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CALCUTTA MEDICAL INSTITUTIONS.

27

Christians.
  Men 39.08
Daily average number sick Women 5.00
  Children 3.25
  47.33
Mortality per mille of total treated 36.73
Mortality of each class per mille of total treated—  
Europeans.
Men 55.55
Women 0.00
Children 0.00
Eurasians.
Men 19.56
Women 16.66
Children 111.11
Natives.
  Men 22.76
Daily average number sick Women 14.67
  Children 7.52
44.95
Mortality per mille of total treated 225.55
Mortality of each class per mille of total treated—  
Mussulmans.
Men 146.58
Women 529.41
Children 138.88
Hindoos.
Men 224.11
Women 384.26
Children 133.33

     There was a trifling decrease in the total number treated of Christian in-door patients
as compared with that of 1874, but there has been an increase of 267 in the total number
of natives treated.

     3. Of 844 in-door Christian patients treated, there died 31, or with a death-rate of
36.72 per mille of total treated, and this death-rate was considerably less than that of 1874.

In-door
patients.

     There were 1,401 native in-door patients treated, of whom 316 died, or at the rate of
225.55 per mille of total number treated; this death-rate was less than that of 1874.

     Regarding this reduction in the death-rate of Christian and native in-door patients during
1875 Dr. Bird remarks as follows:—"This reduction is probably attributable as much to
temporary causes as to permanent causes or improved methods of treatment, the treatment
of the diseases causing the most deaths, viz. diarrhœa, dysentery, and fever, being much
the same in one year as the other. The mortality being smaller among all classes would
seem to indicate that those potent though obscure causes of disease, which, in the exercise of
their full powers, reveal themselves in the phenomena of epidemics, were less active in 1875
than in 1874."

     4. The following table shows the number of Christian (European and Eurasian) in-door
patients treated for some of the more common diseases, and the rate of mortality from
each:—

Admissions and
rate of mortality
of Christians from
some of the more
common diseases.

1875.
DISEASES.
Treated. Died. RATIO OF DEATHS PER MILLE.
Treated. Total treated
from all causes.
Total deaths.
Cholera 22 13 590.90 15.40 419.35
Hepatic abscess 6 4 666.66 4.73 129.03
Remittent fever 44 3 68.18 3.55 96.77
Phthisis 14 2 142.85 2.36 64.51
Dysentery 34 1 29.41 1.18 32.25

     Dr. Bird states that cholera and dysentery were not at all prevalent among the European
and Eurasian population in and around Howrah during 1875, but that the same remark is
not quite applicable to remittent fever, of which disease a good many cases of a serious
nature were treated.

     5. The following table exhibits the admissions, deaths, and rates of mortality of native
in-door patients from some of the diseases more commonly met with in hospital practice:—

Admissions and death-rate of
natives from some
of the more
common diseases.

1875. Treated. Died. RATIO OF DEATHS PER MILLE.
Treated. Total treated
from all causes.
Total deaths.
Fevers 168 37 220.23 26.40 117.09
Cholera 110 28 254.54 19.98 88.60
Dysentery 335 76 226.86 54.24 240.50
Diarrhœa 151 43 284.76 30.69 136.07

      The mortality amongst the native in-door patients (225.55 per mille of total number
treated), though somewhat lower than it was in 1874, may still be considered to have been
at a very high rate, and it will be observed that dysentery and diarrhœa caused more than
one-third of the total number of deaths.

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