2
13. Of the 14 insanes returned as discharged otherwise 7 escaped, 3 were transferred
to another asylum, 2 were removed to the non-criminal list, 1 was returned to jail and 1
was see to stand his trial.
Sickness.
14. In the year under report the daily average of sick was 45.2 as compared with
50.7 in 1918. The health of the inmates at the Naupada Asylum was not satisfactory
owing to an edidemic of Cholera and Influenza. Malaria was also prevalent owing to
the heavy rains. The general health of the insanes was satisfactory at other asylums
though an outbreak of cholera occurred at the Ahmedabad Asylum.
Mortality.
15. There were 216 deaths in 1919 against 203 in the previous year. The ratio
of deaths to the daily average strength was 15.0 against 14.4 in 1918. Of the 77 deaths
from all causes which occurred at Naupada, 15 were from epidemic diseases—Cholera
and Influenza. Out of the 20 T. B. cases 1 died in 5 days, 1 in a month and 7 others
in a few months after admission. They must have had latent Pthisis when admitted.
16. The chief cause of mortality in Hyderabad Asylum was chronic malarial
cachexia which was prevalent during the year all over the district. This disease among
the insanes was commonly complicated by bowel lesion causing Diarrhœa or Dysentery
which is often fatal in persons already weakened by chronic nervous diseases of different
types.
17. The chief causes of deaths at the several asylums were Tuberculosis 35,
Dysentery 24, Malaria 21, General Atrophy 16, Diarrhœa 13, Cholera 13 and Influenza 6.
The remaining 88 deaths were due to various other causes.
STATEMENT No. II.
Criminal Insanes.
18. The number of criminal insanes remaining in confinement on the 1st January
1919 was 188, which with 35 admissions during the year, gave a total population of 223
as compared with 234 in 1918. The daily average strength was 184.0 as compared with
185.0 in the previous year.
STATEMENT No. III.
Religion, sex and residence of the insanes admitted.
19. Of the 660 insanes admitted during the year there were 65 Europeans and
Eurasians and 37 Indian Christians, 330 Hindus, 206 Mahomedans and 29 belonging to
other races.
STATEMENT No. IV.
Previous occupation of the insanes admitted.
20. Military employees, followers and others furnished (92) admissions followed by
domestic servants (70), labourers (42), merchants (37), mendicants (20), cultivators (22)
clerks (21), artisans (19), prisoners of war (10) and 114 of various occupations. In 116
cases the previous occupation could not be ascertained and 97 had no occupation.
STATEMENT No. V.
Ages of insanes admitted.
21. Forty-five insanes were under 20 years on admission as compared with 42 in
1918 ; 540 were between 20 and 40 years against 525 ; 71 were between 40 and 60 years
against 78, and 4 were over 60 years against 1 in the previous year.
STATEMENT No. VI.
Types of insanity.
22. The principal types of insanity treated were idiocy 92 against 94 in the previous
year, mania 979 against 948, melancholia 359 against 342, mental stupor 35 against 88,
delusional insanity 238 against 162, insanity caused by Cannabis Indica or its prepara-
tions 69 against 67, and dementia 244 against 245.
STATEMENT No. VII.
Ætiological factors and associated conditions in the insanes admitted.
23. The principal predisposing and exciting causes were mental stress giving rise to
111 cases as compared with 107 last year, the abuse of intoxicants 113 against 78, mental
instability 36 against 69, Toxic diseases 60 against 29, physiological defects 36 against
12 and traumatic causes 7 against 6. The causes of insanity were not ascertained in
250 cases owing to insufficient history.