NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 59 )
own senses but from the behaviour of sores and injuries of in-door patients
under treatment, so that lately it has found necessary for the successful
treatment of severe surgical operations to place the cases in tents out-
side the Hospital."
I beg to observe that the Chief Commissioner, Commissioner and
local civil authorities do not concur in the above remarks, and have
recorded opinions that the building was convenient and well adapted for
Hospital purposes, though it would be desirable to annex the remainder
of the old premises now occupied by the Police. The Commissioner, Mr.
Capper, hopes that arrangements to this end may be made in the course of
this year, but meanwhile the site and plans of the new building have been
disapproved and the Hospital will remain where it is for the present. I
can only remark that if the floors and foundations, as stated by Dr. Cro-
marty, are saturated with impurities and morbid matter of bye gone years
so as to render the Hospital positively unhealthy it does not reflect much
credit on the management.
It will be observed in another subjoined extract concluding Dr. Cro-
marty's report that he has thought fit to impose on Assistant Surgeon
Nund Lall Banerjee, in Medical charge of the Sadr Dispensary and Leper
Institution, extra duties, which in no way come within his province to
perform, such as copying Civil Surgeon's dockets, Medico-legal reports, and
Branch Dispensary returns, which have no reference whatever to the insti-
tutions over which the Assistant Surgeon has charge. It is nothing more
or less than converting him into a private clerk for which the Civil Sur-
geon should in my opinion make his own arrangements in the absence of
a writer being sanctioned by Government, and not monopolize the leisure
hours of his subordinate.
Dr. Cromarty further reports that Assistant Surgeon Nund Lall
Banerjee joined this his first appointment to the service in February last.
His duties throughout year have been of an arduous nature : he has not
only had Assistant charge of the Bharaich Leper Hospital, as well as to
supervise the dieting, clothing and treatment of the Dispensary sick, but
also has performed the duty of keeping the Medical records and accounts
of the Dispensary besides those of the four district Branch Institutions.
'' In addition he has (as I have no Hospital or Office Clerk allowed
me)been compelled to make fair copies of all my dockets and reports Medico-
legal, monthly, quarterly, and half yearly mortuary returns, and Medical
indents, to say nothing of a large and miscellaneous correspondence
besides.
" All this clerical work has of necessity curtailed his utility as my
professional Assistant, and has also trenched seriously on those few leisure
hours which should have been devoted by him to the improvement of his
Medical knowledge. To obviate this difficulty I would respectfully beg
to refer the authorities to Medical Circular No. 13 dated Fort William
April 1873, and by virtue of the orders therein contained, to ask for
( 60 )
the services of a paid clerk. The Circular referred to fully recognises and
supplies this want on the part of Civil Surgeons."
Hissampur.
Bhinga.
Nanpara.
Ekowna.
Dr. Cromarty adds a note to his report that the Reports on the
Branch Dispensaries noted in the margin* will be
subsequently submitted, but as it is now the 3rd May
and they have not reached this office I can await
their arrival no longer.
The following comparative statement furnished with Dr. Cromarty's
Annual Report for 1873 is added shewing the cost of in-door patients
diet at Rs. 1-3-9 he also quotes the expenditure under this head for
1872 at Rs. 0-14-0, whereas in the printed report for that year it is
given at Rs. 0-1-2, but omits to state whether the above means one per
mensem or diem. So much time has already been lost in awaiting the
arrival of his Annual papers and returning them for correction that I
must submit them with these discrepancies to be explained hereafter.
Surgical operations.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. .. ..
Out-door Patients admitted, .. .. .. ..
Total, .. ..
Relieved and cured, .. .. .. .. ..
Ceased to attend, .. .. .. .. ..
Died ,
..
..
..
..
..
Remaining, .. .. .. .. ..
Total, .. ..
Daily average attendance of In-door Patients, ..
Ditto
ditto
Out-door Patients, ..
Total, .. ..
Surgical operations,
Capital, .. .. .. ..
Minor, .. .. .. ..
Total, .. ..
1872.
141
240
6,232
6,631
5,933
517
38
125
6,613
12.6
52.8
65.4
21
194
215
1873.
125
225
9,198
9548
8,438
911
77
122
9548
13.1
58.93
72.03
15
540
555
Receipts.
RECEIPTS.
European Subscriptions, .. .. .. ..
Native
ditto, .. .. .. .. ..
Government allowances, .. .. .. ..
Other Sources, .. .. .. .. ..
Total, .. ..
113
574
1,296
303
2,287
0
10
0
8
2
0
3
0
4
7
93
911
1,296
0
2,301
0
8
0
12
4
0
0
0
0
0
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. .. ..
Dieting In-door Patients, .. .. .. ..
Europe medicines, .. .. .. .. ..
Bazár medicines, .. .. .. .. ..
Contingencies,
..
..
..
..
..
Total, .. ..
Cost of Dieting each In-door Patient, .. .. ..
1,564
340
0
2
0
7
..
136
360
2,400
0
0
7
10
14
0
8
3
0
1,436
292
55
88
207
2,078
1
3
8
3
3
0
15
3
6
6
0
2
7
9
9
( 61 )
BRANCH
DISPENSARIES
IN BHARAICH.
The following is Dr. Cromarty's Report on the Branch Dispensaries,
submitted to this office on the 13 th May :—
'' In compliance with the orders conveyed in your docket No. 867,
dated 8th instant, I have the honor to forward herewith the following report
the working of the four Branch Dispensaries in this district during
the year 1873 :—
Nanparah, Ekona , Bhinga.
'' I may here be allowed to mention that when I assumed medical
charge at Bharaich in February 1873, there was but one Branch Dispen-
sary (Hissampur) established and in working order. With a view of
extending our system of Medical relief a meeting of the Municipal Com-
mittee was convened ; the sanction of the Chief Commissioner obtained
for additional Institutions, and under orders, I proceeded into the interior
of the District, selected suitable building sites for three additional out-
posts and the situations chosen as the most advantageous in point of
public usefulness, are those noted in the margin.
Medical Subordinates were then applied for, for
those posts of relief, but it was not until July that their services were
made available for employment here.
HISSAMPUR.
" Hissampur is 25 miles distant from the Sadr, and is a very
populous portion of the District. The Dispensary is not very well
situated but the attendance of patients is very considerable.
"The accommodation is still temporary, but provision has already
been made for a " pakka" building which, from the appearance of the plan,
will doubtless afford excellent quarters for the treatment of both in and
out-door patients.
" On the occasion of my different quarterly inspection visits during
the year, I have always found the premises clean, the instruments in a
good and serviceable condition, and the records carefully kept and up to
date.
" Having had nothing to do with the submission of the Annual
Medical Indent for 1873, I was unable satisfactorily to supplement the
scanty supply of medicine at Hissampur during the year, but owing to the
ample provision lately received the defect has been remedied and a plen-
tiful supply of fresh drugs and instruments, is now in hand.
"The statistics of attendance for the year 1873 are as follows :—
5,547 out-door and 113 in-door patients were registered, making a total
of 5,660. Of this number 5,561 were cured or relieved; 94 ceased to
attend; 5 died ; and 80 remained at the close of the year.
"The Dispensary was resorted to by a daily average of 56.2 out-
door and 2.98 in-door patients. For the dieting of the latter, there was a
daily average expenditure of one anna, one pie per head.
"Of surgical operations there were 3 major and 252 minor ; there
were I regret to say no European or Native subscriptions collected
during the period under notice ; the Establishment cost Rs. 675; Dieting
of Patients Rs. 60-3-10 ; Bazar Medicines Rs. 97-6-11 and Contingencies
Rs. 13-5-6.
( 62 )
"With regard to the conduct and qualification of the Hospital
Assistant Sheorutton Doss, I can say no more than that he continues
to justify the satisfactory terms in which I have from time to time
spoken of him in the Quarterly Disposition Returns of the past year.
He is active and intelligent, enjoys the confidence of the people, and
appears to do his best to further the popularity and usefulness of the
Institution.
NANPARAH.
"This Dispensary, which is of the 3rd Class, was opened to the
public on the 10th July 1873 ; it has no building of its own at present ,
and consequently no accommodation for in-door patients. A new pakka
building is about to be constructed; meantime the business of the Insti-
tution is conducted at the Public "Serrai" and although so recently
opened, it already appears to be growing in popular favor; and as the
result of my three visits of inspection, I am personally in a position to
say that the Dispensary is well resorted to, and a glance at the following
figures, for the accuracy of which I can vouch, will I think afford a suffi-
cient proof that its benefits are highly appreciated :—
Out-door Patients admitted during the year 1873, ...
Cured and relieved, ... ... ... ...
Ceased to attend,
...
...
...
...
Died,
...
...
...
...
...
Remaining, ... ... ... ... ...
Total, ... ... ...
3,054
2,639
335
23
57
3,054
Surgical operations.
Receipts.
Daily average attendance,
...
...
...
...
Capital operations, ... ... ... ... ...
Minor,
...
...
...
...
...
...
European Subscriptions, ... ... ... ...
Native
ditto,
...
...
...
...
Government allowance, ... ... ... ...
Other sources,
...
...
...
...
...
Total,
...
14.33
none.
25
none.
none.
576
none.
576
Disbursements.
Establishment, ... ... ... ...
Bazar Medicines, ... ... ... ...
Contingencies, ... ... ... ...
Total,
...
...
336
33
9
379
4
15
2
5
6
3
0
9
" Hospital Assistant Ahmed Bux has already proved himself to be
conscientious in the performance of his work, and has so far conducts
the Dispensary duties very successfully.
BHINGA.
" On the 20th July last, the 3rd Class Branch Dispensary at
Bhinga was opened, and has each quarter been officially visited by me
I have satisfaction in being able to state that the Institution has up to
the present time worked well and already afforded relief to a large num-
( 63 )
ber of sick applicants , thus giving sufficient proof of the estimation in
which the charity is held by the surrounding population. The following
return shows the real amount of epidemic disease. The Hospital accom-
modation is still temporary, but arrangements are now in hand to obviate
this inconvenience. The transactions of the period under notice are the
following:—
Out-door Patients admitted during the year 1873, ...
Cured and relieved, ... ... ... ...
Ceased to attend, ... ... ... ... ... ...
Died, ... ... ... ... ... ...
Remaining,
...
...
...
...
...
Total,
...
...
931
778
129
none.
24
931
Surgical operations.
Receipts.
Daily average attendance, ... ... ... ...
Minor operations, ... ... ... ... ...
European subscriptions, ... ... ... ...
Native
ditto, ... ... ... ...
Other sources, ... ... ... ... ...
Government allowance, ... ... ... ...
Total,
...
...
23.2
22.
none.
576
576
Disbursements.
Establishment, ... ... ... ...
Bazar Medicines, ... ... ... ...
Contingencies,
...
...
...
...
Total,
...
...
332
19
13
364
10
1
0
12
0
3
9
0
"With the behaviour and ability of Hospital Assistant Lootff
Alí , I am well pleased. He is a conscientious and hard working young
man, his books and returns are kept with much care and are invariably.
up to date.
EKONA.
"The 3rd Class Dispensary at Ekona was established on the
9th of August last. Since then I have twice inspected the Institution,
but am not yet satisfied with its working. For want of a proper build-
ing the daily duties are conducted in a spare shed close to the Police
Thana very unsuitable for the purpose, besides being small, ill ventilated,
dark. A separate building however is just about to be commenced,
which when completed will place the dispensary on a good and firm basis.
In reference to attendance full details are subjoined. Hospital
Assistant Jaun Mahomed has been in medical charge since the Dispensary
was opened. I am satisfied with his professional qualifications, but the
sickly
state of his health impairs his usefullness and calls for a change.
This point will form the subject of a future report to the Deputy Surgeon
General.
( 64 )
Out-door Patients admitted during the year 1873,
...
Cured and relieved, ... ... ... ... ...
Ceased to attend, ... ... ... ... ...
Died , ... ... ... ... ... ...
Remaining , ... ... ... ... ...
Total, ... ...
719
617
91
3
8
719
Surgical operations.
Receipts.
Daily average attendance, ... ... ...
Minor operations,
...
...
...
...
European Subscriptions, ... ... ...
Native
ditto, ... ... ...
Other sources, ... ... ... ...
Government allowance,
...
...
...
Total, ... ...
...
...
10.18
13
none.
26 0 0
none.
576
602
0
0
0
0
Disbursements.
Establishment,
...
...
...
Bazaar medicine,
...
...
...
,..
Contingencies,
...
...
,.,
Total,
...
...
278
11
12
303
15
12
15
11
4
5
9
6
'' Under every view which can be taken of the progress and pros-
pects of the above named Institutions since they were established there
are already abundant grounds for satisfaction.
" The extensive prevalence of disease in this part of the Province
in the shape of fevers, cholera, small pox, and from the fact alone that
9,276 deaths occurred in 1873, the result of the first mentioned complaint,
confirms me in the opinion that nothing short of three additional Dispen-
saries will adequately meet the wants of this district."
BULRAMPUR MEDICAL
SCHOOL IN LUCKNOW.
The following is a short History and report of the Bulrampur Me-
dical School, Lucknow :—
Instituted by Sir George Couper Bart, C. B., on the 14th April
1873, and supported by Sir Dirigbijay Singh, K. C. S, I., Mahárájah of
Bulrampur.
Object of the School.
OBJECT OF THE SCHOOL.
" I am directed to forward the accompanying memo regarding the
establishment of a Medical School affiliated to the Bulrampur Hospital
at Lucknow.
2. " The object is to open out to the natives of the Province a new
and interesting profession in which they may expect to obtain at least a
competence by their own exertions. The pupils will be taught to look to
private practice alone as their means of livelihood. But the charge
Provincial dispensaries and perhaps other branches of Government medi-
cal employ will be open to the most deserving and distinguished among
them.
( 65 )
RULES.
Rules.
1st—" Thirty scholarships, each of Rs. 5 per month, will be given to
natives of Oudh but free students will be admitted also from other parts
of India as well as from Oudh.
2nd. —" The curriculum or course of studies will extend over a period
of three years, and new admissions will be made every year on the 1st of
July, (the commencement of a new session) should there be any vacant
scholarships.
3rd.—" Scholarships will be given only to those candidates who pass a
satisfactory preliminary examination, to be held in Lucknow every year
at least one month previous to the opening of a session, and will consist
of the following subjects :—
(1). English.
(2). Urdú.
(3). Arithmetic.
Each candidate for a scholarship will be required to read and explain a
passage from any modern English or Urdú author and to write correctly
from dictation in English and Urdú.
4. " The other qualifications are that the candidates should be either
Hindús or Mahomedans, of good family or caste, and between the ages of
14 and 18 years.
5. " The studies during the three years' curriculum will consist of the
following subjects:—
Anatomy,
Physiology and Hygiene,
Surgery,
Medicine and Medical jurisprudence,
Materia Medica,
Physics and Chemistry,
Botany and Zoology.
6. " During the first year, the attendance of the students at the
Hospitals will be optional, but during the second and third years it will
be compulsory. Dissections will be carried on during the winter months
of each year.
7. '' At the end of each session, an Examination will be held on the
above subjects by the staff of the school; and at the end of the curricu-
lum ,the final Examination for the diploma or certificate will be held by
Medical Officers selected from the Oudh Commission.
8. '' A first class certificate will be given to those students who pass
a satisfactory Examination in all the subjects mentioned in para. 5; a
second class certificate will be given to those who are able to pass in
Anatomy, Materia Medica, Surgery and Medicine.
( 66 )
9. " There will be two months vacation in each year, at the end
the session, in order that the students may return to their 'homes
read up the subjects of the session. The students will not be paid their
scholarships during the vacations, but will receive the amount due
them for that period on their return to the school at the commencement
of the following session.
I
son of
Zil'h
10. " Each successful candidate before being admitted to a scholar
ship will be required to sign the following agreement on stamped paper
of the Pargannah
in Oudh agree to study
Medicine and Surgery at the Bulrampur Medical School Lucknow and
to conform to the rules of the Institution for three years. If I leave the
Medical School without the permission of the Principal, or if I fail to
return at the end of each vacation, I promise to refund the whole of the
money paid to me on account of my scholarship, as well as return any
books which may have been lent to me."
Meeting of Committee.
MEETING OF MEDICAL MEMBERS OF THE COMMITTEE
OF THE BULRAMPUR MEDICAL SCHOOL-26TH
JANUARY, 1874.
PRESENT, DEPUTY SURGEON GENERAL CANNON, SURGEON MAJOR WHIS
1. " Proposed that the period of study in the school be from the 1st
July to 30th April.
" That the first six months of this period, corresponding to the winter
session in the English Medical School be devoted to the following sub-
ject:—
Anatomy.
Physiology.
Medicine.
Surgery.
and that the remaining four months corresponding to the summer session
of English schools be devoted to the following subjects.
Materia Medica and Medical Jurisprudence
Physics and Chemistry.
Botany and Zoology.
Midwifery.
" These subjects to be repeated every year as above.
2. " The rules of the Medical school were read. Proposed that they
be submitted to the Commissioner for the sanction of the Chief Commis-
sioner of Oudh, in order that they may be printed and distributed to
schools of the Province for the information of intending candidates.''
( 67 )
ANNUAL REPORT ON THE BULARAMPUR MEDICAL SCHOOL, LUCKNOW FOR
THE YEAR ENDING 31ST DECEMBER 1873, BY THE PRINCIPAL ,
SURGEON MAJOR BONAVIA.
Annual Report .
" The School was opened by Sir George Couper, Chief Commissioner
of Oudh, on the 12th April 1873.
2. " It is affiliated to the Bulrámpur Hospital and is supported by
Sir Dirigbijay Singh Maharajah of Bulrámpur, who gives Rs. 10,000 per
annum for it.
3. " Thirty scholarships are given to natives of Oudh, of Rs. 5 per
month each. Two are given by each district and six. by the Municipality
of Lucknow.
4. " At the commencement of the current session a preliminary ex-
amination in English, Urdu and Arithmetic was held of the Candidates
who presented themselves for scholarships, and those who were qualified
were admitted.
5. " Of the candidates who presented themselves for admission only
27 were found qualified. From some of the districts such as Kheri,
Pratábgarh, Sultánpur Bharaich and Seetapoor no candidates were sent,
and from Gonda only one was sent, either because none were found quali-
fied or because none at that time cared to take up the medical profession.
6. "Under these circumstances some districts who had not sent any
candidates agreed to accept candidates from the superfluous ones of
other districts. Even with this arrangement all the 30 scholarships could
not be filled up, as only 27 were qualified for admission.
7. " Of the 27 Candidates who were admitted to the scholarships :—
9 were Mahomedans.
10 „ Brahmins.
2 „ Chuttrees.
2 „ Kaiths.
1 „ Bunnya.
1 „ Kurmí.
1 „ Málí.
1 „ Kachee.
Of these 27 students the following subsequently resigned :—
2 Mahomedans.
8 Brahmins.
1 Kurmi.
and 1 Brahmin was dismissed by order of the Managing Committee for
insubordination, so that on the 31st December 1873 only 15 students
were left.
8. " Of these about half will be able to obtain a First Class Certifi-
cate at the end of their three years' curriculum, if they continue as dili-
gent and studious as they are now, the remainder will be able to obtain
a Second Class Certificate.
( 68 )
9. "The staff of the school consists of a Principal, Surgeon Major
E. Bonavia , M. D. and three Assistant Surgeons, Bábu Chandí Charn
Ghose, Bábú Nobin Chander Mitter and Bábú Ishán Chander Roy.
10. " The work of the school commenced on 14th April.
During the first year as there was plenty of time, lectures were given
fully on the following snbjects :
Dr. Bonavia , ...
Bábú Chandí Charn Ghose, ...
Bábú Nobin Chander Mitter, ...
Bábú Ishán Chander Roy, ...
Botany and Zoology.
Materia Medica.
Physics and Chemistry.
Anatomy.
The text books used were English text books.
11. "Frequent oral examinations were held, and once a month a
written examination was held in order that the students might be classi-
fied, and to ascertain what progress they were making.
12. " Dissections were commenced on the 15 th October and up to the
31st December, 18 bodies were dissected. These were supplied from
the unclaimed bodies of the Bulrámpur Hospital. The Civil Surgeon has
kindly allowed the bodies of the King's Hospital and Lunatic Asylum
also to be utilized for dissection, when any are unclaimed,
13. "A small chemical apparatus and a few instruments for experi-
ments in Physics have been purchased from England for the use of the
school, as well as a collection of drugs to serve as specimens. But the
school, for want of sufficient funds, is at present very imperfectly supplied
with diagrams and books for the use of the Professors.
14. " For the future the Managing Committee have decided that the
session should commence on the 1st of July and end on 30th April, leav-
ing two months for vacation, and that all the subjects to be gone through
during the curriculum, should be lectured upon every year as follows:—
Principal, ...
Bábu Chandí Charn Ghose,
Bábu Nobin Chander Mit-
ter,
...
Bábu Ishán Chander Roy,
LONG SESSION.
From 1st July to 31st December.
Physiology & Hygiene,
Medicine,
Surgery,
Anatomy,
SHORT SESSION.
From 1st January to 30thApril.
Botany and Zoology.
Materia Medica.
Physics and Chemistry.
Midwifery.
A prospectus of the rules of the school is herewith appended.
15. " The fifteen vacancies among the scholarships will be filled up
before the commencement of the ensuing session, if a sufficient number of
Candidates will be sent up.
( 69 )
16. " The system of selecting candidates from the various districts
did not work well last year. In various districts no suitable candidates
could be found, and, in some instances, I had great difficulty in persuading
the Local Committees to accept candidates from other districts ; with all
this trouble I could not get the 30 scholarships filled up. I think matters
would be simplified if several candidates were to be sent from each dis-
trict, and two selected, by examination in Lucknow, from those of each
district. If no suitable candidates can be found in any particular district,
that district should, in my opinion, as a matter of course, accept candi-
dates from other districts. After all, they will be natives of Oudh , and
with roads and railways one district is not far from another."
H. M. CANNON, M. B.,
Deputy Surgeon General, Indian Medical Service,
Lucknow Circle.