NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
14
Gastro-intestinal symptoms, buboes and such other complications as arise
are managed on general principles.
In treatment by antitoxine the correct principle of removing the cause of
the disease is aimed at, but up to the present time, so far as information is
obtainable of M. Yersin's results, and those of other doctors, French and
Russian, who have tried it, it has failed to influence favourably the mortality
among those attacked.
Surg.-Captain Thomson, the Medical Officer in charge of Parel Plague
Hospital, has kindly supplied me with a tabular statement (vide Table VIII.)
showing the details of 27 cases under his caro treated by M. Yersin's antitoxic
serum. From these 27 cases ho excludes 4 (2 of which died and 2 recovered),
viz., one suffering from meningitis and an osseous tumour pressing on the medulla
(case 4), one treated prophylactically (case 11), and two which were not plague
cases (cases 24 and 27). Of the remaining 23 plague cases, 14 or 60.33 per cent.
died.
The detail of the cases treated by M. Haffkine with the antitoxic serum
prepared by him in Bombay will be found in his report.
The prophylatic measures which demand attention on the occurrence of a
case of plague in a family are the removal, when practicable, of the unaffected
members from the bouse, to allow of its being thoroughly cleaned, and of the
patient to a hospital, where he can receive proper care and attention, unless
suitable provision can be made for his treatment at home. All those who have
been living with him should undergo inoculation against league, as this is
found to diminish the risk of infection by 70 to 80 per cent., and to increase
the prospect of recovery in those attacked after inoculation by 60 to 70 per cent.
(vide report on inoculation). The patient's sputa and excreta and all discharges
from buboes and sores should be received in vessels containing suitable disin-
fectants, and on the termination of the illness everything which was used by
him, or had been rendered liable to contamination, should be thoroughly
cleansed and disinfected, or, if practicable, burnt (vide Mr. Hankin's report).
Nurses and attendants who are in close and constant attendance on plague
patients should undergo inoculation. All wounds and abrasions on the hands,
etc., should be protected from the risk of infection, and the hands should be
thoroughly washed and disinfected after dressing sores or otherwise becoming
soiled. Their natural immunity should bo increased as much as possible by
regular meals, sufficient exercise and rest to ensure their keeping in good health.
17
TABLE I.
A table showing the admissions among Europeans and Eurasians into St.
George's Hospital, Bombay, at different periods of life, and giving the
results.
1
V
Europeans
...
..
D
Eurasians
...
...
D
Total ...4
Percentage of deaths to admis-
sions ...
year
and
under.
1
0
0
0
1
0
0
Years
2 to 5
0
1
0
0
0
1
100
Years
6 to 10.
6
3
4
2
10
5
33.3
Years
11 to 20.
4
0
13
12
17
12
41.38
Years
21
to 30
6
3
10
6
16
9
36
Years 31
to 40.
6
2
3
2
9
4
30.76
Years
41 to
50.
0
1
3
2
3
3
50
Years
51 to
70.
0
1
2
2
2
3
60
Total.
23
11
35
26
58
37
38.95
Percent-
age of
deaths to
attacks.
32-35
42.6 2
= Recovered. D = Died.
TABLE II.
A table showing the admissions among Native Christians, Jews, ]?a?'sees, Ifoha-
medans, Brahmins and other Hindus into the Arthur Road and Pavel
Hospitals, and giving the results : for the Arthur Road Hospital the admis-
sions at the different aqes are shown.
Nativo Christians ...
D
Jews ...
...
...
D
R
Parsees
...
...
CD
R
Mahomedans
D
R
Brahmins
...
...
D
R
Other Hindus
...
Total ...
D
Percentage of deaths to
admissions
1 year
and
under.
0
0
0
0
0
0
0
0
0
0
5
0
5
0
0
Years
2 to 5.
1
2
0
0
0
0
0
0
0
0
2
6
3
8
72.73
Years
6 to 10.
4
3
1
1
0
0
0
4
0
0
19
32
21
40
62.5
Years
11 to 20.
39
23
0
2
2
1
16
21
2
0
66
139
105
1S6
63.92
Year»
21 to 30.
14
30
0
0
0
1
19
24
2
3
106
246
141
304
68.33
Years
31 to 40.
7
16
0
0
1
1
9
25
1
3
42
150
60
195
76.47
Years
41 to 60.
9
24
1
0
0
2
7
24
0
0
17
112
34
162
82.65
Years
51 to 70.
0
1
0
0
0
0
0
0
0
0
1
6
1
7
87.5
Total.
54
99
2
3
3
5
51
98
5
6
258
691
373
902
70.74
Treated
in Parel
Hospi-
tal.
22
45
1
3
2
4
8
8
3
9
72
127
108
196
64.47
Total
76
144
6
0
9
69
306
8
15
330
818
481
1,098
69.54
Percent-
age of
deaths to
attacks.
65.45
66.67
64.29
64.24
65.21
71.25
69.54
18
TABLE III.
A table showing the comparative case mortality per cent. among (a) Europeans
and Eurasians and (b) Natives, in youth, adult life and old age.
Europeans and Eurasians ...
Natives
Years 1 to 21
28
i —or 39.137 per cent.
18
177
. or 62.34
293
Years 21 to 40.
25
— or 34.21
13
255
or 69.75
588
Years 41 to 70.
5
— or 54.55
6
49
or 81.51
216
TABLE IV.
A statement showing the number of deaths from Plague in Bombay according to
age and sex from August to December 1896 *
Months.
August
September ..
October
November ..
December ..
Total ..
Males ...
Females .
Males ...
Females .
Males ...
' Females .
Males ...
" Females .
Males ...
" Females .
Males ...
' Females .
Percentage
1 Year
and
under.
...
...
1
...
1
...
1
2
2
3
2
•26
Years
2 to 10.
...
4
1
11
15
15
23
56
49
86
78
8.47
Years
11 to 20.
...
15
3
58
23
51
25
208
109
332
160
25.41
Years
21 to 30
...
18
6
81
23
64
22
291
95
454
146
30.99
Years
31 to 40.
14
2
36
10
32
S
183
50
265
70
17.30
Years
41 to 50
...
5
3
23
12
18
8
91
45
137
68
10.59
Years
51 to GO.
4
1
10
5
7
2
42
14
63
22
4.39
Years
61 and
over.
...
3
...
4
1
5
2
18
17
30
20
2.58
Total.
...
63
16.
224
89
193
80
890
381
1,370
566
* Details up to 31st May have not yet been received from the Health Department.
TABLE V.
Admissions into the Arthur Road Hospital according to Occupation.
Occupation.
Domestic Servants*
Mill-hands
Coolies
Syces
Beggars
Sepoys (including Native Soldiers and Police)
Dhobies, Labourers (each) ...
Dirzies
...
...
...
...
,..
Gowlies, Metalworkers, Peons (each) ...
Cart-drivers
Malies
School children, Carpenters (each)
Barbers
...
...
...
Arthur Road.
266
147
110
49
41
21
19
18
15
13
12
11
10
Total.
266
147
110
49
41
21
38
18
45
13
12
22
10
* Including personal servants, cooks, harnais and masalchies,
19
Occupation.
Shopkeepers ...
Clerks and Butchers (each)
Printers
Masons
Shoemakers, Painters, Sweepers (each)...
Ward-boys and Lascars (each)
Priests, Sailors, Firemen, Wool-cleaners, Bakers, Carpenters,
Compounders, Fishermen (each)
Unclassified ...
Arthur Road.
9
S
7
6
5
4
3
Total.
9
16
7
6
15
S
24
398
1,275
TABLE VI.
A statement showing the number of deaths from Plague in Bombay City
according to Occupation from September to December 1896 *
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
• 35
36
37
38
39
40
41
42
Occupation.
Municipal and Local Bodies (including Police)
Devotees, Bhikshuks, Fakirs, &c.
Indoor servants ...
Dhobies (Washermen) ...
Servants not otherwise described
General Merchants
Bankers ...
Commercial Agents, Brokers, &c.
Commercial Clerks, &c
Drivers of public vehicles
Cart-owners and drivers
Seamen (not Government)
Messengers, Porters, &c. (not Government) ...
Jockey Grooms ...
Fishermen, &c. ...
Printers by steam, compositors
Figure casters (Otarva)
Engine makers (Fitters, &c.) ..
Carpenters, Joiners, Sawyers ...
Masons and Bricklayers
Cotton Dyers
Spinners, Weavers and Factory workers
Cotton goods sellers, drapers ...
Tailors ...
Shoe and Boot Makers ...
Workers and sellers of Jute
Cow-keepers and Milk-sellers ...
Grain, Pulse and Flour Dealers
Sweetmeat makers and sellers of pastry, cooks.
Fruit and vegetable dealers
Grocers, Spice-dealers ...
Stone-cuttc
Gold and Silver Smiths
Black-smiths
General labourers and coolies ...
Factory labourers (unspecified)
Shopmen, &c. (unspecified)
Mendicants
Males following no occupation
Females
do.
do.
Children, males ...
Children, females
Total ..
Number of Deaths in
Sept.
2
5
6
1
...
...
• • •
...
•..
1
1
9
• • •
1
1
18
...
...
2
12
16
9
77
Oct.
2
3
S
6
1
9
11
1
3
3
4
2
2
3
1
...
1
1
6
1
5
2
15
1
1
...
...
66
7
9
• • •
6
50
41
28
299
Nov.
2
4
5
2
6
1
2
2
8
t • •
4
1
4
. •.
4
1
. . •
•. •
• • •
4
5
1
1
9
1
2
1
1
1
50
14
3
2
4
34
49
29
257
Dec.
19
11
26
17
27
4
9
7
36
5
15
5
6
10
5
8
5
9
18
12
5
16
3
11
14
4
18
10
10
4
4
9
5
185
92
19
20
32
:171
1S8
131
1,205
Total.
21
17
36
19
46
11
12
2.4
56
6
22
5
10
18
7
8
5
11
25
14
5
17
5
22
20
6
7
51
12
13
5
5
11
6
319
113
31
22
44
267
294
190
1,838
* The details up to 31st May 1897 have not yet been received from the Health Department,
t Occupations have been excluded in which less than 5 deaths occurred during the 4 months.
20
TABLE VU.
Staement showing the probable mortality from Plague in Bombay City from the
commencement of the outbreak to the end of May 1897, and also showing the
fall in the birth-rate.
For Week ending
August 4th
...
„
11th
„
18th
„
25th
Sept.
1st
8th
15th
22nd
29th
Oct.
6th
13th
20th
27th
Nov.
3rd
10th
17th
24th
Dec.
1st
8th
loth
22nd
29th
Jan.
5th
12th
19th
26th
Feb.
2nd
9th
16th
„
25th
March
2nd
9th
16th
23rd
30th
April
6th
13th
20th
27th
May
4th
11th
18th
25th
TOTAL DEATHS INCLUDING
STILL-BORN.
1896 and
1897.
564
598
650
669
667
593
618
647
720
791
634
606
698
668
623
704
760
772
1,051
1,310
1,416
1,853
1,711
1,638
1,758
1,721
1,645
1,911
1,728
1,650
1,484
1,326
1,258
1,139
1,141
1,007
970
836
671
638
558
547
541
Meau of
corresponding
weeks in
preceding
5 years.
564
534
538
581
540
531
492
506
527
491
498
477
470
443
449
462
446
457
460
470
470
469
494
484
501
518
526
540
569
542
546
544
534
539
544
559
572
614
625
606
599
602
581
Probable
Plague
mortality in
1886-97.
... 64
12
88
127
62
126
141
193
300
136
129
228
225
174
242
314
315
591-
840
946
1,384
1,217
1,154
1,257
1,203
1,119
1,371
1,159
1,108
938
782
724
600
597
448
398
222
46
32
...
...
...
TOTAL BIRTHS KXCLTTDING-
STILL-BOKN.
1896 and
1897.
287
311
263
298
345
346
321
301
339
279
320
284
283
295
247
238
296
356
370
321
299
282
232
206
138
132
85
98
71
49
57
109
97
37
89
92
60
81
117
133
156
173
159
Mean of
corresponding
weeks in
preceding
6 years.
313
307
297
301
291
312
273
271
338
329
336
278
291
303
346
286
301
331
355
333
305
317
320
341
257
323
313
294
284
271
292
284
253
270
240
281
248
261
263
295
291
269
276
21
TABLE VIII.
The details of 27 Patients treated at Parel Plague Hospital with
M. Yersiris Anti-toxin Serum.
No.
1
2
3
*4
5
C
7
8
9
10
#11
12
13
34
15
16
17
38
39
20
21
22
23
*24
25
2G
Initials.
C. D. N.
D. P.
D. N.
R. T. N.
S. B.
S. B. K.
P.D.
E. M.
J. D. D. S.
P. R.
R. F.
M. D.
R.M.
S. J.
B. J.
B. G. S.
T. M.
M. S.
K. H.
L.E.
A. K. T.
M. E.
D.E.
H. B.
C. M.
E. B. S.
G. R.
Sex.
M
F
F
F
M
M
F
M
M
M
F
M
M
M
M
M
M
M
M
F
M
M
F
F
F
F
M
Age.
51
40
18
24
18
60
25
13
7
25
30
9
9
25
28
18
30
22
12
60
45
11
32
32
4
52
Caste.
N. C.
H.
N. C.
N. C.
IL
H.
H.
H.
N. C.
H.
N. C.
H.
N. C.
H.
H.
H.
H.
n.
H.
N. C.
N.C.
Parsee.
Parsee.
Hindu
Jain.
N. C.
H.
H.
Occupation,
M e d i c a 1
Practitioner.
Cooly
Clerk
Mill-hand ...
Mill-hand ...
School-boy...
Do.
...
Hamál
School-boy...
Sweeper
Do.
...
Clerk
Mill-hand ...
Mali
Massal
Merchant..
Cook
Clerk
Duration of
Disease.
Days.
4—5
2
. 2
3
3—4
3—5
2
2
36 hours.
2
2
1
2
2
3ß hours.
2
26 hours.
4—5
3—9 hours.
9 hours.
3
27 hours.
7 „
24 „
42 „
3—5
Serum in C. C.
30 + 20
30 + 20
10+10 + 10
20+20
20+10 + 1C+
20
20+30
30+30 + 40
30
40 + 40
30 + 30
20
40
40+40+40 +
40+30
40+40 + 30
30+40+40
40 + 50
50+50 + 50+
50+30
40
40
40
40 + 50+50
60
50
50
60+50
40
20
Total
C. C.
50
50
30
40
60
30
100
30
80
GO
20
40
190
110
110
90
230
40
40
40
140
60
50
50
200
40
20
Re-
sult.
D
D
R
D
D
D
D
D
D
...
D
R
R
R
D
R
D
R
D
R
R
D
R
D
D
D
Remark. 1 ?.
Double pneumonia.
Meningitis and tumour
(osseous) pressing ou
medulla in P. M.
Developed pneumonia
double.
I heard came from
Charni Road Hospi-
tal.
Hepatitis and R. Fern
injected at his own
urgent request.
* These were not cases of plague.
Case No. 4 died of meningitis and should be excluded and mortality = 60.S per cent.
2 cases developed sub-acuto synovitis.
2 cases developed erythematous rashes on the skin. In one of these the rash persisted 2 1/2 weeks-
B 1751—6
23
IX.
Hojel in fijty plague cases at the St. George's Eospital, Bombay.
15
Albutnin.
Trace.
Do.
Do.
Do.
Nil.
,,
Trace.
Do.
Nil.
Trace.
¼
6
Trace.
Nil
¼
4
Trace.
Do.
Nil
,,
Trace
Nil
,,
,,
,,
Trace.
Nil
Trace.
Do.
Nil
Trace.
¼
¼
J.
T
Trace.
Do.
Do.
Do.
Trace.
Do.
Do.
Nil
x
Nil
¼
16
Globnlins.
Nil
,,
,,
,,
,,
,,
55
,,
Trace.
i
Do.
Nil
,,
Trace
Do.
¡ Do.
Nil
,,
,,
!
->
Trace.
,,
,,
,,
,,
¼ ,,
55
Trace
Nil
,,
55
,,
,,
55
Trace
Nil
55
55
,,
}
5>
17
Peptoncs.
,,
55
55
,,
55
,,
,,
,,
55
,,
11
,,
,,
P
Nil
55
,,
i
55
!
,,
„
55
!5
!
i
''
55
,,
Trace
i Nil
,,
,,
!
»
!
»
,,
,,
Trace
Nil
,,
:s
,,
,,
11
•)
55
!5
,,
i "
18
Albunoses
Nil
,,
;;
,,
,,
,,
,,
,,
Present.
P
Nil
7>
P
P
P
P
Nil
,,
,,
,,
'5
55
55
,,
,,
,,
55
Trace.
Do.
Do.
Do.
Nil
,,
,,
Trace.
Nil
,,
55
,,
P
Nil
Trace.
19
Bile.
Trace.
Do.
Trace.
Nil
,,
1
55
,,
,,
,
Tract-
Do.
Nil
55
Trace.
Nil
,,
,,
,,
,,
55
Trace
Nil.
Trace
Nil
55
Trace
NU
Trace
Ml
Trace
3)
,,
,,
,,
Tract
Nil
Trace
Nil
P
Trace
Nil
55
i
,,
| Trace
Nil
20
Suger
55
,,
,,
,,
,,
,,
S>
))
))
•5
,,
,,
,,
)>
}
•)
,,
,,
,,
55
,,
• .
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
,,
21
Indican.
Trace.
Do.
Marked.
M
M
Trace.
M
M
M
M
Trace.
M
Fair.
M
M
M
Trace.
Marked.
Trace.
Marked.
Fair.
M
M
Trace.
M
Trace.
¡ Marked
Trace.
M
M
M
M
M
M
M
M
M
M
Trace.
M
M
M
Trace.
Do.
M
M
M
M
M
Trace.
22
Leucin,Tyrosin
Nil
,,
,,
,,
,,
,,
55
,,
,,
11
,,
55
,,
;5
,,
P
,,
,,
•J
,,
,,
,,
,,
,,
,,
,,
' 1
,,
,,
1)
1>
55
55
,,
,,
,,
,,
55
,,
:s
s»
55
55
,,
23
1
Asotone,Dincetie Acid.
Nil
,,
55
5 5
55
«
55
,,
,,
,,
,,
Acetone
. Nil
,,
55
:;
)1
,,
,,55
,,
,,
,,
•)
',,
,,
,,
,,
55
,,
55
,,
17
55
55
)5
55
,,
11
»
!
*
,,
5>
21
Diazo Reaction.
Port
wine
colour.
Do.
...
Do.
...
Do.
Do.
...
Do.
...
Do.
Do.
Do.
...
Do.
...
Lo.
Do.
...
Light
Port
wine colour.
Port
wine
colour.
Do.
..
Do.
..
Do.
...
Do.
Do.
...
Do.
...
Do.
...
Light P. W.
"p.w.
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ..
Co. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do, ...
Do. ...
Do. ...
Do, ...
Do. ...
Do. ...
Do. ..
Do. ...
Do. ...
Do. ...
25
Sediment.
Amorphous urates ; no casts.
No casts.
Do.
Hyaline and uratio casts ; urie
acid crystals abundant.
No sediment; mucous clouds.
Cloudy ; no sediment.
Cloudy.
Amorphous and triple phosphates.
Amorphous urates ; uratic casts.
Urate of ammonium.
Granular casts, large and small
urate of amnonium.
A few granular casts.
Do.
do.
Nil.
It. 13. corpuscles ; haemoglobin
crystals.
Do.
do.
R. B. corpuscles: amorphous
urates.
G r anular casts.
Epithelial casts.
N il.
55
:5
>>
15
!>
,
Urate of soda.
Amorphous urates.
Nil.
Vaginal epithelum ; no casts.
Amorphous urates.
Vaginal epithelium ; urates.
Urate of ammonium.
Granular and epithelial casts.
Uric acid.
Hyalin casts.
Nil.
Amorphons urates.
Epithelial casts.
Nil.
Uric acid ; oxalate of lime.
Amorphous urates.
Granular and uratic casts.
Vesical and vaginal opithelium..
Nil.
G ranular casts.
Triple phosphates.
Nil.
,,
Uratic casts.
G = Goanese.
N C= Native Christian.
P = Present.
D = Diminished.
M=Marked.
26
the earliest possible occasion. We also point out the need for a steam steriliser
in each district of the city.
14. The committee is well aware that the carrying out of much of the
above measures will be attended with hardship and inconvenionce to the
inhabitants, hut we consider that nothing less than the above desiderata will
suffice to eradicate the disease. While every effort should be made to prevent
the regulations bearing harshly on the people, these regulations should he firmly
and unflinchingly applied in view of the enormous interests at stake. Although
interference with trade and even panic may ensue on enforcing the above
measures, it should be borne in mind that greater interference with trade and
greater panic is likely to be produced by the disease itself if allowed an untram-
melled course in the succeeding months of the cold weather.
15. While leaving the carrying out of the above rules to the Municipal
authorities, the Committee advocates the employment of a Commissioned Me-
dical officer in each of the infected districts to inspect and supervise the methods
of combating the disease. It might be feasible to ask the Army Medical Staff
and the Royal Navy to contribute their quota of such officers, if any difficulty
is found in providing them from the Indian Medical Service. Such aid is
requisite, as it is feared that in some cases the present measures of disinfection
are not efficiently carried out, and more responsible aid is required in super-
vising the sanitary needs of the infected areas. At present it is feared that the
Medical officers employed by the Municipality have most of their time employed
in inspecting and treating the sick. These Municipal officers should direct the
whole of their time to inspecting their districts and to seeing that the above
suggestions are carried out efficiently. The Commissioned Medical officers, if
employed, should be independent of the Municipality and should report to the
Sanitary Commissioner with the Government of Bombay.
16. We also consider that steps should be taken for obtaining further
supplies of M. Yersin's antitoxin for treatment of the sick.
17. In conclusion we wish to point out that until scientific researches
have shown us the exact sources and modes of infection in this disease, the
utility of any special mode of disinfection must remain a matter of theory, and
the safest way of avoiding the disease must be to run away from it. In other
words, although it is probable that the suggested measures of disinfection will
be of some use, we consider that there is reason for placing more reliance on the
evacuation of infected houses as a means of combating the disease.
We have the honour to be,
Sir,
Your most obedient servants,
(Signed) R. MANSER, M.D.,
Surgeon-Major, I. M. S., President.
(Signed) E. H. HANKIN,
(Signed) L. F. CHILDE,
Surgeon-Captain, I. M. S,
(Signed) N. F. SURVEYOR,
A minority report by Professor Haffkine is appended.
28
5. A hospital establishment, medicines, instruments &c. will be necessary
in proportion to the size of the village and extent of the outbreak. A dooly or
the patient's cot may be used for conveying the sick to hospital.
6. In the fair season and when the disease-is limited to a few families,
segregation of the infected families should be carried out. For this purpose
sheds or other accommodation will generally be necessary. Occasionally the
whole population of a village will turn out into the fields of their own- accord
on the appearance of plague. This appears to act excellently in checking the
outbreak and should be encouraged. They should not return until cases of
plague have ceased to occur among them, and in the interval their houses should
be thoroughly cleaned. During the rains the most that can be done, as a rule,
is to warn the uninfected not to expose themselves unnecessarily by going into
infected houses.
7. The dead should be buried at a safe distance from banks of nálas
and from wells. Where burning is employed, the body should be entirely con-
sumed.
8. Schools should be closed, and gatherings at fairs &c. discouraged or
prohibited.
9. In cleaning houses the woodwork should be well washed, and articles
of furniture washed and exposed to the sun and air for some days. The walls
and floors should be swept as clean as possible, and the house thrown open to
the light and air ; where there are mud floors, these should be renewed.
10. The clothing of infected persons should be disinfected by boiling or
steeping for some hours in perchloride of mercury solution (1 in 1000).
11. Villagers should co-operate with the village officers in carrying out
these measures as thoroughly as possible, as they are intended for the good of
the whole community.
Professor Haffkine objects to paras. 6, 10 and 11. He thinks they should
run as follows :—
6. While the disease is still limited to a few families, the Pátel should
explain to the people the danger of residing in the infected houses, and try to
induce them to go to some other unoccupied dwellings. As far as practicable,
they should be assisted by providing them with accommodation at the public
expense. When the village is small and there is the possibility of the whole
population vacating it for a time, this ought to be encouraged, the people remain-
ing outside the village till the cessation of the epidemic amongst them. The
practicability of this measure is limited in the rainy season.
10. The clothes of infected persons should not be used before being
thoroughly washed and dried in the sun.
11. The head of the village is enjoined to watch over the carrying out of
the above measures, as they are for the good of the community under him,
R. W. S. LYONS, M.D.,
Surgeon-Major, I. M. S.,
President. Plague Research Committee,
Bombay, 2nd August 1897.
(NEW SERIES.)
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SCIENTIFIC MEMOIRS
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INVESTIGATIONS ON
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DIETARY ON THE PHYSICAL DEVELOPMENT AND
WELL-BEING OF THE PEOPLE OF BENGAL.
BY
CAPTAIN D. MCCAY, M.B., B.Ch., B.A.O., I.M.S.
Professor of Physiology Medical College, Calcutta.
ISSUED UNDER THE AUTHORITY OF THE GOVERNMENT OF INDIA
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