NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
STATEMENT No. VII.—(Continued.)
Statement showing the alleged causes of insanity among the Lunatics in the Lunatic Asylums at Nagpur and Jubbulpore, during the year 1883.
Remaining on 1st January 1883 ...
Admitted
...
Criminal
...
Non-Criminal ...
Total treated
...
...
Recovered
...
Improved
...
Died ...
Not improved
...
Otherwise ...
Remaining on the 31st December
1883
...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
12
13
14
15
16
17
18
MORAL CAUSES.—(Continued.)
Anger.
Male.
...
2
...
...
1
...
1
2
...
...
...
...
...
...
...
...
...
...
1
2
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
...
2
...
...
1
...
1
2
...
...
...
...
...
...
...
...
...
...
1
2
Fear.
Male.
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
1
Female.
...
2
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
...
2
Total.
...
3
...
...
...
...
...
3
...
...
...
...
...
...
...
...
...
...
...
3
Reli-
gion.
Male.
1
13
...
4
...
1
1
18
...
1
...
...
...
2
...
...
...
...
1
15
Female.
1
1
...
...
...
...
1
1
1
...
...
...
...
...
...
...
...
...
1
1
Total.
2
14
...
4
...
1
2
19
1
1
...
...
...
2
...
...
...
...
1
16
Loss of money
and relations.
Male.
9
...
...
...
1
...
10
...
...
...
...
...
...
...
...
...
1
...
9
...
Female.
3
...
...
...
1
...
4
...
1
...
...
...
...
...
...
...
...
...
3
...
Total.
12
...
....
...
2
...
14
...
1
...
...
...
...
...
...
...
1
...
12
...
Not insane.
Male.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Puerperal.
Male.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Female.
...
...
...
...
1
...
1
...
...
...
...
...
...
...
...
...
...
...
1
...
Total.
...
...
...
...
1
...
1
...
...
...
...
...
...
...
...
...
...
...
1
...
Total Moral.
Male.
11
21
1
5
3
1
15
27
...
2
...
...
...
2
...
...
1
...
14
23
Female.
6
11
...
...
3
...
9
11
2
...
...
...
...
...
...
...
...
...
7
11
Total.
17
32
1
5
6
1
24
38
2
2
...
...
...
2
...
...
1
...
21
34
19
Total known.
Male.
48
69
4
5
7
11
59
85
3
10
...
...
1
4
...
...
1
2
54
69
Female.
8
19
...
...
4
...
12
19
2
...
...
...
...
...
...
...
...
...
10
19
Total.
56
88
4
5
11
11
71
104
5
10
...
...
1
4
...
...
1
2
64
88
20
Total un-
known.
Male.
36
37
2
1
1
5
39
43
...
5
1
3
1
2
...
...
1
3
36
30
Female.
17
17
...
2
2
2
19
21
...
5
...
1
2
...
...
...
...
...
17
15
Total.
53
54
2
3
3
7
58
64
...
10
1
4
3
2
...
...
1
3
53
45
21
Grand Total.
Male.
84
106
6
6
8
16
98
128
3
15
1
3
2
6
...
...
2
5
90
99
Female.
25
36
...
2
6
2
31
40
2
5
...
1
2
...
...
...
...
...
27
34
Total.
109
142
6
8
14
18
129
168
5
20
1
4
4
6
...
...
2
5
117
133
Digestive system
Generation sys-
tern of Female
organs.
Cellular Tissue ...
Cutaneous
system.
377
460
466
480
484
486
491
513
683
819
859
861
862
904
905
Gum boil
...
Dyspepsia
...
Dysentery
...
Hernia
...
Diarrhæa
...
Colic
...
Hœmmorrheids & Piles.
Spasm of the Colon ...
Jaundice
...
Abscess of Labia
...
Abscess
...
Ulcer
...
Boil
...
Carbuncle
...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
CLASS III. Conditions not General
or Local.
Old age
...
Debility
...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
...
...
2
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
2
...
...
...
2
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
2
...
...
...
2
...
...
...
1
1
3
1
4
3
1
...
7
3
1
...
...
1
...
1
2
...
...
...
2
1
4
1
2
...
1
...
...
...
...
2
...
...
2
...
1
...
...
...
3
...
...
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
1
1
5
1
5
3
1
...
10
3
1
...
1
1
...
1
2
...
1
...
2
1
4
1
2
...
1
...
...
...
...
3
1
1
5
1
5
3
1
...
7
3
1
...
...
1
...
1
2
...
...
...
2
1
5
1
4
...
1
...
2
...
...
2
...
...
3
...
1
...
...
...
3
...
...
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
1
1
8
1
6
3
1
...
10
3
1
...
1
1
...
1
2
...
1
...
2
1
5
1
4
...
1
...
2
...
...
3
1
1
5
1
5
2
...
...
6
3
1
...
...
1
...
...
2
...
...
...
1
1
4
1
4
...
1
...
...
...
...
1
...
...
3
...
1
...
...
...
2
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
1
1
1
8
1
6
2
...
...
8
3
1
...
...
1
...
...
2
...
1
...
1
1
4
1
4
...
1
...
...
...
...
2
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
1
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
2
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
1
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
1
...
...
...
...
...
9
...
...
...
STATEMENT No. VIII.—(Concluded.)
1
DISEASES.
[The names and numbers by which diseases are indicated in the
Nomenclature of 1868 should be strictly folowed.]
Local injury ...
1001
1049
1092
1094
1103
1104
1117
CLASS V.—Injuries.
Wounds ...
Fracture of ribs
...
Contusion
...
Wounds of hand
...
Fracture of arm
...
Do. of forearms ...
Wound of foot
...
Total ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
2
Remaining in
hospital from
previous year.
Male.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
11
...
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
12
...
3
Admitted
during the
year.
Male.
...
...
...
1
...
2
1
...
...
1
1
...
1
...
91
36
Female.
...
2
...
...
...
...
...
...
...
...
...
...
...
...
21
5
Total.
...
2
...
1
...
2
1
...
...
1
1
...
1
...
112
41
4
Total.
Male.
...
2
...
1
...
2
1
...
...
1
1
...
1
...
102
36
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
22
5
Total.
...
2
...
1
...
2
1
...
...
1
1
...
1
...
124
41
5
6
7
8
RESULTS.
Discharged
cured.
Male.
...
2
...
1
...
2
1
...
...
...
1
...
1
...
92
29
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
16
5
Total.
...
2
...
1
...
2
1
...
...
...
1
...
1
...
108
34
Discharged
otherwise.
Male.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4
...
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
7
...
Died.
Male.
...
...
...
...
...
...
...
...
...
...
...
...
...
2
6
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
2
...
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
4
6
Remaining
sick.
Male.
...
...
...
...
...
...
...
...
...
1
...
...
...
...
5
1
Female.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
1
...
...
...
...
5
1
STATEMENT
No.
IX
Showing the Cash Account of the Nagpur and Jubbulpore Lunatic Asylums during the year 1883.
ASYLUMS.
1
Nagpur ...
Jubbulpore ...
RECEIPTS.
Received from Treasury.
2
Rs.
8,105
7,842
A.
14
15
P.
8
2
Received from paying patients.
3
Rs.
287
251
A.
1
9
P.
7
5
Value of articles received from Manufac-
tory Department.
4
Rs.
1,365
754
A.
0
4
P.
5
11
Total.
5
Rs.
9,758
8,848
A.
0
13
P.
8
6
EXPENDITURE.
FROM TREASURY ON ACCOUNT OF
Establishment.
Establishment proper.
6
Rs.
2,379
1,689
A.
5
11
P.
2
8
Superintendence.
7
Rs.
3,000
3,000
A.
0
0
P.
0
0
Diet.
8
Rs.
2,458
2,549
A.
13
15
p.
4
4
Clothing and bedding.
9
Rs. A. P.
.........
.........
Bazaar medicines.
10
Rs.
0
A.
9
P.
3
.........
Contingencies.
Contingencies proper.
11
Rs.
224
134
A.
7
14
P.
2
9
Contingencies of Manufac-
ture.
12
Rs.
14
439
A.
0
14
P.
6
5
Repairs and maintenance.
13
Rs.
28
28
A.
11
7
P.
3
0
Total.
14
Rs.
8,105
7,842
A.
14
15
P.
8
2
STATEMENT No. IX.—(Continued)
Showing the Cash Account of Nagpur and Jubbulpore Lunatic Asylums during the year 1883.
ASYLUMS.
Nagpur ...
Jubbulpore ...
EXPENDITURE.— (Continued.)
FROM MANUFACTORY DEPARTMENT ON ACCOUNT OF
Diet.
15
Rs.
544
494
A.
12
0
P.
2
3
Clothing and bedding.
16
Rs.
269
188
A.
15
15
P.
3
10
Bazaar medicines.
17
Rs.
.........
.........
Contingencies.
Contingencies proper.
18
Rs.
197
63
A.
7
5
P.
4
4
Contingencies of manufac-
ture.
19
Rs.
.........
.........
Repairs and maintenance.
20
Rs.
.........
.........
Total.
21
Rs.
1,012
746
A.
2
5
P.
9
5
From
maintenance fund for paying patients.
22
Rs.
.........
.........
Remitted to treasury on account of paying
patients.
23
Rs.
287
251
A.
1
9
P.
7
5
Charges on account of works done by the
Public Works Department.
24
Rs.
315
A.
0
P.
0
.........
Rates and taxes on building attached to the
Asylum.
25
Rs.
.........
.........
Cost of printed forms and stationery.
26
Rs.
.........
........
Cost of English stores, medicines, &c.
27
Rs.
37
7
A.
13
15
P.
8
6
Grand Total.
28
Rs.
9,758
8,848
A.
0
13
P.
8
6
STATEMENT No. X.
Showing the Sanctioned Establishment of Nagpur and Jubbulpore Asylums as it stood
on the 31st December 1883.
1
Establishment.
Superintendent
...
...
...
Deputy Superintendent
...
...
Do,
Do. ...
...
...
Writer
...
...
...
...
Datfadar ...
...
... ...
1st Class Warder
...
...
...
2nd Class Warder ...
...
...
Gardener ...
...
...
Barber ...
...
...
...
Dhoby
...
...
...
...
Sweeper ...
...
...
...
Matrons
...
...
...
...
Daily average number of Males
...
Daily average number of Females ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore
...
Nagpur ...
Jubbulpore ...
Nagpur
...
Jubbulpore
...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur ...
Jubbulpore ...
Nagpur
87.77
Jubbulpore 101.98
Nagpur
25.51
Jubbulpore 35.22
2
Number.
1
1
1
1
Staff Salary.
Staff Salary.
1
1
1
...
2 at Rs 8 per month each.
...
12—11 at Rs 6, 1 at Rs 4.
9 at Rs 6 per month each.
2 at Rs 7 and 6.
1
1
...
...
...
...
2
...
2
Total
... Nagpur ...
Jubbulpore ...
3
Monthly wages.
Rs.
250
250
55
35
20
20
15
15
10
...
16
...
70
54
13
6
2
...
...
...
...
8
...
12
451
400
Proportion of
...
Jamadars to males
...
Male keepers to males
...
Female keepers to females ...
Warden to
males
...
Nagpur 1 to 87.77.
Jubbulpore ...
Nagpur 1 to 9.75.
Jubbulpore 1 to 11.37.
Nagpur 1 to 8.50.
Jubbulpore 1 to 17.61.
Nagpur 1 to 43.88.
Jubbulpore
STATEMENT No. XI.
Showing Receipts and Expenditure on account of Manufactures of the Nagpur and Jubbulpore Lunatic Asylums during the year 1883.
1
NAMES OF ASYLUM
Nagpur
...
Jubbulpore ...
2
Mean population.
M.
87.77
101.98
F.
25.51
35.22
Total
113.28
137.20
3
Average number
employed.
M.
73.75
42.96
F.
16.72
14.52
Total.
90.47
57.48
4
5
6
7
8
9
CREDITS.
Cash
paid into Treasury during the year
for articled sold.
Rs. A. P.
374-12-5
503-12-6
value of manufactured goods made over to
Asylum for Asylum purposes.
Rs. A. P.
844-8-7
746-5-5
Value of raw materials in the store at the
end of the year 1883.
Rs. A. P.
15-2-0
......
Value of manufactured goods in store at the
end of the year 1883.
Rs.
......
......
Value of plant and machinery in store at the
end of the year 1883.
Rs. A. P.
806-1-9
24-8-0
Total Credits.
Rs. A. P.
2,040-8- 9
1,274-9-11
10
11
12
13
14
15
16
DEBITS.
Value of manufactured goods in store on 1st
January 1883.
Rs.
......
Value of raw materials in store on 1st
January 1883.
Rs. A. P.
30-0-0
68-0-0
Value of plant and machinery in store on
1st January 1883.
RS. A. P.
744-9-3
21-8-0
Raw materials purchased and all other
charges.
RS. A. P.
238- 7-8
439-14-5
Contingencies Of manufactures viz. indul-
gences to Lunatics as rewards for
works, &c.
Rs.
......
Charges for work done by Public Works
Department.
Rs. A. P.
315- 0- 0
......
Total Debits
Rs. A. P.
1,328-0-11
532-6- 5
17
Excess of credits or profits.
Rs. A. P.
712-7-11
742-3- 6
18
Excess of debits or loss.
Rs.
......
19
Net
profit as per Memorandum at foot.
Rs. A. P.
665-13-5
810 -3-6
MEMO. OF ACTUAL PROFITS.
Profits as per above table, Column 17 ... ... ... ... ...
Difference of raw materials in store ... ... ... ... ...
Total ... ... ...
Difference of manufactured goods in store
...
...
...
...
...
Total ... ... ...
Difference of plant and machinery in store ... ... ...
Total Net Profits
...
...
...
Nagpur ...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
Nagpur
...
Jubbulpore
...
712- 7-11
742- 3- 6
+ 14-14- 0
+ 68- 0- 0
727- 5-11
810- 3- 6
.........
.........
727- 5-11
810- 3- 6
—61- 8- 6
.........
665-13- 5
810-3-6
REPORT
ON THE
LUNATIC ASYLUMS
IN THE
CENTRAL PROVINCES
FOR
THE YEAR 1884.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS.
1885.
No. 3095/160
FROM
A. H. L. FRASER, ESQUIRE, C. S.,
OFFG. SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
TO
THE DEPUTY SURGEON GENERAL,
Central Provinces.
Dated Nagpur, the 15th August 1885.
SIR,
I am directed to acknowledge your letter No. 3962 C. C., dated 9th ultimo,
forwarding the Reports of the Superintendents of the Nagpur and Jubbulpore
Lunatic Asylums on the working of these institutions for the year 1884.
2. It is unnecessary for the Chief Commissioner to reproduce here the
figures clearly set forth in the statements appended to the reports or to attempt
any criticism of the Medical administration of these institutions. There has
been no overcrowding, though the number of inmates at Nagpur has been
greatly increased by transfers from Berar. The Superintendents and the visitors
of both Asylums appear to have discharged their respective duties satisfactorily.
The lunatics are kept as comfortable and clean as possible, are well fed and well
housed, and have been comparatively healthy.
8. The figures showing the types of insanity show as usual great differences
between the two asylums. The principal differences are—
(1) That there are more cases of acute mania and acute dementia in
Jubbulpore than in Nagpur.
(2) That there are many more cases of chronic mania and dementia in
Nagpur than in Jubbulpore.
(3) There are 25 cases of idiotcy at Jubbulpore, and none at Nagpur.
Dr. Barter (para. 17 of his report) reminds us that " Dr. Rice explains
that all his idiots were transferred from Nagpur some years ago." But the
differences in classification continue to raise doubts as to whether the diagnosis
in the two asylums is based on the same principles. This is a matter which
you might take up in consultation with both Superintendents. With regard to
Dr. Rice's remarks on Statement VI, the Chief Commissioner desires that gene-
ral attention be called to Book Circular No. XXXI. of 1877, and to the state-
ment of the law regarding admissions to asylums contained in the review of the
report for 1882.
4. In reference to your remarks in para. 12 the Chief Commissioner has
ascertained from Dr. Barter that in Statement V he has given the ages of the
Berar lunatics when received at the asylum. Of these thirty lunatics, the ages
when received into the asylum at Berar were as under:—
Males ...
Females ...
Total ...
Under 20.
1
0
1
20 to 40,
23
2
25
40 to 60.
4
0
4
Over 60.
0
0
0
Total.
28
2
30
2
The ages of these thirty when admitted to Nagpur were :—
Males ...
Females ...
Total ...
Under 20.
1
0
1
20 to 40.
16
2
18
40 to 60.
10
0
10
Over 60.
1
0
1
Total,
28
2
30
If these last figures be deducted from the figures given in Statement V, we
have the details for only Central Provinces lunatics in Nagpur:—
Males ...
Females ...
Total ...
Under 20.
1
0
1
20 to 40.
20
0
20
40 to 60.
4
1
5
Over 60.
0
1
1
Total.
25
2
27
and if to these be added the first set of figures we have the details for all the
Nagpur lunatics at the time of their admission into either the Berar or Nagpur
asylum, as the case may be, viz :—
Males ...
Females ...
Total ...
Under 20.
2
0
2
20 to 40.
43
2
45
40 to 60.
8
1
9
Over 60.
0
1
1
Total.
53
4
57
As to the types of insanity, Dr. Barter explains that he gave the types as
ascertained by himself after five months' residence in the asylum. He says that
the changes in type which he recorded were, one man from chronic mania to
melancholia, one fro m chronic mania to chronic dementia, and one from melan-
cholia to " not insane." The remainder were not changed. These facts and
figures seem to remove the statistical difficulties mentioned in your paras. 12 and
13; but the Chief Commissioner will leave to experts the deducing of any
conclusions from them. He simply records Dr. Barter's explanation to remedy
a statistical defect.
5. The Chief Commissioner does not concur in the proposal made in the
third clause of your para 12 that " all changes from one type to another should
be entered in the result ' otherwise' (Statement VI)." The statement would
then become inaccurate, unless the cases thus removed from under one type were
entered under another type among " admissions," and this would be misleading.
It is quite enough to enter the cases as Dr. Barter does at present, and explain
changes of type in a footnote to the Statement.
I have the honor to be,
Sir,
Your most obedient Servant,
A. H. L. FRASER,
Offg. Secretary.
No. 3962 C. C.
FROM
JAMES H. LOCH, ESQUIRE, M.D.,
DEPUTY SURGEON GENERAL,
Central Provinces.
TO
THE SECRETARY TO THE CHIEF COMMISSIONER,
Central Provinces.
THROUGH INSPECTOR GENERAL OF PRISONS, C. P.,
Dated Nagpur, the 9th July 1885.
SIR,
I have the honor to forward for submission to the Chief Commis-
sioner the Annual Reports and Statements of the Nagpur and Jubbulpore
Lunatic Asylums for the year 1884.
2. During the year the Berars Asylum was closed, and the inmates trans-
ferred to that at Nagpur.
3. Before the reception of the lunatics from the Berars, certain alterations
in, and additions to the buildings of the Nagpur Asylum had been sanctioned.
These are fully described in the Superintendent's report, and have rendered
the Asylum much better fitted for the detention and treatment of lunatics.
The levelling, &c , carried out at Nagpur by the patients are real improve-
ments in a sanitary point of view.
The alterations to the wards at Jubbulpore are also such as to greatly
improve the Asylum, not only by increasing its capacity, but also by rendering
the wards more suited to the purpose for which they are used.
4. During the year at the Nagpur Asylum the number admitted (including
those re-admitted), the number discharged (including those who died), and the
daily average strength were all larger than in 1883.
The increased number of admissions was due chiefly to the transfer of the
(30) lunatics from the Berars, but, exclusive of these, the number of patients
admitted from the Central Provinces was larger than in 1883.
At Jubbulpore the number of admissions (including re-admissions) was only
a little over half what it was in 1883, and less than it had been in any of the
preceding 10 years except 1880 : the number discharged (including those who
died) was also very much smaller, and the daily average strength somewhat lower
than in 1883.
5. There was not at any time any overcrowding in either the men's or
women's wards in either of the Asylums.
6. At Nagpur the number cured was the same as in 1883, which with the
larger daily average strength gives a rather lower percentage.
At Jubbulpore the cures were only 8 as compared with 20 last year: the per-
centage (of cures) to strength being
in 1883
...
...
...
in 1884 ... ... ...
28 per cent
5
„
Of the 8 cases discharged cured from the Jubbulpore Asylum 7 had been
suffering from acute mania; many of them probably due to the excessive use of
Indian hemp.
2
The percentage of cures is slightly higher at Jubbulpore than at Nagpur.
The following figures show the average percentage of cured to admitted in
the Asylums of the Central Provinces and other Provinces to whose reports I
have access.
Province.
Bengal ... ...
Madras ... ...
Bombay ... ...
Punjab ... ...
Central Provinces ...
Burmah ... ...
Assam
...
...
Central Provinces ...
Year.
1879 to 1883
1882 & 1884 ...
1880 to 1884...
1884
Total
admitted.
5,522
2,801
4,536
2,245
1,430
494
394
321
Total
cured.
440
365
427
258
88
51
51
13
Percentage
of cured
to admitted.
7.9
13.0
9.4
11.5
6.1
10.3
12.9
4.0
It will be thus seen that the ratio of cured for the past 5 years and for
1884 is less in the Central Provinces than in any other Province; but the very
low ratio for the year 1884 is accounted for partly at least by the admission to
the Nagpur Asylum of a large number of chronic incurable cases among the
lunatics from the Berars.
7. The deaths at Nagpur were 1 per cent to strength more than in 1883,
while at Jubbulpore the ratio was only 3 per cent, the lowest that has been
recorded since 1877.
8. Re-admissions were fewer than in 1883 at both Asylums. Of the 3
patients re-admitted to the Nagpur Asylum, one was sent back for safe custody
after acquittal
Of the other (two), 1 who had been sent to stand his trial was found on
arrival at the station to which he was sent to have relapsed into insanity as he
had done on former occasions: the other was sent back to Jail improved, but
again became insane, and had to be re-admitted at the end of 6 months.
The two patients re-admitted at Jubbulpore were lunatic idiots who had
been discharged by the visitors as not fit (under provisions of Chief Commis-
sioner's Book Circular No. 31 of 1877) to be detained in an Asylum.
The re-admissions at Nagpur this year taken together with those at Jubbul-
pore last year, show what care should be exercised in the discharge of cases of
chronic insanity from our Asylums.
STATEMENT II.
9. The transfer of the Berar lunatics caused an unusually large number of
criminals to be admitted to the Nagpur Asylum, while at Jubbulpore only 2
patients of this class were admitted and none re-admitted.
STATEMENT
III.
10. Of the 10 districts in the Central Provinces whose lunatics are
admitted to the Nagpur Asylum, each sent one or more patients in 1884,—Nag-
pur contributing a third of the whole number admitted.
From only 4 of the 8 districts sending lunatics to Jubbulpore were any
patients received, and contrary to what has usually obtained the largest number
did not come from the Jubbulpore district.
During the past 5 years 39 per cent of the total admissions to the Nagpur
Asylum have come from the Nagpur district, and 43 per cent of the total admis-
sions to the Jubbulpore Asylum from the Jubbulpore district.
STATEMENT IV.
11. Does not call for any special remark.