7
A medical man holding the degree of L. M. and S. with two Hospital
Assistants were sent by the Junágad Darbár for attendance on the sick. An
Assistant Superintendent of Police with a strong body of men was ordered to
carry out the necessary measures for house-to-house visitation, segregation, and
disinfection, and the concealment of the disease was made penal. The town was
divided into wards and members of each caste and a female nurse accompanied
the officials in the house-to-house visitation. The Diván, accompanied by the
Chief Medical Officer of the State, visited the place towards the end of March
and made complete arrangements for the suppression of the disease.
Visit to Katiana in com-
pany with Drs. Low son and
Burke.
17. I also proceeded there on the 25th April in company with Dr. Lowson,
the special Plague Commissioner, and Dr. Burke, the
Agency Surgeon, and met the Diván who was awaiting
us. Dr. Lowson was satisfied with the segregation
Hospitals and Camps an,d gave some valuable advice
to render them more efficient. In consequence of the objections of the Mahome-
dans to allow the corpses of their dead or the bodies of their sick females to be
seen, I issued a notification that all cases of sickness or death not declared to and
examined by the Medical Officer would be treated as plague cases and the segre-
gation and disinfection measures enforced. A prohibition was also placed against
all persons leaving the town until they had passed 8 clays in an observation camp
and had their effects disinfected. Several of the infected wards of the town
were ordered to be evacuated.
Appearance of plague in a
neighbouring village Kafrwá-
na.
IS. The stringent measures enforced at Kutiyána had the effect of reducing
the number ot cases to 21 in May as against 45 m the
previous month, but it was discovered that the disease
had appeared in a village called Katwána, sonic 8
miles from Kutivána. A Hindu Bhát, a land-owner
in Katwána, aged 35 years, had been to Kutiyána for some business and on his
return was suddenly attacked with plague and died in the latter part of March.
Other cases then began to occur but were not brought to the notice of the
Darbár authorities. The eases came to knowledge in an indirect way. The
Police Pátil of the village was punished for his negligence in not finding out
and reporting the cases. The entire village was evacuated, the residents going
to reside in the fields and others removed to the segregation camp at Kutiyána.
This coupled with thorough disinfection had the effect of freeing the village
from the scourge in a fortnight.
Total disappearance of
pangue since 6th June.
19. There were only 3 cases at Kutiyána in the beginning of Jane, the last
being on the 6th. No indigenous case having oc-
curred since that date, the disease may be said to be
totally stamped out.
Observation
Camp
at
Wadhwán Civil Station.
20. In consequence of a case of plague having passed undetected all the
medical examinations on the Railway lines between
Bilimora and Jetpur, orders were issued in April in
pursuance of advice from Dr. Lowson to have the
temperatures taken ot all passengers arriving by the B. B. & C. I. Railway at
Wadhwán, which is the place of entry into Káthiáwár by land, and arrange-
ments were also made to disinfect the clothing of all passengers at that place.
In order that this might be affectually carried out, a detention of 24 hours in an
observation camp was directed to be enforced. This measure was especially
necessary in view of the gradual progress of the disease northward from Bom-
bay.
Observation camjs at the
ports.
21. Danger from another quarter also threatened us at this time The
virulent outbreak of the disease at Mánclvi, in
Cutch, which is only a few hours voyage from, and in
daily communication with the western ports of Ká-
thiáwar called for increased watchfulness against the import of the disease
through the Káthiáwár ports opposite the Cutch coast. Strict injunctions were
therefore issued to enforce medical inspection of all passengers arriving at the
ports and their detention at observation camps for a period of 8 days. Returns
of daily arrivals were called for in order that the influx might be carefully
watched. The ports at which such observation camps were established were