Part III. ]
DISPENSARIES IN THE PUNJAB.
107
Mortality.
the year. The death-rate among in-door patients was 6.11 per cent., or very
nearly the same as in the previous year, and the average time spent in hospital
by each in-door patient was 14.13 days.
Sexes.
Of the total treated, the proportion of the sexes has hardly varied at all
in the years 1872 and 1873. In the former of these years 24.5 per cent. of
the whole were females, and in 1873 the ratio was 24.7. The proportion of
females to males among in-door patients was 17.09, and among out-patients
33.74
Surgical operations.
There were 3,950 major surgical operations performed and 68,184 minor
operations. In 163 cases a fatal result followed. There were 1,054 lithotomy
operations, 128 amputations, 81 extractions of cataracts, and 4 extirpations
of the eyeballs included amongst the important cases. Mr. Dallas thus sum-
marises the number and results of the lithotomy operations performed in the
province during the past five years.
Number.
1
2
3
4
5
6
7
8
9
10
11
12
18
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Name of District.
Dehli ... ...
Gurgaon ...
Karnal ...
Hissar... ..
Rohtak ...
Sirsa
...
...
Ambalah ...
Ludianah ...
Simla ... ...
Jalandhar ...
Hoshiarpur ...
Kangra...
Amritsar...
Gurdaspur...
Sialkot...
Lahore...
Gujranwala ...
Firozpur...
Rawalpindi ...
Jhelam...
Gujrat...
Shahpur...
Multan...
Jhang ... ...
Montgomery ...
Muzaffargarh...
D. I. Khan ...
D. G. Khan ...
Bannu ... ...
Peshawar ...
Abbottabad ...
Kohat ... ...
TOTAL ...
NUMBER OF CASES.
1869.
21
11
41
6
16
3
65
4
9
8
23
6
32
12
37
44
8
29
34
84
39
46
40
42
3
...
52
73
18
26
12
2
847
1870.
31
19
35
27
15
4
63
6
8
29
26
4
42
12
51
30
27
42
23
82
61
31
54
5
2
..
59
63
26
46
14
1
938
1871.
38
27
40
22
14
5
69
2
7
25
21
6
30
19
40
41
34
31
44
71
37
54
41
16
...
1
84
86
23
45
5
5
983
1872.
30
22
39
21
23
5
84
7
8
16
23
4
39
25
28
56
22
17
15
78
47
53
20
26
3
7
48
66
19
61
10
10
967
1873.
26
25
40
18
17
...
54
31
21
14
18
9
40
27
40
59
34
32
44
61
45
59
66
29
7
6
61
69
30
43
21
8
1,054
DEATHS.
1869.
1
...
3
2
...
...
3
2
1
...
3
2
2
1
5
10
...
8
1
3
2
4
3
3
1
...
8
13
5
4
2
...
92
1870.
2
2
3
2
1
...
3
2
...
2
4
...
2
2
9
4
1
7
5
10
3
4
6
...
...
...
12
11
7
5
4
1
114
1871.
...
1
2
2
...
1
5
1
...
4
3
1
5
...
4
3
5
6
4
5
4
3
8
1
...
...
21
10
6
6
...
1
112
1872.
3
2
3
3
3
2
5
1
1
...
2
...
3
3
2
8
4
2
7
7
3
4
2
3
...
2
6
9
1
5
2
...
98
1873.
3
...
3
1
2
...
6
...
1
1
1
2
2
2
4
8
1
4
4
7
1
5
5
3
1
1
9
8
4
4
3
1
99
REMARKS.
Percentage
of deaths
to cases.
6.16
4.80
7.18
10.63
7.06
17.64
6.56
16.00
5.66
7.60
11.71
17.24
7.60
8.42
12.24
14.34
8.80
17.88
1075
8.51
5.67
8.23
10.86
8.47
13.33
21.43
18.42
14.28
19.82
10.85
17.74
11.53
10.70
Percentage
of cases to
population
of district.
.02
.01
.03
.02
.02
.01
.03
.01
.16
.01
.01
.00
.02
.01
.04
.03
.02
.03
.03
.08
.04
.07
.05
.03
.00
.00
.08
.11
.04
..4
.02
.02
.02
There are shown to have been performed during the five years dealt with 4,789 operations
for the extraction of stone, with death in 515 cases; the death-rate on the total number of cases
throughout the province being 10.70 per cent. This is not a high rate, but among the dis-
pensaries of some of the districts the rate has been high, as, for instance, Muzaffargarh 21.43,
Bannu 19.82, Derah Ismail Khan 18.42, Abbottábád 17.74, Sirsa 17.64, Kángra 17.24 and
others. I have tried to see whether any reliable information as to the geographical distribution
of stone in the bladder could be obtained from these figures, but without success; for instance,
Simla, Derah Gházi Khán and Derah Ismail Khán would appear to have most stone; but it
is more than probable that some, if not many, of the cases noted against these districts came
from other parts, perhaps some distance beyond British territory.
Female education in
midwifery.
A special report upon the working of the Umritsur midwifery school was
submitted to the local Government during the year, and an institution having
similar objects in view was established at Delhi by the Society for the Propaga-
tion of the Gospel. The Inspector-General of dispensaries writes as follows
concerning their endeavours to teach midwifery to respectable native women :—
The midwifery school at Umritsur still works well. The class of pupils has been increased
in number to ten, and their stipends have also been improved. The new pupils are all Hindus
of good caste and character.