5
STATEMENT No. VII.
Causes of Insanity.
10. Insanity was ascribed to specific causes in 800 cases or 58.5 per cent.
as compared with 756 cases or 55.7 per cent. in 1910 and 745 cases or
55.0 per cent. in 1909, the mean ratio for the triennium being 56.4 against 54.2
for 1906-1908.
Of the known causes, there were—
Physical
...
...
...
Moral
...
...
...
1911.
684
116
1910.
623
133
1909.
601
144
Average.
1909—1911.
636
131
1906—1908.
574
133
Of the physical causes, the use of intoxicating drugs, over indulgence in
spirituous liquor, previous attacks, fever, epilepsy, hereditary causes, and mental
trouble accounted for most of the admissions.
The cause of insanity could not be ascertained in 567 cases in 1911
against 601 in 1910 and 610 in 1909, the average number of these cases for the
triennium being 593 against 599 in the preceding triennium 1906—1908.
The subjoined table gives an analysis of cases treated during 1909—11 as
compared with 1906—08:—
Cases.
Total treated
...
Recovered ... ...
Improved ... ...
Not improved ...
Died ... ... ...
Total known.
Physical.
1911.
684
87
49
10
55
1910.
623
76
35
10
67
1909.
601
59
26
19
62
Mean
of
1909-11.
636
74
37
13
61
Mean
of
1906-08.
574
60
34
22
33
Moral.
1911.
116
12
6
4
6
1910.
133
10
8
6
16
1909.
144
16
14
4
13
Mean
of
1909-11.
131
13
9
5
12
Mean
of
1906-08.
133
13
9
4
5
Total unknown.
1911.
567
37
21
14
28
1910.
601
48
39
5
43
1909.
610
45
34
7
55
Mean
of
1909-11.
593
43
31
9
42
Mean
of
1906.08.
599
63
27
24
33
Great difficulty is experienced in many cases in obtaining any previous
history of patients sent to asylums, and consequently the cause assigned for
insanity is not always correct. There is rather a tendency to attribute insanity
to the abuse of drugs and alcohol when these have only been an accessory and
not the original or main cause of disease, which remains undiscovered from want
of a reliable previous history of the patient.
STATEMENT No. VIII.
Cash Accounts.
11. The receipts from paying patients rose from Rs. 26,634-10-11 in 1909
to Rs. 27,062-1-0 in 1910 and Rs. 29,762-5-2 in 1911, the average receipts for
the triennium amounting to Rs. 27,819-11-0 as compared with Rs. 24,490-3-1 in
1906—1908.
The value of the stores received from the manufacturing department, less
cost of raw materials, increased from Rs. 2,959-11-7 in 1909 to Rs. 3,062-11-3
in 1910 and Rs. 4,116-10-11 in 1911, the average value for the past three years
being Rs. 3,979-11-3 against Rs. 2,437-12-3 for the triennial period 1906—1908.
The total expenditure amounted to Rs. 2,54,250-11-7 against Rs. 2,42,157-2-10
in 1910 and Rs. 2,63,279-7-2 in 1909. Deducting the receipts from paying
patients, the value of stores received from the manufacturing department and
the amounts realized on account of the sale of goods to the public, &c., the net
expenditure would amount to Rs. 1,77,958-10-9 as compared with Rs. 1,74,282-15-4
and Rs. 1,96,826-5-6 in the years 1910 and 1909 respectively. Excluding the
Public Works Department charges, the net expenditure for the triennial period
under review, as compared with the mean of the preceding triennium, would be
as under:—
Average
...
1911
...
...
...
1910 ... ... ...
1909
...
...
...
1909—11 ... ... ...
1906—08 ... ... ...
Rs.
1,56,503
1,57,152
1,57,539
1,57,065
1,40,667
a.
10
13
15
7
10
p.
6
2
9
10
4
B 1767—2