( 3 )
The residual population of criminal lunatics on the 31st December 1886 was
(males 68, females 4) 72 and was considerably higher than that registered in the
preceding years; there was an increase during the year of the male criminal
lunatics by 10, and the female criminals were of the same number as last year.
The daily average strength of criminal lunatics during this year was (males
63.54, females 4.1) 67.64 and formed (males 31.59, females 26.68) 31.24 per
cent. of the mean asylum population.
Statement No. III.—
Statement No. IV.—
Statement No. V.—
Religion, Sex, and Residence of Admissions
Occupation of Admissions .... ....
Age of Admissions ....
....
....
The
figures
entered in the
statements from
III to V are nearly the same as those shown in the statements of previous years
and call for little remark. During the year under review four sepoys were admit-
ted, and two insane men (Burmans) were admitted from Mandalay and Bhamo.
Statement No. VI.—This statement gives the types of insanity among the
whole asylum population, and the following table shows the numbers admitted,
recovered, improved or otherwise, and the deaths from each type :—
Type of insanity.
Acute mania ...
Chronic mania ...
Melancholia ...
Acute dementia ...
Chronic dementia ...
Paralysis of the insane ...
Idiotcy ...
Imbecility ...
Not insane ...
Total ...
Remained.
82
5
47
37
2
1
7
12
9
202
Admitted.
36
2
31
5
...
...
...
4
1
79
Total.
118
7
78
42
2
1
7
16
10
281
Recovered.
11
...
12
...
...
...
...
1
...
24
Improved or
otherwise.
4
...
6
1
...
...
...
1
...
12
Died.
9
1
7
...
...
...
...
...
1
18
From the above table it is seen that acute mania formed 41.99 per cent. of
the total asylum population for the year 1886, and from it 12.71 per cent.
recovered and 7.63 per cent. died. Melancholia formed 27.76 per cent. of the
total population, and under it 23.08 per cent. recovered and 8.97 per cent. died.
Cases of acute dementia formed 14.95 per cent., and from it there were only
2.38 per cent. of recoveries with no deaths. Imbecility formed 5.69 per cent. of
the total cases, and from it 12.5 recovered with no deaths. Chronic mania formed
2.49 per cent. of the total population and from it there were no recoveries, and
14.29 per cent. died.
Only 2.49 per cent. of the total number treated were idiots. From this class
there were no recoveries or deaths. It will thus be seen that the highest num-
ber of recoveries occurred in acute mania and melancholia, and the highest death-
rates were also registered under these.
Medical treatment.—We never had so many cases sent in a year in such a
weak, reduced, or exhausted condition as this year. Out of a total admission of 79,
19 were described as in very bad health and 47 as being in indifferent health, and
the remaining 13 were found to have foul tongues and urinary deposits, show-
ing that, although they were recorded as of good health, they were not really well
83.54 per cent. then may be said to be in bad or indifferent health.
The state of the general health in the insane varies greatly, but it is
doubtful whether it can be ever spoken of as good. Almost invariably there are
signs of dyspepsia, and these symptoms are often very marked, but are not dis-
covered until some days after the admission of the patient and after his state of
health has been registered ; some attacks of mania are accompanied by more or
less fever and by symptoms indicative of an inflammatory condition of the brain ;
but as a rule the condition of the brain is the very opposite of feverishness and
inflammation. In the depressed forms of insanity the circulation is very languid
and feeble, and the hands and feet, as well as the skin generally, are remarkably
cold and clammy. Often, moreover, there is suppression of some usual dis-
charge. A large proportion of the insane are obviously in bad bodily health.