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


SIXTY- THIRD  ANNUAL  EEPORT 


THE   TRUSTEES 


Worcester  Lunatic  Hospital, 


'  EIGHTEENTH  ANNUAL  KEPORT  OF  THE  TRUSTEES 


WOECESTER  INSANE  ASYLUM  AT  WORCESTER, 


Yeak  ending  September  30,  1895. 


BOSTON : 

WRIGHT  &  POTTER  PRINTING  CO.,  STATE  PRINTERS, 

18  Post  Office  Square. 

1896. 


OFFICEES   OF  THE   HOSPITAL. 


TRUSTEES. 


FRANCIS   C.    LOWELL, 
SARAH   E.    WHITIN, 
FRANCES   M.    LINCOLN, 
A.   GEORGE   BULLOCK, 
THOMAS   H.    GAGE,    . 
HENRY   S.   NOURSE, 
EOCKWOOD    HOAR,    . 


Boston. 

Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

South  Lancaster. 

Worcbstek. 


RESIDENT   OFFICERS. 
HOSEA   M.    QUINBY,    M  D.,       . 
ALFRED   L   NOBLE,   M.D., 
LAURE   HULME,   M.D.,      . 
APPLETON   H.    PIERCE,   M.D., 
EDWIN   D.   BOYNTON,  M  D.,  . 
THOMAS   T.    SCHOULER, 
LILA   J.    GORDON,      .... 
S.    JOSEPHINE   BRECK,    . 
JOSEPH   F.   REYNOLDS,   . 


Superintendent. 
Assistant  Superintendent. 
Assistant  Physician. 
Assistant  Physician. 
Assistant  Physician. 
Steward. 
Ilatron. 
Clerk. 
Farmer. 


NON-RESIDENT   OFFICERS. 

ALBERT  WOOD,         ........  Treasurer. 

FREDERICK  H.   BAKER,    M.D.,        .....  Pathologist. 

GEORGE  L.   CLARK,  .......  Auditor. 

ALVAN   G.   LAMB,      ........  Engineer. 


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TRUSTEES'  REPOET. 


To  His  Excellency  the  Governor  and  the  Honorable  Council. 

The  trustees  of  the  Worcester  Lunatic  Hospital  respectfully 
submit  their  report  for  the  year  ending  Sept.  30,  1895,  being 
the  sixty-third  annual  report  of  the  institution.  With  it  they 
submit  the  report  of  the  superintendent,  including  full  statis- 
tical tables.  The  treasurer's  report,  signed  in  his  temporary 
absence  by  the  superintendent,  is  also  submitted. 

The  new  farm  building  has  been  opened  for  use.  It  will  be 
occupied  by  about  fifty  men,  and  we  believe  that  it  will  be  an 
important  agency  in  improving  the  health  and  increasing  the 
comfort  of  many  male  inmates  of  the  hospital.  Proper  classifi- 
cation has  been  long  recognized  as  one  of  the  first  duties  of 
hospital  management,  and  by  the  use  of  the  farm-house  we 
shall  be  able  to  separate  pati(jnts  reasonably  quiet  and  orderly, 
able  to  accomplish  a  certain  amount  of  work  on  the  farm,  from 
the  more  excitable  and  from  the  feebler  patients  in  the  main 
building.  To  these  insane  farm  laborers  greater  freedom  can 
be  given  than  if  they  were  kept  with  the  other  patients,  and 
a  somewhat  more  liberal  diet  can  be  furnished  them  without 
causing  discontent  to  others.  In  this  way  the  ambition  of 
patients  may  be  stimulated  to  obtain  like  privileges,  and  the 
farm-house  may  thus  become  an  important  curative  and  remedial 
agency.  We  do  not  believe  that  the  cost  of  caring  for  the 
inmates  of  the  new  building  will  be  much  greater  than  that  of 
the  same  number  of  patients  in  the  main  building. 

Toward  the  close  of  the  financial  year  the  superintendent 
prepared  and  submitted  to  the  trustees  a  plan  for  the  regular 


6  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 

and  permanent  employment  of  a  pathologist,  and  we  refer  to 
the  matter  here,  though  the  plan  will  not  be  put  into  operation 
until  the  year  1895-96.  The  proposed  measure  we  believe  to 
be  the  most  important  undertaken  in  the  hospital  for  many 
years.  It  has  been  a  cause  of  reproach  to  the  lunatic  hospitals 
of  Massachusetts,  as  well  as  to  those  of  other  States,  that  they 
are  little  more  than  enormous  boarding-houses  for  the  care  of 
the  insane,  —  well-managed  boarding-houses,  it  is  admitted, 
but  accomplishing  little  for  the  advancement  of  medical  and 
pathological  science.  The  critics  just  mentioned  have  some- 
times overlooked  the  great  practical  difficulties  involved  in  the 
proper  care  of  hundreds  of  helpless  people.  Sound  administra- 
tion is  our  first  duty,  and  executive  ability  in  the  officers  of 
the  hospital  is  the  one  quality  of  daily  necessity.  At  the  same 
time,  in  common  with  our  critics,  we  have  regretted  that  the 
vast  amount  of  valuable  material  for  scientific  observation 
afforded  by  lunatic  hospitals  has  been  wasted  in  great  degree, 
owing  to  the  incessant  and  pressing  demands  made  by  adminis- 
trative duties  upon  every  member  of  the  present  hospital  staff. 

In  order  to  secure  scientific  study  without  interference  with 
proper  administration,  the  superintendent  proposed,  and  the 
trustees  heartily  approved,  the  appointment  of  a  pathologist, 
thoroughly  educated,  familiar  with  recent  scientific  investigation, 
who  should  devote  his  whole  time  to  scientific  work.  The  duty 
of  this  officer  will  be  the  study  of  the  insane,  and  not  primarily 
their  care  and  treatment ;  but  we  believe  that  his  labors  will  be 
of  the  highest  indirect  value  in  promoting  the  well-being,  the 
health  and  the  cure  of  the  inmates  of  the  hospital. 

The  advance  of  medical  science  must  ordinarily  precede  the 
advance  of  curative  treatment.  The  temper  and  habits  of  the 
successful  student  and  teacher  differ  from  those  of  the  success- 
ful practitioner,  and  he  can  render  to  practitioner  and  patient  the 
most  effective  service  w^hen  he  is  freed  from  the  practitioner's 
cares  and  duties.  For  these  reasons  we  believe  that  the  addi- 
tional expense  incurred  by  the  appointment  of  a  pathologist, 
who  shall  give  his  whole  time  to  study,  will  be  money  well 
spent  by  the  State  in  the  care  of  its  insane  wards  and  in  the 
general  interest  of  humanity. 

During  the  year  Dr.  Maurice  W.  Pearson  resigned  his  posi- 
tion, after  a  faithful  service  of  four  years.     Drs.  Edwin  D, 


1895.]  PUBLIC  DOCUMENT  — No.  23.  7 

Boynton  and  Appleton  H.  Pierce  have  been  appointed  to  fill 
the  vacancies  caused  by  the  resignation  of  Dr.  Pearson  and  that 
of  Dr.  Jones  which  took  effect  Jan.  1, 1895.  Mr.  Melvin  Lano-, 
the  farmer,  resigned  his  position  June  1,  on  account  of  ill 
health. 

Dr.  Quinby  and  his  assistants  have  given  to  the  affairs  of  the 
hospital  the  same  care  and  devotion  which  they  have  always 
manifested  in  past  years. 

FRANCIS  C.  LOWELL. 
SARAH  E.  WHITIN. 
FRANCES  M.  LINCOLN. 
A.  GEORGE  BULLOCK. 
THOMAS  9.  GAGE. 
HENRY  S.  NOURSE. 

ROCKWOOD  HOAR. 

"Worcester,  Sept.  30,  1895. 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


VALUE   OF  PERSONAL  ESTATE. 

Sept.  30, 1895. 


Live  stock  on  the  farm,       .... 

Produce  of  the  farm  on  hand, 

Carriages  and  agricultural  implements,     . 

Machinery  and  mechanical  fixtures,  . 

Beds  and  bedding  in  inmates'  department, 

Other  furniture  in  inmates''  department,    . 

Personal  property  of  State  in  superintendent's 

Ready-made  clothing. 

Dry  goods,  .... 

Provisions  and  groceries,    . 

Drugs  and  iiaedicine,   . 

Fuel, 

Library,       .... 
Other  supplies  undistributed. 
Pipes  and  radiators,    . 

Total,    .... 


department, 


19,679  00 

8,469 

80 

7,450 

00 

29,913 

80 

29,280 

32 

22,481 

82 

22,252 

19 

1,901 

62 

1,007 

92 

2,370 

72 

900 

00 

7,025 

00 

8,950  00 

4,505 

13 

87,000  00 

1188,187 

32 

1895.] 


PUBLIC  DOCUMENT  — No.  23. 


TEEASURER'S  REPORT. 


To  the  Trustees  of  the  Worcester  Lunatic  Hospital. 

I  herewith  submit  my  annual  report  on  the  finan 
Worcester  Lunatic  Hospital  for  the   year   ending 

1895:  — 

Receipts. 

Cash  on  hand  Sept.  30,  1894,       ..... 

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

from  special  appropriations,        , 


ces  of  the 
Sept.   30, 


$33,620  72 
39,305  03 
92,829  20 
39,350  92 
7,073  01 
1,079  99 
19,833  94 

$233,092  81 


The  expenditures  for  the  year  have  been  as  follows  :  — 

Provisions :  — 

Flour,   ........ 

Meat  of  all  kinds,         ..... 

Fish, 

Meal  for  cooking,         ..... 

Beans,  potatoes  and  other  vegetables, 

Sugar,  ........ 

Molasses  and  syrup,     ..... 

Tea, 

Coffee,  ........ 

Butter,  ........ 

Cheese,  ....... 

Fresh  fruit, . 

Eggs,  salt  and  other  groceries,    . 
Salaries  and  wages,     ...... 

Grain,  ......... 

Meal  for  stock, 

Hay  and  pasturage,     ...... 

Furniture, . 

Amount  carried  forward,    .... 


.   $3,169  45 

11,610 

77 

2,909 

87 

472 

09 

2,928 

55 

2,609 

90 

350 

71 

760  71 

2,111 

97 

6,101 

24 

609 

67 

556 

67 

5,532 

21 

.   55,588 

44 

376 

84 

6,498 

95 

120 

00 

271 

65 

$111,579  59 

10 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


Amount  brought  forward, 

Crockery  and  glass  ware, 

Tin  ware,     . 

Bedding  and  beds, 

Straw,  .... 

Furnishings,  miscellaneous 

Tools,  .... 

Lights, 

Water, 

Fuel,     .... 

Soap,    .... 

Medical  supplies, 

Live  stock,  . 

Cari'iages,  harness,  etc., 

Blacksmithing,    . 

Plants  and  seeds, 

Hardware,   . 

Lumber, 

Paint,  oils,  etc  ,    . 

Pipe  and  fittings. 

Lime,  cement,  etc., 

Repairs,  ordinary. 

Fertilizers,  . 

Stationery,   . 

Postage, 

Transportation,    . 

Travelling,  . 

Trustees'  expenses, 

Miscellaneous, 

Labor,  .... 

Clothing  and  men's  furnishings 

Dry  goods,  women. 

Dry  goods,  house. 

Boots  and  shoes, 

Total  current  expenses. 

Extraordinary  expenses, 

Undertaker's  charges. 

Money  refunded, 

Cash  refunded  patients. 

From  appropriation  for  farm  building. 

From  appropriation  for  additions. 


Cash  on  hand  Sept.  30,  1895, 


$111,579  59 

$922  66 

510  85 

2,171  60 

281  08 

2,145  14 

199  40 

8,209  49 

2,482  21 

10,375  06 

1,120  24: 

920  18 

4,192  27 

510  94 

872  13 

269  47 

1,393  60 

2,419  46 

1,084  19 

1,287  92 

787  12 

9,232  66 

520  60 

402  40 

305  60 

251  45 

151  28 

40  03 

3,330  75 

509  11 

6,560  00 

1,656  30 

2,995  90 

1,660  60 


$164,801  18 


i  11,800  33 

273  00 

88  07 

876  30 

17,681  70 

1,763  72 


31,933  12 


196,734  30 
36,368  51 


$233,092  81 


1895.]  PUBLIC   DOCUMENT  — No,  23.  11 


Resources. 

Cash  on  hand, $36,358  51 

Due  from  the  Commonwealth  for  board,  etc 10,670  15 

from  cities  and  towns  for  boaixl,  etc.,          ....  24,410  24 

from  individuals  for  board,  etc., 11,589  90 


$83,028  80 


Liabilities. 
Due  for  supplies  and  improvements,  ....  $9,900  88 

for  salaries  and  wages, 4,586  10 

to  patients, 2,387  98 

16,874  96 


Total  surplus,       .........     $66,153  84 

Respectfully  submitted, 

H.  M.  QUINBY, 

Acting  Treasurer, 
Oct.  1,  1895. 


HOSPITAL  LIBRARY  FUND. 


Lewis  Fund. 
Cash  on  hand  Sept.  30,  1894, 
Received  interest  on  Springfield  bond. 

Expended  for  books,  .  ,  .  .  . 
Deposit  in  savings  bank,  .... 
Cash  on  hand  Sept.  30,  1895, 

Wheeler  Fund, 
Cash  on  hand  Sept.  30,  1894, 
Received  dividends, 

Expended  for  books,  ..... 
Cash  on  hand  Sept.  30,  1895, 

Manson  Fund. 
Worcester  County  Institution  for  Savings, 
Dividends  added  to  principal,      .        , 


$26 

24 

70 

00 

$61 

24 

20 

00 

15 

00 

$0  94 

218 

96 

$132  56 

87 

34 

$1,105  63 

44 

20 

24 


$96  24 


$219  90 


1,149  73 


12 


WORCESTEE  LUNATIC  HOSPITAL. 


[Oct. 


Lewis  Fund  Ina'estment. 

Springfield  bond, f  1,220  00 

Worcester  County  Institution  for  Savings,         .        .        63  54 
Cash  on  hand  Sept.  30,  1895,       .        .        .        .        .        15  00 

Wheeler  Fund  Intestment. 

Seven  shares  Central  National  Bank,         .        .        .     $980  00 


Six  shares  Worcester  National  Bank, 
Worcester  County  Institution  for  Savings, 
Worcester  Five  Cents  Savings  Bank, 
Cash  on  hand  Sept.  30,  1895, 


840  00 

1,145  86 

1,719  49 

87  34 


1,298  54 


4,772  69 


Manson  Fund  Investment. 
Worcester  County  Institution  for  Savings, 


1,149  73 


^220  96 


1895.]  PUBLIC   DOCUMENT  — No.  23.  13 


LAISTD  ACCOUNT. 


Cash  on  hand  Sept.  30,  1894,      .......        $1,35633 

Keceived  from  sale  of  land,        .......  1,600  09 


Expenditures. 

Remitted  to  State  treasurer,        ....         $2,800  00 
Cash  on  hand  Sept.  30,  1895,      ....  156  93 


f2,956  90 


$2,956  93 


Respectfully  submitted, 


Oct.  1,  1895. 


H.  M.  QUINBY, 

AcLing  Treasurer. 


"Worcester,  Mass.,  Oct.  26,  1895. 
I  hereby  certify  that  I  have  this  day  carefully  compared  the  treasurer's  statement  of 
disbursements  for  the  year  ending  Oct.  1,  1895,  with  the  vouchers  on  file  at  the  Worces- 
ter Lunatic  Hospital,  and  believe  it  to  be  correct.  1  have  also  inspected  the  securities 
representing  the  invested  funds  of  the  institution,  and  find  that  their  market  value  is  as 
stated. 

GEORGE  L.  CLARK, 
Auditor  of  Avcoimts. 


14  WORCESTER  LUNATIC  HOSPITAL.         [Oct 


SUPERINTENDENT'S  EEPORT. 


To  the  Trustees  of  the  Worcester  Lunatic  Hospital. 

I  herewith  respectfully  submit  the  following  report  of  the 
hospital  for  the  year  ending  Sept.  30,  1895,  it  being  the  sixty- 
third  annual  report. 

There  remained  at  the  hospital  Oct.  1,  1894,  924  patients, 
—  429  men  and  495  women.  During  the  year  269  men  and 
243  women  were  admitted,  184  men  and  180  women  were  dis- 
charged and  59  men  and  52  women  died,  leaving  at  the  end 
of  the  official  year  961  patients,  —  455  men  and  506  women. 
Of  this  number  269  were  supported  by  the  State,  545  by  cities 
and  towns  and  147  by  friends.  Of  the  364  discharged,  87, 
including  4  habitual  drunkards  (women),  were  reported  re- 
covered; 83,  including  1  habitual  drunkard  (woman),  were 
much  improved  ;  65  improved  ;  and  129,  including  1  habitual 
drunkard  (woman),  not  improved.  Nineteen  men  and  29 
women  were  removed  by  the  overseers  of  the  poor ;  41  men 
and  30  women  were  discharged  to  the  care  of  the  Board  of 
Lunacy  and  Charity,  to  be  removed  from  the  State ;  2  men 
and  3  women  were  transferred  to  Tewksbury ;  20  men  and  10 
women  to  the  Worcester  Insane  Asylum  ;  7  men  and  3  women 
to  the  Boston  Lunatic  Hospital ;  6  men  to  the  State  Farm  ; 
and  2  women  were  boarded  out.  Eight  men  escaped  and  were 
not  returned  to  the  hospital  at  the  end  of  the  official  year. 

There  were  69  less  admissions  than  in  the  previous  year, 
but,  as  the  number  of  discharges  and  deaths  was  correspond- 
ingly less,  as  compared  with  the  admissions,  there  remained  at 
the  close  of  the  year  a  net  gain  of  37  persons. 

The  daily  average  number  was  922.34.  The  highest  monthly 
average  was  951.41,  in  July,  and  the  lowest  893.5,  in  Feb- 
ruary. 


1895.]  PUBLIC  DOCUMENT  — No.  23.  15 

The  perceniage  of  recoveries  calculated  upon  the  average 
number  of  discharges  and  deaths  was  18.31 ;  calculated  on  the 
number  of  admissions,  it  was  21.28. 

The  death  rate  was  12.03,  calculated  upon  the  average  num- 
ber of  patients,  and  7.72  on  the  total  number  under  treatment. 

No  epidemic  prevailed,  and  there  has  been  but  little  sickness 
of  an  acute  character.  Among  the  causes  of  death  3  were 
from  pneumonia  and  1  each  from  acute  mania,  acute  melan- 
cholia, bronchitis,  dysentery  and  puerperal  eclampsia.  One 
man  committed  suicide  by  hanging.  All  other  deaths  were 
from  incurable  brain  disease.  The  patient  w^ho  committed 
suicide  was  sent  to  the  hospital  from  the  House  of  Correction 
at  South  Boston,  where  he  was  under  sentence  for  breaking 
and  entering.  He  had  been  four  months  at  the  hospital,  and 
had  never  shown  suicidal  tendencies. 

During  the  winter  months  the  wards  of  the  hospital  were 
opened  on  Mondays,  from  2  to  5  p.m.,  to  the  class  in  psychol- 
ogy of  President  Hall  of  Clark  University.  Some  twenty 
gentlemen  availed  themselves  of  this  opportunity  for  clinical 
instruction,  and,  by  their  constant  attendance  and  the  manifest 
interest  with  which  they  followed  the  various  cases  brought  to 
their  notice,  showed  their  appreciation  of  this  attempt  on  the 
part  of  the  hospital  to  utilize  the  material  at  its  disposal  for 
the  purposes  of  instruction  and  the  advancement  of  the  spe- 
cialty,—  an  attempt  which  we  hope  and  believe  is  but  the 
beginning  of  a  more  extended  and  systematic  effort  in  the  same 
direction,  and  one  which  will  bring  the  two  institutions  into 
closer  relations  and  result  to  their  mutual  advantage. 

In  this  connection  it  is  proper  to  state  that  it  has  been  de- 
cided to  add  to  the  medical  staff  of  the  hospital  a  pathologist 
and  specialist  in  nervous  diseases.  With  this  end  in  view,  we 
have  for  some  time  been  in  correspondence  with  some  of  the 
leading  men  in  the  specialty,  and  as  a  result  have  engaged  Dr. 
Adolf  Meyer  to  fill  this  position,  and  we  hope  that  he  will  be 
able  to  enter  upon  his  work  here  on  the  first  of  November. 
Dr.  Meyer  graduated  at  the  University  of  Zurich,  and  after  a 
year  spent  at  Paris,  Edinburgh  and  London  in  post-graduate 
work,  he  returned  to  Zurich  and  entered  the  laboratory  of 
Prof.  Aug.  Forel,  where  he  paid  special  attention  to  compara- 
tive anatomy  of  the  nervous  system  and  did  much  original  and 


16  WOECESTER  LUNATIC   HOSPITAL.         [Oct. 

valuable  work.  For  the  past  three  years  he  has  been  the 
resident  pathologist  at  the  insane  hospital  at  Kankakee,  111., 
holding  at  the  same  time  the  position  of  docent  in  neurology 
at  the  University  of  Chicago.  Dr.  Meyer  will  make  the  neuro- 
logical examinations  in  all  new  admissions.  He  will  see  that 
full  and  proper  records  are  made,  and  will  follow  in  the  wards 
any  cases  that  may  be  of  special  interest.  He  will  direct  the 
pathological  work,  will  give  stated  clinical  instruction  to  the 
assistant  physicians,  and  counsel  and  assist  them  in  the  more 
complete  and  exhaustive  study  of  their  cases,  and  suggest 
topics  for  original  investigation.  That  he  may  have  time  for 
this  and  for  his  own  special  work,  he  will  be  relieved  from  all 
routine  duties  connected  with  the  institution,  and  be  free  to 
devote  his  time  and  energies  to  the  strictly  scientific  side  of 
the  specialty. 

It  is  our  purpose  to  furnish  at  the  Worcester  Lunatic  Hos- 
pital such  facilities  for  the  study  of  nervous  diseases,  both  on 
the  practical  and  scientific  side,  as  to  attract  to  the  service  of 
the  hospital  young  medical  men  of  advanced  standing  who  may- 
wish  to  perfect  themselves  in  the  specialty,  whether  with  the 
idea  of  making  hospital  service  their  life  work,  or  of  finally 
engaging  in  general  practice. 

Our  new  farm-house,  mention  of  which  was  made  in  my  last 
report,  was  completed  early  in  the  spring,  and  is  now  occupied 
by  patients.  It  is  situated  on  the  westerly  side  of  Plantation 
Street,  near  our  farm  barns,  and  is  conveniently  and  pleasantly 
located,  having  a  southern  and  eastern  exposure.  It  consists 
practically  of  two  separate  buildings  :  a  house  two  stories  and 
a  half  high,  on  the  end  facing  Shrewsbury  Street,  for  the 
farmer  and  his  family  and  the  necessary  hired  help  ;  and  a 
ward  two  stories  high,  facing  on  Plantation  Street,  for  such 
male  patients,  with  their  attendants,  as  are  employed  on  the 
farm  or  about  the  grounds.  The  building  presents  a  frontage 
of  one  hundred  and  twenty-two  feet.  The  house  proper  con- 
tains eight  rooms  on  the  first  floor ;  a  parlor  and  sitting-room 
for  the  farmer's  family,  a  sitting-room  and  lavatory  for  the 
male  help,  a  pantry,  kitchen,  serving-room,  scullery,  store  and 
refrigerator  room.  On  the  second  floor  are  chambers  for  the 
farmer's  fiiraily,  two  double  rooms  for  patients,  bath-room, 
linen   closet,    storeroom,    and   one    single   room   and    a    large 


1895.]  PUBLIC   DOCUMENT  — No.  23.  17 

dormitory  for  female  help.  In  the  attic  are  three  rooms,  occu- 
pied by  eight  hired  men,  and  a  room  for  a  night  watchman. 
The  sitting-room  for  the  hired  men  has  a  separate  entrance, 
and  can  be  entirely  cut  off  from  the  farmer's  apartments  and 
rom  the  ward ;  and  the  same  is  true  of  the  rooms  occupied  by 
the  female  help.  The  ward  for  patients  faces  Plantation  Street 
and  is  surrounded  by  a  piazza.  On  the  first  floor  is  the  dining- 
room  and  attendants'  room,  a  day  room  and  a  clothes  room  for 
patients.  The  bath-room,  lavatory  and  water-closets  are  placed 
in  the  rear  of  the  day  room,  and  are  entirely  detached  there- 
from. In  the  second  story  is  a  dormitory  thirty-one  by  sixty 
feet,  a  room  for  two  attendants,  a  night  lavatory, "and  two  single 
rooms  for  such  patients  as  may  become  excited  during  the 
night,  or  otherwise  disturb  the  dormitory.  This  room  is  fin- 
ished to  the  roof,  seventeen  feet  in  the  clear,  and  is  open  on 
two  sides  to  sunlight  and  air.  It  is  lighted  by  fourteen 
windows,  and  has  six  dormer-windows  for  the  purpose  of 
ventilation.  The  building  is  heated  by  a  sixty  horse-power 
boiler.  Every  room  has  steam  heat  and  is  properly  ventilated  ; 
the  large  dormitory  and  patients'  day  room  having  special 
provisions  for  ventilation.  The  windows  on  the  first  floor  of 
the  ward  are  not  guarded,  but  those  in  the  second  story  are 
protected  by  wire  netting  of  a  quality  a  little  heavier  than  the 
usual  mosquito  netting.  All  the  inmates  of  the  house  use  the 
dining-room  in  common,  but  meals  are  served  at  separate 
hours  for  patients  and  help,  and  to  facilitate  this  arrangement 
a  steam  table  is  provided  in  the  serving  room. 

The  expense  of  caring  for  patients  here  will  no  doubt  be 
somewhat  greater  than  in  the  wards  of  the  hospital,  although 
this  will  be  in  a  measure  ofi'set  by  the  longer  working  hours 
which  this  change  will  make  possible.  In  any  event,  it  seems 
only  proper  for  the  hospital  thus,  in  a  sense,  to  share  with  the 
patients  the  profits  of  their  labor. 

The  cost  of  the  buildino;s  is  as  follows  :  — 


To  cash  paid  Vaudreuil  &  Fuller,  as  per  contract,, 
Wire  lathing  substituted  for  wood, ... 

Piazza, . 

Draining  cellar  and  grading,   .... 

Amount  carried  forward, .... 


$27,058  55 

1,217 

25 

510 

00 

520 

78 

$29,306 

58 

18 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


Amount  brought  forward. 

Concreting, 

Sewer  connection,     . 

Water, 

Gas,   .... 

Cementing  cellar, 

Alterations  in  plans, 

Cost  of  building, 
Furnishings, 

Total  cost, . 

From  State  appropriation. 
Balance  paid  by  ho'spital, 


$25,000  00 
9,965  96 


$29,306  58 

164  10 
380  75 
367  10 
70  00 
180  95 
1,737  06 

$32,206  54 
2,759  42 

$34,965  96 


$31,965  96 


During  the  year  we  have  painted  and  frescoed  nine  of  the 
female  wards  and  enlarged  the  dining-rooms  on  the  four  Phil- 
lips wards,  to  better  accommodate  our  increased  number  of 
patients,  many  of  whom  had  been  obliged,  heretofore,  to  eat 
upon  the  halls  or  in  their  rooms,  —  a  condition  of  things  that 
added  greatly  to  the  work  of  the  attendants,  and  made  it  impos- 
sible to  give  the  patients  proper  service  and  oversight  during 
meals. 

In  the  building  as  originally  constructed  the  w^ards  are  sepa- 
rated from  each  other  by  a  iire-wall  carried  through  the  roof. 
No  such  cut-off  was  provided,  however,  between  the  adminis- 
tration building,  chapel  wing  and  central  wards.  Such  a  fire- 
wall has  now  been  constructed,  and  in  connection  with  this 
work  four  rooms,  two  on  either  side,  have  been  finished  in  the 
connecting  corridors,  for  reception  rooms  for  friends  of  patients 
occupying  the  upper  wards. 

We  have  also  made  several  radical  alterations  and  improve- 
ments in  the  chapel.  Its  ventilation,  always  unsatisfactory, 
was  especially  so  during  our  evening  entertainments,  when  the 
air  soon  became  exceedingly  offensive.  The  only  remedy 
available  was  to  open  the  ventilators  in  the  roof  or  the  win- 
dows ;  but  both  of  these  methods  created  a  disagreeable  and 
dangerous  draft,  to  the  discomfort  especially  of  those  sitting 
on  the  stage  or  near  the  sides  of  the  room.  To  obviate  this 
difficulty  two  galvanized-iron  flues  have  been  carried  from  near 
the  floor,  under  the  stage,  on  either  side,  to  a  galvanized-iron 


1895.]  PUBLIC   DOCUMENT  — ]S^o.  23.  19 

chamber  in  the  roof,  filled  with  steam  coils  and  connected  on 
the  outside  with  a  Van  Noorden  ventilator.  The  stairs,  which 
formerly  entered  the  gallery  through  a  dark  passage,  have  been 
changed,  and  the  gallery  enlarged  and  lighted  by  removing  the 
flat  arch  which  spanned  the  opening  through  the  rear  wall  of 
the  chapel  and  substituting  therefor  three  light  gothic  arches, 
resting  upon  gothic  pillars.  The  stage  proscenium  has  been 
altered  to  conform  in  style  of  architecture  with  the  rest  of  the 
room,  and  two  windows  cut  through  the  roof  behind  the  stage. 
This  has  been  done  to  light  Allston's  painting,  "  The  angel 
appearing  to  Peter  in  prison,"  much  of  the  beauty  of  which  has 
heretofore  been  lost  on  account  of  deficient  lighting. 

We  have  been  obliged  to  make  several  unusually  expensive 
repairs  upon  the  buildings  during  the  year.  Finding  that  the 
core  of  our  kitchen  chimney  had  become  gas  eaten  and  was 
likely  to  fall  in,  we  were  obliged  to  take  down  and  rebuild 
sixty  feet  of  it.  This  was  for  some  time  a  source  of  no  incon- 
sid'^rable  annoyance  in  our  culinary  department,  but  the  work 
has  now  been  satisfactorily  completed.  We  were  obliged  to 
replace  the  metal  cap  on  our  main  chimney,  as  parts  of  the  old 
one  had  become  detached  and  seemed  likely  to  fall  at  any  time 
and  endanger  our  boilers.  We  have  also  painted  our  farm 
barns,  at  an  expense  of  $694.20. 

There  have  been  several  changes  in  the  medical  staff  during 
the  year.  The  vacancy  occasioned  by  the  resignation  of  Dr. 
Lyman  Jones,  mention  of  which  was  made  in  the  last  report, 
was  filled  by  the  appointment  of  Dr.  Edwin  D.  Boynton.  In 
May  last,  after  a  service  of  four  years.  Dr.  Maurice  W.  Pearson 
resigned  the  position  of  assistant  physician  to  take  that  of  house 
officer  at  the  city  hospital  in  Springfield,  Mass.  He  was  a 
faithful  and  painstaking  officer,  and  was  ready  at  all  times  to 
devote  his  be.st  energies  to  the  welfare  of  the  institution  and 
the  patients  under  his  care.  Dr.  Appleton  H.  Pierce  was 
chosen  to  fill  the  vacancy  caused  by  the  resignation  of  Dr. 
Pearson,  and  entered  on  his  work  here  May  15,  1895.  Both 
Dr.  Boynton  and  Dr.  Pierce  came  to  us  after  the  usual  service 
at  the  Worcester  City  Hospital. 

The  current  expenses  for  the  year,  less  the  amount  received 
for  the  articles  sold,  have  been  $158,549.06  ;  dividing  this  by 
922.34,  the  daily  average  number  of  patients,  gives  $171.90  as 


20  WORCESTER   LUNATIC   HOSPITAL.     [Oct. '95. 

the  annual  cost  of  support,  which  is  equivalent  to  a  weekly 
cost  of  $3.29. 

We  are  indebted  to  the  publishers  of  the  "  Worcester  Daily 
Spy,"  the  "Worcester  Evening  Gazette,"  the  "  Fitchburg 
Sentinel,"  the  "Essex  County  Mercury,"  the  "Lynn  Tran- 
script," the  "Christian  Register,"  "  Zion's  Herald"  and 
"  White  Ribbon"  for  copies  of  their  paper. 

I  wish,  in  conclusion,  to  express  my  appreciation  of  the  con- 
scientious service  rendered  by  my  medical  assistants  and  by  all 
in  the  service  of  the  hospital.  To  them  is  due  much  of  the 
success  that  has  crowned  the  work  of  the  past  year.  Their 
labors,  always  exacting  and  arduous,  are  often  disagreeable, 
and  they  are  to  be  commended  for  the  fidelity,  kindness  and 
tact  with  which  they  have  performed  their  various  duties. 

I  would  also  take  this  occasion  to  express  my  gratitude  to 
your  Board  for  their  continued  confidencco 

H.  M.  QUINBY, 

SuperinleyidenL 
Worcester  Lvnatic  Hospital,  Sspt.  30,  1895. 


STATISTICAL  TABLES. 


22 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


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1895.] 


PUBLIC  DOCUMENT  — No.  23. 


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October, . 

Kovenibcr, 

December, 

1 

January, 

February, 

March,    . 

April, 

May, 

June, 

July,        .         . 

August,  , 

Septembei*,     . 

Total  of  cases. 
Total  of  perso 
Daily  average. 

24 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


3  —  Received  on  First  and  Subs 

equent 

Admissions. 

Cases  admitted. 

TlMKS  PREVIOUSLY 
KECOVEEED. 

KUMBER  OF  THE  ADMISSION. 

Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

First,        ..... 

236 

202 

438 

- 

- 

- 

Second,  ..... 

27 

30 

57 

9 

4 

13 

Third,     ..... 

3 

7 

10 

3 

5 

8 

Foiu-lh,   ..... 

1 

2 

3 

- 

5 

5 

Fifth,      ..... 

1 

1 

2 

- 

1 

1 

Sixth,      ..... 

1 

- 

1 

5 

- 

5 

Eighth,   ..... 

- 

1 

1 

- 

7 

7 

Total  of  cases. 

269 

243 

512 

17 

22 

39 

Total  of  persons,     . 

264 

231 

495 

12 

13 

25 

4.  —  Relation  to  Hospital  of  Persons  admitted. 


Males. 

Females, 

Totals. 

Never  before  in  anj^  hospital  for  insane,  . 

202 

183 

385 

Former  inmates  of  this  hospital  only. 

26 

26 

52 

Former  inmates  of  other  hospitals  only,   . 

32 

19 

51 

Former  inmates  of  this  and  other  hospitals :  — 

Danvers,       ....... 

1 

1 

2 

Taunton,      ....... 

2 

1 

3 

Westborough,      ...... 

1 

1 

2 

Total  of  persons, 

264 

231 

495 

1895.] 


PUBLIC   DOCUMENT  — No.  23. 


25 


5.  —  Parentage  of  Persons 

admitted. 

Males. 

Females. 

i         Totals. 

PliACES  OF  NATIVITY. 

Father. 

Mother. 

Father. 

Mother. 

Father. 

Mother. 

Massachusetts,  .... 

4.3 

43 

22 

24 

65 

67 

Other  States :  — 

Maine,         .... 

4 

4 

15 

12 

19 

16 

New  Hampshire, 

10 

7 

6 

10 

16 

17 

Vermont,     . 

3 

2 

5 

4 

8 

6 

Rhode  Island, 

4 

6 

2 

2 

6 

7 

Connecticut, 

1 

_ 

1 

1 

2 

1 

New  York, . 

1 

2 

2 

2 

8 

4 

New  Jersey, 

1 

- 

- 

- 

1 

- 

Pennsylvania,      . 

— 

— 

- 

- 

— 

— 

Virofinia, 

- 

— 

_ 

1 

_ 

1 

North  Carolina,  . 

1 

1 

- 

- 

1 

Louisiana,  . 

— 

_ 

1 

_ 

— 

Indiana, 

1 

1 

- 

_ 

1 

Washington,  D.  C, 

1 

2 

_ 

_ 

2 

Colorado,    . 

- 

- 

1 

1 

1 

Other  countries :  — 

Canada,       .... 

16 

18 

12 

10 

28 

28 

Nova  Scotia, 

2 

2 

3 

4 

5 

6 

Prince  Edward  Islant 

, 

- 

- 

1 

1 

1 

1 

New  Brunswick, 

3 

3 

2 

2 

5 

5 

Newfoundland,  . 

_ 

_ 

2 

2 

2 

2 

Scotland,     . 

5 

6 

7 

4 

12 

10 

England,     . 

14 

12 

8 

6 

22 

18 

Ireland, 

107 

108 

88 

93 

295 

201 

Wales, 

- 

- 

1 

- 

1 

_ 

Germany,    . 

7 

6 

6 

5 

13 

11 

Sweden, 

5 

5 

6 

6 

11 

11 

Holland,      . 

- 

— 

1 

1 

1 

Denmark,    . 

_ 

_ 

1 

1 

1 

Finland, 

1 

1 

_ 

_ 

1 

1 

Poland, 

1 

1 

- 

1 

1 

Hungary,     . 

1 

1 

- 

1 

1 

Russia, 

8 

3 

1 

4 

4 

Austria, 

1 

1 

1 

2 

2 

Italy,  , 

1 

1 

- 

1 

1 

West  Indies, 

1 

1 

- 

1 

1 

Cuba,  . 

_ 

- 

1 

1 

1 

Western  Isles,     . 

- 

- 

1 

1 

1 

Unknown,  . 

26 

28 

84 

35 

60 

63 

Total  of  persons. 

264 

264 

231 

231 

495 

495 

26 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


6.  —  Birthplace  of  Persons  admitted. 


PLACES  OF  BIRTH. 

Males. 

Females. 

Totals. 

Massachusetts,    ....... 

99 

94 

193 

Other  States :  — 

Maine,. 

7 

11 

18 

New  Hampshire, 

8 

7 

15 

Vermont,      . 

4 

4 

8 

Rhode  Island, 

5 

- 

5 

Connecticut, 

2 

3 

5 

New  York,  . 

3 

4 

7 

New  Jersey, 

1 

1 

2 

Pennsylvania, 

1 

- 

1 

Virginia, 

2 

1 

3 

North  Carolina, 

1 

- 

1 

Georgia, 

1 

- 

1 

Louisiana,    . 

- 

1 

1 

Kentucky,     . 

2 

- 

2 

Oregon, 

1 

- 

1 

Other  countries:  — 

Canada, 

19 

9 

28 

Nova  Scotia, 

1 

3 

4 

New"  Brunswick, . 

5 

6 

11 

Prince  Edward  Island, 

3 

1 

4 

Newfoundland,    . 

- 

3 

3 

England, 

10 

6 

16 

Ireland, 

63 

53 

116 

Scotland, 

2 

5 

7 

1895.]  PUBLIC   DOCUMENT  — No.  23.  27 

6.  —  Birthplace  of  Persons  admitted  —  Concluded. 


PLACES  OF  BIRTH. 

Males. 

Females. 

Totals. 

Othei'  countries  —  concluded. 

Wales, 

1 

1 

2 

France, 

1 

1 

2 

Italy,    . 

1 

- 

1 

Austria, 

2 

1 

3 

Germany,     . 

5 

3 

8 

Sweden, 

4 

7 

11 

Prussia, 

1 

- 

Russia, 

1 

1 

Holland,      . 

1 

- 

Denmark,     . 

- 

1 

Poland, 

3 

- 

Hungary,      . 

1 

- 

Finland, 

1 

- 

West  Indies, 

- 

- 

Cuba,   . 

- 

1 

Azores, 

1 

- 

Cape  Breton, 

1 

- 

Western  Isles, 

- 

1 

Barbary, 

- 

1 

Unknown,    . 
Total,    . 

264 

1 
231 

495 

28 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


7.  —  Residence  of  Persons  admitted. 

PLACES. 

Males. 

Females. 

Totals. 

Massachusetts  (by  counties)  :  — 

Bristol 

- 

1 

1 

Hampden, 

1 

- 

1 

Middlesex, 

77 

74 

151 

Norfolk, 

3 

3 

6 

Pl3-mouth, 

- 

1 

1 

Suffolk, 

88 

80 

168 

Worcester, 

95 

72 

167 

Totals,       .        .        .         . 

264 

231 

495 

Cities  or  towns, 

206 

177 

383 

Country  districts,     ..... 

58 

55 

113 

1895.] 


PUBLIC  DOCUMENT  ^^  No.  23. 


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WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


9.  —  Occupations  of  Persons  admitted. 


Book-keeper, 

1 

Operatives,    .... 

16 

Copyist, 

1 

Seamstresses, 

2 

Cloak  fitter,  . 

1 

Student, 

1 

Domestics, 

42 

Servants, 

3 

Di'essraakers, 

3 

Tailoress, 

1 

Housewives,  . 

78 

Teachers, 

2 

Housekeepers, 

15 

Table  girl, 

1 

Hair  dresser, 

1 

Waitress, 

1 

Lady's  maid, . 

1 

Unknown, 

21 

Laundress,     . 

1 
1 

No  occupation. 

12 

Music  teacher, 

Total, 

205 

WIFE  OR  DAUGHTER  OF  — 


Blacksmith, 

1 

Butcher, 
Broker,  . 

1 
1 

Barbers, 

2 

Clerk,     . 

1 

Contractor, 

1 

Carpenters, 

3 

Farmers, 

2 

Gardener, 

1 

Hostler, 

1 

Harness  mak 

er. 

1 

Lawyer, 
Laborers, 
Merchant, 
Mechanic, 
Pattern  maker, 
Sea  captain. 
Tradesman, 
Weaver, 

Total, 

Total, 


Bakers, 

6 

Barbers,         .... 

2 

Boiler  maker, 

1 

Blacksmith,  .... 

1 

Butcher,         .... 

1 

Brick  maker, 

1 

Bookbinder,  .... 

1 

Clerks,  

8 

Boot  and  shoe  manufacturers. 

2 

Clergymen,  .... 

2 

Brass  finisher. 

1 

Cigar  maker, 

1 

Book-keeper, 

1 

Cabinet  maker. 

1 

Book  publisher,     . 

1 

Curriers,        .... 

2 

1895.]  PUBLIC   DOCUMENT  — No.  23. 

9.  —  Occupations  of  Persons  admitted  —  Concluded. 


31 


MALES  — Concluded. 


Commercial  traveller,  . 

Moulder,        .... 

1 

Cook,     . 

Mason,  . 

1 

Carpenters,    . 

Merchant, 

1 

Contractors,  . 

Marble  cutter, 

1 

Chocolate  maker,  . 

Operatives,    . 

26 

Confectioner, 

Peddler, 

1 

Conductor,     . 

Proprietor  of  foundry. 

1 

Chair  maker. 

Piano  tuner,  . 

1 

Car  inspector, 

Provision  dealers, 

2 

Coal  dealer,  . 

Plumbers, 

2 

Drivers, 

Paper  hangers, 

2 

Expressman, 

Printer, . 

1 

Flour  and  grain  broker 

Painters, 

2 

Farmers, 

13 

Phj'sician, 

Fireman, 

Quarry  man,  . 

Gardener, 

Reed  woi-ker. 

Gunsmith, 

Seaman, 

Gas  fitter, 

Students, 

Harness  maker,     . 

Ship  carpenter. 

I 

Hostlers, 

Stone  cutters. 

Hotel  keepers, 

Surveyor, 

Hulled  corn  dealer, 

Screw  polisher,     . 

Hack  driver, . 

Salesman, 

Horn  worker, 

Shoemakers,  . 

12 

Jeweller, 

Trader,  . 

Janitors, 

Telegraph  operator. 

Laborers, 

49 

Tailors, . 

Lithographer, 

Teacher, 

Lawyer, 

Tanner, 

Leather  dresser,    . 

Upholsterers, 

Mackintosh  maker, 

Veterinary  surgeon, 

Mechanics,     . 

Wire  workers. 

Music  teacher. 

Watchman,    . 

Marine  painter,     . 

Waiter,  . 

Machinist, 

Unknown, 

3 

Mill  superintendent. 

No  occupation, 

80 

Manufacturer  of  extracts,     . 

Total,      . 

264 

32 


WORCESTER   LUNATIC  HOSPITAL. 


[Oct. 


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1.    Physical :  — 
Apoplexy, 
Epilepsy, 

Tubercular  meningitis, 
Phthisis, 
Scarlet-fever, 
Typhoid  fever. 
La  grippe. 
Syphilis, 
Malaria,. 
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Pregnancy, 
Menopause,    . 
Puberty, 
Senility,. 
Ill  health,       . 
Masturbation, 
Dissipation,    . 
Intemperance, 

1895.] 


PUBLIC   DOCUMENT  — No.  23. 


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34 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


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1895.] 


PUBLIC   DOCUMENT  — No.  23. 


35 


12.  — Ages  of  Insane  at  First  Attack,  Admission  and  Death. 


13.  —  Reported  Duration  of  Disease  before  Last  Admission. 


PREVIOUS  DURATION 

First  Admission 
TO  Any  Hospital 

All  Other 
Admissions. 

Total. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Ma. 

Fe. 

Tot. 

Congenital, 

2 

3 

5 

- 

- 

- 

2 

3 

5 

Under  1  month, 

55 

38 

93 

10 

8 

18 

65 

46 

111 

From    1  to    3  months, 

27 

22 

49 

6 

3 

9 

33 

25 

58 

3  to    6  months. 

40 

18 

58 

4 

3 

7 

44 

21 

65 

6  to  12  months, 

18 

16 

34 

- 

4 

4 

18 

20 

38 

1  to    2  years, 

21 

24 

45 

15 

3 

18 

36 

27 

63 

2  to    5  years, 

25 

21 

46 

10 

16 

26 

35 

37 

72 

5  to  10  years, 

12 

17 

29 

15 

15 

30 

27 

32 

59 

10  to  20  years, 

1 

3 

4 

5 

4 

9 

6 

7 

13 

Over  20  years,    . 

1 

4 

5 

2 

7 

9 

3 

11 

14 

Unknown,  . 

- 

13 

13 

- 

1 

1 

- 

14 

14 

Total  cases, 

202 

179 

381 

67 

64 

131 

269 

243 

512 

Total  persons,     . 

202 

179 

381 

62 

52 

114 

264 

231 

492 

Average  in  years, 

1.35 

1.85 

1.60 

4.03 

7.5 

5.76 

1.98 

3.12 

2.55 

36 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


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1895.] 


PUBLIC   DOCUMENT  — No.   23. 


37 


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38 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


16.  —  Causes  of  Death. 


CAUSES. 

Males. 

Females. 

Totals. 

Nervous  sjstein :  — 

Exhaustion  from  roania,  acute,  . 

- 

1 

1 

chronic, 

1 

2 

3 

melancholia,  acute, 

- 

2 

2 

chronic. 

1 

3 

4 

dementia,  secondary, 

2 

3 

5 

senile,     . 

8 

2 

10 

organic,  . 

3 

- 

3 

Epileptic  insanity,       ..... 

3 

1 

4 

General  paralysis, 

16 

7 

23 

Chronic- myelitis, 

- 

1 

1 

Tubercular  meningitis,        ;         .         .         . 

1 

1 

2 

Leptomeningitis, 

- 

2 

2 

Chorea,        .- 

- 

1 

1 

Respiratory  system :  — 

Bronchitis, 

- 

1 

1 

Pulmonary  congestion,        .... 

- 

1 

1 

Pneumonia, 

2 

1 

3 

Phthisis  pulmonalis, 

6 

7 

13 

Circulatory  system :  — 

Cerebral  hemorrhage,          .... 

6 

5 

11 

Heart  disease, 

3 

5 

8 

1895.]  PUBLIC   DOCUMENT  — No.  23.  39 

16.  —  Causes  of  Death  —  Concluded. 


CAUSES. 

Males. 

Females. 

Totals. 

General :  — 

Peritonitis,  ....... 

_ 

1 

i 

Bright's  disease,  ...... 

2 

1 

3 

Cellulitis  of  arm,         ..... 

1 

- 

Puei-perai  eclampsia,  ..... 

- 

1 

Cancer  of  face,    ...... 

1 

Cancer  of  uterus,         ..... 

- 

1 

Gangrene  of  leg  (senile),.        .  •     . 

1 

- 

Facial  erysipelas,         ..... 

- 

1 

General  miliary  tuberculosis. 

1 

- 

Dysentery,  ...,,., 

- 

1 

Suicide  by  hanging,    , 

1 

- 

Totals,  ....... 

69 

52 

111 

40 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


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PUBLIC   DOCUMENT  — No.  23. 


41 


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1895.] 


PUBLIC   DOCUMENT  — No.   23. 


43 


19.  —  How  sujijiOTted. 


Patients  admitted. 

Average  of  the 

Year. 

SUPPORTED   AS— 

Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

State  patients, . 
Town  patients, 
Private  patients, 

169 

74 
26 

123 

85 
35 

292 

159 

61 

138.60 

237.38 

59.41 

435.39 

103.69 

305.34 

77.91 

486.94 

242.29 

542.72 
137.33 

Totals,       . 

269 

243 

512 

922.34 

20.  —  Number  of  Convicts  admitted  to  the  Hospital  from  its  Opening^ 
Jan.  19,  1833,  to  Sept.  30,  1895. 


Males. 

Females. 

Totals. 

Number  upon  first  admission,    .... 

Kumber  upon  readmission,        .... 

Tutals, 

545 

66 

611 

126 

9 

135 

671 

75 

746 

44 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


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1895.]  PUBLIC   DOCUMENT  — No.  23.  47 


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WORCESTER  LUNATIC  HOSPITAL.         [Oct. 


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PUBLIC   DOCUMENT  — No.    23. 


49 


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50 


WORCESTER  LUNATIC  HOSPITAL, 


[Oct. 


24.  — Showing  the  Results  of  First  Admissions. 


Males.    Females. 

Totals. 

Males. 

Females.    Totals. 

Number  of  persons  on  first  ad- 

mission, .... 

- 

- 

- 

7,898 

6,918 

14,311 

Discharged  i-ecovered, 

2,827 

2,125 

4,452 

- 

- 

- 

improved, 

1,866     1,987 

3,853 

- 

- 

- 

not  improved, . 

1,528 

1,365 

2,893 

- 

- 

- 

not  insane, 

10 

6  1       16 

— 

— 

— 

Escaped,     .... 

4 

- 

4 

- 

- 

- 

Died 

1,297 

1,035 

2,832 

- 

- 

- 

Kemaining  in  the  hospital  Sept 

80,  1895,  .... 

866 

395 

761 

1  7,398 

1 

6,913 

14,311 

Showing  the  Results  of  Readmissions, 


Number  of  readmissions,  . 

2,095 

2,059 

4,144 

Discharged  recovered. 

722 

788 

1,510 

_ 

_ 

- 

improved. 

565 

553 

1,118 

- 

- 

- 

not  improved, . 

449 

384 

833 

- 

- 

- 

Escaped, 

1 

- 

1 

- 

_ 

- 

Died, 

269 

223 

492 

- 

— 

— 

Eemaining  in  the  hospital  Sept. 

30,  1895, 

89 

111 

200 

2,095 

2,059 

4,144 

Showing  the  Results  of  Second  Admi 

3sions. 

Number  of  second  admissions,  . 

1,289 

1,291 

2,580 

Discharged  recovered. 

397 

403 

800 

- 

- 

- 

improved. 

332 

865 

697 

_ 

_ 

_ 

not  improved, . 

317 

280 

597 

- 

- 

- 

Died, 

185 

161 

846 

- 

- 

- 

Remaining  in  the  hospital  Sept. 

80,  1895, 

58 

82 

148 

1,289 

1,291 

2,580 

Showing  the  Results  of  Third 

Admis 

sions. 

Number  of  third  admissions, 

395 

355 

750 

Discharged  recovered. 

142 

150 

292 

- 

- 

- 

improved, 

109 

90 

199 

- 

_ 

- 

not  improved,. 

78 

64 

142 

- 

- 

- 

Died,  ...... 

49 

33 

82 

_ 

- 

- 

Remaining  in  the  hospital  Sept. 

30,  1895,  ..... 

17 

18 

35 

395 

355 

750 

1895.]  PUBLIC   DOCUMENT  — No.  23. 

Showing  the  Results  of  Fourth  Admissions. 


51 


Males. 

Females. 

Totals. 

Males. 

Females 

Totals. 

Number  of  fourth  admissions,  . 

164 

150 

314 

Discharged  recovered, 

68 

69 

137 

- 

- 

- 

improved, 

47 

44 

91 

- 

- 

■^ 

not  improved, 

29 

22 

51. 

- 

- 

- 

Died, 

12 

10 

22 

- 

- 

=, 

Remaining  in  the  hospital  Sept. 

3U,  lb95, 

8 

5 

13 

164 

150 

314 

Showing  the  Results  of  Fifth  Admissions. 


Number  of  fifth  admissions, 

79 

77 

156 

Discharged  recovered, 

85 

41 

76 

- 

- 

- 

irajji-oved. 

16 

17 

33 

- 

_ 

_ 

not  improved. 

12 

9 

21 

- 

- 

_ 

Escaped, 

1 

- 

1 

- 

- 

- 

Died,   .         

12 

6 

18 

_ 

_ 

_ 

Remaining  in  the  hospital  Sept 

30,  ls9o, .         ,         .        ,        . 

3 

4 

7 

79 

77 

156 

Showing  the  Results  of  Sixth  Admissions. 

Number  of  sixth  admissions,     . 

47 

40 

87 

Discharged  recovered. 

23 

22 

45 

- 

_ 

_ 

improved, 

13 

13 

26 

_ 

_ 

_ 

not  improved. 

4 

2 

6 

- 

_ 

_ 

Died 

5 

3 

8 

_ 

_ 

_ 

Remaining  in  the  hospital  Sept. 

30, 1895,  ..... 

2 

~ 

2 

47 

40 

87 

Showing  the  Results  of  Seventh  Admissions. 


Number  of  seventh  admissions, 

26 

29 

55 

Discharged  recovered, 

14 

18 

32 

- 

_ 

_ 

improved. 

6 

7 

13 

- 

- 

_ 

not  improved, 

3 

1 

4 

- 

- 

_ 

Died, 

3 

3 

6 

26 

29 

55 

52  WORCESTER  LUXATIC   HOSPITAL.         [Oct, 

Shoioing  the  Results  of  Eighth  Admissions. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

Xnmbei'  of  eighth  admissions, 

20 

20 

40 

Discharged  recovered, 

10 

13 

23 

- 

_ 

- 

improved, 

9 

2 

11 

- 

- 

- 

not  improved, . 

1 

3 

4 

- 

- 

- 

Died,   ..... 

- 

1 

1 

- 

- 

- 

Kemaiiiing  in  the  hospital  Sept 

•60,  IbUo,  .... 

" 

1 

.1 

20 

20 

40 

Shoiuing  the  Results  of  Ninth  Admissions, 


Number  of  ninth  admissions,     . 

16 

16 

32 

Discharged  recovered. 

10 

11 

21 

- 

- 

- 

improved. 

4 

4 

8 

- 

~ 

- 

not  improved, 

1 

1 

2 

- 

- 

Died, 

1 

~ 

1 

16 

16 

32 

Showing  the  Results  of  Tenth  Admissions. 


Number  of  tenth  admissions,     . 

14 

16 

29 

Discharged  recovered, 

6 

12 

18 

- 

- 

- 

improved. 

7 

2 

9 

- 

- 

- 

not  improved,. 

1 

1 

2 

14 

1.5 

29 

Showing  the  Residts  of  Eleventh  Admissions. 


Number  of  eleventh  admissions, 

Discharged  recovered, 
improved, 
not  improved. 


12 

14 

3 

9 

12 

_ 

— 

6 

4 

10 

- 

_ 

2 

1 

3 

12 

14 

Showing  the  Results  of  Twelfth  Admissions. 


Number  of  twelfth  admissions,. 

9 

11 

20 

Discharged  recovered. 

3 

9 

12 

- 

- 

improved. 

4 

1 

5 

- 

- 

not  improved, . 

1 

- 

1 

- 

- 

- 

Died 

1 

1 

2 

i        9 

11 

20 

1895.]  PUBLIC   DOCUMENT— No.  23. 

Showing  the  Results  of  Thirteenth  Admissions. 


53 


Males. 

FemalejS. 

Totals. 

Males. 

Females. 

Totals. 

Number  of  thirteenth  admissions, 

Discharged  recovered, 
improved, 
not  improved, . 

Died, 

3 
3 

1 

8 
1 

11 

3 
1 
1 

7 
7 

9 
9 

16 
16 

Shotving  the  Results  of  Fourteenth  Admissions. 


Kmnbcr  of  fourteenth  admissions, 

Discharged  recovered, 
improved, 
not  improved, . 


-  -  -  5  8 

3  6  9  -  - 

2  1  3  -  - 

-115  8 


13 
13 


Showing  the  Results  of  Fifteenth  Admissions, 


Kumbcr  of  tifteenth  admissions, 

Discharged  recovered, 
improved, 
not  improved, . 


-  -  4  6 

2  4  6  -  - 

2  1  3  -  - 

114  6 


10 
10 


Shoioing  the  Results  of  Sixteenth  Adrrussiorcs. 


Number  of  sixteenth  admissions 
Discharged  recovered, 
improved, 
Kemaining  in  the  hospital  Sept 
30,  1895,  .... 


J 

8 

4 

1 

3 

4 

_ 

_ 

1 

- 

1 

- 

- 

1 

- 

1 

3 

4 

54  WOECESTER  LUNATIC   HOSPITAL.         [Oct. 

Showing  the  Results  of  Seventeenth  Admissio7is. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

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

not  improved,. 

2 

2 

1 

4 
1 

2 
2 

3 
3 

6 

6 

Showiyig  the  Results  of  Eighteenth  Admissions. 


Number  of   eighteenth   admis- 
sions,      .         .        .        .        . 
Discharged  recovered, 
improved, 
Di«d, 


2 

3 

1 

2 

3 

_ 

_ 

1 

- 

1 

_ 

- 

- 

1 

1 

2 

3 

Shoiving  the  Results  of  Nineteenth  Admissions. 


Number   of   nineteenth   admis- 
sions,         

Discharged  recovered, 
improved, 


1 

2 

- 

2 

2 

_ 

_ 

1 

— 

1 

1 

2 

Showing  the  Residts  of  Twentieth  Admissions. 


Number  of  twentieth  admissions. 
Discharged  recovered. 


-  -  -  -  2 

-22-2 


Showing  the  Results  of  Twenty-first  Admissions. 


Number  of  twenty-first  admis- 
sions,         

Discharged  recovered, 

Died, 


_  -  _  _  2 

I  1  _  _ 

II  -  2 


1895.]  PUBLIC  DOCUMENT  — No.  23.  55 

Showing  the  Hesults  of  Twenty -second  Admissions. 


Males. 

Females. 

Totals. 

Males. 

Females. 

Totals. 

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

- 

1 

1 

- 

1 
1 

1 

1 

Shoiving  the  Results  of  Twenty-third  Admissions. 


Number  of  twenty-third  admis- 
sions,      .        .        .        ^        . 
Discharged  recovered, 


-  1  1  -  1 


56 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


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1895.]  PUBLIC   DOCUMENT  — No.  23. 


59 


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1895.]  PUBLIC   DOCUMENT  — No.  23. 


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1895,]  PUBLIC   DOCUMENT  — No.  23. 


63 


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1895.] 


PUBLIC  DOCUMENT  — No.  23. 


65 


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68  WOECESTER  LUNATIC   HOSPITAL.         [Oct. 


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70  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 


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72 


WORCESTER  LUNATIC   HOSPITAL. 


[Oct. 


Residence  of  Private  Patients  admitted  to  the  Hospital  from  Oct.  i, 
1894,  to  Sept.  30,  1895. 


TOWNS. 

No. 

TOWNS. 

No. 

Boston, 

16 

Lancaster,      .... 

1 

Braintree,      .        „        .        . 

1 

Maiden,         .... 

3 

Cambridge,   .... 

2 

Southbridge, . 

2 

Fall  River,     .... 

Somerville,   .... 

11 

Framingham, 

South  Framingham, 

1 

Grafton,         .... 

Worcester,     .... 

17 

Hudson,         .... 

Webster,        .... 
Total,     .... 

1 

Leominster,    .... 

61 

Lowell, 

Natives,  . 
Foreigners, 
Total, 


47 
14 
61 


1895.] 


PUBLIC   DOCUMENT  — No.  23. 


73 


Residence  of  Town  Patients  admitted  to  the  Hospital  from  Oct.  I, 
1894,  to  Sept.  30,  1895. 


TOWNS. 

No. 

TOWNS. 

No. 

Ayer, 

1 

Natick,  ..... 

1 

Billerica,        .... 

1 

Tyngsborough, 

1 

Boston,  ..... 

2 

Uxbridge,      .... 

1 

Leominster,  .... 

1 

VVatertown,   .... 

1 

Lowell, 

5 
1 

Worcester,     .... 
Total,      .... 

7 

Millbury,       .... 

23 

Northbridge, 

1 

State  Patients  admitted  to  the  Hospitcd  from  Oct.  1,  1894,  to  Sept. 

30,  1895. 
State  natives, 214 


State  foreigners,     . 
Total,       . 


214 


428 


74 


WOECESTER  LUNATIC  HOSPITAL. 


[Oct. 


LIST   OF  PERSONS 


Employed  in  the  Wokcester  Lunatic  Hospital  Sept.  30,  1895, 


Superintendent  and  phj-sician,  per  year, 

Assistant  superintendent  and  physician,  per  year, 

Assistant  physician,  '*       " 

Assistant  physician,  "       " 

Assistant  jjhysician,  "       " 

Pathologist, 

Steward,  "       " 

Treasurer,  "       " 

Matron,  "       " 

Clerk, 

Clerk,  per  month. 

Supervisor  (man),  " 

Supervisor  (woman),  " 

Assistant  supervisors  (men,  two),  each,       " 

Assistant  supervisors  (women,  two),  each,  " 

Marker  of  clothing,  " 

Seamstresses  (two),  each,  " 

Attendants  (men,  thirt^'-f our) ,  $23.00  to  |25.00  per  month 

Attendants  (women,  forty-one),  $14.00  to  flS.OO  per  month. 

Night  attendants  (men,  four),  f 25.00  to  $28.00  per  month 

Kight  attendants  (women,  five),  p»er  month, 

Baker, 

Assistant  baker,  " 

Steward's  assistant,  " 

Office  girl,  " 

Kitchen  man,  " 

Cooks  (two),  $22.00  and  $25.00  per  month. 

Laundry  man,  "         " 

Laundress,  "         " 

Assistant  laundry  man,  "         " 


13,000  00 

1,500  00 

1,000  00 

800  00 

800  00 

100  00 

1,200  00 

500  00 

COO  00 

720  00 

30  00 

45  00 

30  00 

35  00 

25  00 

18  00 

18  00 


18  00 

60  00 

27 

00 

28 

00 

16 

00 

35 

00 

30 

00 

20 

00 

27 

00 

1895.] 


PUBLIC   DOCUMENT  — No.  23. 


75 


Laundry  girls  (seven),  f  14.00  to  $18.00  per  month 

House  girls  (eight),  per  month,  each,  . 

Kitchen  girls  (three),  $U.OO  to  |16.00  per  month. 

Scullery  man,  per  month, 

Scullery  maid,  per  month, 

Carpenters  (two),  f  2..50  and  f  3  00  per  day. 

Painters  (three),  $2.50  and  $2.75  per  day. 

Mason,  $3.00  per  day. 

Plumber,  per  ye:vr, 

Engineer,  per  year, 

Firemen  (two),  per  month,  . 

Farmer,  per  year,  . 

Housekeeper,  per  year. 

Farm  laborers  (ten),  $23.00  to  $45.00  per  month 

Farm  help  (women,  two),  $14.00  and  $18.00  per 

Farm  "watchman,  per  month 

Gardener,  " 

Florist,  " 

Coachman,  " 

Expressman,  " 

Basement  and  yard  man,    " 


month. 


$14  00 

23  00 
16  00 


900  00 

1,000  00 

40  00 

600  00 

240  00 


40 

00 

50 

00 

45 

00 

27 

00 

25 

00 

25 

00 

76  WORCESTER  LUNATIC  HOSPITAL.         [Oct. 


SUMMAEY  OF  FARM  ACCOUNT. 


Dr. 

Bread, fl80  00 

Butter 263  86 

Blacksmithing, .        .  217  75 

Current  expenses, 114  79 

Fertilizers, 528  68 

Fuel  and  lights, 161  43 

Furnishings, 194  69 

Grain  and  meal, 5,503  70 

Groceries, .  401  05 

Hardware, 23  01 

Live  stock, 2,363  27 

Meat, 669  94 

Pasturage, 120  00 

Repair's, 631  64 

Salt 10  37 

Seeds, 110  90 

Straw, 231  57 

Sugar, 100  00 

Tools, 155  66 

Wages 5,007  12 

Water, 69  39 

Net  gain  for  year  ending  Sept.  30,  1895, 4,009  93 

$21,058  75 


1895.] 


PUBLIC  DOCUMENT  — No.  23. 


77 


Ce 


712  barrels  apples,  . 

2  bushels  apples,  crab, 

612  bunches  asparagus, 

10  bushels  beans,  lima, 

45  bushels  beans,  shell, 

85  bushels  beans,  string, 

138  bushels  beets,    . 

1,716  pounds  beef,  . 

155  barrels  cabbage, 

960  bunches  celery, 

57  bushels  cucumbers  for  pickles, 

53  dozen  cucumbers, 

1,618  pounds  cauliflower 

1,337  boxes  currants, 

6  bushels  chestnuts, 

187^  barrels  corn,    . 

106  pounds  chicken, 

4,539  gallons  cider, 

1  bushel  dandelions, 

17  U  dozen  eggs, 

573  egg  plants, 

31,700  pounds  hay,  . 

50  pounds  horse-radish, 

317|  dozen  lettuce, . 

Live  stock  sold, 

285,373  quarts  milk, 

50  watermelons, 

1,494  melons,  . 

68  barrels  onions,    . 

176^  bushels  peas,  . 

149  bushels  pears,   . 

8  bushels  peaches,  . 

37|  bushels  peppers. 

Amount  carried  forward, 


.   $1,183  05 

1 

00 

74  75 

7 

50 

67 

00 

91 

25 

62 

85 

137 

28 

220 

00 

111 

00 

54 

CO 

28 

00 

32 

36 

134 

35 

9 

60 

257 

50 

19 

60 

272 

34 

1 

00 

46 

07 

17 

18 

285 

00 

4  00 

219  88 

.  2,460 

39 

.  11,414 

92 

2 

50 

131 

20 

156  50 

353 

00 

166 

50 

12 

00 

24 

55 

.  f  18,058 

12 

78 


WORCESTER  LUNATIC  HOSPITAL. 


[Oct. 


Amount  brought  forward, 

106  barrels  parsnips, 
26,753  pounds  pork, 
Plants,     .... 
6,850  pounds  rluibarb,     . 
169  boxes  raspberries,     . 
3,120  bunches  radish, 
3  bushels  salsify,     . 
228  dozen  summer  squash, 
757  boxes  strawberries,  . 
243  barrels  squash, 
125  bushels  spinach, 
831 J  bushels  turnips, 
232J  bushels  tomatoes,    . 
41  cords  wood. 


fl8,058 

12 

168 

25 

1,571 

20 

5 

55 

231 

65 

30 

42 

114  00 

4  50 

75 

15 

91 

29 

251 

50 

94  00 

158 

62 

183  00 

31 

50 

$21,058  75 


1895.] 


PUBLIC   DOCUMENT  — No,  23. 


79 


PRODUCTS   OF  THE   FAEM 


On  Hand  Oct.  1, 1895,  and  not  delivered  at  the  Hospital, 


Apples,  . 
Beans,  lima, 
Beets, 
Cabbage, 
Celery,    . 
Com, 

Corn,  fodder, 
Corn,  pop, 
Carrots,  . 
Egg  plants. 
Ensilage, 
Hay, 
Mangels, 
Melons,  . 
Onions,    . 
Oats, 
Parsley,  . 
Peppers, . 
Parsnips, 
Peai'S, 
Ptye, 
Sage, 
Salsify,   . 
Squash,   . 
Straw,  rye. 
Straw,  oat. 
Turnips, . 
Tomatoes, 


209  barrels. 
12  bushels, 
200  bushels, 
7,000  heads. 
8,000  heads. 
900  bushels. 
60  tons. 
18  bushels. 
150  bushels. 
6  bushels, 
200  tons. 
221  tons. 
1,000  bushels, 
178 

320  bushels. 

90  bushels. 

4  bushels. 

2  bushels. 
200  bushels. 

62  bushels. 

87  bushels. 

6  bushels. 

25  bushels. 

34,500  pounds. 

8  tons. 

4|  tons. 

2,500  bushels. 

3  bushels.