( 2 )
Hospital, and 3,443 at the Mayo Hospital and its attached dispensaries. A
part of the increase at the Medical College Hospital was doubtless due to the
opening of the new out-door dispensary on 1st July. The general death-rate
at the Calcutta hospitals was 134.17 per mille against 155.62 in 1879. If
the Howrah figures are included, the rate was 138'17 against 162.2. A
decrease is shown at all except the Mayo hospital, where the rate rose from
139.36 to 143.19.
3. The figures showing the races and sexes of the persons treated in
the different years are of little value for the purposes of comparison. The
native races appear to resort. to the hospitals in much the same proportion
year after year. The proportion of male to female adults is about 4 to 1.
Out of 163,925 adult males treated 15,584, and out of 40,563 adult females
4,298, were in-patients. Only 1,069 children out of 68,537 were treated in
hospital. The death-rate among adults was 138.6, and among children only
133 ; but the number of the latter was so small that the general death-rate is
only reduced to 138.17.
4. The following table shows the mortality in the hospitals during each
of the past eight years :-
ALL DISEASES, EXCEPT CASES
C 110LERA.
Number of
TREATED IN EYE INFIRMARY.
Death-rate, deaths re- Rate per
YEARS.
excluding gistered by
mille of
cholera.
the 31uni- population.
Treated.
Died.
Died per
Treated.
Died.
raffle.
Died per
cipality.
mill
1873
...
..,
...
17,448
2,565
147
459
245
533
136
11,558
26'9
1S74
...
...
...
19,490
3,037
155
628
311
495
141
12,691
29,1
187 5
...
...
...
22,062
3,641
165
728
371
509
153
15,069
35*
1876
...
...
...
21,087
3,061
145
695
369
530
132
12,061
30'2
1877 ...
...
..,
23,977
3,172
132
545
281
521
123
13,701
31'9
1878
...
...
...
27,908
9,518
161
579
323
557
153
16,396
38'1
1879
...
...
...
22,197
3,602
162
034
351
553
150
13,044
30'3
1880
...
...
21,032
2,006
138
356
183
514
131
11,681
27'1
The general death-rate was lower than in any year except 1877. The
proportion of deaths from cholera was only lower in 1874 and 1875. If cholera
deaths are excluded, the general death-rate among all races was 131 per mille
against 150 in the previous year. If moribund and cholera cases are both
excluded from the list of deaths among natives, the true native death-rate was .
1466 against 169.5 in 1879. The Surgeon-General makes the following
observations on the general features of the statistics of disease in the hospitals :-
Regarding particular diseases, I may mention a marked reduction of cholera,
corresponding with that of the town. The disease was fatal in an ordinary proportion of cases
on the whole. The variation in this respect followed a well known law. Where cases were
few and scattered mortality was high ; where they were more numerous the disease was less
fatal in proportion. Of small-pox 97 cases were received into hospital and 26 died. There
were 114 deaths recorded in the town, and if these bore the same proportion to the entire
numbers of cases of diseases, t hey would represent nearly 400 such cases in the town alone.
Inasmuch as the admissions to the Sealdah Hospital include cases from the Suburbs and
Howrah, it would seem that a very small proportion of the town cases were received into
hospital, which is unsatisfactory. Malarious fevers in the Medical College Hospital were,
both in quantity and quality,- much the same as in 1879. In the General Hospital they
were reduced to less than half the number, and the mortality was very small. In the Mayo
Hospital there was an increase both in number and severity. At the Campbell Hospital
number and fatality were both* reduced. The influence of reduced accommodation affected
the numbers- without doubt. At the Police Hospital numbers fell and mortality was
nominal. At Howrah there was no great difference of quantity, but mortality fell largely
among Europeans and rose among Natives. On the whole, there was considerable reduction
both in prevalence and fatality of malarious fever. Respiratory affections presented no great
variations in 1880. They were somewhat less fatal than before. Dysentery and diarrhoea
showed jointly some reduction both of prevalence and death-rate. It is under these headings
that the majority of hopeless cases are admitted into hospital. For child-birth women were
received in greater number, and the deaths were fewer than in the previous year.
5. At the Medical College ilospital 2,426 European in-door patients were
treated against 2,126in the previous year, and 2,147 native in-door patients against
2,165. Of the former 169 and of the latter 419 died against 147 and 412
respectively in 1879. The death-rate was thus 69 . 66 among Europeans and 195.15
among natives as compared with 6914 and 19030. The general death-rate of all
races was 128 of every 1,000 treated against 130 in 1879, 135 in 1878, 108 in 18779