3
28. In the hot weather months numbers of the lunatics are allowed to
sleep in the open ; during the rains all sleep in barracks, but the doors are not,
as a rule, closed. After the 15th October the wooden doors of the barracks
are closed during the night. There is practically no ventilation, and the impure
air, combined with the low temperature, gives rise to a low form of pneumonia
and to the mortality noted above. Up to the 1st October there were only
3 deaths, in October 3, in November 4, and in December 12. Of the 16
deaths in the latter two months, 9 were from pneumonia and 2 from tuberele
of the lungs. One death occurred from violence, due to neglect on the part
of the warders.
29. The mortality on total population was 6.77, and on daily aver-
age strength 8.88.
30. In the Delhi Asylum there were 80 patients admitted into hospital.
The daily average sick was 4.26. There were 10 deaths from the following
causes, viz., dysentery 2 and one each from erysipelas, debility, phthisis
pulmonalis, anæmia, meningitis, disease of heart, pneumonia and sloughing
ulcer of scrotum.
31. The percentage of deaths to total population was 7.25 and to
daily average strength 9.93.
32. Receipts and Expenditure.—Statement No. IX has been modified, and
is certainly much simpler in construction than the one formerly in use, but it
evidently still presents difficulties as the headings were interpreted differently
by the two Superintendents. The figures from both Asylums have been
corrected and arranged according to the instructions received from the Surgeon-
General with the Government of India, but further explanations are required.
Column 4 is headed " Value of stores received from the Manufacturing Depart-
ment." This, as shown in the Lahore statement, amounts to Rs. 821-0-1, and
is made up of the sum of Rs. 436-15-7, the estimated value of vegetables re-
ceived from the Asylum garden, and included under the head diet ; of Rs. 235
value of labour in making blankets, &c., and included in the cost of clothing and
bedding; Rs. 13-12-9 for bandages, &c., under the head bazar medicines;
and Rs. 135-3-9 value of labour in making baskets, brooms, &c., under contin-
gencies proper, so that these figures do not represent the actual value of the
articles supplied, but only that of labour, &c., the cost of the raw materials,
garden seeds and implements having already been drawn from the treasury
and is included in the amount shown in column 2. The proper heading would
therefore appear to be " value of labour," unless it is permitted to draw the
total value of each article from the treasury, to be refunded by the Factory as
cash sales. Again, the cash receipts in columns 3 and 6 should, I think, be
deducted from the total cost shown in column 22. The sum of Rs. 816-4-5
entered in column 3, as receipts from paying patients, was paid for the main-
tenance of patients, and a proportionate amount should, I think, be deducted
from diet and from clothing and bedding.
33. The accounts, as now submitted, show an expenditure in the Lahore
Asylum of Rs. 24,382-12-6, a slight decrease on the sum of Rs. 24,560-13-11.
spent in 1892.
34. The total cost of establishment in columns 8 and 9 amounted to
Rs. 8,937-10-2, a decrease of Rs, 365-0-2 on 1892 and of Rs. 1,807-14-0 on 1891.
There will be a further saving under this head, as the post of Deputy Superinten-
dent, held up till 15th December by an Assistant Surgeon on Rs. 120 per
mensem, has been abolished, and a Hospital Assistant drawing Rs. 80 per
mensem has been appointed in his place. The cost of diet increased from Rs.
9,660-5-8 to Rs. 9,867-1-8, a difference of Rs. 206-12-0. There has been no
change in the dietary, but extras, such as milk and parched gram, have been
more freely issued. The expenditure on clothing and bedding amounted to
Rs. 1,915-9-8, an increase of Rs. 172-2-3 on that of 1892, and was owing to an
issue of extra blankets in December. The cost of bazár medicines decreased
from Rs. 173-2-7 to Rs. 135-6-5. There has been a slight increase in the sum
expended on contingencies proper.