CALCUTTA MEDICAL INSTITUTIONS.
5
these institutions, and in view of this consideration a reduction of mortality is a fact of
STATEMENT No.IV.
YEAR.
Death-rates per 1,000 including
cholera.
Death-rates per 1,000 excluding
cholera.
M e d i c a l C o l l a g e H o s p i t a l .
G e n e r a l H o s p i t a l .
C h a n d n e y H o s p i t a l .
P a u p e r H o s p i t a l .
M e d i c a l C o l l a g e H o s p i t a l .
G e n e r a l H o s p i t a l .
C h a n d n e y H o s p i t a l .
P a u p e r H o s p i t a l .
1863
199·6 79·4 165
158·7
59·3 122
1864
219·6 88·8 227
165·8 54·6 123
1865
214·7 69·9
202
52·8 142
1866
242·9
236
53·5 132
1867
148·5 63·9 166 243·2 124·9 45·2
123
240·1
1 8 6 8 175·73 72·2 201
206·8
1 5 0 · 6 48
134 256·9
1869
179·4 53
175 207
141·5 37·2 116
187·1
1870
138·7 52·9 115 308
127·4 39·5
81
222·7
1871
126·2 36·5
69
272·1 125·3 30·5
51
209·4
much wider and more
important significance
than if it is discussed in
relation to the internal
circumstances of particu-
lar institutions. Gener-
ous feeding is of small
avail in cases on which
death has set its mark
before they come within
the sphere of hospital
treatment, and it is these
cases which have hither-
to swelled the death
tables of the Metropoli-
tan hospitals. The de-
crease of cholera, which
will be specially noticed
in a subsequent para-
graph.accounts in a large
Decrease of cholera.
measure for the marked reduction in the mortality rates of 1870 and 1871. This appears
clearly from the adjoining valuable table drawn up by Dr. C. Macnamara from information
obtained from the officers in charge of the hospitals whose statistics are represented and
published in the Indian Medical Gazette for 1st May 1872.
From this statement it appears that, while there is in the four hospitals concerned a
slight reduction of mortality when cholera cases are excluded, this is not nearly so great
or striking as when cholera cases are included.
Another remarkable circumstance, which is prominently noticed by Dr. Chevers in his
report, and is clearly illustrated in statement No. VI, is the higher death-rate among
natives. This feature is observable in the general death-rate and in the death-rate of
particular diseases, more especially cholera, fever, diarrhœa, and dysentery. It is interest-
ing to observe that the rates of these diseases among the sick of the police are much more
moderate than among the native sick admitted into the other hospitals, and indeed compare
favorably with the rates among Europeans. This is another striking confirmation of the
truth above stated, that the death-rates of the hospitals are more dependent on what happens
to patients beyond than within them. This is still further proved by the statistics of
"moribund cases." These have now been defined to be cases of diseases other than cholera,
fatal within twenty-four hours of admission, and of cholera within six hours.
It appears from the statement in the margin that as the number of deaths and the death-
Higher death-rate
among natives.
"Moribund cases"
STATEMENT No. V.
YEARS
T o t a l t r e a t e d .
Total died.
Moribund.
Moribund per
cent. of total
deaths.
M e d i c a l C o l l a g e H o s p i t a l .
M u n i c i p a l P a u p e r H o s p i t a l
N o . t r a n s f e r r e d f r o m M e d i c a l C o l l e g e t o P a u p e r H o s p i t a l . M e d i c a l C o l l a g e H o s p i t a l
M u n i c i p a l P a u p e r H o s p i t a l .
M e d i c a l C o l l a g e H o s p i t a l
M u n i c i p a l P a u p e r H o s p i t a l . M e d i c i a l C o l l a g e H o s p i t a l .
M u n i c i p a l P a u p e r H o s p i t a l
1867
5,014
4,131 2,379 717 1,302 122 396 17·01 30·4
1868
4,575
4,841 1,299 804 1,626 117 455 14·5 27·9
1869
4,303
5,340 1,037 772 l,421
98 457 12·7 32·2
1870
3,999
3,975
429 555 1,075
83 374 14·9 33·3
1871
3,888
4,283
563 491 1,230
78 282 15·7 29·9
rate have declined, so has
the number of early
deaths; while the ratio
of "moribund" cases to
total cases continues very
much the same. There is,
however, a marked fall in
the proportion of such
cases in the Municipal
Pauper Hospital during
the past year. It will
appear also from the
statement on the margin
that the number of cases transferred from the Medical College Hospital has been declining. B