20
REPORT ON THE
office was held by Surgeon G. Jameson. Surgeon-Major R. C. Sanders was
Ophthalmic Surgeon from the beginning of the year to 31st March, when he went
on furlough, making over charge to Surgeon F. F. Perry, who held charge of
the office up to 30th November. Surgeon-Major R. C. Sanders was again
Ophthalmic Surgeon from 1st December to the close of the year. The Obstet-
ric Physicianship was held by Surgeon-Major R, Harvey from 1st January to
5th April, and by Surgeon C. H. Joubert from 6th April to the end of the year.
48. The total number of in-door patients treated, excluding the ophthalmic
cases, was 5,749, against 5,544 in the previous year. There were 587 deaths,
or a death-rate of 102.1 per mille, against 105.15 in 1887 and 101.8, 104.4, 126.1,
112, 123, and 129 in six preceding years. There were treated 2,865 persons
in the European wards with a daily average of 147.57, of whom 129 died,
giving a death-rate of 45 per 1,000 treated, as against 58.76, 49.3, 59, 70,
54 and 59 in six preceding years. There were treated 3,329 native in-door
patients, against 3,043 in 1887, the daily average being 190 and 188.4 respec-
tively. There were 458 deaths, or a rate of 137.5 per mille, against 135.39,
141.6, 126.75, 152.38, 169 and 178 in six preceding years. The following
table exhibits the death-rates from the principal diseases among Christians and
natives in 1888 and three preceding years:—
1885.
1886.
1887.
1888.
Christians
per
mille.
Natives
per
mille.
Christians
per
mille.
Natives
per
mille.
Christians
per
mille.
Natives
per
mille.
Christians
per
mille.
Natives
per
mille.
Fever ... ... ... ... ...
60. 21
134.23
30.40
116.88
46. 86
108.94
33.33
1 6 4 . 0 2
Dysentery and diarrhœa, ... ... 120. 56
232.70
62. 01
263.56
52. 28
167.7
62.93
2 6 2 . 5
Cholera
... ... ... ... 565. 21
566.43
3 0 0 .
553.19
485.71
437.
400
5 2 5 . 7 7
Chest affections ... .. ... 119. 34
330
161. 29
210.52
1 0 4 .
423.
78.49
2 8 9 . 2 1
The total number of out door patients was 45,800, against 48,518 in 1887,
showing a decrease of 2,718 patients.
49. Presidency General Hospital .—Surgeon-Major E. A. Birch was in charge
of the hospital up to the 7th July, when he made over charge to Surgeon-
Major A. Crombie, who held the office of Surgeon Superintendent to the
close of the year. The office of First Resident Surgeon was held by Surgeon-
Major R. D. Murray from 1st January to the 19th March, by Surgeon-Major
D. W. D. Comins from 20th March to the 5th of August, and by Surgeon J.
f f r e n c h - M u l l e n , f r o m 6 t h A u g u s t t o t h e e n d o f t h e y e a r . S u r g e o n J . C l a r k h e l d
the office of Second Resident Surgeon throughout the year.
50. The total number of patients treated during the year was 2,968, against
2,966 in 1887. The former number is exclusive of the 160 patients who are
stated to have had no appreciable diseases. The daily average number of
patients was 155.956, against 142 in 1887. The total number of children
treated, exclusive of those that have been shown under " No appreciable
diseases," was 290, and the number of their deaths was 10. There were 111
deaths, against 122 in the preceding year, the death-rates per mille being 37.39
and 41.13 respectively. The number of cholera cases showed a decrease in
1888, in which year the death-rate also was lower than that of 1887, the figures
being 48 per cent. against 63.6. Excluding the deaths from cholera, the death-
rate was 33.63 per mille, against 34.43 in 1887.
51. Mayo Institutions .—Surgeon-Major R. C. Sanders was in charge of
these institutions from 1st of January to 31st March, and Surgeon-Major F. F.
Perry from 1st April to 30th November 1888. Dr. Sanders was again in charge
from 1st December to the end of the year.
52. Mayo Hospital .—There were treated in this hospital 1,926 in-patients,
against 1,922 in the previous year. The daily average number of patients
was 86.7, against 87 in the preceding year. The total number of deaths was
266, against 206 in 1887. The death-rate per cent. on total cases treated was
13.8, against 10.7 in 1887. The number of deaths from cholera was 110 out
of a total of 190 patients treated in 1888, giving a death-rate of 57.8 per cent.
There were treated 3 cases of cerebro-spinal fever with 2 deaths in the year
under report, The total number of out-door patients was 34,400, against 36,778
in 1887, the daily average being 219.7 against 240.7.