viii
Contents.
segregate the inmates of infected houses after evacuation—
Spread of plague into the interior—Plan recommended by Dr.
Wilkins—Cleansing and disinfection of houses—Large disinfect-
ing staff seht from Bombay—Extensive cleansing and disinfect-
ing operations—Description of the work—Recommendations
made by Dr. Wilkins for much needed sanitary improvements
in Cutch-Mandvi—Success of operations in Mandvi—Spread of
plague and precautions taken in the interior—Sind—General
remarks and arrangement—Karachi—Beginning of the epidemic
—Opposition of the people to the precautionary measures—
Limited segregation in hospital—Cleansing and disinfecting—
Caste hospitals—Attitude of the people prevented compulsory
segregation of the sick—Spread of the disease—First attempt
at evacuating infected quarters—Removal of the Nasarpuris
to camp—The Nasarpuri camp—Visit of Dr. Cleghorn—
Extension of the evacuation system—General remarks on the
health camps—Operations in progress at the end of January—
No segregation of the sick—Revision of disinfecting organisation
and increase of staff—Supervision of burial and burning grounds
—Trans-Lyari Quarter—Successful attempts made to treat
and segregate the sick—Officers appointed to look after the
sick—A plague hospital equipped—Nurses—General improve-
ment—Kiamari and Manora—Special trains to camps—End of
February : measures completely carried out—Evacuation of the
Trans-Lyari Quarter—Private hospitals—Rules under the
Epidemic Diseases Act—Appointment of a Plague Committee—
Disinfection of clothing and bedding before removal to camp—
Military search parties—Close of the operations—Hyderabad—
Course of the epidemic—Organisation—Segregation of the
sick and the inmates of infected houses—Private and public
hospitals—Appointment of a Plague Committee—Health camps
—Close of the operations—Sukkur and Rohri—Situation and
importance of the two places—Opposition excited by compulsory
segregation—Concealment of cases—Flight of inhabitants—
Detection of concealed cases—Existence of many cases—Deser-
tion of New Sukkur—Increase of supervising staff—Trained
labour from Karachi—Military assistance—Plague Committee
appointed—Improvement in the situation—Accommodation for
the sick—Nurses—Extension of evacuation and camp system—
Cleansing and disinfection—Rohri—Evacuation of infected streets
—Villages in the Shikarpur District—General account—Out-
break at Dharki—Evacuation and disinfection—General remarks
on health camps in Sind—Mr. Wingate's memorandum—Evacu-
ation of infected localities the special characteristic of the Sind
system—Variations in the conditions of different camps—No
disinfection or segregation in the Nasarpuri camp—Results in
the Nasarpuri camp—Camps with strict segregation and medical
supervision—Instances from Karachi and Sukkur—Efficacy of
segregation after disinfection—General remarks on the disinfec-
tion of houses—Use of corrosive sublimate solution—Its advan-
tages—Mr. Hankin's experiments on the floors of houses—The
floor is the portion of the house most in need of disinfection—
Principle of thé experiments—Method—Experiments in the
Hardwar laboratory—Results—Deductions—Disinfection by fire
—Disinfection of latrines by fire—Duration of the action of
different disinfectants—Sulphur fumigation not reliable—Dis-
infection by oxidation—Disinfection should be done twice over—
Practical rules
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PAGES
183—246