NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
29
I—( Continued).
Statement showing the Admissions, Discharges, &c., of Lunatics in the Asylums during 1879-80 and Ten preceding Years.
Years.
1869 ... ...
1870
...
...
1871-72
...
...
1872-73 ... ...
1873-74
...
...
1874-75 ... ...
1875-76
...
...
1876-77 ... ...
1877-78
...
...
1878-79
...
...
1879-80 ... ...
Remaining on
31st December
from 1869 to
1870, and on
31st March
from 1871-72 to
1879-80.
Males.
95
101
163
198
235
251
260
275
241
227
244
Females.
48
42
61
74
87
81
84
88
74
83
86
Total.
143
143
224
272
322
332
344
363
315
310
330
Daily Average Strength.
Males and Females.
147.25
143
201.75
254.62
307.47
344.72
M.
263.77
275.31
265.88
234.97
244.67
F.
82.02
86.37
83.97
82.53
82.41
Total
345.79
361.68
349.85
317.50
327.08
Daily Average Sick.
Males and Females.
119.5
122
176.75
212.41
226.5
251.49
M.
11.58
10.77
18.09
15.78
16.88
F.
2.00
3.45
4.52
5.95
3.71
Total.
13.58
14.22
22.61
21.73
20.59
Percentage to
Daily Average Strength.
A.
Cured.
Males and Females.
28.52
18.18
17.34
23.17
19.83
22.33
M.
28.81
14.89
25.19
22.55
22.47
F.
19.50
17.36
35.72
33.92
20.62
Total.
26.60
15.48
27.72
25.51
22.01
B.
Died.
Males and Females.
14.94
11.88
13.87
9.42
13.65
14.50
M.
10.61
18.88
23.69
24.68
14.30
F.
13.41
23.15
20.24
13.82
10.92
Total.
11.27
19.90
22.86
21.73
13.45
Admissions.
C.
Cured.
Males.
45.70
33.33
24.36
38.98
37.41
44.00
52.41
32.54
58.77
43.08
40.44
Females.
55.55
100.00
17.64
37.14
23.68
48.88
50.00
32.60
83.33
52.83
47.22
Total.
47.72
40.62
22.87
38.56
34.40
45.29
51.97
32.55
64.66
46.02
41.86
D.
Died.
Males.
20.00
19.29
15.96
17.79
20.86
23.20
19.31
41.27
55.26
47.15
25.73
Females.
44.44
85.71
26.46
8.57
34.21
46.66
34.37
43.47
47.22
20.75
25
Total.
25.00
26.56
18.30
15.68
23.72
29.41
22.03
41.86
53.33
39.20
25.58
The capacity of the Lunatic Asylum, Calicut, at superficial feet per patient equals—
Males
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
...
Total ...
72
24
96
The maximum number of lunatics confined during any one night was of—
Males
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
Total ...
39
13
52
8
30
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS,
II.
Return of Criminal Lunatics during 1879-80 and Ten preceding Years.
Years.
1869 ... ...
1870
...
...
1871-72
...
...
1872-73 ... ...
1873-74 ... ...
1874-75
...
...
1875-76
...
...
1876-77
...
...
1877-78
...
...
1878-79
...
...
1879-80 ... ...
Remained on
1st January
from 1869 to
1870 and on 1st
April from
1871-72 to
1879-80.
Males.
15
21
30
33
42
63
71
75
81
56
57
Females.
6
6
3
7
10
9
4
6
11
8
11
Total.
21
27
33
40
52
72
75
81
92
64
68
Admitted.
Males.
10
11
14
27
37
38
41
35
22
37
26
Females.
2
...
5
4
2
4
2
7
1
5
1
Total.
12
11
19
41
39
42
43
42
23
42
27
Readmitted.
Males.
...
...
2
...
...
3
...
2
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
...
Total.
...
...
2
...
...
3
...
2
...
...
...
Total.
Males.
25
32
46
60
79
104
112
112
103
93
83
Females.
8
6
8
11
12
13
6
13
12
13
12
Total.
33
38
54
71
91
117
118
125
115
106
95
Discharged,
Transferred, &c.
Males.
4
...
7
11
8
22
26
16
24
16
19
Females.
2
1
1
1
1
3
...
2
1
2
3
Total.
6
1
8
12
9
25
26
18
25
18
22
Died.
Males.
...
2
6
7
8
11
11
15
23
20
12
Females.
...
2
...
...
2
6
1
...
3
...
2
Total.
...
4
6
7
10
17
12
15
26
20
14
Remaining.
Males.
21
30
33
42
63
71
75
81
56
57
52
Females.
6
3
7
10
9
4
5
11
8
11
7
Total.
27
33
40
52
72
75
80
92
64
68
59
Daily Average Strength.
Males.
7.54
9.43
11.98
13.65
18.64
16.45
74.30
80.49
67.35
57.93
52.75
Females.
2.27
1.18
...
2.36
3.29
3.95
4.87
7.98
9.28
8.29
9.02
Total.
9.81
10.61
11.98
16.01
21.93
20.40
79.17
88.47
76.63
66.22
61.77
Remarks.
This does not include
the statistics of
the daily average
strength of Madras
Lunatic Asylum.
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
31
III.
Return showing the Religion, Sex, and Residence of Patients admitted during 1879-80.
Districts.
Bangalore ... ...
Bellary
...
...
...
British Burmah ... ...
Chingleput
...
...
Coimbatore
...
...
Cuddapah
...
...
Ganjam ... ... ...
Kistna
...
...
...
Kurnool ... ... ...
Madras
...
...
...
Madura
...
...
...
Malabar ... ... ...
Nellore ... ... ...
North Arcot
...
...
North Malabar ... ...
Pondicherry
...
...
Salem ... ... ...
South Arcot
...
...
South Malabar
South Canara
...
...
Tanjore
...
...
...
Tinnevelly
...
...
Trichinopoly ... ...
Vizagapatam ... ...
Wellington
...
...
Total ...
Europeans and East Indians.
Males.
2
1
7
...
...
...
...
...
...
8
...
1
...
...
...
...
1
1
...
...
...
...
1
1
...
23
Females.
...
...
...
l
...
...
...
...
...
10
...
...
1
...
...
1
...
...
...
...
...
...
...
...
...
13
Total.
2
1
7
1
...
...
...
...
...
18
...
1
1
...
...
1
1
1
...
...
...
...
1
1
...
36
Hindus.
Males.
2
1
1
3
2
...
2
5
1
30
4
...
...
2
3
...
...
...
7
1
3
4
5
4
...
80
Females.
...
...
...
1
...
1
...
2
...
10
1
...
...
1
...
...
...
...
1
...
1
...
...
1
...
19
Total.
2
1
1
1
2
1
2
7
1
40
5
...
...
3
3
...
...
...
8
1
4
4
5
5
...
99
Mahomedans.
Males.
1
...
...
2
1
...
...
4
...
10
...
...
...
...
1
...
1
...
2
...
1
2
2
...
...
27
Females.
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
2
...
...
...
...
...
...
3
Total.
1
...
...
2
1
...
...
4
...
11
...
...
...
...
1
...
1
...
4
...
1
2
2
...
...
30
Christians.
Males.
...
...
...
...
...
...
...
...
...
3
...
...
...
...
...
...
...
...
...
1
...
...
...
...
1
5
Females.
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
Total.
...
...
...
...
...
...
...
...
...
4
...
...
...
...
...
...
...
...
...
1
...
...
...
...
1
6
Other Castes.
Males.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
1
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
...
....
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
1
Total.
Males.
5
2
8
5
3
...
2
9
1
51
4
1
...
2
4
...
2
1
9
2
4
6
8
6
1
136
Females.
...
...
...
2
...
1
...
2
...
22
1
...
1
1
...
1
...
...
3
...
1
...
...
1
...
36
Total.
5
2
8
7
3
1
2
11
1
73
5
1
1
3
4
1
2
1
12
2
5
6
8
7
1
172
32
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
IV.
Table showing the Occupation of several Patients during the Year 1879-80.
Occupation.
Bandy-driver ...
Barber ... ...
Bazaarman ...
Beggar ... ...
Blacksmith ...
Boatman ... ...
Bricklayer ...
Carpenter ...
Clerk ... ...
Collector ... ...
Cook
...
...
Contractor ...
Cooly
...
...
Domestic servant ...
Draughtsman ...
Driver ... ...
Dyer
...
...
Gardener ...
Goldsmith
...
Grave-digger ...
Guide
...
...
Horse-keeper ...
Males.
1
2
3
8
4
2
1
1
4
1
1
1
11
1
1
2
1
1
2
1
1
1
Females.
...
...
...
2
...
...
...
...
...
...
...
...
3
1
...
...
...
...
...
...
...
...
Total.
1
2
3
10
4
2
1
1
4
1
1
1
14
2
1
2
1
1
2
1
1
1
Occupation.
Hotel-keeper ...
Merchant
...
Military ... ...
Missionary ...
Musician ... ...
Oilmonger ... ...
Packman ... ...
Police
...
...
Physician ... ...
Ryot
...
...
Seaman
...
...
Servant ... ...
Stone-cutter ...
Student
...
...
Supervisor ...
Teacher
...
...
No occupation ...
Unknown ...
Total ...
Males.
...
5
26
1
1
1
1
3
1
10
3
...
1
4
1
...
17
10
136
Females.
1
...
...
...
...
...
...
...
...
...
...
1
...
...
...
1
23
4
36
Total.
1
5
26
1
1
1
1
3
1
10
3
1
1
4
1
1
40
14
172
V.
Statement showing the Ages of several Patients admitted during 1879-80.
Sex.
Males ... ...
Females ...
Under 20.
6
5
20 to 40
106
21
40 to 60.
22
9
Upwards of
60.
2
1
Total.
136
36
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
33
VI.
Table showing the Types of Insanity during the Year 1879-80.
Remained
...
Admitted ...
Total treated ...
Recovered ...
Improved ...
Transferred ...
Absconded ...
Died
...
...
105a
Acute Mania.
Males.
45
49
94
32
7
...
...
10
Females.
20
8
28
4
...
...
...
2
Total.
65
57
122
36
7
...
...
12
105b
Chronic Mania.
Males.
80
47
127
12
4
4
...
11
Females.
27
20
47
5
2
1
...
2
Total.
107
67
174
17
6
5
...
13
106
Melancholia.
Males.
16
15
31
3
2
5
1
3
Females.
11
3
14
3
1
...
...
3
Total.
27
18
45
6
3
5
1
6
107a
Acute Dementia.
Males.
15
8
23
3
1
1
...
...
Females.
2
1
3
2
...
...
...
...
Total.
17
9
26
5
1
1
...
...
107b
Chronic
Dementia.
Males.
47
7
54
4
...
1
...
7
Females.
13
...
13
1
1
...
...
1
Total.
60
7
67
5
1
1
...
8
109
Idiotcy.
Males.
14
2
16
...
1
...
...
1
Females.
4
1
5
...
...
...
...
1
Total.
18
3
21
...
1
...
...
2
110
Imbecility.
Males.
3
...
3
...
...
...
...
...
Females.
2
...
2
...
...
...
...
...
Total.
5
...
5
...
...
...
...
...
726
Puerperal
Mania.
Males.
...
...
...
...
...
...
...
...
Females.
4
2
6
2
2
...
...
...
Total.
4
2
6
2
2
...
...
...
Not Insane.
Males.
2
...
2
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
Total.
2
...
2
...
...
...
...
...
Observatio.
Males.
5
8
13
1
...
...
...
3
Females.
...
1
1
...
...
...
...
...
Total.
5
9
14
1
...
...
...
3
Total.
Males.
227
136
363
55
15
11
1
35
Females.
83
36
119
17
6
1
...
9
Total.
310
172
482
72
21
12
1
44
9
36
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
IX.
Statement of Receipts and Expenditure of the three Asylums for 1879-80.
Heads of Receipt.
Cash received from Trea-
sury.
Received from paying
patients.
Received from Manu-
facturing Depôt.
Recovered on account of
hospital stoppages.
Sale proceeds of vegeta-
bles, coir mats, chama,
&c.
Sale proceeds of miscel-
laneous.
Total ...
Receipts.
Madras.
RS.
59,976
9,356
658
630
A.
3
0
6
1
P.
6
0
6
0
...
...
70,620 11 0
Waltair.
RS.
4,610
1,609
104
A.
1
3
6
P.
3
0
3
...
...
...
6,323 10 6
Calicut.
RS.
7,096
278
A.
11
14
P.
11
8
...
...
164
10
2
4
7
1
7,550 1 3
Total.
RS.
71,683
11,244
762
630
164
10
A.
0
1
12
1
2
4
P.
8
8
9
0
7
1
84,494 6 9
Heads of Expenditure.
Establishment
...
...
Diets, including wines
and spirits.
Bedding and clothing ...
European
medicines
from Medical Stores.
Bazaar medicines and
contingencies.
Perishable articles ...
Remitted to Treasury ...
Hospital stoppages cre-
dited to Government.
Amount realized from the
income of lunatic labor.
Ploughing a portion of
the Asylum ground
and for occasional re-
pairs, &c.
Purchase of sheep, &c....
Clothing
...
...
Amusements
...
...
Printing charges ...
Value of coir mats for
the use of the Asylum.
Total ...
Expenditure.
Madras.
Cash expended.
RS.
22,525
32,055
181
508
4,704
A.
12
10
12
2
14
P.
0
2
8
0
8
...
9,356
630
0
1
0
0
...
...
...
...
...
...
...
69,962 4 6
Value of
Articles re-
ceived from
Manufactur-
ing Depôt.
RS. A. P.
...
...
658 6 6
...
...
...
...
...
...
...
...
...
...
...
...
658 6 6
Total.
RS.
22,525
32,055
840
508
4,704
A.
12
10
3
2
14
P.
0
2
2
0
8
...
9,356
630
0
1
0
0
...
...
...
...
...
...
...
70,620 11 0
Waltair.
Cash
expended.
RS.
3,684
2,058
157
93
7
217
A.
0
15
0
14
10
12
P.
0
1
0
3
0
11
...
...
...
...
...
...
...
...
...
6,219 4 3
Value of
Articles re-
ceived from
Manufactur-
ing Depôt.
RS. A.
P.
...
...
...
...
...
...
...
...
...
...
104 6 3
...
...
...
...
104 6 3
Total.
RS.
3,684
2,058
157
93
7
217
A.
0
15
0
14
10
12
P.
0
1
0
3
0
11
...
...
...
...
104 6 3
...
...
...
6,323 10 6
Calicut.
Cash
expended.
RS.
2,979
3,414
187
A.
8
7
8
P.
2
6
0
...
112
270
278
0
14
14
9
0
8
...
44
28
10
0
2
0
...
...
32
19
2
13
3
9
...
7,367 15 3
Value of
Articles re-
ceived from
Manufactur-
ing Depôt.
RS. A. P.
...
...
...
...
...
...
...
...
34 8 6
...
...
132 5 6
...
...
15
182
4
2
0
0
Total.
RS.
2,979
3,414
187
A.
8
7
8
P.
2
6
0
...
112
270
278
0
14
14
9
0
8
...
79
28
2
0
8
0
...
132
32
19
15
7,550
5
2
13
4
1
6
3
9
0
3
Total.
Cash expended.
RS.
29,189
37,529
526
602
4,824
488
9,634
630
44
28
A.
4
0
4
0
9
10
14
1
10
0
P.
2
9
8
3
5
11
8
0
2
0
...
...
32
19
2
13
3
9
...
83,549 8 0
Value of
Articles re-
ceived from
Manufactur-
ing Depot.
RS. A. P.
...
...
658 6 6
...
...
...
...
...
34 8 6
...
104
132
6
5
3
6
...
...
15
944
4
14
0
9
Total.
RS.
29,189
37,529
1,184
602
4,824
488
9,634
630
79
28
104
132
32
19
15
84,494
A.
4
0
11
0
9
10
14
1
2
0
6
5
2
13
4
6
P.
2
9
2
3
5
11
8
0
8
0
3
6
3
9
0
9
Annual Cost
per Head.
RS.
89
114
3
1
14
1
29
1
A.
3
11
9
13
12
7
7
14
P.
10
10
11
5
0
10
3
9
...
...
...
...
...
...
...
...
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
37
X.
Statement showing the Sanctioned Establishment
of Lunatic Asylums as they stood on
31st March 1880.
Establishment.
Superintendent ... ... ... ...
Apothecary, First-class
...
...
...
Assistant Apothecary, First-class ...
Second-class Hospital Assistant ...
European Keepers, Head ... ...
Acting Warder on deputation
...
...
Matron
...
...
...
...
...
Writer
...
...
...
...
...
Steward
...
... ... ...
...
Do.
Assistant
...
...
...
First-class European or East Indian
Warders.
Native Deputy Head Warder
...
...
First-class Native Warder ... ...
Second-class
do.
...
...
...
Third-class
do.
...
...
...
Night Watchmen
...
...
...
First-class Female Keepers
...
...
Second-class
do. ... ... ...
Third-class
do.
...
...
...
Night Watchwomen
...
...
...
Cook for Europeans
...
...
...
Cookmate for do. ... ... ...
Cookwoman ... ... ... ...
Waterman ... ... ... ... ...
Waterwoman
...
...
...
...
Washerman
...
...
...
...
Do.
...
...
...
...
Barber
...
...
...
...
...
Tailor
...
...
...
...
...
Do.
...
...
...
...
...
Toty for night duty ... ... ...
Do. for day duty
...
...
...
Do.
do.
...
...
...
Do.
do.
...
...
...
Toty woman for night duty ... ...
Do.
for day duty ... ...
Gate-keeper, female
...
...
...
Daily average number of males ...
Do.
do.
of females ...
Proportion
of
Male-keepers to males ...
Female-keepers to females.
Madras.
Number.
1
1
1
...
2
...
1
1
1
1
2
...
...
4
26
6
1
3
6
4
1
1
1
...
1
1
1
1
1
1
2
2
6
4
1
4
1
Monthly
Wages.
RS.
650
a 275
b 130
A.
0
0
0
P.
0
0
0
...
100 0 0
...
60
15
70
30
30
0
0
0
0
0
0
0
0
0
0
...
...
36
182
48
8
18
30
24
8
4
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
...
3
12
8
11
12
10
15
14
36
20
5
16
6
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
181.25
61.25
1 to 6
1 to 6
Waltair.
Number.
1
...
1
...
c 1
...
...
...
...
...
...
1
1
2
5
...
1
...
1
...
...
...
1
2
...
...
...
...
...
...
...
...
...
2
...
1
...
Monthly
Wages.
RS.
50
A.
0
P.
0
...
130 0 0
...
50 0 0
...
...
...
...
...
...
25
9
16
35
0
0
0
0
0
0
0
0
...
7 0 0
...
5 0 0
...
...
...
6
10
0
0
0
0
...
...
...
...
...
...
...
...
...
10 0 0
...
4 0 0
...
31.07
4.25
1 to 6
1 to 6
Calicut.
Number.
1
...
...
1
Monthly
Wages.
RS.
50
A.
0
P.
0
...
...
40 0 0
Vacant.
1
...
...
...
...
...
...
...
5
3
2
...
4
...
...
...
...
1
...
...
...
1
...
...
...
...
...
4
...
...
2
...
13 0 0
...
...
...
...
...
...
...
40
21
16
0
0
0
0
0
0
...
24 0 0
...
...
...
...
6 0 0
...
...
...
6 0 0
...
...
...
...
...
24 0 0
...
...
8 0 0
...
32.35
12.91
1 to 6
1 to 6
Total.
Number.
3
1
2
1
3
1
1
1
1
1
2
1
1
11
34
8
2
7
7
4
1
1
3
2
1
1
2
1
1
1
2
2
10
6
1
7
1
Monthly
Wages.
RS.
750
275
260
40
150
13
60
15
70
30
30
25
9
92
238
64
15
42
35
24
8
4
19
10
3
12
14
11
12
10
15
14
60
30
5
28
6
A.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
P.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
244.67
78.41
6
6
a. —Including staff allowance and house-rent.
b.—Including house-rent.
c.—Not entertained as yet.
11
38
APPENDIX TO ANNUAL REPORT ON LUNATIC ASYLUMS.
XI.
Table showing Receipts and Expenditure on account of Manufacture in the Asylums during 1879-80.
Asylums.
Madras
...
...
...
...
...
Waltair ... ... ... ... ...
Calicut
...
...
...
...
...
Asylums.
Madras ... ... ... ... ...
Waltair
...
...
...
...
...
Calicut ... ... ... ... ...
Mean Population.
Males.
173.75
31.07
32.35
Females.
63.75
4.25
12.91
Total.
237.50
35.32
45.26
Average Number employed.
Males.
135
21.20
12
Females.
48
3.15
5
Total.
183
24.35
17
Credits.
Cash received
during the
Year for
Articles sold.
RS.
A. P.
None.
104
174
6
4
3
7
Value of
Manufactured
Goods made
over to the
Asylum.
RS.
658
A.
6
P.
6
...
147
Debits.
Value of
Manufactured
Goods in Store on
1st April 1879.
RS.
269
A.
4
P.
6
...
...
Value of
Raw Materials in
Store on 1st
April 1879.
RS.
165
A.
13
P.
6
...
19 8 0
Value of Plant
and Machinery
in Store on
1st April 1879.
RS.
452
A.
3
P.
0
...
47 0 0
Raw Materials
purchased
and all other
Charges.
RS.
842
A.
14
P.
0
...
152 5 6
Total Debits.
RS.
1,730
A.
3
P.
0
...
218 13
6
9 6
Value of
Raw Materials
in Store.
RS.
165
A.
13
P.
6
...
22 8
Excess of Credits
or Profits.
RS.
A.
P.
...
...
181 8 7
0
Value of
Plant and
Machinery in
Store.
RS.
452
A.
3
P.
0
...
56 0 0
Excess of Debits
or Loss.
RS.
453
A.
12
P.
0
...
...
Total Credits.
RS.
1,276
104
400
A.
7
6
6
P.
0
3
1
Amount of
Outstanding Bills
due to Asylum.
RS.
A. P.
...
...
...
39
GOVERNMENT OF MADRAS.
JUDICIAL
DEPARTMENT.
Read letter from Surgeon-General W. R. CORNISH, F.R.C.S., C.I.E., with the
Government of Madras, to the Chief Secretary to Government, dated Fort St. George,
5th July 1880, No. 325.
ORDER THEREON, 24th August 1880, No. 2,077.
With his letter, dated 5th July 1880, No. 325, the Surgeon-General with the
Government of Madras submits the Annual Report on the Lunatic Asylums of the
Presidency for the year 1879-80.
2. The more important general results for the year 1878-79 and 1879-80 are
contrasted below:—
Remaining at the beginning of the year .. .. .. ..
Admitted
..
..
..
..
..
..
..
..
Total Treated ..
Deduct —
Died
..
..
..
..
..
..
..
..
Discharged—
1. Cured ..
..
..
..
..
..
..
2. Transferred to friends
..
..
..
..
(a) Improved .. .. .. .. ..
(b) Not improved .. .. .. ..
3. Otherwise
..
..
..
..
.. ..
Total Discharges ..
Total Deductions
..
..
..
..
..
Remained at the end of the year ..
..
..
..
..
Daily average strength
..
..
..
..
.. ..
„
sick .. .. .. .. .. ..
1878-79.
Males.
241
123
364
58
53
18
2
6
79
137
227
234.97
15.78
Females.
74
53
127
11
28
3
2
..
33
44
83
82.53
5.95
Total.
315
176
491
69
81
21
4
6
112
181
310
317.50
21.73
1879-80.
Males.
227
136
363
35
55
15
2
12
84
119
244
244.67
16.88
Females.
83
36
119
9
17
6
..
1
24
33
86
82.41
3.71
Total.
310
172
482
44
72
21
2
13
108
152
330
327.08
20.59
The number of inmates of the asylum was greater by twenty at the end of the year
than at its beginning, and the daily average strength shows an increase of nearly eight
inmates. This increase is entirely due to a diminished death-rate. "The lunatic
population in asylums" in common with the general population "felt the influence of
the changed hygienic conditions indicated by plentiful food supplies and absence of
epidemic disease and their physical condition as shown by a lowered death-rate had
changed for the better."The general death-rate (13.45 per cent, of daily average
strength) was lower than that of any year except one since 1873-74. It was highest
in Vizagapatam 28.31 per cent. of daily average strength, and lowest in Calicut 4.41
per cent. In considering the death-rate in the asylums, which is about three or more
times that among the general population, it must be remembered that the various
"forms of insanity tend inevitably to shorten life, and that mortality amongst chronic
insanes must from the natural progress of the disease be always high." The chief
cause of death was, as in former years, debility; ulceration of the intestines and
apoplexy contributed to the result in a lesser degree. There were isolated cases of
many other diseases. One case of small-pox occurred and one of suicide by drowning
in one of the wells in the Madras Asylum. This was the first suicide for a long
12
41
are said to want repair and separate accommodation for the segregation of violent or
noisy patients. The execution of the necessary repairs and the provision of the
requisite accommodation will be considered in the Public Works Department. Dr.
Nanney, on leaving the Madras Asylum after 5½ years' experience, alludes in his report
to the great necessity that exists for strong cottages for violent patients, and the
Public Works Department will be requested to allot the necessary funds for their
erection as early as possible.
9. There has been no change in the system of treatment adopted ; occupation,
recreation, and appropriate diet with plenty of fresh air are the remedies chiefly trusted
to in promoting recovery. The means of recreation at the Madras Asylum are reported
to be capable of improvement. The Superintendent should make definite proposals to
this end, which is of so much importance to the health of the inmates.
10. The financial results compare with those for 1878-79 as follows:—
Cash received from Treasury .. .. .. ..
Deduot cash remitted to Treasury
..
..
..
..
Add receipts from friends and miscellaneous sources, &c. ..
Total Expenditure
..
..
..
..
..
..
Net Decrease in Expenditure ..
.. .. .. ..
1878-79.
RS.
75,852
10,829
65,023
14,579
79,602
..
1879-80.
RS.
71,683
9,635
62,048
12,181
74,229
5,373
Annual net cost .. ..
„ gross cost .. ..
Annual cost in Madras Asylum
Do.
Waltair .. ..
Do.
Calicut .. ..
1878-79.
RS.
204
250
283
169
167
1879-80.
RS.
189
227
248
179
160
11. The annual net cost to Government per head, the gross cost and the cost
per head in each asylum is shown for
both 1878-79 and 1879-80 in the margin.
In the case of Waltair alone is there any
increase. Part of the saving in Madras
is due to the employment of a Medical
Officer of a lower grade as Superintendent.
The great disparity in the cost per head
in the Madras Asylum as compared with those at Waltair and Calicut is due to the
employment of a Medical Officer as specially in charge of the asylum, while the two
latter are in charge of the Civil Surgeon of the station.
(True Extract.)
R. DAVIDSON,
Chief Secretary.
ANNUAL REPORT
ON THE
LUNATIC ASYLUMS
IN THE
MADRAS PRESIDENCY
DURING THE YEAR
1880-81.
MADRAS:
PRINTED BY E. KEYS, AT THE GOVERNMENT PRESS.
1881.