26 L. Rogers ■—/S'j^ecufcZ RejJort un Fever in JDinajpur Dint. [SoppU, 



No. 7. Male ; aged 60 ; died 6tli April, 1903. Informant his son. 

 His last illness lasted fifteen days, during which he suffered from con- 

 tinued fever. He had no pain, cough, enlargement of the spleen, 

 swelling of the feet or joints, but suffered during the whole time from 

 looseness of the bowels which were moved about eight times a day for 

 fifteen days, the motions being accompanied by the passage of blood 

 and mucous. Diagnosis : dysentery. 



The above will serve to give some idea of the kind of histories 

 obtained. Over one thousand cases in all were enquired into, and 

 similar tabulated shorthand notes taken down on the spot in pencil, and 

 as a rule on the same evening they were inked in and an analysis 

 made. The principal difficulty occurred in deciding under what head- 

 ing to place complicated cases, such as a chronic malarial fever with 

 terminal dysentery or pneumonia. When the final illness and death 

 .was clearly due to the complication after an interval of freedom from 

 fever it was placed under the heading of the disease which actually 

 produced death, but the malarial complication predisposing was also 

 noted. In all a diagnosis was come to in just 1,000 cases, a number 

 which could not have been noted with in anything like as full a manner 

 as was done within a reasonable time without the use of shorthand. 

 Before making up the tables every case was gone over again after the 

 whole of the notes had been taken, and great care taken that the same 

 system of diagnosis and classification was carried through the whole 

 series, the advantages of the lengthy experience gained being brought 

 to bear on the whole number. It will be most convenient to first deal 

 with the percentages of deaths due to the principal diseases as derived 

 from an analysis of the whole number, so as to gain an idea of the 

 main causes of the mortality of the district and their relative fre- 

 quency ; and then the variations in their frequency in different circles 

 in the district will be pointed out. Next the rates per thousand of 

 population in each area of the main diseases will be given and the 

 deductions to be drawn from them indicated. Lastly, any variation in 

 different village groups in each circle which appear to throw any light 

 on the subject will be discussed. In this way we shall work backwards 

 from the more accurate data based on the largest figures to the less cer- 

 tain ones supported by smaller series of cases, the former giving a 

 standard of comparison for the latter. 



Analysis op 1,000 Deaths returned as "Fever" in the Dinajpur 



District. 



Before going on to the various tables in which I have analysed the 



