NORTHERN DIVISION OF THE ARMY.
53
variety and ran a mild course. Both cases recovered. One case of chicken-pox occurred in
a private and ran its usual course to recovery.
13. They were carefully and thoroughly done as far as possible. From the 1st January
Vaccination and re-vaccination.
1878 to 31st December 1878 there were—( a ) primary
vaccination—successful 63, unsuccessful 20, total 83; ( b)
re-vaccination—successful 7, unsuccessful 37, total 44.
14. Forty-seven of all ranks were invalided; one man who was sent to the Bombay
Invaliding and its causes,
Lunatic Asylum suffering from dementia, was also subsequently
invalided by a Special Board. The causes of invaliding were:
—( a ) old age and debility, 35; nine of these having served over 32 years, did not appear
before the Invaliding Board, but were pensioned off without medical examination; ( b) chronic
rheumatism, 5 cases; (c) hœmorrhoids, 2 cases; ( d) fever and debility, one case; (e) defective
eyesight due to cataract, one case; (f) chronic diarrhœa, one case; (g) chronic bronchitis, one
case. Most of these men were scorbutic, had feeble action of the heart, and an inclination
to varicosity of veins, besides the marks of agedness. Fifteen men were sent on sick leave.
15. Raising and paving the floors of the huts; improving the ventilation of the huts
Requirements and recommenda-
tions.
and the Hospital Assistant’s quarters; some kind of accommo-
dation for the treatment of bad cases occurring amongst women
and children who have now to be treated at their homes at a
great disadvantage; these are the-principal requirements, &c. I think a separate eye-ward,
with appliances for darkening the room, and a filter for dispensary use, are required very
much also.
16. The treatment of ague by cinchonidine and cinchona alkaloids was duly carried on.
In slight and fresh and uncomplicated cases I found them very useful; but for severe cases
quinine was absolutely required. I have used the hypodermic injection of it with marked
success in many cases, and I think it the most economical way of administering quinine.
The injection failing, a combination of this method with the internal use of arsenic seldom
failed in the severest cases. I believe the liquor arsenicalis a most valuable remedy, and
supposing quinine were to get more expensive still, it may prove a more valuable substitute
for it than cinchona alkaloids. I used the nitrate of amyl both in the form of inhalation
and internal administration in ague for cutting short the rigor stage where this threatened
to be severe and prolonged, and in every case I was satisfied that it cut it short almost
immediately, and in one case the fever never returned again. In those cases in which the
paroxysm recurred, I perceived a diminution in its severity. In one case of acute rheumatism
complicated with endocarditis, I found the internal administration of large doses of salycilic
acid to remove the swelling and relieve the pain in two days, and cure the disease in a much
shorter time than I have elsewhere seen other remedies to do. I tried salycilic acid in two
cases of ague with very indifferent success.
R e m a r k s b y D e p u t y S u r g e o n G e n e r a l
W Y L L I E .
Inspected December 26th, 1878. I was well pleased with the results of inspection,
which enabled me fully to realize that the sick have careful attention, and that all the duties
devolving on the Medical Officer and establishment are diligently and faithfully discharged.
Hospital similar, but with some little difference in ventilation to that adjoining, (now
in occupancy of 13th Wing,) has very good and sufficient accommodation, and I found
every detail of its management fully satisfactory. Lines close to hospital objectionable in
construction, particularly in extreme narrowness of streets, as well as in their running
parallel to the strike of the ground ridge, instead of to its slope, whereby dampness results.
Huts defective in cubage, and without plinths, but in fair repair, and I note with satisfaction
that notwithstanding the natural difficulties of ground, much improvement has been made
since last visit in the drainage of family quarters, the sullage from which is now led to flower
beds, some 12 feet in front, the rocky character of the site standing in the way of trees.
H. M.’s 7th Regiment N. I.
RAJKOT.—In medical charge of Surgeon P. J. DAMNIA.
Average Strength
702
Do.
Present
647
Admissions
1,251
Daily Sick
31.6
14 m
Deaths in Hospital
10
Do. out of do.
4
Invalided
44
Sick Leave
7