Number of lepers living in each district in 1871, I add the district population and
the resulting ratio of lepers to each thousand of population :—
Division
sí
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5 '
et >
« 1
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r
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si
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District.
Garhwál
...
Kumaun
...
Tarái ...
Bijnor...
...
Moradabad
...
Bareilly
...
Budaun
...
Sháhjahánpur
Dehra Dún
Saháranpur
...
Muzaffarnagar
Meerut
...
Bulandshahr
Aligarh
...
Etah ...
Mutira
Farukhabad
...
Agra ...
...
Etáwah
...
Mainpuri
Population.
301,282
432.888
185,647
737,162
1,122,131
1,506,801
934,348
949,471
115,711
883,782
690,082
1,273,914
936,593
1,073,108
703,485
887,355
918,748
1,094,184
668,581
765,783
Number of
lepers in
1872.
747
824
22
193
649
421
431
640
220
95
227
305
376
240
387
122
163
320
59
94
Ratio of leper
to 1,000
population.
248
l9O
012
026
058
027
046
057
019
0.11
0.33
0.24
0.40
022
0.55
014
0.18
0.30
009
012
Total of
Division.
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«
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3 '
3 i
«5 L
. r
m 1
H
ce! 1
<f V
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M 1
i f
a i
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District.
Cawnpore
...
ïlamírpur
...
Bánda...
...
Fatehpur
...
Allahabad
...
Jaunpur
...
Gorakhpur
...
Basti ...
...
Azamgarh
...
Gházipur
...
Benares
Mirzapur
...
Jalaun
...
Jhánnsi...
...
Lalitpur
...
V. Provinces
...
Population
1,155,439
529,137
6'»7,611
663,815
1.394.245
1,025,869
2,019,350
1,472,998
1,531,410
1,345,401
793,699
1.015.293
404.384
317,735
212,628
30,769,056
Number of
lepers in
1872.
219
291
918
140
173
87
465
135
169
371
S85
200
123
58
30-
10,099
Ratio of leper
to 1,000
population.
019
055
1-39
0.21
0 13
0 08
0.23
0.09
011
0.28
0.36
0.20
0.30
0.18
0.14
0.328
From this statement it appears that the disease is present in all districts, the greatest
prevalence existing in the Himalaya country of Grarhwál and .Kumaun and the trans-
Jumma district of Bánda.
6. It seems very likely, however, that, although the record of the census, as regarda
this matter, may be accepted as a trustworthy guide to the relative prevalence of the
disease in the different portions of the province, it does not correctly state the actual
number of cases in existence in 1872. For example, in the Mainpuri district the cen-
sus records 94 persons affected with leprosy there, whilst the nominal roll I possess
gives a detailed account of 472 cases existing in that district in 1875. In Etah a
numerical abstract of cases of leprosy known to the police in that district provides a total
of 653 lepers, while the census total is only 387. A nominal roll of lepers in the Agra
district in my possession shows a total of 530 lepers in that district, against a total of
320 in the census report ; and the Civil Surgeon of Gorakhpur estimates the number
of lepers at many hundreds in that district—the census statement is 465.
It may, I think, be reasonably supposed that many persons afflicted with the disease
concealed the fact at the time of the censas. And the probable conclusion is, that
throughout the province considerably more than 10,099 persons afflicted with leprosy
are in existence. That the total number of cases is likely to be greater, is further
shown by a comparison of results recorded in regard to other countries where leprosy
prevails. Thus, Dr. H. V. Carter records a ratio of 1.20 per 1,000 of population in
Norway, and estimates the ratio in the Bombay Presidency to be rather under 1
per 1,000. The ratio arrived at by the help of the census figures in the North-West-
ern Provinces is 0.33 per 1,000.
7. Although it may bo accepted as absolutely true that leprosy is most preva-
lont amongst the inhabitants of Kumaun, Garhwál, and Bánda, yet all the evidence
I have been able to collect points to the fact, that no portion of these districts can be
defined as the special home of leprosy. And the same remark holds good of all dis-
tricts.
It is true that many cases of the diseaso may be found, at one place, in all parts
of the province, because lepers congregate where they can best gain a livelihood by