34
may
Now, the cultivator is a term, I take it, applied in the registers of this asylum chiefly to cereal cultivation. It must be borne in mind, however, that a very large class of the Singhalese belong to this particular occupation. Otherwise it be worth while to try to investigate and find out whether there is anything in this mode of occupation that provides an exciting cause to the propagation and main-
tenance of this disease.
The other occupations are:--
35
Religions.
As regards religion, no record, unfortunately, has been kept, but of the 326 now
under treatment.
Males.
Females.
Total.
PUBLIC RECORD OFFICE
Reference :-
1 2 3
C.O. 885
20 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-
COPYRIGHT PHOTOGRAPH-NOT TO
Coolies (ordinary labourers) 228
Domestic servants (cook, &c.)
99
Traders
99
Carters
81
Carpenters
69
Estates coolies
56
Compositors Kanganies
Toddy-drawers
Road overseers
Storekeepers
Hawkers (petty traders)
Fishermen
54
Firemen
Dhobies
36
Engine-drivers
Boatmen
16
Masons
16
Coopers
14
Schoolmasters
Vedarales (native doctors)..." Bookbinders
Tailors
13
Plumbago miners
Blacksmiths
16
Hospital attendants
22243 ∞ ∞ O O O O O M (
Coffee sorters
14
Lace makers
Bakers
11
District Court translator
Fitters
11
Ordinary translator
1
Peons
13
Plumbago sorter
Horsekeepers
9
Do. dealer
Bread vendors
8
Typist
1
Clerks
Sanitary inspector
1
Weavers
Dispenser
1
Basket-women fruitsellers...
Lapidary
1
Painters
Barber
1
Estate conductors
5
Cocoanut-climber
1
Tavern keepers
4
Jail warder
1
Tally clerks
3
Broker
1
Tom-tom beaters
Comb maker
1
Police constables
6
Hospital assistant
1
Tinkers
Butchers
Buddhist priests Shoemakers
Sawyers
Sewing women
Cart contractors
Lamp-lighter
1
Monthly nurse
1
Surveyor
1
Cinnamon peelers Planters
H OD KO OD OD 2
Shepherd
Wesleyan minister
1
Musician
1
3
Dairyman
1
3
Brickmaker
1
Tea maker
Nationalities.
As regards race or nationality the following are the details of the 1,700 leper patients :-
*
Singhalese
Indian Tamils
Moors
Ceylon Tamils
Malays.
Eurasians
Burghers
Europeans Creoles Afghans Bengalis
1,302
217
83
37
11
36
10
1
1
1
1
阳
Buddhists number
171
51
222
Roman Catholica
42
13
55
Church of England
6
5
11
Mohammedans
12
3
15
Sivites
14
9
23
245
81
326
Venereals.
Gonorrhoea. Of the 1,700 under review, 169 confessed to have suffered pre- viously from Gonorrhoea; they were all males and belonged to the following
varieties:-
Tubercular Anæsthetic Mixed
31 69
69
Syphilis. Of the 1,700 now in course of analysis, 110 confessed to a previous history of primary syphilis. They were all males, and of the following varieties:-
Tubercular Anesthetic Mixed
24
50 36
Lepra Ophthalmica.
The eye is affected frequently in leprosy, in tubercular cases especially; 89 of the 326 now under treatment suffer from eye affection. Infiltration takes place under the conjunctivæ and a pterygial growth is noticed which invades the cornea in time and gradually obstructs vision. At present, of the 89 affected, 70 suffer
from this infiltration and obstruction of vision.
Grossman has described a condition at the epi-scleral conjunctivæ a white
and ivory-like growth which infiltrates into the cornea occluding vision.
Dr. W. H. de Silva, who made a careful study of the eye in leprosy has read
a paper before the last annual meeting of the British Medical Association. He is qualified to speak with authority on this subject, and as he is present at this meeting to-day, I am looking forward to hear him.
Paralysis of the lower eyelid always produces ectropion, and lagopthalmos occurs, producing very distressing conditions of the eye, terminating in gradual destruction of the eyeball. Of the 89 affected in the eye, 19 suffer from lagop- thalmos.
Cataract.-There is sometimes cataract noticed over a diabetic condition and general debility. There are five such cases now of the 89 in whom the eye is affected.
Bone Affected.
In anaesthetics, when the tarsal or carpal, metatarsal or metacarpal, or phalan- geal bones are affected, an osteomyelitic condition quickly progresses, commencing from the middle of each bone, the patient getting rapidly exhausted, a decline sets in and tubercle of lungs follows, giving the patient a prolonged illness, and the tenacity with which he clings to life is remarkable. In the Hendala Leper Asylum there are no less than 87 per cent. in whom the immediate cause of death is tubercle of lung. There are also other intercurrent diseases that occur among lepers, viz., diarrhoea, due perhaps to an albumenoid degeneration of the alimentary tract,
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