10
LUNATIC ASYLUMS IN BENGAL.
risk of injury is greatest where groups of lunatics are employed in close juxta-
position over the same task or the same machinery, and where a push or a
blow may be delivered in an instant with serious results and with the most
vigilant attendant at hand. These points have to be fully considered in appor-
tioning blame to servants and to systems, but they were occurrences of a
different kind which attracted the attention of my predecessor and of the
Government in former years, and the avoidance of which in 1879 shows that
they are not inseparable from asylum life.
26. The higher mortality of 1879 does not point to anything that calls for
change in sanitary management. There has been no epidemic outbreak, nor
any such prevalence of zymotic disease as to indicate defective sanitation. A
great proportion of the deaths have been due to organic disease, and much of
the fatal illness did not originate within the Asylums. The mortality among the
lunatics transferred from Hazaribagh was great, but not so great as it had been
at Hazaribagh prior to removal, while there is reason to believe that the general
health of the whole number has benefited by the change.
27. Finance.—The 12th table shows the receipts and expenditure of the
several asylums in 1879.
STATEMENT No. 12.
Showing the Receipts and Expenditure of each Asylum for the year 1879.
ASYLUMS.
Dullunda ...
Dacca ...
Patna ...
Cuttack ...
Berhampore
Total ...
1
Daily
average
strength.
217.16
196.10
228.32
51.30
197.08
889.96
2
Total expenditure.
Rs.
30,900
22,593
21,171
4,929
17,053
96,648
A.
6
1
8
14
10
9
P.
8
1
8
6
3
2
3
Realized from the
friends of patients.
Rs.
994
83
190
241
141
1,650
A.
6
2
3
4
6
6
P.
4
11
0
0
6
9
4
Actual profit from
Manufacture Depart-
ment.
Rs.
1,713
3,221
2,671
209
1,762
9,578
A.
10
8
13
5
5
10
P.
2
4
11
3
2
10
5
Average cost of each
patient as
per
column 2.
Rs.
142
115
92
96
86
108
A.
4
3
11
1
8
9
P.
8
4
6
7
3
6
6
Average cost of each
patient deducting
columns 3 and 4.
Rs.
129
98
80
87
76
95
A.
13
5
3
5
13
15
P.
2
9
1
1
11
8
7
8
9
10
11
AVERAGE COST OF EACH PATIENT IN RELATION TO.
Establishment.
Rs.
*77
46
37
63
39
51
A.
4
10
3
13
1
0
P.
6
1
1
0
9
3
Diet.
Rs.
47
60
45
26
43
47
A.
5
13
3
14
14
13
P.
6
4
8
8
2
3
Bazar medi-
cines.
Rs.
0
0
0
0
0
0
A.
0
0
1
1
0
0
P.
11
4
1
5
9
10
Contingencies.
Rs.
12
4
4
3
1
5
A.
7
1
0
2
6
7
P.
5
10
8
6
11
9
Clothing.
Rs.
5
3
6
2
2
4
A.
2
9
3
2
0
3
P.
4
9
0
0
11
5
* Corrected for special salaries of Superintendent, Deputy Superintendent, and Matron as before, is Rs. 58.
Figures being corrected for comparison.
Dullunda
...
...
...
...
Dacca
... ... ... ...
Patna
... ... ... ...
Cuttack
... ... ... ...
Berhampore
... ... ... ...
Daily
average
strength.
217.16
196.10
228.32
51.30
197.08
AVERAGE COST OF EACH PATIENT IN RELATION TO
Establishment.
Rs.
58
46
37
63
39
A.
6
10
3
13
1
P.
5
1
1
0
9
Diet.
Rs.
47
60
45
26
43
A.
5
13
3
14
14
P.
6
4
8
8
2
Bazar medi-
cines.
Rs.
0
0
0
0
0
A.
0
0
1
1
0
P.
11
4
1
5
9
Contingencies.
Rs.
8
4
4 3
1
A.
12
1
0
2
6
P.
0
10
8
6
11
Clothing.
Rs.
5
3
6
2
2
A.
2
9
3
2
0
P.
4
9
0
0
11
Average cost of each
patient.
Rs.
119
115
92
96
86
A.
11
3
11
1
8
P.
2
4
6
7
6
Average cost of each
patient after de-
ducting profits and
paying-patients
money.
Rs.
107
98
80
87
76
A.
3
5
3
5
13
P.
6
9
1
1
11
The general result here is a gross expenditure of Rs. 96,648 against
Rs. 1,21,936 in 1878, which was wrongly stated in the general report on 1878
to be Rs. 1,14,628. The true decrease on 1878 is thus Rs. 25,288. The
Hazaribagh Asylum in 1878 cost Rs. 18,521. The total reduction exceeded
this sum by Rs. 6,767. There was a falling off in the sum realized from pay-
ing-patients and reduction of manufacturing profits, and an average cost per
patient not differing materially from that of the previous year.
28. In the report recently submitted by the Committee on Medical Expendi-
ture it is clearly shown that the asylums are in many points of expenditure not
comparable with each other. The Government has ordered that in future the