Mortality.
Paralysis.
79
CENTRAL INDIA.
STATION.
PERIOD.
Strength.
TOTAL NUMBER
OF Daily aver-
age num-
ber of
sick.
PER CENT. OF STRENGTH
PER ANNUM.
From.
To.
Admis
-sions.
D e a t h s .
A d m i s - s i o n s .
Deaths.
Daily
average
sick.
Head-quaters at Sehore . . . 1st January . . . 31st December
717.5
417
7
9.5
58.1
.90
1.3
Detachment at Indore . . .
Ditto
Ditto
55.4
42
3
.93
7.7 5.3 1.6
Escort with Governor Gene-
ral's Agent, Central India.
Ditto . . . 6th March . . .
68
13
. . .
2.2 106.5 . . .
3.2
Escort with Governor General 29th October 19th November
213
16
5
3.1
125
39.6
1.4
Escort with Governor Gene-
ral's Agent, Central India.
3rd December 10th December
47
. . .
. . .
. . .
. . .
. . .
. . .
TOTAL . . .
. . .
. . .
799.7
488
15
11.15 61.02 1.8
1.3
Number of deaths in hospital 15; out of hospital 3; total 18; per cent. of total strength . . .
1.9
" invalided . . . 4
6 ; " " . 6
.4
"
invalided for physical disability . . . 2
.2
" sent on sick leave . . . 3; " " . . .
.3
" of days spent in hospital 4014; per admission 8.3; per man of total strength . . .
4.3
" " on sick leave 267; per man . . . 89; " " . . .
.2
Total temporary loss of service per man of total strength . . .
4.5
XXI. Principal causes of sickness.— The year has been remarkably healthy, there having
been 488 admissions giving an average per centage of sick to present strength of 1.3.
The majority of the admissions (5.4 per cent.) were, as usual, caused by malarious fevers,
which caused 266 admissions, of which 14 were of the tertian and 9 of the quartan type.
Dysentery caused 43 and diarrhœa 23 admissions; both diseases were much more tractable
than in former years, and were the cause of one death only, and of one man being sent on sick
leave. Catarrhal ophthalmia caused 18 admissions, pneumonia gave 5, and bronchitis 1 ad
-mission, with one death from the former disease. There were 7 cases of modified small pox,
and 9 cases of malignant cholera, as will be mentioned under paragraphX V I I I .
XVII. Mortality.—There were 15 deaths in hospital during the year, of which 7
occurred in the head-quarters hospital, 3 in the detachment hospital, Indore, and 5 in the escort
for the Governor General at Indore. Of the 7 deaths occurring in the head-quarters hospital,
1 was entered under secondary syphilis, but was due to exhaustion following excessive
ptyalism, self-induced by the patient whilst-on detachment duty at Indore.
Principal
causes of
sickness.
Two deaths occurred from paralysis; they were both instances of somewhat rare forms
of paraplegia; one being the result or consequence of secondary syphilis, the other being a case
of locomotor ataxy, the conseqence, it is believed, of the patient having overwalked himself
on returning from furlough; by a singular coincidence they were both in hospital at the same
time, and died within a few days of one another.
A fourth death occurred from cancer—epithelioma of the right cheek, extending deeply
under the ramus and angle of the jaw; this case during its course required ligature of the
common carotid artery on account of extensive arterial hœmorrhage coming on suddenly in
the middle of the night: a branch of considerable calibre was opened by the extension of the
ulceration, but on account of the difficulty, from infiltration of the tissues, of finding the
particular artery implicated, I placed a ligature on the common carotid. There were no cerebral
symptoms, and the ligature separated on the sixteenth day. The man unfortunately died on
the nineteenth day after the operation from extension of the original disease and consequent
exhaustion. The remaining three deaths were due respectively to obstruction of the bowels
, probably impaction of fœces—diarrhœa, and debility.
XVIII. Epidemics.— During the month of February and March, there was a slight out
- b r e a k ( 7 c a s e s ) o f s m a l l - p o x ; t h e c a s e s w e r e a l l o f v e r y m i l d t y p e , m o s t o f t h e m e n a t t a c k e d
having previously had small-pox or been vaccinated; they were treated in a tent pitched at some
distance from the lines, and care taken to prevent communication with them; the outbreak
was then soon put an end to. One case of malignant cholera occurred at the end of. October, and
a man who had one night previous to admission returned from escort duty with the Boundary
Settlement Officer, was much exhausted by a double march he had made. There had been no
cases of cholera in Sehore for some considerable time, nor could I learn that there had been
any along the route by which he had marched in. He was treated by subcutaneous injection
o f < i l l e g i b l e > i i o f c h l o r a l h y d r a t e d i s s o l v e d i n w a t e r w h i l s t h e w a s i n t h e s t a g e o f c o l l a p s e ; h e s e e m e d
to revive considerably under its influence, and he ultimately made a good recovery. Suppres
-sion of urine, which lasted about 36 hours, was treated by Tinct. cantharidis and potassæ
acetas.
An outbreak of seven cases of cholera with live deaths occurred in the detachment which
left Sehore on 28th October, and arrived at Indore 4th November, to form an escort for the
Cholera.
Epidemics.