NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
OFFICE OF THE SURGEON-GENERAL WITH THE
GOVERNMENT OF MADRAS,
Madras, the 16th April 1919.
No. 97/550.
From
THE HON'BLE LIEUT.-COL. W. J. NIBLOCK, I.M.S.,
ACTING SURGEON-GENERAL WITH THE GOVERNMENT OF MADRAS,
To
THE SECRETARY TO GOVERNMENT,
LOCAL AND MUNICIPAL (MEDICAL) DEPARTMENT,
MADRAS.
SIR,
I have the honour to submit, for the information of Government, the annual
returns of the Lunatic Asylums in the Presidency for the year 1918.
2. Accommodation.—The accommodation for insanes remains the same as in
1917, except in Calicut where it has been increased by 20, by the provision of tem-
porary buildings, to meet the overcrowding on the male side during at least two
months in the year, viz., September and October. Further expansion is very
desirable in this place, if the present rate of admissions continue, which is very
likely, and anything less than a provision for at least 24 additional patients will be
inadequate. The construction in Calicut of a female hospital and dysentery cells,
an industrial workshop, improvements in the sanitary condition by the construction
of drains, day latrines, and bath sheds, have all been postponed owing to financial
stringency created by the war. The accommodation for Civil Indian males in
Madras and for insanes in Vizagapatam has been found insufficient by the
Surgeon-General during his inspections. The Government have sanctioned
extensions to the buildings—vide G.Os. No. 548 W., dated 6th May 1918, and
No. 227, L. & M. (Medical), dated 22nd May 1918, respectively.
The hospital accommodation is, for the present, found to be enough.
3. Population.—Two hundred and eighty.-two males and 56 females were
admitted during the year. Of these 31 and 5 respectively were criminals. The
daily average population was 876.88 and females numbered nearly a fourth of the
total. An average of 235 males and 32 females were employed on manufacture ;
several others were usefully employed in asylum work.
4. Result of treatment on the total population.—9.83 per cent were cured, 4.05
improved, 2.31 were not improved and discharged otherwise, and 9.83 died.
5. Statements III to VII show details as to class, age, sex, etc., and these offer
no points for comment.
6. Sickness and mortality.—The daily average sick in hospital was 99.31. The
increase was chiefly due to the pandemic of influenza and an unhealthy year, and
was pronounced in Madras and Vizagapatam. The notable diseases were malaria,
anæmia and debility, tuberculosis and diarrhœa. The causes of mortality are shown
in the appendix to Statement VI. Dysentery was, as heretofore, a prominent
cause, but tubercle also is in evidence, especially at Madras this year.
7. Criminal insanes.—There were 36 admissions as already noted. Of these
3 had been tried and acquitted, 20 were found incapable of making defence, and
13 had become insane during imprisonment. Three criminal insanes were
transferred to the Penitentiary and 4 from the criminal to the civil section
Seventeen recovered, of whom 10 were discharged to stand trial. The daily
average population was 182.19.
2
STATISTICAL RETURNS OF THE LUNATIC ASYLUMS
8. Escapes.—One Civil Indian male at Madras and four at Calicut escaped.
All the four escapes at Calicut were recaptured by the Asylum servants The
lunatic who escaped at Madras is still at large.
9. Finances.—The details of income and expenditure are exhibited in State-
ments VIII to X.
10. Inspections.—Regular inspections were made by both official and non-official
visitors. All three asylums were inspected by the Surgeon-General. The
service and stock registers have been properly maintained.
I have the honour to be,
Sir,
Your most obedient servant,
W. J. NIBLOCK, Lieut.-Col., I.M.S.,
Acting Surgn.-Genl. with the Govt. of Madras.
STATEMENTS NOS. I -X.
4
STATEMENTS OF THE LUNATIC ASYLUMS
STATEMENT
Statement showing the Admissions, Discharges, etc., of Lunatics in the Asylums
1
Years.
2
Remained at
the beginning
of the year.
Males.
Females.
Total.
3
Admitted.
Males.
Females.
Total.
4
Re-
admit-
ted.
Males.
Females.
Total.
5
Total
population.
Males.
Females.
Total.
6
Discharged.
A.
Cured.
Males.
Females.
Total.
B.
Transferred to
friends.
Im-
proved.
Males.
Females.
Total.
Not
improved.
Males.
Females.
Total.
C.
Other-
wise.
Males.
Females.
Total.
D.
Total.
Males.
Females.
Total.
7
Died.
Males.
Females.
Total.
8
Remaining
at the end
of the year.
Males.
Females.
Total.
MADRAS.
1918
C.
V.
451
2
161
...
612
2
210
...
50
...
260
...
3
...
1
...
4
...
664
2
212
...
876
2
74
...
6
...
80
...
25
...
6
...
31
...
5
...
2
...
7
...
11
...
5
...
16
...
115
...
19
...
134
...
The capacity of the Madras Lunatic Asylum at 60 square feet per European patient equals...
Do.
do.
do.
per Indian
do.
74
...
22
...
96
...
475
2
For Males ...
For Females ...
For Males ...
For Females ...
Total ...
171
...
646
2
91
81
428
108
708
VIZAGAPATAM.
1918
C.
V.
76
...
13
...
89
...
14
...
2
...
16
...
2
...
...
...
2
...
92
...
15
...
107
...
6
...
1
...
7
...
2
...
...
...
2
...
2
...
...
...
2
...
1
...
...
...
1
...
11
...
1
...
12
...
The capacity of the Vizagapatam Lunatic Asylum at 50 square feet per Indian patient equals—
Males ... ... ... ... ... ... ... ... ... ... ... ...
Females ... ... ... ... ... ... ... ... ... ... ... ...
Total ...
16
...
1
...
79
17
96
17
...
65
...
13
...
78
...
CALICUT.
1918
C.
V.
106
1
35
...
141
1
58
...
4
...
62
...
17
...
5
...
22
...
181
1
44
...
225
1
27
...
5
...
32
...
15
...
1
...
16
...
...
...
...
...
...
...
1
...
1
...
2
...
43
...
7
...
50
...
6
...
...
...
The capacity of the Calicut Lunatic Asylum at 50 square feet per Indian patient equals—
Males
...
...
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
...
...
Total ...
144
62
206
6
...
132
1
37
...
169
1
PRESIDENCY.
Grand Total
for 1918.
Grand Total
for 1917.
Grand Total
for 1916.
636
614
615
209
211
209
845
825
824
282
240
199
56
30
53
338
270
252
22
28
23
6
2
1
28
30
24
940
882
837
271
243
263
1,211
1,125
1,100
107
112
94
12
20
20
119
132
114
42
31
40
7
3
10
49
34
50
7
6
5
2
...
1
9
6
6
13
31
19
6
...
1
19
31
20
169
180
158
27
23
32
196
203
190
96
66
65
23
11
20
119
77
85
675
636
614
221
209
211
896
845
825
C.
=
Compulsory.
V. = Voluntary.
Note.—Observation cases included 12.
STATEMENTS OF THE LUNATIC ASYLUMS
5
No. I.
in the Madras Presidency during the year 1918 and the Provincial totals for the two previous years.
9
Daily average
strength.
Males.
Females.
Total.
10
Daily average
sick.
Males.
Females.
Total.
11
Percentage to
Daily average strength.
A.
Cured.
Males.
Females.
Total.
B.
Died.
Males.
Females.
Total.
Admissions.
C.
Cured.
Males.
Females.
Total.
D.
Died.
Males.
Females.
Total.
462.90 167.59
630.49 55.63 27.66 83.29 15.98
3.58 12.69 15.98 13.13 15.23 19.72 5.88 17.04 8.92
5.88
8.33
The maximum number of lunatics confined during any one night was on the night of 17th September 1918, viz. :—
Males
...
...
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
...
...
Total ...
477
172
649
76.02
13.98
90.00 8.95
1.07 10.02 7.89
7.15 7.77 21.05 7.15 18.88 25.00 ... 25.00 12.50
...
12.50
The maximum number of lunatics confined during any one night was on the nights of 28th June and 21st April 1918, viz.:—
Males ... ... ... ... ... ... ... ... ... ... ... ...
Females
...
...
...
...
...
...
...
...
...
...
...
...
Total ...
80
15
95
119.38 37.01 156.39 5.77 0.23
6.00 22.62 13.51 20.46 5.02
...
3.84 13.33 11.11 13.10 2.67
...
2.38
The maximum number of lunatics confined during any one night was on the night of 20th December 1918, viz. :—
Males
...
...
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
...
...
Total ...
135
37
172
658.30
640.43
624.77
218.58
211.46
207.91
876.88
851.89
832.68
70.35
51.96
53.00
28.96
30.40
26.49
99.31
82.36
79.49
16.25
17.49
15.04
5.49
9.45
9.62
13.57
15.49
13.69
14.58
10.31
10.40
10.52
5.20
9.62
13.57
9.04
10.21
18.42
22.39
42.34
6.45
18.75
37.04
16.39
22.00
41.30
7.57
7.09
29.28
4.84
3.12
37.04
7.10
6.67
30.80
2
6
STATEMENTS OF THE LUNATIC ASYLUMS
STATEMENT No. II.
Return of Criminal Lunatics in the Asylums in the Madras Presidency for the year 1918 and the Provincial totals for the two previous years.
1
Years.
2
Remained at the
beginning of the
year.
Males.
Females.
Total.
3
Admitted.
Males.
Females.
Total.
4
Re-admitted.
Males.
Females.
Total.
5
Total.
Males.
Females.
Total.
6
Discharged,
transferred,
etc.
Males.
Females.
Total.
7
Died.
Males.
Females.
Total.
8
Remaining at
the end
of the year.
Males.
Females.
Total.
9
Daily average
strength.
Males.
Females.
Total.
MADRAS.
1918
...
...
165
19
184
31
5
36
...
... ...
196
24
220
22
2
24
15
2
17
159
20
179
163.08
19.11
182.19
VIZAGAPATAM.
1918 ... ...
...
...
...
...
...
...
...
... ...
...
...
...
...
...
...
...
...
...
... ...
...
...
...
...
CALICUT.
1918 ... ...
Grand Total for 1918.
Grand Total for 1917.
Grand Total for 1916.
...
165
176
174
...
19
18
10
...
184
194
184
...
31
36
44
...
5
3
11
...
36
39
55
...
...
...
...
...
...
...
...
...
...
...
...
196
212
218
...
24
21
21
...
220
233
239
...
22
31
25
...
2
2
3
...
24
33
28
...
15
16
17
...
2
...
...
...
17
16
17
...
159
165
176
...
20
19
18
...
179
184
194
...
163.08
175.64
180.34
...
19.11
17.93
12.72
...
182.19
193.57
193.06
10
STATEMENTS OF THE LUNATIC ASYLUMS
STATEMENT No. V.
Return showing the Ages of Patients admitted into the Lunatic Asylums in the Madras Presidency
during the year 1918 and the Provincial totals for the two previous years.
1
Name of Asylum.
Madras ...
Vizagapatam ...
Calicut ...
C.
C.
C.
Total for 1918 ...
Total for 1917 ...
Total for 1916 ...
2
Under 20 years.
Males.
21
1
4
26
11
9
Females.
3
...
1
4
2
4
Total.
24
1
5
30
13
13
3
20 to 40.
Males.
151
13
58
222
172
152
Females.
32
2
6
40
16
34
Total.
183
15
64
262
188
186
4
40 to 60.
Males.
32
2
11
45
67
47
Females.
11
...
1
12
14
11
Total.
43
2
12
57
81
58
5
Upwards of 60
years.
Males.
2
...
2
4
8
10
Females.
1
...
...
1
...
4
Total.
3
...
2
5
8
14
6
Total.
Males.
206
16
75
297
258
218
Females.
47
2
8
57
32
53
Total.
253
18
83
354
290
271
Note.—Observation cases excluded.
15
STATEMENTS OF THE LUNATIC ASYLUMS
[For local circulation only.]
APPENDIX TO STATEMENT No. VI.
(Ordered in G.O. No. 836, Public, dated 28th May 1915.)
Showing the Admissions and Deaths from the Chief Diseases among the Patients in the
Lunatic Asylums in the Madras Presidency during the year 1918.
1
Serial number.
1
2
3
2
Asylum.
Madras
...
...
...
Vizagapatam ... ...
Calicut
...
...
...
Total ...
3
A
Cholera.
A.
...
...
...
...
D.
...
...
...
...
B
Dysentery
A.
113
10
9
132
D.
10
...
...
10
C
Malarial
Fevers.*
A.
14
6
2
22
D.
...
...
...
...
D
Tubercle of
the lungs,
tuberculosis
phthisis and
hæmoptysis
due to
tubercle.
A.
28
1
4
33
D.
26
1
1
28
E
Anæmia
and
Debility.
A.
76
6
...
82
D.
5
1
...
6
F
Other
General
Diseases.
A.
193
112
11
316
D.
13
14
1
28
G
Pneu-
monia.
A.
9
1
...
10
D.
3
1
...
4
H
Other
Respira-
tory
Diseases.†
A.
6
1
... 7
D.
2
...
...
2
I
Diar-
rhœa.
A.
63
3
...
66
D.
5
...
...
5
J
Abscesses,
Boils and
Ulcers of
all kinds.
A.
21
6
...
27
D.
...
...
...
...
Serial number.
1
2
3
Asylum.
Madras
...
...
...
Vizagapatam ... ...
Calicut
...
...
...
Total ...
3—cont.
K
All other
causes.
A.
249
3
19
271
D.
32
...
4
36
L
Total.
A.
772
149
45
966
D.
96
17
6
119
4
Ratio of Admissions and of Deaths per mille of average strength from
Cholera.
A.
...
...
...
...
D.
...
...
...
...
Dysentery.
A.
179.23
111.10
57.55
150.53
D.
15.86
...
...
11.40
Malarial
Fevers.*
A.
22.22
66.60
12.79
25.09
D.
...
...
...
...
Pneumonia.
A.
14.27
11.10
...
11.40
D.
4.76
11.10
...
4.56
Diarrhœa.
A.
99.92
33.30
...
75.27
D.
7.93
...
...
5.70
All causes.
A.
394.93
1,244.40
287.74
1,101.64
D.
50.75
155.50
38.37
135.91
Daily average strength.
630.49
90.00
156.39
876.88
* This heading includes all fevers diagnosed as being due to malaria and their direct sequelæ, such as enlargement of the spleon.
† All the diseases shown under respiratory system in the Annual Returns except those already entered in columns D and G.
STATEMENTS OF THE LUNATIC ASYLUMS
21
STATEMENT No. X.
Showing Receipts and Expenditure on account of Manufactures in the Lunatic Asylums during the year 1918 and totals for the two previous years.
1
Asylums.
Madras ... ... ... ...
Vizagapatam ... ... ...
Calicut
...
...
...
...
Total for 1918 ...
Total for 1917
...
Total for 1916 ...
2
Mean population.
Males
462.90
76.02
119.38
658.30
640.43
624.77
Females
167.59
13.98
37.01
218.58
211.46
207.91
Total
630.49
90.00
156.39
876.88
851.89
832.68
3
4
5
6
7
8
Credits.
Cash paid into
Treasury for articles
sold.
RS.
*3,197
†68
‡1,986
5,252
4,957
4,991
A.
2
9
6
2
15
13
P.
6
6
6
6
3
11
Value of
manufactured goods
made over to
Asylum for Asylum
purposes.
RS.
8,763
1,074
984
10,822
11,360
9,788
A.
1
9
11
6
5
15
P.
1
5
6
0
8
9
Value of raw
materials in store
at the end of
the year.
RS.
2,258
111
592
2,962
2,929
1,539
A.
6
9
12
12
2
7
P.
2
11 3
4
1
1
Value of
manufactured
goods in store at the
end of the year.
RS.
5,788
299
905
6,993
6,082
6,420
A.
14
4
13
15
1
1
P.
6
5
0
11
8
10
Value of plant
and machinery in
store at the
end of the year.
RS.
400
1,892
298
2,591
2,439
2,896
A.
0
13
9
6
11
11
P.
0
8
3
11
2
9
Total credits.
RS.
20,407
3,446
4,768
28,622
27,769
25,637
A.
8
14
4
11
3
2
P.
3
11
6
8
10
4
Asylums—cont.
Madras ... ... ... ...
Vizagapatam ... ... ...
Calicut ... ... ... ...
Total for 1918 ...
Total for 1917 ...
Total for 1916 ...
9
10
11
12
13
14
15
16
17
Debits.
Value of
manufactured
goods in store
on 1st January
1918.
RS.
5,053
197
831
6,082
6,420
4,132
A.
8
6
2
1
1
6
P.
3
6
11
8
10
0
Value of
raw materials
in store on
1st January
1918.
RS.
2,165
308
455
2,929
1,539
826
A.
5
2
10
2
7
8
P.
9
4
0
1
1
3
Value of
plant and
machinery in
store on
1st January 1918.
RS.
450
1,688
300
2,439
2,896
2,528
A.
0
13
13
11
11
12
P.
0
8
6
2
9
10
Raw materials
purchased.
RS.
3,311
507
1,825
5,644
5,038
5,921
A.
3
11
13
12
8
10
P.
0
11
3
2
2
8
Contingencies of
manufacture.
RS.
164
A.
10
P.
4
......
......
164
145
143
10
9
1
4
9
1
Other charges.
......
......
......
......
......
......
Total debits.
RS.
11,144
2,702
3,413
17,260
16,040
13,552
A.
11
2
7
5
6
6
P.
4
5
8
5
7
10
Excess of
credits
of
profits.
RS.
9,262
744
1,354
11,362
11,728
12,084
A.
12
12
12
6
13
11
P.
11
6
10
3
3
6
Excess
of debits or
loss.
......
......
......
......
......
......
18
Remarks.
*
Sale of manufactured goods ... ... ...
Do. garden produce
...
...
...
...
„ Do ragi, husk, etc
...
...
...
...
Total ...
RS.
683
2,425
88
3,197
A.
6
7
4
2
P.
3
8
7
6
Note.— Observation oases excluded.
†
Sale of manufactured goods
...
...
...
Do. garden produce
...
...
...
...
Do. live-stock
...
...
...
...
...
Total ...
RS.
6
55
6
68
A.
13
11
0
9
P.
3
5
0
6
‡
Sale of manufactured goods ... ... ...
Do. garden produce ... ... ... ...
Total ...
RS.
1,564
421
1,986
A.
10
12
6
P.
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Government
of madras
LOCAL AND MUNICIPAL (MEDICAL) DEPARTMENT
G.O. No. 279, 22nd May 1919
Lunatic Asylums
Recording the statistical returns of — in the Madras Presidency for the year 1918.
READ—the following paper :—
Letter—from the Hon'ble Lieut.-Col. W. J. NIBLOCK, I.M.S., Acting Surgeon-
General with the Government of Madras.
To—the Secretary to Government, Local and Municipal (Medical) department.
Dated— Madras, the 16th April 1919.
No.—97/550.
Order—No. 279, L.&M. (Medical), dated 22nd May 1919.
Recorded.
(True extract)
H. G. STOKES,
Acting Secretary to Government.
To the Surgeon-General.
„ District Magistrate, Vizagapatam.
„
„
Malabar.
„ Government of India, Home department (with C.L.).
„ Registrar, University of Bombay.
Editors' Table.
AGENTS FOR THE SALE OF MADRAS GOVERNMENT
PUBLICATIONS.
IN INDIA.
BUTTERWORTH & Co. (LTD.), 6, Hastings Street, Calcutta.
R.CAMBRAY Co., Calcutta.
E. M. GOPALAKRISHNA KONE, Pudumantapam, Madura
HARTLEYS, Mount Road, Madras.
HIGGINBOTHAMS (LTD.), Mount Road, Madras.
V. KALYANARAMA IYER & Co., Esplanade, Madras
G. C. LOGANADHAM BROTHERS, Madras.
S. MURTHY & Co., Madras.
G. A. NATESAN & Co., Madras.
The Superintendent, NAZAIR KANUN HIND PRESS, Allahabad
P. R. RAMA IYER & Co., Madras.
RAMAKRISHNA & SONG, Lahore.
D. B. TARAPOREVALA SONS & Co., Bombay.
THACKER & Co. (LTD.), Bombay.
THACKER, SPINK & Co., 3, Esplanade East, Calcutta.
S. VAS & Co., Madras.
S.P.C.K. PRESS, Vepery, Madras.
IN THE UNITED KINGDOM.
B. H. BLACKWELL, 50 and 51, Broad Street, Oxford.
CONSTABLE & Co., 10, Orange Street, Leicester Square, London, W.C
DEIGHTON, BELL & Co. (LTD.), Cambridge.
T. FISHER UNWIN (LTD.), 1, Adelphi Terrace, London, W.C.
GRINDLAY & Co., 54, Parliament Street, London, S.W.
KEGAN PAUL, TRENCH, TRUBNER & Co. (LTD.), 68—74, Carter Lane, London
E.G. and 25, Museum Street, London, W.C.
HENRY S. KING & Co., 65, Cornhill, London, E.C.
P. S. KING & SON, 2 and 4, Great Smith Street, Westminster, London, S.W.
LUZAC & Co., 46, Great Russell Street, London, W.C.
B. QUARITCH, 11, Grafton Street, New Bond Street, London, W.
W. THACKER & Co., 2, Creed Lane, London, E.C.
OLIVER AND BOYD, Tweeddale Court, Edinburgh.
E. PONSONBY (LTD.), 116, Grafton Street, Dublin.
W. WESLEY & SON, 28, Essex Street, Strand, London.
ON THE CONTINENT.
ERNEST LEROUX, 28, Rue Bonaparte, Paris.
MARTINUS NIJHOFF, The Hague, Holland.
STATISTICAL RETURNS
OF THE
LUNATIC ASYLUMS
IN THE
MADRAS PRESIDENCY
FOR THE YEAR 1919
MADRAS
PRINTED BY THE SUPERINTENDENT, GOVERNMENT PRESS
1920
PRICE, 6 annas
OFFICE OF THE SURGEON-GENERAL WITH THE
GOVERNMENT OF MADRAS,
Ootacamund, the 5th/7th May 1920.
No. 97/506.
From
THE HON'BLE MAJOR-GENERAL G. G. GIFFARD, C.S.I., K.H.S., I.M.S.,
SURGEON-GENERAL WITH THE GOVERNMENT OF MADRAS,
THE SECRETARY TO GOVERNMENT,
LOCAL AND MUNICIPAL (MEDICAL) DEPARTMENT,
MADRAS.
SIR,
I have the honour to submit the annual returns of the Lunatic Asylums in
the Presidency for the year 1919.
2. Accommodation.—The accommodation for insanes has been increased during
1919, in Madras by 16, by releasing the building in which the office of the Superin-
tendent was located in previous years. The accommodation in Calicut and Vizaga-
patam remains the same. The want of accommodation is very keenly felt in
Calicut where the admissions are yearly on the increase and where a temporary
building was provided for 20 inmates during 1918. The improvements and addi-
tions to the present buildings of the Madras Asylum ordered in G.O. No. 548 W.,
dated 6th May 1918, have not yet begun. Revised estimates were sanctioned
by Government in G.O. No. 1618 W., dated 1st December 1919. The hospital
accommodation is, at present, found sufficient. The construction of a new hospital
at Madras approved in G.O. No. 96, Public, dated 20th January 1916, has not yet
been finally sanctioned as Government have ordered that the work must be post-
poned till normal conditions are restored. It is very advisable to construct separate
hospital wards for housing the insanes suffering from dysentery and tuberculosis
of the lungs, as the largest number of admissions into hospital are for dysentery
and the largest number of deaths are due to tubercle of the lungs. This may to
a great extent check the spread of the two diseases among the inmates.
3. Population—The number of new admissions during the year was 252
males and 45 females, of whom the criminals numbered 44 and 1 respectively.
The daily average population was 906.03 and females numbered nearly a fourth of
the total. An average of 204 males and 13 females were employed on manu-
facture : several others were usefully employed in asylum work.
4. Result of treatment on the total population :
Cured ... ... ... ... ... ... ... ...
Improved ... ... ... ... ... ... ... ...
Discharged without relief ... ... ... ... ...
Died ... ... ... ... ... ... ... ...
PER CENT.
11.06
2.62
4.26
10.40
5. Details as to age, class, sex, etc., are given in statements III to VII.
6. Sickness and mortality.—The daily average sick in hospital was 81.05.
Madras shows a fall of 14.41 and Vizagapatam 5.18 as compared with the previous
year which is due to the non-prevalence of influenza epidemic during the year.
The chief diseases that prevailed were dysentery, malaria, tubercle, diarrhœa,
abscess and boils. In Madras tubercle claimed the largest number of deaths,
dysentery coming next. In Calicut the largest number of deaths were due to
dysentery.
2
STATISTICAL RETURNS OF THE LUNATIC ASYLUMS
7. Criminal insanes.—There were 45 admissions during the year. Of these
5 had been tried and acquitted, 21 were found incapable of making defence and
19 had become insane during imprisonment. Thirteen criminal insanes were
transferred to the civil section. Nine recovered of whom 3 were discharged to
stand their trial. The daily average population was 179.73.
8. Escapes.—One civil insane at Madras escaped but was recaptured. The
two escapes at Calicut were recaptured and brought back by the asylum servants.
9. Finance—Statements VIII to X show details of income and expenditure.
10. Inspection.—The official and non-official visitors inspected the institutions
regularly. The asylums at Madras and Calicut were visited by me. The service
and stock registers have been properly maintained.
I have the honour to be,
Sir,
Your most obedient servant,
G. G. GIFFARD, MAJOR-GENERAL, C.S.I., K.H.S., I.M.S.,
Surgn.-Genl. with the Govt. of Madras.
STATEMENTS NOS. I —X.
4
STATEMENTS OF THE LUNATIC ASYLUMS
STATEMENT
Statement showing the Admissions, Discharges, etc., of Lunatics in the Asylums
1
Years.
2
Remained at
the beginning
of the year.
Males.
Females.
Total.
3
Admitted.
Males.
Females.
Total.
4
Re-
admit-
ted.
Males.
Females.
Total.
5
Total
population.
Males.
Females.
Total.
6
Discharged.
A.
Cured.
Males.
Females.
Total.
B.
Transferred to
friends.
Im-
proved.
Males.
Females.
Total.
Not
improved.
Males.
Females.
Total.
C.
Other-
wise.
Males.
Females.
Total.
D.
Total.
Males.
Females.
Total.
7
Died.
Males.
Females.
Total.
8
Remaining
at the end
of the year.
Males.
Females.
Total.
MADRAS.
1919
C.
V.
475
2
171
...
646
2
179
2
31
...
210
2
12
...
1
...
13
...
666
4
203
...
869
4
80
...
6
...
86
...
9
1
3
...
12
1
11
...
9
...
20
...
23
1
3
...
26
1
123
2
21
...
144
2
The capacity of the Madras Lunatic Asylum at 60 square feet per European patient equals ...
Do.
do.
at 45 square feet per Indian
do.
...
89
...
16
...
105
...
454
2
For Males ...
For Females ...
For Males ...
For Females ...
Total ...
166
...
620
2
91
81
444
108
724
VIZAGAPATAM.
1919
C.
V.
65
...
13
...
78
...
12
...
2
...
14
...
2
...
...
...
2
...
79
...
15
...
94
...
3
...
1
...
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
1
...
4
...
5
...
1
...
6
...
71
...
13
...
84
The capacity of the Vizagapatam Lunatic Asylum at 50 square feet per Indian patient equals—
Males ... ... ... ... ... ... ... ... ... ... ... ...
Females ... ... ... ... ... ... ... ... ... ... ... ...
Total ...
79
17
96
CALICUT.
1919
C.
V.
132
1
37
...
169
1
59
...
11
1
70
1
11
...
2
...
13
...
202
1
50
1
252
2
42
...
3
...
45
...
17
1
...
1
17
2
...
...
...
...
...
...
5
...
...
...
5
...
64
1
8
1
67
2
13
...
3
...
16
...
125
...
44
...
168
...
The capacity of the Calicut Lunatic Asylum at 50 square feet per Indian patient equals—
Males
...
...
...
...
...
...
...
...
...
...
...
...
Females ... ... ... ... ... ... ... ... ... ... ... ...
Total ...
144
62
206
PRESIDENCY.
Grand Total
for 1919
Grand Total
for 1918.
Grand Total
for 1917
675
636
614
221
209
211
896
845
825
252
282
240
45
56
30
297
338
270
25
22
28
3
6
2
28
28
30
952
940
882
269
271
243
1,221
1,211
1,125
125
107
112
10
12
20
135
119
132
28
42
31
4
7
3
32
49
34
11
7
6
9
2
...
20
9
6
29
13
31
3
6
...
32
19
31
193
169
180
26
27
28
219
196
203
107
96
66
20
23
11
127
119
77
652
675
636
223
221
209
875
896
845
C.= Compulsory,
V. = Voluntary.
Note.—Observation cases included 15.