4
discharged otherwise (11 transferred to friends and in 2 cases the diseases were
changed), 101 died, and there remained 41 patients under treatment at the close
of the year. The daily average sick was 48.4 as compared with 67.4 in the
preceding year. The chief causes of admissions were ague, dysentery, debility,
epilepsy, diarrhoea, bronchitis, chronic pneumonic phthisis, abscess, paralysis,
pneumonia, remittent fever, influenza, cholera and dropsy. Of the 101 deaths,
20 were due to dysentery, 13 to epilepsy, 11 to chronic pneumonic phthisis, 9
to pneumonia, 8 to cholera, 7 to paralysis, 6 to dropsy, 3 each to remittent
fever, debility, old age, anœmia and diarrhoea, 2 to ague and 1 each to influenza,
erysipelas, tubercle of lungs, disease of the heart, bronchitis, enteritis, peritoni-
tis, Bright's disease, curvature of spine and asphyxia.
The following table gives the ratio of deaths per mille of the average daily
strength and the total population of each of the asylums as compared with that
of the preceding year :—
Colába
...
Ratnágiri
...
Poona
...
Dhárwár ...
Ahmedabad ...
Sir Cowasji Jehángir,
Hyderabad.
Total ...
1893 ... ...
1894 ... ...
1893
...
...
1894 ... ...
1893 ... ...
1894 ... ...
1893 ...
...
1894 ... ...
1893 ...
...
1894 ... ...
1893 ... ...
1894 ... ...
1893 ... ...
1894 ... ...
Average
daily
strength.
285.5
287.6
84.7
96.6
96.0
95.0
36.0
38.0
105.9
105.3
108.0
105.0
716.1
727.5
Total
population.
452
445
99
108
138
147
43
44
116
120
140
136
988
1,000
Number
of deaths.
44
41
2
5
13
32
...
1
2
5
16
17
77
101
RATIO OF DEATHS
PER MILLE TO
Average
daily-
strength.
154.1
142.6
23.6
51.8
135.4
336.8
...
26.3
18.9
47.5
148.1
161.9
107.5
138.8
Total
population.
97.3
92.1
20.2
46.3
94.2
217.7
...
22.7
17.2
41.7
114.3
125.0
77.9
101.0
From the above it will be seen that excepting Colába the death-rate was
higher in all the asylums. At Colába the total number of deaths was 41 (3
Europeans and 38 Natives), or 3 less than in the previous year. Among the
Europeans there were 2 cases of chronic pneumonic phthisis and 1 of dropsy, mak-
ing a death-rate of 36.6 per mille of the total population compared with 56.3 in the
previous year. The 2 cases of phthisis had been long in the asylum under treat-
ment suffering from chronic dementia and idiocy ; both these cases had been under
treatment in the hospital for some time with tubercular deposit in the lungs
complicated with dysentery which rendered treatment of little avail. The case
of dropsy occurred in a British soldier who had been suffering from œdematous
condition of lower extremities and face prior to his admission into the asylum,
the result apparently of cirrhosis of the kidneys and dilatation of the left cavi-
ties of the heart and other morbid conditions revealed at the post-mortem
examination. The mortality among the Natives was at the rate of 104.7 per
mille as compared with 105.0 in 1893 and due chiefly to dysentery, chronic
pneumonic phthisis, paralysis, epilepsy, and dropsy. Eleven of these cases were
pauper patients, sent in by the Police, and were found on admission much
exhausted by privations and suffering from advanced stages of disease, chiefly
from dysentery, pulmonary phthisis and paralysis. Others were old inmates