on this east eide and higher ground. They are of course in their first year too young to produce all the benefit. I anticipate, and I was anxiously waiting the advent of clioiera this
trees
am surprised at the discovery that since last when the cholera left us, intermittent ft-rfer (ague,) ceased from infesting this hospital on the bare
autumn, when I
September had
never
roclc. I ain now doing what should have hospital was built, and I am certain that
been done before the barracks in India or
no
in any hot climates are safe without, it, i. e., deep subsoil draining it. I find, whar, I expected to find, a mixture of rock hard ' Morum* as marble, and disintegrated spongy rock called here that can be crumbled by the hand : the former generally lying: below the latter and preventing the sinking into the bowels of the earth of the moisture which it will hold tenaciously for months, and which gives out its quota of noisome exhalationt of carbonic acid to the night and the collected human bodies in the nearest wards of the hospital. I hope by the cutting of deep trenches to let the heat extract the poison?the trenches will be sloped, off the rainfall and
carry
coining
prevent
its
sun so
lodging during
and as
to
the
monsoon.
I need not write more, unless to say that as I only took command of the Poona Division last year, and the troops having been changed just previously, I am unable to pet. more than tradition of similar unhealfchiness of this Wanowrie Hospital which I hope to alter, or at all events to mitigate ; and, I give Surgeon-Major Moffit's?an able and untiring officer, of the loth ago
by
Regiment?statement of the men attacked 8 months hospital while under treatment for other
cholera in
men attacked in the same wards with ague while under treatment for local affections since that time.
diseases, and also of
Cholera.?7 men, SANITARY NOTES IN POONA.
J3y v
Lord Mark Keer,
j
Major- General, Commanding
Toona
Division.
I
bring to professional notice the seemingly mysterious generation
remarkable of fever and
a
^ instance of cholera in certain localities, the present case being one in which these two scourges have chosen, what I maintain to be, one of their most favorite breeding dens. Ir. is not the ruined, weed-covered, and slimy tank, nor the foul looking pond put to foul uses and surrounded by hovels with a swarming population?not these, kissed by the sun beams which draw up their poison to the upper regions of air, but it is the bare, and, to all appearances, tempting the Engineer by its pretty elevation, and the Medical Officer by the absence of vegetation,
dry rock, tempting and, as I equally with
maintain, requiring often deep draining at least the more unwholesome looking swamn. Last year cholera visited Poona, and, neglecting Wanowrie and
alone.
attacked
Situated
on
some
sup-
palatial barracks at open, slightly sloping
the an
deriving
every benefit from the west sea breezes, one would suppose that neither epidemic nor endemic would find anything impure to fasten on there. Hut where it struck hardest was the dry rock, on the
ground,
of whom
were
in the E.
wards, and of
Ague.?Since last September?48 men, 34 of this number in the E. wards. 1875?October. 3 : November, 7 ; December, 61876 January, 9 ; February, 8 ; March, 4; April, 5 ; May, 6. Total 48. ?
I AM anxious to
posed sickly localities,
4
them 3 died.
pleasant elevation on a slope, towards the west of which stands the Regimental Hospital, sheltered from the unhealthy east ?wind by higher ground, on which are placed the hospital offices and godown. It is here that cholera hit the hardest, and it is here that, fever has been attacking the patients ever since. As I have every confidence in the absorbing power bv the leaves of certain trees of malarious gases during night, and tlit-ir giving them to the rajs of the sun next I caused holes to be blasted in the rock and have
day,
planted
belts of young
I trust, I may be excused, without incurring the charge of in giving my evidence in this matter. For I have encountered, I may say I have commanded battalions of soldiers against the severest epidern;cs of yellow fever in the
presumption,
West
Indies, and of cholera in America and in India. Ia mysterious coming?like the thief in the night?in their murderous striking, and tlieir silent and sudden going, they are the same. And I believe that, while we may escape them to a great extent by a judicious system of tactics in the changing of our ground?the plan originated by Field Marshal Sir W. Grornin when commanding in Jamaica and witnessed by me in 1841 a system of prevention should be adopted by the State, and that the very ordinary measures of deep subsoil draining, pure irrigation, and tree planting, which I practised with such success against the Delhi Sore in 1863, would, a3 I then said, prevent equally the approach of epidemics whether their
of cholera
or
fever.
Since I wrote the foregoing I am most glad to be able quote in strong support of my opinion the following extract a letter I have to-day received from Surgeon-Major Sexton the 8tli Native Infantry :?" I find in the sickness
Wanowrie
to of of
existing at
a
Hong-Kong,
corroboration of what happened some years ago ia where a most virulent outbreak of fever was trace-
able to the liberation of certain deleterious gases acid and carbonic oxide) by disintegrated rock hard
(carbonic resting on a.
such as.you describe, and I know of no better of prevention than those you have adopted, i.e., plantand draining."
substance,
means
ing Poona, 17th
June 1876.