NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
REPORT ON THE RANGOON LUNATIC ASYLUM FOR THE YEAR 1898.
3
The number of these convalescents is usually about 24 per cent. of the Asylum
population. The cost of the extra diet thus supplied was as under:—
Cost of Extra Diet supplied.
Cost
...
Milk.
Rs.
278
A.
4
P.
9
Bread.
Rs.
457
A.
4
P.
0
Beef for
soup.
Rs.
840
A.
13
P.
11
Conjee.
Rs.
342
A.
3
P.
0
Jaggery.
Rs.
100
A.
0
P.
1
Total.
Rs.
2,018
A.
9
P.
9
8. Labour.—As in former years, the partially cured lunatics and those on
probation have been employed as far as possible in carrying on the general work
of the Asylum, and some of them have been most useful, performing duties which
in their absence would have to be carried out by paid hands. Weaving has been
carried on with a very considerable amount of success and some very fair cloth
has been turned out.
Twist to the value of Rs. 399-15-0 was purchased and cloth valued at Rs.
713-15-0 produced, showing a profit of Rs. 314. It is intended during the
coming year to increase the looms. A few lunatics are employed in coir-pounding,
basket-making, mat and rope making and paddy grinding; others find employment
in gardening, road-making, and the various forms of labour required to keep the
Asylum in a clean and tidy condition.
9. Extra-mural work has fallen off very much and is not likely to in-
crease. The amount received from this source was only Rs. 156-8-0. A certain
amount has been done in the direction of cultivation of flowers, but so far with
limited success, sales to the value of Rs. 35-13-3 only having been effected.
Rupees 145-8-6 were realized by the sale of vegetables.
The number of lunatics considered incapable of doing any work is about 80
to 90 males and 30 females.
10. Asylum Dairy.—At the beginning of the year there were 11 cows, 18
calves and 2 bulls. During the year six calves were born and two cows and two
calves purchased, four cows and 11 calves were sold, and two cows and seven
calves died. At the close of the year the Asylum had, including five cows and
eight calves transferred from jail and one calf transferred to the cow list, 13 cows,
15 calves, and 2 bulls. The profit for the year is shown below:—
1. Received and paid into the treasury, being value of
milk sold to the public ... ... ...
2. Value of milk supplied to the Asylum and adjusted
by book transfer ... ... ...
3. Cash in hand on 31st December 1898 ...
4. Amount outstanding on 31st December 1898 ...
5. Realized by sale of cattle ... ... ...
Total ...
Cost of feeding cows and sundries
...
...
Price paid for cattle purchased ... ...
Salary of milkman
...
...
Paid contractor for the supply of milk ...
Total ...
Net profit ...
Rs.
5,793
1,545
13
66
190
7,608
440
210
180
4,205
5,036
2,572
A.
8
13
3
3
0
13
10
0
0
11
5
7
P.
10
7
3
7
0
3
1
0
0
3
4
11
The amount shown as spent on purchase of milk was disbursed for milk ob-
tained from cows not the property of Government, but kept in the Asylum and
fed and milked under the supervision of the Asylum staff. In previous years it
was the custom to pay for this out of the sums received from customers, an irre-
gular practice now put an end to.
REPORT ON THE RANGOON LUNATIC ASYLUM FOR THE YEAR 1898.
7
The total number of deaths was 41 (not including one under observation),
giving a percentage to daily average strength of 12, or somewhat greater than in
the preceding two years. The chief causes of death were dysentery (6), tuber-
cle (4), debility (6), mania (7) and diarrhœa (5). Two deaths occurred from
fracture of the base of the skull, one being homicidal and the other accidental by
a fall from a tree.
Of the 42 inmates who died, 22 were in bad or indifferent health at the time
of admission to the Asylum.
23. Statement IX, showing the cash account, &c.—The total expenditure
for the year, excluding book debit, was Rs. 41,532-7-10, being a decrease as com-
pared with 1897, when the expenditure was Rs. 42,355-1-0. The decrease is
under the headings of superintendence and diet. The large increase under con-
tingencies is owing chiefly to milk purchased in the manufacture department as
explained in the remarks on the Asylum dairy. There has been a proportionate
increase under the heading " Miscellaneous receipts."
24. Statement X, showing the sanctioned establishment, &c.—The only
change is in the Deputy Superintendent's pay, which is at present Rs. 165 as
compared with Rs. 225 sanctioned in the previous year. The Hospital Assistant's
pay is also less owing to his being of a lower grade.
25. Statement showing receipts and expenditure on account of manufac-
tures, &c.—The excess of credits amounted to Rs. 9,939-6-1 as compared with
Rs. 8,197-11-5, the increase being chiefly due to a more accurate stock-taking
of plant, &c, and to larger sales of milk and other articles.
26. Concluding Remarks.—Major Davis, I.M.S., was in charge of the
Asylum from the beginning of the year to the 29th October, when I took over
from him.
Mr. Donaldson, the Deputy Superintendent, has done his best to carry on
the work, of which he had no previous experience, and his efforts have, I think,
met with some success.
The Overseer, Ismail Sherriff, was not reported on well last year. As far as
I can judge, he performs his duties satisfactorily.
RANGOON LUNATIC ASYLUM:
The 12th February 1899.
G. J. H. BELL, M.B., MAJOR, I.M.S.,
Superintendent, Lunatic Asylum.
ii.
APPENDICES.
STATEMENT No. I.—Showing the admissions, discharges, &c., of lunatics in the Rangoon Lunatic Asylum during the year 1898 and previous 10 years.
1
Year.
1888 ...
1889 ...
1890 ...
1891 ...
1892 ...
1893 ...
1894 ...
1895 ...
1896 ...
1897 ...
Average ...
1898 ...
2
Remained on 1st
January 1898.
M.
210
211
236
225
232
236
223
301
310
277
246.1
299
F.
15
22
22
26
22
29
30
30
40
42
27.8
43
T.
225
233
258
251
254
265
253
331
350
319
273.9
342
3
Admitted.
M.
77
83
76
68
82
51
140
86
81
101
84.5
72
F.
19
13
13
14
18
14
5
14
11
14
13.5
15
T.
96
96
89
82
100
65
145
100
92
115
98.0
87
4
Re-admitted.
M.
2
3
3
2
2
3
6
6
...
14
4.1
1
F.
...
1
4
...
...
1
1
...
...
...
.7
...
T.
2
4
7
2
2
4
7
6
...
14
48
1
5
Total population.
M.
289
297
315
295
316
290
369
393
391
392
334.7
372
F.
34
36
39
40
40
44
36
44
51
56
42.0
58
T.
323
333
354
335
356
334
405
437
442
448
376.7
430
6
DISCHARGED.
A.
Cured.
M.
37
30
24
25
22
25
23
28
59
33
30.6
14
F.
8
9
4
7
6
4
1
...
4
3
4.6
2
T.
45
39
28
32
28
29
24
28
63
36
35.2
16
B.
Transferred to friends
Improved.
M.
10
12
10
4
11
3
13
16
21
19
11.9
14
F.
3
3
3
2
2
1
2
2
3
3
2.4
5
T.
13
15
13
6
13
4
15
18
24
22
14.3
19
Not improved.
M.
...
...
6
...
...
1
4
...
...
...
1.1
...
F.
...
...
...
...
...
1
...
...
...
...
.1
...
T.
...
...
6
...
...
2
4
...
...
...
1.2
...
C.
Otherwise.
M.
2
4
15
16
22
3
5
5
6
12
9.0
8
F.
...
...
1
5
1
...
...
...
...
...
.7
1
T.
2
4
16
21
23
3
5
5
6
12
9.7
9
D.
Total.
M.
49
46
55
45
55
32
45
49
86
64
52.6
36
F.
11
12
8
14
9
6
3
2
7
6
7.8
8
T.
60
58
63
59
64
38
48
51
93
70
60.4
44
APPENDICES.
iii.
STATEMENT No. I.—Showing the admissions, discharges, &c., of lunatics in the Rangoon Lunatic Asylum during the year 1898 and previous 10 years—concld.
1
Year.
1888 ...
1889 ...
1890 ...
1891 ...
1892 ...
1893 ...
1894 ...
1895 ...
1896 ...
1897 ...
Average ...
1898 ...
7
Died.
M.
29
15
35
18
25
35
23
34
28
29
27.1
33
F.
1
2
5
4
2
8
3
2
2
7
3.6
8
T.
30
17
40
22
27
43
26
36
30
36
30.7
41
8
Remaining on
31st December.
M.
211
236
225
232
236
223
301
310
277
299
255.0
303
F.
22
22
26
22
29
30
30
40
42
43
30.6
42
T.
233
258
251
254
265
253
331
350
319
342
285.6
345
9
Daily average strength.
M.
214.03
221.09
234.80
227.83
237.79
226.40
231.23
305.90
289.77
290.17
247.90
301.35
F.
16.40
21.44
24.66
20.79
26.88
28.34
29.94
35.51
42.44
43.13
28.95
42.68
T.
230.43
242.53
259.46
248.62
264.67
254.74
261.17
341.41
332.21
333.30
276.85
344.03
10
Daily average sick.
M.
13.17
11.57
16.10
11.38
9.00
16.03
23.98
23.24
14.10
11.13
14.97
13.38
F.
2.27
4.12
5.00
2.72
2.24
2.14
4.12
2.61
3.23
2.84
3.13
2.79
T.
15.44
15.69
21.10
14.10
11.24
18.17
28.10
25.85
17.33
13.97
18.10
16.17
11
PERCENTAGE TO
Daily average strength.
A.
Cured.
M.
12.61
13.57
IO.22
10.97
9.25
11.04
9.95
9.15
20.36
11.37
11.85
4.65
F.
49.78
41.98
16.22
33.67
22.32
14.11
3.34
...
9.42
696
19.78
4.69
T.
19.05
16.08
10.79
12.87
10.58
11.38
9.19
820
18.96
10.80
12.79
4.65
B.
Died.
M.
13.54
6.78
14.90
7.90
10.51
15.46
9.96
11.11
9.66
9.99
10.98
10.95
F.
609
933
20.27
19.24
7.44
28.23
10.02
5.63
4.70
16.23
12.72
18.74
T.
13.01
7.01
15.41
805
10.20
16.88
9.96
10.54
9.03
10.80
11.09
11.92
Admissions.
C.
Cured.
M.
48.05
34.88
30.38
35.71
26.19
46.30
15.75
30.43
72.83
28.70
36.92
19.18
F.
42.10
64.29
23.53
50.00
33.33
26.66
16.67
...
36.36
21.43
31.44
13.33
T.
46.87
39.00
29.16
38.10
27.45
42.03
15.79
26.41
67.82
27.91
36.05
18.18
D.
Died.
M.
37.66
17.44
44.30
25.71
29.76
64.81
15.75
36.96
34.56
25.22
33.22
45.21
F.
5.26
14.29
29.41
28.57
11.11
53.33
50.00
14.29
18.18
50.00
27.44
53.33
T.
31.25
17.00
41.66
26.19
26.47
62.32
17.11
33.96
32.60
27.91
31.65
46.59
NOTE.— The capacity of the Rangoon Lunatic Asylum is, at 50 superficial feet per patient 374 for males and 30 for females, total 404.
The maximum number of lunatics confined on any one night was 307 males and 46 females, total 353, on the 1st December 1898.
iv.
APPENDICES.
STATEMENT No. II.—Return of criminal lunatics in the Rangoon Lunatic Asylum for the year 1898 and 10 previous years.
1
Year.
1888
...
...
...
...
1889
...
...
...
...
1890 ... ... ... ...
1891 ... ... ... ...
1892 ... ... ... ...
1893 ... ... ... ...
1894 ... ... ... ...
1895 ... ... ... ...
1896 ... ... ... ...
1897 ... ... ... ...
1898 ... ... ... ...
2
Remaining on the
1st January.
M.
75
85
95
87
86
77
79
146
153
143
154
F.
2
7
4
6
6
4
5
8
10
11
10
T.
77
92
99
93
92
81
84
154
163
154
164
3
Admitted.
M.
31
28
11
4
16
13
77
31
30
33
29
F.
5
1
1
1
1
4
3
3
2
1
2
T.
36
29
12
5
17
17
80
34
32
34
31
4
Re-admitted.
M.
2
2
...
1
2
1
5
5
...
14
1
F.
...
...
2
...
...
...
...
...
...
...
...
T.
2
2
2
1
2
1
5
5
...
14
1
5
Total.
M.
108
115
106
92
104
91
161
182
183
190
184
F.
7
8
7
7
7
8
8
11
12
12
12
T.
115
123
113
99
111
99
169
193
195
202
196
6
Discharged,
transferred,
&c.
M.
10
15
10
3
20
5
9
16
31
28
11
F.
...
3
1
...
2
2
...
...
1
...
...
T.
10
18
11
3
22
7
9
16
32
28
11
7
Died.
M.
13
5
9
3
7
7
6
13
9
8
12
F.
...
1
...
1
1
1
...
1
...
2
...
T.
13
6
9
4
8
8
6
14
9
10
12
8
Remaining on the
31st December.
M.
85
95
87
86
77
79
146
153
143
154
161
F.
7
4
6
6
4
5
8
10
11
10
12
T.
92
99
93
92
81
84
154
163
154
164
173
9
Daily average strength.
M.
83.20
91.26
88.02
85.26
78.73
75.95
82.62
151.04
134.62
146.31
153.27
F.
3.23
5.16
6.47
5.85
5.85
4.98
6.33
8.93
9.27
10.78
10.40
T.
86.43
96.42
94.49
91.11
84.58
80.93
88.95
159.97
143.89
157.09
163.67
NOTE.—Particulars of the different kinds of lunatics may be given in the body of the report, namely,—
(a) Those tried and acquitted on the grounds of insanity.
(b) Those insane on admission and found to be incapable of making a defence.
(c) Those who became insane during imprisonment.
vi.
APPENDICES.
STATEMENT No. VI.—Showing the types of insanity of the lunatics in the Rangoon Lunatic Asylum during the year 1898.
1
Remaining on 31st December 1897 ... ...
Admitted ... ... ... ...
Total treated ...
Recovered ... ... ... ...
Improved ... ... ... ...
Died
...
...
...
...
Remaining on 31st December 1898 ... ...
2
136
IDIOCY.
Male.
5
...
5
1
1
...
3
Female.
1
...
1
...
...
1
...
Total.
6
...
6
1
1
1
3
3
137
MANIA
ACUTE OR CHRONIC.
Epileptic.
Male.
8
2
10
...
1
...
9
Female.
...
...
...
...
...
...
...
Total.
8
2
10
...
1
...
9
Other forms.
Male.
*129
33
162
7
11
17
127
Female.
*23
11
34
1
5
4
24
Total.
152
44
196
8
16
21
151
4
138
MELANCHOLIA
ACUTE OR CHRONIC.
Epileptic.
Male.
3
...
3
...
...
...
3
Female.
...
...
...
...
...
...
...
Total.
3
...
3
...
...
...
3
Other forms.
Male.
83
28
111
5
6
12
88
Female.
17
4
21
1
1
3
16
Total.
100
32
132
6
7
15
104
5
139
DEMENTIA
INCLUDING ACQUIRED.
Epileptic.
Male.
1
...
1
...
...
...
1
Female.
...
...
...
...
...
...
...
Total.
1
...
1
...
...
...
1
Other forms.
Male.
26
7
33
1
3
4
25
Female.
1
...
1
...
...
...
1
Total.
27
7
34
1
3
4
26
6
140
MENTAL STUPOR
Male.
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
7
141
GENERAL PARA-
----- OF THE
INSANE.
Male.
...
...
...
...
...
...
...
Female.
1
...
1
...
...
...
1
Total.
1
...
1
...
...
...
1
8
142
DELUSIONAL
INSANITY.
Male.
...
3
3
...
...
...
3
Female.
...
...
...
...
...
...
...
Total.
...
3
3
...
...
...
3
9
Declared to
have recovered
or not yet
diagnosed.
Male.
44
...
44
...
...
...
44
Female.
...
...
...
...
...
...
...
Total.
44
...
44
...
...
...
44
10
Total.
Male.
*299
73
372
14
22
33
303
Female.
*43
15
58
2
6
8
42
Total.
342
88
430
16
28
41
345
* In the statement for 1897 in column 3 the figures remaining should have been 129 males and 23 females, and the total in column 10, 299 males and 43 females.
APPENDICES.
vii.
STATEMENT No. VII.—Showing the alleged causes of insanity among the lunatics in the Rangoon Lunatic Asylum during the year 1898.
1
Cases.
Remaining on 31st December 1897...
Admitted ...
Criminal ... ...
Non-criminal ...
Total treated ...
Recovered ... ... ...
Improved ... ... ...
Died
...
...
...
Remaining on 31st December 1898...
2
3
4
5
6
7
8
9
10 11
12
PHYSICAL CAUSES.
Charas smoking.
M.
...
...
...
...
...
...
. . .
...
F.
...
...
...
...
...
...
...
...
T.
...
...
...
...
...
...
...
...
Ganja smoking.
M.
10
...
1
11
1
1
1
8
F.
...
...
...
...
...
...
...
...
T.
10
...
1
11
1
1
1
8
Use of bhang.
M.
...
...
...
...
...
...
...
...
F.
...
...
...
...
...
...
...
...
T.
...
...
...
...
...
...
...
...
Opium smoking, madak and
chandu.
M.
2
...
...
2
...
...
...
2
F.
...
...
...
...
...
...
...
...
T.
2
...
...
2
...
...
...
2
Opium eating.
M.
1
...
...
1
...
...
...
1
F.
...
...
...
...
...
...
...
...
T.
1
...
...
1
...
...
...
1
Spirit drinking.
M.
9
1
1
11
...
1
2
8
F.
1
...
...
1
...
...
...
1
T.
10
1
1
12
...
1
2
9
All other intoxicants.
M.
1
...
...
1
...
...
...
1
F.
...
...
...
...
...
...
...
...
T.
1
...
...
1
...
...
...
1
Fever.
M.
14
...
...
14
...
...
1
13
F.
2
...
...
2
...
...
...
2
T.
16
...
...
16
...
...
1
15
Disease of brain and here-
ditary.
M.
19
1
...
20
...
...
2
18
F.
...
...
1
1
...
1
...
...
T.
19
1
1
21
...
1
2
18
Other causes, injury to head
and epilepsy.
M.
12
3
5
20
2
...
...
18
F.
1
1
1
3
...
1
1
1
T.
13
4
6
23
2
1
1
19
Total Physical.
M.
68
5
7
80
3
2
6
69
F.
4
1
2
7
...
2
1
4
T.
72
6
9
87
3
4
7
73
13
Moral causes.
M.
54
6
4
64
1
2
2
59
F.
10
...
5
15
1
...
2
12
T.
64
6
9
79
2
2
4
71
14
Total known.
M.
122
11
11
144
4
4
8
128
F.
14
1
7
22
1
2
3
16
T.
136
12
18
166
5
6
11
144
15
Total unknown.
M.
177
19
32
228
10
18
25
175
F.
29
1
6
36
1
4
5
26
T.
206
20
38
264
11
22
30
201
16
Grand Total.
M.
299
30
43
372
14
22
33
303
F.
43
2
13
58
2
6
8
43
T.
342
32
56
430
16
28
41
345
Or discharged otherwise.
APPENDICES.
ix.
Deaths during the year 1898.
No.
1
2
3
4
5
Name.
Kathan ...
Nga Yan Nyein
Amina ...
Ma Hla Mi ...
Nga Pan On ...
Date of
admission into
the asylum.
12th August
1897.
9th December
1887.
13th May 1897
5th July 1897
9th July 1897
State of
health.
Bad
...
Good ...
Bad
...
Bad
...
Indifferent
Date of last
admission into
hospital.
30th Novem-
ber 1897.
5th January
1898.
22nd October
1897.
9th December
1897.
30th August
1897.
Age at death.
Years.
40
40
60
30
25
Date of death.
13th January
1898.
Ditto ...
14th January
1898.
15th January
1898.
18th January
1898.
Cause of death.
Debility ...
Diarrhœa ...
Debility ...
Diarrhœa
...
Debility
...
Remarks.
A dirty, troublesome patient, always noisy and destructive, and a mere bag
of bones on admission. He was very difficult to treat, refusing all medi-
cines, &c. He simply gradually sank and died from emaciation, the
result of atrophy of all absorbent surfaces; he could make no use of any
food given him. He was formerly a confirmed drunkard.
Post mortem.—All the organs much atrophied. The small and large intestines
showed patches of old-standing congestion. Brain substance was very
soft; the ventricles contained very small amount of serous fluid.
He had been losing ground for some time past, and finally refused all food,
and it was only with great difficulty he could be fed even with the tube. He
began to have loose motions which contained a little slime and finally these
became offensive. He had no symptoms of active inflammatory disease.
Post mortem.—The small intestines were congested in patches; the large
intestines' mucous membrane extensively softened and swollen; in fact
from one end of this gut to the other it was almost in a state of slough,
but no great signs of active congestion. It seemed more like sloughing
from extensive œdema than anything else.
This patient was a poor decrepit old woman, nearly totally blind and quite
helpless. She suffered from no definite disease, but had a very weak
heart and a tendency to diarrhœa. She gradually sank and died from old
age as much as anything else. Heart sounds and impulse were hardly
perceptible. No post mortem made.
On admission a mere bag of bones. She improved a little, but could not
make any use of her food, which had nearly daily to be given her by tube.
She was a very troublesome, noisy patient, never quiet for a moment.
Her digestive system was too thoroughly disorganised to give any chance
of pulling her round. She had intercurrent attacks of slight diarrhœa,
which gradually wore her strength away.
Post mortem showed advanced atrophy of all the mucous membranes
from the stomach to the anus.
This was a wretchedly emaciated man, suffering from chronic dementia;
had chronic diarrhœa and other signs and symptoms of long-standing
neglect; was very emaciated ; could only be fed with the greatest difficulty.
He could make no use of his food and gradually sank.
Post mortem.—All abdominal organs much atrophied, especially the intes-
tinal mucous membrane.
xii.
APPENDICES.
Deaths during the year 1898—continued.
No.
19
20
21
22
Name.
Nga Maung ...
Nga Po Kè ...
Nga Hlaing ...
Nga Kwe ...
Date of
admission into
the asylum.
20th Decem-
ber 1894.
25th October
1897.
1st January
1897.
24th February
1898.
State of
health.
Good ...
Rather
poor.
Good ...
Bad ...
Date of last
admission into
hospital.
20th
May
1898.
8th April
1898.
22nd Febru-
ary 1898.
11th March
1898.
Age at death.
Years.
40
34
48
35
Date of death.
25th
May
1898.
4th June 1898
6th June 1898
17th June
1898.
Cause of death.
Fracture of the
base of skull.
Mania ...
64(1) a,Carcino-
ma.
Mania ...
Remarks.
This patient was struck on the side of the head while asleep by another luna-
tic. There being signs of compression, &c., he was trephined over the wound;
brain bulged through and a good deal of fluid blood escaped; no depressed
bone could be found ; symptoms were relieved somewhat, but he lingered on
to the 25th when he died.
Post mortem.—Fracture somewhat stellate in shape, running downwards and
forwards into the ear and across the orbital plates on the right side. Brain
3 lbs. 2 oz. The entire brain was covered with clotted blood ; softening of
the frontal convolution on the left side, and fracture of the orbital plates of
the frontal bone.
Admitted in wretched health and ever since spent his days in the convales-
cent gang and hospital. He was dirty, troublesome and destructive; often
refused his food and medicines, which then could only be given with the
greatest difficulty.
Post mortem.— Brain 2 lbs. 7 oz.; substance pale, soft and pulpy. Piamater
along the median fissure much thickened and opaque patches of softish
material between brain substance and membranes, apparently old-standing
organised lymph. Intestines small very thin ; mucous coat much atrophied.
Other organs atrophied, but no disease.
Had a very large liver for a long time before any marked symptoms develop-
ed. It subsequently became gradually very prominent and painful.
Post mortem.— Liver 7 lbs. 10 oz., greatly enlarged ; upper surface has scat-
tered over it cheesy deposits about the size of a large pea; right lobe of liver
was occupied by a large mass of soft cheesy-looking material which had
undergone extensive necrosis in the centre. Alimentary canal: the large
gut was greatly thickened and in the smaller gut near the duodenum there
were several small superficial ulcers.
Admitted in an extreme state of emaciation and weakness. He was dirty,
troublesome, destructive, and restless, and could only be fed through the
nose with great difficulty.
Post mortem.—Brain 3 lbs. 8 oz.; substance very pale; superficial vessels
rather gorged with blood ; 5 oz. of fluid removed from the base of brain ;
piamater much thickened and opaque along the median fissure and patches
of softish material between brain substance and membranes, which looks
like old-standing lowly organised lymph; 3 oz. of serous fluid contained in
xiv.
APPENDICES.
Deaths during the year 1898—continued.
No.
28
29
30
31
Name.
Sanassi ...
Nga Po Kya ...
Ma Mi ...
Nga Saw ...
Date of
admission into
the asylum.
13th Septem-
ber 1895.
11th
May
1896.
1st May 1888.
2nd July 1898.
State of
health.
Good ...
Do ...
Fair ...
Indiffer-
ent.
Date of last
admission into
hospital.
1st July 1898
31st August
1898.
25th February
1898.
23rd July 1898
Age at death.
Years.
32
35
28
42
Date of death.
24th August
1898.
31st August
1898.
6th September
1898.
15th Septem-
ber 1898.
Cause of death.
Mania ...
Syncope ...
Melancholia ..
Diarrhœa ...
Remarks.
Admitted in good health, but gradually lost ground as she would not take
her food well. She had to be very carefully watched and finally admitted
into hospital for debility. She was dirty, destructive and restless ; re-
fused her food, medicines, &c., which could only be given through nose with
great difficulty. She died on the 24th August 1898 from exhaustion.
Post mortem.—Brain 1 lb. 11 oz.; substance pale, soft and adherent to the
duramater; superficial vessels dilated; patches of softish material be-
tween brain and membranes, apparently old-standing organised lymph;
cavities dilated. About 4 drachms of serous fluid contained in ventricles
and large quantity of fluid removed from the base of brain. All the
organs are much atrophied. Alimentary canal healthy throughout.
Spent most of his time in convalescent gang and in hospital. He was
dirty in habits and destructive, and had a tendency ever since admission to
attacks of diarrhœa and was much debilitated. He became suddenly
collapsed after a loose stool. Cholera was suspected from the sudden
collapse, but urine was not suppressed and he had only three motions.
No cramps or vomiting ; there was some retching. He did not come round
and died. The cause of death appeared to be syncope in a much debili-
tated maniac.
She had been losing ground for some time past. She was always much de-
pressed mentally and was very weak. She was dirty, destructive and rest-
less, and finally refused all food, and it was only with great difficulty she
could be fed.
Post mortem.—Brain 2 lbs. 8 oz.; substance pale, pulpy and adherent to the
duramater; superficial vessels well-marked; ventricles dilated and con-
tained small quantity of serous fluid. A large quantity of fluid removed
from the base of brain. All the organs much atrophied. Alimentary
canal: atrophy of all the mucous membrane from stomach to anus.
He had a weak heart and a tendency ever since admission to attacks of
loose slimy diarrhœa. Was very dirty, destructive, restless, and had to be
under careful watch and control. He gradually lost ground and died on
the 15th September 1898 from exhaustion.
Post mortem.—Brain 2 lbs. 12 oz.; substance pale, soft, pulpy and adherent
to the duramater; superficial vessels rather gorged with blood; patches
of softish material between brain substance and membranes, apparently