NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
11
MILITARY DEPARTMENT, 19TH SEPTEMBER 1877, No. 5279.
No fatal case occurred at Ramandroog. The admission rate for diseases of the
digestive system has increased at depôts (taken collectively), but the death rate has
decreased, there being but 3 deaths against 8 in the previous year, or a ratio of
4.62 against 10.81 per mille. Diseases of the circulatory system show an increased
admission rate but a diminished death rate, there being but 1 death against 6 in
previous year. The death was due to aneurism of the aorta, and occurred at
Wellington.
Troops on the March.— The admission and death rates among troops so
occupied exceed those of 1875 as well as the averages of the preceding nine years.
The average strength being less, the total admissions were thrice as many, the
total deaths (13) identical. The death ratio amounted to 67.71 per mille of
strength, against 47.97 in the previous year. Cholera and enteric fever each caused
2 deaths. In previous year they furnished none. There was no mortality from
drowning, which in 1875 contributed 4 deaths.
TABLE G.
Ratio per 1,000 of Strength.
1876.
1875.
Average of previous Period
of six years.
I
Stations.
Admitted for
Dysentery,
Diarrhœa,
and Hepatitis,
( including
Abscess of
Liver.)
Died from
these Dis
-eases.
Admitted for
Dysentery,
Diarrhœa,
and Hepatitis,
(including
Abscess of
Liver.)
Died from
these Dis
-eases.
Admitted for
Dysentery,
Diarrhœa,
and Hepatitis,
(including
Abscess of
Liver.)
Died from
these Dis
-eases.
P r e s i d e n c y .
Fort St. George, and
Palaveram.
155 . 25
1.52
124.31
1.83
124.3
4.42
St. Thomas' Mount . . .
240.47
8.80
204.36
10 . 90
217.9
9.09
Trichinopoly . . .
239.70
7.49
158.27
7.19
178.6
7.12
Bellary . . .
91.31
. . .
70.56
. . . 122 .2
2.10
M y s o r e . Bangalore . . .
140.16
5.48
141.49
3.59
147.1
3.34
Cannanore . . .
112.07
1.44
206 . 56
3.28
328.9
8.42
Calicut . . .
83.33
20.83
181.82
. . .
248.8
4.86
Malliapooram . . .
129.03
10 . 75
62.50
. . .
326.4
3.27
H y d e r - a b a d .
Secunderabad . . .
165.02
3.01
252.51
8 74
297.7
11.11
Kamptee and Seeta
-buldee.
151 . 20
3.13
108.47
0.95
126.5
2.41
B u r m a h .
Rangoon . . .
260.11
8.09
183.23
3.87
228.1
4.89
Thayetmyo . . .
100.90
. . .
145.59
. . .
191.1
1.94
Tonghoo . . .
442.01
6.57
464.97
8.49
294.7
5.51
Port Blair . . .
104.48
. . .
55.12
. . .
96.9
1.29
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 1875, and with
the average of the six preceding years.
Compared with 1875, the admission ratio has increased in the Presidency and
Burmah circles,—notably in the case of the former; the Mysore and Hyderabad
circles showing a decrease.
The death rate shows a decrease in the Hyderabad and Presidency circles, an
increase in those of Burmah and Mysore,—specially in the latter. This increase in
Mysore is due to the occurrence of 4 deaths at Calicut and Malliapoorum, stations
which in 1875 furnished no fatal cases.
As in last year, so in this, the mortality in Burmah from these diseases was
confined to Rangoon and Tonghoo.
TABLE H.
Regiments.
A v e r a g e S t r e n g t h .
A d m i t t e d .
D i e d .
I n v a l i d e d .
Ratio per 1,000 of Strength.
Stations during the year.
A d m i t t e d . D i e d .
I n v a l i d e d .
Royal Engineers ...
...
...
...
...
28
1
. . .
. . .
35.71 ...
. . .
Months.
On the march 1/4, and Bangalore 10 3/4.
Secunderabad...
...
...
...
...
l 1
Cavalry.
14th Hussars
...
...
...
...
...
395
392
3
14
992.40 7.59
35.44
16th Lancers
...
...
...
...
...
419 352
4
15
840.09 9.55
35.80
Total ...
814
744
7 29
914.00 8.60
3 5 . 6 2
Royal Artillery.
Head Quarters, C Brigade, Royal Horse Artillery
8
1 ...
...
1 2 5 . 0 0 ...
...
Bangalore
...
...
...
...
... 12
B Battery
do.
do
1 5 6 253
4
11
1621.79 25.64
70.51 Secunderabad...
...
...
...
... 12
C do.
do.
do.
...
159 202
5
9
1270.44
3 1 . 4 5 56.60 Bangalore
...
...
...
...
... 12
Head Quarters, 5th Brigade, Royal Artillery ...
5
3
1
...
6 0 0 . 0 0 200.00
...
St. Thomas' Mount ...
...
...
... 12
1st Battery
do.
do.
...
89 151
1
9
1 6 9 6 . 6 3 11.23 101.12 Cannanore 11/2, on the march 1 1/4 and Tonghoo 9 1/4.
2nd do.
do.
do.
...
9 7 107
1
6
1 1 0 3 . 0 9
1 0 . 3 1 61.85 Secunderabad ...
...
...
...
... 12
4th do.
do.
do. . . . 101
123
3
4
1 2 1 7 . 8 2
2 9 . 7 0 39.60 St. Thomas' Mount 12 (Det. at Madras) ... 12
5th do.
do.
do.
...
78
70
1
2
897.43 12.82 25.64 Rangoon
...
...
...
...
... 12
6th do.
do.
do.
. . .
84
76
2
2
9 0 4 . 7 6
2 3 . 8 1
23.81 Tonghoo 1, on the march 1 1/4 and Cannanore 9 3/4.
7th do.
do.
do.
...
91
158
5
3
1 7 3 6 . 2 6
5 4 . 9 4 32.97 Tonghoo
...
...
...
...
... 12
7th Battery, 6th Brigade,
do.
. . .
88
98
1
5 1113.63
1 1 . 3 6 56.82 Rangoon 12 (Det. at Thayetmyo) ...
... 12
A Battery, 9th Brigade,
do.
. . . 151 166
1
2
1 0 9 9 . 3 4 6.62 13.24 Secunderabad...
...
...
...
... 12
C do.
do.
do.
. . . 149
138
1
6
926.18 6.71
•
40.26 B a n g a l o r e
. . .
. . .
. . .
. . .
. . .
1 2 D
D do.
do.
do.
. . . 157 183
8 17
1 1 6 5 . 6 1 50.95 108.28 Trichinopoly ...
...
... ... ... 12
G do.
do.
do.
...
160 159
1
4
9 9 3 . 7 5 6.25 6.25 25.00 Thayetmyo ...
...
...
...
... 12
Head Quarters, 20th Brigade,
do.
. . .
5
2 ...
. . . 400.00 ...
...
Secunderabad...
...
...
...
... 12
A Battery
do.
do.
...
160 174
3
5
1087.50 18.75
31.25 St. Thomas' Mount ...
...
...
... 12
B do.
do.
do.
. . . 157 130
2
5
828.03 12.74 31.85 Bellary
...
...
...
...
... 12
C do.
do.
do.
. . . 151 246
3
18
1 6 2 9 . 1 3 19. 87 119.20 St. Thomas' Mount ...
...
...
... 12
1 2 M I L I T A R Y D E P A R T M E N T , 1 9 T H S E P T E M B E R 1 8 7 7 , N O . 5 2 7 9 .
D Battery, 20th Brigade, Royal Artillery
...
149
113
1
3
758 . 39
6.71
20.13
Months
Bangalore
...
...
...
...
...
12
E do.
do.
do.
...
. . .
141
289
4
6
2049 . 64
2 8 . 3 7
42 . 55 Kamptee 11 1/2, on the march 1/2.
F do.
do.
do.
...
..
147
166
1
7
1129 . 25
6 . 80
47 . 62
Secunderabad ...
...
...
...
...
12
G do.
do.
do,
...
...
156
295
4
8
1891 . 02 25.64
51 . 28 Kamptee 11 1/2, the march 1/2.
Total ... 2,639 3,303
53
132
1251 . 61 20.08 50.02
Infantry. .
2-16th Regiment ...
...
...
...
...
742
720
17
16
970 . 35
2 2 . 9 1
21.56 On the march 1/4, and Secunderabad 9 1/2.
1-21st Fusiliers ...
...
...
...
...
814
789
13
31
969 . 29
1 5 . 9 7 38.08
Rangoon 12 (Det. at Port Blair)
...
...
12
33rd Regiment
...
...
...
...
789 1,155
22
21
1 4 6 3 . 8 8 27.88
26.61
Kamptee 12 (Det. at Seetabuldee) ...
...
12
43rd
do.
...
...
...
...
....
877
927
4
49
1057 . 01
4.56
55.87 Bellary
44th
do.
...
...
...
...
...
820 1,169
9
45
1425 . 60 10.98
54.88
Secunderabad ...
...
...
...
...
12
45th
do.
...
...
...
...
...
857
607
10
21
708.29 11.67 24.50
Bangalore 12 (Det. at Trichinopoly 5 1/2)
48th
do.
...
...
...
...
...
867
712
10
28
8 2 1 . 2 2 11 . 53
32 . 29
'
Cannanore 12 (Dets. at Calicut and Mania-
poorum)
...
..
Head Quarters, 67th Regiment ...
...
...
Right Wing,
do.
...
...
. . .
834
67
886
37
14
1
37
1062 35
5 5 2 . 2 4
16 . 79
14.92
4 1 4 1
4 1 . 0 6 Thayetmyo 2, on the march 1/4, and Madras 9 3/4.
Tonghoo 1 3/4,—joined Head Quarters.
76th Regiment ...
...
...
...
...
130
98
1
...
753.84
7 . 69
...
Secunderabad 2, on the march 1/4.
Head Quarters, 89th Regiment ...
„.
...
558
625
4
46 1120 . 07
7 17
82.44 Madras 1 1/4, on the march 3/4, and Thayetmyo 10.
Left Wing,
do.
...
...
...
291
444
8
23
1 5 2 5 . 7 7
2 7 . 4 9
7 9 . 0 4
Tonghoo 10 1/4.
107th Regiment ...
...
...
...
...
5
7
1
...
1400.00 200 . 00
...
Total ... 7,651 8,176
114
317
1 0 6 8 . 6 2 14.90
41.43
M I L T A R R Y D E P E R T M E N T ,
1 9 T H S E P T E M B E R 1 8 7 7 , N O . 5 2 7 9
13
MILITARY DEPARTMENT, 19TH SEPTEMBER 1877, No. 5279.
This table shows the admissions, mortality and invaliding, with the rates per
1,000 of strength, of each corps serving in the command.
Cavalry.—This branch of the service has been very healthy. Compared with
1875, the admission rate is less by 62.48, the death rate by 5.96 and the invaliding
rate by 8.05 per mille of strength. The 16th Lancers, although quartered at Secun-
derabad, show a lower admission rate than the 14th Hussars. This is attributed
partly to longer residence in the country, and partly to the excellent quarters now
provided for Cavalry at North Trimulgherry.
There were four deaths in the 16th Lancers and three in 14th Hussars. Two
in the former corps were due to accidents ; all in the latter corps to disease. This
branch shows the lowest admission, death and invaliding rates in the command.
Artillery.—This branch shows the highest admission, death and invaliding
rates in the command. Compared with 1875, the admission and invaliding rates are
higher, the death rate less.
Infantry.—The admission, death and invaliding rates are less than those of
the Artillery, but greater than those of the Cavalry. Compared with 1875, the
admission and death rates are greater, the invaliding rate less.
The 45th Regiment (Bangalore and Trichinopoly) shows the smallest admission
rate, viz., 708.29. The 43rd Regiment, Bellary, the smallest death rate—4.56. The
2/16th Regiment, Secunderabad (arrived from England in March), had the smallest
invaliding rate—21.56. The left wing, 89th Regiment, Tonghoo, gave the highest
admission rate—1525.77. The 33rd Regiment, Kamptee, had the highest death rate,
viz., 27.88, exceeding, by 13.17, that of the regiment quartered there in previous
year. This was due partly to deaths from sunstroke at Kamptee,—partly to deaths
from cholera in men of the corps temporarily quartered at Wellington. The 89th
Regiment, Burmah, contributed the highest invaliding rate, viz. 81.27.
TABLE I.
—
Ratio of Admissions for Syphilis per 1,000 of Strength.
1876.
1875.
1874.
1873.
1872,
Where Lock Hospitals existed.
Madras . . .
89 62
135.66
69.77
62.77
67.57
St. Thomas' Mount . . .
58.65
100.82
76.27
42.86
97.99
Trichinopoly . . .
29.96
104.32
63.75
41.23
64.51
Bellary . . . 174.83
201.76
305.36
266.52
224.18
Bangalore . . .
39.10
91.73
133.33
89.23
89.32
Cannanore . . .
76.15
39.34
47.54
17.41
14.69
Wellington . . .
76.06
149.11
67.94
98.43
24.82
Secunderabad . . . 110.87
116.21
43.83
55.97
119.19
Kamptee . . .
81.41
132.34
290.45
132.33
87.09
Seetabuldee . . . 100.00
65.22
282.61
21.28
212.77
Rangoon . . . 107.82
100.65
65.37
84.41
98.57
Thayetmyo . . .
56.38
39.71
32.45
23.98
21.35
Tonghoo . . . 126.91
50.96
114.76
. . .
. . .
Where no Lock Hospitals existed.
Tonghoo . . .
. . .
. . .
. . .
91.68
71.12
Palaveram . . .
. . .
32'26
36.36
31.58
. . .
Poonamallee . . . 326.67
250.00
135.30
171.87
285.71
Ramandroog . . .
96.15
463.41
4 1 8 . 6 1
42.55
43.47
Calicut . . .
83 . 33
141.41
20.40
121.95
56.82
Malliapooram . . .
10.75
52.08
. . .
37.50
10.31
Port Blair . . .
44.78 102.36
. . .
19.60
43.86
14
MILITARY DEPARTMENT, 19TH SEPTEMBER 1877, No. 5279.
No. 237.
ORDER THEREON, 19th September 1877, No. 5279.
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.
3. His Grace the Governor in Council observes that the health of the British
troops during the year ending 31st December 1876 was satisfactory, considering
the prevalence of epidemic disease throughout a great part of the Presidency.
The deaths from cholera at Wellington were among a party of new arrivals, who
acquired the disease on the journey to the sanitarium.
(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. 238.
DOCKET, 19th September 1877, No. 5280.
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.
21
dad. A. Raitt.
GOVERNMENT OF MADRAS.
MILITARY DEPARTMENT.
18th September 1878, No. 4838.
Sanitary—Reports and Returns.
Read the following papers :—
No. 244. From Surgeon-General C. A. GORDON, M.D., C.B., Honorary .Physician
to the Queen, Principal Medical Officer, British Forces, Madras, to Colonel J.
MICHAEL, C.S.I., Secretary to Government, Military Department ; dated
Fort St. George, 5th September 1878.
I have the honor to forward, for the information of Government, the three
abstract returns
specified in the mar
-gin, with the follow
-ing report on the
health of the British
troops serving in the
Madras Presidency
for the year ending 31st December 1877.
Strength.—The average strength for the year was 11,016, showing a decrease
of 116 as compared with 1876.
Admissions into Hospital.—These were in excess of the previous year, viz.,
12,591 against 12,224 in 1876, the increase being equal to 44 . 89 per mille of average
strength.
Mortality. —The death rate (17.07 per mille of average strength) exceeds that
of 1876 by 1.44, but is less than the average of the preceding nineteen years, which
equalled 20.67.
Invaliding.—The invaliding ratio (46.29 per mille of average strength) exceeds
that of 1876 by 3.35, and, compared with the mean of the nineteen years preceding,
is less by 0.48.
394 men were invalided for change and 116 for discharge against 356 and 122
respectively in the previous year, giving ratios of 35.76 and 10.53 respectively
against 31.98 and 10.95 per mille of strength in 1876.
Appended is a table showing the classification of the diseases, wounds and
infirmities of men invalided in 1877,—the ages and periods of service of the men
being noted in the table.
No. 1. Return showing the sickness, mortality and invaliding in Her
Majesty's British troops in the Madras Presidency for 1877.
No. 2. Return showing the mortality in and out of hospital in Her
Majesty's British troops during the year 1877.
No. 3. Return showing the ratio of sickness and mortality in the
several circles of the army during the year 1877.
6
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
detained. On 22nd September, a soldier of 89th Regiment employed as a special
orderly was attacked and died. The day previous to his seizure, he suffered from
slight diarrhœa. On 22nd September, a patient in hospital was attacked with
cholera, the case terminating fatally. He is supposed to have contracted his dis-
ease in hospital. On 24th September, a hospital orderly was attacked, treated and
recovered. This man had been engaged in fumigating the detained ward and the
room in which the Bombardier of the Royal Artillery, admitted on 14th September,
had been temporarily located on admission. On 25th September, an orderly over
a patient in camp was attacked, and later on in the same day another orderly over
the same patient was seized. Both are believed by the Medical Officer to have
contracted the disease prior to leaving hospital, as they were in close proximity to
a night chair which had been used by a patient suddenly seized with cholera. Both
recovered. On morning of 1st October, a Sergeant of the Royal Artillery was
admitted with cholera from barracks and ultimately recovered. He was son
-in-law to one of the two women who visited the first cholera patient (the Bom
-bardier admitted on 14th September). He had been drinking freely the evening
before. On 26th, another man was admitted from the same building. He was a free
liver. His case terminated fatally. On 3rd October, a heavy shower of rain fell,
but the atmosphere remained exceedingly close and depressing—thermometer 86º,
clouds dark and almost motionless. At midnight, an Acting Bombardier from
the same barrack as the last named was seized with cholera and died.
The barrack was evacuated, and the men encamped in tents. No further cases
occurred.
In connection with these cases, the officer who submits the report remarks
that the river Irrawady, which at the commencement of the outbreak was unusually
swollen, suddenly fell, exposing a large tract of ground, and that a peculiar sickening
odour was experienced by those living in the vicinity. The weather is stated to
have been very hot.
No clear cause for the outbreak is assigned by the officer who submits the
report. The latter is unfortunately drawn up in such a manner as to be of little
use for exact purposes.
Small-pox, although epidemic among the Native community, caused but five
admissions among the troops. All recovered.
There was an absence of dengue, which in 1876 caused six admissions.
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
The Hyderabad Circle contributed the largest ratio of admissions, viz., 10.36
per mile. Mysore Circle comes next with a ratio of 5.09. The Presidency follows
with a ratio of 1.87, the Burmah Circle contributing a ratio of 1.07 only. The
death ratio in the Hyderabad and Mysore Circles was indentical, equalling 2.74 per
mile; in the Presidency, 0.94; while in the Burmah Circle, there was no fatal case.
The chief proportion of the cases in the Hyderabad Circle occurred at Secundera
-bad, viz., thirty-three, and prevailed in the several corps in the following propor
-tions, viz. :—
Cases.
Deaths.
44th Regiment . . .
15
. . . 4
2/16th do . . .
10
. .
.
4
Royal Artillery . . .
8
. . . 1
At Kamptee, there was but one admission. It occurred in the 33rd Regiment,
and recovered.
The Mysore Circle furnished twenty-four cases and ten deaths, viz. :—
Admissions. Deaths.
Depôt, Wellington . . .
1 1
. .
.
3
14th Hussars, Bangalore . . .
7
. . . 3
Royal Artillery, do
.
.
.
5
. . . 4
Detachment, 48th Regiment, . . . Malliapooram . . .
. . .
1
. . . 0
In the Presidency Circle, the disease was distributed as follows:—
Cases. Deaths.
43rd Regiment, Bellary . . . 2
. . . 0
Royal Artillery, do . . . 1
. . . 1
Do. St. Thomas' Mount . . . 1
. . . 1
D epôt, Poonamallee . . . 1
. . .
1
The Burmah Circle contributed two cases; both recovered.
9
10 MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
The following table shows the distribution in the Command of cases returned
as enteric fever during 1877 :—
Table showing the Number of Admissions and Deaths from Enteric Fever in 1877, by Stations and
Circles.
Circles and Stations.
A v e r a g e s t r e n g t h .
Admissions for Enteric Fever
Total.
Deaths.
J a n u a r y
F e b r u a r y . M a r c h .
A p r i l . M a y . J u n e .
J u l y . A u g u s t .
S e p t e m b e r .
O c t o b e r .
N o v e m b e r .
D e c e m b e r .
Nu mb e r a d mi t t e d . R a t i o P e r 1 , 0 0 0 o f S t r e n g t h .
. , T,
N u m b e r d i e d .
R a t i o n P e r 1 , 0 0 0 o f S t r e n g h t .
Presidency —
St. Thomas' Mount
321
1
1
3·11
1
3 · 1 1
Bellary
845
1 1
1
3
3·55
1
1 · 1 8
M y s o r e —
Bangalore
1,730 1 1
3
1
1 3 2 12
6·94
7
4 · 0 5
Malliapooram
94
1
1 10·64
Hyderabad—
Secunderabad
2,401 1 1 3 2 8 6 2 5
3 2
33 13·. 7 4
9
3 · 7 4
K a mp t e e
8 3 0
1
1
1 . 2
Burmah—
Rangoon
749
1
1
1·33
Thayetmyo
5 2 7
1
1
1 · 7 5
Depots—
Poonamallee
155
1
1
6·45
1
6 · 4 5
Table showing the Number of Admissions and Deaths from Bnleric Fever during 1877, classified
according to Ages.
Ages.
Number ad-
mitted for
Enteric Fever.
Percentage
of total Admits-
sions from
Enteric Fever.
Number of
Deaths from
Enteric Fever.
Percentage of
total Deaths
from
17 to 18
2
3 · 0 8
1
4·55
18 to 19
1
1 · 5 4
19 to 20
2
3 · 0 8
1
4·55
20 to 21
7
10 · 7 7
1
4·55
21 to 22
6
9 · 2 3
3
13·64
22 to 23
8
12·31
1
4·55
23 to 24
6
9 · 2 3
1
4·55
24 to 25
5
7 · 7 0
3
13·64
25 to 26
1
1 · 5 4
26 to 27
6
9 · 2 3
2
9·09
27 to 28
4
61·5
28 to 29
5
7 · 7 0
3
13·64
29 to 30
4
6 · 1 5
3
13·64
31 to 32
1
1 · 5 4
32 to
33
1
1 · 5 4
33 to 34
1
1 · 5 4
1
4·55
34 to 35
1
1 · 5 4
1
4·55
35 to
36
2
3 · 0 8
37 to 38
1
1 · 5 4
1
4·55
38 to 39
1
1 · 5 4
Total
100·00
22
100·00
MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
11
Table showing the Number of Admissions and Deaths from Enteric Fever, classified according to
Length of Service in India.
Service in India.
Number ad-
mitted for
Enteric Fever.
Percentage
of total Admis-
sions from
Enteric Fever.
Number of
Deaths from
Enteric Fever.
Percentage
of total Deaths
from Enteric
Fever.
Under one Year . . .
21
32.31
5
22.72
1 to 2 years . . .
22
33. 85
8
36.36
2 " 3 " . . .
4
6.15
2
9.09
3"
4 " . . .
1
1.54
. . .
. . .
4 " 5 " . . .
5
7.70
2
9.09
5 " 6 ",,. . .
8
12.31
3
13.64
6 " 7 11 . . .
1
1.54
. . .
. . .
8 " 9 " . . .
2
8.08
2
9.09
12 " 13 " . . .
1
1.54
. . .
. . .
Total . . .
65
100.00
22
100.00
The 44th Regiment occupied the same quarters as in the previous year. No. 7
Barrack-room is stated to have furnished the largest proportion of the cases, but
nothing insanitary could be detected about the building although the flooring was
lifted, and a careful investigation made, nor could anything insanitary be detected
in any of the other buildings from which cases were admitted. The latrines are
worked on the dry-earth system, the water reported good, and the drainage care-
fully supervised. Macnamara filters are in use. None of the men are noted as
intemperate. In fourteen out of the fifteen cases, the disease was not diagnosed on
admission. The regiment having left Secunderabad for Burmah before I had an
opportunity of personally inquiring on the spot into the history of the cases as
recorded in the hospital case-books, I prefer omitting further observations concern-
- i n g t h e m .
Ten cases—four fatal—occurred in 2/16th Regiment, Secunderabad. In 1876,
this corps had seventeen cases—seven fatal. They occupied the same quarters as
in the previous year.
Nothing insanitary could be detected in connection with. barracks. The
rations were good, and no fault could be found with the supplies. The officer in
medical charge was unable to account for them. I have carefully inquired into
the history of these cases, comparing each with the description of endemic fevers—
see my special report, paragraph 19, page 18, and Note 15, page 164—and with the
following result, viz. —
1. was in its actual character, climatorial continued fever with " bowel
complication."
1 Climatorial fever becoming adynamic.
1 Remittent fever.
1 Nature of case uncertain. No record in the case-book.
1 Ardent fever passing into a typhoid or adynamic state.
1 Ardent fever passing into heat apoplexy.
1 Endemic adynamic fever, non-specific.
1 Insufficiently reported for identification.
1 Continued fever, non-specific.
1 Continued fever, non-specific.
Two of the cases above enumerated (Salters and Bushnell) occurred subsequent
to the commencement of my published report, and are therefore omitted from it.
Particulars concerning them are given in the accompanying Appendix.
Eight cases were recorded in the Royal Artillery, Secunderabad. Relative to
these cases, the officer in medical charge states that " he was unable to discover any
c a u s e , — t h a t a l t h o u g h t h e w a t e r s u p p l i e d t o t h e t r o o p s w a s e x c e l l e n t , y e t s o l o n g a s