NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
No. 8188-G-II
FROM
COLONEL R. HAY, C.I.E., I.M.S.
Inspector-General of Civil Hospitals, Punjab
To
THE SECRETARY TO GOVERNMENT, PUNJAB, MEDI¬
CAL AND LOCAL GOVERNMENT DEPARTMENTS,
LAHORE
Dated Lahore, the 5th of May 1944.
I FORWARD, herewith, the annual report on the working of the
Punjab Mental Hospital, Lahore, for the year 1943 together with
the statistical tables.
I have the honour to be
SIR
Your most obedient servant
R. HAY
COLONEL, I.M.S.
Inspector-General of Civil Hospitals, Punjab
Ascariasis .. ... ... ...
Intracravical Hæmorrhage ... ...
Syphilitic ulcer ... ... ... ...
Malaria
...
...
...
...
Liver abcess ... ... ... ...
Cancer
...
...
...
...
Asphyxia ... ... ... ...
Hypertension ... ... ... ...
Abdominal injury ... ... ...
Accidental ... ... ... ...
0
2
1 1
1
1
1
1
1
1
Report on the working of the Punjab Mental Hospital, Lahore,
for the year 1943
THE year 1943 opened with 1,202 patients (932 men and 270
women) under treatment in the Punjab Mental Hospital, Lahore.
349 fresh admissions (280 men and 69 women) were made during
the year bringing the total population of the hospital for the year
under report to, 1,551 (1,212 men and 339 women) as compared with
1, ; 476 (1,160 men and 316 women) during the previous year. The
daily average strength was 1226.14 as against 1,193.44 during
the year 1942. There was a maximum
number of 1,276
patients (989 men and 287 women) in the hospital on any one night
during the year under review.
During the past three years the number of admissions to the
Punjab Mental Hospital, Lahore, has gradually been increasing,
viz., 288 in 1941, 307 in 1942 and 349 in 1943.
During the course of the year 1943, three patients were admitted
as voluntary boarders into the hospital in accordance with section
4 of the Indian Lunacy Act. Many more patients would have been
admitted under this category but they could not be taken in, as
they were unable to pay the maintenance charges.
The number of deaths which occurred during the year 1943
was 71 as against 54 during the previous year. This includes one
accidental death. There was no death by suicide or by violence
The percentage of total deaths to daily average strength
amongst the inmates of the hospital during the year 1943 was
5 79 as against 4.52 in 1942.
The causes of deaths were as under:—
Tuberculosis ... ... ...
Dysentery ... ... ...
Pneumonia ... ... ...
Debility ... ... ...
Heart failure ... ... ...
Status Epilepticus
...
...
Ascariasis
Intracravical Hæmorrhage ... ...
Syphilitic ulcer ... ... ...
Malaria ... ... ...
Liver abcess ... ... ...
Cancer
...
...
...
Asphyxia
...
...
...
Hypertension ... ... ...
Abdominal injury ... ...
Accidental ... ... ...
23
11
9
7
5
3
3
2
1
1
1
1
1
1
1
1
2
There was no outbreak of any epidemic in the hospital during
the year under report.
Patients suffering from dental diseases continued to receive
necessary treatment at the Punjab Dental Hospital, Lahore.
There was only one escape during the year 1943.
Suitable patients are sent out for morning and evening walks
under the escort of attendants and those who are fit to go out are
sent in an Ambulance Car in parties of 20 for joy rides and to various
cinemas every week.
Patients were given modern treatment for mental disorders
with phrenazol and Ammonium Chloride with good results. The
percentage of patients discharged as cured to new admissions was
19.48 during the year under report as against 18.89 during the
previous year. Cases of acute mania did very well with Somuifain
and Insulin and with prolonged narcosis under sodium amytal and
paraldehyde. Treatment with hexamine is still under trial. Cases
of status epilepticus reacted very well to Insulin and Glucose.
Statement No. II—Ninety-six
patients were admitted for
observation during the year 1943 of which 76 were certified and
admitted to the hospital while 16 were discharged as uncertified
and 4 died during the period of observation.
Statement No. III—There were 165 criminal patients at the
beginning of the year 1943. 56 more were admitted and readmitted
during the year making the total number of 221 patients. Of these,
6 patients died in the hospital and 38 were discharged either to
stand their trial or transferred to non-criminal class on the expiry
of their sentences or returned to jails on recovery to undergo the
remaining period of their sentences leaving 177 patients on the rolls
of the hospital at the end of the year.
Statements Nos. IV and V—Of the total admissions of 349
patients 192 were Hindus, 136 Muslims, 9 Europeans, 7 Indian
Christians and 5 others. 32 patients were under 20 of age, 244
between 20 to 40 years, 62 between 40 to 60 years and 11 above 60
years.
Statement No. VI—The principal types of insanity among the
patients treated in 1943 and 1942 are compared below:—
Manic depressive Insanity ...
Schizophrenia including Dementia
Præcox ...
... ...
Secondary Dementia ... ...
Mental Deficiency ... ...
Epilepsy any Epileptic Insanity ...
1943
296
418
130
146
133
1942
315
377
130
148
129
3
Mania
...
...
...
Paranoia and Paranoid States ...
Cannabis Indica Psychosis ...
Melancholia
...
...
1943
159
77
42
47
1942
141
73
47
35
Statement No. VII—The existing factors concerned in the
cases admitted to the hospital during the year 1943 were mainly
the same as in previous years, namely mental stress, toxins
physical ailments and infections.
Income—The
reciepts
under head
''Local Bodies"
amounted
to
Rs. 1,91,469, during
the year under report
as against Rs. 1,70,064 in 1942. The increase is due to the increase
in recovery of the contribution which has been revised according
to the figures of 1941 census. There is also an increase of Rs. 9,834
under the head "paying patients'' which is due to the increase in
the number of paying patients. The hospital garden and manufac-
tury yielded a profit of Rs. 40,125 against Rs. 36,704 during the
previous year. This is due to the rise in price of vegetables and
fruits.
Expenditure—The total expenditure on the maintenance of
the hospital amounted to Rs. 5,83,789
(excluding Rs. 8,412 on
account of original works) as against Rs. 3,89,489 in the year 19-12-
The increase is mainly due to the following reasons:—
(a) Great rise in price of all the commodities especially
dietary articles.
(b) Grant of dearness allowance to low paid employees.
The per capita cost rose from Rs. 326-3-0 in 1942 to
Rs. 476-2-0 during the year under report.
Thanks are due to the visitors of the hospital for their labours
and the keen interest taken by them in the welfare of the patients.
STATEMENT No. I
Showing the admissions, discharges, etc. of patients in
the Punjab Mental Hospital, Lahore, during the
year 1943 and two previous years.
ii
STATEMENT
SHOWING THE ADMISSION, DISCHARGE, ETC., OF
DURING THE YEAR 1943
1
YEAR
1941 ..
1942 ..
1943
..
2
REMAINING
ON 1ST
JANUARY
Men
902
929
932
Women
226
240
270
Total
1,128
1,169
1,202
3
ADMITTED
Men
204
202
256
Women
48
60
61
Total
252
262
317
4
RE-ADMITTED
Men
29
29
24
Women
7
16
8
Total
36
45
32
5
TOTAL POPULATION
Men
1,135
1,160
1,212
Women
281
316
339
Total
1,416
1,476
1,551
1
YEAR
1941 ..
1942 ..
1943 ..
7
DIED
Men
41
51
64
Women
11
3
7
Total
52
54
71
8
REMAINING ON
Men
929
932
942
Women
240
270
279
Total
1,169
1,202
1,221
9
DAILY AVERAGE STRENGTH
Men
909.81
933.99
948.35
Women
233.62
259.45
277.79
Total
1,143.43
1,193.44
1,226.14
10
DAILY AVERAGE SICK
Men
15.21
19.10
22.22
Women
6.45
6.98
8.53
Total
21.66
26.08
30.74
The capacity of the Punjab Mental Hospital is at a minimum of 70 superficial feet per
The Maximum number of patients confined on any one night was—men 989, Women
NOTE—There was no case under observation on 31st December 1943.
iii
No. I
PATIENTS IN THE PUNJAB MENTAL HOSPITAL, LAHORE,
AND TWO PREVIOUS YEARS.
6
Discharges
A—CURED
Men
75
98
82
Women
14
19
29
Total
89
117
111
B—TRANSFERRED TO FRIENDS
Improved
Men
53
48
46
Women
6
11
9
Total
59
59
55
Not improved
Men
19
5
37
Women
10
12
13
Total
29
17
50
C—OTHERWISE
Men
18
26
41
Women
..
1
2
Total
18
27
43
D—TOTAL
Men
165
177
206
Women
30
43
53
Total
195
220
259
11
Percentage to
DAILY AVERAGE STRENGTH
A—CURED
Men
8.24
10.49
8.64
Women
5.99
7.32
10.44
Total
7.78
9.80
9.05
B—DIED
Men
4.51
5.46
6.75
Women
4.71
1.15
2.52
Total
4.54
4.52
5.79
ADMISSIONS
C—CURED
Men
21.46
18.61
17.85
Women
10.91
19.73
26.09
Total
19.44
18.89
19.48
D—DIED.
Men
3.43
2.59
3.21
Women
9.09
1.31
5.79
Total
4.51
2.28
3.72
patient—for men 1,126 for women 282, Total 1,408.
287, Total 1,276.
iv
STATEMENT No. II
SHOWING CASES ADMITTED FOR OBSERVATION IN THE PUNJAB MENTAL HOSPITAL, LAHORE, DURING THE YEAR 1943
AND TWO PREVIOUS YEARS
YEAR
1941
1942
1943
REMAINED
ON 1ST
JANUARY
Men
..
..
..
Women
...
..
..
Total
..
..
..
ADMITTED
Men
34
43
68
Women
14
19
21
Total
48
62
89
RE-ADMITTED
Men
6
11
5
Women
..
5
2
Total
6
16
7
CERTIFIED AND
ADMITTED
INTO ASYLUM
Men
37
51
56
Women
14
24
20
Total
51
75
76
CERTIFIED AND
RELEASED UNDER
SECTION 14, ACT IV
OF 1912
Men
..
..
..
Women
..
..
..
Total
..
..
..
RELEASED
AS
UNCERTIFIED
Men
3
3
15
Women
..
..
1
Total
3
3
16
DIED
Men
..
..
2
Women
..
..
2
Total
..
..
4
REMAINING
ON 31 ST
DECEMBER
Men
..
..
..
Women
..
..
..
Total
..
..
..
REMARKS
There was no case under observation on 31st December 1943.
STATEMENT No. III
SHOWING CRIMINAL CASES ADMITTED IN THE PUNJAB MENTAL HOSPITAL, LAHORE, DURING THE YEAR 1943
AND TWO PREVIOUS YEARS
Year
1941 ..
1942 ..
1943 ..
REMAINED
ON 1ST
JANUARY
Men
155
160
152
Women
8
10
13
Total
163
170
165
ADMITTED
Men
49
55
48
Women
3
4
2
Total
52
59
50
RE-ADMITTED
Men
4
6
6
Women
..
..
..
Total
4
6
6
TOTAL
Men
208
221
206
Women
11
14
15
Total
219
235
221
DISCHARGED
AND TRANS-
------,
ETC.
Men
44
64
37
Women
..
1
1
Total
44
65
38
DIED
Men
4
5
5
Women
1
..
1
Total
5
5
6
REMAIBNING ON
31ST DECEMBER
1943
Men
160
152
164
Women
10
13
13
Total
110
165
177
DAILY AVERAGE
STRENTH
Men
164.45
162.17
163.60
Women
8.96
13.09
13.15
Total
173.41
175.27
176.75
STATEMENT No. IV
Return showing the Religion, Sex and Residence
of patients admitted into the Punjab Mental
Hospital, Lahore, during the year 1943 and
two previous years
vi
STATEMENT
RETURN SHOWING THE RELIGION, SEX AND RESIDENCE OF PATIENTS
LAHORE, DURING THE YEAR 1943
1
DISTRICT
Ambala
..
Amritsar ..
D. G. Khan ..
Ferozepur ..
Gurdaspur ..
Gujranwala ..
Gujrat ..
Gurgaon ..
Hissar ..
Hoshiarpur ..
Jhang ..
Jhelum ..
Jullundur ..
Kangra ..
Karnal ..
Lahore ..
Ludhiana ..
Lyallpur ..
Mianwali ..
Montgomery ..
Multan ..
Muzaffargarh ..
Rawalpindi ..
Rohtak ..
Sargodha ..
Sheikhupura ..
Sialkot ..
Punjab States
Patiala ..
Bahawalpur ..
Other Provinces
Ajmer ..
Bulandshar ..
Calcutta ..
Delhi ..
Dera Ismail Khan ..
Faiazbad ..
Kohat ..
Madras ..
Meerut ..
Muthra ..
Nasingpur ..
Nabba ..
Partapgarh ..
Poonch State ..
Peshawar ..
Quetta ..
Unknown ..
Total 1943 ..
Total 1942 ..
Total 1941 ..
2
HINDUS
Men
5
9
..
6
1
3
1
..
1
3
1
3
6
1
3
45
7
5
3
2
6
..
4
3
..
2
2
4
..
1
2
1
13
1
1
..
1
1
1
..
1
1
..
..
..
..
150
127
122
Women
1
4
..
1
..
3
..
1
..
1
..
..
1
..
..
21
1
3
..
..
1
..
3
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
42
46
33
Total
6
13
..
7
1
6
1
1
1
4
1
3
7
1
3
66
8
8
3
2
7
..
7
3
1
2
2
4
..
1
2
1
13
1
1
..
1
1
1
..
1
1
..
..
..
..
192
173
155
3
MUSLIMS
Men
1
2
2
3
..
5
5
..
1
..
2
1
7
..
1
38
2
2
6
1
3
3
8
1
1
1
4
..
3
1
..
..
9
..
..
1
..
..
..
1
..
..
1
1
1
1
119
99
97
Women
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
12
..
..
..
1
..
..
1
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
17
22
17
Total
1
3
2
3
..
5
5
..
1
..
2
1
7
..
1
50
2
2
6
2
3
3
9
1
1
1
4
..
3
1
..
..
11
..
..
1
..
..
..
1
..
..
1
1
1
1
10
121
114
vii
No. IV.
ADMITTED INTO THE PUNJAB MENTAL HOSPITAL,
AND TWO PREVIOUS YEARS.
4
CHRISTIANS
Europeans and
Anglo-Indians
Men
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
1
1
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
5
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
5
3
..
Totals
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
7
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
9
4
1
Indians
Men
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
..
..
..
4
2
6
Women
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
3
4
4
Total
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
3
..
..
..
..
..
..
..
..
..
..
..
..
..
7
6
10
5
OTHER CASTES
Men
..
..
..
..
..
..
..
..
..
1
..
..
..
1
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
3
2
7
Women
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
2
1
1
Total
..
..
..
..
..
..
..
..
..
1
..
..
..
1
..
2
..
..
..
..
..
..
..
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
.. ..
..
..
..
..
..
5
3
8
6
TOTAL
Men
6
11
2
9
1
8
6
..
2
4
3
4
13
2
4
87
9
7
9
3
9
3
12
4
2
3
6
4
3
2
2
1
26
1
1
1
1
1
1
1
1
1
1
1
1
1
280
231
233
Women
1
5
..
1
..
3
..
2
..
1
..
..
1
..
40
1
3
..
1
1
..
4
..
1
1
..
..
..
..
..
..
3
..
..
..
..
..
..
..
..
..
..
..
..
..
69
76
55
Total
7
16
2
10
1
11
6
2
2
5
3
4
4
2
4
127
10
10
9
4
10
3
16
4
3
4
6
4
3
2
2
1
29
..
1
1
1
1
1
1
1
1
1
1
1
1
349
307
288