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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. 

FIFTY-FIRST 

ANNUAL REPORT OF THE TRUSTEES 



e^aiJ' 



STATE LUMTIC HOSPITAL 



AT WORCESTER, 



SIXTH ANNUAL REPORT OF THE TRUSTEES OF THE TEMPORARY 
ASYLUM FOR THE CHRONIC INSANE. 



FOR THE YEAR ENDING- SEPTEMBER 30, 1883. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. ■ 

1884. 



;-^OUSe, iOSTOiv 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

ROBERT W. HOOPER, . . Boston. 

A. GEORGE BULLOCK Worcester. 

THOMAS H. GAGE, Worcester. 

FRANCIS H. DEWEY, Worcester. 

WILLIAM DICKINSON Worcester. 



RESIDENT OFFICERS. 



JOHN G. PARK, M.D., . 
ALBERT R. MOULTON, M.D., . 
EVERETT FLOOD, M.D., . 
JOHN A. HOUSTON, M.D., . 
FREDERICK H. DANIELS, M.D., 
GEORGE L. CLARK, . 
LILA J. GORDON, .... 
S. JOSEPHINE BRECK, 
HENRY S. GRAVES, , 



Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Steward. 

Matron. 

Clerk. 

Farmer. 



NON-RESIDENT OFFICERS. 



ALBERT WOOD, . 
KIMBLE R. SMITH, 



Treasurer. 
Engineer. 



Commaittoealt^ of SaBsatl^iisett^. 



TKUSTEES' EEPOET. 



To His Excellency the Govei'nor and the 

Honorable Council of the Commomvealih : 

The Trustees of the Worcester Lunatic Hospital beg leave 
to present their Fifty-First Annual Report. 

They have held their monthly meetings at the hospital, 
and frequent visits and inspections have been made at other 
times by individual members of the board. 

Never before in the history of the hospital has there been 
such a large number of patients as during the present yiear. 
The whole number in August was 750, and an average num- 
ber for the year of 712. 

To properly control and watch over the safety and to 
restore to health or improvement such a large number of 
patients, composed of individuals suffering from the various 
forms of mental malady, from the highest state of excite- 
ment to equally dangerous forms of depression, calls for care, 
foresight and experience on the part of officers and attend- 
ants such as can hardly be appreciated by the public. 

During the year just closed, no serious accident has oc- 
curred. No epidemic disease has invaded the hospital. 
The number of deaths has been unusually small, about live 
per cent., and the number of recoveries about twenty-seven 
per cent. 

The continuance of this recovery depends on the habits 
and the surroundings of these patients when returned to 
society. The hospital has done its best for them while 
here. 



& WOECESTER LUNATIC HOSPITAL. [Oct. 

The sale of land in the vicinity of the asylum goes on 
slowly, as it is sold lot by lot to persons who build on the 
premises at once. It was thought better policy to sell in this 
way than to let it fall into the hands of speculators. Some 
control is now had upon the class of buildings that are 
put up. 

The financial condition of the hospital has improved a 
little from that of last year. The receipts from all sources 
have been $144,962.96, the expenses $128,588.70, the items 
for which will be found in the Treasurer's report. 

The average cost for each patient is $3.46 a week. As 
this last sum exceeds the amount paid by state and town 
patients, it is made up by the receipts from private patients, 
who pay from $3.50 to $5.00 a week and upwards. 

The hospital receives not only the poor, but it is the refuge 
for any citizen of the Commonwealth who labors under a 
mind diseased. The number of cases of insanity is about 
equally divided between the rifch and the poor. None are 
exempt, the humble and the exalted are equally liable to 
seek for aid here, and it is but just that everything should 
be done for the comfort and happiness of all alike. 

There was at the beginning of the year a balance of 
$17,772.03 to the credit of the hospital. This has been 
increased by a small amount this year and serves as a work- 
ing capital, from which prompt payments for supplies are 
made at much better rates than could be had by a sj^stem of 
credit. 

One great need that is felt is occupation for the patients. 
All work is of course voluntary ; some find occupation in the 
garden or on the farm ; some in the laundry and kitchen ; 
but the great majority pass their time in idleness. 

Books are furnished to those who will read, amusements 
of various kinds to such as can enjoy them, and out-of-door 
exercise to all who can leave their rooms. Knitting for the 
women has lately been introduced with some success. About 
sixty or seventy patients took to this with great eagerness. 
Some learned to knit who had never done so before. Some 
who for months had been quite idle, became at once indus- 
trious. 

This work has been suspended in a great measure during 



1883.] PUBLIC DOCUMENT — No. 23. 7 

the summer months, when the patients pass most of the 
clay out of doors, but will now be resumed, we hope, more 
successfully and with good results. 

The Trustees desire to express their entire confidence in 
the faithfulness of the Superintendent and other officers and 
employes of the hospital in their respective duties. 

R. W. HOOPER, 
A. GEORGE BULLOCK, 
THOMAS H. GAGE, 
FRANCIS H. DEWEY, 
WM. DICKINSON. 



WORCESTER LUNATIC HOSPITAL. [Oct. 



OFFICERS A^D THEIR SALARIES. 



John G. Park, M. D., Superintendent, . 
Albert R. Moulton, M. D., Assistant Physician, 
Everett Flood, M. D., Assistant Physician, . 
John A. Houstan,M. D., Assistant Physician, 
Frederick H. Daniels, M. D , Assistant Physician 
George L. Clark, Steward, 
Lila J. Gordon, Matron, 
S. Josephine Breck, Clerk, 
Kimble R. Smith, Engineer, 
Albert Wood, Treasurer, 



$■2,500 00 

1,200 00 

900 00 

800 00 

800 00 

1,000 00 

450 00 

500 00 

1,000 00 

500 00 



VALUE OF PERSONAL ESTATE. 

September 30, 1883. 



Live stock on the farm, . . . . . . . $5,821 00 

Produce of farm on hand, 5,284 20 

Carriages and agricultural implements, .... 5,027 38 

IMachinery and mechanical fixtures, 29,406 20 

Beds and bedding in inmates' department, .... 24,575 67 
Other furniture in inmates' department, .... 16,326 13 
Personal property of State in Superintendent's depart- 
ment, 17,491 86 

Ready-made clothing, 780 07 

Dry goods, 1,077 66 

Provisions and groceries, ... . . . . . 5,216 49 

Drugs and medicines, 600 00 

Fuel, 4,615 00 

Library, 1,400 00 

Pipes and radiators 3-5,000 00 

$152,621 56 



1883.] 



PUBLIC DOCUMENT — No. 23. 



TKBASURER'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 September 30, 1883. 



Receipts. 

Cash on hand Sept. 30, 1882, 

Received of the Commonwealth for support of patients, 
of cities and towns, " *' 

of individuals, " " 

for interest, sale of produce, etc., 
belonging to patients, ..... 



. $17,772 


03 


24,923 


30 


83,193 76 


30,860 


86 


5,179 


26 


805 78 


$162,734 99 



The expenditures for the year have been as follows : — 



Provisions. 



Flour, 

Meal of all kinds, .... 

Fish, 

Meal for cooking, . . . 

Beans, potatoes and other vegetables, 

Sugar, 

Molasses and syrup 

Tea, 

Coffee, . 

Butter, . 

Cheese, . 

Fresh fruits. 

Eggs, salt and other groceries. 



Total for provisions (carried forioard) 



$6,155 


05 


9,672 


87 


1,585 


5 a 


633 


40 


2,967 


74 


3,436 


45 


654 58 


885 


53 


935 


97 


8,916 


59 


447 


87 


337 


56 


5,369 


60 


$41,898 50 



10 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Amoimt brought forward, 


. 141,898 50 


Salaries and wages^ 


39,395 53 


Grain, ...... 


. . . 35S 50 


Meal for stock, .... 


1,263 55 


Hay and pasturage. 


... 551 09 


Furniture, ..... 


.... 356 40 


Crockery and glass. 


. . . . . 529 03 


Tin%vare, ..... 


344 77 


Bedding and beds, 


2,109 46 


Straw, . . . . .- . 


476 74 


Furnishings, miscellaneous, . 


1,326 77 


Tools, ...... 


348 09 


Lights, ...... 


3,221 23 


Water, ...... 


2,331 67 


Fuel, . . . . . . 


. . . 11,005 48 


Soap, . . . . . 


971 48 


Medical supplies, .... 


950 71 


Live stock, ..... 


. . . . . 3,474 68 


Carriages, harness, etc., 


. . . 305 61 


Blacksmithing, .... 


'258 43 


Plants and seeds, . 


302 95 


Hardware, ..... 


233 61 


Lumber, ..... 


. . . . . 516 51 


Paints, oils, etc., . ' . 


. . . . 1,003 89 


Pipe and fittings, .... 


. ■ . . 848 15 


Lime, cement, etc., . . . 


... 48 15 


Eepairs, ordinary, .... 


... . . 1,424 99 


Fertilizers, ..... 


. . . . 528 91 


Stationery, . . . • • 


246 09 


Postage, ..... 


. . 173 40 


Transportation, . . . . 


... . . 409 91 


Travelling, ..... 


. . . . 155 52 


Trustees' expenses. 


. . 62 52 


Miscellaneous, . . . . 


. . . . . 1,684 22 


Labor, ...... 


. . . . 1,071 45 


Clothing and men's furnishings, . 


. . 4,087 55 


Dry goods, women, 


1,123 38 


Dry goods, house, .... 


1,719 60 


Boots and shoes, .... 


. . . . . 1,202 78 


Undertaking, .... 


272 50 


Total current expenses, 


. $128,588 70 


Money refunded, .... 


. . $96 74 


Refunded to patients, . 


. 620 36 


Extraordinary improvements, 


. 2,074 72 


Amounts carried forivard. 


. $2,791 82 $128,588 70 



1883.] 



PUBLIC DOCUMENT — No. 23. 



Amounts brought forward, .... $2,791 82 
Refunded to State Treasurer the balance of ap- 
propriation of 1882 for water supply not here- 
tofore returned, 7,284 13 



Total expenses, . 
Cash on hand September 80, 1883, 



Resources. 

Cash on hand, ...... 

Due from the Commonwealth, 

cities and towns, . . . 
cities and towns, previous quarters, 
individuals, 

Total resources, 



11 

$128,588 70 

10,075 95 

$138,664 65 
24,070 34 

$162,734 99 



i)24,070 34 

8,377 10 

20,308 87 

176 67 

7,782 81 

560,715 79 



Liabilities. 

Due for supplies and improvements, . 
for salaries and wages, . 

to patients, 

to be refunded to towns and cities, 



Total sui-plus, . . 
Hospital library fund, market value, . 



$5,109 81 

, 3,333 84 

, 1,398 34 

262 59 



10,104 58 
^50,6 11 21 
$5,804 55 



Kespectfully submitted. 

ALBERT WOOD, Treasurer. 



September 30, 1883. 



Worcester, Mass., Oct. 16, 1883. 

The undersigned has carefully compared the Treasurer's statement of expendi- 
tures for the year ending Sept. 30, 1883, with the vouchers which are on file at the 
hospital, and found it to be coiTcct. 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. 



supeei:n'tende]v[T's kepokt. 



To the Board of Trustees of the Worcester Lunatic Hospital. 

Gentlemen : — I herewith present the following fifty-first 
report of the hospital and its operations during the last 
year. 

There were in the hospital at the close of the last official 
year, Sept. 30, 1882, 351 males and 330 females; a total 
of 681. 

The number of admissions during the year has been 275 ; 
122 males and 153 females; making the whole number of 
cases under treatment, 956. 

The number of admissions represents 258 persons, 46 less 
than were admitted during the previous year. 

Twenty-four females were transferred from Danvers, 6 
females and 1 male from the McLean Asylum, 1 female from 
the State Almshouse at Tewksbury, 13 convicts from the 
State Prison at Concord, and 6 from the Reformatory Prison 
for Women at Sherborn. The largest number on any one 
day was 750, on August 10, which is about the capacity of 
the house, and the smallest number 671, on October 17. The 
number of discharges has been 225 ; 108 males, 117 females. 
Of this number 61 or 27.11 per cent, were recovered, 
27 much improved, 43 improved, 41 not improved and 53 
died, or 5.64 per cent, of the whole number of persons 
treated. 

Of those who recovered 12 had been former inmates of 
this hospital, of whom 9 had been discharged recovered; 2 
eight times, 1 four times, 1 three times, 1 twice and 4 once 
each; 3 had been discharged improved. These 12 per- 
sons thus represent 29 recoveries up to this year, and before 
they die will probably make a large addition to this 
number. 



1883.] PUBLIC DOCUMENT — No. 23. 13 

The general sanitary condition of the institution has been 
satisfactory, as the small percentage of the deaths and the 
usual good health of the inmates attest. 

Some changes whereby better ventilation of the water- 
closet hoppers would be obtained could be advantageously 
made by running the ventilating pipes into a heated shaft 
opening through the roof, thus securing at all times a cur- 
rent of air into it, whatever the temperature of the outside 
atmosphere might be. Brick shafts were put in adjacent to 
all the water-closets when the building was constructed, and 
sufficient heat to raise the temperature of the air in them a 
few degrees could be supplied by steam pipes. All the walls 
of the wards of the hospital but two on the male side have 
been painted. 

The wear and tear is so great in a large hospital for the 
insane that one spare ward should always be available when- 
ever repairs are needed in any of the others ; but as the 
Massachusetts hospitals are filled about as fast as they are 
built, most of the repairs have to be done with the wards 
occupied, or with temporary discomfort to the patients if 
they are vacated. 

The number of convict insane received this year suggests 
again the matter of their management, and the plan of sepa- 
rate provision for them which has been recommended in my 
previous reports is again renewed. The number of this 
class is yearly increasing, and some plan should be adopted 
which will lead to a better classification and allow of their 
employment. As at present provided for, the architecture of 
the State hospitals is such that the constant supervision 
which they require renders it necessary to restrict them 
much of their liberty and deny them of the privileges which 
other patients enjoy and which could be given them if a 
building should be erected for their special needs. With 
proper accommodations malingerers could be better watched, 
and the really insane convict could be put to some useful 
labor without danger of his escape. This is thus strongly 
recommended on purely practical grounds and entirely apart 
from any feeling of sentiment, though I am inclined to 
believe that the opposition to the mingling of the vicious 
classes of the community, after they become insane, with 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 

those unfortunate inmates of a hospital who have led upright 
and honorable lives, is a healthy sentiment which should 
receive due consideration. 

Fifteen or twenty acres of land, with perhaps four or five 
acres of it enclosed with a fence of suitable height, within 
which vegetables and small fruits could be cultivated ; a 
building, two stories high, for the accommodation of one 
hundred and twenty-five patients, the ground story to be 
used for sleeping rooms and the first for day rooms, dining- 
room and workshop ; each room constructed with no recesses 
or dark corners, so that the eye would be able to take in 
every part of it, — would furnish an establishment much 
better adapted for the care and cure of the criminal insane 
than any which the State now possesses. 

Information as to the subsequent history of persons who 
have been discharged from this hospital as recovered on 
their only admission, and on their last re-admission, as tabu- 
lated in Table 30, confirms the results shown in the same 
table last year. 

About 50 per cent, sufiered no relapse, but as no answers 
were received to one-third of the circulars sent, and taking 
into account the liability to relapse of those now reported 
well, 1 am inclined to believe that this percentage should be 
reduced one-half. 

It should be remembered that of the appropriation of 
$10,000 made by the State in 1882 for an additional water 
supply, $2,715.87, being the unexpended balance, with 
interest, was returned to the State Treasurer. Durins^ the 
present year $7,284.13, being the entire sum expended for 
this purpose, has been returned to the State. The whole 
appropriation of $10,000, therefore, was in effect but a 
temporary loan to the institution by the State, which has 
been paid back in full. No similar financial transaction is 
known to exist outside of an insane hospital in the history of 
appropriations for institutions of the Commonwealth. 

Since the last report two summer-houses have been built 
for the use of the male patients, and a boat-house, twenty- 
five feet square, has been constructed on the shore of the 
lake. 

The products of the farm have suffered from the long and 



1883.] PUBLIC DOCUMENT — No. 23. 15 

severe drouth of the year, but the first premium was 
awarded, as usual, to the hospital by the Worcester County 
Agricultural Society for the best display of vegetables. 

The report of the treasurer shows the total current ex- 
penses of the institutiou to be, exclusive of the extraordinary 
expenditures, $128,588.70. 

The average number of patients during the year has been 
713.43. The annual cost of each patient has therefore been 
$180.24, or 13.46 per week. 

At the commencement of the year. Dr. Ernest V. Scrib- 
ner was compelled on account ot his health to resign the 
position of second assistant physician. During his term of 
service he performed his duties in a most faithful and con- 
scientious manner. 

Drs. Flood and Houston were advanced to the positions 
of second and third assistants, respectively, and Dr. F. H. 
Daniels was appointed to the otiice of fourth assistant. 

Changes have also been made in the offices of farmer and 
clerk, Mr. Henry A. Graves being appointed to the former 
position, and Miss S. J. Breck to the latter. 

The officers and employes who remain have faithfully per- 
formed their various duties, which are always trying and 
perplexing, and frequently thankless. Emergencies which 
occur from sickness, or the discharge of unfit attendants, 
require from those who remain additional labor. It not 
infrequently happens that employes who have been on duty 
all day are suddenly called upon to sit up a part or the 
whole of the night. These extra duties have, as a rule, 
been readily and uncomplainingly assumed. 

In closing this report, I desire again to express my grati- 
tude for the aid and comfort and advice which your board 
has always given to me, and to which I owe whatever meas- 
ure of success I have achieved in the management of the 
hospital and its concerns during the last five years., 

JOHN G. PARK, 

Superintendent. 

October 1, 1883. 



STATISTICAL TABLES. 



1. General Statistics of the Year. 





Males. 


Females. 


Total. 


Patients in the hospital Sept. 30, 1882, 


361 


3.30 


681 


Admissions within the year. 


122 


153 


275 


Whole number of cases within the year, . 


473 


483 


956 


Discharges within the year, 


108 


117 


225 


Viz. : as recovered, 


33 


28 


61 


much improved, .... 


14 


13 


27 


improved, 


19 


24 


43 


unimproved, 


19 


22 


41 


Deaths, 


23 
365 


30 


63 


Patients remaining Sept. 30, 1883, 


366 


731 


Viz. : supported as State patients, 


132 


66 


188 


town patients, 


186 


246 


432 


private patients, . 


47 


64 


111 


Number of different persons within the year, 


465 


474 


939 


admitted, 


114 


144 


258 


recovered, 


31 


27 


58 


Daily average number of patients. 


359.01 


354.42 


713.43 



2. Monthly Admissions, Discharges and Averages. 



MONTHS. 


Admissiok 


s. 


Discharges 
(Including Deaths). 


Daily Aveeage or 
Patients in the House. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


1882. 




















October, 


8 


11 


19 


14 


12 


26 


346.09 


829.54 


674.63 


November, . 


6 


9 


15 


3 


4 


7 


346.63 


331.37 


678.00 


December, . 


7 


26 


33 


7 


11 


18 


349.16 


344.35 


693.51 


1883. 




















Januarv, 


7 


14 


21 


6 


13 


19 


349.35 


348.93 


698.28 


February, 


]2 


10 


22 


3 


5 


8 


367.03 


353.07 


710.10 


March, . 


10 


9 


19 


8 


7 


15 


368.93 


353.42 


712.35 


April, . 


19 


9 


28 


14 


6 


20 


365.33 


359.73 


725.06 


Mav, 


7 


28 


35 


9 


11 


20 


363.33 


367.83 


731.16 


June, 


11 


6 


17 


8 


24 


32 


362.46 


368.20 


73(1.66 


July, 


17 


16 


33 


6 


9 


15 


370.67 


360.10 


730.77 


August, . 


12 


11 


23 


17 


6 


23 


374.61 


369.35 


743.96 


September, . 


6 
122 


4 
153 


10 
275 


13 
108 


9 
117 


22 
225 


366.53 


367.23 


732.76 


Total of cases. 


359.01 


364.42 


713.43 


Total of per- 




















sons, . 


114 


144 


258 


107 


111 


118 


~ 


^ 


^ 



20 



WORCESTER LUNATIC HOSPITAL. [Oct. 



3. Received on First and Subsequent Admissions. 



NUMBER OF THE ADMISSION. 


Cases Admitted. 


Times Previouslt 
Eeooveked.- 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


First, 


101 


113 


214 








Second, . 




13 


27 


40 


3 


10 


13 


Third, . 




3 


5 


8 


2 


3 


5 


Fourth, . 




3 


1 


4 


2 


- 


2 


Fifth, . 




1 


1 


2 


4 


3 


7 


Sixth, . 




1 


2 


3 


- 


10 


10 


Tenth, . 




- 


1 


1 


- 


- 


- 


Eleventh, 




- 


1 


1 


- 


9 


9 


Fifteenth, 




- 


1 


1 


- 


- 


- 


Sixteenth, 




- 


1 


1 




11 


11 


Total of cases. 


122 


153 


275 


11 


46 


67 


Total of persons, . 


114 


144 


258 


7 


16 


23 



4. Ages of Persons Admitted for the First Time. 





At First Attack op 








AGES. 




Insanity 




When Admitted. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Fifteen years and less, . 


6 


3 


9 








From 15 to 20 years. 






5 


7 


12 


6 


4 


10 


20 to 25 years, 






9 


8 


17 


13 


6 


19 


25 to 30 years, 






13 


11 


24 


14 


12 


26 


30 to 35 years, 






9 


13 


22 


13 


15 


28 


35 to 40 years, 






12 


18 


30 


14 


15 


29 


40 to 50 years, 






12 


20 


32 


18 


24 


42 


50 to 60 years, 






9 


19 


28 


8 


22 


30 


60 to 70 years, 






7 


10 


17 


9 


10 


19 


70 to 80 years, 






3 


2 


5 


4 


5 


9 


Unknown, 






16 


2 


18 


2 


- 


2 


Total, . 






101 


113 


214 


101 


113 


214 



1883.] 



PUBLIC DOCUMENT — No. 23. 



21 



5. Besidence of Persons Admitted. 



PLACES. 


Males. 


Females. 


Total. 


Massachusetts, — 

Bristol County, . 
Essex County, . 
Hampshire County, 
Middlesex County, 
Norfolk County, . 
Plymouth County, 
Suffolk County, . 
Worcester County, 








1 

27 

26 
60 


2 

1 

26 

2 

1 

46 

66 


2 
1 

1 

53 
2 
1 

72 
126 


Total, . 








114 


144 


258 



6. Civil Condition of Persons Admitted. 



NUMBER OF 




Unmarried. 


Mareied. 


"Widowed. 


Unknown. 


THE ADMISSION. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Tenth, 

Fifteenth, 






46 
4 


41 
8 

3 

1 

1 

54 


87 

12 

3 

1 

1 


45 

3 
1 
3 

1 


52 

9 

1 


97 

12 

2 

3 

1 


6 
1 

7 


19 

3 
1 

1 
1 
1 
1 


25 
3 

2 

1 

1 
1 
1 

34 


4 
4 


1 

1 


5 


Total, 






50 


104 


53 


62 


115 


27 


5 



22 



WORCESTER LUNATIC HOSPITAL. [Oct. 



7. Occupations of Persons Admitted. 



OCCUPATIONS. 



Bookkeepei", . 

Basket maker, 

Barber and cigar dealer 

Blacksmith, . 

Bi'akeman, . 

Boatswain, . 

Brass band instrument maker. 

Bootmaker, . 

Boot treer, 

Companion, . 

Cabinet-maker, 

Cai'penter, 

Currier, 

Clerk, . 

Cigar maker, 

Clergyman, . 

Cook, . 

Domestic, 

Dressmaker, . 

Drummer, 

Farmer, 

Furniture polisher 

Gardener, 

Housekeeper, 

Hostler, 

Hotel porter, 

Hatter, . 

Iron moulder. 

Laborer, 

Lithographer, 

Machinist, 

Mechanic, 

Music teacher. 

Moulder, 

Milliner, 

Merchant, 

Nurse, . 

Operative, 

Physician, 

Painter, . 

Railroad laborer, 

Razor grinder. 

Spinner, 

Student, 

Salesman, 

Stone mason. 

Tinsmith, 

Teamster, 

Teacher, 

Tailor, . 

Carried forward, 



1 

19 

1 

1 

1 
1 
1 

2 
11 
1 
3 
2 



99 



1 

19 

5 



82 



2 
121 



1883.] 



PUBLIC DOCUMENT — No. 23. 



23 



7. Occupations of Persons Admitted — Concluded. 

L_ 



OCCUPATIONS. 



Females. 



Brought fonvard. 
Wire tester, . 
Wireworker, 
Wheelwright, 
Weaver, 
No occupation, 
Unknown, 

Total, . 



99 
1 
1 
1 
1 
9 
2 



114 



121 



21 
2 



144 



220 
1 
1 
1 
1 
30 
4 



258 



8. Reported Duration of Insanity before 


Last Admission 


• 




First Admission 


All Othek 








TO ANT Hospital. 


Admissions. 






























Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month, 


26 


16 


41 


5 


6 


11 


31 


21 


52 


From 1 to 3 months, 


11 


14 


25 


3 


4 


7 


14 


18 


32 


3 to 6 months. 


8 


9 


17 


4 


3 


7 


12 


12 


24 


6 to 12 months, 


6 


7 


13 


4 


6 


10 


10 


13 


23 


1 to 2 years, . 


5 


6 


11 


2 


8 


10 


7 


14 


21 


2 to 5 years, . 


8 


5 


13 


3 


14 


17 


11 


19 


30 


6 to 10 years, . 


3 


6 


9 


3 


11 


14 


6 


IV 


23 


10 to 20 years, . 


5 


3 


8 


2 


12 


14 


7 


15 


22 


Over 20 years, . 


2 


1 


3 


1 


6 


7 


3 


V 


iO 


Unknown, . 


20 


10 


30 


1 


7 


8 


21 


17 


38 


Total of cases, . 


94 


76 


170 


28 


77 


105 


122 


153 


275 


Total of persons. 


94 


76 


170 


20 


68 


88 


114 


144 


258 




Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Av'ge of known cases 


40.4 


19.8 


30.7 


58.5 


75-6 


70.8 


45.2 


40.O 


4V.1 



24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



9. Form of Disease in the Cases Admitted. 



rOEM OF DISEASE. 


Males. 


Females. 


Total. 


Mania, acute, 


29 


32 


61 


alcoholic, . . . 








5 


4 


9 


chronic, . 








22 


34 


56 


recurrent, . 








3 


6 


9 


epileptic, . 








1 


- 


1 


puerperal. 








- 


2 


2 


hereditary. 








4 


- 


4 


religious, . 








5 


1 


6 


suicidal, . 








- 


1 


1 


Melancholia, acute, 








17 


25 


42 


chronic, . 








5 


16 


71 


Dementia, chronic. 








6 


12 


18 


post paralytic. 








- 


1 


1 


senile, . 








5 


10 


15 


Epilepsy, . . . 








8 


8 


16 


General paralysis, 








9 


1 


10 


Imbecility, . 








1 


- 


1 


Idiocy, .... 








1 


- 


1 


Opium habit, 








1 


~ 


1 


Total cases, . 


122 


153 


275 


Total persons, 








114 


144 


258 



1883.] PUBLIC DOCUMENT — No. 23. 25 

10. Probable Causes of Insanity in Persons admitted. 





Patients 


p 


FEvions 


Hereditary 




AD5IITTED. 


Attacks. | 


PKliUISl'OSlTION. 


CAUSES. 






















Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Me7iial. 




















Anxiety and care, 


- 


2 


2 


- 


- 


- 


- 


1 


1 


Excessive mental labor, . 


4 


2 


6 


2 


1 


3 


- 


1 


1 


Fright, .... 


- 


1 


1 


- 


1 


1 


- 


1 


1 


Family trouble and priva- 




















tion, 


1 


- 


1 


- 


- 


- 


- 


— 


— 


Grief, .... 


- 


6 


5 


- 


2 


2 


- 


1 


1 


Hereditary, 


18 


21 


39 


7 


9 


16 


18 


21 


39 


Loss of property. 


- 


1 


1 


- 


1 


1 


- 


- 


- 


Love disappointment, 


1 


2 


3 


1 


- 


1 


- 


2 


2 


Mental anxiety. 


1 


1 


2 


- 


- 


- 


- 


- 


- 


Nostalgia, .... 


- 


1 


1 


- 


- 


- 


- 


- 


- 


Nervousness, 


1 


1 


2 


1 


1 


2 


- 


- 


- 


Religions excitement. 


3 


3 


6 


- 


- 


- 


- 


1 


1 


Spiritualism, 


1 


1 


2 


- 


- 


- 


- 


- 


- 


Trouble, . . . . 


1 


2 


3 


- 


- 


- 


- 


- 


- 


Worry, .... 


1 


5 


6 


- 


- 


- 


- 


1 


1 


Physical. 




















Abuse, .... 


— 


2 


2 


- 


1 


1 


- 


- 


- 


Army life, . 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Chorea, .... 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Epilepsy, . . ■ . 


6 


6 


12 


2 


1 


3 


1 


- 


1 


Fever, ... 


_ 


1 


1 


- 


1 


1 


- 


1 


1 


General paralysis. 


8 


1 


9 


1 


- 


1 


- 


- 


- 


Heart disease and trouble. 


_ 


1 


1 


- 


- 


- 


- 


- 


- 


Heart disease, . 


_ 


1 


1 


_ 


- 


- 


- 


- 


- 


Ill health, .... 


2 


12 


14 


_ 


3 


3 


- 


- 


- 


Injury to head, . 





2 


5 


- 


- 


- 


- 


1 


1 


Intemperance, . 


6 


9 


15 


- 


1 


1 


1 


1 


2 


Idiocy, .... 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Imbecility, 


1 


- 


1 


- 


- 


- 


- 


- 


- 


Kidney complaint and 




















liver trouble, . 


- 


1 


1 


— 


- 


_ 


_ 


— 


— 


Injury to hand and intem- 




















perance, . 


1 




1 


- 


- 


_ 


- 


- 


- 


Loss of sleep, . 


1 


_ 


1 


_ 


_ 


_ 


1 


- 


1 


Masturbation, . 


,5 


2 


r-f 
t 


2 


1 


3 


3 


- 


3 


Measles, .... 


1 


1 


2 


- 


- 


_ 


1 


- 


1 


Overwork, .... 


1 


7 


8 


- 


5 


5 


1 


2 


3 


Opium habit, 


1 


1 


2 


- 


1 


1 


- 


1 


1 


Injury to hand, . 


1 


- 


1 


1 


- 


1 


1 


- 


1 


Puerperal, .... 


_ 


7 


7 


- 


2 


2 


- 


2 


2 


Paralysis, .... 


- 


1 


1 


- 




- 


- 


- 


- 


Senility, .... 


2 


8 


10 


- 


3 


3 


1 


- 


1 


Sunsti'oke, .... 


3 


- 


3 


1 


- 


1 


1 


- 


1 


Syphilis, .... 


- 


2 


2 


- 


- 


- 


- 


- 


- 


Scarlet fever, . 


2 


- 


2 


— 


- 


- 


- 


— 


— 


Turn of life. 


_ 


7 


7 


_ 


3 


3 


- 


- 


- 


Unknown, .... 


39 


26 


65 


4 


. 4 


8 


- 




- 


Total,. 


118 


146 


264 


22 


41 


63 


29 


37 66 



26 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



11. Relation to Hospital of Persons Admitted. 



HOSPITAL .RELATIONS. 


Males. 


Females. 


Total. 


First admission to any hospital for insane, . 
Former inmates of this hospital, .... 
Former inmates of other hospitals in this State, — 

Danvers, 

Northampton, 

McLean, . . 

Dr. Russell's, 

Boston Lunatic, ...... 

Herbert Hall, 

of Concord, N. H., 

of Butler Asylum, ...... 

of New York Hospital, 

of California, ....... 

of English Asylum, 


94 
13 

1 

1 
2 

1 
1 
1 


76 
31 

23 
1 
8 
1 
1 
1 
1 
1 


170 

44 

23 
2 
8 
1 
2 
1 
3 
1 
1 
1 
1 




114 


144 


258 



12. How Supported. 





Patients Admitted. 


AVEKAGE OF THE 


Year. 


SUPPORTED AS 


Male. 


Female. 


Total. 


Male. 


Female 


Total. 


State patients, . 
Town patients, . 
Private patients. 


47 

48 
19 


39 

88 
27 


86 

136 
46 


105.22 

204.70 

49.09 

859.01 


46.49 
246.90 

61.03 
354 42 


151.71 
45160 
110.12 


Total, . . 


114 


144 


258 


713.43 



1883.] 



PUBLIC DOCUMENT — No. 23. 



27 









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28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



14. Cases Discharged Recovered. — Duration. 





DUKATIOIf BEFOEE 


Hospital 


Whole duration 




Admission. 


Residence. 


FROM 


THE Attack. 


PERIOD. 




















Ma. 


J^e. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month, 


10 


11 


21 


4 


2 6 


I 




1 


From 1 to 3 months, . 


6 


9 


15 


11 


9 20 


7 


5 


12 


3 to 6 mouths, . 


2 


2 


4 


7 


8 


15 


2 


8 


10 


6 to 12 months, . 


2 


- 


2 


5 


6 


11 


5 


6 


11 


1 to 2 years. 


3 


1 


4 


4 


3 


7 


6 


4 


10 


2 to 5 years, 


3 


3 


6 


2 


- 


2 


4 


3 


7 


5 to 10 years, 


2 


- 


2 


- 


- 


- - 


3 


- 


3 


Unknown, 


5 


2 


7 
61 


- 


- 


61 


5 


2 


7 


Total of cases. 


33 


28 


33 


28 


33 


28 


61 


Total of persons, . 


33 


26 


59 


33 


26 


69 


83 


26 


69 


Average of known cases 


13.9 


6.8 


10.4 


9.8 


5.6 


7.9 


21.4 


11.4 


17. 



15. Cases Resulting in Death. — Duration. 





Duration befoke 


Hospital 


Whole duration 


PERIOD. 


Admission. 


Residence. 


FROM 


THE Attack. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Under 1 month, . 


3 


4 


7 


7 


4 


11 


2 


2 


4 


From 1 to 3 months, . 


2 


9 


4 


2 


6 


8 


2 


1 


3 


3 to 6 months, . 


1 


1 


2 


_ 


2 


2 


_ 


- 


_ 


6 to 12 months, . 


1 


5 


6 


4 


4 


8 


1 


3 


4 


1 to 2 years, . 


- 


4 


4 


7 


4 


11 


1 


6 


6 


2 to 5 years, . 


7 


10 


17 


3 


5 


8 


5 


8 


13 


6 to 10 years, . 


3 


1 


4 


- 


3 


3 


5 


6 


11 


10 to 20 years, • 


2 


2 


4 


_ 


2 


2 


3 


4 


7 


Unknown, . 


4 


1 


5 


- 


- 


- 


4 


1 


5 


Total, . 


23 


30 


53 


23 


30 


53 


23 


30 


53 




Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Average of known cases 


51.3 


41. 


45.1 


11 


39.6 


27.2 


66. 


75.9 


51.4 



1883.] 



PUBLIC DOCUMENT — No. 23. 



29 



16. Cases Discharged by Recovery or Death. 



FORM OF INSANITY. 






Kecovekies. 


Deaths. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Mania, acute, . 
alcoholic, 
a potu, . 
chronic, . 
epileptic, 
hereditary, 
i-ecurrent, 
suicidal, . 

Melancholia, acute, 

chronic, 

Epilepsy, . 

Moral insanity, . 

General paralysis, 

Imbecility, . 

Dementia, chronic, 
senile, 
paralytic, 










14 
3 

1 

3 
1 

2 

4 
3 
1 
1 

83 
33 


13 
1 

1 

1 
3 

1 
7 
1 

28 
26 


27 
4 
1 
4 
1 
1 
5 
1 

11 
4 
1 
1 

61 

o9 


3 

7 

1 

2 
2 

5 

1 

2 


3 
6 

2 
2 
4 

1 

4 
7 
1 


6 
13 

3 
4 
6 

5 
1 
5 
9 
1 


Total of cases, 
Total of persons 




23 
23 


30 
30 


53 

53 



30 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



17. Causes of Death. 



CAUSES. 


Males. 


Females. 


Total. 


Exhaustion of chronic mania, 


2 


1 


3 


of acute mania and pneumonia 


- 


1 


1 


of acute mania and phthisis, 


1 


- 


1 


of chronic mania, 


2 


- 


2 


of chronic mania with dysenten 


h 


1 


1 


of chronic mania and diarrhoea 


, - 


1 


1 


of chronic dementia, 


1 


1 


1 


of chronic mania and ery- 








sipelas, .... 


1 


- 


1 


of senile dementia, . 


1 


7 


8 


of chronic melancholia. . 


1 


2 


3 


of senile dementia with erysip- 








elas, .... 


1 


- 


1 


Paralytic dementia. 




- 


1 


1 


Melancholia and paral3 


sis, . 


1 


- 


1 


General paralysis, 




5 


- 


5 


Epilepsy, 




4 


3 


7 


Suicide, . 




1 


— 


1 


Phthisis pulmonaris, 




2 


5 


7 


Chlorosis, 




— 


2 


2 


Acute nephi'itis and cardiac disease, . 


- 




1 


Rheumatic pericarditis, 


- 




1 


Brain disease, 


— 




1 


Phlebitis, 


- 




1 


Pulmonary haemorrhage, 


- 




1 


Total, . 


. 


23 


30 


53 



1883.] 



PUBLIC DOCUMENT — No. 23. 



31 



18. Deaths, Classified by Results of Previous Admissions. 



NUMBER OF THE ADMISSION 




Recoveeed. 


Improved. 


Unimpkoved. 


Total. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Seventh, 

Eighth, 

Ninth, 

Tenth, 

Eleventh, 

Twelfth, 

Thirteentl 

Total 


1, 








1 

1 


2 
-1 

1 
1 

11 


2 

1 

2 
10 


1 
1 

2 


1 

_ 

\ 

3 


2 

1 

1 
1 

6 


- 


1 
1 


1 
1 


1 
1 

1 

8 


3 
14 


4 
2 

2 

18 



19. Recoveries, Classified by Results of Previous Admissions. 



NUMBER 
OF THE ADMISSION. 




Recovered. 


Impkoved. 


Unimproved. 


Total. 




Ma. 


Fe. 


TotJ 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Seventh, 

Eighth, 

Ninth, 

Tenth, 

Total 










2 
2 
2 
1 
1 
1 
1 

1 
11 


6 

15 


8 
3 
3 

2 
2 
2 
2 

1 
2 

1 
26 


2 

1 

3 


1 

1 

2 


3 

1 

1 
5 


_ 


- 


_ 


4 

2 
2 

14 


7 
2 

17 


11 

4 
3 
2 
2 
2 
2 
2 
2 
1 

31 



32 



WOECESTER LUNATIC HOSPITAL. [Oct. 



20. Deaths, Classified by Duration of Insanity and of Treatment. 









Duration of Insanitt. 


Whole Known Period of 
Hospital Kesidenoe. 


PEEIOD. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Under 1 month, . 


2 


2 


4 


7 


4 


11 


From 1 to 3 months, 






2 


1 


3 


1 


7 


8 


o to 6 months, 






- 


- 


- 


- 


2 


2 


6 to 12 mouths, 






1 


8 


4 


4 


3 


7 


1 to 2 years, 






1 


4 


5 


7 


3 


10 


2 to 5 years, 






6 


8 


14 


4 


5 


9 


5 to 10 years, 






5 


6 


11 


- 


3 


3 


10 to 20 years. 






- 


2 


2 


- 


2 


2 


Over 20 years. 






2 


3 


5 


- 


1 


1 


Unknown, 






4 


1 


5 


,- 


- 


- 


Totals, . 


23 


30 


53 


23 


30 


53 




Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Mos. 


Average of known cases. 


65.5 


SI. 5 


55.8 


13.7 


i!5.7 


21. 



21. 


Ages of tl 


ose ivJi 


Died 


• 








At time of First Attack. 


At TiJtE of Death. 


AGES. 
















Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Under 15 years, . 


. 


3 


3 


_ 


_ 


_ 


From 15 to 20 vears, 






2 


1 


3 


- 


1 


1 


20 to 25 years. 








2 


3 


3 


1 


4 


25 to 30 years. 








3 


4 


- 


8 


3 


30 to 35 years. 








1 


2 


2 


8 


5 


85 to 40 years, 








1 


2 


1 


3 


4 


40 to 50 years, 








6 


13 


6 


8 


14 


50 to 60 years. 






3 


6 


9 


6 


5 


11 


60 to 70 years. 






2 


4 


6 


2 


4 


6 


70 to 80 years. 






2 


3 


5 


2 


2 


4 


Over 80 years, 






- 


- 


- 


1 


- 


1 


Unknown, 






3 


- 


3 


- 


- 


- 


Totals, . 






23 


80 


53 


23 


30 


53 



1883.] PUBLIC DOCUMENT— No. 23. 



33 



22. Number of Convicts admitted to the Hospital from its opening 
Jan. 19, 1833, to Sept. 30, 1883. 





Males. 


Females. 


Total. 


Number upon first admissions, . 
Number upon readmissions. 


391 
43 


68 

7 


459 

50 


Total, 


434 


75 


509 



34 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 > 1 




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■sai'Braaj; 


1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


Admitted. 

1 


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CO -^h' u^*" to h-" <» C^ O ^'" fN w" ^'' "O" t©" t^ CO Oi O T-H 
COOOQOCOCOOOOOOOOOCOCOGOaOCOOCCOCOCO^ 



1883.] PUBLIC DOCUMENT — No. 23. 



35 



I I I I I I 



I I I I I 



I I I I I 



I I I I I 



I -f -o — ^ t^ 



I I T-i O (>- CO o-i 



1 CC CO T-H CI 00 j 'O 



I CM G^l I "S C-i 



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I I I I I 



I I I I I 



I ^ CM .>! lO GO era 



I I I I I 



I I I CO :o o CO 



I I I I I 



I I I CM — OS 



I I I I I 



I I I CM lO lO CO 



I I 



1 I 1 I -o '^ 



I I I I I 



I I I I I 



I I . I I o o o 



I I I I I I I 



era O I— I lO CO lO — ' irj CO -H< t-^ 1^ C5 >» CO iC -l< I-^ — < 00 — ' t2 CO t^ O CM O CO iC CO "O -+I 
^-Vj .— -|< r^ ^5 lO >0 CC OO -f -f CO lO cm O ■— CO 30 cm O' O r^ 00 cc to -f C: 00 O ^ ^^ 
CM CM CM ^-i 1— I .— • C-J I— I ■— ■ .— I ,— I ,— ,— . ,— I CM <M 'M CM (M CO CO CO CM C^^ CM CM — i— CM CM iM 



OO' CO CC iCt' C^ CO O CO >C CM O lO <0> CTi O CO O-l ^^ CO -H O -^ .— I O ~ lO C: CTi T-i O O CO 
— '— (M00CC:C0r^I>C5!>-t>-'Ot>-OO5C5'>I— f'OCMLC>OCO'— iCOOO-Ti — QOO— ^ 



T-i h- lo ;r CO <r3 — ^ oi X' CM CM 'M CO CO CO t~- (M CO CO -H — ' c~i 'C t^ o CO o c^ '-i' ^ cr T- 1 
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ooco. cO'OOoocococooocooooO'ajc»cocoacco-oocx)occocoX)cocO'COooccaoocco 



36 



WORCESTER LUNATIC HOSPITAL. [Oct. 






55, 




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Remaining of each 
Year's Admissions. 


•i«;oi 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <-<•-< 1 




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1 1 ' 1 1 1 1 1 1 1 1 1 1 1 




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t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




•S&IBPI 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




o 

a 

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•IB^ox 


1 1 1 1 1 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 




■saiBni8j[ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




■sa[Bi\r 


1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 i 




ft 
a 

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1 1 1 1 1 1 1 1 1 i 1 1 ! 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




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a 
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1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 




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a 

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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 





a 

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rHi— It— i(T-10I(J<l(MCO(y5COCOCOCOCO 




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T-HO.OC5-*'— 'Oico-^-^-^iocoiiocoyS'-ir^h- 
i-i ,-H ,-f (X T-H i-i (M (M (N Tji CC (N (M CO (M (M 




YEARS. 














CO H^" o so r-~" od" oi" cT ^ c>r CO ■*'" o CD t^"" CO en o — • 

COCOCOCOC'OrDCO-ti^-*i-l'-*'*'-i<-+'-*-f"0'0 
COQOOOOOOOGOODOOCOOOCOGOOOOO'X'QOaOOOOO 



1883.] 



PUBLIC DOCUMENT — No. 23. 



37 



1-1 — Oi CO ^-0 :.? -Q l^ GO •:<;: t> 


CO 


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>— CO 


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1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 <M r-< r-< 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '-^ 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 r- 1 1 r-f 1 rH 3^1 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 --1 1 1 1 1 —< 1 (M CM 


CO 


lllllllllllllllll||||||'-llll->l'-(M 


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1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .- 1 


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1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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llllllllllllllllllllllllll<->ll|-rt<(X) 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 '^ t 1 1 '-H (M 


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38 



WORCESTER LUNATIC HOSPITAL. [Oct. 



00 



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1 1 1 i 1 1 1 1 1 1 1 — CM 


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CO CO CO ^C CC CO CC CC CC CC CO CO CO 
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1883.] 



PUBLIC DOCUMENT — No. 23. 



39 



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40 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



26. Shoiving the Results of First Admissions. 





Males. 


Females. 


Total. 


Slales. 


Females. 


Total. 


Number of persons on first 














admission, . 


- 


- 


- 


5,033 


4,870 


9,903 


Discharged i-ecovered, . 


1,746 


1,740 


3,486 


- 


- 


. - 


improved, . 


1,310 


1,328 


2,638 


- 


- 


- 


not improved, 


907 


832 


1,739 


- 


- 


- 


not insane, . 


3 


2 


5 


— 


— 


— 


Died, .... 


786 


700 


1,486 


- 


- 


- 


Eloped, .... 


6 


- 


6 


- 


- 


- 


Remaining in the hospital 














Sept. 30,4883, . 


275 


268 


543 


5,033 


4,870 


9,903 



Showing the Results 


of Readmissions. 






Number of readmissions, . 






_ 


1,693 


1,639 


3,332 


Discharged recovered, . 


635 


683 


1,318 


- 


- 


- 


improved, . 


463 


422 


885 


- 


- 


- 


not improved, . 


298 


262 


560 


- 


- 


- 


Died 


207 


174 


381 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1883, . 


90 


98 


188 


1,693 


1,639 


3,332 



Showing the Results of 


Second Admissions 


• 




Number of second admis- 














sions, . 


- 


- 


- 


1,007 


999 


2,006 


Discharged recovered, . 


329 


346 


675 


- 


- 


- 


improved, . 


267 


275 


542 


- 


- 


— 


not improved, . 


209 


186 


395 


- 


- 


- 


Died, ..... 


142 


124 


266 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1883, . 


60 


68 


128 


1,007 


999 


2,006 



1883.] 



PUBLIC DOCUMENT — No. 23. 



41 



Showing the Results of Third Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of third admissions, 






_ 


326 


289 


615 


Discharged recovered, . 


1.34 


130 


264 


- 


- 


- 


improved, . 


87 


69 


156 


- 


- 


- 


not improved, . 


49 


41 


90 


- 


- 


- 


Died, 


41 


29 


70 


— 


- 


- 


Remaining in the hospital 














Sept. 30, 1883, . 


15 


20 


34 


326 


289 


615 



Showing the Results of Fourth Admissions. 



Number of fom-th admissions, 


_ 






140 


125 


265 


Discharged recovered, . 


62 


58 


120 


- 


- 


- 


improved, . 
not improved, . 
Died, 


42 


38 

18 

9 


80 
39 
16 


- 


- 


- 


Remaining in the hospital 
Sept. 30, 1883, . 


8 


2 


10 


140 


125 


265 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








68 


66 


134 


Dischai'ged recovered, . 


32 


38 


70 


- 


- 




improved, . 


15 


13 


28 


- 


- 


- 


not improved, . 


8 


8 


16 


- 


- 


- 


Died, 


8 


4 


12 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1883, . 


5 


3 


8 


68 


66 


134 



Showing the Residts of Sixth Admissions. 



Number of sixth admissions, 






_ 


37 


36 


73 


Discharged recovered, . 


22 


20 


42 


- 


- 


- 


improved, . 


7 


8 


15 


- 


- 


- 


not improved, . 


3 


2 


5 


- 


- 


- 


Died, 


3 


3 


6 


- 


— 


— 


Remaining in the hospital 














Sept. 30, 1883, . ... 


2 


3 


5 


37 


36 


73 



42 



WORCESTER LUNATIC HOSPITAL. [Oct. 



SJioiomg the Results of Seventh Admissions. 





Males. 


Females. 


Total. 


Males. 


Females. 


Total 


Number of seventh admis- 














sions, ..... 


- 


- 




25 


23 


48 


Discharged recovered, . 


14 


16 


30 


- 


- 


- 


improved, . 





4 


9 


- 


- 


- 


not improved, . 


3 


1 


4 


- 


- 


- 


Died, 


3 


2' 





25 


23 


48 



Shoioing the Results of Eighth Admissions. 



Number of eio-hth admissions, 








19 


18 


37 


Discharged recovered, . 


9 


13 


22 


- 


- 


- 


improved, . 


9- 


3 


12 


- 


- 


- 


not improved, . 


1 


2 


3 


- 


- 


- 


Died, . . . . 


— 


— 


— 


19 


18 


37 



Shoioing the Residts of Ninth Admissions. 



Number of nin;h admissions, 








15 


15 


30 


Discharged recovered, . 


9 


10 


19 


- 


- 


- 


improved, . 
not improved, . 


4 
1 


4 

1 


8 
2 


— 


- 


— 


Died, 


1 


— 


1 


15 


15 


30 



Showing the Results of Tenth Admissions. 



Number of tentli admissions, 








13 


14 


27 


Discharged recovered, . 


6 


11 


17 


_ 


_ 


_ 


improved, . 


6 


2 


8 


_ 


- 


_ 


not improved, . 


1 


1 


2 


13 


14 


27 



1883.] 



PUBLIC DOCUMENT — No. 23. 



43 



Slwiving the Results of Eleventh Admissions. 





Males. 


Females. 


Total. 


Males. 


Females 


Total. 


Number of eleventh admis- 














sions, ..... 


- 


- 


- 


11 


13 


24 


Discharged recovered, . 


3 


9 


12 


- 


- 


- 


improved, . 


6 


3 


9 


- 


- 


_ 


not improved, . 


1 


1 


2 


- 


- 


- 


Died, 


1 


— 


1 


11 


13 


24 



Showing the JResults of Twelfth Admissions. 



Number of twelfth admis- 














sions, 


- 


_ 


_ 


9 


9 


18 


Discharged recovered, . 


3 


8 


11 


_ 


- 


_ 


improved, . 


4 


1 


, 5 


- 


- 


- 


not improved, . 


1 


- 


1 


- 


_ 


- 


Died, 


1 


~ 


1 


9 


9 


18 



Shoioing the Results of Thirteenth Admissions. 



Number of thirteenth admis- 














sions, . .... 


- 


- 


- 


7 


8 


15 


Discharged recovered, . 


3 


7 


10 


- 


_ 


- 


improved, . 


3 


- 


3 


_ 


- 


- 


not improved, . 


1 


- 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 3U, 1883, . 


— 


1 


1 


7 


8 


15 



Shoiving the Residfs of Fourteenth Admissions. 



Number of fourteenth admis- 














sions, ..... 


- - 


- 


- 


5 


7 


12- 


Discharged recovered, . 


3 


5 


8 


_ 


- 


_ 


improved, . 
Died, 


2 


1 
1 


3 

1 


5 


7 


12 



44 WORCESTER LUNATIC HOSPITAL. [Oct. 



Shoioing the Results of Fifteenth Admissions. 






Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of fifteenth admis- 
sions, ..... 
Discharged recovered, . 
improved, . 
Died, 


2 

2 


3 
1 

1 


6 
3 

1 


4 
4 


5 
5 


9 
9 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 
sions, 

Discharged recovered, . 
improved, , 

Remaining in the hospital 
Sept. 30, 1883, . 









2 


3 


1 


2 


3 


- 


- 


1 


- 


1 


- 


- 


- 


1 


1 


2 


3 



Shoioing the Results of Seventeenth Admissions. 



Number of seventeenth ad- 
missions, . . . . 
Discharged recovered, . 

not improved, . 









2 


2 


2 


1 


3 


- 


- 


~ 


1 


1 


2 


2 



SJwwing the Results of Eighteenth Admissions. 



Number of eighteenth admis- 














sions, 


- 


- 


- 


2 


2 


4 


Discharged recovered, . 


1 


1 


2 


- 


- 


- 


improved, . 


1 


- 


1 


- 


- 


- 


Died, 


~ 


1 


1 


2 


2 


4 



Showing the Results of Nineteenth Admissions. 



Numbe-r of nineteenth admis- 
sions, . . . . 
Discharged recovered, . 
improved, . 









1 


1 


- 


1 


1 


- 


- 


1 


— 


1 


1 


1 



1883.] PUBLIC DOCUMENT — No. 23. 45 



Showing the Results of 


Twentieth Admissions. 




H 


Males. 


Females. 


Total. 


Males. 


Females. 


Total. 


Number of twentieth admis- 
sions, . .... 
Discharged recovered, . 


- 


1 


1 


- 


1 


1 



SJiowing the Results of Twenty-first Admissions. 



Number of twenty-first ad- 
missions, ... 
Discharged recovered, . 



Showing the Results of Tiventy- second Admissions. 



Number of twenty-second ad- 
missions, . . . . 
Discharged recovered, . 



Showing the Results of Twenty-third Admissions. 



Number of twenty-third ad- 
missions, . . . . 
Discharged recovered, . 



46 



WORCESTER LUNATIC HOSPITAL. [Oct. 






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CM-*CO'rhliOCOt^t><C>CC>GOCr5000COC5QO<X)OOr-IO 



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COCOCOCOCOCO^-tH'*-^-*i^^*i-*^-*'OiO>OlO 

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COCO^i-OCOr^GOO^O'-'IMCO-^'O'-DO'COO^Oi— 1^1 
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1— Ir-ii— li— it-Hi-Ht— IT-Ii— Ir-li—lr-li— IrHi— IrHr-ll-ll— iT-HrH 



1883.] 



PUBLIC DOCUMENT — No. 23. 



47 



1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 It-II I 1 Ir-H— HlfMr-J-^COCMCO 


CO 1 


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1 1 1 1 1 1 1 ( 1 1 1 1 1 1 1 1 1 1 1 1 1 — T— . 1 1 r-l CO iC ^S r> 


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48 



WORCESTEE LUNATIC HOSPITAL. [Oct. 



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1883.] 



PUBLIC DOCUMENT — No. 23. 



49 



IC^ I I i <-< |r-lTHr-l(^>>-l I ICOCOlMOOt^tMOr-ICCOCOtM— Ir-JC-Scn |^ 

T-(T— ICMCOiOtOCOt^-COCCt^ CO 
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50 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1883.] 



PUBLIC DOCUMENT — No. 23. 



51 



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1883.] 



PUBLIC DOCUMENT — No. 23. 



53 



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54 WORCESTER LUNATIC HOSPITAL. [Oct. 



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1883.] 



PUBLIC DOCUMENT — No. 23. 



59 



30. Subsequent history of 834 persons who have teen discharged 
from this hospital as recovered on their only admission and on 
their last readmission. 





Males. 


Females. 


Total. 


Remained well and living at time of reply, . 


81 


88 


169 


Remained well through life, 


88 


121 


209 


Relapsed, admitted to other hospitals and died 








there, 


25 


22 


47 


Relapsed, admitted to other hospitals and dis- 








charged, 


31 


26 


57 


Relapsed, admitted to other hospitals and there 








now, 


9 


15 


24 


Relapsed and died at home, 


40 


48 


88 


Relapsed and died at almshouse, . . . 


21 


14 


35 


Relapsed and living at almshouse, .... 


4 


3 


7 


Relapsed and living at home, .... 


14 


18 


32 


Relapsed and nothing more known. 


6 


1 


7 


Suicides, 


21 


12 


33 


Relapsed and died in Andersonville prison, . 


1 


- 


1 


Total, 


340 


368 


708 


No information, 


- 


- 


146 




- 


- 


854 



Residence of Private Patients admitted to the Hospital from Oct. 1 . 
1882, to Sept. 30, 1883. 



TOWNS. 


No. 


TOWNS. 


No. 


Abington, .... 




Medford, .... 


1 


Blaekstone, . 








Newton, . 








2 


Braintree, . 








Princeton, 








1 


Billerica, 








Royalston, 








2 


Boston, 








Saugus, . 








1 


Chesterfield, 








Spencer, . 








2 


Dedham, 








Shirley, . 








1 


Gardner, 








Southbridge, 








1 


Grafton, 








Southborough, 








1 


Groton, 








Townsend, 








. 1 


Hubbardston, 








Upton, 








1 


Lexington, . 








Waltham, 








2 


Leominster, 








Webster, . 








1 


Leicester, . 






2 


Worcester, 








11 


Lincoln, 
Milford, 






1 
2 










Total, .... 


51 



Natives, 50 

Foreigners, . 1 

Total, . 51 



60 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Residence of Town Patients admitted to the Hospital from Oct. 1, 
1882, to Sept. 30, 1883. 



Foreigners, 
Natives, . 

Total, 



TOWNS. 


No. 


TOWNS. 


No. 


Ayer 


2 


Melrose, . . . . 


1 


Ashland, 






1 


Mendon, . 






1 


Attleborough, 






1 


Newton, . 






6 


Billerica, 






2 


Natick, . 






2 


Brookfield, . 






2 


Nantucket, 






1 


Boston, 






34 


Petersham, 






1 


Boxborough, 






1 


Kevere, . 






1 


Clinton, 






8 


Royalston, 






1 


Cambridge, . 






4 


Randolph, 






1 


Chelsea, 






1 


Saugus, . 






1 


Concord, 






1 


Sturbridge, 






2 


Framingham, 






6 


Spencer, . 






3 


Fitchburg, . 






6 


Shirley, . 






2 


Gardner, 






1 


Sutton, 






2 


Groton, 






1 


Sudbury, . 






1 


Grafton, 






2 


Southborougb, 






1 


Gloucester, . 






1 


Somerville, 






1 


Hubbardston, 






1 


Stow, 






1 


Hopkinton, . 






1 


Shrewsbury, 






1 


Hanover, 






1 


Townsend, 






1 


Littleton, 






1 


Templeton, 






1 


Leominster, 






2 


Worcester, 






9 


Lancaster, . 






1 


Wallham, 






2 


Lowell, 






1 


Westminster, 






1 


Leicester, . 






1 


Westborough, . 






1 


Lunenburg, . 






1 


AVestford, 






1 


Maynard, 






1 


Wellesley, 






1 


Miltbrd, 






9 


Winchendon, 






1 


Millbury, . 






2 








Marlborough, 






3 


Total, . 


143 


Manchester, 






1 







52 
91 

143 



State Patients admitted to the Hospital from Oct. 1, 1882, to 
Sept. 30, 1883. 



Natives, . 
Foreigners, 



91 



Totals, 



143 



1883.] 



PUBLIC DOCUMENT — No. 23. 



61 



PRODUCTS OF FAEM 



Furnished to the Hospital for the Year ending Sept. 30, 1883. 



Apples, 

Asparagus, . 

Beans, shell. 

Beans, string. 

Beets, . 

Blackberries, 

Beef, . 

Cabbage, 

Corn, green, 

Carrots, 

Celery, 

Cauliflower, . 

Cucumbers, early. 

Cucumbers, for pickk 

Currants, 

Cherries, 

Cider, . 

Eggs, . 

Egg plant, . 

Hay, . 

Hides, tallow, etc., cash for 

Junk, cash for, 

Labor, cash for, 

Lumber, 

Lettuce, 

Leeks, . 

Live stock, cash for, 

Melons, 

Milk, . 

Okra, . 

Onions, 

Pasturage, cash for. 

Pears, . 

Parsnips, 

Potatoes, 



802 


bushels. 


61 


pecks. 


120 


bushels. 


71 


bushels. 


113 


bushels. 


469 


quarts. 


14,211 


pounds. 


■ 3,905 


pounds. 


2,307 


dozen. 


57 


bushels. 


253 


dozen. 


79 


pounds. 


50 


dozen. 


27 


bushels. 


770 


quarts. 


35 


quarts. 


26 


barrels. 


268 


dozen. 


15 


dozen. 


6,900 


pounds. 


$269 82 




17 86 




100 00 




2,620 


feet. 


185 


dozen. 


243 


dozen. 


$399 40 




53 


dozen. 


118,132 


quarts. 


5 


pecks. 


172 


bushels. 


$36 40 




16 


bushels. 


246 


bushels 


8 


bushels. 



62 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Parsley, 

Pease, green, 

Peppers, 

Pork, . . . 

Pigs and shotes, cash for, 

Radishes, 

Rhubarb, 

Raspberries, 

Rye, .... 

Rye straw, . 

Squash, winter, . 

Squashes, summer. 

Salsify, .... 

Spinach, 

Strawberries, 

Sweet marjoram, 

Tliyme, 

Tomatoes, . 

Turnips, 



5 


bushels 


69 


bushels 


2 


bushels 


29,018 


pounds. 


161 13 




815 


dozen. 


2,879 


pounds. 


344 


quarts. 


58 


bushels. 


1,635 


pounds. 


12,500 


pounds. 


95 


dozen. 


20 


bushels 


109 


bushels 


893 


quarts. 


4 


pecks. 


4 


pecks. 


324 


bushels 


30 


bushels 



1883.] 



PUBLIC DOCUMENT — No. 23. 



63 



PRODUCTS OF THE FAEM 



On hand Oct. 1, 1883, and not delivered at Hospital. 



Apples, 








10 barrels. 


Beans to shell. 














25 bushels 


Beets, . 














60 bushels 


Barley and oat straw, 






. . 








7 tons. 


Barley, 














75 bushels. 


Cabbage, 














1,200 heads. 


Celery, . 














2,500 heads. 


Carrots, 














40 bushels. 


Corn, ... 














175 bushels. 


Eggplant, . 














18J dozen. 


Ghei'kins, 














1 bushel. 


Hay and rowen, . 














143 tons. 


Heads lettuce, 














600 


Leeks, . . . . 














260 dozen. 


Melons, 














11 dozen. 


Mangel-wurzel beets, 














1,200 bushels. 


Oats, 














60 bushels. 


Onions, 














100 bushels. 


Peppers, 














2 bushels. 


Parsnips, 














100 bushels. 


Parsley, 














5 bushels. 


Rye straw, . 














4 tons. 


Rutabaga turnips, 














75 bushels. 


Salsify, . 














20 bushels. 


Summer savery, . 














6 bushels. 


Swale hay, . 














15 tons. 


Seed, rye. 














100 bushels. 


Sweet marjoram. 














5 bushels. 


Thyme, 














5 bushels. 


Tomatoes, . 














50 bushels. 


Winter squash, . 




. 










2h tons. 



J 



^:.