NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No.
26
15
27
16
28
18
29/2
30
17
31/3
32/4
33
5
34/ 6
35
7
36/8
37/9
38
10
39/1
40/2
41/3
Name.
Series
Abba Bala
... 1st
Govind Hiru
... do.
Maruthi Jiwha
... 2nd
Jani Bhawu
... do.
Ramchander Nana . 1st
I. M. Fernandes ... 2nd
Dama Lemba
... do
Maraoti Santu
... do.
Sambu Ganu
... do.
Jumnabye Dulbi ... do.
Tribhowan Govind... do.
Soma Mitha
... do.
Shivram Bhau
... do.
Dagru Janu
... 3rd
Dhondu Bhairu ... do.
Jai Tukaram
... do.
Date of
Admission.
4th February 1899
6th
do.
3rd
do.
2nd
do.
8th
do.
3rd
do.
3rd
do
3rd
do.
4th
do.
4th
do.
3rd
do.
5th
do.
5th
do.
7th
do.
7th
do.
7th
do.
Age.
Years
32
25
25
20
22
18
28
35
2 1/2
6
18
15
12
10
30
50
Sex.
Male ..
Do. ...
Do. ...
Female .
Male ...
Female •
líale ...
Do. ...
Child ...
Do. ...
Male ...
Do. ...
Do. ...
Child ...
Male ...
Female
|
i
Caste.
Hindu ...
Do.
Do.
Do.
Do.
Christian .
Hindu ...
Do.
Do.
Do.
Do.
Do.
Do.
Do.
Do.
Do.
...
Date of
Disease.
7 days ..
3 „ ..
6 „
..
3 „ ..
4 „
..
2 „
...
4 „ ...
4 ,, ...
3 „ ...
2 „
...
2 „ ...
1 day ...
2 days ...
1 day ...
3 days ...
4 „ ...
Date of Serum
injected.
4th February 1899
6th
do.
3rd
do.
3rd
do.
8th
do.
3rd
do. - ...
3rd
do.
3rd
do.
4th
do.
4th
do.
3rd
do.
5th
do.
5th
do.
7th
do.
7th
do.
7th
do.
1st day.
Morning.
c. c.
...
...
10
15
...
15
...
...
5
10
...
20
15
...
Evening.
c. c
20
20
10
20
15
15
15
5
...
15
20
15
20
20
20
AMOUNT OF SERUM INJECTED.
2nd day
Morning.
c. c.
15
20
20
15
15
10
10
15
20
15
20
20
20
Evening.
c. c.
20
20
20
15
15
10
10
15
20
20
15
15
3rd day
Morning.
c. c.
20
20
20
10
15
10
15
15
Evening.
c. c.
20
20
15
10
20
15
15
20
4 th day
Morning.
c. c.
15
15
10
20
10
...
20
Evening.
c. c.
15
15
10
20
10
20
15
5th day
Morning.
c. c.
15
10
10
Evening.
c. c.
...
10
10
6th day.
Morning.
c. c.
...
...
10
Evening.
c. c.
...
...
...
Result.
Died 6-30 P.M.,12th
February 1899.
Died 9 P.M., 8th
February 1899.
Died 10 P.M., 6th
February 1899.
Died 12-50 noon,Srd
February 1899.
Died 21st February
1899.
Recovered
Died 10-15 A.M., 5th
February 1899.
Died 10 A.M., 7th
February 1899.
Died 6-45 A.M., 5th
February 1S99.
Died 8-30 P.M., 6th
February 1899.
Recovered.
Do.
Died
3-55. 7th
February 1899.
Died 3 A.M., 8th
February 1899.
Died 9-30 P.M., 17th
February 1899.
Died 7-30 P.M., 6th
February 1899.
REMARKS
Improvement and
then relapse.
Very delirious and
feeble pulse.
Tetanic. Injection
stopped.
Moribund.
Death from oedema
of lungs.
Unconscious.
Do.
Sudden failure of
heart.
Convulsions and
oedema of lungs.
Sudden failure of
the heart.
Heart failure.
Died of exhaustion.
344
11
45/ 4
44
5
45/6
46
7
47
8
48/9
49/10
50/11
51/12
52/13
53/14
54/18
55/15
56/16
57
1
58
2 59/3
60/4
61/5
62/6
63/7
Salvador Noronha ... 2nd
Balu Laku
3rd
Pira Bapuji...
... do.
Bhawansing Rysing. do.
Dhondu Raghu ... do.
Condi Babull
... do.
Shamji Pitamber
do.
R. M. DeSilva
... do.
Jiji Khandu
... do.
Dhondu Succaram... do.
Mr. M. (Private)
do.
Chemi Bapu do.
do.
Miss P. (Private) ... 1st
Mrs. K.
do. ... 3rd.
Miss K.
do. ... do.
Joda Harsayal ... 4th
Jiwa Kalu
do.
Parbu Narsu
... do.
Hiralal Lon
... do.
Nama
Rama
... do.
Ganu Chandria ... do. 5
Gangaram Bholla ... do.
5th
do.
8th
do.
7th
do.
8th
do.
8th
do.
10th
do.
13th
do.
9th
do.
14th
do.
13th
do.
9th
do.
13th
do.
30th January 1899.
11th February 1899.
11th
do.
21st
do.
...
21st
do.
21st
do.
..
21st
do.
...
24th
do.
23rd
do.
24th
do.
40
18
20
12
19
12
40
22
12
25
25
40
16
46
16
40
18
30
35
33
22
50
Male ...
Do. ..
Female
Male ..
Do. ...
Female .
Male ...
Female .
Do. ...
Male ...
Do. ...
Female .
Do. ...
Do. ...
Do. ...
Male ...
Do. ...
Do. ...
Do. ...
Do, ...
Do. ...
Do. ...
Christian,.
Hindu ...
Do.
...
Do.
Do.
Do.
Do.
Christian .
Hindu ...
Do.
Parsi
...
Hindu ...
Parsi
Do.
...
Do.
...
Hindu ...
Do.
...
Do.
...
Do.
...
Do.
...
Do.
...
Do.
...
3 „ ...
1 day ...
2 days ...
2 „
...
4 „
...
1 day ...
3 days ,..
2 „ ...
3 „ ...
3 ,, ...
2 „ ...
1 day ...
2 days ...
4 „ ...
1 day ...
4 days ...
2 „ ...
3 „ ...
3 „ ...
2 ,, ...
2 ,, ...
2 „
...
5th
do.
8th
do.
7th
do
9th
do.
9th
do.
11th
do.
13th
do.
11th
do.
15th
do.
13th
do.
10 th
do.
13th
do.
30th January 1899.
11th February 1899
11th
do.
21st
do.
21st
do.
21st
do.
21st
do.
24th
do.
24th
do.
24th
do.
...
20
...
...
20
20
20
20
...
20
...
15
20
20
...
20
...
...
20
30
20
20
20
...
...
20
20
20
20
20
15
20
18
20
20
20
20
30
20
20
20
15
20
20
15
20
20
15
28
20
20
20
20
20
20
15
...
...
15
20
20
20
15
20
20
20
20
20
20
...
10
15
20
7
10
10
15
20!
20
20
20
20
15
10
20
20
...
15
...
20
20
20
10
15
10
15
15
10
20
...
15
10
20
20
5
...
20
10
15
15
20
5
10
15
10
...
...
10
10
10
...
...
10
...
...
Died 23rd February
1899.
Died 6-15 P.M., 8th
February 1899.
Recovered.
Do.
Do.
Died 7-20 A.M., 14th
February 1899.
Died 5 P.M., 13th
February 1899.
Recovered.
Do.
Died 1 A.M., 18th
February 1899.
Recovered.
Died 5-30 P.M., 15th
February 1899.
Recovered.
Died 2 A.M., 12th
February 1899.
Recovered.
Died 9 A.M., 21st
February 1899.
Died 4 P.M., 22nd
February 1899.
Died 7-55 P.M., 22nd
February 1899.
Died 4 P.M., 3rd
March 1899.
Died 6 P.M., 27th
February 1899.
Died 10 A.M., 27th
February 1899.
Died 7-15, 28th
February 1899.
Died of exhaustion
from sloughing of
iliac bubo.
Moribund.
Sudden failure of
heart.
From œdema of
lungs.
Had a relapse with
iliac bubo.
Mitral Regurgita-
tion and Diabetes.
Moribund.
Heart failure.
Secondary Pneumo-
nia.
Do.
345
No.
64
8
65
9
66/20
67/11
68
12
69/1
70/2
71/3
72/4
73/5
74/ 6
75
7
76
8
77
9
78
10
Name.
Series.
Shanker Suka
... 4th
Raghu Krishna
... do.
Succaram Bapu
... do.
Dhondu Vithu
... do.
Ganput Yessu
... do.
Babukhan Husain ... 5th
Rama Dagru
... do.
Bhau Babaji
... do.
Reva Begla
do.
Mahadu Tanu
... do.
Yedu Rama
... do.
Sawalia Dhondi
... do.
Kondiba Maroti
... do.
Walji Tricum
... do.
Tricum Purshotam . do.
Date of
Admission.
24th February 1899
24th
do.
25th
do.
26 th
do.
25th
do.
24th
do.
26th
do.
26th
do.
26th
do.
27th
do.
26th
do.
2nd March 1899...
5th
do.
5th
do.
...
5th
do.
Age.
Year
5
32
18
12
22
18
25
19
30
27
6
12
20
10
30
Sex.
Child.
Male ..
Do. ..
Do. ..
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Child...
Male ...
Female.
Child...
Male ...
Caste.
Hindu .
Do.
.
Do.
.
Do.
..
Do.
...
Mussalman
Hindu ...
Do. ...
Do. • ...
Do.
...
Do.
...
Do.
...
Do.
...
Do.
...
Do.
...
Day of
Disease.
2 days ...
3 „
..
2 „
...
3 „
...
2 „
...
2 „
....
2 ,, ...
2 „ ...
2 „
...
3 „
...
3 „
...
5 „
...
¿ ,,
...
»
•••
3 „
...
Date of Serum
injected.
24th February 1899
24th
do.
25th
do.
i
26th
do.
26th
do.
2Srd
do.
26th
do.
26th
do.
26th
do.
27th
do.
28th
do.
2nd March 1899 ...
5th
do.
5th
do.
5th
do.
1st day.
Morning.
c. c.
10
...
20
15
20
...
...
...
...
...
10
15
20
10
20
Evening.
c. c.
10
20
20
...
...
15 at
his
louse
20
20
20
so
10
15
10
20
AMOUNT OF SERUM INJECTED.
2nd day.
Morning.
c. c.
5
20
20
20
20
20
20
30
5
10
5
10
Evening.
c. c.
5
20
20
10
20
15
30
...
3rd day.
Morning.
c. c.
5
20
15
15
10
20
...
Evening.
c. c.
20
10
15
20
••
4th day.
Morning.
c. c.
15
...
15
...
Evening.
c. c.
15
20
...
5th day.
Morning.
c. c.
15
Evening.
c. c.
...
6th day
Morning.
c. c.
...
Evening.
c. c.
...
...
Result.
Recovered.
Died 12-30, 26tl
February 1899.
Do.
Died 3-30 P.M., 26th
February 1899.
Died 5-30 P.M., 26tb
February 1899.
Died 945 A.M., 2nd
March 1899.
Died. 8-30 P.M., 27th
February 1899.
Died 3-45 A.M., 3rd
March 1899.
Died 8 P.M., 28th
February 1899.
Recovered.
Do.
Do.
Died 7 P.M., 5th
March 1899.
Died 3-40 A.M , 7th
March 1899.
Died, 16th March
1899.
REMARKS.
Moribund.
Secondary Pneumo-
nia.
Heart failure, septic
type.
Do.
(Edema of lung.
A mixed case of
plague and remit-
tent fever.
Heart failure.
Do.
Marasma and ex-
haustion.
346
79
11
80
12
81
17
82
13
83
13
84
14
85
15
86
16 87
17
88
1
89
2 90
3
91
4
92
5
93
6
94
7
95
8
96
9
97
10
98
11
99
12
100
13
Harjiwan Tricum... do.
Abba Bayaji
... do.
Sonu Babaji
... 3rd
Mr. E. P. M. (4th Private)
Bhagwan Bhana ... 5th
Pundharinath Bala-
shet
do.
Vasan Govind
... do.
Kashibai (Private do.)
Mr. S. P. C. (Private, 5th.)
Manecklal Lallu ... 6th
Rama Sakaram ... do.
Binda Bapu
... do.
Chadulla
Shaik
Farid
do.
Ganu Gabur
... do.
Gaffur Lalla
... do.
Bhiku Ramchandra do.
Ambu Govinda ... do.
Hurshunkar Buldev. do.
Nathia Bhan ... do.
T. V. Mungabun ... do.
Mr. I. B.I. (Private do.)
Bipati Mehge
... 6th
5th
do.
1st
do,
21st February 1899
15th
do.
6th March 1899...
6th
do.
7th
do.
27th February 1899
2Sth
do.
4th March 1899 ...
5th
do.
7th
do.
7th
do.
8th
do.
7th
do.
7th
do.
6th
do.
8th
do.
9th
do.
9th
do.
3rd
do.
11th
do.
13
30
30
6
25
22
30
27
40
35
14
32
40
20
7
20
18
45
23
30
11
20
Do. ...
Do. ...
Do. ...
Child ...
Male ...
Do. ...
Do. ...
Female.
Male ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Child ...
Male ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do.
...
Do. ...
Do. ...
Parsi
Hindu ...
Do. ...
Do,
...
Do. ...
Portuguese
Hindu ...
Do.
...
Do
Mah o me -
dan
Hindu ...
Mah o me -
dan
Hindu ...
Do.
...
Do.
...
Do.
...
Native
Christian.
Portuguese
Hindu ...
3
2
3
1 day ..
2 days ..
2
2
1 day ...
1
1
1
3 days ...
4
3
2
1 day ...
2 days ...
3
3
2
2
3
5th
do.
1st
do.
21st February 1899
15th
do.
6th March 1899 ..
6th
do.
7th
do.
27th February 1899
28th
do.
4th March 1899 ...
5th
do.
7th
do.
7th
do.
8th
do.
7tb
do.
8th
do.
8th
do.
8th
do.
9th
do.
9th
do.
4th
do.
11th
do.
20
...
20
...
15
...
...
18
17
15
10
15
15
15
30
40
49
10
15
10
110
55
30
20
15
10
20
20
20
10
20
20
10
30
c.c.
10
.10
c.c.
c. c.
15
20
10
10
15
15
15
... ' ...
30
Total
...
10
total
total
20
...
10
10
15
20
10
qua
qua
15
10
10
10
...
ntit
ntit
10
10
...
20
y...
y
10
...
10 10
Died 10-45 P.M., 6th
March 1899.
Died, 8th March
1899.
Died 7 A.M., 22nd
February 1899.
Recovered.
Do.
Died 10 P.M., 7th
March 1899.
Died 9.30 P.M., 9th
March 1899.
Recovered.
Died, 2nd March
1899.
Died, 5th March
1899.
Died, 6th March
1899.
Died, 7th March
1899.
Died, 13th March
1899.
Died, 9th March
1899.
Died, 10th March
1899.
Died, 9th March
1899.
Recovered...
...
Do.
Died, 10th March
1899.
Died, 13th March
1899.
Recovered
Do.
Heart failure.
Secondary Pneumo-
nia.
Multiple buboes.
Heart failure.
Secondary Pneumo-
nia.
Heart failure.
Do.
Moribund.
Do.
Improvement and
then relapse,
Heart failure.
Plague and Measles,
heart failure.
Septic type.
Heart failure.
Do.
Septic type.
347
No.
101
14
102
15
103
16
104
17
105
18
106
19
107
20
108
21
109
22
110
23
111
24
112
25
113
26
114
27
115
28
Name
Series
Dadu Sadu
... 6th
L. C. Sequeira
... do.
Pandu Janu
... do.
Kessu Lalla
... do.
Bhawanis hunker
Hary
do.
Sana Bhana
... do.
Francis X.Fernandes do.
Gunia Sudu
do.
Apa Bhaukhan
... do.
Sheva Khondaji
,..do.
Ciprion Fernandas ... do.
John DeCosta
... do.
Sukai Iahari
... do.
Deria Isra
do
Mamiaji Yesram
,,. do.
Date of
admission.
11th March 1891) ..
12th
do.
13th
do.
12th
do.
13th
do.
13th
do.
13th
do.
11th
do.
14th
do.
11th
do.
14th
do.
15lh
do.
15th
do.
15th
do.
16th
do.
Age.
Years.
30
45
20
60
17
25
20
35
20
35
25
30
30
23
15
Sex.
Male ..
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ..
Do. ...
Do. ..
Do. ...
Do. ..
Do. ...
Do. ..
Caste.
Hindu ..
Christian .
Hindu ...
Do.
...
Do. ...
Do. ...
Christian .
Hindu ...
Do. ...
Do. ...
Christian.
Do. ..
Hindu ...
Do.
...
Do.
...
Day of
Disease.
3 days ..
3
2 „
..
2 „
...
2 „
..
2 ,.
..
3
4 „ ..
2 „
..
2 „ ...
2
3 „
..
4 „
...
5 „ ..
3
Date of Serum
injected.
12th March 1899 ...
12th
do.
13th
do.
13th
do.
13th
do.
13th
do.
14th
do.
14th
do.
14th
do.
14th
do.
14th
do.
15th do.
!5th
do.
15th
do.
16th
do.
1st day.
Morning
c. c
...
...
20
15
15
...
20
20
...
...
...
20
20
20
Evening
c. c
20
20
15
15
15
20
20
15
20
20
20
20
20
20
20
AMOUNT OF SERUM INJECTED.
2nd day
Morning
c.c.
15
10
15
15
10
20
20
15
10
20
10
10
Evening
c c
10
...
15
15
15
20
15
15
10
20
...
10
3rd day.
Morning
c. c.
20
10
15
10
10
10
16
15
Evening
c. c
20
15
15
10
20
4th day
Morning
c. c
15
20
Evening
c. c.
...
5th day.
Morning
c. c.
15
Evening
c. c
...
6th day.
Morning
c. c
...
Evening
c. c
...
Result.
Died, 15th March
1899.
Do.
Recovered.
Died, 23rd March
1899.
Recovered.
Died, loth March
1899.
Recovered.
Do.
Do.
Do.
Do.
Died, 15th March
1899.
Died, 16th March
1899.
Recovered.
Died, 17th March
1899.
REMARKS.
Secondary Pneumo-
nia.
Fatty heart and do.
From
exhaustion
after 11 days.
Heart failure.
Moribund.
Secondary Pneumo-
nia
and heart
failure.
Heart failure.
348
116
29 117
30 118
31
119
32
120
33
121
34
122
35 123
36 124
37
125
38
126
39
127
40
128
41
129
42
130
43 131
44 132
45
133
46
134
47
135
1
136
2
137
3
Cyprian Alphonso ... do.
Private do.
Mrs. H. S. ...Private do.
Bhagwandas Raghu do.
Domingo Caitan ...
Khrishna Vithu
... do.
Cosine Damian
... do.
Walla Prema
... do.
Gandaram
Karam-
chand
...
... do.
Mrs. Moses
do.
Babaji Zora ...
... do.
Peter Fernandes ... do.
Maruti Gainu
... do.
Miss B. I. S. Private, do.
Sawatie Saurela
... do.
Francis Pereira
... do.
Antone Salvador ... do.
Shaik Madar
... do.
Pedro Bustaw De-
Costa
6th
Piran Amer
7th
Salva Mahado
... do.
Dhondu Krishna ... do.
15th
do.
37th February 1809
15th March 1893 ...
16th
do.
16th
do.
17th
do.
17th
do.
17th
do.
16th
do.
17th
do.
17th
do.
18th
do.
18th
do.
17th
do.
18th
do.
18th
do.
18th
do.
18th
do.
18th
do.
16th
do.
18th
do.
19th
do.
40
14
56
30
60
40
23
28
30
80
40
30
20
1G
35
30
GO
30
42
35
35
30
Do, ...
Do. ...
Female
Male ...
Do. ...
Do. ...
Do. ...
Do ...
Do. ...
Female
Male ...
Do. ...
Female.
Do. ...
Do. ...
Male
Do. ..
Do. ..
Do. ...
Do. ...
Do. ...
Do. ...
Christian.
Hindu ...
Parsi
Hindu ...
Christian.
Hindu ...
Christian.
Hindu ...
Do. ...
Christian.
Hindu ...
Christian.
Hindu ...
Parsi ...
Hindu ...
Christian
Do. ..
Hindu ..
Christian
Mahome-
dan.
Hindu ...
Do. ...
1 day ..16th
do.
4 days ...
3 „ ...
4 „ ...
1 day ...
3 days ...
3 „ ...
4 „
4 „ ...
3 „
2 „ ...
3 „ ...
2 ., .
2 „ ...
1 day ...
3 days ...
3 „ ...
1 day ...
2 days ...
1 day ...
3 days ...
......
15th March 1899 ...
16th
do.
16th
do.
17th
do.
17th
do.
17th
do.
17th
do.
17th
do.
18th
do.
18th
do.
18th
do.
17th
do.
18th
do.
18th
do.
18th
do.
18th
do.
18th
do.
16th
do.
18th
do.
19th
do.
20
70
57
...
...
20
30
...
...
16
20
20
50
...
...
...
20
20
c.c.
c. c.
10
20
20
20
20
20
20
10
10
15
c. c.
20
20
15
15
15
30
30
10
10
10
15
15
30
15
15
20
10
10
15
15
16
20
15
20
20
20
10
10
10
10
15
15
10
10
10
15
15
20
15
20
10
10
10
20
10
10
5
10
5
15
15
5
10
...
10
10
10
...
10
5
10 ...
10
10
... ...
...
...
...
...
Died, 18th March 1899.
Recovered.
Died, 22nd March 1899.
Recovered.
Died, 18th March
1899.
Died, 19th March 1899.
Do.
Died, 20th March 1899.
Do.
Recovered.
Died, 26th March
1899.
Died, 19th March
Recovered.
Died, 19th March 1899.
Died, 20th March 1899.
1899.
Recovered.
Died, 19th March
1899.
Do.
Died, 22nd March
1899.
Recovered.
Died, 20th March
1899.
Recovered.
Do.
do.
Do.
and ædema
lung.
Œdema lung and
heart failure.
Heart failure.
Do.
Œdema lung.
Septic type.
Secondary Pneumo-
nia.
Heart failure.
Heart failure.
Bronchitis.
Heart failure.
Do.
Secondary Pnenmo-
nia.
Moribund and heart failure.
349
No.
138
4
139
5
140
6
141
7
142
8
143
9
144
10
145
11
146
12
147
1
Name.
Series
Sitta Ballco
7th
Michael Francis
... do
Sonia Prema
do.
Nama
Rawji
do.
Bhagla Puchya
... do.
Mahadeo Panga
... do.
Bhagwan Hanuiman. do.
Tatya Babaji
... do.
Ratan Dhana
... do.
Babaji Dhakoo
... do.
Date of
Admission.
20th March 1899 ..
21st
do.
22nd do.
23rd
do.
24th
do.
25th
do.
5th
do.
5th
do.
6th
do.
7th
do.
Age.
Years
22
14
12
25
18
25
18
25
14
30
Sex.
Male ..
Do. ..
Do. ..
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Do. ...
Caste.
Hindu ...
Christian .
Hindu ...
Do.
Do.
Do.
Do.
...
Do.
Do.
...
Do.
...
Day of
Disease.
3 days ..
2
5
1 day ...
3 days ...
2 „ ...
2 „ ...
1 day ...
2 days ...
3 „ ...
Date of Serum
injected.
20th March 1899 ..
21st
do.
23rd
do.
23rd
do.
24th
do.
'5th
do.
6th
do.
6th
do.
7th
do.
7th
do.
1st day.
Morning
c.c.
15
...
15
..
20
20
20
20
15
Evening
c.c.
15
20
15
20
15
20
20
15
20
AMOUNT OF SERUM INJECTED.
2nd day.
Morning
c.c.
15
15
15
20
15
15
15
10
15
Evening
c.c
15
15
10
15
10
15
3rd day.
Morning
c.c.
...
15
10
10
10
15
Evening
c.c.
15
10
10
15
10
4th day.
Morning
c.c.
10
10
7
...
Evening
c.c.
15
5
15
5th day.
Morning
c.c.
Evening
c.c.
6th day.
Morning
c.c.
Evening
c.c.
Result.
Died, 24th March
1899.
Do.
?
Died, 24th March
1899.
?
?
?
Died, 27th March
1899.
REMARKS.
Heart failure.
Heart failure.
Secondary Pneumo-
nia.
350
351
Observations.—The total number of eases treated by Dr. Galleotti's serum
from February 2nd to March 27th has been 148 ; of which 125 were treated at the
Arthur Road Hospital, 12 were treated at the Maratha Hospital, and 11 were treated
'in their own houses.
By sex, these 148 persons consisted of 118 males and 30 females (11 being
children) ; and
By caste, there were 117 Hindus, 18 Native Christians, 9 Pársis and
4 Máhomedans.
With regard to duration of disease, it is found that—
30 were treated on the 1st day of disease.
49
43
20
4
1
148
do.
do.
do.
do.
was
do.
do.
2nd
3rd
4th
5th
6th
7th
do..
do.
do.
do.
do.
do.
so that 122 out of 148 patients wore receiving the serum treatmont on or before the
3rd day of plague.
Mortality.—Of the total 148 cases, 99 died, 43 recovered, and 6 are still
under treatment.
Out of the 113 adult males, 78 died, 29 recovered, and 6 are under
treatment.
Of the 24 adult females, 14 died, 10 recovered.
Of the 11 children, 7 died, 4 recovered.
Mortality by Caste.—Of the 117 Hindus, 80 died, 31 recovered, and 6 are
under treatment.
Of the 18 Native Christians, 12 died, 6 recovered.
Of the 9 Pársis, 4 died, 5 recovered.
Of the 4 Máhomedans, 3 died, 1 recovered.
Percentage Mortality.—Of all the cases., the percentage of deaths to recoveries
is 66.9, but if the 6 cases under treatment be excluded, the percentage mortality
is 69.7.
By Sex.—Of the 113 adult males, the mortality is 69.1 per cent., but exclud-
ing the 6 cases under treatment, it amounts to 72.0 per cent.
Of the 24 adult females, the mortality is 58.3 per cent.
Of the 11 children, the mortality is 63'6 per cent.
By caste, the mortality is as follows :—
Hindus
Máhomedans
Native Christians
Pársis
68.4
75
66.7
44.4
per cent.
do.
do.
do.
(1) General Remarks.—Selection
of casos for treatment. In this enquiry
an endeavour was made to confine the treatment to cases of average severity, that is
to those who, on admission, seemed to have a reasonable chance of recovery ; so that
two classes of patients did not receive the serum, namely, those who were obviously
moribund, and those whose symptoms were mild, and who were likely to recover,
irrespective of treatment. It must be admitted that it is difficult to make a prognosis
in any caso of plague, as the most unexpected results occur ; still, as far as could bo
judged from the symptoms on admission to hospital, the above selection of cases was
made.
352
(2) Treatment in addition to the serum.—In all cases at the Arthur Road
Hospital a stimulant (rum) was given every two hours ; and in cases showing
symptoms of heart-failure cardiac tonics were also administered, such as digitalis,
strychnine, strophanthus, caffeine.
(3) Causes of death.—These were sudden heart-failure, secondary pneumonia,
bronchitis, œdema of the lungs, hœmorrhage, or exhaustion ; in fact death was duo
to the same causes as in plague-patients not treated by the serum.
(4) Effects of the serum treatment.—In many cases the temperature fell 1 or
2 degrees shortly after the injection of- serum, and with this fall there was a corre-
sponding improvement in the patient's general condition ; but this improvement was
often only temporary, and would be observed after each subsequent injection ; still in
those patients who died, the general course of the disease was steadily from bad to
worse, and their symptoms were practically identical with those of plague-patients
treated in other ways.
(5) General conclusions.—From the evidence of this enquiry it cannot be said
that Dr. Galleotti's serum-treatment of plague shows any marked curative results ;
for of the 142 completed cases the mortality is 69.7 per cent., and the general death-
rate of plague-patients treated in a hospital is only a little higher. I am informed
that this rate is 80 per cent., but have no means of verifying the statement ; still
accepting this figure as correct, the most that can be claimed for Dr. Galleotti's
treatment is a 10 per cent. reduction in mortality.
(6) Evidence of early cases.—Of the 148 cases, 30 received the serum-treat-
ment on the first day of disease ; and of these 30, 22 died and 8 recovered, so that in
this series the death-rate was 73.3 per cent. Now it is an axiom in serum-therapeu-
tics that the earlier the treatment, the more favourable the prognosis ; yet in this
instance we find that the mortality of the patients treated on the first day is higher
than that of all the patients who underwent the treatment ; the respective figures
being 73.3 and 69.7 per cent. This fact points to the same conclusion, namely, that
treatment by Dr. Galleotti's serum has not much influence on the course of plague.
L. F, CHILDE, M.B., Captain, I. M. S.,
Acting First Physician, Sir J. J. Hospital.
Extract from the Report by the Extra Assistant Health Officer, Arthur Road
Hospital, dated 3rd May 1899-
SIR,
I have the honour to submit herewith the following report and return of cases
treated with Professor Lustig's serum during April 1899 :—
The number of cases treated was 39, of whom 21 died and 18 recovered,
giving a mortality rate of 53.84 per cent. The mortality rate of cases not
similarly treated was 77.51 per cent., thus showing a difference of 23.67 per cent.
in favour of the former.
2. The cases were divided into the following series : —
Series.
VIII (completed)
IX
X
XI (to be continued)
Total ...
Horse
Number.
5
Donkey.
3
1
Bleeding.
Second.
First.
Second.
Do.
Number
Treated.
16
2
14
7
39
Number
Died.
10
1
7
3
21
Number
Recovered.
6
1
7
4
18
353
3. From a comparison of the returns for February, March and April it
appears that each succeeding month the serum shows better results as it
becomes stronger and more active. And considering that the present epidemic
did not show any marked decline till about the middle of April, and that the
individual cases do not even yet show any marked diminution in their virulence, in
spite of the fact that the epidemic is steadily declining, the results so far achieved
should be considered satisfactory. This is better illustrated by the following table
which compares the results during, the period :—
Months.
1899.
February
March
April
Mortality rate of
cases not treated
with the serum.
79.16
79.48
77.51
Mortality rate of
cases treated
with the serum.
70.58
66.21
53.84
Difference in
favour of serum
cases.
8.58
13.27
23.67
The above table shows that whereas the mortality rate has varied very little
amongst the cases not treated with the serum, it shows a very appreciable improve-
ment in those treated with it, and the improvement has steadily bettered from 8.58
per cent. to 23.67 per cent., a difference of over 15 per cent.
4. When all the series of cases are compared, two points are clearly brought
out, viz.: (1) that the serum obtained from the second bleedings is more active than
from the first, and (2) that the serum from the different horses shows different
degrees of activity :—
Series.
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
Total ...
Horse
Number.
5
2
2
1
4
C
5
Donkey.
3
1
...
Bleeding.
First.
Do.
Do.
Do.
Do.
Do.
Do.
Second.
First).
Second.
Do.
...
Number
treated.
18
11
17
13
17
47
13
22
2
14
7
181
Number
died.
14
8
10
11
12
30
8
14
1
7
3
118
Number
recovered.
4
3
7
2
5
17
5
8
1
7
4
63
The above statement indicates that the results from the first and second
bleedings were 68.38 per cent. and 50.81 per cent., respectively, thus clearly showing
a difference in greater activity of 12.57 per cent. from the latter, and as the serum
gets stronger at each subsequent bleeding, it is to be expected that better results-
would be shown in the near future. The serum supplied from Florence last year
also showed similar variations between the first and second bleedings.
The table further demonstrates that different horses give serums of different
activities, and this also materially corroborates the experiences of last year when it
was observed that the different horses under experiment at Florence gave serums of
different curative values.
*****