2
In the Jubbulpore Asylum there were 9 deaths (equal to 5.99 per cent. of
daily average strength) against 8 in 1903. Two of these insanes had been over
33 years in the Asylum, one being 84 and the other 88 years of age. There
were two deaths from pneumonia, and one from dysentery. A fatal case of
plague occurred in December. The adjoining portion of the town was at the
time plague-infected.
The usual precautions were taken. No further case
occurred.
STATEMENT VII.
The causes of insanity are said to have been unknown in about one-fourth
of the admissions in the Jubbulpore Asylum. The proportion is practically the
same as in the year previous. In the Nagpur Asylum more care appears to
have been taken than in previous years to ascertain the causes of insanity in the
case of new admissions. A reference to the district from which the insane
comes often leads to the desired information being obtained.
STATEMENT VIII.
The amount shown as received from paying patients in the Nagpur Asylum,
viz., Rs. 2,147-7-6, includes Rs. 1,694-4-0 on account of 23 Berar lunatics at
Rs. 75 per head. Calculated on items 8 to 14 inclusive and item 21 of State-
ment VIII, the average cost per head in the Nagpur Asylum was Rs. 91-1-6,
practically the same as in 1903, and in the Jubbulpore Asylum Rs. 68-8-10, or
Rs. 8-0-5 more than in the previous year. The increase in the cost in the Jub-
bulpore Asylum is due to some extent to improvement in the pay of warders and
to improvement in the diet scale. In the Nagpur Asylum the cost per head was
apparently much higher than in Jubbulpore The contingent expenditure in Nag-
pur amounts to Rs. 3,440 whilst in Jubbulpore it was only Rs. 580-12-6. The
contingent expenditure in the Nagpur Asylum is mainly incurred in connection
with the Dairy Farm, the income from which is credited to Government. Making
allowance for the receipts (approximately Rs. 3,000) from the Dairy Farm at Nag-
pur, the actual cost per head in the two Asylums does not differ very materially.
STATEMENT X.
The blankets manufactured at the Jubbulpore Asylum and sold to the pub-
lic realized Rs. 200 more than in 1903. All the Asylum clothing, including that
of the Establishment, is manufactured by the lunatics. At Nagpur the clothing
and bedding is purchased.
The Dairy Farm at the Nagpur Asylum has continued to work satisfactorily.
It supplies the wants not only of the inmates of the Asylum, but also to a large
extent of the public. The attached Farm has also proved a profitable concern.
It is to be hoped that the question of a new Central Asylum at Chhindwara
will soon be decided. The Asylums at Jubbulpore and Nagpur are neither of them
quite up to modern standards. They have, however, been used to the best
advantage and have been well managed by their respective Superintendents. They
have been to some extent improved, but as previously noted further improvements
have been postponed pending a final decision on the question of a new Central
Asylum.
The diet scale in both Asylums has been improved. The lunatics are well
fed and well clothed. Their amusements are attended to, and every consider-
ation is shown them.
M. D. MORIARTY, COLONEL, M. D., F. R. C. S. I., I. M. S.,
Inspector-General of Civil Hospitals,
Central Provinces.