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2. Accordingly on the 13th December an inspection of railway passengers
was commenced at Karachi station, under the orders of the Principal Medical
Officer. The passengers were at first examined at the entrance gates, where the
tickets were checked, and afterwards in the carriages, at the city station. The
Railway Apothecary inspected the train again at the Cantonment station* These
arrangements were supervised hy the uivil Surgeon.
3. On 29th December the Government of India telegraphed to the Govern-
ment of Bomhay to arrange for the inspection of passengers at Karachi and the
principal railway stations, as had heen done in the case of Bomhay. The Com-
missioner in Sind was accordingly asked to make the necessary arrangements,
and to submit proposals to Government. A similar telegram was received from
the Government of India, Public Works, on December 30th.
4. In reply, the Commissioner in Sind reported on 4th January that
inspection had been made for several weeks at Karachi stations, and since the 1st
January at all other stations where there were Hospital Assistants. He further
asked what system had been adopted for railway inspection in the Presidency
proper.
5. He was accordingly informed that Hospital Assistants had been posted
at the principal stations to inspect passengers from. Bombay, with the co-opera-
tions of the railway authorities. Cases when detected were segregated in sheds
provided by the Municipalities, who took measures under Section 73 of the
Municipal Act. The stations at which inspections were made in Siud from
1st January were :
Kotri Main.
Laki.
Dadu.
Hyderabad.
Pad Bdan.
Ruk.
Jacobabad.
Sukkur.
Hokri.
Reti.
" The chief inspections," reported the Principal Medical Officer, "are made at Kotri,
Dadu, Jacobabad, and Sukkur, where trains wait a considerable time, or stop by daylight ;
at the other places the examinations are subsidiary. Special instructions have been issued
for the inspections at Dàdu, and at Eohri and Sukkur, passengers by the down trains also
have been examined since the 14th instant. At Shikàrpur the examination of passengers
by rail has been directed to be carried out by the Medical Subordinates at the disposal of the
Civil Surgeon and by the Medical Officer in charge of the Municipal Dispensary. Both the
up-rnails and the local trains are inspected. At the places named below the inspection of
passengers is made by the Medical Officers in charge of dispensaries, viz. :
Sehwan.
Tando Adam.
Tando Alahyar.
Mirpur Khàs.
Ghotki.
Larkhàna,
At Jungshai railway station, by request of the Collector, a Hospital Assistant has been
specially posted to inspect passengers alighting from Karachi for the town of Tatta. At
Sehwan from the 18th to the 24-th January a special Hospital Assistant was detailed-iii
addition to the Dispensary Medical Officer for the inspection of railway passengers visiting
the Lai Shahbaz fair. At Jhimpur on the 19th January the Hospital Assistant in charge
of the Jerruck Dispensary was sent to inspect arrivals of trains during the Amirpir
fair."
6. On January 1st, Collectors and Deputy Commissioners had been asked
to give what help they could to the inspecting officers, and the Hail way District
Traffic Superintendents had been requested to arrange for the inspection. District
Boards and Municipalities had undertaken the erection of isolation sheds. To
supplement the arrangements of the medical authorities, the Commissioner in
Sind on the 10th January addressed a circular to all Collectors and Deputy
Commissioners with regard to the inspection of travellers.
7. Revenue officers were asked in the first place to keep an eye on the
Hospital Assistants engaged on the medical inspection. It was directed that
Municipalities should at once be instructed to submit proposals for measures to be
taken under Section 73 of the District Municipal Act, and should arrange to erect
huts for the reception of any cases which might be detected at the inspection
posts ; accommodation for the friends and relations of the patient should also
be provided. All possible provision for the comfort of those so detained should
he made, and the Magisterial and Police officers should assist in the detention
of suspects and plague cases.