NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
276
The total mortality is 75 per cent,, but if the mortality within 24 hours is
deducted, the percentage -would be 68*9, and if the mortality within 48 hours is also
deducted, the percentage would stand at 59*7.
TABLE IV.
Males
Children under 12 years
Total
admission.
Plague.
114
81
11
Deaths.
90
20
7
Recoveries.
24
11
4
Percentage o£
mortality,
78'9
64-5
68-6
TABLE V.
Table showing the Mortality for the Year amongst Sexes and Children.
Total mortality
for the year.
117
Mortality amongst
men.
90
Mortality amongst
women.
20
Mortality amongst
children ( all under
12 years of age).
7
TABLE V (A).
Percentage of Mortality amongst the following Ages,
Age.
1.
f>
*j *
3.
4.
5.
6.
Up to 1 year
....
1 year to 10 years
10 „ ,,20 „
20 „ ,,30 „
30 „ ,,40 „
40 and upwards
Percentage of
Mortality.
57-1
70'6
75-
85'
81-4
TABLE VI.
Table showing the Situation of Buboes*
Situation.
Parotid
Right axillary
...
f ..
Left axillary ...
...
Right femoral
Left femoral
Eight inguinal
Left femoral
Other situations
Multiple buboes
Total
number
of
cases.
29
10
51
37
10
1
5
Males.
22
8
40
28
6
1
3
Females.
7
2
11
9
4
2
Mortality.
22
8
39
26
7
4
Recoveries.
7
2
12
11
3
1
1
Percentage
of
mortality,
75-8
80'
76'4
72'9
70*
80-
277
TABLE VII
Table showing Pneumonic Plague (without Buboes).
Females
...
.»,
.».
Children
»•
Admitted.
13
Died.
11
••••••
Recovered.
2
•*•••*
l
Percentage of
mortality.
85-8
TABLE YIIL
Table showing Cases of secondary Plague Pneumonia (complicated with Buboes').
Childien
Admitted.
Died.
| Recovered.
Percentage of
mortality.
•••«••
••••••
As much has been said in the reports of the previous years, it would be sufficient
to mention here that this year's epidemic no way materially differed from the
previous ones. In the majority of cases of recovery tlje buboes suppurate and the
treatment was more or Jess symptomatic,
V. S. DIVAN.
No. 27.
Keport on tlie Hindu Fever (Plague) Hospital, Bombay,
from tlie 1st June 1899 to 31st May 1900.
The history of the foundation of the Hospital has been given in detail in
the Report submitted last year. When the third epidemic of plague was nearly at
an end by the middle of June 18.99, the Hospital Committee ceased to admit patients
regularly as before, but as plague had not entirely disappeared from tlie city cases
used to occur now and then, and people residing in D. Ward liked to take advantage
of the semi-permanent sheds of the Hospital and sought admission in them, making
their own arrangements with regard to the food, attendance and medical treatment
required for the patients. During this period of nearly 6 months the Hospital
staff consisted only of one dresser, one -ward-boy, one ramoshi and one bhangi.
The Resident Medical Officer, though his services were dispensed with temporarily
by the Committee on account of reduction in the staff, was kind enough to stay on
the premises of the Hospital and work as before without any remuneration.
As the Honorary Chief Medical Officer of the Hospital I had to visit it often,
even during this period, as the majority of the patients admitted were kept under my
treatment either solely or in consultation with other medical men. During this
period of 8 months 93 patients were treated in this way, as will be seen from
Table No. I.
2. Later on, in the month of January 1900, when the plague assumed epidemic
proportions for the fourth time anil went on increasing, the Committee of the Hospi-
tal, with their usual readiness and promptitude, resolved to re-open the Hospital
278
from the 1st February 1900. Some new sheds were erected and the Hospital was
well equipped with all tho necessary requisites. As the Hospital has been maintained
by private subscriptions the Committee could not conveniently afford to admit an
unlimited number of patients into the Hospital, and hence it "was resolved to admit
patients till the total number of the in-patients did not exceed 30 on any day.
Staff.
Honorary Chief Medical Officer
Resident Medical Officer
Compounder ...
...
Dresser
Ward-boys
...
...
...
Ayahs ...
Cook
Store-keeper ...
Ramoshis
Bhaneis
...
...
...
...
...
...
I
1
1
1
4
2
1
1
1
2
3
The number of the ward-boys and aj'ahs varied from time to time according to
the number of patients present in the Hospital.
The office-bearers are the following:—
Tribhuvandas Mangaldas JSfathubhai, Esq., President of the Managing.
Committee.
Vijbhukandas Atmaram, Esq., Chairman of the Executive Committee.
Sir Bhalchandra Krishna (also Consulting Physician) ...~]
Janardhan Gopal, Esq
{
Rao Bahadur Narayan T. Vaidya
^SecrTtarLI
S. D. Khote, Esq
D. G. Padhye, Esq
D. G. B. Kher, Honorary Chief Medical Officer,
Harischandra P. Pi tale, Esq., Treasurer.
M. R. Bodas, Esq
"]
/-<
jv. T» •• in
<" Auditors.
Gangadhar Dewji, Esq. ...
...
...
...
...j
3. The disposition and arrangement of the wards was nearly the same as
described in the last year's Report. The temporary sheds that were pulled down
during the last rains were erected again. Quarters for the resident members of the
staff as well as sheds for contacts were provided as before. In addition to the three
semi-permanent sheds already existing two new sheds of the same nature were
erected specially for accommodating the Maratha patients, one by Shet Damodar
Gordhandas Sukhadwalla and one by Rao Bahadur N. T. Vaidya.
4. Conservancy arrangements were carried out as described in previous
Reports.
5. "Water is supplied from taps supplied by the Municipality.
•
6. The wards were disinfected as described in the previous Reports,
The clothes were sent once every day in a cart for being disinfected by the
steam-disinfector to the Northbrook Municipal Camp and they were kept under steam
for nearly twenty minutes for the purpose.
7. The arrangements regarding the disposal of the dead, claimed as well as
anclaisned, were the same as described in the last year's Report. Discretional. relief
279
grant, placed at the disposal of Rao Bahadur Narayan T. Vaidya, was obtained for
the disposal of bodies of pauper-patients when private charity could not be found
for the purpose.
8. Of -the cases admitted into the Hospital, information in regard to their
being previously inoculated was obtained in 6 cases. The particulars regarding their
sex, age, and the dates of their inoculation, &c., are as follows :—
Date of
.discharge
(recovery)
•2-12-99
...
8-3-00
5-3-CO
...
29-4-00
Date of
death.
.
30-1-00
...
...
30-3-00
...
Names.
Gopal Eaju
...
...
..:
Krishnabai Atrnaram
...
...
Gajrabai Atmararo ...
Nagu Eaghu
...
...
...
Panda Mukanda ...
...
..
Bahiru Piraji
...
...
Sex.
Male.
Female.
»
Male.
»
»
Age.
35
7
15
28
40
40
Date of
inocula-
tion.
17-8-99
21-1-00
21-1-00
21-12-99
1-1-00
12-3-00
Date of
admissions.
14-11-99
30-1-00
30-1-00
9-2-00
28-3-00
5-4-00
Of the two deaths there was not much time for observation in the case of
patient Krishnabai Atmaram, as she died soon after admission. In the case of
Pandu Blukanda there was nothing calling for special remarks.
'9. Amongst the staff of the Hospital no one suffered from plague or any other
serious malady. Of the persons living on the premises of the Hospital, the daughter
•of a bhangi, aged about 10 years, was attacked with plague. She was sent to the
Arthur Road Hospital, as bhaugis are not allowed to be admitted in the Hindu
Fever Hospital. How she got the infection was not satisfactorily ascertained; but
as she went to beg in the streets it is presumed that she caught infection somewhere
else. She was discharged cured.
TABLE I.
10. Total admissions during the year.
Months.
June
July
August...
September
October
November
December
January
February
March ...
April ...
Hay ...
Plague.
4
6
4
6
5
18
27
79
130
83
26
Relapsing
Fever.
*••
...
• **
1
...
...
...
...
...
2
7
Observation
cases includ-
ing all gen-
ral diseases.
,.
1
2
3
2
3
...
11
6
9
20
11
Total.
5
8
7
9
8
18
38
85
139
105
-
44
280
11. The largest number of admissions was 38 in the second week of
March, 1900. The largest number of daily admission was 11 on the 4th
March, 1900.
12. The total number of deaths during the year was 353, of which 326 were
from plague.
The percentage of mortality was 75'7'5 to the total admissions 466.
The largest number of deaths on a day was 8 on the 22nd February
and 5th March, 1900.
The largest number of total weekly deaths was 34 in the second week-
of March, 1900.
TABLE II.
Plague ..
Relapsing Fever ...
Observation and other diseases
Total
Admissions.
388
10
68"
466
Deaths.
326
1
26
353
Recoveries.
62
9
42
113
Percentage
of mortality;
84-02
10-
38'23
75-75
TABLE III A (PLAGUE).
ilonths.
June...
July...
August
...
September
October
November
December
January
...
February
March
April...
May ...
Tota-
Aclmi e
bionp.
4
6
4
6
5
18
27'
79
130
83
26
Died with-
n 24 hours.
&
• •»
3
2
1
3
4
15
16
42
25-
15
Died with-
in 48 houis.
...
...
....
**•
1
...
3
10
18
39
23
2
Total
Deaths.
...
3
5
3
4
5
13
26
59
114
73
21
Total
Recoveries.
1
1
1
2
...
5
1
20
16
10
5
Percentaire-
of deaths
(not count--
ing those
who died-
within
48 hours), •
75-
6o'6
50'
50'
100'
54-54'
50'
55-5
67-3-
71-4
44'4
281
TABLE III B.
Felapsiny Fever, Observation and other Diseases.
Months.
June
...
... J
July
J
August
J
September
J
October
I
November
J
December
4
January ...
... J
February ...
....j
March ...
... -J
April
|
May
-
Diseases.
i
1
Relapsing Fever..,!
ther diseases ...!
.elapsing Fever.,
tlier diseases ...i
1
•elapsing FeverJ
Other diseases ...
lelapsing Fever..
Other diseases -..
Relapsing Fever...
Other diseases ...
Elapsing Fever..
Other diseases ...
Relapsing Fever.
Other diseases ..
lelarsing Fever..
Other diseases ...
Relapsing Fever..
Other diseases ..
Relapsing Fever.,
Other diseases ..
Relapsing Fever .
Other diseases ..
Relapsing Fever
Other diseases ..
Total
Achmssious
...
1
2
3
1
2
3
...
11
0
9
Deaths.
...
...
...
1
...
...
...
'" 9
"'4
i
i
...
5
i
2 j
20 |
6
7
11
1
1
n
Recoveries, c
VI
:::
1
2
2
1
2
'" 3
...
'" 2
2
4
2
14
6
10
Percentage of
lortality (not
ounting those
7-ho died with-
n 48 hours).
..0
...
...
33-33-
...
...
**•
81-81
G6-66
• ••
55-55
30
14-23
9-09
TABLE IV.
j
Males
<
(
(
Females ...
... <
1
(
ChiWren
\
(
Diseases.
Plague
Relapsing Fever..
Other diseases . . .
Plague
Relapsing Fevei
Other diseases ...
Plague
Relapsing Fevei
Other diseases ..
Total
Admissions.
253
7
44
90
3
15
45
...
9
Deaths.
I
Recoveries,
i
i
' i
220 |
33
...
18
72
1
5
34
...
3
7
26 •
Percentage
of mortality
86-95
...
40-90
i
18
2
10
11
>.<
6
i
80
33-33
33-33
75-55
..3
3'38
282
TABLE V.
Table showing the mortality for the year amongst sexes and Children.
Plague
Relapsing Fever
Observation and other diseases.
Total mortality
for the year.
326
1
26
Mortality
amongst
Men.
220
...
18
Mortality
amongst
Women.
72
1
5
Mortality
amongst Child-
ren (all tinder
12 years of age).
34
•••
S
TABLE V A.
Percentage of Mortality amongst the following Ages.
1.
2.
3.
4.
5.
6.
(
Diseases.
Plague
Up to 1 year
... < Relapsing Fever...
I
1 Other diseases ...
( (Plague
1 year to 10
... .j
V.
{
10 years to 20
... •[
i
,
20 years to 30 ... 1
c
30 years to 40
... -'
(
(
40 years and upwards. <
(
Relapsing Fever...
Other diseases ...
Plague
Relapsing Fever-
Other diseases ...
Plague
Relapsing Fever...
Other diseases ...
Plague
Relapsing Fever...
Other diseases ...
Plague ...
Relapsing Fever...
Other diseases ...
Admissions.
...
1
32
...
3
108
3
17
138
2
27
68
4
14
42
1
6
Deaths.
f »•
• w»
1
26
...
...
88
1
4
118
"IB
58
...
4
36
...
4
Percentage.
...
TOO
81-25
• ••
...
81-48
33-33
23-52
85-55
49-19
85-29
...
28-57
85-71
...
66-66
TABLE VI.
Table showing the situation of Buboes.
Situation,
Cervical
Parotid
Right axillary
Left axillary
Bight femoral
Left femoral
Right inguinal
Left inguinal
* Other situation
No buboes
Multiple (buboes)
Total
number
of cases.
12
2
33
•12
59
68
46
46
6
21
25
Males,
8
1
20
•27
41
50
31
30
4
7
16
Females.
4
1
13
15
18
18
15
16
2
14
9
Mortality.
1,0
1
28
33
49
63
35
38
2
20
21
Recoveries.
2
1
5
9
10
5
11
8
4
1
4
Perccntase
of
mortality.
83'33
50-
84 k 85
78-54
83 1 05
92-64
76-08
82-60
33-33
95-23
84-
* Poplitialj Brachial and Factorial.
283
TABLE VII.
1 able showing Pneumonic Plague (without Buboes),
Females
Children
...
Admitted.
23
5
...
Died.
20
2
...
Eecovered.
3
3
...
Percentage
of mortality.
86-95
40
...
TABLE VIII.
Table showing cases of Secondary Plague Pneumonia (complicated with Buboes}.
—
Females
Children
Admitted.
9
5
2
Died.
7 .
3
...
Recovered.
2
2
2
Percentage
of mortality.
77'77
60-
(..
The cases were diagnosed by the appearance of the signs and symptoms of
pneumonia developing on the fourth or fifth day of the disease. No bacteriological
examination was made.
Symptoms, Character and Treatment.—These have been fully described in the
previous Report. Eo special change worth noting was seen in the symptoms and
course of the disease. It may be noted, however, that pneumonic type was more
prevalent this year than before. The rate of mortality in the Hospital was rather
high, as the epidemic of the year under report was more virulent in type than the
last, and, secondly, the majority of the patients that came to the Hospital did so
only at a late stage of the disease. They had generally tried concealment and came
only when actually detected or when concealment became impossible.
Notwithstanding the notifications and circulars enjoining relaxation of the
plague measures regarding the detection of plague cases, their removal to the hos-
pitnl, disinfection and segregation of contacts, etc., the working of the measures as
carried on till now had not had the effect of removing the fright and terror which
have prevailed amongst the people from the beginning.
This general unnerving of the mind naturally became intensified when there
wns an actual attack of plague or even of some other febrile affection. It upset the
mental balance of the patient and made him very restless and anxious, which condi-
tion, I believe, contributes a great deal to intensify the severity of the disease and
causes a higher mortality among the natives in general and the lower and ignorant
classes in particular, and it is the poor who constitute the majority of our patients.
I believe that in this is to be found the explanation of the fact that the ratio of
recoveries is much higher amongst Europeans and the upper and. the more well in-
formed classes of the natives. The latter have not much dread of plague measures
and it is they who alone practically receive the benefit of the relaxation, of plague
measures given from time to time.
286
As the number of patients went on increasing, the original staff of the hospital
was increased and additional Ward-boys, Ayahs and Bhangis were employed to work
in the new ward.
The most valuable addition to the staff was that of the English Nurse.
I am glad to say that the nurse Miss Awkett, worked very hard and discharged
her duties cheerfully and conscientiously and to the entire satisfaction of all concerned..
As regards supervision and chief direction of the treatment there was of course
no distinction between the Maratha ward and the other wards of the hospital.
The Resident Medical Officer did his duty equally by all, and I also did this
extra work in the capacity of the Honorary Chief Medical Officer which office I have
held for the last oi years ; and my general remarks are applicable indiscriminately
to all the patients under treatment at the hospital.
Staff.
Honorary Chief Medical Officer
Resident Medical Officer
English Nurse...
Hospital Assistant
Store-keeper ...
Ward-boys
Ayahs ...
Cook
General Servant
Bhanms
...
...
1
1
1
1
I
1
5
2
1
1
3
• Of the cases admitted into the hospital information in regard to their being pre-
viously inoculated was obtained in two cases. The particulars regarding their sex,
:io-e and the dates of their inoculation. £c.. are as follows :—•
Date of
Discharge.
...
29-4-00
Date of
Death.
30-3-00
...
Names.
Pandu Mukaucla.
Bahim Piraji.
Sex.
Male.
do.
Age-.
40
40
Date
of in-
oculation.
1-1-00
12-3-00
Date
of Ad-
mission.
28-3-00
5-4-00
TABLE I.
Total admissions during the three months.
Months.
March
...
»
May..
Plague.
96
70
25
Relapsing Fever.
...
...
4
Observation
cases including
all general dis-
eases.
9
18
10
Total.
105
88 ' ;
39
The largest number of admissions was 38 in the second week of March
If 00.
287
The largest number of daily admissions was 11 on the 4th March 1900.
The total number of deaths during the three months was 178 of which 167
were from Plague.
The percentage of mortality was 76*72 to the total admissions 232.
The largest number of deaths on a day was 8 on the 5th March 1900.
The largest number of total weekly deaths was 34 in the 2nd week of March
1900.
TABLE II.
Plague ...
Kelapsing Fever ...
Observation and other diseases.
Total
Admissions.
191
4
37
232
Deaths.
167
Nil.
11
178
Recoveries.
24
4
26
54
Percentage of
Mortality.
87'43
Nil.
29-72
76'72
TABLE III-(A) Plague.
Months.
March ...
April ...
...
...
Ma^T
otal
admissions
96
70
25
)ied with-
n 24 hours
36
23
12
Died with-
n 48 Lours
24
15
4
Total
deaths.
84
60
23
Total
recoveries.
12
10
2
Percentage
ofMortality
(not count-
ing those
who diet!
within
48 hours.)
66-66
68-75
ITU
TABLE III—(B.)
Relapsing Fever, observation and oilier diseases.
Months.
March
<
April
|
May
!
Diseases.
Relapsing Fever.
Other diseases.
Relapsing Fever.
Other diseases.
Relapsing Fever.
Other diseases,
Total
Admissions.
"" 9
"*18
4 '
10
Deaths.
•• •
6
' 5
...
Recoveries.
"" 3
13
4
10
Percentage
of Mortalitŷ
not counting
;hose who died
within 48 hrs.)
66'66
2*7 : 77
"•
28.8
TABLE IV.
r
Males
•{
i
(
Females ...
... \
I
f
•Children
,-{
L
Diseases.
Plague
Relapsing Fever.
Other diseases ...
Plague
Relapsing Fever.
Other diseases ...
Plague
Relapsing Fever,
Other diseases ...
Total
Admissions.
119
2
24
48
2
10
24
...
3
Deaths.
105
...
5
41
...
5
21
...
1
[Recoveries.
14
2
39
7
2
5
3
...
2
Percentage of
Mortality.
' 88'23
...
20'83
85-41
•*•
50
87'1
...
33'33
TABLE V.
Table skewing Mortality for the year amongst sexes and Children,
Plague
Relapsing fever
Observation and other diseases
Total mortality
for the year. *
167
11
Mortality
amongst men.
105
5
Mortality
amongst women.
41
5
Mortality
amongst children
(all under 12
years of age.)
21
1
TABLE V (A).
Percentage of Mortality amongst the following ages :—
- —
1 , — Up to 1 year
... <
<
2.— 1 year to 10
... -j
8 .— • 10 years to 20
... j
4. — 20 years to 30
... ]
5.—30 years to 40
... ]
6. — 40 years and upwards |
Diseases.
Admissions.
Plague
Relapsing
Other diseases ...
Plague
Relapsing
Other diseases ...
Plague
Relapsing
Other diseases ...
|
Plague
Relapsing
Other diseases ...
Plague
Relapsing
Other diseases ...
Plague
Relapsing
Other diseases ...
*••*••
10
4
56
1
7
72
3
12
23
6
30
""s
Deaths.
8
2
48
1
G7
5
18
•••••*
26
3
Peice'nlage.
£0
50
85
14-28
93-05
41-CG
18'2C
86-66
87-5
289
TABLE VI.
Table showing the situation of Buboes.
\
\
Situation.
. Cervical
Parotid
Right Axillary
Left Axillary
Right Femoral
Left Femoral
Right Inguinal
Left Inguinal
*0ther situations
No Buboea
Multiple Buboes ...
.-
Total
number
of cases.
1
2
15
21
32
40
27
20
2
10
8
Males.
1
9
14
21
30
19
13
1
6
5
Females.
1
1
6
7
11
10
8
7
1
4
3
Mortality.
1
i
14
17
29
37
24
16
1
8
8
Recoveries.
1
1
4
3
3
3
4
1
2
••••••
Percentage
oi:
Mortality.
100
50
93-33
80'95
90*62
92-5
88'88
80
50
80
100
* Popliteal and Brachial.
TABLE VII.
Table showing Pneumonic Plague (without Buboes).
•
Males...
Females
Children
Admitted.
31
2
Died.
9
2
«•* «»•
Kecovered.
2
••••••
Percentage
of
Mortality.
81-81
100
TABLE VIII.
Table showing Cases of secondary Pla<jm> Pneumonia, (complicated with J3ulo£s).
_
Males
..,
Females
"Children
Admitted.
4
: -{
2
Died.
>j
3
Recovered.
1
2
j'nrocntagc of
Mortality,
75
100
G. B. KHEK, L. M. & S.,
"fiOKBATj 26/7i August 3SOO,
Honorary Chief Medical Office*.
290
Forwarded with compliments, to the Special Medical Officer, Plague Operations,
Bombay, It is regretted that there was much delay in the submission of this report.
The undersigned cannot allow this opportunity to pass without sincerely thank-
ing the Municipal Commissioner and the Special Medical Officer for opening these
•wards. It will be observed that they were freely availed of by the 'backward classes
of Hindus, there being 232 admissions in a short period of three months.
Dr. G. B. Kher, L. M. & S., as Honorary Chief Medical Officer of the Hindu
Fever Hospital, was in charge of these wards also. He was indefatigable in his
attendance and treatment of patients and has well earned the thanks of all Hindus,
more especially so as his was a labour of love and not for money,
The House Surgeon, Mr, Divatia, devoted his whole time to his work and was
very attentive to the treatment and comfort of patients.
Miss Auketfc, the English nurse, by her genial disposition and motherly care
endeared herself to the patients in the hospital, and showed how much good and sys-
tematic nursing contributes to the recovery of the patients, for on her taking charge
of her duties in the hospital, the proportion of recoveries very much improved.
NARAYAN TRIMBAK VAIDYA,-
Honorary Secretary, H. F. Hospital,
(In cbarge Maratrha Ward).
No. 29.
Report of the Telugu Fever Hospital from 1st June
1899 to 31st May 1900.
This Hospital was founded in April 1897, and was not closed with the decrease
of the epidemic last year. The Committee which was formed of the following
gentlemen rendered valuable assistance to the hospital and they subscribed the sum
as described against their names •.—
Ks.
Rao Bahadur Ellapa Balaram, J. P. (Chairman) ... • ... 125 per month
Sayaji Nagooji, Esq. ...
....
...
...
...
...
75
„
Rao Saheb Manaji Ragooji ...
...
...
...
...
50
„
Rajuna Luxmon Jilkar, Esq., and Maloo Luxmon Jiikar, Esq.
(Hon. Secretary) ...
...
...
...
...
...
50
,Ĝ
ungaram Sayboo, Esq.
...
...
...
...
..
50
,,
Narsoo SayboOj Esq., J. P. ....
...
„..
...
...
25
,,
Rao Bahadur Ellapa Balaram> J. P., the Chairman of the Committee, has rend-
ered commendable assistance to the hospital not only by subscribing a very good
sum every month, but by his close attention to, and very commendable management
of, the Hospital. He visited the Hospital every day early in the morning, looked to
the convenience of the patients and tried to alleviate their sufferings as far as
possible.
The hospital staff is as follows :—
Medical Officer
Dr. Q. B. Kher (Honorary).
Resident Medical Officer ... H. A. Girdharlal D. Vyas.
Com pounders
...
... 2
Ward-boys
...
... 3
Ayah
1
Dhobi
1
Sweepers...
..
... 2 supplied by Municipality.
Ramoshees
2
do.
do.