THE INDIAN MEDICAL GAZETTE.

232

living

LUNATIC ASYLUMS IN VICTORIA. of Lunatic

The

Report by Mr. E. Payley, Inspector Asylums, for the year 1877 gives an interesting statistical account of lunatic asylums in the Colony of Victoria.

There

five lunatic

are

in

asylums

are

not

-[October 1,

specified.

258 recoveries

and

The facts

85 out

are

of 197

1878.

that 202 out of deaths occurred

who had not completed one year's reThe admissions of the years which may be

among persons

sidence.

the taken under

roughly

to

represent

the number of

persons

year's residence constituted 22 per cent, of colony, which contained on the 31st of December 1877 the population. Of the 197 deaths, 104 were due to 2,719 lunatics?1,573 males and 1,146 females. In of the brain and spine, 57 to diseases of the diseases addition to these there were 15 males and 13 females chest (27 of these being phthisis) and 16 to diseases house and a total lunacy wards, giving

'in

a

of

licensed

2,747 registered Junatics.

colony

is said to be

The population of the The number of registered

860,804.

insanes thus constitutes 3-1 per 1000 of the population, or 1 in 313. The report does not state the

one

of the abdominal

organs?dysentery and diarrhoea actwo cases ; only counting only six cases are attributed to general debility and old age, and one death was for

due to suicide.

As

regards causation the information constitutes the prinIntemperance proportions of the sexes in the population, so that, or known causes, eighteen case^ of item assigned although male lunatics exceed female lunatics in cipal and twelve to puerperal number, it does not follow that the excess is real. The are attributed to sunstroke is

unsatisfactory.

six are noted as hereditary. The average are that there is a considerable excess of causes. Only males in the colony, and that the proportion of male and cost of maintenance was 14s. 2a week reduced female lunatics to population is about equal. The by recoveries for maintenance to 13s. 6^. The detailed reports and returns of the several average number of lunatics resident in asylums show that industry is a conspicuous feature asylums the was during 2,541?1,484 males and 1,056 year in their management. Physical restraint is sparingly and or 41*6 58-4 cent. females, per The admissions amounted to 552?334 males and 218 resorted to, and it is evident that the humane principles females?and 11 males and 7 females were re-admitted. of the day are fully realized in the management of

probabilities

"258

(142

males

and 3

cured, (134

193

(2

and 116

males and 63

The recoveries bore

a

were discharged female) improved, and

females)

males and

1

females)

died

during the year. admissions,

ratio of 45-79 to

the rate being higher among women than men (52 and the deaths amounted to 7-45 per cent, of the average number resident, the death rate

against 41-74), among women

being considerably higher (9-03 against 5'96). Taking

men

than

among

the ten years admissions 'were 47-4

1868-77, the recovery rates on (43-1 among males and 54-1

among

and the death rates

strength

on

average

females), 7*3

(9-0

among males and 4-9 among females.) These results are favourable as contrasted with English statistics. As

compared

with the statistics of Indian

asylums

the most remarkable contrasts are, the larger ratio of lunatics to population in Victoria, the much larger

proportion of females in the asylum population (41-6 against 23'4), the lower recovery rates as compared with Indian asylums, (where however men recover in higher proportion than women), and the much lower death rates than in India, where insanity is a more

fatal disease among women than among of admissions took

men.

The

place

between the ages of majority 30 and 40. Most men were, however, admitted between 40 and 50. Most recoveries and deaths also took place between 40 and 50, but the numbers living The great at the several ages are not specified. majority of recoveries took place during the earlier of asylum residence, and these also appear to

periods

be the most critical

as

regards death,

but numberg

these

asylums.

Lunatic Asylums in Victoria.

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