NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
16
APPENDICES.
STATEMENT No. VI.—Showing the form of Mental disorder in the
—
TADAGALE.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Mental Deficiency ...
Manic Depressive Insanity ...
Mania ... ...
Melancholia ... ...
Schizophrenia
including
Dementia Praecox.
Secondary Dementia ...
(a) Paronoia ... ...
(b) Paraphrenia ...
...
Epilepsy
and
Epileptic
Insanity.
Toxic Psychoses—
(a) Acute confusional Insanity
(b) Alcoholic Psychosis ...
(c) Canabis Indicae Psychosis
(d) Of Endocrine Origin ...
(c) In relation to child bearing
(f) In relation to other
constitutional diseases.
Organic Psychoses—
(a) General ... ...
(b) Cerebral Syphilis ...
(c) Arteriopathic and Senile
Psychosis.
(d) Encephalitis ...
(e) Other Cerebral lesions ...
Neuroses and Psycho Neuroses
No appreciable diseases ...
Not yet diagnosed (discharged
before certification).
Total ...
Remaining on
31st December
of the preceding
year.
M.
47
...
161
119
161
21
4
4
38
27
6
5
...
...
...
57
...
14
4
...
...
28
...
696
F.
17
...
44
12
23
1
1
6
6
10
...
...
1
9
...
1
...
12
...
1
...
1
...
145
T.
64
...
205
131
184
22
5
10
44
37
6
5
1
9
...
58
...
26
4
1
...
29
...
841
Admissions during
the year.
M.
17
...
40
13
46
1
3
2
3
39
7
10
...
...
8
71
2
8
...
...
...
16
...
286
F.
8
...
12
...
13
...
2
...
...
10
...
...
2
2
4
8
...
9
...
...
...
...
...
70
T.
25
...
52
13
59
1
5
2
3
49
7
10
2
2
12
79
2
17
...
...
...
16
...
356
Total.
M.
64
...
201
132
207
22
7
6
41
66
13
15
...
...
8
128
2
22
4
...
...
44
...
982
F.
25
...
56
12
36
1
3
6
6
20
...
...
3
11
4
9
...
21
...
1
...
1
...
215
T.
89
...
257
144
243
23
10
12
47
86
13
15
3
11
12
137
2
43
4
1
...
45
...
1,197
* Out of 318 cases shown as " recoveries " 232 cases were discharged " Cured "
APPENDICES.
17
admissions, discharges, recoveries, and deaths during the year ending 1937.
Discharges.
Recoveries.
M.
14
...
55
21
42
2
1
3
3
40
9
13
...
...
3
36
1
4
...
...
...
3
...
250
F.
2
...
18
6
9
...
...
...
...
18
...
...
1
2
2
4
...
6
...
...
...
...
...
68
T.
16
...
73
27
51
2
1
3
3
58
9
13
1
2
5
40
1
10
...
...
...
3
...
318*
Otherwise.
M.
2
...
8
7
2
...
...
...
1
...
...
...
...
...
...
...
...
1
...
...
...
1
...
22
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
T.
2
...
8
7
2
...
...
...
1
...
...
...
...
...
...
...
...
1
...
...
...
1
...
22
Deaths.
M.
5
...
7
5
4
4
...
...
2
3
...
...
...
...
...
37
...
5
1
...
...
...
...
73
F.
3
...
1
1
3
1
...
...
...
2
...
...
...
...
...
3
...
...
...
...
...
...
...
14
T.
8
...
8
6
7
5
...
...
2
5
...
...
...
...
...
40
...
5
1
...
...
...
...
87
Remaining on 31st
December.
M.
43
...
131
99
159
16
6
3
35
23
4
2
...
...
5
55
1
12
3
...
...
40
...
637
F.
20
...
37
5
24
...
3
6
6
...
...
...
2
9
2
2
...
15
...
1
...
1
...
133
T.
63
...
168
104
183
16
9
9
41
23
4
2
2
9
7
57
1
27
3
1
...
41
...
770
(male 181, female 51) 86 were cases discharged " Improved " (male 69, female 17).
18
APPENDICES.
STATEMENT No. VI.—Showing the form of Mental disorder in the admis-
—
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
MINBU.
Mental Deficiency ...
Manic Depressive Insanity ...
Mania
...
...
Melancholia ... ...
Schizophrenia
including
Dementia Praecox.
Secondary Dementia ...
(a) Paronoia ... ...
(b) Paraphrenia ... ...
Epilepsy and Epileptic Insanity
Toxic Psychoses—
(a) Acute confusional Insanity
(b) Alcoholic Psychosis ...
(c) Canabis Indicae Psychosis
(d) Of Endocrine Origin ...
(e) In relation to child bearing
(f) In relation to other consti-
tutional diseases.
Organic Psychoses—
(a) General ... ...
(b) Cerebral Syphilis ...
(c) Arteriopathic and Senile
Psychosis.
(d) Encephalitis... ...
(e) Other Cerebral lesions ...
Neuroses and Psycho Neuroses
No appreciable diseases ...
Not yet diagnosed (discharged
before certification).
Total ...
GRAND TOTAL ...
Remaining on
31st December
of the preceding
year.
M.
10
15
32
26
15
16
...
2
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
117
813
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
145
T.
10
15
32
26
15
16
...
2
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
117
958
Admissions during
the year.
M.
...
6
1
...
1
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
1
...
10
296
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
70
T.
...
6
1
...
1
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
1
...
10
366
Total.
M.
10
21
33
26
16
16
...
2
...
2
...
...
...
...
...
...
...
...
...
...
...
1
...
127
1,109
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
215
T.
10
21
33
26
16
16
...
2
...
2
...
...
...
...
...
...
...
...
...
...
...
1
...
127
1,324
APPENDICES.
19
sions, discharges, recoveries, and deaths during the year ending 1937—concld.
Discharges.
Recoveries.
M.
...
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2
252
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
68
T.
...
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2
320
Otherwise.
M.
...
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2
24
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
T.
...
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2
24
Deaths.
M.
...
1
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
76
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
14
T.
...
1
1
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
90
Remaining on
31st December.
M.
10
19
30
25
16
16
...
2
...
2
...
...
...
...
...
...
...
...
...
...
...
1
...
121
758
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
133
T.
10
19
30
25
16
16
...
2
...
2
...
...
...
...
...
...
...
...
...
...
...
1
...
121
891
20
APPENDICES.
STATEMENT No. VII.—Showing the Probable cause of Insanity in the
Patients admitted into the Mental Hospitals during the year ending
the 31st December 1937.
—
TADAGALE.
Mental Stress—
Moral ... ...
Business Worry ... ...
Domestic Worry ... ...
Stress of Military Service ...
Toxins—
Canabis Indica ... ...
Alcohol ... ... ...
Other Toxins ... ...
Physical ... ... ...
Opium ... ... ...
Bodily illness ... ...
Pregnancy ... ... ...
Child Birth ... ... ...
Climacteric ... ... ...
Epilepsy ... ... ...
Head injuries ... ...
Infections—
Encephalitis Lethargica ...
Influenza ... ... ...
Syphilis ... ... ...
Other Infections ... ...
Old Age— ... ... ...
Hereditary predisposition ...
Previous attacks ... ...
Unascertained ... ...
Total ...
Predisposing
Causes.
M.
...
4
7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
8
36
22
37
114
F.
...
...
3
...
...
...
...
...
...
...
...
3
2
...
...
...
...
...
...
6
18
3
4
39
T.
...
4
10
...
...
...
...
...
...
...
...
3
2
...
...
...
...
...
...
14
54
25
41
153
Exciting
Causes.
M.
...
...
...
...
15
10
26
35
...
14
...
...
...
5
...
...
...
76
...
...
...
...
...
181
F.
...
...
...
...
...
...
3
14
...
5
...
...
...
...
...
...
...
9
...
...
...
...
...
31
T.
...
...
...
...
15
10
29
49
...
19
...
...
...
5
...
...
...
85
...
...
...
...
...
212
Total.
M.
...
4
7
...
15
10
26
35
...
14
...
...
...
5
...
...
...
76
...
8
36
22
37
295
F.
...
...
3
...
...
...
3
14
...
5
...
3
2
...
...
...
...
9
...
6
18
3
4
70
T.
...
4
10
...
15
10
29
49
...
19
...
3
2
5
...
...
...
85
...
14
54
25
41
365
APPENDICES.
21
STATEMENT No. VII.—Showing the Probable cause of Insanity in the
Patients admitted into the Mental Hospitals during the year ending
the 31st December 1937.
—
MINBU.
Mental Stress—
Moral ... ... ...
Business Worry ... ...
Domestic Worry ... ...
Stress of Military Service ...
Toxins—
Canabis Indica ... ...
Alcohol ... ... ...
Other Toxins ... ...
Physical ... ... ...
Opium
...
...
...
Bodily illness
...
...
Pregnancy ... ... ...
Child Birth ... ...
Climectaric ... ...
Epilepsy ... ... ...
Head injuries ... ...
Infections—
Encephalitis Lethargica ...
Influenza
...
...
...
Syphilis ... ... ...
Other Infections ... ...
Old Age— ... ... ...
Hereditary predisposition ... ...
Previous attacks ... ...
Unascertained ... ...
Total ...
GRAND TOTAL ...
Predisposing
Causes.
M.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
1
...
2
116
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
39
T.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
1
...
2
155
Exciting
Causes.
M.
...
...
1
...
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
5
8
189
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
31
T.
...
...
1
...
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
5
8
220
Total.
M.
...
...
1
...
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
1
1
5
10
305
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
70
T.
...
...
1
...
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
1
1
5
10
375
22
APPENDICES.
STATEMENT No. VIII.—Showing the Cash Account of the Mental Hospitals
Name of Mental
Hospitals.
(1)
Tadagale ...
Minbu ...
Total for 1937
Total for 1936
Total for 1935
Credits.
Received from
the treasury.
(2)
Rs.
2,35,489
18,118
2,53,608
2,67,821
2,55,242
A.
15
14
13
10
12
P.
0
3
3
3
2
Received from
paying patients
(including
Municipalities).
(3)
Rs. A. P.
(A)
1,50,166 3 3
...
1,50,166
1,68,147
2,00,480
3
9
15
3
9
9
Value of stores
received from
Manufacturing
Departments
less cost of
raw materials.
(4)
Rs.
2,965
2,107
5,072
5,183
5,620
A.
4
9
13
14
9
P.
0
3
3
10
9
Book receipts.
i.e., the total of
expenditure
entered
in columns
19, 20 and 21.
(5)
Rs.
27,899
3,336
31,236
26,815
24,604
A.
12
13
9
11
9
P.
6
0
6
6
0
Miscellaneous
receipts.
(6)
Rs. A. P.
(B)
4,159
1,161
5,321
4,623
3,844
6
12
2
0
4
3
6
9
9
9
Name of Mental
Hospitals.
(1)
Tadagale ...
Minbu
...
Total for 1937
Total for 1936
Total for 1935
Charges—
Contingencies.
Contingencies
proper.
(13)
Rs. A. P.
(G)
41,355
2,265
43,621
48,140
48,926
15
7
7
13
12
6
6
0
2
6
Repairs and
maintenance.
(14)
Rs. A. P.
...
...
...
...
...
Rates and
taxes.
(15)
Rs. A. P.
(H)
12,965
1,363
14,329
14,075
13,041
11
6
1
10
8
0
0
0
0
0
Remitted to
treasury on
account of paying
patients.
(including
Miscellaneous
Receipts).
(16)
Rs. A. P.
(X)
1,54,325
1,161
1,55,487
1,72,770
2,04,325
9
12
6
10
4
6
6
0
6
6
Miscellaneous
items.
(17)
Rs.
A. P.
(I)
8,466 15 7
...
8,466
9,978
7,973
15
0
1
7
3
1
(A)(a) Local Bodies ...
(b) Paying patients ...
Rs.
1,34,462
15,703
1,50,166
A.
7
12
3
P.
0
3
3
(B) (a) Sale of Milk ... ...
(b) Sale of Vegetables ... ...
(c) Miscellaneous items ... ...
Rs.
3,883
92
183
4,159
A.
4
12
5
6
P.
9
6
0
3
(C) Includes Rs. 600 adjusted by Book Transfer on account of Passage Contribution of Major G. H. Fraser.
I.M.S.
APPENDICES.
23
in Burma for the year 1937 and Provincial Totals for two previous years.
Charges.
Total.
(7)
Rs.
4,20, 680
24,725
4,45,405
4,72,591
4,89,793
A.
9
1
10
15
3
P.
0
0
0
1
5
Establishment.
Establishment
proper.
(8)
Rs.
1,15,430
8,014
1,23,445
1,19,982
1,21,938
A.
4
15
3
0
8
P.
0
0
0
0
0
Superinten-
dence.
(9)
Rs. A. P.
(C)
21,776
1,260
23,036
21,741
17,375
5
0
5
9
1
0
0
0
0
0
Diet.
(10)
Rs. A. P.
(D)
40,698
5,130
45,828
60,933
52,530
11
3
14
7
15
0
9
9
7
5
Clothing and
bedding.
(11)
Rs. A. P.
(E)
2,275
81
2,356
1,371
2,244
9
0
9
15
9
11
0
11
0
8
Bazaar
medicines.
(12)
Rs. A. P.
(F)
703
3
707
331
807
12
14
10
5
6
0
0
0
3
6
concluded.
Total of columns
8 to 17.
(18)
Rs.
3,97,998
19,280
A.
13
10
P.
6
9
4,17,279 8 3
4,49,325
4,69,163
6
2
9
8
Book Charges.
Charges on
account of
work done by
Public Works
Department.
(19)
Rs.
26,405
2,595
A.
0
0
P.
6
0
29,000 0 6
23,747
21,041
1
9
6
0
Cost of
printed
forms and
stationery.
(20)
Rs.
393
A.
6
P.
0
...
393
229
733
6
10
5
0
0
6
Cost of English
medicines and
stores.
(21)
Rs.
1,101
2,849
A.
6
6
P.
0
3
3,950 12 3
4,766
5,691
10
15
0
0
Total of
columns 18
to 21.
(22)
Rs.
4,25,898
24,725
A.
10
1
P.
0
0
4,50,623 11 0
4,78,068
4,96,630
12
0
7
2
Remarks.
[Give details for
the figures shown in
column 6.]
(23)
Milk
sold
Vegetables
sold
Cloth
sold
Miscella-
neous
Total
Rs.
3,883
748
312
377
5,321
A.
4
3
7
4
2
P.
9
0
0
0
9
(D) Includes Rs. 3,927-3-0 paid by Book Transfer to Jail Department for supply of Atta.
(E) Includes Rs. 836-4-0 paid by Book Transfer to Jail Department for supply of Blankets and other articles
of clothing.
(F) Includes Rs. 171 paid by Book Transfer to Jail Department on account of Bandage and Gauze cloth.
(G) Includes Rs. 924-15-0 paid by Book Transfer to Jail Department for Furniture and Articles of Servants'
uniform.
(H) Includes Rs. 468 paid to Postal Department by Book Transfer on account of Telephone rent
(I) Includes Rs.321-4-0 paid by Book Transfer to Jail Department on account of Soap and other miscella-
neous items.
(X) (a) Maintenance charges of Patients, vide column 3 ... ... ...
(b) Miscellaneous Receipts, vide column 6 ... ... ...
Rs.
1,50,166
4,159
1,54,325
A.
3
6
9
P.
3
3
6
G.B.C.P.O.—No. 200, I.G.C.H., 2-5-38—185.
ANNUAL REPORT
ON
MENTAL HOSPITALS IN BURMA
FOR THE YEAR 1938
RANGOON
SUPDT., GOVT. PRINTING AND STATIONERY, BURMA
1939
Price,—Rs. 1-4-0 = 1s. 11d.]
ANNUAL REPORT
ON
MENTAL HOSPITALS IN BURMA
FOR THE YEAR 1938
RANGOON
SUPDT., GOVT. PRINTING AND STATIONERY, BURMA
1939
LIST OF AGENTS FOR THE SALE OF
GOVERNMENT PUBLICATIONS
IN BURMA.
AMERICAN BAPTIST MISSION PRESS. Rangoon.
BRITISH BURMA PRESS BRANCH, Rangoon.
BURMA BOOK CLUB LTD., Post Box No. 1068, Rangoon
CITY BOOK CLUB, No. 98, Phayre Street, Rangoon.
CONTINENTAL TRADING Co., No. 363, Lower Main Road, Moulmein
MESSRS. K BIN HOON & SONS, Nyaimglebin.
MAUNG LU GALE. Law Book Depôt, No. 42, Ayo-o-gale, Mandalay.
NEW LIGHT OF BURMA PRESS, 61, Sule Pagoda Road, Rangoon.
PROPRIETOR, THU DHAMA WADI PRESS. No. 16—80, Maung Khine Street;
Rangoon.
RANGOON TIMES PRESS, Rangoon
IN INDIA.
BOOK Co., LTD., No. 4/4A. College Square, Calcutta.
BUTTERWORTH & Co. (India), LTD., Calcutta.
CITY BOOK Co., Post Box No. 283. Madras.
D. B. TARAPOREVALA, SONS & Co., Bombay.
HIGGINBOTHAM & Co., Madras.
MESSRS. SAMPSON WILLIAM & Co., Cawnpore. United Provinces.
Mr. RAM NARAIN LAL, Proprietor, National Press, Katra, Allahabad.
S. K. LAHIRI & Co., No. 56. College Street, Calcutta.
THACKER. SPINK & Co. (1933), Ltd., No. 3, Esplanade East, Calcutta.
THACKER & Co., LTD., Bombay.
W. NEWMAN & Co. Calcutta.
IN EUROPE AND AMERICA.
The publications are obtainable either direct from THE HIGH COMISS-
------ FOR INDIA. Public Department, India House, Aldwych,
London, W.C 2, or through any bookseller.
TABLE OF CONTENTS.
ANNUAL REPORT ON MENTAL HOSPITALS IN BURMA
FOR THE YEAR 1938.
General ... ... ... ... ...
Accommodation ... ... ... ...
Population ... ... ... ... ...
Admissions and Discharges ... ... ...
Health and Mortality ... ... ... ...
Criminal Lunatics ... ... ... ...
Incidence of Insanity in respect of Religion and Sex, etc.
Age
...
...
...
...
...
Form of Mental Disorder ... ... ...
Probable Cause of Insanity
... ... ...
Finance ... ... ... ... ...
Miscellaneous ... ... ... ...
Conclusion (Staff) ... ... ... ...
PARA.
1
2
3
4
5
6
7
8
9
10
11
12
13
PAGE
1
1
1
1 &2
2
2
2
2
2 & 3
3
3 &4
4
4 & 5
RESOLUTION
ON THE
Annual Report on Mental Hospitals
in Burma
For the Year 1938.
Extract from the Proceedings of the Government of Burma, Medical Branch,
No. 5GX39, dated the 11th April 1939.
READ—
The Annual Report on Mental Hospitals in Burma for the year 1938.
RESOLVED THAT—
The Report be published.
By order,
MAUNG KYAW,
Secretary to the Government of Burma,
Education Department.
BURMA.
MEDICAL DEPARTMENT—No. 5337—L.A.-9.
FROM
LT.-COLONEL A. BA THAW, M.B., Ch.B. (Edin.), I.M.S.,
Offg. Inspector-General of Civil Hospitals, Burma,
To
THE SECRETARY TO THE GOVERNMENT OF BURMA,
EDUCATION DEPARTMENT.
Dated Rangoon, the 30th March 1939.
SIR,
I have the honour to submit herewith the Annual Report
on Mental Hospitals at Tadagale and Minbu for the year 1938.
2. Accommodation.—The
accommodation in the two Mental
Hospitals remained substantially the same as in the previous year, viz..,
1047 (882 males and 165 females) at Tadagale and 139 males at Minbu,
or a total of 1,186. There was no overcrowding either at the Mental
Hospital, Tadagale, or at the Mental Hospital, Minbu, during the year
under review.
3. Population.—The total number of patients in both Mental
Statements I and II.
Hospitals on the 1st January 1938 was only 891
(758 males and 133 females). On the 31st
December 1938, there remained 885 patients (764 males and 121
females). Of this number, viz., 885, Tadagale accounted for 769 patients.
The daily average population was 880.14, the maximum number of
patients on any one night being 910 (772 males and 138 females). The
number of patients during the year, it will be observed, was appreciably
below the sanctioned accommodation. This was due to admission of
only the dangerous type of patients and also of those who were likely
to be benefitted by treatment. In view of the reduced number of
patients, the Medical Superintendent, recently submitted a proposal for
the closing down of the Mental Hospital, Minbu, and the transfer of
the patients of that hospital to the Mental Hospital, Tadagale. That
proposal is now under consideration.
4. Admissions and Discharges.—The number of admissions, including
re-admissions into the Mental Hospital, Tadagale, during the year were
2
ANNUAL REPORT ON MENTAL HOSPITALS
309 patients (254 males and 55 females) as compared with 366 (296
males and 70 females) in the previous year, whilst at Minbu there were
no admissions during the year under report. The decrease in the
number of admissions was presumably due to Magistrates committing
only the dangerous type of patients and the patients in whom hope of
recovery was probable. The number of discharges from the Mental
Hospital, Tadagale, was 222 as against 340 in the previous year. Of
the 222 patients discharged, 126 were discharged as " recovered ", 73
as " improved " and 23 as " discharged otherwise."
The percentage of cures to admissions during the year at the Mental
Hospital, Tadagale, was 19.74 (35.11). At Minbu, no patient was
discharged during the year. The reason for the lower percentage of
cures is because a more definite standard of cure was insisted upon.
5. Health and Mortality.—The general health of the inmates of both
the institutions continued to be satisfactory throughout the year. There
were 93 deaths of which number Tadagale accounted for 88 and Minbu
for 5. The large number of deaths at the Mental Hospital, Tadagale,
is due to the admission of a number of cases of General Paralysis of the
Insane in an advanced state and therefore not amenable to specific
treatment.
Statement III.
6. Criminal Lunatics.—At Tadagale, the number of criminal lunatics
at the beginning of the year was 390, admissions
and re-admissions accounted for 74, whilst at
Minbu the number of criminal lunatics at the beginning of the year was
121. The total number of patients remaining at both institutions at the
end of the year was 505, of which Minbu accounted for 116.
Statement IV.
7. The incidence of insanity amongst admissions in respect of race,
sex, and residence is shown in Table IV. The
only point of interest is the predominant part
played by Rangoon City, which is the place of residence of 121 patients
out of a total of 309 admissions. As regards races, the admissions
included Hindus 53 (17.1 per cent) ; Mohamedans 21 (6.8 per cent) :
Christians 24 (7.8 per cent) ; Burmans 160 (51.8 per cent) ; other castes
51 (16.5 per cent).
Statement V.
8. This statement shows the ages of patients admitted into the
Mental Hospitals in Burma during the year 1938.
It calls for no comment beyond the fact that, as
usual, the number of admissions of those between the ages of 20 to 40
is high.
Statement VI.
9. This statement indicates the different form of mental disorders
diagnosed in the patients during the year 1938.
It will be observed that at Tadagale, Mania and
Schizophrenia, including Dementia Præcox, accounted for 171 and 202
IN BURMA FOR THE YEAR 1938.
3
patients respectively out of a total of 769 patients. Schizophrenia is
perhaps the gravest of all the mental diseases, and it is therefore all the
more interesting to note that at the Mental Hospital, Tadagale, during
the year under report, a number of cases of Schizophrenia were treated
by modern methods, i.e., " Hypoglycæmic shock treatment," as intro-
duced by Dr. Manfred Sakel in Vienna and " Convulsion Therapy " as
introduced by Dr. Ladislaus Von Meduna. Ten cases were treated by
the Hypoglycæmic method during the year under report; of these four
cases recovered completely, four improved and two showed no
improvement. Fourteen cases were treated by Convulsion Therapy
method ; of these five cases recovered completely, four cases improved
and five cases did not respond. The recovery rate is most favourable
for cases of recent duration and diminishes steadily in proportion to
the number of years that the condition has been present. There have
been no untoward effects or casualties with this method of treatment,
nor with the Insulin Treatment. But the Cardiazol method is more
suitable and it has now almost superseded the Hypoglycæmic shock
treatment as it is easier to perform and requires less observation and
time and it is less costly. However, occasionally, the two methods are
combined with advantage. Cases of Manic Depressive Insanity are now
also being treated in this manner with good results to date. Malarial
treatment for cases of General Paralysis of the Insane was given during
the year. 22 patients were treated and 11 reacted well. There
is no doubt that Malarial Therapy is the best treatment for General
Paralysis of the Insane in the present state of our knowledge. It is
pointed out that the earlier treatment can be undertaken, the better is the
prognosis. It is regretted that many cases are still admitted in a very
advanced condition. It is to be hoped that every endeavour will be made
by the profession to recognize this condition in its early stage and per-
suade the patients to submit to adequate treatment in this institution.
Other routine methods of treatment were continued as in the
preceding years, viz., attention to general health, occupation and
recreation.
Blood of all cases was sent to the Pasteur Institute for examination
for Wassermann Reaction, and if the result was positive, the Cerebro-
spinal fluid was also sent. Out of 244 blood specimens, 74 showed
positive reactions.
Statement VII.
10. At Tadagale there, were 56 cases for " Mental Stress ", 113 for
" Toxins ", 75 for " Infections " and 120 for " Old
Age " (including 32 " Unascertained cases").
There were no admissions at Minbu.
Statement VIII.
11. The total receipts for the year at both the institutions
was Rs. 4,18,082-5-6 (Rs. 4,45,405-10-0) and the
total
expenditure
was Rs.
4,33,610-2-6
(Rs. 4,50,623-11-0). The average cost per patient was Rs. 363 (Rs. 328)