PESHAWAR DISTRICT.
163
leaving a difference of 257 out of 1,952 to be accounted for by other causes. Notwithstanding
the occurrence of so many cases of malarious fevers, not one death, I am glad to say, occurred
f r om t he di sease, due, I bel i eve, t o t he l i ber al and i mmedi at e admi ni st r at i on of qui ni ne, espe-
cially in the worst cases. Boils and ulcers were the next more numerous causes of admission,
23 and 18 cases. Bronchitis, when the weather became cold, and usually the result of weak-
ness af t er f ever , shows 15 cases. Of t he r emai nder of t he cases, t her e was l i t t l e t o say.
Principal
causes of
mortality.
XVII. Principal causes of mortalit
y—
Deaths from cholera
2
„
A p o p l e x y .
1
„ phthisis
1
„ scorbutics
1
Total
5
The percentage of deaths in hospital to admissions is very small—0.79.
Four cases died out of hospital at their own houses
2 of pneumonia
1 of diarrhœa
•
1 cause unknown, on furlough.
XVIII. Epidemics.—An epidemic of cholera made its appearance at Peshawar during
the past year, the first case occurring in the city of Peshawar on the 13th September 1876,
and the last case of cholera that occurred in the cantonments was on the 1st November. On
the 29th September one of the camp-followers of this regiment was taken ill. On the
2nd of October the regiment left its lines and marched to the general parade-ground some three
miles from the lines, where it halted and remained until on the 10th of October when a sepoy
was taken ill and died there. On the morning of the 11th, the hospital and all the sick left
the general parade-ground and marched to Durbungie: one of the sick, a sepoy, ill with
d i a r r h œ a , w a s a t t a c k e d w i t h c h o l e r ae
n r o u t e ,
a n d d i e d a f t e r g e t t i n g i n t o c a m p o n t h e 1 1 t h .
On the morning of the 12th of October, the head-quarters of the regiment marched to Baij
Hurree Singh, four miles, leaving behind them a camp-follower ill with cholera, who died on
the 12th at the general parade-ground. At Baij Hurree Singh, on the 14th, a second camp-
follower was attacked and died on the 14th October, after which no other cases occurred, and
the regiment was left free of the disease. From what I saw of the disease at Peshawar, I
consider the preventive measure was marching the troops out. And the occurrence of the
disease in the camp at general parade-ground points out the expediency of not halting near
an infected locality, but keeping off by short marches to where the disease has not been.
XIX Vaccination.— There were vaccinated 31 recruits last year. In 25 cases the opera-
tion succeeded, the others were either actual failures or unsuccessful
Inspection.—Inspected by the Deputy Surgeon-General of the Rawal Pindi
Circle on the 4th April 1877. Mr. Allen reports that the means for ventilating
and warming the hospital were similar to those met with in the other regi-
mental hospitals at Peshawar. All the arrangements in the ward are des-
cribed as being admirable and in perfect order. The quarters for the hospital
assistants were very inferior, and wanted doors as well as a new roof to the
verandah. In the lines there was plenty of space, and their general sanitary
condition was as good as it could be made. The ventilation of the huts was
considered defective, and the floors, by being below the level of the outside
ground surface, became very damp by means of percolation from the water-
course which runs close by them. The water was conveyed to the lines by the
usual channels, where it was stored in tanks before being used. During its
course to the lines, the water is reported to be liable to all kinds of contamina-
tion. The regimental latrines are in front of the lines, and were worked on the
trench system.
on sick leave.
Epidemics.
Vaccination.
Inspection.
20th Punjab Regiment Native Infantry—Peshawar.
I.—Medical Officers. —The following Medical Officers have had charge of
the regiment during 1876:
Surgeon B. Gupta, from
1st January to 14th Janu-
ary; Surgeon-Major E. O.
Tandy, from 14th January
to 4th March; Surgeon-
Major P. Costello, from 4th
March to 12th October;
Surgeon-Major E. O. Tandy,
from 12th October to 18th
October; Surgeon J.
O'Neill, M. D., from 18th
October to 30th December;
Surgeon H. Mallins, M. B.,
from 31st December. The last named officer has submitted the sanitary report.
YEAR.
STATION.
PER CENT. OF STRENGTH.
Admissions. Deaths. Daily sick.
1 8 7 1 Talagang, March 1869 99.8
1.1
2.8
1872
Delhi, December 1871. 135.8
1.7
2.7
1873
D o . d o . 112.2
.8
2.7
1874
Do. do.
140.7
1.4
3.6
1875
Peshawar, March 1875 118.99 1.73
2.58
Average
121.49 1.34
2.87
1876
Peshawar
137.88 1.71
2.97
Medical
Officers.