?3
names in the returns submitted to me by the Revenue authorities often differs
so much from the names printed in the ordnance map, that I have not been able
to recognize all the places where cholera appeared, but enough are indicated in
the accompanying map to show the northward progress of cholera in April and
May.
Northward extension
of cholera observed in
Nellore in April, and in
Kistna in May.
Virulence of cholera
in Nundigama Talook
on the Nizam's frontier
early in May.
15. On referring to the daily death report of cholera, I find that, while the
disease was active in the Nellore District in the month of
April, it did not become so in the Kistna District to the north-
ward until the month of May. In this month the intensity of
cholera was most marked in the Nundigama Talook, which adjoins the Nizam's
country. Out of a total of 120 cholera deaths in the Kistna
District in May, eighty-five occurred in the Nundigama Talook.
In the town of Juggiapett, which stands on the Nizam's
frontier, there were eighteen cholera deaths in May. Epidemic disease began
there apparently on the 8th of the month. This town is only a little more
than 100 miles from Secunderabad, and is on the high road of traffic between
Hyderabad and Masulipatam on the Eastern Coast. From another village in the
Nundigama Talook, "Pendala" (not marked on the map) there were reported
twenty-eight cholera deaths in May.
Disease imported into
Secunderabad along eas-
tern road.
16. Beyond the frontier talook of Nundigama there are no records to show
the daily advance of cholera along the high road towards
Hyderabad, but it is a fact beyond all question that, so far
as Secunderabad is concerned, the disease was introduced
along this eastern road.
History of earliest
known cases in Secun·
derabad.
Extract from Dr. Bar-
clay's Official Diary.
17. We have seen the disease established at Juggiapett, about 100 miles
distant from Secunderabad on the east, on the 8th May. On
the 20th May three travellers, who had passed over this
eastern road, died of cholera in a chuttrum near "James'
bazaar," the most densely populated part of Secunderabad. The circumstances
attending these cases are thus described by Dr. C. Barclay, Deputy Inspector-
Greneral of Hospitals, Indian Medical Department, in his official diary, under date
the 22nd May:-
"On Saturday evening (20th May) received a letter from the Cantonment
Magistrate, stating that two or three deaths from diarrhœa
had lately occurred in the bazaar, and requesting to be fur-
nished with some astringent pills for distribution to the different Police Stations.
"Received at the same time from the Medical Officer, Civil Dispensary,
information of three fatal cases of purging, with vomiting, having just occurred in a
chuttrum, near James' bazaar, among a company of Banyas, who arrived on the
18th from the village of Buchampett on the Masulipatam road, said to be sixty
miles distant. These cases were seen by the Dispensary Dresser, who suspected
them to be cholera. Their exact nature, however, appears to be doubtful. No
cholera is known to exist in the town or station. None has been reported any-
where in the neighbourhood, and the Banyas state that they neither saw nor
heard of any on the road. It has been judged more prudent, however, (to
prevent needless alarm) to return these cases as "diarrhœa," taking, however,
the same precautions as if they were cholera. The clothes of the deceased were
burnt, and the chuttrum which I visited this morning, has been thoroughly