12
LUNATIC ASYLUMS IN BENGAL.
death were pulmonary phthisis, six; dysentery, four; cirrhosis of the liver,
three; exhaustion from mania, three; and two each from apoplexy and
general debility. Dr. Meadows says that " four chronic cases unfortunately
died during November and December, or our mortality would not have exceeded
that in 1885." Dr. Stewart of Cuttack writes that of the 10 deaths, four
were from chronic dysentery occurring in weak individuals; one fatal case was
an epileptic who died in a fit; one died of extreme old age ; one from tubercular
phthisis in a female who had been in the asylum twice before; one was admitted
into the asylum with syphilitic cachexia and was epileptic ; he died from
gummatous deposits in the lungs and intestines; one died from disease of the
heart following on rheumatic fever, and one was admitted into the asylum with
Locomotor ataxy and succumbed in the usual way. On the whole, considering
the year, the increase of population under confinement, the advanced age and
chronic condition of many of the lunatics, and the fact that the asylums are
Lunatic Asylums, I think we may pronounce the health of the institutions
during the year under report to have been fairly good.
25. I append the following table obtained from the Sanitary Commis-
sioner's Office, exhibiting the death-rate recorded in the cities and towns in
which our Lunatic Asylums are situated.
TABLE No. 13.
Statement of deaths in 1885 and 1886.
NAMES OF
LOCALITIES.
Calcutta ...
Dacca ...
Patna ...
Cuttack ...
Berhampore ...
Population.
433,219
80,161
160,237
43,239
23,605
Fever.
1885.
3,831
838
2,776
154
419
1886.
3,422
344
2,044
166
498
Bowel-
complaints.
1885.
1,656
290
1,590
89
80
1886.
1,258
285
902
49
75
Cholera.
1885.
1,603
170
431
224
155
1886.
1,741
156
924
60
153
Total deaths
from all causes.
1885.
12,707
2,689
6,858
950
827
1886.
11,447
1,788
6,344
674
860
Ratio per 1,000
of population.
1885.
29.83
32.29
86.49
21.97
3603
1886.
26.42
22.30
83.35
15.58
36.43
26. Finance.—The following table shows money receipts and expenditure
in asylums during 1886, with detailed average cost of each patient :—
TABLE No. 14.
Showing the Receipts and Expenditure of each Asylum for the year 1886.
1
ASYLUMS.
Dullunda
...
...
Dacca
... ...
Patna
...
...
Cuttack
...
...
Berhampore
...
...
Total ...
2
Daily average strength.
271.2
220.42
241.57
54.76
175.96
963.9
3
Total expenditure.
Rs.
29,297
20,823
17,172
4,978
15,636
88,109
A.
5
14
13
14
11
11
P.
7
2
5
7
10
7
4
Realised from friends
of patients.
Rs.
1,199
173
257
41
A.
16
2
16
13
P.
7
3
9
3
......
1.672 14 10
6
Actual profit from
manufacture depart-
ment.
Rs.
593
1,826
2,037
555
927
5,941
A.
14
14
P.
8
1
10 11
2
14
8
2
8
6
6
Average cost of each
patient
as
per
column S.
Rs.
108
94
71
90
88
91
A.
0
7
14
15
13
6
P.
5
7
7
0
10
6
7
Average cost of each
patient,
deducting
columns 4 and 5.
Rs.
98
85
62
80
81
82
A.
5
6
6
0
14
8
P.
9
4
7
6
2
4
8
9
10
11
12
13
AVERAGE COST OF EACH PATIENT IN RELATION TO—
Establishment.
Rs.
41
S3
34
69
45
39
A.
11
10
15
9
10
14
P.
1
3
6
3
2
5
Diet.
Rs.
45
35
27
25
28
34
A.
16
1
4
9
9
7
P.
1
1
10
2
10
5
Bazar medicine.
Rs.
0
0
0
0
0
0
A.
2
0
0
0
1
1
P.
9
2
4
9
4
2
Clothing.
Rs.
4
2
2
1
1
2
A.
8
4
15
13
4
14
P.
9
7
8
10
1
2
Contingencies.
Rs.
11
4
2
1
3
5
A.
14
4
8
6
13
11
P.
11
11
2
0
1
10
Other charges.
Rs.
3
19
4
2
9
8
A.
11
2
2
9
7
5
P.
10
7
1
0
4
6
27. The total sum expended was Rs. 88,110, against Rs. 86,279 in 1885,
or an excess of Rs. 1,831 over the expenditure of the previous year. In the
annual report of 1885, the total expenditure was shown to be Rs. 86,171. This
was due to the mistake of the Superintendent, Lunatic Asylum, Cuttack, who
omitted to show in the cash statement of 1885 Rs. 108 expended under the
heads " establishment proper" (Rs. 10), and " charges on account of works