?38
Report of Wari Bunder Hospital.
GOVERNMENT HOSPITAL No. 8.
This hospital was opened on 26th March 1897, and closed on 18th May 1897.
Received 56 cases in all, of which 28 proved fatal.    Death=rate, 50 per cent.
Cases	...	56 	Of these 56 cases the following are the details :-
Recovered	...	28 	
Died		28	
A.-Death Rate.
	Sex.		Death-rate			 Caste.			
Male.	Female.	Children.	Male.	Female.	Children	Hindus ...	...	...	45
			%	%	%	Mahomedans	...	...	7
36	14	6	55		17	Native Christians	...	...	2
						Jews	...	...	2
B.-Site of Bubo.
Femoral.	Inguinal.	Cervical.	Axillary. 	Cervical & Inguinal.	None.
15	10	9	6	4	6
C.-Pneumonic Type-6 cases.
Observations-
There are three principal forms of bubonic plague.
1.    Lymphatic, the simplest.
2.    Glandular enlargement.
3.    Pneumonic.
(1)    Lymphatic.-Affection of lymphatic  glands,  whether femoral,  inguinal,
cervical, or axillary.
Here the seat of inoculation is local, due to abrasion (any form   of solution  of
continuity).
The local condition involves generally-
1.    Constitutional disturbance.
2.    Fever (101-3).
3.    Rapid pulse (120-30).
4.    Furred tongue.
5.    Constipation.
6..  Headache and pains in back and legs.
7.    Tendency to suppuration of bubo, leading to general good recovery.
Or the above symptoms (1, 2, 3, 4) may be accompanied by extreme
(1)    Prostration and  the  tongue  (4)  be  swollen, glazed, indented, and
tremulous.
(2)    Albuminuria is present.
(3)    Hæmorrhage nasal and/or enteric.
(4)    Jaundiced, drawn, and haggard countenance.
(5)    Enlarged liver and spleen.
(6)    Suffused conjunctive.
(7)    Restlessness and insomnia.
(8)    Violent delirium.
Generally terminating Fatally.
NOTE.-Enlargement of cervical glands the more severe type.
(2) Non-lymphatic.-More serious. Corresponds with the lymphatic with
the exception of non-glandular enlargement, as in 1 (2). But the constitutional
disturbance and prognosis are very grave.