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

A 



PUBLIC DOCUMENT .... .... No. 23. 



FIFTY-NINTH ANNUAL EEPORT 



TRUSTEES 



Worcester Lunatic Hospital, 



Fourteenth Annual Report of the Trustees 



WOKCESTER INSANE ASYLUM AT WOKCESTER, 



FOR THE YEAR ENDING SEPT. 30, 1891. 



BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1892. 



STATE HOUSE, BOSTON. 



u- i-L, ;„ _> loi>i 



OFFICERS OF THE HOSPITAL. 



TRUSTEES 



A. GEO. BULLOCK, . 
THOMAS H. GAGE, . 
ROCKWOOD HOAR,. 
HENRY S. NOURSE, 
FRANCIS C. LOWELL, 
ELLEN S. HALE, . 
FRANCES M. LINCOLN, 



Worcester. 

Worcester. 

Worcester. 

So. Lancaster. 

Boston. 

Boston. 

Worcester. 



RESIDENT OFFICERS. 

HOSEA M. QUINBY, M.D., Superintendent. 

ALFRED I. NOBLE, M.D Assistant Superintendent. 

FREDERICK H. DANIELS, M.D., . . . Assistant Physician. 

LA.URE HULME, M.D Assistant Physician. 

CLARENCE W. PELTON, M.D., .... Assistant Physician. 

MAURICE W. PEARSON, M.D., .... Assistant Physician. 

EDWARD T. CALDWELL, Steward. 

LILA J. GORDON, Matron. 

S. JOSEPHINE BRECK, Clerk. 

HENRY S. GRAVES Farmer. 



NON-RESIDENT OFFICERS. 



ALBERT WOOD, . 
KIMBLE R. SMITH, 



Treasurer. 
Engineer. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportoftr70worc 



dCommantoealtlj ai iltassadjxtsrfts* 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Lunatic Hospital respectfully 
submit their fifty-ninth annual report, the report of the super- 
intendent and treasurer, also tabulated statements, which give 
a detailed account of the affairs of the institution. 

In our last report we stated that we had received notice of 
the intended resignation of Dr. Park, who had been for 
twelve years the faithful and successful superintendent of the 
hospital. Dr. Park retired from our service Nov. 1, 1890, 
and we renew the expression of our esteem for him, and of 
our appreciation of his service. Dr. Hosea M. Quinby, who 
had demonstrated his capacity and fitness at the asylum, 
succeeded Dr. Park as superintendent Nov. 25, 1890. He 
has been here nearly a year now, and the admirable condi- 
tion of the institution and the harmonious working of all its 
departments abundantly prove the wisdom of our choice. 
Dr. J. Frank Edgerly's term of service expired November 
6, and Dr. Maurice W. Pearson was appointed assistant phy- 
sician, and began service the same day. Dr. Hartstein W. 
Page resigned Jan. 16, 1891, to take the position of assist- 
ant physician at the Worcester Insane Asylum, and Dr. Clar- 
ence W. Pelton was appointed assistant physician here, and 
began service February 15. There have been no other 
changes. We regard all the members of the staff as worthy 
of commendation and continued confidence. 

The purchase of the farm referred to in our previous report 
has proved very advantageous to the hospital. It affords 



6 WORCESTER LUNATIC HOSPITAL. [Oct. 

pasturage sufficient for a large herd of cattle, which furnishes 
seven hundred quarts of milk daily. The purchase of this 
amount of milk would cost more than the interest on the 
farm investment and the expense incurred there combined. 
A large part of the work there is done by the patients. 

During the winter the city of Worcester laid out a street 
through land of the hospital on the shore of Lake Quinsiga- 
mond, in accordance with authority given by the Legislature 
in 1888. In consideration of a relinquishment of all claim 
for land so taken, the city government entered into an agree- 
ment with the trustees to extend the sewer system to the 
entrance to the hospital land without expense to the institu- 
tion, whenever requested by the trustees. 

The number of patients has been somewhat larger than in 
previous years. 

Some months since the trustees received from the executor 
of the will of the late Jane E. Manson of Rhode Island the 
sum of $988.58. We learned that the testator once had some 
relative an inmate of the hospital, and thus became interested 
in it. The income of the fund will be expended for the 
benefit of the patients. 

A. G. BULLOCK. 

THOMAS H. GAGE. 

ROCK WOOD HOAR. 

HENRY S. NOURSE. 

FRANCIS C. LOWELL. 

ELLEN S. HALE. 

FRANCES M. LINCOLN. 



1891.] PUBLIC DOCUMENT — No. 23. 



VALUE OF PEKSONAL ESTATE. 

Sept. 30, 1891. 



Live stock on the farm, $9,504 00 

Produce of the farm on hand, 8,590 81 

Carriages and agricultural implements, .... 8,598 67 

Machinery and mechanical fixtures, 28,199 C4 

Beds and bedding in inmates' department, .... 29,195 47 

Other furniture in inmates' department, .... 21,790 33 

Personal property of State in superintendent's department, 21,639 10 

Ready-made clothing, 1,218 40 

Dry goods, 685 25 

Provisions and groceries, ....... 1,419 19 

Drugs and medicines, 750 00 

Fuel, 8,061 71 

Library, 3,275 00 

Other supplies undistributed, 5,125 92 

Pipes and radiators, 36,000 00 

Total, |184,052 89 



WORCESTER LUNATIC HOSPITAL. [Oct. 



TREASURER'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I herewith submit my annual report on the finances of the 
Worcester Lunatic Hospital for the year ending Sept. 30, 
1891. 



Receipts. 

Cash on hand Sept 30, 1890, 

Received of the Commonwealth for support of patients, 

of cities and towns for support of patients, 

of individuals for support of patients, . 

for interest, sale of produce, etc., . 

belonging to patients, 

from donation, ..... 



$17,193 15 

38,095 91 

77,733 25 

36,066 59 

5,728 09 

2,060 47 

988 58 



Total, $177,866 04 



The expenditures for the year have been as follows : - 

Provisions. 

Flour $6,018 37 

Meat of all kinds, 10,869 21 

Fish, 3,212 67 

Meal for cooking, 613 44 

Beans, potatoes and other vegetables, 4,477 12 

Sugar, 3,069 46 

Molasses and syrup, 548 34 

Tea, 626 28 

Coffee, 1,930 00 

Butter, 10,032 66 

Cheese, 546 54 

Fresh fruits, 1,944 68 

Eggs, salt and other groceries, 5,147 33 

Total for provisions (carried forward) , . . . . $ 49,036 10 



1891.] PUBLIC DOCUMENT 


— No. 


23. 


9 


Amount brought forivard, ' $49,036 10 


Salaries and wages, 












51,711 52 


Grain, 














793 29 


Meal for stock, 














4,502 36 


Hay and pasturage, 














116 00 


Furniture, .... 














350 02 


Crockery and glass, 














803 29 


Tin-ware, . . 














321 74 


Bedding and beds, 














1,765 69 


Straw, 














215 00 


Furnishings, miscellaneous, . 














3,056 81 


Tools, 














144 56 


Lights, 














3,785 46 


Water, 














2,154 77 


Fuel 














11,770 86 


Soap, 














1,060 61 


Medical supplies, . 














935 19 


Live stock, .... 














2,479 50 


Carriages, harnesses, etc., 














1,013 36 


Blacksmithing, 














451 56 


Plants and seeds, . 














149 07 


Hardware, .... 














267 18 


Lumber, .... 














941 66 


Paints, oils, etc , 














902 03 


Pipe and fittings, . 














215 52 


Lime, cement, etc, 














28 75 


Repairs, ordinary, . 














4,281 02 


Fertilizers, 














785 98 


Stationery, 














338 38 


Postage, 














216 79 


Transportation, 














530 92 


Travelling, 














204 79 


Trustees' expenses, 














69 10 


Miscellaneous, 














2,128 12 


Labor, .... 














907 02 


Clothing and men's furnishin 


gs,< 












5,353 06 


Dry goods, women, 














1,750 38 


Dry goods, house, . 














1,231 98 


Boots and shoes, 














1,582 30 


Total cm-rent expenses, 


. $158,351 74 


Undertaking, . 










$371 00 


Money loaned, 










. 5,000 00 


Money refunded, . 










21 42 


Refunded to patients, 










. 1,866 10 


Extraordinary improvements, 








. 6,713 94 






13,975 46 






$172,327 20 


Cash on hand Sept. 30, 1891, 


5,538 84 


$177,866 04 



10 WORCESTER LUNATIC HOSPITAL. [Oct. 



RESOURCE6. 

Cash on hand, $5,538 84 

Dae from the Commonwealth, 10,794 49 

cities and towns, 19,480 14 

individuals, 9,953 04 

Money loaned, 5,000 00 

Total resources, $50,766 51 

Liabilities. 

Due for supplies and improvements, . . . $6,107 76 

for salaries and wages, 4,424 08 

to patients, 1,393 90 

11,925 74 

Total surplus, $ 38,840 77 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
Oct. 1, 1891. 



HOSPITAL LIBRARY FUND. 



Lewis Fund. 

Cash on hand Sept. 30, 1890, $0 37 

Received dividends on Springfield bond, . . 70 00 

Expended for books, $64 25 

Cash on hand Sept. 30, 1891, 6 12 



Wheeler Fund. 



Cash on hand Sept. 30, 1890, 
Received dividends, 



$42 


33 


219 


97 


$241 


83 


20 


47 



Expended for books, 

Cash on hand Sept. 30, 1891, 



Lewis Fund Investment. 

Springfield bond, $1,300 00 

Cash on hand Sept. 30, 1891, 6 12 



$70 37 



$70 37 



$262 30 



$262 30 



L,306 12 



1891.] 



PUBLIC DOCUMENT — No. 23. 



11 



Wheeler Fund Investment 

Seven shares Central National Bank, . 
Six shares Worcester National Bank, . 
Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, . 
Cash on hand Sept 30, 1891, . 



$980 00 

780 00 

1,145 86 

1,719 47 

20 47 


$4,645 80 





LAND ACCOUNT. 



$5,951 92 



Cash on hand Sept. 30, 1890, . 
Received from sales of land, 



Total, 



$474 65 
2,263 12 



J,737 77 



Expenditures. 



Plans, surveys and deeds, 
Commissions, . 
Grading and fencing, 
Remitted to State treasurer, 

Cash on hand Sept. 30, 1891, 



$172 85 
105 00 
257 00 

2,000 00 



Respectfully submitted, 



$2,535 35 
202 42 

$2,737 77 



ALBERT WOOD, 



Treasurer. 



Oct. 1, 1891. 



Worcester, Mass., Oct. 22, 1891. 
The undersigned has carefully compared the treasurer's statement of expenditures 
for the year ending Sept. 30, 1891, with the vouchers which are on file at the hospital, 
also the statement of receipts with the ledger accounts, and found them to be correct. 
He has inspected the securities for the invested funds, and found them to correspond 
with the treasurer's statement of their market value ; and he has compared the state- 
ment of expenditures in the land account with the vouchers, and found it correct. 

GEORGE L. CLARK, 

Auditor of Accounts. 



12 WORCESTER LUNATIC HOSPITAL. [Oct. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester Lunatic Hospital. 

I have the honor to submit the following report of the 
superintendent of the hospital for the year ending Sept. 30, 
1891, it being the fifty-ninth annual report. 

There remained at the hospital Oct. 1, 1890, 785 patients, 
— 376 males and 409 females; 307 males and 242 females 
were admitted; 246 males and 182 females were dis- 
charged, and 44 males and 37 females died, leaving at the 
end of the official year 825 patients, — 393 males and 
432 females. Of this number 262 were supported by the 
State, 436 by towns and cities and 127 by friends. The 
largest number of patients in the house on any one day was 
834, — 394 males and 440 females, — on August 1 ; and the 
smallest number 763, — 362 males and 401 females, — on 
December 14. The daily average number was 807.02. Of 
the 428 discharged, 129 — including 42 habitual drunkards — 
are recorded as recovered, 48 much improved, 85 improved, 
165 not improved, and one — a convict from State prison — 
as not insane. One hundred and fourteen males and 83 
females were discharged to the care of friends ; 30 males and 
28 females were removed by the overseers of the poor ; 53 
males and 47 females were transferred to other institutions ; 
36 males and 20 females were removed out of the State ; 1 
male and 2 females were boarded out ; 4 males were returned 
to prison ; and 8 males and one female eloped. 

Although the daily average number of patients has been 
less than last year, the number of admissions has been 113 
more. Since the first of January our numbers have steadily 
increased, seldom falling below 825, notwithstanding the 
efforts to relieve the crowded condition by transfers to other 
institutions and by removal of patients to almshouses. As 



1891.] PUBLIC DOCUMENT — No. 23. 13 

this institution when filled to its maximum capacity can 
accommodate but 650 patients, it is evident that a large num- 
ber of our inmates are obliged to put up with very indifferent 
accommodations, and that they must suffer no little discom- 
fort, crowded together in dormitories or sleeping on the 
floors of the corridors. Such a state of affairs not only 
interferes seriously with the cleanliness, order and discipline 
of the hospital, but, what is of far more consequence, enters 
as a positive factor in lowering the standard of health of the 
patients, and increases the rate of mortality. Good air is 
quite as essential as medicine or food in the treatment of the 
invalid. Our State in fact has recognized its importance, 
and has very wisely enacted a law compelling cities and towns 
to provide a certain amount of pure air in every school-house 
and public building within its borders ; and she should there- 
fore be careful that the provisions of the law are carried out 
in the institutions which she herself has built for her wards, 
and over which she has control. The law fixes the standard 
for good ventilation at not less than twenty cubic feet of 
fresh air per minute for each person in school-houses and 
public buildings ; a quantity which, according to modern 
authorities, cannot be considered excessive at least, and can 
only apply to buildings not continuously occupied. For liv- 
ing apartments, shops, and especially for hospitals, double 
this amount is necessary. If we apply the test to this insti- 
tution, it will be found that, although the air supply is fairly 
ample for the number of patients for which the hospital was 
designed, it falls far below the requisite quantity when the 
building is crowded, as at present, with nearly one-third 
more patients than it can comfortably accommodate. 

Every hospital in the State is as crowded as this one, and 
must continue to suffer in this way for some years to come, 
even if immediate steps are taken to provide additional accom- 
modations in a new institution ; for such a building will cer- 
tainly be two or more years in the process of construction. It 
is to be hoped, therefore, since all are agreed that the demand 
for more room is an imperative one, and as the site for a 
new hospital has been bought and plans perfected which meet 
the approval of those best able to judge of the present and 
future needs of the insane in Massachusetts, that the coming 



14 WORCESTER LUNATIC HOSPITAL. [Oct. 

Legislature will, at the earliest moment possible, authorize 
its construction and furnish the necessary appropriation there- 
for. It certainly cannot be difficult to find in Massachusetts 
men of integrity and business capacity, who can be trusted — 
whether as a building committee or as a board of trustees — 
to administer with economy and discretion whatever funds 
may be appropriated for the purposes of this charity. The 
needs of the insane are better understood than they were 
twenty years ago, when the Worcester and the Dan vers hos- 
pitals were planned ; and it is safe to say that no commission 
or board of trustees who should now undertake to build 
would take these or similar institutions for their pattern. 
Although complete in all their appointments and perfect 
specimens of their kind, they mark the period of transition 
from an old to a new order of things. Our ideas in regard 
to the methods proper for the care of the insane have changed 
greatly since these buildings were planned, and, as a result, 
an entirely new style of hospital architecture has been devel- 
oped. The propriety of separating the chronic from the 
acute insane, and treating them in asylums specially adapted 
to their needs, is no longer questioned ; and, as there are 
near at hand many examples of asylum construction wherein 
are provided all the essentials for the proper care and treat- 
ment of the chronic class at a very moderate expense, there 
can no longer be any excuse for extravagance of outlay or 
for mistakes in the matter of cost in our new building. 

The death rate has been slightly in excess of that of last 
year, but there has been nothing in the causes of death to 
require special comment; they being, with few exceptions, 
directly attributable to chronic brain disease, with its various 
complications. The general health of the house has been 
good. The ward in which the cases of diphtheria occurred 
last year, after remaining unoccupied for some months and 
being thoroughly disinfected, was opened in December, and 
no further trouble has resulted therein. 

Twenty-seven per cent, of this year's admissions are 
relapsed cases, and previous inmates of this or other hospi- 
tals. In no disease, probably, is the tendency to relapse 
greater than in insanity ; a tendency which is, undoubtedly, 
largely increased by the too early removal of patients from 



1891. J PUBLIC DOCUMENT — No. 23. 15 

the hospital. Could our patients and their friends be made 
to see. the importance of time as a factor in the cure of this 
disease, our percentage of recoveries would, I doubt not, be 
much greater in number and more permanent in character 
than at present. From the nature of the case, we can hardly 
expect the patient himself to view this matter in its true 
light. The majority of patients fail to realize the fact that 
they are ailing, and, instead of joining us in our efforts to 
cure them, are constantly placing obstacles in the way. We 
ought to be able to look to the friends of the patient for 
assistance ; but they fail us, for in the majority of cases they 
listen to the importunity of the patient, and insist upon 
removing him from the hospital as soon as the more promi- 
nent symptoms of his disease have disappeared. Such 
patieXt, although on the road to recovery, is by no means 
recovered. His brain is still weak, and in a condition to 
succumb easily to excitment, such as he must inevitably 
encounter on his return home. Conviuced, as most patients 
are, that they are well, and quite as able to manage their 
own atfairs as they ever were, they chafe under the restraint 
which their friends find it necessary to throw around them, 
and too often become unmanageable and have to be returned 
to the hospital. Even when aware of their weak condition 
and fully resolved to keep themselves free from care and 
excitement, they are seldom able, on account of the strong- 
temptation to resume work, which is always present, to carry 
out their purpose for a sufficient length of time to insure a 
permanent cure. 

It has been the custom to admit visitors to the institution 
on any week day, — a custom which originated, no doubt, 
when the number of patients was small and the visitors corre- 
spondingly few. Now that the hospital has grown to its 
present proportions, a change seems to be necessary. Our 
visitors are numbered by hundreds, and monopolize so much 
of the attention of the officers and employees as to leave little 
time to devote to the patients. In the interest of the latter, 
therefore, it has been decided to restrict the visiting days to 
two in each week : Wednesday and Friday, from 10 to 12 
a.m. and 1 to 4 p.m. 

In the way of repairs and improvements, we have built 



16 WOECESTEE LUNATIC HOSPITAL. [Oct. 

during the past year a bank wall in front of the hospital and 
an ice-house at the Hillside farm. A slate floor has been put 
down in the general kitchen, and all the outside wood work 
of the hospital building painted. A fire-alarm box has been 
placed near the house occupied by our farmer, on Plantation 
Street, and a hose-carriage with the necessary amount of hose 
purchased, to protect the farm buildings in case of fire. A 
night watchman has been employed at the farm barns, it 
being deemed inadvisable to allow them to go longer unpro- 
tected, as they contain a great deal of valuable property in 
the way of stock, hay, grain and farm utensils, and are con- 
tinually exposed to the inroads of tramps and intoxicated 
persons. As the plumbing throughout the building had begun 
to show serious defects, the result of fourteen years' constant 
use, and had come to require almost daily repairs, we have 
added a plumber to our permanent force of employees. 

Our farm and garden are under a high state of cultivation, 
and are conducted, I believe, with economy and good judg- 
ment, and return to the hospital an actual profit in dollars 
and cents. The yield of fruit during the past season, and of 
all kinds of garden and farm produce, has been abundant; 
and, with the aid of our new purchase at " Hillside, " we are 
able to produce all the milk necessary for the supply of the 
institution, having made during the year an average of over 
seven hundred quarts daily. At present there is no suitable 
place for storing our vegetables, and we are obliged to utilize 
the basement under our wards for this purpose, an arrange- 
ment which is very unsatisfactory, and, from a sanitary point 
of view at least, not at all to be countenanced. An ample 
vegetable cellar should be built as soon as practicable, and 
an addition made to our silo. 

The current expenses for the year, less the amount received 
from articles sold, have been $153,098.46; dividing this by 
807.02, the daily average number of patients, gives $189.71 
as the annual cost of support, equivalent to a weekly cost of 
$3.61. 

We are indebted to the Hospital Newspaper Society for 
Christmas cards, papers and magazines ; to the Worcester 
Club for periodicals and illustrated papers ; and to their 
publishers for a copy of the "Daily Spy, " the " Worcester 



1891.] PUBLIC DOCUMENT — No. 23. 17 

Gazette, "the "Unitarian Keview, " the "Salem Gazette" 
and the " Fitchburg Sentinel. " 

Much credit is due to the various officers and employees 
of the institution for the faithfulness and zeal with which they 
have performed their various duties. I am specially indebted 
to my immediate associates for the uniform courtesy shown 
me, and to your Board for their renewed confidence, and 
for the assistance, in the way of counsel and advice, which 
you have always been ready to give me. 

H. M. QUINBY, 

Superintendent. 
Worcestkh Lunatic Hospital, Sept. 30, 1891. 



STATISTICAL TABLES. 



20 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



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189 0. 

October, 

November, ..... 
December, . . 














, 


Total of cases, 
Total of persons, 
Daily average, 


9> 

to 


January, 
February, 
March, . 
April , 
May, . 
June, 

July, • 

August, . 
September, 



22 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
becoveked. 


NUMBER OF THE ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 

Second, 

Third, 

Fourth, 

Sixth, 

Ninth, 


264 

28 
8 
4 
2 
1 


200 
31 

7 
3 
1 


464 

59 

15 

7 

3 

1 


13 

12 
3 
6 
6 


11 

6 

4 
5 


24 

18 
7 

11 
6 


Total cases, 
Total persons, 


307 
291 


242 
233 


549 
524 


40 
24 


26 
17 


66 
41 



1891.] 



PUBLIC DOCUMENT — No. 23. 



2a 



4. — Relation to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, 


230 


170 


400 


Former inmates of this hospital only, 


16 


31 


47 


Former inmates of other hospitals only, 


34 


25 


59 


Former inmates of this and other hospitals : — 








Taunton, 




1 


1 


2 


Danvers, 




4 


- 


4 


Westborough, .... 




1 


1 


2 


Herbert Hall, .... 




- 


1 


1 


McLean, 




1 


1 


2 


South Boston and Danvers, 




- 


1 


1 


Boston and Westborough, 




1 


- 


1 


Danvers and Taunton, 




- 


1 


1 


Danvers, Taunton, South Boston i 
borough, .... 


md West- 


_ 


1 


1 


Augusta, Maine, .... 




1 


- 


1 


England, 




1 


- 


1 


Scotland, 




1 


- 


1 


Total of persons, 


291 


233 


524 



24 



WORCESTER LUNATIC HOSPITAL. [Oct. 



5. — Parentage of Persons admitted. 









Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, . 


49 


9 


28 


29 


77 


38 


Other States : — 














Maine, .... 


8 


46 


15 


14 


23 


60 


New Hampshire, 






15 


13 


7 


6 


22 


19 


Vermont, 






8 


8 


2 


3 


10 


11 


Rhode Island, 






1 


2 


3 


2 


4 


2 


Connecticut, 






1 


3 


1 


1 


2 


4 


New York, . 






1 


1 


4 


5 


5 


6 


New Jersey, 






1 


1 


- 


- 


1 


1 


Pennsylvania, 
Maryland, . 






2 
1 


1 
1 


2 


2 


2 
3 


1 
3 


Virginia, 






3 


3 


3 


2 


6 


5 


Missouri, 






1 


1 


- 


- 


1 


1 


Other countries : — 














New Brunswick, . 


2 


1 


1 


- 


3 


1 


Canada, 




12 


9 


11 


11 


23 


20 


Newfoundland, . 




1 


1 


1 


1 


2 


2 


Nova Scotia, 




8 


7 


7 


7- 


15 


14 


Prince Edward Island, 




2 


2 


- 


- 


2 


2 


England, 




22 


21 


14 


14 


36 


35 


Ireland, 




113 


121 


103 


104 


216 


225 


Scotland, 




6 


5 


7 


6 


13 


11 


Sweden, 




9 


9 


4 


4 


13 


13 


Poland, 




1 


1 


2 


2 


3 


3 


Hungary, 




- 


- 


1 


1 


1 


1 


Germany, 
Italy, . 
Russia, . 




7 
2 
1 


7 
2 
1 


2 


2 


9 
2 
1 


9 
2 
1 


France, 




1 


1 


9 


2 


3 


3 


Switzerland, 




2 


2 


- 


- 


2 


2 


Western Islands, . 




1 


1 


- 


- 


1 


1 


West Indies, 




- 


- 


2 


1 


2 


1 


Finland, 




1 


1 


- 


- 


1 


1 


Unknown, . 




9 


10 


11 


14 


20 


24 


Totals, . 




291 


291 


233 


233 


524 


524 



1891.] 



PUBLIC DOCUMENT — No. 23. 



25 



6. 


— Residence 


of Persons 


admitted. 




PLACES. 


Males. 


Females. 


Totals. 


Massachusetts (by counties) : — 








Essex, . 














1 


1 


2 


Franklin, 














- 


2 


2 


Hampden, 














1 


- 


1 


Middlesex, 














97 


86 


183 


Norfolk, 














7 


6 


13 


Plymouth, 














- 


1 


1 


Suffolk, 














106 


55 


161 


Worcester, 














79 


82 


161 


Total, . 


291 


233 


524 


Cities or towns, 












227 


183 


410 


Country districts, 










64 


50 


114 



26 



WORCESTER LUNATIC HOSPITAL. [Oct. 



ts 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



27 



8. — Occupations of Persons admitted. 



Apothecary, 




1 


Firemen, . 




2 


Bartenders, . 




3 


Grocers, 




2 


Brewer, 




1 


Harness maker, 




1 


Bakers, 




4 


Hotel keeper, . 




1 


Blacksmith, 




1 


Iron workers, . 




2 


Bookbinder, 




1 


Insurance agents, 




2 


Brakemen, . 




2 


Janitors, . 




2 


Barber, 




1 


Journalist, 




1 


Boot and shoe dealer, . 




1 


Jewellers, . 




3 


Book-keeper, 




1 


Junk dealer, 




1 


Boiler maker, 




1 


Laborers, . 




61 


Brick laj T er, . 




1 


Letter carrier, . 




1 


Confectioners, 




3 


Morocco dresser, 




1 


Clerks, 


-• 


11 


Milkman, . 




1 


Carriage workers, 




2 


Mechanics, 




2 


Carpenters, . 




13 


Machinists, 




9 


Coachmen, . 




2 


Music teacher, . 




1 


Cabinetmakers, . 




3 


Musician, . 




1 


Canvasser, . 




1 


Mariners, . 




2 


Coffin maker, 




1 


Night watchman, 




1 


Cotton printer, . 




1 


Oil-cloth worker, 




1 


Crayon artist, 




1 


Operatives, 




14 


Dye sinker, . 




1 


Organ builder, . 




1 


Dyer, . . . 




1 


Peddlers, . 




2 


Errand boy, 




1 


Paper hanger, . 




1 


Engineers, . 




5 


Painters, . 




9 


Farmers, 




18 


Paper box maker, 




1 



28 



WORCESTER LUNATIC HOSPITAL. [Oct. 



8. — Occupations of Persons, etc. — Continued. 



Paper makers, 






2 


Superintendent of cemeter 


Y, 1 


Porter, 






1 


Teamsters, 






2 


Printers, 






3 


Tailors, 






6 


Plumber, 






1 


Varnisher, . 






1 


Physicians, . 






3 


Wood sorter, 






1 


Produce dealers, 






2 


Wire worker, 






1 


Reporters, . 






2 


Weavers, . 






3 


Salesmen, . 






5 


Waiter, 






1 


Shoemakers, 






18 


No occupation, 






27 


Spectacle maker, 




1 
1 


Unknown, . 
Total, . 






1 


Straw bleacher, 




291 





FEMALES. 




Clerk, 


1 


Saleswoman, 


1 


Cook, 


1 


Seamstresses, . 


4 


Domestics, .... 


27 


Straw worker, . 


1 


Housekeepers, 


90 


Tailoress, .... 


1 


Housemaids, 


5 

1 

16 


Teachers, .... 
Total, .... 


2 


Laundress, .... 
Operatives, . 


150 



WIFE OR DAUGHTER OF- 



Book-keeper, 


1 


Cabinet maker, . 


1 


Bookbinder, 


2 


Carpenter, .... 


4 


Builder mover, . 


1 


Contractor, 


1 


Blacksmith,. 


1 


Clerk, .... 


1 


Currier, .... 


1 


Druggist, .... 


2 



1891.] 



PUBLIC DOCUMENT — No. 23. 



29 



8. — Occupations of Persons^ etc. — Concluded. 







WIFE OR DAUGHTER OF — 




Dentist, 






1 


Merchant, .... 


1 


Engineer, . 






1 


Peddler, .... 


1 


Farmer, 




s • 


4 


Painter, .... 


2 


Florist, 






1 


Real estate agent, 


1 


Junk dealer, 






2 


Salesman, .... 


3 


Laborer, 






9 


Stone cutter, 


2 


Liquor dealer, 






1 


Tailor, .... 


2 


Lawyer, 






2 
2 

1 


Unknown, .... 
Total, .... 


32 


Mason, 
Mechanic, . 


233 



30 



WORCESTER LUNATIC HOSPITAL. [Oct. 



^ 



8 



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1. Physical : — 

Apoplexy (cerebral 1 
Bromides, . 
Dissipation, 
Intemperance, . 
Injury to head, . 
Ill health, . 
Locomotor ataxy, 
" La Gi'ippe," . 
Menopause, 
Masturbation, . 
Overwork, 
Privation, . 
Puerperal,. 
Rheumatism, 
Sunstroke, 
Syphilis, . 
Tuberculosis, . 
Typhoid fever, . 
Uterine, 



1891.] 



PUBLIC DOCUMENT — No. 23. 



31 



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2. Mental: — 

Business trouble, 

Congenital mental deficie 

Disappointment, 

Epilepsy, . 

Excessive mental labor, 

Family trouble, 

Fright, 

Grief, 

General paralysis, . 

Heredity, . 

Nostalgia, . 

Religious excitement, 

Senility, 

Worry, 

Not insane, 

Unknown, . 


of 

o 
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32 



WORCESTER LUNATIC HOSPITAL. [Oct. 



8 

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Admitted, . . . ■ 

Discharged recovered, 

much improved, 

improved, . . . . . 

not improved, 

not insane, 

Died, 

Remaining Sept. 30, 1891, 

Number likely to recover or improve, . 



1891.] 



PUBLIC DOCUMENT— No. 23, 



33 






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34 WORCESTER LUNATIC HOSPITAL. [Oct. 



12. — Reported Duration of Disease before Last Admission. 



PREVIOUS DURATION. 


First Admission 
to ant Hospital. 


All Other Admis- 
sions. 


Totals. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, . 


4 


4 


8 


- 


4 


4 


4 


8 


12 


Under 1 month, . 


60 


48 


108 


11 


8 


19 


71 


56 


127 


From 1 to 3 months, . 


26 


20 


46 


5 


4 


9 


31 


24 


55 


3 to 6 months, . 


18 


24 


42 


4 


3 


7 


22 


27 


49 


6 to 12 months, . 


19 


11 


30 


6 


1 


7 


25 


12 


37 


1 to 2 years, 


38 


20 


58 


8 


9 


17 


46 


29 


75 


2 to 5 years, 


33 


24 


57 


22 


13 


35 


55 


37 


92 


5 to 10 years, . 


13 


6 


19 


16 


17 


33 


29 


23 


52 


10 to 20 years, . 


4 


6 


10 


4 


8 


12 


8 


14 


22 


Over 20 years, . 


4 


2 


6 


- 


1 


1 


4 


3 


7 


Unknown, . 


10 


5 


15 


1 


4 


5 


11 


9 


20 


Not insane, . 


1 


170 


1 

400 


77 


72 


149 


1 

307 


242 


1 


Total cases, 


230 


549 


Total persons, 


230 


170 


400 


61 


63 


124 


291 


233 


524 


Average in years, . 


2.13 


2.30 


2.21 


3.48 


5.29 


4.38 


2.65 


3.57 


3.11 



1891.] 



PUBLIC DOCUMENT — No. 23. 



35 











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1891.] 



PUBLIC DOCUMENT — No. 23. 



37 



15. — Causes of Death. 







Insane. 


CAUSES. 










Males. 


Females. 


Totals. 


Nervous system : — 








Exhaustion from mania, acute, 


- 


5 


5 


chronic, 




3 


3 


6 


recurrent, . 




- 


1 


1 


paralytic, . 




1 


- 


1 


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6 


- 


6 


chronic, 




1 


2 


3 


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4 


3 


7 


secondary, 




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1 


1 


organic, 




2 


5 


7 


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6 


4 


10 






4 


1 


5 


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7 


2 


9 






1 


- 


1 


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1 


2 


3 


Phthisis pulmonalis, ...... 


3 


2 


5 


Pulmonary congestion, 


- 


1 


1 


General : — 








Tubercular peritonitis and meningitis, . 


1 


- 


1 


Burn, ...... 




1 


1 


2 


Fractured hip, 




- 


1 


1 


Miscarriage, 




- 


1 


1 


Heart failure, ..... 




1 


2 


3 


Erysipelas, 




1 


- 


1 


Bright's disease, .... 




1 


- 


1 


Totals, 


44 


37 


81 



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1891.] PUBLIC DOCUMENT — No. 23, 



39 





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1891.] 



PUBLIC DOCUMENT — No. 23. 



41 



18. — How supported. 





Patients admitted. 


Average of the Yeah. 


SUPPORTED AS — 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


State patients, . 
Town patients, . 
Private patients, 


247 
24 
36 


189 
26 

27 


436 
50 
63 


139.06 
192.65 

53.82 


101.43 

250.36 

69.69 


240.49 
443.01 
123.51 


Totals,. 


307 


242 


549 


385.53 


421.48 


807.01 



19. — Number of Convicts admitted to the Hospital from its Opening ,. 
Jan. 19, 1833, to Sept. 30, 1891. 





Males. 


Females. 


Totals. 


Number upon first admission, .... 
Number upon reaclmission, 


485 
59 


97 
9 


582 

68 




544 


106 


650 



42 



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1891.] PUBLIC DOCUMENT — No. 23. 



43 



i i i' i i i i i i i i i i i i i i i i i i 



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44 



WORCESTER LUNATIC HOSPITAL. [Oct. 



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1891.] PUBLIC DOCUMENT — No. 23. 



45 



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46 WORCESTER LUNATIC HOSPITAL. [Oct. 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



47 



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48 



WORCESTER LUNATIC HOSPITAL. [Oct. 



23. — Shoiving the Results of First Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of persons on firs 














admission, ..." 


- 


- 


- 


6,350 


6,003 


12,353 


Discharged recovered, . 


2,110 


1,954 


4,064 


- 


- 


- 


improved, . 


1,603 


1,704 


3,307 


- 


- 


- 


not improved, 


1,281 


1,123 


2,404 


- 


- 


- 


not insane, 


9 


6 


15 


- 


- 


- 


Eloped, .... 


4 


- 


4 


- 


- 


- 


Died 


1,055 


881 


1,935 


- 


- 


- 


Remaining in the hospita 














Sept. 30, 1891, . 


288 


335 


623 


6,350 


6,003 


12,353 



Showing the Results of Readmissions. 



Number of readmissions, 








1,956 


1,899 


3,855 


Discharged recovered, . 


690 


749 


1,439 


- 


- 


- 


improved, . 


525 


508 


1,033 


- 


- 


- 


not improved, . 


388 


337 


725 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died, 


247 


208 


455 


- 


- 


- 


Remaining in the hospital 














Sept 30,1891, . 


105 


97 


202 


1,956 


1,899 


3,855 



Shoiving the Results of Second Admissions. 



Number of second admis- 














sions, 


- 


- 


- 


1,185 


1,179 


2,354 


Discharged recovered, . 


371 


372 


743 


- 


- 


- 


improved, . 


311 


333 


444 


- 


- 


- 


not impi'oved, . 


270 


240 


510 


- 


- 


- 


Died 


170 


152 


322 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


63 


72 


135 


1,185 


1,179 


2,354 



1891.] 



PUBLIC DOCUMENT — No. 23. 



49 



Showing the Results of Third Admissions. 





Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of third admissions, 








376 


327 


703 


Discharged recovered, . 


138 


142 


280 


- 


.- 


- 


improved, . 


101 


82 


183 


- 


- 


- 


4 not improved, . 


67 


57 


124 


- 


- 


- 


Died, 


46 


30 


76 


- 


- 


- 


Remaining 1 in the hospital 














Sept. 30, 1891, . 


24 


16 


40 


376 


327 


703 



Showing the Results of Fourth Admissions. 



Number of fourth admis- 














sions, ..... 


- 


- 


- 


156 


138 


294 


Discharged recovered, . 


65 


62 


127 


- 


- 


- 


improved, . 


44 


41 


85 


- 


- 


- 


not improved, . 


27 


22 


49 


- 


- 


- 


Died 


10 


10 


20 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


10 


3 


13 


156 


138 


294 



Showing the Results of Fifth Admissions. 



Number of fifth admissions, 








76 


72 


148 


Discharged recovered, . 


35 


40 


75 


- 


- 


- 


improved, . 


15 


15 


30 


- 


- 


- 


not improved, . 


11 


9 


20 


- 


- 


- 


Eloped, 


1 


- 


1 


- 


- 


- 


Died, ..... 


12 


5 


17 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 


2 


3 


5 


76 


72 


148 



Showing the Results of Sixth Admissions. 



Number of sixth admissions, 








43 


40 


83 


Discharged recovered, . 


23 


21 


44 


- 


- 


_ 


improved, . 


8 


13 


21 


- 


- 


_ 


not improved, . 


4 


2 


6 


- 


- 


- 


Died, 


o 


3 


6 


_ 


_ 


_ 


Remaining in the hospital 














Sept. 30, 1891, . 


5 


1 


6 


43 


40 


83 



50 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Shoiving the Results of Seventh Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of seventh admis- 
sions, 

Discharged recovered, . 

improved, . 

not improved, . 
Died, 


14 

6 
3 
3 


17 

7 
1 
2 


31 
13 

4 
5 


26 


27 


53 

£ 



Showing the Results of Eighth Admissions. 



Number of eighth admis- 














sions, 


- 


_ 


- 


20 


19 


39 


Discharged recovered, . 


10 


13 


23 


- 


- 


- 


improved, . 


9 


2 


11 


- 


- 


- 


not improved, . 


1 


3 


4 


- 


- 


- 


Died, 


— 


1 


1 


20 


19 


39 



Showing the Results of Ninth Admissions. 



Number of ninth admissions, 








16 


16 


32 


Discharged recovered, . 


10 


11 


21 


- 


- 


- 


impi'oved, . 


4 


4 


8 


- 


- 


- 


not improved, . 


1 


1 


2 


- 


- 


- 


Died, 


1 


— 


1 


16 


16 


32 



Showing the Results of Tenth Admissions. 



Number of tenth admissions, 








13 


15 


28 


Discharged recovered, . 


6 


12 


18 


- 


- 


- 


improved, . 


6 


2 


8 


- 


- 


- 


not improved, . 


1 


1 


2 


13 


15 


28 



1891.] PUBLIC DOCUMENT— No. 23. 



51 



Showing the Results of 


Eleventh Ac 


Imissio 


ns. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Number of eleventh admis- 
sions, ..... 
Discharged recovered, . 
improved, . 
not improved, . 
Died, 


3 
6 
2 
1 


9 
4 
1 


12 

10 

3 

1 


12 
12 


14 
14 


26 

26 



Showing the Results of Twelfth Admissions. 



Number of twelfth admis- 














sions, 


- 


- 


- 


9 


11 


20 


Discharged recovered, . 


3 


9 


12 


- 


_ 


- 


improved, . 


4 


1 


5 


- 


- 


- 


not improved, . 


1 


_ 


1 


- 


- 


_ 


Died, 


1 


1 


2 


9 


11 


20 



Shoiving the Results of TJiirteenth Admissions. 



Number of thirteenth admis- 














sions, 


_ 


- 


_ 


7 


9 


16 


Discharged recovered, . 


3 


8 


11 


- 


- 


- 


improved, . 


3 


- 


o 


- 


- 




not improved, . 


1 


- 


1 


- 


- 


- 


Died, 


— 


1 


1 


7 


9 


16 



Showing the Results of Fourteenth Admissiojis. 



Number of fourteenth ad- 














missions, .... 


- 


- 


_ 


5 


8 


13 


Dischai-ged recovered, . 


3 


6 


9 


_ 




_ 


improved, . 


2 


1 


3 


- 


_ 


_ 


not improved, . 


— 


1 


1 


5 


8 


13 



52 WORCESTER LUNATIC HOSPITAL. [Oct. 



Showing the Results of Fifteenth Admissions. 



Number of fifteenth admis- 
sions, 

Discharged recovered, . 

improved, . 

not improved, . 



Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 








4 


6 


10 


2 


4 


6 


- 


- 


- 


2 


1 


3 


- 


- 


- 


- 


1 


1 


4 


6 


10 



Showing the Results of Sixteenth Admissions. 



Number of sixteenth admis- 
sions, 

Discharged recovered, . 
improved, . 

Remaining in the hospital 
Sept. 30, 1891, . 









3 


4 


1 


3 


4 


- 


- 


1 


- 


1 


- 


- 


1 


1 


2 


3 


4 



Showing the Results of Seventeenth Admissions. 



Number of seventeenth ad- 














missions, .... 


- 


- 


- 


2 


3 


5 


Discharged recovered, . 


2 


2 


4 


- 


- 


- 


not improved, . 


— 


1 


1 


2 


3 


5 



Showing the Results of Eighteenth Admissions. 



Number of eighteenth admis- 
sions, 

Discharged recovered, . 
improved, . 
Died, 



---23 
12-8-'- 

1 - 1 - - 

1 12 3 



Showing the Results of Nineteenth Admissions. 



Number of nineteenth admis- 
sions, .... 
Discharged recovered, . 
improved, . 









1 


2 


- 


2 


2 


- 


- 


1 


- 


1 


1 


2 



1891.] PUBLIC DOCUMENT — No. 23. 



53 



Showing the Results of 


Twentieth Admissions. 






Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


- 


2 


2 


- 


2 

2 


2 

2 



Showing the Results of Twenty-first Admissions. 



Number of twenty-first ad- 














missions, .... 


- 


— 


— 


— 


2 


2 


Discharged recovered, . 


- 


1 


1 


- 


- 


- 


Remaining in the hospital 














Sept. 30, 1891, . 




1 


1 


" 


2 


2 



Shoiving the Results of Twenty-second Admissions. 



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



- 


1 


1 


- 


1 
1 



Shoiving the Results of Twenty-third Admissions. 



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



- 


1 


1 


- 


1 
1 



54 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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PUBLIC DOCUMENT — No. 23. 



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58 



WORCESTER LUNATIC HOSPITAL. 



[Oct. 



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llKMAINING 

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1891.] PUBLIC DOCUMENT — No. 2', 



59 



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1891.] 



PUBLIC DOCUMENT — No. 23. 



61 



| I t-i | I | I I I I I I I . I I I I. I I I I I I I I I I I I I <N I I I I 



I I I I I I 



I I l-H I I I I I I I I 



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62 



WORCESTER LUNATIC HOSPITAL. [Oct. 



o 












Percentage of Deaths 
on Total Numbers 
under Treatment. 


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1891.] 



PUBLIC DOCUMENT — No. 23. 



63 



(DMffiOMl0Kl-*')<O'Xi(0NC0'0- | l0m-'C0O-l , C0O'-lf>-*tCl--C03>CCMClr-. 

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1891.] PUBLIC DOCUMENT — No. 23. 



65 



I C* I I I <N I I iH I I I iH | <N | "I tH I I I I CO I I I I lH I I 



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T-H T-H 


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i— 1 



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l-H (M | T-H 1 


CO i-H 


1 


| T-H T-H T-H | 


i-H t-H | 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1 1 III 


1 1 T-H T-H | | | T-H | | ,-H 


1 1 1 1 T-H 


1 1 


1 


| T-H | T-H | 


I t-h ,-H 


1 t-h | | | |H |HH 1 


1 1 T-H 1 H 


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CO 


i-H 1 1 I 1 


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t-H 1 |t-HC0COC0C0CO^H-*I 


1 i— 1 I CM CO 


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£ 


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fc 


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68 



WORCESTER LUNATIC HOSPITAL. [Oct. 



H3 

05 

S 
i— i 

a 
o 



s 

e 

CQ 



^ 



e 



I 






•IBjidson aqj ut 
SinuiBtna}! iBiox 


III III 1 1 1 i-H rH II I i-H 1 


CO 


•pjjidsoH 
ai paip i^ox 


rH|l 1 1 t — 1 III l|rH| | | | 


CO 
CM 


•paAoad 
-raiun [Biox 


1 CM CM 1 1 t — ' 1 1 i — f llrHl | | 1 


X) 

co 

CM 


•p9A0jdini IB}OX 


Hfooo I co cm I-h| eoo i co »o rH t-h 


CO 
QO 
CO 


•S3U9 
-A003H JO IBJOX 


HlOCO ^ >— I O •O-*-* (MO COW -r)H C2 CM 
i— ( l— I l— ll— 1 l— IHr l-i— 1 r-t i— < i— I l— 1 CM 


CO 
CM 
uO 

cm" 


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« s 

P-l S 
fa Ed 

° B 

B * 

« « 

s £ 
a h 

ft * 

25 

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H O 

O X 


•SIBtOX 


i— IH -i i— 1 i— 1 — 1 i— 1 1— 1 tH i— 1 i— 1 t— 1 i— 1 i— 1 i—l 


CM 


•S3IBIH3J 


T-" 1 1 | rH ~H l-l | ,-H ,-1 | ,-1 | | r-i iH 


CO 


•S3[Bpj[ 


1 ,H r-l tH | I ( i— 1 1 1^ | r-« tH | 1 


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CM 

CO 


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III III 1 1 1 l-l tH || | ,H | 


1 


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1 


•paAOidraiufi 
samtxjo jaqran^i 


1 CM CM I |H 1 1 iH 1 1 i— H 1 | | | 


1 


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saraix jo aaqranfj 


H«OX 1 CO CM ( i — ' I CO id | CO «0 i— 1 tH 

i— l 


1 


•pajaAOoag 

saraixjojaqmnjy; 


i— iiOM •* i-i O »0-*-tH CM O CD CM i+i OS CM 


1 


CO 

o 

a a 

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Sh h 
fa S 

° § 

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o 


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CO CO CO CM CM i— 1 i-H i— I 


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1—1 


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Thirteen, . 

Fourteen, . 

Fifteen, 

Sixteen, 

Eighteen, . 

Nineteen, . 
Twenty-one, 
Twenty-three, . 





1891.] 



PUBLIC DOCUMENT — No. 23. 



09 



27. — Subsequent History, to Sept. 30, 1887, of 1,134 Persons 
who have been discharged from the Hospital as recovered on their 
Only Admission or on their Last Readmission. 





Males. 


Females. 


Totals. 


Remained well and living at time of reply, . 

Remained well through life, 

Relapsed and readmitted to this hospital, 

Relapsed, admitted to other hospitals, and died 
there 

Relapsed, admitted to other hospitals, and dis- 
charged, 

Relapsed, admitted to other hospitals, and there 
now, 

Relapsed and died at home, 

Relapsed and died at almshouse, .... 

Relapsed and living at almshouse, .... 

Relapsed and living at home, 

Relapsed and nothing more known, 

Suicides, 

Relapsed and died in Andersonville Prison, . 


164 
113 

2 

27 
35 

13 

48 
24 

9 
22 

9 
26 

1 


146 

136 

1 

27 

32 

20 
54 
16 

3 
29 

1 
14 


310 

249 
3 

54 

67 

33 
102 
40 
12 
51 
10 
40 
1 


Totals, 

No information, 


493 


479 


972 
162 




493 


479 


1,134 



Residence of Private Patients admitted to the Hospital from Oct. 
1, 1890, to Sept. 30, 1891. 



TOWNS. 

* 


No. 


TOWNS. 


No. 


Ayer, 


2 


Milford, .... 


1 


Arlington, 










1 


Maiden, 








1 


Boston, . 










15 


Mill bury, . 








1 


Brookline, 










1 


Melrose, 








1 


Clinton,. 










3 


Newton, 








2 


Cambridge, 










2 


Needham, . 








1 


Chelsea, 










1 


Natick, 








1 


Dunstable, 










1 


Newburypoit, 








1 


Fitchburg, 










1 


Orange, 








1 


Framingham, 










1 


Somerville, . 








1 


Gardner, 










1 


Salem, . 








1 


Hardvvick, 










1 


Worcester, . 








15 


Harvard, 










1 


Waltham, . 








2 


Lancaster, 










2 


Woburn, 








1 


Lowell, . 
Leominster, 










1 
1 














Total, .... 


65 



Natives, 
Foreigners, 



56 
9 



65 



70 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Residence of Town Patients admitted to the Hospital from Oct. 
1, 1890, to Sept. 30, 1891. 



TOWNS. 


No. 


TOWNS. 


No. 


Ashburnham, 


1 


Natick, .... 


• 4 


Arlington, 






1 


Newton, 






3 


Abinglon, 








1 


Northbridge, 






1 


Boston, . 








50 


Northborough, 






1 


Brookline, 








3 


Petersham, . 






1 


Bellingham, 








1 


Spencer, 






2 


Cambridge, 








34 


Southbridge, 






1 


Clinton, 








4 


Somerville, . 






4 


Chelmsford, 








1 


Sudbury, 






1 


Chelsea, 








3 


Sturbridge, . 






1 


Carlisle, 








1 


Worcester, . 






13 


Dudley, . 








1 


Webster, 






1 


Framingham 








1 


Wellesley, . 






1 


Fitehburg, 








3 


Winchendon, 






1 


Hard wick, 








1 


West Brookfield, 






1 


Holliston, 








1 


Waltham, . 






6 


Leicester, 








1 


Westminster, 






1 


Lancaster, 








2 


Westford, . 






1 


Leominster, 








1 


Webster, 






3 


Lowell, . 








24 


Watertown, 






1 


Milford, 








4 







Medway, 








2 


Total, . . . . 


190 


Maiden, 








1 







Natives, 108 

Foreigners, ........... 82 

190 



State Patients admitted to the Hospital from Oct. 1, 1890, to 
Sept. 30, 1891. 

State natives, 103 

State foreigners, 191 

Total, 294 



1891.] 



PUBLIC DOCUMENT — No. 23. 



71 



LIST OF PERSONS 



Employed in the Worcester Lunatic Hospital, Sept. 30, 1891. 



Superintendent and physician, 


per year, 








$3,000 00 


Assistant physician, 


u it 




. 


1,500 00 


Assistant physician, 


66 II 






1,000 00 


Assistant physician (female), 


" . . 






1,000 00 


Assistant physician, 


" 






800 00 


Assistant physician, 


II 




. 


800 00 


Steward, 


" 




. 


1,200 00 


Matron, 


" 






500 00 


Treasurer, 


1, 




. 


500 00 


Clerk, 


" 






600 00 


Clerk, 


per month, 






25 00 


Supervisor (male), 


ii K 






45 00 


Supervisor (female), 


" 




• 


30 00 


Assistant supervisors (male, two), " " 




• 


35 00 


Assistant supervisors (female, 


two), " " 




. 


25 00 


Marker of clothing, 


" 




. 


18 00 


Seamstresses (two), 


" 






IS 00 


Attendants (male, thirty-five) 


$23.00 to $25.00 per month. 




Attendants (female, forty-two 


), $14.00 to $18.00 per month. 




Night attendants (male, four) 


, f 25.00 to $28 00 per month. 




Night attendants (female, four), per month, . 


18 00 


Baker, 


u ct 






. 


45 00 


Assistant baker, 


" 






. 


25 00 


Storekeeper, 


" 






. 


35 00 


Office girl, 


u tt 






• 


16 00 


Kitchen man, 


" 






. 


33 00 


Cook (two), 


" 






. 


22 00 


Laundry man, 










30 00 


Laundress, 


" 






. 


20 00 


Assistant laundry man, 


It II 








25 00 



72 



WORCESTER LUNATIC HOSPITAL. [Oct. 



Laundry girls (six), $14.00 to $18.00 per month. 
House girls (seven), $13.00 to $14.00 per month. 
Kitchen girls (three), per month, . 
Scullery man, per month, .... 
Carpenters (two), $2 50 and $3.00 per day. 
Painter, $2.50 per day. 

Plumber, per year, 

Engineer, per year, ...... 

Firemen (two), $40 00 and $45.00 per month. 

Farmer, per year, 

Housekeeper (farm), per month, . 

Farm laborers (eight), $15.00 to $30.00 per month 



Farm watchman, 

Gardener, 

Florist, 

Coachman, 

Expressman, 

Basement and yard man, 



per month, 



$14 00 


25 


00 


900 


00 


1,000 


00 


1,000 


00 


14 00 


40 00 


50 00 


45 


00 


25 


00 


27 


00 


25 


00 



1891.] 



PUBLIC DOCUMENT — No. 23. 



73 



SUMMAKY OF FAKM ACCOUNT 



For Twelve Months," ending Sept. 30, 1891. 



Dr. 

Blacksniithing, . 

Bread, etc., 

Butter, 

Current expenses, 

Fertilizers, 

Furnishings, 

Fuel and lights, . 

Grain and meal, 

Groceries, . 

Hay and pasturage, 

Labor, 

Live stock, 

Meats, 

Repairs, 

Seeds, 

Sugar, 

Tools, . 

Water, 

Wages, 

Net gain for year ending Sept. 30, 1891, 



Cr. 

241 barrels apples, $37 00 

633 bunches asparagus, 53 30 

98i bushels shell beans, 98 36 

44 bushels string beans, 33 00 

1791 bushels beets, 95 63 

5,689 pounds beef, 413 34 

80 barrels cabbages, . 63 00 

11,208 pounds cabbages, 112 08 

165 dozen bunches celery, 83 42 

31 bushels carrots, ......... 15 50 

119 bushels and 32 dozen cucumbers, 72 05 

195 pounds cauliflower, 7 80 



$264 18 


165 


00 


341 


96 


325 


72 


801 


96 


213 


94 


166 


28 


4,514 86 


546 


48 


116 


00 


149 


83 


1,552 


50 


699 


98 


217 


72 


107 


39 


133 


35 


134 81 


44 46 


4,066 


39 


3,246 


31 


$17,809 


12 



74 



WORCESTER LUNATIC HOSPITAL. [Oct. 



158 barrels green corn, 
1,817 quarts currants, 
147 pounds chicken, . 
li dozen egg plants, . 
472^ dozen eggs, 
32,945 pounds hay, . 
75 pounds horse radish, 
467| dozen heads lettuce, 
74| dozen leeks, 
45 melons, . 
262,827 quarts milk, . 
471 bushels onions, . 

1 peck okra, 
109 bushels peas, 
44J bushels parsnips, 

2 bushels peppers, 
118 bushels pears, 
27 bushels ruta bagas, 
769 dozen radishes, . 
4,217 pounds rhubarb, 
30,257 pounds winter squash, 
122 dozen summer squash, 
1,351 quarts strawberries, . 

5 bushels summer savory, 
2 bushels sweet marjoram, 

6 bushels sage, . 
4 bushels thyme, 
329 bushels tomatoes, 
182 bushels turnips, . 
Use of teams for drawing, 
Wood, 

Cash for bones, . 
Cash for hides and tallow, 
Cash for live stock, . 
Cash for old iron, 
Cash for 32,433 pounds pork, 



$237 


00 


145 


84 


30 


13 


1 


50 


106 


00 


329 


45 


7 


50 


118 


40 


18 


67 


4 


50 


10,513 


08 


471 


00 




50 


120 


00 


22 


75 


2 


00 


118 


00 


13 


50 


38 


45 


66 


70 


229 


43 


30 


50 


162 


12 


5 


00 


2 


00 


6 


00 


4 


00 


117 


15 


84 


30 


479 


50 


22 


00 


18 


22 


32 


42 


1,133 


89 


1 


00 


2,032 


14 


$17,809 


12 



1891.] PUBLIC DOCUMENT — No. 23. 75 



PRODUCTS OF THE FARM. 

On Hand Oct. 1, 1891, and not Delivered at Hospital. 



Apples, 1,200 barrels. 

Apples, cider, . . 1,000 bushels. 

Beans, shell . . 10 bushels. 

Beets, 270 bushels. 

Cabbage, 6,000 heads. 

Cauliflower, 55 pounds. 

Celery, 3,000 heads. 

Corn fodder, 30 tons. 

Corn, 262 bushels. 

Carrots, 30 bushels. 

Egg-plants, 130 

Ensilage, 70 tons. 

Hay and rowen, 225 tons. 

Leeks, 500 

Onions, 458 bushels. 

Parsley, . 5 bushels. 

Peppers, 2 bushels. 

Parsnips, 200 bushels. 

Peaches, 5 bushels. 

Pears, 142 bushels. 

Rye, 50 bushels. 

Salsify, 10 bushels. 

Turnips, 300 bushels. 

Tomatoes, 5 bushels. 

Squash, 20 tons. 

Ruta-bagas, 200Jbushels . 

Hay, swale, 10 tons. 

Straw, rye, 3 tons.