( 121 )
be traced to her. A second woman, also a frequent sufferer from disease, was allowed
to retire. Since these two women left, disease has decreased amongst the soldiers and
amongst the registered women.
Amongst the women 7 cases of syphilis and 6 cases of gonorrhœa were recorded
during the year; amongst the soldiers 10 cases of syphilis and 26 cases of gonor-
rhœa. From this want of correlation it seems likely that the soldiers contracted
disease from some source other than the registered women. And the medical officer is
inclined to think that the registered women stand more in danger of infection by the
men than the men from infection by the women.
58. The cantonment committee record their approval of the report and the
results of the year's management.
59. The deputy commissioner and the commissioner forward the report without
remarks.
LUCKNOW.
60. During the year 1877 a monthly average of 102 women remained on the
register against 98 in 1876.
The results of the management have been satisfactory.
The ratios of cases of venereal disease amongst the European garrison at Lucknow
for the four years 1874-77 have been 255, 342, 257, and 153 per 1,000 respectively.
61. The medical officer reports the lock-hospital arrangements good and the
accommodation sufficient.
The cantonment sub-committee has assembled once a month throughout the year,
and at these meetings it has been customary to pass in review the subject of admissions
to hospital for venereal disease amongst the European troops. With reference to this sub-
ject the medical officer desires the addition of a column to the monthly return, in which
the admissions for " local venereal ulcer" should appear separately from admissions
for " primary syphilis."
The detective police has worked well during the year, and each corps has also had
its soldier police, who have been instrumental in capturing unlicensed prostitutes.
The most fruitful measure for improved management has been the greater
vigilance evinced by all concerned in watching for any increase in the number of
admissions to hospital amongst the soldiers, discovering its cause and preventing it.
The medical inspection of the men of all detachments arriving at the station for
the discovery of cases of venereal disease amongst them has been a most salutary
measure, and has shown that many cases of disease are contracted before the men
arrive in the command.
The registered women consisted of two classes—women coming voluntarily for
registration, and women captured by the police in the practice of unlicensed prostitu-
tion. The latter after treatment in hospital are offered the option of registration or
punishment for breach of the lock-hospital rules, and almost invariably elect regis-
tration.
The women have been regular in their attendance for examination, only 22 cases
of absence having occurred throughout the year, and the examinations were effected
bi-weekly. Of 51 unlicensed women brought to hospital for examination 34 have been
found diseased, 11 of these suffering from primary syphilis. The registered women
have been remarkably healthy, considering their vocation.
Not one case of primary syphilis occurred amongst them during the year.
Although 419 cases in all were admitted to hospital, 304 of them were cases of leucor-
rhœa, the great majority of which were of a most trifling nature.
The chief cause of this immunity, from serious disease was the frequency of the
examinations, no excuse, short of serious illness, not of venereal character, being