( 4 )
against 279 operations with 29 deaths in 1882. The Lieutenant-Governor
entirely concurs in the remarks of the Surgeon-General regarding the practice
of antiseptic treatment in this Hospital. In the Campbell Hospital, where a
moderate use of antiseptics was made, the mortality after operations was
very low.
7. The following statement shows the number of cases of enteric and
remittent fever treated in each of the hospitals during the year:—
ENTERIC FEVER.
REMITTENT FEVER.
1871. 1 8 7 2 . 1873. 1874. 1875. 1876. 1877. 1878. 1879. 1880.
1881. 1882. 1883. 1871. 1872. 1873. 1874. 1875. 1 8 7 6 . 1877. 1878. 1879. 1 8 8 0 . 1881.
1 8 8 2 . 1 8 8 3 .
Medical College Hospital ... ...
3 5 9 5 6 6 1 ... 2
. . . . . . . . . . . . 42 80 86 58 125 95 124 152 164 180 1 9 6 l50
1 2 0
Presidency General Hospital ... 15 17 6 11 12 17 18 9 11 6 11 12 1 45 19 22 10 48 27 39 38 34 49 22 4 0
Howrah Hospital
... ... ... ...
... ... 4 2 4 2 3 3 ... 16 28 88 146 172 210 359 393 228 107 77 7 3
l 31
Mayo
do.
..
.
...
.. .
6 2 1 5 6 ... ... ... ... 1 ... ... 6 15 13 22 35 36 174 224 130 208 2 2 1 1 4 3
Campbell do.
9 4
8 6 2 8 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 239 212 495 466 438 432 466 333 354 3 0 9 3 0 1
Police
do.
4 12
8 11 ... 14 1 1 2 1 ... ... ... ... ...
. . . .., ... 1 ... ......
11 29 28 58 4 1
Total ... 116 126 53 30 23 43 34 13 1 8 8 15 15 1 290 381 421 731 8 4 7 8O6 1,128 1,284 918 926 8 9 3 7 4 5
There was only one case of enteric fever, which occurred in the Presidency
General Hospital. There is a want of precision in the nomenclature of this
class of disease employed by different officers. The same term of typhoid fever
is given by some practitioners to diseases in which officers of Indian experience
recognize only the more severe and continued forms of miasmatic disease which
are not traceable to the causes assigned to enteric fever. There was a large
increase of remittent fever in all the hospitals, excepting the Medical College
and Howrah hospitals. The increase was large at the Mayo Hospital, where
212 cases were treated during the year against 143 in 1882.
8. In the Eden Hospital, where the admissions were more closely
restricted this year to obstetric cases, the number of patients treated was 1,300
against 1,323 in the previous year. Of these, 875 were Europeans and 425
natives. There were 34 deaths against 75 in the preceding year. The system
of obtaining permanent nurses from the Hospital Nurses' Institution, and
placing them under the immediate supervision and control of the resident Sister
of the hospital, has proved successful. Native dhaies have had to be employed
in the native wards, owing to the uncertainty which existed whether the
H o s p i t a l N u r s e s ' I n s t i t u t i o n w o u l d b e a b l e t o m e e t f u r t h e r d e m a n d s . I t i s
disappointing to find that the scheme for training women as civil and military
nurses has not proved a success. Some of the pupils of the latter class have,
it is stated, been found unfit for the work.
10. In the ophthalmic wards 509 cases were treated, of which 470 were
fresh cases and 39 remained from last year. Of the 509 cases treated, 243 were
cured and 142 relieved, 93 otherwise discharged, and 31 remained under treat-
ment at the close of the year : 359 operations were performed during the year
against 275 in 1882.
10. The number of in-door patients treated in the Medical College Hospital,
exclusive of ophthalmic eases, was 5,032 against 4,947 in the previous year.
There were 464 deaths, giving a death-rate of 112 per 1,000 against 123 in the
preceding year. This mortality was the lowest on record since 1876. Of the
5,032 patients, 2,494 were Christians and 2,538 natives. The death-rate among
the Christians was 54 per 1,000 against 59 in 1882. The ratio of deaths from
fever was 34.3, from diarrhœa and dysentery 1.10, from cholera 757.1, and
from chest affections 96. Among the natives the aggregate death-rate was 169
per 1,000, and the death-rate from fever was 235.8, from dysentery and
diarrhœa 313.8, from cholera 500, and from chest affections 250. The con-
struction of a new ward for contagious diseases has been sanctioned, but has
not yet been taken in hand. A separate ward has been set apart for cholera
and poison cases among women, and many other minor improvements have
been effected.
11. There was a decrease in the number of patients treated in the
Presidency General Hospital, the total number being 3,121 against 3,295 in
1882. Of these, 1,622 were sailors and 571 paying and 928 non-paying
patients. There was an increase in the number of paying and a considerable
decrease in that of non-paying patients. There were 149 deaths against 142