10
EErORT ON THE TEZPUR LUNATIC ASYLUM.
A considerable quantity of rain fell in April and May, by which the ground became saturated and
the huts extremely damp, and this had no doubt an unfavourable influence on the health of the inmates,
and led in part to the subsequent mortality.
45. Causes of death :—
ISTti.
1877.
Fevers
1
1
Anasrnia
1
Dysentery
4
Diari'hoea
3
1
Epilepsy
'2
Hysteria
1
Paralysis
1
Pneumonia
.
1
General debility
3
3
Total
9
13
In many instances, however, these merely represent the diseases for which the patients were
admitted originally into hospital, which, owing to weakness, &c., they never left until they died from
some different consecutive or intercurrent affection. This will be evident from the annexed tabular
statement, which gives more or less full information on each individual death and its cause:—
Name.
Age. Sex.
Health
itSLunatic Asylum
Asylum.
Date of death.
Disea-'-e on
admission into
hospital.
Secondary
disease.
Type
of insanity.
Kemarks
11
12
18
30
Ellasee
20
2(1
Kara Ham .... 52
Ferringhee.... 35
32
36
20
Sunkur
32
20
Soni Ram ....
?
50
?
Male..
Female
52 Male.
Fair .
Good.
Bad
Good..
Dad
Apl. 5th, 1870
>•
5th, „
„ 80th, „
Slay 25th, „
..
25th „
»
25th „
20th „
26th
Aug. 15th, „
Nov. 18th, „
„
19th, „
Dec. 8th, „
Feb. 27th, 1877
May 19th, 187;
Dec. 20th, „
July 23rd, „
Oct. 1st,
„
July 7th,
„
May 20th, „
June 15th, „
Aug. 28tli, „
Oct. 6th, „
Sept. 0th, „
July 1st,
„
Oct. 0th, „
Aug. 15th, „
Debility
Dysentery
Hysteria
Anaemia
Dysentery
Diarrhoea
rueuinonia
! Dysentery
I
1 Debility
I Paralysis
Ague, 15 a
Debility
Epilepsy
Hepatitis
Diarrhoea
Hepatitis.
Dropsy
Diarrhoea.
None
None
None
Tuberculosis
Hepatitis
Ditto
Epilepsy
Diarrhoea
Ditto
Dementia
Epilepsy.
Mania
Nymphomania
Mania
] [ysteria.
Mania 0,
Dementia C. ..
Melancholia ..
Ditto
Ditto
Mania Ac.
Ditto
BrneaU
Paralysis.
Dementia.
Epilepsy.
Mania A.
Dementia
Died after a rapid succes-
sion of fits, and during
one, no post mortem.
Hepatitis, pentorutes, ca-
pntcoli ulcerated, lungs
congested.
Hepatitis, large intestine,
small ulcer.
Ascitis, bright disease,
cysts of kidney.
Ulceration of colon, liver
congested.
Ditto
ditto.
Atrophy of liver, ulcer of
large intestines.
Tuberculosis both lungs,
Hyp. of liver.
Liver inflamed, ulcer of
intestine.
Congestion of
lungs.
Hepatitis.
Tumour of dura mater,
size of walnut, left side,
pressing on parietal con-
volution, atrophy of
brain.
Old periconditis (adhe-
sive) old pleural
Ho post mortem.
The incn
watchman an
More tin
The aver
rice was high(
the cost of vej
fencing and
six months.
In the a
doubt depend
applies to con
and very littl
The clot
the jail.
48. Sa
ment of a
No. 1,385, c
{Secretary t(
gardener wa
go. 702B., c
Commission!
The pre
I
1870
1877
The vai
fact that, wl
49. Tl
allowing lur
neglect of d
50. 6
employment
Asylum pre
Clea
Int
Cool
Mist
Swe
Rep
Um
Sicl
40. The causes of the high mortality may be summed up as follows:—
(1) The state of health on admission of many of the fatal cases, six, or nearly one-half, having
been in bad health or epileptic.
(2) The deterioration of health of a largo number of those admitted in 1876.
Judging from the jail returns, and after allowing for all local disturbing causes in the jail, to enter
into which is not necessary here, the months of October, November, December, 187G, and January,
1877, were unusually unhealthy, chiefly through the occurrence of fever ; and this we may presume
told unfavourably on the general health of the lunatics, as a very considerable majority were found by
me in February amende and more or less out of health.
(3) The swampy condition of the Asylum grounds, owing to defective drainage, which led
during the earlier months of the year (February, March, and April), which were dull,
cloudy, and rainy, to the saturation of the floors of the barracks ; and these in most
instances were never efficiently dried until the cold season.
(4) The anti-hygienic condition of the dormitories from want of effective ventilation. The only
openings for the entrance of fresh air available at night were small windows 3^ feet
from the ground, so that no ventilation from the floor could be obtained. Another dis-
advantage of this was that the possibility of the floors becoming dry was greatly
diminished by want of a free current of air.
The clothing Avas quite sufficient, and the food good and ample in quantity. I have been very
careful in seeing to this, and do not consider that the mortality in any way was raised by defects in either.
47.
Cash Account (Statement IX.). The comparative cost in the two years (a proportionate
addition having been made to the actual cost during the nine months of 187G to enable a comparison
to be madel, is as follows:—
Average cost,
i
ISTti.
l!s. As. P.
Establishment
s-j a 4
Diet
71 7 6
Clothing and bedding
12 14 U
Bazar medicines
O C 2
Contingencies
27 G 1
Per head.
1S77.
Us. As. P,
8<! 16 4
70 10 8
7 7 10
i o a
10 7 10*
51. 1
Govcrnmei
Ontal
the order ii
of labour,
however, t
[soil in grc
cotton, but
tea on a p;
52. '
them have
An oi
in this res]
53.
lone is still
and grcate
54.
overseer, ]
duties, an<