NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Prophylactic measures were laken against cholera and smallpox as
usual. Amongst the resident patients, 20 were treated for Ankylostoma, 33
for round-worms and 3 for Oxyuris Vermicularis, 8 for Entamaeba Hystoli-
tica and 12 for Giardia Lamblia infection. The death-rate per cent for 1947
in Mental Hospitals in other provinces in India was as under : —
(1) N. M. Mental Hospital, Thana—12.8.
(2) Mental Hospital, Dharwar—5.2.
(3) Mental Hospital, Ratnagiri—9.91.
(4) Mental Hospital, Ahmedabad—2.6.
(5) Central Mental Hospital, Yerwada—6.43.
(6) Madras—7.79.
(7) European Mental Hospital, Ranchi—2.88.
(8) United Provinces Mental Hospital—5.50.
(9) Tezpur (Assam)—5.53.
6. Hydrotherapy and Special Treatments.—(a) Fifteen cases were
treated with Hydrotherapy with good results.
(b) One hundred and twenty-three cases were treated by Electric Con-
vulsion Therapy, out of which 42 were cured and 33 improved and 48 cases
remained unchanged. Most of the cases which remained unchanged had
chronic mental trouble of over two years' duration. The cases which were
cured and showed improvement were fresher cases of less than two years'
onset. This type of treatment has been noted to be of immense value ^ in
recent cases. A variety of cases were subjected to this treatment including
one case of severe anxiety state (Psychoneurosis) which showed complete
freedom from all symptoms with only a short treatment. It was also found
to be very useful in acute maniacal persons who received frequent shocks,
i.e., once or tw 7 ice daily.
(c) Fourteen cases were given Ammonium Chloride Convulsion
Therapy—4 w r ere completely recovered, 5 were improved and 5 did not show
any change.
The form of treatment is very mild and was given to those persons
who were unable to stand the electrical convulsions. The drawback is that
the course of treatment is very long and results uncertain.
(d) Two cases were treated by continuous Narcosis with success.
(e) Saline infusions have also been given to a number of acutely ex-
cited and maniacal patients with very encouraging results.
(f) Glandular and Harmone therapy was also given to suitable patients.
One case of Myxocdema with mental symptoms was completely recovered.
(g) Pyro-therapy was also given with sulfosin in few cases.
(h) Narcoanalysis was also given to a number of patients and frequent
use of it is being made in diagnosis and treatment of suitable patients.
(i) Other forms of treatment.—Vitamin therapy (in deficiencies),
Nutritional treatment, etc., were also given.
(/) Dental treatment of patients.—Dr. V. M. Pathak, L.D.Sc, was iz
charge throughout the year. Total number of cases attended to (both old
and new) was 735.
(k) Occupational Therabw—Excepting the infirm and sick patients,
others were engaged in agriculture, gardening, dairy, cleaning utensils,
cooking, carpentry, smithying, general sanitation, etc. New occupational,
works started during the year were caning of chairs, painting and polishing
of furniture and beds. In the female section knitting, needle-work and
embroidery work was started under the guidance of Mrs. Dube (wife of the
Superintendent) during the year under report, and quite a _ number of
patients took active interest and were mentally better. Various dainty
laces, pillow cases, table cloths, woollen pillows, etc., were prepared.
(/) Amusements and recreations.—Newspaper editors have been pleased
to contribute free of charge "Maharashtra", Weekly, "Independent",
Weekly and Daily, "Nagpur Times". These papers are entirely for the
use of literate mental patients.
Selected patients were taken out for cinema and circus shows in the
town. One magic show was also arranged during the year.
Badminton was played by a few patients. A football ground is being
made by the patients in an open area of the compound.
7. Cases under Observation (statement No- II).—Twenty-two [10]
cases were under observation on the 1st January 1947. 118 [93] cases were
detained for observation. Out of these, 69_ T53] were certified as insane,
33 [26] did not exhibit any signs of insanity, 5 [2] died and 33 [22] remained
at the close of the year.
8. Criminal Insanes and Insane Criminals (statement No. HI).—The
number of criminal insanes and insane criminals at the beginning of the
year was 126 [132] males and 19 [16] females, total 145 [1481. The number
admitted during the year was 21 [14] males and 4 [4] females, total 25 [18].
40 [7] were discharged, 16 [141 died and the number at the close of the
^ear was 95 males and 19 females, total 114. (The number of discharges is
mainly due to remission of sentences on 15th August 1947.)
9. Religion, Sex and Residence (statement No. IV), Age (statement
No. V) and Form of Mental Disorder (statement No. VI).—These need no
special comment.
10. Probable Cause of Insanitv (statement No. VII).—Due to deficient
history, the probable cause of insanity could not be ascertained in a large
number of cases.
11. Finance (statement No. VI3T). -The total amount spent for the
upkeep of the hospital was Rs. 3,23.544 inclusive of Public Works Depart-
ment charges amounting to Rs. 8,691 in round figures. Exclusive of Public
Works Denartment charges, the total amount spent was Rs. 3,14,853
[Rs. 2,79,683]. The average cost for diet, clothing and bedding per patient
per mensem was Rs. 17-10-9 and inclusive of treatment, care and control the
cost was Rs.'409-5-6 per. annum. The total expenditure on Mental Hospital,
Nagpur, increased every year and it was highest during the year under
report due to higher ^prevailing rates of commodities and increased staff.
12. General.—Before finally discharging patients as "cured" a number
pi patients were permitted to work on parole, without any supervision.
This system is working very satisfactorily.
13. Visitors.—Official and unofficial visitors attended the monthly
meetings.
14. Administration.—Major K. C. Dube, M B..B.S., was in charge
throughout the year.
Dr. A. K. Sen Gupta, M.B.,B.S., has been
Deputy Superintendent throughout the year.
15. Acknowledgment.—We express our thanks to the Editors of—
"Maharashtra", Weekly, "Independent", Weekly and Mr. B. C.
Shukla of "Nagpur Times" for contributing free issues of their
newspapers.
A. S. GARRWAL, LT.-COL.,
The 1th Dec. 1948.
Inspector-General of Civil Hospitals, C. P. & Berar.
STATEMENT
Showing the admissions, etc., 0}patients in the Mental Hospital, Nagpur, in the
(1)
(2)
(3)
(4)
(5)
Name of
Mental Hospital
Remained on
1st January
Admitted
Re-admitted
Total
population
C
JO
13
a
u
13
6
fa
13
0
-1
3
13
s 0
fa
O
4)
13
a
1
1
13
6
fa
4
3
3
h
1
- 5
"8.
a
13
s s
fa
13
•M
O
W
a
66
45
53
Nagpur
1947
f 1946
Figures for •<
L1945
417
409
418
124
124
m
541
533
536
116
104
101
37
24
28
153
128
129
533
514
520
161
148
150
694
662
670
1
•
I
(0
(7)
(8)
(9)
(10)
Died
Remaining on
31st December
Daily average
strength
Daily average
sick
1
Name of
I
Mental Hospital
1
4>
13
Is
7 58
S 33
3 42
JU
s
fa
16
7
6
IS
+->
O
74
40
48
0)
13
a
13
£
fa
_
3
O
13
-a
0)
13
s
fa
13
O
a
JV
£ <u
fa
O
13
a
1
Nagpur
194'
1
("1941
1
Figures for \
1
L194
386
417
409
131
124
124
517
541
533
413-4
406*8
416-6
5 12897
3 123 90
3 123-45
542-4;
530-7:
54001
! 24.38
$22-74
3 2989
7*60
484
5-24
3198
27-58
3513
15-96
11-05
10-39
1
NOTE.—Observation cases
The capacity of the Nagpur Mental Hospital is at 54
The maximum number of patients confined on anyone
The maximum number of patients confined on anyone
The maximum number of patients confined on anyone
No. I
Central Provinces and Berar during the year 1947 and totals for two previous years.
(6)
Discharged
A
B
i
C
D
Transfe :rred tc ►
Otherwise
Total
Cured
Improved
Nol : improved
JZ
1
fa
10
o o
h
76
3
C3
a
fa
0
8
i
fa
4->
O
h
V
'a
S
-2i
6
u
fa
_
•4->
O
h
"33
8
0)
S
fa
o o
66
16
4
20
3
• .
3
4
. .
4
89
14 103
45 14 59
15
3
18
2
2
2
2
64
17
81
53 13 71
5
-1 5 6 I 7 13
65
20
89
(11)
Percentage to
Daily average strength
Cured
E
fa
15-96 7-07
11 05 11-29
1039 10-53
3
•4-*
O
h
14-01
Mil
10-31
Admissions and re-admissions
B
Died
j>
"c3
CO
g
-a
1)
fa
14'03 12-41
8-18 566
10-08 4-86
0
1364
7-54
7'78
are not included.
superficial feet per patient, for 458 males and for 142 females, total 600.
night during the year was 428 males and 136 females, total 564.
night during the year 1946 was 439 males and 131 females, total 570.
night during the year 1945 was 432 males and 130 femalet, total 562.
D
<
Cured
Died
u
•-<
i
£ 6
fa
13-51
i
Male
E
fa
26-72
2353
9-48
5*41
2194 29-15
23*26
4-76
4*16
2549 25-00
25-44
6-86
2
o
850
4*65
5-22
STATEMENT No. II
Showing cases admitted for observation in the Mental Hospital, Nagpur, in the Central Provinces and Be*at during the year 194?
and totals for two previous years.
Name oi
Mental
Hospital
Nagpur
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Year
1947
Figures for \
Remained
on 1st
January
1947
a.
B
fa
21
o
Admitted
22 83
£
Ex-
es
35
1946
1945
8
2
118
Re-admitted
v
"3
fa
10 79
66
14
23
93
89
c
Certified and
admitted
into the
Mental
Hospital
s
E
fa
47 22
8
44
42
ces
c
69
Certified and
released
under
section 14,
Act IV of
1912
20
53
62
£
CJ
fa
Released
as
uncertifiable
Died
03
E2
"3
E
9,
fa
24
20
24
o
33
c
"3
s
5
c
E -
fa
Remaining
on 31st
December
1947
■M
s
"3
£
fa
-'
26
27
28
21
8
5
1
2
4->
33
22
10
(11)
Remarks
CC
STATEMENT No. Ill
«•
»
M\An
rigurcs jur ■%
1945
66 23 89
8 42 20 | 62
24
27
8
2 10
STATEMENT No. Ill
Return for criminal patients in the Mental Hospital, Nagpui, in the Central Provinces and Berar for the year 1947
and totals for two previous years.
(1)
(2)
(3)
(4)
—
(5)
(6)
(7)
(8)
(9)
/erage
Remained
Discharged,
Remaining
Daily a^
on
Admitted
Re-admitted
Total
transferred,
Die d
on
strength
1st January
etc.
31st December
Name of Mental
Hospital
CJ
V
0)
<u
v
V
u
V
S
15
£
C5
o
h
4>
"3
2
3
3
3
2
£
fa
ea
o
JJ2
CO
s
£
fa
ea
0
3
£
fa
o
13
3
£
fa
"3
O
*3
a
3
£
fa
3
£
V
fa
03
o
h
Nagpur
1947
NO
ON
m
I
T
m
1 - en o oo «N) o -* C%! vO in ON ^f m o en
rs
*«t-
<N
CN
■««■
<N
r*»
m
■v
—■
o
—
«—
ON
oo
in
•
•
.
Csl
sO
o
n4
ON
•
Csl
.
*-
riQ46
<N
NO
oo
T
<<r
oo
vO
O
NO
\©
,_
r>.
"<•■
"*
vO
ON
m
nj
o
CO
"—
T
■"~
•""
**
CN
vO
""
•p"
rxi
•—
TT
•*f
o
T
e*N
SO
<NJ
CN1
Figures for
<
en
NO
ON
NO
_
I>»
«N
1^
OO
o
o
ON
_
o
«NJ
NO
00
_
CN|
«n
""*■
m
vO
en
-<r
ON
o
ON
L 1945
~
•
~
•
~~
—
NO
cn
—
1
-1 l ~
vO
NOTE.—Figures exhibited exclude observation cases.
STATEMENT No. IV
Showing the religion, sex and residence of patients admitted into the Mental Hospital, Nagpur, in the Central Provinces
and Berar during the year 1947 and totals for two previous years.
Bilaspur
3
4
3
1
>
\
3
4
(1)
(2)
is
(3)
( 4)
stians
—
(5)
(6)
Total
•
Hindi
Muhammadans
Chri
Other castes
District
g fa
■a
•4-»
O
u
V
s 3
fa
*a
4-1
O
Europeans and
Anglo-Indians
Indians
£
fa
"53
■*->
O
E-
"<3
•—»
s
fa
0)
E s
fa
O
h
J2
JO
s
fa
"e3
*->
o
H
*3 +* o
h
Khandwa
• •
1
1
..
1
1
Rajnandgaon
1
I
••
••
1
. .
1
Chhindwara
3
3
3
• ■
3
New Delhi
1
1
• •
1
1
Betul
• •
1
1
••*
I
1
Mandla
• •
-.
1
1
1
1
Yeotmal
1
• •
1
1
!
Nagpur
49
22
71
5
1
6
I
1
54
24
78
Kamptee
1
••
1
1
••
I
•.. (
2
.,
2
Raipur
8
I
9
-
•• 1
.
••
8 |
»
9
4
4
Raipur
8
1
9
••
••
!
••
••
••
• •
8
I
9
3 \
M A
Bila?pur
3
!
4
i
4
4
Buldana
3
3
1
1
* *
• •
4
4
Chanda
4
4
• •
"
••
6
1
7
5
1
6
1
1
..
• •
Amraoti
i
1
JLucknow
jubbulpore
6
1
7
2
••
2
•■
••
1
3
••
1
3
••
1
11
4
1
12
4
Wardha
3
3
1
I
• •
• •
"
5
5
Akola
5
5
• •
• •
"
2
2
Seoni
2
2
• •
3
1
4
Gondia
3
1
4
• •
"
2
2
Bhandara
1
1
t
1
• •
2
2
Hoshangabad
• •
2
2
••
• •
i
1
1
Harda
1
1
• *
2
2
Ellichpur
••
2
2
• •
1
1
itarsi
1
• •
1
• •
■
—
—,—
4
I
5
1
116
37
153
Total
99
34
133
13
2
15
i
i
-
i
j
i
r 1946..
82
19
101
• 9
3
22
1
1
3
2
5
• •
105
24
129
Figures for \
(1945..
87
21
108
■
11
2
13
••
4
9
13
••
i
i
102
32
134
STATEMENT No. V
Showing the ages of patients admitted into the Mental Hospital, Nagpur, in the Central Provinces and Berar
during the year 1947 and totals for two previous years.
(1)
(2)
0)
(4)
(5;
(6)
Under 20
20 to 40
40 to 60
Upwards of 60
Total
Name of
Mental Hospital
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total
Nagpur
I947
7
2
6
6
13
2
13
92
84
77
28
120
14
3
17
25
25
3
1
3
1
116
105
102
37
24
32
153
r 1946
Figures for
.A
11945
7
17
19
101
96
18
19
7
' 1
..
129
134
NOTE.—Figures exhibited exclude observation cases.
^^^^™
STATEMENT No. VI
Showing the form of mental disorder in the admissions, discharges, recoveries and deaths among the patients in the
nA„«*5 uJ*;*„i ATno*»,Y in the Central Provinces and Berar during the year ending the 31st December 1947
K>
^ 1717
iJ I
//
I
7° I
xy I
u i
^ < .. ,
..
i .. I . IWA-I
->~ I
IJt
NOTE.—Figures exhibited exclude observation cases.
STATEMENT No. VI
Showing the form of mental disorder in the admissions, discharges, recoveries and deaths among the patients in the
Mental Hospital, Nagpur, in the Central Provinces and Berar during the year ending the 31st December 7947
Mental disorder
1. Mental deficiency
2. Manic depressive insanity
3. Mania
4. Melancholia
5. Schizophrenia including dementia praecox
6. Secondary dementia
7. Paranoia and paranoid states
8. Epilepsy and epileptic insanity
9. Toxic psychosis—
(a) Acute confusional insanity
Alcoholic psychosis
Cannabis indicae psychosis
Of endocrine origin
In relation to child bearing
In relation to other constitutional diseases
10. Organic psychosis—
(a) General
(t) Cerebral syphilis
(c) Arteriopathis and senile psychosis
(d) Encephalitis
(e) Other cerebral lesions
11. Neurosis and psychoneurosis
12. No appreciable disease
^ .
13. Not yet diagonized
(discharged before
certification).
(b)
(c)
id)
U)
(f)
Remaining
on 31st
December of
the preceding
year
Admissions
during the
year
Total
Discharges
Recoveries
Otherwise
Deaths
Remaining
on 31st
December
"3
"c3
s O 5
13
s
0)
fa
03
O
h
o3
13
S
fa
cd
■>->
O
4)
13
13
s a>
fa
o
^4)
ca
s
<U
fa
"3
o
h
Ai
13
13
£
fa
o
h
s
fa
50
83
31
23
130
3
33
28
1
8
27
10
13
24
3
2
11
8
58
110
41
36
154
6
35
39
3
20
1
13
8
13
12
1
1
1*1*
58
1
7
5
2
15
13
1
3
2
5
35
1
71
2
10
7
53
103
32
23
188
4
40
33
10
42
10
13
37
4
5
13
63
145
42
36
225
8
45
46
8
1
Total
..417 124
19
1
1
1
13
2
9
3
'
541 116 37
2
9
4
153
9
1
12
1
3
9
14
533
13
1
3
161
2
29
3
1
25
I
4
2
34
3
1
32
1
5
9
1
13
19
1
3
10
17
694
3
4
5
82 14
3
4
5
96
4
15
6
2
18
i
2
1
58
2
3
3
6
17
12
2
21
4
16
2
1
74
47
57
23
20
142
2
36
26
1
8
8
35
4
13
27
1
4
13
12
1
3
6
13
386
1
3
131
CO
o
55
92
27
33
169
3
40
39
8
J3
19
1
4
9
517
v>>
NOTE.—Observation cases are excluded from this statement.
14
STATEMENT No. VII
Showing the probable cause of insanity in the patients admitted into the Menta
Hospital, Nagpur, in the Central Provinces and Berar during the year
ending the 31st December 1941 >
1 Predisposing causes Exciting causes
Total
Cause of insanity
■
u
73
■i
£ s
fa
73
+->
o
h
73
8
73
§
03
fa
73
o
73
2
u
03
6
fa
73 a
O
h
Mental Strew.
Moral
1
1
10
4
14
11
4
15
Business worry
1
1
7
7 •
8
8
Domestic worry
1
1
9
4
13
10
4
14
Stress of military service
1
1
1
1
Toxins:,
Canabia indica
5
5
5
5
Alcohol
1
1
1
1
Other toxins
••
••
5
5
5
5
Physical
89
25
114
35
7
42
124
3.<!
156
Opium
••
••
..
Bodily illness
•*•
1
1
2
1
1
2
Pregnancy
..
Child-birrh
3
3
3
;
Climateric
1
1
1
. •
I
Epilepsy
••
• •
• •
Head injuries
• •
• •
Infections.
Encephalitis lethargies
• •
1 " , "
Influenza
/
Syphilis
4
4
4
4
Other infection*
..
13
1
14
13
1
14
Old age
1
1
2
1
1
2
2
2
4
Hereditary predisposition
..
Previous attack*
• •
Unascertained
27
11
38
157
36
129
15
36
51
) 165
63
249
26
73
89
Total .. 120
37
322
o
g
w
<
H
en
V*J
NJ
OB
Ki
«o
NJ
ui —. ui
—
-S-
00
I Total
u»
STATEMENT No. VIII
Cash Account of the Mental Hospital, Nagpur, in the Central Provinces and Berar for the year 1947 and totals
for two previous years.
Name of Mental
Hospital
(1)
Received
frorn haying
treasurv
(2)
Nagpur, 1947
Rs.
2,66,297 8
Figures
tor
J1946 2,32,
11945 12,13,
1946 (2,32,587
,219
4
3
Received
from
patients
(3)
P-
10
Rs.
20,870
19,936
3 '21,968
a.
1
6
9
Receipts
Charges
Value of
stores
received
from the
manufactur-
ing depart-
ment less
costs of
raw
materials
(4)
Book
receipts,
i.e., the
total of
expenditure
entered in
columns (19),
(20) and (21),
(5)
Establishment
Miscellaneous
receipts
(6)
Total
Rs.
a.
I
18,497| 8
0
0
19,768
18,238
15
11
0
Rs. a.
11,261 12
0 9,688
8,092
12
0
Rs.
0 6,617
0 3,152
4,322
(7J
Establishment
oroper
Superin-
tendents
(8)
(9)
0
5
0
Rs.
3,23,544
0 2,85,133
6 !2,65,80ol 14
Rs.
95,799
a.
3
0
71,962
64,3331
0
Rs.
9,501
11
4
0
0
a.
18,000| 0
18,000 0
P-
0
0
0
u»
STATEMENT No. VIII
Cash Account of the Mental Hospital, Nagpu*, in the Central Provinces and Berar for the year 1947 and totals
for two previous years—cent.
Charges—cont.
Name of
Mental Hospital
(i)
Diet
(10)
Clothing and
bedding
(ID
Bazar
medicines
(12)
Contingencies
proper
(13)
Repairs and
maintenance
(14)
Rates and
taxes
(15)
Remitted to
treasury on
account of
paying
patients,
etc.
(16)
Rs.
a. P-
R s
a. P-
Rs.
a. p-
Rs.
a. P-
Rs.
a. P.
Rs.
a. P-
Nagpur, 1947
1
94,315
9
0
20,727
0
8
!
54,610
3
2
9,841
8
Rs.
20,870
a.
f 1946
Figures^
for i 1945
92,079 15
6
14,181 11
0
81,844
0
3
16,927
3
0
• .. •
t
48,582
39,297
15
10
0
9
7,548
11,055
14
13
9
0
19,936
21,968
6
9
0
0
ON
STATEMENT No. VII
7
v
'— ■"« w ■ » rn^ivnl Vvnwnro* n*iJ Rf>rnt fnr the vear 1947 and toials
f 1946
Figures-<(
for i 1945
92,079
81,844
15
0
6
3
14,181
16,927
11
3
U
0
39,297
13
0
u
9
/ J-/-TU
11,055 13
0 21,968
9
0
STATEMENT No. VII
Cash Account of the Mental Hospital, Nagpur* in the Central Provinces and Berat for the year )947 and toials
for two previous years—cont.
Charges—cont
Book charges
Charges on
account of
Cost of
Cost of
work done by
piinted
English
the Public
forms and
stores,
Works
stationery
medicines,
Department
etc.
(19)
(20)
(21)
Name of
Mental Hospital
(1)
Nagpur, 1947
f 1946
Figures -{
for L 1945
Miscel-
laneous
Items
(17)
Total of col-
umns (8) to (17)
(18)
Total of col-
umns (.18) to (21)
(22)
Rs.
a. P-
Rs.
a. P-
Rs.
a. P-
Ra.
a. P-
Rs.
a. P-
6,617
7
0 3,12,282
9
4
8,691
0
0
2,570 12 . 0
Rs.
3,23,544
3,152
0
0 2,75,444
9
3
5,450
0
0
•.
e •
1
4.238 12
0 2,85,133
5
3
4,322
5
6
•
2,57,748 13
6
3,000
0
0
i
5,092
0
6 2,65,840 14
0
Remarks
(23)
1
Statement showing the comparative figures for the last five years.
1942
Patients at the beginning of tht year
New admissions
Total population
Number of patients discharged
Number of deaths
Daily average strength
Daily average strength "cured"
Daily average strength "died"
The ratio per cent of cases "cured" to new
admissions.
The ratio percent of cases "died" to new
admissions.
The maximum number ot patients confined
on any one night.
Finance
Expenditure inclusive of Public Works
Department.
527
101
628
64
38
534.1?
10.11
7.11
26.73
2.97
550
1943
1944
526
522
95
104
621
626
65
51
34
39
527.14
533.13
10.05
7.69
6.45
7.32
30.D3
21.15
Rs.
1,96,065
5.26
539
Rs.
2,14,393
7.69
544
1945
536
134
670
89
48
540.08
10.31
7.78
25.44
Rs.
2,42,905
5.22
56 2
Rs.
2,65,841
GPN-2361—IGCH—3-5-49—150.
1946
533
129
662
81
40
530.73
11.11
7.54
23.26
4.65
570
Rs.
2,85,133
ears.
1946
533
129
662
81
40
530.73
11.11
7.54
23.26
4.65
570
Rs.
2,85,133
Ze/itfHq*
GOVERNMENT OF MADHYA PRADESH
ANNUAL REPORT
ON THE
MENTAL HOSPITAL
NAGPUR
IN THE
MADHYA PRADESH
FOR THE YEAR
1951
-AJ
iju
^
;
."V
0
:.:"^ "■ ■ f .
NAGPUR
GOVERNMENT PRINTING, MADHYA PRADESH
>
1953
[Price—Annas Eight]
ANNUAL REPORT OF THE MENTAL HOSPITAL, NAGPUR,
FOR THE YEAR 1951
1. Building.—No new buildings were constructed during the year
under report. The annual repairs only were carried out to the building.
2. Population—(Statement No. I).—(a) The number of resident patients
at the beginning of the year was 360 males and 128 females, totalling 488.
The new admissions during the year were 135 (108) males and 62 (53)
females, totalling 197 (161) and thus the total population was 685 (722). The
daily average strength of the total population excluding observation cases
was 35.7.98 males and 139.03 females, totalling 497.01. Including the obser-
vation cases the daily average strength was 364.08 males and 143.91 females,
totalling 507.99 (543.60).
The ratio percentatge of cases "cured" to daily
average strength was 16.76 (13.60) males and 13.66 (10.11) females, total
15.89 (12.70). The ratio percentage of cases "cured" to admission was 25.18
(17.51) males and 12.90 (n.30) females, total 21.37 ( T 5-5°)-
(b) Twenty-two patients were admitted as Voluntary boarders during
the year under report. Of these five were discharged as cured, seven dis-
charged as unimproved, seven discharged as improved and three are still in
the hospital.
3. Accommodation.—The maximum number of resident patients on any
one night was 381 males and 156 females, total 537.
The accommodation
available is 458 for males and 142 for females, i.e., a total of 600 beds.
Thus there was overcrowding in the female section only.
Maximum
number of male and female paying patients on any one night was 43 and
25 respectively. The accommodation available for paying patient is 24
males and 8 females. Thus there was overcrowding and shortage of paying
ward accommodation in both the sections.
On comparing the figures of admission during the past five years, i.e.,
from 1946 to 1950, and the year under report (statement enclosed), it will
be seen that the number of admissions was highest during the year under
report and the lowest during the year 1946. The percentage of "cured" to
new admission was highest in 1948 and lowest in 1949.
4. Discharges.—The number of patients discharged during the year
was 136 as against 172 during the last year as detailed below :—
(1)
1. Cured
2. Improved
3. Not Improved
4. Otherwise
Total
Male
Female
Total
(2)
(3)
(4)
60 (54)
19 (14)
79 (68)
18 (30)
10 (12)
28 (42).
20 (32)
8 (17)
28 (49)
1 (9)
0 (4)
' 1 (13)
99 (125)
37 (47)
136 (172)
When compared with figures of last year though the total number of
discharges is less, the number of those who were discharged as cured is
more. Another cause of less discharges is that the less number of un-
improved or otherwise cases were discharged.
The third reason for more discharges in the previous year was that a
number of cases were released by the relatives in 1950 on account of the
faith in the treatment of "Angul Baba" who set up as an evangelist in
Orissa.
The fourth reason of more discharges in 1950 was encouragement to
relatives by the then Superintendent to get the patients discharged as that
year was under great financial stress and economy drive was on.
5. Sicknesss and Mortality.—The general health of the patients was
good. Number of deaths during the year were 18 as against 62 of last year.
It is worth commenting that deaths in 1951 have been the lowest so far
observed in any year in this hospital. This marked reduction in mortality
is due to improvement in general cleanliness and strict supervision on diet
and water-supply. More attention was paid to prompt diagnosis and treat-
ment and modern drugs like Antibiotics were used in large quantities.
Prophylactic measures against infectious diseases were taken when neces-
sary. There was no epidemic of any kind. The daily average of sick treated
in the hospital was 23.75 as against 34.23 in the previous year. This again
indicates better general health and less diseases among the patients. The
death percentage in new admissions which were 6, was 3.55 (0.60).
The
reason for higher percentage was due to already existing poor state of
health of new admissions. The details of the cause of deajh and their ages
are as below. There were no deaths in observation cases:—-
Causes of death in new admissions only
Age
(1)
•
(2)
Years
1. Pneumonia
..
48
2. Cirrhosis liver
..
57
3. Diarrhcea
..
70
4. G. P. I. and Dysentry
..
43
5. Broncho—Pneumonia
..
40
6. Anaemia
..
60
Male
(3)
1
Female
(4)
Total
(5)
1
Total
5
1
6
Causes uf death in netv and old admissions
Male
Female
Total
(1)
(2)
(3)
(4)
1. Tuberculosis lung
.
2'
..
2
2. Diarrhcea
.
1
3
4
3. Status Epilepticus
.
1
I
4. Broncial Asthama
1
1
5. Pneumonia
.
2
2
6. Cirrhosis liver
1
1
7. Cancer liver
.
1
1
8. Heart failure (Conj festive cardiac failure)
.
1
1
2
9. Bacillary dysentry
.
2
1
3
10. Anaemia
.
1
• •
1
Total
. 13
5
18