NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
NOTES
ON
VACCINATION
IN THE
United Provinces of Agra and Oudh
For the year ending 31st March 1913.
ALLAHABAD
PRINTED BY F. LUKER. SUPDT., GOVERNMENT PRESS. UNITED
PROVINCES.
1913.
Price, eight annas (9d.).
NOTES
ON
VACCINATION
IN THE
United Provinces of Agra and Oudh
For the year ending 31st March
1913.
A
LLAHABAD
PRINTED BY F. LUKER, SUPDT GOVERNMENT PRESS, UNITED PROVINCES.
1913.
[Prescribed maximum
length—4pagas.]
TABLE OF CONTENTS.
Constitution and strength of the department ... ... ...
Expenditure on vaccination ... ... ... ... ...
Average cost of each successful case of vaccination ... ... ...
General operations... ... ... ... ... ...
Successful primary vaccinations in different districts ... ... ...
Successful vaccination and degree of protection afforded... ... ...
Vaccination in proportion to births and according to age... ... ...
Mortality from small-pox ... ... ... ... ...
Diagram ... ... ... ... ... ...
Dispensary vaccination ... ... ... ... ...
Vaccination in municipalities ... ... ... ... ...
Vaccination in cantonments ... ... ... ... ...
Vaccination in notified areas ... ... ... ... ...
Vaccination Act ... ... ... ... ... ...
General results of inspection ... ... ... ... ...
Provincial bovine lymph dépôt at Patwa Dangar (Naini Tal district) ...
STATISTICAL STATEMENTS.
STATEMENT No. I —Showing particulars of vaccination in the United Provinces
during the year 1912-13 ... ... ... ... ...
STATEMENT No. II—Showing the cost of the department in the United Pro-
vinces during the year 1912-13 ... ... ... ...
STATEMENT No. III—Showing dispensary vaccination in the United Provinces
during the year 1912-13 ... ... ... ... ...
STATEMENT No. IV—Showing the number of persons primarily vaccinated and
the number successfully vaccinated in the United Provinces during the
last ten years ... ... ... ... ...
STATEMENT No. V—Showing particulars of vaccination verified by inspecting
officers in the United Provinces during the year 1912-13 ... ...
APPENDICES.
APPENDIX A—Showing the number and ratio of successful vaccinations and
number and ratio of deaths from small-pox in each district of the United
Provinces for a series of ten years ... ... ... ...
APPENDIX B—Showing the number of vaccinations performed in the municipal
towns of the United Provinces on children under one year of age during
the year 1912-13 ... ... ... ... ...
Page:
1
ib.
ib.
2
ib.
ib.
2&3
3
ib.
ib.
ib.
ib.
ib.
ib.
3&4
4—6
ii & iii
iv & v
vi
vii—ix
x & xi
2A— 5 A.
6A&7A
ERRATA to the Notes on Vaccination in the United Provinces
during 1912-13.
Page.
v
viii
5A
Diagram
For—
19
49
0.26
1413.5
Balia
Read
a.
1
—
p.
9
479
30.26
1413.6
Ballia
Remarks.
In the column " Average cost of each
successful case performed by the vaccination
staff only " against " Grand Total."
Under column 1907-08, sub-column "Total
number ", against " Total of dispensaries."
Under column 1911-12, sub-column " Per-
sons successfully vaccinated per 1,000 of
population ", against " Grand Total."
Against Farrukhabad district (in black ink
figures).
( 6 )
the period from April to September 1912 (hot weather) and 96.8 and 71.6 during
the period from October 1912 to March 1913 (cold weather) against 90.7, 44.2,
97.1 and 65.3 respectively in the preceding year. The strain of lymph was
satisfactory and was fortified occasionally by passage through rabbits.
To start the seasonal work glycerinated calf lymph was supplied in due time
to all the District Superintendents of Vaccination in those districts still continuing
to use arm-to-arm lymph and the vesicle was established in almost all these
districts early in the vaccination season.
Proposals for the increase in the pay and strength of the staff with effect
from 1st April 1913 were sanctioned and a resident European Superintendent,
Mr. D. F. MacArthur, was appointed from 4th November 1912.
The dépôt was frequently inspected by the Sanitary Commissioner and the
Deputy Sanitary Commissioner, 2nd Range, who is in charge of the institution.
NANI TAL :
The 11th July 1913.
S. A. HARRISS, M.B., C.M., D.P.H., D.T.M. & H. (CAMB.),
MAJOR, I.M.S.,
Sany. Commr. & Supdt.-Genl of Vaccination,
United Provinces.
Diagram showing the relation between the death-rate from small-pox and the proportion
of population
protected
by vaccination in each district of the United
Provinces.
The black lines
and figures
indicate
proportion
of population
protected
by vccccination
during
the year
1912-13 and the six yeare
preceding
it.
The red lines
and fïgures
indicate
the death-rate
from
small-pox
during
1912.
( ix )
and the number successfully vaccinated, in the United Provinces in each of the
official years—(concluded.)
primarily vaccinated.
1909-10.
Total
number.
68,506
21,484
36,115
...
54,738
23,102
23,669
1,088
76,700
32,612
33,730
2,862
7,888
6,070
388,564
19,218
1,888
6,731
...
71,552
16,907
25,595
51,526
88,142
13,016
36,711
29,259
360,545
72,988
15,231
34,320
4,540
49,495
6 691
7,885
2,115
193,265
86,678
16,750
33,541
9,345
113,541
3,560
46,340
3,782
313,537
1,255,911
203
1,256,114
Number
successfully
vaccinated.
67,208
20,979
85,024
...
52,265
21,978
22,488
1,051
72,854
30,158
32,277
2,690
7,692
6,026
372,690
18,533
1,805
6,564
...
69,550
15,963
24,902
49,208
84,689
12,441
34,994
27,585
346,234
71,012
14,355
33,329
4,453
47,961
6,318
7,302
2,108
186,838
85,504
16,415
33,303
9,294
109,781
3,220
45,083
3,714
306,314
1,212,076
150
1,212,226
1910-11.
Total
number.
67,478
23,407
43,263
...
59,944
28,700
35,051
1,272
85,410
33,809
38,183
2,836
6,296
7,879
433,528
19,360
1,754
6,186
...
79,461
18,109
29,421
49,711
90,590
13,170
39,027
29,087
375,876
65,876
15,915
41,492
4,666
58,184
7,044
9,551
2,170
199,898
82,672
15,555
36,267
8,575
108,497
3,794
56,432
3,929
315,721
1,325,023
264
1,325,287
Number
successfully
vaccinated.
65,514
22,802
41,890
...
57,476
27,522
33,792
1,240
81,525
31,797
36,767
2,693
6,176
7,783
416,977
18,849
1,715
6,246
...
77,533
17,433
28,709
48,319
87,155
12,831
37,741
27,148
363,679
64,212
15,162
40,507
4,596
51,860
6,863
9,219
2,161
194,580
81,813
15,264
36,021
8,507
106,220
3,620
55,352
3,865
310,662
1,285,898
243
1,286,141
1911-12.
Total
number.
65,076
25,406
51,016
...
64,077
31,272
38,945
1,362
89,350
34,711
44,924
2,650
7,583
6,247
462,619
21,162
1,872
6,475
...
75,489
19,449
37,432
53,754
91,221
13,094
46,605
25,375
391,928
57,376
15,854
51,318
5,097
57,605
6,436
7,672
2,163
203,521
82,270
16,670
43,649
5,165
100,605
3,586
67,603
3,729
323,277
1,881,345
304
1,381,649
Number
successfully
vaccinated.
63,530
24,613
49,715
...
62,013
29,890
37,639
1,350
85,437
32,714
43,131
2,458
7,423
6,206
446,119
20,867
1,861
6,399
...
73,610
18,848
36,543
52,053
88,361
12,798
45,445
24,040
380,825
55,874
15,129
49,841
5,036
56,397
5,975
7,074
2,152
197,478
81,424
16,316
43,467
5,107
98,695
3,512
66,373
3,654
318,548
1,342,970
273
1,343,243
1912-13.
Total
number.
68,350
28,169
60,158
...
68,224
32,777
42,319
1,404
96,780
38,666
47,076
3,448
8,722
6,468
502,561
18,139
1,205
8,942
...
75,283
19,493
42,127
49,238
92,488
11,877
53,939
24,119
396,850
56,166
16,045
58,340
5,018
56,297
7,555
12,927
2,919
215,267
80,646
17,034
51,205
5,092
106,750
4,788
71,216
3,915
340,646
1,455,324
334
1,455,658
Number
successfully
vaccinated.
66,353
27,136
57,850
...
64,613
30,627
40,157
1,353
92,974
36,439
45,410
3,289
8,530
6,398
481,129
17,880
1,200
8,906
...
73,419
18,869
41,206
47,955
89,485
11,383
52,086
23,249
385,638
54,476
15,367
55,824
4,998
54,331
7,235
11,833
2,875
206,939
79,854
16,819
50,901
4,981
104,069
4,299
69,401
3,878
334,202
1,407,908
213
1,408,121
Paragraph 15.]
( x )
STATEMENT No. V.—Showing the particulars of vaccination verified by
Number.
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
43
44
45
46
47
48
Ranges and Districts.
First Range
Second Range
Third Range
Fourth Range
Dehra Dun ...
...
Saharanpur ...
...
Muzaffarnagar
...
Meerut
...
...
Bulandshahr ...
...
Aligarh ... ...
Muttra
... ...
Agra ... ...
Mainpuri
...
...
Etah ... ...
Bareilly
...
...
Bijnor
... ...
Budaun
... ...
Moradabad ...
...
Shahjahanpur
...
Pilibhit ... ...
Garhwal
...
...
Naini Tal ... ...
Almora ... ...
Lucknow
...
...
Unao ... ...
Rae Bareli
... ...
Sitapur
...
...
Hardoi ... ...
Kheri ... ...
Fyzabad ... ...
Gonda
...
...
Bahraich ... ...
Sultanpur
...
...
Partabgarh ...
...
Bara Banki ...
...
Farrukhabad ...
...
Etawah
... ...
Cawnpore
...
...
Fatehpur
...
...
Allahabad
...
...
Jhansi
...
...
Jalaun
...
...
Hamirpur ... ...
Banda ... ...
Benares
...
...
Mirzapur
...
...
Jaunpur
...
...
Ghazipur
...
...
Ballia ... ...
Gorakhpur ...
...
Basti ... ...
Azamgarh
...
...
TOTAL FOR THE PROVINCE ...
Total number of
persons vaccinated.
Primary.
5,662
32,494
30,723
49,661
38,149
38,500
21,332
32,976
23,973
28,011
36,372
28,517
35,220
41,131
28,302
16,428
15,195
10,200
18,086
23,148
24,410
32,900
31,933
45,190
28,560
32,600
47,567
27,504
23,828
26,210
24,722
19,923
21,889
31,631
20,917
41,209
28,945
14,781
18,228
17,985
27,813
21,740
43,117
28,826
32,481
90,396
56,931
39,342
1,455,658
Re-vacci¬
nations.
4,016
2,718
1,006
585
936
3,717
518
5,657
529
1,111
425
981
368
307
135
1,647
25,571
13,733
11,943
563
393
508
522
452
928
1,728
1,089
59l
2,480
379
553
1,401
1,517
1,983
1,538
977
11,091
2,355
4,196
2,720
467
286
136
165
1,817
966
4,538
1,532
123,774
Total number inspected.
By Deputy Sanitary
Commissioners or
District Superinten-
dents of Vaccination.
Primary.
...
5,711
5,937
3,172
7,920
7,670
4,920
...
8,681
4,644
3,296
3,836
2,917
3,391
8,399
4,318
4,727
1,668
3,801
161
3,180
7,253
6,864
5,807
2,702
5,469
4,067
2,759
2,790
8,581
4,547
5,119
1,470
2,541
11,910
3,764
4,653
5,638
3,121
2,988
246
3,448
10,629
7,147
4,399
196
7,771
13,348
227,576
Re-vacci-
nations.
...
1,099
32
...
115
291
4
...
145
44
...
7
...
...
...
168
7,335
2,224
1,275
...
10
91
74
89
54
248
...
76
527
51
182
49
46
...
364
...
1,020
905
205
131
...
63
5
...
100
...
164
112
17,305
By Assistant Superin-
tendents of Vaccina-
tion or other Inspect¬
ing Officers.
Primary.
3,439
8,519
14,355
13,038
13,317
11,429
12,736
11,230
9,411
12,481
11,520
13,216
12,226
10,881
9,688
12,291
8,631
6,715
15,009
10,328
12,110
12,110
11,520
13,864
7,479
12,217
12,167
9,594
8,098
10,020
9,956
6,146
10,979
14,656
9,985
12,179
12,320
9,246
11,416
7,570
11,132
11,572
16,859
13,226
17,681
34,182
19,385
10,967
569,096
Re-vacci-
nations.
2,082
1,330
245
16
189
821
70
1,595
150
243
11
48
69
78
6
729
15,972
7,893
8,283
28
33
361
155
135
89
442
216
48
943
69
172
92
856
25
473
7
4,401
1,473
865
780
50
107
40
113
568
87
1,628
199
54,285
( 7A )
APPENDIX B.—Showing the number of vaccinations performed in the municipal towns of
the United Provinces on children under one year of age during the year 1912-13—(concluded)
Number.
1
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
District.
2
Unao
...
...
Rae Bareli ...
Sitapur ...
...
Hardoi ...
...
Kheri ... ...
Fyzabad ...
...
Gonda
...
...
Bahraich...
...
Sultanpur
...
Partabgarh ...
Bara Banki
...
Municipality.
3
Unao
...
...
Rae Bareli ...
...
Sitapur
... ...
Khairabad ... ...
Hardoi
... ...
Shahabad
...
...
Sandila
... ...
Lakhimpur ...
...
Fyzabad-Ajodhya
...
Tanda ... ...
Gonda
...
...
Balrampur ...
Bahraich
...
...
Nanpara
...
...
Sultanpur ... ...
Bela ... ...
Nawabganj ...
...
Total ...
Number of
births
during
1912.
4
535
687
535
574
529
977
890
343
1,987
902
589
714
1,006
300
426
275
448
122,619
Number of
deaths
amongst
children
under
one year
during
1912.
5
139
146
156
111
148
255
252
46
578
207
142
172
85
58
99
60
79
29,693
Number of
successful
vaccinations
on children
under one
year during
the year
ending 31st
March 1913.
6
298
575
346
363
328
772
605
309
1,480
649
350
494
886
242
280
132
182
83,031
Date of extension
of Vaccination Act
to the municipality.
7
13th March 1890.
1st June 1891.
27th July 1891.
12th April 1892.
26th March 1891.
17th March 1892.
2nd January 1892.
1st Juno 1891.
11th June 1891.
18th July 1891.
25th June 1891.
Ditto.
5th December 1892.
10th September 1894.
11th November 1884.
1st June 1891.
2nd December 1889.
ERRATA to the Notes on Vaccination in the United Provinces of Agra and Oudh for the
year ending 31st March 1910.
Page.
ii
iii
2A
7A
For
6,426
Not avaible.
02
22nd April
Read
9,426
Not available
.02
12th April
Remarks.
In column 6, sub-column "Male" against Main-
puri.
In columns 21—24 against " Family Domains of His
Highness the Maharaja of Benares."
In column " 1901-2'', sub-column " Ratio of deaths
from small-pox per 1,000 of population in 1902"
against Etah.
In column 7 against serial No. 74.
L a i d H o s p i t a l
A CODE
OF
MEDICAL AND SANITARY REGULATIONS
FOR THE
GUIDANCE OF MEDICAL OFFICERS
SERVING IN
THE MADRAS PRESIDENCY.
(COMPILED UNDER THE ORDERS OF GOVERNMENT)
BY
WILLIAM ROBERT CORNISH, F.R.C.S.,
SURGEON, MADRAS ARMY,
SECRETARY AND STATISTICAL OFFICER TO THE INSPECTOR GENERAL,
INDIAN MEDICAL DEPARTMENT.
VOL. I.
MADRAS:
PRINTED BY H. MORGAN, AT THE GOVERNMENT PRESS.
1870.
CONTENTS OF VOL. I.
SECTION I.
ADMINISTRATIVE OFFICERS.
Page .
I.—Inspector-General of Hospitals
. . .
. . .
. . . ...
... 1
II.—Deputy Inspector-General of Hospitals
. . .
. . .
. . . . . .
III.—Secretary and Statistical Officer
. . .
. . .
. . .
. . . ...
S E C T I O N I I .
EXECUTIVE MEDICAL OFFICERS, (MILITARY.)
I.—Assistant Surgeons ...
...
. . . . . .
. . .
. . . ... 20
II.—Surgeons ... ...
...
. . . ...
. . .
. . .
. . .
III.—Surgeons-Major
...
...
...
. . .
. . .
. . . ...
IV.—Staff Surgeons, British Medical Service
. . . ...
...
. . .
V.—Garrison and Staff Surgeons, Indian Medical Department
. . .
. . .
SECTION III.
EXECUTIVE MEDICAL OFFICERS, (CIVIL.)
I.—Civil Surgeons
...
. . .
. . .
. . . ...
. . .
. . . 48
II.—Civil Dispensaries ...
. . .
. . . . . .
...
. . .
. . .
III.—Jail Surgeons
...
. . .
. . .
. . . . . .
...
. . .
IV.—District Surgeons (Presidency)
. . .
. . .
...
. . .
...
V.—District Surgeons, (Neilgherries)
. . .
. . . . . .
. . .
...
VI.—Chemical Examiner ...
. . .
. . . . . .
. . . ...
. . .
SECTION IV.
SUB-ASSISTANT SURGEONS
. . .
. . . ... 77
SECTION V.
SUBORDINATE MEDICAL DEPARTMENT.
I.—Apothecaries
...
. . .
. . .
. . .
. . .
. . .
... 79
II.—Assistant Apothecaries
...
. . .
. . .
. . .
. . .
. . .
III.—Apprentices
...
. . .
. . .
. . .
. . .
. . .
...
IV.—Hospital Assistants ...
. . .
...
...
. . .
...
...
V.—Medical Pupils
. . .
. . .
...
. . .
...
. . .
. . .
CONTENTS.
ii
SECTION VI.
TRAVELLING ON DUTY.
I.—Travelling by dâk ...
. . .
...
. . .
. . .
. . .
. . . 104
II.—Travelling by Railway
. . .
...
. . .
. . .
. . .
. . .
III.—Travelling by Sea ...
. . . ...
. . .
. . .
...
...
SECTION VII.
PAY OF MEDICAL OFFICERS
. . .
. . .
. . . 116
SECTION VIII.
LEAVE
...
...
. . .
... 130
SECTION IX.
PENSION
. . .
. . .
. . .
. . . 139
SECTION X.
SANITARY REGULATIONS.
I.—Military Cantonment Rules ...
...
. . .
. . .
. . .
. . . 147
II.—Troops in Garrison ...
...
. . .
...
. . .
...
. . .
III.—Marching of Troops . . .
...
. . .
...
. . .
...
. . .
IV.—Field Service
...
. . .
...
...
. . .
...
. . .
V ( a).—Cholera Epidemics
. . .
. . .
...
...
. . .
...
(b ).—Investigation of Cholera
. . .
...
. . .
...
. . .
. . .
VI.—Jails and Prisoners ...
. . .
. . .
. . .
. . .
. . .
. . .
VII.—Fairs and Festivals
. . .
. . .
...
. . .
. . .
...
. . .
VIII.—Municipal Regulations
...
...
. . .
. . .
. . .
. . .
IX.—Conservancy
...
. . .
...
...
...
. . .
...
X.—Water-supply
...
. . .
. . .
. . .
. . .
. . .
. . .
XI.—Contagious Diseases Act ... ...
. . .
. . .
. . .
. . .
. . .
XII.—Lock Hospitals ...
. . .
. . .
...
...
...
. . .
XIII.—Vaccine Department ...
...
...
...
. . .
...
. . .
SECTION XI.
MEDICAL STORES.
I.—Principal Medical Store-keeper
...
. . .
...
...
... 256
II.—Deputy Medical Store-keepers
...
. . .
. . .
...
. . .
III.—Surgical Instruments
. . .
...
. . .
. . .
. . .
. . .
IV.—Carriage of Stores ...
...
. . .
. . .
. . .
...
...
SECTION XII.
HOSPITAL SUPPLIES.
I.—Purveyor's Duties ...
. . .
. . .
. . .
. . .
. . .
. . . 270
II.—Diet, European Hospitals
...
. . .
. . .
. . .
. . .
. . .
III.— Do. Native do.
. . .
. . .
...
. . .
. . .
. . .
IV.—Bazaar Medicines ...
. . .
. . .
. . .
. . .
. . .
. . .
V.—Hospital Necessaries . . .
. . .
. . .
. . .
. . .
. . .
. . .
VI.—Bedding and Clothing
. . .
. . .
. . .
. . .
. . .
. . .
VII.—Hospital Miscellanies
. . .
. . .
. . .
. . .
. . .
. . .
VIII.—Hospital Servants
. . .
. . .
. . .
. . .
. . .
. . .
. . .
APPENDIX.
FORMS.
No. 1. Inspection Report British Medical Service referred to at page
. . .
... 15
„ 2.
„
„ Indian Medical Service
„ „
. . .
...
15
„ 3. Annual Report on Medical Subordinates ...
„ „
...
... 101
„ 4. Schedule A .
. . .
. . .
...
„ „
. . .
... 164
„
5.
Do.
B.
. . .
. . .
...
„ „
. . .
... 165
„ 6.
Do.
C.
. . .
. . .
...
„ „
. . .
...
164
„
7.
Do.
D.
. . .
. . .
...
„ „
. . .
... 165
„
8.
Do.
E.
. . .
. . .
...
„ „
. . .
...
168
„
9. Monthly Return of Vaccination
...
„ „
. . .
... 255
„ 10. Half-yearly Return of Surgical Instruments
„ „
. . .
... 267
„ 11. Commissariat Form No. 158 . . .
...
„ „
. . .
. . . 275
„ 12.
Do.
do.
159
...
...
„ „
. . .
...
ib.
„
13.
Do.
do.
160
...
...
„ „
. . .
...
i b .
„ 14. Monthly Abstract of Expenditure of Wines and
Spirits
. . .
...
„ „
...
... 277
„ 15. Bills for Wines and Aerated drinks purchased „
„
. . .
. . .
ib.
SECTION I.
ADMINISTRATIVE OFFICERS.
I.—Inspector General of Hospitals.
II—Deputy Inspector General of Hospital
s
III.—Secretary and Statistical Officer.
G. O. G. G. , No. 603
of 1867.
1. Division of Duties of Medical Officers in India. —The Medical
Department in India consists of two distinct branches.
To one branch is entrusted the performance of the medical
duties of British troops, and all the officers of it belong to the British Army
Medical Department. To the other branch is allotted all medical duties
connected with the Native Army and the Civil administration of India. The
officers of the latter branch are engaged for service in India only, and constitute
the Indian Medical Department proper.
G. O. G., No. 208,
14th May 1867.
2. Inspector General of Hospitals. —Each branch of the Medical Ser-
vice is presided over and administered by an Inspector General of Hospitals.
The official designation of the Head of the British Army Medical Department
is "INSPECTOR GENERAL, BRITISH MEDICAL SERVICE," and of the Head of the
Indian Medical Establishment, " INSPECTOR GENERAL,
INDIAN MEDICAL DEPARTMENT."
DIRECTLY SUBORDI-
NATE TO LOCAL Gov-
ERNMENT.
G. O. G.G., No. 901 of
1866.
G. O., No. 520 of
1868, M. D.
3. Inspector General of Hospitals, British Medical Service.
— T h e I n s p e c t o r G e n e r a l o f H o s p i t a l s , B r i t i s h M e d i c a l S e r -
vice, is selected by the Director General of the Army
Medical Department, for a tour of five years' Indian duty.
While serving in the Madras Presidency, he is directly
subordinate to the Governor in Council, and is enjoined,
under ordinary circumstances, to conduct the duties of his
office at the seat of the Madras Government. Whenever
it may be desirable or necessary for the Inspector General British Medical.
Service, to leave the Presidency on a tour of inspection, the sanction of Govern-
ment must be obtained.
2
ADMINISTRATIVE OFFICERS.
[SECT. I.
4. DUTIES IN RELATION TO COMMANDER-IN-CHIEF.—Although the Inspec-
tor General, British Medical Service, is directly subordi-
nate to the Government, and no longer attached to Army
Head-quarters, he will continue to furnish such information and returns on all
points connected with the health of the British troops as may be required of
him by the Commander-in-Chief in India, or the Commander-in-Chief of the
Madras Army; and, generally, to obey such instructions as the Commander-in-
Chief may issue, subject to the approval of Government.
5. RELATION TO DIRECTOR GENERAL.—In all professional matters, the
Inspector General is subject to the authority of the Director General, Army
Medical Department, and also of his local representative, the Inspector Gene-
ral British Medical Service in Bengal.
6. GENERAL DUTIES.—The full superintendence, medical, sanitary, and
economic, of all British Hospitals under the Madras Government, and of all
professional duties connected with British troops, is entrusted to the Inspector
General, British Medical Service, and the Administrative officers acting
under his instructions. He will be guided, generally, by
the rules and practice in force with the Indian Medical
administration, and will, in like manner with the Inspector General, Indian
Medical Department, be held directly responsible by Government for the
efficient administration of the department of which he is chief.
7. ADMINISTRATION REPORT.—In addition to the professional returns
and reports required to be transmitted to the Director General of the Army
Medical Department, to the Inspector General, British Medical Service, Cal-
cutta, and Sanitary Commissioner of Madras, the Inspector General, British
Medical Service, is required to furnish the local Government with an annual
Administration Report, and three Returns in duplicate for publication in the
Official Gazette. In the Administration Report he will
briefly, but distinctly, set forth every circumstance of
importance bearing upon the sickness, mortality, and inva-
liding of the British Forces serving in the Madras com-
mand. This report, with abstract tables of sickness, mortality, and invaliding,
is to include the period from 1st April to 31st March, and is invariably to be
rendered to the Military Secretary to the Government, Fort Saint George, on
or before the 15th of May in each year.
8. APPOINTMENTS AND TRANSFERS.—All local or temporary appointments,
transfers, and changes of duty of the Executive Staff,
British Medical Service, are ordered by the Commander-
i n - C h i e f o r G o v e r n m e n t ; b u t t h e I n s p e c t o r G e n e r a l , B r i t i s h M e d i c a l S e r v i c e , i s
empowered. to recommend or advise in regard to all appointments connected
G. O. G. G., No. 901
of 1866.
G. O. G. G., No. 991
,of 1866.
G. O., No. 3,487
of 8th Sept. 1868, and
No. 3,986 of 10th Oct.
1868, M. D.
G. O. G., No. 276
of 1859.