6
8. Health and mortality.—The general health of the lunatics was on
the whole good. The daily average sick was 19.89 against 36.85 in the preced-
ing year.
There was no epidemic disease. The number of deaths was 13, of these
3 resulted from remittent fever, 2 from phthisis, 1 from meningitis, 1 from
apoplexy, 2 from pneumonia, 1 from pleurisy, 1 from diarrhœa, 1 from ascites,
and 1 from sinus with disease of the sternum.
The asylum in former years used to be one of the first places where cholera
appeared, and at one time it was proposed to change the site for this reason
alone. Since the introduction of the municipal water, there has been no epidemic.
When the disease was threatening this year, a supply of food was laid in early;
cows were brought to the asylum door to be milked, and the milk was boiled.
Quarantine of new arrivals was carefully carried out.
9. Injuries.—Sixteen cases of contusions have been treated during the
year ; almost all these contusions were among epileptic lunatics falling down in
fits. A few were caused by lunatics getting excited and quarrelling.
10. Expenditure.—Statement No. 9.—The actual money drawn from the
treasury for establishment, food, clothing, contingencies, &c, was Rs. 24,739-12-11
against Rs. 26,392 last year (see columns 6 to 13). Of this, Rs. 785-10-0
was recovered from friends of patients and remitted to the treasury (see column
23). The value of lunatic labour in the form of garden produce, weaving, &c.,
shown in columns 15 to 20, was Rs. 658-8-2.
11. Cost per head.—The definition of cost per head is not officially laid
down, and possibly there are different ways of calculating it in various asylums.
I have drawn out the following table to show the averge cost per head, under
all headings, except Public Works charges, and erecting cholera huts :—
1
Major heads.
Superintendence and establish.
ment
Diet
Clothing and bedding
Bazár medicines
European medicines ...
Contingencies
Printed founts and stationery...
Total
2
3
4
5
Cost per head (calculated by the
daily average strength
267.05.)
Received
from trea-
sury, see
cola. 6 to
13, State-
ment No.
9.
Rs.
43
40
5
0
A.
1
5
1
3
P.
6
0
9
2
...
7 8 6
...
96 3 11
Cost
of
articles
supplied
from other
departments, see
cols. 20 &
27, State-
ment No.
9
Rs. A. P.
...
...
...
...
1
5 3
...
0
1
4
9
3
6
Value of
lunatics'
labor, as
garden
produce,
weaving,
&c., see
cols. 15 to
20, State.
went No.
9.
Rs. A. P.
...
1
1
0
1
2
1
5
4
4
...
0 3 10
...
2 8 11
Total.
Rs.
43
41
6
0
1
7
0
100
A.
1
6
4
4
5
12
4
a
P.
6
5
1
6
3
4
3
4
6
7
8
9
Deduct on account of (calculated
by 257.05.)
Recoveries
from pay-
ing pat i ent s sec
col. 23
of State-
ment No.
9.
RS. A. P.
P.
A.
Rs.
10
0
3
3 0 10
Value of
lunation
labor as
garden
produce,
weaving,
&c., vide
col. 15 to
20 State-
ment No.
9.
Rs. A. P.
...
1
1
0
1
2
1
5
4
4
0 3 10
...
2 8 11
Cash paid
into trea-
sury on
account; of
grinding
wheat, &c.,
vide col.
4 of State-
ment No.
11.
RS. A. P.
P.
A.
Rs.
4
11
1
1 11 4
Net cost
per head.
Rs. A.. P.
P.
A.
Rs.
1
98
93 1 3
The real cost per head to the State consists of column 2,—money drawn
from the treasury for establishment, diet, &c., Rs. 96-3-11, and column 3, value
of European medicines, &c., and stationery, &c., arranged by transfer in accounts.
The value of lunatic labor, column 4, should not be included. The materials and
contingencies of the manufacture are already charged under column 2, in cloth-
ing and contingencies, so that column 4 shows the difference between the
cost of material bought and of articles supplied valued at the bazar rate ; in other
words, it represents value of lunatic labor: column 6 shows recoveries from
paying patients, so that the real cost to the State per head, exclusive of Public
Works Department charges, was Rs. 93-1-3. The average cost per head is