NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Triennial Report and Returns of the Mental Hospitals
in the United Provinces of Agra and Oudh for the
years 1927, 1928 and 1929.
No.
FROM
COLONEL C. A. SPRAWSON, C.I.E., V.H.S., I,M.S.
INSPECTOR-GENERAL OF CIVIL HOSPITALS,
UNITED PROVlNCES.
TO
THE SECRETARY TO GOVERNMENT, UNITED PROVINCES,
JUDICIAL (CRIMINAL) DEPARTMENT.
Dated Lucknow March. , 1930.
SIR,
I have the honour to submit the Triennial Report on the Mental
Hospitals in the United Provinces for the period 1927-1929.
2. The following officers held charge of the Mental Hospitals during
the triennium :—
Agra.— Lieut.-Colonel A. W. Overbeck-Wright, I.M.S., from January
1, 1927 to December 31, 1927.
Captain R. S, Keelan, I.M.D., from January 1, 1928 to March
30, 1928.
Captain G. H. Fraser, I.M.S., from March 31, 1928 to April
3,1929,
Lieut.-Colonel A. W. Overbeck-Wright, I.M.S., from April 4,
1929 to December 31, 1929.
Benares. Lieut.-Colonel A. Cameron, O.B.E., I.M.S., from January
1, 1927 to April 9, 1927.
Lieut.-Colonel 11. W. illius, C.I.E., I.M.S., from April 10,
1927 to July 15, 1929.
Dr. L. N. Rai, P.M.S., from July 16,1929 to October 15,
1929.
Lieut.-Colonel 11, W. illius, C.I.E., I.M.S., from October 16,
1929 to December 31, 1929.
Bareilly. Lieut.-Colonel E. C. Hepper, I.M.S., from January 1, 1927
to April 26, 1928.
Lieut.-Colonel J. F. Boyd, I.M.S., from April 27, 1928 to
May 17, 1928.
Dr. B. C. Pant, P.M.S., from May 18, 1928 to October 24,
1928.
( 2 )
Lieut.-Colonel E. C. Hepper, I.M.S., from October 25,
1928 to April 30,1929.
Lieut.-Colonel J. S. O'Neill, I.M.S., from May 1, 1929 to
December 31, 1929..
Admissions discharges etc. Statement I.—3 —The total number of
patients on January 1, 1927 in all the three Mental Hospitals was 1,194
which rose to 1,236 in l928 and 1,369 in 1929. The admissions were 779
in 1927, which fell to 484 in 1928 and rose to 491 in l929.
In 1927 an advance was made towards modernising the Mental Hos¬
pitals. By G. O. no. 1507/V—135, dated November 28, 1927, Benares
was constituted a Criminal Lunatic Asylum and Agra and Bareilly retained
as Mental Hospitals solely for non-criminal Cases. This entailed a re-
distribution of the districts served by the hospitals and naturally an increase
of admissions ensued into Agra and Bareilly Mental Hospitals. This
accounts principally lor the increased number of inmates in those hospitals.
The following table shows the population (total number of inmates and
new admissions) in each Mental Hospital during the last 10 years.
Mental
Hospitals.
Agra ..
Bareilly
..
Benares
..
Total ..
l920
361
432
500
l,793
1921
852
428
486
1,766
1922
815
389
455
1,659
1923
824
372
434
1,630
1924
808
357
435
1,600
1925
803
339
406
1,548
1926
790
342
429
l,561
1927
1,013
418
542
1,973
1928
947
456
317
1,720
1929
1,009
503
348
1,860
The total population shows a steady decrease from 1920 till 1925. It
again increased in 1926, 1927 and 1929, with the exception of a slight
decrease in 1928, If the number of admissions' of military overseas
insanes be deducted, the triennial totals for the last nine years stand as
follows :—
Total population
.. .. .. ..
Deduct.—Military
Overseas
insenes
..
..
Remaining
population .. .. .. ..
1921-23.
5,055
169
4,886
1924-26.
4,409
81
4,628
1927-29.
5,553
59
5,494
The increase from 4,628 in 1924-26 to 5,494 in 1927-29 is due to larger
admissions in the triennium under report.
The number of discharges and deaths which were 737 in 1927 fell to
351 in 1928 and again rose to 373 in 1929 and the number remaining on
December 31, 1929 was 1,187, as compared with 1,369 in 1928 and 1,236
in 1927.
The daily average strength in the three Mental Hospitals rose from
1,274.83 in 1927 to 1,306.80 in 1928 and 1,44086 in 1929.
( 3 )
The three years figures as compared with the previous triennium
are: —
Remaining at the commencement of the trien¬
nium .. ..
Total admission during the triennium ..
Total ..
Total discharges and deaths during the triennium
Remaining at the close of the triennium
1924-26
1,304
970
2,274
1,030
1,194
1927-29
1,194
1,754
2,948
1,461
1,487
The number on the opening day of the triennium was 110 less than the
number on the corresponding day of the previous triennium.
Admissions increased by 781 and the discharges and death by 381.
4. Mortality. — The number of deaths during the triennium was 294 as
compared with 441 in 1924-26.
The death-rate for each Mental Hospital during the two triennia is
given below and this shows a considerable decrease in death-rate during
1927-29 as compared with the preceding triennum :—
Bareilly ..
Benares ..
Agra ..
Average per¬
centage for
each year.
1924-26
1924.
5.25
15.19
12.55
10.99
1925
6.59
9.09
15.53
10.40
1926
3.73
17.37
14.03
11.71
Rates for
three
Mental
Hospitals.
11.03
..
1927-29
1927.
2.97
7.81
11.61
7.46
1928
7.15
5.83
9.76
7.58
1929.
6.70
3.01
5.65
5.12
Rates
for
three
Mental
Hospitals.
6.72
..
The following table shows the mortality in each Mental Hospital during
the past six years.
Year.
1929 .. .. ..
1928 .. .. ..
1927 .. .. ..
Total ..
1926.. .. ..
1925.. .. ..
1924 .. .. ..
Total ..
Bareilly.
26
25
9
60
11
19
16
46
Benares.
8
14
21
43
54
28
50
132
Agra.
45
70
77
192
84
97
82
263
Total.
79
109
106
299
149
144
148
441
( 4 )
The number of deaths decreased during 1927-29 as compared with the
previous triennium.
The following table shows the causes of deaths during the triennium :—
Year/1927-29.
Bareilly ..
Benares ..
Agra .. ..
Total ..
Dysentery.
1
1
2
4
Malarial fever.
..
1
2
3
Syphilis.
1
..
1
2
Worms.
6
2
17
25
Epilepsy.
5
4
13
22
Leprosy.
..
..
..
..
Maniacal excitement.
1
12
9
22
Melancholia.
2
1
..
3
Anaemia.
4
..
2
6
Debility.
..
..
18
18
Old age.
5
7
7
19
Diseases of nervous system.
..
4
4
8
Diseases of eye.
..
..
..
..
Diseases of ear.
..
..
..
..
Diseases of respiratory system.
..
1
16
17
Tubercle of lung.
18
3
37
58
Pneumonia.
8
2
6
18
Diseases of circulatory system.
..
1
..
1
Diarrhoea.
..
1
11
12
Other
diseases of digestive system.
2
1
36
39
Diseases of urinary system.
..
1
4
5
Diseases of generative system.
..
..
..
..
Diseases of connective tissue.
..
..
..
..
Ulcers.
..
..
..
..
Diseases of skin.
..
..
..
..
Diseases of liver.
..
1
..
1
Injuries.
..
..
2
2
Septicæmia.
..
..
4
4
Other di seases.
7
..
1
8
Total.
6
4
19
29
The decrease in mortality is notable in the cases of the Agra and
Benares Mental Hospitals, particularly in the latter. I attribute this
marked decrease in the death rate at Benares principally to the care the
present Superintendent. Lieut-Colonel Illius, has exercised in providing
a better water supply : partly also to the fact that the reception by this
hospital now of only criminal lunatics gives it a population that is generally
more intelligent and of better physique than that of the other two
hospitals.
Regarding the decrease in mortality at the Agra Mental Hospital the
Superintendent attributes this to deficiency of rainfall in 1928 and 1929
and consequent decrease of malaria and the absence of other epidemics.
Another factor undoubtedly is the careful attention by the medical
staff in 1929.
The Superintendent of the Bareilly Mental Hospital attributes the
increases in his mortality and sickness rates, correctly in my opinion, to
the transfer of his criminal lunatics to Benares. The non-criminal
lunatics are as a rule a feebler and more infirm class than the criminals.
Tubercle of the lung is still the most important cause of death at Agra
and at Bareilly, 37 deaths at each hospital. This is not surprising consi-
dering how prone the insane are to tuberculosis. Benares however has
had only three deaths from this cause, all in 1927, This is probably an
expression of the greater robustness of the criminal lunatic as compared
with the non-criminal : while Benares on the other hand shows a greater
number (12) of deaths from maniacal excitement than Agra and Bareilly
combined.
( 5 )
5. Sickness and cure. —The daily average strength showed a rise
from 3711.49 in 1924-26 to 4030.99 in the triennium under report; the
daily average sick decreased from 570.18 to 416.99 and consequently the
percentage of cures has been 44.75 in 1927-29 as compared with 38.85
reported in the previous triennium 1924-26.
The same factors that influence mortality rates are seen at work in the
number of cases of sickness as shown under the various causes in the sub-
joined table
Benares
..
Bareilly ..
Agra
Total ..
Tubercle of the lung.
3
37
37
77
Epilepsy.
40
15
31
86
Pneumoma.
3
17
17
37
Dysentery.
9
5
49
63
Diarrhœs.
37
3
38
78
Heart disease.
1
..
..
1
Malaria fever.
112
70
303
485
Heat stroke.
..
..
..
..
General debility.
41
38
336
415
Influenza
..
70
45
115
Anaemia
..
17
25
42
Bright's disease.
3
4
3
10
Wounds.
..
..
..
..
Syphilitis.
..
..
4
4
M. excitement.
..
29
20
49
Other diseases.
40
64
282
751
Abscess.
..
48
68
116
Worms.
41
15
191
247
Colitis.
..
..
105
105
Injury
..
30
21
51
Eye.
..
..
24
24
Total.
695
462
1,599
2,756
At Benares the number of cases of sickness has decreased from 912
in the last to 695 in the present triennium. This decrease is most
marked in the intestinal disease dysentery, whose figures are 77 for the
former triennium and only 9 for the latter triennium.
6. Criminal Lunatics. Statement II.—The number of criminal lu-
natics confined in the Mental Hospitals on January 1, 1929, was 264
against 220 on January 1, 1926.
The admissions during 1929 were 84 making a total population of
348 as compared with 317 in 1928 and 425 in 1927. Of these 348
patients, 61 were discharged or transferred, 8 died, the number remaining
on December 31, 1929, being 279 against 264 in 1928 and 229 in 1927.
The daily average strength was 265.13 in 1929 againt 240.13 in 1928 and
217.50 in 1927.
The present triennium compares as follows with that ending with the
year 1926.
In hospital at commencement of triennium ..
Admission
..
..
..
..
Total ..
Discharged or died .. .. .. ..
In hospital at the close of the triennum .. ..
l924-26.
237
l57
394
184
210
1927-29
210
387
597
318
279
2
( 6 )
7. Overseas Military insanes.—The
following table gives the
details of the overseas military insanes admitted into the Mental Hospi-
tals during the triennium under report: —
Agra ..
Benares
Bareilly
Total..
At the com-
mencement
of the year.
1227.
7
6
8
21
1923.
7
..
14
21
1929.
6
..
13
19
Admitted.
1927.
..
..
6
6
1928.
..
..
..
..
1929.
..
..
..
..
Discharged.
1927.
..
..
..
..
1928.
1
..
1
2
1929.
..
..
..
..
Transferred.
1927.
..
6
..
6
1928.
..
..
..
..
1929.
..
..
..
..
Died.
1927.
..
..
..
..
1928.
..
..
..
..
1929.
..
..
..
..
Remaining
at the close
of the year
1927.
7
..
14
21
1928.
6
..
13
19
1929.
6
..
13
19
Still made
treatment
at the
close of the
triennium
13
13
8. Religions, sex and residences. Statement III.—Of the 1,569
patients admitted during 1927-29, 1,195 were Hindus, 347 Muhammadans
and 24 Indian Christians, Of the 1,569 patients 1,272 were men and
297 were women.
The districts which supplied the largest number of patients during the
triennium were those of Agra, Benares, Delhi, Bareilly, Budaun, Allah-
abad, Moradabad and Aligarh.
The relative proportion of the three religions during the last two
triennia compares as follows :—
Year.
1924-26 .. .. .. ..
1927-29 .. .. .. ..
Hindus.
738
1,195
Muham-
madans.
210
347
Indian
Christians.
22
24
Others.
..
3
There are increases under all heads.
9. Previous occupation. Statement IV. —Below are compared the
figures of the previous occupations of patients admitted during the last
two triennia.
Previous occupation
statement.
Year.
1924-26 ..
1927-29 ..
Artisans.
22
34
Beggars.
100
141
Cultivators.
184
316
Domestic
ser-
vants.
44
77
Landlords.
20
30
Labourers.
90
149
Priests.
6
9
Professionals.
43
91
Public servants.
90
160
Prostitutes.
..
2
Shopkeepers.
91
91
Students.
39
39
Domestic duties.
..
58
Unknown.
241
376
Total.
970
1,569
N.B.—-Excludes 185 patients transferred from Benares to the Agra Mental
Hospital.
( 7 )
10. Age of patients.—A statement of the ages of patients admitted
during the triennium compared with those of patients in the preceding
triennium is given below :—
Age of patients.
Year.
1924-26
..
1227-29
..
Under
20
years.
61
120
20-40
years.
738
1,063
40-60
years.
163
363
Over
60
years.
8
18
Total.
970
1,569
N. B.—Excludes 185 patients transferred from Benares to the Agra Mental
Hospital.
( 8 )
11 . Type of insanity.
Statement VI. —The following table shows the various types of insanity treated during the
triennium under report :—
—
I di ocy.
Mania (acute) intermitant
chronic)
associated with
intermittent chronic.
Idiocy .. ..
Imbecility .. ..
Pregnancy .. ..
Parturition and lactation
(puerperal).
Epilepy .. ..
Old Age .. ..
Other forms .. ..
Agitated .. ..
Stuporous .. ..
Hypochondriacal ..
Associated with pregnancy
Ditto
parturition
and lactation (puerperal)
Associated with old age ..
Other forms .. ..
Circular
insanity,
Alternating
insanity.
Stupor.
Anergic .. ..
Delusional .. ..
Total treated.
1927
82
71
6
39
81
27
665
8
4
3
2
..
..
232
12
16
..
1928
76
59
6
42
84
30
473
10
4
2
..
..
2
207
33
13
..
1929
80
78
6
48
93
35
498
8
5
2
..
1
2
238
38
16
..
Recovered.
1927
..
..
..
1
..
2
92
..
..
..
2
..
..
9
..
..
..
1928
..
3
..
..
1
..
90
1
..
..
..
..
..
15
1
..
..
1929
1
1
..
..
..
..
109
..
..
..
..
..
1
25
7
..
..
Improved.
1927
..
1
..
..
1
..
17
..
..
..
..
..
..
5
1
..
..
1928
..
..
..
..
..
..
15
..
..
..
..
..
..
1
..
..
..
1929
..
..
..
..
1
..
9
..
1
..
..
..
..
4
1
..
..
Not improved.
1927
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
1928
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1929
..
..
..
..
..
..
2
..
..
..
..
..
..
1
..
..
..
Otherwise.
1927
12
14
..
..
7
..
173
..
..
1
..
..
..
60
1
2
..
1928
..
..
..
..
..
..
6
..
..
..
..
..
..
6
..
..
..
1929
..
2
..
1
1
..
9
..
..
..
..
..
..
2
..
1
..
Died.
1927
6
7
..
..
2
..
53
..
..
..
..
..
..
3
..
1
..
1928
4
4
..
..
2
..
43
1
..
..
..
..
..
15
..
1
..
1929
4
2
1
..
4
1
24
..
..
..
..
..
..
11
..
1
..
Remaining on
the last day of
the year.
1927
64
49
6
38
71
25
333
8
4
2
..
..
..
154
10
13
..
1928
72
52
6
42
81
30
319
8
4
2
..
..
2
170
32
12
..
1929
75
73
5
47
87
34
345
8
4
2
..
1
1
195
30
15
..
( 9 )
Delusional insanity (acute or chronic)
Perancia.
Acute delirium .. ..
Insanity associated with acute in-
fective diseases.
Confusional insanity .. ..
Syphi-
litie
insanity.
General paralysis of the
insane.
Dementia from local cere-
bral syphilis.
Insanity due to alcohol ..
Ditto
Cannabis indica or
its preparation or derivation.
Insanity from other causes ..
Dimentia Praecox .. ..
Demontia (Pri-
mary or
Secondary).
Secondary or terminal
dimentia.
From
organic
cerebral
deseases
other
than
syphilitic.
From
arterial diseases,
senile.
Epilepsy .. ..
Injury .. ..
Declared to have recovered or not
yet diagnosed.
Total ..
87
1
20
90
12
23
14
244
8
73
63
4
26
31
..
25
1,972
82 1
31
70
10
23
12
216
7
93
34
2
37
40
..
21
1,720
75
1
31
105
10
27
14
224
12
84
36
2
26
33
1
31
1,860
6
..
..
17
..
..
2
27
2
6
1
..
..
..
..
7
174
11
..
4
7
..
..
1
40
..
13
1
..
1
..
..
4
193
6
..
4
19
..
1
1
40
..
7
1
..
..
..
1
13
237
2
..
..
..
..
..
1
1
..
5
3
..
..
..
..
..
37
3
..
..
1
..
..
..
2
1
5
..
..
3
1
..
1
33
1
..
..
3
..
..
2
3
..
6
1
..
..
..
..
..
32
2
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
4
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
1
..
..
..
..
..
..
5
14
..
..
7
..
..
1
66
2
11
25
2
..
3
..
14
415
..
..
..
..
..
..
..
..
..
1
..
..
1
..
..
1
15
.. ..
..
..
..
..
..
..
..
3
..
..
..
..
..
1
20
4
..
..
7
2
..
..
6
..
5
3
..
6
..
..
1
106
5
..
..
9
..
..
..
5
..
1
2
..
8
9
..
..
109
4
..
..
5
..
1
..
2
..
6
9
..
2
2
..
..
79
59
1
20
59
10
23
10
144
4
45
31
2
20
28
..
3
1,236
63
1
27
53
10
23
11
169
6
73
31
2
24
30
..
15
1,370
64
1
27
77
10
25
11
179
12
61
25
2
24
31
..
17
1,487
( 10 )
A comparison of the figures with the previous triennium discloses the
following : —
Year.
1924 .. ..
1925 .. ..
1926 .. ..
Total ..
1927 .. ..
1928 .. ..
1929 .. ..
Total ..
Total.
1,600
1,548
1,561
4,709
1,972
1,720
1,860
5,552
Recovered.
172
143
166
481
174
193
237
604
Improved.
52
44
45
141
37
33
32
102
Not
improved
3
..
3
6
4
..
5
9
Died.
148
144
149
441
106
109
79
294
12. Causes of insanity.
Statement VII.—The following table gives
the details of the ætiological factors and associated conditions in the
patients treated during the triennium as compared with those treated
during the years 1924-26 :—
Causes of insanity
statement.
year.
1924-26. ..
1927-29. ..
Aetiological factors and associated conditions.
Heredity.
72
68
Mental instability.
75
186
Deprivation
of
special senses.
1
1
Critical periods.
44
108
Child-bearing.
23
34
Mental stress.
71
165
Disorders
of
nutrition
and
metabolism.
39
67
Toxic.
268
297
Traumatic.
5
9
Diseases of
the
nervous system.
53
77
Other bodily afflic-
tions including
malaria.
159
173
No cause assignable .
151
161
No
cause ascertained,
history defective.
49
249
Lieutenant-Colonel Overbeek-Wright at Agra considers malaria to be
by far the most potent exciting factor of insanity in the cast, and regards
the presence of intestinal parasites as another potent cause. The other
two superintendents do not apparently regard these two factors as
important.
13. Casualties, suicides.—In
1928 there occured a case of suicide in,
and five escapes from the Agra Mental Hospital, while in 1929 one case of
suicide occurred in the Bareilly Mental Hospital and eight escapes occurred
from the Agra Mental Hospital.
The number of escapes from the Agra Mental Hospital must be
attributed partly to shortness of staff and partly to slackness and corruption
on the part of some attendants. In the latter cases disciplinary action
was taken.
14. Expenditure. Statement VIII—The
total expenditure during
the year 1929 amounted to Rs. 2,77,893 against Rs. 2,74,526 in 1927 and
( 11 )
Rs. 2,72,344 in 1928 The expenditure during the three years amounted
to Rs. 8,24,763 as compared with Rs. 7,14,066 during the previous three
years.
The receipts from paying patients rose from Rs. 11,208 in 1927 to
Rs. 14,343 in 1928 and Rs. 15,431 in 1929, the total receipts under the
same head being Rs. 40,982 against Rs. 25,893 during the previous
triennium.
15. Manufactures.
Statement X.—The net profit on the Mental
Hospital industries amounted to Rs. 12,146 in 1929 as compared with
Rs. 10,976 in 1927 and Rs. 11,871 in 1928.
The total credits and debits for the two triennia are compared below : —
Bareilly .. .. ..
Benares .. .. ..
Agra .. .. ..
Total ..
1924—26.
Credits.
Rs.
15,129
11,715
46,931
73,778
Debits.
Rs.
11,092
3,764
9,279
24,135
1927—29.
Credits
Rs.
18,501
15,573
34,975
69,049
Debits.
Rs.
14,440
9,009
10,607
34,056
16. Inspections. — The Agra Mental Hospital was visited by the
Inspector-General of Civil Hospitals once in 1927 and 1928, while the
Bareilly and Benares Mental Hospitals were each visited twice in 1927 and
once in each of the years 1928 and 1929.
In March 1927 His Excellency Sir William Marris visited the Agra
Mental Hospital.
His Excellency Sir Malcolm Hailey visited the Bareilly Mental Hospi-
tal in November 1929 and the Agra Mental Hospital in July 1929.
The President of the United Provinces Jails Enquiry Committee visited
the Bareilly Mental Hospital, in February 1929.
17. Buildings and works.—The construction of 36 warders' quarters
at the Benares Mental Hospital was noted as an urgent work in 1923 and
technically sanctioned in that year: but it has not yet been possible to
allot funds for the purpose. Similarly the re-roofing of certain barracks
at that hospital has been urgently required since 1914 and the condition
of these buildings has steadily deteriorated. The necessity of the above
works was noted in the last triennial report and the need of a new cook-
house at the Agra Mental Hospital has been the subject of remarks in the
last two triennial reports.
The installation of electric lights and fans in the Mental Hospital, Agra,
was taken up and the work is nearing completion. The Mental Hospital
will now have adequate lighting and fans for better class patients and
cases of serious illness among the ordinary inmates.
( 12 )
At Bareilly the following important works were undertaken and
completed during the triennium :—
1. A godown for garden implements, coal and bhusa.
2. Re-roofing of the cattle-shed.
The boundary wall at Bareilly has been repointed and deteriorated
bricks changed at a cost of Rs. 4,995 during the years 1928 and 1929.
This has greatly strengthened the boundary wall which had fallen down at
places. The work has not yet been completed.
18
General.—It
has been found possible to appoint as Deputy
Superintendent of the Agra Mental Hospital a young officer who has had
special training in pathology. The superintendent has taken the oppor-
tunity to start a laboratory and a laboratory has also been started at
Benares.
Both at Agra and Benares the establishment of laboratories has resulted
in more general examination of patients' stools. The anchylostoma and
round worms have both been found to be extremely common, and appro-
priate treatment there to has brought about considerable improvement in
the general health. At the Agra Mental Hospital a prophylactic course of
anthelmenthies is now administered to every patient every six months.
The appointment of a woman doctor at Agra has improved the female
section of that hospital which now has a separate dispensary.
In 1927 Government sanctioned the placing of the names of the clerical
staff attached to the Mental Hospitals on the provincial list of the Civil
Surgeons' clerks in the United Provinces and raised the pay of the clerks
of all three Mental Hospitals to the same scale of pay as that of Civil
Surgeons' clerks.
Plans for the improvements of the Mental Hospitals include an expen-
diture of over one lakh at the Agra Mental Hospital on buildings, of
Rs. 80,000 at Benares also on building and of Rs. 60,000 at Bareilly on
new barracks and electric installation. Whilst the three hospitals require
a recurring increase each of about Rs 3,000 per annum for extra staff, in-
crease of monials' pay and of clothing grants.
In addition an improvement in the diet of Indian patients in Mental Hos-
pitals that has been recommended will involve an extra expenditure of
about Rs. 3,000 per annum.
During the last year a scheme has been devised for the accommodation
of non-violent and non-criminal lunatics, while under observation in their
districts, at the Sadr hospitals of these districts instead of in the jails where
they have hither to been, and are still kept during observation. Most Sadr
hospitals already possess suitable accommodation and the scheme will involve
a non-recurring expenditure of only Rs, 44,000. But in connexion with this
same scheme is a system of a travelling staff of mental attendants to be
maintained at Agra and Bareilly for the purpose of fetching the lunatics
from outside districts and for attending on them during their period
of observation there. This would involve an annual expenditure of
Rs. 15,720.
These items represent necessities: the further requirements of the
Mental Hospitals to modernize them and increase their officiency would
involve more increase of staff and recurring expenditure,