CALCUTTA MEDICAL INSTITUTIONS.

15

of total treated. This rate, in the case of Christians, is higher than it was in any one of
the preceding five years, when it was 5.91, 6.18, 5.95, 5.67, and 5.58 respectively, and no
explanation has been given on this point. The death-rate of Natives was somewhat higher
than it was in 1874 and three preceding years, but was under that of 1875, as well as of the
average of the preceding quinquennial period.

      6.    Dr. Smith states that of the 520 patients who died in hospital, 139, or 26.73 per
cent., were "moribunds" on admission. This is a large proportion of such cases, and if
they were excluded, the death-rate would have been 10.35 per cent of total treated, instead
of 13.61, as stated in the preceding paragraph, or against 12.84 per cent. (with a similar
deduction) in 1875. This point will be again referred to in paragraph 11.

Moribunds.

      7.    In the Eye Infirmary there were 534 patients treated. Of these 79 per cent. were
males, 19 per cent. were females, and 2 per cent. were children. The new admissions
amounted to 493, which was exactly the same number shown in 1875. Of the total number
treated, 311, or 58.23 per cent., were cured. No deaths occurred in this department of the
hospital.

Eye Infirmary.

      8.    The total number of in-door patients treated in this hospital during 1876 has
therefore been (Christians 1,795, Natives 2,557) 4,352, or less by 104 than the total number
treated in 1875.

Total number
treated less than in
1875.

      9.    In the following table those diseases are shown which were the more common
causes of mortality amongst the Christian patients, as also the proportion of deaths from them
of the numbers treated and to the total mortality:—

DISEASES. Total
treated.		 Died. DIED PER CENT. DISEASES. Total
treated.		 Died. DIED PER CENT.
Of treated. Of total
deaths.		 Of treated. Of total
deaths.
Cholera     31 18 58.06 13.95 Enteric fever   5 3 60.00 2.32
Remittent fever   41 10 24.39 7.75 Diphtheria   4 3 75.00 2.32
Diarrhœa     82 9 10.97 6.97 Bronchitis   33 3 9.09 2.32
Phthisis     54 7 12.96 5.42 Ascites   6 3 50.00 2.32
Tetanus     11 7 63.63 5.42 Apoplexy   2 2 100.00 1.55
Dysentery     71 5 7.04 3.87 Pneumonia   5 2 40.00 1.55
Ague     243 4 1.64 3.10 Hypertrophy of spleen. 23 4 17.39 3.10

Diseases which
caused the greatest
mortality among
Christian patients.

       During 1876 there were 31 Christian patients admitted with cholera, and this was a
lower number than in any year of the preceding decennial period, with the exception of 1871
and 1872. The average number of admissions of Christian patients from cholera during the
past ten years, from 1866 to 1875, inclusive, was 73, or 42 more than in 1876. The mortality
(per cent. of treated) from cholera was higher than in any year of the preceding decennial
period, with the exception of 1872, or than the average mortality (43.06 per cent.) during the
same term of years. It will be noticed that the most fatal diseases were apoplexy, tetanus,
diphtheria, enteric fever, cholera, pneumonia, remittent fever, phthisis, diarrhœa, bronchitis,
&c., &c., but that cholera, bowel complaints, remittent fever, phthisis, tetanus, &c., contri-
buted the highest percentage of the total mortality in the hospital.

Decrease in
number of cholera
cases.

Increase in the
mortality from
cholera.

       10. The following table supplies the same information regarding Native, which the
preceding one does regarding Christian, patients:—

DISEASES. Total
treated.		 Died. DIED PER CENT. DISEASES. Total
treated.		 Died. DIED PER CENT.
Of
treated.		 of total
deaths.		 Of
treated.		 Of total
deaths.
Cholera       113 75 66.37 19.18 Epilepsy       16 5 31.25 1.27
Dysentery       94 40 42.55 10.23 Diarrhœa       69 5 7.24 1.27
Tetanus       32 22 68.75 5.62 Erysipelas       13 3 23.07 .76
Scrofula       58 22 37.93 5.62 Liver abscess     5 2 40.00 .51
Remittent fever     54 19 35.18 4.85 Anæmia       7 3 42.85 .76
Pneumonia and bronchitis   74 15 20.27 3.83 Jaundice       9 3 33.33 .76
Diseases of heart     21 7 33.33 1.79 Spleen       58 12 20.68 3.06
Agues       149 5 3.35 1.27 Ascites       14 3 21.42 .76

Diseases which
caused the greatest
mortality amongst
Natives.

      The above diseases have caused 62 per cent. of the total mortality of the Native patients.
The total number treated for cholera was less than in any year of the preceding decennial period,
with the exception of 1871, 1872, and 1874, during which years it was 95, 107, and 110 respec-
tively; but the admissions were very much below the average of the same period, which was
267.4. The mortality of the Native patients from cholera was at a very high rate, viz. 66.37
per cent. of treated, but if the moribunds were excluded from the calculation, it would have
been reduced to 60 per cent., which is also a very high figure. It will be noticed that the
mortality from a large number of the diseases shown in the foregoing table was high; but