12 The number of deaths from "fevers" amounted to 510,812 and the
death-rate was 26.42 per mille of population as compared with 376,003 deaths
and a mortality rate of 19.44 per mille in 1916 and a quinquennial mean of
1668.
13.. The distribution of the fever mortality by months is given in table I
of Appendix B, as also the total mortality, in order to compare them with
the fever death-rate of the previous year, and the mean ratio per mille of popu-
lation for the previous five years. The numbers of still births and infantile
deaths with the ratio for the year are also shown.
14. The largest number of deaths as was the case in the previous year
was recorded in the months of November, October and December ; the num-
ber of deaths was respectively 104,555, 85,680 and 73,098 against 47,320, 45,116
and 40,529 in like order in these months in 1916; but in 1908 the greatest
number occurred in October, November came next and then December when
the figures in this order were respectively 169,155, 138,161 and 83,364.
15. The highest fever mortality was recorded in the districts of
Muzaffargarh with 43.48, Multan 41.52, Gujranwala 41.36, Dera Ghazi Khan
40.85, Montgomery 40.63, Mianwali 36.81, Shahpur 32.68, Jhang 31.68, Gur-
gaon 31.51, Sialkot 28.23 and Amritsar 27.83.
A reference to the fever mortality records of the previous year shows
that the district fever death-rate was 29.79 in Muzaffargarh, 22.59 in Multan,
30.87 in Gujranwala, 21.99 in Dera Ghazi Khan, 18.49 in Montgomery, 32.82
in Mianwali, 17.32 in Shahpur, 16.08 in Jhang, 1294 in Gurgaon, 20.89 in
Sialkot and 19.62 in Amritsar ; and the districts with highest fever mortality
were Mianwali with 32.82 per mille, Gujranwala 30.87, Muzaffargarh 29.79,
Multan 22.59, Kangra 22.40, Dera Ghazi Khan 21.99, Rawalpindi 21.18,
Attock 20.99, Sialkot 20.89 and Hissar 20.06.
The districts with the lowest fever mortality rate per mille were Simla
with 11.52, Kangra with 17.74, Jullundur with 18.02 and Rawalpindi with
18.40. These rates were, with the exception of that of Kangra where it was
very slightly below, higher than the quinquennial average.
The fever mortality rate in these districts in 1916 was 9.23 in Simla,
22.40 in Kangra, 15.95 in Jullundur and 21.18 in Rawalpindi ; but the dis-
trics with the lowest mortality rate in that year were Simla with 9.23, Gur-
gaon 12.94, Rohtak 14.24 and Lyallpur 14.90.
16. If a comparison of the fever mortality rate of the year be made
with the rates of the previous year and last quinquennium (vide Table I of
Appendix B) it will be seen that the fever death-rate has stood persistently
high in the provincial districts ; as shown below :—
Table 11.
Showing the districts with consistent high fever mortality.
2
3
4
5
6
7
8
9
10
11
Name of district.
Karnal
..
...
...
Kangra ...
...
...
...
Hoshiarpur
,..
.,,
...
Amritsar ...
Gujranwala
...
...
...
Rawalpindi
Attock
Mianwali ...
...
,.,
Multan
Muzaffargarh
...
...
...
Dera Ghazi Khan
...
RATIO OF LEVER DEATHS
1915
1514
17.41
16.93
18.18
16.89
17.95
18.13
20.10
17.31
20.34
16.19
1916
16.79
22-40
19.66
19.62
30.87
21.18
20.99
32.82
22..69
29.79
21.99
PBS M1LLD.
1917
18.74
17.74
19.92
27.83
41.36
18.40
24.02
36.81
41.62
48.48
40.85
Mean ratio for
previous
five years.
19.07
17.88
18-64
17.88
20.70
20.10
19.48
22.82
18.27
2311
17.50