NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
63
these medicines are given in the doses, and at the times directed ; to keep a
brief record of every case, and of the diet, &c., ordered by the Medical Officer
at his visits ; to be responsible for the safe custody of the medicines, instru-
ments, and other property of the Government in the Hospital ; to prepare
daily a diet-roll of the sick in Hospital, that their rations may be duly suppli-
ed; and to be responsible, generally, under the immediate orders of the
Medical Officer, for the cleanliness, good order, and discipline of the Hospital.
95. BAZAAR-MEDICINES.—The purchase of bazaar-medicines shall be
entrusted to the Medical Subordinate on the responsibility of the Medical Offi-
cer ; but the Medical Subordinate shall not be entrusted with the dieting of
the sick, whose food shall be supplied by the same authority as that of all
other prisoners. The Medical Officer, in communication with the Superin-
tendent, may, however, if he think it necessary for obtaining provisions, &c., of
good quality, adopt other methods of procuring supplies for the sick prisoners.
96.
Residence. —Medical Subordinates shall reside in such proximity
to the Jail as to be available for duty at all times without delay.
97.
Discipline.—In all matters connected with the professional care
of the sick, they shall be under the immediate orders of the Medical Officer.
In all other matters connected. with discipline, and the maintenance of order
generally, they shall be subject to the authority of the Officer in charge of the
Jail, and shall obey all orders issued by that Officer through the Jailer.
98.
Hospital Attendants. —The Hospital Attendants shall be under the
immediate orders of the Medical Officer, and shall be present at such times,
and perform such duties as he may require from them, consistent with their
position in the establishment.
99.
Prison Orderlies. —The Officer in charge of the Jail shall place
at the disposal of the Medical Officer well-conducted prisoners, who can safely
be entrusted with the duty of attending upon the sick.
100. Except in very urgent and bed-ridden cases, the proportion of such
attendants shall not exceed one to every ten patients. When more are needed,
a special application must be made to the Officer in charge of the Jail, stating
the grounds on which they are deemed requisite.
101.
Misconduct of Medical Subordinates. —Any Medical Subor-
dinate, or other person attached to the Subordinate Hospital establishment,
who shall take a bribe from a prisoner, or shall connive at the introduction
of forbidden indulgences into the Jail or Hospital, shall be liable to suspension
or dismissal.
102. Dietary of Jails. —For the purpose of dieting, Jails have been
divided into the following classes :—
l st. —Jails where rice is the principal staple of diet ;
64
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
2nd.—Jails where " dry grains" are the principal staples of diet ;
3rd.—Jails where mixed grains are used.
103. The diet to be used for each of these classes is detailed in the
following Table.
(a.) When prisoners are employed on out-door labor, they shall have a
warm meal before starting for their labor.
(b.) They shall carry with them to their work a small quantity of rag-
gy cake to be eaten at midday, and they shall have a third meal at 6 P. M., on
returning from work.
(c.) When the prisoners are employed on in-door labor, a small meal
shall be given at 6 A.M. before commencing work.
(d.) A meal shall be given at noon with an hour's rest, and they shall
have their last meal at the close of their day's labor, or about 6
P . M .
(e.) A reduction of one-fifth shall be made in the scale of diet in the case
of non-laboring prisoners, women and juveniles.
(f.) The proper recipe for curry powder is given in the Diet Table, and
equivalents have been given in the marginal notes when on account of local
peculiarities any change is made in articles of diet prescribed for any class.
RICE DIET. —Scale of Diet for Prisoners where Rice is the principal staple. (No. 1.)
M o n d a y .
T u e s d a y
.
W e d n e s d a y .
T h u r s d a y .
F r i d a y .
S a t u r d a y .
S u n d a y .
N o t e .
oz.
oz.
oz.
oz.
oz.
oz.
oz.
Rice...
(a)
26
26
26
26
26
26
26
(a) 3 oz. of Rice to
be made into Hop-
pers and eaten in
the midday.
Dholl
...........
2
2
2
2
2
2
2
Mutton or Fish (b)
3
0
5
0
5
0
0
(b) When dried or
Salt-fish is used,
2½ ounces to be
considered equi-
valent to 5 oz. of
fresh fish.
Buttermilk
or
Tyre
0
10
0
10
0
10
10
Ghee or Oil... (c)
½
½
½
½
½
½
½ (c) In Districts
where Cocoanut
is plentiful, 2 oz. of
Coprah may be
given in lieu of
oil or ghee.
Tamarind ... (d)
½
½
½
½
½
½
½ (d)M a n g o e p i c k l e
may be substitut-
ed for tamarind
when procurable.
Salt ......... ...
1
1
1
1
1
1
1
Curry powder (e)
½
½
½
½
½
½
½ (e) Curry powder
to be made ac-
cording to for-
mula (Appended.)
Vegetables
4
4
4
4
4
4
4
Onions
½
½
½
½
½
½
½
Garlic
30 grs.
0 30 grs.
0 30 grs.
0
0
Firewood
2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
65
DRY GRAIN.—Scale of Diet where " Dry grains" are the staple. (No. 2.)
M o n d a y .
T u e s d a y .
W e d n e s d a y .
T h u r s d a y .
F r i d a y .
S a t u r d a y .
S u n d a y .
oz.
oz.
oz.
oz.
oz.
oz.
oz.
Veragoo.
Raggy.
Cholum.
Cumboo
with-
out
husks.
22
22
22
22
22
22
22
Any of these quan
-
tities may be
c o n s i d e r e d e q u i -
valent to 26 oz.
of rice.
24
24
24
24
24
24
24
24
24
24
24
24
24
24
25
25
25
25
25
25
25
Dholl
2
2
2
2
2
2
2
Mutton or Fish
5
0
5
0
5
0
0 Raggy or Cholum
cakes (2½ ounces)
in midday in lieu
of Hoppers.
Buttermilk or
Tyre
0
10
0
10
0
10
10
Ghee or Oil ......
½
½ ½
½
½
½
½
Tamarind.........
½
½ ½
½
½
½
½
Salt
.
1
1
1
1
1
1
1
Curry powder ...
½
½ ½
½
½
½
½
Vegetables ......
4
4
4
4
4
4
4
Onions
½
½ ½
½
½
½
½
Garlic
30 grs.
0
30 grs.
0 30 grs.
0
0
Firewood......
2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs.
MIXED GRAIN DIET. —Scale of Diet where mixed grain is used. (No. 3.)
M o n d a y .
T u e s d a y .
W e d n e s d a y .
T h u r s d a y .
F r i d a y .
S a t u r d a y .
S u n d a y .
oz.
o z .
oz.
oz.
oz.
oz.
oz.
Rice
12
12
12
12
12
12
12
Raggy cake, or rice
hopper may be
given at midday.
Dry grain
13
13
13
13
13
13
13
Dholl... ... ...
2
2
2
2
2
2
2
Mutton or Fish
5
0
5
0
5
0
0
Buttermilk or
Tyre
0
10
0
10
0
10
10
Ghee or Oil...
½
½
½
½
½
½
½
Tamarind
½
½
½
½
½
½
½
Salt ......... ..
1
1
1
1
1
1
1
Curry powder
½
½
½
½
½
½
½
Vegetables
4
4
4
4
4
4
4
Onions.--
½
½
½
½
½
½
½
Garlic ...
30 grs.
0 30 grs.
0 30 grs.
0
0
Firewood
2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs. 2 lbs.
(g.) The Recipe for Curry powder to be used in Jails :—
oz. dr.
oz. dr.
Chillies . . .
. . . 2 0
Cummin seeds
... 0 6
Black pepper...
... 1 4
Mustard seeds
... 0 6
Coriander seeds
. . . 1 12
Vendeum
...
... 0 6
Turmeric
...
. . . 1 1
(h.) When a gang is working within any of the Districts above classified,
it will observe the diet of the Jail of the District in which such gang is located. I
66
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
104. REMARKS ON DIET TABLES.—Rice and the dholls are to be purchased.
and stored when they are cheap. No rice less than six months old is to be issued
to prisoners. The dholls must be very carefully husked, and must never be
mixed when cooked. The allowance of fresh vegetables may be increased on
the order of the Medical Officer to any reasonable extent that can be supplied
by the Jail garden. The weight of vegetables must be calculated after the
stalks, skins, and refuse have been separated. The allowance of meat must
be estimated without the bone. The allowance of salt may, in times of
epidemic cholera., be increased by order of the Medical Officer.
105. MEDICAL OFFICER TO SEE FOOD IS CORRECT IN WEIGHT, AND WELL
C O O K E D .
— T h e f o o d s h a l l b e w e i g h e d d a i l y b e f o r e t h e J a i l e r , a n d o c c a s i o n a l l y
in the presence of the Officer in charge of the Jail and of the Medical Officer,
to see that no fraud is practised by the Jail subordinates, and that the pri-
soners get the full quantities to which they are entitled.
106. INSPECTION OF COOKED FOOD.—It is of the highest importance that
the food supplied to the prisoners should be completely and properly cooked ;
therefore, when cooked and ready for issue, it must, at least once in every
week, be inspected, without previous notice, by the Officer in charge of the
Jail and by the Medical Officer, to see that it is properly prepared. An entry
of the result of this inspection must be made in their respective journals.
107.
DAILY INSPECTION OF FOOD.—All food must be inspected daily by the
Medical Officer, and any defect of quality noted by that Officer shall be
reported at once to the Officer in charge of the Jail by the Jailer.
108. FOOD OF CIVIL PRISONERS.—The food of Civil prisoners shall be
p u r c h a s e d a n d i s s u e d b y t h e J a i l e r , c a r e b e i n g t a k e n t h a t n o i m p r o p e r s u b s t a n c e s
of any kind find their way into the Civil Jail, and that the allowance of the
prisoners is expended, bonâ, fide. in the purchase of wholesome articles of food.
G. O. No. 442 of
21st March 1865.
Judl. Dept.
109. DIET FOR EUROPEANS.—The following Dietary is
for European prisoners in Mofussil Jails at other stations
t han Oot acamund.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.) 67
European Jail, Ordinary Diet.
Days.
Breakfast.
Dinner.
Supper.
Monday.
12 oz. of Bread.
1 lb. of Potatoes.
10 oz, of Bread.
Wednesday. 1 pint of Coffee.*
Soup (consisting † of 3 oz.
Meat, 3 oz. Potatoes, 1 oz.
Dholl meal, 1 oz. Onions) one
pint. Pudding, consisting of
5 oz. Flour, ¾ oz. Suet.
1 pint of Soojee, (con-
taining meal 2 oz.
Sugar 1 oz.) 1 pint
of Tea.
Friday.
Tuesday.
8 oz. of Bread.
1 lb. of Potatoes
6 oz. of Bread.
Sunday.
1 pint of Coffee.
4 oz. of cooked Meat.
1 pint of Soojee (as
above.)
Thursday.
Pudding as above.
1 pint of Tea.
Saturday.
12 oz. of Bread.
½ lb. of Potatoes, and
½ lb. of Rice.
10 oz. of Bread.
1 pint of Soojee (as
above.)
1 pint of Coffee.
3 oz. of Meat curried into 1
pint of Soup.
1 pint of Tea.
Pudding as above.
.
† One ounce of Salt daily— ⅓ dram of pepper daily.
If sentenced to simple or solitary confinement for terms of twenty-one days,
and under.
20 oz. Bread.
Gruel, made with 1 pint milk, night and morning Suet dumpling (5 oz.
Flour, 1 oz. Suet.)
1 oz. Onion.
1 oz. Salt.
Females and juveniles on the 1st scale will receive 6 oz. of bread a day
less ; in all other respects the same dietary as for adult males.
Hospital Diet for Jails.
110. The subjoined scale of Diet may, with the sanction of the Inspector
General of Jails, be used for native prisoners in Jail Hospitals in cases where
a special diet is absolutely required ; the ordinary Jail ration must in all cases
be given to patients suffering from local ailments, and to all those sick pri-
soners who do not imperatively require a change of food.
ARTICLES COMPRISING THE DIFFERENT HEADS OF DIETS FOR A DAY.
Avoirdupois Weight.
Spoon.
Milk.
Low.
Full.
Sago
. 4 oz. Bread or rice. .. 12 oz. Mutton in broth 6 oz. Mutton for curry 8 oz.
Sugar..
2 „ Milk
2 pts Bread or rice ... 12 „ Rice*
8 , ,
Milk
6 „ Sugar
2 oz. Ghee
1 „ Curry powder... ½ ,,„
Rice
Salt
For Conjee 2 .„ Rice
Salt
For Conjee 2 „ Onions
1 „ Country vegeta-
bles... 4 „
Water.... 2 drs Barley
½ ,,
Water.. ,.. 2 drs
Flour
½ , ,
Hopper†.... No, 6
Salt ......... ....., 1 ,, Bread
8 oz.
Ghee.
1 ,,
Salt
1 „
68
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
BREAKFAST.
Spoon.
Milk.
Low.
Full.
Sago
..
1 oz. Bread or rice... 4 oz. Bread or rice... 4 oz. Hoppers...... No. 6
Sugar
.
½ , , Sugar
1 „ Ghee
½ „ Ghee ..... ... ...... ½ oz.
Milk
½ pt.
DINNER.
Spoon.
Milk.
Low.
Full.
Sago..
2 oz. Bread or rice... 8 oz. Mutton in broth 6 oz. Mutton for curry 8 oz.
Sugar..........
1 , , Milk.
1 pt. Bread or rice.... 4 „ Vegetables.
4 „
Milk
6 „ Sugar.
1 oz.
Rice
8 ,,
SUPPER.
Spoon.
Milk.
Low.
Full.
Sago
1 oz. Milk
½ pt. Bread or rice. 4 oz. Bread.
8 oz.
Sugar
½ , ,
Ghee...
½ „ Ghee
½ , ,
* Or rice 1 lb; omitting the bread. † Hoppers to weigh 2 oz. each when cooked.
The weight of meat in the above diets to be exclusive of bones.
1 1 1 .
C l o t h i n g a n t B e d d i n g .
— C i v i l
p r i s o n e r s , p r i s o n e r s u n d e r t r i a l , a n d
prisoners sentenced to simple imprisonment, are permitted to wear their own
clothing, to supply their own bedding, and to use their own drinking and
cooking vessels.
112. In all cases requiring it, suitable clothing and bedding shall be
provided for prisoners, whether untried or convicted, and extra clothing and
blankets, on a written requisition from the Medical Officer, shall be supplied
to the sick, the aged, and the infirm.
113. All prisoners sentenced to rigorous imprisonment shall wear a Jail
dress, and be furnished with Jail blankets, bedding, cooking, and drinking
vessels, tin or earthen.
114. The bedding of prisoners shall consist of a blanket and a coir mat.
Every convict shall be supplied with two cotton cloths in the year. The
cloth for male convicts shall be 3 yards in length and 1 yard in width. That
for females shall be 6 yards in length and 1 yard in width. In those Central.
and District Jails, where jackets and breeches of the Bangalore Jail pattern.
have been introduced, cloths will not be issued.
115. Every male convict laboring beyond the limits of - t h e J a i l s h a l l a l s o
be furnished with a blanket hood of the pattern prescribed by the Inspector
General of Jails.
116. EXTRA CLOTHING.—On the requisition of the Medical Officer, the
Officer in charge of the Jail may supply aged. and weakly prisoners with such
extra clothing as may be necessary.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
69
117. WASHING.—The clothing of prisoners shall be washed at least once
a week.
118. The prisoner's bedding and blanket, and spare clothing shall be left
in the wards or cells during the day-time.
119. The coir mat issued for bedding shall be 8 feet in length and 2½
feet in breadth, one end of which is to be rolled up to form a pillow.
120. SLEEPING MATS.—W hen prisoners have to sleep on damp ground,
each prisoner shall be allowed, on the requisition of the Medical Officer, a
grass mat, 6 feet in length by 2½ in breadth, in addition to his bedding of
coir mat. It is, however, of great importance that prisoners should not sleep
on the ground itself, but be raised above it. This object must be secured by
some method suited to the circumstances and locality, but which shall not
provide facilities for offence and escape.
121.
Sanitary duties of Jails. —For Sanitary duties of Officers in
Medical charge of Jails (see Section, X. " SANITARY REGULATIONS.")
122.
Transportation of Convicts. —Every convict, whose sentence of
transportation it is intended to carry into effect, shall,
before he is sent to the port of embarkation, be examined
as to his physical condition by a Committee consisting of—
( a .
) The Officer in charge of the Jail.
( b .
) T h e M a g i s t r a t e o f t h e D i s t r i c t , o r , i n h i s a b s e n c e , t h e C o v e n a n t e d
Civil Officer in charge of the Station.
(c.) When the Officer in Medical charge of the Jail is not also the Su-
perintendent, he will be added to this Committee.
If, on examination, the convict appears to have passed his 45th year,
or is from infirmity or disease unfitted for hard labor, the Committee will
submit a report to the Inspector General of Jails, for the orders of Govern-
ment, and such convict shall not be sent from the Jail in which he is confined,
until the orders of Government are received. The Committee will specify
in their report whether the infirmity or disease under which the convict is
suffering is of a chronic or temporary nature.
If the convict is considered to be under 45 years of age, in robust
health, and fit for bard labor, he will be sent for embarkation to Madras,
where he will, before embarkation, be again similarly examined before a
Committee consisting of
—
(d.) The Commissioner of Police, or other Officer in charge of the
Penitentiary.
(e.) The Officer in Medical charge of the Penitentiary.
(f.) The Superintendent of Marine.
G. 0. No. 161 of
1868. Judi. Dept.
70
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT.
I I I
This Committee will observe the directions stated above, and will,
in like manner, report to Government any case in which a convict is not
considered to be in a fit condition for transportation.
123. Jail Hospitals.—European medicines, instruments, &c., are ob-
tainable from the store depôt of the division, on annual or extra indent, sanc-
tioned by the Administrative Medical Officer of the circle.
G. O. No, 1134 of
1867. Judl. Dept.
124. FURNITURE.—List of Furniture, Bedding, and
other articles to be supplied for the use of Jail Hospitals.
Articles.
Q u a n t i t y o r n u m b e r s .
Remarks.
Almirahs
...
...
...
...
2 for a Central, and 1 for a District Jail.
Basins, brass
...
... 2
Bolsters... ...
...
1 per cot.
Cots, iron
...
...
...
...
3½ per cent. of population of the Jail.
Chairs, Dispensary
...
...
2
Cots, boarded, for fractures ...
...
1
Cork-screws
...
...
...
2
Crutches, pairs ...
...
...
2
Close stool-pans (metal)
...
...
... 8 for Central, and 3 for District Jail.
Docket-holders, tin
...
...
. . . 5 per cent. of population of Jail.
Fomentation tins...
...
.
2
Fumigating bell ..
...
...
1
Funnel......
1
Hip baths, wooden
...
...
1
Jackets, straight ...
...
...
...
2 for a Central, and 1 for District Jail
Lamp, square, for lighting Native Hospitals
. . . As required.
Lanterns, common
...
...
1
Lime squeezer
...
...
1
Nutmeg grater
...
...
...
1
Palliasses
...
...
...
...
1¼ per cent.
Pillows with covers
...
...
...
1¼ per cent.
Portable hand-shade, tin, with stand
1
Rat trap
...
...
1
Tables, compounding
...
...
1
Do. writing, with drawers...
...
1
Do. dissecting ...
...
. . .
1
Do. bed side, or tea poy ...
...
...
12 for Central, and 4 and 2 for District
Jails, according to size.
Trays, rattan, for dressing
...
...
1
Do. for medicine
...
...
1
Towels
...
...
...
6
Tape, broad, yards
...
...
To be indented for as required.
Tubs, for bathing...
...
...
...
2 for a Central, and 1 for a District Jail
Do. for foot bath
. . .
...
2 d o . 1d
o
Iron urinals with covers
...
...
...
2
do.
1
do
1 2 5 .
C o a l
t a r .
— C o a l - t a r f o r s a n i t a r y p u r p o s e s m a y b e i n d e n t e d f o r o n
the nearest Arsenal, in such quantities as may be sanc-
tioned from time to time by the Inspector General of Jails.
District Surgeons, Presidency.
126. DISTRICT SURGEONS AT THE PRESIDENCY.—The town and suburbs of
Madras have been divided into four Medical districts or divisions, to each of
which a Surgeon is appointed.
Cir. No. 689, 21st
Feb. 1867.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
71.
127. First District,—The 1st District includes all that portion of the
town within Municipal limits which lies north of the
Pub. Dept., 4th June
1867 (Notification.) General Hospital, and of the Northern Esplanades. The
Gazette p. 1316, dependent duties are Surgeon to the Native Infirmary,
Leper Hospital, and Black Town Dispensary, and the Medical charge of the
Male and Female Civil Asylums, Debtor's Jail, and Foundling Hospital.
128. Second District—The 2nd District includes all places within
Municipal limits lying North of Poonamalee Road, and West of Cochrane's
Canal. The dependent duties are Surgeon to the Female Hospital, Vepery,
Medical charge of the Military Female Orphan Asylum, and of the establish-
ments connected with the Gun-powder and Gun-carriage Factories.
129. Third Distriet.—The 3rd District includes all places within Muni-
cipal limits lying between the Poonamalee and Mount Roads. The dependent
duties are Surgeon to the Penitentiary, and Military Male Orphan Asylum.
130. Fourth District —The 4th District includes all places within
Municipal limits, South of the Mount Road, and the houses south of the
Adyar, on the understanding, that, with the consent of His Excellency the
Governor, the duty of affording medical attendance to public officers residing
at the Club, the Club Chambers, and Pater's Gardens, shall be performed by
the Surgeon to the Governor when resident in Madras. During the absence
of the Surgeon to the Governor this duty will devolve on the Surgeon of the
4th District. The dependent duty of the District is that of Surgeon to the
Triplicane Hospital. The Collector of Madras, residing at Sydapett, is entitled
to medical assistance from the Medical Officer of the Indian Establishment at
Saint Thomas' Mount.
131. In emergent cases, any Medical Officer is liable to be called upon,
and is required to afford Medical aid, irrespective of the district boundary.
132. DUTIES OF DISTRICT OFFICERS.—The duty of affording aid to officers
on Medical certificate at the Presidency, and to all Civil and Military servants
of the Government stationed at the Presidency, who are not otherwise pro
-vided with Medical aid, will be performed by the several officers of the four
districts within their respective ranges.
133. RECORDS.—With respect to the records to be kept, and periodical
papers to be furnished by them, District Surgeons will be guided by the
instructions contained in Section XX.
134. INQUESTS.—Although all Medical Officers at the Presidency are
held liable to attend the summons of the Coroner, this duty, in ordinary
circumstances, will devolve on the Medical Officer, within whose range the
inquest may be held.
72
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
135. MEDICO-LEGAL EXAMINATIONS.—Magistrates may summon the
nearest Medical Officer to examine and report on lunatics, or to perform other
public duty.
136. General Hospital available for Government servants.—
Uncovenanted servants of the Government drawing Rupees 100 and
G. O, No. 792 of upwards per mensem are, as a rule, entitled to the attend-
1865, Pub. Dept ance of the Medical Officer at their own homes, but at
the Presidency where the duty of attending upon this class of public servants
would bear very heavily on Medical Officers, and where suitable accommoda-
tion is available on payment of very moderate charges in the General Hospi-
tal, of which for their own sake it is desirable that Government servants
should avail themselves, such Government servants as decline to avail
themselves of these advantages, will, as heretofore, make their own arrange-
ments for Medical attendance.
District Surgeons, Neilgherries•
137. Sanitaria, Neilgherry Hills.—Two Medical Officers are san
c-tioned for the station of Ootacamund, and one for Coonoor, who has also super-
vision of the station of Kotagherry. These appointments are classified as
2nd class civil stations, and are tenable for a period of four years.
138. OOTACAMUND.—The station of Ootacamund is divided into two
medical districts, and all official duties pertaining to a district, are performed
by the medical officer in charge. The District Medical Officers of Ootacamund
hold exactly the same relative' position to each other, and to the Deputy Inspec-
tor General of the circle, as do the District Surgeons of the Presidency. Each
officer is independent of the other, as regards his official duties.
139. Rules for the guidance of Officers visiting the Neilgherry
Hills on Medical Certificate.—(a) All sick officers, immediately on arrival at
G. O. C. C. No. Ootacamund, Coonoor, or Kotagherry are to report them-
90, 9th August 1860. selves, either personally or in writing, to the Medical
Officer in whose district they are, and, if necessary, apply for his medical
attendance.
(b) So long as officers are under medical treatment, they must obtain.
the permission of their medical attendant before changing their station or
absenting themselves from it beyond the day ; but when not under treatment
may change their station as often as they feel inclined, always reporting them
-selves to the Medical Officer of their new station.
(c.) Every officer, while under medical treatment, is to consider himself
in the hands of the Surgeon of the district in which he resides, and such
District Officer is alone responsible for his patient's treatment.