NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
16
[Inward-bound regulation 22.
"healthy" vessel. The master of the vessel shall forthwith
carry any such direction into execution.
. ;
" 22. It will be the duty of the port officer to facilitate
the conveyance to all vessels with plague on board of such
supplies of provisions, stores or other articles as may be
required by those on board. Such supplies -will be placed on
the boats of the vessel, to be subsequently removed by the
crew.
23. Any person disobeying or contravening any of the
foregoing regulations shall be deemed to have committed an
offence punishable under section 188 of the Indian Penal Code,
and shall be liable on conviction to be punished with impri-
sonment of either description for a term which may extend
to six months or with fine which may extend to one thousand
rupees or with both.
a As amended by notification No. 131, Fort St. George Gazette, dated 8th October
1901, part I, page 1850.
17
(4)—BEGULATIONS FOR THE INSPECTION OF OUTWARD-
BOUND VESSELS UNDER THE EPIDEMIC DISEASES
ACT, 1897.
Notification No. 130 published on pages 1848-1850 of Part I of
the Fort St. George Gazette, dated 8th October 1901.
In exercise of the powers delegated to him by the Gov-
ernor-General in Council under section 2, sub-section (3) of
the Epidemic Diseases Act, 1897(111 of 1897), His Excellency
the Governor in Council is pleased to declare that all vessels
and persons leaving ports of the Madras presidency, to which
health officers have been appointed, shall be subjected as a
temporary measure, to the regulations hereinafter contained.
These regulations will supersede those now in force for the
inspection of outward-bound vessels, and which are published
on pages 1117-1119, Part I of the Fort St. George Gazette of
the llth June 1901 :—
In these regulations—
(1) "Vessel" includes anything made for the convey-
ance by water of human beings or of property.
(2) " Port officer" includes any person acting under
the authority of Government in charge of port
discipline.
(3) " Master," when used in relation to any vessel, means
any person (except a pilot or harbour master)
having, for the time being, the charge or control
of the vessel.
(4) " Sanitary authority " means, as regards the port of
Madras, the President of the Municipal Commis-
sion, and, as regards other ports, the Collector of
the district in which the port is situated. The
jurisdiction of every sanitary authority shall, for
the purposes of these regulations, extend to sea-
ward for a distance of 3 miles beyond low water
mark on all parts of the coast line bounding the
area ordinarily under its jurisdiction.
(5) "Port health officer" includes any duly qualified
medical practitioner appointed by a sanitary
authority or by the local government to act in
the execution of these regulations.
(6) " Observation " means segregation either on board
a vessel, or in an isolation camp or other place.
3
18 [Outward-bound regulation 1.
(7) " Surveillance " means that the persons subjected to
it will not be isolated ; they will at once obtain
free pratique, but will be kept under medical
supervision.
(8) " Infected vessel " shall mean a vessel which has
on board a case of plague or of illness in
respect of which reasonable grounds exist for
believing it to be a case of plague, or on board
which there has been a case of plague or of
illness reasonably suspected to be plague during
the twelve days immediately preceding her
arrival.
(9) " Suspected vessel " shall mean a vessel on which
there has been, at the time of departure or
• during the voyage, a case of plague or of ill-
ness in respect of which reasonable grounds
exist for believing it to be a case of plague,
but on which there has been no case of plague
or of illness reasonably suspected to be plague
during the twelve days immediately preceding
her arrival.
(10) " Healthy vessel" shall mean a vessel which has
come from, or which during the voyage has
touched at, an infected port, but which has
had no death or case of plague or of illness in
respect of which reasonable grounds exist for
believing it to be a case of plague, on board,
either before departure, during the voyage, or
on arrival.
1. No vessel bound for Aden, Perim or any port out of India
shall commence her voyage from any such port in the Madras
presidency, until she has been inspected by the health
officer of the port and the master or person in charge of such
vessel has obtained from such officer a bill of health or
certificate in the form annexed as appendix C.
Such bill of health or certificate shall not be given unless
the officers and crew of, and also the passengers if any by,
such vessel have been medically examined by the port health
officer by day on shore before sailing and have been found
to be free from plague, and unless the bedding and personal
effects of such members of the crew as have embarked in the
vessel at the port and of all the passengers below the second
class have been disinfected by day on shore, before being put
on board, to the satisfaction of the port health officer and in
accordance with the instructions as to disinfection contained
in the circular issued by the Sanitary Commissioner.
19
Outward-bound regulation 2.]_
Provided that the medical examination prescribed in this
regulation shall, in the case of the officers, passengers and
crew of the vessel who have been continuously on board
during the stay of the vessel at the port and have not newly
embarked in the vessel, shall be carried out on board and not
on shore.
Provided also that the disinfection prescribed in this
regulation shall not be necessary in the case of passengers
proceeding to any port in Ceylon except such as have come
from an infected area.
Provided further that if any port in the Madras presi-
dency becomes infected with plague, a certificate in the form
prescribed in Appendix F, instead of in the form annexed as
Appendix 0, shall be granted to vessels bound for Aden,
Perim or for any port out of India.
a 2. In the case of a vessel bound for Aden, Perim or any
port out of India that has called ab any such port in the
Madras presidency in the course of her voyage, the inspec-
tion with reference to such vessel by the port health officer
may be limited to the medical examination * on shore,
prior to embarkation, of such members of the crew or
passengers as intend to embark in such vessel at the said
port, coupled with the disinfection, as aforesaid, of the
bedding and personal effects of the same persons below the
second class, and the form of bill of health under this regula-
tion will be as given in appendix D.
Provided (1) that, if any port in the Madras presidency
becomes infected with plague, any vessel calling thereat, and
bound for Aden, Périra or any port out of India, shall have
no communication with such infected port except under such
precautions as the Government may prescribe or the port
health officer thinks necessary.
Provided (2) that all vessels shall be inspected by the port
health officer at the last port of call prior to proceeding to
any port out of India, including Aden and Perim.
3. In the case of any vessel bound from any port in the
Madras presidency, uninfected with, plague, to any port in
India, excluding Aden and Perim, the medical examination of
R As amended by notification No. 27,• published in the Fort St. George Gazette of
4th March 1902, part I, page 255 ; notification No. 49, published in the Fort St. George
Gazette of the 3rd June 1902, part I, page 555.
* A certificate in the form annexed as appendix B by a commissioned medical officer
appointed for this purpose, and dated not more than 12 hours before the departure of
the vessel, shall be accepted in lieu of examination of passengers of the 1st and 2nd
classes by the port health officer at an uninfected port. Such certificate shall be annexed
to, and form part of, the bill of health,
4
20
[Outward-bound regulation 4.
the vessel, crew and passengers and the disinfection of their
bedding and personal effects, above prescribed, shall not be
carried out.*
Provided that, if any port in the Madras presidency
becomes infected with plague, the same rules with regard to
medical inspection and disinfection as are above prescribed
for vessels proceeding to ports out of India shall be enforced
in the case of vessels proceeding to ports in India.
4. In the case of vessels of the Royal Navy and foreign
vessels of war, the individual inspection of all officers, men,
crew and of the persons on board, if any, may be made just
before the vessels start by the Naval medical officer on board
in the presence of the health officer of the port, who shall
countersign the Naval medical officer's certificate, if he is
able to do so.
5. All vessels belonging to the Ceylon Government which
may leave ports in the Madras presidency with emigrants
for Ceylon shall be exempted from medical inspection and
disinfection of bedding, etc.
6. No person shall be allowed to embark on board a boat
or vessel leaving—
(a) any port on the east coast of India south of
Madras, or
(b) Mangalore, or any port south of Mangalore, on the
west coast of India,
for any place on the coast of the Northern Province of Ceylon
or any island adjacent thereto, or for any place on the west
coast of Ceylon between Colombo and the southern limit of
the Northern Province, or any island adjacent to such west
coast ;
6-A. No Asiatic or African passenger shall be permitted
to embark on board a boat or vessel bound for a port in
Ceylon at any port in the Madras presidency where an officer
of the Ceylon Government is stationed for the purpose of
regulating emigration, unless he holds a permit to land in
Ceylon granted by the said officer of the Ceylon Government.
7. (a) Should the health officer of the port consider that
any passenger examined in accordance with these regulations
is suffering from plague or suspected plague, or is not free
from the infection of the plague, he shall prevent such person
* This rule does not apply to vessels bound oat of India which call at one or more
Indian ports in the course of their voyage.
21
Outward-bound regulation 8.]
and his or her relatives and non-medical attendants from em-
barking, and their baggage and personal effects shall not be
allowed on .the vessel and, if already placed on board, shall be
removed as early as possible,
(b) Should the health officer of the port consider that
any member of the crew or passengers already on board of
the vessel is suffering from plague or suspected plague, or is
not free from the infection of the plague, he shall prevent
such person from sailing on such vessel and shall refuse to
give the bill of health, unless and until the baggage and per-
sonal effects of such person have been removed from the
vessel and such parts of the vessel as have been occupied or
frequented by such person shall have been disinfected to the
satisfaction of the port health officer, and all such procedure
and precautions taken as regards the disinfection of the vessel
shall be noted in the bill of health. The baggage and personal
effects also of such persons as were in immediate contact with
such infected case shall, according to the discretion and under
the supervision of the port health officer, be disinfected, and
the names of those persons shall be given to the vessel's
surgeon or the master or person in charge of the vessel for
the supervision of the voyage.
(c) All persons so removed or prevented from sailing
shall, at the discretion of the port health officer, in accordance
with the requirements of individual cases, be detained in a
hospital or isolation camp or other place, or be placed under
surveillance ; and such persons as are detained in a hospital
or isolation camp or other place shall not leave it until the
chief medical officer present at the spot shall have certified
that they are free from the infection of the plague.
(d) All contaminated or suspected articles shall be
thoroughly disinfected on shore under the supervision of the
port health officer in the manner prescribed in the Sanitary
Commissioner's circular.
For the purposes of this rule the term "relatives" shall
mean such relatives as have been living with, or have been,
in the opinion of the port health officer, in dangerous com-
munication with, the infected case for any time within the
eleven days immediately preceding the discovery of the case
at the medical examination held under these rules.
8. After the master or person in charge of the vessel has
obtained a bill of health under the provisions of these rules,
no cargo * or goods of any kind shall be embarked or dis-
embarked before the vessel leaves the port unless such vessel
* Mail bags are included in " cargo " under this regulation.
22
[Outward-bound regulation 9.
is again inspected by the port health, officer and another "bill
of health obtained from such officer by the master or person
in charge of the vessel, and no person shall be permitted to
embark who has not been examined as required.
9. Vessels not leaving port before 6 A.M. of the day follow-
ing the medical inspection may not leave without reinspection
and the grant of a fresh bill of health. Such reinspection
may be conducted on board.
10. Iu the case of every " suspected " or "infected "
vessel, the port health officer shall give telegraphic (urgent)
intimation of the departure of such vessel to the health officer
of the next port at which the vessel is expected to call.
10-A. If there are on board a vessel which is not
"infected,'' " suspected" or "healthy," passengers or crew who
have within the preceding ten days been in an infected area, the
port health officer shall, when the destination of the passenger
or the port of visit of the crew is within the Madras presidency,
issue a passport to each individual concerned, if one be not
already in his possession, advise the fact to the next port
"health officer by the quickest safe method and also note it on
the bill of health.
11. No port clearance shall be delivered to any vessel
bound from any such port in the Madras presidency to
Aden, Perim or any port out of India until the master or
person in charge of the vessel shall produce a bill of health or
certificate obtained as aforesaid, provided that the Customs
officer may entrust the port clearance to the port health
officer for delivery by him to the master or person in charge
with the bill of health.*
12. Any person disobeying or contravening any of the
foregoing regulations shall be deemed to have committed an
offence punishable under section 188 of the Indian Penal Code
and shall be liable on conviction to be punished with imprison-
ment of either description for a terni which may extend to six
months or with, fine which may extend to one thousand
rupees, or with both.
* If any port in the Madras presidency becomes infected with plague, this rule
applies also to vessels leaving such port for any port in India.
.
23
APPENDIX A.
Health Officer's Certificate.
[See regulation 11 on page 11.]
day of 190
I hereby certify that I have examined the vessel
, of
, now lying in the port of
,
, and that 1 find
that she is
(a) " infected " with plague,
(b) " suspected " or
(c) " healthy "
(as the case may be), or
(d) that she has on board
persons (passengers and crew)
- no
who have been in an infected area within the last ten days.
Port health officer.
APPENDIX B.
Health Officer's Certificate.
[See regulation 15 on page 14.]
I hereby certify that the master of the vessel
,
which is
classed under the regulations for the inspection of inward-bound vessels
under the Epidemic Diseases Act, 1897, as " infected," has complied
with the requirements of these regulations to my satisfaction and the
vessel
may therefore, within the limits of this port, be
permitted the privileges of a " healthy " vessel.
Date
Port health officer.
APPENDIX C.
Sill of Health.
[See regulation 1 on page 18.]
This is to certify that the
ship/steamer
sailing under the
flag and under the command of
as master
of
tons, bound for
with a crew of
persons *
and
passengers, and laden with a cargo of
is at the
time of leaving this port in a satisfactory sanitary condition, and that
no case of bubonic plague exists among her officers, passengers or
* Including master, mates, engineers, apprentices and private servants when the
latter are not mentioned in the ship's articles.
24
crew, all of whom have been inspected by me [and that the bedding
and effects of passengers below the second class and of members of the
crew who have embarked from this port have been duly disinfected].*
† There are
persons on board who have been in an
infected area within the preceding ten days, all of whom are protected
by a passport.
It is further certified that the town and port are at present froe ‡
from plague.
Date
Port health officer.
APPENDIX D.
Bill of Health,.
[See regulation 2 ou page 19.]
This is to certify that no case of bubonic plague exists among any
of the passengers or crew embarked at the port of
on board
the
ship/steamer
under the command of
as
master bound for
. and that the bedding and effects
of such, passengers below the second class and of such members of the
crew have been duly disinfected.
† There are
persons on board who have been in an
infected area within the preceding ten days, all of whom are protected
by passports.
It is farther certified that the town and port of
are
at present free ‡ from plague.
Date
Port health officer.
APPENDIX E.
Health Certificate.
[Sec note * on page 19.]
I do certify that I have examined
, who is
personally known to me (or whoso identity has been proved to my
satisfaction) a passenger on the vessel
not more than
twelve hours before the departure of tho vessel from the port of
, and find him. in good health, except as noted in the
margin, and free from any symptoms of bubonic plague.
(Eank)
(Official designation.)
* This clause is necessary only -when the vessel is bound for ports out of India direct
or leaves an infected port.
† This clause is necessary only when the vessel is neither " infected," "suspected,"
ar "healthy."
‡ Or as tho case may be.
25
APPENDIX F.
Plaque Certificate.
[See regulation 1 on pago 19.]
»
[To be attached fio the bill of health, in the case of all ships sailing to a port beyond
India from an infected port—soo regulation l.J
Certified that the passengers and crew of the ship/steamer r
leaving the port of
on the
have been examined by day on shore before
embarkation and found to be free from plague. Also that the clothing
and bedding of the native crow and of the third-class or deck passengers
have been disinfected on shore.
2. Certified also that the precautions prescribed for adoption in the
port of
to prevent the ingress of rats into ships have, as
far as possible, been duly observed.
Date
Health officer.
Port of ,
REPORT ON VACCINATION
IN
THE MADRAS PRESIDENCY
FOR THE YEAR
1894-95.
MADRAS :
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS.
[PRICE, 12 annas.]
1895.
REPORT ON VACCINATION
IN
THE MADRAS PRESIDENCY
FOR THE YEAR
1894-95.
MADRAS:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS.
1895.
OFFICE OF SANITARY COMMISSIONER,
CAMP OOTACAMUND, 16th June 1895.
NO. 977/V.
From
SURGEON-LT.-COLONEL W. G. KING, M.R., CM., D.P.H.,
Acting Sanitary Commissioner for Madras,
To
THE CHIEF SECRETARY TO GOVERNMENT,
LOCAL AND MUNICIPAL DEPARTMENT,
Fort St. George.
SIR,
I have the honour to forward herewith the Report on Vaccination for the year
1894-95 compiled by the Inspector of Vaccination and Deputy Sanitary Commis-
sioner Surgeon-Major Mallins. I am of opinion that the work of the department
has been as satisfactory as can be expected from the cheap labour employed.
Under the careful supervision of Surgeon-Captain Bannerman and Surgeon-Major
Mallins, who were respectively in charge of the office of Inspector of Vaccination
and Deputy Sanitary Commissioner during the year, general discipline and outturn
of work have shown a distinct improvement.
I have the honour to be,
Sir,
Your most obedient servant,
W. G. KING, D.P.H. , Surgeon-Lt.-Colonel,
Acting Sanitary Commissioner for Madras.
ERRATUM.
For the words " Native States " appearing in the report, please substitute
the word "Zemindaries."
REPORT ON VACCINATION IN THE MADRAS PRESIDENCY
DURING 1894-95.
From Surgeon-Major C. MALLINS, M.A., M.D., D.P.H., Acting Inspector of Vacci-
nation and Deputy Sanitary Commissioner for Madras, to the Sanitary
Commissioner for Madras, dated Madras, 13th June 1895, No. 957—V.
I have the honour to submit statistical returns and brief notes on vaccination
in the Madras Presidency for the official year 1894-95.
2. I took over charge from Surgeon-Captain W. B. Bannerman (who was in
office from the beginning of the year) on 6th December 1894, when he proceeded on
leave to England. Previous to his departure he had visited the districts of Coimba¬
tore, Ganjám, Kistna, Kurnool, Madura, Nellore, Nilgiris, Tanjore, Tinnevelly and
Vizagapatam, and inspected the towns of Coimbatore, Karúr, Parlákimedi, Guntúr,
Bezwada, Masulipatam, Kurnool, Palni, Nellore, Ongole, Ootacamund, Máyavaram,
Kumbakónam, Negapatam, Tanjore, Mannárgudi, Palamcottah, Tinnevelly, Tuti¬
corin, Anakápalle, Vizianagram and Vizagapatam.
I have visited the districts of South Canara and Salem and inspected the towns
of Mangalore, Salem, Vániyambádi and Tiruppattúr. I also made a special tour
through the Malabar district in January and February 1895, a special report of
which has been submitted to Government.
3. The first table below shows the strength of the department as contrasted
with the previous year :—
Years.
1893-94.
...
...
1894-95
...
...
First-class
Deputy
Inspectors.
34
34
Second-class
Deputy
Inspectors.
*24
*24
First-class
Vaccinators.
254
265
Second-class
Vaccinators.
420
426
Proba-
tioners.
147
155
* Four Assistant Deputy Inspectors employed by the Madras Municipality.
4. The next table contrasts the work performed with that of the previous year
and shows an increase of 20,090—11,412 cases being primary operations :—
—
Primary vaccinations ... ...
Re-vaccinations ...
...
...
Total ...
1893-94.
1,105,408
73,424
1,178,832
1894-95.
1,116,820
82,102
1,198,922
Increase.
11,412
8,678
20,090
Decrease.
...
...
...
5. The following table shows the rate of success in primary and re-vaccinations
as compared with that of the previous year :—
Establishment.
Local Fund vaccinators ...
Government
do. ...
Native States do. ...
Municipal
do. ...
Cantonment
do. ...
Dispensaries ... ... ...
Medical subordinates ...
Total ...
Number of successful vaccinations.
1893-94.
Primary
vaccination.
897,051
14,015
5,536
98,150
3,407
23,079
1,943
1,043,181
Re-vaccina-
tion.
37,074
111
...
8,986
1,235
1,347
7,619
56,372
1894-95.
Primary
vaccination.
874,099
16,717
4,904
101,209
2,525
20,663
2,980
1,023,097
Re-vaccina-
tion.
43,299
162
36
9,658
504
1,287
6,991
61,937
Ratio per cent. of successful
cases.
1893-94.
Primary
vaccination.
96.4
91.2
91.1
97.0
93.6
89.2
81.9
96.2
Re-vaccina-
tion.
88.4
83.5
...
85.0
71.4
72.5
56.3
80.8
1894-95.
Primary
vaccination.
93.1
91.7
86.1
97.1
94.9
87.4
88.5
93.3
Re-vaccina-
tion.
85.5
94.2
100.0
84.5
54.3
69.3
583
80.3
Ratio per
cent. of total
successful
cases.
1893-94.
961
91.1
91.1
95.9
86.5
88.0
60.1
95.2
1894-95.
927
94.8
86.2
95.8
84.4
86.1
64.9
92.5