NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
V
ABBREVIATIONS.
A.
.
.
. Admissions.
A. D. H.
.
. Assistant Director of Hygiene.
A. D. M. S.
.
. Assistant Director of Medical Services.
A. D. P. .
.
. Assistant Director of Pathology.
Av. c. s.
. .
Average constantly sick.
A. H. Q.
. .
Army Headquarters.
B. M. H.
.
. British Military Hospital.
B. Os. .
.
. British Officers.
B. O. Rs.
.
. British Other Ranks.
C.
.
.
. Cases.
C. M. % .
. .
Case mortality per cent.
D.
. . .
Deaths.
D. A. D, P.
.
. Deputy Assistant Director of Pathology.
D. A. H.
.
. Disordered action of the heart.
D. D. M. S.
.
. Deputy Director of Medical Services.
D. M. S.
.
. Director of Medical Services.
E. C.
.
.
. Eastern Command.
Foll.
.
.
. Followers.
G. S. W.
.
. Gun-shot wound.
I. M. H. .
.
. Indian Military Hospital.
I. O. Rs.
.
. Indian Other Ranks.
I. O.
.
.
. Indian Officer.
M. Os. .
.
. Medical Officers.
N. C. Os.
.
. Non-Commissioned Officers.
N.-W. F. P.
.
. North-West Frontier Province.
N. C.
.
. Northern Command.
O. C.
.
.
. Officer Commanding.
P.
.
.
. Primary.
P. A.
.
.
. Per annum.
P. M.
.
. .
Per mille.
P. U. O.
.
. Pyroxia of uncertain origin.
P. & A. .
.
. Presidency and Assam District.
R.
.
.
. Revaccinations.
S. E. M. O.
.
. Senior Executive Medical Officer.
S. C.
.
.
. Southern Command.
T. A. B.
.
. Typhoid, Paratyphoid A and B.
U. K.
. . .
United Kingdom.
U. P.
.
.
. United Provinces.
V. D.
.
.
.
Venereal diseases.
V. D. H. .
.
. Valvular disease of the heart.
W. & C.
. .
Woman and Children.
W. O.
.
.
. Warrant Officer.
W. I. D. .
.
. Western Independent District.
%
.
.
. Per cent.
Annual Report on the Health of the
Army in India for the year 1939.
VOLUME II.
PART I.
SECTION I.
ON THE HEALTH OF THE BRITISH ARMY IN INDIA.
TABLE 1.
General health statistics of the British Army in India during the year 1939.
Ratios per 1,000 of strength.
Admissions.
Deaths.
Invalids
sent home.
Constantly
sick.
Officers .
.
•
•
•
•
•
435.1
2.14
25'09
14'88
Other Ranks .•
.
•
•
•
666.1
2.75
9.14
27.96
Members
of Nursing Service. .
.
439.
..
43.90
18' 57
Other Ranks' Wives
•
•
•
•
263'9
0 . 8 3
5. 54
8.78
,,
,,
,,
—confinements .
.
192'
..
...
7'09
,,
,,
Children
.
.
.
.
374.1
12.30
3.41
11.43
Royal Air Force
., .
.
.
.
250. 6
2.58
2.84
4.87
Royal Navy.
.
.
.
.
143
1
...
5.97
Royal Indian Marine
.
.
.
...
...
...
..
R. A. F. Women and Children.
.
.
...
...
r 89
R. A. F. confinements
.
.
.
.
47
...
•••
1.64
Others :
Men
•
•
•
•
•
•
572
10
20.51
Women.
.
.
.
.
.
308
5
8.25
Women confinements
.
.
.
152
1
•••
5.65
Children . .
.
.
.
234
10
5.53
N.B.—The figures below the horizontal line represent actuals.
GENERAL SURVEY.
1. General.
The health of the British Army in India has on the whole been thoroughly
satisfactory, although, as will be seen below the admission rates for both officers
and men have increased compared with the previous year, both for general
admissions and for particular diseases.
This increase is more apparent than real in that there have been consider-
able reductions in the strengths of both officers and men of the British Army
in India during the year. These reductions took place principally in the latter
half of the year, and many of the sick and unfit from the units which proceeded
out of the country remained to affect relatively the proportion of " sick " to
strength.
Actually there has been a reduction of nearly 100 admissions for officers
and over 2,000 for men during the year, and ratios of sickness based on the
original strengths would give a yet happier picture of the health of the Army.
In spite of the figures shown in Table 3 we can safely claim that the year
has been satisfactory, particularly so in view of the increased chances of
disease which war activities have brought, and that from the medical point
of view the fighting fitness of the army is good.
The ratios per 1000 for admissions, deaths and invaliding for officers and
other ranks for the quinquennial periods from 1910 exclusive of the years of
the Great War to date are given below for a comparison of the general health
over the past 30 years.
2
TABLE 2.
Comparative. Table-General. sicknees of Officers and Other Ranks:
Periods.
.
Ratio per 1,000.
-
Admissions.
Deaths.
Invalids.
Officers
O t h e r
Ranks.
Officers
O t h e r
Ranks.
Officers.
Other
Ranks,
1910-14
.
. 567 .5
567.2
5.14
4.36
16.30
7.03
1920-24
.
. 676 . 7
791.9
6.71
5.24
20.99
18.91
1925-29
.
. 589 . 9
619.4
5.25
2.90
17.44
13.50
1930-34
428.6
604.7
6.69
2.64
20.09
8.88
1935-39
.
. 436.9
597.4
4.82
2.54
21.24
9.47
It will be noted that the admission rate for other ranks . for the quin- •
quennial period is still further approaching the figure given by the pre-Great
War quinquennial period 1910-1914 in spite of the figure of 666 . 1 per 1,000
for the year 1939.
The death rate for B. O. Rs. has fallen still further in the last quinquennial
period and at 2 . 54 is less than half that of the post-war figure.
Officers, admission rates are slightly higher for the quinquennium but
their death rate is satisfactorily low.
Invaliding on the other hand shows little tendency to drop •either for
officers or other ranks partly because transport facilities were easy prior to
the outbreak of War and partly because we require officers and men to be com-
pletely fit for general service.
The following table shows the relative incidence for officers and other
ranks year by year for the past 5 years.
TABLE 3..
Comparative Table-General sickness of Officers and Other Ranks.
Year.
Ratio per 1,000.
C-
Admissions.
Deaths.
Invaliding.
Officers.
______
Other
Ranks.
___
Officers. Other
Ranks.
Officers.
Other
Ranks.
1935 . .
470.1
567-1
6.74
2.55
24 . 25
6.90
1936 .
.
. 428 . 8
582.1
6.17
2.48
22.92
10 - 99
1937 .
. 421.4
567.8
3.41
2.15
18.00
10.97
1938
428. 9
603.7
5.63
2.78
15.95
9.35
193
435 . 1
666.1
2.14
2.75
25.09
9.14
2. Officers.
For this year admissions show a further rise of about 7 per 1,000, the rate
being 435 . 1 compared with 428, 421, 428 and 470 of the previous years.
The principal causes of sickness were as follows :—
TABLE 4.
Per 1,000.
•
Malaria .
.
.
.
.
.
.
.
.
.
.
36.8
Dysentery•
•
•
•
,
•
•
•
•
.
36 . 8
Jaundice catarrha1
.
.
29 . 9
Cellulitis..
.
.
,
.
.
26.2
.
Sandfly fever..
.
•
II
•
•
25.1
Tonsillitis.
.
.
.
20-. 8
Diarrhœa
•
•
•
.
•
•
•
.
19 . 8
3
The dysentery-diarrhoea group has come well to the fore with a 56 per
1,000 incidence but malarial cases have relatively decreased. The other main
insect borne disease, Sandfly fever, has definitely increased this year.
These two preventible disease groups form the bulk of admissions amongst
officers.
The relatively high position which is held by catarrhal jaundice amongst
officers is striking and has received repeated attention by full laboratory
investigation but without specific result.
The Respiratory diseases produce no marked number of admissions but
the injury and minor septic group ; concussions, contusions, fractures and
cellulitis as a combined group are as usual well in evidence.
The death rate, in spite of the increase in admission rates, has fallen
sharply, at 2 . 14 being less than half that of the previous year and far less than
any other previously recorded year. The causes of death were : Pulmonary
tuberculosis, Pneumonia lobular, acute anterior Poliomyelitis and fracture
-1 each.
The average constantly sick has increased slightly 14.88 compared to
13 . 86 of 1938 and the invaliding rate has jumped .up by 10 per 1,000 to 25.09
for this year.
The principal causes of invaliding were : Pulmonary tuberculosis, 6,
Chronic bronchitis 3, Fractures 3.
506 . 7 per 1,000 were treated as out-patients compared to 527 . 9 in 1938
TABLE 5.
Comparative table for sickness of officers over the past 10 years.
Ratios per 1,000.
Admissions.
Deaths
Invaliding.
1930
.
.
.
.
.
392.3
5.95
21.69
1931
420.4
7.76
17.68
•
1932
.
.
.
.
463.2
6.54
27.45
l933
•
.
.
437 . 8
6.37
17.83
1934
•
-
.
.
429.2
6.83
15.78
1935
.
.
.
.
.
470.1
6.74
24.25
1936
•
.
•
•
•
428.8
6.17
22.92
1937
.
.
.
421.4
3.41
18.00
1938
.
•
•
428.9
5.63
15.95
1939
•
•
•
•
•
435.1
2.14
25.09
3. Soldiers.
During the present year there has been a further sharp rise, 63 per 1,000
in admission rates from 603.7 in 1938 to 666.1 in the present year, a figure well
in excess of any since the post-war quinquennium 1920-24 : (see Tables 2 and
3).
The actual number of admissions showed the appreciable reduction of
2,000 (approx.) on the previous year, the relative increase being due to the
departure of considerable numbers of British troops overseas and the retention
in India for a time of their unfits.
The principal causes of admission to hospital showing increase or decrease
compared with the previous year were :
4
TABLE 6.
Comparative Table of diseases.
1938.
1939.
Increase
or
decrease.
Malaria
.
.
.
.
.
.
.
.
50.4
58.1
+7 .7
Cellulitis
.
.
.
.
.
.
.
.
45.2
51.1
+5 .9
Tonsillitis
.
.
.
.
.
.
.
.
33.7
34.4
+ 0.7
Gonorrhœa .
.
.
.
.
.
.
.
28.0
32.7
+4.7
Sandfly fever
.
.
.
24.8
30.7
+5.9
Dysentery
.
.
.
.
.
.
.
.
26.8
29.0
+ 2.2
Bronchitis
.
.
.
.
.
.
.
17.2
18.2
+1.0
Diarrhœa
.
.
.
.
.
.
.
18.0
18-2
+ 0.2
Sprain and strains .
.
.
.
18.1
17.0
-1.1
.
Pharyngitis .
.
.
.
.
.
.
.
10.3
14.8
+4 . 5
Fractures
.
.
.
.
.
.
.
.
13.8
14.6
+ 0.8
Contusions
.
.
.
.
.
.
.
.
12.2
12.7
+ 0.5
Impetigo contagiosa
.
.
.
.
.
.
12.4
11.3
-1.1
Common cold
.
.
.
.
.
.
.
11.8
11.2
-0.6
Soft chancre .
.
.
.
.
-
.
.
7.9
10.2
+ 2.3
Dengue
3 . 9
9.6
+ 5.7
Tinea .
.
.
.
.
.
.
.
.
11.7
9.5
-2.2
Synovitis
.
.
.
.
.
.
.
.
7.9
9.4
+1.5
Influenza
.
.
.
.
.
.
.
.
13.2
9.3
-3.9
Syphilis
7.6
8.4
+0. 8
Boils
.
.
.
.
.
.
.
.
.
7.7
8.2
+ 0.5
Constipation .
.
.
.
.
.
.
.
7.3
8.2
+0.9
Appendicitis .
.
.
7.6
8.0
+0.4
Coryza .
.
.
.
.
.
.
.
.
6 • 6
7.6
+1.0
Gastritis
.
.
.
.
.
.
.
.
7.6
6.8
-0.8
Otitis Externa
.
.
.
.
.
.
.
4.9
6.4
+1.5
Jaundice catarrhal .
.
.
.
.
.
.
5.9
6.3
± 0.4
Urethritis
.
.
.
.
.
.
.
.
4.2
5.9
+1.7
Wounds
.
.
.
.
.
.
.
.
6 • 1
5.6
-0.5
Headache
.
.
.
.
.
.
.
.
4.8
5.3
+0.5
Otitis Media .
.
.
.
.
.
.
.
2.9
4.3
+1 • 4
It will be seen that Malaria has again increased and has the highest increase
of all the common diseases. The insect borne group are much in evidence in
the increases. Malaria, Sandfly fever and Dengue between them being res-
ponsible for just over 90 per 1,000 admissions, an increase of 19 . 3 per 1,000.
This has been due in part to the effects of troops movements, the early return
of troops to the plains, the manning of defence posts and the appearance of
malaria and dengue in epidemic form in certain districts.
Venereal diseases with an increase of 7 . 8 per 1,000 have caused some
anxiety in one or two stations at which British units with a predeliction for
these infections have had considerable numbers in hospital at a time. On the
whole the increase is more apparent than real owing to the reduction of actual
strengths.
The dysentery-diarrhœa group still exacts a large toll of admissions, as
does the injury-septic group ; the latter is however a concomitant of intensive
training and activity.
Respiratory diseases have been little in evidence, there have been no
epidemics other than minor outbreaks of mild influenza and pharyngitis. 13
diphtheria " carriers " were admitted to hospital and in one station a batch of
60 contacts had to be detained in hospital for want of other accommodation
during a " down hill " move interrupted by some cases of diphtheria.
5
In Waziristan unsettled conditions continued throughout the year and
many " columns " were out. Operations were undertaken in the Shaktu
Valley in February and March. In spite of snow and slush and unusual rain
the health of troops remained good with a decrease of 67 per 1,000 in the admis
sion rates and a reduction of average constantly sick during the year.
In Northern Command the downward trend of sick rates which com
menced 10 years ago has been broken by an increase of 50 per 1,000 during this
year. This increase is almost entirely due to Lahore District where there was
a jump from 567 to 714 per 1,000 for admissions caused by the early return
from the hills into areas where malaria was more prevalent than usual and to
security posts away from cantonments. In addition there was an unexpected
rise in July due to malaria at Razani Camp in Waziristan where half the
Razmak garrison spent the summer. Razani is a definitely malarious site
with surrounding villages badly infected thereby ; sandfly fever was also
very high.
The death rate was 2 . 75 per 1,000 which is almost the same as 2 . 78 of last
year and little above the quinquennial average of 2.54.
The actual number of deaths was reduced.
The chief causes of death were :
Local injuries (including 18 gunshot wounds) .
.
.
.
0.78 per 1,000
Infectious diseases
.
.
.
.
.
.
.
.
0.58 ,, ,,
General injuries .
.
.
.
.
.
.
.
.
0.39 ,, „
Digestive diseases
.
.
.
.
.
.
.
.
0 . 3 6 , , , ,
Circulatory diseases
.
.
.
.
.
.
.
.
0 . 1 9 , , , ,
Pneumonia
.
.
.
.
.
.
.
.
.
0.14 , , , ,
Invaliding, at 9.14 per 1,000, shows a further reduction but must be viewed
from two entirely different aspects : the pre-war rate of the early months,
which was 5.63 and the post-war rate of at 3.51 during a period when shipping
facilities were interrupted and the dispatch of invalids had at times to be
restricted.
Invaliding rates for the past 4 years have been 10.99, 10.97, 9.35, 9.14
per 1,000.
As usual Mental and Tubercular conditions form the bulk of cases requir
ing to be invalided, a total of 2.73 per 1,000 or over one quarter of all invaliding.
In this year however Tuberculosis retires from the head of the list, Mental
disease having produced 1.56 per 1,000 invalids.
It will be noted that apart from Injuries invaliding for the effects of
diseases as such is at a most satisfactorily low figure.
The Average number constantly sick in hospital was 27.96 per 1,000 of
strength compared with 27.61 per 1,000 in 1938 and 27.02 per 1,000 in 1937
a general rise of nearly 1 per 1,000
The diseases chiefly responsible were :
6
TABLE 7.
,Average constantly . sick per 1,000 of strength.
Gonorrhœa
•
.
•
.
2.42
Malaria
.
•
•
•
•
•
•
•
2. 32
Cellulitis
•
•
•
.
1. 64
Dysentery.
•
•
•
•
1.37
Fractures.
.
•
•
•
.
•
0. 92
Tonsillitis
.
•
•
. .
•
•
•
•. 82
Soft chancre
•
•
.
•
•
•
•
0. 76
Syphilis.
.
•
•
•
• •
0.68
Bronchitis.
•
•
•
•
•
•
0 • 64
Sandfly fever
•
•
.
.
0.62
Appendiciti
.
.
.
•
.
•
•
0.62
Once again Gonorrhoea produces the greatest number of average constantly
in hospital but there has been a very welcome reduction of nearly 1 per 1,000
in the rate (2 . 42 compared to 3 . 11) and we may hope that this may be further
reduced when the full effects of the sulphonamide group of drugs begins to
take effect.
Malaria at 2-32 per 1,000 shows a slight increase due to the general rise
in malarial admissions. Our methods of treatment are standardised and satis-
factory.
Out-patients.-1783 . 9 per 1,000 were treated as out-patients, an increase
of 179 per 1,000 on the previous year. This is certainly due to the disturbed
conditions of the war period and the manning of numerous defensive posts.
The average daily number under treatment was 25 . 10 per 1,000.
The combined ratio of constantly sick in hospital and under treatment
as out-patients was 53 . 06 per 1,000 compared with 52-27 in 1938 and 50.80
in 1937.
The seasonal admission rates for certain diseases and the admission and
death ratios per 1,000 of strength for all causes and for certain important
diseases at stations with a strength of 1,000 and upwards compared with all
India, are shown in the following tables, 8 and 9 and Chart II.
TABLE 8.
Monthly incidence of admissions, all causes, and of the principal diseases.
Month.
All ratios per 1,000.
All
causes.
Malaria.
Dysentery.
Diarrhœa
Group.
Minor
Septic.
Local
injuries.
Venereal.
January
.
.
.
46.4
1.4
2.5
4.6
5.9
4.7
February
.
.
.
38 0
1 • 0
2. 9
4.4
4.5
3.4
March .
.
.
.
44.2
1 • 4
3 . 2
3 • 7
5-1
4 • 5
April .
.
.
45.4
1.5
5.4
4.0
5 • 2
2 • 9
May
.
.
.
.
66.3
2.0
4.9
4.9
5 . 4
4.1
June .
.
.
.
58.1
4.5
3.2
4- 7
4.8
3-8
July .
.
.
69 • 3
8 • 2
5.3
7.1
6.1
2.9
August
.
.
71.7
6.8
6.7
6.8
5.6
3.7
September •
.
.
69. 8
9.1
4.2
7.4
6.4
4 • 9
October
.
.
.
67.1
9. 9
3. 5
6 • 5
5.9
7 • 2
November .
.
.
59,4
9.0
3.5
6.1
6. 1
4- 8
December .
.
.
43 • 6
2.6
1 • 9
5.0
5.9
4.5
TABLE 9.
Table showing total admissions and deaths ratios per 1,000 of the strength for all causes and certain important diseases for
the larger stations compared with All-India.
Stations with total admission ratios, all
causes, higher than All India.
All- India.
Stations with total admission ratios, all
causes, lower than All-India.
Razmak.
Meerut.
Peshawar.
Poona.
Lucknow.
Secunderabad. Rawalpindi.
Mhow.
All causes :—
784.5
776.5
748.9
701.7
673.0
661.1
626.1
622.2
582.4
Admissions
.
.
. . . .
Deaths .
.
.
.
.
. .
13.95
6.31 ...
1.08
3.06
2.75
. . . 2.90
. . .
A. C .Sick
.
.
.
.
.
.
27.12
33.01
29.92
36.78
31.91
27.96
29.14
27.48
26.51
Malarin :—
178.3
67.3
28.3
78.6
14.5
58.1
14.8
51.6
98.2
Admissions
.
.
.
.
.
Deaths .
.
.
.
. . .
...
...
...
...
...
.11
...
. . . ...
Sandfly fever :—
34.9
11.2
130.9
...
117.2
30.7
...
69.5
10.0
Admissions
.
.
.
.
.
.
Deaths ..
.
•
•
•
...
...
...
...
...
...
...
...
...
Enteric Group of Fevers :—
...
2.8
2.7
1.6
1.5
1.1
0.6
1.2
...
Admissions
.
.
.
.
.
.
Deaths .
.
.
.
.
•
.
...
. . .
...
...
...
.06
...
...
...
Dysentery :—
44.2
51.2
17.7
47.4
41.3
29.0
36.9
24.9
37.4
Admissions . . . . . .
Deaths .
.
.
.
.
.
.
...
...
...
...
...
06
...
...
...
Diarrhcea :-
26.4
47.0
19-5
4 • 8
9.
18-2
17-6
9-3
15.0
Admissions
.
.
D eaths .
.
.
•
•
•
•
...
...
"'
...
...
• • •
...
...
Influenza :—
1.6
15.4
18.6
5.9
9.2
9.3
...
19.1
...
Admissions
.
.
.
.
.
.
Deaths . . . . . . .
...
...
...
...
...
. . .
...
. . . ...
neumonia Lobar and Lobular :—
3.9
0.7
5.3
1.1
4.6
4.7
2.3
9.3
...
Admissions
. . . . . .
Deaths .
.
.
.
.
.
.
...
.70 ...
...
...
.14
...
. . . ...
Miner Septic Diseases :—
52 .7
77.8
84.0
53.3
53.6
66.9
58.5
53. 9
69.1
Admissions
.
.
.
.
.
.
Deaths . . . . . .
...
...
. . .
...
...
...
...
. . . ...
Venereal Diseases :—
22.5
56.8
21.2
77.5
73.5
51.4
75.6
48.1
51.6
Admissions
.
.
.
.
.
.
Deaths .
.
.
.
.
.
•
...
...
...
...
' 03
"'
0-58
Local Injuries :—
93.8
89.7
64.5
52.2
58.2
63.0
94.9
44.6
66.6
Admissions
.
.
.
.
.
.
Deaths .
.
.
.
.
.
.
11.63 ...
...
...
.77
.78
. . . 0.58
...
Heat Stroke : —
...
...
2.7
...
0.8
0.4
. . . -
. . .
...
Admissions
.
.
.
.
.
.
Deaths .
.
.
.
.
.
.
...
• 77
• 06
...
Heat Exhaustion :—
...
0.7
2. 7
...
7.7
1.9
. . .
6.9
...
Admissions
.
.
.
.
.
.
Deaths .
.
. . . . .
...
...
...
...
.77
.06
. . .
. . .
8
CHART No. I.
Ratios per 1,000 admitted to hospital, invalids sent home, and constantly sick,
and AV-sick time to each soldier from 1921 to 1939.
ADMISSION TO HOSPITALS. INVALIDS SENT HOME. CONSTANTLY SICK .
CHART No. II.
ALL INDIA,
TOTAL ADMISSION ALL CAUSES.
BRITISH TROOPS
INDIAN TROOPS
FOLLOWERS
MONTHLY ADMISSION RATIOS PER 1000 OF STRENGTH.
B 2.
10
4. Women and Children.
The admission rates for women have decreased appreciably during the
year. One cause, in the north at least, has been stated to be the later reten
tion of women and children in the hill stations owing to the moves of troops
in the early autumn after the onset of the War.
Admissions for wives of Other Ranks have been reduced by nearly 50
per 1,000, 263.9 compared to 311.8 of 1938 ; and the death rate has fallen from
3.84 to 0.83 ; the average constantly sick has been reduced by 2 per 1,000
invaliding has been nearly halved compared with 1938.
It is remarkable that in the Kohat and Peshawar Districts there have
been no deaths amongst wives of Other Ranks for 3 years in succession. It
should be remembered of course that the majority of women move to the
hills for the summer from these districts. But even in Southern Command
with a strength of 1,500 there have been no deaths during this year, and ad
missions dropped 155 per 1,000 whereas those of men and children increased.
Admissions for members of the Nursing Services fell by 60 per 1,000 to
439.6 but the average constantly sick rate was raised by 2 per 1,000 and
the invaliding rate was doubled.
Children on the other hand show an increase of 20 per 1,000 for the whole
of India to 374.1 and the death rate has been raised by 3 per 1,000, from
9.75 to 12.3 per 1,000. The figure for average constantly sick in hospital is
however practically unchanged at 11.43 per 1,000.
Fuller details as to the sickness amongst women and children will be
found in paragraph 76.
TABLE 10.
British Other Ranks wives.
Casualties over 10 years. Ratios per 1,000.
Year.
Admissions. Deaths. Invaliding.
1930
.
.
.
.
.
.
. 328.6
5.30
10.83
1931
.
.
.
.
.
.
.
334.4
5.75
17.02
1932
.
.
.
.
.
.
.
292.3
4.17
13.20
1933
.
.
.
.
.
.
.
313.2
2.75
11.45
1934
.
.
.
.
.
.
.
311.6
2.23
12.50
1935
.
.
.
.
.
.
.
312.4
3.35
9.33
1936
.
.
.
.
.
.
.
337.6
3.21
10.85
1937
.
.
.
.
.
.
.
319.7
3.62
10.13
1938
.
.
.
.
.
.
.
311.8
3.84
9.99
1939
.
.
.
.
.
.
.
263.9
0.83
5.54
The principal causes of admission were the same as in last year, viz.
—
1939.
Abortion
.
.
.
.
.
.
99
It should be noted that the
combined dysentery-diarr
hœa group, 82 admissions,
is really the commonest
disease group.
Malaria
.
.
.
.
.
.
77
Dysentery
.
.
.
.
.
.
51
Tonsillitis
.
.
.
.
.
.
33
Pyelitis
.
.
.
.
.
32
Diarrhœa
.
.
.
.
.
31
Cellulitis
.
.
.
.
.
.
30
Appendicitis
.
.
.
.
.
18
Hypertrophy of Tonsils
.
.
.
18
Bronchitis .
.
.
.
.
.
17
Anæmia
.
.
.
.
.
.
15
Gastritis
.
.
.
.
.
.
10
11
In addition 693 women were admitted to hospital for confinement.
There were 3 deaths (0 . 83 per 1,000) an.ong women, 12 less than the
previous year.
The number treated as out-patients was 2,511 or 695 . 9 per 1,000.
Of children the admissions, deaths and invaliding are shown below :
TABLE 11.
British Other Ranks Children. Ratios per 1,000.
Year.
Admissions. Deaths.
Invaliding.
1930 .
.
. • • . . 2 8 4 . 4
1 2 . 2 9
0 . 9 2
1931
.
.
.
.
.
.
.
286.4
12.08
3.32
1932
.
.
.
. . . 2 9 9 . 1
1 2 . 7 2
2 - 0 9
1933 .
.
.
.
.
.
.
281.9
11.05
1.42
1934 .
.
.
-
.
.
.
299.6
11.83
2.31
1935
.
.
.
.
.
.
.
334.3
9.66
2.15
1936 .
.
.
.
.
.
. 3 3 5 . 4
1 3 . 4 0
3 . 2 3
1937 .
.
.
.
.
.
.
358-3
12.83
2.60
1938 .
.
.
.
.
.
.
353.4
9-75
2.74
1939 .
.
.
.
.
.
.
374.1
12.30
3.41
The principal causes of admission were :
Dysentery
.
.
.
.
.
.
221
Hypertrophy of Tonsils
217
Diarrhœa
.
.
.
.
.
.
173
Tonsillitis
.
.
.
.
.
,
145
Malaria
.
.
.
.
.
.
105
Bronchitis .
87
Cellulitis
.
.
•
.
.
.
55
Pneumonia .
.
.
53
Conjunctivities
.
.
,
.
.
39
Jaundice
37
Otitis Media
.
.
.
•
.
36
Diphtheria
35
Enteritis
.
.
.
.
.
.
34
Constipation
32
Common cold
.
.
.
.
.
32
The preponderance of the
dysentery-diarrhœa ― ente-
ritis group is again marked
with 428 cases or 22 per
cent. of the total admis-
sions.
There were 65 deaths amongst children. The principal causes of deaths
were pneumonia 9 and enteritis 8. Twentysix per cent. of deaths were due
to the dysentery-diarrhœa and enteritis group.
Diphtheria.—In addition to sporadic cases, definite outbreaks occurred at
Sabathu where there were 13 cases, Poona 5 cases and Jubbulpore 3 cases.
ALL INDIA
1939.
CHART No. III,B R I T I S H — — — —
I N D I A N — — – – – –
14
TOTAL ADMISSIONS ALL CAUSES.
RATIO PER 1000 OF STRENGTH.