•dead-house, and there are no quarters for hospital-assistants and native medical pupils. These
buildings would certainly be improvements, but their want is not very urgently felt. Chicks
have been provided on the verandahs, and hospital furniture has been brought up to the
full standard allowed in G. G. O. 681 of July 1877.
XV. Sickness, mortality and invaliding—Strength of the regiment :—
Present.
. . .
. 646.79
Absent
.
. . . . . . .
.
. 6 3 . 1 8
Total
. 709.97
Sickness,
mortality and
invaliding.
STATION.
PERIOD.
Strength.
TOTAL N
U M B E R O F Daily
average
number of
sick.
PER CENT. OF STRENGTH
PER ANNUM.
From
To
Admis-
sions. Deaths.
Adm,s.
sions. Deaths. Daily
aver
a g e s i c k .
Head-quarters, Bareilly . 1st Jan. 1878 31st Dec. 1878 563.24 356
4 13.49 63.25 .71 2.39
Detachment, Ranikhet
. 30th Sep. „
Ditto
32.72
10
. . .
3.02 119.94 ...
9.22
, , N a i n i T a l
. Ditto
... Ditto
... 54.80
8 ...
1.17 57.26 ...
2.13
Petoragurh . Ditto
... Ditto
... 71.68
13 ...
2.56 71.15 ...
3.57
,,
Fattehgarh . 1st Oct. „
Ditto
... 146.93
47 ...
5.09 188.27 ...
3.46
TOTAL .
...
. . .
646.79 434
4 16.46 67.10 . 61 2.54
Number of deaths in hospital 4 ; out of hospital 3; total .
7 ; per cent. of total strength .
.98
, , i n v a l i d e d
. . . . . . . .
16; , ,
, ,
. 2.25
„ sent on sick leave . . . .
.
.
8; , ,
„
1.12
„ of days spent in hospital 5,744; per admission . 13.30; per man of total strength . 8.93
,,
on sick leave 1,495; per man . . 136;
, ,
. 2.10
Total temporary loss of service per man-of total strength
. . 10.23
XVI. Principal causes of sickness. —The cinchona febrifuge was largely used, and I am
glad to be able to report that, in the great majority of common fever cases, it is almost equal
to quinine. It does not seem to cure so rapidly, but I think, speaking broadly, that it will usu-
ally cure within five days what quinine will cure in three days, i.e., more than 90 per cent.of
the fever admissions in ordinary years.
XVII Principal causes of mortality.—One man died of small-pox ; one from chronic
diarrhœa (this man had passed the invaliding committee, but died before his papers were ready) ;
one died of poisoning by corrosive sublimate, taken for the secret treatment of syphilis; the
symptoms were like a mixture of intense salivation with acute dysentery,—the strainings, ab-
dominal tenderness, and the character of the motions being faithfully reproduced. The fourth
was a case of disease of mitral-valve with ascites, anasarca, and for the last few days jaundice. He
was perfectly sensible, and was speaking within half a minute of his death.
XVIII. Epidemics. —Two cases of small-pox occurred in January, and one of' them was
fatal. In April a hospital cook's brother came from Sultanpore to act for him, the cook going
to his home fora month. Seven days after the brother came, and 12 or 13 days after he left
Sultanpore; he was seized with small-pox, but recovered. When the cook returned from Sultan-
pore, he said the disease had been very bad there, and his mother and a younger brother had
died of it. It seems certain that the brother brought the disease with him to Bareilly, though
to all appearances perfectly well when he came.
XXI. Special observations and remarks.—The cases of fever specially alluded to in para-
graphs XIII and XVI call for a remark. In the Nugla cases and in a few others I found it abso-
lutely necessary to use quinine with a liberal band. They improved directly it was used, and
fell off again directly it was omitted. This remark is by no means meant to depreciate the
febrifuge, but merely to record an opinion that there are cases in which it is absolutely needful
to give quinine.
Inspection.—The date of the inspection of this regiment is not given, but
it seems to have taken place at the end. of the year. There was also one in
March during the invaliding committee. Dr. Hutchinson reports that the latrine
was foul, being masonry flooring and gutters which had become saturated with
u r i n e . T h e m e d i c a l h i s t o r y s h e e t s a n d c a s e b o o k s w e r e i n a r r e a r s . I n o t h e r
respects the medical arrangements were satisfactory.
Principal
causes of
sickness.
Principal
causes of
mortality.
Epidemics.
Special obser-
vations and
remarks.
Inspection.