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·ANNUAL REPORT
OF THE
PUBLIC HEALTH COMMISSIONER
WITH THE GOVERNMENT OF INDIA
FOR 1936
Volume II
PUBLISHED BY THE VAAGER OF PUBLICITIONS, DE
PPINTED BY THE V14XAGEP, GOVERNMENT OF I\d+ Pres
1938.

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·ANNUAL REPORT OF THE PUBLIC HEALTH COMMISSIONER WITH THE GOVERNMENT OF INDIA FOR 1936. VOLUME II. TABLE OF CONTENTS. SECTION I. PAGES 1 6 8 8 9 IO 13 13 16 ON THE HEALTH OF THE BRITISH ARIY IN INDIA. PARA. 1. General .. Officers 3. Soldiers Principal Diseases affecting the British Arny. 4. Malaria 5. Dengue and sandiy fever' 8. Pyrexia of uncertain origin 7. Oriental sore & Føvery of the typhus group 9 Digestive disease 10 Interc group of fovers Dysentery, carrhea, colitis and Arnoebic hepatitis 12. Tropical abscess of liver and hepatitis 13. Cholera 14. Cysticercos19 13 Venereal Diseases 18. Diphtheria. 17. Cerobrospinal fever 18 Sinallpos. 19. Respiratory diseases 20. Tuberculosis. 21. Areolar t134u9 and local injuries 22. Effects of heit 23. Mental disea 94 24. Hygiene Jilitary Food Laboratory, Kasauli. Ventilation of British Troops Cookhou904 Air conditioning Quarters and barracks Water supplies Swimming bath Treatment of gullage water Piggeries Conservancy Dainfection 18 18 18 18 19 19 20 20 20 21 21 21 22 22 23 23 23, 21 24 ·List of Agents in India from whom Government of India Publications are available. (8) PROPIKOLAL COTRUYENT Book Depots MAD:49:-Superlateodent, Government Preas, Mount Road, Madres, BOMBAY: -Superintendent, Government Printing and Stationery, Queen's Rosd, Bombay SITD-Manager, slad (-iyorament Book Depot and Record Oce, Karachl (Sadar) DATT&D PROVINCES:-Sajerintendent, Peatlag and Stationery, L. P, Allahabad. POSJAB:-Superintendent, Goveroment Prlating, Panjab, Labore CESTRAL PROTIXOES-Superlatendent, Government Prlating, Ceatral Prorlaces, Nagp. A33AY:- Superlatendent, Adam Secretariat Press, Shillong. BIRAR:- Superintendent, Government Printing, P .0. Gulzarbagh, Patoa NORTH-WEST FRONTIER PROPLNJE'-Manager, Goverament Prlating and Stationery Posha ar 01199A - Press Oncer, Secretariat, Cuttack (0) PRIVATZ BOK-SOLLERS Advani & Co, P. O. Bor 100, Cawapore Aero Storen, Karachi Baathiya & Co, Ltd, Station Road. \jmer 31alhotra & Co., Post Box No 01 Lalu , Steare. U. P. Mallk & Sons, Sialkot City na 1. A Careers, Mcblot load, Lahoro. Chatterjee & Co, 3. Bacharan Calcutta Chatters ad ...1 . Howay. VAN areason wad, Gautama Brothers Cawtore. Atleglobothamı, Madras uke, tuua Luy & Sons, 13. La direnda: Rosd, Rawalpledi dhary & Co., 72, Harrison Road, Calcott, 3. N.. Book Depot, 15, Lady Jarding Road, Delhi. In LIMI Id-al Ilonk two part, Iolpur Road, Delta Dun Imperial Book Depe: and Preve. DeAT JATTEL IL 1 UNLULLA Tara & Sons, Raimok (India), Sesin. B. 9. Taraport als 8ops & Co, Bombay, Menn. D. B Thacker & Co., Ltd, Bombay Thacker, Splok & Co., Ltd. Calcutta di 8imla. Tringthin NAALHA-D-.- . 4. Young Mer & Co. (Hegd) Egitton Road, Delbl Areat for satikstone od Atlation obls.

·ANNUAL REPORT OF THE PUBLIC HEALTH COMMISSIONER WITH THE GOVERNMENT OF INDIA FOR 1936. VOLUME II. TABLE OF CONTENTS. SECTION 1. ON THE HEALTH OF THE BRITISH ARBIY IN INDIA. PAGE 9 1 2 6 8 8 9 10 13 13 18 18 18 18 ARA 1. General . Officers 3. Soldiers Principal Diseuses afecting the British 4n.y. 4. Valaria 3. Dengue and sandfty fever • Pyrexia of uncertain origin 7 Oriental sore 8. Fevers of the typhus group 9. Digestive dtge4909. 10 Enteric group of fevers 1 Dysentery, Jurrica, colitis and arnoebic hepatitis 12. Tropical abscess of liver and hepatitis 13. Cholera 14. Cysticercos19 13. Venereal Diseases 16. Diphtheria 17. Cerolrospinal føver 19 Sunallpos. 19 Respiratory diseases 20. Tuberculosis. 21. Areolar t193ue and local injuries 2 Effects of leat 23 Mental dueaves 24. Hygiene Military Food Laboratory, Kasauli. Ventilation of British Troops Cookhouses Air conditioning Quarters and barracks Water supplies Swimming baths Treatment of sullage water Pregerles Conservancy Disinfection 18 19 10 20 20 20 21 21 21 22 2) 23 23 2 + ·SST DI Dcblizinkarailable. i stu*. *21- ... tuna, er My Time oma * m cum me! Entretenir 01 Sentmi Ata! T*17, Tahan * ***mertypelm, tuomet v Cottery Tory 49ertat . finizmus Mr Toner Ay I. *. 1.1 Atral or 3 into war xir a la Amen, wird Arr, tummy.. • I. M.144 .. UM TEMAT Fm *** Fr. . T.I. Win 3 weke- **: 2*11.4ek 14 wenn Ritmu 1) "11 Mar I. In na ng 14 . . , my na twitter har mer 7 intr C. lp. Srmt, fn.to ut 10 meter In Cro 2011, LTON Montre ma 2.1.1. - :rato Kronlelne, vt um. A umri Tram 9 ir truey try MIT So, I m, t. In 1 Snartar nes iNi... *) ** .:. mine nr 47 w gay Dots Wita wam 10 EUR 4 * amit ifrer, 4.ter. IA'O WITH - . * ws.r. i to 9.5 14714 D Der mapu wr24.NU... TL ia. Amb el torner Tiun, wu, 9. ,, ET om time 551 Tuttimen zarne * < tum sem annat ar ne shit the roman - a louca, la Za. Tu KIT - fara itin 1261 DAR IR. lah Tyto fortes: BILAL JI irtutem t ... Ur.. IT W7**-7 1-7 ani 7 Sk & CiaUster the Calcytz 10 IM 47 * Sur DAXL Y to the w temen som inte vat worden, usa, femerar. 417++. T-sty The pre 52 Fourt." H 49, ': re 11 de 2! hant Tumor. tur tr. Bla- State - P... Bent BIL D.LT, et Keerutar - 7 1. 7. VAN Run, W. w of R. T .. 77.9 249 12.4-an 1. Tua z unts 10., K. ! - y* * Pina wiTHARI SX 4 SimtLs 52 ani ast Theta - Suz'17, 17 1.*! 14. 3 VN • YT-man Cen. L. "Bistr ty on .. . 1 i.. ... --.' 1 ** .LT:7, 7T T- . **. Lem. $ A. 6707 th'. :* 48 51TL In der dritte imt TIL. Il tutur. DKT 1.-1997 Toten kiin 4. n.7 For * :*, Al. Cuenta um T*. t. ib.3. UL LY ha wirs MU . 4 -- he ca sistem ·ANNUAL REPORT OF THE PUBLIC HEALTH CONIMISSIONER WITH THE GOVERNMENT OF INDIA FOR 1936. VOLUME II. TABLE OF CONTENTS. SECTION I. ON THE BEALTH OF THE BRITISH ARMY IN INDIA. PAGES 2 6 8 8 9 10 13 13 16 18 ARA. 1. Goneral 9. Officers 3. Soldiers Principal Diseases affecting the British Arny. 4. Malaria 3. Dengue and sandfly fever 8. Pyrorla of uncertain origin 7 Oriental sore 8. Fevers of the typhus group 9. Digestive diseases, LO. Interic group of feverg Dysentery, diarrlica, colitis and arnoebic hepatitis 12. Tropical abscess of liver and hepatitis 13. Cholera 14. Cysticercos19 13. Venereal Diseases IB. Diphtheria 17. Cerebrospinal fover 19. Suallpor 19. Respiratory diseases 20. Tuberculosis. 21. Arcolar t133u9 and local injurie, 22. Effects of hezt 23. Mental diseases 24. Hygiene Military Food Laboratory, Kasauli Ventilation of Batish Troops Cookhouse Air conditioning Quarter and barracks Water Supplies Swimming baths Treatment of sullage water Piggeries Conservancy Disinfection 18 18 18 19 19 20 20 20 21 21 21 22 22 23 93 ·List of Agents in India from whom Government of India Publications are available. (a) PROTIKOHAL GOVERNYENT Book DEPOTS 14Dnas:-Superintendent, Government Press, Mount Road, Badrus. BOYBAY:-Superintendent, Government Printing and Stationery, Queen's Road, Bombay BIND :-Manager, Sind Gutorament Book Depot and Record Omce, Karachl (Sadar). UNITED PROVINCES:-Sujerintendent, Prlating and Stationery, L. P. Allahabad. PUNJAB :-Superintendent, Government Printing. Panjab, Labore CETTEAL PROVINOES -Superintendent, Government Prlating, Central Proglaces, Nagpi. A99AY :-Superintendent, Adam Secretariat Press, Salltoog BIER :-Saperintendent, Government Printing, P .0. Gatzatbagh, Patna NORTH-WEST FRONTIER PROTIRJE:-Manager, Government Prlotlag and Stitlogery Pathi ar OR1934 - Press Officer, Secretarjat, Cattack. (8) PRIVATE 39 38-9RLLERS n n London Book On (lolin), Arbab Road, Pesbawal Marree Na het, Rawalpindi Mackwin & Co Booksellers; Stationers and New Agents Ioverarity Road; 01 Esthenstone Street, Karachi Sadar Malhotra & Co, Post Box No 91 Lat ., Mesero P. Malik & Sons, sialkot city, Vath RS' Ranvelor 1 71-... Careots, archidl kond, Lahore. Chatterjee & Co, 3. Bacharan Calcutta Che را به همه يه به d 1 t CewDpore. Blgglabothams, Madras Hindu Library, 137-F, Dalarna pe Street, Calcotta Bay & SODS, 43, K & L. Pdwardo Rod, Rawalplid! Murree and Peshawar, Mesar J. Rn Chowdhury & Co, 72, Harrison Iload, Calcutta, . B. N... Book Depot, 15, Lady Hardingo Road, Delhi. NO 1 Im 1 2.18313 8.1. Young Man & Co (Hegd ) Egerton Road, Dehl. • Asest for radications on Arlation coly.

·ANNUAL REPORT OF THE PUBLIC HEALTH COMMISSIONER WITH THE GOVERNMENT OF INDIA FOR 1936. VOLUME II. TABLE OF CONTENTS. SECTION I. ON THE HEALTH OF THE BRITISH ARMY IN INDIA, PAGES 1 2 2 6 8 8 10 13 13 16 18 18 ARA 1. General ... Officers 3. Soldiers Principal Diseases affecting the British 4rry. 4. Malaria 5. Dengue and sandfly fever' 6 Pyrexia of uncertain origin 7. Onental Bore 8. Fevers of the typhus group 9. Digestive diseases Interic group of fevers 1 Dysentery, Quarrlica, colitis and Binoabic hepatitis 12. Tropical abscess of liver and hepatitis 13. Cholera 14. Cysticercosts 13. Venereal Diseases 16. Diphtheria 17. Corobrospinal fover 19. Sinallpox 19 Respiratory diseases 20. Tuberculosis. 23. Arolar tursue and local injuries 22. Effects of liest 23. Siental diseases 24. Hygiene Military Food Laboratory, Kasauli, Ventilation of British Troops Cookhouses Air conditioning Quarters and barracks Water supplies Swimining baths Treatment of sullage water Piggeries Conservancy Disinfection 18 18 19 19 20 20 20 21 21 21 2 22 23 23 23 23 24 ·it PARA. PAGE. 15 25 25. Khaisora operations 28. Pathology Enteric group Dysentery Food poisoning Typhus group of fever3 Diphtheria Culture of malaria parasites Blood sedimentation tests Biochernical examinations Ilassermann tests. Other examinations 27. Womon and children (British Other Ranks! 28. X-ray examinations 29. Surgical operations 30. Anaesthetic 25 27 29 29 30 30 31 31 31 32 32 33 34 41 ON THE HEALTH OF THE INDIAN ARMY. 43 31. General 32. Officers 43 33Soldiers 47 50 50 50 Princepal diseases affecting the Inlian Army 34. Cerebrospinal meningitis 38. Dengue 36. Typhus fover 37. Sandby fever 33. Dysentory, diarrhoog en colitis 39 Fataric group of fevers 40. Malaria 41 Png'inonia 42. Pyrexia of uncertain origin 43. Staallpox 44. Tuberculosia 45. Venereal diseases. 46, Epidemic dropsy 47. Other diseas98 tuo to infection or infestation 48. Diseases of the circulatory eystem 49. Diseason of the respiratory system 30. 11801999 of tho digestive system $1. Minor amptio diseasea 82. Local injarins 63, Folloxer $1. Recruiting 83. Mitary operations in Khaira valley 50 51 52 53 54 54 5+ 54 64 55 55 55 35 56 66 58 ·jil APPENDICES. SLCTIOX I.-BRITISH ARJIY. ABLL, Paಢಶ. 62 A. Stations by Coromands and independent districts 4teruje strength, admissions into hospital, deaths, numbers intulided and constantly rick. 63 66 69 73 75 78 81 Warrant Officers, X. C. Os, and Jen- I. India. II.--Yorthern Command III.--Wetera Comraad IV.-Eastern Coromand V. Southern Cornmand VI.-Burma district VII -British Other Paaka-draission ratios (by months) for certain diseage3. VIII--British Other Ranky-douission ratios for certain diseases by stations And districts IX.-British Oncers (British Services) X.-Wives of Warrant Officers, N. C. 08. And Jen XI.-Children of Warrant Officers, N. C. Os, and Blen XII.British Other Ranks-Admisions and death rates for certain diseases by Commands XIII --Vaccination performed in the British and Indian Arinies during 1930- Officers and Other Ranks. XIV.-Vaccination performed in the Families--British Army during 1936 XV.- Vaccination performed in the Families—Indian Army during 1936 82 88 90 93 94 98 97 97 SECITOX II.-INDIAX ARMY. 100 B.-Stations by commands and independent districts 4teraye atrength, admissions into hospital, deaths, numbers invalided and constantly sick. Indian Ofecers and Indian Other Rankg. XVI.-India. (VII.-Northern Command VIII.-Il estern Command VTV Lastern Command Southern Command -Burma District 1 Indian Officers and Indian Other Rank-Admission ration (by months) for certain diseases u1 - Indian Officers and Indian Othor Rank34dmission ratios for certain diseases by stations and districts 1. British Officers of the Indian Army Average strength, admissions, deaths and constantly sick .-Indian Oficers and Indian Other Ranks-Admission and death ratios for certain discated by coinnan ja 101 104 100 103 110 119 115 116 122 124 TROOPS. V1.-Detail of Diseases 196

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·ili APPENDICES. SLCTIOX I.-BRITISH ARJIY. TABLE, A. -Stations by Commands and independent districts Paga. 63 Areruje strength, admussions into hospiti, deaths, numbers involuded and constantly sick. 63 66 69 72 75 78 81 Warrant Officers, N.C.Os, and deg 1.India II.--Northorn Command III.- Western Commgad IV.-Eastern Command V. Southern Command VI.-Burma dietrict VIT-British Other Rank-Admission ratios (by months) for certain disease3. VIII. British Other Ranks-Adquission ratios for certain diseases by stations and districts IX.-British Officers (British Services) X-Wives of Warrant Officera, N. C. 09. and Men XI.-Childron of Warrant officers, N. C. Os. and Ben XII.--British Other Ranks-Admissions and death rates for certain diseases by Commands SIII.- Vaccination performed in the British and Indian Armies during 1936– Oficers and Other Ranky. XIV. Vaccination porformed in the Families--British Army during 1936 XV.–Vaccination performed in the Families--Indian Army during 1936 82 88 90 93 94 . . 98 07 97 SECTION II.-INDIAN ARMY. 100 B.-Stations by commands and independent districts Areraje strength, admissions into hospital, deaths, numbers inralided and constantly sick. Indian OfEcers And Indian Other Ranks. 101 100 106 103 110 11 115 XVI.-India. XVII. --Xorthern Command XVIII.-llestern Command XIX.Lastern Command XX. Southern Command XXI -Burma District XXII.-Indian Officers And Indian Other Ranks Admission ratios (by months) for certain diseases XXIII.-Indian O'ficers and Indian Othor Ranks 4druission ratios for certain diseases by stations and districts XIV.-British Officers of the Indian Army- Average streagth, admissions, deaths and constantly sick XXV.- Indian Ocers And Indian Other Rangs-Admission and death ratios for certain discacea by coinmands TROOPS, XXVI.-Detail of Diseases 116 12 124 195 ·iv ABBRI,VIATIONS. A. D. H. A, D, P., Ay, ce. A. H.Q. B. M. H. B, 0s, B 0. Re, C. C. M. % D. D. A. D P. D.A. H. G. S. W. I. U. Rs. M. Os.. N C, Os. 0.0. P. P.A. P.M. P. U.O. R. UK, V.D. V. D. H.. % Adinissions, Assistant Director of Hygiene. Assistant Director of Pathology. Average constantly sick. Army Head Quarters. British Military Hospital. British Officers. British Other Ranks. Cages. Case mortality per cent. Deaths. Deputy Assistant Director of Pathology. Disordered Action of the Heart, Gun-shot Wounds. Indian Other Ranks, Medical Officers Non-Commissioned Officers. Officer Commanding. Primary. Per annum. Per mille. Pyrexia of uncertain origin. Rovaccinations, United Kingdom, Venereal diseases. Valvular diseases of the heart. Per cent.

·ANNUAL REPORT OF THE PUBLIC HEALTH COMMISSIONER WITH THE GOVERNMENT OF INDIA FOR 1936. VOLUME II. SECTION I. ON THE HEALTH OF THE BRITISH ARMY IN INDIA. (From the Director of Medical Services in India.) 1. General health statistics of the British Army in India during the year 1936 are given in the table below:- TADLE 1. per 84.18 10 36 Admjesions. Deaths Taralds Tovalds Average sect home discharged constantly from kerfice. sick. 1930 Average trength Ratio Ratlo Ratio Ratio Ratio No No per No per No. per No. per 1,000. 1,000 1,000 1.000. 1,000 Oncere 2,269 973 428 8 14 6 17 52 22 02 31.54 13.00 Other Radls 62,059 30,301 582.1 129 2.48 572 10.99 Numbers of Nuting 1,390.21 26.88 86 1 5 3.01 Service Women 4,055 1,369 3376 13 3.21 10.85 40.54 11-48 Women cont dement 779 1 29.99 Children 6,192 2,077 335 83 13 20 20 Royal Navy 40 2.80 Royal Air Force 2,065 964 488.89 4 36 15 2170 RAF. Women and 43.75.21.19 81 2 1.80 Children. A. A F. Women con. 19 Adement. 0.72 Boyal Indian Marino 0.05 238 Boy Of L. R. M. School Banawar. 17.69 Other нер 377 13.35 Women 15 9 B2 Women connement. 101 3.81 Children 184 9.90 • Incindes 350 and 12.51 respectively for L. A. F. cages treated in Quarter The ratios per 1,000 for admissions, deaths and invalids, amongst officers and other ranks for the quinquennial periode 1910-14, 1920-24, 1925-29 and 1930-34 with those for 1935 and 1936 are given separately for purposes of comparison in the following table : TABLE 2. ! Ratio per 1,000. Deaths. Admissions, Invalids. Periods. Oficers. Officers Oficers, Other Ranks, Other Ranke, Other Ranke, 1910-14 1920-24 1925-29 1930–34 567-5 676.7 389-9 199-6 567. 791.9 619.4 604.7 5.14 6.71 5.25 6.69 4.36 5.24 .80 .-64 16.30 20.99 11:44 20-09 7-03 18.91 13.50 $$s 6.9) 1935 1936 470.1 429.8 367.1 382 1 2.23 2 92 6 17 2.48 10 99 ·2 Officers. 2. 428.8 per 1,000 of strength were admitted to hospital during the year, compared with 470.1 in 1935. The principal causes of sickness were :- Dysentery. 92 Fractures 34 Malaris Contusions. Sandfly feyer 64 Gastritis Diarrhea 60 Sprain and strain 20 Jaundice 55 Appendicitis 20 Cellulitis 55 Concussions 19 Tonsillitis 43 Dengue 16 24 There were 14 deaths giving a ratio of 6-17 per 1,000 compared with: 16 and 6 74 per 1.000 in 1935. The causes of deaths were injuries (other than G s. W.) 8 cases, G. S. wound, 3 and Extra dural middle meningeal hæmorrhage, Intrathoracio tumour, Retroperitonial oyst each one case The average constantly sick in hospital was 31.54 or 13.90 per 1,000 of strength as compared with 37.61 or 16'89 in the previous year A total of 1 229 or 541.6 per 1,000 of the strength were treated as out patients Soldiers. 3 There were 30,301 admissions to hospital, giving a ratio per 1,000 of 582.1 as compared with 567-1 in 1935 and 580.5 in 1913. The principal causes of admission to hospital showing the increase or decrense compared with the previous year were :- 1936 Increase 1936, or decrease. 473 462 390 + 42 + 19 + +1 11 11+ 38 Increase or decrease. Malaria • 3,017 62 Boils Cellulitse . 2,097 4 Pharyngitis Sanddy fever . 1,758 164 Impetigo contagiosa. Tonsultis 1,516 + 22 Gonorrhoea 1,340 17 Appendicitis Dysentory 1,933 233 Gastritis Constipation Sprain 866 41 Diarrhea 859 125 Bronchitis 834 77 Coryza Jaundice Fractures 701 51 Younds Contusion 687 + 80 Inpenza. 616 + SG Dangue Common cold 580 +238 Soft chancre Synovitis 52058 Syphus Tinca 493 + 205 8 Dipltheria “Carriers" were admitted to hospital. 385 357 339 318 279 277 +-100 74 26 214 18 941--116 214 --101 ·There were 129 deaths or 2.48 per 1,000 of the strength compared with. 134 or 55 per 1,000 in 1935. The most important causes of mortality were :- Local injuries (including 18 Gun sliot wounds) 31 Pneumona 21 General injuries 19 Infectious diseases Digestive diseases 17 Circulatory diseases 1+ There were 572 or 10.39 per 1,000 of the strength cent home as invalids compared with 363 or 6.90 per 1,000 in 1935. The principal causes of invaliding to the United Kingdom were : 18 Increase Increase 1936. of 1936 OT Decrease. Decreased Miental diseases, other than Epilepsy 17 schizophrenia 67 +34 Deafness 16 +15 Diseases of broncli and Pulmonary tuberculosis C3 +28 bronchioles 15 + 5 Diseases of joints 39 +18 Valvular disease of the heart 13 + 3 Injuries, other than fractures 3? +11 Deformities of limbs : 12 Schizophrenia 31 +11 Diseases of the urinary organa 12 Fractures 27 +18 Tuberculosis, other than pul. monary The average number constantly sick in hospital was 1,399.21 or 26.88 per 1,000 of the strength, compared with 1,107.76 or 26.74 per 1.000 in 1935. The dirases cliefly responsible were :- Average Average constantly constantly sick, sick. Gonorrhea . 17:51 Appendicitis 25.80 119:13 Sprain and strain Cellulitis. 81 85 Soft chancre 95.64 Dysentery 59.GS Synovitis 21.7 Fractures 57.83 Contusions 1.71 Tonsillitis 37.80 Diarrhoea 20.01 Sanday fes er 34 57 Syphilis 19.56 Bronchitis 29.57 Malaria 25.79 A total of 83,746 men, or 1,60S.7 per 1,000 of the strength Beretre at. ed as out-patients. The arcrage daily number under treatment was 1,208.82 or 23.22 per 1,000. The combined ratio of constantly sick in hospital and under treatment as out.patrents was 50.10 per 1,000 of the strength, compired with 47.42 in 1935. The actual lose to the Irmy in India in working days was 512,111 duc to sick in hospital and 442,428 due to sick in barracks, making a total of 034 539 days compared with 911,229 in 1935 ·iho alinission and death ratios por 1,000 of the strongth for all causes and cortain important diseases for stations with a strongth of 1,000 and upwards compared with all India, are shown in the following tables :- TABLE 3. Table showing lolal admissions and deaths ratios per 1,000 of the strength for all causes onil certain important discares for slations with a strength of 1,000 and upward's compared with all-India. Stations with total admlesion ration higher than all-India. Peshawar. Meerut. Nowshera Lahore, Stalkot. All-India. Strength. 1,162 1,112 1,259 1,278 923 0 428 40.29 1480 11 CLURCS. 1,700 7373 1.70 13.56 7281 58 25.28 9, bes wwwla 52,059 582 1 2.48 26 88 0340 4.50 35 10 684 0 2 38 23.08 Salaria 62'0 2085 984 1945 Sanddy fever Enteric group of reven sa á ács ásada 2.3 '18 31 5 26.1 'i.! 58 0 0 06 33 8 302 3.2 0079 1 5 0 06 Dysentery Dlartho 7.7 35'3 10 5 1.6 45'1 3100 152 21.5 17-1 153 15 1 38 1 Inucaza 24 6 16.5 ia 4 13.5 10 Add . Ineuronia (Lolar Lobular) cncrcal discases Minor scptic diseases. 7-9 36 $24 60.5 4.7 0.59 39'2 6.9 0 86 294 63 o su 821 486 492 278 897 35 0.38 34.5 59 5 0 02 57.2 . 534 Localiajaries Heat otroko Ifrat othaustion. 70'8 1 17 73 1 + 86 6805 18 81.8 06 61.8 0 59 02 0 06 0.7 003 904 079 A.-Adm(ssione. 1.--Deaths. Av. C. S.-Aretage constantly sick.

·TABLE 3-contd. Tallo showing lolal admissions and deaths ralios per 1,000 of the strength for all crusta and certain imporlant drocnacs for stations with a strength of 1,000 and upwaris compareil with all-Iridia. Pours. Razmost. Jhansi. Luck Ral All-India. khet, lore. Stations with total admission ratlos lower than all-India Rawal. Jubbul. Mhow pindi Socundepore, Banga. 209. rabad. 2,441 1,399 2,216 1,479 2,591 1,017 527 7 526 1 5230 5139 485 0 4:10 484 214 2' 26 068 177 2 87 21 93 24 30 26 80 2741 21.77 27 25 strength. 2,377 1,10S 1,177 32,053 1,062 555.B 2*2 26 25 411 Causce 565 4.63 39.65 D. LAV.C.1. 5379 1 91 el 24 085 30 18 582 2018 26 88 70'0 43 3 877 6105 0 71 20 & 81 1 31 10'5 3032 32.8 187 393 68 0 O 06 33 8 Malsta Satty fover Enterlo group of cyers. 18 1 118 0'90 28 09 102 15 0 06 o sasáss ása 36'2 20 B 15 6 48 227 . 1)ywcalery TANTA 179 1591 18 6 1816 1746 183 *8*7 i o 51'8 17.0 22 6 30 2 13'5 16 5 124 Indum. 38 13 2 1 8 274 37' 4 18 0.42 43 42 l'oratnik (Lubnt ADU SA. I hular). ), Veneral dram Moor feptic dicana G.6 199 83 5 45 12 6 61 082 29 1 41 0*90 38 4 442 1395 494 15 10 143 3 5 38 31 5 70 7 488 7706 53'3 0941 393 64 0 97 59 5 0 02 . 4. 50:5 722 487 0 $5 61'5 0:04 66.5 0 38 811 O'96 45.9 .) ljusins 460 084 Piroke autlan. A. A.-Admielons. D.-Dentby. Av. C. 8.A verge coortastig alck. 455 2005 0.4 041 04 61 8 0 59 0.2 0 06 07 002 009 0.90 0.7 0.72 ·8 jelly 2 ounces gave promise of good results and screw cap aluminium contain: ers for this preparation are to be issued to troops in Northern Command for trial, Experiments have been made with Malarial as a substitute for the usual army antılarral mixture of crude oil and kerosene The experiments have not been conclusive and will be extended next year Dengue and Sandfiy Fever. 5 Incidence of Dengue and Sandily Fever among British troops from 1932 to 1936. TABLE 6. 1932 1933 193+ 1933 1936. Dengue 432 64+ 360 262 24+ {Ratio per 1,000 78 11 7 6.6 5 0 Sandtly S Admis 10ng 2,262 2,252 1,973 1,922 1,759 fever. Ratio per 1,000 40 9 40 9 36 2 36 5 33.8 Dengue ---The incidence of this disease shows a still further decrease this year, there leaving been 244 cases compared with 262 in 1935 The stations with the highest incidence were ,- Ratio per Actual 1,000 Madras 46 60 + Secunderabad 40 15 4 Calcutta 36 38. Borores 27 190-1 Mingaladon 21 23.5 Karachi 18 14 6 There was an increase of sandfly fever at Secunderabad during the year although present, were few in number in the station. The complete absence of dengue among troops in Karachi last year has not been sustained. Although there were 18 cases among British troops in the station, there was however only one case among Indian troops. septic cli-eaces, next in importance to malaria. Xorthern Command bear the greater part of the brunt of this disease as in fornier years, Landikotal and Peshawar being the stations particularly affect. ed. Efforts to prevent sandfly fever are at present necessarily confined to niensures such as whitewashing, spraying and repairs to building until such quitoes Pyrexia of Uncertain Origin. f. There has been a steady decrease of these cases in the last five years, Four of the Glee ylic It occurred in Northern Command, where kandfiy fover is prevalent, ant tuo cases in Kamptec might equally trell lave been ·9 diagnosed sandf, fever. One other case occurring in Northern Command, was originally diagnosed as Rheumatism. The following figures illustrate the decrease in the use of the term PIO 1932 1933 1934 1933 1936 106 61 46 32 10 Oriental Sore. At the end of 1933, the number of cases of oriental sore in Quetta, where the disease is endemic, were found to be increasing and early in 1936 the disease began to assume epidenne proportions among the local population in city and cantonment In April 1936, Dr Smith, Director of the Pasteur Institute, Ka auli, was sent to Quetta under the orders of the Government of India to carry out an investigation and to advise on measures for prevention. Two men from each large and one from cach small military unit in Quetta were detailed to work under Dr Smith and the resources of the District Laboratory were placed at his disposal. Although conditions prevailing after the earthquake in May 1935 miglit de consulered farourable for increased breeding of sandflies in the piles of debris, no such evidence was forthcoming and the irregularity of infection among units in relation to proximity to the ruined city did not suggest infection from sandflies breeding in the ruins The chief predisposing factor when infection tinder abnormal 1 . Over 600 cases of all classes were treated by the medical specialist at Quetta Included in this number were 31 cases among British troops in Quetta In addition there were 26 cases in a battalion of British troops in Secunderabad which had left Quetta at the end of 1935. f curettage then being the above was used latterly in the Indian Military Hospital. After curettage, tannic acud ting dusted on the wound to minimise bleeding and, for the sake of economy, sterile vaseline was used instead of elastoplast with equally successful results In very extensive cases, especially those with multiple sores on the face sodium antimony tartrate was given intravenously starting with grain and increasing on alternate days by to 1 grains up to 10 to 15 grains. Trivalent antimony compounds were found to be more effective than the pentaralent. Anotlior method of treatment which was commented on farourably by the Surgical Specialist, Lahore District, was to clean the soro with a hydrogen peroxule dressing for tro days and then dress it daily with a special copper sulplate and lactic acid solution. This solution is made by dissolving 120 grains of copper sulphate in 2 lbe, of distilled water nnd then adding 120 minims of pure lactic acid Feu ladies dereloped oriental sores and the modern practice of lavislı use of cosmetics probably deterred sandflies from biting. Dogs were found to be infected mainly round the nose, eres and ears, and also many dogs were found with scars resembling healed oriental sores, ·10 Fevers of the Typhus Group. TABLE 7. 193 1933. 1934 1935. 1936. 1,41 . R R. R R. R. Aimns per Admns per Adings per Admne pei Admns per 1,000 1,000 1.000 1,000 1,000. "British troops 11 23 04 1.0 19 04 08 Indian troops 10 01 19 0.2 51 15 04 0.4 ineteen Owing vithout As in previous years the cases fall into three main groups on their agglutination reactions, 70 ing non lonelding other antonnring than Rn Re and T 0. Rs.) only titres of 1 British British-9, Indian-'); unclassthed British-V, Indian--. The distribution by commands was as follows Northern Castern Southern Burma Command Command. Command District. . Ind Brit Brit 21 Brit. Ind 6 1 Ind, Brit 2 0 Ind. 2 0 5 2 0 Proteus OXK Proteus OX 10 Proteus OX 2. Unclassifiable 15 0 3 3 0 + 4 0 0 5 3 1 2 3 1 2 1 0 Total 21 19 10 7 22 3 Seasonal distribution was similar to 1935, the Proteus OXK group being mainly restricted to the autumn monthseg, 20 of the 21 Proteus OXK cages (British) occurred in the Simla Hill stations in August and September. The Proteus OX 19 group of cases were more or less distributed throughout the year. - In Northern Command the only months in which no cases occurred were March, April and July. In Southern Command no cases were reported in February, Jiarch and June is based on in seasonal ses occur in station in which District or Brigule Laboratories are located. In 1936 only 9 cases scemed to occur in stations at any distance from a military laboratory. The very few cases reported among the civil population in India annually is probabis similarly due to the lack of Jaborntory facilities for fever cases among the inaas of the population. In a large number of the milder cases in the military population diagnosis without repeated agglutination tests would not have been possible. Xo cases occurred in Western Command during the year.

·11 The cases were classified according to severity :- B. B B proteus proteus proteus OXK. OX 19. OX2 Per cent. Per cent. Per cent. Very mild 26 17.5 25 Mild 41.7 17 5 43 7 Moderately severe 28.9 30.0 6.2 Severe 13 1 5.0 Very severe 10 5 Symptoms were as described in the report for the previous year, eg., Tarving from pyrexia with headache to the severe toxic case with nervous 25 + 1 absolutely diagonstic of either of the three groups. In the past the raslı as regards character and distribution was given some importance in this respect, but increasing experience has shown this not to be the case, eg., among the proteus OXK cases in 1936 the limbs were involved in 6 out of nine cases in Thich the rash was maculopapular in type, and in 2 of these the face was also involved. " also took place during convalescence in a few cases. Temporary dilatation of the heart is recorded among certain of the cases, and one medical officer found that in several of his cases there was a marked fall in blood pressure in the acute stages both systolic and diastolic. Wasserman tests are being carried out on an increasing number of these cases annually. In "Peeling 109 EC early in the disease and sometimes only in convalescence—c.g., of 7 good tests (British OX 19), in 6 the Wasserman tests was strong positive, and in 1 positive of 14 good tests (Indian OX 19) 9 were + +,2+, 2+ -- and 1 negative throughout . Six agglutination tests which exemplify most of the points in this connection, 2 typhoid, 2 typhus, 2 enteric group may be of interest. (1) Typhoid fever (very mild) --10 years service. S times inoculated T. A. B Bact. typhosum isolated from blood on 5th day. Symptoms --Pyrexia 10 days; cough chief symptom. Patient did not took ill after 2nd day Titres of agglutination. Dy after onset of disease 6th, 20th. 23rd. Path. Bact typhosum H. 175 300 1,200 3,300 2,500 3,000 Bact. paratyphosum A. H. 0 Bact paratypliosum BH, 25 135 123 1:3 Bact. typho-um 0. 50 B. pruteus OX2. B. proteus OX10 B. proteus OXK. 250 000 10th, 16th 0 0 70 0 150 JO 30 25 25 23 123 0 25 0 23 0 30 30 230 300 ·12 13th 60 100 ICO (2) Typhoid ferer (very severe).-7 years service. 3 times inoculated T. A B. Bact. typliosum isolated from blood on 5 occasions. Pyrexia 30 days, toxæmia, delirium, death. Titres of agglutination. Day after onset of disease 12th 16th 20th. Bact typhosum H 70 70 175 275 Bact paratyphosum A. 50 55 70 100 Bact. Paratyphosum B 173 175 175 175 Bact. typhouum O. 0 0 0 70 B. proteus OX 0 0 0 0 B proteus OX19 33 50 70 225 B proteus OXK 80 750 225 300 (3) Typhus fever (very mild (case during small epidemic in Subathu)- British soldier-10 months in India. 1 inoculation T. A. B Pyrexia 15 days, no other symptoms except headache, pain neck and legs; no rash ; blood cultures, urine and stool examinations negative to enteric group. Titres of agglutination Day after onset of disease 8th 10th 14th 26th 33rd 41st 54th. Bact typhosum A. 60 135 1,200 1,000 900 950 Bact paratyphosum A. H 110 133 100 150 100 50 125 Bact. paratyphosum B. H. 85 85 125 70 Bact. typhosum 0 50 25 0 250 0 B proteus OX2 0 O B. Proteus 0X19 50 70 70 50 80 50 50 B. proteus OXK.. 110 2,600 3,500 6,000 3,500 1,400 (4) Typhus fever (severe case, during small epidemic in Subathu).- British soldier, 1 year in India. 1 inoculation T. A. B. Pyrexia 22 days, headache, injected conjunctivæ, laryngitis, drowsy, dilated heart, delirium 10th day, marked copper coloured mottling trunk and limbs 7th day, which lasted 8 days. Bloocl culture, stools and urine examinations negative. Titres of agglutination, Day after onset of disease. 10th 12th. 15th. 19th. 26th. 35th, 42nd. 61st Bact, typhosumn H. 50 45 45 30 125 25 25 Bact paratyphosum A H. 85 1,000 1,100 1,500 900 1,000 250 Bact. Paratyphosum B. H. 22 45 30 100 73 50 40 40 Bact. typhosum 0. 0 0 0 0 0 250 B rroteu4 OX9. 0 0 0 B. proteus Oxto. 0 0 0 0 0 0 0 B. proteus OXK. 0 17 50 35 50 50 35 35 (5) Enteric group (mild case).- Indian soldier. 18 months service. ? inoculation, T. A. B. Nuld pyrexia 12 days, no other symptoms. 3 blood cultures negative. 25 50 0 0 0 0 0 0 700 0 0 0 0 0 0 0 0 Titres of egglutination. 15th, Sth, 225 20 17 0 9th, 110 250 225 Day after onset of disease, Bact. typhosum H. Bact. paratyphosum A. II. Bact. paratyptiosum B, II. Hact. iyphorum 0.. 15. proteus OX2. 13. protous OX19. 13. proteu. OXX. 223 23rd, 300 500 150 0 50 80 As 600 200 O 60 125 o 0 26th, 53 60 145 0 0 25 0 ·13 8th. 250 250 (6) Enteric group (moderately severe case).-British soldier, 17 months in India. 1} inoculations T A B. (.5 c. c. T. A B.5 days before onset). Pyrexia for 23 days, headaches marked, no other prominent symptoms. Blood culture, faces and urine examinations negative. Titres of agglutination, Day after onset of disease 3rd. Ilth. 18th. 21st. Bact. typhosum H. 1,000 2,500 1,000 1,000 Bact, paratyphosum A. H 50 550 1,000 500 500 Bact. paratyphosum B H 50 1,000 1,000 400 500 Bact typhosum 0 0 0 0 50 50 B. proteus OX2 0 0 0 225 B. proteus OXIO. 0 25 200 50 B. proteus OXK. 50 35 85 200 27 There were 2 deaths among the Proteus OXK group, 1 from double Lobar pneumonia and I from Broncho-pneumonia, also 1 death from toxaemia among those Indian cases which could not classified owing to a general rise in agglutinins. As in previous years, any evidence of "bites" by an insect vector was conspicuously lacking. In l case a small sore on the foot with lymphangitis in the leg was the cause of the patient's admission to hospital, and in 1 of the Burma cases the patient stated that he had removed a tick from his body some days before admission. Digestive Diseases. 73-4 9. The steady decrease in these diseases during the past few years has not been sustained, there having been 5,362 admissions compared with 5,014 in 1935. 1035. 1936. Tonsillitis 1,494 1,516 Diarrhea 859 Pharyngit19 420 462 Appendicit 18 423 386 Gastritis 307 357 Constipation 332 339 Piles 195 205 Tonsillitis still heads the list of digestive diseases and it is fourth on the list of diseases causing admissions to hospital. If tonsillitis and pharyngitis, with which it is closely associated, are taken together they constitute the third most important cause of sickness. Enteric group of fevers. 10. The incidence of enteric ferers among British and Indian troop during the years 1931-36 is shown in table 8.

·Enteric Feter. TABLE 8. British 103 1935 1036 Actuals Ratio per 1,000 Actuals Ratio рег 1,000. Actuals, Ratio per 1,000 D 5 27 A 05 D 0 09 07 3 03 02 100 contes Typhoid Para. Para, Para. Enterle group 4. D A. D 20.3 0 04 02 O UZ 0.02 109 002 1 55 D А 0 15 14 13 1 1 0 02 0 17 76 0 02 1 01 0.04 68 17 0 13 108 2 1 1 3 Total 01 990 3 1.5 0 08 Indian 1934 1935 1936 Ratio Ratio Actuals. Ratlo per Actuals per Actuala, рег 1,000 1,000 1,100 A n D A D 18 11 006 009 53 0.5 007 39 3 02 003 45 39 46 3 04 0.03 14 0.1 003 0.01 0 01 002 4 08 o '03 62 20.5 0 02 33 2013 002 222 15 19 0.13 164 13 1.4 0.11 57 O 01 Typhold Para. Pare, 0 Enterle group lowers Para. . Total In 1934 the incidence was the lowest ever recorded, but again this rocord has been broken by the even greater reduction in 1936, which is particularly striking among Indian troops. It is possible that a portion of the reduction typhus group cases, 'yphoid and Para-ty: und the ratio per 1,000 for typhus fever (Indian) is identical with that in 1934. The numbers of deaths in both British and Indian from enteric fever are also among enteri כר is being eliminated. The main ment in tho T. A. B. vaccin Research Institute, Kasuli, In tho 1933 report attention rently ambulant infections amon On the onia from KUI JIL "W W ILLUSCIUN. 110 thou wa setele selsp:0 and eventually died as the result of a perforation of the coccim. Agglutination results in this Case Bloncel no riso in cither TH, or T. 0. Agglutinins. Tbo second caso died of toxirmia also during a relapse.

·15 The comparative incidence, death rate and case mortality among British soldiers with under one year's service, and over one year's service in India is given in table 9 TABLE 9. . 4. 23.6 tader one Fear in India Over one year In India. Deaths Case Cases Deathg. Case Streogth morta Strength morte Actu- Ratio actu- Ratlo lity Actu. Ratio Actu. Ratlo lity al per als. per ats per als. per 1,000 1,000 1,000 1,000 Average for 1923-1933 . 10,632 30. 2 SI 72 0-63 23 8+ 44,915 32 0-71 36 003 11 21 Average 1931-1935 10,9097 0 65 2 0 18 29 57 49,623 20 0 47 4.5 11 22.5 1936 9,711 6 0-62 42,319 S 0 19 2 0 05 25 The six-monthly periods after inoculation at which infection occurred are shown in table 10. TABLE 10. Total Enteric group of fever's Typhoid cages bacteriologically proven. 0-6 6-12 12-18 0-6 6-12 12--19 months months months, months months inonths, Per cent. Per cent. Per cent. Per cent. Per cent. Per cent. 1929 32.2 50.5 17-5 31.2 58.3 10.4 1930 37-6 43.6 18.8 32.7 46 6 20.7 1931 35.4 35.4 29.2 31.4 34.9 30.2 1932 33.7 39.0 28. 30.9 45.4 1933 32.0 24.0 23.0 45.8 29.2 1934 33 7 33.1 31.1 40.0 24.0 36.0 1935 30 U 43.3 26.6 21.7 43.4 34.7 1936 32.3 40.0 27.1 15.4 30.8 53.8 For the total enteric group of fevers the porcentages are similar to previous years for it proven ty in the first the 12–18 montlı9 period. The results obtained by agglutination tests are similar to those obtained in previous years both as regards "H" and "O" agglutination, e.g., inconclu. site. Comparative tests are being carried out on as many cases as possible in all muhtary laboratories, between Dreyers technique and that of Felis with standardised T O. suspensions. Sufficient data are not yet available to base defimte opinions on except that in the great majority much higher titres of "0" agglutination are shown to be present by the latter method. TAVLE 11. F'erers of Enteric Group- Inoculation state among British other ranks--1936. Actuals. Ratio per 1,000. Group Strength. Can Cases, Deaths, Causes. Deaths, mortality per cent. Protectent 10,613 3 1.3 0.06 1.6 Uoprotectel. 613 11 17.1 .. .

·16 TABLE 12. Incidence of fevers of the enteric group among protected and unprotected British Officers, Other Ranks, IT'omen and Children. Admissions. Average Total. strength Typhoud Para, Para. Para. Enteric A. B. C. group. British officers Protected 4,236 3 (British and 8 Indian service) | Unprotected 286 1 British other Protected 50,655 13 10 40 ranke. Unprotected 70 645 1 3 Protected 5,631 1 1 Vomen 9 Unprotected 330 4 Protected 6,394 4 Children 10 Unprotected 1,096 5 Dysentery, Diarrhæa, Colitis and Amoebic Hepatitis. 11. Incidence of Dysentery, Diarrhea, Colitis, and Amoebic Hepatitis during 1933–1936. TABLE 13. 1 Dysentery. Ratio Actuals. Diarrhos. Cottig Total Ambic TIepatitis. Liver absces, Ratio Ratio Ratio Ratio Actuals. per Actuals per Actuala per Actuala. per Actuals. 1,000. 2,000 1,000. 1,000. 1,000 892 15 3 53 0 2.964 41'2 36 85 13 811 14 9 42 0.8 2,242 412 52 • 96 *09 731 13 9 19 0.4 2,289 435 .46 *08 859 16'5 49 09 2,101 427 15 .29 .04 Katlo per 2,000, 94 9 25.5 per 1933 1934 1995 1936 1,380 1.389 1,636 1,283 29.2 24.6 22 During 1936 the admission ratio for dysentery decreased by 4-6 per 1,000 as compared with 1935 and is the lowest for some years. This is however offset by an increase in admissions for diarrohea and colitis learing a decrease of 1.4 per 1,000 for the whole group of diseases. Reduction also occurred in admissions for amoebic hepatitis, and only two cases of liver abacess vero admitted during the year, Cases were as usual sporadic and no epidemics occurred. The fly season corresponded as usual with the greatest incidence of the cases and in Northern Command it was noticed that units arriving recently in stations after train journeys produced small crops of cases. The fact that this group of diseases is under peace conditions largely pagsed on from the insanitary conditions provailing among the civil community was stressed in the 1935 report. Tho striking range of the fly and the ab-ence of any reliable method of f dysentery bacilli thie fact that the 1936 still as high per 1,000 for the entoric group of ferers. The crtent of tho infection among the local population mar le ganged by the fact that during the routine examination of menials prior to employ. ment the majority of pathogenic bacilli discorered are mainly of the Flemner and Shiga group. Tho percentage of dysentery cases diagnosed bacillary, bacillary exudate, protozoal and clinical dysentery throughout India during any one year now sarica very little. LE ·Unoho 17 TABLE 14. 1931. 1935. 1936. ad- Per- Per. Ad. Perinissions, centage. missions. centage, missions. centage. Dysentery Protozoa! 163 11.74 158 10.3 138 10.8 Dysentery bacıllary (bacteriologically proved) 513 36.93 637 41.5 592 46.1 Dysentery bacillary Esudate (typical Exudate, but no organism isolated) 383 27.57 353 23.0 288 Dysentery Clinical 330 23.76 388 25.3 285 20.7 The ratio per 1,000 of the above groups in Commands is shown in tablo below. It will be seen that as regards ratios of Bacillary and Protozoal infections there is little difference between command figures, except in North. em Command where amabic infections were less prevalent than in the other three Commands. In the main there is lit variation between Districts also. I 6.9 1.8 8.1 6.5 4.0 27.7 mo t t d zoal 5.8%, Bacillary dysentery 51•14%, Bacillary exudate 24.78% Dysentery clinical 18-20%. Dysentery- Admission ratio per 1000. Bacillary Cormand Bacillary, exudate, Protozoal Clinical Total Northern 40 20.0 Western 12.5 5.0 9.5 16.3 35.3 Eastern 13.8 3.3 Southern 14.0 6.3 2.3 0.8 23.4 isolated froin cases also show little ir there has been a general increase * year the numbers of the B. sonne strains identified by Boyd have become recogniseel in military laboratories and the scheme for identification of dysentery groups brought into being by him has come into general use the so-calleri "inagglutinablo Flexner bacılli", which were reported on annually in laboratory reports of military laboratories, have to all intents and purposes ceased to existe TABLE, 15. Analysis of Organisms isolated from Specimens submitted to Laboratories during the last four years. Yon.mannite fermenting. Jannite fermenting. “ขJers typo. 22Schnitz, -5. Ulillabuiflou, 1033 1934 1935 1930 80 95 233 101 230 201 333 280 330 392 195 202 292 337 0:1 98 S1+ 315 313 392 3x3 1,564 1,463 19 1,499 1 1.513 5.8 1.8 0.6 ·18 Tropical abscess of the liver and hepatitis. 12. There were 51 admissions for hepatitis of which 15 were considered as definitely amabic in origin, and 19 in which the cause of the hepatitis was doubtful. There were only two cases of tropical abscese both of whom reco. vered Cholera. 13 I miei epidemic of 5 cases occurred in the Sergeants' Viess, Fort William, Calcutta, at the end of Jay Examination of foort, vegetables, ice and minerali did not reveal any sourco of infection but on examination of the nembrrs and staff of the Sergeants' Mevs it was found that a Drum-Stajor w.y a cholera carrier Vibrios morpliologically and bio-chemically resembling V cholere were also isolated from a kergeant, two of the Indian staff of the meus anii an Indian in the mineral water factory On scrological investigation thue vibrios wero proved not to be true V. cholera Stool criminations of the remainoy members and staff of the mess and mineral water fartory gavo the following rather striking results :- Onç sergeant- Indian cooks—diysentery bacillary exudate One mcrgeant-indefinite exudate. One Inilaan taiter-Vegetative forms of E histolytıca, One sergeant and one Indian Wash-up bor— Tænia Solium. Threo Inilianz in mineral water factory-raried Helminthic infestations, Cysticercosis. 14 One case occurred at Trimulgherry and was invalıded to England The man was a pork butcher in England before joining the Army. On reporting sick for a minor injury of the hand he was found to have subcutaneous nodules in various parts of his body and he stateci that these had been present for seven months Subsequently he had an epileptiform fit. In addition to this case of cysticercosis 17 cases of epilepsy were invalided home during the year without any associstion with cysticercosis being dis. covered. There were 17 cases of T.enia Solium infestation treated during the year, compared with 21 during the previous year, Venereal Diseases. 15. TABLE 16. Soft. Year. Gonorrhoea Syphilis. chaacre, Total. 1932 26 1 6.0 5.5 37.7 1933 23-2 4.9 33.4 1934 4.1 31.1 1935 25.8 GO 6.6 38.8 1936 23.7 4.1 4.6 34. Oning mainly to a reduction in Birma the admissions for renereal disease are lower than last year and slightly lower than the arerage of the last five years. Burna District still supplies the majority of cases although there has been a steady decrease in that District in the last three years, 5.0 25.2 ·19 The treatment of gonorrhea followed the usual routine lines with potassium permanganate (I in 12,000-20,000). In chronic cases witl. "morning gleet " irrigation with 1/4000 zinc sulphate solution gare good results Polyvalent vaccines received from Woolwich are still under trial and so far are favourably reported on. - The specialist in Dermatology, Lahore District, in an endeavour to cut short the duration of chronic cases of gonorrhoea by raising the body tem T'erature used intravenous injections of T. A. B. vaccine. Results were disappointing, possibly because the selected cases were all very chronic, and also because the height or cluration of the increased body temperature could not be gauged for any giren dose of T A B. Vaccine as patients reacted differently, influencer possibly by their previous inoculation history. The average number of days in hospital for gonorrhoea was 47.12. The Tercentave of relapse cases was 23.3 Dieloos vaccine has again been reported on very favourably for cases of soft chancre and it has now been placed on an "as required” scale of issue. Diphtheria. 16 The number of cases occurring among British Army during 1936 Were Officerg=3 Other Ranks=66. Other Ranks' Wives=6. Other Ranks' Children 58. QAIN XS=1 The outbreak in « battalion on the X. W. I'rontier, reported last year continued until February of this year, six cases occurring in January and one in February Although throat swabs were taken of the whole battalion during the previous month further swabbing in January produced six more virulent carriers. The necessary materials having been obtained by air mail from England, Schich-testing and immunisation of positively reactors were carried out, 197 (27% of the battalion strength) being immunised. Three months after inimu. misation previous positively reactors were again Schick-tested but only 3% kave positive reactions This outbreak clemonstrates the value of Schick-testing and immunisation for, in spite of extensive swabbing and isolation of carriers, it was not until immuncation had been completed that further cases ceased to occur. Imnumsation was also carried out among school children at Kirhee as several carriers were discovered. The non-virulent carriers were sent to their liomes but the virulent carriers were isolated in hospital. In spite of gargling, fresh air and tonsillectomy, 4 children renained carriers up to 4 months, Cerebro-spinal fever. 17 One canes occurred among British troops in Rawalpindi This case was mejere and resulted in deatli in spite of energetic treatment with Group I antmeningococcus aerum giren intrarenously, intratheeally and intramus. culirly There were 16 c# with 4 deaths among Indian other ranks and 4 cases with 3 leaths anuong Indian follower ·20 Of 14 strains of meningococci cultured ]1 were found to belong to Group I (types I or III). The remaining 3 strains were not typed. Smallpos. 18. TABLE 17. Half yearly state of taccination of British troops and families. 30th 31st Barch, September. British Officers British Other Ranks Women and Children 99 96 99 65 9).09 98.73 99 69 98.09 There were 7 cases of small-pox durug 1936, compared with 8 in 1935, Four of the cases were among British Other Ranks, one was a British Officer and the remaining two were children of British soldiers One child aged 4 years had been vaccinated eight time, but always unsuccessfully. The other, aged 11 months, had not been Vaccinated as the mother refused. Both of the children and one of the British Other Ranks, who had been revaccinated in 1933, died. All the cases occurred between the months of Feburary and May and no two cases occurred in the same station. Respiratory diseases 19. The number of admissions for respiratory diseases, other than pulmonary tuberculosis, tras 1,210 or 23 2 per 1,000 being practically the same as in 1933. There were 132 cases of lobar pneumonia with 14 deaths compared with 164 cases and 19 deaths in 1935. Out of 51 cases of broncho-pneumonia there were 6 deaths. There were 834 admissions for bronchitis and 90 for pleurisy. Tuberculosis. 20. TABLE 18. Pulmonary tuberculosis, Tuberculosis other than Pulmonary. Actuals. Ratio per Actuals. 1,090. 9 Admissions Deaths 'Intalids 37 1 63 1.1 0-02 There irere 3 more Casey and 2 less deaths but 28 more invalids for pulmonary tuberculosis than in 1933. The cases were distributed throughout India, although Southern Command gires a somewhat higher ratio of infection than the other commands There as also no higher incidence in any one unit.

·21 Areolar Tissue and Local Injuries, 21. Although there has been a decrease of 512 or 9.3 per 1,000 in admissions for cellulitis this disease is still second only to malaria in the causation of admissions to hospital. There were 473 admissions for boils, this figure being the same as in 1935. Sprains, contusions and abrasions constituted the majority of local in. juries for which there were slightly fewer than in the previous year. Local injuries accounted for 31 deaths, this being one less than in 1935. Experiments were carried out in certain stations in Northern Command during the hot months with a view to of "salt" to replace chloride deficie reduce the number of skm infection indicated that increased salt intake was thought to be of benent, but they were of so general a nature that no safe conclusions could be drawn. anrawn tinn Effects of Heat. 22. There were 13 cases of heat-stroke with 3 deaths, and 39 cases of heat-exhaustion with I death The number of cases of heat-stroke is 2 more than in 1935 but there were only half the number of cases of heat-exhaustion. Asin previous years the majority of cases occurred in Northern Command. The hot weather was not quite as severe, nor did it last quite as long as the previous year In Northern Command the normal hot weather moves to the hills were not interrupted by civil disturbances. Attempts were made in this Command to reduce the number of hours spent by the men in their bartaok rooms, as it is considered that long hours without employment in dull barrack rooms, during the lot weather, have a very definite adverse psychological effect on the troops Reveille was held at a later hour to enable men to get more sleep in the cool early hours of the morning Work was carried on out of doors, in the shade as much as possible, during the morning. The hot dinner was also postponed until the evening and a light mul-day meal given instead. Another innovation was to send troops out into hivouac for 24 hours in the iddle of the hot weather, under medical supervision. Yo ull effects resulted, and the troops liked it as a relief from the monotony of barrack life in the hot weather Mental Diseases. 23. TABLE 19. 1932 1933 1931 1933. 1936, Total Mental Diseasey 63 193 152 168 1-45 Schizophrenia 17 23 20 Feeblemindedness 1) 10 3 6 13 Jano depressito psychosis. (Acute manis and depression) 13 9 7 11 Hysteria 6S Youraathens 67 40 24 Anxiety neurosia 6 s 14 15 Psycha thema 3 5 VAT-Before [133 p-schoneuroses men shown as nervous diseases. There mere 145 cases or 2.8 per 1,000 almittel for mental disease, compared with 168 cases or 3-2 per 1,000 in 1933. Of theso ndanissions 16 mer ivalulel to the United Kingdom and an additional 46 remaining from 1933 were also invalided during the year 30 51 6? 5+ 18 ·92 The diseases shown in the above table are those constituting the majority of admissions for mental diseases. Hysteria was the chief mental desease but 75% of the cases were returned to duty. One case was admtted twice for hysteria and subsequently returned to duty on both occasions but was later re-admitted as a case of manic depressive psychosis. Soldiers with less than 6 months in India were, as might be espected with their changed conditions of life, most affected. The admissions for mental diseases accordmg to length of service in India were :- Per 1,4100. Under 9ix months 20.01 Six months to l year 2.13 1 to 2 yoars 3.OS Over 2 years 2.18 The high percentage of cases under six months' service in India is made up by hysteria 10, anxiety neurosis 2. neurasthenia 1, temperamental insta. bility 1, feeblo minded 2, schizophrenia I, manic depressive psychosis 1 HYGIENE . Military Food Laboratory, Kasauli. 24. TABLE 20 Summary of work done during 1936. Percentage Source of samples. Recen ed. Accepted. Rejected. of rejections. On tender or for acceptance From overseas 3.2 215 98 29.5 Indian products 1,153 617 333 29.1 Grains from grains depots 3,121 3,037 67 2.1 TV heat from Government controlled mills 620 620 Bran from other than controled mills. 1,134 978 156 13 8 Ghi from Ghi Heating Contro, Agra 3,824 3,823 1 0.03 Stocks purchased without re. ference to the Julitary Food Laborators 157 143 (I 6.1 From R.1.A. . C. stocks, 1,470 1,439 8 0.5 Fron unite for adrice. 1,237 909 190 15 5 Total 13,055 11,754 6.6 Specially prepared ascorbic acid tablets were analysed and found to contain ample ascorbic acid for the prerention and cure of scurvy. Storage tests of these tablets are still in progres3. A new specification for meat extract has been produced in place of essence of beef to proride a truo meat extract with a high proportion of meat and a low percentago of salt. • In 411 cases further samples were called for. . 863 ·23 1. nn Annorlamenn . 19 Earls consignments of a particular brand of tinned milk appeared to be blown but the contents of the tins were found to be sterile and in good condition. The air in the tins did 1100 differ from atmospheric air. Representation to the manufacturers resulted in improved packing and there was no further complaint. Supplies of rice from Burma continued to be imsatisfactory and large stocks were condemned. The Officer-in-charge supplies, Rangoon, underwent a course of instruction at the Military Food Laboratory in September and since his return to Burma rice supplies liare improved. In September an outbreak of an Indian troops stationed at Vinga rice supplies was suspected and further cases occurred. Analysis of the particular supply of rice shoved it to be superior in quality to normal supplies but to be in bad condition, having a bad smell and being full of weevils and maggots. Supplies of this rice were destroyed and godowns in which it had been stored irere disinfected In Xovem in camp and cakes made fr cakes were made were not available and a sample tin from the same pack was reported to be sound by the Military Food Laboratory. Eventually it was considered that there may have been one bad tin or adulteration may have taken place in the make up of the fish cakes by the contractor's staff. Succinchlorimide tablets for sterilisation of small quantities of water trere tested and found to be very satisfactory Storage tests are now being made and if the tablets are found to be sufficiently stable their issue for chlo. rination of individual water bottles will be considered. l'entilation of British Troops Cookhouses - Thc A. D. H & P., Xorthern Comman<l, carried out experiments in Ferozepore and Multan during July to ascertain the atmospheric temperatures which had to be endured under working conditions in British cookhouses. Inspite of overhead electric fans the indoor dry bulb temperatures were ten degrees higher than the outdoor and wet bulb temperatures exceeded the point at which respiration and pulse were accelerated in a sitting inan. As a result of these experiments exhaust fans have been authorised in British cookhouses in certain stations in addition to overhead electric fans Air Conditioning - The experiments carried out last year for air condi. tioning the BMH Delhi by means of khus-khus screens and fans were consider. ed successful. The experiments this year have been further extended to hoapitals at Cawnpore, Lucknon, Jhansi and Laliore. Quarters and Barracks -A sum of Rs. 8,S4,000 was provided for improve. inents to existing and provision of new married quarters for British personnel an Xorthern and Eastern Commands. Improvements to and pronssion of new dining halls and cookhouses for British troops hare been made in three Commands. Water Supplice.--Independent military water supplies hare been provided at several stations and improvements to water supplies and purification methods at other stations have been carried out to the limit of available funds ·22 The diseases shown in the above table are those constituting the majority of admissions for mental diseases. Hysteria was the chief mental disease but 75% of the cases were returned to duty. One case was admitted twice for hysteria and subsequently returned to duty on both occasions but was later re-admitted as a case of manic depressive psychosis. Soldiers with less than 6 months in India were, as might be expected with their changed conditions of lufe, most affected. The admissions for mental diseases according to length of service in India were .- Per 1,000. Uncler six month 20.04 Six months to l year 2.15 1 to 2 years 3.08 Over 2 years 2.18 The high percentage of cases under six months' service in India is made up by hysteria 10, anxiety neurosis 2, neurasthenia 1, temperamental instability 1, feeble minded 2, schizophrenia 1, manic depressive psychosis 1. HYGIENE. Military Food Laboratory, Kasauli. 24. TABLE 20 Summary of work done during 1936. Percentage Source of samples. Received Accepted. Rojected. of rejections. On tender or for accptance. From Overseas 392 218 96 29.5 Ludian poolucts 1,153 617 335 29.1 Grains from grains depots 3,121 3,037 67 2.1 Wheat from Government con. trolled mills 620 620 Bran from other than controled mills 1,134 978 156 13.8 Ghi from Ghi Heating Centre, Agra 3,824 3,823 0.03 Stocks purchased without reference to the Julitary Food Laboratory 181 143 11 61 From R I. A. s. C. socks. 1,476 1,439 8 0.5 From units for arrice 1,227 903 190 15.5 Total 13,058* 11,784 863 6.6 Specially prepared ascorbic acid tablets were analysed and found to contain ample ascorbic acid for the prerention and cure of scurvy. Storage tests of these tablets are still in progress. A new specification for meat extract has been produced in place of essence of beef to provide a true meat extract with a high proportion of meat and a low percentage of salt. .. 1 • In 411 cases further samples were called for.

·23 Early consiguiments of a particular brand of tinned milk appeared to be blown but the contents of the tins were found to be sterile and in good condi. tion. The air in the tins did not differ from atmospheric air. Representation to the manufacturers resulted in improved packing and there was no further complaint. Supplies of rice from Burma continued to be unsatisfactory and large stocks were condemned. The Officer-in-charge supplies, Rangoon, underwent a course of instruction at the Military Food Laboratory in September and since his return to Burma rice supplies hare improved. In September an outbreak of Indian troops stationed at Ming rice supplies tras suspected and further cases occurred. Analysis of the particular of rice shoned it to be superior in quality to normal supplies but to be in bad condition, having a bad smell and being full of weerals and maggots Supplies of this rice were destroyed and godowns in which it had been stored were disinfected In November an outbreak of food poisoning occurred in a British battalion in camp and investigation showed that the probable cause was due to fish cakes made from tinned salmon The actual tins of salmon from which the cakes were marle were not available and a sample tın from the same pack was reported to be sound by the Military Food Laboratory Eventually it was considered that there may have been one bad tin or adulteration may have taken place in the make up of the fish cakes by the contractor's staff. Succinchlorimide tablets for sterilisation of small quantities of water trere tested and found to be very satisfactory Storage tests are now being made and if the tablets are found to be sufficiently stable their issue for chlotination of individual water bottles will be considered. l'entilation of British Troops Cookhouses --The A DI&P, Northern Command, carried out experiments in Ferozepore and Multan during July to ascertain the atmospheric temperatures which had to be endured under Torking conditions in British cookhouses. Inspite of overhead electric fans the indoor dry bulb temperatures were ten degrees higher than the outdoor and wet bulb temperatures exceeded the point at which respation and pulse were accelerated in a sitting man. As a result of these experiments exhaust fans hare been authorssed in Bri. tish cookhouses in certain stations in addition to overhead electric fans hospitals at Cawnipore, Lucknow, Jhansi and Lahore. Quarlers and Barracks -A sum of Rs. S,S1,000 as provided for improve. ments to existing and provision of new married quarters for British personnel in Yorthern and Eastern Commands. Improvements to and provision of new dining halls and cookhouses for British troops have been made in three Commands Water Supplies - Independent military water supplies hare een provided at several stations and improvements to water supplies and purification methoxls at other stations hare been carried out to the limit of arailable funds ·24 Swimning Baths --The provision of more and better stimming baths for troops has been and still is under consideration. The supply of bleaching powder and copper sulphate for purification of swimming bath water as well as water for other domestic supplies has been regularised. With the aid of a loan from official sources the Bishop Whitehead Institute at Secunderabad has constructed an up-to-date swimming bath of 170,000 gallong capacity with continuous filteration and chloramination. This has proved a great boon and is very popular with the troops and their families. Treatment of sullage water.-Lieut.-Colonel T. 0. Thompson, R.A.M.C., devised an apparatus for the semi-automatic treatment of sullage water by Hattersley's chemical method of precipitation with ferrous sulphate and lime. The apparatus and process has been fully described in an article published in the R. A JI. C Journal The effluent from cookhouse or bathhouse runs into a tipping tank which when full empties itself into a mixing tank. The tipping over of the tipping tank causes a dose of ferrous sulphate and lime from two separate receptacles to be delivered simultaneously into the mixing tank where flocculation of the sullage water then takes place TI -.1baf.inl.or...s -1.1.1 Piggeries-Efforts have continued to be made to improve the supply of pork and pig products to troops and families but the question presents many difficulties. Unfortunately there are many ways in which fraudulent dealers can per. petrate fraud. Branding irons and meat stamps can easily be copied in the bazaar and systematic examination of the flesh entails so much cutting as to render it unfit for sale. Moreover, inspite of all precautions, there are no means of preventing families from buying from hawkers who visit quarters at night. Conservancy.Work on the provision of a water-carriage conservancy system for Fort William Calcutta has been started. The provision of septic tanks for disposal of sewage from quarters has been extended and a similar system is being installed for the Britislı diilitary Hospital, Rawalpindi. Experiments carried out last year for fly proofing latrines at Rawalpindi proved satisfactory and all British latrines in that station have now been fly proofed. int Periodic disinfection of blankets has been a general practice in most stations but a regulation has now been issued for all blankets to be disinfected regularly every six months.

·25 Khaisora operations. 25. Wazir force was formed and concentrated at Mir Ali on December . 6th to undertake punitive operations in Waziristan as a result of attacks by tribesmen on two columns which were making a demonstration peace march in the Khaisora Valley on 25th November. The force operated in three columns establishing camps from which punitive measures and road construction were carried out. The average daily sick rate for the whole force, British and Indian was 1.99 per 1,000 and the ratio per 1,000 admissions to hospital for British troops Was 278-3 This hospital admission rate compares very favourably with that in the Johmand operations 1935 which was 668-8 per 1,000 but it must be remembered that the Niohmand operations were carried out at the worst time of year when malaria was rife. Sanitation of camps was good once they were organised but in many cases, especially at Mir Al during the concentration period there was a certain amount of disorganisation. This again points out the necessity of Sanitary Sections being among the first units to arrive in concentration areas. Pathology. 26 The routine work in military laboratories has increased during the year 181,814 specimens were sent for laboratory examination, 21,814 more than in 1933 Work in the clinical side-rooms of the majority of hospitals also increases annually As an example 21,567 cxaminations were carried out in the hospital clinical side-rooms in Peshawar in 1936 Included in this number are however 17,322 blood filins Thus type of work is similar to that carried out in side-rooms of hospital wards m England, but includes large numbers of examinations for malaria parasites, examinations of dysentery exudates, and stool examinations for cysts or vegetative forms of protozoa. Enteric Group -As always, examinations of blood, serum, stools, etc, in connection with enteric group and typhus fever group proved a large part of the routine work in all laboratories Blood cultures reached the high figure of 4,236 and in the majority of cases were taken at a suitable period after the onset of pyrexia Percentage of contaminated blood cultures receired in the laboratories varied much in different stations, but the arerage for all India was 16.9 per cent In this connection a small series of experiments were carried out by Lieut.- Colonel Bridges in an endeavour to reach a conclusion as to the real effect of extraneous organisms on Bact-typhosum in blood culture. Blood cultura proved sterile after 10 days incubation were used for the tests, Bact-typhosum Leing the specific organism, while contaminating organisms were staph albus and aureus, Bact coli and B subtilis. The results were somes hat surprising particularly as regards staplıylococci the usual contaminating organism encountered, in that, except in two cases, Bact typlosun outgrew and killed the contaminating organism leaving a pure growth of typhoid bacilli Staph, albus was more easily killed than Staph aureus. In one case the latter and B.ict typhosum grew harmoniously together. In one case both died out lear. ing tlie culture sterile Bict typlosum and B, subtilis gres larmoniously together with no apparent effect on the growth of either, but in every case in whiclı Bact. coli was used for contamination it outgrer and destroyed Ract. typlosun.

·20 Contamination by staphylococci as a cause of negative blood culture in typhoid fever cases appears from the above to have been exaggerated. On the other hand the D A D P., Lahore District, stresses the high number of contaminated blood cultures received a hiu laboratory, and states, “In no case has the causative organısın been recovered from a blood culture which has been received contaminated in laboratory. A perusal of many hundreds of records of cascs only confirms the necessity for early and "repcated” bloorl culture particularly in a much inoculated population In quite a reasonable percentage of cases a positive blood culture has been obtained from the 3rd or 4th consecutive culture while the first two or three cultures hare been sterile or contaminated with staphylococci. In view of increasing experience as regards the anamnestic reactions obtained with "H" and to a lesser extent with "0" agglutination in particular in connection with the Enterie and Proteus OX groups, and the comparatively poor results obtained by stool and urine exammation in the former, blood culture remains the one really sat factory inethod of laboratory diagnosis, One bacteriologist suggests that his poor results from stool examination in ts: phoid cises may be due to the fact that in a highly inoculated and re-inoculated population frank ulceration of Peyers patches seldom occurs with the result that fewer bacilli find their way into the bowel contents than 14 the case with uninoculated mdıridualz Certain typhoid cases are discovered annually in which a few days mild fever, and possibly a sliglit heurlache are the only symptoms, so there may possibly be something in the view, although many other factors are involved both from the hospital and laboratory side of this question In a country such as India where "fever cases " of unknown origin in the early stages bulk so prominently among hospital admissions the agglutination test 14 a mixed blessing as far as the laboratory worker is concerned. In 1936 tests up to a varying number for each case were carried out on 2,252 cases, which turned out to be due to other conditions than the enteric or typhus group. The heat the past few B(H), T(0), add A(O) BIO laboratory, sometimes es laboratories titres obtain bore agglutination tubes, and that of Dreyer in Dreyer's tubes, they have been asked to carry out as many comparative tests as possible on the same serum from enterio and typhus fever cases, and also, because of the unsatisfactory carry out comparatire tests on ic or typhus. The results will doubt that in many cases the end titre of agglutination is found in a far higher dilution by the Felix methoʻl than tho Dreyer. Whether this will prove to be any acirantage can only be shown by further experience, A new 9.1........- Poona (1933) was reported by Lt. Col. • the name of Bact. Kirkec. The H. ant hat of Bact. paratyphos'ını B but ita "O" antigen differs from that of any knowi organism. This or ganism will presumably be included in future editions of Kauffman-White scheme, 1 ·27 Bact. paratyphosum C was isolated from four cases, two of them being discovered during routine examinations of menials for carrier condition Every year a number of organisms are isolated from the blood of pyrexia cases and reported as Bact. alkaligenes (B faecalis alkaligenes). In the District Laboratory Rawalpindi alone twelve such were isolated during the year from Typhus fever cases No relationship has ever been shown between these strains and that obtained from the national collection of type cultures, which is indeed so autoagglutinable as to be almost unmanageable. Moreover no organism isolated in India has ever been found to be identical with this. A strain from Ranıkhet which produced suitable agglutinating serum and o and H suspensions was isolated in 1935 from a fever case This strain unfortunately died, but another suitable strain was recovered in Ranikhet again during 1936 Agglutinating serum and H and "O" suspensions have been supplied to all laboratories who have been asked to keep a look out for similar strains The results of an investigation carried out by Major H. J. Bensted in the District Laboratory, Rawalpindi, on the virulence of B typhosum isolated from blood cultures were published in the R. A M. C. Journal. In brief he finds that (1) In 100 consecutive cises IG% were of the highest virulence, 59% of medium virulence and 25% low virulence (2) Cases of normal clinical severity are normally produced by organisms of medium virulence But mild or very severe or fatal cases do not show any well defined relationship in the virulence of the organisms to the severity of the disease (3) Virulence changes are noted similar to those found in experimental infection in mice (4) VI-antigen was demonstrated in all the strains from the blood. (5) Five " Carriers” were all found to be excreting organisms of the highest virulence Routine examination of menials for a possible carrier condition resulted in the isolation of Bact. typhosum 10, Bact. paratyphosum A 6, Bact. paratyphosum C 2. Owing to the difficulty of obtaining fluid stools from these individuals these examinations are always considered to be unsatisfactory, and results largely depend on the personal interest taken in the matter by the medical officer in charge of the hospital and laboratory Dysentery.-Specimens from 3,767 cases were investigated during the year in the laboratories in addition to specimens from 3,290 diarrhea cases. Among the dysentery cases 2,355 were found microscopically to be typical exudates of Bacillary dysentery, and 1,413 to be indefinite in type. In all 13,764 breteriological cxaminations were carried out on these cases. 212 vere cases of amcebic dysenters and 17 were mived amabic and bacıllary in origin. During routino examination of menuals for the carrier condition the following dysentery group organisms wero isolated-B shiga 15, B. fexner 21, B sonne 11, B schmitz I, B newcastle 1, B. enteritidis 1. The latter bacillus is seldom encountercul in dysentery cases in India, but when is present it appears to cauuso a sovero and protracted type of dysentery. Once pich case which was quite irresponsive for weeks to routine treatment, re. cosered rapidly after the administration of an autogenous raccine. The various types of baculi recorered during 1936 are shown in Table 2).

·28 TABLE 21. Analysis of Organisms isolated from Specimens submitted to Laboratories during the last five years Non-mannite fermenting. Blannite fermenting. Schrautz. Andrewes' Total. types New types. Percentage unclassified, Total, 333 960 1.8 1932 394 126 510 1,007 106 126 159 1,393 10.9 1933 253 80 198 315 91 1,564 5 8 1934 191 95 286 921 202 313 1,463 1935 230 106 336 798 292 392 10 1,492 0.7 1936 261 131 392 814 337 383 9 2,543 0.6 Laboratories vary considerably as regards their percentage of positivo isolation from bicillary dysentery cases The technique in all laboratories should be identical, but the percentage of positive isolation depends as much C f stations The following results from military laboratories in Northern Command may be taken as more or less representative of the results in other commands also, some very good, mostly good, and one or two poor TABLE 22. Typical Bacillary Indefinite exudate. Total exudate Laboratory cases. Cages Percentage Cases. Percentage positive positive results, results. Peshawar Kohat Rawalpindi 311 120 347 149 73 199 75 61.3 162 48 147 31 50 17 Lahore Razınak Ambala 134 112 87 8? 81 35 74 82 60 53 31 52 41.0 21 Stalkot Bannu. Kasauli 71 47 32 25 27 15 20 88.3 100 46 20 17 15.2 60 70 The scheme in use in military laboratories for the classification of strains of dysentery bacilli isolated was fully described in the report for 1936. The point has been raised as to whether even this very complete scheme is sufficient without absorption tests being carried out on all the strains of the Flexner and Boyd strains isolated. It is considered however that the practical results obtained would not be compensurate with the large amount of extra work thrown on already busy laboratory staffs ba, Bombay the "green 3 B, flexner.

·29 Of 4 infants who died in Colaba from this condition 3 were found to be sonne infections. Food poisoning. In interesting investigation was reported by Major H. J. Bensted, M.C., R.A MC. in this connection. patients were all negative to organisms of the Salmonella group. Twenty days later samples of blood were taken from 19 of the cases Fifteen out of the nineteen sera had appreciable titres of "O" agglutination for IV-5 group (Kauffmai f the nins ated type read not appear to contain any specific Hagglutinins for Salmonella type ly puusuni various m for type 1 (LTT 5) due to an intoxication associated with an infection of some food stuffs with Salmonella type reading Typhus group of ferers -5,360 ccs of concentrated suspensions of B. proteus OX 2, ON 19, OXK, OXM were supplied by the Enteric Laboratory, Kasauli, to military laboratories in 1936. 2,101 series of agglutination tests were carried out in suspected cases the results of which have already been quoted in this report, and the difficulty in accepting any particular titre as diagnostic unless high has also been noted. In view of the power of sera, in which raised agglutinin titres to the proteus OX group are present, in fixing complement, Wassermann tests were carried out in the District Laboratory, Rawalpindi, on the sera of 200 healthy and nontyphus pyrexia cases as controls Positive results were obtained once in a case of malaria, twice in tuber. cular infections and once in a case of typhoid, where the agglutinins for Pro. teus OXK rose from mil to 300 In this connection the following details aro of interest In the Command Laboratory, Poona, a small series of doubtful and false positive Wassermann results on gonorrhoea cases showing no clinical evidence of syphilis was obtained, which contrasted markedly with the clear cut negatives in such cases from other hospitals It was found on investigation that these cases had received T A.B. vaccine intravenously as protein shock treatment Similar results were obtained in this laborators from 4 climatic Bubo cases receiring intrarenous T. A. B. injections in 1935. In the District Laboratory, Rawalpindi, an unusual number of bacilli resembling B fæcalis alkaligenes were isolated from the blood of cases ultiinately dugnosed as typhus group". In organism was is'' urine of a case of tvplus with B. proteus OX?,0 that of any of the classical types. The patients serum agglutinated B. proteus :

·30 OX 2 to a titre of 1 in 1350, but showed no agglutination against the homologous organism It was considered therefore that the organism was not concerned with the patient's illness. The difference in the end point of agglutination titre between Dreyer's in the Bhim Tal area, Kumaon was carried out by Captain B. Blewitt, R.A. M.C, and his report will in due course appear in the R.A M.C. Journal. Diphtheria --209 positive cultures of C. diptheriæ were obtained from throat swabs of 3,834 individuals, and 48 positive cultures from 2,431 contacts. The work of Major H J Bensted, C., RAMC in connection with an outbreak of diptheria exhibiting cutaneous and faucial lesions which occurred in the winter of 1935-36 was referred to in the 1935 report, and has been published in the RAMC, Journal of November 1936 A similar case to the above occurred in a patient from another regiment in Calcutta in 1936, C. diphtheriæ of moderate virulence being isolated from the throat, and from an indolent ulcer on the knee of several weeks' duration Two nursing orderlies who attended this case both became temporary cartiers In the Rawalpindi District of 58 virulent C diphtheria strains only 11 As the result of six cases among children attending schools in Kirkee the noses and throats of all school children were grabbed Diphtheroids were grown from 14 of which 8 proved to be virulent C diphtherio All children of 3 years and upwards (126) were immunised with with 1 cc. T A. F, three injections at 10 day intervals. Virulence tests during the year totalled 320. Culture of malaria parasites.-It was thought possible that owing to the conseen The District Laboratory, Peshawar and Rawalpindi carried out parative tests of culture and microscope diagnosis. In Peshawar 132 cases were examined of which 89 had been diagnosed in the hospital side-rooms by slide examinations, and 21 as clinical malaria, no parasites having been Thick drops were taken from each case at the time of culture All 89 positivo cases except one yielded positive cultures. lood culture, but Then microsco- Il cases vero parasites discovered. In only I case was a positive culture obtained in whrob parasites could not be demonstrated by the thick drop method. In Rawalpindi results were slightly more encouraging. Culture was suc. exful on every occasion in those cases in which parasites, no matter how few, hal lcen demonstrated in film, and cultures were positive in cases in which parasites had only been discovered in later preparations, ·31 On the other hand parasites were never cultivated from the blood of patients when the persistent and prolonged examination of direct blood films had failed to show Plasmodia. The cultivation of P. falciparum was of interest in that in several cages large numbers of gametocytes were found at the end of 24 hours incubation in blood where the original film had only shown typical asexual trophozoites. The method employed in both laboratories was Thomson's modification of Bass and Jolin's method. On the whole therefore it is considered that cultivation methods would not justify their use in hospital clinical side-rooms The tests were however of some value, in that they emphasise the necessity for thick blood examinations as well as thin and also for repeated and careful microscopic examinations in cases negative on first examination prior to the commencement of specific treatment Blood sedimentation tests --Apparatus for this purpose is now available in many of the laboratories, but the demands for the test vary with the interest taken in it by the specialist concerned In Lahore sedimentation tests were carried out at the request of the latter on 62 cases of various diseases The results showed that although sedimentation is rapid in proved tubercular cases, it was equally so m other diseases and could only therefore be regarded as a non-specific reaction It is thought however that this condemnation is somewhat sweeping and that military laboratory workers in India might well increase their knowledge as to the utility of the test, not necessarily in diagnosis, but rather to indicate progress during disease Brochemical examinations, etc --These, as in former years, were restricted apart from the usual kidney efficiency tests to blood urea tests 295, blood. sugar tests 268, Vanden Berg's reaction 913, and fractional test meals 458. The numbers of the two former tests has nearly doubled those carried out in 1935. 290 chemical and microscopic examinations of cerebrospinal flud were carried out, and 238 cultures were taken for meningococci, Pea flour Trypagar being the medium of choice Major DN Chakravartı, IMS in Allahabad carried out during the year very complete chemical investigations on the blood serum of heat exhaustion, and heat stroke cases. The investigations have been extended over the year 1937 also. His prelimmary results are being published in the Indian Journal of Medical Research Wassermann tests, -The number of tests carried out in the five laboratories which carry out these tests is very similar to those recorded in 1935 In District Laboratory, Rawalpindi, over 7,000 tests were carried out during the year Both arnbokeptor and antigen are now prepared in this laboratory. Kahn antigen purchased in the open market did not give good results, and 14 now being prepared from Bacto Beef heart In Command Laboratory, Poona, all reagents for both Wassermann and Kahn tests are prepared in the labora. torr. Preparation of suitable amboceptor for the Wassermann test has been the most troublesome as for some reason it has been difficult to maintain this reagent at a suitable titre Eighteen months, stock is kept in the laboratory of ull relyents, Considering the long distances and liot weather during which specimens are sent to these laboratories, the number received hemolysed or with carles broken for, eg., of 6,135 posted to Rawalpindi 1.8% were bæmolysed and 0.5 broken; of 4,241 posted to Poona 3.4 tere hemolysed, and only 0.09% broken ·32 1 sores for Othre examinations. These as always were very varied, but the following comprise certain of the more common examinations in the military laboratories -Bacteriological examinations of water 2,334, Preparation of autogenous vaccines for Leisht cci 607, chemical examinations of milk 257. Sections were cut and reported on from 699 cases, which included the usual percentage of cysts and tumours of various kinds One hundred and fifty examinations were carried out on brains of animals suspected of rabies, mainly dogs, but a few horses, buffaloog and jackals were also examined Fifty-eight snakes were sent to laboratories for identification There were 73 post-mortems carried out by D. A. D3. P. or medical officers in-charge, Brigade Laboratories, during the year. Blool typing for purposes of blood transfusion was carried out in most laboratories; in all 899 donors were grouped Animal inoculation is employed mainly for virulence tests on diphtheroids, now compulsory for all such isolations, and for diagnosis in suspected tubercular disease. Three hundred and twenty virulence tests for diphtheriæ, were carried out, the majority being by the intradermal method Women and Children (British Other Ranks). 27. A total of 1,369 women or 3,37.6 per 1,000 of the strength were admitted to hospital compared with 1,303 or 312-4 per 1,000 in 1935 The principal causes of admission to hospital were :- Abortion 121 Collulitis Malaria 82 Bronchitis Tonsultis Diarrhæa. Dysentory Constipation Appendicitis Gastritis The number of women treated as out-patients was 2,929 or 722.3 per 1,000 of the strength In addition, 782 women were admitted to hospital for confinement. Three 81 48 47 39 36 28 24 1 - :-in.nl preparations aro now in use in all family hospitals, and it is hoped will reduce the above figures still further in future years The total number of deaths among women was 14 Thero were 2,077 children or 335.4 per 1,000 of the strength admitted to hospital compared with 2,180 or 331.3 in 1935 The principal causes of admission to hospital were :- Tonsillitis (including indam. mation and hypertrophy) 348 Enteritis 42 Dysentery 195 Common cold 39 Bronchitis 145 Tænia saginats. 37 Diarrhos 125 Phimosis Malaria 89 Fractures Cellultis 82 Inanition 27 Constipation 58 Jaundice 27 Diphthens. 33 Lymphadoritis 27 Pneumonia 16 Conjunctivitu Chicken.por Veasles 21 Inquenza 35 ·33 16 6 6 5 A total of 4,690 or 757.4 per 1,000 of the strength were treated as outpatients. There were 83 deaths giving a ratio 13:40 per 1,000. The chief canses were Dysentery Premature birth Pneumonia 10 Inanition Enteritas 10 Asphyxia livida Gastritis 6 Convulsions 4 Dysentery, diarrhea and enteritis accounted for 58-5 admissions to hospital, per 1,000 of the strength and 17.4 per cent of the total admissions. The deaths resulting from these three diseases amounted to 31 (5• 49 per 1,000) or 41.0 per cent of tbe total deaths from all causes The majority of these cases are due to infections with B sonne or B. flexner and treatment is mainly curried out on methods recommended by Colotiel V. B Green Armytage. any of the cases are not brought to the notice of medical officers by their parents until the second or third day of illness. If all cases could be seen and treated directly after onset it 18 certain that the high death rate could be much reduced The remarks made as regards source of infection for British troops apply with even greater force as regards families. All are advised to obtain milk from only government dairy sources, and to boil milk from other sources Owing to the cheaper rate of milk from bazaar milk shops efforts in this direction are not always successful. Mulk and fhes are probably the main source of infection X-ray Examinations. 28 Summary of I-ray Examinations for the year 1936 British 15,336 No of patients examined In lien 8,671 Cayılan 1,661 Bones and Joints S Injury 15,277 Disease 2,175 Sinuses 789 1,110 Teeth Lungs Heart 2,034 107 No. and nature of examinations carried out 591 360 305 118 506 49 34 Gastro intestinal Liver and gall bladder Urinary tract Geatal tract Miscellaneous Foreign body Pregnancy Barua Shadscol Liro-selectan B end lipiodol. No of ordinary filmns used No. of dental silins No of exposures No. of prints No, of screen eragination Cases in which contrast medium was usel and nature of melium 631 123 13+ Miscellaneous information (Monthly and Annual) 34,990 3,913 19,879 13 675 129 X-ray papers in lieu of Films.

·+ TABLE 23. Surgical Operations. 29. Summary of operations carried out by Surgical Specialists during 1935. (British). Operations Remarks Omoora. Britixli Ollor Ranice, All otherh. Rocovor od Invalidou. Diod. VerOILE system, HHH Sature of ulnar nerve Anterior transposition ulnar nerve Yedian and ulnar neurolysis Injection of salme sciatic nerve Head and neck Trephine Sabtemporal exploration: Eye. Ennclpation ese F.B. Excinon lacrymal sac. Penetrating tround Cataract Panophthalmitis eficeration Iridectonry Others Ear, Nose and Throat. ALDRM 10 167 *i 1 Remaining, :row 1819 00: Xasal castery Tonsillectomy Frontal sinni (Howrath) Retention csst mouth-excision Irastoidectomy Vyringotomy Polypus Submucus resection Removal of salivary calculas Masallars antrum Delected septum Foreiga Body in ear Retnoval of glands of neck. Block dissection neck. Others Circulatory Ilond forming organs. Varicose veins Paricene teins injection Tancove reins excision Ligature raphenous (rein) Blood transfusion Tajection of salme Others 1 . 10 and ** W 6 ·35 Operations. Remarks. Officers. British Other Ranks. All others. Recovered. Invalided. Died. 12 Lymphatic system. Lymphadenitis Tropical bubo, excision Glands, excision Glands, incision 12 1 7 1 1 Tubercular glands, excision Calculus submaxillary duct Lymphatic system Supp. Lymphadenitis groin excised (Venereal-Ducrey) 1 10 2 1 10 Breast Cystadenoma breast-excision Amputation Mastitis Fibroma breast. 1 case-adalescent en largement, unrespond ed to con- Bervative treatment. Respiratory. 6 1 1 Empyema Aspiration of Pleural effusion Exploration of G SW. of chest Secondary suture of G. S. W.- thorax. 1 2 :: Intratracheal lipiadol Excision of gynecomastia Operations on the chest Rib resection Aspiration 2 1 1 Teeth and gums. 165 16 175 Teeth extraction Alveolar abscess incision 1 Digesítve. 167 345 2 Appendicectomy Liver abscess Hernis 40 I 8 141 3 85 100 I 3 2 1 16 2 18 5 Cholecystectomy Cholecystotomy Laparotomy Retroperitonial abscess Hæmorrhoids Fissuro in ano 1 89 12 126 14 6 3 Fistula in ano. Ischiorectal abscesa Pelvic abscess 3 9 .

·36 Operations. Omicens. British Other Ranks. Remarks Recovered. All others. Invalided Died. 1 3 1 Digestive--contd. Prolapse Gastrojejunostomy Jejunostomy Ileostomy Colectomy Colostomy 'i 1 1 I 1 1 Still in hospital, Splenectomy Intestinal obstruction. T. B. peritonitis T. B glands Hæmatoma Enterectomy 1 1 . Acute pancreatitis Volculus Othere 1 53 7 1 68 12 Generative (Male). Undescended testicle Varicocele Crcumcision 1 45 52 'i Still in hospital 38 90 4 16 1 20 2 2 25 2 i 21 3 2 * 2 3 Phimosis Biopsy Passage of bougies Hydrocele Orchidectomy Urethral stricture, dilatation Acute epididymitis, incision Orchidopexy Spermatocele Carcinona prostato an! pros. tatectomy Injection into yagdoferense Others : : : 1 NOO 16 Generative (female). Subtotal hysterectomy Cæsartan section Cystocelo 1 4 1 1 Hysterectomy Ectopic geetation 1 3 1 w Uterine embroida (Gravid uterus 1 Angesthetic death OD table. excision. Salpingectomy Diatation and carettage Ventrosuspension 1 15 4 1 15 4 ·37 Operations. Kemarks. Officers. British other Ranks. All Others, Recovered. Invalided Died, Gcneratire (female)--contd Oranotomy Prolapse ovary Sterilization 1 1 1 2 Dysmenorrhea. Salpingitis Uterine endo netritis D & C. Uterine ventro fixation 1 2 1 1 1 I Fibroid (vaginal) Cautery of cervix Pyosalpinx 1 3 1 3 Bones, joints, muscles, fascice and tendons. Fractures, manipulated plated or wired others 4 10 i4 178 12 115 33 1 11 224 11 137 1 Renaining. 3 1 1 Osteomyelitis Osteochondrt19 Osteoclasis 13 1 2 12 2 2 1 1 Sequestrectomy Peripatellar bursitis knee Rernoval of bone plates 6 1 1 8 1 1 2 10 12 1 1 Passive movement (inc manipu. lation). Myositis ossificans, exnsion of bony mass. Removal of exostosis, matacarpal Autrostomy Exostosis, subinqual right' great toe Erostosis 1 6 7 1 6 Dislocation Hammer-toe FB removal 28 21 9 1 1 25 10 11 1 Manipulations joints Semulunar cartilage Intra articular cartilage 1 74 69 4 87 60 4 30 Arthrotomy Meniscectomy Hallux Valgus 30 48 CIGU 14 Bursitis Disarticulation knee Tenotomy 2 4 Suturo tendon Ganglion U mis of muscle ·38 Operations Kemarks. Oficers, British Other Ranke. All others, Recovered. Invalided. Died. Bones, joints, muscles, fasciae and tendons--contd 1 1 1 1 1 Dupuytren contracture Lengthening, tendons Excision of joint Osteotoms Subluxation Secro-ilias Subluxation sup. Tab-Fibula Pes cavus-Steiners operation Anthrotomy and meniscotomy Repair of wounds Compound fracture of skull with laceration of brain, 1 Osteoarthritis Flat feet Duslocations, reductions and mani. pulations Spraing, manipulations Amputations. Too. Finger Forearm Thigh Les : Skin and subcutaneous tissues. 19 22 I. A. T. Onychia Keloid 279 9 318 9 2 2 Remaining- 1 1 Primary auture Secondary Buture Finger nail exc1910n Ingrowing toe nails Avulsion of mails Plastic operations 70 70 1 Romaining. 2 3 Excision of scar Yarts Ligature of angular vein for car 1 buncle. 1 3 Warts and scar tiguo Corng Novus Wt Septio phimosis Bol in car Rodent ulocr ·39 Remarks, Operations. Oficers. British Other Ranks. All othera. Recovered. рәртүрлі Died. Skin and subcutaneous tissues-contd. 22 4 22 16 189 1 2 33 1 1 1 2 4 70 1 71 Papilloma Abscesses. Onychogryphosis Fibroms. Papillomatous growth above anus Cutaneous leishmaniasis Axıllary adentis Hair lip repair Skin grafting Rectal polypus. Urinary *15-- SA 1 3 1 2 . 2 1 1 1 1 Pyonephrosis Hydronephrosis Nephropylobathotomy Perinephric abscegg Nephrectomy Nephrotomy Uretero-13thotomy Cystoscopy Cystoscopy and pyelography Renal calculus. Ureteral catheterisation Ureteral calculi. Vesical calculus 8 1 41 4 3 51 3 Injuries Wounds GS. Wounds Wounds and lacerations 3 15 2 21 2 4 1 1 1 3 . 2 5 18 4 13 3 1 Ligaturing Suture of wounds Cleaning and repaus Cysts and tumours Excision of sebaceous cysts Rebaceous Anytoma of face Dental Ovarinn Dermoid excision 3 11 26 35 1 33 112 6 1 3 3 Dermoid Turnaung Tuberculous tot Syncope under an. mastbetac.

·40 Operations Remarke. Oficers British Other Ranke, All others. Recovered, Invalided, Died. Oygls and tumours-contd 1 :: t 1 Retention parotid Baku's cyst Cysts occupational Tumours and cysts-removal Lipoma Salivary glands, cyst, aspiration *- 1 Exc1910n of sngioma Excrsion of fibrous cyst Excision of cyst of epididymitis 1 1 1 3 Neoplasm, excision Condylomata SarLOIDA of bowel (Recurring examination), Diffuse lipoma 1 I 1 1 Parasties 1 1 Cysticercosis, removal of cyst Miscellaneous 3 “:: 18 59 23 39 .. 1 10 19 1 Foreign body removed Minor operations Pv. examinations Lumbar puncture Burns and scald, Arrest of secondary hæmorrhage scalp. Parncentegis, fontanelle for hydrocaphalus Contusion extensor muscles leg. Tracheotomy Ligature of cut artery Tacision and drainage Adenorna thyroid Others 1 1 .. 1 1 .: i 1 'ic 1 1 16 TOTAL 255 2.791 634 3,613 23 37 ·41 30. Anaesthetics. TABLE 24. 52 757 5 Chloroform Chloroform and ether Chloroform and ether and oxygen Ether Ether and oxygen Ethyl chlonde general Ethyl chloride local Ethyl chloride and ether Ethyl chloride, chloroform and ether 130 97 45 37 82 32 863 5 1 476 Spinal Local Percaine Percaine, chloroform and other 129 588 89 1 Stovaine Amylocaine Planocaine 32 5 Beta Eucain 21% Evipan Evipan and ether 13 128 21 TOTAL 3,595

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·43 SECTION I. ON THE HEALTH OF TEE INDIAN ARMY FOR THE YEAR 1936. (From Director, Medical Services in India.) General 31. TABLE A. Admissions. Death, Invalids sent to United Kingdom Invalds discharged in India Average constautly sfck Ratio No. Ratio per 1,000. No. Average streagth. 2,053 NO Ratia per 1,000. Ratio No per 1,000 9 + 37 No, per Ratio per 1,000 Oncers 1,000. 23 89 11 60 750 3613 11 34 . Indian Ranks 118,528 19,703 4285 252 2.16 613 3 52 1,708.00 15*43 Followers 26,545 7,410 27001 85 3.20 89 3 35 259 10 9 78 .. Others 1,686 27 . The health statistics of officers and Indian ranks for the quinquennial períod: 1925-29, 1930-31 with those for 1935, and 1936 are given separately in the following table for purposes of comparison TABLE B. Ratio per 1,000. Admissions. Invalids Deaths Period King's Comm 19. Bioned officers. Indian rankg King's Comms. Bened officere, Indian ranks King's. Coming- Bioned officers. Indian ranks. 498 0 335 6 5 22 10 8 + 74 3 48 1925-29 1930-34 336 7 453 3 12.47 655 5 37 2 63 1935 316 8 4227 682 5 54 7 31 2 15 1938 384 3 426 5 5 34 5 52 4 37 2 16 Officers. 32. The admission rate of officers sik in hospital for 1936 13 346.3 per 1,000 of strongth as compared with 346 8 in 1935 Inrladet Rinsertists. Iodian Territorial Forces Risal lodinn Varine, India State Forree, BAF. Cintage and Pensjoners ·44 The principal causes of sickness were :- TABLE C. Diseases, Actuals. Ratio per 1,000. Increase or decrease as compared with 1935. Increase. Decrease. Digestive diseases other than tonsillitis, appendicitis and diarrhea. Local injuries Malaria 6.7 107 91 71 52 0 44 2 34 5 6.5 5.4 1.6 Blinor Beptic diseases Tonsillitis Sanddy fever 53 51 40 25.7 24 8 23 8 14.1 2.4 Dysentery Respiratory diseases Diarrhoea 41 29 28 19 0 14.1 13 6 Appendicitih EAT and noso Diseases of bones, jointe, muscles, fascia end bursa 24 22 Jl 7 10 7 0.5 5.4 18 87 5.4 3.4 Urinary diseases Jaundico catarrhal Common cold 17 16 15 8 3 7.8 7 3 Thore wero 9 deaths of wluch 3 were due to injuries, and 6 to other diseagos (Poliomyelitis, Syncope, Thrombosis of artery, Pneumonia lobar, appendicitis, Cholescystitis 1 cach). Soldiers. 33. 49,703 or 426.5 per 1,000 of the strength, were admitted to hospital, compared with 492.7 in 1935. There is thus an increase of 3.8 per 1,000 compared with the 1935 figures.

·45 1.9 is The principal causes of admissions to hospital were :- TABLE D. Increase or decrease as compared with 1935. Diseases. Actuals Ratio per 1,000. Increase. Decrease Malana 14,340 123 1 28 Local injuries 6,135 52 6 0.5 Minor septic diseases 3,893 33.4 Pharyngitis 2,397 20 6 4.1 Bronchitis 1,315 11 3 Dysentery 1,277 11.0 Common cold 2,241 10 6 48 Sandey fever 1,236 10 6 31 Venereal diseases 1,142 98 Scabies. 894 19 Influenza 851 73 19 Diarrhoa 726 82 0.6 Conjunctivitis 725 69 02 Tonsillitia 690 5 9 07 Ankylostomiasis 639 1 7 Pneumonia (lobar and lobular) 624 0 5 Mumps 599 5 I Indigestion 427 Constipation 338 1 02 Ring worm 351 3 0 06 Dermatitis 323 28 09 Synovitis 323 28 O 3 Coryza 321 01 Otitis media 307 6 01 Rhinitis 307 1.6 02 Dengua 297 2 5 09 Myalgia 239 25 Eczema 079 04 Epidemic dropsy 265 2 3 23 Jaundice 03 Trachoma 230 Pleurisy 21 I 9 Pulmonary tuberculosis 203 1 Appendicit: 191 16 Piles 189 16 Oriental gore 172 1 5 Dracontracts. 171 1 5 0.2 Keratitre ulcerative. 166 Meacles 156 I 3 Colic 117 01 Gastritis 146 A carins 0.1 Anania secondary 141 1.. Renalcolic 134 1.1 Sciation 193 Lumla 1:0 0.1 Urticaru 1:0 0.9 GI CICI 253 10 ·46 The death rate shows an increase of 0.01 per 1,000 from 2.15 in 1935 to 2.16 in 1936. The main causes of deaths were : TABLE E, Increase or decrease as compared with 1935. Diseases. Increase Decrease. Actuals. Ratio per 1,000. 71 0.61 41 0 35 15 013 0 10 0.02 Pneumonia (Lobar and lobular) Local injunes Pulmonary tuberculosis Circulatory diseases Digestive diseases General injuries Nervous diseases Balaria Septicaoinia 15 15 14 ( 13 0 13 0 12 0-01 0:02 0-09 0.02 10 8 6 0 09 0 07 0.05 0:01 0-02 5 4 3 0 04 0-03 0 03 003 0.07 0.03 0.03 3 Invalids -Thoro were 613 or 5-52 per 1,000 invalids discharged during the year, this is 0.02 per 1,000 less than in 1935. TABLE F. Principal causes of invaliding. Increase or decrease As compared with 1935, Actuala. Ratio per 1,000. Increase. Decrease. D19ease, . Pulmonary tuberculosis Injuries Discases of bones, joints, muscles, lasciao and bursa 103 222 1.68 2.02 817 53 0.45 0.16 Diseases of the eye Mental diseases Discaging of the nervous system 42 39 33 0.36 0 33 0.28 0:04 007 0.00 Respiratory dreages Circulatory diarancs Digestive diseases. :: 31 21 18 0 27 O 18 0.16 001 0.95 0.08 0:09 Other tubercular disease Duess of blood Disnyes ol car and nose 013 0.13 0.09 0.01 0 0.08 Discard of urinary organs Leprosy. Yennreal diseasey. 8 7 0.07 0.06 0.01 0.03 0.03 0.03 ·47 The average number constantly sick in hospital was 1798-00 or 15:43 per 1,000 of the strength, compared with 15.71 in 1935. The average sick time to each soldier was 5.65 days, and the average duration of each case 13-24 days; the corresponding figures were 5.73 and 13.56 in 1935. 156,537 men, or 1343-3 per 1,000 of the strength, were treated as outpatients compared with 1233. 2 per 1,000 in 1935 The average daily number under treatment in barracks was 2271.82 or 19.50 per 1,000 compared with 17.35 per 1,000 in 1935. The combined ratio constantly sick in hospital and under treatment as out-patients was 31.93 per 1,000 of the strength, compared with 33-06 in 1935. The above represents a loss of 658,068 men days in hospital and 831,486 men days treated in barracks or a total loss of 1,489,554 men days in the year. Table G on pages 48-49 shows admissions and death ratios per 1,000 of the strength for all causos and certain important diseases for stations with A strength of 2,000 and upwards compared with all-India. The statistics as a whole show that the health of the Indian Army was very good. Admissions to hospital for Indian ranks were 3.8 per 1,000 more than last year. The invaliding rate and the doath rate are practically the same. PRINCIPAL DISEASES AFFECTING THE INDIAN ARMY, Cerebro-spinal Meningitis. 34. The incidence during the year was as follows: Case Cases. Deaths. mortality Indian Troops (Regular) Followers 3 73 Pupils, K.G.R. 1. M. School, Ajmer per cent. 25 4 16 4 20 7 35 The soagonal and geographical distributions of the total Indian casos were :- January- March August- Jullundur Lahore Lahore Jullundhur Rawalpindi. Bareilly Razmak Jabbulpore 2 1 GI Total Total 5 Total Youember- February Kohat Quetta Nay- Jullundur Lahore Quetta. H-H Dehra Dun. Total 3 Total 3 Total 1 December Sialkot Bannu Total 11-14- 3 GRAxd Tota 20 ·18 TABLI Table showing admission and death ratios per 1,000 of the strength for all causes compared Stations with total admission ratios, all causes, Higher than all-India. Stations, VAD. Badbu Rawalpindi Dehra Razroak Lahore Dun Fort Sande- Poona. man A11 tada Strength. 3,279 2,035 4,553 3,055 4,677 2,951 2,132 116,528 All causes SA 680 1 608 4 JD) ? 13 2.95 jo. 19 95 18.77 Bick. 4727 2 42 19:17 4697 2.95 20.85 444 9 2 99 19 48 441-5 2.99 12-05 435.7 0 94 10.23 433 8 0.30 15.23 420.5 2 16 15 49 Analysis of the above total adresion rates, 146.9 109.2 81.5 $0 8 1904 101 4 . Malarsa. Sand-dy fever. Enteric group whe 284.5 0930 03 79 5 • 2 123.1 O 07 10 8 10.0 94 3 ŏ 5 209 2 3 28 1 i: 3 42 05 0.8 {A. 04 0.22 o's 0 04 10 4 11 0 29.5 Dysentery Dlarthota. 1104 189 7.6 5.9 11.0 0.03 SA. D. 00 40 592 0.90 23.1 28 8.0 115 iš 2 75 202 JDAVAD. .. .. 001 7.3 3.9 3.0 O 30 20-2 Poeumonia lobar s A. Inbnlar D. Vedereal diseases A 1), Vinor reptic dis A. Pages ID Local ajurles. SA. JOS 1.47 14.7 408 0903 049 258 Boie 081 6.6 022 8 S 30:5 33 2 022 7.7 20% 40-4 zi.5 4.9 0 98 1.71 1494 83 500 34'4 B0 6118 0.33 0 21 6:1 017 3.2 312 4912 0047 5.4 0 61 0.8 33:4 $218 0.85 7203 0 83 0.0 3'01 U 1 Dest-utrole latexhaust) Antylautomaals SA Pulmonary tuber SA culosis. GGGGG 1005 110 13 ·49 and certain important diseases for stations with a strength of 2,000 and upwards with all-India, Statlong with total admisslon rat103, all causes, lower than all-India. Pesha. Wat. Jubbal. Banga. pore lore. Yow. Kohat Quetta Jhelum Trimul- Abbot. Ambala. Roor. Meerat. shera. gberry. tabad kee 5,773 2,411 2,841 2,792 4,013 4,95€ 2,357 3,027 3,877 2,439 2,402 2,319 433 4 2.42 13.50 408 5 0.83 14 31 405 9 2.65 22.26 4020 392 0 2 15 2.47 14.48 13 80 378 1 2.42 19 47 373 4 368 7361 1 2 12 1.32 4 90 9.45 15 45 11.23 330.5 0.82 15.81 3210 291.2 2 91 9.13 10.08 14.58 Analysis of the above total adidission rates 103 5 42 € 116 1 93 7 29.4 85 6 1892 47-3 165 1 0 25 13 1 0-2 204 1 17 90 2 11.1 125.3 77.9 0.42 10 3 3 0.8 008 03 08 0 20 2.3 0 66 08 0.4 e .: 180 96 12 7 22 4 2.1 8.3 19 7 0.17 33 14 9 33 2014 10 7 1 19.5 04 7 2 11 9 4 4 13 36 90 0.8 o's 4 3 50 2 5 1.2 17 2.1 0 41 4 5 0.74 7.4 64 085 3 4 83 2 58 6.2 O9 0.52 69 31-0 33 6 u 33 5.7 0 20 20 15 4 6 3 B 0.79 13 6 43.2 93 4 7 0.36 79 23 S 48 9 072 70+ 324 6.2 1.87 83 8388 8.9 0 85 16 2 17 21' 2 45 29 58:4 38 6 28'5 336 0 25 39 + 1.21 28 1 B3'S 0.33 50 6 062 429 0.85 33 0943 02 CON sở: 6:..: 1891658 10 ito 0:17 0.43 ·50 The age incidence was chiefly between 18 and 20 years and at 26 years. Out of the 17 cases in Indian Regular units 3 were recruits. Dengue. 35. 297 cases were admitted for this disease giving a ratio of 2-5 per 1,000 compared with 3-4 in 1935 The stations principally affected were :- Actuals. Ratio per 1,000. Madras Mingaladon Mandalay 171 48 32 339 3 59.5 43.9 Typhus Fever. 36 There were 48 cases among Indian ranks and the distribution and type are given in Section I–Page 15. Except in Southern Command where cases occurred all the year round the seasonal incidence was chiefly during second half of the year. This disease is dealt with in greater detail in the Section of the report on British Troops. Sandfly Feyer. 37. There wero 1,236 cases in 1936 compared with 882 in 1935, thus giving ratios per 1,000 of 10-6 and 7.5 respectively, The incidence was chiefly among the troops in Kohat District, Peshawar District, Waziristan District, Lahore District, Zhob (I) Bde. Area, Meerut District and Rawalpindi District with ratios per 1,000 of 78.0, 36.1, 18.8, 12.7, 10-3, 5.6 and 4.9 respectirely. Dysentery, Diarrhoea and Coutis, 39. TABLE I. Dysentery. Diarrhea. Colitis, Total, Year. Actaalt Actats Actuals, Ratio per 1,000. 15.3 Ratio per 1,000. 7.9 Ratio Actoate. per 1,000. 30 0.3 28 0.2 ratio per 1.000. 23.5 1933 1,804 933 2,767 1934 . 13.9 742 6.3 2,402 20-8 1935 631 6.6 21 0.- 17 9 1,424 1.17 2,090 2,042 1936 11.0 726 6.2 30 17.8 ·51 The admissions for different types of dysentery are given below and the porcentage of each type remains very much the same as in 1935. Actual admissions. Percentage. Dysentery protozoal 75 5.87 Dysentery bacillary (proved bacteriologically) 652 51.06 Dysentery bacillary exudate (no dysentery bacilli izolated) 316 24.75 Dysentery clinical 234 18.32 Only 4 deaths occurred in the 1,277 dysentery cases, thus giving a case mortality of 0.31 per cent. In 1935 there were 2 deaths in 1,424 cases and a caso mortality of 0.14 por cent The distribution of dysentery by Commands is given below : TABLE J. Dysentery. (Ratio per 1,000). Bacıllary Bacillary Amoebic. (bacterio- exudate. Clinical logically proved). 0 5 4 6 2-3 2.3 03 2 3 21 2-6 05 61 3 0 07 10 0 3.2 1.0 39 S1 4.2 Northern Command Western Command. Eastern Cominand Southern Command Burma District 1.7 Enteric Group of Fevers. 39. These diseases are fully dealt with in the section of the report on British Troops where figures for Indian Troops also are given Among Indian Troops in 1936 the admission rate was 0.7 per 1,000 as compared with 1.4 per 1,000 in 1935, there being actually 88 less cages 10 1936 than in 1935. Out of the total of 78 cases there were 5 deaths representing a case mortality of 6-4 per cent. In 1935 there were 13 deaths in 166 cases giving a caso mortality of 7.8 per cent The inoculation state of the troops is satisfactory, the figures for the last half yoarly inoculation in October being TABLE 6 Followers. British officers. Indian other rankg. 9,162 24,645 Strength Protocton. Unprotected Protected percentage 2.050 121,40 120,000 1,32 99.9 119 94.5 153 99.

·52 The relative incidence, deaths and case mortality among protected and unprotected I. O. Rs, were :- TABLE L. Actuals. Ratio per 1,000 Case cor. tality per cent. Cases. Deaths. Cases. Deaths. Protected 69 4 0.57 0 03 5.88 Unprotected 10 1 7.56 0.76 10.00 Malaria. 40 Thore were 14,310 cases of malaria with 8 deaths in 1936 compared with 14,728 cases and I deaths in 1935. The ratios per 1,000 during the last five years were : TABLE M. 1932. 1933. 1934. 1035. 1936. Admissions 145 1 212 , 156 5 125 9 123-1 Deaths. 0.10 0 03 0.05 0 08 0 07 lavalida 0.07 0.03 000 0 03 The following table shows the incidence of the various types of malaria by Commands :- TARLE Y. Admissions and Deaths. Comandaladependent Districta. Actuale. Ratio per 1,000. B.T. 31,T. Qtn. Clin. D.T. M.T. Qtn. Clip. 2,078 14 601 0.2 10.7 30.9 0.02 20-7 Western D. 90.8 0 02 100.0 0.03 78.0 239 241 20 i 0.09 10-1 2 Sa. 5,117 Northern D- Sa. 1,914 1 Sa. 1,866 Eastern (D. A. 945 Southera, D. A. 200 Burma :D 1 A. 0,407 allodia D. 890 12 45.1 28.4 00 3.3 80 39 1023 0; 0.35 13:8 8.8 3.613 1,030 81. 31-3 0.03 0.03 ·53 The stations with an average annual strength of over 1,000 in which malaria admissions exceeded 100 per 1,000 were : Loralai 239 2 Bareilly 148.6 Wana 284 5 Bannu 146 9 Maymyo 241 7 Landi kotal 131.9 Jhelum 204 1 Delhi 131.0 Jullundur 197.7 Roorkee 125.3 Thal 191 5 Nowshera 116.1 Fort Sandeman 190.4 Dharamsala 109 4 Lansdowne 174 9 Rawalpindi 109.2 Peshawar 1682 Jubbulpore 108.5 Kohat 155 1 Poona 101 4 Shillong 153 4 The stations with an ver strength of over 500 and under 1,000 in which malaria admissions exceeded 100 per 1,000 were :-- Shaga: Malakand Mir Ali 511 5 407 5 Jhansi Mardan Aurangabad 171 0 153 5 151 6 352 4 Fatehgarh Ahmedabad Agra Baroda 234 1 233 8 226 9 1823 Bakloh Multan Kamptee 150 g 132.8 109 2 Treatment and prevention of malaria are dealt with in the Section of the report on British Troops. Pneumonia 41. TABLE O. Admisions Deaths Years Ratio Ra Actuals per Actual! per 1,000 1,000 1931 1 073 87 132 1 06 1932 961 79 97 0.80 2035 730 6 2 0.76 1034 10+ 60 53 0.49 1935 576 49 60 0 51 1930 624 5 4 0 61 Of the 624 cases admitted 514 were lobar and 110 lobular in type The case mortality of the two types were 11.09 and 12 73 per cent respectively. Tho incidence by Commands was -- Ratio per 1,000. Northern Command 6.3 Western 5.1 Eastern Southern Burma District ·54 Pyrexia of uncertain origin. 42. 10 cases were included under this head giving a ratio of 0.1 per 1,000. Small-poz. 43. Thoro wore 20 admissions with no deaths giving an admission ratio per 1,000 of 0.2. This is practically the same as in 1935. Tuberculosis. 44 Pulmonary tuberculosis caused 203 admissions with 15 deaths and 103 invalids giving ratios per 1,000 of 1.7, 0·13 and 1.7, respectively. There were 30 admissions for tuberculosis of other organs with 3 deaths and 15 invalids giving ratios per 1,000 of 0.3, 0.03 and 0.13 respectively. Tuberculosis of various abdominal organs produced 12 admissions. Vegereal Diseases. 45. This group accounted for 1,142 admissions, giving a ratio per 1,000 of 9.8 which was 0.3 por 1,000 logs than in 1935. TABLE P. Admissions. Percentage Diseases. 1933. 1936. Increase. Docrense, 3 31 Gonorrhos Syphilis Bolt chancro 543 433 210 501 307 181 8.31 13.81 Epidemic Dropsy. 46 In September and October on outbreak of epidemic dropsy occurred among Indian troops at Rangoon and Mingaladon, Burma. On 27th September 4 men of the Burma Rifles stationed in Rangoon reportedl sick with swelling, pain and ædema of both legs. The following day 12 moro men were found at a medical inspection to have a similar condition and were admitted to hospital. Further inspections of the battalion both at Rangoon and Mingaladon produced a total of 265 cases in the unit and also 40 women. lll were rice caters. The rice issued to the troops was suspected ay the cause and its supply was at once stopped and replaced by specially milled rice. Rico was completely excluded from the dict of the patients and a special diet of milk, meat, atts, dhiall, vegetables, fresh fruit, raw eggs and marmite mero substituted, Yo further cases occurred. Xone of the cases sras realls ill but strict confinement to bed was enforced. Joat of the cases recorered from the adema in 2 or 3 dary and the averago stay in hospital wg 5 to 6 daya. Samping of the suspectel rico were ctaminer at the Military Food Laboratory, Kasuli, and reported to be superior in quality to the normal suppling of Burma ricc but in poor condition. The rampler had been attached by weevils and maggots and had an unpleasant kmell loth raw and when cooked Moisture 11.8 per cent (200--0.36%. Unfit for issue.

·55 Feeding experiments with the rice were done in Burma and 2 out of 4 pigeons fed on the rice were affected but quickly recovered when the rice was ci-dh-11-DTH TI i September At Mingaladon the rice was first issued on September 4th and the first case of ædema occurred on October 4th. Troops started to consume the rice as soon as it was received from the R. I. A. S. C. During July, August and September the daily atmospheric temperature between 78º and 81 F and the relative 6 These figures were much the same It seems quite definite that this outbreak was due to some contamination of the rice supply and not to a deficiency of its P205 content Other Diseases due to Infection or Infestation. 47. There were 5,475 admissions under this heading. The most important diseases in this group were Common Cold 1,941 Ascariasis 144 Scabies 894 Chicken Pox 97 Influenza 851 Rheumatic fever 93 Ankylostomiasis 638 Intestinal taenia$18 86 Dumps 599 Kala azar 34 Jaundice catarrhal Falariasis 197 B 6 6 Oriental sore. 172 Leprosy Dracontigis 171 Septicemia Meagles 156 Diphtheria Diseases of the Circulatory System. 48 Circulatory diseases caused 114 admissions to hospital of which the majority were D Å. I The ratio per 1,000 for admissions was 1.0 which was practically the same as in 1935 There were 15 deaths from this group of diseases giving a ratio per 1,000 of 0.13 against 0.11, in 1935 Diseases of the Respiratory System. 49. The admissions for diseases of the respiratory system esclusive of pneumonia and tuberculosis, totalled 1,724 giring a ratio of 14.8 per 1,000. of these 1,315 or 76 per cent. were due to bronchitis There were 5 deaths and 31 cases were invalided The rabo per 1,000 for bronchitis vas 11-3 89 in 1935 The other important diseases in the group were pleurisy 217, laryngitis 9 and asthma 59. Diseases of the Digestive System. 50. Thoro mero 5,786 Admissions for the diseases of the digestive system with 15 deaths and is invalids, the ratios ner im beint admidimo 10 ·56 Tho most important diseases iu this group wero.-- TABLE Q. Admissions, Deaths. Invalids. Pharyngitis Diarrhon Tonsillitis 2,329 726 690 Indigestion Constipation Appendicitis liemorrhoids 423 398 191 IS8 Colic 147 Castritis 146 llepatitis 66 Jaundico 55 In addition to tho above there were 91 cases of hernia with no death and 4 invalids Minor Septic Diseases. 51 This group producod 3,393 admissions giving a ratio of 33.4 per 1,000 of strength Included in the group were Cellulitis 9,453, Boils 696, Alscess 407 and Inflammation of lymphatic glands and vossols 166. Local Injuries. 52. There wero 0,125 ndmissions in this group. Tho ratio por 1,000 waº 52.6 compared with 63.1 in 1935. Followers. 53. Tho total namiqsions 7,410 or 279.1 por 1,000 of the strength compared trith 302-9 in 1935, The table below giros figures for cortain endomio and infoctious disenges amongst followers Tance R. Admison, Admissions. Actyrls, Ratio rer Actuals. Ratio pet 1.000. $1.1 8.3 Watana Bronchit. annosl disastet 3,230 331 200 Nyrenlere In luenza Diarth 121 int 30 89 34 11 9.710 forer Ponum 3214 Common colt BO 1.8 907 Scalice Pulmonary tuber. cut». Entaris group of mon. Dengue (1 OR 0.7 *Gonarthra 1:3, Kyphile 63 mil Sott cente 1.

·57 There were 85 deaths with a ratio of 3-58 per 1,000 of strength. The principal causes of death were :- TABLE S. Ratio per 1,000. Ratio per Actuals. 1,000. Actuals. Poeumonia Other infectious diseases Pulmonary tuberculosis Injuries Other respiratory diseases 24 13 12 11 5 090 049 0.45 0 41 0 19 5 3 3 Digestive diseases Nervous diseases Poisons Urinary organ diseases Disorders of nutrition or of metabolism 0 19 O 11 0.11 0 08 2 0.08 Sick and wounded labourers treated in Labour Camp Hospital at Quetta during 1936 (from day to December) Diseases. Admissions. Deaths Cerebro-spinal fever Cholera Diphtheria 2 1 Dysentery bacıllary Dysentery bacıllary exudate Dysentery protozoal Dysentery clinical Typhoid fever Typhoid fever Para A. Typhoid fever Para B Typhoid fever Para C 2 2 Enteric Group Malaria Oriental sore Pneumonia (Lobar and Lobular). 265 + 9 Small-pox Typhus fever Local Injuries All Other Causeg 102 256 TOTAL 611 5 Ratio per 1,000 of strength. Average strength of labourers –2170 Admission (Actual) 6+1 Average daily sick 21.10 Deaths 5. 239.5 8.54 ·58 Recruiting 54. The total number of recruts examined at Recruiting Contres in the year ending the 31st March 1937, was 22,813; of these 8,427 were rejected, a percentage of 36.89. The percentage of rejections for the year 1935-36 was 35.99. Tho principal causes of rejection of recruits for the year ending 31st March 1937 were as follows:- No. of recruits found No. of men rejected unfit during training as aufit for enrol out of 12,464 enrolled Disability. ment out of 22,843 (11,386 recruits en: presented at recruit- rolled at recruiting ing centres only. centres and 1,078 st unit headquarters). Actuals. Percontage Actuals. Percentage. 2 3 5 522 2.29 0.02 157 0 69 0.06 23 010 1 Dialaria (enlarged spleen). Tuberculosis (pulmonary) Tuberculosis (other organs) Vonoreal d19eases Other d190909 due to infection Disorses of the nervous ystem. Defective vision Trachoma Othor oye alTectrong 355 48 0 1 55 0 21 00+ 001 0 09 11 403 1,017 102 1 76 4 45 0 84 5 1 3 0 04 O 02 0 02 3 0.02 Otitis malia Defectivo hoaring Othor or disenges 523 11 140 2 20 0 05 0 61 'D1501901 of nose and thront Valvolar duonto of the horrt Disordorod action of hoort 138 388 826 O 60 1 70 3 02 0.01 0.03 Varicono VOIN 217 1.08 II mmorrhoidla 148 O 05 Varicorning 141 0 02 Othor dan 101 of circulatory kystom 7 0.03 Anninin 115 0.80 0:01 Ooitro 261 1:14 Inspiratory dinsa en orcluding tuberculosis 33 0.14 0.02 Pyorriren 161 0 67 Lana or rayo! troth : 27 0:12 flerhus. 358 1.57 0.01 Other discsere ne digortivo systém 0:1 Ankylous of joints 15 0 20 Flat font 141 O 02 0.02 Knuck knn. 147 004 0.01 Curvature of spino 177 077 Othar informiting 333 13 0.10 Skinitioning 1.80 00! R5 0 37 43 0:34 Other enti 3.89 39 0.31 Total 8.427 30 89 142 1.14 2.11.-The figure is columns 4 and 5, and in the heading, are in respect of the follow inz onls, Caralry. Infantry Artillery, Signals, Machinn (lun Platoons of British Infantry. and Sangers en rar, : ;. :-:::-::- . סניף:phY4 זימP 090 ·59 Military Operations, 55. Jilitary operations in Khaisora Valley (Tazıristan) during 1936 (25th November to 31st December). I. O's, I. O. Rs and Followers. Average strength. 10,992 Admission to Diseases Hospital. Deaths Ratio Ratio Admission to hospital Actuals per Actuals. per 1,000. 1,000. 1,341 122.0 8 0.73 74 6:7 Dysentery 21 1.9 Pneumnonis 17 15 0 09 Minor Septic diseases 47 4.3 Digestive diseases 255 14.1 Local injuries excluding GS. W. 183 13.9 GS. Wounda 144 0.64 All causes Malaria 13.1

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·61
APPENDICES,
SECTION I.
BRITISH TROOPS, 1936.

·TABLE A. STATIONS BY COMMANDS AND INDEPENDENT DISTRICTS. Stations Helght Authority Points above for of MS level helght. reference. lo teet. Height Authority Pofta abore for of Slepel belght, rgference in Icet. Stations. Northern Com mand. S.D. S.B M. S.D. MAD SB M. 525 314 503 P Map. 4,010 002 756 1,250 7,133 1,180 4,340 6,087 . > 11 D'M, 11 I.B. SD. 256 407 0.885 20 2,232 Map. MD. SD Map s.eu. 11 Charen. "BW, 170 17 390 849 8" S.D. 9 BM 00 90 S.D 10 D 7,887 809 649 0,811 762 771 0,870 7,983 82 70 B'M Nap " 7,328 6.000 383 737 600 BÝ. SB.Y. ID an PI B.M. PO 10 .. Abbottabad. Ambala Amritsar Parlan Camp and Bacan. Khyragall Carpbellpar Cherat Dagsbat Dalhoz le Convalercent Dorot Dera IBT1 Khan Fotorepora. Gharlal Jhelum Jalfundur Cantt. Jutogh, Kalbagh & 'Bars Kalsbach & Nari Indu KasuCourated ceat Depot Kohat Khanspar and Ghon Dhaka Kuldens Lahore Casti, and Fort LanAlkotal Lockhart Fort MADLA Bilr All Maitan Morfee Canvalescent Depot Xowthers (Rly. Statha Peshawar Rawalplodi Farma Nolpur Siatkot Polon Mbatha mel 9 8 08 0,042 879 so SD so'v. 6,050 1,725 7,721 Map 7,019 S.O Eastern Com. mand. ARTS (Fort) Allshabad & Fort Rareille Barrackpore Besaten Cawapore Chakrata Dacca Dehra Dan Dell Dlaxpare Fort William Fvzabad Jhand Landour Convales. çent Depot Lebong Lucknow kalibri Meerut Muttra Port Blatt (Tiadat Obsy ) Ranih het and Chaubittia Roorkee Southern Com mand. Ahmelbud Ahmad nazar Dangalore Calaba (Bombay Belgium Town Hall) Jobbulpore Kampee Iris Station) Hadrat (Obsy). Malparit (Riy. Station) Nhow Mount Abu Sanatoflam Nasirabad Pachmarhs : Fonda Purandhar Baught Seunde bed reacon (St. 1orritat) dumme ind. Digriet. Mandalay (Port Doceria). Yamyo z lidon SV). 8.B.M MAD. 9.B.M. 9D. 162 2,180 3,002 2,623 S.BM Map. t 11 709 3,800 2,413 1,650 2,240 404 . 0. 3.6. SD. العامهD PI V.O L. S.B V. Map. 20 1,800 1,320 940 250 P 7,073 . B.M. BM. SBM. DA 1,152 1,687 6,358 1,014 1,SRO 1,887 Map. B. Po 6,07A 4000 3150 3,830 1,401 1,490 1,867 4,500 1.755 1,776 $,800 BDM 3. 4,931 &0. , 0, L. .. Mar. 204 $509 115 SD. " ndahet SBY Karachiglia tri ty Chung Qutie 5,310 en $2rt«y Department M.TV tep tard Porn Nurt. O T. Poorn Wert Parveyor Ceau of India YD. xxexologie purtreet. 702 - Ticar trorna ler Mep. in - 11.lzhts tetra from Topo wapi - Total 124 924 Horh of the Dirb103 of the Ch? or the $110.

·TABLE I. INDIA. WARRANT OFFICERS, N. C. Os. AND JEN. Pille showing the average strength, ail muxtort anta koenital, deaths, numbers intaliileil anal constantly sick, during the year 1936, 10:1h ratios per 1,000 of the strength. Actuels. D1A01409. Alme1941019. Deaths. Inyalds sont home. Average number constantly sick. Ratio por 1,000. Admnisons, Deaths. Invalida Constantly Bont sick. home. 03 Averago strength 62,059. SpPCIZIO DISEASEN DUE TO INFECTION OR INTITATION, 580 13:11 7 811 59.08 11.1 1 3 . 0.23 0 15 ! 13 1,283 0 08 Common cold 1Suphthoru Dysontry . Tintorio fovorn (inclusive of typhou, para. A. 1 ml anil ontorid group.) 1'rysipolак Imioniza 70 3 11.99 15 0.06 0.04 0.23 0.1 + 648 0.19 17 80 0.001 0.34 0 06 0:01 Miniania Menulat Veninpucoconl infection 3,017 TO 1 112.13 0 401 0.20 68 0 0.2 3.0 2.15 001 0.00 009 0.02 ·TABLE 1-conld. Actuals. Ratio por 1,000. Discines. Admastonu. Deaths. Adinissions. Desthe. Invalds Averago sont number home, constantly dick. Invalida Constantsent ly home. sick. dengontrength 52,059, SrreirC ONIRANER HOX TO INTECTION OR INTESTATION- Contd. Murnim I'neumonin 12 153 0 56 17 66 02 20 35 0.38 U U6 O 01 0.34 03 I'TITIA n unetan origin Ihminntic Imper Sanifly mer 10 73 1,758 0 O DO 10 66 34 57 0 02 0.12 0 02 0 20 0 60 33 8 Searlet foyer 7 mail px 0 64 0.48 0 1 0.2 0 02 0 OL 0.01 l'ul pri utensis l'ulary 57 1 63 9 Other 11 08 2.03 04 1.1 02 0 02 1.21 0.17 03 0.04 1,310 241 2 0 01 172 01 26 64 19:56 0 21 16 1 0 02 3 31 0.49 0 38 0 00 3 01 Gonorricon Veuernul Soft chancro Syphils Other V. I). Other diame due to infection Dimming duo to Scabios infestation by Metazoan pro raat Other diseases IG 66 29 32 Ol! 19.4 11 0 00 211 0 56 0.04 197 2 4 85 3.8 1.04 0.09 OTTER DISPASES CLASSITIED UNDER STOTENS, Dieses of tho nervous syatem Metal Jimen Durers of the to- 1.) War and noso 434 145 3 57 98 20 68 32 79 8.3 28 0.06 1.09 1.88 0.40 0.63 199 1,322 37 14 8.11 38.97 3.8 25.4 0.52 0.27 0.16 0.75 ·20 10 15 04 20 1.0 0 12 0 15 0.38 0.13 0 29 0:08 013 + Valvular IROARCA of the heart. Circpintory Disordered action of the heart mystem, Other diseaser lood and blood forming organs. Ductlers or endocrino glands Breast Larynx and traches Nopiratury Bronchi anı bronchioles Matem. Other disegees Tecih ane gume Inflammation of tonela In ammation of pharynx Inflammation or stomach Igralno Gastric ulcer alen. Duodenal ulcor 20 103 81 249 24 2 43 874 110 132 1,516 162 3.57 25 '..'::::::::: ទី៨ ៖ ឱ ឪឪឪឪឪ - 3.44 7.00 7 23 16.99 99 0.00 1.31 32 89 10.21 3.75 37 80 y 18 14 50 3.42 3 83 6.34 103.75 0 40 0 21 ( 6 0.4 08 16.8 21 3 1 8 9 6.D 05 07 1.3 55.5 U 07 0.13 0 14 0.33 0.06 0.02 0.03 0.63 0.20 0.07 0.73 0.18 0 28 0.07 0.07 0:12 2:11 6 4 0 02 0 04 0.12 0.08 0 38 Liser. 80 9,888 () 08 0.26 16 7 954 03 0.13 0 06 65 16 37-43 13.8 0.72 :: Other discaxas DENGANOK due to disorders of nutrition or of tuo. inbolism Digcau o thoi- Generativo y alom Bones, jointa, musclos, raaci and burt Arnolar Cianne. skin Urinary ayatem Gobern! In action 65 1 1,323 2,824 1,865 35 sh 3,218 0.02 25.4 54.2 35.8 I 8 12 69.32 98.03 82.59 23 86 2.98 141.99 1.26 0.02 (1.15 0 23 1.33 1.88 1.69 0.46 0.06 73 4 19 31 0.08 0.36 0.59 Local 1.0 61.8 59 1.13 .. and pyuta 1 2 5 113 9 165 0.10 6.68 0.21 6.29 2.7 0.2 3.2 0.02 0.04 0.13 0.00 0.12 voiablo da 111 16 0:31 * Total 30,301 129 572 1,399.21 689.1 2.48 10.99 26.88 1 "Suicides"laving already been shown under the heading of the injury, etc., which caused death, are not included ·TABLE D, WARRANT OFFICERS, Y. C. O.. AND MEN-contd. NORTHERN COMMAND, Table showing the arerage strength, admissions into hospital, llenths and constantly sick during the year 1936 10:1h ralios per 1,000 of the strength. Actuals. Ratio por 2,000. Dnes on. Adinjastong Deathe. Average Adm 19810ng Deaths. Constantly number aick. constantly Average strength 18,873, sick. SPROTTIO DYSCASES DUE TO INTRCTION OR INTESTATION 66 131 27 372 2 32 3 99 24.64 7.8 1 6 20 9 0.14 ( 24 0.87 Common cold Diphthoria Dysentery Entonio fover (inclusive of typhoil, para 4, 1 and Cand entenc group) Erysipelas Influenza 10 0.06 A 14 6.35 09 02 13 5 0.15 0.01 0.38 227 .. 9.69 1,324 3 1 45.34 0.13 0 19 78 6 0.2 0.2 0.01 0.01 0.06 Malaria Weasles Moningococcal infoction Slutapo Pneumonia Pyroria of uncertain origin Rheurastio fever Sandny feper 4 84 5 0.17 8 80 0.72 02 6.0 0.3 0.01 0.62 0.69 0.04 : 23 1,384 2.67 28.13 1.4 80.2 0.16 1:49 ·0.17 0.13 0.01 0:01 Scarlet fover Srnall-pox 0.1 0.06 2 0.7 0.06 Tuberculosis s Pulmonary Other 11 3 1.79 0.83 0.11 0.05 22:1 Gonorthos Vmrerenle Soft chancre Syphilis Other V. D 373 39 55 1 45.83 4.74 5.91 O 0.5 2.72 0.28 0.34 0.00 3.3 01 OrrI 104404 din to infection 7.7 4 8.09 0.48 130 0.24 1.0 Dienso due to inCoslationſ Scabies hy Metazoan parasiten Other diseases 17 $1 0.82 0.80 ... 0.06 0'05 OTHER DISEAFA CLASSIFIED UIDET AY9TFMB. 012 72 1.8 122 31 57 401 7.03 1.56 1.89 12 09 0 42 0.39 0 11 0.79 67 239 D. ONOM of the nervous system Monthl 190250R JOUXor of the eyo Dimanuns of tho mar and noso Dirogkny of the Valvular ligonse of the heart Circulatory DiArorod action of the honrt Ayntorn. Other dire1408 Dironam or blood and lood forming organa Dina nu of duction or owinctio glands 1)IPOLLO of the bronst 8 21 28 .:: ::: 1 69 1 65 2.51 05 1 2 1.7 0 24 0 12 0 09 01.09 0 16 RA 2 $ 7.73 125 0 38 40 0.5 05 0.22 007 0.09 0 0 17.9 0.49 10.30 *30 081 13 61 1.R 30 2 1) NON of 0.0 Larynx nnd trachen Ito-piratory Ironchi and broncinntor умп. Ouior 1HONHO D Man of the fonti ad gun rintlantation of TOPITA Inflammation of pharyny 1) Room of tho Inflammation of Btomar la Isikortivo Gastrio ulcor ), Duodenal uleur Liver Other Jinni 15 302 40 31 10 117 12. 6 6 23 844 0 03 0 62 0.20 0.04 0.80 0.13 0 30 O 07 0 03 0:14 1.83 5 04 1.10 0 54 2.33 30 96 7.2 0.4 0.4 1.5 500 0:36 ·TABLE 11-contd. Actuals. Ratio per 1,000, Admissions. Deaths. Constantly bick. Dison09. Idmissions. Doaths. Average nuinber constantly aick. Ivorugo slcongth 16,873, 2 199 463 O 30 9 lu 23 42 118 374 4:03 0.54 1.39 1 1.82 1) casos due to disorders of nutrition or of metabolism Dienses of the genorative systemu Discose of bones, joints, musclos, fasciw and bursa Disengos of the aroolar tiguo Disonses of the skin Disonsos of the urinary syetorn General Injuries Local 950 517 101 30 67 12.09 8 83 56.3 36.6 60 0 06 o iz . 1.31 0-52 0 36 50 1,086 0 9 I 66 45.40 30 64 4 0.10 2.69 0.53 68 (fc action .. 48 3 2-37 0.09 2.8 02 0.0 0.0 0.14 0.01 Tumours and cysts l'oisons No approcuable Ausgas Suicides 46 1 71 0.10 3 0 30 .. Total 10,468 52 436 95 82004 3.08 25.90 • The Gguros against "Suicideg "having already heen shown under the heading of the injury, etc., which caused death, are not included in the total ·TABLE MI. WARRANT OFFICERS, N. C 08. AND YEN-conid. WESTERN COMMAND. • Table showing the average strength, admissions into hospital, leaths, and constantly sich, during the year 1936, with the ratios per 1,000 of the strength, Actuals. Ratio per 1,000. - Diso908, Admiestons. Deaths. Average number Constantly sick. Admissione. Deaths, Constantly gick. Average strongth 3,204. YrECTIO DISEAYES DUE TO INTEOTION OR INTESTATION 69 155 3 113 3.70 0.31 5 80 48.4 0.9 35.3 1.15 010 1-$1 Cotton cokl Diphtherin Hysentery Interio favor (inclusivo of typhond, para. 1, 13 and C and cilletic group) Erysipelas Induony 0.25 0.3 0.09 30 1.10 0.34 333 9.97 0 04 103 9 0.3 0.62 3.11 001 1 Monton Mroulos Vrningocveral infection Mumps I'neuinonia 10 098 1 0 31 l'yretik of uncertain origin jhnimatla nyat Sanify foyer 3 51 0.39 1.50 0.9 15.9 0.12 0.47 ·TABLE II-contd. Actuals, Ratro per 1,000. D190&ses. irerage strength 3,204. Admissions. Deaths. Average number constantly sick. Admiebion. Deaths. Constantly sick. SrŁCTIC DISEASES DA TO INTEOTION OB INTESTATION-contd. . 0.77 0.13 1.9 0.3 0.24 0.04 19.7 f13 23 8 8.66 3-16 0.66 2.70 0.98 021 . 70 62 3 7 . 97 0.01 0.15 19.4 0.3 2.2 0.93 0.00 0.05 Scarlet feier Small pot. Tuberculosis S Pulmonary Other [Gonorrhea Vencronllcnscs Soft chancro Syphilis 1 Other V. D. Other discare due to infection Diroase duo to infostation by S Scabies Metazoan parasites Other diseases OTIER DISEASES CLASSIFIED UNDER SYSTFM8. Diseases of tho nervous system Mental diseases Disonges of the Eyo Lornad nose Coronlatoty Valvular disease of the heart Ayatern Disordered action of the heart Other diseases Blood and blood forming organs Ductless or endocrine glands Broast Larynx and traches Respiratory systern Broncbi and broochiolea LOther dieda BOB 35 18 2.14 3 09 10.9 5.6 0.67 0.96 12 66 0.48 2.24 3.7 20.6 0.15 0.70 16 11 I 38 1.16 0.43 0.36 3.4 0.31 10 1 1 0.64 0.67 0.02 3.1 0.3 1.3 0.20 0.02 0.01 1 52 0.02 3.49 1.97 0.3 10.3 0.01 1.09 0.01 ·0.10 2.2 0.03 Tooth and gums 39.3 Inflammation of tonsils Inflammation of pharynx Inflammation of stomach 126 22 26 3.77 0 42 0 81 0.9 1.18 0.13 0.25 8:1 Digestive system. 1 0.3 1.6 Gastric ulcor Duodenal ulcer Liver Other discases 5 4 247 0.18 0.46 0.43 10 40 0.15 0.14 0.13 3.25 77.1 2 0.59 06 0 18 Dinneam duo to disorders of nutrition or of metaboliera Digrast of the Generativo system Bonos, joints, musules, fascia and burge Areolar tiasco Skin Urinary system Goneral Injurios Local In action 31 75 178 155 17 1.77 3 59 6 87 7.29 1.31 9.7 23 1 65 0 18.4 0.55 1.12 2.14 2.28 0.11 5.3 6 218 0 31 9 75 1.9 68.0 0.31 0 34 0.11 3.04 3 Tumours and cysts Poisons ws 0 55 0.04 09 0.17 0.01 0.31 No apprrciable dinonno Buicides .. :: 3 :: 0.04 . Totat 2,235 8 106. 20 697.6 8.50 33.16 The figures against "Suicides" having already been shown under the heading of the injury, etc. which caused death, are not included in the total, ·TABLE IV. WARRANT OFFICERS, N. C. Og, AND MEN --rond. EASTERN COMMAND. year 1935, Table showing the anerage strength, anissions into hospital, leaths and constantly sick, during the with ratios per 1,000 of the strength. Actuals. Ratio per 1,000. Diana.06. AJMUSHong Doaths, Average number constantly eick. Admissions Deaths. Constantly Bick, Average strongth, 15,183, SPECIMO DISKASES DUR TO INTROTION OR INTESTATION. Common cold Diphtheria. Dysentery 134 10 434 2.54 1.09 21.25 8 5 06 27 7 0 18 0.07 1.35 72 0.06 42 Interio fovor (inclusive of typhoid, para. A, B and C and enteric group) Erysipelas Influenza 0 13 6 87 0.05 8 99 2.7 0.1 21.8 339 0.44 0.00 0.67 577 G 27.21 023 38 8 04 173 0.01 Malaria Measies Voningococcal infoction Vumps Pneumonia. Pyrexia nf uncertain origin .. 0:4 6 54 1 0.26 4.63 O 05 0-45 0.02 0.29 0.00 . 01 Rhoumatio fever Sandy feyer .. 20 180 1 2 74 3.91 1.3 11.5 0.06 0.17 0.26 + ·.. 3 1 0.33 011 0.2 0.1 0.02 09.01 Scarlet fecar Small.pos. Tuberculosis Pulmonary Other Gonorthea Soft chancre Vendroal dinCare Syphilis (Othor V.D. Other direnlos lue to infection DiBonkon due to infestationſ Scabies hy Metazoan parasitca Other disreges 15 2 466 90 61 3:36 0.57 58.95 9 04 6.44 100 0.01 29.7 57 0.21 0.04 3.83 0.58 9.35 3.9 .. 205 2 9 12 13.1 0.13 0.00 0 63 09 0.04 0:12 69 1 89 OTHER DISEASES CLASSIFIED UNDER SYSTEMS, 0 06 DINOLON of tho nervous system MontalcU04804 Dime240% of the oye DIN02401 of the one and nose 168 49 78 458 5.79 & 97 3 39 12 3R 10 1 31 50 29 1 0.37 0.57 0.22 0.79 73 0 35 Circulatory nyalelo Valvular Jugeages of the heart Dieordered action of the heart Other diseases 4 29 16 1 03 1.8 10 0.00 0.02 0.09 0.09 1 45 87 Illorul and blood forming organe Ductions of ondocrino glands Bronat 6 60 1 05 0.16 5.5 0.4 0.3 0.42 0.07 0.01 5 Larynx and trachea Roxpirntory ayatem Bronchi and bronchioles (Othor direQBOA. 20 283 28 0.66 8 43 193 1.3 168 1.8 0.04 0.54 0.12 Torshanilgam. 26.5 10 6 ignativo pyntetn Inflammation of tonsils Inflammation of pharynx Inflammation of stomach Gastrio ulcor Duodenal ulocr Livor | Other diseases 416 160 48 3 18 25 $17 1.33 958 3 14 3.970 0 37 2.43 1.97 33.29 02 1.1 1.6 8:6 0.08 0.61 0.20 019 0 02 0.15 0.13 2.12 0.38 ·TABLE IV-conld. Actuals. Ratio per 1,000. Diomanos. Admiegions. Deaths. Admissions. Deaths. Average number constantly sick Constantly Bick. Average strength, 15,883. OTAAR DIBEASE CLADSITIID ONDER SYSTEMS-contd. IDUAALSO- Juc to dusorders of nutrition or of retabolism Disonsoy of the generative system. Dienso1 of bonos, joints, musclos, fasciso and bursa 5 953 418 0 86 15 81 22 13 0.3 161 267 0 06 1 01 1 43 74 . DINLAOS of the aroolar tingue 769 27.27 400 1 71 DOS of the skin 657 07.78 41.9 1.77 Droouses of the urinary as stem 83 6 01 5.3 0.38 General 19 0.08 1.1 0 26 0.06 Injuries Local 978 8 43 89 62.4 0 51 2.80 In action l'umours and cysts 57 2.79 36 0 14 l'oisons 1 0.01 0-1 0.00 No appreciable diseaso 55 2.30 3.5 0.16 Saicidos 3 0 19 Total 8,909 33 424.56 568.1 2.10 27.07 total, The siguros against "Suicidos " having already been shown under the heading of the injury, etc., which caused death, are not included in the ·TABLE V. WARRANT OFFICERS, N. C. 09. AND MEN-contd SOUTHERN COMMAND. Talle showing the Average Strength, Ailmissions into llospital, Deaths and Constantly Sick, during the year 1936, with Ratios per 1,000 of the Strength. Actuals, Ratio per 1,000. Constantly Adm19810115. Deaths. sick. D1800909. Admissions. Denths. Average number constantly sick. Averago strength 14,514 8pECIPIO D19EASES DUH TO INFECTION OR INFESTATION. 75 147 8 25 2 22 14.97 10 I 1.0 23 4 022 0.15 1.03 310 Common cold Diphtheria І)yratory . Interio fovor (inclusive of lyphoid, Para. A, Band C and ontorio group). Crysipla. Influonza 10 1 46 0.7 O 10 47 1.27 3.2 0.09 659 25.34 45 3 0.07 1.74 0.01 0 00 Malmris Mesles Moninyucuccal infoclion Mumps I'nournonto l'yroxin ol uncertain origin Rheumnatio lover Handfly fovor 1 31 0.04 2 71 0.1 . 0.CO 0.19 3 0.21 2 26 167 0 03 4.79 3.76 01 1.8 11 5 0 00 0.33 0.26 ..

·TABLE V-contd. Actuals. Retro per 1,000. Admissions. Deaths. Constantly BILK, DIRCARCS. Admission. Deaths. Average Dumber constantly sick, Iverago strength-14,544. SPECIFIO DISE4BCg DU ro IvFECTION OR INTESTATIOYonid. Scarlet lever Small pot. -** 0 14 0.1 0.1 0.01 0.01 0.21 Tulcreuluais { other Pulmonary 24 3 5.69 0.45 1.7 0.2 0.38 0.03 373 75 63 51.14 760 26 6 5 2 4.3 3.62 0 62 0 39 5 66 76 Gonurthern Venerealiaca cu Solt chanero Syphilis : Other V. D. Other (ligraca u to infection Dusansc, due to Scalies. infestation by Motazoan para Mtos. (Other diseases. 205 7.48 14.1 0.51 16 0.38 1.1 0.03 67 .. 1.83 4.6 .. 0.11 OTRER DISEASES CLASSIFIED UNDER SYSTEM. 96 43 39 28G 66 3 0 Dzecies of the nervous system Montni di CORCH Dixe469 of the go Dianne of thor and nou Discurg of thor Volvular disease of the heart circulatory Dordered action of the heart system. Other denses 119m9ng of tho Wood and blood forming organs Darance of ductinss ur endocrine glands Discares of the breast 5.14 14.06 1 R1 9 69 1.49 2.62 1 99 0 35 0.07 0 12 0.68 0.10 0.18 0.14 19 7 06 2.3 1.6 33 23 0.07 0.98 73 5.19 0.42 0.42 0.0 0.3 0.6 8 0-36 0.03 0.03 ·8 125 32 0.09 9.22 0.3 15.5 2.2 0.01 0.83 0.20 Diugus of the larynx Rulltrarhea Topiratury Bronhi and bronchioles Mysten. Lot die Divare the tooth anilgums P. amnition of consile Inflammation of pharynx Dwame of the Inflammation of stomach dizentivo Gaminia ulerr nyalım. Soodenal vicer 1.11 JHOAN (ther diarne 29 413 128 107 16 1.16 9.76 2.66 5.52 1.47 0 35 2.0 28.4 8.8 7.4 1.0 0.3 1.1 53 7 0.08 0.67 0.18 0.38 0.10 0.02 0.07 1.02 0.28 16 781 31.18 0:07 7 205 322 0 59 9.33 18 20 0.5 14.1 22 1 0.04 0.64 1.25 I Into do. Irte of 'trition or of mota lotem Dolingintalite yalam Diuniweg of lunra, Joints, miner les, fascreand burime Dinar.tthonrool r 118910 Dictionkin.. 1714Werftinry nyalon Goneral Injurinn . Len! (In Action 717 447 36 27.80 20.93 8.50 49.3 30.7 6.5 1.91 1 44 0.45 0.14 11 801 8 9 0.18 36.42 0-8 55.) 77 0.55 0.62 0.01 2.60 .. .. Turnoutro and als l'on 28 1 1.37 0.03 0.09 0.00 :: 0.1 Nonpprrciallo dinamis 47 1.89 3.2 013 4 0.28 Total 7331 33 371.84 504.1 2.27 25.55 Tho fournnnxninst "Hairnd,"hnung Ironily been shown under the heading of the injury, etc, which caused death, are not included in thin tital, ·TABLE VL. WARRANT OFFICERS, N. C. 09. AND EN-conlu. BURMA DISTRICT Tolle showing the arorage strength, ailmissions into hospital, deaths and constantly sick, during the year 1936, rreth ratios per 1,000 of the strength Actuals. Ratio per 1,000. Deaths. Average ruinber Constantly Bick, Admissions. Deaths. Constantly sick 78 0.30 0 26 2.42 1.7 25 1 0.17 0.15 1.38 0.94 10 0.54 w. Discnbog. Adm18alons. Iverago strongth-1,758. SPECIAIO DISEA939 DUE TO INTECTION OR INTESTATION Com non cold 13 Diphtheria 3 Dysentory 46 Enterio fover (inclusive of typhoid, para A, B and C and 7 ontorio group). Erysipelns : Induenza jalarin 124 Mersies Meningococcal infection Mumps Prouinonin l'yroxia of nncertain ongin Rhouinatis lover Bandſly fever Scarlet fever 0.09 0.05 4.27 70.7 2.43 0.03 0 54 0.10 0.6 2.3 1.1 0.02 0.31 0.06 0.07 0.27 0.6 3.4 0 04 0.15 Small pox.

·1 0 47 08 0.27 .. ruborculosis • S Pulmonary Other (Gonorrhrra Vonorral disnases Soft chincte Syphilis Other V.D. Other d1109 duo to intation 65 14 26 2 9.93 1.21 1.99 0.14 37 0 8.0 14.8 1.1 5.66 0.69 1.13 0.08 1.43 25 1 0.81 4.6 0 15 Dinonta due to infestation Scabies Ivy Metazoans parasites Other diseases 8 13 0.27 0.38 0.22 NIHIR DIRBARES CLASIFILD TYDZR BESTIUS 23 0.58 0.11 0.55 2.38 13.1 2.3 6.8 62 7 0.33 0.08 0.31 1.36 12 110 79 001 0 03 0 13 0-6 0.6 1.7 0.01 0.02 0.07 3 0 57 11 3 0.76 0.20 6.3 1.7 0.43 0.11 Iware olto nervous aystom antal de C. Dimrismo cI tho ogo IiAranch of the car and none Dinner of tho Valvular disease of the heart circulatory Disordered action of the heart oynter. i Olher dIBONACR DIWANCA of thin blood and blood forming organs Dinnenes of tho ductors or ondocrine glande DATABA Atl.o broint Durand of the Larynx and trachea Tonjoitatuty Bronxian lippu hiolce Ayatrin. Other disca Dinard of the tooth and grims (Inimation of tonsilk Inflammation of pharynx Dlareare olthoInrammation of stomacli Tortivo Cartrio ulcor Syklem. Duodenal ulcor Tivor Collier dibogbon ::'::::::.: ::: : : : : 0.08 1.35 0.10 1.1 182 1.1 0.05 0.20 0.06 2 :: .:::::::::::: 22 0 65 12.5 0.31 61 30 4 1.18 0.72 0.13 29.1 17.1 2-3 0.67 0.41 0.07 10 90 0.59 3.97 5.7 0.34 3.26 56.4 ·TABLE VI-contd. Actuals. Ratio per 1,000. Admissions. Deaths Admissions. Deaths D:AA. Aserage number constantly sick. Constantly sick. 16 0 28 46 1.42 I 68 081 0.06 25 0 Iremyo mngth-1.753. Ornen DIATAST! CI A89171ED UNDER S>STEMS-conki. Discanos no to disurilors of nutrition or of inntabolistu DrC180% of thingnerul system. Discares of the bonor, jointa, muscles, fosci and burken Discance of tho areolar tisto Discair of thonkin D14CANCA of tho urinary systein Ceneral Injuries Local i Innction Tumours and oyats Poisons No appreciablo diserre •Suicide 210 89 29 5.42 4 50 219 7 60.7 16.5 3.09 2 56 0.69 135 6.53 76.9 3.72 80 . 3 0 20 0.04 0.33 1.7 0.6 0.11 0.02 0.19 17 I 0.57 Total 1358 3 59.86 773.8 1.71 34.11 The figures against " suicides" having already been shown under the heading of the injury, etc., which caused death, are not included in ile total.

·1) Denler Pureuiter 1. tury July Juuony Pepleint et NRY Ary11 March belum Jonvert ادامه 1030. Euterle aroup of tereik In luenza. cia 1.0 6.36 Cholers 1.0 Smau-pox 67.7 ooo OOD cios de Salarla. 25 Norons OOO 19 Dysentery protozoal h NO 11.1 oca de Dysentery bacillary 8.9 Dysentery baclllary exa date. the year 1936. Talle showing monthly ratios per 1,000 of the strength of aulmissions for certain diseases for all Indın vluring BRITISIL OTHER RANKS. TABLE VII. A to 000 ON OOO 200 Dysenters group ca A of uncertain origio estot) wao NOR Lobular). 18 4 NIS OW ON 950 ONO OO QA Diarrbær. ܘܽܘܪ 900 ON A0 Dengue 33.0 29 Po con Sandiz terer. Ots Plague, Effects of Leat. 8.0 All Cauber. 9.085 1.86 0 4.09 QUAN Awe 18 ·82 TABLE BRITISH Table showing ratios Per 1,000 of strength of admissions for certain India Enterlo group of feyers. Dysentery. Stations and Districts Typhoid fever Para A. Para B. PATA 0. Euterio kroup. Baculary Bact Bacillary exudate Protozoal Clinical. men Average angual atrength Cherat Landlotai Nowshera Peshawar Risalpur is 0.8 i 94 2004 AR 1.6 1,273 711 65 1.4 Peshawar Dutrice 4,389 0.2 0.7 80 491 0.9 8.7 105 8.1 .. Kohat Fort Lockhart Thx11 :: 1 .. 177 6.8 134 140 250 129 :: 20.8 40 7.8 4.5 Kost District . Abbottabad Darian Campbellpore: Charlal Jhelum Kalabagh (Hazato) Khanspar Kuldans Murres Rawalpindi 10 84 181 22:1 bet is 32 809 125 Rawalpindi District 4,124 0.7 0.2 .. 406 2.2 44 9.0 1.5 $0 1.6 ::: 600 419 102 705 135 18 . 23.8 1.9 6.5 781 652 Ambala Dagsal Amritsar Daihaaslo Ferotepore Jutrun lur Jatozh Kult Lahore Multan Sabatha Slatkot Salon 187 203 16 ba 114 $o 1,112 16 5 CO3 199 1,259 229 66 0.3 400 66 1108 3-2 .. L111 Distret 04 .. 10 4.9 55 113 40 70.8 8.8 97.3 zit Dorad Dets in all in Kalsbazno Marf Tac.: iptal kamat Der All HID 12 1,067 16 ·83 IIIA OTHER RANKS. diseases and constantly sick for all causes in each station and district in during 1936. Venetral diseases. Pneumonla (Lobar and Lobular) Diarrhea. Average anagal number constantly sick Sandgy fever. Small-por Cholera. Heat-exhaustion. Dengue. Malaria Influenza. Plague, leat-stroke. All Causes. M csunto 19 055 1915 OWO .. ON on. .:: 728 1 2528 923 O 49 29 288 3 6 91 COOMOO 15 8 109 9. 221 8. 9.2 745 9 25 10 . 24-2.. . 12.1 103.0 78 8 .. 30.3 12 666 6 29 45 .. .. 226 11.3 1.96 . 73'4 .. 282 11.3 621.5 2746 127 & ! 6.7 40*0. 2. 11 : :: 422 8 11 25 7.00 90 % 15.08 లాజిక OOO 118 Nee CAM aco eco 1,408 10:53 . 29 2 0 C 10 ? 24 2 106. ca 0) 2 0 2 522 8 24 71 11 roro a Du? tu CO : 10 ou 1 ube lov in . OU 13.5 ec olt 99 16 0.9 .. 1 D 2.1 44 1201 401 SO 53-1 1.11 3.6 1.3 1-3 9.1 632 • 24 3: ca 250.t 510-2 11:49 . .. 555 * $.0 ·82 TABLE Table showing ratios per 1,000 of strength of admissions for certain BRITISH India Enterlc group of feyers Dysentery. Stations and Districts Average annual strength Typhoid fever Pars A Bacillary exudate. PATB B Enterlo group Pats 0 Bacillary Bact Protozoa) Oberat Landikotal Nowshera Peshawar Risalpur ios ois 18 1,182 1,273 711 34 QUA 999 099 1.6 1.4 90.2 09 6.5 1.4 Peshawar District 4,369 02 07 80 41 0-9 87 6.1 Kohat Fort Lockhart. Thall 165 8 4 177 5.6 149 250 129 .. Barisa 26.8 4.0 7-8 718 4.5 Konze Duatrict Abbottabad Cara pbellpore Gharlat Jhelum Kalabagh (Tazata) Khanpur Kuldana. Mutree Rawalpindi 447 10 84 191 221 12 6.5 809 125 2,441 80 10.0 1.2 485 Rawalpindi District 4,124 07 02 3.9 22 .. 066 419 162 1.5 .: 483 761 852 Ambala Dagshal Amritsar, Dalhousto Ferozepore Juilunjur Jatozh Kausalt Lahore Muttaa Sabatha Bialkot Boton 30 76 75 195 25 0.2 23.8 6.5 88 1.3 79 15 15 100 6.9 5'3 214 76 8.8 98 3.6 64 09 709 4. 06 66 6.3 40 108 sig 28 197 263 1,112 003 189 1,259 129 296 Lulo Dutrict. 8,939 0.6 100 4.9 5.5 1.2 9.0 115 19 70.8 88 073 714 D1000 Danilo Kalabah antlar todas 16 Hemat ir allt Won 13:g 02 sea ·83 VIII, OTHER RANKS diseases and constantly sick for all causes in each station and district in during 1936. Veneral diseases Poeumonts (Lobar and Lobular) Dlartha Average annual number constantly sick Cholera. Small-pos Sandaly fever Malarla Heat-exhaustion, Dengue, Influenza. Plagu. IIeat-stroke. All Causes CO OR ISH M conso onerea 1SA. 101.5 98. 1469 att: -ผง- B48.0 95 on 10 728 1 25.28 923 o 4920 1.4 15 8 23.7 . 1039 221 8 6.6 0.0 745.9 25.10 24.2 103 78.8 30-3 12 12.1 ** 666 6 29.45 . ** 11.3 98 C 73.4.289 6'6 228 127.5 ► 1203 1290 100 8 400€ 23 621 5 27.48 7181 21 43 556 O 4.40 434 1 18 11.2 1990 .. 20 100 23 g 5 957 18 :: 357 :: 120 1032 14. 34.8. Do 20 1 AO 27 was 0.8 0 10 7 24 2 108.2 .. 28 8. 2 8 19.7 02 02 522 8 24 71 102. era 1 ororo wao IM 743 320 642 6 3111 10 S51 32 23-2) 444 1. 01 SS18 197 5 1 01 . $.0 1.1 fou 33 . $ 612 9 19.3: ..

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·85 VIII-contd. Venereal diseases Diarrho. Pneumonia (Lobar and Lobular). Average annual number constantly alch Sanday fover. Small-pox Cholera Malaria. Dengue Plague Influenza, Ilcat-stroke 40f1en0113 PORN in Caubes. 18-5 .. 97 ... 65.2 20! . 14-2 597-0 28.07 5.2 .. 88-9. 12.5 14. 2001 730 6 31-70 .. 113.2 . 6.88 5 3.5 104 . 20'1 730 8 31.70 .. 113'2 18345 5 :: OOM 31-20:8 19.3 27.8 1.7 . 26 8 0.8 633.2 31 19 2.1 .. 95.8 10 3 . 399 ROOD doo meer op ener 22.0 12 . cicio On ce GOLD ܕܺܒܘ 35 1 15 12-1 3.7 601.2 B 73 1.0 . CUCI NOW 2 0 100 i : 14'1 CON POJ NONO OTO CON + og 015 er 05 2005 N SMO 39.4 51 CI ci 06-01 217 29.7 0 2 26 6 8.9 15.7 15.4 8 98 02 03 392 . 9 74.2 1412 .. 66 ch MO +77 098 Out . 25:0 :: 1225 :: 116.0 .. 30 1 . CA 7.5 :: 49 923 10 69-9 19.4 14.0 7.1. 0.17 190 7 103 30-5 1994 .. 185 0.11 57 $ 3.8 194 791 5 33.0 . 193 a 10 $126.1 :1.30 $31.7 13.02 ** 15:3 18.9 ·86 TABLE Entoria group of fovers. Dysentery. stions and Diotricts. Average becual strength Typhold ever Para A. Bacillary exudate. Latcric group. Para B Para c. Bacillary Bact. Protozoal. Clinical Dae01 Dulriet. . 5,759 02 1404 40 16 05 14 5.4 14 Mhow Nultaba 1 Mount Ayat ... 1,679 73 7:1 13 7 1803 104 1.4 42 Ahmedabad Colaba Deals! .. 158 740 357 114 12.8 25.6 122 995 04 2 7 Bombay District 8,516 00 11'1 6.5 2.3 : 1.7 Belkam. Poona Purandbar 0% 0% 13.7 08 21.8 139 27.9 ö*8 09 .. POON B. Ared 2,522 0-4 04 1.2 21.0 13.1 08 9.8 29 Napgalore Monas Talipotum Wellington 1.047 701 134 799 is 16.2 Jafre District 2,748 04 80 76 29 1'1 7.9 anlatay saymyo 3116zaluson BDI 22 116 Dura Dirirket. 1.755 ... 34 0 1 31 INDIA 3:00 03 U (0 0.0 9.5 49 ·87 VIII-concld. 14.2 20.7 36 8 82 26.2 2.1 24 0'2 468 0 18.74 : do 407 2. . 18-3 4101 25.3 13.5 274 25.3 0.7 81.1 54.8 39.4 5.4 40 513 9 27.41 424 7 12.60 5443 21.21 70 . .. 6.4 Ing 5.6 25.6 77.0 196 160.3 25.6 2700 70 0 6.8 1400 4.1 762 8 23.09 697.3 48 88 728 3 23.21 1.4 5.6 5*8 ... 18. 307 0.3 691 1.1 1.4. 0.5 34 . 4 0.9 589.8 29 84 274 27 4 324 27 8 122 18 13.7 0.8 13.7 38 766 55-6 369945 565.8 39 05 736-1 27.09 119 32.1 74 5 .. 10 1.2 .. 5650 39.42 $.8 41. 1.0 g 2 105 16 5 70 7 1749 1269 404 10 6 9.8 21.0 604 75 63 1.8 484.2 27.25 471.7 31 24 5224 1.04 $16 9 21.00 . 1.. 850 - 700 11'6 18 6 1.5 04 431'6 2071 •10 . 1087 91.7 34 101 489 837 68.5 476 85 7 1009 64 235 1097.3 1995 593 6 3167 8154 30-50 405 . 97 547 7199 € 3 7370 $5.35 1001 $51 0:1 377 47 338 3€ 0 06 S$0.5 39 98 ·TABLE IX, BRITISH OFFICERS (BRITISH SERVICE). ALL INDIA. Tablo shoreing the Arcrage Strength, Admissions into llospital, Deaths and Constantly Siok, during the year 1936, with Ralios per 1,000 of the Strength. Actaals. Ratio per 1,000 Deaths Admissions Cobrtantly blck. Dlacan Adalalons. Deathe. Arerara number constantly sick, Average frensi 2,209. 0 20 0:14 3.14 5.3 1.3 401 0.09 0.06 1088 88 o 0.70 2.8 0.91 0 02 D'80 04 18.2 0.01 0 26 0:01 200 3103 Specife durant due to infection or infestation, min rold InTht7411 Wortery I ntero lerrr (ntaire ol typhold, para A, B and C. and enterie TOUR ryopela 1010 na Valarla Parc Xeralogiexcalippretien Vam J'Arum lyreils of coccrtala origio Ilheumatic fever anddy terr scaruriet fett. 8mallrox .. 2.6 0.23 0.68 0.16 0.10 0'80 0:07 04 0.07 28:2 0:43 Tolerruloole Olimonari 0.05 012 0.00 004 09 04 0'02 0 05 000 0.13 0.4 (honorthos Veneral Insoft chancro Syphili other V.D) ·.. ܗܟܬ 0.9 . 19.0 Other (en dus to Infection 2.96 1.30 76 32.6 D'orari dor to Inferts: fcalles in hy Beton parolt Lother direct 0.03 1.9 3 0101 .. Other durakere fed under dystemi Divrairan thr nervotritem 15 0.89 6.6 089 Montaldo 0 99 09 004 * I oftr- YS 8 0'17 806 0'07 VAT id noen 35 074 164 0.33 1erans of the (Valvular disease ofthe brart 0.06 009 rtreplatory Disordered artion of the heart 0.03 09 0'01 trm Other drea 0 65 18 0 29 Diarank of the land and blond fortning organs 5 0 12 22 0.05 raars of during of endocrine glands . Djaran korthetrennt DIA air of the aty TXOTX tracta 0 04 0:04 0.02 Trepiratory Ironie and bronchioles 0.23 4.8 0010 lern Locher dincoars 0 11 103 0005 DAWIOT (lietrech and UMA *10 91 004 (Inflammation of innan 1'01 0.45 Inamin of intynx 0.21 6.3 0009 Tanaw of 11 Information of toniarh 0-35 97 digestive Carrle oleva 0'15 0 25 1.9 #rm Tuindi nalular 011 0.39 1'3 0.17 ilvet dunn 0:12 09 1011 Maart 0.05 165 4.70 68.3 2 07 DSdur to dinorder of antrition or of metabolism 0.36 1.3 ILOCANO 1 ernerntiem 0215 0.20 2 2 Tunaars of lint Joinen, muncker, PANCIRE And burate 0.09 21 0 69 9.3 0.30 DANACH of the atrolar true 68 1) AMA (lirkin 1.98 300 0.86 14 0.44 IMMO of the urinary yaten 62 0.19 15 0:47 6.6 021 Oneral Trrrr!! 123 0:08 2 20 linne1losa 4 70 54.2 8.09 2'07 1 Utroutant cat 0 2 Wone 0 17 20 0.88 0 07 Nora Intl dinne 0.07 04 0 00 001 0 04 0:01 wielded 1.76 Total 073 14 31 64 428' 6 17 13 90 The Mettre naalontulido ating already bern shown under the beading of the lojury ete which caused death, are not included in the total, 89 :. ::::::::::::::::::::.: : : : : : : 3 28 0 04 .

·TABLE X, WIVES OF WARRANT OFFICERS, N, C. Os. AND JEN. INDIA. Talle showing the arerage atrength, admissions into hosttal, deaths and constantly sich, luring the year 1936, with ralios per 1,000 of the strength, Actuale. Ratlo pet 1,000. Admissions. Deathe. Constantly alek. • • 4,055 Average Dumber cotistantly alck Admissions. Deaths. 18 . 68 0.22 047 1.69 44 1.5 1108 0:05 0919 0:42 2 0.38 005 0109 06 Durasr. Aretagtatrength Speine dinars due to infection or infertation. Common cold Iththeria Dymatery. Eaterle fever (Inclusive of typhold, path A, B sodo and enterie Toupi. Fryolsels Iodurpis Malaria Vearici Meningococcallofaction Yum Poruin onla. Peterle of accertata ntigla Karomatic rever. Addy fennt cult fetti. 0 03 025 0*2 395 001 006 82 2 2.31 0 09 20-2 005 0'57 0-02 d. 0'04 0 69 02 25 0.25 0.01 0:17 0.27 0-17 14 0.5 30 0-07 0904 • Mt لليFn oi 0.03 1.25 0 04 105 05 0.31 O't Tuberculo! Pulmonary Olber (Ooportbars Teacreal diseases Soft sha Acro Cother V.D. other classe do ta lafection. 0:11 09 0.03 076 7.2 019 ·14 DIMA. dae tot Babley 1afostation by motAZED Paranitos, other diseases 18 0-26 ht 0'06 4 Breast 00 o Te Other dlocates clared under systems, Dincance of the servous system 28 1'10 69 127 Vental diseases 28 0.69 6P 0'15 DIPAREA of the eye 8 023 20 004 DINATE of the ear and none. 34 Oys 84 023 Diseases of the Valvular disease of the heart 0'24 10 Circulatory Dloordered action of the heart 0'00 3 0 12 11.7 0903 yktem Other dlasco 11 0.75 0.25 0'18 Blood and blood forming organs 22 0.76 Dactlens or endocrine glands A 0919 0.37 D.2 009 10 0.27 26 0907 Latyar and trachea & 0 '09 10 0'02 llonpiratory Bronchi and bronchioles 50 1947 16.6 #yatem 0'30 Other diseases 6 0:21 I'. 0'05 Tccth and gums 13 09 32 (olato mation of tools 001 81 1'15 2010 02; Iallamtastion of pharynx 0.36 014 2-0 Indlammation of stomach 24 0'03 0 49 Digcative Gastric ulcer 5 D D'15 0.12 yotem. Duodenal ulcer 06 0:04 DR. Liver 5 0.21 1.2 (other dlaeance 198 0.51 16.3 1'61 IMACHACH due to dinorders of nutrition or of metabolism 0.35 Drent the generatiyo agatem. 337 6 12.96 0'09 Dinance of bonpr, Jointa, muncles, fasci® and bursa 831 1048 23 0.6% 3.20 6º7 0'16 Durans of the areolar titue. 50 DONACI of thoshin 1078 12.3 Dorure of the urinary igaten 0.42 0.44 32 2-45 11'1 0' 25 0 '05 0.60 Oral Injuries LOCAL 0 00 07 049 D'OT 10 AcJOD 0'68 69 0.17 Tumours and cyatı roloon 22 1*08 5.4 049 No appreciable distus: 027 Juiclar 37 0.93 91 1 0'e3 Total 1,369 14 16'51 337.6 315 11048 Ilio Agurto agatut "fulder" laying already been shown Under the ligading of the lojury, etc. Flatcli caureu deall, are not included to the total.. 0-06 07 D. 0*26 000 3 ·( utbe V.D. TABLE XI. CHILDREN OF YARRAYT OFFICERS, N. C Os, AND MEN. INDIA Poble showing the .dverage Strength, Admissions into llospital, Deaths, and constantly Sick, luring the year 1938, with Ratioe zer 1,000 of the Strength. Altuals Ratto per 2,000. VI. Amlastoke. Deaths Admiskou Dante Constantly Hok Average number tutastantly olck Average atrength .6,192 Sponge din due to action of infrallor Common cold pbitiria. 99 0 80 189 o do # 3 94 23 1 0 16 2 65 0 10 079 103 143 76 10 1.47 1.8 {3 076 6. 0:12 Tatryk for (inclusive typhotul, para. A, BRD Cand poteri xroup) FoyDelas. SUL Naluna Ink Wrtlogoraralininction HO 2 be U 05 344 042 0.lv Kump 1.0 71 10 1 i 081 2:01 0:16 0 0 091 0 09 . 1'umnopla i'y text of Oncerta origla Rbromasse faref. Sandy feret scarlet net na Bros. Tuttculoala Pulmonary Uthiet (innorrhoe Yrttaa! Hot chance inn.) 0 19 068 0 12 2 S 18 0 0'03 0*11 0.0% 0.10 0.29 020 0.3 0.3 0 20 008 0 02 Othet dresses due to iafecilan tu; 4.18 0:49 0.67 ·0.2 002 .00 1 890 0:13 0.81 35 31 078 0:12 0'65 19 .. 48 30 0.89 2 12 0.13 0.34 9.9 02 0.03 0 03 0 02 0 16 0'18 011 0.87 0 02 4.7 29 014 000 09 .. 0.08 2 84 0'31 149 0.8 24.1 05 001 0:40 0 05 Dler med to Srabimo Jafrutation by met on anallet Cottrer diseases Other discaret danned under Systemt. Disains of the nervous syatem Mental diseases Blerim nithe Kye Eradi DORE Yalvular disease of the heart Circulatory Diwardered artion of the hart yetem. Other dlsrann. riood and blood forming organs Tract In eodocride glands I'rrant (LatyDr and trachea Rompiratory Bronchlaod bronchioles yatem, Other Lease Terth and Rums (Inflammation of tooniis Inflatomation of pharynx indararation of stoinach Digrative faxrle ulcer 3 stefa Duodenal ulcer Liver (Other discare Terms due to di orders of putrition or of metabollam Inneofthe- Oramativo pyntero Bon, Jolna, muncion, lanciao and bir Arrolar lutte Mkin Urinary golem encra! Injuries Local ID action 1 uraotte ndryals l'on Na appre la isla besro Yil 0.44 4.90 0.15 IS 1.8 0.07 0.79 0.0% 0.08 93 1.6 0.97 03 638 0:01 8 61 0.30 2.91 0.00 2 99 305 S6 6 1.78 6.8 0.97 0.29 49 12 18 1994 0.99 0.70 79 23 0 15 0.11 90 14'5 . 240 0082 1'52 0.89 0:13 0 25 0.02 2.85 0.3 12:1 010 0.00 040 0.08 0 05 2.04 05 0.6 6 3 0 01 U 01 043 Total 2,025 83 61.051 3270 13.40 10' ·TABLE XI1. BRITISH OTHER RANKS. Tille shoring alminion and death raltos per 1,000 of Mrength by Commando contrasted with the premtous year, and the arerage for the prerious five years. COC01 Enterk TOOD of letos. A D. Snoedd. Choler. Malarla Small.por. D. Dynentety, A. D. A. D. D. D. 36 thern Command 1031-35 1935 (1030 21.0 80 0:1 0.29 0.30 0'08 0'06 0 0 1047 678 785 262 B98 2009 0 06 . • 24 (1031-25 1935 1:036 ta Command 0:10 0.05 .. 28.9 3108 284.8 1861 1039 0'3 0.25 061 0.62 30.1 371 94 Tantera Command (1931-35 1935 0'07 3.1 23 27 01 Den 010 013 JRZ 110 2106 0:1 02 01 71.9 48 30 8 0.06 0'13 (1936 2002 90' 277 0.04 0.06 0.12 Rrethrra inand (1991-35 31935 (1930 11.5 126 0.01 0*7 0 01 61.8 489 0.1 0.05 007 27.2 256 23.4 Durtre Dutrket (1931-35 1033 1984 19*1 11 37 47.8 292 7007 I92 32'0 ::: All-Indla (1931-35 1935 1936 302 0.20 0:17 0-06 18' 10-8 12' o'o 04 01 0:1 0:1 51 50°1 580 0 U2 0.07 0'08 0.00 26-6 29*2 246 0.01 0.02 ·Yeneraal dennen. DARRO 404 dy for er Plaquo. ODDU Pyrert of on. restala origio, A. D. Pemoala, luhar And lotular. 1. A. U. J). D. 11 0'S (1031-35 1935 ( 1936 22 10 0.3 of thora Command 55 52 50 27.5 279 27.8 0.48 0'42 0°59 80'6 831 802 Bii 400 33 0:44 0.26 28'3 29.2 294 307 58 74 04 159 Western Command (1031.35 1035 1930 (1031 35 1935 001 4.2 104 06 0'2 01 Pantern Command 0:34 0 70 045 43.8 5008 59 3 (1936 34 5.5 ::::::::::: 2.9 1031 33 31935 (1938 0.6 1.1 01 Boothern Coton AJ 1008 33 t16 0 24 0:14 021 1009 599 370 399 35°1 996 21 70 0:11 038 23 06 (1031 S5 1935 1920 09 0.6 57 Lara Dirtrict 076 794 5998 0:11 0:55 1'1 3 574 1969 95 (1931.98 J 935 11030 1.7 0.7 0 36 0 40 0.38 37*3 38 8 34 5 0 00 0.02 86 6U All Data 2808 365 33.8 A-Adonlode, D-Deaths ·TABLE XIL VACCINATION PERFORMED IN THE BRITISH AND INDIAN ARMIES DURING 1030--OFFICERS AND OTHER RANKS. Beltikla Troope. Warrant and N.O. Ofcers and Idea T'ercentage of succcasful cadea to total Numbcr. operations. comedi. Omcet. Percentage of successful CARCS to total Operations. P. B. Number. Kamer R. P R 1 IL 60 10J 01 04 100 375 52 220 18% 278 928 53 340 When rates Lantern Another 0,324 180 4,028 3,391) 421 7 03 40 Hum District Tota) 835 05 81 1,809 15,246 77 79 96 Indien Troopa. Indian comminatoned, Non-commiroloped omcets and Iden Followers Enpean oficera Potentar of curcanul Carca to total Sumler. operatione, . R. P. Percentage of stoccarful Cases to total operations, Cutamast. Nuniber Number, l'ercentage of successfit CARCA to total ODeTaCIODA. 1. R. P. P. R. r. R. 293 59 85 100 05 84 &2 ,607 017 Xortbes. Wata Lasten buthara 20,631 4,674 14,037 0,459 1,082 306 361 8) 85 70 100 100 100 100 100 80 105 11 Burma Dottles 085 65 65 9 05 Total . 80 I . e. 069 40,790 89 70 0,683 100 80 1.-Nyaary B-Reticcinations, ·TABLE XIV. VACCINATION PERFORMED IN THE FAMILIES-BRITISH ARMY DURING 1936. Women Commande. Sumber Percentage of roccessful cases to total cserations. Children. Percentage Sumber. of toccesofu cases to total operation P R R. P. R. P. R. 293 806 49 391 5 Northern Western Eutern Southern Barma District Total 859 $1 190 616 20 174 263 24 100 100 20 28 87 90 84 75 73 60 87 100 19 76 1,613 91 83 701 1,930 96 81 P_Primary A-Rericcinatious. TABLE XV. VACCINATION PERFORMED IN THE FAMILIES-INDIAN ARMY DURING 1936. Vened. Chudren. Commando. otot er. Percentage of successful caid to total operatione. Sumter, Percentar of succesul carea to total open tops. P. F. P. R, P $1 ID co 10) Xorttern W ten Eutan footbeto Bitte Dietrict Total 320 93 6 9 10) 100 100 100 110 79 137 10) TYRE. -EeTacerations.

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·99
SECTION II.
INDIAN ARMY, 1936.

·Stations, 11 30 1.250 3, > Dacca 1 3D 1 0 olos 100 TABLE B. STATIONS BY COVJANDS AND INDEPENDENT DISTRICTS. Height Autho Polets Height above rity ot above Autho- Polota MŠ level for reference. Stations. AS level rity for ot in feet. helght. In feet. height. reference, Eastern Command- Northern Command, conta Abbottaba: 4,010 S. D Map, Almora 6,404 S.D. Map. Ambats - 902 S.B M. Bankura AmeltsT 754 Bareilly *503 S.D. B.B.M. Balloh 4,585 Map. Benares • 258 Baano Cawapore 407 B.M. Campbell pore 1,180 Chittagong Chitral Corilla 4,980 Darba! 6,087 20 B D. Dalhousie 7,687 Derita Dua S.D. SB.M. Dera Ismail Khan Delhi 1. 588 SBM Dharamsala Cantt. 4,500 Map. Dinapore Charcb. Drosh Fort 4,340 Fatehgarh 467 11 Fyzabad 330 Ferozepore së u. 649 SB31 Jhelum 702 Ghoom 7,313 Jn ol Jallundur Cantt 771 BÅ rond. I togh Gyantse 13,120 MAD 6,870 Bfap. Kila bagh and 'Bara Gorakhpore gall 7,963 Jhansi 849 SD SB.M. Eslabastiandilart Lansdowne 5,823 Mop. Indus 692 Lucknow 383 Kohat Meerut 737 1,725 8 B.M. Koldans 7,049 sco Midnapore Lahore Cantonment 706 88 M. SD. Mutta Laadikotal 3,809 Mymensingh Lockhart Fort Nowgong 735 8.D. BN. Malataud Roorkee 879 2,740 Want Saldpur Shiltong 4821 sb. win. Itardan 1,000 Mir Ali 2.211 so Moda 3,500 80 Map. Southern Command. Malta 494 3.B.M. Ahmedabad. 8.D. S BM, Yn wihera (Ry. Sta. Ahmednagar 2,180 Wap. tion) 966 Bu Aurangabad 1,005 Y.D. Pesh.WAT 1.152 8BH. Bangalore 3,002 8 D. S.BM Ralpindi 1,699 Baroda 114 BM. Patnak 0,558 Relgaum SB.. Bombay (town hali) 20 Riestor 1.014 B.V. husa! 3,174 Cannanore 40 ATEO1h (Railway Deolal! 1,894 8.0.M. Rostline) 615 Jubbulpore 1,320 Alko 829 Kamotee (Riy. Bte. 040 DY. 5,079 tion) 400) MAD Vhow (Ry.slation) 1,897 Thall 2.457 Mogot Abu (Santo- W.11. 453) 10.L. Fium) 3,836 Xeernach 1,613 Surabad 1,461 Ter Comment. Pacboathi 3,490 Chemia Part 5512 SD. War. Poors 2.867 Yort and in 4.) daugot. 1,755 Tiintahath St Thos. Mount 5:1 II yderabad(4a 1) (Rs. Station) Karuchi (T! Tr. Madras (Obr.) 250 zily Church) Thchanpoly 256 & .. Trimalgtetty 1.848 Mar. Lonalul 4,277 Qarita. $50 Teltlagtca Ela. 499 1{oepl. 5,400 1 01 *660 BD. . Map .. e. M, 1,050 برف ۲ 162 2,823 10 01 . 9 BY, to + Latit* Cover? Burma District. Mandalay {Port Arta (Tort) SD TIVE Datteria) .44 90. Way. Alipoto 8 M 3,503 A11111 3!! i Minsaludos 119 DY I told thor of the menurit ne of thony ile la bumtt ettert! el martede cheralobiratan, simo a ·TABLE XVI. INDIAN OFFICERS AND INDIAN OTHER RANKS. ALL INDIA. Table shoring the arcrage strength, admissions into hospital, deaths, numbers in alidel and conslantly sick, during the year 1936, with valios per 1,000 of the strength. Actuals. Deaths [avalids, Tatlo per 1,000. Dcatho Invalids Diseasce Admjsalons. Constantly stek Admissions. Average number constantly dick 1,241 1,277 21069 0:54 50'02 10 6 01 110 0:19 0:00 0043 0:03 101 07 0:04 010 79 11.34 5 Aferagentrength, 116,528 Pretre dureazen due to infection of infertation common colt Diphtheria yarptaty intre la fourro (Inclutc of thnil, Dars, AB & Co nirrle group). Irynpilas Innuenza Malaria Mrulre Meting cuecallnfection Mulap hoidon of nicelain origin 110 fever ferer 0 00 0:17 0.21 19'66 00 73 i 851 14,310 156 16 0.01 0'07 0:03 348 05 8'35 1.51 8 4 0-01 123 1 13 01 5.1 54 2009 O 05 0.01 0-01 599 621 31064 48.95 si 0:27 042 0.61 1 0001 10 93 1,236 8 OR3 751 21.68 01 008 10'6 0 07 0:01 0.06 019 OF 90 1.75 0'02 monary 203 193 15 21.30 1'7 003 0'13 0:03 1066 0'13 0'18 0.01 30 4.32 0.01 Monorther soft chanCTO Syphilla 301 181 397 S 61.32 16.34 +2000 017 48 16 74 0.0 0:53 013 0.30 O 00 0.03 ,oiller Yu,:

·TABLE XVII. INDIAN OFFICERS AND INDIAN OTHER RANKS-contd. NORTHERN COMMAND. Tahle showing the average strength, admissions into hospital, deaths, numbers invaluded and constantly sick, during th: year 1936, with ralios per 1,000 of the strength. Dlataste. Actuals Ratio per 1,000.1 Admission Death Invalida Average unter constantly alck Admlusions Deaths. Invalids Constantly Average atrength, 50,33C. Alek 511 8.99 0 Oy 21.81 91 00 97 0:18 U'00 0.38 000 304 3 0-05 TOI 27 2 4.55 005 0:02 0'08 000 . 386 i 0.21 9.25 0:1 699 0.00 0'16 Sproute Dirant due to infection or infestation. Comaroon cuid Ilpbtberla. Druoptery Enterlo fever (toclualve of typhold, Data A, B &C. Add to terle group). Frysipelas Indoenis Valarla traalen Vedlogococcal Infection Varap "neuponla Pyrella of vocertain origin Rheumatlo fever Mandy fever Hrarlei tover. 7,884 114 11 286 357 171.44 (106 073 1996 20 02 0 02 0'0B 0.07 3'04 0.07 0'0l 0'02 15.67 2870 0.53 5°1 63 07 0.78 0.02 098 0'17 0'01 6 3.51 1823 1,041 07 185 0:11 D'06 U'32 DE 9mall por Tuberculoeta 110 17 93 7 063 9°93 2:57 0.18 0 04 2 0001 0'16 0'05 1-74 0.12 Pulmonary Other Ooporttas Soft chadere Srptills Other V.D. Vegereal dincare 3.2 183 67 120 1 2 17.82 6:41 0'02 I 11'3+ 0.12 . 0.3% O'11 090 0:00 0'04 ·0'09 19.35 0'35 011 8 259 400 62 72 9'59 21 27 0:17 OBR 310 403 t 170 41 8.32 4023 30 07 0.14 0'02 0.37 018 0.14 0'08 10 24 590 440 21.71 13*G8 105 80 0.02 0:49 0'04 0.44 0.24 . 00 Po 1 6 3 0.80 1.a 1993 0:0 0'02 0.07 709 O'll 0.05 001 n O'CS 04 25 5 149 0 849 0:56 0.05 28 001 0.09 0 02 0036 0.01 .. 14 54 573 110 1.RO 1829 9'17 100 10.2 1.9 0505 0 04 027 0:03 0:32 016 3 15 Other than leta intretlog Dies tuo to falcatations cables hy IP 404 pariates. Other diseases Other Duarr clined under systems Dimanet of the Detrou seteng Mental IMAM DIATASM of the - Vyo Ear and none Ilmans nt (Valvolar Man of the heart the circulatory Disordered action of the heart yilem. Other diatasco Islood and Lloor forming organo Ilmse of dartless or blocride glandi. DATO'rt of the breast. DI PART OF (Larynx and traches the refpiratory Bronchi and bronchioles Fynlem. Lother diseases plans of the teeth and gums Inflammation of tonalls In tarination of pharynx Dlacan of Inflammation of atomach the digration gantric ulcer yairn. Dandenal ulcer Ilver dreams Other diseases Dlaramendua todisorders of trition or of metabolism Danes of the generathe yetem 1)Larance of bonen, Jolote, tuneley, fanctor and Dlaram of the arrolar tinene. Dirurn of te ulnary ng>tam Injuries General. local in action. Thunours and cyatı Polona Noappreciable incare Ruleht 105 35 3.78 $ 61 26.24 1.55 1.18 0.05 2.37 40.13 27 60 2408 0.6 00 00 07 2107 0.07 0.15 0*47 n:03 0.00 0:00 0.04 0.71 . 1 40 1,021 0:02 0:12 9:02 0.10 7 . 11: 434 0SA 4*04 19.08 0.1 20 7.5 0:00 009 035 'i 22 002 0-30 1,676 009 148 5447 2R90 8 20 280 29.3 26 0.02 0.02 0:07 097 0947 015 ! 0.04 20 2,68H A 20 65 0.41 125.10 17A 04 517 0'1 0.14 0.95 o's 00! 2.22 0.03 0.017 1 3 0'02 006 A3 11 1.99 4099 0.53 1.99 105 0.2 0.5 0'0& 0.01 0002 1 0.01 0.04 0.00 I Total 94,080 138 810.37 427 4 5.70 1139 Theori nulada Arci nastered recordedown under the deadlor of the lojury, etc, ebfeb Oured death, 190 not tocluded to the total, ·TABLE XVIII. INDIAN OFFICERS AND INDIAN OCIER RANKS-onld. WESTERN COMMAND. Talle shoring the arcrage strength, admissions into hospital, lcaths, numbers invalided and constantly sick, during the year 1936, sorth ratios per 1,000 of the strength. Actude, Ratlo Per 1,000. Deale. Iurallda Arriage murgber Constantly Ick. Adulualue Death Invalida, Average numbera Constanly alck. 6 66 3980 25.1 73 0 30 1 15 06 0 08 009 106 178 o'i4 U 08 : n1rsمر rgrrt1يم لممال 45.31 0:42 0 48 12A4 07 02 3 13 003 004 ZNACKAOS Adoleelone. Average strength, 12.45. SIM Durduet due to infection of infertation, Common cold 313 Iphtheria yentett oi Toteric fever (Inclusive of Isrbeld, pere. A, B & and 8 caterie proa) Frynipolas Iafturnia Malario 1,003 Meanino 9 J Numro 123 l'neumonia l'yrels of uncertata origin Heamatte terer Sanddy fever Scarlet feret 8mall rox Tuberculoots Palmonary Oppomboes Vedetail nemen. Sort chancro Syphilis ther Y D. Other dinean due to Infection Direiks due to intentation by&cable Metan partes. Other direaves 5 65 99 8.25 0:10 U 45 050 :::::::::::::::::::::: ::::::::::::::::::::::: 0 76 O'96 0 06 0008 . o'is 0:01 Other 0.24 3.17 0.81 2.17 0.77 1 79 0.25 O'16 017 0:00 0:14 0 38 0'07 U* 50 4.76 O' RX 7.03 ·1.34 23 194 74 50 1063 0.11 03 0.88 0:40 032 0'08 4.77 1976 014 + 0 18 100 0:41 0.2 08 03 016 003 0.09 0.01 0.08 0'03 - o os 3 93 0.29 02 U*02 02 0:08 0.34 8.21 249 O OR 15 149 29 DOR 003 0.50 0.10 0 U9 15 50 048 1.36 4009 0.29 400 17 0 07 0 04 0:11 033 0'02 Othm diwani darsfied under systems. prarani of the pervous system Mental dan Twaitint the ere Diarases of the car and DOME Dlapannt of the Valvular diseases of the heart circulatory Dinordered action of the heart system, (Other diseases Dlarales of the blood and blond lotrok organs Pames of the doctor endocrine glands Dlacanes of the breast DECANS of the Jarynx and trachea #piratory Brouchi and bronchioles ayatem Cother discacs Disening of the tecth and gems Tofla in matron of Innalla Inflammation or pharyne Divanen nf the Imation of tomach dlarative Gastric ulcer *)stem. Duodenal ulcer Liver diseases. Other diseases. Domain dne to dinorders of nutrition or of metabolyam Dinams of the generative agatem Dlaces of bones, Jolsta, muscles, la clæ, and burno DIRAN of the areolar muo. trlaranet of the Un DIACAres of the urinary isstein (Oederal Loca! (1a action Tumourt and cus Tolone No aptalable dlocare. Noiriden Total 0 68 7-71 07 9 210 0985 0'02 108 0.08 0.09 0-71 5*03 01 1.6 8 7 19 001 0:00 040 107 0.08 0'32 7.14 5 83 2 80 17.1 110 146 11 0.67 0.47 001 :ܝܕ 0 08 . io 23 93 1001 0-12 0.80 1 92 Infoties 12 1 0.81 0:24 1'0 1'3 0:08 ... 004 0:02 113 1 4,789 085 00 178 72 10 0.10 382 0 O OS 1.78 0.07 14 31 449 56 • Thm neurns against antriden having already been shown under the heading of the injury, etc, which caused death, are not included in the total Inclu? Case of mailormations and 1 case of parasites ·TABLE XIX. INDIAN OFFICERS AND INDIAN OTIIER RANKS. EASTERN COMMAND Talle shoring the arcrage arength, all missions into hospital, deaths, numbers intaledel and constantly sich, during the year 1936, ruh ratios per 1,000 of the Strength. Actuals Ratlo per 1,000. DIAMS. Admlaloni Deathe Invalids Average Admissions. Deaths Invalds Constantly number alth. constantly Ancrage streagth, 23,011. sick. Sprelne dwu.no due to infection or inftition. 108 304 8.30 022 271 1 10.09 1103 0 04 0.44 2.95 09 21 jio 2,794 0'12 0911 338 3 013 80.81 0967 0:00 116'8 004 0.04 ('03 000 romtoon coll Diphtheria. Dreatery Foterlo fever (larinse of typhold, paru. A, Berand etteria group) Erysipelas Indnet Malarla draules Siening corrattatection Mumps l'oramonla lyrexia of caretala origlo : Rheumatic ferer Xanddy fever Heartrt teret small pot Pulmonary Tabertulosta otbr. Conother Vrtal dlarseSaft chancro. Paphlile Luther V. n. 16 7.04 10'81 5.5 5•7 029 067 044 1 1.05 1957 07 3'6 0.04 0904 0'07 69 5 108 O.RS 6.77 0.69 1701 3'39 13.01 005 06 2.0 02 68 10 5:1 9:04 0904 0.24 0'03 0 71 0914 064 0'00 ·0.62 030 U85 *** . 012 0:08 007 033 0.1 0:04 . i 0102 0.01 0904 0.23 U 02 0.01 0.03 043 018 0 06 . VO 105 8 2 12.35 6.9 0.38 Other dineuses due to fotection 0'08 Diaravi on to Infertation Srables 021 7-22 12 180 hy Mannen parauftrs Other dincates 8'35 76 Other diseases clausted under myslem 10 281 20 Taxes of the 170u1 Nystem 008 2'01 09 0 04 0.20 Venta dium. 391 18'08 10'4 I am of the cyo 0.29 285 i 791 119 004 DIMATI of the car and nose 013 Dinamo 1) (Valvular arase of the heart 1 1 0.36 0:04 Circulatory 1913 isordered artion of the heart 3 9.17 004 lem. Cother dischic 12 1.00 05 0.04 Blood and blood forming orgaal 83 1 5 39 3.5 0 04 021 DIARI of duction or eofocrine glando . 0.21 0'3 Jeases of the breast. Discurt of the res. (Larynx and trachea 22 0'60 00 piratory ...Bronchi and bronchiolrs. 324 10-29 13 5 0.13 tem. Cother diseamet 4°34 20 0.01 Divestee of the teeth and rate 52 1.36 2 1 Ion armation of tonails 159 3.61 606 Innammation of pharyor 260 5.39 11.2 Da oft In Baramation of tomActa 1.53 1* fartire Outric ulcer 0 16 01 yetem. Doodenal ulcer 6 0.74 03 LIVET 37 2 08 1.6 0 04 Other desta 403 1678 2006 0:09 Diorams due to dlaorder of nutrition or of metabolikin < 0.36 0.2 IPats of the Renerative syntim G9 8.22 29 plurance Ol Donna Joint, muncir, lanchon PAG 105 12 10'59 0.50 Ilurame of the arrcler lange 826 29.14 34 5 Tirana of (110 okto 327 15 37 137 Disnes of the FIDATY usalem 3062 0-08 (deperat 10 0.29 004 Tolurice 013 Loral 1,230 16 67'01 617 0 33 0:07 LTA action Tunoura und Tols 33 3 2 l'oland 2.24 1.4 0'13 0908 0:08 02 0:08 Noppterlalle Alorare t14 0.34 0'6 uleldra Toll 0,97R 64 118 390.31 417.2 2.28 * Inn Arons if Walfirmationi. 11. Tarinat "nildes"lovlog alrraity heen honn under the heading of thic Injury, etc, which caused death, are not included in the total. 109 016 022 0006 0 01 0.03 00019 070 N- 0.02 073 O 44 . 1.18 0:04 015 0.01 2.38 1. .. 0 09 0.00 .. 0.02 010 10 67 ·TABLE XX. INDIAN OFFICERS AND INDIAN OTHER RANKS-conld. SOUTHERN COMMAND, Talle skurcing the aretage strength, admissions inlo hospital, deaths, numbers invaluled and constantly sick, dluring the year 1936, with ratios per 1,000 of the strength. Actuals. Ratio per 1,000. Average Admlesions. Deaths. Tavalldo. Constantly blualti. Adminlops. Deaths. Ideallos. number constantly slck. Average atreogth, 20,003. 101 6 31% 1.58 0°42 11:39 4.8 0.2 149 0.07 0 02 0.55 110 21 1.0 0.14 2.55 5.13 0-12 0.26 10.9 123 1,033 11 1 39'60 0062 0.23 2.99 4.80 78.9 0.5 0.05 1.89 0.03 0-01 Swife duhet due to infection of Interation, Common cold Diputheria. Dyreptety Eaterlo fever flaclasle of typhoid, pata. A, B &c, and enterle group). Erysipelas Lodge is Malaria Measles Slepingococcal lancion top Puido la Fyresda of uocertain origla Rotomatlo ferer Mod07 ferer Scarlet feres 5 por Tuberculosis • Pulmonary otber ooport Peperealaksoft chach Bypolito Other Y. D. 0.05 65 2.6 0.24 0.14 0.23 0.10 2.19 0.00 02 21 0-05 0.00 0.10 0.04 1 0.08 0.05 0500 20 3 85 1-0 0.1 1.10 0.05 2.08 0.22 7.83 1.99 9.58 0.74 0.10 0.01 0.37 0109 040 Q'06 1.1 0.05 11 ·13.02 164 0:14 6.10 0.62 $92 Other clunei due lo llection 10'8 0.35 223 Dissler due to Scables Infolation by MetaZmN para 0.06 Jun. 0 64 Otter discaya 1134 210 11'4 1 Other distant carried under systems. 9 5.14 3.3 0.25 0°45 Diram of the DeTTOOI tyelem 1.57 0.8 0905 0.38 0907 Mental dlari. 9.85 1108 U2 0:47 Diwures of the eye 134 0°24 0.37 norwel of the cit and done. 01 0.08 0.05 0'00 Disrary of the Valvolar disease of the heart 0:19 0 1 0 01 0'10 Dlaordered action of the heart circulatory 0.65 005 Other diseases 0.19 034 0003 item. Diyans of the blood and blood forming organs 5940 34 0 05 0:19 026 Dit of doetles of endoculde slands 0.14 01 Dacaal of the breast. Larynx and traches 032 004 Diatan of the 002 Bronch) and bronchioles respiratory 277 9'21 13.2 0'14 044 gileto. Lother diseases 43 310 2:1 010 075 Durants of the teeth and gums 65 56 2'6 ('07 Da.Datlou of topelle 134 04 0-16 Indamnation of pharynx 6 55 14.6 0 31 Diretort of the indammation of stomach 53 2.28 2.5 0:05 0:11 dlomatiya Klastric ulcer 0 32 03 0.05 002 1 Duodenal ulcer 0*25 riter. 02 0.05 0 0 Liver dlaCAM 29 1662 104 0:08 Other diseases 116 18.25 1998 0010 0010 0.78 Dlacune due to alsorders of patrilion or of met vollem 3 1 0.27 0.1 0.00 0:01 Daiv. of the Renriativo nyale 60 2.56 2.9 0:12 Menu of loped, Jolat, Inoncien, funcie And Butres 213 11 10 66 11.6 0.52 0951 Niuears of the areolar ture 774 25.14 36.9 0.06 1.20 toeun other la 279 10'89 13.0 014 0.52 13***of the algary esatera 60 29 0 05 0.05 0:12 Deorral 6 0'15 003 005 Tofarles Local 1,253 30 58.03 59'8 0.14 1:43 277 tin action Tumour mod cyata 35 1.77 1.7 0905 0'08 POOD 5 0.39 0.2 0.05 0.02 No Apprecial le Grand 123 1 1.10 11 . 0.05 0.05 Wywridnº 3 016 Total 8,316 28 123 316.36 3967 1:34 5.87 15.00 • The cutes palut * Solides" Pavlor already been shown under the heading of the fojury, ete, which caused death, are not incleded fo the total, Inrin 7 ilmunns of carriers and admlalong of Maliotinations 1 0:01 ·TABLE XX. INDIAN OFFICERS AND INDIAN OTHER RANKS-conld. SOUTHERN COMMAND. Tolle shuring the average strength, admissions into hospital, leaths, numbers intaliileil and constantly sick, during the year 1930, with ratios per 1,000 of the strength. Actuali. Ratio per 1,000. Average Adminlops. Deathe. Javallds. Contactly Distales. Admisslops. Deaths. Invalide. mbet alck constantly Average treagth, 20.063. pick. 101 1.56 02 11.59 4.8 02 149 0.07 0002 0.35 31% 110 . :1 3 100 035 0:12 2.38 5.43 O 10: 0.26 e 2.603 IL 1 789 1.89 30.00 0'82 0.23 1 0.5 0.05 0.03 0.05 Spelar dimakan dwr la infection or infruation, Cothmon cold Diphtherla. Dyootery Eaterlo ferer (løclusive of typhold, pats. A, B &c. And eoteric group). Eripelas. Soupis Molarla Woolen Jealngococcal lofttion (Ata De I'prutale Prezia of racerta la origlo. Rheomalle leter Sandoy lever fearlet feyer SDA por Tuberculoals Pulmonary Colbet (Oonantes Segerraldiak sort chance Aypbitle Colber Y.P. 9'6 0:01 0014 0.23 be 2.99 'S 0.24 5 400 010 219 0.00 } 0.2 101 0.05 0:00 0:10 0.04 'i 2 * :* 20.3% 0.05 0.06 2008 0.00 20 1.10 0.05 7083 1.99 9.30 0.74 1.0 0:1 4.1 1.1 4.3 005 0.10 0001 0.37 0-09 0.46 Q04 D'os ·006 . .. .. 11*34 30 . 2.8 . 13.02 18.4 0.16 019 0.82 SA Other clases due to fotection 7. 4+ 10.6 035 DIMI doo to Scaler Infostation Metazna pa 0*05 11't 0.54 ulum, 240 Other discases 1 Other diseases clanified under systems, 614 3.9 0.43 0.25 no Dlacunes of the per TOUS system 1.57 008 0.38 0907 Mental dla 1108 9.85 O*** 0:47 DISCL of the eye 247 334 0:14 7080 0:37 Trans of the ear and Dore. 280 00g 1 (Valvolar dlaease of the heart 0:1 0.05 000 Dieream of the 019 01 0:10 O 01 circulatory Disordered action of the heart 0'65 1 Other alitas 05 0°je 11 0 14 rutro. 0'03 Diman of the blood and blood formning Organi 5.40 34 0 05 0:19 020 Law of actions or endocrine glands 0.1 01 0. DARI of the breast 0.32 rLaTyas and trachea 0.4 0902 Didea of the Dronchland bronchioles 477 132 991 Tespiratory 0.14 044 Other alacasts 3'10 2:1 0.10 TILD. 0.16 Dwars of the teeth and guma 55 1.56 0907 Dam:dation of topally 134 3.4 016 Intomination of pharynt 307 6 65 14.6 . 0 31 Direer of the Indamation of stomach 63 2.28 2.5 0*05 0-17 digratire (aolric ulcer 0.32 03 0.05 0.02 atero. Doodenal ulcer 2 0 25 01 0.05 0 01 Lluer des 29 1'82 14 0.06 Lother direc! 18 2 16.25 1998 OJO 0 10 078 DiHami due to disorders of nutrition or of metabolom. 3 1 0 27 01 0'05 0001 Dreams of the Benrativo sutem 60 2 56 2.9 0:12 Inorsken of bonca, Jolate, ngalen, laarin and burnier 243 30 € 11. 0962 051 Dioram of the Arcolar tlusto 774 25:14 30-9 0:05 1.20 Dilsener of the skin. 272 10'89 13.0 0:14 0'62 Dlurakes of the urinary i sem 60 1 246 2.9 0.05 0.05 0:12 ten 6 0'15 03 0.05 0:01 Injuries Local 1.263 30 58.03 5918 0'14 1:43 277 (In Action Tumoori and cyuta 35 0:05 0'08 O'39 0.05 0.02 No appreciat le donne 123 1.10 1'1 0.05 0'06 Dubidra 3 0:14 Total . 8,316 28 123 316.36 3967 1.34 5.87 15 00 • The frutes agalast " Salcides" havior already been show under the leading of the insnty, etc, which caused death, are not included in the total Inrinde 7 ailmasons of ('arriers and 4 24 mielons of Malformations 1 www.ni:--: .! ww i Polioni .

·TABLE XXI. INDIAN OFFICERS AND INDIAN OTHER PANKS-contd. BURMA DISTRICT. Talle showing the arerwye strengly, admissions into horpital, leaths, numbers inualuloil and constantly sich during the year 1936, with ratios per 1,000 of the strength. Actuate, Deatha Invalids Dan). Admissions. Admissiope. Average nuiaber constantly sick. Ratlo per 1,000. Death. Invalids Constantly niek Arerage strength, 2.827. Specife durata de la infection of infertalien Con mon cold Diphtheria. Dyrolery. 12 0.28 0 04 243 42 06 2009 0910 001 0.80 112 59 do 1 0.1% 0.4 0.05 Zaterle fever (Inclusive of trhold, park. A,D,& C, and materia group). Pulpeta. lobodia 1. 38 O.CO 1394 o 24 1.96 13 10.60 Meerla Mraules Meningococcal lalection 150.7 0.95 0.58 3.84 0.21 Mom gra onla Prile of uncertala crtgla. ::: ܫܗ݈ . 0.29 0.53 2:1 0 33 0.11 010 Rbratie en **Did y frutt Sarli feret ::::::: APANI *** PUU ·14 1.1 012 4 3 0935 .. Tulcreclele Polmonary Other O 03 04 0 35 0.01 1 1 104 1459 2.32 6006 (Donorrbos Bott chatyre Yepercal dimaksyphilis Luther V.D 36.8 10.6 15-9 6.83 0.62 . 08 0.71 Other dlararo dne 10 Infection blue due to intentauon ocaust by Metazoan parasites other diverses 2 05 0065 1.72 32.2 5.8 18.0 1 04 0 28 0.61 ܕ 11 Other discurs cluusted under systems. Diseases of the nervond system Mental dlara. Dimaks of the yo Bir and non. 0.86 0.70 3.9 2.5 1.00 1.06 0.30 0.27 ܩ ܩ ܕܢ : 2.21 66 127 071 19.8 44. 2.19 0.82 0.77 - Circulatory system. (Valvular diseames of the heart Timordered action of the heart (Other disease. 3 0.08 0.18 003 0'06 1.4 0.95 30 3.69 1000 0.35 1.27 Tool mod blod formio orgado Tructirus or epdocrine olands Test 2.5 21.0 Latyor od tracica Ilespiratory Bronchl And bronchiolre vem, Other dresses. Tuth and Rung 7 62 8 18 0.24 1.65 1.32 0.38 0.35 0.71 0.08 0.58 0°47 0.13 ... 28 R 146 13 0.15 2.04 0 07 51.6 11 0'05 093 002 (Innammation of the tonals Inflammation of pharynx plurisco of 1. ) Indam motion of Otonach iterative systic picer Dardenal ulcer Ilut Other dlscanca 0-62 4:12 109 i 2.8 492 1 0 35 0:29 110 0.35 powro dia to dlaorders of nutrition or of nictabolism Oloruna nih tramatem DlTosco of 11. lobes, Jolsti, burcler, fasclac ibu butte 205 32 * 4.5 1.46 2.CO 13 7 11.3 20.2 0.71 1.50 0:52 0*51 ·TABLE XXI-cond. BURMA DISTRICT--cantil. Talle shoring the arerage strength, w missions into hospital, deaths, numbers enraluleil and constantly sick, during the year 3:36, routh rating per 1,000 of the strength-contd. Actuals Ratlo per 1,000. Admielona DIR. Death. Invulldo. Average Admissions. Torallas. Deaths. Constantly pumber sick. Averin trength, 2.827. constantly slck Orinduint la indonin tru-contd. Dikare of the 108 8.71 70-0 2.02 stla 140 4926 49.5 1.51 Litrary yotem 0.18 1.8 0.06 Oederal 0:17 1.4 071 0 06 Talaria Local 247 8.80 874 0.35 1041 Linnellon Turoon and crita 0.57 0.20 Poison •10 Anrolar tot . D. 5 3.14 114 20 10 1. • 2.5 0.05 0:14 01 Xa Appreciable dlesne Walcium 33.79 Tola! 2,560 12 25 96.04 905.6 4.24 8.86 The fur gafasi uleiten" haylor ready been shown onder the beading of the Idlery, etc. which cauord death, are not included in the total.

·tare HY enemies. Novetats October September Jaly. March January e out : : : : Mouths. Total 2.0 Entetic group of lever). OOO co I duenze. 73 0.01 02 Choler.. to Small-por 122 9 do el, Valarla. ܘܘܘ -12 CO Dysentery protozoal. 06 57 D3 sentery bacillary. Table xhoming monthly ratios per 1,000 of strength of almissions for certain ilıseases for all-I nilia luring the year 1936. INDIA. OFFICERS AND INDIAN OTHER RANKS-contd. TABLE XXII. soo 101 10 Dysentery exudate. bacillary es en 28 20 OOO cos Dysentery group. con : Pyrexla of uncertain origin oo 0.1 5.3 6.2 2.0 8.0 100 Pneumonia lobar and lobular. ht Soo . Darthos. con OOO el OOO caco Dengue, con 2'5 10 6 .. 03 0.03 6.0 Octs Ons D01 Sand-iy fever, :: Plague, . ta Effects of heat. 5 NA NN n.2 Casa Qo All causes: No. 115 ·116 TABLE INDIAN OFFICERS AND Table showing ratios per 1,000 of strength of admissions for certain Entene group of fevers, Dysentery. Stations and Districts, Typhold lever. Para, A. Para. B. Bacillary exudate. Esterle group. Pata, C. Dacillary. Protoznal, Clinical Chitral Drosh Landikotal, 153 B33 1,919 ::: "manane Januur ohesha saiz Nalakanit Wardad Xowhers 692 99) 2,701 8.7 10 02 02 Peshawar haal Ralpar 3,773 610 850 10'1 1.0 9.8 0.5 20 04 1.0 Total Peratur Diet 14,515 0.1 01 0.3 5.2 1.7 0.2 . 4.3 .. .. Fort Lockhart Kohat Thal. 4,013 1,013 11:n 37 in iis Total Kanal Dutrier 5,393 . .. 02 8.7 28 0.9 1.1 0.3 1.4 103.1 72 117 03 3.8 84 .. Abbottabad Campbellpore Jheinen Kalabagh (itazari) Kuldana MODA durgolha ***Ipiadi 3,977 97 2,357 110 2A 39 49 4,333 11 0 :: 0 :: 1:7 5.1 ' 02 Total Rawalpindi Daniel. 11,317 01 .. .. .. 3.3 1.7 101 Ambala Antitu! Ration 1 2.412 137 SD 3.7 06 23 natha1 Din91 Dhannsla 0 19 1,109 0.3 Trovapore Jalanlar Jalan LAO 1,9! 1,01 14 03 1'1 11.0 13: 0.6 1.7 Wulan laikot Solop sababu .. 1,076 2 7 ·117 XXIII. INDIAN OTHER RANKS. diseases in each Station and District in India during the year 1936. Poeumonia lobar and lobular. Heat-stroke. Veuercal discases. Dlarrbros Average number conatantly alck. Cholera. Culilla. Small-pon. Malaria. Dengde. Heat-exhaustion. Infueoza. Plague. All causes. de Sant gy fever. 8 .01 3 ::: est O 628 6 19:50 3892 11:03 02 6.9 7.0 33 34 : ** 43364 13 50 033 13:11 281.2 23 0-1 ** 1. 1.0 4.5 5.2 .. 0.5 416.0 12.10 11 502 482 3 900 392 0 13.80 978 . 11.3.. .. 130 54 0.2 400 5 12 74 0*3 0.6 1.0 1532 1011 .. . 2.1.0 US 8.8 ...8 *. 1.10: 6:50 2041 .. 160 04 *** 01 to 6.9 6.0 0.1 6.1 . 15 70 0:1 0:6 496 14 19 :- . :: :53 teret :: $13 12.05 ani. 10:59 10 m 1.0 1.0 4 304 14:46 1. 10.CE 10 91.1 ::

·118 TABLE Enteric group of fever. Dysentery. Buatlong and Dlatricts. Average annustalrength. :: Typhold lever. Tara. A. Interle group. 1.6 13 1.8 • 13,300 2,035 100 :::: : : : : Tara. D. 8.4 Total Lahore District Banou D 1. Khan Kalabagh and Mari Indus Manza! 11 Ali Razmak WADA 0.5 ::::::: Para. C. 15 158 12.7 1.9 781 718 4.877 3,279 04 04 30 02 OS 02 Total Warurutan Dietriel Chaman Ugetta SIEL 11,740 1,302 4,951 215 16 098 0 0.8 0.2 1-5 2.8 41 0.3 0.2 0.3 2.3 2.3 03 3.5 Total Baluchutan District. Fort Sandeman Ilndabagh Lorall 6,501 2192 299 1,245 14 19 0.C 05 ig 08 08 0.8 1.4 14 Total Zhob Bdo Area 11 yderabad Kitabl 3,875 565 1.744 :: :: :: 5.7 ::: Nacllary exudate ::::: Bacillary. :::::::::: Protozoai :::::::::::::: Cilnical, 17 0.9 106 07 Total Sun De Aria. Barety Dehra Dun Jhansi Landslowne Meerut Poorkee 2,309 1.110 3,035 877 1,972 2,340 66 2,40: 8.2 6 000 10.8 5.9 0.7 i'o 19.5 B7 1'1 2.0 10.1 11 68 094 18.9 . 06 04 04 Now gone 11,931 06 01 03 60 39 0.5 1.8 Total Work District. Albora ALLA Besares Cevapore Fatehgarh yubad Gorakhport Lactan 9.B 0.8 3's 11.0 14 9.7 900 735 999 91 693 120 1:4 1,576 12 * 0.3 003 . 11.2 20 1'0 3.000 152 37 11 17.3 Tolal Lukao. Dlatekt Categtta (Alipore) Urata Onon # Dilant Beatuta Catarat. Cool A2 isis . 1.6 1.6 Wetu Muror Boliput 1:0 10.6 ·119 XXIII--cond, Diarrh. Prehrana lobar and o Venereal dlocales. Swall-poz. : Cholera, Sand-Byfever. Malarla. Heat-exhaustion. Dengue. Average number CO stantly sick. Influenza, lobular. II cat-stroke. : Plague. All causes omnino ::: 6.1 2 6.96 0:1 368'0 14.17 23 8 Mau GO8-4 564.7 20.80 898.1 22.97 . en CD too. colo 883 126 12:87 G90. ook 87 167.2 01 1808 .. 541-2 18.43 3:4 79.9 99.7 85.9 944 . 1 25 18.4 : 1 .. 0.7 2.8 . 8.? 8773 1745 8. ... 8.0 :: 37.8 3387 10:22 822 11.82 220 1 10'3 .. 18 087 .. .. 103.7 10-49 .: 17: .. 200 i 2.99 00 78 0 04 9.0 205.0 11.e1 . : 2008: 4892082 850085 CA 20.10 D . 9.0 110 0 9.7 . ts.at 5.804 14 36 11.0" 105 105 2011 1774 15 5 11+ 1.3 4724 120 OS 116-8 17.3 40. iiio 12 0 :: OD ·120 TABLE Estero group of fevert Dysentery. Stations and District ..: Typhoid fever. Para. A Cacillary exudate, Para, B. PATR. C. Enterle group ::Protozoal. Total P. A. District 04 2.0 04 07 5,490 312 1,504 627 Agta Delhi Stattra 3.7 1.8 1.8 2.0 3.2 1's 1.? 1.6 1.6 Total Doll Be Area • 2,073 .. .. 0.7 1904 1.6 1.0 :: 30 10 46 : 2,414 9.5 08 . 1.3 .: Ahmednagar 999 Autangabad gks Jabbelrore Komptec 102 l'achmarhi 913 Sangor 529 Trimligherry (Secunderabad). 3,027 Total Deco. Durket 8,837 Betaauin 1,188 roona 2.9 1.9 1.3 1.3 17. 1.0 03 0.6 01 300 11 1.. 2.5 o's öis .. Ös 21.1 os os Total Poona de Area 4,510 02 0.2 102 6.007 0.2 : 9.3 Ahmetabad. Slatoda Hombay (colaba). 509 554 516 235 1.8 Vhow Ort. Abu Yasinlad Xeemuch 699 19 7.1 113 i: 1.4 Tota!, y District . 3,757 0.3 09 1'1 6.3 38 03 PMI 06 04 Bangalore CADIATO Madne, st. :: BO 1.8 Thomas 2.0 10 001 100 700 183 * * * * Trichinopoly Wellington Tolat fent District . 3,959 03 0$ 03 7.3 108 03 06 Naalalay Maymyo 70 1,21 14 4.1 وده يارا 11.0 16 70 7.1 1110 13.8 Ty's! Surm Duteket . • 10 R.1 406 Txal Atauta . • 116.5:9 O': 01 03 5.6 : 1 06 ·121 XXIII-Concla. Venereal dlacze Pnenmonta, lobar and lobular. o Small-pox. Cliolera Coliche Yalarla. Teat-stroke. ::: San Ay fevrt. Average number tantly slek. 411 causes :: Dengue. ::: Teat-exhaustion, :::: Plague. ::: Inuenza, 02 3.6 17.7 0 1040 58 . 385-4 1512 20-3 1-8 55 14.6 223 6.6 1910 59 1 540 6 15.96 306 9 14.45 5311 18.29 16 9.8 4.5 14 6 133 0 . .. 457'5 15.66 30 5.1 10 100 0.8 406 151-6 108.5 1.0 99-4 215 6 7.23 353.1 2014 408.5 17 31 % 3 54 2 i 5.3 49.3 TA 3-5 2.9 57 172 i. 1092 158 0 88.8 28'4 790 :::: 08 36 8. sio 1.7 10.6 2.2 2-3 sig 11 4.5 376 8 10.63 250 0 4.87 514 2 14.00 366.7 15.45 3648 13.06 585 2 15.24 4338 15 22 05 3 2 54 01 0.1 1.7 30 11.n 20 2 5 30R 301.4 2.5 20:2 3.0 .. 2 7 5 5 17 7 85 1 14.9 29 .. . . 473 6 15.22 6 7 1.7 72 9.7 15.7 235-8 1823 68.n 824 ต้อง 30 :::: 43408 10:49 3736 0.7% 380 62ABC 502'0 10.86 78 59 73 S 1.5 i 294 7 12.99 105.3 3:16 3301 1781 321'5 11.29 24 104.1 05 5-8 119.0 1.1 1.1 . 1.3 .. 5.1 0-3 353.6 1692 10 49. 3.8 iis 196 10% 04 . 19.7 3.6 99 I. . 2718 18. 23 8 3395 30.7 405.9 29.26 3055 12.88 6210 28.81 2938 7.80 714 4.76 412 5 10-17 005 9 13.5 3+1 4500 16 1 1.4.2 239 Os 185 0 82 941.7 00.9 43.0 1.5 30.5 607.7 11:14 $97.9 5.6 1,057 1 31.83 0:1 17.3 63.3 150.7 99 0 23.4 2-1 . 905.6 33.97 0.3 6.900 193.1 3 1008 S$ 0 0 0 1 14.5 15.3 ·TABLE XXV. INDIAN OFFICERS AND INDIAN OTHER RANKS. Table shorcing al mission and death ratios per 1,000 of strength by Commands contrasted with the previous year, and the arerage for the prerious 5 years. Enterle group of levers Idiuenza. Cbolera. Small-pos. Malarla Dysentery Commands Yeats A. D. A. D. A. D. A. D. A E (1931-35 1890 20 *6 05 Northern Command 018 0.09 0.02 1995. 9 3 5.4 09 O 01 0 04 0 02 0 02 0.02 0.0 00 0 0.2 01 0.10 0.03 0.05 237 0 1996 13 5 11.8 97 124 0.02 0.04 0 05 1936 0 02 2.8 000 006 Weator Command (1031 35 1935 1930. 0:15 007 0 08 60 001 406 0.07 66 0.2 01 0.2 2011 1750 128 4 0'07 0.22 0.08 22 7 95 06 . D'O Eastern Command (1931-35 1935 1936 0 03 1.9 15 09 0 16 0 13 93 65 0.02 . 0.02 001 03 04 04 0.01 .. 1214 11103 110'8 0'07 O'08 0:13 13 6 127 11 3 0 0 0.01 . (1931-35 1935 (1936 Southern Command 0.02 106 11 100 0 03 0.13 0019 0:24 001 0:05 5.6 10 D 0 0 0:0+ 0'09 02 01 09 84 8 80 78 9 157 130 14.9 1931-35 0.10 Burm. Dlatrict 1935 28 07 004 0 26 20 6 10 134 0.1 1936. . :: 156 1 238 8 150*7 ::: D.33 13.7 2003 2009 0.35 (1931-35 1035 9 3 All-India 0 1.4 0 01 . 0 16 0.11 0 04 00 0.0 00 1936 0.01 0.02 001 0.02 003 $577 125.9 1231 0.08 008 0907 15.0 12.2 11.0 O 03 0.02 0'03 01 ·Depgce. Bond-fly fever. Place Psretla of Oncertain origin I deomopia lolot and lobular. Veneres! diecases, D. / D, D D. A. A D. A. D. 0:01 0.01 0:00 Xorthern Command 1971-25 1935. 1936 0.1 0.1 0 1 60 6.1 8 3 0.91 0 85 0 78 78 74 805 000 00 2002 143 18 5 0 02 000 O 0 81 5 0.01 0:1 Vrolin Command 1911-35 1035 1936. 0.0 99 61 49 42 ::: 61 0 40 091 (3931-33 1935 (1938. I Anlern Command 04 89 57 52 0 26 0 67 13.5 14 6 13-8 OS ... 10 1.1 09 o'o 001 0 02 01 0 09 (1031.85 31835 (1936: Borthern Command 04 0' 02 0 48 0 33 0 24 31 119 96 1000 0 01 0'05 24 10 49 10'4 91 ::: 0.1 0 62 3 do Dourlet 0.01 (1031-35 7036 1080 04 49 2. 42 61 9 63.9 . 0.6 . .. 125 47.0 290 085 0.01 K 8 0 73 00 AN.India { 1031 85 1035, 1936. 01 01 30 5 10:1 0 01 0:01 11.7 7.5 2008 0 02 0.01 O 01 0 61 ·TABLE XXVI. DETAIL OF DISEASES. 1936. European Army of India, Men. Women. Children, British Ameers attached to European troopa. 2,209. A. D. Inva- Kids Indian Army British omicers attached to Men present. Indlan 1700PB 2,059. 116,528 D. Inta A. D Inva- Constant. lid. lids, ly sick. 4,055. 6,192. Tlftaset. 32,059 A. Constant. D. Inva- Ty sick, IdB. A. D. 1 1 Diseamet caused by mention of infulalion. Anthtu Blackwater lever Chicken-yox Common cold Clioleta Caw-box 10 001 017 97 12 180 5 12.11 0.96 18 39 1241 'i 126 244 66 5 B3 786 'i 207 58 138 602 288 265 10 78 27.35 1088 10 07 0.11 1 Dengue Diricheria Dearnery - (a) Irofotoal D) Racillary Racillary exudate. (d) Clinical Fnces haiti (Lethargica). Interte levert tal Tyrhold fever. (0) Parats phoid A. (c) Paratsi hold II. (d) l'aratphold c. 1) Enteric Group. Cntryltis ipfcctive (Iclud- In food poisoning) Frysipelas Gangrene, acate tolecifre Hydrophobia (Ralica) Jaundice epidetoic catarrbal' 14 18 2 3 3.00 2:10 0:26 0 05 8.58 i i 34 2 33 :** 13:48 851 197 ·.. 0.59 1993 34 172 1 * 0 36 11.49 8 7 #toice pinch tal. Lrial, Tania. in) hals- (6) Orleit) tote LATORY Malayla Mowina Montorococcal infection (ce- Toplaallever) Mfumo J'lague T' 3,011 112-13 10 010 $ 2 1 50 348 05 6.95 158 0.10 0 50 : : : : : : : : * 10 899 1.51 31.84 Remote aceitala brisli i 10 0 90 1 osmo 1.08 0 03 07 1 8 2 73 19 1,758 10.50 0 78 34 37 93 12 1,236 . 05 7 51 043 2166 12 . 0.84 1.21 0 45 8 20 8 0.36 175 *** 2 1 ܘܘ 203 103 15 O'GO 21.30 4 32 41 11 46 2055 3 19 0 20 1,840 172.61 261 25 214 19 50 $ 0 21 127 48 4 06 0.70 2 '1 a 15 :::Nors 1 181 397 Nimwafle fever kulalla (Ofman meanten) and flere. Ararlet lever hemiramis mall tox Tetanus ulerculon Tulmoonry Turms Othet CAKI Typhus Sever Tindulent for Inneren doran- (a) merthora (6) Mart chentre WOX.11. (d) Othet CALCI hewing-rough Ohraimana caur Lyin- Iration Durasei due to inforlution by Maarten larantre. Auky hotinlarla Amatas CHATT Orarnntana (Oulora-worth) Irtoniitin' (0) Top hollut (8) Totila taginata Tolnetinal totaaltro 1ecrubeln Not Uthur aloriars due to istanta WUR 6132 15 34 12.09 0 17 . 3 .. 1 11 0 43 1 1 1 2 16 2 1 1'06 3 638 144 28.79 4.96 : 171 13 52 17 134 0 : 84 i :::::::::: 064 1.68 0 31 0 0 211 17 1 i GO .:: 0 77 028 25 78 94 27 JO O 2 3 A.-Admisalona. D-Dealhe. Includes one death from bæmonbege cocephalitis. 1 1.27 ·TABLE XXVI-contd. European Army of India, Indian Army. Men Children. Men present British officers attached to European troopt. 2.269 A. D. TDTA- Ilds Women. 4,055 6,192 Brite officers attached to Indian tronpe. 2,059 A. D. lora- Ilds. 52,059 Constant. D. Inve. 17 lide, sick DIscasta. A. D. A. D. A- D 116,268 - Inva- Constant. lids ly sick, Aphasia 0 05 0 21 . o og 0.28 1 3 . 1 0.53 0.00 2.80 1.08 ܐܶܢܐ 3 66 1.84 1'10 2 ܃ ܃ ܃ ·ܝܕܩ܀ ܝܘܺܝܙܘ ;ܝ ܫ 2 3 188 O 06 4 31 140 1.12 2 18 4 '2 w ni :: wina was 002 0 47 0.05 1.75 . 18 31 1 1 17 59 1942 4'18 1 42 128 DOO 3.61 6.75 128 3 2:43 7 21 4 1 88 2 3 226 Durants of the narrot system, Corebral hemorrhago Chorea Convolalon Diseascs of the plaal cord. Epilepsy Vertigo Meningitis Iteadacho Neuralgla. Nouritia Paralysis Sciatica Other dlacases of the Dervous system Brental diseases. Feeblemloded Dets IIysteria Avolution (Melancholia) Mania Mental de ciency Neuristhedla Schizophrenia (Dementia Prox) Other mental diseases Dusogtes of the eve, Amblyopia and arnaurobls. A Domalies of refraction Bieportis Confunctivitis Conjunctivitis granulat (Tra choma) Cataract Glanco 13 54 0 11 3.42 6.89 080 0.25 1 8 1 . 1 1 U 31 1.02 8 1 1 18 10 18 5 1.22 1.69 9.02 11-02 '1 10 8 33 i 1.48 2.75 0.91 1 10 10 0.38 0.54 2.83 10 0 0:14 0.92 0.22 106 2 We 2 725 21.58 P. 0 38 0.02 230 1 1 1 13.06 1.48 0 07 € 1 ·கன் 00 Kraa intu WIKI! hardlociner of the eyo Discaws of the ear. Amsilon of the enter. 0 39 101 CA to 1919 3191 RAVI of the Iniddia funcolo de rues of the matt old proor clocases of the car. S ON ce "1 Durant of the nore. CASOf tho Mucous mem- Ar of this bont and 308 7 13 8 0 639 cartilage. 108 irr dlacsors of the nose eth CONS 631 3945 1 9 22 makocareulatory yolem ure of the Valves Action of the o Dio cikl terar till Vario Hrarttilo rden of the Circu. tory relem NISO h. 10 031 61 Net PWN ..... cin CAMO + 3 I 029 de of the blood and Wwd furning organe matrima la acop ATY. 20 ISCH revin llegen strat... Yine PI bon diwiki.

·TABLE XXVI-contd. European Army of India. Jodian Army. British omeri attached to European troope. 2.227 en Women. Children. British oficers attached to Indian troops 2,053 Men present. 110,084 52.646 4,178 6,652 D'aee:11. A. ID- D, Tallda, Con Nantly olck, In D. Vallds D. A. D. D. Invallas In Con- Dralld8. stantly sich 2 13 10 1 too 13 A: 0.93 0 25 0.01 130 21 094 10 11 6 69 Durtres of Olands of internal Secretion. Ooltre Il yperthyroidioma Other dlnesses Diseases of the Breant. Taatltto Other diseases Ditent of the Rerpiratory System Asthma Bronchitis Empyema Laryngitis Plourisy Paeumoals (a) Lobar (5) Lobular (Broncho pneumonlı) Other discases Dlacant of the Tech and Cums Carles of the ecamcl, deatloe and cerpentum Glaglsitis T'yorrhoea alveolarla tbet dlae.118 145 1 32 834 2 32 88 2:10 29.57 0.52 0 05 & 04 OPO 1,315 2.9+ 41.60 2 . 1 2 3 WN - 8 92 217 2 39 3.02 18 91 5 232 12.80 14 1 10 3 514 57 40.14 51 39 4.76 5.26 36 7 10 1 110 14 41 4 8.81 2 83 1 1'01 03 1.42 0.88 1.25 081 Ho 3.11 10:57 ·131 sa o OHOeis NO ta co Cotoo 000 ca 4000 *** ao : ea 09 SONO *** 0:35 3 0.36. ce ... .RO OSMO ROCCO 7 00 4 Sobo to -:-:::::::::::: :: :: ន ·TABLE XXVI--Cond Europeso Army of India Indian Army. Brle Oc.cers attached to Europeans troop Hec. Womes 4,178 DIECASTA. British oficers attached to Indian troopt, 2,053 Children 6,522 Men present. 110,984 2,227 62,646 ID alids. Con; stantly sick. In- D. valids In D. valids, D IN Cope D. Vallda. taptly A. A. D A. D. A tick, Disaam of the Mala Organs of Generation conta. Chimosis Prostatitje Stricture of the urethra 1 122 6 2 533 0.82 011 1971 0.21 0.36 0.03 045 69 0:05 15.58 954 0'04 Romi 1'12 027 10 2 Urethral Oatula Urethritis Varicocele. Other decages DURANT of the Female Organs of Caneration. Abortion. Affection connected with prektancy and Parturition and consequent on parturitlon Dlacases of the Orary 132 -- IS + 121 ... - . 81 5 .. ... VO 8 WO .. V Diseases of the falloplan tube Displacements and distortions of thonteros Dysmeaorthaa 20 1 21 Endometricis Laemorrhage coanected with parturittoa Talamation of vagina 1 Menorthargla Metrotthugis Polvo noritonitis Other discasck pocultar to womca NO 1 14 1.

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·TABLE XXVI-concld. Loranean Army of India. Indian Army Discaser British Oncert attached to European troop Men Woroon Chudren. British Oficers attached to Indlad troops. 2,053 2,227 1,278 6,622 62, Constaptly D rick Men present 110,984 In. Con: А р valld: stantly dick. 10. -םI A, D. Valids, A. vallas. A р D. A. D. Tallds. 12 8 0.54 027 2'18 0'92 2 1 tarders of the Urinary Organs. Calculus (a) Bladder (o) Kidney (c) Vretet Cyatli Laematuria Incontinenco of urine Nephritis acute Nephritis chronic Pyelitis Redki colic Other diseass 46 57 2.99 16 1 i 3:48 1.59 U 16 3 0 10 2 82 2 3 14 4 134 31 3.76 2 12 8.16 0.18 1.37 2.30 4.22 20 3 General Injurvi. Barne scalds Lưects or daci radla trest. ment. Caccts of Inoculation 0.70 i 1 14 0 20 3 2 0.03 Heat exhaustion Vest Atroke 800 stroke Other Injaties 39 19 1033 0 67 هم من 1 1 19 0.72 11 0.83 0-02 O 08 19 13 Local Injunet. Abralons Borta and kids Concussion own 4.47 167 78 146 2.81 7.56 3 289 1 2 692 7000 2:11 ·$ 22 697 117 3 1,931 102 10 614: 6.CO 74 102.00 20.71 5.78 37 53 . 26 761 2 2 O 16 10 27 9 Coutantone Pllorating noi displace. pratu. Ifacturer Apraids and traint Wounds gan-aho Voond other Tolorir el inficted Uther Injuries 5 866 23 250 1,270 701 31 1,481 2 26 79 1 39 8 98 000 0.97 14 6 S ora 2 1 23.01 3.95 65 89 V'01 0940 119 7 12 3 103 11 Tumours and Cysts 1 81 2 Carclaoma Crite Karcoma New Krowth maligdaat Cothrt canes) New stowths Don-malignant formation 1 21 0 02 3 08 0.63 1 75 14 "1 0 16 369 0'34 0 58 1 2 N- S2 e 1 30 25 10 59 1 1 S 4.53 110 Poisoni. 0 05 00 1 1 0.01 0949 19 1 3 0 09 $ 0'17 Alcohol Armenio Cantoform Other chrminal polmond plum inom of Innerti Storm of Oslo (eraki 11x). Other polvons Xo at probable dlarska 4 otlet rabant Total 001 0.10 4 3 1 0 03 145 5 34 35 19 . d. 1 • 75 3-01 10 0 45 1 17 O O 03 973 62 1,369 2,025 83 750 D 11 30,801 1,389 21 129 572 • Indudes 11 cases of carriers 49,703 262 843 1,798.00 (171)-784 DOTS-1638-700.

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