3
8 admissions or 14.28 per cent against 15 or 15.79 per cent last year. Reco-
veries under this type were 4, and 1 improved. Under Errors of development
there were 2 admissions and Dementia contributed 2.
STATEMENT No. VII.
Ætiological
factors
and
associated conditions.
11. The principal predisposing and exciting causes
were:—
Heredity ...
Mental instability ...
Critical periods ...
Infective and Toxic ...
Child bearing ...
Predisposing.
1
11
4
8
1
Exciting.
0
2
4
8
0
Mental stress ...
Diseases due to disorders of
nutrition or metabolism.
Diseases of the nervous system
History defective ...
Predisposing.
10
1
2
0
Exciting.
12
4
2
24
The way in which Magistrates complete the necessary commitment papers
continues to show want of care and sense of the important nature of these docu-
ments.
STATEMENT No. VIII.
Finance.
12. The total amount spent for upkeep of the Asylum was Rs. 1,02,142
against Rs. 1,08,327 last year. Out of this Rs. 8,105
were spent on annual repairs to the existing buildings
and improving the water-supply by the Public Works Department. Excluding
the Public Works Department charges and other book adjustments the expendi-
ture was Rs. 93,182 against Rs. 1,00,040 last year. Receipts from paying
patients amounted to Rs. 8,045 against Rs. 6,878 last year and other sources
of income produced Rs. 5,472 against Rs. 4,320. The increase under the
former was due to the additional number of paying patients and that under
the latter to the auction of some of the Asylum cattle during the year. The
average cost of upkeep of a lunatic was Rs. 215 against Rs. 208 last year.
Excluding the Public Works Department and other book adjustments the
cost was Rs. 197 against Rs. 192 and excluding the receipts from paying patients
which were credited to Government, the cost was Rs. 179 against Rs. 178 last year.
STATEMENT No. IX.
Establishment.
13. The establishment remained unchanged excepting the 3 additional
female sweepers sanctioned during the year under
report. There were no resignations amongst the warders
since the introduction of the penalty bond and security deposits. Their
services have now been declared by the Local Government to be superior for
purposes of pension like the jail warders with effect from the 12th January
1923. The responsibilities of these men are equal while the Asylum work
demands qualities of tact and persuasion unknown to jail discipline.
STATEMENT No. X.
Profit and loss.
14. Profits during the year were Rs. 6,686 against Rs. 4,510 last year.
The increase was due to the auction of some of the
cattle. Owing to the shortage of water many of the
recovered lunatics were employed on water carts
consequently the percentage of employment on manufacture was 9.77 against
11.42 last year.
General Remarks.
15. Stage II plans and estimates of the additional buildings referred to
last year have not yet been received from the Public
Works Department. Reconstruction of the cook-house
and erection of proper wards for paying patients are both works of a most urgent
nature. I trust they will no longer be delayed. The urgency of the works was
reported to the Local Government in September 1922 and the reply received is
that a provision on this account has been made in the ensuing year's budget.
Staff.
16. The entire staff has worked in a very satisfactory manner.
Rao Sahib Kashinath Gopal Paonaskar has continued
to equal his own high record for work. To his tact and
energy is due the surmounting of the water difficulty and the successful
introduction of the new diet scale.
P. F. CHAPMAN, M.B., C.M., COL., C.I.E., I.M.S., M.L.C.,
NAGPUR:
The 7th February 1923.
Inspector-General of Civil Hospitals,
Central Provinces.