NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
15
Table showing the comparative Prevalence and Mortality from Sunstroke, in the Madras Command, with Ratio per 1,000 of Strength , during the Period 1871 to 1877 .inclusive.
1 8 7 1 .
1872·
1873·
1874.
1875·
1 8 7 6 .
1877.
Ratio per 1,000 of Strength.
—
A v e r a g e A n n n a l S t r e n g h t
A d m i t e d t
D i e d . A v e r a g e A n n n a l S t r e n g h t
Admitedt
D i e d .
Av e r ag e Annnal St r e ng ht
Ad mi t e d t
D i e d .
A v e r a g e A n n n a l S t r e n g h t
A d m i t e d t
•
D i e d .
A v e r a g e A n n n a l S t r e n g h t
A d m i t e d t
D i e d .
Aver age Annnal St r enght
A d m i t e d t
D i e d .
A v e r a g e A n n n a l S t r e n g h t
A d m i t e d t
D i e d .
1871.
1872·
1873.
1874·
1875·
1876.
1877.
Average for
seven Years.
A d m i t e d t
D i e d .
A d m i t e d t
D i e d .
A d m i t e d t
D i e d .
A d m i t e d t
D i e d .
A d m i t e d t
D i e d .
A d m i t e d t
Died.
A d m i t e d t
D i e d .
A d m i t e d t
D i e d .
Madras
712
666
4
4
701
1
602
2
2
516
1
1
636
1
646
1
1
6·01
6·01
1·42
3·32
3·32
1·93
1·93
1·57
1·55
1·55
2·26
1·83
St· Thomas' Mount
387
1
398
4
1
350
1
354
1
367
341
321
1
1
2·58
10·05
2·51
2·86
2·82
3·11
3·11
3·06
0·80
Trichinopoly
284
1
1
311
2
291
2
2
251
5
2
278
4
2
267
5
4
285
3·52
3·52
6·43
6·87
6·87 19·92
7·97 14·39
7·19 18·72 14·98
9·98
5·79
B e l l a r y
844
794
1
2
938
858
007
898
845
1 · 2 6
2·52
0·18
0·36
Poonamallee
144
147
1
1
128
2
2
170
1
1
196
150
155
6·80
6·80
15·62 15·62
5·88
5·88
4·04
4·04
Ramandroog
55
22
47
43
41
1
1
52
5 8
24·39 24·39
3·48
3·48
Bangalore
1 , 5 7 4
2
1,769
2
1
1,793
1
1
1 , 6 8 0
1
1,668
1
1,641
2
1,730
1·27
1·13
0·56 0·55
0·55
0 · 5 9
0·60
1·21
0·76
0·14
Cannanore
8 2 3
1
746
632
589
1
610
6 9 6
6 3 4
1·70
0·41
Calicut
8 0
2
88
82
2
98
99
96
97
25·00
24·39
7·05
Malliapooram
9 6
1
96
80
98
96
93
94
10·42
1·49
Wellington
3 3 9
282
447
471
503
447
5
1
523
3
1
1 1 · 1 8
2 · 2 4
5·73
1·91
2·41
0·59
Se c unde r a ba
2 , 1 3 1 3
2 2,559 16
5 2,394
3
2,464
2
1 2,289
3
2,327
6
2 2,401
3
2
1·41
0·94
6·25
1·95 1·25
0·81
0·40
1·31
2·57
0·86 1·25
0·83
2·12
0·71
Ka mp t e e
9 4 2
1
1
999
9
4 1,005
2
1
995
1,005
3
909
20
9
830
2
1
1,06
1·06
9·01
4 · 0 0
1·99
0·99
2 · 9 8
22·00
9·90
2·41
1·20 15·63
2·44
Seet abul dee
36
47
1
47
1
4 6
50
3
1
49
21·28
21·28
60·00 20·00
4·65
2·85
Ra n g o o n
805
4
842
921
4
1
8 7 2
2
775
742
7 4 9
1
1
4·97
4·33
1·08
2·29
1·33
1·33
1·85
0·34
Thayotmyo
539
562
584
6 7 8
680 2
674
1
1
572
2
1
2·94
1·48
1·48
3·49
1·75
1·13
0·46
T o n g h o o
378
3
464
469
1
427
471
4 5 7
417
5
3
7·93
2·13
11·99
7·19
2·84
1·33
On the March
342
1
279
1
232
3
1
233
271
1 9 2
187
1
1
2·92
3·58
12·93
4·31
5·35
5·35
3·54
1·38
1
* A man of the Royal Engineers, in Civil employ, died at Ongole.
M I L I T A R Y D E P A R T M E N T , 1 8 T H S E P T E M B E R 1 8 7 8 , N o . 4 8 3 8 . 1 5
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Admissions from diseases of the circulatory system show a decrease, the ratio
(15.89) being less by 1.09 per mille than in previous year. The death and invaliding
rates are nearly identical with those of 1876. There were fourteen cases of
aneurism against twelve in 1876. Nine deaths were due to this affection; three of
the latter occurred out of hospital.
A marked increase is noted in diseases of the absorbent system, the admission
ratios for 1877 and 1876 being 38.49 and 21.11 respectively per mille of strength.
It was caused chiefly by inflammation of the inguinal lymphatic glands, a great
deal of which was due to venereal disease.
Diseases of the digestive system still contribute the highest admission, death
and invaliding rates in the Command. The admission and invaliding rates are
slightly less, the death rate slightly higher than in 1876. Of fifty-nine deaths
recorded under this head, all but ten were attributed to dysentery and hepatitis
associated with abscess of the liver.
The admission rate for diseases of the urinary system (107.39) exceeds that of
the previous year by 18.91 per mille of strength. The invaliding ratio (0.72) is
exactly double. There were eight invalids. Of 1,183 admissions under this class,
1,002 were due to gonorrhœa.
C.
General Diseases.
Admi t t ed.
Deaths.
Ratio per 1,000 of Strength.
I n Ho s p i t a l .
Ou t o f Ho s p i t a l .
1877.
1876.
Admi t t ed.
Died.
Admi t t ed.
Died.
Febrile Group.
Dengue . . .
. . .
. . .
. . .
. . .
. . .
0.54
. . .
Eruptive fevers . . .
6
. . .
. . .
0.54
. . .
0.63
0.09
Continued do. . . .
1,440
1
. . .
130.72
0.09
135.29
0.36
Paroxysmal do. . . .
774
1
. . .
70.26
0.09
55.60
0.09
Enteric
do. . . .
65
22
. . .
5.90
2.00
4.58
1.88
Cholera . . .
35
19
. . .
3.17
1.72
3.05
1.52
Influenza . . .
6
. . .
. . .
0.54
. . .
1.62
. . .
Erysipelas . . .
7
. . .
. . .
0.63
. . .
0.54
. . .
Other diseases of this group . . .
4
1
. . .
0.36
0.09
0.63
0.18
Total . . .
2,337
44 . . .
212.14
3.99
202.48
4.13
Constitutional Group.
Rheumatism . . .
320
1
. . .
29.05
0.09
32.07
. . .
Syphilis . . .
1,315
1
. . .
119.37
0.09
89.20
0.09
Scrofula, Phthisis, &c. . . .
96
12
. . .
8.71
1.09
9.79
0.80
Scurvy and Purpura . . .
1
. . .
. . .
0.09
. . .
0.09
. . .
Anæmia . . .
13
. . .
. . .
1.18
. . .
2.88
. . .
Other diseases of this group . . .
10
1
. . .
0.91
0.09
1.16
. . .
Total . . .
1,755
15
. . .
159.31
1.36
135.19
0.89
16
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838. 17
D.
Sub-Division A
Enteric fever
22
2·00
11.70
Simple continued fever
1
0·09
0·53
Remittent fever
1
0·09
0.53
Cholera
19
1·72
10. 11
Sloughing phagedæna
1
0·09
0·53
Do.B
Acute rheumatism
1
0·09
0·53
Primary syphilis
1
0·09
0·53
Cancer epithelial
1
0·09
0·53
Phthisis pulmonalis
12
1·09
6·38
Nervous system
2
1
Meningitis
3
0·27
1·60
Apoplexy
4
0·36
2·13
Sunstroke
13
1·18
6·93
Fibro cystic tumour of brain
1
0·09
0·53
Tetanus
2
0·18
1·06
Epilepsy
1
0·09
0·53
Circulatory do
5
Valve disease of heart
2
0·18
1·06
Hypertrophy of heart
2
0·18
1·06
Fatty degeneration of heart
2
0·18
1·06
Aneurism of arch of aorta
1
0·09
0·53
Do. thoracic do.
7
0·63
3·72
Do. descending do
1
0·09
0·53
Rupture of artery
1
0·09
0.53
Respiratory do
8
Bronchitis
1
0·09
0·53
Pneumonia
1
0·09
0·53
Passive congestion of the lung
1
0·09
0·53
Abscess mediastinum
1
0·09
0·53
Digestive do
9
Chronic ulcer of stomach
1
0·09
0·53
Enteritis
1
0·09
0·53
Intussusception
1
0·09
0·53
Dysentery
20
1·83
1 0 · 6 4
Diarrhœ a
4
0·36
2·13
Hepatitis
18
1·63
9·57
Abscess of liver
11
1·00
5·85
Cirrhosis of liver
2
0·18
1·06
Abscess of spleen
1
0·09
0·53
Conditions, &c
3
General debility
1
0·09
0·53
Poisons
4
Alcoholic poisoning
2
0·18
1·06
Accidental
5
2
Asphyxia by drowning
8
0·73
4·26
Concussion of brain
3
0·27
1·60
Fracture
2
0·18
1·06
Wounds from gunshot
1
0·09
0·53
Self-inflicted
4
Gunshot wound
7
0·63
3·72
Cause unknown
2
0·18
1·06
Total
188
17·07
1 0 0 · 0 0
The above table shows the causes to which the deaths during 1877 were due
together with the ratio per mile of strength and ratio per cent. of total deaths.
F.
Circles.
Presidency. Mysore. H y d e r a b a d
Burmah. Depôts. On the March.
Presidency.
Mysore.
Hyderabad.
Burmah.
Depôts. On the March.
Average Strength.
2,138
2,555
3,280.
1,872.
7 3 6 .
187.
Ratio per 1,000 of Strength.
Diseases.
A.
D. A. D. A. D. A. D. A. D. A D. A.
D. A. D. A. D.. A. D. A. D. A. D.
General Diseases.
Dengue
Eruptive fevers
2..
1
2
1
0·91
0·39
0·60
0·53
Continued do
326 1 338
436
139
187
17
152·48 0·46 132·29
132·93
74·25
254·08
90·91
Paroxysmal do
122 1 81
424
73
63
10
57·06 0·46 31·70
129·27
38·99
85·60
63·48
Enteric
do
4 2 13 7 34 9
2
12 4
1·87 0·94
5·09 2·74 10·36 2·74
1·07
16·30
5·43
Cholera
6 3
5 3
7 3 10 6
4 2
3 2
2 . 81 1·40
1·96 1·17
2·13 0·91
5·34 3·21
5·43
2·72 16·04 10·70
Influenza
4
2
1 · 8 7
0 · 6 0
Erysipelas
2
1
1
3
0·94
0·39
0 · 3 0
4·08
Other diseases of this group
3 1 1
0·91 0·30
0·53
Total
Constitutional.
466 7 439 1 0
909 1 3
226 6 269 6 30 2 217·96 3·27 171·82 3. 91 277·10 3·96 120·73 3·21 365·49
8·15 160 . 43 10·70
Rheumatism
70 1 60
81
63
45
2
32·74 0·46 23·48
24·70
33·65
61·14
10·70
Syphilis
413
292 1 375
150
65
12
193·17
114·28 0·39 114·33
80·13
88·32
64·17
Scrofula, Phthisis, &c,
14 3 20 3 13 4
8 1 43 1
1
7 . 83 1 . 17
3·96 1·22
4·28 0·53 58·41
1·36
5 . 35
Scurvy and Purpura
1
0·53
Anæmia
6
5
1
1
2.81
1·96
0·30
1·36
Other diseases of this group
1
1
2
4
2
1
0 · 4 6
0 . 39
0 . 61
2·14
2·72
1 . 36
Total
504 4 378 4 472 4 226 1 156 2 15
235 . 73 1·87 147·95 1·56 143·90 1·22 120.73 0.53
2 · 7 2 80·21
Dysentery
94 4 171 3 168 3 222 9 122 1
3 2
43·97 1·87 66 . 93 1·17 51·21 0·91 118·59 4 . 81 165.76
1.36 171·12
Diarrhœ a
129 1 101
299
130 1 79
20 2 60·33 0·46 39·53
91 . 16
69·44 0·53 107 . 34
106 . 95 10.70
Total
327 10 413 8 606 9 469
1 4 326 8 54 3 152·95 4·67 161·64 3·13 184·75 2·74 250·53 7·48 442·93 10·86 288·77 16·04
Dyspepsia
136
103
228
198
83
5
63·61
40·31
69·51
105·76
112·77
26·74
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4938.
G.
Ratio per 1,000 of Strength.
1877.
1876.
Average of previous
Period of eight Years
1869—76.
Stations.
Admitted for
Dysentery,
Diarrhœa,
Hepatitis in-
cluding
Abscess of
Lliver.
Died from
these
Diseases.
Admitted for
Dysentery,
Diarrhœa,
Hepatitis in-
eluding
Abscess of
Liver.
Died from
these
Diseases.
Admitted for
Dysentery,
Diarrhœa,
Hepatitis in-
cluding
Abscess of
Liver.
Died from
these
Diseases.
Presidency
—
Fort St. George and Palla-
varam . . .
131.00
8.73
155.25
1.52
128.2
4.06
St. Thomas' Mount . . .
236.76
6.23
240.47
8.80
220.7
9.06
Trichinopoly . . .
214.04
3.51
239.70
7.49
186.2
7.17
Bellary . . .
118.34
2.36
91.31
. . .
118.4
1.84
Mysore
—
Bangalore . . .
120.81
1.73
140.16
5.48
146.2
3.61
Cannanore . . .
250.79
3.15
112.07
1.44
301.8
7.55
Calicut . . .
288.66
20 . 62
83.33
20 . 83
228.1
6.86
Malliapooram . . .
180.85
10 . 64
129.03
10 . 75
301.7
4.21
Hyderabad
—
Secunderabad . . .
219.08
3.75
165.02
3.01
281.1
10.09
Kamptee and Seetabuldee . . .
91.01
. . .
151.20
3.13
129.6
2.50
Burmah
—
Rangoon . . .
308.41
14 . 68
260.11
8.09
232.2
5.29
Thayetmyo . . .
181.82
3.50
100.90
. . .
179.9
1.69
Tonghoo . . .
290.17
2.40
442.01
6.57
313.1
5.65
Port Blair . . .
97.02
. . .
104.48
. . .
97.8
1.13
The above table shows the ratios per mille of strength of the admissions and
deaths resulting from the more important diseases of the digestive system in
each station of the four circles, the ratios being contrasted with those of 1876, and
with the average of the eight years preceding.
Compared with 1876, the admission rates show a slight increase in the Mysore
and Hyderabad Circles, a decrease in the Burmah Circle. In the Presidency Circle,
they remain unchanged. The death ratio was increased in the Presidency and
Burmah Circles, elsewhere it has decreased.
Fort St. George shows a marked increase in the death rate. There were
six deaths against one in 1876. Of these, four were due to dysentery, one to
hepatitis and one to diarrhoea. At Secunderabad, the admission rate has increased,
but the death rate is nearly identical.
Rangoon and Thayetmyo both show increased admission and death rates,
while Tonghoo shows a decrease in both. Of the eleven deaths at Rangoon, nine
were due to dysentery, one to diarrhœa and one to hepatitis. At Tonghoo, there
were but two deaths—both were due to abscess of the liver.
At Calicut and Malliapooram, the admission and death rates appear high.
This is due to the small strength on which the information is calculated.
23
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
affections—in many instances the sequel of venereal disease—caused twenty-three
admissions, against two in previous year. The high admission ratio in the 12th
Lancers owns a similar cause. This branch contributed the highest death rates,
viz., 23.62 per mille,—exceeding that of previous year by 15.02. There were ten
deaths in 14th Hussars, or 21.83 per mille, against three, or a ratio of 7.59 per mille,
in previous year.
The death causes were as follows :—
Enteric fever . . .
3
Phthisis pulmonalis . . .
1
Cholera . . .
2
Primary syphilis . . .
1
Intussusception . . .
1
Hepatitis . . .
1
Dysentery . . .
1
The eleven deaths recorded in 12th Lancers, Secunderabad, were due to the
following causes, viz. :—
Cholera . . .
2
Sunstroke . . .
3
Enteric fever . . .
2
Hepatitis . . .
1
Concussion of brain (accidental) . . .
1
Gunshot wound (accidental) . . .
1
Do. suicide . . .
1
Ar t i l l e r y . —T h i s b r a n c h , a s i n l a s t y e a r , c o n t r i b u t e d t h e h i g h e s t a d m i s s i o n a n d
invaliding rates in the Command,—the rates exceeding those of 1876 by 99.27 and
6.42, respectively, per mille of strength. The death rate (19.83) is fractionally less
(.25). C/ 9th, Royal Artillery, at Thayetmyo, contributed sixty cases of dyspepsia
against four in 1876, and twenty-one of ulcer against none in the previous year.
The increase of venereal disease in several of the batteries has tended to augment
the admission ratio. The 7/6th, Royal Artillery, proceeded to Darjeeling in the
spring, and was succeeded by the 3/5th which had been employed on the Perak
Expedition. The former in 1876 furnished only ninety-eight admissions for the year,
while the latter had 147 in about ten months, thus raising the admission ratio of
the Royal Artillery very considerably. The death ratio (19.83) exceeds that of the
Infantry, but is less than that of the Cavalry. It is nearly identical with that of the
preceding year.
Infantry.—The admission, death and invaliding rates are all less than those of
the Cavalry or Artillery. Compared with 1876, the admission rate is but little
altered, being only 6.59 per mille higher ; the death rate (14.99) is almost identical;
while the invaliding rate (43.09) exceeds that of the previous year by 1.66 only.
The 43rd Regiment, Bellary, gave the highest admission rate—1469.34. Venereal
disease and its sequel—affections of the inguinal lymphatic glands were very preva
- l e n t i n t h i s c o r p s . T h e 4 4 t h R e g i m e n t , S e c u n d e r a b a d , f u r n i s h e d t h e h i g h e s t d e a t h
rate—25.25, which is less by 2.63 than the highest recorded death rate in 1876.
The 1/21st Regiment, Rangoon, had the highest invaliding rate—60.72. The 45th
Regiment, Bangalore, the lowest death and invaliding rates, viz., 8.61 and 12.30
respectively per mille.
25
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
APPENDIX.
Particulars of cases of so-called enteric fever in 1877 omitted from the published Report
of that disease.
Nominal List of officers, men, women and children affected at particular stations.
NOTES.—In addition to the information solicited in the body of the return, Medical Officers
are requested to be so good as to furnish the following, as far as practicable, in Column 13. (In
doing so, the number referred to should be quoted and the required information inserted opposite
it), viz. :—
1. Temperature charts in as many cases of enteric fever as it may be in their power to
collect.
2. In cases where the attack began in the form of intermittent or remittent fever, a
statement of the circumstances that lead to the case being diagnosed as one of
enteric fever.
3. In all cases, full particulars as to the occurrence or non-occurrence of eruption. In
the instances in which an eruption was observed, a precise description of its
character and extent.
4. The presence or absence of diarrhœa, and the character of the stools, should also be
noted.
5. Whether the patient had previously suffered from ague, or other disease of a periodic
character.
6. Or been in a district where local causes of so-called malarial disease prevailed. If
so, for how long ?
7. If the disease be attributed to contaminated food or drink, please give full details.
8. In cases of recovery from enteric fever, has the patient subsequently suffered from
any form of periodic fever.
9. At the date of attack by enteric fever, did ague or other malarial disease prevail in
the locality ?
10. In the accounts of post mortem appearances, the condition of all organs to be noted,
but precise information is specially requested in regard to the nature of lesions
found in Peyer's patches, mesenteric glands, spleen and large intestine.
31
32
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of the
Patient.
Age in
Years and
Months.
Period in
India in
Years and
Months.
Health prior to
Attack; Nature of
Illness, if any, with
which affected.
Date of
Admission
with Enteric
Fever.
Date of
Discharge.
Date of
Death.
Duration of
Attack in
Days.
1
2
3
4
5
6
7
8
BANGALORE.
Hart, R.A.
22
18/12 years. A strong young
man, health excel
-lent prior to ad
- m i s s i o n .
November
13th, 1878.
Noted as
convalescent
on 22nd Dec.
1877. No
further record
in case book.
A r d e n t f e v e r p a s s i n g i n t o i r r e g u l a r r e m i t t e n t . T h e i n t e s t i n a l h æ m o r r h a g e m o s t p r o b a b l y p o r t a l .
Brown, 14th
Hussars.
21
110/12
Good.
30th Novem
- 1877.
2nd Decem
-ber 1877.
8
The nature of the case uncertain. Nothing to show that it was specific.
34 MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of the
Patient
Age in
Years and
Months.
Period in
India in
Years and
Months.
Health prior t
o Attack; Nature of
Illness, if any, with
which affected.
Da
te of Admission
with
Enteric Fever.
Date of
Discharge.
Date of
eath.
Duration
of Attack
in Days.
1
2
3
4
5
6
7
8
Duley, 14th
Hussars.
24
1 10/12
Good.
2nd Decem
ber 1877.
5th January
1878.
36
If enteric, the case arose from non-specific causes.
Belcher, 14th
Hussars.
22 9/12
1 11/12
Had been unusuall y
ood.
18th Decem
ber 1877.
22nd January
1878.
36
I r r e g u l a r r e m i t t e n t a s i n d i c a t e d b y t h e t e m p e r a t u r e c h a r t .
36
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of the
Patient.
Age in
Years and
Months.
Period in
India in
Years and
Months.
Health prior to
Attack Nature of
Illness, if any, with
which affected.
Date of
Admission
with Enteric
Fever.
Date of
Discharge.
Date of
Death.
Duration of
Attack in
Days.
1
2
3
4
5
6
7
8
Sellars, 14th
Hussars.
20
1 1/1 ½
Good.
2nd Novem
-ber 1877.
15th January
1878.
26
Continued fever non-specific.
Mrs. Maslin, R.A.
23
2 8/12
Indifferent ague.
1st November
1877.
18th Noverm-ber 1877
Thirty days probably.
A n e x a n t h e m a t o u s f e v e r , n a t u r e o f e x a n t h e m u n c e r t a i n . N o t h i n g t o s h o w s p e c i f i c c a u s a t i o n o f e n t e r i c f e v e r n o r t h e g r o u n d s u p o n w h i c h c a s e w a s d i a g n o s e d a s s u c h . T h e t e m p e r a t u r e c h a r t u n l i k r a n y o t h e r t u y p i c a l o n e s o f e n t e r i c f e r v e r .
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, NO. 4838.
37
A concise Statement of
Symptoms on Admission.
Particulars
in regard to
Exposure or
otherwise to
Emanations
of Animal or
Vegetable
Origin.
Any other
apparent
Cause of
Attack ?
Infectious o
r otherwise.
Post-mortem
Appearances.
Any other particulars likely to elucidate
t he Et i ol ogy of t he Di s eas e i n i ndi vi dual cas es .
9
10
11
12
13
Those of simple continued
fever; the most distressing
being head-ache and severe
pains in the loins.Tempera-
ture, 103 .4. On 4th day of
disease, tempera-ture 104. On
admission, there was no diar
-rhœa, but on 6th day of dis
-ease it occurred, and distinct
gurgling was felt in the right
iliac fossa; tongue covered
with sordes. Temperature
103.6, and the man was inco
-herent. No enteric spots were
found, and no blood was
passed by the bowels. On
22nd day of disease, the
temperature was almost
normal, and from that he
convalesced steadily.
No evidence
of any.
None.
None.
RECORD OF TEMPERATURE.
Morning. Evening.
November 1st
103·
,,
2nd
101·6
103·4
,,
3rd
102·2
104·0
,,
4th
102·8
103·6
,,
5th
100·6
104·2
,,
6th
100·8
102·4
,,
7th
103·6
104·6
,,
8th
101·6
103·0
,,
9th
102·4
103·6
,,
10th
102·0
103·6
,,
11th
1 0 1 · 0
101·6
,,
12th
100 8
103·0
,,
13th
101·2
103·3
,,
14th
101·2
103 4
,,
15th
101·
103 · 6
,,
16th
101·4
101·8
,,
17th
101·0
102·2
,,
18th
100·0
102·6
,,
19th
100·2
102·8
,,
20th
98·7
102·2
,,
21st
99·0
102·4
,,
22nd
99·0
101·2
,,
23rd
98·8
99·8
,,
24th
98·4
98·4
,,
25th
98·4
98·4
,,
26th
98·4
98·4
High continued pyrexia, pros
-tration and an aspect of
marasmus, general bronchial
implication moderate in
degree. Subsequently diar
-rhœa with stools of a " pea
soup" character; delirium
; rose-red rash. The rash in
this case was peculiar, in that
while rose-red in color, it
was very thick over the
entire trunk, somewhat pap
u-lar, not wholly disappearing
on pressure, and persistent
(not evanescent) from date of
appearance (probably 15th
day of disease) to nearly the
end of the enteric fever.
Enlargement of spleen, iliac
tenderness. Case terminated
in profuse diaphoresis.
No.
N o .
Fourteen days prior to admission into
hospital (the date probably
of the commencemen of the typhoid fever)
,this woman suffered from rigor
which she called "ague."
W h e t h e r t h i s w a s a c t u a l l y a g u e o r a m e r e i n t e n s i f i c a - t i o n o f t h e s e n s a t i o n o f s h i v e r i n g a t t h e s e t t i n g i n o f a h i g h c o n t i u e d f e v e r i s n o t c l e a r . I t , h o w e v e r , w a s n o t r e p e a t e d , a n d , i f d u e t o a g u e , t h v i r u s d i d n o t c o m p l i c a t e t h e s u b s e q u e n t p r o g r e s s o f t h e e n t e r i c d i s e a s e .
5. Yes.
6. No.
8. Yes. Ague.
9. No.
RECORD OF TEMPERATURE.
Morning. Evening.
November 2nd
103·6
105·3
,,
3rd
103·8
104·6
,,
4th
102·8
103·4
,,
5th
101·8
102·4
,,,
6th
101·8
101·1
,,
7th
99·4
100·4
,,
8th
97·1
98·8
,,
9th
97·4
98·0
,,
10th
97·4
97·8
,,
11th
97·3
98·3
,,
12th
98·1
98·8
,,
13th
97·1
98·8
,,
14th
97·1
98·6
,,
15th
97·4
98·4
,,
16th
98·2
98·8
,,
17th
98·0
98·8
,,
1 8 t h
98·4
38
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of the
Patient.
Age i n Years and
Months.
Period in
India in
Years and
Months.
H e a l t h p r i o r t o
Attack; Nature of
Illness, if any, with
which affected.
Date of
Admission
with Enteric
Fever.
Date of
Discharge.
Date of
Death.
Duration of
Attack in
Days.
1
2
3
4
5
6
7
8
SECUNDERABAD.
Salters, 2/16th
Regiment.
26
110/12 years. Good. Four days in
hospital for con
- stipation in No
-vember 1877.
21st Novem
-ber 1877.
Remains.
A case of continued fever non-specific.
Bushnell, 2–16th
Regiment.
23
110/12
Good. Was in hos
-pital for Orchitis
(n-g)-5 days in
November 1877.
23rd Novem
-ber 1877.
10th January
1878.
51
Continued fever non-specific.
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838. 3 9
A concise Statement of
Symptoms on Admission.
Particulars
in regard to
Exposure or
otherwise to
Emanations
of Animal or
Vegetable
Origin.
Any other
apparent
Cause of
Attack ?
Infectious or
otherwise.
Post-mortem
Appearances.
Any other Particulars likely to elucidate
the Etiology of the Disease in individual
Cases
9
10
11
12
13
Hot dry skin, severe head-ache,
bowels constipated, tongue
foul, temperature was 103°t
wo days after admission.
No.
None
None
2. High temperature rising from 101 to
103, tongue dry and slightly brown
, great nervous prostration, pulse
weak and rapid, bowels constipated
at first, afterwards slight diarrhœa.
3. No spots.
4. Stools light dark, liquid.
5. No.
6. No.
9. No.
RECORD OF TEMPERATURE.
Morning. Evening
November 23rd
10·01
103·0
"
24th
100·0 101·0
"
25th
100·0
100·4
" 26th
98·0
100·0
" 27th
98·6
99·6
" 28th
98·4
99·0
" 29th
99·0
98·8
"
30th
98·4
98·6
December 1st
99·0
99·2
" 2nd
98·6
98·4
"
3rd
98·4
98·4
" 4th
98·4
98·6
" 5th
98·4
98·8
"
6th
98·4
98·8
" 7th
98·0
98·4
" 8 t h
98·4
98·8
"
9th
98·4
98·6
"
10th
98·8
98·4
" 11th
98·4
98·6
" 1 2 t h
98·4
98·4
" 13th
98·0
98.2
" 14th
98·0
98·0
" 15th
98·0
98·4
" 16th
98·2
98·4
"
17th
98·6
98·8
" 18th
98·4
98·2
" 19th
98·2
98·4
" 20th
98·0
98·4
" 21st
98·0
98·4
Heat of skin, the temperatur
was only 99 on admission an
d rose to 102 two days after
; he was much purged,
stools dark liquid, tongue coated
but moist; pulse quick, 88.
None
None.
2. High temperature rising from 99 to
102. Coated tongue, pulse 100 weak
diarrhœa and debility.
3. Rose-colored spots on abdomen.
4. Dark, liquid.
5. No.
6. No.
8. No.
9. No.
RECORD OF TEMPERATURE.
Morning. Evening.
November 22nd
102·0
" 23rd
99·4
102 · 0
" 24th
99·2
98·2
" 2 5 t h
98·4
98·6
" 26th
98·6
101·8
" 27th
100·0
101·6
" 28th
99·0
102·0
" 29th
98·6
102·2
" 30th
99·0
102·0