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ment in the garden for males, and for females grinding the grain required
for the asylum. A few musical instruments have been procured, which are
issued out in the evening two or three times a week: some play, while others
dance and caper around; it helps to make them happy and cheerful.' "
Expenditure.
134. The total expenditure was Rs. 9,615-14-2 or Rs. 184-3-7 more than
in the previous year, and the cost of each patienet was
Rs. 95-3-4, or about the same as in the previous year.
The monthly pay of the establishment is Rs. 405. The garden produce
yielded Rs. 190, besides supplying the inmates with abundance of vegetables.
Conduct of Establishment.
135. The conduct of the establishment has been well reported of, but
occasional instances of laziness and carelessness are
mentioned. First Class Hospital Assistant J. F.
Mendez is well spoken of by Dr. Miller; and as regards the Superintend-
ent, Dr. Holmsted, he says :—" It is sufficient to mention that in anything
connected with the well-being of the patients, the efficiency of the establish-
ment, and the general management of the asylum, he takes great interest,
and carries them out effectively." I gladly endorse this.
LUNATICS OUT OF ASYLUMS.
136. Presidency Division.—At the civil hospitals of this division 75
insanes were received, and of these 23 were sent to asylums in 1873-74. In
the year 1874-75 there were 100 insanes brought to civil hospitals ; 18 were
sent to asylums, 26 were cured or improved, 40 were taken away by friends,
and 2 died, 2 absented, and 12 remained at the end of the year. In the jail
hospitals there were 7 cases treated: 5 were transferred to Colaba Lunatic
Asylum, 1 was cured, and 1 was discharged to the care of friends. Only 20
insanes were brought to the dispensaries of this division during the year.
137. Dr. Maitland, Deputy Surgeon-General, Poona Division, has made
no report on lunatics out of asylums.
138. Northern Division.—At the various civil medical charges of this
division 56 insanes were treated—44 males and 12 females. Of these, 22
were in civil hospitals, 2 in jail, and 32 at dispensaries; 18 were cured, 20
absented, 12 transferred to asylum, and 6 made over to friends. The aver-
age duration of treatment was 17.5 days.
Dr. Wyllie says :—" Of 20 absented it is noted in the majority they
were accompanied by friends, and were lost sight of after brief attendance.
In 18 returned as cured the symptoms appear to have been transient; the
average duration was only 15.9 days, a matter which suggests some doubt
as to the reality of the alleged conditions otherwise than as explicable as
the passing effects of intoxicants, the sequence of fever, or the results of
undue exposure."
" How far insanes in the districts are under care and in what proportion
they are friendless, are matters of concern." Statements received from 16 of
the district dispensary officers of lunatics resident in their immediate neigh-
bourhoods (other than the above), of whom they have personal knowledge,
show that of 105 of both sexes 90 are harmless (55 being at large and 35
under the care of friends) ; of 15 dangerous 7 are at large, 8 under friends ;
and of 26 idiots—all harmless—16 are at large and 10 cared for by friends."