STATISTICAL RETURNS OF THE LUNATIC ASYLUMS.                  9

from the infectious hospital of certain patients who were isolated for
asylum dysentery ; and these persons spread anew, after eight clear
months, the infection of that disease.

41.  Injuries.—No serious injuries were recorded in Vizagapatam. In
Madras one death occurred from suicide, one from accidental strangula-
tion, and one from accidental injury. Nine other cases of injuries were
reported during the triennium. In Calicut one patient committed suicide
by hanging.

42.  Mortality.—The deaths numbered 87,113 and 111 in the three suc-
cessive years ; and the death-rate was respectively 8.55, 10.48 and 10.42 per
cent. of the total population. Vizagapatam returned a very low death-rate,
7.75 per cent ; but the mortality at Madras and Calicut was 21 and 20 per
cent, respectively of the population for the triennium, the high figure
being due to the condition in which several of the new admissions were
brought to the asylum, as well as to the number of aged and infirm that
died during the period. Death was immediately due to dysentery and
enteric catarrh in 77 cases ; to tubercle in 70 ; to epilepsy in 23, to general
paralysis in 9 ; to valve diseases of the heart in 9 ; and to various other
ailments and general exhaustion in the rest.

43.  Finance—Income.—The amount remitted to the treasury during the
triennium was Rs. 63,404-6-1, and would have been more if the gardening
at Madras had not been stopped. The fall in that item was Rs. 682 ; that
on the sale of live-stock was Rs. 342 ; and, under other receipts, a reduc-
tion occurred of Rs. 411. But, on the contrary, the receipts from paying
patients showed an increase of Rs. 1,622 ; the sale of manufactured goods
was advanced by Rs. 178 ; and the value of stores remaining at the end of
the triennium was nearly Rs. 10,018 or 1.78 as much as it was at the
commencement.

44.  Paying patients.—At Madras these averaged 80.67 in each year, and
the recovery on behalf of each individual averaged Rs. 208-0-9. At
Vizagapatam the corresponding figures were 7.33 and Rs. 43-5-3 ; and at
Calicut they were 9.67 and Rs. 28-11-8.

45.  Manufactures.—The profits under this head are shown in state-
ment X. The total for the triennium amounted to Rs. 26,343 as contrasted
with Rs. 23,559 in the last report. The value of manufactured goods
made over to the asylums was Rs. 30,125 or Rs. 8,430 more than in the
previous triennium.

46.   Expenditure.—The expenditure amounted to Rs. 5,94,366 in
contrast with Rs. 5,39,718 of the last record. A considerable reduction
occurred under ' Original Works,' but increases are noted under every
other item ; and the cost per patient under the headings of establishment,
diet, bedding and clothing, medicines, contingencies and miscellaneous
items amounted to Rs. 216-8-9, an increase of Rs. 30-3-10.

47.  Establishment.—The total expenditure under this heading was
Rs. 1,42,715-6-11, an advance of Rs. 3,494 on that of the last triennium.
At Vizagapatam and Calicut no changes were made. At Madras, an
increment of pay to the Superintendent accrued in December 1911; a Senior
Grade Military Assistant Surgeon is now the Deputy Superintendent, and
his pay is double that drawn by his predecessor ; two House Physicians
were appointed in June 1914, and a third Assistant Steward in 1912.
Certain increases of pay to lower subordinates and menials, which were
sanctioned in G.O. No. 1364, Public, dated 23rd October 1914, will take
effect this year.

48.  Diet.—The expenditure was Rs. 2,48,531-10-2 which gives an
average cost to each diet of As. 4-7. This is seven pies more than the cost
noted in the last report; the increase indicates the extra expenditure
incurred in the dieting of special patients, and the rise in the price of
food-stuffs generally.

      3