NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 34 )
152. The Superintendents during the year were
Dr. J. Cameron from 1st January till 31st March.
Dr. E. Selous from 1st April till 20th November.
Dr. J. Cameron from 21st November till the end of the year.
153. This institution was inspected by me on the 14th September
1875, when I found the records, medicines, and instruments in good order,
and the circular sheets and orders Indian Medical Department complete
and bound up to the end of 1874.
FYZABAD SADR DISPENSARY.
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 ...
In-door Patients ... ...
Out-door Patients ... ...
In-door Patients
...
...
Out-door Patients ... ...
In-door Patients ... ...
In-door Patients
...
...
Out-door Patients ... ...
Total ... ...
1874.
86
339
5,123
5,548
227
3,896
45
1,247
66
16
51
5,548
1875.
67
253
5,212
5,532
148
3,873
36
1,371
72
13
19
5,532
Daily average attendance of In-door Patients ...
Do.
do.
Out-door Patients ...
Total
...
...
18.03
31.06
49.09
18.27
35.39
53.66
Surgical operations.
Surgical operations ...
Capital ... ...
Minor ... ...
Total ... ...
33
368
401
26
366
392
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European Subscriptions ...
... ... ...
Native
ditto
...
...
...
...
Government Allowances ...
...
...
...
Other sources ... ... ... ...
Total
...
...
Rs.
828
345
230
1,296
776
3,477
a.
13
8
4
0
8
2
p.
9
0
0
0
3
0
Rs.
968
295
119
1,296
934
3,613
a.
1
4
11
0
9
9
p.
0
0
0
0
11
11
Disbursements.
DISBURSEMENTS.
Establishment
...
...
...
...
Dieting In-door Patients
...
...
...
...
Europe Medicines
...
... ... ...
Bazaar Medicines ... ... ... ...
Contingencies
...
...
...
...
Total ... ...
Cost of dieting each In-door Patient ... ...
1,733
419
11
125
219
2,509
0
10
4
0
5
12
1
1
0
6
6
6
6
0
3
1,733
335
13
5
0
6
Accounts not rendered
83
197
2,350
0
8
5
0
1
6
2
2
0
SHAHGUNJ BRANCH
DISPENSARY.
154. This dispensary is still in its temporary quarters in the main
street of the village, but it is hoped that a suitable building will be pro-
vided before the end of the current year.
155. Dr. Cameron reports as follows :—" At the close of the
" previous year there was a balance in hand of Rs. 219-10-0, and the
" income during the year was Rs. 1,053-15-0, making a total of Rs,
" 1,273-9-0.
'' Of the receipts Rs. 120 were contributed by Government
" towards the pay of the Hospital Assistant, and Rs. 933-15-0 were
" derived from Local Rates. There were none from private subscriptions.
( 35 )
"The expenditure under all heads amounted to Rs. 1,093-8-2,
" leaving a balance at the end of the year of Rs. 180-0-10. There was a
" decrease of expenditure under all heads except contingencies (and here
" the increase was merely nominal) as compared with 1874.
" The total number treated in-door and out-door was 2,907 against
" 3,258 in 1874, or a decrease of 351. The falling off was entirely in the
"out-door, the in-door having been the same (109) as in the previous
"year, and seems entirely due to the better health and condition of the
" population in the past year.
" Seventy six operations were performed by the Hospital Assistant, of
"which he claims 23 as major ones, but of which probably not more than
" 14 deserve that appellation. They were for the most part for cancer
"and other tumours, and all were successfully performed, except one, in
" which death was in all probability unavoidable.
" Among the in-door the chief complaints were abdominal (spleen
"and liver), fevers (agues), bowel complaints, skin and venereal, and call
" for no special remarks.
" Among the out-door were found chiefly skin diseases, abdominal
" complaints, fever (agues), and rheumatism.
Three cases of goitre
" occurred, but these were probably imported, as this disease is
" unknown among the residents of this part of the district. The reason
" for this immunity appears to be that Shahganj is beyond the water-shed
" of the Gogra, and is between two small rivers which take their rise in
" the district and form the main surface drains in this direction.
"First Class Hospital Assistant Ghamundee Lall has been in
"charge over since the commencement of the dispensary. He has fully
"maintained, in every respect, the high character given of him in
" previous reports."
SHAHGANJ BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
In-door Patients admitted ... ... ...
Out-door Patients admitted ... ... ...
Total
...
...
1874.
61
109
3,085
3,258
1875.
56
109
2,742
2,907
Relieved and cured ...
In-door Patients ... ...
Out-door Patients ... ...
Ceased to attend
...
...
...
...
Died ...
Remaining ...
In-door Patients ... ...
Out-door Patients ... ...
In-door Patients ... ...
Out-door Patients ... ...
Total ... ...
86
2,866
212
5
3
6
50
3,258
67
2,516
269
5
2
3
45
2,907
Daily attendance of In-door Patient
...
...
Do.
do.
Out-door Patients ...
Total ... ...
5.36
23.98
29.31
4.03
19.87
23.90
Surgical operations.
Surgical operations ...
Capital ... ...
Minor ... ...
Total ... ...
33
58
91
23
53
76
( 36 )
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ...
European Subscriptions ... ... ...
Native
ditto ... ... ... ...
Govermnent Allowances ... ... ...
Other sources ... ... ... ...
Total
...
...
1875.
Rs.
288
A.
0
P.
2
...
...
...
1,057
1,345
1
2
10
0
1876.
Rs.
210
A.
10
P.
0
...
...
120
933
1,273
0
15
9
0
0
0
Disbursement.
DISBURSEMENTS.
Establishment ... ... ... ...
Dieting In-door Patients ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines
...
...
...
...
Contingencies ... ... ... ...
Total
...
...
Cost of dieting each In-door Patient ... ...
984
68
0
6
0
0
...
61
11
1,125
0
10
9
8
0
6
6
0
6 ½
984
39
0
9
0
2
Accounts not rendered.
54
15
1,093
0
11
3
8
0
4
8
2
5 1/10
TANDA BRANCH DIS-
PENSARY.
156. Regarding this dispensary, Dr. J. Cameron, the Civil Surgeon
of the district, reports as follows :—
" In the last yearly report it was stated that a site for the new dis-
" pensary building had been fixed upon ; that the plan and estimates were
" sanctioned, and that it was expected that the dispensary would be in its
" new quarters before the end of the then current year. This expectation
" was realized in August last.
" The building has a neat and durable appearance and is altogether
" a creditable structure. It cost Rs. 2,000, which was somewhat in excess
" of the original estimate.
" The accommodation provided is as follows :—The dispensary room
"and the operation room occupy the main body of the building. The
" eastern verandah is enclosed and forms a male ward; and the ends of the
" south verandah are also enclosed and form two separate rooms which are
" used respectively as a female ward and a store-room.
" The male ward can accommodate six patients and the female
" three. The accommodation for in patients, although small, is as much as
" is desirable in a branch dispensary situated as this one is so far from head
" quarters. It is intended chiefly for surgical cases, and next for medical
" cases which come from a distance and which require to be seen daily.
" At the close of the previous year there was a balance in hand of
" Rs. 237-0-2. The income for the year was as follows :—Government
" contribution towards the hospital assistant's pay Rs. 80. Local rates
" provision Rs. 821-8-7, and private subscriptions Rs. 84-5-0, making with
" the balance on hand Rs. 1,222-13-9.
" The expenditure was Rs. 968-14-10, against Rs. 923-15-2 in 1874,
" or an increase of. Rs. 44-15-8, which was wholly due to the higher
" grade pay drawn by the present hospital assistant, and a small increase
" in the cost of bazaar medicines. Under all other heads there was a de-
" crease of cost as compared with the previous year. The balance in hand
" at the close of the year was Rs. 2,253-14-11.
( 37 )
The cost of dieting each in-door patient for a day averaged a little
over 8½ pies, a very fair and moderate figure.
" The number of admissions in-door, rose from 102 in 1874 to 122,
" but the daily average under treatment was smaller than in that year.
" The inference is that the duration of treatment was shorter.
" The number of out-door was 2,844 against 3,967 in the previous year,
" and the daily average attendance fell from 56.18 to 32.38. These figures
" show a very considerable falling off which cannot wholly be attributa-
" ble to the greater healthiness of the year. I am, on the contrary, of
" opinion, that it is mainly owing to the honesty of the present incumbent.
Injuries, bowel complaints, abdominal ailments, rheumatism and
ague were in their order the chief among the in-door diseases.
"Among the out-door the chief in the order of frequency were
" fevers (agues) abdominal ailments, chest complaints, rheumatism and
"skin diseases. Syphilis was rather rife. Goitre is here very common,
" as it is everywhere on the banks of the river Gogra.
" The deaths among the in-door were not numerous, and appear
" to have been unavoidable. As regards the mortality amongst the out-
" door, it is impossible to ascertain it correctly and it would therefore be
" better to leave it out altogether in future returns.
" Thirty-one major and 257 minor operations are claimed.
The
" major consisted mainly of reductions of dislocation and setting of frac-
" tures, of both of which there was an inexplicable number for which the
" previous hospital assistant is responsible.
" The dispensary is in a very flourishing condition. It is much
" appreciated not only by the people of the town but also by the dwellers
" of this part of the district far and near, and not a few come for relief
u from districts on the other side of the Gogra.
" Second Class Hospital Assistant Bhagailoo Ram has been in charge
" since May last. He is a respectable, careful, and intelligent officer, and
" much liked by the people of the town.
TANDA BRANCH DISPENSARY.
Remaining under treatment on the 1st of
January.
In-door Patients admitted ... ... ... ...
Out-dour Patients
admitted.
...
...
...
Total ... ...
Relieved and cured ...
In-door
Patients ...
Out-door Patients ...
Ceased to attend ...
...
...
... ...
Died ... ...
Remaining ... ...
In-door Patients ...
Out-door Patients ...
In-door Patients
...
Out-door Patients ...
Total ... ...
96
3,962
...
11
3
...
...
Daily attendance of In-door Patients ... ...
Do.
Do.
Out-door Patients ... ...
Total ... ...
1874.
79
102
3,957
4,148
3,998
74
14
3
59
4,148
6.41
56.18
62.59
1875.
62
122
2,844
3,028
114
2,583
269
7 10
3
42
3,028
5.39
32.38
37.77
( 38 )
Surgical operations.
Surgical operations ...
Capital
...
...
...
Minor
...
...
...
Total
...
...
1845.
Not recorded.
Nil.
1876.
31
257
288
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European Subscriptions ... ... ... ...
Native
ditto ... ... ... ...
Government Allowances ... ... ... ...
Other Sources ... ... ... ... ...
Total ... ...
Rs.
217
As.
5
P.
5
...
142 12 0
...
800
1,160
13
15
11
4
Rs.
237
As.
0
P.
2
...
84
80
821
1,222
5
0
8
13
0
0
7
9
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe Medicines
...
...
... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ... ...
Total
...
...
Cost of dieting each In-door Patient ... ...
568
153
10
2
8
6
669
88
0
1
0
0
Accounts not rendered.
64
137
923
0
13
4
15
1
0
3
2
0
84
127
968
0
4
9
14
0
1
9
10
8
AKBARPUR BRANCH
DISPENSARY.
157. The dispensary is still in its temporary quarters in the tahsíl
compound, but the new building is in process of erection and will probab-
ly be ready for occupation within the next four months.
158. Doctor Cameron reports as follows :—
" At the end of 1874 there was a balance in favor of the dispensary of
" Rs. 298-4-7. The receipts during the year were, Government contribu-
" tions towards the pay of the Hospital Assistant Rs. 60, and local rates
" provision Its. 535-3-5. There were no receipts from private subscription.
" The total expenditure was Rs. 596-9-0 against Its. 580-13-5
" in 1874. The increase was under the head of establishment, it having
" been found necessary to entertain the usual staff of menial servants in-
" stead of paying for their occasional services as in previous years. Under
" all the other heads of expenditure there was a decrease.
" There was a balance in hand at the end of the year of
"Rs. 296-15-0.
" The number treated in-door was 51 against 45 in 1874. The
" accommodation for this class of patient is very scant.
" The number of the out-door was 2,130 against 4,996 in the
" previous year. In the last yearly report I felt compelled to cast dis-
" credit on the figures for that and the preceding year, but I have reason
" to believe that the number shown as having been treated in the past
" year may be accepted as correct.
" Operations. There were major 2, minor
106. The two
" major operations were done by myself at my inspection visits, the
" Hospital Assistant not being competent to do them himself. They were
" both " stone" cases, and both made excellent recoveries.
" Among the in-door, ague was the most common complaint,
" the number treated being forty per cent. of the whole admissions.
( 39 )
" Among the out-door the chief complaints were as usual
" abdominal ailments (spleen and liver), fever (ague), chest affections and
" skin diseases. Syphilis and gonorrhœa were rife. Goitre was not as
" common as at Tanda, which is only thirteen miles off, the reason being
" probably the same as mentioned in the Shahganj report.
" With the exception of a few cases of cholera which were most
" probably caused by the return of pilgrims from Benares and Prág, in
" May last, this part of the district was free from the disease during the
" year.
" Hospital Assistant Pír Khán has been in charge since the
" dispensary was opened.
" His qualifications are fair, and his conduct, I am glad to be
"able to report, has improved."
AKBARPUR BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
In-door Patients admitted ... ... ...
Out-door Patients admitted ... ... ...
Total
...
...
1874.
93
45
4,996
5,134
1875.
44
51
2,130
2,225
Relieved and cured
In-door Patients ... ...
Out-door Patients ... ...
Ceased to attend
...
...
...
...
...
Died ...
Remaining ...
In-door Patients ... ...
Out-door
Patients ... ...
In-door Patients ... ...
Out-door Patients ... ...
Total
...
...
4,720
365
5
44
5,134
47
1,903
235
4
2
34
2,225
Daily attendance of In-door Patients ... ...
Ditto
ditto
Out-door Patients ... ...
Total
...
...
1.9
25.3
26.11
1.2
16.9
18.1
Surgical operations.
Surgical operations ...
Capital ... ... ...
Minor ... ... ...
Total ... ...
1
35
36
2
106
108
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ...
European subscriptions
... ... ... ...
Native
ditto
...
...
...
Government
allowances ... ... ...
Other sources ... ... ... ...
Total
... ...
Rs.
286
0
20
0
572
878
As.
7
0
0
0
8
15
P.
0
0
0
0
0
0
Rs.
298
0
0
60
535
893
As.
4
0
0
0
3
8
P.
7
0
0
0
5
0
Disbursements.
DISBURSEMENTS.
Estalilishment ... ... ... ...
Dieting In-door Patients ...
...
...
...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ...
Total ... ...
Cost of dieting each In-door Patient ... ...
Rs.
464
0
As.
0
0
P.
0
0
Rs.
502
0
As.
0
0
P.
0
0
Accounts not rendered.
95
24
580
0
3
9
13
0
8
9
5
0
81
10
596
0
9
0
9
0
0
0
0
0
GONDA SADR DIS-
PENSARY.
159. The new hospital is well situated and substantially built on
an approved plan near the site of the old one. It consists of two lateral
wards, a suite of central apartments for compounding medicines and per-
forming operations, and an office and record-room. The female wards are
( 40 )
isolated and are in two blocks, arranged face to face with a court-yard
between to ensure privacy.
160. The old dead house has been pulled down, as it was unsafe
and a new one substituted.
161. The out-offices are greatly dilapidated, some of the roofs have
been blown off. This has been represented to the Deputy Commissioner
who has promised the necessary additions and repairs as soon as funds
can be found. The want of a ward for infectious diseases is much felt at
this large dispensary.
162. The prevailing diseases here appear to have been fevers, bowel-
complaints, cholera, opthalmia, and goitre. Cholera of rather a violent type
prevailed in various parts of the district during April, May, and June.
163. Goitre is endemic in this district, it attacks young and old,
male and female in all stations of life ; it is very common amongst the
villagers along the banks of the Gogra ; it scarcely ever attacks the inhab-
itants of the sadr station.
164. The number of patients admitted during the year was 9,789
out-patients against 8,561, and 323 in-door as compared with 255 in 1874
There were also 54, viz 14 in and 40 out, remaining from last year. There
was a satisfactory daily average of in and out-door attendance, namely,
17.93 of the former and 50.6 of the latter.
165. There have been 24 capital operations of which 10 were per-
formed by the Civil Surgeon, and 14 by the Assistant Surgeon in medi-
cal charge ; of these 19 were discharged cured, three died, and two remain-
ed under treatment at the end of the year.
166. The returns show the financial state of the institution as fol-
lows : the year opened with a balance of Rs. 960-7-0 ; the native subscrip-
tions during the year amounted to Rs. 554-4-0 ; and those from Europeans
Rs. 117. The Government allowance was Rs. 1,284, and the interest on
invested funds Rs. 82-8-0, giving a total for the year of Rs. 2,998-3-0.
The total expenditure amounted to Rs. 2,157-3-9, leaving a balance of Rs.
92-11-5 at the end of the year. The difference Rs. 748-3-10 has been
expended for the branch dispensaries which appear to have no separate
dispensary fund.
167. This dispensary was inspected by me on the 13th of Septem-
ber 1875, in company with Doctor Selous, who was then in visiting charge.
I found everything in excellent order, there was a large attendance of in
and out-door patients. Third Grade Assistant Surgeon Jadub Christo Sen
is a well qualified medical officer, and a successful medical and surgical
practitioner.
168. The following officers held charge during the year:—
Doctor Heffernan to the 15th August, when he availed himself of
privilege leave for two months, and Doctor Selous officiated in visiting
charge during his absence.
( 41 )
GONDA SADR DISPENSARY.
Remaining under treatment on the 1st of January
In-door Patients admitted ... ... ...
Out-door Patients admitted
... ... ...
Total
...
...
Relieved and cured In-door Patients ... ...
Out-door Patients ... ...
Ceased to attend
... ... ... ...
Died
Remaining
In-door Patients ... ...
Out-door Patients ... ...
In-door Patients ... ...
Out-door Patients ...
...
Total
...
...
Daily attendance of In-door Patients
...
...
Ditto
ditto
Out-door Patients ... ...
Total
...
...
1874.
52
255
8,561
8,868
164
7,486
1,115
23
26
14
40
8,868
13.69
49 07
62.76
1875.
54
323
9,789
10,166
239
8,782
1,048
18
21
11
47
10,166
17.93
50.6
68.53
Surgical operations.
Surgical operations
Capital ... ... ...
Minor ... ... ...
Total
...
...
23
348
371
24
374
398
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European subscriptions ... ... ... ...
Native
ditto ... ... ... ...
Government allowances ...
...
...
...
Other Sources ... ... ... ... ...
Total
...
...
Rs.
320
187
1,330
1,284
490
3,113
As.
6
0
10
0
15
0
P.
6
0
3
0
3
0
Rs.
960
117
554
1,284
82
2,998
As.
7
0
4
0
8
3
P.
0
0
0
0
0
0
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ...
...
...
Contingencies ... ... ... ...
...
Total
...
...
Cost of dieting each In-door Patient ... ...
1,284
247
0
8
0
8
1,284
247
0
8
0
3
Accounts not rendered.
181
739
15
4
3
1
2,452
0
9
0
0
10
147
478
748
2,905
0
3
8
3
7
0
3
3
10*
7
7
UTRAULA BRANCH
DISPENSARY.
169. This dispensary is situated in the town, and is a commodious
well ventilated pakka building. A house for the hospital assistant, and
out-offices have been completed.
170. There is a marked increase in the admission of in and out-
door patients, the former having risen from 102 to 122, and the latter from
2,776 to 3,871.
171. There were no capital operations. The minor operations
numbered 303 cases against 101 during 1874.
172. The financial statement is as follows: no separate subscriptions
were collected for this dispensary, the year opened with a balance of
Rs. 20-7-2, the Government allowance was Rs. 444 plus Rs. 331-6-11
allotted from dispensary funds, which gives a total of Rs. 795-14-1.
173. The expenditure was Rs. 444 for establishment, and Rs.
351-14-1 for diet, contingencies and bazar medicines.
174. The Civil Surgeon reports that Second Class Hospital Assistant
Russool Bux, in charge, is efficient and attentive to his duty.
* Expended for the use of the branch dispensaries.
( 42 )
UTRAULA BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
In-door Patients admitted ... ... ...
Out-door Patients admitted ... ... ...
Total ... ...
1874.
26
102
2,776
2,904
1875.
44
122
3,871
4,037
Relieved and cured ...
In-door Patients ... ...
Out-door Patients ...
Ceased to attend ... ... ... ...
Died ...
Remaining ...
In-door Patients ... ...
Out-door Patients ...
In-door Patients ... ...
Out-door Patients ...
Total ... ...
83
2,335
432
8
2
7
37
2,904
114
3,326
522
4
8
5
58
4,037
Daily attendance of In-door Patients
... ...
Do.
do.
Out-door Patients ...
...
Total
...
...
5.73
28.71
34.44
6.7
58.73
65.43
Surgical operations.
Surgical operations
Capital ... ... ...
Minor ... ... ...
Total ... ...
...
101
101
...
303
303
Receipts.
RECEIPTS.
Balance in hand on 1st January
...
...
European Subscriptions
...
...
Native
ditto, ... ... ...
Government Allowances ... ... ...
Other Sources ... ...
Total ... ...
Rs. As. P.
...
...
...
759
360
1,119
0
0
0
0
0
0
Rs.
20
As.
7
P.
2
...
...
444
331
795
0
6
14
0
11
1
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ...
Dieting In-door Patients
... ... ...
Europe Medicines
... ... ...
Bazar Medicines ... ... ... ...
Contingencies
...
...
...
...
Total
...
...
Cost of dieting each In-door Patient ... ...
759
99
0
10
0
2
444
97
0
8
0
6
Accounts not rendered.
73
166
1,098
0
9
5
8
0
8
0
10
8½
80
174
795
0
4
1
14
0
7
0
1
8
COLONELGANG
BRANCH DlSPENSARY.
175. This dispensary is located in a building, half of which is occu-
pied by the local thanah, but the Deputy Commissioner is taking steps to
have separate accommodation provided, at an estimated cost of Rs. 2,500.
176. The admission of in-door patients has fallen from 50 to 34, but
the out-door patients have increased from 5,430 to 6,216 during 1875.
177. There were no capital operations, but the returns show 78 of a
minor character against 64 in the previous year.
178. The financial statement shows a balance of Rs. 43-6-l in the
beginning of the year. The sum of Rs. 277-5-2 was paid from Dispen-
sary Funds plus Rs. 804 Government allowance, making a total of
Rs. 1,124-11-3 for the year under review, which appears to be balanced by
the expenditure.
179. The Civil Surgeon reports that First Class Hospital Assistant
Raheem Bux, in charge of this dispensary, bears a high character, and
the attendance of patients recorded bears out the belief that he performs
his duty in a satisfactory manner.