Birmingham City: 1. Winson Green.—The number of patients in this hospital and its branches (Stetchford Hall and Glenthorne) at the end of the year 1925 was 743 (males 368, females 375), nine more than at the commencement, all of them belonging to either the Birmingham or West Bromwich Unions, with the exception of a number of service and private patients. The direct admissions for the year numbered 219 (males 87, females 132), of which 89% of the men and 84% of the women were first-attack cases. Of the ætiological factors it is noticeable that in practically 15% of the admissions alcohol was assigned as a cause; one case was attributed to encephalitis lethargica and one to lead-poisoning. The chief forms of mental disorder amongst the admissions were melancholia, confusional insanity and delusional insanity; 12% of the admissions were diagnosed as primary dementia and general paralysis accounted for 6.8%.
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