Abstracts from
Reports
TENTH ANNUAL REPORT OF THE TUBERCULOSIS ASSOCIATION OF INDIA FOR THE YEAR 1948. PUBLISHED BY THE TUBERCULOSIS ASSOCIATION OF INDIA, NEW DELHI The Association entered on the tenth year of its activities in 1948 and, during that year, it had to contend with certain special problems. The aftereffects of the communal disturbances and of the large scale exchange of population between India and Pakistan continued to be felt during the year. The displaced persons were concentrated in camps and the conditions of life in them were far from satisfactory. There were considerable overcrowding, insanitation and limitation of the comforts of life and these helped to increase the incidence of tuberculosis. While the magnitude of the problem is so great that action on comprehensive lines for a comparatively long period will be necessary before adequate control of the disease can be established, it is gratifying to note that the Government of India has been alive to the importance of this problem and that it has, within the limits of its resources, sought to carry out an anti-tuberculosis campaign. In this connection certain measures may be mentioned. In collaboration with the World Health Organization and the International Children's Emergency Fund, the Government of India has introduced a comprehensive programme of BCG vaccination. Arrangements have been made for the manufacture of the vaccine at the King Institute, Guindy, and it is now being prepared on a scale adequate to meet India's requirements. The vaccination programme was first started at Madanapalle in the province of Madras with the active co-operation of the Union Mission Tuberculosis Sanatorium and has since been extended to the cities of Madras, Delhi, Bombay, Baroda, Amritsar, and Calcutta. The Governments of the provinces concerned are taking an active part in the vaccination programme. The two international organizations mentioned above have also offered a number of fellowships for the training of Indians overseas in tuberculosis work. Another important event to which attention should be drawn was the Conference of Health Ministers of the different provinces which met under the Chairmanship of the Health Minister of the Government of India in August 1948, in New Delhi. Among the subjects discussed at_ the Conference was tuberculosis and, in recognition of its importance, adequate attention was paid to the problem of developing anti-tuberculosia measures in India on a broad basis. The recommenda-
THE INDIAN MEDICAL GAZETTE
376
tions of the Conference included special measures for adoption by individual provinces in the light of existing conditions in those provinces as well as the formulation of a programme of teaching and research. The part that non-official bodies can play in providing comforts to the sick, assistance in domiciliary treatment and the provision of after-care to patients after discharge from hospital was stressed. It is also understood that the Central Government are considering the question of making special provision for tuberculosis patients from among displaced persons. year two% post-graduate refresher courses held under the auspices of the Tuberculosis Association of India. The Bombay Provincial Tuberculosis Association organized such a course of three weeks' duration in February 1948. This was attended by fifteen doctors. The next course, organized by the Mysore Tuberculosis Association in July 1948, was attended by twenty-three doctors.
During the
were
Under the Government of India scheme for scholar-
ships and short travel fellowships, Dr. B. K. Sikand, Medical
Clinic,
Superintendent
was
awarded
a
of the New Delhi" Tuberculosis travel fellowship.
Under the scheme sponsored by the Tuberculosis Association of India for the training of doctors in the Kasauli Sanatorium and the New Delhi Tuberculosis Clinic, seven doctors took their training in the course of the year. Four of these doctors were deputed by the Government of C. P. and three by the Government of Cochin. These courses of instruction provide for practical training for nine months. for tuberculosis
health
The 1948 course of training visitors under the auspices of the Association commenced in January in the New Delhi Tuberculosis Clinic. Of a total of 27 candidates who were selected, only six joined the class, two of them being women. The classes are held in Delhi for six months and in the Kasauli Sanatorium for two months. All the six candidates passed the prescribed tests and have been awarded the requisite certificates by the Association. Mrs. Saraswati Bai Gadgil of Bombay and Mr. Gurbachan Singh of Patiala stood first and second in the examination and they were awarded silver and bronze medals respectively by the Tuberculosis Association of India. The Sixth Tuberculosis Workers' Conference The Sixth Conference of tuberculosis workers was held in Calcutta from 20th to the 23rd December, 1948. Over 130 delegates attended the Conference. The Hon'ble Dr. B. C. Roy, the Premier of West Bengal, opened the Conference. In the course of his address, Dr. Roy stressed the need for education, organization and propaganda in anti-tuberculosis work and pointed out that non-official bodies must take part in the work as well as offer constructive suggestions to governments. It may be mentioned that this was the second conference held during the year; the first one was held in January 1948 in Madras. Affiliated Associations On the 15th of August, 1947, the Tuberculosis Association of India had on it 33 affiliated associations. Of these, 21 were State associations and 12 provincial. The tuberculosis associations of Bahawalpur, N.W.F.P. and Sind have now stated that they do not wish to continue their affiliation with the Tuberculosis Association of India. During the year under report, the re-grouping of some of the States affiliated to the Indian Union so as to form larger administrative units and the merging of some others into the adjoining provinces have had their repercussion on the tuberculosis associations which existed in those States. the tuberculosis associations Consequently, of Bikaner, Jodhpur and Udaipur have joined together to form an association for Rajasthan Union with its headquarters at Udaipur. The associations of Gwalior and Holkar have joined to form the Madhya Bharat
[Aug.,
1949
Union Tuberculosis Association functioning at the Union Capital, Gwalior. The States of Jambughoda, Jawahar, Chota-Udaipur have Santrampur, Lunawada and merged with the Bombay province and Baroda will join Bombay in May this year. Presumably the
tuberculosis associations of the States which merge into the province of Bombay will become associated with the Provincial Tuberculosis Association. The East Punjab Association has now been formed. At its request the Central Association gave a loan of Rs. 10,000 to the East Punjab Association to carry on its day-to-day administration, as the latter has not so far received its share of funds from the previous Provincial Tuberculosis Association of the Punjab.
The other affiliated associations carried on their normal work in a satisfactory manner. Many of them concentrated on educative propaganda in respect of antituberculosis measures. The Bombay Provincial Association organized a ' symposium' by medical practitioners in order to enlist their co-operation in antituberculosis work. It was decided to start a clinic in association with which organized home treatment would be started in collaboration with Bombay municipalityThe Provincial Association has also been actively cooperating with the local health authority and the Provincial Government in the organization of the BCG vaccination programme. The detailed reports from the different affiliated associations are given as an appendix to this report. Tuberculosis Institutions A tuberculosis hospital with 110 beds in Bombay and a tuberculosis clinic in Patiala started functioning during the year under report. The construction of a tuberculosis clinic in Rajkot was completed and it is expected to start working at an early date. The number of tuberculosis clinics in India, excluding Pakistan is 115. There are 65 tuberculosis hospitals and sanatoria, including the Sangodh Tuberculosis Hospital with 64 beds and another at Wai with 24 beds. The number of beds in such institutions in India to-day is 5,476. In addition, there are 1,839 beds for tuberculous patients in general and isolation hospitals and 600 beds for tuberculous soldiers. Donations A sum of Rs. 5,001 was received by Lady Mountbatten as donation from Dr. Alagappa Chettiar of Madias for the Kasauli Sanatorium. Two ex-patients of the sanatorium, Mrs. Bhagwan Das Bajaj of Calcutta and Messrs. Dan Trust Jamna Das of Gaspur (through Shri Ram Kumar Arya) donated Rs. 4,000 and Rs. 5,000 respectively for the sanatorium. The Tuberculosis Association of India expresses its grateful thanks to these donors. The Tuberculosis Association of India as the premier institution in the country for organizing anti-tuberculosis work looks forward to increasing support from governments and the public for the consolidation of the work it has already accomplished and for a growing expansion of its activities.
THE MISSION TO LEPERS : A REPORT OF THB SEVENTY-FOURTH YEAR'S WORK IN BURMA, INDIA AND PAKISTAN, FROM SEPTEMBER 1947 TO AUGUST 1948. Pp. 48 WITH ONE MAP AND 17 ILLUSTRATIONS, ISSUED BY THE INDIAN AUXILIARY The report opens with a foreword by the Hon. Secretary in India to the Mission to Lepers, Mr. Bailey this is followed by reports from the different leprosy homes and hospitals and homes for healthy children of leprosy patients in Burma, India and Pakistan, owned, managed or aided by the Mission to Lepers! >
these form the bulk of the report under review.^ A to the Mission,
report from the Medical Secretary
AijG-, 1949] renew stati +? Keoer
toJ^K na|L
ra?e' then follows. The last portion of the consists of statistics of inmates and medical enc* 1947; a map showing the k-at ^ distribution of the various institutions,
with the number of inmates in each and the ^le co-operating body where any; and finally the t diinV I exPenditure and income for the Mission's work au?ng the year 1947. reP?rt .from individual institutions (the total 17 n vfr, ?/ 'which is 48, 31 being managed directly and ^.the Mission) deals with the usual activities *n su?h places, viz, medical care, occupajherapy> including agriculture, gardening, weaving, etc social, recreational and religious ones. Thp e(iical Secretary stresses the point that the nmki re^e^ and rehabilitation has to be solved even "a specific cure for leprosy was found. total number of inmates in the Mission and homes was 10,070, consisting of 5,265 men, 3,045 Wom and 901 children patients and 859 healthy chjijen m ,ren- The total number of in-patients under treaten
Reports
TENTH ANNUAL REPORT OF THE TUBERCULOSIS ASSOCIATION OF INDIA FOR THE YEAR 1948. PUBLISHED BY THE TUBERCULOSIS ASSOCIATION OF INDIA, NEW DELHI The Association entered on the tenth year of its activities in 1948 and, during that year, it had to contend with certain special problems. The aftereffects of the communal disturbances and of the large scale exchange of population between India and Pakistan continued to be felt during the year. The displaced persons were concentrated in camps and the conditions of life in them were far from satisfactory. There were considerable overcrowding, insanitation and limitation of the comforts of life and these helped to increase the incidence of tuberculosis. While the magnitude of the problem is so great that action on comprehensive lines for a comparatively long period will be necessary before adequate control of the disease can be established, it is gratifying to note that the Government of India has been alive to the importance of this problem and that it has, within the limits of its resources, sought to carry out an anti-tuberculosis campaign. In this connection certain measures may be mentioned. In collaboration with the World Health Organization and the International Children's Emergency Fund, the Government of India has introduced a comprehensive programme of BCG vaccination. Arrangements have been made for the manufacture of the vaccine at the King Institute, Guindy, and it is now being prepared on a scale adequate to meet India's requirements. The vaccination programme was first started at Madanapalle in the province of Madras with the active co-operation of the Union Mission Tuberculosis Sanatorium and has since been extended to the cities of Madras, Delhi, Bombay, Baroda, Amritsar, and Calcutta. The Governments of the provinces concerned are taking an active part in the vaccination programme. The two international organizations mentioned above have also offered a number of fellowships for the training of Indians overseas in tuberculosis work. Another important event to which attention should be drawn was the Conference of Health Ministers of the different provinces which met under the Chairmanship of the Health Minister of the Government of India in August 1948, in New Delhi. Among the subjects discussed at_ the Conference was tuberculosis and, in recognition of its importance, adequate attention was paid to the problem of developing anti-tuberculosia measures in India on a broad basis. The recommenda-
THE INDIAN MEDICAL GAZETTE
376
tions of the Conference included special measures for adoption by individual provinces in the light of existing conditions in those provinces as well as the formulation of a programme of teaching and research. The part that non-official bodies can play in providing comforts to the sick, assistance in domiciliary treatment and the provision of after-care to patients after discharge from hospital was stressed. It is also understood that the Central Government are considering the question of making special provision for tuberculosis patients from among displaced persons. year two% post-graduate refresher courses held under the auspices of the Tuberculosis Association of India. The Bombay Provincial Tuberculosis Association organized such a course of three weeks' duration in February 1948. This was attended by fifteen doctors. The next course, organized by the Mysore Tuberculosis Association in July 1948, was attended by twenty-three doctors.
During the
were
Under the Government of India scheme for scholar-
ships and short travel fellowships, Dr. B. K. Sikand, Medical
Clinic,
Superintendent
was
awarded
a
of the New Delhi" Tuberculosis travel fellowship.
Under the scheme sponsored by the Tuberculosis Association of India for the training of doctors in the Kasauli Sanatorium and the New Delhi Tuberculosis Clinic, seven doctors took their training in the course of the year. Four of these doctors were deputed by the Government of C. P. and three by the Government of Cochin. These courses of instruction provide for practical training for nine months. for tuberculosis
health
The 1948 course of training visitors under the auspices of the Association commenced in January in the New Delhi Tuberculosis Clinic. Of a total of 27 candidates who were selected, only six joined the class, two of them being women. The classes are held in Delhi for six months and in the Kasauli Sanatorium for two months. All the six candidates passed the prescribed tests and have been awarded the requisite certificates by the Association. Mrs. Saraswati Bai Gadgil of Bombay and Mr. Gurbachan Singh of Patiala stood first and second in the examination and they were awarded silver and bronze medals respectively by the Tuberculosis Association of India. The Sixth Tuberculosis Workers' Conference The Sixth Conference of tuberculosis workers was held in Calcutta from 20th to the 23rd December, 1948. Over 130 delegates attended the Conference. The Hon'ble Dr. B. C. Roy, the Premier of West Bengal, opened the Conference. In the course of his address, Dr. Roy stressed the need for education, organization and propaganda in anti-tuberculosis work and pointed out that non-official bodies must take part in the work as well as offer constructive suggestions to governments. It may be mentioned that this was the second conference held during the year; the first one was held in January 1948 in Madras. Affiliated Associations On the 15th of August, 1947, the Tuberculosis Association of India had on it 33 affiliated associations. Of these, 21 were State associations and 12 provincial. The tuberculosis associations of Bahawalpur, N.W.F.P. and Sind have now stated that they do not wish to continue their affiliation with the Tuberculosis Association of India. During the year under report, the re-grouping of some of the States affiliated to the Indian Union so as to form larger administrative units and the merging of some others into the adjoining provinces have had their repercussion on the tuberculosis associations which existed in those States. the tuberculosis associations Consequently, of Bikaner, Jodhpur and Udaipur have joined together to form an association for Rajasthan Union with its headquarters at Udaipur. The associations of Gwalior and Holkar have joined to form the Madhya Bharat
[Aug.,
1949
Union Tuberculosis Association functioning at the Union Capital, Gwalior. The States of Jambughoda, Jawahar, Chota-Udaipur have Santrampur, Lunawada and merged with the Bombay province and Baroda will join Bombay in May this year. Presumably the
tuberculosis associations of the States which merge into the province of Bombay will become associated with the Provincial Tuberculosis Association. The East Punjab Association has now been formed. At its request the Central Association gave a loan of Rs. 10,000 to the East Punjab Association to carry on its day-to-day administration, as the latter has not so far received its share of funds from the previous Provincial Tuberculosis Association of the Punjab.
The other affiliated associations carried on their normal work in a satisfactory manner. Many of them concentrated on educative propaganda in respect of antituberculosis measures. The Bombay Provincial Association organized a ' symposium' by medical practitioners in order to enlist their co-operation in antituberculosis work. It was decided to start a clinic in association with which organized home treatment would be started in collaboration with Bombay municipalityThe Provincial Association has also been actively cooperating with the local health authority and the Provincial Government in the organization of the BCG vaccination programme. The detailed reports from the different affiliated associations are given as an appendix to this report. Tuberculosis Institutions A tuberculosis hospital with 110 beds in Bombay and a tuberculosis clinic in Patiala started functioning during the year under report. The construction of a tuberculosis clinic in Rajkot was completed and it is expected to start working at an early date. The number of tuberculosis clinics in India, excluding Pakistan is 115. There are 65 tuberculosis hospitals and sanatoria, including the Sangodh Tuberculosis Hospital with 64 beds and another at Wai with 24 beds. The number of beds in such institutions in India to-day is 5,476. In addition, there are 1,839 beds for tuberculous patients in general and isolation hospitals and 600 beds for tuberculous soldiers. Donations A sum of Rs. 5,001 was received by Lady Mountbatten as donation from Dr. Alagappa Chettiar of Madias for the Kasauli Sanatorium. Two ex-patients of the sanatorium, Mrs. Bhagwan Das Bajaj of Calcutta and Messrs. Dan Trust Jamna Das of Gaspur (through Shri Ram Kumar Arya) donated Rs. 4,000 and Rs. 5,000 respectively for the sanatorium. The Tuberculosis Association of India expresses its grateful thanks to these donors. The Tuberculosis Association of India as the premier institution in the country for organizing anti-tuberculosis work looks forward to increasing support from governments and the public for the consolidation of the work it has already accomplished and for a growing expansion of its activities.
THE MISSION TO LEPERS : A REPORT OF THB SEVENTY-FOURTH YEAR'S WORK IN BURMA, INDIA AND PAKISTAN, FROM SEPTEMBER 1947 TO AUGUST 1948. Pp. 48 WITH ONE MAP AND 17 ILLUSTRATIONS, ISSUED BY THE INDIAN AUXILIARY The report opens with a foreword by the Hon. Secretary in India to the Mission to Lepers, Mr. Bailey this is followed by reports from the different leprosy homes and hospitals and homes for healthy children of leprosy patients in Burma, India and Pakistan, owned, managed or aided by the Mission to Lepers! >
these form the bulk of the report under review.^ A to the Mission,
report from the Medical Secretary
AijG-, 1949] renew stati +? Keoer
toJ^K na|L
ra?e' then follows. The last portion of the consists of statistics of inmates and medical enc* 1947; a map showing the k-at ^ distribution of the various institutions,
with the number of inmates in each and the ^le co-operating body where any; and finally the t diinV I exPenditure and income for the Mission's work au?ng the year 1947. reP?rt .from individual institutions (the total 17 n vfr, ?/ 'which is 48, 31 being managed directly and ^.the Mission) deals with the usual activities *n su?h places, viz, medical care, occupajherapy> including agriculture, gardening, weaving, etc social, recreational and religious ones. Thp e(iical Secretary stresses the point that the nmki re^e^ and rehabilitation has to be solved even "a specific cure for leprosy was found. total number of inmates in the Mission and homes was 10,070, consisting of 5,265 men, 3,045 Wom and 901 children patients and 859 healthy chjijen m ,ren- The total number of in-patients under treaten
