NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
vi
STATEMENT
RETURN SHOWING THE RELIGION, SEX AND RESIDENCE OF PATIENTS
LAHORE, DURING THE YEAR 1946
1
DISTRICT
Ambala .. ..
Amritsar .. ..
Campbellpur .. ..
Dera Ghazi Khan .. ..
Ferozepore .. ..
Gujranwala .. ..
Gurdaspur .. ..
Gujrat .. ..
Gurgaon .. ..
Gujar Khan .. ..
Hissar .. ..
Hoshiarpur .. ..
Jhang .. ..
Jhelum .. ..
Jullundur .. ..
Kangra .. ..
Karnal .. ..
Lahore .. ..
Ludhiana .. ..
Lyallpur .. ..
Mianwali .. ..
Mardan .. ..
Montgomery .. ..
Multan .. ..
Muradabad .. ..
Muzaffargarh .. ..
Rawalpindi .. ..
Rohtak .. ..
Sargodha (Shahpur) ..
Sheikhupura .. ..
Shikarpur .. ..
Simla .. ..
Sialkot .. ..
Jammu Kashmir ..
Faridkot .. ..
Pooneh .. ..
Bikaner .. ..
Garhwal .. ..
Trawancore State ..
Bombay .. ..
Ajmer .. ..
Nabha .. ..
Hazara .. ..
Peshawar .. ..
Azamgarh .. ..
Bahawalpur State ..
Patiala .. ..
Quetta .. ..
Bhagat State .. ..
Dera Dun .. ..
Delhi .. ..
Meerut .. ..
Kohat .. ..
Ali Garh .. ..
Malabar .. ..
Madras .. ..
Loharu State .. ..
Total 1944 ..
Total
1945
..
Total
1946
..
2
HINDUS
Men
3
8
1
1
9
..
3
1
..
1
3
3
2
4
4
5
3
54
5
5
1
..
4
2
..
..
1
1
4
1
..
1
10
..
..
..
2
1
..
1
2
1
..
..
1
..
..
1
1
1
11
1
..
1
2
1
..
118
103
170
Women
..
1
1
1
1
..
4
..
..
..
..
..
..
3
1
..
2
26
..
..
..
..
1
1
..
..
4
..
1
..
..
..
2
1
2
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
1
..
..
..
..
..
..
30
56
51
Total
3
9
2
2
10
..
7
1
..
1
3
3
2
7
5
5
5
80
5
5
1
..
5
3
..
..
5
1
5
1
..
1
12
1
2
..
2
1
..
1
2
1
..
..
1
..
1
1
1
1
12
1
..
1
2
1
..
148
159
221
3
MUSLIMS
Men
2
6
1
5
5
..
2
3
2
..
1
2
2
3
1
1
1
19
1
1
1
1
..
5
1
2
10
..
3
4
1
1
2
1
..
1
..
..
..
..
2
..
1
..
..
4
..
..
..
..
8
..
1
1
..
..
1
105
113
109
Women
..
..
..
1
1
1
..
..
1
..
..
..
..
1
..
..
..
7
..
..
1
..
..
..
..
..
..
..
1
1
..
..
1
..
..
..
..
..
..
..
1
..
..
..
..
1
..
..
..
..
1
..
..
..
..
..
..
17
24
19
Total
2
6
1
6
6
1
2
3
3
..
1
2
2
4
1
1
1
26
1
1
2
1
..
5
1
2
10
..
4
5
1
1
3
1
..
1
..
..
..
..
3
..
1
..
..
5
..
..
..
..
9
..
1
1
..
..
1
122
137
128
vii
No. IV
ADMITTED INTO THE PUNJAB MENTAL HOSPITAL
AND TWO PREVIOUS YEARS.
4
CHRISTIANS
European and
Anglo-Indians
Men
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
6
5
4
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
6
5
6
Indians
Men
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
3
5
1
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
2
2
Total
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
5
7
3
5
OTHER CASTES
Men
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
8
6
4
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
8
6
2
6
TOTAL
Men
6
14
2
6
14
..
5
4
2
1
4
5
4
7
5
6
4
75
6
6
2
1
4
7
1
2
14
1
7
5
1
2
12
1
..
1
2
1
..
1
4
1
1
1
1
4
..
1
1
1
19
1
1
2
2
1
1
234
227
283
Women
..
1
1
2
2
1
4
..
1
..
..
..
..
4
1
..
2
36
..
..
1
..
1
1
..
..
4
..
2
1
..
..
3
1
2
..
..
..
1
..
1
..
..
..
..
1
1
..
..
..
2
..
..
..
..
..
..
55
87
77
Total
6
15
3
8
16
1
9
4
3
1
4
5
4
11
6
6
6
111
6
6
3
1
5
8
1
2
18
1
9
6
1
2
15
2
2
1
2
1
1
1
5
1
1
1
1
5
1
1
1
1
21
1
1
2
2
1
1
289
314
360
viii
STATEMENT No. V
RETURN SHOWING THE AGES OF PATIENTS ADMITTED INTO THE PUNJAB MENTAL HOSPITAL, LAHORE, DURING THE
YEAR 1946 AND TWO PREVIOUS YEARS
Year
1944 .. .. ..
1945 .. .. ..
1946 .. .. ..
Under 20
Men
25
27
37
Women
8
1
10
Total
33
38
47
20 to 40
Men
161
146
199
Women
30
55
58
Total
191
201
257
40 to 60
Men
47
43
42
Women
13
19
7
Total
60
62
49
Upward of 60
Men
1
11
5
Women
4
2
2
Total
5
13
7
Total
Men
234
227
283
Women
55
87
77
Total
289
314
360
STATEMENT No. VI
Statement showing the form of mental disorders in the admissions,
discharges and deaths during the year ending
31st December 1946
X
STATEMENT
STATEMENT SHOWING THE FORM OF MENTAL DISORDERS IN THE
YEAR ENDING
—
1.
Mental Deficieney .. .. ..
2. Manic Depressive Insanity .. .. ..
3. Mania .. .. .. ..
4. Melancholia. .. .. .. ..
5. Schizophrenia including Dementia Prascox ..
6. Secondary Dementia .. .. ..
7. Paranoia and Paranoid States .. ..
8. Epilepsy and Epileptic Insanity .. ..
9. Toxic Psychosis
(a) Acute Confusional insanity .. ..
(b) Alcohlic Psychosis .. .. ..
(c) Cannabis Indica Psychosis
(d) Of Endocrine Origin .. .. ..
(e) In relation to child hearing .. ..
(f) In relation to other constitutional diseases ..
10. Organic Psychosis
(a) General .. .. .. ..
(b) Cerebral Hyphilis .. .. ..
(c) Arteriopathie and Senile Psychosis ..
(d) Encephalitis .. .. ..
(e) Other Cerebral Lesions ..
11. Neurosis and Psycho Neurosis .. ..
12.
No appreciable diseases (sane admitted) ..
13. Not yet diagnosed (discharged before certification). .
Total .. ..
REMAINING ON
31ST DECEMBER OF
THE PRECEDING
YEAR
Men
82
177
80
44
313
76
50
69
5
6
40
..
..
..
..
..
1
5
..
1
4
..
953
Women
55
85
49
10
35
18
..
34
2
..
..
1
6
..
..
..
1
..
..
..
..
..
296
Total
137
262
129
54
348
94
50
103
7
6
40
1
6
..
..
..
2
5
..
1
4
..
1,249
ADMISSION DUR-
ING THE YEAR
Men
9
25
30
13
136
1
5
13
20
3
3
..
..
..
2
4
..
1
..
11
15
2
293
Women
6
6
41
3
12
..
..
4
..
..
..
..
..
..
1
..
..
..
..
..
..
4
77
Total
15
31
71
16
148
1
5
17
20
3
3
..
..
..
3
4
..
1
..
11
15
6
370
10 cases of double
xi
No. VI
ADMISSIONS, DISCHARGES AND DEATHS DURING THE
31ST DECEMBER 1946.
TOTAL
Men
91
202
110
57
449
77
55
82
25
9
43
..
..
..
2
4
1
6
..
12
19
2
1,246
Women
61
91
90
13
47
18
..
38
2
..
..
1
6
..
1
..
1
..
..
..
..
4
373
Total
152
293
200
70
496
95
55
120
27
9
43
1
6
..
3
4
2
6
..
12
19
6
1,619
DISCHARGES
RECOVERIES
Men
..
28
32
10
44
..
..
2
15
2
2
..
..
..
..
..
..
..
..
1
8
..
144
Women
2
5
21
2
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
34
Total
2
33
53
12
46
..
..
2
15
2
2
..
..
..
..
..
..
..
..
1
8
2
178
OTHERWISE
Men
4
3
5
2
50
1
..
1
2
..
..
..
..
..
..
1
..
..
..
3
9
2
83
Women
1
5
4
3
6
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
2
22
Total
5
8
9
5
56
1
..
1
2
..
..
..
1
..
..
1
..
..
..
3
9
4
105
DEATHS
Men
4
15
8
3
13
5
3
9
2
..
..
..
..
..
..
..
1
2
..
..
..
..
65
Women
1
4
9
..
3
3
..
5
..
..
..
..
..
..
..
..
..
..
..
..
..
..
25
Total
5
19
17
3
16
8
3
14
2
..
..
..
..
..
..
..
1
2
..
..
..
..
90
REMAINING ON
31ST DECEM-
BER
Men
83
156
65
42
342
71
52
70
6
7
41
..
..
..
2
3
..
4
..
8
2
..
951
Women
57
77
56
8
36
15
..
33
2
..
..
1
5
..
1
..
1
..
..
..
..
..
292
Total
140
233
121
50
378
86
52
103
8
7
41
1
5
..
3
3
1
4
..
8
2
..
1,246
disease.
xii
STATEMENT No. VII
SHOWING THE PROBABLE CAUSE OF INSANITY IN THE PATIENTS ADMITTED
DURING THE YEAR ENDING 31ST DECEMBER 1946
Aeticlogical Factors and Associa-
ted Conditions
Mental Stress—
1. Moral ..
2. Busines worry ..
3. Domestic worry ..
4. Stress of Military Service
Toxins—
5. Cannabis Indica ..
6. Alcohol ..
7. Other Toxins ..
8. Opium ..
Physical—
9. Bodily Illness ..
10. Pregnancy ..
11. Child Birth ..
12. Climateric ..
13. Epilepsy ..
14. Head Injuries ..
Infections—
15. Encephalitis Letharigica
16. Influenza ..
17. Syphilis ..
18. Other infections ..
19. Old age ..
20. Hereditary Predisposition
21. Previous attacks ..
22. Unascertained and admitted
sane
Total ..
PREDISPOSING
CAUSES
Men
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. .. ..
.. 9
19
..
..
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. .. ..
.. 3
..
..
..
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.. .. ..
12
19
..
..
EXCEITING CAUSES
Men
6
4
8
1
11
2
2
2
1
..
..
..
4
..
1
..
4
..
.. ..
..
..
..
Women
2
1
..
..
..
..
..
..
1
..
1
..
..
..
..
.. .. .. ..
..
..
..
..
Total
8
5
8
1
11
2
2
2
2
..
1
..
4
..
1
.. 4
.. ..
..
.. ..
..
TOTAL
Men
6
4
8
1
11
2 2
2
1
..
..
..
4
..
1
.. 4
..
.. 9
19
209
283
Women
2
1
..
..
..
..
..
..
1
..
1
..
..
..
..
.. .. ..
.. 3
.. 69
77
Total
8
5
8
1
11
2
2
2
2
..
1
..
4
..
1
.. 4
..
.. 12
19
278
360
STATEMENT No. VIII.
Showing the Cash Account of the Punjab Mental Hospital, Lahore,
for the year 1946 and two previous years.
xiv
STATEMENT
SHOWING THE CASH ACCOUNT OF THE PUNJAB
PREVIOUS
YEAR
1
1944 ..
1945 ..
1946 ..
RECEIPTS
Received
from
Treasury
2
Rs.
5,23,038
5,55,240
7,25,638
A.
1
0
3
P.
0
3
3
Received from
paying
patients
3
Rs.
59,101
66,496
65,990
A.
15
2
8
P.
0
1
9
Recoveries
from Municipal,
District and
Cantonment
Boards, etc.
4
Rs.
2,49,876
2,05,079
2,20,090
A.
6
13
12
P.
6
0
0
Value of stores
received from
the
Manufacturing
Department
less cost of
raw materials
5
Rs.
43,984
41,169
54,215
A.
5
12
7
P.
0
9
9
Book receipts,
i.e., the total
expenditure
entered in col-
umns 20, 21
and 22
6
Rs.
31,009
51,778
64,856
A.
4
3
10
P.
0
6
0
Miscellaneous
Receipts
7
Rs.
1,058
2,285
1,551
A.
15
2
13
P.
6
3
0
CHARGES
YEAR
1
1944 ..
1945 ..
1946 ..
Contingencies
Contract proper
14
Rs.
26,186
19,495
25,514
A.
2
3
8
P.
9
6
9
Other
15
Rs.
24,484
18,028
28,441
A.
3
14
4
P.
0
0
6
Telephone
Charges
16
Rs.
512
544
586
A.
0
0
0
P.
0
0
0
Remitted to
Treasury on
account of
paying patients,
etc.
17
Rs.
60,949
68,781
66,505
A.
14
4
8
P.
9
4
9
Remitted to
Treasury on
account of
recoveries from
Municipal, Dis-
trict, Canton-
ment Boards,
etc.
17-A
Rs.
2,49,878
2,05,079
2,20,090
A.
6
13
12
P.
6
0
0
*A sum of Rs. 100 received during the year, 1945, was credited during the year under report and a
year, 1947. It includes a sum of Rs. 186-11-0 credited by the relatives of patients in 1945 but inti-
†This includes a sum of Rs. 4,495-8-0 credited by different local bodies or adjusted by the
receipts or the information was only received during the year under report.
Note—The cost of printed forms in not
xv
No. VIII
MENTAL HOSPITAL, LAHORE, FOR THE YEAR 1946 AND TWO
YEARS
Total
8
Rs.
9,08,068
9,22,049
11,32,343
A.
15
1
6
P.
0
10
9
CHARGES
Establishment
Establishment
proper
9
Rs.
1,54,728
1,72,561
1,83,196
A.
5
2
3
P.
0
9
0
Superinten-
dence
10
Rs.
24,917
25,578
50,862
A.
2
0
11
P.
0
0
0
Diet
11
Rs.
2,86,619
3,43,991
4,34,035
A.
12
6
13
P.
3
0
6
Clothing
and
bedding
12
Rs.
44,127
12,897
53,761
A.
5
12
5
P.
6
6
6
Bazar Medicine.
13
Rs.
3,321
1,169
1,584
A.
15
12
4
P.
9
0
0
—concluded
Deduct—
Refunds
18
Rs.
2,125
2,143
1,871
A.
7
10
8
P.
9
3
9
Total of
columns 9—18
19
Rs.
8,77,848
8,70,270
1,066,449
A.
11
14
15
P.
3
4
Book Charges
Charges on
account of
work done
by the
Public Works
Department
20
Rs.
28,242
48,724
60,916
A.
14
1
15
P.
0
0
0
Cost of print-
ed forms
and sta-
tionery
21
Rs.
139
175
147
A.
6
6
11
P.
0
6
0
Cost of En-
glish Stores,
Medicines,
etc.
22
Rs.
2,627
2,878
3,792
A.
0
12
0
P.
0
0
0
Total of
columns
19—22
23
Rs.
9,08,857
9,22,049
11,31,306
A
15
1
9
P.
3
10
9
REMARK
24
sum of Rs. 1,136-13-0 received during the year under report will be credited in the
mations were received during the year under report.
Accountant-General, Punjab, in 1945, but no intimation was received of such credits. The Treasury
available.
25 IGCH—168—4-10-47—SGPW Pb. Lahore.
Report on the working of the Punjab Mental Hospital, Lahore,
for the year 1945
Statement I- Population—At the commencement of the year 1945 there
are 1,224 patients (950 men and 274 women) as against 1,221 (942 men and
9 women) in the beginning of the year 1944. Two hundred and seventy-eight
missions and 36 re-admissions were made during the course of the year
and 208 patients were discharged and 87 died leaving 1243 patients (947 men
and 296 women) in the hospital at the end of the year. Among the discharges
ose cured amounted to 101, those improved were 42, those not improved and
charged otherwise were 45 and 20, respectively. The daily average strength
patients in the hospital was 1,231.78 in the year under report as against
232.34 in the year 1944. The maximum number of patients in hospital on
y one night was 1,257.
Voluntary boarders—During the year under report two men patients were
admitted as voluntary boarders but in both these cases the maintenance were
id by them. The concessions to treat such patients who cannot afford to
y has not been availed of by any one.
Sickness, and Mortality—There had been an increase in daily average
sk which was 75.21 during the year under report as against 55.14 in the
sir 1944. This is due to early cases of loss of weight and minor ailments
ing transferred to the hospital section. The percentage of total deaths to
daily average strength was 7.06 as against 7.05 in 1944.
Suicides, deaths by violence, etc.—During the year under report there were
deaths among patients due to voilence (Maula Bux and Santokh Singh). The
lice after investigation declared the death of Maula Bux as accidental and
e second one as an untraced murder. It appears both these patients were
udered by the same person as the madus operardi was the same.
Inspite
the efforts of police the murderer has not been traced. About twenty
tients who were suspected by the police are being kept under special care
d surveillance to prevent a recurrence.
Escapes—There had been two successful escapes in 1945. One was
tter class paying patient who escaped while he went outside for his morning
walk in the company of an attendant whereas the other escape from inside
climbing the outer wall but was re-admitted in accordance with section 36
the Indian Lunacy Act. Another criminal patient Mohammad Jaffar tried
escape out of the gate but was apprehended by an employee of this hospital
to has been granted a reward of Rs. 15 by the Punjab Government.
Diet and other treatment—The diet scale in this institution is comparative¬
a liberal one and the mental patients are well fed. Certain games and
icles for amusement are supplied to the patients. Patients are taken out
a walk daily in the morning and evening and are also taken to cinemas.
messrs. Mehra Brothers and Narain Dass of Lahore each continued to supply 7
llons of petrol free of cost for the running of the bus of the hospital and the
proprietors of the following cinemas showed their generosity by issuing free
hema passes to mental patients :—
1.
2.
Nishat.
3.
Regent.
Palace.
4.
Prabhat.
and 5. Ritz.
Suitable patients continued to receive treatment with Pherenzol and
amonium Chloride injections.
Report of Veterinary Surgeon J. H. STEEL, A. V, D. on hic
INVESTIGATION INTO AN OBSCURE AND FATAL
DISEASE AMONG TRANSPORT MULES IN BRITISH
BURMA, which he found to he a Foyer of Relapsing Type,
and probably identical with the disorder first described by
Dr. Griffith Evans under the name " Surra", in a Report
(herewith reprinted) published by the Punjab Government,
Military Department, No. 4394467, of 3rd December 1880—
vide the Veterinary Journal (London), 1881-82.
Report of Veterinary Surgeon J. H. STEEL, A. Y. D., on his
INVESTIGATION INTO AN OBSCURE AID FATAL
DISEASE AMONG TRANSPORT MULES IN BRITISH
BURMA, which he found to be a Fever of Relapsing Type,
and probably identical with the disorder first described by
Dr. Griffith Evans under the name " Surra", in a Report
(herewith reprinted) published by the Punjab Government,
Military Department, No. 439-4467, of 3rd December 1880—
vide the Veterinary Journal (London), 1881-82.
CONTENTS.
V
PART IV.—THE PARASITE (pp. 47-51).
Para. 1.—Introduction.
„ 2.—General characters, size, shape and appearance. Varieties, movements, actions, and habitat.
Food and other nutritive essentials. Excretions.
„ 3.—Reproduction and phases of development.
„ 4.—Affinities—Bacterian, animal, or vegetable ?
„ 5.—Positive results of this inquiry. Matters as yet unsolved about Relapsing Fever.
POSTSCRIPTUM (pp. 51—58).
Summary of diary of work done and precis of methods adopted in the inquiry.
Specimen cases of Relapsing Fever in mules.
Medical history of the experimental monkey.
ADDENDUM (pp. 59—89).
Report on " Surra" by Dr. Griffith Evans, Inspecting Veterinary Surgeon, A.V.D. (Reprinted).
LIST OF PLATES, CHARTS, DIAGRAMS, &c., ILLUSTRATING THIS REPORT.
Facing page 3.—Chart of Distribution of Cases of Relapsing Fever in time, place, and corps ; 1883-84
and 1884-85.
On
„
8.—Chart showing curves of Organic Ammonia found in water of Royal Lakes, Ran-
goon.
Outline map showing relative positions of suspected tanks in Rangoon.
Facing „ 14.—Diagrams of Pathology of Stomach, &c. (colored)—
I. (a) of Case 6.—Illustrating appearance of a Stomach with fatal perforation.
(b)—Illustrations of the ways in which gastric perforation is brought about.
II. A of B-53.—Showing slight disease, but normal extension of villous at expense
of cuticular portion.
B, C, & D.—The gastric lesions in A-39 ; B-55 ; and B-56.
III. A Blood Clot from a Relapsing Fever Case, illustrating its remarkable variety
of color.
„
„ 17.—Temperature Charts of Experimental Animals :—
No. I A.—Unsuccessful introduction of Gastric and Intestinal Contents, from an
affected animal, into stomach.
Unsucessf ul introduction of thoroughly dried parasite containing blood
into subcutaneous areolar tissue.
B.—Successful inoculation with blood in which parasites were not detected.
C.— Do.
do. with blood still fluid from cavities of heart of fatal
case.
D.— Do.
do. with blood from an affected Mule (Pony).
No. II E.—Three unsuccessful experiments on an Amrut Mahal Bullock.
F. — Do.
do.
do.
on a young goat.
G.—Successful inoculation of a monkey with parasite containing blood.
H.— Do.
do.
dog
do.
do.
On
„ 28.—Plan of British Infantry Mule Lines, Rangoon.
Facing „ 30.—Chart A.—Illustrating relations of Relapsing Fever out-breaks to Barometric
Pressure and Humidity.
(a) Rangoon, 1883 and 1884.
(b) Tonghoo, 1883 and 1884.
B.—Illustrating relations of Relapsing Fever out-breaks to rainfall.
C.—
Do.
do.
do.
atmospheric tem-
perature.
D.—
Do.
do.
in prevalence as compared
with certain diseases of man
in Rangoon.
On
„ 33.—Graphic Record of monthly admissions of cases among mules of Somersetshire
Regiment (Rangoon).
Facing „ 43.—Figures (diagramatic) of Pathogenic Spirilloids :—
(1—8).—From Equine Relapsing Fever.
(9—11).—From Human
do.
(12—13).— From Equine
do.
(colored).
„
„ 58.—Clinical Charts and Records of illustrative cases :—
1. A-39.—Natural, uncomplicated.
2. No. XV.—Artificial, do.
3. A-ll.—Natural, complicated with subacute pneumonia.
4. A-31.— Do.
do.
liver disorder.
vi CONTENTS.
CONTENTS OF DR. GRIFFITH EVANS' REPORT ON SURRA AT DERA ISMAEL KHAN.
The name " Surra" explained
Geographical distribution of the disease
Definition
Symptoms
Post mortem appearances in the horse
Do.
do.
camel
Mortality
Contagion and imfection
Different animals affected
Causes—proximate, remote, and ultimate
Prevention
Cure
The Parasite described
Cases, ordinary in the horse, recorded
Do. by inoculation do.
do.
Do. by drinking affected blood do.
Do. in dog by inoculation from a horse
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Sanitary condition of Dera Ismael Khan and Out-posts
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Page
59
59
60
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61
64
62
63
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65—68
68
69
69—70
71—77
77—81
81—84
84—85
85—89
CHART ILLUSTRATING THE DISTRIBUTION OF CASES OF RELAPSING FEVER IN TIME,PL ACE, & CORPS.
8
In the water from tanks Nos. 1 and 3 " were over eighty specimens (species ?) of animal
and vegetable parasitic (?) life, twelve of the latter (confervæ) being new to science,
but whether any of them are noxious is not known. Microscopical examination of the
contents of the stomach and of waters from Nos. 1 and 3 tanks was unsuccessful so far
as detecting any injurious animal parasitic life goes, but there were present certain
vegetable organisms of the Algæ family, some very rare varieties of decimedes,
diatoms, chara, and confervæ. Among the infusoria were the harmless vorticella and
rotifera" (vide Inspecting Veterinary Surgeon Shaw's report). The occurrence of the
disease in October and the following months, i.e., " after the tanks had received their
supply of organic impurities," was considered a noteworthy point in relation to the
cause ; but, as a matter of fact, the organic impurities in relation to the bulk of water
are then at a minimum, and the maximum is attained generally in May and early
in June, when cases of relapsing fever actually commence. It is as well to correct
the method of expressing this fact, although its bearings on the disease are the same,
i.e., that, after the maximum organic impurity has been attained, cases of relapsing
fever begin to occur, and they increase in number with the fall in the ammonia curve
as the following chart shows :—
Curves of Organic Ammonia in water from Kanaawgyi (Royal Lake), Rangoon.
Remarks.
The water of the Royal
Lake,'Rangoon, is ex-
amined every month.
The organic matter
has been steadily
decreasing since the
water has been laid
to the whole town—I
suppose because the
water is not allowed
to stagnate.
R. ROMANIS, D. SC., &c.
Veterinary Surgeon (First-class) Frost suspected the water of the Commissariat tank
because it was the ordinary watering place of the dep6t mules in 1883, and the
" half-transport mules, with the exception of those belonging to the 2nd Middlesex
(the regiment which preceded the 2nd Somersetshire), have not partaken of water
at that tank, and even the 2nd Middlesex mules have not been watered there for a
considerable time since some cases of anthrax occurred at the dep6t." Inspecting
Veterinary Surgeon Shaw gives Mr. Frost's arguments as follows, with a diagram of the
positions of the tanks which he calls Nos. 1, 2, and 3 :—
" (a) The Commissariat dep6t mules and ponies
were watered from No. 1 tank, and the
disease was confined to them only (at
first).
" (b) All the other animals were watered from
tank No. 2, and they escaped the disease.
Later on in the year the half transport
mules of the 11th Madras Native Infantry
were, for some reason unknown and with-
out orders from the Veterinary Surgeon,
watered from tank No. 3, when the disease
at once showed itself. After the first death
they were put on well water, but two
(three ?) other cases, which were then
ailing and must have been infected by
drink from No. 3 tank water, died.