2
Statement VII—Actiological factors
and Associated conditions.
8. As usual owing to no history being available 130 out of a total
of 344 admissions had to be classed " History-
defective, " while in 15 others there was no
cause assignable. The various toxins account for 73 and in this group Ganja,
Charas and Bhang, claim the lion's share with 49. Heredity causation
comes next with 46. The various mental stresses 21, mental instability 20,
diseases of the nervous system 23, deprivation of special senses 1, critical
periods 3, Physiological defects and errors 1, and other bodily affections 3.
Statement VIII—Cash Accounts.
9. The total receipts were Rs. 2,04,184 or approximately Rs. 30,000
in advance of 1918. The chief factors contri-
buting to the enhancement were about Rs. 9,000
due to the increased rates of pay of the establishment Rs. 12,500 on account of
diet and clothing and Rs. 5,800 on account of Public Works Department
charges.
The cost of Medical stores, it may be noted, is very disproportionate
compared to 1918, being Rs. 1,400 in excess due to the fact that the Military
Accounts had not submitted their statement for 1918, early enough for inclu-
sion in the last annual report. The increased cost in maintenance, needless
to say, is due to the high prices of everything. There has been a falling off
in the receipts from paying patients of Rs. 1,000 due entirely to the depar-
ture of a number of Europeans to Ranchi.
Statement X—Manufactures.
10. The total credits (Rs. 23,662) is Rs. 2,200 over the amount for
1918—this includes Rs. 700 cash in excess of the
amount that was deposited last year for articles
sold due to an increased sale of munj matting and garden produce.
General.
11. The population shows a diminution over 1918, the result, to a
great extent of the stoppage of the influx of
military insanes from overseas, which was purely
a temporary condition and has automatically disappeared after the cessation
of the War.
Overcrowding still continues in the male section. A project,
however, is under consideration to ameliorate this condition by the erection
of a separate enclosure for the criminal insane. The acquisition of land for
the purpose of extension for the prevention of tubercle has been notified in
the Gazette, and the necessary funds having been allotted, work will soon
be commenced. The drainage of the female asylum has been very satisfac-
torily improved and a roof to the dhobi-ghat has been added which is a great
boon in the summer months. Among the other minor works is a small
godown, a latrine for the servants' quarters and chappar for a new jhalar.
There was one escape of a military insane during the year—this man was,
however, recaptured soon after, being found wandering aimlessly in the bazar.
There were no deaths from suicide.
Attendant Staff.
12. There has been a very substantial increase of pay amongst this
body of officials during the year. Every effort
has been made to secure time expired men of
the Indian Army, but this class do not show any keenness to join and the few
who accept service are of an inferior type.
13. Major J. F. Fleming, I.M.D., held charge of the Asylum through-
out the year. He discharged his onerous and responsible duties with his
usual zeal and ability. This is the fourth year in succession that he has
performed the duties of Superintendent single banded and the highly efficient
working of the institution is a credit to his administrative qualifications.
The Franciscan Sisters performed their duties in a highly praiseworthy
manner and have added another year of zealous and devoted service to their
credit.
LAHORE :
D. M. DAVIDSO N, LT.-COL., M.D., I.M.S.,
The 8th April 1920.
Of f g.
Inspector-General of Civil Hospitals, Punjab.