20
REPORT ON THE
persons from diarrhœa, against 59 in 1881. Seventy-seven cases of venereal
disease were treated, against 70. Remittent fever caused 41 admissions, against
58 in 1881. The number was, however, larger than those of 1879 and 1880.
There were three cases of modified small-pox in 1882, against five in 1881.
None proved fatal during the year. All unprotected constables were vaccinated
in January by the Vaccine Department. Cholera caused seven deaths in 18
cases in 1882, against four and 14 in the previous year. Three cases were
admitted in a moribund condition, and died within 24 hours.
91. The total number of deaths during the year was 33, against 35, 30,
and 36 in the three preceding years, the percentage of death-rate to admissions
being 1.34 per cent to compare with 1 . 35 in 1881. The ratio of deaths to total
strength was 1 .1 in 1882, against 1 . 2 per cent in the previous year. The
decrease was due chiefly to the diminution in the number of fatal cases of
remittent fever, which were five in 1882, against 14 in 1881.
92. The hospital buildings were repaired during the year. Some
improvements were made in the latrine by dividing it off into compartments.
A dead-house is about to be constructed.
MAYO HOSPITAL AND DISPENSARIES.
93. Surgeon-Major H. Cayley was the Superintendent of the hospital
and dispensaries throughout the year.
94. Mayo Hospital.—In 1882 there were treated 1,885 in-patients, against
1,819 in 1881, or an increase of 66 patients. The daily average number was
77 in 1882, against 91 in the previous year, or less by 14. The decrease is
said to be due to half of the hospital building having been closed for repair
during two months. The total number of deaths was 349, against 299 and
285 in 1881 and 1880. The death-rates per cent on cases treated in the
three years were 18 . 5, 16 .4, and 15 . 3 respectively. Cholera caused 133 deaths
out of 261 persons treated in 1882, or a rate of 50.9 per cent. The cor-
responding figures in the preceding year were 83, 160, and 51 . 8 respectively.
The death-rate per mille, excluding cholera and moribund cases, shows an
increase of 22 . 1 on that of 1881, being 113 . 9 against 91 . 8. There was
therefore a larger mortality from ordinary diseases treated in the hospital
than in 1881. Of fevers, 311 cases were treated against 323. The rate of
mortality per 1,000 in 1882 was 109, against 98, 87, and 51 in three preceding
years. There were treated from dysentery and diarrhœa 227 cases with
31 deaths, or a rate of 136, against 233 in 1881. The Superintendent states
that " the mortality from fever and bowel-complaints was less than usual."
The remark is true in the case of the latter, but fevers exhibit a steady rise in
the death-rate, viz. from 51 in 1879 to 109 in the year under review. For
injuries and poisons there were treated 345 cases with 51 deaths, against 333
and 25 in 1881. There were 20 deaths from tetanus and 27 from lung
diseases. Out-patients numbered 43,012 against 48,059 in 1881, the daily
average being 311, against 386. There is a great reduction in the daily
attendance, and this is ascribed to the system of giving more than one day's
supply of medicines having been more extensively carried out during the
year. This will not explain the decrease in total numbers, and does not
go far towards explaining reduced average, for the average number of times
that each patient attended was less by only a small fraction than the corre-
sponding number of 1881. There were 173 surgical cases treated in the
hospital with 22 deaths. Twenty-four major operations were performed among
out-door patients. The total number of minor operations was 4,291.
95. Chandney Hospital.—There were treated 240 in-patients with 20 deaths,
against 306 and 28 in 1881. The daily average number was 5 . 3 against 5.8.
The rate of mortality per 1,000 was 83 on total treated, against 91 in 1881.
There were treated 18 cases from cholera, against 36 in 1881. The great
reduction in the number does not coincide with the severe prevalence of
cholera in the town and its suburbs, which caused more admissions and
mortality in all the Calcutta hospitals in 1882 than the preceding year.
Fifteen major operations were performed, and 3,531 minor operations.
There were treated 70,525 out-patients against 68,592 in 1881, the daily
average being 405 against 460. It will be seen that while the total number