NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 6 )
26. The various causes of death in the Asylums are specified in the follow-
ing table : —
TABLE IV.
Diseases.
Cholera ... ... ... ... ... ...
Dysentery ... ... ... ... ... ...
Fevers ... ... ... ... ... ...
Debility ... ... ... ... ... ...
Old age ... ... ... ... ... ...
Anæmia ... ... ... ... ... ...
Pneumonia ... ... ... ... ...
Diarrhœa ... ... ... ... ... ...
Epilepsy ... ... ... ... ... ...
Phthisis ... ... ... ... ... ...
General paralysis of insane ... ... ...
Paralysis ... ... ... ...
Valvular diseases of the heart ... ... ...
Ascites ... ... ... ... ...
Hemiplegia ... ... ... ...
Dropsy
...
... ... ... ...
Total ...
NAGPUR.
1896.
...
1
...
1
...
2
...
...
2
...
...
...
...
...
...
1
7
1897.
2
1
...
3
1
2
...
...
2
1
...
...
...
1
1
...
14
JUBBULPORE.
1896.
...
...
1
4
2
...
...
1
1
...
...
...
...
...
...
2
11
1897.
...
1
1
1
...
...
3
1
2
1
...
1
...
...
...
2
13
Debility, cholera, anæmia and epilepsy were the principal causes of death
in the Nagpur Asylum ; and pneumonia epilepsy and dropsy in the Jubbulpore Asy-
lum. Five cases of cholera with 2 deaths occurred in the Nagpur Asylum ; but
the Superintendent's report makes no mention of the occurrence.
27. The percentage of deaths to strength, and the percentage to total deaths
from the chief causes of mortality in the Asylums in these Provinces, are compared
with the percentages in the Asylums of other Provinces in the following table :—
TABLE V.
Provinces.
Bengal ... ... ...
Punjab ... ... ...
Rangoon ... ... ...
Tezpur ... ... ...
Bombay ... ... ...
Central Provinces ... ...
Ditto
... ... ...
Year.
1896
1896
1896
1896
1896
1896
1897
Percentage of sick to
strength.
9.26
10.03
5.22
6.87
6.52
3.86
3.83
Percentage of death
to strength.
9.84
6.23
9.03
6.02
10.78
5.42
8.50
PERCENTAGE TO TOTAL DEATHS FROM
Fevers.
3.33
...
...
28.57
3.85
5.55
3.70
Dysentery.
13.33
9.09
10.00
...
25.64
5.55
7.41
Diarrhœa.
10.00
4.55
6.67
14.29
3.85
5.55
3.70
Phthisis.
22.22
9.09
33.33
28.57
12.82
...
7.41
Chest affections.
10.00
18.18
3.33
...
7.69
...
11.11
Anæmia.
6.67
18.18
3.33
...
15.38
11.11
7.41
Other causes.
34.44
40.91
43.33
28.57
30.77
72.24
59.24
28. It will be seen that the causes of the rise in the percentage of deaths in
the local Asylums, during the year, were phthisis and chest affections.
29. Statements IX, X and XI are financial Statements, and indicate the de-
tails of the receipts and expenditure in connection with the Asylums. At Nagpur
Rs.13,411-11-7 were drawn from the Treasury against Rs. 10,166-3-10, or
Rs.3,245-7-9 more than in 1896. The high prices of food-grains, and compensa-
tion on account of the dearness of staple food-stuffs paid to the establishment
during the year account for the excess drawings from the Treasury. At
Jubbulpore Rs.9,907-15-3 were drawn from the Treasury as compared with
Rs.8.663-0-9 in the previous year, an increase of Rs.1,244-14-6 due to the same
causes which operated to swell the expenditure in the case of the Nagpur Asylum.
The amounts received from paying patients were as follows:—
Nagpur ... ... ... ... ...
Jubbulpore ... ... ... ... ...
Rs.
2,995
1,797
a.
3
7
p.
3
3
( 7 )
Owing to an irregular system of adjusting the accounts under this head, the
accounts of different years cannot be compared. A sum of Rs.878-9-5, in connec-
tion with paying patients in the Jubbulpore Asylum, remained unadjusted at the
close of the year.
30. In the amount shown against Nagpur are included Rs.2,610 adjusted
inter-departmentally by the Comptroller, Central Provinces, on account of the main-
tenance of 29 Berar lunatics, and Rs.385-3-3 are actual cash receipts from paying
patients. A sum of Rs.4,275-10-4 is shown under the head "miscellaneous
receipts " in Nagpur Asylum accounts, and is made up of items as follows:—
Sale of linseed, juari, &c., grown on farm ... ...
Proceeds of dairy ... ... ... ...
Miscellaneous ... ... ... ...
Total ...
Rs.
283
3,848
143
4,275
a.
9
1
15
10
p.
7
3
6
4
The sum of Rs.457-1-3, under the same head in the Jubbulpore Asylum ac-
counts, represents sale-proceeds of manufactured articles. Besides these amounts,
the value of manufactured goods, received for the Asylum use, was Rs.1,4 0-11-4
at Nagpur, and Rs.l,223-8-6 at Jubbulpore. The sums entered under column
5 against Nagpur and Jubbulpore represent expenditure on account of printed
forms and English medicines, and for works executed in the Asylums by Public
Works Department.
31. The total expenditure in connection with the Nagpur Asylum was
Rs.22,303-14-5 and at Jubbulpore Rs.13,386-0-3, as compared with Rs. 16,934-12-6
and Rs. 12,429-5-9 respectively in 1896—an increase of Rs.5,369-1-11 in the former
and Rs.956-10-6 in the latter institution.
An increase occurred under heads establishment, diet, clothing and bedding,
contingencies and miscellaneous. Rs.2,986-10-5 were expended on the Nagpur Asy-
lum dairy farm, which sum includes Rs.479, the cost of live-stock, and Rs.431 spent
in the purchase of a Separator, and other necessary articles. The increased expen-
diture on diet was due to the enhanced cost of the staple grains throughout the year.
32. During the year, the Local Administration approved of the suggestion
that guardians, unable to pay Rs.7 per mensem for a lunatic's maintenance, should
be obliged under the orders of the Deputy Commissioner to contribute whatever
they could.
In one case Re.l per mensem, and in another case Rs.5 per annum were con-
tributed.
33. In the following table the expenditure per inmate per annum under
different heads is shown :—
TABLE VI.
Asylum.
Nagpur.
Jabbulpore.
1896 ...
1897 ...
Difference
1896
...
1897 ...
Difference
MEAN COST PER HEAD.
Superintendence.
Rs.
10
10
+ 0
11
11
+0
a.
2
12
10
10
15
4
p.
0
3
3
11
2
3
Establishment.
Rs.
15
18
+ 2
14
15
+ 1
a.
14
7
8
5
13
7
p.
10
8
10
11
9
10
Diet.
Rs.
22
36
+ 13
31
39
+7
a.
11
2
7
1
0
15
p.
5
9
4
4
6
2
Clothing and bed-
ding.
Rs.
0
2
+1
1
2
+0
a.
7
3
12
11
7
12
p.
2
8
6
0
1
1
Building and re-
pairs.
Rs.
0
0
-0
a.
1
1
0
p.
5
0
5
...
...
...
Bazaar medicines.
Rs.
...
...
...
...
...
...
Contingencies.
Rs.
13
20
+ 7
3
4
+0
a.
4
12
8
14
9
11
p.
0
3
3
7
10
3
English medicines.
Rs.
0
0
—0
0
0
—0
a.
8
3
5
6
2
3
p.
10
6
4
2
5
9
Total.
Rs
63
88
+25
63
74
+10
a.
1
11
9
1
0
14
p.
8
1
5
11
9
10
( 8 )
34. The mean cost per head, of the inmates of the Asylums in the Central
Provinces, is compared with the mean cost in other Provinces in the following
table :—
TABLE VII.
Mean of years.
13
12
12
14
8
14
1
Asylums.
Bengal ...
Tezpur ...
Rangoon ...
Punjab ...
Bombay ...
Central Pro-
vinces
Ditto ...
MEAN COST PER HEAD.
Superintendence.
Rs.
18
14
11
14
24
17
11
a.
7
11
11
3
9
15
5
p.
9
2
10
7
11
7
8
Establishment.
Rs.
19
25
30
33
39
15
17
a.
0
12
8
11
14
p.
4
8
0
0
4
15 11
2 9
Diet.
Rs.
36
37
54
44
67
26
37
a.
5
13
8
10
13
15
9
p.
0
6
1
5
5
3
7
Clothing and bed-
ding.
Rs
2
6
2
8
6
2
2
a
10
10
11
5
13
2
5
p.
11
11
5
11
3
7
5
Building and re-
pairs.
Rs
1
0
a.
1
1
p.
5
0
...
0
1
0
0
6
6
5
0
6
5
6
6
Bazaar medicines.
Rs.
0
0
0
0
0
a
1
8
7
4
6
p.
4
10
2
8
2
...
...
Contingent proper.
Rs.
5
2
5
5
9
3
12
a.
4
14
13
7
5
9
11
p.
7
9
1
6
2
11
0
English medicines.
Rs.
0
0
4
1
2
0
0
a.
9
3
15
3
1
7
3
p.
3
10
6
3
2
3
0
Total.
Rs.
83
88
110
108
152
67
81
a.
8
12
11
4
5
8
5
p.
7
8
1
10
10
0
11
35. The cost of dieting has risen, and this result was to be expected consider-
ing the dearness of food-grains during the year.
36. The daily average strength of the inmates employed on manufactures,
and in the garden, is indicated as follows : —
Nagpur Asylum
...
...
...
Jubbulpore Asylum
...
...
...
1896
1897
1896
1897
ON MANUFACTURES.
Male.
7.41
12.55
12.03
12.00
Female.
1.19
1.00
5.01
5.00
IN GARDEN.
Male.
37.45
34.05
45.94
48.15
Female.
...
3.49
...
...
37. Nagpur Dairy Farm.—The expenditure on the dairy amounted to
Rs.2,896-10-5 and the receipts to Rs.3,843-1-3, resulting in a credit of Rs.946-6-10.
This cash credit, however, does not include the value of separated and fresh milk
given to lunatics, nor cow-dung used as fuel and as manure in the Asylum garden.
38. The Jubbulpore Asylum was inspected by the Director-General, Indian
Medical Service, and the Nagpur and Jubbulpore Asylums by the Administrative
Medical Officer, Central Provinces, and by the Inspector-General of Jails.
39. The official visitors met monthly and inspected the respective institu-
tions, and their proceedings were regularly recorded for the information of the
Chief Commissioner.
40. Both Asylums are very ably and carefully managed by the Superinten-
dents, Doctors McKay and Harris; and the Deputy Superintendents of the institu-
tions 1st Class Hospital Assistant Rai Saheb Mohan Lall at Jubbulpore, and 1st
Class Hospital Assistant Abdul Majid Khan at Nagpur, are zealous and pains-
taking subordinates.
NAGPUR:
The 10th February, 1898.
G. HUTCHESON, M.D., SURGEON-COLONEL,
Administrative Medical Officer, C. P.
( 9 )
Annual Report of the Nagpur Lunatic Asylum for 1897.
STATEMENT NO. I.
Admissions and Discharges.—There were 27 admissions during the year, viz :—
Central Provinces ... ... ... ...
Berar ... ... ... ...
Total ...
Males.
18
4
22
Females.
4
1
5
There were 3 re-admissions during the year :—
Central Provinces ...
...
...
... 3 Males.
During the year under review, 27 Asylum inmates were discharged—25 males
and 2 females.
Cured ... ... ... ...
Improved ... ... ... ...
Not improved ... ... ... ...
Discharged otherwise
...
...
...
...
Total ...
Males.
7
4
3
11
25
Females.
2
...
...
...
2
Of the total discharged during the year 23 were amongst lunatics sent
from various districts of the Central Provinces and 4 from the Berar. The period
of residence of those discharged, as "cured," varied from 452 days to 115 days.
All of the lunatics discharged during the year as " cured " were suffering from
acute mania on admission. Four lunatics (2 cases of mania and 2 of dementia)
were made over to their friends as " improved" during the year. Three male
lunatics were made over to their friends as " not improved "; two of these were
cases of mania and one a case of dementia. Eleven lunatics were discharged
"otherwise." Four of these were under recent orders transferred to Central Jails
(2 to Nagpur, 1 to Jubbulpore and 1 to Raipur) to pass a period of probation: of
these 4 one was classified as "not insane," one as " toxic insanity" and 2 were
cases of mania. Four criminal lunatics were sent to stand their trials. The
sentences of two Jail lunatics expired during the year : one, a male, Ashraf from
Betul, and one Musammat Dulari from Sambulpur. The former, a case of acute
mania, was released as "cured" on the date of expiry of sentence, the latter is
still in the Asylum. Fourteen deaths took place amongst the Asylum inmates
during the year as detailed below:—
Central Provinces ... ... ... ...
Berar ... ... ... ...
Total ...
Males.
8
1
9
Females.
4
1
5
Statement VIII shows the causes of admissions to hospital. Through a
clerical oversight in the Asylum Report for 1896 the number of male insanes
remaining on the 31st December of that year, was shown as 142, the correct figure
should have been 141. The same error occurs in Statements Nos. I, VI and VII.
STATEMENT NO. II.
In the group of criminal lunatics there were five admissions, 4 males and one
female, and one male criminal lunatic was re-admitted; all these belonged to the
Central Provinces.
( 10 )
Thirteen criminal lunatics (12 males and 1 female) were discharged during
the year. Only one of these (a male) came from Berar :—
5
1
1
4
2
13
were transferred to Jail.
made over to the care of his friends, under the orders of the Chief Com-
missioner.
escaped
were sent for trial.
discharged on expiry of sentence (one actually discharged from the
Asylum, and one transferred from the criminal to the non-criminal
list, as she is still insane and unfit for release).
Classification of Criminal Lunatics.—In the subjoined table a few particulars
of the different kinds of criminal lunatics in the Asylum at the close of the year
are given.
(a) Those tried and acquitted on the ground of insanity,
(b) Those insane on admission and found incapable
of making their defence.
(c) Those who became insane during imprisonment ...
Total ...
CENTRAL PROVINCES.
Males.
28
12
1
41
Females.
...
2
...
2
Total.
28
14
1
43
BERAR
Males.
5
3
2
10
Females.
...
1
...
1
Total.
5
4
2
11
STATEMENT NO. III.
Of the 30 admissions and re-admissions—
12
5
2
2
2
2
5
30
came
„
„
„
„
„
„
from
„
„
„
„
„
„
Nagpur.
Sambalpur.
Betul.
Bilaspur.
Raipur.
Wardha.
Hyderabad Assigned Districts.
Caste and religion.
The following is the caste and religious classification of
the above :—
Hindus ... ... ...
Mahomedans ... ... ...
Native Christians ... ...
Other castes ... ... ...
20
5
2
3
30
(17 males and 3 females).
(4 males and 1 female).
(1 male and 1 female).
(all males).
STATEMENT NO. IV.
During 1897, the cultivator and servant class furnished the largest number of
admissions ; there being three in each case from these two classes. The next highest
admissions (two each) came from the classes of beggar, labourer and students.
In the case of three admissions the previous occupation was unknown and could not
( 12 )
STATEMENT VIII.
The year, on the whole, was very healthy.
There were 59 admissions compared with 50 in the previous year to hospital
during 1897, viz :—
Ague and Fever ... ... ... ... ...
Cholera ... ... ... ... ...
Debility ... ... ... ... ...
Ulcers ... ... ... ... ...
Epilepsy ... ... ... ... ...
Other causes ... ... ... ...
Total ...
21
5
11
4
4
14
59
There were 14 deaths during the year, viz :—
Cholera ... ... ... ... ... ...
Dysentery, chronic ... ... ... ...
Old age, debility and anæmia ... ... ...
Hemiplegia ... ... ... ... ... ...
Epilepsy ... ... ... ... ... ...
Phthisis ... ... ... ... ... ...
Ascites
...
...
...
...
...
...
Total ...
2
1
6
1
2
1
1
14
Practically, all the Asylum inmates receive a ration of milk, morning and
evening, in addition to their ordinary diet, and all except a very few take it gladly.
STATEMENT NOS. IX, X AND XI.
The total amount received from the Treasury was Rs. 13,411-11-7 against
Rs.10,166-3-10 drawn in 1896. The excess is to some extent attributable to the
higher prices which ruled for grain during the year, and also partly on account of
compensation paid to the establishment.
From paying patients the amount received amounted to Rs.2,995-3-3. This
was made up of Rs.2,610 adjusted by the Comptroller, Central Provinces, for an
average of 29 Berar lunatics at Rs.90 a head and Rs.385-3-3 actual cash receipt
from paying patients.
In column 4, the following items are shown:—
Diet supplied inter-departmentally, including garden and farm
produce ... ... ... ... ...
Value of clothing made in the Asylum ... ... ...
Purchase of oil-cakes ... ... ... ...
Total ...
Rs.
1,280
115
4
1,400
a.
5
12
9
11
p.
10
6
0
4
In column 5, viz., the total of book receipts, the following items are included :—
P. W. D. charges ... ... ... ...
Jail Clothing ... ... ... ...
Jail Forms
...
...
...
...
Total ...
Rs.
535
257
38
830
a.
0
0
1
1
p.
0
0
10
10
The column of miscellaneous receipts is made up as follows :—
Sale of linseed, juari, &c., grown on the farm
...
...
Dairy produce
...
...
...
...
...
Miscellaneous ... ... ... ... ...
Total ...
Rs.
283
3,848
143
4,275
a.
9
1
15
10
p.
7
3
6
4
( 15 )
Report on the Jubbulpore Lunatic Asylum for the year 1897.
Additions and Alterations in the buildings. A large well, situated on the
ground newly acquired, has been covered in with iron girders and stone slabs.
No other additions or alterations. The usual annual repairs were carried out
by the Public Works Department. The new works which are under contempla-
tion at present are :—
1. Two pillars and a small reservoir to be built over the new well for irri-
gating the garden.
2. Repairs of pucca drain in the Asylum and grounds.
3. Iron bars to be repaired.
4. A wall to be built running from the female barracks to the west gate
near the Omtee Bridge. This has been already sanctioned by the
Local Administration, and the Public Works Department will carry
out the work soon.
STATEMENT No. I.
There was but very little change in the strength of the Asylum during the
past year. The number remaining on the 1st January, 145 (males 114, females
31). The average remaining for past ten years was 139.50, so there is very little
variation. There were 32 admissions (males 27, females 5) making a total of 177
(male 141. females 36). No re-admission. Of these, 16 (males 15, female 1) were
discharged cured, and 1 male improved, and 13 (10 males, 3 females) died, leaving
147 (115 males, 32 females) under treatment at the close of the year.
The greatest number confined on any one night was 159 (126 males, 33 fe-
males). The capacity of the Asylum is at 54 superficial feet per patient, for 163
(125 males, 38 females). There was no overcrowding. The daily average strength
was 150.64 males and females, compared with 154.10 in the year preceding, a de-
crease of 3.46. The percentage of total cured to daily average strength was 10.62
against 12.33 in 1896, died 8.62 against 7.13 and percentage of cured to total ad-
mission was 53.12 against 65.52, and died 40.63 against 37.93. The daily aver-
age sick was 5.16 against 4.15. There were no escapes during the year.
STATEMENT No. II
Deals with the criminal lunatics.
At the beginning of the year there were 34 criminal lunatics classified
thus:—
(a) Tried and acquitted on the ground of insanity or under
Section 471, C. P. C. ... ... ...
(b) Insane and incapable of making their defence, or under
Section 466 of C. P. C. ... ... ...
(c) Became insane during imprisonment, or under Section 31
of Act V of 1871
Total ...
M.
9
15
7
31
F.
1
2
0
3
Total.
10
17
7
34
Six criminal lunatics (5 males, 1 female) were admitted during the year against
(8 males, 1 female) in 1896. Of these, 5 were admitted from Central Provinces and
the one was sent by the Cantonment Magistrate, Neemuch. There were no re-ad-
missions during the year. The admissions are classified as follows :—
(a)
...
...
...
...
(b)
...
...
...
...
(c) ... ... ... ...
Total ...
M.
...
5
0
5
F.
...
0
1
1
Total.
...
5
1
6
( 17 )
and strangled his brother's child. He acknowledges that he did it, but he does
not seem to realize that he has done anything wrong. The case was sent from
Neemuch Cantonment, Central India.
The daily average being 35.44 (males 32.03, females 3.41) against 34.28
(males 31.23, females 3.05) in the year preceding.
STATEMENT No. III.
There is little calling for remarks under this statement. Of the 32 admis-
sions, 21 were Hindus, 7 Mahomedans and 4 other castes. Of the whole, 8 were
from Jubbulpore district, including 1 from Central Jail, 4 from Seoni, 2 Saugor,
3 Hoshangabad, 1 Mandla, 1 Nimar, and 3 from Central Indian Agency (1
Neemuch Cantonment and 2 Sehore, Bhopal State),
STATEMENT No. IV.
Deals with previous occupations and does not call for any remarks, except
a student, who is a respectable and highly educated man, and who has passed his
B.A. Examination after hard study, and whose predisposing cause was grief
brought on by loss of brother and mother, and also his father's present troubles.
He is now nearly quite well and will soon be discharged.
STATEMENT No. V.
Does not call for any further comment, as it explains itself.
Ages.
Under
20 ...
Between 20 & 40 ...
Do.
40 & 60 ...
Over
60 ...
Male.
6
20
...
1
27
Female.
...
4
1
...
5
Total.
6
24
1
1
32
The majority apparently become insane between 20 and 40, which I have al-
ready explained in my previous reports.
STATEMENT No. VI.
This statement has been revised. The type of insanity has been changed by
Government of India, Home Department No 2 Medi cal / 52 , dated 28th January 1897,
according to the new classification of the nomenclature of diseases for 1896.
This statement shows the different types of insanity. The old cases have been
classified according to the method prescribed in the circular. The admissions
during the year will only be reviewed. Of the 32 admissions, the following
classification has been made:—
Idiocy ... ... ...
Mania, epileptic ... ...
Do., other forms ... ...
Melancholia, epileptic
...
Do.,
other forms ...
Dementia, epileptic... ...
Do.,
other forms ...
Declared to have been recovered ...
Male.
1
1
17
...
3
...
4
1
27
Female.
1
...
4
...
...
...
...
...
5
Total.
2
1
21
...
3
...
4
1
32
( 19 )
STATEMENT No. VIII.
This shows the sickness and mortality. There were 108 admissions to hos-
pital, and 13 deaths, against 109 and 11 respectively in 1896.
Compared as follows :—
Influenza ... ... ...
Dysentery ... ... ...
Ague ... ... ...
Remittent fever ... ... ...
Scrofulus disease ... ... ...
Syphilis ... ... ...
Rheumatism ... ... ...
Anæmia ... ... ... ...
Debility and old age ... ... ...
Apoplexy ... ... ...
Epilepsy ... ... ...
Neuralgia ... ... ...
Paralysis ... ... ...
Conjunctivitis ... ... ...
Inflammation, E. M. ... ... ...
Sore-throat ... ... ...
Chest diseases ... ... ...
Gumboil ... ... ...
Disease of tooth ... ... ...
Dyspepsia ... ... ...
Constipation ... ... ...
Colic ... ... ...
Diarrhœa ... ... ...
Abscess of liver ... ... ...
Hepatitis ... ... ...
Dropsy and albuminuria ... ... ...
Abscess ... ... ...
Ulcers ... ... ...
Eczema ... ... ...
Boil ... ... ...
Carbuncle ... ... ...
Whitlow ... ... ...
Scabies ... ... ...
Ascaris ... ... ...
Ringworm ... ... ...
1896.
4
4
33
8
0
0
1
1
6
1
5
3
0
0
0
2
11
4
0
2
3
1
5
1
0
1
1
5
2
2
0
1
1
1
109
1897.
0
1
35
6
1
1
3
1
4
0
2
1
1
1
2
0
10
0
2
2
1
1
6
0
1
3
9
6
0
0
2
0
5
0
108
There were no cases of small-pox, cholera and influenza. As might be
expected, Fevers gave most admissions, viz., 41. Then Chest diseases 10, Diarrhoea
( 20 )
6, Abscess 9, Ulcers 6, Scabies 5, Debility and Old age 4, Dropsy and Albuminuria
3, Rheumatism 3, and Dysentery 1, &c.
The daily average number of sick was 5.16 against 4.15 in 1896.
Mortality: 13 against 11 in 1896 :—
Dysentery ... ... ...
Remittent fever ... ... ...
Debility and old age ... ...
Apoplexy
...
...
Epilepsy ... ...
Paralysis ... ...
Pneumonia ... ...
Phthisis ... ...
Diarrhœa
...
...
Albuminuria and dropsy ... ...
1896.
0
1
6
1
1
0
0
0
1
1
11
1897.
1
1
1
0
2
1
3
1
1
2
13
The following cases need a few remarks :—
1. Manak, 65, admitted into the Asylum, 27th May 1896, a helpless, hopeless
idiot, had to be forcibly fed all the time he was in the Asylum ; if given food he
threw it away, and died of general paralysis.
2. Dhanai. In the report of last year, it was noted "an emaciated boy, 17
or 18, caught stealing cooked food from a house, was severely beaten and ran
away from his village, wandered about the country. Was apparently sane when
he came to the Asylum, but very thin and emaciated. He came to hospital
suffering from double pneumonia in April, and died 14 days after.
3. A deaf, dumb and blind girl, name unknown, admitted into the Asylum in
1893, and has been continually fed since then, died of gradual exhaustion.
4. J. A., admitted into the Asylum in 1895, very filthy in his habits and
violent. On the 18th August he complained of acute diarrhœa, which could not
be stopped, and he died two days after.
Two cases of chronic epilepsy, one had been over 25 years in the Asylum
and one over 18 years.
The age and period of residence in the Asylum of those who died was as fol-
lows :—
Over 65 years ... ...
„ 55 „ ... ...
„
40
„
...
...
„ 30 „ ... ...
„ 25
„ ... ...
„ 15 „ ... ...
„
0
„
...
...
„
0
„
...
...
4.
2
1
3
1
2
0
0
13
Period of residence over 25 years
„
„
18
„
„ „ 8 „
„
„
5
„
„
„
4
„
„
„
3
„
„
„
2
„
„
„
half-year
1
1
1
2
1
1
2
4
13