Epidemics.
Vaccination and re-vaccina
- tion.
SIND DIVISION OF THE ARMY. 89
mortem,r o o m h a s a l s o b e e n e r e c t e d a t a s h o r t d i s t a n c e . I n a d d i t i o n , d u r i n g t h e y e a r , a n
isolated building adjacent to the hospital was used, by permission, for a case of small-pox,
and is still retained for the reception of infectious cases. Instead of the usual plan of build
- i n g a m u d h u t o r o f h a v i n g a t e n t p i t c h e d s o m e d i s t a n c e f r o m t h e h o s p i t a l , t h e u s e o f a s u i t a b l e
building adjacent to the hospital is much to be preferred. A stricter watch can thus be
maintained to prevent communication between its occupants and outsiders: an extra guard
is not necessary; the advantage to the sick is obvious; and, above all, it is always ready for
the immediate reception of such cases.
The hospital wards are heated by large iron stoves; the supply of wood-fuel being
abundant, any temperature that is thought advisable can be maintained. This is an advan
- t a g e o f n o s m a l l c o n s i d e r a t i o n i n a c l i m a t e w h e r e t h e c o n t r a s t s o f t e m p e r a t u r e a r e s o g r e a t
and sudden.
8. Appears to have been fair; but the average daily sick was 3.3 in excess of the pre-
vious year. The men are well proportioned, of good physique,
and about the average in height.
9. Rainfall slight; no floods; malaria comparatively decreased. Exposure on out-
General health and physique.
Influence of climate or local
circumstances on health.
post duty caused a few cases of insolation. There are no civil
arrangements for the suppression of contagious disease in
Jacobabad.
10. Total number admitted 799, as compared with 993 in 1878, showing a decrease of
nearly two hundred. This was entirely due to the lessened
exposure to malaria, the admissions for 1878 showing the large
figure of 605 cases of ague as compared with 340 of 1879. Flooding, which was universal in
the former year, was absent in the latter. There was a slight increase in diseases of the
respiratory system and for blistered feet. Digestive system parallel, and a very marked
increase in diseases of the cutaneous system and abscess. The admissions for the three items,
abscess, boils, and ulcer, were collectively 130, as against 51 in the previous report. A case
of death was attributed to ulcer, but the records do not state its location or nature. Contu
-sions show a decrease of nearly two-thirds.
There were eight cases of sunstroke, none of which proved fatal. Admissions for pri
- m a r y s y p h i l i s w e r e d o u b l e t h o s e o f 1 8 7 8 . T h o s e f o r s e c o n d a r y s y p h i l i s m u c h l e s s . I n a l l
twenty-seven primary and nine secondary were admitted during the year. Out of these it was
-found necessary to send six on sick leave. The admissions for gonorrhœa were seventeen.
11. Twelve deaths occurred during the year. Three at Sibi outpost from acute
bronchitis, fatty degeneration (cardiac), and contusion of
head. One at Chigardee of acute bonchitis; and one at Kush-
more, disease unknown. The remainder at Jacobabad from febricula, ague (2), dysentery,
pneumonia, ulcer, inflammation of submaxillary gland.
12. None.
13. No children were vaccinated during the year. There
were 44 re-vaccinations, of which 6 proved successful.
14. Forty men were invalided for discharge. Twenty of these were disposed of as old age
and worn-out, four from debility; two each from chronic syphilis,
deafness, and varicose veins; one each from chronic bronchitis,
division of flexor tendons of three fingers of left hand, eczema of leg and debility, defective
vision, incipient cataract, difficulty of breathing, lameness, skin disease, scurvy, and wound
of testicle.
Details of treated.
Mortality, and its causes.
Invaliding, and its causes.