2
Sickness and mortality.
6. The mortality during the year was 20 against 43 last year, giving a
percentage of 5.73 against 10.93 last year. The princi-
pal causes of deaths were :—
Pulmonary tuberculosis ...
Other tubercular infection ...
Exhaustion due to acute mania ...
5
1
4
Debility and old age ...
Colitis
...
Anorexia (forcible feeding)...
6
2
1
Pneumonia ... 1
The period of stay in the Asylum of these cases was as under:—
Over 20 to 30 years ...
Between 5 and 10 years ...
3
6
Between 1 and 5 years ...
Under one year ...
7
1
Under six months ... 3
Out of 4 deaths among the inmates of 1 year and under, 2 were received
in a bad state of health. It is most unsafe to draw conclusions from the
mortality figures for any one year as this depends to a large extent on the
health of those admitted and the number of aged men who may have accumulat-
ed in the institution.
The Superintendent of the Asylum thinks that it is not too optimistic for
him to hope that the radical change in the diet scale introduced by him last
February and sanctioned by the Inspector-General of Civil Hospitals, Central
Provinces, has contributed to this improvement, it has at any rate not resulted
in any deterioration in health. As regards the cost, a considerable saving to
Government has been effected. Had the diet been issued on the old scale this
year it would have cost Rs. 1,235 more or roughly Rs. 2.6 per head extra.
The issue of half a chhatak of germinated gram with the morning meal daily
throughout the year was continued. This is a very valuable means of supplying
vitamines and much liked by the patients. Experience has shown that the issue
does not lead to bowel disturbance.
The death rate per cent for 1922 in other provinces of India was 8.70 in the
United Provinces, 8.48 in Madras, 8.2 in Bombay, 7.45 in Bihar and Orissa,
7.29 in Burma, 6.69 in the Punjab, 6.60 in Bengal and 6.08 in Assam.
Ankylostome infection.
7. Of the new admissions 15.9 per cent were already infected with Anky-
lostomes. As usual two treatments were carried out by
Manson's Mixture at half-yearly intervals. Of 342 pati-
ents' stools examined Ankylostomes were detected in 13 cases. These 13 cases
were treated with Manson's Mixture only, and 5 were positive after treatment.
In 4 cases 1 further treatment and in 1 case 2 further treatments were
necessary till they were declared free from the infection.
Other helminths found were :—Ascaris Lumbricoides 12, Oxyuris Vermi-
cularis 5, Trichiurus 8, Tœnia Nana 2, Strongyloides Stercoralis 5. There is no
doubt that the valuable work done by Colonel Banatwala, I.M.S., in 1911 has
resulted in rendering helminthiasis a negligible factor in the mortality here.
STATEMENT No. II.
Criminal lunatics.
8. During the year 11 criminal lunatics were admitted against 27 last
year. Discharges were 13 against 15 and deaths were
3 against 7 last year. The number remaining at the
close of the year was 101 (87 males and 14 females) against 106 (92 males
and 14 females) in the past year.
STATEMENT No. III.
Religion, sex and residence.
STATEMENT No IV.
Previous occupation.
STATEMENT No. V.
Age.
9. These need no special comment.
STATEMENT No. VI.
Types of insanity.
10. Mania under its various sub-heads was as usual the commonest type
of insanity. Under this 44 patients or 78.57 per cent
of the total admissions (excluding observation cases)
were admitted against 72 or 75.79 per cent last year. The number of reco-
veries under this type was 32, and 5 improved. Next comes Melancholia with