NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
286
Statement showing the cost of each Civil, Jail,
TANNA COLLEC
Dispen-
Bassein Dispensary.
Kelvi-Mahim Dispensary.
1871-72.
1872-73.
1871-72.
1872-73.
1. Cost of Medical Superinten-
dence—
Rs. a. p.
Rs. a. p.
Rs. a. p.
Rs. a. p.
Salary . . .
. . .
1,151 9 11
. . .
1,654 13 4
House rent . . .
. . .
87 4 0
. . .
. . .
Allowance . . .
. . .
. . .
. . .
. . .
2. Medical Subordinates' salary,
&c.—
Salary . . .
. . .
204 0 0
. . .
64 0 0
Allowance . . .
. . .
150 0 0
. . .
. . .
Grain compensation . . .
. . .
25 5 0
. . .
. . .
Travelling allowance . . .
. . .
17 13 1
. . .
9 0 0
Clothing . . .
. . .
. . .
. . .
. . .
House rent . . .
. . .
. . .
. . .
. . .
Batta . . .
. . .
. . .
. . .
. . .
3. Servants' wages —
Salary . . .
. . .
64 13 11
. . .
6 8 12 6
Extra servants . . .
. . .
. . .
. . .
. . .
House rent . . .
. . .
. . .
. . .
. . .
Grain compensation . . .
. . .
. . .
. . .
. . .
4. Cost of Medicines—
Medicines . . .
. . .
1,647 13 10
. . .
1,232 12 10
Instruments . . .
5. Cost of Diets . . .
. . .
0 9 0
. . .
4 5 0
6. Cost of Bazaar Medicines . . .
. . .
14 10 10
. . .
4 9 9
7. Cost of Wines . . .
. . .
. . .
. . .
. . .
8. Cost of Rent and Repairs—
Building . . .
. . .
. . .
. . .
. . .
Original work . . .
. . .
. . .
. . .
. . .
Repairs . . .
. . .
. . .
. . .
. . .
Rent . . .
. . .
50 0 0
. . .
0 4 6
9. Miscellaneous—
Clothing . . .
. . .
. . .
. . .
. . .
Furniture . . .
. . .
180 0 0
. . .
. . .
Contingencies . . .
. . .
52 10 6
. . .
58 1 7
Water . . .
Gas . . .
Postage . . .
. . .
15 0 0
. . .
. . .
10. Total expenditure . . .
. . .
3,661 10 6
. . .
3,096 11 6
11. Average cost of each diet . . .
. . .
. . .
. . .
0 3 0
12. Average cost of each inpatient
including the cost of medical
superintendence and exclusive
of repairs . . .
. . .
. . .
. . .
. . .
Average cost of each inpatient
excluding the cost of medical
superintendence and repairs . . .
. . .
. . .
. . .
. . .
Average cost of each outpatient
including the cost of medical
superintendence and exclusive
of repairs . . .
. . .
1 0 3
. . .
2 0 1
Average cost of each outpatient
excluding the cost of medical
superintendence, &c., and in -
clusive of Europe and baza a r m e d i c i n e s . . .
. . .
. . .
. . .
. . .
13. Total treated—
Europeans, in-door . . .
. . .
. . .
. . .
. . .
Natives, " . . .
. . .
3
. . .
19
Europeans, out-door . . .
. . .
. . .
. . .
. . .
Natives, " . . .
. . .
3,589
. . .
1,524
287
Police Hospbtal, Lunatic Asylum, &c .—concluded.
TORATE—c o n c l u d e d .
saries—concluded.
Matheran Dispensary.
Coorla Dispensary.
Uran Dispensary.
Panwel Dispensary.
1871-72.
1872-73.
1871-72.
1872-73.
1871-72.
1872-73.
1871-72.
1872-73.
Rs. a. p. Rs. a. p. Rs. a. p. Rs. a. p. Rs. a. p. Rs. a. p. Rs. a. p. Rs. a. p.
10,200 0 0 10,200 0 0 3,600 0 0 3,691 0 0 2,400 0 0 2,400 0 0
. . .
. . .
. . .
. . . . . .
. . .
. . .
. . .
. . .
. . . . . .
. . .
. . . . . .
. . .
. . .
7
8 0
. . .
. . .
480 0 0 849 9 1 192 0 0 152 0 0 139 7 9 144 4 5
. . .
109 2 8
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
16 4 9
. . .
. . .
. . .
. . .
29 1 0
1 6 0
. . .
36 0 0
. . .
. . .
. . .
. . .
. . .
3 4 0 0
. . .
. . .
. . .
. . .
3 0
0 0
24 0 0
. . .
12 0 0
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
192 0 0 192 0 0 168 0 0 154 0 0
. . .
21 9 9
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
6 0 0
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
0 9 1
117 10 11 556 11 0 650 7 0 502 12 0 591 11 0
. . .
1,024 6 2
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
44 12 0
45 10 0
9
11 6
14 6 6
. . .
6 9 8
. . .
. . .
13 0 0
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
46 6 10
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
34 12 10
81 9 7
. . .
36 0 0
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
33 4 0
. . .
. . .
. . .
. . .
. . .
. . .
. . .
243 14 0
243 7 0
. . .
41 4 0
12 0 0
65 13 0
28 0 0
. . .
62 3 7
. . .
. . .
15 0 0
15 0 0
. . .
12 0 0
. . .
3 4 0
10,924 0 1 11,167 4 0 4,684 11 0 4,828 7 10 3,349 10 1 3,486 13 6
. . .
1,593 4 5
. . .
. . .
. . .
. . .
. . . . . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . . . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
0 11 2
0 12 8
1
3 5
0 15 2
. . .
2 10 4
5 3 4
11 8 2
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
2
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
139
84
6,690
6,018
2,750
3,670
. . .
598
288
SECTION I.
Lunatic Asylum—
Page.
Statistical Return . . . 292
Sickness and Mortality—
Asylum accommodation . . .
"
Employment of Insane . . .
"
Reproduction Labour . . .
"
LUNATICS TREATED IN CIVIL HOSPITALS.
Accommodation for Insanes in Civil Hospitals . . . 293
At Dhúlía . . .
"
"
Belgaum
.
.
.
"
"
Kolhapur
.
.
.
"
" Satara . . .
"
Table showing numbers treated and how disposed of
294
SECTION II.
CIVIL HOSPITALS AND DISPENSARIES.
Statistics
.
.
. 294
Prevalence of Epidemics—
Malignant Cholera . . .
"
Dengue Fever
. . . 295
Malarious Fever . . .
"
Treatment by Sub-cutaneous injection of Quinine
"
Advantages derived from this method . . .
"
Diseases of the Stomach and Bowels . . .
"
Diarrhœa
.
.
. 296
Dysentery
.
.
.
"
Diseases of the Respiratory Organs . . .
"
Comparison between 1871-72 and 1872-73 . . .
"
Surgical Practice in Hospitals . . .
"
Civil Hospital Buildings—
At
Dhúlía
.
.
.
"
" S a s s o o n G e n e r a l H o s p i t a l . . .
297
Contagious Ward for Europeans recommended . . .
"
Treatment of Natives in Huts preferred . . .
"
New Dead-House required . . .
"
At
Kaladgi
.
.
.
"
"
Ahmadnagar . . . 298
"
Satara
.
.
.
"
"
Sholapur
.
.
.
"
" Dharwar
.
.
.
"
289
SECTION II— continued.
CIVIL HOSPITALS AND DIPSENSARIES— continued.
Page
Dispensaries attached to Civil Hospitals
298
General attendance at Dispensaries . . .
"
Sickness and Mortality . . .
299
Prevailing Diseases . . .
"
Epidemic Cholera . . .
"
Result of Inspection of Dispensaries . . .
"
SECTION III.
Criminal Jails . . .
299
Sanitary state of Jails . . .
"
Average strength of Prisoners . . .
300
Sickness and Mortality . . .
"
Malignant Cholera . . .
"
Malarious Fever . . .
"
Diseases of Stomach and Intestines, Causes of Prevalence
"
Diseases of Respiratory Organs prevalent in Yerrowda Jail
causes to be atributed . . . 301
Filaria Medineusis not attributable to causes owing
within the Jail . . .
"
Transfer of Prisoners . . .
"
Overcrowding in Jails . . .
"
Prison accommodation insufficient . . .
302
SECTION IV.
POLICE HOSPITALS.
General health of the Police.
Sickness and Mortality . . .
302
Cholera . . .
"
Malarious Fever . . .
"
Sickness of Police in North Kanara . . .
"
Causes of Sickness . . .
"
Diseases of Stomach and Intestines . . .
303
Do of Respiratory Organs . . .
"
Police Hospitals . . .
"
Police Lines at Dhurrumgaum . . .
"
Their Sanitary Condition capable of improvement
"
Latrine accommodation required at Belgaum . . .
"
New Lines much required in North Kanara . . .
304
Defective state of the Lines described . . .
"
290
SECTION V.
Page.
Report on the Internal Economy and Management of
Civil Hospitals and Lunatic Asylums with a view to re
-
duction of expenditure—
General Observations . . . 304
Dietary in use in Civil Hospitals and Lunatic Asylums . . .
"
Difference in expenditure for diets at different Hospitals . . . 305
Causes of difference explained . . .
"
Cost of difference explained . . .
"
Cost of difference in Jails and Civil Hospitals compared . . .
"
Modification in present . . .
"
Dietary proposed . . .
"
Firewood to be retained as an article of fuel . . . 306
Reduction of expenditure in Diets how to be effected ex -
plained
.
.
.
"
Clothing, Poona Asylum . . .
"
At Sassoon General Hospital and Dharwar Lunatic and
Poona Asylums compared . . .
"
Expenditure of Medicines . . .
"
Probable causes of increased expenditure . . . 307
Of Surgical Instruments supplied by Government to Cha -
ritable Dispensaries . . .
"
S E C T I O N V I .
Charitable Dispensaries—
General Observations . . . 310
Dispensaries how maintained, Statistics . . .
"
Epidemic Cholera . . .
"
Cholera outbreaks at Pandharpur . . . 311
Sanitary condition of the Town . . .
"
Overcrowding and apparent result . . .
"
Sanitary arrangement at Pandharpur juttras satisfactory . . . 312
Mortality from Cholera in 1872-73 . . .
"
Cholera return for the past 3 years submitted . . .
"
Cholera at Nasik . . . 313
Table showing dates of outbreaks of Cholera and Mor -
tality in the Town . . .
"
Suggestions offered with a view to remove apparent causes 314
Cholera in the City of Poona . . .
"
Outbreaks occurring during the time of Fairs shown by
table submitted . . .
"
Dispensary Buildings . . . 315
Dispensary Establishments . . .
"
291
SECTION IV.—continued.
Page.
Hospital Assistants best qualified to hold charge of Dis
-
pensaries . . .
315
Working of Dispensaries . . .
"
Periodical Inspection of Dispensaries . . .
316
Difficulties experienced in inspecting Dispensaries periodi
-
cally . . .
"
The Payment System . . .
"
Returns of subscriptions and fees submitted . . .
"
The system shown to be unpopular recommending dis-
continuance . . .
317
38 MD+
292
Annual Administration Report of the Lunatic Asylums in the Poona
Division for the year 1872-73.
There remained on the 31st March 1872 in the lunatic asylums
of Poona and Dharwar 75 patients. The admissions since that date
are 29; making the total number of lunatics treated during the past
official year 104; of these 9 were discharged cured, 11 have died,
leaving 84 patients still under treatment.
Of the 11 deaths: 8 occurred in the Poona Asylum and 3 at
Dharwar. In the former, 6 died from diar-
rhœa and general debility, 1 from epilepsy,
and 1 of old age. In the latter, the deaths were due to pulmonary
affections of an asthmic type and general exhaustion.
Sickness and mortality.
No alterations or additions have been made
to the asylum since last report.
Asylum accommodation.
The subject, however, is one which has lately much engaged the
attention of Government, and hopes are entertained that before long
a central asylum for the Deccan will be erected. An eligible site
for such a building has already been selected by a committee, conven
-
ed for that purpose, and the subject now awaits the decision of Go
-
vernment.
As regards the increased accommodation so much required for the
Dharwar Asylum, it has been decided that when the new civil hospi
-
tal is erected, the present building will form part of the asylum to
which it is contiguous, and thus afford additional accommodation for
10 lunatics. But this scheme I am afraid is one not likely to be car-
ried out at present; for the new civil hospital is not even commenced,
and there seems no immediate prospect of it
At the Poona Asylum, owing to scarcity of water, and there being
little or no garden ground available in its
immediate vicinity, no occupation can be
found for its inmates. This subject is again brought to notice by the
Superintendent, but until arrangements can be made for a better sup
-ply of water and additional ground in which agricultural labour can
be carried on, nothing can be done to remedy this evil.
The lunatics in Dharwar Asylum, it is reported, have been useful
-ly employed as usual in the gardens with good results to their health.
No work of a remunerative character, as above stated, has been car-
ried on in Poona Asylum, but the returns from
Dharwar show a fair outturn of reproductive
labour. During the year 1871-72, the sum collected by the sale of
vegetables and other garden produce was Rs. 507-14-0, and in the past
year, only vegetable their own.
Employment for the insane.
Reproductive labour.
293
As full details of the cost of these establishments will be given in
the Supplementary Financial Statement appended to the annual re
-port, the subject need not be further alluded to here.
Report of Lunatics treated in the Civil Hospitals and Dispensaries
in the Poona Division and Southern Maratha Circle for the year
1872-73.
The accommodation provided for insane patients at the civil hos
-pitals has somewhat been improved since
last report.
At Dhúlía the lunatics were formerly
treated in a small, badly ventilated ward or cell, miserably insufficient
for the accommodation of the number of patients usually present.
By the removal of the civil and police patients to the new hospital,
ample room has been found for the insane in the comparatively
spacious wards of the old civil hospital.
The temporary asylum attached to the civil hospital at Belgaum
was closed in the month of September last, and the patients trans
-ferred to the lunatic asylum at Dharwar. This step was rendered
necessary; for owing to defective accommodation and want of neces
-sary appliances and establishment, little could be attempted with a
view to the proper treatment of its inmates.
As no provision has been made for the reception of lunatics at
the civil hospital, it is hoped that, when patients of this class are
sent by the civil authorities to Belgaum, arrangements will be made
to transfer them without delay to the Dharwar Asylum.
The asylum attached to the Kolhapur Civil Hospital has been
recently built, and affords accommodation for 12 insanes. It is a
stone building erected on the cell principle, and both in its design
and internal arrangements, reflects credit on the Kolhapur State.
No returns of this asylum have been received from the medical
officer in charge, but on a recent inspection, 7 patients were found
under treatment.
The Satara Civil Hospital is now one of the few in which no
adequate accommodation for lunatics has been provided.
The small room in which they are at present treated is dark and
badly ventilated, and adjoins the female ward, which, on sanitary
and other grounds, is objectionable.
At the close of the year 1871-72 there were 9 insanes still under
treatment in the Belgaum and Dhúlía Hospitals. The admissions
to hospital during the past year were 58, making a total of 67. Of
these, 41 were discharged cured, 16 transferred to parent asylums,
1 died, and 9 remain.
Accommodation for in
-sanes at civil hospitals.
294
Number treated and how
disposed of.
The following table will show the hos-
-pitals in which lunatics have been treated
and the number and disposal of each patient
in hospital :—
Hospitals.
Remain-
ed on
the 31st
March.
Admit-
ted.
Dis-
charged
cured.
Trans-
ferred. Died. Remain- ed. Total .
Sholapur . . .
. . .
8
2
6
. . .
. . .
8
Satara . . .
2
14
13
. . .
. . .
3
16
Belgaum . . .
4
6
. . .
10
. . .
. . .
10
Dhúlia . . .
5
14
12
. . .
1
6
19
Kaladgi . . .
. . .
4
4
. . .
. . .
. . .
4
Nasik . . .
. . .
7
7
. . .
. . .
. . .
7
Dharwar . . .
. . .
6
. . .
. . .
. . .
. . .
6
11
59
44
16
1
9
70
Administration Report of the Civil Hospitals in the Poona Division
and Southern Maratha Circle for the year 1872-73.
The aggregate number of patients treated in the 10 civil hospitals
in this division during the year was 3,731. Of
these 399 proved fatal, giving a percentage
of 10 . 1 deaths to total treated.
In the first quarter of the past official year, cholera, small-pox, and
dengue fever, were prevalent throughout the
districts, and the admissions to hospital from
these and all other diseases have been more
numerous and the mortality greater than in the previous year.
Epidemics.—As far as reliable data go, cholera first made its ap
- pearance at Pundharpur as ear!y as March, and continued to rage
with more or less severity until the September following.
Malignant Cholera.—It was reported at Nasik in May, at Poona
and Satara in June, and at Kolhapur and Dhúlía in August, and the
total number of admissions to the above hospitals was 50. Of these
30 died or 60 per cent. of the total treated.
The greatest number of cases treated with the highest death-rate
occurred in the Sassoon Hospital, viz., 22 cases and 14 deaths,
giving a percentage of 63. At the Civil Hospital, Dhúlía, there was
only one case, which, however, terminated fatally.
Statistics.
Prevalence of epide--
mics.
295
Dengue Fever.—This peculiar and painful complaint prevailed as
an epidemic in the months of April, May, June, and July. In August
it began to decline and finally disappeared in September. The total
number of admissions as shown by the return was 71. No fatal case
is recorded from this disease.
Small-pox.—Although this disease appeared in an epidemic form
in the months of April and May, only 32 cases were admitted to hos-
pital with two deaths, giving a percentage of deaths to treated of 6.
Malarious Fever.—The proportion of cases of malarious fever treat
-
ed in civil hospitals, is always found to be much less than in our
military hospitals. This is owing, no doubt, to the disinclination on
the part of natives, generally, to resort to hospital for treatment un-
less seriously ill. Moreover, ague is a complaint they consider can
be treated equally well at a dispensary ; and it is in these institu
-
tions that fever forms so large a proportion of the cases treated, as
will be shown when I come to that subject.
During the year under report 667 cases of malarious fever, or 17.8
per cent. of the total admissions to hospital from other diseases, were
treated. Of these 40 died. The majority of the total cases is at
-
tributed to remittent fever.
The treatment of intermittent fever by the sub-cutaneous in
-
jection of quinine has been extensively prac-
tised in our hospitals ; and, from the reports
received, this method is now uniformly suc-
cessful ; and the inflammation and troublesome ulcerations which oc-
casionally attended the operation, are very much less frequent than
formerly.
At the Sassoon Hospital it has been observed that patients in whom
there is a syphilitic taint or those suffering from scurvy usually suf
-
fered from these accidents, consequently the operation is confined to
those only who are free from such constitutional ailments.
Treatment by subcu-
taneous injection of qui-
nine.
Advantages to be de-
rived from this method.
The advantages to be derived from this prac-
tice must be considered as twofold, viz.
—
1. The saving to Government of a very
expensive drug.
2. The comparatively short time necessary to effect a cure;
a circumstance of some importance in the treatment of our
soldiers.
Diseases of the Stomach, and Intestines.— The mortality in our civil
hospitals from diarrhœa and dysentery is always much greater than
that which obtains in military hospitals and private practice. The
reason of this is that the class of persons who resort to them for
relief, generally do so in the advanced stage of the disease, and when
medicines and medical skill can be of little or no service to them.
296
Diarrhœa.—During the year 216 cases of diarrhœa have been
treated in the hospitals. 91 of these or 42 per cent. proved fatal—a
death-rate so high as to lead to the belief that some of the cases
treated must have been cases of cholera or choleraic diarrhœa.
Dysentery .—The number of admissions from dysentery was like
-wise 216 and deaths 59, or 27 per cent. of the whole treated. This
percentage is not higher than what obtained in the previous year,
but in some hospitals the death-rate has far exceeded this. The civil
surgeons at Dhúlía and Nasik ascribe this mortality to the numbers
of strangers, chiefly travellers from Hindoostan, admitted to hospital
in an exhausted and starved condition.
Diseases of the Respiratory Organs .—Diseases of the lungs and
bronchial affections furnish 218 cases or 5 per cent. of the total sick
treated with 38 deaths. Both as regards admissions to hospital
and mortality this is somewhat less than in the previous year. Never
-theless, a death-rate of 16.5 per cent. to treated must be considered
as rather high. More than one half of the admissions and deaths
occurred in the Sassoon Hospital. The cases of pneumonia therein
treated are stated to have been associated with remittent fever, and
proved very fatal.
Comparison between the year 1871-72 and 1872-73.—The total
number of patients treated in the former period was 3,613 and the
percentage of deaths to treated is 8.7. During the past year the
number of cases treated was 3,731 and the deaths from all causes 399,
giving a percentage of 10.1. As before stated, the admissions from
cholera, during the year under report, have greatly tended to increase
the numbers treated and raise the death-rate.
I cannot close this portion of the report without alluding to
the surgical practice of the civil hospitals during
the year.
The total number of admissions to hospital from injuries requiring
surgical treatment was 432;28 or 6.5 per cent. of these proved fatal.
The surgical operations—and not a few of them of a formidable
nature—undertaken at the several hospitals, were 98; and deaths fol
-lowing the same were 8.
At the Sassoon and Dhúlía Hospitals 28 operations of lithotomy
have been performed, and 3 of these proved fatal.
The success attending this operation in the practice of Dr. Bai
m - b r i d g e , a t D h ú l í a , i s , I b e l i e v e , u n p r e c e d e n t e d . T h i s y o u n g o f f i c e r
states that since his arrival at Dhúlía he has now performed the ope
-ration 75 times, and has only lost one patient—a success which must
be very gratifying to him.
Civil Hospital Buildings, Dhúlía .—The inadequacy of the accom
-modation for the proper treatment of the sick in the Dhúlía Hospital
has been for some time past the subject of correspondence between
Surgical practice
hospitals.
297
the medical authorities and Government. By a Resolution No. 1014,
dated 21st March 1873, the sum of Rs. 5,000 was granted for the
purpose of making certain alterations and additions to the hospital.
This outlay, however, has not been incurred; for the native regiment
stationed at Dhúlía having been withdrawn, a great portion of the
large military hospital has been given up to the civil department
for the reception of civil patients and the sick of the Police and
Poona Horse.
The old civil hospital is now only used as a dispensary and for the
accommodation of insanes.
The only addition now required to make this hospital complete is
public quarters for the hospital assistants, which probably will be
sanctioned shortly.
Sassoon General Hospital.—Since last report the alterations which
have been made to this building have done much to secure the com-
fort of its inmates. The rotten chunam floors are now replaced by
boarded ones, venetian blinds have been added to the windows
looking to the eastward, and other little arrangements carried out
which need not be specified.
To make this hospital complete further alterations and additions,
I am sorry to say, are required.
In the first place, contagious wards for Europeans are much need
-ed ; for, at present, should a European be ad-
mitted, suffering from a contagious disease,
there is no place, save a verandah, in which he
could be treated. Native patients, I am of opinion, are better treat--
ed in the grass huts which are usually erected in the immediate
vicinity of the main building about the time when visitation from
small-pox or cholera may be expected.
A large and better designed dead-house is also much required. The
present structure has been found much too
small, and its position in front of the apothe-
cary's quarters and proximity to the public
road, i s con sidered highly objectionable. As plans and specifications
for another building have been submitted, and the ground on which
it is proposed to erect it marked out, I trust no further delay in this
matter will take place.
Kaladgi.—At present there is no civil hospital at this station.
The building now occupied by the sick of the Poona Horse and
Police is one rented by the Commandant of the Poona Horse, and
the accommodation is too limited to allow of civil patients being
treated in it. This subject was fully reported on in my letter to the
inspector General, dated 6th of March, and awaits the decision of
Government.
Contagious ward re-
quired.
A new dead-house re-
quired.