NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 3 )
10. The death rate is very high. It has risen from 16.14 per cent.
on the average strength to 20.07 ; or, taking the percentage on the
total number under treatment, from 10 to something less than 13. The
deaths were most frequent among the females : out of a total number of
62 no less than 15 died, while of 165 men only 13 died. Of the patients
who died, 6 men and 8 women had been in the asylum for less than one
year.
11. The very high death rate at this institution has been the subject
of correspondence during the past year, and you have expressed your
opinion that it is not owing to the unhealthiness of the site. The fact,
however, remains that the rate is double what it should be, taking the rate
at other lunatic asylums as a criterion. This you do not attempt to
account for, but I am to bring the subject to your notice, and to point out
that this great mortality calls for your earnest attention ; at present
matters are anything but satisfactory.
Balrámpur Hospital.
Para. 34.
Para. 38.
12. The Balrámpur Hospital has, on the whole, had the greatest
number of patients on its books, namely 10,161, but it is closely followed
by the Partabgarh Sadr Dispensary with 10,053. 718 were in, and the
remainder out-door patients. The number of capital operations appears
from the return to have been 26. According to the return there were
no in-door patients at the close or at the beginning of the year, although
the daily average throughout the year was 47.97 ; but this is evidently a
mistake, and the figures 48 and 40, which in the statement show the num-
ber of out-patients who died, should be opposite " remaining in-door
patients."
Para 61.
13. The attention of the Inspector General of Police will be invited
to your remarks on the dead-house at the Police Hospital. The Officiat-
ing Chief Commissioner wishes you had brought the matter to notice in
January instead of waiting till your annual report was written.
Para. 132-138.
14. The Sitapur Dispensary has been attended by more patients
than during the preceding year, but it is still to be regretted that this
institution has not become more popular.
Para. 142-144
15. The numbers 1,856 and 2,506 given in para. 142 of your report,
appear to include in-door as well as out-door patients.
Para. 163.
16. The figures in the return following para. 163 do not agree with
those in Statement I. According to the latter, the total receipts in
Hardoi amounted to Rs. 4,687-4-8, but in the return, at page 32, the
receipts are said to have been Rs 6,216-14-5. In the expenditure, too,
there is a difference of Rs. 1,520-9-9.
Para. 181-187.
17. The Officiating Chief Commissioner is sorry to hear so bad an
account of the Fyzabad Dispensary building, but trusts means will be
found to repair the roof. In the comparative statement the figures for
1873 have been given under 1874, and those for 1874 under the heading
1873. A similar mistake has been made with regard to the Rae Bareli
Dispensary, para. 304, and the Sultanpur Dispensary, para. 314.
( 4 )
Para. 210.
18. The falling off in the subscriptions in Fyzabad is to be regretted.
Para. 248.
19. A proposal that a new Thanah should be built at Bahraich, and
that the whole of the building now occupied by Thanah and Dispen-
sary should be used as a dispensary, received the sanction of the Chief
Commissioner some time ago.
Para. 250.
20. In the comparative statement the cost of dieting each in-door
patient at Bahraich during the year 1873 is said to have been Rs. 1-2-0, or
14 annas, and turning to that year's statements, the Officiating Chief
Commissioner finds it was then entered as Rs. 1-3-9.
Para. 299.
21. The Officiating Chief Commissioner quite agrees with you that
idiots and incurable lunatics should not be kept in Charitable Dispen-
saries.
Para. 309.
22. It is noted that at Sultanpur the Gurjun oil treatment has
afforded great relief in cases of leprosy.
Paras. 354-360.
23. The Partabgarh Dispensary has long been popular.
The
attendance of out-door patients is larger than that of any dispensary in the
province. The new building was opened in August last, and the accom-
modation it affords being very good, there will doubtless be a consider-
able increase in the number of in-door patients.
Paras. 129-150-263.
21. The Officiating Chief Commissioner observes with regret that
the figures for Branch Dispensaries are not always trustworthy.
25. In conclusion, I am to express the Officiating Chief Commis-
sioner's appreciation of your services in visiting the various dispensaries,
correcting irregularities, and superintending the department generally.
I have the honor to be,
Sir,
Your most obedient servant,
H. J. SPARKS,
Offg. Secretary to the Chief Commr., Oudh.
ERRATA.
Page 7, 40,157
102,618
151,775
47,974
120,907
174,881
Commas are all wrong,
49.157
102.618
151.775
should be decimal points.
47.974
126.907
174.881.
Page 23, Out-door patients 03.85 should be 33.85
Page 40, para. 204, Hydrocela should be Hydrocele ;
this occurs twice.
Page 40,
1873
151
79
9,199
9,424 should be 9,429
Page 48, Average in-door patients,
Do.
out-door do.,
Total ...
Should be
...
13.1
58.93
71.94
13.1
58.93
72.03
No. 570/C.C.
FROM
DR. H. M. CANNON, M. B.
DEPUTY SURGEON GENERAL, INDIAN MEDICAL DEPARTMENT,
LUCKNOW CIRCLE,
To
THE SECRETARY TO THE CHIEF COMMISSIONER,
OUDH.
Dated Lucknow 17th April 1875.
SIR,
I HAVE the honor to submit a report on the working of the several
Hospitals and Charitable Dispensaries in Oudh for the year 1874, which,
agreeably to para. 2, Rule III, of the Resolution of the Government of
India, Home Department, No. 68-2837, dated 21st November 1874,
regarding the condensation of annual departmental reports, I have
endeavoured to make as succinct as possible.
2. I shall therefore make reference to the special district reports for
any subject of importance, and confine my remarks chiefly, in the following
report, to personal observations made during my inspection of the Sadr
Dispensaries, Jail, and Police Hospitals.
3. Extracts will be given from each medical officer's report on the
Branch Dispensaries of his district.
4. During my tour I have visited 41 Sadr, Police, and Jail Hospitals,
exclusive of the Branch Dispensaries; Kheri being the only district in
Oudh that remains to be seen, which I will take an early opportunity of
doing, or as soon as the current work of my office becomes less pressing.
5. I shall make it my particular care during the current year to
visit and narrowly inspect as many of the 32 Branch Dispensaries as
possible.
6. The Sadr Dispensaries being for the most part under the super-
vision of well-selected, trustworthy European medical officers, with highly
educated Assistant Surgeons attached, do not require the same amount
of supervision as the smaller independent charges, where Branch Dispen-
saries are presided over by Hospital Assistants subjected to all kinds of
temptations, and guilty of every description of irregularity, when left too
much to their own devices, such as concocting false bills and registers, and
residing at a distance from their respective charges, contrary to the
standing orders of the department.
7. I found it necessary at the commencement of last year to issue a
circular order reminding Civil Surgeons that it was not only their duty,
( 2 )
but that of their subordinates, to supervise the conduct and progress of the
native medical pupils attached to the several medical institutions under
their charge.
8. The remarks made by me on the occasions of my recent visits of
inspection will show how far this order has been attended to. I fear in
some instances Civil Surgeons have taken but little interest in the progress
and welfare of the pupils entrusted to them for instruction.
9. On the other hand, some few of the lads have made remarkable
progress in their medical studies and English qualifications, especially
where they have, at my recommendation, been induced to attend for two
hours daily at the zil'a schools.
10. On the whole, I must say that, although much more might have
been done, there has been considerable improvement in the conduct and
progress of the medical pupils since 1873.
11. The Civil and Military Lock Hospital reports and statements
have already been submitted through the prescribed channel by the
several Cantonment Committees to the Oudh Government, as directed in
para. 8 Quarter Master General's circular No. 89, dated 20th December
1869, it is therefore unnecessary to reproduce them here.
Lunatic Asylum, Balrámpur Hospi-
tal, King's Hospital, Unaneo or Greek
Hospital.
12. At the close of the year 1873, there were 12 Sadr and 28
Branch Dispensaries in operation in the Pro-
vince of Oudh, besides the several Jail and
Police Hospitals, and the four institutions in
Lucknow noted in margin.
13. There were four Branch Dispensaries opened during 1874, viz.,
Nawabganj, in the Gonda; Amethi, in the Sultanpur; and Dhaurahra and
Singáhi, in the Kheri district. None have been closed, making in all 32
Branch Dispensaries.
14. The following is a summary view of the working of the Oudh
Charitable Dispensaries for the year 1874.
15. On reference to Statement No. 2, it will be found that in the
face of one of the healthiest seasons Oudh has enjoyed for several years,
as many as 207, 4 patients received medical aid at the Provincial Dispen-
saries during 1874, against 188,291 in 1873, giving an increase of 19, 5
in attendance of in and out-door patients, whereas the ascertained deaths,
which in 1873 were as low as 1,075, have again fallen to 69 during the
year under report, giving a decrease of 38 in the mortality amongst
those who sought medical relief during 1874.
16. The capital operations, it will be noticed on reference to the
same statement, have increased from 306 in 1873 to 391 in 1874, and on
reference to the several dispensary inspection reports it will be seen how
many were successful and by whom the operations were performed.
17. The minor operations have also increased from 8,461 to 10,391
during the year under review. Agreeably to suggestions contained in
Secretary to the Chief Commissioner's letter No. 5046, dated 12th Sep-
( 3 )
tember 1874, I have had Form No. 16 so altered as to show the cash
balances separately, which, I trust, will prevent any discrepancy in the
accounts of receipts and expenditure for 1874.
18. With reference to para. 5 of the same letter, I warned all
district medical officers to test carefully the registers of attendance at
all the out-lying Branch Dispensaries, and, with the exception of those
specially brought to notice in the body of this report, I have no reason
to suspect they have been tampered with.
19. Considerable pressure was put on the Lucknow Medical Circle
during 1874 to supply medical aid both to the famine districts in
Bengal and the north of Oudh ; fortunately it was an exceedingly healthy
year, which enabled me to detach one of the Hospital Assistants from
every native regiment and several of the Police Battalions in this
division, for the above duty.
20. As this report is written not only for the information of the
Chief Commissioner, but also for submission to the Surgeon General
Indian Medical Department, I beg to conclude my remarks by the
following extracts from letter No. 4586, dated 5th October 1874, from the
Commissioner of Fyzabad, to the Secretary to the Chief Commissioner,
Oudh, by which it will be seen how these medical subordinates performed
the arduous duties required of them :—
Extract from Commis-
tioner's letter.
" With the sanction of the Chief Commissioner, rules were drawn
" up for the treatment of gangs in case of an outbreak of cholera, small-
"pox, or other epidemic diseases. The Civil Surgeons of Bahraich and
"Gonda were authorized to indent on the Allahabad depôt for reasonable
" supply of medicines and necessaries for the field hospitals, and the
" necessary men were speedily supplied by the strenuous exertions of
" Dr. Cannon, the Deputy Surgeon General at Lucknow.
2. " I am glad to record that these and other precautions have been
" proved unnecessary, but they at the time added to our anxieties, and
" will probably be held to have been neither uncalled for nor unwise.
" There was no epidemic ; the number of people admitted into the hospitals
" were insignificant, and the diseases, with the exception of a few cases
"of small-pox, for which they were treated, were of ordinary descrip-
-tions, and the admissions, all told, were less than 1,000, but none
" the less I am bound to acknowledge that the subordinate medical
"officers deputed had rough time. They were unacclimatized, and, at
" the hottest time of the year, were exposed to all the climatic dangers of
"the Terai. The Hospital Assistants were expected to visit the gangs in
" their charge every day, whilst the senior men acted as inspectors, and
"were in charge of the standing hospitals prepared at Balrámpur,
"Utraula, Tulsipur, and Chaudridih in Gonda, at Gubbapur in Bahraich,
"in which district a reinforcement of the medical staff of the Branch Dis-
" pensaries at Bhinga and Ikauna supplied the other necessary medical
"head quarters.
( 4 )
4. " The officers thus employed were as below :—
District.
Gonda, ..
„ ..
„ ..
„ ..
„ ..
„ ..
„ ..
„
Bahraich, ..
„ ..
„ ..
„ ..
Name.
Futteh Khan, .. ..
Abdool Mahmood Khan,
..
Lál Mahomed, .. ..
Abdool Ghaffoor Khan, ..
Rám Tahal, .. .. ..
Dindial, .. .. ..
Ghaffoor Khan, .. ..
Sheikh Amir, .. .. ..
Alabunda, .. .. ..
Abdool Majid, .. ..
Mahomed Yar Khan, .. ..
Imam-ud-din, .. ..
Grade.
1st,
3rd,
„
„
„
„
„
„
„
„
„
compdr
How employed.
Inspection duty.
Ditto.
Chaudri Dec.
Tulsipur.
Kurásur.
Mehuwan.
Ramnagar.
Utraula and Balrámpur Road.
Military Road.
Pipraghát to Charda.
Bhinga to Nánpára.
Pipraghát to Ikauna.
"All gave the greatest satisfaction, save Mahomed Yar Khan, who
" was apt to be quarrelsome, and attempted to arrogate to himself the
" functions of the Munshi in charge of his road."
21. I concluded last year's annual report by bringing to the
notice of Government the success which has attended Dr. Bonavia's tact
and energy in making the Balrámpur Medical School what it was in the
short period it had been established ; I now beg to submit his report for
1874, which I trust the Chief Commissioner will consider satisfactory, as
well as the working and increased popularity of the Oudh Hospitals and
Dispensaries for the past calendar year.
I have the honor to be,
Sir,
Your most obedient servant,
H, M. CANNON,
Deputy Surgeon General, Lucknow Circle.
Report on the Balrampur Medical School for the Year ending 31st
December 1874.
1. As stated in last year's report, the school opened on the 14th
April 1873.
2. The school was closed for two months'vacation during the hottest
months, viz., May and June 1874. The new session will now annually
commence from the 1st July of each year, and new students will be then
admitted should any vacancies in the thirty scholarships occur during the
previous year. In the long session, viz., from July to December, the
greater subjects have been lectured upon, and during the short session,
viz., from January to April, the lesser subjects will be lectured upon.
3. At the end of April 1874 the annual examination was held.
The questions on all subjects were prepared by me and printed in Calcutta,
so that the students could not have seen them till I placed them before
them on the day of the examination.
4. On the 31st December 1873, there remained fifteen students.
Syud Sujjad Hossein resigned after the annual examination in June 1874
finding that he was the last on the list, so that we commenced the new
session with fourteen of the original number of students.
5. The following students obtained prizes at the annual examina-
tion :—
1.
3.
4.
5.
6.
7.
8.
9.
10.
Ajaz Hossein, ... 1st prize for
1 st „
„
3rd „ „
3rd „ „
Bindapershad,
... 1st „
„
3rd „ „
4th „ „
Zuffer Hossein Khan, 2nd „
„
2nd „ „
3rd „
„
Salikram, ...
... 1st „
„
4th „
„
Luchmunpershad
4 th „
„
(Kachee.)
4th „
„
Anundee Deen,
... 2nd „
„
Luchmunpershad
2nd
„ „
(Kaith.)
Mohamed Bux,
... 1st „
„
Asgur Beg.
... 2nd „ „
Anatomy.
Physics and Chemistry.
Botany and Zoology.
Materia Medica.
Materia Medica.
Physics and Chemistry.
Botany and Zoology.
Botany and Zoology.
Materia Medica.
Anatomy.
Botany and Zoology.
Materia Medica.
Physics and Chemistry.
A natomy.
A natomy.
Physics and Chemistry.
Disseetions.
Dissections.
Syud Abid Hossein, prize for regularily of Attendance.
( 2 )
6. During the past long session, viz., from July to December 1874.
the following lectures were delivered :—
By the Principal,
By Asst. Surgeon Chun-
dee Churrun Ghose.
By Asst Surgeon Nobin
Chunder Mitter.
By Asst. Surgeon Ishan
Chunder Roy.
... 56 Lectures on Physiology and Hygiene.
... 69 Lectures on Medicine.
... 68 Lectures on Surgery.
... 84 Lectures on Anatomy.
Oral examinations were frequently held, and a written examination was
held once a month.
7. During the first year all the scholarships had not been filled up,
owing to an insufficient number of candidates. One of those admitted
had been dismissed, and others resigned from caste prejudices when
dissections commenced, so that on the 1st July 1874 new students were
admitted to fill up the vacant scholarships, after having passed a prelimi-
nary examination in English, Urdú, and Arithmetic.
8. The attendance of the students during the past long session has
been, with very few exceptions regular, and their behaviour was good.
Attendance during the past long session.
Name of Students.
SECOND YEAR STUDENTS.
Salikrám, ... ... ... ... ...
Ali Mirza, ... ... ...
Luchmunpersad (Kachee), ... ...
Luchmunpershad
(Malee), ... ... ...
Luchmunpersad
(Kaith), ... ... ...
Zuffer Hossein Khan, ... ... ...
Mohamed Bux, ... ... ... ...
Chundee Sing, ... ... ... ...
Rám Charitra ... ... ... ...
Ajaz Hossein, ... ... ... ...
Bindrapershad, ... ... ... ...
Anundee Deen, ... ... ... ... ...
Syud Abid Hossein, ... ... ... ...
Asgur
Beg, ... ... ... ... ...
FIRST YEAR STUDENTS.
Shewraj, ... ... ... ... ...
Goolzaree Lall, ... ... ... ...
Balgobind,
. . ... ... ... ...
Meharban Sing ... ... ... ...
Abdool Suttar Khan ... ... ... ...
Seetaram ... ... ... ... ...
Sundar Lall, ... ... ... ... ...
Alí Ahmud, ... ... ... ... ...
Physiology
and Hygiene
56 lectures and exami-
nation.
56
53
53
53
52
52
54
50
53
51
51
46
43
40
..
..
..
..
..
..
..
..
Medicine, 69 lectures
and examination.
68
68
67
67
66
66
65
65
64
64
64
62
60
57
..
..
..
..
..
..
..
..
Surgery, 68 lectures and
examination.
68
67
66
66
65
66
63
67
65
62
66
59
57
52
..
..
..
..
..
..
..
..
Anatomy, 84 lectures
and examination.
84
82
82
82
81
79
80
80
77
79
75
74
73
58
84
84
84
84
83
83
83
82
Total, 277 lectures.
276
270
268
268
264
263
262
262
259
256
256
241
233
201
Remarks.
( 3 )
Name of Students.
Moomtaz Alí, .. .. .. ..
Beshun Nurain, .. .. .. ..
Gokulpershad, .. .. .. ..
Goureeshunker, .. .. .. ..
Dowarkapershad, .. .. .. ..
Abdool Ghaffar Khan, .. .. ..
Rampershad, .. .. .. ..
Jafer Alí, .. .. .. ..
FREE
STUDENTS.
Damodur Pershad, .. .. .. .. ..
Physiology and Hygiene
56 lectures and exami-
nations.
..
..
..
..
..
..
...
..
..
..
Medicine, 69 lectures
and examination.
..
..
..
..
..
..
..
..
..
..
Surgery,
68
lectures
and examination
..
..
..
..
..
..
..
..
..
..
Anatomy. 84 lectures
and examination.
81
81
81
81
80
80
75
30
74
Total. 277 lectures.
Remarks.
9. The position of the students in their classes is shown herewith
by the number of marks obtained at the monthly written examinations :—
Name of Students.
SECOND
YEAR
STUDENTS
Ajaz Hossein, ... ... ... ... ...
Alí Mirza, ... ... ... ... ... ...
Salikrám, ... ... ... ... ... ...
Luchmunpershad (Kachee), ... ...
Zuffer Hossein Khan, ... ... ...
Bindapershad, ... ... ... ... ...
Luchmunpershad (Kaith), ... ... ...
Anundee Deen, ... ... ... ...
Luchmunpershad (Malee), ... ... ...
Chundee Sing, .. .. .. ..
Rám Charitra, ... ... ... ...
Mahomed Bux, ... ... ... ...
Syud Abid Hossein, ... ... ... ...
Asgur Beg, .. .. .. .. ...
FIRST YEAR STUDENTS.
Rampershad, .. .. .. .. ..
Dowarkapershad, .. .. .. .. ..
Shewraj, .. .. .. .. ..
Goolzaree Lall, .. .. .. .. ..
Balgobind, ... ... ... ...
Abdool Suttar Khan, ... ... ... ...
Goureeshunker, ... ... ... ...
Moomtaz Alí, ... ... ... ...
Abdool Ghaffar Khan, .. .. ..
Beshun Narain, .. .. .. ..
Alí Ahmud, .. .. .. .. ..
Seetaram, .. .. .. ..
Gokulpershad, .. .. .. .. ..
Sunder Lall, .. .. .. .. ..
Mehurban Sing, .. .. .. ..
Jafer Alí,
..
..
..
..
FREE STUDENTS.
Damodur Pershad,
.. .. ... ...
Physiology and
Hygiene.
151
137
130
89
118
133
102
85
96
78
63
50
65
39
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Medicine.
131
105
109
109
124
96
84
94
93
74
59
36
31
31
..
..
..
..
..
..
..
..
..
..
..
...
..
...
...
...
...
Surgery.
96
60
67
79
61
73
45
59
46
44
40
51
29
19
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
...
Anatomy.
103
109
104
121
88
47
85
65
62
84
70
71
47
32
116
113
92
69
45
44
44
39
37
36
35
31
31
20
17
13
17
Total.
481
411
410
398
391
349
316
303
297
280
232
208
172
121
Remarks.
( 4 )
10. It is encouraging to find that among the candidates for admis-
sion were two students, both Brahmans (the one had been dismissed for
insubordination, and the other had resigned on account of caste prejudices)
who regretted having left the school, and were very anxious to join it
again. These two are now among the best students.
Another encouraging circumstance is that a free student attended
lectures regularly, but for whom there remained no vacant scholarship.
11. The new admissions belonged to the undermentioned castes :—
3 Brahmans.
1 Kashmeeree Pundit (Brahman).
5 Mohamedans.
5 Kaiths.
1 Aheer.
1 Kachee.
12. I thought it important that the students should lay a good
foundation for their future studies, and therefore during the first six months
of their studies the now students were limited to Anatomy and Demon-
strations. They thus were enabled to prosecute their dissections with
greater diligence, their attention being undivided. Their zeal in dissecting
was, 1 am glad to say, stronger than that shown by the first batch of stu-
dents. No hesitation was shown by any one of them, and none allowed
caste prejudices to interfere with the prosecution of his studies. All these
signs are very encouraging, and I believe this school in course of time
will become very popular.
13. All the professors have done their work with zeal, and have
taken great pains in teaching their various classes. Of course, they have
not quite got into the way of adapting the matter of their lectures to the
time allowed for each subject, but this is only a detail which will come all
right with practice.
14. The Chief Commissioner of Oudh has very kindly granted a dona-
tion from provincial funds of Its. 1,700 for the purchase of a Clastic
Anatomical Model from Paris. This will be of great service in the lecture
room.
15. The different local District Committees and the Municipality
of Lucknow have consented to contribute an annual sum for the purchase
of the text books required for the students they support. This contribu-
tion will admit of an annual saving from the endowment fund, which will
enable me to furnish the school, in course of time, with apparata, models,
books, &c., all of them important implements in teaching a medical class.
16. I think the Balrámpur Medical School has made a very good
start, and I have no reason so far to be in any way dissatisfied with the
work already accomplished.