8
treated with cough mixtures and tonics, but gradually lost flesh and died on 4th
February 1899. The post-mortem examination showed congestion of the brain
and its membranes and some serous fluid in the cavity of the arachnoid. No
abnormal growth was seen in or around the brain which weighed 40 ozs. The
right lung was quite solidified in its whole extent and was of a greyish colour,
and on cutting into it some purulent fluid exuded. The left lung was partially
consolidated and of a dark reddish colour. The heart, liver, and spleen were
normal, and the kidneys congested. The third death from pneumonia was that
of a male insane, Vithal Ramchander, admitted into the asylum in a very feeble
condition on the 30th June 1899 for chronic mania with epilepsy. He was
inoculated for plague on 10th July, and, having fever, was transferred to the sick
list on the 22nd July and died of pneumonia on the 3rd August 1899. Post-
mortem examination showed consolidation of the left lung and peritoneal
effusion, but no glandular enlargements. Brain weighed 40 ozs. The fourth
fatal case of pneumonia was that of Nursu Amruta, admitted into the asylum
on the 18th November 1891 for idiocy. He was inoculated for plague on the
10th July 1899, attacked with pneumonia on the 22nd, and died on the 24th
idem. The post-mortem examination showed :—rigor mortis well marked, no
enlargement of glands, the heart pale and small with much fat on its surface
and clots in the cavities, base of left lung much consolidated, liver, spleen and
kidneys normal, brain weighed 40 ozs., dura mater very adherent to vault of
skull, no tumour or other abnormality. Of the three insanes who died of debi-
lity, one, admitted into the asylum on 14th June 1896 for acute mania, was
soon after placed on sick list. Owing to derangement of his digestive system,
he was unable to properly assimilate his food, and hence liable to frequent
slight attacks of diarrhœa which gradually impaired his health. Later on he
persistently refused food, and died from exhaustion on 11th February 1899.
The post-mortem examination showed emaciation. The brain weighed 41 ozs.
There was paleness of its membranes with some congestion and softening of its
substance and serous fluid in the ventricles, but no abnormal growth ; lungs
somewhat congested ; heart, liver and spleen pale ; stomach and intestines anæmic,
and the kidneys congested. The second case came into the asylum on 7th May
1898 for melancholia and was in a weak state on admission, and though not
placed on the sick list until 14th May 1899, he had been treated with extra
nourishment. He had daily fever, became greatly emaciated and sank on 3rd
June 1899. The third fatal case of debility was, on admission into the asylum
on 13th August 1899 for melancholia (chronic), returned as "in a bad state of
health.'' He declined food, swelling and œdema of the face and legs supervened,
and he died on 18th December 1899. The death from dysentery was in an
insane who entered the asylum for acute mania on 13th April 1895 in a debilitated
condition. She was admitted into the hospital for acute dysentery on 11th
October 1899, and died on 9th December 1899. No post-mortem examination
made in the three above-noted cases. Of the two cases of plague, Bhondia
Rama was admitted into the asylum on 4th October 1889 for acute mania in
a fair state of health. On 26th August 1899 he was suddenly attacked with
fever, temperature 105.2°. Signs of pneumonia set in, but no enlarged glands
were found in any part of his body. He was transferred to the General Plague
Hospital, where he died of pneumonie plague on 28th August. He had been
inoculated for plague on 1st July, 56 days before death. The second fatal case
of plague was that of a woman, name unknown, who came into the asylum for
acute dementia on 24th February 1889, and was reported to be in fair health.
She was attacked with fever, temperature 104°, on 18th September 1899, and
a bubo was found in her right axilla. She was transferred to the General
Plague Hospital, where she died on 23rd September. She had been twice
inoculated for plague, viz., on the 29th July and 31st August 1899.
The Dhárwár Asylum shows an increase of 2 deaths over the previous year,
viz., 7 against 5, giving a ratio of 90.9 deaths per mille of the total population,
as compared with 68.5 in 1898. The causes were pneumonia, anæmia, acute
bronchitis, cholera, general debility, fatty degeneration of the heart and
cirrhosis of liver. The fatal case of pneumonia was that of a man of very
poor physique who came into the asylum on 5th May 1898 for acute mania.
He was subject to periodical fits of excitement, destroyed his clothing and often
remained naked. He apparently got chilled from this exposure in the