( 5 )
keepers, one female keeper, and the baker have been dispensed with, while the
pay of the carpenter has been reduced from Rs. 30 to Rs. 24, and that of
the bhistee, who drew Rs. 10, to Rs. 8. In consequence of these changes the
expenditure on establishment proper in the Dullunda Asylum was reduced
by Rs. 418.
10. The following table shows the actual profits in the various asylums in
1880-81:—
Dullunda ... ... ... ...
Dacca
...
...
...
...
Patna
...
...
...
...
Berhampore ... ... ... ...
Cuttack ... ... ... ...
1880.
Rs.
1,915
3,208
1,913
966
210
1891.
Rs.
1,975
3,218
1,394
1,067
—143(loss)
The value of the goods made over to asylums for use was Rs. 11,257 as
compared with Rs 10,918 in 1880, and the value of those sold in the
asylums was Rs. 19,444 as against Rs. 19,285 in 1880. The profits, as repre-
senting the excess of receipts over expenditure, were Rs. 6,947 against
Rs. 7,486 in 1880. The actual profits, however, after making allowance for the
difference in the value of raw and manufactured materials in stock at the
commencement and end of the year, and the difference in the value of plant
and machinery in store, were Rs. 7,511.
11. The comparative cost of diet per man was as follows: —
Dullunda ... ... ...
Dacca ... ... ...
Patna ... ... ...
Cuttack ... ... ...
Berhampore ... ... ...
1880.
Rs.
45
42
26
22
33
A.
1
3
13
5
8
P.
5
9
1
6
10
1881.
Rs.
41
37
23
18
28
A.
13
7
11
15
9
P.
5
8
0
10
10
The total expenditure was only Rs. 27,915 in 1881 as against Rs. 31,669
in 1880, while the average cost per head was reduced from Rs. 35-14-8 to
Rs. 32-1-3. The decrease was due to the lower price of food, and the effect
of this fall in price is a diminished expenditure in every asylum. There
has been a steady decrease in each asylum since 1878, in which year the cost
per, man was in Dullunda Rs. 56, Dacca Rs. 65, Patna Rs. 55, Cuttack Rs. 36,
Berhampore Rs. 44. It must, however, be borne in mind that these figures are
somewhat higher than they would have been had not the full market value of
the articles of diet manufactured in the asylums been entered as expenditure.
13. The number of patients in the European Insane Asylum at Bhowani-
pore at the commencement of the year was 24, and 20 patients were admitted
or re-admitted during the year. The number of cases under treatment was
44. Of these six were discharged cured, eleven were transferred, seven died, and
twenty were remaining under treatment at the close of the year. The number
of deaths was unusually large, the number in the preceding year being only
two. The Surgeon-General gives the following details regarding the seven
cases:—" One (death) resulted from an accident. It was made the subject
of judicial enquiry * * *. One person, admitted in 1879 in a very weak
state, had been at the point of death several times in the course of his
residence, but lived till August 1881. A third, the subject of constant
epileptic fits, died ultimately of phthisis. A fourth, admitted in a state of
furious phrenzy, died in a few days from consequent exhaustion in a con-
vulsive fit. A fifth, a chronic epileptic, many years resident in the asylum,
was finally exhausted by the condition. One death resulted from dysentery and
one from innutrition. There was in the latter case obstinate refusal of food
which was the chief cause of her reception into the asylum. Forcible feeding
prolonged her life for several weeks." It thus appears that the deaths are
not to be attributed to the situation or unhealthiness of the hospital itself or
the treatment of the patients. The total expenditure was Rs. 22,160, as com-
pared with Rs. 20,475 in 1880. The increase is attributable to the purchase of
clothing and verandah curtains, and to the increase in the salary of the matron,
whose pay was raised by Rs. 100 per mensem. The average cost of diet in each