NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
16
STATEMENT No. VII.
Showing Ætiological Factors and Associated Conditions in the patients
admitted in the Mental Hospital, Nagpur, in the Central Provinces and
Berar during the year 1928—concld.
Ætiological Factors and
Associated Conditions.
Brought forward ...
H. INFECTIVE AND TOXIC—
1. Alcohol ...
2. Opium and morphia ...
3. Cocaine ...
4. Cannabis Indica ...
5. Acute infective diseases ...
6. Tuberculosis ...
7. Syphilis, acquired ...
Syphilis congenital ...
8. Plague ...
9. Influenza ...
10. Other toxins ...
I. TRAUMATIC—
1. Injuries ...
2. Operations ...
3. Sunstroke ...
J. DISEASES OF THE NERVOUS
SYSTEM—
1. Disease of the brain ...
2. Disease of the
spinal
cord and nerves.
3. Epilepsy ...
4. Other defined neuroses ...
K. OTHER
BODILY
AFFLIC-
-----—
1. Diseases of the blood ...
2. Diseases of the circula-
tory system.
3. Diseases of the valves of
the heart.
4. Diseases of the digestive
system.
5. Diseases of the urinary
organs.
6. Diseases of the generative
system
(excluding)
syphilis).
7. Other general affections
Total ...
L. NO CAUSE ASSIGNABLE ...
M. NO CAUSE ASCERTAINED—HIS-
---- DEFECTIVE.
GRAND TOTAL ...
Predisposing cause.
Male.
31
...
...
...
3
...
...
1
...
...
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
37
3
17
57
Female.
5
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
6
...
10
16
Total.
36
...
...
...
3
...
1
1
...
...
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
43
3
27
73
Exciting cause.
Male.
31
...
...
...
6
...
...
...
...
...
1
2
...
...
...
1
...
1
...
...
...
...
...
...
...
...
42
2
13
57
Female.
11
...
...
...
1
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
13
...
3
16
Total.
42
...
...
...
7
...
1
...
...
...
1
2
...
...
...
1
...
1
...
...
...
...
...
...
...
...
55
2
16
73
Total.
Male.
62
...
...
...
9
...
...
1
...
...
1
3
...
...
...
1
...
2
...
...
...
...
...
...
...
...
79
5
30
114
Female.
16
...
...
...
1
...
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
19
...
13
32
Total.
78
...
...
...
10
...
2
1
...
...
1
3
...
...
...
1
...
2
...
...
...
...
...
...
...
...
98
5
43
146
NOTE.—Observation cases are excluded from this statement.
NOTE.—As each new admission has been shown to have an exciting as well as a predispos-
ing cause the total number of admissions has automatically been doubled.
17
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1928
and Provincial totals for two previous years 1927-1926.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1927 ...
1926
...
Receipts.
Received
from
treasury.
2
Rs.
80,518
81,572
76,497
a.
13
0
4
p.
3
0
8
Received
from
paying
patients.
3
Rs.
10,118
11,555
9,369
a.
6
0
3
p.
9
4
8
Value of
stores
received
from the
manufactur-
ing depart-
ment less
cost of
raw
materials.
4
Rs.
10,431
10,087
12,054
a.
7
9
13
p.
0
6
0
Book
receipts,
i.e., the
total of
expenditure
entered in
columns 19,
20 and 21.
5
Rs.
23,495
7,461
3,618
a.
1
2
15
p.
0
6
3
Miscel-
laneous
receipts.
6
Rs.
2,192
2,464
5,233
a.
15
15
14
p.
3
3
6
Total
7
Rs.
1,26,756
1,13,140
1,06,774
a.
11
11
3
p.
3
7
1
Charges.
Establishment.
Establish-
ment
proper.
8
Rs.
26,966
26,773
25,415
a.
5
7
12
p.
0
0
0
Superin-
tendence.
9
Rs.
1,800
2,252
1,800
a.
0
4
0
p.
0
0
0
18
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1928
and Provincial totals for two previous years 1927-1926—contd.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1927 ...
1926 ...
Charges—contd.
Diet.
10
Rs.
37,115
36,393
36,290
a.
3
15
7
p.
0
0
0
Clothing and
bedding.
11
Rs.
6,877
4,958
6,493
a.
6
13
10
p.
0
0
0
Bazar
medicines.
12
Rs.
25
28
0
a.
4
0
8
p.
0
0
0
Contingencies
proper.
13
Rs.
15,509
18,330
15,827
a.
2
2
12
p.
3
6
8
Repairs and
maintenance.
14
Rs. a. p.
...
...
...
Rates and
taxes.
15
Rs.
2,657
2,923
2,704
a.
0
0
0
p.
0
0
0
Remitted to
treasury on
account of
paying
patients,
etc.
16
Rs.
10,118
11,555
9,369
a.
6
0
3
p.
9
4
8
19
STATEMENT No. VIII.
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1928
and Provincial totals for two previous years 1927-1926—concld.
Name of Mental
Hospital.
1
Nagpur ...
Provincial
Totals.
1927 ...
1926 ...
Charges—concld.
Miscel-
laneous
items.
17
Rs.
2,192
2,464
5,233
a.
15
15
14
p.
3
3
6
Total of col-
lums 8 to 17.
18
Rs.
1,03,261
1,05,679
1,03,155
a.
10
9
3
p.
3
1
10
Book charges.
Charges on
account of
work done by
the Public
Works
Department.
19
Rs.
23,375
6,941
2,625
a.
10
12
0
p.
0
6
0
Cost of
printed
forms and
stationery.
20
Rs. a. p.
...
...
...
Cost of
English stores,
medicines,
etc.
21
Rs.
119
519
993
a.
7
6
15
p.
0
0
3
Total of col-
umns 18 to 21.
22
Rs.
1,26,756
1,13,140
1,06,774
a.
11
11
3
p.
3
7
1
Remarks.
23
20
STATEMENT No. IX.
Showing the sanctioned establishment of the Mental Hospital, Nagpur in the
Central Provinces and Berar as they stood on the 31st December 1928
Establishment.
1
Nagpur Mental Hospital—
Superintendent ... ...
Alienist ... ...
1st and 2nd Assistant Medical Officers ... ...
Allowance of
do. ... ...
Clerks ... ...
Compounder ... ...
Chief head attendant ... ...
Head attendants on Rs. 30, 28, 26 and 24 ... ...
Attendants at Rs. 19 each ... ...
Do.
do. 18 do. ... ...
Do.
do. 17 do. ... ...
Do.
do. 16 do. ... ...
Do.
do. 15 do. ... ...
Matron ... ...
Female head attendant ... ...
Female attendants at Rs. 19 each ... ...
Do.
do.
do. 17 do. ... ...
Do.
do.
do. 15 do. ... ...
Vacant
do.
do. 15 do. ... ...
Blacksmith ... ...
Cooks at Rs. 15 each ... ...
Gowli at Rs. 18 ... ...
Barber at Rs. 20 ... ...
Dhobi at Rs. 20 ... ...
Farm hands at Rs. 16 each ... ...
Milkers at Rs. 16 each ... ...
Male sweepers at Rs. 15 each ... ...
Female sweepers at Rs. 11 each ... ...
Total ...
Daily average number of males including observation cases ...
Do.
do.
females
do. ...
Total
...
Number.
2
1
1
2
...
2
1
1
4
15
1
3
5
13
1
1
6
2
3
1
1
3
1
1
1
2
2
9
6
89
321.46
91.49
412.95
Monthly wages.
3
Rs.
150
600
185
75
140
45
40
108
285
18
51
80
195
100
30
114
34
45
15
26
45
18
20
20
32
32
135
66
2,704
...
...
...
Proportion of ...
Male head warders to males ...
Male warders to males ...
Female head warders to females ...
Female warders to females ...
64.29
8.68
91.49
7.62
21
STATEMENT No. X.
Showing receipts and expenditure on account of manufactures in the Mental Hospital, Nagpur, in the Central
Provinces and Berar during the year 1928 and Provincial totals for two previous years 1927-1926.
1
Name of Mental
Hospital.
Nagpur ...
Provincial
Totals.
1927 ...
1926 ...
2
Mean population.
Male.
320.40
324.60
311.85
Female.
91.36
86.36
85.01
Total.
411.76
410.96
396.86
3
4
5
6
7
8
Credits.
Cash paid
into the
treasury
or
articles
sold.
Rs.
2,192
2,464
5,233
a.
15
15
14
p.
3
3
6
Value of
manufac-
tured goods
made over
to Mental
Hospital
for Mental
Hospital
purposes.
Rs.
10,431
10,087
12,054
a.
7
9
13
p.
0
6
0
Value of
raw mate-
rials in store
at the end
of the year.
Rs.
864
540
803
a.
0
0
0
p.
0
0
0
Value of
manufac-
tured goods
in store at
the end of
the year.
Rs.
126
341
659
a.
0
15
4
p.
0
6
0
Value of
plant and
machinery
in store at
the end of
the year.
Rs.
5,754
5,325
5,120
a.
0
0
0
p.
0
0
0
Total
credits.
Rs.
19,378
18,759
23,870
a.
6
8
15
p.
3
3
6
9
10
Debits.
Value of
manufac-
tured goods
in store on
1st January
1928.
Rs.
341
659
910
a.
15
4
15
p.
6
0
0
Value of
raw mate-
rials in
store on 1st
January
1928.
Rs.
540
803
1,279
a.
0
0
4
p.
0
0
0
22
STATEMENT No. X.
Showing receipts and expenditure on account of manufactures in the Mental Hospital, Nagpur, in the Central
Provinces and Berar during the year 1928 and Provincial totals for two previous years, 1927 and 1926—concld.
1
Name of Mental
Hospital.
Nagpur ...
Provin-
cial
Totals.
1927 ...
1926 ...
11
12
13
14
15
Debits—concld.
Value of
plant and
machinery
in store
on 1st
January
1928.
Rs.
5,325
5,120
5,135
a.
0
0
0
p.
0
0
0
Raw
materials
purchased.
Rs.
741
395
90
a.
15
12
0
p.
6
0
0
Contin-
gencies
of
manu-
facture.
Rs.
6,631
5,491
3,948
a.
0
4
8
p.
3
0
0
All other
charges.
Rs.
1,270
1,280
1,338
a.
5
14
0
p.
0
0
0
Total
debits.
Rs.
14,850
13,750
12,701
a.
4
2
11
p.
3
0
0
16
17
Results.
Excess of
credits
or
profits.
Rs.
4,528
5,009
11,169
a.
2
6
4
p.
0
3
6
Excess
of
debits or
loss.
Rs. a. p.
...
...
...
18
Remarks.
Employed on manu-
facture.
Male.
15.73
15.86
16.70
Female.
...
...
...
Total.
15.73
15.86
16.70
Employed on
gardening.
Male.
84.44
82.78
87.07
Female.
9.83
9.17
10.07
Total.
94.27
91.95
97.14
GPN-2432-IGCH 12-4-29 210
Annual Report on the
Mental Hospital in the
Central Provinces and
Berar (Nagpur) for the
Calendar Year 1929
BY
COLONEL W. V. COPPINGER, C.I.E.,
D.S.O., M.D., F.R.C.S.I., I.M.S.,
Inspector-General of Civil Hospitals, Central Provinces.
NAGPUR:
PRINTED AT THE GOVERNMENT PRESS
1930
[Price— Rs. 1-8-0.]
Annual Report on the
Mental Hospital in the
Central Provinces and
Berar (Nagpur) for the
Calendar Year 1929
BY
COLONEL W. V. COPPINGER, C.I.E.,
D.S.O., M.D., F.R.C.S.I., I.M.S.,
Inspector-General of Civil Hospitals, Central Provinces
NAGPUR:
PRINTED AT THE GOVERNMENT PRESS
1930
Agents tor the sale of Publications issued by the Central
Provinces Government.
[NOTE.—Appointments of all Official Agents in the United
Kingdom and on the Continent for the sale of Government
Publications have been terminated with effect from the 1st April
1925.
All publications in future are obtainable either direct from
the High Commissioner for India, India House Aldwych,
London, W. C. 2, or through any bookseller.]
INDIA.
AKOLA:
The Proprietor, Shri Ramdas Stores,
Tajnapeth
ALLAHABAD:
Mr. Ram Narain Lal, Publisher,
etc., 1, Bank Road.
The Superintendent, Nazair Kanun
Hind Press.
AMRAOTI:
Thakur & Co., Booksellers.
BARODA:
Mr. M. C. Kothari, Bookseller and
Publisher, Raopura Road.
BILASPUR:
Mr. M. A. Subhan, Bookseller and
Publisher.
BOMBAY:
D. B. Taraporevala, Sons & Co.,
190, Hornby Road, Fort.
Radhabai Atmaram Sagoon.
Sunder Pandurang, 25, Kalbadevi
Road.
Thacker & Co., Ltd.
CALCUTTA:
The Book Company, 4/4-A, College
Street.
Butterworth & Co. (India), Ltd.,
8-2, Hastings Street.
The Indian School Supply Depôt.
M. C. Sircar & Sons, 75, Harrison
Road.
Newman & Co.
R. Cambray & Co.
S. K. Lahiri & Co.
Thacker, Spink & Co.
COOCH BEHAR:
Babu S. C. Taluqdar, Proprietor,
Students & Co.
DELHI:
The Oxford Book and Stationery
Co.
JUBBULPORE:
The Manager, General Book Depôt.
KARACHI :
The Standard Bookstall.
KHANDWA :
The Proprietor, Shri Ramdas Stores,
Khandwa Branch.
LAHORE:
Rai Sahib M. Gulab Singh & Sons.
LUCKNOW :
The Proprietor, Newal
Kishore
Press.
The Upper India Publishing House.
Ltd., 41, Aminabad Park.
MADRAS:
Higginbotham & Co.
S. Murthy & Co., Post Box
No. 152.
The Proprietor, The City Book
Co., Post Box No. 283.
NAGPUR:
Aidan Binzani, Proprietors, Kar-
mavir Book Depôt, Mahal.
Mr. G. G. Khot, Walker Road.
Mr. G. A. Shastri, Bookseller and
Publisher, Hislop College Road.
The Manager, General Book Depôt.
The Manager, "The Hitavada".
The Proprietor, Bhisey Brothers.
Booksellers and Publishers.
PATNA:
The Patna Law Press Co.
POONA:
The Proprietors, New Kitabkhana.
RANGOON:
The
Superintendent,
American
Baptist Mission Press.
SIMLA:
Thacker, Spink & Co.
No. 5807-505-IX.
GOVERNMENT OF THE CENTRAL PROVINCES.
MEDICAL ADMINISTRATION AND PUBLIC
HEALTH DEPARTMENT.
Nagpur, the 5th August 1930.
READ—
Notes on the Annual Statements of the Mental Hospital in the
Central Provinces and Berar for 1927 and Annual Reports
on the Mental Hospital in the Central Provinces and
Berar for the years 1928 and 1929.
RESOLUTION.
The need for increased accommodation which was
noticed in the last review, continued to be felt in 1927
and 1928. Actual overcrowding was mitigated to some
extent by housing sick patients in the hospital ward and
by allowing a few others to sleep in the verandahs at
night. The provision of additional buildings was sanction-
ed by Government in 1928, and one barrack for 20 non-
paying male patients and two wards for four paying
patients were completed early in 1929. The hospital now
provides accommodation for 462 patients, 336 male and
126 female, and the construction of four more wards for
eight paying patients is nearing completion. Against this
the daily average number of patients in 1929 was 426.44,
of whom 333.57 were males and 92.87 females.
2. In 1928 a new appointment of Alienist was
created, replacing the Deputy Superintendent. In 1929
the post of Alienist was converted into the post of a whole-
time Superintendent and the Civil Surgeon, Nagpur, was
relieved of the duty of looking after the hospital. In 1928
the appointments of a part-time dental surgeon and
a specialist in ear, nose and throat work were sanctioned
with a view to eliminate focal sepsis as a possible cause of
mental trouble. In 1929 the post of the specialist in
throat work was discontinued as the demand was found
2
to be less than had been anticipated. There was no other
change in the establishment. Government will watch with
interest the effect of these measures in increasing the
number of discharges and reducing the period of stay in
hospital.
3. The number of admissions to the hospital showed
a tendency to decline. During the triennium 250 patients
were admitted as against 283 in the previous triennium.
This was partly due to the more careful observance of the
rules for the administration of the Indian Lunacy Act by
magistrates. The number of persons discharged was 140
as against 165 in the previous triennium. Out of 250
admissions, in only four cases was insanity attributed
directly
to ganja, as against five in the previous
triennium, while in 31 cases as against 49 in the years
1924 to 1926, ganja was a predisposing or exciting cause.
Alcoholism on the other hand was an ætiological factor
in only two cases, as against 11 in the previous three
years.
4. The health of the patients was on the whole satis-
factory. The number of deaths in the triennium rose
from 61 to 76. The percentage of deaths on the average
strength of inmates was 6.07 as compared with 5.31 and
7.89, respectively, in the two preceding periods. These
figures compare favourably with those of the Mental
Hospitals in Bombay, Madras, Assam and the Punjab.
The relatively low mortality from tuberculosis continued;
this disease being responsible for only seven deaths in the
three years under review.
5. The average cost of feeding and clothing each
patient per annum was Rs. 101 in 1927, Rs. 107 in 1928
and Rs. 115 in 1929. The increase is due to the issue of
extra diets to invalids and debilitated patients. Receipts
from paying patients amounted to Rs. 13,593 in 1929,
against Rs. 10,118 in 1928 and Rs. 11,555 in 1927.
6. During the three years under review the Board
of visitors has met regularly and continued to show
interest in the management of the hospital. Government
desires to acknowledge the good work done by the whole
staff and especially the ability and zeal with which
3
Lt.-Col. W. Tarr, I.M.S., discharged his duty of superin-
tendence of the hospital for the first two years of the
triennium
His successor Dr. J. Roy has had a success-
ful first year's work.
ORDER.—Ordered that a copy of this resolution be
submitted to the Government of India in the Home
Department and that a copy be forwarded to the
Inspector-General of Civil Hospitals, Central Provinces,
for information and that it be published in the Supplement
to the Central Provinces Gazette.
By order of the Government
(Ministry of Medical Administration
and Public Health),
P. J. H. STENT,
Secretary to Government,
Central Provinces.
GNP—1040— RS—12-8-30 216.
Annual Report on the Mental Hospital in the Central
Provinces and Berar (Nagpur) for the year 1929.
Administration.
1. Lieut.-Colonel W. Tarr, I.M.S., was in charge
up to 15th March 1929, and Dr. J.
Roy, M.B., D.P.M. (Eng.), for the
remaining period of the year.
STATEMENT No. I.
Population.
2. The number of patients resident at the hospital
at the beginning of the year was
322 males and 92 females or a total
of 414. The admissions (including 1 readmission) during
the year were 90 (76 males and 14 females) against 73 (57
males and 16 females) in the preceding year. There was
1 case of readmission in the female section against 11
(10 males and 1 female) in the preceding year. The total
population of the hospital during the year was 504 against
482 in the previous year, giving an increase of 22. This
hospital receives patients only from the Central Provin-
ces and Berar and from Central India. Of the new ad-
missions, the Nagpur district as usual contributed the
largest number, i.e., 38 (28 males and 10 females) against
17 (14 males and 3 females) in the preceding year. The
daily average strength of the total population, excluding
the observation cases, was 426.44 (333.57 males and 92.87
females) against 411.76 (320.40 males and 91.36 females)
in the previous year. Including the observation cases
the daily average strength was 428.88 against 412.95 in
the previous year. The ratio per cent of cases "cured"
to daily average strength was 8.09 males and 8.61 females,
total 8.20 for both sexes against 6.24 males and nil fe-
males, total 4.85 in the previous year.
The ratio per cent of cases "cured" to new admis-
sions was 17.10 males and 35.72 females, total 20.00
against 14.03 males and nil females, total 10.96 in the
previous year.
Accommodation.
3. One barrack for 20 non-paying male patients
and two wards for 4 paying patients
were taken over from the Public
Works Department early in the year, thus the total
accommodation provided was 462 (336 males and 126
2
females) against 438 (312 males and 126 females) in
the previous year. Four more wards for 8 paying
patients were nearly completed by the end of the year
so that for the year 1930 the accommodation available
would be for 470 patients.
The question of further increase in the accommoda-
tion, especially for paying and better class patients in the
female section, is under consideration.
The maximum number resident in the hospital on
any one night was 439 (346 males and 93 females) against
420 (326 males and 94 females) in the previous year. The
accommodation available in the male section being for
only 336 there was thus an excess of 10 patients.
Discharges.
4. Forty-five patients were discharged against 39 in
the previous year, 35 as cured, 5
improved and 5 otherwise. Of
those discharged otherwise, 1 was repatriated to Calicut
and 1 to Bengal and 1 escaped.
The remaining 2 and
the 5 cases "improved" were taken over by their rela-
tives.
Cases under observation.
5. One case remained under observation on 1st
January 1929 ; 62, including 1 re-
maining, were admitted against 28
last year. Of these, 32 were certified as insanes, 3 were
discharged by the Court on security, 3 were uncertified as
they exhibited no symptoms of insanity and 21 not being
dangerous were not certified, 1 remained at the close of
the year. Two cases brought in a moribund condition
died.
Sickness and mortality.
6. The mortality during the year was 28 against 29
last year, giving a percentage of
6.56 against 7.04 last year. The
causes of deaths were—heart failure from acute mania 1,
heart failure from acute melancholia 1, heart failure from
acute infective exhaustive psychoses 2, pneumonia 2,
tuberculosis lungs 1, cachexia secondary to leprosy 1,
typhoid fever 1, pyæmia 1, cellulitis 1, diabetes mellitus
1, dysentery (bacillary) 5, dysentery (amoebic) 1, anky-
lostomiasis 2, hæmorrhage in the brain 1, thrombosis of
artery in the brain 1, meningitis (secondary to mastoid
abscess) 1, status epilepticus 2, old age (debility) 3.
3
The following table shows the period of stay in hospi-
tal of these patients : —
Period.
Over 40 years ... ...
Between 20 to 30 years ...
Between 10 to 15 years ...
Between 5 to 10 years ... ...
Between 2 to 5 years ... ...
Between 1 to 2 years ... ...
1 year and under ... ...
Total.
1
1
2
2
7
1
14
Out of 14 deaths under 1 year's stay, 9 were received in
a very bad state of health and the physical condition of 5
was indifferent.
The general health of the patients during the year
was good
There was no epidemic disease.
The death rate per cent for 1929 in Mental Hospitals
in other provinces in India was 11.6 in Bombay, 10.39 in
the Punjab, 9.10 in Assam, 7.05 in the European mental
Hospital, Ranchi, 6.82 in Madras, 5.45 in the United
Provinces, 4.08 in Burma and 1.99 in the Indian mental
Hospital, Ranchi.
Ankylostome infection.
7. Of the new admissions, 4.44 per cent were al-
ready infected against 4.84 per
cent in the previous year. Routine
examination of stools of all patients was carried on period-
ically and 19 patients were found to have been infected
with ankylostome while resident in the hospital against 40
in the previous year. Of these 19 cases, 5 had the infec-
tion previously but were cured after vigorous treatment.
As noted in the previous year, infection from ankylos-
tome and dysentery (bacillary and amœbic) was common
amongst the patients working in the garden. In spite of
every care and supervision some of these patients get the
infection from their coprophegic and geophagic habits.
Other helminths found were ascaris lumbricoids 25,
trichurus trichura 19. All patients were vaccinated
against small-pox.
STATEMENT No. II.
Criminal insanes and in-
sane criminals.
8. The number of criminal insanes and insane cri-
minals at the beginning of the year
was 116 (104 males and 12 females).
The number admitted during the
year under review was 23 against 11 in the preceding
year. Ten were discharged and 4 died and the number
remaining under care and treatment towards the close of
the year was 125 against 116 in the preceding year. Out
4
of these 125 patients, 15 recovered, but they could not
be discharged as their cases are governed by the princi-
ples laid down in Book Circular V-l, Appendix II.
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.
Admissions and discharges under
this head were 41 and 27 against 27 and 18, respectively,
last year. Next was melancholia with 10 admissions and
7 discharges and exhaustion psychoses with 9 admissions
and 7 discharges.
Under dementia præcox the admis-
sion were 11, errors of development 6, paranoia 2, and
one each under dementia from local cerebral syphilis,
senile psychoses and circular insanity.
11. The principal predisposing and exciting causes
amongst the
new
admissions
were : —
STATEMENT No. VII.
Aetiological factors and
associated conditions.
Heredity ... ... ...
Mental instability ... ...
Deprivation of special senses ... ...
Critical periods
...
...
Child bearing
...
...
Mental stress
...
...
Diseases due to disorders of nutrition and metabolism.
Infective and toxic ... ...
Diseases of the nervous system ... ...
No cause ascertained due to defective history ...
Pre-
disposing.
10
28
1
10
...
1
2
1
3
44
Exciting.
...
1
...
15
3
17
7
6
6
40
Dental treatment.
12. During the year under review, the Dentist,
Mr. C. Baretto, visited the hospital
twice a week regularly and carried
out the dental treatment of all patients. Card registers
are maintained and periodical inspections of each patient
were made.
STATEMENT No. VIII.
Finance.
13. The total amount spent for the upkeep of the
Mental Hospital was in round
figures
Rs.
1,56,425
against
Rs, 1,26,757 in the previous year. The increase in