NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
40 MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of the
Patient.
Age in
Years and
M o n t h s .
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
Bushnell, 2/16th
Regiment.
( Continued.)
KAMPTEE.
Timms, 33rd Reg
i-ment.
20 11/12
1 9 / 1 2
Good.
No admission re
-corded in admis
-sion book since
date of joining the
corps, viz., 29th
March 1875.
30th Decem
-ber 1877.
18th Febru
-ary 1878.
51
Continued non-specific fever rapidly becoming adymanic.
BELLARY.
Mrs. Isaac, 43rd
Regiment.
15 7/12
15 7/12
Delicate, anæmic,
and pregnant for
the first time.
3rd Novem
-ber 1877.
3rd January
1878.
68
Adynamic fever, relapsing, non-specific, complicated with pneumonia.
N.B.—The date of first admission is given as 3rd November 1877, which is noted as being the
7th completed day of disease. On 11th November, or
15th completed day of disease, she is stated
to have been discharged at her own request. She was re-admitted on 26th November, and died
on 3rd January 1878.
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838. 41
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 ot he r Pa r t i c ul a r s l i ke l y t o e l uc i da t e t he Et i ol ogy of t he Di s e a s e i n i ndi vi dua l Ca s e s .
9
10
11
12
13
RECORD OF TEMPERATURE.—(Contd.)
Morning. Evening.
December 1st
99·6
101·2
,, 2nd
100·0
100·0
,, 3rd
100·6
101·6
, , 4 t h
101·6
101·0
,, 5th
99·0
100·6
, , 6 t h
100·0
100·4
,, 7th
98·4
101·0
,, 8th
99·0
101·0
,, 9th
98·4
100·4
,, 10th
98·4
98·6
,, 11th
99·0
98·4
,, 12th
98·4
98·6
, , 1 3 t h
98·0
98·0
,, 14th
98·0
98·4
,, 15th
98·4
98·6
,, 16th
98·0
98·6
,, 17th
98·0
98·4
,, 18th
98·0
98·2
,, 19th
98·0
98·4
,, 20th
98·2
98·4
,, 21st
98·0
98·4
,, 22nd
98·0
98·2
Continued fever accompanied
by abdominal pain, diarrhœa
and successive crops of rose-
colored spots on abdomen,
back and arms.
No evidence
of any
exposure.
None.
RECORD OF TEMPERATURE.
Morning. Evening.
1878.
January 1st
103·2
,, 2nd
102·4
102·4
7th day of
disease.
,, 3rd
101·8
103·8
,, 4th
102·4
103·2
,, 5th
101·4
102·2
,, 6th
100·6
103·2
,, 7th
100·8
102·2
, , 8 t h
102·2
101·8
,, 9th
100·4
101·2
,, 10th
99·0
101·0
,, 11th
101·0
100·8
,, 12th
99·0
100·0
,, 13th
97·6
98·8
, , 1 4 t h
98·8
98·4
,, 15th
97·2
99·0
,, 16th
98·4
98·2
Lassitude, continued form of
fever with evening exacerba
-tious (not influenced by
Quinine), anorexia, coated
tongue, nausea and headache.
Epistaxis and diarrhœa
during the progress of the
case.
Slept in
a badly-ven-
tilated bed-
room ad
-joining
a bath-room
used as
a water-closet
and from
which, when
examined,
a strong am
-moniacal
odor was
exhaled.
The drink
-ing water
used seemed
of good
quality.
None.
No post-mortem
examination
could be obtain
-ed.
2 . T h e p a t i e n t s u f f e r e d f r o m a r e l a p s e . T h e f i r s t a t t a c k l a s t e d t h i r t y - s i x d a y s . T h e r e l a p s e t o o k p l a c e o n 4 t h d a y o f c o n v a l e s c e n c e , d e a t h , a n d t e r m i n a t e d i n d e a t h .
3 . T h e r e w a s a d o u b t f u l e r u p t i o n d u r i n g f i r s t a t t a c k , b u t w e l l - m a r k e d l e n t i c u - l a r s p o t s d u r i n g t h e r e l a p s e , w h i c h w a s m u c h m o r e s e v e r e i n e v e r y r e s p e c t .
4 . D i a r r h o e a p r e s e n t , e a s i l y r e s t r s i n e d ; c h a r a c t e r o f s t o o l s v a r i e d . T h e y d i d n o t c o n t a i n b l o o d , w e r e s o m e - t i m e s p a l e w i t h w h i t i s h f l o c u l i f l o a t - i n g i n t h e m . A t o t h e r t i m e s , t h e y c o n t a i n e d b i l e .
5. No.
6. Had been at Bellary for two years.
9. Ague was very valent at the time
in the station.
42
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
Name of
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
Mrs. Isaac, 43rd
Regiment.
( Continued. )
...
. . .
. . .
. . .
. . .
. . .
. . .
POONAMALLEE.
Game, 1/21st Regi-
ment.
277/12
89/12
I n d i f f e r e n t . D u r i n g p r e v i o u s 6 m o n t h s h e h a d b e e n u n d e r t r e a t m e n t f o r b r o n c h i t i s , s i m p l e c o n t i n u e d f e v e r , p h t h i s i s p u l m o n a - l i s a n d d y s p e p s i a .
22nd Decem-
ber 1877.
...
31st Decem-
ber 1877.
10
Continued fever, non-specific, endemic, over-stimulated at first.
General debi-
litated
state of
system probably contract
-ed in the malarious atmos-
phere of Rangoon; this
may be surmised from the
weight of the spleen—14 oz.
No evidence.
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
43
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
...
. . .
. . .
. . .
RECORD OF TEMPERATURE.
Morning. Evening.
November 3rd
102.4
102.8
” 4th
101.
102.4
” 5th
99.8
101.8
” 6th
98.0
101.8
” 7th
100.0
102.0
” 8th
101.2
102.0
” 9th
101.0
102.2
” 10th
100.4
102.0
” 11th
9 9 . 8 D i s c h a r g e d
” 26th 101.2
104.0
” 2 7 t h
102.0
102.0
” 28th 102.6
103.0
” 29th 102.0 103.4
” 30th 101.6
100.0
December 1st
99.0
101.0
” 2nd
99.6
101.0
” 3rd
98.0
9 8 . 4
” 4th
98.0
99.0
” 5th
97.6
99.4
” 6th
97.0
98.6
” 7th
97.0
98.0
” 8th
97.2
98.6
” 9th 96.8
99.0
” 10th
98.8
98.8
” 1 1 t h
97.4
98.2
” 1 2 t h
97.0
9 8 . 2
” 1 3 t h
97.6
98.0
” 1 4 t h
97.6
98.0
” 1 5 t h
97.0
98.6
” 16th
97.0
100.0
” 1 7 t h
98.0
103.0
”18th
100.0
103.0
” 19th
1 0 1 . 0 102.4
” 20th
101.0
102.2
” 2 1 s t
101.2
102.4
” 2 2 n d 102.4
103.0
” 2 3 r d
100.8
102.4
” 2 4 t h
103.0
102.6
” 2 5 t h
102.6
102.0
” 26th
101.6
103.6
” 2 7 t h 101.2
101.4
” 2 8 t h
101.2
100.6
” 2 9 t h
102.2
101.4
” 3 0 t h
101.2
102.6
” 31st
101.8
102.0
1878.
January 1st
100.8
102.4
” 2nd
100.2
99.8
” 3rd
100.6
Died
Headache, vomiting, constipa
- t i o n ; t e m p e r a t u r e 1 0 3°, p u l s e
100, pain in back and limbs,
sleeplessness, loss of appetite.
As the disease advanced,
diarrhœa, delirium; tempera
- t u r e 1 0 4 a t n i g h t , a n d i n
morning 101 and 102. To
- w a r d s t h e c l o s e , p u l s e 1 2 0 .
Great prostration, stupor,
subsultus tendinum and
death from exhaustion.
The jejunum
was inflamed,
and in some
places there
were ulcers
which were cir
- c u l a r i n s h a p e ,
increasing in
numbers as they
approach the ileum. Extensive ulcers near
junction of ileum and colon, which were
irregular in shape and formed patches chiefly
elongated in the axis of gut exposing the peri
- t o n e a l c o v e r i n g , a n d i n f i v e o r s i x p l a c e s
completely perforating the gut. About the
junction of the ileum and jejunum, the serous
coat of intestine was inflamed and in a
sloughing condition. Mesenteric glands
enlarged and softening of some.
None.
3 . N o n e .
4 . At f i r s t c o n s t i p a t e d , s u b s e q u e n t l y
yellowish, liquid, occasionally co
n - t a i n i n g b l o o d b u t n o mu c u s .
RECORD OF TEMPERATURE.
Morning. Evening.
December 17th
...
103.0
” 18th
103.4
102.0
” 1 9 t h
101.0
102.4
” 20th
102.0
100.6
” 21st
98.4 ...
” 27th ...
99.8
” 28th
100.2
103.0
” 29th
101.6
...
” 3 0 t h
1 0 4 . 8
104. 0
” 3 1 s t
1 0 4 . 2
...
44
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
No. 1.
RETURN showing the SICKNESS, MORTALITY, and INVALIDING in Her Majesty's BRITISH TROOPS in the
MADRAS PRESIDENCY for 1877.
Years .
A v e r a g e S t r e n g t h .
A d m i s s i o n s i n t o H o p i t a l . DEATHS IN HOSPITAL
D e a t h s o u r o f H o s p i t a l .
T o t a l D e a t h s i n a n d o u t o f H o s p i t a l .
I n v a l i d e d .
RATIO PER 1,000 OF STRENGTH.
T o t a l D e a t h s i n a n d o u t o f H o s p i t a l .
I n v a l i d .
A d m i s s i o n s .
DEATHS IN HOSPITAL D e a t h s o u r o f H o s p i t a l .
F r o m C h o l e r a .
E x c l u d i n g C h o l e r a .
F r o m a l l C a u s e s .
F r o m C h o l e r a .
E x c l u d i n g C h o l e r a .
F r o m a l l C a u s e s .
1876.. 11,132 12,224
16 141
157
17 174 478 1098.09 1.44 12.67 14.10 1.52 15.63 42.94
1877.. 11,016 12,591
19 141 160
28 188 510 1142.98 1.72 12.80 14.52 2.54 17.07 46.29
[Statement
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
47
No. 245.
ORDER THEREON, 18th September 1878, No. 4838.
Forwarded to the Right Honorable the Secretary of State for India, with an
additional copy for the Sanitary Commissioner at the War Office,—also to the
Government of India and the Sanitary Commissioner.
2. The Returns, Nos. 1 to 3, will be published in the Gazette.
(Signed) J. MICHAEL, Colonel,
Secretary to Government.
To the Surgeon-General, British Medical Service; Surgeon-General, Indian Medical Department;
Quartermaster-General; Sanitary Commissioner; Supervisor, Government Press, with
Returns Nos. 1 to 3.
No. 246.
OCKET, 18th September 1878, No. 4839.
Copy of the above forwarded to the Secretary to the Government of India,
Military Department, for the information of the Right Honorable the Governor-
General in Council.
(By order,)
(Signed) J. MICHAEL, Colonel,
Secretary to Government.
I P | 2 5 | A F . 4
GOVERNMENT OF MADRAS.
MILITARY DEPARTMENT.
8th September 1879, No. 5000.
Sanitary—Reports and Returns.
Read the following paper:—
No. 134. From Surgeon-General C. A. GORDON, M.D., C.B., British Medical
Service, to Colonel J. MICHAEL, C.S.I., Secretary to Government, Military
Department, Fort St. George; dated 30th August 1879.
I have the honor to forward, for the information of Government, the three
abstract returns speci
-fied in the margin, with
the following report on
the health of the British
troops serving in the
Madras Presidency for
the year ending 31st
December 1878.
Strength.—The average strength for the year was 10,880, showing a decrease
of 136 as compared with the year preceding.
Admissions into Hospital.—These were in excess of the previous year, viz., 14,537
against 12,591 in 1877, the increase being equal to 193.14 per mille of average
strength.*
Mortality. —The death-rate, 21·42 per mille, exceeds that of 1877 by 4·35 per.
mille, and is greater than the average of the preceding twenty years, which equalled
20·49.
Invaliding. —The invaliding ratio, 45·77 per mille, shows a reduction of ·52 as
compared with 1877. Compared with the mean of the twenty years preceding it is
less by ·98 per mine.
Three hundred and ninety-nine men were invalided for change and 99 for
discharge, against 394 and 116 respectively in the previous year, giving ratios of
36·58 and 9·10 respectively, against 35·76 and 10·53 per mille in 1877.
Appended is a table showing the classification of the diseases, wounds, and
Infirmities of men invalided in 1878, the ages and periods of service of the men
being noted in the table.
* Throughout the report when ratios are calculated per mille, the mille of average annual strength, is referred to.
No. 1. Return showing the sickness, mortality, and invaliding,
in Her Majesty's British troops in the Madras Presi-
dency for 1878.
No. 2. Return showing the mortality in and out of hospital in
Her Majesty's British troops during the year 1878.
No. 3. Return showing the ratio of sickness and mortality in
the several circles of the army during the year 1878.
CLASSIFICATION of Diseases, Wounds, and Infirmities of Men who have passed Invaliding Committees between 1st January and 31st December 1878.
C l a s s .
Or d e r
Diseases and Defects.
A g e s .
T o t a l .
Period of Service.
Men who have served
L e s s t h a n
A b o v e 2 0 Y e a r s .
T o t a l .
U n d e r 2 0 .
2 0 — 2 4 .
2 5 — 2 9 .
3 0 — 3 4 .
3 5 — 3 9 .
4 0 a n d u p w a r d s
.
1 Y e a r
.
5 Y e a r s .
1 0 Y e a r s .
1 5 Y e a r s .
2 0 Y e a r s .
S
A
Ague . . .
. . .
. . .
. . .
1
. . .
. . .
1
. . .
. . .
. . .
1
. . .
. . .
1
B Gonorrhœal rheumatism . . .
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
1
Chronic do. . . .
. . .
3
2
2
6
4
17
. . .
4
1
2
8
2
17
Secondary syphilis . . .
. . .
3
8
3
5
. . .
19
. . .
4
6
4
3
2
19
Phthisis pulmonalis . . .
. . .
8
11
8
1
2
30
. . .
10
8
8
3
1
30
Hæmoptysis tubercular . . .
. . .
. . .
. . .
1
. . .
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
Anæmia . . .
. . .
2
2
. . .
. . .
. . .
4
. . .
2
2
. . .
. . .
. . .
4
2
1 Meningitis . . .
. . .
2
1
. . .
. . .
. . .
3
. . .
3
. . .
. . .
. . .
. . .
3
Sunstroke . . .
. . .
. . .
. . .
1
. . .
. . .
1
. . .
. . .
. . .
1
. . .
. . .
1
White softening of brain . . .
. . .
. . .
. . .
1
1
. . .
2
. . .
. . .
. . .
1
1
. . .
2
Paralysis . . .
. . .
. . .
1
. . .
. . .
. . .
1
. . .
. . .
1
. . .
. . .
. . .
1
HemipIegia . . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
Paraplegia . . .
. . .
. . .
1
. . .
. . .
. . .
1
. . .
. . .
. . .
1
. . .
. . .
1
Locomotor ataxy . . .
. . .
. . .
. . .
1
. . .
. . .
1
. . .
. . .
. . .
. . .
. . .
1
1
Epilepsy . . .
. . .
5
. . .
. . .
1
. . .
6
. . .
5
. . .
. . .
. . .
1
6
Epileptic vertigo . . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
. . .
1
1
Neuralgia . . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
. . .
1
1
Do.
brow ague . . .
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
1
Do .
sciatica . . .
...
...
...
1
. . .
. . .
1
. . .
..
.
. . .
1
. . .
. . .
1
Mania . . .
. . .
1
. . .
. . .
. . .
. . .
1
1
. . .
. . .
. . .
. . .
. . .
1
Melancholia . . .
. . .
. . .
1
1
. . .
. . .
2
. . .
. . .
1
1
. . .
. . .
2
Dementia . . .
. . .
1
1
1
. . .
. . .
3
. . .
1
1
1
. . .
. . .
3
2 Ulcer of cornea . . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
. . .
1
1
Retinitis . . .
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
I
Impaired vision . . .
. . .
. . .
. . .
1
1
1
3
. . .
. . .
1
. . .
2
. . .
3
Cataract, soft, both eyes . . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
. . .
. . .
. . .
1
. . .
1
Short sight . . .
. . .
. . .
. . .
. . .
. . .
3
3
. . .
. . .
. . .
. . .
. . .
3
3
Hemeralopia . . .
. . .
. . .
. . .
. . .
1 . . .
1
. . .
. . .
. . .
. . .
1
. . .
1
2 M I L I T A R Y d E P A R T M E N T , 8 T H S E P T E M B E R 1 8 7 9 , N O . 5 0 0 0 .
2
3
Perforation of membr. tympani
...
1
...
. . .
...
...
1
...
1
...
. . .
. . .
1
Deafness
...
2
2
. . .
1
...
5
...
1
3
...
1
...
5
5 Valve disease of heart
. . .
1
6
3
2
2
14
...
1
2
6
3
2
14
Hypertrophy do.
...
3
1
. . .
1
...
5
...
3
1
...
...
1
5
Palpitation
...
8
9
...
3
...
20
...
10
6
1
2
1
20
Aneurism arch of aorta
...
...
...
...
...
1
1
...
. . .
...
. . .
1
1
Do.
thoracic do.
...
...
2
...
. . .
...
2
. . . 1
1
. . .
...
...
2
5
Do.
abdominal aorta
...
...
1
...
1
1
3
...
...
1
...
1
1
3
Do.
popliteal artery
...
...
. . .
. . .
. . .
1
1
. . .
...
...
. . .
...
1
1
Varicose veins
...
...
1
...
2
. . .
3
...
...
1
...
2
...
3
8 Bronchitis
...
2
1
2
4
...
9
...
1
2
2
4
...
9
Asthma
...
1
1
...
1
2
5
. . . 1
...
1
2
1
5
Hæmoptysis
...
1
...
...
...
...
1
...
1
...
. . .
...
...
1
Chronic pneumonic phthisis
. . .
...
. . .
3
. . .
1
4
...
...
2
1
...
1
4
Pleurisy
. . .
1
. . .
...
. . .
. . .
1
...
1
...
...
...
...
1
9 Necrosis of alveoli
...
...
1
...
...
...
1
...
...
1
...
...
...
1
Dyspepsia
...
...
...
1
...
...
1
...
...
...
1
...
...
1
Dysentery
. . .
15
18
11
11
3
58
...
21
13
9
12
3
58
Hernia
...
2
1
1
1
...
5
...
1
2
1
1
...
5
Diarrhœa
...
4
2
...
1
1
8
...
3
3
...
1
1
8
Hepatitis
...
14
20
15
11
4
64
...
15
22
11
14
2
64
Abscess of liver
...
1
1
. . . 3
...
5
...
1
1
...
2
1
5
Simple enlargement of liver
. . .
. . .
...
...
1
...
1
...
...
...
...
...
1
1
Cyst of liver
...
...
1
. . .
. . .
...
1
...
...
1
...
...
...
1
10 Bright's disease
...
2
. . .
...
. . .
1
3
. . . 2
. . .
...
...
1
3
Incontinence of urine
...
...
1
...
...
...
1
. . . 1
...
...
...
...
1
Stricture of urethra
...
...
1
1
1
1
4
...
1
...
1
2
. . . 4
11 Orchitis
1
...
. . .
. . .
...
...
1
...
1
...
...
...
...
1
12 Synovitis
...
1
2
1
. . .
. . .
4
. . .
1
2
1
...
...
4
Deformity from ankylosis
...
1
...
1
...
...
2
...
...
2
...
...
...
2
Relaxation of ligaments
. . .
...
1
. . .
. . .
. . .
1
...
. . .
1
. . .
. . .
...
1
14 Ulcer
...
...
2
...
3
...
5
...
...
2
...
3
...
5
Onychia
...
...
...
1
. . .
...
1
...
...
...
...
1
...
1
3
General debility
. . .
5
23
13
54
41
136
...
8
20
13
59
36
136
5
2 Fracture
...
...
5
1
1
...
7
...
1
4
1
1
...
7
Wounds
...
1
...
...
1
...
2
...
1
...
1
...
...
2
Sprain
...
...
1
...
1
...
2
...
...
...
1
...
1
2
Gunshot wound
...
1
...
...
...
...
1
...
1
...
...
...
...
1
Total
1
95
132
76
125
69
498
1
111
114
72
132
68
498
MILITARY DEPARTMENT, 8TH SEPTMEBER 1879, No. 5000.
food, Waters &c., to account for the attacks. One of the men was admitted
from barracks ; the remaining two from tents in cholera c amp. At Rangoon six cases
(two fatal) were recorded in men of 89th Regiment and one in a child of the same
corps ; the latter recovered. The cases in men occurred between the 31st July
and 3rd August. The disease was confined to the occupants of one barrack ; it
was a new barrack, and there was nothing in its position, construction, or surround
-ing to account for it. It is reported that the two men first attacked had been in
an infected locality, and that on the morning of their seizure they had eaten raw
cucumbers and over-ripe pineapples. The case in the child occurred in December ;
no cause was traceable. At Thyetmyo two cases were recorded in men of 44th
Regiment on 26th and 28th April respectively ; both terminated fatally. These
men occupied the same building. A fatal case had occurred in the bazaar a few days
before. There was nothing in connection with barracks, food-supplies, water,
&c., to account for it. The dry-earth system of conservancy was not in use. It has
since been introduced. One case occurred at Tonghoo in a man of the Royal Artil
-lery on 11th July and proved fatal, He had been fishing a few days before in an
infected locality. The solitary case recorded at Poonamallee occurred on 7th
August in a gunner of the Royal Artillery, who for three days previously had suffered
from diarrhœa. On the day of attack, while playing in a cricket match, he drank
two pints of beer, two glasses of arrack, two bottles of ginger-beer, and quantities of
water. He recovered.
7
[Statement
B.
Order.
Diseases.
Strength (10,880).
Ratio per 1,000 of Average Strength.
Admitted.
Died.
Invalided.
1878.
1877.
I n H o s p i t a l .
O u t o f H o s p i t a l .
Change. Discharge. Admitted.
Died. Invalided. Admitted.
Died. Invalided.
I.—General Diseases.
1
Febrile group
3,812
59
1
1
. . .
350·37
5·51
0·09
212·14 3·99
0·72
2
Constitutional group
1,827
12
...
52
20
167·92
1·10
6·61
159·31
1·36
8·17
II.—Local Diseases.
Diseases of the
—
1
Nervous system
181
28
8
8
18
16·64 3·31
2·39
14·89
2·18
2·91
2
E y e
166
...
. . .
8
2
15·26
...
0·92
21·15
...
0·91
3
Ear
85
...
. . . 3
3
7·81
. . .
0·55
6·45
. . .
0 · 3 6
4
Nose
4
1
...
...
. . . 0·37
0 · 0 9
. . . 0·36
. . .
. . .
5
Circulatory system
174
12
1
30
19
15·99
1·19
4·50
15·89
1·44
3·81
6
Absorbent do.
317
...
...
...
...
29·14
. . .
. . . 38·49
...
0·09
7
Ductless glands
1
1
. . .
. . .
...
0·09
. . .
. . . 0·09
. . .
0·09
8
Respiratory system
451
7
...
18
2
41·45
0·64
1·84
39·67
0 · 3 6 2·09
9
Digestive do.
3,593
74
1
134
10
330·24
6·89
13·23
314·54 5.36
13·71
10
Urinary do.
1,237
...
...
7
1
113·69
. . . 0·73
107·39
...
0·72
11
Generative do.
173
...
...
...
1
15·90
. . .
0·09
16·52
...
0·09
12
Organs of locomotion
45
1
...
6
1
4·14
0 · 0 9
0·64
3·72
...
0·36
13
Cellular tissue
200
2
...
...
...
18·38
0·18
...
15·25
. . . 0·09
14
Cutaneous system
783
. . . ...
5
1
71·97
...
0·55
55·46
...
0·36
III.— Conditions, &c.
Debility
352
2
...
120
16
32·35
0·18
12·50
28·50
0·09
10·98
IV.—Poisons
64
4
2
...
. . .
5·88 0·55
. . . 5·72
0·18
. . .
V.—injuries.
2
Accidental
1,048
2
8
7
5
96·32
0·92
1·10
85·42
1·27
0·63
4
Self-inflicted
2
...
6
...
...
0·18
0·55
...
0.27
0·63
...
VI.—Surgical Operations
5
...
. . . ...
...
0·46
...
...
0·27
. . . 0·18
No appreciable disease
17
...
...
...
. . .
1·56
. . .
...
1·45
. . .
...
Cause unknown
. . .
. . . 1
. . . ...
...
0 · 0 9
...
. . .
0 · 1 8
...
Total
14,537
205
28
399
99
1336·12 21·42
45·77
1142·98 17·07
46·29
Average of ten years (1868-77)
. . .
. . .
. . .
. . .
. . .
1223·3
1 9 · 9 5
...
...
. . .
...
8 M I L I T A R Y D E P A R T M E N T , 8 T H S E P T E M B E R 1 8 7 9 , N o . 5 0 0 0 .
11
MILITARY DEPARTMENT, 8TH SEPTEMBER 1879, No. 5000.
TABLE showing the Number of Admissions and Deaths from Enteric Fever during 1878 classified
according to Ages.
Age.
Number admitted
for Enteric Fever.
Percentage of Total
Admissions from
Enteric Fever.
Number of Deaths
from Enteric Fever.
Percentage of Total
Deaths from Enteric
Fever.
22 to 23 years . . .
2
28.57
1
20.00
23 " 24 " . . .
2
28.57
2
40.00
26 " 27 " . . .
2
28.57
1
20.00
30 " 31
" . . .
1
14.28
1
20.00
TABLE showing the Number of Admissions and Deaths from Enteric Fever classified according
to length of Service in India.
Service in India.
Number admitted
for Enteric Fever.
Percentage of Total
Admissions from
Enteric Fever.
Number of Deaths
from Enteric Fever.
Percentage of Total
Admissions from
Enteric Fever.
Under 1 year . . .
1
14.28
. . .
. . .
1 to 2 years . . .
1
14.28
2
40.00
2 " 3
" . . .
3
42.85
1
20.00
6 " 7
" . . .
1
14.28
1
20.00
9 " 10 " . . .
1
14.28
1
20.00
The death recorded at Bangalore occurred in a man admitted for enteric fever in
1877. The cases recorded in 1878 are given in detail, along with remarks of the
treating medical officers and an expression of my own views in a second special
report on enteric fever lately submitted—See paragraphs 40 and 41 of that report.
Constitutional Group .—Compared with 1877 this group shows an increase in
the admission ratio of 8.61 per mille; the death-rate a decrease of 26. The
slight increase in the admissions is mainly due to syphilis, which gave a ratio of
125.09 per mile against 119.37 in the previous year.
Local Diseases—Diseases of the Nervous System.— The admission and death
rates for the command, viz., 16.64 and 3.31 respectively per mille, are but slightly
in excess of the rates recorded in 1877. The Presidency Circle shows a slight
increase in admissions ; a more decided increase in deaths. This appears to be due
to sunstroke, which contributed eight admissions and six deaths against two admis-
sions (both fatal) in 1877. The Mysore Circle shows an increase in admissions, the
ratio amounting to 15.55 per mile against 7.44 in 1877. The death-rate shows
but little change. The increase in admissions is mainly due to neuralgia, which
c o n t r i b u t e d 1 9 . c a s e s a g a i n s t s i x i n t h e p r e v i o u s y e a r . Th e Hy d e r a b a d Ci r c l e s h o ws
a decrease in admissions, but an increase in deaths. The decrease occurs in no par--
ticular affection. The increase in deaths is due to fatal cases of sunstroke—
eight deaths against three in 1877. The admission-rate in Burmah, 25.32 per
mille, exceeds that of 1877 by 8.23, and is higher than in any other circle. The
death-rate, 4.22, is almost identical with that of the previous year. The increased
admission-rate is mainly due to sunstroke and epilepsy.
Sunstroke caused 37 admissions and 23 deaths (six out of hospital), against 19
admissions and 13 deaths (one out of hospital) in the preceding year ; the admission
and death ratios for the two years being 3.40 and 2.11, 1.72 and 1.18, respectively,
per mile. The cases were distributed as follows, viz :—