NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
REPORT
ON
SANITATION, DISPENSARIES, AND JAILS IN
RAJPUTANA FOR 1919
AND ON
VACCINATION FOR THE YEAR 1919-20.
VITAL STATISTICS, BIRTHS AND DEATHS.
Births in Ajmer-Merwara.
3. During the year under report 15,063 births were registered in Ajmer¬
Merwara in 1919 against 13,214 in the
previous year, an increase of 1,849.
4. Of the total births registered 8,021 were males and 7,042 females.
The birth rate was 30.04 per mille of population as compared with 26.35 per
mille in 1918. The percentage of male to female births was 113.90 against
119.17 in the previous year.
Deaths in Ajmer-Merwara.
5. The total number of deaths registered in this division was 14,375 in
1919 against 57,553 in 1918 a decrease of
43,178 due to absence of any large epide-
mic. The death rate per mille of population was 28.67 as compared with
114.78 in the previous year.
6. The mortality among children under five years of age was 43 per cent.
of the total deaths against 19 per cent, in the previous year.
7. 11,054 deaths from "Fevers" were reported against 47,803 in 1918, an
decrease of 36,749 due chiefly to the absence of Influenza.
B
VITAL STATISTICS IN AJMER-MERWARA AND SANITATION IN RAJPUTANA.
3
15. In September the disease broke out in Alwar and Mewar and extended
to Kotah.
16. Alwar.—There was no Cholera in the State with the exception of 28
cases with 14 deaths reported from two of the villages in the Rajgarh Tehsil
from 1st to 29th September 1919.
17. Mewar.—During the month of September Cholera appeared in Mewar,
and affected 3 places, viz., Nathdwara, Chitorgarh and Morella Jail, Udaipur.
52 attacks with 38 deaths were reported to have occurred up to 23rd September
1919, of these 3 cases and 2 deaths in the Morella Jail at Udaipur.
18. In Kotah State Cholera [appeared in Bamora Kalan in Mangrol
Nizamat on 11th October 1919 where the infection is said to have been brought
from Sheopur Baroda in Gwalior State, a place situated only 6 miles from
Bamora Kalan where Cholera has been prevailing for some time, 94 cases with
66 deaths were reported up to 11th November 1919.
19. Usual precautionary measures for its eradication were taken.
20. No Cholera map is necessary.
SANITATION,
Ajmere City.
21. The Sanitary arrangements are in-
sufficient and inadequate.
22. A steam Tramway removes nightsoil, sullage and refuse to trenching
grounds outside Ajmer.
23. The surrounding of Mayo College, Ajmer, has been greatly improved
by the addition of certain fields which have been acquired from time to time.
An incinerator has been erected and more latrines have been provided.
24. The Birat system of scavenging is unsatisfactory and is not under any
effective control.
25. The main roads of the city and suburbs require attention especially
those where there is a good deal of wheel traffic.
26. A scheme for surface drainage, which is badly wanted, is still under
consideration.
27. The covered drains in the city arc insanitary and often get blocked up.
28. The slaughter house, meat markets and butchers' shops still leave much
to be desired. One more slaughter house is needed to be constructed on a
modern design providing for drainage, etc.
29. Many private latrines have been improved by opening ventilators and
making certain changes in them.
30. No construction of a privy is allowed by the Conservancy Sub-Com-
mittee unless it is in accordance with the standard plan and rules.
31. The foul water from private houses and rubbish are removed in Muni-
cipal carts to the Tramway terminus.
32. The present number of foul water carts is insufficient to cope with the
present demands of the population.
33. The proposal of replacing masonry latrines and urinals by galvanised
iron ones, is still under consideration, but expense here is a serious factor.
34. Many of the shops in the city, especially meat and halwai shops, use
no means to protect their wares from flies and dust. The effect of this on the
general health of the city is bad.
35. The Commissioner, Ajmer-Merwara, reports that rules for the improve-
ment of Village Sanitation were restricted to the same villages as last year.
NATIVE STATES.
36. Jaipur.—The General health of Jaipur City was satisfactory as no
epidemic troubled the population which had been weakened by the ravages of
plague and Influenza in the two previous years.
B 2
VACCINATION AND DISPENSARIES IN RAJPUTANA.
5
50. 19.37 per thousand of the population in the Native States were suc-
cessfully vaccinated against 13.73 in 1918-19.
Statement II.
Expenditure on vaccination in Ajmer-Merwara.
51. The total expenditure on Vaccination in Ajmer-Merwara was Rs. 4,029
4-10 against Rs. 3,240-11-4 in 1918-19, an
increase of Rs. 788-9-6 chiefly due to the
payment of war allowance to the Vaccination Staff. The average cost of each
successful case was 71 pies against 55 pies in 1918-19.
Expenditure on vaccination in Native States.
52. The total expenditure of Native States was Rs. 41,913-1-9 as compared
with Rs. 33,808-0-7 in the previous season,
the increase in cost being due to pay,
travelling allowance to Vaccination Staff and Contingencies. The average cost
of each successful Vaccination in different States varied from pies 145 in
Jaisalmer to 18 pies in Dungarpur.
53. The following table shows the number of towns and villages inspected
and vaccination seen by Residency or Agency Surgeons in Native States:—
Designation.
The Residency Surgeon, Western Rajputana States, Jodhpur .
The Principal Medical Officer, Bikaner State . . .
The Agency Surgeon, Eastern Rajputana States, Bharatpur . . .
The Residency Surgeon, Mewar, Udaipur
.
.
.
.
The Residency Surgeon, Jaipur
.
.
.
.
Number of towns
and villages
inspected.
14
2
37
65
79
Number of vac-
cination cases
seen.
618
3,029
922
1,117
4,331
54. The State Surgeon, Alwar, inspected 220 villages and examined 1,906
Vaccinations. The Assistant Surgeon, Kotah, inspected 213 villages and saw
1,389 vaccinated children. 608 vaccination operations were seen by the Assist-
ant Surgeon, Jhalawar.
55. The Native Superintendents of Vaccinations and other Inspecting
Officers in Native States inspected 76,933 Vaccinations against 59,030 in 1918-
19. The percentage of cases found successful among the total number seen in
1919-20 was 96.79 against 98.16 in the previous season.
56. Lymph is maintained throughout the year in most of the States.
Glycerinated Lymph was obtained during the year from the Government
Lymph Depôts and was satisfactory.
SECTION II—DISPENSARIES.
STATEMENT A.
Number of dispensaries.
57. During the year the number of Hospitals and Dispensaries was 178
against 179 in the previous year. The Uchain Dispensary in Bharatpur was
closed on 30th November 1919.
58. The Dispensaries are classified as under :—
I. State Public
.
.
.
.
.
II. State Special
.
.
.
.
.
III. Private Non-aided (i.e., Native States)
.
.
.
.
.
TOTAL .
8
13
157
178
6
DISPENSARIES IN RAJPUTANA
59. Besides these there are now six Mission Dispensaries and one Hospital
and 8 Dispensaries of the Bombay, Baroda and Central India Railway within
the limits of Rajputana.
Improvements and additions to Hospitals and
Dispensaries.
60. Jaipur.—The sum of Rs, 594-4-8 were spent in effecting improve-
ments and additions to the buildings of
the Mayo Hospital.
61. Bikaner.—The Pathological and Bacteriological Laboratory has now
been equipped and is in working order. Vaccines are now prepared and 269
injections of vaccine prepared in the Laboratory were given.
62. Further apparatus were ordered to bring X-Ray apparatus up to date
and make it much more powerful.
63. The Electrical and Vibratory message apparatus have been ordered
but it has not yet been received.
64. Kotah.—A Postmortem room at Antah was completed.
65. Mewar.—The Lansdowne Hospital at Udaipur requires enlarging and
expanding. It is at present in far too cramped a position and should be
removed to a much larger site somewhere else outside the city.
66. The present quarters for the Hospital Staff are quite inadequate to
meet the demands.
67. In-patient clothing and bedding, etc., for this hospital have been
obtained from the Central Jail, Udaipur, and Medical Supplies for this
Hospital as well as for other Hospitals and Dispensaries in Mewar from
England.
68. The Dispensaries at Untala, Chitorgarh, Bhilwara and Kapasin were
also supplied with in-patients clothing and bedding.
69. The proposal for building a new dispensary at Choti Sadri and for
establishing a dispensary at Hurra is still under the consideration of the
Darbar.
70. The Medical supervision of the Residency Surgeon, Mewar, over the
Southern Rajputana States Agency Hospital, Neemuch, was withdrawn from
the 15th April 1919.
STATEMENT B.
Attendance at Hospitals.
71. During the year under report 1,513,349 patients were treated at
State Public, State Special and Private Non-aided (i.e., Native States)
Dispensaries and Hospitals ; the corresponding figures for 1918 were 1,550,144
a decrease of 36,795 attributable to the absence of Epidemic diseases and
Malaria.
72. Of the total number of patients treated 18,623 were in-door and
1,494,726 out-door against. 17,370 in-door and 1,532,774 out-door in the
previous year. The number of deaths fell from 1,051 in 1918 to 703 in 1919
and the ratio of deaths per cent. of total treated fell from 6.05 in 1918 to 377
in 1919.
STATEMENTS C(i) AND C(ii).
Diseases treated.
73. In Statement C(I) the number of deaths under each head of diseases
treated in the in-door department is shown ; 18,623 in-patients were treated
with a mortality of 703 as compared with 17,370 in-patients and 1,051 deaths in
1918. The difference of 216 patients between columns 8 and 53 of Statements
B and C(I) is due to 216 out-door labour cases being included in Statement
C(I).
74. Two hundred nineteen Normal confinements with no deaths and 182
Abnormal confinements with 3 deaths were reported from the various hospitals,
as compared with 130 with 2 deaths and 181 with 3 deaths respectively in 1918.
DISPENSARIES IN RAJPUTANA.
7
75. One million, four hundred and ninety-four thousand and seven hundred
and twenty-six out-door patients treated in 1919 are shown in Statement C(II)
against 1,532,586 in the previous year.
76. The cases treated in the Hospitals and Dispensaries under each chief
disease during the years 1917, 1918 and 1919 are as follows :—
Diseases.
Malarial Fever
.
.
.
.
.
Diseases of the eye
.
.
.
.
.
Dysentery and Diarrhœa
.
.
.
.
.
Ulcers
.
.
.
.
.
Skin diseases
.
.
.
.
.
Syphilis
.
.
.
.
.
Injuries
.
.
.
.
.
Tubercle of the Lung
.
.
.
.
.
Abscess of the Liver
.
.
.
.
.
1917.
460,599
267,410
60,642
152,353
183,883
13,604
43,487
1,469
250
1918.
225,524
243,256
46,304
133,202
168,728
11,661
37,952
1,535
157
1919.
27,233
239,795
53,095
137,686
180,166
11,288
41,837
1,315
162
Scurvy.
77. Five hundred and twenty cases of Scurvy were treated in 1919, of these
134 in Mewar, 76 in Marwar, 66 in Bikaner, 60 in Tonk, 59 in Alwar and 43 in
Jaipur as compared with 551 in 1918 and 555 in 1917.
Leprosy.
78. Three hundred and twenty-one Lepers received treatment in 1919, of these
99 in Jaipur against 416 in 1918 and 379 in 1917. The Residency Surgeon,
Jaipur reports that 23 Lepers were treated with Lepronine which gave satisfac-
tory result.
Tubercular Diseases.
79. The Residency Surgeon Jaipur writes that the treatment of tubercular
diseases by means of Tubercul in Bacillary Emulsion (Koch) was continued
with satisfactory results.
80. The following table shows the different varieties of this disease
treated:—
Tubercular diseases of bones and joints . . . . . .
Ditto
Ditto
Ditto
Ditto
glands
.
.
.
.
.
.
lungs
.
.
.
.
.
.
Abscess
.
.
.
.
.
.
Ulcer
.
.
.
.
.
.
TOTAL
66
67
114
37
28
312
Plague.
81. During the year from 1st April 1919 to 31st March 1920 only 152
Plague seizures and 106 deaths were reported in 18 towns and villages infected
in Ajmer-Merwara District and in the Native States in Rajputana against
18,972 cases with, 16,268 deaths in 667 towns and villages in the previous
year.
82. The percentage of total plague deaths to population was 1.48 as shown
in table attached as compared with 2.41 in 1918-19.
8
PLAGUE IN RAJPUTANA.
Ajmer-Merwara.
83. In Ajmer-Merwara only 11 plague attacks and 4 deaths were reported
in Bogla Village in Kekri Circle in
Ajmer in April 1919 against 238 seizures
and 176 deaths in 23 towns and villages in Ajmer District.
84. During the year the Native States in Rajputana were free from Plague
with the exception of 141 cases and 102 deaths in Bharatpur, Marwar and
Mewar.
85. Bharatpur.—The disease lingered from the preceding year until June
1919. 92 seizures and 57 deaths were reported in 9 villages in Kaman, Pahari
and Nagar Tehsils of Bharatpur State, as compared with 4,260 cases and 3,383
deaths in 11 towns and 129 villages in the previous year.
86. Marwar.—There was no indigenous plague. throughout the year. Only
3 imported fatal cases occurred at the following places in Marwar during the
month of January 1920 : —
Peace.
Phalodi City
.
.
.
.
.
.
.
.
Khichand
.
.
.
.
.
.
.
.
No. of fatal cases.
1
2
87. Mewar.—Since 5th May 1918 to the end of February 1920 this State
remained free from Plague. On 1st March 1920 plague was reported in
village Bhimlat, Pargana Nagawli of Chitorgarh Zillah in which only 2 fatal
cases occurred up to 15th March 1920. The first case was imported from
village Chakarda Pargana Nimbahera of Tonk State. The Sub-Assistant Surgeon,
Chitorgarh on his visit discovered that the disease was prevailing in three other
villages viz., Somawas, Karoli and Akola up to 30th March 1920.
Place.
Somawas
.
.
.
.
.
.
.
.
Karoli
.
.
.
.
.
.
.
.
Akola . . . . . . . .
Cases.
30
3
11
Deaths.
30
3
7
88. All necessary precautions were taken to stamp out the disease.
Snake Bite.
89. Anti-venine is kept in stock in most of the Main Dispensaries and
used for the treatment of Snake Poisoning when opportunity offers. No-
special report has been received on the subject.
STATEMENT F.
90. Shows the classes and sexes of both in and Out-door patients treated
in the Dispensaries of Ajmer-Merwara and of Native States of Rajputana.
This calls for no comment, as it is merely introduced for statistical purposes.
STATEMENT G.
91. During the year under report 78,534 operations were performed on
78,037 persons in Ajmer-Merwara and in Native States against 75,390
operations done on 75,049 persons in the previous year. Of these cures
amounted to 76,819, the number relieved 693, discharged otherwise 188 and
died 89 as compared with 73,668, 864,230 and 81 respectively in 1918 ; while
248 remained under treatment at the end of the year.
92. Of the operations performed 1,995 were Extractions of the Lens for
Cataract, of which 1,728 or 86.62 per cent. were reported successful, 55 Litho-
tomies, 138 Litholapaxies and 196 Amputations against 1,237 Lens Extractions,
64 Lithotomies, 148 Litholapaxies and 202 Amputations in 1918.
10
DISPENSARIES IN RAJPUTANA.
Rs. 4,829 chiefly due to certain special grants received during the year and an
additional contribution of Rs. 1,000 sanctioned by the Ajmer Municipality in
addition to its usual annual subscription of Rs. 2,500. The subscriptions from
Europeans also rose from Rs. 45 in 1918 to Rs. 285 in 1919.
106. The value of invested Capital remained the same as in the previous
year.
107. The total expenditure of the Ajmer-Merwara Dispensaries was
Rs. 32,654 in 1919 as compared with Rs. 28,247 in 1918. All Heads of
Expenditure, except Buildings and Repairs, show increase owing to highly
enhanced prices of all necessary articles and to the grant of War Allowance
sanctioned by the Government of India. The expenditure on Buildings and
Repairs was Rs. 802 in 1919 against Rs. 1,662 in the previous year, a decrease
of Rs. 860.
108. Native States.—The total Expenditure of Hospitals and Dispensaries
in Native States in Rajputana fell from Rs. 5,42,968 in 1918 to Rs. 5,22,380 in
1919, a decrease of Rs. 20,588 under Head—Europe and Bazar Medicines, Mis-
cellaneous charges and Buildings and Repairs.
109. Of the total expenditure on Hospitals and Dispensaries in Native
States in Rajputana Rs. 91,991 were expended in Jaipur. Rs. 81,269 in
Marwar, Rs. 60,874 in Kotah, Rs. 53,264 in Bharatpur, Rs. 47,885 in Bikaner,
Rs. 47,598 in Mewar, Rs. 39,967, in Alwar, Rs.16,036 in Jhalawar, Rs. 14,851
in Tonk, Rs. 9,704 in Dholpur, Rs. 6,639 in Sirohi, Rs. 6,607 in Karauli,
Rs. 6,179 in Kishangarh, Rs. 5,557 in Shahpura, Rs. 5,393 in Jaisalmer,
Rs. 5,358 in Banswara, Rs. 4,768 in Pertabgarh, Rs. 4,687 in Dungarpur,
Rs. 4,069 in Bundi and Rs. 1,833 in Kushalgarh,
110. The average cost of each case treated in Ajmer-Merwara and in the
Native States Hospitals and Dispensaries was 94 pies and 72 pies against 75
pies and 72 pies in 1918.
Mission Hospitals,
111. During the year under report the number of Mission Hospitals in
Rajputana was 6 instead of 7 in 1918.
112. The following table shows the total number of In and Out-door
patients treated and operations performed in 1919.
Name of hospitals.
Ajmer . .
Ajmer Women Hos-
pital.
Nasirabad . .
Jaipur . . .
Jodhpur . .
Udaipur . .
TOTAL .
OUT-DOOR PATIENTS.
Old.
26,093
7,166
14,640
8,740
15,083
36,111
107,833
New.
15,138
3,993
7,858
2,793
6,605
15,972
52,359
Total.
41,231
11,159
22,498
11,533
21,688
52,083
160,192*
In-
patients.
17
623
...
52
18
165
875
Opera-
tions.
936
463
264
170
442
1,363
3,638
REMARKS.
89 were visited at
their homes.
2,014 were visited at
their homes.
850 were visited at
their homes.
845 were visited at
their homes.
92 were visited at
their homes.
* Medical statistics of these hospitals are for the Mission year from 1st October 1918 to 30th September
1919.
Railway Hospitals.
113. Seven-hundred and fifty In and 55,601 Out-door patients were treated
and 1,510 operations performed during the year in 9 Railway Dispensaries of
RAILWAY HOSPITALS, JAILS AND NATIVE STATES IN RAJPUTANA.
11
the Bombay, Baroda and Central India Railway within the limits of Rajputana
as per detail below as in the previous year :—
Station.
Ajmer
.
.
.
.
Phulera
.
.
.
Bandikui
.
.
.
.
Sojat Road . . .
Abu Road . . .
Kotah Junction . . .
Gangapur . . .
Sewai Madhopur . . .
TOTAL
NUMBER OF PATIENTS TREATED.
In-door.
216
159
212
11
83
34
35
...
750
Out-door.
26,765
4,250
7,054
2,472
4,951
2,202
5,754
2,153
55,601
Total.
26,981
4,409
7,266
2,483
5,034
2,236
5,789
2,153
56,351
Operations.
602
66
214
124
288
67
85
64
1,510
REMARKS.
Jails.
114. Ajmer. —The daily average number of prisoners in the Ajmer Jail
was 301.13 against 359.77 in the previous year. The total number of admis-
sions into Hospital and the daily average number of sick fell from 182 and 7 86
in 1918 to 135 and 5.27 in 1919. The number of deaths was 3 as compared
with 14 deaths in 1918, of these one death occurred among the Convicts and 2
among the Under-trials. One Under-trial died of Chronic Malaria, the Second
Under-trial of Enteric Fever and one Convict of Chronic Diarrhœa.
115. The Review by the Commissioner, Ajmer-Merwara on the strength
classification, health, employment and conduct of prisoners, nature of sen-
tences, jail manufactures and expenditure of the jail is given as Appendix A
of the report together with statements.
Native States.
116. The daily average of prisoners in the jails in the Native States fell
from 3808.98 in 1918 to 3615.28 in 1919, the total number of admissions into
hospitals from 1,833 to 1,671, the daily average number of sick from 84.23 to
72.91; mortality from 322 to 126 and the ratio of deaths per mille of average
strength from 84.54 to 34.85.
117. There was no Cholera or other epidemic disease in any of the jails
in Rajputana.
118. There were no deaths in the jails at Shahpura, Jhalawar, Kishan-
garh and Dungarpur.
119. Jaipur.—At the Central Jail, Jaipur, there has been overcrowding
throughout the year. The daily average number of prisoners rose from 584.61
in 1918 to 612.41 in 1919, but the total number of admissions into hospital
fell from 86 to 83, the mortality from 28 to 13 and ratio of deaths per mille
of average strength from 47.90 to 21.23.
120. In the District Jail the daily average number of prisoners fell from
187.53 in 1918 to 180.66 in 1919, total admission to hospital from 55 to 32,
daily average number of sick from 2.73, to 2.23, mortality from 10 to 4 and
ratio of deaths per mille of average strength from 53.32 to 22.14.
121. In the Kishangarh and Shahpura Jails no prisoner is reported to
have been treated as In-door patient during the year under report.
c 2
12
NATIVE STATES IN RAJPUTANA.
122. Jodhpur.—In the Jodhpur Central Jail the average number of
prisoners was 589.74 as compared with 574.62, although the total admissions
to hospital were 169 against 132, but the mortality fell from 21 to 20 and
ratio of deaths per mille of average strength from 36.55 to 33.91.
123. Sirohi.—Only 3 deaths occurred from Pneumonia against 11 in the
previous year.
124. Udaipur.—There has been overcrowding in the jail throughout the
year. The health of the prisoners was good during the year. The total
mortality was 9 against 40 in 1918, the causes of which are given below:—
Pneumonia . . . . . . . . .
Phthisis
.
.
.
.
.
.
.
.
.
Chronic Nephritis . . . . . . . . .
Chronic Diarrhœa
.
.
.
.
.
.
.
.
.
Dysentery . . . . . . . . .
Cordial disease
.
.
.
.
.
.
.
.
.
Cirrhosis of Liver with Ascitis . . . . . . . . .
2
1
1
1
1
2
1
125. There has been no special disease in the jails in Rajputana through-
out the year.
Qualified Medical Staff.
126. Lieutenant-Colonel J. W. Watson, C. I. E., I. M. S., was appointed
on the transfer of Major C. B. McConaghy, I. M. S., to Bhopal as Agency
Surgeon, Eastern Rajputana States, Bharatpur, with effect from 24th January
1919.
127. Lieutenant-Colonel P. P. Kilkelly, I. M. S. (Retired), Residency
Surgeon, Western Rajputana States, Jodhpur, was granted four months' sick
leave from 9th August 1919.
128. Lieutenant-Colonel L. J. M. Deas, I. M. S., was posted as Residency
Surgeon, Jaipur, with effect from the 25th October 1919.
129. Lieutenent-Colonel R. Shore, I. M. S. (Retired), Residency Surgeon,
Mewar, Udaipur, proceeded to England on ceasing to be re-employed on the
6th December 1919.
130. Lieutenant-Colonel J. W. Grant, I.M. S. was appointed as Residency
Surgeon, "Western Rajputana States, Jodhpur, with effect from the 16th
December 1919.
131. Lieutenant-Colonel F. D. S. Fayrer, I. M. S. was appointed as
Residency Surgeon Mewar, Udaipur, with effect from the 26th December
1919.
132. The following officers of the Indian Medical Service held temporary
visiting charge of the Residency and Agency Surgeoncies as noted against
their names and from and to the dates specified in addition to their own
duties:—
Major C. B. McConaghey, I. M. S. Agency Surgeon,
Eastern Rajputana States, Bharatpur.
Lieutenant-Colonel J. W. Watson, C. I. E., I. M. S.,
Agency Surgeon, Eastern Rajputana States, Bharatpur.
Lieutenant-Colonel R. Shore, I. M. S. (Retired), Residency
Surgeon, Mewar, Udaipur.
Lieutenant-Colonel F. D. S. Fayrer, I. M. S., Residency
Surgeon, Mewar, Udaipur.
Jaipur Residency Surgeoncy, and
Kotah and Jhalawar Agency
Surgeoncy up to 23rd January
1919.
Jaipur Residency Surgeoncy, and
Kotah and Jhalawar Agency
Surgeoncy from the 24th Janu-
ary to 31st December 1919.
Office of Medical Officer, Mewar
Bhil Corps, Kherwara, up to 5th
December 1919.
Office of Medical Officer, Mewar
Bhil Corps, Kherwara, from the
26th to 31st December 1919.