2
Of those discharged cured, 105 suffered from mania, 6 from melancholia,
2 from dementia, 2 from errors of development and 1 from post-febrile insanity.
Of those discharged otherwise, 79 were observation cases, 8 were criminal
lunatics who were transferred to the list of non-criminals, one European lunatic
from Jubbulpore was returned to the confining magistrate for want of accommo-
dation for such lunatics and another was transferred to the Yerrowda asylum in
the Bombay Presidency after three days' stay in the asylum, one lunatic, after
confinement in the asylum as a criminal lunatic, was convicted and sent to jail
and 5 escaped. Two of these were non-criminal lunatics and the three others
were criminal lunatics. One was recaptured and the other four are still at large.
Sickness and mortality.
5. There were 534 admissions into the hospital against 338 in the pre-
vious triennium. The principal diseases were : tubercle
of lungs, 38 ; other tubercular infection, 20 ; dysen-
tery, 112 ; old age and general debility, 104 ; apoplexy (cerebral hæmorrhage), 4 ;
heatstroke, 2 ; leprosy, 3 ; acute mania, 9 ; melancholia, 6 ; scurvy, 4 ; pneumo-
nia, 9 ; pleurisy, 4 ; asthenia, 2 ; anorexia, 15 ; meningitis, 3 ; heart disease, 2 ;
tetanus, 1.
6. The number of deaths for the past nine years was 31 in 1909, 79 in 1910,
15 in 1911, 29 in 1912, 20 in 1913, 21 in 1914, 46 in 1915, 40 in 1916 and 37 in
1917, and a few remarks will be made regarding the influence on the mortality of,
first, intestinal parasites and then of tuberculosis. In 1910 the mortality was 79
giving a ratio of 265 per 1,000 and it was suspected that this high mortality
was largely due to the presence of intestinal parasites and specially to the
ankylostoma duodenalis. Systematic examination of the stools of all the inmates
was started and this has been continued at regular intervals. The eucalyptus,
chloroform and castor oil treatment for hook-worm has been regularly carried
out, with the result that in 1911 the number of deaths fell to 15 or 55 per 1,000 ;
since 1911 there have been no cases of anæmia and œdema 9uch as were
so numerous in 1910.
During this triennium the mortality again became high, this time it was due
to tuberculosis. It is interesting to look back at the number of deaths from
tuberculosis since the beginning of the present century: —
Year.
1900 ... ...
1901 ... ...
1902 ... ...
1903 ... ...
1904 ... ...
1905 ... ...
1906 ... ...
1907 ... ...
1908 ... ...
1909
...
...
1910 ... ...
1911 ... ...
1912 ... ...
1913 ... ...
1914
...
...
1915 ... ...
1916 ... ...
1917 ... ...
Tubercle
of
lungs.
...
...
...
...
3
...
2
1
...
...
...
...
2
1
3
12
11
9
Other
Tubercle
Bacilli
Infection.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
6
8
Total.
...
...
...
...
3
...
2
1
...
...
...
...
2
1
3
15
17
17
Remarks.
1 Received infected.
1
„
„
2 „ „
7
„
„
4
„
„
3
„
„
In the 12 years from 1900 to 1911 there were only 6 deaths from
tuberculosis : in the triennium 1912—14 there were 6 deaths : in the triennium under
report, the mortality from this cause went up to 49 deaths. Special buildings have
been constructed for the isolation and (practically) open air treatment of these
cases and special precautions are taken to ensure early detection of the disease.
There are now only 2 cases in the asylum. Apparently this disease is now
looked for and diagnosed. The deaths from other causes were 23 from dysentery,
16 from old age and general debility, 6 from epilepsy, 3 from meningitis,