NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
24 ABST
TABLE No. VII.
An Abstract of Replies of the Medical Officers of the British and Indian Services to the Queries in Appendix I.
t indicates concurrence or approval; O dissent; and* uncertain.
RANK.
General of Hospitals
General of Hospitals ..
Surgeons
...
Surgeons ..
Surgeons
TOTAL
NUMBER.
.31
01
105
182
33
28
505
2nd
...
1
2
7
11
6
30
STAGES.
3rd
4
10
45
3D
8
10
122
4th
2
28
46
113
129
19
18
353
2
Communicable
†
2
29
02
153
178
3D
24
47S
0
1
...
2
2
5
?
1
10
4
1
4
22
3
From Persons
†
2
27
49
110
Ml
S3
11
375
»
3
2
13
13
3
7
41
9
1
13
30
25
7
7
89
CONTAGION.
4
From Places
†
2
29
GO
130
181
26
18
432
0
1
...
10
2
...
6
19
?
1
4
19
19
7
4
51
5
By Atmos-
phere.
†
2
25
51
132
148
29
21
408
0
1
1
3
7
1
13
?
5
12
30
27
3
7
84
6
By Water.
†
2
28
02
13G
166
29
21
431
3
3
3
1
...
12
?
...
1
9
2G
13
3
7
59
7
Through
Evacuations.
†
2
29
60
146
172
29
2G
464
0
...
2
2
1
5
?
2
4
17
10
2
1
36
SANITARY MEASURES.
8
1. Pure Air.
†
2
31
63
162
178
33
28
487
0
...
1
...
1
?
...
...
1
2
4
...
7
2. Free Venti-
lation.
†
2
31
01
162
179
33
28
499
0
...
..
...
?
...
...
...
3
3
...
6
3. Raised
Buildings.
†
2
30
5S
159
158
33
27
467
0
...
...
1
3
4
?
...
1
5
6
21
1
34
9
Malaria Inju-
rious.
†
2
25
58
110
151
32
21
432
0
...
1
2
7
7
1
3
21
?
5
4
18
24
...
52
10.
CROWDING.
1. In Buildings.
†
2
31
64
160
177
33
28
495
0
1
...
?
...
...
...
4
5
...
9
2. At Fairs.
†
2
31
64
161
180
33
28
500
0
...
...
..
...
...
?
...
3
2
...
...
TABLE No. VII, —continued.
RANK.
Inspectors- General of Hospitals
Inspectors- General of Hospital::
Surgeons
Surgeons
Assistant Surgeons
TOTAL
NUMBER.
2
61
165
182
33
28
505
11.
WATER.
1. Pure.
| 1 |
2
39
03
158
179
33
28
193
0
..
...
...
..
1
1
7
2. Boiling.
†
1
21
58
142
167
31
22
415
0
...
1
?
1
7
5
20
14
1
6
54
SANITARY MEASURES,-continued.
12. AUDITION TO WATER DANGEROUS.
1. Salt.
1
22
41
114
11!)
12
12
321
0
...
1
3
7
12
4
4
31
9
1
8
20
41
51
17
12
153
2. Vegetables.
†
2
21
47
121
131
17
11
356
0
...
2
2
7
?
7
15
39
44
2 | 14
2
15
15
131
3. Animal.
†
2
25
47
128
135
18
12
367
0
...
3
2
8
2
2
17
?
(i
11
33
39
13
14
121
13
Admixture of
Choleraic
Evacuations
cause Cholera.
†
2
27
54
110
170
29
20
418
o
1
2
2
1
6
?
3
8
23
11
4
2
51
14
Public
Latrines.
†
2
16
43
10S
137
25
17
353
o
1
3
1
1
11
?
...
13
15
51
43
7
10
141
15
Trees impede
dissemination.
†
1
8
27
73
71
14
2
199
...
2
4
11
11
4
2
40
1
21
33
78
91
15
24
266
PRECAUTIONARY MEASURES.
16. AVOID.
1. Dissemination.
†
2
31
63
160
176
32
28
492
0 ?
...
...
1
5
6
1
...
13
2. Exhaus-
tion.
†
2
31
61
160
179
33
28
197
0
...
...
9
...
...
5
3
...
8
3. Fatigue.
†
2
31
01
161
180
33
28
502
0
...
...
...
?
...
...
1
2
...
17
Diet
moderate.
†
2
30
61
153
175
33
28
487
0
...
...
..:
?
1
3
7
7
...
13
18. AVOID.
1. Unripe
Fruit.
†
2
31
62
101
181
32
23
500
0
..
...
...
?
...
...
2
1
1
1
...
2. Tainted
Food.
†
2
31
03
164
181
33
28
502
0
...
...
...
...
9 i
...
1
1
...
ABSTRACT OF R
TABLE No. VII.—continued.
P.ANK
?spectors-General
of Hospitals
?.
Inspectors-General of Hospitals...
Surgeons-Major
Surgeons
| Assistant Surgeons
Uncovenanted Surgeons
Sub-Assistant Surgeons
TOTAL.
Number.
2
31
61
165
182
28
505
10
Remedy
Disease.
†
2
31
04
161
179
33
23
501
o
...
...
...
?
1
3
20
Purgatives
Daugerous.
†
3
27
53
118
159
31
27
452
o
..
...
2
1
7
1
1
12
y
...
1
1
16
16
1
41
21. USFFUL AS PROPHXLACTO.
1. Quinine.
†
2
13
44
98
181
16
7
o
...
6
19
20
3
4
?
...
13
1-1
48
81
14
17
187
2. Chiretta.
†
2
16
38
88
73
15
7
239
o
0
21
20
6
4
60
?
15
¿0
53
89
12
17
206
3. Tonics.
†
2
10
38
00
75
16
7
244
o
...
6
19
'20
4
4
53
?
15
20
56
87
13
17
208
PRECAUTIONARY MEASURES,—continved.
22
Prevent
spreading by
Evacuations.
†
2
29
63
136
180
32
28
490
o
...
...
2
.
2
?
...
3
1
7
...
13
23. EVACUATIONS.
1. Bury.
2
27
57
131
MO
29
19
411
o
1
1
7
0
2
3
19
?
3
0
'27
30
2
75
2. Burn.
†
2
29
51
1-13
1,7
26
23
421
•
9
16
?
2
11
20
20
4
5
68
24. DlSINFECTANTS.
1. Utensils.
†
2
31
62
160
181
32
28
496
o
1
1
1
3
?
1
4
1
...
...
6
2. Burn
Clothing.
†
2
3
60
160
179
32
23
102
o
1
...
1
1
3
?
3
5
2
10
3. Building.
†
2
31
63
1G2
181
33
28
490
o
...
?
...
...
2
3
1
...
0
I. Infected.
†
2
30
61
160
177
33
24
437
o
1
1
2
?
1
2
5
4
...
4
16
25. ISOLATE
2. Special
Hospitals.
†
2
29
59
161
177
33
24
485
o
1
2
...
3
?
1
3
4
5
...
4
17
3.
Attendants.
†
2
29
58
158
175
32
23
477
o
1
2
1
1
1
1
7
?
1
4
6
6
...
4
21
TABLE No. VII, —continued.
RANK.
Inspectors-General of Hospitals
Depy. Inspectors-General of Hospitals...
Surgeons-Major
Surgeons
Assistant Surgeons
Uncovenanted Surgeons
Sub-Assistant Surgeons
TOTAL
NUMBER
2
31
64
163
182
33
28
505
PRECAUTIONARY MEASURES,—continued.
26.
REMOVE.
J. From
Locality.
†
2
29
63
161
173
33
29
494
o
...
1
3
...
...
4
?
...
2
1
3
1
...
2. Into Tents.
†
2
28
62
153
170
31
27
481
o
2
4
...
...
6
?
...
3
2
5
2
2
1
15
3. Across
Hivers.
†
2
2S
59
165
168
31
28
472
o
...
...
...
2
3
1
6
?
...
3
5
7
11
1
27
27. EXCLUDR.
1. Affected.
†
2
31
59
150
180
31
26
485
o
1
1
1
3
?
...
5
8
1
1
2
17
2. Clothes.
†
2
31
59
156
178
31
26
483
o
...
1
1
1
3
?
...
5
8
3
1
2
19
3. Vehicles.
†
2
31
59
156
178
31
26
483
o
1
1
1
3
?
5
8
3
1
2
19
1. Sulphur.
†
3
25
47
108
126
24
19
351
o
...
1
3
1
2
7
?
6
16
54
55
7
9
147
-
2. Chlorino.
†
2
23
51
133
138
27
21
394
o
...
2
..
2
...
...
7
?
...
6
13
30
42
6
7
104
23. DISINFECTANTS PREFERRED.
3. Carbolic
Avid.
†
2
22
55
138
163
31
20
431
o
...
..
1
...
1
9
9
26
10
2
8
73
4. Iron.
†
1
18
36
75
100
15
10
255
o
...
2
2
2
...
2
8
?
1
13
26
88
80
18
16
212
5. Charcoal.
†
2
18
38
104
97
22
18
290
o
...
2
2
4
1
9
?
13
24
59
81
11
9
197
6. Zinc.
†
2
18
36
95
96
15
18
280
o
...
1
2
3
...
2
7
?
...
13
27
68
81
18
8
213
7. Lime.
†
1
10
39
106
92
27
20
304
O
1
2
5
10
18
?
1
11
23
54
80
6
8
183
TABLE No. VII ,—continued.
BANK.
Inspectors-General of Hospitals
Depy. Inspectors-General of Hospitals
Surgeons
Assistant Surgeons
Uncovenanted Surgeons
Sub-Assistant Surgeons
TOTAL
2
31
04
165
18S
33
28
505
!
PRECAUTIONARY MEASURES,-CONTINUED.
20. GENERAL MEASURES.
1. Distribution
of medicines.
†
2
20
61
147
173
32
28
472
0
...
...
...
7
2
1
10
?
...
2
3
11
7
...
...
28
2. Fanerai and
Marriage
Feubts.
†
2
28
66
133
169
31
25
419
0
...
...
1
8
3
2
14
?
...
3
7
10
10
...
3
42
3. House to
House
visitation.
†
2
28...
59
162
172
32
27
472
1
6
1
1
9
?
...
3
4
7
9
...
1
21
30
Early
Treatment.
†
2
31
63
161
178
33
26
494
0
...
...
1
...
...
...
1
F
...
1
3
4
...
2
10
31
Remove poison
from system.
†
2
19
61
132
150
28
22
404
0
...
1
1
8
6
1
1
17
?
...
11
12
25
27
4
6
81
Support the
Organs.
†
2
29
61
151
174
33
23
48l
0
...
1
1
...
2
?
2
3
10
7
...
22
INDICATION OF TREATMENT.
|
33. RESTORE SECRETIONS OF
1. Liver.
†
2
28
58
156
168
32
25
469
0
...
...
2
o
1
1
6
?
...
3
C
12
...
S
30
2. Kidneys.
†
2
28
58
156
173
32
25
474
0
...
...
1
1
1
5
?
3
6
8
...
»
3. Lungs.
†
2
2s
67
156
167
33
23
407
o|P
1
3
6
8
2 13
1 ...
1, 2
6 32
4. Skin.
†
,_
•28
57
156
167
32
25
467
1
1
1
1
1
5
?
...
3
6
8
14
2
33
81. REMOVE
1. Effete.
† o
2 !...
23 ...
62 2
138 5
150 2
27
23
415
2
8
10
22
30
4
6
79
•i. Imparities.
†
2
23
52
133
150
27
23
415
0
2
3
1
2
8
?
...
8
10
11
31
4
5
72
35. GUARD AGA1NST
1. Checking
Reaction.
+
2
31
62
101
176
32
27
401
0
1
..
1
...
2
?
••
...
2
3
6
1
12
2. Violent
Reaction.
31
62
0
...
159 1
171
32
27
48l
2
1
•1
?
2
5
9
-I
1
17 |
TABLE No. VII,-continued.
RANK.
Inspectors-General of Hospitals .
Depy. Inspectors-General of Hospitals. ,
Surgeons
Assistant Surgeons
Uncovenanted
Surgeons
...
. |
Sub-Assistant Surgeons .
TOTAL
S
.
2
31
61
165
182
33 ;
28
503
; INDICATION OF TREATMENT,—contd.
\
36
Remove
Local
Complications.
%
30
! 63
161
175
32
26
i°-
...
...
...
1
..
1
?
1
2
4
7
2
16
37
;
Different
Stages.
†
2
31
62
161
170
S3
28
195
0
...
...
1
1
?
...
...
2
1
3
0
38
Primary
Action.
†
2
17
40
78
86
8
20
251
0
...
...
1
5
6
...
1
?
11
23
82
90
23
7
1
39. ELIMINATE POISON
1. Liver.
†
2
22
65
123
137
31
18
388
0
...
1
1
8
5
1
2
18
?
-
8
8
34
40
1
8
99
S. Kidneys.
†
2
22
61
125
136
31
18
0
1
1
7
5
1
2
17
?
8
9
33
11
1
8
100
_
THROUGII
3. Skiu..
†
2
20
63
121
133
30
17
379
0
1
2
11
7
1
3
25
?
10
30
42
o
8.
un
4. Lungs
†
2
19
62
120
121
30
0
1
2
7
6
1
18 | 2
305 19
TREATMENT 1st STAGE MALAISE.
!
40
I
Ko Specific.
i
? +
.. ¡
2
11|
30
10 62
38 161
52 171
2 ; 31
8
28
121 185
0
...
...
*
...
1
?
1
2
1
9
...
...
16
•il
42
Spices.
†
2
28
59
137
132
27
17
0
...
3
2
5
3
25
25
*
«
66
Wines and
Spirits.
†
2
27
57
130
151
27
23
•126
0
1
4
3
4
1
13
?
4
0
25
23
•1
(M
43
Calomel.
†
2
26
47
127
115
27
18
362
1
8
9
1
3
22
?
...
16
30
58
5
121
Quinine.
2
20
50
112
113
20
16
333
o
?
2
3
S
12
3
3
9
15
57
10
9
111
45
|
Purgatives
Dangerous.
!
†
2
20
57
141
156
31
21
413
0
...
4
1
...
8
?
...
2
3
20
21
1!
TABLE No. VII,—continued.
RANK.
Inspectors-General of Hospitals
Depy. Inspectors-Goueral of Hospitals .
Surgeons-Major
Surgeons
Assistant Surgeons
Uncufcnanted Surgcons
Sub-Assibtant Surgeons
TOTAL
3
2
31
64
165
182
33
28
505
TREATMENT 2ND STAGE DIAKUIKEA,—eonld.
1. Purgatives
Dangerous.
†
o
32
47
128
136
24
20|
379
2
10
13
12
2
5
41
7
7
21
34|
7
3
82
61
2. Castor-oil.
†
2
10
36
80
77
15
10
236
0
...
8
13
34
40
7
10
114
?
7
15
49
65
11
155
3. Hot Saline
Enemata.
†
2
13
30
61
66
10
5
180
0
3
13
20
25
7
12
86
?
15
21
75
101
10
11
239
65
Fatigue
Dangerous.
†
2
30
61
160
181
33
28
495
0
1
1
2
?
1
2
4
1
• •
•• !
8
1. Believe
urgent
symptoms.
†
2
31
59
159
179
32
27
489
0
1
2
1
1
5
?
4
4
3
11
66
2. No active
remedies.
†
2
30
54
146
163
26
28
438
0
...
6
6
16
2
...
30
?
1
4
14
13
5
37
1. Ieed
Water.
†
2
30
61
160
171
31
27
482
0
•
1
2
1
1
5
?
...
1
2
3
10
2
...
18
TREATMENT 3RD STAGE COLLAPSE.
. 2. Ice
in mouth.
†
2
30
58
161
172
31
22
476
0
3
1
...
2
6
?
'
3
9
2
4
23
67. TMRST.
3. Cold Water
Ammonia
and Soda.
†
1
24
50
133
146
25
23
402
0
••
4
5
1
2
2
17
?
1
7
10
27
32
«
3
86
4. Effervescing
draughts.
†
2
28
57
147
167
29
23
463
0
1
2
4
3
2
12
?
2
5
14
12
4
3
40
6 Acid
draughts.
†
1
| 24
48
124
141
22
23
383
0
...
3
18
S
2
2
33
?
1
7
13
23
33
9
3
89
1. Sinapisms.
†
S
28
54
143
173
32
27
459
0
2 7
2
1
12
?
3
8
15
7
1
34
68. Vomitting.
2. Blisters.
†
18
34
75
74
18
11
230
0
2
12
40
39
6
8
100
?
2
11
18
50
69
10
!»
169
S. Ice to Spine.
†
1
19
26
67
82
17
8
220
0
1
9
25
25
10
75
?
1
11
29
73
75
11
10
210
TABLE No. VII,—continued.
RANK.
Inspectors-General of Hospitals
Depy. Inspectors-General of Hospitals ..
csistuit Surgeons
Uncovenanted Surgeons
| Sub-Assistant Surgeons
Total,
M
g
2
31
01
165
182
33
28
505
4. Large doses
of Calomel.
†
13
22
68
51
15
10
183
•
1
3
15
43
41
5
10
121
?
15
27
54
84
13
8
201
68. VOMITTIÎTG,—continued.
6. Mustard
Emetic.
.
...
15
21
70
56
7
2
171
0
2
17
46
47
7
12
131
?
2
14
26
49
79
19
11
203
J. Tartar Eme-
tic.
†
11
15
38
27
2
1
04
0
1
6
25
59
81
11
14
200
?
1
14
21
68
71
20
13
211
7. Hydrocyanic
Acid.
†
11
S3
76
93
19
19
230
0
1
3
10
31
19
7
6
77
?
1
17
22
58
70
7
3
178
8. Chloro-
form.
†
16
37
87
103
11
15
272
0
1
2
S
27
18
4
5
66
?
1
13
18
51
61
15
8
167
TREATMENT 3RD STAGE COLLAPSE,—continued.
9. Creosote.
†
11
24
60
81
9
6
191
0
1
15
32
15
4
8
75
?
2
19
35
73
83
20
14
236
69. CONGEE STOOLS.
1. Hot Saline
Enemata.
†
2
15
34
89
92
22
19
273
0
2
9
13
14
3
3
44
?
14
21
63 |
76 |
8|
6
188 |
2. Opium and
Chloroform
Dangerous.
†
1
21
40
110
125
21
18
339
0
1
7
11
18
4
3
11
?
1
9
17
44
39
5
7
122
1. Hot Saline
Enomata.
†
2
22
30
73
67
10
5
208
0
1
6
18
12
7
9
53
?
...
8
28
75
103
16
11
211
70. CHAMPS.
2. Frictions.
†
2
25
58
149
166
28
28
456
0
3
1
2
...
11
?
6
3
12
14
3
»
3.Chloro-
dyne.
† 0
11 1
33 10
61 31
85 27
10 1
12 5
215 81
?
2
19
21
67
70
19
11
209
4. Strych-
nine.
†
4
31
30
31
6
1
90
0
1
15
47
37
9
9
118
?
2
26
28
88
111
18
18
291
71. WEAK ACTION OF HEART.
1. Saline
transfusion.
†
...
2
12
41
38
6
1
103
0
5
13
35
7
91.
?
24
39
86
120
20
17
308
2. Enemata,
†
1
•
24
63
77
13
2
186
0
4
10
23
12
5
9
63
?
1
21
30
79
93
15
17
256
3. Brandy.
†
...
13
37
94
134
24
17
318
0
1
2
6
25
13
3
6
56
?
1
17
21
46
35
6
5
131
30 ABSTRACT OF R
TABLE No. VII, —continued.
RANK.
Inspectors-General of Hospitals
Depy. Inspectors-General of Hospitals...
Surgeons-Major
Surgeons
Assistant Surgeons
Uncovenanted Surgeons
Sub-Assistant Surgeons
TOTAL
Nursen
9
31
G4
1G5
182
33
28
303
TREATMENT 3RD STAGE COLLAPSE,— contd.
87. NOURISHMENT.
1. Soups.
†
2
31
58
156
109
30
28
174
o
4
3
3
1
11
?
2
6
10
9
20
2. Liebig's.
†
2
30
59
146
161
30
19
447
o
3
3
5
1
3
15
?
1
2
16
16
2
6
43
3. Nourishing
Encmata.
†
2
31
57
146
104
30
23
453
o
4
3
2
3
12
?
3
16
16
3
2
40
88
Stage of
Cholera.
†
2
2G
54
143
151
2G
27
429
o
1
1
8
3
13
?
5
9
21
23
4
1
G3
89
Relieve
symptoms.
†
2
31
C4
163
182
33
28
503
o
1
1
?
\
1
90
Sleep.
†
0
31
63
163
181
33
28
501
o
1
...
1
?
1
1
...
3
91
TREATMENT 4TH STAGE RAKACTION.
Quinine.
t
?
17
41
84
76
20
8
248
o
3
5
9
17
R
42
?
11
18
72
89
13
12
215
STAG E Kl
92. ACT AS POISONS.
1. Brandy.
†
2
25
55
129
140
26
26
403
o
3
2
10
10
2
27
?
3
7
26
32
5
9
75
2. Opium,
†
2
27
56
130
149
26
27
417
o
1
2
11
7
2
23
?
3
6
24
26
5
1
65
ION.
1. Turpentine,
†
9
19
44
112
110
22
16
325
o
9
14
18
1
4
46
?
12
11
39
54
10
8
134
93. SUPPRESSION OF URINE.
2. Blisters,
Sinapisms.
†
1
18
40
86
87
15
11
238
o
1
1
12
24
28
7
5
77
?
12
11
55
67
11
13
170
3. Dry
Cupping.
†
1
23
48
125
141
27
21
386
o
6
4
8
18
?
1
8
10
36
33
6
7
101
4. Chlorate of
Potash.
†
18
43
97
116
22
15
311°6
8
5
1
o
22
?
2
13
15
60
61
10
11
172
TABLE No. VII .—continued.
RANK.
InspectoRs-GENERAL of Hospitals ..
Depy. Inspectors-General of Hospitals...
Surgeons-Major
Surgeons
Assistant Surgeons...
Uncovenanted Surgeons
Sub-Assistant Surgeons
TOTAL
2
31
64
165
182 i
33
28 28
305
TREATMENT 4TH STAGE REACTION,— continued.
13. SUPERVISSION OF
continued,
5. Hot baths.
†
18
42
110
116
16
11
313
8
8
11
2
5
31
?
9
13
14
47
55
15
12
108
G. Tincture
Cantharides.
†
16
36
86
93
16
9
250
o
2
11
22
23
6
10
77
?
2
13
17
57
63
11
9
172
94. DEFICIENCY OP BILE.
1. Calomel.
†
1
21
46
125
125
29
23
371
o
1
0
15
18
2
2
44
?
1
9
12
25
38
2
3
90
2. Spices.
†
1
15
32
78
63
20
5
211
o
1
11
30
36
3
10
01
?
1
15
21
57
33
10
13
200
3. Opium.
†
1
12
29
71
37
δ
9
157
o
3
14
46
66
17
7
153
?
1
16
21
4S
79
11
19
195
1, Anodynes.
†
2
24
43
116
135
27
9
361
o
2
5
10
15
2
6
40
?
6
11
39
32
4
13
101
95. PURGING
2. Calomel.
†
9
17
39
91
70
20
8
247
o
2
6
22
39
6
4
79
?
12
19
52
73
7
16
179
3. Ipecac.
2
18
40
99
86
13
8
2GG
2
9
13
22
6
6
58
?
...
11
15
53
74
14
14
181
90 VOMITING.
1. Effervescing
draughts.
†
9
30
60
158
176
31
27
484
o
2
1
3
?
1
2
6
6
2
1
18
2. Nourishing
Euemata.
†
9
31
56
155
168
31
20
469
o
3
1
9
1
7
?
5
9
12
1
2
29
97
Nourishing
Food.
†
2
31
6-1
163
181
33
27
501
o
...
...
...
...
?
...
2
1
1
4
98
Change of Air.
†
2
31
6
159
181
33
28
495
o
1
1
?
2
6
1
9
99
One attack
docs not pre-
vent another.
†
2
30
03
147
172
31
23
173
o
...
9
1
1
1
?
1
1
16
9
1
3
( 31 )
APPENDIX No. I.
QUERIES ON THE TREATMENT OF EPIDEMIC CHOLERA.
I.—SANITARY MEASURES.
Indications.—To remove impurities of air and water.—Obviate crowding.
1. The influence of pure air and free ventilation, and of elevation of residence.
2. The effect of malarious or vitiated air.
3. The effects of crowding in buildings, and of assembling in large numbers at fairs, &c.
4. The influence of pure water; of the soil in which wells are dug; of the construction of
wells; and of boiling of water.
5. The effects of admixture in water of natural salts, or of vegetable or animal adulteration.
6. The effects of admixture of evacuations from affected individuals, from sewers, &c.
7. The influence of latrines on the spread of the disease.
8. The influence of trees in checking the dissemination of cholera.
II.—PRECAUTIONARY MEASURES.
1. Indications.—To preserve health, to avoid exhaustion, to guard against the dissemination
of the disease, and the imbibing of the poison.
2. Diet—Moderate use of wholesome food and wine.
3. Avoiding unripe fruit, indigestible or tainted food.
4. To remedy any disease, especially diarrhoea, and avoid exhaustion and exposure.
5. The action of purgatives, especially saline, is dangerous.
6. As to the use of quinine, particularly during the rainy season, and in malarious situations
7. To prevent the dissemination of the disease through the evacuations of those affected.
8. To remove, and bury, or burn evacuations.
9. To disinfect utensils and contaminated buildings, and burn soiled clothing.
10. To isolate the affected—Special attendants—Cholera hospitals should be moveable.
11. Removal from the affected locality.
12. To exclude affected individuals, or fomites.
13. Disinfectants.—Special advantage of sulphur, chlorine, carbolic acid, iron, charcoal.
14. House to house visitation, and distribution of medicine. Early treatment.
15. Discourage funeral or marriage feasts.
III.—THE TREATMENT.
1. General indications.—To remove the poison of cholera from the body.
2. To strengthen or support the individual organs affected by the poison.
3. To restore the secretions suspended by the presence of the poison in the body, as the liver,
kidneys, lungs.
4. To remove the effete constituents of the body retained by the suspension of the secretions
and excretions.
5. To support the strength.
6. To guard against violent re-action.
7. To remove local complications.
8. The different stages of the disease requiring different remedies.
9. The primary action of the poison depresses or paralyses the sympathetic and ganglionic
nerves, and diminishes or suppresses the secretions of the organs supplied by them.
IV.—FIRST STAGE, OR MALAISE.
1. Indications.—To eliminate the poison through the secretions of the liver, kidneys and
skin.—To avoid exhaustion or exposure.
9
CALCUTTA ;
OFFICE OP SUPERINTENDENT OP GOVERNMENT PBINTING,,
NO. 8, IIASTINGS STREET.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND,
FOR THE YEAR 1863.
Bombay:
PRINTED FOR GOVERNMENT
AT THE
EDUCATION SOCIETY'S PRESS, BYCULLA.
1864.
REPORT
ON
VACCINATION THROUGHOUT THE BOMBAY
PRESIDENCY AND SIND,
FOR THE YEAR 1863.
No. 694 OF 1864.
From the PRINCIPAL INSPECTOR GENERAL, Medical Department,
To the SECRETARY to GOVERNMENT, General Department.
SIR,—I have honour to submit to His Excellency the Governor in Council
the Annual Report on Vaccination for 1863. It consists—
1st.—Of a brief statement of the general working of the Department
during the year;
2ndly.—Of extracts from the reports by the Superintendents of Vaccination
and by Civil Surgeons ; and
3rdly.—Of tabulated figured results.
2. Subsequent to the date of my last report, no change took place, either
among the Superintendents, or in the extent of their respective circles of
vaccination. They stood as follows up to the close of the year:—
Northern Circle—Assistant Surgeon Dick, M. D.
Central
do.
„
„
Southern
do.
„
„
Sind
do.
„
„
Kuttiawar do.
„
„
RewaKanta do.
„
„
Beatty, M. D.
Plumptre.
Pinkerton, M. D.
Butler, M. D.
Adey.
Presidency do. Sub-Assistant Surgeon Anunta Chundroba.
( iv )
3. There is, I think, good reason to be satisfied with the amount of work
performed. In the report for 1862 it was shown that the number of opera-
tions was nearly 15,000 less than during the preceding year, and it was
stated, in consequence, that the general result could not be " regarded as other-
wise than unsatisfactory." I am happy to say, however, that the returns for
1863 show a decided improvement, and contrast favourably with those of the
former year. Thus, while the total number of vaccinations in 1862 was
245,565, the number for the past year was 267,995, being an increase
of 22,430.
4. This increase, though not very large, is nevertheless much greater
than I expected. Indeed I anticipated a falling off in numbers, owing to the
great difficulty which was experienced by the Superintendents in obtaining
the aid of peons, to assist their vaccinators in the districts in collecting
children for vaccination, and subsequently for inspection.
5. In the last report I dwelt at some length on this subject. It was
pointed out that in consequence of recent reductions in the revenue establish-
ment, the Collectors had been compelled, to a great extent, to withhold the
assistance of peons, their diminished number being merely sufficient for the
discharge of the revenue duties for which they were entertained. I, in con-
sequence, urged the importance of removing these obstacles to progress by
sanctioning the entertainment of one peon for every vaccinator, employed by
each Superintendent in British territory.
6. It is gratifying to record that these dfficulties are now at an end, for,
owing to the support which was afforded to my recommendation by His Ex-
cellency the Governor in Council, the sanction of the Government of India
has recently been received for the employment of 125 peons to be attached
to the Department.
7. I anticipate as the result,—in common I believe with every Superinten-
dent,—a great extension of vaccination, and consequently not only a considera-
ble saving of life, but a proportionate diminution of blindness and of the many
other evils which spring from small-pox, and which prevail in all directions
to so terrible an extent.
8. It is but just to Dr. Dick, of the Northern Circle, and to Dr. Beatty, of
the Central, to state that the largest portion of the increase is met with
in the returns from their districts, and is mainly due to their exertions. There
was also an increase at the Presidency; while in the Southern, Sind, Kattiawar,
and Rewa Kanta Circles, there was a slight diminution. There was also a
marked increase under the Civil Surgeons at Sattara, Rutnagherry, Kurrachee,
Rajkote, and Broach, but a considerable falling off at Dhoolia, Nassick,
Honore, Dharwar, and Hydrabad.
( v
)
9. The greatest increase in any one Circle was in the Northern. Dr. Dick
attributes it very much to the more effectual assistance which was afforded
by the Native officials, in consequence of the strict orders issued by the Civil
authorities. As doubtless, however, equally strict orders were given by the
Civil authorities in all other parts of the Presidency, I am inclined to regard
it as due mainly to his own unwearied exertions.
10. Dr. Beatty seems to attribute the improvement shown in the returns
from his Circle chiefly to a plan which he adopted for facilitating the work
of his vaccinators, by arranging personally with Native officials for the vacci-
nation of children in the districts through which he passed. Thus, after
having inspected the work and register of a vaccinator, and satisfied himself
as to the quality of the lymph, he proceeded in advance, visiting the villages
and towns on his route, and collecting the children. With the aid of the
patel and kulkurnee, a list of all unvaccinated children was then made out,
signed, and forwarded to the vaccinator who was to follow.
11. The particulars of the plan will be found in the extracts from his report,
and as I consider the mode of procedure very judicious, I would commend it to
the consideration of the other Superintendents. Dr. Pinkerton adopted a
somewhat similar plan in the districts through which he travelled in Sind.
12. Out of the total number of operations, about 10 per cent. proved
unsuccessful. Thus out of 267,995 vaccinations, 243,138 were reported as
successful. Every practicable means appear to have been taken by the
Superintendents to test, personally and otherwise, the accuracy of the returns
of their vaccinators, and there is good reason to believe that in the main
they are correct. Two instances of falsification, however, came to light in
Sind, one in Canara, and one in the Central Circle. It should therefore be
understood that the figures are to be regarded, not in the light of perfect
accuracy, but merely as an approximation to it.
13. In reporting the case of falsification in the Central Circle, Dr. Beatty,
who has had a very large and very lengthened experience, and who is there-
fore not likely to be mistaken, stated that with that one exception, the returns
had invariably been found correct, and that the reported percentage of suc-
cessful cases was " as near an approximation to truth as possible."
14. Dr. Dick also, after examining the work of no less than 29 vacci-
nators, and verifying their returns, states that he failed to discover any false
names recorded, and that he is "satisfied that falsification does not take
place to any great extent."
15. With regard to sex—
145,159 were males, and
122,836 were females.
This relative proportion corresponds very closely with that of previous years.