( 5 )

21.    Surgeon-Lieutenant-Colonel McKay records the particulars of cases
in which the alleged cause of insanity was privation, and the want of proper
sustenance.

                                           STATEMENT VIII.

22.    Sickness.—The total admissions into hospital in the Nagpur Asylum
was 59 (40 males and 19 females) as compared with 50 in 1896. At Jubbulpore
108 (89 males and 19 females) were admitted into hospital as compared with 109
in the previous year. There were 5 cases of cholera in the Nagpur Asylum,
with 2 deaths. No case of small-pox or influenza in either Asylum was
reported. The chief causes of sickness were fever, debility, abscess, ulcer,
diarrhœa, bronchitis, pneumonia and pneumonic phthisis. Fever and debility
were more common in the Nagpur Asylum, and abscess and ulcer and pneumonic
phthisis in the Jubbulpore Asylum, than in the previous year.

23.    In the following table are shown the number of patients admitted and
the causes of admission into hospital:—

                                                                 TABLE II.

Diseases.

Districts.

ADMISSIONS INTO HOSPITAL.

Difference.

1896.

1897.

Influenza ...

Nagpur ...

2

...

-2

Jubbulpore ...

4

...

-4

Fevers ...

Nagpur ...

14

21

+ 7

Jubbulpore ...

41

41

=

Dysentery ...

Nagpur ...

4

1

-3

Jubbulpore ...

4

1

-3

Diarrhœa ...

Nagpur ...

6

1

-5

Jubbulpore ...

5

6

+1

Debility ...

Nagpur ...

4

11

+7

Jubbulpore ...

6

4

-2

Rheumatism ...

Nagpur ...

1

...

-1

Jubbulpore ...

1

3

+2

Anæmia ...

Nagpur ...

1

2

+ 1

Jubbulpore ...

1

1

=

Bronchitis ...

Nagpur ...

4

...

-4

Jubbulpore ...

5

6

+1

Pneumonia ...

Nagpur ...

...

1

+ 1

Jubbulpore ...

4

3

-1

Abscess, Ulcer and Boil ...

Nagpur ...

3

4

+1

Jubbulpore ...

8

15

+7

Pneumonic Phthisis ...

Nagpur ...

...

1

+ 1

Jubbulpore ...

...

2

+2

Small-pox and Chicken-pox ...

Nagpur ...

...

...

=

Jubbulpore ...

...

...

=

All other causes ...

Nagpur ...

11

17

+6

Jubbulpore ...

30

26

-4

Total ...

Nagpur ...

50

59

+9

Jubbulpore ...

109

108

-1

24.    The daily average number of sick at Nagpur was 7.01 against 8.68 in
1896, and at Jubbulpore 5.16 as compared with 4.15 in 1896.

25.    Mortality.—The ratios of deaths to daily average strength, and of deaths
to admissions, for the past three years are compared in the following table :—

                                                       TABLE III.

Asylum.

RATIO oF DEATHS TO
AVERAGE STRENGTH.

RATIO OF DEATHS TO
ADMISSIONS.

REMARKS.

1895.

1896.

1897.

1895.

1896.

1897.

Nagpur ... ...

7.02

3.94

8.37

28.57

24.14

46.66

Jubbulpore ... ...

7.48

7.13

8.62

44.00

37.93

40.63