Chapter III.] MEDICAL HISTORY OF REGIMENTS AT DIFFERENT PERIODS OF SERVICE.
59
1873.
Admissions Deaths.
10th Hussars
Muttra
1
40th Regiment
Lucknow
23 10
51st
Fyzabad
25
11
43rd
Cannanore
29
5
67th
Rangoon
5
1
C Brigade Royal Horse Artillery
—
A Battery
Meerut
12
4
B "
Secunderabad
C "
Bangalore
7
D "
Ahmednagar
E "
Mhow
3
3
1874.
13th Hussars
Lucknow
4
4
2-22nd Regiment Hazaribag
35 18
4 Bat., Rifle Brigade Umballa
4
1
2-7th Regiment
Poona
2
73rd (from Ceylon). Cawnpore
3
3
11t h Br i gade, Royal Ar t i l l er y—
A Battery
Barrackpore
2
2
B " "
5
2
C " Dinapore
4
4
D " Benares
1
E " Allahabad
1
2
F
Saugor
10
4
G " "
Nowgong
4
2
1875.
9th Lancers.
Sialkot
5
2
2-9th Regiment Rawalpindi.
1
2-15th "
Poona
13
2
1-18th "
Bareilly
1
2
81st "
Jullundur*
6
5
* F r o m G i b r a l t a r .
4th Brigade, Royal
Artillery.
1875. Admissions. Deaths
A Battery . Baroda and Kirkee
B
Deesa
1
1
C
Belgaum
3
2
D "
Kurrachee
5
5
E "
K i r k e e
F "
Ahmedabad
1
1
G "
Nusseerabad
2
1
1876.
14th Hussars
Bangalor
2-16th Regiment. Secunderabad . 18
7
1-25th " Fyzabad
18
10
33rd
Kamptee
1
1
34th " Ferozepore
18
6
21st Brigade, Royal Artillery
—
1 Battery .
M o r a r
1
2 " Gwalior
4
1
3 " Allahabad
4
Lucknow
6
1
5 "
A g r a
1
1
6 " Delhi
3
1
7
Jutogh
1877.†
12th Lancers Secunderabad
(?)
2
2-11th Regiment. Poona
(?)
1
2-12th
Umballa
11
1
2-17th
Mhow
3
2
4-60th " Agra
20
8
B Brigade, Royal Horse Artillery
—
A Battery
Umballa
1
1
B " Umballa
C " Lucknow
2
1
D " Meerut
2
1
E " Meerut
9
2
The sudden change to a tropical climate causes in the young and weakly constitutioned, the
infarction of the intestinal glands which results in this fever of three weeks' duration. Why
the glands fill up, and whence is derived the material which. accumulates, does not fall to be
considered here. On the statistical data given, I hold every body of men coming from England
liable to the attack of this Enteric Fever; and the question to be determined by the Sanitary
Officer is, how this liability shall be obviated or lessened. I need only repeat the general
assertion, that certain localities will be found more suitable than others for new troops in
respect to Enteric; Fever, and refer back to the table for details. After 20th April, in any
locality, too much care cannot be taken of new regiments, for it is in this week that exposure
is very certain to be followed by the appearance of the fever. And, again, the tendency for
the fever to re-appear towards the close of the monsoon. season, must be kept in mind. I gave
a remarkable illustration of the general re-appearance of Enteric Fever over a wide provincial
area in the last week of August 1872; and in 1876, in the same week, I find the same pheno
- m e n o n r e p e a t e d i n s e v e r a l o f t h e s t a t i o n s i n t h e n o r t h o f B o m b a y a f f e c t e d i n 1 8 7 2 .
Above all, it is for the Sanitary Officer to determine whether the individuals first affected
may originate an outbreak in the community. The tendency of
regarding this theoretically as a. purely climatic fever, is apt to
lead on to the extreme view, that fevers of this class are not;
communicable from man to man. Judging from the mere aspect of such cases as those of the
36th, 2-22nd and others, I should feel much hesitation in subscribing to the theory of non-
communicability; and while admitting, that, as the rule, the cases are isolated and the facies
of an outbreak entirely wanting, outbreaks which it is impossible to refer to any mere general
influence do occur. Witness the outbreak in the E Battery of the 4th Brigade, stationed
at Neemuch in 1876. The Battery had no Enteric Fever up to the last week of August;
throughout September, eight cases and five deaths occurred, and again in. November a sixth
fatal case was developed. These cases were out of a body of 150 men, who had been 18
months in India. That some local cause originated or aggravated this fever, it is impossible to
doubt. The comparative rarity of such outbreaks makes the study in such. a case all the more
neces s ar y and i mpor t ant . Wi t h a pr oper appr eci at i on of t he l ar ge body of f act s r egar di ng
Enteric Fever in India now aggregated, we are not driven to time resource of finding in every
case a local reason for development; and that contagion is contracted through intercourse with
the native community, is a suggestion warranted by no facts showing the presence of the fever
among the general population, with which I am acquainted.
Is the Enteric Fever or the. Un
ac-climatised a communicable disease?