Modern Indian leprosy : being the report of a tour in Kattiawar, 1876 : with addenda on Norwegian, Cretan and Syrian leprosy.
- Henry Vandyke Carter
- Date:
- 1876
Licence: Public Domain Mark
Credit: Modern Indian leprosy : being the report of a tour in Kattiawar, 1876 : with addenda on Norwegian, Cretan and Syrian leprosy. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![5 years and 25 years of age : had the same disease as his son (T. L. ?). F. F. also had leprosy. A younger brother and the sister are well. Is married, but has not. joined his wife. Inevitable contact with his father: the disease began here and is increasing. (As there is actual cholera in the same yard I did not visit this lad at his sick home, from motives of common prudence regarding my family and camp.) Neswad, three miles to the north of Dihor, amoDgst low hills : not visited for want of time : there are said to be 25 houses and a population of Brabmane, Ahirs, Kolis, Bhurwads : f00d—jowari, bajri; urid, mung : well-water: no guinea-worm, or cholera or mycetoma. The patel who is here at Dihor and others, positively state (but see No. 2) there wras no leprosy at Neswad before the two following cases which have been brought for inspection to Dihor. 2.—H., Koli, 35, labourer, born here and has travelled but little ; leprosy for 20 years, it began on right hand (he refers to an accident at this date). There is nothing on the face ; probably an eruption on the back : right hand much mutila- ted ; two inner fingers and thumb most shortened, also little finger and thumb of left hand ; these changes are character- istic of neuritis; there is not much atrophy of the palms; bronzing ; no numbness : feet not altered in aspect, nor nipples. Parents free ; no brother or sister ; denies family taint: married late in life, wife not with him ; no children : denies contact: attributes the affection to injury caused by the falliug of a piece of wood on his hand, but this explanation seems hardly admissible ; the accident occurred at Bharoli; no changes in symptoms of late ; lives alone ; there are sores : general condition indifferent : syphilis denied. How was the local neuritis caused; can exposure, pressure, heat, injury, &c., induce inflammation of the nerves, irritation of skin, &o., which lead to leprosy-like symptoms ? 1. —M., Koli, 40, farmer, born at Dcoli near Talaja(p. 47) : at Neswad 3 yearp, living before at Deoli, has travelled : leprosy for 3 years, or after he went to Neswad ; it began on the hands with blebs and a sense of heat. Now there are signs of T. L. on the face, hairs gone from brows, ears red and puffy, &c.; there are obscure red spots on the back and front; nipples enlarged : hands hardly changed, but left little finger is bent, &c., the pulp of the opposite one wasted : numbnessof finger-tips, left hand wasted : feet hardly altered ; pome numbnessof soles. Parents free : he i3 the second of 6 sons, who, with their children, are well ; 2 younger sisters also well : no family taint: is married; wife well and six young children (5 sons) ; contact denied ; cause unknown ; was eating and living as usual when the disease came on at Neswad ; it is increasing : lives alone (?) : there are excoria- tions : general condition fair: muscular power not impaired (?). 2. —M„ Brahman, 50, farmer, born here, has travelled: leprosy 4 years ; it began with numbness on fourth finger of right hand and at right elbow, with vesicles. At present, face shews decided signs of T. L. with bronzing ; nothing on back : nipples hardly changed ; hands little altered, numbness on inner side of right hand ; nails unaltered : feet hardly changed, but there is numbness on the back of both feet and also of legs in front, half way up. F. died a leper 7 to 8 years ago at Neswad: does not know where he was born, or when his disease began, was leprous 8 years and died at the age of 65 (?);badl\ L. M. free; no brother or sister, his mother having died soon after his birth. Married; wife eloped with another man ; no children : denies contact; cause unknown ; ate common food and was farming at Neswad, when the dis- ease came on : it is increasing; lives alone, there are no sores : general condition fair ; syphilis is denied. ]Jkaroli(nol visited, time pressing), 2milesnorth of Neswad, amongst the hills, said to have 60 houses and a population of Koli, Garassia, Wania and Ahir castes, &c. : food as usual ; river-water : no guinea-worm, or cholera or mycetoma. It is stated there was no leprosy before the following cases, which are brought to Dihor for my inspection. 1.—M., Lohar, 30, works at his trade, born at Walukar (5 coss off), at Bharoli 16 years, has travelled ; leprosy 4 years, it began with an eruption. At present, the face shews decided signs of T. L., nose much enlarged ; there are distinct nodule3 and there is numbness on brows and cheeks, &o.; back covered with small nodules of livid tint, this is less marked in front of chest : nipples like gun-caps : there is a similar eruption on outer side of arms and forearms : hands swollen, bronzed and wrinkled; nails changed to clumps of horn : numbness on hand aud in forearm. Feet changed in same way, and here too is numbness. Parents free: he is eldest of 3 sons, a younger sister also well. M. B. (maternal uncle) had the disease at Padwa—a village also near Gogo, where he was born and became diseased about 4 years ago, he was 35 and affected like this man and had no children. The nephew here has twice visited this uucle before his own disease came on, and when the uncle was already affected, so that contact is clearly admitted. Is married, wife well, a son of 5 born before his disease, and 2 daughters of 8 and 6, are well. Causa of disease unknown; was living as usual, when it came on here : it is now spreading; lives alone; there arc sores: general con- dition fair : syphilis denied ; still works as a blacksmith, though the left hand is weak. There is leprosy at Walukar. To Timana, a fortified place at the foot of hills, Gmiles north of Talaja, containsabout 200 houses ; population 1,000—Brah- man, Wania, Ahir, Koli, Khoja : food—jowari, bajri; urid, mung: river-water : no guinea-worm, cholera rarely, no mycetoma. On enquiry hear of the following early cases of leprosy :— 1. —Khojo, born and died here 1873, leper of 5 years, age at death 42 : M. L. ; F. F. had the disease : 2 sons and 2 daughters are well, 2. —Jego Mompel (Bhawa), born and died here 1851—dura- tion of disease unknown : age 40—T. L. 1 : taint unknown: 3 sons and 2 daughters are well : brother a leper. 3 —Luximon Mompel (Bhawa), brother of No. 2 : born and died here 1846—10 years a leper, age 25, T. L. ? Unmarried. There are 3 lepers here now, who are seen :— 1. —M., Sutar, 30, born here, has been to Bombay : leprosy 3 years, beginning with numbness in the feet. Now there are indications of T. L. on face ; on back, large, pale patches ; hands not much changed ; nothing on feet, but numbness below ankles. Parents free : younger brother free : no family taint: is married, a daughter well. Contact not known, nor cause of disease : was living as usual when disease came on here : it is lessening : is not separated : no sores : general condition fair : syphilis denied. 2. —M., Garassia, 25, born here : leprosy for 3 years, begin- ning with numbness of feet and hands: nothing on face: probably spots on the back: perfect ‘claw-hands’: feet less changed: great toes only stunted. Parents free : is the younger of 2 sons ; no sister : no family taint (but see No. 3); his brother is the Garassia here : married, a girl and boy, both well. Contact denied ; cause of dis3ase unknown : the latter came on here while he was living as usual, it is subsiding ; lives apart; no sores ; general condition fair : syphilis denied. 3. —M., Garassia, 55, born here, has travelled : leprosy for 3 years, it began with numbness in the feet. Now there are signs of T. L. on the face ; right hand deformed, the fingers (three inner) beingbent backwards; no numbness ; other hand free: nothing on feet ; no numbness (?). Parents free; 4 brothers free and a sister : no taint is admitted. Married, 4 sons, wife and a daughter, all well : contact denied, cause of disease unknown : was leading usual life when disease came on here : it is stationary. This man is F. B. (paternal uncle) of No. 2. N.B.—A somewhat hasty visit to Timana, and the people did not willingly communicate. Was No. 3 leprosy ? It seemed so. Case seen at TALAJA, the hea 1-quarters of the district. M., Koli, 30, beggar, born at Malanada, here 3 years, not travelled ; leprosy for 12 years, beginning with, indigestion and blebs on fourth toe of left foot. On the face signs of l.L.: on back large, red, raised patches : nipples enlarged .: hands and fingers numbed ; fingers stumpy and swollen ; vesicles.on them : feet in same slate : no absorption as yet, but bonding of little fingers, &.c. Parents free : is an only child : taint not known. Is married, wife well, and daughter of 5. : contact denied—knows of no cause or of other lepers in his village ; was begging (as a priest) when the disease came on at Borda (where leprosy exists) : it is spreading : is separated, being a wanderer : there are sores : general condition bad : syphilis denied. This man lives in a cave on the sacred hill of](https://iiif.wellcomecollection.org/image/b22392798_0062.jp2/full/800%2C/0/default.jpg)
