38
Full details in reference to the above figures are given by the superin-
tendent. It is sufficient here to note that, as compared with the previous
year they exhibit an increase of 9 in the total, of 5 in the transferred, of 5
in the deaths, and of 12 in the daily strength, with a decrease of 1 in the
cures. There were no escapes throughout.
4. Of the patients, 26 were females classed by caste, 118 were Hin-
doos, 23 Mussulmans, and 1 Parsee; socially, 127 were paupers. In 11
cases only were friends able to meet the cost of maintenance; while native
States defrayed the expenses in four instances. Regarding the preponderance
of paupers, it is observed that insanity is less common under conditions of
competency, and is more particularly the disease of poverty and its accom-
paniments.
5. Among the admissions there were only 2 formerly under treatment,
"and both were instances of relapse due to premature removal by friends
before cure was consolidated." Of the number transferred, 3 were so far
improved that their ultimate recovery was merely a question of a few weeks
at most.
6. It is noted of the nomenclature above followed, that the conditions
named were those existent on admission; and that the preponderance of
acute mania exhibited is scarcely accurate at this date, since "in the lapse of
years many of the cases would necessarily be more correctly included in the
chronic category." Adjustment, however, could not be effected without ob-
viously destroying the statistical values attaching to the admitted and dis-
charged.
7. The cures were relatively fewer than for some years past, and ex-
cepting the case of a criminal, sane since 1866, the longest under treatment
was 1 year and 9 months, the least 2 months. In estimating the number, it
is needful to note, as already remarked, that 3 of the transferred would have
swelled the list but for the untimely intervention of friends, as well as to
mention that, among those remaining at this date, 8 are convalescents and
11 slowly improving. But, apart from such considerations, results have been
in all respects satisfactory, the recoveries being equal to 15.1 on mean daily
population; thus, generally, exceeding those of kindred institutions elsewhere,
notwithstanding the large residuum of incurable cases that inevitably ac-
cumulate in the lapse of years.
8. A table of the duration of the cases from admission is given by the
superintendent, and of the total, 15 are shown as under 6 months, 10 under
1 year, 23 from 1 to 2 years, the same number from 2 to 5 years, and 24
above the latter period but under 10 years. Of the remainder, 10 are under
20 and 4 above that term—2 of them exceeding 30 years. Thus, of the re-
maining at this date, there are a larger number of chronic and utterly ir-
remediable cases, increasing year by year, constituting "a gradually grow-
ing mass of incurables who die out but do not recover."
9. The mortality was moderate and confined to 8 casualties, giving a
ratio of 7.5 per cent. to daily population, the average for the decennium being
9.5. All the deaths occurred from physical ailments existing prior to ad-
mission; two happened from Bright's disease, and one each from diarrhœa,
phthisis, anæmia, ulceration of the rectum, valvular cardiac disease, and
asthma; the third, fourth, and seventh, in intervals of 4 days, 1 month, and
5 weeks, respectively, from reception.