NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
F
PASTEUR INSTITUTE OF INDIA
KASAULI.
FOUNDED 1893. INCORPORATED 1901.
....____„_.
THE
FIFTEENTH ANNUAL REPORT
OF THE
CENTRAL COMMITTEE OF THE ASSOCIATION
TOGETHER WITH THE
REPORT OF THE DIRECTORS OF THE INSTITUTE
FOR THE YEAR ENDING 31ST DECEMBER 1915.
Pk.'
tit 4'
'' i' , nt
, .
a ,
wlt 47
. i .7
‘
7 ANt4') c
ra.kk 'fy,
<4:: ? 1
,
6 doivozi:,,
SIMLA :
PRINTED AT THE GOVERNMENT MONOTYPE PRESS.
1916.
THE ASSOCIATION OF THE PASTEUR INSTITUTE OF INDIA.
President :
The Hon'ble Surgeon-General SIR PARDEY Lulus, K.C.S.I., M.D. F.R.C.S., K.H.S.
THE CENTRAL COMMITTEE.
Members
Colonel Sir ALFRED MACKENZIE, K.C.B.
Hon'ble Lieut.-Colonel J. C. ROBERTSON, C.I.E., I.M.S.
Major-General W. E. BUNBURY, C.B.
Hon'ble Mr. J. P. THOMPSON, I.C.S.
'1
Hon'ble Mr. C. H. A. HILL, C.S.I., C.I.E.
Hon'ble Sir C. SANKARAN NAYAR, B.A., B.L., Kt., C.I.E.
t\
Surgeon-General J. G. MACNEECE, C.B.
•
Hon'ble Major-General B. HOLLOWAY, C.I.E.
Hon'ble Colonel H. HENDLEY, M.D., I.M.S.
Hon'ble Mr. H. SHARP, C.I.E.
Lieut.-Colonel SIR JAMES ROBERTS, Kt., C.I.E., M.B., F.R.C.S., I.M.S.
The Hon'ble Mr. A. Pe MUDDIMAN, C.I.E., I.C.S.
J. BEGG, Esq., F.R.I.B.A.
F. NOYCE, Esq., I.C.S.
G. ANDERSON, Esq.
W. D. HENRY, Esq., C.I.E.
1,
Secretary:
Major F. NORMAN WHITE, C.I.E., M.D., I.M.S.
t
DIRECTORS OF THE PASTEUR INSTITUTE, KASAULI.
Major A. G. MCKENDRICK, M.B. F.R.S.E., I.M.S.
Captain C. J. Fox, I.S.M.D., Assistant Director.
FIFTEENTH ANNUAL REPORT BY THE CENTRAL COMMITTEE OF THE
PASTEUR INSTITUTE OF INDIA.
The Central Committee have pleasure in submitting their fifteenth Annual
Report and the accounts of the Pasteur Institute of India for the period January
1, 1915, to June 30, 1916. This is the first time that a balance sheet has been
prepared.
The financial position of the Institute is shown in the Auditor's report and
the statement of accounts that are attached. It is satisfactory to note that, in
spite of ever-growing expenses, the subscriptions and contributions received were
sufficient to meet the cost of maintenance. It must be noted, however, that
several local Governments have, or are about to have, Pasteur Institutes of their
own: this will lead to a cessation of the subscriptions which such local Governments
have generously given to our Institute in the past.
As was stated in our last year's report, a multiplication of anti-rabic institutes
in India at the present time cannot be expected to lead to an actual decrease in the
number of patients presenting themselves for treatment at the Kasauli Institute.
The increasing dissemination of knowledge regarding the efficacy of Pasteurian
treatment much more than counterbalances the diminution directly resulting from
such multiplication of institutes.
Once again we have to report a very appreciable increase in the number of
persons treated: the number in 1915 was 5,046 as compared with 4,585 in the
previous year. The number of patients treated each year since the inauguration
of the Institute is shown in the following table :—
Year.
Number of
patients
treated.
Year.
Number of
patients
treated.
Year.
Number of
patients
treated.
Year.
Number of
patients
treated.
1900-01
321
1905-06
1,145
1908
1,389
1912
3,548
1901-02
543
1906-07
1,308
1909
1,937
1913
3,980
1902-03
584 Interval
519
1910
2,073
1914
4,585
1903-04
612 9th Aug.
1911
2,268
1915
5,046
1904-05
877
1907—
31st Dec.
1907.
Total . . .
30,735
(a)
Of the 5,046 persons treated, 4,724 were Indians, an increase of 600 over the
figure for the previous year. The accommodation for such a large number of
Indians, mostly of the poorer classes, has been attended with much difficulty.
Overcrowding has been considerable. A new two-storied line of quarters (24 in
all) for such patients is approaching completion and will do much to relieve the
present congestion.
" Manor Lodge," the residence occupied by the Assistant Surgeon attached to
the Institute, has had to be dismantled. The amount of money necessary to make
the building safe was out of all proportion to its value. The site thus cleared has
been utilized for the new patients' quarters referred to above.
The new hospital on the " Sunny Bank " site has been completed and has
proved of very great value.
The President of the Central Committee inspected the Institute during the
year : the Secretary visited the Institute on three occasions.
Major McKendrick,. I.M.S., was Director of the Institute throughout the year.
Captain C. Fox, I.S.M.D., acted as Assistant Director. To both of these officers the
thanks of the Central Committee are due for the very efficient manner in which the
Institute has been managed.
F. NORMAN WHITE, M.D.,
Major, I.M.S.,
Secretary.
(b)
(
ii
)
THE PASTEUR INSTITUTE
Balance Sheet as
CAPITAL AND LIABILITIES.
Sundry Liabilities—
Rs. A. P.
Rs. A. P.
Grants from Provincial Governments received in advance
..
3,750 0 0
Creditors for Goods and Expenses, etc.
..
..
..
3,106 15 0
Establishment Unpaid—
Kasai-di
..
..
..
..
..
798 15 1
Simla
..
..
..
..
..
250 0 0
Due to Assistant Director
..
..
..
..
..
326 10 8
Due to Sub-Assistant Surgeon
..
..
..
..
85 0 0
Employees' Deposits
.. ..
..
..
.. ..
104 8 6
Due to Patients ..
..
..
..
..
..
33 6 3
Special Maintenance Fund ..
..
..
..
..
57 9 3
Empoyees' Provident Fund—
8,513 0 9
Balance at date — invested in Alliance Bank of Simla, Limited,
Savings Bank — as per contra.
....
2 , 4 6 1
15 0
Capi al Account—
Balance at credit at 1st January 1915
..
..
.. 2,99,899 10 4
Add Special Grant from Indian Research Fund Association ..
1 9 , 7 0 8 0 0
Total ..
3,19,607 10 4
Less Value of Buildings demolished per contra
. . . .
8,548 0 0
3,11,059 10 4
Less Deficit for 18 months brought from Revenue Account
..
816 9 3
3,10,243 1 1
Carr d over ..
. . . .
3,21,218 0 10
1 P I K
( ii )
OF INDIA, KASAULI.
at 30th June 1916.
PROPERTY AND ASSETS.
Buildings—
Rs. A. P.
Rs. A. P.
Amount at 1st January 1915
.. ..
..
..
1,36,866 1 4 0
Add Expenditure since
..
.. ..
..
..
19,886 2 0
1,56,753º
0 0
Rs.
Less Value of Buildings demolished .. ..
.. 8,548
Depreciation at 4 per cent per annum for 18 months 8,769
17,317 0 0
Gas Manufacturing Plant—
1,39,436 0 0
Amount at 1st January 1915
.. ..
..
..
3,467 0 0
Less Depreciation at 4 per cent per annum for 18 months
..
520 0 0
Refrigerating Plant—
2,947 0 0
Expenditure during 18 months to date ..
..
..
....
13,528 1 1 8
Furniture and Fittings.
..
..
..
..
..
5,077 0 0
Malling, Durries, Curtaine, etc.
..
..
..
..
817 0 0
Glassware and Crockery
.. ..
..
..
..
257 0 0
Lamps, Frames and Sundries—
At present worth, as estimated by the Director
..
..
529 0 0
6,680 0 0
Reference Books, etc—
At value estimated by the Director and Assistant Director
..
5,000 0 0
Laboratory Equipment—
Apparatus
..
..
..
..
..
..
8,000 0 0
Utensils..
..
..
..
..
..
..
2,000 0 0
Carried over
..
10,000 0 0
1,67,591 11 8
( iv )
THE PASTEUR INSTITUTE
Balance Sheet as
CAPITAL AND LIABILITIES—contd.
Rs. A. P.
Rs. A. P.
Brought forward
..
....
3,21,218 0 10
Carried over
..
....
3,21,218 0 10
( v )
OF INDIA, KASAULI.
at 30th June 1916—contd .
PROPERTY AND ASSETS— contd.
Rs.
A .
P.
Rs. A. P.
Brought forward
. .
10,000 0 0 1,67,591 11 8
Laboratory Equipment— contd.
Drugs and Chemicals—
At value estimated by the Director and Assistant Director
..
1,500 0 0
Stocks on hand, valued at or under cost, as certified by the Director—
11,500 0 0
Miscellaneous Stores
..
..
..
..
..
1,575 0 0
Stationery
..
..
..
..
..
..
815 0 0
Sundry Debtors, considered good —
2,390 0 0
Grants receivable ..
..
..
..
..
..
3,875 0 0
Patients in respect of Cash Advances
..
..
..
2, 500 7 0
Advance to Contractor ..
..
..
..
..
882 0 0
Advances to Employees ..
..
..
..
..
37 8 0
Special Advances to Employees (on personal security of Major A.
G. McKendrick).
1,060 13 0
Suspense Accoun—
8,355 12 0
Considered doubtful
..
..
..
..
..
....
1,400 0 0
Alliance Bank of Simla, Limited
—
Employees' Provident Fund Savings Bank Account
..
..
....
2,461 15 0
Investments—
Calcutta Port Trust 4 per cent Debentures Rs. 1,03,000 at par ..
1,03,000 0 0
Alliance Bank of Simla, Limited—
Fixed Deposit Account
..
..
..
..
5,000 0 0
1,08,000 0 0
C a r r i e d o v e r . .
....
6 8
( vi )
THE PASTEUR INSTITUTE
Balance Sheet as
CAPITAL AND LIABILITIES— concld.
Rs. A. P.
Rs. A. P.
Brought forward
.. ....
3,21,218 0 10
Rupees 3,21,218 0 10
Auditors'
Simla, 9th October 1916.
We beg to report that we have audited the Balance Sheet of the Pasteur
obtained all the information and explanations we have required.
In our opinion such Balance Sheet is drawn up in conformity with the law and
best of our information and the explanations given to us and as shewn by the Books
( vii )
OF INDIA KASAULI.
at 30th June 1916—concld.
PROPERTY ANDASSETS—c o n c l d .
Rs. A. P.
Rs. A. P.
Brought forward
. .
..
. . . .
3,01,699 6 8
Interest accrued on Investments
. .
. .
. .
. .
1,462
14
4
fire Insurance paid in advance
. .
. .
. .
. .
3 9 2 10 2
1,855 8 6
Cash at Bankers and in hand—:
Bank of Bengal, Simla
. .
. .
. .
. .
. .
5,581 0 9
Alliance Bank of Simla, Limited, Simla
. .
. .
. . .
10,400 0 0
Cash in hand — Kasauli . .
. .
. .
. .
. .
1,653 10 2
Postage Stamps in hand . .
. .
. .
. .
. .
28 6 9
17,663 1 8
Rupees ..
3,21,2180
10
Report.
Institute of India, Kasauli, dated 30th June 1916 and above set forth, and have
exhibits a true and correct view of the state of the Institute's affairs according to the
of the Institute.
NEISON KING AND SIMSON,
Auditors,
Chartered Accountants.
THE PASTEUR INSTITUTE
Revenue Account for 18
Rs. A. P.
.
Rs. A. P.
To Expenses of Maintenance
..
..
.. .. ..
. . . .
62,447 12 1
To Share of Income from Sale of Vaccines, and Examination Fees payable
to Assistant Director.
. . . .
2,315 1 8
To Depreciation—
Buildings at 4 per cent per annum ..
..
.. ..
8,769 0 0
Gas Manufacturing Plant at 5 per cent per annum..
520 0 0
9,289 0 0
Rupees
..
74,051 13 9
( i x )
OF INDIA, KASAULI.
ended 30th June 1916.
Rs. A. P.
Rs. A.
P.
By Grants from Imperial and Provincial Governments, Local Bodies,
Native States and Miscellaneous Grants.
. . . .
50,383 3 0
By Donations from Patients
..
..
..
..
..
. . . .
5,080 10 0
By Income from Investments
..
..
..
..
..
. . . .
8,705 15 4
By Rent and Conservancy Charges
..
.. .. ..
. . . .
2,775 15 0
By Miscellaneous Receipts
..
..
..
.. ..
. . . .
2,880 15 2
By Income from Sale of Vaccines and Examination Fees
..
..
. . . .
3,408 10 0
By Balance, deficit for 18 months, carried to Capital Account
..
. . . .
816 9 3
,
Rupees ..
74,051 13 9
( x )
THE PASTEUR INSTITUTE
Receipts and Payments Account for 18
Rs. A. P.
Rs. A. P.
'To Balance at 1st January 1915 ..
..
..
..
..
. . . .
29,048 8 0
To Grants received—
Government of India, Army Department
.. ..
..
13,500 0 0
United Provinces Government
.. .. ..
..
4,000 0 0
United Provinces Local Bodies
.. ..
.. ..
9,768 0 0
Punjab Government
.. ..
.. .. ..
5,000 0 0
Punjab Local Bodies
..
..
.. ..
..
3,083 0 0
Bengal Government
..
..
.. ..
..
4,000 0 0
Bengal Local Bodies
.. ..
..
.. ..
654 0 0
Bombay Government
..
..
.. ..
..
1,500 0 0
Bombay Local Bodies
.. ..
..
..
..
130 0 0
Central Provinces Government
.. .. .. ..
2,000 0 0
Central Provinces Local Bodies
..
..
.. ..
842 0 0
Bihar and Orissa Local Bodies
..
.. .. ..
1,486 8 0
North-West Frontier Province Local Bodies ..
.. ..
129 11 0
Burma Government
.. .. .. .. ..
950 0 0
Assam Government
..
.. .. ..
..
500 0 0
Assam Local Bodies
..
.. .. ..
.
..
75 0 0
Central India Local Bodies
.. .. .. ..
150 0 0
Rajputana Local Bodies
..
.. .. .. ..
80 0 0
Delhi Local Bodies
.. ..
..
.. ..
550 0 0
Mir of Khairpur ..
.. .. .. .. ..
500 0 0
His Highness the Maharaja of Cooch Behar ..
.. ..
1,000 0 0
Bengal-Nagpur Railway
..
..
....
.. ..
1 5 0 0
0
President — 7th Hussars ..
.. .. .. ..
110 0 0
Mewar Bhil Corps, Kherwar
.. .. .. ..
100 0 0
To Special Grant from Indian Research Fund Association
..
..
. . . .
50,258
19,708
3
0
0
0
,.. .
Carried over
..
. . . .
99,014 11 0
( xi )
OF INDIA, KASAULI.
months ended 30th June 1916.
By Expenses of Maintenance—
Rs.
A. P.
Rs. A. P.
Establishment
.. .. .. .. .. ..
12,358 4 11
Salaries, Kasauli ..
.. .. .. .. ..
6,144 15 6
Salaries, Simla
..
..
..
..
..
..
4,500 0 0
General Laboratory Expenses
..
..
..
..
5,767 15 10
Contingencies, Kasauli
..
..
..
..
..
4,537 10 7
Contingencies, Simla
..
..
..
.. ..
725 0 6
Maintenance of Apparatus and Utensils
..
..
..
4,772 12 7
Drugs and Chemicals
...
..
..
..
..
3,088 3 0
Gas Manufacturing Expenses
..
.. ..
..
2,475 6 1
Repairs to Buildings
..
..
..
.. ..
2,415 13 6
Repairs to Furniture, etc.
..
..
..
..
1,337 5 7
Library Maintenance
..
..
..
.. ..
813 12 0
Taxes
..
..
..
..
..
.. ..
1,280 2 11
Insurance
..
..
..
..
..
..
993 13 0
Rent of Assistant Director's Bungalow
..
.. ..
1,075 0 0
Grain Compensation Allowance to Staff
..
..
..
574 6 1
Contributions to Employees' Provident Fund ..
..
..
356 10 0
Ice
..
..
.. .. .. ..
.
..
460 1 5
Printing and Stationery
..
..
..
..
..
1,960 12 4
Auditors' Fee 1914
..
..
..
..
..
50 0 0
Bank Charges
..
..
..
..
..
..
18 5 6
Miscellaneous Expenses
..
..
..
..
..
3,626 1 11
...
59,332 9 3
By Capital Expenditure
—
.. .. ..
Buildings
.. ..
.
..
,
.. .. ..
19,886 2 0
Refrigerating Plant
.. .. ..
.
.. ..
.
13,528 11 8
33,414 13 8
Carried over
..
..
92,747 6 11
(
xii
)
THE PASTEUR INSTITUTE
Receipts and Payments Account for 18
Rs. A.. P.
Rs. A. P .
Brought forward
..
. . . .
99,014 11 0
To Interest received on Investments
.. .. .. ..
. . . .
7,243 1 0
To Donations from Patients
..
..
..
..
..
. . . .
5,080 10 0
To Receipts on account of Advances to Patients
.. .. ..
. . . .
41,534 1 10
To Income from Sale of Vaccines and Examination Fees
.. ..
. . . .
3,408 10 0
To Rent and Conservancy Charges
.. .. .. ..
. . . .
2,775 15 0
To Rea ipts on account of—
Loans to Staff for House purchase
.. .. .. ..
517 8 0
Suspense Account
.. .. .. .. ..
705 8 6
Special Maintenance Fund
.. .. .. .. ..
131 11 9
1,354 12 3
To Miscellaneous Receipts
..
..
..
..
..
. . . .
2,880 15 2
i
Rupees ..
1,63,292 12 3
( xiii )
OF INDIA, KASAULI.
months ended 30th June 1916—contd.
Rs. A.
P . Rs. A. P.
Brought forward
..
. . . .
92,747 6 11
By Advances to Patients—
(Recoverable)
..
..
..
..
..
..
..
42,278 1 4
By Advances to Employees
(On personal security of Major A. G. McKendrick)
.. ..
956 4 6
By Advance to Contractor
.. .. .. ..
. . . .
882 0 0
By Payment to Assistant Director—
.
Of share of income from sale of vaccines and examination fees
..
. . . .
2,098 12 8
By Payments on account of—
Suspense Account
..
..
..
..
..
110 0 1 1
Special Maintenance Fund ..
.. .. .. ..
185 7 0
295 7 11
By Investment Account—
Fixed Deposit transferred ..
..
..
..
..
. . . .
5,000 0 0
By Suspense Account—
Shortage in balance at 1st January 1915
.. ..
. . . .
1,400 0 0
By Balance at 30th June 1916—
Bank of Bengal, Simla
.. .. .. .. ..
5,581 0 9
Alliance Bank of Simla, Limited, Simla
.. ..
..
10,400 0 0
Cash in hand — Kasauli
.. .. .. .. ..
1,653 10 2
17,634 10 11
Rupees ..
1,63,292 12 3
Report of the Directors for the year 1915.
Treatment was afforded to 5,046 persons during 1915, as compared with 4,585
during the previous year—of these 4,724 were Indians and 322 were Europeans.
When one compares these figures with the corresponding numbers for 1914, it will
be seen that an increase of 600 occurred amongst Indians, and a decrease of 139
amongst Europeans. With regard to the decrease amongst Europeans, however,
the number of Europeans who were advised, for various reasons, that treatment
was unnecessary, must be taken into account. The number of these in 1915 was
176 as compared with 118 in the previous year; that is to say, there was an
increase of 58 in this class. There is, I think, little doubt that the number of
Europeans treated, and the number who, by advice, did not undergo treatment,
are to a large extent complementary. In our report of last year (page 11) it was
stated that "from the figures of all India it would appear that the increase of 605
(1913-14) is likely to continue for a few years at least." If one excludes Europeans,
for the reasons given above, the increase (1914-15) Was 600. This rate of increase
is likely to continue. Of those who received treatment 71 contracted the disease,
These may be classified as follows:—
Persons who died during the course of treatment which lasts 14 days . .
11
Persons who died within 15 days after their discharge . .
24
Persons who died more than 15 days after their discharge . .
36
In Tables 1 to 8 the statistical analysis of the cases are given according to
the practice of former years, and present no significant differences.
We have introduced a new table (9) from which much useful information of
a practical as well as a theoretical nature may be obtained. The patients are classified
according to the location of the wound and also according to the number of days
which had elapsed before they arrived for treatment. The object for which the
table was prepared was to show the extreme importance of early arrival: but before
giving a summary of the results, there are some points which require consideration.
1. The process of immunization may be described as a race between the
virus and the vaccine. The virus travels towards the central nervous
system and after a period of time if it be not counteracted it 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 the 14 days' course of treatment, is in some manner combatting
the virus or preparing the central nervous system for its arrival
1 P I K
If this action be insufficient or late, the patient will die, if it be suffi
- c i e n t a n d e a r l y , t h e p a t i e n t w i l l l i v e . I n t h i s r a c e t h e n a p a t i e n t
who arrives late is handicapped. 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.
2. In considering the effects of this handicap we shall only compare cases
which arrive during the 1st and 2nd weeks, respectively. One reason
for doing so is that the numbers of later arrivals are relatively small.
But there is another and a more important reason. A person who
has been bitten by a rabid animal may be likened to a person under
- t a k i n g a j o u r n e y i n t h e c o u r s e o f w h i c h t h e a c c i d e n t o f d e a t h m a y
occur. During the first fortnight the risk of accident is zero: during
the next it increases, and from the 5th to 8th week the risk is at its
highest; thereafter it again declines gradually. A person who comes
immediately for treatment, has to face the whole period of risk.
If he arrives late, part of the dangerous period has already been
safely traversed and only a fraction of the total risk remains. If one
remembers, (a) that the effects of treatment are not considered to
be completely established until 15 days after the close of treatment
(or 4 weeks after the arrival of the patient at the Institute) and ( b)
that most deaths occur from the 5th to the 8th week, it will be seen
that persons who arrive during the 3rd week after the bite will not
have acquired their full immunity until a considerable portion of the
most dangerous period has elapsed. Thus in the case of these
persons a disturbing factor is introduced.
The subjoined table is a summary of Table 9.
Situation of bite.
Leg.
Face and
Multiple
face.
Average incubation period in days . . .
61
29
Advantage of arrival lst week over arrival in 2nd week . . .
1.09
2.2
3
Cases are grouped according to their situation. In the first row of figures are
' given the average incubation periods in days of the deaths 'which occurred in
the two groups. In the second row, indices are given, which are obtained by
dividing the percentage mortality amongst those who arrived during the 2nd
week, by the percentage mortality amongst those who arrived during the 1st
week.
The contention already explained' is borne out.
In the case of persons bitten on the leg whose average incubation period is
two months, the advantage so far as the figures show is negligible—whereas in
the case of persons bitten on the face whose average incubations are only four
weeks, the advantage of early arrival is very great.
The importance of early arrival is then established. But in addition to this
w e have in the consideration of these figures a statistical method of comparing
t
he efficiencies of different systems of treatment which is of great theoretical and
p
ractical interest. The method obviously fails when the incubation period is
a long one, but if we confine our attention to face cases, whose incubation period
i s short, we can employ it. If we suppose that the death rate among persons
b itten on the face, who arrive for treatment during the 2nd week, approximates
to the death rate amongst untreated face cases, then treatment commenced
during the first week saves 55 per cent. of those who would have died. If we
c onfine our attention to multiple face bites the saving increases to 66 per cent.
It is to be understood : that (1) this estimate of the saving of life is the lowest
p ossible, for it is based on the assumption that the beneficial effect of treatment
in the case of persons bitten on the face who arrived during the 2nd week is
z ero—an assumption which is on the face of it rigorously severe, and which we
do not uphold ;
(2) that this estimate of the saving of life in the case of persons bitten on the
face must be the lowest possible estimate for persons bitten on other parts of the
body;
(3) that this estimate of the saving of life has no reference to the degree of
risk to which patients are subjected, provided that that degree is similar amongst
those arriving during the two respective periods. (This assumption is, of course,
subject to error.)
4
This figure is of course quite distinct from the percentage mortality amongst
persons coming for treatment. It is the lowest possible estimate of the percentage
saving of life amongst those who would have died, had they received no treat
-
ment at all.
A. G. McKENDRICK, Major,, I.M.S.,
Director.
C. FOX, Captain, I.S.M.D.,
Assistant Director.
TABLE 1.
Death rates among persons treated—Kasauli, 1900-1915.
Year.
Total
treated.
Fail-
ures.
Per
cent.
Total
deaths.
Per
cent.
INDIANS.
EUROPEANS.
Cases not
under -
taking
treat-
ment (by
advice).
Treated. Deaths.
Per
cent.
Treated. Deaths.
Per
cent.
Fail-
ures.
1900-01
. . .
321
3
0 . 9
10
3.1
175
9
5.1
146
1
0.72
. .
. .
1901-02
.
.
.
543
7
1.3
13
2.4
328
11
3.4
215
2
0 . 9
1
20
1902-03
.
. .
, 584
6
1 . 0
12
2.1
315
11
3 . 8
269
0 . 4
. .
10
1903-04
.
.
.
612
5
0 . 8
10
1.6
364
10
2 . 7
248
..
..
. .
50
1904-05
.
.
.
877
7
0.8
12
1.4
570
12
2 . 1
307
..
..
..
111
1905-06
.
.
.
1,145
7
0.6
21
1.8
803
19
2.4
342
2
0.6
1
117
1906-07
.
.
.
1,308
10
0 . 7
19
1. 5
856
17
2.0
452
2
0.4
1
76
Interval,
9th
August
1907—31st _ December
1907.
519
1
0 . 2
5
1.0
373
4
1 . 1
146
1
0 . 7
1
. .
1908 .
.
.
.
1,389
5
0 . 4
26
1.9
1,047
24
2.3
342
2
0 . 6
. .
95
1909 .
.
.
.
1,937
11
0 . 6
28
1 . 4
1,447
25
1 . 7
490
3
0.6
..
125
1910 .
.
.
.
2,073
4
0 . 2
26
1.2
1,719
26
1 . 5
354
. .
. .
. .
328
1911 .
.
.
.
2,268
18
0 . 8
47
2.1
1,971
46
2 . 3
297
1
0.3
1
473
1912 .
.
.
.
3,548
21
0 . 6
46
1. 3
3,148
46
1.5
400
..
..
..
360
1913 .
.
.
.
3,980
29
0.72
48
1.20
3,532
46
1 . 3
448
2
0 . 4
1
402
1914 .
.
. .
4,585
26
0.57
53
1.16
4,124
52
1.26
461
1
0.22
1
297
1915 .
.
.
.
5,046
36
0.71
71
1.41
4,724
71
1.50
322
..
..
..
441
Total
.
.
30,735
196
0.64
447
1.45
25,493
429
1.68
5,239
18
0 . 3 4
7
2,905
TABLE 2. EUROPEANS, 1915.
Classified according to number and depth of wounds and intervention of clothing.
Deep.
Bare.
0
1
2
3
4
5
6
7
8
9
10
11
Total.
+
+
0
22
17
7
4
2
4
1
1
1
1
0
60
+
—
0
10
8
3
0
1
2
1
0
0
0
0
25
—
+
145
47
16
4
1
0
1
0
0
0
0
0
214
—
—
0
16
4
1
0
0
1
0
0
0
0
1
23
Total ..
145
95
45
15
5 3
8
2
1
1
1
1
322
TABLE 3. EUROPEANS, 1915.
Classified according to position and depth of wounds and intervention of clothing.
Deep.
Bare.
Face.
Arm.
Trunk.
Leg.
Face
and
Arm.
Face
Arm and
Leg.
Arm
and
Trunk.
Arm
and
Leg.
Total.
+
+
3
47
0
7
0
0
1
2
60
+
—
1
4
2
15
0
0
0
3
25
—
+
15
167
0
12
10
1
0
9
2 1 4
— —
0
5
1
16
0
0
0
1
23
Total
..
19
223
3
50
10
1
1
15
322