CALCUTTA MEDICAL INSTITUTIONS.

9

the medical officers in charge of the various hospitals and dispensaries, and made over to the
Superintendent of Lock Hospitals. There is no reason to doubt the accuracy of these figures,
and those of the last two years have undergone a rigid check in this office, and are in accord
with the detailed returns of diseases submitted with the annual reports of the institutions in
question. They have, further, been sent back for special examination and report, and no other
circumstance that would account satisfactorily for the marked reduction of cases of venereal
disease treated, which has taken place since the establishment of the Lock Hospital, has been
brought to light. It will be shown below that the amount of venereal disease among
registered prostitutes has also decreased, and it is impossible to doubt that the effect of the
arrangements established under Act XIV of 1868 has been beneficial.

MEDICAL COLLEGE HOSPITAL.

STATEMENT No. X.

CLASSES OF PATIENTS. 1871. 1870.
In-door Patients (medical and surgical) 3,143 3,252
Midwifery Ward (in-door) 745 747
Eye Infirmary 507 527
Total in-door 4,395 4,526
Out-door patients (medical and surgical) 25,491 23,082
Admission-room 763 1,445
Dispensary for women and children 12,049 10,982
Ophthalmic Dispensary 3,963 3,496
Dental Dispensary 1,184 1,261
Total out-door 43,450 40,266
Grand Total 47,450 44,792

       9. THE abstract on the margin gives a succinct view of the operations of the different
departments of this hospital as
contrasted with the previous year.
There has been a slight decrease of
131 in the number of patients treated
in-door, while the out-door attend-
ance shows an increase of 3,184.
This increase is manifest in every
department of the hospital except
the admission-room and dental dis-
pensary, where there is a decrease.
The cases shown under the head of
admission-room are persons applying
for admission who receive medical
treatment and are not admitted as
in-door patients. They are in reality
out-door cases, and registered as such in returns Nos. 1 and 2.

Transactions of the
year.

STATEMENT No. XI.

YEAR. DEATH-RATE PER 1,000 AMONG ADULTS.
  EUROPEANS. EAST INDIANS. NATIVES.
  Males. Females. Males. Females Males. Females.
1869 76.26 36.49 97.48 84.28 260.07 239.24
1870 70.11 42.01 79.92 55.24 210.11 185.18
1871 45.51 45.87 57.30 50.80 190.54 176.07

    10. The results of 1871 are very favourable. There has been a reduction of the death-rate
both among Europeans and Natives
The death-rate among the latter
however, continues to be about three
times as great as among the former.
It is also shown by Dr. Chevers that
the rates of fevers, cholera and bowel
complaints are much higher among
Natives than Europeans. The
admissions from cholera have been
unprecedentedly few, and the death-
rates from this disease among both
Europeans and Natives contrast favourably with those of previous years. It will be seen that
while the death-rate among European males and females differs very slightly, and is rather
more severe among the latter, the rate among male Eurasians exceeds female Eurasians, and
that of male Natives is greatly in excess of female Natives. This is a most remarkable fact,
and is generally in keeping with the experience of previous years, as the marginal statement
will prove.

Reduction of death-
rate.

Death rates accord-
ing to race and
sex.

    The striking fact of a nearly equal death-rate among male and female Europeans
is not in accordance with the experience for former years. The only explanation I can offer
with regard to the excess of deaths among males is that their cases are more severe and less

Excess of death-
rate among males.

C