NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
237
APP. IV. ] Regulations under the Epidemic Diseases Act.
Saharanpur and
Ghaziabad.
long as may be necessary for the medical examination of the passen-
gers. The railway authorities shall detain the train so long as the
medical officer may consider necessary for the purpose.
Passengers not
to alight without
permission.
40. On the arrival of the train at these stations, a passenger
shall not alight from the train without the permission of a railway
police, or medical official.
Passengers to
alight and
proceed to
spot indicated for
inspection.
41. Every passenger shall, on being requested to do so by any
railway police or medical official, alight from the train, and proceed
for the purpose of medical inspection to any spot that may be indi-
cated by such official.
Passenger to
remain until
allowed to go.
42. A passenger shall not depart from the spot so indicatec
without the permission of the Medical Officer.
Examination of
females.
43. The examination of females shall be effected under the
orders of the Medical Officer by a female medical practitioner or
female medical subordinate.
B.—Segregation of Passengers.
Detention of sus-
pect passen-
gers.
44. If on inspection and examination of a passenger, the Medical
Officer has reasonable ground for suspecting that he or she is infected
with bubonic plague, the Medical Officer shall remove such person
to the observation shed erected in the vicinity of the railway station,
and shall arrange for the detention, dieting and medical treatment of
such person in the observation shed for so long as he (the Medical
Officer) may consider necessary.
Detention of
plague cases
in hospitals.
45. If on inspection and after due observation the Medical Officer !
is satisfied that a passenger is suffering from bubonic plague, the ]
Medical Officer shall immediately remove such person to the tempo-
rary hospital established for the purpose, and shall arrange for the
detention, dieting and medical.treatment of such person therein for so
long as he (the Medical Officer) may consider necessary.
Segregation
of companions
and attendants.
46. If in any case a person removed to a temporary hospital is
accompanied by a companion or attendant, the Medical Officer shall
require such companion or attendant to live in the immediate neigh-
bourhood of the temporary hospital in a segregation hut or tent pro-
vided for the purpose, and to remain in such place until he receives
permission from the Medical Officer to depart.
Treatment of
the same if at-
tacked by plague,
47. If a person is attacked with bubonic plague while so segre-
gated, the Medical Officer shall remove such person to the temporary
hospital and shall keep under observation in a segregation hut tent
or suitable structure, for a period of ten days from the date of such
removal, any companion or attendant who has been with him.
238
Regulations under the Epidemic Diseases A ct. [ APP. IV.
Segregation
for ten days Of
attendants of de-
ceased.
48. Upon the death of the sick person, the Medical Officer shall
for ten days detain under observation all persons who have been in
attendance on him, in segregation huts, tents or suitable structures
established for the purpose in the neighbourhood.
Persons dealt
with Under fore-
going rules to
obey instructions.
49. A person dealt with under the foregoing rules shall comply
with any directions that may be given to him by the Medical Officer
with regard to his removal to, and his detention and treatment in, an
observation shed, temporary hospital or place of segregation, and
with respect to the disinfecting or burning of his personal effects, the
disposal of any corpse, or with respect to any other similar matter :
he shall not depart from any such place of detention without the per-
mission of the Medical Officer.
Disinfection or
destruction of
clothing, bed-
ding, etc.
Compensation.
50. If necessary, the Medical Officer shall himself arrange for
the disinfection or destruction of clothes, etc. In cases where it is
considered necessary that the clothes or bedding, etc., of a traveller
should be burnt, the Medical Officer may, if the person is poor or for
other sufficient reason, arrange for providing other articles in their
place at the expense of Government.
Report to Civil
Surgeon, District
Magistrate and
Medical Inspec-
tor.
51. The Medical Officer shall immediately report by telegraph
to the Civil Surgeon, the Magistrate of the District and the Medical
Inspector the case of any person removed under his order to an ob«
servation shed, temporary hospital or place of segregation, and the
occurrence of any death, or the discovery of a dead body in a train
or on railway premises,
C.—Disposal of Corpses,
Method of dis-
posing of corpses,
52. In the event of a death occurring in a case where the exist-
ence of bubonic plague was known or suspected, or of a corpse being
found in a train, the Medical Officer shall arrange for the disposal of
the body. In the case of a European-or Muhammadan, the body
shall be buried at least six feet deep and be covered with chloride of
lime : the place of burial, if not an authorised cemetery, should be
well away from habitation and sources of water-supply. In the case
of a Hindu, the body shall be completely and thoroughly burnt in an
isolated locality in the presence of a responsible official.
D t —Relations of Medical, Police and Railway Officials.
Medical Offi-
cer at inspection
station and Civil
Surgeon to keep
in
communica-
tion.
53. In carrying out the foregoing instructions, the Medical
Officer shall keep in communication with the Civil Surgeon, and the
latter shall give the Medical Officer assistance in all cases in which
he may require it.
Assistance of
railway and po-
lice authorities.
54. The railway police and railway authorities shall assist the
Medical Officer in carrying out these rules,
239
APP, IV. ] Regulations under the Epidemic Diseases Act.
(ii) Procedure at Agra, Allahabad, Benares, Cawnpore, Lucknow,
Moghal Sarai, and Muttra.
A.—Inspection of Passengers.
Inspection car-
ried out by Hos
pital Assistant.
Agra.
Allahabad.
Benares.
Cawnpore,
Lucknow.
Meerut City.*
Moghal Sarai.
Muttra.
*Notification No.
87/
XVI—404-B.—1021,
dated the 26th Feb-
ruary 1897.
55. A Hospital Assistant has been placed at the railway stations
noted on the margin, whose sole duty is to watch
the trains coming from the direction of places in.
fected with bubonic plague and to observe the
passengers who alight or change trains at the
stations.
Railway author-
ities to make
arrangements for
inspection.
56. The railway authorities shall allow suffi-
cient time for the observation (a) of passengers who
alight, and (b) of passengers who change carriages
for the purpose of proceeding by other trains, and shall make such
arrangements as may be necessary for the purpose.
Suspect cases
to be removed to
segregation shed
and report made
to District au-
thorities.
57. If the Hospital Assistant suspects a passenger to be suffer-
ing from bubonic plague, he shall immediately arrange for the re-
moval of such person to the observation shed in the vicinity of the
railway station, and for his detention and treatment therein pending
the arrival of the Civil Surgeon. The Hospital Assistant shall report
his action forthwith to the Civil Surgeon and the Magistrate of the
district.
B.—Segregation of Passengers.
Civil Surgeon
to arrange for
treatment
and
segregation.
58. On receiving a report under the preceding rule, the Civil
Surgeon (or the officer in charge of his duties) shall at once proceed
to the observation shed, and shall arrange, if in his opinion the cir-
cumstances of the case require it, for the detention, dieting and
medical treatment of the person infected, or suspected of being
infected, with bubonic plague ; and for the removal, if necessary, oí
such person from the observation shed to the temporary hospital for
detention and medical treatment therein.
Segregation of
companions and
attendants.
59. If in any case a person removed to a temporary hospital is
accompanied by a companion or attendant, the Civil Surgeon shall '
require the companion or attendant to live in the immediate neigh-
bourhood of the temporary hospital in a segregation hut or tent
provided for the purpose, and to remain in such place until he re-
ceives permission from the Civil Surgeon to depart.
Treatment of
the same if at-
tacked by plague.
60. If a person is attacked with bubonic plague while so segre-'
gated, the Civil Surgeon shall remove such person to the temporary
hospital, and shall keep, under observation for a period of ten days
from the date of such removal, in a segregation hut, tent or suitable
structure, any companion or attendant who has been with him.
240
Regulations under the Epidemic Diseases Act, [ APP. IV.
Detention for
ten days of atten-
dants of deceased,
61. Upon the death of the sick person, the Civil Surgeon shall for
ten days detain under observation all persons who have been in atten-
dance on him in segregation huts, tents or suitable structures estab-
lished for the purpose in the neighbourhood.
Persons dealt
with under
foregoing rules
to obey
instructions.
62. A person dealt with under the foregoing rules shall comply
with any direction that may be given to him by any officer empowered
under these rules, with regard to his removal to, and his detention and
treatment in, an observation shed, temporary hospital or place of
segregation, and with respect to the disinfection or burning of his
clothes and personal effects, the disposal of any corpse or with respect
to any other similar matter, he shall not depart from any such place of
detention without the Dermission of the Civil Surgeon.
Disinfection or
destruction of
clothing,
bedding, etc.
Compensation.
63. If necessary, the Civil Surgeon shall himself arrange for the
disinfection or destruction of clothes, etc., in cases where it is
considered necessary that the clothes or bedding, etc., of a traveller
should be burnt, the Medical Officer may, if the person is poor or for
other sufficient reason, arrange for providing other articles in their
place at the expense of Government.
Report to the
District
Magistrate.
64. The Civil Surgeon shall immediately report to the Magistrate
of the district the case of any person removed under his order to a
temporary hospital or place of segregation and the occurrence of
any death in the case of a person believed to be infected with bubonic
plague.
C.—Disposal of Corpses.
Method of
disposal of
corpses.
65. In the event of a death occurring from bubonic plague, or of
a corpse being found in the train, the Civil Surgeon shall arrange for
the disposal of the body. In the case of a European or Muhammadan,
the body shall be buried at least six feet deep and be covered with
chloride of lime: the place of burial, if not an authorized cemetery,
should be well away from habitations and sources of Water-supply,
In the case of a Hindu, the body shall be completely and thoroughly
burnt in an isolated locality in the presence of a responsible official.
Assistance of
railway and
police
authorities.
D.—Duty of Railway Police and Railway Authorities.
66. The railway police and railway authorities shall assist the
Civil Surgeon or other official in carrying out these rules.
(iii) Procedure at Stations other than those detailed
under (i) and (ii).
Station masters
and other
railway officials
to watch
passengers.
67. At all stations, the Station Master and other railway officials
should watch persons who alight from the trains, more especially
those who have travelled from the direction of Bombay or other places
where plague is prevalent; with the view of detecting cases of bubonic
plague,
24l
APP. IV. J Regulations tinder the Epidemic Diseases Act.
Stations at
which officers of
the Vaccination
Department are
posted.
Segregation
of suspect cases.
Aligarh.
Banda.
Bareilly.
Bahraich.
Bara-Banki.
Chandausi.
Etavvah.
Farukhabad.
Fatehpur.
Fyzabad.
Ghazipur.
Gonda.
Gorakhpur.
Hardoi.
H ardwar.
Hathras.
Jaunpur.
Lalitpur.
Lakhimpur.
Mirzapur.
Moradabad.
Muttra.
Muzaffarnagar.
Orai.
Pilibhit.
R am pur.
Rae Bareli.
Roorkee.
Sitapur.
Shahjahanpur.
Tundía.
Unao.
Report to
district
authorities,
68. At the stations noted in the margin, officers of the vaccination
department have been posted to assist
the Station Masters ia watching passen-
gers : and arrangements have been made
for the erection of observation sheds,
temporary hospitals and segregation
structures. If at any of these stations a
person travelling from the direction of
Bombay or other infected place is un-
doubtedly suffering from bubonic plague,
the Station Master, with the assistance,
if necessary, of the police, shall arrange
for his removal from the train or railway premises to the observation
shed, and for his temporary detention therein until he can be inspected
by a Medical Officer. Any person desiring to accompany the sufferer
shall be permitted to do so. The Station Master shall immediately
report the matter to the nearest Civil Surgeon, the nearest District
Magistrate, the Medical Inspector and the Sanitary Commis-
sioner.
Other way.
side stations.
Despatch of
suspect cases to
nearest station
where there is
accommodation.
69. At other wayside stations, such persons if booked through,
may be permitted to proceed to the nearest station at which a
temporary hospital has been provided, the Station Master tele-
graphing to such station the details of the case, the name of the sick ,
person, and the number of the carriage. If such persons alight at
the wayside station, they should be removed by the railway or police
officials to some isolated place, and the fact should be reported forth-
with by the Station Master to the officer in charge of the nearest
police station (vide rule 8), as well as to the authorities mentioned in
the preceding rule.
Civil Surgeon
to take
necessary action.
70. The Civil Surgeon on receiving a report under rule 68 or 69
will proceed to the spot (or depute a competent subordinate) to take
action, so far as may be necessary or possible, in accordance with the
provisions of rules 58 to 65; the railway police and railway authorities
shall give him all assistance required.
Persons dealt
with under
foregoing rules
to obey
instructions.
71. A person dealt with under the foregoing rules shall comply
with any direction that may be given to him by any officer empower-
ed under these rules with regard to his removal to, or his detention
and treatment in, an observation shed, temporary hospital or place of
segregation, and with respect to the disinfection or burning of his
clothes and personal effects, the disposal of any corpse, or with
respect to any other similar matter, he shall not depart from any
such place of detention without the permission of the Civil Surgeon,
b 31
242
Regulations under the Epidemic Diseases Act. [ APP. IV.
(iv) Duties of Medical Inspectors.
Appointment of
travelling
inspectors.
72. The following officers have been placed on special duty as
travelling Inspectors in connection with these regulations within the
limits of the North-Western Provinces and Oudh :—
{ Rank of Officer.
Assistant Surgeon ...
Civil Medical Officer
Assistant Surgeon ...
Head-quarters.
Gliaziabad
Cawnpore
Allahabad
CIRCLE OF INSPECTION.
Principal railway
stations.
Bareilly, Meerut ...
Agra, Cawnpore,
Lucknow, Muttra.
Allahabad, Benares,
Moghal Sarai.
Extent of railway line.
I. O. & R. Railway between
Saharanpur, Hardwar,
Aligarh and Lucknow.
2. N.-\V.Ry. between Saha-
ranpur and Ghaziabnd.
3. R. & K. Ry., Lucknow
Bareilly Section and
Bareiily-Kathgodam
Section.
I. E. I. Ry. between Ghazi-
abad and Allahabad.
2. B. B. & C. I. Ry. between
Cawnpoie, Muttra and
Agra.
3. I. M. R. between Cawn-
pore, Lalitpur
and
Agra, and from Jhansi
to Manikpur.
4. O. & R. Ry. between
Cawnpore and Luck-
now.
i. E. I. Ry. between Allah-
abad and Buxur : also
between Allahabad and
Manikpur.
3. O. & R. Ry. between
Moghal Sara! and Luck-
now : also Rae Bareli
and Bahramghat Sec-
tions.
3. B. &N.-\V.Ry.
Inspection duties.
73. Each Medical Inspector shall travel frequently over the lines
of railway included in his circle, and shall make surprise visits at least
once a week to the principal stations. He shall examine the method
adopted for inspection of passengers, and the arrangements made for
the provision of observation sheds, temporary hospitals and segre-
gation huts or tents. He will ascertain that all orders are being
properly carried out, and that the prescribed duties are being per-
formed.
244
Regulations under the Epidemic Diseases Act. [ APP. IV.
names and addresses of such friends shall be taken by the railway
police, and shall be forwarded immediately to the Magistrate of the
district in which the body was found, as well as to the Magistrate of
the district in which they live, it being specially reported whether
they came from the direction of Bombay (or other place in which
bubonic plague is prevalent) or not. At stations where there are no
railway police, the railway authorities shall report the finding of a
dead body immediately to the nearest district police station (as well
as to the nearest railway police station), and the officer in charge of
the district police station or his subordinate shall at once proceed to
the spot and take action as prescribed above for the railway police.
Report to Sani-
tary Com mis-
sioner and Gov»
ernment.
82. The railway authorities shall telegraph intelligence of the
. occurrence of every case of plague or suspected plague to the Sanitary
Commissioner, Lucknow, as is at present done with regard to cholera
cases. The Sanitary Commissioner will immediately inform the Govern-
ment of any reported case of plague, whether occurring on the
railway line or elsewhere.
82-A. When any through carriage from the Bombay Presidency
Notification No 129/XVI-404-B., dated i s detached from a train at any rail-
the 4th March 1897.
way
station in the North-Western
Provimces and Oudh, it shall be disinfected or ventilated in the fol-
lowing manner as soon as possible, and before it is again brought into
use:—
Third and intermediate class carriages-
Disinfection of
railway carriages
The interior woodwork of the carriages, especially the floors
and seats, should be thoroughly washed with solution of a perchloride
of mercury (I in 1,000) or with a carbolic acid solution (a wine glassful
to a gallon) : the doors and windows should be opened, and the
vehicle exposed to the air.
First and second class carnages—
The floors and wood work should be treated as above, the cush-
ions being also brushed and thoroughly cleaned.
Recording and
report to District
Magistrate
of
names and ad-
dresses of trav-
ellers from the
Bombay
Presi-
dency.
87. Everv* passeneer who alights at the stations noted
Manikpur.
Jhansi.
Saharanpur.
Ghaziabad.
on the margin, having come from a place
in the Bombay Presidency or Sind, shall
give his name and address to the railway
or police or medical or other official on
duty at the railway station for the in-
spection or examination of passengers. It shall be the duty of such
* Notification No, 90/XVI-404-105, dated 26th February 1897.
245
APP, IV.] Regulations under the Epidemic Diseases Act»
official to demand and record the names and addresses of such pas-
Agra.
Allahabad.
Benares.
Cawnpore.
Lucknow.
Meerut City.
Moghal Sarai,
Muttra.
sengers as aforesaid. The officer who
records the names and addresses shall
forward them for information and for
entry in list B (vide rule 2) to the
Magistrate of the district to which the traveller is proceeding.
REVISED GENERAL REGULATIONS.
No. 46.
Notification No.211/XVI-404-B dated the 26th March 1897.
READ :—
Resolution No.-w, 57/XVI-404-B, dated 12th February 1897, issuing rules under
Act No. III of 1897.
Previous rules
reconsidered
with a view to
define the
procedure and to
remove
provisions likely
to cause
misapprehen-
sion.
OBSERVATIONS.—Representations have been made to the
Lieutenant-Governor and Chief Commissioner that it will conduce to
the smoother working of the rules issued under Act No. III of 1897 (an
Act to provide for the better prevention of the spread of Dangerous
Epidemic Disease) if the procedure to be followed under them is
more fully and clearly defined. Accordingly His Honour has again
carefully considered the rules with a view to defining the procedure
to be followed in giving effect to them and to removing any provisions
likely to cause misapprehensions regarding their bearing and scope.
In this labour he has received valuable assistance from a committee
composed of the undermentioned gentlemen, to whom the rules were
submitted for examination, and by whom the rules, as they now
stand, have been accepted as necessary and suitable :—
R. G, Hardy, Esq., I.C.S., Commissioner of Lucknow.
Surgeon-Major Thomson, Sanitary Commissioner.
Maharaja Sir Partáb Naráyan Singh of Ajudhya, K.C.I.E.
Raja Sir Muhammad Amir Hasan Khan, Khan Bahadur,
K.C.I.E., Amir-ud-Daula, Saiyid-ul-Mulk, Mumtaz Jang.
Rána Sir Shankar Bakhsh Singh, K.C.I.E.
Nawáb Agha Mehdi Husain Khán, Bahadur.
Nawáb Mumtaz-ud-Daula Faiaz AH Khán of Pahasu.
Rája Tasadduq Rasúl Khan.
Rája Jagmohan Singh, C.I.E.
Rája Jai Kishan Das, C.S.I.
The Honourable Babu Sri Ram, Rai Bahadur.
Chaudhri Nasrat Ali, Khán Bahadur.
246
Regulations under the Epidemic Diseases Act. [ APP. IV.
Maulvi Say id Allan Sahib, Mujtahid of the"
Shia sect ;
Maulvi Abdul Majid, Sunni Maulvi ;
Pandit Gangadhar Shastri, of Benares ;
Pandit Gaya Maneshar, of Lucknow ;
)
attended.the meet-
ing
as
expert
1
0
j.
advisers.
J
The Lieutenant-Governor and Chief Commissioner has also been
assisted in considering the rules by the following influential gentle-
men :—
The Ràja of Bhadáwar,
The Ràja of Tiloi.
The Ràja of Manda.
The Ràja of Tamkuhi.
The Ràja of Awa.
Mirza Kamr-ud-din Hyder.
Objects of rules
to secure early
information and
to isolate the
infected.
2. The first object of the rules is to secure the submission to
the sanitary and executive authorities of the earliest information of the
occurrence of a case of bubonic plague. The next object is to prevent
the spread of the disease by isolating the sick person and his friends
and attendants, so that the infection may not be disseminated.
Association of
proprietors of
land with
Government in
giving effect to
rules in villages
and small towns.
3. The rules as now published provide; in regard to the first
object, for the association of the proprietors of land with the Govern-
ment in giving effect to the rules in rural villages and small towns.
This indeed was always the intention ; but it has been thought right
to make the intention quite clear in the rules. The responsibility of
landlords will in no way lessen the responsibility of the police ; but
police action under the rules must be taken whenever possible through
the landlords and village authorities. It is only when these are
supine or refuse to act that independent action by the police will
be taken.
Duties of police
in municipalities
and cantonments
4. The first object noticed in paragraph 2 above involves also the
definition of the duties of the police in municipalities and canton-
ments. These duties primarily consist in reporting cases of plague
which may come to their notice, and carrying out any specific orders
which they may receive. It has not been thought desirable to give
the police any power of making domiciliary visits, or of their own
motion removing the sick to hospitals, or interfering with them in
any way ; but when, on information received from the police or in the
other ways provided for in the rules, the sanitary or executive
authorities in a municipality or cantonment decide on segregation or
removal to a public or private hospital, then the police may be called
on to assist.