CALCUTTA MEDICAL INSTITUTIONS.
31
4. Some of the more interesting statistics of the sickness and mortality of the in-door
patients according to caste and sex are shown in the following table:—
CASTE AND SEX.
Total treated. Total deaths.
Per cent.
treated to
total treated.
Death-rate
per cent. of
total deaths.
Death-rate per
cent. of total
of each class
treated.
Christians ...
Males
... ... ... ...
1
1
· 0 4
· 3 8
1 0 0 · 0 0
Females ... ... ... ...
1 ......
· 0 4
· 0 0
· 0 0
Children ... ... ... ... ......
......
· 0 0
· 0 0
· 0 0
Mussulmans ...
Males
... ... ... ...
5 4 6
4 4
2 6 · 9 0
1 7 · 0 5
8 · 0 5
Females ... ... ... ...
3 3
5
1 · 6 2
1 · 9 3
1 5 · 1 5
Children
... ... ... ...
2 1
3
1 · 0 3
1 · 1 6
1 4 · 2 8
Hindoos ...
Males
... ... ... ...
1 , 0 6 6
1 5 4
5 2 · 5 3
5 9 · 6 8
1 4 · 4 4
Females ... ... ... ...
2 4 8
3 5
1 2 · 2 2
1 3 · 5 6
1 4 · 1 1
Children ... ... ... ...
7 3
9
3 · 5 9
3 · 4 8
1 2 · 3 2
Other Castes...
Males ... ... ... ...
2 8
5
1 · 3 7
1 · 9 3
1 7 · 8 5
Females
... ... ...
...
1 0
2
· 4 9
· 7 7
2 0 · 0 0
Children ... ... ... ...
2
......
· 0 9
· 0 0
· 0 0
No remark is called for as regards the foregoing table beyond that, as compared with
1875, there was a very marked decrease in the death-rate per cent. of total of each class
treated, of Mussulman children, and a considerable increase in the mortality of the Mussulman
and Hindoo women and amongst the men of other castes. The number of deaths from
cholera most possibly helped to raise these ratios above the average. It will be also noticed
that the highest death-rate according to caste was amongst the females and males of "other
castes," next amongst the Mussulman women and children, then amongst the Hindoos, and
lastly the lowest death-rate was amongst the Mussulman male patients.
5. In the following table I show the number of patients who were treated in the Mayo
and Chandney Hospitals for some of the more common or fatal diseases, and the mortality
from each disease, calculated on the total deaths and on the total of each disease treated:—
DISEASES.
Total treated.
Total died.
MORTALITY.
Per cent. of total
deaths.
Per cent. of each
disease treated.
Mayo
Hospital.
Chandney
Hospital.
Mayo
Hospital.
Chandney
Hospital.
Mayo
Hospital.
Chandney
Hospital.
Mayo
Hospital.
Chandney
Hospital.
Typhoid (enteric) fever ... ...
6 ......
2
......
· 8 9
......
3 3 · 3 3 ......
Continued fever ... ... ...
1 5 0
3 1
8 ......
3 · 5 7 ......
5 · 3 3 ......
Ague
... ... ...
2 3 1
6 6
5
4
2 · 2 2
1 1 · 7 6
2 · 1 6
6 · 0 6
Remittent fever ... ... ...
2 2
1 4
1 0
1
4 · 4 6
2 · 9 4
4 5 · 4 5
7 · 1 4
Cholera
... ... ...
1 3 2
3 7
6 4
1 3
2 8 · 5 7
3 8 · 2 3
4 8 · 4 8
3 5 · 1 3
Erysipelas ... ... ...
1 8
3
4 ......
1 · 7 8 ......
2 2 · 2 2 ......
Phthisis
... ... ...
1 2
2
8 ......
3 · 5 7 ......
6 6 · 6 6 ......
Tetanus
... ... ...
3 5
4
2 0
3
8 · 9 2
8 · 8 2
5 7 · 1 4
7 5 · 0 0
Hydrophobia ... ... ...
1 ......
1 ......
· 4 4
......
1 0 0 · 0 0 ......
Laryngitis
... ... ...
2 ......
2 ......
· 8 9 ......
1 0 0 · 0 0 ......
Pneumonia ... ... ...
6 0
3
1 4 ......
6 · 2 5 ......
2 3 · 3 3 ......
Dysentery ... ... ...
3 3
3
9 ......
4 · 0 1 ......
2 7 · 2 7 ......
Abscess of liver ... ...
4 ......
2 ......
· 8 9
......
5 0 · 0 0 ......
Diarrhœa
... ... ...
2 4
1 0
......
1
......
2 · 9 4 ......
1 0 · 0 0
Hypertrophy of the spleen and
Ascites
... ... ...
2 6
1
6 ......
2 · 6 7 ......
2 3 · 0 7 ......
6. The diseases entered in the foregoing table constitute 45·83 per cent. of the total
number treated, as do the deaths from them represent 68·60 per cent. of the total mortality
of the two hospitals. It will be noticed that, while there were six cases of typhoid fever
treated in the Mayo Hospital with a mortality of 33·33 per cent., not a case of this disease
was returned from the Chandney Hospital. The difference of the death-rate from some of
the diseases is also so marked as to attract attention—thus 2·16 per cent. of the ague cases
proved fatal in the Mayo Hospital, while in the Chandney Hospital the mortality from this
disease was at the rate of 6·06 per cent. of total cases treated. Again, in the Mayo Hospital
45 per cent. of the cases of remittent fever were fatal, but in the Chandney Hospital only
7 per cent. Of the cholera cases it is seen that 48 per cent. proved fatal in the Mayo Hospi
- t a l , b u t o n l y 3 5 p e r c e n t . i n t h e C h a n d n e y H o s p i t a l ; a n d w h i l e 5 7 p e r c e n t . o f t h e c a s e s o f
tetanus died in the former institution, the high proportion of 75 per cent. was reached
in the latter. No explanation has been offered as to the causes of the difference in the death-
rate of these diseases treated in the two hospitals—a difference the more remarkable, because
it may be presumed that the same class of patients were, as a rule, met with in each institu
- t i o n . T h e m o s t n o t i c e a b l e f a c t i n t h e p r e c e d i n g t a b l e , h o w e v e r , i s t h a t c h o l e r a e x e r t e d a
Sickness and
mortality
according to caste
and sex.
Numbers treated
for some of the
more common
diseases, and the
mortality from
them.
Brief analysis of
preceding table.