CALCUTTA MEDICAL INSTITUTIONS.
21
treated exhibited an increase, the daily average attendance of patients showed
a diminution. The discrepancy has not been explained. The practice with
regard to medicines adopted in the Mayo Hospital seems also to have been
used here. The number of out-patients treated in 1879 was 57,863 with a
dai l y aver age of 524; i n 1880 t he number s wer e 64, 533 and 500, and i n 1881
it was 68,592 and 460, respectively.
The composition of these large figures shows that further enquiry is
necessary before they can be accepted. The proportional numbers of the
several kinds of cases entered are very unlike those which obtain elsewhere.
The scarcity of cholera cases in the past year has been noted; of fever an
enormous quantity is recorded, viz. 13,325 cases among out-patients, but of
spleen diseases, allied to fever as its result, only 1,227 cases. At the Mayo
Hospital the corresponding figures are 4,993 and 2,454, at Sookea's street
3,057 and 1,479, at Chitpore 2,638 and 549. At the Medical College 6,065 and
1,187. In a total number of 70,525 patients there are at the Chandney
Hospital no less than 7,126 cases of " worms" returned, or 10.1 per cent of
the total. At the Mayo Hospital there were in all 43,012 out-patients with
404 cases of worms, or 0.9 per cent. At Sookea's street we have 15,688
patients with 571 cases of worms, at Chitpore 21,135 with 133, at the Medical
College 31,537 with 361 cases, and at Howrah 11,012 cases include only 80
cases of worms. In the provincial dispensaries the proportion of cases of
worms to total number was 2.8 per cent.
96. Chitpore Dispensary.— This is an out-door institution. The total
number of patients treated was 21,135 with a daily average of 146, against
19,908 and 144 in 1881. Of the 146 patients daily attending the dispensary,
only 11 received more than one day's supply of medicines. The number of
cases treated for "worms" was 133, or .62 per cent of the total treated,
against 10 per cent at the Chandney Hospital. Major operations were per-
formed in 26 cases. These were of no magnitude. Minor operations
numbered 1,517.
97. Park Street Dispensary.— An out-door dispensary. There were treated
31,803 out-patients, against 31,282 in 1881. The daily average attendance
was 212, against 224 respectively. Of the total daily attendance, 1.6 patients
only received more than one day's supply of medicines. There was, there-
fore, no material change of practice from the previous years. Here the per-
centage of cases of worms treated was nearly the same as in the Chandney
Hospital. Forty-five major operations—all reduction of dislocations—and
2,018 minor operations were reported. Here also enquiry into the method of
recording patients is necessary.
98. Sookea's Street Dispensary.—This dispensary was originally entirely
supported by Government, and made over to the Board of Governors of the
Mayo Hospital in February 1874 with an allowance of Rs. 354-13-4 per mensem.
It is an out-door institution. The number of patients treated in 1882 was
15,688 with a daily average of 138, against 15,513 and 133 in 1881. The
number of patients who received daily more than one day's supply of
medicines was 2.6. There were recorded one major operation—reduction of
dislocation—and 1,653 minor operations.
99 The aggregate numbers of patients treated in the Mayo Hospital and
dispensaries were as follows :—
1882.
1881.
In-patients
...
Total treated
...
...
2,125
2,125
Daily average
...
...
82
97
Out-patients ...
Total treated
...
... 182,163
183,354
Daily average
...
...
1,214
1,349
The total number of in-patients treated in 1882 was the same as in the
previous year. The daily average shows a reduction of 15 on that of 1881.
The total number of deaths was 369, or a rate of 173 per 1,000 treated, against
327 and 153 respectively in 1881. The number of major operations performed
both on in and out-door patients was 284. Minor operations numbered 13,010.
Out-door patients show some reduction in 1882 on those of the previous year.
The increase of cases recorded in the branch dispensaries has been neutralized
by the reduced number of the Mayo Hospital. The daily average number
was less by 135 than that of 1881.