6
ANNUAL REPORT ON THE
Years
Ratio of Admissions per
1,000 of Strength.
1874 ...
... ... ... ... ... ...
185.73
1875 (Tonghoo included)
...
...
...
...
193.22
1876
...
...
...
...
...
...
. . .
179.27
1877
...
...
...
...
...
. . .
. . . 231.27
1878
...
...
...
...
...
...
. . .
250.20
Commencing with 1874 there has been in each year of the series, with the
exception of 1876, a progressive increase in the aggregate of admissions. The ratio
in 1877 was 231.27 and that rate was deemed particularly unfavorable, whereas
in 1878 it was no less than 250.20 per thousand. The following figures contrast
the admissions amongst the European force under venereal diseases during the last
two years :—
Diseases.
1878.
1877.
Average Strength
9,828.
Average Strength
10,001.
Admissions
into
Hospital.
Ratio per
1,000.
Admissions
in
to Hospital.
Ratio per
1,000.
Primary syphilis ... ...
... ... ...
1,142
116.19
1,037
103.68
Secondary syphilis ...
... . . .
. . .
. . .
201
20.45
195
19.49
Gonorrhœa ... ... ...
...
...
...
959
97.57
972
97.19
Bubo
...
...
...
...
...
. . .
29
2.95
13
1.29
Balanitis
...
...
...
...
...
. . .
72
7.32
40
3.99
Phymosis and paraphymosis
...
...
. . .
6
.61
4
.39
Gleet
. . .
. . .
. . .
. . .
. . .
. . .
. . .
23
2.34
16
1.59
Epididymitis ...
...
...
...
...
...
27
2.74
36
3.59
These figures show an increasing ratio of admissions under every head except the
last. The most serious feature of the return is the incre-
ment in primary syphilis, the ratio having increased
from 103.68 in 1877 to 116.19 in 1878. The ratio of
primary syphilis to strength during each of the past five
years is given in the margin. The sudden and great
increase in the two famine years—1877 and 1878—would appear to be due, as
already observed, to the influx into military stations of starving women practising
clandestine prostitution and suffering from the worst form of disease. The only
satisfactory feature in this abstract is the moderate amount of secondary syphilis,
a circumstance which may be partly credited to the efficiency of protective
measures in preceding years. It will be observed that the increase in gonorrhœa
in 1878, as contrasted with the experience of 1877, was very limited.
10. Cost per Patient in Lock Hospitals.—The following table shows the average
cost per patient in each Lock Hospital. The average cost for the whole of the
ten hospitals in Southern India was less in 1877 than in 1878 :—
1877.
1878.
RS. A. P. RS. A. P.
Bangalore ...
...
...
...
...
... 13 5 3 11 6 4
Bellary ...
...
...
... . . .
. . . 15 12 4 15 2 1
Cannanore ...
...
...
...
...
... 23 4 7 15 0 9
Kamptee ...
...
...
...
...
... 17 5 8 22 10 3
St. Thomas' Mount
...
...
...
... 14 7 5 14 1 8
Secunderabad
...
...
...
...
... 5 14 3
6 4 8
Seetabuldee
...
...
...
...
... 37 1 3 57 5 6
Trichinopoly
...
...
...
. . .
. . .
18 2 9 12 1 10
Wellington
...
...
...
...
... 28 15 3 29 0 2
Madras
...
... . . .
. . .
. . .
. . . 15 14 11 14 0 10
Average ... 14 15 7 13 5 9
The rates ranged highest in 1878 at Seetabuldee, Wellington, and Kamptee. The
first-named of these Lock Hospitals has been closed. The great cost at Wellington
is doubtless due to the fact of its being a hill station.
Years.
Ratio per Mille.
1874
... ... 83.58
1875
... ... 73.03
1376
... ... 65.44
1877
...
. . . 103.68
1878
. . .
. . . 116.19