NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
225
Dino-Torso District.
1st attack. 2nd attack.
Telepara
97 Dr. S.—
.. Nov. 1894 ..
..
Had been out in Duars only two
years. Attack lasted 3 days.
98 Dr. N.—
..
. .
. .
Had more than one attack : no
particulars yet received.
99 Dr. H. W.—
..
. .
. .
Particulars not yet to hand.
100 Dr. D.— ..
..
. .
. .
Three attacks ; all mild ; dates
not yet, furnished.
101 Mr. F.—Planter ..
. .
. .
Had two attacks on this garden
and one at Bandipani.
102 Babu J.—Head Clerk February 1899 March 1900 ;
April 1901.
Went to Telepara in 1898 and had
Black-water Fever following
year. Used to get a great deal
of fever each year for 4 years.
Last attack occurred in the
Jalpaiguri station.
103 Babu S.—Tea House
Babu.
. .
. .
No particulars received.
104 Babu D.—Clerk ..
. .
. .
No particulars yet to hand.
105 Chinaman ..
..
. .
. .
No particulars received.
106 Mr. P.—Assistant ..
. .
Nov. 1906 .. Had two or more attacks. Had
only been out about 2 years.
Death.
Dim Dima .. 107 Mr, M.—
.. June 1898 ..
. .
Died from Black-water Fever
after four days' illness.
108 Mr. S.—
. . .. January 1898 July 1899 .. Had been 6 years in India, 4
years in Cachar and 2 in the
Duars. Had a lot of fever after
coming to Duars, and for near-
ly 3 weeks before Black-water
Fever had been having nearly
continuous low fever. Did not
take quinine regularly. Urine
dark for 2 days and jaundice
present. Went for a trip to
Ceylon and had a slight relapse
in the Hooghly. Second attack
on board ship going home. Pre-
viously much low fever. Urine
dark for 4 days, and jaundice
marked. Severe kidney pain
felt, and attack followed by 20
to 30 boils on the face. Re-
covery.
Dim Dima (109) Mr. M.—Assistant .. Sept. 1901 ..
. .
No further particulars.
227 H. D.
3L
226
Dino-Torsa District —contd.
1st attack.
2nd attack.
Birpara (110) Mr. G.— ..
.. October 1897
. . Had been home for 6 months.
He did not take quinine.
Death.
Beneguri (111) Mr. M.—Assistant .. February 1907
. . Had previously been at Dim
Dima for six months. Attack
came on very suddenly. Re-
covery.
Hantapara (112) Mr. K.—Assistant .. January 1906
. .
Had been in Duars nearly 4
years. Used to take quinine
frequently in an irregular
manner. Died of heart failure.
Lankapara (113) Chinaman. Carpenter.
Aged 34.
April 1906 ..
. . Had been 10—12 years in Duars,
but on and off for 2—3 years
in Hantapara. Had occasion-
al attacks of fever. Took
quinine for fever only. Re-
covery.
(114) Paharia boy, aged 6 Sept. 1906 ..
..
A very mild case, the boy not
willing to lie up. Recovery.
Bandipani (115) Mr. E.— ..
.. October 1897 October 1898 Had a third attack sometime
later on another garden.
(116) Mr. F.— ..
.. October 1898
. .
Had had two previous attacks
at Telepara. Died after five
days' illness. Had been in the
country a number of years.
Tasati .. (117) Mr. M.—Assistant .. May 1905 .. May 1908 ; July
1908.
First attack very mild, second
attack also very mild, followed
by a very severe attack with
many relapses in June, fuller
particulars of which are given
among our own cases. Re-
covery.
(118) Eurasian ..
.. June 1900 ..
. .
This patient had previously
suffered from Black-water
Fever at Engo in Chalsa Dis-
trict. Death.
Kolabari (119) Mr. B.—Assistant .. Sept. 1892 ..
..
Had previously been three years
in Sylhet, and while there had
a good deal of fever and one
illness which may have been
Black-water Fever. Was at
Huldibari 2 years and got a lot
of fever. Had been only 3
months at Kolabari and got a
lot of fever. Went to Darjeel-
ing.
Mr. T.—Assistant .. June 1896 ..
Came out from England January
1895, and was only out 18
months when he died of Black-
water Fever.
Huldibari (120) Chinaman. Carpen-
ter.
May 1908 ..
. .
Fully reported among our own
cases. Patient recovered from
Black-water Fever, but died
shortly afterwards from severe
hæmorrhage from the stomach.
Hurtalguri(121) One case ..
..
..
. .
No particulars yet to hand.
227
Torsa District.
1st attack.
2nd attack.
Chuapara (122) Mr. P.— Planter.
Aged 30.
July 1897 ..
..
Had been 8 to 10 years in
India, but only 2 years in place
of attack. He had gone home
on leave 3 years before attack.
Had suffered much from malaria
and took large doses of quinine,
but attack did not follow
quinine.
Hasimara (123) Mr. T.— Planter.
Aged 30.
August 1898 ..
. .
Had been 8 to 10 years in India
and about 4 years in place of
attack. He had been home on
leave from February to May
previous to the Black water
Fever. He was supposed to be
strong and healthy, and not to
suffer much from fever, but he
took quinine ocasionally and in
very large doses. Death.
(124) Mr. G.— Assistant. Sept. 1908 ..
..
Had been 4 years in Ceylon and 3
in Calcutta, and came to the
Duars in February 1908. Symp
toms pronounced. Jaundice,
dark port-coloured urine be-
coming nearly solid on boiling.
Bilious vomiting frequent.
Before attack he appeared to
be in good health and not to
suffer from fever, but he was
very careless. He frequently
took quinine. Recovery.
Notes of the above three cases contributed by Dr. H. A. Knyvett-Hoff, Rungamuttee, Central Duars.
Hasimara (125) Mr. D.—Planter .. October 1903 Very mild attack while travelling in the district.
Jainti District.
1st attack.
2nd attack.
Rydak
(126)
Mr. F.—
.. June 1896 .. July 1897 .. Came to India 1894 when aged
21, and went to Sylhet. Had
constant attacks of fever. Early
in 1895 went to Duars and had
much malaria. Fever continued
to be frequent in 1896 and
Black-water Fever occurred.
During 1897 had constant at-
tacks of fever until Black-
water Fever again occurred.
Then left the district. Later
attacks of Black-water Fever
see Dam Dim list.
228
Jainti District—contd.
1st attack.
2nd attack.
Newlands (127) Mr. M.—Assistant .. Sept. 1902 .. Sept. 1903 .. Patient was then nearly two years
in the country. Had been
getting fever and ague some
time before attack. Had taken
large doses of quinine at inter-
vals of two or three days. Second
attack more severe. Had not
had "fever" until three days
before attack. Had taken no
quinine since last attack which
had been supposed to be quinine
poisoning. Black-water lasted
4 days. The situation of the
bungalow was bad, drainage
difficult and coolie lines near.
Recovered.
Rydak
(128) Mrs. S.— Aged 35
. .
Feb. 1907 ..
. .
Had an attack of Black-water
Fever on the way home after
leaving Rydak. Had been
in the Duars nearly 3
years. Had spleen and slightly
enlarged liver and was
anæmic, but had not com-
plained much of fever before the
attack of Black-water Fever.
Case also given by Elwyn-
Jones.
229
RECORD OF CASES OF BLACK-WATER FEVER IN ASSAM.
1st attack.
2nd attack.
Tezpur Dist.
(1)
Dr. M.— .. August (?) 1897
. .
Had been in Assam less than a year.
Lived on a very malarious garden
and had suffered much from fever.
Severe case with suppression of
urine. Death.
(2) Mr. O.—Assistant .. 1897 (?) ..
..
Had been in Assam about two years
or less. Very severe case. Death.
(3) Mr. P.—Manager.
Age 42.
May 1901 .. June 1901 .. Many years in Cachar, Assam,
also in China. Suffered much from
malaria in garden upon which his
Black-water Fever occurred.
Had been resident there nearly
4 years. Severe attack with
one or more relapses. Recovery.
(4) Babu. Garden
doctor. Aged 33.
June 1903 ..
..
Had been some 12 years in
Assam and the Duars. Had been
just under 2 years on the garden
where attack took place. Lived
within 20 yards of large coolie line
with an endemic index of 98 per
cent. During his attack enormous
acute enlargement of both liver
and spleen occurred, which sub-
sided 3 days after the hæmoglo-
binuria ceased. Recovery.
(5) Babu. Garden clerk September (?)
1903.
. .
Was living on a garden that was in-
tensely malarious, and had suffer-
ed much from fever. Very severe
attack. Death.
(6) Mr. T.—Manager .. October 1905
..
Had returned from leave to
England just about two years.
Had suffered considerably from
malaria, especially for some time
prior to attack. Severe case.
Recovery.
(7) Chinaman .. Nov. 1905 ..
. .
Resident on same garden as last
case. Had been there under 2
years. Very severe case with
suppression. Death.
(8) Mr. H.—Aged 25 .. Dec. 1905 ..
..
Had been out about 7 years, but
had changed gardens three times in
this period. Had suffered frequent-
ly from attacks of malignant ter-
tian malaria, and had an enlarg-
ed spleen at the time of attack.
227 H. D.
3M
230
1st attack.
2nd attack.
(9) Madrassee cook .. Dec. 1906 ..
..
Had been resident for less than
a year on a very malarious garden.
Got a lot of fever, but would not
take any quinine. Had taken
no quinine at all previous to
attack of Black-water Fever.
Severe case. Recovery.
(10) Babu. Garden clerk Dec. 1906 ..
. .
No particulars known as to length
of residence, etc. Severe case
with suppression. Death.
(11) German Missionary February 1907
. .
Had been less than a year resident
in a native village. Was very
cachectic and weak when found
with Black-water Fever. It is
very doubtful if any quinine had
been taken in this case prior
to attack. Severe attack. Death.
(12) Mr. T.—Manager.
Aged 32.
Dec. 1906 ..
..
Had been some five years in the
Duars, and then had gone to
Assam. Was in England on leave
during 1905. After his return
had had a lot of malaria for more
than a year. Did not take
quinine regularly, only when
fever occurred and then only in
small quantities. When Black-
water Fever occurred had only
been 7 days in Tezpur. Previous
two years spent in Upper Assam,
at Margharita. Day previous to
Black-water Fever had fever
and took a 5-gr. tabloid of quinine.
Attack which was of the greatest
severity was remarkable for
being nearly a febrile, tempera-
ture only rising to 103 first
day and then going to normal
until death.
Notes of case contributed by Dr. Drake, Hatibari T. E., Tezpur, Assam.
(13) Mr. F.—Assistant.
Aged 24.
April 1908 .. July 1908 ;
August 1908.
Had been in Assam less than 2
years. Had had a good deal of
fever in spite of very irregular
quinine prophylaxis. The case,
fuller notes of which are given on
a previous page, is important on
account of Black-water Fever
occurring after quinine hydro-
chloride and calcium chloride.
Notes kindly sent by Dr. R. L . Patterson.
231
1st attack.
2nd attack.
Nowgong Dis-
trict (14).
Mr. S.—Planter. Aged
26.
March 1880
..
About 1 year in Nowgong. Had
been out 8 years, but went home
from Behar, returning to India
1878. Had a great deal of fever
and took quinine in very large
doses. Had taken a big dose at
dinner, night of attack. Did not
get jaundiced. Recovered.
(15) Mr. M.—Planter .. 1879 rains ..
..
Had been out many years in
Upper Assam, and had not long
returned from leave to England.
Had an attack of high fever,
jaundice, restlessness, black-
coloured vomiting, etc. Death.
(16) Mr. F.—Assistant .. 1897
..
. .
Only 15 months in Assam. Had
a lot of fever, and lived near coolie
lines. Was never really fit. When
Black-water Faver occurred was
treated with heroic doses of quin-
ine—120 grs. in 12 hours. Very
severe case, but recovered and
went home with enlarged spleen
and liver.
(17) Mr. D.—Planter .. October 1904
..
Ten years in Assam, but had been
to England on leave in 1902,
returning at the end of 1902. Had
been "seedy " on and off, especial-
ly for the 6 weeks before the
Black-water Fever. Took quinine
grains 15 at noon and had Black-
water Fever at 4 P.M. Lived
near coolie lines. Recovered.
(18) Mr. N.—Assistan ..
August 1907
..
Had been out in Assam 6 years
and had kept apparently pretty
fit. Lived near coolie lines. Had
some few days malaise and then
took 35 gains of quinine in less
than 24 hours, together with
calomel 10 grs. and 1 oz. magne-
sium sulph. Very severe case.
Black-water Fever lasting nearly
4 days. Recovered.
Cases Nos. 16 17 and 18 from notes sent by Dr. Dodds Price of Nowgong.
Tura, Garo
Hills (19).
American child. Aged
12.
February 1887
..
Went to America when 6 years.
Returned to Assam when past 9.
Had travelled about in the hills
with his father. Was found to be
ill, and had some quinine given to
him. This was followed by Black-
water Fever, which occurred on
3 or 4 occasions. Recovered.
232
1st attack.
2nd attack.
(20) American child. Aged
4.
April-May 1899
. .
Child had been a few weeks in
Darjeeling, and had two mild
attacks Black-water Fever. Sub-
sequently he had several other
attacks after May 1899. They
appeared after small doses of
quinine. Temperature sometimes
went to 107.
Came to Assam when
4 months old. Had
no less than 8 at-
tacks of Black-water
Fever.
June 1900—
July 1900.
. .
In June 1900 he had euchinin
in one gr. doses without
ill effect, but later he had fever
every second day (tertian), and
after a dose of 4 grs. of euchinin
severe Black-water Fever occur-
red and after 40 hours resulted
in death.
(21) American child. Aged
9.
August or Sept.
1900.
..
Had also been in Darjeeling with
the boy, and had shown similar
symptoms of Black- water Fever
after taking quinine. She had
gone to America when 2½ years
old, returning to Assam when 5
years. Recovered.
Lakhimpur Dis-
trict (22).
Babu B. C., Na-
tive doctor. Aged
34.
Nov. 1907
. .
. .
A native of Dacca, nearly 10 years
on garden where Black-water Fever
occurred. Had severe malaria in
1901 for some 6 months. Went on
short leave to country in 1905.
Had been taking quinine 10 grs.
once a fortnight for some time
before attack.
Notes contributed by Dr. Falkiner, Assam.
(23) Mr. G.—Planter. Aged
45.
March 1907
. .
. .
Had been many years in Assam,
and had been to Burma. Went
to England on leave in 1904 or
1905. Returned to Assam and
went to Burma again doing much
travelling and camping. Much run
down before attack, and looked
sallow and ill. Took grs. 10 of
quinine. Black-water Fever fol-
lowed and lasted 3 days. Great
epigastric pain. No spleen or
liver felt. Recovered.
Notes contributed by Dr. Mc Combie, Assam.
Jorhat District,
Assam (24).
Mr. F.—Assistant.
Aged 23½.
October 1907 ..
..
Had been 3 years in Assam, and
5½ months on garden where the
attack occurred. Previously
had been in Nowgong. Had had
occasional attacks of fever.
3N
227 H. D.
233
1st attack. 2nd attack.
Took quinine as a preventive,
but doses or times not stated.
Black-water Fever followed
quinine administation. Re-
covery.
North Lakhim-
pur Dist.
Mr.— Planter
. . 1905
..
. .
No particulars received. Death.
Assam (25).
(26) Mr.— Planter
. . 1906
..
..
No particulars yet received. Death.
Cachar .. (27) Mr.— Railwayman .. 1905
..
. .
An engine driver who had been at
one time on the Gold Coast.
Death.
(28) Babu.—Post-master. 1900
..
. .
This followed quinine. Recovery.
Sylhet (29) Mr. J.—Assistant.
Aged 25.
1901
..
..
Had come out from England at
the beginning of 1899. Was
living on an unhealthy garden
near the hills. Severe attack
of Black-water Fever followed
period of many malarial attacks
in 1901. Recovered 1901.
(30) Mr. T.—
.. Sept. 1907 ..
. .
Patient had been less than a year
in India and had already had a
previous attack in the Duars.
Recovered.
(31) Mr. A.—Manager .. June 1908 ..
. .
Had previously been 3 or 4 years
in Assam, and was in his third
year in Sylhet. Death.
Bishnath Dis-
trict, Assam.
Miss— Nurse
.. 1903 or 1904
. .
Had not been very long in Assam ;
full particulars not yet to hand.
(32)
235
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30
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G. M. Press, Simla.—No. 227 H.D.—21-11-08.—550.—P.B.S.
(NEW SERIES)
No. 35.
SCIENTIFIC MEMOIRS
By.
OFFICERS OF THE MEDICAL AND SANITARY DEPARTMENTS
OF THE
GOVERNMENT OF INDIA.
BLACK-WATER FEVER
FEVER
BY
CAPTAIN S. R. CHRISTOPHERS, M.B., I.M.S.
AND
DR. C. A. BENTLEY
(Officers on Special duty).
BEING THE FIRST REPORT TO THE ADVISORY COMMITTEE APPOINTED BY THE
GOVERNMENT OF INDIA TO CONDUCT AN ENQUIRY REGARDING BLACK-WATER
AND OTHER FEVERS PREVALENT IN THE DUARS.
ISSUED UNDER THE AUTHORITY OF THE GOVERNMENT OF INDIA BY THE
SANITARY COMMISSIONER WITH THE GOVERNMENT OF INDIA, SIMLA.
SIMLA:
PRINTED AT THE GOVERNMENT MONOTYPE PRESS.
1908.