NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
26
HOSPITALS.
BEPORT OF ALL GOYERNMENT HOSPITALS, BY THE
MEDICAL OFFICERS IN CHARGE OF THEM.
Report of Pilot Bunder Hospital.
GOVERNMENT HOSPITAL
No. 1.
This Government Hospital was opened on 10th March 1897 and closed on 31st.
March 1897, several cases were under treatment before admission; hence their
short retention in hospital. Amongst the Regimental followers from Colaba were
many severe cases. In all buboes were present, of the neck and groin principally.
In three, infections proved to have taken place in the tonsils, and in two the removal
of morbid material from buboes was followed by aggravation and death.
NOTE.—No inoculation by serum. Two pregnant women aborted and died.
General Treatment—
On admission an antiseptic bath and a strong purgative.
1st day liq. hydrarg, perch. 3 drs. every second hoar.
2nd day do.
do. 1 dr. every third hour.
(Bubo)—(1) painted with glycerine and belladonna, or
(2) treated with hot fomentations, or
(3) incised.
Other symptoms were treated as they arose.
Stimulating Mixtures—Ammon. carb.
Nux Vomica.
Ammon. aromat.
Alcoholic Stimulants—Rum (Jamaica.)
Brandy.
STATISTICS.
To this hospital there were 34 admissions. Two of these showed pneumonia,,
one of which recovered.
Cases
... 34
Recoveries ... 3
Transfers ... 11
Deaths
... 20
Of the 3 recoveries, the following are the details :—
No.
11
19
...
Sex.
Male ...
" ...
Female ...
Age.
25 ...
30 ...
10 ...
Occupation.
Cook ...
Milkman ..
Admission.
14-3-97
21-3-97
28-3-97
Symptoms.
Bubo groin ...
" " ...
" " ...
Discharge.
20-3-97.
29-3-97.
28-3-97.
27
Transferred... 11
Died
.... 20
Of the 11 transfers, the following are the details :—
No.
1
8
12
14
17
18
25
32
33
34
2
Sex.
Male ...
" ...
" ...
Female ...
...
Male
...
"
••
" ...
" ...
" ...
,,
...
Age.
40
6
25
30
30
25
14
17
17
15
28
Occupation.
Cook ... ...
......
Cook ... ...
Sweeper
Fitter ... ...
Dresser
......
Woodman
Admission.
11-3-97 ...
13-3-97 ...
15-3-97 ..
18-3-97 ...
19-3-97 ...
20-3-97 ...
23-3-97 ...
29-3-97 ...
29-3-97 ...
29-3-97 ...
11-3-97 ...
Symptoms.
Bubo arm
Bubo groin
" "
Pneumonia
Bubo groin
Bubo axilla ...
Bubo groin
Bubo axilla
Bubo groin
Bubo neck
Transfer.
20-3-97.
1-4-97.
31-3-97.
1-4-97.
20-3-97.
1-4-97.
1-4-97.
1-4-97.
1-4-97.
1-4-97.
20-3-97.
Deaths 20. Of the 20 deaths, the following are the details :—
No.
3
4
5
6
7
9
10
13
15
16
20
21
22
-23
24
26
27
28
30
31
3ex.
Male ...
Female ...
Male ...
" ...
" ...
Female ....
Male ...
Female...
Male ...
" ...
" ...
" ...
" ...
" ...
" ...
Female ...
" ...
" ...
" ...
Age.
25
40
12
15
12
24
9
35
25
47
21/2
20
50
25
22
5
22
25
10
30
Occupation.
Cook ...
......
Cooli ...
Carpenter...
......
Labourer ...
......
......
......
Cook ...
......
Cook
...
" ...
Cooli
" ...
......
......
......
......
Admission.
11-3-97 ...
12-3-97 ...
12-3-97 ...
12-3-97 ...
12-3-97 ...
14-3-97 ...
14-3-97 ...
17-3-97 ...
18-3-97 ...
19-3-97 ...
22-3-97 ...
22-3-97 ...
22-3-97 ...
22-3-97 ...
22-3-97 ...
24-3-37 ...
27-3-97
28-3-97 ...
29-3-97 ...
29-3-97 ...
Symptoms.
Bubo groin
Rubo neck. Tonsilitis ...
Bubo groin
" "
Bubo neck. Tonsilitis ...
Bubo groin
Bubo neck ... ... ...
B.groin. Doublepneumon a
Bubo neck
...
...
...
" " ... ... ...
Bubo groin
...
...
" " ... ...
" " ... ...
„ ,, . Sore throat..
Bubo neck ... ... ...
" " ... ... ...
„
,, † ... ... ...
„
„
†...
...
...
Bubo groin
...
...
Death.
5th day.
3rd „
1st ,,
1st „
3rd „
4th ,,
4th „
1st „
4th „
4th „
ist „
3rd „
1st „
7th „
5th „
1st „
1st „
1st „
1st „
2nd „
* 15, 23, serum ejected from gland by capillary tubes.
†
27, 28, aborted.
The nourishment taken by these patients was extremely small and consisted almost
wholly of milk and a little alcoholic stimulant.
Report of Jamsetjee Bunder Hospital.
GOVERNMENT HOSPITAL NO. 2.
This hospital opened on 1st April 1697 and received patients to 10th May
by direct admission or transfer. Out of the 83 cases received, 19, or 57.57 per
cent, proved fatal.
Hospital Staff.
D. M. O.—Surg.-Lt. Howell, A.M.S.
S.-D. M. O.—Doctor N. E. Chubb.
Mr. T. O. Bhaskar.
Hospl. Asst. Gangaram Hari.
Hospl. Asst. Shaikh Abdul Rahman.
Nurses—Mrs. Baker, Miss Savage, Miss
Winscombe, and Miss Morey.
Two Ayahs.
Ono Sweeper.
Cases ...
... 831
Discharged ... 9
Transferred ... 5
Died
...19
Of the 9 cases discharged, the following are the
details :—
No.
l
2
3
5
6
7
8
10
11
Sex.
Child. ...
Male ...
Female ...
Male ...
Age.
6 ...
25 ...
30 ...
14 ...
17 ...
17 ...
15 ...
7 ...
30 ...
Occupation.
Cooli...
...
Cook...
...
.....
Dresser
.....
....
.....
Admitted.
1-4-97
1-4-97
1-4-97
1-4-97
1-4-97
1-4-97
1-4-97
1-4-97
1-4-97
Symptoms.
Bubo groin "
"
•.•
" "
Pneumonia ...
Bubo groin ...
"
•••
Bubo axilla ...
Bubo groin ..
Discharged.
4th day.
4th „
1st „
12th „
13th „
12th „
27th „
12th „
4th „
N.B.—Buboes in all cases but one. Buboes in groin in six out of eight cases.
* Received from Pilot Bander Hospital.
Remaries on Nos. 3, 5, 6, 7, 8, 10, 11 in the above list.
CASE.
3. A very severe case, taken on the first day of attack, to which recovery may
be attributed. Enlarged glands. Temperature not above 103°. But
great prostration. Some pneumonia. Slow recovery.
5 & 6. Admitted in early stage. Enlarged glands in groin ; temperature rose to
104°. Made a good recovery.
7. Enlarged axillary glands and high temperature. No suppuration.
8. Similar case, enlarged glands in groin.
10. Bubonic type, glands in groin attacked. Temperature rose to 105°, with
delirium ; convalescence rapid after fall of temperature.
11. A case of simple babo.
Transferred 4. 2 to Grant Road Hospital.
2 to Parel (Convalescents).
Of the cases transferred, the following are the details :—
No.
4
24
29
32
Sex.
Male ...
" ...
Child ...
Male ...
Age.
25 ...
35 ...
7 ...
35 ...
Occupation.
Fitter ...
.....
...
Plumber
Admission.
1-4-97 ...
20-4-97 ...
28-4-97 ...
2-5-97 ...
Symptoms.
Bubo axilla...
...
...
...
Transferred.
9-5-97
9-5-97
9-5-97
8-5-97
Remarks on Nos, 4, 24, and 29 of the above rases.
CASE,
4. Admitted early. Severe bubonic type. Left axillary gland enlarged.
Whole glandular contents of axilla sloughed away through inflammation
and necrosed. Axilla healed slowly with little suppuration. Great prostra-
tion, delirium and unconsciousness for some days. Convalescence prolonged
and attended by some loss of power in the legs.
24. Found concealed. Plague diagnosed from tongue, pulse and temperature.
Buboes appeared after some days. Transferred to Parel.
29. Glands in neck enlarged and suppurated ; abscesses in several parts. Ton-
sils largely inflamed.
29
Died 19.—Of the 19 fata! cases, the following are the details:—
No.
9
12
13
14
15
16
17
18
19
20
21
22
23
26
27
23
30
31
32
Sex.
Male ...
" ...
...
"
" ...
" ...
" ...
Female...
Male ...
" ...
" ...
Female...
Child ...
Male ...
Female..
Child . ..
Female ...
Male ...
Child . ..
Age.
35 ...
25 ...
24 ...
35 ...
40 ...
25 ...
18 ...
25 ...
38 ...
38 ...
30 ...
50 ...
12 ...
30 ...
25
9
14
32
6
Occupation.
Syce...
...
Cook...
...
......
Cooli ...
Cook ...
Barber ...
Cooli ...
Cooli ...
Hospl. Asst...
Barber ...
......
......
Butler ...
......
......
Admitted.
1-4-97
2-4-97
2-4-97
2-4-97
5-4-97
7-4-97
9-4-97
14-4-97
15-4-97
15-4-97
16-4-97
17-4-97
20-4-07
23-4-97
26-4-97
26-4-97
30-4-97
30-4-97
3-5-97
Symptoms.
'
Bubo groin
...
Bubo groin ...
Rapid shallow
respiration, con-
vulsion.
All food refused
convulsion.
Tonsils inflamed
convulsion.
......
......
Died.
1st day.
3rd „
3rd „
1st „
4th „
2nd „
2nd „
5th „
3rd „
3rd „
1st „
2nd „
1st „
6th „
4th „
2nd „
2nd „
1st „
2nd „
Remarks on Nos. 20, 25, 26, 27, and 28 of the above cases.
20. Hospital Assistant Shaik Abdul Rahman, at Colaba, got inoculated with plague
by using a patient's soap to wash an abrasion and died from the disease.
On 14th April patient complained of headache, pain in the limbs, and
general malaise. His temperature when first taken was 104°, but rose
in. the evening to 106°. During the night he complained of pain in the
right groin and some swelling was demonstrable.
Next day (15th April 1397) he was admitted to the Plague Ward. Tempera-
ture throughout the day was 105° ; pulse, 120 ; respiration, 48. In the
evening he was placed in the wet pack and his temperature fell half a degree;
at 2 a.m. (16th April) it was 104°.
On 16th April 1897. I saw him for the first time and took over his case from
Surgeon-Major Culling. His pulse was small, compressible, 120; temperature,
104° ; respiration, 40. There was a bubo in the right groin which was very
tender and painful. He was quite conscious, but inclined to be talkative and
very restless. In the evening he complained of epigastric pain. Evening
temperature was 101°, pulse mere feeble 120, respirations unchanged.
On 17th April 1897, patient did not sleep during the night. Temperature 101.8.
Pulse and respiration unchanged in frequency, but respirations more shallow.
He complained of tightness across chest and then vomited a small quantity of
"coffee-ground " vomit. This gave him great relief. Later on in the morn-
ing he became delirious and vomited again some altered blood. His
temperature rose to 105°, and he died at 3-45 p.m.
Treatment.—Liq. hydrarg. perehior, free stimulation, ice to head, &c.
26. Bubonic type. Respirations very shallow and rapid, but no dulness or pneu-
monic signs over the chest. Convulsions and high temperature preceded death.
27. A very severe case. All food refused ; convulsions.
28. Great difficulty in swallowing. Inflamed tonsils ; some convulsions.
In the five fatal cases haemorrhage either from stomach or rectum was present.
The hœmorrhagic cases invariably proved fatal. Cases from Upper Colaba seem
severer than those from Lower.
8
30
General Treatment—
The most effective treatment was that by stimulants and hypodermic injections
of strychnia, with light nutritious food.
On entrance, an antiseptic bath was followed by calomel powder.
Rum 2 dr. a teaspoonful every half hour.
Liq. hyd, perchl. 1 dr,
every 2nd hour.
Aqua 1 oz.
NOTE.—Of the admissions to this hospital, 14 died within three days, and of
these, 10 within 24 hours of admission. Arriving in a moribund state, they could only
be treated with hypodermic injections(brandy and strychnia)and sustained by enemata.
Modikhana Plague Hospital.
GOVERNMENT HOSPITAL No. 3.
This hospital, successively in charge of Surgeon-Majors Damania and
Routh, with three Nurses and three Hospital Assistants, established 31st March 1897 ;
became, on its closure, 10th May 1897, a segregation camp for observation of
suspicious cases, and so remained till removed, 7th June 1897.
Cases
18
Discharged
... 1
Transferred
... 11 I
Died
6
Of the 18 cases admitted, 6 proved fatal. In all
cases (11) where buboes were not developed,
there was marked delirium.
General Symptoms—
1. Excessive drowsiness.
2. The tongue was red and serrated at the tip and margins, coated
on the centre,
3. The eyes greatly injected.
In one case bloody urine, in another bloody vomit were observed ; the latter
a woman who died of pneumonic and bubonic types combined.
Case No. 1.
Details follow of three cases, two discharged cured, one transferred to Parel.
Boy, aged 8. Mahomedan, from Karachi, admitted on suspicion, with tongue
slightly red and coated.
On the third day showed slight enlargement of right femoral and left inguinal
glands.
The symptoms of the tongue became aggravated, and
He complained of pain in the glands. The bowels being moved, the tongue
showed less coating.
The pain in the glands continued, but without further enlargement elsewhere.
He complained of slight pains in the neck, but after a good night
Awoke with very little pain, and
Having slept without a draught, felt free from pain in the glands, which
appeared decreasing.
His eyes were no longer injected, and
The buboes, both in neck and groin, diminishing, he was on the following day
Transferred convalescent to Parel Hospital,
April 15, 1897,
17
19
21
22
24
25
26
27
28
30
31
Case No. 2.
April
15
Girl, aged 7, sister of the last, admitted the same day (with no glandular
enlargements) on suspicion.
17
Showed tongue coated and red marginally,
18
With signs of drowsiness.
19
Removed to plague ward.
20
Drowsiness and enlargement of glands on both sides and some constipation.
21
Increase of tongue-coating and swelling in the neck continuing throughout
the next day.
22
The tongue began to clear, and from this point, with regularity of bowel action
restorod, the patient passed, through painful swelling of knee and ankle joint (with
two incisions), to convalescence and removal to Parel Hospital.
Case No. 3.
Admitted April 15. Youth, aged 20, nine days after arrival from Calcutta by
sea : reported that three days after landing he noticed enlargement of his glands
and puffiness of the face. He exhibited on admission oedema of the feet, injection
of the eyes (slight), and enlargement of glands below the jaw, in the neck on each
side, and in both groins, without pain. In this case there was no marked rise in
temperature, never above 100.6.
This patient's illness was short. The oedema subsided on the day after admis-
sion. And though he complained on the 17th of pains in the sub-maxillary
glands on the right side, no remarks are made on his condition until the 22nd, when
with small glandular enlargements, and feeling on the way to recovery, he was
transferred to Parel Hospital.
Temperature ranged between
Pulse...
Respiration
...
...
...
...
...
...
...
...
...
...
...
...
100.6—97
104—76
22—15
No statement is made as to the ultimate cause of death in fatal cases, whether
due to failure of the heart or of respiration ; but of the six deaths—
One occurred in 10 hours after seizure or admittance.
One
Two
One
One
"
"
"
"
24
36
48
96
"
"
"
"
"
"
"
"
"
"
"
"
Of four post mortem examinations the result was discovery of petcechke in
most of the organs examined.
General Treatment—
1. Few drugs with
2. Free stimulation.
3. Liq. hyd. perchlor.
Liq. hyd. perchlor 80 mm. dose, in acute cases,
every 2 hours for first 48 hours with Dicip. C.
Strychin. every 3rd hour.
4. Later on carbolic acid was tried with success.
For example, with liq. hydrarg. treatment four out of seven patients died.
With carbolic out of six only one died.
Type—
Of the 18 cases under treatment, 7 only were pneumonic, and 11 hyperpyrexia
only, showing no glandular enlargement.
32
Report of Charni Road Hospital.
GOVERNMENT HOSPITAL NO. 5.
This hospital opened 25th March 1897. Closed 10th May 1897. Admitted
70 patients, of which 45 died.
Cases
...70
Of these, four cases were inoculated, three with. Dr.
— Yersin's serum and one with Dr. Haffkine's, with the follow-.
Recovered...25
Died
...45) ing results:—
Case 1.
Male, aged 16. Inoculation with Dr. Haffkine's Serum.
Age.
16
Occupation.
Coachman.
Duration of disease.
3 days.
Caste.
Hindu.
Date.
13-4-97
The patient arrived conscious and able to walk.
Condition—
Temperature ...
(a) Pulse
Respiration
...
...
...
...
...
...
...
...
...
...
...
...
102
104
20
Swelling in right inguinal region.
(b) Eyes slightly suffused.
Tongue furred.
Inoculated by Professor Haffkine, 13th April 1897. One inoculation only,
Developed symptoms of bubonic fever on 30th April 1897.
During the first 24 hours—
The temperature ranged between 100° and 102.4.
The pulse
The respiration
"
"
124 and 92.
30 and 24.
At 6-15 p.m. 40 cc. of Yersin's serum No. 38 were injected. Till the morn-
ing of the 14th the temperature and pulse remained high, though fluctuating, the
respiration regular.
From this date the patient made a gradual recovery, and was discharged
cured on 4th April 1897.
April 9th
Case 2.
Male, aged 25. Innoculation with Dr. Yersin's serum.
Age.
25
Occupation.
Soldior, 21st B. I.
Duration of disease.
3 days
Caste.
Mahoaiedan
Issue.
Death.
The patient arrived in a feverish state (of three days' duration) on 9th April 11 a.m.
1897.
Condition— Swollen inguinal glands on both sides.
Temperature
Pulse ...
Respiration
...
...
...
...
...
...
...
...
...
101.4
108
24
33
No movement of bowels since morning. After initial treatment
6 p.m.
10 p.m.
1 a.m.
4 a.m.
7 a.m.
11 a.m.
3 p.m.
6 p.m.
7 pm.
10 p.m.
1 a.m.
4 a.m.
7 a.m.
S p.m.
6 p.m.
7 a.m.
11 a.m.
Inoculation with 60 cc. of No. 38 injection in flank.
Temperature.
103°1
00
98-4
100
Pulse.
(?)
100
80
80
Respiration.
(?)
30
25
30
101
103.6
103
103.6
79
110
78
84
40 cc. of serum No. 38 injected.
100
102
100
100
101.2
100
100
99
99
100
29
36
32
36
30
30
30
26
30
Eyes ranch injected. Left inguinal gland large, but, not painful.
102
101.4
100
100
30
30
Case 3.
Male, aged 60. Inoculation with Dr. Yersin's Serum.
Age.
35
Occupation.
Domestic servant;
Duration of disease.
Two days
Caste.
Brahmin
Issue.
Recovery.
1897 April 8
The patient complained of fever, shivering, headache. He had a furred
tongue and tenderness in the groin.
Temperature was
Pulse ...
Respiration
...
...
105
120
40
At 3-30 p.m. he was inoculated with 60 cc. of Yersin's serum. Injection
in both flanks. His pulse, respiration, and temperature were taken every
hour.
9
34
Course of the Disease.
After shivering fit during previous night, ton gue clear, (Bubo cauterized
before admission.)
May 3
Pulse ...
Respiration...
Bowels clear.
...
...
... 80
... 24
Slight collapse and recovery.
1
Pulse
...
...
...72
Respiration
...
... 18
Sleep good, improving.
2
Pulse
...
...
...
70
Respiration
...
...18
Sleep good, tongue clean.
5.
3
Pulse
...
...
...
70
Respiration
...
...
18
1 Sleep good, bowels regular.
4
Pulse
...
...
...
74
Respiration
...
... 32
Bowels regular and tongue clean.
7.
Pulse
72
Respiration
...
... 22
Bowels regular and tongue clean.
The same, and
Discharged cured.
Issue—Recovery.
8.
9.
1 A
10
Case. 4.
Inoculation with Dr. Yersin's serum. Arrived with fever.
April 9.
Temperature 101.4.
Pulse rapid.
Swelling in right groin.
Bad previously taken purgatives.
Treatment—
20 cc. of serum in left flank.
Temperature
Pulse
Respiration
...
...
...
...
...
...
104
104
28
7-15.
20 ce. in right flank.
10 cc. to right and below 1st injection.
7-20.
No mixtures. Diet—Egg-flip and mutton broth.
Condition during Convalescence—
Temperature.
Ranged from 104-98.2
Pulse.
120-82
Respiration, taken hourly,
40-20.
Bowels regular and tongue clearing throughout. Discharge from wound slight.
Issue—Recovery.
35
Case 5.
Male, aged 35. Inoculation with Dr. Yersin's serum.
Arrived with—
1. Enlargement of left inguinal gland.
2. Drowsiness.
3. Congestion of eyes.
4. Slightly coated tongue.
Temperature
Pulse
Respiration
104.
150.
42.
Three injections of 20 cc. were made.
Treatment—
No treatment, but stimulants and food.
Symptoms—
Muttering delirium and semi-coma. Bubo opened freely.
Issue.—Death from heart failure.
Statistics are given below with the District Medical Officer's remarks on
the general features of mortality and rates as to age and sex.
Tables giving Details of Patients admitted to Charni Road Plague Hospital
from 25th March to 10th May 1897.
TABLE I.—Showing-total number of cases, deaths and percentage of mortality.
Sex.
Males
Females
...
...
...
...
...
...
...
...
Total ...
No.o.f cases.
54
16
70
No. of deaths.
35
10
45
Percentage of mortality.
64.81
62.50
64.28
TABLE II.—Number of cases and deaths at different ages in both sexes.
Sex.
Males ... ...
Females... ...
Total
No. of cases under
10 years
5
2
7
No. of cases under
10 years
2
4
No. of cases under
10 to 20 years
13
6
19
No. of cases under
10 to 20 years
6
4
10
No. of cases under
20 to 40 years
28
3
34
No. of cases under
20 to 40 years
20
3
23
No. of cases under
40 to 60 years
8
2
10
No. of cases under
40 to 60 years
7
1
8
No. of cases over
60 years.
...
...
No. of cases over
60 years.
...
...
TABLE III.—Percentage of mortality at different ages, .males and females.
Sex.
Males ...
...
...
...
...
Females
...
...
...
...
Males and Females ...
...
...
Under
,10 years.
40.0
100.0
5714
From 10 to
20 years.
46.15
66.66
52.63
From 20 to
40 years.
7142
50.00
67.64
From 40 to
60 years.
87.5
50.0
80.0
Over 60
years.
...
...
...
36
From the above tables it would appear—
1st—That the most susceptible age is between 20 and 40 years; the least
susceptible over 60 years.
2nd—That males are more susceptible than females.
3rd—That the highest mortality, 80 per cent., occurred between the ages of
40 and 60 years.
4th—That the mortality is higher in males than females.
5th—That the mortality amongst females under 10 years old is 100 per cent.,
but this is taken from only two cases, and more data would be required
to be of importance.
Report of Police Hospital, Foras Road.
GOVERNMENT HOSPITAL NO. 6a.
In charge of Dr. Sydney Smith.
This hospital was opened on 24th March 1897, and closed on the 7th April
1897. There were 28 admissions, of which 16 proved fatal (a percentage of 57.14).
Two only of these survived the third day after admission.
Cases
...
Discharged...
Transferred...
Died
28
—
9
3
16
Of the nine cases discharged, the following are the details :—
No.
1
2
3
4
15
19
22
64
22
Bank.
Naik
Sepoy
"
...
"
•••
Ward boy ...
—
P. C. ...
P. C. ...
District.
Khetwadi ...
Nul Bazaar ...
Parel Lalwadi ...
Worli ...
Matunga ...
Dongri ...
1st Nagpada ...
Market Section...
Water Police ...
Admission.
24-3-97 ...
25-3-97 ...
25-3-97 ...
25-3-97...
1-4-07 ...
5-4-97 ...
15-4-97 ...
20-4-97 ...
21-4-97 ...
Symptoms.
Bubo in groin ...
...
Bubo in groin
...
...
Ulcers abdominal&perineal
Bubo in groin
...
...
Bubo in groin
... ...
No bubonic signs ... ...
Bubo in groin ... ...
Enlarged glands inguinal...
Swelling in
neck...
...
Discharged.
3-5-97
20-4-97
30-4-07
30-4-97
21-4-97
11-4-97
23-4-97
27-4-97
1-5-97
Cases
...
—
Discharged....
Transferred... 3
Died
...16
Of the three cases transferred the following are the details :—
No.
9
23
...
Bank.
Sepoy ...
P. C. ...
Recruit ...
District.
Mandyi...
...
Market Section.
G.I.P.R. Police.
Admission.
27-3-97 ...
16-3-97 ...
30-3-97 ...
Symptoms.
Bubo neck and groin
...
Bubo in groin
...
...
Enlarged gland inguinal ...
Transferred.
7-5-97
7-5-97
7-5-97
37
Died...
...16 Two of these were women, the wife and daughter-in-law,
respectively, of members of the Force—Nos. 17, and 18.
No.
5
6
7
8
10
11
11
13
14
16
17
18
20
22
25
27
Bank.
Ramosi ...
1st Class C. ...
Sepoy ...
Coachman
...
Sepoy ...
" ...
Mtd. Police ...
L. Naik ...
Ramosi ...
Sepoy
Wife of a Sepoy.
D.-in-law
"
Ramosi
...
" ...
P. C.
Ramosi ...
District.
Dadar
...
Colaba ...
Worli ...
Mahim
...
Govt. Dockyard...
Mahalaksmi ...
Mahim ...
Temp. Mohulla...
Municipalities ...
Baz. Gate, Fort...
B. B. & C. I. Ry.,
Nagp. Phirbai L..
Bazar Gate
Grant Road
Water Police ...
Kaladni Road ...
Admission.
25-3-97.
26-3-97.
26-3-97.
26-3-97.
27-3-97.
29-3-97.
30-3-97.
31-3-97.
1-4-97.
1-4-97.
1-4-97.
2-4-97.
7-4-97.
8-4-97.
20-4-97.
26-4-97.
Symptoms.
Bubo in groin ...
Ditto ...
Bubo, left axilla, lungs
affected.
Enlarged glands inguinal,
(both.)
Bubo groin ...
No account ...
Bubo groin, and convulsions
Great pain in axilla, no
swelling.
Rusty sputum, crepitation.
cough.
Buboes, both femoral, coma
Bubo groin
Bubo and abdominal pains..
Enlarged glands neck and
groin, buboes.
(Buboes both groin)
Delirium, tetanus, and coma
Acute diarrhoea, high fever..
Death.
27-3-97.
27-3-97.
29-3-97.
29-4-97.
28-3-97.
29-3-97.
2-4-97.
3-4-97.
11-4-97.
3-4-97.
3-4-97.
13-4-97.
9-4-97.
9-4-97.
20-4-97.
27-4-97.°
Sat up suddenly and fell dead.
In nearly all the cases admitted to this hospital the premonitory symptoms
were the same.
Premonitory Symptoms—
1. Rigor (acute).
2. Fever (high).
3. Glandular enlargement in groin.
4. Or neck.
In several cases these were either neglected by the patient till his case became
serions, or ignorantly treated with native prescriptions with the same result, before
the hospital was sought. From the general nature of the reports of individual cases,
it would seem that being in the public service, most of these men stood by their work
as long as they could before giving in to the sickness which was upon them. Two
of the fatal cases resulted from abrasion or open wound. Two were female cases,
relatives of men in the Force.
In two cases only out of 28—were there axillary baboes. While in all the
remaining cases there were inguinal buboes or enlargements.
General Treatment—
Stimulating mixtures.
Iodoform and carbolic dressing of wounds.
Soda and bromide for delirium with injection of morphia.
Calomel purge.
Injection strophanthi 20 mm. to improve the pulse.
10