OFFICE OF THE SURGEON-GENERAL WITH THE
                                                             GOVERNMENT OF MADRAS,
                                                                Madras, the 10th April 1916.

                                                        No. 97/41

From

               THE HON'BLE SURGEON-GENERAL W. B. BANNERMAN,
                                                                      C.S.I., K.H.P., M.D., D.Sc, I.M.S.,
                                                  Surgeon-General with the Government of Madras,

To

              THE SECRETARY TO GOVERNMENT,
                                                                             PUBLIC DEPARTMENT.

SIR,

I have the honour to forward the Annual Returns of the Lunatic Asylums in
the Presidency for the year 1915.

2.  Accommodation.—In the Madras Asylum the accommodation was decreased
by six because twelve small back-to-back single rooms were converted into six
rooms by the removal of the partition walls. At Calicut a block of four cells for
males under observation was completed during the year, so accommodation was
increased by this amount.

3.  Population.—The daily average population was 799.47. Admissions and
readmissions numbered 268, of which 47 were females. Four males and one
female were admitted as voluntary boarders. One male after observation was
pronounced sane. Of those under treatment 8.87 per cent were discharged
cured, 3.68 left with some improvement in their condition, 1.89 were discharged
unrelieved, and 7.83 died in the asylums.

4.  Sickness and mortality.—The daily average sick in hospital was 103.15.
Dysentery was a prominent cause of admission in the Madras Asylum, while at
Calicut the most common disease was acute catarrhal inflammation of the
intestines. As dysentery is frequently associated with intestinal catarrh, it is
probable that many of these cases were in reality due to this disease. The
statistics ordered by Government in the review of the last report are furnished
in an appendix to Statement VI.

5.  Statements III to VII embodying particulars of caste, age and previous
occupation, offer no points for comment.

6.  Criminal insanes.—The new admissions included eight who had been tried
and acquitted; eighteen who were incapable of making defence, and sixteen who
became insane during imprisonment. Two criminals were transferred to the
Penitentiary and ten to the civil section; eleven recovered, of whom ten were
discharged to stand trial; one had improved, and was handed over to his relatives
on bond.

7. Escapes,—Two civil Indian males escaped at Madras, and five others at
Calicut. One of each group is still at large.

8. Finance.—Statements VIII to X exhibit details of income and expenditure.
An appreciable increase in expenditure at the Madras Asylum was incurred by
the increase of salary paid to the Superintendent and Deputy Superintendent owing
to promotion in rank, and the increment of pay granted to all inferior servants
under G.O. No. 1364, Public, dated 23rd October 1914.