PUBLIC DOCUMENT
. . . . No. 23.
SEVENTIETH ANNUAL EEPOET
OF
THE TRUSTEES
01' THE
WOECESTER Insane Hospital,
AND
TWENTY-FIFTH ANNUAL REPORT OF THE TRUSTEES
OP THE
WOECESTEE INSANE ASYLUM AT WOECESTEE,
FOR THE
Year ending September 30, 1902.
BOSTON :
WRIGHT & POTTER PRINTING CO., STATE PRINTERS,
18 Post Office Square.
1903.
PUBLIC DOCUMENT .... .... No. 23.
SEVENTIETH ANNUAL EEPOET
OF
THE TRUSTEES
OF THE
Worcester Insane Hospital,
AND
TWENTY-FIFTH ANNUAL REPORT OF THE TRUSTEES
OF THE
WORCESTER INSANE ASYLUM AT WORCESTER,
FOR THE
Year ending September 30, 1902.
BOSTON :
WRIGHT & POTTER FRTT^ITIKG jO.., .^T \ .'F PI,INT/RS,
18 Post Office Square.
1903.
VV
i^Afti" ^>o
mm
SfATt i-! . ^'n
Approved by The State Board of Publication.
3
CONTENTS
Report of Trustees, 7
Report of Superintendent, 28
Report of Treasurer, 37
Statistics, . . . 43
OFFICERS OF THE HOSPITAL.
TRUSTEES.
THOMAS RUSSELL, Bostoxnt.
SARAH E. WHITIN, Whitinsville.
FRANCES M. LINCOLN, Worcester.
SAMUEL B. WOODWARD, Worcester.
THOMAS H. GAGE, Worcester.
GEORGE W. WELLS, Southeridge.
ROCKWOOD HOAR, . . , Worcester.
RESIDENT HOSE A M. QUINBY, M.D., ALFRED L NOBLE, M.D., HARRY A. COTTON, M.D., CORNELIA B. J. SCHORER, M.D ISADOR H. CORIAT, M.D., THEODORE A. HOCH, M.D , HENRY S. CHAFFEE, M.D., CHARLES T. FISHER, M.D., WILLIAM E. KORNEGAY, M.D. H. WALTON WOOD, M.D.,
HENRY R. CENTER, LILA J. GORDON, . S. JOSEPHINE BRECK, . JOSEPH T. REYNOLDS, .
OFFICERS.
Superintendent. Assistant Super intetident. Assistant Physician. Assistant Physician. Assistant Physician. Assistant Physician. Junior Assistant. Junior Assistant. Junior Assistant, Junior Assistant.
Steioard. Matron. . Clerk. Farmer.
NON-RESIDENT OFFICERS.
WILLIAM D. SPROAT, Druygist.
ALBERT WOOD, Treasurer.
GEORGE L. CLARK, Auditor.
JAMES DICKISON, Jr., Engineer.
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TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The trustees of the Worcester Insane Hospital respectfully submit their seventieth annual report, together with the reports of the superintendent and treasurer.
The hospital has during the year last past been conducted with economy and efficiency of management by its officers, as will appear from the reports of the superintendent and treas- urer, presented herewith.
It has cared for a larger number of patients than in any previous year, the average daily number being 1,100.75, and the number of patients on Sept. 30, 1902, being 1,116.
The principal change in tlie course of the year in the medical staff of the institution has been the resignation of Dr. Adolf Meyer, the pathologist, who left to take an important position in New York State, connected with the care of the insane, and whose work is now being carried on by his former assistants.
The enlargement of the chapel and the chapel wing have l)een completed, and furnish needed accommodation for the employees of the hospital, and also work rooms in which an additional number of the patients can be given beneficial em- ployment.
There have been no epidemics of contagious disease during the year.
In the latter part of last August the attention of the public was drawn to this institution by a series of statements con- tained in some of the papers of this State, especially those published in the city of Worcester, making charges of bad
8 WORCESTER INSANE HOSPITAL. [Oct.
management against the hospital and its officers. These charges seemed to the trustees to call for an investigation by them ; and such an investigation was made, and on September 13 a report of the result of such an investigation was made by this Board and published in pamphlet form. This report not only contains a statement of the circumstances which gave rise to the charges and the result of the findings of the trustees as to their truth or falsity, but it also contained such a good state- ment of the methods, resources and conduct of the institution, that we desire to make it a part of this report, as an Appendix.
Good progress has been made during the year in the build- ing of the nurses' home, for which an appropriation was made by the Legislature of 1901 ; and during the spring of the com- ing year it should be completed, and be ready to supply much- needed accommodations for 60 female attendants.
The Board would repeat the recommendation made last year of an appropriation of $10,000 for a morgue ; and would ask for an additional appropriation for carrying on the equipment of the hospital with means for electrical lighting; and for $3,000 for the enlargement of the office, where there is now no proper room for the typewriters, who have to do their work in the room with the medical officers.
THOMAS EUSSELL, SARAH E. WHITIN, FRANCES M. LINCOLN, SAMUEL B. WOODWARD, THOMAS H. GAGE, GEORGE W. WELLS, ROCKAVOOD HOAR,
Trustees.
1902.] PUBLIC DOCUMENT — No. n.
APPENDIX
Statement of the Board of Trustees of the Worcester Insane Hospital, with Reference to the Manage- ment OF that Institution, Sept. 13, 1902. The Board of Trustees of the Worcester Insane Hospital, in view of the statements contained in some of the papers of the State concerning matters at the hospital in their charge, sul)mit the following report : —
The attention of the public has been drawn recently to the stories of several female attendants, discharged from the Worcester Insane Hospital. Not content with giving a version of the circumstances attending their discharge, several of the attendants went on to give accounts of the conduct and man- agement of the institution, which were published and given a wide circulation as facts. Such things as these were pub- lished: "Many of the patients sleeping on the floor with nothing to cover them but the swab cloths, — the filthy rao;s which are used in cleanino- the buildinof." " The food is miserable; in cases it is positively filthy." "The .eggs which are put into the egg-nogs are so stale and decayed that the odor can be detected throughout the corridors. The patients would protest at drinking such filthy stuff", and then the attendants would be instructed and obliged to make them drink it through a tube." "The soup is full of flies, cock- roaches, bugs and other delicacies." " The stench of rotten meat which permeates the house several times a week and sometimes daily is almost enough to make one sick." " A nightly occurrence to take the swab cloth, full of grease, oil, germs, filth and dust, and shake it out, so that the patient might have something to keep warm." " Innnense rats which
10 WORCESTER INSANE HOSPITAL. [Oct,
roam at will through the corridors and rooms, and which nibble at them and their clothing."
These things and such things as these have gone out to the public as a fair picture of the state of things existing in an institution which has been located in Worcester for seventy- years, and which has been supposed, hitherto, to be a model institution of its kind, and which has repeatedly received the approval of the Governor and Council and of the State Board of Insanity in its annual reports.
The present trustees, whose names are appended to this report, publicly through the newspapers of September 3 in- vited any one who desired to bring any matter to their attention to write them or call upon them, giving the name and address of each trustee, four of whom live in Worcester. They have failed to receive any responses, save from three persons, two of them former patients, one now in Boston, the other now in Marlborough, the third a patient now in the hospital. The trustees thereupon have proceeded to carefully investigate each matter alleged with reference to the discharge of the attendants, and also with reference to the stories as to the man- agement of the institution, and desire to report to the public the facts as ascertained.
First, as to the discharge of the attendants.
Certain female attendants, who under the rules were allowed each week an afternoon and an evening until 10.30 o'clock, desired to obtain another evening as a regular allowance. Failing to obtain this, on Monday evening, August 26, eleven of them left the wards where they belonged and the building, and stayed out for a second evening until 10.30 o'clock. At that hour they returned, when the patients in the ward were asleep and the wards were quiet for the night. They were met by the superintendent, who had previously communicated with one of the trustees, who took their keys from them, told them they could not enter the wards, and showed them to another part of the building, where there were suitable beds and quarters for each one. There they were found congregated at half-past 6 the next morning, singing and raising a dis- turbance. They were paid off and discharged, and out of sympathy twelve others, who had taken no part in the previous
1902.] PUBLIC DOCUMENT — No. 23. 11
affair, left at once. The girls stated that they were locked in their rooms. They were in fact put into a new part, finished and furnished and ready for occupancy, but not yet occupied. There were no keys to the rooms nor ta the part of the build- ing where they were, and they were free to go into the centre part of the building through a swinging door. Obviously, they could not have been left outside the building at that hour of the night, though if they had been men they would have deserved it. They could not be permitted to disturb the patients. The superintendent did what was an entirely proper thing to do. Each of these attendants had a beefsteak breakfast served to her the next mornino; in the Sargent dining
o o o
room. The sympathizing attendants had the regular break- fast served in the ward, but they refused to help the patients or assist in caring for them in any way, so that they left the patients in their wards utterly uncared for by them, not even unlocking their doors.
Some of the attendants who so left proceeded to narrate as facts stories with reference to the conduct of the hospital which have been published. These stories were not told by all of the attendants who left, and several of them, previous to the publication of the trustees' call for information, told trustees that they were horrified when they read the article published in the evening paper, the stories were so exaggerated. The trustees recognize the wild exao;geration of these statements. Yet it is just to those of the public who have not become familiar with the administration of the hospital by having friends or relatives there as inmates, as well as to those more directly interested by having friends and relatives there, and also to those who, as physicians, supervisors, employees and attendants, give their lives to faithful performance of their respective duties, that the facts concerning the hospital and its management should be stated.
The charges made by these attendants relate to —
1. Insufficient supervision, and ignorance of what occurs in the hospital.
2. Bad food.
3. Lack of bedding and bed clothing.
4. Rats, bugs and vermin.
12 WORCESTER INSANE HOSPITAL. [Oct.
5. Overcrowding' of" patients.
6. Neglect of patients.
7. Long hours required of attendants. Taking up the charges enumerated above : —
1. Insufficient Supervision.
The hospital is regularly inspected and its affairs scrutinized as follows : —
Each month by its Board of seven trustees, who also, especially the women and the two physicians and surgeons on the Board, visit the institution at other times, while all mem- bers are frequently employed in the direction of its details in Worcester and elsewhere. They serve entirely without pay. It is also frequently visited and inspected by the agent of the State Board and by members of that Board, by the Governor and the Council, by the joint standing committee on public charitable institutions, and by friends and relatives of patients, who come in large numbers on two days in each week which are public visiting days. Besides this, many patients write constantly of their condition and surroundings to their friends, and each ward contains a letter-box regularly opened by the State agent, where letters and any complaints can be directly brought to him, without going through the hands of any officer or employee.
The trustees also employ, as auditor and confidential ad- viser, a former steward, now the head of one of the principal educational institutions of Worcester, who is an expert in all matters relating to the prices and quality of all supplies pur- chased; and he acts independently of a competent steward of great experience, and of the superintendent, who is known throughout the United States both for his medical skill and also his great practical executive ability.
It would seem, therefore, as if the hospital was guarded at every point by different independent methods of examination, sufficient to insure a proper, careful and successful manage- ment. Of course it is no small thing to manage successfully the personal and daily affairs of a thousand persons ; still greater if they are a thousand sick persons ; still greater by far if they are a thousand insane persons. One such person has usually utterly upset and disturbed the nerves of a whole
1902.] PUBLIC DOCUMENT — No. 23. 13
family before the commitment of the patient to the hospital. And yet the superintendent, as the head of the institution, takes all these thousand people on his heart and brain ; has them seven days in the week and fifty-two weeks in the year to deal with, — their physical comfort, food, clothing, medical treatment, their health, their whims, their friends and family to meet and to write to. He cannot lay by matters to take up later ; he must settle things as they come up ; it won't do to let them accumulate. It is easy to mistake business prompt- ness in him for brusqueness, and decision for discourtesy, or, when we deal with one patient, to criticise him who deals with a thousand. Those who know the problems of hospital man- agement realize that the superintendent of a great insane hospital is entitled to the forbearance and the respect of his fellowmen.
2. Bad Food.
With reference to the statements that "the food is miser- able, in cases it is positively filthy;" "the eggs which are put into the egg-nogs are so stale and decayed that the odor can be detected throughout the corridors ; " " the soup is full of flies, cockroaches, bugs and other delicacies ; " "the stench of rotten meat which permeates the wards several times a week and sometimes daily is almost enough to make one sick," and other statements of like nature, the trustees will call the atten- tion of the public first to the following letters from the dealers of whom supplies are purchased, in which they state clearly the quality of the goods furnished : —
Sept. 9, 1902. To the Trustees of the Worcester Insane Hospital, Worcester, Mass.
Gentlemen : — Eeplying to your verbal questions regarding the meats supplied by our house to the Worcester Insane Hospital, I have to say that we have always furnished the very best native or corn-fed cattle. Your steward frequently buys the whole beeves, leaving parts hanging, in order that it may thoroughly ripen ; pur- chases of from two to four whole cattle are often made, while the supply of fore-quarters ranges from ten to eighteen at a time, always according to quality. The lambs supplied are always late winter or early spring, and care is always taken to deliver the freshest and best. This will apply to all meats supplied by our house to your institution. Yours respectfully, C. H. Prentice & Co.,
By Wm. VanKenner, Manager.
14 WORCESTER INSANE HOSPITAL. [Oct.
Sept. 9, 1902. To the Trustees of the Worcester Insane Hospital, Worcester, Mass.
G-ENTLEMEN : — In regard to your inquiry as to quality of meats supplied by our house, I beg to say that only the very best of beef, lambs, poultry, hams, bacon, etc., have been furnished. The beef has always been what is commercially known as native or corn-fed stock, and has been supplied in the carcass or by quarters. The hams and bacon are of our own curing, which we consider are the very best.
Yours truly, Armour & Co.,
By E. E. Sessions, Manager.
Aug. 30, 1902. To the Trustees of the Worcester Bisane Hospital, Worcester, Mass.
Gentlemek : — In response to your verbal inquiry, made to us to- day, regarding the quality and quantities of goods furnished to the Worcester Insane Hospital, we beg to advise that we have supplied the institution at various times during the past year with quantities of fresh pork, smoked shoulders, ham and lard. Shoulders have been purchased in quantities from 500 to 1,000 pounds, hams from 150 pounds upwards, lard in various quantities from 5 tierces down as market conditions would suggest. We have delivered our standard quality or best brand of goods in all cases.
Trusting the above will supply you with the information you desire, we remain,
Yours respectfully, White, Pevet and Dexter Co.,
By R. F. D.
To the Trustees of the Worcester Insane Hospital, Worcester, Mass.
In response to your inquiry regarding the quality of fish, both fresh and salt, supplied by our house to the Worcester Insane Hospital, we have to say that for a number of years we have supplied weekly from 600 to 800 pounds of fresh fish, which has always been of the very best quality obtainable. In nearly every case codfish has been fur- nished ; in a very few instances, when cod could not be obtained, haddock has been substituted ; hake has never been supplied. We have also furnished for a number of years during the season from 90 to 100 gallons of oysters each month; these have always been sent in not less than 4 5 -gallon lots. These oysters are the choicest medium select quality. Further, we have also supplied the Worces- ter Insane Hospital with salmon for the 4th of July dinner. This
1902.] PUBLIC DOCUMENT — No. 23. 15
fish has always been the very best quality obtainable. The salt fish supplied is the best medium bank codfish, and we have been careful to send only the freshest and best.
Respectfully yours, G. P. Cobb.
Aug. 30, 1902. To the Trustees of the Worcester Insane Hospital.
Gentlemen : — In reply to your request in regard to the quality of
eggs bought of us for the Worcester Insane Hospital, would say we
are sending 300 to 750 dozen per week of the finest quality ; these
eggs are known as fresh gathered western eggs, and grade as extras
on the market. We always save them from our best collections,
sometimes holding over the order a day, so as to be sure to send the
finest. Every egg sent is tested by electric light, — a quality of egg
that is used by the best grocery trade of Worcester.
Respectfully, The W. W. Whipple Company.
Aug. 30, 1902. To the Trustees of the Worcester Insane Hospital.
Gentlemen : — In reply to your inquiry in regard to quality of eggs
purchased for your institution, will state that they are fresh-gathered
western eggs, candled and selected. Will also state that this quality
of egg is the same as is used by probably 80 per cent, of the people
of this city.
Yours truly, J. Heslok & Co.
Sept. 9, 1902. To the Trustees of the Worcester Insane Hospital, Worcester, Mass.
Gentlemen : — Replying to your verbal question as to the quality of goods that have been supplied by our house to your institution, would say, of the various products, mainly vegetables and fruits, that they have always been of the very best quality. The potatoes, which are often purchased in car lots, are invariably of Maine stock, such as Hebrons, New Queen an(i Early Rose. The small fruits, berries, peaches, etc., have been the best the market could supply. The can- teloupes have been Black Japs, Rocky Fords and Jennie Linds. The watermelons have always been carefully selected from the best of our receipts. I might say, in closing, that these fruits and melons have frequently been supplied in lai'ge quantities.
Yours respectfully, Walter N. Gleason.
16 WORCESTER INSANE ELOSPITAL. [Oct.
Sept. 9, 1902. To the Trustees of the Worcester Insane Hospital.
Replying to your request for a statement as to the kind and grade of food supplies purchased of us for the Worcester Insane Hospital, we submit the following : —
Tea. — Pure Oolong tea, in original chests, of the grade retailed at 40 to 50 cents. You have bought this usually in 25-chest lots. The United States government inspection guarantees that all teas admitted to this country are free from dust and not injurious to health, so the fact that you purchase tea in original packages admits of no doubt as to its purity and wholesomeness.
Coffee. — Good quality Maracaibo or Bourbon Santos coffee, retail value 25 cents. This you always have delivered to you fresh roasted and unground. Quantity contracted for, 3,000 to 10,000 pounds at a time, the raw coffee being set aside for you and roasted to your order.
Spices. — Strictly pure mustard, pepper, cassia, cream of tartar, etc., of the same grade as we supply to the best trade in Worcester County. These you purchase in regular wholesale packages of from 5 to 50 pounds.
As the goods mentioned above are articles often adulterated, we wish to state that we have never sold or delivered to the Worcester Insane Hospital an ounce of compound or adulterated tea, coffee or spice.
Cheese. — New York State full cream, finest grade sold in any market, retailed at 15 cents per pound. Purchases, 300 to 1,500 pounds.
Molasses. — Absolutely pure domestic molasses, retailed at 40 to 50 cents per gallon. Purchases, 5 to 15 barrels.
Raisins. — California 3 crown, sound standard goods, retailed at 10 cents per pound, and fancy seeded, retailed at 12 cents per pound.
Prunes. — Size 50 to 60, California, retailed at 10 cents per pound ; sound and standard grade.
Cereals. — Including oat meal, corn meal and cracked wheat, — all of standard quality and sound goods.
Canned Goods. — Stancjard grade of peas, corn, succotash, beans ; retail price from 10 to 13 cents.
S^^ga,rs. — Standard granulated and brown sugars, perfectly pure, in lots from 1 to 25 barrels.
So far as the prices on the goods we sell you may indicate the qual- ity, we wish to say that the quantities you use of staple food supplies are such that you get, and are entitled to, prices as low as the largest retailers or even small wholesalers.
Yours respectfully, E. T. Shith Company.
1902.] PUBLIC DOCUMENT — No. 23. 17
Boston, Sept. 8, 1902. H. M. QuiNBY, M.D., Superintendent, Worcester, Mass.
Dear Sir : — Our salesman, Mr. E. H. Shaffer, has asked us to send you a line with reference to the quality of the flour which we have been shipping you during the past year or more. It hardly seems that this is necessary, because the quality of this flour must have spoken for itself both in regard to quantity and bread per barrel which it produces, and through the quality of the bread itself.
However, we would say that we have been shipping you our Top Patent, made from the very choicest Minnesota and Dakota hard spring wheat. This flour enjoys a very high reputation in the trade throughout the United States and in Europe as well. It is a favorite with the bakers because of its large bread yield.
This company is owned entirely by Massachusetts men, who have been engaged in the distribution of flour for thirty years past. They embarked in the milling business with the sole idea of purchasing the highest grade and most reliable article in the way of flour that is upon the market. We are safe in saying that no mill in the United States enjoys a higher reputation.
With regard to your purchases of our flour, would say that they have been very fortunate for the State, but decidedly less so for us, as they have usually been made in a large way on a low point in the market, and the flour taken out later on, we presume as your neces- sities required, but usually upon a considerably higher market than when purchases were made.
Thanking you for past favors, and relying upon the merit of our flour to secure us a continuance of same, we remain,
Very truly yours, Bay State Milling Company,
By B. J. RoTHWELL, Pi'esident.
Sept. 9, 1902. To the Trustees of the Worcester Insane Hospital.
Gentlemen : — Having learned of the dissatisfaction alleged to exist at your institution in regard to the food supplies, we take pleas- ure in stating that our house has supplied the institution with large quantities of peaches and small fruits, i.e., strawberries, raspberries, etc. These very often have been furnished in quantities of from 5 to 25 baskets of peaches and from 50 to 800 quarts of strawberries at one time. While nominally our business is a retail one, yet we know that we have the reputation of handling the very best fruits, and it has always been this quality that we have furnished to the hospital.
Yours very respectfully, Arnold &, Maine.
18 WORCESTER INSANE HOSPITAL. [Oct.
The vegetables, with the exception of potatoes, are raised in abundant quantities on the farm, consequently they are fresher than if purchased in the market. They consist of peas, string beans, butter beans, lima beans, cucumbers, beets, turnips, cabbages, summer and winter squashes, early and late corn, celery, carrots, parsnips, onions, rhubarb and lettuce. The farm produces also quantities of apples. There is a herd of ninety-five cows. During August eighty-four were in milk ; eleven dry; and 1,137.7 quarts of milk were delivered at the hospital daily from this herd. This milk was put into the ice closet in the cans in which it was delivered, and from them poured into the receptacles for the wards, milk and cream un- separated, and sent up three times a day.
Four years ago a new kitchen was built, which is thoroughly up to date in every particular, and of capacity to cook food for a much larger number of inmates than are now in the hos- pital. It is well ventilated, and has all the modern improve- ments. Good cooks, who thoroughly understand their busi- ness, are employed. The bakery is a model in every way, and the bakers have great experience in their work. Scullery and all rooms connected with the kitchen are perfectly clean ; the swill is never allowed to remain to sour in the tubs, but is taken to the piggery perfectly sweet. There is an up to date butch- er's room, where the meat is received and cut up. There are three large ice rooms, one for meats, one for milk, butter and eggs, and the third for the every-day use of the kitchen for all other articles which should be kept on ice. The hospital cuts its own ice, and has large quantities of it.
The food, when cooked, is carried on cars through passages in the basement to the wards, and sent up on lifts to the dining rooms, where it is served. The dining rooms are in charge of the attendants, who are responsible for the proper serving of the food and the cleanliness of the rooms and closets. The kitchen and all its departments are frequently visited by the trustees and carefully inspected.
They also, both before and since these charges appeared, have frequently inspected the meat rooms, and have never found therein any meat not in perfectly good condition, and have never found the slightest odor of decayed meat.
1902.] PUBLIC DOCUMENT — No. 23. 19
The management found a few years ago that it was exceed- mgly difficult to obtain an adequate supply of satisfactory butter at prices which made it possible to furnish the quantity demanded by patients within the total cost per week of $3.25 allowed by the State for all State, city and town patients. The alternatives were either to very materially restrict the amount used or the quality furnished, or to find some satisfactory sub- stitute. The use of oleomargarine was adopted, as being the least objectionable. Consequently a careful inspection was made, and a kind of oleo was procured not in the general market, but specially from a selected manufactory. This was tried and found to be very satisfactory, and accepted without complaint. Its use was in no way covered up. The trustees at their monthly meetings, the physicians and employees, have regularly used it, as have the patients, and have found it eco- nomical and excellent. Its use, however, will have to be aban- doned, because of the recently enacted legislation by Congress, which has imposed such a tax on the product, which is artifi- cially colored, as is all butter, that the price will be raised so that there can be no economy in its future purchase or use.
Notes are taken of every part of the work in the hospital, and everything pertaining to the condition and care of patients is recorded. These records are made by the attendants, under direction of the physicians ; they are all on file, and can be re- ferred to at any time, so that the condition of the patients can be followed year after year.
Among other matters recorded- is the weight of the patients, which is taken monthly. These records have been carefully examined ; the average weight of the patients on the female side of the house was ascertained for August, 1901, and the average weight of the same patients for July, 1902. It is as follows : —
20
WOKCESTEE INSANE HOSPITAL.
[Oct.
WARD.
|
Number |
Average |
|
of |
Weight, |
|
Patients. |
August, 1901. |
|
Pounds. |
|
|
22 |
131.2 |
|
16 |
111.7 |
|
26 |
140.2 |
|
31 |
129.9 |
|
12 |
107.0 |
|
13 |
107.7 |
|
15 |
106.5 |
|
47 |
129,0 |
|
54 |
129.0 |
|
66 |
133.4 |
|
54 |
106.4 |
|
18 |
111.8 |
|
33 |
124.0 |
|
33 |
125.3 |
|
36 |
122.6 |
Average
Weiglit of
Same Patients,
July, 1902.
Howe 1, Howe 2, Howe 3, Howe 4, Folsom 1, Folsom 2, Folsom 3, Phillips 1, Phillips 2, Phillips 3, Phillips 4, Hooper Hall Washburn Washburn Washburn
131.8 121.2 140.9 133.9 111.3 110.5 107.9 134.8 131.0 136.4 123.2 117.0 121.3 125.5 125.2
The attendants who make this charge of food unfit to eat thus by their own records show a gain in the average weight of from .2 of a pound in Washburn 2 to 16.8 pounds in Phillips 4. On but one ward was there an average loss, on Washburn 1, which is the most excited ward.
All private patients paying over $5 per week have special diet, and special diet is also provided for the infirmary wards.
As the kitchen is in an entirely separate building, it seems impossible that any great odor should reach the wards from it. Rotten meats are not sold to the hospital, rotten meats are not cooked, and rotten meats are not served to the patients ; con- sequently, no stench from them can permeate the wards.
3. Lack of Bedding and Bed Clothing.
It is charged that patients are forced to sleep on the bare floors without proper covering, and that the humane attend- ants cover them with the swab blankets, which they take from the handles and shake in a vain endeavor to free them from dirt and filth.
Everything bought for the hospital and issued from the storerooms is recorded, and a very perfect system is used for these records. It is easy to ascertain just what has been issued
1902.] PUBLIC DOCUMENT — No. 23. 21
to the wards, even to a paper of pins ; and, in addition to these records, an account of stock was taken in each ward in question the very day the attendants left. The number of pa- tients in each ward was noted, and the exact number of sheets, pillow cases, quilts, blankets, mattresses, pillows, straw beds and pads. There is no need of giving the detail of each ward, but the total in these twelve wards was 410 patients, 1,835 sheets, 832 pillow cases, 529 quilts, 639 pairs blankets, 55 single indestructible blankets, 264 mattresses, 138 straw beds, 65 pads and 474 pillows ; in addition to this list, there were many articles in the laundry for each ward, which had not been returned from the wash, over 900 sheets, as well as other articles, being washed daily.
Certainly these figures show that there could not have been a lack of bedding. If it was not used, it was the fault of the very attendants who make the complaint. The straw beds and pads are used for those patients on the excited wards whose habits are such that their bed tickings must be washed and refilled daily. The swabs are made of partly worn blankets. Each pair of blankets makes, when separated, two swabs. They are attached to long handles, and are used for keeping the floors in order. The supervisors all state that they never heard of a swab blanket being used to cover a patient. One attendant stated that such a blanket was in use at the present time, and pointed it out. Upon examination it was found to be a perfectly clean, single indestructible blanket. But one shortage of blankets had been reported to a supervisor. That was in the spring, on a ward where an unusually large number of blankets had been sent to the wash. There were five blan- kets short, and these were borrowed from another ward. The blankets used are of good quality. Bed clothing not in use is kept in the clothing rooms of each ward, which are in charge of the attendants. Steam heat is used day and night through the cold weather.
• 4. Overcrovjding of Patients.
■ This is a state of things which exists in every hospital in the State, and for which the hospital officials are in no way responsible. Patients are sent beyond the capacity of the
22 WORCESTER INSANE HOSPITAL. [Oct.
hospital, and the officials do the best they can under these conditions. No one regrets more than they the being obliged to have patients sleep on the floors. Airing courts are turned into dormitories as far as possible. Unfortunately, in very few cases can two patients be put into one room, on account of the danger, as the overcrowding is almost entirely on the excited wards. In the case of Maggie Piper and Eliza Ann Carr, mentioned in the papers, they were not locked up together in a bath room, as stated ; they were in separate rooms, in each of which was a bath tub. They were put there to seclude them, that they might not disturb the other patients, and they had beds, pillows, sheets and blankets like those used by the other patients. This was one of the cases due to overcrowding the hospital.
Careful inspection by the trustees at night on both the women's and the men's side show that the patients have com- fortable mattresses and bed clothes, and sleep as soundly and contentedly as those having separate rooms . The class of patients who do not sleep in rooms are those on wards where constant watches are maintained, and where the patients require prompt and constant supervision and attention. This is more carefully and readily given when the patients are under the eye of the night watch. When a patient gets so that he can rest without such attention through the night, his place is given to a patient from one of the rooms who needs such care, and the former is trans- ferred to the separate room. It is the decided opinion of many people that this method of caring for certain patients is of great personal benefit to the patients themselves. The dormitories in the building are each occupied by a number of quiet patients, who are able to care for themselves and do not disturb their fellows.
5. Rats, Gockroaches and Other Vermin.
To say that the institution is infested with vermin is utterly false. In any large institution for the insane, demented patients throw food, as well as papers and clothing, out of the windows. These articles are gathered up every day, but when food is thrown out late in the day it remains there over night, and naturally attracts rats and rnice about the building. They burrow in the earth, get into the basement, and sometimes
1902.] PUBLIC DOCUMENT — No. 23. 23
follow the pipes into the wards. Poisons, of course, cannot be used in exterminating them, both on account of the probability that they may die in the building, as well as the danger that some patient may get the poison. Traps are set in the base- ment, and wherever required, holes when discovered are stopped up, and endless efforts are made to get rid of these pests ; and employees are expected to give notice whenever they are seen about the building, so that their number is very inconsiderable. Mouse traps are furnished for all the wards, and if not set and used, it is through carelessness of the attendants. The trustees can say, as the result of careful inspection both by night and day, that there are no cockroaches about the building. Of water bugs there are a few about some of the sinks, but in most of the wards none at all. Borax and like remedies are furnished whenever called for. The condition is very much as it is in many private houses, where warfare must occasionally be waged against such annoyances. The statement that the food is full of vermin is entirely untrue.
6. Neglect of Patients. Several cases are instanced of neglect of patients, and names are given. These cases have all been carefully investigated ; and, first, it must be distinctly stated that in all cases the board of private patients is paid directly to the treasurer, never to the superintendent. No money for board of patients, public or private, passes through the superintendent's hands. Of the three cases where it is stated that large sums are paid for care, and no equivalent received, one patient has a private suite of rooms, including room with three windows for herself, a room for her private attendant, and a private bath room. She is quite feeble, and is confined to the bed much of the time. The attendant volunteered to do work in tlie dining room, which is almost opposite the patient's room. She also some- times takes out patients on the lawn. This was allowed because she did not have enough to do, and wished to occupy her spare time. The family of the patient knew of it. Another patient mentioned has a room on the infirmary ward, with two windows ; has a private attendant, who has done some work on the ward for the same reasons. Her son is entirely satisfied with the
24' WORCESTER INSANE HOSPITAL. [Oct.
arrangement and the care his mother receives. The third case is also on the infirmary ward. This patient has never paid for nor had a private attendant. She has everything needed done for her. One member of her family lives in town and visits her, and she also happens to be a relative of one of the trustees, who has been attached to her by many years of personal afiection, and is a townswomau and personal friend of another trustee ; so that her condition and care is a matter of unusual interest to several members of the Board. In not one of these cases is the board so large as the attendants state, by a good many dollars. The other two private patients men- tioned are in excited wards. Five dollars a week is paid for each of them ; they have rooms to themselves and require a good deal of attention, as they are noisy and violent. They receive far more care than is paid for.
Two cases of sudden deaths are spoken of. One occurred at the Worcester Insane Asylum, and Dr. Quinby is accused of causing this death, when superintendent there, through neglect. This case can be disposed of in a very few words, for the records of the asylum show that the patient died of con- sumption sixteen months after the doctor left that institution ; or, to be exact, she was transferred to the asylum from Danvers Nov. 5, 1890 ; Dr. Quinby left the asylum to take charge of the Worcester Insane Hospital Nov. 25, 1890 ; and the patient died at the asylum March 22, 1892, of phthisis. The other case is of recent occurrence. The patient was melancholy, ex- ceedingly resistant of every attention, and finally refused to eat and had to be fed through a stomach tube, which she resisted with all her strength, as she did every other attention. She had long suffered from heart disease, and because of this her face would become purple when resisting. The post-mortem ex- amination showed that her death was caused b}'' heart disease, and also showed no evidence of careless or improper feeding.
7. Hours of Labor of Attendants.
The matter of regulating and prescribing the hours of work is a difficult one. It has been under consideration constantly by the State Board and almost annually by the Legislature.
It is impossible to deal with the case according to the meth-
1902.] PUBLIC DOCUMENT — No. 23. 25
ods in workshops or factories. A separate force is employed to do all the cooking; the patients themselves render much help in serving the meals and in doing domestic work about the wards. The attendants go out for recreation and fresh air with the patients. Abundant hours for sleep are provided. An afternoon and an evening each week are permitted, as well as every other Sunday evening. On the infirmary ward, where the work is more confining, attendants are allowed every other evening in addition to their regular time ; and on the excited wards, where the work is harder, they have each week an extra evening out after 8 o'clock; and during July, August and Sep- tember they all have every other Sunday afternoon, and once a month during the year they are allowed to stay out until 12 o'clock at night, so that they may go to any entertainment if they wish to.
A beautiful and convenient building is in process of construc- tion, where unusual facilities for rest and recreation and for separate meals will soon be furnished for them alone. They are like nurses in our city hospitals, who are amply paid and carefully looked out for, but where it is impossible to regulate the exact hours of attendance ; with a few exceptions, a most excellent class of help, coming largely from New England and the Provinces, are glad to obtain employment as attendants, and find the work congenial and not burdensome. They frequently return after an absence for renewal of service, and seek to get their friends and relatives employment at the institution.
With reference to the charge that patients suffered from poor care after the strike, and pandemonium reigned in the excited wards at night after the strikers left, the trustees wish to state that, as none of the night watch struck, all the wards have been in exactly the same condition at night as before the strike. The strikers' places were filled temporarily from other depart- ments. Many of those called in to assist were women who had formerly been attendants, but, because of their superior quali- ties, had been promoted to other places. They were taken from the marking room, sewing room and laundry. Two for- mer forewomen in the laundry, now living in homes of their own, and one from the farm whose husband has charge there, came to help in the care of the patients. There are now more
26 WORCESTER INSANE HOSPITAL. [Oct.
attendants than when the strike occurred, and all vacancies will be filled when those engaged arrive. The trustees feel that there can be no better proof of the able management of the in- stitution than the bare fact that twenty-three out of fifty-four attendants employed at the time on the female side left the hos- pital at once without notice, and that the patients were cared for and the work went on as usual. A poorly managed insti- tution might have been wrecked by it.
The trustees would call attention to the fact that they have made visits at least as often as once a month to the institution, and gone through the wards for the purpose, among others, of finding out if anything is wrong about the management ; and that no one of these nurses has ever made any complaint to the Board or to any member thereof, either on such visits or at any other time ; and we find that three of these attend- ants who left had been within two years previously employed as nurses in the hospital, and, after leaving without complaint, returned, and in some cases had sought and obtained employ- ment here for other members of their families.
The two hospitals are of enormous value to the community, and the trustees are glad to say that their earnest efforts will soon secure the establishment of a third, which will use Worces- ter as a purchasing centre. They now spend a quarter of a million dollars annually in the purchase of supplies. The hospital is the largest water taker, not a manufacturing con- cern, in the city. It is a very great consumer of gas. It buys the best supplies of every kind, and in so doing enables all householders to be benefited by the sale here of such large quantities by the wholesale dealers. It afibrds a home near at hand, where the relatives of the rich and poor, the humble and prominent, can be cared for, and can be constantly visited on two visiting days of each week, so that their exact condi- tion and treatment can be accurately known. Special wards for suicidal cases ; hospital wards for the sick ; a large farm for people able to work, where all the milk is produced ; a farmhouse, where laborers among the patients can live and have special privileges ; new and commodious quarters for the employees ; a splendid home, in process of building, for the nurses, — all make up the most complete equipment in New
1902.] PUBLIC DOCUMENT — No. 23. 27
England for public charges and private patients. A superin- tendent, assistant superintendent, eight resident physicians (one a woman), one druggist, ninety-two employees, six supervisors, one hundred and fifteen attendants make up the administrative force. This hospital is knoAvn everywhere, and is a noble monument to the liberality of the State and to the care and unfailing devotion in the past of many trustees and of the present and the former superintendents.
The trustees desire to report, as a result of their frequent inspections made previous to the departure of these attend- ants, and of careful investigation of the truth of the charades and of the management of the hospital, that the charges are without foundation, and that the institution is in every respect admirably managed and conducted by the superintendent and those associated with him, whether as physicians, employees or attendants.
THOMAS RUSSELL.
SARAH E. WHITIN.
FRANCES M. LINCOLN.
SAMUEL B. WOODWARD.
THOMAS H. GAGE.
GEORGE W. WELLS.
ROCKWOOD HOAR. Worcester, Sept. 13, 1902.
28 WORCESTER INSANE HOSPITAL. [Oct.
SUPERmTE:N'DEI^T'S KEPORT.
To the Trustees of the Worcester Insane Hospital.
I herewith respectfully submit the following report of the hospital for the year ending Sept. 30, 1902, it being the seven- tieth annual report.
There remained at the hospital Oct. 1, 1901, 1,098 patients, — 528 men and 570 women. During the year 601 patients — 313 men and 288 women — were admitted, 447 patients — 232 men and 215 women — were discharged, and 75 men and 61 women died, leaving at the end of the official year 1,116 patients, — 534 men and 582 women. Of this number, 328 Avere supported by the State, 611 by cities and towns and 177 by friends. Of the 447 persons discharged, 119, including 4 habitual drunkards (women), were reported recovered, 92 much improved, 80 improved and 154 not improved ; 2 were discharged not insane. Five men and 8 women were removed "by the overseers of the poor; 19 men and 8 women were dis- charged to the care of the Board of Insanity, to be removed from the State ; 3 women to Tewksbury, 15 men and 33 women to the Worcester Insane Asylum, 22 men and 21 women to Medfield, 11 men and 7 women to Palmer, 3 women to board out and 1 woman each to Westborough and McLean. One woman and 8 men escaped, and were not returned to the hos- pital or accounted for at the end of the official year.
There remained at the end of the year 18 more patients than at the beginning. The smallest number under treatment on any one day was 1,064, and the largest 1,135. The daily average number was 1,100.75.
The percentage of recoveries, calculated upon the number of discharges and deaths, was 20.41 ; calculated upon the num- ber of admissions, it was 18.13.
1902.] PUBLIC DOCUMENT — No. 23. 29
The death rate was 8, calculated on the whole number of patients under treatment; and 12.2, calculated upon the daily average number.
No serious accident has occurred during the year. We have had four cases of diphtheria, — three employees and one inmate. In. one case the means of communication was direct, but in neither of the others were we able to trace the source of con- tagion. Recovery followed in each. There was also a case of typhoid occurring in a male patient, seven months resident at the hospital. The attack was a mild one, and ended in re- covery. For this also we were unable to find any local cause. During the winter we had an epidemic of measles among our employees, — fifteen cases in all ; and in the spring and sum- mer quite a number of cases of malaria. Aside from these, the general health of the hospital has been good.
Two bills were introduced in the Massachusetts Legislature at its last session, prescribing the number of hours during which the employees of State institutions may be employed. In neither case were the trustees of the institution, or its offi- cers, consulted in regard to the advisability of such legislation, or as to its probable effect upon those under their charge. Both bills passed the House, but failed to secure the approval of the Senate. Understanding that the same or similar meas- ures are to be introduced at the cominoj session of the Leo:is- lature, it seems to me proper that some statement should be made as to the conditions which obtain as regards employees in the institutions where this legislation is to be applied, should it prevail, — conditions which I cannot believe to be fully understood by the general public, or by those advocating the above bills.
Every large institution like the Worcester Insane Hospital is a little community within itself. To meet its various wants, it is obliged to carry on all or most of the industries that are found in a small New England tov/n. It has its carpenters, its painters, its masons, its plumbers, its bakers, its engineers, its blacksmiths, its tailors and its storekeeper. It runs a farm of 400 acres and a housekeeping department which supplies the daily wants of from 1,200 to 1,300 people. All of this is outside the hospital proper, with its 1,100 patients and 130
30 WORCESTER INSANE HOSPITAL. [Oct.
nurses. This requires in the aggregate a large number of em- ployees, but the conditions under which each and all of them are employed differ entirely from those which obtain in the community at large. None of our industries are carried on for purposes of gain, but simply to supply the needs of the hospital. They are part of our daily household work, and this work varies in character and amount from day to day, as all such work must. To bring all employees under the same inflexible rule as to hours would be in many cases to the detriment of the service and to the disadvantage rather than advantage of the employee. On the farm and in most of the mechanical departments patients are employed as assistants, and, as they always make short hours, the actual working time of those having them in charge is correspondingly shortened. In the wards somewhat different conditions prevail. Here the hours in which the nurses are on duty are long. Their work, however, is in most cases light, and they have, beside their daily outings, considerable time practically to themselves. Many of the nurses act as private attendants for special cases. Their duties are largely that of a companion, and are corre- spondingly light. They are chosen for their special ability to gain the confidence and get along smoothly with the patient placed in their charge, and a frequent change of attendants is always of disadvantage to the patient. Other attendants are in charge of critical cases, where the same difficulty as to change applies. It is a part of the nurse's training to meet the conditions which will confront her when she comes to undertake her chosen work outside of the hospital, and to school herself to submit readily and cheerfully to whatever demands may be made upon her time and energy in a given emergency ; but in all cases when the work is specially hard and exacting, provisions are made for extra outings, and the attendant is never allowed to sacrifice her health to her duties. That the nurses as a whole should, hoAvever, have shorter hours, has long been felt, and plans have already been made which, when completed, as they soon will be, will not only shorten their hours but give them an attractive home to which they can go when off duty. Legislation in this direction is- uncalled for, and would be most pernicious in its effect both upon the hospital and upon its nurses.
1902.] PUBLIC DOCUMENT — No. 23. 31
In an institution where the various branches of labor are so intimately connected, to attempt to apply a law to one class of employees to the exclusion of the others would be an unending- source of annoyance and discomfort. An eight-hour law, ap- plied to all employees of the hospital, would oblige us to double our force in most departments. This, of course, would add largely to the cost of maintenance, but the additional ex- pense would not stop here. It is necessary that most of our employees should live on the premises, and, as we have at present no accommodations for such an additional number of persons, a building or buildings would have to be provided for them. We should be obliged to consider also the unemployed half of our help, many of whom would naturally remain about the premises when off duty, and we should be forced, in self- defence, if for no other reason, to furnish them means for recreation and amusement. From what source is this large additional cost in the running expenses of the institution to be met? Unless the State is willing to provide for this by in- creasing the price allowed for the board of patients (which under present conditions is hardly to be expected) , this addi- tional cost must come out of our present income, — that is, out of the sum now applied to the support of our inmates.
The attitude of the trustees toward the employees of the hospital has always been a generous one, and the management has found them not only ever ready but anxious to provide everything necessary for their health and comfort. It has been their constant aim to make the work of the employees agree- able and attractive, and to reduce their hours whenever the exigencies of the service would allow. They recognize the fact that the success of the institution depends largely upon the character of its help, and to attract and hold the best they have provided them with pleasant apartments and commodious, light, cheerful and sanitary work rooms, and have furnished them with all the labor-saving devices and appliances necessary for carrying on their work to the best advantage. They have pro- vided recreation rooms for the help when off duty, and in worthy cases extra vacations after long service without loss of pay. When sick, they have furnished medical treatment free of cost and often outside the hospital. They have sought, in fact, to do everything possible to make them feel that good
32 WORCESTER INSANE HOSPITAL. [Oct.
service and faithfulness to duty would be recognized and ap- preciated at its full value. What is true of this hospital is, in the main, I believe, true of every other hospital in the State ; and it would seem, therefore, that the welfare of the employees in these institutions can safely be left to those having them in charge.
Dr. Meyer resigned his position at the hospital in May, to take the directorship of the Pathological Institute in New York. His assistant. Dr. Dunlap, left us at the same time, to take a position in the same institution. This necessitated a certain rearrangement of our medical staff. The direction of the clin- ical work has been placed in the hands of Dr. Noble, while the laboratory has been put temporarily in the charge of Dr. Hoch. An interesting and valuable series of studies, entitled "Ob- servations upon the elimination of indican, acetone and diecetic acid in the various psychoses," by Dr. Coriat, has been com- pleted and published in the " American Journal of Insanity," Vol. LVIII.,No. 4, 1902.
In order to furnish a more liberal supply of ice for the ever- increasing demand of our household, our ice house has been enlarged and doubled in capacity ; with this addition sve are now able to store 1,000 tons of ice.
The contract for our nurses' home was let May 1, 1902, and the work thereon at once begun. This has been delayed some- what by a strike on the part of the workmen ; but the building is now covered in, and will soon be ready for the interior finish. It will no doubt be completed and ready for occupancy in the early spring.
We were authorized by the Legislature of 1902 to use, for the building of an addition to our boiler house and doing cer- tain other preliminary work necessary to the installing of an electric light plant, $16,000 of the unexpended balance to our credit after settling our old account, preparatory to entering upon the new system of accounting which went into effect Jan- uary 1 of this year. This work is now well under way. An additional appropriation will be necessary to complete the work.
At present we have no suitable room for our stenographers and typewriters. A one-story addition in the rear of the ad- ministrative building, off the present library, would provide
1902.] PUBLIC DOCUMENT — No. 23. 33
the needed accommodations, and could be built at a compara- tively small expense. 1 would ask that means for such an ad- dition be furnished.
I wish again to call attention to the need of a morgue, and for rooms connected therewith for our laboratorj'^ work. We are unable, in the present situation of our laboratory, under the offices of the executive building, to carry on without offence certain investigations which are necessary in our clinical work and in the study of the specialty.
The current expenses, less the amount received from articles sold, have been $230,333.22; dividing this by 1,100.75, the daily average number of patients, gives $209.25 as the annual cost of support, which is equivalent to a weekly cost of $4.01.
The apparent increase in the cost of support is due largely to the new method of accounting. Formerly all extraordinary expenses for repairs and improvements were excluded in mak- ing up this estimate ; now all expenses are included except money appropriated for new buildings.
HOSEA M. QUINBY, M.D.,
Superintendent.
WoKCESTER Insane Hospital, Sept. 30, 1902.
34
WORCESTER INSANE HOSPITAL.
[Oct.
LIBRARY REPORT.
Total number of books in library Sept, 30, 1901, Books added during the year, .... Total number of books in library Sept. 30, 1902, Total number of books taken out during the year.
By male patients,
By female patients,
3,838 141 3,979 6,898 3,914 2,984
During the year only one book was destroyed beyond repair by a female patient.
PRODUCTS OF THE FARM
On Hand Oct. 1, 1902, and not delivered at the Hospital.
Apples, barrels, . Apples, cider, bushels Barley, fodder, tons. Beans, Lima, bushels. Beets, bushels, . Cabbages, heads. Carrots, bushels. Cauliflower, heads, Celery, heads. Corn, broom, pounds. Corn, sweet, dozen, Corn, fodder, tons, Egg plants, Ensilage, tons, . Hay, tons, .
275
275
5
50
487
10,000
430
1,000
10,000
1,000
640
20
100
625
300
Hay, swale, tons. Lettuce, plants, . Mangolds, bushels Oat fodder, tons, Onions, bushels, . Parsnips, bushels. Pears, bushels, Rowen, tons, Rye, bushels. Squash, pounds, Straw, oat, tons, Straw, rye, tons. Tomatoes, bushels Turnips, bushels.
5
1,000
100
12
600
400
10
35
25
50,000
4
4
100
1,000
1902.]
PUBLIC DOCUMENT — No. 23.
6b
LIST OF PERSONS
Employed in the Worcester Insane Hospital, Sept. 30, 1902.
|
Superintendent, per year, . . . |
$3,000 00 |
|||
|
Assistant superintendent, |
2,000 00 |
|||
|
Assistant physician, per year, .... |
1,000 00 |
|||
|
Assistant piiysicians (three), each, per year, . |
800 00 |
|||
|
Junior assistant physicians (four), each, per year. |
400 00 |
|||
|
Druggist, per week, . . . . . . |
20 00 |
|||
|
Assistant in laboratory, per week, . . . |
10 00 |
|||
|
Steward, per year, |
1,200 00 |
|||
|
Matron, per year, |
600 00 |
|||
|
Clerk, per year, |
720 00 |
|||
|
Treasurer, per year, |
500 00 |
|||
|
Auditor, per year, |
75 00 |
|||
|
Stenographers (two), per month, |
$60 00 and 30 00 |
|||
|
Stenographers (two), per week, |
10 00 |
|||
|
Supervisors (three men), each, per month, |
140 00 |
to 45 00 |
||
|
Supervisors (four women), each, " ' |
25 00 |
|||
|
Marker of clothing, etc., " ' |
20 00 |
|||
|
Seamstresses (four), " ' |
18 00 |
|||
|
Attendants (fifty-three men), " ' |
f23 00 |
to 28 00 |
||
|
Attendants (sixty women), " ' |
14 00 |
to 20 00 |
||
|
Night attendants (eight men), " ' |
25 00 |
to 28 00 |
||
|
Night attendants (eight women)," ' |
18 00 |
|||
|
Baker, " ' |
, |
60 00 |
||
|
Assistant baker, " ' |
30 00 |
|||
|
Steward's assistant, " ' |
30 00 |
|||
|
Kitchen men (three), " ' |
$25 00 |
to 45 00 |
||
|
Cooks (two), " |
25 00 and 28 00 |
|||
|
Laundrymen (two), " ' |
. |
30 00 |
||
|
Laundress, " ' |
20 00 |
|||
|
Laundry girls (seven), " ' |
$14 00 |
to 18 00 |
||
|
Kitchen girls (five), . " ' |
14 00 |
to 18 00 |
||
|
House girls (ten), " ' |
14 00 |
to 16 00 |
||
|
Office girl, " ' |
18 00 |
|||
|
Carpenter, per day, ..,,.. |
3 00 |
|||
|
Painter, per day, |
2 50 |
|||
|
Mason, per day, |
3 25 |
|||
|
Mason's helper, |
. |
2 25 |
3fi
WORCESTER INSANE HOSPITAL.
[Oct.
Plumber, per month, .... Engineer, per day, . . . . Firemen (two), per month. Farmers (two), each, per month. Housekeepers (two), each, per month. Farm laborers (thii'teen), per month, Fai'm fireman, per month, . Farm help (five women), per month, Florist, per month. Coachman, per month, Expressman, per month, . Basement and yard man, . Butcher, per month, .
$75 00
3 00
40 00
p60 00 and 45 00
18 00 and 20 00
25 00 to 35 00
30 00
22 00
45 00
25 00
25 00
28 00
25 00
$14 00 to
VALUATION OF PERSONAL ESTATE
Sept. 30, 1902.
Live stock on the farm, ....
Produce of farm on hand, ....
Carriages and agricultural implements, .
Machinery. and mechanical fixtures, .
Beds and bedding in inmates' department.
Other furniture in inmates' department, .
Personal property of State in superintendent's
Ready-made clothing.
Dry goods, .
Provisions and groceries,
Drugs and medicines,
Fuel, ....
Library,
Other supplies undistributed,
department.
113,996 00
13,535 13
7,206 90
35,413 55
31,993 00
24,053 30
32,719 09
2,538 29
1,573 27
4,925 28
410 60
4,726 50
5,401 44
6,848 11
$185,340 46
1902.]
PUBLIC DOCUMENT — No. 23.
37
TREASURER'S REPORT.
To the Trustees of the Worcester Insane Hospital.
I herewith submit my annual report on the finances of the Worcester Insane Hospital for the year ending Sept. 30, 1902.
Receipts.
Cash on hand Se}3t. oKi, 1901,
Received from Commonwealth for support of patients,
from cities and toM^ns for support of patients,
from individuals for support of jjatients, .
from soldiers' relief for support of patients,
from interest on bank balance,
from farm and farm products, .
from sale of tubs and barrels, .
from sale of rags and rubber, .
from sale of old iron and brass,
from sale of sundries,
from sales from store,
from Commonwealth for current expenses,
from Commonwealth from special appropriations.
Total receipts.
|
$14,971 |
61 |
|
27,377 |
55 |
|
109,951 |
10 |
|
53,591 |
11 |
|
1,330 |
65 |
|
676 |
02 |
|
4,084 74 |
|
|
146 |
74 |
|
230 68 |
|
|
46 |
04 |
|
489 |
01 |
|
544 |
33 |
|
141,459 |
19 |
|
16,398 |
64 |
|
1371,297 |
41 |
Expenditures. Pay roll, $71,879 89
Food : — Butter and butterine. Beans,
Bread and crackers, . Cereals, rice, meal, etc. Cheese, Eggs, Flour, Fish, . Fruit, . Meats, Molasses, .
Amoimls carried forivard,
|
17,744 64 |
|
|
534 |
40 |
|
489 |
77 |
|
1,195 |
18 |
|
824 |
86 |
|
5,270 |
21 |
|
6,924 46 |
|
|
2,930 |
65 |
|
2,318 |
07 |
|
14,115 |
28 |
|
486 |
92 |
|
$42,834 |
44 |
$71,879 89
|
38 WORCESTER INSANE HOSPITAL. |
[Oct. |
|
|
Amounts brought forward, |
$42,834 44 |
$71,879 89 |
|
Sugar, |
4,457 66 |
|
|
Tea, coffee, broma and cocoa, . |
2,199 85 |
|
|
Vegetables, |
4,539 47 |
|
|
Sundries, ....... |
3,719 42 |
57,750 84 |
|
Clothing and clothing material : — |
||
|
Boots, shoes and rubbers, |
|867 98 |
|
|
5,309 84 |
||
|
Dry goods for clothing, and small wares, |
1,295 03 |
|
|
Furnishing goods, |
1,682 16 |
|
|
Hats and caps, |
188 54 |
|
|
Leather and shoe findings, |
105 21 |
|
|
Sundries, |
135 08 |
9,583 84 |
|
Furnishings : — |
||
|
Beds, bedding, table linen, etc.. |
14,032 81 |
|
|
Brushes, brooms, etc., .... |
364 72 |
|
|
Carpets, rugs, etc., ..... |
783 28 |
|
|
Crockery, glassware, cutlery, etc., . |
1,474 50 |
|
|
Furniture and upholstery, |
2,949 97 |
|
|
Kitchen furnishings, .... |
348 55 |
|
|
87 74 |
||
|
Sundries, |
515 68 |
10,557 25 |
|
Heat, light and power : — |
||
|
Coal |
$18,160 88 |
|
|
Gas, . |
6,045 03 |
|
|
Oil |
105 64 |
|
|
Sundries, . |
129 35 |
24,440 90 |
|
Repairs and improvements : — |
||
|
Bricks, |
$674 24 |
|
|
Cement, lime and plaster. |
893 67 |
|
|
Doors, sashes, etc., |
549 51 |
|
|
Electrical work and supplies, . |
509 33 |
|
|
Hardware, |
993 12 |
|
|
Lumber, |
1,831 02 |
|
|
Machinery, ...... |
3,724 64 |
|
|
Paints, oils, glass, etc., .... |
1,241 96 |
|
|
Plumbing, steam fitting and supplies. |
3,230 35 |
|
|
Roofing and materials, .... |
533 17 |
|
|
Mechanics and laborers (not on pay roll). |
7,517 90 |
|
|
Sundries, ....... |
5,294 92 |
|
|
26,993 83 |
||
|
Farm, stable and grounds : — |
||
|
Blacksmith, and supplies, |
• . $559 71 |
|
|
Carriages, wagons and repairs. |
934 60 |
|
|
Amounts carried forward, . |
$1,494 31 |
$201,206 55 |
1902.]
PUBLIC DOCUMENT — No. 23.
39
|
Amounts brought forward. |
fl,494 |
31 |
$201,206 55 |
|
Fertilizers, vines, seeds, etc., . |
1,028 |
01 |
|
|
Hay, grain, etc.. |
7,627 |
93 |
|
|
Harness and repairs. |
513 |
48 |
|
|
Horses, . . . . . |
1,595 |
00 |
|
|
Cows, |
3,392 |
00 |
|
|
Other live stock. |
95 |
00 |
|
|
Labor (not on pay roll), . |
62 |
95 |
|
|
Tools, farm, machines, etc., |
764 47 |
||
|
Sundries, |
690 |
16 |
|
|
— |
17,263 31 |
||
|
Miscellaneous : — |
|||
|
Books, periodicals, etc.. |
$470 59 |
||
|
Chapel services and entertainments. |
547 |
40 |
|
|
Freight, expresses and transportatic |
)n, . . 357 |
61 |
|
|
Funeral expenses. |
381 |
00 |
|
|
Gratuities, |
22 |
84 |
|
|
Hose, etc., |
. . 24 50 |
||
|
Ice, |
438 |
15 |
|
|
Labor (not on pay roll), . |
365 |
24 |
|
|
Medicines and hospital supplies. |
2,054 |
73 |
|
|
Medical attendance, nurses, etc. (ex |
tra), . ,376 |
71 |
|
|
Postage, |
393 |
26 |
|
|
Printing and printing supplies. |
509 |
52 |
|
|
Return of runaways, |
79 |
92 |
|
|
Soap and laundry supplies. |
2,439 |
48 |
|
|
Stationery and oflS.ce supplies, . |
672 |
88 |
|
|
Travel and expenses (oflicials). |
162 |
82 |
|
|
Telephone and telegraph, |
201 |
23 |
|
|
Tobacco, |
571 |
22 |
|
|
Water, |
4,959 |
71 |
|
|
Sundries, ..... |
2,376 |
09 |
|
|
17,404 90 $235,874 76 |
|||
|
Total, |
|||
|
Paid out of special appropriations. |
15,626 11 |
||
|
Receipts paid to State Treasurer, |
114,402 13 |
||
|
Total expenditures, . |
$365,903 00 |
||
|
Cash on hand Sept. 30, 1902, . Res |
OURCES. |
5,394 41 $371,297 41 |
|
|
Cash on hand Oct. 1, 1902, |
$5,394 41 |
||
|
Bills due from cities and towns. |
28,918 |
34 |
|
|
Bills due from individuals. |
13,180 |
43 |
|
|
Bills due from soldiers' relief, . |
324 |
04 |
|
|
— |
$47,817 22 |
||
|
Unexpended special appropriations |
. • . |
45,667 15 |
|
|
Total resources, . |
. . . • • |
, |
$93,484 37 |
40
WORCESTER INSANE HOSPITAL.
[Oct.
Liabilities. Due for maintenance paid in advance,
for salaries, wages and labor, . . . for all other current expenses, .
Special Appropriations.
fl50 94
6,450 61
13,651 84
$20,253 39
OBJECT.
Resolves.
Whole Amount.
Expended
in
1900 and 1901.
Expended
in
1902.
Balance Oct. 1, 1902.
Administration building extension.
Nurses' home, . Electric lighting,
1900, chap. 69, $39,998 44
1901, chap. 471,
1902, chap. 118,
f $8,931 59"!
I I
^ 28,788 24 >
I I
1. $37,719 83 J
45,000 00 16,000 00
$2,278 61
14,767 85 565 00
$30,232 15 15,435 00
Patiekts' Funds. Balance on hand Sept. 30, 1901, ... Receipts during year, ..... Interest on bank balance, ....
Expenditures during year, ....
Balance on hand Se^Dt. 30, 1902,
Respectfully submitted,
. $2,064 99
. 1,662 77
27 33
f3,755 09 1,597 34
52,157 75
ALBERT WOOD,
Treasurer.
Oct. 1, 1902.
1902.]
PUBLIC DOCUMENT — No. 23.
41
STATEMENT OF FUNDS.
LEMas Fund.
Balance on hand Sept. 30, 1901, Receipts during year,
Expenditures during year. Depreciation of Springfield bond, .
Balance on hand Sept. 30, 1902, .
Investment.
Springfield bond,
Worcester County Institute for Savings, Cash on hand Sept, 30, 1902, ....
Wheeler Fund. Balance on hand Sept. 30, 1901, . Receipts during year, . . Advance in Worcester National Bank shares.
fl,290 77 78 99
fl,369 76
fo5 16 60 00
115 16
. $1,254 60
1,010 00 244 13
47
,539 86
206 64
15 GO
$1,254 60
Expenditures during year.
Balance on hand Sept. 30, 1902,
1,761 50 113 28
1,648 22
Investment. Seven shares Central National Bank, . Three shares Worcester National Bank, Worcester County Institute for Savings, Worcester Five Cents Savings Bank, . Cash on hand Sept. 30, 1902, .
Lawn Fund. Balance in Mechanics Savings Bank, Sept. 30, 1901, Dividends, ........
$770 00
555 00
1,445 86
1,719 47
157 89
1,648 22
51,163 76 46 52 |1,210 28
42 WOKCESTER INSANE HOSPITAL. [Oct. 1902.
Manson Fund. Balance in Worcester County Institute for Savings
Sept. 30, 1901, .$1,272 14
Dividends, 50 88
f 1,323 02
Land Account. Cash on hand Sept. 30, 1902 $58 52
Respectfully submitted,
ALBERT WOOD,
Treasurer of Corporation.
Oct. 1, 1902.
Worcester, Mass., Oct. 24, 1902. I hereby certif.y that I have this day compared the treasurer's statement of disburse- ments for the year ending Sept. 30, 1902, with the vouchers on file at the "Worcester Insane Hospital, and find them to agree. I have also inspected the securities represent- ing the invested funds of the institution, and find that their market value is as stated.
GEORGE L. CLARK,
Auditor of Accounts.
STATISTICAL TABLES
[Fork prescribed bt State Board of Insanity.]
cc <-• <y> a5G<<0'#<M«o
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46
WORCESTER INSANE HOSPITAL.
[Oct.
&5
s
I
o^
|
oo |
3 ^ |
1,093.35 1,091.50 1,091.51 |
oo-*cococi(Ma50 (Mcoc^r--0'— 1— itMt-i |
1 |
1 |
10 d 0 r-T |
|
CMC0Oit^tOO5'+t>.CO ^__ ^__ r-^ 0. 0 0 0_ T-J^ ,-4_ |
||||||
|
3 |
570.00 574.83 570.64 |
I>.-*uOCOCOO<MiOO »Ot^iOOC55COCOCOI> |
1 |
1 |
06 to 0 |
|
|
(M05>r5'-t^tOiO05-- t^tototooiotor^GO lO'OiO'OiOiO'OO'O |
||||||
|
1 |
523.35 516.66 620.86 |
<Mt00iOOOO-*O to"0>— 't^r-iasQOOs-^ |
1 |
1 |
0 0 GO CO UO |
|
|
cneo-rHtooooiGOt^^H COtCiOCOC^CNC^C^ICO iO^*O»O*O*O»O*Ou0 |
||||||
|
X H ■< |
0 |
0 -^ (N |
-JQO<— iCOiOOiOOJi-i i-H !—(,—(,—( i-i rH I— 1 |
to CO T-l |
to CO |
1 |
|
"3 I E&4 |
lO '^ «o |
t>.toio-^t>.co-^to-ti |
1—1 to |
1—1 to |
1 |
|
|
rt a |
lO 0 to |
^C<ItOCJ5COtOtOtOt> |
10 |
1 |
||
|
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0 |
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|
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(M 05 to |
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10 |
CO |
1 |
|
|
1 |
•i< <yi —t |
OlO'OCJS-^COt^'O^^ r-HCOCOi-li-l.-l^CO |
CO CO (M |
CO CO |
1 |
|
|
o ft |
■3 |
0 01 (M -*1 CO to |
r--.^t^GOiO'— icot^oo iocoto^-^toto-<tico |
0 to |
as uo |
1 |
|
a Eh |
0 00 Ci C^ 1-1 CM |
tOCOCOiO!MtOGO— 't-- CM^^CO(Mi>l(MCOCMi-i |
00 GO (M |
CO 00 CO |
1 |
|
|
1 |
0 ^ CO C<) (M CO |
.^^-rt^coeoioictoi-i CO(MCO(M(MCOCN<MG<l |
eo CO |
05 0 CO |
1 |
|
|
B 3 |
1901. October, November, December, |
e |
00" 00 03 0 ■^ 0 H |
E 0 EC &( =4-1 0 "^ H |
Daily average. |
|
|
January, . February, March, . April, May, June, July, August, . September, |
1902.]
PUBLIC DOCUMENT — No. 23.
47
3. — Received on First and Subsequent Admissions.
|
Cases admitted. |
Times pbbviodslt recovered. |
||||||
|
Males. |
Females. |
Totals. |
Males. |
Females. |
Totals. |
||
|
First, . |
267 |
228 |
49,5 |
- |
- |
- |
|
|
Second, |
30 |
41 |
71 |
12 |
13 |
25 |
|
|
Third, . |
9 |
13 |
22 |
4 |
5 |
9 |
|
|
Fourth, |
6 |
2 |
8 |
7 |
1 |
8 |
|
|
Fifth, . |
- |
3 |
3 |
- |
2 |
2 |
|
|
Sixth, . |
1 |
- |
1 |
1 |
- |
1 |
|
|
Seventh, |
- |
- |
- |
- |
- |
- |
|
|
Eighth, |
- |
- |
- |
- |
- |
- |
|
|
Ninth, . |
- |
1 |
1 |
- |
1 |
1 |
|
|
Total of cases, |
313 |
288 |
601 |
24 |
22 |
46 |
|
|
Total of persons, |
309 |
286 |
595 |
23 |
22 |
45 |
48
WORCESTER INSANE HOSPITAL.
[Oct.
4. — Relation to Hospital of Persons admitted.
|
Males. |
Females. |
Totals. |
|
|
Never before in any hospital for insane, |
242 |
204 |
446 |
|
Former inmates of this hospital only, |
41 |
47 |
88 |
|
Former inmates of other hospitals only, . |
25 |
23 |
48 |
|
Former inmates of this and other hospitals : — |
|||
|
Danvers, |
- |
2 |
2 |
|
Danvers and Taunton, .... |
1 |
2 |
|
|
Danvers and VVestborough, |
1 |
||
|
Massachusetts Hospital for Epileptics, |
- |
||
|
Massachusetts Hospital for Inebriates, |
1 |
||
|
McLean, |
1 |
||
|
McLean and Westborough, |
- |
||
|
Medfield, |
- |
||
|
Newton Nervine and McLean, . |
1 |
||
|
Northampton, |
- |
||
|
Taunton, ....... |
- |
||
|
Taunton and Westborough, |
- |
||
|
Tevs^ksbury, |
- |
||
|
Ward's Island, Danvers, Taunton, South Boston and Westborough, |
- |
||
|
Westborough, |
- |
2 |
|
|
Total of cases, |
313 |
288 |
601 |
1902.]
PUBLIC DOCUMENT — No. 23.
49
5. — Parentage of Persons admitted.
|
Males. |
Females. |
Totals. |
|||||||
|
PLACES OF NATIVITY. |
|||||||||
|
Father. |
Mother. |
Father. |
Mother. |
Father. |
Mother. |
||||
|
Massachusetts, .... |
35 |
33 |
35 |
32 |
70 |
65 |
|||
|
Other States : — |
|||||||||
|
Maine, .... |
4 |
6 |
5 |
8 |
9 |
14 |
|||
|
New Hampshire, |
8 |
8 |
4 |
6 |
12 |
14 |
|||
|
"Vermont, . |
4 |
3 |
1 |
3 |
5 |
6 |
|||
|
Rhode Island, |
_ |
1 |
1 |
_ |
1 |
1 |
|||
|
Connecticut, |
4 |
4 |
2 |
1 |
6 |
5 |
|||
|
New York, |
4 |
2 |
2 |
3 |
6 |
5 |
|||
|
Virginia, . |
_ |
1 |
2 |
2 |
2 |
S |
|||
|
North Carolina, |
1 |
2 |
_ |
_ |
1 |
2 |
|||
|
Georgia, |
1 |
1 |
_ |
1 |
1 |
2 |
|||
|
Florida, |
1 |
1 |
_ |
_ |
1 |
1 |
|||
|
Michigan, . |
- |
1 |
- |
- |
- |
1 |
|||
|
Other countries : — |
|||||||||
|
Cape Breton, |
_ |
_ |
1 |
1 |
1 |
1 |
|||
|
Canada, |
22 |
23 |
6 |
7 |
28 |
30 |
|||
|
Nova Scotia, |
6 |
7 |
5 |
3 |
11 |
10 |
|||
|
New Brunswick, |
4 |
4 |
4 |
3 |
8 |
7 |
|||
|
Newfoundland, . |
2 |
2 |
1 |
1 |
3 |
3 |
|||
|
Prince Edward Islanc |
^ |
1 |
1 |
2 |
1 |
3 |
2 |
||
|
AVest Indies, |
_ |
_ |
1 |
1 |
1 |
1 - |
|||
|
Scotland, . |
5 |
8 |
6 |
5 |
11 |
8 |
|||
|
England, . |
18 |
19 |
18 |
14 |
36 |
33 |
|||
|
Ireland, |
116 |
115 |
91 |
97 |
207 |
212 |
|||
|
Wales, |
- |
_ |
3 |
3 |
3 |
3 |
|||
|
Norway, |
3 |
3 |
2 |
2 |
5 |
5 |
|||
|
Sweden, |
9 |
10 |
6 |
6 |
15 |
16 |
|||
|
Denmark, . |
1 |
1 |
1 |
1 |
2 |
2 |
|||
|
Germany, . |
5 |
5 |
1 |
1 |
6 |
6 |
|||
|
Austria, |
1 |
1 |
_ |
_ |
1 |
1 |
|||
|
Italy, . |
2 |
2 |
1 |
1 |
3 |
3 |
|||
|
Greece, |
1 |
1 |
_ |
_ |
1 |
1 |
|||
|
Armenia, . |
1 |
1 |
2 |
2 |
3 |
3 |
|||
|
Hungary, . |
- |
_ |
1 |
1 |
1 |
1 |
|||
|
Finland, |
1 |
1 |
3 |
3 |
4 |
4 |
|||
|
Poland, |
5 |
6 |
_ |
_ |
5 |
5 |
|||
|
Russia, |
4 |
4 |
2 |
2 |
6 |
6 |
|||
|
Unknown, . |
44 |
42 |
79 |
77 |
123 |
119 |
|||
|
Total of persons |
313 |
313 |
288 |
288 |
601 |
601 |
ft
50
WORCESTEE INSANE HOSPITAL.
[Oct.
6. — Residence of Persons admitted.
|
PLACES. |
Males. |
Females. |
Totals. |
||||
|
Massachusetts (by counties) : — |
|||||||
|
Berkshire, |
- |
1 |
1 |
||||
|
Essex, |
8 |
1 |
4 |
||||
|
Hampden, |
- |
1 |
1 |
||||
|
Middlesex, |
93 |
101 |
194 |
||||
|
Norfolk, . |
6 |
7 |
13 |
||||
|
Suffolk, . |
48 |
42 |
90 |
||||
|
Worcester, |
163 |
135 |
298 |
||||
|
Totals, |
313 |
288 |
601 |
||||
|
Cities or towns, |
313 |
288 |
601 |
PUBLIC DOCUMENT — No. 23.
51
|
< Eh |
•SIBJOX |
»0 «-! (M 00 (W 1-1 1-1 OS t>. <M |
1-1 o CO 1 |
|
|
•saiBmsji |
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to" o H |
52
WOECESTER INSANE HOSPITAL.
Occupation of Persons admitted.
FEMALES.
|
Artist, 1 |
Nurses, . . . . .3 |
|||||||
|
Attendant, . |
1 |
Operatives, |
17 |
|||||
|
Bookkeepers, |
2 |
Printing press work, |
1 |
|||||
|
Boxmaker, |
1 |
Table waiter, |
1 |
|||||
|
Clerk, |
1 |
Teachers, . |
6 |
|||||
|
Cook, . |
1 |
Weaver, |
1 |
|||||
|
Domestics, |
71 |
Unknown, . |
10 |
|||||
|
Dressmakers, |
3 |
No occupation, . |
73 |
|||||
|
Housekeepers, |
67 |
|||||||
|
Housewives, |
37 |
Total, 288 |
||||||
|
Milliners, . |
2 |
|
Agent, 1 |
Carriage trimmer, |
||||||
|
Assistant buyer, |
1 |
Cigar maker. |
|||||
|
Bakers, |
2 |
Civil and mining engineer |
|||||
|
Barbers, |
2 |
Clerks, |
. 10 |
||||
|
Basket maker, |
1 |
Comb maker, |
|||||
|
Bell boy, . |
1 |
Core makers. |
|||||
|
Bicycle riders, |
2 |
Corset ironer. |
|||||
|
Blacksmiths, |
4 |
Currier, |
|||||
|
Bookkeepers, |
3 |
Drug clerk. |
|||||
|
Boots, . |
1 |
Engineers, . |
|||||
|
Boot shop, . |
1 |
Farmers, . |
. 17 |
||||
|
Bottlers, . |
3 |
Fisherman, |
|||||
|
Boxmaker, . |
1 |
Gardener, . |
|||||
|
Brick layer. |
1 |
Gate tender, |
|||||
|
Brickmaker, |
1 |
Grocers, |
|||||
|
Cabinet makers, |
2 |
Hostler, |
|||||
|
Carpenters, |
7 |
"House painter, |
|||||
|
Carriage painter. |
1 |
Ironworker, |
1902.]
PUBLIC DOCUMENT — No. 23.
53
8. — Occupation of Persons admitted — ■ Concluded.
MALES — Concluded.
|
Journalist, .... |
1 |
Rubber maker, .... 1 |
|||||
|
Junk dealer. |
1 |
Rubber workers. |
2 |
||||
|
Laborers, . |
53 |
Sailor, |
1 |
||||
|
Last maker. |
1 |
Salesmen, . |
3 |
||||
|
Laundryman, |
1 |
Section hand, |
1 |
||||
|
Liquor dealer, |
1 |
Shoe cutter, |
1 |
||||
|
Loom fixer. |
1 |
Shoemakers, |
3 |
||||
|
Lumber dealers, |
2 |
Stableman, |
1 |
||||
|
Machinists, |
13 |
Steam fitters, |
3 |
||||
|
Masons, |
3 |
Steam sponger. |
1 |
||||
|
Mechanics, |
6 |
Stenographer, |
1 |
||||
|
Melter, |
Stevedore, . |
1 |
|||||
|
Merchant, . |
Stone cutter. |
1 |
|||||
|
Milkman, . |
Students, . |
2 |
|||||
|
Milling, |
Tailors, |
- |
2 |
||||
|
Miner, |
Teamsters, |
4 |
|||||
|
Moulder, . |
Tinsmith, . |
1 |
|||||
|
Mule spinner, |
Tutor and clerk. |
1 |
|||||
|
Operatives, |
12 |
Upholsterer, |
1 |
||||
|
Painters, . |
5 |
Waiters, |
4 |
||||
|
Paper hangers. |
2 |
Weavers, . |
8 |
||||
|
Paper stainer, |
1 |
Wheelwright, |
1 |
||||
|
Physicians, |
2 |
Wire makers. |
2 |
||||
|
Police officer. |
1 |
Wire workers, |
3 |
||||
|
Polishers, . |
2 |
Wood turner, |
1 |
||||
|
Pressmen, . |
2 |
Unknown, . |
23 |
||||
|
Printer, |
1 |
No occupation. |
37 |
||||
|
Railroad section foreman, . |
1 |
||||||
|
Restaurant keeper, . |
1 |
Total, . . . . .313 |
|||||
|
Rubber boot maker, . |
1 |
54
WOECESTER INSANE HOSPITAL.
[Oct.
's
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1902.] PUBLIC DOCUMENT — No, 23.
55
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56
WORCESTER INSANE HOSPITAL.
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1902.]
PUBLIC DOCUMENT — No. 23.
57
11. — Ages of Insane at First Attack, Admission and Death.
12. — Reported Duration of Disease before Last Admission.
|
PREVIOUS DURATION'. |
First Admission TO Any Hospital . |
All Other Admissions. |
Totals. |
||||||||
|
Ma. |
Fe. |
Tot. |
Ma. 1 Fe. |
Tot. |
Ma. |
Fe. |
Tot. |
||||
|
Congenital, |
2 |
2 |
4 |
1 |
- |
1 |
3 |
2 |
5 |
||
|
Under 1 month, |
68 |
43 |
111 |
16 |
17 |
33 |
84 |
60 |
144 |
||
|
From 1 to 3 months, |
31 |
23 |
54 |
10 |
13 |
23 |
41 |
36 |
77 |
||
|
Z to 6 months, |
15 |
17 |
32 |
13 |
^ 5 |
18 |
28 |
22 |
50 |
||
|
6 to 12 months, |
13 |
7 |
20 |
2 |
7 |
9 |
15 |
14 |
29 |
||
|
1 to 2 years, . |
20 |
10 |
30 |
4 |
2 |
6 |
24 |
12 |
36 |
||
|
2 to 5 years, . |
19 |
15 |
34 |
3 |
4 |
7 |
22 |
19 |
41 |
||
|
5 to 10 years, . |
8 |
12 |
20 |
1 |
4 |
5 |
9 |
16 |
25 |
||
|
10 to 20 years, . |
8 |
6 |
14 |
1 |
1 |
2 |
9 |
7 |
16 |
||
|
Over 20 years, . |
- |
- |
- |
- |
2 |
2 |
- |
2 |
2 |
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|
Unknown, . |
58 |
69 |
127 |
20 |
29 |
49 |
78 |
98 |
176 |
||
|
Total of cases, . |
242 |
204 |
446 |
71 |
84 |
155 |
313 |
288 |
601 |
||
|
Total of persons. |
239 |
203 |
442 |
70 |
83 |
153 |
309 |
286 |
595 |
||
|
Average In years, |
1.41 |
1.85 |
1.63 |
.80 |
2.25 |
1.65 |
2.21 |
4.10 |
3.18 |
58
WORCESTER INSANE HOSPITAL.
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59
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60
WOECESTER INSANE HOSPITAL.
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61
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62
WORCESTER INSANE HOSPITAL.
[Oct.
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PUBLIC DOCUMENT — No. 23.
63
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64
AVOECESTER INSANE HOSPITAL.
[Oct.
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1902.] PUBLIC DOCUMENT — No. 23.
67
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68
WORCESTEK INSANE HOSPITAL.
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YEARS ENDING SEPT. 30. |
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1902.] PUBLIC DOCUMENT— No. 23.
69
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