ANNUAL REPORT ON LUNATIC ASYLUMS.
9
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Madras i vizagupafcam
i Calicut
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Total ..
T1899 [1898 f 1899 \189S T1899 t.2898
T1899 1.289S
39
3G8
407
.56
387
m
8
54
57
3
47
50
13
60
73
8
81
80
55
482
537
47
515
562
134
44 37 39
51
158
8
4
20
J7
18U
175
50
28 o
C 0 8
58
65
30 3 3 8
23
61-70 50-30 5-43 3-83 14-21 25-23
217 »90
76 05
81-34 75-55
The most frequent causes of admission into hospital wore—
In i ln Madras. '■ Vlf &*-: patarn.
In
Calicut.
Mania
Epilepsy ......        ......
Tubercle
Simplo continued fever ...
Surfeit
Melancholia '
Old ago ...... ......
Oatarrhal inflammation of the. intestines
Do.             do.          of the stomach
Dysentery ...
70
42 34
17
14
10
9
3
7
1 19
14 9
(2)  Forcible feeding and methods in use,—In the Madras Asylum 20 cases were fed by the naso-pharyngeal tube. In Vizagapatam 7 patients were hand-fed for various periods, and 1 was fed by the nasal tube, ln Calicut 3 insanes were fed by hand and 2 by the naso-pharyngeal tube.
(3)   Mortality and its causes.—Deaths in hospital occurred from--
Dysentery...
Tuberclo.............
Leprosy Secondary syphilis
Surfoit ...        ......
Myxuedoma
Diabetes mollkus ...
Old nge
Acute inflammation of spinal cord
Epilepsy ...        ... ...        ...
Mania
Dementia ...
Fatty degeneration of heart
Hypertrophy of heart
Pneumonia
Gangrene of lung ...
Chronic interstitial inflammation of lui
Catarrhal inflammation of stomach
Obstruction of intestines
Chronic inflammation of kidneys
Privation ...
In
In Vizapa-
In
Madras.
i. 1
patam.
Calicut.
4
1
10
1
1 2
...
...
1 I
1
...
8
1
s
•_>
7
1
li
...
1
1
1
...
1
1
...
! 1
1
1
...
2
i
50
_.
6
Total
The. corresponding totals in the previous year wero 28, 6 and 8. Of the 50 deaths that occurred in the Madras Asylum, 18 were of patients admitted to the asylum in a very bad stato of health; 3 died within ono month and 7 within three months of admission. Seven others were local eases in which privation was a prominent feature. Seventeen of the total were criminals ; and in explanation of the high mortality in this class the Superintendent states that dysentery and tubercle of lung accounted for 8 deaths each, epileptic mania for i?, the remainder dying
3