owing to the uncleanly habits of the lunatics, necessitating the use of water for cleansing
purposes. Lunatics are very susceptible to bowel and lung complaints ; 40 per cent,
of the recorded deaths this year have been thus caused, and this damp condition, the only
defect I could discover, would in cold weather not only produce these diseases, but
aggravate all cases of illness exposed to its influence, while in the warm and rainy months
the liability to malarial diseases would be increased. Three inches of dry earth, finely
powdered, placed over the floors and removed each morning where required, would
altogether obviate the necessity for the use of water in the sleeping wards. The floors in
the recently-erected wards are on a level with the outside ground, whereas they should
be a foot higher ; while the ground outside should be gently sloped for about 10 feet, and
a drain dug at the edge of this slope, and connected with the general drainage of the
place. This would receive surface water and prevent the introduction of moisture from
without.
The ventilation of the criminal ward would be improved by increasing the
ventilating openings in the " chhat"
The entrance to the female ward and compound is an open doorway without a door.
A door should be placed there, and kept closed and locked.
The lunatics are employed in the garden and on work connected with cleansing^
repairs, &c, but as yet no manufactures have been introduced.
The garden was in a good state of cultivation, with promise of a plentiful supply of
vegetables.
The night-soil is buried in trenches in a plot of ground on the east side of the
Asylum. I found the trenching efficiently performed, and the place free from smell.
The ground should be dug up, and cropped in from three to six months after trenching.
The drinking-water is good and sufficient, and obtained from a well 46 feet deep
outside the Asylum entrance. It is liable to contamination from articles thrown into
it, and should therefore be completely covered and provided with an iron purnp.
The patients are classified into criminal and non-criminal, but it would be prefera-
ble, for administrative purposes, to classify them into dangerous and harmless. By so
doing, it would be possible to introduce trades into the Asylum, and thus provide
occupation for patients who now do nothing.
There are 8 male and 2 female warders, the majority of whom have only been employed
for a few months, and Dr. Macnamara informs me that the class of men obtainable for
the present pay and prospects is very inferior and unreliable. Something should be
done to induce a better class of men to enter the Asylum service.
A resident hospital assistant is much needed, and would do away with the necessity
of sending serious cases to the dispensary. He would carry out all sanitary arrangements,
as well as the treatment of the patients, under the orders of the Superintendent, and he
would each day inspect all the inmates, and remove to hospital the cases requiring
immediate treatment. These frequent inspections are very necessary, for it is a well-
known fact that diseases in lunatics are very apt to escape notice in their earlier and
slighter stages, only to be discovered when they become serious, and perhaps beyond remedy •
All books and registers are properly kept, initialled, and up to date.
The condition and management of the Asylum reflect the greatest credit on
Surgeon-Major Macnamara, who expresses himself well satisfied with the overseer and
jemadar, but the compounder has given trouble.
ANN
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