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2. Accordingly on the 13th December an inspection of railway passengers
was commenced at Karchi 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 Karchi 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 Karchi 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,
Ddu, 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 Ddu, and at Rohri and Sukkur, passengers by the down trains also
have been examined since the 14th instant. At Shikrpur 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 Khs.
Tando Adam.
Ghotki.
Tando Alhyar.
Lrkhna.
At Jungshai railway station, by request of the Collector, a Hospital Assistant has been
specially posted to inspect passengers alighting from Karchi for the town of Ttta. 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,