NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
25
STATEMENT No. IX—concld.
Establishment.
Tailors
1 at Rs. 30 ... ... ... ...
1 at Rs. 25
...
...
...
...
Sweeper Jamadars at Rs. 16 ... ... ... ...
Sweepers at Rs. 14 ... ... ... ...
Dart Drivers at Rs. 14 ... ... ... ...
Trench Diggers at Rs. 14 ... ... ... ...
Sweeper Jamadarins at Rs. 16
Sweepresses at Rs. 14
...
...
...
...
GARDEN SCHEME.
Mali ... ... ... ...
Garden coolies at Rs. 15 ... ... ... ...
Total ... ...
Daily average number of males 1113.91.
„
„
„
females 218.50.
Number.
2 ...
6 ...
95 ...
5 ...
4 ...
2 ...
23 ...
1 ...
10 ...
651 ...
Monthly wages.
Rs.
55
96
1,330
70
56
32
322
30
150
16,905
Remarks.
Proportion of
Jamadars to males ...
Jamadarins to females ...
Male keepers to males ...
Female keepers to females ..
1 :
1 :
1 :
1 :
65.52
43.70
3.54
2.63
26
STATEMENT
Showing Receipts and Expenditure on account of Manufactures in the
Years.
1
1928 ...
1927 ...
1926 ...
Mean population.
Males.
2
1113.91
11181.54
1146.87
Females.
3
218.50
227.99
203.79
Total.
4
1332.41
1409.53
1350.66
CREDITS.
Cash paid into
Treasury
for articles
sold.
5
Rs.
1,605
52
41
a.
15
8
0
p.
0
6
0
Value of
manufactured
goods made
over to Mental
hospital for
Mental hospital
purposes.
6
Rs.
26,689
21,948
1,431
a.
4
1
4
p.
0
5
0
Value of raw
materials in
store at the
end of the
year.
7
Rs.
4,642
3,175
677
a.
3
14
11
p.
2
0
0
Value of
manufactured
goods in store
at the end of
the year.
8
Rs.
4.290
1,392
1,201
a.
2
5
0
p.
0
4
0
Value of
plant and
machinery in
store at the end
of the year.
9
Rs.
31,328
29,150
29,323
a.
11
1
15
p.
7
2
6
Total credits.
10
Rs.
68,556
55,718
32,674
a.
3
14
14
p.
9
5
6
27
No. X.
Ranchi Indian Mental Hospital during the year 1928 and the two previous years.
DEBITS.
Value of
manufactured
goods in
store on 1st
January.
11
Rs.
1,392
1,201
2,333
a.
5
0
6
p.
4
0
0
Value of raw
materials in
store on 1st
January.
12
Rs.
3,175
677
1,145
a.
14
11
11
p.
0
0
9
Value of
plant and
machinery in
store on 1st
January
13
Rs.
29,150
29,323
22,940
a.
1
15
1
p.
3
6
9
Raw materials
purchased.
14
Rs.
11,021
11,507
2,850
a.
11
1
7
p.
5
3
0
Contingencies
of
manufacture.
15
All
other charges.
16
Rs.
62
20
36
a.
0
12
0
p.
3
0
0
Total debits.
17
Rs.
45,702
42,730
29,305
a.
0
7
10
p.
2
9
9
Results.
Excess
of credits or
profits.
18
Rs.
22,854
12,988
3,369
a.
3
6
3
p.
7
8
9
Excess
of debits or
loss.
19
..
..
...
Remarks.
Average number
employed.
Male.
20
210
197
125
Female.
21
22
40
20
Total.
22
232
237
145
28
STATEMENT
Abstract of Cash Account of the Ranchi Indian Mental
Years.
1
1928 ... ... ...
1927 ... ... ...
1926 ... ... ...
Establishment.
Total cost.
2
Rs.
1,68,578
2
1,57,51
1,31,241
a.
15
8
11
p.
0
0
0
Cost per
bead of
average
strength.
3
Rs.
126
111
97
a.
8
12
2
p.
4
0
3
Diet.
Total cost.
4
Rs.
2,11,615
2,31,976
2,09,316
a.
7
2
1
p.
6
6
0
Cost per
head of
average
strength.
5
Rs.
158
164
154
a.
13
9
14
p.
3
3
10
Bedding and clothing.
Total cost.
6
Rs.
19,982
54,498
48,769
a.
5
5
3
p.
3
3
0
Cost per
head of
average
strength.
7
Rs.
14
38
36
a.
15
10
1
p.
11
7
7
Medicines.
Total cost.
8
Rs.
4,125
2,782
11,212
a.
3
3
4
p.
9
6
6
Cost per
head of
average
strength.
9
Rs.
3
2
8
a.
1
10
4
p.
6
11
9
Contingencies.
Total cost.
10
Rs.
69,843
76,319
2,60,299
a.
1
3
12
p.
6
1
6
Coat per
head of
average
strength.
11
52
54
192
6
2
10
8
4
7
29
No. A.
Hospital, for the year 1928 and the two previous years.
Miscellaneous.
Total cost.
12
Rs. a. p.
...
2,800
559
0
7
0
3
Cost
head per
average
strength.
13
Rs. a. p.
...
1
0
15
6
9
8
Grand Total.
Total cost.
14
Rs.
4,74,145
5,26,888
6,61,398
a.
1
6
7
p.
0
4
3
Cost per
head of
average
strength.
15
Rs.
355
373
489
a.
13
12
8
p.
8
10
8
Charges on account
of works done by
the Public Works
Department.
Total cost.
16
Rs.
1,58,147
95,291
1,83,086
a.
15
0
0
p.
9
0
0
Cost per
head of
average
strength.
17
Rs.
118
67
135
a.
11
9
8
p.
1
8
2
Rates and Taxes.
Total cost.
18
Rs.
332
352
108
a.
0
3
0
p.
0
11
0
Cost per
head of
average
strength.
19
Rs.
0
0
0
a.
4
3
1
p.
0
9
3
Cost of printing and
stationery.
Total cost.
20
Rs.
1,460
1,795
200
a.
0
11
0
p.
9
6
0
Cost per
head of
average
strength.
21
Rs.
1
1
0
a.
1
4
2
p.
6
5
4
Total expenditure
including all
heads of
expenditure.
Total cost.
22
Rs.
6,34,085
6,24,327
8,44,792
a.
1
5
7
p.
6
9
3
Cost pet
head of
average
strength.
23
Rs.
475
442
625
a.
14
14
4
p.
3
11
5
30
STATEMENT
Statement showing the number of paying patients treated in the Ranchi
Name of Mental hospital.
1
Ranchi Indian Men-
tal Hospital.
1928 ... ...
1927 ... ...
1926 ... ...
Remaining on the
1st January.
Males.
2
43
30
30
Females.
3
8
3
2
Total.
4
51
33
32
Admitted.
Males.
5
10
22
10
Females.
6
5
7
2
Total.
7
15
29
12
Re-admitted.
Males.
8
1
1
...
Females.
9
...
...
...
Total.
10
1
1
...
Total treated.
Males.
11
54
53
40
Females.
12
13
10
4
Total.
13
67
63
44
31
No. B.
Indian Mental Hospital during the year 1928, and the two previous years.
Discharged and
transferred.
Males.
14
15
9
9
Females.
15
6
2
1
Total.
16
21
11
10
Died.
Males.
17
1
1
1
Females.
18
...
...
...
Total.
19
1
1
1
Remaining on the
31st December.
Males.
20
38
43
30
Females.
21
7
8
3
Total.
22
45
51
33
Daily average
strength.
Males.
23
42.15
37.67
30.32
Females.
24
7.54
5.70
2.63
Total.
25
49.69
43.37
32.95
REMARKS.
26
B. A. O. G. P. (I G. C. H.) no. 12—252—9-8 1929—H. P. G.
TRIENNIAL REPORT
ON THE WORKING OF THE
RANCHI INDIAN MENTAL HOSPITAL,
KANKE
IN
BIHAR AND ORISSA
FOR THE YEARS
1927-1929
PATNA:
SUPERINTENDENT, GOVERNMENT PRINTING, BIHAR AND ORISSA.
1931.
Price Re 1 annas 6.
TRIENNIAL REPORT
ON THE WORKING OF THE
RANCHI INDIAN MENTAL HOSPITAL,
KANKE
IN
BIHAR AND ORISSA
FOR THE YEARS
1927-1929
PATNA :
SUPERINTENDENT, GOVERNMENT PRINTING, BIHAR AND ORISSA.
1931.
Priced Publications of the Government of Bihar
and Orissa can be had from—
IN INDIA
The Superintendent, Government Printing, Bihar and Orissa,
Gulzarbagh P. O.
(1) MESSRS. THACKER SPINK & Co., Calcutta.
(2) MESSRS. W. NEWMAN & Co., Calcutta.
(3) MESSRS. S. K. LAHIRI & Co., College Street, Calcutta.
(4) MESSRS. R. CAMBRAY & Co., 6 and 8-2, Hastings Street, Calcutta.
(5) MESSRS. THOMPSON & Co., Madras.
(6) MESSRS. D. B. TARAPOREVALA SONS & Co., 103, Meadow Street, Fort, Post
Box No. 18, Bombay.
(7) MESSRS. M. C. SIRKAR & SONS, 75, Harrison Road, Calcutta.
(8) PROPRIETOR OF THE NEWAL KISHORE PRESS, Lucknow.
(9) MESSRS. M. N. BURMAN & Co., Bankipore.
(10) BABU RAM DAYAL AGARWALA, 184, Katra Road, Allahabad.
(11) THE STANDARD LITERATURE Co., LTD., 13-1, Old Court House Street, Calcutta.
(12) MANAGER OF THE INDIAN SCHOOL SUPPLY DEPÔT, 309, Bow Bazar Street,
Calcutta.
(13) MESSRS. BUTTERWORTH & Co., LTD., 6, Hastings Street, Calcutta.
(14) MESSRS. RAM KRISHNA & SONS, Anarkali Street, Lahore.
(15) THE OXFORD BOOK AND STATIONERY COMPANY, Delhi.
(16) MESSRS. DAS BROTHERS, Nouzerkatra, Patna City.
(17) THE BOOK COMPANY, 4/4(a), College Square, Calcutta.
(18) MR. K. L MATHUR, Guzri, Patna City.
(19) MESSRS. RAGHUNATH PRASAD & SONS, Patna City.
IN ENGLAND AND ON THE CONTINENT
THE OFFICE OF THE HIGH COMMISSIONER FOR INDIA, 42, Grosvenor Gardens
London, S. W. 1, direct or through any bookseller.
No. 14194/H-241-30.
FROM
THE INSPECTOR-GENERAL OF CIVIL HOSPITALS,
BIHAR AND ORISSA,
To
THE SECRETARY TO THE GOVERNMENT OF
BIHAR AND ORISSA, LOCAL SELF-GOVERNMENT DEPARTMENT.
Patna, the 15th December 1930.
SUBJECT.—Triennial report on the working of the Ranchi Indian Mental Hospital, Kanke
for the years 1927—29.
SIR,
I HAVE the honour to submit, for the information of Government, the
Superintendent's report on the working of the Indian Mental Hospital, Kanke
(Ranchi) for the years 1927—29 together with the returns in the prescribed
forms.
The report is self-explanatory and I do not think it necessary to repeat
the facts and figures mentioned therein.
This large mental hospital has been efficiently managed by Major
Dhunjibhoy and his staff and during his long absence on leave by
Dr. P. C. Das.
I have the honour to be,
SIR,
Your most obedient servant,
L. COOK,
LT.-COL., I.M.S.,
Of f g. Inspector-General of Civil Hospitals,
Bihar and Orissa.
Report on the working of the Ranchi Indian Mental Hospital for the
Triennium 1927—29.
1. Administration.—Major J. E. Dhunjibhoy, I.M.S., Superintendent, held
charge of the Hospital from 1st January 1927 to 17th December 1927 and
from 9th January 1928 to 14th December 1928 and from 13th January 1929
to 26th May 1929 and Dr. J. Roy, M.B., D.P.M. (Eng.), first Assistant Superin-
tendent from 18th December 1927 to 8th January 1928 and I held charge
of the Hospital once from the 15th December 1928 to 12th January 1929
and then again from the 27th May 1929 up to the end of the triennium under
report during the absence of the permanent Superintendent Major J. E.
Dhunjibhoy, I.M.S., who went abroad on leave.
2. Provinces served.—The hospital continues to receive patients from
the provinces of Bengal and Bihar and Orissa.
3. Accommodation.—The accommodation of the hospital remained the
same as in the previous years, viz., 1,014 for males and 272 for females, total
1,286. The total accommodation is apportioned three-fourths for Bengal and
a quarter for Bihar and Orissa.
The male section of the hospital remained congested throughout the
triennium under report. The following factors contribute to overcrowding :—
(1) The following table shows that the total accommodation provided in
this hospital is less than what was available in the three mental hospitals,
viz. Berhampore, Dacca and Patna, all of which have since been amalgamated
into this institution.
Name of Mental Hospital.
1
Berhampore ... ... ...
Dacca
...
...
...
...
Patna
...
...
...
...
Total of the three Mental Hospitals ...
Ranchi Indian Mental Hospital ...
...
Difference
...
...
Accommodation available.
Male.
2
616
298
275
1,189
1,014
—175
Female.
3
148
45
66
259
272
+ 13
Total.
4
764
343
341
1,448
1,286
—162
That is to say, for male patients 175 fewer beds are provided in this hospital
than the total combined accommodation that existed in the three Mental
Hospitals of Bengal and Bibar and Orissa, since abolished.
(2) Again, it will be seen from the statement appended below that in
proportion to population of the Provinces of Bengal and Bihar and Orissa there
2
is much less accommodation available for their mental patients in hospitals
than that provided by other provinces in India.
Provinces.
1
Bengal and Bihar and Orissa
...
...
United Provinces ... ... ...
Madras
...
...
...
...
Punjab
...
...
...
...
Bombay
...
...
... ...
Burma
...
...
...
...
Central Provinces and Berar
... ...
Assam
...
...
...
...
Total population.
2
80.69 millions
45.37
„
42.32
„
20.68
„
19.35
„
13.21
„
13.91
„
7.61
„
Accommodation available
for mental patients
(per mille) in hospitals.
3
.002
.004
.003
.004
.008
.006
.003
.006
(3) With the gradual education of public opinion as regards the utility
of institutional treatment of mental diseases and also with the popularity
which the hospital has gained, the public now hesitate less in seeking admis-
sion for their relatives into a mental hospital.
(4) Last, but not least, it is recognised that in a mental hospital deaths
and discharges never equal admissions. This is due to a large number of
infirm, incurable and homeless cases accumulating from year to year. There
are several patients in this hospital who have been continuing as inmates for
more than 30 years. Recently, one patient died in this hospital at the age
of about 80 years. He was in mental hospitals for 46 years.
The need for increasing the accommodation in various directions has been
fully realised by the Managing Committee and has been the subject of careful
examination by Government. A scheme of expansion has now been accepted
which provides for a total number of 1,600 patients, this number being con-
sidered to be the maximum with which one institution under one adminis-
trative head can deal suitably ; and plans and estimates for the additional
buildings required have been prepared. Owing to financial stringency effect
could not unfortunately be given to these proposals during the period under
review.
4. Patients.—The following table shows the number of patients resident
in the hospital on the 1st of January of the three years of the triennium
under review :—
Year.
1
1927 ... ... ... ...
1928 ... ... ... ...
1929 ... ... ... ...
Male.
2
1,170
1,160
1,065
Female.
3
219
234
209
Total.
4
1,389
1,394
1,274
It may be noted hero that a comparison of the statistics of admission of
patients, their discharge, ages, etc, etc., during the triennium under report
with those of the previous triennium is not of much value inasmuch as the
3
majority of those admitted during the latter period were chronic cases and
merely transfers who had been for years already in residence in other Mental
Hospitals, namely Berhampore, Dacca and Patna Mental Hospitals.
5. The maximum number resident in the hospital on any one night
was 1,274 (1,065 males, 209 females) in 1929 against 1,395 (1,161 males, 234
females) in 1928 and 1,438 (1,196 males, 242 females) in 1927.
6. Total admissions.—The admissions during the triennium under review
are shown in the following table :—
Year.
1
1927 ... ... ... ...
1928 ... ... ... ...
1929 ... ... ... ...
Male.
2
217
81
59
Female.
3
53
25
27
Total.
4
270
106
86
No useful comparison can be drawn from the above figures as admissions
in 1928 and 1929 would have been more than the number of admissions in
1927 had we not been compelled to refuse admission to numerous applicants
for want of accommodation. No restriction was imposed on the admission
of patients in 1927 whereas the admission of non-dangerous patients in 1928
and 1929 were totally refused for want of accommodation. About 188 written
applications were refused admissions in 1929 besides numerous verbal and
unofficial applications. Government, however, agreed to the proposal of the
Superintendent to admit 50 more male patients than the sanctioned capacity
provided for. This number is carefully filled from time to time by dangerous
patients waiting in Jails for admission into this hospital.
7. Readmissions.—The following table shows the number of readmissions
for the triennium under review :—
Years.
1
1927 ... ... ... ...
1928 ... ... ... ...
1929 ... ... ... ...
Male.
2
11
5
5*
Female.
3
1
...
2
Total.
4
12
5
7
Includes one case of recapture.
8. Total population.—1,367 (1,129 males, 238 females) were treated during
1929 against 1,505 (1,246 males, 259 females) in 1928 and 1,671 (1,398 males,
273 females) in 1927.
The gradual decrease is due to stricter restriction imposed every year on
admission.
9. Daily average strength.—The daily average strength in 1929 was
1257.12 as compared with 1332.41 in 1928 and 1409.53 in 1927.
10. (a) The ratio per cent. of cases cured to the daily average strength
was 3.24 males, 7.18 females, total 3.89 in 1929 as compared with 8.52 males,
13.73 females total 9.38 in 1928 and 15.74 males, 14.04 females, total 15.54
in 1927.
The progressive fall in the percentage of cures to daily average strength
is mainly due to fewer patients being admitted every year and then of those
admitted most being chronic and incurable cases.
4
(b) The ratio per cent. of cures to the total admissions was 16.94 males,
22.22 females, total 18.60 in 1929 against 30.86 males, 16.00 females, total
27.36 in 1928 and 30.87 males, 13.20 females, total 27.41 in 1927.
The marked decrease in 1929 is due to the fact that a larger number of
incurable cases was admitted during the year. Besides, owing to restriction
imposed on admission for want of accommodation in this hospital, many
patients prior to their admission into this hospital had to remain in jails, in
some cases for months together, which also greatly retarded the progress
of early recovery. This procedure was unfortunately unavoidable.
Birth.—One female patient was admitted in a state of pregnancy. She
gave birth to a healthy male child two months later. This birth is excluded
from calculation.
11. Death rate.—The percentage of deaths to daily average strength
during the triennium under review is given in the following table :—
Year.
1
1927 ... ... ... ...
1928 ... ... ... ...
1929 ... ... ... ...
Male.
2
3.30
3.41
1.91
Female.
3
2.20
3.66
2.39
Total.
4
3.12
3.45
1.99
It is satisfactory to record that the death rate for the year 1929 was lower
than in the preceding two years which again were the lowest of all the
principal mental hospitals in India as ascertained later.
12. Causes of death.—The chief causes of death among patients resident
in the hospital during the triennium under review are shown in the following
table :—
Causes of death.
1
Anæmia ...
...
...
...
Debility ...
...
...
...
Dysentery
...
...
...
Heart failure ... ... ...
Pneumonia
...
...
...
Tuberculosis of the lungs ... ...
Other tubercular diseases ... ...
All other general diseases ... ...
Diseases of the nervous system ... ...
Diseases of the liver ... ... ...
Number of deaths.
1927.
2
2
12
1
6
1
5
...
...
...
...
1928.
3
1
...
3
...
6
10
5
5
5
3
1929.
4
2
...
1
...
3
3
1
3
2
3
It will be seen that tuberculosis of the lungs exacted a heavy toll during
the triennium.
13. The general health of the patients was good throughout the period
under report. The daily average number of sick treated in the hospital for
bodily ailments was 57.42 in 1929 as compared with 68.67 in 1928 and 65.45
in 1927.
5
The important admissions to the Infirmaries during the triennium under
report are shown in the following table :—
Name of diseases.
1
Malaria
...
...
...
...
Pneumonia
...
...
...
Dysentery... ... ... ...
Anæmia
...
...
...
...
Tuberculosis of the lungs ... ...
All other tubercular diseases ... ...
Diseases of the Respiratory system ...
Diarrhœa
...
...
...
...
Diseases of the Digestive tissue
...
...
Influenza ... ... ... ...
Diseases of the Areolar tissue ... ...
Diseases of the skin
...
...
...
All other general diseases ... ...
All other diseases of the liver ... ...
Diseases of the nervous system ... ...
Namber of cases.
1927.
2
165
2
51
62
9
...
33
75
81
8
48
63
...
...
12
1928.
3
72
...
20
...
13
...
80
91
66
87
63
65
...
...
...
1929.
4
45
6
7
7
l9
3
35
65
41
54
43
41
24
22
...
14. Cases under observation.—The total number of cases held under
remand for brief periods of observation during the triennium was 58 (50 males
and 8 females), viz., 27 (24 males and 3 females) in 1929, 15 (11 males and
4 females) in 1928 and 16 (15 males and 1 female) in 1927. Of the 58 cases,
29 (22 males and 7 females) were certified and admitted, 8 (7 males and
1 female) were discharged as uncertifiable, 20 (males) were certified as
harmless insanes and were released by the Committing Magistrates and one
male (convict patient) who was sent to this hospital for special observation
by order of the Hon'ble High Court, Patna, was returned to the Ranchi
jail after necessary observation,
15. Criminal patients.—The daily average strength of criminal patients
was as follows during the triennium under report:—
Year.
1
1927
...
...
...
...
1928 ... ... ... ...
1929 ... ... ... ...
Male.
2
561.16
528.05
464.64
Female.
3
44.66
40.53
34.69
Total.
4
605.82
568.58
499.33
6
The gradual decrease in the number is partly due to the fact that several
old patients charged with petty offences were subsequently transferred to the
non-criminal class with the sanction of the Government concerned and partly
due to the restricted admission of patients.
It is a matter of regret that the tendency on the part of the Committing
Magistrates to send such patients as criminal patients instead of as non-criminal
patients has not yet ceased.
16. Statement no. III gives the religion, sex and residence of the
patients admitted during the period under review.
17. Statement no. IV shows the previous occupation of patients
admitted into this hospital during the period under review.
18. Statement no. V shows the ages of patients admitted during the
triennium under review. It will appear from the statement given below that
the age that supplied the largest number of inmates during the triennium was
between 20 to 40. The age between 40 and 60 claims the next in order of
frequency.
Ages.
1
Under 20 years ... ... ...
Between 20 and 40 years ... ... ...
Between 40 and 60 years ... ... ...
Upward of 60 years ... ... ...
Total ...
1927.
2
17
208
52
5
282
1928.
3
6
86
18
1
111
1929.
4
8
67
16
2
93
19. Statement no. VI deals with the types of insanity treated during the
triennium under report. Mania, Melancholia, Dementia Praecox and Toxic
Insanity (Ganja) were the principal types treated in the hospital during the
triennium under report. One case of chronic Encephalitis Lethargica was
admitted in 1929 and another case of this disease was diagnosed by Major
J. E. Dhunjibhoy,I.M.S., in 1928, besides the 11 cases of chronic Encephalitis
Lethargica which were suspected in 1927 were later definitely diagnosed as
such by him. It is interesting to note that the occurrence of this disease
among the admissions in Mental Hospitals in India was first brought to notice
in 1928 by Major Dhunjibhoy.
20. Paying patients.— Sixty paying patients (48 males, 12 females) were
treated during the year 1929 as compared with 67 (54 males, 13 females) in
1928 and 63 (53 males and 10 females) in 1927.
Paying Patients' Wards have not yet been built and the same arrangement
as has been mentioned in the previous years' Annual Reports continues for the
accommodation of paying patients of both sexes. Several applications for
admission of paying patients of both sexes had to be refused during the
triennium under report for want of accommodation.
Every year there is more demand for seats for paying patients as the
general public have now realised the importance of present day institutional
treatment at an early stage of the disease. On account of the growing
popularity of this hospital, I have every reason to believe from the large
number of applications that the paying patients' wards when built will be
filled up rapidly.
21. Suicide.—I am happy to record that there was no case of suicide
during the triennium under report, although several serious attempts were