NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 39 )
25th January 1875.
191. Made my annual inspection of this hospital on the 25th January;
there were seven patients under treatment on the occasion of this visit out
of a strength of 573.3 men; the daily average sick for 1874 was 13.83.
192. The total number of deaths all in hospital was four or .69 per
cent. to strength.
193. The lines are in tolerable good repair but are badly situated,
and the surface drainage is indifferent, but as the new lines are nearly
complete, no further remarks need be made on this subject.
194. Examined the books, instruments, and medicines, all appear in
good order.
195. The following annual reports of the three branch dispensaries
in the Fyzabad district, are submitted by Dr. J. Cameron.
AKBARPUR BRANCH
DISPENSARY.
196. The dispensary is still in the small building in the Tehsil com-
pound occupied by it at its commencement in 1872.
197. A good site for the new building has been approved by the
Deputy Commissioner, and funds have been provided for the work by the
Local Committee in their coming year's budget.
198. The establishment during the past year consisted, as hitherto,
of the Hospital Assistant and a Compounder ; menial servants being
employed only when required by the presence of in-door patients.
STATEMENT I.
Receipts and expenditure.
199. At the close of 1873, there was a balance in hand of Rs. 286-7-0.
The receipts during the year were Rs. 592-8-0, of which Rs. 20 were
derived from private subscriptions and Rs. 572 from local rates.
200. The expenditure was Rs. 580-13-5 leaving of Rs. 298-4-7, an
amount sufficient to meet the expenditure of the remaining three months
of the financial year.
STATEMENT II.
Patients treated (1) In-
door.
201. The total number treated was 45 against 79 in the previous year.
As in the case of the Tanda dispensary the Hospital Assistant here was
desired to avoid as far as possible admitting incurables, and to keep the
little accommodation the building affords, for the treatment of urgent
surgical and medical cases, the preference to be given to surgical. This
accounts for the falling off in the number of in-door patients.
202. Of the 45 treated in-door, 37 were discharged cured, seven
relieved, and one died. The fatal case was one of severe and extensive
injuries.
(2) Out-door attendance..
203. The number of new cases was, according to the return,
4,996 against 9,199 in the previous year. This is an enormous
decrease, too great I fear, to be fully accounted for by the un-
doubtedly greater healthiness of the year. I have frequently inspected
this dispensary during the year and have on each occasion scrutinized the
daily register of out-door attendance, and warned the Hospital Assistant
to avoid making false entries to keep up appearance. The result has been
that the past year's figures, although considerably exaggerated, are nearer
( 40 )
the truth. The single fact that 304 cases of Gonorrhœa are shown as
having been treated while the numbers at Shahganj and Tanda were only
18 and 73 respectively, is of itself sufficient to strengthen suspicion as to
the trustworthiness of this return. The Hospital Assistant when called
upon to explain the cause of the prevalence of venereal diseases at
Akbarpur, states that the village is infested by diseased women who have
fled from Fyzabad to escape the rigours of the Contagious Diseases Act.
I have made personal enquiries into the matter and find that there is
some degree of truth in the Hospital Assistant's statement. Akbarpur
being on the line of Railway from Fyzabad is easily reached, and the
capacious serai gives ample accommodation to the fugitives and no one
asks why they have come or why they remain.
204. Thirty-five operations for Hydrocela are claimed, the other
minor operations such as opening abscesses, setting fractures, have not been
recorded. This will be rectified in the current year. The number of
Hydrocela cases like that of Gonorrhœa is startling, and is open to grave
suspicion. The Hospital Assistant however maintains the correctness of
the figures ; but I do not consider his explanation satisfactory.
205. One major operation, for stone in the bladder, was performed
by myself at one of my inspection visits, as the parents of the child could
not go to Fyzabad. The child made an excellent recovery.
206. This part of the district has, like the rest, been entirely free
from epidemic disease throughout the year. A sporadic outbreak of
cholera occurred in a village about live miles from the town in November,
but the disease quickly disappeared and did not spread to the neighbouring
villages.
207. Third Class Hospital Assistant, Peer Khan, has been in charge
since the opening of the dispensary in 1872. His qualifications are fair
for his grade, but as regards his conduct, I have frequently had the
disagreeable duty of informing him that his returns of out-patients treated
were open to suspicion. If he remains in charge, I hope to be able to
give a better account of him and of his work in next year's report.
BRANCH DISPENSARY, AKBARPUR.
Remaining under treatment on the 1st January 1874,...
In-door patients admitted, ... ... ...
Out-door patients admitted, ... ... ...
Total, ...
Relieved and cured, ... ... ...
Ceased to attend, ... ... ... ...
Died, ... ... ... ... ...
Remaining, ... ... ... ...
Total, ...
1873.
151
79
9,199
9,424
9,239
96
1
93
9,429
1874.
93
45
4,996
5,134
4,720
365
5
44
5,134
( 41 )
Daily average attendance of In-door patients, ...
Ditto,
ditto,
Out-door patients, ...
Total, ...
1873.
2.7
40.2
42.9
1874.
1.9
25.3
26.11
Surgical Operations.
Surgical operations,
Capital,
Minor, ...
... ...
... ...
Total, ...
...
60
60
1
35
36
Receipts.
RECEIPTS.
European subscriptions, ... ... ...
Native
ditto, ... ... ...
Government allowances, ... ... ...
Other sources, ... ... ... ...
Total, ...
Rs. As. P.
...
321 12 0
...
501
823
14
10
4
4
Rs.
286
20
As.
7
0
P.
0
0
...
572
878
8
15
0
0
Disbursements.
DISBURSEMENTS.
Establishment, ... ... ... ...
Dieting In-door patients, ... ... ...
Europe Medicines, ... ... ... ...
Bazar Medicines, ... ... ... ...
Contingencies, ... ... ... ...
Total, ...
Cost of dieting each In-door patient, ... ...
461 0 0
...
...
71
4
537
4
14
3
6
10
4
Nil.
461 0 0
...
...
95
24
580
3
9
13
8
9
5
Nil.
BRANCH DISPENSARY,
SHAHGANJ.
208. This dispensary still occupies the temporary quarters given rent
free by the manager of the estates of the late Mahárájah Sir Mán Singh,
at the commencement in February 1872.
209. Its situation in the main street of the village is more open to the
gaze of passers-by than is desirable, but the accommodation is the best
that can be had at present. Of the three branch dispensaries this is to be
the last to be furnished with a permanent building, so that the prospect of
better accommodation for it is rather distant.
Statement No. 1,—Receipts
and Expenditure.
210. The balance in hand at the end of the previous year was Rs. 288-0-2
and the receipts for the year Rs. 1,057-1-10, making a total of Rs. 1,345-2-0
to meet the expenditure of the year. The income in the past year was
derived solely from the provision made for branch dispensaries by the Local
Rates Committee. The private subscriptions failed entirely as was antici-
pated in last year's report. The Superintendent of Encumbered Estates
gives as his reason for discontinuing the payment of the monthly subscrip-
( 42 )
tion of Rs. 13 from the revenues of the late Mahárájah Sir Mán Singh's
estate, that he cannot afford to pay it, and that the institution of the local
rates tax relieved him of the duty to give direct aid to the dispensary ;
one of the objects of the tax being the support of branch dispensaries.
The Tahsíldár of Bíkapur, again, whose duty it has been to collect the
rest of the promised subscriptions, says he finds so much difficulty in
getting in the ordinary demands of Government, that it is useless at
present to attempt the collection of "voluntary"
subscriptions.
211. The expenditure for the year was Rs. 1,125-8-0, leaving a balance
sufficient to meet the charges of the remaining three months of the finan-
cial year, so that the failure of income from private sources will not be felt.
Statement. No. 2.—show-
ing patients treated.
212. The number remaining under treatment at the end of 1873 was
nearly the same as for the close of the year.
(1) In-door.
213. The admissions were 109 against 103, or six in excess of
the previous year. The daily average was, however, less than in 1873,
being 5.36 against 5.83, the duration of cases having been shorter than in
the previous year.
(2) Out-door.
214. The number was 3,085 against 3,150, or a decrease of 65 as
compared with the results of 1873. The daily average attendance was
23.93 against 25.37 in the previous year. The falling off in the out-door
attendance is entirely due to the greater healthiness of the year.
Diseases,—In-door.
215. These were chiefly intermittent and remittent fevers, dysentery
and diarrhœa, ascites from enlargement of the spleen and of the
liver ; skin diseases, injuries, and stone in the bladder, &c., call for no
special remarks.
216. Of 113 treated in-door 70 were discharged cured, 16 relieved,
5 died, and 6 were still in hospital at the end of the year.
Diseases,—Out-door.
217. These were in order of frequency, skin diseases, agues, ab
dominal ailments, rheumatism, bowei complaints, chest affections, lepra,
and syphilis.
218. Phthisis pulmonary is not common, the reason being probably that
the population is almost wholly agricultural. Goitre is entirely unknown
among the " natives" of this part of the district. Spleen, however,
is frequently met with from the prevalence of ague, and asthma and
bronchitis are riſe among a population, whose out-door occupations
necessarily entail exposure at all seasons of the year.
219. Of 3,145 treated out of door, 2,855 were cured, 11 relieved, 226
ceased to attend, three are known to have died, and 50 remained on the
register at the end of the year.
Surgical Operations.
220. There were 90 in all. Of this number 70 were among the
out-door and 21 among the in-door. The hospital assistant claims
33 of the whole number as "capital" operations, but a reference
to the detailed statement of the nature of the cases shows that
( 43 )
probably not more than six of them can probably be so designated. The
fact remains, however, that a good deal of surgery has been done by him.
221. He has operated three times successfully for stone in the bladder
during the year. I chanced to be present on one of these occasions, and
was agreeably surprised to see the intelligent care and coolness he dis-
played while operating. All these " stone cases" made good recoveries.
222. The daily average cost of dieting each in-door patient was less
than seven pies, a very low figure, indicating good and careful manage-
ment. Those patients who are able to provide their own food while in
hospital are obliged to do so.
223. Although my inspection visits have always been made at uncer-
tain times and without previous intimation being given, I have invariably
found this dispensary in excellent order in every respect.
24. First Class Hospital Assistant Gumandee Lall has been in
charge since the commencement in 1872. He has done his work to my
entire satisfaction. He is an intelligent physician and a good surgeon,
and is much esteemed by all classes of the people. In short, I cannot
speak too highly of him, both as a private individual and a professional
man.
BRANCH DISPENSARY, SHAHGANJ.
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
103
3,150
3,315
73
2,908
264
5
1
4
60
3,315
5.83
25.37
31.20
1874.
64
109
3,085
3,258
86
2,866
242
5
3
6
50
3,258
5.36
23.98
29.34
Surgical
operations.
Surgical operations,
Capital, ... ...
Minor, ... ... ...
Total, ...
32
68
100
33
58
91
( 44 )
Receipts.
RECEIPTS.
Balance in hand on 1st January 1874, ... ...
European subscriptions, ... ... ...
Native
ditto,
...
...
...
Government allowances, ... ... ...
Other sources,
...
...
...
...
Total, ...
1873.
Rs.
240
As.
3
P.
11
...
130 0 0
...
1,072
1,442
5
9
8
7
1874.
Rs.
288
As.
0
P.
2
...
...
...
1,057
1,345
1
2
10
0
Disbursements.
DISBURSEMENTS.
Establishment, ... ... ... ...
Dieting In-door patients, ... ... ...
Europe Medicines, ... ... ... ...
Bazaar Medicines,
...
...
...
...
Contingencies, ... ... ... ...
Total, ...
Cost of dieting each in-door patient, ... ...
984
82
0
3
0
9
...
71
16
1,154
11
10
9
0
8
5
8 pies.
984
68
0
6
0
0
...
61
11
1,125
10
9
8
6
6
0
6½ pies.
BRANCH DISPENSARY
TÁNDA.
225. This dispensary is still in hired quarters in the main street of
the town.
226. The plan and estimate for a new building have at length been
sanctioned. A site on the east of the town (the best of the three pro-
posed by the municipal committee) has been fixed upon; materials are
being collected and building operations are on the eve of commencement.
It is expected that the dispensary will be in its new quarters before the
end of the ensuing hot season.
227. The establishment consists of a hospital assistant, a compounder,
and the usual staff of menial servants. The hospital is furnished with
cooking vessels and with other necessaries for the treatment of in-door
patients.
Statement No. 1-Receipt
and Expenditure.
228. At the close of 1873 there was a balance in hand of Rs.
217-5-5. The receipts for the year were Rs. 943-9-11, of which Rs.
142-12-0 was from private subscriptions and Rs. 800-13-11 from local
rates.
229. The expenditure under all heads was Rs. 923-15-2, leaving a
balance of Rs. 237-0-2 at the credit of the dispensary (a sufficient amount)
to meet the expenditure of the remaining three months of the financial
year.
230. The cost of establishment was considerably less than in the
previous year, the hospital assistant (being of a lower grade) receiving
less pay than his predecessor.
231. The cost of dieting appears high considering the small number
of in-door patients treated, but this may be partly owing to the severe
character of some of the cases requiring prolonged treatment.
( 45 )
232. The cost of dieting each in-door patient per diem was about
12 pies (one anna) or nearly double that of the Shahganj branch
dispensary.
233. The increase of expenditure under the head of contingencies
was mainly due to the cost of additional cooking vessels.
Statement No. 2,—In-door
patients.
234. The number fell from 183 in the previous year to 102, and
the daily average from 7.94 to 6.41. The hospital assistant was desired
to reserve the limited accommodation at his disposal for the treatment of
urgent cases, and, as far as possible, to avoid converting the hospital into
a poor-house by the admission of incurables. This may account for the
decrease.
Out-door patients.
235. There has been a decrease here also, the number treated being
3,967 against 4,374 in 1873, and the daily average attendance being 56.18
against 59.13. The falling off, however, is not great, and was, no doubt,
due to the greater healthiness of the past year.
Statement No. 3,—diseases
In-door.
236. These were chiefly injuries, fevers, chest and bowel complaints,
and syphilis, and call for no special remark.
Mortality,—In-door
237. The mortality was unusually high, but this was probably unavoid-
able from the nature of the cases; three deaths were from intractable
dysentery and diarrhœa, two from chest diseases, and two from poison
ing.
Diseases,—Out-door.
238. The chief complaints were, in order of frequency, skin di-
seases, agues, rheumatism, abdominal and chest disorders. Syphilis
appears to be rife. Goitre is very common, as, indeed, might be ex-
pected from the proximity of the river Gogra. This year fewer cases
of phthisis pulmonalis figure in the return, but as this complaint is com-
mon among the weaving class (Hindú and Musalmán) in the town, it is
probable that some of the cases returned as chronic bronchitis were really
of this nature.
239. The number of surgical operations performed has not been record-
ed. No major operation was done against six in the previous year, when
Hospital Assistant Brindabun Dass was in charge; the present incumbent
has not as yet shown surgical skill equal to that of his predecessor.
240. The town and its neighbourhood have been free from epidemic
disease throughout the year. Two slight localised outbreaks of cholera
occurred at considerable distances from the town and from each other,
but the disease quickly died out and did not spread into surrounding
villages.
241. Third Class Hospital Assistant Bhowany Sing was in charge
throughout the year. His professional qualifications are moderately fair.
His conduct, however, has not, I regret to say, been at all times praise-
worthy ; and he is not liked by the people of the town.
( 46 )
BRANCH DISPENSARY, TÁNDA
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.
79
102
3,967
4,148
96
3,902
74
11
3
3
59
4,148
6.41
56.18
62.59
1874.
114
183
4,374
4,671
140
3,275
1,137
9
31
8
71
4,671
7.94
59.13
67.07
Surgical Operations.
Surgical operations,
Capital, ... ...
Minor, ... ... ...
Total, ...
6
Not recorded.
6
...
Not recorded.
...
Receipts.
RECEIPTS.
Balance in hand on 1st January 1874,
European subscriptions, ... ...
Native
ditto, ... ... ...
Government allowances, ... ... ...
Other sources, ... ... ... ...
Total,
Rs.
228
As.
7
P.
9
...
96 12 0
...
825
1,151
14
2
4
1
Rs.
217
As.
5
P.
5
...
142 12 0
...
800
1,160
13
15
11
4
Disbursements.
DISBURSEMENTS.
Establishment, ... ... ... ...
Dieting in-door patients, ... ... ...
Europe medicines, ... ... ...
Bazaar medicines, ... ... ... ...
Contingencies, ... ... ... ...
Total, ...
Cost of dieting each in-door patient, ... ...
646
120
8
15
0
6
...
94
72
933
0
0
4
12
0
6
8
8
8
568
153
10
2
8
6
...
64
137
923
0
13
4
15
1
9
3
2
0
( 47 )
SADR DISPENSARY,
BAHRAICH.
242. Inspected this dispensary in company with Dr. Franklin, the
Civil Surgeon of Bara Banki, who has been in visiting charge since
August last; Dr. Cromarty, now on sick leave, being the Civil Surgeon of
the district.
243. Assistant Surgeon Nund Lall Banerjee is in resident medical
charge; his medical qualifications are above the average, and he is very
attentive to his duties and kind to the patients.
244. The books show a daily average of 13 in-door and 55 out-door
patients during 1874, about the same as the previous year.
245. The capital operations have fallen off from 20 in 1873 to 15 in
1874, three of which were performed by the Civil Surgeon and proved
fatal, and 12 by the Assistant Surgeon Nund Lall Banerjee, all of which
were successful, but one, the result of which is unknown.
246. Medical Pupil Ramdeen has given a great deal of trouble since
his arrival at this dispensary—in June last; he has twice absented himself
without leave, is reported to be intemperate in his habits, and on one
occasion was exceedingly discourteous to Mr. Nesfield, the Director of
Public Instruction, while under the influence of drink. I have recom-
mended his dismissal from the service.
247. The hospital is an old well built native house, and conveniently
situated for the attendance of the inhabitants of the city, but the follow-
ing additions are urgently required : accommodation for the assistant
surgeon in resident medical charge ; servants' quarters; a dead-house ; an
infectious disease ward; a bath-room ; and outside latrine.
248. I am quite of Mr. Carnegy's opinion, recorded as far back as
August 1873, that a most excellent dispensary could be made for little
money containing all the above addition by throwing the thanah buildings
and out-offices, next door, into the dispensary compound, and having it
well ventilated. I therefore beg again to bring this proposition forward
for the favourable consideration of the local Government.
249. I was satisfied with what I saw in connection with the general
management and condition of the medicines, books, and instruments.
250. The comparative statement is submitted.
SADR DISPENSARY, BAHRAICH.
Remaining under treatment on the 1st of January 1874,
In-door patients admitted, .. .. .. .. ..
Out-door patients admitted. .. .. .. ..
Total, .. ..
1873.
125
225
9,198
9,548
1874.
122
199
7,810
8,131
( 48 )
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.
8,438
..
911
77
..
122
..
9,548
13.1
58.93
71.94
1874.
153
6,861
1,054
17
..
15
31
8,131
13.5
55.19
68.24
Surgical operations.
Surgical operations,
Capital, .. .. .. ..
Minor, .. .. .. ..
Total, .. ..
22
522
544
15
349
364
Receipts.
RECEIPTS.
Balance in hand on 1st January 1874, .. .. ..
European subscriptions, .. .. .. .. ..
Native
ditto, .. .. .. ..
Government allowance, .. .. .. .. ..
Other sources, .. .. .. .. .. ..
Total .. ..
Rs.
527
93
911
1,296
0
2,828
A.
4
0
8
0
12
8
P.
3
0
0
0
0
3
Rs.
194
79
565
1,296
151
2,286
A.
12
0
12
0
4
12
P.
11
0
9
0
0
11
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. .. ..
Dieting in-door patients, .. .. .. .. ..
Europe medicines. .. .. .. .. .. ..
Bazaar medicines, .. .. .. .. .. ..
Contingencies, .. .. .. .. .. ..
Total, .. ..
Cost of dieting each in-door patient, .. .. ..
1,436
292
3
8
6
6
..
88
207
2,023
0
3
0
15
1
2
7
9
2
or 14 as
1,626
270
0
10
0
5
..
108
172
2,176
0
0
0
11
1
3
6
2
0
POLICE HOSPITAL
BAHRAICH
251. Inspection on the 1st February 1875. Third Class Hospital
Assistant Mowla Buksh has been attached to this hospital since the 18 th
September 1873; conduct and qualification good; writes and reads
English fairly, but has not passed in the language ; is now in daily attend
ance at the zilla school, and hopes soon to do so.
252. The books show a daily average of 5.13 sick in hospital to a
strength of 441 men.
253. There have been only two deaths in hospital during the year, of
a percentage of 0.45 to strength.
(
49
)
254. The hospital as a building is a wretched institution, and the
roof is certainly unsafe.
255. Everything in connection with the medical arrangements are
in good order.
JAIL HOSPITAL,
BAHRAICH.
256. Inspected Jail Hospital on 1st February 1875, in company with
Dr. Franklin; on the occasion of my visit, there was only one patient in
hospital, out of a strength of 253 prisoners.
257. The daily average sick to strength during the current year has
been 2.29.
258. There have been five deaths or .49 per cent. to strength for the
year 1874.
259. The hospital was exceedingly clean and everything in connection
with it, is in good order.
BRANCH DISPENSA-
RIES.
260. No annual reports of the four branch dispensaries of the Bahraich
district have reached this office. The comparative statements are here-
with submitted.
BRANCH DISPENSARY, HISÁMPUR.
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, ..
Ditto
ditto
out-door patients, ..
Total, .. ..
1873.
80
113
5,547
5,740
111
5,450
94
2
3
2
78
5,740
3.77
56.15
59.92
1874.
80
72
6,237
6,389
66
5,914
330
1
2
3
73
6,389
3.35
54.19
57.54
Surgical operations.
Surgical operations,
Capital, .. .. ..
Minor, .. .. ..
Total,
..
..
3
252
255
..
273
273