NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
16
REPORT ON THE
Natives.
Remaining on 1st
January 1889.
Admitted.
Total.
Adults
...
. . .
... ...
19
642
661
Children ...
... ... ... ...
110
110
Total
...
19
752
771
GRAND TOTAL
...
38
1,565
1,603
In the previous year (1888) 999 Europeans, of whom 742 were adults
and 257 children, were under treatment, and Natives 670, of whom 598 were
adults and 72 children, forming a grand total of 1,669.
Daily average sick.
1888.
1889.
Europeans
...
. . .
...
45 . 8
37.26
Natives
. . .
... ...
23 . 2
22.57
DEATH-RATE.
Europeans.
Number of
deaths in 1889.
Rate per
mille.
Adults
... ...
...
14
22.01
Children
... ... ...
15
76.53
Total
...
29
34.85
Natives.
Number of
deaths in 1889.
Rate per
mille.
Adults
...
...
...
34
51.43
Children
...
...
...
22
200.
Total
...
56
72.6
43. The total number of deaths among 1,603 treated was 85, or a death-
rate of 53.02 per mille, as against 46.13 per mille in 1888.
44. There were 497 confinements, or a decrease of 16, caused by the want
of accommodation already alluded to. The total number of deaths following
confinement was 18, or 36.2 per 1,000, compared with 20 deaths, or 38.9 per
1,000, in 1888, and 25, or 56 per 1,000, in 1887.
45. Analysing these deaths, we find there were 4 in 211 labours among
Europeans, or at the rate of 18.9 per 1,000, while among natives there were 14
deaths after or during labour in 286 cases, or at the rate of 48.9 per 1,000.
46. The marked difference in the mortality of the two races was due to
the bad condition in which many of the native women were sent to hospital,
and it may be remarked that out of the 14 deaths no less than 7 occurred in
women who had been in labour for hours, or even days, before admission,
or were moribund on arrival at the hospital.
47. The four deaths among the Europeans after labour were due to hyper-
pyrexia and embolism, and none occurred from septicæmia. There were nine
cases of the last disease which supervened after labour. Two of these (one
European and one Native) developed the disease in hospital, and both recovered,
while seven natives who were admitted after having contracted it outside, died.
48. The fact that so little septicæmia was developed in hospital says much
for the care which has been taken by Dr. Joubert and his Resident Surgeon
Dr. Adie to enforce the observance of antiseptic precautions in all cases
of labour, and which is deserving of commendation. With a view of more
thoroughly impressing on the nurses of the institution the importance of
observing antiseptic precautions in all their dealings with parturient women,
Dr. Adie has recently published in pamphlet form a very useful and
instructive lecture which he delivered on that subject, and it is to be hoped
that no pains will be spared to render the development of so dangerous
and fatal a disease as septicæmia is, an event of very rare occurrence.
19
CALCUTTA MEDICAL INSTITUTIONS.
59. The total income of all the institutions was Rs. 5,21,390-3.7, derived
from the following sources:—
RS. A. P.
(a) Balance brought forward from previous year
...
14,081 3 10
( b) Contributions from Government
. . .
... 3,46,858 13 6
(c) From local and municipal funds, interest on in-
vestments, sale of securities, subscriptions, &c. . . . 1,60,450 2 3
Total
... 5,21,390 3 7
60. The total expenditure was—
(a) Cost of establishment, medicines, diet, and up-keep
of the hospitals generally
. . .
... 5,01,970 4 9
( b) Invested during the year ...
. . .
...
3,523 7 11
Total
... 5,05,493 12 8
Balance on 31st December 1889
. . .
...
15,896 6 11
61. These sums are compared with those of the previous year in the
sub-joined table:—
1888.
1889.
(1) Net cost of all the hospitals
RS.
A. P.
Rs.
A. P.
to Government
... 2,77,158 9 1
3,46,858 13 6
(2) Receipts from the local and
municipal funds, interest on
investments, subscriptions,
&c.
. . .
... 1,49,556 7 9
1,60,450 2 3
(3) Cost of establishment, main- 4,27,082 8 9
5,01,970 4 9
tenance, &c. ...
...
(4) Invested during the year
...
1,484 1 5
3,523 7 11
62. From the above it will be seen that the hospitals together cost the
Government Rs. 69,700-4-5 more than they did in 1888. The cause of this
increment was mainly due to the increased expenditure on buildings and repairs
at the Campbell Hospital. The total income from local sources shows an
increase of Rs. 10,893-10-6, which was in the main caused by a larger amount
having been received at the Howrah General Hospital from sale of securities.
The total expenditure amounted to Rs. 5,01,970-4-9, against Rs. 4,27,082-8-9
in 1888. The increase of Rs. 74,887-12 was, in a great measure, due to the
expenditure on buildings and repairs.
63. The rate per cent. contributed by Government to the cost of the
several hospitals was as follows:—
1888.
1889.
Medical College Hospital
. . .
. . .
84.06
85.28
Presidency General Hospital
...
. . .
68.06
63.35
Mayo Institutions
. . .
. . .
...
59.09
60.88
Campbell Hospital
...
. . .
...
48.32
74.93
Police Hospital
. . .
. . .
. . .
41.07
88.21
Howrah General Hospital
. . .
. . .
22.88
13.67
64. The particulars of income and expenditure of the several institutions
are subjoined.
Medical College Hospital. —The total income from Government shows an
increase of Rs. 567-8-5, owing to increased expenditure on nearly all
items. The total income from local sources fell from Rs. 22,762-11-7
in 1888 to Rs. 20,247-3-9 in 1889. The reduction is attributed to the
smaller number of paying patients admitted during the quadrennial repairs
of the Eden Hospital, and to fewer sailors having been admitted into the
general wards. The cost of establishment rose from Rs. 48,117-2 in 1888
to Rs. 50,228-3-9 in 1889. The increase was due to the posts of Resident
Surgeon, Eden Hospital, and of the Apothecary having been held respectively
by a covenanted medical officer and a warrant medical officer for longer periods
in 1889 than they were in the previous year. Bazar medicines show a
decrease of Rs. 50-11-9, owing to a smaller demand for them. The increase
( 4 )
that a copy of the Resolution be forwarded to the Governors of the Mayo
Hospital and to the Commissioner of Burdwan for information.
Ordered also that the Resolution be published in the Calcutta Gazette.
By order of the Lieutenant-Governor of Bengal,
C. C. STEVENS,
No.R/29 4.
COPY of the above Resolution, and of the Report, submitted to the Govern-
ment of India in the Home Department for information.
No.R/295.
COPY of the above Resolution forwarded to the Inspector-General of Civil
Hospitals for information and guidance.
No.R/29 6.
COPY of the above Resolution, and of the Report, forwarded to the Chairman
of the Corporation of the Town of Calcutta for the information of the Commis-
sioners.
No.R/ 29 7.
COPY of the above Resolution, and of the Report, forwarded to the Commis-
sioner of Police, Calcutta, for information.
No.R/298.
COPY of the above Resolution forwarded to the Governors of the Mayo
Hospital for information.
No.R/29 9.
CoPY of the above Resolution forwarded to the Commissioner of Burdwan
for information and communication to the Commissioners of the Howrah
Munici-pality.
By order of the Lieutenant.Governor of Bengal,
P. C. LYON,
Under-Secretary to the Govt. of Bengal.
CALCUTTA,
The 30th July 1890.
C. E G. — Reg No. 3295C-248-1-8-90,
REPORT
ON THE
I
CALCUTTA
INSTITUTIONS
M E D I C A L
F
OR THE YEAR 1890.
II
• i
B y
A. HILSON, ESQ., M.D. ,
Inspector-General of Civil Hospital, Bengal,
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1891.
Not printed for sale.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1890,
A. HILSON, ESQ., M.D.,
Inspector-General of Civil Hospitals, Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1891.
Not printed for sale.
REPORT
* F O R W A R D E D B Y O R D E R O F T H E L I E U T E N A N T G O V E R N M E N T O F B E N G A L
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1890.
No. 4981.
FROM A. HILSON, ESQ., M.D.,
Inspector-General of Civil Hospitals, Bengal,
TO THE SECRETARY TO THE GOVERNMENT OF BENGAL,
FINANCIAL AND MUNICIPAL DEPARTMENTS.
Dated Calcutta, the 29th April 1891.
SIR,
I HAVE the honour to submit the annual report on the Medical
Institutions of Calcutta for 1890.
2. The health of the Town of Calcutta for the past year has on the whole
been somewhat worse than in the preceding years, as far as can be judged from
the returns of mortality given below. The figures for the Town of Calcutta and
Howrah are available for the last ten years, but those of the amalgamated area
of the Suburbs of Calcutta are given only for 1889 and 1890, as the changes
recently made in the boundaries of this area preclude the possibility of drawing
any useful inferences from a more extended comparison with previous years.
Deaths from the most prevalent diseases in the Town of Calcutta, Howrah, and Suburbs of
Calcutta.
YEAR.
CHOLERA.
BOWEL-
COMPLAINTS.
FEVERS.
SMALL-POX
OTHER CAUSES.
TOTAL.
RATIO PER MILLE
OF POPULATION.
T o wn o f Ca l c u t t a . T o wn o f Ho wr a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o wn o f Ca l c u t t a . T o wn o f Ho wr a h .
Amal gamat ed ar ea of
t h e Su b u r b s .
T o wn o f Ca l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
To wn o f Ho wr a h .
A m a l g a m a t e d a r e a o f
t he Subur bs.
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e Su b u r b s .
1881
. . . 1,693 489
. . .
1,491 514 ...
3,765 1,570 ...
133 33 ... 5,948 372 ... 13,030 2,978 ...
30.
30.45 ...
1882 ... 2,240 668 ...
1,454 527 ...
3,618 1,068 ...
17
2 ... 5,848 376 ... 13,177 2,641 ...
30.4 25.00 ...
1883 ... 2,037 653 ...
1,307 425 ...
3,442
933 ...
73
6 ... 5,466 415 ... 12,325 2,432 ...
28.
23.02 ...
1884 ... 2,272 707
. . . 1,209 379 ...
3,618
841 ...
478 25 ... 5,679 645
. . . 13,256 2,597
. . . 30.5 28.59 ...
1885
. . . 1,603 372 ...
1,655 451 ...
3,831
928 . . .
155 21 ... 5,463 665 . . .
12,707 2,437 ...
29.3 26.83 ...
1886 ... 1,741 528 ...
1,258 343 ...
3,422
674
. . .
15
. . .
. . . 5,011 511 . . .
11,447 2,056
. . . 26.42 22.63 ...
1887 ... 1,198 295 ...
1,197 340 ...
3,253 515 ...
2 12 ... 5,329 432 ...
10,979 1,594 ...
25.34 17.55 ...
1888
. . . 1,734 598
. . .
1,056 402
... 3,1
98
525 ...
12
4 ... 5,685 440 ... 11,685 1,969
. . . 26.97 21.68 ...
1889
. . . 1,079 488 1,236 1,331 393 1,425 3,341 585 2,656
71 19 28
5,860 578 2,539 11,682 2,063 7,884 26.9 22.71 46.9
1890
. . .
963 364
916 1,311 385 1,448 4,154
605 2,638
700 45 172 5,254 474 2,812 12,382 1,873 7,986 28.5 20.62 47.5
CALCUTTA MEDICAL INSTITUTIONS.
11
health of the surrounding population." He also gives facts and figures in
support of this statement. In the other hospitals there was little variation
in the numbers treated for this affection.
27. Cerebro-spinal fever. —It is satisfactory to record that there were no
cases of this disease at any of the hospitals during the year.
28. Surgical operations. —These are shown in the following table.
REPORT ON THE
Rs. 300 for the purchase of surgical instruments while on furlough in England
during the year, and these, which are of the most recent and approved patterns,
are approved by the Principal of the Medical College. During Mr. Wood's
absence for six months in England, Mr. G. O. Ranger officiated for him.
Mr. Wood complains of the dark and dingy quarters which are allotted to him
for dental practice in the Choonee Lall Seal's Dispensary, but I do not see
how anything can be done at present to provide him with more suitable rooms.
37. Obstetric Practice.— The patients attending or treated in the Eden
Hospital are all included in the returns of the Medical College Hospital, of which
it forms a part, but the subjoined figures, which refer to the former only,
will give a clear idea of the work done in this special department.
Europeans.
Remaining on 1st
January.
Admitted.
Total.
1889.
1890.
1889.
1890.
1889.
1890.
Adults
...
...
16
30
620
721
636
7 5 1
Children
. . .
. . .
3
3
193
270
196
273
Total
...
19
33
813
991
832
1,024
Natives.
Adults
. . .
...
19
33
642
625
661
658
Children
. . .
. . .
. . . . . .
2
110
88
110
90
Total
...
19
35
752
713
771
748
GRAND TOTAL
...
38
68
1,565
1,704
1,603
1,772
The daily average sick.
1889.
1890.
Europeans
...
37.26
45.05
Natives
...
22.57
22.10
Death-rate per mille of treated.
EUROPEANS.
Europeans.
Actual number of
deaths.
1889.
1890.
1889.
1890.
Adults
...
22.01
9.32
14
7
Children
...
76.53
73.26
15
20
Total
...
34.85
26.36
29
27
NATIVES.
1889.
1890.
1889.
1890.
Adults
...
51.43
44.07
34
29
Children
...
200
144.44
22
13
Total
...
72.6
56.14
56
42
38. The above figures indicate a very considerable increase in the number
of European patients resorting to the Eden Hospital, while there is a falling off
18
CALCUTTA MEDICAL INSTITUTIONS.
27
Burmah Military Police force were sent to the hospital for treatment. Of these
seven died, or at a rate of 25 per cent.
80. Howrah General Hospital .—Surgeon-Major A. Tomes was in charge of
the hospital from the beginning of the year to 14th February 1890, Brigade
Surgeon J. G. Pilcher from 15th February to 5th March, and Brigade Surgeon
H. Purves from the 6th March to the end of the year.
81. The total number of patients treated was 11,790, against 11,122 in
1889. The number of Europeans was 3,960 and of Natives 7,830, against 3,166 and
7,956 respectively in the previous year. The total number of in-door patients
was 1,368, of which 513 were Europeans and 855 Natives, against 1,513, 603,
and 910 respectively in 1889. The diminution in the number of Europeans
was due to fewer admissions of sick seamen. The total number of out-door
patients was 10,422, viz., 3,447 Europeans and 6,975 Natives. The corre-
sponding figures in 1889 were 9,609, 2,563, and 7,046. The increase in the
number of European out-door patients is attributed to the prevalence of
malarial fevers and the influenza epidemic. The Superintendent states that
it is difficult to account for the decrease in the native attendance, which is
small. The death-rate of the hospital was 220 .02 per mille, against 217.44
in 1889.
82. Bhowanipore Dispensary.—The working of this dispensary used to be
shown in the annual report of Mofussil Dispensaries, but the institution having
now come within the limits of Calcutta, its statistics are, by the order of
Government, included in this report. The dispensary is now under the super-
vision of the Health Officer of the Town of Calcutta. It treats out-door patients
only, the number of which was 10,694 in 1890, against 10,627 in 1889. There
are no special points to notice in connection with this dispensary.
I have the honour to be,
SIR,
Your most obedient servant,
A. HILSON) M.D.,
Inspector-General of Civil Hospitals, Bengal.
W. J.—Reg. No. 306J-150-2.5.91.
( 3 )
It is also satisfactory to notice that the training of nurses and dais at the Eden
Hospital appears to be thoroughly successful.
9. The invested capital of the hospitals, Rs. 5,77,000, remained unchanged
during the year. The following statement compares the main heads of income
and expenditure for all the institutions dealt with in the report during the last
two years:—
Income.
1889.
1890.
Rs.
Rs.
Opening balance
. . .
. . .
. . .
14,081
15,896
From
Govern-
ment.
Salaries
. . .
. . .
...
1,14,873
1,20,305
Registers and forms
. . .
. . .
. . .
229
288
Europe medicines ...
. . .
...
19,168
18,050
Diet of police cases ...
. . .
. . .
29
38
Special allowances given by Government ... 2,12,559
1,78,356
3,46,858
3,17,037
Local funds
. . .
. . .
...
71,842
6 5 , 4 4 3
Municipal funds
. .
. . .
. . .
34,125
34,347
Interest on investments
. . .
...
26,393
24,917
Sale of securities
...
. . .
...
11,900
......
Subscriptions
Europeans
. . .
...
11,606
10,659
Natives
. . .
...
4,585
1,512
1,60,451
1,36,878
5,21,390
4,69,811
Expenditure.
On establishment
...
. . .
... 1,82,889
1,88,857
„ bazar medicines ...
. . .
...
4,341
4,321
„ Europe medicines
. . .
. . .
...
25,709
24,195
„ diet
. . .
...
... 1,07,227
1,07,493
„ miscellaneous charges
...
...
71,366
61,414
,, buildings and repairs
. . .
... 1,10,439
67,242
Invested during the year
. . .
...
3,523
......
5,05,494
4,53,522
Closing balance
. . .
...
...
15,896
16,289
5,21,390
4,69,811
Excluding opening balances from the comparison, the income of the year
declined from Rs. 5,07,309 to Rs. 4,53,915, owing mainly to a decrease of
Rs. 34,203 in the special allowances given by Government for cost of bedding
and clothing, building and repairs, diet and other miscellaneous charges; of
Rs. 6,400 in the contributions from "local or other funds," which include receipts
from paying patients, contributions from the Port Dues Fund, proceeds of the
sale of condemned articles, and miscellaneous receipts which cannot be shown
under other heads; of Rs. 11,900 under sale of securities, and of Rs. 947 and
R s. 3,073 in the subscriptions received from Europeans and Natives respectively.
The total receipts under the head of subscriptions during the year amounted to
no more than Rs. 12,171, of which Rs. 10,659 were contributed by Europeans,
Rs. 8,964 to the Howrah Hospital and Rs. 1,695 to the Mayo Institutions, and
only Rs. 1,512 by Natives to the Mayo Institutions. The other hospitals show
no receipts under the head of subscriptions. The contributions from municipal
funds remained stationary during the year. Considering what large incomes are
amassed and spent in Calcutta, and the stress that is laid by Native opinion on
the duty of charity, it is surprising and deplorable that so little should be
done by individuals and by the municipalities concerned to supplement the
contributions of the State to a service which is everywhere deemed to have special
claims upon both private and civic benevolence. In this connexion an instructive
contrast may be drawn between the charitable dispensaries of the mofussil and
( 5 )
No. 1189.
Copy of the above Resolution and of the Report forwarded to the Chairman
of the Corporation, Calcutta, for the information of the Commissioners.
No. 1190.
Copy of the above Resolution and of the Report forwarded to the Commis-
sioner of Police, Calcutta, for information.
No. 1191.
Copy of the above Resolution forwarded to the Governors of the Mayo
Hospital for information.
No. 1192.
Copy of the above Resolution forwarded to the Commissioner of the Burdwan
Division for information and communication to the Commissioners of the Howrah
Municipality, and the Magistrate of Howrah for communication to the Superin-
tendent of the Howrah General Hospital, with reference to remarks contained
in paragraph 4 of the Resolution.
No. 1193.
Copy of the above Resolution forwarded to the Sanitary Commissioner for
information.
By order of the Lieutenant-Governor of Bengal,
H. C. STREATFEILD,
Under-Secretary to the Govt. of Bengal.
CALCUTTA,
The 12th June 1891.
C. E. G. & E. J. H.—Reg. No. 1326C—300—13.6-91.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1891,
BY
A. HILSON, ESQ., M.D.,
Inspector-General of Civil Hospitals, Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS,
1892.
Not printed for Sale.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1891.
BY
A. HILSON, ESQ., M.D.,
Inspector-General of Civil Hospitals, Bengal.
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1892.
Not printed for Sale.
REPORT
ON THE
CALCUTTA MEDICAL INSTITUTIONS
FOR THE YEAR 1891
No. 4044.
FROM A. HILSON, ESQ., M.D.,
Inspector-General of Civil Hospitals, Bengal,
TO THE SECRETARY TO THE GOVERNMENT OF BENGAL,
FINANCIAL DEPARTMENT.
Dated Calcutta, the 21 st April 1892.
SIR,
I HAVE the honour to submit the Annual Report on the Medical
Institutions of Calcutta for the year 1891.
2. The health of the town of Calcutta was in every respect but one worse
than in the previous year if we may judge from the returns of mortality fur-
nished by the Health Officer of the Calcutta Corporation.
Deaths from the most prevalent diseases in the Town of Calcutta, Howrah, and Suburbs of
Calcutta.
YEAR.
CHOLERA.
BOWEL-
COMPLAINTS.
FEVERS.
SMALL-POX. OTHER CAUSES.
TOTAL.
RATIO PER MILLE
OF POPULATION.
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a . T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
T o w n o f C a l c u t t a .
T o w n o f H o w r a h .
A m a l g a m a t e d a r e a o f
t h e S u b u r b s .
1881
. . . 1,693 489
. . .
1,491 514 . . .
3,765 1,570 . . .
133 33
. . . 5,948 372 ... 13,030 2,978
. . .
30.
30.45
. . .
1882
. . . 2,240 668
. . .
1,454 527 . . .
3,618 1,068 . . .
17 2
. . . 5,848 376 ... 13,177 2,641
. . .
30.4 25.00
. . .
1883
. . . 2,037 653
. . .
1,307 425
. . .
3,442 933 . . .
73 6
. . . 5,466 415 ... 12,325 2,432 . . .
28. 23.02
. . .
1884
. . . 2,272 707
. . .
1,209 379
. . .
3,618 841 . . .
478 25
. . . 5,679 645
. . 13,256 2,597
. . .
30.5 28.59
. . .
1885
. . . 1,603 372
. . .
1,655 451 . . .
3,831 928 . . .
155 21
. . . 5,463 665 ... 12,707 2,437 . . .
29.3 26.83
. . .
1886
. . . 1,741 528
. . .
1,258 343 . . .
3,422 674 . . .
15 . . .
. . . 5,011 511 ... 11,447 2,056
. . .
26.42 22.63
. . .
1887
. . . 1,198 295
. . .
1,197 340 . . .
3,253 515 . . .
2 12
. . . 5,329 432 ... 10,979 1,594
. . .
25.34 17.55
. . .
1888
. . . 1,734 598 . . .
1,056 402 . . .
3,198 525 . . .
12 4
. . . 5,685 440 . . . 11,685 1,969
. . .
26.97 21.68
. . .
1889
. . . 1,079 488 1,236 1,331 393 1,425 3,341 585 2,656
71 19 28 5,860 578 2,539 11,682 2,063 7,884 26.9 22.71 46.9
1890
. . . 963 364 916 1,311 385 1,448 4,154 605 2,638 700 45 172 5,254 474 2,812 12,382 1,873 7,986 28.5 20.62 47.5
1891
1,553 490 1,402 1,433 391 1,283 4,675 640 3,176
13 16 5 5,359 596 2,618 13,033 2,133 8,484 27.9 18.29 39.4
A
5
CALCUTTA MEDICAL INSTITUTIONS.
5
At the Presidency General Hospital there was an increase in the death-rate
among male children which the Superintendent attributes to the large number
of admissions from diphtheria and diarrhœa. In the Mayo Native Hospital the
death-rate among male children was also higher, and is accounted for by a
greater mortality from cholera and local and general injuries, while the death-
rate among female children is considerably lower than in 1890, there having
been no deaths from cholera. There were only two deaths in 1891 among
female children in this hospital against ten in the previous year. Although
it is gratifying to find that there has been generally less mortality among men,
women, and children treated in the Campbell and Howrah General Hospitals,
the figures unfortunately are still very large, and, as I stated last year, no
amelioration can be hoped for until improved sanitary measures are more gene
-rally adopted. At Howrah Dr. Murray states that cholera is never absent
from the native population, and is chiefly due to a want of good drinking
water and efficient drainage, cholera being a disease which always clings to
damp localities.
10. The following table gives the diseases treated among the in-door
patients at the different hospitals, and in the appendix I have given a statement
showing the diseases from which both in-door and out-door patients suffered:
—