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Latrines.
10. The whole of the latrines have been fitted with raised earthen chabútras, which ad-
mit of being easily removed and relaid ; they prevent the possibility
of the floors sinking into hollows and give a much tidier appearance.
Conservancy.
11. All ordure, except that from the hospital, is buried in shallow trenches in the garden,
and, so far as absolute cleanliness could be preserved, every effort has
been made,—bedding aired, clothes frequently washed and changed,
means of ablution ample.
Food.
12. With regard to diet, no alteration has been made; a most liberal scale is provided ;
meals twice a day ; cows milked at the gateway in the presence of
the Deputy Superintendent or jamadár ; Scriven's filters for the cook-
ing and drinking water; vegetables entirely supplied by the Asylum garden, which gives
plenty of out-door occupation for the able-bodied lunatics.
Swamp outside.
13. The quarantine wards were used throughout the year un-
til cholera occurred, when they were utilized as an hospital.
There is a large objectionable piece of hollow ground* outside the Asylum on the north,
which, in a sanitary point of view, was made worse during the heavy rains of last autumn. So
far as it has been possible it has been partially remedied by bringing it under cultivation.
Totals with forms and
causes of insanity.
14. On the 1st January 1875 there were 255 lunatics, and during the year 120 cases
were admitted, making a total of 375 under treatment during 1875
against a total of 373 during 1874. Of the 375 inmates 296 were
males and 79 females. No. 1 statement shows the average population during the past ten
years to have been 231.7. No. 2 statement shows the number of criminal lunatics during
1875. There were 32 remaining on the 1st January 1875, 9 were admitted, making a total
of 41; of whom 11 were discharged, cured, or sent for trial, or transferred to Central Jail,
Lahore, and 3 died, leaving 27 on the 31st of December 1875.
Objectionable cases.
15. In connection with a certain class of cases often sent to us as violent, and consequent-
ly sometimes placed in the dangerous wards, I notice that there have
been persons who, intoxicated by bhang, became uproarious, and who
were no doubt very violent and perhaps dangerous at the time; but are they fit persons for deten-
tion in a lunatic asylum, or are they not rather moral offenders and amenable to the law ?
That there is a form of insanity consequent on excessive use of intoxicating drugs we know
too well, but the cases I refer to are not such. They are perfectly rational and intelligent,
and well aware of the causes of their being sent as " págles." I may be wrong in my view,
and the inebriate, say a soldier, dhobie, or maither, who gets violent from bhang, is one who
should be in an asylum, and kept there till he is cured of his habit. I hardly think so.
Causes.
16. The excessive use of bhang and charras has been the cause of no fewer than 135
being in the Asylum, of whom 39.5 per cent. have recovered and
been discharged.
Epileptic mania.
17. Epileptic mania—generally a disorder accompanied by mental depression and an
utter disregard of anything or anybody, the poor sufferers sitting or
lying about perfectly listless and often lost to all sense of decency—is
a very common form of insanity.
Race.
18. The Pathán race furnish us with the most violent forms
of disease.
There are 2 females—Mussammát Gul Nyzo and Mussammát Gul Bibi—instances of
genuine acute mania, who give Mrs. Sinnott, the Matron, a great deal of trouble at times
when their periods of excitement recur. There are many males. One Juma Khan—a Pathán
soldier—is one of the most dangerous lunatics we have, and requires perpetual watching.
Puerperal mania.
19. The number of cases of puerperal mania has been 2, 1 of which is now in hospital
and is gradually recovering,—her stage of excitement having quite
passed off.
* This is between Asylum and Grand. Trunk Road. It ought to be filled in as far as is necessary for drainage,
but no one has liked to propose this because of the expense.— R. YOUNG.