NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 25 )
116. Of the total number of persons who received the benefits of
the institution, 517 in and 7,990 out-door patients were cured or
relieved, 408 are not accounted for, having ceased to attend, which
exceeds those of 1874 by 53. There were 12 deaths, 4 of which are
recorded as having occurred out of hospital. At the close of the year
there were 7 in and 126 out-door patients on the rolls. The daily average
attendance was 9.84 in and 97.77 out-door.patients, exceeding that of the
prervious year by .8 in and 22.57 out-door sick.
117. The number of surgical operations performed increased from
25 to 70 amongst capital cases, or a difference) of 45. Removal of
tumours 9, deep abscesses 21, deep abscess of knee-joint 1, abdominal 5,
reduction of dislocation 34; all successfully performed.
The minor
operations were 380 against 383 of 1874.
118. The dispensary is under charge of Second Class Hospital As-
sistant Noor Mahomed, who performed all the operations, and is reported
by the Civil Surgeon as possessing good qualifications; he is very attentive
to his duties, and has always given satisfaction.
119. I have no cause to find any fault with the general state of the
institution. The instruments and other property of Government are all
clean and cared for, and the medicines kept in their proper places.
BILGRÁM
BRANCH
DISPENSARY.
Remaining
under treatment on the 1st of January
...
In-door Patients admitted
...
...
...
...
Oul-door Patients admitted ... ... ...
Total ...
Relieved and cured In-door Patients ... ...
Out-door Patients ... ...
Ceased to attend ... ... ... ... ...
Died
...
Remaining
...
In-door Patients
...
...
Oul-door Patients
...
...
In-door Patients
...
...
Out-door Patients ... ...
Total ...
Daily average attendance of In-door Patients ...
Do.
do.
Out-door Patients ...
Total ...
1874.
84
536
7,828
8,448
501
7,489
355
4
9
6
84
8,448
9.04
75.20
84.24
1875.
90
554
8,419
9,060
517
7,990
408
8
4
7
126
9,060
9.84
97.77
107.61
Surgical operations.
Surgical operations ...
Capital ... ... ... ...
Minor
... ... ...
Total
25
383
408
70
380
450
Receipts.
RECEIPTS.
Balance in Land on 1st January
...
...
...
European Subscriptions
...
...
...
...
Native
ditto
...
...
...
...
Government Allowances ... ... ...
Other Sources
...
...
...
...
...
Total ...
Rs. A. P.
......
......
......
376
602
978
0
11
11
0
9
9
Rs. A. P.
......
......
......
471
664
1,135
0
5
5
0
9
9
Disbursements.
DISBURSEMENTS.
Establishment
...
...
...
...
...
Dieting In-door Patients
...
...
...
...
Europe Medicines
...
...
...
...
Bazaar Medicines
...
...
...
...
Contingencies
...
...
...
...
...
Total ...
Cost of dieting each In-door Patient
...
...
519
204
12
0
0
6
615
201
0
7
0
6
Accounts not rendered.
102
152
978
0
6
3
11
1
6
3
9
4
122
196
1,135
0
8
5
5
1
9
6
9
2
( 26 )
KHERI
DISPENSARIES.
120. There are five dispensaries in this district : one at the Sadr,
one at Gola twenty miles west, one at Muhamdi forty miles west,
one at Singáhi twenty eight miles north, and one at Dhaurahra twenty-
five miles cast; there is also a dispensary at Duduaghat under charge
of the Hospital Assistant attached to the Forest Department ; in
December Europe medicines, to the value of Rs. 100 paid from
Local Funds, were supplied to this institution, and, I believe, it is to be
placed under the superintendence of the Civil Surgeon.
KHERI SADR
DISPENSARY,
121. A description of the Sadr dispensary has been given in
former reports; it and its out-offices are in capital repair; the female
hospital consists of six separate rooms, eight feet square each, opening on
to a yard common to all, which has an enclosure Avail six feet high ; the
privacy of each and all is thus complete.
122. The dispensary is well supplied with almirahs, tables, char-
pais, and such necessaries; for each bed there is a mattress, a dari, and
a blanket.
123. The supply of medicines has been sufficient; indigenous
drugs can be purchased in the local bazaar, and are constantly used ; the
instruments are kept in good order ; the poisons are kept separate from
other medicines.
124. The Sadr dispensary is visited daily by the Civil Surgeon ;
the year 1875 has been a tolerably healthy one, cholera was present in
all parts of the district from March till November, but only 721 cases
were reported in this time ; malarious fever was very prevalent but not
of a very fatal type. The people living round about the Sadr are more
favourably situated, and enjoy better health generally than those in
out-lying parts. 3,127 out-door and 162 in-door patients were treated
at the Sadr dispensary during the year, plus 38 remaining at the end of
1874
Of these 3,508 were cured, 39 ceased to attend, 12 in-door
patients died, and AG patients remained at the end of the year;
the diseases chiefly treated were fevers 952 cases, dysentery, diarrhoea,
constipation, &c. 600 cases, diseases of the eye 123 cases, pneumonia
bronchitis, 230 cases, and diseases of the skin 774. 110 cases of injuries
were treated, including fractures, dislocations, contusions, and wounds.
125. All the 15 important operations were performed by the
Superintendent, Dr. Higginson ; of these 13 were successful. They in-
clude the lateral operation for lithotomy, a thigh amputation, removal
of tumours, reduction of compound fractures and dislocations, &c.
126. Out of 162 in-door patients 12 died ; the causes of death were
phthisis pulmonalis, apoplexy, pneumonia, endocarditis, obstruction of
the bowels, and acute inflammation of the bladder ; post mortem examin-
ation of one of the cases of obstruction of the bowels showed that the
cause was a cancerous tumour, the size of a cocoanut, completely investing
the ilium.
127. Second Class Hospital Assistant Rajub Khan has been in
charge of the Sadr dispensary throughout the year ; he is a man of very
( 27 )
fair professional attainments, and is attentive to his duties, he writes and
speaks English. Native medical pupil Saduk Ali joined the dispensary
in June; he is an attentive intelligent lad, and has picked up a good deal
of knowledge since his arrival.
128. This dispensary was inspected by me on the 21st of March
last. I found the records, medicines, and surgical instruments all in good
order, with the exception of the eye-case, which is useless and should be
returned, and a new set of MacNamara's indented for.
129. Although Second Class Hospital Assistant Rajub Khan bears a
good character, is attentive to his duties, and has a fair knowledge of
English, he is scarcely qualified for the charge of so important a Sadr
dispensary, and I strongly recommend that an Assistant Surgeon may
be appointed in his place.
130. The financial state of this institution will be found in the
following comparative statement:—
KHERI 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 average attendance of In-door Patients ... ...
Do.
do.
Out-door
Patients ...
Total ... ...
1874.
50
221
3,674
3,945
205
3,581
114
10
...
5
30
3,945
8.45
36.65
45.10
1875.
38
162
3,427
3,627
128
3,380
39
12
...
8
38
3,605
5.86
35.17
41.03
surgical operations.
Surgical operations ... Capital ... ... ...
Minor ... ... ...
Total ... ...
13
186
199
15
170
185
Receipts.
RECEIPTS.
Balance on 1st January ... ... ...
European subscriptions
...
...
...
...
Native
do.
...
...
...
...
Government allowance
...
...
...
...
Other sources
...
...
...
Total
...
...
Balance on 1st January 1876 ... ... ...
Rs.
204
688
576
As
0
7
0
P.
4
9
0
...
1,468 8 1
...
Rs.
379
320
576
551
1,827
802
As
2
2
0
12
1
1
P.
9
3
0
0
0
6
Disbursements.
DISBURSEMENTS.
Establishments ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines ... ... ... ... ...
Bazaar medicines ... ... ... ... ...
Contingencies
...
...
...
...
...
Total ... ...
Cost of dieting each In-door Patient
...
...
714
146
0
l5
0
8
744
l 0 7
0
9
0
9
Accounts
not
rendered.
92
106
1,089
0
1
1
5
0
5
10
11
9
82
90
l,024
0
14
7
l5
0
1
8
6
9
( 28 )
MUHAMDI BRANCH
DISPENSARY.
131. Dr. Higginson reports that the Mohamdi Branch dispensary,
similar in construction to that at Gola, is one of the old institutions of the
district; it is under the charge of First Class Hospital Assistant Jehangeer
Khan, who continues to deserve the high character he has always borne
In April last, having completed fourteen years' service, he passed success-
fully the professional examination and was promoted to the first class ;
the dispensary is situated in one of the largest towns in the district.
3,221 out patients and 253 in patients, plus 53 remaining from last
report,received medical relief during the year; of these 3,119 were relieved
or cured, 331 ceased to attend, and 14 died; the chief diseases were fevers
1,607 cases, ophthalmia 182 cases, affections of the skin 396 cases, dysentery,
diarrhœa, and colic 253 cases ; 171 cases of injuries were treated, including
18 fractures; 226 minor operations were performed.
132. The dispensary is inspected once a quarter by the Civil Sur-
geon ; the building is in good repair generally, but the roof requires to
be renewed before next rains.
MUHAMDI BRANCH DISPENSARY.
Remaining under or treatment on the 1st 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 ... ...
Out-door Patients ... ...
in-door Patients ... ...
Out-door Patients ... ...
Total ... ...
Daily average attendance of In-door Patients ...
Do.
do.
of Out-door Patients ...
Total
1874.
54
237
2,944
3,235
229
2,611
4
332
4
2
6
47
3,235
6.13
42.49
48.62
1875.
53
253
3,221
3,527
235
2,884
5
326
11
3
8
55
3,527
6.55
55.81
61.36
Surgical operations.
Surgical operations ...
Capital ... ... ...
Minor ... ... ...
Total ... ...
...
231
231
...
226
220
Receipts.
RECEIPTS.
European subscriptions ... ... ... ...
Native
do. ... ... ... ...
Government allowance ... ... ... ...
Other
sources
...
...
...
...
...
Total ... ...
Rs. As. P.
...
...
576
291
867
0
15
15
0
3
3
Rs. As. P.
...
291
746
14
10
11
8
...
1,038 9 7
Disbursements.
DISBURSEMENTS.
Establishment ...
... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines ... ... ... ...
Bazaar
medicines
...
...
...
...
...
Contingencies ... ... ... ... ...
Total ... ...
Cost of dieting each In-door Patient
...
...
684
75
0
5
0
3
854
73
10
8
8
8
Accounts not rendered.
74
38
868
0
8
1
15
0
0
4
1
9
68
41
1,038
0
10
12
9
0
0
3
7
9
( 29 )
GOLA BRANCH DIS-
PENSARY.
*And 27 who remained under
treatment at the end of 1874.
133. Regarding the Gola branch dispensary Dr. Higginson reports
as follows: —
" This dispensary is one of the oldest in the district. Third Class
" Hospital Assistant Karamut Husen has been in charge since it was
" opened ; his conduct is never entirely satisfactory, but I have been better
" pleased with him of late ; his professional knowledge is indifferent for a
" man of his length of service and experience; the dispensary is visited
" once a quarter by the Civil Surgeon ; 3,427 out-door and 355 in-patients
were treated during the year; of these*, 3,533
were relieved or cured, 230 ceased to attend, 22
" died, and 24 remained at the end of the year; 1,387 cases of paroxysmal
"fever were treated, the other chief diseases were dysentery, dyspepsia,
"ophthalmia, rheumatism, and affections of the skin ; the return of patients
"for 1875 does not contain any of the improbable cases which signalised
"the one for 1874.
"The dispensary building has been described in former reports ;
" it is not in very good repair and the roof will have to be entirely renewed
" before next rains."
GOLA BRANCH 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 average attendance of In-door Patients ...
Do.
do.
Out-door Patients ...
Total
...
...
1874.
20
343
3,340
3,703
3,531
133
13
27
3,703
6.13
28.10
34.23
1875.
27
355
3,427
3,809
343
3,190
230
8
14
4
20
3,809
5.36
30.63
35.99
Surgical operations.
Surgical operations ... Capital ... ... ...
Minor ... ... ...
Total ... ...
...
155
155
...
239
239
Receipts.
RECEIPTS.
European subscriptions ...
...
...
Native
do.
...
...
...
Government allowances ... ... ... ...
Other sources ... ... ... ... ...
Total ... ...
Rs.
285
576
A.
11
0
P.
7
0
...
861 11 7
Rs.
273
576
A.
4
0
P.
6
0
...
849 4 6
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines ... ... ... ... ...
Bazaar medicines ... ... ... ... ...
Contingencies
... ... ... ... ...
Total ... ...
Cost of dieting each In-door Patient ... ...
684
86
0
2
0
5
684
78
0
12
0
3
Accounts not rendered.
65
26
861
0
6
2
11
0
8
6
7
7
49
36
849
0
10
13
4
0
4
11
6
8½
( 30 )
DHAURAHRA BRANCH
DISPENSARY.
134. Dr. Higginson reports as follows :—" This dispensary was
"opened on the 20th August 1874 in a house lent for the purpose;
" the dispensary building proper and hospital were not ready for occu-
-pation until May 1875. Third Class Hospital Assistant Alla-bunda is
" in charge; he is a well meaning man, attentive to his duties, but of very
" moderate professional knowledge and unable to speak or write
" English. 2,748 out-door and 83 in-door patients, were admitted during
" the year; of the total treated 2,260 were relieved or cured ;
" 522 ceased to attend, and 29 died; 972 cases of fevers were treated,
" dysentery, diarrhœa, dyspepsia 342 cases ; here, as at Singáhi, goitre is
" prevalent, 413 cases were admitted, but of these 260 ceased to attend
" before a cure was effected; 65 minor operations were performed.
" The dispensary is inspected once a quarter by the Civil Surgeon :
" it is in good repair."
DHAURAHRA BRANCH 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 average attendance of In-door Patients ... ...
Do.
do
Out-door Patients ...
Total ... ...
1874.
...
...
476
476
...
450
...
...
...
...
26
476
...
6.23
6.23
1875.
26
83
2,748
2,857
76
2,184
522
2
27
1
45
2,857
3.65
28.89
32.54
Surgical operations.
Surgical operations ... Capital
...
...
...
Minor
...
...
...
...
65
RECEIPTS.
European subscriptions ... ... ... ...
Native
do. ... ... ... ...
Government allowance
...
...
...
...
Other sources ... ... ... ... ...
Total ... ...
Rs. A. P.
...
71
125
197
14
5
4
11
9
8
Rs.
300
180
76
556
A.
0
0
6
6
P.
0
0
10
10
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines ... ... ... ...
Bazaar medicines ... ... ... ...
Contingencies ... ... ... ...
Total ... ...
Cost of dieting each In-door Patient ... ...
179 13 11
...
465
21
0
14
0
7
Accounts not rendered.
13
4
197
2
4
4
5
3
7
...
29
39
556
0
14
9
6
1
8
7
10
0
SINGÁHI BRANCH
DISPENSARY.
135. Dr. Higginson's remarks on the Singahi Branch Dispensary
are as follow :—
"This dispensary has now been opened a year and a half; it is under
" the charge of Third Class Hospital Assistant Mohomed Yar Khan, a man
" who is intelligent enough but not sufficiently careful; at my inspections
( 31 )
" I have more than once found the instruments and hospital necessaries in
" a very discreditable state ; 1,963 out-door and 81 in-door patients were
" admitted during the year; of the total treated 1,943 were relieved or cured,
" 72 ceased to attend, and 10 died ; the chief disease met with at this dis-
" pensary is goitre, 1,085 cases were treated, of which 1,034 are reported to
" have been relieved or cured ; of fevers there were only 263 cases,
"rheumatism 112 cases, dysentery, diarrhœa, dyspepsia, &c., 133 cases,
" diseases of the skin 114 cases ; the surgical cases treated were very few,
" only 11 minor operations were performed.
" The dispensary is inspected once a quarter by the Civil Surgeon ;
" the building is in good repair generally but its roof also will require
" renewal before next rains."
SINGÁHI BRANCH 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 ... ...
Out-door Patients ... ...
In-door Patients ... ...
Out-door Patients ... ...
Total ... ...
Daily average attendance of In-door Patients ... ...
Do.
do.
Out-door Patients ...
Total
...
...
1874.
...
33
647
680
26
551
4
82
2
3
1
11
680
3
15.8
18.80
1875.
12
81
1,963
2,056
69
1,874
3
69
7
3
3
28
2,056
2.64
18.45
21.09
Surgical operations.
Surgical operations ...
Capital ... ... ...
Minor ... ... ...
Total ... ...
...
21
21
...
11
11
Receipts.
RECEIPTS.
European subscriptions ...
... ... ...
Nativo
do.
...
... ... ...
Government allowances ...
... ... ...
Other sources ... ... ... ... ...
Total ... ...
Rs. A. P.
...
88
249
337
5
6
12
10
5
3
Rs.
296
180
226
703
A.
5
0
12
2
P.
4
0
8
0
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines
...
... ... ...
Bazaar medicines ... ... ... ... ...
Contingencies
...
...
...
...
...
Total
...
...
Cost of dieting each In-door Patient ... ...
267
25
15
15
7
0
564
42
0
10
0
3
Accounts not
rendered.
23
20
337
0
9
4
12
2
6
2
3
8
47
48
703
0
11
13
2
1
6
3
0
3
136. I have offered no remarks on the finances of the Kheri
Dispensaries. The accounts given above differ widely from the figures
entered in Statement No. 1, and I regret that I am at present unable to
explain the discrepancies.
( 32 )
FYZABAD SADR
DISPENSARY.
137. The roof of the main building is still in the unsatisfactory
state it was in at the date of last report. The want of sufficient funds is
the reason stated why nothing has as yet been done to strengthen it.
The weakest parts are, however, propped up, and there is little or no dan-
ger of a catastrophe occurring ; the estimate to put the roof and building in
thorough repair exceeds, I believe, Rs. 5,000.
138. The Assistant Surgeon's quarters having been found insuffi-
cient for the accommodation of his family, a requisition has been sent in
for the addition of a room, a few servants' houses and a stable, but as
the quarters are quite as extensive as those allowed at Gonda or Bah-
raich, I agree with the Commissioner, who considers any expenditure on
this account unnecessary.
139. The want of a dead-house has been much felt, not only for
the safe keeping of corpses until burial or other arrangements can be
made, but also for operation on the dead body and for anatomical de-
monstrations to the medical pupils attached to the dispensary.
140. The European subscriptions amounted to Rs. 295-4-0 against
Rs. 345-8-0 in 1874, or a decrease of Rs. 50-4-0, which appears to be due
to fluctuations in the number of European residents. The native sub-
scriptions have also fallen off considerably. The Government contribu-
tion was Rs. 1,296, the pay of the Assistant Surgeon and a compounder.
The provision from Local Rates was Rs. 824-9-11 against Rs. 776-8-3
in the previous year. Thus the total income for the year, including the
balance on hand at the close of 1874, was Rs. 3,613-9-11.
141. The establishment cost Rs. 1,733-13-0, or only 3 annas in ex-
cess of the previous year. The dieting of in-door patients came to Rs.
335-5-6, or Rs. 73-15-0 less than in that year.
Bazaar medicines and
contingencies cost Rs. 41-13-6 and Rs. 21-7-4 less, respectively, than in
1874.
142. The total expenditure for the year was Rs. 2,350-0-2 against
Rs. 2,509-1-0 in 1874, or a decrease of Rs. 159-1-2 ; at the close of the
year there was a balance of Rs. 1,263-9-9 in favour of the dispensary.
143. The average cost per head per diem for dieting in-door patients
was 12 pies (1 anna), or 3 pies less than in the previous year. The great-
er cheapness of food and the smaller number of Europeans dieted during
the year account for this.
144. The total number admitted in-door and out-door were 253 and
5,212, respectively, against 339 and 5,123 in the previous year. This shows
a considerable falling off in the number of in-door patients, but as there
was more than a corresponding increase in the out-door, the result is in
favour of the year under report. Of the total number treated (in-door
and out-door) 4,021 were cured, 1,407 ceased to attend, 72 died, and 32
(in-door 13 out-door 19) remained at the close of the year.
( 33 )
145. The number of capital operations performed was 26 against 33
in the previous year. They were as follows :—
Amputations ...
Lithotomy... ...
Tapping the abdomen ...
Dislocations ...
Extraction of lens (eye)
Total ...
3
11
6
5
1
26
Of these 15 were performed by the Resident Assistant Surgeon and 12
by the Superintendents. Of the total number 18 recovered, 5 left the
hospital while under treatment, and 3 died from peritonitis after the
lateral operation for lithotomy.
146. Among the out-door patients goitre takes the first place, no less
than 703 cases having been treated during the year. The next on the or-
der of frequency are fever (agues), skin, and chest complaints, abdominal
ailments, and rheumatism.
147. Among the in-door, surgical injuries, chiefly police cases, were
the most frequent, and the next highest were disorders of the digestive
organs, fevers, chest complaints, and cholera.
148. Ten lepers were treated in-door with the view of testing the
value of the Gurjun oil plan of treating leprosy. The results were not
encouraging, for, as far as experience goes, Gurjun oil has no more power
over the constitutional disease than the other nostrums which have from
time to time been cried up as infallible remedies, and the truth appears
to be that any benefit that is seen to accrue under this system of treat-
ment is more probably due to the adjuvants, viz., rest, cleanliness, fric-
tions, and improved diet, than to the Gurjun oil itself, especially when the
treatment is commenced at an early period of the disease.
149. The mortality among the in-door patients was as usual here
very high. I endorse the Assistant Surgeon's explanation of the cause,
viz , the large number of beggars and pilgrims brought in by the Police
merely to die.
150. Assistant Surgeon Nund Lal Banerjee, now in charge, received
over charge from Assistant Surgeon Gresh Chunder Mitter (transferred
to the medical school at Agra) in October last. Assistant Surgeon
Nund Lal Banerjee is a well-conducted and very capable and promis-
ing young officer.
151. The two medical pupils attached to this hospital are Abdool
Rasak and Ghoolam Mahomed. Abdool Rasak's conduct was indifferent
but has lately improved. His progress in elementary materia medica and
anatomy has been satisfactory. Goolam Mohomed's conduct has been
good, and his progress in his elementary studies has also been satisfactory.