12
Districts, and the statement is" thus incomplete. The figures given are probably not
of very great value, for although they shew that the bubonic was in excess of other types
of plague the extent of the excels as shown in this statement is probably less than
actually occurred.
The unreliability of the figures is furtner shown by the comparatively low fatality
of attacks of pneumonic plague, this being only 7034 per cent. as compared with 68·82
per cent, of bubonic plague.
The fatality of attack of the septic type of plague—80-37 per cent.—though higher
than that of the other types is lower than is usually observed. The figures are to be most
probably accounted for by the inclusion in plague returns of many cases of pneumonia
and malarial fever.
The cases in which bubos were reported to have occurred in the femoral and
ingunal regions have been shewn together under the heading " Groin " and it was
apparent from the returns that the distribution between these two portions was not
recognised by the persons—Patwárís and others—by whom cases were reported.
28. The variations in the severity of plague as judged by the fatality of its attacks
in different districts are shown in Table No. 2-
Variations in different districts.
below :—
Table No. 2 showing the number of Plague Cases and Deaths in each infected district
of the Punjab from October Ist, 1901, to September 30th, 1902, with the percentage
fatality of attacks.
Name of district.
Hissar
Delhi
Karnál
Ambala
Simla
..
Kángra
Hoshiárpur
..
Jullundur
..
Ludhiána
Ferozepore
Siálkot
Gujrámvála
..
Montgomery
..
Lahore
Amritsar
Gurdáspur
••
Gujrát
Shahpur
J helnm
Ráwaloindi
Miánwáli
Mooltan
,
...
...
...
»
...
...
•
...
—
....
...
...
...
•
...
...
...
...
.
>
...
.
...
Jhang
...
... .Dera Gházi Khan
Total
Attacks.
5
11
566
29,752
66
5
22,437
32. 8 73
65,390
10,307
51-914
3.319
2
20,214
3,145
25,868
92S
435
2
2
2
26
311
I
267,581
Deaths.
2
9
333
22,762
45
5
12,500
1 8,959
•48,028
6,343
34,137
2,244
0
9,400
1837
16,479
553
206
I
2
O
20
176
I
174,041
Percentage
fatali y to
attacks.
40 00
81 82
5883
7650
6818
100 00
5571
5767
7344
61*53
6576
67 61
0 00
4650
58-41
6370
59 59
4735
50 00
00 00
7654
56 59
1OO'OO
65 04
REMARKS.
————
It will be noticed that the fatality of attacks varied very greatly in different
districts Leaving out of considration the figures of districts in which less than 100 cases
occurred it will be seen that the percentage fatality of attacks varied from 76-50 in the
Ambala District to 46-50 in the Lahore District. The fatality of attacks in the Ludhiáns
District was 73-44, Gujranwála coming next with a fatality of 67 61 ; the outbreak in thi-
district was, however, a comparatively small one. The usual fatality, if such an expression
can be used of plague in the Punjab, would seem to be between 55 and 67. per cent that
for all attacks in British districts having been during the year under reoort 6404.
Although the variations may have been partly due to differences in the freedom
with which plague occurences were reported in different districts, there are reasons for
believing that the-virulence of the disease did vary in different districts. This subject
is dealt with in the reports on certain districts.
'
29. In Table No. 3 are shown the variations of the case mortality of plagae in each
month of the year under report.