( 2 )
10. It is impossible to draw any useful conclusions regarding the particu-
lars given in Statements III and IV, on account of the very small proportion of
the lunatic population treated in our Asylums, and the impossibility of obtaining
from most of the " Beggar" lunatics any reliable information as to their pre-
vious history.
11. Statement V shows as usual that the age between 20 and 40 is that
at which by far the largest number of insanes are admitted to Asylums.
12. As regards the types of insanity under which the patients in the Asy-
lums were labouring, as shewn in Statement VI, we may with confidence com-
pare those of the Jubbulpore Asylum in different years, for it has had the same
Superintendent for long, but it is not so with those of the Nagpur Asylum in the
superintendence of which (as I have already remarked) a change took place. For
the same reason it will not do to compare too closely the types met with at Nag-
pore with those found at Jubbulpore, especially as regards the chronic cases in
which it is often very difficult to decide from which type a patient is suffering.
13. Mania, including both the acute and chronic forms, was the type under
which by far the largest number of patients admitted in 1883, was suffering, as
is, I think, the case in most Indian Asylums ; a large number of these cases being
really cases of poisoning by Ganja or other preparations of Indian hemp.
14. The great difference in the ratio of Mania cases returned as " acute"
and as " chronic'' at the two Asylums is, I should think, most likely due to dif-
ference of diagnosis only.
15. The difference in the number of idiots is no doubt due to the causes
mentioned by Dr. Rice and the large number remaining, and the small mortality
among them at Jubbulpore speak well for the care and attention bestowed on
the patients in that Asylum.
16. As to the causes, Statement VII ; in a large proportion of the patients,
no information can be obtained, and in the case of many the information supplied
to Superintendents is not reliable, so that little value can be placed on this State-
ment, except that it shows, as in former years, that Ganja is the most common
cause of admissions into the Asylums.
17. As regards the numbers that recover, the proportion among those
whose insane state was produced by Ganja is, in the two Asylums together, nearly
three times as many as that among those insane from all the other causes.
18. The amount of sickness shewn in statement VIII compares favorably
with that treated in 1882 at both Asylums, as with more inmates there were
fewer sick.
The average daily ratio of sick has been very much less at Jubbulpore than
at Nagpur during the past two years, the difference being due rather to a re-
duction at Jubbulpore than an increase at Nagpur.
The difference at the two Asylums this year has been due, chiefly, to the
very much larger number of cases of fever, dysentery and diarrhæa, treated at
Nagpur than at Jubbulpore, the numbers being:—
Nagpur ... ...
Jubbulpore ... ...
Fever.
58
8
Dysentery & Diarrhæa.
16
6
These are the only two classes of disease treated in any number at either of
the Asylums.
19. The percentage of deaths to daily average strength was very slightly
less at Nagpur but 1.3 more at Jubbulpore in 1883 than in 1882.
The number of deaths has been the same at Nagpur in the past 2 years and
of the 2 more in 1883 at Jubbulpore 1 (Hydrophobia) was purely accidental. The
small number of deaths from dysentery and diarrhæa is decidedly satisfactory.