1904.] L. Rogers — Special Report on Fever in Dinajpur Bid. 29 



patients in the different series, for in the village death-rates all 

 children are included, while at the Medical College Hospital bnt few 

 children are admitted, while post-mortems are, practically speaking, 

 never obtained on any who may die in the hospital. Similarly children 

 are very rarely admitted to the Dinajpur hospital and infants never. 

 This fact accounts for the comparati'^ely small number of cases of 

 acnte malaria, diarrhoea, and to a less extent of pneumonia in the hos- 

 pital figures. Due allowance being made for these differences, tlie 

 figures are not without instruction : — 



Table III. 



Malaria, acute, and remittents 



Ditto chronic 

 Pneumonia ... ,„ 



Phthisis ... ,,, 



Serous inflammations 

 Enteric ,„ 



Other fevers 

 Diarrhoea 

 Dysentery 

 Other causes 



In the Dinajpur hospital many of the cases returned as remittents 

 occurred in the cold weather months, and were no doubt due to pneu- 

 monia, but still, allowing for this, acute malarial fevers were certainly 

 much more common than in Calcutta, as might have been expected. 

 Some of these cases were probably of a chronic type, making the figure 

 under that head lower than it should be. Pneumonia was equally 

 prevalent in both hospitals although this figure for Dinajpur under 

 Dinajpur under-estimates the real number, for during the time I was in 

 the district this disease was the most frequent cause of admission and 

 death from continued or remittent fever. 



Phthisis is of great importance, as in the Calcutta hospital it is by 

 far the most frequent cause of death accompanied by marked fever during 

 the illness, having constituted almost one-third of such cases. The high 

 figure of 9 per cent, obtained in the village enquiry probably under- 

 estimates rather than exaggerates the death-rate from this cause, while 

 the 5 per cent, of cases dying in the Dinajpur hospital is probably too 

 low, owing to some cases being overlooked by the Hospital Assistant. 



* Includes diarrhoea and dysentery cases. 



Deaths in the 



Calcutta 



Dinajpur 



Medical College 



Hospital. 



post'inortem. 



Per. cent. 



Per cent. 



... 26-4 



3-2 



... 13-6 



5-6 



... 10-0 



no 



... 50 



16-9 



... 69 



... 



... 0-7 



0-4 



... 29 



8-6 



... 60 



... 



... 19-3 





... 10-2 



54-3* 



