20
A SKETCH OF THE MEDICAL HISTORY OF THE NATIVE ARMY OF BOMBAY.
4th, office ; 5th, store-room ; 6th, passage into second door ; and 7th, room used for the private
examination of patients ; so that on the west side there is ventilation only by 2 doors in a wall
96 feet long. This is the only fault the hospital has. The hospital assistants' quarters are
all that can be desired, if they had liberty to build a small privy. The compound is large,
length 122 yards, breadth 80 yards, which gives an area of 9,760 square yards. The site is
good, the ground being rocky beneath, without any sub-soil, and slopes towards a small rivulet
which runs northwards. The drainage is thus natural and good. The plinth is about 1 foot
high on the west side, and 3 1/2 feet on the east, roof tiled, with Howard' s ventilator on the top.
There is also a separate ward in the compound 40 feet long, 22 broad, height of wall 11 feet,
cubic capacity 9,680, has a plinth of 2 feet, and a verandah of 5 feet all round. The ward is
used for surgical cases and cases of ophthalmia, &c., requiring segregation. Ventilation is by
three windows on the east, and three on the west side, a door on the south, and a window on the
north gable. It is sufficient. For the treatment of contagious disease, as small-pox, there is
erected a chupper hut, built on a permanent plinth of about 1 foot in height, and measuring
50 feet in length, 21 in breadth, height of outer wall 7 feet, giving 1,050 square feet and
10,500 cubic feet, but the gables instead of the sides of this erection have been turned towards
the direction of the prevailing winds. It has ventilation by two doors on each side.
Conservancy.
8. The system is the same, and the latrines have been
kept scrupulously clean.
9. Is Kharakwásla water, pipes having been laid on since the 8th of October 1876
Hospital water-supply.
10. Sickness and Mortality.
Year.
Average
strength.
Admis-
sions.
D e a t h s .
Average
daily sick.
Treated to
strength.
Total
treated.
A d m i t t e d p e r 1 , 0 0 0 o f s t r e n g t h .
No. daily sick per 1, 000 of strength.
1 8 7 5 . . .
. . .
6 3 4
4 0 7
5
1 4 . 4
6 6 . 2
4 2 0
6 4 1 . 9
2 2 7 . 1
1 8 7 6 . . .
. . .
589
1,106
...
2 2 . 1
1 8 9 . 9
1,119
1 , 8 7 7 . 7
3 7 5 . 2
There were 5 cases of small-pox treated. These were of a mild type, having all been
previously vaccinated. There were also 9 children and 3 women, the former all recovered ;
2 of the latter died. They were also vaccinated. These cases were treated in the chupper
ward.
Admissions for Ague.
234 men once in hospital
. . .
. . .
. . .
. . .
. . . 234
88
, , twice
, ,
. . .
. . .
. . .
. . .
. . . 176
66
, , three times in hospital
...
...
...
... 198
26 „ four
, ,
, ,
. . .
. . .
. . .
. . . 104
8 „ five
, ,
, ,
. . .
. . .
. . .
. . . 40
2
, , six
,,
,,
. . .
. . .
. . .
. . . 12
1
, , seven
,,
, ,
. . .
. . .
. . .
. . .
7
1
, , eight
, ,
, ,
. . .
. . .
. . .
. . .
8
426
Total... 779
There were thus 163 men of the regiment not in hospital during the year. These cases
were all of a mild type, and yielded readily to the usual treatment and change of air. Four men
were sent to their homes on this account. One case of remittent fever was sent for change of
air for six months. There was one case of mumps treated ; the same man was also treated for
diarrhœa. There were two very slight cases of erysipelas. One of them was admitted once
with sciatica and twice with ague ; the other twice with contusion. Eleven cases of chronic rheu-
matism were treated. All these men have suffered also from various other diseases, such as
ague, lumbago, syphilis primary and secondary, dyspepsia, boils, and itch. Of these cases
5 were invalided, and 1 sent for change of air. There have been 6 cases of primary and 1
of secondary syphilis. One of the former suffered also from rheumatism ; another suffered
also from gonorrhœa, orchitis and conjunctivitis, and a third also from ague, gonorrhœa,
and orchitis. The case of secondary syphilis was invalided under lumbago. There were
7 admissions from scurvy, 2 men being admitted twice. The others suffered also
from ague and chronic rheumatism. One has been invalided, 2 were sent for change of
air, and 2 cases were invalided under the head of debility. Twenty-one cases of lumbago
Formerly well water was used ; it was also good.