CALCUTTA MEDICAL INSTITUTIONS.
41
t i o n ; f o r ,
if the entire number of those which composed the excess of 1876
had suffered from the worst diseases, they would explain only a fraction
of the difference. The quantity of infecting syphilis in 1877 was nominal;
that of soft chancre less than half the quantity of the previous year; and the
other serious affections fell largely.
"I have given much attention to the remarks made by the Surgeon-
General last year respecting the method of returning cases of simple ulcer;
but I submit that the return cannot be complete if they be excluded. These
ulcers arise in the exercise of the women's calling, though they do not follow
specific infection. Many, probably most, of them become soft chancres if not
promptly treated. Indeed, the line is often difficult to draw when the cases
present themselves. They cannot be returned in any other place if they are
causes of detention, as they must be, nor can the working of the inspection
system be represented without them, therefore I have ventured to include them
in this return as in former years.
" Concerning gonorrhœa the same remarks are called for as before, only
those cases which manifest themselves by marked symptoms are held to justify
detention. Repair and restoration of buildings have greatly contracted our
accommodation during the year, and there has been no room for doubtful cases,
even had their detention been otherwise desirable.
Causes of sickness during the year.
Remarks on cases
of simple ulcer.
Gonorrhœa.
DISEASES.
R e m a i n e d .
A p p e a r e d .
T o t a l .
C u r e d .
I m p r o v e d .
A b s c o n d e d .
L i b e r a t e d .
D i e d
.
R e m a i n i n g .
Chicken-pox
...
2
2
2
...
. . .
. . .
. . .
. . .
Measles
...
21
21
21
. . .
...
. . .
. . .
. . .
Enteric fever
...
•••
...
1
1
...
...
•••
1
Fever, intermittent
...
3
215
218
213
...
...
5
"
remittent
. . .
1
1
1
...
...
. . .
. . .
Mumps
...
6
6
6
..,
...
•••
Phthisis
1
3
4
1*
. . .
...
3
...
Scurvy
...
...
1
1
1
...
...
...
-•
Anemia
•••
•••
...
1
1
...
1
Hemicrania
...
1
1
1
...
. . .
...
...
Asthma
—
...
...
2
2
2
...
...
"'
Pleuritis
.
1
1
1
...
•"
...
...
Dysentery
2
17
19
13
...
6
...
Diarrhœa
14
14
14
Colic
...
1
1
1
...
Constipation
...
3
3
3
....
..
Jaundice
2
2
2 ...
...
Ague cake
3
19
22
21
1
Dysmenorrhœa
2
2
2
.
...
...
Menorrhagia
...
”'
5
5
5
...
...
...
Melutes
.••
...
...
19
19
19
"
...
...
--
*"
---,
T o t a l
9
337
346
329
—
...
...
...
11
6
" The record of intercurrent sickness calls for no special remarks. The
death list is composed of cases admitted in a state of serious illness. There are
women accustomed to the comforts of the place, who bad many of them pro-
duced local sores for the purpose of obtaining a refuge in their extremity.
There was no cholera in the hospital.
" The buildings of the hospital have now all been restored. The large
masonry houses answer their purposes well, and the sheds, in my judgment,
afford excellent accommodation for ordinary patients.
" Expenditure in lock-hospital and examination depôts during 1877—
Rs,
A.
P
E stablishment
—
Total
...
.60
."
15,118 8 0
Per patient
...
...
...
52 6 2
Diet and extras
.
Total
...
...
*at
17,784 2 9
Per patient
...
...
...
...
61 9
1 1
Clothing and contingencies Total
/
...
...
...
...
.
2,802 13 0
Per patient
...
...
9 11 4
Bazar medicines
Total
...
...
.0.
..%
145 14 6
Per patient
...
..,
...
...
0 8 1
Total charges
...
...
...
...
0.0
...
35,851 6 3
Per patient
...
6.6
...
.
01.•
00.
..
124 3 7
" Such reduction of expenditure as has of necessity followed a slight fall
in the numbers of patients is represented in the foregoing figures. Reduction
is seen in the total amount and a small rise in the average cost of patients."
* Discharged.
Buildings.
Expenditure.