2
deaths and the remainder were due to Apoplexy, Debility and Anæmia, Syncope,
Abscess of Brain, Influenza, Malaria (cerebral), Tuberculosis (intestinal),
Oesophageal abscess and Septicæmia. The percentage of deaths to the average
strength was 8.52 as against 7.33 in the previous year.
The total number of recoveries during the year under report was 39 as
compared with 32 in the previous year. The percentage of cures to daily
average strength in this year was 25.57 as compared with 19.54 in the preced-
ing year. The ratio per cent. of cases improved to daily average strength was
3.93 against 2.44 in 1920.
CRIMINAL LUNATICS.
One criminal lunatic was admitted during the year under report and the
daily average strength of criminal insanes was 7.43 as compared with 11.10 in
1920. Only one criminal lunatic was discharged and one died during the year
under review.
TYPES OF INSANITY.
The principal forms of insanity among the patients admitted during the year
were, Alcoholic Insanity, Dementia Præcox, Confusional Insanity, Melancholia
(agitated), Imbecility and Paranoia.
CAUSES OF INSANITY.
The most prolific ætiological factors and associated conditions of insanity
among the patients admitted during the year under review were toxins of
syphilis and alcohol which accounted for six cases. Other causes ascertainable
were Heredity 1, Mental stress 2, Epilepsy 2, other defined Neurosis 1. The
causes could not be ascertained in 37 cases.
FINANCE.
The total receipt under all heads amounted to Rs. 3,86,724 as compared
with Rs. 2,90,644 in 1920. The amount realized from patients, was
Rs. 27,920-0-0. Deducting the receipts from paying patients, the miscella-
neous receipts and the Public Works Department charges, the net expendi-
ture for the up-keep of the Hospital was Rs. 2,77,252. The total average annual
cost per patient excluding Public Works Department charges was Rs. 1,817-13-0
against Rs. 1,471-1-10 in the previous year. The causes for the increase in the
expenditure are, increase in the pay of staff, abnormal rise in the prices of
foodstuffs of all descriptions, purchase of medicines and medical appliances
which could not be obtained from Medical Store Depôt, Calcutta, in the pre-
vious year, and of other articles of equipment for the Hospital and the up-
keep of a Ford Char-a-banc and a Ford Ambulance.
ESTABLISHMENT
Major O. A. R. Berkeley Hill held charge of the Mental Hospital through
out the year. I would again place on record the excellent and self-sacrificing
work of Major O. A. R. Berkeley Hill among the patients. His know-
ledge and care have been for the good of the patients and he is deservedly
popular among them. He deserves every credit for the fine work he does
among his patients and for his desire to push forward everything in connection
with the Mental Hospital. He has nothing but praise for his loyal staff and
I would call special attention to the good work of Mr. J. H. C. Peters, the
Deputy Superintendent, and Doctor Jyotirmay Ray. There have been frequent
changes during the year in the personnel of the European attendants and nurses
but it is hoped that the recent increase of pay and the sanction of a mess
allowance of Rs. 30 per mensem will attract a more intelligent staff and induce
them to remain in their posts and so gradually gain experience. The Indian
staff on the whole worked satisfactorily. Two patients were assaulted by
inferior servants and these were suitably punished after an inquiry was held
and the circumstances thoroughly investigated.