4
From the above it will be seen that the death-rate was higher in all the
asylums in the year under report than in the past year. At Colába the high
death-rate was due to dysentery, diarrhœa and phthisis during the rains and
the cold weather, and was attributed to heavy rainfall. At Poona the
deaths were due chiefly to diarrhœa and debility among inmates admitted
in a weak and debilitated condition. At Ahmedabad the fatal cases were chiefly
among old weakly patients. The ages of the fatal cases ranged from 49 to 64
years, and 7 were inmates for periods ranging from 10 to 30 years. At Hyder-
abad the cause of the high mortality was attributed to the exceptional unhealthi-
ness of last hot season, the principal feature of which was the unprecedentedly
high inundation of the Indus, the level of which was 3 to 4 feet above that
of the asylum ground. After the inundation subsided, malarial fever and
pneumonia appeared in a virulent type both among the lunatics and the asy-
lum establishment. At Ratnágiri the seven cases were forms of insanity which
sooner or later tend to a fatal issue.
Statement No. IX is the cash account of the asylums for the year under
review. The value of forms and stationery has been shown in this statement
for the first time. The total cost was Rs. 1,31,399-11-11 as compared with
Rs. 1,27,424-15-10 in the previous year. The expenditure on establishment was
Rs. 44,073-4-4 against Rs. 42,234-3-6 in 1891, the increase being due to the
increased rate of pay and allowances to the permanent incumbent of the Colába
Asylum who rejoined at the beginning of the year, and to the Senior Apothecary
on account of his promotion to the higher grade and to the Hospital Assistant
attached to the Poona Asylum, as well as to the entertainment of an additional
2nd class female warder in the asylum at Ratnágiri. Diet cost Rs. 51,446-0-1,
showing an increase of Rs. 5,584-13-4 over the previous year, due partly to the
increased number of patients and partly to the increased contract rates on account
of scarcity. There is a decrease of Rs. 874-6-10, Rs. 59-7-0 and Rs. 1,330-2-6
in the cost of clothing and bedding, medicines and contingencies respectively.
The following is the abstract of cash account required by the Government of
India :—
Colába
...
...
...
Ratnágiri
...
...
...
Poona ... ... ...
Dhárwár
...
...
...
Ahmedabad ... ... ...
Sir
Cowasji
Jehángir,
Hyderabad
...
...
Total ...
Daily
average
strength
in 1892.
300.0
81.9
94.0
35.5
104.8
121.6
737.8
ESTABLISHMENT.
Total cost.
Rs.
25,993
4,166
3,739
1,731
3,922
4,520
44,073
a.
10
10
2
7
0
5
4
p.
9
1
0
8
0
10
4
Cost per
head of
average
strength.
Rs.
86
50
39
48
37
37
59
a.
10
14
12
12
6
2
11
p.
4
0
5
5
9
9
9
DIET.
Total cost.
Rs.
31,454
3,728
4,998
1,661
4,901
4,702
51,446
a.
2
10
2
1
0
13
0
p.
6
7
7
9
10
10
1
Cost per
head of
average
strength.
Rs.
104
45
53
46
46
38
69
a.
13
8
2
12
12
10
11
p.
7
5
9
8
3
10
8
CLOTHING AND BEDDING.
Total cost.
Rs.
2,074
235
574
114
496
521
4,018
a.
13
8
14
13
8
13
6
p.
3
4
0
9
3
4
11
Cost per
head of
average
strength.
Rs.
6
2
6
3
4
4
5
a.
14
14
1
3
11
4
7
p.
8
0
10
9
10
8
2
Colába ... ... ...
Ratnágiri ... ... ...
Poona
...
...
...
Dhárwár ... ... ...
Ahmedabad
...
...
Sir
Cowasji
Jehángir,
Hyderabad
...
...
Total ...
MEDICINES.
Total cost.
Rs.
1,157
33
117
121
156
42
1,630
a.
15
14
9
13
7
12
8
p.
9
2
6
1
1
6
1
Cost per
head of
average
strength.
Rs.
3
0
1
3
1
0
2
a.
13
6
4
6
7
5
3
p.
9
7
0
11
11
8
4
CONTINGENCIES, INCLUDING FORMS
AND STATIONERY.
Total cost.
Rs.
5,341
467
597
333
791
394
7,925
a.
4
4
2
12
12
1
4
p.
3
8
0
4
3
4
10
Cost per
head of
average
strength.
Rs.
17
5
6
9
7
3
10
a.
12
11
5
6
8
3
11
p.
10
3
8
5
11
10
10
TOTAL.
Total cost.
Rs.
66,021
8,631
10,026
3,963
10,267
10,181
1,09,093
a.
14
15
14
0
12
14
8
p.
6
10
1
7
5
10
3
Cost per
head of
average
strength.
Rs.
220
105
106
111
97
83
147
a.
1
6
10
10
15
11
13
p.
2
4
8
2
7
9
10