NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 38 )
last rains, and the timbers are now unsound in places. Reports to the
effect have been made to the authorities and a thorough repair of the
roof is under contemplation.
" The Dispensary affords comfortable accommodation to 24 males and
17 female in-patients in separate wards. Two cells exist in which insane
patients are kept pending transfer to Lucknow Asylum.
" The ventilation of the Dispensary is quite free on account of its
elevated position and open surroundings. The drainage is perfect, from
the fact of the ground having a natural slope outwards. The latrines
are worked on the dry earth system and cleanliness within and around
the Dispensary is insisted on. The water of one well of the Dispensary
formerly used for drinking purposes has become brackish. Water is
now obtained from another well close by.
" During the period under review 7582 patients applied for relief at
the Dispensary. Of these 368 were in-door and 7,214 out-door pa-
tients. The figures are almost equal to those of 1872. Out-door pa-
tients were attended to at all hours of the day, and many were not en-
tered in the Dispensary Register in July and August owing to stress of
work in connection with cholera in the city.
In-door patients were
housed, fed and supplied with clothing and bedding, the latter consisting
of a wooden charpoy, grass mat, strip of taut, a durie and two blankets.
" Attendance at the Dispensary during 1873, was as usual chiefly oc-
casioned by Fevers mostly of Intermittent type, Rheumatism, Bronchitis
and Bowel complaints resulting from exposure to wet and cold in most
instances.
" An epidemic of cholera raged in the district during last year and
extended to the Town from villages distant 12 and 16 miles south east
in the middle of July. The disease was of virulent type and occasioned
230 deaths in 368 attacks during July and August. The percentage of
deaths to attacks was 62.50 and to population 3.24. Chloral Hydrate
was used internally in the treatment of a few cases of this disease. The
medicine allayed restlessness and rendered the patient drowsy but no
other beneficial effects resulted from the drug.
" There were 40 casualties in the Dispensary last year : 2 from remit-
tent fever, 10 from cholera, 3 from leprosy, 1 from phthisis pulmonalis,
1 from mania, 1 from pnuemonia, 2 from dysentry, 4 from diarrhœa,1
from ascites, 1 from sloughing, 1 from ulcer, 3 from sencetus,
1 from alcoholic poisoning, 1 from burn, 3 from privatis, 2 from
wounds and 3 from fractures. It was almost always the case in the
above instances of death that the individuals were brought to the Dis-
pensary in advanced and moribund stages of disease. The percentage
of mortality among the in-door patients was 10.86.
" 20 Capital operations of importance were performed during 1873.
They consisted of amputations 7, removal of tumors by knife 3, litho-
tomy I, perineal section 1, paracentesis abdominales 4, and circumci-
sion for phymosis 4.
( 39 )
" Of the 20 capital operations 2 only ended fatally. The first fatal
case was after secondary amputation of the right thigh just above the
knee joint for compound comminuted fracture of both bones of the leg.
The subject of this operation died from shock after 3 days. The second
fatal case happened after perineal section for retention and extravasation
of urine the result of stricture. The subject of this operation was admit-
ted with a sloughing perinœum and died after 25 days from exhaustion.
" Besides the above 435 minor operations were performed in the course
of daily practice during 1873.
" The affairs of the Dispensary are laid before the Dispensary Com-
mittee once or twice a year and the Institution is frequently visited by
the President (the Commissioner) and vice President (Deputy Commis-
sioner).
"The finances of the Dispensary arc in a flourishing condition.
Receipts Total, ... ... ...
Expenditure Total, ... ... ...
Balance in hand on 31st December 1873
Rs.
„
„
7,044
3,558
3,486
15
5
10
1
0
1
"Annual supplies of Medicines are received from the Medical Depot
at Allahabad, on chargeable indents.
"Native Medical Pupil Ramah Deen is reported as diligent and at-
tentive to his duties."
I have not as yet been able to visit Rái Barelí, but I am well aware
how admirably the work has been done at this Dispensary as well as in
every department supervised by Dr. C. Cameron, than whom there is not
a more energetic and painstaking officer in the province. His exertions
during the cholera epidemic last year are too well known to the Chief
Commissioner for me to comment on them here, regarding which he has
submitted a well drawn out history in his Sanitary Report of the District
for 1873.
The statistics for 1872-73 are added.
Remaining under treatment on the 1st of January, ..
In-door Patients admitted,
..
..
..
Out-door Patients admitted, .. .. ..
Total, .. ..
Relieved and cured, .. .. .. ..
Escape to attend, .. .. .. ..
Died .. .. .. .. ..
Remaining . . .. .. .. ..
Total, .. ..
1872.
99
377
7,351
7,827
6,986
679
55
107
7,827
1873.
107
344
7,131
7,582
6,895
554
70
63
7,582
( 40 )
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, .. ..
1872.
28.92
44.59
73.51
1873.
24.64
40.76
65.40
Surgical operations.
Surgical operations.
Capital, .. ..
Minor, .. ..
Total, .. ..
21
351
372
20
435
455
Receipts.
RECEIPTS.
Balance in hand on 1st January, .. ..
European Subscriptions, .. .. ..
Native
Ditto, .. .. ..
Government Allowances, .. .. ..
Other Sources, .. .. .. ..
Total,
.. ...
2,708
374
2 ,147
1,496
0
6,726
12
6
12
0
0
14
7
0
0
0
0
7
2,984
423
2,341
1,296
0
7,044
1
0
14
0
0
15
1
0
0
()
0
1
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, .. ..
Balance in hand on 31st December, .. ..
Cost of Dieting each In-door Patient,
2,094
816
0
243
587
3,742
2,984
As.
1
11
15
0
2
15
13
1
5
7
0
8
10
6
1
P.
4.15
1,825
778
0
241
712
3,558
3,486
15
8
0
12
1
5
10
As.
1
9
0
0
0
3
0
1
P.
5.80
SULTANPUR SADR
DISPENSARY.
Superintendent, Dr. A. Cameron, an Officer of great ability and
considerable practical knowledge. Not having been able to visit this
District I give the subjoined extracts from Dr. Cameron's report, from
which it will be seen there has been for some time a gradual and consi-
derable falling off in the attendance of both the in-door and out-door
patients, which he attributes to the removal of an old and popular Native
Doctor, some two years ago.
Site.
" The situation of the Dispensary has often been described in
previous Reports.
Buildings.
" The buildings also were described in last year's Report. No
additions were made during the year except the building of a latrine and
of a verandah to the dead house, but the roofs of all the buildings were
extensively repaired. Another latrine is wanted and will be provided
during the current year.
Bedding.
" A quantity of bedding was purchased during the year at a cost
of Rs. 75, and the Dispensary is now tolerably well provided in this
respect.
Furniture.
" An almirah to hold medicines was bought and the purchase of
a proper operating table has been sanctioned by the Committee.
Medicines and Instru-
ments.
" Owing to the more punctual supply of the yearly indent there
was no inconvenience experienced, such as was complained of last year
( 41 )
with regard to medicines. The instruments are many of them old and
by no means the best of their kind but they are usually sufficient for the
work they are required to do.
Finances.
" The Dispensary possesses no Fund and is dependent for sup-
port on private subscriptions and donations, supplemented by a grant
from Local Funds. This year I am glad to be able to report a large in-
crease of subscriptions, the hope expressed last year that they might be
raised to at least Rs. 30 per mensem being more than realised.
Subscriptions.
Donations.
"The total amount of private subscriptions was Rs. 453-3, against
Rs. 272 in the previous year. Of this rather more than a third was
subscribed by natives and the rest by Europeans. The Municipality
made two separate donations amounting to Rs. 325.
Attendance of Patients.
" The total number of patients admitted to treatment during the
year was 3,811, of whom 278 were in-door and 3,533 out-door. The fol-
lowing statement gives the numbers for the last four years.
In-door.
1870 ... ...
1871 ... ...
1872
...
...
1873 ... ...
331
...
...
361
... ...
316
...
...
278
...
...
Out-door
4236
4554
3869
3533
"The very evident falling off here shown during the last 2 years
is difficult to account for except on the supposition put forward last year
that the removal of a popular Native Doctor rather more than 2 years
ago to another district diminished the confidence of the people in the
treatment they might receive at the dispensary. I am not aware that the
district has been so much healthier during the last 2 years as to account
for it in any degree. Possibly it may be owing in part to the multipli-
cation of dispensaries in neighbouring districts and, this year, to the
establishment of 2 branches in this district itself. However this may be
the attendance must to a great extent depend on the ability and kindness
of the Native Doctor in charge, and I trust as the present incumbent
becomes better known the attendance may revive.
Operations
"The number of capital operations was 16 and of minor opera-
tions 161.
" The capital operations were for the extraction of stone 8, removal
of tumors 2, extraction of eyeball 1, tapping of abdomen 2, and reduc-
tion of dislocation 3. One of the lithotomy cases died and one of the
tumor cases. The rest did well.
"The minor operations were tapping of hydrocele, opening
abscesses &c., none of the operations presented any features of great or
unusual interest.
Conduct of Native Docter
''First Class Hospital Assistant Bhyro Pershad Patuck was in
charge of the hospital during the year. He is well qualified profes-
------ly
and was active and attentive to his work.
"The rest of the establishment also did their work satisfactorily.
( 42 )
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, ..
Do.
do.
Out-door Patients, ..
Total, ..
1872.
87
316
3,869
4,272
3,477
718
35
42
4,272
11.05
34.73
45.78
1873.
42
278
3,533
3,853
2,514
l,266
16
57
3,853
10.02
43.37
53.39
Surgical operations.
Surgical operations,
Capital, .. .. ..
Minor, .. .. ..
Total, .. ..
23
152
175
16
161
177
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
ditto, .. .. .. ..
Government Allowances, .. .. ..
Other Sources, .. .. .. ..
Total, ..
178
94
676
100
1,048
0
0
0
0
0
0
0
0
0
0
316
127
796
325
1,574
0
3
0
0
3
0
0
0
0
0
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines, .. .. .. ..
Bazar Medicines, .. .. .. ..
Contingencies, .. .. .. ..
Total, ..
Cost of Dieting each In-door Patient, .. ..
898
167
0
76
229
1,371
0
0
9
0
5
10
9
0
0
6
0
7
10
11
8
1,031
134
0
72
189
1,426
0
0
4
0
1
7
14
0
0
8
0
10
7
1
9
BRANCH DISPENSARIES
OF MUSAFIRKHANA
AND KADIPUR IN
SULTANPUR.
" Two branch dispensaries were opened in October, one 20 miles
to the west of Sultánpur at Musafirkhana, the other 20 miles to the east
at Kadipur. Only out-door cases have been treated at either place no
hospital having as yet been built.
( 43 )
Attendance.
" From the numbers that appear to have sought for relief during
the short time these dispensaries have been open it appears likely they
will do much good. During the 3 months, 1275 patients were treated at
Musafirkhana, and 668 at Kadipur. I have visited the former twice and
the latter once since they were opened, and I had every reason to think
the attendance was correctly represented in the books.
Conduct and qualifica-
tions of Hospital Assistants.
" The Hospital Assistant Hunuman Pershad, 2nd Class, of Kadi-
pur, and Khoob Lall, 3rd Class, of Musafirkhana have so far, worked satis-
factorily but they are as yet only on their trial.
" It is intended to open another branch very shortly at Amethi,
20 miles to the South.
BRANCH DISPENSA-
RIES
The Statistics for 1872-73 are added.
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, ..
Do.
Do.
Out-door Patients, ..
Total, ..
MUSAFIRKHANA.
1873.
..
..
1,275
1,275
884
357
2
32
1,275
..
28.0
28.0
KADIPUR.
1873.
..
..
668
668
593
46
3
26
668
..
35.73
35.73
Surgical operations.
Surgical operations,
Capital, .. .. ..
Minor, .. .. ..
Total, ..
..
..
..
..
..
..
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto , .. .. .. ..
Government Allowances, .. .. ..
Other Sources. .. .. .. ..
Total, ..
..
..
76
33
109
0
8
8
0
3
3
..
..
141
31
172
5
5
11
4
11
3
Disbursements
DISBURSEMENTS
Establishment .. .. .. ..
Dieting In-door Patients, .. .. ..
Europe Medicines .. .. .. ..
Bazar Medicines, .. .. .. ..
Contigencies, .. .. .. ..
Total, ..
Cost of Dieting each In-door Patient, .. ..
94 1 9
..
..
15 6 6
..
109 8 3
..
154 2 2½
..
..
15
3
172
5
3
11
8½
4
3
..
( 44 )
PRATABGARH
SADR DISPENSARY.
The following is an extract from Doctor Hart's Annual Report for
1873:—
" The old building has been in use for the whole year; it was repaired
and whitewashed, and answered the purpose for another, the last year of
its occupation.
" The new Dispensary and Hospital is finished and as soon as the
out-offices and a well are ready the sick will be removed.
Attendance.
"The average daily sick of in-patients has been 17.86 and that of
out-patients 28.66 or an increase of both classes over that of 1872.
Out offices.
" Cook house, latrine, servants' houses, and post mortem room
were all repaired and have been in fair order. Dry earth system is
carried out.
Water supply
" From a pakka well in the vicinity the water is good and sufficient,
and a saucer drain made near it this year carries off the waste water to
the public garden.
Ablution Room
" A portion of the west verandah is enclosed for ablutions, but it is
seldom used, the patients prefering to wash near the well.
Food.
" Diet is given to patients according to the nature of the disease and
peculiarities of caste, and consists principally of good wheat flour, rice,
dhall and vegetables; meat and milk being ordered for special cases.
Bedding and Clothing.
" The same as last year, new mattrasses, sheets, blankets and cloth-
ing were made. Each patient has according to season one or two
blankets, 1 mattrass and 1 sheet, a loose jacket or koortah, and a
dhoty. The supply has been sufficient and suitable for the number of
sick.
Sickness.
Cholera.
" The year under report was not so unhealthy as 1872. Cholera as
reported by the Police gave rise to only 256 deaths in the district spread
over 8 months, whereas in 1872 the number of deaths were stated to
6129. There were no cases treated either as in or out-patients in this
hospital.
" Remarks regarding the conduct and qualifications of the Assistant
Surgeon :—
" Baboo Abinash Chunder Goopta, Third Grade Assistant Surgeon,
in medical charge is a respectable, well conducted young man, his qualifi-
cations are good, and he is an expert operator."
Doctor Hart deserves great credit for the increasing popularity of
this institution. The successful result of several very formidable capital
operations is a satisfactory evidence of the skill of the medical staff.
The following statistical table for 1872-73, is submitted.
( 45 )
Remaining under treatment on the 1st of January, ..
In-door Patients admitted, .. .. ..
Out-door Patients admitted, .. .. ..
Total, .. ..
Believed and cured, .. .. .. ..
Ceased to attend, .. .. .. ..
Died,
..
..
..
..
..
Remaining, .. .. .. ..
Total, .. ..
Daily Average attendance of In-door Patients, ..
Do.
Do.
Out-door Patients, ..
Total, .. ..
1872.
54
280
9,194
9,528
7,110
2,349
19
50
9,528
16.28
26.82
43.10
1873.
50
252
9,772
10,074
9,089
910
26
49
10,074
17.86
28.66
46.52
Surgical operations.
Surgical
operations. Capital, .. .. ..
Minor, .. .. ..
Total, .. ..
22
268
290
24
273
297
Receipts.
RECEIPTS.
European Subscriptions, .. .. ..
Native
Ditto, .. .. .. ..
Donation for a new Hospital Building, .. ..
Government Allowances, .. .. .. ..
Other Sources, .. .. .. ..
Total, .. ..
164
710
50
1,296
0
11
0
0
0
4
0
0
Nil.
2,170 11 4
188
1,048
739
1,296
1,000
4,271
4
0
5
0
0
10
9
6
3
0
0
6
Disbursements.
DISBURSEMENTS.
Establishment,
..
..
..
..
Pay of Sub-Assistant Surgeon and Compounder, ..
Dieting In-door Patients, .. .. ..
European Medicines and Instruments, .. ..
Bazar Medicines, .. .. .. ..
Contingencies, including bedding, clothing pay of shop
Cooly burial expenses, repairs and construction of
buildings and dispensary necessaries, .. ..
Total, .. ..
Cost of Dieting each In-door Patient, .. ..
330
1,296
451
124
128
1,237
3,567
0
0
0
0
4
9
9
7
1
0
0
8
6
3
0
10
3
330
1,296
443
1,000
100
2,871
6041
0
0
0
3
0
9
8
4
1
0
0
3
0
0
5
8
1
( 46 )
" Remarks regarding the conduct and qualifications of the Hospital
Assistant :—
Third Class Hospital Assistant Ramzan Ali, attached to the Branch
Dispensary at Pattí, is well conducted and his qualifications are good
PATTI BRANCH
DISPENSARY IN
PRATÁBGARH.
Opened in November 1872.
The following statistical return for 1873, is submitted :—
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, ... ...
Do.
Do.
Out-door Patients, ...
Total, ... ...
1872.
...
...
...
...
...
...
...
...
...
...
...
...
1873.
...
...
1,221
1,224
1,074
140
5
7
2,124
...
7.29
7.29
Surgical operatious.
Surgical operations.
Capital, ...
...
...
...
Minor,
... ... ... ...
Total,
...
...
...
...
...
...
109
109
Receipts.
RECEIPTS.
European Subscriptions, ...
...
...
...
...
Native
Ditto,
Government Allowances, ...
Other Sources,
...
...
...
...
...
...
Total,
...
...
...
...
...
...
..
...
...
...
173-1-1
173-1-1
Disbursements.
DISBURSEMENTS.
Establishment,
...
...
Dieting In-door Patients, ...
...
...
Europe Medicines,...
...
...
...
...
...
Bazar Medicines, ...
...
...
Contingencies,
...
...
...
...
...
...
Total,
...
...
Cost of Dieting each In-door Patient, ... ... ...
...
...
...
...
...
...
...
124-0-0
...
...
19-14-0
29-3-1
173-1-1
...
Remarks regarding the conduct and qualifications of the Hospital
Assistant :—
Third Class Hospital Assistant, Jehangeer Khan, attached to the
Branch Dispensary at Behar, is well conducted and his qualifications are
good.
( 47 )
BEHAR BRANCH
DISPENSARY IN
PRATÁBGARH.
Opened in November 1872.
The following statistical return for 1873 is added :—
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, .. ..
Do.
Do.
Out-door Patients, .. ..
Total,
..
.. ..
1872.
..
..
..
..
..
..
..
..
..
..
..
1873.
..
1,666
1,666
1,554
109
3
..
1,666
..
5.29
5.29
Surgical operations.
Surgical operations.
Capital,
..
..
..
..
Minor,
..
..
..
..
Total, ..
..
..
..
..
12
12
Receipts.
RECEIPTS
European Subscriptions, .. .. .. .. ..
Native
Ditto,
..
..
..
..
..
Government Allowances, .. .. .. .. ..
Other Sources,
..
..
..
..
..
Total,
..
..
..
..
..
..
..
..
..
..
..
147
147
14
14
11
11
Disbursements.
DISBURSEMENTS.
Establishment,
..
..
..
..
..
Dieting In-door Patients,
..
..
..
..
..
European Medicines , .. .. .. .. .. ..
Bazar Medicines, .. .. .. .. ..
Contingencies, .. .. .. .. ..
Total, .. .. ..
Cost of Dieting each In-door Patient, .. .. .. .. .. ..
..
..
..
..
..
..
..
93 10 8
..
..
38
16
147
4
0
14
3
0
11
..
FYZABAD SADR
DISPENSARY.
Inspected by Dr. Kay on the 24th November 1873. Dr. J. Cameron,
an officer of great practical experience, is in Medical charge of the Civil
Station. Third Grade Assistant Surgeon Greesh Chunder Mitter is in
executive charge of the dispensary, and is reported to have discharged his
duties satisfactorily.
An isolated building for the treatment of infectious diseases is much
required to make this institution complete.
The falling off in the number of house and out-door patients treated
is ascribed to the healthiness of the season.
The income of this institution is derived from three sources, viz.,
provincial revenues, local rates, and private subscriptions. Dr. Cameron
( 48 )
states the European subscriptions are easily collected, not so those of
the native residents, several of whom have intimated their unwillingness
to continue their contributions, in fact look upon the new local cess to
cover their obligations towards the dispensary, &c., but as the local rates
committee have contributed largely, the funds of the dispensary are in a
flourishing condition. The following statistical tables are added :—
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.
79
404
5,345
5,828
4,470
1,167
97
94
5,828
19.04
31.47
50.51
16
377
393
1873.
94
342
5,032
5,468
4,204
1,107
71
86
5,468
17.94
31.88
49.82
14
366
380
Receipts.
RECEIPTS.
European subscriptions, ... ... ... ...
Native
ditto, ... ... ... ...
Government allowances, ... ... ... ...
Other sources from Local Rates, ... ... ...
Total, ... ...
317
517
1,296
90
2,220
314
368
1,296
770
8
0
2
0
0
1
..
Disbursements.
DISBURSEMENTS.
Establishment, .. .. .. .. ..
Dieting in-door patients, .. .. .. ..
Europe medicines, .. .. .. .. ..
Bazar medicines, .. .. .. .. ..
Contingencies, .. .. .. .. ..
Total, .. ..
Cost of dieting each in-door patient, ..
1,707
342
5
6
6
3
..
141
339
2,531
14
6
0
0
9
6
1 anna per
head per day.
1,733
310
13
4
0
1
..
113
218
2,385
11
9
6
10
4
3
1 anna per
head per day.
TANDA BRANCH
DISPENSARY IN
FYZABAD.
As roportod on by Dr. J. Cameron.
"This dispensary was opened for the first time in January 1872, so
that like that of Akbarpur and of Shahganj it has been barely two years
in existence.
" The dispensary is still in temporary quarters, hired at a small
monthly rent, in the main street of the town. A site for a proper build-
ing has at length been selected and it is hoped that fitting accommodation
will be provided before end of the current year.