6
asylum in 1889 and was the subject of epileptic insanity. His temperature ran
high and from the outset he had lung complications and cardiac failure. Post-
mortem examination showed evidences of old pleuro-pneumonia as well as
recent disease.
The Ahmedabad Asylum shows an increase of 3 deaths over the previous
year. The mortality was due to anœmia 2 and to chronic diarrhœa, pneumonia
and enteritis 1 each. The fatal case of enteritis occurred in a woman, the
disease proving fatal in 7 hours, probably due to acute malarial poisoning. Of
the 5 fatal cases, all with one exception were amongst inmates whose bodily
health was much impaired before admission to the asylum. The ratio of deaths
per mille of the total population was 41.7 compared with 17.2 in 1893, but the
percentage of deaths to daily average strength during the previous five years was
6.0 and in the year under report 4.7.
At the Cowasji Jehángir Asylum, Hyderabad, the number of deaths was
17 against 16 in the previous year, and the ratio per mille of the total popula-
tion was 125.0 compared with 114.3 in 1893. The causes of mortality were
pneumonia 7, dysentery 3, ague followed by debility 2, and remittent fever,
erysipelas, dropsy, epilepsy and asphyxia (strangulation suicidal) 1 each. The
high death-rate was much influenced by the high inundation (as in the year 1892)
of the river Indus. The asylum was for months surrounded by water and was
unhealthy in consequence of the severity of the cold weather. Of the 17 fatal
cases, 4 occurred during the months of January and February 1894 from
pneumonia.
Statement No. IX is the cash account of the asylums during the year under
review. In accordance with the orders of the Government of India conveyed
in their Home Department (Medical) letter No. 480, dated the 13th August
1894, embodied in this Government Resolution No. 3405, dated 8th Septem-
ber 1894, General Department, the value of the asylum manufactures sold to
the public has been shown under the head of " Miscellaneous Receipts," and the
estimated value of labour of insanes as supplementary servants of the asylums
omitted. The total income amounted to Rs. 1,37,477-10-10. Of this,
Rs. 1,09,781-7-2 were received from the Treasury, Rs. 13,781-5-3 from paying
patients, Rs. 11,014-4-11 were "book receipts" on account of Europe medicines,
forms and stationery and work done by the Public Works Department, and
Rs. 1,727-9-5 were miscellaneous receipts. The figures for the previous year
were Rs. 1,07,257-9-1, Rs. 14,023-3-6, Rs. 8,218-6-6, and Rs. 1,763 respectively.
The value of manufactured goods made over to asylums for asylum purposes
was Rs. 1,173-0-1 as compared with Rs. 902-9-1 in 1893. The total expendi-
ture was the same as the income. The establishment cost Rs. 46,594-14-6,
showing an increase of Rs. 665-4-3, due to the increased rate of exchange com-
pensation allowance to the Superintendent of the Colába Lunatic Asylum and to
the additional establishment in the Dhárwár Asylum. Rs. 50,091-8-9 were
expended on diets against Rs. 49,849-10-4 in 1893, the increase being attributable
to the somewhat larger number of patients. Clothing and bedding cost
Rs. 4,720-7-1, or Rs. 658-7-2 less than in the previous year. There is a decrease
of Rs. 141-11-2 in the expenditure of medicines, while contingencies show an
increase of Rs. 2,559-3-4 over the preceding year, due to the renewal of
cooking pots, hardware, &c., as well as to the purchase of more books and perio-
dicals for the Colába Asylum Library, from the discretionary grant.
The following is the abstract of cash account required by the Government
of India :—