2
Of those discharged " Cured," 97 suffered from Mania, 14 from Melancholia,
2 from Delusional insanity, 1 from insanity due to alcohol and 1 from insanity
due to Cannabis indica. Of those discharged as " Improved," 14 suffered from
Mania, 5 from Melancholia, 1 from Dementia, 1 from Delusional insanity and
1 from Imbecility. Of the " Not Improved," 4 suffered from Melancholia and
1 from Imbecility. Such cases are sometimes allowed to return to the care
of their relatives who express the desire to look after them. Of those discharged
" Otherwise, " 13 were criminal lunatics transferred to the list of non-criminals,
1 transferred to Jail owing to the water scarcity, 4 escaped, 1 European patient
was sent to the Ranchi Mental Hospital and 25 harmless lunatics were handed
over to wealthy persons in the province in 1922, as sanctioned by the visitors, for
employment on their estates.
8. In 1922, 4 non-criminal lunatics, who were approaching recovery,
escaped and are still at large. In the year 1923, 2 non-criminal lunatics
escaped while working in the fields, but they were brought back with the assist-
ance of the police. The number of lunatics who escaped and were not
recaptured during the period under report is 4 against 1 in the previous triennium.
Sickness and Mortality.
9.
There were 468 admissions into the hospital
against 627 in the previous triennium. The principal diseases were :—
Debility and old age, 75 ; Diseases of digestive system, 45 ; Mania, 37 ; Colitis, 31 ;
Anæmia, 27 ; Pulmonary Tuberculosis, 26 ; Diarrhœa, 25 ; Abscess of Areolar Tissue, 24 ;
Malaria, 21 ; Epilepsy, 16; Inflammation of Areolar Tissue, 15; Ulcers, 10 Dysentery, 4.
10. As regards sickness and mortality, the present triennium shows con-
siderable improvement over the preceding one, which itself was an improvement
on the one before :—
Admissions ...
Deaths ...
1921—23.
468
87
1918—20.
627
118
1915—17.
534
123
11. It is gratifying to find steady improvement in respect of tuberculosis,
dysentery and colitis The figures are : —
Deaths from
Tuberculosis ...
Dysentery and colitis ...
1921—23.
20
7
1918— 20.
44
11
The additional causes of deaths were 14 from exhaustion due to acute
mania, 6 from epilepsy, 16 from old age and general debility, 6 from diarrhœa
3 from starvation, 2 from ankylostomiasis, 2 from septicæmia, 4 from pneumonia
and 1 each from pyæmia, apoplexy, valvular disease of the heart, syncope,
acute nephritis, chronic nephritis and drowning (suicidal).
Cholera.
12. It is satisfactory to note that there were no cases of cholera amongst
the inmates, though there was an epidemic in the town
in the year 1921. During the last triennium there
were 12 cases of cholera with 9 deaths (1919).
Dysentery and colitis.
13. Unfortunately no details as to the pathogenic origin of the 62
dysentery cases of the past triennium are available ;
hence the relative incidence under specific causes, e.g.,
amœbic, bacillary, etc., cannot be given. It is probable that in the past:
all cases of frequency of motions with blood and mucus in stools had been
grouped under the general clinical heading "dysentery," irrespective of
whether they were of amœbic, bacillary " catarrhal" type or of uncertain
origin ; whilst the attempt at present is to arrive at a diagnosis of dysentery
only on a bacteriological basis. Hence for the purpose of comparison it is
necessary to group these two diseases together. It is clear, however, that very
marked decrease in the incidence of these diseases has occurred during the
period under report. The figures are :—
Dysentery ... ...
Colitis ... ...
Total ...
1921—23.
4
31
35
1918—20.
62
13
75
Tuberculosis.
14. The number of admissions for pulmonary tuberculosis and other
tubercular infections were 26 and 3 against 56 and
14 in the previous triennium.