7
61 males and 22 females. The water-supply and conservancy are satisfactory. On 1st
January, 59 male and 19 female patients remained, 17 males and 5 females were admitted,
making a total treated of 76 males and 24 females. Of these, 10 males and 1 female were
discharged—4 as 'cured' and 7 as ' improved', 4 males and 1 female died, leaving 62 males
and 22 females in confinement at the end of the year. The daily average strength was 59.8
males and 22.2 females, total 82. The percentage of cured to strength was 4.8, of died to
strength 6.0. The forms of insanity among admissions were mania 14, dementia acute 7,
and dimentia chronic 1. The cause of insanity of those admitted was unknown in 12, in 8
gánja was the cause given, 1 anger, and 1 hereditary predisposition. The total number on
the sick list was 43, of whom 17 were fresh admissions; debility was the principal cause of
admission to the sick list. Five deaths occurred—3 from debility and 1 each from epilepsy
and paralysis. The daily average number employed was 24.8 males and 9.3 females. The
males are employed in gardening; the females in grinding grain. The cost was Rs. 11,692-15-3,
and the cost per patient Rs. 142-9-5 as compared with Rs. 12,242-12-5 and Rs. 153-0-6
respectively in 1885.
All the patients are allowed the utmost freedom consistent with safety. The conduct
of the establishment has been satisfactory, and Hospital Assistant Sewoo Ellapa is favourably
mentioned for the manner in which he performs his duties.
DHA'RWAR ASY'LUM.
Superintendent—SURGEON-MAJOR JAMES DAVIDSON, M.B.
The asylum was under the superintendence of Surgeon-Major McConaghy to 26th
March 1886, and afterwards under the charge of Surgeon-Major Davidson to the end of
the year. The buildings are in a good state of repair. The conversion of the old Civil
Hospital into ten new cells sanctioned in Government Resolution No. 1762, Public Works
Department, dated 16th November 1885, was completed, and the new cells were opened for
the reception of lunatics in April. By this addition the accommodation available has been
increased from 18 to 28, allowing a separate sleeping room for each patient. On 1st January,
19 patients—11 males and 8 females—remained in the asylum, during the year 9 males and
3 females were admitted, making a total of 31. Of this number, 2 were discharged ' cured '
and I handed over to his friends ' improved,' leaving in the institution at the end of the
year 28 patients—17 males and 11 females. Of the patients treated, the form of insanity
was in 25 chronic dementia, 5 chronic mania, and 1 idiocy. The cause of insanity is reported
known in 13 cases and unknown in 18. Of known causes classed as physical, the abuse of
intoxicants, fever, and epilepsy are the most frequent, and grief and fear among those
classed as moral causes. Three criminal lunatics remained from the previous year, 4 were
admitted, making a total of 7 ; of these 2 were discharged cured. The general health of
the inmates has been very good, there was no death ; 28 patients were on the sick list, chiefly
for ague, diarrhœa, and debility. The average number employed in the garden was 6 : though
not a very profitable business, the garden affords healthy employment for some of the
patients. The value of vegetables supplied to the patients was estimated at Rs. 62, the
amount realized by sales Rs. 120-5-4. The cost was Rs. 8,366-0-7, and the cost per patient
Rs. 348-9-4 against Rs. 5,121-13-7 and Rs. 249-12-1 respectively in the previous year. The
increase is due to the cost incurred by the Public Works Department in converting part
of the old Civil Hospital into 10 new cells.
The conduct of the establishment is reported as satisfactory, and Hospital Assistant
Chimnáji Rámchander is again commended for performing his duties in a most careful
and efficient manner. The Committee of Visitors have been regular in their attendance.
AHMEDABAD ASYLUM.
Superintendent—SURGEON-MAJOR J. ROBB, M.D.
The buildings remain unaltered. Necessary repairs have been executed. It is reported
that the verandahs are too narrow, and do not afford sufficient protection from rain, which
beats into the cells. Accommodation is provided for 90 males and 18 females. The average
daily strength for the year was 107.4, and the maximum number of insanes confined at any
one time 113. There were 22 admissions and 2 re-admissions during the year, the re-
admissions being patients who escaped and were re-captured. Excluding the 2 escapes, 19
patients were discharged ; 14 of them were cured. The number brought on the sick list was
22, chiefly for fever, anæmia and bowel complaints. Seven deaths occurred. Seventeen cri-
minal lunatics were under treatment, 1 was admitted, and 1 discharged. Of known
causes of insanity among new admissions, gánja smoking was the chief. The lunatics are
encouraged to employ themselves in gardening, grain-grinding, and work connected with
the asylum : work in the garden proves very beneficial. A few domestic animals are kept as
pets. The water-supply, food, clothing and conservancy of the asylum continue satisfactory.
The establishment remains the same : the subordinate servants have generally behaved well.
Hospital Assistant Joseph Solomon is praised for the efficient manner in which he performs
his duty. The total expenditure was Rs. 13,816-5-10, being Rs. 98-0-2 more than last year.
The net annual cost per patient was Rs. 117-0-11, or Re. 1-6-2 more than in 1885. The
Visitors have been regular in their attendance, and the Superintendent again thanks them for
the support he receives from them.