NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 6.
FROM
THE SUPERINTENDENT OF ASYLUMS AT THE PRESIDENCY,
To
THE SECRETARY INSPECTOR GENERAL, MEDICAL DEPT.,
FORT WILLIAM, BHOWANIPORE,
The 17th January 1868.
SIR,
I have the honor of submitting herewith the Annual Returns of the European
Lunatic Asylum for the past year.
In my report of the year 1866, a complete history of the institution was given
from the time when it passed into the hands of Government, and of the several changes
which it has been found expedient to make in the details of management from that time
to the present. I pointed out the great structural defects of the place with the reasons
which render it unnecessary to apply any remedy for them on a large scale, and the
special circumstances which govern the admission, detention, and removal of patients, and
render the statistics of the asylum valueless for comparison, or for elucidation, of the origin,
progress, and issue of insanity among Europeans in India, and which preclude the introduction
of an industrial system or any form of regular employment such as is attended with great
advantages in the native asylum. I traced, as far as I was able, the result of despatching
harmless military lunatics to Europe as ordinary invalids, and of the general removal of those
of European parentage which had been carried out at my recommendation in 1863.
The several measures recorded were approved, and the arguments and conclusions fully
accepted by the Government of Bengal in resolution dated 22nd April 1867 ; it is not therefore
( 4 )
driven back for the present to the prison-like cells from which they had escaped, and of
which all the repelling aspect seems now brought into greater prominence than ever. The
difficulty of obtaining masons and carpenters at the present time is extreme; nevertheless,
an attempt is being made to repair the loss, and some suitable structure will no doubt have
been erected before the hot weather has advanced.
I have the honor to be,
SIR,
Your most obedient Servant,
ARTHUR PAYNE, M. D.,
Surgeon Superintendent.
( 5 )
Detailed Report of Fatal Cases during the Year 1867.
Names.
J Gonsalie ... ...
G. Swinton ... ...
B. Concannon ... ...
J. Gregory ... ...
J. Saudeland ... ...
Miss C. G. Jahans ... ...
Mrs. E. Tresham ... ...
Age.
28
83
41
30
51
18
60
Date
of
Admission.
18th July 1867.
26th „ 1825.
14th Dec. 1866.
17th Aug. 1867.
26th Oct.
„
21st „ „
loth Aug. „
Date
of
Death.
28th July 1867.
3rd Sep. „ ...
29th „ „ ...
9th Oct. „ ...
27th „ „ ...
16th Nov. „ ...
21st Dec.
„ ...
Disease.
Chronic dysentery.
Ditto
ditto. ...
Asthenia ...
Apoplexy (serous).
Acute dysentery ...
Exhaustion of mania
Chronic dysentery.
REMARKS.
Reached the asylum from General Hospital in a state of great debility and emacia-
tion. Scarcely able to stand with incessant diarrhœa discharge. He gradually
sank, and died 10 days after admission.
A very old man; admitted into the asylum in 1825 ; died more from extreme age
than any other cause.
An Eurasian ; a gradually advancing cachectic condition.
Epilepsy ; died from effects of a protracted seizure.
Admitted in extremity of illness from the Medical College Hospital, suffering in the
last stage of acute dysentery ; died the following day with perforation of the
intestine.
Nothing worthy of remark. Protracted and violent maniacal excitement.
An old woman ; weak, anœmic on admission, and suffering from chronic dysentery,
which never left her to the time of her death.
ARTHUR PAYNE, M. D., Surgeon,
Superintendent of Asylums.
( 7 )
European Insanes at Bhowanipore during the Year 1867.
THE 1 ST JANUARY 1868.
Cause (alleged).
Unknown ...
„ ...
Injury to head ...
Domestic trouble
Masterbation
Climatic disease ...
Sunstroke ...
Venery ...
Loss of property ...
Intemperance ...
Ill-usage ...
Intemperance ...
Unknown ..
„ ...
Intemperance ...
Sunstroke ...
Exposure to sun ...
Unknown ...
Intemperance ...
Masterbation ...
Unknown ...
Hereditary ...
Unknown ...
Injury to head ...
Intemperance ...
Grief ...
Hereditary
....
Unknown ...
„ ...
Injury to head ...
Unknown
„ ...
„ ...
„ ...
Intemperance ...
„ ...
„ ...
Venery ...
Injury to head ...
Unknown ...
„ ...
Intemperance ...
Hereditary ...
Unknown ...
Intemperance ...
„
...
Unknown ...
„ ...
Intemperance ...
Unknown ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
Complication.
Unknown
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
Epilepsy
Unknown
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
Epilepsy
Unknown
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
DATE OF
Admission.
26th July. 1825
15th Aug. 1832
13th April 1841
1st Sep. 1853
12th Sep. 1854
21st April 1866
28th April 1866
30th April 1866
17th July 1866
25th July 1866
7th Aug. 1866
8th Aug. 1866
8th Sept. 1866
„ ...
11th Oct.
1866
8th Nov. 1866
13th Nov. 1866
29th Nov. 1866
6th Dec. 1866
14th Dec. 1866
27th Dec. 1860
28th Dec. 1866
14th Jany. 1867
29th Jany. 1867
31st Jany. 1867
13th Feby. 1867
25th Feby. 1867
6th March 1867
22nd March 1867
26th March 1867
„
„
„
4th April 1867
5 th April 1867
23rd April 1867
„
„
15th May
1867
18th May 1867
20th May 1867
23rd May 1867
30th May 1867
16th July 1867
18th July 1867
23rd July 1867
8th Aug. 1867
17th Aug. 1867
20th Aug. 1867
24th Aug. 1867
31st Aug. 1867
23rd Sep. 1867
24th Sep. 1867
26th Sep. 1867
„
„
26th Oct.
1867
15th Dec. 1867
19th Dec. 1867
Discharged
cured.
22nd March
13th May
1st July
9th Augt.
1st Nov.
DESPATCH TO
EUROPE.
As
Ordinary
Invalids.
24th March
28th April
26th April
26th April
28th April
28th April
As Insane
Patients.
11th Feby.
11 thFeby.
11th Feby.
15th Feby.
11th Feby.
„
„
„
„
„
„
„
„
„
„
„
„
7th May
Transferred to
Friends improved.
DEATH.
Date.
3rd Sep.
29th Sep.
28th July
9th Oct.
27th Oct
Cause.
Old
age
Asthenia
(Ch). dysnty.
Apoplexy
Acute dy.snty.
Class.
1
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2 2
2
2
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
REMARKS.
Pauper.
„
„
„
„
Military.
„
„
Pauper.
„
„
„
Military.
„
„
„
Pauper.
Military.
Pauper.
„
Military.
„
„
„
Paying.
„
„
Pauper.
„
Military.
„
„
„
„
„
„
„
„
„
„
„
Paying.
Pauper.
Paying.
Pauper.
„
Military.
Pauper.
„
Paying.
Military.
Panper.
Military
„
„
Pauper
Military
„
( 8 )
Numbers.
60
1
2
3
4
5
6
7
8
9
10
11
12
NAMES
MALE,—continued.
George Robbins ...
FEMALE.
Mrs. A. Dessa ...
Miss Ann Maria Wroughton ...
Miss Victoria R. M. Rose ...
Mrs. Fayoline Friedman ...
Mrs. Harrison ...
Mrs. Eliza Sexton ...
Mrs. Julia Ambrosia Broom ...
Mrs. Mary Glass Carleton ...
Mrs. Elizabeth Tresham ...
Mrs. Maria MacGuire ...
Miss Cecilia Grace Johans ...
Mrs. Sarah Hand ...
Age.
32
46
64
19
32
42
30
32
48
60
36
18
26
Occupation.
Pte., 2nd Dgn. Guard
Lady ...
Housewife ...
Lady ...
Housewife ...
Service ...
None at present ...
Housewife ...
Parentage.
European ...
East Indian ...
European ...
East Indian ...
European
...
East Indian ...
European ...
East Indian ...
Ditto ...
European ...
Ditto ...
East Indian ...
European ...
Birth-place.
England ...
India ...
England ...
India ...
Germany ...
India ...
Ditto ...
Ditto ...
Ditto ...
Ireland ...
Ditto ...
India ...
Ditto ...
Disease.
Mania, acute ...
Dementia ...
Mania, chronic ...
Imbecility ...
Mania, chronic ...
Do., acute ...
Do., chronic ...
Ditto ...
Ditto ...
Ditto ...
Mania, acute ...
Mania ...
Puerperal mania ...
ABS
Male ... ... ...
Female
...
...
...
TOTAL ...
Remaining
1st January 1867.
22
7
29
Admitted.
38
5
43
Re-admitted.
...
...
...
TOTAL
of remained,
admitted, and re-
admitted.
60
12
72
Discharged cured.
5
...
5
Ratio per cent. of
Do.
do. of
Influenced by the
( 9 )
Caused (alleged).
Unknown
...
Unknown ...
Domestic trouble...
Unknown ...
Hereditary ...
Unknown ...
„
Grief ...
Unknown ...
Hereditary ...
Complication.
Unknown
Unknown
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
„ ...
DATE OF
Admission.
29th Dec. 1867
22nd June 1849
22nd April 1863
13th Nov. 1865
19th Nov. 1865
20th Dec. 1865
19th June 1866
10th Oct. 1866
16th Mar. 1867
15th Aug. 1867
9th Oct. 1867
21st Oct. 1867
6th Nov. 1867
Discharged
cured.
DESPATCHED TO
EUROPE.
As
Ordinary
Invalids.
As Insane
Patients.
11th Feb.
Transferred to
Friends improved.
DEATH.
Date.
21st Dec.
15th Nov.
Cause.
(Ch.) dysnty.
Exhn. of mania
Class.
2
2
2
2
2
2
2
2
2
2
2
2
2
REMARKS.
Military.
Pauper.
„
Paying.
Pauper.
„
Paying.
Pauper.
Paying.
„
Pauper.
„
Paying.
ARTHUR PAYNE, M.D., Surgeon,
Superintendent Asylums.
TRACT.
Despatched to
Europe as Ordinary
Invalids.
6
...
6
Despatched to Europe
as Insanes.
17
3
20
Died.
5
2
7
REMAINING UNDER TREATMENT.
EUROPEAN.
Male
...
19
Female
...
2
EAST INDIAN.
Male
...
6
Female
...
3
30
Paying.
1
1
1
1
4
Military and
Pauper.
19
2
6
3
30
cures and transfers 43.
mortality
... 10.
moon
...
... None.
ARTHUR PAYNE, M.D., Surgeon,
Superintendent of Asylums.
(RESOLUTION.)
MEDICAL.
Fort William, the 8th August 1868.
READ a letter No. 197, dated 26th June 1868, from the Inspector-
General of Hospitals, Lower Provinces, submitting the Annual Reports
and Returns of the several Lunatic Asylums under the Government of
Bengal for the year 1867.
1. The Lieutenant-Governor is glad to observe that, with the
exception of the Dacca Asylum, in which there is a slight increase, the rate
of mortality, calculated on the daily average treated, has decreased considerably
as compared with that of the preceding year; the reduction appears to be
entirely due to the absence of cholera which only caused 2 deaths against 29
last year, and the diminished violence of dysentery and diarrhœa which are
only debited with 24 deaths as against 35 last year. The deaths from all
other causes will, therefore, stand at 81 for each of the years 1866
and 1867.
The following is the ratio of mortality to daily average strength for
each of the two years:—
Dullundah ... ...
Moydapore ... ...
Dacca
...
... ...
Patna
...
...
...
Cuttack ... ... ...
1866.
32.19
16.00
16.00
26.44
20.00
1867.
23.18
10.00
16.67
12.31
12.12
2. The number of women, both Hindoos and Mahomedans, admitted
during the year continues to fall very far short of the number of men.
It would be interesting to know whether this is entirely due to the greater
reluctance of the friends to send women to the Asylums, or whether there is
much less insanity among females than among males in Lower Bengal.
3. From Table No. 8 at page 4 of the Report, it appears that the
average yearly cost per head has increased in 1867 in the Dullundah, Dacca,
and Cuttack Asylums, especially in the last. On the other hand, there has
been a reduction of cost at Moydapore and Patna. The Lieutenant-Governor
observes from the comparative statement appended to Table 9 that the
up-country Lunatic Asylums give a very much lower average yearly expense
for each patient than those of Bengal, on the other hand their ratio of
mortality is considerably higher.
4. The decrease in the mortality of the Dullundah Asylum is attri-
buted by Dr. Payne almost entirely to the lunatics arriving in better physical
condition than heretofore. In regard to this point, the measure now under
consideration of increasing the number of Asylums will obviate in some
degree the necessity for the long journeys of the insane patients to the
Dullundah Asylum, which Dr. Payne considers so objectionable.
5. It is disheartening to find the death-rate at Dullundah still remains
so high and apparently so incorrigible, notwithstanding all the endeavours
made to improve the Asylum. It is singular too, in contrast with the very
small mortality of the neighbouring Presidency Jail. The Lieutenant-
Governor hopes that when the new buildings are completed and the
( 2 )
excessive pressure taken off the available space by the erection of additional
Asylums at other places, overcrowding will cease, and with it the present
excessive mortality.
6. The Lieutenant-Governor has perused with interest the Table
prepared by Dr. Payne to shew the effect of long journeys on the health
and mortality of lunatics. It seems to show clearly enough that there is a
far greater liability to death among patients that have recently joined the
Asylum than among those that have been in it for some time. This seems
placed beyond all doubt by the fact that with 197 admissions 34 patients of
less than one year's residence in the Asylum died, while out of 190 patients
previously in the Asylum only 17 died, and that out of the 34 deaths 30
happened in the first four months. But the Table does not appear to
afford much support to the theory that the mortality is greater among
patients who come from distant than among those who come from adjacent
districts, however certain that theory may be on other grounds. The
Calcutta group of districts avowedly throws no light on the theory, as
the proportion of patients that arrived in a weak physical condition is
greater than in the next group of districts one degree removed from
Calcutta; but omitting this first group for the reasons urged by Dr. Payne,
it still does not appear that the patients who have come from districts
remote from Calcutta, show a mortality greater to any appreciable extent
than that of those who come from the middle group of districts. Dr. Payne
contends that his figures shew that from the remoter districts 25 per
cent. arrived in a physically bad state, and 20.4 per cent. died, while
from the less remote districts 8.3 per cent. only arrived in a sick state,
and 12.5 per cent. only died (the 8.3 should be 10.8, as there were four and
not three patients who are reported to have arrived sick) but this result is
obviously due to the method of grouping. Hazareebaugh and Pubna are
entered in both the remoter and less remote groups, while Moorshedabad and
Jessore, both of which materially influence the average of their respective
groups in favor of Dr. Payne's theory, are entered, the former as a
remote and the latter as a less remote district. Practically Moorshedabad
is more easy of access to Calcutta than Jessore is. Assuming that Hazaree-
baugh and Pubna were included in the middle group by mistake, it is still
difficult to understand why Moorshedabad should be regarded as a distant
and Maunbhoom as a less distant district. Had the grouping been, group
No. 2—Burdwan, Kishnaghur, Midnapore, Moorshedabad, Jessore, Hooghly,
Raneegunge, Beerbhoom, Bancoorah; and group No. 3—Rajshahye, Pubna,
Maunbhoom, Dinagepore, Hazareebaugh, Cuttack, Bhaugulpore, Bogra,
Rungpore, Maldah, Bootan, Chyebassa, Port Blair, the figures would have
been—
Group No. 2
Group No. 3
Remained.
54
10
Arrived.
49
20
Total.
103
30
Arrived
sick.
7
4
Percentage of
Sick admis-
sions.
14.2
20
Total deaths.
16
5
Death-rate.
15.5
16.6
—a result which somewhat supports Dr. Payne's theory as regards the
effect of the journey on the state of the patient when he arrives, (an effect
( 4 )
15. The observations taken by Dr. Hutchinson of the effect of heat,
cold, damp, and of the moon on maniacal excitement are interesting. The
Lieutenant-Governor hopes that Dr. Hutchinson will continue these
observations in order to ascertain whether the results of several years will
confirm those which at present extend over only a single year.
16. The purchase of a weighing machine for the Cuttack Asylum,
and the increase in the Warder Establishment, have been separately sanc-
tioned ; the provision of separate accommodation for European lunatics is
still under consideration.
17. The Superintendent of the Cuttack Asylum calculates the total
cost of each patient at Rupees 113 for the year, which he states to be the
same as last year. It appears, however, from Table No. 8 given at page 4
of the report, that the annual cost has, as a fact, risen from Rupees 89 to
Rupees 138, an increase which requires some satisfactory explanation,
allowing for the famine allowance given to the servants and for the
exceptionally high prices.
18. The statements of profits of the labor of lunatics is satisfactory,
but it is a point calling for further report whether, when the cost of the
Asylums is borne by Government, money paid for the maintenance of
patients by their friends should be credited to the Labor Fund, as has been
done in the case of the Dullundah and Cuttack Asylums. The proper
procedure seems to be that followed in the case of the maintenance money
paid by the Cooch Behar State, as reported by the Superintendent of the
Dacca Asylum, viz., to credit the amount as a set-off to the expenses of the
Institution.
19. The Commissioner of Dacca will be requested to report in
regard to the alleged neglect to enforce the provisions of Section 5, Act
XXXVI. of 1858 in his Division, as noticed by the Superintendent.
20. The management of the European Lunatic Asylum at Bhowanipore
is satisfactory. During the year under review, the admissions, male and
female, were 43, which added to the number remaining over from the
past year gave a total of 72. Of these 5 were discharged cured, 7 died,
and 26 were dispatched to Europe, the rest remaining under treatment.
The Lieutenant-Governor notices with pleasure the high terms in which
Dr. Payne speaks of the Head Overseer, Mr. DeVere, and the Matron,
Mrs. DeVere. Also the favorable testimony borne to the manner in which
Overseer Franklyn has discharged his duties. The Native Establishment
too is said to have worked well. The actual cost of the institution has been
Rupees 32,939 for the year, while payments for maintenance of patients for
the same period have amounted to Rupees 4,147. Sanction has been
separately given to the re-construction of the garden house.
ORDER.—Ordered, that a copy of this Resolution be forwarded to the
Inspector-General of Hospitals, Lower Provinces, for information and
guidance.
Ordered also, that an extract (paragraph 13) from this Resolution,
and extracts from page 7 of the Report, and paragraph 9 of Dr. Hutchinson's
Report at page 73, be forwarded to the Officiating Commissioner of Patna
for information and guidance.
( 5 )
Ordered also, that extract (paragraph 19) from this Resolution, and
extract from page 42 of the Report, be forwarded to the Officiating Com-
missioner of Dacca, for information and guidance.
By Order of the Lieutenant-Governor of Bengal,
S. C. BAYLEY,
Offg. Addl. Secretary to the Govt. of Bengal.
No. 3929.
COPY, as above, to the Inspector-General of Hospitals, Lower Provinces.
No. 3930.
EXTRACTS, as above, to the Officiating Commissioner of Patna.
No. 3931.
FORWARDED to the Officiating Commissioner of Dacca.
FORT WILLIAM,
H. L. HARRISON,
The 8th August 1868.
Junior Secretary to the Govt. of Bengal.
ANNUAL REPORT
OF THE
INSANE ASYLUMS IN BENGAL
FOR THE YEAR
1868.
BY
J. MURRAY, ESQ., M. D.,
INSPECTOR GENERAL OF HOSPITALS,
BENGAL MEDICAL DEPARTMENT.
CALCUTTA:
OFFICE OF SUPERINTENDENT OF GOVERNMENT PRINTING.
1869.
( ii )
No. 2.
Caste of Persons admitted.
Dullunda
...
...
Moydapore ... ...
Dacca ...
...
Patna
...
...
Cuttack
...
...
TOTAL ...
ADMISSIONS AND
RE-ADMISSIONS
DURING THE
YEAR.
Males.
141
... 90
*82
16
329
Females.
55
... 22
20
1
98
HINDOOS.
Males.
87
... 64
58
15
224
Females.
37
...
12
14
1
64
MAHOMEDANS.
Males.
48
... 23
24
1
96
Females.
17
... 8
5
...
30
CHRISTIANS.
Males.
6
... 3
...
...
9
Females.
1
... 1
1
...
3
UNKNOWN.
Males.
...
...
...
...
...
...
Females.
...
... 1
...
...
1
* Excluding two, who were not insanes.
This Table shows lunatic patients present in the proportion of 1 Mussul-
man to 2.28 Hindoos ; the proportion of females are very similar, being 1 female
to 3.30 males, Hindoos; 1 female to 320 males, Mussulmen; and 1 female
to 3 males, Christian, The total proportion of females being 1 to 3.35 males.
No. 3.
Criminal Lunatics admitted for the first time.
Dullunda ... ... ...
Moydapore ... ... ...
Dacca
...
...
...
...
Patna
...
...
...
...
Cuttack
...
...
...
...
TOTAL
...
Number.
......
......
14
6
5
25
No. 4.
Forms of Insanity.
Cuttack ...
...
Dacca ...
...
Dullunda...
...
Moydapore ...
Patna
...
...
TOTAL ...
Total treated.
51
321
444
10
*253
1,079
Daily average Strength.
36
200
268
9
162
675
Delusional Insanity.
...
...
3
...
...
3
Moral Insanity.
...
8
...
...
9
17
Monomania.
18
24
...
...
8
50
Mania, Acute.
24
21
198
...
157
400
Mania, Chronic.
2
130
175
7
23
337
Mania, recurrent.
...
...
...
...
16
16
Melancholia.
4
67
1
...
2
74
Dementia, (from protracted
Mania).
3
56
40
3
30
132
Dementia, congenital.
...
10
...
...
1
11
Dementia, Imbecility.
...
...
19
...
...
19
Observations.
...
...
8
...
2
10
Amentia.
...
5
...
...
2
7
Not as
Insane.
...
...
...
...
3
3
* Excluding two, who were not insanes.
This Table shows a larger proportion of cases of acute mania than in the
preceding year.
( iii )
No 5.
Causes of Insanity.
Cuttack ... ...
Dacca ... ...
Dullunda ... ...
Moydapore ... ...
Patna
... ...
TOTAL ...
INTOXICA-
---- DRUGS
Gunjah and Bhang.
...
103
123
4
85
315
Opium.
...
5
1
...
4
10
Dhatoorah.
...
...
...
...
1
1
Other Drugs.
...
...
...
...
1
1
Intemperance and intoxica-
ting drugs.
19
21
19
...
18
77
Starvation.
...
...
...
...
...
...
Anger.
1
1
...
...
...
2
Religion.
2
1
...
...
...
3
Grief.
8
6
...
...
8
22
Jealousy.
1
...
...
...
...
1
Fright.
1
2
...
...
...
3
Loss of relatives.
...
2
...
...
10
12
Loss of Property and Money.
...
8
...
...
10
18
Study or reading Ramayan
and Koran.
...
1
...
...
2
3
Epilepsy.
...
8
20
...
3
31
Fevers.
...
7
...
...
2
9
Hereditary.
...
21
...
...
1
22
Congenital.
...
7
...
...
...
7
Debility.
...
1
...
...
...
1
Disappointment in love.
...
2
...
...
...
2
Family dispute.
...
1
...
...
...
1
Debauchery.
...
6
...
...
...
6
Hypochondria.
...
3
...
...
...
3
Mental anxiety.
1
...
...
...
...
1
Abdominal pain.
...
1
...
...
...
1
Vertigo.
...
1
...
...
...
1
Miscarriage.
...
1
...
...
...
1
Desertion of wife.
...
1
...
...
...
1
Amenorrhœa.
...
...
...
...
1
1
Vexation.
...
...
...
...
1
1
Unknown.
18
111
281
6
106
522
TOTAL.
51
321
444
10
253
1,079
* Excluding two, who were not insanes.
One case out of every 2.67 treated was caused by intemperance or intoxi-
cating drugs; 1 in 3.42 of treated being from gunjah and bhang alone.
The proportion of cases, cause unknown, remains the same, bearing
the relation of 1 to 2.12 causes last, it is slightly reduced to 1 in 2.06 this year.
There would seem to be more minute classification adopted at all the Asylums
than at Dullunda. At Dullunda the proportion of epileptics is very large.
No. 6.
Causes of Mortality.
Dullunda ... ...
Moydapore...
...
Dacca
...
...
Patna
...
...
Cuttack
...
...
TOTAL ...
Phthisis Pulmonalis.
1
...
10
...
...
11
Dysentery, Acute.
1
...
1
3
...
5
Ditto, Chronic.
1
...
1
...
1
3
Asthenia.
26
...
...
...
...
26
Epilepsy.
1
...
...
...
...
1
Diarrhœa.
4
...
...
...
...
4
Cholera.
...
...
15
...
...
15
Cacheria.
...
...
10
...
...
10
Meningitis; Chronic.
...
...
3
...
...
3
Exhaustion of Mania.
10
...
...
...
...
10
Pneumonia.
...
...
1
...
...
1
Pericarditis.
...
...
1
...
...
1
Peritonitis (Tubercular.)
...
...
1
...
...
1
General Paralysis.
...
...
1
...
...
1
Old Age.
...
...
1
...
...
1
Accidents.
1
...
...
...
1
2
Anasarca.
...
...
...
1
1
2
Lepra.
...
...
...
...
1
1
Drowned.
1
...
...
...
...
1
Rupture
of Spleen.
1
...
...
...
...
1
Tetanus.
1
...
...
...
...
1
Hepatitis.
...
...
...
1
...
1
Bronchitis Acute.
...
...
...
1
...
1
Total.
48
...
45
6
4
103
The percentage of mortality has again decreased this year, in comparison
with the two years preceding, notwithstanding there were 15 deaths from cholera
against 2 only in 1867. Fatal dysentery cases have been numerically few.