NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
47
No. VI—concld.
for Mental Diseases at Patna during the year 1921—concld.
14
15
16
conditions.
Insanity from
other causes.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
1
...
1
...
...
...
1
...
...
...
Total.
1
...
1
...
...
...
1
...
...
...
Dementia praecox.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
Dementia (primary or secondary).
Secondary or
terminal dementia.
Males.
2
38
40
...
...
...
1
...
2
37
Females.
...
5
5
...
...
...
...
...
...
5
Total.
2
43
45
...
...
...
1
...
2
42
From organic
cerebral diseases
other than
syphilitic.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
From arterial
disease : senile.
Males.
2
2
4
...
...
...
...
...
1
3
Females.
...
...
...
...
...
...
...
...
...
...
Total.
2
2
4
...
...
...
...
...
1
3
From epilepsy.
Males.
4
4
8
...
...
...
...
...
1
7
Females.
...
...
...
...
...
...
...
...
...
...
Total.
4
4
8
...
...
...
...
...
1
7
From injury.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
17
Declared to
have recovered,
or not yet
diagnosed.
Males.
23
8
31
4
...
...
14
...
...
13
Females.
2
...
2
...
...
...
...
...
...
2
Total.
25
8
33
4
...
...
14
...
...
15
18
Total.
Males.
208
156
364
15
4
3
94
1
27
220
Females.
46
15
61
...
...
...
9
...
1
51
Total.
254
171
425
15
4
3
103
1
28
271
excluded from this statement.
11
48
STATEMENT VII.
Showing Ætiological Factors and Associated Conditions in the Patients admitted in the
Hospital for Mental Diseases at Patna during 1921.
Ætiological Factors
and Associated Conditions.
1
A.—Heredity—
1. Insane ...
2. Epileptic ...
3. Neurotic ...
4. Marked eccentricity
5. Alcoholism ...
Total ...
B.—Mental
instability,
as revealed by—
1. Moral deficiency
2. Congenital mental
defect.
3. Eccentricity ...
4. Previous attack
Total ...
C.—Deprivation
of
special senses—
1. Smell or taste ...
2. Hearing ...
3. Sight ... ...
Total ...
D.—Critical periods—
1. Puberty and ado-
les
2. Climacteric ...
3. Senility ...
Total ...
Carried over ... ...
Predisposing cause.
Males.
2
3
...
...
...
...
3
1
...
...
...
1
...
...
...
...
...
...
1
1
5
Females.
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
4
3
...
...
...
...
3
1
...
...
...
1
...
...
...
...
...
...
1
1
5
Exciting cause.
Males.
5
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Females.
6
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
Males.
8
3
...
...
...
...
3
1
...
...
...
1
...
...
...
...
...
...
1
1
5
Females.
9
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
10
3
...
...
...
...
3
1
...
...
...
1
...
...
...
...
...
...
1
1
5
49
STATEMENT VII—contd.
Showing Ætiological Factors and Associated Conditions in the Patients admitted in the
Hospital for Mental Diseases at Patna during 1921.
Ætiological Factors
and Associated Conditions.
1
Brought forward ...
E.—Child-bearing—
1. Pregnancy ...
2. Parturition ...
3. Lactation ...
Total ...
F.—Mental stress—
1. Sudden ...
2. Prolonged ...
Total ...
G.—Diseases due to dis-
orders of nutrition or
metabolism.
1. Malnutrition (in
early life).
2. Privation
and
starvation.
3. Over-exertion
(physical).
4. Sexual excess ...
Total ...
H.—Infective and Toxic—
1. Alcohol ...
2. Opium and morphia
3. Cocaine ...
4. Cannabis Indica
5. Acute infective
diseases.
6. Tuberculosis ...
7. Syphilis acquired
Do. congenital
8. Plague ...
9. Influenza ...
10. Other toxins ...
Total ...
Carried over
...
Predisposing cause.
Males.
2
5
...
...
...
...
...
7
7
...
...
...
...
...
2
...
...
7
...
...
...
...
...
...
...
9
21
Females.
3
...
...
...
...
...
...
...
...
...
1
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
Total.
4
5
...
...
...
...
...
7
7
...
1
...
...
1
2
...
...
7
...
...
...
...
...
...
...
9
22
Exciting cause.
Males.
5
...
...
...
...
...
4
7
11
...
...
...
...
...
1
...
...
7
...
...
...
...
...
...
...
8
19
Females.
6
...
...
...
...
...
1
1
2
...
1
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
3
Total.
7
...
...
...
...
...
5
8
13
...
1
...
...
1
1
...
...
7
...
...
...
...
...
...
...
8
22
Total.
Males.
8
5
...
...
...
...
4
14
18
...
...
...
...
...
3
...
...
14
...
...
...
...
...
...
...
17
40
Females.
9
...
...
...
...
...
1
1
2
...
2
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
4
Total.
10
5
...
...
...
...
5
15
20
...
2
...
...
2
3
...
...
14
...
...
...
...
...
...
...
17
44
50
STATEMENT VII—contd.
Showing Ætiological Factors and Associated Conditions in the Patients admitted in the
Hospital for Mental Diseases at Patna during 1921.
Ætiological Factors
and Associated Conditions.
1
Brought forward ...
I.—Traumatic—
1. Injuries ...
2. Operations ...
3. Sunstroke ...
Total ...
J.—Diseases
of
the
nervous System—
1. Diseases of the brain
2. Do. of the spinal
cord and nerves.
3. Epilepsy
...
4. Other defined neuroses
Total ...
K.— Other bodily afflic-
tions —
1. Diseases of the blood
2.
„
of the circula-
tory System.
3.
„
of the valves
of the heart.
4.
„
of the diges-
tive system.
5.
„ of the urinary
organs.
6.
„
generative Sys-
tem (exclud-
ing syphilis).
7. Other general affec-
tions.
Total ...
Total of figures under
heads "A" to "K"
L.—No cause assignable
M.—No cause ascertained-
History defective
GRAND TOTAL ...
Predisposing cause.
Males.
2
21
...
...
...
...
...
...
2
...
2
...
...
...
...
...
...
...
...
23
...
29
52
Females.
3
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
4
5
Total.
4
22
...
...
...
...
...
...
2
...
2
...
...
...
...
...
...
...
...
24
...
33
57
Exciting cause.
Males.
5
19
...
...
...
...
...
...
2
...
2
...
...
...
...
...
...
...
...
21
...
...
21
Females.
6
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
...
3
Total.
7
22
...
...
...
...
...
...
2
...
2
...
...
...
...
...
...
...
...
24
...
...
24
Total.
Males.
8
40
...
...
...
...
...
...
4
...
4
...
...
...
...
...
...
...
...
44
...
29
73
Females.
9
4
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4
...
4
8
Total.
10
44
...
...
...
...
...
...
4
...
4
...
...
...
...
...
...
...
...
48
...
33
81
NOTE—In 20 patients (18 male 2 female), there were both exciting and predisposing causes, thus
accounting for a total of 81 against 62 new admissions.
N. B.—Observation cases are excluced from this statement.
STATEMENT No. VIII.
12
52
STATE
Showing the Cash Account of the Hospital for Mental Diseases
1
YEAR.
1921 ...
...
1920 ... ...
1919 ... ...
2
3
4
5
6
7
RECEIPTS.
Received
from
Treasury.
Rs.
49,854
48,140
50,963
a.
2
2
12
p.
5
1
7
Received
from paying
patients.
Rs.
502
432
519
a.
3
0
15
p.
0
3
3
Value of stores
received from
the Manufac-
turing Depart-
ment less cost
of raw
materials.
Rs.
3,096
1,646
1,787
a.
9
5
5
p.
5
2
0
Book receipts,
i.e., the total
of expenditure
entered in
columns 19, 20
and 21.
Rs.
4,166
4,017
3,604
a.
12
8
11
p.
2
11
9
Miscellane-
ous receipts.
Rs. a. p.
...
56 12
9
...
8
9
10
11
Total.
Rs.
57,619
54,292
56,875
a.
11
13
12
p.
0
2
7
Establishment.
Establish-
ment proper.
Rs.
19,982
16,353
14,093
a.
1
12
9
p.
0
8
5
Superinten-
dence.
Rs.
6,442
5,400
6,900
a.
0
0
0
p.
0
0
0
Ditto.
Rs.
16,775
20,996
22,409
a.
2
4
11
p.
2
10
11
Clothing and
bedding.
Rs.
3,148
1,609
5,058
a.
13
4
7
53
MENT No. VIII.
at Patna for the year 1921 and the two previous years.
12
13
14
15
16
17
18
19
20
21
22
CHARGES.
Bazar
medicines.
Rs.
482
390
287
a.
3
14
13
p.
0
0
0
CONTINGENCIES.
Contingencies
proper.
Rs.
5,129
3,347
3,063
a.
7
10
2
p.
5
3
3
Repairs and
mainten-
ance.
Rs.
21
507
250
a.
15
15
0
p.
0
6
0
Rates and
taxes.
Rs.
969
1,180
688
a.
2
10
6
p.
3
0
0
Remitted to
Treasury
on account of
paying
patients, etc.
Rs.
502
432
519
a.
3
0
15
p.
0
3
3
Miscellane-
ous items.
Rs. a. p.
...
56 12 9
...
Total of
columns 8—17.
Rs.
53,452
50,275
53,271
a.
14
4
0
p.
10
3
10
BOOK CHARGES.
Charges on
account of
work done by
the Public
Works
Department.
Rs.
2,215
1,849
1,251
a.
13
8
8
p.
6
0
0
Cost of
printed
forms and
stationery.
Rs.
87
58
51
a.
5
12
12
p.
8
2
9
Cost of
English
stores, medi-
cines, etc.
Rs.
1,863
2,109
2,301
a.
9
4
7
p.
0
9
0
Total of
columns 18—21.
Rs.
57,619
54,292
56,875
a.
11
13
13
p.
0
2
7
23
REMARKS.
54
STATEMENT No. IX.
Showing the sanctioned Establishment of the Hospital for Mental Diseases at Patna as it stood on the 31st December 1921.
1
ESTABLISHMENT.
Superintendent
...
...
... ... ... ...
Deputy Superintendent
...
...
...
...
...
Overseer ... ... ... ... ... ...
Matron ... ... ... ... ... ...
Sub-Assistant Surgeon ... ... ... ... ...
Compounder ... ... ... ... ... ...
Clerk
...
...
...
...
...
...
Head Male Keeper ... ... ... ... ...
Assistant Head Male Keeper ... ... ... ... ...
Ditto
...
...
...
...
...
...
Ditto ... ... ... ... ... ...
Ditto ... ... ... ... ... ...
Head Female Keeper ... ... ... ... ...
Male Keeper ... ... ... ... ... ...
Temporary Male Keeper ... ... ... ... ...
Female Keeper ...
... ... ... ... ...
Female Hospital Assistant
...
...
...
...
...
Harkara
...
...
...
...
...
...
Darwan
...
...
...
...
...
...
Male ward attendants ... ... ... ... ...
Cook
...
...
...
...
...
...
Barber
...
...
...
...
...
...
Washerman
...
...
...
...
...
...
Carpenter
...
...
...
...
...
...
Mistri
...
...
...
...
...
...
Mali
...
...
...
...
...
...
Bhisti
... ... ... ... ... ...
Head Sweeper ... ... ... ... ... ...
Male sweeper ... ... ... ... ... ...
Female sweeper ... ... ... ... ... ...
Total ... ...
Daily average number of males including
obseivation cases.
Daily average number of females including
observation cases.
Proportion of
Jamadars to males ...
Jamadarins to females ...
Male Keepers to males ...
Female Keepers to females
221.54
48.10
1 to 44.31
1 to 48.10
1 to 5.27
1 to 6.01
2
PATNA.
Number.
1
...
...
1
...
...
1 ... ...
1
...
...
1
...
...
1 ... ...
1
...
...
1
...
...
1 ... ...
1
...
...
2 at Rs. 20 each ...
1
...
...
1 at Rs. 20 ...
1 at Rs. 19 ...
3 at Rs. 18 ...
7 at Rs. 17 ...
6 at Rs. 16 ...
18 at Rs. 15 ...
6 at Rs. 15 ...
2 at Rs. 16 ...
6 at Rs. 15
...
1 ... ...
1
...
...
1
...
...
2 at Rs 9-8-0 ...
1
...
...
1
...
...
2 at Rs. 12 each
1
...
...
1 ... ...
1 at Rs, 9-8-0 and 1
at Rs. 6. (d)
2 at Rs. 8 each ...
1 ... ...
1 at Rs. 9 and 7 at
Rs. 8.
5 at Rs. 8 ...
......
......
......
......
......
......
......
Monthly wages
Rs.
(a)250
(b)250
125
37
(c)120
20
40
35
30
26
40
32
578
90
122
9
9
8
19
10
8
24
13
(d) 14
15
16
9
65
40
2,060
A.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
8
0
0
0
0
0
P.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(a)
(b)
(c)
(d)
Allowance.
Pay Rs. 200.
Allowance Rs 50.
Pay Rs. 100.
Allowance Rs. 20.
Vacant.
56
STATEMENT
Showing Receipts and Expenditure on account of Manufactures in the Hospital
1
YEAR.
1921 ...
1920 ...
1919 ...
2
MEAN POPULATION.
Males.
220.38
205.77
222.74
Females.
48.10
44.63
44.42
Total.
268.48
250.40
267.16
3
4
5
6
7
8
CREDITS.
Cash paid into
Treasury
for articles sold.
Rs.
138
397
389
a.
15
15
9
p.
9
3
11
Value of
manufactured
goods made over
to Asylum for
Asylum purposes.
Rs.
6,795
7,323
9,216
a.
15
11
11
p.
0
4
3
Value of raw
materials in
store at
the end of
the year.
Rs.
641
2,293
4,443
a.
3
8
0
p.
9
4
3
Value of
manufactured
goods in store
at the end
of the year.
Rs.
120
324
267
a.
15
10
13
p.
9
1
6
Value of
plant and
machinery in
store at the end
of the year.
Rs.
1,219
1,351
1,217
a.
11
3
8
p.
0
0
0
Total Credits.
Rs.
8,916
11,691
15,534
a.
13
0
10
p.
3
0
11
STATEMENT
Abstract of Cash Account of the Hospital for Mental diseases at Patna
YEAR.
1
1921 ... ...
1920 ... ...
1919 ... ...
Establishment.
Total
cost.
2
Rs.
26,424
21,753
20,993
a.
1
12
9
p.
0
8
5
Cost per
head of
average
strength.
3
Rs.
97
86
78
a.
15
14
9
p.
11
0
4
Diet.
Total
cost.
4
Rs.
16,775
20,996
22,409
a.
2
4
11
p.
2
10
11
Cost per
head of
average
strength.
5
Rs.
62
83
83
a.
3
13
14
p.
5
7
1
Bedding and clothing.
Total
cost.
6
Rs.
3,108
1,609
5,058
a.
13
4
7
p.
0
0
0
Cost per
head of
average
strength.
7
Rs
11
6
18
a.
10
6
14
p.
11
10
11
Medicines.
Total cost.
8
Rs.
2,345
2,439
2,589
a.
12
2
4
p.
0
9
0
Cost per
head
of average
strength.
9
Rs.
8
9
9
a.
11
11
11
p.
2
10
1
Contingencies.
Total cost.
10
Rs.
5,151
3,855
3,313
a.
6
9
2
p.
5
9
3
Cost per
head of
average
strength.
11
Rs.
19
15
12
a.
1
6
6
p.
8
4
5
STATEMENT
Statement showing the number of paying patients treated in the Hospital for Mental
YEAR.
1
1921 ... ...
1920 ... ...
1919 ... ...
Remaining on the
1st January.
Males.
2
2
2
1
Females.
3
...
...
...
Total.
4
3
2
1
Admitted.
Males.
5
1
2
3
Females.
6
...
...
...
Total.
7
1
2
3
Re-admitted.
Males.
8
...
...
...
Females.
9
...
...
...
Total.
10
...
...
...
Total treated
Males.
11
4
4
4
Females.
12
...
...
...
Total.
13
4(a)
4(a)
4
(a) Inclusive of one patient paying at a lower rate
N.B.—Observation cases are
57
No. X.
for Mental Diseases at Patna during the year 1920 and the two previous years.
9
10
11
12
13
14
15
DEBITS.
Value of
manufactured
goods in
store on 1st
January.
Rs.
324
267
324
a.
10
13
3
p.
1
6
0
Value of
raw materials
in store
on 1st
January.
Rs.
2,293
4,443
2,133
a.
8
0
14
p.
4
3
0
Value of
plant and
machinery in
store on 1st
January.
Rs.
1,351
1,217
1,220
a.
3
8
15
p.
0
0
0
Raw
materials
purchased.
Rs.
2,047
3,597
8,208
a.
1
5
3
p.
0
9
9
Contin-
gencies
of
manufac-
ture.
Rs.
26
17
23
a.
5
9
15
p.
9
3
6
All
other
charges.
Rs. a. p.
Nil
Nil
Nil
Total debits.
Rs.
6,042
9,543
11,916
a.
12
4
3
p.
2
9
3
16
17
RESULTS.
Excess
of credits or
profits.
Rs.
2,874
2,147
3,618
a.
1
11
7
p.
1
3
8
Excess
of
debits
or
loss.
Nil
Nil
Nil
18
REMARKS.
Average number
employed.
Males.
103.76
96.67
94.28
Females.
25.93
25.88
25.92
Total.
129.69
122.55
120.20
A.
for the year 1921 and the two previous years.
Grand Total.
Total cost.
12
Rs.
3,845
50,654
54,364
a.
2
2
2
p.
7
0
7
Cost per
head of
average
strength.
13
Rs.
199
202
203
a.
11
4
7
p.
1
7
10
Charges on account
of works done by
the Public Works
Department.
Total cost.
14
Rs.
2,215
1,849
1,251
a.
13
8
8
p.
6
0
0
Cost per
head of
average
strength.
15
Rs.
8
7
4
a.
3
6
10
p.
6
2
11
Rates and Taxes.
Total cost.
16
Rs.
969
1,180
688
a.
2
10
6
p.
3
0
0
Cost per
head of
average
strength.
17
Rs.
3
4
2
a.
9
11
9
p.
6
6
8
Cost of printing and
stationery.
Total cost.
18
Rs.
87
58
51
a.
5
12
12
p.
8
2
0
Cost per
head of
average
strength.
10
Rs.
0
0
0
a.
5
3
3
p.
2
9
1
Miscellaneous.
Total cost.
20
Rs. a. p.
...
61 0 0
...
Cost per
head of
average
strength.
21
Rs. a. p.
...
0 3 11
...
Total expenditure
including all
heads of
expenditure.
Total cost.
22
Rs.
57,117
53,804
56,355
a.
8
0
13
p.
0
2
4
Cost per
head of
average
strength.
23
Rs.
211
214
210
a.
13
13
15
p.
3
11
1
B.
Diseases at Patna during the year 1921 and the two previous years.
Discharged and
transferred.
Males.
14
1
1
...
Females.
15
...
...
...
Total.
16
1
1
...
Died.
Males.
17
...
...
2
Females.
18
...
...
...
Total.
19
...
...
2
Remaining on the
31st December.
Males.
20
3
3
2
Females.
21
...
...
...
Total.
22
3
3
2
Daily average
strength.
Males.
23
2.26
2.33
2.76
Females.
24
...
...
...
Total.
25
2.26
2.33
2.76
REMARKS.
26
an that prescribed in Bihar and Orissa Lunatic Asylum Manual
excluded from this statement.
B. & O. G. P. (I. G. C. H.) No. 1—263—17-7-1922—H. P. G.
ANNUAL RETURNS
OF THE
PATNA MENTAL HOSPITAL
IN
BIHAR AND ORISSA
WITH BRIEF NOTES
FOR THE YEAR
1922
PATNA:
SUPERINTENDENT, GOVERNMENT PRINTING, BIHAR AND ORISSA.
1923.
Price Re. 1.
Agents for the Sale of Books published by the Bihar and Orissa Government.
Agents in India.
(1) Messrs. Thacker, Spink & Co., Calcutta.
(2) Messrs. W. Newman & Co., Calcutta.
(3) Messrs. S. K. Lahiri & Co., College Street, Calcutta.
(4) Messrs. R. Cambray & Co., 6 and 8-2, Hastings Street,
Calcutta.
(5) Messrs. Thompson & Co., Madras.
(6) Messrs. D. B. Taraporevala, Sons & Co., 103, Meadow Street,
Fort, Post Box No. 18, Bombay.
(7) Messrs. M. C. Sircar & Sons, 75, Harrison Road, Calcutta.
(8) Proprietor of the Newal Kishore Press, Lucknow.
(9) Messrs. M. N. Burman & Co., Bankipur.
(10) Babu Ram Dayal Agarwala, 184, Katra Road, Allahabad.
(11) Standard Literature Co., Ltd., 13/1, Old Court House
Street, Calcutta.
(12) Manager of the Indian School Supply Depôt, 309, Bow
Bazar Street, Calcutta.
(13) Messrs. Butterworth & Co., Ld., 6, Hastings Street
Calcutta.
(14) Messrs. Ram Krishna
& Sons, Anarkali Street,
Lahore.
Agents in England.
(1) Messrs. A. Constable &. Co., Ltd., 10, Orange Street, Leicester
Square, London, W. C.
(2) Messrs. Kegan, Paul, Trench, Trubner & Co., 68, Carter
Lane, London, E. C. (Oriental Department), and 26,
Museum Street, London, W. C.
(3) Mr. B. Quaritch, 11, Grafton Street, New Bond Street,
London, W. C.
(4) Messrs. P. S. King & Son, 2 and 4, Great Smith Street,
Westminster, London, S. W.
(5) Mr. B. H. Blackwell, 50-51, Broad Street, Oxford.
(6) Messrs. Deighton Bell & Co., Ltd., Trinity Street, Cambridge.
(7) Messrs. Henry S. King & Co., 65 Cornhill, London, E. C.
(8) Messrs. Grindlay & Co., 54, Parliament Street, London, S.W.
(9) Messrs. W. Thacker & Co., 2, Creed Lane, Ludgate Hill,
London, E. C.
(10) Messrs. Luzac & Co., 46, Great Russell Street,
London, W.C.
(11) Messrs. Oliver and Boyd, Tweeddale Court, Edinburgh.
(12) Messrs. E. Ponsonby, Ltd., 116, Grafton Street, Dublin.
(18) T. Fisher Unwin, Ltd., 1, Adelphi Terrace, London, W. C.
Agents on the Continent.
(1) M. Ernest Leroux, 28, Rue Bonaparte, Paris, France.
(2) Martinus Nijhoff, The Hague, Holland.
(3) Otto Harrassowitz, Leipzig.
(4) Fredlander and Sohan, Berlin.
No. 4444.
FROM
COLONEL H. AUSTEN-SMITH, C.I.E., M.B., K.H.S., I.M.S.,
INSPECTOR-GENERAL OF CIVIL HOSPITALS,
BIHAR AND ORISSA,
To
THE SECRETARY TO THE GOVERNMENT OF BIHAR AND ORISSA,
LOCAL SELF-GOVERNMENT DEPARTMENT.
Dated Patna, the 11th April 1923.
SIR,
I HAVE the honour to submit, for the information of Government,
the prescribed annual statistical returns of the Patna Mental Hospital together
with Notes by Lieutenant-Colonel H. R. Dutton, I.M.S., on the working of that
institution during the year 1922. The Superintendent's notes are full and
explanatory and no further comments from me on the returns are, therefore,
necessary.
2. One point, however, is worthy of notice here. Since the opening of
the European Mental Hospital at Ranchi in the year 1918, the returns of this
institution as well as those of the Patna Mental Hospital were dealt with in
my office on their receipt from the Superintendents and printed and published
together. But owing to the transfer, from the 1st July 1922, of the control
and management of the Ranchi European Mental Hospital to the Board of
Trustees appointed under the Ranchi Mental Hospital Act (Act No. XIII) of
1922, it has been decided by the Local Government that henceforth the report
of the Ranchi European Mental Hospital should be submitted to them by the
Managing Committee of the Board of Trustees and that of the Patna Mental
Hospital should be dealt with in my office as was done before the opening of
the Ranchi Mental Hospital. The returns of the Patna Mental Hospital only
have, therefore, been dealt with in this report.
3. The construction of the buildings required in connection with the
establishment of the Mental Hospital for Indian Insanes at Ranchi has been
progressing rapidly and it is hoped that within a couple of years the Indian
Mental Hospital will be an accomplished fact and ready for receiving the
Indian Insanes who are at present confined in the Patna Mental Hospital in
this province as also those residing in the Mental Hospitals in Bengal.
I have the honour to be
SIR,
Your most obedient servant,
H. AUSTEN-SMITH, C.I.E., K.H.S., M.B.,
Col., I.M.S.,
Inspector-General of Civil Hospitals,
Bihar and Orissa.
NOTES
ON THE WORKING OF THE
PATNA MENTAL HOSPITAL
FOR THE YEAR
1922.
STATEMENT I.
Capacity.—A fresh measurement of the wards was made and it was
found that there was not sufficient accommodation for 330 male patients
allowing 50 square feet for each man. The hospital had also not sufficient
accommodation for the sick lunatics. One of the sleeping wards was, therefore,
utilized for the invalids. The accommodation on the male side was in conse-
quence reduced from 330 to 275. The accommodation for female patients
continued at 66.
Population.—The number of patients at the commencement of the year
was 271, i.e. 220 males and 51 females—48 males and 2 females were admitted
and 2 males were re-admitted. The daily average strength, excluding cases
under observation, was 218.11 for males and 50.45 for females, i.e. 268.56 in
all.
The maximum number confined in one night was 228 males and
53 females. There was no overcrowding.
The total number of recoveries was 38 against 9 in the previous year. The
percentage of cure to daily average strength was 14.15 against 3.35 in 1921.
One was transferred to friends having improved and 2 were so transferred
not improved against 4 and 3 respectively in 1921. There was no case
of escape.
Sickness and Mortality.—452 patients viz , 379 males and 73 females,
were treated for diseases other than mental. The daily average sick was 44.97
against 57.50 in 1921. The proportion per cent of sick to daily average strength
was 16.59 against 21.04 in 1921; excluding the epileptic cases, the daily average
sick was 27.02 against 35.46 in 1921.
There were 21 deaths against 28 in the previous year. The percentage of
death to daily average strength (including cases under observation) was 7.74
against 10.43 in 1921. The causes of death were Tuberculosis 8, Ankylost-
omiasis—5, Anæmia—2, Dysentery—1, Influenza—1, Myocarditis—1, Myocar-
dial Degeneration—1, Pneumonia—1, Abscess of Liver (multiple)—1. A peru-
sal of the undernoted statement will show that the death-rate was lowest since
1912: —
1912
...
...
...
...
...
1913
...
...
...
...
...
1914
...
...
...
...
...
1915
...
...
...
...
...
1916 ... ... ... ... ...
1917
...
...
...
...
...
1918
...
...
...
...
...
1919 ... ... ... ... ...
1920
...
...
...
...
...
1921
...
...
...
...
...
1922
...
...
...
...
...
10.56
14.90
13.86
13.00
11.28
11.68
11.62
17.11
9.51
1043
7.74
This is due to general improvement of the health of the patients produced
mainly by the systematic treatment of Ankylostomiasis and to Ascarides. Pre-
ventive vaccines were used against Small-pox, Cholera, Influenza and Dysentery
1
50 I.G.C.H.