26 2. Accordingly on the 13th December an inspection of railway passengers was commenced at Karáchi station, under the orders of the Principal Medical Officer. The passengers were at first examined at the entrance gates, where the tickets were checked, and afterwards in the carriages, at the city station. The Railway Apothecary inspected the train again at the Cantonment station. These arrangements were supervised by the Civil Surgeon. 3. On 29th December the Government of India telegraphed to the Govern- ment of Bombay to arrange for the inspection of passengers at Karáchi and the principal railway stations, as had been done in the case of Bombay. The Com- missioner in Sind was accordingly asked to make the necessary arrangements, and to submit proposals to Government. A similar telegram was received from the Government of India, Public Works, on December 30th. 4. In reply, the Commissioner in Sind reported on 4th January that inspection had been made for several weeks at Karáchi stations, and since the 1st January at all other stations where there were Hospital Assistants. He further asked what system had been adopted for railway inspection in the Presidency proper. 5. He was accordingly informed that Hospital Assistants had been posted at the principal stations to inspect passengers from Bombay, with the co-opera- tions of the railway authorities. Cases when detected were segregated in sheds provided by the Municipalities, who took measures under Section 73 of the Municipal Act. The stations at which inspections were made in Sind from. 1st January were: Kotri Main. Ruk. Laki. Jacobabad. Dadu. Sukkur. Hyderabad. Rohri. Pad Edan. Reti. "The chief inspections," reported the Principal Medical Officer, "are made at Kotri, Dádu, Jacobabad, and Sukkur, where trains wait a considerable time, or stop by daylight at the other places the examinations are subsidiary. Special instructions have been issued for the inspections at Dádu, and at Rohri and Sukkur, passengers by the down trains also have been examined since the 14th instant. At Shikárpur the examination of passengers by rail has been directed to be carried out by the Medical Subordinates at the disposal of the Civil Surgeon and by the Medical Officer in charge of the Municipal Dispensary. Both the up-mails and the local trains are inspected. At the places named below the inspection of passengers is made by the Medical Officers in charge of dispensaries, viz.: Sehwan. Mirpur Khás. Tando Adam. Ghotki. Tando Aláhyar. Lárkhána. At Jungshai railway station, by request of the Collector, a Hospital Assistant has been specially posted to inspect passengers alighting from Karáchi for the town of Tátta. At Sehwan from the 18th to the 24th January a special Hospital Assistant was detailed in addition to the Dispensary Medical Officer for the inspection of railway passengers visiting the Lal Shahbaz fair. At Jhimpur on the 19th January the Hospital Assistant in charge of the Jerruck Dispensary was sent to inspect arrivals of trains during the Amirpir fair." 6. On January 1st, Collectors and Deputy Commissioners had been asked to give what help they could to the inspecting officers, and the Railway District Traffic Superintendents had been requested to arrange for the inspection. District Boards and Municipalities had undertaken the erection of isolation sheds. To supplement the arrangements of the medical authorities, the Commissioner in Sind on the 10th January addressed a circular to all Collectors and Deputy Commissioners with regard to the inspection of travellers. 7. Revenue officers were asked in the first place to keep an eye on the Hospital Assistants engaged on the medical inspection. It was directed that Municipalities should at once be instructed to submit proposals for measures to be taken under Section 7 3 of the District Municipal Act, and should arrange to erect huts for the reception of any cases which might be detected at the inspection posts; accommodation for the friends and relations of the patient should also be provided. All possible provision for the comfort of those so detained should be made, and the Magisterial and Police officers should assist in the detention of suspects and plague cases,