NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 28 )
II.—The grant of free quarters to registered women—a measure of encourage-
ment recommended at Cawnpore (paras. 8 and 9), at Meerut (para. 20),
and at Benares (para.39).
III.—The record of good work performed by Dr. Seaman at Cawnpore (para. 10).
by. Hospital Assistant Karim Baksh at Bareilly (para. 29), by Sur-
geon Major Carew at Benares (para. 39).
IV.—The necessity of providing, for a water-supply, at the Agra hospital
(para. 13).
V.—The assembly of the Agra Sub-Committee at uncertain intervals (paras. 13
and 16). This has been complained of for years past. Still the report
is made, that the Sub-Committee assembles, only when anything special
has to be considered.
VI.—The requirement of accommodation at the hospital in Fyzabad for the
Hospital Assistant (para. 32). This is a complaint of long standing. It
is necessary to explain that, diseased women cannot be isolated with
security, where the Hospital Assistant is non-resident.
VII.—The long standing complaint of the improper location of the hospital and
registered women in the city at Moradabad (para. 42).
VIII.—The necessity existing for the building of a new lock hospital outside
the town at Roorkee (paras. 61, 63, and 66).
IX.—The altogether extraordinary condition of the hospital at Chakráta. The
propriety of returning the Chakráta hospital to the 2nd class list now
that the garrison has been increased, and the necessity of providing a
better hospital accommodation there (paras. 80 and 84).
X.—The fact that the hospital at Fatehgarh is in medical charge of a Native
Hospital Assistant (para. 90).
ALLAHABAD :
The 27th April, 1882.
CHARLES PLANCK, F.R.C.S.E., F.S.S.,
Dy. Surgean-General, Sany. Commr.,
N.-W.P . a n d O u d h .
No. II.—Annual Return of Expenditure incurred in the Lock Hospitals of the North-Western Provinces and Oudh, for the year 1881.
Nu mb e r .
Lock Hospital. Class. Pay of Medical
Officer.
Pay of
establishment.
All other
expenses.
Total
Expended—
Total.
Receipts.
Remarks.
By
Government.
From Cantonment
or other funds.
Fines realized.
Rs a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
1 Allahabad ... First ... 1,200 0 0
600 0 0 1,128 15 9 2,926 15 9
...
... ... 2,926 15 9 2,926 15 9
10 4 0
2 Cawnpore ...
„
... 1,200 0 0
648 0 0 1,506 4
3,354 4 6
946 13 7 2,407 6 11 3,354 4 6
9 8 0
3 Agra
...
,, ... 1,200
0 0 1,154
9 7 2,080 15 8 4,435
9 3
... ... ... 4,435 9 3 4,435
9
3
53
0 0
4 Meerut ...
,, ...
1,200
0 0
852 0 0
421 14 7 2,473 14 7
...
... ... 2,473 14 . 7 2,473 14 7
11
0 0
5 Lucknow ...
„ ...
1,200 0 0 1,200 0 0
695 7 4 3,095 7 4
...
... ... 3,095 7 4 3,095 7 4
...
... ...
6 Bareilly
...
,, ... 1,200 0 0
552 0 0
394 7
7 2,146 7 7
...
... ... 2,146 7 7 2,146 7 7
43 8 0
7 Fyzabad ... ,, ... 1,200 0 0
819 13 4
553 10 1 2,573 7 5
...
... ... 2,573 7 5 2,573 7 5
11 8 0
8 Benares
...
,, ...
1,200 0 0
586 8 3
698 15 8 2,895 7 11 2,485 7 11
...
... ... 2,485 7 11
5 14 0
9 Moradabad ... Second,
600 0 0
401 5 4
395 3 11 1,396 9 3 1,311 1 1
85 8 2 1,396 9 3
23 0 0
10 Sháhjahánpur,
„ ...
600 0 0
768 0 0
309 8 0 1,677 8
0 ...
... ... 1,677 8 0 1,677 8 0
29
1 0
11 Ránikhet ...
„ ...
600 0 0
516 0 0 1,000 7 5 2,116 7 5 2,116 7
5 ...
... ... 2,116 7 5
...
... ...
12 Sitapur
..
.
„
...
600 0 0
444 0 0
166 5
0 1,210 5 0
...
... ... 1,210 5 0 1,210 5 0
...
..
.
..
.
13 Roorkee
... „ ...
600 0 0
334 5 3
772 14 7 1,707 3 10 1,354 15 6
352 4 4 1,707 3 10
10 0 0
14 Naini Tal ...
„ ...
600 0 0
499 0
0
224 15 3 1,323 15 3 1,323 15 3
...
... ... 1,323 15 3
0 12 0
15 Jhánsi
... Third ...
240 0 0
180 0 0
95 13 5
515 13 5
77 7 6
438 5 11
515 13 6
...
... ...
16 Muttra
...
,, ...
240 0 0
180 0 0
115 10 6
535 10 6 ..
... ...
535 10 6
535 10 6
...
... ...
17 Chakráta ...
,, ...
219 0 0
180 0 0
654 7 3 1,053 7 3 1,053 7 3
...
... ... 1,053 7
3
... ... ...
18 Fatehgarh ...
,, ...
240 0 0
140
0 0
345 0 0
725 0
0
. . . ... ...
725 0 0
725 0 0
...
... ... Fatehgarh figures
subject to revi-
sion.
Total ...
„ ... 14,139 0 0 10,055 9 9 11,559 0 6 35,753 10 3 10,669 11
6 25,083 14 9 35,753 10 3
207 7 0
Total, 1880 . . .
,, ... 13,266 1 3 9,426 13 3 9,075 9 1 31,768 7 7 11,968 14 9 19,799 8 10 31,768 7 7
86 8 8
( 30 )
No. 96 OF 1882.
FROM
THE OFFG. SECRETARY TO GOVERNMENT,
N.-W. PROVINCES AND OUDII,
THE SECRETARY TO THE GOVERNMENT OF INDIA,
HOME DEPARTMENT (SANITARY).
Dated Naini Tal, the 3 rd August, 1882.
To
SIR,
SITATION DEPT.
I AM directed to forward, for the information of His Excellency
the Governor-General in Council, the Annual Report on the working of
the Lock Hospitals in the North-Western Provinces and Ondh, for the
year 1881, together with the following remarks.
2. The number of lock hospitals open during the year was 18, the
same as in 1880. Of these, eight were of the first class, six of the second
class, and four of the third class. The total number of prostitutes
registered in the lock hospitals was 1,756, as compared with 1,785 in
1880, or a decrease of 29 ; while 670 removed their names, died or
absconded during the year, against 693 last year. The monthly average
of prostitutes on the registers was 1,145, as compared with 1,152 in
1880 ; and the monthly average attending for periodical examinations
was 981 against 964. The total number of cases reported to the Magis-
trate for non-attendance in the year was 993 against 875 ; and the total
number of cases of disease discovered and retained for treatment in the
year was 3,1.77, as compared with 2,952 in 1880. The number of cases
treated for non-venereal, leucorrhœa, and other minor forms of disease was
1,058 against 1,176. Of these cases 1,022 were discharged during the
year, and 36 remained in hospital at its close. The total number of cases
treated for gonorrhœa and syphilis were 2,276, as compared with 1,992 in
1880. Of these cases, 2,149 were discharged during the year, one died,
and 126 remained in hospital at its close. The number of cases of all
forms of disease was 3,334, as against 3,125 in 1880 ; and the monthly
average number of prostitutes in hospital was 221 as against 204. The
women are said to have been generally quiet and well-behaved under
treatment.
3. The total expenditure incurred in connection with the lock hospi
tals of the provinces was Rs. 35,754, as compared with Rs. 31,768 in the
preceding year, or an increase of Rs. 3,986. The pay of medical officers
amounted to Rs. 14,139, of establishment to Rs. 10,056, and all other
expenses to Rs. 11,559. Of the expenditure Rs. 10,670 was met from
the public funds, Rs. 25,084 from cantonment and other funds. Rs. 207
was realised from fines. The average cost is shown by the Sanitary
Commissioner to have been Rs. 31-3-7 per woman registered, Rs. 37-7-3
per woman examined, and Rs. 11-4-0 per case of disease treated. For 1880
the corresponding figures were Rs. 27-9-2, Rs. 32-15-3, and Rs. 10-14-5; So
( 2 )
that the cost of treatment slightly increased. The causes of the increased
expenditure are explained in para. 109 of the report; and except in so far
as lessened economy is said to be one of them, they seem to be satisfac-
tory.
4. Statement No. IV. shows the prevalence of venereal disease
amongst soldiers of the European garrisons during 1881, its prevalence
in the previous five years during which lock hospitals were in operation,
and for five years before the opening of the lock hospitals. The daily
average strength of European garrisons in 1881 was 14,411. There were
1,588 admissions to hospital for gonorrhœa and minor forms of disease,
1,752 for syphilis, and 3,340 in all. The ratio of admissions to 1,000 of
strength was 231.6 compared with 262.8 in 1880, 240.6 being the mean
ratio of the preceding five years, and 278.2 the mean ratio of five years
previous to the opening of lock hospitals. As far, therefore, as the
prevention of disease amongst European soldiers is concerned, the
results of the year under report compare favourably with those of
previous years. The Sanitary Commissioner in his paragraph 94
remarks—" This encouraging result of the last year's management is
the more welcome, seeing that it has influenced a very much larger garri-
son* than usual. Indeed, the year 1881
came very near to distinction, as the first
year of success as regards results of lock
hospital management. But for the unexpected prevalence of disease, at
Moradabad and Sitapur, so much would have been attained to." At
Moradabad the ratio of admissions per 1,000 of strength was as high as
450.7, and at Sitapur the ratio was 407.9. The prevalence of disease at
Moradabad is ascribed to the lock hospital being situated in the city, so
that no proper control can be exercised over the registered women,
and at Sitapur to the excesses indulged in by the troops after their return
from the Afghán war with an unaccustomed amount of money to spend.
It may be noted that Sitapur was not exceptional in this respect, and that
the same was the case in other cantonments, for example, Lucknow,
where an increase of disease is ascribed to the same cause.
5. In paragraphs 1-90 of his report the Sanitary Commissioner
gives a summary of the results for each lock hospital, and of the remarks
recorded in the annual reports and papers submitted by the local authori-
ties who are entrusted with the management of the lock hospital scheme.
The ratio of admissions per 1,000 of strength of garrison for this and the
preceding year is shown below for each lock hospital :—
1880.
1881.
Allababad
...
...
...
. . .
215.4
239.7
Cawnpore
...
...
...
...
216.8
185.
Agra
...
...
...
...
203.4
162.6
Meerut
...
...
...
. . .
250.5
216.
Lucknow
...
...
...
. . .
194.5
261.1
Bareilly
...
...
...
...
291.6
175.3
Fyzabad
...
..•. ... ...
143.5
194.3
Benares
...
...
...
...
485.6
312.7
Moradabad
...
...
. . .
445.3
450.7
Sháhjahánpur ...
...
...
. . .
344.7
201.4
*Average daily strength of
European garrison in 1880 ... 9,954
Ditto ditto in 1881 ... 14,411
( 3 )
1880.
1881.
Ránikhet
...
. . .
. . .
...
276·1
257·7
Sitapur
...
. . .
. . .
. . .
. . .
407·9
Roorkee
. . .
. . .
. . .
. . .
178·4
176·6
Jhánsi
. . .
. . .
. . .
. . .
133·1
154·
Naini Tal
. . .
. . .
. . .
. . .
293·3
238·1
Muttra
. . .
. . .
. . .
. . .
378·3
337·
Chakráta
. . .
. . .
. . .
. . .
63·8
290·
Fatehgarh
. . .
. . .
...
. . .
616·8
221·3
Total average
. . .
262·8
231·6
Improvement is marked at Cawnpore, Agra, Meerut (in which stations
the ratio was previously low), Bareilly, Benares, Shájahánpur, and
Fatehgarh. Lucknow and Chakráta are most conspicuous for falling off;
while Moradabad and Sitapur, as before mentioned, show the worst actual
results of all.
6. The general results of' the year's working of the lock hospital
system in the North-Western Provinces and Oudh are reviewed by the
Sanitary Commissioner in paragraphs 90-109 of his report. He calls atten
-tion to the fact that there has been a persistent falling off during the last
four years in the number of registered women. This number he thinks
ought at least to equal 10 per cent. of the European garrison of the provin-
ces. The strength of the garrison in 1881 was 14,372; consequently there
should have been 1,437 registered women attached to the lock hospitals,
whereas there were 1,145 only. The falling off in 1881 was the more
serious, because the strength of the European garrison rose from 9,954
to 14,411. Further, the Sanitary Commissioner remarks that, although
from his own observation he is of opinion that the personal unattractive-
ness of the registered women is not so great as reports would indicate,
yet in some cantonments the registered women are undoubtedly becoming
the residue of unpresentable persons remaining after the departure of the
better-looking class. He reports that during 1881 a greater amount of
venereal disease was discovered among the registered women than in any
previous year. Reasons for this have not been given. But as regards the
prevalence of disease among the European garrison of these provinces,
the portion of it quartered at Moradabad and Sitapur excepted, the year's
management has been, as already remarked, comparatively somewhat
successful. The Sanitary Commissioner is satisfied that the medical
officers in charge of the hospitals apply themselves earnestly to the
detection and cure of disease among the registered women. Nevertheless,
care in selecting and encouraging the registered women, and strictness
in examination and skill in their treatment when diseased, will not
prevent the occurrence of disease among the soldiers, unless some means
be devised of removing opportunities for its being contracted by the soldiers
from unregistered women, and communicated by them and by men of
the general public to the registered women. Admitting that some portion
of the disease among the soldiers is derived from registered women, there
cannot be any doubt that by far the greater part of it is due to intercourse
with unregistered women. The Sanitary Commissioner remarks that the
results of the management of the lock hospital system are governed by
( 5 )
to appoint a joint committee of civil, military, and medical officers to
examine and report on the causes of comparative failure, and to consider
what measures should be adopted to remove them. The subject requires
to be dealt with as a whole, and not merely in connection with the special
circumstances of any particular cantonment; and the question of the dis-
ciplinary measures to be enforced towards the soldier is one with which
the civil authorities are not competent to deal.
9. In paragraph 110 the Sanitary Commissioner again urges that
the management of lock hospitals, and the duty of reporting on them
should be transferred to the Army Medical Department. In this view the
Lieutenant-Governor and Chief Commissioner is disposed to concur.
Reference was made to this point in paragraph 11 of the review on the
last report, and I am to enquire whether it is desired that the present
arrangement should continue.
10. The points requiring the special notice of the Government are
stated by the Sanitary Commissioner in paragraph 111 of the report. Some
of them have been noticed in previous years, and the Lieutenant-Governor
and Chief Commissioner regrets that so little notice seems to have been
taken of the suggestions and recommendations made regarding them.
In so far as want of available funds has prevented compliance with recom-
mendations which were made, it would appear to be for the Military
Department to consider whether additional funds ought to be, or can be,
supplied.
I.—The cantonment committee of Allahabad were told in paragraph
10 (1) of the review on last year's report that they should arrange for a
lock hospital with suitable and sufficient accommodation.
II.—The grant of free quarters to registered women is for canton-
ment committees and the military authorities to consider.
III.—The Sanitary Commissioner will be requested to convey to Doc-
tor Seaman, Surgeon-Major Carew, and Hospital Assistant Karim Bakhsh,
the acknowledgments of Government for their good service during 1881.
IV.—The cantonment committee of Agra should arrange for the pro-
vision of a proper water-supply for the lock hospital there.
V.—The irregular manner in which the Agra sub-committee holds
its meetings was referred to both last year and the year before, and it
was stated that the matter is one for the President of the cantonment
committee, who is the military officer in command of the station, to deter-
mine. His attention should be again drawn to it.
VI.—The cantonment committee should arrange for the provision
of accommodation for the hospital assistant in charge of the lock hospital
at Fyzabad.
VII.—The attention of the cantonment committee, Moradabad, has
for two years past been drawn to the unsuitableness of the site of the
lock hospital at Moradabad, and the Commissioner will now be requested
to do so again. The question is an urgent one, seeing that under the
existing arrangements it is impossible that the system can be worked with
any prospect of success.
( 6 )
VIII.—The attention of the cantonment committee at Roorkee
should be drawn to the necessity which is said to exist for building a new
lock hospital there outside town limits.
IX.—The cantonment committee should consider the question of
raising the Chakráta lock hospital to the rank of a second class hospital,
and of erecting a new building. An early report should be made of the
action taken in this respect.
X.—The attention of the cantonment committee at Fatehgarh should
be invited to the remarks in paragraph 90 of the Sanitary Commissioner's
report, and also to the fact that the district report did not contain the
usual statistical statements, or any reference to the existence or work of
a lock hospital sub-committee.
11. In conclusion, I am to forward a list of errata that have been
found in the Sanitary Commissioner's report and the statements appended
thereto. The attention of the Sanitary Commissioner has been called to
them, and lie will be directed to secure greater accuracy in future.
I have the honor to be,
SIR,
Your most obedient servant,
J. R. REID,
Offg. Secretary to Government,
N.- W. Provinces and Oudh.
No. 97.
COPY, with copy of report and of the list of errata, forwarded
to the Secretary to the Government of India, Military Department.
No. 98.
Copy, with copy of report and of the list of errata, also forwarded
to the Quartermaster-General in India.
No. 99.
Copy, with copy of report and of the list of errata, also forwarded
to the Surgeon-General with the Government of India, for information.
No. 100.
Copy, with copy of report and of the list of errata, also forwarded
to the Surgeon-General, North-Western Provinces and Oudh, for infor-
mation.
No. 101.
Copy, with copy of report and of the list of errata, also forwarded
to all Commissioners of Divisions, North-Western Provinces and Oudh,
(except Rae Bareli), for information and necessary action.
( 7 )
No. 102.
Copy, with copy of report and of the list of errata, also forwarded
to the Presidents of Cantonment Committees in these provinces, for infor-
mation and communication to the medical officers in charge of hospitals.
No. 103.
Copy, with copy of the list of errata and of the above endorsements,
forwarded to the Sanitary Commissioner, North-Western Provinces and
Oudh, for information and guidance.
F. BAKER,
Under-Secy. to Govt., N.-W. P. and Oudh.
Begr. go.
HOME
1882
DI
From
The Offg. Secretary to Government,
N.-W. Provinces and
To
The Secretary to the Government of
Home Department (Sani
Dated the 3rd August, 1882.
No. 9
6Enclos
u r e S p a r e c o p i
PATION D
Received
Progs. No.
D. L. No.
FORWARDS, with remarks, the Annual Rel
the working of the Lock Hospitals in the
Western Provinces and Oudh for the year 18
No. 84 OF 1883.
FROM
THE SECRETARY TO GOVERNMENT,
N. W. PROVINCES AND OUDH,
To
THE SECRETARY TO THE GOVERNMENT OF INDIA,
HOME DEPARTMENT (SANITARY).
Dated Naini Tal, the 4th August, 1883.
SIR,
I AM directed to forward, for the information of His Excellency
the Governor-General in Council, the annual report on • the working of
the lock hospitals in the North-Western Provinces and Oudh for the
year 1882, together with the following remarks.
2. There were, as in 1881, 18 lock hospitals open during the
year, of which eight were of the first class, six of the second class, and
four of the third class. The results of their working during the year,
and the opinions expressed by the local authorities, are commented on in
detail in section I. of the report, and the results are also tabulated in the
four statements appended to it. The total expenditure on lock hospitals
during the year was slightly less than last year, having been Rs. 35,583 as
compared with Rs. 35,853. Towards this expenditure Government con-
tributed Rs. 8,988, and cantonment funds Rs. 26,595. The Jhánsi and
Cawnpore Cantonment funds, which last year received assistance from.
Government, bore the whole of the charges this year without such aid.
The fines realised amounted to Rs: 262. According to statement III.
the average cost per woman registered, per woman examined, and per
case of disease, was respectively Rs. 32-11-3, Rs. 37-11-8, and Rs. 12-4-0,
compared with Rs. 31-5-0, Rs. 36-8-8, and Rs. 11-4-6 in 1881. The
apparent increase in the cost of treatment is explained as due to the
diminution in the number of registered prostitutes. In Benares, where
the average number of women on the register is very much less than at
any other lock hospital of the first class, the average cost was very high,
and Dr. Planck proposes that Ránikhet, which has a much larger num-
ber of women on the register, should change places in the grading with
Benares. The proposal appears to be reasonable, and might be acted upon.
3. Statement No. IV., showing the prevalence of venereal diseases
amongst the soldiers of the European garrisons during 1882, brings
out somewhat unsatisfactory results. With a smaller number of troops
than last year, there is a decided increase in the number of admissions to
hospital for venereal diseases. The results attained varied considerably
at the different hospitals, and while the management of some was fairly
satisfactory, that of others was apparently productive of little or no good.
The daily average strength of the European garrison in these provinces
in 1881 and 1882 was 14,411 and 13,291 respectively, while the number
of admissions to hospital for venereal diseases was 3,340 and 3,506, and
( 3 )
hospitals, and the duty of reporting on them, should be transferred to the
Army Medical Department. No orders have been received in regard to
these suggestions ; and the Lieutenant-Governor does not now press the
recommendation for a committee, unless the Government of India are
distinctly resolved that the system needs a change, and that the change
shall be made. In regard to the proposed transfer of management, it
seems very expedient that general management should follow financial
control, as the Local Government can hardly undertake responsibility for
the working of the lock hospitals if the buildings are not to be kept
in decent repair. It is much better that the Army Medical Department
should manage the hospitals, with the co-operation of the Civil Govern-
ment, but under the direction of the Military authorities.
I have the honor to be,
SIR,
Your most obedient servant,
J. R. REID,
Offg. Secretary to Government,
No. 85.
COPY, with copy of report, forwarded to the Secretary to the
Government of India, Military Department.
No. 86.
Copy, with copy of report, also forwarded, to the Quartermaster-
General in India.
No. 87.
Copy, with copy of report, also forwarded to the Surgeon-General
with the Government of India, for information.
No. 88.
Copy, with copy of report, also forwarded to the Surgeon-General,
North-Western Provinces and Oudh, for information.
No. 89.
Copy, with copy of report, also forwarded to all Commissioners of
Divisions, North-Western Provinces and Oudh (except Rae Bareli), for
information.
No. 90.
Copy, with copy of report, also forwarded to the Presidents of Can-
tonment Committees in these Provinces, for information and communica-
tion to the medical officers in charge of hospitals.
No. 91.
Copy, with copy of the above endorsements, forwarded to the Sani
-
tary Commissioner, North-Western Provinces and Oudh, in reply to his
letter No. 367, dated 28th May, 1883.
F. BAKER, C.S.,
Under-Secy. to Govt., 1V.-W. P. and Oudh.