NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 68 )
Statement showing extent of various forms of venereal disease among European troops
in the cantonment of Muttra during the year 1877.
Corps. Period of occupa-
tion.
Average
strength dur-
ing period of
occupation.
Number of admissions from venereal
disease during period of occupation,
Ratio of admis-
sions per 1,000
'of strength.
loth
Royal
Hussars.
January 1877 to No-
vember 15th, 1877,
by whole corps; to
end. of year by a
detachment.
377
Gonorrhoea
•..
..•
... 34
97
Syphilis, primary...
".
•••
2
J. H. JEFFCOAT, SURGEON-MAJOR, A.M.D.,
Senior Medical Officer, British Troops.
J. CAMERON,
Apothecary in medical charge of Lock.Hospital.
NAINI TAL.
No. 30, dated Ratnnagar, the 14th January, 1878.
Front—MAJOR-GENERAL H. RAMSAY, Commissioner, Kumaun Division,
To—Secretary to Government, North-Western Provinces and Oudh.
SIR,—I have the honour to forward the Naini Tfil lock-hospital report
for 1877.
2. It appears to me that nothing more can be done than has already been
devised. Bad women cannot be made good. Prostitutes have their own friends who
do not pay, and they cannot, as far as I see, be prevented coming together. No doubt
many of the prostitutes' male friends are diseased, and the women having contracted
this disease again after having been cured, communicate it to the soldiers.
3. Two chaprassis ought to be sufficient for the work they are employed on ;
and with hundreds of coolie w omen—most of them married women—employed by
the Public Works Department, or private individuals, on every side of Naini TM, I
do not see how soldiers wandering about the jungles in every direction can be looked
after by chaprassis. I recommend no alteration.
111n•nn• (••••n•
ANNUAL REPORT ON THE NADU TAL LOCK-HOSPITAL FOR 1877.
Hospital accomnzodation.—There has been no change in the hospital accommoda-
tion during the year, and it has been sufficient for the highest number admitted in any
month.
The native doctor's quarters are, however, ridiculously small, being one room
9 X 12 feet for every purpose. He certainly should have lodging allowance given
him, or be provided with more suitable quarters.
There are no servants' quarters either, a fact commented on yearly by successive
deputy surgeons-general.
Medical charge.—The undersigned took over medical charge on the 7th February,
1S77, from Surgeon R. Drury, A.M.D., proceeding to England.
Extent of venereal diseases among European troops.—Out of a total average
strength of 239-16 in the year, 31 cases of primary syphilis were admitted to the
European military hospital, but of -these three are noted as having been contracted on
the march in the month of May. Thirty cases of gonorrhoea were admitted in the
same period, and of these four also were contracted on the same march.
Twenty-eight admissions for primary syphilis out of a strength of 239.16=
11-70 per cent. ; 26 admissions out of a like strength for gonorrhœa=10-87 per
cent.
( 71 )
Annual Statement No. I. of the Lock-Hospital at Naini Tál for the year 1877.
1 .
2.
3.
4.
5.
6.
7 .
Local Govern-
ment or Admi-
nistration.
D a t e o n w h i c h l o c k - h o s p i t a l w a s e s t a b l i s h e d .
A c t u n d e r w h i c h t h e r u l e s a r e i n f o r c e .
A r e a o v e r w h i c h t h e r u l e s a r e i n f o r c e .
E s t i m a t e d n a t i v e p o p u l a t i o n w i t h i n t h i s a r e a .
Detail of monthly pay of establish-
ment.
w h e t h e r a f i r s t o r a s e c o n d c l a s s h o s p i t a l .
Government of
the North-
Pro-
Western P
rovinces.
1 5 t h J u l y , 1 8 7 2 . A c t X X I I o f 1 8 6 4 ; s e c t i o n s X V I I a n d X I X , M i l i t a r y c a n t o n m e n t A c t .
T h r e e m i l e s o u t o f c a n t o n m e n t b o u n d a r y .
F l u c t u a t i n g f r o m 1 , 5 0 0 t o 4 , 5 0 0 .
R s .
2 n d c l a s s .
Medical officer
. . .
. . . 50
Native doctor
...
. . . 25
Bhisti
...
. . . 6
Cook ...
...
. . . 6
Sweeper ...
...
. . . 5
Total ... 92
A. GORDON; MAJoR,
Secy., Cant. Committee.
Naini Tál, the 1st January, 1878.
J. E. MOFFATT, SURGEON-MAJOR, A.M.D.,
In medical charge of Lock-Hospital.
( 77 )
Annual Statement No. I . of the Lock-Hospital at Jhánsi for 1877.
1.
2.
3.
4 .
5.
6.
7.
8.
L o c a l G o v e r n m e n t o f A d m i n i s t r a t i o n .
D a t e o n w h i c h t h e l o c k - h o s p i t a l w a s e s t a b l i s h e d .
A c t u n d e r w h i c h t h e r u l e s a r e i n f o r c e .
A r e a o v e r w h i c h t h e r u l e s a r e i n f o r c e .
E s t i m a t e d n a t i v e p o p u l a t i o n w i t h i n t h e f o r c e .
Details of monthly pay of esta-
blishment.
Whether a first
or second class
hospital.
N o r t h - W e s t e r n P r o v i n c e s .
O c t o b e r , 1 8 6 6 .
A c t X X I I , o f 1 8 6 6 .
3 m i l e s .
3 , 0 0 0
Rs.
3 r d c l a s s .
Medical officer
...
20
Matron ...
5
Cook
...
4
Bhisti
...
2
Sweeper
...
4
Total monthly cost ...
35
R. ANNESLEY, MAJOR,
Secy., Cant. Committee.
J. JUDD, APOTHY., 1ST CLASS, H. M.' S
39TH REGT.,
In medical charge of Lock-Hospital.
( 88 )
32. In 1876 there were 600 admissions, a percentage to strength of 25·7 ; in 1877
there have been 356 admissions, a percentage to strength of 15·2 (see statement on
last page).
33. This is a very material diminution, and should be considered as a strong.
encouragement for a persistence in the lock-hospital system.
34. For purposes of comparison I have taken a table from the Army Medical
Department blue-book for 1873 (the latest in my possession), showing the prevalence
of venereal disease at 14 stations in England, in which the Contagious Diseases Preven-
tion Act is in force.
35. Table showing the admissions into hospital for primary venereal sores and
gonorrhœa in the United Kingdom.
TABLE B.
Year.
Average
strength.
Primary
venereal sore. Gonorrhœa.
Ratio per 1,000.
Primary
venereal sore. Gonorrhœa.
1865
...
...
43,474
4,077
4,937
95
115
1866
. . .
...
39,476
3,444
4,573
87
116
1867
...
...
39,911
3,640
5,274
91
132
1868
...
. . .
42,595
3,533
5,685
83
133
1869
...
. . .
42,017
2,765
4,466
66
106
1870
...
...
41,580
2,268
4,081
54
98
1871
. . .
. . .
54 096
2,763
6,254
52
115
1872
...
. . .
50,794
2,752
5,280
54
104
1873
...
. . .
48,039
2,420
3,946
50
82
1874
. . .
. . .
48,136
2,039
2,968
42
6 2
36. For further comparison I append another table extracted from Dr. Bry-
den's report on the vital statistics of the Bengal Presidency, dated Calcutta, 1874,
showing the ratio of admissions into hospital for venereal diseases amongst the troops
in Lucknow for a period of ten years from 1860 to 1869 :
—
TABLE C.
Year.
Admissions into hospital for venereal disease per 1,000 of the
average strength in each year.
1860
. . .
. . .
405·2
1861
. . .
. . .
267·0
1862
...
. . .
4 1 0 · 0
1863
...
...
301·3
1864
...
. . .
208 5
1865
. . .
. . .
188 4
1866
. . .
. . .
252·5
1867
...
. . .
181·1
1868
...
...
247·4
1869
...
. . .
170·7
37. And lastly, I append a table showing the ratio of admissions for venereal
disease amongst the troops in Lucknow for a period of five years from 1873 to 1877,
with the diseases shown separately :—
TABLE D.
Y e a r .
Average
strength.
Admissions to hospital per 1,000 of the average
strength in each year.
Primary
syphilis.
Gonorrhœa.
Total
diseases.
1873 ...
...
...
2,467
6 6 ·
6 3 ·
1 2 9 ·
1874 ...
. . .
. . .
2,525
9 2 ·
1 4 2 ·
2 3 4 ·
1875 . . .
. . .
. . .
2,490
1 7 7 ·
1 3 4 ·
3 1 1 ·
1876 ...
...
. . .
2,332
1 0 4 ·
1 5 2 ·
2 5 6 ·
1877 ...
...
...
2,327
5 8 ·
1 0 2 ·
1 6 0 ·
Average ...
9 9 ·
1 1 8 ·
2 1 8 ·
( 94 )
Statement showing the forms of venereal disease amongst the European troops in
Lucknow Cantonments during the year 1877.
Corps.
Period o
f occupation.
A v e r a g e s t r e n g t h .
Number of admis-
sions from venereal
disease.
Ratio of admis-
sions per 1,000 of
strength for
period of occupa-
tion.
P r i m a r y s y p h i l i s .
G o n o r r h œ a .
Tot al .
G-A, Royal Horse Artillery... The whole year ...
156
5 27 32
2 0 5 .
G-5th, Royal Artillery
...
Ditto
...
160
12
14 26
1 6 2 .
8-11th, Royal Artillery
...
Ditto
...
83
19
23 42
5 0 6 .
13th Hussars
... ...
Ditto
. . .
398
6
16
22
5 5 ·
65th Regiment
...
... 1st January to 9th
November.
772
39
50 89
1 1 5 .
85th Regiment
...
. . . The whole year ...
758
47
98 145
1 9 1 .
Total ... 2,327 128 228 356
1 5 2 .
Staff Surgeon.
FYZABAD.
REMARKS ON FYZABAD LOCK-HOSPITAL REPORT FOR 1877.
On report, page 97.
As a member of the cantonment committee, and also having medical charge of
the 25th Regiment, I would remark as to venereal inspections
that the reason why soldiers rarely conceal syphilis is because
they know they cannot escape detection if inspected with ordinary care.
I have often found cases of sores at my inspections rarely concealed, but simply
denied by the men, out of ignorance of what it was. With such a large number
of very young soldiers in every corps cases of such ignorance are not at all uncom-
mon. I speak from positive knowledge. Inspection is a benefit to these, and
impresses cleanliness, which many young soldiers, elsewhere cleanly, never practise
here.
Page 97.
I consider the barrack-rooms of the E. I. lines, Fyzabad, fairly adapted to obtain
privacy for the inspections. A sergeant's room may be made
quite private. Injury to morale and developing coarseness are
arguments against inspections anywhere, as men will have their joke on the subject.
Page 97.
I differ in tote from the remark that nine-tenths of medical officers perform the
duty in a perfunctory manner. I think the officer in medical
charge of the lock-hospital wholly wrong in this. I repeat the
inspection can be performed, as well as the nature of it will allow, at the barrack-
rooms, and there is no excuse for doing it perfunctorily. At hospital the guard, the
native servants (a large number), men coming sick, and convalescents must all become
cognizant of what isgoing on when there is an inspection, so that, on the score of
privacy, I do not see any advantage the hospital can have.
I agree with the report that education and, flowing from it, a true perception of
our best interests are what we are to look to ultimately for stamping out these diseases;
but with the soldier as he is this is a far-off utopia. Meanwhile, the ignorant should
be shielded and taught better, and the dodgers should be circumvented as far as
practicable till the better means can be applied.
S U R G E O N - M A J O R ,
In medical charge 1-25th Regt. and Senr. Medl. Officer.
ANNUAL REPORT ON FYZABAD LOCK-HOSPITAL FOR 1877.
1. Hospital accommodation.—The Fyzabad lock-hospital is located in a native
building in the city of Fyzabad. This building is about two miles from the military
cantonments.
( 98 )
10. Disease of women and soldiery.— The diseases of the women and the soldiery
are in close relation, both suffered from gonorrhœa and but little from syphilis.
Disease very mild in type.
11. Dhaies.—I have striven to keep up a chain of responsibility through the
chakla dhaies to myself. It has worked well in every way.
12. Conclusion.—A definite ruling is required defining that the cantonment
m a g i s t r a t e a s s e c r e t a r y t o t h e l o c k - h o s p i t a l s u b - c o m m i t t e e i s t h e t r u e c h a n n e l o f a
communication between the pay department and the lock-hospital. Except on pro-
fessional matters, the lock-hospital surgeon communicates only with this official.
During the year the Allahabad circle paymaster kept constantly writing to me about
questions of pay of establishment, on which points I am quite ignorant officially. It
is true I issue the pay of the establishment, but only by order of the sub-committee,
who with their secretary regulate the expenditure of the hospital in every way.
The medical officer is responsible for the professional treatment of the sick and
that due order is maintained in the hospital, but there his duty ends. To be constantly
written to for reasons why such and such moneys were paid away is useless, as in my
office no record exists as to why certain moneys are sanctioned.
All I know is that the sub-committee order me to pay so many bills which I send
in. If they pass the bills the responsibility falls on their shoulders. I am but the
carrier out of their orders.
G. J. H. EVATT, M.D., SURGEON-MATOR, A.M.D.,
Staff Surgeon, Fyzabad.
MEMO.
ALTHOUGH I do not concur with Surgeon-Major Evatt in his remarks on the
inefficiency of medical inspection in barracks, as old and experienced surgeons have
assured me that it saved them much labour. The penalty for concealing disease should
remain, in my opinion. I am satisfied that the lock-hospital is and has been in good
hands, the result being highly satisfactory year by year. The evil is decreasing, and
is in the main of a mild type, which in most instances, when any increase takes place,
is attributable to importation by drafts of recruits from below.
C. J. SKERRY, COL., 81ST REGT.,
Fyzabad, the 29th January, 1878.
Commanding at Fyzabad.
Statement of venereal disease, Fyzabad garrison, 1877.
Regiment.
Period of
occupation.
Average
strength
during the
period of
occupation.
Number of admissions from
venereal disease during the
period of occupation.
Ratio of admissions per
1,000 of strength for
period of occupation.
Gonorrhœa
... 99
122.3
1-25th King's Own
Borderers.
12 mouths ...
808.09 Primary syphilis ... 36
44.5
Total ... 135
166.8
Gonorrhœa
... 4
29.8
D-5th, late D-19th,
Royal Artillery.
10 months ...
133.09 Primary syphilis ... 3
22.4
Total ... 7
52.2
Total strength...
941.18
Total admissions and
ratio per 1,000 of
strength for period of
occupation.
142
150.8
G. J. H. EVATT, M.D., SURGEON-MAJOR, A.M.D.,
Staff Surgeon, Fyzabad.
Fyzabad, January, 1878.
G. J. H. EVATT, M.D.,
Surgeon-Major, A M.D.
Annual Statement No. III. of the Lock-Hospital at Fyzabad for bear 1877.
I.
2.
3 .
4.
5.
Months.
R e g i s t r a t i o n f e e s p r o s t i t u t e s .
F i n e s l e v i e d u n d e r t h e r u l e s .
T o t a l .
P a y o f m e d i c a l o f f i c e r . P a y o f e s t a b l i s h m e n t .
A l l o t h e r e x p e n s e s .
T o t a l e x p e n s e s .
B y G o v e r n m e n t .
F r o m c a n t o m e n t f u n d s .
O t h e r s o u r c e s .
T o t a l .
Remarks.
Rs. a p. Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
N o n e .
Rs. a. p.
January
...
...
...
. . .
. . .
. . . 100 0 0
72 0 0
69 1 5
241 1 5
31 1 5
210 0 0
241 1 5
February
...
...
...
. . .
4 8 0 4 8 0
100 0 0
72 0 0
54 9 10
226 9 10
16 9 10
210 0 0
226 9 10
March
...
. . .
...
. . .
. . .
. . . 100 0 0
60 0 0
49 3 0
209 3 0
...
209 3 0
209 3 0
April
...
. . .
...
. . .
. . .
. . . 100 0 0
60 0 0
76 0 10
236 0 10
14 0 10
222 0 0
236 0 10
May
...
. . .
...
. . .
. . .
. . . 100 0 0
6 0
0 0
74 10 10
234 10 10
24 10 10
210 0 0
234 10 10
June
...
...
...
...
...
. . . 100 0 0
60 0 0
61 6 7
221 6 7
11 6 7
210 0 0
221 6 7
July ...
. . .
. . .
. . .
. . .
. . . 100 0 0
60 0 0
60 9 6
220 9 6
...
220 9 6
220 9 6
August
...
. . .
...
. . .
. . .
. . . 100 0 0
60 0 0
69 10 3
229 10
. . .
229 10 3
229 10 3
September
...
...
...
...
. . .
. . . 100 0 0
60 0 0
84 8 11
244 8 1
. . .
244 8 11
244 8 11
October
...
. . .
...
. . .
. . .
. . . 100 0 0
60 0 0
74 3 5
234 3 5
...
234 3 5
234 3 5
November
...
...
. . .
. . .
...
. . . 100 0 0
60 0 0
104 6 5
264 6 5
...
264 6 5
264 6 5
December
...
...
...
. . .
. . .
. . . 100 0 0
60 0 0
76 7 11
236 7 11
. . .
236 7 11
236 7 11
Total
...
. . .
4 8 0
4 8 0 1,200 0 0 744 0 0
854 14 11
2,798 14 11
97 13 6
2,701 1 5
2,798 14 11
( 106 )
Table No. 6.—Return of the admissions that took place at certain periods of the year in
Her Majesty's 92nd Highlanders.
First quarter admissions Second quarter admis-
sions.
Third quarter admis-
sions.
Fourth quarter admis-
sions.
20 48.75
11 26.94
51 1 2 4 . 9 2
26 63.69
Royal Artillery.—In addition to the above there was a battery of Royal Artillery
in the station which left it en route for England on the 19th of last October. This
battery—E-19th Royal Artillery—was succeeded on the 10th of December by another,
viz., I-5th Royal Artillery, and this is the , one now on duty here. It brought with it
from without five cases of 'venereal,' and regretting that the absence of records will
not permit my giving any particulars of the former, I subjoin tables respecting them,
and leave these to speak for themselves:—
Table No. 7.—Estimate showing the extent of various forms of venereal disease among
Her Majesty's I-5th Royal Artillery stationed at Sitapur from 10th to 31st Decem-
ber, 1877.
Average
strength.
Number of admissions during the period.
Total. Ratio of admissions per
1,000 of strength.
168
Primary syphilis
...
...
...
4
23.80
Secondary do.
...
...
...
1
5.95
Gonorrhœa
...
...
...
1
5.95
Total
...
6
35.70
Deduct
—
Cases contracted at other places ...
...
. . .
5
29.70
Ditto at Sitapur
...
...
...
1
5.95
First
quarter admissions.
Second
quarter admissions.
Third
quarter admissions.
Fourth
quarter admissions.
None.
None.
None.
6
35.70
Table No. 8.—Statement showing the extent of various forms of venereal disease among
Her Majesty's E-5th, late E-19th, Royal Artillery stationed at Sitapur from 1st
January to 19th October, 1877.
Average
strength.
Number of admissions during the period.
Total. Ratio of admissions per
1,000 of strength.
No records.
Total ...
...
. . .
•••
•••
D e d u c t —
Cases contracted at other places ...
...
. . .
. . .
. . .
Ditto at Sitapur
...
...
•••
. . .
...
First
quarter admissions.
Second
quarter admissions.
Third
quarter admissions.
Fourth
quarter admissions.
Supplementary tables.— Of the subjoined tables, which I have marked, for pur-
poses of reference or comparison, 9, 10, and 11 respectively, little need be said, inas-
much as they are merely the counterparts of similar forms in the past, and, moreover,
they only contain details of a purely technical character or local interest. They are
intended to exhibit, in as condensed a form as is possible, under the circumstances, the
( 107 )
constitution, working, and general expenditure and management of a lock-hospital
in this country, and the particulars they contain in respect of each of these items are
believed to be so far exhaustive. They are drawn up in accordance, I believe, with
a standing order of Government to that effect, and I must allow them to interpret
themselves.
Table No. 9.
1.
2.
3.
4.
5.
6.
7.
8 .
L o c a l G o v e r n m e n t o r A d m i n i s t r a t i o n .
D a t e o n w h i c h l o c k -
h o s p i t a l w a s e s t a b -
l i s h e d .
A c t u n d e r w h i c h t h e r u l e s a r e i n f o r c e .
A r e a o v e r w h i c h t h e r u l e s a r e i n f o r c e .
E s t i m a t e d n a t i v e p o p u -
l a t i o n i n t h i s a r e a .
Detail of monthly pay of establishment.
W h e t h e r a f i r s t c l a s s
o r s e c o n d c l a s s h o s -
pital.
R e m a r k s .
O u d h .
J u n e , 1 8 6 6 .
A c t X X I I . o f 1 8 6 4 .
F i v e m i l e s a r o u n d c a n -
t o n m e n t s .
4 3 , 2 2 8 .
Rs.
2 n d c l a s s l o c k h o s -
p i t a l .
The f unds r equi r ed f or
i t s mai nt enance are
pr ovi ded out of l ocal
sources.
Medical officer
64.
...
50
Native doctor
...
...
10
4 matrons @ Rs. 6 each
..
24
2 servants @ Rs. 5 each
••4
10
1 mehtrani @ Rs. 4
4
4
1 chaukidar @ Rs. 4
.••
4
Total monthly cost of establish-
ment.
102
28
Table No. 10 .—Annual Statement No. II. of the Lock-Hospital at Sitapur for the year 1877.
1.
2.
3.
4.
5.
6.
7.
Number of registered prostitutes.
Averag e number of
prostitutes on the
register in each
month and for the
year.
Average number of
prostitutes attend-
ing the periodical
examinations.
Number reported
to the canton-
ment magistrate
or other civil au-
thority for non-
attendance.
Number of pros-
titutes found
diseased at the
periodical ex-
aminations.
RECORD OF DISEASES.
Average number
of prostitutes for
each month and
for the year.
Diseases.
R e m a i n e d . Admi t t ed.
Total .
Di s c ha r ge d.
D i e d .
Re ma i n i n g .
Total.
Number remaining on the regis-
ter at the end of last year ... 104
January ... 104.03 January ... 75.3
January ... ... January ... 22 Gonorrhœa
...
...
5 57 62 59 ...
3
3 January ... 14.7
February 109.2 February ... 77.8
February ... 3 February ... 20 Primary syphilis ...
..,
2 31 33 33 ... ... ... February ... 15.3
Number added to the register
during the year 1877
... 42
March. ... 107 . 1 March ... 72 .2
March ... 2 March ... 23 Leucorrhœa
...
3 105 108 103 ...
5
5 March ... 18.
Total
... 146
April
... 103.5 April
... 73.06 April
... 2 April
... 24 Ulcer
•••
•••
1 11 12 12 ... ... ... April
... 13. 2
May
,.. 103.8 May
... 74.1
May
... 3 May
... 22 Abrasions
...
...
2 111 113 111 ...
2
2 May
... 9.8
Number who removed their
names from the register, died,
or absconded during the year
1877 ...
•.•
"
June
... 102.7 June
..- 73.1
June
..
2 June
... 26 Abscess
•••
... ...
1
1
1 ... ... ... June
... 10.8
34 July
„. 103.4 July
•.. 70.6
July
... 2 July ... 40 Scabies
...
2
2 2 ... ... ... July
... 15.03
Number remaining on 31st De-
cember, 1877
...
... 112
August ... 107.6 August „ 73. 1
August ,., ... August .., 34 Bubo
...
1
1
1 ... ... ... August ... 13.4
September, 111.5 September, 80.7
September,
2 September, 33 Hæmorrhoids
...
...
1
1
1 ... ... ... September, 14.1
October ,.. 117.09 October ... 85.80 October ... 2 October ... 27 Syphilitic warts ...
...
1 1
1 ... ... ... October ... 14.36
November, 115.9 November, 78.36 November,
1 November, 23 Ischio-rectal abscess
.., ...
1
1
1 ... ... ... November, 15.33
December, 115.4 December... 73.8
December,
6 December, 25
December... 13.8
Total
... 146 Average for
the year.
108.45
. . .
76.21
...
25
. . .
322
Total
... 13
3 2 3
335 325 ... 10 10
. . .
13.94
( 108 )