6
discharged cured and improved, and 2 died. Of those discharged 2 were returned for
trial, one was acquitted on the ground of insanity and returned to the Asylum, the other
was handed over to his relatives. The forms of insanity in the patients, were acute mania
3, chronic mania 7, acute dementia 2, chronic dementia 17. Of the two deaths one was
caused by exhaustion from leucorrhœa and one from epilepsy. The assigned causes of insanity
were gánja 3, alcohol 1, fever 1, epilepsy 4, moral causes 2, in 18 cases no cause is given. Six
criminal lunatics were admitted (including 1 readmitted). Fifteen patients were treated for
ordinary diseases. A daily average of 5.3 were employed in the garden. No payments
were made on account of patients. There was a loss of Rs. 16-14-0 on the garden owing to
failure of crops from deficient rainfall. The visiting committee inspected the Asylum
regularly on the first Friday of each month. The conduct of the establishment was satis-
factory. The total cost was Rs. 4,666-10-7 and the net cost per patient Rs. 231-6-0 as
compared with Rs. 4,814-2-5 and Rs. 277-6-5 respectively in 1883.
AHMEDABAD ASYLUM.
Superintendent.—SURGEON-MAJOR JOHN ROBB, M.D.
The Asylum was under the superintendence of Surgeon-Major Banks up to the 19th
April 1884 and since that date of Surgeon-Major Robb. No addition has been made to the
building, the usual repairs have been carried out by the Public Works Department. The
water-supply from wells on the premises is abundant in quantity and of fair quality. The
food supplied is varied, of good quality and sufficient; the clothing is sufficient and suitable
for all seasons of the year. There is accommodation for 108 patients which has been fully
occupied during the year at times, there has been some overcrowding, the greatest number
confined at one time was 115, and cases have been refused admission in consequence. The
sanitary arrangements are satisfactory. On the 1st January 1884 there remained under
treatment 110 patients, 36 were admitted (including one readmission), 20 were discharged
cured, 5 handed over to the care of friends and one (a criminal lunatic) returned
by order of Government to the Mahárája of I'dar; there were 9 deaths leaving 111 under
treatment at the end of the year. The general health of the inmates has been satisfactory.
At the beginning of the year 16 criminal lunatics were in confinement, 2 were admitted, one was
readmitted, 4 were discharged and 2 died, leaving 13 at the end of the year. Every encourage-
ment is given to those willing to work, they are employed in gardening, grinding grain and
on ordinary domestic work. The garden is carefully attended to, it has cost Rs. 464-8-0 and the
profits have been Rs. 1,093-10-2. The official visitors regularly inspect the institution monthly
and half-yearly. The conduct of Hospital Assistant Joseph Solomon is most favourably
reported upon, and that of the remainder of the establishment meets with the approval of
the Superintendent. The total cost was Rs. 14,784-14-10 and the net cost per patient
Rs. 113-15-7 against Rs. 14,306-12-9 and Rs. 114-4-2 respectively in the preceding year.
SIR COWASJI JEHANGEER ASYLUM, HYDERABAD, SIND.
Superintendent.—SURGEON-MAJOR KEELAN.
The institution was in charge of Surgeon-Major Holmested up to the 7th April 1884
and of Surgeon-Major Keelan for the remaining period of the year. The buildings remain
unaltered, necessary repairs have been executed by the Public Works Department. The
water-supply is good and sufficient. The clothing and food are satisfactory. Conser-
vancy arrangements are very good in all respects. Accommodation is ample. On 1st
January 1884 there remained in the Asylum 112 males and 16 females; 38 males and
6 females were admitted, 27 males and 5 females were discharged, 3 escaped, 8 patients
died, and leaving at the end of the year 112 males and 17 females in confinement. Sixty-
nine patients were admitted to hospital chiefly for malarial fevers and bowel affections.
Restraint is seldom called for. The average daily number employed in gardening, water-
drawing, brick-making or grain-grinding, was 69 males and 15 females. The conduct of the
establishment is favourably reported upon, and 1st Class Hospital Assistant Mendes is
commended for his attention to his duties. The visitors meet once a month. The cost was
Rs. 10,921-5-7 and the cost per patient Rs. 86-10-10 as compared wtih Rs. 11,307-9-4 and
Rs. 93-7-2 respectively in the previous year.