NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
76
As a rule the sending of peripheral blood only is an omission on
the part of the Sub-Assistant Surgeon or other officer concerned who if
more energetic could as a rule forward more likely materials such as
smears from the spleen of fatal cases, smears from buboes, etc.
(2) Sputum as a rule contains countless organisms some of them
closely resembling in appearance the plague bacillus. Fortunately
when plague bacilli are present at all they are in large numbers and
give a characteristic appearance to the specimen which enables the
pneumonic type of plague to be detected readily by microscopical
examination. There is in sputum however always the possibility—
(i) That it is not derived from the lungs at all but only from the
throat or even the mouth.
(ii) That plague organisms are scanty and cannot with certainty
be detected on account of the multitude of other organisms.
(iii) That bacilli bearing a close resemblance to plague may be
present and so render a guarded opinion necessary.
(3) Microscopical examination of a bubo prior to suppuration
gives almost certain evidence as to plague. The only error likely to
occur is that fluid supposed to be from the gland is really from the
tissues around it or even blood from the skin sucked in when the
needle is withdrawn.
It is on account of the uncertainty attaching to puncture that
cutting down upon the gland is so much to be preferred when a great
deal turns upon the diagnosis.
Old buboes which have become purulent may or may not show the
plague bacillus since this organism is apt to be killed off.
(4) The examination of specimens of the spleen or in default of
this the liver of a fatal case is most likely to give definite results.
Almost all fatal cases tend eventually to become septicæmic and the
absence of bacilli from the spleen and liver is extremely strong evi-
dence against the case being one of plague. On the other hand in no
examination except that of a fresh bubo can such definite positive
evidence of plague be obtained as in films from an undecomposed
spleen. Where decomposition is advanced a guarded opinion is often
necessary since the plague bacillus rapidly disappears under such cir-
cumstances and even if present is considerably altered in appearance.
B.—EAT PLAGUE.
(a) Whole rats should not be forwarded unless there are special
reasons for such a procedure. If rats are sent whole they should be
packed in sufficient ice to allow them to reach Guindy undecomposed.
Rats may also be sent in spirit. In this case the abdomen should be
opened and at least one pint of spirit be used for each rat. This method
of sending material should only be adopted when no other procedure
is possible.
(b) Material sent for diagnosis should always, if possible, be in
the form of films.
To make a film from a suspected rat.
(a) Lay the rat on its right side and with a pledget of wool
dipped in weak spirit wipe over the side of the belly which lies
uppermost. This will keep the hair from interfering with the subse-
quent dissection.
77
(b) Pinching up a large fold of skin with a forceps and with a
pair of scissors cut this off. If the whole thickness of skin and
muscle over the abdomen be included in the fold one cut of the
scissors will expose the viscera with the small elongate spleen lying
upon them.
(c) Remove the spleen with the forceps and lay it upon a slide.
(d) Snip off a small piece about the size of a pea and make three
streaks on a clean glass slide as described under " Human Plague."
(e) Dry and wrap in paper.
Pinch up and slice away with the scissors folds of skin over the
groins, axilla and beneath the jaws. If enlarged glands are seen,
cut these in two and make smears by drawing the cut surface of the
gland thrice across a clean slide.
Interpretation of reports.
(1) If the rat is very putrid plague bacilli even if present have
probably disappeared. The remark " many putrefactive organisms
present " may be taken therefore as showing that the result of
examination means little.
(2) If a rat found dead, but not markedly decomposed, shows no
plague bacilli in the spleen it is probably not a plague rat.
(3) In some cases owing to putrefaction, etc., the plague orga-
nisms cannot be diagnosed with certainty. Under such circumstances
a guarded opinion has necessarily to be given.
(4) In some cases organisms closely resembling plague occur in
rats. Where typical plague bacilli are not present a guarded opinion
will always be given.
INDEX.
A
ACt —
Epidemic Diseases —
Power delegated to Local Government
under the Epidemic Diseases —
ADMINISTRATION —
Administrative staff
ALLOTMENTS —
Application for allotment of funds
ALLOWANCES —
Plague
Statement showing the rates of — admissi-
ble to officers on plague duty
Statement showing the rates of — admissi-
ble to plague
inspectors
Subsistence allowance to
inoculated
persons
ANIMALS —
Closure of sheds used for the accommoda-
APPEAL —
Right of — of the plague staff against
punishments inflicted on them ...
ARICA UNDER OBSERVATION —
Definition of —
Notification oí an area to be under
B
BACTERIOLOGICAL EXAMINATION —
Instructions for despatching material to
the King Institute, Guindy, for
BEDDING —
Destruction of —
BUDGET —
Revised and — estimates of plague
expenditure
Savings in the — estimates
Transfer of
funds
BUILDINGS —
Acquisition of — for plague purposes
Closure of sheds used for the accommoda-
tion of animals and likely to harbour
rats
Destruction of sheds
Disinfection of — containing sick or dead
rats
Power of the Collector or Plague officer to
enter into — for the abatement of
nuisances
Power of the Collector or Plague officer to
fores open closed houses for disinfec-
tion
Page.
1
2
24
31
24
47—51
52—54
27
5
25
3
4
73—77
8
29—31
31
31
10
5
8
8
5
8
Regula-
tion.
8
1 (a)
2
22
28
8
21
23
7
24
Standing
Order.
24
49
21—23
35
29
45—51
50
51
80
INDEX.
BUILDINGS — cont.
Power of the Collector, Plague officer or
Assistant Plague officer to enter into
infected —
Restrictions on the letting of infected
houses
C
CANAL BOAT —
Rules applicable to —
CANTONMENTS —
Responsibility for carrying out, plague
measures in —
CERTIFICATE —
Form of detention —
Form of cx-officio exemption —
Form of general exemption —
Form of inoculation —
CHARGES—
Classification of plague —
Distribution of plague —
Half-yearly statement of audited plague
—
Power of Collector to incur expenditure on
plague
CHATTRAMS —
Person who should do the duties of a
house-holder in regard to —
CIRCLES—
Formation of observation —
Formation of preventive —
Size of observation —
Size of preventive —
CLOTHES —
Destruction of clothing
Restrictions on the washing of —
COMMUNICATION —
Communication of information regarding
plague cases in a district to adjoining
districts in this Presidency
Intercommunication of plague news in
this Presidency and in the adjoining
territories
COMPENSATION —
Award of — for loss of property
CONCEALMENT OF PLAQUE CASEs—
Measures to be adopted to prevent the —
CONTACTS —
Segregation of —
CONTRIBUTION —
Government — to private plague hospitals
CONVEYANCE —
Use of public — by plague patients
CORRESPONDENCE —
Distribution of spare copies of printed
orders of Government
Plague
D
DEFINITION —
Definition of certain terms occurring in the
Page.
8
8
10
24
15
14
15
16
28, 55 - 58
11, 26
29, 59—62
22
7
7, 18
7, 18
19
19
8
5
33
35
11
5
20
26
8
36.71
36
3
Regula-
tion,
20
19
29
31
13
16
16
22
9
32
11
18
A
Standing
Order.
25
39—43
32
44
18
3
3
4
5
55
62, 63
8
33
68
64—66
INDEX.
81
DELEGATION —
Power delegated to Local Government
under the Epidemic Diseases Act
DETENTION —
Form of — certificate
Persons under — bound to obey directions
issued to them
DISINFECTION —
Instructions on —
— of buildings containing sick or dead rats
— of grains and the places used for traffic
in grains
— of infected areas
Power of the Collector or Plague officers
to force open closed houses for —
B
EPIDEMIC —
— Diseases Act
Power delegated to Local Government
under the — Diseases Act
ESTABLISHMENTS —
Administrative
staff
Collector's power to punish Government
Medical subordinates on plague duty ...
Control of plague
Duty of the observation and preventive
staff
Employment of plague —
Half-yearly lists of plague —
Plague — that are entitled to and bound to
give one month's notice
Plague — to be employed in observation
Power of a police officer
Power of assistant plague officer to
punish
plague
Power of plague officer to punish plague —
on plague duty of Government officials
Retention of plague —
ESTIMATES —
Plague
EVACUATION —
Instructions on
—
EXAMINATION —
Instructions for forwarding material to the
King Institute, Guindy, for bacterio-
logical
—
EXEMPTION
—
Form of general —
certificate
Persons who are eligible for — from the
notification rules
Page.
2
15
11
41—43
8
5
5
8
1
2
24
24
24, 25
19, 20
23
35, 68, 69
10
7, 19
11
25
24, 25
25
25
23
29— 31
39
5
73-77
14
15
6
Regula-
tion.
33
23
6
30
24
30
16
34
10
12
Standing
Order.
...
24
26
26—28
6
19
61
4, 5
28
26— 28
28
30
19
45—51
...
82
INDEX
.
F
FAIRS AND FESTIVALS —
Form of notifications imposing restrictions
on —
Form of statement to accompany proposals
in regard to —
Imposition of restrictions on the attendance
at —
Instructions for submitting proposals in
regard to —
FEMALE PASSENGERS —
FUNDS —
G
GOVERNMENT BUILDINGS —
Occupation of — for plague purposes
GOVERNMENT MEDICAL SUBORDINATES ON
PLAGUE DUTY —
Collector's power to punish —
Grant of casual or privilege leave to —
GRAINS—
Inspection and disinfection of —
from
Inspection and disinfection of places used
for traffic in grain
GEANTS —
Government — to local bodies for plague
expenditure
Government — towards the construction
and maintenance of private plague
hospitals
— for the erection of sheds in rural areas.
H
HOSPITALS—
Government contribution towards the
construction and maintenance of private
plague —
Means of lessening the aversion of the
public to go into plague —
Removal of plague patients to —
Sale-proceeds of private plague —
Supervision of private plague —
HOUSE-HOLDERS —
Duty of — to report plague
oases
may stay
House SEARCH —
Organisation of search parties to visit
houses
I
INCAPACITATED PERSONS —
Duty of complying with the Plague Regu-
lations in the case of
INFECTED AREAS —
Definition of —
Distribution of copies of the lists of plague
— and notification stations
Page.
33, 65, 66
33, 65
1
33
7
31
9, 10
24
' 25
5
5
27
26
27
26
21
21, 22
27
27
7
6
5
7
3
36, 71
Regula-
tion.
15
14
28
...
6
6
17
13
11
13
1 (b)
Standing
Order.
57
57
50, 57
51
26
27
37
38
34
B g
14
13—16
33
33
69
INDEX.
83
Evacuation and disinfection of —
Notification of areas to be infected with
plague
INFECTED HOUSES —
Letting of —
INOCULATION —
Duties of inoculated persons
Form of inoculation certificate
Instructions on —
Privileges of inoculated persons
Subsistence allowance to inoculated
persons
INSPECTION —
Construction of — sheds on railway plat-
forms
Inspection of grains and the places used
INSPECTION STATIONS —
Definition of inspection station
Duty of travellers at railway inspection
Notification of railway stations to be
inspection stations
Power of the staff employed at —
INTIMATION —
Intimation of travellers proceeding from
Bangalore to
Tuticorin
L
LANDS
—
LEAVE —
Casual or privilege — to Government
Medical Subordinates on plague duty
LOCAL AUTHORITY—
Duty of —
M
MARKETS —
Closure of —
MEASURES —
General remarks on plague measures
Officers responsible for carrying out plague
— in Cantonments
Measures to be taken by local officers on
the occurrence of a case of plague
Measures to be taken by plague inspectors
and Assistant Plague Officers on the
occurrence of ft case of plague
Measures to be taken by plague officers on
the occurrence of a case of plague
MEDICAL
PRACTITIONERS-—
MILITARY —
Persons of all ranks in the — should obey
the Plague Regulations
MINORS —
Duty of complying with the Plague Regu-
lations in the case of —
Page.
5
4
8
9
16
39
9
27
27
5
3
7
4
7
30
9
25
3
17, 18
4
37, 38
24
20
20, 21
21
7
12
7
Regula-
tion.
10
3
19
26
25
6
1 (d)
14
3
14
28
1 (e)
5
...
1
35
13
Standing
Order.
...
35
36
...
70
27
1
25
7, 8
9— 11
12
84
INDEX.
N
NOTIFICATIONS —
Duties of notification holders
Exemption from taking —
Form of —
Penalty for failure of the notification,
holders to fulfil their
obligations
NOTIFICATION STATIONS —
Definition of
notification
station
Distribution of copies of the lists of plague
infected areas and —
Notification of railway stations to be —
Road frontier —
NOTIFICATION SYSTEM —
Regulation describing the —
Scope of the —
NUISANCES —
Abatement of —
O
OBSERVATION —
Control of —
staff
Definition of area under
—
Duties of —
staff
Establishment to be employed in observa-
tion circles
formation and size of — circles
Half-yearly lists of areas to be placed
under and freed
from—
Size of observation circles
Temporary and permanent observation
circles
OFFICERS —
Absence of officers on account of segrega-
tion
Absence of officers who are suffering from
plague
Definition of assistant plague —
Definition of plague
officer
Grant of allowances to — on plague duty.
Power of a police officer
Restrictions in regard to the employment
on plague duty of Government officials of
the medical and police departments
P
PATIENTS —
Removal of plague — to hospitals
PENALTY —
Penalty for disobeying the plague regu-
lations
Penalty for failure of the notification hold-
ers to fulfil their obligations
PLAGUE —
Theory in regard to the outbreak and
spread of plague
PLAGUE CASES—
Advantages of early discovery of plague
cases
Communication of plague news
Duty of all householders and medical
Page.
6, 13
17
6
13
13
3
36, 71
4
6
6
17
5
19
3
19
7, 19
7, 18, 19
34
4
19
18
22
22
4
4
24
11
25
21, 22
11
13
17
38
33, 35
7
Regula-
tion.
13
12
1 (c)
3
12 (b)
12
7
1 (a)
16
16
2
1 (g)
1 (f)
34
35
17
Standing
Order.
1
69
1
6
6
4
3, 4
60
4
3
17
17
21—23
30
13-16
1
55/62, 63
INDEX.
85
PLAGUE CASES — cont.
Measure to be adopted to prevent the
concealment of
—
POLICE —
PREVENTIVE CIRCLES —
Duty of the staff employed in preventive
circles
Establishment to be employed in —
Formation and size of —
PROPERTY—
Custody of the — of evicted persons
PUBLIC —
Duty of householders and medical prac-
Duty of householders with whom notifica-
tion holders may stay
Duty of the public to report rat deaths
PUNISHMENT —
Power of assistant plague officers to punish
plague establishments
Power of Collectors to punish Government
Medical Subordinates on plague duty ...
Power of Collectors to punish plague
establishments
Power of plague officers to punish plague
establishments
K
RAILWAY STATIONS—
Notification of — to be inspection and
notification stations
RATS —
Closure of sheds likely to harbour rats
Destruction of rats
Disinfection of buildings containing sick or
dead rats
Report regarding dead rats in houses
Report regarding unusual mortality among
Special report to be sent to the Sanitary
Commissioner regarding rat mortality.
RECORDS —
Destruction of plague
Maintenance of records of all persons
suffering from continuous fever for more
than 12 hours
REPORTS AND RETURNS —
Communication of plague news
Detailed report of plague cases to be sent
to the Collector by the plague inspector.
officers to Collectors
Half-yearly lists of plague establishments.
Obligation to report rat deaths
Plague estimates
Report of plague oases to be sent by Collect-
ors to Government and the Sanitary
Commissioner
Report regarding cases of fever or plague
or
suspicious
sudden
illness
Report to be sent by the Collector to
rence of the first case of plague
Page.
5
11
20
7, 19
7, 18, 19
5
7
6
4
25
24
24, 25
25
4
5
5, 43—46
8
4
7, 13
33
36,70
20
33, 35
32
62— 64
35
4
29-31
32
7
32
Regula-
tion.
11
34
16
16
10
17
18
4
3
8
6
23
4
13, 17
4
13
Standing
Order.
6
5
3, 5
28
26
26—28
28
r, 8
67
6
55, 62, 63
53
61
45—51
54
52
86
INDEX.
REPORTS AND RETURNS — cont.
Report to he sent by the Sanitary Com-
missioner
Special report to be sent to the Sanitary
Commissioner regarding rat mortality
S
SAVINGS—
Report regarding — in the budget
estima-
SEARCH —
Organisation of — parties to visit houses
SEGrEGATION —
Absence of officers on account of —
Persons segregated are bound to obey
instructions issued to them
of
contacts
SHEDS —
Closure of sheds used for the accommodation
of animals and likely to harbour
rats
Destruction of
—
Grants for the erection of — in rural
areas
Inspection sheds on railway platforms
STAFF —
Administrative
T
TRAVElLErS —
Duty of travellers at railway inspection
stations
Examination of female passengers
Intimation of — proceeding from Banga-
lore to Tuticorin
Notification system applicable to —
Obligation to take out notification papers
in the case of incapacitated persons
Obligation to take out notification papers
in the case of
minors
W
WOMEN —
Examination of female passengers
Examination of
—
WORKS —
Collector's power to carry out emer-
gent —
Page.
33
33
31
5
22
11
20
5
8
27
27
24
7
.7
36
6
7
7
7
6
9
Regula-
tion.
11
33
8
21
14
14
12
13
13
14
11
27
Standing
Order.
59
58
50
17
8
34
36
24
70
...
I P /Q B. 10
No. 58.
(NEW SERIES. )
SCIENTIFIC MEMOIRS
BY
OFFICERS OF THE MEDICAL. AND SANITARY DEPARTMENTS
OF THE
GOVERNMENT OF INDIA
Studies on the Mouth Parts and Sucking Apparatus
o f t h e B l o o d - S u c k i n g D i p t e r a
No. 2.
Some Observations on the Morphology and Mechanism of the Parts
in the Orthorrapha.
BY
CAPTAIN F. W. CRAGG, M.B., I.M.S.,
Assistant to Director, King Institute of Preventive Medicine, Madras.
ISSUED UNDER THE AUTHORITY OF THE GOVERNMENT OF INDIA BY THE
DIRECTOR-GENERAL, INDIAN MEDICAL SERVICE
CALCUTTA
SUPERINTENDENT GOVERNMENT PRINTING, INDIA
1913
Price annas 10 or 1s.
3943302
x
No. 58.
(NEW SERIES. )
SCIENTIFIC MEMOIRS
BY
OFFICERS OF THE MEDICAL AND SANITARY DEPARTMENTS
OF THE
GOVERNMENT OF INDIA
Studies on the Mouth Parts and Sucking Apparatus
of the Blood-Sucking Diptera.
No. 2.
Some Observations on the Morphology and Mechanism of the Parts
in the Orthorrapha.
BY
CAPTAIN F. W. CRAGG, M.B., I.M.S.,
Assistant to Director, King Institute of Preventive Medicine, Madras.
ISSUED UNDER THE AUTHORITY OF THE GOVERNMENT OF INDIA BY THE
DIRECTOR-GENERAL, INDIAN MEDICAL SERVICE
CALCUTTA
SUPERINTENDENT GOVERNMENT PRINTING, INDIA
1913
Agents for the Sale of Books published by the Superintendent of
Government Printing, India, Calcutta.
IN THE UNITED KINGDOM.
Messrs. CONSTABLE & Co., 10, Orange
Street, Leicester Square, London, W.C.
Messrs. MEGAN PAUL, TRENCH, TRÜBNER
& Co., 68-74, Carter Lane, E.C.
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Street, New Bond Street, London, W.
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Smith Street, Westminster, London, S.W.
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and 9, Pall Mall, London.
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Street, London, S.W.
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ON THE CONTINENT.
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Mr. KARL W. HIERSEMANN
Leipzig,
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W. N., Carlstrasse, 11.
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Paris, France.
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Holland.
IN INDIA AND CEYLON.
Messrs. THACKER, SPINK & CO., Calcutta
and Simla.
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Messrs. R. CAMBRAY & Co., Calcutta.
IN INDIA AND CEYLON—contd.
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.
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Bombay.
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List of numbers of Scientific Memoirs by Officers of the Medical and
Sanitary Departments of the Government of India (New Series)
published previous to the present issue.
No. 1. Standardisation of Calmette's Anti-Venomous Serum with Pure Cobra Venom : the
Deterioration of this Serum through keeping in India, by Captain G. Lamb,
I.M.S., and Wm. Hanna, Esq., M.B. Price As. 3 or 4 d.
No. 2. Malaria in India, by Captain S. P. James, I.M.S. Price Re. 1-8 or 2 s. 3d.
No. 3. Some Observations on the Poison of Russell's Viper (Daboia Russellii), by Captain
G. Lamb, I.M.S., and Wm. Hanna, Esq., M.B. Price As. 5 or 6 d.
No. 4. On the Action of the Venoms of the Cobra and of the Daboia on the Red Blood
corpuscles and on the blood plasma, by Captain G. Lamb, I.M.S. Price
As. 8 or 9d.
No. 5. Specificity of Anti-Venomous Sera, by Captain G. Lamb, I.M.S. Price As. 3
or 4d.
No. 6. First Report on the Anti-Malarial Operations in Mian Mir, 1901—03, by Captain
S. P. James, I.M.S. Price As. 12 or 1s. 2d.
No. 7. Some Observations on the Poison of the Banded Krait (Bungarus Fasciatus), by
Captain G. Lamb, I.M.S. Price As. 8 or 9 d.
No. 8. A Preliminary Report on a Parasite found in Patients suffering from Enlargement
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A 2
Slip to be pasted with Scientific Memoir No. 58.
ERRATA.
Title page.—For " M.D." read " M.D."
Page 9, line 17. —For " Ashmorth " read " Ashworth."