NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
266
Regulations under the Epidemic Diseases Act. [ App. IV.
Lieutenant-Governor, in exercise of the power conferred upon him
by clause II of the said Regulations, hereby notifies the said railway
station and the said lands to be a place of inspection for the pur-
poses of the said Regulations.
Notification No. 148, dated the i2th February 1897.
No. 55.
In exercise ot the power conferred upon him by clause 11 ot
the Regulation's made under sub-section (1) and under sub-clause
(b) of sub-section (2) of section 2 of the Epidemic Diseases Act,
1897, and published with Notification No. 146, dated I2th February
1897, the Honourable the Lieutenant-Governor hereby declares the
following railway stations and places in the vicinity thereof to
be places of inspection for the purposes of the said Regulations,
namely :—
(1) The railway station of Khanpur and so much of the
lands lying within 100 yards of the outer limits of such
station as have been ceded by His Highness the Nawab
of Bahawalpur in full sovereignty to the British Gov-
ernment.
(2) The following railway stations together with an area
bounded by a line drawn round each at a distant of
1oo yards from its outer limits :—
Sher Shah.
Ghazi Ghat.
Mooltan Cantonment.
Mooltan City.
Chichawatni.
Montgomery.
Raewind.
Meean Meer West.
Delhi.
Karnal.
Umballa Cantonment,
Umballa City.
Kalka.
Ludhiana.
Jullundur Cantonment.
Jullundur City.
Amritsar.
Gurdaspur.
Meean Meer East.
R e war i.
Hissar.
Ferozepore Cantonment.
Ferozepore City.
Lahore.
Guzranwala.
Sialkot.
Gujrat.
Khushab.
Darya Khan,
Jhelum.
Rawalpindi.
Khushalgarh.
Hasan Abdal.
Peshawar City.
Peshawar Cantonment.
No. 56,
Notification No. 332, dated the 6th March 1897.
In exercise of the power conferred upon him by clause II of the
Regulations made under sub-section (1) and under sub-clause (b)
267
APP. IV. ] Regulations under the Epidemic Diseases Act»
of sub-section (2) of section 2 of the Epidemic Diseases Act, 1897,
and published with Notification No. 146, dated the I2th of February
1897, the Honourable the Lieutenant-Governor hereby declares the
following railway stations and places in the vicinity thereof to
be places of inspection for purposes of the said Regulations,
namely :—
Sadikabad.
Rahim Yarkhan.
Kotsamaba.
Firoza.
Chandri.
Chanigot.
Ahmadpur.
Mubarakpur.
Kulanchwala.
Samasata.
Regulations for the control of river and road traffic.
Notification No. 312, dated the 5th March 1897.
No. 57.
Preamble.
In exercise of the powers conferred by the Notification of the
Government of India, No. 302, dated the 4th of February 1897, the
Honourable the Lieutenant-Governor, being satisfied that the Punjab
is threatened with an outbreak of a dangerous epidemic, namely,
bubonic plague, and that the ordinary provisions of the law are insuffi-
cient for the purpose of preventing such outbreak, is pleased to
prescribe the following Regulations under sub-section (1) and sub-
clause (b) of sub-section (2) of section 2 of the Epidemic Diseases
Act, 1897 :—
Inspection
stations at
ferries,
approaches, and
landing places.
I.—The Local Government may notify any ferry or any portion of
any navigable stream, together with the approaches to or landing
places of any such public ferry and any area on either or both banks
of any such navigable stream, and any portion of any public road or
place in the vicinity thereof, to be a place of inspection, and may, by
order in writing, appoint one or more Inspecting Medical Officers
for the same.
The railway
inspection rules
to apply,
II.—When any Notification under the foregoing clause has issued,
the Regulations published with Punjab Government Notification No.
146, dated I2th February 1897, shall, so far as may be, be deemed to
apply to the place of inspection so notified, and to all directions and
orders given thereat; and when any order in writing has been made
appointing one or more Inspecting Medical Officers for any such
place of any inspection, the aforesaid Regulations shall, so far as may
be, be deemed to apply to such Inspecting Medical Officer or Officers,
to all directions and orders given by such Inspecting Medical Officers :
and every person shall obey any such direction or order as if it had
been given under the provisions of the aforesaid Regulations.
268
Regulations under the Epidemic Diseases Act t [ APP, IV.
Detention of
travellers and
vessels.
III.—For the purposes of these Regulations, clause IV of the Regu-
lations published with Punjab Government Notification No. 146, dated
12th February 1897, shall be deemed to provide as follows :—•
An Inspecting Medical Officer may at his place of inspection
direct any person travelling by water or road to proceed
to and remain in any place or places from time to time
specified by him, and may direct that any vessel be brought
to and kept at any place or places from time to time speci-
fied by him.
Adoption of
clause V of the
railway rules.
IV.—For the purposes of these Regulations, clause V of the Regu-
lations published with Punjab Government Notification No. 146, dated
12th February 1897, shall be read as though for the words " travelling
by railway" in sub-clause (1) were substituted the words "travelling
by water or road."
Restrictions
with regard to
routes.
V.—The Local Government may by notification prohibit the public
or any class of persons from travelling to or from any local area
specified in such notice either absolutely, or otherwise than by way of
a place or places specified in such notification: and when any such
notification has issued, no person shall travel to or from any local area
in contravention of such notification.
Notification No. 313, elated the 5th March 1897.
Rojhan in the
D era Ghazi
Khan District
and the Indus
ferry of Mithan-
kot declared
places of
inpsection.
No. 58.
Under clause I of the Regulations published with Punjab Govern-
ment Notification No. 312, dated 5th March 1897, th e Honourable the
Lieutenant-Governor is pleased to declare that the following are places
of inspection:—
(1) The village of Rojhan in the Dera Ghazi Khan District,
together with an area bounded by a line 200 yards outside
the outer limits of the said village.
O
(2) The ferry of Mithankot, together with the approaches to
and landing places of the said ferry.
Notification No. 314, elated the 5th March 1897.
Travellers from
Sind prohibited
from going to
Sakhi-Sarwar.
No 59.
Under clause V or the Regulations published with Punjab Gov-
ernment Notification No. 312, dated 5th March 1897, the Honourable
the Lieutenant-Governor is pleased to prohibit all persons coining
either directly or indiretly from the province of Sind from travelling
to or to the neighbourhood of Sakhi-Sarwar.
Notification No. 315, dated the 5lth March 1897.
Travellers from
Sind and Bha-
walpur to pass
vid an inspection
station.
No. 60,
Under clause V of the Regulations published with Punjab Gov-
ernment Notification No. 312, dated 5th March 1897, the Honourable
the Lieutenant-Governor is pleased to prohibit all persons from travel-
ling from the province of Sind or from the State of Bahawalpur to
269
App. IV. ] Regulations under the Epidemic Diseases Act.
any portion of the Dera Ghazi Khan District otherwise than by way of
the place of inspection at Rojhan, unless they travel by way of the
place of inspection at Mithankot or by some public ferry higher up
the stream than Mithankot.
GENERAL REGULATIONS.
Notification No. 350, dated the 8th March 1897.
No. 61.
Preamble.
In exercise of the powers conferred by the Notification of the
Government of India, No. 302, dated 4th February 1897, the Honour-
able the Lieutenant-Governor, being satisfied that the Punjab is
threatened with an outbreak of a dangerous epidemic, namely, bubonic
plague, and that the ordinary provisions of the law are insufficient for
the purpose of preventing such outbreak, is pleased to prescribe the
following Regulations under sub-section (1) and sub-clause (b) of sub-
section (2) of section 2 of the Epidemic Diseases Act :—
Segregation.
I.—The District Magistrate may direct any person, who he sees
reason to believe or suspect is or may be infected with bubonic
plague, to proceed to and remain in any place or places from time to
time specified by him, and every person to whom any such direction
is given shall obey the same.
Disinfection or
destruction of
infected articles,
II.—The District Magistrate may order the disinfection or des-
truction of any article, which is or has been in the possession of any
person, who he sees reason to believe or suspect is or may be
infected with bubonic plague, or is or has been suffering from that
disease, or which is or has been in the possession of any person whom
he considers to have been in dangerous proximity to any such person,
Disinfection or
destruction of
buildings.
III.—The District Magistrate may order the disinfection or des-
truction of any building or part of any building in which any person is
or has been, who he sees reason to believe or suspect is or may be
infected with bubonic plague or is or has been suffering from that
disease.
Compensation.
Notification No.
634, dated the
8th April 1897.
IV.—Compensation may, in the discretion of the officer herein-
after empowered to award the same, be paid for the destruction of or
injury to any article or building under either of the two last preced-
ing clauses.
Delegation of
powers.
V.—The District Magistrate may by order in writing delegate to
any person exercising 1st Class Magisterial powers or to any com-
missioned medical officer all or any of the powers conferred upon,
him by the foregoing clauses of these Regulations ; and any direction
or order given by any such officer under any powers thus delegated
to him shall be deemed to have been given by the District Magistrate
for the purposes of these Regulations,
270
Regulations under the Epidemic Diseases Act. [APP. IV.
Disposal of
applications for
compensation
by the District
Magistrate.
VI.—Applications for the payment of compensation under clause
IV may be made to the District Magistrate. The District Magistrate
shall, upon receipt of any such application, determine by order in
writing the amount of such compensation (if any) and such order
shall be final.
Control.
VII.—-The powers delegated to any person by the District Ma-
gistrate under clause V of these Regulations shall be exercised subject
to the control of the District Magistrate, and the powers conferred
upon the District Magistrate by these Regulations shall be exercised
subject to the control of the Commissioner of the Division and of the
Local Government.
No. 62
i
Notification No. 352, dated the 8th March 1897.
Preamble.
In exercise of the powers com erred by the Notification ot the
Government of India, No. 302, dated 4th February 1897, the Honour-
able the Lieutenant-Governor, being satisfied that the Punjab is
threatened with an outbreak of a dangerous epidemic, namely, bubonic
plague, and that the ordinary provisions of the law are insufficient
for the purpose of preventing such outbreak, is pleased to prescribe
the following Regulations under sub-section (1) and sub-clause (b) of
sub-section (2) of section 2 of the Epidemic Diseases Act :—
Report of
cases in
municipalities,
I.—Every person who is bound under any Municipal bye-law for
the time being in force to report the occurrence of any death to any
person shall report the occurrence of any case of bubonic plague
within three hours of the same coming to his notice to an officer in
charge of a police station in any circumstances in which he would
have been bound, if the person attacked by the disease had died, to
report the death within any period to any person.
Persons bound
to make reports.
II.—The following persons shall report the occurrence of any case
of bubonic plague under the circumstances set forth in each sub-
clause respectively within three hours of the same coming to their
notice to an officer in charge of a police station, or in cases where
the disease appears at a place more than three miles from the nearest
police station, to a village lambardar, namely :—
(1) When the case of plague occurs in any house, the eldest
adult residing in such house, who is not himself or herself
attacked by the plague.
(2) When the case of plague occurs in any hotel, dâk bungalow
or public serai, the proprietor of such hotel, dâk bungalow
or public serai, or in the default or in the absence of such
proprietor the person who for the time being is managing
such hotel, dâk bungalow or public serai ; or in the default
or absence of such person, every servant employed in
APP. IV. ] Regulations under the Epidemic Diseases Act.
271
such hotel, dâk bungalow or public serai by proprietor or
manager thereof.
(3) When the case of plague is attended by any medical prac-
titioner, such medical practitioner.
Loca! officials
and servants
bound to report
cases.
III.—Every Municipal Commissioner and every servant of a
Municipal Committee, every village lambardar and chaukidar, every
kanungo and patwari, every police officer, and every jagirdar, mofidar
and pensioner, shall without unavoidable delay report the occurrence
of any case of bubonic plague which comes to his knowledge to the
officer in charge of the nearest police station.
Report by the
station master to
the Deputy Com-
missioner.
IV.—If a case of bubonic plague occurs in any railway train or
on any railway premises, the person discharging the duties of station
master at the nearest station to the place at which the case of plague
is discovered shall report the case by telegram to the Deputy Com-
missioner of the district in which the station is situated or, if the
station is not situated in British territory, but in territory over which
the British Government has jurisdiction, to the Deputy Commissioner
of the district, the head-quarters of which is nearest to the station.
Report of the
arrival of persons
from the Bombay
Presidency
or
Sind.
V.—Every person who, under clause I, II, or sub-clause (1) or (2)
of clause III of these Regulations, is bound to report the occurrence :
of any case of bubonic plague shall report the arrival at any place in
the Punjab of any person from any part of the Bombay Presidency
or Sind in any circumstances in which he would have been bound, if
the person who has arrived from the Bombay Presidency or Sind had
been attacked by bubonic plague, to report the fact that a case of
that disease had occurred. Such report shall be made without un-
avoidable delay to the officer in charge of the nearest police station :
Proviso.
Provided that any person, not being a village lambardar, and
residing more than three miles from the nearest police station, shall
be deemed to have done what is required under this clause if he
makes the report without unavoidable delay to a village lambardar.
No. 63.
EXECUTIVE INSTRUCTIONS.
Defection of cases of plague in rural areas.
Police station
to maintain a list
(A) of places
having trade re-
lation with the
Bombay Presi-
dency or Sind.
I. The officer in charge of every police station shall forthwith
bring upon a list (A) the names of all villages in his circle, and of all
mohallas or streets in towns situated in his circle, the inhabitants or
any portion of the inhabitants of which are ascertained to have trade
relation with the Bombay Presidency or Sind.
Chaukidars to
report names of
arrivals from the
Bombay Presi-
dency or Sind.
A list (B) to be
2. Every chaukidar shall enquire and report without delay the
name of every person in his village who has arrived from the Bombay
Presidency or Sind since the 1st of February 1897; he shall also
report all fresh arrivals as they occur. The names of such persons
272
Regulations under the Epidemic Diseases Act. [App. IV.
kept at the police
station.
reported by the chaukidar or ascertained from other sources will be
entered by the officer in charge of the police station on a list (B).
Enquiry to be
made as to cause
of all deaths in A
villages.
3. In the case of every village entered in list A, the chaukidar
shall make daily reports of all deaths. The officer in charge of the
police station on receiving a report from a chaukidar or otherwise of
a death in any village, mohalla or street, entered in list A, shall care-
fully enquire whether the deceased person had symptoms of bubonic
plague as described in the general instructions issued on the subject.
Similar enquiry
to be made with
regard to deaths
of persons in list
B.
4. The officer in charge of the police station shall make similar
enquiry on receiving a report of the death of any person whose name
is entered in list B, or of any person in the household of any such
person.
Enquiry to be
made on occur-
rence of numerous
or unusual deaths
in any village.
5. Whenever the deaths reported from any village, street or
mohalla (whether entered in list A or not) are more frequent than
usual, and when sudden deaths occur which are attributed to fever,
the officer in charge of the police station shall make enquiries with a
view to ascertaining whether the symptoms of bubonic plague
existed.
Report and
procedure on oc-
currence of sus-
picious cases.
6. On ascertaining from any source that a death was preceded
by symptoms such as those of bubonic plague, the officer in charge
of the police station shall send immediate intimation to the nearest
medical officer or medical subordinate not lower in rank than Hos-
pital Assistant and also to the District Superintendent of Police and
the Magistrate of the district; and shall either go himself or depute a
competent subordinate to make an enquiry, any action taken being
recorded in the station diary.
Camping out
of persons who
had lived with
deceased and
adoption of pre-
cautions.
7. If the police officer making the enquiry directed by rule 6 is
of opinion that the death was due to bubonic plague, he shall do
what he can do without the use of compulsion to induce the persons
living in the house in which the death occurred to leave it and camp
out in the open, and to see that the general instructions appended to
these rules are in other respects observed.
Report by
police officer.
8. Every police officer on receiving intimation from any source
of the occurrence of a case of plague or suspected case of plague
shall report it immediately to the. District Magistrate or to some
Magistrate to whom powers have been delegated by the District
Magistrate under clause V of the Regulations published with Notifi-
cation No, 350, dated 8th March 1897, and also to the nearest Magis-
trate.
Report by
medical officers,
medical enquiry
and treatment.
9. Every medical subordinate and medical officer subordinate to
the Civil Surgeon, on receiving intimation from any source of the
occurrence of a case of plague or suspected case of plague, shall send
ÁPP. IV.] Regulations under the Epidemic Diseases Act,
273
immediate intimation to the District Magistrate or to some Magis-
trate to whom powers have been delegated by the District Magistrate
under clause V of the Regulations published with Notification
No. 350, dated 8th March 1897, and to the Civil Surgeon ; and shall
proceed himself, or depute a competent subordinate to proceed, to
the spot to make an enquiry, and to treat the patient, and do what
he can do without the use of compulsion to see that the general in-
structions appended to these rules are observed.
Report by
Magistrates and
action to be taken
by them.
io. Every Magistrate on receiving intimation from any source of
the occurrence of a case of plague or suspected case of plague shall ¡
send immediate intimation to the District Magistrate or to some
Magistrate to whom powers have been delegated by the District
Magistrate under clause V of the Regulations published with Noti-
fication No. 350, dated 8th March 1897, and shall, if practicable,
himself proceed to the spot and satisfy himself that these rules and
the general instructions appended to them are being observed, with-
out the use of any compulsion, except such as may be justified by
legally authorised action under the above-mentioned Regulations.
Symptoms and treatment.
Symptoms.
The symptoms of plague are fever of recent commencement,
severe headache, great depression, marked weakness, severe backache,
also frequently pain in the chest and cough. When the fever has
lasted two or three days, there are sometimes painful swellings in the
groin or armpits. There is often delerium and rapid sinking, the
patient dying in many cases on the second or third day.
Treatment.
The treatment consists in having a free supply of fresh air. All
doors and windows should be kept open. A purgative should be given
unless the patient has diarrhcea. Cool drinks and sherbets of lime-
juice may be given, and food in small quantities but frequently.
Suitable foods are arrowroot or sago thinly made, thin whey, or, if
the patient's caste allows it, soup. Any of these may be given in
quantities of a chittack every second hour. Any attempt to give
patients ordinary large meals or solid food would be injurious. When
there are swellings, hot fomentations or hot poultices should be
applied to them.
Excretions.
The foecal or vomited matter and urine of the patient should be
buried at least two feet deep at some distance from the hut.
Segregation and Disinfection.
Segregation of
patients. Rela-
tives to be al-
lowed to accom-
pany patient.
If a patient is living in a town or village he or she should be
removed as quickly as possible to a grass shed. All that is necessary
is a roof to keep the heat off and light screen walls. The more open
b 35
274
Regulations under the Epidemic Diseases Act. [ APP. ÏV.
the structure the better. One or two relatives should be allowed to
accompany the sick person and to remain in attendance on him or her.
These attendants should not be allowed to enter the village or town
so long as they are in such attendance and for ten days after the
recovery or death of the patient. Arrangements should be made for
food being carried to the sick person and attendants, but whoever
takes the food should not enter the hut where the sick person is.
Segregation of
the healthy living
in the house.
All people who had been living in the house or hut where the
sickness took place should be removed to a grass hut at some little
distance from the town or village. Separate huts for males and
females may be necessary. Similar arrangements to those just men-
tioned should be made for their food and water. They ought not to
be allowed to draw water from wells themselves.
After ten days if no disease appears amongst them they may
return to the village.
Disinfection or
destruction of the
house.
The house in which a case of plague has occurred should be burnt
if of grass, If masonry or mud, the ceiling and walls should be
whitewashed and the earthen floor dug up for three inches deep.
This earth should then be removed and burned outside the town.
The doors and windows should be left wide open for twelve days;
the house should not be re-occupied before this time.
Disinfection or
destruction of
infected cloth-
ing, bedding, etc.
Light and air are most useful purifiers. The clothing and bed-
ding of a sick person and his attendants, if of no value, should be burnt.
If of better quality, they ought to be thoroughly boiled and then dried
in the sun. Charpoys used by the plague patients should invariably be
burnt.
Disposal of
corpses.
Dead bodies should be buried six feet deep, if Muhammadan, in
a place distant from town and from water-supply. If Hindu, they
should be completely burnt in an isolated place.
The clothing of people who carry dead bodies ought to be
thoroughly boiled.
RULES REGARDING VEHICLES.
No. 64.
Preamble.
Notification No. 467, dated the 22nd March 1897.
In exercise of the powers conferred by the Notification of the
Government of India, No. 302, dated 4th February 1897, the Honour-
able the Lieutenant-Governor, being satisfied that the Punjab is
threatened with an outbreak of a dangerous epidemic, namely bubonic
plague, and that the ordinary provisions of the law are insufficient for
the purpose of preventing such outbreak, is pleased to prescribe the
following regulation under sub-section (i) and sub-clause (b) of sub-
section (2) of section 2 of the Epidemic Diseases Act, 1897 :—