LUNATIC ASYLUMS IN BENGAL.
9
24. At the Presidency Jail anæmia and debility were grealty reduced in
prevalence. At Alipore numbers also fell. In the asylum there was some
increase. Cholera was present in less quantity in the Presidency Jail, and was
almost absent from Alipore. It was, as usual, absent from the asylum. Diarrhœa
and dysentery were less frequent and less severe at the Presidency Jail, but the
reverse obtained at Alipore. At the asylum there was no great variation.
Fevers showed increase at the Presidency Jail, and very large decrease at
Alipore. At the asylum they were not numerous. Pneumonia was largely
represented in the Presidency Jail, and very largely at Alipore, but the
figures of 1879 are not procurable. It did not vary materially at the asylum.
Phthisis was not more prevalent at the Presidency Jail in 1880. At Alipore
there was decrease of cases. In the asylum there was some reduction.
25 At Dacca the figures of anæmia and debility in jail moved with those
of the asylum. Of cholera there was none in the latter and very little in the
former. In diarrhœa and dysentery there was improvement in the jail and some
decrease in the asylum. Of fevers the jail record shows considerable increase,
while fever in the asylum varied little. Pneumonia was present in the jail in
1880, but was absent from the asylum. Phthisis did not vary in the jail, nor
materially in the asylum. The comparison on the whole is not unfavourable
to the asylum.
26. At Patna the variation in anæmia and debility corresponded in
jail and asylum. Cholera was absent from the jail, but appeared, though in
reduced quantity, in the asylum. Diarrhœa and dysentery showed decrease in
the jail but considerable increase in the asylum. These facts suggest attention
to the water-supply of the asylum. Fevers were reduced in both places.
Phthisis was absent from the jail, but increased largely in the asylum. This
will be considered presently.
27. At Cuttack the jail and asylum records correspond closely. The
numbers are too small to repay consideration in detail.
28. At Berhampore anæmia and debility moved together in jail and
asylum. Cholera was absent from the jail in 1880, but appeared with some
frequency in the asylum. (The institutions are separated by some distance.)
Diarrhœa and dysentery increased in the jail, and increased also in the
asylum. Here again the water-supply is impugned. Fevers increased much
in the jail, but fell in as large proportion in the asylum. Phthisis showed no
variation in the jail, and is absent from the records of the asylum.
29. The practical indication afforded by this detailed comparison of
asylums with jails is that in the asylums at Patna and Berhampore the water-
supply is open to suspicion.
TABLE 12.
CAUSE OF DEATH.
Ague
...
...
...
...
...
...
...
Ague, cake
...
...
...
...
...
...
...
Anæmia
...
...
...
...
...
...
...
Anasarca
...
...
...
...
...
...
...
Asthma
...
...
...
...
...
...
...
Bright's Disease
...
...
...
...
...
...
...
Bronchitis
...
...
...
...
...
...
...
Cancer
...
...
...
...
...
...
...
Cholera
...
...
...
...
...
...
...
Debility
...
...
...
...
...
...
...
Diarrhœa
...
...
...
...
...
...
...
Dropsy
...
...
...
...
...
...
...
Dysentery
...
...
...
...
...
...
...
Emphysema
...
...
...
...
...
...
...
Encephalitis
...
...
...
...
...
...
...
Epilepsy
...
...
...
...
...
...
...
Erysipelas phlegmonous
...
...
...
...
...
...
Exhaustion of mania
...
...
...
...
...
...
...
Gangrene of lung
...
...
...
...
...
...
...
Hydrothorax
...
...
...
...
...
...
...
Inflammation of glands
...
...
...
...
...
...
Injury—fracture of skull
...
...
...
...
...
Leprosy
...
...
...
...
...
...
...
Old age
...
...
...
...
...
...
...
Phthisis
...
...
...
...
...
...
...
Pleprisy, acute
...
...
...
...
...
...
...
Pneumonia
...
...
...
...
...
...
...
Remittent fever
...
...
...
...
...
...
...
Total ...
Dullunda.
......
2
3
1
... ..
1
1
1
......
2
......
......
6
......
1
......
......
......
......
......
......
......
1
2
11
1
2
3
38
Dacca.
......
......
......
......
......
......
......
......
......
2
......
1
3
1
......
1
......
......
......
......
......
1
......
......
1
......
......
10
Patna.
4
......
......
1
1
......
1
......
1
2
8
......
7
... ..
......
4
......
......
1
2
1
......
......
......
9
......
......
......
42
Cuttack.
......
......
......
......
......
......
......
1
......
1
......
......
......
......
......
......
......
......
......
......
......
......
......
......
2
......
......
......
4
Berhampore.
......
......
......
......
......
......
......
......
3
......
......
1
5
......
......
1
1
1
......
......
......
......
......
......
.....
......
3
......
15
TOTAL.
4
2
3
2
1
1
2
2
4
7
8
2
21
1
1
6
1
1
1
2
1
1
1
2
23
1
5
3
109