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

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in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportoftr104worc 






Public Document 



No. 23 



SEVENTY-SIXTH ANNUAL EEPOET 

OF 

THE TKUSTEES 

OF THE 

Worcester Insane Hospital, 

AND 

THIRTY-FIRST ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WORCESTER INSANE ASYLUM AT WORCESTER, 

FOR THE 

Year ending November 30, 1908. 




BOSTON: 
WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 
1909. 



Public Document No. 23 



SEVENTY-SIXTH ANNUAL EEPOET 



THE TRUSTEES 



Worcester Insane Hospital, 



THIRTY-FIRST ANNUAL REPORT OF THE TRUSTEES 



WORCESTER INSANE ASYLUM AT WORCESTER, 



FOR THE 



Year ending November 30, 1908. 



■\ 



u p|vf ' 



^fj2i^ 



BOSTON: 

WEIGHT & POTTEE PEINTING CO., STATE PEINTEES, 

18 Post Office Square. 

1909. 



«A 



t 



Approved by 
The State Board op Publication. 



3 



CONTENTS. 



PAGE 

Report of Trustees, ........ 7 

Report of Superintendent, ....... 10 

Report of Treasurer, . . . . . . . .20 

Statistics, . . . . . . . . .27 



OFFICERS OF THE HOSPITAL. 



TRUSTEES 



T. HOVEY GAGE, Jr., 
THOMAS RUSSELL, . 
SARAH E. WHITIN, . 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
GEORGE F. BLAKE, . 
LYMAN A. ELY, 



Worcester. 

Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 
HOSEA M. QUINBY, M.D., 
THEODORE A. HOCH, M.D., 
EDWARD MELLUS, M.D., . 
RAY L. WHITNEY, M.D., . 
MASON W. H. PITMAN, M.D., 
FLORENCE H. ABBOT, M.D., 
FREEMAN A. TOWER, M.D., 



HOWARD A. KNOX, M.D., 
PERCY A. DODGE, M.D., 
FRED G. CAMPBELL, 
IDA A. McNEIL, 
LILA J. GORDON, 
HENRY R. CENTER, 
JOSEPH T. REYNOLDS, 



Superintendent. 
First Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician and 

Pathologist. 
Junior Assistant. 
Junior Assistant. 
Junior Assistant. 
Superintendent of Nurses. 
Matron. 
Steward. 
Farmer. 



NON-RESIDENT OFFICERS. 

GEORGE E. PARESEAU, Druggist. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK, Auditor. 

JESSIE M. D. HAMILTON, .... Clerk. 
JAMES DICKISON, Jr., Engineer. 









Stye Commomoealtl) of illa00acl)xt0ett0. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital respectfully 
submit their seventy-sixth annual report. 

The report of the superintendent and treasurer are annexed 
hereto, containing in detail statements of the financial condi- 
tion of the hospital, of the commitment, discharge and transfer 
of patients, of the health of the institution, of the work in the 
training school for nurses and of changes in the staff of the 
institution. 

The work upon the alterations, additions and improvements 
contemplated in the appropriations granted last year has been 
prosecuted as fast as possible and will be completed the coming 
year. 

No new work will be undertaken this year. 

The trustees again urge the expediency of buying the Putnam 
and Curtis lands, to which attention has been called in their 
last two reports. The Commonwealth has too large an investment 
in this centrally located and well-equipped hospital to hazard 
any impairment of its value through the encroachment of un- 
desirable surroundings. When this institution was established 
on its present location, in 1870, it was planned to accommodate 
400 patients, and about 375 acres of land were purchased for 
$110,000, or an average of nearly $300 per acre. The Com- 
monwealth desired at that time to secure both these tracts of 
land, but the owners would not then sell. It is possible now, 
however, to secure the Putnam land, containing about 40 acres, 
for $5,000, and the Curtis land, containing about 68 acres, for 
$13,600, — an average for both of a little more than $175 an 
acre. 



8 WORCESTER INSANE HOSPITAL. [Dec. 

The hospital now accommodates over 1,200 patients, and the 
need of more land to care properly for this great increase over 
the original estimate seems obvious. The institution needs 
more land on which to give outdoor employment to its patients. 
It can, with their labor, put this land to a very considerable 
profit to the hospital, and much more than pay a handsome 
interest on the investment. If this land be acquired it can 
extend its farming and gardening operations, keep more of the 
patients suitably employed in a moderate amount of outdoor 
labor and raise an increasing amount of its own supplies. 

The Putnam tract is only a few hundred feet distant from 
the new ward now under construction for excited women, and 
lies between that ward and the city of Worcester. The city is 
already making extensive improvements in the direction of the 
hospital, and if anything is to be done to keep this ward in 
proper seclusion and surrounded with the necessary recreation 
grounds, by the purchase of property to give the necessary 
protection, it must be done now. 

The Curtis land adjoins land of the hospital now appropri- 
ated to gardening and farming. Its purchase would give an 
opportunity to extend this work. Before long a new and 
modern farm barn will be needed, and it will doubtless be 
thought expedient to locate it away from its present location. 
It is close to the main highway between Worcester and Boston, 
soon to be improved by the city, and quite near a growing resi- 
dential section. The Curtis land affords the only location for 
more extensive, efficient and economic farming. 

In this connection we desire to record our approval of 
measures tending to lessen the hours of labor of nurses and 
attendants, although there has resulted something of an in- 
crease in the expense of maintenance. We believe much remains 
to be done in this direction, and that, to secure steady and capable 
employees, we must ultimately provide proper accommodations 
on our grounds for the men and their families. When this 
is undertaken the need of additional land will be imperative. 

For the purchase and survey of these two tracts we ask an 
appropriation of $18,000. 

We renew the suggestion, made a few years ago, that a more 
adequate provision be made for the disposal of the hospital's 



1908.] PUBLIC DOCUMENT— No. 23. 9 

sewage. At that time the State Board of Health recommended 
the construction of filter beds. An appropriation for that pur- 
pose was opposed by residents in Lakeview and was defeated. 
An appropriation for a connection with the Worcester sewerage 
system was opposed by interests in the Blackstone valley and 
defeated. Meanwhile, the condition of things to which atten- 
tion was called four or five years ago has not improved. In 
view of these differences of opinion the trustees of the hospital 
do not advocate any particular method of sewerage disposal, but 
do recommend that some plan be devised to dispose of the sewage 
in a manner satisfactory to all parties. 

We take this means of expressing to the superintendent, 
members of the staff and all employees our appreciation of 
their earnest and devoted services to the institution. 

Respectfully submitted, 

T. IIOVEY GAGE, Jr. 
THOMAS RUSSELL. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 
LYMAN A. ELY. 

Nov. 30, 1908. 



]0 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, 1908, it being the seventy- 
sixth annual report. 

There remained at the hospital Oct. 1, 1907, 1,159 patients, 
— 584 men and 575 women. During the year ending Sept. 30, 
1908, there were admitted 655 patients, — 354 men and 301 
women. Five hundred and ninety-eight patients — 332 men 
and 266 women — were dismissed from the hospital. Of this 
number, 239 patients — 137 men and 102 women — were dis- 
charged; 120 patients — 77 men and 43 women — died; 158 
patients — 75 men and 83 women — were transferred; and 
83 patients — 43 men and 40 women — left on visit or escape, 
leaving at the end of the statistical year 1,216 patients, — 606 
men and 610 women. Of this number, 943 were supported 
by the State, 2 women (habitual drunkards) by towns, 168 by 
friends and 103 as reimbursing patients. Of the 397 patients 
discharged and transferred, 95 (including 11 habitual drunk- 
ards, women) were reported recovered, 60 capable of self- 
support, 46 improved and 192 not improved. Two were dis- 
charged not insane. Fifty men were transferred by the State 
Board of Insanity to the State Colony for the Insane, Gardner, 
1 man and 37 women to the State Hospital, Tewksbury, 35 
women to the Worcester Insane Asylum, 20 men to the State 
Hospital, Eoxborough, 1 woman to the Danvers Insane Hos- 
pital, 1 man to the Asylum for the Criminal Insane, Bridge- 
water, 1 man to the Medfield Insane Asylum, 1 man to the 
Massachusetts Hospital for Epileptics, Palmer, and 1 man to 
the Northampton State Hospital. Nineteen men and 16 women 
were removed from the State, and 9 women were boarded out. 

There remained at the end of the year 57 patients more than 



1908.] PUBLIC DOCUMENT— No. 23. 11 

at the beginning. The smallest number under treatment on any 
one day was 1,117, and the largest, 1,268. The daily average 
number was 1,189.45. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 15.8; calculated upon the number 
of admissions it was 14.5. 

The death-rate was 6.6, calculated on the whole number of 
patients under treatment, and 10, calculated on the daily 
average number. 

The general health of the hospital has been good, both as 
regards the patients and the employees. 

Under the very efficient guidance of Miss Ida A. McNeil, 
superintendent of nurses, our training school has been highly 
prosperous. Sixteen nurses were graduated. Of these, Y are 
taking post-graduate work in general hospitals and 9 remain 
in the hospital service, 4 as supervisors and 5 as head attendants. 
There will be about 60 pupil nurses enrolled in the new junior 
class, which begins its studies Jan. 4, 1909. 

We have had an abundance of applicants this year as nurses 
and attendants, and for this reason have been able to secure a 
better class of help, and now have a considerable waiting list. 
The hours of work of the nurses have been shortened and 
their wages increased during the year at an expense to the hos- 
pital of something over $7,000, but we hope and believe that 
this additional expense will be more than offset by the improve- 
ment in the character and efficiency of the service rendered. 

During the winter, as in previous years, the management 
was glad to offer the facilities of the institution and the as- 
sistance of its medical staff to Dr. Cowles, and to the members 
of his class from Clark University, for a series of ten clinics, 
held at the hospital. 

Among the improvements, alterations and additions to the 
hospital, authorized by the Legislature, the iron staircase and 
elevator in the administration building is completed. The 
alterations in our old coal pocket for the purpose of a bath and 
work rooms are progressing, although slowly, as the work here 
is being done entirely by our own help, with the assistance of 
patients, and as there is much incidental work connected there- 
with in the way of excavations and the building of retaining 






12 WORCESTER INSANE HOSPITAL. [Dec. 

walls for our new coal pocket, getting out stone for the same, 
and incidentally clearing up waste land in the rear of the 
hospital, all of which has occupied our attention during the 
summer. The contract for the addition to the women's ward 
was let in the early fall, and the building is now well under 
way. We hope to have it completed and ready for occupancy 
by the first of June next. 

Although our request for an appropriation for the purchase 
of the Curtis and Putnam lands, adjoining the hospital prop- 
erty, has been twice refused, it is, I think, due the hospital to 
again present the matter to the Legislature. 

It is not a matter of sentiment, or a desire to add to the hos- 
pital belongings, that makes us urge this, but a belief that it 
is of vital interest to the present and future welfare of the insti- 
tution that this land should be secured. We now have an 
opportunity, through the purchase of these two small tracts, 
to protect ourselves from encroachment for all time, — an op- 
portunity which if allowed to go by will probably never again 
occur. The hospital is here to stay, and the city, in its natural 
growth, must eventually include it. Now it is quite as im- 
portant for the city as for the hospital that the two be kept 
reasonably apart, so that neither may become an annoyance 
to the other. Should private dwellings come to occupy the 
land in question, it is easy to see where reasons for complaint 
would constantly arise on both sides. Such buildings upon 
the Putnam land would be especially objectionable on account 
of their close proximity to the main hospital building and the 
women's recreation grounds, and they would, if erected, oblige 
us to greatly restrict the liberty now enjoyed by this portion of 
our inmates. 

If the excellent and comprehensive plan for providing for 
the insane of Massachusetts, outlined by the Board of Insanity 
in its special report to the Legislature of 1908, and adopted for 
the metropolitan district, is to be extended to the rest of the 
State, as it most certainly should be, and each institution be 
provided, as therein advised, with a detached building for the 
treatment of acute and curable cases, this land would be abso- 
lutely necessary, being the only available land near the hospital 
suitable for this purpose. 



1908.] PUBLIC DOCUMENT— No. 23. 13 

The Curtis land is needed for the better carrying on of the 
work of the hospital. Whatever one may think of a hospital 
farm in general, there can be no question but what that por- 
tion devoted to vegetable gardening is a source of no inconsid- 
erable revenue, or that it furnishes very satisfactory and most 
necessary employment for a large number of patients. With 
the growth of our institution we find that our present land, 
even after encroaching upon our mowings, as we have been 
obliged to do, is insufficient for growing the vegetables needed 
for our table. A considerable part of the Curtis land lying 
convenient to the hospital is well adapted for gardening pur- 
poses, and would not only supply our present and future needs 
in the way of vegetables, but would give employment to a 
largely increased number of patients, whom we now find it 
difficult to employ in any remunerative way. It would also 
add to our mowings, and enable us to provide for our herd at 
less expense, as we are now obliged to buy much of our hay. 

With the growth of the institution and the consequent in- 
crease in the number of our farm employees we have no longer 
sufficient room in our farmhouse, and are therefore obliged to 
find lodgings for them in private families. This is a consid- 
erable expense to the hospital, and it is becoming more difficult 
every year to secure suitable quarters for our farm hands in 
the immediate neighborhood at reasonable rates, so that as a 
matter of economy, if not of compulsion, we shall soon be 
compelled to build for them cottages of our own. The matter, 
also, of housing our help in general is one which has not been 
fully solved, but is one for which some provision will have to 
be made in the near future. It would undoubtedly tend to a 
greater stability in the character of our help, and to longer 
service, if we could employ married people, which we are now 
unable to do, except in a few instances, on account of the lack 
of proper quarters. This matter will therefore probably resolve 
itself into providing cottages for them, as well as for our farm 
hands. For neither of these purposes is there any suitable 
place on our present grounds. 

Our farm barns are not adequate to our present wants. They 
are unsanitary and on account of faulty construction are diffi- 
cult to keep in proper repair, and are a source of large yearly 



14 WORCESTER INSANE HOSPITAL. [Dec. 

expense. We snail be obliged to replace them with a new 
building in the near future. Our neighbors, on the opposite 
side of Belmont Street, where a new residential section is 
rapidly growing up, would undoubtedly object to their being 
rebuilt where they are, and there is no other suitable and con- 
venient place on the present hospital land. 

The entire tract would be of immediate use to the institu- 
tion, and would no doubt return to the State every year, in 
dollars and cents, sufficient to pay a fair interest on the money 
invested. 

Dr. Cornelia B. J. Schorer resigned May 15, 1908, being 
obliged to give up her work on account of ill health. She had 
been connected with the hospital six years, and on account of 
her professional and executive ability, and her untiring fidelity 
to those placed under her charge, had come to be highly re- 
garded by every one with whom she was brought in contact. 
We heartily regret the necessity which compelled her to sever 
her connection with the hospital. Dr. Florence H. Abbot was 
appointed in her place, June 15, 1908. Dr. George P. Sulli- 
van resigned Dec. 21, 1907, to accept a general hospital ap- 
pointment in New York city. Dr. Howard A. Knox resigned 
Sept. 28, 1908, to accept a position in the reserve corps, 
United States Army. Fred G. Campbell was appointed junior 
assistant July 1, 1908. Dr. Percy L. Dodge was appointed 
junior assistant Aug. 1, 1908. William D. Sproat, apothecary, 
resigned Sept. 30, 1908, to enter a medical school. He was a 
skilled druggist, a painstaking and competent teacher in our 
training school, and a most genial member of our household, 
and after a service of eight years left the hospital with the 
hearty well wishes of every one connected with it. His place 
has been filled by the appointment of George E. Pareseau. 

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 their valu- 
able assistance in sewing. 



Nov. 30, 1908. 



H. M. QUINBY, M.D., 

Superintendent. 



1908.] 



PUBLIC DOCUMENT —No. 23. 



15 



PRODUCTS OF THE FARM 

On Hand Dec. 1, 1908, and not delivered at the Hospital. 



Beets, bushels, . 


. 327 


Leeks, bushels, 


. 100 


Cabbage, heads, 


. 10,000 


Parsnips, bushels, 


. 375 


Carrots, bushels, 


. 546 


Turnips, barrels, . 


. 474 


Celery, boxes, . 


. 910 







FARM ACCOUNT. 



Dr. 



Bread, . 

Butter, . 

Blacksmith and supplies, 

Carriages and wagons, repairs, 

Current expenses, 

Fertilizers, 

Fish, 

Fuel, 

Furnishings, . 

Groceries, etc., 

Harness and repairs, 

Hay, grain, etc., 

Ice, 

Lights, . 

Live stock : — 

Cows, 

Pigs, 

Horses, 
Meats, . 
Milk, . 
Repairs, . 
Seeds, 
Sugar, 
Tools, . 
Wages, . 



$408 53 

1,236 08 
464 40 
312 40 

2,143 68 
688 60 
240 22 
656 45 
137 76 

3,087 44 
444 91 

7,874 53 

240 46 

35 51 

1,292 00 
104 00 

1,205 00 

2,203 31 
853 10 

1,932 17 

212 45 

418 42 

786 90 

11,944 98 



;,923 30 



16 



WORCESTER INSANE HOSPITAL. 



Cr. 



Apples, 445.5 barrels, 

Asparagus, 6.33 boxes, 

Beans, lima, 34.5 bushels, 

Beans, green, 79 . 5 bushels, 

Beets, 373 bushels, . 

Beef, 2 sides, 1,166 pounds, 

Beef, 22 sides, 6,446 pounds, 

Brussels sprouts, 96 quarts, 

Bags grain, sold, 1,050, 

Cabbage, 8,491 heads, 

Carrots, 338 . 5 bushels, 

Cauliflower, 29 . 5 boxes, . 

Cases, wooden, sold, 37, . 

Celery, 523 . 5 boxes, 

Cider, 1,515 gallons,. 

Corn, green, 1,127 bushels, 

Cucumbers, 55.5 boxes, . 

Cucumber pickles, 384 pecks, 

Citron, 6 bushels, 

Dandelions, 45 bushels, 

Egg plant, 59 . 5 pounds, . 

Feed: — 

Bran, 700 pounds, 
Corn, whole, 200 pounds, 
Hay, 21.1156 tons, . 

Ice, 1,250 tons, 

Kale, 130 bushels, . 

Lettuce, 503 . 5 boxes, 

Leeks, 58 bushels, . 

Manure, 61 cords, 

Milk, 302,965 quarts, 

Oats, 1,013 bushels, 

Onions, 597 bushels, 

Parsley, 3 bushels, . 

Parsnips, 171 bushels, 

Pears, 17.5 bushels, 

Peas, green, 179.5 bushels, 

Peppers, 1 . 25 bushels, 

Pork sold, 14,577 pounds, 

Potatoes, 291 bushels, 

Plants sold, 12,555, . 

Radishes, 391.75 dozen bushels 



Amount carried forward, 



1908.] 



PUBLIC DOCUMENT — No. 23. 



17 



Amount brought forward, 

Rhubarb, 11,060 pounds, . 
Salsify, 13 dozen, 
Scallions, 30 . 5 bushels, 
Spinach, 200 bushels, 
Squash, summer, 44 barrels, 
Squash, winter, 1,121.6 barrels, 
Sand, 349.25 yards, 
Strawberries, 4,080 quarts, 
Straw, oat, 6 . 925 tons, 
Swill sold, lot, eight months, 
Tomatoes, ripe, 764 . 5 bushels, 
Tomatoes, green, 78 bushels, 
Tomatoes, green, sold, 1 bushel, 
Turnips, 100 . 6 barrels, 
Veal, whole, 1,407.5 pounds, 
Wood, sold, 5 loads, 
Live stock sold : — 

Calves, 28, 

Cows, 27, . 

Pigs, 16, . 
Hides sold, 22, 1,886 pounds, 
Skins, calf, sold, 8, 218 pounds, 
Team labor, 965 days, 
Patients' labor, 3,176 days, 
Attendants' labor, 1,312 days, 






Total receipts, 



$27,867 22 


221 


20 


9 


75 


15 


25 


SO 00 


44 00 


1,682 40 


492 


43 


326 


40 


84 


01 


96 


00 


573 


38 


39 00 




50 


125 


75 


154 82 


5 


00 


152 


79 


811 


40 


75 


00 


108 


75 


13 


90 


3,860 00 


3,176 


00 


1,968 


00 


$41,982 95 



IS 



WORCESTER INSANE HOSPITAL. 



[Dec. 



OFFICERS AND THEIR SALARIES. 



Residents. 
Superintendent (per annum), 
First assistant physician (per annum), 
Assistant physician (per annum), 4, at 
Assistant physician (per annum), 4, at 
Pathologist (per annum), 
Superintendent of nurses (per annum), 
Steward (per annum), 
Matron (per annum), 
Farmer (per month), 



$3,000 00 

1,500 00 

1,000 00 

400 00 

1,000 00 

800 00 

.1,200 00 

800 00 

75 00 



Non-residents. 



Druggist (per week), 
Treasurer (per annum), 
Auditor (per annum), 
Clerk (per month), . 
Engineer (per week), 



$16 00 

500 00 

75 00 

75 00 

25 00 



1908.] PUBLIC DOCUMENT — No. 23. 19 



VALUATION OF PERSONAL ESTATE 

Nov. 30, 1908. 



Provisions and groceries, ....... $12,465 25 

Ready-made clothing, ....... 2,416 52 

Dry goods : — 

For clothing, 328 56 

For bedding, etc., 1,246 32 

Furnishings : — 

Beds and bedding in inmates' department, . . . 32,739 50 
Other furnishings in inmates' department, . . . 20,447 01 
Personal property of State in superintendent's depart- 
ment, 13,682 41 

All other property, . . . . . . . 26,126 75 

Heat, light and power : — 

Fuel, 6,481 87 

All other property, ... . . . . . 14 80 

Repairs and improvements : — 

Machinery and mechanical fixtures, .... 48,098 09 

All other property, . . 1,842 35 

Farm, stable and grounds : — 

Live stock on the farm, . . . . . . 23,462 00 

Produce of the farm on hand, ..... 9,447 14 

Carriages and agricultural implements, . . . 7,870 00 

All other property, . . . . . . . 4,810 52 

Miscellaneous : — 

Drugs and medicines, ...... 875 15 

Tobacco, 156 74 

Library, ......... 5,537 68 

Other supplies undistributed, ..... 6,646 70 

Total, $224,695 36 



20 



WORCESTER INSANE HOSPITAL. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I hereby submit my annual report on the finances of the 



ending 



Worcester Insane Hospital for the year 
1908. 

Receipts. 
Received from cities and towns for support of patients 

from individuals for support of patients, 

from individuals for support of patients, : 
bursements, . 

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, ..... 



Nov. 30, 



$1,078 52 
47,683 09 

14,140 72 

572 81 

2,912 46 

425 24 

2,221 69 

296,829 94 

6,483 81 

$372,348 28 



Pay roll, 



Expenditures. 



$103,641 39 



Food: — 
Butter, . 
Beans, . 

Bread and crackers, 
Cereals, rice, meal, etc., 
Cheese, 
Eggs, . 
Flour, . 
Fish, . 

Fruit (dried and fresh), 
Meats, . 
Milk, . . 
Molasses and syrup, 



$13,540 76 

957 35 

462 56 

1,738 11 

747 95 

6,125 62 

11,259 10 

3,757 42 

2,835 95 

23,809 73 

5,553 34 

419 66 



Amounts carried forward, . 



$71,207 55 $103,641 39 



I 1908.] 



PUBLIC DOCUMENT— No. 23. 



21 



Amounts brought forivard, . 

Sugar, . . . . 

Tea, coffee, broma and cocoa, . 
Vegetables, ..... 
Sundries, ..... 

Clothing and clothing material : — 
Boots, shoes and rubbers, 
Clothing, ..... 
Dry goods for clothing, and small wares, 
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, 
Wooden ware, buckets, pails, etc., 
Sundries, .... 

Heat, light and power: — 
Coal, . . ' . 
Gas, ..... 

Oil, ...... 

Sundries, .... 



Repairs and improvements : — 

Brick, 

Cement, lime and plaster, 

Doors, sashes, etc., .... 

Electrical work and supplies, . 

Hardware, ..... 

Lumber, ..... 

Machinery, etc., .... 

Paints, oil, glass, etc., 

Plumbing, steam fitting and supplies, 

Roofing and materials, 

Mechanics and laborers (not on pay roll), 

Sundries, ..... 



Amount carried forivard, . 



. 6,018 53 


t$>L\JO ! \J-*± Of 


. 1,419 26 




. 5,212 70 




. 2,689 41 






86,547 45 




. $2,643 70 




. 5,726 36 




. 2,464 80 




. 1,287 94 




108 96 




55 13 




113 11 






12,400 00 




. $4,068 30 




506 80 




936 32 




. 1,450 12 




. 2,570 77 




477 67 




271 15 




. 1,063 SI 






11,344 94 




$26,738 02 




462 45 




271 51 




157 62 






27,629 60 




$37 80 




643 29 




748 43 




.. 1,229 47 




919 58 




2,268 62 




276 60 




. 1,783 10 




. 1,846 40 




852 41 




. 3,108 52 






13,714 22 






$255,277 60 



92 



WORCESTER INSANE HOSPITAL. 



[Dec. 



Amount brought forward, . 

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

Cows, .... 
Other live stock, 
Labor (not on pay roll), 
Rent, .... 
Tools, farm machines, etc., 
Sundries, 



Miscellaneous : — 
Books, periodicals, etc., . 
Chapel services and entertainments, 
Freight, expressage and transportation, 
Funeral expenses, .... 

Gratuities, ..... 

Hose, etc., ..... 

Ice, ...... 

Labor (not on pay roll), . 
Medicines and hospital supplies, 
Medical attendance, nurses, etc. (extra), 
Postage, ..... 

Printing and printing supplies, 
Return of runaways, 
Soap and laundry supplies, 
Stationery and office supplies, 
School books and school supplies, 
Travel and expenses (officials), 
Telephone and telegraph, 
Tobacco, . ... 

Water, . . . 

Sundries," . . . 



Total, .... 
Paid out of special appropriations, 
Receipts paid to State Treasurer, 
Balance on hand, . 

Total expenditures, . 



■ 


$255,277 60 


. $659 28 




. 1,053 81 




959 20 




. 9,837 40 




721 05 




1,555 00 




1,547 00 




104 00 




348 00 




889 41 




1,933 71 






19,607 86 




. $422 29 




488 40 




341 54 




367 00 




32 90 




42 88 




4 00 




. 35 50 




. 1,776 52 




73 20 




473 76 




531 14 




174 83 




. 3,089 94 




474 19 




277 20 




172 34 




151 35 




1,481 90 




. 4,570 07 




1,963 53 






16,944 48 






$291,829 94 




6,483 81 




69,034 53 




5,000 00 




$372,348 28 



1908. 



PUBLIC DOCUMENT — No. 23. 



23 



Resources. 

Balance at State treasury (for maintenance), . . . $6,501 28 

Balance at State treasury (for special appropriations), . 59,195 44 

Total resources, $65,696 72 



Liabilities. 
Due for salaries and wages, 
Due for all other current expenses, . 
Due for special appropriations, 



Total liabilities, 



Special Appropriations. 



$9,326 47 

14,915 26 

3,861 05 

£28,102 78 



OBJIiCT. 


Resolves. 


Whole 
Amount. 


Expended 

since 
Nov. 30, 

1907. 


Expended 

to 

Date. 


Balance 
Dec. 1, 
1908. 


Male nurses' home, .... 

Alterations in old buildings for bath- 
rooms and work shops. 

Construction of iron staircase and ele- 
vator. 

Addition to main building, 


1906, chap. 500, 

1907, chap. 113, 

1907, chap. 113, 

1908, chap. 146, 


$55,000 00 
6,000 00 
7,600 00 
50,000 00 


$2,079 25 
2,178 62 
1,021 54 
1,204 40 


$55,000 00 
2,178 62 
1,021 54 
1,204 40 


$3,821 38 

6,575 46 

48,795 60 



Patients' Funds. 

Balance on hand Nov. 30, 1907, . . $3,663 27 

Receipts, 2,478 53 

Interest on bank balance, . . . . 53 22 

Interest paid to State Treasurer, . . . $385 62 

Refunded 1,764 08 



Investments. 

Worcester County Institution for Savings, . $2,000 00 

Worcester Five Cents Savings Bank, . . 1,000 00 

Balance Mechanics National Bank, . . . 837 77 

Cash on hand Dec. 1, 1908, .... 207 55 



,195 02 



2,149 70 



,045 32 



t,045 32 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



Nov. 30, 190S. 



24 WORCESTER INSANE HOSPITAL. [Dec. 



STATEMENT OF FUNDS. 



Lewis Fund. 
Balance on hand Nov. 30, 1907, 
Income, ...... 

Expended for books, etc., 



Investment. 
Chicago, Burlington & Quincy Railroad bond, 
Worcester County Institution for Savings, 
Balance Mechanics National Bank, . 



Wheeler Fund. 

Balance on hand Nov. 30, 1907, 

Income, ...... 

Expended for books, etc., 



Investment. 
3 shares Worcester National Bank, . . . $570 00 

American Telephone and Telegraph Company 
bond, ...... 

Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, 
Mechanics Savings Bank, 
Balance Mechanics National Bank, . 



Lawn Fund. 
Balance Mechanics Savings Bank Nov. 30, 1907, $651 26 
Income, ....... 26 18 

$677 44 



$1,314 69 

54 78 


$1,369 47 
19 23 


i . 


$1,350 24 


$926 36 
342 60 

81 28 


$1,350 24 




. $4,906 99 
215 39 


$5,122 38 
116 63 




$5,005 75 



712 50 




. 1,600 00 




. 1,719 47 




142 52 




261 26 






$5,005 75 





1908.] PUBLIC DOCUMENT — No. 23. 25 

Investment. 
Mechanics Savings Bank, ...... $677 44 






Manson Fund. 
Balance in Worcester County Institution for 

Savings, Nov. 30, 1907, .... $1,417 10 
Income, ....... 56 68 



$1,473 78 
Expended for plants, ...... 55 25 



1,418 53 



Investment. 
Worcester County Institution for Savings, . . . $1,418 53 



Respectfully submitted, 



Nov. 30, 1908. 



ALBERT WOOD, 

Treasurer of Corporation. 



Worcester, Mass., Dec. 22, 1908. 

I hereby certify that I have this day compared the treasurer's statement of 
receipts and disbursements for the year ending Nov. 30, 1908, 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 
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. 





Cases committed. 


NUMBER OF THE COMMITMENT. 










Males. 


Females. 


Totals. 


First to this hospital, ....... 

Second to this hospital, ....... 

Third to this hospital, ....... 

Fourth to this hospital, . . . . . . 

Fifth to this hospital, . . . . . . 

Sixth to this hospital, ....... 

Seventh to this hospital, ...... 


241 

17 

5 

1 

1 


207 
22 
6 
1 
2 
2 
1 
1 


448 
39 
11 
2 
2 
3 
1 
1 




265 


242 


507 


Total persons, ....... 


259 


238 


497 


Never before in any hospital for the insane, 


221 


188 


409 



One patient committed as insane found to be sane. 



Nativity and Parentage of Insane Persons first admitted to Any 
Hospital. 







Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


"S 


• 




s= 


,_; 


^ 


"S 


^ 


^ 




•^s 


.g 


5 


-r- 


■g 


-E 


•■S 


.G 






P* 


(S 


s 


C3 


tS 


s 


Ph 


r 03 


S 


Massachusetts, 


79 


36 


33 


65 


17 


22 


144 


53 


55 


Other New England States, 


16 


15 


19 


21 


16 


15 


37 


31 


34 


Other States, .... 


11 


14 


9 
61 


11 
97 


12 
45 


15 


22 


26 


24 


Total native, 


106 


65 


52 


203 


110 


113 


Other countries: — 




















Armenia, .... 


- 


1 


1 


- 


- 


- 


- 


1 


1 


At sea, ..... 


- 


1 


- 


- 


- 


- 


- 


1 


- 


Austria, .... 


3 


2 


2 


- 


- 


- 


3 


2 


2 


Belgium, .... 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Canada, ..... 


11 


15 


16 


12 


18 


17 


23 


33 


33 


Cape Breton, .... 


1 


- 


- 


- 


- 


- 


1 


- 


- 


England, .... 


8 


13 


13 


4 


8 


6 


12 


21 


19 


Finland, ..... 


3 


2 


2 


4 


4 


4 


7 


6 


6 


Germany, .... 


3 





2 





10 


8 


8 


15 


10 


Greece, ..... 


1 


2 


1 


- 


- 


- 


1 


2 


1 


Guiana, ..... 


1 


1 


i 


- 


~ 


- 


1 


1 


1 


Hungary, . . 


- 


- 


- 


1 


1 


1 


1 


1 


1 


India, . . . . ' 


- 


- 


- 


- 


- 


1 


- 


— 


1 


Ireland, ..... 


39 


62 


66 


35 


65 


59 


74 


127 


125 


Italy 


4 


4 


4 


1 


3 


2 


5 


7 


6 


Macedonia, .... 


1 


1 


1 


- 


- 


- 


1 


1 


1 


New Brunswick, 


7 


6 


7 


3 


1 


3 


10 


7 


10 


Newfoundland, 


1 


1 


1 


1 


1 


1 


2 


2 


2 


Norway, ..... 


- 


- 


1 


- 


- 


- 


- 


- 


1 


Nova Scotia, .... 


1 


- 


1 


s 


g 


7 


9 


6 


8 


Poland 


3 


3 


3 


1 


1 


1 


4 


4 


4 


Portugal, . ... 


1 


- 


- 


- 


1 


1 


1 


1 


1 


Prince Edward Island, 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Russia, ..... 


4 





5 


5 


4 


5 


9 


9 


10 


Scotland, . 




4 


4 


4 


1 


3 


2 


5 


7 


6 


Spain, 




- 


- 


1 


- 


- 


- 


- 


- 


1 


Sweden, . 




11 


13 


12 


6 


8 


8 


17 


21 


20 


Turkey, . 




3 


2 


2 


- 


- 


- 


3 


2 


2 


Wales, 




- 


- 


- 


- 


- 


1 


- 


- 


1 


West Indies, 




- 


- 


- 


2 


2 


2 


2 


2 


2 


Total foreign, 


112 


145 


148 


90 


137 


130 


202 


282 


278 


Unknown, .... 


3 


11 


12 


1 


6 


6 


4 


17 


18 


Totals, 




221 


221 


221 


188 


188 


188 


409 


409 


409 



1908.] 



PUBLIC DOCUMENT— No. 23. 



31 



Residence of Insane Persons admitted by Commitment. 





First Admitted 
to Ant Hospital. 


Other 

Admissions. 


Totals. 


PLACES. 




in 






03 






m 






3s 

*5 


13 
1 


o 
H 


S 


"?3 

a 


"o3 
Eh 


1 


1 


a 
H 


Massachusetts (by counties): — 




















Essex, ..... 


" 


- 


- 


- 


l 


1 


- 


1 


1 


Hampshire, .... 


- 


1 


1 


1 


- 


1 


1 


1 


2 


Middlesex, 


45 


49 


94 


9 


16 


25 


54 


65 


119 


Norfolk, ..... 


4 


6 


10 


1 


1 


2 


5 


7 


12 


Suffolk 


55 


40 


95 


14 


8 


22 


69 


48 


117 


Worcester, .... 


117 


92 


209 


18 


27 


45 


135 


119 


254 


Totals, .... 


221 


188 


409 


43 


53 


96 


264 


241 


505 


Cities or large towns (10,000 or 
over), ..... 


188 


158 


346 


37 


40 


77 


225 


198 


423 


Country districts (under 10,000), 


33 


30 


63 


6 


13 


19 


39 


43 


82 



One patient committed as insane found to be sane. 



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





Males. 


Females. 


Totals. 


Unmarried, . . . . . . . ... 


93 


79 


172 


Married, . . . " . 


97 


76 


173 


Widowed, ......... 


30 


29 


59 


Divorced, ......... 


1 


4 


5 


Totals, 


221 


188 


4C9 



32 



WORCESTER INSANE HOSPITAL. 



[Dec. 



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



FEMALES. 


Cooks, 


5 


Peddler, . . 1 


Domestics, . 


34 


Tailoress, 






1 


Dressmakers, 


2 


Teacher, 






1 


Housekeepers, 


16 


Waitress, 






1 


Housewives, 


72 


No occupation, 






38 


Librarian's assistant, 


1 




Milliner, . . . 


1 


Total, . . . .188 


Operatives, . 


15 




MALES. 


Actor, 


1 


Moulders, . 


Armorer, 


1 


Operatives, . 






10 


Baker, 


1 


Paper maker, 






1 


Barbers, 


2 


Peddler, 






1 


Blacksmith, 


1 


Physician, . 






1 


Bookkeeper, 


1 


Piano maker, 






1 


Bootblack, . 


1 


Plasterer, 






1 


Carpenters, . 


14 


Plumbers, . 






2 


Chair maker, 


1 


Porter, 






1 


Cigar maker, 


1 


Potter, 






1 


Clerks, 


11 


Pressman, . 






1 


Coachmen, . 


2 


Proof reader, 






1 


Cook, 


1 


Sailors, 






3 


Engineers, . 


3 


Scissor grinder, 






1 


Farmers, 


11 


Shoe makers, 






5 


Grocers, 


2 


Stenographer, 






1 


Harness makers, . 


1 


Student, 






1 


House painters, . 


4 


Tailor, 






1 


Inspe ctor, . 


1 


Telegrapher, 






1 


Janitor, 


1 


Waiters, 






4 


Laborers, 


67 


Wood workers, 






4 


Lodging-house keeper, . 


1 


No occupation, 






25 


Machinists, . 


10 










Mail carrier, 


1 


Total, . 






217 


Marble worker, 


1 


Unknown, . 






4 


Masons, 


2 




Mechanics, . 


4 


Total, . . . .221 


Motorman, . 


1 





1908.] 



PUBLIC DOCUMENT — No. 23. 



33 





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Not insane, ..... 


Totals, 

Mean known ages (in years), 



34 



WORCESTER INSANE HOSPITAL. 



[Dec. 





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1908.] 



PUBLIC DOCUMENT— No. 23. 



35 



iH 1 1 1 1 1 


1 HOOHOiH 1 


1 1 1 


l i I 


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i 


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1—1 1 1—1 


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1 1 1 


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CM CM 


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CM 


































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36 



WORCESTER INSANE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 









FlEST ADMITTED TO AnT HOSPITAL. 


PREVIOUS DURATION. 










Males. 


Females. 


Totals. 


Congenital, 






4 


15 


19 


Under 1 month, . 






52 


44 


96 


From 1 to 3 months, 






43 


25 


68 


3 to 6 months, 






21 


24 


45 


6 to 12 months, 






17 


13 


30 


1 to 2 years, 






19 


16 


35 


2 to 5 years, 






30 


23 


53 


5 to 10 years, 






7 


17 


24 


10 to 20 years, 






8 


4 


12 


Over 20 years, . 






5 


4 


9 


Totals, 


206 


185 


391 


Unknown, . 






15 


2 


17 


Not insane, 






- 


1 


1 


Totals, 


221 


188 


409 


Average known duration (in years), 


2.3 


4.1 


3.2 



1908.1 



PUBLIC DOCUMENT— No. 23. 



37 



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H pj H 


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A. — First admitted to any hospital: — 

Acute hallucinosis, ...... 

Alcoholic insanity, acute: — 

Alcoholic depression, ..... 

Alcoholic hallucinosis, ..... 

Delirium tremens, . . 
Alcoholic insanity, chronic: — 

Alcoholic deterioration, ..... 

Alcoholic hallucinosis, . 

Alcoholic paranoic condition, .... 

Polyneuritis psychosis, ..... 

Constitutional depression, ..... 

Constitutional inferiority, . . . . ■ 

Delirium, acute, ...... 

Delirium, depressive, ..... 

Dementia precox, ...... 

Epileptic insanity, . 

Exhaustion psychosis, . 

General paralysis of the insane, .... 

Hysterical insanity, ...... 

Imbecility, . 

Involution psychosis, ..... 

Manic-depressive insanity: — 

Circular form, ...... 

Depressed form, ...... 

Manic form, ....... 

Manic-delirious form, ..... 

Mixed form, . . 
Melancholia, involution, ..... 

Melancholia, senile, ...... 

Organic dementia, . . 
Paranoic condition, . . 
Paranoic condition, senile, . . ... 

Senile dementia, ...... 

Toxic insanity, acute: — 

Delirium, ....... 

Not insane, ....... 


"3 
o 



38 



WORCESTER INSANE HOSPITAL. 



^5 
3 



O 
O 



Q 



8 

a 

O 



Total Dis- 
charges AND 
Deaths. 


H 


ICC NNH | ^W | COH | COW 1 THrH^lTjHrtrHr- 1 


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fa 


| il 1 1 1 1 I-IIO ] - — 1 1 1 NO) |H| | (Mil 1 il 


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a 
n 


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fa 


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s 




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fa 


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3 


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CO 00 00 


S 


■ I ^H|^H|^-(COi||| |i-t||||i-4|ll|00 00 00 

CM CN 


O 
O 

£ 


H 


II 1 il 1 1 1 i-l 1 1 1 1 CNCO 1 1 1 1 1 1 1 1 


CO CO 


fa 


II 1 1 1 1 1 n 1 1 1 1 <N 1 1 1 1 I 1 1 1 1 


CO o o 


»" 


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o 

o la 


H 


I-h hh i inn | | | | HCO 1 H | | H | | | 


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il lO UO 


fa 


II 1 1 1 1 1-1 1 1 1 1 Illlllllll 


U< CO CD 


S 


1 n HrH 1 | 1M 1 1 1 1 1<M 1 1 1 1 i—l I 1 1 


o o o 

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Q 

a 
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im iiiiiiiiii as • ■ ■ ' ■ ' ■ ■ |s $ s 


fa 


1 n Illlllllll CRIO 1 1 1 1 1 1 1 1 


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n ■* ■** 


s 


In illlllllll exiio I I I I I I I I 


00 CM CM 

1*1 1*1 


Q 

m 
g 

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s 

o 
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&H 


CM CN (M 


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Oi o o 


fa 


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lO 1^ i+« 

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s 


Hi- 1 nCNCOI<NCOCOCO|n Tfi t- 1 1 l-HCNI 1 1 


i*l i*l »o 

if CO CO 

<M CM 


FORM OF DISEASE. 










B. — Other admissions: — 

Alcoholic insanity, acute: — 

Alcoholic depression, 

Alcoholic hallucmosis, 
Alcoholic insanity, chronic: — 

Alcoholic deterioration, . 

Alcoholic hallucinosis, 

Alcoholic paranoic condition, 
Constitutional depression, . 
Constitutional inferiority, . 
Dementia praecox, 
Epileptic insanity, 
General paralysis of the insane, 
Huntington's chorea, 
Imbecility, 
Manic-depressive insanity: — 

Depressed form, 

Manic form, . 

Mixed form, . 
Melancholia, involution, 
Melancholia, senile, . 
Organic dementia, 
Paranoic condition, . 
Paranoic condition, senile, 
Senile dementia, 
Not insane, 


Totals, 

Aggregate persons, 

Aggregate cases, 



1908.] 



PUBLIC DOCUMENT— No. 23. 



39 





03 

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First to this hospital, 
Second to this hospital, . 
Third to this hospital, 
Fourth to this hospital, . 
Fifth to this hospital, 
Sixth to this hospital, 
Eighth to this hospital, . 


Total cases, 

Total persons, . 

First admitted to any 
hospital, 



40 



WORCESTER INSANE HOSPITAL. 



[Dec. 



&H 



"T3 



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l-H 1—5 1— H ►> 



1908.] 



PUBLIC DOCUMENT— No. 23. 



41 



<M iHTfH -It-IIOIN 



l-H-H ,-H Ot O 



N I e*j i ii mh 



O i-i « — I -HrfMrt 



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a H 



42 



WORCESTER INSANE HOSPITAL. 



[Dec. 






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gig 

Q 


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I. General diseases: — 

Carcinoma of arm, ..... 

Carcinoma of neck and ear, .... 

Exhaustion, ...... 

Exhaustion of general paralysis, . 

Facial erysipelas, ..... 

Gangrene of leg, ..... 

General septicaemia, ..... 

II. Diseases of the nervous system: — 

Cerebral hemorrhage, ..... 
Cerebral hemorrhage and broncho-pneumonia, 
Multiple neuritis, ..... 

III. Diseases of the circulatory system: — 

Acute fibrinous pericarditis, 

Arterio sclerosis, ...... 

Chronic myocarditis, .... 

Chronic myocarditis and chronic interstitial 
nephritis, ...... 

Ruptured heart, ..... 

Valvular heart disease, .... 

Valvular heart disease and gastric ulcer, 

IV. Diseases of the respiratory system: — 

Broncho-pneumonia,' ..... 
Broncho-pneumonia and diabetic coma, 
Hypostatic pneumonia, .... 
Lobar pneumonia, ... 
Lobar pneumonia and valvular heart disease, 
Pulmonary tuberculosis, .... 
Tubercular pneumonia, .... 



1908.] 



PUBLIC DOCUMENT — No. 23. 



43 






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V. Diseases of the digestive system: — 
Acute intestinal obstruction, 
Carcinoma of rectum, ..... 
Carcinoma of stomach, .... 
Chronic enteritis, ..... 

VI. Diseases of the genito-urinary system: — ■ 
Chronic interstitial nephritis, 
Diabetes mellitus, ..... 

VII. Violence: — 

Accidental strangulation, .... 
Asphyxiation from food, .... 
Suicide (multiple injuries, falling from height), 
Suicide by hanging, ..... 


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1908.] 



PUBLIC DOCUMENT — No. 23. 



45 



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10 to 20 years, . 
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