2
Vaccine in February 1920 and 21 were uninoculated. Of the 3 deaths 1 was inoculated
in February 1920 and 2 were uninoculated. The general health of the insanes at other
asylums was satisfactory.
Mortality.
13. There were 157 deaths during the year against 176 in the previous year. The
ratio of deaths to the daily average strength was 10.9 against 12.3 in 1920. The chief
causes of deaths at the several asylums were Tubercle of the lung 14, Pneumonia
10, Valvular diseases of the heart 8, Anæmia 7, Influenza 6, Dysentery 4. The remaining
108 deaths were due to various other causes.
STATEMENT NO. I-A.
Cases under observation.
14. Of the 17 cases under observation at the Central Lunatic Asylum, Yeravda,
14 were certified and admitted into asylum, 1 released as uncertifiable, and 2 died.
STATEMENT No. II.
Criminal Insanes.
15. The number of criminal insanes remaining in confinement on the 1st January
1921 was 203. During the year 51 were admitted giving a total of 254 as compared with
250 in 1920. The daily average strength was 196.0 against 189.5 in the previous year.
Statement No. III.
Religion, sex and residence of the insanes admitted.
16. Of the 506 insanes admitted during the year there were 25 Europeans and
Eurasians, 34 Indian Christians, 310 Hindus, 115 Mahomedans and 22 belonged to
other races.
STATEMENT No. IV.
Previous occupation of the insanes admitted.
17. Domestic servants (56) furnished the largest number of admissions followed.
by labourers (33), cultivators (32), merchants and traders (27), mendicants (23), and 144
of various occupations. In 173 cases the previous occupation could not be ascertained
and 18 had no occupation.
STATEMENT No. V.
Ages of insanes admitted.
18. Thirty-nine insanes were under 20 years on admission against 30 in the previous
year; 396 were between 20 and 40 years against 441; 67 were between 40 and 60 years
against 117, and 4 were over 60 years against 8 in the previous year.
STATEMENT No. VI.
Types of insanity.
19. The principal types of insanity treated were idiocy 56 against 83 in the
previous year, mania 814 against 892, melancholia 344 against 354, stupor 93 against 34,
delusional insanity 112 against 207, insanity caused by Cannabis Indica or its prepara-
tions 110 against 99, and dementia 190 against 234.
STATEMENT No. VII.
Ætiological factors and associated conditions in the insanes admitted.
20. The principal predisposing and exciting causes were mental stress 59 against
104 in the previous year, the abuse of intoxicants 80 against 91, mental instability 53
against 47, toxic diseases 45 against 20, diseases due to disorders of nutrition and
metabolism 9 against 22, and traumatic causes 5 against 1. The causes of insanity were
not ascertained in 191 cases owing to insufficient history.
STATEMENT No. VIII.
Cash Accounts.
21. The total receipts and expenditure during the year amounted to Rs. 7,18,418,
i.e., the same amount under both heads, as compared with Rs. 6,63,151 in the previous
year. The receipts from paying patients amounted to Rs. 74,194 against Rs. 71,863
realised in 1920. The value of stores received from the Manufacturing Department,
less cost of raw materials, was Rs. 8,912 as compared with Rs. 11,321 in the previous