NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
115
being removed for more careful investigation to a place
reserved for the purpose. Care must be taken that the
carriages are locked before the arrival of the train at the
inspection station and that no passenger is permitted to leave
his carriage until in orderly course the arrangements shall
be complete for such examination.
"The Surgeon-General will keep this department and the
Railway Branch of the Public Works Department fully
informed of all medical arrangements made in this connection
and regarding the strength of the staff at the various inspec-
tion stations appointed under the Plague Regulations." (G.O.,
No. 351-M., dated 2nd March 1897, paragraphs 3 and 4.)
5.
Regulation 14.—" The Agent and Manager, Madras Rail-
way, will issue instructions to the railway staff to give every
assistance to the medical officers conducting the inspection
in order to minimise the detention of trains.
"The Agent and Manager, Madras Railway, will arrange
to detain the trains at Guntakal* until the medical inspection
is over and to carry those passengers who have not been
detained by the Sanitary officer by the same train.
"In order to avoid detention at Perambúr of passengers
who have already been passed by the Inspectors at Arkonam
and Guntakal,* punches with a special device should be
supplied to the inspecting officers at Gruntakal* and Arkonam
who will punch the tickets of all passengers passed by them;
passengers producing tickets at Perambur punched with this
device should be allowed to proceed at once by the same
train." (G.O., No. 128-R., dated 25th February 1897, rules
2, 3 and 6, printed in G.O., No. 332-M., dated 1st March
1897.)
"Care should be taken that the punches are not used
except by responsible persons, and that they are kept in
safe custody when not in use." (G.O., No. 519-M., dated
18th March 1897.)
6.
Regulation 14.—" The order prohibiting the locking of
carriage doors printed on page 93, paragraph 228 of the
Company's working time-table is suspended for stations
* The inspection station has been removed from Guntakal to Tungabhadra with
effect from the 22nd April 1898.
116
adjacent to inspection stations." (G.O., No. 132-R., dated
26th February 1897, printed in G.O., No. 345-M., dated
2nd March 1897.)
7.
Regulation 14.—" The Government of India are advised
that, in the absence of any symptoms showing a passenger
to be suffering from fever, it is unnecessary to examine his
person for the purpose of finding out whether buboes are
present, and I am directed to request that this practice, if
it is at present enforced anywhere, may be discontinued."
(Letter from the Government of India, Home Department,
Sanitary, No. 47, dated 5th January 1898, paragraph 8, printed
in G.O., No. 10-P., dated 8th February 1898.)
8.
Regulation 14.—"As regards pilgrims in reference to
whom the Collector of Madura offers certain suggestions, it
seems to Government that a man who arrives at one of the
Frontier Inspection Stations and states that he is going to
Ramesvaram or elsewhere on a pilgrimage must ordinarily be
unable to satisfy the inspecting medical officer in charge of
the station "that he is proceeding to any fixed place of resi-
dence." A pilgrim thus unable to satisfy the medical officer
should be detained for ten days under Regulation 14 of the
18th December 1897, and the inspecting medical officers should
be instructed to act accordingly." (G.O., No. 466-P., dated
13th May 1898.)
9.
Regulation 17.—"The proper safeguard against the
development of plague, after a person has passed Guntakal *
is in the working of Regulations 16 and 17, under which
the name and address of every individual coming from an
infected area are communicated to the local authorities of
the place of his destination, where he is, or should be, kept
under observation. If these Regulations are attended to
everywhere, there is no need to establish a number of in-
spection stations in the interior of the Presidency, and it
would, as a rule, suffice to have them on the frontiers."
(G.O., No. 98-P., dated 28th February 1898, paragraph 1.)
* The inspection station has been removed from Guntakal to Tungabhadra with
effect from the 22nd April 1898.
117
10.
Regulation 17-ii.—" There is no doubt that at small rail-
way stations the duties connected with the issue of passports
under the Plague Regulations can be performed by the
Station-masters, while it might perhaps be difficult for them
to undertake the task at some of the larger stations. The
Collector must settle with the Railway authorities of each
district at which stations the railway staff shall be required
to do the work and at which stations the Collector should
make other arrangements." (G.O., No. 454-P., dated 9th May
1898.)
11.
Regulation 25.— "Any regulations that Collectors or the
President, Municipal Commission, Madras, may find necessary
to frame under clauses (1) (6) of this Regulation and City
Regulation 16 should provide that when the burial of a person
who has died of plague takes place in proximity to habita-
tions or sources of watersupply, the corpse shall be wrapped
in a cloth soaked in a solution of corrosive sublimate and be
buried 6 feet deep." (G-.O., No. 429-P., dated 4th May
1898.)
12.
Regulation 29.—This Regulation is in force at the inspec-
tion stations in the Bellary district. (G.O., No. 337-P., dated
16th April 1898 ; and Notification No. 302, Fort St. George
Gazette, dated 19th April 1898, Part I-A, page 92.) Also in
the Nilgiri district. (G.O., No. 515-P., dated 26th May
1898 ; and Notification No. 468, Fort St. George Gazette, dated
7th June 1898, Part I-A, page 173.)
IT.—Madras City Regulations of 18th December 1897. (a)
1.
Regulation 1.—Vide note under Original Mufussal Regu-
lation 1 of 18th December 1897 (page 113).
2.
Regulation 11 (b).—Vide note under Original Mufassal
Regulation 3 (6) of 18th December 1897 (page 113).
00 Printed on pages 22 to 29.
118
3.
Regulation 16.—Vide note under Original Mufassal Regu-
lation 25 of 18th December 1897 (page 117).
III—Additional Mufassal Regulations of 1st March 1898. (a)
1.
Regulation 1.—" With reference to No. 1 of the Addi-
tional Mufassal Regulations, published at pages 55—63 of
the Fort St. George Gazette, dated 1st March 1898, His Excel-
lency the Governor of Fort St. George in Council hereby
declares the districts of Bellary and Kurnool to be Under
Observation." (G.O., No. 134-P., dated 4th March 1898; and
Notification No, 186, Fort St. George Gazette, dated 8th March
1898, Part I-A., page 66.)
2.
Regulation 4.—The following articles should be maintained
at Road Frontier Inspection Stations. The District Medical
Officer may increase the quantities named if he considers the
traffic on the road concerned warrants it. The medicines should
not be supplied unless a medical subordinate be in charge. The
equipment of Railway Frontier Inspection Stations will be the
subject of special representation by the officer in charge.
Disinfectants.
Soapnut
....
Soft soap
....
Perchloride of mercury
Common salt
....
Permanganate of potash
LB.
5
3
2
2
1
Sanitary Equipments.
4 Wooden tubs (25 gallons).
6 Earth chatties.
Hospital Equipment.
2 Bamboo stretchers with
awning.
3 Galvanized iron buckets,
with two iron hooks.
5 Kerosine hand lanterns.
5 Country rope charpoys,
or chentsu cots.
Native hospital clothing
for six females.
Native hospital clothing for six
males.
8 Cumblies.
6 Matrasses.
12 Pillow cases.
24 Mats.
2 Camp tables.
2 Do. chairs.
(a) Printed on pages 30 to 45.
119
Hospital Comforts.
Arrack . .
. .
. .
. .
. .
Arrowroot
Condensed milk (milk maid brand)
Bovril
BOTTLES.
4
LB.
2
TINS.
6
6
Cooking utensils.
2 Two-pint block tin sauce
pans.
1 Frying-pan.
6 China bowls of sizes.
Medicines, &c.
Tinctura Cinchonse
Ammonii Carbonas
Spirits Ammon Aromat.
Spirits Æther Sulph
Caffeine
Quinine Sulph.
Acid Sulphuric dil.
Hydrargyri Subohloridum
Pil. Rhea Co.
Pil. Col. Co.
Oleum Ricini
Tinctura Opii
Opium
Tinotura Assafœtid
Oleum Menthæ Pip.
Spirits Ætheris Nitrosi
Liquor Ammonia Acetatis
Antipyrin
Potass Bromidum
Scales and weights
Glass mortar
Spatula
Slab
Clinical Thermometer
Ounce glass
Minim measure
Pocket case
oz.
2
1
2
4 ¼
4
2
\1/3\
4
I
2
1
2
2
\1/3\
4
10
3
2
1 set.
No.
1
1
1
1
1
1
1
(G.O., No. 93-P., dated 26th February 1898; No. 257-P., dated 18th April 1898 5 and
No. 002-P., dated 22nd June 1898.)
3.
Regulation 5.—The Medical Officers in charge of the
inspection stations at Hospet and Tungabhadra have been
120
appointed to act under this Regulation. (G.O., No. 337-P.,
dated 16th April 1898; and G.O., No. 466-P., dated 13th
May 1898.)
4.
Regulation 5.—Vide note under Original Mufassal Regu-
lation 17-(ii) of 18th December 1897 (page 117).
5.
Regulation 16.—" With reference to the rules regarding
'certificates of the cause of death,' I am to say that the
Government of India have no "doubt that the Government
of Madras fully realize that recent experience in the Bombay
Presidency has shown that any system of corpse examination
is dangerous and requires the exercise of great caution and
judgment. The Government of India observe that the Col-
lector is not empowered to require the production of the
certificate unless he has a sufficient medical staff at his
disposal to secure immediate inspection, so that there may be
no chance of funerals being delayed. The Government of
India consider this to be a very wise precaution, and that it
must absolutely precede the consideration of the question
whether corpse inspection in any form can be introduced at
all. They are further of opinion that it is necessary that the
Collector should also have a sufficient staff of female assist-
ants for the prompt examination of all corpses of women.
The examination of the corpses of women by men should
never be required. In the second part of rule 16 of the
rules issued by the Government of Madras, it is stated that
if burial or cremation takes place without a certificate of
the cause of death having been obtained, the death may be
presumed to have been due to plague and the persons believed
to have been in recent immediate contact with the corpse
shall be liable to segregation and detention. In the event of
it ever becoming necessary to enforce the provisions of rule
16 anywhere in the Madras Presidency, the Government of
India consider that it should be made clear to the people that
the examination of corpses will never be compulsory, and
that they may always accept the alternative of the enforce-
ment of the precautions adopted in the event of ascertained
cases of plague." (Letter from the Government of India,
Home Department, No. 662, dated 25th March 1898, printed
in G.O., No. 330-P., dated 14th April 1898.)
121
6.
Regulation 21.—" This Regulation authorises Collectors
to requisition the services of railway employés only for work
connected with a railway, and it is not intended to employ
them in such a manner as to interfere with their duties as
railway servants. Collectors will, however, be instructed that
railway servants should not be called upon to do plague duty
when it would interfere with their proper avocations or re-
quire them to absent themselves from the place where their
duty as railway servants has to be performed." (G.O., No.
314-P., dated 4th April 1898.)
IV.—Quarantine Regulations of the 31st August 1897. (a)
1.
General.—" These Regulations impose upon every 'Sani-
tary authority,' within whose jurisdiction a port exists, the
duty of providing suitable places for the segregation, obser-
vation and treatment of persons suffering or suspected to be
suffering from plague." (G.O., No. 1218-M,, dated 17th May
1897.)
2.
General.—By Notification No. 49 published in the Fort
St. George Gazette, dated 10th May 1898, Part I, page 421
(G.O., No. 32S-A, Marine, dated 2nd May 1898), the quaran-
tine Regulations have been imposed at all ports of the Madras
Presidency against arrivals from Calcutta. On the 10th May
1398, the following telegram was sent to the Port Health
Officer, Madras :—
" Admit healthy vessels from Calcutta into harbour and
" allow them work cargo on following conditions, namely,
" ships' crews to be inspected night and morning and not to
" leave ship; list with addresses of shore coolies employed to
" be maintained and those who do not return to work next
" day, to be inspected under orders of Municipal Health Offi-
" cer with whom arrange.
" Indent on Commissioner, Police, for men to prevent any
" but registered coolies from boarding ships, and ships' crews
" from landing, and to guard bathing enclosures, and to com-
" pel their use by coolies.
" All coolies and police who have boarded ships to take
" disinfecting bath in enclosure on beach after landing and
(a) Printed on pages 46 to 54.
16
122
" before going home. Arrange with Harbour Board for
" enclosure.
" Disinfect their clothes also. Examine boats and cargoes
" for rats."
(G.O., No. 367, Marine, dated 11th May 1898.)
3.
General.—" His Excellency the Governor in Council is
pleased to extend to all outports of the Madras Presidency,
where the Port Health Officer is not below the rank of
Apothecary, the provisions of G.O., No. 367, Marine, dated
11th May 1898, in regard to working cargo on healthy ships
from an infected port. The requisite police force will be
drawn from the District Reserves, and if these prove insuffi-
cient, the Inspector-General will apply for sanction to the
entertainment of additional men as a temporary measure."
(G.O., No. 382, Marine, dated 13th May 1898.)
4.
General.—" If the provisions of G.O., No. 367, Marine,
dated 11th May 1898, as extended by G.O. No. 382, Marine,
dated 13th May 1898, be strictly applied to all outports, medi-
cal inspection will, during the ten day period, be necessary
at every port at which a vessel touches, however short the
interval between inspections. His Excellency the Govern-
or in Council is pleased to relax the rule so far as to allow
one inspection only in the case of the twin ports at which
steamers call on the same day, provided that no sickness shall
have declared itself on board after inspection at the first, and
before arrival at the second, port." (G.O., No. 432, Marine,
dated 27th May 1898.)
5.
Regulation 15 (3).—" The Government of India under-
stand that Regulation 15 (3) is intended to prohibit the
detention of healthy persons on board an infected ship except
when, through stress of weather or some other cause, it is
absolutely impossible to land them." (Letter from the
Government of India, Home Department, Sanitary, No. 2091,
dated 8th September 1897.)
"The interpretation placed by the Government of India on
Regulation 15 (3) is in accordance with the intention of the
Madras Government. Under the rule in question, all persons
on board an infected vessel are, if possible, to be landed."
(G.O., No. 823, Marine, dated 21st September 1897.)
128
V.—Marine Regulations of the 2nd November 1897. (a)
i.
Appendix I—" All Commissioned Medical Officers" of the
Madras Presidency are hereby authorised to grant the certifi-
cate shown in Appendix I.'' (G.O., No. 512, Marine, dated
17th June 1898.)
VI.—Miscellaneous.
1.
" All communications addressed to Government and to
other officers regarding the bubonic plague should be marked
with the word ' Plague ' in red ink on the outside covers
and on the left-hand corner of the papers themselves." (G.O.,
No. 2414-M., dated 2nd November 1897.)
2.
" I am directed to request that, with the permission of
the Governor in Council, copies of all notifications issued by
the Government of Madras under the Epidemic Diseases Act
may be forwarded to all other Local Governments and
Administrations. It is desirable that all Local Governments
and Administrations should be aware of the measures adopted
in other parts of India, and the experience of one province
may be of assistance to other provinces." (Letter from the
Government of India, No. 6, Sanitary 602, dated 20th Feb-
ruary 1897, printed in G.O., No. 294-M., dated 25th Feb-
ruary 1897.)
3.
" I am to invite the attention of the Govern-
ment of Madras to the last sentence of rule 11 of the
Resolution (b) of the Government of India in the Home
Department, Nos. 227—240, dated the 3rd February last.
In that sentence the Government of India expressed the
opinion that the rules should not, under any circumstances,
exempt from their operation any class of persons as such,
or be limited to persons who travel by railway by a particular
class. They consider that such class exemptions are open
(a) Printed on pages 55 to 60.
(b) Printed on pages 71 to 90.
124
to the gravest objection, and that the rules should be gov-
erned by the principle that they should apply to all classes
alike, but that the precautionary measures should only be
enforced against persons with regard to whom there are
reasonable grounds of suspicion." (Letter from the Govern-
ment of India, Home Department, No. 662, dated 25th
March 1898, printed in G.O., No. 330-P., dated 14th April
1898.)
4.
"The Government of India consider it will be best that
they should continue to issue Regulations affecting sea-borne
trade and that Local Governments should not issue such
Regulations under Epidemic Diseases Act." (Telegram from
the Government of India, Home Department, No. 516, dated
17th February 1897, printed in G.O., No. 142, Marine, dated
20th February 1897.)
5,
"I am to request that, with the permission of the Gov-
ernor in Council, instructions may be issued that no plague
cultures or substances infected, or supposed to be infected,
with plague virus should be sent to the Agra Laboratory."
(Letter from the Government of India, No. 9, Sanitary 869,
dated 9th March 1897.)
"Communicated to the Surgeon-General and the Sanitary
Commissioner. The Surgeon-General is requested to com-
municate this to all District Medical Officers and the Surgeons
of Districts in Madras. Experiments with the plague virus
being conducted at the Medical College or by the Health
Officer of the municipality or elsewhere should be stopped
and all cultures carefully destroyed." (G.O., No. 649-M.,
dated 22nd March 1897.)
6,
"Due notice will be given by Government as soon as it
is considered safe to relax any of the restrictions now im-
posed on trade and on the movement of passengers. Until
then, they should be carefully enforced." (G.O., No. 1574-
M., dated 9th July 1897.)
7.
"Collectors should at once report to Government any
action they may take, or propose to take, in the way of
applying the Regulations to any area. His Excellency the
125
Governor in Council would impress on all Collectors and
Presidents of District Boards, the necessity of prudence and
care in working the Regulations, and of obtaining the best
medical, sanitary or other advice available before taking
action." (G.O., No. 219A.-M., dated 15th February 1897.)
8.
" If difficulty should arise in any district in the working
of the Regulations under the Epidemic Diseases Act and the
rules * issued in G.O., No. 522-M., dated the 13th March
1897, the Collector of the district is requested to refer the
matter at once for the orders of Government.
" Collectors are authorized to spend whatever may be
necessary for carrying out the requirements of the regula-
tions and rules issued under the Epidemic Diseases Act to
meet any emergency that may arise." (G.O., No. 2276A.-M.,
dated 18th October 1897.)
9.
" As regards the cost of these inspection stations, the
Government considers that all charges incurred on account
of the superior medical officers, the magistracy and the
police may be met from Provincial funds, while expenditure
on account of the subordinate staff, hutting, medical appli-
ances and the like should be paid by local boards, the muni-
cipalities also sharing the cost where the inspection stations
are adjacent to them. The proportions to be paid by these
bodies may be settled by mutual arrangement or by the
Collector subject to the orders of the Government." (G.O.,
No. 900-M., dated 13th April 1897, paragraph 2.)
10.
G.O., No. 720, Financial, dated 4th September 1897.—
" With reference to G.O., No. 411, dated the 19th of May
1897, asking me to maintain separate accounts of plague
charges and to submit quarterly statements of such charges
to Government, I have the honour to state that the Comp-
troller-General has instructed me that special medical
expenditure on account of the plague should be debited to
new heads specially opened under '24. Medical' in the
accounts, but that all expenditure on additional Police or
Revenue establishments, as well as the cost of any additional
staff for the ordinary hospitals and dispensaries, &c., should
* Printed on pages 61 to 70.
126
be charged to the appropriate service heads, even though the
additional appointments may be due to the plague.
" I would enquire whether the quarterly statements to be
submitted by me should include also the indirect charges
debited to the ordinary service heads or whether it will be
sufficient if only the direct charges classified separately in
the accounts are shown in them. If Government requires
the former also, I would observe that information regarding
the indirect charges will have to be collected in this office
from the paid bills, and that separate registers will have to
be maintained for the purpose. If, however, the direct
charges alone are required, the quarterly statement can
easily be prepared from my books." (Letter from the
Accountant-General, No. 2369, dated 3rd August 1897.)
" I have the honour to state that in its order No. 411,
Financial, dated 19th May 1897, Government has directed
that all general precautionary charges incurred in connection
with plague should, for the present, be debited to Provincial
funds.
"In paragraph 2 of G.O., No. 900-M., dated 13th April
1897, recorded in G.O., Mis. No. 370, Financial, dated 4th
May 1897, however, it has been ruled, with reference to the
incidence of cost of plague inspection stations, that all charges
on account of superior medical officers, the magistracy and
the police may be met from Provincial funds, while expendi-
ture on account of the subordinate staff, hutting, medical
appliances and the like should be paid by local boards, the
municipalities also sharing the cost in cases where the inspec-
tion stations are adjacent to them.
"In the later order of 19th May 1897, no reference is
made to the order of 4th May 1897, and it is not clear there-
fore from what source the charges should be met in the first
instance,—whether wholly from Provincial funds, subject to
subsequent adjustment of the portion chargeable to Local
and Municipal funds or to what particular class of charges
the order of 19th May refers. I therefore solicit early orders
of Government on the subject." (Letter from the Account-
ant-General, No. 2403, dated 6th August 1897.)
Order No. 720, Financial, dated 4th September 1897.—"In
the orders already passed on the incidence of plague charges
in this Presidency, it has been decided that Provincial
revenues and Local funds shall, for the present, bear the
expenditure as follows :—-