10
treatment for nearly three months. Another old man of 61, a criminal lunatic
of over 15 years' residence in the asylum, who suffered from dysentery, persistent-
ly refused nourishment and died from exhaustion thirteen days after his admis-
sion into the asylum hospital. The case of anæmia was that of an old man of
weak constitution. During his nine months' residence in the asylum he suffered
from continued maniacal excitement, gradually lost flesh and weight, and latter-
ly became very anæmic. He eventually died from extreme weakness. The
death from pneumonia was in an insane, aged 64, who was an inmate of the
asylum for over 31 years. He was attacked with pneumonia and died five days
after his admission into the asylum hospital. The insane who died from chronic
phthisis had been a resident of the asylum for over 25 years. He was on the
sick list forty days before his death.
At the Hyderabad Lunatic Asylum there were 7 deaths, or the same as
in the year 1898, the ratio of deaths per mille of the total population being 50.7
against 50.4 in the previous year. Dysentery, debility, diarrhœa, bronchitis,
pneumonia, ague and heat apoplexy accounted for the mortality. The fatal case
of dysentery was that of a man sent from Baluchistan, who was found on admis-
sion to be suffering from scorbutic dysentery for which he was treated in the
asylum hospital. There was a slight improvement in his general condition for a
short time, but he had recurrent attacks of fever and dysentery from which he
died on 2nd January 1899. The death from debility occurred in a man aged
about 60 years, who, before his admission into the asylum on 9th December
1897, suffered from paralysis agitans. He was extremely weak and emaciated,
and succumbed on 4th January 1899. The patient who died from diarrhœa
on 4th October 1899 was an old man confined in the asylum since 1875.
The death from bronchitis was that of an old man admitted into the asylum
on the 23rd August 1899. On the 10th November he refused food and medi-
cines and exposed himself to cold at night. The fatal case of pneumonia was
that of a man who entered the asylum in an emaciated condition on 6th August
1899. His habits were dirty, he remained naked and ate rubbish. He became
ill on the 26th October, and died on 21st November. The woman who died
from ague entered the asylum on the 29th December 1897, and frequently suffer-
ed from fever. Being attacked with this disease on the 25th September, and
refusing food, she died from exhaustion on the 10th October. The seventh
death, which is attributed to heat apoplexy, was that of an elderly man, of filthy
and destructive habits, who came into the asylum on the 9th April 1896. On the
4th September 1899 he suddenly became insensible with a high temperature,
and died in about half an hour. Post-mortem examination showed congestion
of the brain with pericardial effusion and a feeble muscular tissue of the heart.
Three major injuries are reported. A case of fracture of the neck of the
femur, caused by tripping over a curb-stone, was treated in the Ratnágiri Asylum ;
the patient, who was aged and weakly, recovered with a shortened limb.
The case of sprained ankle in the Dhárwár Asylum was that of a criminal
lunatic pronounced sane by the visitors' committee, and ordered by Government
to be sent for trial on 14th December 1899. While working in the asylum
garden, he suddenly ran to the well and jumped into it. He was soon rescued
by means of a moat, and he confessed that it was to avoid the disgrace of punish-
ment that he attempted suicide.
At the Sir Cowasji Jehangir Lunatic Asylum, Hyderabad, whilst a patient
was working in the kitchen, an iron bucket full of water slipped from his hand
and fell on his right foot, causing a compound fracture of the phalanges of the
great toe.
Statement No. IX is the cash account of the asylums for the year 1899.
The total income was Rs. 1,51,866-11-11. Of this sum, Rs. 1,22,022-14-2 were
received from the treasury, Rs. 17,380-2-11 from paying patients, Rs. 3,056-1-0
from the manufacturing departments, being the value at market rates, less cost
of raw materials, of articles supplied to the asylums and sold to the public to-
gether with the labour of lunatics for grinding grain ; and Rs. 8,664-11-1 were
" book receipts " on account of work done by the Public Works Department and
the supply of Europe stores, printed forms and stationery. The corresponding
figures for the previous year were Rs. 1,22,012-9-0, Rs. 14,436-4-2, Rs. 2,726-3-10
and Rs. 12,897-6-7. Miscellaneous receipts amounted to Rs. 742-14-9 as
compared with Rs. 220-8-6 in 1898.