6

admissions to the Punjab Mental Hospital who have evidently
been infected in their own homes. Last year has been exceptional
in that tuberculosis in one form or another has been the greatest
individual cause of death.

The incidence of malaria was much greater in 1926
than in any year since the institution was built. The
figures for 1924, 1925, and 1926, under this head, are,
respectively, 24 cases, with 2 deaths, 34 cases, with 4 deaths, and
135 cases, with 5 deaths. This enormous increase appears to be
directly due to the abominable state of the Mian Mir storm water
channel to which reference has been made in a previous page.

These cases of malaria have increased the numbers of daily
sick, which are 52.17, 50.64 and 71.81 in the three successive
years. The death rate, however, in spite of the large number of
daily sick, and the unusually high mortality from pneumonia and
tuberculosis, shows a satisfactory decrease. The percentages of
deaths to the daily average strength for 1924, 1925 and 1926
are 11.31, 14.23 and 9.25, respectively.

IX. Cash Accounts.—It is satisfactory to report that there
has been a steady decrease in the amounts drawn from the trea-
sury for the upkeep of the institution. If Book Charges for the
work carried out by the Public Works Department, etc, are not
included, such amounts are Rs. 2,28,945-11-11, Rs. *2,33,140-12-3
and Rs. 2,18,510-15-3 for the years 1924, 1925 and 1926, respec-
tively. There has been a decrease in the amounts expended under
the heads of diet, clothing and beddings miscellaneous con-
tingencies, repairs and maintenance, rates and taxes.

The amount remitted to the treasury on account of paying
patients and miscellaneous receipts during 1926 was Rs.
13,411-0-5 as compared with Rs. 13,484-13-0 in 1925, and
Rs. 11,840-13-7 in 1924. This must be regarded as satisfactory
in view of the fact that the total number of patients has fallen
off in the last two years, and it seems to indicate that a greater
number of better class patients are being admitted to the hospi-
tal now than in former years.

                C. J. LODGE-PATCH, M.C., CAPTAIN, I.M.S.,
                Medical Superintendent, Punjab Mental Hospital.

*Owing to a clerical error in the Annual Return for 1925, the sum of Rs. 5,547-5-0 on
account of the pay of mentals was not included in columns 3, 8,9,19 and 23 of Statement VIII
for that year. The necessary corrections have been made, and the actual amounts expended in
1925 are as shown in the present triennial report.