3

and sputum in all cases (old and new) proved the presence of worms in a large
proportion. The excreta of 398 (old 305—new 93) patients in 1915, 388
(old 309—new 79) in 1916 and 384 (old 302—new 82) in 1917 were examined
with the following results:—

1915.

1916.

1917.

Old
Patients
per cent.

New
Patients
per cent.

Total
per
cent.

Old
Patients
per cent.

New
Patients
per cent.

Total
per
cent.

Old
Patients
per cent.

New
Patients
per cent.

Total
per
cent.

1

2

3

4

5

6

7

8

9

10

Ova of Ankylostomi-
asis.

41.64

58.06

45.48

58.90

72.15

61.60

69.53

69.74

67.45

Ova of Ascaris Lum-
bricoides.

67.54

46.24

62.06

79.61

63.29

76.29

85.09

54.88

78.65

Ova of Trichocephalus
Dispar.

44.26

2.15

38.69

56.96

36.59

52.84

72.85

47.56

67.45

Ova of Tape worm ...

0.98

3.23

1.50

1.29

Nil

1.03

2.64

1.22

2.34

Do. Oxyuris Ver-
micularis.

3.03

Nil

2.51

2.26

5.06

2.84

3.97

2.44

3.65

Stranguloides Rhab-
domenis.

4.26

1.07

3.54

5.18

3.80

4.90

7.28

Nil

5.73

Amæbæ ...

4.26

5.38

4.52

12.94

21.52

14.69

17.57

12.20

16.93

Trichomonas ...

8.85

2.15

7.29

22.33

22.78

22.42

18.89

8.54

16.67

Blantidium Coli ...

36.72

7.53

29.90

13.91

11.39

13.40

11.26

9.76

11.20

Tubercle Bacillus ...

Nil

Nil

Nil

2.09

3.80

3.09

3.31

1.22

2.86

It is impossible to correct this enormous Entozoal prevalence when
segregation and constant watching are impossible with a limited number of
keepers. The cause of increase of Diarrhœa in 1915 and 1916 was partly the
delay of the Public Works Department in repairing the pump which was out
of order for nearly six months when the drinking water had to be obtained from
an inferior source.

Eleven insanes were admitted to Hospital suffering from Tuberculosis in
1915, 10 in 1916 and 10 in 1917, the number of deaths being 10, 10 and 9,
respectively. The diagnosis was confirmed microscopically and the cases were
treated with Tuberculine and the open air method, for which a ward was
constructed in 1916. No special reason can be given for the increase of this
disease except that some patients were received who were suffering from
Tuberculosis.

Pyrexia of uncertain origin gave 24 admissions in 1915, 35 in 1916 and
15 in 1917. There was no death from this disease. Pneumonia gave one
admission in 1915 and 3 in 1917 with only one death in 1917. Epilepsy was
responsible for one death in 1915 and 2 in 1917. Kala-azar gave 3 admissions
in 1915, 2 in 1916 and one in 1917 with 3, 1 and 1 deaths, respectively. So
common outside, it is extraordinary that more lunatics have not been affected.
Anæmia gave 2 admissions in 1915, 2 in 1916 and 10 in 1917 with only
1 death in 1915. The etiological factors of these cases were not discovered.

Of Zymotic diseases, none broke out in the Asylum during the triennium.
It is satisfactory to note here that although plague was very prevalent in
adjoining quarters it did not reach the inmates.