3
(c) The statement below shows the percentage of inmates admitted in good,
indifferent and bad health during the past 3 years:—
Year
1
1936
1935
1934
Good health
2
39.84
34.88
37.19
Indifferent health
3
29.27
33.72
27.44
Bad health
4
30.89
31.39
35.37
Remarks.
5
MORTALITY
(d) There were 42 deaths during the year under review against 91 in 1935.
The chief causes of deaths were Dysentery and Tuberculosis which together
accounted for 32 out of a total of 42 deaths.
Dysentery accounted for the death of 14 cases. There were 50 cases of
dysentery in the year under report against 98 cases in 1935.
Attacks from dysentery rendered patients more susceptible to other infections.
Water-supply of the Hospital is both inadequate and unsatisfactory. As a result of
an enquiry made into the causes of high mortality as mentioned in last year's
report, it was found that the defective water-supply was largely responsible for it.
The desirability of very early action in providing an adequate and satisfactory
water supply was stressed in the report.
Out of 18 cases who died of Tuberculosis, 10 cases were detected suffering
from Tuberculosis within 7 months to about 2 years of their admissions to the
Mental Hospital. It is suspected that they brought the infection with them and
some of them suffered from chronic dysentery which had a devitalising effect on
their systems and they fell an easy prey to this disease.
At present the only arrangement for disinfecting the clothing and bedding of
patients is by a blanket boiler. It is a laborious method and not at all satisfactory.
For the thorough disinfection of clothing and bedding for such a large number of
patients, a steam sterilizer is an essential necessity. When the water-supply is
increased it will be possible to keep the wards and patients clean, and if a steam
disinfector is provided for effective disinfection of all clothing and bedding the
case incidence and mortality from these two diseases, viz., Dysentery and Tubercu-
losis will decrease to a very appreciable extent. A project amounting to
Rs. 15,000 for the provision of an improved water supply has been included in the
list of new schemes submitted to Government in the budget for 1937-38.
INJURIES AND ACCIDENTS
There were no assaults or injuries worthy of note except a case of suicide by
a female non-criminal mental patient and another case of assault on a non-crimi-
nal mental patient by another patient. In the latter case although the assaulted
patient died the postmortem examination revealed that the death was due to
Pneumonia—hypostatic pneumonia due to the patient lying in an unconscious state
for 6 days.
FINANCE
Statement No. VIII.
14. (a) Excluding the receipts from paying patients and miscellaneous receipts
which are credited to Government the total expendi-
ture for the up-keep of the Mental Hospital amounted
to Rs. 1,21,553-4-0 against Rs. 1,15,872-1-6 in 1935. The average cost per head
was Rs. 177-14-0 against Rs. 171-0-6 in 1935. The increase in the total expendi-
ture was due to more expenditure under Establishment proper, Diet, and Public
Works Department charges.
The total expenditure for the up-keep, therefore, of the Mental Hospital for
the year 1936, excluding Rs. 1,412-0-0 for abnormal Public Works Department
original charges, amounted to Rs. 1,20,141-4-0 against Rs. 1,14,286-1-6 or an
average cost, per head, of Rs. 175-12-11 against Rs. 168-11-1 in 1935.