NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
CONTENTS.
I.—Introduction.
II.—Summary of Conditions during 1918.
III.—The Spleen Census.
IV.—Anti-malarial Measures.
V.—Report on the Work of the? an jab Malaria Bureau-
Appendices.
Appendix A—Chart I.—To show the total mortality {< Fever >} mortality ani autumnal
" Fever " mortality in the Punjab from 1867 to 1918.
Chart II.—To show the total mortality " Fever" mortality and autumnal
" Fever 1 " mortality per mille of population from 1867 to 1918.
Chart III.—To show the monthly " FeveT }> mortality and the monthly rain-
fall during the year 1918.
Appendix B.—Table I.—To show the deaths registered from "Fever" in the districts of the
Punjab in 1918.
Table II.— To show the total fever deaths and the death rates per mille of
population of the towns in the Punjab for the year 1918.
Table III.—To show the monthly fc Fever " mortality of the towns and rural
circles of the Punjab for the year 1918.
Table IV. >To s"how the spleen-rate by districts in June 1918.
Table. V.—^To show the agleen-rate by districts in November 1918.
Appendix C.—Map I.—To show the " Fever " death-rate of districts in 1918 and the spleen-
rate in June and November 1918.
Map II,—^Tp show the distribution of epidemic malaria in the Punjab in 1917.
No. 9516-Genl.
PROM
THE HON'BLE COLONEL E. CHAELES MACWATT, C.I.E., M.B.,
F.E.C.S., I.M.S.,
Inspector General of Civil Hospitals, Punjab,
To
THE HOW'BLE MR. B. T. GIBSON, I.C.S.,
Financial Secretary to Government, Punjab.
Dated Lahore, the 6th November 1919.
SIR,
I HAVE the honour to forward herewith the Annual Report of the Chief
Malaria Medical Officer, Punjab, for 1918.
2. The great delay again this year in the submission of the report is
regretted. As in 1918, the delay occurred in the office of the Chief Malaria
Medical Officer primarily, and subsequently at Eoorkee in having the maps
and charts zincographed. I shall take necessary steps to endeavour to avoid
a recurrence of these delays.
I have the honour to be,
SIR,
Your most obedient servant,
K. CHAELES MAO WATT,
COLONEL, I.M.S.,
Inspector- General of Civil Hospitals, Punjab,
51 IGCH—358—24-11-19—SGPP Lahore.
No. 25s M. I.
THE HOK'BLE COLONEL R. C. MAC WATT, C.I.E., I.M.Sr,
Chief Malaria Medical Officer•, Punjab,
To
TEE INSPECTOR-GENERAL OF CIVIL HOSPITALS,
PUNJAB.
Dated Lahore, the 11th June 1919,
SIR,
I HA.YB the honour to forward herewith the annual report on malaria
in the Punjab, during the year 1918, together with a short note on the work of
the Punjab Malaria Bureau.
2. The record is necessarily brief on account of the fact that the
malaria staff was reduced to the smaUest proportions as the result of the con-
tinuance of the War.
I have the honour to be.
SIR,
Your most obedient servant,
R. C. MACWATT, COL., I.M.S.,
Chief Malaria Medical Officer, Punjab.
2
"What part malaria played in contributing towards the phenomenal
" fever " mortality in the last 3 months of the year it is not possible to state.
It can however be surmised as the result of the study of previous epidemics,
that in the area visited by the malaria epidemic of 1917, the malaria mortality
wouM be low in the following autumn. A consideration of the results of the
spleen census carried out in 1918, which will shortly be mentioned,
also lends support to the view, whilst the fact that the rainfall (vide Chart
III) was well below normal affords further corroboration of the accuracy of
this opinion.
8. But even if the complete absence of epidemic malaria in 191 &
could be proved, the year cannot be said to have been a healthy one from the
point of view of malaria, for the epidemic of 1917 necessarily left the popu-
lation of a large portion of the plains of the Punjab in an enfeebled condition*
It is reasonable to suppose that malaria may have contributed indirectly to
heighten the virulence of the influenza epidemic.
III.—THE SPLEEN CENSUS.
9. The spleen census was carried out in June and November 1918 in.
accordance with the plan inaugurated in 1914.
The school children, in all localities where hospitals and dispensaries-
are located', were examined by the medical officers in charge of the latter,
with the result that the provincial spleen rate of school children was -found to 1
be 16*7 per cent, in June and 12*3 per cent, in November. By combining the-
figures for the schools in each district a district spleen-rate can be calculated-
!Tke result of this estimation is shown in Table I ; whilst details regarding the
number of children examined, in each district and the degree of enlargement
of the spleen are given in Tables IV and V of Appendix B—•
No.
1
•8
4
6
7
8
9
10
11
12
13
"14-
15
ie
17
18
19
20
21
22
23
24
25
'26
27
.28
District.
Hissar
«.'
Gurgaon
...
...
Rohtak
...
...
Karnal
•••
...
Ambala
*»«
Simla
r
mm 1
...
Kangra
...
...
Hoshiarpur ...
...
Jullundur
..;
Ludhiana
Ferozepore ...
..
Lahore
»..
..
Amiitsar
...
Gurdaspur
...
..
Sialkot
...
Gujranwala ...
...
Gujrat
..
Shahpur
Jheliim
Eawalpindi
Atfcock
Mianwali
.,
Montgomery ..
Lyallpur
Jhang
...
Multan
,.
..
«••
...
>
...
»
*••
...
•
...
Muzaffnrgarh
.»•
JDera Gliazi Khan
,.-.
...
...
...
...
...
...
...
...
...
• ^ .
...
...
• ••
...
• • •
...
...
. •<
...
. • •
...
...
...
...
...
...
• ••
• • •
• >*
•
1.
• •«
• ••
• * •
• ••
• ••
• ••
• ••
• ••
•••
r
...
...
...
...
• »o
...
1
• ••
Spleen-rate in
June 1918.
9-8
34-6
7-0
8-5
12-0
14-7
14-2
10-7
5--9
5-4
10-7
14-9
12-6
19'2
9-9
30"5
9'8
30'6
25*6
6-7
10-5
31-0
42-5
19-0
24-6
29-0
64-3
53'5
Spleen-rate in
November 1918,
6'&
7-9 1
6-3
S-ff
7-r
0-5-
20-7
11-4
7-e
5-5
10-9-
3-0"
8-2
35-1
8-1
18-6'
71
20-8-"
15-6>
5-91
7-0
27-4
11-6-
13-3
18-2
89-3 1
41-5
Tho following points are noteworthy in connection with the above
figures :—
(1) The decline in the provincial spleen-rate during the period from
June to November 1918 was associated with an actual decline in 22 out of 28
districts , in 4 districts, (Julhmdur, liuftWaiUk Hoshiarpur and I'erozepore)
o
the spleen-rate Was stationary or showed a sligtit increase, whilst in 2 district
(Kangra and Attoek) there -was an appreciable increase in spleen-rate in
November 1918 as coinpared with the preceding June*
(2) The spleen-rate was exceptionally high in June 1918 in 6 dis*
tricts :r—
(1)
(*)
(3)
(4)
(5)
(6)
Dera Ohazi Khan
Montgomery
Shahptit
Muzaffafgarlt
Oujranwala _
Mianwali
***
tr*
. .<
««4
• •«
»*«
<> tf
• ••
»»•
it%
• it
• 4«
*«•
044
»4*
BpUen-ratet
53-5
42-5
8O'0
64'3
80-5
81-0
A scrutiny or Map 11 will show that with one exception these dist
ricts were those most severely involved in the epidemic in 1917. The high
spleen-rate in June 1918 in Mianwali District requires further investigation*
10. It may thus be concluded from an examination of spleefi-ratet
hat tlte height of the spleen-rate in June 1918 was largely the result of the
epidemic in the previous autumn ; whilst it may also be surmised from the'
universal decline of the spleen-rate in all districts in the plains of the Punjab;,
exhibited by the spleen census carried out in ^November 1918, that during 1
the autumn of this year epidemic malaria was entirely absent in the above'
area.
11. The spleen census has now Been carried out twice a year" for 5
years with the result that statistics of considerable value have been collected*
The results of these estimations up to date are summarised in Table II, where'
the provincial " fever " death rate for the corresponding period- is also*
shown—
TABLE XL
Provincial spleen^rates and fever cteaih-rat&i 1914—1$
iPunJabv
Spleen-rate per cent. ,..
j'eveY 1 ' death-rate per
mills.
1914.
June,
14-4
:
tl
03
>
o
1 Jz;
; 16-5
17-86'
1915.
June,.
14-2
November-.
11-07
14-72-
1916,
June.
9-05
: i
§
>
. &
i2«4
19-44
1917.
1 1
16-2-
26-42
i
1918.
S3
16-7
1
&
f
1
12-3
66-56*-
i
1
i
•Influenza.-
It will be seen that in yeaTS m- wltich the spleen-rate m November"
shows an increase over the preceding June, the 1 fever death-rate for the year'
is relatively high. On' the other" hand, in 1915 when the spleen-rate in 1 -
Kovember 1915 was lower than in the preceding June £he provincial dfeath
rate was lower than in any other year.-
The high v fever "' death-rate- in 1918' is' obviously tlie result of"
influenza. In the absence of the latter 1 disease the " fever "' death-rate for'
1918 might be estimated approximately to be about 20*0 per mille' or 3 - k&
©th-er words, the influenza death-rate in-1918 was roughly 4i6' O per mille*-
IV.—A]tfTi-MAi4EiAii MEASURES;
12.- Little progress can Be* recorded, largely as ; the^ result of financMi
stringency and. other -diniculties associated with the continuance of- the Waafy
m th^s matter of anti-malarial m^asutesi.
Mainly on the former account, it is understood, action has not 1 yet been
taken to give effect to the recommendations made in the report on malaria
at Amritsar whioh forms the chief investigation of a local problem that has
been completed in recent years by the Malaria Bureau.
13. It must be admitted that the scheme for the quininization of
school children has on the whole proved a failure. The difficulties to be
overcome ara no doubt considerable ; but, in* view of the lack Of interest, and
indeed of apathy, shown by municipal officials as well as by school masters
• and teachers, no scheme could prove successful. On the other;hand it should
In fairness be stated that the prosecution of this scheme forms no part of the
proper duties of these officials, and it/is for consideration whether the medical
department should not assume a more direct responsibility for a .measure which
is essentially of a therapeutic nature.
14. The quininization of school children, however, forms ' "f>art of the
larger problem which comprises the measures necessary to bring quinine
•within the reach of all classes of the population.
V.---REPORT oisr THE WORK or THE PUNJAB MALABIA BUREAU.
15. The post of Chief Malaria Medical Onicei\was held as a collateral
charge throughout the year by the Inspector General of Civil Hospitals,
Punjab, as owing to the exigencies of the service no full-time offioer was
available. The staff also was reduced, as the result of demands made by the
War, to the smallest proportions.
The investigation of many problems connected with malaria, for which
the Department was originally created on the recommendation of the AlWndia
Malaria Conference of 2909, had thus perforce to be curtailed.
The Eirst Assistant, Bawa Harnam Singh Bhalla, did much useful work
in various capacities. He visited many of the more important Railway Stations
in the Punjab with a view to giving advioo in regard to the measures
necessary to reduce the incidence of malaria.
He investigated an outbreak of a disease, which proved to be malaria
at Ujena in the Gurgaon District! and he also inquired into an epidemic dis-
ease (shown to be relapsing fever) at Paridabad in the same district. In the
month of June he visited Lahaul valley in Kulu (Kangra District) to report
on an outbreak of disease in villages in the Manchat valley. After visiting 27
villages he came to the conclusion that the disease was Qerebro^Spinal fever.
With the return of the staff on the conclusion of the War it is hoped,
that the resumption o| the systematic study of malaria problems will again,
ke^om.e jogsiWe,
B, C t MAOWATT, COLONEL, I.M.S.,
Chief Malaria Medical Officer^ P«a2y?
W IC[Cj[»358^0.7-lfiwSQPP l»ho$-
APPENDIX A.
CHART, 1.
Showing the Total Mortality, "Fever" Mortality and Autumnal Mortality in the
Punjab from 1867—1918.
Red Total Recorded Mortality.
Green Total "Fever" Mortality.
Yellow Autumnal Fever Mortality.
Photo. Zinco., July, 1919.-No.5265-2.359.
APPENDIX A.
CHART, 2.
Showing the Total Mortality "Fever" Mortality and Autumnal Fever Mortality
in the Punjab from 1867—1918.
Red Total recorded Mortality per mille.
Green Total "Fever" Mortality per mille.
Yellow Autumnal Fever Mortality per mile. Zinco, July, 1919.—No. 3265-3. 559.
APPENDIX A.
CHART 3.
Showing the Monthly Fever Mortality and Rainfall
in the Punjab during 1918.
Red line Fever Mortality 1918.
Blue line Rainfall
1918.
Dotted line average
1918.
Green line Normal Rainfall. Photo. Zinco., July, 1919.—No. 5265-4. 398.
APPENDIX B.
DEATHS REaiSTERED FROM "FEVER" IN THE DISTRICTS OF THE PUNJAB
DTJRING 1918.
APPEN
TABLE
Blowing dea£%t ftgittered from " fierier "
1
1
2
3
5
P
7
s
t
10
11
12
13
14
15
16
17
18
19
20
31
22
23
24
25
26
27
28
Districts;
2
AMBABA DIVIS.ON.
Hissar
,,,
...
Eohtak
... ,
...
Gurgaon
...
...
Karnal
...
< ; .
Anabala
•»
...
Simla
...
...
JtHI/XTSTDTTjl DlYISION.
Kangra
...
Hoshiarpur ...
Jullundur ...
...
Ludhiana ...
...
Ferozepare ....
...
LAHOltK t/JVISION.
Lahore
...
Amritsar
...
...
Gnrdaspur ...
Sialkot
Gujranwala ...
EA-WAIPINDL- DIVISIQS.
Gujrat
...
...
Shahpur
.,,
Jhelum
...
...
Bawalpindi ...
Attock
...
Miaowali
...
...
MuLTAtf DjVIEIOIT.
Montgomery...
...
Lyallpur
...
Jhang
...
...
Mtiltan
...
Muzaffargar.li...
,,.
Dera Qhazi Khan
...
Total
Population,
i9ii.
3
80*,8S9
?14,834
720JL67
799,787
632,553
34,970
7§6,686
918,569
787,956
517,192
9£3,499
1,017,742
879,311
832,561
963,279
923,419
745,634
687,366
504,195
507,642
515,286
341,377
504,115
888,895
515,526
801,375
569,461
499,860
19,337,146
January.
4
1,4?2
981
2,696
1,116
816
19
726
1,164
975
556
1,653
2,320
1,750
1,162
1,472
8,587
1.623
2,302
1,041
777
1,253
1,185
2,648
1.595
1,761'
4,066
2,817
2,313
45,911
February,
g
1.175
731
1,795
934
723
17
677
959
926
497
1,172.
1,593
1,189
809
1,076
2,537
1,133
1,451
829
624
1,000
1,010
1,544
1,165
1,386
2,787
2,286
1,793
33,816
March.
6
1/U&
803
l.,769
867
808
16
749
1,076
1.968
475
1,044
3,219
1,224
734
943
1,822
980
1,126
699
655
945
950
1,163
963
1,054
2,455
1,512
1,230
30,343
April.
7
1,112
1,005
2,837
938
877
18
80S
1,347
1,518
341
1,030
966
1,265
750
810
1,371
797
854
568
672
8S3
679
827
934
745
2,073
1,231
1,068
28,314
May.
8
1,617
1,831
4,562
1,317
947
29
1,406
2,000
1.718
548
1,434
1,364
1,750
1,028
1,261
1,472
673
875
617
I
656
750
737
799
1,380
844
1,745
1,149
1,307
35,816
June.
9
1,311
1,558
3,048
1,822
1,079
30,
1,522
2,186
1,466
596
1,257
1,578
1,717
1,150
1,305
1,495
974
899
599
536
759
5S2
748
1,425
829
1,224
823
845
33,063
July".
•
i>q48
1,060
M$
1,327
8JB4
23
},268
1,649
1,256
661
1,054
1,511
1,492
986
1,257
1,280
954
831
5fe
530
712
524
679
1,073
652
1,001
?01
564
26,845
DXX 9.
I.
in tfo districts of the Punjah during 1918.
August.
11
765
702
852
877
727
61
1,114
1,212
1,010
533
867
1,267
1,387
776
976
1,096
773
613
482
518
682
489
588
9Q8
524,
935
647
495
21,876
September.
1.2
842
622
874
854
604
54
1,130
1,172
954
535
1,015
1,599
1,568
985
1,122
1,204
904
642
566
589
754
57S
734
1,027
514
1,085
1,048
,823
24,393
October.
13
16,574
19,963?-
19,644
8,676
3,543
98
2,249
4,786
9,517
8,487
14,358
13,§97
14,705
10,741
8,599
8,683
7,318
6,753
4,425
3,182
6,782
3,837
7,867
12,374
3,313
9,648
7,109
11,115
247,938
November.
14
35,248
44,328
53,617
40,988
22,414
891
12,943
23,407
19,39J5
20,476
39,618
23,481
23,175
29,452
24,695
31,059
23,447
19,618
12,224
13,C04
.12,481
9,786
16,758
23,845
15,710
22,212
13,836
11,450
637,959
December. <
15
5,911
4,385
5,353
8,884
6,733
233
6,435
3,912
2,040
1,786
5,793
3,674
3,829
4,006
4,959
11,044
4,661
3,957
1,255
2,042
2,432
1,857
4,745
3.278
8,559
6,678
4,301
3,011
120,753
Total.
16
68,139
77,969
98,847
'^.SOO
40,135
9S9
31,027
44,869
42,744
35,491'
70,295
54,169
5/5,051
52,579
. 46,475
66,650
44,231
33,821
23,883
23,785
29,408
22,209
89,100
49,967
30,891
55,909
37,560
36,034
1,287,027
Katto
per mille
1916.
17
84-66
109-07
184-88
85-10
68-45
28-28
«J'47
43-85
54-25
68-62
75-30
53*22
62-61
63-15
5032
72-18
59-32
56-48
47-37
46-85
57-07
65-06
77-56
56-21
59-92
69-77
65-96
* 72-09
66-6€
Born Dead.
18
292
417
175
549
751
11
59
4
64
60
79
1,072
834
79
636
. 832
69
55
1>
44
31
450
41
798
872
946
746
40S
12-764
Infantile
mortality.
Infantile
mortality
Bate.
19
8,749
11,498
10,167
11,679
7,500
255
7,216
8,787
9^79
7,G97
11,193
11,065
9,878
9,020
8,856
8,149
6,599
5,279
3,206
4,279
3,336
3,376
5,260
9,874
6,023
6,582
3,468
2,499
' 201,078
20
*r->
251rO
327-2
383-6
284-7
276-65
343.67
254-96
240-64
278-0
-327-1
280-89
257'0£
262-95
236-90
207*37
240-08
228-13
241-80
194-59
233-05
138-33
251-47
289-95
252 46
290-85
274-38
229-54
264'8O
282-68
iv
TABLE H.
Showing the number of total and Fever deaths registered in towns of the Punjab, during 1918.
No.
1
2
3
4
6
6.
7
8
9
10
11
12
13.
14
15
16
17
18
19
•80
21
23
28
24
25
26
27
SB
29
30
Hissar
Hansi
Bhiwani
Sirsa
Towns.
HISSAR DISTRICT.
... ...
...
... ...
...
Fatehabad...
Rohtak
Jhajjar
Beri
Gohana
• a
...
...
...
...
...
...
...
...
...
ROHTAK DlSTRlCT.
...
...
...
Bahadurgarh
Sonepat
Rewari
Palwal
...
—
...
...
...
...
...
...
...
GURGAON DISTRICT.
...
...
Firozpur-Jhirka
Hodal
Ballabga
Faridaba
Karnal
Kaithal
Panipat
...
...
i..
...
...
...
...
...
...
...
...
...
...
KARNAL DISTRICT.
...
...
...
Shababad...
Thaaesai
Ambala
Jagadha
Burya
Sadhaur
Rupar
Simla
Kangra
...
AMBAL
a ...
...
...
...
...
...
...
A DlSTRICT
...
...
...
...
...
...
...
...
...
...
...
...
SlMLA DISTRICT.
KANGRA
...
Dharamsala
...
DlSTRICT
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
17,162
14,576
81,100
14,629
2,406
19,862
10,617
7,798
5,488
4,990
12,014
24,780
9,485
5,719
5,468
4,053
4,487
21,018
12,912
26,342
11,054
4,719
24,493
12,045
4,272
7,774
6,935
18,934
3,620
2,518
982
•1,159
1,707
1,003
99
1,499
912
612
471
555
881
864
1,220
712
741
381
604
1,271
764
1,677
274
176
865
542
218
288
270
•
509
55
Total
deaths, 1918.
1,473
2,011
3,368
1,287
120
1,952
1,354
1,242
618
780
1,137
2,100
1,484
842
956
460
730
1,706
1,046
2,350
561
226
1,504
914
817
439
430
903
161
89
5722
79.51
54.89
68.58
41.15
75.47
85.50
78.48
86.61
111.22
69.17
34.87
128.62
124-50
135.52
94.00
134.61
60.47
59.17
63.66
24.79
37-30
35.32
45.00
51.03
37.05
38.98
26.88
20.44
21.84
85.83
137.97.
108.30
87.98
49.88
98.28
127.53
159.27
113.64
156.31
94.64
84.75
156.46
147.23
174.84
113.50
162.69
81.17
81.01
89.21
50.75
47.89
61.41
75.88
74.20
66.47
60.56
47.69
44.48
35.35
V
TABLE II—continued.
No.
81
32
S3
34.
35
86
87
8S
89
40
41
42
43
44
45
46
47
48
49
50
51
52
S3
54
55
S6
57
58
59
60
61
62
63
64
65
Towns;
HOSHIARPUR DlSTRICT.
Hoshiarpur
Khanpur ...
Hariana ...
Garhdiwala
Dasuya ...
Tanda Urmar
Miani
Mukerian
Una
Anandpur
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
JULLUNDER DlSTRICT.
Jullundur
Kartarpur
Banga...
Rahon
...
Phillaur ...
Nurmahal
Nakodar ...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
LUDHIANA DlSTRICT,
Ludhiana ...
Jagraon ...
Raikot
...
Khanna ...
...
...
...
...
...
...
...
...
FEROZEPORE DlSTRICT.
Ferozepore
Zira
...
Dharamkot
Muktsar ...
Fazilka ...
...
...
...
...
...
...
...
...
Ill
...
LAHORE DlSTRICT.
Lahore
...
Chunian ...
Khudian ...
Kasur
...
Khem Karan
Patti
...
...
...
•It
...
...
Bhagwanpura Bhogiwal
Ichhra
...
Pattoki Mandi
...
...
...
• It
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
• a.
...
...
...
...
...
...
Populati
16,980
2,523
5,395
3,093
2,597
7,016
4,870
2,053
4,178
4,041
55,354
8,631
4,6o2
6,292
5,224
7,178
8,859
43,152
• 15,039
7,510
3,319
24,678
4,378
5,859
8,834
10,985
210,271
7,151
2,992
24,783
5,732
7,987
6,993
5,489
1,880
648
71
189
136
307
324
274
106
118
107
1,965
433
203
440
254
308
438
2,410
733
424
161
892
852
293
497
733
S,349
849
155
1,049
216
431
467
93
72
1918.
Total
1,007
119
248
151
415
395
319
168
157
142
3,2S0
706
270
493
404
508
843
3,614
1,620
734
291
1,300
425
415
717
1,190
13,122
848
244
1,802
360
643
639
133
172
death-rate
1918.
Fever
milk,
38.16
2814
35 03
43.97
85.35
46.18
56.26
51.63
28.24
26.48
35-50
50.17
44.11
69.93
48.62
42.91
49.44
55.85
48.74
56.46
48.51
3615
80.40
50.01
56.26
66'73
89.71
48.80
51.80
42.33
37'68
53.96
66.78
16.94
38'30
death-rate
1918.
59.31
47.17
45.97
48.'82
115.37
58.30
65.50
81.83
37.58
35.14
58.89
81.80
58.67
78.35
77-34
70-77
95.10
83.73
107.73
97-74
87.68
52.68
97.08
70.83
81.16
108.33
62.41
118.53
81.55
72.71
62.81
80.51
91.38
24.23
91.49
TABLE II—continued.
66
67
68
69
70
7
72
73
74
75
76
77
78
79
80
81
82
S3
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
Towns
AMRITSAR DISTRICT
Amritsar
Majitha ...
Jandiala ...
Tarn Taran
...
...
...
...
...
GURDASPUR DISTRICT.
Gurdaspur
Dinanagar
Pathankot
Dalhousie ...
Batala
...
Dera Nanak
...
...
...
...
...
SIALKOT DlSTRICT.
Sialkot
...
Daska
...
Jamki
...
Pasrur
...
Zaffarwal ...
Narowal ...
Sambrial ...
Sahowala ...
Begowala ...
Bhopalwala
Mitranwali
Badomali ...
Kalaswala
Daud
...
Chawindah
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
GUJEASNWALA DISTRICT.
Gujranwala
Wazirabad
Eminabad
Kila Didar Singh.
Akalgarh ...
Ram Nagar
Sohda
...
Hafizabad
Khangah Dograu
Pindi Bhatti
Sangla
...
Sharakpur
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
....
...
...
...
...
...
...
...
151.339
5,223
6,959
4,260
5,133
4,154
7,007
938
26,430
4,556
48,595
6,046
8,542
7,564
3,633
4,464
6,285
3,558
3,768
3,336
3,183
2,815
2,915 "
3,481
4,695
28,637
17,146
5,526
2,210
3,943
5,256
4,666
5,742
1,267
3,631
980
4,482
Fever deaths, 191
6,175
392
372
180
205
276
410
27
1,154
172
575
187
140
241
156
200
189
164,
233
156
14
72
92
186
179
1,365
736
261
151
173
348
3C5
339
.63
134
32
170
00
Total deaths, 191
10,882
405
471
258
315
411
559
53
1,791
235
2,513
264
201
342
218
267
239
192
265
203
221
139
143
240
226
1,862
920
309
172
204
404
333
401
75
175
36
282
Fever deat
40.80
55.91
53.46
42.25
39.94
66.44
58.51
28.78
43.66
37.75
11.83
30.93
39.53
31.86
42.94
44.80
30.07
46.09
61.84.
46.76
4.40
25.58
31.56
53.43
38.13
47.67
42.92
47.23
68.33
43.88
66.21
65.37
59.04
49.72
36.90
32.65
37-93
71.90
77.54
67.68
60.56
61.37
98.94
79.78
56.50
67.76
51.53
51.71
43.67
56.75
45.21
60.01
59.81
38.03
53.96
70.33
60.85
69.43
49.38
49.06
68.95
48.14
65.02
5366
55.92
77.83
51.74
76.86
71.37
68.84
50.19
48.20
36.73
62.92
vii
TA£LE II—continued.
Ko.
1C4
JOT)
X06
.107
xos
109
110
111
13.2
113
114
115
116 '
117
118
119
120
121
122
123
124
125
126
-J27
128
129
130
131
Towns.
GtJJBAHWALA DISTRICT—COucld.
Shahkot ...
Cbuhar Kana Mandi ...
...
...
Nankana Sahib
...
...
...
GUJBAT- DISTBICT.
Gujrat -u ,,.
...
Jalalpur ...
..."
,.,
,.,
Kunjah ...
,,,
M .
...
Dingah &
~ ...
...
7..
SHAHPCR DISTBICT.
Shahpur ...
...
...
...
Sahiwal ...
...
„.
, M
Bhera
...
...
...
',..
Miani
.,',
...
,„
,,,
Klmshab ...
...
...
...
Sargodha ,.,
...
.,,
JHEIXTM DlSTBlCT.
Jhelum ~...
.,,
•.»
...
Pind Dadaa Khan ...
,/,
RAWALPINDI DISTBICT.
Rawalpindi
...
...
Murree ...
...
...
...
ATTOCK DISTBICT.
Pindigheb
...
...
Hazro
...
r..
...
...
MIAKWALI DISTBICT.
Mianwali
...
,.,
.„
Bhakkar ...
...
,..
Isa Khel ,„
Kalabagh,.',
...
.,.
MotfTGOME^X DlgTBIOT.
j Montgomery
...
...
•..
Kamalia
,.,
...
•..
Pakpattan
,..
T..
',..
LxALiptrE DISTRICT.
Lyallpur
',,.
„,
„.
Gojra
„.
;.;
r , 0 ;
JHAHG DISTBICT.
N Jhang Maghiana
,„
',,•;
'„-.
4 Chiniot ...
...
', M
',„
jording to
S3
.2
cs a
"o 3
pu ®
oO
PM
1,054
6 54
6,131
18,692
11,515 "
7,090
5,351
8,739
7,658
15,202
*,819
10,159
8,849
12,298
10,590
4C,642
1,361
9,045
9,950
6,224
5,3S8
6,868
6,654
8,129
8,237
7,912
19,578
5,417
25,914
14,085
1918.
•4*
S3
Ô
3
57
74
173
S90
388
306
237
98
351
701
283
285
219
450
434
1,284
31
357
250
257
367
510
204
121
446
402
509
88
806
510
L918.
i—•
71
93
248
1,161
545
370
321
317
,474
1,084
435
501
262
676
1,038
2,405
46
438
370
317
461
565
801"
273
618
449
681
122
1,523
879
a.
CD
"3
Is
•S3
54'08
86'65
28-22
47-61
33-41
4316
44-29
11-21
45-83
4611
48-63
28-05
24-75
36-59
40,98
27-53
-22 78.,
39-47
2513
41-29
68-11
74 26
30-66
14-88
54-15
50-81
26-00
15-32
31-10
36-21
rate per
4$
OS —1
C8-90
40-45
62-11
46-92
52-19
59'99
36-27
61-90
68-02
74-76
49-32
29-61
54-97
102-74
51-56
33-80
48-42
3719
50-93
85-56
82-27
45-24
33-58
79-03
56-75
34-78
22-52
58-77
62-41