OFFICE OF THE SURGEON-GENERAL WITH THE

                                                GOVERNMENT OF MADRAS,

                                                Madras, the 2nd/18th April 1917.

                                No. 97/361.

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,

                                                   LOCAL AND MUNICIPAL DEPARTMENT,

                                                                                             MEDICAL SECTION.

SIR,

I have the honour to forward the Annual Returns of the Lunatic Asylums
in the Presidency for the year 1916.

2.  Accommodation.—The accommodation for insanes is the same as in 1915.
Additional buildings have been provided at Madras and Calicut for the treatment
of hospital patients, but further expansion at the former place is still desirable
to enable prompt and efficient segregation of cases of infectious disease to be
carried out.

3.   Population.—Two hundred and twenty-two males and fifty-four females
were admitted during the year; of these 43 and 11 respectively were criminals.
Two males were admitted as voluntary boarders. The daily average population
was 832.68, the females numbering nearly one-fourth of the total. An average of
199 males and 40 females were employed on manufacture; several others were
usefully employed in asylum work.

4.  Result of treatment.—

5.   New admissions.—Statements III to VII give details as to class, age, sex,
etc., of these.

6.  Sickness and mortality.—The daily average sick in hospital was 79.49.
The fall of about 25 per cent occurs mainly in the Madras Asylum, and is due to
a comparatively healthy year and the shorter stay of patients in hospital due to
milder forms of disease prevailing. The causes of mortality are shown in the
appendix to statement VI. Dysentery was as heretofore a prominent cause, but
tubercle was also in evidence, especially at Calicut.

7.  Criminal insanes.—There were 54 admissions as already noted. Of these,
nine had been tried and acquitted, twenty were found incapable of making
defence, and twenty-five had become insane during imprisonment. One criminal
was transferred to the Penitentiary and eleven to the civil section ; twelve
recovered, of whom nine were discharged to stand trial; one was handed over to
his relatives on bond. The daily average population was 193.06.

8.  Escapes.—Two criminals escaped at Madras, and are still at large. One
civil Indian male escaped at Madras, another at Vizagapatam and two at Calicut ;
all four were recaptured.