3

For the purposes of this paragraph, I am of opinion that a table of hospital sickness
and mortality should be re-introduced among the Imperial Statements, but in a simpler
form than before. Besides the admissions, daily sick, and deaths from all causes, both
actuals and ratios per 1,000, it should show at least the actuals, and preferably also the
ratios, of admission and death from—

         Cholera,

         Dysentery,

         Diarrhœa,

         Malarial fever,

         Tubercle of the lungs,

         Pneumonia,

         Other respiratory diseases,

         Intestinal parasites,

         Parasitic skin diseases,

         Abscess, ulcer, boil, carbuncle,

         Accidental injury,

         Self-inflicted injury,

         Injury inflicted by others.

         The ratios of deaths per 100 of average strength among the lunatics in the different
provinces of India in 1905 were as follows :—

Burma ... ... ... ... ...

7.26

Eastern B'engal and Assam ... ... ... ...

7.46

Bengal ... ... ... ...

9.19

United Provinces ... ... ... ...

8.75

Punjab ... ... ... ...

9.38

Bombay ... ... ... ...

6.00

Central Provinces ... ... ... ...

9.89

Madras ... ... ... ...

14.64

         The percentage for Eastern Bengal and Assam is well below the average.

         At Dacca there were 9, and at Tezpur several, accidents, which, including fractures,
did not prove serious, except that one case at Tezpur ended fatally in 1904. At Dacca
there were 9, and at Tezpur some, assaults by lunatics, one on another, and. a fatal case
occurred in the Dacca asylum in 1903.

                                             FINANCIAL.

         Expenditure and cost per inmate.

         5. At Dacca and at Tezpur the total expenditure during the triennium under

review was Rs. 78,058-15-3 and Rs. 48,703-11-2, against
Rs. 80,583-2-2 and Rs. 42,163-13-8, respectively—a total
of Rs. 1,26,762-10-5, as against Rs. 1,22,746-15-10 for the whole province. The average
cost per inmate was Rs. 97-6-7, as against Rs. 108-3-4, at Dacca, and Rs. 100-3-9,
against Rs. 109-9-8, at Tezpur. The decrease was mainly due to the comparative
cheapness of food stuffs in 1903—1905. At Tezpur, in addition, more patients paid for
their own diet.

                                             MISCELLANEOUS.

         Employment of inmates.

         6. Both at Dacca and at Tezpur employment was mainly of a domestic character

directed to the cleanliness of the asylum, its buildings and
compound. But males who were quiet were also employed
in gardening and cooking, and females in spinning, weaving, and cleaning grain. At
Tezpur well-behaved male patients were also employed in brick moulding and in repairing
buildings. The profit on manufactures was greater in 1905 than in either of the two other
years of the triennium. It was greatest at Tezpur, where brick-making was carried on.

         Accommodation.

         7. There was slight overcrowding for some months at Dacca both in the male and

female divisions ; but as this was considered to cause no
inconvenience, no special arrangements were made. The
capacity is 262 ; the average strength in 1905 was 260, the maximum 268. Colonel
Campbell thinks that harmless lunatics who could quite well be looked after by
their friends are sent into the asylum, and are a cause of unnecessary crowding.