NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
125
Establishment recoverable from
Inoculation Expenses
Inoculation fees to Doctors and others.
Food supply Hospitals
Do.
Observation Camps
Police Plague Expenses
Uniforms to Death Registration,
Compensation
for
clothing, &c.,
Compensation huts,sheds, &c., destroyed
Medicines, Medical instruments and
Construction, District Offices and sheds
Do.
Latrines and Urinals ...
Do.
Hospitals
Do.
Segregation Camps
Do.
Observation Camps
Observation Camps, excluding charges
for food and construction
Kent of ground, godowns and quarters.
Railway Inspection
Road Inspection
Stores, firewood for cremation of dead
bodies, &c
Lime-washing, labour and stores, ex-
Arthur Road Hospital
Cleaning and flushing drains, &c., in-
cluding extra allowance to the Fire
Brigade Staff, purchase of hose
coal, &c.
Pulling down and burning condemned
Inspection of houses in different part
Cost of Professor Lustig's serum
Cost of preparing Professor Lustig's
curative serum in Bombay including
salary of Drs. Galliotti and Polverini
Maratha Hospital and Camps
Purchase of Furniture
Disinfectants
Assessment Taxes
Telephone connections
Cutting off service pipes, erecting stand
pipes, &c.
Working Expenses of the electroliser.
Compassionate allowances
Repairs and maintenance, &c., of camps.
and hospitals
Honorarium or rewards
Washing ambulance carriages ...
Rs.
Less — Miscellaneous Receipts ...
Miscellaneous Fines and Penal
ties
,.
Recoveries from Government
Rs.
Total Rs.
Expenditure
Incurred by the
Municipality. )
I
Rs. a. p.
45 0 0
56,044 12 6
86,688 14 0
12,393 7 10
32,948 15 9
8 15 8
5,040 12 10
2,581 11 4
0,947 4 4
3,280 5 4
51 6 0
2.047 0 0
31,449 3 1
6,902 8 7
4 15 9
5,638 10 6
3,184 11 5
28,053 0 7
Or. 20 0 0
Cr. 20 0 0
59 5 6
800 0 0
15,802 9 8
18,859 14 0
72,293 10 4
16,075 14 4
2,902 4 4
34,639 1 4
18,610 14 6
237 15 7
3,520 0 7
50,921 10 9
735 7 9
3,112 4 0
2,121 4 2
575 1 8
3,200 0 0
14,014 9 1
925 0 (
3,012 12 6
8,40,771 6 6
3,284 2 6
415 7 5
3,323 12 0
7,023 5 1
8,33,748 0
Payments made
on account of
charges incurred
by the Munici-
pality during the
existence of the
Plague Committee.
Rs. a. p.
Cr. 30 0 0
89 0 0
55 13 11
64 13 11
64 13 11
(a) Sale proceeds of copies of Mr. Snow's Plague Report.
Payments made
and receipts
realized against
charges incurred
by the Plague
Rs. a. p.
25 15 9a
1,216 6 2
Cr1,590 2 2
01,689 3 11
1,835 11 7
Cr. 200 0 0
Cr. 200 0 0
Cr. 360 0 0
Cr 1, 171 10 11d
Cr1,625 6 11
Cr1,625 611
Total.
Rs. a. p.
45 0 0
56,040 12 3
36,688 14 0
12,393 7 10
82,943 15 9
3 15 8
15,040 12 10
2,581 11 4
10,947 4 4
3,280 5 4
51 6 0
2,047 0 0
31,449 3 1
6,902 8 7
4 15 9
5,638 10 6
4,401 1 7
Cr1,590 2 2b
Cr1,669 3 11c
29,388 12 2
Cr. 220 0 0c
Cr. 220 0 0o
Cr. 300 10 6o
800 0 0
15,802 9 8
18,859 14 0
72,293 10 1
16,075 14 4
2,902 4 4
34,639 1 4
39 0 0
18,610 14 ft
237 15 7
3,348 5 8
50,921 10 *
785 7 9
3,112 4 0
2,177 2 1
575 1 8
3,200 0 0
14,014 9 1
925 0 0
3,012 12 6
8,39,210 13 6
3,284 2 6
415 7 5
3,323 12 0
7,023 5 11
8,32,187 7 7
(&) Adjustment of value of bamboos got for camps at Dadar and Matoonga.
(c) Write back of claims against Government subsequently waived .
(d) Sale proceeds of articles of furniture, shed materials, &c.
126
CHAPTER IX-
Miscellaneous.
Attitude of the
people,
In a few instances the plague staff met with actual opposition.
Some of the most serious cases are mentioned below :—
On Christmas eve the Assistant District Officer and staff had to
remove a Mangeli living at Mahim, suffering from plague, to hospital.
When they reached the house they found a crowd of Mangelis collected
in a threatening attitude and they saw it would be impossible to carry out
the removal without a disturbance. The case was removed without any
difficulty with the assistance of the police on Christmas morning.
On another Sunday the Deputy Commissioner received information
that a pensioned police Jemadar, living on aflat, the residents of which had
been required to go to camp as evicts unless they preferred inoculation,
had secured the arrest of a plague inspector by the police on a charge
of wrongfully confining his wife.
The Deputy Commissioner went to the place and personally sent the
complainant and his wife—who had not up to then been removed—to
camp, not without some difficulty. Enquiry showed that while a
number of the people were undergoing inoculation, the complainant
slipped away. The Sectional Medical Officer then ordered a municipal
lock to be put on the door of the room, which was already locked by the
owner and left a ramosi on the ground floor with instructions to come
and tell him when the man came back, so that the door might be opened
and the man sent to camp or inoculated.
The retired Jemadar then complained to the police that his wife
had been unlawfully confined in the room, and when the police came
upon the scene she undoubtedly was in the room, whether he had locked
her up there himself or subsequently smuggled her in through a window
was not apparent, but it was perfectly clear, as was eventually decided
by the Magistrate, that the charge that the plague staff had deliberately
locked the woman up in order to compel her to undergo inoculation was
utterly baseless and unfounded.
The Sectional Medical Officer, Colaba, was twice assaulted in the
most unprovoked manner in the discharge of his duties. The assailants
were in both cases convicted and sent to gaol.
At one time in Dongri, stones were thrown at the plague staff ; on
another occasion some contacts absolutely refused to go to camp or to
be inoculated, and had eventually to be sent to camp in charge of a
couple of policemen, after which they promptly came back and had
themselves inoculated. In the same district when the District Officer
was going round with one of his volunteers, some contacts who had
absconded the day before were found, and when told they must go to
128
next year many more people will be found ready to accept this preventive measure
and in the year under report many contacts accepted inoculation in preference to
Segregation Camp. There is still a great deal of dread of being sent to hospital
and the sight of an ambulance is always most disquieting. "
The following table shows the number of roadside cases and deaths
found by the District Officers—except C. Ward and F. and G. Wards—
during the course of the year. The comparatively large numbers in A.
Ward, are due to the fact that so many of the homeless and destitute
wanderers from Kathiawar made the maidans of the Esplanade their
lodging, and that more of them did not succumb to plague is due to the
fact that so many were inoculated. The District Officer, Central District,
points out that the number of roadside Muesalman cases in his district,
was considerably greater than that of Hindus,, and argues that this was
due to the fact that the Mussalmans as a body would not take to ino-
culation: it must however be remembered that the population of his
district is mainly Mahomedan. The greater portion of these eases
occurred among beggars and homeless people, but some were people who
had tried to go on with their daily work in spite of sickness and were
suddenly struck down by the way, others were actually on their way
to hospital and some were undoubtedly turned out when they fell sick
either by their neighbours or their rent collectors, to avoid plague
measures.
.Roadside removals and deaths from plague and other causes.
District.
A. Ward
B. „ North
B. 3 , Soufch
a
D.
E. West.
Byculla
Wari Bundar
F. and G.
Central
Plague.
260
146
62
....
98
111
82
32
.....
201
Other causes.
210
33
82.
...
72
30
51
22
...
173
Plague at the
3 a n d o r a
Slaughter-
Houses.
i- Cases of Plague began to occur at the Bandora Slaughter-houses
in July .1899—and as of the population of this compound (some 700)
about 550 are Mussalmans, the control of operations there was placed in
the hands of the D. 0. Central District, who has a large Mussalman
population to deal with. Dead rats were found at various times and
rigorous disinfection was invariably undertaken. The type of the disease
was very virulent and. out of 25 cases only 3 recovered: the people did
their best to conceal cases of sickness and a sub-inspector had to be
maintained for the special purpose of reporting any illness among them..
At first a number of rooms- at the end of one of the chawls were
reserved as hospital accommodation ; as a means of isolation this was
ineffective, and as the people strongly objected to even this modified
form of removal they were eventually allowed to remain in their rooms:
on the understanding that all the nearest 6 rooms were entirely vacated.
137
General
Remarks by
Capt. Lock.
The measures adopted in this district have rung the changes on all the recognised
principles for the prevention of plague, Every effort has been made to carry
out these principles as thoroughly as possible and nothing has been raoro marked
as a proof of the efficiency of such principles than that wherever and however from
necessity such principles have been relaxed—there has always been a cause for
regret in recognizing a sequence of cases following on an original case concealed.
Inoculation was pushed as far as possible, and it is with regret I report that
among Mahrattas, Bahroots, Mussaltnans and Parsees very little progress was made.
Unbelief and national phlegm on the parb of these castes have proved weary
trials to the enthusiastic worker.
To disinfection every importance has been attached and if non-recurrence of
infection in rooms disinfected is proof, then disinfection has been of the most marked
value.
Except in isolated instances no room, within an appreciable time, has been
reinfected after disinfection. It has been noted that the same room will be re-
infected during successive epidemics but there are only 2 or 3 instances I know
in which a disinfected room has been reinfected during one and the same epidemic.
Evacuation and Quarantine.—If quarantine is not popular, evacuation of the
infected room undoubtedly is. In the better classes the initiative will as offcen as
not be taken by the occupants themselves. They often take a lot of persuasion to
go to camps as required, but none to actually move out.
Among the poor and in a house badly infected evacuation has been carried out
wholesale with the most marked results. As in the case of the Garrison Followers,
Colaba, cases continued up to six days after removal to tents, but there it stopped
and no further cases were heard of as long as they were under canvas. Evacuation
is of all ms^nves the most reliable.
ERRATA.
Page 377, eighteenth line, read : "a geometrical progression" instead of "an
arithmetical progression."
Page 137 completes Part 1, the page numbers 138 to 146 being omitted.
PART II.
HOSPITALS
(Public and Priyate).
ERRATA.
Page 377, eighteenth line, read : " a geometrical progression " instead of Cc an
arithmetical progression."
Puge 137 completes Part 1, the page numbers 138 to 146 being omitted.
REPORT
ON TUB
MUNICIPAL AND PRIVATE PLAGUE HOSPITALS
IIST BOiM::B_A_-y
Up to 31st May 1900.
151
Report on the Municipal and Private Plague
Hospitals in Bombay up to 31st May 1900.
The following were the Municipal and private hospitals which
were open for plague and other infectious diseases during the year : —
1. Arthur Road.
2. Modikhaua.
3. Maratta, Connaught Road.
4. Julahi Sunni Mahomedan, Ripon Road.
5. Northbrook Gardens, Grant Road.
6. Parsee Hospital, Parel Road,
7. Aga Khan's Plague Hospital for Khojaa.
S. Strong's Hospital, Colaba.
9. Port Trust, Frere Road.
10. Sarvajanic, Government House, Parel.
11. Adaraji Pirbhoy, Charm Road.
12. Hindu Hospital, Charni Road Gardens.
13.
Do.
Maratta Portion.
14. Pathare Purbhoo.
15. Brahmo Ksatrya.
16. Kapol Bunyas.
17. Thakurdwar Lohanas.
18. Telegu, Kammateepura.
19. 3rd Bhoiwada.
20. Parel Jain.
21. Pinjrapol Jain.
22. Kokui Mahomedan.
23. Cutchi Lohana Hospital, Clive Road.
24. Bhattia Hospital, Modikhana.
25. Bene-Israel.
26. Islami, Nagdevi.
27. Petit Mills.
28. Maharaja Servants' Hospital, Bhuleshwar.
29. Kolsa Mohulla Mahomedan.
30. Narielwadi Massalman.
31. Cutchi Dasa Oswal Plague Hospital.
32. Greaves, Cotton & Co.'s Plague Hospital.
33. Mahiin Plague Hospital.
34. Manvari Futtehpura,
155
No. 1.
Beport on the Municipal Hospital for Infectious Diseases
at Arthur Road from 1st June 1899 to 31st May 1900.
The Hospital is a permanent Municipal Institution and has been open since
1892.
The following staff was effective during March and April 1900 ;—
Chief Medical Officer
Assistant Medical Officer
Hospital Assistants
English Nurses
Local Nurses ...
....
Under Nurses ..,
Oi
1
•storekeeper
Clerk
Compounders ...
Telephone Clerk
.Driver of Sterilizer
Ward-Boys
1
3
4
10
8
4
1
1
2
1
1
80
Ayahs
Dhobies
Mali
Bhisti
Dispensary Servant ...
Ambulance Men
Lime-Washers
Police Ramosees
...
Coolie for Sterilizer ...
Sweepers (Male)
Sweepers (Female)
18
7
7
1
1
1
4
2
6
1
3t
14
The menial establishment numbered in all 173 : this was the largest number
hitherto engaged, and was necessitated by the epidemics of small-pox, relapsing
fever and plague.
It was considerably reduced on the subsidence of these epidemics*
The disposition and arrangements of the wards, etc., remained much the
same as during the previous years. Two additional wards to accommodate 40
patients each were put up in the hospital compouDd for small-pox patients. The
ten sheds of the contact camp outside the hospital compound were converted to
hospital use and were utilised for small-pox patients also. The total accommodation
of the hospital was thus enlarged to 580 beds,—340 for small-pox, 120 for relapsing
fever, and 120 for plague. A steam sterilizer on Bowman's patent was put up and
has worked satisfactorily. A semi-permanent store-room, 24'X 22', was also erected
during the year.
No alterations were made in the latrines, or conservancy system. The method
of disinfection of clothes, etc., by sweepers previous to washing by dhobies continued
to be the same except for what is noted below.
Water-supply continued to be the same as in previous years.
No alterations were made in the system of disinfecting wards and other
buildings.
All clothes, sheets, blankets, etc., were sterilized daily in the steam sterilizer
previous to giving to dhobies for washing.
The disposal of the dead continued to be on the same principle as described
in the last report.
Inoculation of Raffkine't Serum.*-Twenty-two cases of plague that had
been inoculated with Haffkine's prophylactic were admitted. Of these 9 died and 13
recovered, the mortality rate being 40'90 per cent. Eleven of these cases were
treated with Lustig's serum, and an equal number were controls. Of the former
4 died and 7 recovered, whereas of the latter 5 died and 6 recovered,
157
TABLE I.
Total Admissions during the Year-
Mouths.
June
1899
July
„
August
„
September
„
October
.,
J/
. November
„
December
„
January
1900
February
„
March
„
A
P«1
,,
&ay
Total
Plague.
18
48
30
38
58
31
56
120
176
230
160
64
1,029
Kelap-
sing
Fever.
39
39
48
45
53
G4
220
191
103
139
235
173
1,349
Cholera.
1
...
...
...
1
1
2
H
43
G2
Small-
pox.
7
5
15
14
9
23
78
276
267
123
60
40
917
Chic-
ken-
pox,
2
1
4
...
...
2
10
42
20
8
5
...
94
Meas-
les.
...
...
1
• ••
• • *
2
20
20
10
2
2
57
Obser-
vation
cases
includ-
ing
general
diseases.
9
6
13
16
13
17
15
38
17
10
18
4
17C
Total.
75
100
110
114
133
138
381
687
604
522
494
326
3,684
The largest number of admissions during the week ending 13th January 1900,
when 217 patients were admitted.
The largest number of admissions on any day was on 9th January 1900, when
44 patients were admitted.
The total number of deaths during the year was 1 7 537.
The total number of deaths from Plague was 772.
The total weekly deaths were 80 in week ending 10th March 1900.
The percentage of deaths to admissions was 40'93 per cent.
The largest number of deaths during any day was on the 8th and 18th February
1900, when there occurred 16 deaths on each day.
TABLE II.
Diseases.
Plague
B elapsing Fever
Cholera
Small-pox
Chicken-pox ...
...
...
Measles
Observation find other diseases.,
Total ...
Admissions.
1,029
J,349
62
917
94
57
176
3,684
Deaths.
772
j
413
52
232
9
30
1,508
Recoveries.
257 |
936
10
685
94
48
146
.2,176
Percentage
of
Mortality.
75-02
30-61
83-87
25-28
15-78
17-04
40-93
158
TABLE III (&).—Plague.
Months.
June
1899
July
„
August
„
September ,
October
„
,
November „
December „
January 1900
February
„
March
J}
April
,,
May
„
Total
Total .
admis-
sions.
18
48
30
88
58
31
5G
120
' 176
230
160
64
1,029
Died with-
in 24
honrs.
7
16
9
11 ,
21
12
12
37
62
60
46
23
316
Died With-
in 48
hours.
3
8
6
9
20
7
15
30
36
44
34
11
223
Total
Deaths.
15
33
22
28
48
22
42
85
137
165
124
51
772
Total
Recoveries.
3
15
8
10
10
9
14
35
39
65
36
13
257
Percentage
of
Deaths.
83-33
68-75
73-33
73-68
82-75
70-96
75-00
70-83
77-84
71-73
76-87
79-61
75-02
TABLE III (B).—Relapsing Fever*
Months.
June
1899
July
„
August
„
September „
October
„
November „
December „
January 1900
February „
March
„
April
„
May
„
Total
Total
Admissions.
39
39
48
45
58
64
220
191
103
139
235
173
1,349
Total
Deaths.
9
7
13
11
12
21
65
69
45
41
56
64
413
Total
Recoveries.
30
82
35
34
41
43
155
122
58
98
179
109
986
Percentage
of
Deaths.
23-07
17-94
27-08
24-88
22-64
32-81
29-54
36-12
43-68
29-49
23'82
36'99
30-61
159
TABLE III (C).—Small-pox.
Months.
June
1899
July
>,
August
„
September
„
October
„
...
November
„
December
„
...
January
1900
February
,,
March
n
April
May
„
Total
Total
AdmissionB.
7
5
15
14
9
28
78
276
267
123
60
40
917
Total
Deaths.
1
8
2
8
17
72
72
85
19
8
232
Total
Recoveries.
6
5
12
12
9
20
61
204
195
88
41
32
685
Percentage
of
Mortality.
14-28
20-00
14-28
••••••
13-04
21-84
26-08
26'96
28-45
31-66
20-00
25-28
TABLE III (D).—Cholera.
Months.
June
1899
Juty
„
August
„
September ,,
October
,,
November ,,
December ,,
January 1900
February „
Marcb
„
April
„
May
„
Total
Total
Admissions.
1
1
1
2
14
43
62
Total.
Deaths.
1
1
i
1
11
37
52
Total
Recoveries.
1
3
6
10
Percentage of
Mortality.
100-00
100-00
100-00
50-00
78-57
86-04
83-87
160
TABLE IV (A).—Plague.
—
Hindoos
Mahometans
Kative Christians
Parsees
Total
Number.
883
48
82
16
1,029
Died.
672
34
52
14
772
Recovered.
211
14
30
2
257
Percentage
oi
Mortality.
76-10
70-83
63-41
87-50
75-02
Hindoos.
Males
Females
Children
'.
Total ...
Number.
563
192
128
883
Died.
449
148
75
672
Recovered.
114
44
53
211
Percentage
of
Mortality.
79-75
77-08
57-03
76-10
Maliomedans.
—
Males
Females
Children
Total
Number
89
3
6
48
i
Died.
28
3
3
34
Recovered.
11
3
14
Percentage
of
Mortality.
71-79
100-00
50-00
70-83
Native Christians.
' —
Maleo
Fesialea
Children
.„
«>
Total
Number.
54
14
14
82
Died
84
10
8
52
Recovered.
20
4
6
82
Percentage
oi
Mortality.
62-96
71*42
57-14
68-41
161
Parsees.
' •' — L.
Males
Females
Children '
Total
»..
Number.
9
6
1
16
Died.
8
6
14
Eecovered.
1
1
2
Percent agt
of
Mortality.
88-88
100-00
•••*••
87-50
TABLE IV B.—Relapsing Fever.
Native Christians
Total
Number.
1 141
a ?
171
33
2
2
1,349
Died.
35
48
11
1
413
Kecovered,
788
123
22
2
1
936
Percentage
of
Mortality.
30-93
28'07
33-33
50-00
30-61
Hindus.
Total
Number.
817
193
131
1,141
Died.
264
68
21
853
Keoovered.
553
125
110
788
Percentage
of
Mortality.
32-31
85-23
16-03
30- 93
Mahomedans.
Children
...
»••
Total
Number.
157
8
6
171
Died.
43
3
2
48
Becovered.
114
5
4
128
Percentage
of
Mortality,
27-38
87-50
33-83
28-07
162
Native Christians.
i Number.
Males
Pemales
Children
Total ...
2b
4
1
33
Died.
8
2
1
11
Recovered.
20
2
22
Percentage of
Mortality.
28-57
50-00
100-00
33-33
Partees.
Males ...
Total ...
Number.
2
2
Died.
Recovered.
2
2
Percentage of
Mortality.
Beni-Israel.
Males ...
"Females
Total ...
Number.
1
1
2
Died.
1
1
i
Recovered.
1
1
Percentage of
mortality.
100-00
50-00
TABLE IV C.—Small-pox.
Hindus
Native Ohristians
Total
Number.
023
90
204
917
Died.
135
80
67
282
Recovered.
488
60
137
685
Percentage of
Mortality.
21-67
38-38
32-84
25-28
163
Idindus.
Males
Females
Children
Total
Number.
315
115
193
623
Died.
77
31
27
135
Eecovered.
238
84
166
488
Percentage of
Mortality.
24'44
26'95
13-93
21-67
Mu&salmans*
Males
Females
Children
Total
Number.
56
9
25
90
Died.
21
3
6
30
Recovered.
35
6
19
60
Percentage of
Mortality,
37-50
33-33
24-00
33-33
Aative. C/instians.
Mules
Females
Children
...
Total
Niimber.
137
39
28
204
Died.
47
16
4
67
Recovered.
90
23
24
137
Percentage
of Mortality.
84'8U
41-02
14-2.S
32-8-1
Of the 917 cases of small-pox, 461 were vaccinated and 456 nn vaccinated.
The former showed a mortality rate of 19*52 per cent, as against 31*14 in the latter.
TABLE V.
Mortality amongst Sex and Children.
A.—Plague.
Total Mortality
lor the year.
772=75-02 p. c.
Mortality amongst
Men.
5 19= 78-04 p. c.
Mortality amongst
Women.
167 77-67 p. c.
Mortality amongst
Children (all under
12 years of age).
86=57-71 p. c.
164.
13.—Relapsing Fever.
Total Mortality for
the year.
413=30*61 p. c.
Mortality amongst
Men.
315=31-34 p. c.
Mortality amongst
Women.
74=35-92 p. c.
Mortality amongst
Children.
24=17.39 p. c.
C.—Small-pox.
Total
Mortality.
232=25-28 p. c.
Mortality amongst
Men.
145=35-53 p. c.
Mortality amongst
Women.
50=30-67 p. c.
Mortality amongst
Children.
37= 15-04 p.c.
TABLE V (A).
Percentage of Mortality according to age Periods in Plague.
Age.
1. Up to 1 year
2, 1 year to 10 years *..
3. 10 years to 20 „
Percentage of
Mortality.
• • •
59-09
73*51
Age.
4. 20 years to 30 yeais ...
5. 30 „ to 40 „
6. 40 and upwards
Percentage of
Mortality.
74*85
82-10
83-49
TABLE VI.—Showing the Situations of the Buboes.
Situations.
Cervical ...
Parotid
Bight axillary
Left axillary
Right femoral
Left femoral
Eight inguinal
Left inguinal
Other situations*
No buboes
Multiple buboes
Total
No. of
Cases.
77
18
107
81
93
94
83
67
28
45
326
Males.
53
13
64
•
56
68
73
70
45
15
40
247
Females.
24
5
43
25
25
21
13
22
13
5
79
Mortality.
56
13
87
67
65
61
61
45
17
41
247
Recoveries.
21
5
20
14
28
33
22
22
11
4
79
Percentage of
Mortality.
72-72
72-22
81-30
82-71
69*89
64-89
73-49
67-16
60'71
91-11
75-76
* Occipetal, supra-clavicular, supra-hyoidal, median and lateral, sub-maxillary, sub lingual, over
shoulder joint, supra-trochear ? brachid, on forearm, pectoral, popliteal; calf of leg, and ilia.
165
TABLE "VII.—Pneumonic Plague.
Males
Females
Children
Total
Admitted.
22*
3*
25
Died.
21
3
24
Recovered.
I
3
Percentage of
Mortality.
95'45
100-00
96-00
* Bacteriological examination was made in all cases and verified by cultures.
TABLE VIII.—Secondary Plague Pneumonia.*
Males
Females
•Children
Total
Admitted.
30
8
38
Died.
28
8
36
Recovered.
2
2
rercents 50
of Mortality.
93-33
lOO'OO
94-73
* Secondary plague pneumonia generally supervened from the 3rd to the 7th day.
No startling developments have been observed in the types and course of
plague during the epidemic of 1899-1900, and no new symptoms or phases of disease
have been recorded. The virulence and intensity of plague poison was ou a par with
that of the epidemic of 1898-99 and there has been no appreciable change either for
the better or the worse. In fact, with the exception noted below, there was nothing
worth recording or deserving of special mention. The admission of patients was
marked this year, more so than in any previous, by cycles of different types, one
replacing the other, and disappearing just as suddenly as it came. Primary septi-
cosrnic plague, cases with marked meningeal symptoms especially in children,
hoemorrhagic cases, cases developing secondary pneumonia, secondary septiccemic
-cases with multiple buboes in different parts of body, and cases with large oellnlo-
cutaneous necrosis, all occurred in groups and within short periods, and totally
disappeared. Hosmorrhagic cases were more common during the height of the
epidemic, and cases with necrosis during its decline. Secondary pneumonia was not
so much in evidence but the mortality was very high.
Plague complicated with other diseases was noted as usual, and on account of
the prevalence of small-pox several cases of plague and small-pox were observed. In
almost all of these, plague developed first, and was followed by small-pox. Relapsing
fever, malaria, and phthisis prevailed as usual. Only a few cases of the former were
noticed. Special reports dealing with the cases treated with Professor Lustig's serum
have been already furnished.
N. H. CHOKSY, M.D. (Hon.-Cans:—Freiburg),
Special Assistant Health Officer.