NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
20
No 6.
Return showing the types of insanity of the lunatics in the Asylum at Jubbulpore during the year 1875.
1
Remaining ... ...
Admitted
...
...
Total treated
...
...
Recovered ... ...
Improved ... ...
Died ... ... ...
2
105 a.
Acute Mania.
M.
17
15
32
2
3
...
F.
6
4
10
1
2
...
T.
23
19
42
3
5
...
3
105 b.
Chronic Mania.
M.
12
3
15
2
...
...
F.
4
4
8
...
...
...
T.
16
7
23
2
...
...
4
106.
Melancholia.
M.
7
1
8
1
...
...
F.
6
1
7
...
1
...
T.
13
2
15
1
1
...
5
107.
Acute
Dementia.
M.
13
8
21
4
2
1
F.
1
1
2
...
1
...
T.
14
9
23
4
3
1
6
107 b.
Chronic Dementia.
M.
20
12
32
1
1
...
F.
5
2
7
...
...
...
T.
25
14
39
1
1
...
7
108.
Paralysis of the
insane.
M.
...
...
...
...
...
...
F.
...
...
...
...
...
...
T.
...
...
...
...
...
...
8
109.
Idiotcy.
M.
8
7
15
...
1
...
F.
2
4
6
...
1
1
T.
10
11
21
...
2
1
9
110.
Insipien-
tia.
M.
6
...
6
...
2
...
F.
2
...
2
...
1
...
T.
8
...
8
...
3
...
10
&c.
M.
...
...
...
...
...
...
F.
...
...
...
...
...
...
T.
...
...
...
...
...
...
11
Not
Insane.
M.
...
...
...
...
...
...
F.
...
...
...
...
...
...
T.
...
...
...
...
...
...
12
Total.
M.
83
46
129
10
9
1
F.
26
16
42
1
6
1
T.
109
62
171
11
15
2
No. 7.
Showing the alleged causes of insanity among the lunatics in the Asylum at Jubbulpore during the year 1875.
1
Remaining ... ...
Admitted
Criminal ...
Non-Criminal ...
Total treated ... ...
Recovered
...
...
Improved ... ...
Died ... ... ...
2
3
4
5
6
7
8
Physical causes.
Ganja.
M.
39
1
29
60
6
3
...
F.
1
...
...
1
...
...
...
T.
40
1
20
61
6
3
...
Spirit.
M.
2
...
...
2
...
...
...
F.
...
...
...
...
...
...
...
T.
2
...
...
2
...
...
...
Opium.
M.
...
...
...
...
...
...
...
F.
1
...
...
1
...
...
...
T.
1
...
...
1
...
...
...
Fever.
M
...
...
1
1
1
...
...
F.
1
...
...
1
...
...
...
T.
1
...
1
2
1
...
...
Bhang.
M.
6
...
1
7
1
...
...
F.
...
...
...
...
...
...
...
T.
6
...
1
7
1
...
...
Epilepsy.
M.
...
...
4
4
...
1
...
F.
2
...
2
4
...
2 ...
T.
2
...
6
8
...
3
...
Total
physical.
M.
47
1
26
74
8
4
...
F.
5
...
2
7
...
2
...
T.
52
1
28
81
8
6
...
9
10
11
12
13
Moral causes.
Grief.
M.
14
...
...
14
...
3
1
F.
4
1
3
8
...
2
1
T.
18
1
3
22
...
5
2
Anger.
M.
1
1
1
3
...
1
...
F.
...
...
...
...
...
...
...
T.
1
1
1
3
...
1
...
Fear.
M.
...
...
...
...
...
...
...
F.
2
...
...
2
...
... ...
T.
2
...
...
2
...
...
...
Religions impres-
sion.
M.
8
...
2
10
1
...
...
F.
...
...
...
...
...
...
...
T.
8
...
2
10
1
... ...
Total
moral.
M.
23
1
3
27
1
4
1
F.
6
1
3
10
...
2
1
T.
29
2
6
37
1
6
2
14
Total
known.
M.
70
2
29
101
9
8
1
F.
11
1
5
17
...
4
1
T.
81
3
34
118
9
12
2
15
Total
unknown.
M.
13
3
12
28
1
1
...
F.
15
...
10
25
1
2
...
T.
28
3
22
53
2
3
...
16
Grand
Total.
M.
83
5
41
129
10
9 1
F.
26
1
15
42
1
6 1
T.
109
6
56
171
11
15
2
21
No.
8.
Return of sick in the hospital of the Jubbulpore Lunatic Asylum during the year 1875.
1
Diseases.
[The names and numbers by which diseases are indicated in the
nomenclature of 1868 should be strictly followed.]
GENERAL DISEASE A.—II. Continued fever ...
15a Ague ...
GENERAL DISEASE B.—34. Rheumatism ...
43. Secondary syphilis ...
LOCAL DISEASE.—III. Conjunctivitis ...
248b. Thrombosis ...
DISEASES OF THE RESPIRATORY SYSTEM.
306a Bronchitis
...
...
...
...
306b Chronic Bronchitis ... ... ...
315 Pneumonia
...
...
...
...
DISEASES OF THE DIGESTIVE SYSTEM.
466 Dysentery ... ... ... ...
484 Diarrhœa
...
...
...
...
CUTANEOUS DISEASE.
859 Ulcers ... ... ...
861 Boils ... ... ... ...
CONDITIONS NOT GENERAL OR LOCAL.
905 Debility ... ... ... ...
INJURIES.—GENERAL INJURIES A.
992 Burns and scalds ... ... ...
LOCAL INJURIES.
1112 Dislocation of wrist corpus ... ...
Total ...
2
Remaining in hos-
pital from pre-
vious year.
M.
...
3
...
...
...
...
...
...
...
5
2
...
...
...
...
...
10
F.
...
...
...
1
...
...
1
...
...
...
...
...
...
...
...
...
2
T.
...
3
...
1
...
...
1
...
...
5
2
...
...
...
...
...
12
3
Admitted during
the year.
M.
10
28
1
...
1
1
3
1
4
37
6
4
3
4
1
1
105
F.
...
4
...
...
...
...
...
...
...
17
3
...
1
...
1
...
26
T.
10
32
1
...
1
1
3
1
4
54
9
4
4
4
2
1
131
4
Total.
M.
10
31
1
...
1
1
3
1
4
42
8
4
3
4
1
1
115
F.
...
4
...
1
...
...
1
...
...
17
3
...
1
...
1
...
28
T.
10
35
1
1
1
1
4
1
4
59
11
4
4
4
2
1
143
5
6
7
8
Results.
Discharged cured.
M.
9
27
...
...
1
...
3
1
3
38
8
4
2
1
1
...
98
F.
...
3
...
1
...
...
1
...
...
16
3
...
1
...
1
...
26
T.
9
30
...
1
1
...
4
1
3
54
11
4
3
1
2
...
124
Discharged "other-
wise."
M.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
F.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
T.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Died.
M.
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
1
F.
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
1
T.
...
...
...
...
...
1
...
...
...
1
...
...
...
...
...
...
2
Remaining sick.
M.
1
4
1
...
...
...
...
...
1
3
...
...
1
3
...
1
15
F.
...
1
...
...
...
...
...
...
...
1
...
...
...
...
...
...
2
T.
1
5
1
...
...
...
...
...
1
4
...
...
1
3
...
1
17
15 6 76 T R e 173—250
22
No. 9.
Cash Account of the Jubbulpore Lunatic Asylum for the year 1875.
RECEIPTS.
Items.
Received from Treasury ...
Received from paying patients ...
Value of articles received from Manufacture De-
partment ...
Total ...
Amount.
Rs.
10,159
...
...
10,159
a.
1
...
...
1
p.
8
...
...
8
EXPENDITURE.
Items.
Establishment ...
Diet ...
Clothing ...
Bazaar Medicines ...
Contingencies
Remitted to Treasury on account of
paying patients ...
Total ...
Cash expended.
Rs.
5,311
3,643
762
20
420
...
10,159
a.
10
0
12
15
11
...
1
p.
4
0
5
0
11
...
8
Value of articles
received from
Manufacture
Department.
Rs.
...
...
...
...
...
...
...
a.
...
...
...
...
...
...
...
p.
...
...
...
...
...
...
...
Total.
Rs.
5,311
3,643
762
20
420
...
10,159
a.
10
0
12
15
11
...
1
p.
4
0
5
0
11
...
8
Annual cost
per head.
Rs.
40
27
5
0
3
...
77
a.
4
10
12
2
3
...
0
p.
5
0
6
6
0
...
5
No. 10.
Showing the sanctioned Establishment of the Jubbulpore Asylum as it stood on the 31st December 1875.
1
Establishment.
Superintendent ...
*Deputy Superintendent ...
Do.
do ...
Writer ...
1st Class Warders
...
2nd Class
do ...
Matrons ...
Sweepers ...
Gardener ...
Daily averge number of males
100
Do.
do.
do. females
32
132 ...
2
Number.
1
1
As staff salary.
1
2 at 8 per mensem each
8 at 6
Do.
do
2 at 6
Do.
do
2 at 4
Do.
do
1
18
3
Monthly wages.
Rs.
250
60
20
15
16
48
12
8
6
435
As.
0
0
0
0
0
0
0
0
0
0
P.
0
0
0
0
0
0
0
0
0
0
Proportion of
Jemadars to males
Jemadarins to females
Male keepers to males
Female keepers to females
1 to 50.
1 to 16.
1 to 12.5
0 none employed
*He is allowed Rs. 15 per mensem as house rent in lieu of quarters in addition to the above pay.
23
No.
11.
Showing Receipts and Expenditure on account of Manufactures in the Lunatic Asylum at Jubbulpore during the year 1875.
1
Mean population.
M.
100.42
F.
31.45
Total.
131.87
2
Average number em-
ployed.
M.
...
F.
...
Total.
...
3
4
5
6
7
CREDITS.
Received during the year
for articles sold or for lu-
natic labour.
Rs.
51
A.
0
P.
0
Value of manufactured
goods made over to Asy-
lum for Asylum purposes.
Rs.
3,227
A.
14
P.
7
Value of raw materials in
store.
R.
...
A.
...
P.
...
Value of plant and ma-
chinery in store.
Rs.
...
A.
...
P.
...
Total credits.
Rs.
3,278
A.
14
P.
7
8
9
10
11
12
DEBITS.
Value of manufactured
goods in store on 1st
January.
R.
...
A.
...
P.
...
Value of raw materials
in store on 1st Janu-
ary.
R.
45
A.
8
P.
0
Value of plant and ma-
chinery in store on 1st
January.
Rs.
...
A.
...
P.
...
Raw materials purchased
and all other charges.
Rs.
380
A.
8
P.
9
Total debits.
Rs.
426
A.
0
P.
9
13
Excess of credits or profit.
Rs.
2,852
A.
13
P.
10
14
Excess of debits or loss.
R.
...
A.
...
P.
...
15
Amount of outstanding bills due
to Asylum.
R.
...
A.
...
P.
...
REPORT
ON THE
LUNATIC ASYLUMS
IN THE
CENTRAL PROVINCES,
FOR
THE YEAR 1876.
NAGPUR:
PRINTED AT THE CHIEF COMMISSIONER'S OFFICE PRESS.
1877.
No. 2722/129
FROM
A. H. L. ERASER, ESQ.
OFFG. ASST. SECRETARY.TO THE CHIEF COMMISSIONER,
Central Provinces.
To
THE SECRETARY TO THE GOVERNMENT OF INDIA,
Home Department.
Dated Nagpur, the 13th July 1877.
SIR,
I am directed to submit the annual reports of the Nagpur and Jubbul-
pore Lunatic asylums with the usual statements and a resumé by the Inspector
General of Jails. It will be noted that Doctor Brake held charge of the Nag-
pur asylum for the last nine months of the year ; while Doctor Beatson, who
writes the report, only held charge during the first three months. Doctor Rice
was the whole year in charge of the Jubbulpore asylum.
Statement 1.
2, The daily average population in the two institutions shows a slight
decrease at Nagpur, being 117.50 in 1876, against 119.90 for
the preceding year. A slight increase, due not to admis-
sions, which have been much fewer this year, but to the large number remaining
on January 1st, took place at Jubbulpore : the figures being 133.37 against
131.87 of the preceding year. There has been no overcrowding ; for the accom-
modation in both asylums is, as shown in the foot note to Statement I, consider-
ably above that required by the largest number of lunatics confined on any one
night during the year.
3. The total number of patients in the Nagpur asylum was 147, of whom
5 were cured, and 6 made over to their friends in improved health. In the
Jubbulpore asylum, out of 179 patients, 18 were cured, and 30 made over to their
friends. The results at Jubbulpore, therefore, appear much more favourable
than those at Nagpur ; but it is impossible accurately to judge of them, in the
absence of any explanation of the marked differences recorded in the state-
ments.
Statement 8.
4. The deaths among the patients numbered precisely the same as last year,
being 12 at Nagpur and 2 at Jubbulpore ; while the number
of sick at the latter institution was again larger than at the
former. The most common forms of disease were, at Nagpur, fever, diarrhœa
and dysentery ; and at Jubbulpore, dysentery, ague and debility. The classifica-
tion of disease would appear, however, to be to a certain extent arbitrary. For
example, we find 33 cases of continued fever, and no cases of ague, recorded at
Nagpur this year, against 6 cases of continued fever and 29 of ague in the pre-
ceding year, These figures are most probably due to different classification.
Statement 6.
5. The classification of the types of insanity is not yet quite satisfactory
Doctor Beatson has been fuller, and probably therefore more
precise, in his classification this year ; but he does not seem
to have been quite accurate. For, without any explanation of the discrepancy,
2
he gives the cases treated as 156, while the total number of patients was
only 147.
Statement 7.
6. The alleged causes of insanity are, as Doctor Rice points out, always
open to doubt. But the broad conclusions may probably
with
safety
be
accepted, that of moral causes, grief is the
most common, that more cases result from physical than from moral causes, and
that of these physical causes, by far the most prevalent is the use of ganja.
Statement 9.
Establishment ...
Diet ...
Clothing ...
Bazar Medicines.
Contingencies ...
Total ...
Nagpur.
1875.
Rs.
46
36
2
0
2
87
a.
8
5
9
3
0
11
p.
6
4
2
10
7
5
1876.
Rs.
47
30
4
0
1
83
a.
2
4
5
1
7
6
p.
8
8
9
7
11
7
Jubbulpore.
1875.
Rs.
40
27
5
0
3
77
a.
4
10
12
2
3
0
p.
5
6
6
6
0
5
1876.
Rs.
39
28
0
0
9
78
a.
4
6
14
1
4
4
p.
10
4
7
7
0
3
* Vide para. 7 of this office
letter No. 2421-109, dated
28th June 1876.
7. The annual expenditure per head has decreased in a marked degree in
Nagpur, and slightly increased in Jubbulpore. The figures
for the two years may with advantage be compared. The
table given in the margin shows that, while there has been a slight increase at
Jubbulpore under the heading
"Diet," due, it is said, to the rise
in cereals towards the end of the
year, in consequence of exporta-
tion to the famine districts, yet in
Nagpur, where the same circums-
tances existed, the average cost of
diet has decreased by one-sixth.
This marked decrease strongly
corroborates the statements (re-
garding the general laxity of su-pervision o
puty Superintendent, resulting in peculation and fraud by his subordinates) con-
tained in Doctor Brake's minute, an extract from which is given at page 8 of the
report ; and these figures and statements also confirm the
Chief Commissioner's opinion, expressed in reviewing last
year's report,* that the former high rate of expenditure was
simply due to want of good management.
8. It will be noted that the high charge shown in the above table for con-
tingencies at Jubbulpore, is due to the fact that the cost of building a house for
the Deputy Superintendent and of sinking a well, has been debited to
that head.
9. The Chief Commissioner does not consider it necessary to notice any
more of the figures contained in the statements herewith submitted. In conclu-
sion I am to say, that, judging from these reports and from the minutes of
inspections made by the Committees of management, Mr. Morris considers that
the results of the year under report are fairly satisfactory.
I have the honor to be,
Sir,
Your most obedient Servant,
A. H. L. FRASER,
Of f g. Asst Secretary.
Report on the working of the Lunatic Asylums in the Central Provinces,
during the year 1876, by Lieutenant-Colonel E. M. Playfair, Offi-
ciating Inspector General of Jails, Central Provinces.
* Statement I.
„ II.
„ III.
„ IV.
„ V.
„ VI.
„ VII.
„
VIII.
„ IX.
„ X.
„ XI.
Admissions, discharges, &c.
Return of criminal lunatics.
Religion, sex and residence of lunatics.
Occupation of lunatics.
Ages of lunatics.
Types of insanity of lunatics.
Cause of insanity.
Hospital statistics.
Cash Account.
Sanctioned Establishment.
Receipt and expenditure on account
of manufactures.
The report and prescribed Statements* received from each of the Lunatic
Asylums at Nagpur and Jubbulpore are
forwarded herewith,—that of Nagpur,
submitted by Doctor Beatson, and that
for Jubbulpore by Doctor Rice, Doctor
Beatson, as his report shows, officiated as
Superintendent of the Nagpur Asylum
for three months only ; Doctor Brake, the
Officiating Civil Surgeon, having been in
charge for the last 9 months of the year.
Buildings.
2. In paragraph 2 of last year's report, it was stated that certain improvements
to the Nagpur Asylum had been recommended, and were
expected to be sanctioned. These improvements were
estimated to cost about Rs. 10,000 ; but as all available funds have been directed
towards a more pressing work, viz., quarters for the students of the Medical School,
these desirable, but not absolutely necessary, additions to the asylum, have been
allowed to lie over for the present.
3. Beyond constructing temporary cook-houses and latrines, to replace those
which fell down, and the ordinary annual repairs, nothing has been done to any
of the buildings of the Nagpur Asylum.
4. At Jubbulpore, the house for the Deputy Superintendent, which had been
begun in the previous year, was completed during 1876; and a new well was sunk
by the lunatics, at a cost to Government of Rs. 760. Doctor Rice points out
that at the ordinary bazar rates the cost would have been double. These are
the only additions to the buildings.
Numbers confined, and accom-
modation.
5. The daily average population in the two asylums during the year
shows a slight decrease in Nagpur, and a very slight
increase in Jubbulpore, as compared with the previous
year. The actual figures for the year are :—
Nagpur ... ...
Jubbulpore ... ...
Males.
92.51
100.23
Females.
24.99
33.09
Total.
117.50
133.37
But the actual accommodation, as shown by Doctor Brake in his last year's
report, is for—
Nagpur ... ...
Jubbulpore ... ...
Males.
101
121
Females.
33
40
Total.
134
161
It will therefore be seen that in neither asylum has there been any
approach to over-crowding.
Admissions.
6. The number admitted (including re-admissions) during the year, as com-
pared with 1875, is as follows,—
Nagpur
1875 ...
1876 ...
Total decrease in 1876— ...
Males.
31
28
...
Females.
6
5
...
Total.
37
33
4
2
Jubbulpore
1875 ...
1876 ...
Total decrease in 1876— ...
Males.
45
31
...
Females.
16
5
…
Total.
61
36
25
The decrease in admissions to the Jubbulpore Asylum is very marked ; whilst
the number actually admitted is lower than in any year since 1867.
Re-admissions.
7. Re-admissions have been almost nominal. Only 2 females were admitted
in Nagpur, and none at all in Jubbulpore.
Discharges.
8. Patients discharged as cured or improved and made over to their friends
in the two asylums are represented by the following
figures :—
Nagpur … …
Jubbulpore … …
Cured.
Males.
4
12
Females.
1
6
Total.
5
18
Improved and made
over to friends.
Males.
5
29
Females.
1
1
Total.
6
30
Besides these, one man escaped from the Jubbulpore Asylum, and has not
since been re-admitted.
9. It does seem surprising that the discharges from the Jubbulpore Asylum
should be so much in excess of those in Nagpur. In the former more than one-
third of the average population of the asylum were discharged during the year ;
whilst in the latter the proportion was less than one-tenth. There is nothing in the
reports of the Superintendents to show why insanity in Nagpur should have been
of so much more severe a type than in Jubbulpore, or why in the latter the treat
ment was so much more successful. Doctor Rice gives the reasons why he felt
justified in making over so large a percentage of lunatics to their friends.
Deaths.
10. The deaths which occurred in Nagpur were 10 males and 2 females, and
in Jubbulpore 2 males. The causes of death were—
Epilepsy ...
Dysentery ...
Diarrhœa ...
Chronic diarrhœa
Atrophy ...
Pneumonia
...
Paralysis ...
Total ...
Nagpur.
Males.
0
2
2
1
3
1
1
10
Females.
2
0
0
0
0
0
0
2
Jubbulpore.
Males.
0
1
1
0
0
0
0
2
Females.
0
0
0
0
0
0
0
0
Criminal Lunatics.
11. The following is the daily average of criminal
lunatics in the asylums during 1876 :—
Nagpur … …
Jubbulpore … …
Male.
15.87
9.65
Female.
2.08
3.00
Total.
17.95
12.65
or a percentage to average strength of 15.25 at Nagpur, and 9.51 at Jubbulpore.
3
12. The following shows the religion of the different admissions during
the year :—
Nagpur …
Jubbulpore ...
Hindus.
M.
17
28
F.
4
4
T.
21
32
Mahomedans.
M.
4
2
F.
0
1
T.
4
3
Christians.
M.
1
1
F.
1
0
T.
2
1
Other classes.
M.
6
0
F.
0
0
T.
6
0
Total.
M.
28
31
F.
5
5
T.
33
36
Classes.
13. The classes from which admissions have been
drawn, are—
Cultivators ...
Goldsmiths ...
Beggars ...
Water carriers ...
Shopkeepers
...
Milkmen
...
Shepherds ...
Servants
...
Dyers ...
Matmakers ...
Shoemakers
...
Soldiers
...
Policemen
...
Labourers
...
Unknown
...
Total ...
Nagpur.
Males.
5
0
5
0
3
0
0
0
0
0
0
1
2
3
9
28
Females.
0
0
0
0
0
0
0
0
0
0
0
0
0
2
3
5
Total.
5
0
5
0
3
0
0
0
0
0
0
1
2
5
12
33
Jubbulpore.
Males.
12
1
3
1
3
1
1
1
2
1
1
0
0
0
0
31
Females.
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
Total.
17
1
3
1
3
1
1
1
2
1
1
0
0
0
0
36
The Superintendent, Nagpur, gives no explanation as to why the occupation
of so many remains unknown.
Ages.
14. The ages of those admitted were —
Under 20 ...
„
20 to 40 ...
„
40 to 60 ...
Nagpur.
3, or 9.09 per cent.
23, or 69.69
„
7, or 21.22
„
Jubbulpore.
2, or 5.55 per cent.
29, or 80.56
„
5, or 13.89
„
Classification of types.
15. At Nagpur all the lunatics have been arranged as patients suffering
from acute and chronic mania, melancholia, acute and
chronic dementia, and paralysis of the insane : in Jub-
bulpore under the last named head there are no entries, whilst two more heads are
given, idiotcy and insipientia. It seems a pity that uniformity of nomenclature
has not been carried out so as to admit of better comparison. In paragraph 17 of
last year's report Dr. Brake notes that insipientia is one of the types added to the
list, but Dr. Beatson does not appear to have considered that any patients come
under this head ; these, however, are professional points, on which I suppose there
must be always difference of opinion. Dr. Rice seems to think not, for he says
that " the forms of insanity as detailed in No. 6 Statement are easily distinguish-
" able one from the other ; the entries should not be regarded as an excess of
" refinement in diagnosis." But after all, as any difference in this respect really
affects the working of the institutions only to an infinitesimal degree, too much
should not be made of it.
4
Causes of insanity.
16. The causes of insanity, however, are put forward with less certainty by
Dr. Rice. The reports showed that the following are the
reasons assigned in respect of each of the institutions :—
Causes.
Physical.
Moral.
Ganja
Spirits
Opium
Fever
Bhang
Epilepsy
Grief
Anger
Fear
Loss of property or
of relations, or reli-
gious excitement.
Unknown
Nagpur.
No
47
...
2
6
...
...
1
...
…
14
Percentage.
55
15
77
37.42
10.20
52.38
Jubbulpore.
No
72
2
1
1
7
5
16
2
2
9
Percentage.
88
29
62
49.17
16.20
34.63
There is nothing in the report of the Superintendent of the Nagpur Asylum
to show by what means he arrives at the causes, or alleged causes, given in the
above table ; and I am inclined to believe that they are no better than those given
by Doctor Rice, to wit, the very meagre information supplied by the parties from
whom the patients are received. My own experience convinces me that in
the majority of cases this information is not only meagre, but misleading.
Admissions into hospital.
17. The admissions into hospital during 1876 were much fewer than in the
previous year :—
Nagpur ... ...
Jubbulpore ... ...
1875.
114
124
1876.
81
93
the relative proportions in the two asylums remaining the same. The principal
diseases in Nagpur were continued fever, dysentery and diarrhœa ; and in Jubbul-
pore ague, dysentery and debility.
18. It is curious that whilst not one case of "ague" is returned for Nagpur, so
not one case of " continued fever" appears in the Jubbulpore Statement 8. Yet the
ratio of " ague" in Jubbulpore and " continued fever" in Nagpur to the total
admissions in the respective hospitals is almost the same, being in Jubbulpore 36.55
and in Nagpur 35.80.
General health of lunatics.
19. As regards the general health of the inmates of the two asylums,
Doctor Rice remarks that since the present building was
occupied, the lunatics have improved steadily in health ;
only 2 died during the year out of a total population of 179, the average rate of
mortality during the previous 5 years, having been 11, out of an average total
population of 164.
20. In Nagpur, the health of the lunatics does not appear to have been so
satisfactory. Doctor Brake, in a minute which he gave to Dr. Beatson, describes
the condition of a number of the inmates as emaciated, and some as suffering from
diseases which had not been reported by the Deputy Superintendent. He found
no less than 20 lunatics suffering from scurvy. His minute shows that at the time
he took over charge there was a general looseness of supervision on the part of the