( 3 )
cases treated increased from 16 in 1883 to 72 in 1884. The adjoining jail
and outside population are said to have suffered equally, while Dr. Crombie,
the Superintendent, does not remember to have known such an unhealthy-
season before. Cholera appeared only in the Dacca Asylum, where three cases
were reported, of which two ended in death.
7. Cases of injury and accident, three of which proved fatal, occurred
at Dullunda, Patna, and Berhampore. At Dullunda a lunatic struck another
over the head, causing a fracture of the skull and a rupture of the brain.
In Patna a patient tried to swallow a large piece of bread; it stuck in
his throat and caused almost instant death. In the same asylum a patient
tried to escape; he fell off a wall and broke his rib. At Berhampore
the work-sheds were blown down during a violent storm, resulting in the
death of one patient and the injury of seven others. The other cases reported
are few in number, and are of comparatively trifling importance.
8. The number of deaths in 1884 was 87 against 52 in 1883. The
increase in the mortality was principally occasioned by diarrhœa, dysentery,
debility, and phthisis, and it was confined to Dullunda, Dacca, and Patna. The
total number of deaths from all causes was at Dullunda 18, Dacca 29, Patna
28, Cuttack 3, and Berhampore 9. Speaking of the general mortality in all the
asylums during the year, the Inspector-General writes—" It is not a high
mortality; and could we but eliminate those deaths which rightfully belong
to 1883, the rate would be an average one. The healthy year 1833 possibly
prolonged the lives of the phthisical, the debilitated, and senile, lives which
depend in a great degree, some altogether, upon meteorological conditions."
As in the previous year, the small number of cases of zymotic diseases
reflects great credit on the officers responsible for the sanitary condition of the
institutions.
9. The following table shows the receipts and expenditure in each
asylum during 1884 :—
1
Dullunda
...
...
Dacca
...
...
...
Patna
...
...
...
Cuttack
...
...
Berhampore ... ...
Total
...
2
Daily average strength.
227.17
227.52
231.84
5.87
175.73
920.96
3
Total expenditure.
Rs.
34.849
17,709
17,313
5,502
16,321
91,695
A.
6
7
1
12
0
12
P.
5
8
8
0
5
2
4
Realized from friends
of patients.
Rs.
1,309
169
208
115
A.
15
5
12
0
P.
8
5
0
0
......
1,803 1 1
5
Actual profit from
manufacture depart-
ment.
Rs.
* 87
3,087
* 362
185
383
3,207
A.
6
14
1
0
11
3
P.
2
7
0
1
6
0
6
Average cost of each
patient
as
per
column 3.
Rs.
153
77
74
93 92
99
A.
6
13
10
11
14
9
P.
6
4
10
10
0
0
7
Average cost of each
patient,
deducting
columns 4 and 5.
Rs.
147
63
73
88
90
94
A.
10
8
12
10
11
2
P.
3
3
5
1
1
0
8
9
10
11
12
13
AVERAGE COST OF EACH PATIENT IN RELATION TO—
Establishment.
Rs.
47
35
36
55
45
41
A.
12
6
1
9
0
11
P.
5
2
7
6
1
11
Diet.
Rs.
45
35
31
20
31
35
A.
15
6
3
12
11
5
P.
4
2
4
7
7
0
Bazar medicines.
Rs.
0
0
0
0
0
0
A.
1
0
0
0
1
0
P.
2
6
2
7
5
9
Clothing.
Rs.
5
1
2
1
1
2
A.
2
13
9
14
9
12
P.
8
0
4
6
1
10
Contingencies.
Rs.
14
4
4
1
2
6
A.
1
6
2
6
2
1
P.
2
1
11
8
5
9
Other charges.
Rs.
40
0
0
14
12
13
A.
5
12
9
0
5
8
P.
9
8
6
0
5
9
* Loss.
The gross expenditure rose from Rs. 82,835 in 1883 to Rs. 91,695 in the
year under review. Of the increase which amounted to Rs. 8,860, Rs. 3,679
occurred under ordinary, and Rs. 5,181 under extraordinary expenditure.
The principal part of the increase was under building charges, which rose from
Rs. 7,016 in 1883 to Rs. 12,011 in 1884. The total cost per patient was Rs. 99-9
against Rs. 94-4-4 in the previous year, and the net cost of each inmate,
after deducting the amount realized from friends of patients, and the net profit
from manufactures, was Rs. 94-2 against Rs. 86-13-8. The amount received
from friends of patients rose from Rs. 969 in 1883 to Rs. 1,803 in 1884. The
total expenditure on account of establishment amounted to Rs. 38,446 against
Rs. 37,427 in the previous year. Much, however, of the increase was apparent
only, and due to the circumstance that a lay overseer was appointed at Dacca
in the place of the Supernumerary Assistant Surgeon who was paid by the
Medical Department.
10 The money outlay on account of diet was Rs. 21,187 against
Rs. 20.294 in 1883, the increase being due to the difference in the number
of patients treated and to comparative dearness of food. The average cost of
diet per head was, as usual, highest at Dullunda, where it amounted to
Rs. 45-15-4, and lowest at Cuttack, where it was Rs. 20-12-7. The average