3
16. There were 11 deaths from tuberculosis of the lung; and it is
explained by the Superintendent that "of the cases of tubercle, 2 were men
admitted from the Central Jail with advanced tuberculosis. Both were at once
admitted to hospital, where they remained until they died. It is not always easy
to trace the origin in each case of tubercle, especially among lunatics, most of
whom make little complaint of illness; but certainly 6 of the remaining cases
that died were affected with the disease on arrival, and in the remaining 3 the
history of its onset was doubtful."
17. The 11 deaths from pneumonia were out of a total of 27 cases, 16
having been discharged cured.
18. Nine cases of dysentery died out of a total of 84. The Super-
intendent, with reference to this disease, state that " dysentery is a pecu-
liarly frequent disease in the Asylum, and its so frequent incidence is not
easy to account for. It must, however, be remembered that many of the
patients, despite of all care, wander and pass their motions on the floor and in
any part of the enclosure, and the source of the infection is therefore not difficult
to trace, but it is another question how this is carried. It is known that many of
the men habitually eat mud, and that others will persist in drinking from the
ablution troughs intended solely for cleansing purposes after using the latrine,
while some few habitually eat excrement ; but when all these are considered
a large number remain in whom it is impossible to say how the disease was
contracted. In addition to the cases of dysentery, 22 of diarrhœa were
admitted to hospital, 4 of which proved fatal."
19. The only other malady which at all approaches dysentery in its
frequency is malarial fever, for which there were 71 admissions, a number
(having regard to the population and the relative frequency of the disease
among the people of the vicinity) that must be regarded as extremely low.
After October a prophylactic issue of quinine of 5 grains daily to each lunatic
was administered, and to this and the early employment of warm clothing
must in all probability be ascribed the comparatively small number of admis-
sions.
20. A tendency to scurvy was noticed among the lunatics in the spring,
and, in consequence, sanction was accorded to the regular addition of antiscor-
butics, tamarind, amchúr, &c., daily to the dietary, and the result was most
satisfactory.
21. There were three fatal cases of heat stroke; all occurred on the
same day, i.e., the 2nd of July.
22. Twenty-five cases of acute mania required admission to hospital; 17
of these completely recovered, one died, and the remaining 6 improved so
much as to be able to return to the general wards of the Asylum.
23. The remaining number of admissions to hospital and deaths are
made up of small numbers for various diseases, and do not call for separate
notice.
24. The total expenditure during the year for the present Asylum since
the 1st of March, and before that for the two Asylums at Delhi and Lahore,
amounted to Rs. 59,297-14-5; of this only Rs. 52,0)8-13-1 were drawn from
the treasury, the remainder being made up of patients' payments, Rs. 1,072-9-6;
stores from the manufactory, Rs. 3,604-4-2 ; book receipts, i.e., Public
Works Department charges, stationery and English medicines, &c., Rs. 2,223-3-5 ;
with Rs. 379-0-3 from miscellaneous receipts.
25. The cost of maintenance, taking the daily average at 471.89, therefore,
amounts to Rs. 117-13-11 per head for the inmates, against Rs. 101-10-1 for
the former year, or an excess of Rs. 16-3-10. This difference is due chiefly—
(1) to the pay of the Superintendent and Deputy Superintendent, there
being formerly only a monthly allowance of Rs. 250 and Rs. 100,
respectively, instead of the entire pay of a special officer now
chargeable; the whole amount under this head being Rs. 4,200
for 1899 as against Rs. 10,182-2-3 for 1900. This alone