6
treated as sick was 57, of whom 31 were fresh admissions ; 6 deaths occurred, 4 from
debility and 2 from cholera. The daily average number employed was 24.6 males and 8
females. The males are employed in gardening and the females in grinding corn. There has
been no change in the management of the patients, all are allowed as much liberty as
possible. The behaviour of the establishment has been, on the whole, good. The total cost
was Rs. 11,919-3-9, the net cost per patient Rs. 141-12-9, as compared with Rs. 11,692-15-3
and Rs. 142-9-5 respectively in the previous year.
DHA'RWA'R ASYLUM.
Superintendent—SURGEON-MAJOR McCONAGHY, M.D.
The asylum was under the charge of Surgeon-Major J. Davidson, M.B., until the 2nd
July 1887, and afterwards of Surgeon-Major McConaghy to the end of the year. The
buildings are in good repair. The asylum has accommodation for 28 patients, allowing a
separate sleeping cell for each. On 1st January 28 patients, 17 males and 11 females,
remained, 1 male was admitted, and 1 male was discharged, leaving 28 patients at the
end of the year. Of the 29 patients 5 males suffered from chronic mania, 12 males and 10
females from chronic dementia, and 1 female from idiotcy. The cause of insanity is given in
11 cases, in 18 it is unknown. Of known causes 8 are physical, as abuse of intoxicants, fever,
epilepsy, and 3 are moral, as grief and fear. Five criminal lunatics remained from the
previous year; there was no admission or discharge in this class. The general health has
been good, there was no death ; 29 patients were treated for complaints other than insanity,
chiefly for ague. The daily average number employed in the garden was 4. The value of
vegetables supplied to the patients was estimated at Rs. 75-9-0 and the amount realized by
sales was Rs. 100. The committee of visitors were regular in their attendance. The conduct
of the establishment was satisfactory, and Hospital Assistant Chimnáji Rámchandra is
again commended for the careful and efficient performance of his duties. The cost was
Rs. 6,168-2-2, the cost per patient Rs. 220-4-7, as compared with Rs. 8,366-0-7 and Rs. 348-9-4
respectively in the previous year.
AHMEDABAD ASYLUM.
Superintendent—SURGEON-MAJOR J. ROBB, M.D.
The asylum was under the charge of Surgeon-Major Robb to 25th July, then of Surgeon
Milne to 24th October, and again of Surgeon-Major Robb to the end of the year. No alterations
have been made in the building ; the verandahs are too narrow to keep off the rain; a new
women's ward is desirable; at present the women are in too close proximity to the men.
There is accommodation for 90 males and 18 females. The daily average strength
was 110, the maximum number confined at any one time 112. There were 14 admis-
sions and 2 re-admissions, 10 were discharged, of whom 8 were cured and 2 unimproved.
The number brought on the sick list was 37, chiefly from fever; other causes were bowel-
complaints and debility ; 2 deaths occurred. Sixteen criminal insanes were in confinement;
there was no admission or discharge among this class of patients. The most common causes
of insanity are gánja smoking, epilepsy and domestic or personal trouble. Of the admissions
9 were Hindus, 6 Mahomedans, and 1 Native Christian. Out-door work in the garden is
particularly encouraged; grinding grain and work connected with the asylum is also engaged
in by some ; the out-door work is particularly beneficial in keeping the patients in health.
Some domestic pets are kept and carefully attended to by some of the patients. The water-
supply is abundant but not very good. The food, clothing, and conservancy are satisfactory.
The visitors have been regular. The conduct of the establishment was good. Hospital
Assistant Joseph Solomon continues to merit commendation. The cost was Rs. 13,632-8-10,
the net cost per patient Rs. 115-14-0, as compared with Rs. 13,816-5-10 and Rs. 117-0-11
respectively in the previous year.
SIR COWASJI JEHANGIER ASYLUM, HYDERABAD (SIND).
Superimtendent—SURGEON-MAJOR B. C. KEELAN.
The asylum was under the superintendence of Surgeon-Major Keelan for the whole
year. The buildings are unaltered; a shed was built by the lunatics. The water-supply
and conservancy are satisfactory ; the food and clothing sufficient and of good quality. The
accommodation is ample, the asylum can contain 170 patients, the largest number confined
at any one time was 153. The number admitted was 36—34 males and 2 females ; 7 were
Hindus, 27 Mahomedans and 2 Native Christians. The number discharged was 33, including
30 males and 3 females, and 10 died. The number on the sick list was 57, chiefly for ague,
diarrhœa and dysentery. Nearly all the lunatics are employed in gardening, brick-making,
drawing water, and cooking, &c.; the average number employed was 73 males and 15 females.
Patients who work well receive some little indulgences as encouragement. The insanes are
supplied with musical instruments for their amusement. The garden has been fairly pro-
ductive and has yielded a daily ration of fresh vegetables during the year to the inmates of
the asylum, as well as a crop of bájri. The establishment have behaved satisfactorily, and
Hospital Assistant Mendes is again mentioned with high praise by the Superintendent.
The visitors have met regularly. The total cost was Rs. 10,791-10-2, the cost per patient
Rs. 75-9-2, as compared with Rs. 9,824-4-1 and Rs. 72-3-9 respectively in the previous year.