4
proper information. Hence the histories must commonly contain under canse,
duration, whether first attack, &c., the satisfactory answer " unknown." This is
corrected by me as far as possible by subsequent enquiries from the patient if cohe-
rent answers can be obtained, or from relatives if such can be found. There can be
little doubt that amongst the physical causes, the indulgence in ganja is by far the
most fertile source of disease. Those who take spirits and opium often take ganja
too. Fevers and inflammatory disease of the membranes are frequently followed
by impairment of the faculties of the brain, and puerperal disturbances also give
rise to more or less persistent brain derangement
' Amongst the moral causes, excessive study, excitement from loss of children or of
property, give examples in the present return; and two at least of those admitted
had exalted ideas upon religious subjects, but whether as cause or effect it would be
difficult to say."
Statement No. VIII.
Sickness and mortality.
22. The sickness at Nagpur has been greater than at Jubbulpore, but the
mortality less.
At Nagpur the number of patients
admitted into hospital in 1878 exceed by far the admissions
of 1877, the figures being 125 and 68 respectively ; and
the reason urged is that '' the year appears to have been unhealthy here as
elsewhere." At Jubbulpore the increase has been from 26 in 1877 to 88 in
1878, and, although no explanation is offered by the Superintendent, it may I
think be assumed that at Jubbulpore also the season was less favourable to
health, this fact being corroborated by the rise in the sick and death rates of the
Jubbulpore Jail.
At Nagpur the most common diseases were ague, fever, anœmia, and com-
plaints of the bowels ; whilst at Jubbulpore complaints of the bowels brought
the larger proportion into hospital; ague coming next.
Old age and debility furnished 6 at each asylum ; and it is remarkable that
at Nagpur only 15 sustained trifling injuries for which they were treated in
hospital, while at Jubbulpore accidents of this nature did not occur.
Deaths.
23. At Nagpur the deaths occurred from :—
Cholera
...
...
...
...
Anœmia
...
...
...
...
Epilepsy
...
...
...
...
Diarrhœa
...
...
...
...
Abscess (secondary cause Diarrhœa)
...
Old age
...
...
...
...
Total
...
1
1
1
3
1
1
8
and at Jubbulpore they were caused by—
Apoplexy
...
...
...
Epilepsy
...
...
...
Dysentery
...
...
...
Debility
...
...
...
1
1
5
2
At the close of the year 6 remained under treatment at Nagpur and 2 at Jubbul
pore.
Statement No. IX.
Cash Account.
24. Furnishes an account of the cash received and
expended in the maintenance and treatment of the in¬
sanes during the year.
Establishment.
25. Under establishment the cost has risen at both asylums ; at Nagpur
the increase is slight, and is due to the Jamadar, who
was reduced in the former year, having been re-instated
in March 1878. At Jubbulpore it is owing to the payment of compensation for
dearness of grain to the lower officials.
Diet.
26. The cost of diet has increased from Rs. 4,147 to Rs. 5,143 at Nagpur, and
at Jubbulpore from Rs. 3,853 in 1877 to Rs. 5,175 in
1878, and is explained generally by the rise in the price
of food grains; but at Jubbulpore the increase is due also to the inclusion of the