ation by the terrible outbreak of 1864-65, will be fully discussed in the vaccination report.
1.
The prevalence of cholera in Calcutta during the years 1863-71 is shown in the
8
REPORT ON THE
Principal causes of
admission.
The principal causes of admission into these hospitals all seem to be fevers, bowel
complaints and injuries; and the principal causes of death, fevers, bowel complaints, injuries,
cholera, phthisis and tetanus. The number of deaths from dropsy, debility and spleen disease
in the Pauper Hospital is remarkable. The number of cases of typhoid fever treated in
the same institution is very remarkable if the diagnosis has been exact. There are three
diseases which demand more particular notice, namely, small-pox, cholera, and venereal
disease. For the prevention of small-pox and venereal disease, elaborate and expensive
arrangements have been made, and the diminution of cholera in Calcutta within the last two
years is a well known fact. The cause of this decrease is a subject of immense importance.
Small-pox.
Cholera.
STATEMENT No. VII.
YEARS
Deaths
from
Small-
pox.
Years.
Deaths
from
Small-
pox.
Years.
Deaths
from
small-
pox.
Year.
Deaths
from
small-
pox.
1832
679 1842
25 1852
59 1862
48
1833
2,548 1843
336 1853
19 1863
100
1834
36 1844 2,840 1854
113 1864
633
1835
53 1845
67 1855
61 1865
4,923
1836
16 1846
78 1856
178 1866
83
1837
266 1847
33 1857
3,177 1867
35
1838
1,507 1848
107 1858
123 1868
43
1839
81 1849
1,724 1859
54 1869
39
1840
22 1850
4,430 1860
64 1870
151
1841
56 1851
32 1861
58 1871
32
Total
5,264
9,672
3,906
6,087
STATEMENT No. VIII.
Y E A R S .
No. OF CASES TREATED.
No. OF DEATHS.
Deaths regis
tered by the
Municipality.
M e d i c a l C o l l e g e H o s p i t a l .
Ge n e r a l Ho s p i t a l .
C h a n d n e y H o s p i t a l .
Municipal 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 e 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 .
Municipal P a u p e r H o s p i t a l .
1863
554
95 159
239
41
74
1864
763 174 210
415
88 128
1865
595 102 246
324
47 126
1866
998 177 453
499 188 251
6,826
1867
312
78 195
41 153
48
83
21
2,268
1868
565 120 253 106 235
65 130
57
4,178
1869
468
61 270
95 260
44 129
50
3,592
1870
236
70 109
44 104
37
46
23
1,560
1871
96
27
24 32
44
16
16
16
790
6.
Small-pox is represented by
two cases treated in the General
Hospital, one of which remained
from 1870. The return in the margin
shows the number of deaths from
this disease registered in Calcutta
during the last four decades. The
very remarkable diminution of
deaths since the year 1866, and the
question of how far this result is
due to the impetus given to vaccin-
marginal statement, which is ex-
tracted from Dr. C. Macnamara's
paper in the Indian Medical Gazette
already referred to. The figures, of
whose accuracy there is no doubt as
far as the hospitals are concerned,
leave no question whatever regarding
the remarkable and, I believe, unpre-
cedented diminution in the preva-
lence of this terrible disease. The
two most prominent circumstances
which have coincided with this
result are the provision for Calcutta
Venereal disease.
of a pure water-supply and the partial draining of the town. General sanitation has also been
improved, but there is still room for great reform in this respect. Whether these are the true
causes of the decline of this disease, future years and future experience will declare with certainty
.Meantime, the cases which do occur in an isolated and fitful way present a better subject of
careful inquiry regarding their causation than when the disease was more common ; and it is
matter of great regret that such inquiry is not instituted under the orders of the Municipal
Authorities whenever au isolated case or a limited outbreak occurs.
7.
There can be no doubt that the number of cases of both primary syphilis and
STATEMENT No.IX.
YEARS.
Cases of primary
syphilis treated.
Cases of venereal
isease of all kinds
reated.
1865
11,853
5,367
1866
13,152
5,879
1867
13,083
5,943
1868
11,153
4,684
1869
10,103
3,753
1870
8,339
2,736
1871
7,305
2,154
venereal disease of allkinds has decreased within
the last two years. This is shown in the
abstract marginally quoted, which is a total of
the returns of the following hospitals:—Medical
College Hospital, Native Hospital and its affilia
ted dispensaries, North Suburban Hospital, and
the Sukea's Street, Alipore, and Bhowanipore
Dispensaries. These returns were submitted to
the Deputy Inspector-General of Hospitals by