CALCUTTA MEDICAL INSTITUTIONS.

29

          3. The causes of sickness and the resulting mortality can be seen from
the following table—.

Sickness and
mortality.

          It will be observed that dysentery and diarrhœa caused more than half
the deaths. The mortality from cholera was at the rate of 30.76 per cent. of
total treated—a number which compares very favourably with the year 1876,
when the total treated amounted to 33 and deaths 23, or 69.7 per cent. of
the number treated. The mortality from phthisis was high, being 50 per cent.
of treated.

          4. Of the out-door department of this hospital, Dr. French writes as
follows:—" This department was opened on the 9th March 1877 only, and
from that date to the end of the year 4,059 cases were treated. For the year
the daily average attendance was 41. In the current year I expect that it will
increase considerably. The prevailing diseases were malarious fevers (1,718)
diarrhœa (214), dysentery (198), rheumatic affections (200), spleen diseases (83),
and injuries (166).

Out-door patients.

          Of the out-patients 3,800 attended personally,and only 259 were repre-
sented by their friends, a result which is highly satisfactory, and shows that the
relief afforded to the sick poor has been material, and that the hospital does
good work. According to class, there were treated six Europeans, one
Eurasian, 433 Mussulmans, and 3,620 Hindus.

          5. The financial condition of the North Suburban Hospital can be
seen from the following extract from Dr. French's summary of the work done
during 1877:—" Government allows Rs. 150 per month as salary of the assistant
surgeon. The receipts during 1877amounted to Rs. 4,702-6-3, and the expendi-
ture, exclusive of Government allowances, to Rs. 4,693-8-1. The balance in
hand on 31st December 1877 amounted to Rs. 2,156-13-7, against Rs. 2,147-15-5
on the same date in previous year. Accordingly, the income merely provides
for current expenditure, and leaves very little savings at the close of the year."

Finances.

          6. The operations performed for the past year were very successful.
There were 27 major operations, 15 amputations after bad fractures, five cases of
amputation of elephantiasis scroti, and one case of lithotomy. There was
one death after the amputation of the upper arm. In 1876 there were in
all 13 surgical operations performed with one death. There were three cases
of amputation of the forearm, three cases of amputation of the leg, and
one of the arm, which terminated fatally. Dr. French remarks that the surgery
in 1877 was very good.

Operations.

          7. There is nothing to add regarding the building. The double-
storied pucca house, newly built, is well adapted for the purposes of a hospital.
A dead-house is urgently required, but it appears that the low state of the
funds will not meet the expenditure.

Building.

          8. The dispensary was inspected twice by Dr. French, Civil Surgeon
of the 24-Pergunnahs, and once by Mr. Cockburn, Deputy Surgeon-General
of the Presidency Circle. Both these officers expressed general satisfaction at
the working of the institution.

Inspection.

MAYO HOSPITAL AND ASSOCIATED DISPENSARIES.

          SURGEON-MAJOR HENRY CAYLEY was Superintendent of the Mayo Hospital
from the 1st January to the 16th February, when he went on furlough to
Europe, being succeeded by Surgeon-Major J. Jones, M.D., who acted till the
end of the year.

Superintendent.

H