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Full text of "Annual report of the trustees of the State Lunatic Hospital at Worcester"

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PUBLIC DOCUMENT. No. 23. 



FORTY- SEVENTH 



ANNUAL BEPORT OF THE TRUSTEES 



J7-'- : 

STATE LUNATIC HOSPITAL 



AT WOECESTER, 



FOR THE YEAR ENDING SEPTEMBER 30, 1879. 



BOSTON : 

&anti, Sl&erg, & Co., printers to tije Cmnmontocalifj, 

117 Franklin Street. 

1880. 






fee - /2. y J?"/ 



\ 



Officers of the Hospital. 



TRUSTEES 
Gen. WILLIAM S. LINCOLN 
THOMAS H. GAGE, M.D. 
Col. JOHN D. WASHBURN 
Prof. JAMES B. THAYER 
ROBERT W. HOOPER, M.D. 



Worcester. 
Worcester. 
Worcester. 
Cambridge. 
Boston. 



RESIDENT OFFICERS. 

JOHN G. PARK, M.D Superintendent. 

ENOCH Q. MARSTON, M.D Assistant Physician. 

ALBERT R. MOULTON, M.D. . . . . Assistant Physician. 

DANIEL W. BEMIS Steward. 

LILA J. GORDON Matron. 

CLARENCE BUFFINTON ..... Clerk. 

ALPHEUS YOUNG Engineer. 

JOEL B. HINCKLEY . . . . . . Farmer. 

TREASURER. 
ALBERT WOOD .... - Worcester. 



€otnmoiicocaiii) of illa0sacl)it0eti0. 



TRUSTEES' REPORT. 



To his Excellency the Governor and the Honorable Council. 

The Trustees of the Worcester Lunatic Hospital, in com- 
pliance with the statute which requires them to make, annu- 
ally, " a particular statement of the condition of the Hospital 
and all its concerns," " for the use of the government," respect- 
fully submit their Forty-seventh Annual Report, and beg leave 
to refer, for additional details, to the annexed reports of the 
Superintendent and Treasurer. 

The year has been marked by no striking event in the his- 
tory of the Hospital. Its affairs have been conducted with 
harmony and success. It continues to enjoy, and appears to 
deserve, the confidence of the public. The general health of 
its inmates has been good, and the results of remedial 
measures for the improvement and restoration of the insane, 
have been fully equal to former years. Among other gratify- 
ing experiences incident to our occupancy of ampler accom- 
modations and increased conveniences at the new Hospital, 
it is especially pleasing to note a reduced death rate. 
Whether this may reasonably be attributed to our improved 
hygienic conditions, or can only be regarded as an accidental 
coincidence, it is a fact which it is peculiarly agreeable to 
mention. 

There were remaining in the Hospital at the date of our 
last annual report, 509 patients, and there have been received 
during the year 147 ; so that a total number of 656 have been 
under treatment. Of these, 47 have recovered ; 45 have left 
the Hospital in an improved condition ; 37 have been dis- 
charged unimproved ; one was discharged " not insane ; " 86 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

have died; and there remain under treatment 490. The 
daily average number has been a fraction above 493. 

Cost of Maintenance. 
The average weekly cost of maintaining each of these pa- 
tients has been $3.79. About 300 of the whole number, sup- 
ported by cities and towns, have paid at the rate of $3.50 per 
week. About 73, supported by the State, have paid a part 
of the time at the rate of $3.50 per week, and a part of the 
time at the reduced rate of $3.00 per week. About 120 have 
been private patients, and have paid at an average rate of 
about $5.00 per week. Thus it will be seen that the discrep- 
ancy between the amount received from the State and from 
cities and towns, and the actual cost of maintaining the in- 
sane chargeable to them, has fallen as a heavy tax upon pri- 
vate patients, and the friends who support them. This is a 
grievous burden imposed upon a class of patients and individ- 
uals, which, above all others, should receive encouragement 
and protection. It is a subject which should, in our judg- 
ment, enlist the early attention of the Legislature. As a 
matter of wise politicaleconomy, as well as of simple justice 
to individuals, we respectfully urge that the Commonwealth 
and its municipalities should pay at least the cost of maintain- 
ing their insane, and thus share equally with individual citi- 
zens the burden and expense of a great public affliction. 

Extraordinary Improvements, Etc. 
In the Treasurer's account of expenditures appears an item 
of $13,998.75 for extraordinary improvements. This sum 
has been principally expended in enclosing and improving 
the large pleasure-grounds for patients, and in grading and 
bringing into grass the extensive territory known as the 
"• Dump," — a large, barren tract of " hard-pan," in the imme- 
diate front of the Hospital, caused by the deposit of material 
excavated in preparing the broad plateau upon which the 
Hospital stands. The expense of these improvements might 
properly have been charged to original construction account, 
and drawn from the appropriation made by the Legislature 
for building the Hospital ; but the Trustees, in conformity 
with the intention announced in their last annual report, 
have paid it out of the current receipts of the Hospital. No 



1879.] PUBLIC DOCUMENT— No. 23. 7 

demand has been made upon the balance of the appropriation, 
which, amounting to something over $30,000, remained in 
the State treasury at the date of our last report. An item of 
$427.89 also appears in the Treasurer's account as paid for 
repairs at the Asylum for the Chronic Insane. This is the 
amount of some bills for repairs at the Asylum which had been 
incurred, but remained unpaid at the date of our last report. 
It is a part of an expenditure made from the funds of the 
Hospital, by the authority of the Trustees, to bring up arrear- 
ages of repairs at the old building, — repairs which were 
omitted for years in the expectation that upon completion 
of the new Hospital the old buildings would be destroyed. 
No liabilities for repairs at the Asylum have been incurred 
during the present year. 

The Hospital continues to pa}' interest on a note of $2,500, 
given for land purchased of Mr. Bartlett, in consequence of 
the legal disability of the holder of the note to receive the 
principal. 

Hospital Library Fund. 

A statement of this fund appears for the first time in the 
Treasurer's report. It is the result of a consolidation of 
what have been hitherto known as the Wheeler and Lewis 
Funds, and has been set apart by the Trustees for the pur- 
chase and maintenance of a library for the use of patients 
and employes. It was believed that such permanent use of 
these munificent bequests would not only carry out the be- 
nevolent purposes of the donors, but would be a source of 
great profit and pleasure to our inmates. In order to perpet- 
uate the memory of the benefactors, it has been provided 
that all books purchased from these funds shall be plainly 
marked as the gift to the Hospital of Miss Abigail Wheeler 
and Mrs. Sarah C. Lewis. The present number of books so 
purchased is 392, at an expense of $453.25; and additions are 
constantly being made. Other benevolent persons have given 
the library, during the }ear, 85 valuable books. 

Sewage and Irrigation. 
Attention is particularly invited to that part of the Super- 
intendent's report which relates the progress made at this 
institution toward the final disposal of sewage by irrigation. 
It is believed that the works, as projected, and as partially 



8 WORCESTER LUNATIC HOSPITAL. [Oct. 

completed and in operation, will not only remove all possi- 
bility of creating a nuisance from this source, but will show 
with what simplicity and comparative economy sewage may 
be distributed upon the soil. We anticipate, in the result, a 
valuable practical contribution to one of the most important 
sanitarian problems of the day. 

Changes in the Administrative Department. 

On the 6th of February, 1879, a communication was re- 
ceived from Dr. B. D. Eastman, who had been Superinten- 
dent from July 5, 1872, tendering his resignation of that 
office. The Trustees accepted the resignation, with an ex- 
pression of the best wishes of the board for Dr. Eastman and 
his family in their retirement from the institution. 

On the 12th of February the vacancy caused by Dr. East- 
man's withdrawal, was filled by the election of Dr. John G. 
Park, of the Asylum for the Chronic Insane, to the office of 
Superintendent. Dr. Park assumed the duties of the office 
on the 1st of March. The subsequent election of Dr. H. M. 
Quinby, hitherto First Assistant Physician, to the superinten- 
dency of the Asylum, in place of Dr. Park, made a vacancy 
in our staff, which was filled by the choice of Dr. E. Q. 
Marston. 

The office of Matron, made vacant by the resignation of 
Miss Warren, has been filled by the choice of Miss Gordon. 
No other changes in the official staff have occurred. 

THOMAS H. GAGE, 
JOHN D. WASHBURN, 
JAMES B. THAYER, 
R. W. HOOPER, 

Trustees. 



1879.] 



PUBLIC DOCUMENT — No. 23. 



OFFICERS AND THEIR SALARIES. 



John G. Park, M.D. (Superintendent) . 
Enoch Q. Marston, M.D. (Assistant Physician) 
Albert R. Moulton, M.D. (Assistant Physician) 
Daniel W. Bemis (Steward) 
Lila J. Gordon (Matron) 
Clarence Buffinton (Clerk) 
Alpheus Young (Engineer) 
Albert Wood (Treasurer) 



$2,500 00 
1,200 00 

900 00 
1,000 00 

360 00 

500 00 
1,000 00 

500 00 



10 



WORCESTER LUNATIC HOSPITAL. [Oct. 



VALUE OF PERSONAL ESTATE 

Sept. 30, 1870. 



Live stock on the farm . $4,450 40 

Produce of the farm on hand . . . . . 3,362 75 

Carriages and agricultural implements 5,106 00 

Machinery and mechanical fixtures 70,000 00 

Beds and bedding in inmates' department .... 17,205 00 
Other furniture in inmates' department .... 13,238 00 
Personal property of the State in Superintendent's depart- 
ment 13,700 00 

Ready-made clothing ........ 225 00 

Dry-goods 2,203 20 

Provisions, groceries, and other supplies .... 5,754 08 

Drugs and medicines . . . . . . . . 525 00 

Fuel 3,150 00 

Library 1,200 00 

$140,119 43 



1879.] 



PUBLIC DOCUMENT — No. 23. 



11 



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, 1879 : — 



Receipts. 

Cash on hand Sept. 30, 1878 

received of the Commonwealth for support of patients 
of cities and towns for support of patients 
of individuals for support of patients 
for interest, sale of produce, etc. 
belonging to patients . 



The expenditures for the year have been as follow: 



$35,326 85 

13,816 20 

55,634 4.7 

35,6S9 01 

6,590 06 

1,093 93 

,150 52 



Provisions 
Flour, 510 barrels, at $5.69 
Meat of all kinds . . 
Meal for cooking- 
Beans, potatoes, and other vegetables 
Fish ...... 

Sugar ..... 

Molasses and syrup 

Tea 

Coffee and chocolate . 
Rice and crackers 

Butter 

Cheese ..... 
Fresh fruits .... 
Eggs, salt, and other groceries . 



Salaries and wages 
Provender and bedding for stock 
Furniture, crockery, bedding, etc. 
Miscellaneous furnishings . 
Lights ..... 



Amounts carried forward 



$2,902 

7,255 

282 

2,041 

1,067 

2,584 

454 

740 

1,160 

506 

4,208 

261 

336 

2,385 



60 
93 

56 
80 
72 
36 
91 
70 
81 
47 
23 
30 
80 
Gl 



$2G,1S9 89 

32,482 23 

1,566 26 

3,913 02 

2,389 69 

' 3,265 SO 

$69,806 89 



12 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Amounts brought forward 
Water 

Medicines and medical supplies . 










$69,806 89 
1,597 32 
1,065 76 

752 55 












839 50 


Carriages, harnesses, blacksmithing, < 


>tc. . 








758 46 


Improvements and repairs . 
Books, stationery, and printing . 
Travelling and transportation 
Fuel . 










4,734 18 

757 82 

140 74 

9,181 00 












80 66 
446 99 












169 48 
1,775 81 


Clothing and material 










4,961 08 


Undertaker's charges . 






|249 


20 


221 00 


Total current expenses 
Interest and money refunded 


$97,289 24 


Refunded to patients . 
Extraordinary improvements 
Repairs at Asylum for Chronic Insan< 




. 13 


395 77 
,998 75 
427 89 


$15,071 70 










112,360 94 


Cash on hand Sept. 30, 1879 




35,789 58 


Resources. 


$148,150 52 


Cash on hand ...... 


. 


$35,789 58 


Due from the Commonwealth 


. 


2,987 50 


from the cities and towns . 


. 


19,066 04 


from individuals .... 




8,086 39 


Liabilities. 


$65,929 51 


Due for supplies 

for extraordinary improvements . 


$5,690 31 

728 77 




for salaries and wages .... 


2,595 43 








698 16 


$9,712 67 






Total surplus ..... 




$56,216 84 


Hospital library fund, market value 










5,035 89 



Respectfully submitted. 

ALBERT WOOD, Treasurer. 

Worcester, Oct. 14, 1879. 
I hereby certify that the statement of expenditures in the Treasurer's 
Report corresponds in amount with vouchers which are on file at the 
Hospital, and is correct. 

THOMAS H. GAGE, Auditor of Account*. 



1879.] PUBLIC DOCUMENT — No. 23. 13 



SUPERINTENDENTS REPORT. 



To the Board of Trustees of the Worcester Lunatic Hospital. 

Gentlemen", — I submit herewith the Forty-seventh 
Annual Report of the Hospital, and the usual tables of statis- 
tics. 

There were remaining in the Hospital at the close of the 
official year 1877-78, 509 patients. 

The number of admissions since have been 147, — making 
the whole number under treatment 656 : 322 of whom were 
men and 334 women. 

The whole number discharged was 166 : 87 men and 79 
women. The number of admissions has been less than for 
any year since 1836, the fourth from the opening of the Hos- 
pital. Of this number eight have been re-admissions within 
the year, and five have been merely nominal, — the patients 
being discharged and re-admitted in another class without 
leaving the institution. The number of persons who have 
been received during the year is therefore 134. 

This small number, as compared with the yearly admissions 
for the last ten or twelve years, is due not unfortunately to a 
decrease in the number of the insane, but to the opening of 
the Hospital at Danvers, which is receiving most of the in- 
sane from the eastern counties of the State. 

In the year 1877 there were 79 admissions from Essex 
County and 133 from Middlesex, while, during the last year, 
but three have been received from Essex and forty-nine from 
Middlesex. 

The number of deaths has been 36 : 17 men and 19 women. 
It will be noticed that the death rate has been unusually 
low. A large proportion of the deaths in a hospital for 
the insane occurs among the recent admissions of acute 
cases. To the fact of our small number of admissions chiefly, 
and perhaps to the better accommodations which our new 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 

buildings afford, I attribute the small number of deaths. 
The number of recoveries has been 47 : 19 of whom had 
been in the Hospital more than once, and one 15 times, mak- 
ing this year his tenth recovery. 

Table No. 13 gives results which are interesting to the 
lover of statistics. The aggregate length of time spent con- 
tinuously in the Hospital by the male patients who were 
inmates Sept. 30, was 853 years, 3 months, and 7 days. The 
number of male patients at that date was 235. This gives 3 
years, 7 months, and 25 days as the average time each one of 
these patients has been in the Hospital. Corresponding 
figures for the female inmates are 931 years, 4 months, and 
12 days. Number of females Sept. 30, 255. Average time 
each one has spent in the Hospital, 3 years, 7 months, and 25 
days. So that at the close of the Hospital year, Sept. 30, 
1879, the average continuous residence in the Hospital of 
each male and each female patient was the same to a day. 

A series of tables of great value, carefully compiled from 
the original records of the Hospital, have been made during 
the last year; and a part of them, much condensed, are ap- 
pended to this report. They are to contain a record of the 
results in all cases admitted to the Hospital since its opening, 
so far as it is possible to ascertain them. These tables in- 
clude all admissions to Sept. 28, 1875, — 11,000 in number, — 
and before the close of another year will embrace all. the ad- 
missions to 1880. 

One inference, and perhaps the most important one, to be 
drawn from a study of these statistics, is, that the table of 
recoveries in any given year is especially fallacious, in so far 
as it conveys the idea of a permanent return of the patients 
" to their homes and the world, to usefulness, and the com- 
mon enjoyments of their families and society, and to the 
usual responsibilities of citizenship." 

One patient, admitted 23 times, improved on first admis- 
sion, and recovered every time after. 

Another, admitted 15 times in 15 years, recovered every 
time ; and a third recovered 16 times in 18 admissions, and 
died in the Hospital on her last admission. 

It is a sad and almost cruel blow to the worth of the 
earlier tables of this Hospital, which gave 70, 80, and even 
90 per cent of recoveries, to know that deaths occurring 



1879.] PUBLIC DOCUMENT — No. 23. 15 

within a few days of admission were not taken into account 
at all, but stricken entirely from the reports ; that many a pa- 
tient who helped to swell the tables of recoveries to the large 
per cent mentioned, returned again and again to this Hospital, 
and finally died here ; that many went afterwards to other 
hospitals, and finally died in them ; and that many more, 
after repeated admissions to this and other hospitals, died 
in the town or city almshouse, having been, to take the cold, 
utilitarian view which is the fashion of this world, "a burden 
on their own property or that of their friends, or upon the 
public treasury," from the time of their first admission to the 
Hospital to their death. 

Improvements. 

During the last year the grounds of the Hospital have been 
greatly improved. The cost of much which has been done 
could rightly be charged to the construction account ; but, 
as that was closed during the last year, the work has been 
paid for out of the current funds of the institution. Two 
large groves, for pleasure and recreation grounds, have been 
cleared up, and enclosed by a substantial wooden fence; and 
the land immediately about the building, which was nothing 
but hard, impervious day, from which the loam had all been 
taken in the necessary grading for the buildings, has been 
drained, ploughed, fertilized, and sown with grain and grass- 
seed. A large variety of hardy shrubs has also been set out 
upon the grounds. Within the building a track has been 
laid in the basement, to facilitate the transportation and dis- 
tribution of food to the patients. 

The walls of eight of the wards have been painted ; and 
this work is being carried along as fast as it can be done by 
the force usually employed at the Hospital. 

At the time the new building was opened, the attic stories 
were not wholly completed. With the prospect of their oc- 
cupation in the near future, it was thought prudent to finish 
some of the sections. This work is now being done, and, in 
a few weeks, we shall have accommodations for about fifty- 
five more women. 

Library. 

The Hospital Library now contains 534 volumes, of which 
. 429 have been purchased from funds left to the Hospital by 



16 WORCESTER LUNATIC HOSPITAL. [Oct. 

Miss Abigail Wheeler and Mrs. Sarah C. Lewis, which be- 
quests were set apart by vote of the Trustees to constitute a 
permanent Hospital Library Fund. Eighty-one volumes 
have been given by Mrs. William Swett of Boston. Twenty- 
three were given by Dr. Hooper; and one, " Goethe's Picture 
Gallery," by Mrs. E. W. Gurney of Cambridge. 

The library contains a carefully-selected collection of his- 
tories, biographies, and novels ; standard editions of many of 
the poets ; and books upon such subjects as would be likely 
to interest the class of persons for whose benefit they have 
been procured. Additions will be made from time to time 
from the income of the fund, which amounted at the close 
of the year to $5,035.89. 

Sewage. 

The plan for using the sewage of the Hospital for irriga- 
tion, which was instituted upon the occupation of the present 
buildings, has been adhered to, and more completely perfected 
during the last season. The sewage is conducted from the 
building by three pipes, — one for the executive building, 
laundry, and kitchen, and one for either wing. These three 
branches unite about five hundred feet from, and sixty feet 
below, the buildings, upon a slope which gradually descends 
to a level, gravelly plain, to which the sewage is conducted 
by 12-inch cement pipes. 

As will be seen by an examination of the heliotype print 
which accompanies the Report, the main pipe is tapped at 
intervals by side drains, which can be opened and the sewage 
conducted upon the adjacent ground. 

Wherever this liquid had been allowed to run over the 
surface of the earth, its great fertilizing property was at 
once manifested by the almost immediate increase of all 
vegetable growths. No means, however, had been devised 
for separating the paper, rags, and solid matter not held in 
suspension, which the sewage contained, and which soon 
caused the collection of a mass of unsightly sewer-products 
about the mouths of the pipe, besides killing the grass upon 
which it was poured out, and clogging the mowing-machines 
in hay-time. To effect this separation of solids, a settling- 
basin or tank was devised and constructed. This is shown 
in the heliotype diagram No. 2. 



1879.] PUBLIC DOCUMENT — No. 23. 17 

The tank is oblong in shape, thirty feet long by sixteen feet 
wide, covered by brick arches turned upon iron girders. The 
walls are of brick, twelve inches thick, laid in cement. The 
bottom is of one course of brick laid on edge. The walls, 
as well as floor, are plastered with a .coating of Portland 
cement, one-half inch in thickness, to prevent percolation. 
Across this tank, about two-thirds of the distance from 
inlet to outlet, is built a brick partition or diaphragm one 
foot thick, in which are placed four plates of brass, perfor- 
ated with sixty holes one-fourth of an inch in diameter. 
The two lower plates are thirty inches from the' floor of the 
tank. This partition is four feet and a half high, and is. 
capped with a strong netting of galvanized wire of one 
half inch mesh. The sewage is received into the larger 
division of the tank, where the solids are detained, while 
the fluid portion, strained through the brass plates and wire 
netting, and resembling soap-suds in appearance, passes to 
the main sewer-pipe ready for irrigating. We have also 
erected a wind-mill, patented by W. A. Wheeler of Worces- 
ter, to pump a portion of the sewage back up the hill to 
fertilize the lawn in front of the Hospital buildings. This 
arrangement is shown very clearly in the diagram. The 
disposition of the sewage of institutions, as well as of cities 
and towns, is always a perplexing problem. It is believed 
that this problem has been satisfactorily and economically 
solved at this Hospital by adopting the system described 
above, by which the sewage of six hundred persons is ulti- 
mately disposed of by irrigation, wonderfully increasing the 
fertility of the land, and without creating any nuisance from 
unpleasant odors. 

The attention of officers of large public institutions is 
called to this method of disposing of sewage, and its utiliza- 
tion by this or similar means is strongly recommended. 

Gifts. 
Since the occupation of the new buildings, the Hospital 
has received two gifts from one of your Board, which, from 
their great value, and as a manifestation of the kindly in- 
terest felt for the institution and its inmates by their donor, 
deserve especial notice in this report. 

In the autumn of 1877, Dr. Hooper, in accordance with 
3 



18 WORCESTER LUNATIC HOSPITAL. [Oct. 

an intention expressed some time before, caused to be placed 
in our chapel the large painting, by Washington Allston, of 
" St. Peter and the Angel in the Prison." 

This generous gift was accompanied by the following 
memorandum : — 

" The picture of ' St. Peter and the Angel in the Prison,' was paint- 
ed in London, in 1816, for Sir George Howland Beaumont, by the 
American artist, Washington Allston. It was presented to the parish 
church of Cole Orton, near Ashby de-la Zouch in Leicestershire, Eng- 
land, and remained there till 1853, when it was removed for repairs to 
the church, and was never replaced for want of suitable room, and came 
again into possession of the family of Sir George, from whom it was 
bought by the present owner and brought to this country in 1859. It 
was said by Sir George, that he did not think that any member of the 
English Royal Academy (at that time) could paint such a picture. 

'' The scene represented is to be found in the twelfth chapter of Acts. 

" ' The same night Peter was sleeping between two soldiers, bound 
with two chains: and the keepers before the door kept the prison. 

" 'And, behold, the angel of the Lord came upon him, and a light 
shined in the prison: and he smote Peter on the side, and raised him 
up, saying, Arise up quickly. And his chains fell off from his hands.' 

' ' Thinking that this picture may be a source of pleasure and gratifi- 
cation to the inmates of the Worcester Lunatic Hospital, I, with the 
consent of the Trustees, hereby present it, to be placed in the chapel of 
the Hospital, with the only condition, that if at any time the corporation 
see fit to remove it, it be offered to the Trustees of the Museum of Fine 
Arts as a gift." 

The second gift from the same gentleman was an organ, 
built to his order by Messrs. E. & G. G. Hook & Hastings, 
the well-known organ builders of Boston. 

The instrument is of fine tone and quality, and of suffi- 
cient capacity to fill the chapel. 

It was dedicated on the evening of May 27th, by a concert 
under the direction of Mr. B. D. Allen of Worcester. In 
addition to the above donations, the Hospital has, during 
the period of his trusteeship, been the recipient from Dr. 
Hooper of many books and pictures which are now scattered 
through the wards. 

Conclusion. 

In reviewing the events of the year just closed, it is grati- 
fying to record that our labors have been rewarded by a 
fair share of success and prosperity. 

The amount of sickness has been small and the mortality 



1879.] PUBLIC DOCUMENT — No. 23. 19 

light, while the number of patients who have recovered 
sufficiently to return to their homes and avocations is fully 
as large as in years gone by. 

The difficult and delicate duties of the officers and em- 
ployes, — duties demanding judgment, patience, self-denial, 
and hard work, — have, as a rule, been cheerfully assumed, 
and faithfully and satisfactorily performed. 

Your frequent visits to the Hospital during the year have 
rendered you familiar with the general plan of management, 
and with many of its details, and given me an opportunity 
for obtaining advice and counsel for which I am duly grate- 
ful. 

JOHN G. PARK Superintendent. 
Worcester Lunatic Hospital, Oct. 1, 187!). 



20 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Table No. 1. 



Patients in the Hospital, Oct. 1, 1878 
Admitted during the year . 

Whole number under treatment . 

Discharged recovered . 
improved . 
not improved 
not insane 
died .... 

Whole number discharged . 

Remaining Sept. 30, 1879 . 
Largest number, Oct. 2, 1878 
Smallest number, May 27, 29, and 30. 
Daily average during the year 

of State patients . 

of town patients . 

of private patients 



1879 



246 


263 


509 


76 


71 


147 


322 


334 


656 


33 


14 


47 


20 


25 


45 


16 


21 


37 


1 


- 


1 


17 


19 


36 


87 


79 


166 



235 


255 


247 


264 


232 


246 


239.06 


254.12 


37.68 


35.52 


150.09 


150.20 


51.29 


68.40 



490 

511 

478 

493.18 

73.20 

300.29 

119.69 



Table No. 2. 
Recoveries upon first, second, and subsequent admissions. 





Males. 


Females. 


Total. 


Recovered upon first admission . 


20 


8 


28 


second admission 


3 


- 


3 


third admission . 


7 


1 


8 


fourth admission 


2 


2 


4 


fifth admission . 


- 


2 


2 


twelfth admission 


- 


1 


1 


fifteenth admission 


1 


- 


1 




33 


14 


47 


Recovered for the first time 


23 


9 


32 


second time 


5 


- 


5 


third time 


3 


3- 


6 


fourth time 


1 


1 


2 


ninth time 


- 


1 


1 


tenth time 


1 


- 


1 




33 


14 


47 



1879.] PUBLIC DOCUMENT — No. 23. 

Table No. 2. — Concluded. 
Improved on first, second, and subsequent admissions. 



21 





Males. 


Females. 


Total. 


Improved upon first admission 


18 


18 


36 


second admission 


1 


4 


5 


third admission . 


1 


1 


9 


fourth admission . 


- 


1 


1 


fifth admission 


- 


1 


1 




20 


25 


45 



Of those who died, there were, 



Admitted for first time .... 


16 


I 
13 


29 


second time .... 


- 


4 


4 


third time .... 


- 


1 


1 


fourth time .... 


- 


1 


1 


fifth time .... 


1 


- ! 


1 




17 


19 


36 



Of the seven persons who died upon re-admission, had, 



Previously recovered once .... 

twice .... 

improved once .... 


1 


2 

4 


2 
1 
4 




1 


6 


7 



22 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Table No. 3. 

Showing the Complications in the Cases admitted during the Year 





Males. 


Females. 


Total. 


Epileptic . . 


2 


5 


7 


Epileptic and homicidal 








1 


- 


1 


Paralytic 








1 


- 


1 


Suicidal 








12 


8 


20 


Suicidal and epileptic . 








2 


- 


2 


Homicidal . 








11 


6 


17 


Homicidal and paralytic 








- 


1 


1 


Suicidal and homicidal 








4 


2 


6 


Suicidal, homicidal, and paralytic 






1 




1 


Total number of cases epileptic . 






5 


5 


10 


Total number of cases paralytic . 






3 


1 


4 


Total number of cases suicidal . 






19 


10 


29 


Total number of cases homicidal 






17 


9 


26 



Table No. 4. 

Showing the Relations of the Patients admitted to Institutions of 

this kind. 



Males. 


Females. 


48 


44 


25 


19 


- 


5 


2 


1 



Never before in any hospital 

Former inmates of this hospital . 

Former inmates of other hospitals in this 
State . 

Former inmates of hospitals in other States, 

Former inmates of this hospital and of other 
hospitals in this State .... 

Former inmates of this hospital and of hos- 
pitals in other States .... 

Total 



76 



1 

1 
71 



92 

44 

5 
3 



147 



1879.] 



PUBLIC DOCUMENT — No. 23. 



23 



Table No. 5. 

Showing the Sources from which the Patients admitted were 
directly drawn. 





Males. 


Females. 


Total. 


From the general population 


65 


62 


127 


Asylum for Chronic Insane 


- 


2 


2 


Boston Lunatic Hospital . 


- 


1 


1 


Reformatory Prison for Women 


- 


4 


4 


Houses of Correction 


6 


- 


6 


State Prison . 


2 


- 


2 


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


3 


2 


5 


Total 


76 


71 


147 



Table No. 6. 

Showing by whom the Patients, remaining at the end of the Year, 

are supported. 





Males, j Females. Total. 


By the State (State patients) 
the town (town patients) 
friends (private patients) 


38 

146 

51 


39 
151 

65 


77 
297 
116 


Total 


235 


255 


490 



24 



WORCESTER LUNATIC HOSPITAL. [Oct, 



Table No. 7. 

Showing the Alleged Causes of Insanity in the Number of Cases 
admitted during the Year. 



/"1 A TTCTTC 


Number 


of Cases. 


Number Predisposed. 


<->AUoJii!>. 












Males. 


Females. 


Males. 


Females. 


Anxiety ..... 


o 


- 


1 


- 


Army service 








2 


- 


2 


- 


Chronic rheumatism 








1 


- 


1 


- 


Congenital . 








1 


- 


- 


- 


Disappointment . 








- 


1 


- 


- 


Epilepsy 








3 


2 


2 


- 


Family trouble 








- 


2 


- 


1 


Financial trouble . 








4 


- 


1 


- 


Grief . 








6 


3 


4 


- 


Hard study . 








1 


1 


1 


1 


Hereditary . 








12 


14 


12 


14 


Ill-health 








- 


4 


- 


3 


Injury to head 








4 • 


- 


3 


- 


Intemperance 








8 


4 


4 


1 


Love affair . 








1 


3 


- 


1 


Masturbation 








5 


1 


4 


- 


Overwork 








3 


4 


3 


3 


Paralysis 








2 ' 


- 


1 


- 


Puerperal 








- 


4 


- 


3 


Religious excitement 








- 


3 


- 


- 


Senility 








3 


1 


- 


- 


Shipwreck 








- 


1 


- 


1 


Spiritualism . 








- 


1 


- 


1 _ 


Sunstroke 








6 


- 


3 


- 


Turn of life . 








- 


3 


- 


1 


Typhoid fever 








2 


- 


1 


- 


Unascertained 








10 


19 




_ 


Total . 


76 


71 


43 


31 



1879,] 



PUBLIC DOCUMENT — No. 23, 



25 



Table No. 8. 

Showing the Ages of Patients admitted, discharged recovered, not 
recovered, and died during the Year. 



AGES. 


Admitted. 


Discharged 
Recovered. 


Discharged 

not 
Recovered. 


Died. 




Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


From 10 to 20 . 


5 


6 


1 


1 


3 ! 2 


1 


- 


20 to 30 . 


26 


IS 


8 


4 


11 


17 


2 


3 


30 to 40 . 


16 


13 


11 


1 


8 


4 


5 


3 


40 to 50 . 


12 


17 


8 


4 


7 


8 


3 


3 


50 to 60 . 


7 


10 


4 


4 


2 


6 


4 


3 


60 to 70 . 


5 


3 


- 


- 


3 


7 


1 


5 


70 to 80 . 


2 


2 


- 


' - 


1 


2 


- 


2 


80 to 90 . 


2 


- 


- 


- 


- 


-• 


1 


- 


Unknown . 


1 


2 


1 


- 


1 

36 


- 


- 


- 


Total . 


76 


71 


33 


14 


46 


17 


19 



Table No. 9. 

Showing the Duration of Insanity before admission of Patients 
admitted, discharged recovered, not recovered, and died during 
the Year. 



DURATION OF INSANITY. 


Admitted. 


Discharged 
Recovered. 


Discharged 

not 
Recovered. 


Died. 




Males. 


Fe- 
males. 


Males. 


Fe- 
males. 


Males. 


Fe- 
males. 


Males. 


Fe- 
males. 


Less than 3 months . 


20 


21 


11 


8 


4 


12 


4 


3 


From 3 to 6 months . 


10 


5 


3 


1 


6 


5 


3 


4 


6 to 12 months . 


13 


4 


3 


- 


8 


6 


4 


1 


1 to 2 years 


4 


5 


1 


1 


1 


5 


2 


3 


2 to 5 years 


5 


15 


5 


3 


4 


5 


2 


3 


5 to 10 years 


11 


5 


3 


1 


4 


3 


2 


1 


10 to 20 years . 


2 


7 


2 


- 


3 


6 


- 


2 


Over 20 years 


- 


4 


- 


- 


1 


- 


2 


Unknown 


11 


5 


5 


- 


6 3 


- 


- 


Total . 


76 


71 


33 


14 


36 46 


17 


19 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Table No. 10. 

Showing the Civil Condition of Patients admitted, discharged re- 
covered, not recovered, and died during the Year. 



Admitted. 
CIVIL CONDITION. 


Discharged 
Recovered. 


Discharged 

not 
Recovered. 


Died. 




Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 

5 


Females. 


Unmarried . 


31 


27 


16 


7 


18 


19 


4 


Married 


30 


28 


11 


5 


16 


18 


11 


7 


Widowers . 


11 


- 


3 


- 


1 




1 


- 


AVidows 


. 


12 


- 


2 


- 


8 


- 


8 


Unknown . 


. ! 4 


4 


3 


- 


1 


1 


- 


- 


Total . 


• 76 


71 


33 


14 


36 


46 


17 


19 



Table No. 11. 

Showing the Occupation of Patients admitted during the Year 



Artist 








1 


Mechanics 








2 


Auctioneer 








1 


Moulders . 








2 


Blacksmiths 








4 


Operatives 








3 


Carpenters 








3 


Painters . 








4 


Clergyman 








1 


Roller 








1 


Contractor 








1 


Sailmaker 








1 


Cooper 








1 


Salesman 








1 


Driver 








1 


Sea captain 








1 


Farmers . 








12 


Shoemakers 








9 


Grocer 








1 


Student . 








1 


Laborers . 








9 


Tramp 








1 


Lawyer . 








1 


No occupation 








7 


Marble- worker 








1 


Unknown 








5 


Melter . 








1 


Total 








76 



1879.] PUBLIC DOCUMENT — No. 23. 

Table No. 11. — Concluded. 



27 



Bonnet manufacturer 


1 


Dressmakers . 


2 


Domestics 


. 12 


Teachers . 


. 3 


Housekeepers . 


. 25 


No occupation . 


. 14 


Operatives in mills . 


. 5 


Unknown 


. 8 


Seamstress 


. 1 


Total 


. 71 



Table No. 12. 

/Showing the Diseases which have proved Fatal during the Year 



DISEASE. Males. 


Females. 


Total. 


Acute mania ...... 


_ 


o 


2 


Apoplexy .... 








1 


' 


1 


Chronic diarrhoea 








- 


1 


1 


Dysentery .... 








- 


1 


1 


Epilepsy .... 








1 


1 


2 


Exhaustion of chronic insanity 








- 


6 


6 


from carbuncle . 








1 


- 


1 


of melancholia . 








2 


- 


2 


of senile dementia 








1 


1 


2 


General paralysis 








7 


- 


7 


Heart disease 








- 


1 


1 


Paralytic insanity 








1 


- 


1 


Phthisis .... 








1 


3 


4 


Pneumonia . ... 








1 


o 


3 


Senile gangrene . 








- 


1 


1 


Strangulation 








1 


- 


1 


Total .... 


17 


19 


36 



28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Table No. 13. 

Showing the Admissions from each County during the Year. 



COUNTIES. 


Males. 


Females. 


Total. 


Essex 


2 


1 


3 


Middlesex 


20 


29 


49 


Norfolk . . . ''. 


4 


1 


5 


Suffolk 


3 


2 


5 


Worcester . . . . . 


46 


37 


83 


Other States 


1 


1 


2 


Total 


76 


71 


147 



Table No. 14. 





Years. 


Months. 


Days. 


Aggregate continuous residence in the Hospital of 








male inmates, Sept. 30, 1879 . . . . 


853 


3 


27 


Number of male patients .... 235 








Average continuous residence .... 


3 


7 


25 


Aggregate continuous residence in the Hospital of 








female inmates, Sept. 30, 1879 


931 


4 


12 


Number of female patients .... 255 








Average continuous residence .... 


3 


7 


25 



1879.] 



PUBLIC DOCUMENT — No. 23. 



29 



Table No. 15. 

Products of Farm and Garden. 



Carrots 

Beets . 

Onions 

Onions, green 

Turnips 

R. B. turnips 

Parsnips 

String-beans 

Shell-beans . 

Pease . 

Corn . 

Tomatoes 

Lettuce 

Cucumbers . 

Summer squashes 

Winter squashes 

Rhubarb, or pie-plant 

Cabbage 

Celery . 

Cauliflower 

Radishes 

Leek 

Egg-plant 

Parsley 

Spinach 

Peppers 

Martynia 

Okra . 

Savory . 

Sage . 

Potatoes 

Apples . 

Hay . 

Hay, second crop 

Oats, in straw 

Barley . 

Milk . 

Pork . 



64 


bush 


els. 


183i 






30* 






6 






627 






250 






1671. 






79i 






48i 






59 






236 






220f 






3,449 


heads. 


81* 


bushels. 


13 


" 


5,000 


lbs. 


24 


bushels. 


2,264 


heads. 


1,780 


u 


60 


u 


2,005 




1,200 




103 




12 


bunches 


74| 


bushels. 


3 






10 






2 






5 






3 






125 






200 


barrels. 


117 


tons. 


5 


C( 


18 


It 


1 


ton. 


104,390 


quarts. 


15,500 


lbs. 





so 



WORCESTER LUNATIC HOSPITAL. [Oct. 



rH OS 

00 © 



O CD CO 
OOOl 

OOH 



CO b- o 

i— I GO 00 

•* •=* m 



-# OS X 
CO © ■* 
id iO IO 



oil co 



o co 

I CO 



CO CO 
CO CO 
I CO 



I II I 



I I II 



I I I I I 



£<* 


© 


Q 








• ce 


• O 


O O 








5£ <x> 


OJ 


co 


CD 


73 CO 


. CO 


• cS 


cS 
' CO 






+3 >-■ 



.S rfl £ 



S co P 

S M O 

o 73 ^ 






° °.i 

(D (U S 

a a ? 

5 ? « 



c- 



o .S 
" '£ eg 

si 

• 0! ft • 
I — I CO 

cS O 

^ CD . 
S 2 03 
c3 ^ CO 

° 2 o d 

=4H ^3 "^ O 

o o co-52 
S3 =! <».2 

-2 to 2 2 

a s a^ 

2 £ £ « 



s w s 



a^ O 



5 ^ .5 



° S DO 

-^ a o 

73 ^3 J3 

05 CS 

g co 

,2* v 

Ph CO 



CO 



o „:S 



- • CO '"' 

."S <^ 
&B 

'"ft 

i— l 2 CO. 

__, a, cd -^ 

'O CO -O CD 



aft g.S 



co C 



'co 73 co ,_0 

co cD 55 

2 O 2 ■+= 

s S * 5 



H P3 



S-- g l 

O «.rH O 

CO CD > fl 
S- CO CD <""' 
CD CS £ CD 

PhCJPLiPS 



1879.1 



PUBLIC DOCUMENT — No. 28. 



31 



Showing the Results nf First Admission.' 





Males. 


Females. 


Total. 


i Alales. 


Females. Total. 


Number of persons on first 
admission 




1 


4,153 


1 

[ 

4,051 8.204 


Discharged recovered . 


1,566 


1,625 3,191 


| 


- 


- 


improved . 


1,106 1,112 2,218 






- 


not improved 


820 


704 1,524 




- 


- 


not insane . 


1 


1 2 


- 


- 


- 


Died 


617 


563 1,180 


- 


- . 


- 


Eloped 


2 


- ! 2 


- 


_ 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


41 


46 ! 87 

i 


4,153 


4,051 


8,204 



Showing the Results 


of Re-admissions. 






Number of re-admissions 






_ 


1,431 


1,365 


2,796 


Discharged recovered . 


573 


618 


1,191 


- 


- 


,_ 


improved . 


408 


363 


771 


- 


- 


_ 


not improved 


251 


219 


470 


_ 


-' 




Died 


179 


139 


318 


- 


- 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


20 


26 


46 


1,431 


1,365 


2,796 



Showing the Results of Second Admissions. 



Number of second admissions, 


_ 


_ 


_ 


854 


1 
829 : 1.683 


Discharged recovered . 


300 


319 


619 




' 


improved . 


236 


235 


471 




- ! - 


not improved 


179 


156 


335 


- 


- ! - 


Died 


125 


99 


224 


- 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


14 


20 


34 


854 


829 1,683 



32 WORCESTER LUNATIC HOSPITAL. [Oct. 

Showing the Results of Third Admissions. 





Males. 


Females. 


Total. 


i Males. 


Females. 


Total. 


Number of third admissions, 


_ 




_ 


271 


239 


510 


Discharged recovered . 


117 


121 


238' 


- 


- 


- 


improved . 


79 


. 58 


137 


- 


" 


- 


not improved 


39 


34 


63 


- 


- 


- 


Died 


34 


22 


56 


- 


~ 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


2 


4 


6 


271 


239 


510 



Showing the Results of Fourth Admissions. 



Number of fourth admissions 
Discharged recovered . 

improved . 

not improved 

Died .... 

Remaining in the Hospital 
Sept. 30, 1879 . 



'54 

39 

17 

5 





_ 


50 


104 


35 


74 


15 


32 


8 


13 


1 


4 



118 ! 109 ; 22< 



118 



109 ! 227 



Showing the Results of Fifth Adm 


issions 






Number of fifth admissions. 


_ 






57 


53 


110 


Discharged recovered . 


30 . 


31 


61 


- 


- 


- 


improved . 


13 


12 


25 


- 


- 


- 


not improved 


6 


7 


13 


- 


- 


- 


Died 


7 


3 


10 


- 


- 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


1 


- 


1 


57 


53 


110 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, 


_ 


_ 




33 


29 


62 


Discharged recovered . 


21 


17 


38 


- 


- 


- 


improved . 


7 


8 


15 


- 


- 


- 


not improved 




1 


3 


- 


- 


- 


Died 


3 


3 


6 


33 


29 


62 



1879.] PUBLIC DOCUMENT — No. 23. 

Showing the Results of Seventh Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of seventh admis- 














sions .... 


- 


- 


- 


24 


20 


44 


Discharged recovered . 


13 


14 


27 


- 


- 


- 


improved . 


6 


3 


9 


- 


- 


- 


not improved 


2 


1 


3 


- 


- 


- 


Died 


3 


2 


5 


24 


20 


44 



Showing the Results of Eighth Admissions. 



Number of eighth admissions, 


_ 


_ 


_ 


17 


16 


33 


Discharged recovered . 


9 


11 


20 


- 


- 


- 


improved . 


7 


3 


10 


- 


- 


- 


not improved 


1 


2 


3 


17 


16 


33 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 


_ 


_ 


_ 


13 


14 


27 


Discharged recovered . 


8 


9 


17 


- 


- 


- 


improved . 


3 


4 


7 


- 


- 


- 


not improved 


1 


1 


2 


- 


- 




Died 


1 


- 


1 


13 


14 


27 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 


_ 


_ 


_ 


11 


13 


24 


Discharged recovered . 


5 


10 


15 


- 


- 


- 


improved . 


6 


2 


8 


- 


- 


~~ 


not improved 


- 


1 


1 


11 


13 


24 



Showing the Restdts of Eleventh Admissions. 



Number of eleventh admis- 














sions .... 


- 


- 


- 


8 


10 


18 


Discharged recovered . 


3 


8 


11 


- 


- 


- 


improved . 


4 


2 


6 


- 


- 


- 


not improved 


1 


- 


1 


8 


10 


18 



34 WORCESTER LUNATIC HOSPITAL. [Oct. 

Showing the Results of Twelfth Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of twelfth admis- 














sions. .... 


- 


- 


- 


7 


7 


14 


Discharged recovered . 


3 


7 


10 






- 


improved . 


2 


- 


2 


- 


- 


- 


not improved 


1 


- 


1 


- 


- 


- 


Died 


1 


- 


1 


7 


7 


14 



Showing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 
sions . . . 








6 


6 


12 


Discharged recovered . 


3 


5 


8 


- 


- 


- 


improved . 


2 


- 


2 


- 


- 


- 


not improved 


1 


- 


1 


- 


- 


- 


Remaining in the Hospital 
Sept. 30, 1879 . 


- 


1 


1 


6 


6 


12 



Showing the Residts of Fourteenth Admissions. 



Number of fourteenth admis- 














sions ..... 


- 


- 


- 


4 


5 


9 


Discharged recovered . 


3 


5 


8 


- 


- 


- 


improved . 


1 


- 


1 


4 


5 


9 



Shoicing the Residts of Fifteenth Admissions. 



Number of fifteenth admis- 
sions ..... 

Discharged recovered . 

improved . 

Died 



---34 
13 4 

2 - 2 

-113 4 



Showing the Residts of Sixteenth Admissions. 



Number of sixteenth admis- 
sions ..... 








2 


2 


4 


Discharged recovered . 


1 


2 


3 


- 


- 


- 


improved . 


1 


- 


1 


o 


2 


4 



1879.] PUBLIC DOCUMENT — No. 23. 

Showing the Results of Seventeenth Admissions. 



35 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of seventeenth ad- 














missions .... 


- 


- 


- 


1 


o 


3 


Discharged recovered . 


1 


1 


2 


- 


- 


- 


not improved 


- 


1 


1 


1 


2 


3 



Showing the Results of Eighteenth Admissions. 



Number of eighteenth ad* 














missions .... 


- 


- 


- 


1 


2 


3 


Discharged recovered . 


1 


1 


2 


- 


- 


- 


Died 


- 


1 


1 


1 


2 


3 



Shoiving the Results of Nineteenth Admissions. 



Number of nineteenth ad- 














missions .... 


- 


- 


- 


1 


1 


2 


Discharged recovered . 


- 


1 


1 


- 


- 


- 


improved . 


1 


- 


1 


1 


1 


2 



Shoiving the Results of Twentieth Admissions. 



Number of twentieth admis- 
sions . 

Discharged recovered . 



1 
11-1 



Shoiving the Results of Twenty-first Admissions. 



Number of twenty-first ad- 
missions . 

Discharged recovered . 




Showing the Results of Twenty-second Admissions. 



Number of twenty-second ad- 
missions .... 



Discharged recovered . 



1 
-11-- 



36 WORCESTER LUNATIC HOSPITAL. [Oct. '79. 

Showing the Results of Twenty-third Admissions. 





Males. 


Females. 


Total. 


Males. 


Females 


Total. 


Number of twenty-third ad- 
missions .... 

Discharged recovered . 


- 


1 


1 


- 


1 


1 



Number of Convicts admitted to the Hospital from its opening to 
Sept. 28, 1875. 





Males. 


Females. 


Total. 


Number upon first admission . . 
Number upon re-admission . . ' . 


260 
30 


20 
1 


280 

31 



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