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MILITARY DEPARTMENT, 19TH SEPTEMBER 1877, No. 5279.
From the above Table and Return No. III, it will be seen that in the Presi-
dency Circle, diseases of the digestive system furnish the chief admissions. The
admission ratio for this class exceeds that of the previous year, but the death rate
is almost identical. Dysentery, and hepatitis with or without abscess, have
both been more prevalent. The death ratio for the former has been less, while
that of the latter shows only a fractional increase over 1875. Venereal affections
(syphilis and gonorrhoea) furnished numerous admissions. The admission ratio for
syphilis (all varieties)-11188 per mile of strength is less than that of 1875 by
40 . 57, while that for gonorrhoea-99 . 86 exceeds that of previous year by 6.48.
The admission rate for all diseases throughout the circle was 1094-77, and of
deaths 14-33,—the former being under, and the latter almost identical with that
of the previous year.
In the Mysore Circle, continued fever is the only disease of importance show-
ing an increase, the admission ratio being 114 .41 against 66 . 33 in previous year.
Three of the cases terminated fatally. Excluding Wellington, this circle was free
from cholera or enteric fever. Diseases of the digestive system were less preva-
lent, but the mortality therefrom-5 . 54, exceeded that of the previous year by 2.31.
Diseases of the circulatory system, syphilis and paroxysmal fevers all show a very
decided reduction in the admission rates. The total admission ratio for the circle
was 811 . 95, and the death ratio 11 .48,—the former being under, the latter slightly
in excess of 1875.
Hyderabad Circle.—The total admission ratio was 1251 . 98, and the death ratio
17 . 04 per mile of average strength,—the former being slightly under, the latter
slightly in excess of the previous year. Continued fevers (simple continued fever
and febriCula) were greatly in excess, paroxysmal fevers much diminished, as com-
pared with 1875, but the mortality was small, each class contributing a single
death. The latter class was much less prevalent at Kamptee. Enteric fever
shows a marked increase, the admission and death rates being 12 . 78 and 4.26
respectively per mile of strength, against 3 . 59 and 1 . 50 in 1875. It was confined
to Secunderabad, affected all corps, but specially the two Infantry regiments
quartered there. This circle gives the highest admission rates for this disease, but
at depots, the death rate is fractionally greater. Compared with 1875, syphilis
shows a satisfactory decrease, and diseases of the digestive system a marked
improvement, both in admission and death rates. The death rate for the latter-
3 . 27 per mile of strength shows a reduction of nearly a half. The death rate for
diseases of the nervous system shows a marked increase,—due to the prevalence of
sunstroke at Kamptee.
Burmah Circle.—Compared with 1875, the total admission and death rates are
slightly higher. Syphilis has increased, so too have diseases of the nervous and
digestive systems. Admissions from paroxysmal fevers are reduced nearly a half,
while diseases of the circulatory system remain almost unchanged. There was a
complete absence of cholera, but dengue—of which there was not a case in 1875—
furnished 6 cases. The affection was confined to Thayetmyo, and all recovered.
Excluding depots, this circle gives the highest admission rates in the command for
diseases of the digestive system. The death rate from this cause-5-48 is nearly
identical with that of the Mysore Circle.
Dysentery shows an increase both in admissions and deaths, while hepatitis
and abscess of the liver were less frequent and caused no mortality.
Depots.—Compared with 1875, the admission rates have increased at Poona-
malice and Wellington,—slightly in the case of the former, very notably in the case
of the latter.
Ramandroog shows a slight reduction. The increase at Wellington occurs in
the febrile and digestive groups of diseases. The death ratio shows an increase
at Wellington, due to mortality from cholera, while at Poonamallee there is a
notable decrease in the death rate.