.3
Of enteric fever, there were 73 cases and 23 deaths as compared with 129 and
18, respectively, in 1884. The largest number of admissions was recorded at
Secunderabad, the total being 29 against 39 in 1884, and 28 in 1883. Bangalore
followed next with 18 admissions against 60 in 1884 and 41 in 1883. The admis
fallen from 15 to 3. At Port Blair four cases occurred in January 1885. These
were referred to in last year's report, when three admissions were recorded during
the month of December 1884. The four cases now noted belonged to a detach
1884. This may be termed a local outbreak, as no cases occurred either at Fort
St. George, where the South Wales Borderers were then stationed, or amongst the
other troops which left Madras in the same ship and which went on to Burma.
There were three admissions at Wellington and one at each of the following
stations:—Calicut, Cannanore, Malapuram, St. Thomas' Mount, Sitabuldi,
Rangoon, Tonghoo and .Thayetmyo. Of the total deaths from this disease,
ten occurred at Secunderabad, two at each of the following stations:—Bellary,
Cannanore and Wellington, and one at each of the following:—St. Thomas'
Mount, Belgaum, Calicut, Bangalore, Sitabuldi, Rangoon and Thayetmyo.
Of the total admissions from paroxysmal fevers 50 were from remittent
fever, which also accounts for the two deaths under this head. The ratio of
admissions per 1,000 of strength was 6.9 less than that of 1884 and 109.9 under
that of the average of the previous six years.
Of cholera, there were 6 cases and 2 deaths compared with admissions and
10 deaths the previous year, the ratio of admissions and deaths being 0.6 and 0.19
against 1.1 and 0.92, respectively, in 1884. Of the 6 admissions, 4 occurred at
Secunderabad, 1 at Tonghoo, and 1 at Kamptee. At the two former stations,
cholera was epidemic at the time, but the case at Kamptee seems sporadic as the
cantonment and surrounding country was free from this disease. It appears
more than a coincidence that most of the cases occurred during the third quarter
of the year as was the case in 1883; in 1884, the number of admissions was equal
during the third and fourth quarters.
Tubercular Diseases. —Of these diseases there were 79 cases as compared
with 59 the previous year, or a ratio of 7.58 per mille of strength to 5.45. The
highest ratio of admissions 34.98 was at the depôts; Bangalore next follows with
18 admissions and a ratio of 8.34; Secunderabad with 18 admissions and a ratio
of 7.30; Nagpore Force gives 6 admissions with a ratio of 5.81; and British
Burma Division 11 admissions and a ratio of 5.36. The Belgaum and Western
Districts contributed only 2 admissions, giving a ratio of 1.78 per mile of strength.
Sunstroke .—There were 14 admissions with 4 deaths (2 in and 2 out of
hospital) compared with 13 admissions and 7 deaths in 1884. Of the fatal cases,
2 occurred at Secunderabad, 1 at St. Thomas' Mount, and 1 at Thayetmyo.
Circulatory Systems —There were 100 admissions and 7 deaths, or a ratio of
9.60 in admissions and 0.67 in deaths as compared with 14.61 and 0.09
respectively the previous year, the average for the past six years being 17.9 and
0.68. Palpitation accounts for 74 admissions and valvular disease of heart for 19
admissions and 6 deaths (5 in and 1 out of hospital). There was one admission
and death from syncope.
Respiratory System. —There were 345 admissions with 4 deaths due to diseases
of this system compared with 285 and 1, respectively, in 1884. Bronchial catarrh
contributed 186 cases, bronchitis 112, pleurisy 15, asthma and pneumonia 13 each;
3 deaths are due to pneumonia, and one case and death to pulmonary extravasation.
Diseases of the Digestive System. —The total admissions and deaths from these
affections were 2,424 and 19 respectively. Dysentery caused 567 admissions and 4
deaths, diarrhœa 430, admissions, hepatitis, including abscess of liver, 307 admissions
and 12 deaths, and dyspepsia 531 admissions. In the several circles of medical
administration, the highest ratio of admissions per mille of strength for this class
of diseases was 290.79 in the British Burma Division. As was the case in 1884,