2

The causes of deaths were pulmonary tuberculosis 1,
pneumonia 2, influenza 1, intestinal obstruction 1, colitis 2,
bacillary dysentery 1, gastric ulcer 1, carcinoma 1, diabetes
mellitus (coma) 1, secondary anaemia 1, general debility
(old age) 3, schizophrenia catatonic 1, epilepsy 4, cerebral
malaria 1, cellulitis 1, fatty degeneration of heart 1.

The following table shows the period of their stay in
hospital:—

Between 40 to 50 years — 1, between 30 to 40 years—1,
          between 20 to 30 years—4, between 15 to 20
          years—3, between 10to 15 years—3, between
          5 to 10 years—2, between 2 to 5 years—4,
          between 1 to 2 years—1, under 1 year (of these
          3 were admitted in bad state of health)—4.
          Total—23.

The general physical health of the patients was good.
The daily average sick was 17.42 [14.30]. Prophylactic
measures against cholera and smallpoxwere taken as usual.
56 resident patients were treated for ankylostome and
7.90 per cent were found infected amongst new admissions.
The death-rate per cent for 1938 in Mental Hospitals in
other provinces in India was as shown below:—

8.4 in Bombay, 7.70 in Assam, 11.96 in Madras,
          6.89 in the United Provinces, 6.36 in the
          Ranchi European Mental Hospital, 3.16 in
          the Punjab and 3.05 in the Ranchi Indian
          Mental Hospital.

6. Hydrotherapy and special treatment.—
Twenty-one cases of acute mania were treated by hydro-
therapy with success. Four cases were treated by cardiazol,
of these 1 was discharged as cured and 1 showed improve-
ment but relapsed, 2 are still undergoing treatment.
Twenty cases were treated by histamine combined with
insulin, of which 4 were discharged as cured and 16 are still
undergoing the treatment. Nine cases were treated by
acetylcholine and ephedrine; of these 2 were discharged
as cured and 7 are still under treatment. Eighteen cases
were treated by organotherapy, of which 4 were discharged
as cured, 2 improved and 12 are still undergoing treatment.
Attempt was made to treat schizophrenic cases with hypo-
glycaemic shock treatment, but for want of staff, medical
as well as nursing, it had to be abandoned after a short trial.

In this connection it will not be out of place to mention
that a comprehensive scheme for the improvement of the