( 3 )
It may, I think, be reasonably supposed that many persons afflicted with the
disease concealed the fact at the time of the census. And the probable conclusion is,
that throughout the Province considerably more than 10,099 persons afflicted with
leprosy are in existence. That the total number of cases is likely to be greater, is
further shown by a comparison of results recorded in regard to other countries where
leprosy prevails. Thus, Dr. H. V. Carter records a ratio of 1·20 per 1,000 of popu-
lation in Norway, and estimates the ratio in the Bombay Presidency to be rather
under 1 per 1,000, The ratio arrived at by the help of the census figures in the
North-Western Provinces is 0-33 per 1,000.
7. Although it may be accepted as absolutely true that leprosy is most preva-
lent amongst the inhabitants of Kumaun, Garhwál and Bánda, yet all the evidence I
have been able to collect points to the fact that no portion of these districts can be de-
fined as the special home of leprosy. And the same remark holds good of all districts.
It is true that many cases of the disease may be found, at one place, in all parts
of the Province, because lepers congregate where they can best gain a livelihood by
begging ; or, when Hindus, at places where, after death, their remains may without
difficulty be put into the Ganges. But, as a rule, the homes, or places of first at-
tack of these people, are widespread throughout the district to which they belong.
There are, however, exceptions to this rule, as will appear hereafter.
8. In illustration of this point, I proceed to investigate the facts as recorded
in the 1,531 histories, and I find that the original homes, or places of first attack, in
these 1,531 cases were situated in 960 different centres of population, in accordance
with the following list :
District or country.
Garhwál ...
Kuinaim
Tarái
Bijuor
Moradabad ..
..
,.
Bareilly
..
,.
Budaun
Shahjahanpur
Delira Dull
..
..
Saháruupur
Muzaffanagar
,.
Meerut
Bulandshahr
.,
Aligarh
Etah
Muttra
Farukhabad
Agra
Etáwah
...
Mainpuri ...
Cawnpore ...
..
Hamírpur ...
..
Bánda
,..
.
.
,
,
,
,
f
,
.
.
,
,
,
...
Carried over
..
Number of
centres of
population in
which one or
more cases
originated.
49
30
9
22
13
15
27
6
1
45
11
7
33
12
16
16
11
17
9
334
5
7
2
697
District or country.
Brought forward
Fatehpur ...
...
Allahabad ...
Jaunpur ...
...
Gorakhpur
...
Basti
Azamgarh...
...
...
Gházipur ...
...
.,
Benares ...
Mirzapur ...
Jalaun
Jhánsi
...
Lalitpur ...
Rámpur ...
Gwalior
Punjáb
...
,,.
,.
Oud'h
Nepal
Rajputana...
Siudh
Cabul
Central Provinces
Bengal ...
..
..
Mauritius,..
Total
Number of
centres of
populatiou in
which one or
more cases
originated.
697
18
9
19
8
24.
18
19
23
17
9
5
3
16
8
12
3
20
1
1
1
le
1
960
This general rule of wide distribution is best illustrated in the case of the Main-
puri District, where 467 persons, recorded as having first suffered from the disease
in the district, lived at that time, one or more, in 334· different centres of population,
situated in all parts of the district. And this fact is made further plain by a con-
sideration of the numerical abstract received from Etah, which records the existence
of 653 cases in that district, distributed as follows :
Names of police circles.
Soron
Kasganj
Sahawar
Murehra
Kadirganj .
Amanpur
Patiali
,
I·
Carried over
Cases of
leprosy.
51
75
51
40
36
35
71
359
Names of police circles.
Brought forward
Sirpura
Etah
Nidhauli
Dhauri
Sakít
Aliganj
Total
Cases of
leprosy.
359
47
73
48
57
23
46
653