( 3 )
ment No. III. is to be trusted, there has been a great falling off in
in-door patients, the figures being 15,761 in 1874, and 6,121 in 1875.
The Officiating Chief Commissioner, however, puts little trust in this
statement; he finds, moreover, from the statements in the body of the
report, that the number of in-door patients admitted during 1875 exceed-
ed 7,000, while those admitted during the preceding year were less than
that number.
Paras. 10 and 11.
5. It is satisfactory to find a considerable increase in the number
of operations, both capital and minor, that have been performed. The
Officiating Chief Commissioner notes that you entertain doubts regarding
the accuracy of the returns submitted from some of the Branch Dispen-
saries ; he is not sure that he rightly understands your remark that
"although the trustworthiness of some of the returns from Branch
"Dispensaries under this heading may be received with suspicion,
"especially in the Hardoi and Unao districts, where severe fractures
"and dislocations have been included," &c., for he finds that these cases
have been included in the number of operations reported elsewhere; for
instance, at Lucknow (para. 4) and Kheri (para. 125). Whether such cases
should be classed as capital or minor must, he presumes, be left to the
Surgeon to determine ; but if you mean that these cases are at some
dispensaries included in the total number of operations recorded, and
at others excluded, he thinks that some general rule should be laid down
for the Province.
Para. 14.
6. Your remarks regarding the addition of a dead-house and
contagious disease ward to Sadr dispensaries, where such buildings do
not exist, will be communicated to local committees.
Paras. 21-23.
7. The Officiating Chief Commissioner agrees generally with you
that it would be well were every Sadr Dispensary under the charge of
an Assistant Surgeon. He also concurs with you in thinking that, as a
rule, the treatment at Branch Dispensaries should be limited to out-door
patients, the more serious cases being sent to the Sadr. This matter
will be brought to the notice of the local committees.
Para. 27.
8. The Officiating Chief Commissioner regrets that you were
unable to visit more than three-fourths of the Dispensaries during the
year; but though you may be unable personally to go to each institu-
tion, much may be done through the Civil Medical Officers, and I am to
request that you will impress on all of them the necessity of careful
supervision, especially in those cases in which they have had reason to
question the accuracy of the returns.
Gurjun Oil.
Paras. 5 and 18.
Para. 148.
9. Opinions appear to differ regarding the efficacy of Gurjun oil
in the treatment of leprosy. At Lucknow it would seem to have done
some little good, while at Fyzabad the Civil Surgeon doubts the curative
properties of the oil. Whatever the final verdict may be, the Officiating
Chief Commissioner feels sure the experiment will be allowed a fair trial.
King's Hospital.
Para. 10.
10. The expenditure at the King's Hospital is shown to have been
exactly the same as the receipts. This institution is supported from an
endowment, and the Officiating Chief Commissioner presumes that your