2
Sickness.
12. The daily average sick in 1918 was 50.7, as compared with 45.5 in 1917.
Influenza was prevalent in a very virulent type at the Hyderabad, Dhárwár and
Ratnágiri Asylums, the inmates being attacked in large numbers. The other asylums
were practically free from the epidemic. The general health of the insanes was on the
whole satisfactory.
Mortality.
13. There were 203 deaths against 135 in 1917. The ratio of deaths to the daily
average strength was 14.4 against 10.1 in 1917. The large increase in the number of
deaths was due to the high mortality from influenza at the Hyderabad and Dhárwár
Asylums. The number of deaths from this disease at the two asylums was 46 and 17
respectively. The other chief causes of death at the several asylums were Tuberculosis
23, Diarrhoea 15 and Dysentery 13. The remaining 99 deaths were due to various
causes.
STATEMENT NO. II.
Criminal Insanes.
14. The number of criminal insanes remaining in confinement at the beginning of
the year was 188. During the year 42 were admitted and 4 were re-admitted giving a
total population of 234, as compared with 243 in 1917. The daily average strength was
185.5 against 182.2 in the previous year.
STATEMENT No. III.
Religion, sex and residence of the insanes admitted.
15. Of the 646 insanes admitted during the year there were 61 Europeans and
Eurasians, 34 Indian Christians, 315 Hindus, 172 Mahomedans, 29 belonged to other
races.
STATEMENT No. IV.
Previous occupations of the insanes admitted.
16. Domestic servants (55) and labourers (53) furnished the largest number of
admissions, followed by military sepoys (26), military followers and employees (39),
British soldiers (37), cultivators (34), merchants (33), mendicants (30), and 131 of
various occupations. In 126 cases the previous occupation could not be ascertained
and 82 had no occupation.
STATEMENT No. V.
Ages of insanes admitted.
17. Forty-two insanes were under 20 years on admission against 34 in the previous
year; 525 were between 20 and 40 years against 499; 78 were between 40 and 60 years
against 96, and 1 was over 60 years against 2 in 1917.
STATEMENT No. VI.
Types of Insanity.
18. The principal types of insanity treated were idiocy. 94 against 98 in the
previous year, mania 948 against 963, melancholia 342 against 333, mental stupor 88
against 26, delusional insanity 162 against 178, insanity caused by Cannabis Indica
or its preparations 69 against 67, and dementia 244 against 245.
STATEMENT NO. VII.
Ætiological factors and associated conditions in the insanes admitted.
19. The principal predisposing and exciting causes were mental stress 107 against
134 last year, the abuse of intoxicants 78 against 89, mental instability 69 against 55,
toxic diseases 29 against 26, physiological defects 12 against 18 and traumatic causes 6
against 7. The causes of insanity were not ascertained in 292 cases owing to insufficient
history.
STATEMENT NO. VIII.
Cash accounts.
20. The total receipts and expenditure during the year amounted to Rs. 4,69,183-8-3,
as compared with Rs. 4,05,578-1-6 in 1917. The receipts from paying patients amounted
to Rs. 67,722-5-9 against Rs. 70,338-3-8 recovered in the preceding year. The value of
stores received from the Manufacturing Department, less cost of raw materials, was
Rs. 8,211-8-5 as compared with Rs. 6,932-5-0 in 1917. Deducting the receipts from
paying patients, the value of stores received from the Manufacturing Department and
the sums realized on account of the sale of goods to the public, &c., the net expenditure
amounted to Rs. 3,02,612-5-1 as compared with Rs. 2,40,975-5-4 in 1917. The increase
of Rs. 61,636-15-9 was due to the increased amount expended on buildings and the
higher charges incurred under the heads of establishment and diets.