POONA DIVISION OF THE ARMY.
31
1875.
1874.
Daily average number of sick
22·8
18·7
Admissions to strength
120·2
87·3
Treated to strength
122·9
Deaths to treated
0·4
Deaths to strength
0·4
Invalided
16
3 deaths in hospital—1 pneumonia, 1 debility consequent on a severe attack of remittent
fever with enteric complication, 1 acute atrophy. 4 deaths out of hospital—1 at Karkála
from cholera, 1 suddenly in the lines from old-standing lung disease, 1 suddenly from
heart-disease, 1 shot himself. 16 were invalided, 3 discharged with gratuity, 1 by special
invaliding committee, 1 dismissed by sentence of court-martial, and 5 as absent without leave.
10. Ague has been for the most part of a mild nature; re-admissions were, however,
frequent, and large spleen common. Remittent fever 16, many of a very severe type, with.
cerebral, enteric, and chest complications. 1 severe case of cerebral complication recovered,
but with imbecility of mind was discharged the service by special invaliding committee,
and one of the cases which afforded decided enteric symptoms lived for some time after the
subjugation of the fever. The chest complications were principally of a bronchitic and
pneumonic character; these soon recovered under the use of large doses of quinine, counter
- i r r i t a n t s , a n d s a l i n e o r s u p p o r t i n g t r e a t m e n t a c c o r d i n g t o t h e c a s e . I n a N a t i v e h o s p i t a l o n e
frequently meets with cases of pneumonia, pleuro-pneumonia, capillary bronchitis, and acute
bronchitis, where the accompanying fever runs high, but almost invariably is remittent in
type; it is difficult to determine whether these cases are of idiopathic origin,—viz., from ex
-posure to cold or wet—or are mere complications of remittent fever. The diagnosis how
-ever, immaterial as regards treatment, for all these cases yield to large doses of quinine. In
the treatment of ague and remittent fever, cinchonidine has been used in grs. x and grs. xv
doses, but I found it of decided use only in mild cases of ague. In remittent fever I found
it check but not cure the disease; and in these cases, when recourse was had to quinine
in grs. x. doses, the effect was almost immediate and conclusive. Many of the cases of re
-mittent fever would not, however, yield until quinine was used hypodermically, which was
invariably successful: grs. ii was the quantity injected twice a day. I adopted the recipé
of Dr. Nolan, and never found sloughing or ulceration follow. The prescription is
— R . : q u i - n i n e d i s u l p h , 3 s s . ; a c i d t a r t a r i c , g r s . x v . ; a q u a d i s t i l l a t . 3 s s . 1 5 m i n i m s c o n t a i n a b o u t
grs. ii. of quinine. There were 34 admissions from dysentery, many of them sharp in their
nature, but not of the very acute kind with high fever. In some of the cases I was obliged
to have recourse to large doses of ipecacuanha, but I never used more than a scruple; but
I am not sure that, on the whole, this treatment is suited to the Native constitution. Of pneu-
monia 1 case only ended fatally. Bronchitis, 22.—For this disease I find bark and ammonia
the most useful treatment. Rheumatism 51, and lumbago 30. As these are the class of
diseases generally simulated by candidates for pension I am bound to say I think half of
them, at least, dubious. 13 admissions from guineaworm,—not, however, all contracted at
Poona: many of the men returned from the Konkan, from furlough, showed symptoms of this
disease. Most of the 49 ulcers were shoe-bites. Syphilis, excluding gonorrhœa, 12 cases
—not many for large station like Poona.
Mortality according to Race.
11. The following table will show the mortality for the
year, the ratio per cent. according to caste as compared with
the year 1874:—
Christians.
Hindus.
Mussulmans.
Jews.
Total.
European.
N a t i v e .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
S t r e n g t h .
R a t i o o f D e a t h s t o S t r e n g t h p e r C e n t .
1874
7
...
8
...
644
0·7
37
...
3
...
699
0·7
1875
7 ...
10
...
627
0·3
32
3·1
4 ...
680
0·1
In hospital 2 Hindus and 1 Mussulman, and 4 Hindus died out of it. 16 Hindus were
invalided.