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REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS

     The steady annual diminution in the number of home examinations appears
to me to have been caused by disappointment experienced by those who so
eagerly availed themselves of the privilege on its first introduction, on finding
they had to go to hospital when found diseased the same as the others, instead
of being treated at home

Amount of disease
detected,

     5. The next table shows the extent of disease detected among those
examined.

TABLE II.
  Examination. Several cases. Rate per cent.
diseased.
Primary 268 68 25.3
Periodic 1,50,063 2,516 1.6
Home 724 3 .04
Defaulters 5,277 343 6.5
Unregistered 11 11       .100

Excessive propor-
tion of disease
among newly re-
gistered.

     From this it will be seen that disease among the newly-registered women
has not only maintained its excess over the proportion among those who
were periodically examined during the year, but was also considerably in excess
of last year.

Disease among de-
faulters.

     The proportion of disease among the defaulters, however, was slightly less
than in 1871.

     The ratios in 1871 were as follow:—

            Primarily examined ... ... ... 14.
            Periodic ... ... ... .9
            Home ... ... ... .2
            Defaulters ... ... ... 7.2
            Unregistered ... ... ...      .100

     It will thus be observed that the ratio among the regular attendants
was somewhat higher during the year under report than in the previous year,
and this circumstance demands explanation.

Cause of apparent
increase of dis-
ease.

     When I first took charge of the lock hospitals, I found that in con-
sequence of the admissions into hospital having attained a very high number,
Dr. Payne, in consultation with the Commissioner of Police, had determined to
exempt those women who were suffering from doubtful vaginal discharges from
being sent to hospital.

Detention of cases
of gonorrhœa.

     The result of this measure was a diminution in the proportion of disease
last year. On the other hand, the admissions of gonorrhœal cases into the
military hospital had increased to a great extent, as will be seen presently.
After the acute stage of gonorrhœa has passed away, and the disease lapsed into