NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 49 )
" The establishment has hitherto consisted of a Hospital Assistant
and compounder : the occasional services of bhístí and sweeper having
been obtained for a small monthly payment. It will be necessary, how-
ever to entertain these menial servants permanently in the ordinary
way, as the economical arrangement is found to be extremely inconve-
nient and unsatisfactory.
" The income of the dispensary was derived, as in the cases of the
other branch dispensaries, from the sources, viz., local rates and private
subscriptions. The subscriptions have fallen from Rs. 228-7-9 to
Rs. 96-12-0 and it is extremely likely will fail altogether in the coming
year. The local rates grant will, however, no doubt be sufficient for all
purposes.
" The expenditure during the year was slightly in excess of the
receipts, but as there was a balance in favor of the dispensary at the
commencement of the year, which more than covered the excess, there
still remained a balance to the good at the close of the year, as will be
seen from Return No. 1.
"The number treated in-door and out-door were 114 and 4,374
respectively against 54 and 3,577 in 11 months in 1872. Making due
allowance for the month of January in 1872 the results of the past year
show an increase in the number that have sought relief. The increase
appears to be attributable to the growing popularity of the dispensary,
rather than to an increase of sickness among the population, for the year
has been a healthy one.
"The daily average attendance was in-door 7.09, out-door 59.13
against 5 and 63.30 respectively in 1872. The decrease in the daily
average attendance of out-door patients taken in connection with the
increase of cases for the year shows either that the diseases were of a
milder character requiring less treatment or that they yielded quicker to
treatment. As regards the increase of in-door patients it is difficult to
avoid admitting individuals who are as much in need of food as of medi-
cine and who, in fact, would, in England, be sent to a poor-house instead
of a hospital.
" The diseases treated both in-door and out of door were as usual
chiefly agues, rheumatism, bowel complaints and skin diseases, the
scourges of the poor. The last named (skin diseases) in the case of the
out-door predominating over all others.
"The Return (No. 3) shows only 31 deaths known to have occurred
among out-door patients. This, I need hardly say is necessarily unreli-
able. Among the in-door 9 deaths occurred or nearly 5 per cent. of the
total treated. Nearly 50 per cent. of the mortality was from bowel com-
plaints in old and worn-out persons ; chiefly mendicants.
( 50 )
" Six major operations and 174 minor operations were performed.
" The major operations were,
Eye
,
...
...
...
...
Amputation, ... ... ... ...
1
5
6
all of which made good recoveries.
" The minor operations were such as occur in the every-day practice
of a dispensary and need not to be detailed.
" The success of the dispensary as shown by the increase in the
out-door attendance is very satisfactory.
Salubrity of the town and
suburbs.
" Small-pox was rather prevalent both in the town and neighbor-
hood towards the commencement of the hot weather but disappeared at
once on the setting in of the rains. A few cases of cholera, or cholerine,
of a mild form occurred throughout the year. On the whole, this part of
the district was unusually healthy in the past year.
" Hospital Assistant Bhowany Singh, formerly attached to the
Bulrampur hospital at Lucknow, exchanged appointments with Hospital
Assistant Brindabun Dass and took over charge in November last. I
have had little opportunity of judging of his conduct and qualifications
but as far as I have observed both are satisfactory.
The following statement is added :—
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. .. ..
Out-door Patients admitted, .. .. .. ..
Total, .. ..
Relieved and cured, .. .. .. ..
Ceased to attend , .. .. .. ..
Died
,
..
..
..
..
..
..
Remaining, .. .. .. .. ..
Total, .. ..
Daily Average attendance of in-door patients , ..
Ditto
ditto
out-door patients, ..
Total, .. ..
Surgical operations, Capital,
..
..
..
Minor, .. .. ..
Total, .. ..
1873.
114
183
4,374
4,671
3,415
1,137
40
79
4,671
7 .94
59.07
67.07
6
174
180
1872.
..
54
3,523
3,577
2,754
639
70
114
3,577
5. 0
63.30
68.30
8
142
150
Receipts.
RECEIPTS.
European subscriptions, .. .. ..
Native
ditto, .. .. ..
Government allowances, .. .. ..
Other sources, .. .. .. ..
Total,
..
..
..
96 12 0
..
825
922
15
10
4
4
..
228 7 9
..
853
1,082
13
5
5
2
( 51 )
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. ..
Dieting in-door patients , .. .. .. ..
Europe medicines, .. .. .. ..
Bazar medicines, .. .. .. .. ..
Contingencies, .. .. .. .. ..
Total, .. ..
Cost of dieting each indoor patient, .. .. ..
1872.
554
107
6
13
8
10
..
78
92
933
0
11
15
12
9
0
2
8
9
1873.
735 15 5
..
..
90
27
853
6
7
13
3
9
5
..
SHAHGANJ BRANCH
DISPENSARY IN
FYZABAD.
The following is Doctor J. Cameron's Report:—
" This dispensary was established in February 1872 so that it has been
in existence one year and eleven months. It still occupies the temporary
quarters, in the main street of the village, made available, rent free, by
the manager of the estates of the late Mahárájah Sir Mán Singh.
" The situation is not a desireable one, being too open to the pub-
lic view for the purposes of a dispensary and hospital, but it is the best
that can be had at present. It is hoped that a proper building on a better
site will be furnished during the current year.
" The numbers treated in-door and out of door in the past year
were, respectively, 103 and 3,150 against 94 and 3,192 in 11 months in
1872.
"The daily average of in-patients was 5.83 against 3.76 in the pre-
vious year. The increase was due principally to the greater numbers of
surgical cases of a nature requiring prolonged treatment.
"The daily average attendance of out-door patients was 25.37
against 30.93 in the previous year, a considerable falling off which, however,
is attributable to the greater healthiness of the population during the
past year rather than to any diminution of the popularity of the dis-
pensary.
" The Medical cases treated in-door and out of door were, as usual,
chiefly agues, rheumatism, skin diseases, disorders of the alimentary
canal and chest complaints. Phthisis pulmonalis is a rare disease in this
part of the district, a circumstance to be accounted for apparently by the
fact that the population is nearly wholly agricultural. The case of snake
bite returned as cured was in all probability a non-poisonous one.
"The surgical cases treated in-door and out of door were for the
most part such are usualy met with in dispensary practice. The numbers
operations, 24 among the in-door, and 76 among the out-door, are
very satisfactory. The case of amputation of the leg made a good re-
covery. The operation was well done and the result reflects much credit
on Hospital Assistant Gumandí Lall, the operator.
''The average daily cost of dieting in-patients was a fraction less
pies a head, a figure which shows good management and careful
( 52 )
control of expenditure under this head. Patients, when known to be able
to do so, are required to provide themselves with food at their own ex-
pense, but it is not always easy to discriminate between the necessitous
and the well to do.
" The income of the dispensary, exclusive of what is supplied
from Provincial Revenues, is derived from two sources viz: local rates,
and private subscriptions. As regards, the latter, I am sorry to have to
report that they are realised with much difficulty, all being grudgingly
given. Not but that the landowners think the dispensary a highly de-
sireable institution and well meriting their support, but because their
burdens are, they say, already as heavy as they can bear. This source of
income therefore cannot be depended on in the current year. And in-
deed, for all the subscriptions add to the income of the dispensary it is
hardly worth our while to perpetuate the odium of what is certainly
regarded by the "donors" as an additional tax imposed upon them without
the sanction of Government.
" At my periodical inspections I have always found the dispensary
and hospital clean and neat, the medicines well arranged and neatly
labelled, the instruments well cared for, and the records well kept, and
written up to date.
" Hospital Assistant Gumandí Láll has been in charge ever
since the opening of the dispensary. He has the confidence of the people
far and wide, and is in every respect a thoroughly good officer and well
deserving man.
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door patients admitted, .. .. ..
Out-door patients admitted, .. .. ..
Total, .. ..
Relieved and cured , .. .. .. ..
Ceased to attend, .. .. .. ..
Died ,
..
..
..
..
..
..
Remaining, .. .. .. .. ..
Total, .. ..
Daily average attendance of in-door patients, ..
Ditto
ditto
out-door patients, ..
Total, .. ..
Surgical operations.
Capital, .. .. ..
Minor, .. .. ..
Total, .. ..
1872.
...
94
3,192
3,286
2,866
351
7
62
3,286
3.76
30.93
34.69
27
68
95
1873.
62
103
3,150
3,315
2,981
264
6
64
3,315
5.83
25.37
31.20
32
68
100
Receipts.
RECEIPTS.
European subscriptions,
..
..
..
..
Native
ditto, .. .. .. ..
Goverement allowances, .. .. .. ..
Other sources, .. .. .. .. .. ..
Total, .. ..
. ..
260 0 0
...
1,111
1,371
2
2
10
10
...
130 0 0
...
1,072
1,202
5
5
8
8
( 53 )
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. ..
Dieting in-door patients, .. .. .. ..
Europe medicine , .. .. .. ..
Bazar medicines , .. .. .. .. ..
Contingencies, .. .. .. .. ..
Total, .. ..
Cost of dieting each in-door patient, .. ..
1872.
974
25
27
66
37
1,130
0
13
7
2
10
13
14
0
9
2
3
5
9
11
8
1873.
984
81
0
10
0
7
Not known.
71
16
1,154
0
15
15
9
0
2
8
5
8
AKBARPUR BRANCH
DISPENSARY IN
FYZABAD.
Dr. J. Cameron submits the following Report :—
The Branch Dispensary was established in February 1872.
" The position of the building which is still occupied as a tempo-
rary arrangement, was described in last year's report. The plan of new
Branch Dispensary buildings has been for some time under the considera-
tion of the Chief Engineer, and it is expected that permanent and more
suitable quarters will be provided before the end of the year.
" The establishment has hitherto consisted of a Hospital Assistant
and a Compounder, the usual staff of menial servants not having as yet
been entertained permanently.
" The income of the Dispensary in the past year was derived
from local rates and private subscriptions. These latter have fallen off,
as in the case of each of the other Branch Dispensaries and cannot be
reckoned upon in future. The provision from local rates will no doubt
be, as it has been, sufficient for all purposes.
" The total numbers treated were according to the return, in-
door 79 out-door 9,350 against 78 and 5,801 respecting in 1872. So that
if these figures are reliable there has been a very considerable increase
in the out-door attendance.
" Fevers, bowel complaints, and skin diseases were, in the order
named , the chief ailments treated both in and out-door.
" One death from severe injuries, occurred among the in-door.
The mortality among the out-door has not been ascertained.
'' There were 60 minor operations, but there was no case of serious
operation throughout the year.
With the exception of small pox, which prevailed in the first six
months of the year, the population in this part of the district was free
from epidemic disease. Ague appears to be at all seasons prevalent,
owing no doubt to the imperfect state of the drainage of the country in
this direction. The Tonse and Murha rivers, which are here the natural
drains, overflow their channels in the rains, and wide tracts of low lying
lands become converted into immense jheels from which the water can
escape only by evaporation.
( 54 )
" The great increase of out-door patients show, if the returns are
correct, that the Dispensary is supplying a want which must have been
long and sorely felt by the poor fever stricken people here.
" Peer Khán, Second Class Hospital Assistant, has been in charge
since the opening of the Dispensary. He appears to have gained the good
opinion and confidence of the people. I regret however to have to state
that he is slovenly, and irregular and dilatory in the preparation and
submission of his returns ; shortcomings which he ascribes to his frequent
illness, but which I believe are due to his imperfect knowledge of the
English language.
The following statement is added :—
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, .. ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died,
..
..
..
..
..
..
Remaining, .. .. .. ..
Total, .. ..
Daily average attendance of In-door Patients,
..
Ditto
ditto
Out-door Patients, ..
Total, .. ..
Surgical operations,
Capital, .. ..
Minor, .. ..
Total, .. ..
1872.
..
78
5,979
6,057
5,779
126
1
151
6,057
2.3
29.9
32.2
..
31
31
1873.
151
79
9,199
9,429
9,239
93
1
93
9,429
2.7
40.2
42.9
..
60
60
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government allowances, .. .. ..
Other Sources, .. .. ..
Total, .. ..
..
321 12 0
..
501
823
14
10
4
4
..
..
..
..
..
Disbursements
DISBURSEMENTS.
Establishment, .. .. .. .. ..
Dieting In-door Patients, .. .. ..
European medicines, .. .. ..
Bazar medicines , .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Cost of Dieting each In-door Patient , ..
456 0 0
..
..
94
2
553
13
8
5
10
0
10
..
456 0 0
..
..
80
8
545
4
14
2
5
5
5
( 55 )
GONDA SADR
DISPENSARY.
" The position &c., of the Sadr Dispensary has been described in pre-
vious reports. The roof of the building is in a very bad condition ; Rs.
6,000 have been allotted in next year's Budget for the repair and the work
will be commenced in the beginning of the financial year. The women's
hospital is also in a bad state of repair : this will also be remedied.
" The number of patients admitted during the year was 274, the out-
door patients numbered 9364.
" The expenditure of the Sadr Dispensary amounted during the year
to Rs.2,545-14-0. The different items are Establishment Rs. 1,296, Dieting
in-door patients Rs. 249-1-3, Bazaar Medicines Rs. 204-5-0, Contin-
gencies Rs. 796-7-9. The. receipts were European Subscriptions Rs. 205.
Native subscriptions Rs. 477-1-0,Government Allowance Rs. 1,296,Other
Sources Rs. 796-7-9. The bill for European Medicines, which is now
paid from Local Funds, has not been received from the Examiner of Me-
dical Accounts.
Health.
'' The cost of dieting each in-door patient was 9 pies.
"The past year when compared with 1872 has been a healthy one.
Sporadic cases of cholera occurred during the months of June, July, Au-
gust, and September in the north part of the district. Food was also very
expensive during the latter part of the year but has not been, I am glad
to say, attended with increased sickness.
Type of Disease.
" The largest admissions into Hospital were from general dropsy com-
bined with enlargement of spleen or liver, consequent on malarious fever.
Those cases I found most unsatisfactory to treat, the patients do not
generally present themselves for treatment until the disease has well
established itself. Some bad cases of constitutional syphilis were also
treated.
"This district is remarkable for the prevalence of goitre, and is only
to be found in villages close to the bank of the Terhee and Gogra rivers.
" During the year 1873, no fewer than 3655 cases of this disease were
treated. The application of the ointment of the Biniodide of Mercury
was the treatment : it proved very efficacious. This ointment is well known
in goitrous villages. Large numbers suffering fron skin-disease also at-
tended. The principal forms were scabies and herpes.
Surgical cases.
'' Several kinds of injuries have been treated. Fractures and injuries
to head are of very common occurrence. Seven operations for stone were
performed
, all successful. One was a recurrent calculus ; this man was
operated on 7 years ago by Dr. Condon, the stone lately removed seemed
to be a quite new formation. Two operations of the leg lower third, one
traumatic gangrene, second cancrous tumour, both proved successful and
were supplied with crutches.
''One case of penetrating wound of the abdomen with protrusion in
which the wound had to be enlarged to return the intestines succumbed
to peritonitis after 4 days.
Medicines.
Indigenous medicines are largely used.
( 56 )
" Third Grade Assistant Surgeon Jadub Kristo Sen has been in
charge during the year. He is a most intelligent officer, and attentive
to his duties. He has operated on some stone cases remarkably well.
"The compounder and dresser are trustworthy men and attentive to
their duties. The latter has been attached to this Dispensary for years and
bears a good character.
" The Medical pupils are very attentive at the Hospital and also at
school.
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted,
..
..
..
Total, .. ..
Relieved and cured, .. .. .. ..
Ceased to attend,
..
..
..
..
Died, .. .. .. .. .. ..
Remaining,
..
..
..
..
..
Total, .. ..
Daily average attendance of In-door Patients, ..
Ditto
ditto
Out-door Patients, ..
Total, .. ..
Surgical operations,
Capital,
..
..
Minor,
..
..
Total,
..
..
1872.
46
276
9,194
9,516
8,693
702
68
53
9,516
12.80
39.95
52.75
16
148
164
1873.
53
274
9,364
9,691
8,476
1,096
67
52
9,691
13.4
47.7
61.1
14
269
283
Receipts.
RECEIPTS.
European Subscriptions,
..
..
..
Native
ditto,
..
..
..
Government allowances, .. .. ..
Other Sources,
..
..
..
..
Total, .. ..
166
752
1,296
909
3,123
0
4
0
9
13
0
7
0
4
11
205
477
1,296
796
2,774
0
1
0
7
8
0
0
0
9
9
Disbursements.
DISBURSEMENTS.
Establishment,
..
..
..
..
Dieting In-door Patients, .. .. .. ..
European medicines ,
..
..
..
Bazar medicines,
..
..
..
..
Contingencies,
..
..
..
..
Total,
..
..
Cost of Dieting each In-door Patient, .. ..
1,581
197
0
14
0
9
..
148
774
2,704
0
2
5
7
1
4
11
0
0
1,296
249
0
1
0
3
..
204
796
2,545
0
7
7
14
0
0
9
0
9
UTROWLA BRANCH
DISPENSARY IN
GONDA
" This Dispensary has been in charge of First Class Hospital Assistant
Futtch Khan during the year. He is an intelligent trustworthy man,
with a very good knowledge of his profession and possesses the highest
testimonials.
( 57 )
" I visited the Dispensary six times during the year, and always
found it in good working order : most of my visits were unexpected.
The attendance of in-door and out-door patients slightly exceed that of
1872. I have received no complaints of the compounder or other menial
servants.
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, ..
Relieved and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died, .. .. .. .. ..
Remaining, .. .. .. ..
Total, .. ..
Daily average attendance of In-door Patients, ..
Ditto
ditto
Oat-door Patients, ..
Total, .. ..
Surgical operations,
Capital, .. ..
Minor, .. ..
Total, .. ..
1872.
55
104
3,050
3,209
2,526
633
22
28
3,209
4.63
29.81
34.44
0
88
88
1873.
21
119
3,058
3,198
2,562
597
13
26
3,198
3.97
33.20
37.17
0
335
135
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government allowances, .. .. ..
Other Sources, .. .. .. ..
Total, .. ..
..
312
756
0
7
0
10
..
1,068 7 10
..
..
816
281
1,097
0
8
8
0
8
8
Disbursements.
DISBURSEMENTS.
Establishment, .. .. ..
Dieting In-door Patients, .. .. ..
European medicines, .. .. .. ..
Bazar medicines, .. .. .. ..
Contingencies , .. .. .. ..
Total,
..
..
Cost of Dieting each In-door Patient, .. ..
880
67
7
8
10
0
..
62
35
1,046
0
10
13
7
0
3
4
5
8
816
52
0
15
0
0
..
68
159
1,097
0
15
10
8
0
1
7
8
7 ½
COLONELGANJ
BRANCH DISPENSARY
IN GONDA.
" The Dispensary has been in charge of First Class Hospital Assistant
Shaikh Ruheem Buksh during the year. He is a trustworthy man , and I
think possesses a very fair knowledge of his profession. I have had no
complaints of the compounder or other menial servants.
'' This Dispensary is remarkable for the large attendance of patients
suffering from goitre. It is almost exclusively confined to those villages
adjacent to the Terhee and Gogra rivers, but the disease is also to be
found in other parts of the district.
( 58 )
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted , .. .. ..
Total, .. ..
Relieved and cured, .. .. ..
Ceased to attend, .. .. .. ..
Died
,
..
..
..
..
..
Remaining, .. .. .. ..
Total, .. ..
Daily average attendance of In-door Patients,
..
Ditto
ditto
Out-door Patients, ..
Total, .. ..
Surgical operations.
Capital, .. .. ..
Minor, .. .. ..
Total, .. ..
1872.
0
40
2,368
2,408
2,345
..
24
39
2,408
2.50
39.23
41.73
0
20
20
1873.
39
42
6,688
6,769
4,654
2,061
15
38
6,769
3.24
47.6
50.30
0
73
73
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government allowances, .. .. ..
Other Sources, .. .. ..
Total, .. ..
..
208
544
50
802
0
0
6
6
0
0
8
8
..
..
816
300
1,116
0
12
12
0
11
11
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
European medicines, .. .. .. ..
Bazar medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Cost of Dieting each In-door Patient, .. ..
620
22
0
9
0
6
..
57
102
802
0
5
7
6
1
5
9
8
0
816
27
0
9
0
3
..
69
203
1,116
0
10
9
12
0
8
0
11
2
BHARAICH SADR
DISPENSARY.
Dr. Cromarty in his Annual report makes the following remarks
regarding the site, building and ventilation of the present Dispensary : —
" It is a matter of regret that this popular Institution still continues
on its old site, and in the same ill ventilated building, a building that was
in 1871-72 condemned by the highest Medical Authority in Oudh as one
altogether unfitted for the purpose it was intended to serve, and although
funds are available, a site for a new building has already been selected,
while plans and estimates have long since been submitted, nothing definite
appears to have been settled in connection with this important subject.
'' Meantime we are without accomodation for either the Assist-
ant Surgeon or any of the Hospital servants, we have neither a dead
house, a bath room, nor an infectious ward. Besides these architectural
imperfections the floors and foundation are saturated with impuritie as
well as morbid matters from the sores and sloughing wounds of bye-gone
years, and I have come to this conclusion not only from the aid of my