( 4 )
keeping close to him, and still she was quite free from the disease. Moreover, of
the male patients at present under my treatment, two are married men and have
been living with their wives for a long time, and the wives have not been suffering
from leprosy.
Dated Barrh, the 23rd November 1877.
From—ZAHEERUDEEN, Assistant Surgeon, Barrh.
To—The Civil Surgeon of Patna.
I BEG to report the following report on leprosy as prevalent in the Barrh Sub-
Division.
2. Leprosy exists, but not to a large extent, in the Barrh Sub-Division. I am
unable to give the exact number of lepers residing in Barrh ; but, from my expe-
rience of four years, I can say that the number is not large as in other places. Out
of 19,558 out-patients admitted into the Barrh Charitable Dispensary during the
years 1874-75-76, and up to the end of October 1877, only 54 cases of leprosy
attended for medicine.
3. The disease under consideration is found spread throughout the sub-
division, and not localized to any particular place.
4. The nature of the respective places in which the individuals labouring
under this malady, and the conditions and circumstances under which they live,
does not bear any peculiarity in its form, excepting that the majority of the persons
are poor. Very few lepers are seen amongst the higher classes and well-to-do
people.
5. Most of the cases who attended the dispensary had previous attacks of
syphilis. This disease was no doubt the only cause from which they eventually
got the malady in question. In other cases the persons inherited the malady from
their parents or forefathers.
No. A, dated Behar, the 25th December 1877.
From—DR. PREUMBER NATH MITTER, Assistant Surgeon of Behar, on
leave.
To—The Civil Surgeon of Patna.
WITH reference to your circular memorandum No. 555 of the 11th November
last, I have the honour to report that, during my one year's incumbency here, I had
occasion of treating only eighteen eases in leprosy and psoriasis. Besides these, through
the help of the thannadar of the station, I could examine 42 patients, of whom the
majority, as many as 33, were from the town and its neighbourhood. Seventeen
of these 42 persons were cases of the typical form of the disease, namely, lepra
vulgaris, having had round, reddish patches of various dimensions covered with
thin, white scabs, and scattered over different parts of the body, particularly the
face and the distal parts of the extremities. Of these typical lepers, ten were
Hindu male, three Hindu female, and four Muhammadan male. The remaining 25
cases appeared to be of the milder form, the lepra alphoides, and its allied variety,
with eruptions smaller and whiter than the foregoing, and consisted of seventeen
Hindu male, one Hindu female, and seven Muhammadan male.
Of all the lepers examined, thirteen had hereditary taint and two appeared to
have acquired the complaint from syphilis, bearing copper-coloured eruptions. The
distribution of these hereditary cases are shown in the following table :
Diseases
Lepra typical
Ditto
Ditto
Ditto
Leprosy
Ditto
Ditto
Residence of the patient.
Sosarai
Sohdi
Meerdad
Nyesarai
Khasganj
Schujju Mahalla
Mughra
CASTE.
Hindu
male.
o
2
2
2
Hindu
female.
1
Muham-
madan
male.
1
1
2
In the jurisdiction of.
Municipal town.
Ditto.
Ditto.
Ditto.
Town Behar.
Ditto.
Thannah Behar (suburbs of
the town).