NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
248 SANITARY REGULATIONS. [SECT. X.
or any Woman being in a certified Hospital under medical treatment for a
contagious disease, refuses or wilfully neglects while in the Hospital to
conform to the regulations thereof approved under this Act ;
Then and in every such case such woman shall, on conviction before a
Magistrate, be punished with imprisonment, in the case of a first offence, for
any term not exceeding one month, and in the case of a second or any sub-
sequent offence, for any term not exceeding three months ; and in case she
quits the Hospital without being discharged as aforesaid, she may be taken
into custody without warrant by any officer of Police.
On the expiration of her term of imprisonment under this section, such
woman shall be sent back from the prison to the certified Hospital, and shall
be detained there unless the medical officer of the prison at the time of her
discharge from imprisonment certifies in writing that she is free from conta-
gious disease (the proof of which certificate shall lie on her).
Out-door Treatment of Prostitutes.
XVII. POWER TO PROVIDE FOR OUT-DOOR TREATMENT OF REGISTERED WOMEN.
—It shall be lawful for the Local Government to empower such Surgeons or
other persons as it shall from time to time appoint, to prescribe, by order to
be served on any woman registered under this Act, who has not received a
notice under section fourteen, the times and places at which she shall attend
for medical treatment, and, if necessary, the medical treatment to which she
shall submit.
Every such woman disobeying or failing to comply with any such order,
shall, on conviction before a Magistrate, be punished with imprisonment for a
term which may extend to a month, or with fine not exceeding one hundred
Rupees or with both.
XVIII. PENALTY FOR ACTING AS A PROSTITUTE WHILE UNDER MEDICAL TREAT-
MENT.—If any registered woman on whom such order as last aforesaid, shall
have been served, conducts herself as a common prostitute before such Sur-
geon or other person empowered as last aforesaid certifies in writing to the
effect that she is then free from a contagious disease (the proof of which cer-
tificate shall lie on her), she shall, on conviction before a Magistrate, be
punished with imprisonment for a term which may extend to six months, or
with fine not exceeding five hundred. rupees, or with both.
XIX. SUBSISTENCE ALLOWANCE.—During the interval between the service
of such order upon any registered woman and the granting of such certificate,
an allowance for her subsistence shall be provided of such amount and in such
manner as the Local Government shall from time to time prescribe.
SECT. X.] SANITARY REGULATIONS. 249
XX. Segregation of Prostitutes. —PENALTY FOR RESIDING IN STREET
OR PLACE AFTER PROHIBITION.—In any place to which the Local Government
shall, by notification in the official Gazette, have specially extended this sec-
tion, it shall be lawful for such officer as the Local Government shall from
time to time appoint in this behalf, to cause a notice to be served on any
registered woman, requiring her, after an interval of not less than seven days
to be mentioned in the notice, not to reside in any street or place therein
specified.
Any registered woman on whom such notice shall have been served, dis-
obeying the requisition therein contained shall, on conviction before a Magis-
trate, be punished with imprisonment, in the case of a first offence, for any
term not exceeding one month, and in the case of a second or any subsequent
offence, for any term not exceeding three months.
XXI. Removal from Register. —The Local Government shall lay
down rules prescribing a procedure in accordance with which any woman
registered under this Act and desirous of ceasing to carry on the business of
a common prostitute in the place at which she is registered and of having her
name removed from the said book may have her name removed accordingly.
Miscellaneous.
XXII. INSTITUTION OF PROSECUTIONS.—No prosecution shall be instituted
under this Act except at the instance of such officer as the Local Government
shall from time to time appoint in this behalf.
XXIII. PRESUMPTION AS TO SIGNATURES. —In any proceeding under this
Act, any notice, order, certificate, copy of signatures, or other document
purporting to be signed by any person in the service of Government, or by
any person whom the Local Government shall have, in exercise of the powers
conferred on it by this Act, appointed to sign such document, shall on pro-
duction be received in evidence and shall be presumed to have been duly
signed by the person and in the character by whom and in which it purports
to be signed, until the contrary is shown.
XXIV. SERVICE OF NOTICE.—Every notice and order required by this
Act to be served on a woman shall be served by delivery thereof either to her
personally or to some person for her at her usual place of abode.
XXV. LIMITATION OF SUITS.—Any suit against any person for anything
done in pursuance of this Act, shall be commenced within three months
after the thing done, and not otherwise. Notice in writing of every such
suit and of the cause thereof shall be given to the intended defendant one
month at least before the commencement of the suit.
XXVI. POWER TO MAKE RULES.—The Local Government shall have
power from time to time to declare by what officer anything directed to be
G G
250 SANITARY REGULATIONS. [SECT. X.
done by this Act shall be done, and by what class of officers information re-
garding anything made an offence by this Act shall be exclusively furnished."
XII.—Lock Hospital Rules. *
3 4 5 .
C o n t r o l .—
T h e c o n t r o l a n d s u p e r i n t e n d e n c e o f L o c k H o s p i t a l s
are vested in the Administrative Medical Officers of the Indian Medical
Department.
346. SUPERINTENDENCE.—The Medical or Warrant Officer appointed
to the immediate charge of a Lock Hospital shall have the management and
control of the same under the Deputy Inspector General of the Division.
347. MEDICAL OFFICER.—The Medical Officer shall regularly visit the
Hospital in the morning, and as often during the day or night as circum-
stances may render necessary. At the morning visit he shall see every
patient, inspect the premises, and give such orders, and adopt such measures
as may be required. He shall also at uncertain periods visit, inspect the
meals of the patients, and see that the servants are attending to their duties.
348. APOTHECARY OR MEDICAL SUBORDINATE.—The medicines and medical
stores will be under the care of the senior Medical Subordinate, and
he will be held responsible for the cleanliness, ventilation, and furniture of the
rooms, hospital, and latrines. The Apothecary or Medical Subordinate in
charge is personally held responsible for the preparation and administration
of medicines, and he will make all medicinal or surgical applications
ordered by the Surgeon, with the assistance of the Matron.
349.
Matron.—A Matron shall be appointed, and reside permanently
in the Hospital.
350. DUTIES.—Her duties shall be to preserve order and discipline
amongst the inmates ; to receive charge of the furniture, linen, wine, spirits
and extras, when these are not furnished by the Commissariat Department ;†
to have the custody and superintend the issue of clean clothing, and to see
that dirty clothes are removed twice a week by the dhobee ; to see that the cots
are tarred once a month, or oftener if necessary ; that each patient has clean
clothing and bedding on admission, and that the clothing of European and
East Indian women is changed twice a week ; that the cooking and diets are
well arranged, and that meals are served regularly at the prescribed hours.
The Matron is further responsible that each patient on admission
*These rules are intended to be applicable to Hospitals established in confirmity with
Act XIV. of 1868, and also, generally, to Lock Hospitals in Military Cantonments.
† In Military Cantonments the Commissariat Department prozides, and has the cus-
tody of, Hospital supplies.
SECT. X.] SANITARY REGULATIONS. 251
shall be washed, and receive the Hospital dress ; and that the doors of the
various wards are opened in her presence at 6 A.M.
351. Patients.—( a.) Any woman, whether a registered or special
registered prostitute, or unregistered, shall, on presenting herself for the cure
of venereal disease, be admitted into the Hospital.
(b. ) Tickets of registered or special registered prostitutes shall, on their
admission into Hospital, be taken charge of by the Medical Officer of the
Institution, and delivered to them on discharge, with the date of the said
discharge duly entered thereon.
INCURABLE DISEASE.—( c. ) In the event of any woman being incurably
diseased, her ticket shall be sent to the Health Officer, with the word " incura-
ble" legibly entered therein, and she shall be detained in Hospital pending
instructions from the Health Officer.
(d.) The name of every woman admitted into Hospital shall be entered
in the Admission and Discharge book, and also in the Case book, and notes of
each case shall be recorded not less than once in every seven days.
(e.) Any woman, not a registered or special registered prostitute, who
may apply for treatment for the cure of venereal disease, shall be at once
reported to the Health or Sanitary Officer, and she shall not be discharged
from Hospital till instructions be received from him.
(f.) On the admission of a woman, all clothing, money, or other valua-
bles shall be handed over to the Matron, who will give a receipt for the same.
(g.) Patients may wear their own clothes, but they must have a change
twice a week, and appear tidy and clean.
(h.) No food of any kind, whether eatables or drinkables, other than
that provided by the Hospital, is permitted to be used by the patients.
(i.) Patients quarrelling with, abusing, or striking other patients or any
of the attendants of the Hospital will be punished.
(j.) No visitors are allowed, except with the special sanction of the
Medical Officer—visiting hours shall be restricted from 11 A.M. to 1 P.M., and
from 4 to 5 P.M.
( k. ) Patients are not to crowd on each other's cots. Perfect quiet shall
be observed after 9 P.M.
COMPLAINTS.—(l.) Complaints of every kind must be made direct, by
word of mouth, to the Medical Officer. No letters will be received from
patients.
352. Diet. —The diet scale of Native patients in Lock Hospitals is laid
down in Section XII. " HOSPITAL SUPPLIES " . European and East Indian
women will be dieted according to the European scale of Hospital diet.
252 SANITARY REGULATIONS. [SECT. X.
Tobacco, or betel and nut may be given to patients who have been
accustomed to the use of them, but the giving of these articles is to be held
out as a reward for correct conduct ; and in the case of misbehaviour they
should be withheld as a punishment.
353. Sanitary arrangements. —(a. ) The cubic capacity and superficial
area of all the rooms are to be accurately ascertained and entered in a register,
which shall also specify the number of patients that each is capable of con-
taining, and under no circumstances is the regulated number of inmates to
be exceeded.
(b. ) The space and area allowed for each patient are defined in para. 92
of this Section.
(c. ) The accommodation of each room shall be painted upon the door
post of each ward.
(d.) During the day, doors and windows shall be kept constantly open,
and the bedding freely exposed to light and air.
(e.) The dry earth conservancy system to be carried out in all
latrines.
(f.) Great attention should be paid to secure pure water for drinking
and cooking purposes. A due proportion of country filters will be allowed,
and care must be taken to keep them in a clean and efficient condition.
354. Classification of Lock Hospitals.— T h e L o c k H o s p i t a l s i n t h e
Military Cantonments of the Madras Presidency are
classified as follows :—Lock Hospitals in Civil Stations
are not classified.
G. O. G., No. 253 of
18th June 1867.
1st Class.
Bangalore.
Secunderabad.
Kamptee.
Rangoon.
2nd Class.
Bellary.
Cannanore.
Trichinopoly.
Wellington.
2nd Class.
St. Thomas' Monnt
.
Thyetmyoo.
Tonghoo.
Moulmein.
XIII—Vaccine Department.
355. SUPERINTENDENT GENERAL.—The Department of Vaccination in
Madras is controlled by a Superintendent General, who conducts his duties
immediately under the orders of the Inspector General, Indian Medical
Department. The Superintendent General is a commissioned medical officer
of the Indian Medical Department.
356. The Superintendent General is responsible to the Inspector General,
Indian Medical Department, for the efficient performance of the duties of his
establishment . He will visit the several Collectorates as often as may be
practicable, and examine the work of the vaccinators, so as to test the
accuracy of their returns, and the progress of vaccination generally. He is
SECT. X.]
SANITARY REGULATIONS.
253
empowered to draw up subsidiary rules for the guidance of superintendents,
and vaccinators, and to issue such orders, subject to the approval of the
Inspector General, as he may deem necessary for the more effectual propa-
gation of the vaccine virus.
357. Reports. —The Superintendent General will submit to the
Inspector General, Indian Medical Department, on or before the 15th of
April, in each year, a comprehensive report on the work of his department
for the official year preceeding. In this report he will specially notice the
obstacles to the spread of vaccination, and the influence which has been exer-
cised by vaccination in the limitation of small-pox, either in small, or large
communities. He will also report at the end of every month, how he has
been employed during the period, and the number of districts inspected.
Finl. Dept. No. 431
of 1868 in G. 0., No.
473 of 1868, P. D.
358. STAFF.—The following Staff of vaccinators is
sanctioned.
23 Superintendents of districts.
100 1st Class Vaccinators.
155 2nd Class ,,
3 Peons.
1 Sweeper.
359. DISTRIBUTION.—The distribution of the vaccinators in the several
districts is arranged according to the following table.
Districts.
D i s t r i c t S u p e r i n t e n -
dent s.
1 s t C l a s s V a c c i n a t o r s . 2 d C l a s s V a c c i n a t o r s .
Districts.
D i s t r i c t S u p e r i n t e n -
dent s .
1 s t C l a s s V a c c i n a t o r s .
2 d C l a s s V a c c i n a t o r s .
Town, Madras ...
... 1 3 10 Trichinopoly
...
... 1 4 7
North Arcot... ...
1 4 7 Tanjore ...
...
... 1 4 7
Nellore ... ...
...
1 4 7 Madura ...
...
... 1 4 7
South Arcot
...
... 1 4 7 Madras District ...
... 1 4 7
Kistna ...
...
... 1 4 7 Godavery ... ...
1 4 7
Vizagapatam Zemindary and
Jeypore Province
... 1 6 ...
Ganjam...
...
... 1 4 7
Vizagapatam ...
... 1 4. 7
Cuddapah ...
... 1 4 7 Bellary Sub-Collectorate ... 1 3 5
Coimbatore
...
... 1 4 7 Bellary Collectorate
... 1 3 5
Salem ...
...
... 1 4 7 Kurnool
...
... 1 4 7
South Canara ...
... 1 4 7 Tinnevelly
...
... 1 4 7
Ganjam Zemindary, Hill
Tracts of Orissa...
... 1 6 ...
Malabar...
...
1 4 7
General duties ...
...
5
254 SANITARY REGULATIONS. [SECT. X.
1st Class
Vaccinator.
2nd Class
Vaccinator.
Ootacamund ...
...
. . .
1
0
Kotagherry
...
...
. . .
1
0
Pulney Hills ...
...
. . .
1
1
Shervaroy Hills ...
...
. . .
1
0
Amandivi Islands
. . .
. . .
1
0
Bangalore
...
...
...
1
1
Secunderabad ...
...
. . .
1
1
Kamptee
...
...
. . .
0
1
360. PAY.—Superintendents receive Rupees 70 per mensem, first Class
Vaccinators 18 Rupees, and second Class Vaccinators 10 Rupees. Peons
Rupees 7, Sweeper 3½ Rupees.
361. SUPERINTENDENTS.—In the appointment of Superintendents prefer-
ence will be given to persons who have gained experience as vaccinators, and
to persons of good general education and intelligence who have passed the
general test required by the uncovenanted civil service rules.
362. VACCINATORS.—Vaccinators are required to possess some knowledge
of English. Those only who possess a competent knowledge of English, and
who have worked zealously and satisfactorily in the department will be
advanced from the 2nd to 1st class, or from 1st class to be Superintendents.
363.
Duties of Superintendents.—Superintendents with their estab-
lishments will itinerate from Talook to Talook of their districts, throughout
the working season of each year, vaccinating all persons, on whom the opera-
tion has not been performed and who may be willing to have it done, and taking
care that every village in a Talook is visited ere the Talook is quitted for
another. District Superintendents will report to the Superintendent General
the date of their entry into the various Talooks, and a similar report will be
made on departure.
364. WORKING SEASON.—The working season will commence on the 1st
July in each year, and terminate about the end of March of the year follow-
ing.
365. LYMPH SUPPLY.—District Superintendents will make arrangements
for keeping up a supply of lymph, during the non-working months.
366. Superintendents are to afford their aid whenever called upon by the
Educational Department to examine school boys as to their bearing marks of
small-pox, or vaccination.
367. WEEKLY REPORTS.—Superintendents will obtain a weekly report
of work from each vaccinator, to enable them to check the same more efficiently.
SECT. X.] SANITARY REGULATIONS. 255
368. DIARY.—Superintendents will keep a diary of their proceedings, in
which they will enter a record of their daily work, and full information as to
the locality in which they and the vaccinators under them are engaged.
Weekly extracts of the diary will be furnished regularly to the Superinten-
dent General.
369. MONTHLY RETURNS.—Superintendents will also furnish monthly
returns (in the prescribed form) of the persons vaccinated, by their establish-
ments and despatch them, so that they may reach the office of the Superinten-
dent General, by the 15th of the following month.
370. ANNUAL REPORT.—Superintendents will furnish annual reports of
their work drawn up according to the following form :
Heads for drawing up Annual Reports.
(a. ) The comparative numbers vaccinated in the past and previous
years, with remarks on the increase or decrease.
(b. ) The comparative number vaccinated by each Vaccinator, with
explanation of any marked difference.
(c. ) Whether obstructions of any kind to the spread of vaccination
exist, their nature, and the means recommended for their removal.
(d. ) The prevalence of small-pox in the District.
(e.) Suggestions for the more effectual spread of vaccination.
(f.) Irregularities in the progress of the vaccine disease should be
specially noticed, as well as any ill effects resulting from vaccination.
(g.) The number of subjects vaccinated under one year should be given.
(h.) Instances of small-pox after unmistakeable vaccination, or well
marked cases of previous small-pox, should be alluded to in the report.
(i.) Conduct of the Vaccinators.
With the Annual Returns and Reports Superintendents will furnish in a
tabular form, the following information :—
( k. ) Deaths, resignations, desertions, and dismissals of Vaccinators.
( l. ) Amount of batta expended to enable mothers to travel from village
to village during the year.
SECTION XI.
MEDIC AL STORES.
I.—Principal Medical Store-keeper.
I I . — D e p u t y M e d i c a l S t o r e - k e e p e r s .
III.—Surgical Instruments.
IV.—Carriage of Stores.
1. Duties of Store-keeper.—The duties of Principal Medical Store-
keeper include the custody of all medical and surgical stores, and veterinary
supplies received from Europe, all stores of indigenous growth purchased
locally, all medicines, &c. prepared locally, and of all returned stocks of medi-
cines and instruments. The Principal Medical Store-keeper is also ex-officio
Professor of Materia Medica in the Medical College.
2. UNDER THE CONTROL OF INSPECTOR GENERAL.—The Principal Medical
Store-keeper conducts his duties immediately under the orders of the Inspector
General, Indian Medical Department. No issues are to be made from the
stock under his charge, without the authority of the Inspector General
of the Indian or British Service, or of the Principal Veterinary Surgeon of the
Presidency.
3. INDENTS ON HOME GOVERNMENT.—The Principal Medical Store-keeper
submits to the Inspector General, Indian Medical Department, a rough draft
of the annual indent on the Home Government, prepared so as to exhibit the
quantities of the several articles required to bring the stock in the Presidency
Depôt, up to the established proportion of two and half years' expenditure.
The column of requirements, and, all explanations regarding the same, will
be completed by the Inspector General, Indian Medical Department.
4. ESTIMATES TO DEPARTMENTS OF SUPPLY.—The Principal Medical Store-
keeper will furnish to all departments of the Government, from which he
is in the habit of drawing supplies, estimates of the quantities likely to be
SECT. XI.] MEDICAL STORES. 257
required in the ensuing year, so as to enable the departments concerned to
make provision for the supply in their Budget-estimates. Deputy Medical
Store-keepers will furnish the Principal Medical Store-keeper with estimates of
their probable requirements, both of European and indigenous drugs. The
estimate for European and country medicines must reach the Principal Medical
Store-keeper by the 1st June.
5. ISSUE OF STORES.—The Principal Medical Store-keeper furnishes
supplies on annual indent to Deputy Medical Store-keepers, and issues, on
indent, to all hospitals and departments in the Centre Division, and generally
to all Military and Civil Stations in the Southern Districts, which are reached
by railway from Madras. He also issues, under authority, supplies for the
use of detachments of troops, travelling by sea or land.
6. LANDING STORES.—The Principal Medical Store-keeper, on receiving
notice from the Master Attendant of the arrival of stores from Europe, will
send one of his assistants to the Sea Customs House to receive charge of the
same, and to see that they are carefully conveyed to the Store Depôt. On arrival
there, the cases are to be weighed. Should any of the cases be damaged to
such an extent as to lead the assistant to suppose that the contents have
sustained injury, he will not remove these from the Customs House, but report
the circumstance to the Principal Medical Store-keeper, who will request the
Master Attendant to summon a Committee of Survey, which will consist of the
Principal Medical Store-keeper, the Master Attendant, and the Captain of the
Ship from which the stores have been landed, or his agent. The proceedings
of such a Committee will then be sent to the Inspector General, Indian Medi-
cal Department, in order that the necessary steps may be taken for the
recovery of damages.
7. INSPECTION OF STORES.—The Principal Medical Store-keeper, on open-
ing cases arriving from Europe, is to inspect their contents, and satisfy himself
as to the quality of the articles. Any deficiencies, damages, or breakages are at
once to be reported. to the Inspector General, and to the Examiner of Medical
Accounts, with the monthly return.
8. INDIGENOUS DRUGS.—The Principal Medical Store-keeper will, in like
manner, carefully examine all articles of indigenous supply, as received from
contractors or from other departments, and he is held responsible that none
but articles of unexceptionable quality are received into Store.
9. STOCK BALANCE.—On the last day of each official year, the Principal
Medical Store-keeper will make a return to the Inspector General, Indian Medical
Department, exhibiting the stock received, expended, or become inefficient,
within the year, and showing the actual balance of each article remaining in
Store. The Inspector General will select from ten to twenty articles for verifica-
tion, and either examine the balances himself, or depute an officer of his depart.