Annual report of the trustees of the State Lunatic Hospital at Worcester

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PUBLIC DOCUMENT No. 23.

EOETY-SIXTH ANNUAL EEPORT

THE TRUSTEES

i^. STATE LUNATIC HOSPITAL

WORCESTEE,

THE YEAR ENDING SEPTEMBER 30, 1878.

BOSTON:
EantJ, a&Etg, ^ Co., prmttrs to tije €ommontstn\t%

117 Franklen Stuebt.
1879.

//

OFFICERS OF THE HOSPITAL.

TKUSTEES.

ROBERT W. HOOPER, M.D. . . ... . Boston.

Gen. WILLIAM S. LINCOLN ..... Worcester.

THOMAS H. GAGE, M.D Worcester.

Col. JOHN D. WASHBURN ..... Worcester.

Prof. JAMES B. THAYER Cambridge.

RESIDENT OFFICERS.

.BARNARD D. EASTMAN, M.D.
HO SEA M. QUINBY, M.D.
ALBERT R. MOULTON, M.D.
DANIEL W. BEMIS .
MARIA L. WARREN
CLARENCE BUFFINTON
ALPHEUS YOUNG .
FRED LANE .

Superintendent.

Assistant Physician.

Assistant Physician.

Steward.

Matron.

Clerk.

Engineer.

Farmer.

ALBERT WOOD

TREASURER.

Worcester.

Commonroealtl) oi MaBBat\)\xBttt0.

TRUSTEES' REPORT.

To His Excellency the Governor and the Honorable Council.

The Trustees of the Worcester Lunatic Hospital respect-
fully submit their Forty-sixth Annual Report, in relation to
the history and transactions of the Hospital during the year
ending Sept. 30, 1878, accompanied by the reports of the
Superintendent and the Treasurer, and the certificate of
Appraisers as to the value of the property belonging to the
Hospital. The latter is the independent judgment of the
gentlemen selected for that purpose, who are alone responsi-
ble for the estimates therein made.

The report of the Superintendent shows the movement of
population in the Hospital, the general results of treatment,
remedial and palliative, and such other facts in tabular view
as will constitute reliable statistics on this subject. An
analysis of these tables will show, so far as the experience of
a single year can show, that this Hospital, in its location and
construction, is well adapted to the purposes for which it was
designed.

The report of the Treasurer sets forth the financial condi-
tion of the institution, and shows that the Hospital has been
managed with economy, though nothing essential to the com-
fort of patients has been spared, and that the expenses have
been kept within the income. To this end the Trustees have
diligently labored; and their efforts and wishes have been
ably seconded by the Superintendent and assistants. The
building was first occupied by the Superintendent and a few

6 LUNATIC HOSPITAL AT WORCESTER. [Oct.

assistants on the 8tli of October, 1877. On the 16th of the
same month, the removal of patients from the old building
began ; and, on the 23d, 430 had been transferred from the
old to the new. The average number of patients for the
year has been 496.

Although the building was thus occupied in October, 1877,
much still remained to be done for the full completion of the
institution, as set forth in the last report of the Trustees.
And it was obvious to the board that this could be done to
best advantage, not by hastening it through the closing days
of the last year, but by deferring it till the present year,
during which most of it has been completed, and in a satis-
factory manner. It is the opinion of the Trustees that any
further work that remains should be gradually done and paid
for from the current funds of the Hospital.

The financial history of the enterprise may be stated as
follows : —

The amount of the appropriations made by the legislature
to carry out the purposes of the acts for the construction
of this Hospital is $1,167,387 75

Amount of appropriation in 1877 to the Trustees of the
Worcester Lunatic Hospital, for the purchase of such
additional furniture as may be required, in consequence
of the establishment of the Temporary Asylum for the
Chronic Insane 30,000 00

The whole amount appropriated for the building and fur-
nishing of the Hospital is thus 1,197,387 75

Our last annual report shows, that, of this amount, there
had been expended at the close of the fiscal year ending
Sept. 30, 1877 1,070,943 14

During the fiscal year ending Sept. 30, 1878, there has
been expended and charged to the general appropriation
the sum of 81,910 92

And charged to the appropriation of 1877 .... 12,962 00

Making the total amount expended for construction and

furnishing to Sept. 30, 1878 1,165,816 06

And leaving an unexpended balance of * .... 31,571 69

This total amount, following the classification of last year,
has been expended as follows : —

* Since Sept. 30, the close of the fiscal year, a payment of $1,516.20 has been made for
work done before Oct. 1; the net cost at the time this report is written is therefore $1,164,
093.97, and the unexpended balance, $30,055.49.

1878.] PUBLIC DOCUMENT — No. 23. 7

Land , $112,247 71

Barns and cottages ■ . . . 18,873 74

Grading, excavating, and preparing grounds . . . 74,687 57

Foundations 35,308 28

Superstructure, masonry, etc. ...... 370,349 73

Carpentry 209,156 04

Painting, windows, guards, etc 34,486 84

Water, gas, and drainage ...... 59,735 91

Heating and ventilation . . . . .... . 76,995 72

Plastering ■ . 43,768 89

Architects, engineers, overseers, etc. .... 30,025 92

Eoads, and grading pertaining thereto . . . . 9,589 07

Machinery 10,999 71

Miscellaneous 19,372 02

Furniture . 40,480 62

Amount awarded to the Trustees by the Governor and

Council for services in construction .... 16,500 00

Expense of laying out old land 3,238 29

Total . . ■ . ^1,165,816 06

To ascertain the actual net cost of the Hospital, grounds,
and appointments, the amount for laymg out old land
should be deducted . . ' 3,238 29

Leaving net cost $1,162,577 77

The reason why this shoald be deducted is as follows : The
Governor and Council ordered, in accordance with the pro-
visions of an act of the legislature, that the sum of f 25,000
be credited to the fund for building the new Hospital as com-
pensation for the site of the Normal School ; and this sum,
having been so credited, formed a part of the total appropri-
ations, as stated above. But it was part of the same order
that this amount should include the construction of "suitable
streets to and around said land." This amount, therefore, of
$3,238.29, though forming no part of the cost of the new
Hospital, was charged, as matter of book-keeping, to this
fund, to which the full $25,000 had been credited.

The legal disability of the holder of the note for $2,500,
given for land purchased of John Bartlett, to receive pay-
ment of the same, still continues ; and the note therefore
remains unpaid.

No changes in the medical staff have been made during
the past year.

The Trustees desire to express their appreciation of the

8 LUNATIC HOSPITAL AT WORCESTER. [Oct.

services of the architect, Mr. George D. Rand of the pres-
ent firm of Ober and Rand, to whose fidelity, industry, and
good taste the tribute of hearty commendation is due.

As to the amount awarded to the Trustees as compensa-
tion, it is proper to say, that, up to the year 1876, the Trus-
tees then in office acted on the supposition that the building
of the new Hospital was a part of their duty as Trustees, and
had expressed themselves accordingly in some of their aur
nual reports. In the legislative session of 1876, an order was
introduced, looking to the discharge of the Trustees from
this onerous service. On the consideration of the order, it
was ascertained, and the Trustees were advised, that the labor
of planning and superintending the erection of the new build-
ings was no part of the duty which the general law imposed
on them to be performed without compensation ; and that for
this special duty they would be entitled to compensation, like
other persons of whom the State required service, and would
receive it. Upon this understanding they completed the
buildings and grounds, and their compensation was then
fixed, not by themselves, but by the Governor and Council.

R. W. HOOPER.
WM. S. LINCOLN.
THOMAS H. GAGE.
JOHN D. WASHBURN.
JAMES B. THAYER.

1878.]

PUBLIC DOCUMENT — No. 23.

OFFICERS AND THEIR SALARIES.

B. D. Eastman, M.D. (Superintendent)
H. M. Quinby, M. D. (Assistant Physician)
A. R. Moulton, M.D. (Assistant Physician)
Daniel W. Bemis (Stewai-d)
Maria L. WaiTen (Matron)
Clarence Buffinton (Clerk) .
Alpheus Young (Engineer) .
Fred Lane (Farmer) .
Albert Wood (Treasurer) .

12,500 00

) ■

1,200 00
900 00

1,200 00

^

, 450 00

,

500 00

.

1,200 00

^

575 00

500 00

VALUE OF PERSONAL ESTATE,

Sept. 30, 1878.

Live-stock on the farm |5,450 00

Produce of the farm on hand ...... 4,517 00

Carriages and agricultural implements . . . . 5,003 50

Machinery and mechanical fixtures 65,696 80

Beds and bedding in inmates' department .... 14,895 68

Other furniture in inmates' department .... 10,731 62

Personal property of State in Superintendent's department, 14,606 56

Ready-made clothing ........ 919 30

Dry-goods 2,594 99

Provisions and groceries 1,616 01

Drugs and medicines ........ 552 50

Fuel .' 2,980 00

Library 500 00

$130,063 96

10 LUNATIC HOSPITAL AT WORCESTER. [Oct.

TREASURER'S REPORT.

To the Trustees of the Worcester Lunatic Hospital.

Gentlemen, — I herewith submit my Annual Report on
the finances of the Worcester Lunatic Hospital, for the year
ending Sept. 30, 1878 : —

RECEIPTS.

Cash on hand Sept. 30, 1877 $42,467 39

received of the Commonwealth for support of patients, 12,722 37
received of cities and towns for support of patients . 60,977 55
received of individuals for support of patients . . 35,621 24
received for interest and sale of produce, etc. . . 3,249 66

1155,038 21

The expenditures for the year have been as follows : —

Provisions.

Flour, 991 barrels, at $6.87 per barrel |6,836 03

Meat of all kinds 8,419 11

Meal for cooking . ........ 332 02

Beans, potatoes, and other vegetables 1,425 50

Fish 1,131 81

Sugar 2,959 01

Molasses and sirup ........ 693 12

Tea 1,114 61

Coffee and chocolate ........ 1,266 15

Rice and crackers 645 10

Butter. . 5,578 60

Cheese 446 36

Fresh fruits ......... 429 27

Eggs, salt, and other groceries . . . . . . 2,670 54

Total for provisions $33,947 23

Salaries and wages . 33,640 73

Extra labor 121 28

Provender and bedding for stock 2,001 23

Amount carried forward ...... $69,710 37

1878.]

PUBLIC DOCUMENT — No. 23.

11

Amount brought fonvard
Furnitm-e, crockery, bedding, etc
Light ....
Water . . . .
Soap ....
Medical supplies .
Live-stock .
Carriages, harness, blacksmithing
Improvements and repairs .
Books, stationery, and printing
Travelling and transportation
Fuel ....
Freight and express
Ice ....
Trustees' expenses
Miscellaneous

etc

Clothing and material .

Undertaker's charges .

Furnished to patients on account

Interest and money refunded . .

Extraordinary improvements

Repairs at Asylum for the Chronic Insane

Cash on hand Sept. 30, 1878 . . . . -

RESOURCES.

Cash on hand . . . . . . .

Due from the Commonwealth . • .

from cities and towns .

individuals .........

from Asylum for the Chronic Insane (bill of groceries,
etc.) ....

LIABILITIES.

Due for supplies ......

for extraordinary improvements .

for repairs at Asylum for Chronic Insane

for salaries and wages ....

Invested funds, market value
Total surplus

.15,934 51

. 1,975 18

. 427 89

. 2,832 76

39,710 47

2,530 27

3,204 92

1,218 93

934 84

962 74

1,371 57

1,329 99

2,431 40

865 63

94 20

8,196 20

53 91

448 12

152 12

1,785 80

)5,291 11

5,616 14

221 40

839 91

325 00

8,649 94

8,767 86

,711 36

35,326 85
1155,038 21

^35,326 85

3,927 63

15,538 05

9,430 86

2,825 66
167,049 05

^11,170 34

155,878 71
5,395 11

$61,273 82

12 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Nov. 2, 1877. Loaned, without interest, to the Asylum for

the Chi-onic Insane $5,000 00

Dec. 8, 1877. Loaned, without interest, to the Asylum for

the Chronic Insane 5,000 00

$10,000 00
Sept. 30. 1878. Received in payment of above loans . 10,000 00

Respectfully submitted.

ALBERT WOOD, Treasurer.

Worcester Lunatic Hospital,
Oct. 1, 1878.

Worcester, Mass., Oct. 11, 1878.

The undersigned have this day inspected all the vouchers of expendi-
tures for the Worcester Lunatic Hospital, from Oct. 1, 1877, to Sept. 30,
1878, inclusive, and have found them to conform with the statement in
the Treasurer's account, excepting that a receipt for a biU of flO paid in
the month of September has not yet arrived.

The bills seem all to have been approved by the Superintendent and
the Steward, and by three or more of the Trustees.

The undersigned have also seen the evidence of invested funds,
amounting, at their present market value, to $5,395.11 (fifty-three hun-
dred and ninety-five dollars and eleven cents).

JOSEPH SARGENT, > . ,-,

' > Auditors.
THOMAS H. GAGE, j

1878.]

PUBLIC DOCUMENT — No. 23.

13

SUPEHINTENDENT'S REPORT.

To the Board of Trustees of the Worcester Lunatic Hospital.

The following table presents in a concise form the move-
ment of the population of the Hospital, and a summary of its
medical history, for its forty-sixth fiscal year, the first since
the completion of its new buildings : —

Table No. 1.

Male.

Female.

Total.

Patients in the Hospital Oct. 1, 1877 .

256

272

528

AdTnitted during the year * .

lie

169

315

Whole number under treatment .

402

441

843

Discharged recovered

26

31

57

unproved .....

39

49

88

not improved ....

69

69

138

died

22

29

51

Whole number discharged ....

156

178

334

Remainiag Sept. 30, 1878, ....

246

263

509

Largest number, Oct. 18-22, 1877

259

273

532

Smallest number, Oct. 23 and 2-4, 1877

208

225

433

Daily average during the year

240.22

255.93

496.15

of State patients .

39.04

32.87

71.91

of town patients .

145.15

152.47

297.62

of private patients

56.03

70.59

126.62

* Including seven re-admiesions within the year, and four nominal admissions of patients
who were discharged under one status to be committed under another.

14 LUNATIC HOSPITAL AT WORCESTER. [Oct.

The number of patients with which the year began exceeded
that of any previous year since the opening of the Hospital,
except the year 1852, which immediately preceded the open-
ing of the Taunton Lunatic Hospital. The number admitted
was from 22 to 55 less than the yearly admissions for the last
ten years ; and the number remaining is larger than at the
date of any previous report, except the last preceding and
those for the years 1852 and 1858.

Of those discharged, the number who had recovered is,
on account of the chronic and particularly unfavorable
character of the cases admitted during the last two j^ears,
less than usual. In classifying the condition of patients on
discharge, an attempt has been made to decide each case upon
its merits, and to tell the exact truth irrespective of the final
result as it would appear in the table.

The recoveries as tabulated are classified as follows : —

Male.

Female.

Total.

Recovered upon first admission .

24

22

46

second admission

2

6

8

fourth admission , ,

-

3

3

26

31

57

Recovered for the first time , ,

24

24

48

second time , .

2

4

6

third time

-

2

2

fourth time ,

-

1

1

26

31

57

Of those recovered for the first time, 2 females had pre-
viously been discharged improved, and 2 not improved.

Among those discharged as improved, there are several
who were fairly on the road to a recovery which was com-
pleted after they left the Hospital, and many others who
were so nearly restored, that, under the earlier methods of
making up this table, they would be counted among the

1878.]

PUBLIC DOCUMENT — No. 23.

15

recoveries, and thus the per cent of the cured would be
nearly doubled.

Of those discharged improved, there were, —

Male.

Female.

Total.

First admissions ......

28

37

65

Second "

6

7

13

Third " , . . . .

2

4

6

Fourth "

1

1

2

Thirteenth"

1

-

1

Fourteenth"

1

-

1

39

49

88

The thirteenth and fourteenth, admissions in this table
were of the same person.

The large number discharged not improved is accounted
for by the transfer of 100 of the oldest pauper residents to
the Asylum for Chronic Insane.

The number of deaths was less than for several years past.

Of those who died, there were, —

Male.

Female.

Total.

Admitted for first time . . .

second time ....
third time ....

22

23
4

2

45
4
2

22

29

51

16 LUNATIC HOSPITAL AT WORCESTER. [Oct.
Of the 6 persons who died upon re-admission, had —

Females.

Previously recovered once 1

twice 1

improved once 3

twice 1

Table No. 2.
Showing the Complications in the Cases admitted during the Year.

Males.

Females.

Total.

Epileptic . . . . .

6

5

11

Epileptic and homicidal

2

-

2

Paralytic

5

5

10

Paralytic and epileptic

1

-

1

Paralytic and homicidal

1

-

1

Suicidal

24

13

37

Suicidal and epileptic. ,

2

-

2

Homicidal

19

21

40

Suicidal and paralytic

2

-

2

Suicidal and homicidal

5

5

10

Suicidal and homicidal and epileptic

-

1

1

Total number of cases epileptic .

11

6

17

Total number of cases paralytic .

9

5

14

Total number of cases suicidal .

33

19

52

27

27

54

1878.] . PUBLIC DOCUMENT — No. 23.

17

Table No. 3.

Showing the Relations of the Patients admitted to Institutions of

this Kind.

Males.

Females.

Total.

Never before in

any hospital

108

116

224

Former inmates of this Hospital .

24

24

48

other hospitals in this
State . . . ■ .

5

12

17

hospitals in other States,

3

6

9

this Hospital and of other
hospitals in this State.

4

9

13

other hospitals in this
State and hospitals in
other States

1

1

this Hospital and of hos-
pitals in other States .

1

1

2

this Hospital and of
hospitals in other
countries .

.

1

1

Total .

146

169

315

Table No. 4.
Showing the Sources from which the Patients admitted were

directly drawn.

Males.

Females.

Total.

From the general population

McLean Asylum for the Insane
Asylum for Chronic Insane
Butler Hospital for Insane
Hartford Retreat ....
houses of correction ....

State Prison

Reformatory Prison for Women
Taunton Hospital for Insane .

Re-admitted without discharge from Hos-
pital .......

131

2

9
3

1

152
3
3
1

1
1

4
1

3

283

5
3

1
1
10
3
4
1

4

Total

146

169

315

18 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Table No. 5.

SJioivivg by whom the Patients, remaining at the End of the Year,

are suj^ported.

Males.

Females.

Total.

By the State (State patients)

town (town patients)

friends (private patients)

43

148
55

34

155
74

77
303
129

Total

246

263

509

Table No. 6.

Showing the Alleged Causes of Insanity in the Number of Cases

admitted during the Year.

NUMBEK

OF CASES.

NUMBER PEBDISPOSED.

Males.

Females.

Males.

Females.

Administration of ether

1

_

_

Anxiety

3

3

1

1

Brain-disease

—

2

-

1

Business anxiety .

7

_

2

-

Cerebro-spinal meningitis

_

1

-

-

Disappointed affection .

1

1

-

-

Domestic trouble .

1

6

—

5

Epilepsy

4

3

-

1

Exposure

1

—

1

—

Fright ....

2

2

1

1

General paralysis .

1

_

-

-

Grief ....

_

4

—

2

Hard study .

3

2

1

1

Hereditary .

18

14

16

14

Hysteria

-

3

-

2

111 health .

4

4

1

2

Injury ....

3

2

3

1

Intemperance

17

6

5

1

Masturbation

11

1

4

-

Melancholia .

_

1

_

-

Nervous debility .

1

1

-

1

Old age

3

2

1

—

Opium-eating

-

1

-

-

Overwork

5

4

1

1

Paralysis

2

4

1

-

Puerperal

-

13

-

6

Religious excitement .

7

8

3

3

Scarlet fever

1

1

—

1

Spiritualism .

-

1

-

1

Sunstroke

1

_

1

—

Turn of life .

_

11

-

5

Uterine disease

_

3

-

2

Unascertained

50

64

-

-

Total .

146

169

42

52

1878.]

PUBLIC DOCUMENT — No. 23.

19

Table No. 7.

Showing the Ages of Patients admitted, discharged recovered, not

recovered, and died during the Year.

AGES.

Admitted.

Discharged rk-

COVERED.

Discharged kot
recovered.

Died.

Males.

Females.

Males. Females

Males.

Females.

Males.

Females.

From 10 to 20

11

8

3

3

3

6

_

1

20 to 30

34

40

10

7

12

13

4

7

30 to 40

35

41

6

6

29

20

3

4

40 to 50

32

42

3

10

28

35

7

10

50 to 60

23

20

3

4

21

26

4

3

60 to 70

5

13

-

-

12

13

1

1

70 to 80

6

5

-

1

2

4

3

1

80 to 90

-

-

-

-

1

1

-

2

Unknown

-

-

1

-

-

-

-

-

Total .

146

169

26

31

108

118

22

29

Table No. 8.
Showing the Duration of Insanity before Admission of Patients
admitted, discharged recovered, not recovered, and died during
the Year.

Admitted.

Discharged re-
covered.

Discharged not
recovered.

Died.

DURATION OF INSANITY.

"3

"3

a

d
S

s

a)
6^

S

1

•3

o

b

Less than 3 months

49

62

17

23

29

35

11

14

From 3 to 6 months .

15

22

4

4

6

10

1

4

6 to 12 months .

23

18

1

2

9

12

4

2

1 to 2 years

15

11

1

1

9

10

4

2

2 to 5 years

8

20

-

-

14

19

-

3

5 to 10 years

9

14

-

1

11

23

1

2

10 to 20 years

7

10

-

-

13

9

-

1

Over 20 years

4

1

-

-

5

-

-

1

Unknown .

16

146

11
169

3

-

12

-

1

-

Total .

26

31

108

118

22

29

20

LUNATIC HOSPITAL AT WORCESTER. [Oct.

The importance and greater success of early treatment of
insanity is shown by the fact, that, of those who recovered
during the year, over seventy per cent had been insane less
than three months when admitted to the Hospital. He would
be mistaken, however, who should conclude, that, if all cases
of mental disease were sent to the hospitals in the early
stages, seventy per cent would be cured. A large proportion
— in my judgment, about one-quarter —of the cases of men-
tal derangement are essentially incurable from the first advent
of the disorder. The only hope in this class of cases is in
their prevention by the means so often emphasized in these
reports.

Table No. 9.

Showing the Civil Condition of Patieyits admitted, discharged

recovered, not recovered, and died during the Year.

Admitted.

DiSCHAEGED RE-

Discharged not

Died.

CIVIL
CONDITION.

COVERED.

RECOVERED.

Males.

Females.

Males.

Females.

Males.

Females.

Males.

Females,

Unmarried

62

59

M

13

57

55

8

13

Married

68

75

11

11

39

42

14

13

Widowers

6

-

_

_

7

-

-

-

Widows

-

31

-

6

-

20

-

3

Di\'orced

1

1

_

1

1

1

-

-

Unknown

9

3

1

-

4

-

-

-

Total

146

169

26

31

108

118

22

29

Table No. 10.
Showing the Occupation of Patients admitted during the Year.

Males.

Bakers 2

Confectionei'S

2

Bank-teller

1

Cooper ....

1

Barbers

2

Curriers

4

Blacksmiths

2

Draughtsman

1

Bookbinder

1

Engineers

3

Book-keeper .

1

Expressman .

1

Brush-maker

1

Farmers

14

Butcher

1

Gardener

1

Carpenters .

8

Gluer and jointer .

1

Clerks .

9

Keeper of club-room

1

Coal agent

1

Laborers

13

1878.]

PUBLIC DOCUMENT — No. 23.

21

Table No. 10 — Concluded.
Males.

Lawyer . . . .

1

Real-estate agent ... 1

Lather

1

Roller .

1

Lumber-dealer

1

Shoemakers .

13

Machinists .

4

Stone-cutter .

1

Mechanic

1

Students

4

Merchants

2

Teamsters

2

Moulder

1

Upholsterer .

1

Ofl&cer ....

1

Victualler

1

Operatives in mills

9

No occupation

12

Painters

2

Unknown

. 12

Peddlers

2

Pilot ....

1

Total. . . .146

Plumber . . • .

1

Females.

Bookbinders .... 2

School-girls ,

2

Book-keeper .

1

Tailoress

1

Domestics

20

Teachers

7

Dressmakers

2

No occupation

. 27

Housekeepers

82

Unknown

. 10

Laundress

1

Operatives .

14

Total .

. 169

Table No. 11.

Showing the Diseases ivhich have proved Fatal during the Year.

DISEASE.

Males.

Females.

Total.

Acute mania ........

5

7

12

Acute melancholia ......

1

1

2

Brain-disease .......

■ -

1

1

Cholera-morbus . . . . ...

-

1

1

Enteritis

1

-

1

Epilepsy ........

General paralysis .......

Heart-disease . . . .

1
5
1

2

1

3
6
1

Hematemesis .......

_

1

1

Inanition of chronic insanity ....
Pneumonia . . . .

3

1
1

4

1

Phthisis

2

6

8

Paralysis ........

Senility with chronic insanity ....

1
2

4
3

5

5

Total

22

29

51

22 LUNATIC HOSPITAL AT WORCESTER. [Oct.

But 4 persons died of acute disease not directly con-
nected with the insanity; and in 2 of these — one from chol-
era-morbus, and the other from enteritis — it appears probable
that the disease would not have proved fatal except for the
enfeebled and disturbed condition of the mind and nervous
system.

Table No. 12.

Showing the Admissions from each County during the Year.

COUNTIES.

Berkshire
Bristol .
Essex .
Hampden
Middlesex
Norfolk .
Plymouth
Suffolk .
Worcester
Other States
Total

18

51
2

13

61

2
21

2
67

1

1
13
56

6

146

169

1
2

39

2

118

3

1

26

117

6

315

The only noteworthy fact connected with the foregoing
table is, that the number received from Middlesex and Essex
Counties is considerably smaller than the average for several
years past, which is due, of course, to the opening of the
hospital at Danvers.

1878.]

PUBLIC DOCUMENT — No. 23.

23

Table No. 13.
Showing the Whole Number of Patients during each Tear, the Aver-
age Number, the Number at the End of each Year, the Expenses
of each Year, the Annual Expense for each Patient, and the Ex-
pense of each Patient pier Week for each of the Forty-six Years
the Hospital has been in Operation.

YEARS.

ber at
cl of
Year.

Current Expenses

nual
lense
each
ient.

nse per
:k per
ient.

■a a

r> ?

2 ,^ .^

of each Year.

5 >? fc rt

^ "ij rf

^«

< z

1 ^ S

< » a &

1833 .

153

107

114

112,272 91

$114 67

12 25

1834 .

233

117

118

15,840 97

136 38

2 60

1835 . ■ .

241

120

119

16,576 44

137 30

2 64

1836 .

245

127

138

21,395 28

168 44

3 12

1837- .

306

163

185

26,027 07

159 64

3 07

1838 .

362

211

218

28,739 40

136 20

2 62

1839 .

397

223

229

29,474 41

132 16

2 53

1840 .

391

229

236

27,844 98

121 59

2 32

1841 .

399

233

232

28,847 62

123 81

2 38

1842 .

430

238

238

29,546 87

111 12

2 13

1843 .

458

244

255

27,914 12

114 40

2 20

1844 .

491

261

263

29,278 75

112 17

2 15

1845 .

656

316

360

43,888 65

138 88

2 66

1846 . .

637

359

367

39,870 37

111 06

2 13

1847 .

607

377

394

39,440 47

104 62

2 01

1848 .

655

404

409

42,860 05

106 09

2 05

1849 .

682

420

429

40,870 86

97 31

1 87

1850 .

670

440

441

46,776 13

106 40

2 04

1851 .

704

462

466

52,485 33

112 61

2 16

1852 .

775

515

532

43,878 35

85 20

1 62

1853 .

820

537

520

53,606 66

103 14

1 98

1854 .

819

430

381

53,221 52

123 77

2 38

1855 .

580

349

336

54,895 88

157 29

3 02

1856 .

577

357

376

45,631 37

128 64

2 47

1857 .

647

387

372

49,004 75

124 04

2 38

1858 .

679

372

301

38,267 26

102 86

2 39

1859 .

501

309

317

48,363 33

156 51

3 01

1860 .

532

324

331

47,757 01

147 39

2 83

1861 .

583

369

379

54,748 53

148 37

2 84

1862 .

600

401

396

53,043 88

132 18

2 50

1863" .

611

398

399

66,082 36

166 03

3 19

1864 .

625

366

344

66,612 00

182 00

3 50

1865 .

565

350

3^

73,772 41

211 37

4 06

1866 .

630

368

381

88,398 73

239 28

4 60

1867 .

669

389

355

86,930 88

223 47

4 30

1868 .

651

370

382

72,054 59

197 60

3 80

1869 .

719

387

376

81,440 58

209 04

4 02

1870 .

760

396

408

75,715 51

191 20

3 68

1871 .

879

439

421

96,455 69

219 27

4 22

1872 .

864

450

439

92,533 93

205 63

3 95

1873 .

846

453

469

95,196 83

210 14

4 04

1874 .

869

476

485

101,463 68

213 16

4 10

1875 .

847

487

478

100,680 39

206 74

3 98

1876 .

829

500

487

94,446 59

188 89

3 64

1877 .

841

506

528

95,697 69

189 12

3 64

1878 .

843

496

509

95,291 11

192 12

3 69

24 LUNATIC HOSPITAL AT WORCESTER. [Oct.

Bj the foregoing table, which has been made up on the
same basis for a series of years, the average weekly expendi-
ture per patient is shown to be 5 cents greater than for each
of the last two years, and 19 cents less than the average for
the last five years. By the financial statement to the Board
of State Charities, wherein the cost of clothing is reckoned as
current expense, the cost per week for each patient is shown
to be $3.91, which exceeds by 8 cents the cost for the pre-
vious year, and is 17 cents less than the average for the
previous five years.

Respectfully submitted.

B. D. EASTMAN,

' Superintendent.

Worcester Lunatic Hospital,
Oct'. 15, 1878.