of the late Sickness at Akyab. 27 



the amount of sickness with that of the Local Sepoys, yet the rela- 

 tive mortality with regard to disease is much the same ; proving by 

 irrefragable evidence, the influence of irregular habits, improper food, 

 and dissipation. 



5. In Appendix C, which is an abstract of patients admitted 

 into the Sudder Hospital, there is no prominent feature to which to 

 direct attention, unless the fact, that a large amount of sickness 

 annually prevails ; but this is accounted for by the fact, that the men 

 composing the force are constantly on duty, exposed to all the 

 changes of climate : but although these duties do not admit of much 

 dissipation, it must be observed, that they are a people of dirty and 

 irregular habits. Only two recorded cases of small-pox occurred 

 in six years and a half, and forty-nine cases of cholera in the same 

 period. This report proves the great amount of Endemic disease, 

 and is valuable on no other account. 



6. Appendix D. is a series of comparative abstracts from Official 

 Papers, shewing the effect the climate of Arracan has on European 

 constitutions. Out of a total number of 62 European Officers, Civil 

 and Military, more than one-fifth died in the Province, and eleven were 

 compelled to leave for Europe, on account of sickness induced from 

 local residence. The Military Officers have suffered more than the 

 Civil, and this is to be attributed to the greater exposure to which 

 they are subjected. In six years, four Military Officers have died 

 in the Province out of twenty-eight ; whereas only two Civilians died 

 out of thirteen, in eleven years. The effects of frequent and improper 

 exposure to the noxious influence of the climate, is shewn in the 

 mortality of the Executive Engineers and Medical Officers. The 

 ultimate distribution of four Executive Officers is as follows : — two 

 died, one exchanged, one present ; but the number is too small for a 

 correct ratio. Not so, however, with Medical Officers, no less a num- 

 ber than seventeen have been attached to Akyab in eleven years. In 

 the first five of these eleven years, only one Medical Officer at a time 

 performed the double duty, but as the place increased, the Civil and 

 Military Arm gave one Medical Officer each. The mortality exclu- 

 sive of those present, is just one-third, and about one-fourth have 

 left the Province for Europe on account of sickness induced from the 



