NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
The period of stay in the Hospital was as under—
Between 30 to 40 years—2.
Between 20 to 30 yeais—3.
Between 10 to 20 years—6.
Between 1 to 10 years—19.
Under one year—12*.
*Of these 7 were received in a bad state of health.
The longest residence prior to death was 34 years and the shortest was 4
days. {The latter patient was received in a very bad state of health.)
Prophylactic measures against Plague, Cholera and Smallpox were taken as
usual. Amongst the resident patients, 13 were treated tor Ankylostoma, 27
for Round-worms and 3 for Tape-worms. The death-rate per cent for 1946 in
Mental Hospitals in other provinces in India was as shown below :—
Bombay 87, Madras 8*32.
Punjab 7.25, Assam 5*15.
United Provinces—(1) Benares 395, (2) Agra 12 17and (3) Bareilly 6*12.
European Mental Hospital, Ranchi 2*53.
7. Hydrotherapy and Special Treatments.— (a) 25 cases were treated
by hydrotherapy with success.
(6) Histamine and Insulin.—33 cases were treated by histamine combined
with insulin ot which 12 were discharged as cured and the rest had shown very
slight improvement. This treatment is, however, being discontinued and as
soon as proper facilities and arrangements are made, modified insulin shock
treatment will be started.
(c) Cardiazal Shock Treatment.—No Cardiazal Shocks were given this
year as the Electric Convulsion Therapy was started in its place.
(d) Electric Convulsion Therapy.—25 cases were treated by Electric Con-
vulsion Therapy, of which 17 were successful in varying degrees. This torm
of treatment has been found to be most useful and more frequent use of it is
being made. It is safer than the Cardiazal Shock Treatment.
(e) Ammonium Chloride Shocks have also been given to cases who are not
strong enough for either Electrical oi Cardiazal Convulsion Therapy.
(/) Narcoanalysis has just been started. A liberal use of this form of
therapy will soon be made in cases needing it. One is greatly handicapped as
the staff is inadequate and Narcoanalysis is a time-absorbing procedure.
(g) Dental Treatment of Patients.—Dr. E. S. Bhusreddy, L.D.Sc, was
in charge throughout the year. The total number attended to both old and new
cases was 2,016.
(h) Occupational Therapy.—Excepting the infirm and sick patients, others
were engaged in agriculture, gardening and dairy. During war time, weaving
was stopped due to shortage ot yarn, etc. This department still remains
closed. Caning hospital chairs has newly been started here during the month
of December and quite a number of patients have learnt this occupation well.
(i) Amusements.—Suitable patients were provided with outdoor games.
S~> also selected patients were entertained by taking them out for Cinema shows
in the town. Magic shows are also arranged from time to time.
3
8. Gases under observation (Statement No. II).—10 cases were under
observation on the 1st January 1946. 93 cases were admitted for observation.
Of these, 53 were certified as insane, 26 did not exhibit signs of insanity, 2 died
and 22 remained at the close of the year.
9. Criminal-insanes and insane criminals (Statement No. III).—
The number of criminal-insants and insane-criminals at the beginning of the
year was 132 (133) males and 16(16) females, total 148 (149). The number
admitted during the year was 14 (16) males and 4(1) females, total 18(17).
Seven were discharged, 14 died and the number at the close of the year was 126
males and 19 females, total 145.
10. Religion, Sex and Residence (Statement No. IV), Age (State-
ment No. V) and Form of Mental Disorder (Statement No. VI).—These
need no special comment.
11. Probable cause of insanity (Statement No. VII).—History being
defective, the probable cause of insanity could not be ascertained in a large
number of cases.
12. Finance (Statement No. VIII).—The total amount spent for the
upkeep of the hospital was Rs. 2,85,133 inclusive of Public Works Department
charges amounting to Rs. 5,450 in round figures. Exclusive of Public Works
Department charges, the total amount spent is Rs. 2,79,683 (2,62,840). The
average cost for diet, clothing and bedding per patient per mensem was
Rs. 16-11-0 and inclusive of treatment, care and control the cost was Rs. 345-3-8
per annum. The total expenditure on Mental Hospital, Nagpur, increased
every year and it was highest during the year under report, due to increase in
maintenance cost mostly due to higher prevailing rates of commodities and
increased staff.
13. General.—Before finally discharging patients as "cured" a number of
them were permitted to work on parole in the gardens, etc., without any super-
vision. I am glad to note that this system is working satisfactorily and in future
the system of granting paroles to patients will be more liberally used.
14. Visitors.—Official and non-official visitors attended the monthly
meetings regularly.
15. Administration.—Dr. J. Roy, M.B., D.P.M. (Eng.), was in charge
up to November 1946 and thereatter from 1st December 1946, Major K. C.
Dube, M.B.,B.S., has assumed charge of the Superintendentship of this
Hospital. Dr. A. K. Sen Gupta, M.B.,B.S., has been Deputy Superintendent
throughout the year and so also during the last five years.
NAGPUR :
The Uthjuly 1947.
L. K. LEDGER, COL., I.M.S.,
Inspector- General of Civil Hospitals,
Central Provinces and Berar,
STATEMENT
SHOWING THE ADMISSIONS, ETC., OF PATIENTS IN THE MENTAL HOSPITAL,
TOTALS FOR TWO
No. I
(1)
(2)
(3)
(4>
(5)
Name of
Mental Hos-
Remained i 3n
Admicted
Re-admitted
Total
pital
1st Januar
population
o
<u
<u
V
9)
i
£
CD
fa
03
■M
O
03
03
a
fa
o
h
128
1
1
03
s
o
fa
03
O
h
1
u
514
a
fa
03
o
h
Nagpur
1946 409
124
533
104
24
148
662
f 1945 418
118
536
101
28
129
1
4
5
520
150
670
Figures <
for
l_ 1944 406
116
522
76
19
95
7
2
9
489
137
626
(6)
Discharged
A
B
C
D
I
Transferred to
Otherwis e
Curec
Total
Improved
Not improved
V
<U
V
^
\
<U
u
*03
03
s 9
fa
'3 ii
o
h
03
B
fa
o
*03
i
03
£
fa
"o3
O
"3
2
03
s
U
fa
'cS
o
h
03
1
fa
13
4-*
o
*
45
14 59
15
3
18
2
2
2
2
64
17
81
58
13 71
5
5
6
7
13
69
20
89
31
10 41
6
2 ! 8
1 1
1
1
1
39
12
51
NOTE.—Observation cases
The capacity of the Nagpur Mental Hospital is at 54
The maximum number of patients confined on any one
The maximum number of patients confined on any one
The maximum number of patients confined on any one
No. I
NAGPUR, IN THE CENTRAL PROVINCES AND BERAR, DURING THE YEAR 1946 AND
PREVIOUS YEARS
(1)
(7)
(8)
(9)
(10)
Name of
Mental Hos-
pital
Died
Remaining on 31st
December
1946
Daily
average
strength
Daily
average
sick
la
33
42
32
'a
E 9
fa
7
6
7
co
o
h
13
13
a
a
fa
13
o
13
CO
"a
E
fa
13
o
h
530-73
540-08
53313
6
a
22-74
29-89
24-56
u
Is
E
u
fa
4-84
5-24
4-7£
18
O
Nagpur
1946
f 1945
Figures <
for
[,1944
40
48
39
417
409
418
124
124
118
541
533
536
406-83
416-63
1411-44
123-90
123-45
121-69
27-58
35-13
29-34
(11)
Percentage to
Daily average strength
Cured
j6
CU
13
s
<u
fa
13
o
11-05 11-29
11-11
10-39 10-53
10-31
7-53
8-22
7-69
1
B
Died
J Male.
1
Female.
1
1
j Total.
8-18 5-66
7-54
10-08 4-86
7-78
7-78 5-75
7-32
u
%
21-94
25-49
18-07
Admissions and re-admissions
Cured
6
fa
29-15
25-00
31-82
O
23-26
25-44
15
D
Died
aJ
13
s
Female.
4-76
4-16
6-86
7-23
9-09
cs
O
fa
4-65
5-22
7-69
are not included.
superficial feet per patient, for 458 mules and for 142 females, total 600.
night during the year was 439 males and 131 females, total 570.
night during the year 1945 was 432 males and 130 females, total 562.
night during the year 1944 was 421 males and 123 females, total 544.
STATEMENT No. II
SHOWING CASES ADMITTED FOR OBSERVATION IN THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND
BERAR DURING THE YEAR 1946 AND TOTALS FOR TWO PREVIOUS YEARS
Name of Mental
Hospital
Year
Remained
on 1st
January 1946
Admitted
Re-admitted
Certified and
admitted
into the
Mental
Hospital
Certified and
released
under
section 14,
Act IV of
1912
Released
as
uncertifiable
Died
Remaining
on 31st
December
1946
Re-
marks
JU
JU
p
s
to
*->
o
h
r22
S u
to
13
o
H
ju
13
2
ju
13
£ s
to
1 "oS
o
H
13
s
ju
'a
B
to
13
O
H
ju
"3
6
to
13
O
h
ju
13
JU
13
B
<U
to
o
JU
13
s
JU
13
B
9
to
13
o
a
"3
2
JU
B <u
to
(10)
*e3
o
H
22
10
2
(D
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(ID
Nagpur .
1946
1945
1944
8
I
3
2
1
1
10
2
4
79
66
46
14
23
.2
93
89
58
7-
5
44
42
31
9
20
12
53
62
43
1
20
6
3
2
26
2
"
2 21
1
2
1
c
Figures for
-i
I
1
3 l
8
8
1
2
24
19
27
21
2
2
8
1
STATEMENT No. Ill
SHOWING RETURN FOR CRIMINAL PATIENTS IN THE MENTAL HOSPITAL, NAGPUR. IN THE CENTRAL PROVINCES AND BfiRAR
U 1944
3
I
4 46 12 58
5
3
8 31
12 43
1
1
2 19
2 21
2
1
STATEMENT No. Ill
SHOWING RETURN FOR CRIMINAL PATIENTS IN THE MENTAL HOSPITAL, NAGPUR. IN THE CENTRAL PROVINCES AND BfiRAR
FOR THE YEAR 1946 AND TOTALS FOR TWO PREVIOUS YEARS
(1)
(2)
A«
(3)
(4)
(5)
(6)
(7)
(8)
<
(9)
Name of Mental
Hospital
Remained
on 1st
January 1946
dmitted
Re-admitted
Total
Discharged
transferred,
etc.
Died
Remaining
on 1st
December
1946
Daily average strength
4>
13
132
4
133
128
(
4)
B o
fa
16
16
16
"3 *-»
o
H
148
149
144
0)
"3
14
16
22
1
0)
fa
4
1
2
■♦->
o
h
14
17
24
"3
S u
fa
*3
+->
O
13
146
151
150
cs
B
fa
20
■£-»
O
h
166
"3
6
"33
u
fa
1
"3
4->
O
H
7
10
12
*c3
14
9
8
"3
s
fa
i
-3 +->
o
h
14
10
8
!
i
*3
2
126
132
133
"3
1
fa
19
16
16
"3
+->
o
h
145
148
149
Male
134-42
131-91
127-16
Female
Total
Nagpur .. 1946
2
16-00
1601
17-29
272-41
f 1945
i
Figures for-<
L 1944
1
2
1
17
19
168
169
10
9
3
147-92
144-45-
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
CEN FRAL PROVINCES AND BERAR DURING THE YEAR 1946 AND TOTALS FOR TWO PREVIOUS YEARS
(1)
(2)
(3)
(4)
(5)
i
(6)
Hindus
Muhammadans
Christians
Other castes
Total
i
Europeans and
Indians
District
u
0>
Anglo-Indians
<u
&>
u
V
"«
re
£
re
"3
re
a
re
re
re
a
re
43
"re
re
a
re
■i->
re
re
a
"re
re
re
a
3
£
o
§
1
0
h
§
O
s
o
s 0) o s EC, o
E-
6!
Nagpur
40
11
51
8
2
10
48
13
at
Saugor
3
3
1
1
^
_
4
1
$
Jubbulpore
6
6
1
1
2
1
1
2
8
2
to
Wardha
1
2
3
■•
1
2
5
Bhandara
8
. 8
8
»
Chhindwara
2
2
1
1
!
3
5
Buldana
2
,
2
3
3
(
5
$
Chanda
3
3
.. i..
.. 1
..
• • 1 3, .. • 3
Mandla
z
Chanda
Mandla
Drug
Raipur
Bilaspur
Nimar
Amraoti
Akola
Hoshangabad
Seoni
1946: Total
Figures for .. ■{
1945
1944
3 I .. i
3>
I
1
. .
1
1
1
1
1
3
3
1
i
i
2
7
2
9
5
1
6
2
2
1
1
82
19
101
19
11
3
87
21
108
2
65
18
83
14
1
22
13
15
~ 2
13
1
!
1
4
1
7
7
2
1
105
102
83
I
2
1
24
32
21
Z
z
4
2
9
S
2
I
129
134
104
STATEMENT No. V
SHOWING THE AGES OF PATIENTS ADMITTED INTO THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND
BERAR DURING THE YEAR 1946 AND TOTALS FOR TWO PREVIOUS YEARS
(1)
(2)
(3)
(4)
(5)
(6)
Name of Mental Hospital
Under 20
20 to 40
40 to 60
Upwards of 60
Total
Male Female Total Male Female Total Male Female Total
4 '
Male Female Total Male Female Total
■
Nagpur ..
.. 1946
2
2
84
17
*
101
18
7
25
1
1
105
24
129
Figures for
.. *
"1945
.1944
6
1
7
13
1
77
65
19
16
96
81
19
17
6
4
25
21
1
1
102
83
32
21
134
lot
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 3 1ST DECEMBER 1946
I
1
I
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 \EAR
ENDING THE 31ST DECEMBER 1946
Form of mental disorder
(1)
Remaining
on 31st
December of
the preced-
ing year
(2)
(1) Mental deficiency
(2) Manic depressive insanity . .
(3) Mania
(4) Melancholia
(5) Schizophrenia including dimentia praecox
(6) Secondary dimentia
(7) Paranoia and paranoid states
(8) Epilepsy and epileptic insanity
(9) Toxic psychosis—
(a) Acute eonfusional insanity
(b) Alcoholic psychosis
(c) Cannabis indicae psychosis
(d) Of endocrine origin ..
(<?) In relation to child-bearing
(/) In relation to other constitutional dis
eases.
(10) Organic psychosis—
(a) General
(b) 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 certi
fixation 1 *.
Total
*z
50
76
35
27
120
3
33
30
s
CJ
fa
7
24
11
13
24
3
3
13
O
13
8
57
100
46
40
144
6
36
43
Admissions
during the
year
(3)
3
48
6
2
32
7
J3
1
18
1
1
1
16
2
2
0>
"o3
S
fa
1
9
5
1
4
a
O
4
57
11
3
36
Total
(4)
"3
B
V
fa
2
2
124 533 105
3
2
2
2
53
124
41
29
152
3
35
32
1
3
2
24 1129
12
1
1
is
8
33
16
14
28
3
4
13
o
14
8
1
1
2
61
157
57
43
180
6
39
45
4
Discharges
Recoveries
Otherwise
(5)
*o3
2
1
26
4
1
It
E
fa
4
3
03
*->
O
h
14
514 1148
2
1
20
1
1
1
19
2
662 46
13 I
1
30
7
1
13
1
9
2
2
3
03
g
fa
■*->
O
h
3
1
59
19
1
10
3
2
4
Deaths
(6)
1
6
4
3
8
S
fa
22
2
3
32
1
2
1
1
03
■*->
o
1
7
6
4
9
Remaining
on 31st
December
1946
(7)
"a.
8
2
5
40
50
83
31
23
130
3
33
28
1
8
12
I
1
ii
g
fa-
8
27
10
13
417
2
11
13
124
C3
■Hi-
O
h
58
110
41
36
24 i154
3
6
35
39
4
*8
\3
\9
T
t
1
12
T
541
NOTE.—Observation cases are excluded from this statement-
12
STATEMENT No. VII
SHOWING THE PROBABLE CAUSE OF INSANITY IN THE PATIENTS ADMITTED
INTO THE MENTAL HG8PI TAL, NAGPUA, IN THE CENTRAL PROVINCES AND
BERAR DURING THE YEAR ENDING THE 31ST DECEM3ER 1946
Mental Stress
Moral
Business worry
Domestic worry
Stress of military service
Toxins
Canbis indica
Alcohol
Other toxins
Physical
Opium . .
Bodily illness
Pregnancy
Child-birth
Climacteric
Epilepsy
Head injuries
Infections
Encephalitis lethargica
Influenza
Syphilis
Other infections
Old age
Hereditary predisposition
Previous attacks
Unascertained
Total
Predisposing causes
"oj
2
18
10
71
106
a
to
1
9
27
03
3
1
5
25
11
80
133
Exciting causes
2
5
84
104
03
£
to
8
24
03
o
4
7
3
1
2
5
102
128
Total
.22
*c3
4
7
3
2
4
23
10
155
210
s
to
3
7
1
27
51
03
*-»
O
4
12
3
2
4
3
7
30
11
182
261
p
s p
o
to
w
PQ
Q
s
CO
w
o
o
H
w
H
<:
H
CO
I 2
OO
—
V>i
tNi
—
O
*vl
—
v>>
K)
l»
Total
K>
I I DO
STATEMENT No. VIII
SHOWING CASH ACCOUNT OF THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND BERAR, FOR THE YEAR
1946 AND TOTALS FOR TWO PREVIOUS YEARS
Name of
Mental
Hospital
(1)
Receipts
Received from
treasury
Nagpur 1946
1945
Figu-
r e s
for
(2)
Rs.
2,32,587
2,13,219
Received
from paying
patients
(3)
Rs.
9,936
21,968
9
LI 944 1,95,974 2|3
0
0
Value of
stores
received
from the
manufacturing
department
less costs of
raw
materials
(4)
Charges
Rs.
19,768
18,238
17,839 ! 13
a.
15
11
0
20,850
0
10
0
Book
receipts,
i.e., the
total of
expenditure
entered in
columns (19),
(20) and (21)
(5)
Rs.
9,688 12
8,092
0
0
5,908
Miscellaneous
receipts
(6)
Total
Establishment
Establishment
proper
(7)
Rs.
3,152
0
4,322
2,332
0
7
9
Rs.
2,85,133
2,65,800
2,42,905
14 0
(8)
Rs.
71,962
64,333
2 6 53,603
3 0
Superintend-
ence
(9)
Rs. a.
0
0
18,000
18,000
17,991
0
0
0
15
0
0
W3
STATEMENT No. VIII
SHOWING CASH ACCOUNT OF THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND BERAR, FOR THE YEAK
1946 AND TOTALS FOR TWO PREVIOUS YEARS—cant.
Name of
Mental
Hospital
(1)
Nagpur
1946
Charges—con'.
Diet
(10)
Rs.
92,079
a.
15
Fig-ires s
for
{
I
1945
1944
81,844
83 524
0
13
3
I
f
Clothing and
bedding
(ID
Rs.
14,181
a.
11
16,927
20,487
0
0
Bazar
medicines
(12)
Rs.
0
0
0 ! 0
0
0
Contingencies
proper
(13)
Rs.
48582
a.
15
39,297 10
33,738
0
Repairs and
maintenance
(14)
Rs.
0
0
0
0
0
0
Rates and
taxes
(15)
Rs.
7,548
a.
14
11,055
7,479
13
0
Remitted to
treasury on
account of
paying
patients,
e*c.
(16)
Rs.
19,936
21,968
17,839
13
0
0
0
STATEMENT No. VIII
■
SHOWING CASH ACCOUNT OF THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND BERAR, FOR THE YEAR
1946 AND TOTALS FOR TWO PREVIOUS YEARS—con?.
Figures s
for
t 1944 83.524 13
i
I
20,487
0
0 I 0
0
33,738
0
0
0
0
7,479
0
17,839
13
STATEMENT No. VIII
SHOWING CASH ACCOUNT OF THE MENTAL HOSPITAL, NAGPUR, IN THE CENTRAL PROVINCES AND BERAR, FOR THE YEAR
1946 AND TOTALS FOR TWO PREVIOUS YEARS—cont.
0
Charge?
Book charges
Name of
Mental
Hospital
(0
Miscel-
laneous
items
(17)
Total of
columns
(8) to (17)
(18)
Charges on
account of
work done by
the Public
Works
Department
(19)
Cost of
printed
forms and
stationery
(20)
Cost of
English
stores
medicines,
etc.
(21)
Total of
columns
(18) to (21)
(22)
Remarks
(23)
Nagpur 1946 ..
Rs.
3,152
a.
0
P-
0
Rs.
2,75,444
a.
9
13
1
P-
3
6
0
Rs.
5,450
a.
0
0
0
P.
0
Rs.
0
a.
0
P-
0
Rs.
4,238
a.
12
P.
0
Rs.
2,85,133
a.
5
14
2
P-
3
0
6
fl945
Figures -l
for
L 1944
4,322
2,332
5
6
9
2,57,748
2,36,997
3,000
3,751
0
0
I
0
0
0
0
0
0
5,092
2,157
0
1
6
6
2,65,840
2,42,905
u%
16
STATEMENT SHOWING THE COMPARATIVE FIGURES FOR THE LAST
FIVE YEARS
1941
1942
1943
1944
1945
(1)
(2)
(3)
(4)
(5)
(6)
Patients at the beginning of the year
519
527
526
522
536
New admissions
96
101
95
104
134
Total population
615
628
621
626
670
Number of patients discharged
63
64
65
51
89
Number of deaths
25
38
34
39
48
Daily average strength
525-71
534-12
527-14
533-13
- 540-08
Daily average strength "cured"
10-46
1
10-11
10-05
7-69
10-31
Daily average strength "died"
4-75
7-11
6-45
7-32
7-78
The ratio per cent of cases''cured" to
new admissions.
30-21
26-73
30-53
2115
25-44
The ratio per cent of cases "died" to
new admissions.
2-08
2-97
5-26
7-69
5-22
The maximum number of patients
confined on any one night.
534
550
539
544
562
Finance
Expenditure inclusive of Public Works
Department.
Rs.
1,36,239
Rs.
1,96,065
Rs.
2,14,393
Rs.
2,42,905
Rs.
2,65,841
GPN-1103—IGCH—3-3-48—165.
ST
1945
(6)
536
134
670
89
48
40-08
10-31
7-78
25-44
5-22
562
Rs.
5,841
*3?\)°l)wj> 5
GOVERNMENT OF THE
CENTRAL PROVINCES AND BERAR
. u ;
1 .
v: *
V •
■ ■
i
■*
ANNUAL REPORT
ON THE
MENTAL HOSPITAL
NAGPUR
IN THE
CENTRAL PROVINCES AND BERAR
FOR THE YEAR
1947
NAGPUR
GOVERNMENT PRINTING, C. P. & BERAR
1949
rMnwnu
ANNUAL REPORT ON THE MENTAL HOSPITAL, NAGPUR, IN THE
CENTRAL PROVINCES AND BERAR FOR THE YEAR 1947
1. Buildings.—In the year under report a new scheme for the improve-
ment in the post-war development plan was submitted to the Government.
The Government are pleased to accord their administrative approval. The
Public Health Engineer has been requested to submit stage II plan and
estimate for proposed improvement of water-supply and drainage of this
hospital. No major changes in the existing buildings are contemplated as
yet.
1-A. Post-war Development.—A comprehensive development scheme
has just been approved, consisting of—
{a) Provision of adequate staff.
{b) Provision of adequate equipment.
(c) Improvement in the patients' diet.
(d) Improvement in the patients' clothings.
(e) Improvement to the dairy and vegetable gardens.
(/) Provision of water-supply and drainage.
2. Population (statement No. 1).—(a) The number of resident patients
at the beginning of the year was 417 males and 124 females, totalling 541.
New admissions during the year were 116 [105] males and 37 [24J females,
total 153 [129] and the total population was 694 [662]. The daily average
strength of the total population excluding observation cases was 413.45
males and 128.97 females, total 542.42. All these figures are the highest
recorded so far
Including observation cases the daily average strength was 420.35 males,
and 130.83 females, total 551.18. The ratio per cent of cases "cured" to
daily average strength was 15.96 males and 7.07 females, total 14.01 111.11].
The ratio per cent of cases "cured" to new admissions was 26.72 males and
13.51 females, total 23.53 [23.26].
(b) Eight (voluntary boarders) patients were admitted during the year
under report. Of these, four were discharged as cured, one discharged
unimproved, one died and two are still in the hospital.
3. Accommodation.—The maximum number of resident patients on
any night was 428 males and 136 females, total 564.
The accommodation
available is 458 for males and 142 for females, i.e., a total of 600. Thus
there was no overcrowding.
On comparison of figures for the last five years, i.e., from 1942 to 1946
(statement enclosed) it will be seen that the number of admissions were
highest during 1945 and lowest during 1943. The percentage of "cured"
to new admissions was highest in 1943 and lowest in 1944.
In 1947 the
number of admissions increased bv 19 over and above the maximum figure
of 1945.
4. Discharges.—The number of patients discharged during the year
was 103 [81] as per details below : —
(1) Cured—76.
(2) Improved—20.
(3) Not improved—3.
(4) Otherwise—4.
The highest number of discharges was recorded in 1945 (89) and
lowest in 1944 (51).
5. Sickness and Mortality.—The. general health of the patients during
the year under report was below par which led to decrease resistance of
patients to infection resulting in larger number of deaths. The general
deterioration in physical health of the patient? was due to cumulative effect,
insufficient diet for over a long period. (This was due to ration control
during the war-time when the rations were drastically reduced. The im-
provement of diet is being considered in the development plan.)
The daily average number of sick treated in Mental Hospital was
31.98 as against 27.58 in the previous year.
During the year under report the total deaths number 74 against 40 in
1946. The death percentage in new admissions was 8.50 [4.65]. This
excludes the observation cases.
Causes of Death
Chronic Osteomyelitis
General Debility and Old Age
Gastroenteritis
Ankylostomiasis
Heavy round-worm infection
Pneumonia
Acute Bacillary Dysentery
Chronic Malaria
Malignant tumour of Prostate
Secondary Anaemia Septic Ulcer
Pleurisy Left Side
Heart Failure
Asthmatic attack causing respiratory and
circulatory failure.
Cancer of mouth
T. B. Glands
Intestinal Schistosomiasis
Anaemia nutritional
Pulmonary Tuberculosis
Leprosy
Gangrene
Pernicious Anaemia
Epilepsy
Acute Bright's disease
Total
Male
1
7
4
1
1
6
11
3
1
2
2
3
2
1
1
7
Female
58
16
Total
1
10
4
1
4
7
12
3
1
3
2
4
3
0
74
The period of stay in the hospital was as under—
Between 30 to 40 years—5.
Between 20 to 30 years—4.
Between 10 to 20 years—15.
Between 1 to 10 years—32.
Under 1 year—18*.
Longest residence prior to death was 39 years, 9 months and 23 days.
The shortest was four days (this patient was received in a very poor
physical condition).
for i
tica
in IS
# Of these, 12 were received in very bad state of health.