3
(c) The statement below shows the percentage of inmates admitted in good,
indifferent and bad health during the past three years :—
Year.
1
1933 ... ...
1932
... ...
1931
... ...
Good health.
2
7.23
27.89
47.06
Indifferent health.
3
54.22
51.02
31.61
Bad health.
4
38.55
21.08
21.32
Remarks.
5
MORTALITY.
(d) There were 22 deaths during the year under review against 52 in 1932.
This gives a death-rate of 3.39 on the daily average strength against 8.53 in 1932
which is very satisfactory.
The chief causes of death were Dysentery and Tuberculosis, the former disease
being responsible for 4 deaths and the latter accounting for 10.
Encouraging results were obtained by the use of prophylactic Dysentery Bili-
vaccine, which was administered to all the inmates.
Special accommodation is available for patients suffering from Tuberculosis, so
that complete segregation can be effected.
Periodic examinations of inmates are carried out in order to trace evidence of
the disease in its early stages with a view to segregation and early treatment.
Injuries and accidents.
Two female patients suffered from fractures during the year as a result of
falls during epileptic seizure and acute mental aliena-
tion. One female patient caused injury to her head
as a result of a fall during an epileptic convulsion and died a couple of months later
from softening of the brain.
FINANCE .
Statement Nos. VIII, IX and X.
14. (a) Excluding 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. 1,15,575-12-9, against Rs. 1,11,691 1-0 in 1932. The average cost per head
was Rs. 177-8-9, against Rs. 183-3-11 in 1932.
The apparent increase in the total expenditure was due to increase in the
number of patients.
The decrease in the average cost was due to fall in prices of dietary and other
miscellaneous articles.
The total expenditure for the up-keep of the Institution for the year 1933,
excluding Rs. 704-0-0 for abnormal Public Works Department original works,
amounted to Rs. 1,14,871-12-9, against Rs. 1,09,968-1-0 or an average cost per head
of Rs. 176 7-6, against Rs. 180-6-9 in 1932.
Excluding Public Works Department charges, repairs and maintenance
charges, rates and taxes, receipts from paying patients and profits on manufacture,
the average cost per inmate worked out at Rs. 150-14-10 against Rs. 154-7-9 in
1932.
(b) The profit in the Manufactory Department was Rs. 4,675-12-8, against
Rs. 6,636-15-9, or an average of Rs. 127-14-6 per head of inmates employed on
manufactures against Rs. 95-9-0, in 1932.
The fall in profit is said to be due to the fall in market value of manufactured
goods, and to the reduced number of inmates in good health available for garden work
and employment in the Manufactory Department. My impression is that the
Medical Superintendent was over-zealous in his anxiety not to classify new admis-
sions as in good health, as his figures for the year only show 7.23 admitted in good
health against 27.89 in 1932 and 47.06 in 1931. This placed him at a disadvantage
when selecting inmates for employment. My contention is that a great many of the
inmates classified as being in indifferent health were really in sufficiently good health
to be reasonably employed on various works—especially open air gardening. I hope
the profit during the current year will be more than doubled.