NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 3 )
effectives from this one cause in 50,000 Men. Whatever may be thought of
compulsory measures, they had at all events the merit of keeping venereal
di sease under some sor t of cont r ol , but t her e i s act ual l y not hi ng i n t he pr e-
s e n t s y s t e m t o c h e c k i t s g r o w t h .
7. Referring to Table II, I have Made a comparison between the admis -
sion rate in 1887, when the Acts were in force, and in 1889, when the voluntary
system was worked. I have also tabulated the working of the Lock Hospitals
in both years. These figures show that in 1887 the admission rate for
venereal disease among British troops was 261 per 1,000. There were also
2, 243 admi ssi ons of r e g i s t e r e d w o m e n t o L o c k H o s p i t a l sa
n d a n a v e r a g e
o f 1 2 2
Women under treatment at 16 stations. In 1889 the admission rate for British
troops was 391 per 1,000. The admissions to Lock Hospitals numbered 252,
and the average number of women under treatment at all stations was about 16.
These figures show, I think, conclusively that these women do not resort to Lock
Hospitals worked on the voluntary system, and that these institutions are
of no use at all in checking the spread of venereal disease. The conflicting
results of their working is a further proof of their inefficiency. At some
stations they seem to produce fair resdlts as regards the prevalence of disease, as
at Nowshera. At others the same working has no results whatever in this
way as at Subáthu. At Pesháwar and Ferozepore venereal disease is not very
prevalent, yet the Lock Hospitals are not worked at either place. I do not
see the use of maintaining a system of this kind, which has now been tried
for More than a year, and I have no hesitation in recommending the abolition
of Lock Hospitals if no change can be made in the present system of working
them.
8. Table III shows the expenditure incurred in working Lock Hospitals
in 1887 and 1889. There has been a very large reduction of expenditure last
year, mainly owing to these hospitals having been placed in medical charge
of officers of the Subordinate Medical Department instead of Commissioned
Medical Officers, who were formerly in charge,—a change doubtless owing to
these hospitals being made voluntary institutions and all compulsory measures
prohibited. I am disposed to think that even the reduced cost of Lock
Hospitals is a strong argument for their abolition. Last year Rs. 9,851 were
spent on these institutions, and the number of admissions recorded is 252,
or Rs. 39 each admission and the results nil. In 1887 Rs. 24,284 were
expended and the admissions were 2,248, not more than Rs. 10 per admission.
It appears to me that the results obtained under the present system are not
commensurate with an expenditure of nearly R. 40 on each admission. Govern-
ment contributed Rs. 1,492-3 -2 and Cantonment Funds Rs. 8,359-11-7 out of
the total expenditure of last year.
( 4 )
TABLE No. I.
HOSPITALS.
Average strength of troops: Ratio of admission per 1,000
of strength.
1888.
1889.
1888.
1889.
Delhi
...
. . .
. . .
2 6 7
261.
509.36*
509.59
Umballa
. . .
. . .
...
1,842
1,994
368.62
392.67
Dagshai
. . .
. . .
. . .
866
817
230.95
152.99
Kasauli
. . .
. . .
. . .
353*
340
252.12*
385.29
Subáthu
. . .
. . .
. . .
463
475
177.11
450.53
Solon
...
. . .
...
Details not avsailabe.
Jullundur
..
. . .
. . . 983
825
412.00
507.88
Ferozepore
...
. . .
. . . 1,149
1,140
509.14
299.12
Meean Meer ...
. . .
. . . 794
1,042
414.36
627.64
Mooltan
...
. . .
. . . 824
888
543.69
528.15
Dalhousie
...
...
. . . 920
910
229.35
398.90
Siálkot
. . .
. . .
. . . 1,180
1,254
286.44
475.28
Ráwalpindi
...
. . .
. . .
2,595
2,664
272.45
494.74
Attock
. . .
. . .
. . . 109
109
229.36
128.44
Murree
. . .
. . .
. . .
263
206
216.73
233.00
Pesháwar
...
. . .
. . .
1,170
1,642
190.60
160.17
Nowshera
...
. . .
. . .
602
655
167.77
135.87
* The figures differ from those shown in the returns for 1888,—please see explanatory notes given below
the statements showing average strength, admissions and ratios in the Medical Officer’s Report.
TABLE No. II
HOSPITALS.
Number of soldiers admitted into
Hospitals during the year
Ratio of admission into Hospitals
per mille of strength for
Number of women admitted into
Lock Hospitals during
Average number of women under
treatment in Lock Hospitals for
1887.
1889.
1887.
1889.
1887.
1889.
1887.
1889.
Delhi
...
. . .
...
...
168
133
351.46
509.59
123
. . .
4.81
...
Umballa
...
. . .
...
. . .
429
783
222.86
392.67
190
8
9.75
0.85
Dagshai
...
...
. . .
229
125
284.83
152.99
54
22
1.30
0.6
Kasauli
...
. . .
. . .
. . .
92
131
266.51
385.29
25
5
0.86
0.21
Subáthu
...
. . .
. . .
. .
219
214
452.48
450.53
36
29
1.76
3.80
Jullundur
..
. . .
. . .
...
175
419
202.08
507.88
34
. . .
3.14
. . .
Ferozepore
...
. . .
. . .
...
373
341
365 69
299.12
87
2
7.18
0.37
Meean Meer
...
. . .
...
...
277
654
317.66
627 64
279
17
18.77
0.58
Mooltan
..
...
...
...
311
469
339.89
528.15
211
...
10.5
. . .
Dalhousie
...
...
. . .
. . .
215
363
248.27
398.90
40
31
1.65
1.55
Siálkot
...
. . .
. . .
. . .
246
596
212.80
475.28
269
30
8.49
2.74
Ráwalpindi
...
. . .
. . .
...
554
1,318
212.67
494.74
595
44
35.60
2.31
Attock
...
...
. . .
. . .
37
14
330.36
128.44
5
6
0.17
0. 20
Murree
...
. . .
. . .
. . .
72
48
232.26
233.00
41
. . .
1.28
. . .
Pesháwar
...
. . .
. . .
. . . .
381
263
237 09
160.17
225
12
15.85
0.48
Nowshera
...
. . .
...
...
64
89
91.62
135.87
34
46
1.30
2.05
Total
. . .
3,842
5,960
4,368.53
5,880.26
2,248
252
122.41
15.74
( 6 )
TABLE No. III.
Statement showing the Amount of Expenditure for the years 1887 and 1889.
Hospitals.
Expenditure, 1887.
Expenditure, 1889.
REMARKS.
Rs.
A. P.
R s .
A.
P .
Delhi ...
...
. . .
2,238 10
0
650
0
0
Umballa
. . .
. . .
3,196 15
4
815
5
9
Dagshai
. . .
. . .
792 14
0
723 13
9
Kasauli
...
. . .
564 15
2
482
5
1 1
Subáthu
. . .
. . .
368
7
8
241
6
3
Solon
. . .
. . .
Details not available.
Jullundur
. . .
. . .
1,895
1
0
572
5
2
Ferozepore
. . .
..,
1,427 13
3
580 12
6
Meeau Meer
...
. . .
3,440
1
3
570 14
6
Mooltan
. . .
. . .
2,210 12
3
332
0
0
Dalhousie
...
. . .
353 14
1
312
2
7
Siálkot
. . .
...
1,032
6
3
1,147
0
9
Ráwalpindi
...
. . .
3,120
8
2
1,070
3
2
Attock
. . .
. . .
410
1
0
396
0
0
Murree
. . .
. . .
521
4 10
258
7
4
Pesháwar
...
. . .
1,678
8
3
656 12
7
Nowshera
. . .
. . .
1,032
6
3
1,042
4
6
Total
...
24,284 10
9
9,851
14
9
Punjab Government Press, Lahore—20-5-90—160.
ERRATA IN THE LOCK HOSPITAL REPORT FOR 1889.
Attock Lock Hospital—
Para. C. of the Report, statement showing the extent of venereal disease
among British troops :—
Average strength for 1885, for 101.00 read 102.41.
”
”
for 1886, for 102.41 read 106.40.
”
” for 1887, for 106.40 read 112.00.
”
” for 1888, for 112.00 read 109.06.
Peshádwar Lock Hospital—
Para. C. of the Report, statement showing the extent of venereal disease
among British troops :—
Ratio of admission per m ille of strength for 1887, for 237.90 read 237.09.
”
”
”
for 1888, for 190.51 read 190.60.
” ”
”
for 1889, for 160.10 read 160.17.
N o 2 3 , d a t e d 1 1 t h J a n u a r y 1 8 9 0 .
From—The Officer Commanding at Delhi,
To—The Deputy Commissioner, Delhi District.
WITH reference to your memo. No. 51, dated 9th instant, I have the honor
to re-submit the enclosed Annual Report on the Delhi Lock Hospital for 1889, for
favor of submission to the Inspector-General of Civil Hospitals, Punjab, in
accordance with paragraph 5 of letter No. 337, dated Lahore, 4th July 1887, from
Secretary to Government, Punjab and its Dependencies, to the Inspector-General
of Civil Hospitals, Punjab, received in this office under your No. 1090, dated
16th July 1887.
Endorsement by the Deputy Commissioner, Delhi.
No. 10, dated 13th January 1890.
Copy and original enclosures submitted to the Commissioner and Superin
-tendent, Delhi Division, for perusal and favor of transmission to the Inspector-
General of Civil Hospitals.
Endorsement by the Commissioner and Superintendent, Delhi Division.
No. 32, dated 18th January 1890.
FORWARDED to Inspector-General of Civil Hospitals, Punjab.
ANNUAL REPORT OF THE DELHI LOCK HOSPITAL FOR THE YEAR 1889.
A.—There has been no change in the hospital accommodation during the
year. The building has been found large enough for the
requirements of the Lock Hospital. Its drawbacks are—
that its ventilation and lighting are faulty, it is situated in a crowded locality,
it is difficult of access, and it is placed a long distance from the centre of control
and far away from cantonment limits.
B.—Surgeon W. G. Thorold, I.M.S., was in charge for the months of
January, February and March; Surgeon R. T. Beamish,
M.S., for April ; Surgeon D. M. Moir, I.M.S., for May ;
and Surgeon-Major A. M. Paterson for June and July. These officers received
no allowances. First Grade Assistant Apothecary W. A. Boucher was in charge
from the re-opening of the Lock Hospital as a 3rd class one on the voluntary
system on 1st August to 31st December.
C.—The weekly venereal return from the Station Hospital has been re
-gularly received.
The following comparative table for the past five
years shows at a glance the undoubted benefit of com
- p u l s o r y e x a m i n a t i o n a n d s k i l l e d t r e a t m e n t o f p r o s t i t u t e s a s a f f e c t i n g v e n e r e a l
disease amongst European soldiers :—
YEARS.
Average
strength.
Admissions.
Ratio per
1,000.
REMARKS.
1885
. . .
. . .
. . .
. . . . . .
462
105
227.27
1886
. . .
. . .
. . .
. . . . . .
489
169
345.60
Lock Hospital closed during the year.
1887 ..:
. . .
. . .
. . .
. . .
478
165*
343.09* Re-opened on 3rd March.
1888 . . .
. . .
. . .
. . . . . .
267
85*
318.35* Compulsory examination discontinued
from 31st August.
1889 ...
261
133
509.59
Re-opened on voluntary system on 1st
August.
Hospital accommodation.
Medical charge.
Weekly returns and
venereal disease amongst
the European troops.
* These figures differ from those reported last year, and are said to indicate venereal disease contracted
in Delhi only, and excludes cases sent into Delhi or contracted on the line of march.
Measures for control of
prostitutio
n.
Efficiency, classes and
area of registration.
Registration fees.
Attendance at periodical
examinations.
Disease among the women.
Dhaies,
2
Cantonment Sub-Com-
mittee.
D.—The Officers composing the Cantonment Sub-
Committee are—
The Officer Commanding British Troops.
The Senior Medical Officer.
The Deputy Commissioner.
The District Superintendent of Police.
E.—No special measures for the control of prosti
-
tution were adopted, as the Lock Hospital is worked on
purely voluntary lines.
F.—No registration of women practiced.
G.—No registration fees were levied.
H.—The women will not attend voluntarily.
I.—On the re-opening of the Lock Hospital on the 1st of August, mes
-sengers were sent to the women, informing them that they
could obtain skilled treatment whenever they chose to come
for it, and that on Mondays they would be examined if they would attend of
their own free will. A few women of the poorer class attended the Hospital on
the first occasion only. These women entirely failed to grasp the idea of a
voluntary institution for their benefit, and stated that they were , perfectly willing
to submit to compulsory examination under the rules hitherto in force.
J.—No woman applied for treatment during the
year.
K.—No dhaies were employed.
L.—The utility of the Hospital on the voluntary system at present in
vogue is nil, both to prostitute and the European soldier.
That compulsory examination and skilled treatment
of women who consort with Europeans would be of marked benefit to the Euro
-pean soldier, as well as to this class of prostitute, is a self-evident fact.
The Lock Hospital having been reduced from a 1st class to a 3rd class
one on the voluntary system, the high rent of the building—Rs. 40 per
month—should be a subject for consideration ; suitable hospital accommodation
within cantonment limits, or as close to them as possible, could probably be
procured at about half the present rent.
Arrangements for exa-
mination and treatment.
Any information or sug-
gestion
DELHI
The 4th January 1890.
W. A. BOUCHER, 1ST GRADE ASST. APOTHY.,
In Medical Charge of Lock Hospital, Delhi.
DELHI :
The 4th January 1890.
W. H. H. WATERS, CAPTAIN,
Secretary to the Cantonment Committee.
W. A. BOUCHER, ASST. APOTHY.,
In Medical Charge of Lock Hospital, Delhi.
Annual Statement No. I. of the Lock Hospital at Delhi for the year 1889.
1
2
3
4
5
6
7
8
Local Govern-
ment or Ad-
ministration.
Date on which
Lock Hospital
was estab-
lished.
Act under
which the
Rules are
in force.
Area over
which the
Rules are
in force.
Estimated
native popu-
lation within
this area.
Details of monthly pay of Establishment
.
Whether a first
or second clas
s Hospital.
R E M A R K S .
P u n j a b G o v e r n m e n t .
R e - o p e n e d a s a 3 r d C l a s s L o c k H o s p i t a l o n t h e v o l u n - t u r y s y s t e m , 1 s t A u g u s t 1 8 8 9 .
Q u a r t e r m a s t e r G e n e r a l ' s C i r c u l a r N o . 1 2 , d a t e d 6 t h A u g u s t 1 8 8 8 .
1 6 s q u a r e m i l e s .
1 6 9 , 5 5 8 .
'
Rs.
3 r d C l a s s H o s p i t a l .
Medical Officer
...
. . .
... 20
Native Doctor
. . .
. . .
. . .
. . .
Matron
. . .
...
. . .
...
5
Cook...
. . .
. . .
. . .
. . .
4
Bhisti
. . .
...
. . .
. . .
4
Mehterani
. . .
. . .
. . .
. . .
2
Total monthly cost of establish-
ment ... ... ... ...
35
3
DELHI :
The 4th January 1890.
W. H. H. WATERS, CAPTAIN,
Secretary to the Cantonment Committee.
W. A. BOUCHER, ASST. APOTHY.,
In Medical Charge of Lock Hospital, Delhi.
Annual Statement Bo. II, of the Lock Hospital at Delhi for the year 1889.
1
2
3
4
5
6
7
NUMBER OF REGISTERED PROSTITUTES.
Average 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 Cantonment
Magistrate or other
Civil authority for
non-attendance.
Number of Prosti-
tutes found diseased
at the periodica
Examinations and
detained for treat-
ment.
RECORD OF DISEASES.
Average number
of prostitutes
in Hospital for each
and the
y e a r
Diseases .
R e m a i n e d .
A d m i t t e d .
T o t a l .
D i s c h a r g e d .
Died.
R e i n i n g . D
T o t a l .
Number remaining on the Register at
the end of last year
January
January
January
January
Gonorrhœa
January
February
February
February
February
Syphilis, primary
None.
February
Number added to the Register during
the year 1889
March
March
March
March
Do., secondary
March
Total
April
April
April
April
April
Number who removed their names from
the Register, died or absconded
during the year 1889
N o n e .
May
N o n e .
May
N o n e .
May
N o n e .
May
N o n e .
May
June
June
June
Jane
June
None.
Number remaining on 31st December
1889
July
July
July
July
July
August
August
August
August
August
September
September
September
September
September
October
October
October
October
October
November
November
November
November
November
December
December
December
December
December
Total
Average for
the year.
Average for
the year.
Total for the
year.
Total for
the year.
Average for
the year.
Inspections for the examination of all registered prostitutes were held regularly every Monday.
4
DELHI :
The 4th January 1890.
W. H. H. WATERS, CAPTAIN,
Secretary to the Cantonment Committee.
W. A. BOUCHER, ASST. APOTHY.,
In Medical Charge of Lock Hospital, Delhi.
Annual Statement No. Ill, of the Lock Hospital at Delhi for the year 1889.
1
2
3
4.
5
MONTHS.
RECEIPTS.
EXPENDITURE.
How PAID.
R E M A R K S .
Registra-
tion fees
from Pros-
titutes.
Fines
levied
under the
Rules.
Total
Receipts.
Pay of
Medical
Officer.
Pay of
Establish-
ment.
All other
Expenses.
Total
Expenditure.
By Govern-
ment.
From
Cantonment
Fund.
Other
sources.
Total .
January.
...
None.
Rs. a. p.
Rs. a. p.
Rs, a. p.
Rs. a. p.
Rs. a. p,
Rs. a. p.
None.
Rs. a. p.
...
5 0 0
40 0 0
45 0 0
...
45 0 0
45 0 0
February
...
...
5 0 0
40 0 0
45 0 0
...
45 0 0
45 0 0
March
. . .
...
5 0 0
40 0 0
45 0 0
45 0 0
. . .
45 0 0
April
. . .
...
5 0 0
40 0 0
45 0 0
45 0 0
. . .
45 0 0
May
. . .
...
5 0 0
40 0 0
45 0 0
45 0 0
. . .
45 0 0
June
...
...
5 0 0
20 0 0
25 0 0
25 0 0
. . .
25 0 0
July
. . .
...
5 0 0
20 0 0
25 0 0
25 0 0
. . .
25 0 0
August
...
20 0 0
15 0 0
40 0 0
75 0 0
75 0 0
. . .
75 0 0
September
...
20 0 0
15 0 0
40 0 0
75 0 0
75 0 0
. . .
75 0 0
October
...
20 0 0
15 0 0
40 0 0
75 0 0
75 0 0
. . .
75 0 0
November
...
20 0 0
15 0 0
40 0 0
75 0 0
75 0 0
. . .
75 0 0
December
...
20 0 0
15 0 0
40 0 0
75 0 0
75 0 0
. . .
75 0 0
Total
...
100 0 0 110 0 0 440 0 0 650 0 0 560 0 0
9 0 0
0
650 0 0 I
.
No. 103, dated 28th January 1890.
From—Colonel H. M. BURLTON, Cantonment Magistrate, Umballa,
To—The Deputy Commissioner, Umballa.
HAS the honor to forward the enclosed report and returns for the year
1889 in connection with the working of voluntary Lock Hospital in this Can-
tonment for transmission to Punjab Government through the Commissioner of
the Division.
Endorsement by the Deputy Commissioner, Umballa.
Memo. No. 240, dated 30th January 1890.
FORWARDED to the Inspector-General of Civil Hospitals, Punjab, for favor
of transmission to Government.
ANNUAL REPORT OF THE LOCK HOSPITAL, UMBALLA, FOR THE YEAR ENDING 31ST
DECEMBER 1889.
A.—The hospital is situated in the Sadr Bázár, on the east side of the
Police Station, a road separating it from the latter. It is
equipped for 12 beds. The accommodation is suitable and
quite sufficient for present requirements, and no change was made in accommo-
dation since the last report.
B.—Surgeon-Major Z. Ahmed, M.D., Indian Medical Service, continued
in medical charge of the hospital up to the 5th March
1889, when, in accordance with Government orders, it
became a 3rd Class Lock Hospital, and the medical charge of the hospital
made over to 3rd Grade Hospital Assistant Chagmull Dás, who held charge up
to 31st March 1889, after which date I assumed charge of the Lock Hospital.
C.—The undermentioned tabular statement for the past four years
shows the extent of venereal diseases amongst the British
troops in this garrison.
It will be seen that the year 1889 has been very fruitful in the increase
of venereal diseases amongst the troops, and the percentage of admissions for
the abovementioned diseases a great deal higher than in the three previous
years, vig ., 1886, 1887, 1888, when the Contagious Disease Act was in full
force in Cantonments of British troops.
Exlent of Venereal Diseases amongst the British Troops during 1886-1889.
YEAR.
Average
strength of
the troops.
Admis- sions.
Ratio per
1,000.
REMARKS.
1885 . . .
...
1,463
623
425. 83
1886
. . .
. . .
1,977
568
287 . 30
1887
. . .
. . .
1,925
429
222.86
1888
. . .
...
1,842
679
368.62
1889
. . .
...
1,994
783
392.67
Nature and extent of the
hospital accommodation.
Changes in the medical
charge.
Extent of venereal dis-
eases amongst the Euro-
pean troops.
Of the 783 admissions, only in 36 cases were the diseases contracted in
out stations.
2
Number and character of
admissions amongst British
troops.
2. The number and character of the admissions for
the diseases is specified below on " an average strength of
1,994 " for the past year. It is given in a tabular form
DISEASES.
1889.
1888.
1887.
Primary syphilis
. . .
...
300
274
176
Secondary syphilis
. . .
...
69
70
27
Gonorrhœa ...
...
...
295
303
226
Ulcer of penis
...
...
. . .
115
10
...
Inflammation of glans penis
. . .
4
...
. . .
Other venereal diseases
...
...
...
22
. . .
Total
. . .
783
679
429
Weekly returns for vene-
real diseases.
Lock Hospital Sub-Com
mittee.
3. The weekly returns for venereal diseases of
the European troops were regularly received during the
year 1889 under report.
D.—The Lock Hospital Sub-Committee consists
of —
3 Commanding Officers of British Regiments,
1 Senior Medical Officer,
1 Deputy Commissioner,
1 Civil Surgeon,
1 District Superintendent of Police,
1 Cantonment Magistrate,
who would meet if any special matter was brought to their notice.
E & F .—Owing to the orders of Government, dated 6th August. 1888,
the hospital has been worked on the voluntary system, and
no register of prostitutes has been kept. The Police
having no power to check or arrest women for practising prostitution within
Cantonment limits, no arrests were made by them.
G.—Registration fees are not charged, vide Government of India
Proceedings, dated 20th January 1879 ; and no register of
prostitutes has been kept, vide Government orders, dated
6th August 1888.
Police and efficiency of
registration.
Registration fees.
Voluntary hospital attend-
ance.
H.—During the year under report 8 prostitutes
submitted themselves to be examined and treated in the
Lock Hospital.
I.—The following tabular statement will show at a glance the number
and class of diseases for which the prostitutes were admitted
during the year under report, but as the women of this
class never have recourse to Europe medicines, but invari-
ably ask the advice of quacks and hakims, who treat them
in their quarters, so that they may be permitted to carry on their trade at
the time they are under treatment, the statement only shows the number of
women who came to hospital as a last resource ; it does not show correctly the
Analysis of admissions
and prevailing varieties of
disease amongst the pros-
titutes.