( 9 )
9. All prostitutes are, after registration, examined at the hospital, and detained for
treatment, if found diseased. Periodical examinations are conducted fortnightly—Wednes-
days and Fridays. No prostitute is allowed to reside in Cantonments.
10. The table of admissions into the hospital shows a considerable decrease compared
with 1874. The admissions in 1875 were 147, against 248 in 1874. The admissions include five
unlicensed prostitutes, found diseased, and six women voluntarily seeking admission and
treatment. The diseases have not been of a virulent nature, but were mild cases, readily
yielding to treatment. The same remark applies to the diseases found amongst the male
patients in the Civil Dispensary, and amongst the Native troops. There have been no
admissions from other diseases ; neither have women been detained on account of their
monthly illness, unless at the time they were inmates of the hospital.
11. Dhais have not been employed in connection with the Lock-hospital.
12. Other matters not mentioned in the foregoing report :
—
Conservancy.—The hospital and out-offices are kept as clean as possible, and the
compound free of weeds. The dry-earth system is maintained in the latrine.
Establishment.—The establishment remains unchanged. The Hospital Assistant in
charge gives every satisfaction, and the servants conduct themselves well.
Examinations.—There were in all 8,590 examinations, viz., 1,537 periodical and
fifty-three primary. Of the former 136, or 8.84 per cent., were found diseased ;
and of the latter, five, or 9.43 per cent.
Expenditure.—The expenditure has been, in all, Rs. 2,036-11-6, of which Rs. 600
was for pay of Superintendent, Rs. 732, pay of establishment ; and Rs. 704-11-6,
dieting and contingencies. The total expenditure is a little less than that of 1874,
and nearly equal to that of 1873. The receipts (by the Magistrate) from fines were
only Rs. 70. The average cost per patient during the year was Rs. 12-12-11.
In 1874, the average cost was Rs. 8-1-4, and in 1873 .Rs. 11-3-9, notwithstanding
there were fewer patients; but this may be explained by the fact that the cost of
establishment always remains the same, though the number of patients varies.
Venereal affections amongst the civil population of the Town—is shown by the following
table of admissions into the General Hospital for the past and preceding five years:—
YEARS.
1870.
1871.
1872.
1873
1874.
1875.
Diseases.
o u t - p a t i e n t s .
I n - p a t i e n t s . Total
o u t - p a t i e n t s . +
I n - p a t i e n t s .
.
T o t a l o u t - p a t i e n t s .
I n - p a t i e n t s .
'
Total
o u t - p a t i e n t s .
I n - p a t i e n t s .
Total
out -pat i ent s
I n - p a t i e n t s .
Total
o u t - p a t i e n t s I n - p a t i e n t s . 1
'
Total
Syphilis, secondary ..
74 27 101 59 17 76 55 13 68
34 20 54 22
8 30 27 14
41
Ditto
primary .. 131 40 171
I
153 35 188 84 15 99 37
7 44 39 13 52 49 21
70
Gonorrhoea ..
..
91
5 96 96
2 98 73
4 77
28
7 32 60
2 69 49
6
55
Bubo ..
..
..
28
6 34 41
2 43 34
3
37 14
3 17
2
3
5 14
9
23
Total
.. 324 78 402 349 56 405 246 35 281 113 37 150 123 33 156 139 50 189
This table shows an increase of venereal diseases over that of 1873 and 1874, but a
decrease, as compared with the years preceding the establishment of the Lock-
hospital. How far the admissions are indicative of increase or decrease in vene-
real, it is not possible to say, as all sufferers from venereal disease do not present
themselves for treatment at a hospital. Amongst the in-patients from venereal in
the General Hospital, twenty-four, or one-half (fifty per cent.) contracted the
diseases elsewhere than in Moulmein (chiefly European and Native seamen) ;
and, amongst out-patients, twenty-five, or nearly eighteen per cent., contracted
venereal elsewhere.
Visitors' book.—The hospital was not visited by an Inspecting Officer during the year,
but was frequently visited by the Commissioner. of the Division. No remarks were
entered in the " Visitors' book."
Concluding remarks.—The working of the Contagious Diseases' Act in the town of
Moulmein may be considered satisfactory, inasmuch as the spread of diseases is
restricted, and there is, also, less disease amongst the women ; but from the
fact that unlicensed women still ply their avocations, and that the disease is
imported afresh (by the shipping travellers, &c.), the class of diseases under con-
sideration cannot be altogether prevented.
MOULMEIN ;
The 7th February 1876.
W. F. DEFABECK, M.D.,
Officiating Civil Surgeon, Superintendent, Lock-hospital.