2
REPORT ON THE
3. While there was generally a marked diminution in the deaths from
cholera and bowel-complaints, and in those diseases coming under the heading of
"Other causes," there has been a very appreciable increase in the mortality
occasioned by small-pox and fevers. The active recrudescence of small-pox,
which was noticed in my last report as having occurred at the end of 1889,
reached its culminating point in the beginning of 1890, and gradually died away
as the rains set in. During the year fevers were more than usually prevalent
in Calcutta, and to some extent also at Howrah, while in the amalgamated area
of the Suburbs of Calcutta there was a small decrease of these affections. The
total death-rate for Calcutta in 1890 was 28.5 per mille, which exceeds that of
the past four years. At Howrah it was 20.62, which is a decrease as compared
with the last two years, but still larger than what it was in 1887. In the amal-
gamated area of the Suburbs of Calcutta the rate was 47.5, against 46.9 in 1889.
STATEMENT No. I.
1890.
1889.
TOTAL TREATED.
Died per
mille
of
treated.
TOTAL TREATED.
D i e d p e r
mille
of
treated.
In-door.
Out-door.
Total.
In-door.
Out-door.
Total.
Medical College Hospital ...
. . .
6,741
52,108
58,849
92.68*
6,665
50,182
56,847
89.82*
Presidency General Hospital
. . . 3,105
...
3,105
36.07
3,190
. . .
3,190
39.81
Mayo Institutions ...
...
...
2,140
134,849
136,989
111.68
2,278
137,419
139,697
126.86
Campbell Hospital ...
...
...
8,415
...
8,415
202.97
8,252
...
8,252
203.95
Police Hospital
...
. . .
...
2,593
...
2,593
8.09
2,432
...
2,432
8.22
Bhowanipore Dispensary ...
. . .
...
10,694
10,694
...
...
10,627
10,627
...
Total Calcutta Hospital
...
22,994
197,651
220,645
118.30*
22,817
198,228
221,045
119.91*
Howrah General Hospital . . .
...
1,368
10,422
11,790
220.02
1,513
9,609
11,122
217.44
GRAND TOTAL
...
24,362
208,073
232,435
124.15*
24,330
207,837
232,167
126.13*
* Reckoned on cases treated, exclusive of cases treated in the ophthalmic ward of the Medical College Hospital.
4. Numbers treated in Hospital.— The statistics of the hospitals in Calcutta
and in the amalgamated portions of its suburbs and in Howrah show that the
attendance increased as regards the out-door patients, the figures being 208,073
in 1890, against 207,837 in 1889. But these figures include the out-door patients
treated in the Bhowanipore Dispensary, which before the year under report was
not classed among the Calcutta medical institutions. There was a very large
increase in the number of out-patients treated at the Medical College Hospital,
which is attributed by the Principal to the unhealthiness of the year and to the
increased popularity of the institution. At Howrah also there was a large
accession of out-door patients, which is accounted for by the greater prevalence
of malarial fevers and an outbreak of influenza. On the other hand, the
Mayo Institutions generally show a very large decline among the out-patients,
which is noticeable in the Mayo Hospital, the Sukea's Street and Chitpore
Dispensaries. The medical officer in charge, Dr. Sanders, attributes the
decrease principally to the healthiness of those localities in which the institutions
are situated, and in some measure to improved sanitary conditions.
5. Looking to the figures which refer to in-door patients, we find there was
a slight total increase as compared with that of the previous year. There was
an increase in three institutions, viz., the Medical College Hospital, the Campbell
and the Police Hospitals, while at the Presidency General Hospital, the Mayo
Institutions and the Howrah Hospital there was a diminution. The causes for
the increase at the Medical College Hospital are the same as those given for
the increased attendance of out-door patients. The variation in the numbers
treated at the Campbell Hospital is small. The Superintendent of the Police
Hospital attributes the increase at that institution to an epidemic of influenza,
which affected the whole Town of Calcutta more or less in the months of February
and March. The diminution of in-door patients at the Mayo and Chandney
Hospitals is very small, and may be accounted for by the usual fluctuations
which take place from year to year. At the Presidency General and Howrah