NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
xxv
No. VIII.
LUNATIC ASYLUM, LAHORE, FOR THE YEAR 1923 AND TWO
YEARS.
CEIPTS.
Total.
7
Rs.
2,66,229
2,69,016
6,40,992
A.
11
12
15
P.
5
9
3
CHARGES.
Establishment.
Establishment
proper.
8
Rs.
57,438
66,941
67,723
A.
8
2
3
P.
1
6
0
Superinten-
dence.
9
Rs.
13,111
16,609
27,012
A.
7
4
4
P.
2
7
0
Diet.
10
Rs.
1,27,792
1,27,324
1,10,183
A.
3
6
7
P.
3
9
0
Clothing and
bedding.
11
Rs.
24,892
18,137
20,463
A.
1
14
13
P.
0
9
4
Bazar
medicines.
12
Rs.
390
113
429
A.
8
2
9
P.
9
9
11
concluded.
Total of col-
umns 8—17.
18
Rs.
2,56,534
2,54,986
2,56,178
A.
12
8
12
P.
8
9
3
Book Charges.
Charges on
account of work
done by the
Public Works
Department.
19
Rs.
7,024
12,511
3,82,977
A.
0
0
0
P.
0
0
0
Cost of prin-
ted forms and
stationery.
20
Rs.
77
72
47
A.
3
7
3
P.
9
11
8
Cost of English
stores, medi-
cines, etc,
21
Rs.
2,693
1,446
1,789
A.
11
12
15
P.
0
1
4
Total of col-
umns 18—21.
22
Rs.
2,66,229
2,69,016
6,40,992
A.
11
12
15
P.
5
9
3
REMARKS.
23
entered at market rates.
xxvi
STATEMENT No. IX.
SHOWING THE SANCTIONED ESTABLISHMENT OF THE
PUNJAB LUNATIC ASYLUM AS IT STOOD ON THE
31ST DECEMBER 1923.
1
Establishment.
Superintendent ... ... ... ...
Deputy Superintendent ... ... ...
Assistant Deputy Superintendent ... ...
Head Clerk ... ... ... ...
Second Clerk ... ... ... ...
Moharrir ... ... ... ...
Sub-Assistant Surgeons ... ... ...
European Warder
...
...
...
...
Matron ... ... ... ...
Assistant Matrons ... ... ... ...
Superior Warders ... ... ... ...
Head Attendant ... ... ... ...
Deputy Head Attendants ... ... ...
Attendants
...
...
...
...
Gate keeper ... ... ... ...
Sanitary keeper ... ... ... ...
Dhobi
...
...
...
...
Chaprasi
...
...
...
...
Probationers ... ... ... ...
Male Attendants
...
...
...
...
Female attendant
...
...
...
...
Cook ... ... ... ...
Malis ... ... ... ...
Head Sweeper ... ... ... ...
Sweepers
...
...
...
...
2
Number.
1
1
1
1
1
1
2
1
1
3
2
1
2
90
1
1
1
1
15
2
1
1
2
1
27
3
Monthly wages.
Rs.
1,300
475
400
120
35
51
280
200
205
420
118
51
79
2,564
21
19
25
15
375
50
19
21
42
14
351
A.
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
P.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Daily average number of males including under observation cases ...
Daily average number of females
ditto
...
...
711.37
189.66
Proportion of ...
Jamadars to males ... ... ... ...
Jamadarnis to females ... ... ... ...
Male keepers to males
...
...
...
...
Female keepers to females ... ... ... ...
142.27
189.66
7.49
21.07
STATEMENT No. X
SHOWING RECEIPTS AND EXPENDITURE ON ACCOUNT
OF MANUFACTURES IN THE PUNJAB LUNATIC
ASYLUM, LAHORE, DURING THE YEAR 1923
AND TWO PREVIOUS YEARS.
xxviii
STATEMENT
SHOWING RECEIPTS AND EXPENDITURE ON ACCOUNT
LAHORE, DURING THE YEAR 1923
YEAR.
1
1921 ...
1922 ...
1923 ...
MEAN POPULATION.
Males.
2
705.55
683.39
711.37
Females.
3
161.92
184.30
189.66
Total.
4
867.47
867.69
901.03
CRE
Cash paid into Treasury for
articles sold.
5
Rs.
1,240
875
1,238
A.
7
10
0
P.
3
3
0
Value of manufactured goods
made over to Asylum for
Asylum purposes.
6
Rs.
22,636
23,971
22.490
A.
12
13
11
P.
3
4
0
YEAR.
1
1921 ...
1922 ...
1923 ...
DEBITS—concld.
Value of plant and machinery
in store on 1st January.
13
Rs.
651
651
651
A.
12
12
12
P.
0
0
0
Raw material
purchased.
14
Rs.
11,301
6,973
4,843
A.
0
11
3
P.
6
7
11
Contingencies
of manu-
facture.
15
Rs.
251
415
303
A.
3
1
6
P.
7
10
11
All other
charges.
16
Rs. A. P.
...
...
...
Total Debits.
17
Rs.
13,087
8,611
6,713
A.
1
4
13
P.
1
5
4
NOTE (1).—The average number of inmates employed during the year on
(2).—The " value " of materials, stores,
xxix
No. X.
OF MANUFACTURES IN THE PUNJAB LUNATIC ASYLUM,
AND TWO PREVIOUS YEARS.
DITS.
Value of raw material in
store at the end of the year.
7
Rs.
570
915
1,157
A.
11
6
3
P.
0
6
8
Value of
manufactured
goods in store at the end of
the year.
8
Rs. A. P.
...
...
...
Value of plant and machi-
nery in store at the end
of the year.
9
Rs.
651
651
702
A.
12
12
12
P.
0
0
0
Total credits.
10
Rs.
25,099
26,414
25,588
A.
10
10
10
P.
6
1
8
DEBITS.
Value of
manufactured
goods in store on 1st
January.
11
Rs. A. P.
...
...
...
Value of raw material in
score on 1st January.
12
Rs.
883
570
915
A.
1
11
6
P.
0
0
6
RESULTS.
Excess of credits or
profits.
18
Rs.
12,012
17,803
18,874
A.
9
5
13
P.
5
8
4
Excess of
debits or
loss.
19
Rs. A. P.
...
...
...
REMARKS.
Average number of lunatics employed on manufactures.
20
Males.
165 85
163.33
178.73
Females.
10.16
10.00
10.00
Total.
176.01
173.33
188.73
manufactures may be stated in the column for Remarks or in a footnote.
&c., must be entered at market rates.
PRINTED BY THE
SUPERINTENDENT, GOVERNMENT PRINTING, PUNJAB.
87 IGCH—222—14-4-24—SGPP Lahore.
REPORT
ON THE WORKING OF THE
PUNJAB MENTAL HOSPITAL,
LAHORE.
For the year 1924.
Lahore:
Printed by the Superintendent, Government Printing Punjab,
1925.
Price : Re. 1-4 or 1s. 8d.
REPORT
ON THE WORKING OF THE
PUNJAB MENTAL HOSPITAL,
LAHORE.
For the year 1924.
Lahore:
Printed by the Superintendent, Government Printing Punjab,
1925.
Revised List of Agents for the sale of Punjab Government Publications.
IN THE UNITED KINGDOM.
CONSTABLE & Co., 10, Orange Street,
Leicester Square, London, W. C.
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Limited, 68-74, Carter Lane, E. C., &
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Terrace, London, W. C.
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Street, Westminster, London, S. W.
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Pall Mall, London.
GRINDLAY & Co., 54, Parliament Street,
London, S. W.
W. THACKER & Co.. 2, Creed Lane,
London, E. C.
LUZAC & Co., 46, Great Russell Street,
London, W. C.
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Street, Oxford.
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ON THE CONTINENT.
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Paris, France.
MARTINUS NIJHOFF,
The Hague
Holland.
OTTO HARRASOWITZ, Leipzig.
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IN INDIA.
MANAGER, Civil and Military Gazette
Press, Lahore.
RAI SAHIB M. GULAB SINGH & SONS,
Mufid-i-'Am Press, Lahore.
RAMA KRISHNA & SONS, Booksellers an
News Agents, Anarkali Street, Lahore
MANAGER. Punjab Law Book Depôt
Anarkali Street, Lahore.
SECRETARY, Punjab Religions Book
Society, Anarkali Street, Lahore.
MANAGER, Roze Bazar Steam Press
Amritsar.
The MANAGER, Imperial Book Depôt.
Delhi.
THACKER, SPINK & Co., Simla.
THACKER, SPINK & Co., Calcutta
W. NEWMAN & Co., Limited. Calcutta.
D. B. TARAPOREVALA, SONS & Co.
Bombay.
HIGGINBOTHAMS, Limited, Madras,
No. 14187 (H.—Medl.).
FROM
J. G. BEAZLEY, ESQ., I.C.S.,
Secretary to Government, Punjab,
Transferred Departments,
To
THE SECRETARY TO THE GOVERNMENT
OF INDIA, HOME DEPARTMENT.
Dated Lahore, the 6th June 1925.
Home.
Medical
SUBJECT :—Statistical tables of the Punjab Mental Hospital
Lahore, for the year 1924.
SIR,
I AM directed to forward, for the information of the Govern-
ment of India, the statistical tables of the Punjab Mental
Hospital, Lahore, for the year 1924, together with a note
thereon by the Inspector-General of Civil Hospitals, Punjab,
and to convey the following remarks of the Punjab Government
(Ministry of Education).
2. The daily average population of the Mental Hospital in
1924 was 24.26 less than in the previous year, the decrease of
about 3 per cent., being attributed to the fact that the charge
for maintenance of patients was raised at the beginning of the year
from Rs. 16 to Rs 20. This conclusion is borne out by the figures
as to receipts from paying patients which, even allowing for
arrears not yet collected, did not increase to anything approxi-
mating the rate of increase in the fees. Even with this decrease
the daily average population was in excess of the capacity of the
hospital, and at times the overcrowding was excessive. The
Inspector-General of Civil Hospitals observes that the completion
of the new criminal section with accommodation for 200 patients
will relieve the congestion in the male hospital, but that this
section has not yet been occupied as Government sanction has
not yet been received for the extra staff that will be necessary.
Such sanction has, however, not yet been applied for, and the
Inspector-General is being instructed to expedite the necessary
proposals. Other improvements in the accommodation for
patients and staff have been held up owing to the necessity for
economy in recent years, but it is hoped that most of the
deficiencies will be remedied in the current year.
2
3. The increase in the number of cases discharged as
cured,—a number amounting to about 16 per cent. of the daily
average population,—is a most satisfactory feature of the year's
report, and in view of the results obtained the slight financial
loss due to the freer employment of patients in open air occupa-
tions may be disregarded.
4. The death rate was higher than in the previous year,
amounting to 11.31 per cent. of the daily average population.
This, however, is equal to a rate of only 12.8 per mille as
compared with the general provincial rate of 43.4 per mille, and,
considering the peculiar nature of the population concerned, the
figures bear eloquent testimony to the care with which the
inmates of the institution are looked after.
5. The expenditure per head of the daily average popula-
tion, excluding expenditure on work done by the Public Works
Department, amounted to Rs. 294 as compared with Rs. 287
in the previous year. In the United Provinces the correspond-
ing figure is only Rs. 175, charges on account of diet being
Rs. 30,000 less than in this province, although the daily average
population of the mental hospitals of the United Provinces was
1,287 or nearly 50 per cent. greater : similarly the charges for
establishment proper excluding superintendence were Rs. 11,000
less than in the Punjab and for contingencies Rs. 12,000
less. The Punjab Government (Ministry of Education) have
for sometime been inclined to consider that the expenditure
on the mental hospital has been unduly large in view of the
many demands in other directions which have remained unmet
for want of funds, and, though financial conditions are now
more favourable, the figures quoted above indicate that there
is some justification for this view and the question is now
under examination.
6. The thanks of the Punjab Government (Ministry of
Education) are due to Captain C. J. Lodge Patch, I.M.S., who
was in charge as Medical Superintendent throughout the year,
for the zeal and efficiency with which he has discharged his
duties, ably assisted by Dr. Thomas, the Deputy Medical
Superintendent. The Revd. Mother Superior and the Franciscan
Sisters have continued to discharge their voluntary duties of
looking after the female patients in the hospital with the same
self-sacrifice as in previous years.
I have the honour to be,
SIR,
Your most obedient servant,
J. G. BEAZLEY,
Secretary to Government, Punjab,
Transferred Departments.
1410 CS—180—14-12-25—SGPP Lahore.
Note on the Statistical Tables of the Punjab Mental Hospital,
Lahore, for the year 1924.
Statement I.—Ad-
missions, discharges,
etc.
Population.— The total number of patients treated during
the year is 1,193 as compared with 1,197 in 1923
and 1,168 in 1922. The daily average popula-
tion for the last three years is 867.17, 899.53
and 875.27. The slight drop in 1924 can be attributed to the
fact that the rate of maintenance of patients was raised with
effect from 1st January 1924 from Rs. 16 to Rs. 20 per mensem
as the hospital was previously being run at a loss. The increase
has, however, deterred a certain number of individuals from
admitting their insane relatives and some of the patients have
been removed for the same reason.
The total discharges from the Institution for the last three
years have been 230, 234 and 232. There has been a marked
increase in the number of cases discharged cured in 1924 over
the two preceding years, viz., 113, 123 and 144. The percentage
of cures to daily average strength for these years is 13.03, 13.67
and 16.45. The high rate of cure obtained in 1924 is very satis-
factory, especially since the number of patients admitted for
insanity due to Canabis Indica has been below the average, and
such cases are the most hopeful as far as their ultimate recovery
is concerned. In 1924, only 46 cases of this form of insanity
were admitted, whereas the average for the preceding three years
is 57.
The death rate is somewhat higher than it has been for the
last three years and amounts to 11.31 per cent of the daily
average strength.
The average percentage for the last 20 years is 11.36.
Sickness
and
Mortality.
2. The daily average sick amounts to 52.17 as compared
with 51.83 and 40.61 for the two preceding years.
The most common type of physical illness is
Diarrhœa and Dysentery which account for 179
cases with 34 deaths Pneumonia as usual took a heavy toll
of patients. There were 34 cases with 20 deaths. Forty cases
of T. B. of the lung were treated in the course of the year
with 13 deaths. The incidence of cases of malaria which
required hospital treatment was very slight, amounting to 24
cases with 2 deaths.
2
3. There has been an epidemic of Plague and Cholera in
Lahore and one case of each of these diseases occurred in the
attendants' quarters of this Institution. By prompt measures
which included the inoculation of all the staff and patients, isola
tion of contacts, etc., the disease was, in each instance, limited
to that single case. No patients and no member of the staff was
affected either by Cholera or Plague.
There was also the possibility of an epidemic of Rinder-
pest among the cattle. One of the hospital bulls was found to
be suffering from this disease and it is surprising that others
were not infected, considering the extremely bad arrangements
which exist for housing the cattle. However, it is satisfactory
to note that energetic sanitary precautions prevented the spread
of this disease.
Statement II.—
Criminal Patients.
4. The total number of criminal patients treated in 1922,
1923 and 1924, respectively, were 198, 193 and
187, and the daily average strength for t hese
three years was 160.11, 158.25 and 152.56. It
will be noted that there has been a decrease in the number of
criminal patients due to the fact that a certain number of insane
criminals who were detained in the hospital for trivial offeness
have been transferred to the non-criminal class.
Accommodation.
5. A new criminal section with accommodation for 200
patients has been completed but has not yet
been occupied as Government sanction has not
yet been received for an increase in the staff which is considered
necessary. This section will relieve the congestion that has
been experienced for many years in the male hospital. There is
still, however, much overcrowding in the female section. But
it is hoped that as funds have been provided for the extension
of the Female Section, the congestion will be relieved during
the current year.
A new cattle shed is required to provide accommodation
for cattle belonging to the Institution and to the milk contrac-
tor, which are at present very inadequately housed.
Another direction in which lack of accommodation is badly
felt is in the quarters provided tor the hospital staff. The
number of attendants, nurses and sweepers has been greatly
augmented in recent years and will have to be still further in-
creased in the near future, but the quarters for the staff have
remained the same for the last 15 years.
3
Improvements in
Water supply and
Sanitation.
6. For many years past there have been frequent com-
plaints about the scarcity of water, particularly
in hot weather. During the last year, however,
this has been completely and permanently re-
lieved. One of the old wells has been converted into a tube well
and an electric motor has been installed which enables water to
be pumped into tanks which have been fitted on the roof of
the hospital section. This provides a sufficient head of water
to enable those sections of the hospital, where the scarcity of
water was greatest, to receive an ample supply.
The drainage system of the male hospital has been com-
pletely overhauled. Dis posal of sullage was formerly effected
by an unsanitary sump and jhalar. These have been re-
placed by cement plastered brick-work tanks and a duplicate
set of electric motors. There was some difficulty in obtaining
electric power at first, but this was overcome by the temporary
installation of an oil engine and centrifugal pump. The drain-
age of several of the sections of the male hospital has been com-
pletely overhauled and connected up with the new disposal
work referred to above, and plans have been prepared for con-
necting up the rest of the male hospital and the whole of the
female hospital with the new system
The victim of death by violence was sleeping in
barrack with about 20 other patients. A patient who slept
beside him and who had never previously shown signs of being
dangerous or aggressive suddenly awoke and sprang upon the
sleeping Amir Ali's chest. The patient died instantaneously,
and at the post-mortem examination, it was discovered that the
external marks of injury were very slight but that the cause
of death was rupture of the heart.
2
3. There has been an epidemic of Plague and Cholera in
Lahore and one case of each of these diseases occurred in the
attendants' quarters of this Institution. By prompt measures
which included the inoculation of all the staff and patients, isola
tion of contacts, etc., the disease was, in each instance, limite
to that single case. No patients and no member of the staff was
affected either by Cholera or Plague.
There was also the possibility of an epidemic of Rinder
pest among the cattle. One of the hospital bulls was found to
be suffering from this disease and it is surprising that other
were not infected, considering the extremely bad arrangement
which exist for housing the cattle. However, it is satisfactory
to note that energetic sanitary precautions prevented the spread
of this disease.
Statement II.—
Criminal Patients.
4. The total number of criminal patients treated in 1922
1923 and 1924, respectively, were 198, 193 and
187, and the daily average strength for these
three years was 160.11, 158.25 and 152.56. It
will be noted that there has been a decrease in the number of
criminal patients due to the fact that a certain number of insane
criminals who were detained in the hospital for trivial offeness
Erratum.
In fourth line of paragraph 5 of the note on the statistical tables
of the Punjab Mental Hospital, Lahore, for the year 1924, for " received
for an " substitute " applied for to the ".
LAHORE :
G. TATE, LT.-COL., I.M.S.,
Offg. Inspector-General of
The 27th May 1925.
Civil Hospitals, Punjab.
22 IGCH—181—l-6-25—SGPP Lahore.
Another direction in which lack of accommodation is badl y
felt is in the quarters provided for the hospital staff. The
number of attendants, nurses and sweepers has been greatly
augmented in recent years and will have to be still further in-
creased in the near future, but the quarters for the staff have
remained the same for the last 15 years.
3
Improvements in
Water supply and
Sanitation.
6. For many years past there have been frequent com-
plaints about the scarcity of water, particularly
in hot weather. During the last year, however,
this has been completely and permanently re-
lieved. One of the old wells has been converted into a tube well
and an electric motor has been installed which enables water to
be pumped into tanks which have been fitted on the roof of
the hospital section. This provides a sufficient head of water
to enable those sections of the hospital, where the scarcity of
water was greatest, to receive an ample supply.
The drainage system of the male hospital has been com-
pletely overhauled. Disposal of sullage was formerly effected
by an unsanitary sump and jhalar. These have been re-
placed by cement plastered brick-work tanks and a duplicate
set of electric motors. There was some difficulty in obtaining
electric power at first, but this was overcome by the temporary
installation of an oil engine and centrifugal pump. The drain-
age of several of the sections of the male hospital has been com-
pletely overhauled and connected up with the new disposal
work referred to above, and plans have been prepared for con-
necting up the rest of the male hospital and the whole of the
female hospital with the new system.
Suicides,
acci-
dents and death by
violence.
7. During 1924, there were two suicides and one death
by vielence. Both the cases of suicide were
effected by the patients suspending one loop of
their jangia (drawers) over the top of a door and
inserting their neck through the other loop.
One of the cases was due entirely to the gross negligence of
the attendant. This patiert was extremely depressed and had
attempted to commit suicide in various ways on 3 or 4 previous
occasions. He was placed in the suicidal ward and the attend-
ant on duty had received orders that he was on no account to
leave the ward for a single moment. He failed to carry out
these orders and during his temporary absence, the patient
succeeded in hanging himself. The other case was not regarded
as suicidal and no special surveillance was placed upon him.
The victim of death by violence was sleeping in an open
barrack with about 20 other patients . A patient who slept
beside him and who had never previously shown signs of being
dangerous or aggressive suddenly awoke and sprang upon the
sleeping Amir Ali's chest. The patient died instantaneously,
and at the post-mortem examination, it was discovered that the
external marks of injury were very slight but that the cause
of death was rupture of the heart.
4.
Statement VI.—
Types of insanity.
8. The type of insanity which predominates amongst the
patients treated in this hospital is Secondary or
Terminal Dementia. This is only to be expect-
ed in a hospital which has been running for 25
years. This kind of insanity represents the terminal stage of
the great majority of the more acute forms of mental illness
and includes 349 of the total patients under treatment. Among
the other cases treated, 191 suffered from Mania (other forms),
127 from Dementia Præcox, 87 from Canabis Indica and its
derivatives, 77 from Circular Insanity and 76 from Melancholia
(other forms).
Statement VIII.—
Cash Account.
9. The amount credited in to the Treasury is Rs. 11,842-13-7
as compared with Rs. 10,961-3 4 and Rs. 8,392 3-1
in 1923 and 1922. This shows a decided increase
in the amounts received from private paying
patients and proceeds of sales of manufactured articles. In
addition to this profit there is a sum of Rs. 2,000 still outstand-
ing on behalf of private paying patients.
Statement X. ––
Manufactures.
10 . The profits resulting from manufactures and the
hospital garden are Rs. 16, 57-7-9 as compared
with Rs. 18,874-13-4 and Rs. 17,803-5-8 for 1923
and 1922. This shows a slight drop which is ac-
counted for by the fact that a larger proportion of the working
patients are now employed in the gardens. It is an advantage
for patients to be employed in open air occupations and the
consequence is that a greater number of cures has been effected
by this form of occupational therapy. The actual profits
received from the gardens are greatly in excess of the amounts
received from the garden produce in previous years, but
garden produce does not show the same large profits that accrue
from occupations such as weaving, mat making, etc.
Acknowledgments.
11. My acknowledgments are due to Captain C. J. Lodge-
Patch, I.M.S., the Medical Superintendent, who
discharged his onerous duties with marked zeal
and ability throughout the year. He was ably assisted by Dr.
Thomas, the Deputy Medical Superintendent and other members
of the hospital staff. Lala Ram Saran Das, Head Clerk, also
performed his duties to the satisfaction of the Medical Superin-
tendent.
The Rev. Mother Simon and the Franciscan Sisters dis-
charged their trying and arduous duties with their usual zeal.
LAHORE: C. R. BAKHLE , COLONEL , I.M.S.,
The 2nd April
1925.
Inspector General of Civil Hospitals, Punjab.