( 3 )
5. The health of the asylums was generally good in 1882. The daily
average of lunatics in hospital, calculated on the mean strength of the popula-
tions of the asylums, was 3.58 per cent. against 4.01 in the previous year,
while the mean daily number of out-patients fell from 61 to 47. The following
table shows the prevalence of the principal diseases in 1882:—
Anæmia and debility ... ...
Diarrhœa ... ... ... ...
Dropsy
...
...
...
...
Dysentery ... ... ... ...
Fevers ... ... ... ...
Pneumonia ... ... ... ...
Phthisis ... ... ... ...
Cholera ... ... ... ...
Dullunda.
1881.
7
1
11
3
2
7
......
1882.
6
1
7
3
1
3
2
Dacca.
1881.
4
10
1
10
49
6
5
1882.
4
19
21
22
4
6
8
Patna.
1881.
9
13
31
66
1
21
1882.
14
16
1
36
47
10
5
Cuttack.
1881.
1
4
3
3
1882.
2
2
4
3
Berhampore.
1881.
4
5
3
26
15
1
......
1882.
14
9
4
16
32
2
1
Total.
1881.
25
29
4
82
136
9
37
1882.
40
45
5
82
108
7
23
15
There was an increase in the number of cases of anæmia and debility and
diarrhœa, while there was a considerable decrease of fevers and phthisis,
The most noticeable point is the sudden accession of cholera, which had been
entirely absent in 1881. The outbreaks occurred in the asylums at Dullunda,
Dacca, and Patna. For the second year in succession the supply of water for
the shower-baths in the Dullunda asylum failed, and the lunatics had to use
tank water for bathing purposes. Only two cases, however, occurred in this
asylum. The worst outbreak was at Dacca, where there were eight cases, of
which seven proved fatal. The town and jail were attacked much more
severely than the asylum, there having been 48 cases and 30 deaths in the
jail alone. The filtered water-supply was extended to the Lunatic Asylum at
the close of the year, and it may be hoped that this will be efficacious in ward-
ing off attacks of cholera in future. In Patna the asylum is said to have shared
in an outbreak which spread all over the district. It is remarkable, however,
that the jail escaped altogether. Cases of injury and accident occurred only at
Dacca and Berhampore, and were few in number and of comparatively
trifling importance. The Lieutenant-Governor agrees with the Surgeon-
General in thinking that the results should be judged by the record of serious
injury only.
6. The number of deaths in 1882 was 87 against 84 in the previous
year, notwithstanding the accession of cholera, from which the proportion of
deaths to cases was very high, as it always is in limited outbreaks. The
number of deaths from cholera was 12 out of 15 persons attacked. The most
fatal diseases, other than cholera, were phthisis, which caused 17 deaths out of
23 cases, dysentery with 11 deaths out of 82 cases, and anæmia and debility
with 9 deaths out of 40 cases. Fatal diarrhœa and fatal fevers were almost
absent. The causes of the apparent decrease in the number of deaths from
phthisis have been explained in previous reports, and need not be recapitulated.
The decrease is almost wholly apparent only, and not real. The total number
of deaths from all causes was, at Dullunda 21, at Dacca 22, at Patna 24, at
Cuttack 4, and at Berhampore 16. These figures do not appear to call for any
special remark.
7. The following table shows the receipts and expenditure in each asylum
during 1882:—
1
ASYLUMS.
Dullunda
...
...
Dacca
...
...
Patna
...
...
Cuttack
...
...
Berhampore ... ...
Total ...
2
Daily average strength.
187.75
219.98
222.57
50.8
186.02
867.12
3
Total expenditure.
Rs.
27,190
19,984
15,572
4,582
14,301
81,632
A.
13
13
13
6
14
14
P.
7
9
11
8
10
9
4
Realized from friends
of patients.
Rs.
1,021
80
140
16
A.
0
8
8
1
P.
4
9
6
9
1,258 3 4
5
Actual profit from
manufacture depart-
ment.
Rs.
1,751
1,535
3,561
608
1,421
8,878
A.
14
9
2
6
14
15
P.
0
9
7
7
1
0
6
Average cost of each
patient
as
per
column 3.
Rs.
144
90
69
90
76
94
A.
13
13
15
3
14
2
P.
2
6
5
3
1
3
7
Average cost of each
patient, deducting
columns 4 and 5.
Rs.
130
83
53
77
69
82
A.
0
8
5
14
3
7
P.
10
0
4
7
10
2
8
9
10
11
12
13
AVERAGE COST OF EACH PATIENT IN RELATION TO—
Establishment.
Rs.
62
39
37
64
41
45
A.
2
8
15
2
0
12
P.
7
6
1
9
3
7
Diet.
Rs.
37
36
25
19
30
31
A.
12
0
4
12
15
9
P.
11
1
3
6
0
8
Bazar medicines.
Rs.
0
0
0
0
0
0
A.
1
0
0
1
1
0
P.
2
6
3
6
6
10
Clothing.
Rs.
6
1
2
2
1
2
A.
0
3
11
1
14
13
P.
7
10
1
0
9
6
Contingencies.
Rs.
18
4
3
1
2
6
A.
1
4
7
9
12
9
P.
0
0
3
11
4
1
Other charges.
Rs.
20
9
0
2
0
7
A.
10
12
9
7
2
4
P.
11
7
6
7
3
7