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State Lunatic Hospital
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Digitized by the Internet Archive
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NEW STATE. HOSPITAL FOR THE 1WSANE,WQRCES ER,MASS.
w-
PUBLIC DOCUMENT. No. 23.
FORTY-NINTH
ANNUAL REPORT OF THE TRUSTEES
STATE LUNATIC HOSPITAL
AT WORCESTER,
FOE THE YEAR ENDING SEPTEMBER 30, 1881.
<* ■ I ^-uti^ d t [
'TML
BOSTON:
KanB, &toerp, & Co., printers to tljc Commontocaltl),
117 Fkankxin Street.
1882.
A
OFFICERS OF THE HOSPITAL.
TRUSTEES.
JOHN D. WASHBURN Worcester.
JAMES B. THAYER Cambridge.
ROBERT W. HOOPER Boston.
RUFUS D. WOODS Enfield.
THOMAS H. GAGE Worcester.
RESIDENT OFFICERS.
JOHN G. PARK, M.D Superintendent.
ALBERT R. MOULTON, M.D. . . . . Assistant Physician.
CHARLES A. PEABODY, M.D Assistant Physician.
GEORGE L. CLARK Steward.
LILA J. GORDON Matron.
JAMES W. BRIGHAM Clerk.
KIMBLE R. SMITH ■ Engineer.
F. M. KNAPP, Jun Farmer.
TREASURER.
ALBERT WOOD
Worcester.
(JTommontDealtf) of Jfltoacfjusetta.
TRUSTEES' REPORT.
To his Excellency the Governor, and the Honorable Council of the Common-
wealth.
The Trustees of the Worcester Lunatic Hospital respect-
fully submit their Forty-ninth Annual Report.
The principles which must govern the management of a
great public hospital, in respect of its financial system and
modes of business operation, are much the same as those
that govern a well-conducted corporation seeking a favora-
ble result for its stockholders. The Trustees are the direc-
tors, responsible to the owners for the results of the business.
The Superintendent is their agent, responsible to them and
to no one else. The Trustees appoint other officials, who are
responsible to them. Attendants and supervisors are ap-
pointed by the Superintendent, and responsible to him. But
to the State, the owner of the property, the Trustees are
alone responsible for its profitable use and safe preservation ;
and this responsibility they cannot evade, nor shift any por-
tion of it upon the shoulders of any other person. Suitable
incumbents of all subordinate positions must be found and
employed ; economy must be insisted on and waste stayed ;
the details of every expense must be critically analyzed and
audited with intelligence and independence. Whatever may
be the income of the institution, its ordinary expenses must
be kept within it, a moderate surplus fund maintained as a
provision for extraordinary contingencies, and the necessity
of applying to the State for special appropriations avoided.
The report of the Treasurer, herewith submitted, tends to
6 WORCESTER LUNATIC HOSPITAL. [Oct.
show that the Trustees have endeavored to apply these prin-
ciples to the management of the business and finances of
the institution during the year just closed, and with a rea-
sonable measure of success.
The Trustees ask nothing of the State in the way of appro-
priations, unless it shall be found expedient to act on the
recommendation of Dr. Park with reference to water supply,
nor have they any recommendation to make in view of the
operations of this year. Patients can be supported in this
hospital, in reasonable comfort, at the rate paid for public
patients under existing law, with the help of the income
derived from private patients, for whose comfortable mainte-
nance, as well as for that of public patients, the policy of the
State has designed these institutions. They are not pauper
establishments. They are intended to furnish a comfortable
home, not only for the penniless and harmless, but for per-
sons of moderate or ample means whom this greatest of
misfortunes shall have overtaken. Unless a considerable
advance shall take place in the price of the necessaries of
life, the Trustees expect to carry the institution through the
coming twelve months upon its ordinary income, without
encroaching on its moderate surplus. Should extraordinary
emergency arise, that surplus will be somewhat reduced.
The extraordinary expenses during the past year have been
for the very complete fire protection, described in the report
of the Superintendent, the erection of an ice-house, and for
preparing the upper stories for occupancy, and painting the
wards, as also therein described. The surplus fund has been
reduced, in consequence of these expenses, about ten thou-
sand dollars.
In reference to the success of the institution during the
past year, in the treatment of mental disease and the mitiga-
tion of its woes, it may be said that the results have been,
upon the whole, satisfactory. They will be found, set forth
with full detail, in the report of the Superintendent and the
accompanying tables.
The medical staff has the confidence of the Trustees.
Dr. Park, whose studious life and unremitting devotion to
these duties for the past seven years have earned for him
a high position in the ranks of alienists, at the request of the
Board, took a vacation of nearly three months, and visited,
1881.] PUBLIC DOCUMENT — No. 23. 7
during his short trip abroad, some of the best institutions of
Europe, and brought back with him renewed vigor in our
service, and large resources of illustration and suggestion.
During his absence, Dr. Moulton, with the aid and co-oper-
ation of the local Trustees, filled the position of Acting-
Superintendent with a diligence, fidelity, and intelligence
which challenged our respect and strengthened him in our
confidence. Dr. Peabody's labors have also been wholly
satisfactory.
In its relations with the public and the community to
which the Trustees are responsible, the institution has been
at peace. All its operations are conducted in the sight of all
men who will take the trouble to look on, and follow their
inception and progress. No intelligent and orderly citizen of
Massachusetts who desires to visit this property, of which he
is joint owner with others, is deprived of the opportunity of
doing so and inspecting it in all its parts, subject, of course,
to reasonable regulations as to days and hours. There are
no dark cells or secret chambers, and day-light, in every sense
in which that term is used, pervades every department of the
institution. The trustees invite the sympathy and co-opera-
tion of the government and their fellow-citizens in the
endeavor to place and keep this hospital in the front rank of
all the public institutions established for a similar purpose
throughout the world.
Respectfully submitted,
JOHN D. WASHBURN,
JAMES B. THAYER,
R. W. HOOPER,
RUFUS D. WOODS,
THOMAS H. GAGE:
Worcester Lunatic Hospital,
Oct. , 1881.
WORCESTER LUNATIC HOSPITAL. [Oct.
OFFICERS AND THEIR SALARIES.
John G. Park, M.D., Superintendent .
Albert R. Moulton, M.D., Assistant Physician
•Charles A. Peabody, M.D., Assistant Physician
George L. Clark, Steward .
Lila J. Gordon, Matron
James W. Brigham, Clerk .
Kimble R. Smith, Engineer
Albert Wood, Treasurer
. $2,500
00
1,200 00
1,000
00
1,000 00
450
00
500
00
1,000 00
500
00
VALUE OF PERSONAL ESTATE
Sept. 30, 1881.
Live-stock on the farm $6,044 00
Produce of the farm on hand ...... 6,163 80
Carriages and agricultural implements .... 4,731 02
Machinery and mechanical fixtures ..... 66,067 02
Beds and bedding in inmates' department .... 19,854 01
Other furniture in inmates' department .... 14,230 82
Personal property of the State in Superintendent's depart-
ment 13,105 94
Ready-made clothing 804 55
Dry-goods 1,316 95
Provisions, groceries, and other supplies .... 5,102 94
Drugs and medicines 500 00
Fuel 2,980 16
Library 1,166 42
$142,067 63
1881.] PUBLIC DOCUMENT — No. 23.
TREASURER'S REPORT.
. $24,627 41
22,353 50
. 64,638 10
29,042 69
3,060 37
742 84
$144,464 91
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, 1881.
Receipts.
Cash on hand Sept. 30, 1880 . . .
Received of the Commonwealth for support of patients
of cities and towns for support of patients .
of individuals for support of patientSj .
for interest, sale of produce, etc .
belonging to patients
The expenditures for the year have been as follows : —
Provisions.
Flour $4,619 28
Meat of all kinds 6,504 88
Fish 1,214 66
Meal for cooking 384 35
Beans, potatoes, and other vegetables . . . 2,213 15
Sugar 3,280 54
Molasses and syrup 537 17
Tea , 803 78
Coffee 1,132 18
Butter 6,783 31
Cheese 255 27
Fresh fruits 112 38
Ice 208 93
Eggs, salt, and other groceries .... 3,887 77
Total for provisions ..... $31,937 65
Salaries and wages 32,872 57
Grain 505 17
Amount carried forward ...... $65,315 39
2
10 WORCESTER LUNATIC HOSPITAL. [Oct.
Amount brought forward $65,315 39
Meal for stock 993 38
Hay 93 22
Furniture 399 90
Crockery 427 84
Tinware 231 15
Bedding 1,765 99
Straw . 168 61
Furnishings, miscellaneous ....... 1,029 13
Pictures, etc 118 09
Tools 349 03
Lights 3,166 21
Water 2,212 91
Fuel 11,809 96
Soap 821 95
Medical supplies 789 37
Live stock 952 20
Carriages, harnesses, etc 664 85
Blacksmithing 225 13
Plants and seeds 344 45
Hardware 190 15
Lumber 211 79
Paints, oil, etc 204 42
Pipe and fittings 518 77
Lime, cement, etc, ........ 147 05
Kepairs, ordinary . . 4,444 25
Fertilizers 511 64
Stationery 300 48
Postage 223 04
Transportation 439 37
Travelling 138 42
Trustees' expenses 116 23
Miscellaneous 2,496 46
Labor 1,450 08
Clothing and men's furnishings . . . . . . 2,146 88
Dry- goods, women . . . . . . . . 886 70
Dry-goods, house 1,869 13
Boots and shoes 920 71
Undertaking 268 88
Total current expenses $109,363 21
Interest and money refunded . . . . $0 91
Refunded to patients 748 79
Extraordinary improvements ... . 19,766 29
20,515 99
Total expenses . . $129,879 20
Cash on hand Sept. 30, 1881 . . . . . 14,585 71
$144,464 91
1881.] PUBLIC DOCUMENT — No. 23.
Resources.
11
Cash on hand ..... i
Due from the Commonwealth
cities and towns
cities and towns, previous quarters
individuals
Liabilities.
Due for supplies and improvements . . . $ 4,912 88
for salaries and wages 2,797 12
to patients ....... 919 62
Total surplus
Hospital library fund, market value
$14,585 71
5,642 71
16,120 85
1,292 39
7,350 35
$44,992 01
8,629 62
£36,362 39
$5,621 84
Respectfully submitted,
ALBERT WOOD, Treasurer.
October 1, 1881.
Worcester Mass., Sept. 30, 1881.
The undersigned has this day carefully compared the Treasurer's statement
of expenditures for the year ending Sept. 30, 1881, with tlie vouchers which
are on file at the hospital, and found it to be correct. He has also inspected
the securities for the invested funds, and found them to correspond with the
Treasurer's statement of their market value.
THOMAS H. GAGE.
Auditor of Accounts.
12 WORCESTER LUNATIC HOSPITAL. [Oct.
SUPERINTENDENT'S REPORT.
To the Board of Trustees of the Worcester Lunatic Hospital.
Gentlemen, — I respectfully submit the following Forty-
ninth Annual Report of the Worcester Lunatic Hospital.
There were in the hospital Sept. 30, 1880, 233 males and
300 females, a total of 533.
The number of admissions has been 145 males and 104
females, a total of 249 ; making the whole number of cases
under treatment during the year 782. The number of ad-
missions represents 237 persons, 15 more than during the
previous year; twelve being re-admissions of persons who
had been discharged during the year.
Eleven females were transferred from the Danvers Lunatic
Hospital and four from the State Almshouse at Tewksbury.
Twenty males were transferred from the Taunton Lunatic
Hospital.
The number of recoveries has been 54, or 21.68 per cent
of the admissions. Fourteen of this number, however, had
been inmates of this hospital before ; twelve of whom had
been discharged recovered, one nine times, one six times,
one four times, two three times, one twice, and six once each ;
one had been discharged improved and one not improved.
A review of insane hospital statistics upon this subject of
recoveries, as tabulated in the annual reports of the institu-
tions, has brought of late to public notice the fact that a per-
son afflicted with insanity is quite liable to a second and sub-
sequent attacks, and that a relapse, or an attack de novo,
occurs in this malady more frequently than in any of the
other serious forms of disease.
Now, although it may be a question upon which there may
be honest differences of opinion whether each case which
recovers may not be fairly called a cure, even if the patient
has a second attack within a few months or a year, there can
1881.] PUBLIC DOCUMENT — No. 23. 13
be no doubt that the public have been hitherto widely misled
as to the meaning of the word " recovery," as used in the
hospital reports, and as to the permanency of cures from
insanity. Not a small number of patients who were dis-
charged recovered in the earlier reports of this hospital have
many times since become a burden to the public or private
purse by reason of a return of their malady.
In order to obtain definite information on this point the
following circular has been prepared, making inquiry about
the subsequent mental condition of those patients who were
discharged from this institution as recovered on their only
admission, and of those who recovered on their last re-admis-
sion : —
Dear Sir, — I would esteem it a great favor if you would send me
answers to the following questions (obtained either from personal knowl-
edge or as the result of inquiry) relating to of , a patient
discharged from this institution 18 — .
Did remain well?
Has ever been in any hospital for the insane, or almshouse,
since leaving Worcester?
If so, where? How many times? How long a time? and state of
health after discharge.
If living, where? and mental condition.
If dead, date and cause of death.
Did die at home, in hospital, or almshouse?
What was mental condition at time of death?
If you are unable to answer these questions, will you be kind enough
to give me the address of some member of the family or acquaintance
who would be likely to possess the desired information? The object of
my inquiry is to perfect the medical history of the hospital.
Very respectfully,
JOHN G. PARK,
Superintende nt .
The above inquiries have, to this date, been made regard-
ing only 211 patients, all of whom were discharged previous
to 1840. Owing to the time which has elapsed since their
connection with the hospital great difficulty has been experi-
enced in finding anybody who knew or remembered anything
about many of them. Satisfactory answers have, however,
been received in ninety-four instances thus far, and, as the
cases become more recent, a much greater per cent of replies
is expected.
14 WORCESTER LUNATIC HOSPITAL. [Oct.
Of these 94 patients, 3 men and 5 women, who remained
well after their discharge, are still living ; 26 men and 14
women remained well as long as they lived ; 24 men and 21
women became again insane, and of this number seven com-
mitted suicide, and ten have been inmates of other hospitals.
The average duration of the insanity of patients received
during the year before their commitment is, of males, three
years and three months, and of females, three years and
eleven months. The average duration of insanity before
admission of those who recovered during the year, of known
cases, is, of males, six months, females, five and nine-tenths
months ; of private charges, four and two-tenths months ;
of public charges, six and eight-tenths months.
The early removal of the insane, after the approach of the
disease, to establishments especially provided for them, has
for years been recommended by a majority of alienists.
As the public, sadly enough ignorant of the nature of in-
sanity as it is, and too prone to consider it a disgrace rather
than a disease, becomes more enlightened and more conver-
sant with its symptoms and management, the necessity of the
immediate removal of patients to a hospital becomes less
apparent. The exception, however, must be made of the
poorer classes, who are not able to bear the extra burden of
an unproductive member in their household ; and I am still
strongly of the opinion that a general knowledge of the
treatment of mental diseases has not yet spread far enough
to sanction the removal of any of the insane poor from their
homes or the hospital to the town almshouse.
Eleven convicts have been transferred from the State
Prison at Concord, and three females from the Reformatory
Prison at Sherborn, and three men from Deer Island.
Of the transfer from Taunton, two were from the State
Prison and six from the House of Correction. Ten men and
one woman were received from jails and houses of correction.
The large number of commitments of convicts and persons
awaiting trials for various crimes suggests the necessity for
better provision for the criminal insane, and in an institution
by themselves.
The subject, however, has been already considered by the
State, with that philanthropic spirit which guards with zeal-
ous care the poor and unfortunate, and provides so liberally
1881.] PUBLIC DOCUMENT — No. 23. 15
for their comfort and happiness. The Commonwealth, at the
last session of the Legislature, instructed the Board of Health,
Lunacy, and Charity to report a plan for the better manage-
ment of the criminal insane. This Board, fully alive to the
necessities of the case, have given the subject much and care-
ful attention ; and, while the plan recommended, if adopted
by the Legislature, very likely will not be the best, it can but
be a step forward, and, after trial, its weak points can be
strengthened and its defects remedied. I think that the plan
should include provision at the same place for the danger-
ously homicidal patients who are not criminals. With these
two classes removed from our hospitals for insane, greater
liberty could be given those who remain.
It cannot be stated with too much emphasis that there is
not a lunatic hospital in the State suitable for the safe cus-
tody of the criminal insane as a class ; and, if for no other or
higher ground, the safety of the public demands that more
secure quarters should be provided for them.
A short visit, during the past summer, to some of the best
Scotch and English asylums furnished me an opportunity of
comparing their structures and methods of management with
our own.
Let me state very briefly a few of my impressions.
First, as to the plan of construction of their institutions.
The newer Scotch and English county asylums have for
the most part but two stories : the first floor being occupied
by the patients during the day-time, and the second story at
night only. The temperate climate not requiring such ex-
tensive and costly excavation for cellars and basements, or
such elaborate and expensive heating apparatus, the original
construction account is much less than with us ; and as the
sun rarely shines in England unobscured, the}*- are enabled to
use a great amount of glass in their roofs ; indeed, the day-
rooms and dining-rooms, with their hanging baskets, running
vines and ferns, resemble conservatories more than asylum
apartments.
Wings, additions, and projections are thrown out from the
main structure wherever a special object is to be gained,
without any regard to architectural symmetry, or fear of
violating the traditional plans of hospital construction which
we follow so closely. By this means, sunny rooms, cheerful
16 WORCESTER LUNATIQ HOSPITAL. [Oct.
infirmary wards, and pleasant workshops are provided at
small cost.
The patients themselves are much more generally employed
than with us. In fact, their asylums are great workhouses,
and the idleness and listlessness, which are such sad features
in many of our wards, are noticeable by their absence. There
are many obstacles in the way of compelling our patients to
do the amount of work which theirs do. In the first place,
the friends of patients unwisely object, and are unwilling to
consider occupation as a means of treatment, except as ill-
treatment, while the patients themselves, not having the habit
of obedience born in them, either flatly refuse advice in this
direction, or perhaps wish to argue the point. I trust that
both of these objections may be lessened or entirely removed
in time. For climatic reasons, we never shall be able to em-
ploy our patients as much out-of-doors as is done in Great
Britain.
One of the best asylums I visited had no locks upon any
of its wards. Its superintendent is an enthusiastic agricul-
turist and a non-believer in the use of medicine in the treat-
ment of mental diseases. All of his male patients who can
walk are out every day, and most of them at work on the
well-tilled farm of the institution. It seemed to me that
there was a little fallacy about the doors with no locks. It
does not mean liberty to all the patients to go out and in at
will ; but, on the other hand, those who were least fitted to
pass out, and for that reason the most anxious to avail them-
selves of the privilege, were confined to a corner of the room
most distant from the door, or to a somewhat narrow space
between the wall and some article of furniture, and so their
movements were really restricted to a smaller area than
would have been the case had the opening of the door been
beyond their control.
As much, if not more, is done by us in the way of amuse-
ments and entertainments. Our diet is more varied and our
beds better. The amount of mechanical restraint used is less
than in American hospitals, and the number of padded rooms
greater. A much larger proportion of patients occupy dor-
mitories in English asylums than with us, One of the in-
ferences, and perhaps the most natural one, to be drawn from
1881.] PUBLIC DOCUMENT— No. 23. 17
this is that they have a smaller class of noisy and refractory
patients than we do.
Finally, in their relations to the general public the foreign
asylums are more fortunate than our own in possessing to a
greater degree the confidence of the public.
The present water-supply of the hospital is derived from
Bell Pond, which contains eleven acres, and is about sixty
feet above the first story of the building.
This pond was originally a swamp, across the lowest part
of which an embankment was built by the city to retain the
water which flows into it from the surrounding hills. Dur-
ing the dry season the pond is quite shallow, and becomes
filled with vegetable growths which are decomposed by the
summer sun. At such times the water is distributed over
the house loaded with impurities which are offensive both to
sight and smell. The drainage from two tenement-houses on
the western border also runs directly into the pond.
While no disease has thus far been traced to the use of
this water, the presence of the objectionable features men-
tioned cause much complaint from the inmates, and, although
the city is willing to draw off the water and clean out the
basin, I doubt whether any permanent satisfactory results
would follow. I therefore respectfully recall to your atten-
tion the project of obtaining our water-supply from Lake
Quinsigamond, bjr pumping. The amount paid to the city of
Worcester for water during the past year has been $2,212.91.
During the year the hospital has been encircled by about
twenty-eight hundred feet of eight-inch water-pipe for an
additional fire protection, to which have been connected
fourteen hydrants from the Chapman Valve Company's
works. Each hydrant has two, two-and-a-half inch outlets
for hose, and one four-and-a-half inch outlet for the attach-
ment of the city steamers. A Knowles steam fire-pump, No.
G, capable of furnishing six streams at a pressure of ninety
pounds at the hose nozzles, completes the system. This pump
is supplied with steam directly through a four-inch pipe from
two large boilers, and is ready for use at all times, both night
and day. At the experimental trial of this pump, in the
presence of the engineers of the Worcester Fire Department,
the result was declared to be perfectly satisfactory. There
are, in addition, seven four-inch stand-pipes within the build-
3
18 WORCESTER LUNATIC HOSPITAL. [Oct.
ing and three thousand feet of linen hose. A hose-carriage,
with eight hundred feet of rubber-lined hose, has been bought,
and the employes have been assigned special duties in case of
fire, and exercised in raising the ladders and laying the hose.
Hand fire-pumps, with buckets of water, are also distributed
through the attics and basement.
It is believed that every precaution which can be foreseen
has been taken to prevent the spread of a conflagration
should one unfortunately occur. The expense of this addi-
tional system for protection from fire has been $7,314.46,
which has been paid for from the surplus funds belonging to
the institution.
An ice-house, thirty-five by forty-five feet, with a capacity
of four hundred and fifty tons, was built during the year and
filled with ice from the lake.
The finishing of the fourth story of the hospital, mention
of which was made in the last report as being in progress, has
been completed ; three sections on the female side, and one
on the male, are now occupied by patients. At the close of
the last year the walls of sixteen wards had been painted,
this work has been continued until three wards only at the
present time remain unpainted.
A green-house, a hundred feet by twenty, has also been
erected, and is being stocked with plants for winter bloom-
ing.
Your attention is called to the very complete statistical
tables which accompany this report. The compilation of
these statistics involved a great amount of labor, and it is
believed that their accuracy can be depended upon.
The farm has continued during the year to be under the
successful management of Mr. F. M. Knapp, jun. A list of
the products of the farm and garden is appended to the table
of statistics.
There have been several changes during the year in the
corps of officers. Early in May, Dr. W. P. Bowers felt
obliged, on account of ill health, to resign the position of first
assistant, and the institution lost the services of a most faith-
ful and competent officer.
Dr. A. R. Moulton was promoted to fill the vacancy, and
during my temporary absence took charge of the affairs of
the hospital to your entire satisfaction.
1881.] PUBLIC DOCUMENT — No. 23. 19
Dr. Charles A. Peabody, formerly assistant physician at the
Asylum for the Chronic Insane, was chosen to the position of
second assistant in place of Dr. Moulton.
Dr. W. E. Sylvester and Dr. Omer P. Porter were con-
nected with the medical staff of the institution for several
months each ; the former leaving in April and the latter in
September.
Mr. Clarence Buffinton resigned the office of steward in
January, and Mr. George L. Clark was elected to fill the
vacancy.
In closing, I desire to express my appreciation of the labors
of the officials and employe's who have had the interests of
the institution and the welfare of the patients at heart, and
to again acknowledge the sense of obligation I am under for
the kindness and assistance which I continue to receive from
your board.
JOHN G. PARK,
Superintendent.
Worcester Lunatic Hospital,
Oct. 1, 1881.
20
WORCESTER LUNATIC HOSPITAL. [Oct.
TABLES.
1. General Statistics of the Year
Males.
Females.
Total.
Patients in hospital Oct. 1, 1880 .
233
300
533
Admissions within the year ....
145
104
249
Whole number of cases within the year
378
404
782
Discharges within the year ....
80
67
147
Viz., as recovered .....
31
23
54
as much improved ....
12
15
27
as improved .....
21
16
37
as unimproved ....
16
13
29
Deaths . .
26
21
47
Patients remaining Sept;. 30, 1881
272
316
588
Viz., supported as State patients
68
57
125
as Town patients
158
197
355
as Private patients .
46
62
108
Number of different persons within the year,
372
398
770
admitted .....
139
98
237
recovered .....
31
21
52
Daily average number of patients
258.03
311.95
569.98
2. Monthly Admissions, Discharges, and Averages.
Discharges.
Daily Average of
ISS.
(Including Deaths.)
Patiekts in the House.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Males.
Females.
Total.
October, 1880
6
3
9
8
7
15
231.58
296.22
527.80
November, "
11
9
20
9
4
13
230.17
299.16
529.33
December, "
32
6
38
9
3
12
240.48
302.58
543.06
January, 1881
10
11
21
7
10
17
256.32
305.77
562.09
February, ' '
5
8
13
13
10
23
253.42
303.78
557.20
March, "
15
22
37
8
5
13
252.42
309.25
561.67
April, "
20
9
29
5
7
12
271.76
321.07
592.83
May,
10
7
17
12
8
20
274.35
322.48
596.83
June, "
9
7
16
2
6
8
273.50
321.26
594.76
July,
5
8
13
13
6
19
270.84
318.70
589.54
August, "
5
12
17
7
13
20
269.67
323.03
592.70
September, "
17
145
2
104
19
249
13
106
9
88
22
194
271.93
258.03
320.10
592.03
Total of cases .
311.95
569.98
Total of persons,
139
98
237
101
85
186
1881.]
PUBLIC DOCUMENT — No. 23.
21
3.
Received
on First and Subsequent Admissions.
Cases Admitted.
Times Previodsly Recovered.
NUMBER OF THE
ADMISSION.
Males.
Females.
Total.
Males.
Females.
TotaL
First ....
128
80
208
Second
14
13
27
3
6
9
Third
3
2
5
5
1
6
Fourth
.
-
3
3
-
2
2
Fifth .
-
4
4
-
10
10
Sixth .
_
1
1
-
o
2
Eighth
•
-
1
1
-
6
6
Total of cases
145
104
249
. 8
27
35
Total of persons .
139
98
237
5
12
17
4. Ages of Persons admitted for the First Time.
AGES.
At First Attack of
Insanity.
When Admitted.
Males.
Females.
Total.
Males.
Females.
Total.
Fifteen years and less,
From 15 to 20 years .
20 to 25 years .
25 to 30 years .
30 to 35 years .
35 to 40 years .
40 to 50 yeai'3 .
50 to 60 years .
60 to 70 years .
70 to 80 years .
Over 80 years
Unknown .
3
17
19
18
13
11
8
9
2
2
1
25
3
4
12
10
9
9
15
5
5
8
6
21
31
28
22
20
23
14
7
2
1
33
1
12
24
22
18
13
18
14
3
2
1
1
5
14
7
12
11
13
10
5
2
2
17
38
29
30
24
31
24
8
4
1
Total .
128
80
208
128
80
208
22
WORCESTER LUNATIC HOSPITAL. [Oct.
5. liesidence of Persons
admitted
•
PLACES.
Males.
Females.
Total.
Massachusetts, —
Bristol County .....
Essex County .....
Franklin County .....
Hampden County .....
Middlesex County ....
Norfolk County .....
Suffolk County
Worcester County ....
State of Rhode Island ....
20
1
3
39
7
15
54
1
' 15
2
24
2
13
40
1
21
15
1
5
63
9
28
94
1
Total
Cities or large towns .....
Country districts ......
139
68
71
98
48
50
237
116
121
Total
139
98
237
6. Civil Condition of Persons admitted.
NO. OF THE
ADMISSION.
Unmakbied.
Married.
Widowed.
Unknown.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma. Fe.
Tot.
First .
79
32
Ill
43
30
73
3
18
21
3
3
Second
2
3
5
7
6
13
_
1
1
-
_
_
Third
1
_
1
1
1
2
Fourth
-
-
-
-
3
3
Fifth
_
2
2
_
1
1
Sixth
-
-
-
-
1
1
-
Total .
82
37
119
51
42
93
3
19
22
3
3
1881.]
PUBLIC DOCUMENT — No. 23.
23
7. Occupat
ions
of Persons
admitted.
OCCUPATIONS.
Males.
Females.
Total.
Architects
2
2
Barber
1
_
1
Blacksmiths
4
-
4
Baker ....
1
_
1
Bonnet-presser .
Book-keeper
Boot and shoe makers .
1
1
17
-
1
1
17
Clerks
6
_
6
Carpenters .
Clergyman .
Cabinet-maker .
4
1
1
-
4
1
1
Cigar-maker
Designer
Druggist
Dressmaker
1
1
1
1
1
1
1
1
Domestics .
-
14
14
Engineer
Farmers
1
17
-
1
17
Grocer . . . •
1
_
1
Hostler
1
-
1
Housewives
-
46
46
Jewellers and watchmakers
4
-
4
Journalist .
1
-
1
Laborers
19
-
19
Machinists .
5
_
5
Moulder
1
-
1
Mechanics . .
7
-
7
Masons
2
_
2
Nurses
-
2
2
Operatives .
Painters . • .
7
3
10
2
Porters
3
-
3
Provision dealer .
1
-
1
Students
2
-
2
Stair-builder
1
-
1
Shop-girl .
Tailors
3
1
1
3
Tanner
1
-
1
Teamster .
1
-
1
Thief . . .
1
-
1
Upholsterers •
Vagrants
No occupation
Unknown .
2
1
9
4
2
22
~7
2
3
31
11
Total .
139
98
237
24
WORCESTER LUNATIC HOSPITAL. [Oct.
8. Reported Duration
of
Insanity before Last Admission.
First Admission
All other
to ant Hospital.
Admissions.
Total.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Under 1 month .
16
13
29
4
4
16
17
33
From 1 to 3 months .
17
14
31
5
6
11
22
20
42
3 to 6 months .
9
2
11
2
1
3
11
3
14
6 to 12 months .
8
4
12
4
1
5
12
5
17
1 to 2 years
10
7
17
1
9
10
11
16
27
2 to 5 years
10
5
15
7
9
16
17
14
31
5 to 10 years
3
3
6
9
5
14
12
8
20
10 to 20 years .
4
3
7
5
5
10
9
8
17
Over 20 years
1
1
2
1
2
3
2
3
5
Unknown ....
24
8
32
9
43
2
44
11
87
33
145
10
104
43
Total of cases
102
60
162
249
Total of persons
102
60
162
37
38
75
139
98
237
Mos.
Mos.
Mos
Mos.
Mos.
Mos.
Mos
Mos.
Mos.
Average of known cases .
26.6
32.1
29.3
70.2
65.5
67.8
39.8
47.
43.4
9. Form of Disease in the Cases admitted.
FOKM OF DISEASE.
Males.
Females.
Total.
Mania, acute ......
34
27
61
chronic ......
39
39
78
recurrent ......
4
4
8
puerperal
religious . . . . . .
Melancholia, acute .....
2
12
6
10
6
2
22
chronic .....
4
1
5
Dementia, acute ......
-
1
1
chronic .....
13
4
17
senile ......
4
6
10
Alcoholic mania ......
6
-
6
Epilepsy
General paralysis
Idiocy ........
Imbecility .......
Moral insanity . . . ...
10
13
1
1
2
4
2
14
13
1
1
4
Total of cases
145
104
249
Total of persons .....
139
98
237
1881.]
PUBLIC DOCUMENT — No. 23.
25
JO. Probable Causes of Insanity in Persons admitted.
Patients
Previous
Hereditary
CAUSES.
Admitted.
Attacks.
Predisposition.
Ma.
Fe.
' Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Mental, —
Anxiety and care .
-
5
5
-
1
1
_
1
1
Business trouble
3
-
3
1
-
1
_
_
_
Close confinement to busi-
ness .
1
-
1
1
-
1
_
_
_
Excessive mental labor .
3
-
3
Family care and trouble .
-
2
2
-
1
1
_
_
_
Fright .
-
1
1
Grief . . .
-
8
8
-
5
5
_
3
3
Hereditary
33
15
48
7
7
14
33
15
48
Jealousy ....
-
1
1
-
1
1
-
-
-
Loss of property
1
1
2
Love disappointment
-
1
1
Nostalgia
-
1
1
-
1
1
_
_
_
Religious excitement
3
2
5
1
_
1
_
1
1
Reverses . • .
-
1
1
_
-
-
_
1
1
Spiritualism .
-
1
1
Want of work
2
_
2
1
_
1
_
_
_
Worry ....
1
-
1
Physical, —
Epilepsy
10
5
15
1
1
2
-
-
-
General paralysis .
10
-
10
-
-
-
1
-
Ill health
4
4
8
-
1
1
1
1
Injury to head
4
2
6
-
1
1
_
_
_
Intemperance .
14
3
17
3
-
3
1
-
Lactation
-
2
9
Masturbation .
11
-
11
1
_
1
1
_
Miscarriage
-
1
1
-
1
1
-
-
-
Meningitis
1
2
-
-
-
-
-
-
Menstrual disorder .
-
1
1
_
1
1
_
_
_
Overwork
0
3
1
1
2
_
1
Puerperal
-
6
6
-
2
2
-
1
Rheumatism .
-
1
Scarlet fever .
_
1
_
_
_
_
_
Senility ....
3
1
4
-
1
1
1
-
Sun -stroke
3
-
3
2
-
2
1
_
Syphilis ....
-
1
1
-
1
1
-
-
Turn of life .
-
o
2
Use of poisonous hair-dyes
1
1
Unknown .
29
27
56
3
22
11
37
14
59
1
-
Total ....
139
98
237
40
24
64
26
WORCESTER LUNATIC HOSPITAL. [Oct.
11. Relation to Hospitals of Persons admitted.
HOSPITAL GELATIONS.
Males.
Females.
Total.
First admission to any hospital for insane .
102
60
162
Former inmates of this hospital .
11
18
29
Former inmates of other hospitals in this
State, —
Northampton ......
-
1
1
Taunton
22
-
22
2
15
17
McLean .......
-
2
2
Herbert Hall (private hospital)
1
1
2
of Hartford Retreat, Conn.
-
1
1
of St. Peter's, Minn. ....
1
-
1
139
98
237
12.
How supported.
Patients Admitted.
Average of the '
Peak.
SUPPORTED AS
Males.
Females.
Total.
Males.
Females.
Total.
State patients .
Town patients .
Private patients
54
63
22
29
53
16
83
116
38
62.40
152.56
43.07
68.92
181.63
61.40
131.32
334.19
104.47
Total
139
98
237
258.03
311.95
56998
1881.]
PUBLIC DOCUMENT — No. 23.
27
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28
WORCESTER LUNATIC HOSPITAL. [Oct.
14. Cases discharged Recovered.-
— Duration.
Duration before
Hospital
Whole Duration
Admission.
Residence.
from the Attack.
PERIOD.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Under 1 month •
6
9
15
3
3
6
2
1
3
From 1 to 3 months
10
8
18
7
6
13
1
3
4
3 to 6 months
2
1
3
10
7
17
9
7
16
6 to 12 months
2
-
2
5
6
11
4
6
10
1 to 2 years .
2
-
2
5
1
6
5
1
6
2 to 5 years .
1
1
2
1
-
1
2
1
3
5 to 10 years .
1
1
2
-
-
-
1
1
2
Unknown ....
7
3
10
31
23
54
7
3
10
Total of cases
31
23
54
31
23
54
Total of persons .
31
21
52
31
21
52
31
21
52
Mos.
Mos.
Mos.
Mos.
Mos.
Mos.
Mos.
Mos.
Mos.
Average of known cases
6.5
5.9
6.2
6.8
4.6
5.9
13.1
10.5
11.8
15. Cases resulting in Death. — Duration.
PERIOD.
Duration before
Admission.
Hospital
Resides ce.
Whole Duration
from the Attack.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Under 1 month .
From 1 to 3 months
3 to 6 months
6 to 12 months
1 to 2 years
2 to 5 years .
5 to 10 years .
10 to 20 years .
Over 20 years .
Unknown ....
3
2
3
4
4
5
1
4
5
3
2
1
1
3
2
1
3
5
6
4
4
5
7
7
1
1
7
3
3
6
11
3
5
3
3
3
5
2
5
3
6
3
9
16
5
1
1
1
7
8
3
1
4
4
1
4
3
2
3
1
3
4
2
1
5
10
10
6
2
7
Total . .
Average of known cases
26
Mos.
45
21
Mos.
44.5
47
Mos.
44.5
26
Mos.
30.5
21
Mos.
21.6
47
Mos.
26.5
26
Mos.
72.8
21
Mos.
66.2
47
Mos.
69.9
1881.]
PUBLIC DOCUMENT — No. 23.
29
16. Cases discharged by Recovery or Death.
Recoveries.
Deaths.
FORM OF INSANITY.
Males.
Females.
Total.
Males.
Females.
Total.
Mania, acute
chronic .
recurrent .
suicidal .
alcoholic .
puerperal
paralytic .
Melancholia, acute
chronic
Dipsomania .
Dementia
Delirium tremens
Delusional insanity
Epilepsy
General paralysis
Moral insanity
13
2
2
1
4
4
1
1
1
2
8
1
6
2
1
3
1
1
21
3
8
1
6
1
7
1
1
1
1
3
6
2
1
2
1
6
8
4
1
1
1
5
1
6
2
4
7
1
3
0
1
8
1
8
8
Total of cases
Total of persons
31
31
23
21
54
52
26
21
47
1 7. Causes
of Death.
CAUSES.
Males.
Females.
Total.
Exhaustion of acute melancholia.
1
1
chronic melancholia
1
2
3
acute mania
-
4
4
chronic mania
4
-
4
paralytic mania .
-
1
1
Apoplexy
-
2
2
Abscess of lung ....
1
-
1
Brain tumor and apoplexy .
1
-
1
Epilepsy .....
5
2
7
General paralysis . . .
8
-
8
Heart-disease ....
_
3
3
Inflammation of bowels
_
1
1
Phthisis .....
1
3
4
Pneumonia .....
_
1
1
Tonsillitis abscess and septicaemia
1
_
1
Senile dementia .
2
2
4
Unascertained ....
1
-
1
Total
26
21
47
30
WORCESTER LUNATfC HOSPITAL.
[Oct.
18. Deaths, classified by Results of Previous Admissions.
NO. OF THE
Recovered.
Improved.
Unimproved.
Total.
ADMISSION.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
First .
Second
3
3
1
6
1
3
_
3
2
1
1
3
1
8
1
4
1
12
2
Total .
3
4
7
3
-
3
3
1
4
9
5
14
19. Recoveries, classified by Results of Previous Admissions .
NO. OF THE
Recovered.
Improved.
Unimproved.
Total.
ADMISSION.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
Ma.
Fe.
Tot.
First .
3
3
6
1
1
1
1
5
3
8
Third .
_
1
1
1
1
Fourth
_
3
3
3
3
Fifth .
_
1
1
1
1
Sixth .
_
1
1
1
1
Seventh
_
1
1
1
1
Twelfth .
-
1
1
1
1
Total .
3
11
14
1
-
1
1
-
1
5
11
16
20. Deaths, classified by Duration of Insanity
and of Treatment.
PERIOD.
Duration of Insanity.
Whole Known Period op
Hospital Residence.
Males.
Females.
Total.
Males.
Females.
Total.
Under 1 month .
4
4
4
4
From 1 to 3 months
-
-
-
2
1
3
3 to 6 months
1
1
2
3
3
6
6 to 12 months
-
-
-
1
1
2
1 to 2 years
2 to 5 years
2
'. 7
3
3
5
10
5
11
4
5
9
16
5 to 10 years
7
3
10
4
2
6
10 to 20 years
Over 20 years
4
1
3
1
7
2
—
1
1
Unknown
4
3
7
-
-
-
Total .
. 26
21
47
26
21
47
Mos.
Mos.
Mos.
Mos.
Mos.
Mos.
Average of known cast
a . 81.5
73.2
77.7
33.4
43.4
37.9
1881.]
PUBLIC DOCUMENT — No. 23.
31
21
. Aget
of those who Died.
At Time of the First
At Time
AGES.
Attack.
Males.
Females.
Total.
Males.
Females.
Total.
From 15 to 20 years
2
1
3
20 to 25 years
1
1
2
3
1
4
25 to 30 years
1
2
3
1
1
2
30 to 35 years
4
1
5
1
2
3
35 to 40 years
4
5
9
7
4
11
40 to 50 years
4
5
9
4
3
7
50 to 60 years
3
4
7 ■
2
4
6
60 to 70 years
5
1
6
4
4
8
70 to 80 years
1
1
2
3
2
5
Over 80 years
1
-
1
1
-
1
Total .
26
21
47
26
21
47
55. Number of Convicts admitted to the Hospital from its opening
Jan. 19, 1833, to Sept. 30, 1881.
Males.
Females.
Total.
Number upon first admission
Number upon re-admission
343
40
38
3
381
43
383
41
424
32
WORCESTER LUNATIC HOSPITAL. [Oct.
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PUBLIC DOCUMENT — No. 23.
33
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PUBLIC DOCUMENT — No. 23.
35
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37
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38
WORCESTER LUNATIC HOSPITAL. [Oct.
Showing the Restdts of First Admissions.
Males.
Females.
Total.
Males.
Females.
Total.
Number of persons on firs
t
admission .
-
-
-
4,795
4,655
9,450
Discharged recovered .
1,701
1,705
3,406
improved .
1,256
1,259
2,515
not improved
890
808
1,698
not insane .
2
2
4
Died
, 738
652
1,390
Eloped ....
3
-
3
Remaining in the hospita
L -
Sept. 30, 1881 .
205
229
434
4,795
4,655
9,450
Showing the Resxdts of Re-admissions.
Number of re-admissions
1,629
1,571
3,200
Discharged recovered .
619
664
1,283
improved .
452
407
859
not improved
289
247
536
Died
202
166
368
Remaining in the hospital
Sept. 30, 1881 .
67
87
154
1,629
1,571
3,200
Shoioing the Results of Second Admissions.
Number of second admissions,
964
955
1,919
Discharged recovered .
322
336
658
improved .
259
265
524
not improved
206
174
380
Died
140
118
258
Remaining in the hospital
Sept. 30, 1881 .
37
62
99
964
955
1,919
1881.] PUBLIC DOCUMENT — No. 23.
Showing the Results of Third Admissions.
39
Males.
Females.
Total.
Males.
Females.
Total.
Number of third admissions,
317
278
595
Discharged recovered .
improved .
not improved
Died
131
86
47
40
128
67
38
28
259
153
85
68
Remaining in the hospital
Sept. 30, 1881 .
13
17
30
317
278
595
Showing the Results of Fourth Admissions.
Number of fourth admis-
sions ....
-
-
-
134
124
258
Discharged recovered .
59
58
117
improved .
42
37
79
not improved
20
18
38
Died .....
5
9
14
Remaining in the hospital
Sept. 30, 1881 .
8
2
10
134
124
258
Showing the Results of Fifth Admissions.
Number of fifth admissions,
65
65
130
Discharged recovered .
improved .
not improved
Died
31
14
6
8
37
13
8
4
68
27
14
12
Remaining in the hospital
Sept. 30, 1881 .
6
3
9
65
65
130
Showing the Results of Sixth Admissions.
Number of sixth admissions,
35
34
69
Discharged recovered .
improved .
not improved
Died
21
7
2
3
20
8
2
3
41
15
4
6
Remaining in the hospital
Sept. 30, 1881.
2
1
3
35
34
69
40 WORCESTER LUNATIC HOSPITAL. [Oct.
Showing the Results of Seventh Admissions.
Males.
Females.
Total.
Males.
Females.
Total.
Number of seventh admis-
sions ....
-
-
-
25
22
47
Discharged recovered .
14
15
29
improved .
5
4
9
not improved
3
1
4
Died
3
2
5
25
22
47
Showing the Results of Eighth Admissions.
Number of eighth admis-
sions ....
-
-
-
19
17
36
Discharged recovered .
9
12
21
improved .
9
3
12
not improved
1
2
3
19
17
36
Showing the Results of Ninth Admissions.
Number of ninth admissions,
15
14
29
Discharged recovered .
9
9
18
improved .
not improved
Died .....
4
1
1
4
-1
8
2
1
15
14
29
Showing the Residts of Tenth Admissions.
Number of tenth admissions,
12
13
25
Discharged recovered .
5
10
15
improved .
6
2
8
not improved
1
1
2
12
13
25
Showing the Results of Eleventh Admissions.
Number of eleventh admis-
sions .....
-
_
_
11
12
23
Discharged recovered .
3
8
11
improved .
6
3
9
not improved
1
1
2
Died
1
—
1
11
12
23
1881.] PUBLIC DOCUMENT— No. 23. 41
Shotting the Results of Twelfth Admissions.
Males.
Females.
Total.
Males.
Females.
Total.
Number of twelfth admissions,
Discharged recovered .
improved .
not improved
Died
3
4
1
1
8
1
11
5
1
1
9
9
9
9
18
18
Showing the Results of Thirteenth Admissions.
Number of thirteenth admis-
sions ....
-
-
-
7
8
15
Discharged recovered .
3
6
9
improved .
3
-
3
not improved
1
-
1
Remaining in the hospital
Sept. 30, 1881 .
—
2
2
7
8
15
Shoiving the Residts of Fourteenth Admissions.
Number of fourteenth admis-
sions ....
Discharged recovered .
improved .
3
2
5
8
2
5
5
5
5
10
10
Showing the Results of Fifteenth Admissions.
Number of fifteenth admis-
sions
Discharged recovered .
improved .
Died
4
4
2
3
5
2
-
2
—
1
1
4
4
Showing the Results of Sixteenth Admissions.
Number of sixteenth admis-
sions .....
-
-
-
2
2
4
Discharged recovered .
1
2
3
improved .
1
—
1
2
2
4
42 WORCESTER LUNATIC HOSPITAL [Oct.
Showing the Results of Seventeenth Admissions.
Males.
Females.
Total.
Males.
Females.
Total.
Number of seventeenth ad-
missions ....
Discharged recovered .
not improved
2
1
1
3
1
2
2
2
2
4
4
Showing the Results of Eighteenth Admissions.
Number of eighteenth admis-
sions. ....
-
—
—
2
2
4
Discharged recovered .
1
1
2
Died
-
1
1
Remaining in the hospital
Sept. 30, 1881 .
1
1
2
o
4
Showing the Results of Nineteenth Admissions.
Number of nineteenth ad-
missions ....
Discharged recovered .
improved .
1
1
1
1
1
1
1
1
2
2
Showing the Result of Twentieth Admission.
Number of twentieth admis-
sion .
Discharged recovered .
1
-11
Showing the Result of Twenty-first Admission.
Number of twenty-first ad-
mission .
Discharged recovered .
1
-11
1881.] PUBLIC DOCUMENT — No. 23.
Showing the Result of Twenty-second Admission.
43
Males.
Females.
Total.
Males.
Females.
Total.
Number of twenty-second ad-
mission ....
Discharged recovered .
-
1
1
-
1
1
Showing the Result of Twenty-third Admission.
Number of twenty-third ad-
mission .
Discharged recovered .
1
-11
44 WORCESTER LUNATIC HOSPITAL. [Oct.
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1881.] PUBLIC DOCUMENT — No. 23.
45
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PUBLIC DOCUMENT — No. 23.
47
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1881.]
PUBLIC DOCUMENT — No. 23.
49
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1881.]
PUBLIC DOCUMENT— No. 23.
51
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PUBLIC DOCUMENT — No. 23.
57
Residence of Private Patients admitted to the Hospital from
Jan. 1, 1871, to Dec. 31, 1880.
TOWNS.
No.
TOWNS.
No. j
TOWNS.
No.
Arlington .
6
Gardner
' 7
Paxton
3
Athol .
1
Grafton
2
Petersham
2
Andover
6
Greenfield .
1
Quincy
1
Amesbury .
1
Hopkinton
1
Rutland
1
Ashburnham
1
Hubbardston
2
Reading
2
Acton '.
5
Hudson
4
Royalston
4
Ayer .
5
Hingham
2
Revere
1
Ashland
2
Holden
2
Randolph
1
Abington
2
Holliston
5
Stow .
1
Attleborough
1
Haverhill
2
Stoneham
1
Boston
88
Holbrook
1
Sutton
4
Berlin
1
Hinsdale
1
Saugus
4
Blackstone .
5
Ipswich
1
Somerville
9
Brookline .
5
Lowell
28
Sudbury .
3
Brookfield .
3
Lynn
11
Southbridge
1
Brighton
2
Lancaster
4
Sturbridge
1
Bai're .
2
Lawrence
6
Sterling
2
Brockton
2
Leicester .
3
Salem
11
Brimfield .
3
Leominster
9
Springfield
1
Billerica
1
Littleton .
2
Swampscott
1
Boylston
1
Lexington
1
Shrewsbury
3
Belmont
1
Marlborough
4
Stoughton .
1
Bellingham
1
Maiden
1
Sherborn .
2
Beverly Farms .
2
Millbury
6
Spencer
5
Bolton
1
Manchestei
1
Townsend .
2
Beverly
4
Milford
7
Tewksbury
3
Chelsea
6
Medway
5
Tyngsborough .
1
Carlisle
1
Medfield
1
Templeton
1
Charlestown
23
Methuen
2
Upton
1
Cambridge .
33
Milton
1
Uxbridge .
1
Chicopee . .
1
Mendon
2
Webster .
8
Concord
3
Medford
3
Worcester .
121
Chilmark
1
Marbleheac
i !
1
Watertown
6
Charlton
2
Melrose
5
AVeymouth
4
Clinton
3
Monson
1
Waltham .
4
Dunstable .
2
Maple wood
1
West Brookfield,
3
Dedham
1
Newton
29
Westminster
3
Dennis
1
North borough .
4
Westborough
10
Dudley
2
Northbridge
2
Wakefield .
2
Danvers
7
Natick
5
Woburn
4
Dover .
1
Newburyport
12
Westford
2
Erving
1
North Dana
3
Wayland
2
Everett
4
North Brookfield
2
Warren
2
Essex .
3
Needham .
1
Walpole
2
Fitchburg .
12
Oxford
6
Warwick
1
Framingham
7
Peabody .
1
Wilbraham
3
Franklin
2
Princeton .
3
Winchendon
1
Foxborough
1
Plymouth .
1
West Boylston .
2
Falmouth .
1
Pittsfield .
1
Wenham .
i
Gloucester .
4
Pepperell .
1
Whitinsville
1
Natives .
654
Foreigners . 83
Total
737
58
WORCESTER LUNATIC HOSPITAL. [Oct.
Residence of Town . Patients admitted to the Hospital from
Jan. 1, 1871, to Dec. 31, 1880.
TOWNS.
No.
TOWNS.
No.
TOWNS.
No.
Abington .
2
Franklin .
i
3
Needham .
5
Auburn
14
Foxborough
3
New Bedford
2
Andover
10
Gloucester .
33
Natick
14
Athol .
3
Gardner
5
Newburyport
12
Ayer .
3
Grafton
11
Nantucket .
3
Acton .
5
Groton
1
North Brookfield,
6
Ashburnham
2
Georgetown
2
Newton
21
Arlington .
6
Haverhill .
17
Northbridge
9
Amherst
1
Holliston .
18
North Dana
1
Attleborough
2
Harvard
2
Oxford
8
Boston
141
Holyoke
2
Oakham
2
Beverly
4
Hudson
4
Orleans
1
Boylston
2
Hopkinton
17
Orange
1
Blackstone .
15
Hingham .
2
Paxton
1
Billerica
5
Hubbardston
1
Phillipston .
2
Brookfield .
4
Hamilton .
1
Palmer
1
Bedford
4
Holden
3
Plymouth .
1
Brighton
4
Hardwick .
1
Peabody
9
Barre .
3
Ipswich
2
Provincetown
1
Bellingham .
2
Lawrence .
45
Peru .
1
Bolton
3
Lynn .
27
Pittsfield .
1
Brimfield .
2
Lunenburg
7
Petersham .
2
Bradford
3
Lowell
66
Quincy
2
Berlin
2
Lexington .
6
Revere
3
Bernardston
1
Leicester .
13
Rutland
3
Belmont
2
Leominster
13
Royalston .
2
Clinton
15
Lancaster .
4
Reading
6
Charlestown
15
Leverett
3
Rockport .
10
Cambridge .
74
Littleton .
3
Rockland .
2
Charlton
4
Lynnfield .
2
Randolph .
2
Chelmsford .
3
Lincoln
4
Salem . .
30
Chelsea
5
Milton
5
Southborough
3
Concord
7
Medford .
18
Sherborn
1
Carlisle
3
Marblehead
12
Springfield .
4
Chatham
3
Middleborough .
1
Sandwich .
1
Chicopee
1
Medway
12
Southampton
1
Coleraine .
1
Maiden
12
Sturbridge .
5
Chester
1
Milford .
31
Somerville .
28
Dunstable .
5
Marlborough
20
Spencer
11
Dudley
3
Manchester
3
Saugus
5
Dracut
2
Maynard .
5
Shrewsbury
3
Danvers
9
Marion
1
Scituate
1
Douglas
4
Monson
1
Sterling
3
Deerfield
1
Millbury .
5
Southbridge
10
Dedham
2
Mendon
1
Swampscott
1
Essex .
4
Methuen .
4
Seekonk
1
Easton
4
Medfield .
1
Sudbury
1
Everett
2
Middleton .
1
South Andover .
1
Fall River .
1
Melrose
4
Sutton
6
Fitchburg .
26
Northfield .
2
South wick .
1
Framingham
12
Northborough .
1
Stow .
5
1881.] PUBLIC DOCUMENT — No. 23.
Residence of Town Patients, etc. — Concluded.
59
TOWNS.
No.
TOWNS.
No.
TOWNS.
No.
Salisbury .
South Abington .
Townsend .
Templeton .
Taunton
Tisbury
Tewksbury
Topsfield .
Upton
Uxbridge .
Wakefield .
1
1
1
2
1
1
1
1
3
7
22
Walpole
Winchendon
West Boylston .
Worcester .
Warren
Winchester
Westborough
West Brookfield,
Woburn
Watertown
2
6
3
141
3
7
13
2
21
9
Waltham .
Westminster
Westford .
Weymouth .
Windsor
Wilbraham
Webster
Wayland .
Wellesley .
Weston
30
3
4
7
1
1
12
4
2
1
Natives . 1,037
Foreigners . 445
Total . 1,482
State Patients admitted to the Hospital from Jan. 1, 1871, to
Dec. 31, 1880.
Natives
355
Foreigners
810
Total
1,165
60 WORCESTER LUNATIC HOSPITAL. [Oct.
PRODUCTS OF GARDEN AND FARM.
Apples 300 bushels
Asparagus 52 pecks
Blackberries 47 quarts
Beet-greens .... .... 4 pecks
Beets 207 bushels
Beans, shell 500 pecks
Cucumbers, early 25 doz.
Cucumbers for pickles . . . . • . . . 177 pecks
Currants 332 quarts
Cabbage 2,967 heads
Carrots 86 bushels
Corn, sweet 1,885 doz.
Celery 2,500 heads
Lettuce 2,475 heads
Leeks 2,600
Onions • . . 187 bushels
Okra 6 pecks
Pears 26 bushels
Parsley 25 bushels
Pease, green 596 peck
Parsnips 230 bushels
Peppers 3 bushels
Potatoes 750 bushels
Rhubarb 216 pecks
Radishes 3,000
Raspberries 35 quarts
Squashes, summer ....... 727
Squashes, winter 6,000 pounds
String-beans 264 pecks
Spinach 283 pecks
Sage . 12 pecks
Salsify • 82 pecks
Sweet marjoram ........ 4 pecks
Strawberries 2,787 quarts
Thyme 16 pecks
Turnips . . . 55 bushels
Turnips, ruta-baga 920 bushels
Tomatoes . 228 bushels
1881.] PUBLIC DOCUMENT — No. 23. 61
Mangel-wurzel beets 1,080 bushels
Hay and rowen 180 tons
Stock and swale hay 10 tons
Fodder-corn 75 tons
Rye-straw 8 tons
Buckwheat 7£ bushels
Rye 60 bushels
Milk 114,675 quarts
Pork 10,250 pounds
Beef .......... 6,366 pounds
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