28 



Medical Report on the causes 



climate. This painful result is to be attributed to the exposure 

 which a Medical Officer is always subject to in Arracan,- — the damp 

 dews and marsh miasma of night, and the perpendicular rays of a 

 tropical sun by day ; the result proving by irrefragable evidence, the 

 influence of these two extremes. At the same time it is to be observ- 

 ed, that almost every Officer, whether Civil or Military, in the Station, 

 has suffered severely from one of the varied types of fever, most 

 commonly the intermittent and remittent, and a few from continu- 

 ed fever ; but not one case is recorded of an Officer dying from a mere 

 Epidemic disease. 



7. The following table will shew the number of registered native 

 patients in six years, with the corresponding proportion of Endemic 

 and Epidemic diseases placed consecutively : — 



Arracan Local Battalion. 



Number of Patients admitted in six years, 



Jail Hospital. 



Ditto ditto, 



Sudder Hospital. 

 Ditto ditto, 



Total in six years, 





i 1 



1.8 



Epid 



emic. 



Small- 

 pox. 



Chole- 

 ra. 



3,539 



1,510 



104 



122 



2,591 



1,171 



6 



83 



1,344 

 7,474 



600 





46 



3,281 



110 



251 



The proportion which Endemic diseases bear to the number of 

 patients, in the above Register, is more than 43 per cent. Epidemics 

 on the contrary do not amount to 5 per cent. Of this amount 104 cases 

 of small-pox occurred and were registered in the Regimental Hospital 

 in the year 1843, which is not quite a third of the whole number of 

 Epidemic diseases in six years. 



8. From the statistical remarks before alluded to, it appears that 

 sickness is greatly on the increase in Akyab, and in analyzing its 

 character, it is found not be confined to any particular class of disease. 

 In the year 1 843 and the early part of 1 844, the number of Endemic 

 diseases nearly doubled the amount of the number in 1842. Epi- 

 demics, in the before-mentioned period, raged with so much violence, 



