( 4 )
Deaths from fever in
Hardoi.
Increase of attendance.
26. It is worthy of remark that of the number of deaths only five
from fever are stated as having occurred in all the dispensaries of the
" Hardoi" district, in which 3,474 cases came under treatment, or
.14 per cent. to treated, but the " mortuary return" for the same
period gives out of a population according to the census of 1872,
855,535, no less than 12,485 casualties from fever alone, a high death
rate equal to the entire destruction (save 37) of the whole of the Radauli
town. In comparison with the previous 12 months, the decrease in the
attendance of patients is marked, being 309 against the corresponding
months of 1875. This is attributed in a great measure to the healthi-
ness of the season.
27. In Duriabad the actual attendance was less by 581 than the
previous year, but the cause was owing to the unusual healthiness of the
season, and in no way attributable to any want of attention or skill of the
Hospital Assistant in charge.
Cause of decrease in
patients at the branch
dispensary.
Removal of Hospital
Assistants.
28. In the report for 1875, submitted with this office No. 762,
dated 28th April, 1876, and at para. 211, page 49, the branch dispen-
sary at Ikowna was unfavourably commented upon, and the accuracy of
the registers questioned, in consequence of which the Hospital Assis-
tant in charge, 3rd class Hospital Assistant Jan Muhammad, was removed
and succeeded by 3rd class Hospital Assistant Lutf Ali ; such change
being deemed advisable ; the result was as might have been expected a great
falling off of patients actually in attendance, or tending to prove that the
previous records were falsely drawn up. The decrease in the average
daily sick is in no way attributable to inattention on the part of the
Hospital Assistant at present in charge, who is both popular and well
reported of by his superior.
Prevalent diseases.
29. The principal causes of sickness throughout the province
were skin disease, 7,619 ; fevers, 6,636 ; abdominal affections, 5,650 ; in
many instances particular diseases being peculiarly local; thus for instance,
goitre is most prevalent in the districts of Bahraich, Fyzabad, and
Gonda, as many as 7,392 cases having come under treatment during the
year 1876 in Bahraich alone. Calculi in the bladder is very frequently
met with in the districts of Fyzabad and Gonda. Fevers of a bad type
being most common in the districts bordering on the Oudh tarái.
30. The most fatal diseases which came under treatment and the
localities ranking according to frequency were : —
Bara Banki.
Cholera, 49.
Lucknow.
Dysentery, 28.
Lucknow.
Chest disease, 17.
31. In all the dispensaries which afford in-door relief there is
separate accommodation for females, but the subject, as also the practice,
of midwifery in the various institutions is to be found recorded in each
separate report appended herewith.
Operations
Capital operations.
Fractures and dis-
locations. ...
Capital operations
Fractures and dis-
locations ...
380
258
638
352
255
32. The total number of capital operations performed throughout
the province (including fractures and dislocations), in the 48 dispensaries
tor 1876, was 638, as compared with 593 of 1875, or an increase of 45.
Of the former number, 551 are recorded as successful, 86.36 per cent,
to treated, 19 died, percentage to treated 2.97.