2
6. The number remaining under treatment on 31st December 1891, was
340—in Lahore 250 and in Delhi 90, or an increase of 23 over the population
on the same date in 1890, 20 being in Lahore and 3 in Delhi.
7. Statement II.—Criminal lunatics.—There were 51 criminal lunatics in
confinement on 1st January 1891, two of whom were females, 40 being in
Lahore and 11 in Delhi. There were 23 admissions, two of whom were females,
and there were 17 discharged or transferred to the non-criminal divisions, and
5 died, leaving in confinement on the 31st December 1891, a total of 52, 44 of
whom were in Lahore and 8 in Delhi.
8. The percentage of the daily average strength of criminal to non-crimi-
nal lunatics was 17.99—in Lahore 20.48 and in Delhi 12.05. The relatively
smaller number of criminal lunatics in the latter Asylum may have been due
to a freer admission of harmless non-criminals than in the Lahore Asylum, as
Dr. Center has noted in his report that he has exercised great care in exclud-
ing harmless lunatics who had friends capable of taking charge of them.
9. In Statements III, IV and V, the religion, sex, residence, occupation
and age of those admitted are shown.
Forty-six were Hindús—38 males and 8
females, 66 Muhammadans—55 males and 11 females, one was a Christian and
2 were of other castes.
10. Thirteen of the admissions were foreigners, i. e., they were not resi-
dents of the Punjab.
11. Nearly all of the ordinary occupations were represented in the admis-
sions, but the greatest number from any one was 17 from cultivators and 14 from
the mendicant class. These latter are generally harmless lunatics, who wander
about from place to place, and are usually admitted in a state of semi-starvation
and suffering from chronic disease.
12. Eighty-nine of the admissions, or 77.4 per cent., were between the
ages of 20 and 40 years, the prime of life, when the struggle for existence is
greatest.
13. In Statement VI the types of insanity of all the inmates are noted.
It is only necessary to remark with regard to it, that in the Lahore Asylum, under
the head Toxic insanity, there were 4 admissions for charras smoking, 1 for
ganja smoking, 3 for bhang, 1 for opium smoking and one for opium eating—a
total of 10. In the Delhi Asylum, the only admissions under the same head
were 6 for cha,rras smoking.
14. The recoveries from these toxic types were 6 in Lahore and 3 in Delhi.
In the statements of both Asylums two patients are entered as having recovered
from dementia. I presume that in these two cases there was an error in
diagnosis.
15. In Statement VII, which shows the alleged causes of insanity, the ad-
missions into the Lahore Asylum from toxic causes were 10, thus agreeing with
the number of toxic types of insanity as noted in Statement VI, but in Delhi the
number admitted for these causes was 8, or 2 in excess of the number in State-
ment VI.
16. Statement VIII deals with the sickness and mortality. The total
number of cases treated in hospital was 532, or 108 more than the number
treated in 1890.
17. This increase was almost entirely confined to the Lahore Asylum,
there being only an increase of one in Delhi. The percentage of total sick to daily
average strength was 162, as compared with 129 in 1890. This is a very high
percentage when compared with that of the Asylums in the neighbouring Pro-
vince ; but as the mortality was only 10.4 per cent. on average strength, or
7.9 on population, I conclude that the increase in the number of sick in the
Lahore Asylum was greatly due to the admission into hospital of slight cases
of sickness, so as to admit of their being properly attended to, and treated in the
earlier stages of their diseases. In other Asylums such cases would probably