NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
APPENDIX E—cont.
LOCAL-
Abstract statement of Direct and Indirect plague charges showing by districts the estimates for 191 -1
and the expenditure under each head during and up to the half-year ending the
191 .
Districts.
1
Total
Indirect.
Estimates for
the year
191 -1 .
2
RS.
Expenditure
up to the
commencement
of the
half-year.
3
RS
Expenditure
during the
half-year.
4
RS.
Total
expenditure to
the end of the
half-year.
5
RS.
Direct.
Estimates for
the year
191 -1 .
6
RS.
Expenditure
up to the
commencement
of the
half-year.
7
RS.
Expenditure
during the
half-year.
8
R8.
Total
expenditure to
the end of the
half-year.
9
RS.
Columns 3, 5, 7 and 9 need not be filled up during the first half-year.
60
61
APPENDIX E—cont.
MUNICIPAL.
Statement of plague expenditure showing the estimates for
191 -1
and the expenditure during and up to the
half-year ending the
191 .
Districts.
1
Total
Serial
number.
2
Municipali-
ties.
3
Estimates
for the
Tear
191 -1 .
4
RS.
Expendi-
ture up to
the com-
mence-
ment of
the half-
year,
5
RS.
Expendi-
ture
daring the
half-year.
6
RS.
Total
expendi-
ture to the
end of the
half-year.
7
P8.
Columns 5 and 7 need not be filled up during the first half-year.
CANTONMENT.
Statement of plague expenditure showing the estimates for
191 —1
and the expenditure during and up to the
half-year ending the
191 ,
Serial
number.
1
Cantonments.
2
Estimates
for the year
191 -1 .
3
RS.
Expenditure
upto the
commence-
ment of the
half-year.
4
RS.
Expenditure
during the
half-year.
5
RS.
Total
expenditurs
up to the
end of the
half-year.
6
RS.
Columns 4 and 6 need not be filled up during the first half-year.
62
APPENDIX B—cont.
Statement showing the charges on account of salaries of officers
and establishments forming part of existing departments
employed on plague duty but not replaced by substitutes
for the half-year
finding
191
Districts.
Establish-
ment
under the
Collector.
Police.
Salt and
Abkäri.
Total.
[Note.—Columns may be added, if necessary, if there are charges incurred in
respect of departments other than those shown in this statement.]
APPENDIX F.
[See Eule 53.]
[To be submitted within 24 hours of discovery of a plague case.]
Hamlet—.
Village—.
Number in taluk map—.
Population—.
1. Name, age and caste of the patient.
2. (a) Date of commencement of illness.
(b) Date of death.
3. (a) Were there any plague cases or deaths by fever in the house
or family within the last 30 days, if so, when ?
(b) Did the patient remove any plague corpse or infected
article ?
(c) Was the patient in close contact with any plague cases ?
(d) Did he obtain grain, clothing or other article from any
infected house or shop ?
(e) Did he visit any plague-infected locality, if so, when ?
(f) Did any person from an infected area reside in his house :
if so, when ? Did they bring goods susceptible to infec-
tion with them ?
(g) If answers to questions (a) to (/) be found in the negative
to what source can the infection be traced ?
4. If he arrived from any infected locality by rail—
(a) Did he deliver his notification ?
(b) Was his arrival noticed by village muusif and, if not, what
is his explanation?
(c) At what hour did the village munsif send information as to
the illness of the patient ?
63
5. (a) Date and hour at which range inspector heard of the case
and how information was obtained ; if from any official,
state name and designation.
(b) Date and hour at which range inspector went to the village.
(c) Note date and hour at which first intimation of attacks was
sent to—
(i) Assistant plague officer,
(ii) Nearest medical officer,
(iii) Plague officer,
(d) Explanation of delay between—
(i) Date of attack and date of despatch of first intimation
to superior officers ;
(ii) Date of first intimation and date of despatch of detailed
report.
6. Was the case reported by the village munsif ?
(a) (i) If not, what is his explanation ?
(ii) Did he keep the fever register properly, and on what
date was the case entered in it ?
(b) (i) Who is the house-owner, or chief male member of the
family ?
(ii) Did he give information as required by plague regula-
tion 13 and, if not, what explanation is forthcoming as
to why he should not be prosecuted ?
(c) Name and designation of the person who first reported the
case and the date on which he did so.
(d) What action did the village munsif take before arrival of
the range inspector to prevent spread of the disease ?
7. (a) When did the range inspector last visit the village ?
(b) How many deaths were there in the village—
(i) since the range inspector's last visit ; and
(ii) since the commencement of the preceding month ?
(iii) How many of the deaths were registered as due to
fever and to causes that you consider might be con-
fused with suspicious cases of plague ?
8. Was the patient examined—
(a) by any medical officer, and by whom and when ?
(b) What symptoms of plague were noticed ?
(c) Brief history as given by medical officer or as ascertained
by medical officer.
9. (a) Was the patient isolated ?
(b) What accommodation was provided for him ?
(c) Is he treated, if so, by whom ?
(d) What objections, if any, exist for his being romoved to
plague hospital or being treated by ambulance ?
(e) Is it necessary to provide him with rations, if so, how was
he provided for, pending orders ?
(/) What rations were ordered ?
10. Note names of contacts, if known—
(a) The relationship to the patient and age.
(b) Which of the contacts are in actual attendance on the
patient ?
64
11. (a) Was the infected house evacuated, if so, when ?
(b) Were the house, clothing and other property disinfected,
if so, how ?
(c) What " samans " were found in it and how were they dis-
infected ?
(d) Were all rags and rubbish burnt ?
(e) Was the corpse buried or burnt ?
12. Are measures being taken to kill rats and destroy the
carcasses by fire ? Describe them and state degree of
success.
13. Are rats plague-infected ?
14. Have steps been taken to verify the diagnosis of plague in the
human being or rats by bacteriological examination or
otherwise ?
15. General remarks,
Date
Range Inspector.
Plague Report.
From
The range inspector.
Date of despatch.
Date of receipt by assistant plague officer.
Remarks by assistant plague officer as to—
(i) whether he inspected the case and supervised the opera-
tions.
(ii) If not, why not ?
(iii) Any other remarks.
Date of despatch to plague officer.
Assistant Plague Officer.
Date of receipt by plague officer.
Remarks as to when he visited the village, where the ambulance
is stationed, etc.
Date
Plague Officer.
66
APPENDIX G.
[See Eule 57.]
Statement to accompany proposals for placing restrictions on
fairs and festivals.
Name
of
festival
or
fair.
1
Place
where
held
2
Distance
to
nearest
railway
station.
3
Date of
beginning
and
termination
of festival
or fair.
4
Average
attendance
during the
past three
years.
5
From
what districts in
the Madras Presidency
and from what places
outside the Presidency
pilgrimage should be
prohibited, and the
number oí people
expected from each of
such districts or places.
6
APPENDIX H.
[See Rule 57.]
Notifications for placing Restrictions on Fairs and Festivals.
NOTIFICATION No. I.
[To be used when the village where the festival or fair is held is infected.
WHEEEAS there is plague at
, in the
taluk of the
district, and whereas it is desirable to prevent its spread :
The Governor in Council, in exercise of the powers delegated to
him under the Epidemic Diseases Act, 1897, prohibits pilgrimage to
the ensuing
festival of
from the
to
, inclusive, [and
also the holding of the usual cattle fair in connection with the said
festival,] [and further directs that between the said dates no tickets to
travel by railway shall be sold at the station [s] of
on the
Railway and
the station [s] of
on the
Railway for the station [s] of
on the
Railway and
the station[s] of
on the
Railway to any person intending or believed to be intending to be
present at the said festival.]
All persons proceeding to the said festival [or fair] in contraven-
tion of this notification will be turned back.
5
66
NOTIFICATION No. II.
[To be used when the village where the festival or fair is held lies in the vicinity
of an infected area and it is necessary to prohibit all pilgrimage.]
WHEREAS the Governor in Council is satisfied that there is danger
of an outbreak of plague at
in the
taluk of the
district, if pilgrims are permitted to
visit that place on the occasion of the ensuing
festival
of
[and the usual cattle fair is permitted to be held
at that place] :
In exercise of the powers delegated to him under the Epidemic
Diseases Act, 1897, the Governor in Council prohibits [the holding
of the said fair and also the] pilgrimage to the said festival from the
to
, inclusive, [and further
directs that between the said dates no tickets to travel by railway shall
be sold at the station[s] of
on the
Railway and
the station[s] of
on the
Railway for the station [s] of
on the
Railway and the station [s] of
on the
Railway to any person intending or believed to be intending
to be present at the said festival.]
All persons proceeding to the said festival [or fair] in contraven-
tion of this notification will be turned back.
NOTIFICATION No. III.
[To be used in cases where pilgrimage from infected areas is prohibited.]
WHEREAS the Governor in Council is satisfied that there is danger
of an outbreak of plague at
in the
taluk of the
district, if persons from the
and other parts declared to be infected with plague are
permitted to visit that place on the occasion of the ensuing
festival [and cattle fair] ;
In exercise of the powers delegated to him under the Epidemic
Diseases Act, 1897, the Governor in Council prohibits [the holding
of the cattle fair and also] the attendance at the said festival [or fair]
from the
to
inclusive, of persons from the said parts, [and further directs that
between the said dates no tickets to travel by railway shall be sold
at the station [s] of
on the
Railway and the station[s] of
ou the
Railway for the station [s] of
on the
Railway and the station[s] of
on the
Railway to any person intending
or believed to be intending to be present at the said festival.]
All persons proceeding to the said festival [or fair] in contra-
vention of this notification will be turned back.
APPENDIX 1.
Last of officers on plague duty in the
district during
the half year ending 31st March 191
6
APPENDIX I.
[Vide rules 19 and 61.]
List of officers on plaque duty in the
district during the half-year ending 31st March 191 .
Head of
service.
1
Name or
number.
2
Office.
3
Pay.
4
Allowance.
5
Date of
commence-
ment of
appointment.
6
Duties of office.
7
Number and
da.te of
sanction.
8
\
Date of
expiry of
sanction.
9
Remarks.
10
SECTION I. — PROVINCIAL.
3. Land Reve-
nue.
One
Plague clerk,
Collector's
office.
RS. A. P.
20 0 0
RS.
15th Sept. 1898. To attend to plague
correspondence
in the Collector's
office.
G.O. No. 249
P.,
dated
18th April
1914.
30th Sept. 1914.
Plague Police,
20. Police ... One
Twenty
Head
con-
stable.
Constables
15 0 0
160 0 0
19th Jan. 1898. For the inspection G.O. No. 955,
station at Jalar-
Judl., dated
pet.
25th April
1914
31st May 1916.
Railway Inspection Station — Jalarpet.
24-D. Medical. Lieut. J. H.
Williamson.
I.S.M,D.
Two
Retired Mili-
tary Assist-
ant Surgeon.
Peons
i
100 0 0
14 0 0
(a) 2 per
diem.
11th Sept. 1914,
24th Aug. 1898.
Inspection of pass-
engers on the
platform.
To attend on the
Assistant Sur-
geon.
G.O. No. 402
P., dated 4th
August 1914.
Do.
31st May 1916.
Do.
(a) Plague
allowance.
68
SECTION II. — LOCAL.
24-D. Medical. A. Marugesa
Mndaliyar,
One
S. G. Ponnu-
swami Pillai.
Specially train-
ed
Plague
Inspector.
Peon
Certificated
Sanitary In-
spector.
30 0 0
600
45 0 0
(b) 15
(b) 15 ...
4th Sept. 1.914.
6th Sept, 1914.
14th Jan. 1911.
In charge of
Tiruppattur
circle.
In charge of Ralla-
budugur circle.
G.O. No. 454
P., dated 4th
September
3914.
G.O. No. 402
P., dated 4th
August 1914.
30th Sept. 1914.
31st May 1916.
(b)
Pony
allowance.
Do.
SECTION III.- MUNICIPAL.
(1) Vellore Municipality .
Municipal ...
*
M. Amirta-
nadham Pil-
lai.
*
Specially train-
ed Plague
Inspector.
*
30 0 0
29th Aug. 1914. For carrying on
rat
catching
operations.
*
G.O. No. 453
P.,
dated
10th
Sep-
tember 1914.
*
31st Mar. 1915.
*
*
(2) Gudiyättam Municipality.
*
*
*
*
*
69
70
APPENDIX J.
[See Rule 67.]
Destruction of Plague Records,
Description of records.
When to be destroyed.
1. Daily reports of plague cases and
deaths in the Mysore State.
2. Daily reports of plague cases and
deaths in Bangalore-
3. Weekly reports of plague cases and
deaths in the Bombay Presidency
and the Hyderabad Slate.
4. Weekly returns of deaths in muni-
cipalities.
5. Daily telegrams of plague cases
received by the Collector.
6. Weekly diaries of plague super-
visors and sanitary inspectors in
charge of observation circles.
7. Daily reports of passengers in-
spected and of those detained at
railway inspection stations.
8. Weekly returns of inoculations
received
from the
district
medical and sanitary officer.
9. Weekly returns received from
divisional officers of breaches of
notification rules dealt with by
them.
10. Plague notifications received by
local authorities and the originals
of such notifications.
,
At the close of the month
succeeding that to which
they relate.
After one year.
After six months.
71
APPENDIX K.
[See Rule 68.]
Distribution of Spare Copies of Printed Orders of Government.
A. Collector's office (three copies).
B. Divisional officers (each one copy).
C. Treasury deputy collector (one copy).
D. Tahsildars (each one copy).
E Deputy tahsildars in independent charge (each one copy).
F. District medical and sanitary officer and civil surgeons (one copy).
N. Additional medical officer on plague duty (one copy).
H. Medical officer in charge of plague inspection station (one copy).
I. Special plague officers (each one copy).
J. Municipalities (each two copies).
K. President, district board (one copy).
L. Taluk boards (each one copy).
APPENDIX L.
[Vide rule 69.]
List showing the distribution of copies of the notification regard-
ing plague-infected areas and notification stations.
Serial
number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Officers to whom copies should be distributed.
Agent, Madras and Southern Mahratta Railway
Company, Rayapuram.
Head Clerk, Local and Municipal Secretariat
(Plague Branch), Fort St. George.
President of the Corporation of Madras, Madras...
Presidency Port Officer, Madras
Sanitary Commissioner, Madras
Surgeon-General, Madras ...
Collector of Anantapur
„
North Arcot. Vellore
„
South Arcot, Cuddalore
„
Bellary
„
South Cañara, Mangalore
7
Number of
copies to be
sent.
30
15
6
5
4
1
21
30
24
22
19
72
Serial
number
12.
13
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
4L
42.
43.
44.
45.
46,
7.
48.
Officers to whom copies should be distributed.
Collector of Chingleput,
Saidapet
„
Chittoor
„
Coimbatore
„
Cuddapah
„
Ganjäm, Chatrapur
,,
Gödävari,
Cocanada
,,
Guntür . .
...
...
„
Kistna,
Masulipatam
„
Madura
,,
Malabar, Calient
„
Nellore
„
The Nilgiris, Ootacamund
,,
Rämnäd, Madura
,,
Salem
„
Tanjore
,,
Tinnevelly
„
Trichinopoly
„
Vizagapatam
General Officer Commanding Southern Brigade,
Wellington.
General Traffic Manager, South Indian Railway,
T rich in o poly.
Darbar Physician, Trivandram
General Officer Commanding the Southern District,
Wellington.
Agent, Bengal-Nagpur Railway, Calcutta
Resident in Travancore and Cochin, Trivandrum
Agent and Manager to His Highness the Nizam's
State Railway, Secunderabad.
General Officer Commanding the Belgaum District,
Belgaum.
General Officer Commanding the Bangalore Dis-
trict, Bangalore.
General Officer Commanding the Infantry Brigade,
Bolarum.
General Officer Commanding the Cavalry Brigade,
Bolarum.
The Hon'ble the Resident in Mysore, Bangalore
Lieutenant-General Commanding the Burma Dis-
trict, Maymyo.
Officers in charge of the frontier railway inspection
stations of Jalarpet, Hindupur, Bezwada, Hospet
and Raichur.
Chief Medical Officer,
Ernakulam
Senior Medical Officer, Port
Blair
Assistant Superintendent of Immigration, Ceylon
Government, Pamban.
Notification issuing officers at the railway stations
appearing in list B of the notification.
Number of
copies to be
sent.
19
19
26
21
26
30
25
30
24
25
37
24
11
19
24
36
25
26
86
8
250
2
12
10
10
7
6
6
6
6
5
6
2 each.
2
1
1
1 each.
73
APPENDIX M.
Instructions for the forwarding of material to the King Institute
of Preventive Medicine, Guindy.
PLAGUE.
A.—HUMAN PLAQUE.
Sources from which material suitable for examination may be obtained.
1. Spleen or liver—
(a) In fatal cases.
(b) Where it is possible fco perform puncture of these organs
during life.
2. Buboes.—In Bubonic plague,
3. Sputum.—In Pneumonic plague.
4. Peripheral blood.—When nothing else is available.
The preparation of specimens.
Material for cultural tests. This will be necessary only in special
cases. It is essential in sending such material that it be surrounded
by sufficient ice to ensure its reaching Guindy without decomposition.
Such material will in general be sent only as a result of correspondence
011 the subject when special directions will be given.
2. In all ordinary cases "films" should be forwarded.
Preparation of a film from the spleen.
(a) Dip one or two slides in water and clean them thoroughly with
a clean soft cloth. Lay the prepared slides on one side out of the way
of dust, etc.
(b) Remove the spleen or if a complete post-mortem examination
is not made extract the spleen by passing the band through an
incision over the left costal margin. Remember that the spleen may
be dragged backwards and upwards by the stomach if this organ is
collapsed.
When for any reason even a modified post-mortem examination is
not possible one may resort to puncture with a large needle. In this
procedure it is very difficult to be sure that the spleen has really been
tapped. It is also extremely difficult as a rule to get blood from a
spleen after death. It is best therefore, if driven to use a needle,
to puncture the larger and more engorged liver.
(c) With a knife or more conveniently still with a pair of scissors
cut into and remove with the aid of a forceps a piece of the spleen
about the size of a small pea. Holding this piece of tissue in the
forceps wipe it thrice along one of the clean slides forming three
separate streaks. Avoid excess of blood by " dabbing " the piece of
tissue when this is necessary on the slide before proceeding to make
the streaks.
7-A
74
In the case of the spleen this is usually not necessary.
(d) Wave the slide in the air until everything is quite dry.
(e) Wrap the slide in while paper. Write particulars on the
outside of the packet and despatch in one of the boxes provided by
the Institute for the purpose,*
Preparation of film from the liver.
Adopt the same procedure as for the spleen taking care to get rid
of an excess of fluid before smearing.
To puncture the spleen during life —
(a) Use an ordinary hypodermic needle.
(b) Do not use any antiseptic but boil the syringe if necessary,
(c) Eject a small drop of the blood obtained on to a slide and
make a film as for peripheral blood.
To obtain material for examination from buboes.
(a) Clean several slides.
(b) Clean the skin over the bubo with a little soap and water and
a clean towel. This is important as the skin of the groin and axilla
contains many organisms which are liable to increase the difficulty of
diagnosis where a minute quantity of fluid only is obtained.
(c) Steadying the bubo with the left, hand plunge the needle well
into the mass taking care to avoid such dangerous structures as the
femoral artery. Before doing anything further allow the needle to
remain a few moments in the tissues. Withdraw the point of the
needle very slightly and pull out the piston of the syringe.
It is often difficult to get any fluid whatever from a gland. In
such cases the only procedure is to allow the needle to remain in for
some minutes.
(1) Do not draw the needle too far out. Nor mistake a little
blood drawn in from the skin itself on the withdrawal of the needle
for gland juice.
(2) If there is any doubt as to the origin of the fluid obtained
this should be stated on the specimen as it may be possible microscopi-
cally to confirm or dissipate such doubts.
An alternative method much to be preferred where it can be carri-
ed out is to cut down upon the gland, divide it, and take a scraping
* Note — Slides and boxes for forwarding specimens can bo obtained by indenting-
on the King Institute.. Envelopes should he marked "plague indent" and addressed
" Director, King Institute of Preventive Medicine, Guindy."
The following form of indent is suggested :—
Please supply
to
Slides
A box will be sent with every two slides,
Not more than 12 slides with 6 boxes will ordinarily be issued at a time, and when
slides and boxes in excess o£ this number are required, they should be obtained from
the Madras Medical Stores Depôt.
Telegraphic address " Institute,"
75
from the cut surface. In cases where diagnosis is of infinité
importance this is by far the best procedure as it will yield almost
certain evidence, both positive and negative, regarding plague.
Do not be satisfied with pus from a dich argin g bubo or from a
suppurating bubo if less advanced buboes are present. Pus from an
old bubo may very well contain no recognisable plague bacilli whilst
pus from a bubo which has been discharging for some time is scarcely
likely to contain bacilli.
In fatal cases in addition to smears from the spleen any enlarged
glands should invariably be incised and smears made from the cut
surface.
To prepare films of peripheral Hood.
(a) Clear one or two slides and rub up the shaft of a needle
(surgical or sewing).
(b) Clean a finger of the patient by rubbing it gently with a wet
cloth and carefully drying it.
(c) Hold the finger between the thumb and first finger of your
"left hand and compress gently to drive the blood to the tip where you
are going to prick.
(d) Prick, and when a drop about the size of a match head has
exuded lower a clean slide upon it taking care not to " dab" the slide
on the skin.
(e) As quickly as possible, taking the slide in the left hand and
the point of the needle in the right lower the shaft of the needle on to
the drop and spread this over the slide in a thin film by passing the
needle slowly and in one sweep from left to right. If the result is not
satisfactory use another slide.
(f) On another slide or if necessary on the same slide at one end
collect another drop of blood and spread this with the head of the
needle over an area equal to that of a two-anna piece. When quite
dry wrap in paper and label.
General cautions regarding filmy.
(1) On no account cover any specimen with a slide or cover-
glass.
(2) Never use a slide without having first thoroughly cleaned
and carefully polished it._
(3) Never omit to wrap film in paper before placing in the box
for despatch.
(4) Do not nail, paste over with paper or otherwise deface the
box. All that is necessary is to tie it round with a piece of twine
and wrap neatly in a wrapper.
Interpretation of results.
(1) Do not send a film of peripheral blood with the idea that
you have done all that is required to enable the case to be diagnosed. '
The plague bacillus cannot as a rule be found in the peripheral blood
of plague patients. The absence of the plague bacillus from such a
specimen therefore really means very little and certainly does not
exclude plague.