NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
APPENDICES.
STATEMENT NO. I—Showing particulars of vaccination in the Province of Burma during the
year 1920-21
...
...
...
...
...
...
STATEMENT NO. II—Showing the cost of the Vaccination Department in the Province of Burma
during the year 1920-21 ... ... ... ... ... ...
STATEMENT No. III—Showing Dispensary Vaccination in the Province of Burma during the
year 1920-21 ... ... ... ... ... ... ...
STATEMENT No. IV—Showing the number of persons primarily vaccinated and the number
of those persons who were successfully vaccinated in the Province of Burma in each
of the official years 1911-12 to 1920-21 ... ... ... ... ... ...
STATEMENT No. V—Showing particulars of vaccination verified by Inspecting Officers during
the year 1920-21 ... ... ... ... ... ...
APPENDIX A—Showing the ratio per 10,000 successfully vaccinated and the mortality from
small-pox by quinquennial periods for Lower Burma only
...
...
...
APPENDIX B—Statistics relating to the number of children under one year of age in towns
available for vaccination and the number of successful operations performed on
them ... ... ... ... ... ...
APPENDIX C—Diagram showing the proportion of population protected during the seven official
years 1914-15 to 1920-21, and the death-rate from small-pox during the calendar
year 1920 in districts where registration of vital statistics is in force ... ...
PAGE
8 &9
12 & 13
14 & 15
16 & 17
ib.
18
ib.
19
10
APPENDICES.
Summary.
—
(1)
By special staff
(Statement I).
By dispensary staff
(Statement III).
By other agencies,
if any.
Total
...
Total number
of persons
vaccinated.
Primary.
(2)
481,239
2,016
267
483,522
Re-vaccination.
(3)
186,928
2,227
1,806
190,961
Total number
of operations
performed.
Primary.
(4)
481,424
3,016
267
483,707
Re-vaccination.
(5)
186,928
2,227
1,806
190,961
Percentage of
successful cases
in which results
were known.
Primary.
(6)
97.44
98.19
91.95
97.48
Re-vaccination.
(7)
55.60
51.11
68.03
55.67
Average number
of persons
vaccinated by
each vaccinator.
Vaccinators em-
ployed.
(8)
346
...
...
346
Persons vaccina-
ted by each vac-
cinator.
(9)
1,931
...
...
1,931
Number of
children success-
fully vaccinated.
Under one year.
(10)
123,997
445
84
124,526
One year and
under six years.
(11)
229,236
724
73
230,033
Ratio of successful vaccina-
tions per l,000 of population.
(12)
44.09
.18
.09
44.37
Total cost of Department.
(13)
Rs.
2,58,101
A.
6
P.
7
...
...
...
Average cost of each succecsful
case.
(14)
Rs
0
A.
7
P.
9
...
...
...
APPENDICES.
15
VACCINATION.
Province of Burma for the year 1920-21 (Paragraph 8).
PRIMARY VACCINATION.
Successful.
Under one
year.
(8)
...
9
... ...
9
...
... 6
...
57
...
62
1
...
...
... 33
34
...
... 11
... ...
...
14
9
... 81
68
...
158
1
8
...
22
7
38
...
64
...
...
64
2
...
...
...
2
21
42
63
445
One and
under six
years.
(9)
...
31
... 2
33
...
... 6
...
62
...
69
4
...
...
...
62
66
...
... 37
...
...
...
37
4
...
179
64
...
247
6
5
... 20
24
55
...
58
...
...
58
...
... ...
...
...
35
124
159
724
Total of all
ages.
(10)
...
46
... 19
65
...
... 15
... 133
...
148
11
...
...
8
104
123
...
...
60
...
... ...
60
13
...
260
198
...
471
7
13
...
42
47
109
...
163
...
...
163
2
...
...
...
2
98
326
424
1,565
Unknown.
(11)
...
...
...
...
...
...
...
... ... 29
...
29
4
... 9
13
...
26
...
...
12
... ...
...
12
1
...
10
292
...
303
...
...
...
5
7
12
...
8
27
...
35
2
...
... ...
2
2
...
2
421
RE-VACCINATION.
Total.
(12)
...
63
2
20
85
...
...
29
... 134
...
163
120
... 413
71
254
858
...
...
1
...
...
...
1
17
...
901
45
...
563
19
3
...
150
72
244
...
171
...
16
187
5
...
... ...
5
105
16
121
2,227
Successful.
(13)
...
59
...
7
66
...
...
14
...
... ...
14
36
...
... ... 104
140
...
...
...
... ...
...
...
4
...
168
13
...
185
7
2
...
101
20
130
...
38
...
1
39
1
...
...
...
1
80
10
90
685
Unknown.
(14)
...
...
...
...
...
...
... 9
... 134
...
143
50
... 113
71
85
619
...
...
1
...
...
...
1
9
...
80
12
...
101
...
...
...
15
1
16
...
9
...
12
21
4
...
... ...
4
21
...
21
926
PERCENTAGE OF
SUCCESSFUL CASES IN
WHICH THE RESULTS
WERE KNOWN.
Primary.
(15)
...
100.00
... 100.00
100.00
...
...
100.00
... 100.00
...
100.00
100.00
...
...
100.00
100.00
100.00
...
... 100.00
...
...
...
100.00
100.00
... 95.94
98.51
...
97.11
100.00
100.00
... 100.00
87.04
93.97
...
98.19
...
...
98.19
100.00
...
...
...
100.00
100.00
98.19
98.60
98.12
Re-
vaccina-
tion.
(16)
...
93.65
... 35.00
77.65
...
... 70.00
... ...
...
70.00
51.43
...
...
... 61.54
58.58
...
... ...
...
...
...
...
50.00
... 39.90
39.39
...
40.04
36.84
66.67
...
74.31
28.17
57.02
...
23.46
... 25.00
23.49
100.00
...
...
...
100.00
95.24
62.50
90.00
51.11
PERCENTAGE OF
UNKNOWN CASES TO
TOTAL CASES.
Primary.
(17)
...
...
...
...
...
...
...
...
... 17.90
...
16.38
26.67
... 100.00
61.90
...
17.45
...
... 16.67
...
...
...
16.67
7.14
... 3.56
59.23
...
38.45
...
...
... 10.64
11.18
9.28
...
4.60
100.00
...
17.41
50.00
...
...
...
50.00
2.40
...
.46
20.88
Re-
vaccina-
tion.
(18)
...
...
...
...
...
...
...
31.03
...
100.00
...
87.73
41.67
... 100.00
100.00
33.46
72.14
...
...
100.00
...
...
...
100.00
52.94
... 15.97
26.67
...
17.94
...
...
... 10.00
1.39
6.56
...
5.26
... 75.00
11.23
80.00
...
...
...
80.00
20.00
...
17.36
41.58
No.
(19)
1
2
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39
40
41
SANY. COMMR'S, OFFICE FROM No. 25.
APPENDIX C.
Diagram showing the Proportion of Population protected during the seven official years from 1914-15 to 1920-21 and the Death-rate from Small-pox
during the calendar year 1920 in districts where registration is in force.
G.B.C.P.O.—No. 9,Sany. Commr., 28-7-1921. 515. T.L.M.
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1920-21
RANGOON
OFFICE OF THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA
1921
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1921-22
RANGOON
OFFICE OF THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA
1922
[Price,—Annas. 12.]
LIST OF AGENTS
FOR THE
SALE OF GOVERNMENT PUBLICATIONS.
IN INDIA :
AMERICAN BAPTIST MISSION PRESS, Rangoon.
RANGOON TIMES PRESS, Rangoon.
MAUNG LU GALE, Law Book Depôt, 42, Ayo-o-gale, Mandalay.
THACKER, SPINK & Co., Calcutta and Simla.
W. NEWMAN & Co., Calcutta.
BUTTERWORTH & Co. (India) Ltd., Calcutta.
INTERNATIONAL BUDDHIST BOOK DEPÔT, 4, Chandney Chowk 1st
Lane, Calcutta.
THACKER & Co., Ltd., Bombay.
* D. B. TARAPOREVALA, SONS & Co., Bombay.
HIGGINBOTHAM & Co., Madras.
MANAGER, THE " HITAVADA, " Nagpur.
IN ENGLAND :
HENRY S. KING & Co., 65, Cornhill, E.C.
A. CONSTABLE & Co., 10, Orange Street, Leicester Square, W.C.
KEGAN PAUL, TRENCH, TRUBNER & Co., Ltd., 68—74, Carter Lane,
E.C., and 39, New Oxford Street, W.C.
BERNARD QUARITCH, 11, Grafton Street, New Bond Street, W.
P. S. KING & SON, 2 & 4, Great Smith Street, Westminster, S. W.
GRINDLAY & Co., 54, Parliament Street, S.W.
T. FISHER UNWIN, Ltd., 1, Adelphi Terrace, W.C.
W. THACKER & Co., 2, Creed Lane, Ludgate Hill, E.C.
LUZAC & Co., 46, Great Russell Street, W.C.
WHELDON & WESLEY, Ltd., 28, Essex Street, Strand, W.C.
OLIVER & BOYD, Tweeddale Court, Edinburgh.
E. PONSONBY, Ltd., 116, Grafton Street, Dublin.
B. H. BLACKWELL, 50 & 51, Broad Street, Oxford.
DEIGHTON, BELL & Co., Ltd., Trinity Street, Cambridge.
ON THE CONTINENT :
ERNEST LEROUX, 28, Rue Bonaparte, Paris, France.
MARTINUS NIJHOFF, The Hague, Holland.
OTTO HARRASSOWITZ, Leipzig, Germany.
R. FRIEDLANDER & SOHN, 11, Carlstrasse, Berlin, Germany.
* For the sale of official publications excluding those of the Legislative
Department of the Government of Burma.
[The maximum limit of the body of the Report is four pages.]
TABLE OF CONTENTS
NOTES AND STATISTICS ON VACCINATION IN BURMA FOR THE YEAR 1921-22.
Vaccination Establishment ... ... ...
Vaccination Work performed during the year ...
Primary Vaccination Work ... ... ...
Revaccination Work ... ... ...
Results of Vaccination ... ... ...
Vaccination in Towns
...
... ...
Infant Vaccination in Towns ... ... ...
Dispensary Vaccination ... ... ...
Vaccination in Jails ... ... ...
Vaccination by Private Practitioners
... ...
Steamer Vaccination ... ... ...
Verification of Results ... ... ...
Vaccine Depôts, Meiktila and Rangoon ... ...
Training Class ... ... ...
Cost of the Vaccination Department
...
...
General remarks ... ... ...
PARA.
1
1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
PAGE
1
ib.
ib.
2
ib.
3
ib.
ib.
ib.
ib.
ib.
ib.
4
ib.
ib.
ib.
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1921-22
1. Establishment.—The vaccination staff employed during the year 1921-22
as compared with that of the year 1920-21 is shown in the subjoined table :—
Year.
1920-21 ...
1921-22 ...
Supervising Officers.
District
Superintendents
of
Vaccination.
41
41
Sub-Assistant
Surgeons.
29
35
Supervisors
of
Vaccination.
46
46
Head
Vaccinators.
3
3
Vaccinators.
347
337
The cadre of Sub-Assistant Surgeons who were receiving vaccination
allowance or who were otherwise employed in the Vaccination Department was
supplemented by six, four being appointed supervisors in Rangoon Municipality
and one in Moulmein. The Sub-Assistant Surgeon in charge of Ye Hospital drew
vaccination allowance during the year.
The permanent establishment of vaccinators was increased by one as the
result of the creation of four new appointments, two in Shwebo district and one
each in the Northern and Southern Shan States districts, and of the abolition of
three appointments, two in Rangoon Municipality, and one in Mergui town.
Eight temporary appointments in Mandalay city and three in Yamèthin district
were abolished. Eight district vaccinators, viz., two each from Bassein and
Lower Chindwin districts and one each from Minbu, Ma-ubin, Toungoo, and
Henzada districts, were either removed or dismissed from the service.
The Supervisors staff suffered loss by the death of one Supervisor (Han-
thawaddy district), the resignation of two (Kyaukpyu and Pegu districts), and the
removal of the Supervisor of Minbu district for desertion of his post. The
Supervisor of Magwe district was placed under suspension late in March 1922
for neglect of his duties.
2. Vaccination Work performed.—The total number of operations performed
exclusive of vaccination work in jails and dispensaries was 650,140 as against
670,425 in the previous year, a fall in total operations of 20,285 ; primary vaccina-
tion showing an increase of 9,668 operations, and re-vaccination a decrease of
29,953. The deficit on last year's figure for totals is mainly due to the great
reduction in the number of re-vaccinations in Yamèthin district (less by 54,329
owing to the close of the special vaccination campaign), but this loss was partly
recouped by an increase of 20,557 re-vaccinations in Akyab district, of 6,626 in
Lower Chindwin district 5,187 in Kyaukpyu district, and 4,739 in Kyauksè
district.
3. Primary Vaccination.—Twenty-seven districts show an increase in num-
bers primarily vaccinated, and thirteen a decrease. In the Arakan Division
Akyab district returned an excess output of 4,186, in addition to the great
increase in re-vaccination already mentioned, and Kyaukpyu an increase of
748, while Sandoway showed a decrease of 841 primary operations. Great
energy on the part of the district staff is responsible for the improvement in
vaccination in Akyab district, where the outturn of primary operations, 19,794,
was only equalled once in the previous ten years (1913-14). Vaccination work
in Sandoway district has been badly reported on both by the Deputy Commis-
sioner and the Civil Surgeon, and will receive special attention in the current
APPENDICES.
STATEMENT No. I—Showing particulars of vaccination in the Province of Burma during the
year 1921-22 ... ... ... ... ... ...
STATEMENT No. II—Showing the cost of the Vaccination Department in the Province of Burma
during the year 1921-22 ... ... ... ... ... ... ...
STATEMENT No. III—Showing Dispensary Vaccination in the Province of Burma for the
year 1991-22 ...
...
...
...
...
..
...
STATEMENT No. IV—Showing the number of persons primarily vaccinated and the number
of those persons who were successfully vaccinated in the Province of Burma in each
of the official years 1912-13 to 1921-22 ... ... ... ...
STATEMENT No. V—Showing particulars of vaccination verified by Inspecting Officers during
the year 1991-22 ... ... ... ... ... ...
APPENDIX A—Showing the ratio per 10,000 successfully vaccinated and the mortality from
small-pox by quinquennial periods for Lower Burma only
... ...
APPENDIX B—Statistics relating to the number of children under one year of age in towns
available for vaccination and the number of successful operations performed on
them
...
...
...
...
...
... ...
APPENDIX C—Diagram showing the proportion of population during the seven official
years 1915-16 to 1921-22, and the death-rate from small-pox during the calendar
year 1921 in districts where registration of vital statistics is in force ... ...
PAGE
6 & 7
10 & 11
12 & 13
14 & 15
ib.
16
ib.
17
8
APPENDICES.
Summary.
—
(1)
By special staff
(Statement I).
By dispensary staff
(Statement III).
By other agencies,
if any.
Total ...
Total number
of persons
vaccinated.
Primary.
(2)
487,649
3,601
3,589
494,839
Re-vaccination.
(3)
155,076
2,209
3,705
160,990
Total number
of operations
performed.
Primary.
(4)
487,770
3,601
3,589
494,960
Re-vaccination.
(5)
155,076
2,209
3,705
160,990
Percentage of
successful cases
in which results
were known.
Primary.
(6)
98.07
98.68
97.71
96.06
Re-vaccination.
(7)
58.44
55.57
61.33
58.44
Average number
of persons
vaccinated by
each vaccinator.
Vaccinators em-
ployed.
(8)
397
...
...
337
Persons vaccina-
ted by each vac-
cinator.
(9)
1,907
...
...
1,907
Number of
children success-
fully vaccinated.
Under one year.
(10)
142,369
693
111
143,173
One year and
under six years.
(11)
233.980
1,568
1,105
236,648
Ratio of successful vaccina-
tions per 1,000 of population.
(12)
40.98
.29
.30
40.82
Total cost of Department.
(13)
Rs.
3,16,417
A.
10
P.
2
...
...
...
Average cost of each successful
case.
(14)
Rs.
0
A.
9
P.
7
...
...
...
APPENDICES.
13
VACCINATION.
Province of Burma for the year 1921-22 (Paragraph 8).
PRIMARY VACCINATION.
Successful.
Under one
year.
(8)
...
1
8
...
9
...
1
22
...
141
...
164
...
...
...
...
...
...
84
...
...
...
...
...
84
44
...
74
117
...
235
15
...
...
7
1
23
...
91
... ...
91
1
...
... ...
1
41
45
86
693
One and
under six
years.
(9)
...
2
65
...
67
...
7
15
... 457
...
479
...
...
...
...
24
24
35
...
...
...
...
...
35
25
...
185
427
...
637
27
...
... 83
3
63
...
95
... ...
95
8
...
... ...
8
56
99
155
1,563
Total of all
ages.
(10)
...
3
121
...
124
...
8
43
...
678
...
729
1
...
...
...
50
51
122
... ...
...
...
...
122
74
...
259
1,026
...
1,359
42
...
... 119
9
170
...
197
... ...
197
13
...
... ...
13
118
185
303
3,068
Unknown.
(11)
...
...
4
...
4
...
...
...
... 280
...
280
...
...
...
30
...
30
...
...
...
...
... ...
...
1
...
10
136
...
147
6
...
... 3
2
11
...
...
...
...
...
5
...
...
...
5
6
9
15
492
RE-VACCINATION.
Total.
(12)
...
31
165
...
196
...
...
11
... 1,123
...
1,131
73
... 309
113
60
555
...
...
...
...
...
...
...
1
...
12
46
...
59
34
... ...
... 89
128
...
...
...
11
11
1
...
...
...
1
89
41
130
2,209
Successful.
(13)
...
28
65
...
93
...
...
3
...
532
...
535
...
...
...
1
30
31
...
...
...
...
...
...
...
...
...
3
21
...
24
6
...
...
... 24
30
...
...
... ...
...
...
...
... ...
...
32
13
45
758
Unknown.
(14)
...
... 52
...
52
...
...
8
... 208
...
216
73
... 309
112
30
524
...
...
...
...
...
...
...
1
...
5
3
...
9
6
...
... ... 14
19
...
...
... 11
11
1
...
...
...
1
27
10
37
869
PERCENTAGE OF
SUCCESSFUL CASES IN
WHICH THE RESULTS
WERE KNOWN.
Primary.
(15)
...
75.00
98.37
...
97.64
...
100.00
100.00
...
97.27
...
97.46
100.00
...
...
...
100.00
100.00
100.00
...
...
...
...
...
100.00
94.87
... 100.00
99.32
...
99.20
95.45
...
... 95.97
100.00
96.05
...
99.49
... ...
99.49
100.00
...
...
...
100.00
100.00
100.00
100.00
93.68
Re¬
vaccina¬
tion.
(16)
...
90.32
57.52
...
64.58
...
...
100.00
...
58.14
...
58.27
...
...
...
100.00
100.00
100.00
...
...
...
...
...
...
...
...
... 42.86
48.84
...
48.00
20.69
... ...
...
32.00
28.85
...
...
... ...
...
...
... ...
...
...
51.61
41.94
48.39
56.57
PERCENTAGE OF
UNKNOWN CASES TO
TOTAL CASES.
Primary.
(17)
...
... 3.15
...
3.05
...
...
...
...
28.65
...
27.24
...
...
...
100.00
...
37.08
...
...
...
...
...
...
...
1.27
...
3.72
11.63
...
9.69
12.00
...
... 2.36
18.18
5.35
...
...
... ...
...
27.78
...
... ...
27.78
4.84
4.64
4.72
13.66
Re-
vaccina-
tion.
(18)
...
...
31.52
...
26.53
...
...
72.73
...
13.52
...
19.05
100.00
...
100.00
99.12
50.00
94.41
...
...
...
...
...
...
...
100.00
... 41.67
6.52
...
15.25
14.71
...
...
...
15.74
15.45
...
...
...
100.00
100.00
100.00
...
...
...
100.00
30.34
24.39
28.46
39.34
No.
(19)
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41
SANT. COMMP'S OFFICE FORM No.
APPENDIX C.
Diagram showing the Proportion of Population protected during the seven official years from 1915-16 to 1921-22 and the Death-rate from Small-pox
during the calendar year 1927 in districts where registration is in force.
G.B.C.P.O.—No.20, D.P.H., 16-8-1922. 510.
T.L.,
R.L.M.
NOTES AND STATISTICS
ON
VACCINATION IN BURMA
FOR THE YEAR 1921-22
RANGOON
OFFICE OF THE SUPERINTENDENT, GOVERNMENT PRINTING, BURMA
1922
(2) Page 3, paragraph 8, "Dispensary
Vaccination."—Substitute the
following for the second sentence beginning with " No dispensary vaccination "
and ending with "Thayetmyo" in the sixth line :—
" No dispensary vaccination was performed in the following districts:
Akyab, Sandoway, Pegu, Prome, Pyapôn, Toungoo, Thatôn, Tavoy, Mergui,
Salween, Bhamo, Putao, Yamèthin, Kyauksè, Myingyan, Lower Chindwin, Sagaing,
Thayetmyo and Minbu. "
REPORT
ON THE
LUNATIC ASYLUMS
IN THE
CENTRAL PROVINCES
FOR
THE YEAR 1886.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS.
1887.
[PRICE EIGHT ANNAS. ]
No. 3111/145
Extract from the Proceedings of the Chief Commissioner, Central Provinces,
in the General Department, dated Pachmarhi, the 24th June 1887.
READ letter No 754 L. A., dated the 20th May 1887, from the Deputy-Surgeon General,
Central Provinces, forwarding for submission to the Chief Commissioner the
Annual Reports and .Statements of the Nagpur and Jubbulpore Lunatic Asylums
for the year 1886.
READ also the Reports and Statements of the Superintendents of the Asylums.
RESOLUTION.
Population statistics of
the two Asylums.
On the 1st January 1886 there were 165 inmates (132 males and 33
females) in the Nagpur Asylum: there were 29 patients
admitted (26 males and 3 females), so that the total popula-
tion was 194 (158 males and 36 females). Eleven patients
(all males) were discharged cured, and one was discharged improved: one
female was discharged not improved, and seven males are shown as discharged
otherwise than as "cured" or " transferred to friends.'' Twenty-three patients
died (16 males and 7 females). The population on the last day of the year
was 151 (123 males and 28 females).
The daily average strength was 160.29, and the daily average sick 14.87.
The percentage of deaths on admissions was 233 1/3 per cent among the female,
and 61½ per cent among the male, patients.
In the Jubbulpore Asylum there were on the 1st January 1886, 134
inmates (103 males and 31 females).
Twelve males and two females were
admitted, so that the total population was 148 (115 males and 33 females).
Four males were discharged cured, and 10 patients (6 males and 4 females)
died. The population at the end of the year was 134 (105 males and 29
females).
The daily average strength was 133.39, and the daily average sick 2.61.
The percentage of deaths on admissions was 200 among the female, and 50
among the male, patients.
Admissions and discharges.
2. The number of admissions from the Central Provinces into the Nagpur
Asylum, which rose from 27 in 1884 to 38 in 1885, has
fallen to 23 in the year under report. The Deputy Surgeon
General is unable to give any explanation of these fluctuations. It is noticeable
that for the first time for the last eleven years there have been no re-admis-
sions into either Asylum. This is no doubt due to greater care in discharging
patients as improved. Only one such discharge was made from the Nagpur
Asylum and none from the Jubbulpore Asylum in 1886. Of the seven male
patients shown as discharged from the Nagpur Asylum otherwise than as
"cured" or " transferred to friends," four'escaped. No fewer than 9 lunatics made
their escape during the year from this Asylum: of these, 5 were at once re-cap-
tured. The Superintendent remarks that of the other four who were successful
in their attempts, " the escape of one of the four only is a cause for regret."
This may be so: but it is obvious that this is only a fortunate accident, and the
four fugitives might have been the most dangerous patients in the Asylum. It
is not satisfactory to find that so many escapes were possible.
2
Separate confinement of
dangerous lunatics.
3. Closely connected with this matter is the question of confining dan
gerous lunatics within an enclosure which has been under
the consideration of the Chief Commissioner during the
year. Dr. Rice's remarks on this point are clear and
forcible. The real distinction lies not necessarily between criminal and non-
criminal but between dangerous and harmless lunatics. The former is merely
a technical distinction. What the Chief Commissioner desires to ensure is that
lunatics who, whether they be criminal or not, are subject to paroxysms of
homicidal mania, should be put under such restraint as to minimize the risk
to their fellow-patients as well as to the outside public. Dr. Rice is apparenty
right in remarking that this can be secured only by locking up the dangerous
lunatics who are actively violent in separate cells and by keeping in a separate
enclosure "those who are considered liable to sudden out-bursts of violence."
The excellence of Dr. Rice's practice is avouched by the fact that since the
Jubbulpore Asylum has been open, no fatal assault has been committed by
any lunatic, and only two assaults that deserve to be called serious—both
committed by non-criminal patients.
Classification.
4. As in previous years the bulk of the lunatics admitted at Nagpur are
shown as suffering from acute mania or acute dementia
and at Jubbulpore from acute mania. The proportion
of cases of melancholia is larger, and of acute dementia smaller, at Jub-
bulpore than at Nagpur. During the year the Deputy Surgeon-General,
at the suggestion of the Chief Commissioner, made an examination of each
patient in both Asylums, but in no single instance did he feel justified in set-
ting aside the diagnosis of the Superintendents. The differences of type are
not so marked as they formerly were. The great difference in the number of
idiots (26 in Jubbulpore and 1 in Nagpur) is accounted for by the fact that in
1884 all the idiots in the Nagpur Asylum were transferred to Jubbulpore.
Health of the lunatics.
5. The vital statistics of both Asylums are very unfavourable. The
daily average of sick patients for the last 5 years is given
below:—
1882 ...
1883 ...
1884 ...
1885 ...
1886 ...
Nagpur.
10.41 ...
9.45 ...
6.63 ...
11.19 ...
14.87 ...
Jubbulpore.
2.35
1.53
1.43
1.74
2.61
It will be seen that the extraordinary difference between the two Asylums
is as marked as ever. In the Chief Commissioner's review of last year's
Report it was suggested that this difference was probably due to some differ-
ence in the system of according admissions to hospital or to medical treat-
ment. The Deputy Surgeon-General however now reports that he finds on
special enquiry that the system is the same in both institutions. He is of
opinion that the difference of employment may account in part for the con-
tinued difference in the number of sick. It would not seem primâ facie
probable that out-door labour should be so much more unhealthy than in-door
employment. This point must be more fully enquired into.