NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
APPENDICES.
27
STATEMENT No. VII.—Showing Ætiological Factors and Associated
Conditions in the patients admitted in the Mental Hospitals in Burma
during 1929.
Ætiological Factors and Associated Conditions.
TADAGALE.
A. Heredity—
1. Insane
... ...
2. Epileptic ... ...
3. Neurotic ... ...
4. Marked eccentricity ... ...
5. Alcoholism ... ...
B. Mental instability as revealed by—
1. Moral deficiency ... ...
2. Congenital mental defect ...
3. Eccentricity ... ...
4. Previous attack ... ...
C. Deprivation of Special Senses—
1. Smell or taste ... ...
2. Hearing ... ...
3. Sight ... ...
D. Critical Periods—
1. Puberty and adolescence ...
2. Climacteric ... ...
3. Senility ... ...
E. Child Bearing—
1. Pregnancy ... ...
2. Parturition ... ...
3. Lactation ... ...
Predisposing
Cause.
M
18
...
1
...
...
3
1
2
16
...
...
...
9
...
5
...
...
...
F.
2
...
...
...
...
...
...
...
5
...
...
...
1
...
2
...
...
...
T.
20
...
1
...
...
3
1
2
21
...
...
...
10
...
7
...
...
...
Exciting
Cause.
M.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
T.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
Total.
M.
18
...
1
...
...
3
1
2
16
...
...
...
9
...
5
...
...
...
F.
2
...
...
...
...
...
...
...
5
...
...
...
1
...
2
...
1
...
T.
20
...
1
...
...
3
1
2
21
...
...
...
10
...
7
...
1
...
28
APPENDICES.
STATEMENT No. VII.—Showing Ætiological Factors and Associated
Conditions in the patients admitted in the Mental Hospitals in Burma
during 1929—contd.
Ætiological Factors and Associated Conditions.
TADAGALE—contd.
F. Mental Stress—
1. Sudden ... ...
2. Prolonged ... ...
G. Diseases due to disorders of nutrition
or metabolism—
1. Malnutrition (in early life) ... ...
2. Privation and starvation ... ...
3. Over-exertion (Physical) ... ...
4. Sexual excess ... ...
H. Infective and Toxic—
1. Alcohol ... ...
2. Opium and morphia ... ...
3. Cocaine ... ...
4. Cannabis Indica ... ...
5. Acute infective diseases ... ...
6. Tuberculosis ... ...
7. Syphilis, acquired ... ...
„
congenital ... ...
8. Plague ... ...
9. Influenza ... ...
10. Other toxins ... ...
I. Traumatic—
1. Injuries ... ...
2. Operations ... ...
3. Sunstroke ... ...
Predisposing
Cause.
M.
...
21
...
16
...
...
...
...
...
...
...
2
3
...
...
...
...
...
...
...
F.
...
5
...
5
...
...
...
...
...
...
...
...
2
...
...
...
...
...
...
...
T.
...
26
...
21
...
...
...
...
...
...
...
2
5
...
...
...
...
...
...
...
Exciting
Cause.
M.
18
...
...
6
...
...
6
1
...
2
2
...
17
...
...
...
6
1
...
...
F.
4
...
...
4
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
T.
22
...
...
10
...
...
6
1
...
2
2
...
18
...
...
...
6
1
...
...
Total.
M.
18
21
...
22
...
...
6
1
...
2
2
2
20
...
...
...
6
1
...
...
F.
4
5
...
9
...
...
...
...
...
...
...
...
3
...
...
...
...
...
...
...
T.
22
26
...
31
...
...
6
1
...
2
2
2
23
...
...
...
6
1
...
...
APPENDICES.
29
STATEMENT No. VII.—Showing Ætiological Factors and Associated
Conditions in the patients admitted in the Mental Hospitals in Burma
during 1929—concld.
Ætiological Factors and Associated Conditions.
TADAGALE—concld.
J. Diseases of the Nervous System—
1. Disease of the brain ... ...
2. Disease of the spinal cord and
nerves.
3. Epilepsy ... ...
4. Other defined neuroses ... ...
K. Other Bodily Afflictions—
1. Diseases of the blood ... ...
2. Diseases of the circulatory system
3. Diseases of the valves of the heart
4. Diseases of the digestive system
5. Diseases of the urinary organs ...
6. Diseases of the generative system
(excluding syphilis).
7. Other general affections
Total ...
L. No cause assignable—
M. No cause ascertained—History
defective.
GRAND TOTAL ...
Predisposing
Cause.
M.
...
...
...
...
...
...
...
...
...
16
113
...
...
113
F.
...
...
...
...
...
...
...
...
...
...
...
22
...
...
22
T.
...
...
...
...
...
...
...
...
...
...
16
135
...
...
135
Exciting
Cause.
M.
...
...
5
...
...
...
...
...
...
...
7
71
...
...
71
F.
...
...
1
...
...
...
...
...
...
...
2
13
...
...
13
T.
...
...
6
...
...
...
...
...
...
...
9
84
...
...
84
Total.
M.
...
...
5
...
...
...
...
...
...
...
23
184
...
21
205
F.
...
...
1
...
...
...
...
...
...
...
2
35
...
4
39
T.
...
...
6
...
...
...
...
...
...
...
25
219
...
25
244
N.B.—Observation cases are excluded from this statement.
30
APPENDICES.
* STATEMENT No. VIII.—Showing the Cash Account of the Mental
two pre
Name of Mental
Hospital.
(1)
Tadagale ...
Minbu ...
Total for 1929
Total for 1928
Total for 1927
Credits.
Received from
the treasury.
(2)
Rs.
3,84,081
23,040
4,07,121
3,48,657
3,35,575
A.
7
5
12
3
9
P.
0
9
9
8
10
Received from
paying patients
(including
Municipalities.)
(3)
Rs.
1,18,260
A.
6
P.
6
...
1,18,260
1,17,629
92,716
6
2
15
6
3
0
Value of stores
received from
Manufacturing
Department,
less cost of
raw materials.
(4)
Rs.
6,110
2,770
8,881
19,992
11,823
A.
9
12
5
14
1
P.
0
4
4
1
8
Book receipts,
i.e., the total of
expenditure
entered
in columns
19, 20 and 21.
(5)
Rs.
42,047
815
42,862
58,538
6,875
A.
3
7
10
2
14
P.
0
0
0
6
6
Miscellaneous
receipts.
(6)
Rs.
2,366
1,719
4,085
4,997
7,502
A.
8
1
9
8
12
P.
3
0
3
9
0
Name of Mental
Hospital.
(1)
Tadagale ...
Minbu
...
Total for 1929
Total for 1928
Total for 1927
Charges—
Contingencies.
Contingencies
proper.
(13)
Rs.
1,01,236
3,618
1,04,854
89,286
44,087
A.
6
1
7
11
10
P.
0
0
0
6
5
Repairs and
maintenance.
(14)
Rs. A. P.
...
19
19
15
19
10
10
8
8
0
0
0
0
Rates and
taxes.
(15)
Rs.
9,613
1,233
10,846
3,947
4,022
A.
12
0
12
13
8
P.
0
0
0
0
0
Remitted to
treasury on
account of paying
patients, etc.
(including
Miscellaneous
Receipts).
(16)
Rs.
1,20,626
1,719
1,22,345
1,22,626
1,00,219
A.
14
1
15
11
11
P.
9
0
9
0
0
Miscellaneous
items.
(17)
Rs.
29,700
A.
4
P.
0
...
29,700
24,991
20,112
4
9
7
0
6
6
* Includes observation cases.
† Column 5 excludes value of stores received from
APPENDICES.
31
Hospitals in Burma for the year 1929 and provincial totals for
vious years.
1
Total.
7
Rs.
5,52,866
28,345
5,81,211
5,49,814
4,54,494
A.
1
10
11
15
5
P.
9
1
10
3
0
Charges.
Establishment.
Establishment
proper.
(8)
Rs.
1,25,553
7,977
1,33,530
1,24,265
1,26,351
A.
5
6
11
9
15
P.
0
0
0
8
5
Superinten-
dence.
(9)
Rs.
13,066
1,200
14,266
19,788
20,347
A.
3
0
3
10
8
P.
0
0
0
2
0
Diet.
(10)
Rs.
95,944
8,830
1,04,774
1,01,722
99,156
A.
1
4
5
10
2
P.
0
9
9
10
0
Clothing and
bedding.
(11)
Rs.
10,039
151
10,190
3,394
11,734
A.
8
0
8
10
15
P.
0
0
0
0
0
Bazaar
medicines.
(12)
Rs.
336
11
347
292
352
A.
12
0
12
8
15
P.
0
0
0
0
0
concluded.
Total of columns
8 to 17.
(18)
Rs.
5,06,117
24,759
5,30,876
4,90,332
4,32,405
A.
1
6
8
5
4
P.
9
9
6
8
4
Book Charges.
Charges on
account of
work done by
Public Works
Department.
(19)
Rs.
38,659
501
39,161
56,057
3,037
A.
6
12
2
4
0
P.
0
0
0
0
0
Cost of
printed
forms and
stationery.
(20)
Rs.
305
A.
15
P.
0
...
305 15 0
...
...
Cost of English
medicines and
stores.
(21)
Rs.
3,081
3,084
6,166
7,012
7,028
A.
14
7
5
13
2
P.
0
4
4
7
9
Total of
columns 18
to 21.
(22)
Rs.
5,48,164
28,345
5,76,509
5,53,402
4,42,470
A.
4
10
14
7
7
P.
9
1
10
3
1
Remarks.
[Give details for
the figures shown in
column 6.]
(23)
Rs.
Milk sold
1,798
Vegetables
sold 1,089
Cloth sold
902
Miscellaneous
294
Total 4,085
A.
10
13
11
6
9
P.
0
9
6
0
3
manufacturing department already credited in column 4.
32
APPENDICES.
STATEMENT No. IX.—Showing the Sanctioned Establishment of the Mental
Hospitals in Burma as it stood on the 31st December 1929.
1
Particulars of Establishment.
Superintendent (Rs. 900 + 250) ... ...
Deputy Superintendent (Rs. 500 + 200) ...
Deputy Superintendent (Rs. 300) ... ...
Sub-Assistant Surgeons, 1(150 + 30+10); 1(125
+ 40+10) and 4 (125+ 30+10).
Head Clerk (180—10—240) ... ...
Accountant (180—10—240) ... ...
Clerk (50—5—75—5—125) at Rs. 70 each ...
Head Steward (180—10—240)
Assistant Stewards (50—5—75—5-125) ; 1 at 60
and 1 at 70.
Head Overseer (180—10—240) ... ...
Assistant
Overseers
(50—5—75—5—125);
2 at 85 and 1 at 50.
Matron (200—25—325) ... ...
Senior Nurses (140—10—180—10/4—200); at 140
each.
Nurses (80—10—130) 2 at 130 ; each ; 2 at 110
each and 1 at 80.
European Attendant (120—5—150) ; 1 at 130 ;
1 at 125 and 1 at 120.
Compounders (30—3/5—55); 1 at 40 ; 1 at 30 ...
Head-keeper ... ...
Assistant Head-keepers
Keepers (male)
Keepers (female)
Male
8
Female 1
3 at 31 ;
2 at 29;
4 at 28
each
(20—2/3-22—2/7—24— 2/7—26)
Carried over ...
2
Tadagale.
Number.
(a) 1
(b) 1
(c) 1
(g) 6
1
1
2
1
2
1
3
(d) 1
(e) 3
(e) 5
(f) 3
2
(g) 1
(g) 9
(g)115
25
184
Monthly
wages.
Rs.
1,150
700
300
1,025
190
190
140
190
130
190
220
250
420
560
375
70
50
263
3,064
9,222
3
Minbu.
Number.
1
1
...
...
...
...
...
1
...
...
...
...
...
...
1
3 at 26
1 at 24
3 at 22
8 at 20
19
Monthly
wages.
Rs.
100
165
...
...
...
...
...
75
...
...
...
...
...
...
29
...
78
24
66
160
697
N.B.—Of the sanctioned establishment, the post of one senior nurse was vacant on the 31st December
1929.
(a) Including pension of Rs. 420 ; draws also compensatory local allowance at Rs. 120 per mensem, and
Burma Allowance at Rs. 135 per mensem.
(b) Draws also compensatory local allowance at Rs. 90 per mensem and Burma Allowance at Rs. 105
per mensem.
(c) Draws also compensatory local allowance at Rs. 60. The question of admissibility of staff
allowance to him is still under consideration with Government.
(d) Draws also messing allowance of Rs. 75 per mensem and uniform allowance of Rs. 10 per mensem.
(e) Draws also messing allowance of Rs. 45 per mensem and uniform allowance of Rs. 10 per
mensem.
(f) Draws also messing allowance of Rs. 45 per mensem and uniform allowance of Rs. 10 per mensem.
(g) Draws also compensatory local allowance under the revised rules.
APPENDICES.
33
STATEMENT No. IX.—Showing the Sanctioned Establishment of the
Mental Hospitals in Burma as it stood on the 31st December
1929—concld.
1
Particulars of Establishment.
Brought forward ...
Cow-keepers (25—1/3—30) ; at 25 each ...
Barbers (25 —1/3—30) ; at 25 each ... ...
Head Tailor (30—1/3—35) ...
Assistant Tailors (25—1/3—30) at 25 each ...
Motor Chauffenrs (40—1/3—50) at 40 each...
Head Cook for Europeans (30—1/3—35) ...
Head Cook for Indians (30—1/3—35) ...
Assistant Cook for Europeans (25—1/3—30) ...
Assistant Cook for Indians (25—1/3—30) ...
Cooks (20—1/3—25) ...
Head Carpenter (30—1/3—35)
Assistant Carpenter (25—1/3—30) ; at 25 each ...
Gardener (25—1/3—30) ... ...
Under Gardener (20—1/3—25) ; at 20 each ...
Head Dhoby (30—1/3—35) ... ...
Assistant Dhobies (25—1/3—30) ; at 25 each ...
Ward Servants (Male (25—1/3—30); at 25 each
Ward Servants (Female) (20—1/3—25) ...
Butter for Matron (25—1/3—30) ... ...
Cook for Matron (25—1/3 —30) ... ...
Butler for Nurses (30—1/3—35) ... ...
Cook for Nurses (30—1/3—35)
...
...
Sweepers, males at (Rs. 0-11-0 per day) ...
Sweepers, females at (Rs. 0-11-0 per day) ...
Total ...
Daily average number of
Proportion of ...
Males ... ...
Females ... ...
Total ...
Overseers to males...
Matron to females ...
Head-keepers, Euro-
pean attendant, male
keepers to males.
Nurses and female
keepers to females.
2
Tadagale.
Number.
184
2
2
1
2
2
1
1
1
1
3
1
2
1
5
1
2
4
1
1
1
1
1
30
12
263
898.09
161.20
1059.29
224.52
161.20
707
4.74
Monthly
wages.
Rs.
9,222
50
50
30
50
80
30
30
25
25
60
30
50
25
100
30
50
100
20
25
25
30
30
866/4
11,288/4
...
...
...
...
...
...
...
3
Minbu.
Number.
19
...
1
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
21
118.41
Nil
118.41
118.41
Nil
7.40
Nil
Monthly
wages.
Rs.
697
...
15
...
...
...
18
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
730
...
...
...
...
...
...
...
34
APPENDICES.
STATEMENT No. X.—Showing Receipts and Expenditure on account of Manufacture in the Mental Hospitals in Burma during
the year 1929, and Provincial totals for two previous years.
1
Name of Mental
Hospital.
Tadagale ...
Minbu ...
Total for 1929
Total for 1928
Total for 1927
2
Mean Population.
Males.
898.09
118.41
1,016.50
970.56
914.64
Females.
161.20
...
161.20
148.40
137.91
Total.
1,059.29
118.41
1,177.70
1,118.96
1,052.55
3
4
5
6
7
8
Credits.
Cash paid into
the Treasury
during the year
for articles
sold.
Rs.
2,366
1,719
4,085
4,997
8,376
A.
8
1
9
8
4
P.
3
0
3
9
0
Value of manu-
factured goods
made over to
the asylum for
asylum
purposes.
Rs.
36,483
5,684
42,167
48,264
42,459
A.
13
0
13
14
3
P.
2
6
8
8
0
Value of raw
materials in
store at the end
of the year.
Rs.
3,472
2,538
6,010
5,995
6,503
A.
10
1
11
15
13
P.
0
1
1
3
6
Value of manu-
factured goods
in store at the
end of the year.
Rs.
6,469
3,952
10,421
9,452
7,193
A.
5
3
8
11
14
P.
0
2
2
9
7
Value of plant
and machinery
in store at the
end of the year.
Rs.
3,837
5,326
9,163
8,494
8,513
A.
8
1
9
13
6
P.
0
7
7
11
10
Total credits.
Rs.
52,629
19,219
71,849
77,206
73,046
A.
12
7
3
0
9
P.
5
4
9
4
11
9
10
Debits.
Value of manu-
factured goods
in store on 1st
January.
Rs.
5,156
4,296
9,452
7,193
6,054
A.
8
3
11
14
11
P.
9
0
9
7
9
Value of raw
materials in
store on 1st
January.
Rs.
3,494
2,501
5,995
6,503
4,570
A.
0
15
15
13
12
P.
0
3
3
6
3
1
Name of Mental
Hospital.
Tadagale ...
Minbu ...
Total for 1929
Total for 1928
Total for 1927
2
Mean Population.
Males.
898.09
118.41
1,016.50
970.56
914.64
Females.
161.20
...
161.20
148.40
137.91
Total.
1,059.29
118.41
1,177.70
1,118.96
1,052.55
11
Value of plant
and machinery
in store on 1st
January.
Rs.
3,200
5,294
8,494
8,513
8,388
A.
10
3
13
6
6
P.
0
11
11
10
7
12 13
14
15
16
Debits.
Raw materials
purchased.
Rs.
10,950
4,665
15,615
11,994
1,18,700
A.
5
6
11
10
10
P.
0
0
0
6
0
Contingencies
of manufacture.
Rs.
7,232
476
7,708
909
1,653
A.
2
0
2
10
11
P.
0
0
0
0
0
All other
charges.
Rs.
4,020
257
4,257
14,372
12,353
A.
0
5
5
8
9
P.
0
0
0
6
11
Total debits.
Rs.
34,053
17,471
51,524
49,487
51,721
A.
9
1
10
15
13
P.
9
2
11
11
6
Excess of credits
or profits.
Rs.
18,576
1,748
20,324
27,718
21,324
A.
2
6
8
0
12
P.
8
2
10
5
5
17
Excess of
debit or loss.
Rs. A. P.
...
...
...
...
18
Remarks.
...
...
...
...
...
NOTE
ON THE
Mental Hospitals in Burma
FOR THE YEAR 1930
Rangoon
Supdt., Govt, Printing and Stationery, Burma
1931
Price,—Rs. 1-8-0 = 2s. 3d. ]
NOTE
ON THE
Mental Hospitals in Burma
FOR THE YEAR 1930
Rangoon
Supdt., Govt. Printing and Stationery, Burma
1931
LIST OF AGENTS FOR THE SALE OF
GOVERNMENT PUBLICATIONS
IN BURMA.
AMERICAN BAPTIST MISSION PRESS, Rangoon.
BISWAS & Co., 30, Lewis Street, Rangoon.
BRITISH BURMA PRESS BRANCH, Rangoon.
BURMA BOOK CLUB, LTD., Post Box No. 1068, Rangoon.
INTERNATIONAL BUDDHIST BOOK DEPÔT. Post Box No. 971, Rangoon.
NEW LIGHT OF BURMA PRESS, 49, Phayre Street, Rangoon.
PROPRIETOR, THU DHAMA WADI PRESS, 16—80, Maung Khine Street
Rangoon.
RANGOON TIMES PRESS, Rangoon.
MAUNG LU GALE, Law Book Depôt, 42, Ayo-o-gale, Mandalay
MANAGER, CHAPPLE'S BUSINESS COLLEGE, 377, Lower Main Road,
Moulmein.
IN INDIA.
BOOK CO., LTD., 4/4A. College Square, Calcutta.
BUTTERWORTH & Co. (India), LTD., Calcutta.
S. K. LAHIRI & Co., 56, College Street, Calcutta.
W. NEWMAN & Co., Calcutta.
THACKER, SPINK & Co., Calcutta and Simla.
D. B. TARAPOREVALA, SONS & Co., Bombay.
THACKER & Co., LTD., Bombay.
CITY BOOK Co., Post Box No. 283, Madras.
HIGGINBOTHAM & Co., Madras.
IN EUROPE.
The publications are obtainable either direct from the Office of the
HIGH COMMISSIONER FOR INDIA, General Department, India
House, Aldwych, London, W.C. 2, or through any bookseller.
TABLE OF CONTENTS.
NOTE ON THE MENTAL HOSPITALS IN BURMA FOR THE YEAR 1930.
Buildings ... ... ... ... ...
Accommodation
...
...
...
...
...
Population ... ... ... ... ...
Admissions, etc. ... ... ... ... ...
Criminal Lunatics ... ... ... ... ...
Incidence of Lunacy ... ... ... ...
Age ... ... ... ... ...
Causes of Mental Breakdown ... ... ...
Health and Mortality ... ... ...
Escapes, Accidents and Suicides, etc. ... ... ...
Treatment ... ... ... ... ...
Sanitation ... ... ... ... ...
Water Supply ... ... ... ... ...
Garden and Dairy ... ... ... ...
Diets
...
...
...
...
...
Amusement and Recreation
...
...
...
Employment
...
...
...
...
...
Bedding ... ... ... ... ...
Finance ... ... ... ... ...
Committee of Visitors ... ... ... ...
Staff ... ... ... ... ...
PARA.
2
3
4
5
6
7
8
9 & 10
11
12
13
14
15
16
17
18
19
20
21
22
23
PAGE.
1
1
1
1 & 2
2
2
2
2
2 & 3
3
3
3 &4
4
4
4
5
5 & 6
6
6
6
6
RESOLUTION
ON THE
Note on the Mental Hospitals in Burma
For the Year 1930.
Extract from the Proceedings of the Government of Burma (Ministry of Education),
—No. 97X31, dated the 29th April 1931.
READ—
The Note on the Mental Hospitals in Burma for the year 1930.
RESOLVED THAT—
The Note be published. The question of the water supply is
being examined.
By order,
H. G. WILKIE,
Secretary to the Government of Burma,
Education Department.
Note
ON THE
Mental Hospitals in Burma
For the Year 1930.
This note deals with the working of the two Mental Hospitals in
Burma, viz., Tadagale and Minbu during the year 1930.
2. Buildings.—The following works were carried out at the Mental
Hospital, Tadagale, during the year under review :—
(a) Improvements to the laterite floor of the cattle sheds ;
(b) Dismantling, and shifting, two Pagodas from the Mental
Hospital in the St. John's Road, and re-erecting them
at the Mental Hospital, Tadagle ;
(c) Constructing pucca drains, and aprons round main kitchen
and boiler sheds ;
(d) Protecting the verandha openings with expanded metal, and
other works in the acute, and chronic blocks in the Civil
and Criminal Sections.
The buildings at Minbu are in a good state of repairs.
3. Accommodation.—During the year under report, no change was
made in the total accommodation provided in the two Mental Hospitals
in the Province which remained at the figure 1,189, representing space
for 1,024 males and 165 females. There is a separate Contagious
Diseases Ward, as also separate Dysentery and Tubercular Wards.
Accommodation and sanitation were satisfactory.
4. Population.—At Tadagale, on the 1st January 1930, there were
1,090 patients (927 males and 163 females), and on the last day of the
year there were 1,117 (949 males and 168 females). The daily average
strength was 1121.80 (952.60 males and 169.20 females). The highest
number confined on any one night was 1,140 (966 males and 174
females). At Minbu, the year commenced with 112 and ended with 105.
The average population was 109.75. The largest population in any
one night was 112.
5. Admissions and Discharges.—The total number of patients admit-
ted during the year including 24 re-admissions (17 males and 7 females)
was 250 (209 males and 41 females) against 230 in 1929. The number
2
NOTE ON THE MENTAL HOSPITALS
of discharges were 151 (128 males and 23 females). Of these 112 (99
males and 13 females) were returned as cured; 33 (23 males and 10
females) as improved, and 6 males as otherwise as compared with 125
(106 males and 19 females) in 1929, and 151 (130 males and 21 females
in 1928. The percentage of cured to admissions during the year was
12.00 as against 6.52 in 1929, and 14.39 in 1928. A little over 44 per
cent. of the total admissions were from Rangoon Town. The various
occupations from which most of the lunatics were drawn were that of
the cooly and the cultivator. Fifteen cases of general paralysis of the
insane were admitted during the year, excluding 4 cases diagnosed
amongst the existing patients.
There were no admissions at Minbu.
6. Statement II shows the number of criminal lunatics confined in
the Mental Hospitals in Burma. At Tadagale, there were 440 against
426 in 1929, and 377 in 1928. The daily average strength increased
from 376.59 in 1928 to 399.87 in 1929 and to 436.46 in 1930.
7. Statement III.—The incidence of lunacy amongst the various
races is as follows :—
Burmese ... ... ...
Hindus ... ... ...
Mohamedans ... ... ...
Chinese ... ... ...
Europeans and Anglo-Indians ... ...
Asiatic Christians ... ...
Others (Chins, Kachins, Shans, etc )
Total ...
44.80
25.60
10.00
8.00
3.60
2.00
6.00
100.00
8. Statement V.—199 or 79.6 per cent. of the total admissions for the
year under review were between the ages of 20 and 40.
9. Statement VI shows the various causes which contributed
towards mental break-down in patients in 1930.
10. Statement VII deals with the supposed causes of insanity of
patients, and shows also the predisposing, and exciting causes ; 37 were
due to " Privation and Starvation " 36 to " Previous attack " ; 28 to
" Hereditary insanity " ; 24 to " Prolonged Mental Stress " and the
remaining to other causes.
11. Health and Mortality.—The general health of the inmates was
good throughout the year. But for a mild type of Influenza which
accounted for 57 cases at Tadagale, who recovered under treatment, no
epidemic broke out in either of the Mental Hospitals. Anti-dysentery
(Bacillary) Bili-Vaccine tablets were administered to all patients
with the result, that there was no incidence of bacillary dysentery.
There were two cases amongst fresh admissions who had not
received the prophylactic tablets.
However, Dysentery, which is
never absent in the Mental Hospital, accounted for 4 deaths all
IN BURMA FOR THE YEAR 1930.
3
amoebic. In all 72 died (59 males and 13 females) against 42 in
1929. The primary causes which accounted for larger number of
deaths were, Tuberculosis—27 deaths ; General Paralysis of the Insane—
12 deaths ; Exhaustion from Mania—8 deaths and Senile Dementia—
4 deaths.
The daily average sick during the year under review was 41.68
against 34.21 in 1929 and 41.13 in 1928. Percentage of deaths to daily
average population in 1930 was 6.09 ; in 1929, 4.08, and in 1928, 5.54.
The health of the inmates at the Minbu Mental Hospital was
satisfactory.
12. Escapes, Accidents and Suicides.—As in the previous year, there
was neither an escape, nor an accident, nor a suicide.
13. Treatment.—The general principles followed in the treatment of
inmates were, personal hygiene, suitable employment, discipline, games
and pastimes, free air, and as much liberty as consistent with patients'
safety and welfare.
The new admissions were subjected to careful investigation with
regard to physical and mental conditions in the place set apart for this
purpose. Acute cases which had the best chance of recovery, were
placed under constant supervision day and night. They were given
liberal diets and extras. To obviate Insomnia, Paraldehyde, Sulphonal,
Trional, Bromide of Potassium, Luminal and ordinary and prolonged
tepid baths depending on the type of insanity were found satisfactory.
Hyocyine Hydrobromide hypodermically to control extreme restless-
ness in suitable cases gave good results without any adverse symptoms
as noted occasionally by others. Urotrophine in suitable combination,
was administered orally with some little temporary benefit in general
paralysis of the insane cases. Towards the end of the year, suitable
general Paralysis of the Insane cases were tried with intramuscular
injections of Collosal Sulphur ; but it is yet too early to note results.
Epileptics were attended to, and housed separately, so also the filthy,
suicidal, homicidal, aggressive cases, and those of markedly erotic
habits.
14. Sanitation and Conservancy.—At Tadagale, the water borne
system of Sewage continued to function satisfactorily. The extensive
grounds of the hospital were kept in a sanitary condition by inmate
working gangs ; the rubbish, collected in dust bins, was finally disposed
of by carts into prepared pits outside the Mental Hospital proper.
All lower floors of dormitories, cells and other buildings were flushed
with water by means of hose pipes, and swept clean. The upper floors
were thoroughly swabbed out.
Cresol Solution was freely used to disinfect the bath-rooms. The
walls of cells were scrubbed and white-washed. The wood work was
earth-oiled.