22             ANNUAL REPORT ON LUNATIC ASYLUMS.

5. The following table will show those that remained, admitted, discharged
died, transferred, and remaining of the civil and criminal inmates :—

Civil.

Criminal.

Total.

Males.

Females.

Males.

Females.

Remained ... ... ... ...

35

16

13

1

65

Admitted ... ... ... ... ...

31

8

3

1

43

Discharged "cured" ... ... ...

7

1

1

...

9

Transferred ... ... ... ...

...

1

...

...

1

Died ... ... ... ... ...

9

1

2

...

12

Remaining ... ... ... ...

51

21

12

2

86

The above table requires a little explanation.

(a.) It will be seen that the admissions have been more than any previous
year, and this is owing to a recent order of Government that all wandering lunatics
should be taken up by the police, with a view of their being sent to the asylum.

(b.) The old standing cases remain in statu quo, while cases are constantly
coming in through the police, which causes the daily average number to steadily
increase.

(c.) There were nine discharged "cured." Of these, all were inmates that have
been in the asylum under a year, except one civil female lunatic who was 1 year,
9 months, and 12 days. They were nearly all cases of acute mania brought
on by neglect, want of food ; and by a little care and attention recovered, both as
regards their body and mind.

(d.) Of the twelve deaths, it will be noted that nine of them were new
admissions, and who had only been in the asylum about four months, and one three
days, who died from small-pox, and three old standing cases. This is owing to
the deplorable state of health in which the cases are when first brought to the
asylum, as the following table stating their condition on admission will show :—

Name.

Age.

Sex.

Residence in
the Asylum.

State of
Health on
admission.

Disease.

Immediate Cause of
Death.

Y.

M.

D.

Eramu ... ...

35

M.

8

9

10

Good ...

Chronic dementia.

Dysentery.

Sungara Panikar

49

M.

1

10

4

Bad ...

Acute mania ...

Paralysis insanorum.

Mniripoker ...

40

M.

0

10

9

Do.

Do. ...

Ague.

P. Ramunni ...

40

M.

0

4

24

Indifferent.

Acute dementia.

General dropsy.

Daniel ... ...

23

M.

0

1

9

Bad ...

Acute mania ...

Dysentery.

Kandan ... ...

19

M.

0

1

10

Fair ...

Do. ...

Pneumonia.

Mattan Govundan

30

M.

0

3

0

Very bad.

Chronic dementia.

Atrophy.

K. Raman Nair ...

22

M.

0

3

7

Good ...

Acute mania ...

Do.

Ayissa ... ...

30

F.

0

2

5

Very bad.

Acute dementia.

Paralysis insanorum.

Abdulla ... ...

27

M.

0

0

3

Do. ...

Acute mania ...

Small-pox.

"Unknown" ...

60

M.

0

3

20

Do. ...

Chronic mania ...

Dysentery.

Kanaren Nair ...

50

M.

0

1

22

Indifferent

Acute mania ...

Abscess, brain.

I have to be very careful as to their diets on admissions ; and even with much
care, new admissions are very liable to diarrhœa and dysentery, as their digestive
organs are altogether out of order from previous neglect and bad food. They
generally get well in body as their present condition shows.

The health of old standing cases remain good, and seldom deaths occur
from their ranks, and when they do, it is nearly always the result of atrophy or
paralysis.