Out of the population 167, 58 were admitted one or more times in hospital. Of these, 47 were
admitted once, 10 were admitted twice, and 1 was admitted three times. 100 were never in hospital at
all. The deaths and admissions per 1,000 of average strength were :
loJl
«■•
•••
1890
Previous ten years
The daily average sick was—
1891 ...
1890 ...
Previous ten years
Admissions.
Draths.
r -
Male.
Fomalc.
Total.
Male.
Female.
Total.
611
505
585
177
67
150
294
273
280
61
136
81
974-45 1,33739 1,07047 114-60
110-92
113-21
Male.
5-54
511
2-36
Female.
3-72
2-61
1-21
Total.
9-26
7-72
3-57
Of the 58 admissions, 15 were admitted into the Asylum during the year 1891, and of these 3
were admitted direct to hospital. There were eighteen deaths. The causes of high mortality may bo
summed up as follows :
(a) State of health on admission.
(l>) The bad state of health of most of the lunatics at the commencement of the year.
(c) An epidemic of cholera in September last.
The report on the outbreak of cholera was submitted to the Deputy Surgeon General first by
telegram and subsequently by post, giving a full account of the steps taken, that is, removing the
inmates to a camp built, for the purpose 3 miles away from the station. Every precaution as to
segregation^ fumigation, and other sanitary arrangements, referred to in Deputy Su'-geon General's
Circular No. 78. of 19th July 1890, as well as in Appendix 51 of India Army Regulations, was
taken and strictly attended to.
Since the outbreak of cholera on the 15th to the 28th September 1891 there were altogether
13 cases, of which 5 proved fatal. In conclusion, I beg to state that no pain was spared to put a
stop to this outbreak, and so far, I am glad to say, proved successful.
The deaths were:
(1) Berl-berl and dropsy (anchylostomlasis).— Pema coolie, noncriminal male, from Lakhimpur.
Was suffering from general debility and dropsical swelling off and on since his admission.
He got worse towards January 1*91, and died on 4th March 1891. Autopsy—Right lung
adherent to chest parieties, considerable quantity of serous fluid in the pleural, pericardia],
anil peritonial cavities, spleen enlarged, and intestinal contents contained auchylostoma.
(2) Epilepsy.— Sheikh Johor Ali, criminal male, from Dhubri. Was in bad health since
admission, subject to epileptic fits, for which ho was in hospital on 8th January 1891, and
died on 12ih January 1891. Post-mortem—Heart contained an ante mortem clot and a
considerable quantity of serous effusion in the ventricles of the brain.
(3) PI euro-pneumonia.—Gumti Kumar, noncriminal, from Goalpara. Was of indifferent health
(in admission into the Asylum on 17th December 1890. Admitted to hospital for pleuro-
pneumonia, and died on 25th January 1891. Post-mortem revealed all the signs of pleuro-
pneumonia.
(1) Liver abscess and heart disease.—Bodri Kaneo, coolie, noncriminal male, from Darning.
Admitted into the Asylum in a very indifferent health. He gradually wasted away, and had
to be fed by nutrient enema. He died on 3rd March 1891. Post-mortem showed abscess
in the liver, dilatation of the heart and chronic ulcers in the colon.
(5) Chronic Bronchitu and malarial cachcxia.—U Borong, noncriminul from Khasi Hills.
Was of indifferent health since admission. Was treated for chronic bronchitis and fever
several times. Since 5th February 1891 he was in hospital for complicated diseases. He
died on 6th September 1891. Autopsy revealed chronic adhesions of the lungs to chest
pariuties, liver and spleen greatly enlarged, and ulcers in large intestines.
(6) PI euro pneumonia.— Moni Ram, criminal male, from Nowgong. Admitted for acute mania
Was viol nt, iefused food, had to be nourished by enema, and treated in the hospital
for gen "ral debility and pleuro-pneunionia. Autopsy revealed great emaciation and all
the lesions of pleiiro-pneumonia.
(7) Chronic ilyxeiiUry,— U Uai Kha-ua. nonerimin.il, from Shillong. Admitted with poor health
and chronio dysentery on 25th May, and died on 20th September 1891. J'onl-moi'tem
showed thinking ulceration and sloughing of mucous membrane of large intestines.
(8) PlfiHrO'pitfiiititoiiiu und chronic dysentery,—Bhim Sonthal, noncriminal male, from Sibsagar.
Was of indifferent health on admission, bad vitiated taste of eating bruk, lime, and
dry earth. Admitted into hospital on ist August 1891 for dysentery with chest
Complication } he died on 5th August 1891. Post-mortem revealed lesions of pleuro*
pneumonia and chronic dysentery.