5
The increase in profit was due to higher prices of the articles and to increased productions.
The daily average number employed was 38.32 against 40.00 in the previous year.
Paragraph 5.—The principal item of expenditure was the cost of "diet" which amounted to
Rs. 1,30,863-1-6 against Rs. 1,31,575-10-3 in the previous year. The average cost per capita was Rs. 221-5-2
against Rs. 211-10-0 in the previous year. The increase was due to prevailing high prices of dietary
articles.
The daily average number of patients including observation cases, during the year was 591.27 against
621.73 in the previous year.
MISCELLANEOUS
Employments of patients.—Mental patients are employed in cultivation of Vegetables, sugar-
cane, Jute, Manufacture of gur, Fencing of Garden, Bamboo works, Carpentry, tailoring daily routine of
clearing and disinfecting of clothing and cooking of food, etc.
Female patients are employed on paddy husking, preparation of spices, mending of clothes and other
house-hold works.
Weaving is done by female patients —The Hospital (Female Section) is self-supporting to some extent
in the matter of cotton clothing. In this connection it is emphasised that the post of a skilled occupational
therapist is absolutely necessary for an Institution of this type and size, as the patients are to be employed
in a variety of employments in order to lessen the drudgery and boredom and the progress carefully
watched and noted. Besides, as the better class patients loathe to work in farm and soil, with help of a
skilled instructor they may be trained in some handicrafts as is done by the occupational therapist in the
Ranchi European Mental Hospital. The proposal for appointment of occupational therapist is under
consideration.
Treatment—Mental.—As previously noted occupational-therapy continues to occupy its exalted position.
Maniacal outburst and insomnia are treated with Hypnotics Hydrotherapy could not be continued for
want of a Salamander which is unserviceable and could not be repaired or replaced, for want of materials
due to war. Installation of a small boiler is absolutely necessary near the infirmaries in both the male
and female section to carry on the treatment.
A case of General Paralysis of the Insane was treated by induced Malaria Therapy.
1. As noted in the previous years.
(1) The inmates were periodically treated with vermifuges and vermicides.
(2) Skin diseases and cases of pyorrhoea Alveolaris were regularly attended to.
(3) New admissions were vaccinated against Small-pox, innoculated with Cholera vaccine as a
prophylatic measure, and their blood sera were sent to the Pasteur Institute, Shillong for Wasser-
test. Positive cases were treated with anti-syphilitic drugs.
Full advantages is taken of the Laboratory examinations at the Pasteur Institute, Shillong. During
the year under review, the following specimens were sent for the examination :—
1.
2.
3.
4.
5.
Blood Sera for Wasserman test ... ... ... ... ... ...
„
„
„
Widal,
...
...
...
...
...
...
Cerebro-Spinal fluid and Wasserman ... ... ... ... ... ...
and Langes collodal gold test.
C. S. Fluid for W. R. test ... ... ... ... ... ...
Urine for Culture ... ... ... ... ... ...
77
1
1
1
2
Routine clinical Laboratory work is carried out here satisfactorily. The following specimens were
examined here :—
1.
2.
3.
4.
5.
6.
7.
8.
9.
Blood
...
...
...
... ... ... ...
Sputum
... ... ... ... ... ... ...
Stool
...
...
...
...
... ... ...
Urine
...
...
...
...
...
...
...
Blood for F. G. test ... ... ... ... ... ...
Prostatic smear for Gonococci ... ... ... ...
Scrapings from skin for L. D. Bodies. ... ... ... ...
Discharge from eye for Gonococci ... ... ... ...
Pus from pleural Cavity for Pneumococci ... ... ...
234
21
1,136
38
4
2
1
1
1
Epilepsy.—Treated with adequate doses of Bromide and Luminal.
Treatment of physical conditions has been up-to-date.
Patients are encouraged to engage themselves in flower gardening seasonally and some of them take
keen interest in it.
Garden.—The vegetable garden of the Hospital which is entirely run by the patients' labour continues
to do well yielding some profit and useful addition to the dietary. A supervisor is necessary for better
management of the extensive vegetable and sugarcane cultivation.
Accommodation.—The capacity of the hospital was 716 during the year. There was no overcrowding.
The maximum number confined on any one night during the year under review was 635.
Conservancy.—-Night soil is trenched in a selected site of the Garden Land and infected stool is
incinerated outside the enclosure.
Water Supply.—As noted in all previous Annual Reports it is still very insufficient and inadequate
and it has become a matter of hardy annual for the Superintendent to deplore the state of affairs year
after year on this subject. Much ink has been spilled on this subject but to no purpose. The Municipality
though it realised a big amount as consolidated taxes, from this Institution, is not alive to the urgency of
this problem of supplying water to this hospital. Recently six tube wells have been sunk in the hospital but
they are not in working order as yet and have not been fitted with proper pumps. Although a big amount
has been spent over this project, it is not likely to solve the much vexed problem of water supply of this
Hospital.
The Chief Engineer's attention has been drawn to this matter.
Disinfection.—It is also in a very unsatisfactory state. The old crude method of disinfection by boiling
till continues. The Government have sanctioned Rs.25,504 for steam disinfector and some parts of the
disinfection plant have arrived. When the installation of this plant is completed, the much needed disinfec-
tion of the clothings and beddings of the patients will be carried out.
Electric Installation.—Electrification of the different wards and dormitories and also the compound of the
Hospital is also a necessary along with the installation of a refrigerator radio set, etc. Electric installation will
also be helpful in introducing the modern Electric Shock therapy in this hospital. Plants and Estimates for
this purpose are being put up to Government.