4
Ganja smoking ... ...
Epilepsy ... ...
Hereditary ... ...
Grief ... ...
Spirit-drinking ... ...
Previous attacks ... ...
Religion...
...
Anxiety ... ... ...
10
7
5
4
3
3
3
2
Fever ... ... ...
Do. and persistent headache ...
Puerperal fever ... ...
Plague...
... ...
Disappointment ... ...
Anger ...
... ...
Injury to head
...
...
Unknown ... ...
1
1
1
1
1
1
1
38
In the existing social state of the people of India, information regarding
the previous habits of patients and the probable causes of their insanity must,
in my opinion, continue to be very incomplete. Many patients are mendicants,
of whom little is known ; and in the cases of those whose relatives are
accessible, it is often most difficult to obtain trustworthy particulars. Magistrates
and Police Officers usually have the best opportunities of obtaining the histories
of lunatics ; but it would seem that either these are neglected, or inquiries into
antecedents are neither closely nor intelligently pursued, or that the details are,
for various reasons, unobtainable. The Superintendents of Asylums report that
the information supplied by Medical Officers and Magistrates is often scanty
and defective ; but as regards the first-mentioned officials, they are in most in-
stances largely dependent upon the Judicial and Police Officers for the required
histories. I have now taken steps with a view to secure, in the future, as full
and accurate information as may be possible. As regards Indian hemp, I still
maintain the opinion that it is a not unfrequent cause of insanity which, in the
earlier attacks, takes the form of transient mania.
Statement No. VIII is a return of the sick in the asylum hospitals (for
diseases other than insanity) with the results :—On 1st January 1899 there re-
mained 29 patients under treatment and 429 were admitted, giving a total of
458 as compared with 512 in the previous year. Of these, 332 were cured, 8
discharged otherwise (7 were made over to the care of their friends, and in one case
the disease was changed), and 86 died, leaving 32 on the sick roll at the end of
the year 1899. The daily average of sick was 37.4 (males 26.2 and females
11.2) against 41.2 (males 30.3 and females 10.9) in 1898.
Ague, dysentery, debility, phthisis, diarrhœa, abscesses, spasmodic asthma,
epilepsy and Bright's disease were the chief causes of admission. The fol-
lowing table shows the principal diseases for which the patients were treated
as compared with the previous year. There was a considerable decrease in the
numbers of cases of fever, anæmia, debility, diarrhœa and injuries ; but a decided
increase occurred in the admissions for pneumonia, phthisis, dysentery and
Bright's disease. In the Dhárwár Asylum 3 inmates, of whom one died, were
attacked with cholera ; and at Poona 2 patients died of plague. In this asylum
103 of the inmates (daily average 100.9) were inoculated with Haffkine's pro-
phylactic. The results of these inoculations and of others performed among
the servants and their families have been separately reported to Government :—
Colába
...
...
Ratnágiri
...
Poona ... ...
Dhárwár...
Ahmedabad ...
Hyderabad (Sir
Cowasji Jehan-
gir).
Total ...
1899 ...
1898...
1899 ...
1898...
1899...
1898...
1899 ...
1898 ...
1899 ...
1898 ...
1899 ...
1898 ...
1899 ...
1898 ...
Fevers.
Total treated.
94
127
11
6
14
8
2
22
11
16
32
27
164
206
Total cured.
89
121
10
5
13
8
2
21
11
16
31
27
156
198
Total deaths.
*1
...
...
1
...
...
...
1
...
...
...
...
1
2
Anæmia.
Total treated.
...
1
...
...
2
8
1
...
1
1
...
2
4
12
Total cured.
...
...
...
...
2
3
...
...
...
1
...
1
2
5
Total deaths.
...
1
...
...
...
4
1
...
1
...
...
1
2
6
Debility.
Total treated.
30
37
...
...
4
7
1
1
2
2
3
6
40
53
Total cured.
25
35
...
...
1
4
...
...
2
2
2
3
30
44
Total deaths.
1
1
...
...
3
l
1
1
...
...
1
1
6
4
Pneumonia.
Total treated.
...
...
...
...
6
...
1
1
1
1
1
...
9
2
Total cured.
...
...
...
...
2
...
...
1
...
1
...
...
2
2
Total deaths.
...
...
...
...
4
...
1
...
1
...
1
...
7
...
Dysentery.
Total treated.
52
45
2
1
2
1
1
2
5
2
4
4
66
55
Total cured.
29
31
1
1
1
1
1
2
3
1
3
2
38
38
Total deaths.
15
8
1
...
1
...
...
...
2
...
1
1
20
9
Diarrhœa.
Total treated.
12
19
...
2
...
2
...
5
3
2
6
8
21
38
Total cured.
9
17
...
1
...
1
...
3
2
1
5
7
16
30
Total deaths.
2
l
...
1
...
1
...
2
...
1
1
1
3
7
* From enteric fever.