22
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
against twenty-nine and forty-three respectively in 1876. The total admission
ratio for the circle from all causes was 1213.72 and the death ratio 13.11 per mille
of average strength, against 1251.98 aid 17.04 in previous year.
Burmah Circle.—Compared with 1876, the total admission and death ratios
show an increase, the ratios being 1081.73 and 20.83 respectively, against 1072.74
and 12.45 in the previous year.
Diseases of the digestive system caused the chief admissions and mortality,
the admission and death rates from this cause being 417.74 and 8.01 respectively,
against 405.08 and 5.48 in the previous year. The admission rate for dysentery
(118.59) shows an increase of 14.95 as compared with 1876 ; the death rate is but
little changed. The admission rate for hepatitis, including hepatic abscess (62.50),
is almost identical with that of the previous year ; the death ratio equals 2.14 per
mille. In previous year, no death was due to this cause. Enteric fever caused two
admissions—none fatal—against one fatal case in previous year. One occurred at
Rangoon, the other at Thayetmyo. Ten cases of cholera—six fatal—were recorded.
In previous year, no case occurred. All occurred at Thayetmyo.
Syphilis (all varieties included) shows a reduced admission rate. There
were 110 admissions for primary syphilis and 92 for gonorrhœa, against 125 and
91 respectively in 1876.
Diseases of the nervous system have decreased, but the mortality (4.27 per
mille) shows an increase of 2.28. The decrease occurs chiefly in mental and neural
-gic affections. Sunstroke was more prevalent than in 1876, eight cases—five fatal
—being recorded, against one case admitted, which recovered, in the previous year, and
to this cause the increased mortality of this class is due. The decrease observed
in diseases of the circulatory system is due chiefly to a decrease in admissions from
palpitation. No case of dengue occurred. In previous year, six cases were
recorded.
Depôts.—Compared with 1876, the total admission rate at Depôts (1872.28)
shows a decrease of 321.86 ; the death rate (35.32 per mille) is slightly in excess.
Continued and paroxysmal fevers were less prevalent, and caused no mortality.
Cases of enteric fever were more numerous, the admission and death rates being
16.30 and 5.43 respectively per mille, against 7.70 and 4.62 in previous year. There
were in all twelve admissions and four deaths from enteric fever, eleven of which
—three fatal—occurred at Wellington, the twelfth, also fatal, occurred at Poonamallee.
Cholera shows a marked reduction both in admissions and deaths, there being
but four—two fatal—against fourteen, with five deaths, in 1876. The preva--
lence in the latter year was due to an outbreak at Wellington. The cases
were equally distributed between Wellington and Poonamallee. Syphilis (all
varieties) shows a considerable reduction, and gives an admission rate of 88.32
against 135.59 in previous year. There were twenty-one cases of primary syphilis
and forty-three of gonorrhœa, against thirty-one and twenty-seven respectively in
the previous year. Diseases of the digestive system show a reduction of 63.39 per
mille, but the death rate has risen from 4.62 to 13.59. The admission ratios for
dysentery and hepatitis in 1877 were nearly equal, but the death rate for the former
was only 1.36 against 9.51 for hepatitis, including abscess of the liver. Admis--
sions from debility were less numerous.
Troops on the March.—The admission rate from all causes (925.13 per mille)
exceeds that of the previous year by 133 . 47. The death rate (58.82) is less by 8.89
than in 1876.
There were eleven deaths against thirteen in previous year.
Cholera caused three admissions and two deaths, against one admission and
two deaths in the previous year. One death was due to accident, and occurred from
drowning on the passage from Rangoon to Tonghoo.