( 112 )

      P.S.—I omitted to mention that Surgeon-Major Curran had almost entirely given
up the use of the speculum. I had an opportunity of seeing his mode of examination
tested, and it appeared to me very efficient. The whole of the internal parts were ex-
posed in the most perfect manner. It, however, is not adapted for general use, as not
every native matron could without much practice be able to enable the medical officer
to dispense with the speculum.

      It struck me as indelicate, but this of course in the case of prostitutes is not to be
considered, the main point being to arrive at the existence of disease.

REMARKS BY THE CANTONMENT COMMITTEE ON THE LOCK-HOSPI-
TAL REPORT FOR 1877.

      THERE is a decided decrease of venereal generally. Primary syphilis is very rare,
and the principal medical officer, British forces, cannot recollect any case of second-
ary syphilis following on the primary disease.

      The committee endorse the recommendation of the medical officer in charge of the
lock-hospital—

      lst.—As to the necessity of a combined police, dhae, and prostitute supervision.

      2nd.—As to the provision of an asylum for incurable and imbecile prostitutes.

      The committee, in forwarding this report to His Honor the Lieutenant-Governor of
the North-Western Provinces, trust that steps may be taken to place these women
under proper supervision, no funds being available for the purpose at this station.

G. H. PARKER, LIEUT-COLONEL,                                          
92nd Highlanders, Comdg. at Sitapur,                                             
President, Cantonment Committee.                                          

                    G. BAKER, Major, 6th B. Cavy.

                    J. G. FAUGHT, Surgeon-Major, S. M. O., B. F.

                    M. H. COURT, Captain, S. S. O. and Secy.

Members.

FOURTH ANNUAL REPORT ON THE WORKING OF THE
LOCK-HOSPITALS IN THE NORTH-WESTERN PROVIN-
CES AND OUDH FOR THE YEAR 1877.

      DURING the year 1877 the lock-hospitals of the North-Western Provinces and
Oudh continued their working in the same stations as during 1876.

      As regards the North-Western Provinces, the figures showing results for the past
four years are in my possession; as regards Oudh, I can record the results of the past
two years only.

      The facts are as follows:—

Results of lock-hospital management in the North-Western Provinces and Oudh for the
past four years and two years respectively.

Province. Year. Number of lock-hos-
pitals.
Total expenditure. Monthly average of
registered women
Cases of dis-
ease cured
amongst these
women.
Results on the health of the European garri-
son.
Syphilis. Gonorrhœa and
minor forms
of disease.
Strength of
garrison.
Admissions to
hospital for
venereal disease.
Radio per
1,000
Mean ratio per
1,000 for the five
years previous
to the opening
of the lock-
hospitals.
      Rs.              
North-West-
ern Pro-
vinces.
1874 14 26,431 1,011 770 867 9,433 1,898 201.2 273.1
1875 14 28,052 1,007 1,089 1,192 10,530 1,577 149.7
1876 14 25,087 899 875 1,165 9,658 1,300 134.6
1877 14 24,941 899 728 1,282 9,288 1,950 209.9
Oudh. ... 1876 4 8,821 919 242 937 3.915 1,019 260.8  
1877 3 7,387 304 121 918 3,842 641 166.9