xxxvii
the effects of inoculation, and the advantages to be expected from it. Every Medical Officer may also, when
requested to do so, examine and treat sick persons, provided that this does not interfere with his inoculation
work. He shall also when ordered to do so enquire into and report on the occurrence of plague in any
particular village or individual, and indicate what individuals should be treated as contacts. The principal
one of these subsidiary duties will be that of enquiring, on a requisition by the District Plague Medical
Officer in accordance with instructions in paragraph 46 below, whether any particular village or individual
has plague, and in connexion with such enquiries Medical Officers should be very careful to note that a
medical examination of any person or the inspection of any corpse is not to be made if it is objected to.
Natives as a rule do not desire European medical treatment for plague, and this must not be forced upon
them, and the compulsory segregation of contacts can be enforced only in very exceptional cases under the
written orders of the District Magistrate. All Medical Officers should exert their influence in order to get
the people to adopt proper measures, such as evacuation and disinfection, wherever necessary.
REGISTERS, RETURNS, AND REPORT.
Report by District Magistrate of outbreak of plague
in any tahsil or important place.
41. As soon as plague occurs in any tahsil or important place, whether the case or cases be indige-
nous or imported, the District Magistrate shall at once
report the fact by telegram to the Commissioner of the
Division, as well as to the Secretary to the Government
of India in the Home Department, and to the Judicial and General Secretary to the Government of the
Punjab When indigenous cases have occurred in a place and it is clear that the disease has taken root
locally the place shall be declared infected, and it shall not be declared free of plague till three weeks have
elapsed from the date on which the last case of plague occurred in it.
The head-quarters of a district or tahsil, a Cantonment, towns of over 50,000 inhabitants and other
places such as Kálka and important Railway centres, like Lála Musa, in which it is desirable that the
progress of plague should be kept under special observation, shall be considered important places.
Village or town register and returns of plague occur-
rences.
Village or Town Register of Plague Occurrences—
(Form No. 1).
4.2. (1) From the date on which plague occurs in any place, if the place infected be a Municipal
town a clerk selected by the Municipal Committee for
the duty, and if the place be a village the Patwári (for
whom the Deputy Commissioner shall provide such
assistance as may be necessary in special circles or at
special seasons) shall maintain a daily register of infor-
mation in connexion with the outbreak. Each daily
entry in the register shall relate to the period from sunset on the previous day to sunset on the date under
which the entry is made, and the register shall be maintained in Form No. I appended.
(2) All Civil and Medical Officers attached to the district shall, if possible, inspect the Village or
Town Register of Plague Occurrences on the occasion of any visit to the village or town concerned, and shall
make enquiries to check its correctness, giving immediate information to the District Plague Medical Officer
of any errors which they may discover.
Daily Village or Town Plague Returns—(Form
Nos. II and III).
(3) Directly the entries for each date in the Village or Town Register of Plague Occurrences have
been closed, the Patwári or other person responsible for
the maintenance of the register shall prepare two copies
of a return in Form No. II appended and one copy of
a return in Form No. III, and he shall, the first thing in the morning after the date to which the entries relate,
post the copies of Form No. II to the addresses of the Deputy Commissioner and the Executive Plague
Officer and the copy of Form No. III to the District Plague Medical Officer, or send the copies to them by
messenger if the returns will reach the officers concerned by messenger more quickly than by post. Until
an infected place is declared free a report that Returns Nos. II and III are blank shall be submitted for
every day on which no plague occurrence is entered in Register No. 1. When a village is declared free
Register No. I shall be sent to the District Plague Medical Officer.
Village or Town Plague Return of weekly Totals—
(Form No. IV).
(4) At the end of every week at the time of submitting his Plague Return in Form No. III, or his
report that the Return is blank, the Patwári or other,
official responsible for the maintenance of the Register
of Plague Occurrences in Form No. I shall, for the
week ending at sunset on the previous Saturday, submit to the District Plague Medical Officer, a Village
or Town Plague Return of Weekly Totals in Form No. IV appended.
(5) Deputy Commissioners shall, if necessary, make arrangements to supply Patwárís with service
labels or have messengers put at their disposal by the village in order to ensure the prompt submission of
their returns.
Inoculating Officers' Registers and Returns.
Registers of Particulars of Inoculated Persons—
43. (1) Each Inoculating Officer will maintain registers of Inoculations, giving the names and
other particulars of inoculated persons, in forms
appended. The correct maintenance of these registers,
is essential in order that the results of inoculation may
be ascertained, and great care should be taken to see
that the entries are made promptly and carefully..
Whenever the fact that an inoculated person has been attacked by plague comes to the notice of the
Inoculating Officer, the necessary entry shall be made in Statement No. 6 of the Inoculation Register, and
Statement No. 4 of the register will also be entered up. All entries made in Statement No. 4 during each
month shall be copied at the end of the month and the copy shall be forwarded to the Plague Medical.
Officer.
Each Inoculation Register contains space in Statement No. 6 for the entry of the names of 3,000
inoculated persons.
When this statement has been filled up the entries on the front page and in
Statements Nos 1 and 2 must be completed. Entries should be made in Statements Nos. 3 and 5 as.
opportunities-occur. In all places where in this register space is. left. for. the name of the Inoculating Medical.
Officer his number should also be recorded;