2
Statement VI.—Types of insanity.
7. Mania contributed 91 towards the total admissions, melancholia 34,
circular insanity 17, mental stupor 3,
delusional insanity 3, alcoholic insanity
2, insanity of Haschisch 34, Dementia 44, and 6 were declared to have re-
covered or the type had not been diagnosed.
Statement VII.—Aetiological factors and associated
conditions.
8. In regard to ætiological factors and associated conditions in the
patients, " Heredity" accounts for 15
admissions, of which 12 were returned
under the head " Insane " and 3 under the head " Epileptic." There were 19
admissions under "Mental stress," 11 of which were "Sudden" and 8
"Prolonged". Spirits and intoxicating drugs as shown under head "Toxic"
were responsible for 49 admissions, and " Diseases of the nervous system"
accounted for 15, of which 13 were due to " Epilepsy ". In 5 cases no cause
was assignable, and in 115 no cause could be ascertained.
Statement VIII.—Cash account.
9. The total receipts from all sources aggregated Rs. 1,34,904 as against
Rs. 1,26,495 in 1911 and Rs. 1,03,207
in 1910. In consequence of the in-
creased population and the rise in prices of articles, the expenditure under
heads diet, clothing and bedding and contingencies shows a steady increase.
The expenditure under " Establishment " is also slightly higher. The receipts
on account of the value of stores manufactured were larger than in the
preceding year, while those from paying patients were about the same. This
last item, however, varies considerably with the class of patients admitted and
is not capable of being controlled.
Statement X.—Manufactures.
10. The manufactures and occupations of the patients were carried on as
in previous years, the former providing
for almost all clothing required in the
Asylum, while a cash profit of Rs. 1,498 was made on the few saleable articles.
General.
11. During the autumn sanction was given for providing masonry floor-
ing and dadoes to all the interior and
for the verandahs of the barracks and
sleeping rooms, and it was expected the work would be completed before the
close of the last financial year. This much needed work will make a vast
improvement in the patients' well-being and should in time materially lessen
the sickness from bowel complaint and tubercle, much of which is probably
due to the disease-infected mud floors on which the patients are in the habit
of sleeping. When funds admit of beds and charpoys being provided for all,
little in the way of prevention of these diseases will be necessary.
12. I cannot speak too highly of the able and sympathetic manner in
which Lieutenant-Colonel Ewens discharged his duties throughout the year.
Military Assistant Surgeon Hottinger who had always worked with great
zeal and ability relinquished charge of the post of Deputy Superintendent on
16th May 1912, and was succeeded by Lieutenant J. F. Fleming who had
previously held that post continuously for seven years. His wide knowledge
of the place and its inmates and his special aptitude for the work, combined
with his great industry, make him a most welcome Assistant to the Superin-
tendent. Military Assistant Surgeons McGuire, Allan and D'Abreu, who
held successive charge of the hospital, worked well. The Franciscan Sisters
have continued to work in the Female Asylum during the year with their
usual devotion.
LAHORE :
The 9th April 1913.
C. J. BAMBER, COLONEL, I.M.S.,
Inspector-General of Civil Hospitals, Punjab