69
CENTRAL INDIA
.
two left the station before the result could be known; one was attacked with small-pox two days
after the operation, and one was doubtful on account of skin disease. Almost all the adults
have had small-pox.
XXI. Special observations and remarks.—A longer experience of the treatment of ma
-larious fever by the hypodermic injection of quinine has more than confirmed me in the
favorable opinion I expressed, after a very short trial, in my report for 1873. During the
past year I have employed it in almost every adult case occurring either amongst fighting
men or camp followers, and with the most gratifying results as regards certainty and rapidity
of effect and economy of expenditure; in only one case, that of a badly constitutioned camp
follower, was it, followed by any disagreeable local effect, and I believe that in his case that
might have been avoided if he had not absented himself from hospital for about a week after
injection, only returning after an abscess had formed.
A single injection of five grains, I have, in most cases, found sufficient to prevent a re
-
currence of the febrile attacks; and the local effect is so slight that it almost never delays a
man's discharge from hospital for a single day. The solution used has been one of a drachm of
the disulphate to an ounce of water, using just sufficient sulphuric acid to keep it in solution
and no more; in cold weather it is necessary, for solution with a minimum of acid, to heat the
water, which is most readily effected by placing the bottle or vessel containing it in an outer
vessel of hot water. Forty minims of this solution, containing five grains of the salt, is
used for each injection.
Hypodermic
i i n j e c t i o n o f
quinine.
Solution used.
The following precautions are, I believe, imperative:—Have the solution carefully filtered;
have the syringes perfectly clean; be certain that the needle is well under the skin into the
loose cellular tissue; after withdrawing the needle knead the part most carefully, so that the
s o l u t i o n i s t h o r o u g h l y d i s p e r s e d t h r o u g h t h e c e l l u l a r t i s s u e .
A syringe with a simple sliding piston, without screw action, and just containing 40
minims, is the most convenient.
I have hitherto used only the ordinary sulphate (disulphate) of quinine, but have just
received a supply of the neutral (soluble) sulphate and shall use it in future.
The Deputy Surgeon-General of the Saugor Circle did not inspect this
regiment in 1874.
Precautions.
Inspection.
Bhopal Battalion—Schore.
The head-quarters have been under the medical charge of Surgeon, Major
W. E. Allen, F. R. C. S.,
throughout the year. The
detachment at Indore was,
during the whole year, in
medical charge of Surgeon
-Major Beaumount, the re
-sidency surgeon.
II. Location .—The head -
quarters are permanently sta -
tioned at Sehore. A detach -
ment of the average strength of
55.9 men has, throughout the
year, been furnished to the
Governor General's Agent for
Central India at Indore. This detachment has been relieved every three months. An escort
averaging 72 men accompanied the Agent, Governor General, for Central India on his tour
during the first month of the year; and another of 68 men during the latter half of December.
Smaller escorts accompanied the camps of the Political Agent, Bhopal, and the Boundary S e t t l e m e n t O f f i c e r .
IV. Meteorology .—The following table shows, with approximate correctness, the mean
temperature of each month of the year as compared with the mean of the four previous years;
the total rain fall is also contrasted with the mean of the same period—
YEARS.
J a n .
F e b .
M a r .
A p l .
M a y .
J u n e .
J u l y .
A u g . S e p . O c t .
N o v .
D e c .
Rain
Fall.
Mean of 4 years . . . 53 64 72 85 90 86 77 77 77 74 66 60 48.1
1874 . . . 59 62 71 83 89 81 78 75 78 72 64 61 66.8
YEAR.
STATION.
PERCENT OF STRENGTH.
Admissions. Deaths. Daily sick.
1869 . . .
Sehore . . .
141.8
1.5
3.2
1870 . . .
Do. . . .
146.2
1.7
3.6
1871 . . .
Do. . . .
117.9
1.19
3.27
1872 . . .
Do. . . .
132.6
2.08
3.8
1873 . . .
Do. . . .
62.7
2.43
1.88
Average . . .
. . .
120.2
1.78
3.15
1874 . . .
Sehore . . .
60.1
.43
1.44
Medical
Charge.
Location.
Detachments.
Meteorology.
Rainfall.
The rains set in early in June, the total fall being 66 8/10 inches, or 18 7/10 in excess of the
average of four previous years; throughout the hot season and rains the weather was remark
-