24

REPORT ON THE CALCUTTA MEDICAL INSTITUTION.

Mortality rates among Christian
and Native pa-
tients during the
10 years,1863-72.

E.

General Statement of Mortality from 1863 to 1872.

YEARS. CHRISTIAN PATIENTS. NATIVE PATIENTS. REMARKS.
Total
treated.		 Moribunds. Rate of
mortality
per 1,000.		 Total
treated.		 Moribunds. Rate of
mortality
per 1,000.
1863 2,369 ... 92.0 2,927 ... 267.8
1864 2,646 ... 89.5 3,042 ... 309.0 Number of moribunds
not stated in the
returns.
1865 2,489 18 90.3 2,989 42 299.1
1866 2,171 21 107.3 3,483 2.0 308.6
1867 2,478 24 67.39 2,536 98 216.9
1868 2,179 7 87.30 2,399 1.0 255.94
1869 1,825 11 78.90 2,478 71 253.43
1670 1,790 84 65.30 2,209 67 198.27 Three years showing a
diminution of mor-
tality.
1871 1,772 18 55.86 2,116 60 185.25
1872 2,198 25 56.7 2,430 89 168.70

Statistics according
to race, sex, &c.

F

II.—Vital Statistics according to Race, Sex, &c.

        Treated. Died. Deaths to treated
per 1000.
A. European adults male ... ... 860 45 52.3
female ... ... 157 2 12.7
" children ... ... ... 50 2 40.0
B Indo-European adults male ... ... 364 29 79.6
female ... ... 535 22 41.1
" children   ... ... 232 25 107.7
C. Native adults male ... ... 1,585 282 177.9
female ... ... 709 106 149.5
" children ...   ... ... 136 22 161.7

The cause of mean
residence of me-
dical cases being
shorter than in
England;

and of surgical
cases longer.

     The rate of mortality (per cent.) of cases treated to a termination with
regard to race and sex, is shown in table C., and the comparative mor-
tality according to race between medical and surgical cases is shown in table
D. The mean residence in hospital of medical cases is very low, as compared
with that of patients in hospitals in England, and this is partly due to the large
number of cases of intermittent fever admitted, and partly to the epidemic of
dengue, which has swelled the number of cases treated, and, from the shortness
of the individual attacks, has lessened the average stay of the total number of
medical cases treated. The mean residence of surgical cases is, on the other
hand, beyond the average of hospitals in England, and this is to be attributed
especially to the number of operations for scrotal tumour (55), the recovery
from which is always very slow, being usually between four and five months
in duration. The introduction of the operation of "skin-grafting," to promote
cicatrization in some of these cases, has been attended with very happy results,
reducing the time required for this purpose to nearly one-half, and its ex-
tension to all the cases will probably be followed by a perceptible reduction in
the mean residence in hospital of surgical cases in future reports.

Higher mortality
of Natives.

     These tables show, as has been pointed out in previous years, that the
native patients of this hospital offer a much higher rate of mortality over all
the cases, than the christian inmates do, and the following abstract of the
annual returns of in-patients shows that the same observation holds good