NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
55
43. PATIENTS' CLOTHING.—As a rule, patients' own clothing on admission
should be taken from them, washed, and ticketed before being placed in the
Store-room, and finally returned to them on leaving hospital. With caste
patients or persons who object to use hospital clothing, means should be
adopted to ensure cleanliness and change of attire as often as may be needed.
44. DIET.—The diet of the sick in Civil Dispensaries should be the same
as sanctioned for Military patients—(see Section XII. " HOSPITAL SUPPLIES.")
45. Medical Stores .—A second or third class annual indent for medi-
cines and instruments is allowed for Civil Dispensaries.
46. BAZAAR MEDICINES.—The indigenous drugs of the Indian Pharmaco-
pœia are to be used in preference to European substitutes whenever practica-
ble. Imported medicines will not be issued to Civil hospitals, when indige-
nous substitutes are readily available. Medical Officers should take pains to
see that indigenous medicines are collected at the proper season, and that
they are genuine, and perfectly fit for use. Bazaar medicines, stationery,
&c., are not issued from the Medical Store Depôts, and must be purchased from
the general funds of the charity.
47. Records.—Medical Officers in charge of Civil Dispensaries will keep
a nominal register of in and out-patients treated, showing the daily average
attendance of the latter class ; and will transmit monthly and annual returns
of sick treated, prepared according to form, and with the latter will forward
a special medical report.
48. ANNUAL REPORT.—Annual Reports must reach the Inspector Gene-
ral's Office not later than the 31st January in each year. For instructions as
to the drawing up of Annual Reports and other returns, and a list of the
records to be kept,—see Section XX. " RETURNS AND REPORTS."
49. A copy of that portion of the Annual Report which is not strictly
professional in its details, is to be sent to the Collector
of the district, who will report to Government his opinion
on the general state of the Dispensary, and its usefulness and acceptability to
the native community.
50. Peon.—A peon is allowed at the expense of Government for each
Civil Dispensary. The duties of this servant are to keep
order amongst the out-patients, to watch the building
and property, and to protect it from wilful damage, to deliver letters, &c., on
the business of the charity, and such other work as the Medical Officer may
employ him on.
51. COMMITTEE MEETINGS.—The Managing Committee shall meet ordi-
narily, once a month, for the transaction of the business of a Dispensary.
52. Sale of Medicines.—All monies received from the sale of medi-
G. O. No. 358 of
1867, Pub. Dept.
G. O., No. 1428 of
1863 Pub. Dept.
56
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
G. O. No. 1122 of
1863, Pub. Dept.
tines to persons not entitled to gratuitous medical aid
from public Dispensaries, are, with the sanction of Gov-
ernment, credited to the Dispensary funds.
53. PRESCRIPTIONS FOR PRIVATE PERSONS.—For the convenience of persons
in the Mofussil, not entitled to a gratuitous issue of medi
cines, and who are unable to get their prescriptions made
up at Druggists' shops, Government have decided that the same may be com-
pounded at Civil Dispensaries, on the following conditions :—
(a) Subscribers to a Dispensary of Rupees five per mensem and
upwards, are allowed to have the prescriptions of their medical attendant
for themselves and families made up, for the time such subscription may con-
tinue, without charge.
(b) Subscribers of two Rupees monthly will be charged the following
rates :—
RS. A. P.
Each Pill or Powder
0 0 6
Each ounce of fluid medicine whether in
the form of draught or mixture, and
also liniments and Lotions
0 1 0
(c) Subscribers of less than two Rupees monthly will be required to
pay double the above rates, and non-subscribers treble.
(d) Subscriptions to be paid monthly or quarterly in advance, and no
medicines should be dispensed at subscribers' rates, until the subscription of
the current month has been paid.
54. As the above regulations are established expressly for the conveni-
ence of the families of officials and others who have not ready access to drug-
gists' shops, it is directed that no medicines be made up at Civil Dispensaries
for persons not entitled to a gratuitous supply, in stations where druggists'
shops have been established,
55. Pauper travellers and pilgrims .—With regard to pauper travel-
lers, pilgrims and other classes who are often sent by the Police to Civil Dis-
pensaries in an exhausted or helpless condition, it is to be understood that the
Dispensary funds (which result for the most part from local contributions,
for purely local purposes) are not to be called upon to meet such extra
demands. The proper course is for the Magistrate of the station or district, to
submit, for the sanction of Government, contingent bills
of expenses incurred on account of travellers, and other
strangers sent to Hospital, and to repay to the charity funds the amount so
expended.
Jails and jail Hospitals.
56. SUPERINTENDENCE. Medical Officers are eligible for appointment
to the office of Superintendent of Central, and District Jails.
Cir. No. 1010 of
16th March 1867.
G. O. No. 943 of
1868, Pub. Dept.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
57
57. UNDER AUTHORITY OF INSPECTOR OF JAILS.—Medical Officers appoint-
ed to these offices are, so far as the duties of Superintendent go, entirely
under the orders of the Inspector General of Jails.
58. Central Jails.—A Medical Officer appointed to superintend a Cen-
tral Jail is entitled to remuneration according to the following classifica-
tion:—
Finl. Resolution No.
3,276 of 24th Dec.
1867, vide Gazette
of 1868 page 62.
The above to include Medical as well as Administrative charge.
59. MEDICAL CHARGE.—A Medical Officer, who may be appointed to the
medical charge of a Central Jail, of which he is not the
Superintendent, is entitled to Rupees 100 per mensem
for the performance of the extra duty.
60. District Jails.—A Medical Officer appointed to the superintend-
ence of a District Jail is entitled to extra remuneration for the duty, in
accordance with the following scale :—
Description of Jail.
Monthly Salary.
If the Jail be built
for above 1,000 pri
soners.
As a Civil Surgeon of
the 1st Class.
House
free.
If the Jail be built for
1,000 prisoners, or
under that number.
As a Civil Surgeon of
the 2nd Class.
House
free.
G. O. No. 1,778 of
1866. Judi. Dept.
G. O., No. 1720 of
1868, Judl. Dept.
2nd Class.—Containing 300 prisoners and not
more than 499
...
Rs.
100
3rd Class.—Containing 150 prisoners and not
more than 299
... 75
4th Class.—Containing less than 150 prisoners. 50
61. Medical Officers who are Superintendents of Jails must obtain the
counter-signature of the Inspector General of Jails to all
applications for privilege and general leave.
62. Medical Officers' duties.—The duty of the Medical Officer of a Jail
embraces the consideration of every matter connected
with the health of the prisoners, their treatment in hos-
pital when sick, the regulation of their diet, clothing, work, and punishments,
so far as they are concerned in the maintenance of their health, and, in gen-
eral, every thing connected with the hygiene of the Jail and its inmates. The
Medical Officer, if he be not himself the Superintendent of the Jail, shall,
except as regards the medical treatment of the sick in Jail, act in immediate
subordination to the Officer in charge of the Jail, and subject to the general
control of the Inspector General of Jails.
63. USE OF FETTERS IN HOSPITAL. —Medical Officers have full discretion- H
Cir. No. 2,481 of 12th
June 1866.
G. O. No. 1,834 of
1865, Judl. Dept.
58
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
ary power to order the removal of fetters from prisoners
under medical treatment. In every case where fetters
are taken off, an entry of the circumstance is to be made in a book kept for
that purpose, shewing the Convict's name and number, the reason for unfetter-
ing him, and the date of re-imposing his fetters.
64. T O S T U D Y J A I L R U L E S . — T h e M e d i c a l O f f i c e r s h a l l m a k e h i m s e l f
thoroughly acquainted with the Regulations of the Jail to which he is attached,
and its various details.
65. VISITS TO JAIL.—He shall visit every part of the Jail once at least
in every week, and daily in times of great sickness, or when epidemic disease
exists in the district or station, and shall enter in his journal the results of such
inspection, recording any want of cleanliness, drainage, warmth, or ventilation
—any bad quality of the provisions—any insufficiency of clothing or bedding
—or any other cause which may affect the health of the prisoners. He shall
ascertain that the water is pure and wholesome, and that there is an abundant
supply for drinking, cooking, and washing. He shall especially note all defects
of drains, privies, and the conservancy arrangements generally of the Jail.
Twice, at least, in each week he shall see every prisoner—whether criminal,
civil, or awaiting trial. In case of epidemic visitations, and during sickly
seasons, the daily inspection of all the prisoners by the Medical Officer is
obligatory. The result of all his examinations is always to be recorded in an
easy form, for reference and inspection.
66. INSPECTIONS.—The Superintendent and Medical Officer shall meet at
the Jail not seldomer than once a week, and shall inspect the Jail together.
67. These inspections shall take place on any day but Sunday.
68. INSPECTION JOURNAL.—The Medical Officer shall keep a journal, in
which he shall enter the date of every visit, with any observations which he
may deem it necessary to record in connection with the performance of his
duty. This journal is to be kept in the Jail, for the information of the Officer
in charge of the Jail, the Official Visitors, and the Inspector General of Jails.
After each visit of the Medical Officer,.his journal shall be sent to the Officer
in charge of the Jail, for the immediate issue of such orders as that Officer
may find it necessary to pass.
69.
EXAMINATION OF PRISONERS.—The Medical Officer shall personally
examine every prisoner on the day of his arrival at the Jail, or, at latest, on
the following morning. He shall record, in the "Register of Admissions,''
the age, and state of health on admission, of each prisoner, and any disease
of importance to which such prisoner may have been subject. He shall like-
wise indicate his opinion as to the class of labour on which the prisoner may,
with special reference to his state of health on admission, be employed. He
Cir. No. 2,948 of 6th
August 1867.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
5 9
shall also record in the " Register of Discharge" the prisoner's state of health
on discharge. The number of every prisoner in these and all other Registers
and records whatsoever, shall correspond with his Jail "General Register
number," so as, in all fatal cases, to render it easy to trace the history, crime,
and all particulars connected with the deceased, which it may become neces-
sary to know or refer to for statistical or other purposes.
70. In order to ensure the accuracy of Descriptive Rolls of prisoners,
and the entry therein of none but durable marks, the Medical Officer shall,
not later than his first inspection after the admission of any prisoner, test the
correctness of the roll, which shall be made, on admission, by the Jailer,
with the assistance of the Medical Subordinate, by personal examination.
71. Vaccination of prisoners.—All prisoners received into the Jail,
whether under sentence, or detained on requisition of security, or committed
for trial, shall be vaccinated on admission, without reference to their wishes.
72. Prisoners under sentence of transportation shall be vaccinated before
being removed from the jail in which they are confined when sentenced,
whether they have been previously vaccinated or not.
73. REGISTER OF VACCINATION.—A register shall be kept by the Medical
Officer in every case of vaccination, shelving the success, or otherwise, of the
operation. When not successful, and when the failure is not attributable to
immunity arising from previous vaccination, or from the patient having had
small-pox, the operation shall be repeated at the proper season. All attempts
to evade the operation of the vaccine virus shall be discouraged, and brought
to the notice of the Superintendent, for punishment, and, if it is thought
desirable, the labour and diet of prisoners under its influence shall be regu-
lated, so as to favour the action of the virus.
74. Deaths in Jail.—In the event of a prisoner's death, the Medical
Officer shall record, in appropriate columns, in the " Register of Deaths," the
disease, with a brief abstract of its leading characteristics ; a brief abstract of
the treatment ; the appearances observed at the post-mortem examination,
which, when practicable, must be made in every case ; and any remarks which
he may deem it necessary to offer on the general or particular characters,
causes, or other circumstances connected with the particular case or class of
cases, if the death be due to endemic or epidemic causes. When severe
epidemics prevail, and the fatal cases are so numerous as to render it imprac
ticable to keep detailed records, a few well-marked cases should be selected for
record and post-mortem examination, in order that the general and specific
characters of the visitations may be known and recorded. A copy of the
" Register of Deaths" shall be prepared in the Jail Office, and transmitted
monthly by the Officer in charge of the Jail, along with the other monthly
60
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
returns, to the Inspector General of Jails. So much of the copy as was
originally recorded by the Medical Officer shall be compared and signed by him.
The copy of the " Register of Deaths" should be accompanied by a Memo-
randum by the Medical Officer, containing any remarks he may wish to offer.
75. CHOLERA RECORDS.—The Medical Officer shall keep a special record
of all cases of cholera, whether sporadic or epidemic, according to the form of
Register supplied. A copy of this also, shall, at the end of every month,
be transmitted to the Inspector General of Jails.
76. SICK PRISONERS.—The Medical Officer shall, at all seasons of the
year, as soon after sunrise as possible, see all the prisoners who are sick, or
in Hospital. The treatment of the sick in Jail Hospitals is the personal duty
of the Medical Officer—not to be delegated by him, under any circumstances,
to a Native subordinate. He shall also examine all prisoners who complain
of illness, and admit those who require it into hospital. In the cases of those
prisoners, who merely need the application of simple dressings, as in abrasions
from fetters, or other treatment, such as does not render it necessary to send
them to hospital, they may be placed by the Medical Officer in the Convales-
cent gang,' therein to have such variation of diet or work as he may consider
it necessary to recommend. These recommendations shall be carried into
immediate effect by the Jailer, the Medical Officer's journal being daily sub-
mitted to the Officer in charge of the Jail, for his information and orders.
When great sickness prevails, or the severity of cases actually under treat-
ment requires it, the Medical Officer shall visit the Jail as many times daily
as may be necessary for the due and efficient performance of his duties.
77. PRISONERS IN SOLITARY CONFINEMENT.—He shall daily visit all pri-
soners in separate or solitary confinement.
78. CASE-BOOK.—He shall keep a regular Hospital Case-Book, in which
are to be entered, day by day, an account of the state of every sick prisoner,
the name of his disease, and details of the treatment prescribed, and diet
ordered for such prisoner. It shall not be necessary to keep detailed records
of trifling cases, but the leading particulars connected with all severe and
fatal cases should be invariably recorded.
79.
Food and diet.—The attention of the Medical Officer shall be
directed to the scale of diet on which each prisoner is placed, and he shall have
a discretionary power to recommend the increase, diminution, or change of
food required by the constitution and the state of health of any particular
prisoner who may have been placed in the Convalescent gang,' in which shall
be included convalescents, the infirm,t h e
a g e d ,
a n d t h e
v e r y y o u n g .
The Medi-
cal Officer is occasionally to examine the food provided for the prisoners, in
order to see that it is of proper quality and properly cooked.
SECT. III.]
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
61
If the Medical Officer has recommended a temporary change in the
Jail dietary, or in the diet of an individual prisoner, he shall take care that such
exceptional diet is continued no longer than is necessary.
80. CHANGE OF DIET.—The dietary of the Jail will be regulated by the
Inspector General of Jails. The Superintendent may, upon the recommenda-
tion of the Medical Officer, make temporary change of diet during the preva-
lence of epidemic disease. The Medical Officer may, also, at his discretion,
prescribe change of diet for individual prisoners, on medical grounds, record-
ing each case and its reasons, for the information of the Superintendent. The
diet of patients in the Jail Hospital will be entirely under the Medical Officer's
control.
81. If it shall appear to the Superintendent that undue indulgence is
given to prisoners, or that an exceptional diet is continued longer than neces-
sary, he shall call on the Medical Officer to state his reasons for the course,
and if he is not satisfied, he shall refer the case for the orders of the Inspec-
tor General of Jails.
82. Articles required for the use of the sick shall, ordinarily, be sup-
plied by the Jail supply contractor, but the Medical Officer, in communica-
tion with the Superintendent, may, if he think it necessary for obtaining
provisions, &c., of good quality, adopt other methods of procuring supplies.
83. Vegetables and Anti-scorbutics . —The Medical Officer should
frequently satisfy himself that adequate arrangements are made, in due season,
for the plentiful supply, throughout the year, of fresh vegetables, condiments,
and anti-scorbutic fruits from the Jail garden.
84. Infectious diseases.—He shall give written directions for separat-
ing prisoners having infectious complaints, or suspected thereof, and for
cleansing, disinfecting, or destroying any infected apparel or bedding, and
shall satisfy himself that such directions are carried into effect. He shall
examine every prisoner about to be removed to any other place of confine-
ment, and report as to his being free from malignant, contagious, infectious,
or other disease, and as to his being in a fit state to be removed.
85. Removal of prisoliers.—When the Medical Officer is of opinion that
the removal of a prisoner-patient is absolutely necessary, and is likely to lead
to his recovery, he will submit a brief statement of the case to the Superintend-
ent, and point out the Jail to which he considers a transfer desirable. The
Superintendent will arrange for the removal, and give orders, under the
advice of the Medical Officer, for proper provision for the wants of the pri-
soner by the way, and his protection from undue exposure.
86. Prisoners banished under judicial sentence, or removed on special
grounds, by order of the Inspector General of Jails, will not be sent back to
62
EXECUTIVE MEDICAL OFFICERS (CIVIL.)
[SECT. III.
the place whence they have been banished, or transferred, even on medical
grounds, without the special sanction of the Inspector General of Jails pre-
viously obtained.
87. PRISONERS TO BE EXAMINED BEFORE TRANSFER.—Every prisoner trans
- f e r r i e d f r o m a n y J a i l , o n w h a t e v e r g r o u n d s , w i l l b e e x a m i n e d b y t h e M e d i c a l
Officer, who will certify his fitness, or otherwise, for the journey, and for the
climate to which he is to be removed, in writing, to the Superintendent. If
the Medical Officer is of opinion that extra diet or clothing should be allowed,
he will advise the Superintendent to that effect. He will also, if he see fit,
supply medicines, with instructions for their use, to the Warder in charge of
transferred prisoners.
88. DISCHARGE.—No prisoner is to be discharged from Jail on the expiry
of his sentence if laboring under any acute or dangerous disease, nor until,
in the opinion of the Medical Officer, such discharge be safe, unless such pri-
soner shall require to be so discharged.
89. CORPORAL PUNISHMENT.—No prisoner is to undergo corporal punish-
ment, except in cases of great emergency, until he is examined by the Medi-
cal Officer, and certified by him to be in a fit state to receive such punishment.
90. JAIL HOSPITAL RECORDS.—For a list of records and returns to be
kept by Medical Officers of Jails, see Section XX.
91.
Administrative Medical Officers.—All Jails, and Jail Hospitals,
shall be subject to the inspection of the Inspector General Indian Medical
Department and Deputy Inspectors General of Hospitals.
92. The Inspecting Medical Officers, in their visits, will see that these
rules are strictly observed, and that the returns required are regularly fur-
nished, and will enter in the Inspection Register of the Jail a record of each
visit, with its results. A copy of this record shall immediately be forwarded
by the Officer in charge of the Jail to the Inspector General of Jails, for the
issue of such orders as that officer may consider necessary in all matters not
relating immediately to the professional treatment of the sick.
93.
Subordinate Medical Staff and Hospital attendants.— W h e n
Medical Subordinates, extra to the sanctioned establish-
ment, are required for a Jail, the Medical Officer in
charge will submit his application to the Inspector General of Jails, who will
forward it, with an expression of his opinion, to the Inspector General
Indian Medical Department. The latter Officer will either dispose of the
application, or forward it for the orders of Government, as the circumstances
of the case may seem to require.
94. DUTIES.—The duty of the Medical Subordinate is to attend to all orders
of the Medical Officer of the Jail ; to prepare all medicines ordered ; to see that
G. O. No. 751 of
1866. Judl. Dept.