ear is f 0o
ty for t! u ,
1879.
:ed to the
atter were
ie Asylum
Irugs may
loir reason
rivation of
ceasing to
itients still
foreigners
, there are
who have
en.
these-
1876.
1877.
1878.
187!).
34-83
35-46
40'42
45*69
37
20
31
18
6 )
9 1
ill
3
9
21
o [ -21
28
24
7 (
13|
4
4
7
2
8
1
5
4
3
1
3
5
3
...
7
14
REPORT ON THE TEZPDR LUNATIC ASYLUM.
i
Here also is an improvement, though the average sick rate is still rather high, this, however, is due
to the presence of several weakly subjects, who by frequent admission to hospital go to swell the sick
list. Among the females, exactly half the sick-rate has been contributed by two weakly subjects who
w( ,rc admitted to the Asylum suffering from incurable organic uterine disease, and whose presence on
the sick list means that they require more careful looking after, and a few extras in the way of diet.
Among the male, out of a daily average of 2'54, 1*5 was contributed by *<•» debilitated subjects, who,
hi'ing unable to work, were kept in the hospital during the day. The extra care bestowed upon feeding
them necessitated their being separated from tho other lunatics. The following table gives the diseases
for the past four years:—
Average population
Fevers
Dysentery
Diarrhoea
Other bowel-complaints
Debility
Anosmia
Lung disease
Lumbricus
There is a considerable decrease in the admissions for dysentery, while from diarrhoea there were
4 admissions, or double that for either of the two preceding years, yet still a small number for people
of this class, and compares favourably with the jail, where, with an average of 172 prisoners, there were
48 cases of diarrhoea.
Of the other bowel-complaints, 22 were admitted under the head of dyspepsia, and two were for
constipation, the dyspepsia usually meaning some temporary impairment of appetite, requiring a change
of diet.
There were 8 cases of debility, as compared with 2, 7, and 4, and 3 of anoemia, against 4, 5, and 1
for the three previous years. This simply means the frequent re-admission of two or three weakly
subjects, and has a good deal to do with the careful system of monthly weighing introduced by Dr.
Garden last year, by which any considerable loss in weight is at once noted and attended to. There
were 14 cases of lumbricus, against 7 for 1878. The patients, as regards the supply of water, have been
under precisely the same conditions as last year, vis., water for cooking and drinking purposes was
supplied from the wells, as was also that for bathing, with the exception of four or five months in the
cold season, when the lunatics bathe in the Mora Barrelli. A cause of lumbricus, which has not
been mentioned in former reports, is, I think, the dhai used by the patient as animal food, and which
1 find to contain from 15 to 20 per cent, of water, the source of which is any pool which may happen
to be near the Gowala's hut. The mortality is still very low as compared with 1876-77 ; there were
3, or a death-rate of G"50, against 2 deaths in 1878. These deaths took place in the early part of the
year before 1 took over charge, and no post mojiems were made. The causes of death have been
ascribed to :—
Epilepsy.—(1) Musst. Kolora, an epileptic admitted to hospital on 18th February, and died
while in an epileptic fit on the following day.
Diarrhcea.—(2) Thickuru, had been frequently in hospital from dyspepsia, piles, and diarrhoea; his
last admission was for diarrhoea, which carried him off after he had been in hospital 47 days.
Diarrhoea.—(3; Loin Kachar, admitted to hospital for choleraic diarrhoea on 7th April, and died on
the 11th of same month. From the overseer's account of this case, it would appear that, in addition to
diarrhoea, this patient suffered from some acute lung disease.
20. Cash Account (Statement No. 9).—The following is a table of comparative cost for tho past
four years. There was an error in last, year's account, which gave an average cost per head of
us. 145-2, instead of Us. 152-3-7. In this year's report the figures for 1878 have been corrected:—
187f
1877.
1878.
1870.
Rs. A*. p.
its. As. r.
Rs. As p.
Rs. As. P
Establishment...
82 3 4
86 15 4
78 5 3
70 I 9
Diet
... 7i 7 6
70 10 3
54 6 7
GO 8 8
Clothing and bed
... 12 14 i)
7 7 10
4 0 10
4 2 3
liaziiar medicines
...
0 6 •»
1 0 3
0 G o
0 14 5
Contingencies...
27 G 1
10 7 10
14 1 8
7 11 0
Manufacture ...
0 14 10
1 12 1
Total
... 104 5 6
17G ' .» 6|
152 3 7
145 2 9
tars, while
f sick for
No change has been made in the number or cost of the establishment since last year, tho dimi-
nished average cost being due to an increased number of inmates. The cost for dieting was rather
Wore than Rs. 0 per head greater than last year, the increased expense being duo to increased market
fates, By purchasing at the hats in the district, instead of in tho sadder station, we shall in future diet
the lunatics at a much cheaper rate than we have done hitherto. Fuel had to bo purchased, while last
year there were sufficient old materials from building for this purpose.
The average cost of clothing was almost the same as last year; in this direction, there is no further
r oom for safe economy, the night and day clothing are not more than sufficient for health and comfort.
Bazaar medicines show an increase of 8 annas per head; under this heading are included wines and
Other hospital necessaries.
The cost for contingencies has been little more than half that for last year, when tho purchase of
some very necessary and useful hospital furniture increased the expenditure!