ANNUAL REPORT ON LUNATIC ASYLUMS.
17
One civil female lunatic, who was old and infirm and had no relatives or friends
willing to take care of her, was on recovery transferred, at the suggestion of the
Official Visitors, to the "Poor-house," Vizagapatam. The remainder of the cases
discharged "cured" were permitted to return to their respective homes.
The following table shows the name, age, disease, health on admission, weight
and residence in the asylum, of the discharged "cured" :—
Name.
M. Royalamma ... ...
Bada Balagy
...
...
Suru Dasu
...
...
D. Kotaya ... ...
A. Alamayya ... ...
O. Yellamonda ... ...
V. C. Ramanna ... ...
A. Achchunna ... ...
U. Bungari ... ...
B. Kotamma ... ...
Akkamma
...
...
Age.
Y.
65
24
23
38
26
28
40
20
28
52
32
Sex.
F.
M.
M.
M.
M.
M.
M.
M.
M.
F.
F.
Disease.
Dementia, chronic
Mania, acute ...
Do. ...
Do. ...
Do. ...
Do. ...
Mania, chronic ...
Mania, acute ...
Dementia, acute.
Mania, chronic ...
Mania, acute ...
Residence
in the
asylum.
Y.
5
1
0
0
0
2
0
0
1
7
2
M.
8
7
8
6
5
5
3
5
2
4
10
D.
24
21
11
24
27
20
17
27
6
6
14
Health on
admission.
Bad ...
Fair ...
Indifferent
Fair ...
Indifferent
Do. ...
Bad ...
Indifferent
Do. ...
Fair ...
Bad ...
Weight on
Admission.
LB.
80
93
96
120
91
93
94
94
99
74
69
Discharge.
LB.
99
122
110
132
117
100
112
129
120
100
96
Sickness and Mortality.—The general health of the inmates has been good, but
the death-rate is higher than in the previous year. Of the number that died, viz.,
5, one was a civil female lunatic who was received into the asylum quite in a
shattered condition of health from starvation and syphilis, and, though properly fed
and cared for after admission, died very shortly after from general debility. The
remaining cases were males. One of them, a spare built Hindu suffering from
acute mania, after partaking of a hearty meal in the evening, died suddenly from
fatal syncope, the diagnosis being confirmed on post mortem. Another hill man
died from pneumonia with pleurisy. On post-mortem examination, in addition to
the morbid changes in the lung and pleura, there was effusion in the pericardium
and at the entrance of the aorta and pulmonary artery, and protruding about half
an inch into the vessels were seen two large fibrinous clots. There was one death
from chronic dysentery. The patient had several relapses after longer or shorter
intervals in spite of treatment and the attention paid to his diet. Owing to the
frequent relapses, ulceration of the bowel was suspected, which, on examination
after death, was verified, as the whole of the large bowel was studded with ulcers,
which were encrusted over with a cheesy deposit. The remaining death occurred
in a criminal lunatic subject to violent and dangerous fits of epilepsy ever since
admission, but latterly, as the attacks returned with greater force and frequency,
producing in the patient prolonged unconsciousness and great exhaustion, he was
rendered abjectly helpless and partially paralytic, and died eventually during one
of the seizures.
The following table shows name, age, sex, state of health on admission, disease,
and cause of death of those who have died.
Names.
K. Ramanjee ...
Alli Saib
...
...
Pillu ... ...
V. Anthony ...
...
Basil Prodhano ...
Age.
26
31
25
27
41
Sex.
F.
M.
M.
M.
M.
Caste.
Hindu ...
Do.
Do. ...
Native
Christian.
Hindu ...
State of
health on
admission.
Very bad ...
Indifferent,
thin and
emaciated.
Fair
Very bad ..
Good ...
Disease.
Mania, acute ...
Do.
...
...
Dementia, acute ...
Mania, acute ...
Mania, chronic ...
Cause of death.
General debility.
Fatal syncope.
Pneumonia with
pleurisy.
Epilepsy.
Dysentery, chronic.
5