2
Statement VI-Type of Insanity.
11. The principal types of insanity treated during the year were Idiocy 80,
Mania 466, Melancholia 212, Delusional Insanity
35, Insanity of Infective, Toxic and Other General
Conditions 374, including 144 caused by Canabis Indica or its preparations.
Statement VII—Aetiological Factors
and Associated Conditions.
12. The principal predisposing and exciting causes were—infective and
toxic 94, mental instability 60, heredity 38,
mental stress 22, and diseases of the nervous
system 21. Owing to insufficient history the
cause of insanity was not ascertained in 115 cases.
Statement VIII—Caeh Accounts.
13. There was an increase in expenditure
during the year under the following heads:—
Establishment.—Rs. 11,000 due to the appointment of a Deputy Superin-
tendent, and an Assistant Deputy Superintendent for a short time and one
Sub-Assistant Surgeon and attendant staff for the new tubercular section.
Diet.—Rs. 25,000 due to the rise in prices of food stuffs.
Clothing.—Rs. 8,000 incurred in the purchase of clothing and bedding
the stock of which had become quite inadequate.
Contingencies.—Rs. 4,000 due to the advance in price of practically
every necessary article of daily requirement.
European Medicines.—Rs. 1,700. The general stock of medicines was
low, the price of drugs high and new appliances and apparatus were indented for.
Receipts from paying patients amounted to Rs. 13,299 as against
Rs. 7,929 in 1920.
Statement X—Manufacture.
14. There was a fall of about Rs. 1,000 in profits from manufactures due
to the closure for nearly four months of the Manu-
factory on account of the epidemics of influenza
and cholera. For over two months "ban " for mat manufacture was unobtainable.
Escapes.
16. There were six escapes during the year, due in five of the cases to
gross neglect on the part of the responsible
attendants. One escaped by breaking up the
brickwork of a drain exit. He was soon apprehended and brought back. Two
patients escaped from the garden, one of these reached his home. His rela-
tives, however, refused to hand him over. The other was found wandering
in the city by one of the asylum staff. The defaulting attendants were
suitably dealt with. One escape occurred from a cell in the hospital, owing
to a structural defect: Two criminals effected their escape by ingeniously
cutting through the bars of their cells and getting away together. The negligent
attendants in this case were awarded one month's simple imprisonment, which
has no doubt had a wholesome effect on discipline.
Attendants.
16. Many demobilized soldiers have been entertained, but unfortunately
with the exception of one or two, they have appar-
ently found the work uncongenial and resigned.
The type of attendant obtainable is unsatisfactory, which is scarcely surprising.
Superintendent and Establishment.
17. Major H. W. V. Cox, I.M.D., who succeeded Major J.F. Fleming,
I.M.D., has been in charge of the Asylum since
9th February 1921. He has discharged his oner-
ous and responsible duties with zeal and ability. He has maintained order
and discipline, and has carried out several improvements in the asylum. Be
has proved himself to be a kind and sympathetic and at the same time a most
efficient Superintendent.
Major A. W. Truter, I,M.D., was appointed Deputy Superintendent on
the 12th of February but within the month was transferred to Multan. Mr.
W. H. G. Thomas, I.M.D., was appointed temporary Deputy Superintendent on
the 28rd of July. He has been tactful and zealous in the performance of his
duties. He was relieved by Mr. J. B. Heppolette, I.M.D., at the end of
November, the former reverting to the post of Assistant Deputy Superintendent :
Mr. Heppolette is a conscientious worker.
Sub-Assistant Surgeons Raghubar Dayal and Bhagwant Ram have
worked satisfactorily and did good service during the epidemic of cholera. Sub-
Assistant Surgeon Chuni Lal who has some bacteriological experience has had
charge of the tubercular enblosures. Lala Ram Saran Das, the Head Clerk, has
performed his arduous duties efficiently.
The Franciscan Sisters have, as in former years, devoted all their energies
to the care of the inmates of the female asylum. They have spared themselves
in no way: and during the epidemic of cholera they were indefatigable in
ministering to the sick.
LAHORE :
The 4th April 1922.
B. CHARLES MACWATT, COLONEL, I.M.S.,
Inspector-General of Civil Hospitals Punjab,