NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
ADMINISTRATIVE OFFICERS.
[SECT. I
determined by Government on the recommendation of His Excellency the
Commander-in-Chief.
46. Outline of Duties.—It is the special province of Deputy Inspectors
General of Hospitals, by a frequent personal inspection of all Regimental or
other Hospitals, Barracks, and localities occupied by troops, within their circles
of superintendence, to ensure the most unqualified attention to their professional
duties on the part of executive Medical. Officers and subordinates, and to enforce
strict observance, by all concerned, of the rules and regulations of the Medical
Department.
47. Deputy Inspectors General, Indian Medical Department, are required
to examine and countersign, at the first visit of inspection in each month, the
Hospital Records and Journals of all Executive Medical Officers, who may
be present at head-quarters. Hospitals at head-quarters are to be visited
weekly, and those at out-stations, once or more yearly, as may be determined
by the inspector General.
48. Deputy Inspectors General, British Medical Service, are directed to
inspect the Hospitals at head-quarters, and near stations
twice a year; about June or July, and at a period
approaching the end of the year.
49. Inspection. Duties.—Deputy Inspectors General, both of the
British and Indian Service, (and Staff Surgeons Major entrusted with the
performance of administrative duties,) will make visits of inspection through-
out their circles of superintendence, at such times as their immediate
superiors may appoint, in conformity with the following instructions : —
I.
TO SEE TO CARRYING OUT OF REGULATIONS.—The Inspecting Medical
O f f i c e r i s r e q u i r e d t o s e e t h a t a l l r e g u l a t i o n s f o r p r o t e c t i n g t h e h e a l t h o f t r o o p s
in Barracks, Garrisons, Stations, or Camps, or of prisoners in Jails; for securing
the sanitary condition of Hospitals, and for the careful treatment of, and at-
tendance on, the sick, are duly observed.
II.
To EXAMINE RECORDS.—He is to examine the medical, sanitary, and
statistical records, to see whether they have been properly kept.
III.
To ASCERTAIN THE MORTALITY FROM EPIDEMIC AND OTHER DISEASES.—
He is to ascertain from them the amount of disease and mortality among the
troops, or bodies of men, especially from diseases, such as cholera, fever,
dysentery, diarrhœa, liver affections, insolation, &c.
IV.
AND THEIR CAUSE s .—He is to inquire into the causes of such diseases,
and into the steps which may have been taken for their prevention or miti-
gation.
V. To ADVISE WITH MEDICAL OFFICER ON THE SAME.—He is to advise
with the Medical Officer on any measures for the mitigation or prevention of
G. O. C. C. No. 80
of 3rd July 1867.
13
ADMINISTRATIVE OFFICERS.
SECT. I.]
disease that may be required: and he is to recommend to him, in writing,
any additional precautions that he may consider requisite.
VI. AS TO SANITARY CONDITION OF BARRACKS, &c.—He is to satisfy him-
self as to the sanitary condition of Barracks, Guard-rooms, Day-rooms,
School-rooms, Reading-rooms, and Prison cells, and. generally of all Military
buildings and Native Regimental Lines in Cantonments, and of all Jails and
Civil buildings in Civil Stations.
VII. CLEANLINESS, VENTILATION, &c.—As to their cleanliness within and
without, their ventilation and. lighting.
VIII. A S T O N U M B E R O F I N M A T E S . — H e i s t o a s c e r t a i n w h e t h e r t h e n u m b e r
of men accommodated in any Barrack, Guard-room, or Jail exceeds the
number prescribed by regulation.
IX. DRAINAGE.—He is to satisfy himself that the drainage, latrines,
urinals, ash-pits, &c., are in a good sanitary condition.
X. RATIONS AND COOKING.—That the rations are good; that the kitchen
utensils are sufficient and in good order; and that the cooking is sufficiently
varied.
XI. LAVATORIES, BATHS, &c.—That the lavatories and baths are sufficient
for the number of men, and that the baths are sufficiently used, and bathing
parades sufficiently frequent. For European troops it must be stated whether
swimming baths are available.
XII. GYMNASTICS AND GAMES.—That games and gymnastic exercises are
so conducted as to conduce to the health of the troops and to prevent
injury.
XIII. WATER.—That the water-supply is good. and abundant; that wells
are properly covered, and that there is no soakage from cesspools, drains,
&c., into them.
XIV. LOCAL MALARIA.—He is to examine into any sources of local malaria
in the vicinity of the Garrison, Station, Barrack, Camp, Jail or Hospital, with
the view to recommending suitable precautionary measures in regard to them.
XV. SANITARY STATE OF HOSPITALS.—He is to satisfy himself that the
drainage, ventilation, cleanliness, water-supply, closets, latrines, urinals, and
sinks of every Hospital are in good condition, and that the means of lighting
every Hospital are sufficient.
XVI. As TO PROPER NUMBER OF SICK—He is to ascertain whether the
number of sick in each Hospital ward exceeds the number prescribed by
regulation.
XVII. WHETHER EXCRETA ARE PROMPTLY REMOVED.—He should satisfy
him self . that the excreta of the sick are promptly removed from the wards,
and report if dry earth conservancy is efficiently carried out.
14
ADMINISTRATIVE OFFICERS.
[SECT. I.
XVIII. BATHS, LAVATORIES, &C., OF HOSPITALS.—That the sick have suit-
able means of cleanliness, and that the baths and. lavatories connected with
the Hospital are sufficient and in good condition.
XIX. VICINITY OF HOSPITAL.—That the vicinity of the Hospital is in a
good sanitary condition.
XX. CLEANLINESS.—Also, as to the cleanliness and sufficiency of the bed-
ding, linen, ward furniture, and utensils. The kind of bedding used in
Hospitals and in Barracks to be noted.
XXI. KITCHEN ARRANGEMENTS.—As to the sufficiency of the kitchen ar-
rangements and utensils.
XXII. DIETS AND COOKING.—As to the quality, variety, and cooking of the
diets.
XXIII. DIET TABLES.—That the Diet Tables for European troops are in
accordance with regulations, and properly hung up in the wards.
XXIV. MEDICAL ATTENDANCE.—That the medical attendance and nursing
of the sick are efficient.
XXV. WHETHER HOSPITAL HAS BEEN UNHEALTHY.—He should ascertain
whether there has been any unusual amount of disease or mortality originat-
ing within the Hospital, and, if so, its cause.
XXVI. HOSPITAL EPIDEMICS.—Whether erysipelas, hospital gangrene,
fever, dysentery, cholera, or any other epidemic disease, has shewn itself in the
Hospital, among the sick or attendants; whether wounds heal easily, and cases
of disease recover readily; he should endeavour to trace to its causes any
epidemic disease that may exist, and, in consultation with the Medical
Officer in charge, to decide upon the means of preventing or mitigating such
disease.
XXVII. STATE OF SURGERY.—He should satisfy himself as to the state
of the Surgery, the quality and supply of medicines and medical comforts, and
the efficiency of the Subordinate Medical establishment. The condition of
the Field Medicine Chest is also to be noted.
XXVIII. MEDICAL SUBORDINATE ESTABLISHMENT.—The conduct of each
Apothecary, Assistant Apothecary, Hospital Assistant, Apprentice, and Medical
pupil is to be specially ascertained, and noted.
XXIX. SURGICAL INSTRUMENTS.—As to the condition and sufficiency of
the Surgical equipments and instruments.
XXX. HOSPITAL STORES.—As to the state of the Hospital stores.
XXXI. REPAIR or HOSPITAL.—As to the state of repair of the Hospital.
XXXII. DISCIPLINE OF HOSPITAL.—As to the state of discipline of the
Hospital, and whether due order and quiet are observed, and the orders of the
Medical Officer properly attended to.
XXXIII. CONVALESCENT AND SPECIAL WARDS.—He should see that the con-
15
ADMINISTRATIVE OFFICERS .
SECT. I.]
valescent and special wards, when they exist, are kept clean and properly venti-
lated, and the attendance and diets good.
XXXIV.
COMPLAINTS.—He should listen to all complaints or disputes
in the Medical Department, and endeavour to arrange them, so that the ser-
vice may not suffer.
XXXV.
OPERATING-ROOMS.—He is to inspect the operating-rooms, dead
rooms, and post-mortem rooms, to see that they are suitably provided with
tables and other appliances, and are clean, well supplied with water, well,
ventilated, and warmed, if necessary.
XXXVI.
BURIAL OF THE DEAD.—He is to inquire as to the arrangements
for the burial of the dead, and whether they are sufficient to prevent injury
to health, and whether they are properly attended to.
50. Results of Inspections to be reported to Commanding Officer
and Inspector General,—To prevent loss of time, the Inspecting Officer
should give any advice, in writing, on the spot, that may appear requisite, on
any matter included under these instructions, to the Commanding Officer and
Medical Officer of the Regiment or Corps, or to the Officer in charge of a Jail
or Civil Station, or whoever the responsible Officer of the department may be,
and as soon as his inspection is completed he shall report, in detail, to the-
Inspector General, stating fully all defects in the Medical, Sanitary, and Statis-
tical Departments of the Service, the recommendations he has made, with
the result of the same, with any suggestions for improvement that may occur
to him. All Inspection reports are to state what action
has been taken by local authorities to remedy existing
defects. All suggestions for improvement mentioned by
Inspecting officers in their Reports are to be furnished
to the local authorities also.
51.
INSPECTION REPORTS TO BE PROMPTLY FORWARDED.—As a tardy trans-
mission of Inspection Reports impairs their utility, Inspecting Officers are
directed to despatch each Report to the Inspector General, with the least
possible delay.
(For form of inspection Report see Appendix.)
52. Deputy Inspector General, Indian Medical Department
to control Store Depots,—Deputy Inspectors General of the Indian Medi-
cal Department are to inspect, report upon, and control the depots of Medical
Stores in their respective circles, except at the Presidency, where the general
Store depot is under the immediate control of the Inspector General, Indian
Medical Department.
53. Indents may be passed by any Administrative Officer.—Indents
for Medical and Commissariat Stores will be complied with on the countersigna-
Circular No. 126,
9th January 1868.
Circular No. 162,
16th January 1868.
16
ADMINISTRATIVE OFFICERS.
[SECT. L
G. 0., No. 2,647 of
1860.
G. 0., No. 924 of
1861.
Cir. No. 874, 25th
May 1860.
Circular No. 2,995,
23rd August 1865.
ture of the Deputy Inspector General of the branch of the Service, under
whom the Executive Medical Officer making the requisition may be placed.
54. Administrative Officer to be careful in sanctioning issues.—
All Administrative Medical Officers are required to exercise the utmost vigi-
lance in controlling the expenditure of Medical and Commissariat stores in the
Hospitals under their superintendence, sanctioning indents for such articles
only as they may consider to be necessary, and limiting quantities, according
to their experience and judgment of the necessities of the various Hospitals.
55. Undue expenditure of Medicines, &c., to be investigated.
—Whenever the expenditure of an article appears to be excessive, Deputy
Inspectors General are directed to ascertain the cause of the excess, and, if
needful, to compare the recorded prescriptions with the.
reported expenditure, and they are enjoined to direct
every possible precaution for the preservation and safe custody of all Medical
and other stores supplied by Her Majesty's Government. Instances of mis-
appropriation, or of wasteful or negligent expenditure, are to be brought to
the notice of the Head of the Department without delay.
Executive Medical Officers, who neglect to report losses
of Government Stores, or Deputy Inspectors General, who
fail to take notice of extravagant and wasteful Hospital
management, render themselves pecuniarily liable for any loss or injury sus
tained by Government, which may result from their own inattention to duty.
56. Unauthorized articles of supply not to be sanctioned with-
out a reference.—Deputy Inspectors General of either branch of the Medi-
cal Department have no power to order the issue of unauthorized articles of
diet, or other articles of Hospital supply. Requisitions for articles not included
in the sanctioned diet tables, or the lists of Bazaar supplies
and Hospital miscellanies, are invariably to be sent on to
the Inspector General, who, with the permission of
Government, has alone the power to sanction the issue.
57. Stationery Indents.—In transmitting Divisional Indents for sta-
tionery, Deputy Inspectors General are required to certify that they have
"checked the indents of Executive Medical Officers with the scale published
"in G. 0. G., No. 135 of 21st April 1863, and No. 230 of 21st June
"1864," and in the Civil Department that the indents of Executive
Medical Officers have been checked "to the narrowest limits consistent
with efficiency."
58. All indents for stationery are to be drawn up and. forwarded by
Deputy Inspectors General, in strict accordance with the rules published in
the Fort Saint George Gazette of 1st March 1864, and are to be submitted to
the Inspector General not later than the 1st September in each year.
Cir. No. 992 of
1860.
17
ADMINISTRATIVE OFFICERS,
SECT. I.]
59. Inspection of Jails, Civil Hospitals, and Dispensaries.—
Deputy Inspectors General, Indian Medical Department, are authorised to
inspect and report on the sanitary condition of all Jails,. Civil Hospitals, Dispen-
saries, and other public establishments at Civil stations.
60. Correspondence.—Deputy Inspectors General of Hospitals cor-
respond direct with Officers Commanding Divisions, or Brigades, within their
respective circles. When absent from head-quarters on duty, they are to
report themselves monthly, or oftener, if necessary, to the Generals Command-
ing Divisions. In corresponding with the Inspector General of their own
department, all communications, except those of a demi-
o f f i c i a l o r c o n f i d e n t i a l n a t u r e , a r e t o b e a d d r e s s e d t o t h e
Secretary to the Inspector General.
61. COPIES OF IMPORTANT CORRESPONDENCE TO BE. SENT TO HEAD-
Q U A R — T E R S . — D e p u t y I n s p e c t o r s G e n e r a l o f H o s p i t a l s w i l l t r a n s m i t t o t h e H e a d s
of their respective Departments, an intimation of all orders, comments, instruc-
tions, approbation, or censure, which they have thought proper to convey to.
the Medical Officers under their control.
62. OFFICIAL DIARY.—Administrative Medical Officers of the Indian
Medical Department will keep an official diary of their
proceedings, correspondence, &c., weekly extracts of
which, are to be forwarded to the Inspector General
63.
OFFICIAL. PAPERS TO BE FORWARDED PROMPTLY.—Deputy Inspectors
General will immediately notice any neglect or failure, on the part of Executive
Medical Officers, to furnish with promptitude and regularity the official
returns and documents required by regulation.
64. DEPUTY INSPECTORS TO GIVE OPINION IN FORWARDING COMMUNICATION.—
Deputy Inspectors General are prohibited from forwarding communications.
from Executive Medical Officers,. without stating their opinion and observa-
tions on the same.
65 EACH COMMUNICATION CONFINED TO ONE SUBJECT.—Each letter ad
dressed to the Inspector General, or forwarded by
Deputy Inspectors General, must be confined to onE
subject. The fullest available information is always.to be given in the sub,
mission of any subject for the decision. of the Inspector General, or Govern
-ment.
66. REPORTS AND RETURNS TO BE RENDERED PUNCTUALLY.—Deputy Inspec-
tors General will prepare and furnish to the Inspector General of their
own branch of the Service, punctually to date, the various Returns and
Reports required of them by regulation (See Section XX.) In forwarding
these documents. care is to be taken that they are properly packed and
G. 0., No. 69; Mily.
Dept., 8th Jan.1858.
Cir. No. 1,201 of
1863.
Cir. No. 2,043 of 8th
June 1868.
18
ADMINISTRATIVE OFFICERS.
[SECT. I
G. 0. G. No. 107 of
1850
Cir. No, 2,748 of 4th
July 1866._
secured, and that the envelopes are strong enough to preserve them from
injury or damp, during transit.
67. INCORRECT AND INFORMAL PAPERS.—Deputy Inspectors General are
required to send back for correction all returns, reports, and documents of
every description furnished by executive Medical Officers, when not made
out in strict conformity with the regulations. Deputy Inspectors General are
held responsible that every document, issuing from their offices, is correctly
drawn up. When documents are forwarded without remark, the administra-
tive Medical Officer will be regarded as approving of them, and he will parti-
cipate in any disapprobation which the Head. of his Department, or superior
authority may express, in regard to the author of such documents.
68. RETRENCHMENTS, AND CORRESPONDENCE CONCERNING.—Replies to
retrenchments made by the Examiner Medical Accounts
are to be forwarded by Executive Medical Officers, through
Deputy Inspectors General, who, in countersigning such replies, will note
their approval or disapproval of the explanations given.
69. Vaccination.—Deputy Inspectors General are enjoined to see that
vaccination is efficiently performed by the Medical officers and subordinates
attached to European and Native Regiments, on the fami-
lies, servants, and followers of every description, residing
in or near to Barracks, Native Lines, and Military cantonments.
70. Invaliding Committees.—Deputy Inspectors General will, when-
ever practicable, sit as Presidents of Medical Boards, for the invaliding or
European and Native Troops, for reporting on the state of health of Military
officers, and for confirming, or otherwise, medical certificates granted by Exe
- c u t i v e M e d i c a l O f f i c e r s t o M i l i t a r y a n d C i v i l s e r v a n t s o f t h e G o v e r n m e n t .
71. Examination of Candidates for Pension.—Deputy Inspectors
General, Indian Medical Department, will, after approval,
countersign all medical certificates given with a view to
the admission of uncovenanted servants of the Govern-
ment drawing Rupees fifty per mensem and upwards, to the Pension establish-
ment. At their annual visits to out-stations, Deputy Inspectors General will
examine all persons who have been provisionally granted pension, pending con-
firmation of a Medical Certificate, as well as all applicants desirous of obtaining a
certificate by reason of old age, infirmity, or other incapacitating circumstances.
72. NOT PERMITTED TO UNDERTAKE EXECUTIVE DUTIES.—Deputy Inspec-
tors General are not allowed to undertake executive
duties, except under exceptional circumstances, nor are
they permitted to engage in private practice.
73. OFFICE ALLOWANCE.—An allowance of Rupees seventy-five per mensem,
Circular No, 192,
14th Jan. 1868.
Cir. No. 2,175 of
1861.
G. 0., No. 314, 28th
September 1866, Pen.
sion Department.
19
ADMINISTRATIVE OFFICERS.
SECT. I.]
as a grant-in-aid for the performance of clerical duties, is made for each adminis-
trative circle of medical superintendence. Printed forms
are supplied to Deputy Inspectors General free of cost.
Stationery required for their public duties may be
obtained from the Government Stationery office on payment.
74. Clerks employed by Deputy Inspectors General are not eligible for
superannuation pensions.
75. Ex-Officio Sanitary Officers.—Deputy Inspectors General are
ex-officio Sanitary Officers of the stations in which they
reside. They are also members of Cantonment Com-
m i t t e e s .
76. SANITARY ENCAMPING.—Deputy Inspectors General of Hospitals and
Sanitary officers will acquaint themselves personally
with the usual encamping grounds within two marches
from their Head-quarters; and where there is no railway or inland water
communication, Deputy Inspectors General shall visit the encamping
grounds and Rest-houses under their annual inspections, and report on such
matters that may prove injurious to Troops halting. Their attention is
directed to the following points:—
I. The wholesomeness or otherwise of the water in the neigh-
bourhood, should be ascertained by means of information from the inhabi-
tants, or by a rough analysis.
II.
If cholera at any time has made its first appearance among Troops
while encamped on the ground, or if it has ever been brought there with
Troops; the interval passed since there was cholera there, or in the neigh-
bourhood, and the time of the year it generally breaks out.
77. VISITATION OF TROOPS ON ARRIVAL, BY SEA OR LAND,—In case of sick-
ness among Troops within two marches of head-quarters, the Deputy Inspec-
tor General, or in his absence the Senior medical officer, shall immediately
proceed to the camp, and offer such aid and advice as may be called for, to
the Officer Commanding, and the medical officer; and as a duty the Deputy
Inspector General, or senior Sanitary Officer, will visit all bodies of Troops
on their first arrival at a Military station by sea or land; the Station Staff
Officer intimating the arrival to the administrative Medical Officer concerned.
(For Sanitary Regulations in force generally see Section X.)
G. 0., Mily. Dept.
No. 3,700 of 22d Sep
1868.
G. 0. G. G.No. 603
of 1867.
G. 0. C. C. No. 48,
20th May 1864.
SECTION
EXECUTIVE MEDICAL OFFICERS.
(military.)
I.—Assistant Surgeons
II—Surgeons.
III.—Surgeons-Major.
IV.—Staff Surgeons, British Medical Service.
V.—Garrison and Staff Surgeons, Indian Medical De
-partment.
VI.—Regimental Surgeons, British and Indian.
Regulations for the examination of Candidates for the appointment
of Assistant Surgeon in Her Majesty's Indian Medical
Department.
appli
- - c a b l e t o E u r o p e a n
Officers in India, p.
9 1 0 .
1. All natural born subjects -of Her Majesty, be-
tween twenty-two and twenty-eight Tears of age, at
the date of examination, .and of sound bodily health
may be candidates.
2. Candidates must subscribe and send into the Military Secretary,
India Office, Westminster, a declaration according to the annexed form—
The declaration must be accompanied by the following documents :—
(a.) Proof of age, either by extract from the register of the parish
in which the candidate was born, or by his own declaration, pursuant to the
Act 5 and 6 Will. 4, Cap. 62, such extract and declaration respectively bearing
the stamps required by law.
(b.) A certificate of moral character from a magistrate, or a minister of
the religious denomination to which the candidate belongs, who has personally
known him for at least two preceding years.