NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 609-464.
FROM
SURGEON-COLONEL G. C. ROSS,
ADMINISTRATIVE MEDICAL OFFICER,
Central Provinces,
To
THE CHIEF SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
Dated Nagpur, the 14th February 1895.
SIR,
I have the honour to forward for submission to the Chief Commis-
sioner, Central Provinces, the Annual Report and Statements of the Lunatic
Asylums in the Central Provinces for the year 1894.
2. Surgeon-Major G. F. A. Harris held charge of the Nagpur Asylum
throughout the year, and at Jubbulpore Brigade-Surgeon-Lieutenant-Colonel
J. B. Gaffney was Superintendent until the 22nd October 1894, and Surgeon-
Lieutenant-Colonel H. K. McKay for the remainder of the year.
ADDITIONS AND ALTERATIONS.
3. At Nagpur the building occupied formerly as the Judicial Commissioner's
Court was added to the Asylum premises, and, after necessary alteration, was
brought into use in April 1894. A portion of the main ward has been parti-
tioned off to serve as an office, and another portion as a surgery and dispensing
room. The old office which thus became available has been taken into use as a
ward for special cases. As there was no separate dead-house in this Asylum, the
latrine of the old Judicial Commissioner's Court has been converted for the
purpose.
The old wheat grinding room in the female enclosure has been converted
into cells, as more accommodation was needed for refractory and violent female
lunatics, as well as for non-criminal paying patients. A separate cook-house
for these paying patients has also been added. The existing barracks to the
east and west have been altered to provide accommodation for European and
Eurasian male and female lunatics. This is a new departure, and meets a much
felt want. A small shed for boiling the clothes of the lunatics has also been
created. Ambajheri water has been laid on for drinking purposes. Pucca
drains have been constructed in the enclosures to No. 2 ward. A large masonry
tank has been constructed for bathing purposes, and a wall to screen the plat-
form where the females bathe.
A large number of trees (lime, mango, teak, &c.) have also been planted
all over the asylum premises.
4. At Jubbulpore, except the usual annual repairs, there were no altera-
tions or additions to the Asylum buildings done by the Public Works Depart-
ment. A portion of the piece of ground in front of the Asylum has been brought
under cultivation, and arrangements have been made to clean the remaining
portion, and it will be brought under cultivation in 1895. The Chief Commis-
sioner has approved of the proposals regarding the construction of a ward for
Europeans and Eurasians, and also the railing round the Asylum, and the work
will be put in hand when funds are available.
2
STATEMENT I.
5. Population.—Nagpur Asylum. The number on 31st December 1893
was 154, of which 119 were males and 35 females. Thirty-three males and 4
females were admitted and 5 males re-admitted, giving a total population of 196,
or 13 more than in 1893. This is the highest number reached in the past eight
years. Of the 37 new admissions, 33 were from the Central Provinces and 4
from the Berars.
6. In the Jubbulpore Asylum 116 males and 34 females remained in
confinement from the previous year and 26 males and 4 females were admitted,
thus the total population of the year under review was 180. This number is
also the highest for the past 10 years. The 30 new admissions into this Asylum
consist of 24 from the Central Provinces and 6 from Central India.
7. The number of patients discharged from the Nagpur Asylum during
1894 was 18, or 4 less than in the preceding year; of these, 7 were cured, 4
improved, 3 not improved and 4 otherwise. At Jubbulpore the number was
16, or 3 more than last year. Of these, 13 were cured, 2 improved and one
otherwise.
8. The daily average strength at Nagpur was 161.20, or 14.60 more than
in the preceding year; while at Jubbulpore the average was nearly the same, i.e.,
150.10, or 0.36 less compared with 1893.
9. The percentage of cured to the daily average strength was greater by
2.68 in the Jubbulpore, and nearly equal in the Nagpur Asylum.
10. The year was an unhealthy one, an epidemic of influenza affected
both Asylums. It will be seen from the following figures that the percentage
of deaths to daily average strength was more than in the preceding years : —
1891 ... ...
1892
...
...
1893
...
...
1894 ... ...
Nagpur.
6.29
2.29
4.77
8.06
Jubbulpore.
11.21
5.72
7.31
9.99
The Superintendent of the Nagpur Asylum reports that the chief cause of
admissions into hospital was influenza, which was prevalent in the months of
March and April. Out of 13 deaths 7 were due to this cause (4 directly and
3 indirectly), and the Superintendent of the Jubbulpore Asylum also states
that the cause of the highest mortality was also due to influenza.
11. There was no over-crowding in either institution.
12. Table I, giving the results at the Asylums of the Central Provinces
compared with those of other Provinces, is appended as usual—
TABLE I.
Provinces.
Bengal ...
Punjab ...
Rangoon ...
Tezpur ...
Bombay ...
Central Provinces ...
Ditto ...
Year.
1893 ...
1893 ..
1893 ...
1893 ...
1893 ..
1893 ..
1894 ...
Total popula-
tion during
the year.
1,156
463
334
145
988
357
376
Daily average
strength.
932.01
348.48
254.74
102.30
716.1
297.06
311.30
Cured during
the year.
92
76
29
13
76
16
20
Percentage of
cured to total
population.
7.95
16.41
8.68
8.96
7.69
4.48
5.32
Percentage of
cured to daily
average
strength.
9.87
21.81
11.38
12.71
10.61
5.38
6.42
3
STATEMENT II.
13. The number of admissions of criminal lunatics at each Asylum was
slightly less than in 1893. At Nagpur there were 12 fresh admissions against
14 in the previous year. At Jubbulpore 6 fresh admissions were made against
8 in the previous year. At the former there were 3 re-admissions, while at the
latter there were none.
The daily average strength of criminal lunatics in 1894 was higher at
Nagpur, it was 58.24 against 51.71 in 1893; and at Jubbulpore it was slightly
less, i. e., 33.19 against 33.87 in the preceding year.
14. With reference to paragraph 4 of Government of India Resolution
No. 8—396, dated the 13th July 1893, the Superintendents of both the Asylums
have given in the body of their reports the detailed information regarding the
three classes of criminal lunatics therein asked for.
STATEMENTS III, IV AND V.
15. These statements call for no special comment.
STATEMENT VI.
16. Types of insanity,—As usual the large majority of lunatics admitted
were suffering from mania and dementia.
STATEMENT VII.
17. The real causes of insanity cannot be satisfactorily given for the reasons
stated in previous reports.
Out of a total of 72 admissions at both Asylums, 41 were classed as causes
"unknown," and 26 were attributed to physical causes; of these, 15 for ganja-
smoking.
STATEMENT VIII.
18. The total admissions into hospital in the Nagpur Asylum were 194, or
141 more than in 1893. At Jubbulpore there were 122 against 94, or 28 more
compared with 1893.
TABLE II.
Diseases.
Influenza ...
Fevers ...
Dysentery
...
Diarrhœa ...
Debility ...
Rheumatism
...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
ADMISSIONS INTO HOSPITAL.
1893.
...
...
13
27
...
2
...
5
4
3
...
4
1894.
108
25
37
52
7
3
3
4
2
3
3
3
Difference.
+ 108
+ 25
+ 24
+ 25
+ 7
+ 1
+ 3
— 1
— 2
=
+ 3
— 1
4
TABLE II.—(Concld.)
Diseases.
Anæmia
...
Bronchitis
...
Pneumonia
...
Abscess, Ulcer and Boil ...
Scurvy
...
Pneumonic Phthisis ...
Small-pox and Chicken-pox ...
All other causes ...
Total ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
ADMISSION INTO HOSPITAL.
1893.
2
4
...
6
...
2
5
4
3
...
2
...
...
...
24
37
53
94
1894.
...
1
5
3
1
1
4
4
...
...
...
1
2
...
22
22
194
122
Difference.
— 2
— 3
+ 5
— 3
+ 1
— 1
— 1
=
— 3
...
— 2
+ 1
+ 2
...
— 2
— 15
+ 141
+ 28
19. From the above table it will be seen that the chief cause of sickness
at both Asylums was due to influenza and autumnal fever. At Nagpur 108
cases occurred from influenza, and at Jubbulpore 25. There were 37 cases of
malarious fevers against 13 in the preceding year, 10 patients were also treated
for dysentery and diarrhœa. At Jubbulpore 52 patients were admitted on
account of malarious fevers against 27 in the preceding year.
20. There were no cases of cholera in either Asylum.
21. The daily average sick at Nagpur was 10.61 against 2.74, or 7.87 more
than in 1893 ; and at Jubbulpore it was 5.28 against 4.56.
22. The following table gives the ratio of deaths to daily average strength,
and of the deaths to admissions :—
TABLE III.
Asylum.
Nagpur ... ...
Jubbulpore
...
...
RATIO OF DEATH TO DAILY AVERAGE
STRENGTH.
1892.
2.29
5.72
1893.
4.77
7.31
1894.
8.06
9.99
RATIO OF DEATH TO ADMISSIONS.
1892.
11.11
23.86
1893.
15.55
33.33
1894.
30.95
50.00
5
23. The following table gives the various causes of deaths at both the
Asylums:—
TABLE IV.
Diseases.
Influenza ... ... ...
Dysentery ... ... ...
Fevers ... ... ...
Debility ... ... ...
Old age ... ... ...
Anæmia
...
...
...
Pneumonia ... ... ...
Epilepsy ... ... ...
Phthisis ... ... ...
General paralysis of insane ... ...
Valve disease of the heart ... ...
Other causes ... ... ...
Total ...
NAGPUR.
1893.
...
...
...
1
...
...
...
1
1
...
...
4
7
1894.
4
3
...
...
...
...
1
...
...
...
...
5
13
JUBBULPORE.
1893
...
...
...
1
2
1
1
3
...
1
1
1
11
1894.
3
1
1
1
3
2
...
1
1
...
...
2
15
From the above table it will be seen that in both Asylums the death-rate is
highest on account of influenza, and at Nagpur 3 deaths were caused from dy-
sentery.
24. Table V compares the death causes in the Asylums of the Central
Provinces with those in the Asylums of other Provinces.
TABLE V.
Provinces.
Bengal ...
Punjab ...
Rangoon
...
Tezpur ...
Bombay ...
Central Provinces ...
Ditto. ...
Year.
1893 ...
1893 ...
1893 ...
1893 ...
1893 ...
1893 ...
1894 ...
Percent-
age of
sick to
strength.
5.28
12.14
7.13
7.23
9.41
2.46
5.10
Percent-
age of
deaths to
strength.
8.26
9.18
16.88
14.66
10.75
6.06
8.99
PERCENTAGE OF TOTAL DEATHS FROM
Fevers.
3.90
3.13
2.33
...
3.90
...
3.57
Dysen-
tery.
10.39
9.37
16.28
13.33
19.49
...
14.29
Diar-
rhœa.
6.49
3.13
13.95
13.33
5.19
...
...
Phthisis.
16.88
9.37
23.26
13.33
15.58
5.56
3.57
Chest
affec-
tions.
11.69
40.62
11.62
6.69
7.79
11.11
3.57
Anæmia.
6.49
6.26
2.33
20.00
5.19
5.55
7.14
Other
diseases.
44.16
28.12
30.23
33.34
42.86
83.34
67.86
25. Statements Nos. IX, X, XI and XII give the details of receipts and
expenditure of the two Asylums. At Nagpur Rs. 8,073-5-5 were drawn from
the Treasury against Rs. 9,258-15-3, or Rs. 1,185-9-10 less as compared with
1893. The Superintendent explains that this decrease is chiefly due to the
saving effected by the purchases of grain in 1893, a balance of Rs. 786 worth
of grain having remained in store on the 1st January 1894. At Jubbul-
pore the total drawings from the Treasury was Rs. 7,914-14-6 against
Rs. 8,168-7-11 of the preceding year, or a decrease of Rs. 254-1-4.
6
26. The sums paid into the Treasury in 1894 by the Superintendents of
the two Asylums are given below :—
Nagpur ... ...
Jubbulpore ...
On account of paying
patients, 1894.
Rs.
2,926
1,217
A.
3
13
P.
8
6
On account of various articles
sold, 1894.
Rs.
121
526
A.
14
7
P.
6
0
At Nagpur Rs. 2,926-3-8 has been shown under head " Received from
paying patients." In this connection the Superintendent explains that
Rs. 2,535 (adjusted inter-departmentally by the Comptroller, Central Provinces,
on account of the maintenance of 26 Berar lunatics), has been included. Sums
thus adjusted have never been shewn in any previous returns. The actual
cash receipts from the ordinary patients under this head amounted to
Rs. 391-3-8 against Rs. 159-9-1 in 1893.
At Jubbulpore Rs. 1,217-13-6 are shown as realized from paying patients
as cash receipts. This sum includes payments received for Native States and
Central India lunatics, &c. In the preceding year the realizations under this
head amounted to Rs. 1,145-5-0.
27. The amounts paid into the Treasury at Nagpur and Jubbulpore on
account of articles sold were Rs. 121-14-6 and Rs. 526-7-0 respectively. The
value of manufactured goods made over for the Asylum use was Rs. 498-12-2
at Nagpur and Rs. 1,078-2-6 at Jubbulpore. The net profits at Nagpur and
Jubbulpore were Rs. 749-9-2 and Rs. 1,106 4-7 respectively, against Rs. 531-8-2
and Rs. 852-10-10 in the preceding year.
28. In column 21 of Statement No. IX Rs. 203-1-4 have been shown
for medicines. This sum includes Rs. 119-11-10 on account of Europe
medicines supplied in 1893, but adjusted by the Comptroller, Central Pro-
vinces, in February 1894.
29. It has hitherto been customary for the Superintendent of the Nagpur
Asylum to include in Statement No. IX the cost incurred annually by the
Public Works Department on buildings and projects undertaken by that Depart-
ment, This year, however, he has omitted this item; and as the Jubbulpore
Superintendent has for a series of years been allowed to eliminate such ex-
penditure from his cash account, I have not insisted on the inclusion of the
same in the Nagpur account. The heading of the financial statement requires,
however, that this information should be given.
30. In Table VI is seen at a glance the expenditure of the two Asylums
under the various headings:—
TABLE VI.
Asylum.
Nag-
pur.
1893.
1894.
Difference ...
Jub-
bul-
pore.
1893.
1894.
Difference..
MEAN COST PER HEAD.
Superin-
tendence.
Rs.
12
11
—1
14
11
—2
A.
4
2
1
1
15
1
P.
5
8
9
1
1C
3
Establish-
ment.
Rs.
15
16
+ 0
14
14
+ 0
A.
8
5
12
5
7
1
P.
9
3
6
6
1
8
Diet.
Rs.
35
22
—13
26
26
+ 0
A.
11
9
2
6
14
8
P.
11
4
7
2
4
2
Clothing
and
bedding.
Rs.
3
2
—0
1
1
+ 0
A.
4
13
6
2
15
12
P.
8
9
11
11
1
2
Building
and
repairs.
Rs.
0
0
+ 0
A.
0
0
0
P.
5
10
5
...
...
...
Bazar
medi-
cines.
Rs. A.
P.
...
0
+ 0
0
0
2
2
...
...
...
Contingen-
cies.
Rs.
2
2
—0
3
4
+ 0
A.
9
4
5
13
10
12
P.
2
1
1
10
3
5
English
medicines.
Rs.
0
1
+ 1
0
0
—0
A.
0
4
3
3
2
1
P.
3
2
11
6
6
0
Total.
Rs.
69
56
—12
60
60
+ 0
A.
7
8
15
0
1
0
P.
7
3
4
11
1
2
7
31. The following table shows the mean cost per head of the patients in
the Asylums of the Central Provinces, compared with those of other Provinces:—
TABLE VII.
Mean
of
year.
10
9
9
11
5
11
1
Provinces.
Bengal ... ...
Tezpur ... ...
Rangoon ... ...
Punjab ... ...
Bombay ... ...
Central Provinces ... ...
Do.
MEAN COST PER HEAD.
Superin-
tendence.
Rs.
18
16
12
12
23
20
11
A.
6
2
10
12
4
2
9
P.
11
11
8
4
3
2
3
Establish-
ment.
Rs
19
25
29
31
38
16
15
A.
3
8
12
8
13
3
6
P.
11
7
9
1
3
3
2
Diet.
Rs.
34
36
51
38
67
27
24
A.
15
6
12
15
5
0
11
P.
6
11
6
0
0
10
10
Clothing
and
bedding.
Rs.
2
5
2
6
6
2
2
A.
10
15
14
15
10
9
6
P.
9
4
4
6
7
7
5
Building
and
repairs.
Rs.
1
0
A.
4
0
P.
2
2
...
0
1
0
0
0
14
6
0
11
0
11
5
Bazar
medi-
cines.
Rs.
0
0
0
0
0
A.
1
8
6
4
5
P.
2
10
9
6
9
...
0 0 1
Contin-
gent.
proper.
Rs.
5
2
4
5
8
2
3
A.
1
12
7
3
5
14
7
P.
7
4
3
1
10
10
2
English
medicines.
Rs.
0
0
1
0
1
0
0
A.
7
4
9
14
15
7
11
P.
11
5
11
7
11
0
4
Total.
Rs.
82
87
103
96
148
69
58
A.
3
11
10
10
10
12
4
P.
11
6
2
0
7
7
8
32. The average annual cost per head at Nagpur was Rs. 56-8-3 against
Rs. 69-7-8 in the preceding year, or Rs. 12-15-5 less. At Jubbulpore it was
Rs. 60-1-1 against Rs. 60-0-11 in the preceding year. The large decrease
observable occurs at Nagpur under the head " Diet," and this no doubt is
due to the fact that a better system of making purchases has been introduced,
food supplies being purchased in bulk and kept in stock.
33. The daily average strength of lunatics employed on manufacture and
garden is shewn below :—
Nagpur ... ...
Jubbulpore
...
...
1893 ...
1894 ...
1893 ...
1894 ...
ON MANUFACTURE.
Male.
3.33
7.42
15.00
12.87
Female.
0.83
1.95
5.00
5.00
ON GARDEN.
Male.
10.84
22.52
40.00
38.91
Female.
...
...
...
...
34. I have recommended that a dairy farm be established at the Asylum
in Nagpur, and this has been approved by the Chief Commissioner. The pro-
posal will be carried out, if possible, during the current year.
35. I inspected both Asylums during the year. Both the Superintendents,
and Dr. Harris in particular, have taken great interest in their work, and
deserve credit for the successful management of their institutions during the
year; and I wish specially to bring Deputy Superintendent Mohun Lall, of the
Jubbulpore Asylum, to the notice of the Chief Commissioner on account of his
very excellent services in connection with that Institution, Both Asylums are
managed economically; and, in regard to the treatment and care of the insane,
are all that can be desired.
I have the honour to be,
Sir,
Your most obedient Servant,
G. C. ROSS, Surgeon-Colonel,
Administrative Medical Officer,
Central Provinces.
8
Report on the Nagpur Lunatic Asylum for the year 1894.
STATEMENT NO. I.
Admissions and discharges.
There were 37 admissions into the Asylum during
the year, viz. :—
Central Provinces ...
Berars ...
Total
34
3
37
(30 males, 4 females).
( 3 males,
... )
33
4
There were also 5 re-admissions during the year—
4 from the Central Provinces, all males.
1 from the Berars, a male.
During the year 18 of the inmates were discharged—15 males and 3 females.
Fifteen of these were from the Central Provinces and 3 from the Berars. The
period of residence of those discharged as " cured " varied from one month and
12 days, to one year, six months and six days. Amongst those discharged
as " cured" were—
5 males and 1 female from the Central Provinces, and
1 male from the Berars,
and their diseases were—
Mania
...
...
Toxic insanity ... ...
Puerperal insanity ... ...
4
2
1
Four lunatics (all males) were discharged and made over to their friends as
" improved", three of these being cases of mania and one dementia. Three
lunatics (two males and one female), and all cases of mania, were made over to
their friends as " not improved". Four lunatics were discharged " otherwise ",
three being sent to stand their trials, and one a criminal lunatic whose original
sentence expired whilst in the Asylum, and who, being still insane, was re-
admitted the same day, and his name transferred to the non-criminal register.
Mortality.
There have been 13 deaths during the year (11 males and 1 female) from
the Central Provinces, and 1 (male) from the Berars.
Statement VIII shows the causes of admissions to
hospital.
The daily average strength was 125.76 males and 35.44 females; total
161.20, as compared with 146.60 of the previous year.
The daily average sick was 7.93 males and 2.68 females : total 10.61.
STATEMENT NO. II.
Twelve criminal lunatics (10 males and 2 females) were admitted, during
the year, against 14 admitted in 1893. Of these, 11 came from the Central
Provinces and 1 from the Berars. There were 3 re-admissions (all males) from
the Central Provinces during the year. Five criminal lunatics (3 from the
Central Provinces and 2 from the Berars) were discharged as under
3 sent to stand their trials;
1 sentence expired and transferred to non-criminal list;
1 released and made over to relatives by the order of the Chief Commissioner.
The following particulars of the different kinds of criminal lunatics in the
Asylum at the close of the year are given:—
(a)
(b)
(c)
Those tried and acquitted on the
ground of insanity ...
Those insane on admission and found
incapable of making their defence.
Those who became insane during
imprisonment ...
Total ...
Central Provinces.
Males.
31
13
...
44
Females.
...
3
1
4
Total.
31
16
1
48
Berars.
Males.
4
4
2
10
Females.
...
1
...
1
Total.
4
5
2
11
9
STATEMENT III.
Of the 42 admissions—
11 came from the
6
„
„
5 „ „
5 „ „
4
„
„
3
„
„
2
„
„
1 „ „
1 „ „
1 „ „
1 „ „
1 „ „
1 „ „
42
Nagpur District.
Bhandara
„
Chanda
„
Bilaspur
„
Berars
„
Raipur
„
Wardha
„
Chhindwara „
Betul
„
Sambalpur
„
Balaghat
„
Kalahandi State.
Kawardha
„
These, when classified into castes, show—
Hindus
...
Mahomedans
...
Other castes
37 (33 males and 4 females).
2 males.
3 „
42
I have made an analysis of the admissions from the various districts in the
Central Provinces who send the lunatics to this Asylum for the past 20 years,
i. e., from 1874, with the following result in order of those sending the greatest
number of lunatics, and have also given the population of the several districts
taken from the last Census Report:—
Districts.
Nagpur, including Kamptee ...
Berars, 6 Districts (only sent since
1884) ...
Raipur ... ...
Bhandara ... ...
Chanda ... ...
Wardha ... ...
Bilaspur ... ...
Sambalpur
... ...
Chhindwara ... ...
Betul ... ...
Balaghat ... ...
Seoni
...
...
Patna State
... ...
Kalahandi State ... ...
Kawardha State ... ...
Population of each
District.
757,862
1,584,427
742,850
697,610
400,854
1,164,158
796,413
407,494
823,196
383,331
370,767
332,197
326,295
91,813
Total for 20 years ...
NUMBER OF LUNATICS SENT.
Males.
217
92
65
37
35
32
25
15
15
15
11
1
1
1
1
563
Females.
55
10
15
17
7
2
4
2
8
2
1
...
...
...
...
118
Total.
272
102
80
54
42
84
29
17
18
17
12
1
1
1
1
681
11
STATEMENT VI.
Types of insanity.
The following is a short summary of the various types of insanity found to
exist amongst those newly admitted :—
Mania ...
Melancholia ...
Dementia including acquir-
ed imbecility ...
Puerperal insanity ...
Epileptic insanity ...
25 (25 males).
4 (3 males, 1 female).
10 ( 9 males, 1 female).
2 ( 2 females).
1(1 male).
42 (38 males, and 4 females).
STATEMENT VII.
Alleged causes of insan-
ity in those admitted during
the year.
Physical causes ...
Moral causes ...
Unknown ...
12 (11 males, 1 female).
1 (male).
29 (26 males, 3 females).
Amongst the 12 admissions whose insanity is said to have been brought on
by physical causes are 8 males (6 non-criminals and 2 criminals), in whose case
the mental perversion has been attributed, on what appear to be very shadowy
grounds, to the abuse of ganja, 1 to excessive spirit drinking, 1 to recurrent
attacks of epilepsy, and in only 1 (a typical case of melancholia with stupor and
marked suicidal tendency) was the insanity said to be traceable to heredity.
In the very great majority of cases no distinct cause could be traced for the
insane condition.
STATEMENT VIII.
The year was not so healthy as the previous one, the chief cause of
admissions to hospital was influenza in the months of March and April. The
total admissions were 155 males and 39 females (total 194) ; and of these
76 males and 32 females (total 108) were from influenza alone, which was also
directly responsible for 4 deaths and indirectly for 3 more deaths=7 out of
13 deaths. The following table shows the chief causes of admissions to
hospital:—
From influenza
... ... ...
„ remittent and intermittent fever ... ...
„ dysentery ... ... ...
„ bronchitis ... ... ...
„ diarrhœa
... ... ...
„ other causes ... ... ...
Total ...
108
37
7
5
3
34
194
Mortality.
There were in all 13 deaths during the year as above
shown:—
From influenza ... ... ...
„ pleuro-pneumonia (indirectly traceable to influenza)
...
„ pericarditis
do.
do. ...
„ Bright's disease
do.
do. ...
„ dysentery (2 of these also suffered badly from influenza
during the epidemic) ... ...
„ fracture of the skull ... ... ...
„ abscess of the liver ... ... ...
„ apoplexy
...
...
Total ...
4
1
1
1
3
1
1
1
13