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   At Bhera dispensary the weekly admissions for malarial fevers rose from a
number never exceeding 50 to over 500 (vide Chart 2). Towards the end of the
epidemic most of the excess in admissions was due to cases attending for enlarge-
ment of the spleen. At Miani the number of admissions for malaria rose from
under 50 per week to nearly 700 per week.

(ii) Mortality.

   The nature of the mortality curves for different areas will be apparent from
Chart 3.¹ They show a sharp rise usually towards the end of September, a high
level maintained throughout October and part or the whole of November and
rates falling rapidly in December and January to normal. The resemblance of
the curve to that of the autumn epidemics previously referred to will be apparent.

   It is remarkable that with the exception of the extreme south-east, where the
characteristic rise from mortality took place about a fortnight earlier than in
the northern part of the Punjab, places even hundreds of miles apart were
affected simultaneously.

   A comparison of the mortality curve with the dispensary records shows that
the two curves follow one another very closely. In the case of Amritsar the
admissions first began to be affected towards the end of August, but were not
seriously increased until the second week in September; the deaths were first
markedly increased in the fourth week in September. In the case of admissions
for sickness the numbers rose to its maximum in the week ending the 3rd
October and then declined rather rapidly. The death rate was highest in the week
ending 17th October. But the numbers of deaths continued comparatively much
higher than the admissions for sickness and did not decline until the end of
November, or about a month later than the fall in sickness rates.

   At Bhera the first indication of an increase of sickness occurred in the fourth
week in August; the first indication of an increase of mortality was in the middle of
September. The admissions were highest in the first week of October and mortal-
ity in the third week.

   At Miani sickness and mortality appeared almost coincidently, but the
admissions rose to their highest point in the last week of September, whilst the
greatest mortality was in the second week in October.

   In the case of Bhera a second rise in the number of admissions occurred in-
dependently of in creased mortality reaching its maximum at the end of November.
In this town therefore the sickness outlasted the mortality (vide next section).

   Roughly speaking the increase of mortality followed the increase in sickness
by about a fortnight.

¹It will be found in a pocket at the end of the Memoir.

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