NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
European General Hospital.
Jamsetjee Jejeebhoy Hospital.
Ophthalmic Hospital.
Lunatic Asylum.
Dockyard Dispensary.
Byoulla School.
House of Correction.
Common Jail.
42
16. The principal diseases, number of cases, number of deaths,
and death-rate, comparing 1872-73 with 1871-72 were as follow :—
Malarious . . .
Treated.
Died. Percentage.
1872-73
1,468
16
1.09
1871-72
706
4
0.56
Rheumatic . . .
1872-73
98
. . .
. . .
1871-72
69
. . .
. . .
Syphilis . . .
1872-73
30
. . .
. . .
1871-72
7
. . .
. . .
Disease of Lungs . . .
1872-73
115
21
18.2
1871-72
102
17
16.6
Diarrhœa . . .
1872-73
63
1
. . .
1871-72
50
. . .
. . .
Dysentery . . .
1872-73
61
3
49
1871-72
40
5
7.5
Snakebite . . .
1872-73
2
. . .
. . .
1871-72
. . .
. . .
. . .
55 per cent of the whole number treated were cases of malarious
fever, in the previous year the ratio was 57 per cent.
17.The principal cause of sickness in all the circles is malarious
fever ; but the disease does not prevail with equal intensity in all.
18. Comparing the strength with the number of cases of malarious
fever treated in 1872-73, it is found that out of every hundred police
- m e n , t h e n u m b e r w h o g e t f e v e r i s a s f o l l o w s : —
Sind . . . 83.4
Northern Division . . . 49.8
Presidency . . . 34.4
Poona . . .
16.9
SECTION V.
CIVIL HOSPITALS.
PRESIDENCY DIVISION.
1. Working of the Medical Institu
- t i o n s i n t h e C i t y o f B o m b a y.
— T h e l i s t
marginally given represent the medical
institutions in the city of Bombay, the
working of which will hereafter be narrated.
2. The medical arrangements of the
marginally noted will also be describ-
ed.
3. Gokuldass Tejpal Hospital not included .—The above list com
- p r i s e s a l l t h e c h a r g e s f o r w h i c h a r r a n g e m e n t s a r e m a d e b y t h i s
department, the Goculdass Tejpal Hospital not being included, the
building not being as yet completed for the reception of patients.
43
4. Dispensaries in Bombay not connected with Government:—
It is understood that much is done for the relief of the sick in the city
of Bombay by dispensaries not connected with Government, the at-
tendance at some of which is large, judging from the accounts occasion-
ally published in the newspapers.. There is no available informatio
n as to the extent of this relief, which it would be a matter of
much interest to know.
European General Hospital.
5. The total treated have been 1,100, with 4.7 deaths o r
4 . 2 7 p e r
cent. The daily average number of sick was
63, and 546 out-patients have been treated.
6. Principal Diseases.— The diseases from which most fatal
cases occurred were, in the order of their fatality, hepatic abscess,
Bright's disease, and dysentery. Simple continued fever and small-
pox have been prevalent; of this last disease 40 cases were treated
with 2 deaths or 5 per cent.; of these, however, was due to
the patient having during delrium precipitated himself from the
verandah of the small-pox ward on to the ground below. Means
have been adopted to prevent the recurrence of such a catastrophe.
In some of the most severe cases of small-pox distinct marks of vac-
cination were observed.
7. Continued Fever.—Some of the cases of simple conti--
nued fever were of a type, not previously observed in this climate,
resembling, the continued fever of colder latitudes. No deaths oc-
curred from fever of any kind during the year.
8. Cholera.—One case of malignant cholera was treated with
a fatal result.
9. Sonapore Drain—Towards the end of the year admissions
from bowel affections became frequent, and in some cases intrac-
table, probably, from the poisonous effluvia wafted by the prevail-
ing winds from the Sonapore drain.
10. Hepatic Abscess.—Hepatic abscess was very fatal. The
only case that recovered was one in which the contents of the ab-
cess were discharged through the lungs. The patient was an old
woman and of intemperate habits.
11. Obstetric Ward.—The obstetric ward is nearly complete, and
a ward for warrant officers is sanctioned, in which the accommoda-
tion is to be of a superior kind to that now available for men of this
class.
12. Finance.—
1871-72.
1872-73
Total Costs
Rs. 85,826 Rs. 89,122
" Receipts
" 4,888 " 3,400
In-patients
1,162
1,117
Out-patients
. . .
516
Statistics.
44
The increase of cost during the past year has been principally
in the article of clothing Rs. 6,587, the amount of which in
previous year was Rs. 410 only.
Jamsetjee Jejeebhoy Hospital.
13. 6,290 cases were treated with 1,015 deaths or 16.13 per cent.,
which is slightly in excess of the death-rate of the preceding
year; but the death-rate of the 4 previous years averaged 18.68.
14. Statistics.—The following table gives some particulars of
the working of the hospital for the past 5 years, and shows that
the numbers treated are steadily increasing year by year :—
1868.
1869.
1870.
1871-72.
1872-73.
Remained . . .
348
254
337
341
378
Admitted . . .
4,567
4,796
5,136
5,309
5,912
Total . . .
4,915
5,050
5,473
5,650
6,290
Discharged . . .
3,691
3,563
4,098
4,421
4,863
D i e d . . .
926
1,150
1,031
851
1,015
Remaining . . .
293
337
344
378
412
Total . . .
4,915
5,050
5,473
5,650
6,290
Deaths per cent to treated . . .
18.88
22.7
18.7
15.06
16.13
Daily average number of
sick . . .
353
362
393
377
424
Cholera deaths . . .
33
74
64
1 1
17
Dispensary patients . . .
21,073
25,357
29,360
34,128
35,379
15. Most fatal diseases.— The most fatal diseases have been as
follow:—
Phthisis . . .
Died.
121
Dysentery chronic . . .
107
———acute . . .
74
Diarrhœa . . .
73
Pneumonia . . .
64
Fever, remittent . . .
64
Debility . . .
52
Small-pox . . .
37
Fever, intermittent . . .
30
Tetanus . . .
25
Malarial fevers give the largest number of admissions.
45
16. Small-pox has prevailed in the city during every month of
the year, except October. 215 cases were treated with 37 deaths or
17.2 per cent.
17. The following table shows the proportion of vaccinated to
non-vaccinated with regard to caste :—
Christians.
M a h o m e -
dans.
Hindoos.
Parsees.
Total.
Vaccinated . . .
10
2
2
. . .
1 4
Non-vaccinated . . .
114
35
21
2
172
18.
Cholera.—There were 28 cases treated with a mortality of 60.7
per cent.
19. Syphilis.—134 primary and 172 cases secondary, together 306
cases were treated.
20. Leprosy.—108 cases were treated.
21. Death-rate to treated of SOW of the most important diseases.—
Treated. Died.
Phthisis . . . 309 121 39.1 per cent.
Dysentery acute . . . 251
. . . 29.4
"
Do. chronic . . . 213
. . . 50.02
"
Diarrhœa . . . 223
. . . 32.00
"
22. The high death-rate at this hospital is maintained by the
large number of cases admitted in a moribund state. No less than
213 of the deaths having occurred within 24 hours after admission.
23. Poisoning.– 275 cases of poisoning have been treated of' which
the principal were as follow :—
Treated. Died. Percentage.
Alcohol . . .
184
7
3.84
Opium . . .
32
5
15.62
Dátura . . .
29
" No death.
24. Surgical Report.—About 120 beds have been occupied by sur-
gical cases. 221 cases of fracture were treated including 21 of the
skull, 108 of which were fractures of the lower extremity. This is the
largest number for the past five years.
25. Good sanitary condition of the wards. —The sanitary con-
dition of the surgical wards has been satisfactory. Wounds have
healed well, and cases of traumatic tetanus have been fewer than
in the previous year.
26. Operations.—The number of operations has been large and
includes some of the most important known to surgery.
46
Obstetric Institution.
27. 95 cases were attended with 7 deaths. Of the total number
51 or 53.68 per cent. were Christians, 33 Hindoos, 5 Mussulman, and
6 Parsees. Of the Christian women 15 were Europeans, 17 Portuguese
or Goanese, 13 Eurasians and 6 native Christians.
Dispensary for Women and Children.
28. 14,735 were treated, 41.12 per cent. were women, and 58.87
p e r c e n t . w e r e c h i l d r e n ; t h e d a i l y a v e r a g e a t t e n d a n c e w a s 1 2 6 . 7 4 ,
showing an increase of 18.44 over the number of the previous year.
29. Finance—J. J. Hospital.—
1871-72 1872-73
Total Cost . . . Rs 2,00,188 2,05,165
Do. Receipts . . . "
694
873
In-patients . . .
5,650 6,290
Out-patients . . .
34,128 35,220
European do. . . .
—
359
30. Increase of Cost.— The increase of cost for 1872-73, amounting
to nearly Rs. 5,000, may be fairly set down to the increase in the num-
ber both of in-patients and out-patients.
31. There are special circumstances in connection with the hospital,
particularly the important part it bears in the clinical teaching of
students, which affect its expenditure very greatly as compared with
ordinary civil hospitals.
Cowasjee Jehangheer Ophthalmic Hospital.
32. Statistics.—364 patients were treated in hospital, and 5,895 in
the dispensary, together 6,259 cases. The Surgeon reports that when
his predecessor took charge, the number of patients was 3,051, so
that in a few years the work of this hospital has doubled.
33. Operations for Cataract.—96 operations for " cataract " were
performed as compared with 86 in the previous year. Dr. Maconachie
states that the success attending the operations in many cases depended
considerably on the efficient assistance rendered by Sub-Assistant
Surgeon DeGama.
34. Finance.—
1871-72. 1872-73.
Total cost . . . 12,800 12,939
Total receipts . . . 1,150
1197
In-patients Europeans . . .
35
17
N a t i v e s . . .
484
344
Out-patients Europeans . . .
. . .
144
Natives . . . 5,473 5,781
47
The Byculla Central Schools.
35. General health good. Slight increase in the number of admis-
sions over the previous year. There has been one death from continued
fever in a boy aged 13. Intermittent fever was the most prevalent
disease and next in order conjunctivitis.
36. Healthy.—In examining the medical returns of these schools
for the past 5 years, it is found that during that period there have been
only 3 deaths in 2,353 cases treated.
37.
Her Majesty's Common, Jail.
1868. 1869. 1870. 1871-72. 1872-3.
Europeans . . . 19
30
24
21
10
Natives . . . 108
201
138
336
171
Total Treated . . . 127
231
162
357
181
Di ed
Europeans . . .
. . .
. . .
. . .
. . .
. . .
Natives . . . 1
2
2
9
4
38. The above table gives the number treated and the number of
deaths for the past five years, the figures for 1871-72 representing
15 months, on account of a change in rendering returns from the
calendar to the official year. The jail is kept clean and in good order,
but the hospital arrangements are considered by the Deputy Surgeon
General to be defective. There has been no overcrowding. The prin--
cipal diseases have been fever and affections of the bowels.
House of Correction.
39. Strength, 1872-73 . . .
Natives . . .
209
Europeans . . .
85
294
1868.
1869.
1870. 1871-72. 1872-73.
Europeans . . .
32
42
35
46
44
Natives . . .
37
40
64
96
93
Total Treated . . .
69
82
99
142
137
Di ed.
Europeans . . .
. . .
. . .
. . .
2
. . .
Natives. . . .
1
. . .
. . .
5
2
48
40. The population of this jail is made up of prisoners arid
vagrants—the latter a sickly class. The above table shows the
number treated in hospital during the past 5 years, with the number
of deaths.
The sanitary condition of the jail has been excellent.
Docckyard Dispensary.
Total Treated . . .
1868.
1869.
1870.
1871-72. 1872-73.
4,048
3,918
3,890
4,836
2,81
D i e d . . .
1
. . .
4
12
. . .
42. This institution is for the relief of the employés in the Dock
-yard. The above table shows a considerable falling off in the
n u m - b e r t r e a t e d i n 1 8 7 2 - 7 3 a s c o m p a r e d w i t h p r e v i o u s y e a r s .
33. In the Civil Hospitals of the Presidency Circle as a whole, the
number treated
were nearly the
same, but the
mortality has
been greater
during the past year than in 1871-72.
44. Number treated and death-rate of principal diseases. — T h e
following is a list of the principal diseases, number treated, deaths,
death-rate, comparing 1872-73 with 1871-72.
Treated.
Died. Percentage.
Small-pox . . .
1872-73
315
47
14.9
1871-72
239
21
8.7
Malarious Fever . . .
1872-73 1,292
116
8.9
1871-72 1,445
98
6.7
Cholera . . .
1872-73
48
23
47.9
1871-72
28
12
42.8
Rheumatism . . .
1872-73
365
9
"
1871-72
445
4
"
Syphilis . . .
1872-73
436
6
"
1 71-72
517
18
"
Scorbutic Affection . . .
1872-73
153
11
"
1871-72
196
18
"
Dropsies . . .
1872-73
43
11
"
1871-72
40
13
"
41.
In-patients . . .
Total treated. Died. Percentage.
1872-73 . . .
11,230
1,376
12.3
1871-72 . . .
11,233
1,111
9.8
Out-patients . . . 1872-73 . . .
65,211
. . .
. . .
1871-72 . . . 64,902
. . .
. . .
49
Treated.
Died. Percentage
Others of this class . . .
1872-73
582
165
28.3
1871-72
494
157
31.7
Nervous System . . .
1872-73
290
74
25.5
1871-72
323
62
19.1
Insanity . . .
187 2-73
56
3
"
1871-72
68
2
"
Disease of Lungs . . .
1872-73
620
134
21.6
1871-72
701
88
12.5
Diarrhœa . . .
1872-73
351
95
27.0
1871-72
401
78
19.4
Dysentery . . .
1872-73
634
228
35.9
1871-72
606
188
31.0
Poisons . . .
1872-73
409
16
3.9
1871-72
351
19
5.4
45. Review.—A consideration of these figures shows that there
has been an increase in the number of deaths in nearly all the prin-
cipal diseases.
46. Small-pox, cholera, diseases of the lungs, and diarrhœa have
been much more fatal during the past year than in 1871-72.
47. Decrease in number of cases of ,Syphilis.— There has been a
noticeable decrease in the number of cases of syphilis treated during
the past year compared with the previous one.
4 8 . R e p o r t s . —
T h e
r e p o r t s o f t h e M o f u s s i l C i v i l H o s p i t a l s o f t h e
Presidency Circle are meagre and uninteresting.
49. Little Surgery.—Surgical operations are few ; which would
seem to indicate that surgery is not cultivated so much as, from its
importance in the minds of the natives, it is desirable that it should
b e .
Civil Hospital, Surat.
50. No operation during the year.—In the Surat Civil Hospi--
tal, situated in the midst of a large and populous city, there has been
no important surgical operations during the year. This is unsatisfac--
tory, and the hospital cannot be said to be working so much to the
advantage of the public as might fairly be expected.
POONA AND SOUTHERN MAHRATTA CIRCLE.
Civil Hospital, Poona.
51. The number of patients treated in this
hospital is increasing year by year. In 1867
there were 485 admissions, in 1872-73, 1,500.
5 2 . T h e s a m e f a c t h a s b e e n o b s e r v e d i n t h e n u m b e r o f o u t - p a t i e n t s
for the 5 years 1867 to 1871-72, in the last of which the number of
patients was 12,954. There has been a decrease of out-patients of
Working of the Medi--
cal Institutions in the
City of Poona.
7 M D
50
1,537 in 1872-73 as compared with the previous year, the decrease
being probably attributable, in some measure, to the fact that medi
- c i n e w a s n o t g i v e n g r a t u i t o u s l y t o t h o s e c o n s i d e r e d a b l e t o p a y .
53. Principal diseases.— The principal diseases were fevers, dysen
-tery, diarrhœa, dengue.
Remittent Fever . . .
Treated.
Died.
27 13—44 per cent.
Cholera . . .
22
14—63.6 "
Dysentery . . .
72
17—23.6
Diarrhœa . . .
110
48—43.0
54.
surgery.—The surgical practice of the hospital has been con
-siderable, including 12 cases of lithotomy with 3 deaths.
55. Dr. Beatty, the Civil Surgeon, speaks in very high terms of
the benefit the hospital has received from the services of Dr. Davidon,
the Assistant Civil Surgeon.
56. Finance.—
Total Expenditure . . .
R s .
1871-72
Rs.
1872-73
43,258
44,506
Receipts exclusive of Govt. Grant . . . "
2,808
" 2,001
In-patients
Europeans . . .
168
"
123
Natives . . .
1,746
"
1,796
Out-patients
Europeans . . .
367 "
262
N a t i v e s . . .
12,716
" 11,302
There is a small increase in the expenditure of the year over
1871-72, on account of establishment, and the receipts have fallen off;
the sum realized from railway patients during the year being Rs. 453,
whereas in 1871-72 it was Rs. 1,489.
Roman Catholic Orphanage.
57. With an average strength of 82.7 there were 110 admissions.
There was one death from remittent fever. General health has been
good. There was no epidemic but that of dengue. Dr. Minnie re
-commends that the children should be sent to one of the hill stations
from March to the beginning of June.
Children very free from skin
disease.
The children of the Orphanage have been
remarkably free from skin disease during
the year.
Yerrowda Central Jail.
58. With a strength of 1,120, 1,011 prisoners were treated in
hospital, with 17 deaths or 1.1
per cent. to treated and 1.5 per
cent to strength.
Strength. Treated. Died. Percentage.
1,120
1,011
17
1.6
51
The principal diseases treated were :—
Treated. Died. Percentage.
Malarious . . . 548
1
0.1
Disease of Lungs . . .
59
3
5.08
Diarrhœa . . .
36
4
11.1
Dysentery . . .
66
3
4.5
59. Prevalence of Diseases of the .Respiratory System.— T h e
Depu-
ty Surgeon General, Poona Division, in reviewing the diseases from
which the prisoners of the jails have suffered during the year, states
of Yerrowdah, that, ever since it was established, it has been observed
that diseases of the respiratory system have been proportionately
greater than in any other jail of the Poona Circle, and assigns as the
reasons for this—first, the situation of the jail on high ground, exposed
to the easterly and north-easterly winds in the cold season ; and
second, to the transfer of convicts from the coast, who are unaccus-
- t o m e d t o t h e D e c c a n c l i m a t e .
Khan Bahadoor Pestonjee Sorabjee's Charitable Dispensary, Poona,
in the Medical charge of Sub-Assistant Surgeon, Balcrishna Chintoba.
60. Seven thousand two hundred and two patients have been
treated during the year.
61. Diseases treated.— The principal diseases were:— Dengue 99,
ague 434, rheumatism 214, syphilis 211, diseases of the eye 316, of
the ear 244, of the respiratory system 487, of the intestines—diar-
rhœa 301, dysentery 165.
62. Admissions.—The largest number of admissions was in
August 805, the smallest number in. June 404.
63. Meteorological.—The highest temperature registered at, the
dispensary was 92.1 in April, the lowest 62.1 in January, giving an
extreme variation of 30 degrees. The highest monthly range was 13.8
degrees—16.75 inches of rain fell on 53 days.
64. Operations.—There were 47.7 surgical operations during the
year, including one successful case of lithotomy.
Civil Hospitals, Poona Circle, collectively.
65. General examination of the working of the Civil Hospitals,
Poona Circle, collectively.— There has been a small increase (48) in
the number of in-patients
treated during the year,
with more deaths and a
h igher death-rate than
in 1871-72, and there
has been a decrease in
In-patients
Treated.
Died
Percentage.
1872-73 . . .
3,847 . . . 400 . . .
10.3
1871-72 . . .
3,799 . . . 316 . . .
8.3
Out-patients
1872-73 . . .
51,429
1871-72 . . .
53,805.
52
the number of out-patients, of 2,376, principally in the Sassoon
Hospital, Poona, where some restriction was placed upon the gratui
-
tous issue of medicines.
66. Disease and
death-rate.— The following is a list of the princi
-
pal diseases, number treated, number of deaths, and death-rate, co
m-
paring 1872-73 with 1871-72 :—
Treated. Died.
Percentage.
Small-pox . . .
1872-73
31
2
6.4
1871-72
68
3
4.4
Malarious . . .
1872-73
676
41
6.0
1871-72
737
27
3.6
Ch o l e r a . . . 1872-73
50
30
60.0
1871-72
10
3
30.0
Rheumatism . . .
1872-73
205
2
1871-72
329
1
Syphilis . . .
1872-73
152
3
1.9
1871-72
201
6
2.9
Disease of Nervous System . . .
1872-73
67
9
13.4
1871-72
79
14
17.7
Insanity . . .
1872-73
67
1
1871-72
70
3
Disease of Lungs . . .
1872-73
263
38
1871-72
247
39
15.7
Diarrhœa . . .
1872-73
216
91
42.1
1871-72
186
72
38.7
Dysentery . . .
1872-73
217
59
27.1
1871-72
125
38
30.4
Poi sons . . .
1872-73
30
2
1871-72
29
6
I n j u r i e s . . .
1872-73
432
28
6.4
1871-72
507
27
5.3
Surgical operations . . .
1872-73
98
8
8
1871-72
67. Reports.— The reports from the civil hospitals in this circle are
much the same in general character as in the previous year. They
deal generally with professional cases, which naturally occupy the first
place in the attention of the medical officer concerned, and are in
themselves of interest, but are scarcely suitable for introduction into
a report of this kind.
68. There is nothing of a very unusual or exceptional nature in
the amount and kind of sickness treated.
69. High death-rates.— The death-rates in some of the principal
diseases are very high, so uniformly excessive as to make it certain that
the circumstances of the patients abundantly account for the great
mortality. This is a fact common to all our civil hospitals, a large
proportion of the patients, not generally inhabitants of the town or
53
neighbourhood but strangers, come or are brought to the hospitals in a
desperate condition, worn-out with fatigue and want of food, and often
quite beyond any hope of restoration. These are the cases that swell
the death-rates, and add greatly to the expenditure of the hospital.
70. Nasick unhealthy.— Cholera, small-pox, and fever have been
unusually prevalent during the past year at Nasick. The deaths from
fever (12 are said to have occurred in one day) at one time are report
-
ed to have been as numerous as those from cholera, and there can be
no reasonable doubt that there must be some defect in the sanitary
condition of the town, which it would be well to remedy,
NORTHERN AND MHOW CIRCLE.
71.
Inspection.— The Deputy Surgeon General has not been able
to inspect many of the civil hospitals and dispensaries in his circle.
1.
7 2 .I
n - p a t i e n t s .—There has been an increase of 391 in the num-
ber of in-patients over the
previous year (the increase
in the number of "admis-
-sions" has been 110 only);
but the large and very strik
-ing decrease in the number
of out-patients of 11,060,
This is one of the effects of
the payment system. The
principle seems to have had
a very great influence in the
Civil Hospital, Ahmadabad,
where the falling off in attendance was 10,448
73. Statistical.— The following is a list of the number of cases
treated, the deaths from them, and the death-rate, comparing 1872-73
with 1871-72:—
T o t a l
Treated.
Died. Percentage,
Small-pox . . .
1872-73
312
15
4.8
1871-72
31
3
9.7
Malarious . . .
4.8
1872-73
477
23
1871-72
442
24
. . .
Cholera . . .
1872-73
1
1
. . .
1871-72
. . .
. . .
. . .
Rheumatism . . .
1872-73
139
. . .
. . .
1871-72
96
1
. . .
Syphilis . . .
1 8 7 2 - 7 3 268
6
. . .
1871-72
3 0 7
7
. . .
Others of the class General Disease
1872-73
227
17
. . .
1 8 7 1 - 7 2
2 2 8
2 3
. . .
In-patients.
1872-73 . . .
3,304
1871-72 . . .
2,913
Increase . . .
391
Out-patients,
1872-73 . . .
15,928
1871-72 . . .
26,988
Decrease . . ..
11,060