NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
MEDICAL AND SANITARY REPORT
OF THE
NATIVE ARMY OF MADRAS
FOR THE YEAR
1878.
FRAMED ON THE ANNUAL RETURNS, ON THE REPORTS OF REGIMENTAL
MEDICAL OFFICERS, AND ON THE INSPECTION REPORTS OF DEPUTY
SURGEONS-GENERAL OF THE INDIAN MEDICAL DEPARTMENT.
(ALL STATISTICAL INFORMATION IS GIVEN IN THE TABLES
AT THE END.)
COMPILED BY THE SECRETARY TO, UNDER THE ORDERS OF, THE SURGEON-GENERAL.
MADRAS:
PRINTED BY E. KEYS, AT THE GOVERNMENT PRESS.
1880.
REPORT
ON
PLAGUE IN THE PUNJAB
FROM
OCTOBER 1ST, 1901, TO SEPTEMBER 30TH, 1902,
BEING THE
FIFTH SEASON OF PLAGUE IN THE PROVINCE
BY
MAJOR E. WILKINSON, F.R.C.S. ENG.,
D.P.H. CAMB., I. M. S.,
CHIEF PLAGUE MEDICAL OFFICER, PUNJAB.
Price Rs. 1-9-0 or 2 shillings and 6 pence.
Lahore:
PRINTED AT THE PUNJAB GOVERNMENT PRESS,
1904.
REPOET
ON
PLAGUE IN THE PUNJAB.
Agents for the sale of Punjab Government Publications.
IN LONDON.
E. A. ARNOLD, 37, Bedford Street, Strand,
W. C.
CONSTABLE & Co., 2, Whitehall Gardens,
S. W.
SAMPSON LOW, MARSTON & Co., St.
Dunston's House, Fetter Lane, E. C.
P. S. KING & SON, 9, Bridge Street,
Westminister, S. W.
LUZAC & Co., 46, Great Russel Street,
W. C.
KEGAN PAUL, TRENCH, TRÜBNER & Co.,
Charing Cross Road, W. C.
B. QUARITCH, 15, Piccadilly, W.
ON THE CONTINENT.
FRIEDLANDER & SOHN, 11, Carlstrasse,
Berlin.
OTTO HARRASSOWITZ, Leipzig.
KARL W. HIERSEMANN, Leipzig.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
MARTIN us NIJHOFF, The Hague.
IN INDIA.
THACKER, SPINK & Co., Calcutta & Simla.
NEWMAN & Co., Calcutta.
THACKER & Co., Bombay.
HIGGINEOTHAM & Co., Madras.
V. KALYANARAM IYER & Co., 189,
Esplanade Row, Madras.
SUPERINTENDENT,
AMERICAN
BAPTIST
MISSION PRESS, Rangoon.
A. CHAND & Co., Imperial Book Depdt
Office, Delhi.
GULAB SINGH & SONS, Mufid-i-'Am Press,
Lahore.
S. MUMTAZ ALI & SON, Rafah-i-'Am Press,
Lahore [for Vernacular publications only].
MOHAN LAL, Punjab Law Book Dep6t,
Lahore.
REPORT
ON
PLAGUE IN THE PUNJAB
FROM
OCTOBER 1ST, 1901, TO SEPTEMBER 30TH, 1902,
BEING THE
FIFTH SEASON OF PLAGUE IN THE PROVINCE
BY
MAJOR E. WILKINSON, F.R.C.S. ENG.,
D.P.H, CAMB., I. M. S.,
CHIEF PLAGUE MEDICAL OFFICER, PUNJAB.
Lahore:
PRINTED AT THE PUNJAB GOVERNMENT PRESS.
1904.
TABLE OF CONTENTS:
S. Map No. I showing distribution of plague in the Punjab from
Ist October 1897 to 30th September 1901
2. Map No. 2 showing distribution of plague in the Punjab from
Ist October 1901 to 30th September 1902
3. Table showing the number of plague cases and deaths in the
Punjab for each year from the beginning of October 1897 to the
end of September 1902
...
...
..,
...
4. Introduction
...
...
...
,.,
5. Review of epidemic
...
...
...
...
6. Bearing of the people in the presence of plague. Influence of
the epidemic upon agriculture, trade, &c.
...
...
7. Attitude of the people towards plague measures
...
...
8. Climate, soil and water-supply
9. Measures taken with a view to prevent outbreaks of plague in
infected places
...
...
...
10. Arrangements for obtaining information ...
...
...
11. Evacuation
...
...
...
...
...
12. Employment of cordons and guards
...
...
...
13. Segregation
14. The extent to which people accepted medical treatment
...
15. Disinfection by official agency
,.,
...
...
16. Popular methods of disinfection
...
...
17. Steam disinfectors
...
...
,.,
...
18. Disinfection Depot
.*.
,..
...
...
19. Inoculation
...
...
...
,.,
..
20. Attitude of the people towards inoculation
21. Methods adopted for inducing its acceptance
...
...
22. Arrangements for carrying out inoculation
...
...
23. Methods of its performance. Records ...
,.,
...
24. Effects of inoculation
...
...
...
...
25. Infection
...
...
...
...
...
26. The extent to which rats or other animals have suffered from
plague. Relation as to time between rat mortality and out-
breaks of plague among human beings
...
...
27. Influence of local conditions
...
...
28. Variations in the type and severity of plague
...
...
29.
Ditto in different districts
...
...
,.,
30.
Ditto among different races or castes and sexes...
...
31.
Ditto at different age periods
...
,,,
...
32. Personnel
...
...
...
...
,.,
33. Financial
...
...
...
...
...
34. Recommendations
...
..
...
...
35. Delhi Division—
(1) Hissar District
...
...
...
...
(2) Delhi District
...
...
...
(3) Karnál District
...
...
.„
(4) Ambala District ,.,
(5) Simla District
...
...
...
...
36. Jullundur Division—
(1) Kángra District ...
...
...
,,,
(2) Hoshiárpur District
...
...
(3) Jullundur District ...
...
...
...
(4) Ludhiána District ...
...
...
,,,
(5) Ferozepore District
,.,
,.,
[Paras;
t
3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28-29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
[ ii ]
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
Lahore Division—
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Montgomery District
Lahore District
...
Lahore City and Municipality ...
Amritsar District
Gurdáspur District
Siálkot District
...
...
Gujránwála District
Rawalpindi Division—
(1)
(2)
(3)
(4)
Gujrát District
Shahpur District
Jhelum District
...
...
Ráwalpindi District
Mooltan Division—
(1)
(2)
(3)
(4)
Miánwáli District
Jhang District
Mooltan District
...
...
...
a.«
...
...
...
Dera Gházi Khan District
Patiála State
Kapurthala state
:
Nábha State
Kalsia State
Máler Kotla State
Baháwalpur State
Jind State
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Native States under the Superintendent, Hill States .,
..
.
• • •
• • •
• • •
...
Paras.
45
46
47
48
49
50
51
52
53
54
55
56
57
53
59
60
61
62
63
64
65
66
67
[ iii ]
APPENDICES.
PAGE.
APPENDIX A.
(i). Statement No. i showing the number of plague-infected
villages with particulars of plague cases and deaths and
inoculations in the Punjab by tahsils from October ist,
1902, to September 30th, 1903 ...
(2). Statement No. 2 showing the number of plague cases, deaths
and of infected villages in each district by months during
the plague epidemic of 1901-02
(3). Statement No. 3 showing the race or caste and sex of per-
sons attacked with plague in each district of the Punjab
from October Ist, 1901, to September 30th, 1902
..
(4). Statement No. 4 showing distribution of plague attacks and
deaths by ages in each district of the Punjab from Octo-
ber Ist, 1901, to September 30th, 1902
...
...
(5). Statement No. 5 showing type of plague among persons
attacked with plague in each district of the Punjab from
October Ist, 1901, to September 30th, 1902
APPENDIX B.
(6). Statement No. 6 showing the number of inoculations per-
formed in each district from October Ist, 1901, to Sep-
tember 30th, 1902 ...
(7). Statement No 7 showing the distribution of inoculations
performed among persons of various races or castes by
districts in the Punjab during the year 1901-02
(8). Statement No. 8 showing the names of inoculators and the
total number of inoculations performed by each, by
months, during the year 1901-02
(9). Statement No. 9 showing the number of days which elapsed
between inoculation and attacks of plague with the results
of attacks
...
...
...
...
APPENDIX C.
(10). Statement No. 10 showing certain details concerning
chemical disinfection in the British districts of the
Punjab from October Ist, 1901, to September 30th, 1902
APPENDIX D.
(11). Statement No. 11 showing the Medical Officers and Subor-
dinates as well as their establishment on plague duty
in the Punjab during 1901-02 by districts
APPENDIX E.
(12). Statement No. 12 showing the total expenditure incurred
under various heads in connection with plague during
the year 1901-02 ...
...
...
...
ii
viii
xii
XVi
xviii
XX
xxi
xxii
xxviii
XXX
XXXi
xxxii
MAP SHOWING DISTRIBUTION OF PLAGUE
IN THE
PUNJAB
FROH 1ST OCTOBER 1897 TO 30TH SEPTEMBER 1901.
Scale 40 Miles = 1 Inch
MAP SHOWING DISTRIBUTION OF PLAGUE
IN THE
PUNJAB
FROM 1ST OCTOBER 1901 TO 30TH SEPTEMBER
1902.
Scale 40 Miles = 1 Inch
"Litho-Punjab
Govt.
Press,"
Lahore.
Table No. I showing the Number of Plague Cases and Deaths in the Punjab for each year from the beginning of October 1897 to the end of September 1902.
British Districts.
Hissar .„
...
Delhi ...
—
Karnál
«.
Ambala
...
Simla ...
...
...
Kángra ...
...
...
Hoshiárpur
.J
ullundur
...
...
Ludhiána
i
...
Ferozepore
Montgomery
Lahore ...
...
Amritsar
...
Gurdáspur
...
SiáSkot ...
Guiránwála
Gujrát ...
...
Shahpur
Jhelum ...
...
Rawalpindi
Miánwáli
...
••• i
Jhang ...
Mooltan
.
Dera Gházi Khan ...
Total
NATIVE STATBS.
Patiála -.
K
apurthala
Nábha ...
Kalsia ...
•••
•••
Máler Kotla
Baháwalpur
•••
...
Jínd
Nálagarh
...
...
Baghát ...
•••
Total
GRAND TOTAL
Ist October 1897
to 30th
September 1898
Cases.
704
2,709
3,413
. . .
3,413
Deaths.
406
1,708
2,114
...
2,114
Ist October 1898
to 30th
September 1899,
Cases.
So50
355
1
12
1
419
...
419
Deaths
17
205
1
:::
3
0
226
. . .
226
Ist October 1899
to 30th
September 1900.
Cases.
10.1
729
833
26
26
859
Deaths.
55
457
...
512
18
18
530
Ist October 1900
to 30th
September 1901
Cases.
72
771
3,678
40
16
2,349
2,982
9,908
176
1,005
1,181
11,089
Deaths.
47
391
1,762
33
'3
1,436
1,857
5 542
08
722
820
6,362
Ist October 1901
to 3oth
September 1902.
Cases.
5
11
566
29,75 2
66
5
22,437
32,873
65,390
10,307
2
20,214
3 145
25,868
51,914
3,319
928
435
2
2
2
311
26
1
267,581
30.401
2,719
11,769
2,882
2,217
336
761
263
4
51,352
318,933
Deaths.
2
9
333
22,762
45
5
12,500
18,959
48.028
6,342
9,400
ï.837
16,479
34,137
2,244
553
206
1
2
0
176
20
1
174,041
29,159
1,713
10,589
2,170
1,798
170
540
206
3
46,348
220,389
Total.
Cases.
5
11
566
29,824
66
5
24,066
40.344
65430
10,323
2
20,214
3,146
28,217
54,896
3,319
435
2
14
2
311
27
i
282,154
30,603
3,724
11,769
2,882
2,217
336
761
263
4
52,559
334 7*3
Deaths.
2
9
333
22,809
45
5
3,372
21,091
48,c6i
6,355
9,400
1,838
17.915
35,994
2,244
553
206
1
S
0
176
20
I
82,435
29,275
2,4 S
10,589
2,170
1,798
170
540
206
3
47,186
229,621
REMARKS.
2
November 1901.—During November plague increased in the districts and States
already infected, and the Lahore District was also declared infected. The number of
infected districts and States, with the number of plague cases and deaths, during the
month and from the commencement of the year under report are shown below:—
Infected Districts.
8
Infected
Native States.
2
DURING NOVEMBER 1901.
Cases.
8,278
Deaths.
4.349
FROM OCTOBER IST, 1901,
TO NOVEMBER 3OTH, 1901.
Cases.
11,670
Deaths.
5,797
December 1901.—Another British district—Ambala—and a third Native State—
Nabha—became infected during December and a considerable increase occurred in the
number of plague cases and deaths.
In the districts and States previously infected certain particulars are shown
below:—
Infected Districts.
9
Infected
Native States.
3
DURING DECEMBER 1901.
Cases.
14,135
Deaths.
8,935
FROM OCTOBER IST, 1901, TO
DECEMBER 31ST,
1901,
Cases.
25,805
Deaths.
*4,732
During the first three months of the epidemic of 1901-02 plague had become more
widespread than during the whole of any previous year, and the number of plague cases
and deaths had already greatly exceeded those of all the four previous epidemics put to-
gether.
January 1902.—In January 1902 plague increased in all districts and States
previously infected, and epidemics commenced in, the Ferozepore District and in the
Native States of Kalsia and Maler Kotla. The City of Lahore also became infected
during the month.
Infected Districts.
Infected
Native
States.
5
DURING JANUARY 1902.
Cases,
21,373
Deaths,
13,439
FROM OCTOBER 1ST, 1901, TO
JANUARY 31ST, 1902.
Cases.
47,178
Deaths.
28,171
3
February 1902.—Plague continued to increase during February 1902 and outbreaks
occurred in the Gujranwala District and in Bahawalpur and Jind States. Imported cases
also occurred in the towns of Delhi, Amritsar and Karnal.
Infected Districts,
11
Infected
Native
States.
7
DURING FEBRUARY
1902.
Cases.
42,816
Deaths.
29,610
FROM OCTOBER IST, 1901,
TO FEBRUARY 28TH, 1902.
Cases.
89,994
Deaths.
57,781
March 1902.—In March the epidemic reached its culminating point. Plague
increased greatly in all infected British districts and Native States, except the Bahawalpur
State, in which there was a slight decline.
The Amritsar, Gujrat, Jhang and Mooltan Districts and the Native State of Nalagarh
became infected, and imported cases of plague occurred in the towns of Delhi, Kamal,
Kaithal, Nurpur and Bhiwani.
As will be seen from the abstract table below no less than 68,434 persons died in
the Punjab during this month from plague alone :—
Infected Districts.
15
Infected
Native
States.
8
DURING MARCH 1902.
Cases,
94,842
Deaths.
68,434
FROM OCTOBER 1ST, 1901,
TO MARCH 31ST, 1902.
Cases._
184,836
Deaths.
126,215
April 1902.—During April, although there was a considerable decline in the
severity of the epidemic, the number of plague cases and deaths remained very high.
The Karnal District, which had hitherto escaped with imported cases, at last
became infected ; but the outbreak in the Bahawalpur State came to an end. Imported
cases occurred in the Jhelum, Rawalpindi and Montgomery Districts and the Native State
of Bhagat.
Infected Districts.
14
Infected
Native
States.
9
DURING APRIL 1902.
Cases.
86,431
Deaths.
62,606
FROM OCTOBER 1ST, 1901, to
APRIL 30TH, 1902.
Cases.
271,267
Deaths.
188,821
4
May 1902.—There was a marked fall in the number of plague cases and deaths in
May, and, except for an imported case at the Sadr, the Shahpur District was free of the
disease.
Imported cases occurred in the towns of Jhelum and Dera Ghazi Khan and in the
Bhakkar and Leiah Tahsils of the Mianwaft District.
Infected Districts,
15
Infected
Native
States.
7
DURING MAY 1902.
Cases.
41,328
Deaths.
27,030
FROM OCTOBER 1ST, 1901, TO
MAY 31ST, 1902.
Cases.
312,595
Deaths.
215,851
June 1902.—There was a further and much greater fall in the number of plague
cases and deaths in June, but the number of infected districts remained the same. The
State of Nalagarh was declared free of plague during the month.
July 1902.—In July there was still a further fall in the number of plague cases and
deaths, and the Sialkot, Karnal and Jhang Districts and the Natives States of Kapurthala,
Nabha, Kalsia and Jind were declared free of plague, the only States which returned
plague cases and deaths during the month being Patiala and Maler Kotla.
Infected Districts.
10
Infected
Native
States.
3
DURING JULY 1902.
Cases,
536
Deaths.
368
FROM OCTOBER 1ST, 1901,
TO JULY 31 ST, 1902.
Cases.
317,607
Deaths.
219,666
August 1902. —Plague reached its lowest point during the year under report in
August when only 494 cases and 263 deaths were reported. During this month, however,
while no further districts or States were declared free of plague, outbreaks occurred in the
cantonments of Kasauli and Subathu, the latter being in the Simla District. An imported
case of plague also occurred in Simla bazar.
Infected Districts,
10
Infected
Native
States.
2
DURING AUGUST 1902.
Cases.
494
Deaths.
263
FROM OCTOBER 1ST, 1901, TO
AUGUST 31ST, 1902.
Cases.
318,101
Deaths.
219,929
September 1902.—In September plague began to increase again ; a slight, though
perceptible, rise occurring in nearly all infected districts and Native States. The Sialkot
District again became infected, but the Lahore District was declared free of plague.
Infected Districts.
10
Infected
Native
States,
2
DURING SEPTEMBER 1902.
Cases.
83a
Deaths.
460
FROM OCTOBER 1ST, 1901, TO
SEPTEMBER 30TH, 1902.
Cases.
318,933
Deaths.
220,389
Table No. 3 showing the number of Plague Cases and Deaths during each month in the British Districts of the Punjab from October ist, igoi,
to September 30th, 1902, with the percentage fatality of attacks.
October
1901
...
November 1901
...
December
1901
...
January 1902
...
February 1902
March 1902 ...
...
April 1902 ...
May 1902 ...
...
June 1902 ...
...
July 1902
...
August 1902
...
September 1902
...
Months.
...
...
...
...
...
...
.»
...
...
...
...
.,.
...
...
.
...
Total
Attacks.
3,224
7,516
13,046
19,202
35,039
77,340
71,725
34,671
4,32
510
396
780
267,581
Deaths.
1,350
3,828
8,215
12,000
23,155
51,944
48,8.50
2o,695
3,036
334
197
418
174,041
Percentage fatality
to attacks.
42 18
50 93
62 97
62 54
66 08
6716
63 11
59 98
73 47
65 49
47 22
53 59
65 04
REMARKS.
15
Table No. 4 showing the number of Plague Cases and Deaths in British Districts
of the Punjab by races or castes and sexes from October Ist, 1901, to
September 30th, 1902.
Males
Europeans
Females
Total
Males
Eurasians
Females
Total
Males
••
High caste Hindus
...
Females
.
Total
Males
Other Hindus ...
—
••• )Females
•
Total
Males
Total Hindus
Females
Total
Males
Rámdásís, Chamárs and Sweepers ... Femaleg
Total
f Males
Musalmáns
(Females
Total
Males
Native Christians
{. Females
Total
Males
Race or caste not specified
remales
Total
Males
All classes
Females
Total
Race or caste and sex not known—Total
GRAND TOTAL
Cases.
...
..V
*
24,460
24,033
49,093
23,080
26,426
49,506
47.540
5'.°59
98,599
12,269
4,274
26,543
38,607
...
47,170
85,837
178
173
351
690
756
...
1,446
99,344
'Ï3.43 3
...
212,776
54,805
267,581
Deaths.
...
...
...
...
17,344
34,4991
14,267
16,643
30,910
31,611
33,798
65,409
8,088
8,029
17,017
54,089
30,886
54,975
129
118
247
4S0
571
»,c5i
64,397
74,302
138,699
35.342
174,041
.
Percentage fatality to
attacks.
...
...
...
...
...
...
7090
69"64
70- 27
6r8i
62*90
62 # 43
66-48
66-17 1
66-33
65'93
62-55
—
64 11
62-29
65-48 _
64-04 |
72-S8
68-20
70-37
69-57
7552
72 68
64 82
65 50
65 18
64 49
65 04
Number of
attacks
among
females to
1,000 attacks
among males.
m
,
..
I,OO7
I. MS
1,074
I,l63
1,219
972
i!°9S
1,141
!..
..-
16
Variations at different age periods.
31. The number of plague attacks and deaths at different age periods is shewn in
Statement No. 4 (Appendix A). This state-
ment also lacks details concerning the Lahore
and Ambala Districts.
The total figures for each age period with percentage calculations upon them are
shown in Table No. 5.
It will be seen that at ages between 20 and 50 the fatality of attacks is lowest-
being 61-08 per cent.—and that it increases regularly in both directions : 80-39 P er cent °f
attacks among infants, and 76 31 per cent. of attacks among persons over 60 being
fatal
Table No. 5 showing the number of Plague Cases and Deaths at different age periods
in British Districts of the Punjab from October Ist, 1901, to September 30th, IL,02,
with the percentage fatality of attack.
Ages.
0—1
...
...
...
•••
I—-10
...
...
...
10—20
...
...
...
...
20—50
.,.
...
5O—6O
...
.
...
Over 60
Details not available
...
•••
Total
Attacks.
6,511
29451
44,980
56,795
21,583
13.444
54.816
267,581
Deaths.
5,234
20,080
28,025
59,123
15,967
10,261
35,351
174,041
Percentage
fatality to
attack.
80 39
68 18
62 30
61 08
73 98
76 31
64 -49
65 04
REMARKS.
32. The number of Medical Officers and subordinates employed on plague duty in
the British districts of the Punjab during the
Personnel.
year 1901-02 is shewn in Statement No. 11
(Appendix D). It should be stated that the European Medical Practitioners who arrived
in September in connection with the inoculation operations of the following year are not
included in the statement, but Civil Surgeons and Assistant Surgeons who performed
the duties of Plague Medical Officers in addition to their own.
- In the sub-joined Table No. 6 are given the number of officers and others employed
solely on plague duty.
Table No. 6 shewing the Medical Staff and Establishments on plague duty in British
Districts of the Punjab from October Ist, 1901, to September 30th, 1902.
Commissioned Medical Officers
Temporary Commissioned Medical Officers
Assistant Surgeons
...
...
...
Hospital Assistants
Compounders
Dháis
...
...
,,,
tmt
Vaccinators .,,
...
...
3
11
18
44.
17
9
6
Total Medical Staff
... 108
Clerks
Chaprásís
...
...
...
...
17
y
8
Total Office Establishment
... 25
GRAND TOTAL
,..
133
The names of Medical Officers and Assistant Surgeons are given in the reports cm
the districts in which they were employed.
19
Altogether 566 cases of plague with 333 deaths occurred in the district during this
year. The table below shews by weeks the course of the epidemic in the Karnál Dis-
trict :-
Table showing the Course of the Epidemic of Plague in the Karnál District
weekly from October 1st, 1901, to September 30th, 1902.
WEEK ENDING SATURDAY
October 5th
„
12th
„
19th
...
,, 26th
November 2nd
9th
16th
23rd
„
30th
December 7th
•••
14th
21st
...
28th
January 4th
11th 18th
25th
February
1st
..
8th
15th
22nd
...
March 1st
8th
„ 15th
„
22nd
..
„ 29th
April 5th
„ 12th
,.
19th
„ 26th
May 3rd
„ 10th
,, 17th
„ 24th
„ 31st
June 7th
„ 14th
„ 21st
„ 28th
July 5th
,, 12th
„ 19th
„ 26th
August 2nd
.
,,
9th
,,
16th
.
23rd
,, 30th
September 6th
13th
,,
20th
27th
VILLAGES.
Declared infected.
2
> •••
1
1
. •••
•••
. ..1
-
•* ...
Declared free.
1
I
I
2
I
V
I ...
I
2
ï
2
I
I
¿
I
Under treatment.
..
...
»••
...
...
...
«»•
•u
...
»...
5
1-
3
1
DURING WEEK.
Cases.
3
...
6
1
1
••.
29
113
144
IOI
86
40
1
17
6
Deaths.
3
2
6
I
I
86
73
4S
51
2;
]
I
Discharged.
•
1
...
...
17
33
2Ç
3-5
>
5C
2
t
Under treatment.
...
...
•••
,,,
...
...
(.
'
...
)
...
...
5
TOTAL UP TO DATE.
Cases.
3
3
3
6
12
13
13
M
M
¿3
300
401
48>
54Î
54:
->6(
Deaths.
3
3
3
11
12
12
I
I
2
112
l85
23
28
'
3 1
2 31
? 32
5
32
3
3C
Discharged.
•••
••«
• M
5
1
1
3
3
3
i
6
1
18
51
4
8c
S 1I¿
2 17
9 22
0 22
2 22
3 23
REMARKS.
>
t
1
2
7
3
»
•
35
Jullundur Division.
KANGRA DISTRICT.
40. There was no epidemic of plague in the Kangra District during the year under
report. There were, however, 5 imported cases, 4 coming from Gurdáspur District and I
from Ludhiána. All these five cases were fatal.
No measures to prevent the importation of plague into the district were taken
except in the Dharmsála Municipality, where a Hospital Assistant was placed on extra duty
to inspect all arrivals from the plains. This inspection was only in force from May 20th to
July 31st, 1902. The five imported cases were all segregated as soon as discovered, and the
houses in which they had lived were well disinfected ; the other inhabitants of the house
were segregated for ten days and then disinfected. No inoculations were performed in
this district.
There were reports from two villages in the Dera Tahsil of slight mortality amongst
rats, but this was not followed by any outbreak of plague.
All five cases of plague were of the bubonic type.
There having been only imported plague cases in the distinct, no special medical staff
was detailed for plague duty, but the Hospital Assistant, Núrpur Dispensary, did plague duty
in addition to his ordinary work.
HOSHIARPUR DISTRICT.
41. There was no complete cessation of plague in the Hoshiarpur District during
the hot weather of 1901, and by October Ist several villages in the Garhshankar Tahsil
were infected ; the Hoshiárpur and Una Tahsíls became infected during this month, but with
the exception of a few imported cases the Dasúya Tahsíl remained free of plague until
February.
The epidemic was very severe and widespread in the Garhshankar and Hoshiárpur
Tahsíls, but less so in the Una and Dasúya Tahsils.
The difference is probably due in the case of the Una Tahsil to the scattered nature of
the population, the villages consisting chiefly of such groups of houses in the low hills
compared in this tahsíl. To the late commencement of the epidemic in the Dasúya Tahsíl is
probably due to the comparatively small number of plague cases and deaths. Details of the
outbreak in each tahsil are given below. It will be noticed that while the disease was
most widespread in the Garhshankar and Hoshiárpur Tahsils, the case mortality was highest
in the Una and Dasúya Tahsíls :—
Tahsíls.
Garhshankar
Una
Hoshiárpur
Dasúya
Details not available
...
Total
...
Number of towns and villages.
473
525
493
637
2,128
Population.
261,468
225,198
264,112
239,004
989,782
Number of infected towns and villages.
271
32
132
23
5
463
Population
185,141
30,402
137,627
33,585
386,755
Cases
12,386
996
8,129
848
78
22,437
Deaths.
6,720
705
4,463
540
72
12,500