NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 16 )
Of these 1,303 were cured or relieved , 315 ceased to attend, 1 died, and
21 remain.
105. Seven capital and 137 minor operations were performed by the
hospital assistant. This is the largest number performed at any branch
dispensary in the district.
106. The expenditure was as follows :—
Establishment, ... ... ...
Europe medicines, ... ...
Bazaar medicines, ... ...
Total, ...
Rs.
„
„
Rs.
648
109
78
835
0
0
3
4
0
11
1
0
107. Second Grade Hospital Assistant Rám Lál has been in charge
throughout the year. He is a very industrious, zealous man, with a good
practical knowledge of his profession ; he speaks and writes English
very well.
BRANCH DISPENSARY
HAIDARGARH.
108. The attendance at this dispensary has increased very much,
and now shows a creditable average, the daily attendance being 27.08.
Remaining from 1873, ... ...
New cases treated, ... ... ...
Total, ...
10
2,571
2,581
Of these 2,468 were cured or relieved, 80 ceased to attend, 3 died, and
30 remain under treatment.
109. Sixty minor operations were performed during the year by tho
native doctor.
110. The expenditure was as follows : —
Establishment, ... ...
Europe medicines ... ...
Bazaar medicines, ... ...
Contingencies, ... ...
Total, ...
Rs.
„
„
„
Rs.
648
109
63
17
838
0
0
9
12
6
0
4
8
0
7
111. Native Doctor Hurmat Khan has been in charge throughout
the year. He is a well conducted man, with a fair knowledge of his
profession, and has sufficient knowledge of English, to enable him to
write his registers and returns. He appears to be very much liked and
respected by the natives, and has made his dispensary very popular.
UNAO SADR DISPEN-
SARY.
112. Inspected in company with Dr. Selous, the Civil Surgeon,
the 28 th November 1874.
113. From the accompanying statement it will be seen that the
attendance has considerably increased during the year under report, the
total treated having risen from 6,303 to 7,406, and this increase is much
more marked amongst the out-door than in-door patients.
( 17 )
114. There were 11 capital operations during the year, of which 10
were successful ; 9 were performed by Dr. Selous and 1 by the hospital
assistant.
115. First Class Hospital Assistant Shaik Mahommed Bux is well
spoken of, but I consider too much of his time is taken up in keeping the
records both of the sadr and branch , dispensaries.
116. The two medical pupils Ramut-oolla Khan and Shafaut-oolla
Khan, have not made such progress in their studies up to the occasion of
my inspection as I had reason to expect, after the remarks I made on this
subject when I visited Unao in March last. I trust more attention may
be given to the training and education of these lads for the future ; their
knowledge of the names of the simplest drugs is very limited, and neither
of them read nor write English sufficiently to keep the registers. I hope
arrangements will be made at once to send them for two or three hours
daily to the zil'a school, and subject them to occasional examinations
in every branch of their studies.
117. The hospital as a building is suitable. The Police Hospital is
in the same block, but both these institutions suffer from a great defect,
which has before been represented, the want of accommodation for a resident
hospital assistant in the one case, and for the establishment in the other.
I beg this may again be brought to the notice of the local authorities
118. The instruments and medicines are carefully kept, and the latter
neatly arranged and labelled ; the eye-case is old-fashioned, and the in-
struments practically useless.
SADR DISPENSARY, UNAO.
Remaining under treatment on the 1st of January 1847,
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, ...
Daily average attendance of in-door patients , ...
Do.
do.
out-door patients, ...
Total, ...
1873.
68
218
6,017
6,303
185
5,864
137
15
...
7
95
6,303
12.08
45.47
57.55
1874.
102
254
7,050
7,406
207
6,868
229
12
1
7
82
7,406
13.62
52.10
65.72
( 18 )
Surgical operations.
Surgical operations,
Capital, ... ...
Minor, ... ... ...
Total, ...
1873.
9
227
236
1874.
11
199
210
Receipts.
RECEIPTS.
Balance in hand on 1st January 1873-74 , ... ...
European subscriptions , ... ... ...
Native
ditto , ... ... ...
Government allowances, … … …
Other sources, … … … ...
Total, ...
Rs.
1,109
57
1,604
945
A.
9
0
11
2
P.
4
0
8
1
...
3,717 7 1
Rs.
1,897
78
1,308
837
380
4,501
A.
12
0
5
8
0
9
P.
4
0
3
0
0
7
Disbursements.
DISBURSEMENTS.
Establishment., … … … …
Dieting in-door patients , … … …
Europe medicines, … … …
Bazaar medicines , … … …
Contingencies , … … … …
Total, ...
Cost of dieting each in door patient,
...
...
1,365
188
40
98
126
1,819
0
0
13
8
14
6
10
0
0
11
0
3
7
9
10
1,236
237
71
114
115
1,775
0
0
0
8
14
15
6
0
0
8
0
4
5
5
11
UNAO POLICE HOS-
PITAL.
119. November 28th. On the day of my visit there were 12 cases
under treatment out of a strength of 460 men, 6 of these were obstinate
but not dangerous cases of intermittent fever. On the whole the force has
been remarkably healthy during 1874 ; everything in connection with
this hospital was in good order.
UNAO JAIL HOSPITAL
120. Out of a strength of 247 prisoners there were only 4 cases
under treatment on the occasion of my visit on the 28 th November last.
121. There has been but one death in this jail up to date during the
year under review ; in fact, from being one of the most unhealthy jails in
the province, it is now, I believe, the most healthy. This I attribute in
a great measure to the improved system of surface drainage, which is
certainly very complete.
122. Although the hospital accommodation is much improved since
my last visit, it is not yet sufficient for the size of the jail, especially if
an epidemic of any kind were to make its appearance.
123. The dry earth system of conservancy at this jail is simply perfect.
124. The following remarks are from Dr. Selous' report on the branch
dispensaries in the Unao district: —
SAFIPUR BRANCH
DISPENSARY.
125. The branch dispensary at Safipur has not advanced in popularity
to as great an extent as that of the sadr station ; the admissions of out-
patients only appear to have increased by 11 on the number admitted in
1873, the in-door patients appear by the statement to have increased con-
siderably, but this, unaccompanied by corresponding increase in the num-
ber of out-patients, is very suspicious. I shall send a special report after
visiting Safipur.
( 19 )
126. The daily average attendance has risen from 48.13 to 52.12.
127. The hospital building was erected during the past year on a site
at a convenient distance from the town and adjoining the thanah. It
has accommodation for 6 in-door patients and quarters for the native
doctor in charge.
128. The diseases treated present some remarkable peculiarities.
Diseases of the abdomen caused more admissions than even fevers, 880
against 609, and of these 880, 405 were cases of dyspepsia,—more than twice
as many as were treated in the sadr dispensary; colic and constipation seem
to have raged in Safipur, 128 and 198 cases of these diseases having been
admitted against only 56 and 152 respectively in the sadr station.
129. There were 197 admissions from remittent fever, 30 more than
from quotidian ague and more than twice the number treated in the hospi-
tal at Unao; there were also 93 cases of acute rheumatism. I need not
say I consider these figures untrustworthy.
BRANCH DISPENSARY, SAFIPUR.
Remaining under treatment on the 1st of January 1873-74,
In-door patients admitted, .. .. ..
Out-door patients admitted, .. .. ..
Total, ..
Relieved and cured,
In-door
patients, .. ..
ureu, Out-door patients, .. ..
Ceased to
attend
,
..
..
..
..
Died,
Remaining,
In door patients, .. .. ..
Out-door patients, .. .. ..
In-door patients, .. .. ..
Out-door patients, .. .. ..
Total, ..
Daily average attendance of in-door patients,
..
Do.
Do.
out-door patients, ..
Total, ..
1873.
20
303
5,445
5,768
293
5,254
188
6
2
2
23
5,768
9.5
39.8
48.13
1874.
15
511
5,466
5,992
501
5,432
43
1
3
2
11
5,992
10.5
42.7
52.12
Surgical operations.
Surgical operations,
Capital , .. .. ..
Minor, .. .. ..
Total, ..
..
15
15
..
150
150
Receipts
RECEIPTS.
Balance in hand on 1st January 1873-74, .. ..
European subscriptions, .. .. .. ..
Native
ditto, .. .. .. ..
Government allowances, .. .. .. ..
Other sources, .. .. .. .. ..
Total, ..
Rs. A. P.
..
..
..
..
767
767
1
1
11
11
Rs. A. P.
..
..
..
..
780
780
9
9
6
6
( 20 )
Disbursement.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting in-door patients , .. .. .. ..
Europe medicines, .. .. .. ..
Bazaar medicines ,
..
..
..
..
Contingencies, .. .. .. .. ..
Total, ..
Cost of dieting each in-door patient, .. ..
1873.
Rs.
556
68
A.
14
2
P.
4
8
...
53
88
767
0
14
2
1
0
9
2
11
9.02
1874.
Rs.
564
79
A.
0
9
P.
0
11
...
50
86
780
0
8
7
9
0
0
7
6
9
An investigation was subsequently made into the conduct of the hospital assistant of the Safipur
dispensary by the Deputy Commissioner and Civil Surgeon , and it was decided that he had falsified the books
and given incorrect returns, but that it did not appear to have been done with any intent to defraud ; he has
been severely reprimanded, and will be considered on probation for six months.
PURWA BRANCH
DISPENSARY.
1 30. With regard to the branch dispensary at Purwa , I am happy to
report a satisfactory progress in the popularity of the institution. The
number of admissions of out-door patients has risen from 3,729 to 3,934,
the average daily attendance from 29.39 to 40.16. There were no in-door
patients in 1873, so that no comparison can be made.
131. The diseases treated do not present anything remarkable or
leading to the suspicions of bad diagnoses or cocked returns, except , per-
haps, the large number of simple continued fevers which were probably
ague. Of cases neuralgia seems high.
BRANCH DISPENSARY, PURWA.
Remaining under treatment on the 1st of January 1873-74 ,
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 average attendance of in-door patients, ...
Do.
do.
out-door patients, ...
Total, ...
1873.
21
...
3,729
3,750
...
2,940
710
...
70
...
30
3,750
...
29.39
29.39
1874.
30
55
3,934
4,019
51
2,987
931
2
11
2
35
4,019
2.9
40.16
42.25
Surgical operations
Surgical operations,
Capital, ... ...
Minor, ... ...
Total, ...
...
4
4
...
25
25
( 21 )
Receipts.
RECEIPTS.
Balance in hand on 1st January 1873-74, ... ...
European subscriptions,
...
... ...
Native
ditto,
...
...
...
Government allowances, ... ... ...
Other sources, ... ... ...
Total, ...
1873.
Rs. A. P.
...
...
...
...
549
549
15
15
9
9
1874.
Rs. A. P.
...
..
...
...
640
640
14
14
6
6
Disbursements.
DISBURSEMENTS.
Establishment, ...
...
...
Dieting in-door patients,
...
...
...
Europe medicines, ... ... ..
Bazaar medicines, ... ... ...
Contingencies,
...
...
...
Total,
...
Cost of dieting each in-door patient, ... ...
444 0 0
...
...
42
63
549
8
7
15
3
6
9
...
444
14
0
4
0
0
...
79
102
640
0
13
13
14
0
0
6
6
9
SITAPUR SADR DIS-
PENSARY.
132. Inspected on 5th March 1875 in company with the Civil Sur-
geon, Dr. Ellis,
133. There were on this occasion 14 in-door patients under treat-
ment, several of which were important surgical cases.
134. It appears from the books that the daily average number of
in-door patients for 1874 was 11.66. The dispensary is capable of accom-
modating double that number.
135. The attendance of out-patients only averaged 33.61 per diem,
perhaps the smallest amount of medical relief given at any sadr dispensary
in the province.
136. There were eight capital operations during 1874, all of which
were successful, and all but three were performed by Dr. Ellis himself.
137. Assistant Surgeon Tarni Churn Dutt has been in resident
medical charge since 1870, and although a well educated and attentive
man, he is not popular with the natives of the country, and the dispensary
suffers accordingly. He states himself he is not appreciated by the people,
and requests to be transferred to Bengal.
138. Medical pupil Futty Ally is well conducted, but has made but
poor progress in his studies; it is evident little pains has been taken to
educate him.
( 22 )
SADR DISPENSARY, SITAPUR.
Remaining under treatment on the 1st of January 1874,
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 ,
...
...
1873.
24
238
5,560
5,822
5,669
80
31
42
5,822
9.63
26.62
36.25
1874.
42
232
7,469
7,743
7,534
130
24
55
7,743
11.66
33.61
45.27
Surgical Operations.
Surgical operations,
Capital, ... ...
Minor, ... ...
Total ,
...
...
7
374
381
8
676
684
Receipts .
RECEIPTS.
Balance on 1st January 1874, ... ... ...
European subscriptions, ... ... ...
Native
ditto, ... ... ... ...
Government allowances, ... ... ...
Other sources,
...
...
...
...
Total,
...
...
Rs. A. P.
...
232
763
1,896
269
3,161
0
11
0
15
10
0
2
0
0
2
Rs.
392
229
600
1,896
180
3,297
A.
0
0
14
0
0
15
P.
11
0
11
0
0
10
Disbursements.
DISBURSEMENTS.
Establishment, ... ... ... ...
Dieting in-door patients, … … …
Europe medicines, ... … … …
Bazaar medicines, ... … … …
Contingencies,
...
…
…
…
Total,
...
...
Cost of dieting each in-door patient, ... ...
2,173
211
0
8
0
9
...
110
69
2,564
as.
1
9
1
3
0
6
3
p.
1
2,205
192
0
1
0
9
...
93
39
2,529
as.
1
1
10
13
2
9
8
p.
7/8
POLICE HOSPITAL,
SITAPUR.
139. Inspected on 5th March 1874. The building is on the new
standard plan ; there is no suitable accommodation for the hospital assistant.
140. On the occasion of my visit there were nine cases under treat-
ment, which is a large number. The force, however, has been healthy
during 1874. Five deaths occurred out of a daily average strength of 557
sepoys; I found everything in good order.
JAIL HOSPITAL,
SITAPUR
141. Inspected on 5th March 1875. The prisoners have been re-
markably healthy during the past year. There were only eight deaths
out of a daily average strength of 768.28 prisoners, or 1.04 per cent.
Found everything in connection with the hospital in excellent order.
MAHMUDABAD
BRANCH DISPENSARY
142. The returns of the Mahmudabad branch dispensary now submit-
ted show what has been done during the year and the diseases treated in it.
( 23 )
Form No. 16 shows that the number of out-patients has increased from
1,856 in 1873 to 2,506 during the past year. The in-door patients have
diminished, but there is not much accommodation for this class of patients
nor funds for their support.
143. There are no subscriptions in Mahmudabad specially for this
dispensary. The money is given from that subscribed for dispensaries in
the district generally.
144. First Class Hospital Assistant Zahoor Hussein has been in charge
of the dispensary during the year. He is well qualified for his work, takes
an interest in it, and appears to be popular. On my inspection I found
the hospital records correctly kept up to date, a number of patients in
attendance, and everything in good order. Zahoor Hussein passed the
examination for promotion to First Grade Hospital Assistant in October
1873, shortly after he took charge of the dispensary.
BRANCH DISPENSARY, MAHMUDABAD.
Remaining under treatment on the 1st of January 1874,
In-door patients admitted, .. .. ..
Out-door patient admitted, .. .. ..
Total, .. ..
Relieved and cured,
..
..
..
..
Ceased to attend, .. .. .. ..
Died, .. .. .. .. ..
Remaining, .. .. .. ..
Total, .. ..
Daily average attendance of in-door patients, ..
Ditto
ditto
out-door patients, ..
Total, .. ..
1873.
26
87
1,743
1,856
1,391
388
9
68
1,856
3.43
26.96
30.39
1874.
68
36
2,402
2,506
1,714
736
10
46
2,506
1.48
03.85
35.33
Surgical Operations.
Surgical operations,
Capital , .. .. ..
Minor, .. .. ..
Total,
...
37
37
...
58
58
Receipts.
RECEIPTS.
European subscriptions, .. .. ..
Native
ditto, .. .. .. ..
Government allowances, .. .. ..
Other sources, .. .. .. ..
Total, .. ..
Rs. A. P.
...
...
876 0 0
...
876 0 0
Rs. A. P.
...
...
816
205
1,021
0
6
6
0
1
1
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting in-door patients, .. .. ..
Europe medicines, .. .. ..
Bazaar medicines ,
..
..
..
..
Contingencies, .. .. .. ..
Total, .. ..
Cost of dieting each in-door patient, .. ..
684
66
0
1
0
5
...
80 14 6
...
830
0
15
1
11
1½
911
19
13
77
10
1
6
4
1
8
0
4
..
1,021
0
6
0
1
62
( 24 )
KHERI
SADR DISPENSARY
145. A description of this dispensary has been given in former reports.
It is well supplied with all the necessary fittings, such as almiras, tables,
and charpoys, and each bed has a mattress, durrie, and blanket.
146. The year 1874 having been an exceptionally healthy one, it is
only natural there should be a decrease in the number of people applying for
relief. There were 3,674 out-door and 235 in-door treated at the sadr,
over 800 of which were suffering from intermittent fever; the confidence the
people have in attending this well-managed dispensary is undoubted.
There were 13 capital operations during the year, all of which were per-
formed by Dr. Higginson, and all were successful.
147. Second Class Hospital Assistant Rajjib Khan has been in charge
of the Sadr Dispensary throughout the year ; his conduct and qualifications
are very satisfactory. He writes and speaks English fairly.
SADR DISPENSARY, KHERI.
Remaining under treatment on the 1st of January 1874.
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 average attendance of in-door patients , .. ..
Do.
do.
out-door patients, .. ..
Total, .. ..
1873.
62
242
4,431
4,735
194
4,240
232
19
..
14
36
4,735
11.31
42.59
53.90
1874.
50
221
3,674
3,945
205
3,581
114
10
..
5
30
3,945
8.45
36.65
45.10
Surgical Operations.
Surgical operations,
Capital, .. .. .. ..
Minor, .. .. .. ..
Total, .. ..
5
240
245
13
186
199
Receipts.
RECEIPTS,
Balance in hand on 1st January 1874, .. .. ..
European subscriptions, .. .. .. .. ..
Native
ditto, .. .. .. .. ..
Government allowance, .. .. .. .. ..
Other sources, .. .. .. .. .. ..
Total .. ..
Balance on 1st January 1875, .. .. .. ..
Rs. A. P.
..
573
693
538
1,804
0
6
0
7
5
8
0
1
..
Rs. A. P.
204
688
576
0
7
0
4
9
0
..
1,468
379
8
2
1
9
( 25 )
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. .. ..
Dieting in-door patients, .. .. .. .. ..
Europe medicines, .. .. .. .. .. ..
Bazaar medicines, .. .. .. .. .. ..
Contingencies, .. .. .. .. .. ..
Total, ..
Rs.
Cost of dieting each in-door patient, .. .. ..
1873.
Rs.
841
197
303
112
144
1,600
0
As.
6
12
11
8
15
6
1
P.
8
0
9
9
7
9
0
1874.
Rs.
744
146
As.
0
15
P.
0
8
..
92
106
1,089
0
1
4
5
0
0
10
11
9
KHERI BRANCH
DISPENSARIES.
148. The following are Dr. Higginson's remarks on the four Branch
Dispensaries in the Kheri district:—
GOLA BRANCH
DISPENSARY.
149. This dispensary has been open some years. It is in charge of
3rd Class Hospital Assistant Karamut Hoosein, whose conduct has not
been satisfactory this year ; he has been severely reprimanded, and im-
provement is looked for : his professional acquirements and knowledge of
English are not up to the mark. The dispensary is visited once a quarter
by the Civil Surgeon ; 3,356 out-door and 347 in-door patients are said
to have been treated during the year. Fevers, rheumatism, and skin
diseases, were the prevailing affections amongst the out-patients.
150. According to the return of patients for the year, there were
entered twenty-nine dislocations of various joints, and thirty fractures treat-
ed successfully. Of the former six were dislocations of the wrist-joint, a
luxation I have never yet had an opportunity of seeing. I am afraid the
returns of this dispensary are not trustworthy. There are, for instance, five
successful cases of tetanus and eight successful cases of pericarditis
recorded amongst the out-patients, either the diagnosis was entirely at
fault, or the cases never occurred.
151. The dispensary building contains two wards for the accommoda-
tion of patients and a room for medicines : dispensing is carried on in the
verandah : the outhouses are hospital assistant's house, a latrine, and a
cookhouse.
BRANCH DISPENSARY,
MUHAMDI.
152. This dispensary, built on the same style as the preceding one, is
in charge of 2nd Class Hospital Assistant Jehanghir Khan, a very satisfac-
tory subordinate; his professional knowledge is above the average : he has
submitted a very intelligent report on the working of his dispensary dur-
ing the year. 2,992 out-door and 243 in-door patients were treated; about
a thousand cases of malarious fever were treated; conjunctivitis appears
to have been prevalent, 214 cases are recorded : parasitic diseases of the
skin were also common. The dispensary is inspected once a quarter by
the Civil Surgeon. The return of patients for the year contains no
improbable cases; in his report Jehanghir Khan relates a case of fatty
tumour of the thigh weighing one pound removed successfully by knife
he performed 230 minor operations.