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REPORT ON THE

arrangement that could have been made under the circumstances. I am still, however, of
opinion that the charge of the Presidency Jail is too onerous an additional duty for the Second
Assistant Surgeon of the hospital, though I am aware that no change can be made for the
present.

Transfer to the
   Civil Depart-
   ment.

      31. The transfer of the hospital to the Civil Department was rendered complete by
the building being from the 1st of April made over to the civil authorities, and since then
the hospital furniture has been similarly dealt with. The institution is now in every parti-
cular administered and treated as a civil hospital.

Medical aid for
   destitute Euro-
   peans.

      32. A question arose during the year regarding the provision of medical aid and treat-
ment for destitute Europeans. As far as Calcutta is concerned, the General and Medical
College Hospitals leave nothing to be desired in this respect. The rules under which patients
are admitted into the former of these hospitals are placed in the appendix.

CALCUTTA HOSPITAL NURSES' INSTITUTION.

      33. THE circumstances of this most useful institution are more satisfactory than they
were represented to be in the report of 1870. The public has responded so liberally to the ap-
peal for aid that the year closed with a considerable surplus, and an addition to the staff of
nurses was contemplated. The testimony borne by the chief medical officers of the Medical
College and General Hospitals to the value of the services rendered by the nurses is warm:
the element of nursing has now become all over the world a necessary and indispensable
part of hospital administration. The report of the Committee of this institution is
appended.

MUNICIPAL PAUPER HOSPITAL.

The Pauper Hospi-
   tal a better index
   of the salubrity
   of Calcutta than
   the others.

      34. THIS hospital is a better index of the salubrity of the town than all the others
put together, because it receives all-comers, and is also the receptacle of cases which are
rejected from other hospitals, because they offer no hope of successful treatment or cannot
be accommodated. The following statement gives a synopsis of the statistics of this hospital
since its opening. The reduction of the death-rate is marked and satisfactory, and can be
explained in no other way than by the greater healthiness of Calcutta.

STATEMENT No. XIII.

YEARS. Total treated. Received by
transfer from
other hos-
pitals.
Died. Died per 1,000
treated.
Died within
24 hours.
Died within
one week.
Died within
one month.
Died within
3 months.
REMARKS.
1867 4,131 No record is kept
  of the numbers
  received from
  other hospitals,
  but they form
  about half of the
  total admissions.
1,302 315.18 396 407 414 85 The cases brought to this hospital from
  the Medical College, &c., are not
  patients of those hospitals, but appli-
  cants for admission, who are not con-
  sidered suitable cases for them, and are
  forwarded on here under orders from
  Government for the following reasons—
  "moribund," "incurable," "no
  accommodation," &c.
1868 4,841 1,626 335.88 455 440 528 203
1869 5,340 1,421 264.23 457 406 402 156
1870 3,975 1,075 270.41 374 324 241 136
1871 4,283 1,230 287.18 282 395 412 141

Improvements.

      35. Considerable improvements have been effected in the latrine arrangements,
and the municipal water has been supplied for the use of the patients. Some improve-
ments in the floor of the hospital and in the state of the surface drains are needed, and
I would recommend that the municipality be moved to effect the necessary repairs without
delay.

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