NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
6
STATEMENT No. IV.—(Concld.)
Showing the previous occupations of Patients admitted into the Lunatic Asylums in the
Central Provinces during the year 1910.—(Concld.)
1
Occupation of patients.
Schoolmaster ... ...
Malguzar ... ...
Mason ... ...
Writer ... ...
Military Sepoy ... ...
Peon ... ...
sepoy ... ...
Shopkeeper ... ...
Student ... ...
Unknown ... ...
Weaver ... ...
Banker ... ...
Basketmaker ... ...
Tailor ... ...
Kalar ... ...
Contractor ... ...
Cattle grazier ... ...
Teli
...
...
Goldsmith ... ...
Sub-Postmaster ... ...
Jamadar ... ...
Pandit ... ...
Medical Practitioner
...
...
Spinning Master ... ...
Total ... ...
2
Nagpur.
Male.
1
...
2
...
...
...
1
2
2
1
2
...
1
1
...
...
...
...
1
1
2
...
1
1
74
Female.
...
...
...
...
...
...
...
2
1
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
14
Total.
1
...
2
...
...
...
1
4
3
1
3
...
1
1
...
...
...
...
1
1
2
...
1
1
88
3
Total for the province.
1910.
Male.
1
...
2
...
...
...
1
2
2
1
2
...
1
1
...
...
...
...
1
1
2
...
1
1
74
Female.
...
...
...
...
...
...
...
2
1
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
14
Total.
1
...
2
...
...
...
1
4
3
1
3
...
1
1
...
...
...
...
1
1
2
...
1
1
88
1909.
Male.
2
...
2
2
1
...
...
3
2
2
1
...
...
...
...
1
1
1
...
...
...
1
...
...
74
Female.
...
...
...
...
...
...
...
1
...
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
21
Total.
2
...
2
2
1
...
...
4
2
3
2
...
...
...
...
1
1
1
...
...
...
1
...
...
95
1908.
Male.
1
1
1
1
...
1
...
3
2
2
2
2
...
...
1
...
...
1
...
...
...
...
...
...
77
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
... ...
...
...
...
...
...
...
12
Total.
1
1
1
1
...
1
...
3
2
2
2
2
...
...
1
...
...
1
...
...
...
...
...
...
89
8
STAT
Showing the ages of Patients admitted into the Lunatic Asylum in t
1
Name of Asylum.
Nagpur ... ...
provincial Totals ...
1909 ...
1908 ...
2
Under 20.
Male.
5
4
3
Female.
2
...
3
Total.
7
4
6
3
20 to 40.
Male.
52
57
63
Female.
7
14
6
Total.
59
71
69
STAT
Showing the Types of Insanity of the Lunatics in the Asylum
1
Cases.
NAGPUR.
Remained on the 31st December 1909 ...
Admitted
...
...
...
Total treated ...
Discharged ...
Recovered
...
...
Improved ... ...
Not improved
...
...
Died ... ... ...
Remaining on the 31st December 1910 ... ...
2
136
Idiocy.
Male.
12
2
14
...
...
...
7
7
Female.
10
1
11
1
...
...
3
7
Total.
22
3
25
1
...
...
10
14
3
137
Mania, acute or chronic.
Epileptic.
Male.
11
4
15
...
...
...
9
6
Female.
4
1
5
...
...
...
...
5
Total.
15
5
20
...
...
...
9
11
Other forms.
Male.
150
54
204
31
8
3
32
130
Female.
43
11
54
8
...
1
14
31
Total.
193
65
258
39
8
4
46
161
4
138
Melancholia, acute or chronic.
Epileptic.
Male.
1
...
1
...
...
...
...
1
Female.
...
...
...
...
...
...
...
...
Total.
1
...
1
...
...
...
...
1
Other forms.
Male.
29
8
37
2
...
1
7
27
Female.
4
1
5
...
1
...
...
4
Total.
33
9
42
2
1
1
7
31
9
MENT No. V.
Central Provinces during the year 1910, and Provincial totals for two previous years.
4
40 to 60.
Male.
17
13
12
Female.
4
6
2
Total.
21
19
14
5
Upwards of 60.
Male.
...
1
...
Female.
1
...
...
Total.
1
1
...
6
Total.
Male.
74
75
78
Female.
14
20
11
Total.
88
95
89
MENT No. VI.
in the Central Provinces during the year 1910.
5
139
Dementia, including acquired.
Epileptic.
Male.
2
...
2
...
...
...
...
2
Female.
1
...
1
...
...
...
...
1
Total.
3
...
3
...
...
...
...
3
Other forms.
Male.
30
2
32
1
...
...
6
25
Female.
10
...
10
...
...
...
2
8
Total.
40
2
42
1
...
...
8
33
6
140
Mental Stupor.
Male.
...
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
7
141
General Paralysis.
of the insane.
Male.
...
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
8
142
Delusional Insanity.
Male.
1
4
5
...
...
...
...
5
Female.
...
...
...
...
...
...
...
...
Total.
1
4
5
...
...
...
...
5
9
Declared to have
recovered or not
yet diagnosed.
Male.
...
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
10
Total.
Male.
236
74
310
34
8
4
61
203
Female.
72
14
86
9
1
1
19
56
Total.
308
88
396
43
9
5
80
259
10
STATEMENT
Showing the alleged causes of Insanity amongst the Lunatics
1
Cases.
NAGPUR.
Remaining on 31st December 1909 ...
Admitted ...
Criminal ...
Non-criminal ...
Total treated ...
Discharged
...
Recovered ...
Improved ...
Not improved ...
Died
...
...
Remaining on 31st December 1910 ...
2
3
4
5
6
7
8
Physical
Charas
smoking.
Male.
1
...
...
1
1
...
...
...
...
Female.
...
...
...
...
...
...
...
...
...
Total.
1
...
...
1
1
...
...
...
...
Ganja
smoking.
Male.
31
2
10
43
14
2
...
9
18
Female.
1
...
...
1
...
...
...
...
1
Total.
32
2
10
44
14
2
...
9
19
Use of Bhang.
Male.
2
...
...
2
...
...
...
...
2
Female.
...
...
...
...
...
...
...
...
...
Total.
2
...
...
2
...
...
...
...
2
Opium smoking,
Madak and
Chandu.
Male.
...
...
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
Opium eating.
Male.
1
...
...
1
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
...
Total.
1
...
...
1
...
...
...
1
...
Spirit drinking.
Male.
9
1
5
15
1
...
...
3
11
Female.
3
...
...
3
1
...
...
...
2
Total.
12
1
5
18
2
...
...
3
13
All other intoxi-
cants.
Male.
4
...
...
4
...
...
...
...
4
Female.
1
...
...
1
...
...
...
...
1
Total.
5
...
...
5
...
...
...
...
5
11
No. VII.
in the Ayslum in the Central Provinces during the year 1910.
9
10
11
12
13
Causes.
Fevers.
Male.
17
3
4
24
1
...
1
6
16
Female.
9
...
3
12
1
1
...
4
6
Total.
26
3
7
36
2
1
1
10
22
Epilepsy and
Sunstroke.
Male.
7
2
2
11
...
...
...
4
7
Female.
5
...
1
6
1
...
...
...
5
Total.
12
2
3
17
1
...
...
4
12
Hereditary, Con-
genital and Secret
Vice.
Male.
24
6
5
35
3
2
...
9
21
Female.
10
...
...
10
...
...
...
3
7
Total.
34
6
5
45
3
2
...
12
28
Other physical
causes.
Male.
11
3
8
22
1
...
1
1
19
Female.
11
1
6
18
4
...
1
3
10
Total.
22
4
14
40
5
...
2
4
29
Total physical.
Male.
107
17
34
158
21
4
2
33
98
Female.
40
1
10
51
7
1
1
10
32
Total.
147
18
44
209
28
5
3
43
130
14
Moral
causes.
Male.
53
3
17
73
9
4
2
7
51
Female.
12
1
2
15
2
...
...
3
10
Total.
65
4
19
88
11
4
2
10
61
15
Total known.
Male.
160
20
51
231
30
8
4
40
149
Female.
52
3
12
66
9
1
1
13
42
Total.
212
23
63
297
39
9
5
53
191
16
Total unknown.
Male.
76
1
2
79
4
...
...
21
54
Female.
20
...
...
20
...
...
...
6
14
Total.
96
1
2
99
4
...
...
27
68
17
Grand Total.
Male.
236
21
53
310
34
8
4
61
203
Female.
72
2
12
86
9
1
1
19
56
Total.
308
23
65
396
43
9
5
80
259
12
STATEMENT No. VIII.
Cash Account of the Lunatic Asylum in the Central Provinces for the year 1910 and
Provincial totals for two previous years.
Name of Asylum.
1
Nagpur ...
Provincial Totals..
1909 ...
1908 ...
Receipts.
Received from
Treasury.
2
Rs.
26,789
33,938
32,676
a.
11
0
6
p.
0
5
11
Received from
paying
patients.
3
Rs.
2,714
3,358
2,961
a.
11
13
8
p.
8
1
5
Value of
stores
received
from the
manufacturing
Department
less cost
of raw mate-
rials.
4
Rs.
3,935
3,278
3,480
a.
0
9
11
p.
2
11
5
Book receipts
i. e., the
total of
expenditure
entered in
columns 19,
so and 21.
5
Rs.
17,695
30,734
18,043
a.
6
0
11
p.
8
3
2
Miscellaneous
receipts.
6
Rs.
5,582
4,775
4,270
a.
0
13
13
p.
1
1
3
Total.
7
Rs.
56,716
76,132
61,433
a.
13
4
3
p.
7
9
2
Charges.
Establishment.
Establishment
proper.
8
Rs.
7,872
8,600
9,636
a.
8
12
5
p.
2
7
9
Superintend.
ence.
9
Rs.
3,250
3,600
3,600
a.
0
0
0
p.
0
0
0
Name of Asylum.
1
Nagpur
...
Provincial Totals...
1909 ...
1908 ...
Charges.—(Contd.)
Diet.
10
Rs.
12,574
16,889
16,234
a.
5
5
4
p.
4
8
0
Clothing and
bedding,
11
Rs.
995
628
677
a.
9
10
0
p.
0
4
4
Bazar medi-
cines.
12
Rs.
12
18
a.
10
4
p.
8
1
...
Contingencies
proper.
13
Rs.
5,977
6,564
5,059
a.
2
1
8
p.
0
5
3
Repairs and
maintenance.
14
Rs.
694
35
a.
12
8
p.
7
3
...
Rates and
taxes.
15
Rs.
1,042
930
900
a.
8
0
0
p.
0
0
0
Remitted to
treasury on
account of
paying
patients, &c.
16
Rs.
8,396
8,131
7,232
a.
11
10
5
p.
9
2
8
Name of Asylum.
1
Nagpur
...
Provincial Totals..
1909
...
1908 ...
Charges.—(Concld.)
Miscellaneous
items.
17
Rs. a. p.
...
...
...
Total of
columns
8 to 17.
18
Rs.
39,715
45,398
43,389
a.
3
4
8
p.
6
6
0
Book charges.
Charges on
account of
work done by
the Public
Works Depart-
ment.
19
Rs.
16,744
30,320
17,980
a.
14
13
6
p.
1
8
2
Cost of
printed
forms and
stationary.
20
Rs.
a. p.
...
9
0
2
4
0
9
Cost of
English stores,
medicines, &c.
21
Rs.
255
204
63
a.
12
0
0
p.
0
7
3
Total of
columns
18 to 21.
22
Rs.
56,716
76,132
61,433
a.
13
4
3
p.
7
9
2
Remarks.
23
* Includes Rs. 3,214-11-8 receipts from paying patients.
13
STATEMENT No. IX.
Showing the sanctioned establishment of the Nagpur Lunatic Asylum as it stood on the
31st December 1910.
1
Establishment.
Superintendent
...
...
...
Deputy Superintendent ... ...
Sub Assistant Surgeon ... ... ...
Do.
Staff allowance ... ...
Clerks
...
...
...
Compounder
...
...
...
Head Warder ... ... ...
Assistant Head Warders ... ... ...
Warders, 1st grade ... ... ...
Do. 2nd do. ... ... ...
Do.
3rd do. ... ... ...
Matron
...
...
...
Female Head Warder ... ... ...
Do. Warders, 1st grade ... ... ...
Do.
2nd do. ... ... ...
Gowli ... ... ...
Barber ... ... ...
Male sweepers ... ... ...
Female sweepers ... ... ...
Gardener ... ... ...
Dairy Peon ... ... ...
Farm Hands ... ... ...
Graziers ... ... ...
Total ...
Daily average number of males ... ...
Do.
females ... ...
Total
...
2
Number.
1
1
1
...
2
1
1
2
4
6
8
1
1
3
3
1
1
2
2
1
1
2
2
47
323.11
67.42
390.53
3
Monthly wages.
Rs.
150
125
45
20
70
16
15
28
48
66
80
40
12
30
27
9 vacant.
10
12
10
10
7 vacant.
12
12
854
...
...
...
Proportion ...
Head Warders to males ...
Male Warders to males ...
Female Head Warders to females.
Female Warders to females. ...
0.93.
5.57.
1.48.
8.89.
14
STATE
Showing Receipts and Expenditure on account of Manufactures in the Lunatic Asylum
1
Name of Asylum.
Nagpur ...
Provincial
totals.
1909 ...
1908 ...
2
Mean population.
Male.
323.11
237.25
237.79
Female.
67.42
71.81
73.63
Total
390.53
309.06
311.47
3
4
5
6
7
8
CREDITS.
Cash paid into
the treasury or
articles sold.
Rs.
5,164
4,593
3,896
a.
9
3
9
p.
4
2
3
Value of manu-
factured goods,
made over to
Asylum for
Asylum pur-
poses.
Rs.
3,827
3,278
3,480
a.
0
9
11
p.
2
11
5
Value of
raw materi-
als in store
at the end
of the
year.
Rs.
742
712
34
a.
15
2
8
p.
9
4
0
Value of
manufac-
tured goods
in store
at the end
of the
year.
Rs.
257
33
190
a.
9
0
8
p.
9
0
0
Value of plant
and machinery
in store at the
end of the
year.
Rs.
4,228
4,878
5,057
a.
10
2
5
p.
6
4
4
Total
credits.
Rs.
14,220
13,495
12,659
a.
13
1
10
p.
6
9
0
9
Value of
manufac-
tured goods
in stores
on 1st
January
1910.
Rs.
33
190
42
a.
0
8
0
p.
0
0
0
15
MENT No. X.
in the Central Provinces during the year 1910, and Provincial totals for two Previous years.
10
11
12
13
14
15
DEBITS.
Value of
raw mate-
rials in
stores on
1st Janu-
ary 1910.
Rs.
712
34
3
a.
2
8
9
p.
4
0
0
Value of plant
and machinery
in store on 1st
January 1910.
Rs.
4,824
5,057
5,057
a.
13
5
5
p.
4
4
6
Raw mate-
rials pur-
chased.
Rs.
495
260
247
a.
5
10
6
p.
3
6
3
Contingen-
cies of
manufac-
ture.
Rs.
3,611
4,756
3,392
a.
12
6
2
p.
3
10
10
All other
charges.
Rs.
480
480
579
a.
0
0
0
p.
0
0
0
Total debits.
Rs.
10,157
10,779
9,321
a.
1
6
7
p.
2
8
7
16
17
RESULTS.
Excess of
credits or
profits.
Rs.
4,063
2,715
3,338
a.
12
11
2
p.
4
1
5
Excess of
debits or
loss.
Rs. a. p.
...
...
...
18
Remarks.
Employed on manu-
facture
Male.
45.56
32.13
32.87
Female.
3.09
3.38
3.76
Total
48.65
35.51
36.63
Employed on
gardening.
Male.
52.89
81.54
86.15
Female.
8.19
6.81
6.09
Total.
61.08
88.35
92.24
Govt. Press, Nagpur ;—I. G. of C. H.—24-3-11.—200.
TRIENNIAL REPORT
ON THE
LUNATIC ASYLUMS
IN THE
CENTRAL PROVINCES
FOR THE YEARS
1909, 1910 & 1911.
BY
COLONEL G. W. P. DENNYS, I. M. S.,
INSPECTORE-GENERAL OF CIVIL HOSPITALS, CENTRAL PROVINCES.
Nagpur
PRINTED AT THE GOVERNMENT PRESS
1912
PRICE—ONE RUPEE.]
[PRICE—ONE
SHILLING
AND
SIX PENCE.
TRIENNIAL REPORT
ON THE
LUNATIC ASYLUMS
IN THE
CENTRAL PROVINCES
FOR THE YEARS
1909, 1910 & 1911.
Agents for the Sale of Books published by the Central Provinces
Administration.
IN ENGLAND.
CONSTABLE & Co., 10, Orange Street, Leicester Square, W. C., London.
P. S. KING & SON, 9, Bridge Street, Westminster, S. W., London.
KEGAN PAUL, TRENCH, TRUBNER & Co., 68/74 Carter Lane, E. C., London.
B. QUARITCH, 11, Grafton Street, New Bond Street, W., London.
GRANDLAY & Co., 54, Parliament Street, London, S. W.
DEIGHTON BELL & Co., Cambridge.
B. H. BLACKWELL, 50 & 51, Broad Street, Oxford.
HENRY S. KING & Co., 65, Cornhill, E. C.
T. FISHER UNWIN, 1, Adelphi Terrace, London, W. C.
LUZAC & Co., 46, Great Russell Street, London.
W. THACKER & Co., 2, Creed Lane, London, E. C.
ON THE CONTINENT.
FRIEDLANDER & SOHN, 11, Caristrasse, Berlin.
OTTO HARRASSOWITZ, Leipzig.
KARL W. HIERSEMANN, Leipzig.
ERNEST LEROUX, 28, RUE BONAPARTE, PARIS.
MARTINUS NIJHOFF, The Hague.
IN INDIA AND THE COLONIES.
THACKER, SPINK & Co., Calcutta and Simla.
NEWMAN & Co., Calcutta.
R. CAMBRAY & Co., Calcutta.
S. K.LAHIRI & CO., Calcutta.
BUTTERWORTH & Co. (India), Limited, 8/2 Hastings Street, Calcutta.
CALCUTTA SCHOOL BOOK & USEFUL LITERATURE SOCIETY, Calcutta.
A. J. COMBRIDGE & Co., Bombay.
THACKER & Co., LD., Bombay.
D. B. TARAPOREVALA, SONS & Co., Bombay.
RADHABAI ATMARAM SAGOON, Bombay.
SUNDER PANDURANG, 25, Kalbadevi Road, Bombay.
RAMCHANDRA GOVIND & SONS, Booksellers, Kalbadevi Road, Bombay.
A. J. COMBRIDGE & Co., Madras.
HIGGINBOTHAM & Co., Madras.
V. KALYANARAM IYER & Co., Madras.
G. A. NATESON & Co., Madras.
S. MURTHY & Co., Madras.
THOMPSON & Co., Madras.
TEMPLE & Co., Madras.
RAI SAHIB M. GULAB SINGH & SONS, Lahore.
N. B. MATHUR, SUPERINTENDENT, NAZAIR KANUN HIND PRESS, Allahabad.
SUPERINTENDENT, AMERICAN BAPTIST MISSION PRESS, Rangoon.
MANAGER, GENERAL BOOK DEPÔT, Nagpur and Jubbulpore.
A. M. & J. FERGUSON, Booksellers, Ceylon.
BABU S. C. TALUQDAR, Proprietor, Students & Co., Cooch Behar,
No.934/VI-10-3.
CENTRAL PROVINCES ADMINISTRATION.
Education and Medical department.
Nagpur, the 4 th May 1912.
READ—
The Triennial Report and Statements of Lunatic Asylums in the Central Provinces for
the years 1909, 1910, 1911.
RESOLUTION:
The triennium to which the report relates witnessed a marked advance in
the care and treatment of the insane in these Provinces. In March 1910 the
Jubbulpore Asylum was closed and all the inmates were transferred to the
Nagpur Asylum which is now the only institution of its kind in the Central
Provinces and Berar. The asylum provides accommodation for 399 male and
female lunatics. In the spacious buildings and grounds of the Nagpur Asylum
the patients enjoy pleasant surroundings and as much freedom and amenities as
are compatible with their condition.
2. The mortality at the Nagpur Asylum had been a matter of some con-
cern for some years past and when the number of deaths rose from 33 in 1909 to
80 in 1910, Sir Reginald Craddock directed a special enquiry into the causes of
this high death-rate. The cause was at first ascribed to the prevalence of
ankylostomiasis; but the very careful investigations carried out by Major
Kenrick and Lt.-Colonel Banatvala did not support that belief. While their filthy
habits naturally make lunatics prone to become infected with intestinal parasites,
the existence of such parasites in a considerable proportion of the inmates of the
asylum, though not a larger proportion than has been found to exist in the outside
population, was shown to have been at the most a contributory cause of the high
death-rate. At the same time Lt.-Colonel Banatvala's report disclosed certain
structural and sanitary defects in the older barracks and yards and emphasized
the inadequacy of the staff for the constant control of the patients and the unremit-
ting supervision of all details affecting their physical health. With a view to remov-
ing these defects the Medical, Warder and Conservancy establishments have been
strengthened and structural alterations sanctioned which include the improve-
ment of water-supply, the extension of drains, the construction of concrete
berths, the erection of a new kitchen, the remod-lling of latrines and the paving
of wards and yards. Pending the completion of all these measures the exercise
of the greatest care in all details of sanitary administration and of special vigil-
ance for any signs of illness among the inmates, coupled with some modification
in their diet, have had a most beneficial effect. During the year 1911 the
mortality fell to 55 per mille. The Chief Commissioner concurs with the
Inspector-General of Civil Hospitals in congratulating the Superintendent of the
Asylum and his staff on this gratifying result of their sustained efforts for the
well-being of their patients.
2
Nevertheless the concentration of the whole of the lunatics of the Province
in a single institution must remain only a half measure of reform until it is com-
pleted by the appointment of an expert alienist for their study, care, and
control, and this appointment must be made as soon as a suitable officer is
available.
3. As compared with the preceding triennium the number of admissions
into the asylum rose from 215 to 277. The agricultural seasons have been
prosperous; the increase cannot therefore be attributed to bad harvests ; and
until the figures of the Census of 1911 are available in detail the Chief Com-
missioner considers that it would be idle to speculate whether there has been
a real increase in mental diseases. It seems probable that the larger number
of admissions into the asylum may be attributed to greater confidence in this
institution; this view is supported by the increase in the number of paying
patients. It is also satisfactory to note that of the 164 discharges no fewer
than 116 were released as cured, while the condition of 35 others was certified
to have improved.
4. The amalgamation of the Jubbulpore and Nagpur Asylums has made
for economy. In spite of the high prices of foodstuffs and of additions to the
diet of the inmates, the maintenance charges which amounted to Rs. 36,219
in 1908 fell to Rs. 34,890 in 1911. The receipts from paying patients also
show an improvement; and indicate that steps are being taken to secure
payment for the maintenance of lunatics who have relatives in easy circum-
stances.
5. The progress made during the period under review has been satisfac-
tory and the Chief Commissioner desires to acknowledge his obligations to
Lieutenant-Colonel Buchanan and the Deputy Superintendent of the Asylum,
Mr. Kashinath Gopal, for the good work they have done. Mr. Fox-Strangways'
special thanks are due to the Inspector-General of Civil Hospita's for the
interest displayed by him in the asylum and to Major Kenrick and Lt.-Colonel
Banatvala for the thoroughness with which they carried out the special investi-
gations of the causes of the high mortality in 1910.
ORDER.— Ordered, that a copy of this Resolution be submitted to the
Government of India in the Home Department, that a copy be forwarded to the
Inspector-General of Civil Hospitals, Central Provinces, for information, and
that it be published in the Supplement to the Central Provinces Gazette.
A. BLENNERHASSETT,
Second Secretary to the Chief Commissioner,
Central Provinces.
Govt. Press, Nagpur :—No. 387, Civil Sectt.—6-5-12—202.
TABLE OF CONTENTS.
Officers in charge
...
...
Accommodation and population
...
...
Admissions and re-admissions
...
...
Discharges
Sickness and mortality ...
Criminal lunatics
Religion and sex
Occupation
Age on admission
...
..»
»..
Types of insanity
...
...
...
Alleged causes of insanity
Finance
...
...
...
Incidence of expenditure ...
...
...
Establishment
...
...
...
Profit and loss on manufactures
...
...
Prophylactics
Employment
Amusement
...
...
...
Rewards
...
Inspections
..»
...
...
Meetings of official visitors
..,
...
General
...
...
Notice of officers
...
...
...
Prescribed maximum limit of pages ...
PARAS.
1
2
3
4
5
6
7
8
9
10
11
12
ib
13
14
15
16
17
18
19
20
21
22
6
2
5. Sickness and mortality—There were 418 admissions into hospital
against 321 in the previous three years, mostly for dysentery, fever and acute mania
with anæmia, diarrhœa, old age and debility. There were 128 deaths, viz., 33
in 1909, 80 in 1910 and 15 in 1911, against 97 in the previous three years.
The very high mortality in the asylum during 1910 (265 per mille) attracted
the attention of the late Colonel Cunningham, the Inspector-General of Civil
Hospitals, and later, at the suggestion of Lieutenant-Colonel Buchanan, the Hon'ble
the Chief Commissioner was pleased to appoint a special officer to enquire into the
matter. It was at first thought that ankylostomiasis might be largely responsible.
Major Kenrick began the investigation on 25th January 1911 till 3rd February
1911, and afterwards Lieutenant-Colonel Banatvala continued it from 6th February
1911 till 15th April 1911. Both of these officers submitted interesting reports
dealing with the question of intestinal parasites. Systematic treatment for all
forms of these parasites was continued throughout the year by Lieutenant-
Colonel Buchanan. Lieutenant-Colonel Banatvala examined the stools of 268
inmates and found the following :—
Total number
examined.
268
Percentage
Infected with
Ankylos-
tomum
duodenalis.
83
30.97
Ascaris
lumbri-
coides.
105
39.18
Oxyuris
vermicu-
laris.
8
2.99
Strongy-
loses ster-
coralis
embryo.
10
373
Taenia
nana.
4
1.49
Trichuris
trichiura.
52
19.40
Amoeba and
balantidium
coli.
6
224
He also found that a large number had multiple infection :—
Infected with
I kind of
parasite.
90
2 kinds of
parasites.
S3
3 kinds of
parasites.
18
4 kinds of
parasites.
4
Total number
examined.
268
Percentage of
total parasitic
infection.
69.03
Percentage of
ankylostome
infection.
3097
The percentage affected with ankylostoma was 30.97 and with parasites of
all kinds was 69.03. Lieutenant-Colonel Banatvala's investigation was, however,
made after treatment had been systematically carried out for some little time, so
it is probable that the infection was originally greater. In the following table are
given the figures showing the results of subsequent examinations :—
Month.
1911.
May ...
June ...
July ...
August ...
September ...
October ...
November ...
December ...
Total
No. of
inmates
whose
stools
were
examin-
ed.
171
102
102
104
56
52
77
89
No. of
patients
with
ankylo-
va in
stools.
21
13
23
14
6
5
4
5
Percent-
age to
total
examined.
12.28
12.75
22.55
13.46
10.71
9.61
5.19
5.62
No. with
ascaris
ova.
24
9
18
15
9
7
10
33
Number
with
oxyuris
ova.
1
...
...
...
...
...
...
...
Number
with
strongy-
loides
embryo.
1
2
3
5
3
2
2
3
Number
with
cestode
ova
...
...
...
1
...
...
...
1
No.
with
tri-
cho
ova.
10
18
11
20
17
15
13
11
No. with
balanti-
diumcoli
ova.
...
2
3
5
7
5
3
1
Total.
57
44
58
60
42
34
32
54
7
Gopal at Nagpur gave much attention to the general tidying up of the asylum,
to the farm work, for which he has special qualifications, and to the general
supervision of the inmates. Sub-Assistant Surgeon D. V. Pradhan, who has
considerable skill in the use of the microscope, gave most valuable help in
examining the stools of the inmates and in supervising the treatment for
various kinds of parasitic infection. He is said to be an exceptionally smart
young Sub-Assistant Surgeon and has worked with great diligence throughout
the year. The second Sub-Assistant Surgeon, C. R. Pangarkar, who has been
appointed to the asylum since July 1911, has given most valuable help in
attending to the treatment of the large numbers who were admitted in hospital.
The Head Clerk, Narayan Madho, has to deal with large amounts of money,
and he has kept the numerous and complicated accounts of the asylum very
creditably. The rest of the staff have worked satisfactorily.
NAGPUR:
The 26th February 1912.
G. W. P. DENNYS, COL., I. M. S.,
Inspector-General of Civil Hospitals,
Central Provinces.