NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
163
Under general diseases, Division A, there were forty-five treated,
forty-three of which were ague, one case of small-pox and one
of remittent fever. Of diseases under B, there were chiefly rheu-
matisms of kinds, syphilitic diseases, scurvy, and general dropsy.
Local diseases were mostly those of the respiratory, digestive, and
cutaneous systems. Of the latter, sixteen were ulcers and thirteen
boils; there were two cases of snakebite, both discharged. Of local
injuries there were five—one of concussion of the brain died.
8. The jail is reported as being very healthy, and at my inspec
-
tion every thing was in order, and cleanliness was strictly attended
to. A new jail is being erected.
Ratnagiri.
and 11 females=112, being three less than in the preceding year.
Of the sick there were none remained—fifty were admitted, forty
-
eight were dischaged to labour, and two otherwise—whether trans
-
ferred or liberated is not stated, and none remained under treatment.
The average daily sick was 1.1 male and 0.1 female ; the ratio of
treated to strength was 44.6; there were no deaths. The admissions
were three more than in the previous year. The strength of the
prisoners was composed of three native Christians, seven town
-
residing Mussulmen, eighty-six town-residing and eight nomade
Hindus, seven Chinese, and one Malay. The admissions were four
Mussulmen, forty-four town Hindus, and two Chinese.
Under general Diseases, division A, there were eleven ; only two
ague cases, this agrees with the character of the place as regards its
seeming freedom from intermittent fever, as shown in the returns of
the civil hospital and dispensary. Seven were febricula, one remit
-
tent fever, and one erysipelas. Under Division B, there were no cases.
Local diseases make the greatest part of the remainder—three were
from asthma, one case re-admitted, two diarrhœa. Cutaneous diseases,
chiefly boils, gave fourteen cases. One case of poisoning by datura.
There were eight local injuries of no importance ; some of these
cases were re-admissions. There were two births in the jail.
Though the above shows the cases admitted into hospital, many
received medicine as externs, 78 purgative doses, 84 quinine doses,
38 cough mixtures, 28 astringent mixtures, 54 antispasmodic doses,
8 emetics, 15 doses of santonine were administered, and 44 tonic
draughts ; local applications too were applied,— the recipients of these
were not off work at any time.
The hygienic character of the jail is favorably reported on, and at
my inspection perfect order and cleanliness prevailed.
22 M D
164
Aden.
10. The average strength of the prisoners in the Aden Jail was
Europeans two males, natives eighty-three males, and native
females 7=92, being twenty less than in the previous year. Of the
sick there remained at the end of the year 1871-72, of Europeans one,
admissions two, total three ; these three were discharged—whether
cured, liberated, or transferred is not shown. Of natives there
remained three, there were sixty fresh admissions : total sixty-three ;
a great decrease on 1871-72 when, I believe, 161 were treated ; the
whole of these were discharged.
The average daily sick is not shown—for Europeans combined it
was two ; the ratio of treated to strength for Europeans was 150, for
natives seventy.
Under general diseases, Division A, one case of febricula and
twenty-seven of dengue were treated.
Division B, gave eight of rheumatisms, three of scurvy and one
of phthisis. Under local diseases there were five cases of bronchitis,
four of disease of the digestive system, one of cystitis, nine of ulcers,
boils, &c.; there were no local injuries, and no operations.
Dengue again appeared in the jail on the 8th April 1872. The
whole of the prisoners in the jail, whether marked by small-pox or
having marks of vaccination, were re-vaccinated or vaccinated.
Sixty males and three females had small-pox marks, in these vac
-
cinations succeeded in forty-four. Fourteen males and four females
had been vaccinated, in these the re-vaccination succeeded in twelve.
The civil surgeon says "these results show pretty satisfactorily
that even small-pox, after a number of years interval, is not immuni
-
tive from re-attack."
Sawantwari.
11. The average strength of the jail at this Native State was 58.3
males, 10.3, women=68.6, being 27 more than in the previous year. Of
the sick there were none remained, and 50 were fresh admissions—16
more than in 1871-72 ; of these 44 were discharged to labour and 6
were remaining under treatment. The average daily sick was 1.7
males, 0.4 females=2.1 ; the treated to strength was 78.52 ; there were
no deaths. The strength was composed of native Christian 1, town
-
residing Mussulman 1, town-residing Hindus 65, and Jew 1. The
admissions from these were native Christians 3 (being re-admission
of 1) and 42 Hindus.
Under general diseases, Division A, 13 cases of ague were treated,
and 1 of remittent fever. Under Division B, 4 were treated, rheuma
-
tisms, cancer, and anœmia.
165
Local diseases, bronchitis caused 8 cases, there were 11 of dysen
-tery, diarrhœa and worms, and 5 cases of cutaneous disease and
abscess. One snakebite, and 2 injuries of no importance.
When I visited the jail it was in good order, though small and
without any hospital.
Alibagh.
12. There is, what I understand to be, a subordinate jail here,
which was opened in October 1871. It is situated in the fort and con
-sists of five cells: No. 1 has an area of 178 square and 2,180 cubic
feet space, No. 2, 124 square and 1,196 cubic feet, No. 3, 99 square
and 1,096 cubic feet, No. 4, 93 square and 1,024 cubic feet, and
No. 5, 108 square and 1,195 cubic feet—these measurements give a
very small space indeed to each prisoner. The daily average strength
was 33, the highest number was 49, the lowest 21. For the average
number the area was thus per man a little over 17 square feet and
cubic space was 202.75.
The prisoners consist of short time sentenced (those over one
month are transferred to the Tanna Jail) and of persons awaiting
trial.
No jail returns of sick of this subsidiary jail have been sent in be
-fore. For the present year I have had them prepared to show merely
the number of sick, &c., but the cases are all entered in the return of
the Alibag Dispensary as usual. There remained l from last year and
62 were admitted—61 males and l female; of these 54 males and 1
female were discharged, 1 died, 5 neglected to attend, and 2 remained;
the death resulted from double pneumonia.
The average daily number of treated was 0.7.
POLICE HOSPITALS.
Ta n n a P o l i c e C o r p s .
1. The strength at Tanna was 182, the total strength of the corps
apparently 800. At the police hospital at Tanna 351 sick were treated
and 231 at the dispensaries in the zillah as follows:—
Strength.
Sick.
Uran . . .
28
27
Kullian . . .
67
49
Bhondi . . .
35
35
Coorla . . .
26
29
Bassien . . .
3 6
32
Bandora . . .
31
29
Kelve Mahim . . .
3 9
29
Panwell . . .
4 5
1
166
From such outposts as Morbad, Dhanu, Karjat, &c., sick are, as
a rule, sent in at once to head-quarters, as also all patients whose
cases will be probably of some duration. The total treated was 582,
there remained from the previous year 15, the admissions were 567;
of this total 562 were discharged, 7 died, and 13 remained under
treatment. Under general diseases, Division A, in the corps through
-
out the zillah, there were 375 cases, 361 of which were from ague,
and 4 remittent fever, giving a percentage of the former to strength
of 45.12, and to treated of 62.02. Under Division B, 24 were treated
chiefly for rheumatism and syphilis. Of local diseases, 184 included
mostly cases of dysentery, diarrhœa, colic, constipation, congestion of
spleen, bronchitis, guinea-worm, boils, and scabies.
Injuries were wounds and contusions—one was an injury to the arm
caused by a tiger, it resulted in death: there was one facture of the
femur, and one dislocation of the shoulder.
The mortality resulted from ague 2, dysentery 2, pleurisy 1, ab
-
scess of the liver 1, tiger-wound 1. All these died in hospital at Tanna.
The corps is reported to have been healthy during the year, except
as regards fever; this, however, is not surprising when the nature of
the duties and the character of the districts are considered. The
treated to strength was 72.75 per centum, the deaths to strength were
0.87 per cent., the deaths to treated were 1.20. The police hospital
is separate from the civil hospital, but the establishment is the same.
2. The strength of the Police at Alibag was 119 during the year;
and at outposts, where sick are treated, 71: total 190, according to
returns, but the actual strength is not known to me.
At the end of year 1871-72 there remained 4 on the sick returns,
there were 301 admitted, making a total of 305 treated; of these there
were 294 discharged, 3 died, and 5 remained. At the hospital at
Alibag there were 242 treated and the remainder at the follow
-
ing places
—
Dispensary at Penn . . .
Strength. Sick.
53
47
Political Agency, Junjira . . .
18
16
3. Under general diseases, Division A, 132 cases were treated of
which 128 were ague, giving a percentage to strength of 67.36 and
to treated 52.89; these percentages cannot be considered as correct in
consequence of the strength at outposts, such as Mhar, Roha, &c.,
not being known, and the sick at these places not being heard of,
unless very ill, when they are sent to hospital at Alibag. When dis
-
pensaries are opened at these places, fevers will be admitted for
treatment and ratios will be more correct. Division B gave 16 of
167
rheumatism chiefly. Of local diseases there were 128; these were
mostly diseases of the eye, of the respiratory and digestive systems,
of the cellular tissue, and cutaneous system, and a few cases of
gonorrhœa. The injuries received were wounds and contusions,
altogether 13.
The deaths were from phthisis 1; dysentery 1, at Alibag, (out of
Hospital at Penn) 1 ascribed to dysentery. The police hospital is
the same as the civil hospital, in fact the civil hospital is properly the
police hospital.
The new police lines have been finished and occupied.
Ratnagiri Police Corps.
4. The strength of the corps is shown as 751, at the head-quarters
379, and the remainder at the outposts, which send their sick to
Dapuli, on the one hand, and Vingurla on the other. At Ratnagiri
107 were treated during the year and at—
Dapuli . . .
41
Vingurla . . .
40
making a total of 188. At both these places experienced apothe
-caries reside, and as the distance is great, and difficulties of travel
considerable, cases are not sent to Ratnagiri for treatment. The sick
do not even go to Dapuli or Vingurla if labouring under diseases,
which it is thought a few days rest is sufficient to restore from, such
as a slight attack of ague, for the patients will not take the trouble
to go in a distance of several coss unless severely ill. Under general
diseases, Division A, 79 received treatment, of which 67 were cases
of ague; this gives a percentage to strength of 8.8, and to treated
35.63. This would go to show, with the statistics of the civil hos
-pital, dispensary, and jail at Ratnagiri, that the district is not a
particularly malarious one, though the percentage to treated of the
disease is rather large; there are places in the district however—such
as Muddunghur, Bankote in the Dapuli, and parts of Malwan in
the Vingurla Talukas—where fever is said to prevail; this, perhaps,
may be judged of a little in the percentages of each to treated
—
R a t n a g i r i . . .
29 .8
Dapuli . . .
46. 3
Vingurla . . .
40.
prepared from the returns forwarded.
5. There was only one death registered in a case of remittent fever.
Of the whole treated the ratio to strength was 25.03, that of deaths
to treated was 0.53 and of deaths to strength 0.13.
The police hospital is a ward of the civil hospital.
168
Surat Police Crops.
6. The total strength of the police corps is stated to have been
537, the strength of the Surat portion being 290, the remainder
being employed in the districts on outpost duty. In the civil hos
-pital at Surat there were treated 224, and at the charitable dispen
-saries sick were treated as follows:—
Strength. Sick.
Balsar . . .
11
8
Chickli . . .
34 44
Nowsari . . .
31
4
Pardi . . .
44 17
Bardoli . . .
44 64
Randier . . .
8
3
Mandvi . . .
7 5 67
making a total treated of 431. Of these 416 were discharged, 6 died,
3 transferred and 6 remained in hospital at the end of the year.
Under general diseases, Division A, 320 were treated, 257 cases of
which were ague, showing a percentage of treated to strength of
47.85 and to treated of 59.62. Under B, 19 cases were in hospital,
the greater number for rheumatism and syphilitic disease—there
were two of phthisis. Local disease gave 88 treated, including
injuries—the largest number were from diseases of the digestive
system, they amounted to 29, 5 of which were of dysentery and 5
of diarrhœa. Gonorrhœa to 14. Cutaneous diseases to 17. The
injuries were one poisoned wound, 1 contusion, and 3 other wounds.
One of the injuries was that of a native police officer who received
3 arrow wounds in an attack made by Bheels; one of the wounds
communicated with the stomach, one with the small intestines—he
died soon after being brought to hospital at Surat.
7. The total treated to strength was 80.24, the deaths to treated
1.39, to strength 1.11.
The police hospital is a ward of the civil hospital.
K a r w a r P o l i c e C o r p s .
8. The strength of this corps is given as at head-quarters, Karwar
including the detachment at Petta Ankola 305, the remainder at out
- p o s t s 3 8 9 . A t t h e p o l i c e h o s p i t a l a t K a r w a r t h e r e w e r e 4 7 2 t r e a t e d ,
and at the dispensaries in this division of superintendence, viz.,
Strength.
Sick.
Kamte . . . 43
63
Honore . . . 53
34
9. The number of sick and character of disease treated at the
dispensaries of Supa, Hulial, Sirsi, &c., I am not acquainted with, as
these are under the Poona Division; I refrain, therefore, from giving
any ratios of disease or mortality of the corps. In Karwar Hospital
169
and at the two dispensaries 569 were treated, 15 remained from the
year 1871-72, and 554 were new admissions; of these 555 were dis
-
charged, 536 to duty, 19 otherwise, 1 was transferred, 2 died, and 11
remained under treatment.
Under general diseases, Division A, in the above hospital and
dispensaries 234 cases were treated, 148 of which were ague, 70 of
febricula, 4 remittent fever, 8 of small-pox (at Karwar), and 3 of
chicken-pox. Of Division B there were 51 cases, 30 of these were
of rheumatism, 11 of syphilitic disease; there were a few cases of
scurvy anœmia and phthisis. Local diseases gave 284, the chief
diseases were of the eye, respiratory system, digestive system; of the
latter 102 cases were treated, 28 being of dysentery, 19 of diarrhœa,
gonorrhœa gave 12, skin disease 49, the chief being boils, car
-
buncles, and scabies. Injuries were contusions, sprains, and wounds,
none of which have been referred to as of any importance.
There were eleven operations performed.
Two deaths took place, one from small-pox at Karwar and one
from Bright's disease at Honowar.
The civil surgeon gives a favourable account of the health of
the corps, but he refers mainly to the head-quarters. There is a
separate police hospital here for which much in praise cannot be
said. If a new civil hospital is built the Police should have a large
ward in it, capable of holding a daily number of 15, by which a cer
-
tain decrease of expenditure would result.
Broach Police Corps.
10. The strength of the corps appears to have been 355, 254 at
head-quarters, and 101 at outposts, of which latter 88 have sent
their sick generally to charitable dispensaries in the collectorate: at
the Broach Civil and Police Hospital there were 236 cases and at the
dispensaries at—
Strength.
Sick.
Anklesur . . . 40
6
Elao . . .
3
3
Hansot . . .
45
42
making a total of 287 treated, 4 remained at the end of the year
1871-72, 283 were fresh admissions, 279 were discharged, 4 died, and
4 remained under treatment. Under general diseases, Division A,
there were 204 cases, 168 of which were of ague, 4 of remittent
fever, and 32 of dengue. Division B, gave 15, 8 were rheumatism
cases, 6 syphilitic and 1 scurvy. Of local diseases there were 68,
including injuries; the chief diseases were dysentery, diarrhœa,
bronchitis, abscesses, boils and skin diseases—the injuries were only
4 and consisted of contusions, wound and sprain.
170
11. The ratio of treated to strength was 80.8, that of deaths to
treated 1.39, and of deaths to strength 1.12.
The police hospital is a ward of the civil hospital.
Sawantwari Police Corps.
12. The strength of this corps is 461, the sick are all treated
in the hospital at Wari. The total treated in the year was 147,
there remained 5 at the end of 1871-72, and 142 were new admis--
sions ; 140 were discharged to duty or otherwise, 1 died, and 6
remained under treatment. The average daily number was 6.6.
Under general diseases, Division A, 103 were treated, 73 of these
were of ague, and the large number of 23 were of remittent fever,
the rest 7 were small-pox, chicken-pox and measles. Of Division B,
there were 14, of which 12 were cases of rheumatism, 1 of phthisis,
and 1 of secondaries. Local diseases gave 22, they were chiefly eye
diseases, catarrh, dysentery, and diarrhœa.
13. There was one case of Phoorsabite which was cured. In-
juries caused seven admissions, contusions, wounds, and fractured
clavicle. The operations were few and minor.
The death was from remittent fever. No hospital record shows
so large a number of admissions to treated of remittent fever as this:
the country is, I believe, overgrown with jungle and the outposts
furnish the great part of the cases.
The percentage of total treated to strength was 31.88, of deaths
to treated 0.68, and of deaths to strength 0.21.
The police hospital is a ward of the civil hospital.
Aden Police.
14. The strength of the Aden Police is 148, there are three
Europeans, officers not included. The sick are all treated in the
civil hospital and amounted to 80, 1 remained at the end of 1871-72,
and there were 79 admissions 77 were discharged to duty, 2 died and
1 remained under treatment. The average daily sick was 1.9. Under
general diseases, Division A, 27 were treated, 21 of which were ague
cases. Of Division B, 6 cases were admitted, 2 of rheumatism,
2 scurvy, and 2 of syphilis. Local diseases gave 47 cases, the
diseases being chiefly affections of the chest, digestive system,
gonorrhœa, cutaneous system, and cellular tissue. Of injuries there
were only 2, the deaths were from diarrhœa and pneumonia.
The corps is composed of Somalis, Mussulmen, and Hindus.
Treated to strength per cent. . . .
54.05
Deaths to treated " . . .
2.50
Deaths to strength " . . .
1.35
171
Dispensary In-patients.
1. The civil in-door practice of dispensaries in this division is com
-
posed of patients called "Police cases," that is, of injuries either
accidental or those inflicted with homicidal intent or in quarrels; of
sick—wandering poor—sent in. by the authorities, and occasionally of
persons anxious for relief who, unable to afford their own subsistence,
voluntarily wish to be in-patients.
2. The result of this in-door practice has been, on the whole,
satisfactory; many of the cases admitted have been of a very serious
character, as the following condensed histories will show; the morta
-
lity from them has been considerable, arising, either from the extent
of the injury received, or, in consequence of applying too late, when
cases should have been sent in at once; numerically the list is small,
but the relief afforded cannot be measured by numbers, it has been
considerable, and well repays the trifling cost of dieting those who
were paupers. I look to these dispensaries affording more aid in this
way after a time.
3. The charitable dispensaries in this division which possess
the means of receiving in-patients are the following:—
Alibagh . . .
Government.
Bhondi . . .
2nd Class.
Bassein . . .
Grant-in-aid.
Balsar . . .
2nd Class.
Bardoli . . .
Grant in aid.
Kelve-Mahim . . .
Do.
Pen . . .
Do.
Anklesar . . .
Do.
Pardi . . .
Do.
Elao . . .
Do.
Panwel . . .
Do.
Kamte . . .
Do.
Victoria . . .
Endowed.
Honawar . . . Government.
Alibagh.
4. At this dispensary, or perhaps it should be called hospital,
14 cases were admitted during the year—they were all severe. One
was from suicidal cut throat; one homicidal wounds; one homicidal
gun-shot injury of the shoulder; one ulceration; one lacerated wound
by being gored; one homicidal bruises and fracture of ribs; three
were homicidal wounds; one a case of double pneumonia; one lace-
- r a t i o n o f t h e b r a i n f r o m a f a l l ; o n e c o n c u s s i o n o f t h e b r a i n f r o m
heavy blows, homicidal; two contusions from fist blows.
2 3 M D
172
Two only of these cases died, one from double pneumonia, one
from laceration of brain, the remainder were discharged cured.
Bhondi.
5. There is little room, and less convenience, for in-patients
here, as the dispensary is only a house hired for the purpose, but
nevertheless five cases were received and treated. Three of these
were parturient females, all requiring operative treatment ; the cases
terminated favourably, the other two cases were of extensive wounds,
occurring in "Katkerries," inhabitants of the hilly and jungly parts
of the talooka; these also were discharged cured.
Bassien.
6. This dispensary, opened on the 28th May 1872, at present
has small accommodation for in-patients, and that, certainly, not
attractive. During the period of its existence, only three patients
have been admitted as internes. By and bye, however, if another
place is procured for the dispensary, which, I trust, will soon be the
case, I have every certainty that there will be many who will take
advantage of the skill and energy of the present Sub-Assistant
Surgeon.
The cases admitted this year were one of remittent fever, one
rupture of the large intestine, one gun-shot injury.
The rupture occurred in a boy ten years old, who refusing to
take some liquor from a person, was thrown down, and the abdomen
pressed upon with the foot to make him drink ; he died seven days
after. The post-mortem examination revealed a rent in the cœcum,
and gangrene around. The case of remittent fever complicated with
pleuro-pneumonia and the gun-shot wound recovered and were
discharged.
Bardoli.
7. In this dispensary, notwithstanding it possesses good
accommodation for in-patients, only three were received in the whole
year. One case was of dysentery, one of fracture of the ribs, and
one of fracture, intra-capsular, of the hip-joint. The latter injury
occurred to a man 50 years of age, and the report states was
cured. I can hardly expect that many will desire to become in-pa
-
tients here. The hospital assistant, though a respectable man, will
not attract patients by his attainments.
Balsar.
8. At this dispensary thirty-six in-patients were treated ; this
includes the unarmed police, eight of whom were admitted. Until
the opening of the new dispensary the accommodation was extremely
limited, now it is ample and in every way good, The cases received