6
deaths during the year, occurring chiefly among patients whose health had been broken
down for a considerable time, the chief cause of mortality being General Debility in old
patients, many of whom had been in the Asylum for years. The daily average number of
patients employed was 27 males and 13 females. The male patients are employed in the garden
and in the compounds of the Sassoon Hospital and Collector's office and the females are en-
gaged in grinding grain inside the institution. The patients are allowed the fullest liberty
consistent with their safe custody, and all who can be induced to work are encouraged to
do so, particularly in the open air. The Superintendent reports that with the exception of
a Mukádam and three peons who were dismissed for being implicated in the ill-treatment of
a lunatic, and the replacement of Hospital Assistant Rajana Romdoo for laxity in his
supervision, the duties of the other members of the establishment have been satisfactorily
performed. The total cost was Rs. 10,567-13-4 and the net cost Rs. 130-12-5 as compared
with Rs. 11,748-4-10 and Rs. 154-0-8 respectively in 1882.
DHA'RWA'R ASYLUM
Superintendent.—SURGEON MAJOR BAINBRIDGE.
This institution was in charge of Surgeon-Major Cook from 1st January to 4th
April, of Surgeon Henderson from 5th April to 20th September, and of Surgeon-Major
Bainbridge from that date to the close of the year. No additions or alterations in the build-
ings were made during the year. The Asylum accommodates 18 patients, allowing a separate
sleeping-room to each. Room can be found, however, for two or three other quiet patients.
Twenty-four persons were confined during the year under review, seven being new admissions.
Of these, 4 improved and were made over to the care of their relatives, and 2 died, leaving 18
patients (11 males and 7 women) under care on the 31st December. Acute mania 7, chronic
mania 3, acute dementia 2, and chronic dementia 12, were the several types of insanity
treated. Two criminal lunatics were under treatment—one was discharged improved and sent
for trial to Belgaum, and the other is still in the Asylum. General health of the inmates
was fair. Sixteen cases of illness were admitted for treatment, 10 were discharged, 2 died
and 4 remained in Hospital. Of the 2 deaths, one was caused by Phthisis Pulmonalis and
the other of extensive softening and disintegration of the brain substance. A daily average
number of 4.3 were employed in the garden, no other form of occupation being provided, and
the female inmates were entirely without employment. No payments were made on account
of patients, they being all paupers. The value of the sales of vegetables and fruit during 1883
amounted to Rs. 64-0-2. The visiting committee regularly inspected the institution on the
1st Friday in each month. The conduct of the members of the establishment has been
favourably reported on by the Superintendent. The total cost was Rs. 4,814-2-5 and the
net cost per patient Rs. 277-6-5 against Rs. 4,044-7-7 and Rs. 225-14-9 respectively in
the previous year.
AHMEDABAD ASYLUM
Superintendent.—SURGEON-MAJOR BANKS.
No change has been made in the buildings. The ordinary repairs were as usual carried out
by the Public Works Department. The water-supply from wells on the premises is ample,
and the quality fair. The quality of food supplied to the inmates is good, and the quantity
sufficient. The clothing is suitable and ample, and most of the patients have given them
a taped iron cot, together with a carpet, two cumblis and a pillow. The Superintendent
again urges the providing of separate detached accommodation for females, which would in-
crease that for males, admission having to be refused on several occasions during the year for
want of such. Conservancy arrangements are effective. On the 1st January 1883 there
remained in the Asylum 91 males and 20 females, and during the year 28 males and 4 females
were admitted. Of these, 20 males and 2 females were discharged as " Cured," and 4 males and
1 female handed over to their friends, the mental condition of 1 male and 1 female being
improved, and there were 6 deaths ; consequently there remained at the close of the year 91
males and 19 females ; total 110. The general health has been satisfactory : 42 cases out of
a population of 110.3 were under treatment, 25 of which were those of malarious fever. On
the 1st January there were 15 criminal lunatics: 4 were admitted, two discharged and one
died, leaving a total of sixteen at the end of the year. Those of the inmates who can be induced
to work are employed in the garden, grinding grain, drawing water, &c, and the ordinary
domestic work of the institution. The garden is well kept, and realized a net profit of
Rs. 426-11-9 for the year. Musical instruments and pet animals and birds are kept for the
amusement of the patients. The Asylum was regularly inspected by the official visitors
monthly and half-yearly. The conduct of First Class Hospital Assistant Joseph Solomon
is highly reported on, and the other members of the establishment performed their duties to
the satisfaction of the Superintendent. The total cost was Rs. 14,306-12-9 and the net
cost per patient Rs. 114-4-2, as compared with Rs. 14,735-11-1 and Rs. 109-4-11 respectively
in the preceding year.