October 2,
C HOLERA, chiefly centered on the Punjab, where, during. the disease, after having, in July, underabatement, lias been steadily increasing as regards
Attention is the month of gone
some
now
August,
In July the number of deatlis and severity. in the province was 489, against 989 in June. Dr. Fairweather attributes the decline to tlie heavy rainfall. The details of the incidence of the disease are given in the following table prepared from the returns published in the Punjab Gazette :?
both
235
CHOLERA.
1872.]
area
registered
Week ENDiifo
Districts.
mere, where the mortality is reported to be very severe ; and to Samarkand and Bokhara and its neighbourhood, to Farrack, Garisk, Seistan, Garram Sail, Khauk Sliai beyond Kanduliar, and other places. In the North-Western Provinces the disease lias declined greatly. The deaths reported since our last article was written are as follow :?Mirznpore, 32; Cawnpore, 54; Azinigurli, 59 ; Benares, 54,?total, 199. In Allahabad there have been some isolated cases, and among thern Mr. F. O. Mayne, C.B., Commissioner of Allahabad, and the Revd. Mr. Fagan, the chaplain of tlie station. Two cases occurred in the Allahabad district jail on 28th August, and on the 6th and 7lh September two other cases. A case occurred in the Benares district jail on the 21st August, aud in the district jail on the 31st. In the Azinigurli jail, 8 cases occurred between the 2nd and lOtli of August. Dr. G. Hutcheson, Garrison Assistant Surgeon of Chur.iir, reports a slight outbreak among the bheesties of the 96th Foot. He writes: " On making an inspection, as civil medical officer, of a part of the town of Cliunar adjoining the fort, where cholera was reported on the morning of the 27th instant, I unexpectedly came to the place where the bheesties of the detachment were hutted. One of their number was found dead, and another in a state of collapse from cholera. " Instructions were at once issued to prevent the admission of any bheestie into the fort, and provision was forthwith made to supply the detachment with water independently of the bheesties. Further, with the kind assistance and hearty cooperation of the officer in command of the detachment (Captain Hughton), other precautionary measures were, without loss of ?
Gurcaon Delhi Hissar Sirsa Karnal Ambalah Ludiatiah
18 31 2 2 21 41 137 23 1 24 99
...
...
...
20 1 103 30 3 6 112
...
Ferozepore Kanjrra...
Amritsur Lahore...
35 65 185 26 2 10 149
Montgomery
Sealkote Jhelum
15 40
...
Slazafarparh.
18 101 153 13 72 114 21
liawul Pindee Jalandhar
Hushiarpore Gujrat ...
Kohat Guj ranwala ...
...
Shahpore
Derail
Ghazi Khan
Gurdaspore
130 1
Peshawar
Total
270
753
:
1,084
The disease has been
at Lahore through23rd August, there were 204 cases and 109 deaths in and around the city ; 38 cases and 15 deaths in the central jail ; 43 cases admitted in a "contagious disease hospital" in Meean Meer, and 24 deaths ; and 7 cases and 4 deaths in the 24tli Native Infantry. During the week ending 30th August, there were in and around cases and 51 deaths ; in the central jail, 3 cases Lahore, 74 and 3 deaths ; in the cantonment hospital, 42 cases and 33 in the 24th Native deaths; Infantry. 6 cases and 2 deaths ; in the 17th Native Infantry, 8 cases and 5 deaths. During the following week, cases in the city fell to 34, and deaths to 22. In the central jail no new cases occurred, and only 2 deaths ; in the Meean Meer hospital, there were 14 cases admitted and as many deaths ; in the 24th Native Infantry, one admission and no death ; in the 17th Native Infantry, 4 admissions and 2 deaths; and one admission in the 18th Bengal Cavalry. During the week ending 13tli August the numbers were as follow : City, 6 admissions, 3 deaths ; central jail, none ; regiments and Meean Meer hospital, none. The whole number of cases and deaths which have occurred since the commencement of the outbreak are as follows :? Cases. Deaths. Lahore city and suburbs ,it Central jail ... Meean Meer hospital 24th Native Infantry 17th ? ? ... 18tli Bengal Cavalry ,,, out
September.
gradually subsiding During the week ending
?
...
Total
...
1,208
625
These figures do not include the statistics of British troops which have suffered to a considerable extent. Our information from other parts of the Punjab is not equally detailed. The disease has, it is rumoured, entered Koliat and threatened
Peshawur; thorough
measures
this cantonment, which suffered sease appears to have travelled
being adopted to protect severely in 1869. The dibeyond, the Punjab to Cash-
are so
time, adopted.
"The occurrence of a case of malignant cholera in the person of a havildar of the detachment 5th Native Light Infantry, on the morning of the 26th instant, and of another suspicious case (that of a sepoy of the same detachment) was attributed by me to the use of the water of a well in the vicinity of the fort, and in the immediate neighbourhood of the part of the town affected with cholera. The use of the well by the sepoys had been interdicted on the afternoon of the 26th instant, and the outbreak of cholera amongst the bheesties, who had been using the water, pointed clearly enough to the source of the disease. " Happily, the use of well water by the European detachment had been prohibited long before the occurrence of the out* break, and this detachment (96th Foot) has been supplied for a considerable time with river water only, which is first boiled and then filtered previous to use. The immunity of the men of the European detachment in this strange outbreak I attribute solely to the fact of their having been supplied with river water, and to the immediate isolation of the bheesties on the outbreak of cholera amongst them becoming known. " Since the adoption of precautionary measures and tho closing peremptorily of the contaminated well, no other case of cholera has been reported in the locality, and the detachments, both European and native, remain healthy." Cholera has attacked the troops at Meerut severely since we last wrote, and has appeared again at Lucknow and Fyzabad ; but we have had no details. The disease also prevailed in the Shahjehanpore district in August. In tho Central Provinces the disease does not seem to bo gaining much head. Cases continued to occur in the city of Nagpore, and in tho districts of Nimar, Hoshungabad, Wurdha, Clianda, and Nursingpore, during the month of August, but they were confined to one or a few villages in each district. In Jabalpur 18 cases and 10 deaths occurred from 1st to 17th August; none since. Mr. Boss, Deputy Inspector-General of Hospitals, Saugor Circle, reports ;?" On the 1st August cholera appeared in a village (Saliwara), 13 miles south-east of the station. This case was in a man who had returned some days before from Jabalpur, where he resided for four days in search of employment. The last caso occurred on the 13th ; 22 persons were attacked, of whom 0 died. The population of the village is 303 ; numbers of houses, 71. On the 8tli one fatal case occurred in a village 2 miles from Saliwara, and on tho Uth a case occurred in another village, which recovered. No other cases occurred." In Bengal, cholera has disappeared from Darjeeliiig, and subsided in Julpigoree and Orissa. Frequent cases have been occurring in the, district of Burdwan, where the unfortunate inhabitants are also suffering from fever and dengue. In other districts limited outbreaks have been reported up to the 15th
230
THE INDIAN MEDICAL GAZETTE.
September, namelv, 24-Pergunnahs, Seratnpore, Beerbhoom, Bancoorah, Bhaugulpore, Monghyr, Patna, Shahabad, Gowalparah, Gya, Hazareebaugh, and Ranches. The outbreak in the Gowalpavali district occurred at Luckipore during the months of June and July. The disease broke out in the Chuprah jail on the 9th of August, and 10 case3 with
In our hist 5 deaths occurred up to the 26th of that month. number we mentioned that cholera had broken out at KattnanIt doo. The disease appeared in the first week of August. entered the valley from the westward, where it had been raging for two months, and gradually spread eastward along the main line of traffic. It spread to the surrounding towns and villages, and this was favored by some festivals at Katrnundoo at the end of August which attracted crowds. Up to the 9th September from 50 to 100 deaths had been occurring daily. The residency lines had escaped. Dr. D. Wright, Residency Surgeon, states "that in former epidemics of cholera the residency lines have never been attacked, probably owing to their isolated position and the purity of their water-supply. The lines stand on a high table-land, and are surrounded by belts of pine and other trees. The sepoys have two small tanks, one for bathing purposes, and the other for supplying drinking water; both of which are .supplied from springs. There is also another spring near the residency which gives good water. The neighbourhood of these is always kept clean." We have seen that cholera has been carried to Cashmere, Samarkand, and Bokhara; we find the disease spreading to Nepal by the agency of human intercourse ; and it appears from Madras reports that another extension has been going on to the south, from Orissa, along the sea coast, into the districts of Ganjam and Vizagapatam. This " movement" took place in March and April.
[October
2. 1S72.
C HOLERA, chiefly centered on the Punjab, where, during. the disease, after having, in July, underabatement, lias been steadily increasing as regards
Attention is the month of gone
some
now
August,
In July the number of deatlis and severity. in the province was 489, against 989 in June. Dr. Fairweather attributes the decline to tlie heavy rainfall. The details of the incidence of the disease are given in the following table prepared from the returns published in the Punjab Gazette :?
both
235
CHOLERA.
1872.]
area
registered
Week ENDiifo
Districts.
mere, where the mortality is reported to be very severe ; and to Samarkand and Bokhara and its neighbourhood, to Farrack, Garisk, Seistan, Garram Sail, Khauk Sliai beyond Kanduliar, and other places. In the North-Western Provinces the disease lias declined greatly. The deaths reported since our last article was written are as follow :?Mirznpore, 32; Cawnpore, 54; Azinigurli, 59 ; Benares, 54,?total, 199. In Allahabad there have been some isolated cases, and among thern Mr. F. O. Mayne, C.B., Commissioner of Allahabad, and the Revd. Mr. Fagan, the chaplain of tlie station. Two cases occurred in the Allahabad district jail on 28th August, and on the 6th and 7lh September two other cases. A case occurred in the Benares district jail on the 21st August, aud in the district jail on the 31st. In the Azinigurli jail, 8 cases occurred between the 2nd and lOtli of August. Dr. G. Hutcheson, Garrison Assistant Surgeon of Chur.iir, reports a slight outbreak among the bheesties of the 96th Foot. He writes: " On making an inspection, as civil medical officer, of a part of the town of Cliunar adjoining the fort, where cholera was reported on the morning of the 27th instant, I unexpectedly came to the place where the bheesties of the detachment were hutted. One of their number was found dead, and another in a state of collapse from cholera. " Instructions were at once issued to prevent the admission of any bheestie into the fort, and provision was forthwith made to supply the detachment with water independently of the bheesties. Further, with the kind assistance and hearty cooperation of the officer in command of the detachment (Captain Hughton), other precautionary measures were, without loss of ?
Gurcaon Delhi Hissar Sirsa Karnal Ambalah Ludiatiah
18 31 2 2 21 41 137 23 1 24 99
...
...
...
20 1 103 30 3 6 112
...
Ferozepore Kanjrra...
Amritsur Lahore...
35 65 185 26 2 10 149
Montgomery
Sealkote Jhelum
15 40
...
Slazafarparh.
18 101 153 13 72 114 21
liawul Pindee Jalandhar
Hushiarpore Gujrat ...
Kohat Guj ranwala ...
...
Shahpore
Derail
Ghazi Khan
Gurdaspore
130 1
Peshawar
Total
270
753
:
1,084
The disease has been
at Lahore through23rd August, there were 204 cases and 109 deaths in and around the city ; 38 cases and 15 deaths in the central jail ; 43 cases admitted in a "contagious disease hospital" in Meean Meer, and 24 deaths ; and 7 cases and 4 deaths in the 24tli Native Infantry. During the week ending 30th August, there were in and around cases and 51 deaths ; in the central jail, 3 cases Lahore, 74 and 3 deaths ; in the cantonment hospital, 42 cases and 33 in the 24th Native deaths; Infantry. 6 cases and 2 deaths ; in the 17th Native Infantry, 8 cases and 5 deaths. During the following week, cases in the city fell to 34, and deaths to 22. In the central jail no new cases occurred, and only 2 deaths ; in the Meean Meer hospital, there were 14 cases admitted and as many deaths ; in the 24th Native Infantry, one admission and no death ; in the 17th Native Infantry, 4 admissions and 2 deaths; and one admission in the 18th Bengal Cavalry. During the week ending 13tli August the numbers were as follow : City, 6 admissions, 3 deaths ; central jail, none ; regiments and Meean Meer hospital, none. The whole number of cases and deaths which have occurred since the commencement of the outbreak are as follows :? Cases. Deaths. Lahore city and suburbs ,it Central jail ... Meean Meer hospital 24th Native Infantry 17th ? ? ... 18tli Bengal Cavalry ,,, out
September.
gradually subsiding During the week ending
?
...
Total
...
1,208
625
These figures do not include the statistics of British troops which have suffered to a considerable extent. Our information from other parts of the Punjab is not equally detailed. The disease has, it is rumoured, entered Koliat and threatened
Peshawur; thorough
measures
this cantonment, which suffered sease appears to have travelled
being adopted to protect severely in 1869. The dibeyond, the Punjab to Cash-
are so
time, adopted.
"The occurrence of a case of malignant cholera in the person of a havildar of the detachment 5th Native Light Infantry, on the morning of the 26th instant, and of another suspicious case (that of a sepoy of the same detachment) was attributed by me to the use of the water of a well in the vicinity of the fort, and in the immediate neighbourhood of the part of the town affected with cholera. The use of the well by the sepoys had been interdicted on the afternoon of the 26th instant, and the outbreak of cholera amongst the bheesties, who had been using the water, pointed clearly enough to the source of the disease. " Happily, the use of well water by the European detachment had been prohibited long before the occurrence of the out* break, and this detachment (96th Foot) has been supplied for a considerable time with river water only, which is first boiled and then filtered previous to use. The immunity of the men of the European detachment in this strange outbreak I attribute solely to the fact of their having been supplied with river water, and to the immediate isolation of the bheesties on the outbreak of cholera amongst them becoming known. " Since the adoption of precautionary measures and tho closing peremptorily of the contaminated well, no other case of cholera has been reported in the locality, and the detachments, both European and native, remain healthy." Cholera has attacked the troops at Meerut severely since we last wrote, and has appeared again at Lucknow and Fyzabad ; but we have had no details. The disease also prevailed in the Shahjehanpore district in August. In tho Central Provinces the disease does not seem to bo gaining much head. Cases continued to occur in the city of Nagpore, and in tho districts of Nimar, Hoshungabad, Wurdha, Clianda, and Nursingpore, during the month of August, but they were confined to one or a few villages in each district. In Jabalpur 18 cases and 10 deaths occurred from 1st to 17th August; none since. Mr. Boss, Deputy Inspector-General of Hospitals, Saugor Circle, reports ;?" On the 1st August cholera appeared in a village (Saliwara), 13 miles south-east of the station. This case was in a man who had returned some days before from Jabalpur, where he resided for four days in search of employment. The last caso occurred on the 13th ; 22 persons were attacked, of whom 0 died. The population of the village is 303 ; numbers of houses, 71. On the 8tli one fatal case occurred in a village 2 miles from Saliwara, and on tho Uth a case occurred in another village, which recovered. No other cases occurred." In Bengal, cholera has disappeared from Darjeeliiig, and subsided in Julpigoree and Orissa. Frequent cases have been occurring in the, district of Burdwan, where the unfortunate inhabitants are also suffering from fever and dengue. In other districts limited outbreaks have been reported up to the 15th
230
THE INDIAN MEDICAL GAZETTE.
September, namelv, 24-Pergunnahs, Seratnpore, Beerbhoom, Bancoorah, Bhaugulpore, Monghyr, Patna, Shahabad, Gowalparah, Gya, Hazareebaugh, and Ranches. The outbreak in the Gowalpavali district occurred at Luckipore during the months of June and July. The disease broke out in the Chuprah jail on the 9th of August, and 10 case3 with
In our hist 5 deaths occurred up to the 26th of that month. number we mentioned that cholera had broken out at KattnanIt doo. The disease appeared in the first week of August. entered the valley from the westward, where it had been raging for two months, and gradually spread eastward along the main line of traffic. It spread to the surrounding towns and villages, and this was favored by some festivals at Katrnundoo at the end of August which attracted crowds. Up to the 9th September from 50 to 100 deaths had been occurring daily. The residency lines had escaped. Dr. D. Wright, Residency Surgeon, states "that in former epidemics of cholera the residency lines have never been attacked, probably owing to their isolated position and the purity of their water-supply. The lines stand on a high table-land, and are surrounded by belts of pine and other trees. The sepoys have two small tanks, one for bathing purposes, and the other for supplying drinking water; both of which are .supplied from springs. There is also another spring near the residency which gives good water. The neighbourhood of these is always kept clean." We have seen that cholera has been carried to Cashmere, Samarkand, and Bokhara; we find the disease spreading to Nepal by the agency of human intercourse ; and it appears from Madras reports that another extension has been going on to the south, from Orissa, along the sea coast, into the districts of Ganjam and Vizagapatam. This " movement" took place in March and April.
[October
2. 1S72.
