NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
X
STATEMENT No. V.
RETURN SHOWING THE AGES OF PATIENTS ADMITTED INTO THE PUNJAB MENTAL HOSPITAL, LAHORE, DURING THE
YEAR 1935 AND TWO PREVIOUS YEARS.
1
YEAR.
1933 .. .. .. ..
1934
..
..
..
..
1935 .. .. .. ..
TOTAL (FOR PROVINCE) 1935
2
UNDER 20.
Males.
45
23
20
20
Females.
19
10
1
1
Total.
64
33
21
21
3
20 TO 40.
Males.
257
234
173
173
Females.
47
51
18
18
Total.
304
285
191
191
4
40 TO 60.
Males.
76
55
43
43
Females.
18
16
5
5
Total.
94
71
48
48
5
UPWARDS OF 60.
Males.
5
2
2
2
Females.
1
..
1
1
Total.
6
2
3
3
6
TOTAL.
Males.
383
314
238
238
Females.
85
77
25
25
Total.
468
391
263
263
NOTE—There was no case under observation.
STATEMENT No. VI.
Statement showing the form of mental disorder in the
admissions, discharges, recoveries and deaths during the
year ending 31st December, 1935.
xii
STATEMENT
STATEMENT SHOWING THE FORM OF MENTAL DISORDER IN THE ADMISSIONS
ENDING 31ST
—
1. Mental Deficiency .. ..
2. Maniac Depressive Insanity .. ..
3. Mania
..
..
..
..
4. Melancholia
..
.. ..
6. Schisophrenia including Dementia Præcox ..
6. Secondary Dementia .. ..
7. Paronoia and Paranoid states ..
8. Epilepsy and epileptic insanity ..
9. Toxic Psychosis—
(a) Acute confusional insanity ..
(b) Alcoholic Psychosis .. ..
(c) Cannabis Indicae Psychosis ..
(d) Of Endocrine Origin .. ..
(e) In relation to child-bearing ..
(f) In relation to other constitutional
diseases.
10. Organic Psychosis—
(a) General .. .. ..
(b)
Cerebralsyphilis
..
..
(c) Arteriopathic and Senile Psychosis ..
(d) Ensephalitis .. ..
(e) Other cerebral lesions .. ..
11. Neurosis and Psycho Neurosis ..
..
12. No appreciable diseases
..
..
13. Not yet diagnosed (discharged before certi-
fication).
Total ..
REMAINING ON 31ST
DECEMBER OF
THE PRECEDING
YEAR.
Males.
59
43
163
63
146
191
18
92
13
8
53
..
..
7
..
..
2
5
3
..
9
..
875
Females.
46
30
46
17
20
14
2
14
10
..
..
..
8
..
..
1
22
2
..
..
..
..
232
Total.
105
73
209
80
166
205
20
106
23
8
53
..
8
7
..
1
24
7
3
..
9
..
1,107
ADMISSION DURING
THE YEAR.
Males.
8
86
18
16
45
3
16
12
9
..
15
..
..
1
..
..
..
1
..
1
7
..
238
Females.
..
9
2
5
3
1
..
..
4
..
..
..
1
..
..
..
..
..
..
..
..
..
25
Total.
8
95
20
21
48
4
16
12
13
..
15
..
1
1
..
..
..
1
..
1
7
..
263
NOTE.—There was no
xiii
No. VI.
DISCHARGES, RECOVERIES AND DEATHS DURING THE YEAR
DECEMBER, 1935.
TOTAL.
Males.
87
129
181
79
191
194
34
104
22
8
68
..
..
8
..
..
2
6
3
1
16
..
1,1l3
Females.
46
39
48
22
23
15
2
14
14
..
..
..
9
..
..
1
22
2
..
..
..
..
257
Total.
113
168
229
101
214
209
36
118
36
8
68
..
9
8
..
1
24
8
3
1
16
..
1,370
DISCHARGES.
RECOVERIES.
Males.
..
88
13
5
9
..
1
..
8
..
12
..
..
..
..
..
..
1
..
..
..
..
137
Females.
..
5
3
..
2
..
1
1
2
..
..
..
..
..
..
..
..
..
..
..
..
..
14
Total.
..
93
16
5
11
..
2
1
10
..
12
..
..
..
..
..
..
1
..
..
..
..
151
OTHERWISE.
Males.
5
32
2
7
29
2
4
3
1
..
2
..
..
1
..
..
..
..
..
1
5
..
94
Females.
..
5
1
4
1
2
1
1
2
..
..
..
..
..
..
..
..
..
..
..
..
..
17
Total.
5
37
3
11
30
4
5
4
3
..
2
..
..
1
..
..
..
..
..
1
5
..
111
DEATHS.
Males.
3
6
..
1
11
4
..
10
2
..
2
..
..
..
..
..
..
1
..
..
..
..
40
Females.
2
1
..
..
1
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
4
Total.
5
7
..
1
12
4
..
10
2
..
2
..
..
..
..
..
..
1
..
..
..
..
44
REMAINING ON 31ST
DECEMBER.
Males.
59
3
166
66
142
188
29
91
11
8
52
..
..
7
..
..
2
4
3
..
11
..
842
Females.
44
28
44
18
19
13
..
12
10
..
..
..
9
..
..
1
22
2
..
..
..
..
222
Total.
103
31
210
84
161
201
29
103
21
8
52
..
9
7
..
1
24
6
3
..
11
..
1,064
case under observation.
xiv
STATEMENT No. VII.
SHOWING THE PROBABLE CAUSE OF INSANITY IN THE PATIENTS ADMITTED
DURING THE YEAR ENDING 31ST DECEMBER 1935.
AETIOLOGICAL FACTORS AND ASSOCIATED
CONDITIONS.
Mental Stress—
1. Moral .. .. .. ..
2. Business worry .. .. .. ..
3. Domestic worry .. .. .. ..
4. Stress of military service .. .. .. ..
Toxins—
5. Cannabis Indica .. .. .. ..
6. Alcohol .. .. .. ..
7. Other toxins .. .. .. ..
8. Opium .. .. .. ..
Physical—
9 Bodily illness .. .. .. ..
10. Pregnancy .. .. .. ..
11. Child birth .. .. .. ..
12. Climacteric .. .. .. ..
13. Epilepsy .. .. .. ..
14. Head injuries .. .. .. ..
Infections—
15. Encephalitis Lethargica .. .. .. ..
16. Influenza .. .. .. ..
17. Syphilis .. .. .. ..
18. Other infections .. .. .. ..
19. Old age .. .. .. ..
20. Hereditary predisposition .. .. .. ..
21. Previous attacks .. .. .. ..
Total ..
22. Unascertained .. .. .. ..
Total ..
PREDISPOSING
CAUSES.
Males.
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
1
17
67
85
..
Females.
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
..
4
4
10
..
Total.
..
..
..
..
..
..
..
..
2
..
..
..
..
..
..
..
..
..
1
21
71
95
..
EXCITING
CAUSES.
Males.
3
13
12
12
45
8
..
7
6
..
..
..
12
..
..
..
2
13
..
..
..
121
..
Females.
..
..
..
..
..
..
..
..
6
..
1
1
..
..
..
..
..
..
2
..
..
18
..
Total.
3
13
20
..
45
8
..
7
12
..
1
1
12
..
..
..
2
13
2
..
..
139
..
TOTAL.
Males.
3
13
12 ..
45
8
..
7
6
..
..
..
12
..
..
..
2
13
1
17
67
206
77
283*
Females.
..
..
8
..
..
..
..
..
8
..
1
1
..
..
..
..
..
..
2
4
4
28
22
50*
Total.
3
13
20
..
45
8
..
7
14
..
1
1
12
..
..
..
2
13
3
21
71
234
99
333*
*Includes.—Patients
having 2 causes each ..
Patients having 3 causes each ..
Patients having 4 causes each ..
Males.
32 +
5 +
1 +
Females
25 =
.. =
.. =
Total
57
6
1
STATEMENT No. VIII.
Showing the Cash Account of the Punjab Mental
Hospital, Lahore, for the year 1935, and two
previous years.
xvi
STATEMENT
SHOWING THE CASH ACCOUNT OF THE PUNJAB
PREVIOUS
RECEIPTS.
YEAR.
1
1933 ...
1934 ...
1935 ...
Received
from
Treasury.
2
Rs.
2,35,287
2,36,486
2,53,665
A.
3
1
13
P.
3
7
2
Received from
paying
patients.
3
Rs.
23,909
27,213
22,740
(*),
A.
7
2
12
(†)
P.
0
0
11
Recoveries from
Municipal,
District and
Cantonment
Boards, etc.
4
Rs.
2,11,182
1,31,784
1,66.536
(*),
A.
2
12
6
(‡)
P.
9
3
8
Value of stores
received from
the manufac-
turing Depart-
ment, less
cost of raw
material.
5
Rs.
19,907
21,422
21,901
A.
10
0
13
P.
3
3
6
Book receipts,
i.e., the total
expenditure
entered in
columns 20, 21
and 22.
6
Rs.
25,788
20,269
29,037
A.
3
1
12
P.
2
2
10
Miscellaneous
receipts.
7
Rs.
588
350
722
(*)
A.
15
13
10
P.
3
3
2
CHARGES—
YEAR.
1
1933 ...
1934 ...
1935 ...
Contingencies
Contract.
14
Rs.
18,573
15,676
18,888
A.
9
8
2
P.
0
0
8
Other.
15
Rs.
11,099
12,075
14,514
A.
12
0
3
P.
11
3
0
Telephone
Charges.
16
Rs.
504
840
194
A.
13
11
11
P.
0
0
0
Remitted to
Treasury on
account of
paying patients,
etc.
17
Rs.
25,819
27,558
23,188
(*)
A.
11
15
14
P.
5
3
7
Remitted to
Treasury on
account of
recoveries from
Municipal, Dis-
trict and Canton-
ment Boards, etc.
17-A
Rs.
2,11,181
1,31,544
1,66,310
(*)
A.
10
12
10
P.
9
3
8
*There is a difference of Rs. 500-4-6 between receipts and credits which is made up as follows :—
Rs. 245 received during the year 1934 and credited in year 1935 and Rs. 745-4-6 received during the year 1935
†This includes a sum of Rs. 20 credited direct by the Additional District Magistrate, Sargodha, during
†This includes a sum of Rs. 5,328-7-0 credited direct by different Local Bodies during the year 1934 but
§There is a difference of Rs. 19-4-3 in total receipts and expenditure which is made up of Rs. 519-8-9
Rs. 500-4-6 paid into Treasury less as explained in (*) above.
xvii
No. VIII.
MENTAL HOSPITAL, LAHORE, FOR THE YEAR 1935 AND TWO
YEARS.
Total.
8
Rs.
5,16,663
4,37,525
4,94,605
(§)
A.
9
14
5
P.
8
6
3
CHARGES.
Establishment
Establishment
proper.
9
Rs.
78,061
80,388
82,215
A.
11
4
1
P.
0
0
0
Superinten-
dence.
10
Rs
39,801
31,163
33,789
A
12
15
11
P.
0
0
0
Diet.
11
Rs.
86,220
91,922
1,01,865
A.
2
12
0
P.
2
7
7
Clothing and
Bedding.
12
Rs.
17,994
22,437
21,233
A.
14
0
14
P.
6
9
6
Bazar Medicines.
13
Rs.
761
1,532
1,816
A.
5
13
8
P.
6
6
3
(concluded )
Deduct Refunds.
18
Rs.
2,190
1,881
1,569
A.
14
0
5
P.
5
9
5
Total of
columns 9—18
19
Rs.
4,93,200
4,17,011
4,65,586
A.
3
13
12
P.
8
4
8
Book Charges.
Charges on
account of
work done
by the
Public Works
Department.
20
Rs.
21,123
17,450
26,378
A.
0
0
6
P.
0
0
0
Cost of printed
forms and
stationery.
21
Rs.
132
147
184
A
9
8
8
P.
2
2
10
Cost of English
Stores
Medicines, etc.
22
Rs.
4,532
2,671
2,474
A.
10
9
14
P.
0
0
0
Total of columns
19-22.
23
Rs.
5,17,988
4,37,280
4,94,624
(§)
A.
6
14
9
P.
10
6
6
REMARKS.
24
were not credited during the year due to the Treasury being closed on account of Xmas holidays.
1934 but no intimation was received of this credit
Notification was only received during the year 1935.
no intimations were received of such credits. Notifications were only received during the year under report
paid under the head Deduct Refunds out of permanent advance and not yet drawn from the Treasury and
xviii
STATEMENT
SHOWING RECEIPTS AND EXPENDITURE ON ACCOUNT OF
YEAR 1935
YEAR.
1
1933 ...
1934
...
1935 ...
MEAN POPULATION.
Males.
2
832.18
863.00
883.27
Females.
3
224.52
234.38
226.86
Total.
4
1,056.70
1,097.38
1,110.13
Cash paid into
Treasury for
articles
sold.
5
Rs.
340
93
424
A.
0
2
10
P.
9
0
9
Value of
manufactured
goods made
over to Asylum
for Asylum
purposes.
6
Rs.
23,443
25,423
26,917
A.
10
7
10
P.
9
3
3
YEAR.
1
1933 ...
1934 ...
1935 ...
DEBITS-concld.
Value of
plant and
machinery in
store on 1st
January.
13
Rs.
750
750
750
A
0
0
0
P.
0
0
0
Raw material
purchased.
14
Rs.
3,536
4,001
4,015
A.
0
7
12
P.
6
0
9
Contingencies
of manufacture.
15
Rs.
160
173
474
A.
14
14
14
P.
0
6
6
All other
Charges.
16
Rs. A. P.
..
..
..
Total
Debits.
17
Rs.
4,827
6,675
6,290
A.
0
5
11
P.
9
6
3
NOTE.—1. The average number of inmates employed, during the year on manufactures
2. The "value" of materials, stores, etc., must be entered at market
xix
No. IX.
MANUFACTURES IN THE PUNJAB MENTAL HOSPITAL, LAHORE, DURING THE
AND TWO PREVIOUS YEARS.
CREDITS.
Value of
raw material
in store at
the end of
the year.
7
Rs.
380
1,750
1,050
A.
2
0
0
P.
3
0
0
Value of
manufactured
goods in store
at the end
of the year.
8
Rs. A. P.
..
..
..
Value of
plant and
machinery
in store at
the end of
the year.
9
Rs.
750
750
750
A.
0
0
0
P.
0
0
0
Total Credits.
10
Rs.
24,913
28,016
28,142
A.
13
9
5
P.
9
3
0
DEBITS.
Value of
manufactured
goods in
store on 1st
January.
11
Rs. A. P.
..
..
..
Value of
raw material
in store
on 1st
January.
12
Rs.
380
1,750
1,050
A.
2
0
0
P.
3
0
0
RESULTS.
Excess of
credits or
profits.
18
Rs.
20,086
21,341
21,851
A.
13
3
9
P.
0
9
9
Excess of
debits or
loss.
19
Rs.
A. P.
..
..
..
REMARKS.
Average number of lunatics employed on manufactures.
Males.
20
240.05
217.61
210.15
Females.
21
10.99
10.00
10.00
Total.
22
251.04
227.61
220.15
may be stated in the column for Remarks or in a foot note.
rate.
227 IGCH—202— 9-5-36 SGPP Lahore.
REPORT
ON THE WORKING OF THE
PUNJAB MENTAL HOSPITAL,
LAHORE
For the year 1936.
Lahore:
Printed by the Superintendent, Government Printing, Punjab,
1937.
Price; Rs. 0-4-0 or 5d.
Revised List of Agents for the Sale of Punjab Government Publications.
ON THE CONTINENT AND UNITED KINGDOM.
Publications obtainable either direct from the High Commissioner for India,
India House, Aldwych, London, W. C. 2, or through any bookseller.
IN INDIA.
The MANAGER, "The Qaumi Daler." and the Union Press, Amritsar.
The MANAGER, The Mufid-i-'Am Press, Lahore.
The MANAGING PROPRIETOR, The Commercial Book Company, Brandreth Road
Lahore.
L. RAM LAL SURI, Proprietor, "The Students Own Agency." Anarkali, Lahore.
THE PROPRIETOR, Punjab Law Book Mart, Mohan Lal Road, Lahore.
THE MANAGER, University Book Agency, Katcheri Road, Lahore.
L. FAQIR CHAND MARWANI, Bookseller, Peshawar Cantonment.
THE PROPRIETOR, Messrs. Motilal-Banarsi Das, Oriental Booksellers, Said Mitha
Street, Lahore City.
Messrs. J. RAYS & SONS, Booksellers &c., Edwardes Road, Rawalpindi.
Mr. H. D. LAL BIR, B. Com., Lahore Law Depôt, Katchery Road, Lahore.
The LOCAL SELF-GOVERNMENT INSTITUTE Book Depôt, 11, Elphinston Circle
Fort, Bombay.
The MINERVA BOOK SHOP, Anarkali Street, Lahore.
Messrs. RAMA KRISHNA & SONS, Anarkali, Lahore.
R.S. JAURA Esq., B.A., B.T., "'The Students' Popular Depôt," Katcheri Road
Lahore.
The PROPRIETOR, City Book Co., Post Box No. 283, Madras.
The PROPRIETOR, The Book Company Ltd., College Square, Calcutta.
The MANEGER, Standard Book Depôt, The Mall, Lahore.
The MANAGING PARTNER, The Bombay Book Depôt, Girgaon, Bombay.
Messrs. CHATTERJI & Co., Booksellers, 3, Bacharam Chatterji Lane, Post Office
Hatkhola, Calcutta.
Messrs. THACKER SPINK & Co. Ltd., P. O. Box No. 54, Calcutta.
Messrs. D. B. TARAPOREWALA SONS & Co., Taj Building, 210, Hornby Road, Fort,
Bombay.
Messrs. W. NEWMAN & Co. Ltd., 3, Old Court House Street, Post Box No. 76,
Calcutta.
The MANAGER, The New Book Depôt, No. 79, The Mall, Simla,
The MANAGER, The English Book Depôt, Taj Road, Agra.
Messrs. R. CAMBRAY & Co., 11-A, Haldar Lane, Bowbazar, Calcutta.
M. FEROZ-UD-DIN & SONS, Government Printers and Booksellers, opposite Tonga
Stand, Lohari Gate, Lahore.
Messrs. B. PARIKH & Co., Booksellers and Publishers, Narsinhji Pole, Baroda.
Messrs. R. S. TOMARA & SONS, Publishers, Oriental and Foreign Booksellers,
opposite Fort Gate, Delhi.
Messrs. SAMPSON WILLIAM & Co., Booksellers &c 127-B, The Mall, Cawnpore.
Messrs. J. M. JAINA & BROTHERS, Booksellers, Morigate, P. O. Box No. 74, Delhi.
The MANAGER, The Civil and Military Gazette Ltd., Edwardes Road, Rawalpindi
The PROPRIETOR: The English Book Depôt Wazir Ali Buildings, Ferozepore.
Proceedings of the Punjab Government, in the Medical
Department, No. 20885, dated 20th May, 1937.
READ—
Letter No. 4115-G., dated the 8th of April, 1937, from the In-
spector-General of Civil Hospitals, Punjab, forwarding the
Punjab Mental Hospital Report for the year 1936.
REMARKS.—The actual number of patients in the Mental
Hospital was less than in recent years, the maximum num-
ber being 1,064 as against 1,158 in 1935 and 1,127 in 1934.
The report shows that this was due to a strict control of
admissions, patients being chosen as far as possible who were
curable. In fact the number of admissions was only 1 29
during the year as against 223 in 1935 and 350 in 1934, and
only 9 criminal patients are included in the number of
admissions. This policy has no doubt improved the
conditions in the Mental Hospital, but the indications are
that the numbers seeking admission are steadily increasing
and the result of the restrictions on admissions is that a
large number of criminal and other mental cases are perforce
being accommodated in the various jails in the province
where the provision for their treatment is less satisfactory.
To meet this situation and the growing needs of the Hospital
it was decided to build additional accommodation for 300
male patients, and the work is now in progress. The accom-
modation for female patients is also inadequate, but it has
not been found possible to finance any further building
operations for the present.
2. The death rate shows a further decline from 3.96
to 3.58, the figures showing a substantial improvement on
the preceding few years. The percentage of patients cured
to the number admitted remains about the same, though
there has been a remarkable increase in the case of females,
from 8.0 per cent to 32.0 per cent
3. The total expenditure on the maintenance of the
Hospital was Rs. 2,90,944-13-9 against Rs. 3,03,555-10-10
in 1935, but owing to the reduced number of patients the
cost of maintenance per head slightly increased. Rupees
2,49,460-11-0 were recovered from local bodies as against
Rs. 1,66,536-6-8 in the previous year, the sum including
arrears for previous years in addition to the fixed annual
contributions. The result was that the net cost to Govern-
ment was only Rs. 13,823-0-7 against Rs. 1,14,278-7-3 for
1935. As remarked by the Inspector-General of Civil Hospi-
tals, this state of affairs can only last as long as arrears of
2
sums due under the old system of payments are being
cleared off. It is unfortunate that a number of District
Boards have not yet agreed to the flat-rate system of contri-
butions.
4. The Governor concurs in the acknowledgment paid
by the Inspector-General of Civil Hospitals to Lieutenant-
Colonel C. J. Lodge-Patch, M.C., I.M.S., who held charge of
the office of Medical Superintendent and to Dr. R. S.
Sharma, P.C.M.S., Deputy Medical Superintendent, who
officiated as Medical Superintendent for two months when
Lieutenant-Colonel C. J. Lodge-Patch was absent on leave.
ORDER.—Ordered that a copy of the report and of the
review be forwarded to the Government of India, Home
Department, for information, also that the review be pub-
lished in the Punjab Gazette.
Ordered also that a copy of the review be forwarded to
the Inspector-General of Civil Hospitals, Punjab, for inform-
ation.
By Order of the Governor of the Punjab,
W. G. BRADFORD,
Secretary to Government, Punjab,
Medical and Local Government Departments.
521 CS-202-7-6-37 SGPP Lahore.
No. 2580-G.
FROM
COLONEL C. H. REINHOLD, M.C., F.R.C.S.E., I.M.S.,
Inspector-General of Civil Hospitals, Punjab.
To
THE SECRETARY TO GOVERNMENT PUNJAB,
TRANSFERRED DEPARTMENTS.
Dated Lahore, the 3rd of March, 1937.
SIR,
I HAVE the honour to forward, herewith, the statistical
tables of the Punjab Mental Hospital, Lahore, for the year
1936, and to make the following remarks :
1. Population.—The total number of patients under
treatment on 31st December, 1936, was 991 and the maximum
number of patients in the hospital on any one night during
the year under report was 1064 as against 1158 in 1935
and 1127 in 1934. The daily average strength was also
low as compared with the figures of the preceding two
years, viz., 1033.56 in 1936 and 1110.13 and 1097.38 in
1935 and 1934, respectively. The all-round decrease is due
to the fact that strict control was exercised in selecting
the most suitable cases for admission and treatment into
this institution. Patients for admission were selected ac-
cording to their curability, so that they could be discharged
within a few months and make room for other cases. Those
who appeared chronic or hopeless were usually refused
admission. In previous years practically every patient,
criminal and non-criminal, male or female, who applied
for admission was admitted, but during the year under
review preference was given for the most part to male non-
criminal patients and only 9 criminal patients were admitted
during the year as against 85 in 1934 and 39 in 1935. The
discharges during the year were 185 (154 males and 31
females) as against 262 and 284 during the two preceding
years. The decrease in the number of patients remaining
on 31st December, 1936, is also due to the fact that many
chronic and harmless patients were handed over to the care
2
of any relatives who volunteered to take charge of them.
The total number of deaths was 37, giving a death rate
of 3.35 on new admissions as against 2.66 in 1935 and 4.09
in 1934. As stated above the admission of the most suitable
cases has given the result of 32 per cent. cured against 8
per cent. and 3.50 per cent. during the year 1935 and 1934
on the female side.
2. Sickness and Mortality.—Out of 37 deaths during
the year under report 3 were due to Dysentery, 5 to Pneumonia,
5 to Debility, 4 to Status Epilepticus, 2 to chronic Bron-
chitis and the remaining 18 to various other causes.
The gratifying decrease in the death rate which has
been apparent during the last four years (1932 to 1935)
has continued. During the period 1928 to 1931 the average
percentage of deaths to the total population was 10.58
whereas the percentages from 1932 onwards had been 7.68,
6.81, 6.19 and 3.96. The current year's figures of 3.58
is the lowest on record. Although the death rate on the
female side of the hospital is somewhat higher than on the
male side, the daily average sick on the female side is extra-
ordinarily low, being only 3.75 as against 9.28 and 10.81
in the two preceding years.
3. Accommodation. — The policy adopted during the
last 18 months of refusing a large number of patients who
could be treated elsewhere has resulted in eliminating the
congestion on the male side. Accommodation is available
at present, but it is being held in reserve as far as possible
to cope with the rush which invariably occurs during the
summer. On the female side, however, there is still over
crowding. The patients are nearly all chronic cases and
there is very little possibility of discharging any of them.
The Local Government have considered the problem of
overcrowding mentioned in the last report and have allotted
funds for providing additional accommodation for 300 male
patients and the project for additional accommodation on
the female side where the problem of overcrowding is
also acute has been included in the list of major works for
1937-38. It is hoped that it may be possible to provide
funds for it and start work during the ensuing financial year.
4. Suicides, escapes and deaths by violence.—There
was only one successful escape during the year under report
and there were no cases of suicides or deaths by violence.
3
5. Statement No. III.—Of the 991 patients, 154 were
criminals, viz., 150 males and 4 females as against 184 (178
males and 6 females) in 1935 and 196 (191 males and 5
females) in 1934. Nine male criminal patients only were
admitted during 1936.
6. Statement No. IV shows by communities the
number of patients admitted to the hospital during the
year under report and the two previous years.
7. Statement No. VI.—The number of patients of
each type of mental disease shown as under treatment on
the 1st January, 1936, does not correspond with the number
shown as remaining on 31st December, 1935, because all
the patients were rediagnosed during the year under report.
In 1935 an effort was made to distinguish between Mania,
Melancholia and Maniac Depressive insanity; but the
difference was more theorotical than practical. The great
majority of these patients really suffer from Maniac Depressive
insanity.
8. Statement No. VII.—As in former years, the most
frequent causes of insanity were previous attacks and
Cannabis Indica accounting for 28 and 23, respectively.
In the case of 11 patients there were two causes.
9. Statement No. VIII.—The total expenditure incurred
on the maintenance of this institution during the year 1936
was Rs. 2,90,944-13-9 as against Rs. 3,03,555-10-10 during
the previous year, but no original works were paid for during
the year under report. The expenditure on account of work
done by the Public Works Department was Rs. 12,356-15-0
as against Rs. 26,378-6-0 in 1935.
The cost of maintenance per head during 1936 works out
to Rs. 279-12-0 as compared with Rs. 273-7-0 in 1935 and
Rs. 251-12-5 in 1934. But owing to the very large recoveries
effected from local bodies (viz., Rs. 2,49,460-11-0 as against
Rs. 1,66,536-6-8 in 1935) the actual net cost to Government
is only Rs. 13,823-0-7 as compared with Rs. 1,14,278-7-3
in 1935. No reliable conclusions can be drawn from the
apparent reduction in the net cost for 1936 because under
the new scheme local bodies are paying their fixed contribu-
tions in advance and at the same time are paying off arrears
for the period prior to April 1936.
10. The profits resulting from hospital manufactures
amounted to Rs. 22,948-11-3, as compared with Rs. 21,851-9-9
and Rs. 21,341-3-9 in the two preceding years.
4
It has been possible to provide the patients with a
variety of fruits all the year round.
11. Lieutenant-Colonel C. J. Lodge Patch, M.C., I.M.S.,
held charge of the office of the Medical Superintendent of
the hospital throughout the year except for two months
when he was on leave and Dr. R. S. Sharma, P.C.M.S.,
Deputy Medical Superintendent, officiated for him. My
acknowledgments are due to Lieutenant-Colonel Lodge
Patch who performed his onerous duties with marked zeal,
energy and efficiency and also to Dr. Sharma and other
members of the staff, who ably assisted him in the efficient
administration of the hospital.
I have the honour to be,
SIR,
Your most obedient servant,
C. H. REINHOLD, COLONEL, I.M.S.,
Inspector-General of Civil Hospitals, Punjab.
STATEMENT No. I.
Showing the admissions, discharges, etc., of patients in
the Punjab Mental Hospital, Lahore, during the
year 1936 and two previous years.