NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
315
No. 24.
The Kokni Plague Hospital.
Report of the Kokni Plague Hospital from 1st June 1898 to 8lst May 1899.
The hospital was opened on the 3rd of February 1899, at the request of Sirdar
Khan Bahadur Mahomed Yaoub, late District Officer of the Central District. I
Undertook to visit the patients and give medicine gratis.
The building is one-storeyed, the ground floor is used for stores and dispensary.
The first floor is used for patients. There are three halls and three rooms. The
rooms are used for female patients and the halls for male patients.
All the excretary matters were mixed with phenyle or carbolic lotion, and then
allowed to pass in the drains.
As the patients admitted were generally poor and homeless, the clothes were
generally destroyed by fire after recovery or death.
Water supply is derived from the water pipe supplied by the Municipality.
Every week the floors were disinfected with lime and percholride of mercury
lotion. The walls and the roof were disinfected once during four months.
As soon as a person is dead, the body is removed to the cemetery by the
relatives, and in case of poor persons, they were removed by the servants of the
Association called " Amwa-tay-la-Islaniia."
None of the patients treated in this hospital were previously inoculated by
Professor Haffkine's serum.
One of the Assistants suffered from plague, but he got the contagion from his
own house where there were several cases of plague; he was removed to the Kutchee
Memon Hospital where he recovered.
The cases were generally sent to the hospital several days after the onset of the
attack, and as there were no friends or relations accompanying the patients, no
particulars as to the period of incubation, symptoms, or progress could be obtained.
The mild cases were seldom sent to the hospital. The temperature in all cases obser-
ved during the first five days of the disease was between 101°, and 106° whether
they recovered or not. In the majority of cases of recoveries, the bub.oes sup-
purated. As all the patients had buboes on when admitted, it is impossible to state
whether they appeared before, with or after the fever. The axillary buboes were fatal,
specially left axillary one. Some cases were complicated with brain symptoms, other
with lung symptoms, others with diarrhoea, and the majority who died, died through
failure of the heart.
Treatment.—The ordinary treatment I adopt is my native mixture specially pre-
pared for plague with occasional doses of stimulants, but each case was treated on
its own merits.
I have, &c.,
KHAYJA ABDULLAH, L.M.&S.,
Eony, Medical Officer in charge.
316
List of Hospital Staff.
Joosiib
Hospital Assistant.
Shaik Esmail
Clerk.
Syed
Imam
Ward-boy.
Ayshabai
Ayah.
EathaMella
Mehterani.
TABLE I.—Total Admissions during the Year.
Months.
February
March
April
May ...
...
...
...
Plague.
7
13
6
1
Relapsing
Fever.
Nil.
Nil.
Nil.
Nil.
Observation Cases
including all
General Diseases.
Nil.
Nil.
Nil.
1
Total.
7
13
6
2
28
TABLE II.
Admissions.
Plague
Relapsing fever
Observation and other diseases
...
...
Total
...
...
Deaths.
16
Nil.
Nil.
16
Recoveries.
11
Nil.
1
12
Percentage
of
mortality.
55-00
Nil.
Nil.
55.00
TABLE III.
Months.
February
March
April
May ...
...
...
...
...
...
...
...
...
Total
Admissions.
7
13
6
1
Died within
24 Hours.
2
5
1
Within
48 Hours.
1
2
1
Total
Deaths.
3
9
3
1
Total
Recoveries.
4
4
3
Nil.
Percentage
of Deaths.
42
69
50
100
TABLE IV.
—
Male
,
Female
Children under 12 years
...
...
...
Total
Admissions.
19
6
2
Deaths.
11
4
1
Recoveries.
8
2
1
Percentage of
Deaths.
57
C6
50
317
TABLE V.—Table showing the Mortality for the Year amongst Sexes
and Children.
Total Mortality of the
year.
16
Mortality amongst
men.
11
Mortality amongst
women.
4
Mortality amongst child-
ren all under 12 years
of age.
1
TABLE VI.— Table showing the situation of Buboes.
Situation.
Cervical
..
Parotid
E. Axillary
L. Axillary
R.. Femoral
L. Femoral
Other Situations
No Buboes
Multiple Buboes
Total
Number
of Cases.
4
Nil.
•2
2
5
12
Nil,
Nil.
2
Males.
2
Nil.
1
2
8
11
Nil.
Nil.
2
Females.
2
Nil.
1
Nil.
1
1
Nil.
Nil.
Nil.
Mortality.
4
Nil.
1
2
1
8
Nil.
Nil.
2
Recoveries.
Nil.
Nil.
1
Nil.
4
4
Nil.
Nil.
Nil.
Percentage
of
Mortality.
100
Nil.
50
100
•25
63
Nil.
Nil.
100
TABLE VII.—Table showing Pneumonic Plague (without Buboes).
—
Male
Female
•Children
Admitted.
Nil.
Died.
Nil.
Recovered.
Nil.
Percentage of
Mortality.
Nil.
TABLE VIII.—Table showing Cases of Secondary Plague Pneumonia
(complicated with Buboes').
—
Male
Female
Children
Admitted.
Nil.
1
Nil;
Died.
Nil.
1
Nil.
Recovered.
Nil.
Nil.
Nil.
Percentage of
Mortality.
Nil.
100
Nil.
319
List of Staff.
The sole owner and contributor of this Hospital is Rao Saheb Seth Vasanjee
Tricumjee Muljee, J.P., the head of the Dassa Banias.
Managers.
1. Raisi Lakhumsee.
2. Khatsy Latha.
Supervisor.
Govindjee Sewjoe.
Medical Officers.
From 14th February to 13th April 1899.
Dr. R. P. Kuthar.
From 14th April 1899 till present date.
Dr. D. C. Sethna, M.B., C.M. (Edin,), etc.
Hospital Assistant.
Mr. B. D. Chatterjee.
Menials.
5 Ward-boys.
1 Sweeper.
1 Dhobie.
1 Peon or Chaprasee.
3. This Hospital is situated in Olive Road, Mandvi. It is a one-storey 3d
building well situated in the corner of a street, so that it commands a respectable
appearance. It is open on the North, East and West sides altogether; on the
South there is an adjoining building. The ground floor is occupied by the dis-
pensary in one room, and another large hall left vacant, but a part of it is
converted with a small kitchen for the private use of the Hospital patients. The top
floor consists of one very large and another small room. The small room is set aside
us a female ward, and holds from 6 to 7 beds. The large room is given up for
the exclusive use of male patients, and is the male ward of the Hospital. Jt holds
from 24 to 25 beds easily. Both these rooms are open and very freely ventilated,
having four large windows on each side. The rooms are very airy and well meant
for hospital purpose.
The dispensary, as stated above, is in the smaller of the two rooms in the ground
floor.
Servants' quarters are not in the premises, but they live in other houses not
very far from the hospital.
4. Conservancy—Latrine, having one seat and worked according to the
latest sanitary principles ; and urinals.
Clothes that have been soiled by foecal evacuations are burnt, but those that
have been very slightly soiled are first disinfected thoroughly by carbolic lotion
then dried, and then sent to the dhobies.
Kerosine oil we consider very satisfactory for disinfecting the clothes that
have been soiled ; as it seems to have a powerful destructive influence over the
plague bacilli.
The old dressings of the buboes are always first saturated with kerosine oil
and then burnt, so as to be perfectly certain of avoiding contagion by that means.
320
5. Water-supply is from the general pipes taken into the buildings from the
street.
6. Disinfection of Wards and other buildings—Every ward is daily sprinkled
with a week solution of phenyle before the ground is swept. Whenever any
place was made dirty by a patient or otherwise, it was washed with phenyle,
allowed to dry for some time, then white-washed with chunam. Whenever
pillows, bed sheets, clothes, were much soiled with nrine or evacuations they were
always burnt.
Other clothes etc., which needed disinfection were sent to the District Officer
(Ward), with a note to the purpose, to be disinfected by the Steam Disinfector. These
were carefully returned in about 4 to 5 hours, after which they were handed over to
the dhobies.
Disposal of the Dead.
7. When a patient died, he was removed to one comer of the room which is set
apart for the purpose, and screened from the view of other patients, Here it may lie
for about half an hour to an hour, when the relatives remove the corpse to the ground
floor for the purpose of washing the body and performing a part of the funeral rites.
The body after death is as a rule cleared within 2 to 3 hours from the hospital
premises.
No pauper patients ever came to the hospital. All had relations who claimed
the body soon after death.
8. No special record kept of Haffkine's serum inoculation in the case of the
first 18 patients; but during the treatment of the present doctor, it has been discover-
ed that not a single patient, who came to the hospital was ever inoculated within
these last 3 or 4 years.
9. There was no sickness amongst the staff of the hospital.
TABLE I.
10. Total Admissions during the year 25.
Months.
14th to 28th February 1899...
1st to 31st March
„ ...
1st to 30th April
„ ...
1st to 31st May
„ ...
1st to 30th June
„ ...
Total
Plague.
7
10
6
1
24
Relapsing
Fever.
••• •••
• • It •
•••
•
••••••
••••• •
Observation
Cases.
... ...
1
1
Total.
7
11
6
1
25
11. The largest number of admission during a week was 6 in the week
ending 25th February 1899. The particular day on which the largest number came
in was 23rd February 1899, the admitted number being 3.
12. Total number of deaths during this year is 19, out of this number 18
died of plague.
321
Total Weekly Deaths with Percentage of Deaths to Admissions,
During week ending Saturdays of
18fch February
25th
4th March
llth „
18th „
25th „
1st April
8th „
15th „
22nd „
29th „
6th May
13th
20th ''
27th 4UU
,,
3rd June
10th ,.
17th
24th
1st July
1899
,,
•••
•••
•••
i
•••
•••
•••
,,
...
...
...
,,
••
•••
•••
...
„
...
...
...
„
...
...
...
,,
...
...
...
,
...
...
...
'
,,
Admissions.
1
6
......
4
1
4
2
2
1
1
2
1
Deaths.
2
2
3
2
3
1
3
1
! "T
i
i
i i
i
i
i
i i
!
Percentage of
Deaths to Admissions. -
33'0
.,..,.
75'
75-0
50.0
• • • •••
100.0
100.0
There was only 1 death on any particular day except on the 6th April 1899
when 2 deaths occurred.
TABLE II.
Percentage
, Admissions.
Deaths.
Recoveries.
of
Mortality.
.
Plague
|
24
18
6
75'0
Eelapsing fever
j
Observation and other diseases
... •
1
1
100-0
Total
.., i
25
'
19
6
76'0
TABLE III.
Months.
February
March
April
May
June
Total
Admis-
sions.
n
HI
6 25
1
U
Died
within 24
Hours.
n
2|
... 4
... |
U
Within
48
Hours.
IT
2|
lU
...
... J
Tnt.n 1
Deaths.
9|
5 19
... |
Total
Recoveries.
n
2|
1G
1
U
Percentage of Deaths.
57-1 1 -g
81-8 | g
83-3 V-g
lOO'O J g
No relapsing fever case.
TABLE IV.
Total Admissions.
Male
19
Female
5
Children (under 12 years) 1
Deaths.
14
4
1
Recoveries.
5
1
...
Percentage of -D eath.
73-7
80-0
lOO'O
Being exclusively a Hindoo hospital, patients of no other community were-
received in it.
322
TABLE V.—Table showing .the montality of tlie year amqngzt sexes and children.
Total Mortality-for
the Year.
19
Mortality amongst
Men.
14
Mortality amongst
Women.
4
Mortality amongst
Children all under 12
Years of Age.
TABLE VI.—Table showing tlie Situation of Buloe s.
Cervical
Parotid
...
...
E. Axillary
L. Axillary
E. Inguinal
L. Inguinal
E. Eemoral
L. Femoral ....
...
Other situations
Uo Buboes
Multiple Buboes
...
Total
No. of
Gases.
1
2
2
4
9
3
4
Males.
..«••.
1
2
4
8
3
2
Females.
1
1
1
2
Mortality.
1
1
4
7
2
3
Recoveries.
1
2
2
1
1
Percentage
of
Mortality.
100-0
50-0
No death.
lOO'O
77-3
66-G
75-0
TABLE VII.
There were no cases of Pneumonic Plague without buboes.
TABLE VIII.
There was only 1 male case of Secondary Plague pneumonia complicated with
a bubo. The pneumonia supervened on the third day of admission. The patient re-
covered eventually.
Notes on the symptoms, character and treatment of the disease.
Fever.—The temperature of an acute case ending in recovery was as follows :—
The patient—a boy 18 years old—was admitted on the second day of his attack
when the temperature was 102'5. The same evening it rose to 103.6° F. On the
second day of admission it ran up to 105-8° F. It came down a little in the even-
ing and rose again on the following morning to 105.6. It oscillated so for four full
days, that is, till the fifth and sixth day of the attack. Then on the eighth morning it
fell from 102.2° to 98° F. It rose to 102° again on the tenth day and remained so
till the fifteenth day, from which date there was the morning fall (up to 99°) and
evening rise (up to 102° F.) of temperature till the thirtieth day of his admission.
Then from the thirty-third day it became slightly sub-normal 98° F. and remained
so for another fortnight, after which it became quite normal.
323
The maximum temperature noticed, as a rule, is 105° F., the minimum 955
-to 96.
Buboes.—Buboes are generally found in the inguinal regions, and that also more
common on the left than on the right side. As a rule, at first one small is felt, when
the adjoining glands also soon become involved, and then assume a big mass.
Generally they begin on the second or third day of the attack, in some cases they
oxist from the very commencement. They suppurate or subside after the first 6 or
7 days.
The most fatal form of buboes are those which are situated in the cervical region,
as the pressure caused by them on the trachea and oesophagus soon prevent nourish-
ment, medication and free breathing. Next in order are ihe inguinal glands, the
.somewhat hopeful ones are those of .the axillse.
Men are more liable to the attack of plague than women, but the mortality is
higher in women than in men.
Further, mortality amongst pregnant women is exceedingly high, even 96 to
'97 per cent. It causes abortion at first, to be soon followed by the death of the
patient.
The statistics of this hospital proves the disease commoner in men than women,
Period of Convalescence.—Convalescence begins from about the tenth day, and it
is very slow, sometimes very much protracted on account of suppuration of the
.glands.
We have never mistaken mumps -for plague nor vice versa.
Remarks ly the Special Medical Officer.—This Hospital was one of the best of
its kind, being isolated to a great extent, and it had large airy wards and contiguous
to no overcrowded locality. It was always well conducted and useful.
No. 26
Bhattia Plague Hospital, Mint Road.
The hospital was opened on the 16th March 1897.
1. Govindjee Thnkarsi Mnljee.
j Secretaries and Chairmen.
2. Mawjee Shamjee Ladha.
J
3. Rao Saheh Purshotum Odhawjee, J. P. I Managers.
4. Sunderdas Dosa.
'
5. Chatoorbhooj Morarjee.
6. Morarjee Nensi.
7. Banchoddas Haridas.
8. Madhawjee Virjee Solicitor.
9. Kalyanjee Valjee.
10. Purshotam Narayanjee.
11. Kanjee Meghajee.
12. Lakhamidas Nathoo,
13. Narotam Ramjee.
14. Kalyanjee Omarsi.
1. Dr. Purshotam Harichand, L. M. and S., Chief Medical Officer.
2. Gordhandas Haridas, Native Hakim.
3. Shivram Ramchandra Gupte, Hospital Assistant.
The hospital will be closed on the 1st July 1899.
325
TABLE VI.—Table showing the situation of Buboes.
R. Axillary
L. Axillary
E. Femoral
L. Femoral
E. Inguinal
L. Inguinal
No Buboes
Multiple buboes
Other situations
Total number
of cases.
21
23
18
22
26
16
2
5
8
Males.
12
15
11
10
14
7
1
3
5
Females.
9
8
7
12
12
9
1
2
3
Mortality.
18
22
16
14
16
7
2
Nil.
5
Recoveries.
3
1
2
8
10
9
Nil.
5
3
!
Percentage of
Mortality.
85
95
87
63
61
43
100
Nil.
62
TABLE VII.— Table showing Pneumonic Plague (without Buboes?)
Males
Females
Children
Admitted.
Nil.
,,
,,
Died.
Nil.
,,
,,
Recovered.
Nil.
,,
,,
Percentage of Morta-
lity.
Nil.
'
,,
No. 27.
1. Report on the Bhois' Plague Hospital, Bom-
bay, from the llth of January 1899 to the
17th of April 1899.
2. As no private Hindu Plague Hospital would admit Bhoi plague patients,
Lt. G. Warneford, District Officer, C. Ward, and myself thought that a small
hospital for Bhois if opened in their caste dining house in I Bhoivada, Bhuleshwar,
would be the means of bringing together and isolating Plague cases, and in this
way putting a stop to wholesale concealment of cases amongst them, which
prevailed during the previous epidemics. The Deputy Commissioner approved of
the District Officer's suggestion and the Bhois' Hospital was opened on ilth
January 1899.
To the sum of rupees ninety (Rs. 90), subscribed by the Bhois, were added
rupees two hundred (Rs. 200) from the Discretional Belief Fund, put at the dispo-
sal of the District Officer, C. Ward, by a special order from the Plague Commis-
sioner. A further donation of rupees twenty-five (Rs. 25) was received from the
Chevli Bhunsalis, who were pleased with the admission and successful treatment of
one of the women of their caste, who would have been removed to a Municipal hospi-
tal in absence of the above hospital. Rao Saheb Purshotum Odhuvji, J. P., and
Messrs. Runchhoddas B. Shroff, Chairman of Volunteer Committee No. IV section,
Bhuleshwar C. Ward, as well as Mr. Mohanji Pranjiwandas, Deputy Chairman, No.
V Volunteer Committee, Bhuleshwar, 0 Ward, also presented beddings, blankets,
bed-sheets, &c., to the hospital.
I was in charge of the hospital, and a Bhoi servant acted as Ward-boy, who
was assisted for about a month and-a-half by a watchman.
326
3. The hospital was in a 3-storeyed building, the ground floor of which was
used for contacts, the first .storey was used for acute cases, the second for convales-
cent patients, and the 3rd storey, a loft, was the store-room. The Bhoi servant
lived on the ground floor. All prescriptions, etc., were dispensed at the Bhuleshwar
Pharmacy.
4. A Bhungi was told off for duty (morning and evening) at the hospital by
Inspector 0. Ward, H. D., who removed the excreta, which were collected in ear-
thenware chatties. The clothes were burnt in almost all cases and the bed-sheets,
&c., were washed at the Modh and Porwad Hospital by their hospital Dhobie.
5. The water supply was from the Vehar Water Works,
6. Phenyle, Mercuric Perchloride, and Dry Carbolic Powder were the dis-
infectants used.
7. The dead bodies were removed to the Sonapur cemetery and cremated there.
8. None of my patients were inoculated with serum.
9. No sickness occurred in any of the staff.
TABLE I.
10. Total admissions in the hospital.
Months.
January 1899
February „
March
„
April
„
..
.•
Plague.
2
9
7
Relapsing
Fever.
••••
••••••
•••••••
Observation
cases, &c.
••••••
2
Total.
2
9
9
11. The largest number of admissions was in the latter part of February
and the commencement of March 1899. Not more than 2 patients were admitted
on any day.
12. The total number of deaths during the period under report was
thirteen (13).
There were not more than 2 deaths on any one day.
TABLE II.
—
Plague
...
Observation Cases and other
diseases
Relapsing Fever ...
...
Admissions.
18
2
••
Deaths.
12
1
• •••
Recoveries.
6
1
Percentage of
Mortality.
66-60
50-00
TABLE III.
Months.
January 1899
February „
March
„
April
„
Total
admissions
CPlague.)
2
9
7
Died xvith-
in24
hours.
3
1
Died with-
in 4S
hours.
1
2
Total
Deaths.
1
7
4
Total
Recoveries,
••••••••
2
2
2
Percentage
of
Deaths.
5,0-0 per cent.
77'7 per cent.
55.5 per cent,
......
327
TABLE IV.
All Hindus. 14 Bhois. 1 Marwari. 1 Bhunsali. 2 Other Castes.
( Plague only )
Males
Females
Children under 12 years
Total
admissions.
3
9
6
Deaths.
3
4
5
Recoveries.
5
1
Percentage of
Deaths.
100 per cent.
44-4 do.
33-3
do.
TABLE V.
Total mortality for
the period.
13
Mortality amongst
the men.
3
Mortality amongst
the women.
5
Mortality amongst
children under 12 years.
5
TABLE VI.—Position of Buboes.
Situation.
Cervical...
Parotid...
E. Axillary
...
L. Axillary
..
R. Femoral
...
L, Femoral
•.
L. Inguinal
...
R. Inguinal
Other situations
No Buboes
Multiple Buboes
Total
No. of
cases.
2
2
1
1
3
5
1
3
Males.
1
1
2
••••••
Females.
2
1
1
1
2
8
1
3
Mortality.
2
2
1
1
3
3
Recovery.
1
2
2
1
Percentage
of
Mortality.
100 per cent.
100 per cent.
100 do.
33'3 per cent.
60 do.
•••••••
100 per cent.
1
i
TABLE VII.—Pneumonic Plague without Buboes.
Females
Children
Admitted.
1
2
Died.
......
1
2
Recovered.
....
Percentage
of Mortality,
......
100 per cent,
100 do.
328
TABLE VIII.—Secondary Pneumonia and Bubo.
Males
Females
Children. .;
Admitted.
1
Died.
1
Be covered.
Percentage
of Mortality.
100
N.B.—No Bacteriological examination was made in any case. The secondary
Pneumonia supervened 3 days after the appearance of fever and bubo, and was diag-
nosed from the physical signs, and the characteristic sputum.
The disease was most virulent in the latter part of February and the commence-
ment of March 1899. The treatment was only symptomatic, stimulants being mostly
indicated and used.
The dates of actual attack and infection could not be obtained, the patients being
from an illiterate class; in one case the wife was attacked exactly 9 days after the
death of her husband in the Churni Road Camp, the husband having died within 18
hours after the first manifestation of high fever and bubo. The maximum tem-
perature noted was 105°'8F. Cervical and axillary buboes proved the most fatal.
Brain symptoms were by far the most common complications. In only one
case was the urine suppressed.
The period of convalescence is between a fortnight and a month and a-half
after the first fall in temperature; in one case the convalescence was retarded by the
appearance of another bubo in the groin, which subsided in four days with strong
Lin. lodi and fomentations, without any other trouble.
One case was kept under observation and found to be one of Hysteria.
No cases were treated by any kind of curative serum.
The treatment consisted of ice bags to the head and over the buboes and
stimulants. Where the patient was delirious and sleeplessness prominent, Bromides
•were used. Milk diet and brandy were freely used. In two cases vapour baths
were used, whicn quieted the patients for a few hours.
History—
The Hospital (Plague) for Bhois was started under orders from the Deputy
Commissioner's Office, No. 4604 of 1898-99. Dr. D. R. Bardi was
appointed Medical Officer. The first patient was received on llth
January 1899, and the last patient was discharged cured on 17th April
1899.
Funds—
The Bhois subscribed Rs. 90 amongst themselves, to which sum were added
Rs. 200, placed at the disposal of the District Officer, C. Ward, from the
Discretional Relief Fund (Government) under orders from the Plague
Commissioner in his No. 125 of 1898-99. The Chevli Bhunsalis also
gave a donation of Rs. 25 to the hospital fund, pleased with the success-
ful treatment of a woman of their caste, who was removed to the said
hospital in absence of any hospital of their own.
329
The hospital was opened in the Bhois' Jamat house, situated in 1st Bhohvadu
and it was arranged to treat plague patients of castes other than Bhois,
•when necessary, provided there was sufficient accommodation availahle,
with the mutual consent of the Medical Officer (as a representative to
the District Officer, C. Ward) and the chief men of the Bhois.
Patients—
Thus out of the twenty patients treated 14 were Bhois.
Caste—
1 was a Bhunsalij
1 „ Marwari,
3 were Kunsaras,
and 1 was a Durji (tailor).
Sex—'
Amongst the 20 patients
...
.,.16 were females,
•and 4 „ males.
Age—
As regards age, out of 20 patients
1 was under 1 year of age,
2 were between I and 5 years of
age,
8 were between 5 & 10 years of
ago,
5 were between 10 & 20 years of
age,
6 were between 20 & 40 years of
age,
and 3 were over
40
years of
age.
Diseases —
Out of 20 there were
18 Plague cases.
1 Cholera „
and 1 suffered from other Disease.
Result of Twatme f ,d—
Out of a total of 18 Plague cases 6 recovered and 12 died,
„
„
3 Cholera „ nil.
„
„ 1 „
,,
„
1 Other case
1
,,
so the percentage of recovery in Plague cases comes to 33 '8.
N-. B.—The Choi eta case as well as 4 Plague cases (all of the PneumonJc type) died
within 24 hours after admission into the hospital.
Eao Saheb Purshotum Odhuvji, J. P., and Messrs. R. L. Shroff and Mohnnji
Pranjivundas presented many useful things to the hospital, and visited the hospital
occasionally. The undersigned begs to acknowledge with thanks the assistance
co-operation, aud suggestions from the gentlemen who took very great interest
in the hospital.
D. B. BAKDI, UM.&S.,
BI-IOIWADA :
Medical Officer,
Bombay 21th April 1899,
Bhois Hospital