21.7
No. 9. .
H. H. Aga Khan's Plague Hospital for Khojas.
The Hospital was founded by the late lamented K, B, Mahomedbhoy
SDbrahim on 26th April 1897 and up to the time of his untimely death, which took
.place on the 9th June 1899, all the expenses were borne by him. Immediately after
his death, the management was taken by the Mahomedbboy Ebr&him Testimonial
Fund Committee, composed of the Hon'ble Fazulbhoy Visram (Chairman), Dr.
Ismail Jan Mahomed, Messrs. Ebrahimbhoy Kehimtoola, Camaria Ismail Cassimi,
Abdoolabhoy Lalljee, Dostmahomed Peerbhoy, Allarakia Sewjee, Ooomabhoy uan-
mahomed, Abdulla Allarakia, with F. M. Chinoy and M. H. Lalljee as Secretaries,
•and M. H. Lalljee as Treasurer. Qhe management continued np to the 15th of
December 1899, when the Hospital was transferred to His Highness Fir Pultun
Mahomed Shah, K.O.I.E., by whom all the expenses are now borne. The Com-
mittee of Management consists of the Hon'ble Mr. Fazulbhoy Visram, Hon'ble
Mr. Ebrahimbhoy Rehimtoola, Camaria Ismalbhoy Cassum, Messrs. Mahomedbhoy
Hajeebhoy Lalljee and Joomabhoy Janmahomed.
During my.absence on sick leave from the 16th of November 1899 to 12th
January 1900, Dr. Dias acted for me. Mr. Shereali Ebrahim was the manager
throughout the year. The Hospital staff consists of the Medical Officer, one Mana-
ger, one Compounder, -two Ayahs, two Ward Boys, two Cooks, two Hamals and
two Methranis.
As regards the description of the Ho?pitul building, it is fully described in
my report of the year ending 31st May 1899.
As regards Conservancy, water supply, disinfection-of wards, £c., and the disposal
of the dead, the same measures were adopted as was done last 3 ear ; every attention
was paid to cleanliness and disinfection.
A list giving full particulars of cases inoculated with Prof. Hafi'kine's serum
is herewith attached.
There was no sickness amongst the staff cf the Hospital from any infectious
disease.
Enclosed please find 9 tables, giving full particulars as regards the number
,of cases admitted, deaths, recoveries, percentage of mortality, &c.
During the week ending -31st March 1900, there were 9 patients admitted
which is the highest number of admissions in one week^and 4 patients admitted on
the 23rd September 1899, which is the largest number admitted in one day.
The total number of deaths during the year was 56, of which 55 were
plague cases ; the average mortality per hundred is 43;5. Out of the 55 patients
who died in Hospital from plague, 7 were brought" in a moribund condition and died
within <a few hours after admission.
•
Symptoms, character, and treatment of the disease : I have given in my last
report full details of the same ; this year very few new symptoms have been obser-
ved, except in three of the plague cases small-pox oruptions appeared ; when these
patients were admitted into the Hospital, they had all the .symptoms of plague with
characteristic buboes, but during'convalescence they developed small-pox. One
patient was sent to the Hospital with all the symptoms of plague, except the
characteristic bubo ; in this patient the nervous symptoms were well marked. In
consultation with J)r. Hunt, the case was diagnosed to be one of plague, most
probably the .case \v ; as one of sopticsemic form.