POONA. DIVISION OP THE ARMY.
dence in Poona ; and it is to be hoped that a longer stay in the invigorating climate of the
Deccan will completely shake off the tendency.
2. The state of the lines and topography of the surrounding country having already
been fully reported on by medical officers in charge of the
different regiments stationed at Poona, there is nothing further
to be added.
3. The following table, contrasting the admission from various diseases during the years
Lines.
Sickness.
Admissions.
1875 and 1876, clearly shows, as a rule, that the general health of
the regiment has considerably improved during the latter year :—
1875.
1876.
Ague
. . .
...
...
. . .
...
591
. . .
311
Contusion
...
. . .
. . .
. . .
116
. . .
99
Boils
...
...
...
. . .
. . .
80
...
48
Bronchitis...
...
...
...
...
87
. . .
42
Syphilis, primary and secondary
...
2 5
. . .
42
Rheumatic affections
. . .
. . .
. . .
53
...
38
Gonorrhœa and its complication
...
7
. . .
21
Dysentery
...
...
. . .
...
2 4
. . .
17
Conjunctivitis
...
...
...
...
28
...
...
16
Scabies ...
...
...
...
...
15
...
14
Pneumonia
...
. . .
...
...
16
. . .
8
Splenitis
. . .
. . .
. . .
. . .
. . .
18
...
7
Chicken-pox
...
...
...
...
4
...
7
Brow ague
. . .
. . .
. . .
. . .
11
. . .
5
Small-pox
...
..
...
. . .
...
...
5
Diarrhœa ...
...
...
. . .
...
38
...
4
Hepatitis ...
. . .
...
...
...
11
. . .
3
pleuritis ...
. . .
...
...
. . .
9
...
2
Ague .—The admissions from ague were 280 less than the previous year. The disease
was most prevalent during the months of January, February, March, April, July, November,
and December. The type of the disease was most severe during the month of April, and in a
few instances it was associated with bronchitis. The disease was generally quotidian in form
, and the ordinary treatment was, as a rule, sufficient to cut short the attacks. Diarrhœa, which
was a frequent complication of the disease in Surat, was seldom present, and pain in the spleen
was rarely complained of. In only one instance during the month of February was it con-
sidered advisable to send. a patient for change of climate, and this was done as he was subject to
repeated attacks of ague and was in a weak and emaciated condition at the time, and appeared
to derive little or no benefit from treatment; he eventually died from the effects of this disease.
The treatment by cinchonidine was fairly tried (both hypodermically and by the mouth)
during the year ; and from further experience I have no reason to alter the opinion I arrived at
in my former report, viz., that it is efficacious in cases of a mild nature, but in those of a
chronic character, or more severe type, it is generally less certain in its action as an anti-perio-
dic than quinine.
Bronchitis.—During the year 42 cases of bronchitis were admitted ; some of these were
of a severe nature, and it was found necessary to send three patients suffering from this disease
on medical certificate for the recovery of their health,
Syphilis.—The admissions from syphilis were greatly in excess of those of the past five
y ears. The accompanying table shows the number treated for this disease during the year :—
Disease.
Remaining
1st Jan-
uary 1876.
Admitted
during the
year.
Remaining
31st December
1876.
Remarks.
Syphilis,primary ...
...
5
11
2
The 26 admissions from secondary sy-
philis were furnished by 15 patients in
the following order :—1 admitted four
times, 2 three times, 4 twice, and the
the remaining 8 once. Of the Primary
admissions, 3 occurred in March, 2 in
November, and 1 in each of the follow-
ing :—January, February, May, June,
July, and December.
Soft chancre
...
...
...
1
. . .
Indurated bubo
...
...
1
2
...
Syphilis, secondary
...
1
26
2
Syphilitic iritis
...
. . .
. . .
2
1
B1
9 6 — 7