NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
21
STATEMENT No. VII—concld.
Showing Ætiological Factors and Associated Conditions in the patients admitted in the Patna
Lunatic Asylum during the year 1914.
Ætiological Factors
and Associated Conditions.
1
K.— Other bodily
afflictions :—
1. Hæmopoietic system ...
2. Cardio-vascular degenera-
tion.
3. Valvular heart disease ...
4. Gastro-intestinal system
5. Renal and vesical system
6. Generative system (ex-
cluding syphilis).
7. Other general affection
(e.g., diabetes).
Total
L.—No cause assignable ...
M.— No cause ascertained:—
History defective.
GRAND TOTAL ...
Predisposing cause.
Male.
2
...
...
...
...
...
...
...
...
...
...
37
Female.
3
...
...
...
...
...
...
...
...
...
...
3
Total.
4
...
...
...
...
...
...
...
...
...
...
40
Exciting cause.
Male.
5
...
...
...
...
...
...
...
...
22
17
69
Female.
6
...
...
...
...
...
...
...
...
11
1
15
Tatal.
7
...
...
...
...
...
...
...
...
33
18
84
Total.
Male.
8
...
...
...
...
...
...
...
...
22
17
106
Female.
9
...
...
...
...
...
...
...
...
11
1
18
Total.
10
...
...
...
...
...
...
...
...
33
18
124
* In 28 cases, 26 males and 2 females, there were both an exciting and a predisposing cause, thus.
accounting for a total number of 124 against 96 new admissions.
22
STATEMENT No. VIII.
Showing the Cash Account of the Patna Lunatic Asylum for the year 1914 and the two previous years.
Years.
1
1914 ...
1913 ...
1912 ...
Receipts.
Received from
Treasury.
2
Rs.
27,056
27,869
23,231
a.
14
15
10
p.
0
11
0
Received from paying
patients.
3
Rs.
300
448
233
a.
0
0
0
p.
0
10
0
Value of stores
received from the
Manufacturing Depart¬
ment, less cost of raw
materials.
4
Rs.
2,265
1,604
1,438
a.
13
15
15
p.
6
6
0
Book receipts, i.e., the
total of expenditure
entered in columns
19, 20 and 21.
5
Rs.
13,943
9,442
2,882
a.
10
13
15
p.
8
1
5
Miscellaneous
receipts.
6
Rs. a p.
...
...
4 12 0
Total.
7
Rs.
43,566
39,365
27,791
a.
6
13
4
p.
2
4
5
Years.
1
1914 ...
1913 ...
1912 ...
Charges.
Establishment.
Establishment
proper.
8
Rs.
7,610
5,423
4,599
a.
1
10
6
p.
9
11
7
Superintendence.
9
Rs.
4,500
4,500
4,499
a.
0
0
15
p.
0
0
11
Diet.
10
Rs.
13,112
15,457
11,707
a.
13
6
3
p.
0
6
9
Clothing and
bedding.
11
Rs.
2
712
866
a.
10
4
2
p.
6
0
6
Bazar medicines.
12
Rs.
242
92
31
a.
8
13
2
p.
9
6
0
Contingencies.
Contingencies
proper.
13
Rs.
3,327
2,108
1,925
a.
9
12
3
p.
6
0
3
Repairs and
maintenance.
14
Rs.
425
1,043
921
a.
0
0
7
p.
0
6
0
Rates and taxs
15
Rs.
102
132
120
a.
0
0
0
p.
0
0
0
Years.
1
1914 ...
1913 ...
1912 ...
Charges— concld.
Remitted to
Treasury on
account of paying
patients, etc.
16
Rs.
300
448
237
a.
0
0
12
p.
0
10
0
Miscellaneous
items.
17
R. a. p.
...
...
...
Total of columns 8
to 17.
18
Rs.
29,622
29,923
24,908
a.
11
0
5
p.
6
3
0
Book Charges.
Charges on account
of work done by
the Public Works
Department.
19
Rs.
13,479
9,047
2,623
a,
12
7
2
p.
0
5
0
Cost of printed
forms and
stationery.
20
Rs.
27
22
14
a.
6
13
15
p.
3
0
4
Cost of English
stores. medi¬
cines, etc.
21
Rs.
436
372
244
a.
8
8
14
p.
5
8
1
Total of columns 18 to 21.
23
Rs.
43 566
39,365
27,791
a.
6
13
4
p.
2
4
5
23
STATEMENT No. IX.
Showing the sanctioned Establishment of the Patna Lunatic Asylum as it stood on
the 31st December 1914.
Establishment.
1
Superintendent ... ... ...
Overseer ... ... ...
Matron ... ... ...
Clerk ... ... ...
(a) Sub-Assistant Surgeon ... ...
Compounder ... ... ...
Head Jamadar ... ... ...
Jamadars ... ... ...
Male warders ... ... ...
Head Female warder ... ...
Female warders ... ... ...
Female Hospital attendant ... ...
Cook ... ... ...
(b)Malis
...
...
...
(c) Mistry
Carpenter
...
... ...
Harkara ... ... ...
Durwan ... ... ...
Bhistis
... ... ...
Washermen ... ... ...
Barber ... ... ...
Male Sweepers ... ... ...
Female Sweepers ... ... ...
Total ...
Daily average number of males
„
„
females
Proportion of
Jamadars to males
Jamadarni to females
Male keepers to males ...
Female keepers to females
Number.
2
1 ... ...
1 ... ...
1
...
...
1 ... ...
1 ... ...
1 ... ...
1 ... ...
4 at Rs. 12 each
30 at Rs. 7 each ...
1 ... ...
5 at Rs. 7 each
1 ... ...
1 ... ...
2 at Rs. 6-8 and Rs. 7
1 ... ...
1 ... ...
1 ... ...
1 ... ...
2 at Rs. 6 each
2 at Rs. 10 each
1 ... ...
8 at Rs. 7 each
3 at Rs. 6 each
......
243.18
45.39
1 to 48.63
1 to 45.39
1 to 8.10
1 to 9.07
Monthly pay.
3
Rs.
250
100
25
40
65
15
15
48
210
10
35
7
8
13
12
16
7
6
12
20
6
56
18
1,005
a.
0
0
0
0
0
0
0
0
0
0
0
8
0
8
0
0
0
0
0
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
...
...
...
...
...
...
(a) Pay
...
...
...
...
...
Local allowance
...
...
...
...
(b) One mali has got an increment of as S.
(c) Vcaant.
Rs.
45
20
24
STATEMENT
Showing Receipts and Expenditure on account of Manufactures in the Patna Lunatic Asylum
1
Years.
1914 ...
1913 ...
1912 ...
2
MEAN POPULATION.
Males.
243.18
234.27
206.19
Females.
45.39
40.81
40.11
Total.
288.57
275.08
246.30
3
4
5
6
7
8
CREDITS.
Cash paid into
Treasury
for articles sold.
Rs.
14
a.
0
p.
0
...
...
Value of
manufactured
goods made over
to Asylum for
Asylum purposes.
Rs.
5,736
4,199
3,591
a.
8
9
2
p.
3
0
4
Value of raw
materials in
store at
the end of
the year.
Rs.
554
1,022
1,590
a.
5
8
9
p.
6
0
6
Value of
manufactured
goods in store
at the end
of the year.
Rs.
249
84
48
a.
0
4
5
p.
9
3
1
Value of
plant and
machinery in
store at the end
of the year.
Rs.
775
816
859
a.
0
6
6
p.
0
9
3
Total Credits.
Rs.
7,328
6,122
6,089
a.
14
12
7
p.
6
0
2
STATEMENT
Abstract of Cash Account of the Patna Lunatic Asylum
Years.
1
1914 ...
1913 ...
1912 ...
...
Establishment.
Total
cost.
2
Rs.
12,110
9,933
9,099
a.
1
10
6
p.
9
11
6
...
Cost per
head of
average
strength.
3
Rs.
41
36
35
a.
15
1
16
p.
5
3
1
...
Diet.
Total
cost.
4
Rs.
13,112
15,457
11,707
a.
13
6
3
p.
0
6
9
...
Cost per
head of
average
strength.
5
Rs.
45
56
47
a.
7
3
8
p.
0
1
6
...
Bedding and clothing.
Total
cost.
6
Rs.
2
712
866
a.
10
4
2
p.
6
0
6
...
Cost
per head
of
average
strength.
7
Rs.
0
2
3
a.
0
9
8
p.
2
5
3
...
Medicines.
Total cost.
8
Rs.
679
465
276
a.
1
6
0
p.
2
2
1
...
Cost per
head
of average
strength.
9
Rs.
2
1
1
a.
5
11
1
p.
8
1
11
...
Contingencies.
Total cost.
10
Rs.
3,752
3,156
2,846
a.
9
12
10
p.
6
6
3
...
Cost per
head of
average
strength.
11
Rs.
13
11
11
a.
0
7
8
p.
1
7
11
...
STATEMENT
Statement showing the number of paying patients treated in the Patna Lunatic
Years.
1914 ...
1913 ...
1912 ...
Remaining on 1st
January.
Male.
2
2
3
Female.
...
...
...
Total.
2
2
3
Admitted.
Male.
...
2
1
Female.
...
...
...
Total.
...
2
1
Readmitted.
Male.
....
...
...
Female.
...
...
...
Total.
...
...
...
Total treated.
Male.
2*
4
4
Female.
...
...
...
Total.
2
4
4
The guardian of one lunatic of the two has discontinued payment from January 1915 ;
25
the year 1914 and the two previous years.
9
10
11
12
13
14
15
DEBITS.
Value of
manufactured
goods in
stores on 1st
January.
Rs.
4
8
9
a.
4
5
9
p.
3
1
6
Value of
raw materials
in store
on 1st
January.
Rs.
1,022
1,590
357
a.
8
9
15
p.
0
6
6
Value of
plant and
machinery in
store on 1st
January.
Rs.
816
859
874
a.
6
6
4
p.
9
3
9
Raw
materials
purchased.
Rs.
3,733
2,067
3,356
a.
11
3
0
p.
6
0
0
Contin-
gencies
of
manufac-
ture.
Rs.
16
a.
13
p.
0
...
...
All
other
charges.
Rs. a. p.
...
...
...
Total debits.
Rs.
5,673
4,565
4,637
a.
11
7
13
p.
6
10
9
16
17
RESULTS.
Excess
of credits or
profits.
Rs.
1,655
1,557
1,451
a.
3
4
9
p.
0
2
5
Excess
of
debits
or
loss.
...
...
...
18
REMARKS.
Average number
employed.
Males.
85.18
79.14
75.71
Females.
15.44
14.42
14.07
Total.
100.62
93.56
89.78
the year 1914 and the two previous years.
Grand Total.
Total cost.
12
Rs.
57
15
95
a.
3
8
7
p.
11
1
1
...
Cost per
head of
average
strength.
13
Rs.
102
108
100
a.
12
0
10
p.
4
5
8
...
Charges on account
of works done by
the Public Works
Department.
Total cost.
14
Rs.
13,479
9,047
2,623
a.
12
7
2
p.
0
5
0
...
Cost per
head of
average
strength.
15
Rs.
46
32
10
a.
11
14
10
p.
5
3
5
...
Rates and Taxes.
Total cost.
16
Rs.
102
132
120
a.
0
0
0
p.
0
0
0
...
Cost per
head of
average
strength.
17
Rs.
0
0
0
a.
5
7
7
p.
8
8
9
...
Cost of printing and
stationery.
Total cost.
18
Rs.
27
22
14
a.
6
13
15
p.
2
0
4
...
Cost per
head of
average
strength.
19
Rs.
0
0
0
a.
1
1
1
p.
6
4
0
...
Miscellaneous.
Total cost.
20
Rs. a. p.
...
...
...
...
Cost per
head of
average
strength.
21
Rs. a. p.
...
...
...
...
Total expenditure
including all
heads of
expenditure.
Total cost.
22
Rs.
43,266
38,917
27,553
a.
6
12
8
p.
2
6
5
...
Cost per
head of
average
strength.
23
Rs.
149
141
111
a.
14
7
13
p.
11
8
10
...
ylum during the year 1914 and the two previous years.
Discharged and
transferred.
Male.
...
1
2
Female.
...
...
...
Tolal.
...
1
2
Died.
Male.
...
1
...
Female.
...
...
...
Total.
...
1
...
Remaining on the
31st December.
Male.
1
2
2
Female.
...
...
..
Total.
1
2
2
Daily average
strength.
Male.
1.00
2.77
2.35
Female.
...
...
...
Total.
1.00
2.77
2.35
Remarks.
so only one has been shown as paying patient remaining on 31st December 1914.
B. & O. G. P. (I. G. C. H.) No. 27- 250-24-5-1914-C. J. H.
GOVERNMENT OF BIHAR AND ORISSA.
MUNICIPAL DEPARTMENT.
MEDICAL BRANCH.
RESOLUTION No. 7760-M.
Ranchi, the 10th June 1915.
READ—
The Triennial Report on the Patna, Lunatic Asylum for the years 1912-13-14.
READ ALSO —
The Annual returns of the Patna Lunatic Asylum for the years 1912 and 1913.
Since the creation of the Province in April 1912 the Lunatic Asylum
at Patna has been the only institution of its kind in Bihar and Orissa. Plans
and estimates have been prepared for a new asylum at Ranchi with accommo-
dation for 1,500 inmates. The cost will be about Rs. 27,75,000. An Asylum
for European lunatics from all parts of Northern India is already being con-
structed at Ranchi at an estimated cost of Rs. 13,12,688. When the Ranchi
Asylum for Indian lunatics is ready, the existing asylum at Patna will no
longer be required; the expenditure on it has therefore been restricted to what
is absolutely necessary to make it sufficient for present needs. A sum of
Rs. 25,000 has already been spent on new buildings which has raised the total
accommodation from 252 to 306, and it will be further increased to 356 by the
additions now in progress. The annual cost of maintenance rose in the period
under report approximately from Rs. 27,000 to Rs. 43,000. A steady increase
has taken place in the number of inmates. This is due mainly to the fact
that the Bengal asylums are no longer generally available for lunatics from
Bihar and Orissa, but there is also a tendency to send to the asylum harmless
lunatics whose friends are unwilling to accept the responsibility of looking
after them. The undesirability of making the maintenance of such persons
a charge upon the public revenues is a matter to which attention has often
been called, and the Lieutenant-Governor in Council again reminds all Magis-
trates, who are competent to make reception orders under the Act, of the
necessity of exercising a careful discretion in this respect.
2. The health of the lunatics during the three years under report was not
satisfactory, and the death rate was high. The Lieutenant-Governor in Council
trusts that the increased accommodation now provided will have some effect
in reducing the number of cases of illness, but at the best the surroundings
are unhealthy, and it is very desirable that no avoidable delay should be allow-
ed in the completion of the new asylum at Ranchi.
Another unsatisfactory feature of the triennium is the occurrence of two
deaths, the one known, and the other believed, to be of a homicidal nature.
Two jamadars and ten warders have been added to the staff, and it is hoped
that such incidents will not recur. His Honour in Council notices with satis-
faction the steps that have been taken to provide congenial employment for the
lunatics.
3. In conclusion, the Lieutenant-Governor in Council desires to place
on record his appreciation of the good work done by Lieutenant-Colonel Sunder
who has taken great interest in the working of the asylum and has always
done his ulmost to alleviate the condition of the unfortunate inmates.
By order of the Lieutenant-Governor in Council,
E. L. L. HAMMOND,
Secretary to Government.
2
MEMO. NO. 7761-M.
Ranchi, the 10th June 1915.
Copy to Inspector-General of Civil Hospitals for information, with refer-
ence to his letter No. 4486-M., dated the 8th May 1915.
By order of the Lieutenant-Governor in Council,
P. C. TALLENTS,
Under-Secretary to Government.
MEMO. No. 7762-66-M.
Ranchi, the 10th June 1915.
Copy, with copy of the report, forwarded to all Commissioners of Divisions,
for information, with special reference to paragraph 1 of the Resolution.
By order of the Lieutenant-Governor in Council,
P. C. TALLENTS,
Under-Secretary to Government.
B. & O. G. P. (F. & M.) No. 82—00—28-8-1915-
ANNUAL RETURNS
OF THE
PATNA LUNATIC ASYLUM AT BANKIPORE
IN
BIHAR AND ORISSA
WITH BRIEF NOTES
FOR THE YEAR
1915
PATNA
SUPERINTENDENT, GOVERNMENT PRINTING, BIHAR AND ORISSA
1916.
[Price—Indian, 8 annas ; English, 9d.]
ANNUAL RETURNS
OF THE
PATNA LUNATIC ASYLUM AT BANKIPORE
IN
BIHAR AND ORISSA
WITH BRIEF NOTES
FOR THE YEAR
1915
PATNA
SUPERINTENDENT, GOVERNMENT PRINTING, BIHAR AND ORISSA
1916.
[Price—Indian, 8 annas; English, 9d.]
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. A. M. & J. Ferguson, Ceylon.
(5) Messrs. R. Cambray & Co., 6 and 8-2, Hastings Street,
Calcutta.
(6) Messrs. Thompson & Co., Madras.
(7) Messrs. D. B. Taraporevala, Sons & Co., 103, Meadow Street,
Fort, Post Box No. 18, Bombay.
(8) Messrs. M. C. Sircar & Sons, 75, Harrison Road, Calcutta.
(9) Proprietor of the Newal Kishore Press, Lucknow.
(10) Messrs. M. N. Burman & Co., Bankipur.
(11) Babu Ram Dayal Agarwala, 184, Katra Road, Allahabad.
(12) Standard Literature, Co. Ld., 13/1, Old Court House
Street, Calcutta.
(13) Manager of the Indian School Supply Depôt, 309, Bow
Bazar Street, Calcutta.
(14) Messrs. Butterworth & Co. Ld., 6 Hastings Street, Calcutta.
Agents in England :
(1) Messrs. Constable & Co., 10, Orange Street, Leicester Square,
London, W. C.
(2) Messrs. Kegan, Paul. Trench, Trubner & Co., 68-74, Carter
Lane, London, E. C., and 25, Museum Street, London, W C.
(3) Mr. B. Quaritch, 11, Grafton Street, New Bond Street,
London, W.
(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 Dell & Co., 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, Ld., 116, Grafton Street, Dublin.
Agents on the Continent:
(1) M. Ernest Leroux, 28, Rue Bonaparte Par
(2) Martinus Nijhoff, The Hague, Holland.
No. 4171.
FROM
COLONEL G. J.H. BELL, C.I.E., M.B., I.M.S.,
INSPECTOR-GENERAL OF CIVIL HOSPITALS,
BIHAR AND ORISSA,
To
THE SECRETARY TO THE GOVERNMENT OF
BIHAR AND ORISSA, MUNICIPAL (MEDICAL) DEPARTMENT.
Dated Ranchi, the 5th May 1916,
SIR,
I HAVE the honour to submit the accompanying notes on the working of the
Patna Lunatic Asylum for the year 1915 by Lieutenant-Colonel C. E. Sunder,
M.D., I.M.S., Superintendent of that institution, together with the prescribed
statistical returns. The notes are full and explanatory. Only a few general
remarks are made below.
2. The insufficiency of the accommodation in the Asylum felt during the
years 1912—14 was met during the year under report by the construction of
a ward for male criminal lunatics with 40 beds, as well as of a building with
10 cells for female lunatics. The capacity of the Asylum has thus now been
raised from 306 to 356. This will be increased further to 396 by the con-
struction of another sleeping ward for male criminal lunatics with 40 beds,
which has been administratively approved at an estimated cost of Rs. 5,041.
A female hospital and a phthisical ward with 8 beds were also built in 1915.
While the needs of the Asylum, as far as accommodation of lunatics is con-
cerned, have thus been met by the erection of the various new buildings men-
tioned above, there has, on the other hand, been a good deal of crowding of
the site. I paid a short visit to the Asylum on the 4th of February last and
the general impression conveyed to me was that there is not enough area for the
number of lunatics confined there.
3. The total Asylum population was 401—351 males and 50 females. It
was 377 in 1914—320 males and 57 females. The increase which occurred on
the male side is said to be due to the fact that the public are becoming more
willing to send their harmless lunatics to the Asylum. The number of female
lunatics rather shows a tendency to decline. The decrease is not, however,
large enough to call for any comment. The total number of criminal lunatics
confined during the year under report was 183 against 160 in 1914. The
percentage of recoveries was greater than in the preceding year, being 11.73
against 8.66. The total number of deaths was 41 against 40 in 1914. No
disease, however, broke out in epidemic form in the Asylum, and the general
health of the lunatics was, on the whole, better than in the preceding year.
4. Statements III, IV, V, VI and VII do not call for any special comment.
Mania in its various forms was the common type of insanity and the more
common ætiological factor appeared to be toxic (chiefly ganja-smoking).
2
5. The gradual increase in expenditure from year to year requires no
special explanation. It was mainly due to the increase in the number of luna-
tics and to the construction of new buildings. It is satisfactory to note that
both the receipts from the sale of articles manufactured at the Asylum, and
from fees from the relatives of paying patients, increased during the year under
report.
6. Lieutenant-Colonel C. E. Sunder, M.D., I.M.S., who was in charge of the
Asylum throughout the year, managed the institution satisfactorily. The person-
nel of the warder staff of the Asylum needs to be improved. Although the staff
has been strengthened, there were three escapes from the Asylum during the
year. Two of the escaped lunatics were male criminals. They have been
recaptured and brought back to the Asylum. The third, a male non-
criminal lunatic, is still at large. The warders through whose negligence the
escapes took place have been adequately punished. Colonel Drury, who inspect-
ed the Asylum once during the year, remarked on the subject as follows :—" There
has been a considerable increase in the warder staff, so that it is now possible
to look after the inmates much better. Notwithstanding this, however,
there have been recently a few escapes of lunatics which must have been due to
carelessness on the part of the warders who were at the time on duty with these
lunatics. " A stricter supervision over the warder staff is required.
7. Solitary confinement and mechanical restraint had to be used only in five
cases—4 males and one female lunatics—for their homicidal and suicidal tenden-
cies. Special attention was devoted to the sanitation of the Asylum and the
general welfare of the patients. The stools of infectious cases were burnt. The
convalescent and weak lunatics were supplied with extra clothing. The lunatics
were employed on suitable work and the hardworking and well-behaved among
them were rewarded by small monthly stipends. Quinine was issued prophy-
lactically twice a week to all the inmates of the Asylum from 15th September to
the end of December with good results. An infirm gang was kept up as usual.
They were given extra diet and their health was carefully watched. Some of
them improved.
8. The Bengal Lunatic Asylum Manual has been revised in accordance
with the new Indian Lunacy Act. The draft manual has been sent to Press
for proof.
I have the honour to be,
SIR,
Your most obedient Servant,
G. J. H. BELL, C.I.E., M.B., COL., I.M.S.,
Inspector-General of Civil Hospitals, Bihar and Orissa.
NOTES
ON THE WORKING OF THE
PATNA LUNATIC ASYLUM
FOR THE YEAR
1915.
STATEMENT I.
AT the commencement of the year there were 258 males and 44 females, or a
total of 302 inmates under treatment in this Asylum. The numbers admit-
ted during the year were 88 males and 6 females, the figures representing
readmissions being 5 males. Those discharged numbered 47 males (including
one case of escape) and 4 females, and the deaths were 36 males and 5 females.
The net increase in the population was therefore 7 only, the males having
increased by 10 and the females decreased by 3. Of those discharged 33 males
and 4 females were cured; 7 males were made over to their friends in improved
condition ; one case escaped and 6 were discharged otherwise from the Asylum.
The percentage of those cured to the daily average strength was 11.73 and to
admissions 37.37 against 8.66 and 26.04 respectively in the previous year. The
capacity of the Asylum has been increased from 306 to 356 by the con-
struction of a new sleeping ward for criminal males with 40 beds, as well
as a night ward with 10 cells for females. The capacity for male criminal
lunatics is still inadequate, but provision is to be made for another 40 criminal
lunatics by the construction of a new ward with 40 beds, which project has
already been administratively approved by the Local Government.
Sickness and Mortality.— There were 300 patients treated in the Hospital
during 1915—259 males and 41 females ; the daily average sick was 22.61 as
compared with 23.96 in 1914. The important admissions were for Dysentery
23 (5 Amœbic and 18 Bacillary), Fever (Pyrexia of uncertain origin) 24,
Ankylostomiasis 47, Conjunctivitis 14, Tubercle of the lungs 11, Tubercle of intes-
tine 1, Diarrhœa 23, Abscess 27, injury on scalp 12, Chicken-pox 1, Kala-azar
3, diseases of the respiratory system 9, Anæmia 4. Wherever possible, the
diagnosis was verified by microscopic examination.
The total mortality was 41 as compared with 40 in 1914 ; that is, 130.08 per
mille as compared with 138.61. The mortality was 23.04 per mille for the
Patna Municipality. Twelve chronic cases in hospital were taken over from the
previous year. Out of 93 admissions 71 were received in the Asylum in bad
health and 5 in indifferent health. Eating of mud, fæces and grass were spe-
cially frequent during the year. Dysentery, Diarrhoea and Ankylostomiasis may
be attributed to these causes, acting before and after admission. The routine
examination of excreta, blood and sputum in all cases proved the presence of
worms in a large proportion. The excreta of 398 (old 305 and new 93) patients
were examined with the following results :—
Ova of Ankylostoma ...
Do. Ascaris Lumbricoides ...
Do. Trichocephalus dispar ...
Do. Tape worm ... ...
Do. Oxyuris Vermicularis ...
Stranguloides Rhabdomenis ...
Amæbacoli ... ... ...
Trichomonas ... ...
Balantidiumcoli ... ...
Old patients %.
41.64
67.54
14.26
0.98
3.23
4.26
4.26
8.85
36.72
New patients %.
58.06
46.24
2.15
3.23
Nil
1.07
5.38
2.15
7.53
Total %.
45. 18
62.06
38.69
1.50
2.51
3.54
1.52
7.29
29.90