NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
300
TABLE I.—Total admissions during the year.
Months.
12
Plague.
142
Ralapsing Fever.
Nil.
Observation cases
including all
General Diseases.
2
Total.
144
TABLE II.
Plague
Relapsing Fever
Observations and other Diseases
Total ...
Admissions.
142
Nil.
2
144
Deaths.
116
Nil.
Nil.
116
Recoveries.
26
Nil.
2
28
Percentage
of
Mortality.
81.8 p. c.
83.4 p. c.
TABLE III.
Months.
12
Total
Admissions,
Plague.
142
Died within
24 hours.
32
Within
48 hours.
29
Total Deaths.
116
Total
Recoveries.
26
Percentage
of
Deaths.
81.6 p. c.
If deaths within 24 hours are deducted, the total mortality would stand to
76.3 p. c.
If deaths within 48 hours are also deducted, the total mortality would be
67.9 p. c.
TABLE IV.
Total Admissions.
Males
.
103
Females
30
Children (under 12 years) ...
9
Deaths.
87
23
6
Eecoveries.
16
7
3
Percentage of Deaths.
84.4 per cent.
76.6
do.
66.6 do.
TABLE V.— Talle showing the Mortality for the year amongst Sexes and Children.
Total mortality for the year.
8 1.6 per cent.
ll6
Mortality
amongst the
men.
84.4 per cent
87
Mortality,
amongst women.
76.6 per cent
'
23
Mortality amónese
children all under 12
years of age.
66.6 per cent.
6
301
TABLE VI.—Table showing the situation of Buboes.
Situation.
Cervical
...
...
Parotid
R. Axillary
L. Axillary
R. Femoral
L. Femoral
R. Inguinal
L. Inguinal ...
..
Other Situations
...
No Buboes
Multiple Buboes
Total ...
Total
number
of cases.
1
1
12
25
25
62
2
5
Nil
1
2
136
Males.
Nil
1
10
16
20
46
2
4
Nil.
1
2
102
Females.
1
Nil.
2
9
5
16
Nil.
1
Nil
Nil.
Nil.
34
Mortality.
1
1
8
23
21
50
4
1
Nil
1
1
111
Recoveries.
Nil.
Nil
4
2
4
12
1
1
Nil
Nil.
1
25
Percentage oí
Mortality.
...
...
66.6 per cent.
92
do.
84
do.
80.6 do.
50
do.
80
do.
...
...
50 per cent.
81.6 per cent.
TABLE VII.—Table showing Pneumonic Plague (without Buboes.)
Males ...
Females
...
...
Children
...
...
Total
Admitted.
6
Nil
Nil
6
Died.
5
Nil
Nil
5
Recovered.
Nil
Nil
1
Percentage of
Mortality.
83.3 p.c.
...
...
83.3 p.c.
TABLE VIII.—Table showing cases of secondary Plague Pneumonia
(complicated with Buboes).
Males ...
Females
...
...
Children
...
Admitted.
Nil
Nil
Nil
Died.
Nil
Nil
Nil
Recovered.
Nil
Nil
Nil
Percentage of
Mortality.
Nil.
Nil
Nil.
As much has been said in the two previous years' reports on the epidemic, it
would be sufficient to mention here that this year's epidemic in no way materially
differed from the two previous ones. The type was as virulent, the chief symptoms
being high fever, headache, vomiting, and glandular enlargements. In the majority
of cases of recovery the buboes suppurate ; the treatment was more or less symp-
tomatic, but ice on the head and gland, wet pack, and stimulants have been found
useful.
V. S. DIVAN,
30th June 1899.
Medical Oßcer,
302
Notes by the Special Medical Officer.
The hospital was situated in a densely crowded part of the city. I am not at all
satisfied with the sanitary condition of the situation. Ventilation and light, tad. I
think this place quite unsuitable for a Private Hospital.
No. 21.
Jain Hospital, Parel.
BOMBAY, 28th June 1899.
I. Report on the Parel Plague Jain Hospital, Bombay, from the 1st of June
1898. to 31st of May 1899.
II. The hospital was opened in April 1897. It was originally a small shed
and when the monsoons set in, the authorities concerned converted the shed into a
pucca hospital. The donors of the hospital are members of the Vissa Jain, and the
Committee consists of the following gentlemen :—Mr, Dhamjee Lukmichand, J. P,,
Mr. Luckumsy Napoo Nansy, J. P., and Mr. Barwal Rawjee, who is the most promi-
nent man and takes very active part in the hospital affairs. The Medical Officer in
charge of the hospital is Dr. N. F. Pereira. The Medical Staff consists of a Medical
Officer abovementioned, two Hospital Assistants and six Ward-boys, one Dhobie
and a cook. The donations which the hospital received are the voluntary contribu-
tions from the members of the Jain community.
III. The hospital buildings are divided into 8 wards, 4 of which are for the
male patients, 2 for the female, one is used for segregation or contacts, and one for
convalescents, The whole building measures 150 feet in length and 30 feet in breadth.
The Dispensary is attached to the convalescent ward. English as well as country
medicines are kept. The servants' quarters are adjacent to the same ward. The
contact sheds which are apart from the other sheds can accommodate 12 patients j at
present no one is confined here. The hospital buildings are very well ventilated and
every measure that is needed towards the cleanliness of the place is strictly carried out.
IV. There are four latrines. The excretions are first disinfected in the wards,
whence they are deposited in the latrines and removed as usual by the Halal-
core. The latrines have a seat each and are about 80 or 90 yards apart from the
hospital buildings. The clothes are disinfected with Perchloride of Mercury Solution
and Chloride of Lime, and then the same are handed over to the dhobie. No sugges-
tions can be made as the present procedure is all that can be desired.
V. The supply of water is derived from the Vehar Lake.
VI. In disinfecting the hospital buildings, (1) Phenyle and Carbolic Lotion and
(2) Chloride of Lime and Perchloride of Mercury are used. The place is systemati-
cally disinfected twice a day, morning and evening.
VII. The dead, whether poor or rich, are all conveyed to Tank Bunder and there
cremated. The 1st ward facing the east is used as a Mortuary. No sooner is a patient
dead, than he is at once removed here and placed on the floor in accordance with
the customs of the Vissa community. After the remains are removed the place is
thoroughly disinfected,
VIII. Nil.
IX. Nil.
303
TABLE I.
Months.
June
1898
July
„
August
„
September „
October
„
November „
December „
January 1899
February „
March
„
April
„
May
„
Total
Plague.
1
5
16
19
15
6
17
34
35
57
23
15
243
Relapsing Fever.
1
Nil.
,,
,,
1
Nil.
,,
1
Nil.
3
Nil
,,
6
Observation
cases includ-
ing all General
diseases.
Nil
,,
3
Nil.
2
3
Nil.
,,
,,
,,
,,
,,
8
Total.
2
5
19
10
18
9
17
35
35
60
23
15
257
TABLE II.
Plague ...
Belapsing fever observa-
tion
Other disease ...
..
Total
Admissions.
243
6
8
257
Deaths.
194
2
6
202
Recoveries.
49
4
2
55
P. C. of Mortality.
80 p. c.
32 p. c.
25 p. c.
75 p. c.
TABLE III.
Months
1898
June
July
August
»September ...
October
November ...
December
1899
January
February
March
April
May...
Total admis-
sions.
2
5
19
19
18
9
17
35
35
60
23
15
Died within
24
hours.
1
4
3
5
8
1
7
5
14
20
8
6
Died within
48
hours.
1
None.
None.
3
2
None.
None.
6
4
5
3
2
Total deaths.
2
4
16
13
13
4
14
30
28
45
19
14
Total
recoveries.
None.
1
3
6
5
5
3
5
7
15
4
1
Percentage
of
Mortality.
100 p. c.
80 „
80 „
65 „
65 „
50 „
85 „
85 ,,
75 „
75 „
80 „
93 „
304
TABLE IV.
Total admissions.
Male
Female
Children under 12 years...
Deaths.
165
21
16
Recoveries.
40
10
5
P. C. of
Mortality.
75 per cent.
50 per cent.
70 per cent.
TABLE V.—Table showing the Mortality for the year amongst sexes and children.
Total mortality for the
year.
202
Mortality amongst
men.
165
Mortality amongst
women.
21
Mortality amongst
children, all under 12
years of age.
16
TABLE VI.— Table showing the situation of Buboes.
Situation.
Cervical
Parotid
E. Axillary
k.
n
R. Femoral
L.
„
R. Inguinal
L
„
Other Situations
No Buboes
Multiple Buboes
Total
No. of
Cases.
13
Nil.
35
25
88
55
1
Nil
4
22
Males.
11
Nil.
32
20
76
47
1
Nil
3
22
Females.
2
Nil
3
5
12
8
None
Nil.
1
Nil.
Mortality.
8
Nil
32
17
67
47
1
Nil
2
20
Recovery.
5
Nil
3
8
21
8
Nil
Nil.
2
2
Percentage oí
Mortality.
60 per cent.
90 per cent.
70 per cent.
75 per cent.
85 per cent.
100 per cent.
50 per cent.
90 per cent.
TABLE VII.— Table showing Pneumonic Plague without Buboes.
Males
Females ...
Children ...
...
Admitted.
22
None.
None.
Died.
20
None.
None.
Eecovery.
2
None.
None.
Percentage of
Mortality.
90 per cent.
305
TABLE VIII.
Admissions.
10
2
Died.
7
1
Recoveries.
3
1
Percentage of
Mortality.
70 per cent.
50 per cent.
Notes by the Special Medical Officer.
The hospital buildings were fairly well situated in an open space. The Hospital
was well managed.
No. 22.
The Annual Eeport of the Jain Plague Hospital, Lall
Baug in C. Ward from the 1st of June 1898
to the 31st of May 1899 according to
the lines indicated in your
instructions-sheet.
2. The hospital has been opened since the 20th December 1896. It was at
first located on the Arthur Eoad in sheds raised for the purpose and since the 23rd
May 1897 it is removed to the present locality, Lall Baug. There was no private
Plague Hospital when it was started. The detailed account is given in the first Annual
Beport forwarded in June 1897.
The hospital is founded by Mr. Manekchand Kapurchand, who has received the
distinction of Rao Bahadur under the current New-Year-Day-Honours. It is main-
tained by the Jain Community. It receives no regular contribution from the people.
Bao Bahadur Manekchand Kapurchand is the Manager, and Mr. Amarchand
P. Parmar is the Secretary. This hospital has ever been going on since its opening.
Names of the Committee Members.
1» Mr. Virchand Dipchand, C. I. E.,
2. ,, Premchand Raichand, J. P.,
3. Rao Bahadur Manekchand Kapurchand,
4. Mr. Abhechand Kasturchand,
5. ,, Bechardas Manchand,
6. „ Krishnaji Bangji.
7. „ Baichand Khushal,
8. „ Amarchand P. Parmar.
Medical Officer.
Maganlal Umiashankar Bhatt, L.M. & S.
House Surgeon.
Trikamlal Amthashah, 3rd year Medical Student, Grant Medical College,
Hospital Assistants.
1. Sadashiv Vishnu.
2. Surma.
Compounder,
Kashinath Wasudev.
Nurse.
Gangabai Sudin. (Unqualified native nurse. She is in the
hospital service for these 2 years.
308
random, but he holds them and gives them out most systematically and with obstinacy,
At the height of the disease the sense of weakness seems to leave him, he rises in bed
or even gets up and runs away. This symptom is very characteristic.
Bubo appears commonly within 2 or 3 days after the onset of the disease.
During the acute stage of the disease, one or more secondary buboes appear on
the corresponding side of the body. In bad cases sometimes a series of buboes com-
mence developing in about 2—3 days after the appearance of the primary bubo on all
the favourite seats of buboes. These cases soon end in death.
Buboes in the submaxillary regions are most fatal because œdema of the glottis
very soon supervenes. Iliac as well as parotid buboes are dangerous.
Retention of urine is a common symptom, and suppression of urine is not com-
monly met with.
Abortion in a pregnant female if affected with an acute type of plague is very
common.
Diarrhœa is a rare thing from the commencement of the disease, and when
met with, shows the case is growing serious. Similarly is hemorrhage from the
bowels, which may occur after 3—6 days from the onset of the disease and is
dangerous. Epistax is also serious, but, is not so bad as malaena in respect to
prognosis«
Eyes if inflamed may result in—
Conjunctivitis.
Irilis.
Keratitis.
Panophthalmia.
Lungs. Inflammation may be primary or secondary, the former is plague
pneumonia and the latter plague complicated with pneumoaia, and commonly is
of a Catarrhal character. Hypostatic pneumonia is not rare. In bad cases ending
in death, the following are observed :—
Local abscesses.
Local ulcers.
Peritonitis. Generally it is localised and is met with in iliac buboes.
Sequelœ of the disease as met with, are as follows ;—
Arthritis.
General debility.
Dysentery, Diarrhœa.
Period of convalescence is from 3 weeks to 3 months and upwards.
There was no case of mumps mistaken for plague admitted into the hospital.
There was no case of Plague complicated with any other disease admitted into the
hospital. Cases of fever under observation were 17 in number, and all of them of mal-
arious type but one. They were of a remittent and intermittent character, viz., four
were complicated with bronchitis, three with hepatic congestion, five were of intermit-
tent type and the rest of simple remittent type and one was of Dysentery. All got
cured and were discharged.
Nursing and Feeding are most important elements in treatment. Internally the
administration of Stimulants both General and Cardiac as Alcohol, Ammonia, Strychnia,
Caffeine, Digitalis, of Sedatives and Hypnotics as Bromides, Hyosoyanim, Morphine,
Sulphonal are of extreme service. Depressant diaphoretics are most dangerous and
therefore should never be used.
309
At the very early commencement of the appearance of a bubo pain or tenderness,
the application of Ice bag or of Empl. Ammon. C. Hydrarg, with poulticing is
useful. When the bubo is ripe it is opened with all due anti-septic precautions and
dressed anti-septically or poulticed if required. After-treatment is ordinary as in all
surgical cases.
I have observed that Lansonia Alba (Mythracac) has got some peculiar pro-
perties to moderate suppuration and other inflammatory processes in the parts.
It is largely used in this hospital after the bubo is opened. It is found to
expedite the healing in the parts. Its leaves if fresh and green are pounded up
with a few drops of water, and applied in the form of a poultice between the two
layers of a muslin cloth, and if dry are finely powdered and made into a poultice with
water and similarly applied. This poultice is changed twice morning and evening.
This plant is known in Hindi, Gujrati—as Mendi. It is a common plant and used
largely by Vaids, Hakims in boils as an external application.
Amongst the hospital staff all enjoyed good health excepting the cook. He
was 011 the 5th March 1899, laid up with a mild Bubonic Plague and it ended in
recovery. The source of contagion is probably from his room, because he got plague
within the week he commenced to live in his own room, at Kalbadevi Road
C Ward. He was in service (hospital) for 6 months and resided and slept in the
hospital premises, all through excepting the period when he got plague.
During the year the number of the contacts was 103 and they were free from
plague excepting one, Sunderji Jivan, a Luvana by caste. He got plague on the
8th October 1898, and was transferred to the Luvana Hospital, Thakurdwar Road,
G Ward. He was cured and discharged.
TABLE I.—Total admissions during the year, 303.
Months.
June
1898 ...
July
„
August
„
September ,,
...
October
„
November „
December
„
January 1899
February „
March
„
April
j,
...
May
j,
Total ...
Plague.
Remained in
Hospit a 1
on 1st
June. 5
2
9
12
21
24
15
13
34
78
47
21
5
286
Relapsing Fever
•• ••
• •t ••
• ••
•
...
...
......
......
'Observation cases
including all
general diseases-.
..
2
3
3
3
2
3
1
'
17
Total.
9
12
]5
24
26
18
13
35
78
47
21
5
303
11. Largest number of admissions 3rd week of February 1899 (from
the 18th to 24th February
26
Largest number of admissions on 20th February 1899
• • •
7
12. Total number of deaths during the year ...
...
... 200
Total number of deaths from Plague during the year
...
200
Total number of weekly deaths
...
...
...
... 200
Total percentage of deaths to admissions
..
...
••• 66*006
Largest number of deaths 21st February 1899
7
310
TABLE II.
Plague
Relapsing Fever
Observation and other dis-
eases
,
Total
Admissions.
286
17
303
Deaths.
200
......
200
Recoveries.
84
17
101
Percentage
of
Mortality.
69.93
Nil.
66.006
TABLE III.
Months.
June
1898 ...
July
„ ...
August
„ ...
September „ ...
October „
November „
December „
January 1899 ...
February „
March
„ ...
April
„ ...
May
„ ...
Total admissions.
Remained
in Hospital
5
on 1st June
2
9
12
21
24
15
13
34
78
47
21
5
Died
within
24 hours.
1
2
5
6
5
5
5
10
22
13
6
2
Died
within
48 hours.
1
1
4
9
3
6
11
9
2
Total
Deaths.
2
4
10
14
19
8
11
23
52
88
14
5
Total
Recoveries
4
2
3
1
8
5
5
4
10
28
9
5
Percentage
of
Deaths.
28.57
40
62.5
58.33
57.55
38.09
52.38
58.97
57.7
50.6
46.6
41.6
TABLE IV.
Caste : Hindoos.
Males
Females
Children under 12 years ..,
Total
Admissions.
721
26
6
Deaths.
180
18
2
Recoveries.
89
8
4
Percentage of
Deaths.
66.42
69.23
33.3
TABLE V.—Table showing the mortality for the year amongst Sexes and Children.
Total Mortality.
for the year.'
200
Mortality amongst
the Men.
180
Mortality amongst
Women.
18
Mortality amongst
Children all under
12 years of age.
2
311
TABLE VI.—Table showing the situation of Buboes.
Cervical ...
Parotid ...
B. Axillary
L. do.
E. Femoral
L. do.
B. Inguinal
L. do.
Multiple Buboes
Subtrochlear (elbow
joints)
Upper arm (inner
side)
Admitted.
5
3
27
18
47
39
19
18
30
1
1
MALE.
Recovered.
3
2
11
6
8
12
10
4
5
1
]
Mortality.
2
1
16
12
39
26
9
14
24
...
...
Admitted.
3
...
3
2
7
4
2
2
3
1
...
FEMALE.
Recovered.
...
2
1
2
2
é B
1
1
1
Mortality.
3
...
1
1
5
2
2
1
2
...
Percentage
of
Mortality.
62.5
83.3
56.6
65.
81.407
65.11
52.38
75
78.78
Nil.
Nil.
TABLE VII.—Table showing Pneumonic Plague (without Buboes).
Males
Females
Children
Sex.
• ••
• • •
• •
...
...
Admitted.
17
• ••
...
Died.
13
...
...
Becovered.
4
• •*
...
Percentage of
Mortality.
76.47
• •*
• ••
In no case of Pneumonic Plague, was bacteriological examination of the sputum
of the patient made.
Cases that recovered were of the mild pneumonic plague type.
TABLE VIII.—Table showing cases of Secondary Plague Pneumonia
(complicated with Buboes).
Males
Females
Children
Sex.
• ••
• ••
• ••
...
Admitted.
33
1
...
Died.
26
1
...
Becovered.
7
...
...
Percentage of
Mortality.
78.78
Cent. per cent.
...
There was no bacteriological examination made in any case.
Secondary pneumonia of a catarrhal type supervened in 15 cases in about 4.—15
days after the admission into the hospital and seven recovered.
Secondary pneumonia supervened in 16 cases in about 3—10 days after the
admission into the hospital and all proved fatal.
Secondary pneumonia of a croupous character supervened in three cases in about
2—7 days and they proved fatal.
All of these cases were of acute Bubonic Plague type.
MAGANLAL U. BHATT,
Medical Officer in Charge
The Jain Plague Hospital.
17th July 1899.
312
Notes by the Special Medteal Officer.
This hospital is situated in a very densely crowded part of the City, and was
of its kind airy and commodious.
No. 23.
The Kshatriya Fever Hospital, Charni Road Gardens.
I. The Kshatriya Fever Hospital, in the Churni Road Gardens, was opened
on the 1st February 1899, and closed on the 1st June 1899. Report, therefore,
relates to four months.
II. The Hospital was founded by the Kshatriya Community for patients
belonging to that community. It was maintained by private subscriptions, and by
funds belonging to that community.
THE NAMES OP THE COMMITTEE.
Chairman.
Mr. Shamrao Manikji Relé, High Court Pleader.
Secretaries.
Mr. Madhaorao Shreeder.
,, Ghintamani Atmaram Relé, B. A., LL.B.
Treasurer.
Mr. Madhaorao Shreedher.
Members.
Mr. Gangaram Bapasoba Rele, J.P., B.A., LL.B.
„ Gopinath Krishnaji.
„ Ramrao Shreedher.
„ Purshottam Bhai.
The Chief Medical Officer.
Dr. Trimbak Dinkar Welankar, B. Sc., L.M. & S.
List of Medical Staff.
Mr. Shankar Sadashive Gokhale—Hospital Assistant.
Bhagoobai Bhaleravin—Nurse.
Vishnu Balaji Shevde,
Ward-boys.
Ganpat Narayan Potdar,
One Ramoshi.
III. One plague ward divided into two compartments, one for male patient,
and the other for female patients. The whole ward is intended to accommodate
twenty patients. Patients were kept with screens between them. Dispensary, Office
Room, Servants' Quarters and Store Room were located on one side of the Plague
Ward, and on the other side were Observation and Convalescent Wards, next to these
being Contact Sheds. There was one ward for delirious patients. Contacts sheds
were occupied by nearly 40 persons at different times.
IV. Two halalkhors were lent by the Municipality. There were two latrines.
Sewage was daily removed .by halalkhors.
V. The Municipality had been good enough to give a pipe near the hospital
premises.
VI. All the sheds in the hospital were disinfected by ward-boys with phenyle
and carbolic powder.
313
VIL The dead were removed to a mortuary which was situated at a distance
from the Plague Ward and it was big enough to accommodate 4 bodies. The dead
were removed and cremated by their relations.
VIII. None of the patients were inoculated.
IX. None of the staff of the hospital died, and none were attacked with
plague.
TABLE I.—Total Admissions during 4 months.
Months.
February
March
Plague.
3
9
Relapsing Fever.
None.
None.
Observation
cases including
all General
Disease.
None.
None.
Total.
3
9
X. The largest number admitted was in the month of March during the
second week.
XI. The total number of deaths from plague
Total number of deaths
... 11
...
11
TABLE II.
Plague
Admissions.
12
Deaths.
11
Eecoveries.
1
Percentage of
Mortality.
91.6
TABLE III.
Months.
February
March
Total
Admissions.
3
9
Died within
24 Hours.
1
4
Died within
48 Hours.
2
2
Total Deaths.
3
8
Total
Eecoveries.
...
9
Percentage of
Deaths.
91.6
TABLE IV.
—
Males
Females
Children (under 12 years)...
Total
Admis-
sions.
8
2
2
Deaths.
7
2
2
Recoveries.
1
Percentage of Deaths.
87.5
100.0
100.0
One Brahmin was admitted by way of exception, and he died ; the rest belonged
to the Kshatriya community.
TABLE V.
Total Mortality for 4 Months.
11
Mortality amongst
Men.
7
Mortality amongst
Women.
2
Mortality amongst
Children (under
12 years.)
2
314
TABLE VI.—Showing the situation of Buboes.
Situations.
R. Axillary
L. Axillary
R. Femoral
L. Femoral
R. Inguinal
L. Inguinal
Black blister on
ankle.
Two buboes R. & L.
Femoral.
Total Number
of Cases.
1
1
2
2
1
2
1
1
Males.
1
2
...
...
2
1
1
Females.
1 child
2
1 child
......
...i.i
Mortality.
1
1
2
2
1
2
1
Recoveries.
......
1
Percentage
of Mortality.
91-6
TABLE VII.—Showing Pneumonic Plague without Buboes.
—
Male
Admitted.
1
Died.
1
Recovered.
Percentage of Mortality.
100
TABLE VIII.—Table of cases of secondary plague pneumonia (complicated with
buboes). No such cases occurred in the above hospital.
OBSERVATIONS.
There was only one case admitted into the hospital which recovered, and that was
a mild case. The temperature in this case as a rule never went above 103° and no bubo
was found, but a characteristic black blister was found on the inner side of the ankle.
The situations and localities of the buboes are given in Table VI. They appeared,
as a rule, within the first three days of the attack, according to statements of the
patients or their relations ; these statements being sometimes at variance with one
another. But no opportunity was found to watch a case in which the patient was
admitted before the development of bubo and which afterwards developed it, and all
the patients came in the hospital after the development of bubo.
In the few cases that were treated in the hospital, only one patient showed
symptoms of violent delirium for one day before his death. Suppression of urine
or any other organic diseases were not observed.
The treatment given at this hospital was on general principles. No special
serum of any person being used. Ice bags, stimulants (brandy), nourishing digestible
food (milk, conjee, &c.), diaphoretics, &c., were used in the course of treatment.
Chief drug supposed to act as specific on plague, viz., mercury perchloride and pot-
tassium iodide were used, but were not found to be of any special value as far as the
experience of this hospital is concerned. Digitalis, ether, strychnia were often
used for injection when necessary. Digitalis was also given internally as a cardiac
tonic, Enemata were often ordered for the purpose of clearing the bowels where
purgatives were considered undesirable according to the condition of the patient.
V. D. VELANKAR, B.SC., L.M.&.S.,
30th June 1899.
Chief Medical Officer, in charge K. P. Hospital.
REMAEKS BY THE SPECIAL MEDICAL OFFICER.
This hospital was situated in the Charra Road garden facing the sea, and was-
well conducted.