NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
LUNATIC ASYLUMS IN BENGAL.
17
At Dacca, Surgeon-Major A. Crombie, was in charge from 1st January
to 24th February; Surgeon J. G. Clarke, from 25th to 27th February, and
Surgeon-Major C. J. W. Meadows, from the 28th February till the close of
the year.
The Superintendentship of Patna underwent some changes. Surgeon-
Major H. B. Purves held charge from 1st January to 19th February;
and Surgeon-Major F. C. Nicholson from 20th February till the close of the
year, except for a short time, viz., from 11th July to 10th October, when
the Superintendentship was held by Surgeon-Major H. Whitwell.
At Cuttack, Surgeon-Major W. D. Stewart, was in charge of the asylum
throughout the year, except from 4th May to 19th June, when Dr. Zorab
acted.
Brigade-Surgeon C. J. J. Jackson, was in charge of the Berhampore
Asylum from 1st January to 26th February ; Assistant Surgeon Beni Madhub
Bose from 27th February to 11th March; Surgeon-Major E. Saunders from
12th March to 29th August. Dr. Jackson was again in charge for the rest
of the year.
39. All the Superintendents report favourably of the good work performed
by the subordinate establishments placed under their respective charges. The
insanes have been well cared for and most kindly treated.
EUROPEAN INSANE ASYLUM, BHOWANIPORE.
40. Population.—On the 1st January 1886 there remained in the asylum
from the previous year 29 persons—viz., 13 males and 16 females. The number
in 1885 were 31 persons—16 males and 15 females. Thus, the total number in
confinement decreased by two from that of 1885 : 17 persons were admitted
and one re-admitted during the year.
41. The class and nationality of those admitted were as follows:—
Europeans
...
...
...
...
East Indians ... ... ... ...
Total ...
15 3
18
Of this number 16 were from the civil population and two were soldiers.
42. The subjoined table exhibits the several forms of insanity among
those admitted during the year 1886 and the total number treated:—
107 Dementia (a)
...
...
...
...
...
...
...
107 Dementia (6)
...
...
...
...
...
...
...
105 Mania (a)
...
...
...
...
...
...
...
...
105 Mania (b)
...
...
...
...
...
...
...
...
106 Melancholia ... ... ... ... ... ... ...
110 Imbecility
...
...
...
...
...
...
...
...
Not insane ... ... ... ... ... ... ... ...
Total ...
ADMITTED.
Males.
1
......
9
2
3
......
1
16
Females.
......
1
......
......
1
......
......
2
Total.
1
1
9
2
4
......
1
18
TOTAL TREATED.
Males.
1
6
10
7
4
......
1
29
Females.
......
7
4
5
1
1
......
18
Total.
1
13
14
12
5
1
1
47
The only point noticeable here is the amount of acute and chronic mania.
Dementia is also largely represented. It would be difficult, however, to draw
any conclusions from numbers so small as these.
43. Disposal.—The lunatics were disposed as follows :—
Discharged cured
...
...
...
Made over to military authorities ... ...
Despatched to Europe under Merchant Shipping
Act
...
...
...
...
Transferred to the care of friends ... ...
Despatched to Europe as still insane...
Died
...
...
...
...
Total ...
Males.
2
1
4
5
1
1
14
Females.
2
...
...
1
...
1
4
Total.
4
1
4
6
1
2
18
18
LUNATIC ASYLUMS IN BENGAL.
A fewer number of persons were made over to the care of friends, the
figures being 6 in 1886 against 12 so disposed of in 1885. The ratio per cent.
of cures and transfers to total treated was 34.04, and on the daily average
number 51.61. The ratio per cent. of mortality to total treated was 4.25, and
on the daily average 6.54.
44. There were two deaths recorded in the asylum during the year-
one a female from remittent fever, and one a male from phthisis. The latter
case was admitted in an emaciated condition with the disease well advanced.
45. At the close of the year there remained under treatment 29 patients—
15 males and 14 females. There were 15 Europeans among the number, 12
East Indians and 2 Armenians.
46. The daily average number of females was 15.10 against 15.48 in
1885. The highest number present in 1886 was 16 against 17 in 1885. The
rooms set apart for first class patients are still made use of for the excess of
inmates.
47. Causes of insanity.—The alleged causes of insanity treated during the
year are given by the Superintendent as follows:—
PARTICULARS.
Masturbation
...
...
...
...
...
...
Intemperance ... ... ... ... ... ...
Study ... ... ... ... ... ... ...
Heredity ... ... ... ... ... ... ...
Epilepsy ... ... ... ... ... ...
lever and rheumatism ... ... ... ...
Religious excitement and phthisis ... ... ...
Injury to head ... ... ... ... ... ...
Not insane ... ... ... ... ... ...
Unknown ... ... ... ... ... ... ...
Injury to spine ... ... ... ... ... ...
Venereal ... ... ... ... ... ... ...
Domestic trouble ... ... ... ... ...
Child-birth ... ... ... ... ... ...
Congenital ... ... ... ... ... ...
Climacteric ... ... ... ... ... ...
Phthisis ... ... ... ... ... ... ...
Total ...
TOTAL TREATED.
Males.
2
5
1
5
3
1
1
1
1
6
1
1
1
......
......
......
......
29
Females.
......
1
......
9
......
......
......
......
2
......
......
2
1
1
1
1
18
Total.
2
6
1
14
3
1
1
1
1
8
1
1
3
1
1
1
1
47
ADMITTED.
Males.
......
4
......
2
1
......
1
......
1
4
1
1
1
......
......
......
......
16
Females.
......
......
......
1
......
......
......
......
......
......
......
......
......
......
......
......
1
2
Total.
......
4
......
3
1
......
1
......
1
4
1
1
1
......
......
......
1
18
The predominance of " heredity" and " intemperance" as causes are no
doubt facts.
48. Finance.—The total expenditure of the year was Rs. 20,271 against
Rs. 19,731 in 1885. The large daily number of patients caused a part of the
increase : warm clothing had to be renewed, as also coir purdahs and some coir
matting for the female dining and sitting room, but it is said that the expendi-
ture for the financial year will be the same as last year.
49. The average cost of diet, stimulants, and extras of all sorts was for
the several classes as follows:—
Diet
First class ... ... ...
Second „ ... ... ...
Third „ ... ... ...
Fourth „ ... ... ...
1885.
Rs.
1
0
0
0
A.
8
12
5
4
P.
3
7
6
1
1886.
Rs.
0
1
0
0
A.
10
4
5
4
P.
7
5
4
7
There were no first class patients in the asylum from the beginning
of the year till October, hence the daily average of this class appears so low,
and the second class so high.
LUNATIC ASYLUMS IN BENGAL.
19
50. The following statement is similar to those previously furnished.
It exhibits the daily average number of lunatics, the total yearly expenditure,
average cost of each inmate, and the average cost of each item of the charge
per head during the year 1886:—
1.
2.
3.
4.
5.
6.
7.
Average daily number of inmates throughout the year
Average daily number of inmates employed in
labour throughout the year ... ...
Total expenditure for the year ... ...
Total income from lunatics' labour, including profits
and estimated value of labour
... ...
Payments by friends of lunatics for maintenance
Average yearly cost of each inmate, as per column 3
Average yearly cost of each lunatic, after deducting
item 5
... ... ... ...
Average yearly expenditure of each patient in rela-
tion to—
8.
9.
10.
13.
12.
Establishment ... ... ...
Diet ... ... ... ...
Contingencies ... ... ... ...
Bazar medicines ... ... ...
Clothing
...
...
...
...
Rs.
„
„
„
„
„
„
„
31
......
20,271
......
6,722
654
437
403
131
81
......
99
51. The total amount of actual receipts from paying patients, reached
Rs. 6,722 against Rs. 9,233 in 1885. Outstandings, however, amount
to Rs. 544-12, made up as follows:—A sum of Rs. 396-7-10 on account
of Mrs. Donnelly, Mrs. Andrews, Mrs. Groser and Moses Searle. This sum Dr.
Clarke reports as irrecoverable. The other sums, amounting to Rs. 148-4-2,
will be recovered in due course.
52. Dr. Clarke reports that the principal cause of the decrease in the
receipts was set forth in his letter No. 304, dated the 17th September 1886. He
said—" The falling off in the receipts of the institution is due to the fact that
*
*
*
female patients were admitted either as paupers under legal
orders, or the rates of those already paying the higher charges were reduced
by " Government or the Visitors." In his annual report for 1886 he further
says—" Another cause is, that as trained nurses can now be obtained in Calcutta,
the relatives of patients of the higher class and their medical advisers prefer
the home treatment as long as the patients are manageable." Accepting this
latter cause, which is obviously natural enough, I am still in favour of
additional and comfortable accommodation being provided for paying
patients, where those of the better class could be as well, if not better, cared
for, and at a much less cost, than among friends. The avocations of those
outside the asylum, who assume the responsibility, I have very little doubt
are often antagonistic to the continuous care, management and general welfare
of the insane under their charge. Were the asylum in a position to receive the
wealthier class of patients, probably their relatives or friends would avail
themselves of it, to their own peace of mind, and the increased comfort of
all concerned, more largely than has been the case lately.
53. Establishment—Dr. Clarke reports that the subordinate establishment
has worked well.
I have the honor to be,
SIR,
Your most obedient servant,
A. J. COWIE,
Inspector. General of Civil Hospitals, Bengal.
APPENDIX.
29
STATEMENT No. II—concluded.
1
YEARS.
CUTTACK.
BERHAMPORE *
1876 ... ... ... ...
1877
...
...
...
...
|l878 ... ... ... ...
|1879
...
...
...
...
1880 ... ... ... ...
1881 ... ... ... ...
1882 ... ... ... ...
1883
...
...
...
...
1884
...
...
...
...
|1885
...
...
...
...
1886 ... ... ... ...
1876 ... ... ... ...
1877 ... ... ... ...
1878 ... ... ... ...
1879 ... ... ... ...
1880
...
...
...
...
1881
...
...
...
...
1882 ... ... ... ...
1883 ... ... ... ...
1884 ... ... ... ...
1885 ... ... ... ...
1886
...
...
...
...
2
Remaining on 1st
January.
Males.
12
13
9
14
18
17
14
16
16
17
14
32
51
49
67
60
51
57
62
66
58
55
Females.
......
......
......
......
......
1
2
1
1
1
2
1
1
2
1
1
1
4
5
4
5
6
Total.
12
13
9
14
18
18
16
17
17
18
16
33
52
51
58
61
52
61
67
70
63
61
3
Admitted.
Males.
4
1
9
5
2
6
3
2
4
2
1
7
5
9
7
4
8
15
14
5
6
8
Females.
......
......
......
......
1
1
1
......
......
1
......
1
1
......
......
......
3
2
......
1
1
1
Total.
4
1
9
5
3
7
4
2
4
3
1
8
6
9
7
4
11
17
14
6
7
9
4
Re-admitted.
Males.
......
......
......
......
......
......
......
......
2
......
......
3
......
......
1
1
3
1
2
2
3
2
Females.
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Total.
......
......
......
......
......
......
......
......
2
......
......
3
......
......
1
1
3
1
2
2
3
2
5
Total.
Males.
16
14
18
19
20
23
17
18
22
19
15
71
56
65
66
65
62
73
78
73
67
65
Females.
......
......
......
......
1
2
3
1
1
2
2
2
2
2
1
1
4
6
6
5
6
7
Total.
16
14
18
19
21
25
20
19
23
21
17
(a)73
58
b)67
(c)67
66
66
79
83
78
73
72
6
Discharged,
transferred, &c.
Males.
......
3
1
1
2
6
......
2
4
3
2
17
4
5
3
7
3
6
7
11
8
7
Females.
......
......
......
......
......
......
2
......
......
......
......
1
......
1
......
......
......
1
1
......
......
1
Total.
......
3
1
1
2
6
2
2
4
3
2
18
4
6
3
7
3
7
8
11
8
8
7
Died.
Males.
3
2
3
......
1
3
1
......
1
2
1
3
3
3
3
7
2
5
5
4
4
2
Females.
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
......
Total.
3
2
3
......
1
3
1
......
1
2
1
3
3
3
3
7
2
5
5
4
4
2
8
Remaining on 31st
December.
Males.
13
9
14
18
17
14
16
16
17
14
12
51
49
57
60
51
57
63
66
58
55
56
Females.
......
......
......
......
1
2
1
1
1
2
2
1
2
1
1
1
4
5
4
5
6
6
Total.
13
9
14
18
18
16
17
17
18
16
14
52
51
58
61
52
61
67
70
63
61
62
9
Daily average strength.
Males.
12.46
12.22
10.40
15.58
17.0
16.5
15.
15.
16.7
15*
13.17
35.29
50.69
56.8
57.65
56.36
52.92
58.58
65.97
61.82
67.66
56.15
Females.
......
......
......
......
.6
1.0
1.2
1.
1.
1.1
2.
1.24
1.4
1.82
100
1.00
2.71
3.86
4.27
4.56
5.70
5.46
Total.
12.46
12.22
10.40
15.58
17.6
17.5
16.2
16*
17.7
16.1
15.17
36.53
52.09
58.62
58.65
57.36
55.63
62.44
70.24
66 38
63.26
61.61
(a) Inclusive of ... ... ... ... ... ...
(b)
Ditto ... ... ... ... ... ...
(c)
Ditto ... ... ... ... ... ...
Male.
29
7
1
Female.
......
......
......
Total.
29
7
1
Received by transfer.
36
APPENDIX.
STATEMENT No. VIII— concluded.
Asylums.
CUTTACK.
BE RHAMP ORE .
Number.
15a
16
49
49-1
60
93-506
466
484-43b
862
904
905
15a
18
37
49-1
55
65a
89a
315
432
466
484
794 803
861
905
1
DISEASES.
Ague, quotidian ... ...
Remittent fever ... ...
Scrofula
...
...
...
Phthisis pulmonalis ...
Meningitis ... ... ...
Epilepsy and cirrhosis
of the liver.
Dysentery ... ... ...
Diarrhœa and secondary
syphilis.
Carbuncle ... ... ...
Old age
...
...
...
General debility ... ...
Total ...
Ague, quotidian ... ...
Malignant cholera ...
Muscular rheumatism ...
Phthisis pulmonalis ...
Anæmia
...
...
...
Congestive apoplexy ...
Facial paralysis ... ...
Pneumonia
...
...
Ulcer
...
...
...
Dysentery ... ... ...
Diarrhœa
...
...
...
Abscess ... ... ...
Exhaustion from mania
Boil
...
...
...
General debility ... ...
Total ...
GRAND TOTAL ...
2
Remaining
in hospital
from previ-
ous year.
Males.
...
...
1
...
...
...
2
1
1
...
2
7
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
31
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
8
Total.
...
...
1
...
...
...
2
1
1
...
2
7
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
39
3
Admitted
during the
year.
Males.
11
2
...
1
1
1
6
...
...
1
1
24
8
1
1
1
2
1
...
1
1
7
6
... 2
1
2
34
322
Females.
2
...
...
2
...
...
...
...
...
...
...
4
1
2
...
...
...
...
1
...
...
...
1
1
1
...
...
7
93
Total.
13
2
...
3
1
1
6
...
...
1
1
28
9
3
1
1
2
1
1
1
1
7
7
1
3
1
2
41
415
4
Total.
Males.
11
2
1
1
1
1
8
1
1
1
3
31
8
1
2
1
2
1
...
1
1
7
6
...
2
...
2
35
353
Females.
2
...
...
2
...
...
...
...
...
...
...
4
1
2
...
...
...
...
1
...
...
...
1
1
1
...
...
7
101
Total.
13
2
1
3
1
1
8
1
1
1
3
35
9
3
2
1
2
1
1
1
1
7
7
1
3
1
2
42
454
5
6
7
8
RESULTS.
Discharged
cured.
Males.
11
1
1
...
...
...
4
...
1
...
2
20
8
...
2
...
...
...
...
...
1
4
6
...
... 1
2
24
252
Females.
2
...
...
...
...
...
...
...
...
...
...
2
1
1
...
...
...
...
1
...
...
...
1
1
...
...
...
5
70
Total.
13
1
1
...
...
...
4
...
1
...
2
22
9
1
2
...
...
...
1
...
1
4
7
1
...
1
2
29
322
Discharged
otherwise.
Males.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
14
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
18
Died.
Males.
...
1
...
...
1
1
4
1
...
1
...
9
...
1
...
1
2
1
...
1
...
1
...
... 2
...
...
9
64
Females.
...
...
...
1
...
...
...
...
...
...
...
1
...
1
...
...
...
...
...
...
...
...
...
...
1
...
...
2
21
Total.
...
1
...
1
1
1
4
1
...
1
...
10
...
2
...
1
2
1
...
1
...
1
...
... 3
...
...
11
85
Remaining
sick.
Males.
...
...
...
1
...
...
...
...
...
...
1
2
...
...
...
...
...
...
...
...
...
2
...
...
...
...
...
2
23
Females.
...
...
...
1
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
2
...
...
...
...
...
...
1
3
...
...
...
...
...
...
...
...
...
2
...
... ...
...
...
2
23
APPENDIX.
37
STATEMENT NO. IX.
Showing the Cash accounts of the Asylums for the year 1886.
ASYLUMS.
1
Dullunda
...
...
...
...
Dacca
...
...
...
...
Patna
...
...
...
...
Cuttack
...
...
...
...
Berhampore ... ... ... ...
Total ...
RECEIPTS.
Received from
treasury.
2
Rs.
18,363
15,927
14,011
4,822
12,705
65,829
A.
10
2
13
4
2
15
P.
2
7
1
1
0
11
Received from
paying patients.
3
Rs.
1,199
173
257
41
A.
15
2
15
13
P.
7
3
9
3
......
1,672 14 10
Value of articles
received from
Manufacture
Department.
4
Rs.
9,920
672
2,362
16
1,267
14,238
A.
1
8
8
7
5
15
P.
6
0
7
4
11
4
Total.
5
Rs.
29,483
16,772
16,632
4,880
13,972
81,741
A.
11
12
5
8
7
14
P.
3
10
5
8
11
1
EXPENDITURE.
FROM TREASURY ON ACCOUNT OF—
Establishment.
Establishment
proper.
6
Rs.
7,387
3,734
3,947
1,161
3,829
20,060
A.
2
13
3
12
15
14
P.
9
3
0
0
3
3
Superinten-
dence.
7
Rs.
3,920
3,680
4,500
2,100
4,200
18,400
A.
8
0
0
0
0
8
P.
4
0
0
0
0
4
Diet.
8
Rs.
4,869
7,073
4,897
1,394
3,826
22,060
A.
9
0
8
1
5
9
P.
10
4
3
11
6
10
Clothing and
bedding.
9
Rs. A. P.
.....
503
55
100
172
832
11
11
7
3
1
6
6
0
0
0
Bazar
medicines.
10
Rs.
46
2
5
0
14
69
A.
9
3
6
15
13
15
P.
3
2
6
3
3
5
Contingencies.
Contingencies
proper.
11
Rs.
1,663
931
418
64
598
3,676
A.
10
10
3
15
3
11
P.
9
10
3
11
0
9
Contingencies
of
manufacture.
12
Rs. A. P.
......
......
......
......
......
......
Repairs and
maintenance.
13
Rs.
461
1
187
A.
13
11
12
P.
6
6
7
......
63
714
10
15
0
7
Total.
14
Rs.
18,349
15,927
14,011
4,822
12,705
65,815
A.
6
2
13
4
2
12
P.
5
7
1
1
0
2
ASYLUMS.
Dullunda
...
...
...
...
Dacca
...
...
...
...
Patna
...
...
...
...
Cuttack
...
...
...
...
Berhampore
...
...
...
Total ...
EXPENDITURE -concluded.
FROM MANUFACTURE DEPARTMENT.
Diet.
15
Rs.
7,590
656
1,698
6
1,298
11,160
A.
10
8
8
0
6
1
P.
9
0
2
6
3
8
Clothing and
bedding.
16
Rs.
1,233
A.
12
P.
0
......
664
1
48
1,948
0
12
14
6
5
2
0
7
Bazar
medicines.
17
Rs. A. P.
......
......
......
1 10 8
......
1 10 8
Contingencies.
Contingencies
proper.
18
Rs.
526
16
A.
2
0
P.
9
0
......
3
7
552
0
8
10
0
0
9
Contingencies
of manufacture.
19
Rs. A. P.
......
......
......
4 0 0
......
4 0 0
Repairs and
maintenance.
20
Rs.
569
A.
8
P.
0
......
......
......
2
572
9
1
8
8
Total.
21
Rs.
9,920
672
2,362
16
1,267
14,238
A.
1
8
8
7
5
15
P.
6
0
7
4
11
4
From
maintenance
fund
for
paying
patients.
22
Rs.
14
A.
3
P.
9
......
......
......
......
14 3 9
Remitted to treasury
on account of paying
patients.
23
Rs.
1,199
173
257
41
A.
15
2
15
13
P.
7
3
9
3
......
1,672 14 10
Charges on account of
work done by Public
Works Department.
24
Rs.
827
4,151
982
87
1,613
7,661
A.
0
13
8
0
0
7
P.
11
0
9
8
0
4
Rates and taxes on
buildings attached to
the asylums.
25
Rs.
A.
P.
......
......
......
45 0 0
......
45 0 0
Cost of printed forms
and stationery.
26
Rs.
30
29
8
4
10
83
A.
8
8
0
10
5
0
P.
0
6
0
6
0
0
Cost of English stores,
medicines, &c.
27
Rs.
156
42
7
3
40
251
A.
1
14
15
8
14
5
P.
0
1
0
0
11
0
GRAND TOTAL.
28
Rs.
30,497
20,997
17,630
5,020
15,636
89,782
A.
5
0
13
11
11
10
P.
2
5
2
10
10
5
ANNUAL REPORT
ON THE
INSANE ASYLUMS IN BENGAL
FOR THE YEAR
1887.
BY
A. HILSON, ESQ., M.D.,
Offg. Inspector-General of Civil Hospitals, Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1888.
Not printed for Sale.
ANNUAL REPORT
ON THE
INSANE ASYLUMS IN BENGAL
FOR THE YEAR
1887.
BY
A. HILSON, ESQ., M.D.,
Offg. Inspector-General of Civil Hospitals, Bengal.
Calcutta:
PRINTED AT THE BENGAL SECRETARIAT PRESS.
1888.
LUNATIC ASYLUMS IN BENGAL.
No. 3841.
FROM A. HILSON, ESQ., M.D.,
Offg. Inspector-General of Civil Hospitals, Bengal,
To THE CHIEF SECRETARY TO THE GOVERNMENT OF BENGAL.
Dated Calcutta, the 15th May 1888.
SIR,
I HAVE the honour to submit the report on the Lunatic Asylums
of Bengal for 1887.
2. These comprise the institutions at Dullunda, Dacca, Patna, Cuttack and
Berhampore, in which native insanes are confined, and also that of Bhowanipore,
which, being set apart exclusively for Europeans and Eurasians, differs materially
from the others in its constitution and economic arrangements, and will there
fore be dealt with separately.
3. Population.—The accompanying table shows the admissions and dis-
charges in the five native asylums of the province, and it will be seen at a glance
that the figures of 1887 differ in no essential respect from those of the preceding
year:—
LUNATIC ASYLUMS IN BENGAL.
3
4. During the year 1,137 persons were under treatment, and of these
911 were males and 226 females—a decrease of 20 of the former and 16 of
the latter, which has been mainly caused by fewer admissions into the Dul-
lunda Asylum. The Superintendent accounts for the diminution by attri-
buting it to a contraction of the provincial area from which patients were
admitted, and if he is right in this opinion, it does not seem to have been
attended with any corresponding addition to the admissions into the other
asylums, as might have been expected. At Dacca the admissions increased
by 1 only, at Berhampore by 6, while at Patna they decreased by 5, and at
Cuttack by 2; numbers which balance each other. The daily average strength
was 943.11 against 963.9 in 1886, while the readmissions were only 13, the
lowest number under this head for the last ten years. There were discharged
129 lunatics, of whom 88 were cured, 37 had improved, 2 had not improved,
and 2 are entered as discharged otherwise ; and it will be seen by a reference
to the table that these figures approximate very closely with those of the
previous year.
5. The rate per cent. on average strength, total treated, and admissions, is
given in the following table, which shows that the results of treatment accord
in a great measure with those obtained in 1886:—
Table of Discharges.
1877 to 1886 ... ...
1886
...
...
...
1887
...
...
...
RATE PER CENT.
CALCULATED ON AVERAGE
STRENGTH —
Of
recoveries.
10.71
9.02
9.33
Of those
improved.
4.63
3.94
3.92
Of total.
15.34
12.96
13.25
CALCULATED ON TOTAL TREATED—
Of
recoveries.
8.58
7.41
7.74
Of those
improved.
3.71
3 24
3.25
Of total.
12.29
10.65
10.99
CALCULATED ON ADMISSION—
Of
recoveries.
44.88
39.9
48.62
Of those
improved.
19.38
17.43
20.44
Of total.
64.26
57.33
69.06
6. The average number of days which the discharged patients passed in
the asylum is shown in the subjoined table, which might be omitted, as it serves
no useful purpose. The average period of residence in an asylum must
depend on the numerical proportion which the acute cases bear to the chronic.
The former being more easily influenced by treatment are quickly discharged,
while many of the latter remain in the asylum for years.
Table showing average number of days Patients discharged were confined.
Dullunda
...
...
...
...
...
...
...
Dacca
...
...
...
...
...
...
...
Patna ... ... ... ... ... ... ...
Cuttack
...
...
...
...
...
...
...
Berhampore
...
...
...
...
...
...
...
Average ...
CURED.
Males.
Days.
351
1,003
653
2,154
500
932
Females.
Days.
319
340
102
637
4,516
1,183
IMPROVED.
Males.
Days.
752
1,447
220
......
295
678
Females.
Days.
......
110
262
......
......
186
7. Accommodation.—There has been some overcrowding at Dacca and
Cuttack, where the male lunatics have been in excess of the number for which
there is accommodation; but at both these places measures are about to be taken
to remedy the defect. At Dullunda the space provided for the female inmates
has not been sufficient for the numbers in confinement, but at Berhampore and
Patna there has been no overcrowding.