2
re-admissions. In the triennial period under review it may be said that mala-
ria was responsible for most of the sickness. Apart from the outbreak of in-
fluenza which did not develop to the intensity of an epidemic there was no
epidemic during the triennial period under consideration. No patient of this
Asylum received any serious injury and there was no accident among them
during the triennium under report.
The death rate per cent. calculated at the average number resident in
the Asylum was 7.33 in 1920 against 9.45 in 1919 and 8.36 in 1918
when the Asylum was in operation for eight months only. In 1918, there
were 3 deaths from Bright's disease, 2 each from pneumonia and cerebral
hæmorrhage ; in 1919, 2 each from Status Epilepticus and phthisis Pulmunalis;
and in 1920, 2 each from cancer and syncope. For the remaining deaths
during the three years, each individual cause was responsible for each death.
4. Criminal Lunatics.—The total number of criminal lunatics confined
was 18 in 1918, 19 in 1919 and 13 in 1920. The daily average strength of this
class of lunatics was 11.10 in 1920 against 11.44 in 1919 and 5.26 in 1918.
The criminal insanes (11 in number) confined in this Asylum at the end
of the triennium under review are all cases of complete Dementia and have not
the slightest chance of recovery. It is therefore quite useless to keep them on
the criminal list. Two such lunatics were transferred to the non-criminal
list and the question of the transfer of others to the non-criminal group is
under consideration.
5. Forms of Insanity.—The principal types of insanity among the patients
treated during three years under review were Dementia (160 with 6 recoveries),
Delusional Insanity (23 with 6 recoveries), Mania (19 with 7 recoveries),
Idiocy (15 with 3 recoveries) and Melancholia (12 with 5 recoveries).
6. Causes of Insanity.—The most common causes of insanity among the
patient admitted during the triennium under report were Heridity, Syphilis,
Alcohol, Mental Stress and Child-bearing.
7. Finance.—The total receipts under all heads amounted to Rs. 2,90,644
in 1920 as compared with Rs. 1,56,269 in 1919 and Rs. 1,03,738 in 1918. The
amounts realized from the paying patients were Rs. 28,657 in 1920 against
Rs. 25,318 in 1919 and Rs. 6,220 in 1918. The charges on account of the
work done by the Public Works Department were Rs. 20,759 in 1920 as
compared with 20,472 in 1919 and Rs. 19,971 in 1918.
Deducting the receipts from paying patients, the miscellaneous receipts on
account of sale of articles prepared by patients and the Public Works Depart-
ment charges, the net expenditure for the upkeep of the Asylum was
Rs. 2,10,865 against Rs. 1,10 479 in 1919 and Rs. 77,534 in 1918.
During the year 1920, there was an increase under certain heads of expen-
diture. This may be partly ascribed to the following causes :—Improvement in
the pay of the Asylum staff and the additional staff sanctioned by the Local
Government ; improvement in diet given to the patients ; rise in prices of food-
stuffs and other requisites; supply of duty uniforms for the first time to the
European Attendants, European Nurses and the Indian Keepers ; and purchase
of a soda water plant, also a motor char-a-banc and suits of furniture for the
paying patients.
Excluding the Public Works Department charges, the average cost per
head of the inmates of this Asylum for maintenance was Rs. 1,471-1-10 in
1920 against Rs. 653-1-7 in 1919 and Rs. 589-9-8 in 1918.
8. Establishment.—The Asylum was in charge of Major A. S. M. Peebles,
M.D., I.M.S., from the 17th May to the21st July 1918, Captain W. L. Forsyth
I.M.S., from the 22nd July 1918 to the 23rd September 1919, Lieutenant-
Colonel J. C. S. Vaughan, I.M.S., Civil Surgeon of Ranchi in addition from the
21th September to the 27th October 1919, and Major O. A. R. Berkeley-Hill,
I.M.S. till the end of the triennium. During the year 1920, the Local Govern-
ment declared that the Indian Keepers both male and female, of the Asylum
should belong to the superior service with retrospective affect from the date
of their appointment, for the purpose of pension.