NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
5
Females are employed on paddy-husking, preparation of spices, mending
clothes and the other household work.
Weaving is done both by male and female patients. The Hospital is self-
supporting to some extent, in the matter of cotton clothing.
Treatment—Mental.- The occupational Therapy continues to be the main
stand-by in mental treatment.
Maniacal outbursts are treated by hydrotherapy as before with encouraging
results. Insomnia—a wide range of drugs is used by mainly Paraldehyde ; in
addition to hydrotherapy and physical exercise in suitable form.
Epilepsy cases were treated with adequate doses of Bromide, reinforced
where necessary with Luminal ; Mercury Iodide was tried in a few cases, with
satisfactory results.
Diet.—Liberal and nutritious with adequate vitamin content.
Steps arc
taken in every case to ensure that each patient eats his proper quantity of diet
supplied. This has maintained a fairly normal average weight.
Those who lose weight are specially treated. Treatment of physical condition
has been up-to-date. Full advantage is taken of the facilities available at the
Pasteur Institute, Shillong, for laboratory examinations. Routine clin cal labora-
tory work is carried out here satisfactorily.
Garden.—The Hospital garden continues to do well, yielding some profit and
an useful addition to the dietary.
Accommodation.—The hospital accommodation was the same as in the previous
year, namely for 690 patients. Owing, however, to the constant demand for
admissions from the various jails of the Province, overcrowding was unavoidable
throughout the year. The largest number of inmates on any one night during
the year was 704.
Conservancy.—Night-soil is trenched in a selected site on the garden land
and infected stools are incinerated outside the enclosure.
Water-supply.—Continues to be a serious problem. Sanction for a 3" Tube-
well was given on 16th July 1938 and a 2½" Tube-well was completed and
brought into use from 3rd September 1939. The completion of this well has cased
the water situation somewhat. The total available water per day for 700 patients
and 300 staff is now about 6,500 gallons, an amount which cannot be considered
adequate.
Dairy.—Live-stock supplied by the Upper Shillong Farm is as follows :—
––
Remaining on 31st December
1938.
Born or received during the
year.
Total
..
..
Died .. .. ..
Destroyed .. .. ..
Sold .. .. ..
Transferred .. ..
Remaining on 31st December
1939.
Cows
5
1(a)
6
..
..
..
..
6
Cowcalf
4
3
7
1
..
..
..
6
Bullcalf
4
3
7
..
..
..
..
7
Heifer
1(a)
..
..
..
..
..
..
..
Bull
1
..
1
..
..
..
..
1
Remarks
(a)
Heifer was transferred to
"Cows".
Poultry.—Fresh eggs, when available, were issued for the patients.
Cleanliness.—Great care was taken in the difficult matter of personal clean-
liness of the inmates.
Clothing.—Good and sufficient.
Discipline.—Good.
Amusement and Recreation.—Mental patients were kept amused with Music
Band and Games. Literate inmates were provided with books and newspapers.
Pictorial Magazines and Novels were supplied for the entertainment of patients by
gentlemen of the locality and mention may be made of the kindness of H.R.
Reed, Esq., and Lieutenant-Colonel H. L. Batra, M.C, I.M.S.
8
STATEMENT
Showing the Admissions, Discharges, etc., of Mental patients in the Mental
1
Name
of
Men-
-al Hospital
Mental Hospital,
Tezpur
1939 ..
1938 ..
1937 ..
2
Remaining from previous year
M.
568
574
562
F.
121
122
126
T.
689
696
688
3
Admitted
M.
70
77
127
F.
15
18
14
T.
85
95
141
4
Re-admitted
M.
6
11
6
F.
4
..
2
T.
10
11
8
5
Total population
M.
644
662
695
F.
140
140
142
T.
784
802
837
6
Discharged
A
Cured
M.
42
49
65
F.
6
4
8
T.
48
53
73
B
Transferred to friends
Improved
M.
11
2
8
F.
3
1
3
T.
14
3
11
Not improved
M.
..
4
3
F.
1
..
..
T.
1
4
3
C
Otherwise
M.
..
..
..
F.
1
..
..
T.
1
..
..
D
Total
M.
53
55
76
F.
11
5
11
T.
64
60
87
7
Died
M.
26
39
45
F.
12
14
9
T.
38
53
54
N. B.–Observation
cases area
The
capacity of the Tezpur Mental Hospital is at 50 superficial
The maximum number of mental patients confined on any one night was 585 males, 119
STATEMENT
Statement showing the cases admitted for observation in the Provincial Mental Hospital
Name of Mental Hospital
1
Mental Hospital, Tezpur
...
Year
2
1939
1938
1937
Remained on the
1st January
3
3
4
2
Admitted
4
32
34
39
Re-admitted
5
2
2
2
STATEMENT
Return of Criminal Lunatics in the
1
Name of Mental Hospital
Mental Hospital,
Tezpur
1939 ..
1938 ..
1937 ..
2
Remaining from previous
year
M.
231
226
219
F.
22
23
25
T.
253
249
244
3
Admitted
M.
29
26
34
F.
5
2
1
T.
34
28
35
4
Re-admitted
M.
2
4
3
F.
..
..
2
T.
2
4
5
The figures in the statement
9
No. I
Hospital at Tezpur during the year 1939
8
Remaining on 31st December 1939
M.
565
568
574
F.
117
121
122
T.
682
689
696
9
Daily average strength
M.
577.14
565.81
575.46
F.
117.78
122.65
124.50
T.
694.92
688.46
699.96
10
Daily average sick
M.
55.62
50.67
52.88
F.
11.51
11.27
9.30
T.
67.13
61.94
62.24
11
Percentage to—
Daily average strength
A
Cured
M.
7.28
8.66
11.30
F.
5.09
3.26
6.43
T.
6.90
7.70
10.43
B
Died
M.
4.50
6.89
7.82
F.
10.10
11.41
7.23
T.
5.47
7.70
7.71
Admissions
C
Cured
M.
5.71
3.90
7.09
F.
6.66
5.56
..
T.
5.88
4.21
6.38
D
Died
M.
4.29
5.19
6.30
F.
..
..
..
T.
3.53
4.21
5.67
12
Results of mental
patients admitted
(vide columns 3 and
4)
A
Cured
M.
4
3
9
F.
1
1
..
T.
5
4
9
B
Died
M.
3
4
8
F.
..
..
..
T.
3
4
8
excluded from this statement.
feet per patient, 566 for males, 124 for females, 690 total.
females, 704 total.
No. II
at Tezpur, for the year 1939 and the provincial totals for the two previous years
Certified and
admitted into the
Mental Hospital
6
25
31
28
Certified and
released under
Section 14, Act
IV of 1912
7
...
...
...
Released as
uncertifiable
8
8
5
10
Died
9
...
1
1
Remaining on
31st December
1939
10
4
3
4
Remarks
11
No. III
Mental Hospital at Tezpur for the year 1939
5
Total
M.
262
256
256
F.
27
25
28
T.
289
281
284
6
Discharged,
transferred, etc.
M.
11
19
18
F.
1
2
3
T.
12
21
21
7
Died
M.
6
6
12
F.
2
1
2
T.
8
7
14
8
Remaining on 31st Decem-
ber
M.
245
231
226
F.
24
22
23
T.
269
253
249
9
Daily average strength
M.
239.99
219.25
223.93
F.
20.49
22.49
23.87
T.
260.43
241.74
247.80
exclude observation cases.
10
STATEMENT No. IV
Return showing the religion, sex and residence of patients admitted into the Mental Hospital at Tezpur during
the year 1939 and the provincial totals for the two previous years
1
Districts
Assam
Cachar .. .. ..
Darrang .. .. ..
Goalpara .. .. ..
Kamrup .. .. ..
Lakhimpur .. .. ..
Naga Hills .. .. ..
Nowgong .. .. ..
Sadiya Frontier Tract ..
Sibsagar .. .. ..
Sylhet .. .. .. ..
Total ..
Other provinces
Arrah
..
..
..
Basargunj
..
..
..
Basti .. .. ..
Chaibara
..
..
..
Cuttuck
..
..
..
Dacca
..
..
..
Ganjam
..
..
..
Gorakhpur
..
..
Hazaribagh
..
..
Mayurbhonj
..
..
Mymensingh
..
..
Nepal
..
..
..
Pabna
..
..
..
Raigarh
..
..
..
Ranchi
..
..
..
Sambalpur .. ..
Sonthal Paraganas ..
Unknown .. .. ..
Total .. ..
Total for 1939 ..
Total for 1938 ..
Total for 1937 ..
2
Hindus
Male
3
4
..
3
7
..
2
..
5
8
32
1
1
3
1
1
..
1
1
1
..
..
2
2
1
2
1
1
4
23
55
62
98
Female
..
5
1
..
1
..
1
..
..
1
9
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
2
3
12
11
12
Total
3
9
1
3
8
..
3
...
5
9
41
1
1
3
1
1
..
1
1
1
1
..
2
2
1
2
1
1
6
26
67
73
110
3
Muham-
madans
Male
1
..
..
..
..
..
..
1
..
5
7
..
..
..
..
..
2
..
..
..
..
3
..
..
..
..
..
..
..
5
12
7
21
Female
..
..
..
..
..
..
..
..
1
1
2
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
1
3
3
1
Total
1
..
..
..
..
..
..
1
1
6
9
..
..
..
..
..
2
..
..
..
..
4
..
..
..
..
..
..
..
6
15
10
22
4
Christians
Europeans
and Anglo-
Indians
Male
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Female
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
....
..
..
..
..
..
..
..
..
..
..
..
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Indians
Male
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
2
Female
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
6
2
5
Other castes
Male
..
..
..
..
..
3
..
..
..
..
3
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
3
4
6
Female
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
1
Total
..
..
..
..
..
3
..
..
..
..
3
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
3
6
7
6
Total
Male
4
4
..
3
7
3
2
1
5
13
42
1
1
1
1
1
2
1
1
1
..
3
2
2
1
2
1
1
4
28
70
77
127
Female
..
5
1
..
1
..
1
..
1
2
11
..
..
..
..
..
..
..
..
..
1
1
..
..
..
..
..
..
2
4
15
18
14
Total
4
9
1
3
8
3
3
1
6
15
53
1
1
3
1
1
2
1
1
1
1
4
2
2
1
2
1
1
6
32
85
95
141
Observation cases are excluded from the Statement.
11
STATEMENT No. V
Return showing the ages of patients admitted into the Mental Hospital at Tezpur during the year 1939, and
the provincial totals for the two previous years
1
Name of Mental Hospital
Mental Hospital, Tezpur, 1939
..
Ditto
1938
..
Ditto
1937
..
2
Under 20
Males
3
5
11
Females
1
1
3
Total
4
6
14
3
20 to 40
Males
59
65
98
Females
12
15
10
Total
71
80
108
4
40 to 60
Males
8
7
17
Females
2
2
1
Total
10
9
18
5
Upwards
of 60
Males
..
..
1
Females
..
..
..
Total
..
..
1
6
Total.
Males
70
77
127
Females
15
18
14
Total
85
95
141
The figures in the Statement exclude observation cases.
12
STATEMENT No. VI
Showing the form of mental order in the admissions, discharges, recoveries and deaths during the year ending 31st December 1939
1
Serial
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
2
–––
Mental deficiency .. .. ..
Manic Depressive Insanity .. ..
Mania .. .. .. ..
Melancholia .. .. ..
Schizophrenia including
Dementia
Præcox
Secondary Dementia .. ..
Paranoia and Paranoid State ..
Epilepsy and Epileptic Insanity ..
Toxic Psychosis:—
(a) Acute confusional insanity ..
(b) Alcoholic Psychosis
..
(c) Cannabis Indica Psychosis ..
(d) Of Endocrine Origin .. ..
(e) In relation to child-bearing ..
(f) In relation to other constitu-
tional diseases.
Organic Psychosis: —
(a) General .. .. ..
(b) Cerebral Syphilis .. ..
(c) Arteriopathic and senile Psychosis
(d) Encephalitis .. .. ..
(e) Other cerebral lesions .. ..
Neurosis and Psycho Neurosis ..
No appreciable disease .. ..
Not yet diagnosed (discharged before
certification).
Total .. ..
3
Remaining on the
31st December of
the preceding year
M.
8
104
95
86
179
1
10
35
..
..
50
..
..
..
..
..
..
..
..
..
..
..
568
F.
..
31
38
9
36
1
..
2
1
..
1
..
..
..
..
..
1
..
..
1
..
..
121
T.
8
135
133
95
215
2
10
37
1
..
51
..
..
..
..
..
1
..
..
1
. .
..
689
4
Admissions during
the year
M.
..
20
2
5
46
..
1
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
76
F.
..
6
2
2
9
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
19
T.
..
26
4
7
55
..
1
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
95
5
Total
M.
8
124
97
91
225
1
11
37
..
..
50
. .
..
..
..
..
..
..
..
..
..
..
644
F.
..
37
40
11
45
1
..
2
1
..
1
..
..
..
..
..
1
..
..
1
..
..
140
T.
8
161
137
102
270
2
11
39
1
..
51
..
..
..
..
..
1
..
..
..
..
..
784
6
Discharge
Recoveries
M.
1
13
5
2
27
..
2
3
..
..
..
..
..
..
..
..
..
..
..
..
..
..
53
F.
..
4
2
..
5
..
..
..
. .
..
..
..
..
..
..
..
..
..
..
..
..
..
11
T.
1
17
7
2
32
..
2
3
..
..
..
..
..
..
..
..
..
..
..
..
..
..
64
Otherwise
M.
..
..
..
..
..
..
..
..
..
..
.. .
..
..
..
..
..
..
..
..
..
..
..
..
F.
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
T.
..
. .
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
7
Deaths
M.
..
5
2
3
10
1
..
3
..
..
2
..
..
..
..
. .
. . .
. .
..
. .
..
..
26
F.
..
1
3
1
7
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
12
T.
..
6
5
4
17
1
..
3
..
..
2
..
..
..
..
..
..
..
..
..
..
..
38
8
Remaining
on 31st December
M.
7
106
90
86
188
..
9
31
..
..
48
..
..
..
..
..
..
..
..
..
..
..
565
F.
..
32
35
10
33
1
..
2
1
..
1
..
..
..
..
..
1
..
..
1
..
..
117
T.
7
138
125
96
221
1
9
33
1
.. .
49
..
..
..
..
..
1
..
..
1
..
..
682
9
Remarks
NOTE.—Observation cases are excluded from this statement.
13
STATEMENT No. VII
Statement showing the probable cause of insanity in the patients admitted during the year ending 31st December
1939
1
Mental stress—
Moral
..
..
..
Business worry .. ..
Domestic worry ..
Stress of military service ..
Toxins—
Cannabis Indica .. ..
Alcohol .. .. ..
Other toxins .. ..
Physical .. ..
Opium .. .. ..
Bodily Illness .. ..
Pregnancy .. ..
Childbirth .. ..
Climateric
..
..
Epilepsy .. ..
Head Injuries .. ..
Infections—
Encephalitis Lethargica ..
Influenza .. ..
Syphilis .. ..
Other infections ..
Old age .. ..
Hereditary predisposition ..
Previous attacks .. ..
Unascertained .. ..
Total ..
Predisposing causes
M.
2
..
..
1
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
5
2
..
10
F.
3
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
1
..
7
T.
4
..
..
3
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
9
3
..
17
Exciting causes
M.
5
..
..
1
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
5
..
60
68
F.
6
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
..
8
14
T.
7
..
..
3
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
9
..
68
82
Total
M.
8
..
..
2
..
..
..
..
..
..
..
..
..
..
4
..
..
..
..
..
..
10
2
60
78
F.
9
..
..
4
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
8
1
8
21
T.
10
..
..
6
..
..
..
..
..
..
..
..
..
..
4
..
..
..
..
..
..
18
3
68
99
Remarks
11
In 14 cases
there
were both an excit-
ing and predispos-
ing
cause
thus
accounting
for
a
total of 99 against
85
fresh
admis-
sions.
The figures in the statement exclude observation cases
Annual Report on the Working
of the Ass am Mental Hospital,
Tezpur, for the year
1940
BY
LIEUT.-COLONEL A. M. V. HESTERLOW, M.B., Ch. B. (Edin.), B. Sc., P.H.,
(Edin.), D.T.M. & H. (Edin.), I.M.S.,
ENSPECTOR-GENERAL OF CIVIL HOSPITALS, ASSAM
SHILLONG
PRINTED AT THE ASSAM GOVERNMENT PRESS
1941
Price Re. 1-3 or 1s. 10d.
Annual Report on the Working
of the Assam Mental Hospital,
Tezpur, for the year
1940
BY
LIEUT.-COLONEL A. M. V. HESTERLOW, M.B., Ch. B. (Edin.), B. Sc., P.H.,
(Edin.), D.T.M. & H. (Edin.), I.M.S.,
INSPECTOR-GENERAL OF CIVIL HOSPITALS, ASSAM
SHILLONG
PRINTED AT THE ASSAM GOVERNMENT PRESS
1941
Agents for the Sale of Books published by the Assam Government
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No. 6954.
FROM
LIEUT.-COLONEL A. M. V. HESTERLOW, M. B., Ch. B. (Edin.),
B. Sc., P. H. (Edin.), D.T.M. & H. (Edin.), I.M.S.,
INSPECTOR-GENERAL OF CIVIL HOSPITALS, ASSAM,
To
THE SECRETARY TO THE GOVERNMENT OF ASSAM
IN THE EDUCATION AND LOCAL SELF-GOVERNMENT
DEPARTMENTS.
Dated Shillong, the 11th June 1941.
SIR,
I HAVE the honour to submit my Annual Report on the Working of the Assam
Mental Hospital, Tezpur, for the year 1940.
Introductory.—Dr. Hem Chandra Barua, M. B., A.M.S. (Senior), held charge of the
Provincial Mental Hospital at Tezpur from the beginning of the year till the
forenoon of 8th September 1940 and Khan Sahib Dr. Mokhtar Hussain, A.M.S.
(Senior), from the forenoon of 8th September 1940 till the end of the year.
STAFF AND ESTABLISHMENT
The general staff remained the same as in the previous year.
Deputy Superintendent.—Khan Sahib Dr. Mokhtar Hussain, the Deputy
Superintendent, was promoted to the grade of Assistant Surgeon, on the 16th July
1940, and on the forenoon of the 6th October 1940 he assumed charge as Superin-
tendent of the Hospital.
Statement No. 1.—The number of inmates remaining at the end of the year
1939 was 682 of whom 565 were males and 117 females. During the year under
report 99 (84 males and 15 females) were admitted, including 6 re-admissions
(4 males and 2 females), The total number of patients treated during the year
was, therefore, 781 (649 males and 132 females) as against 784 (644 males and
140 females) in 1939. Of this number, 43 were discharged "Cured", 10 dis-
charged "Improved", 2 discharged "Not improved", 1 discharged "Otherwise ",
38 died and 687 remained at the end of the year. Of the 43 discharged cured,
31 were non-criminal and 12 criminal mental patients.
The following analysis of the 31 non-criminal cases shows the importance of
early treatment:—
Discharged cured within
Ditto
Ditto
Ditto
Ditto
ditto
ditto
ditto
ditto
6
months...
...
1 year...
...
2 years...
...
3 yean...
...
4 years...
...
Total
6
10
12
1
2
31
Of these 31, 1 was under 20 years of age, 27 between 20 to 40 years of age and
3 between 40 to 60 years of age.
2
Analysis of the mental condition of 687 patients at the end of the year
shows that there were 14 criminal mental patients declared sane but not dis-
charged owing to legal disabilities (undergoing probation). There were also
25 criminal mental patients and 35 non-criminals declared to be improving, and
likely to be discharged in due course. There were 613 patients who are classed as
chronic—not likely to improve.
Ten harmless cases were discharged under section 33 of Indian Lunacy
Act, IV of 1912. These together with 2 out of the 17 remaining from the pre-
vious year were taken charge of by their relatives.
The percentage of recoveries calculated on the daily average strength was 6.18
against 6.90 in 1939.
Re-admissions.—There were 6 re-admissions against 10 in the previous year.
The interval between discharge and re-admission varied from ten months and
fifteen days to eight years, nine months and seven days.
Escape.—There was no escape during the year against 2 in 1939.
Daily average strength.—The daily average strength was 694.70 against
694.92 in 1939.
Statement No. II.—The statement deals with observation cases for alleged
lunacy.
There were 4 remaining from 1939, 36 were admitted and 6 re-admitted
during the year. Of these 46, 28 were certified and admitted during the year,
2 certified and released under section 14 of Act, IV of 1912, 11 released as
uncertifiable and 5 remained at the end of the year.
Statement No. III.—This statement deals with criminal mental patients.
On 31st December 1939 there were 269 criminal mental patients, 26 were
admitted and 1 re-admitted during the year.
Of these 296, 22 were discharged and 12 died leaving 262 on 31st December
1940.
The daily average strength was 266.24 against 260.48 in 1939.
The statement below shows the class of criminal mental patients :—
Rule 898 of Assam
Jail Manual,
Volume I
1
Paragraph 3, Under-
trial.
Paragraph 4, Acquit-
ted.
Paragraph 5, Insane
convicts.
Total ..
Remained
on
31-12-39
2
M.
121
71
53
245
F.
13
9
2
24
T.
134
80
55
269
Admitted and
re-admitted
during 1940
3
M.
15
7
3
25
F.
..
2
. .
2
T.
15
9
3
27
Total
admitted
during 1940
4
M.
136
78
56
270
F.
13
11
2
26
T.
149
89
58
296
Discharged
5
M.
12
4
4
20
F.
1
1
..
2
T.
13
5
4
22
Died
6
M.
6
2
3
11
F.
1
..
..
1
T.
7
2
3
12
Remaining
on
31-12-40
7
M.
118
72
49
239
F.
11
10
2
23
T.
129
82
51
262
Applications were made to withdraw the charges for petty offences in 8 cases
under Government Circular No.2-G.J., dated 4th July 1931—General and
Judicial Departments, Judicial Branch. In 7 cases the charges were withdrawn
and the patients were transferred to the category of non-criminal patients.
Statement No. IV—Religion, Sex and Residence.—Out of a total of 93 new
admissions, classified by religion, 68 were Hindus, 18 Muslims, 2 Indian Chris-
tians and 5 of other castes. Of these, 59 were natives of the Province and 34
natives of other provinces of whom 4 were non-domiciled. Of the latter, one
was discharged on security furnished by his father and the cases of the remaining
three were under consideration.
3
Statement No. V—Age.—As usual the majority of the cases on admission
were found to be between 20 to 40 years of age.
Statement No. VI.—The types of insanity among admissions and re-admissions
were as follows :—
Manic Depressive Insanity ... ... ...
Mania
...
...
...
...
...
Melancholia ... ... ...
Schizophrenia including Dementia Præcox ... ...
Epilepsy and Epileptic Insanity ... ... ...
Toxic Psychosis—Cannabis Indica Psychosis ... ...
Total ... ...
26
19
6
43
2
3
99
Statement No. VII—Ætiological Factors.—Predisposing causes were known in
20 cases and exciting causes in 22. Both predisposing and exciting causes were
known in 20 cases.
VITAL
Sickness and Mortality.—The number of admissions to the infirmaries was
400 against 467 in 1939 with a daily average sick rate of 58.54 against 67.13 in
1939.
This excludes cases of Epilepsy, the daily average of which was 37.96 against
37.62 in 1939.
The following comparative statement shows the admissions for the more
prevalent diseases during the past 3 years :—
Diseases.
1
Tuberculosis ... ... ... ... ... ...
Dysentery ... ... ... ... ... ...
Malaria ... ... ... ... ... ...
Diseases of digestive system ... ... ... ...
Influenza
...
...
...
...
...
...
All other diseases ... ... ... ... ... ...
Total ... ... ... ...
1940
2
8
136
118
21
32
85
400
1939
3
13
86
173
28
33
134
467
1938
4
6
132
72
23
53
79
365
The statement below shows the percentage of inmates admitted in good,
indifferent and bad health during the past 3 years :—
Year
1
1940
...
...
...
...
...
...
1939 ... ... ... ... ... ...
1938
...
...
...
...
...
...
Good health
2
31.31
31.59
38.68
Bad health
3
46.47
46.31
24.53
Indifferent
health
4
22.22
22.10
36.79
MORTALITY
There were 38 deaths during the year under review against 38 in 1939.
The chief causes of deaths were Dysentery and Tuberculosis which together
accounted for 31 out of a total of 38 deaths.
Dysentery.—This accounted for 24 deaths out of 136 attacks against 17 deaths
out of 86 attacks in 1939 and 32 deaths out of 132 attacks in 1938, i.e., there was
a case mortality of 17 per cent.—1940, 19 per cent.—1939, 24 per cent.—1938.
This shows a considerable improvement in the general health conditions over this
period.