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Full text of "Annual report of the trustees of the Worcester Insane Hospital"

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University of Massachusetts Amherst 



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PUBLIC DOCUMENT 



. . No. 23. 



SEVENTY-FOUETH ANNUAL EEPOET 

OF 

THE TEUSTEES 

OP THE 

WORCESTER INSANE HOSPITAL, 

AND 

TWENTY-NINTH ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WOKCESTEK INSANE ASYLUM AT WOKCESTEK, 

FOR THE 

Year ending November 30, 1906. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1907. 



PUBLIC DOCUMENT .... .... No. 23. 

SEVENTY-FOUETH ANNUAL EEPOET 

OF 

THE TRUSTEES 

OF THE 

WORCESTER INSANE HOSPITAL, 

AND 

TWENTY-NINTH ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WORCESTER INSANE ASYLUM AT WORCESTER, 

FOE THE 

Year ending November 30, 1906. 



Si '"■■ i; 







»9u 

tfOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1907. 






flffauA 



Approved by 
The State Board of Publication. 



3 



CONTENTS. 



Report of Trustees, 7 

Report of Superintendent, 10 

Report of Treasurer, 21 

Statistics, 27 



OFFICEES OF THE HOSPITAL. 



TRUSTEES. 

GEORGE F. BLAKE, Worcester. 

T. HOVEY GAGE Worcester. 

THOMAS RUSSELL, Boston. 

SARAH E. WHITIN, Whitinsville. 

FRANCES M. LINCOLN, Worcester. 

SAMUEL B. WOODWARD, Worcester. 

LYMAN A. ELY, Worcester. 



RESIDENT OFFICERS. 

HOSEA M. QUINBY, M.D., Superintendent. 

THEODORE A. HOCH, M.D First Assistant Physician. 

CORNELIA B. J. SCHORER, M.D., . . . Assistant Physician. 

EDWARD MELLUS, M.D., Assistant Physician. 

ROBERT O. LeBARON, M.D., .... Assistant Physician. 

RAY L. WHITNEY, M.D., Assistant Physician. 

MASON W. H. PITMAN, M.D., .... Assistant Physician. 

FREEMAN A. TOWER, M.D., .... Assistant Physician and 

Pathologist. 

ANNA C. FARLEY, Superintendent of Nurses. 

HENRY R. CENTER, Steward. 

LILA J. GORDON, Matron. 

JOSEPH T. REYNOLDS Farmer. 



NON-RESIDENT OFFICERS. 

WILLIAM D. SPROAT, Druggist. 

ALBERT WOOD, Treasurer. 

GEORGE I. CLARK Auditor. 

JESSIE M. D. HAMILTON Clerk. 

JAMES DICKISON, Jr., Engineer. 



Cnmmotttomlijj 0f iiassarkmiis. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital respectfully 
submit their seventy-fourth annual report, together with the 
reports of the superintendent and treasurer. 

The trustees in their monthly inspection and in inspections 
made by various members of the Board, at times unannounced, 
have always found the institution in good condition, neat and 
well managed, the food of excellent quality and sufficient as to 
quantity, the patients well cared for, and as comfortable as the 
nature of their disease would permit. 

They are glad to note that the hospital has been called upon 
to care for a continually decreasing number of patients, until 
the institution is now for the first time for many years free 
from overcrowding. It is a pleasure, also, to record the fact 
that the general health of the inmates has been excellent, and 
that no serious accident or epidemic has befallen them. 

To the layman the most effective means toward contributing 
to the good health and general well being of the inmates of 
the hospital would seem to be employment of some kind, and 
preferably employment in the open air, and the trustees have, 
therefore, been specially interested in the efforts to get 
patients out of the wards and occupied in some useful work. 
That these efforts have met with a great measure of success is 
evidenced by the large number of patients whom they have 
found employed in the garden and about the grounds when- 
ever they have visited the hospital. 

In so large a group of buildings as these the matter of repairs 
is a subject demanding increasing attention and the constant 



8 WORCESTER INSANE HOSPITAL. [Dec. 

employment of a considerable force of mechanics. During the 
past year a somewhat unusual amount of such work has been 
necessary in replacing ceilings and walls, disfigured by wear 
and by the installation of the electric lights, and as it was 
impossible to vacate the wards for this purpose, it has unavoid- 
ably resulted in some dirt, discomfort and confusion. 

The building for male nurses we hope to have covered in 
during the coming month and ready for occupancy early next 
summer. We ask for an appropriation of $5,000 for the fur- 
nishing of this building. 

We recommend that a ward three stories in height be built 
in connection with each of our present excited wards, each to 
accommodate 75 patients, to carry out the ideas suggested by 
our superintendent, in which we heartily concur, for the care 
of the violent insane, the bed-ridden general paralytics and 
the phthisical cases. We ask for $50,000 for building one of 
these wards the coming year. 

We desire to use the basement of the present coal shed for 
bathing purposes and devote the remainder of the building to 
much needed room for the upholsterer's department and the 
manufacture of men's clothing. We ask for $6,000 for this 
purpose. 

Iron staircases should be put in the administration building, 
to replace the wooden ones, for the safety of the employees 
who are to occupy the fifth story. An elevator should also be 
provided to accommodate this and the other floors of the build- 
ing. We ask for an appropriation of $5,400 for the stairs, and 
$2,200 for the elevator. 

For the purchase of a tract of land jutting into the hospital 
property on the west line, and which it is very desirable the 
hospital should own, we ask an appropriation of $4,300. 

Owing to the failure of the city water supply for two days 
this fall, caused by a stoppage in one of the main supply pipes, 
the hospital suffered great inconvenience, and it was a cause of 
great annoj^ance and anxiety to the officials. It seems to us 
most desirable that immediate steps be taken to procure an 
emergency supply of water by sinking wells, installing pumps 
and erecting storage tanks of sufficient capacity to assure us of 
a generous reserve supply. 



1906.] PUBLIC DOCUMENT — No. 23. 9 

We were sorry to lose the services of Dr. A. I. Noble, whose 
integrity, ability and genial personality had won the confi- 
dence and esteem of associates and patients. He resigned 
Dec. 11, 1905, to accept the superintendency of the Michigan 
Asylum at Kalamazoo, Mich. 

It is with sorrow we record the death of our former associate, 
the Hon. Rockwood Hoar. Few men are privileged to receive 
so many marks of esteem from his associates and community. 
We herewith record our appreciation of his high character and 
ability and the great interest he took in the affairs of the 
institution. 

We renew our expressions of esteem and appreciation to the 
superintendent and the members of the staff, officials and 
employees for their faithful and efficient services. 

Respectfully submitted, 

GEORGE F. BLAKE. 
LYMAN A. ELY. 
T. HOVEY GAGE. 
THOMAS RUSSELL. 
SARAH E. WHITEN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
Nov. 30, 1906. 



10 WORCESTER INSANE HOSPITAL. [Dec. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I herewith respectfully submit the following report of the 
hospital for the year ending Nov. 30, 1906, it being the 
seventy-fourth annual report. 

There remained at the hospital Oct. 1, 1905, 1,202 patients, 
— 589 men and 613 women. During the year ending Sept. 
30, 1906, there were admitted 486 patients, — 263 men and 
223 women. Five hundred and ninety-six patients — 279 men 
and 317 women — were dismissed from the hospital. Of this 
number, 201 patients — 111 men and 90 women — were dis- 
charged; 136 patients — 70 men and 66 women — died; 194 
patients — 61 men and 133 women — were transferred, and 
65 patients — 37 men and 28 women — left on visit and escape, 
leaving at the end of the statistical year 1,092 patients, — 573 
men and 519 women. Of this number, 852 were supported 
by the State, 3 women (habitual drunkards) by towns, 153 by 
friends and 84 as reimbursing patients. Of the 395 patients 
discharged and transferred, 82 (including 5 habitual drunkards, 
women) were reported recovered, 52 capable of self support, 
41 improved and 2'24 not improved. Six were discharged as 
not insane. Fifty women were transferred by the State Board 
of Insanity to the Worcester Insane Asylum, 57 men and 27 
women to the State Colony at Gardner, 28 women to the State 
Hospital, Tewksbury, 14 women to the Boston Insane Hos- 
pital, 1 man each to McLean Hospital and Westborough, and 
1 woman to Danvers. Twenty-six men and 13 women were 
removed from the State, and 2 men and 14 women were 
boarded out. 

There remained at the end of the year 110 patients less than 
at the beginning. The smallest number under treatment on 
any one day was 1,065, and the largest, 1,225. The daily 
average number was 1,157.92. 



1906.] PUBLIC DOCUMENT — No. 23. 11 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 15.1 ; calculated upon the number 
of admissions it was 16.9. 

The death-rate was 8, calculated on the whole number of 
patients under treatment, and 11.7 calculated on the daily 
average number. 

We have had no serious accident during the year and no 
cases of contagious disease, except a few cases of measles, con- 
fined chiefly to the nurses and employees. 

In November, 1905, Miss Linda A. J. Richards was obliged, 
on account of ill health, to resign her position as superin- 
tendent of nurses, and Miss Anna C. Farley was appointed in 
her place. 

On June 26, 1906, 26 nurses, having completed the pre- 
scribed course of study and having successfully passed their 
final examinations, were graduated from the training school. 
Thirteen of these graduates remain with us as supervisors and 
head attendants. Eight are now taking a six months' post- 
graduate course in nursing in general hospitals, and others are 
planning to do so. This year there are 17 young women in 
the senior class and 46 in the junior class. 

Aside from the general repairs, we have during the year 
repainted the walls and woodwork and taken off and replastered 
nearly all of the ceilings on the women's side of the house. 
The same is now being done in the male wards. 

In our sewing room we have installed eight sewing machines 
and a button-hole machine, operated by electric motors, and 
are now able to manufacture our men's shirts and women's 
wrappers, besides all our bed linen and general household sup- 
plies. As soon as the necessary room can be provided therefor 
we hope to begin to manufacture our men's clothing. 

The building for male nurses, provided for by the last Legis- 
lature, is now well under way and will no doubt be covered in 
during the coming month, and be completed and ready for fur- 
nishing early in the summer. For this an appropriation of 
$5,000 will be needed. 

The time has come, I believe, when better provisions should 
be made for our violent insane, our bed-ridden general para- 
lytics and our cases of tuberculosis. In the thirty years since 



12 WORCESTER INSANE HOSPITAL. [Dec 

the hospital was built there has been great progress in all that 
pertains to the treatment of the insane, and many of the pro- 
visions then considered adequate for their care are now set 
aside as antiquated or worse than antiquated. This is especially 
true in regard to the violent insane. At the time the hospital 
was built it was thought necessary to provide single rooms for 
all such patients, as a protection to themselves and others. 
Here, when they became disturbed, they could be isolated, or 
if they were violent and refused to remain in bed they could 
be restrained by mechanical means. If noisy or sleepless, the 
recognized treatment was to secure quiet through the use of 
drugs. Few, if any, would at that time have regarded it as 
possible to treat such cases in a dormitory ward and in the 
same manner as a majority of the sick are cared for in a general 
hospital. 

Experience has proved, however, that the isolation of patients 
is almost always followed by untoward results, and leads to 
habits and practices not easily corrected, and that dormitory 
treatment for the majority of these cases is perfectly feasible. 
In place of drugs and mechanical restraint, we now resort to 
the hot pack and prolonged bath as a means of allaying excite- 
ment and sleeplessness, and instead of isolating such patients 
we have come to feel that unless they can be constantly under 
the care and observation of a sufficient corps of competent 
nurses the best that can be done for them has not been done. 
In an overcrowded ward, with no dormitory except an open 
corridor, and only a single bathtub, we have found it difficult 
in all cases to apply this method of treatment, due regard being 
paid (as was necessary) to economy of service. But now after 
several years' trial, under these adverse conditions, I have no 
hesitancy in adding my testimony to the efficiency of this 
method, and in urging that the hospital be equipped with the 
means for more effectually and satisfactorily carrying it out. 
To do this, and at the same time provide for our general para- 
lytics and our cases of tuberculosis, I would recommend that 
a ward three stories in height be built in connection with each 
of our present excited wards, each to accommodate 75 patients, 
and that an appropriation of $50,000 for building one of these 
wards be asked for the coming year. 

In a large hospital for the insane the proper bathing of its 



1906.] PUBLIC DOCUMENT — No. 23. 13 

patients is a source of no little anxiety on the part of the 
management. It is a matter that requires care, tact and judg- 
ment on the part of the nurse if accidents would be avoided, 
and especially in the case of a refractory patient. It may be 
subject to many abuses, and is not readily supervised when the 
bathing is conducted on the wards as now, and it requires, 
moreover, a great deal of time which the nurse could better 
employ otherwise. A central bath, under the charge of a bath- 
ing master and bathing mistress, would insure more satisfactory 
service in this direction, and would no doubt be a matter of no 
little economy for the institution. This could be provided for 
at a relatively small expense in the basement of our present 
coal shed, which could be well given up to this purpose, since 
it is of but little use for storage of coal, as it will hold only a 
very small part of the coal now burned. The remainder of the 
building would furnish us the much-needed rooms for our 
upholsterer's department and for the manufacturing of our 
men's clothing. The estimated cost of these alterations is 
$6,000. 

To provide quarters for our increasing number of help, the 
fifth story of the administration building, left unfinished at the 
time the hospital was built, has been cut up into rooms. 
Before these rooms are occupied, better methods of exit in case 
of fire should be provided. The present wooden staircase should 
be removed and iron stairs put in their place. A passenger 
elevator should also be provided to accommodate this and the 
other floors of the administration building. The estimated cost 
of the iron stairs is $5,400, and of the elevator $2,200. 

Owing to some accident to the city water supply the hos- 
pital was for two days and nights recently without city water, 
and obliged to depend upon wells upon the place for drinking- 
water and for that used for culinary purposes, and upon water 
hauled from the lake to supply our steam plant. While such 
an accident may happen only once in a lifetime, the conse- 
quences resulting therefrom are so annoying and may easily 
be so serious that it would seem that some provision ought to 
be made to meet an emergency of this kind. 

There is a small tract of land jutting into the hospital prop- 
erty on its west line, in close proximity to the women's wards 
and recreation grounds, which it is very desirable that the hos- 



14 WORCESTER INSANE HOSPITAL. [Dec. 

pital should secure. It can now be bought at a reasonable 
price, and if not bought by us will be cut up into building lots 
and no doubt soon built upon. Its control by the hospital is 
all the more desirable now that the remaining land on our west 
and northwest line has come into the hands of the city to be 
used for the purposes of a park, so that if this small tract is 
secured, we shall be forever free from encroachment upon this 
side of the hospital property. There are several springs and a 
small reservoir on this land which could easily be made of use 
to the hospital ; in fact, they might very possibly prove large 
enough to furnish a temporary supply of water in cases of 
emergency like that above mentioned. 

The following changes have taken place in the staff of the 
hospital : Dr. A. I. Noble, assistant superintendent, resigned 
Dec. 11, 1905, to accept the superintendency of the Michigan 
Asylum at Kalamazoo, Mich., and in July and October, 1906, 
Drs. Walter C. Haviland, James H. Mackintosh and Harry W. 
Hammond left us to enter general practice. Theodore A. 
Hoch was promoted from pathologist to first assistant physician, 
Freeman A. Tower from assistant physician to pathologist, and 
George B. Landers and Robert O. LeBaron from junior to 
senior assistants. 

In the resignation of Dr. Noble the institution has lost a 
most valuable officer. He had served the hospital as assistant 
physician and assistant superintendent for eighteen years with 
a measure of service of the highest character. The deep in- 
terest which he showed for those under his care, his genial 
manner and his attractive presence at once won the confidence 
not only of his associates but of his patients and their friends. 
Although fflad that this well-merited advance has come to him, 
and eager to congratulate him upon his appointment to so 
responsible and honorable a position, every one connected 
with the institution was sincerely sorry to see him go. 

We wish to thank the proprietors of the ' ' Worcester Even- 
ing Gazette " and the " Fitchburg Sentinel " for copies of their 
papers, and the Worcester Employment Society for sewing. 

HOSEA M. QUINBY, M.D., 

Superintendent. 
Worcester, Nov. 30, 1906. 



1906.] 



PUBLIC DOCUMENT — No. 23. 



15 



PRODUCTS OF THE FARM 

On Hand Dec. 1, 1906, and not delivered at the Hospital. 



Beets, bushels, . 


200 


Kale, bushels, 


50 


Cabbage, pounds, 


. 35,000 


Leeks, bushels, . 


10 


Carrots, bushels, 


300 


Parsnips, bushels, 


275 


Celery, dozens, . 


115 


Turnips, bushels, 


100 



FARM ACCOUNT. 



Dr. 

Bread, . 

Butter, 

Blacksmith, 

Carriages, wagons and repairs, 

Current expenses, 

Fertilizer, 

Fish, . 

Fuel, . 

Furniture, 

Groceries, 

Harness and repairs, 

Hay, grain, etc., 

Ice, 

Lights, 

Live stock : 

Bulls, 

Cows, 

Horses, 

Hogs, 
Meats, . 
Milk, . 
Repairs, 
Seeds, . 
Sugar, . 
Tools, . 
Wages, 
Water, 
Net gain for year ending Nov. 30, 1906, 



$393 


75 


973 


54 


403 


75 


1,100 


36 


1-.816 


67 


674 


04 


244 


29 


516 


61 


79 


56 


2,884 


95 


318 


96 


9,370 


66 


68 


77 


394 78 


27 


00 


2,535 


00 


825 


00 


529 


00 


2,377 


19 


773 


18 


1,460 


33 


244 


21 


439 


23 


459 


59 


11,691 


34 


414 


47 


3,200 


78 



1,217 01 



WORCESTER INSANE HOSPITAL. 



[Dec. 



Cr. 
Apples, No. 1, 983 barrels, 
Apples, No. 2, 549 barrels, 
Artichokes, 82 pounds, 
Aspai'agus, 184 pounds, 
Beans, lima, 86.50 bushels, 
Beans, shell, 58 bushels, 
Beans, string, 120 bushels, . 
Beef, forequarters, 40 (4,739 pounds), 
Beef, hindquarters, 40 (6,633 pounds), 
Beets, .... 
Bones, sold, 6,560 pounds, 
Brussels sprouts, 73 pounds 
Cabbage, 34,316 pounds, 
Carrots, 88 bushels, . 
Cauliflower, 833 pounds, 
Celery, 7,418 pounds, , 
Chard, 957 pounds, 
Cider, 4,537 gallons, . 
Corn, green, 292£ dozen, 
Cucumbers, 
Cucumber, pickles, 
Currants, 

Dressing, 40 pounds, . 
Egg plants, 325 pounds, 
Egg plants, sold, 120 pounds, 
Feed, corn, 1,600 pounds, 
Feed, ground, 200 pounds, 
Grease, sold, 350 pounds, 
Hay, 32,165 pounds, 
Hides, 1,792 pounds, 
Hides, calf, 18 pounds 
Ice, 1,275.9 tons, 
Kale, 2,875 pounds, 
Leeks, 16 bushels, 
Lettuce, 2,165 dozen, 
Live stock sold : — 

Bull, 1, 

Calves, 53, . 

Cows, 6, 

Hogs, 11, . 
Milk, 459,465 quarts, 
Mushrooms, 27£ pounds, 
Oats, 739.5 bushels, 
Onions, 335 bushels, 
Parsley, 6£ pounds, 

Amount carried for ward, 



1906.] 



PUBLIC DOCUMENT — No. 23. 



17 



Amount brought forward, . 

Parsnips, 368£ bushels, 

Pears, 20.7 bushels, . 

Peas, 243.5 bushels, . 

Peppers, 43.75 pounds, 

Plants, sold, tomato, . 

Pork, sold, 45,473 pounds, 

Pumpkins, 120 pounds, 

Radishes, 417 pounds, 

Rhubarb, 16,356 pounds, 

Rhubarb, sold, 4,983 pounds, 

Raspberries, red, 9 quarts, 

Sand, 261.5 yards, 

Scullions, 18 bushels, . 

Spinach, .... 

Squash, summer, 5,013 pounds, 

Squash, winter, 88,660 pounds, 

Stone, 13 loads, . 

Straw, oat, 33,785 pounds, . 

Strawberries, 5,472 quarts, 

Strawberries, sold, 

Tomatoes, 363 bushels, 

Tomatoes, sold, 1.5 bushels, 

Tomatoes, green, 53 bushels, 

Turnips, 80.25 bushels, 

Veal, forequarters, 30 (553 pounds), 

Veal, hindquarters 30 (800 pounds), 

Wood, sold, 9 loads, . 

Farm attendants (extra), 1,220 days, 

Labor, men, 1,821 days, 

Teams, 804.25 days, . 

Total receipts, 



$29,428 29 


337 


68 


15 88 


279 75 


1 


15 


11 


35 


3,521 


61 




60 


82 


14 


227 81 


48 43 


1 


35 


281 


37 


16 50 


49 75 


126 


15 


1,329 


90 


19 


50 


327 


01 


547 


20 


22 


07 


453 


50 




75 


26 50 


35 


28 


58 38 


81 


61 


17 


00 


1,830 50 


1,821 


00 


3,217 


00 


$44,217 01 



18 



WORCESTER INSANE HOSPITAL. 



[Dec. 



LIST OF PEKSO^TS 

Employed in the Worcester Insane Hospital Nov. 30, 1906. 



Superintendent, per year, . 

Assistant physician, per year. 

Assistant physicians (2), each, per year, 

Assistant physicians (2), each, per year, 

Junior assistant physicians (4), each, per year, 

Pathologist, per year, . 

Assistant in laboratory, per month, 

Steward, per year, 

Matron, per year, . 

Clerk, per month, . 

Treasurer, per year, 

Auditor, per year, 

Stenographers (3), per month, 

Superintendent of nurses, per year, . 

Supervisors (4 men), each, per month, 

Supervisors (5 women), each, per month, 

Marker of clothing, etc., per month, . 

Seamstresses (4), each, per month, 

Attendants (60 men), each, per month, 

Attendants and nurses (80 women), each, per month 

Baker, per hour, .... 

Assistant baker, per hour, . 

Steward's assistant, per month, . 

Kitchen men (2), each, per hour, 

Cooks (4), each, per month, 

Laundry men (2), each, per week and month 

Laundress, per month, . 

Laundry girls (8), each, per month, 

Kitchen girls (6), each, per month, 

House girls (20), each, per month, 

Office girl, per month, . 



$3,000 00 

1,300 00 

1,000 00 

800 00 

400 00 

1,000 00 

30 00 

1,200 00 

600 00 

60 00 

500 00 

75 00 

30 00 

800 00 

$30 00 to 45 00 

25 00 to 27 00 

20 00 

18 00 

$23 00 to 28 00 

14 00 to 22 00 

22 

17 

30 00 

$0 09 and 10& 

22 00 to 55 00 

12 00 and 28 00 

25 00 

$16 00 to 18 00 

14 00 to 18 00 

14 00 to 16 00 

18 00 



1906.] 



PUBLIC DOCUMENT — No. 23. 



19 



Carpenters (6), each, per day, 

Painters (2), each, per day, 

Masons (4), each, per day, 

Tender, per day, . 

Steam fitter, per day, . 

Plumber, per month, . 

Engineer, per week, 

Assistant engineers (3), each, per day 

Firemen (2), each per month, 

Night fireman, per day, 

Farmers (2), each, per month, 

Housekeepers (3), each, per month, 

Farm laborers (9), each, per hour, 

Farm laborers (9), each, per month, 

Florist, per month, 

Coachman, per hour, 

Expi'essman, per month, 

Basement and yard attendant, per month, 

Basement and yard attendant, per hour, 

Butcher, per month, 

Electrician, per day, 



$2 50 and 3 00 

2 50 

3 25 
2 25 
2 50 

75 00 

25 00 

2 25 

40 00 

2 00 

45 00 and 75 00 

20 00 to 25 00 

09£ and 10j| 

25 00 and 28 00 

75 00 

09 

25 00 

25 00 

Hi 

28 00 
2 75 



20 WORCESTER INSANE HOSPITAL. [Dec. 



VALUATION OF PERSONAL ESTATE 

Nov. 30, 1906. 



Provisions and groceries, $10,310 56 

Ready-made clothing, 2,552 29 

Dry goods : — 

For clothing, . . . ... . . . 783 22 

For bedding, etc., 1,293 92 

Furnishings: — 

Beds and bedding in inmates' department, . . . 32,516 50 

Other furnishings in inmates' department, . . . 24,053 30 

Personal property of State in superintendent's department, 14,368 98 

All other property, 23,522 76 

Heat, light and power : — 

Fuel, 6,136 00 

Repairs and improvements : — 

Machinery and mechanical fixtures, 55,910 81 

All other property, 1,500 00 

Farm, stable and grounds : — 

Live stock on the farm, . 19,347 00 

Produce of the farm on hand, 9,209 62 

Carriages and agricultural implements, .... 8,890 40 

All other property, 1,569 55 

Miscellaneous : — 

Drugs and medicines, 751 85 

Tobacco, 250 65 

Library, 6,015 99 

Other supplies undistributed, 6,348 46 



$225,331 86 



1906. J 



PUBLIC DOCUMENT — No. 23. 



21 



TREASURER'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I hereby submit my annual report on the finances of the 

Worcester Insane Hospital for fourteen months ending Nov. 

30, 1906. 

Receipts. 

Cash on hand Sept. 30, 1905, 

Received from cities and towns for support of patients, 

from individuals for support of patients, 

from individuals for support of patients, reimburse- 
ments, 

from interest on bank balance, 

from farm and farm products, . 

from sales from store, 

from sale of sundries, 

from Commonwealth for current expenses, 

from Commonwealth from special appropriations, 

Total receipts, 



$6,021 


29 


558 


51 


59,517 


51 


12,342 03 


166 


89 


5,186 


49 


1,318 


14 


2,999 


28 


309,083 


66 


20,162 58 


. $417,356 


38 



Expenditures. 
Pay roll $111,217 24 

Food : — 

Beans, $1,115 74 

Bread and crackers, . 631 93 

Butter, 13,785 79 

Cereals, rice, meal, etc., 2,004 25 

Cheese, . . . . 761 84 

Eggs, 7,208 87 . 

Fish . . . . 4,548 50 

Flour, 10,142 52 

Fruit, \ 3,839 63 

Meats, . 24,600 22 

Molasses, etc., . 697 30 

Sugar, ' . . 6,479 34 

Tea, coffee, etc., ...... 1,988 92 

Vegetables, 5,823 53 

Sundries, 3,186 78 

86,815 16 

Amount carried forward, $198,032 40 



22 



WORCESTER INSANE HOSPITAL. 



[Dec. 



Amount brought forward, 



Clothing and clothing material : — 
Boots, shoes, etc., 

Clothing, 

Dry goods for clothing, etc., 
Furnishing goods, 
Hats and caps, .... 
Leather and shoe findings, 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., 
Brushes, brooms, etc., 
Carpets, rugs, etc., . 
Crockery, glassware, cutlery, etc., 
Furniture and upholstery, 
Kitchen furnishings, 
Woodenware, etc., 
Sundries, 

Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, 

Repairs and improvements : — 

Bricks, 

Cement, lime, etc., 
Doors, sashes, etc., . 
Electrical work and supplies, . 
Hai'dware, .... 

Lumber, 

Machinery, etc., 

Paints, oils, glass, etc., 

Plumbing, steamfitting and supplies 

Roofing and materials, 

Sundries, 

Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, seeds, etc., 
Hay, grain, etc., 
Harness and repairs, 
Horses, ..... 
Cows, ...... 



Amounts carried forward, . 







$198,032 40 


$2,598 26 




6,354 37 




3,704 


24 




1,761 


24 




242 81 




64 


25 




3 


25 


14,728 42 






$5,697 


36 




564 77 




506 


02 




804 97 




484 07 




563 


41 




53 


43 




1,250 


39 


9,924 42 






$24,153 


16 




2,661 


48 




316 


80 




91 


60 


27,223 04 






$340 


00 




970 


99 




841 


17 




4,531 


56 




1,116 48 




2,404 43 




2,086 


19 




2,391 


70 




2,526 


62 




555 


07 




2,353 


45 


19,617 66 






$696 


62 




1,639 


50 




950 


26 




9,344 52 




678 


61 




825 


00 




2,535 


00 




$16,669 51 


$269,525 94 



1906.] PUBLIC DOCUMENT — No. 23. 


23 


Amounts brought forward, . 


$16,669 51 


$269,525 94 


Other live stock, .... 


556 00 




Labor (not on pay roll), . 


271 95 




Rent, 


80 00 




Tools, farm machines, etc., 


516 13 




Sundries, 


1,874 74 


19,968 33 






Miscellaneous : — 






Books, periodicals, etc., 


$435 72 




Chapel services and entertainments, 


592 60 




Freight, expressage, etc., 


295 37 




Funeral expenses, . . . 


601 50 




Gratuities, 


70 65 




Hose, etc., 


26 25 




Ice, 


569 63 




Labor (not on pay roll), . 


25 77 




Medicines and hospital supplies, 


1,982 46 




Medical attendance, .... 


235 22 




Postage, 


341 67 




Printing and printing supplies, 


471 38 




Return of runaways, 


319 83 




Soap and laundry supplies, 


2,983 90 




Stationery and office supplies, . 


523 04 




School books and school supplies, . 


245 77 




Travel and expenses (officials), 


218 70 




Telephone and telegraph, 


168 89 




Tobacco, 


1,623 13 




Water 


6,636 57 




Sundries, 


1,221 34 


19,589 39 






Total 


$309,083 66 


Paid out of special appropriations, . 




20,162 58 


Receipts paid to State Treasurer, 




88,110 14 


Total expenditures, . 


$417,356 38 


Resodrc 


ES. 




Balance at State treasury (for maintenan 


ce), .... 


$18,788 23 


Balance at State treasury (for special ap 


propriations), . 


47,125 37 


Total resources, .... 


$65,913 60 


LlABILITl 


ES. • 




Due for salaries and wages, 


. 


$7,551 08 


Due for all other current expenses, 


. ■ 


11,128 12 


Due for special appropriations, 


.... 


8,311 32 


Total liabilities, 


$26,990 52 



24 



WORCESTER INSANE HOSPITAL. 



[Dec. 



Special Appropriations. 



Object. 



Resolves. 



Whole 
Amount. 



Expended 

since 

Sept. 30, 

1905. 



Expended 

to 

Date. 



Balance 

Dec. 1, 

1906. 



Electric lighting, 

Alterations in administration 
building. 

Laundry and laundry machin- 
ery. 

Alterations in farm buildings, 
etc. 

Piggery 



Male nurses' home, 



1902, chap. 118, 
1904, chap. 59, 

1904, chap. 59, 

1905, chap. 91, 

1905, chap. 91, 

1906, chap. 500, 



$16,000 00 

11,000 00 

4,500 00 

4,500 00 

1,500 00 

55,000 00 



$27 45 
5,619 04 

333 33 
2,436 71 

11,746 05 



$15,604 02 
9,191 87 
4,276 28 
2,436 71 



1,808 13 

223 72 

2,063 29 

1,500 00 

43,253 95 



Patients 1 Funds. 

Balance on hand Sept. 30, 1905, . . . $2,822 84 

Receipts 3,609 99 

Interest on bank balance, .... 68 53 



Refunded, 

Balance on hand Nov. 30, 1906, . . . 

Respectfully submitted, 



$6,501 36 
2,965 08 

$3,536 28 



ALBERT WOOD, 

Treasurer. 



Dec. 1, 1906. 



1906.] 



PUBLIC DOCUMENT — No. 23. 



25 



STATEMENT OF FUNDS. 



Lewis Fund. 



Balance on hand Sept. 30, 1905, 
Income, 



Expended for vault rent, 



Investment. 
Chicago, Burlington & Quincy Railroad bond, 
Worcester County Institution for Savings, 
Cash on hand Nov. 30, 1906, .... 



Wheeler Fund. 
Balance on hand Sept. 30, 1905, 
Income, 



Expended for books, 



Investment. 
Three shares Worcester National Bank, . 
Five shares Boston & Philadelphia Steamship 

Company, 

Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, 
Mechanics Savings Bank, 
Cash on hand Nov. 30, 1906, . 

Lawn Fund. 
Balance in Mechanics Savings Bank Sept. 30, 

1905, 

Cash on hand, 

Income, 

Expended for seedlings, 



L,340 85 
51 96 



$570 00 

712 50 

1,600 00 

1,719 47 

78 36 

88 59 



$899 29 

30 

34 68 



$1,392 81 
6 00 

$1,386 81 



$926 36 
342 60 
117 85 


$1,386 81 




$4,874 48 
208 28 


$5,082 76 
313 84 





$4,768 92 



$4,768 92 



$934 27 
5 00 



$929 27 



26 WORCESTER INSANE HOSPITAL. [Deo. 1906. 



Investment. 
Mechanics Savings Bank, .... 

Cash on hand Nov. 30, 1906, .... 

Manson Fund. 
Balance in Worcester County Institution for 
Savings Sept. 30, 1905, . . . . 
Income, 



$928 97 
30 


$929 27 




$1,320 17 
45 70 


$1,365 87 




$1,365 87 



Investment. 
Worcester County Institution for Savings, 

Land Account. 
Balance on hand Sept. 30, 1905, $27 52 



Balance in bank Nov. 30, 1906, $27 52 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer of Corporation. 
Dec. 1, 1906. 

Worcester, Mass., Dec. 4, 1906. 

I hereby certify that I have this day compared the treasurer's statement of 
receipts and disbursements for fourteen months ending Nov. 30, 1906, with the 
books kept at the Worcester Insane Hospital, and find it correct. I have also 
inspected the securities representing the invested funds of the institution and find 
that their market value is as stated. 

GEO. L. CLARK, 

Auditor of Accounts. 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



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30 



WORCESTER INSANE HOSPITAL. 



[Dec. 



2. — Insane received on First and Subsequent Commitment. 



NUMBER OF THE COMMITMENT. 



Cabes committed. 



Males. Females. Totals 



First to this hospital, 

Second to this hospital 

Third to this hospital, . 

Fourth to this hospital 

Fifth to this hospital, 

Seventh to this hospital, . 

Total cases 

Total persons, 

Never before in any hospital for the insane. 



218 


162 


380 


18 


16 


34 


4 


4 


8 


1 


5 


6 


1 


3 


4 


- 


1 


1 


242 


191 


433 


242 


191 


433 


203 


145 


348 



3. — Nativity and Parentage of Insane Persons first admitted to Any 

Hospital. 







Males. 


Female 


s. 


Totals. 


PLACES OF NATIVITY. 




Sh 


u 




C 


u 




C 


H 




a 


Si 


S3 


a> 


si 


Si 


a 


Si 


si 




Ph 


OS 


O 


a! 

Ph 


a 
ft 


o 


S3 




o 


Massachusetts, .... 


77 


19 


28 


43 


19 


19 


120 


38 


47 


Other New England States, . 


16 


13 


12 


8 


11 


11 


24 


24 


23 


Other States 


13 


8 


8 


10 


6 


6 


23 


14 


14 


Total native 


106 


40 


48 


61 


36 


36 


167 


76 


84 


Other countries : — 




















Austria, 


1 


- 


- 


- 


- 


- 


1 


- 


- 


Canada, 




10 


16 


15 


6 


9 


7 


16 


25 


22 


China, . 




1 


1 


1 


- 


- 


- 


1 


1 


1 


England, 




4 


9 


10 


6 


5 


4 


10 


14 


14 


Finland, 




6 


5 


5 


4 


4 


4 


10 


9 


9 


Germany, 




3 




8 


4 


3 


4 


7 


10 


12 


Greece, 




- 




1 


- 


- 


- 


- 


1 


1 


India, . 




- 




- 


- 


- 


1 


- 


- 


1 


Italy, . 




5 




5 


- 


- 


- 


5 


6 


5 


Ireland, 




27 


62 


57 


41 


56 


56 


68 


118 


113 


Lithuania, 




1 




1 


- 


- 


- 


1 


1 


1 


New Brunswick 


2 




2 


2 


- 


- 


4 


2 


2 


Newfoundland, .... 


1 




1 


- 


- 


- 


1 


2 


1 


Nova Scotia, .... 


2 




6 


3 


3 


2 


5 


9 


8 


Poland, 


2 




1 


- 


1 


1 


2 


2 


2 


Portugal 


2 




2 


- 


- 


- 


2 


2 


2 


Prince Edward Island, 


1 




1 


- 


- 


- 


1 


1 


1 


Russia, ..... 


8 




8 


4 


4 


4 


12 


12 


12 


Scotland, ..... 


1 




2 


4 


6 


7 


5 


9 


9 


Spain, 


1 




1 


- 


- 


- 


1 


1 


1 


Sweden, 


12 


12 


12 


7 


7 


7 


19 


19 


19 


Switzerland, .... 


- 




- 


1 


1 


1 


1 


2 


1 


Syria, 


1 




- 


- 


- 


- 


1 


- 


- 


Turkey, 


1 




1 


- 


- 


- 


1 


1 


1 


Wales, 


- 




1 


- 


~ 


~ 


~ 


1 


1 


Total foreign 


92 


149 


141 


82 


91 


98 


174 


248 


239 


Unknown, ..... 


5 


14 


14 


2 


10 


11 


7 


24 


25 


Totals, 




203 


203 


203 


145 


145 


145 


348 


348 


348 



1906.] 



PUBLIC DOCUMENT — No. 23. 



31 



4. — Residence oj 


Insane Persons admitted by Commitment. 




FlBST ADMITTED 

to Any Hospital. 


Other 

Admissions. 


Totals. 


PLACES. 


OQ 

"3 

s 


"3 

a 
fa 


m 

"3 
o 
Eh 


m 
"3 
8 


0) 

3 

a 
fa 


3 
o 

Eh 


00 

3 


a 

3 
S 

Q> 
fa 


a 
o 
Eh 


Massachusetts (by counties) : — 




















Barnstable, 








- 


- 


- 


- 


1 


1 


- 


1 




Berkshire, 








- 


- 


- 


1 


- 


1 


1 


- 




Bristol, . 








- 


- 


- 


1 


- 


1 


1 


" 




Essex, 








- 


1 


1 


- 


- 


- 


- 


1 




Hampden, 








i 


- 


1 


- 


- 


- 


1 


" 




Middlesex, 








40 


41 


81 


6 


11 


17 


46 


52 


98 


Norfolk, . 








6 


3 


9 


1 


- 


1 


7 


3 


10 


Suffolk, . 








24 


30 


54 


6 


6 


12 


30 


36 


66 


Worcester, 








132 


70 


202 


24 


28 


52 


156 


98 


254 


Totals, 


203 


145 


348 


39 


46 


85 


242 


191 


433 


Cities or towns, 








156 


121 


277 


36 


33 


69 


192 


154 


346 


Country districts, 








47 


24 


71 


3 


13 


16 


50 


37 


87 



'5. — Civil Condition of Insane Persons first admitted to Any 

Hospital. 



Males. Females. Totals. 



Unmarried, 
Married, 
Widowed, 
Divorced, 
Unknown, 
Totals, 



161 
137 
41 
6 
3 
348 



32 



WORCESTER INSANE HOSPITAL. 



[Dec. 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



FEMALES 


Boarding-house keeper, . . 1 


Music teacher, .... 1 


Bookkeeper, 




1 


Operatives, .... 5 


Coremaker, 








1 


Storekeeper, .... 1 


Domestics, 








35 


Student, 1 


Evangelist, 








1 


No occupation, .... 35 


Housekeepers, 








5 





Housewives, 








48 


Total, . . . .143 


Housework, 








6 


Unknown, .... 2 


Laundress, 








1 





Matron, . 








1 


Total, . . - . .145 


MALES. 


Agents (insurance), . . 2 


Liquor dealer, .... 1 


Agent (real estate), 






Machinists, 






15 


Apprentice (undertaker's 


). 




Mechanics, 






2 


Armorer, . 






Mei-chants, 






2 


Artist, 










Mill operatives, 






8 


Barbers, . 










Moulder, . 






1 


Blacksmith, 










Painters, . 






6 


Bleacher, . 










Paper maker, . 






1 


Bookbinder, 










Photographer, . 






1 


Bookkeeper, 










Printers. . 






2 


Brakeman, 










Printer's help, . 






1 


Butchers, . 










Retired, 






1 


Cabinet maker, 










Screen maker, . 






1 


Carpenters, 










Shoe cutter, 






1 


Clerks, . 










Shoemakers, 






6 


Coachman, 










Superintendent (mil 


I), 




1 


Cook, 










Surveyor, . 






1 


Cooper, . 










Tailors, 






2 


Currier, . 










Teamsters, 






6 


Druggist, . 










Telegrapher, . 






1 


Drummer, 










Turner, 






1 


Dyer, 










Undertaker, 






1 


Electricians, 










Waiter, 






1 


Engineers, 










Weavers, . 






3 


Expressman, 










Wire makers, . 






5 


Farmers, . 








11 


Watchman, 






1 


Grocers, . 










Wheelwright, . 






1 


Janitor, 










No occupation,. 






21 


Junk collector, 



















Laborers, . 








54 


Total, 






202 


Laundry man, 










Unknown, 






1 


Lawyer, . 













Letter carrier, 










Total, . . . .203 



PUBLIC DOCUMENT — No. 23. 



33 











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34 



WORCESTER INSANE HOSPITAL. 



[Dec. 



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Physical. 
Alcohol, .... 
Alcohol and other causes, 
Cerebral hemorrhage, . 
Childbirth, .... 
Childbirth and other causes, 
Consanguinity, 
Constitutional inferiority, . 
Epilepsy, .... 
Epilepsy and other causes, . 
Heredity, .... 
Heredity and other causes, . 
Ill health, .... 
Ill health and other causes, . 
Lead poisoning, . 
Menopause, .... 
Menopause and other causes, 
Morphinism, 

Overwork, .... 
Overwork and other causes, 
Pregnancy, .... 



1906.] 



PUBLIC DOCUMENT — No. 23. 



35 



COH(OH 1 


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36 



WORCESTER INSANE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 













First admitted to Any Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, 








6 


2 


8 


Under 1 month, 










32 


38 


70 


From 1 to 3 months. 










31 


14 


45 


. 3 to 6 months, 










18 


14 


32 


6 to 12 months, 










18 


6 


24 


1 to 2 years, 










34 


23 


57 


2 to 5 years, 










19 


12 


31 


5 to 10 years, 










12 


15 


27 


10 to 20 years, 










6 


7 


13 


Over 20 years, 










- 


- 


- 


Totals, 


176 


131 


307 


Unknown, 










27 


14 


41 


Totals, 


203 


145 


348 


Average known duration in years, 




1.5 


2.4 


1.9 



1906.] 



PUBLIC DOCUMENT — No. 23. 



37 



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A. — First admitted to any hospital: — 
Alcoholic insanity : — 

Alcoholic depression, 

Alcoholic deterioration, 

Alcoholic hallucinosis, 

Alcoholic paranoic condition, . 

Delirium tremens, .... 

Constitutional inferiority, 
Delirium (Infectious, toxic and 
asthenic), ..... 

Dementia prsecox, .... 

Epileptic insanity, .... 

General paralysis of the insane, . 
Imbecility, ...... 

Involution psychosis, .... 

Katatonia, ...... 

Manic-depressive insanity : — 

Depressed form, .... 

Manic form, ..... 

Manic-delirious form, 

Mixed form, ..... 

Melancholia, involutional, 
Morphinism, ...... 

Neurasthenic irritability, 

Organic dementia, .... 

Paranoic condition, .... 

Polyneuritic psychosis, 

Senile dementia, ..... 

Traumatic insanity 

Not insane, 


"3 
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38 



WORCESTER INSANE HOSPITAL. 



[Dec. 



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rH 1 CO ■**« -r 

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02 
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a 

03 




B. — Other admissions : — 

Alcoholic insanity : — 
Alcoholic depression, 
Alcoholic deterioration, 
Alcoholic hallucinosis, 
Alcoholic paranoic condition, 
Delirium tremens, 

Constitutional inferiority, 

Delirium (infectious, toxic 
sesthenic), 

Dementia praecox, 

Epileptic insanity, 

General paralysis of the insane, 

Imbecility 

Involution psychosis, 

Katatonia, .... 

Manic-depressive insanity : — 
Depressed form, 
Manic form, 
Manic-delirious form, 
Mixed form, 

Melancholia, .... 

Organic dementia, 

Paranoic condition, 

Polyneuritic psychosis, 

Senile dementia, . 

Traumatic insanity, 

Not insane 


Totals, .... 

Aggregate persons, 
Aggregate cases, 



1906.] 



PUBLIC DOCUMENT — No. 23. 



39 



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40 



WORCESTER INSANE HOSPITAL. 



[Dec. 



•<s> 



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I. General diseases : — 

Pulmonary tuberculosis 

Pulmonary tuberculosis with cardiac disease, 

Exhaustion from general paralysis 

Exhaustion from excitement, ..... 

Exhaustion from senility, ...... 

II. Diseases of the nervous system : — 

III. Diseases of the circulatory system : — 

Myocarditis with acute dilatation, .... 
Acute dilatation of heart, ...... 

Arterio sclerosis and aortic stenosis, .... 

Anasarca from cardiac and renal disease, 

IV. Diseases of the respiratory system : — 

Lobar pneumonia and heart disease 

Lobar pneumonia and cerebral hemorrhage, 



1906.] 



PUBLIC DOCUMENT — No. 23. 



41 



II llllrHrH 1 |H 1 


<N 


II 1 1 1 1 1 i-> III 1 


to 


II II 1 1 1— > 1 1 1 — 1 


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Entero-colitis and inanition, ...... 

VI. Diseases of the geuito-urinary system : — 

VII. Violence: — 


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Pulmonary tuberculosis with cardiac disease, 

Cancer of stomach, 

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Pernicious anaemia 

Exhaustion from general paralysis 

Exhaustion from excitement, 

Exhaustion from senility 

II. Diseases of the nervous system : — 

Basilar meningitis, ....... 

Cerebral hemorrhage, 

Cerebral embolism, 

Brain tumor, 

Status epilepticus, 

Ill Diseases of the circulatory system : - 

Pericarditis, ......... 

Myocarditis with acute dilatation, .... 

Valvular heart disease 

Acute dilatation of heart, 

Ruptured heart 

Arterio sclerosis 

Arterio sclerosis and aortic stenosis, .... 

Aortic stenosis 

Anasarca from cardiac and renal disease, 
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Broncho-pneumonia, ....... 

Lobar pneumonia, 

Lobar pneumonia and heart disease, . . . . 

Lobar pneumonia and cerebral hemorrhage, 

Hypostatic pneumonia, 



190(5.] 



PUBLIC DOCUMENT — No. 23. 



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