5
COLA'BA ASYLUM.
Superintendent.—SURGEON-MAJOR W. NOLAN, M.D.
Charge of the Asylum was held by Surgeon-Major Niven up to the 6th March, from
that date to the 13th May by Surgeon Patterson, from that time Surgeon-Major Nolan has
held charge. Accommodation is provided for 300 patients but the daily average population
was 313.8; the highest number on any one day was 342, the lowest 295. Extensive repairs
are being made to the roofs of the centre block, of the eastern and western wings, to the
solitary cells and to the bungalow outside the walls. The water-supply from the Tulsi
main has been ample. The general health of the inmates has been good throughout the
year. On the 1st January there were 325 patients in the Asylum, of whom 269 were males
and 56 females. There were 158 admissions, of these 61 were Europeans and Eurasians, 54
males and 7 females—97 were Natives, 89 males and 8 females. Two females were
re-admitted. The number discharged was 142—135 males and 7 females. The recoveries
were 7.6 per cent. on the admission. The death 8.2 per cent. on the average daily
population. Of the admissions 97 or 61.4 per cent. were Europeans; 27 or 17 per cent.
Hindus; 18 or 11.4 per cent. Mahomedans; 8 or 5.1 Eurasian and Native Christians; and 8
or 5.1 Pársis. Of the daily average strength 39.4 were Europeans and 274.4 were Natives.
Of the 97 Europeans admitted 84 were soldiers. There were 63 criminal lunatics confined
during the year, of these 3 were discharged to undergo their trial ; 6 died; 2 were dis-
charged as cured, and 52 remained at the end of the year. The treatment consists of the
employment and amusement, so far as the resources of the establishment afford, of the
patients. Attention to their general health and the removal where possible of any bodily
disease which may re-act unfavourably on the mental condition. Mild restraint is resorted to
only—when necessary, and chiefly with patients having suicidal or homicidal tendencies. No
suicides or accidents occurred during the year. There were 52 Civil patients confined whose
friends contributed sums varying from 4 annas to Rs. 4 per diem for their support ; and 84
Military insanes at 8 annas were admitted. The total income from these sources was
Rs. 8,755-5-3. The total cost during the year was Rs. 67,700-14-5 from which deducting
Rs. 8,755-5-3 received from paying patients, the cost per head is Rs. 187-13-6 and if the sum
Rs. 8,755-5-3 is deducted from the sum received from the treasury then the net cost per
head is Rs. 157-0-9 against Rs. 184-9-9 in 1880. The visitors regularly visited the Asylum
and invariably reported favourably on the cleanliness of the several wards.
POONA ASYLUM.
Superintendent—BRIGADE-SURGEON L. S. BRUCE.
The Asylum was under the charge of Brigade-Surgeon Joynt up to the 1st December,
with the exception of three months when Surgeon- Major McConaghy held charge. Brigade-
Surgeon Bruce resumed charge on the 2nd December. No alterations have been made in
the buildings, accommodation is afforded for 61 male and 17 female patients. The water-
supply is from the Khadakvásla lake and is ample and good, and being supplied at a cheap
rate for garden purposes, the garden has afforded a fair amount of profitable work for the
able-bodied insanes. Owing to the entire failure of an extensive crop of lucerne grass the
garden profits are less considerable than was anticipated, but there is no doubt that the
gardening operations will be as pecuniarily as profitable, as they are sure to be beneficial to
the health of the patients. The drainage and conservancy continue to be satisfactory. On
the 1st January there remained 68 inmates in the Asylum and 25 (including 1 re-admission)
were admitted making a total of 93. Of these 9 males and 2 females were discharged cured,
4 were discharged into the custody of friends, 2 improved and 2 unimproved ; and 5 died
leaving 73 at the close of the year, 54 males and 19 females. The daily average strength
was 74 ; 2 patients were admitted for idiotcy all others for mania chiefly acute ; 20 were
Hindus, 4 Musalmans and 1 a Goanese Christian. No criminal insanes are admitted, and
no paying patients were received. In 5 cases insanity is attributed to the use of gánja, in 1
to a domestic quarrel and in 1 to loss of property, two cases were congenital. The
general health was satisfactory. A daily average of 40 male and 14 female insanes were
employed in gardening or grinding corn. The total net cost was Rs. 9,928-7-5 and the net
cost per patient Rs. 134-2-8 as compared with Rs. 10,205-6-9 and Rs. 145-6-8 respectively
in the previous year. Rs. 188-2-8 were realized from the garden. The establishment was
efficient, and the conduct and attention of its members commendable.
DHA'RWA R ASYLUM.
Superintendent.—SURGEON-MAJOR J. DAVIDSON, M.B.
The buildings remain the same as formerly, but alterations have been made to the
doors of the cells with the view of making them more small. There is only accommodation
for 18 patients, though as many as 21 were confined at one time, the day-room was employed
as a sleeping place for quiet and trustworthy patients. On the 1st January 1881 there were
21 patients confined in the institution ; 1 male was admitted and 1 female re-admitted, 4
patients were discharged as cured, at the close of the year 19 patients remain. The types
of insanity are for the most part chronic and little amenable to treatment, the two admissions
were for chronic dementia. There are 2 criminal lunatics confined in the Asylum, 1 was
admitted during the year. The general health was very good there were no deaths. The
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