NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
20
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
Dates on which the following returns and reports were received :—
Calcutta Medical College Hospital
... 9th April.
General Hospital ...
...
... 18th February.
Municipal Pauper Hospital ...
... 19th February.
Municipal Police Hospital
...
... 19th February.
Sookeas' Street Dispensary
...
... 25th February.
North Suburban Hospital
...
... 21st March.
Sumbhoonath Pundit's Hospital
... 25th February.
Alipore Dispensary
...
... 25th February.
Aratoon Apcar Dispensary ... ... 25th February.
Howrah General Hospital
... ... 22nd February.
Calcutta Nurses' Institution ...
... 21st February.
Calcutta Lock Hospitals
...
... 14th April.
REPORT
OF THE
CALCUTTA MEDICAL COLLEGE HOSPITAL
FOR THE YEAR 1872.
1.—General Statement of the number of patients in the hospital during 1872.
A
Christians. Natives.
Total.
Remaining on 1st January 1872
...
. . .
...
...
101
125
226
Admitted during the year
. . .
...
...
...
2,097
2,305
4,402
Total treated
..
2,198
2,430
4,628
Discharged as well, or convalescent ...
...
. . ..
. .
1,558
1,526
3,084
Relieved
...
...
. . .
...
. . ..
. .
390
261
651
Unrelieved ...
...
...
...
...
. . .
33
87
120
Died
...
...
...
. . .
. . ..
. .
125
410
535
Remaining on 1st January 1873
...
. . .
...
...
92
146
238
Total
. . .
2,198
2,430
4,628
General statement
of the statistics
of the hospital.
B
Medical Wards.
Surgical Wards.
C h r i s t i a n s .
N a t i v e s .
T o t a l .
C h r i s t i a n s .
N a t i v e s .
T o t a l .
Remaining on 1st January 1872 ... 44 44 88 Remaining on 1st January 1872... 27
70
97
Admitted during the year
... 1,162 1,136 2,298 Admitted during the year
... 371 709 1,080
Total treated ... 1,206 1,180 2,386
Total treated ... 398 779 1,177
Discharged
...
. . . 1,067 846 1,913 Discharged
. . .
361 608 969
Died
...
...
. . . 103 282 385 Died
...
...
...
14 93 107
Remaining on 1st January 1873 ... 36
52 88 Remaining on 1st January 1873 ...
23 78 101
Total ... 1,206 1,180 2,386
Total ... 398 779 1,177
The statistics of
the medical and
surgical wards
contrasted.
22. REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
C.
Average daily sick.
Mean residence of
patients.
Rates of mortality.
Christians.
Natives.
Total.
Average daily sick—266.90
Males
7 0 . 9 6
96.35
167.31
Females
58.91
40.68
99.59
Total
1 2 9 . 8 7
137.03
266.90
Mean residence of each patient—21.1 days
Males
21.21
22.18
21.76
Females and children
2 2 . 2 8
17.6
20.1
Mean
2 1 . 7
20.6
21-1
Males
6.28
18.98
13.36
Rate of mortality of the cases treated to a
termination—12.18 p. c.
Females
3.61
15.89
9.76
Children
10.22
16.79
12.40
Mean
5.93
17.95
12.18
Medical and surgi-
cal cases
con-trasted.
D.
Medical Cases.
Surgical Cases.
Ch r i s t i a n s . .
Na t i ve s .
T o t a l .
C h r i s t i a n s .
N a t i v e s . l
T o t a l .
Average number in the
hospital during the year
Males
37.21 34.94 72.15 Average number in the
hospital during the
year
Males
33.75 61.02
9 4 . 7 7
Females 15.37 12.11 27.48
Females 7.67 15.83 23.50
Total
52.58 47.05 99.63
Total
41.42 76.85 118.27
Mean residence of each patient
15.96 14.59
1 5 . 2 8 Mean residence of each Patient
38.09 36.11 36.78
Mortality
per cent
of cases treated to a ter- mination Males and
8.80 25.00
1 6 . 7 6 Mortality per cent of cases treated to a termination
M a l e s a n d
, 3.73 13.26
9.94
Females
Females
In-door patients.
Mortality.
During the year 4,628 in-door patients were treated (exclusive of those
admitted to the Eye Infirmary), being 740 in. excess of the previous year.
Of these, 535 cases were fatal. This gives a mortality rate of 115.8 per
thousand, against 126.28 in 1871, 138.78 in 1870, and 179.40 in 1869.
But of the total treated, only 4,390 cases were treated to a termination.
This gives a rate of mortality of cases treated to a termination of 121.8 per
thousand, against 134.1 of the preceding year.
Moribunds.
Of these 535 deaths, 114 occurred in less than
2 4 h o u r s a f t e r a d m i s s i o n i n t o h o s p i t a l . I f t h e s e m o r i b u n d c a s e s w e r e e x c l u d e d f r o m t h e r e t u r n , i t w o u l d
show a death-rate of only 90 . 9 per thousand of cases treated, and of 95.9
24
REPORT ON THE CALCUTTA MEDICAL INSTITUTION.
E.
General Statement of Mortality from 1863 to 1872.
YEARS.
CHRISTIAN PATIENTS.
NATIVE PATIENTS.
REMARKS.
Total
treated. Moribunds.
Rate of
mortality
per 1,000.
Total
treated. Moribunds.
Rate of
mortality
per 1,000.
1863
2,369
...
92.0
2,927
...
267.8
Number of moribunds
not stated in the
returns.
1864
2,646
...
89.5
3,042
...
309.0
1865
2,489
18
90.3
2,989
42
299.1
1866
2,171
21
107.3
3,483
250
308.6
1867
2,478
24
67.39
2,536
98
216.9
1868
2,179
7
87.30
2,399
110
255. 94
1869
1,825
11
78.90
2,478
71
253.43
1670
1,790
84
65.30
2,209
67
198.27
Three years showing a
diminution of mor-
tality.
1871
1,772
18
55.86
2,116
60
1 8 5 . 2 5
1872
2,198
25
56.7
2,430
89
168.70
Statistics according
to race, sex, &c.
II.— Vital Statistics according to Race, Sex, &c.
A. European adults
. . . male
female
...
...
Treated.
860
Died.
45
Deaths to treated
per 1000.
52.3
...
. . . 157
2
12.7
" c h i l d r e n
. . .
7)
. . .
...
50
2
40.0
B Indo-European adults...
m a l e
f e m a l e
. . .
... 364
29
79.6
...
...
... 535
22
41-1
" children
. . .
..., 232
25
107.7
C. Native adults
. . . male
female
. . .
... 1,585
282
177.9
. . .
. . . 709
106
149.5
" c h i l d r e n
. . .
...
... 136
22
161.7
Mortality rates
among Christian
and Native pa.
tients during the
10 years,1863-72.
F.
The cause of mean
residence of me-
dical cases being
shorter than in
England ;
and of surgical
cases longer.
The rate of mortality (per cent.) of cases treated to a termination with
regard to race and sex, is shown in table C., and the comparative mor-
tality according to race between medical and surgical cases is shown in table
D. The mean residence in hospital of medical cases is very low, as compared
with that of patients in hospitals in England, and this is partly due to the large
number of cases of intermittent fever admitted, and partly to the epidemic of
dengue, which has swelled the number of cases treated, and, from the shortness
of the individual attacks, has lessened the average stay of the total number of
medical cases treated. The mean residence of surgical cases is, on the other
hand, beyond the average of hospitals in England, and this is to be attributed
especially to the number of operations for scrotal tumour (55), the recovery
from which is always very slow, being usually between four and five months
in duration. The introduction of the operation of "skin-grafting," to promote
cicatrization in some of these cases, has been attended with very happy results,
reducing the time required for this purpose to nearly one-half, and its ex-
tension to all the cases will probably be followed by a perceptible reduction in
the mean residence in hospital of surgical cases in future reports.
Hi gher mort al i t y
of Natives.
These tables show, as has been pointed out in previous years, that the
native patients of this hospital offer a much higher rate of mortality over all
the cases, than the christian inmates do, and the following abstract of the
annual returns of in-patients shows that the same observation holds good
MEDICAL COLLEGE IIOSPITAL.
25
with regard to each of the orders and groups of diseases into which it is divided.
The same remark is true also, speaking generally, of individual diseases, but
exceptions will be found to the generalization in the statistics of cholera,
diarrhœa, bronchitis, and liver abscess.
G.
Abstract of the Annual Returns of In-Patients, showing the relative mortality
of cases treated to a termination amongst Christians and Natives.
Statistics of Chris-
tians and Natives
contrasted as
regards the or-
ders and groups
of diseases.
N u m b e r o f c a s e s t r e a t e d t o a t e r m i n a t i o n .
N u m b e r o f d e a t h s .
M o r t a l i t y p e r c e n t o f c a s e s t r e a t e d t o a t e r m i n a t i o n
N u m b e r o f c a s e s m o r i - b u n d o n a d m i s s i o n .
Mo r t a l i t y p e r c e n t , mo r i b u n d c a s e s b e i n g d e d u c t e d .
DISEASES.
I.—GENERAL DISEASE.
FEBRILE GROUP.
1. Eruptive Fevers ...
Christians...
Natives...
302
1
331
0
331
3
2.36
0
2.36
Total
...
429
4
93
0
93
2. Continued Fevers ...
...
Christians ...
Natives ...
18
2
11.11
0
11.11
4
18.18
1
14.28
Total
...
40
6
15.00
1
12.82
3. Paroxysmal Fevers
. . .
Christians ...
Natives
...
177
10
5.65
6
2.33
342
58
16.96
19
12.07
Total...
68
13.10
25
8.70
4. Cholera
...
. . .
Christians ...
Natives
...
26
18
69.23
4
63.63
106
65
61.32
26
48.75
Total...
133
83
62.40
30
51.45
5. Other diseases of this Group ...
Christians ...
Natives
...
14
3
21.43
1
_
15.37
12
2
16.66
0
16.66
Total..
2 6
5
19.23
1
16.00
CONSTITUTIONAL GROUP.
1. Rhsms
...
Rheumatisms
Christians ...
Natives...
30
0
0
0
0
1
3.33
0
3.33
Total...
1
1.51
0
1.51
2. Syphilis
...
... Christians ...
Natives...
30
2
5.55
0
5.55
44
0
0
0
0
Total
80
2
2.5
0
2.5
_
3. Cancer and Malignant Tumours
Christians ...
Natives
...
7
27 _
1
4
14.28
14.81
0
0
14.28
1 4 . 8 1
Total
. . . •
34
5
14.70
0
1 4 . 7 0
4. Scrofula. and Phthisis
...
Christians ...
Natives
...
47
8
17.02
2
13.33
65
_
112
32
49.23
3
46.77
Total
...
40
35.71
5
32.71
0
5. Other diseases of this Group ...
Christians ...
Natives...
15
0
0
0
9
25
0
25.0
Total
61
9
17.65
0
17.65
26.
REPORT OF THE CALCUTTA MEDICAL INSTITUTIONS.
St at i s t i cs of Chr i s t i ans and Natives
Contrasted as
regards the or
ders and groups
of diseases .
DISEASES.
N u m b e r o f c a s e s t r e a t e d t o a t e r m i n a t i o n .
N u m b e r o f d e a t h s .
M o r t a l i t y p e r c e n t o f c a s e s t r e a t e d t o a t e r m i n a t i o n .
N u m b e r o f c a s e s m o r i b u n d o n a d m i s s i o n .
M o r t a l i t y p e r c e n t , m o r i b u n d c a s e s b e i n g d e d u c t e d .
II.—LOCAL DISEASES.
DISEASES OF THE
1. Nervous System ... ...
Christians ...
60
9
15.0
2
12.01
Natives ...
82
25
30.48
6
25.00
Total
...
142
34
23.94
8
19.40
2. Eye ...
...
...
Christians ...
28
1
3.57
0
3.57
Natives ...
4
1
25.00
0
25.00
Total
...
32
2
6.25
0
6.25
3. Ear ...
...
...
Christians ...
4
0
0
0
0
Natives ...
4
0
0
0
0
Total ...
8
0 0 0
0
4. Nose ...
... ...
Christians ...
2
0
0
0
0
Natives ...
1
0
0
0
0
Total ... 3
0
0
0
0
5. Circulatory System
...
Christians ...
11
3
27.27
0
27.27
Natives
...
13
4
30.77
0
30.77
Total
...
24
7
29.16
0
29.16
6. Absorbent System ...
Christians ...
2
0
0
0
0
Natives ...
1
0
0
0
0
Total ...
3
0 0 0 0
7. Respiratory System
...
Christians ...
138
19
13.77
0
13.77
Natives ...
77
21
27.27
7
20.00
Total ... 215
40
18.61
7
15.86
8. Digestive System...
...
Christians ...
297
25
8.42
5
6.85
Natives ... 376
85
22.60
14
19.61
Total ... 673
110
16.34
19
13.91
9. Urinary System ... ... -
Christians ...
54
3
5.55
0
5.55
Natives
...
71
13
18.31
1
17.14
Total
...
125
16
12.80
1
12.09
10. Generative System
(a) Male
...
...
Christians ...
20
0
0
0
0
Natives
...
90
9
10.0
0
10.0
Total ...
110
9
8.18
0
8.18
(b) Female ...
...
Christians ...
131
6
4.58
0
4.58
Natives ...
164
9
5.49
0
5.49
Total
...
295
15
5.08
0
5.08
11. Organs of locomotion ...
Christians. ...
23
0
0
0
0
Natives ...
63
7
11.11
0
11.11
Total ... 86
7
8.14
0
8.14
* Alcohol, 120. Opium, o.
† Alcohol, 20. Opium, 24.
In the following table the same facts are
stated with regard to the ten
diseases which gave the largest number of admissions or mortality. An as-
terisk marks those in which the rate of mortality was higher amongst Christians
than among Natives.
H.
DISEASES.
Nu mb e r o f Ca s e s t r e a t e d t o a t e r mi n a t i o n .
Number of deaths.
Mor t al i t y Per cent of Cases t r eat ed t o a t er mi nat i on.
N u m b e r o f C a s e s m o r i b u n d o n a d m i s s i o n .
M o r t a l i t y p e r c e n t , m o r i b u n d c a s e s b e i n g d e d u c t e d .
SPECIAL DISEASES.
1. Cholera*
... ...
Christians
...
2 6
1 8
6 9 . 2 3
4
6 3 . 6 3
Natives
...
1 0 6
6 5
6 1 . 3 2
2 6
4 8 . 7 5
Total
...
1 3 3
8 3
6 2 . 4 0
3 0
5 1 . 4 5
2. Typhoid Fever
...
...
Christians
...
4
2
5 0 . 0 0
0
5 0 . 0 0
Natives
...
7
4
5 7 . 1 4
0
5 7 . 1 4
Total
...
1 1
6
5 4 . 5 4
0
5 4 . 5 4
3. Ague...
... ...
Christians
...
1 5 6
3
1 . 9 2
1
1 . 2 9
Natives
...
2 8 6
3 1
1 0 . 8 4
5
9 . 2 5
Total
...
4 4 2
3 4
7 . 6 9
6
6 . 4 2
MEDICAL COLLEGE HOSPITAL.
27.
DISEASES.
N u m b e r o f c a s e s t r e a t e d t o a t e r m i n a t i o n . Nu mb e r o f d e a t h s .
Mo r t a l i t y P e r c e n t o f c a s e s t r e a t e d t o a t e r mi n a t i o n .
N u m b e r o f c a s e s m o r i b u n d o n a d m i s s i o n
M o r t a l i t y p e r c e n t , m o r i b u n d c a s e s b e i n g d e d u c t e d .
LOCAL DISEASES-(Continued.)
DISEASES OF THE
12. Cellular Tissue ...
...
Christians
...
38
0
0
0
0
Natives
...
70
4
5.71
0
5.71
Total
...
108
4
3.70
0
3.70
13. Cutaneous System
...
Christians
...
49
0
0
0
0
Natives
...
60
4
6.66
0
6.66
Total...
1 0 9
4
3.67
0
3.67
III.-CONDITIONS NEITHER GENERAL
NOR LOCAL.
1. Natural labour and pregnancy...
Christians
...
90
4
4.44
0
4.44
Natives
...
121
8
6.61
0
6.61
Total...
2 1 1
12
5.71
0
5.71
2. Debility
...
...
Christians
...
4
0
0
0
0
Native
...
3
0
0
0
0
Total
...
7
0
0
0
0
IV. POISONS
...
...
Christians
...
130*
3
2.31
1
1.55
Natives
...
53†
10
18.86
3
14.00
Total
...
183
13
7.10
4
5.03
V. INJURIES
...
...
Christians
...
327
8
2.44
3
1.54
Natives
...
324
30
9.25
9
6.66
Total
...
651
38
5.83
12
4.06
Statistics of Chris-
tian and Natives
contrasted as re-
gards the orders
and gro u p s of
diseases..
Particular diseases
contrasted.
28
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
Prevalence and
mortality of par
-
ticular diseases
among Christians
and Natives
contrasted.
DISEASES.
N u m b e r o f c a s e s t r e a t e d t o a t o r m i n a - t i o n .
N u m b e r o f d e a t h s . M o r t a l i t y p e r c e n t o f c a s e s t r e a t e d t o a t e r m i n a t i o n .
N u m b e r o f c a s e s m o r i -
b u n d o n a d m i s s i o n .
M o r t a l i t y p e r c e n t , m o r i b u n d c a s e s b e i n g d e d u c t e d .
SPECIAL DISEASES.—(Contd. )
4. Remittent Fever
Christians
21
7
33.33
5
12.5
Natives
56
27
4 8 . 2 1
14
30.95
Total
77
34
4 4 . 1 5
19
25.86
5 . D y s e n t e r y
Christians
95
11
11.58
4
7.69
Natives
138
47
34.06
8
30.00
Total
233
58
2 4 . 8 9
12
20.81
6. Diarrhœa.*
Christians
58
6
1 0 . 3 4
0
1 0 . 3 4
Natives
67
5
7.47
2
4.61
Total
125
11
8.8
2
7.31
7. Liver Abscess*
Christians
2
1
50.00
0
50.00
Natives
11
5
45.45
1
40.00
Total
13
6
46.15
1
41.66
8. Bronchitis*
Christians
6 6
13
1 9 . 6 2
0
19.62
Natives
23
2
8.09
0
8.69
Total
89
15
1 6 . 8 5
0
16.85
9. Pneumonia
Christians
5
1
20.00
0
20.00
Natives
28
12
42.86
4
33.33
Total
33
13
39.39
4
31.03
10. Phthisis
Christians
43
7
16.28
2
12.19
Natives
65
32
49.23
3
46.77
Total
108
39
36.11
5
33.01
Mortality of cholera
The mortality of the cases of Cholera admitted was unprecedentedly high,
while the number of cases as compared with former years (previous to 1871)
was very small. The fatal type of Cholera during the year was the subject
of constant remark. The cases were not characterised by violence of symp-
toms, such as vomiting, purging, and cramps, but by the extreme degree of
prostration and collapse. ln the following table the death-rate, and the number
of admissions are contrasted with those of the six previous years:—
I
Comparison of
cholera admis-
sions and death-
rate with pre-
ceding years.
Statement of the admissions and death-rate from Cholera since 1866.
C H R I S T I A N S .
NATIVES
REMARKS.
Year.
Treated.
Died.
D e a t h s t o t r e a t e d p e r 1 , 0 0 0 .
Treated.
Died.
D e a t h s t o t r e a t e d p e r 1 , 0 0 0 .
1866
167
75
449.1
840
424
504.7
1867
70
27
3 8 5 . 7
243
126
518.5
1868
150
54
. 346.1
413
181
438.2
1869
104
38
365.3
384
223
580.7
1870
64
20
312.5
177
84
477.5
Three years showing a great
decrease in the No. of admissions.
1871
28
9
321.4
95
41
431.5
1872
26
18
692.3
107
65
607.4
MEDICAL COLLEGE HOSPITAL.
29
The coincidence of the small number of admissions, with the supply of
pure water to Calcutta, has been already noticed.
The year was characterised by an epidemic of Dengue. The number
of Christians treated for this disease was 299, of whom 1 died;—the number
of Natives 127, of whom 3 died.
Dengue.
III.—SURGICAL OPERATIONS.
The number of Surgical operations which remained at the end of 1871
was 22, and 189 operations of importance were performed during the year,
making a total of 211 cases.
The results of these operations may be expressed thus:—
Recovered
140
Relieved
8
Unrelieved
3
Died
36
Remaining in hospital at the end of the year
24
Total
211
The ratio of deaths to operations was therefore 170.61 per 1,000. But
of the 211 cases, only 187 were treated to a termination. The death-rate
amongst these was 192.51 per thousand, or nearly one-fifth of the number.
This number contrasts favourably with the results of operations during the
previous nine years.
J.
Surgical Operations during the last 10 years—cases treated to a termination.
Year.
No. of cases.
Died.
Mo r t a l i t y p e r 1 , 0 0 0 .
1863
1 5 5
28
180.7
1864
1 7 0
38
223.5
1865
1 5 8
42
265.8
1866
141
40
283.7
1867
161
36
2 2 3 . 7
1868
1 6 3
25
153.4
1869
157
35
222.9
1870
165
37
224.2
1871
177
31
173.4
Average of 9 years
160.77
34.66
216.8
1872
187
36
192.5
The mortality of surgical operations was lower than during 1872 in 1871,
1868, and 1863,—higher during the other years of the decade.
Surgical opera-
tions.
Statistics of the
year.
Death-rate.
Statistics of the
years 1863-72.
Comparison of
death-rates.
H
30
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
K.
Causes of death.
The causes of death in the 36 fatal cases were as follows :—
(a) Shock
3
(b ) Exhaustion
14
(c) Pyæmia
4
(d) Septicæmia
2
(e) Tetanus
4
(f) Pneumonia
3
(g) Suppuration and hectic
1
(h) Cholæmia
1
(i) Abscess of Liver
1
(j) Thoracic tumour
1
(k) Cancerous inflation of internal organs
1
(l) No post-mortem examination permitted
1
Total
36
Amputations.
Pyaemia and Sep
ticaemia.
The number of amputations performed was 34, and one case remained from
the previous year ; making 35 cases in all. Of that number 14 died, or 40.00
per cent. The primary amputations were 5, of which I died, or 20 per cent.
There were 14 secondary amputations, and 8 died, or 57.14 per cent. Amputa-
tion for disease was performed in 15 cases, of which 5 died, or 33 .33 per cent.
Of the cases of amputation treated to a termination, 45.16 per cent. died. The
deaths from Pyæmia and Septicæmia were 3—being in the proportion of 21.42
per cent., as compared with other causes of death. In the two following
tables the prevalence of these two preventible causes of death after operation
is shown to have undergone a marked diminution during the last three years,
when compared with the previous years, during which the causes of death after
operations have been recorded.
Pyæmia and Septicæmia since 1864, after operations—cases treated to a
termination.
Statistics o1
1864-72.
Proportion
cent.
Number of deaths
Number of deaths by
Year.
of Pyæmin
p e r t o
o t h e r
R E M A R K S .
after operations.
Pyæmia, &c.
causes.
1864
...
...
38
19
50
1865
...
...
. 42
12
28'57
1866
...
...
40
11
2 7.5
1867
...
...
36
10
27.75
..0
6
2 4 .
1868
...
...
25
1869
...
...
35
10
28'57
1870
...
...
37
2
5.40
-1 Three years, show-
1871
...
...
31
4
12.58
r
ing a decrease
of deaths from
j
au
1872
...
...
36
6
16'66
Py mia.
Dispensaries.
Medical and Surgi-
cal.
MEDICAL COLLEGE HOSPITAL.
Deaths from Pyæmia and Septicæmia since 1864, after amputations—cases
treated to a termination.
Statistics of am-
putations in
1864-72.
Year.
Number of ampu-
tations performed. Number of deaths. Number of deaths
by Pyæmia, &c.
Proportion per
cent. of deaths to
cases.
Proportion per
cent. of deaths by
Pyæmia, &c.
1864
...
40
17
8
42.5
20.00
1865
...
28
15
5
55.57
17.85
1866
...
30
17
7
56.66
23.33
1867
...
28
12
8
42.86
28.57
1868
...
28
12
3
42.86
1 0 . 7 1
1869
...
24
16
4
66.66
16.66
1870
...
27
5
1
1 8 . 5 2
3 . 7 0
1871
...
30
10
1
33.33
3.33
1872
...
31
14
3
4 5 . 1 6
9.67
Obstetric Wards.— Women, and children up to the age of seven.
Obstetric wards.
The number of patients treated in these wards was 1,063, against 745 in
1871, 747 in 1870, 662 in 1869, and 774 in 1868.
There were 70 deaths, or 65 . 8 per thousand, against 80 . 53 per thousand in
1871, 74. 96 in 1870, 84 . 59 in 1869.
The number of confinements was 191, against 146 in 1871, 139 in 1870;
and 149 in 1869.
The number of children treated in these wards was 297, of whom 31 died.
Of the women confined, 17 were Europeans, 64 Indo-Europeans, and 160 were
Natives. .
Ophthalmic In-patients.
Number treated.
Deaths.
Confinements.
Children.
The number of patients treated in the Ophthalmic Hospital was 535 against
507 in 1871, 527 in 1870, and 494 in 1869. The number of cases " cured" was
278, " relieved" 122 ; making 400 which were benefited.
Ophthalmic Hos-
pital.
IV.--DISPENSARY PRACTICE.
Medical and Surgical Out-door Dispensaries.
In these..dispensaries 24,644 persons were treated. Of these, 13,616 were
medical and 10,379 were surgical cases ; and relief was given to 649 persons in
the admission room.
In the four preceding years the numbers were 26,254, 23,082, 22,557, and
20,477.
In reference to these numbers, it is necessary to state that there has in
reality been a great increase in the attendance at these dispensaries, though
there is an apparent diminution. Formerly, a patient who received medicine for
two days was returned as two patients. In 1872 this practice was discontinued.
Improved method
of ,regist ering
attend ance
adopted.
The Resident Surgeon performed 1,301 minor operations, against 1,318 in
1871, 1,964 in 1870, 2,216 in 1869, and 1,311 in 1868.
Total Dispensary
Practice.
Total Dispensary Practice.
32
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
Dispensary for Women and Children.
Women and
children.
The cases treated were 11,892, against 12,049, 10,982, 9,703, 11,232, and
12,274, in the five preceding years.
The minor operations were 512, against 229,376, 389,362, and 540, in the
five Preceding years.
Ophthalmic.
Dental.
Ophthalmic Dispensary.
Years.
N umber of
cases treated.
1868 ...
...
...
... 3,660
1869 ...
...
...
3,367
1870 ...
...
...
... 3,497
1871 ...
...
...
... 3,963
1872 ...
...
...
... 3,981
Dental, Dispensary.
The number of patients treated was 1,047, against 1,184 in 1871, 1,261 in
1870, and 1,346 and 1,403 in 1869 and 1868, respectively.
The number of operations performed was 1,058.
Taking the sum (or yearly total) of the dispensary practice in connection
with this hospital, the following table exhibits the relief afforded to poor
patients during the past five years :--
Years.
Number of
cases treated.
1868
...
...
... 36,772
1869
...
...
... 36,973
1870
...
...
... 40,266
1871
...
...
...
43,450
1872
...
...
...
... 42,213
HOSPITAL STAFF.
Resident Surgeon.
The duties of Resident Surgeon were performed by Dr. J. F. P. Mc
Connell, from 13th October 1871 to 6th March 1872. He was then appointed
Resident Physician to the hospital, and Professor of Pathology in the College,
which appointment he has held ever since. From 7th March up till 9th Decem-
ber 1872, Dr. R. H. Stevens acted as Resident Surgeon of the hospital. From
10th December 1872 till 24th January 1873, Dr. C. H. Joubert officiated
as Resident Surgeon. These officers performed their arduous duties with great
zeal. I regret to say that Dr. Stevens was obliged to leave India on 18 months'
sick leave.
Important duties
performed by
the resident staff.
The comparatively recent appointment of the resident Hospital officers has
proved a highly satisfactory arrangement. A great part of the daily routine
work of the hospital has been conducted, or supervised, by these officers with,
the utmost care and efficiency. They personally superintend the working of
the out-door medical and surgical dispensaries ; they assist the physicians and
surgeons of the hospital in all cases of difficulty ; and one of them is always
present on duty for the reception and immediate treatment of all dangerous
cases, such as result from railway accidents, poisoning, suicide, &c., &c. I beg
to be permitted to say that I consider the thanks of Government might fairly
be accorded to these officers for the very careful manner in which they have at
all times done their work.