NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
13
contains about 2A1/3 times the amount of immunising element that vaccine I
contains.
19th May 1905. Experiment III. Serum of goat VII.
Dilution of vaccine.
Vaccine I.
Vaccine II.
Undiluted.
.
.
Growth.
Growth.
2-fold dilution .
•
, ,
, ,
,,
.
.
3 ,,.
, ,
, ,
4 ,, ,,
.
.
.
Sterile.
5 . . .
.
, ,
, ,
6 „
,, .
.
.
, ,
, ,
7 ,,
.
,,
, ,
8 ,,
,, ,
.
.
, ,
, ,
9 ,,
.
.
, ,
, ,
Sterile.
1 0
„ .
.
Growth.
, ,
The growth in tube 10 of vaccine I was evidently an experimental error.
It is, therefore, left out of account. It is clear that the serum in this observation
was much less bactericidal than in either of the two experiments previously
detailed. We can calculate, in the same way as we have done before, that
vaccine II is 2 1/25 times stronger as regards its immunising power than vaccineI .
When we compare the results of these three observations made with
the same two vaccines but with three different sera on three different days, we
find that the relative strengths, as regards receptor content, were practically
constant, namely, (1) 1: 2.2, (2) 1: 2.3, and (3) 1: 2.4; the average of the three
observations being 1:2.3W e c a n , t h e r e f o r e , t a k e i t t h a t v a c c i n eI
a s r e g a r d s
its immunising power is 2.3 times weaker than vaccine II and that the dose
of the former should be 2.3 times greater than in the case of vaccine II. If the
dose of vaccine II be I cc., then we would expect the same immunising effect
from 2 . 3 cc. of vaccine I.
In conclusion, we have now to show that this method of comparative stan
-dardisation is also applicable to filtrate vaccines. Wright and Windsor12 have
already demonstrated that the filtrate of a broth culture of bacillus typhosus
14
which had been macerating before filtration at 37°C. for a period of five months,,
was able to diminish the bactericidal power of serum to the same degree as the
original culture. In other words, the receptors of the typhoid bacteria after five
months' maceration had become completely dissociated from the protoplasm
molecule and were found free in the fluid part of the vaccine.
We now tested side by side, (1) a broth vaccine which had been grown for
seven weeks before sterilisation and then allowed to macerate at 37°C. for a
further period of four weeks before testing, and (2) the filtrate of this culture got
by passing it through a Berkfield filter after the four weeks of maceration.
The following was the result:
Dilution of vaccine.
Broth vaccine.
Filtrate vaccine.
10-fold
.
•
,
•
Sterile.
Sterile.
9 .
•
.
, ,
, ,
8
, ,
, ,
7 .,
•
. .
,,
, ,
6 ,,
.
.
•
, ,
,,
5 .,
•
, ,
, ,
4 ,,
. . .
•
, ,
, ,
3
,, .
.
, ,
, ,
2
,,
•
'
Growth.
, ,
Undiluted
.
. , ,
, ,
*Dilution of serum
.
. ,
, ,
, ,
2-fold
.
, ,
Growth.
3
,
.
, ,
, ,
*In the two last tubes of each series the diluted serum was mixed with an equal quantum of
undiluted vaccine.
From this table it is seen that the broth vaccine possessed between three
and four times the anti-bactericidal power of the filtrate vaccine, Maceration
had not evidently been continued long enough to allow of the total receptors
being completely set free from the bacteria.
15
References.
(1) 'Journal of Hygiene,' Vol. 5, No. 3, July 1905, p. 380.
(2) 'British Medical Journal,' 30th January 1897.
(3)
'
Lancet,' 27th May 1905, p. 1453.
(4)
'
Journal of Hygiene,' October 1902.
(5) 'Bulletin of the Bureau of Government Laboratories,' Manila, September 1904
No. 16.
(6)
Deutsche Med. Wochenschr,' 4th May 1905, p. 697.
(7)
'
British Medical Journal,' 4th April 1903, p. 786.
(8) Lancet,' 14th September 1901, p. 715.
(9) 'British Medical Journal,' 30th January 1897.
(10) '
British Medical Journal,' 20th January 1900, p. 122.
(11) 'Lancet,' 5th July 1902, p. 13.
(12) '
Loc. Cit.'
(13) '
Journal of the Royal Army Medical Corps,' March 1905.
(14) '
Journal of Hygiene,' Vol. 5, No. 3, July 1905, p. 380.
(15) '
Centralblatt für Bakteriologie, Bd. XXXIV, No. 1, 1903, p. 70.
(16) '
Bulletin of the Bureau of Government Laboratories,' Manila, October 1904
No. 21.
(17) '
Lancet,' 1st June 1901, p. 1532.
(18) '
Loc. Cit.'
(19)
'
Journal of Hygiene,' Vol. 5, No. 3, July 1905, p. 380.
(20) 'Proceedings of the Royal Society'; Vol. 71, p. 54.
(21)
'
Lancet ', 1st June 1901.
(22)
'
Journal of Hygiene,' October 1902.
No. 21.
(NEW SERIES. )
SCIENTIFIC MEMOIRS
BY
OFFICERS OF THE MEDICAL AND SANITARY DEPARTMENTS
OF THE
GOVERNMENT OF INDIA.
ON THE STANDARDISATION OF ANTI-TYPHOID
VACCINE.
BY
CAPTAIN GEORGE LAMB, M.D., I.M.S.,
(Director, Pasteur Institute of India ),
AND
CAPTAIN W. B. C. FORSTER, M.B., D.P.H., I.M.S.
ISSUED UNDER THE AUTHORITY OF THE GOVERNMENT OF INDIA
BY THE SANITARY COMMISSIONER WITH THE GOVERNMENT
OF INDIA, SIMLA.
CALCUTTA :
OFFICE OF THE SUPERINTENDENT OF GOVERNMENT PRINTING, INDIA.
1906
Price annas 6 or 7d.
REPORT
ON
INOCULATION
IN THE
PLAGUE INFECTED AREAS OF THE PUNJAB AND ITS DEPENDENCIES
FROM OCTOBER 1900 TO SEPTEMBER 1901
BY
MAJOR E. WILKINSON, F.R.C.S. ENG.,
D.P.H. CAMB., I.M.S.,
CHIEF PLAGUE MEDICAL OFFICER, PUNJAB.
Lahore:
PRINTED AT THE PUNJAB GOVERNMENT PRESS,
1903.
TABLE OF CONTENTS.
SUBJECT.
I. Map of the Jullundur and Hoshiárpur Districts.
2. Statement No. showing the number of villages infected with
plague and of plague cases and deaths in the Punjab and
its Dependencies from October 1900 to September 1901.
3. Introduction ...
...
4. References to report on inoculation in the Jullundur and
Hoshiarpur Districts during 1899-1900
5. Names of districts and Native States in which inoculation was
practised ...
...
6. Annual details of plague cases and deaths from the outbreak
of plague in the Punjab to the end of 1900-01
7, Comparison of plague case mortality among uninoculated and
inoculated persons
...
...
...
8. Reference to inoculations practised in other districts than those
of the Jullundur and Hoshiárpur in the Punjab
9. Details of plague cases and deaths and of inoculations in the
Gurdáspur and Síálkot Districts ...
10. Statement No. 2 giving details of plague cases and deaths
in the inoculated villages in the Gurdaspur District
11. Statement No. 3 giving details of plague cases and deaths
in the inoculated villages in the Siálkot District
12. Inoculations among disinfecting coolies and cordon levy in
the Gurdáspur and Siálkot Districts
13. Details of inoculations in the Shakargarh and Zafarwál
Tahsíls, and inoculated villages and disinfectors and cordon
levy
14. Particulars of inoculations and plague cases and deaths in
Ghamrola in Gurdáspur District ...
15. Particulars of inoculations and plague cases and deaths in the
villages of Berári and Bholián in Gurdáspur District
16. Statement No. 4 showing names of Inoculators and the number
of inoculations performed by them...
...
...
17. Details of plague cases and deaths and of inoculations in the
Patiála State
18. Statement No. I showing the course of epidemic of plague in the
Jullundur District weekly from the beginning of October
1900 to the end of September 1901
19. Statement No. II showing the course of epidemic of plague in
the Hoshiarpur District weekly from the beginning of
October 1900 to the end of September 1901
2o. Inoculations performed in Jullundur and Hoshiárpur Dis-
tricts
...
...
...
...
21. Extracts from previous reports —
(a) Inoculation campaign of 1900
(b) Considerations for the above campaign
...
...
(c) Attitude of the people ...
(d) Reference to Report of the Indian Plague Commission
(e) Theory as to means by which infection is kept alive
...
(f) Perhaps by very mild undetected cases
...
(g) If these could be prevented plague might be stamped
out
(h) Inoculation should prevent these mild cases ...
...
(i) Therefore universal inoculation after an epidemic might
stamp out plague
(j) Possibility of such a scheme discussed
...
(k) Were people likely to accept it
...
...
...
PAGE.
\
ib.
ib.
2
ib.
ib.
3
4
5
ib.
ib.
ib.
ib.
6
6
7
8
9
ib.
ib.
ib.
ib.
10
ib.
ib.
ib.
ib.
ib.
ib.
[ ii ]
SUBJECT.
(l) Could the scheme be carried out ...
...
...
(m) Inducement to people considered sufficient
(n) Extent of the work
...
...
...
...
(0) Consideration as to area and population involved
...
(p) Previous experience
...
...
.,,
...
(q) Extensive operations necessary
...
...
...
(r) The task defined
...
...
...
...
(s) Visit of the Commissioner to Banga
(t) Effect of the Commissioner's visit ...
...
...
(u) Spread of inoculation
...
...
...
(v) Weekly totals of inoculation
...
...
(w) Monthly total
...
...
...
(x) Completion of the undertaking
...
...
,..
(y) Number left uninoculated
(z) Statement No. 5 showing the population of the infected area
and the number of inoculated persons by castes in the
Jullundur and Hoshiárpur Districts, from October 1899
to September 1900, together with the number left uninocu-
lated
Measures adopted in 1899-1900 in the Jullundur District.
22. Extracts from the previous Inoculation Report—
(aa) Method of obtaining informations regarding the occurrence
of plague cases and deaths—Observation
...
...
(ab) Measures taken to check plague in infected places
(ac) Isolation of sick
...
...
...
...
Segregration of contacts
...
...
Evacuation of villages
...
...
...
(ad) Disinfection of property
(ae) Núrmahal Town
...
(af) Disinfection of houses and villages ...
..,
...
(ag) Changes in methods of disinfection...
(ah) Disinfecting gangs
...
...
...
...
(ai) Cordons
...
...
...
,..
23. Measures for dealing with the disease were carried out with the
same thoroughness as formerly in the beginning of the
present epidemic
...
...
24. Strength of Medical staff on duty this (1900-01) year was less
than that of 1897-98 ...
25. Statement showing strength of Medical staff on plague duty
in Jullundur and Hoshiárpur Districts in 1897-98, 1898-99,
1899-1900 and 1900-01
26. Good reasons to hope until the disease re-appeared in the
inoculated (during 1899-1900) area of Jullundur and Hoshiár-
pur Districts that the object of the inoculation campaign of
1899-1900 had been attained
...
27. Statement showing monthly totals of plague cases and deaths
in the Jullundur and Hoshiárpur Districts in 1897-98 to
1900-01
...
...
...
28. Inoculation vigorously practised
29. Inoculation practised even in villages in the neighbourhood of
infected villages in the Jullundur and Hoshiarpur Districts
30. Statement No. 6 giving weekly totals of inoculations performed
in the Jullundur and Hoshiárpur Districts
31. Details of inoculations performed in the Jullundur and Hoshiár-
pur Districts given in Statements A, B and C ...
32. Preventive measures were promptly resorted to in the early
part of the epidemic ..
...
...
PAGE.
9
ib.
ib.
ib.
ib.
ib.
ib.
10
11
ib.
ib.
ib.
ib.
ib.
12
13
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
ib.
14
ib.
ib.
ib.
15
ib.
ib.
ib.
16
18
ib.
[ iii ]
SUBJECT.
33. Statement No. 7 giving incidence and mortality of plague among
uninoculated and inoculated population of certain villages in
the Jullundur and Hoshiárpur Districts ... ...
34. Table showing particulars of plague cases and deaths in the
Punjab during 1897-98 to 1899-1900 ... ...
35, Percentages of case mortality during 1897-98 to 1900-01
compared ...
...
...
36. Statement No. 8 showing number of days which elapsed
between inoculation and attacks of plague, with the results
of attacks in British Districts during 1900-01
...
37. Details of attacks and deaths among inoculated by districts ...
38. Difference between the epidemics of 1899-1900 and 1900-01
39. Human intercourse chief feature of the spread of plague
40. Difficulty in collecting plague statistics during the present year
41. Reasons for delay in the submission of the report
42. Good effects of inoculations of 1899-1900 stated ...
...
43. Reference to Plague Report of 1900-01
44. Efficacy of inoculation proved
45. Details of plague within and without the inoculated area of
1899-1900 in the Jullundur and Hoshiárpur Districts stated
in Statements A and B ... .... ....
46. Statement showing the population, cases, deaths and case
mortality per cent. of villages within and without the inocu-
lated area of
1899-1900...
....
....
....
47. Inoculation lessens, the severity of plague and case mortality ...
48. Statement No. 9 showing the incidence and fatality of plague
in the Jullundur and Hoshiárpur Districts during the
epidemics of 1897-98 and 1900-01
49. Severity of plague was less in the inoculated area than in
other places in the districts and consequently lower death-
rate
50. Statement No. 10 showing the incidence and fatality of plague
in villages in the inoculated area in the Jullundur and
Hoshiárpur Districts
51. Lessened incidence and fatality of the disease in the inoculated
area of Jullundur and Hoshiárpur Districts attributed to
inoculation ...
...
52. Lengthened freedom from the disease in the Jullundur and
Hoshiárpur Districts due to inoculation campaign of 1900...
53. Effects of the inoculation compaign of 1900 and those of
inoculations practised in the early part of the disease during
the present year explained
§4. Statement No. 11 showing the incidence and fatality of plague
within and without the inoculated area in the Jullundur
and Hoshiárpur Districts between October 1900 and May
1901 ... ... ... ... ...
PAGE,
19
21
ib.
22
23
ib.
ib.
ib.
ib.
24
ib.
ib,
25
ib.
ib.
26
id,
27
id.
ib.
ib.
28
APPENDICES.
I,
2,
3.
4
5
6.
7.
APPENDIX I.
Statement A showing particulars of plague cases and deaths as
well as of inoculations performed during 1900-01 in
villages in the inoculated area of 1899-1900 in the Jullundur
and Hoshiarpur Districts
...
..
Statement B showing particulars of plague cases and deaths as
well as of inoculations performed during 1900-01 in
villages out of the inoculated area of 1899-1900 in the
Jullundur and Hoshiárpur Districts...
Statement C showing the population of villages in the Jullundur
and Hoshiárpur Districts, together with the number of
persons inoculated in each by castes from October 1900 to
September 1901
...
Statement D showing total inoculations performed by each
Inoculator week by week in the Jullundur and Hoshiárpur
Districts during 1900-01
Statement E showing the names of Medical Officers and the
number of inoculations performed by each from October
1900 to September 1901
Statement F showing the total number of inoculations' per-
formed in the Punjab by castes from October 1900 to
September 1901
...
...
...
Statement G showing the names of villages and the castes of
their inoculated persons in the Ferozepore District from
October 1900 to September 1901 ..
...
...
Page.
it
xi
xiv
xxxvi
xl
xli
xlii
No. 3845.
FROM
MAJOR E. WILKINSON, I.M.S.,
Chief Plague Medical Officer, Punjab,
To
THE JUDICIAL AND GENERAL SECRETARY TO
GOVERNMENT, PUNJAB.
Dated Simla, 23rd October 1903.
SIR,
I HAVE the honour to submit my Report on Inoculation in the Punjab for
the year 1900-01.
The reasons for the delay in its submission are given in the report. For
such of the causes as I am responsible I have to express my great regret.
1 have the honour to be,
SIR,
Your most obedient Servant,
E. WILKINSON, MAJOR, I.M.S.,
Chief Plague Medical Officer, Punjab.
MAP
OF THE
JULLUNDUR AND HOSHIARPUR DISTRICTS.
Scale 1 Inch = 16 Miles.
REFERENCES:
Places and areas infected with plague in 1900-1901 hatched red.
The area inoculated in 1899-1900 is enclosed by a blue line.
P.G.
Press,
Lature.
Statement No. 1 showing the Number of Villages Infected with Plague, and of Plague Cases and Deaths, in the Punjab and its Dependencies from October
1st, 1900, to September 30th, 1901.
DISTRICTS AND TOWNS.
Jallundur District
Hoshiárpur District ...
...
Hoshiárpur City
.
Gurdáspur District* ..,
...
Siálket District
...
Siálkot City
Ferozepore District ...
Ludhiána. District
..,
...
Ludhiána City
.,,
.,,
Ambala District
...
.,.
Ambala Cantonment
Total of British Districts
Kapurthala State
Patiáila State
Total of Native States
GRAND TOTAL
OCTOBER 1900.
Cases.
3
3
1
3
Deaths.
...
Infected villages.
2
2
2
NOVEMBER
1900.
Cases.
5
59
7
71
71
Deaths.
39
3
Infected villages.
2
2
1
5
5
DECEMBER
1900.
Cases.
11
65
5
81
81
Deaths.
6
47
1
54
Infected villages.
...
4
I
5
... | ...
54
5
JANUARY
1901.
Cases.
10
87
26
123
23
Deaths.
7
75
18
101
101
Infected villages.
5
6
3
14
14
FEBRUARY
1901.
Cases.
24
177
106
307
307
Deaths.
108
78
198
198
Infected villages.
2
...
8
6
16
16
MARCH
1901.
Cases.
270
31
231
431
63
?63
Deaths.
100
13
»3S
274
525
Infected villages.
33
4
13
19
69
69
APRIL 1901.
Cases.
1,567
318
559
1,038
11
2
3,495
438
533
4,018
Deaths.
634
162
338
711
10
3
1,857
311
58
369
2,226
Infected villages.
70
23
22
41
3
159
10
\
11
170
MAY 1901.
Cases.
1,423
242
450
896
10
5
33
3
61
1
3,124
531
42
573
3,697
Deaths.
8:5
121
370
502
8
3
26
3
44
1
1,793
391
22
413
2,206
Infected villages.
42
15
...
...
1
1
1
1
61
6
2
8
69
JUNE 1901.
Cases.
189
50
1
335
433
2
10
1,023
36
18
54
1,074
Deaths.
131
33
202
242
2
3
602
30
0
35
628
Infected villages.
12
6
1
...
1
1
21
I
1
32
JULY 1901.
Cases.
12
8
185
30
235
335
Deaths.
9
6
110
145
MS
Infected villages.
3
1
4
4
AUGUST 1901.
Cases.
21
8
7
36
36
Deaths.
13
3
20
...
36
...
36
Infected villages.
1
1
...
3
3
SEPTEMBER 1901.
Cases.
143
113
194
450
31
31
481
Deaths.
35
66
88
189
12
12
201
Infected villages.
6
2
...
8
...
...
8
TOTAL.
Cases.
3,678
770
I
2,349
2,972
10
16
35
5
71
1
9,908
1,005
176
1,181
11,089
Deaths.
1,762
394
1,436
1,849
8
13
28
5
46
1
5,542
722
98
820
6,362
Infected villages.
178
52
I
55
70
1
3
2
I
3
I
366
17
3
20
386
* Thirty nine deaths occurred at the village of Darmán during October, most of which were probably due to plague.
Note—The statistics for the Gurdáspur and Siákot Districts up to the end of April are those furnished by Medical Officers. The figures for May to September have been supplied by the Civil authorities.
1
REPORT
ON
INOCULATION IN THE PUNJAB
FROM
OCTOBER 1ST, 1900, TO SEPTEMBER 30TH, 1901.
THIS report, besides dealing with the inoculations performed during the plague
epidemic of 1900-01, also reviews the results of the inoculation operations carried out in the
adjacent Nawashahr and Garhshankar Tahsíls of the Jullundur and Hoshiárpur Districts
in the hot weather of 1900, which have already been reported on.
2. The present report therefore is in continuation of the Report on Inoculation
Operations in the Jullundur and Hoshiárpur Districts for 1899-1900, and is a supplement
to the Plague Report for 1900-01.
3. The causes of the delay in the submission of this report will be noticed later.
4. In order, as far as possible, to diminish the necessity for reference to the reports
mentioned and to make the present report complete in itself, the introduction to the
Plague Report for 1900-01, together with certain tabular statements, are reproduced below
with certain alterations and additions to be presently referred to, and extracts from the
Inoculation Report for 1899-1900 will be given when dealing with inoculation in the
Jullundur and Hoshiárpur Districts.
5. Inasmuch as the Plague Report for 1900-01 deals only with the epidemic up
to the end of July 1901, while the present report deals with the "plague year" from
October 1st, 1900, to September 30th, 1901, the statistics given in the introduction of that
report and in the statements reproduced from it have been altered in order to complete
them up to the end of September 1901. Certain other information, such as the number of
villages infected, of plague cases and deaths, and of inoculations performed in the infected
districts, has also been added for facility of reference.
6. It will be seen that inoculation was practised in five of the seven infected
British Districts and in one of the two infected Native States. The number of inoculations,
together with the number of plague cases and deaths, in the infected British Districts and
Native States are reproduced in a tabular form below :—
Infected districts.
I. Jullundur ...
2, Hoshiárpur
...
...
3. Gurdáspur
...
...
...
4. Siálkot ...
5. Ludhiána ...
...
...
6. Ferozepore
...
...
7. Ambala ...
...
...
.
Total British Districts
I. Kapurthala State
...
...
3. Patiála State
Total Native States
GRAND TOTAL
Infected towns
and villages.
178
S3
55
71
3
3
3
366
17
3
20
386
Cases.
3,678
771
2,349
2,982
40
16
72
9,908
1.005
176
1,181
11,089
Deaths.
1,762
394
1,436
1,857
33
13
47
5,542
722
98
820
6,362
Inoculations.
45,266
4,162
3,018
5087
...
193,487
...
3,791
3,791
197,278
2
7. The same details with the addition of the number of cases and deaths among
inoculated persons for the Province from the commencement of plague in October 1897 are
tabulated below.
8. It has already been remarked that with the exception of a few isolated cases
plague had hitherto been almost confined to the adjacent Nawashahr and Garhshankar
Tahsíls of the Jullundur and Hoshiárpur Districts. The only other place in which an
outbreak of plague occurred—as opposed to isolated or imported cases—was the village of
Haidon in Patiála territory, where 26 cases of plague with 19 deaths occurred in March
and April 1900.
9.
Until the present year inoculations were entirely confined to the Jullundur and
Hoshiárpur Districts, and in these districts, with the exception of 6,134 inoculations in
eight villages of the Phillour Tahsíl on the border of the Nawashahr Tahsil, all inoculations
hitherto performed were limited to the Nawashahr and Garhshankar Tahsíls.
Year.
1897 98 ...
1898-99 ...
1899
1900
...
1900-01 ..
...
...
Total to the end of September 1901
Cases.
3,413
419
859
11,089
15,780
Deaths.
2,114
226
530
6,362
9,232
Inoculations.
3,918
9,184
293,628
197,278
504,008
AMONG INOCULATED
PERSONS.
Cases.
8
22
94
1,482
1,606
Deaths.
2
8
36
541
587
10. The case mortality calculated on the total figures, after deducting the number
of cases and deaths among inoculated persons from the gross totals, works out as 60 99
per cent. for the uninoculated and as 36 55 per cent. for the inoculated—a diminution of
24 44 per cent. in favour of the inoculated.
11. The corresponding figures for the year under report are 60 59, 36 50 and 24 09
per cent. respectively.
12. Only a brief reference is necessary to the inoculations carried out elsewhere
than in the Jullundur and Hoshiárpur Districts, and as the subject of inoculation in these
districts forms the most important part of this report, it will be convenient to dispose of
matters of minor interest first.
Ferozepore.
Inoculations 5,587.
13. With regard to the inoculation in the Ferozepore District little more need be
added to what has been stated in the intro-
duction than that as inoculations were not
commenced until after the outbreak of plague at Moga had ceased, no opportunity
occurred of testing their protective influence.
14. The circumstance that of the 6,700 inhabitants of Moga 5,300 were inoculated,
although both plague and inoculations were new experiences to them, is very greatly to
their credit, and is an example of their cordial co-operation with the authorities, which has
been mentioned in a previous report.
15. The remaining 287 inoculations, though all performed at Moga, were distributed
among the inhabitants of 101 villages, and were intended to disseminate the idea of
inoculation, at the same time demonstrating its harmlessness.
Of the 5,587 inoculations preformed at Moga, 79 were preformed by Captain Perry
I.M.S., and 5,508 by Major Coleman, I.M.S., the Plague Medical Officer.