Cesarean section for contracted pelvis. The child
lived but the mother died from shock."
"Discission of lens for High Myopia (18 D) Four needlings. The lens is
now almost completely absorbed, and the patient has good vision."
STATEMENTS H AND J.
Financial Statements.
80. Statement H shows the income and expenditure of the Govern-
ment Dispensaries and Hospitals and the expenditure on those in Native
States.
81. The total income of the Ajmer Victoria Hospital and dispensaries in
Ajmer-Merwara was R24,158 as compared with R21,972 in 1912; this increase
is partly due to the fact that arrears of subscriptions were recovered from the
Raja of Pisangan and the Thakur of Deolia and partly that subscriptions from
Indians rose from R4,047 in 1912 to R5,846 in 1913. The value of the in-
vested capital of the dispensaries in this Division remained the same as in 1912,
i.e., R8,500.
82. In Ajmer-Merwara the total expenditure rose from R17,005 in 1912
to R17,980 in 1913, chiefly under heads " Medicines and diet."
83. Native States.—The total expenditure on hospitals and dispensaries in
Native States of Rajputana rose from R4,18,116 in 1912 to R4,29,535 in 1913
which is due to increase under all heads except under head " Miscellaneous."
84. Of the total costs on hospitals and dispensaries in these States
R80,799 were expended in Jaipur, R63,313 in Marwar, R48,096 in
Mewar, R47,895 in Bharatpur, R42,867 in Kotah, R41,228 in Bikaner,
R32,379 in Alwar, R12,529 in Tonk, R10,882 in Jhalawar, R10,227 in
Dholpur, R5,600 in Karauli, R4,598 in Banswara, R3,450 in Kishangarh,
R3,090 in Jaisalmer, R3,086 in Sirohi, R2,971 in Shahpura, R2,511 in
Dungarpur, R2,317 in Partabgarh, R2,011 in Bundi, and R1,012 in
Kushalgarh.
85. The average cost of each case treated in Ajmer-Merwara and in the
Native State hospitals and dispensaries was 47 pies and 61 pies against 41 pies
and 58 pies in 1912.
C