registration
is very
imperfect, we may assume that the above proportion of the fatal cases that really occurred. During this time the prisoners in the jail were very healthy. No cholera had occurred in the jail since May 1873, but, on the 4th March last, a prisoner, named Abjii represents only
Mirda,
was
a
attacked -with true cholera.
He recovered after
a
few
days, and returned to his work, but was frequently in hospital for splenitis, sub-acute pneumonia, and general debility till the 18th May, when he was again seized with cholera and died in 18 hours in the stage of collapse. During this interval there had only been occasional cases of diarrhoea, not more than usual. Of this I am positive, as prisoners are only allowed to use the latrine morning and evening, in "which way any case of diarrhoea is at once detected and taken to hospital. For four days now no fresh case occurred, but some prisoners who were to have been transferred to another jail were detained, two of whom were subsequently affected (Cases No. 4 and No. 6). Had this precaution not been observed, and the other jail become affected, the outbreak would distinctly have been traced to the Burdwan jail. Case No. 2 was seized at 5 A.M. on the 23rd May, and died in 88 hours, of uraemia in the stage of reaction. Case No. 3 was seized at 4 A.M. on the 25th, and died in 36 hours, collapsed. Case No. 4 was seized at 4 a.m. on the 26th, and died in. 28| hours, collapsed. Case No. 5 was seized at 5-30 p.m. on the 26th, and died in 21? hours, collapsed. Case No. 6 was seized at 5 A.M. on the 28th, and recovered. On the 23rd I commenced fumigating the wards and the
hospital (from which all other prisoners were discharged) morning and evening, with burning sulphur placed in small saucers, and only discontinued this on the 2nd June. In addition every prisoner received night and morning ten minims of dilute sulphuric acid in water; this was reduced to once daily on the 2nd June, and only discontinued on the 1 Ith June. The salt ration men now
was also increased from one chifctack per four chittack for every three men. No other case has occurred for more than two months, and only a few or-
to
dinary
one
cases
of diarrhoea.
The table will shew
break
Name.
Abju
some
other facts connected with the out-
:?
Mirda
Sreelmrri
Age
...
Maton...
Bhooban Ghose
...
Ram Narain Dome Choaree
M. Kamar
Tinnoo Molla
;
Hour and date of seizure.
No. of Hour and ward in Length date of of sen. which death. tence. seized.
a. m. P-30 p. m. 25 Is 5-1875. 18-5-1875. No. P-3'> P M | 5 A. M 45 23-5-1875. 26 5-1875 No. 4 a.m. 4 p. m. 25-5-1875. 26-5-1875. No. 4 A. M. 8-30 a. m 26-5-1875. 27-5-1875. No. 2 P. M. 5-30 p. m. 24 ,26-5-1875. 27-5-1875. No. I 5 ?. m. 34 28-5-1875. Eeeovered No. I
5 2
Time in
Jail.
10 Trs.
11 Mths.
Yrs.
5| Mths.
7
3
Do.
Do.
3
5 Yrs.
2T\ Yrs.
1
1 Mth.
2
10
Yrs.
6
Days
1A
Yrs.
were at or before seen that most of the seizures and that four out of the six cases came from different wards. I have failed to trace the outbreak to importation from outside the jail. Indeed when the outbreak occurred in the jail the town was fairly free from cholera, and the first case attacked had been 11 months in jail. No other case either occurred
It will be
CHOLERA
THE BURDWAN JAIL; SUDDFN OUTBREAK ; SUDDEN CESSATION AFTER FITWT G ATI ON WITH SULPHUROUS ACID. C. H. Joubeet, M.B., Lond., F.K.C.S., Civil Surgeon, IN
By
Burdivan.
the town and district of very prevalent in Burdwan during the months of March and April, this year. In the town and thannah of Burdwan there were 34 deaths in Ohoieba
was
April, while in May only registered by the police. As
March and 62 in
?cholera
was
one death from the system of
sunrise,
in his ward. The daily range of temperature was great during the last fortnight in May, being 27*5? on the 17th and 19? on the 18th the date on which the first case occurred, and averaging 19? for the fortnight. I think we may infer that a\l the prisoners were
TnE INDIAN MEDICAL GAZETTE.
294 subject
to the snme
Four out of six men seized
influences.
exceptionally fine men. The snme water supply was used before, during and after the outbreak ; no change, except in the amount of salt, was made in the rations, which I examine every day. The disease having jumped from ward to wtird, and having picked out, as is so often the case, the strongest as its vic tims, left as suddenly a9 it had appeared ; amount of diarrhoea preceded if, and none no extraordinary followed it. Whether the sulphurous acid fumigations destroyed the conditions favouring a further spread of the disease remains to be proved by further experience; I should be sorry to assert this, and only wish to record the above facts. A few brief notes respecting the post-mortem appearances of this group of cases may be interesting. Case No. 1.?Post-mortem examination 14 hours after death. Kidneys.?Surfaces congested ; pyramids congested ; cortex pale, but streaked with dilated vessels ; apices of pyramids intensely red. Intestines somewhat injected, contained pale creamy fluid, were
of the same consistence from stomach to laree intestines. Case No. 3.? Tost mortem examination 2 hours after death. Body warm ; rigor mortis marked ; muscles dry and red.
Kidneys.?Surfaces highly congested and dark ; section soft moist; much dark blood exuding; cortex and pyramids mahogany colour Intestines.?Peritoneal surface pink ; vessels very marked, full of rice watery fluid ; mucous folds of large intestine somewhat injected ; mucous membrane of small intestine much injected throughout, particularly the free edges of the valvule and
conniventes.
Lungs.?Crepitant pale, exuding bright red blood.
much
frothy
serum
tinged
with
Case No. 2.?Post-mortem examination 3 hours after death. Kidneys.?Surface mottled pale and dark ; section shews
pyramids
dark and cortex
pale,
but marked with vessels.
Intestines.?Peritoneal surface of
gested ileum
some
coils of ileum con-
distended; faecal matter in large intestines; highly congested ; one small thickened spot almost ;
ccecum
ulcerated.
Lungs.?Somewhat congested,
but
crepitant.
Case No. 4.?Post-mortem examination 3 hours
after deathBody cold ; rigor mortis marked. Kidneys.?Surface dark and congested ; section dry ; colour of pyramids and cortex much darker than natural. Intestines.?Peritoneal surface of small intestine highly congested and roughened in places ; mucous membrane of large intestine healthy, of small intestine much congested ; contents, in upper part ; bloody fluid with abundant a pinky liquid flakes of lymph in lower part. From duodenum to ccecum the congestion of mucous membrane increases, amounting in places to loss of surface in ileum. Peyer'e patches show out strongly as long pale patches against a dark red surrounding surface. The circlets of congestion around the Peyer's patches were one
of the most intense dark red inflamed appearance. No portion of the intestine (small) presented a natural
appearance. Case No. 5.?Post-mortem examination
hours after death. Body warm ; muscles red and dry ; rigor mortis. Kidneys.^ Surface mottled and highly congested; section dark,
led in colour.
Intestines.?Peritoneal surface
injected and roughened ; conmilky fluid, tinged with blood and full of white flakes; mucous membrane of large intestine, healthy, of ileum from ileo-ccecal valve intensely injected and inflamed; surface roughj decreasing towards jejunum, which aud duodenum vrere merely pink. tents consisted of
a
grumous
I have
only
[November 1,
mentioned in the above notes the most
features in tlie morbid appearances. Eitrdwan, August 1875.
1875
prominent
is very
imperfect, we may assume that the above proportion of the fatal cases that really occurred. During this time the prisoners in the jail were very healthy. No cholera had occurred in the jail since May 1873, but, on the 4th March last, a prisoner, named Abjii represents only
Mirda,
was
a
attacked -with true cholera.
He recovered after
a
few
days, and returned to his work, but was frequently in hospital for splenitis, sub-acute pneumonia, and general debility till the 18th May, when he was again seized with cholera and died in 18 hours in the stage of collapse. During this interval there had only been occasional cases of diarrhoea, not more than usual. Of this I am positive, as prisoners are only allowed to use the latrine morning and evening, in "which way any case of diarrhoea is at once detected and taken to hospital. For four days now no fresh case occurred, but some prisoners who were to have been transferred to another jail were detained, two of whom were subsequently affected (Cases No. 4 and No. 6). Had this precaution not been observed, and the other jail become affected, the outbreak would distinctly have been traced to the Burdwan jail. Case No. 2 was seized at 5 A.M. on the 23rd May, and died in 88 hours, of uraemia in the stage of reaction. Case No. 3 was seized at 4 A.M. on the 25th, and died in 36 hours, collapsed. Case No. 4 was seized at 4 a.m. on the 26th, and died in. 28| hours, collapsed. Case No. 5 was seized at 5-30 p.m. on the 26th, and died in 21? hours, collapsed. Case No. 6 was seized at 5 A.M. on the 28th, and recovered. On the 23rd I commenced fumigating the wards and the
hospital (from which all other prisoners were discharged) morning and evening, with burning sulphur placed in small saucers, and only discontinued this on the 2nd June. In addition every prisoner received night and morning ten minims of dilute sulphuric acid in water; this was reduced to once daily on the 2nd June, and only discontinued on the 1 Ith June. The salt ration men now
was also increased from one chifctack per four chittack for every three men. No other case has occurred for more than two months, and only a few or-
to
dinary
one
cases
of diarrhoea.
The table will shew
break
Name.
Abju
some
other facts connected with the out-
:?
Mirda
Sreelmrri
Age
...
Maton...
Bhooban Ghose
...
Ram Narain Dome Choaree
M. Kamar
Tinnoo Molla
;
Hour and date of seizure.
No. of Hour and ward in Length date of of sen. which death. tence. seized.
a. m. P-30 p. m. 25 Is 5-1875. 18-5-1875. No. P-3'> P M | 5 A. M 45 23-5-1875. 26 5-1875 No. 4 a.m. 4 p. m. 25-5-1875. 26-5-1875. No. 4 A. M. 8-30 a. m 26-5-1875. 27-5-1875. No. 2 P. M. 5-30 p. m. 24 ,26-5-1875. 27-5-1875. No. I 5 ?. m. 34 28-5-1875. Eeeovered No. I
5 2
Time in
Jail.
10 Trs.
11 Mths.
Yrs.
5| Mths.
7
3
Do.
Do.
3
5 Yrs.
2T\ Yrs.
1
1 Mth.
2
10
Yrs.
6
Days
1A
Yrs.
were at or before seen that most of the seizures and that four out of the six cases came from different wards. I have failed to trace the outbreak to importation from outside the jail. Indeed when the outbreak occurred in the jail the town was fairly free from cholera, and the first case attacked had been 11 months in jail. No other case either occurred
It will be
CHOLERA
THE BURDWAN JAIL; SUDDFN OUTBREAK ; SUDDEN CESSATION AFTER FITWT G ATI ON WITH SULPHUROUS ACID. C. H. Joubeet, M.B., Lond., F.K.C.S., Civil Surgeon, IN
By
Burdivan.
the town and district of very prevalent in Burdwan during the months of March and April, this year. In the town and thannah of Burdwan there were 34 deaths in Ohoieba
was
April, while in May only registered by the police. As
March and 62 in
?cholera
was
one death from the system of
sunrise,
in his ward. The daily range of temperature was great during the last fortnight in May, being 27*5? on the 17th and 19? on the 18th the date on which the first case occurred, and averaging 19? for the fortnight. I think we may infer that a\l the prisoners were
TnE INDIAN MEDICAL GAZETTE.
294 subject
to the snme
Four out of six men seized
influences.
exceptionally fine men. The snme water supply was used before, during and after the outbreak ; no change, except in the amount of salt, was made in the rations, which I examine every day. The disease having jumped from ward to wtird, and having picked out, as is so often the case, the strongest as its vic tims, left as suddenly a9 it had appeared ; amount of diarrhoea preceded if, and none no extraordinary followed it. Whether the sulphurous acid fumigations destroyed the conditions favouring a further spread of the disease remains to be proved by further experience; I should be sorry to assert this, and only wish to record the above facts. A few brief notes respecting the post-mortem appearances of this group of cases may be interesting. Case No. 1.?Post-mortem examination 14 hours after death. Kidneys.?Surfaces congested ; pyramids congested ; cortex pale, but streaked with dilated vessels ; apices of pyramids intensely red. Intestines somewhat injected, contained pale creamy fluid, were
of the same consistence from stomach to laree intestines. Case No. 3.? Tost mortem examination 2 hours after death. Body warm ; rigor mortis marked ; muscles dry and red.
Kidneys.?Surfaces highly congested and dark ; section soft moist; much dark blood exuding; cortex and pyramids mahogany colour Intestines.?Peritoneal surface pink ; vessels very marked, full of rice watery fluid ; mucous folds of large intestine somewhat injected ; mucous membrane of small intestine much injected throughout, particularly the free edges of the valvule and
conniventes.
Lungs.?Crepitant pale, exuding bright red blood.
much
frothy
serum
tinged
with
Case No. 2.?Post-mortem examination 3 hours after death. Kidneys.?Surface mottled pale and dark ; section shews
pyramids
dark and cortex
pale,
but marked with vessels.
Intestines.?Peritoneal surface of
gested ileum
some
coils of ileum con-
distended; faecal matter in large intestines; highly congested ; one small thickened spot almost ;
ccecum
ulcerated.
Lungs.?Somewhat congested,
but
crepitant.
Case No. 4.?Post-mortem examination 3 hours
after deathBody cold ; rigor mortis marked. Kidneys.?Surface dark and congested ; section dry ; colour of pyramids and cortex much darker than natural. Intestines.?Peritoneal surface of small intestine highly congested and roughened in places ; mucous membrane of large intestine healthy, of small intestine much congested ; contents, in upper part ; bloody fluid with abundant a pinky liquid flakes of lymph in lower part. From duodenum to ccecum the congestion of mucous membrane increases, amounting in places to loss of surface in ileum. Peyer'e patches show out strongly as long pale patches against a dark red surrounding surface. The circlets of congestion around the Peyer's patches were one
of the most intense dark red inflamed appearance. No portion of the intestine (small) presented a natural
appearance. Case No. 5.?Post-mortem examination
hours after death. Body warm ; muscles red and dry ; rigor mortis. Kidneys.^ Surface mottled and highly congested; section dark,
led in colour.
Intestines.?Peritoneal surface
injected and roughened ; conmilky fluid, tinged with blood and full of white flakes; mucous membrane of large intestine, healthy, of ileum from ileo-ccecal valve intensely injected and inflamed; surface roughj decreasing towards jejunum, which aud duodenum vrere merely pink. tents consisted of
a
grumous
I have
only
[November 1,
mentioned in the above notes the most
features in tlie morbid appearances. Eitrdwan, August 1875.
1875
prominent
