NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
29
midst of an epidemic inoculation remains the most important of all
plague measures.
Evacuation of infected dwellings should also be encouraged
provided always that accommodation for the people rendered tempora-
rily homeless be provided in the vicinity. Wholesale indiscriminate
emigration from infected to uninfected places is productive of much
harm and should be actively discouraged. The inhabitants of towns
and villages do well, in their own interests, to accord such plague
refugees a cold welcome.
As long as things remain as they are, these two measures, inocula- '
tion and controlled evacuation, will be as necessary and as important
as they are at present. It must be remembered, however, that plague
in India is a disease of rats, first and last, and that these very valuable
measures, inoculation and evacuation, designed to afford protection to
the human population, do not strike at the root of the evil.
F. NORMAN WHITE, M.D., Major, I.M.S.,
Offg. Sany. Commr. with the Govt. of India,
30
APPENDIX B.
[See Standing Order 11.]
Plague Report to be submitted to the Collector.
[To be submitted within 24 hours of discovery of a plague case.]
Hamlet—
Village—
Number in taluk map—
Population—
1. Name, age and caste of the patient.
2. (a) Date of commencement of illness.
(b) Date of death.
3. (a) Were there any plague cases or deaths by fever in the house
or family within the last 30 days ; if so, when ?
(b) Did the patient visit any plague-infected locality ; if so,
when ?
(c) Did any person from an infected area reside in his house ;
if so, when ? Did he bring goods susceptible to infec-
tion with him ?
(d) If answers to questions (a) to (c) are in the negative, to
what source can the infection be traced ?
4. (a) Date and hour at which inspector heard of the case and
how information was obtained ; if from, any official,
state name and designation.
(b) Date and hour at which inspector went to the village.
(c) Note date and hour at which first intimation of attack was
sent to—
(i) Nearest medical officer,
(ii) Plague officer.
(d) Explanation of delay between—
(i) Date of attack and date of despatch by the local
authority of first intimation to superior officers ;
(ii) Date of first intimation and date of despatch of detailed
report.
5. Was the case reported by the local authority ?
(a) (i) If not, what is his explanation ?
(ii) Did he keep the fever register properly, and on what
date was the case entered in it ?
(b) (i) Who is the house-owner, or chief male member of the
family ?
(ii) Did he give information as required by Plague Regula-
tion 9 and, if not, what explanation is forthcoming
as to why he should not be prosecuted ?
(c) Name and designation of the person who first reported the.
case and the date on which he did so.
31
6. (a) When did the inspector last visit the village ?
(b) How many deaths were there in the village—
(i) since the inspector's last visit ; and
(ii) since the commencement of the preceding month ?
(iii) How many of the deaths were registered as due to fever
and to Causes that you consider might be confused
with suspicious cases of plague ?
7. Was the patient examined —
(a) by any medical officer, and by whom and when ?
(b) What symptoms of plague were noticed ?
(c) Brief history as given by medical officer or as ascertained
by medical officer.
8. What steps were taken for the treatment and care of the
patient ?
9. Are rats plague-infected ?
10. General remarks.
32
APPENDIX G.
[See Standing Order 22.]
List of officers on plague duty in the
district on the
1st March 16
September
Head
of
service.
Number.
Duties
of
office.
Allowance
Date of
commence-
ment of
appoint-
ment..
Dato of
expiry
of
sanction.
Remarks.
Section I—Provincial.
Section II—Local.
Section III—Municipal.
33
APPENDIX D.
[See Standing Order 24."|
PART I—Allowances of Officers deputed to Plague-Duty.
Class of officers.
A. Medical officers
wholly employed
on plague duty.
Particulars.
(i) Senior military assist-
ant surgeons with tke
honorary
rank of
Captain or Lieutenant,
(ii) Military assistaut sur-
geons in civil or mili-
tary employ on pay
exceeding Rs. 150.
iii) Military assistant Bur-
geons in civil or mili-
tary employ on. pay
not exceeding Rs. 150.
(iv) Civil
assistant
surgeons.
(v) Civil apothecaries
(vi) Sub-assistant surgeons
employed as plague
inspectors.
(Vii) Sub-assistant surgeons
engaged
on
other
plague duty.
Allowances.
Rs. 5 por diem, together with
house-rent allowance (in lieu of
free quarters) of Es. 50 a month.
Rs. 3 a fin addition to any acting
day.
charge or house allow-
ance they may have
been drawing at the
time of their depu-
tation to plague duty
Rs. 2 a
and which they would
day.
have
continued
to
draw but for such
deputation.
Rs. 2 a day.
Rs. 25 a mouth or in the case of
men, who at the time of their
deputation were in independent
charge, the full charge allowance
of their grades.
Vide appendix E.
* Rs, 10 a month. This allow-
ance will be in addition to
house-rent or free quarters
according to rule if employed on
the plains. If employed on the
hills, a consolidated hill allow-
ance of one-third of the pay will
be paid, but no house-rent or
warm clothing allowance will be
admissible. A pony allowance
of Rs. 15 per mensem will be
paid if the sub-assistant surgeon
has other than purely stationary
duties, provided a serviceable
pony is maintained and used. If
instead, of a pony a serviceable
bicycle is maintained and used
with the permission of the
Collector, a bicycle allowance of
Rs. 5 per mensem will be paid.
* This allowance will be admissible irrespective of the fact whether the sub-
assistant surgeon. was in receipt of a charge allowance or not at the time of his depu-
tation to plague duty. No separate allowance will, however, be paid in lieu of charge
allowance nor can deputation allowance be drawn in addition.
3
34
PART I.-—Allowances of Officers deputed to Plague Duty—-cont.
Class of officers.
B Medical officers
doing
plague
work in addition
to their ordinary
duties.
C. Plague supervi-
sors belonging to
the salt, abkäu
and other depart-
ments.
D. Cornponnders on
ambulance staff.
Particulars.
'
(1) Medical subordinates ... |
(2) Nurses or midwives ...
(i) Appointed in non-muni-
cipal areas.
(in Appointed in municipal
1
towns.
!
t. t
Allowances.
C * Such duty allowance, not,
exceeding one-fifth of the
salary, as may bp fixed in each
case by Government. The
allowance should be given onlv
to officers whose additional
plague work is entirely sepa-
rate from, and outside the
sphere of. their ordinary duties
and not to officers whoso
ordinary and legitimate work
such aa that of attending on
the sick in hospital, has been
increased owing to the occur-
rence of plague.
Allowance of 25 per cent of the
pay + Es. 80 fixed travelling
allowance + Us. 15 horso allow-
ance, provided the permanent
pay + 25 per cent thereof doea
not fall below Rs. 80.
Same as in the case of C (i) but
minus the fixed travelling
allowance.
Allowance of 20 per cent of the
salary to be granted only when
the ambulance staff is on active
plague duty.
Note.—(i) The instructions issued in G.O. No. 384, Financial, dated 16th Juno
1904, es to the ( reation of temporary appointments and tho grant of deputation allow-
ances to servants employed on plague duty should be carefully followed.
(ii) The language a'llowan e of Rs. 2 per enfem granted under paragraph
210 of the Civil Medical Code is inadmissible in the case of sub-assistant surgeons on
plagne duty.
* When the outdoor plague work of a medical subordinate is so heavy as to
necesítate the uee of a conveyance, carts or jutkas may be provided for him by the
local body concorned. The actual chargea incurred in the payment of hire should be
debited to ' Contingencies.'
36
PART II.—Salaries of Officers temporarily entertained for
Plague Duty,
1
Designation.
!
Salary.
i
A. Retired military
assistant
sur-
geons.
B.
Uncovenanted
medical officers.
C. Temporary civil
assistant
p.urgeons.
D. - Private sub-
assistant
surgeons.
E. . Retired sub-
assistant
surgeons.
P. Qualified Euro-
peans, Euasian
or Indian nurses
locally recruited.
Pay of their grade at the time
of retirement + Rs. 100
allowance
subject to a
maximum of Us. 350 a
month. In special cases the
Iocal Government may raise
the limit to Rs. 500. A
retired
honorary
com-
missioned officer of the
Indian Subordinate Medi-
cal Department is entitled
to double first-class travel-
ling allowance by rail, aud
eight annas a mile by road.
Such pay not exceeding Rp.
350 a month as the Surgeou-
General may find necessary,
with, travelling allowances
to and from the places to
which they are posted at
the rates of double second-
class fares for journeys by
rail and annas 4 a mile for
journeys by road.
Pay Rs. '100 a month +
allowance of Rs. 2 a day,
with travelling allowance to
and from the place to which
they are appointed.
Pay assigned to the corre-
sponding grades; of sub-
assistant
surgeons
in.
Government service ( + 50
per cent thereof) with
compensation for quarters.
Pay of their grade at the
time of retirement (in
addition to their pension).
Such pay not ordinarily
exceeding Rs. 75 a month
with free quarters or Rs. 10
for house-rent.
i
j i
|
Remarks.
The officers should be required
to produce certificates of phy-
sical fitness, aud their appoint-
ments should, in the first
instance, be made for periods
not exceeding six months.
The term of employment may,
subject to their good conduct
and efficiency, be for a period
of three months, the engage-
ment being terminable after
the expiry of the first two
months by a written notice
given by either the Govern-
ment or the officer.
When the nurses attend on
plague pa,tients, a boarding
allowance of Rs. 1-8-0 a day in
the case of Europeans and
Eurasians, or one rupee in the
case of Indians should be paid.
When employed on duties
entailing a considerable amount
oí moving about within a
limited area end necessitating
the frequent hiring of vehicles,
they may be paid actual
conveyance allowances irre-
spective of the five miles' limit
prescribed in article 1055 of
the Civil Service Regulations.
For terms on which caste
Indian nurses may be trained,
see G.O. No. 1835 P., dated 23rd
December 1809.
36
PAK i II.—Salaries of Officers temporarily entertained for Plague
Duty—cont.
Designation.
G. Private gentle-
men
appointed
as plague super-
visors in munici-
pal towns.
H. Private gentle-
men appointed as
plague
super-
visors in rural
areas.
I. Plague
inspec-
tors.
J. Other temporary
subordinates
including menial
Salary.
Rs. 2 a day + Rs. 15. horse
allowance.
Rs. 80 pay + Rs. 30, fixed
travelling
allowance, +
Rs. 15, horse allowance.
[As in Appendix E.]
Such rates as would be suffi-
cient to induce persons to
take up the appointments.
servants.
,
!
Remarks.
Such supervisors should usually
be Europeans or Eurasians.
They need not be appointed
unless the outbreak of plague
requires a special organization
to deal with it.
......
Menial servants are not eligible
for any allowances, and should
be conveyed from place to
place at the cost of Govern-
ment.
Note.—The pony or horse allowance admissible to officers under this appendix
may, at the discretion of the Collector, be converted into an allowance for the upkeep
of any other conveyance, provided that the allowance does not exceed Rs. 5 per mensem
should the conveyance maintained and used be a bicycle.
87
APPENDIX E.
[See Standing Order 24.]
Pay and Allowances of Plague Inspectors.
Plague inspectors will be—
I Certificated sanitary inspectors;
II. Sub-assistant surgeons ; or
111. Men specially trained for plague duty.
I.—Certificated Sanitary Inspectors,
Certificated sanitary inspectors include sanitary inspectors, assist-
ant sanitary inspectors and certificated sanitary inspectors under
G.O. No. 1131 L.. dated llth September 1903.
G.O. No. 1080 L., dated
27th September 1905.
Plague inspectors for range work should primarily be recruited
from this class. A list of men available for duty will be kept by the
Sanitary Commissioner by whom they will be posted for plague work
on the requisition of, and in consultation with, Collectors. When once
an inspector has been posted, further control on the part of the
Sanitary Commissioner Will cease, and he
should not be withdrawn or transferred by the
Sanitary Commissioner without the consent
of the authority employing him.
Pay and Allowances.
The pay and allowances of a certificated sanitary inspector on
plague duty will be regulated as follows : —
(i)
(ii)
(iii)
When employed in a
rural area.
When employed in a
municipality.
When employed in a
union.
Rs. 45 pay + Rs. 15 pouy
allowance.
Rs. 40 pay + Rs. 15 pony
allowance,
Not more than what is ad-
missible to him when
employed in a munici-
pality .
When einployed in
the municipalities
of
Ootacamuncl,
Coonoor or Kodai-
kanal, or in rural
areas in the Nilgiris,
he will be entitled
to draw a hill allow-
ance of one-third of
the pay.
Note.—The emoluments of certificated sanitary inspectors deputed for plague
work from local find or municipal service, either temporary or permanent, will be
regulated under the rules as to deputation allowances issued under G-.O. No. 384, Finan-
cial, dated 16th June 1904.
II.—Sub-Assistant Surgeons.
The allowances of a sub-assistant surgeon employed as a plague
inspector will be as follows ; ordinarily the service of only third-
grade sub-assistant surgeons should be used for range work :—
Grade pay + special plague al-
lowance* of Rs. 10. In cases
•where he has other than purely
stationary duties, he will be
given, a cycle allowance of R.S. 5
or a pony allowance of Rs. 15
provided be maintains and n ses
a serviceable pony.
If employed on the hills the sub-assist-
ant surgeon will be entitled to draw
a consolidated hill allowance of one-
third of the pay, but no house-rent
or warm clothing allowance will be
admissible,
j
* The special plague allowance will be admissible irrespective of the fact whether
the sub-assistant surgeon was in receipt of a charge allowance or not at the time of his
deputation to plague duty. No separate allowance will, however, be paid in lieu of
charge allowance nor can deputation allowance be drawn in addition,
4
38
III.—Men specially trained for Plague Duty.
These are men who are selected locally by the Collector for training
and after being trained specially for plague duty by the Deputy
Sanitary Commissioner receive certificates from the latter as to their
fitness for employment as plague inspectors. Their pay and allow-
ances will be regulated as follows :—
(i) (a) A member of the permanent establishment in superior
service, whether belonging to the revenue or other branches of the
Government service, employed as & range inspector in a rural area will
draw a minimum pay of Rs. 35 plus a pony allowance of Rs. 15.
(6) A member of the permanent establishment in local fund
or municipal service employed as a plague inspector in a rural area
will draw in addition to his salary in such service only a deputation
allowance in accordance with the rules issued in G.O. No. 384,
Financial, dated 16th June 1904, plus a pony allowance of Rs. 15 per
mensem, if employed as a range inspector.
(c) A private person employed as a plague inspector in a rural
area will draw such pay not exceeding Rs. 30 as the Collector may fix.
When employed as a range inspector, he may be paid a pony allowance
of Rs. 15.
Note,—(1) A pay in excess of Rs. 35 can be granted to Government servants only
if admissible under rule I of article 764 of the Civil Service Regulations.
(2) All plague inspectors employed in the Nilgiris will be entitled to draw
a consolidated hill allowance calculated at one-third of their pay.
(ii) In the case of a person specially trained who is employed
on plague duty in a municipality or a union the pay shall not
ordinarily exceed the following scale :—
(a) Range Inspector.—Rupees 25 for a charge of about 5,000
inhabitants (or 1,200 houses).
Rupees 30 for a charge of about 6,500 inhabitants (or 1,500
houses).
When employed in the Coonoor, Ootacamund or Kodaikänal
Municipality he will be entitled to draw a hill allowance of one-third
of the pay plus pony allowance of Rs. 15 per mensem.
(b) Divisional Inspector.—Rupees 40 plus Rs. 15 pony allow-
ance.
When employed in the Coonoor, Ootaoamund or Kodaikaual
Municipality he will be entitled to draw a hill allowance of one-third
of the pay.
(iii) A member of the permanent establishment in the superior
service of Government who is specially trained for plague duty, will
be paid the following emoluments when employed as a plague inspector
in a municipality or union, subject to the maximum rates prescribed
in clause (ii) :—
(1) When employed as a range inspector, a minimum pay of
Rs. 25 per mensem.
(2) When employed as a divisional inspector, a minimum pay
of Rs. 30 plus a pony allowance of Rs. 15 per mensem.
(3) A pay in excess of the limits mentioned in clauses (1) and
(2) can be granted only if admissible under rule I of article 764 of the
Civil ServiceRegul ations.
39
(iv) A member of the permanent establishment in local fund
or municipal service who is specially trained for plague duty and
employed as a plague inspector in a municipality or union, will draw in
addition to his'salary in such service only a deputation allowance, in
accordance with the rules issued in G.O. No. 384, Financial, dated
16th June 1904. A pony allowance of Es. 15 per mensem will be
grantted to him if he is employed as a divisional inspector.
Note.—(1) The instructions issued in G.O. No. 384, Financial, dated 16th June 1904,
as to the creation, ot temporary appointments and the grant of deputation allowances
to servants employed on plague duty, should be carefully followed.
(2) The pony allowance admissible to officers under this appendix may, at the
discretion of the Collector, be converted into an allowance for the upkeep of any other
conveyance, provided that the allowance does not exceed Rs, 5 per mensem should the
conveyance maintained and used be a bicycle.
INDEX.
A
ACT —
Epidemic Diseases —
...
..
...
Power delegated to Local Government
under the Epidemic Diseases —
A DMINISTBAT1O N
'Administrative staff
ALLOWANCES—
Plague
Statement showing the rates of — admissi-
ble o officers on plague duty
Statement showing the — admissible to
plague inspectors
Subsistence allowance to inoculated persons.
APPEAL —
Right of — of the plague staff against
punishments inflicted on them
B
BUDGET—
Estimates of plague expenditure
Transfer of funds
BUILDINGS —
Acquisition of — for plague purposes
Destr uction of sheds ...
...
...
C
CANTONMENTS —
Responsibility for carrying oui plague
measure« in —
CARBONATE —
BARIUM —
CHARGES—
Classification of plague —
Distribution, of plague —
...
...•
Final accounts of plague —
Power of Collector to incur expenditure on
plague
Chitre, Dr. —
,
CIRCLES--
Plague Inspectors' —
CLOTHES—
Sun-disinfection of clothing ...
COMMUNICATION —
Communication of information regarding
plague cases in a district to adjoining
districts in this Presidency
Inter-communication of plague news in
this Presidency and in the adjoining
territories
Page.
1
2
6-7
17
33—36
37—39
0
15
27
17
18
4
5
7
27-28
18—19
15— 16
18
16
26
12
5, 8, 26
14
14
Regula-
tion.
..
.
...
...
...
...
...
...
5
6ö
...
...
•
10
Standing
Order.
..
...
1
23—24
Appx. D
Appx. D
5
19
Appx. A
25
26
1
Appx. A
29
20
28
21
Appx, A
10
3, Appx. A
15
16
INDEX
41
COMPENSATION —
Award of — for loss of property
CONTRIBUTION —
Government — to private plague hospitals.
CORRESPONDENCE —
Plague ...
...
.,.
...
D
DEFINITION —
Definition of certain terms occurring in the
Regulations ...
DELEGATION —
Power delegated to Local Government
under the Epidemic Diseases Act
DISINFECTION —
Sun — of clothing
San — of grain
...
..,
...
... 5
E
EPIDEMIC—
— Diseases Act
Power delegated to Local Government
under the — Diseases Act
ESTABLISH M ENTS —
Administrative staff and control of plague
measures
Collector's power to punish Government
medical subordinates on plague duty
Duty of plague inspectors and local officers.
Employment of plague — ..
Half-yearly lists of plague —
Plague — that are entitled to and bound to
give one month's notice
Power of Collectors to punish plague — ...
Power of plague officer to punish plague — .
Retention of plague —
ESTIMATES —
Plague
EVACUATION —
Instructions on —
— of infected areas ...
...
r
FUNDS —
Transfer of funds
Fines
G
GOVERNMENT MEDICAL SUBORDINATES ON
PLAGUE DUTY —
Collector's power to punish. —
Grant of casual or privilege leave to —
GRAIN —
Inspection and Bun-disinfection of — in
transit
Inspection of places used for storage of —
Quarantive of —
Rat free — godowñs ...
— trade ..
5,7,8
G RANTS
Government — towards the construction am
maintenance of private plague hospitals ,
-Page.
6,16
10—11
19
3
2
5, 7, 26
,7,8,26
1
2
6—7
14— ]5
11—13
12
16
5—6
14—15
15
16—17
17
9— 10, 28, I
4
18
18
14—15
15
5, 7, 8 and
5, 7 and 8
5 and 8
7 23—26
I, 2-1, 25, 26
a
.. 10—11
Regula-
tion.
12
...
...
1
10
8, 10
...
11
...
29
4
...
1 26
8
7
10
¡
7, 8
Standing
Order.
21
7
30-31
...
3| Appx. A
3, Appx. A
...
...
1
16
8, 9 and 11
10
22
16, 18 and 19
18
22
25
6—7, Appx. A
...
26
27
16
17
3, Appx. A
2,3
3
2, Appx. A
2, 3. Appx. A
7
42
INDEX
H
HOSPITALS —
Government
contribution
towards the
construction and maintenance of private
plague —
Removal of plague patients to — ...
Sale-proceeds of private plague —
Supervision of private plague —
Cost of plague
HOUSE -HOLDEES —
Duby of — to report plague cases
I
INCAPACITATED PERSONS —
Allowances to —
INFECTED AREAS —
Definition of —
Evacuation of —
Notification of areas to be infected witH
plague
INOCULATION —
Instructions on —
Subsistence allowance to inoculated persons
INSPECTION —
Inspection of grain and the places used fo:
its storage
...
,
,
K
KüNHARDT —
Major J. O.G. —
L
LANDS —
Acquisition of — for plague purpose
LEAVE —
Casual or privilege — to Government med
cal subordinates on plague duty
LOCAL AUTHORITY —
Definition of —
Duty of—
M
MAEKETS —
Closure of —
MEASURES —
General control of plague — ...
General preventive — ...
Measures to be taken by local officers on the
occurrence of a case of plague
Measures to be taken by plague inspectors .
MEDICAL PRACTITIONERS —
Duty of — to report plague cases
MILITARY —
Persons of all ranks in the — service shou
obey the Plague Regulations
N
NOTIFICATION —
— of infected areas
NORMAN WHITE—
Major — 's memorandum on plague mea
sures ...
Page.
10—11
10 --11
10-11
10—11
15—16
. 5,11
o
3
4
H
3,4
9. 28 and 29
9
r
5, 7, 8, 24, 2
26
4
15
3
,
11, 12
4
6—7
... 7—9, 11,2
11,12
.. * 12,13
5,11
.Id
6
3,4
... 20—29
»
Regula-
tion .
...
...
...
9
...
1(a)
4
2
¡5
7, 8
••
5
...
1 (b)
3
0—29 '.'.
...
...
9
13
2
Standing
Order.
7
7
7
7
20
8
6
...
5, Appx. A
5
23, Appx. A
Appx. A
17
8,
1
2—6 Appx. A
8,9 7
11
8
...
...
Appx. A