NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
159
This table is based upon the returns made by 28 hospitals. The figures in the
column headed " Children," however, were returned by 4 hospitals only. In the
remaining 24 hospitals the children are returned under the headings " Males and
Females." The totals include males, females and children.
* Described in hospital reports to have occurred, in order of frequency, in the following positions:—
Supra-trochlear, Brachial, Sub-Maxillary, Popliteal, Occipital, Pectoral, Sub-Mental, Iliac, Pelvic, Calves
of Legs, Cheek, Palm of Hand, Mammary, Upper Eyelid, Lumbar, and Hepatic.
A patient at the Khatri Mahomedan Hospital had buboes in the following positions :—Left Cervical)
Left Femoral, Left Tibial, Left Toe, Right Cervical.
Buboes.
Order of Frequency.—No Buboes, R. Femoral, L. Femoral, R. Inguinal,
L. Inguinal, Multiple Buboes, R. Axillary, L. Axillary, Cervical, Parotid, other
situations.
Order of Frequency, Males.—Same as above.
Order of Frequency, Females.—Multiple Buboes, R. Femoral, L. Femoral, No
Buboes, L. Axillary, R. Axillary, R. Inguinal, L. Inguinal, Cervical, Parotid, other
situations.
Order of Frequency, Children.—Multiple Buboes, R. Axillary, Cervical, L. Axil-
lary, L. Femoral, R. Inguinal, No Buboes, L. Inguinal, R. Femoral, Parotid, other
situations.
In Order of Fatality.—No Buboes, R. and L. Axillary, L. Femoral, R. Femoral,
Parotid, L. Inguinal, Multiple Buboes, R. Inguinal, other situations, Cervical.
There seems to be no doubt from the return that the feet and
hands are the primary sources of infection. In children I have chiefly
seen the cervical and parotid varieties.
TABLE IX.— Table showing cases of Pneumonic Plague (without Buboes).
Males
Total All Cases
Admissions.
419
111
23
553
Deaths.
393
98
19
510
Recoveries.
26
13
4
43
Percentage
of
Mortality .
937
88·2
80·8
92·4
Note.—Only two of these cases were examined bacteriologically.
TABLE X.—'Table showing Cases of Plague complicated by Secondary Pneumonia.
Males
Females
Children
Total
Admissions.
249
74
27
350
Deaths.
190
56
16
262
Recoveries.
59
18
11
88
Percentage
of
Mortality.
76·1
75·6
59·2
74·8
Remarks.
In the large majo-
rity of cases se-
condary pneumo-
nia supervened on
the third or fourth
day after admis-
sion to hospital.
One case was as
late as the eighth
day.
160
This most fatal disease is shown in Table IX. To get a fair
estimate of these cases, I have asked the hospitals to include as plague
pneumonia all cases that come in without any buboes and having lung
mischief, and which died in three days. The usual course of the
disease is death within three days. There is a very interesting case
given in full by Dr. Parmanand of the Port Trust Hospital, which
ended in recovery.
Haffkine's
Inoculation
Cases.
Secondary pneumonia or pneumonia supervening on plague is not
nearly so fatal.
HAFFKINE.
Total Cases admitted
Died
...
...
82
36
TABLE XI.
Patients admitted to Hospitals who had been previously inoculated with
Haffkine's Prophylactic.
Hospital.
1. Arthur Road
2. Modikhana
3.
Do
4. Maratha ...
5 & 6. Pathare
Prabhu ...
7. Mr. Lund's
Name.
Samuel John
Valentine Vaz
Rangia Khando
Caste.
Surtee
Madrasi
Christian.
Christian.
Hindu.
Do.
Male
or
Female.
Age.
Male, 15 yrs.
Male, 26 „
Male, 17 „
Female 30 „
Male, 10 „
Male, 15 „
Male, 24 „
When inoculated
12 Months
before.
3-2-99
15-2-99
A month
before admi-
sion (2 c. c.)
18-1-98
By Dr.
Trilo-
12-2- 98 kekur.
4-9-98
Admitted.
23-2-99
16-3-99
26-2-99
21-12-98
25-1-99
4-10-98
Result.
D
D
R
D
R D
Table XI is very interesting, as showing the cases that were stated
to have had plague after inoculation with Haffkine's serum.
See also attached lists of cases at—
Parel Sarvajannik Hospital
Parsee Fever Hospital
Mahomedbhoy Ebrahim Khoja Hospital
7
24
44
cases.
„
Two cases at Parsee Fever Hospital had been inoculated with Yersin's serum
and also with Haffkine's. They were treated in hospital by Lustig's treatment.
One died, and one recovered.
Parel Sarvajannik Hospital.
Plague Cases admitted who had been previously inoculated by Haffkine. Details
as far as known, are given below:—
Date
1. 28-1-99
2. 30-1-99
3. 4-2-99
4. 8-2-99
5. 10-2-99
6. 13-2-99
7. 8-4-99
Names.
Govind Mahadu
Baboo Vithu
Jairam Dhondu
Jeja Tukaram
Raghoo Atmaram
Dharma Sowar
Maruti Krishna
Age.
27
16
19
20
16
15
25
Sex.
Male
Do.
Do.
Female
Male
Do.
Do.
Attack.
26-1-99
29-1-99
3-2-99
6-2-99
8-2-99
11-2-99
7-4-99
Inoculated
12-18-98
No 160
Died.
1-2-99
2-2-99
2-2-99 ! 4-2-99
Not
known
Do.
Do.
Do.
15-2-99
Dis-
charged,
18-2-99
18-2-99
14-4-99
Caste.
Hindu.
Do.
Do.
Do.
Do.
Do.
Do.
161
Parsee Fever Hospital.
Inoculation by Haffkine's Serum,
The following plague cases that were previously inoculated with Haffkine's
serum were admitted ; their mortality was 37·5 per cent.:—
Name of the Patient.
1. Sunabai Dorabji Ga-
diali
2. Boman Behman Irani
3. Bustomji Mervanji
Bharucha
4. Gustad Behman Irani.
5. Cursetbai Cawasji
Savedia
6. Jamsetji
Bomanji
Kapadia
7. Maneckbai Bezonji
Kapadia
8. Sunabai Bezonji Ka-
padia, mother of
the above
9. Pirozebai
Jivanji
Irani
...
10. Dadabhoy
Edulji
Nanjiwala
11. Navazbai Ardeshar
Baliwala
12. Hormusji Ardeshar
Baliwala
14. Kharsedji
Navroji
Lungdana
15. Ratansha Rustomji
Duruwala
16. Munchersha Bezonji
Engineer
17. Pirozesha Cowasha
Dastoor
18. Tehmina
Cowasha
Dastoor
19. G u 1 b a i Pestonji
Dhondi ...
20. Jamsetji
Pallonji
Koodianawala
21. Kaikhusroo
Hor-
musji Gotla
22. Dinbai Bezonji Modi.
23. Sunabai Hormusji
Dalai
24 Hormusji
Jamsetji
Vesoona
Sex.
Female.
Male.
Female.
Male.
Female.
Male.
Female.
Male.
Female.
Male.
Female.
Male.
Age.
17 Yrs.
15 „
30 „
9
15 „
19 „
18 „
45 „
13 „
22 „
38 „
11 „
13 „
25 „
23 „
28 „
8 „
15 „
17 „
25 „
12 „
Date of
Inoculation.
Twice in
Feb. 1898.
Apl. 1898.
1896.
Dec. 1897.
Feb. 1898.
Twice in
1898
18-1-98 &
29-1-98.
Feb. 1898.
1898.
Feb. 1899.
„ 1897-
1898.
1897.
Dec. 1898.
Date of
attack.
9th Dec. 1898
6th Jan. 1899
4th „ „
21st
„ „
1st Feb. „
4th „ „
8th „ „
8th „ „
11th „ „
17th „ „
19th
„ „
19th „ „
26th „ „
15th Mar. „
23rd „ „
25th „ „
29th
„
„
22nd „ „
3rd May „
9th „ ,,
Result.
Cured.
Died.
Cured.
Died.
Cured.
Died.
Cured.
Died.
Cured.
„
Died.
Cured.
Died.
Cured.
Remarks.
Brought al-
most dying.
Bubo
not
external.
Had
tem-
perature
106·8°.
Also inocu-
lated with
Yersin's
serum on
21st Jan.
1899.
Comatose
during all
her illness.
Son of the
above; died
of syncope.
Mild attack.
Sister to the
above.
163
On analysing the above cases, it will be found that in the largest
proportion of cases mentioned, no definite conclusions can be arrived at
owing to imperfect information regarding dates of inoculation; or being
attacked over 6 months after inoculation. The only cases which can be
commented on are the following :—
No. 5. Twice inoculated in 1898, the last time being on the 7th April ; the
attack was on the 24th August or little over 4 months after inoculations. The
case recovered.
No. 8 was twice inoculated, the last time being in March 1898 ; the case was
attacked on the 16th September or 6 months after inoculation. The case recovered.
No. 19 is interesting as being twice inoculated, the second time being within a
very short period of attack. The patient recovered.
No. 31. A double inoculation ; the patient was attacked by plague about 5
months after and died.
No. 36. Inoculated in February 1899 and was attacked by plague a month or
so after and recovered.
These are the cases that can be reliably commented on, and it will
be seen that only one case died 5 months after inoculation.
In taking all the cases of inoculations and attacks quoted above,
it will be seen that in the Arthur Road, Modikhana and Prabhu, only
3 cases can be considered, viz., 2, 4, and 7 ; of these 2 died, 1 recovered.
In the Sarvajanik Hospital only 1 case, No. 3, is of any use, and he died.
The following table gives totals—
Arthur Road, Modikhana, Maratha,
Prabhu, and Lund's Hospital
Sarvajanik Hospital
Parsee Hospital
Mahomedbhoy Rajah Hospital
Cases.
3
1
4
5
13
Died.
2
1
...
1
4
Recovered
1
...
4
4
9
I think, however, that there are too few cases to give any definite
results.
In conclusion I may confidently say that the work of the hospitals
was in most instances thoroughly and conscientiously carried on notwith-
standing many adverse circumstances; and the medical officers, nurses,
and subordinates have performed their duties very satisfactorily. I wish
to bring to particular notice in connection with the Municipal Hospitals
the excellent work done by Khan Bahadur N. H. Choksy, Medical
Officer, Arthur Road Hospital; Dr. Dargalkar, Medical Officer, Marhatta
Hospital; Dr. Turkhad, Modikhana Hospital; and of Hakim T. Rahi-
man of the Mahomedan General Hospital.
164
Of the private hospital I would like to bring to notice the names
of Dr. Permanand of the Port Trust Hospital; Dr. Kwaja Abdoolla of
the Kojah Hospital; Dr. M. N. Disana of the Mahomedan Hospital;
also of the Hon'ble Dr. Balchandra Krishna who is so prominently
connected with the various movements for the bettering of the Hindoo
community, and through whose influence, combined with the energy
and foresight of Rao Bahadur Tribuck Vaidya, some of the Hindoo hos-
pitals are in the excellent condition they are at present.
My warmest thanks are due to Captain Howell, R. A. M. C., for com-
piling the figures, and in fact working up this report, while I was on
leave ; and to Lt. Twigg, I. M. S., for the energy and care which he
showed in working out the Steam Bath Treatment.
As regards the Nursing Establishment sent out for special plague
work in Bombay, I cannot speak too highly of the devotion and cour-
age displayed by these ladies in the performance of their very unplea-
sant work. In a foreign land and amongst the natives they displayed
the same care and attention as they would have in their own wards in
England. Those who have visited the wards of hospitals when these
ladies were employed would be at once struck by the air of tidiness
and cleanliness which pervaded the place. Their great effort night and
day was to try every means in their power to save the lives of their
charges, and if the reward of their efforts was in proportion to the
energy they displayed in trying to save life, our mortality ought to
be very low indeed. It was then under these depressing circum-
stances that these ladies worked, and I think the warmest thanks
of all ought to be theirs ungrudgingly. The following is a list of
nurses who worked at this epidemic:—
Lady Superintendent
Lady Nurse
„
„
„
„
„
„
„
„
„
„
„
Miss L. Green.
Reynolds.
Coleman.
Tanner.
Harris.
Harvey.
Holmes.
Hale.
Barrow.
Richardson.
Greening.
Burrows.
Boyd.
Riley.
Fry.
Scott.
Snowdon.
Hyland.
Amongst the nurses locally engaged I must mention the name of
Miss Winscom, who has worked at the plague hospitals at Bombay
through all three epidemics, and is a devote worker amongst the poor.
165
All Hospitals.
The following remarks are made by Capt. Howell, R. A. M. C.,
regarding the mortality and virulence of succeeding epidemics.
Percentage
Mortality
1898-99.
During the year under report, 10,210 cases of plague were admit-
ted to hospitals. Of these 7,519 died. The percentage mortality of
cases in hospital for the year therefore amounts to 736.
Percentage
Mortality
March-June
1897.
On reference to General Gatacre's report it will be found that,
during the four months in 1897 covered by his report, there were 2,646
cases of plague admitted to hospitals with a mortality of 1,561. This
gives a percentage mortality of 58·9.
Percentage
Mortality July
1897 to April
1898.
In the following ten months (1897-98) during which the Plague
Committee had charge of the plague operations, we find 8,114 cases of
plague admitted to hospital, and of these 5,336 died. This gives a
percentage mortality of 65·7.
Remarks on
above.
It will be inferred from a comparison of the above figures that
each recurring epidemic of plague is more virulent than the last. This
is an opinion very largely held by medical men in Bombay. It is
doubtful, however, if the true increase in percentage mortality is so
great as these figures would lead us to infer. For instance, General
Gatacre's report does not. cover the whole of the epidemic of
1896-97, but only deals with four months during which it was declining ;
so that the 58·9 per cent. mortality shown by his figures would
probably have been much higher if a longer period had been report-
ed on.
The figures, however, do show a larger number of cases admitted to
hospital during 1898-99 than in the previous epidemics. This will be
readily seen if we compare the average monthly admissions to hospital.
During General Gatacre's time the average monthly admission rate was
661·5 ; during the existence of the Plague Committee, 811·4, and during
the year under report 850·8.
It may also be gathered from a comparison of the percentage rates
of mortality that medical service is as helpless as ever as far as the treat-
ment of plague is concerned.
(It should be noted that the above figures are based upon the
returns submitted by hospitals, and a few of the smaller hospitals made
no returns. The general accuracy of the figures given may however be
accepted as substantially correct.)
J. S. WILKINS, LT. COL., I.M.S.,
Special Medical Officer, Plague Operations, Bombay.
166
No. 1.
ARTHUR ROAD HOSPITAL.
1. Report on the Municipal Hospital for Infectious Diseases, Arthur Road,
from the 1st June 1898 to 31st May 1899.
2. The hospital is a permanent institution and has been always open since
plague commenced in 1896,
Staff.
Chief Medical Officer
Assistant Medical Officer
Hospital Assistants
English Nurses
Local Nurses
Clerk
Compounder
Telephone Clerk
Ward Boys
1
1
4
10
6
1
1
1
46
10
Cooks
Dhobees
Malee
Ambulance Men
Lime-Washers
Police Ramoosees
Dispensary Servant
Sweepers (Male)
„
(Female)
4
3
1
1
8
4
4
1
16
10
The above establishment was the maximum entertained during the height
of the epidemic of 1898-99, and has varied at different periods according to
requirements.
3. The disposition and arrangements of the wards, their use, etc., has been
fully described in previous reports. No new wards were erected during the period.
4. Conservancy, etc., has been fully described in previous reports.
5. Water-supply has been fully described in previous reports.
6. Wards, etc., are washed twice daily with phenyle or cresol solutions. No
clothing is sent to the steam disinfector.
7. Disposal of the dead :—
(a). If friends or relations exist the bodies are removed by them
for disposal to their respective places of burial, etc.
( b ) Pauper patients who died were disposed of at public expense ;
the Hindu's corpses are sent to the Haine's Road cemetery, the
Mahomadan to the Marine Road, and the Christian either
to Sewree or Matoonga, according to their denomination.
( c ). The mortuary is a pucca building with stone plinth, perforated
zinc and corrugated iron walling, ridge corrugated iron roof,
size 24' × 20'.
8. Only one case that had previously been inoculated with Professor Haff-
kine's prophylactic was admitted. The inoculation was made about 12 months pre-
vious to the attack ; the patient died ; he was a domestic servant, a Surtee boy, aged
about 15, in the service of Mr. W. Latimer.
9. Hospital Assistant Pandharinath was attacked with plague in November
1898 ; he recovered ; he lived on the premises. The source of contagion was from
hospital work. No other member of the hospital staff was attacked with plague.
10. Relapsing Fever was contracted by 10 ward boys and 12 sweepers, all
the former recovered, and of the latter two died ; they all lived in on the premises and
were working in the Relapsing Fever wards. The source of contagion was from
hospital work.
167
TABLE I.—Total admissions during the Year.
Months.
June
1898
July...
„
August
„
September
,
October
„
November
„
December
„
January 1899
February
„
April
„
May„
Total ...
12
28
73
91
63
22
73
178
324
390
164
52
1,470
116
114
132
214
191
90
99
91
112
185
81
61
1,436
4
4
5
3
2
9
9
26
18
73
1
1
1
1
2
1
2
3
12
1
1
20
13
5
40
...
...
...
23
34
34
18
22
7
6
15
19
15
10
13
216
Grand Total —3,252
Plague
...
...
...
Relapsing Fever ...
Observation and other diseases ...
1,470
1,436
346
3,252
11. The largest number of admissions was during the week ending 11th
March 1899, when 113 plague patients were admitted.
The largest number of plague admissions on any day Was on the 10th March
1899, on which day 25 plague patients were admitted.
12. Total number of deaths during the year, 1,508.
Total number of deaths from plague, 1,161.
Total weekly deaths, 97 in week ending 11th May.
Percentage of deaths to admissions during the week, 5672 per cent.
The largest number of deaths from plague was 18 on the 10th of March 1899.
TABLE II.
Pague
Chicken-pox
Observation and other
Diseases
Total
Admissions
1,470
1,436
4
73
12
40
1
216
3,252
Deaths.
1,161
311
2
6
3
26
1,509
Recoveries.
309
1,125
2
6
12
37
1
191
1,743
Percent-
age of
Mortality.
78·97
21·65
50·00
8·49
00·00
7·50
00·00
11·57
46·37
168
TABLE III (A).—Plague.
Months.
June
1898
July
„
August „
September
„
October
„
November
„
December
„
January
1899
February
„
March
„
April
„
May
„
Total
Total
Admissions
12
28
73
91
63
22
73
178
324
390
164
52
1,470
Died
within
24 hours.
2
5
27
27
25
6
25
73
109
114
48
20
481
Died
within
48 hours.
1
5
15
17
9
2
8
42
56
79
36
11
281
Total
Deaths.
4
22
56
75
53
18
55
149
257
310
128
34
1,161
Total
Recoveries.
8
6
17
16
10
4
18
29
67
80
36
18
309
Per cent-
age of
Deaths.
3333
78·57
76·71
82·41
84·12
81·81
75·34
83·77
79·32
79·48
78·04
65·38
78·97
TABLE III (B).—Relapsing Fever,
Months.
June
1898
July
„
August
„
September „
October
„
November ,,
December „
January
1899
February „
March
„
April
„
May
„
Total
Total
Admissions.
116
114
132
214
191
90
99
91
112
135
81
61
1,436
Total.
Deaths.
21
20
19
46
37
30
21
18
16
40
29
22
311
Total
Recoveries.
95
94
113
168
154
60
78
73
96
95
60
39
1,125
Percentage
of
Mortality.
18·10
17·54
14·39
21·49
19·37
33·33
21·21
19·78
14·28
29·62
25·92
36·06
21·65
169
TABLE IV (A).—Plague.
—
Hindoos
Mahomedans
Native
Christians
Total
No.
1,307
73
90
1,470
Died.
1,049
49
63
1,161
Recovered.
258
24
27
309
Percentage
of
Mortality.
8026
67·26
70·00
78·97
I—Hindus.
Males
Females
Children
Total
No.
908
267
132
1,307
Died.
740
210
99
1,049
Recovered.
168
57
33
258
Percentage
of
Mortality.
81·49
78'65
75·00
80·26
II—Mahomedans.
—
Males
Females
Children
Total
No.
62
7
4
73
Died.
42
5
2
49
Recovered.
20
2
2
24
Percentage
of
Mortality.
67·74
71·42
50·00
67·26
III—Native Christians.
—
Males
Females
Children
Total
No.
63
23
4
90
Died.
46
15
2
63
Recovered.
17
8
2
27
Percentage
of
Mortality.
73·01
65·21
50·00
70·00
170
TABLE IV (B).—-Relapsing Fever.
—
Hindus
Mahomedans
Native
Christians
Israel
Total
No.
1,376
40
19
1
1,436
Died.
295
9
7
......
311
Recovered.
1.081
31
12
1
1,125
Percentage
of
Mortality.
21·43
22·50
36·84
00·00
21'65
I—Hindus.
—
Males
Females
Children
Total
No.
1,040
203
133
1,376
Died.
240
50
5
295
Recovered.
800
153
128
1,081
Percentage
of
Mortality.
23·07
24·63
3-75
21·43
II—Mahomedans.
Males
Females
Children
Total
No.
38
2
40
Died.
9
9
Recovered.
29
2
31
Percentage
of
Mortality.
23·68
00·00
22·50
III—Native Christians.
—
Males
Females
Children
Total
No.
14
4
1
19
Died.
5
2
7
Recovered.
9
2
1
12
Percentage
of
Mortality.
35·76
50·00
00·00
36·34
IV—Israel.
—
Males
Females
Children
Total
No.
1
1
Died.
......
Recovered.
1
1
Percentage
of
Mortality.
00·00
171
TABLE V.—Mortality in Sexes and Children.
(A)—Plague.
Mortality for the Year.
1,161
7897
Mortality
amongst
Men.
828=
80·15
Mortality
amongst
Women.
203=
77·44
Mortality
amongst
Children.
103=
73·57
(B)—Relapsing Fever.
Mortality for the Year.
311 =
23·65
Mortality
amongst
Men.
254=
23·23
Mortality
amongst
Women.
52=
24·88
Mortality
amongst
Children.
5=
3·73
TABLE VI.—Showing the Situation of Buboes.
Situation.
Cervical
Parotid
Eight
Axillary
Left Axillary
Eight
Femoral
Left
Femoral
Right
Inguinal
Left Inguinal
Other Situations*
No Buboes
Multiple Buboes
No.
69
21
137
123
128
160
108
101
19
158
390
Males.
50
11
91
86
98
126
82
85
10
119
230
Females. (
7
6
27
25
23
21
19
14
5
31
130
Children.
12
4
19
12
7
13
7
2
4
8
30
Morta-
lity.
51
14
113
92
95
132
76
88
15
135
296
Re-
covered.
18
7
24
31
33
28
32
13
4
23
94
Percent-
age of
Mortality.
73·91
66·66
82·48
74·79
74·21
82·50
70·37
87·12
78·94
85·44
75·89
* Supra Trochlear, Occipital, Brachial, Popliteal, Pectoral, Iliac, &c.
TABLE VII.—Pneumonic Plague.
Females
Children
Total
Admitted.
50
5
1
56
Died.
48
5
1
54
Recovered.
2
2
Percentage
of
Mortality.
96·00
100·00
100·00
96·42
TABLE VIII.-—Secondary Plague Pneumonic.
Females
Children
Total
Admitted.
63
22
15
100
Died.
55
20
12
87
Recovered.
8
2
3
13
Percentage
of
Mortality.
87·30
90·90
80·00
87·00
172
Pneumonia generally supervened on the third or fourth day.
Symptoms, Character and Treatment.—These have been fully described in
previous report. No essential changes have been made in the line of treatment,
which has hitherto been mainly stimulant to the entire exclusion of all antipyretics,
depressants, or internal antiseptics.
Period of Incubation.—The period of incubation extends from three to ten days.
In some cases that take a very mild course—pestis ambulans—the period is somewhat
prolonged, and may extend to even fifteen days. It is not possible to say whether
this is due to the greater resistance of the system or to a small or less virulent dose
of the poison.
Fever.—All the points under this heading have been fully described in previous
reports.
The inquiries under the remaining clinical heads have been also similarly
described.
Plague complicated with other Diseases.—Plague associated with the following
has been observed :—
(a) Small-pox.
(b) Chicken-pox.
(c) Measles.
(d) Malaria.
(e) Relapsing Fever.
(f) Phthisis.
The last complication is extremely fatal. Malaria and relapsing fever exert a
modifying influence on the course of plague, making it milder.
Mumps have never been mistaken for plague, for the gravity in the two diseases
is so different.
Observation Cases.—These numbered 216 cases, and comprised malaria,
rheumatism, diarrhoea, dysentery, syphilis, guinea-worm, heart disease, kidney
diseases, &c., &c.
Lustig's Serum.—Full reports on the treatment with Lustig's serum have been
supplied from month to month.
N. H. CHOKSEY,
BOMBAY,
Medical Officer, in Charge, Arthur Road Hospital.
28th July 1899.
Note by the Special Medical Officer.—Dr. Choksey's work since the beginning of
the plague epidemic in Bombay is well known, and requires no further praise from
me. The Hospital was conducted, and the sick treated, with every care, kindness
and skill.
The report on the inoculation by Lustig's serum as manufactured by Professor
Galliotti at Parel is published in full, with remarks in the Appendix.
No. 2.
Report on the Modikhana Plague Hospital, Bombay
from the 1st June 1898 to 31st May 1899.
History.
1. The Hospital was first opened, on the 8th January 1898, by the Plague
Committee, under the Chairmanship of Sir James Campbell, K.C.I.E.. and has been
since in charge of the following Medical Officers in succession :—
Surgn. Julius, R. N.
Surgn. Bernard, R. N.
Surgn, Page, R. N.