NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
3 3
but it is interesting to note that the assumption of a logarithmic relation
(Weber's law) is also sufficient to explain how a septicæmia may relapse
of itself, that is to say, without the action of some additional external
stimulus. Thus, light would be thrown upon the relapsing condition of
such a disease as Malta fever and possibly of typhoid.
THE EFFECT OF THE TREATMENT
As we have no reliable information regarding the mortality amongst
the untreated with which to compare our results, it has been necessary
to approach this problem from a comparative point of view.
Amongst the deaths recorded in the adjoining tables, as we have
said, are included all fatal accidents due to rabies. No cases have been
excluded on the basis that full treatment has not been received, or on the
basis that sufficient time has not elapsed for the development of full
immunity. We have thus, in these statistics, a graded series of persons
who have received varied degrees of benefit from the treatment. At the
one extreme we have the man who arrived late, received one dose, and
whose symptoms appeared within two hours ; we pass to those who
arrived late and died during the course of treatment, and so on, with, at
the other extreme, those who arrived early, received their full course,
and died at some subsequent period. It would appear then that a
classification on the basis of time of arrival would in some degree indicate
the degree of benefit received, and it is on this basis that we will examine
the figures. It must, however, always be remembered that a person
arriving late has already traversed an aliquot portion of his period of
risk, so that the figures for the later weeks will be much disturbed.
With these preliminary remarks we may proceed to examine the
figures.
In Table IX, cases are classified according to the number of days
which elapsed after the bite, before treatment
was commenced, and according to the part
of the body on which they were bitten.
Percentage mortalities are given in part C. It will be seen that
among the total cases there is no appreciable benefit in early arrival.
But when one examines the columns of arm and face bites in particular,
the advantage of early arrival is apparent. In the case of bites on the
leg there is little difference, and as these are by far the most frequent,
they swamp the effect in the total. The reason for these differences is
not far to seek. The process of immunization may be described as a
race between the virus and the vaccine. The virus travels towards the
3
Effects of treatment
upon the mortality rate.
34
central nervous system and, after a period of time, if it be not counteracted,
will arrive at the central nervous system, and be in a position to induce
the symptoms of rabies. The vaccine, introduced into the body during
a 14 days' course of treatment, is in some manner combating the virus
or preparing the central nervous system for its arrival. If this action
be insufficient or late, the patient will die ; if it be sufficient and early, the
patient will live. In this race, then, the patient who arrives late is handi
-
capped. Obviously if the race be a short one the effect of the handicap
will be more significant than if the race be a long one. Thus if, in a
certain class of case, we know that the incubation period is long, we
should expect the effect of the handicap to be slight ; whereas in classes
of cases in which the incubation period is short, the effect of the handicap
should be more apparent. It was with the object of testing the truth
of these assumptions that this table was drawn up, with the result that
the apparent unsatisfactoriness of the total figures was explained. In
the case of leg bites whose mean incubation is 60 days, the effect of
the handicap is not evident, whereas in the case of arm and face bites
with mean incubation of 52 and 39 days, respectively, it is well
marked.
ARRIVAL DURING
MORTALITIES AMONGST
PERSONS BITTEN ON
—
Arm
Face
1 s t w e e k . . .
0 . 9 4
6.64
2nd week . . .
1.47
9.09
3rd week . . .
1.94
10.64
That this is not the full explanation of this phenomenon is, however,
apparent from a study of Table VIII-C. The advantage of early arrival
is here again borne out in the case of numbers of bites of five or more.
An explanation, with due regard to the apparent absence of a correlation
between numbers of bites and period of incubation ( vide supra) , is diffi
-
cult to find. But the fact remains that this table, too, bears out the
advantage of early arrival, whatever the reason may be. It might be
argued that possibly the 'early arrivals' were the more timid, and
would include the less severely bitten. That this is not the case appears
from Table VIII, from which we find that the mean numbers of bites
were 4.15 amongst those who arrived during the first week, and 3.72 and
3.44 amongst those who arrived during the second and third weeks,
respectively.
Effects of Treatment upon the Incubation Period. This relationship
has been fully discussed in the previous section, and the results of our
3 5
observations have been tabulated on page 31. One may repeat that,
both in the total figures and in those of cases divided according to the
position on which the bite was inflicted, there is evidence of a definite
tendency towards lengthening of the incubation periods amongst
those who have arrived early, and who have consequently been afforded
the full benefits of treatment.
Summary.
As we have stated above, proof of the beneficial effects of treatment
from the figures at our disposal can only be arrived at by comparative
methods, and consequently the results obtained can only be of a
comparative nature :—
1. We have found evidence of the handicap of late arrival as
shown by an increased mortality in cases of persons bitten
on the face and arm, that is to say, amongst those cases in
which the expected incubation period is relatively short
and the handicap is consequently a heavy one.
2.
We have found similar evidence amongst those whose bites
are multiple.
3.
And we have found evidence of a lengthening of the incubation
period amongst cases, the issue of which was fatal, in spite
of early arrival.
In conclusion we are fully aware of the inadequacy of the statistical
treatment of this material. The compilation of the tables has been
laborious, and the time at our disposal has not been sufficient for the
working out of all the correlations, errors, &c. Many points of interest
appeared only after the tables had been viewed in their completeness.
The working out of most of these must remain for the future.
Note.—W e
take this opportunity of drawing the attention of medical
practitioners to the use of atropine in cases which have developed symp
-
toms of rabies. The use of this drug was suggested to us by Major F.
Norman White, I.M.S., to whom we acknowledge our thanks. Its effect
is to relieve throat spasm, and if it be given at suitable intervals this
distressing symptom can be entirely obliterated, with the result that
the patient is able to eat and drink. Apart from this beneficent effect,
there is always in the background the hope that in certain cases, throat
spasm (which is the proximate cause of death) might be held in check
until the phase of recovery had set in. We will not labour the point
further than to say that it is just possible that in cases in which the
limen and the maximum might be close to one another, a person who has
36
reached his limen might be coaxed over his maximum. Clearly the
most hopeful cases would be those of the untreated, in which the incubation
period was naturally a long one, or those in which anti-rabic treat
-
ment had succeeded to the extent of lengthening the incubation period,
but not to the extent of warding off the onset of symptom. As such
cases do not occur in Kasauli, the point cannot be tested here and we
must ask for the co-operation of the medical profession. We have found
that 1/100th grain of the sulphate injected subcutaneously, every four
hours is usually sufficient to obliterate spasm. This may be taken as
a guide but, clearly, each case would require careful watching.
A. G. McKENDRICK, Major, I.M.S.,
Director.
C. FOX, Captain, I.S.M.D.,
Assistant Director.
3 8
TABLE V.—
Classified according to number and depth of wounds
A .—TOTAL
Deep. Bare.
Uncauter- ized.
0
1
2
3
4
5
6
7
8
9
10
11
12
+
+
+
0
658 1,261 1,006 1,113
536
511 234 257 114
99
75
85
+
+
-
0
463
878
730
799
439
372 204 228
99 114
49
69
+
-
+
0
170
339
275
313
126
122
50
41
24
16
7
9
+
-
-
0
138
300
291
268
146
116
61
59 22
25
17
11
-
+
+
88
834
780
437
328
154
102
32
45
20
12
1
4.
-
+
-
10
383
347
205
194
78
68
19
28
17
6
7
4
-
-
+
30
307
448
300
204
68
69
25
14
8
8!
6
3
-
-
-
6
223
315
167
138
60
35
11
9
9
6
7
4
TOTAL... 134
3,176 4,668 3,411 3,357 1,607 1,395 636 681 313 286 169
189
B .—F AT AL
Deep. Bare.
Uncauter-ized.
0
1
2
3
4
5
6
7
8
9
10
+
+
+
0
4
12
12
31)
20
20
9
5
9
4
+
+
-
0
1
6
9
21
9
9
4
6
4
8
+
-
+
0
1
0
2
2
0
0
0
0
0
0
+
-
-
0
0
2
2
1
0
0
0
1
0
0
-
+
+
0
2
8
4
4
1
2
0
0
0
0
-
+
-
0
1
0
0
0
0
0
0
0
0
0
-
-
+
0
0
2
1
0
0
0
0
0
0
0
-
-
0
1
0
0
0
0
0
0
0
0
0
TOTAL...
0
10
30
30
58
30
31
13
12
13
12
C. —PERCENTAGE
.
Deep. Bare .
Uncauter-ized.
0
1
2
3
4
5
6
7
8
9
10
+
+
+
0
0 . 6 1
0.'95
1'19
2..70
3.73
3.91
3.85
1'95
7'89
4'04
+
+
-
0
0.'22
0..68
1'23
2..63
2.05
2.42
1.96
2'63
4'04
7.02
+
-
+
0
0....59
0
0.73
0..64
0
0
0
0
0
0
+
-
-
0
0
0'.67
0'69
0.'37
0
0
0
1'69
0
0
-
+
+
0
0.'.24 1..03
0'92
1.22
0 65
1.96
0
0
0
0
-
+
-
0
0...26
0
0
0
0
0
0
0
0
0
-
_
+
0-
0
0.45
0.33
0
0
0
0
0
0
0
-
_
-
0
0.45
0
0
0
0
0
0
0
0
0
TOTAL...
0
0..31
0.64
0'88
1 . 7 3 1.87
2'22
2 . 0 4 1.76
4'15
4.20
39
INDIANS, 1912 to 1916.
and intervention of clothing and cauterization.
CASES.
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 35 36 37 39 41 42 47 54 72
No. of
wounds
not
ascer-
tained.
TOTAL.
32 472119 13 14 11 15 7 5 3 2 1 4 2 1 1 5 1 0 0 1 0 3 0 0 0 2 1 1
0
6,161
26 36 14 20 16 16 6 6 4 3 2 2 2 1 2 2 1 2 0 1 1 0 1 0 1 1 1 0 0 0
0
4,611
7 10 2 4 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0
1,520
3 12 5 5 1 0 1 1 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0
1,485
6 3 5 5 3 5 1 0 0 1 0 0 0 1 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0
0
2,867
3 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
1,374
2 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
1,496
2
—
0 2 0 0 1 0 0 0 0 0
-
0 0 0 0 0
—
0
—
0 0 0 0
—
0
—
0 0 0 0 0 0 0 0
0
995
8 1
1 1 0 5 2 5 3
34 37 19 22 13 10 5 4 4 8 5 3 3 7
2
1 1 1 1 3
1 1
1
2
1 1
1
20,509
CASES ONLY.
11 12 13 14 15 16 17 18 20 23 24 27 35 37 47 TOTAL.
4 6 1 8 0 1 2 1 1 0 1 1 1 1 1
154
5 3 1 0 2 0 1 0 1 1 0 0 0 0 0
91
0 0 0 0 0 0 0 0 0 0 0. 0 0 0 0
5
0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
9 9 2 8 2 1 3 1 2 1 1 1 1 1 1
282
MORTALITIES.
11
12
13
14
15
16
17
18
20 23 24 27 35 37 47 TOTAL
5.33 7 .06 3.13 17.02 0 5.26 15.38 7.14 6.67 0 50 50 100 33.33 50 2.50
10 .20 4.35 3.85
0 14.29 0 6 .25 0 16.67 50 0 0 0
0
0 1.97
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.33
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.40
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.73
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.07
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.20
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0 0.10
5.33
4 . 7 6 2.47 7.27 3.85 1.89 8.82 2.70 9.09 20 25 20 100 33.33 50
1.375
40
TABLE V1.—INDIANS, 1912 to 1916.
Classified according to position and depth of wounds and intervention
of clothing.
A.—TOTAL CASES.
Deep. Bare. Leg. Trunk. Arm.
Face. Multiple. Multiple Face. TOTAL
+
+
5,609
196
2,954
508
1,048
442
10,757
+
-
2,176
133
525
18
150
10
3,012
-
+
2,191
90
1,491
191
189
78
4,230
-
-
1,864
162
402
13
69
2
2,512
TOTAL
11,840
581
5,372
730
1,456
532
20,511
B.—FATAL CASES ONLY.
Deep. Bare. Leg, Trunk. Arm.
Face. Multiple.
Multiple
Face.
TOTAL.
+
+
66
1
52
48
40
38
245
+
-
7
1
3
0
0
0
11
-
+
7
0
6
7
0
2
22
-
-
2
0
1
1
0
0
4
TOTAL
82
2
62
56
40
40
282
41
TABLE VI.—INDIANS, 1912 to 1916—continued.
C.—PERCENTAGE MORTALITIES.
Deep' Bare. Leg. Trunk. Arm.
Face. Multiple'
Multiple
F a c e .
TOTAL,
+
+
1'18
'0. 51
1 . 7 6
9'44
3 . 8 2
8'60
2 . 2 8
+
—
0.32
0'75
0'57
0
0
0
0'37
+
0' 32
0
0.40
3 . 6 6
0
2 . 5 6
0'52
—
—
0'11
0
0 . 2 5
7'69
0
0
0'16
TOTAL
.''
0'69
0'34
1 . 1 5
7 . 6 7
2 . 7 5
7'52
P375
42
TABLE VII-INDIANS,
Classified according to number
A.—TOTAL
0
1
2
3
4
5
6
7 8 9 10 11 12 13 14 15 16 17 18 19 20
Leg
15 1,903 3,068 2,182 2,118 850 750 291 284 95 92 45
5 l 21 21 10 17 6 5 4 4
Trunk
3
92 158 113
93 40 29 22 18 6 4 1 1 0 0 0 1 0 0 0 0
Arm
109 1,080 1,137 845 779 427 344 133 166 94 89 27 40 19 31 13 9 7 6 1 3
Face
7
98 194 135 143 63 35 8 27 5 5 3 4 0 1 0 0 0 0 0 1
Multiple
0
2
78 103 164 159 171 148 125 89 72 74 69 27 44 24 22 15 20 5 12
Multiple
Face
0
1
33
33
60 68 66 34 61 25 24 19 24 14 13 5 5 6 6 9 2
TOTAL
134 3,176 4,668 3,411 3,357 1,607 1,395 636 681 314 286 169 189 81 110 52 54 34 37 19 22
B.—FATAL
0
1
2
3
4
5
6
7
8
9
10
11
Leg
0
4
12
13
22
5
11
3
4
0
3
0
Trunk
0
0
0
0
1
0
0
1
0
0
0
0
Arm
0
3
9
4
10
8
10
1
2
5
3
2
Face
0
3
9
10
19
6
4
1
2
0
0
1
Multiple
0
0
0
2
3
4
3
4
0
5
3
5
Multiple Face
0
0
0
1
3
7
3
3
4
3
3
1
TOTAL
0
10
30
30
58
30
31
13
12
13
12
9
C.—PERCENTAGE
0
1
2
3
4
5
6
7
8
9
10
11
Leg
0 0.21 0.39 0.60 1.04 0.59 1.47 1.03
1 . 4 1
0
3 . 2 6
0
Trunk
0
0
0
0 1.08
0
0
4 . 5 5
0
0
0
0
Arm
0 0.28
0 . 7 9
0 . 4 7 1.28
1 . 8 7 2.91 0.75 1.20
5 . 3 2 3.37 7.41
Face
0 3.06
4 . 6 4 7.41 13.29
9 . 5 2 11.43 12.5
7 . 4 1
0
0
0
Multiple
0
0
0 1.94
1 . 8 3
2 . 5 2 1.75 2.70
0 5.62
4 . 1 7 6.76
Multiple Face
0
0
0
3 . 0 3
5
1 0 . 2 9 4.55
8 . 8 2
6 . 5 6 12
1 2 . 5
5 . 2 6
TOTAL
0
0 . 3 1
0 . 6 4 0.88 1.73 1.87 2.22
2 . 0 4 1.76
4 . 1 4 4.20
5 . 3 3
1912 to 1916.
and position of wounds.
GASES.
21 22 23 24 25 26 27 28 29 30 31 32 33 35 36 37 39 41 42 47 54 72
N o . o f w o u n d s n o t a s c e r t a i n e d .
TOTAL.
1 2 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1
11,840
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
581
1 3 1 1 0 1 1 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0
0
5,372
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
730
8 1 3 2 3 3 1 2 1 2 2 0 1 0 0 0 0 1 1 1 1 0
0
1,456
3 4 0 0 0 3 2 0 2 4 0 0 0 1 0 3 0 0 0 1 0 1
0
532
13 10 5 4 4 8 5 3 3 7 2 1 1 1 1 3 1 1 1 2 1 1
1
20,511
CASES ONLY.
12
13
14
15
16
17
18
20
23
24
27
35
37
47 TOTAL.
2
0
0
0
0
0
0
1
1
1
0
0
0
0
82
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
0
2
0
0
1
0
0
0
0
0
0
0
0
62
1
0
0
0
0
0
0
0
0
0
0
0
0
0
56
3
0
5
2
0
0
1
0
0
0
0
0
0
0
40
1
2
1
0
1
2
0
1
0
0
1
1
1
1
40
9
2
8
2
1
3
1
2
1
1
1
1
1
1
282
MORTALITIES.
12
13
14
15
16
17
18
20
23
24
27
35
37
47 TOTAL.
3.92
0
0
0
0
0
0
25 100 100
0
0
0
0
0 69
0
0
0
0
o
0
0
0
0
9
0
0
0
0
0 . 3 4
5
0 6.45
0
0
1 4 . 2 9
0
0
0
0
0
0
0
0
1.15
25
0
0
0
0
0
0
0
0
0
0
0
0
0
7.67
4 . 3 5
0 11.36 8.33
0
0
5
0
0
0
0
0
.0
0
2.75
4.17
1 4 . 2 9
7 . 6 9
0
20 33.33
0
50
0
0
50 100 33.33 100
7.52
4.76 2.47 7.27 3.85 1.85 8.82
2 . 7 0 9.09
20
25
20 100 33.33
50 1.375
44
TABLE VIII.—INDIANS,
Classified according to number of
A.—TOTAL
0
1
2
3 4
5
6 7
8
9 10 11 12 13 14 15 16 17 18 19 20
0— 7 days 90 1,729 2,567 1,978 2,044 1,021 91U 461 440 213 186 106 126 61 78 35 46 24 26 17 12
8-14 , ,
32 982 1,368 994 926 428 340 128 179 70 74 45 49 17 25 15 7 6 8 2 7
15-21 , ,
6
270 407 247 212
86 80 30 38 17 19 14 7 2 3 2 1 2 3 0 2
22-28 ,,
3
68 102
71
67
22 24 6 9 7 4 2 3 0 3 0 0 2 0 0 0
29-35 , ,
1
68 116
70
52
28 24 8 5. 5 3 2 1 1 0 0 0 0 0 0 0
36-42,,
0
10
21
9
13
7
5 0 0 1 0 0 2 0 0 0 0 0 0 0 1
43-49 , ,
2
22
30
17
21
6
4 3 3 1 0 0 1 0 1 0 0 0 0 0 0
50-56 ,,
0
6
3
4
3
1
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
57-63 , ,
0
11
38
15
13
6
5 0 5 0 0 0 0 0 0 0 0 0 0 0 0
64-70 ,,
0
0
1
1
2
0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
71-77 ,,
0
4
5
2
3
1
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78-84 ,,
0
1
1
0
0
01 0
0 0 0 0 0 0 0 0 0 . 0 0 0 0 0
85-91 , ,
0
4
5
1
1
11
0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 ,,
0
0
0
1
0
0
0 0 0 0 0 0 0 0 0 -- 0 0 0 0 0 0
120 ,,
0
0
2
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 ,,
0
1
1
0
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 ,,
0
0
1
1
0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL
134 3,176 4,668 3,411 3,357 1,607 1,395 636 681 314 286 1169 189 81 110 52 54 34 37 19 22
B.—FATAL
0
1
2
3
4
5
6
7
8
9
10
11
12
0— 7 days
0
6
16
16
35
17
17
6
4
5
5
5
9
8-14 „
0
3
10
9
15
10
10
5
5
4
5
3
0
15-21 „
0
1
0
2
5
3
3
1
3
0
2
1
0
22-28 „
0
0
0
3
0
0
0
0
0
3
0
0
0
29-35 „
0
0
3
0
1
0
0
1
0
1
0
0
0
36-42 „
0
0
0
0
0
0
0
0
0
0
0
0
0
43-49 „
0
0
1
0
1
0
0
0
0
0
0
0
0
50-56 „
0
0
0
0
0
0
0
0
0
0
0
0
0
57-63 „
0
0
0
0
1
0
1
0
0
0
0
0
0
TOTAL ...
0
10
30
30
58
30
31
13
12
13
12
9
9
C.—PERCENTAGE
0
1
2
3
4
5
6
7
8
9
10
11
12
0— 7 days 0 0.35 0.62 0.81
1.71
1.67
1.87
1.30 0.91
2.35
2.69
4.72 7.14
8-14
0 0.31 0.73 0.91
1.62
2.34
2.94
3.91 2.78
5.71
6.76
6.67
0
„
15-21
0 0.37
0 0.81
2.36
3.49
3.75
3.33 7.89
0
1 0 . 5 3 7.14
0
„
22-28
0
0
0 4.23
0
0
0
0
0
42.86
0
0
0
„
29-35
0
0 2.59
0
P92
0
0
12.5
0
20
0
0
0
„
36-42
0
0
0
0
0
0
0
0
0
0
0
0
0
„
43-49
0
0 3.33
0
4.76
0
0
0
0
0
0
0
0
„
50-56
0
0
0
0
0
0
0
0
0
0
0
0
0
„
57-63 „
0
0
0
0
7.69
0
20
0
0
0
0
0
0
TOTAL
0 0.31 0.61 0.88
1.73
1.87
2.22
2.04 1.76
4.1
4.20 5.33 4.76
45
1912 to 1916.
wounds and lateness of arrival
CASES.
21 22 23 24 25 26 27 28 29 30 31 32 33 35 36 37 39 41 42 47 54 72
N o . o f W o u n d s
n o t a s c e r t a i n e d
TOTAL.
8 7 4 4 1 5 3 1 2 5 1 1 1 1
0 1
0 1 1 1 1 1
0 12,220
4 3 1
0 3 3 1 1 0 2 1
0
0
0 1 1 1
0
0
0
0
0
1
5,725
1 0
0
0
0 0 1 1
0
0
0
0 0
0
0
0
0
0
0
0
0 0
0
1,451
0 0
0 0
0
0
0
0 1
0
0 0
0
0
0 1
0
0
0
0
0
0
0
395
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
384
0
0
0
0
0
0
0
0
0 0
0
0
0
0
0
0
0
0
0
0
0 0
0
69
0
0
0
0 0
0
0 0 0 0
0
0
0
0
0
0
0
0 0 1
0
0
0
112
0 0
0 0
0
0
0
0
0
0
0
0 0
0 0
0
0
0
0
0
0
0
0
18
0 0 0 0 0
0 0
0
0
0
0
0
0
0
0
0 0 0
0
0
0
0
0
93
0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0 0
0
0
0 0
0
0
0
0
0
0 0
0
0
0
0
0 0 0 0
0
17
0
0
0
0
0
0 0 0
0
0
0
0
0
0
0
0 0
0
0 0 0 0
0
2
0
0
0
0 0
0
0 0
0 0
0
0
0
0
0
0
0
0
0 0
0
0
0
13
0
0
0
0 0
0
0
0 0
0
0
0
0 0 0
0
0
0
0 0
0
0
0
1
0 0
0
0
0
0 0
0 0
0
0
0
0
0
0
0
0
0
0 0
0
0
0
2
0
0
0
0
0
0
0
0 0 0
0
0 0
0
0 0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0 0
0 0
0
0 0
0
0
0 0
0 0
0
0
0
2
13 10 5 4 4 8 5 3 3 7 2
1 1 1 1 3 1 1 1 2 1 1
1
20,511
CASES ONLY.
13
14
15
16
17
18
20 23
24
27
35
37
47
TOTAL.
1
3
0
0
0
1
0
0
1
1
1
0
1
150
1
5
2
1
3
0
1
1
0
0
0
1
0
94
0
0
0
0
0
0
1
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
8
2
1
3
1
2
1
1
1
1
1
1
282
MORTALITIES.
13
14
15
16
17
18
20
23 24
27
35
37
47
TOTAL.
1.64 3.85
0
0
0 3.85
0
0 25 33.33 100
0 100
1.23
5 . 8 8 20 13.33
1 4 . 2 9 50
0
1 4 . 2 9 100
0
0
0 100
0
1 . 6 4
0
0
0
0
0
0
50
0
0
0
0
0
0
1.52
0
0
0
0
0
0
0
0
0
0
0
0
0
1 . 5 2
0
0
0
0
0
0
0
0
0
0
0
0
0
1.56
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1.79
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 1 . 5
2 . 4 7 7.27
3.85
1.85
8 . 8 2 2.70
9 . 0 9 20 25
20 100 33.33 50
1.375
46
TABLE 1X.---INDIANS, 1912 to 1916.
Classified according to position of wounds and lateness of arrival.
A.—TOTAL CASES.
Leg. Trunk. Arm. Face. Multiple.
M u l t i p l e
Face.
TOTAL.
0-7 days. 6,788
359 3,295
482
953
350
12,227
8-14 .,,
3,382
160
1,501
176
366
134
5,719
15-21 „
945
45
309
47
86
26
1,458
22-28 ,
252
6
94
14
19
5
390
29-35 ”
251
8
93
8
22
6
388
36-42 ,,
37
2
15
4
4
1
63
43-49 „
74
4
22
6
7
1
114
50-56 ,,
14
0
5
0
3
0
22
57-63 , ,
56
3
26
3
4
0
92
64-70 ,
3
0
1
0
0
0
4
71-77 „
11
0
3
0
0
0
15
78-81 „
1
0
1
0
0
0
2
85-91 „
11
0
3
0
1
0
15
106
1
0
0
0
0
0
„
120 „
1
0
1
0
0
0
2
1 5 0
2
0
0
0
0
0
2
180 „
2
0
0
0
0
0
2
TOTAL
...
11,831
588 5,369
740
1,465
523
20,516
B.—FATAL CASES ONLY.
Leg. Trunk. Arm. Face. Multiple.
u lti le
Mp —
Face. ace.
TOTAL.
0 —7 days.
46
1
31
32
22
18
150
8-14
25
0
22
16
13
18
94
15-21 „
6
0
6
5
3
2
22
22-28 „
1
0
0
2
1
2
6
29-35 „
2
0
2
1
1
0
6
36-42 .,
0
0
0
0
0
0
0
43-49 ,
0
1
1
0
0
0
2
50-56 „
0
0
0
0
0
0
0
57-63 „
2
0
0
0
0
0
2
TOTAL
82
2
62
56
40
40
282
C.—PERCENTA GE MORTALITIES.
Leg. Trunk. Arm. Face. Multiple.
.
Multiple
Face.
TOTAL.
0-7 days.
0'68
0 .28
0 .94
6 .64
2.31
5'14
1.23
8-14 .,
0.74
0
1'47
9.09
3.55
13'43
1.64
15-21 „
0'63
0
1 .94
10 .61
3.49
7.69
1.51
22-28 „
0.40
0
0 11 .29
5.26
40
1.54
29-35 „
0 . 8 0
0
2'15
12 .5
4.55
0
1.55
36-42 „
0
0
0
0
0
0
0
43-49 ,.
0
25
4 .55
0
0
0
1.75
50-56 „
0
0
0
0
0
0
0
57-63 „
3'57
0
0
0
0
0
2.17
TOTAL
...
0'69
0.34
1'15
7.57
2.73
7.65
1.375
47
TABLE X.
Showing the Number of Patients who came for treatment each month
during the years 1912 to 1916.
Admissions.
% Mortality.
January
1,642
1.6
February
1,652
0.7
March
1,934
1.3
April
1,808
0.8
May
1,961
1.0
June
1,777
1.4
July
2,138
1.5
August
2,178
1.7
September
1,985
1.8
October
1,848
1.4
November
1,720
1.1
December
1,876
1.1
TOTAL
22,519
...
TABLE XIII.—1912 to 1916.
The animals which inflicted the bites were as follows:—
Patients
treated.
Patients died. % Mortality.
Dog
18,020
200
1.11
Jackal
4,159
84
2 . 0 2
Cat
47
1
Monkey
13
Horse
114
Mule
10
Donkey
24
Wolf
12
Leopard
8
1
Human beings
80
Fox
2
1
Cow
5
Calf
7
Ox
5
1
Mongoose
5
Hyena
2
Camel
1
Goat
1
Pig
1
Deer
1
Elephant
1
Buffalo
1
TOTAL
22,519
288
......
49
Annual contributions received.
Imperial and Local Governments.
Rs. A. P.
Grant-in-aid by the Government of India (Military
Department)
9,000 0 0
Government of Bihar and Orissa
1,500 0 0
Government of Bengal
2,000 0 0
Government of Bombay
1,500 0 0
Government of Central Provinces
1,000 0 0
Government of Punjab
5,000 0 0
Government of United Provinces
2,000 0 0
Total
22,000 0 0
Local Boards and Municipalities.
Agra District Board
100 0 0
Aligarh Municipal Board
120 0 0
Aligarh District Board
150 0 0
Almora Municipal Board
25 0 0
Ambala District Board
200 0 0
Amroha Municipal Board
50 0 0
Arvi Municipal Board
25 0 0
Atrauli Municipal Board
25 0 0
Azamgarh District Board
50 0 0
Balaghat Municipal Committee
12 0 0
Bahraich District Board
50 0 0
Bahraich Municipal Board
100 0 0
Baraut Notified Area
5 0 0
Bareilly District Board
100 0 0
Bareilly Cantonment Committee
100 0 0
Benares Municipal Board
200 0 0
Banda Municipal Board
50 0 0
Bhandara Municipal Board
50 0 0
Bhagalpur District Board
100 0 0
Bilsi Notified Area
5 0 0
Bijnor Municipal Board
25 0 0
Carried over
1,542 0 0
50
Local Boards and Municipalities—contd.
Rs. A. P.
Brought forward
1,542 0 0
Bijnor District Board
20 0
0
Bilaspur Municipal Board
25 0 0
Brindaban Municipal Board
50 0 0
Budaon Municipal Board
50 0 0
Budge Budge Municipal Board
10 0 0
Bulandshahr Municipal Board
16 0 0
Cawnpore Municipal Board
250 0 0
Cawnpore District Board
200 0 0
Chaibassa Municipal Board
32 0 0
Champaran District Board
100 0 0
Chandpur Municipal Board
15 0. 0
Chandausi Municipal Board
50 0 0
Churaman Wards Estates
50 0 0
Chindwara District Board
50 0 0
Cossipore Municipality
25 0 0
Dalhousie Municipal Board
50 0 0
Darbhanga District Board
100 0 0
Dehra Dun District Board
50 0 0
Dehra Dun Municipal Board
50 0 0
Delhi District Board
125 0 0
Delhi Municipal Committee
150 0 0
Deoli Municipal Board
15 0 0
Etah Municipal Board
20 0 0
Etawah District Board
10 0 0
Etawah Municipal Board
20 0 0
Farrukhabad District Board
25 0 0
Fatehgarh District Board
25 0 0
Fatehpur District Board
100 0 0
Fatehpur Municipal Board
25
0 0
Carried over
3.250 0 0
51
Local Boards and Municipalities—contd.
Rs.
A. P.
Brought forward
3,250 0 0
Ferozepore (Jhirka);Municipality
12 0 0
Ferozeabad Municipal Board
12 0 0
Fyzabad District Board
10 0 0
Garden Reach Municipal Board
20 0 0
Ghaziabad Municipal Board
6 0 0
Gonda District Board
50 0 0
Gorakhpur Municipal Board
100 0 0
Gurdaspur District Board
200 0 0
Gurgaon District Board
160 0 0
Haldwani Notified Area
50 0 0
Hapur Municipal Board
25 0 0
Hardoi Municipal Committee
100 0 0
Hissar District Board
100 0 0
Hodal Municipal Board
12 0 0
Howrah District Board
50 0 0
Hurdwar Municipal Board
50 0 0
Jalesar Municipal Committee
20 0 0
Jhansi Cantonment Committee
50 0 0
Kalmeshwar Municipal Board
5 0 0
Karnal District Board
100 0 0
Kariana Municipal Board
32 0 0
Kashipur Municipal Board
10 0 0
Khappa Municipality
10 0 0
Kheri District Board
100 0 0
Khurja Municipal Board
50 0 0
Kohat Municipal Committee
50 0 0
Kosi Notified Area
100 0 0
Lahore Municipal Committee
300 0 0
Lakhimpur Kheri Municipal Board
48 0 0
Carried over
5,082 0 0