NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
238
The following is a list of the staff of the Stuart Strong Hospital :—
NAMES.
Dr. Kutar, Medical Officer
Mrs. A. Swiuden, Head
Nurse
Vital E. Baisare, Hospital Assistant
Bomanbai,
Nurse
Sireenbai,
„
Bhima,
Ayah
Geo. V. Caston, Clerk
Ambajee Baloo,
Ward-boy
Sitaram M. Ganoo,
Ward-boy
Ladeo Dehu,
Ward-boy
Pandoo Balajee,
Ward-boy
Pandoo Rama,
Ward-boy
Luxman Eamjee,
Ward-boy
Pandoo Rama, Mahratta, Ward-boy
Gunoo Hira. Ward-boy
Govind Lachman Gag, Cook
Ganjam Gajoo,
Dhobie
Lachma
Chandi,
Dhobie
Rama
Lowjee.
Sweeper
Bechar, Sweeper
Kankoo Tickam Doodha,
Sweeper
Galal Kankoo,
Sweeper
PAT.
Original.
Es.
100
70
30
15
25
10
10
20
10
10
10
10
10
10
10
10
10
12
12
4
10
10
10
10
10
10
10
10
12
Raised to
Rs.
80
35
12
11
11
11
11
11
11
11
11
11
11
16
12
12
12
12
EMPLOYED
From
11-12-98
1-12-98
1-12-98
5- 2-99
18- 8-99
1-12-98
22- 3-99
6- 4-99
1-12-99
1-12-98
8-12-98
12-12-98
1- 3-99
9- 3-99
21- 3-99
1- 5-99
16- 1-99
1-12-98
1- 1-99
23- 3-99
1-12-98
22- 4-99
1-12-98
7- 3-99
7- 4-99
25- 4-99
3- 5-99
1-12-98
4- 5-99
To
31- 5-99
31- £-99
31- 5-99
30- 4-99
31- 5-99
31- 5-99
31- 5-99
3l- 5-99
3l- 5-99
3l- 5-99
3l- 5-99
3l- 5-99
3l- 5-99
3l- 3-99
18- 4-99
31- 5-99
31- 5-99
31- 5-99
31-12-98
31- 5-99
31- 5-99
18- 5-99
31- 5-99
31- 5-99
2- 4.99
31- 5-99
31- 5-99
2- 5-99
31- 5-99
The hospital consisted originally of three wards, dispensary, nurse's and hospital
assistant's quarters, three rooms for servants and dead-house, which huts were erected
and presented to the Committee by Mr. Vithal Sayana, and also contact huts built
and presented to the Committee by Rao Bahadur Ellappa Ballaram. The contact
huts have remained intact, while all the other buildings were gradually pulled down,
in order to make place for more pucca-built structures, as the Committee realised,
that the hopes at first entertained of a gradual dying out of the Plague during the
year would not be fulfilled, and that there would be in all probability need of a hos-
pital again after the monsoon. It must be remembered, that the structures erected
by Mr. Vithal Sayana were only meant for temporary occupation, and that the mon-
soon would of course destroy them. The contact huts also, were not built to stand the
monsoon, but it was not thought necessary to renew them, as the present accommoda-
tion will be found sufficient for patients and contacts, should the hospital have to be
re-opened during the monsoon, and as it will not be a very difficult, nor expensive
matter, to put the contact huts in order again after the monsoon. The present
Wards and Quarters, etc., are built to stand about 4 to 5 seasons, and consist of the;
following :—
1
1
1
1
1
1
Pneumonic Ward, to hold about
Bubonic
„
„
„
,,
„
„
Observation Ward
„
„
Office and Dispensary,
House for Nurse's quarters,
8 beds,
16 „
16 „
16 „
(presented by Lady Avabai Framjee
Petit.)
(presented by Mr. Damodhar Gover-
dhandass Sukadhwalla.)
(presented by Mr. N. M. Wadia,
C.I.E.)
(presented by Mr. Assir Virjee.)
(
„
„ N.M. Wadia,O.I.E.)
(
„
„ Sullimari Abdul
Wahid.)
240
the cot was carefully brushod down with the same disinfectant, and both were allowed
to dry in the sun. The cot was generally allowed to remain at least three days in the
sun, before being used again. The sheet, after having been 12 hours in the disinfec-
tant solution, and having thoroughly dried in the sun, was handed over to the dhobie.
If the case was of a virulent nature the sheet was burned.
If a patient whose relations could not be found died, his body was handed over
to the Paitan Road Department, whence a cart was sent to take the body away to be
burned or interred, according to the religion or sect of the deceased.
No cases in which Professor Haffkine's serum had previously been employed
have come under the notice of the Hospital Authorities. In fact, inoculation has not
to my knowledge been practised at Colaba. I beg to refer to some suggestions I took
the liberty to make on this point during last season.
No death has occurred amongst the members of the Staff, though several cases
of suspicious fever have been registered, all of which yielded to immediate radical
treatment, The Head-nurse had a narrow escape on one occasion, when in the
execution of her duty she inadvertently had her hand scratched by the breaking of
an enema syringe, the patient at the same time scalding her with urine. Though
disinfection was immediately resorted to, and the Head-nurse took medicine im-
mediately, signs of plague showed themselves within 24 hours, and the fact that
no serious consequences followed, is due to the speedy application of energetic
measures.
Some of the sweepers have from time to time suffered with mumps, aggravated
by fever, but none of these cases were serious enough to merit special notice.
TABLE No. I.—'Total admissions during the year.
Month.
December 1898
January
1899
February „
March
„
April
„
May
„
Total
Plague.
8
20
48
83
56
28
243
Relapsing
fever.
1
1
1
4
Observation
cases
including all
General diseases.
4
5
3
2
8
22
Total.
12
26
49
87
58
37
269
The highest number of admissions occurred during the week from the 9th to the
16th March 1899, viz., 27.
The highest number of admissions made during one day, were on the 10th of
March 1899, viz., 8.
Total number of deaths from opening of hospital to the
31-5-99
„
„
„
„
from plague „
„
„ „
Average weekly death rate
Percentage of deaths to admissions
„
178
174
6-9
66·17 per cent.
The largest number of deaths took place on the 22-4-99, viz., 6.
241
TABLE No. II.
Heading.
Plague
Relapsing fever
Observation and other diseases.
Total
Admissions.
243
4
22
269
Deaths.
174
1
3
178
Recoveries.
69
3
19
91
Percentage of
Mortality.
71·6 per cent.
25
13·64 „
66·17 „
TABLE No. III.
Month.
December '98.
January '99.
February „
March
„
April
„
May
Total
„
„
Heading.
Plague
Relapsing fever
Observation,etc
Plague
Relapsing fever
Observation etc.
Plague
Relapsing fever
Observation,etc
Plague
Relapsing fever
Observation,etc
Plague
Relapsing fever
Observation.etc
Plague
Relapsing fever
Obscrvation,etc
Total
Plague
Relapsing fever
Observation,etc
Total
admissions.
8
4
21
1
4
48
1
83
1
3
55
3
28
1
8
269
243
4
22
269
Died
within 24
hours.
3
1
5
1
17
25
8
6
66
64
1
1
66
Died
within 48
hours.
1
4
11
15
17
6
54
54
54
Deaths.
4
1
14
1
1
40
60
41
15
1
178
174
1
3
178
Total
Recover-
ies.
«
3
7
3
8
1
23
1
3
14
3
13
1
7
91
69
3
19
91
Percentage
of Deaths.
50 per cent.
25 per cent.
66·6 „
100 „
83·4 „
72·3per cent.
74·6per cent.
53·6percent.
12·5per cent.
66·17percent
72·2per cent.
25
„
13·7 „
66·17percent
TABLE No. IV.
Sex.
Hindu
males
„
females
„
children below 12.
Mahomedan males
„
females
„ children below 12.
Parsees
Eurasians
Christians males
„
females
„ children below 12
Total males
„ females
„
children
Grand
Total
Total
admissions.
156
68
23
10
2
1
3
3
3
169
73
27
269
Deaths.
108
44
13
7
1
3
1
1
118
46
14
178
Recoveries.
48
24
10
3
1
1
2
2
51
27
13
91
Percentage of Deaths.
69 per cent.
64·7
56·5
70
50
100 per cent.
33·3
„
33·3
„
69·76 per cent.
63·10
„
51·5
66·17 per cent.
242
TABLE No. V.—Mortality for the year amongst sexes and children.
Total mortality.
269
Mortality amongst
males.
118
Females.
46
Children below 12.
14
TABLE No. VI.—Talle showing the situation of Buboes.
Situation.
Cervical
Parotid
R. Axillary
L.
„
E. Femoral
L. „
R.
Inguinal
L.
„
Other Situations
No
Buboes
Multiple Buboes
Total
number.
13
1
23
10
20
37
14
15
23
21
Males.
8
1
11
7
11
28
12
11
12
10
Females.
5
12
3
9
9
2
4
11
11
Deaths.
9
1
17
7
14
29
12
13
17
16
Recoveries.
4
6
3
6
8
2
2
6
5
Percentage
of Deaths.
69·25 per cent.
100
„
73·9
„
70
70
78·4
85·7
„
86·7
„
73·9 per cent.
76·2
„
TABLE No. VII.—Table showing Pneumonic Plague without Buboes.
Sex.
Males
Females
Children
Admitted.
36
11
2
Died.
29
8
1
Recovered.
7
3
1
Percentage of Mortality.
80·55 per cent.
72·73 „
50 „
TABLE No. VIII.
Sex.
Males
Females
Admitted.
8
2
Pied.
4
2
Recovered.
4
Percentage of Mortality.
50 per cent.
100
„
Clinical.—Charts of Pneumonic Plague cases are attached.
Clinical.—Charts of a few typical Bubonic cases are attached.
' Roux ' and Lustig's Serum.—No such serum has been employed in the Stuart
Strong Hospital, though the Committee has taken great interest in the question.
243
A deputation called some time ago on the Medical Officer, Arthur Road
Hospital, and on the Bacteriologist with a view to ascertaining, whether the time
had come, when the employment of serum had left the experimental stage. Though
Dr. Choksi expressed a very high opinion of the serum, which was endorsed by the
Bacteriologist, the Committee could not then commence making experiments at the
Stuart Strong Hospital, firstly, because there was little chance of getting a supply of
the serum, and secondly, as the number of admissions at that time had commenced to
decrease, the plague being generally on the wane.
The matter will be taken up again, if the hospital is re-opened.
Remarks on symptoms.—Progress of disease, etc. I have no special remarks to
make on this point.
C. HUMMEL,
Honorary Secretary, S. S. Hospital.
BOMBAY, the 25th July 1899.
This hospital was built on open ground facing the sea at Colaba, and was very
useful in giving relief to the sick of Colaba. The mill hands are many, and they
availed themselves of it. The Committee is to be congratulated on the Model
Hospital and camp they erected with the help of subscriptions obtained through
Sirdar Khan Bahadur Mir Abdool Alli, who took a strong personal interest in this
work.
No. 9.
Report on the Fort Trust Plague Hospital, Bombay,
from the 27th. September 1898 to 31st May 1899.
2. The hospital situated at Bhusaval Street was re-opened for Port Trust
people, Dock labourers and their relations, on the 27th September 1898, by the
Trustees of the Port of Bombay, under the charge of Dr. Shivdas Parmanandas,
the Medical Officer.
Staff:—
1 Hospital Assistant.
1 Compounder.
Ward-boys (engaged according to requirements, 12 being the
maximum number).
2 Ayahs.
1 Cook.
2 Sweepers.
2 Ramosis.
1 Dhobi.
3. Description of the hospital buildings, &c., as per plan annexed herewith.
There was accommodation for 40 to 50 patients. Altogether 385 people occupied the
contact camp.
A special separate health camp was also provided for evicts on the other side
of the Elphinstone Bridge.
4. Conservancy :—
Six-seated temporary latrines with moveable iron pan were fitted, and the
excreta, after being thoroughly disinfected, were removed by the Hospital Staff
Bhungees.
244
The clothes, previous to washing by Dhobi, were kept for about 12 hours in a
solution of Perchloride of Mercury 1—1,000.
5. Water-supply was drawn by a branch connection from the Municipal Main.
6. The wards and other buildings were periodically lime-washed in and out,
including the floors. The disinfectants used for the buildings, warda, &c., were—
Corrosive sublimate solution 1 in 1,000.
Solution of Carbolic acid 5 per cent. P. C.
Dry Carbolic Powder and Phenyle solution.
The clothes were disinfected as stated in paragraph No. 4, and exposed to the
sun's heat and ironed, except those that necessitated destruction by fire.
7. Soon after death, the bodies were removed to the mortuary, the bodies being
enveloped in sheets saturated with Perchloride of Mercury solution.
The pauper patients, who died, were disposed of, according to their religious
methods, at the expense of the Trustees.
8. None of the patients were previously inoculated with Haffkine's serum;
9. The Hospital Staff enjoyed good health. None having got infection.
TABLE I.
10. Total admissions during the year:—
Months.
1898.
September
October
November
December
1899.
January
February
March
April
May
Plague.
12
4
10
13
44
38
16
11
Relapsing
Fever.
1
1
1
2
1
1
Observation
cases, including
all general dis-
eases.
3
4
3
7
2
3
1
Total.
1
16
4
14
17
53
40
20
13
11. The largest number of admissions during the week, from 25th February to
4th March 1899, was 13, and on the 23rd February 1899 as many as 8 patients
were admitted.
12. The total number of deaths during the year was 110, the Plague deaths
being 108. The largest number of total weekly deaths was 10 in the week from
25th February to 4th March 1899, and the largest number of deaths was 3 on the
16th March 1899.
TABLE II.
Plague
Relapsing Fever
Observation and other dis-
eases.
Total
Rs.
Admissions Deaths.
148
7
*23
178
108
1
1
110
Recoveries.
40
6
18
64
Percentage
of
Mortality.
72·9
14·2
4·3
61·7
Remarks.
*Of these, 4 patients
developed Plague.
245
TABLE III.—Plague.
Months.
1898.
September
October
November
December
1899,
January
February
March
May
Total
admissions.
12
4
10
18
44
38
16
11
Died with-
in 21
hours.
2
4
18
7
3
2
Died with-
in 48
hours.
2
1
1
1
5
9
1
2
Total
deaths.
8
3
6
7
37
31
9
7
Total
recoveries.
4
4
6
7
7
7
4
Per-
centage of
deaths.
66·6
75·0
60·0
53·8
84·0
81·5
56·2
63·6
TABLE III A.—Relapsing Fever.
Months,
1898,
September
October
November
December
1899.
January
February
March
April
May
Total
admissions.
1
1
1
2
1
1
Total
deaths.
1
Total
recoveries.
1
1
2
1
1
Percentage of
deaths.
100·0
0·0
0·0
0·0
0·0
0·0
TABLE IV.—Hindus.
Males
Females
Children (under 12
years)
Total
admissions.
93
26
19
Deaths.
66
21
14
Recoveries.
27
5
5
Percentage of
deaths.
70·9
80·7
73·6
TABLE IV A.—Mahomedans.
Males
Females
Children
Total
admissions.
7
1
Deaths.
4
1
Recoveries.
3
Percentage of
Deaths.
57·1
100·0
246
TABLE IV B.—Christians.
Males
Females
Children
Total
admissions.
2
Deaths.
2
Recoveries.
Percentage of
deaths.
100·0
TABLE V.—Table showing the mortality for the year amongst sexes and children.
Total Mortality for the year.
108
Mortality amongst
men.
72
Mortality amongst
women.
22
Mortality amongst
children all under 12
years of age.
14
TABLE VI.—Table showing the situation of Buboes.
Situation.
Cervical
Parotid
R. Axillary
L. do.
R.
Femoral
L. do.
R. Inguinal
L. do.
Other situations
No Buboes
Multiple Buboes
Total
number of
cases.
7
1
9
11
43
32
5
8
*1
22
9
Males.
B
1
7
7
34
22
3
7
1
17
7
Females.
2
2
4
9
10
2
1
5
2
Mortality.
4
9
8
28
25
2
6
1
20
5
Recoveries.
3
1
3
15
7
3
2
2
4
Percentage of
mortality.
57·1
0·0
100·0
72·7
65·1
78·1
40·0
75·0
100-0
90·9
55·5
* In this case the bubo was situated over the right arm just above the elbow joint.
TABLE VII.—Table showing Pneumonic Plague (with Buboes).
Males
Females
Children
Admitted.
17
5
Died.
16
4
Recovered.
*1
1
Percentage of
Mortality.
94·1
80·0
Note.—This case was physically and bacteriologically examined by the Plague
Commissioners and was injected by the Curative Serum of Roux.
247
TABLE VIII.
Table showing cases of Secondary Plague Pneumonia (complicated with Buboes.)
Males
Females
Children
Admitted.
9
7
Died.
4
6
Recovered.
5
1
Percentage of
mortality.
44·4
85·7
Note.—Pneumonia supervened invariably after the appearance of the Buboes.
Symptoms and Character.
The usual glands affected are the femoral, inguinal axillary and cervical regions,
The swellings consist of single glands, chain of glands or two or more separate
glands. The glands subside and generally disappear or suppurate and burst.
Medical Treatment.
As
regards the steam bath treatment, I may say that, out of 15 patients taken
numerically as they were admitted, 3 recovered and 12 died.
The wet packing treatment was adopted in 35 patients, out of which 12 recovered.
The cases were not selected but were also taken numerically as they were admitted.
The period of incubation varied in different cases. From information and his-
tory of the patient, it was found that the incubation varied from 3 to 10 days.
True copies of typical chart of an interesting acute case with multiple buboes
and Secondary pneumonia ending in recovery and a whole case with full notes and
charts of a Primary Plague Pneumonia seen and bacteriologically examined, and
injected with Roux's serum by the Plague Commissioners, have been herewith annexed.
Character and situation of Buboes.
Circumscribed or spreading, or conglomerated, hard and painful single or m ulti-
ple buboes are found generally in the cervical, axillary, femoral and inguinal regions.
These buboes may appear either at the onset or within six or eight days. The
most fatal form of buboes under my observation was the axillary one.
The convalescence of plague patients was often very protracted.
Thirty cases were kept under observation, out of which 4 developed plague, 7
relapsing fever, and others turned out ordinary cases of fever.
Only one case was subjected to the treatment by the curative serum of Roux,
full particulars of which with its notes and chart have been herewith sent.
SHIVDAS PARMANANDAS,
Medical Officer, Bombay Port Trust.
BOMBAY, 22nd July 1899.
Notes by
the Special
Medical Officer.
A well-planned and conducted hospital for the use of the Dock labourers : Dr.
Parmanandas took a great deal of interest in his work. This Hospital is situated 015
open ground near the Docks and had its own Contact Camp near.
The interesting case of Pneumonic Plague quoted was seen by Professor Wright.
I regret I am unable to publish the plan of the Hospital, I would have done so had
it been on a small scale.
248
BOMBAY PORT TRUST HOSPITAL.
R. No. 21.
Name—SANTU KUSABA.
Date—14th February 1899.
Age.
Years. Months.
30
Disease.
Pneumonic
Plague.
Duration
of Disease.
Five days.
Occupation.
Dock La-
bourer.
Locality of
Residence.
Durgadevi Tam-
bat Gally,Khat-
ka's Dadar.
Caste.
Hindu,
Ghati:
How long
resident in
Bombay.
2 years.
Brought to the hospital in an unconscious condition suffering from fever
and cough.
Present Condition.—The patient is of fairly built constitution. Temperature on
admission 100·6 ; pulse 114; weak and compressible. Body is hot and dry. Eyes
injected, staggering gait ; is very delirious. No glandular enlargement. Tongue is
dry and coated, is vomiting ; bowels constipated. Respirations 37 per minute; hurri-
ed, troublesome hacking cough ; sputum scanty, sticky and rusty coloured, on percus-
sion dull patches here and there on the back of the left lung posteriorly near the base,
Fine crepitations and bronchial rales are heard all over the both lungs.
Amm, Carb, gr. xii, Vinï. Ipecac. 3ss, Tinct. Cinch. Co. 3 iii, Syrup Tolu. 5 ii
Tint. Digitalis m. 45, Spt. Vinï. Gallis. 3ss ip. Aqua. ad 3 vi. 1/6th part every
3 hours.
Jacket Linseed poultice to the chest to be repeatedly changed.
Spt. Vinï gall, quantity as directed to be given with warm water when
necessary:
Previous history by his friend.—Five days ago he got chill, followed by fever
and slight cough. On the ·second day the cough increased and the patient com-
plained of pain in the left side of the chest, and his eyes became red, fever increased
and the patient was unable to support himself; gradually he became delirious.
Thinking that he was getting worse, his friends brought him voluntarily to the
hospital for treatment.
Vesper.—Temp. 104° ; pulse 125, rapid, soft and compressible. Breathing
hurried, 40 per minute, otherwise same as this morning. Bowels not moved.
15th.—Temp. 102°; pulse 115, soft and compressible. Resp. 38 per minute.
Bowels not moved. Brings up sputum with great difficulty. Expectoration viscid
but less rusty. Auscultation and percussion revealed sounds as·on the first. Patient
still delirious ; cough frequent. Had no sleep last night and frequently became
violent. Tongue is still dry and coated.
15th—Mixture. Senna Co. 3 ip. Mag. Sulp. 3 iii. ft. haustus status.
Rept. Mixture. Rept. stimulants as necessary. Rept. Poultice to chest.
Vesper.—Temp. 101*2 ; skin dry, pulse 118, weak and compressible, resp. 36,
otherwise much the saine.
16th.—Temp. 101·6 ; pulse 115, slightly better in volume, respiration 37. Dulness
over the base of the left lung more marked, moist roles are heard all over the chest and
crepitations over the base of the left Jung. The patient is not very delirious. Bowels
249
opened twice. Tongue is still dry and coated ;· cough is not so troublesome.
Breathing is easier ; slept for about four hours during the night. Expectoration not
rusty, but very sticky.
Diet, &c.—M. D. and Essence of Chicken.
16th—Ammonia Carb. gr, xii, Vinï Ipeca. 3gs., Tinc. Cincho. Co. ziii., Syrup
Tolu. 5 ii., Tinc. Digitalism 45, Spt. Vinï gallic 5 ip., Aqua ad. 3vi: 1/2 part every
3 hours.
Rept. stimulant. Rept. Poultice.
Specimen of expectoration sent to Colonel Wilkins for microscopical exami-
nation.
Reply—Plague germs found in sputum.
Vesper—Temp, at 3 P.M. 102·6 ; pulse 115 ; respirations 38 per minute. Slight
perspiration on the forehead.
4 P.M.—Temp. 101.
At about 5 P.M., Members of the Plague Commission visited the patient and
examined him, when they injected 20 cc. Roux's serum hypodermically and gave
another intra-venus injection of 20 cc. in the right arm. When the respirations
were 48 per minute. Percussion shows dulness over the lower part of the left
lung.
16th, 6 P.M.—Temp. 99·4; pulse 110 ; respirations 36 per minute.
9 P.M.—Temp. 100 ; pulse 112 ; respirations 36.
12 MIDNIGHT—Temp. 99 ; pulse 102 ; respirations 40 per minute.
17th, 3 A.M.—Temp. 97 ; pulse 96; respiration 42.
7 A.M.—Temp. 99·4 ; pulse 112, better in volume, than yesterday. Respiration,
34, Passed urine freely. Is in better senses ; slept fairly well. Cough not very
troublesome during the night. Percussion shows dulness over the lower part of the
left lung posteriorly. Expectoration scanty, mucoid and sticky. Moist rales aro
distinctly hoard at the base of the left lung. Tongue dry and coated with
white fur, except at the tip where it is moist. Bowels not moved since
yesterday morning.
17th—Repeat Mixture; Repeat, stimulant as necessary.
Repeat Poultice to the chest.
9 A.M.—Temp. 99·6 ; pulse 114 ; resp. 36.
11 A.M.—Temp. 100 ; pulse 112 ; resp. 36.
3-30 P.M.—Temp. 100·4 ; pulse 116 ; better in volume. Resp. 36.
6 P.M.—Temp. 100 ; pulse 116; resp. 34.
Mixture Senna Co. 3ip., Mag. Sulp. 3iii, ft. haustus status.
10 P.M.—Temp. 97·6 ; pulse 112 ; resp. 34.
Remarks.—Three specimens of sputum (taken at different hours during the
night of 16th after injection of Roux's serum) sent for examination at Municipal
Laboratory, showed multiplication of plague germs than were seen in the specimens
examined before injection of Roux's serum.
18th, 7 A.M.—Temp. 97 ; pulse 112, rather weak and small in volume. Bowels
opened once this morning. Resp. 30. Cough is less troublesome. Expectoration
is scanty, sticky and mucoid. Moist crépitant rales well marked at the base, but are