NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
6
REPORT ON THE
STATEMENT
DISEASES.
* MEDICAL COLLEGE HOSPITAL.
GENERAL HOSPITAL.
MAYO HOSPITAL.
Europeans.
Natives.
Europeans.
Natives.
Treated.
Di ed.
Di e d pe r 1, 000.
Treated.
Di ed.
Di e d pe r 1, 000.
Treated.
Di ed.
Di e d pe r 1, 000.
Treat ed.
Di ed.
Di e d pe r 1, 000.
Order A.—Febrile or Zymotic
Diseases.
S mall-pox
. . .
. . .
. . .
2
...
. . .
2
...
. . .
3
...
. . .
Malarious fever, ague, and remittent
374
18
48.1
279
30
107.5
346
9
26.0
395
35
8 8 . 6
Cholera
22
11
500.0
103
48
466.0
53
32
603.7
196
94
479.5
Other diseases of this order
40
...
. . .
1 ...
. . .
295
8
27.0
15
4
266.6
Total
436
29
66.5
385
78
202.6
696
49
70.4
609
133
218.3
Order B.—Constitutional Diseases.
Rheumatic affections
33
...
. . .
28 ...
. . .
88
...
. . .
23
...
. . .
Syphilitic "
35
...
. . .
46
...
. . .
112
...
. . .
24
...
. . .
Scrofula
6
...
. . .
2
...
. . .
1
1 1000.0
1
...
. . .
Anæmia
6
1
166.6
13
4
307.6
6
1
166.6
11
4
363. 6
Leprosy
3
•••
. . .
1
...
. . .
. . .
. . .
. . .
. . . ...
. . .
Phthisis
58
13
224.1
70
27
385.7
47
16
340.4
23
8
347.8
Dropsy
. . .
. .
. . .
1
1 1000.0
4
4 1000.0
11
3
272. 7
Other diseases of this order
10
1
100.0
5
1
200.0
41
3
73.1
38
6
157.8
Total
151
15
99.3
166
33
198.7
299
25
83.6
131
21
160.3
LOCAL DISEASES.
Ophthalmia
11
. . .
. . .
. . . . . .
. . .
15
...
. . .
29
...
. . .
Inflammation of the external ear
4
...
. . .
1
...
. . .
22
...
. . .
1
...
. . .
G oitre
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
1
...
. . .
Respiratory affections
115
8
69.5
145
31
213.7
150
9
60.0
135
37
273.3
Heart diseases
18
3
166.6
13
4
307.6
27
9
333.3
6
2
333.3
Dysentery
87
16
183.9
197
70
355.3
161
11
68.3
118
25
211.8
Diarrhœa
66 ...
. . .
48
4
83.3
159
5
31.4
74
15
202.7
Worms
3
. . .
. . .
2
...
. . .
17
...
. . .
2
. . .
. . .
Liver diseases
54
6
111.1
78
23
294.3
41
4
97.5
27
4
148.1
Spleen "
30
2
66.6
47
3
63.8
71
6
84.5
77
4
51.9
Gonorrhœa and its complications
12
...
. . .
24
3
125.0
74
...
. . .
14
...
. . .
Abscess, boils, and whitlow
64
1
15.6
96
18
187.5
102
1
9.8
69
6
86.9
Skin diseases
13
...
. . .
3
...
. . .
50
...
. . .
5
...
. . .
Ulcer
42
3
71.4
34
1
29.4
105
...
. . .
30
1
33.3
Labour, premature, natural, and difficult
90
4
44.4
155
17
109.6
33
...
. . .
5
. . .
. . .
Other local diseases
810
49
60.4
810
116
143.2
518
10
19.3
399
51
127.8
Total
1,419
92
64.8
1,653
290
175.4
1,545
_
55
35.5
992
145
146.1
CONDITIONS NOT ASSOCIATED WITH
GENERAL OR LOCAL DISEASES.
Debility and old age
32
1
31.2
8
...
. . .
80
3
37.5
6
...
. . .
Poisons and poisoned wounds
58
. . .
.....
82
14
170.7
75
2
26.6
49
3
61.2
Injuries
84
3
35.7
299
65
217.3
168
3
17.8
338
25
73.9
Total
174
4
22.9
389
79
203.0
323
8
24.7
393
28
71.2
GRAND TOTAL
2,180
140
64.2 2,593
480
185.1
2,863
137
47.8
2,125
327
153.8
' Exclusive of cases treated
NATIVES.
Died
(in-door).
Ratio per
1,000 of
deaths to
treated.
Treated.
I
Out.
CALCUTTA MEDICAL INSTITUTIONS.
23
on admission. Tetanus was the cause of 13 deaths in 25 cases. There were
173 surgical operations, resulting in 21 deaths, or 12.1 per cent. Of the out-
patients the total treated was 48,059, and the daily average attendance was
386. In 1880 the numbers were 48,617 and 388.
97. At the Chandney Hospital 306 in-door patients were treated, with a
daily average of 5.8. The number treated in 1880 was 267, with a daily
average of 7.2. The total death-rate was 91 per 1,000, against 74 in 1880.
Of the out-patients, the total treated was 68,592, with a daily average of 460,
against 64,533 and 500 in 1880.
98. At the Chit-pore Dispensary the total number of out-patients treated
was 19,908 with a daily average of 144, against 20,610 and 155 in 1880.
99. At the Park Street Dispensary the numbers were 31,282 and 224,
against 30,800 and 235 in 1880.
100. At the Sukea's Street Dispensary the total treated was 15,513, and
the daily average attendance 133, against 15,697 and 138 in 1880.
101. The aggregate numbers of patients treated at the Mayo Hospital
and. Dispensaries were :—
1881.
1880.
In-patients p
-
n
Total treated
2,125
2,130
I
{
T
e••
• •
9••
D aily average
4•4
. • .
97
95
Out-patients c Total treated...
180,257
•• •
Daily average
SOO
GO•
1,349
1,418
H O W R A H G E N E R A L H O S P I T A L .
102. Surgeon-Major J. G. Filcher was in charge of the hospital during
the year.
103. The total number of persons treated was 14,151. Of these,
9,720 were natives and 4,431 were Europeans. Of European in-door
patients there were 670, and of natives 970. Out-door patients numbered
3,761 and 8,750 respectively. As compared with 1880, there was an increase
in house-patients and a decrease in out-patients. Dr. Filcher says that the
decrease is apparent and not real. The out-patient register is now more care-
fully recorded than in the previous years.
The daily average sick in 3881 and in four preceding years is given
below :—
AVERAGE DAILY SICK.
EUROPEANS AND EAST INDIANS.
NATIVES.
Years.
I
In-door.
Out-door.
In-door.
Out-door.
1877
..
1141
...
45. 43
21'73
' 54-49
1 7 3 . 5 4
1878
...
.44
0"
38'85
13-52
5 6 . 0 7
203-55
1879
..
OSA
27.3 5
16.37
43.45
117'88
1880
...
6110
••1
26.69
18.42
36'75
86-52
1881
.„
26.52
15-27
36'68
95.15
104. Of the total number of Europeans treated, 276 were sailors, against
196 in 1880. The following table shows the sickness and mortality in 1881
and in the three preceding years :—
EUROPEANS AND EAST INDIANS.
YEARS.
Treated.
Ratio per
Died
(in-door).
1,000 of
deaths to
In.
Out.
treated.
In.
•„„
1878
1879
1880
1881
.Se
•••
828
594
012
670
4,100
3,876
4,368
3,761
40
32
18
30
55.55
53.87
29.41
41/7
1,674
16,305
580
316.4,7
1,176
14,490
391
332.48
945
8,977
275
291'0
•
970
8,750
285
293.81
fk
24
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
105. The mortality in 1881, as compared with the previous year, shows an
increase, which is said to have been due to a greater number of patients admitted
in a dying state. The number was 78 among natives and Dr. Pilcher remarks
that " this is but a small proportion of the hopeless cases of disease sent to the
hospital from all parts of this very populous town." He is of opinion that the
accommodation afforded by the new native ward has caused great reduction in
the mortality among the ordinary in-patients, as there have been fewer instances
of septic poisoning after severe injuries and operations than in previous years.
The subjoined table shows the principal diseases causing deaths among natives,
and the duration of residence in hospital :—
DISEASES.
Within
24 hours.
DAYS.
Total.
2
3
4
5
6
7
8
9 10 Above 10.
Cholera
23
1
1 ......
1
. . . . . .
1
. . . . . .
1
. . . . . .
2
30
Dysentery
14
1
6
1
5
2
5
2
2 ......
20
58
Diarrhœa
14
1
10
5
7
5
6
2
3
5
48
106
Anasarca
1
. . . . . .
. . . . . .
2
. . . . . .
. . . . . .
. . . . . .
. . . . . .
1
1
6
11
Pneumonia
1
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
1
. . . . . .
2
Phthisis
2
1
. . . . . .
. . . . . .
1
. . . . . .
. . . . . .
. . . . . .
1
. . . . . .
4
9
Remittent fever
5 ......
1
1
3
1
1
1
. . . . . .
. . . . . .
3
1 6
Other diseases
18
2
5
2
2
2
1
. . . . . .
3
. . . . . .
18
5 3
Total
78
6
23
11
19
10
14
5
11
7
_
101
2 8 5
Total in 1880
55
19
18
19
15
1 8
14
11
18
7
81
275
106. Twenty-five major operations In Europeans and 29 in natives, were
performed; minor operations numbered 72 and 898 respectively.
107. The Superintendent says that the water-supply is not altogether satis-
factory, the filtered water from Calcutta being brought in skins cannot
escape defilement. " It is a question," Dr. Filcher states, " whether filtered
tank-water would not be purer." The drainage and conservancy arrangements
were good. A row of servants' houses has been added to the hospital during
the year, and thorough repairs effected throughout the buildings. A small plot
of land has been given by Government for the erection of a mortuary to the
great advantage of the institution.
I have the honour to be,
SIR,
Your most obedient servant.
A. J. PAYNE, M,D.,
Surgeon-General, Bengal.
APPENDIX.
D
( 8 )
No. 423T—M.
COPY of the above Resolution, and of the Report, forwarded to the Commis-
sioner of Police, Calcutta, for information.
No. 424T—M.
EXTRACT paragraph 20 of the above Resolution, together with extract
paragraph 66 of the Report, forwarded to the Financial Department of this
Office for consideration.
By order of the Lieutenant-Governor of Bengal,
E. N. BAKER,
Offg. Under-Secretary to the Govt. of Bengal.
DARJEELING,
The 22nd June 1882.
J.J.B.—Reg. No.3751—83—29.6.83
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
F O R
T H E
Y E
A R
1 8 8 2 .
.
BY
B. SIMPSON, M.D.,
O f f g . S u r g e o n - G e n e r a l f o r
B e n g a l
.
CalCutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1883.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1882.
BY
B. SIMPSON, M.D.,
O f g . S u r g e o n - G e n e r a l f o r B e n g a l .
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1883.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1882.
No. 3795.
FROM B. SIMPSON, ESQ., M.D.,
Offg. Surgeon-General for Bengal,
To THE SECRETARY TO THE GOVERNMENT OF BENGAL,
MEDICAL AND MUNICIPAL DEPARTMENT.
Dated Calcutta, the 6th June 1883.
SIR,
I HAVE the honour of presenting the following report on the
condition of the medical institutions of Calcutta during the year 1882.
Deaths ,from the most prevalent diseases in the town of Calcutta.
Cholera.
Diarrhœa and
dysentery.
Fevers.
Small-pox. Other causes.
Total.
Ratio per
milleo f
Population.
1875
1,674
1,579
5,328
720
4,785
14,086
32.7
1876
1,851
1,864
4,361
71
4,817
1 2 , 9 6 4
30.1
1877
1,418
1,683
5,151
67
5,385
13,704
31.9
1878
1,338
2,010
6,086
1,495
5,467
16,396
38.1
1879
1,186
1,516
4,796
772
4,774
13,044
30.3
1880
805
1,267
3,797
114
5,698
11,681
27.1
1881
1,693
1,491
3,765
133
5,948
13,030
30.0
1882
2,240
1,454
3,618
17
5,848
13,177
30.4
2. General mortality of the town.—In my last report I mentioned the
great increase of cholera in Calcutta in the year 1881. There was in 1882
a still greater prevalence of the disease, the number of deaths being much
larger than it had been for many previous years. The hospital practice
corresponded. Cases treated were more numerous and the proportion of deaths
larger than in the previous year. From fever the number of deaths in the
town did not differ materially from those of the previous two years. There
was a small reduction of deaths. Admissions to hospital fell in larger pro-
portion, but the death-rate was higher than in 1881. The fever record of the
town, as is now well known, is fallacious, as people having their homes else-
where leave Calcutta when they fall sick and do not at once recover or become
prostrate. Bowel diseases prevailed in usual quantity, and from unspecified
*
4
REPORT ON THE
STATEMENT
DISEASES.
MEDICAL COLLEGE HOSPITAL.
GENERAL HOSPITAL. MAYO HOSPITAL.
Europeans.
Natives.
Europeans.
Natives.
T r e a t e d .
Di e d.
D i e d p e r 1 , 0 0 0 .
T r e a t e d . Died.
D i e d p e r 1 , 0 0 0 .
T r e a t e d .
Di e d .
D i e d p e r 1 , 0 0 0 .
T r e a t e d .
Di ed.
D i e d p e r 1 , 0 0 0 .
Order A.—Febrile or cymotic
diseases.
Small-pox
. . .
. . .
. . .
. . .
. . .
. . .
. . . . . .
. . .
. . . . . .
. . .
Malarious fever, ague, and remittent
294 11 37.4 215 30 139.5
381
3
7.8
359 36 100.2
Cholera
33 12 363.6
149 65 436.2
62 34 548.3
279 143 512
Other diseases of this order
31 . . .
. . .
1
. . .
. . . 278 11 39.5
18
6 333.3
Total
358 23 64.2
365 95 260.2
721 48 66.5
656 185 282
Order B.—Constitutional diseases.
Rheumatic affections
4 4 . . .
. . .
30
1
33.3
137
1
7.3
30
1 33.3
Syphilitic do
28 . . .
. . .
32
1
3 1 . 2 118
. . .
. . .
20 ...
. . .
Scrofula
2 . . .
. . .
2
. . .
. . .
3
. . .
. . .
4
. . . ...
Anæmia
3 . . .
. . .
11
. . .
. . .
1
1 1,000
12
. . . ...
Leprosy
. . . . . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . . . .
. . .
Phthisis
63 20 317.4
84 33 392.8
6 3
9 142.8
14
3 214.2
Dropsy
2 . . .
. . .
12
3 250
2
. . .
. . .
19
3 157.8
Other diseases of this order
22
4 181.8
36
7
1 9 4 . 4
91
9 98.9
37
3
8 1
Total
164 24 146.3
207 45 217.3 415 20 48.1 136 ' 10 73.5
LOCAL DISEASES.
Ophthalmia
3 ...
. . .
. . . . . .
. . . 30 ...
. . .
18 . . .
. . .
Inflammation of the external ear
2
. . .
. . .
1
. . .
. . .
26 . . .
. . .
. . . . . .
. . .
Goitre
. . . . . .
. . .
. . . . . .
. . .
. . . . . .
. . .
1
. . .
. . .
Respiratory affections
127
7 55.1
143 45 314.6
177
9
50.8
139 27 194.2
Heart diseases
19
6 315.7
23
8 347.8
58
12 226.4
8
1
1 2 5
Dysentery
6 5 12 184.6
151 43 284.7
195
8
4 1
116 16 137.9
Diarrhœa
53
3 56.6
6 1 5
8 1 . 9 180 11 61.1
122 16 131.1
Worms
. . .
. . .
. . .
. . .
. . .
. . .
9
. . .
. . .
. . .
. . .
. . .
Liver diseases
43
5
1 1 6 . 2
6 9 27 391.3
65
8 123
18
5 277.7
Spleen do
35
1 28.5
8 8 3 34
27 ...
. . .
52
3
5 7 . 6
Gonorrhœa and its complications
24
1 41.6
8
1 125
150 . . .
. . .
1 8
. . .
. . .
Abscess, boils, and whitlows
4 8 . . .
. . .
63
7 111.1
76
1 13.1
6 5
5 76.9
Skin diseases
4 . . .
. . .
2
. . .
. . .
56 . . .
. . .
5 . . .
. . .
Ulcer
27 . . .
. . .
26
1
3 8 . 4
92 . . .
. . .
43
1
23.2
Labour, premature, natural, and difficult
102 . . .
. . .
165 20 121.2
41
. . .
. . .
5
. . . . . .
Other local diseases
1,014 41
40.4 881
9 8 111.2
587
19 32.3
305 47 154.0
Total
1,566 76 48.5 1,681
2 5 8 153.4 1,764
68
3 8 . 5 915 121 132
CONDITIONS NOT ASSOCIATED WITH
GENERAL OR LOCAL DISEASES.
Debility and old age
26
2 76.9
11
. . .
. . .
8 1
6 74
7 . . .
. . .
Poisons and poisoned wounds
77
5 64.9
79 13 164.5
103
1
9.7
39
8 205.1
Injuries
96
7 72.9
317
6 3
1 9 8 . 7 211
5 23.7
372 45 120.9
Total
199 14 70.3
407 76 186.7
395 12 30.3
418 53 126.7
GRAND TOTAL
2,287
1 3 7
59.9
2 , 6 6 0
4 7 4
1 7 8 . 1
3 , 2 0 5
1 4 8
4 4 . 9
2 , 1 2 5 369 173. 6
*Exclusive of the cases
CALCUTTA MEDICAL INSTITUTIONS.
23
other native patients admitted into the hospital in 1882, and the duration of
residence :—
DISEASES.
Within
24 hours.
DAYS.
Tot al .
2
3
4
5
6
7
8
9
10 Above 10.
Cholera
. . .
. . .
. . .
38
4
8
1
3
4
. . . . . .
. . . . . . 2
. . . . . .
1
61
Dysentery ... . . .
. . .
10 ..... .
7
3
4
7
3
4
3
4
20
65
Diarrhœa...
. . .
. . . 12
1
3
6
4
4
7
4
1
9
38
89
Anasarca
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . . 2
. . . . . .
. . . . . .
. . . . . .
1
3
6
Phtlusis ... ... ...
1 ......
. . . . . .
. . . . . .
. . . . . . 1
. . . . . .
. . . . . .
. . . . . .
. . . . . .
3
5
Fever, remittent
. . .
10 ......
2
2
3
2
1
. . . . . .
. . . . . .
. . . . . .
. . . . . .
20
Other causes
... ...
21
2
3
3
3
. . . . .
. . . . . .
2
. . . . . . . . . . . .
8
42
Total ...
92
7
23
15 17
20
11
10
6
14
73
288
Total in 1881 ...
78
6
23
11
19
10
14
5
11
7
101
285
105. Among Europeans there was only one major operation. In the
native wards 27 major and 932 minor operations were performed.
106. The drainage and conservancy arrangements were good. A room
for infectious diseases was constructed during the year, and the buildings were
in excellent order.
107. The report was written by Dr. Payne, and submitted to Govern-
ment on the 2nd April last, omitting the Mayo Hospital and dispensaries, from
which no returns had been received till the 22nd March 1883, A separate
report on the Mayo Hospital was subsequently forwarded on the 7th April 1883.
With a view to maintain the similarity of the tables, and to remove the incon-
venience which is likely to be caused in reviewing the report by the exclusion
of the figures of the Mayo Hospital, the insertion of the figures in the prescribed.
tables was essentially necessary. This has now been done, and I beg to re-
submit the report, as directed by Government, with slight modifications in
places where the incorporation of the figures of the Mayo Hospital rendered it
unavoidable.
I have the honour to be,
SIR.,
Your most obedient servant,
B. SIMPSON,
Offg. Surgeon-General for Bengal.
( 9 )
date of their arrival, improvement has made rapid progress. Not only have
the administrative arrangements of the hopitals benefitted by their trained
skill and experience in the practical details of nursing, but the patients have
testified in no uncertain manner to the advantages resulting from their constant
presence and patient attention. The Lieutenant-Governor's cordial thanks
are due to these ladies for the unflagging care and devotion which they have
brought to the performance of their self-imposed task.
By order of the Lieutenant-Governor of Bengal,
COLMAN MACAULAY,
Secretary to the Government of Bengal.
No. 1014.
COPY of the above Resolution, and of the Report, submitted to the Govern-
ment of India, in the Home Department, for information.
No. 1015.
COPY of the above Resolution forwarded to the Surgeon-General, Bengal,
for information and guidance, with reference to paragraphs 13, 19, 22 and 24.
No. 1016.
COPY of the above Resolution, and of the Report, forwarded to the Chair-
man of the Corporation of the Town of Calcutta for information.
No. 1017.
COPY of the above Resolution, and of the Report, forwarded to the Com-
missioner of Police, Calcutta, for information.
No. 1023.
EXTRACT paragraph 16 forwarded to the Commissioner of the Burdwan
Division for information, and for communication to the Commissioners of the
Howrah Municipality.
No. 1024.
EXTRACT paragraph 12 forwarded to the Public Works Department of
this Government for information.
No. 1025.
EXTRACT paragraph 15 forwarded to the Governors of the Mayo Hospital
for information.
No. 1026 .
EXTRACT paragraph 22 forwarded to the Financial Department of this
office for information.
By order of the Lieutenant-Governor of Bengal,
E. N. BAKER,
Offg. Under-Secretary to the Govt. of Bengal.
CALCUTTA,
The 4th August 1883.
C. E. G.—Reg. No. 5011C-262-7-8-83.
I P
REPORT
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1 883.
•
A . J . P A Y N E , E s q . , M . D . ,
S u r g e o n - G e n e r a l f o r B e n g a l .
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1884.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1883.
A. J. PAYNE, Esq., M.D.,
Surgeon-General for Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1884.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1883..
No. 3170.
F R O M . A . J . P A Y N E ,
E S Q . , M . D . ,
Surgeon-General for Bengal,
To THE SECRETARY TO THE GGVERNMENT OF BENGAL,
MEDICAL AND MUNICIPAL DEPARTMENT.
Dated Calcutta, the 5th May 1884.
SIR,
I HAVE the honour of reporting on the working of the medical
institutions of Calcutta during the year 1883.
Deaths from the most prevalent diseases in the town of Calcutta.
Cholera,
D i a r r h œ a
and
dysentery.
Fevers.
Small-pox.
O t h e r
c a s e s .
Total.
Ratio per
mille of
population.
1875 ...
. . .
. . .
. . . . . .
1,674
1,579
5,328
720
4,785
14,086
32.7
1876..
...
. . .
. . .
. . .
1,851
1,864 864
4, 361
71
4,817
1 2 , 9 6 4
30.1
1877...
. . .
. . .
. . .
. . .
1,418
1 6 8 3
5 , 1 5 1
67
5,385
13,704
3 1 . 9
1878... . . .
. . .
. . .
. . .
1 , 3 3 8
2,010
6 , 9 8 6
1,495
5,467
16,396
3 8 . 1
1879 ...
. . .
. . .
. . .
. . .
1,186
1, 516
4, 796
772
4,774
13,044
30.3
1880 ...
... ...
. . .
. . .
805
1 , 2 6 7
3 , 7 9 7
114
5,698
11,681
27.1
1881 ...
. . .
. . . . . .
. . .
1 6 9 3
1,491
3,765
133
5,948
13,030
30
1882 ... . . .
. . . . . .
. . .
2 , 2 4 0
1454
3,618
17
5,848
13,177
30.4
1883 ... ...
. . .
. . . . . .
2,037
1,307
3,442
73
5,466
12,325
28.4
2. General mortality of the town .― The total number of deaths recorded by
the health officer of Calcutta is smaller than those of the two preceding years.
There is some diminution under every head in the table, except that of small-
pox from which the population are still suffering, though it has not appeared in
the quantity which is here regarded as constituting an epidemic. There was
again in 1883 high mortality from cholera, though the deaths were not quite so
numerous as they were in 1882. Admissions to hospital on account of this
disease increased on the number of the previous year, and among them there
was an ordinary proportion of deaths. From fever there were fewer deaths in
the town than there had been since 1879. This affords no evidence of
diminished prevalence of fever, for reasons stated before. In 1883, though
18
REPORT ON THE
90. Park street dispensary.—An out-door dispensary. There were treated
32,748 out-patients against 31,803 in 1882. The daily average attendance was
229 against 212 respectively. Of the total daily attendance, 9 patients only
received more than one day’s supply of medicines.
91. Sookea’ s s t r eet cl i s pens ar y. —T h i s
i s a n o u t - d o o r i n s t i t u t i o n . T h e n u m b e r
of patients treated in 1883 was 15,090, with a daily average of 134.8 against
15,688 and 138 in 1882.
92. The aggregate numbers of patients treated in the Mayo hospital and
dispensaries were as follows:—
1883. 1882.
In-patients ... Total treated
...
...
2,212 2;125
Daily average
...
...
92
82
Out-patients
Total treated
...
... 176,619
182,163
Daily average
...
...
1,222
1,214
The total number of in-patients treated in 1883 was slightly greater than
that of the previous year. The daily average also shows an increase of 10 on
that of 1882. The total number of deaths was 364, or a rate of 164 per 1,000
treated, against 369 and 173 respectively in 1882.
HOWRAH GENERAL HOSPITAL.
93. Surgeon-Major J. G. Pilcher was in charge of the hospital throughout
the year.
94. The total number of patients treated in the:hospital duringthe year was
13,327, of whom 5,067 were Europeans and 8,260 were natives. The corres-
ponding numbers in 1882 were 12,616, 3,970 and 8,646 :respectively. In-door
patients numbered 1,631, of whom 696 were Europeans and 935 natives,
against 669 and 985 in 1882. Of the 11,696 out-patients in 1883, 4,371 were
Europeans and 7,325 were natives, against 3,301 and 7,711 in the previous year.
Compared with the previous year there was an increase both in the in-door and
out-door patients on the European side. On the native side the in-patients exact-
ly equalled those of the previous year, but the out-patients were less. Regard-
ing these fluctuations in the number of patients treated, Dr..Pilcher says that
"the figures representing out-patients on the European side are somewhat inac-
curate, because a considerable number of out-patients come for advice only, and
are not only able to purchase their medicines, but prefer to do so, and many of
these escape entry in the out-patients’ register. On the native side there will be
little difference from year to year in the number of in-patients, for there is limited
accommodation. In the native out-patient department there will be fluctuation
due to the varying healthiness of each year." Three hundred and forty-two
European seamen were treated against 351 in 1882. There were fourteen
women confined in the hospital during the year, of whom one died.
95. The following statement exhibits the daily average sick in 1883 and in
five preceding years:—
YEARS.
DAILY AVERAGE SICK.
EUROPEANS AND EAST INDIANS.
NATIVES.
In-door.
Out-door.
In-door.
Out-door.
1878... ....
38.85
13.52
56.07
203.55
1879.... .... ....
27.35
16.37
43.45
117.88
1880
...
...
• ...
...
...
26.69
18.42
86.75
86.52
1881... ...
26.52
15.27
36.68
95.15
1882
...
. . . .... ...
29.1
14.82
36.63
81.4
1883
...
..
...
...
...
26.12
17.46
34.02
85.34