Annual report of the trustees of the Worcester Insane Hospital

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

SIXTY-EIGHTH ANNUAL EEPOET

THE TEUSTEES

Worcester Insane Hospital,

TWENTY-THIRD ANNUAL REPORT OF THE TRUSTEES

WOECESTER INSANE ASYLUM AT WORCESTER,

Year ending September 30, 1900.

BOSTON :

WRIGHT & POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1901.

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

SIXTY-EIGHTH ANNUAL EEPOET

OP

THE TRUSTEES

OF THE

WoECESTER Insane Hospital,

AND

TWENTY-THIRD ANNUAL REPORT OF THE TRUSTEES

OF THE

WORCESTER INSANE ASYLUM AT WORCESTER,

FOR THE

Year ending September 30, 1900.

BOSTON :

WRIGHT «& POTTER PRINTING CO., STATE PRINTERS,

18 Post Office Square.

1901.

■*' * xii'O'-

STATE HOtfSt, E0STt^4

OFFICERS OF THE HOSPITAL.

TRUSTEES.

GEORGE W. WELLS Sotjthbridge.

ROCKWOOD HOAR Wokcester.

THOMAS RUSSELL, Boston.

SARAH E. WHITIN, Whitinsville.

FRANCES M. LINCOLN, Worcestee.

SAMUEL B. WOODWARD, Worcester.

THOMAS H. GAGE, Worcester.

RESIDENT
HOSEA M. QUINBY, M.D., .
ALFRED I. NOBLE, M.D., .
REVERE R. GURLEY, M.D.,
FRANK T. BUDD, M.D., .
MARGARET A. FLEMING, M.D ,
ALBERT C. THOMAS, M.D , .
GEORGE H. KIRBY, M.D., .
DOWNEY L. HARRIS, M.D.,
ROSS C. WHITMAN, M.D., .
CHARLES B. DUNLAP, M.D.,
HENRY R. CENTER,
LILA J. GORDON, .
S. JOSEPHINE BRECK, .
JOSEPH F. REYNOLDS,

OFFICERS

Superintendent.
Assistant Superintendent.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Junior Assistant.
Junior Assistant.
Junior Assistant.
Junior Assistant.
Laboratory Assistant.
Steward.
Matro7i.
Clerk.
Farmer.

NON-RESIDENT OFFICERS.

ADOLF MEYER, M.D Director of Clinical Work

and of Laboratory.

WILLIAM D. SPROAT, Druggist.

ALBERT WOOD Treasurer.

GEORGE L. CLARK Auditor.

PATRICK W. DAY Engineer.

C0mm0nixr^a:ltlj of P^assarfjnsrfts-

TKUSTEES' KEPORT.

To His Excellency the Oovernor and the Honorable Council.

The trustees of the Worcester Insane Hospital respectfully
submit their sixty-eighth annual report, covering the fiscal year
1899-1900. With this is included the reports made to the
trustees by the superintendent and the treasurer, and a special
report of the laboratory director, together with tabulated state-
ments, setting forth in detail the executive and financial afiairs
of the institution.

These reports of each special department seem to show that
the condition of the hospital is generally satisfactory, and the
Board, as the result of their monthly inspection, feel that such
is the fact.

The year has been a busy and prosperous one in the history
of the institution, and has been marked by notable advances in
all of its departments. With the exception of an epidemic of
diphtheria, which occurred early in the year and which for a
time caused the medical officers and trustees great anxiety, but
which happily resulted in no deaths, the health of the patients
has been good. The number under treatment has been larger
than during any previous year, and although the wards, es-
pecially those on the women's side of the house, have been
crowded, we are pleased to have the assurance of the superin-
tendent that the increased facilities afl'orded by the infirmary
wards and the new kitchen have made it possible to care for
these patients without serious difficulty.

The chapel wing addition is rapidly approaching completion,
and it will no doubt be finished early in the coming year. We
are looking forward to the opening of this buildiog with a great

6 WORCESTER INSANE HOSPITAL. [Oct.

deal of interest, as it promises to be such an important factor
in the industrial work of the hospital.

We asked last year for an appropriation for a nurses' home,
but this failed to receive the approval of the Board of Insanity,
for the reason, as stated by them, that, although they approved
of suitable provisions for nurses, they believed this work should
be postponed, on the ground that the chapel wing extension
was not completed, and that one main project was enough to
undertake in one year. Now, however, that the addition to
the chapel wing is practically finished, we would renew our re-
quest and ask the coming Legislature for an appropriation for
a building to accommodate sixty nurses, at an estimated cost of
sixty thousand dollars, this to include heating, ventilation,
lighting and furnishings.

A notable feature of the year's work, and one which has
commended itself especially to the trustees, is the large num-
ber of the male patients that have been employed upon the
ground, digging out and breaking up rocks, building roads and
paths, and cleaning and grading the waste land in the rear of
the hospital. The trustees have watched this work with great
interest, and they are glad to be assured by the superintendent
that its scope is to be enlarged and that it is to be carried on
systematically in the future. This will not only serve to re-
duce the great army of the unemployed that one sees on visit-
ing the wards, which, to the layman at least, is the most
depressing feature of a hospital for the insane, but will fur-
nish healthful occupation for the patient, and in time turn the
seventy-five acres of rocky hillside into a most attractive pleas-
ure ground for the whole household.

As a means toward this end, the trustees have appropriated
five hundred dollars from the lawn fund for the purchase of
trees and the establishing of a nursery, to be drawn from from
year to year as this work progresses.

To fill the vacancy in the position of steward caused by the
resignation of Mr. Thomas T. Schouler, the trustees secured
the services of Mr. Henry R. Center, for many years the clerk
and purchasing agent of the U. S. Fish Commission. Mr. and
Mrs. Center entered upon their duties in October, and after a
year's experience of their work we feel that the choice is a

1900.] PUBLIC DOCUMENT- No. 23. 7

happy one, and that their services will be of great value to the
institution.

There have been no changes in the medical staff of the insti-
tution during the year. It is with pleasure that the trustees
can again compliment the superintendent and congratulate the
State upon the efficient services performed by the superintend-
ent and his entire staff.

GEO. W. WELLS,
ROCKWOOD HOAR,
THOMAS RUSSELL,
SARAH E. WHITIN,
FRANCES M. LINCOLN,
SAMUEL B. WOODWARD,
THOMAS H. GAGE,

Trustees.
Sept. 30, 1900.

WORCESTER INSANE HOSPITAL. [Oct.

YALUE OF PERSONAL ESTATE.

Sept. 30, 1900.

Live stock on the farm, $10,667 60

Produce of the farm on hand, ....... 11,831 00

Cai'riages and agricultural implements, 6,987 50

Machinery and mechanical fixtures, 30,080 10

Beds and bedding in inmates' department, .... 31,993 00

Other furniture in inmates' department, . . . » . . 24,058 30

Personal property of State in superintendent's department, . 28,877 73

Ready-made clothing, 1,439 63

Dry goods, . 729 36

Provisions and groceries, 2,605 86

Drugs and medicines, . . . . . . . . 456 18

Fuel, 350 00

Library, 4,988 00

Other supplies undistributed, 4,426 36

$159,385 52

1900.]

PUBLIC DOCUMENT — No. 23.

TREASURER'S REPORT.

To the Trustees of the Worcester Insane Hospital.

I herewith submit my annual report on the finances of the

Worcester Insane Hospital for the year ending Sept. 30,

1900 : —

Receipts.

Cash on hand Sept. 30, 1899, |5,787 19

Received from Commonwealth for support of patients, . . 44,467 67

from cities and towns, 94,601 68

from individuals, 62,959 93

from soldiers' relief, 381 63

from farm and farm products, . . . . . 4,628 33

from labor, 87 75

from sale of horses and carriages, .... 12400

from sale of old iron, brass and rags, . . . 369 79

from sale of grease, tallow and hides, . . . 665 60

belonging to patients, 1,669 19

from all other sources except appropriation, . , 1,526 97

$207,159 63

from Commonwealth on account of appropriation, . 2,053 63

1209,213 26

The expenditures for the year have been as follows : —

Salaries and wages,

$67,463 22

Provisions and supplies, viz. :

—

Meat,

. $15,044 47

Fish,

3,171 52

Fruit and vegetables.

3,661 48

Flour,

6,242 75

Grain and meal for table, .

633 13

Grain and meal for stock, .

6,321 20

Tea, coffee and chocolate, .

2,075 82

Sugar, syrup and molasses,

4,337 30

Butter and cheese.

8,964 62

All other groceries, .

6,976 69

All other provisions, .

370 03

Total for provisions and supplies.

56,797 91

Amount carried forward, .

$124,261 13

10

WOKCESTER INSANE HOSPITAL.

[Oct.

Amount brought forward.

Ready-made clothing,
Dry goods, ....

Fuel,

Lights, ....
Water, ....
Medicine and medical supplies.
Pathological department, .
Furniture, ....
Beds and bedding.
Transportation, .
Expenses of trustees,
Ordinary repairs.
All other current expenses.

$124,261 13

$7,024 36

465 13

11,282 15

5,598 51

4,220 94

1,734 56

1,108 05

3,657 68

1,921 01

280 51

33 78

8,589 72

15,146 79

60,963 19

Total current expenses, $185,224 32

Extraordinary expenses : —
On account of appropriation for new building,
Clothing furnished discharged patients,
Undertaking, ....
Returning escaped patients.
Cash refunded, ....
Cash refunded to patients, .

Total extraordinary expenses.

$3,388 90

458 45

232 00

76 58

118 23

1,509 54

Cash on hand Sept. 30, 1900,

5,783 70

$191,008 02
18,205 24

Resources.
Cash on hand Oct. 1, 1900,
Due from the Commonwealth, .
from cities and towns,
from indiyiduals,
from soldiers' relief, .
from Commonwealth for bills paid for ma-
terial and labor on account of new building.

Liabilities.

Due belonging to patients,

maintenance paid in advance,

salaries, wages and labor, ....

for all other current expenses, .

Respectfully submitted,

$209,213 26

$18,205 24

12,478 46

26,187 19

14,591 99

169 92

1,335 27

$72,968 07

$1,768 98

41 42

5,649 65

9,695 32

$17,155 37

ALBERT WOOD,

Treasurer.

Oct. 1, 1900.

1900.]

PUBLIC DOCUMENT — No. 23.

11

Special Appropriation.

Appropriation.

Balance
Unexpended
Oct. 1, 1899.

Expended.

Balance
Oct. 1, 1900.

Construction of adminis-
tration building exten-
sion, . . , .

$79,998 44

$35,406 56

148,931 59

$31,066 85

INCOME OF LIBRAKY FUNDS.

Lewis Fund.

Cash on hand Sept. 30, 1899, $70 19

Interest on Springfield bond, , , . . . 70 00

Deposit in Worcester County Institution for Savings, $20 00

Expended for books, 59 29

Expended for rebinding books, , . . . 28 85

Cash on hand Sept. 30, 1900, 32 05

Wheeler Fund.

Cash on hand Sept. 30, 1899 $148 51

Dividends and tax rebate, 207 33

Expended for books, $248 93

Expended for rebinding books, 5 45

Cash on hand Sept. 30, 1900, 101 46

Income of Lawn Fund.
Balance in Mechanics Savings Bank, , , . $1,576 04

Dividends, 52 11

Expended for trees, . $433 61

Expended for freight on trees, 26 79

Balance in Mechanics Savings Bank, . . . 1,167 85

Income of Manson Fund.

Dividends, $45 21

$140 19

$140 19

$355 84

$355 84

$1,628 15

$1,628 15

$45 21

12 WORCESTER INSANE HOSPITAL. [Oct.

Funds.

Lewis Fund Investment,

Springfield bond, $1,089 00

Worcester County Institution for Savings, . . 187 27
Cash on hand Sept. 30, 1900, 32 06

|1,308 32

Wheeler Fund Investment.
Seven shares Central National Bank,
Three shares Worcester National Bank, ,
Worcester County Institution for Savings,
Worcester Five Cents Savings Bank,
Cash on hand Sept. 30, 1900,

$875 00

540 00

1,445 86

1,719 47

101 46

4,681 79

Total of library fund, $5,990 11

Manson Fund.
Woi'cester County Institution for Savings, . . $1,223 22

1,223 22

Laivn Fund.
Worcester Mechanics Savings Bank, .... $1,167 85

1,167 85

$8,381 18
Land Account.

Cash on hand Sept. 30, 1900, $58 52

Respectfully submitted,

ALBERT WOOD,

Treasurer.
Oct. 1, 1900.

Worcester, Mass., Oct. 29, 1900.
I hereby certify that I have this day compared the treasurer's statement of disburse-
ments for the year ending Sept. 30, 1900, with the vouchers on file at the Worcester
Insane Hospital, and find them to agree. I have also inspected the securities represent-
ing the invested funds of the institution, and find that their market value is as stated.

GEO. L. CLARK,

Auditor of Accounts.

1900.] PUBLIC DOCUMENT — No. 23. 13

SUPERIKTEE^DENT'S REPORT.

To the, Trustees of the Worcester Insane Hospital,

I herewith respectfully submit the following report of the
hospital for the year ending Sept. 30, 1900, it being the sixty-
eighth annual report.

There remained at the hospital Oct. 1, 1899, 968 patients,
— 413 men and 555 women. During the year 581 patients —
301 men and 280 women — were admitted ; 353 patients — 159
men and 194 women — were discharged; and 56 men and 50
women died, leaving at the end of the official year 1,090 pa-
tients, — 499 men and 591 women. Of this number, 324 were
supported by the State, 587 by cities and towns and 179 by
friends. Of the 353 persons discharged, 93, including 5 habit-
ual drunkards (women), were reported recovered, 77 much
improved, 73 improved and 108 not improved ; 2 were dis-
charged not insane. Fourteen men and 16 women were re-
moved by the overseers of the poor ; 22 men and 20 women
were discharged to the care of the Board of Insanity, to be re-
moved from the State ; 2 women to Tewksbury ; 1 man to Dr.
Stedman's hospital ; 1 woman to Danvers ; 1 woman to " Her-
bert Hall " ; 1 man and 50 women to Medfield and 1 man to
McLean. Three men escaped and were not returned to the
hospital or accounted for at the end of the official year.

There remained at the end of the year 122 more patients
than at the beginning. The smallest number under treatment
in any one day was 958 and the largest 1,101. The daily
average number was 1,016.9.

The percentage of recoveries, calculated upon the number of
discharges and deaths, was 20.26 ; calculated upon the number
of admissions, it was 16.

The death rate was 6.8, calculated on the whole number of
patients under treatment, and 10.4, calculated upon the daily

14 WORCESTER INSANE HOSPITAL. [Oct.

average number, which is practically the same as during the
previous year.

After having been exempt for over ten years from a serious
epidemic of any kind, our institution, like so many others
throughout the State and country, was called upon during
the past year to pass through the trying ordeal of an out-
break of diphtheria. The disease appeared almost simulta-
neously on the male wards, in the centre building, the female
wards and at the farm house, and under conditions which
forced us to conclude that it took its origin from at least two,
if not from three, independent sources of infection outside of
the hospital, rather than from any local causes. Of the 27 per-
sons — 13 men and 14 women — attacked, 2 men and 7 women
were patients and 11 men and 7 women were officers and em-
ployees. The first case, that of an attendant on the male
wards, appeared November 30. The patient was promptly
removed to the Worcester Isolation Hospital, his room and
belongings disinfected, and every one with whom he had come
in contact given immunizing doses of antitoxin. A week after,
December 6, two of the junior physicians, the wife of the assist-
ant superintendent and one of the female nurses came down
with the disease. The latter had in no way come in contact
with the first case or with any one who had had to do therewith.
On the following day, December 7, one of the servants at the
farm house, but forty-eight hours on the place, showed evidence
of the disease, as well as one of the patients on the female side
of the house. It was now apparent that we were in the midst of
an epidemic ; therefore the upper infirmary wards on either
side of the house were vacated and fitted up as isolating wards,
the adjacent dormitories being reserved for suspected cases, and
both proved to be admirably adapted for the purpose. To assist
the physicians having these wards in charge. Dr. Charles B.
Stevens, a member of the stafi" of the Isolation Hospital, was
engaged, and he made visits daily to the hospital. In case of
the patients the disease was practically confined to the ward
where it originated and to those first exposed to infection ; but
among the attendants new cases continued to appear at varied
intervals until February 1, and it was not until February 21
that the last patient was discharged and the isolating wards
closed. The disease ran a rather mild course in the majority

1900.] PUBLIC DOCUMENT — No. 23. 15

of the cases, and there were no deaths or unpleasant sequelae
following. All the cases were treated with antitoxin in doses
of from 1,500 to 3,000 units, according to the severity of the
symptoms, and had practically no other medicine. All of the
attendants and such patients as were exposed to the disease
were given immunizing doses of from 500 to 800 units of anti-
toxin. No case was discharged until three successive negative
cultures had been obtained. This occurred in one case as early
as the eighteenth day after the attack and in another not until
the one hundred and nineteenth day.

In this connection I wish to express my great indebtedness
to Mr. James C. Coffey, the very efficient officer of the Worces-
ter Board of Health, for the assistance which he so promptly
and cheerfully gave us whenever called upon to do so ; to Dr.
Frederick H. Baker, for his daily bacteriological reports ; and
to the State Board of Health, for its generous supply of anti-
toxin.

The medical work of the year has been in many respects
highly satisfactory. In making radical changes from old meth-
ods to new it was not to be expected that an ideal working plan
would be hit upon at once. We have, therefore, been prepared
to modify from time to time our original plan, as experience
and the exigencies of the work seemed to suggest. The object
of this year's modification has been to enable us to place more
weight upon the clinical side, and give to each of the assistants,
both senior and junior, their due share of this work.

In the laboratory we have had the services, since January 1,
of Dr. Charles B. Dunlap, a graduate of Harvard in 1889
and of the Harvard Medical School, and later connected with
the Boston City and the McLean Hospital. He comes here
to perfect himself in general pathology and pathological an-
atomy, and especially in neuropathology. He has had charge
of the autopsies and the working out of the autopsy material,
amounting to over sixty cases a year, and many of them
with complicated lesions of the nervous system.

At the opening of the year we also secured the services of
Mr. William D. Sproat, a registered pharmacist of nine years'
experience in the drug business. Beside his work in com-
pounding and dispensing medicine, he has rendered valuable
assistance in the laboratory.

16 WORCESTER INSANE HOSPITAL. [Oct.

The work on the chapel wing extension, for the completion
of which the last Legislature made an additional appropriation ^
is progressing satisfactorily, and it is hoped to have the build-
ing ready for occupancy early in the coming spring.

In several former reports attention has been called to our
lack of adequate accommodations for female nurses, and to the
necessity of a nurses' home for the complete and successful
carrying out of our plans for reorganizing and improving the
medical work of the hospital. With our infirmary wards com-
pleted and occupied, and the new departure in our medical
work well in hand, the necessity for a training school and a
more efficient nursing force becomes more and more apparent.
I would again, therefore, respectfully call your attention to this
matter, with the hope that, through proper representation to
the Legislature, means may be provided for the erection, dur-
ing the coming year, of a building to accommodate sixty nurses.

During the spring and summer a large number of male
patients were employed in clearing up the land in the rear of
the hospital. They were selected from the more demented
class on the wards, and, although an unpromising lot at first,
as far as their ability to do intelligent work went, and difficult
to direct, they built during the season nearly half a mile of
macadamized road (digging out and breaking up the stone
therefor) , and cleared and graded some four acres of land. As
we now have an abundance of such employment available, it is
our purpose during the coming season to select some competent
person, and make it his special duty to get out patients from
the wards, and instruct and direct them in this work. We also
hope to be able to build in the near future a rough and inex-
pensive building near our stone quarry, in which the work of
breaking stone can be carried on through the winter.

The current expenses, less the amount received from articles
sold, have been $178,281.39; dividing this by 1,016.9, the
daily average number of patients, gives $175.31 as the annual
cost of support, which is equivalent to a weekly cost of $3.37.

HOSE A M. QUINBY, M.D.,

Superintendent.

Worcester Insane Hospital, Sept. 30, 1900.

1900.] PUBLIC DOCUMENT — No. 23. 17

SPECIAL KEPORT OF MEDICAL WORK.

Again the duty devolves upon me to give an account of our
year's doings in the medical work of the hospital. It is in
many respects a gratifying task. The results of the fourth
year of systematic medical work as at present arranged have
proved to be far more encouraging than was anticipated when
the last report was written.

The general arrangement of the work has been changed in sev-
eral respects. The daily staff meetings have been abandoned,
and the time gained has been mainly devoted to a more extended
observation and examination of the patients on the four services.
The four floors of the hospital have been divided into two services
on both the male and female side. The ground floor remains
the chief admission service ; the second floor becomes a second
admission service, mainly for the chronic cases. The physician
in charge of the second admission service is further responsi-
ble for the third and fourth floors with the asylum cases ; the
junior assistant of the second admission service taking practi-
cally the work of the fourth floor, so as to relieve the senior
somewhat. The four junior assistants gave all their time to
clinical work, including the clinical laboratory work, which has
been extended somewhat as compared with previous years.
They also took their share in the autopsy work, whereas the
working up of the specimens resulting from the autopsies passed
into the hands of a special laboratory assistant, appointed Jan.
1, 1900. This made the laboratory work much more uniform
and reliable, — far more than in the previous years, when one
set of inexperienced assistants took their turn of six months of
laboratory work and then made place for another set of inex-
perienced men. The appointment of a special laboratory as-
sistant and of a druggist have done much to make the work

18 WORCESTEE INSANE HOSPITAL. [Oct.

smoother, and to bring us nearer the practical balance of means
and aims asked for in the last report.

In the course of this year it has become possible to make a
preliminary grouping of the material collected since October,
1896, and to take the first steps toward analyzing some of it.
The result of this beginniDg has led to some changes in the
current work, especially in the form and method of keeping
the records, which has rendered them at once more useful clini-
cally and more satisfactory for the current administrative
needs. Our chief efforts the coming year will be in the direc-
tion of a better knowledge of disease forms and prognosis, and
more definite indications for treatment.

I need not repeat at length why I regard a consideration of
both these topics as equally important. We need the greatest
possible experience as to the course of disorders, if we want to
have any foundation whatever for a critical attitude as to the
merits of " treatment." Quackish exuberance of treatment, as
well as unjustified laisser aller, can be kept out of the medical
work and teaching only if more unbiassed experience is collec-
ted with adequate methods.

During the past year our working plan has received several
comments which deserve to be alluded to for the sake of en-
couragement, and in order to bring out some warnings against
misunderstandings. The effbrts of far-sighted alienists, like
Dr. Cowles, Dr. Hurd and others, and the less widely known
but equally meritorious efforts of some of our superintendents
of hospitals for the insane, have brought forth several note-
worthy types of progress, — training schools for nurses, patho-
logical laboratories, and pathologists and efforts along the line
of clinical research. In this movement we have tried to take
part. The fundamental principle which underlies our own efforts
towards the improvement of psychiatry and distinguishes them
from the methods adopted in practically all the other places is
this, — that we are not satisfied with a scientific department
simply, grafted somewhere in the. traditional asylum, but seek
the growth of the whole hospital idea in conformity with the
principles of modern medicine. We would stamp all the work
that pertains to the patients with that conscientiousness and faith-
fulness and accuracy which alone give a satisfaction greater than

1900.] PUBLIC DOCUMENT — No. 23. 19

the salaries which we receive, and make it of value for useful
deductions in the line of medical experience. Every member of
the medical staff is given to understand that there is only one
best way of doing the medical duties, and that the doing one's
best in that direction is regarded as the only sufficient evidence
of good will and good ability. We are not satisfied with a
single ' ' department " encouraged to do its work as it ought to
be done, while the others lag behind, a continual drawback to
those who would do better. If the hospital does its work well,
both the patients and the annals of medical experience get their
legitimate dues as fruits of its labor ; therefore, I hear only
with regret comments on the " pathologist's department," where
the general efficiency of the hospital work should be considered,
of which that department is only a valuable branch, if the
work of the hospital generally furnishes the soil and atmosphere
and needs. This is the key-note of our plan, and in the realiza-
tion of it lies our chance of success.

The new distribution of the work among the physicians has
brought within the reach of possibility a decidedly greater
efficiency in the year's work ; and when greater economy of
labor shall be obtained by a more rapid and general acquisition
of efficient methods and less longing for the extraordinary, we
can hope to master the great task of dealing with over five
hundred admissions, a daily population of more than one
thousand patients, and over sixty autopsies, with a fair degree
of satisfaction.

There seems to be a general idea that what is to be demanded
of the hospitals for the insane is " special investigations." That
such studies have been made will be seen presently. These
are partly given as preliminary accounts of experience suffi-
ciently mature to warrant publication, and are partly of a didactic
nature. Any one who tries to follow the work of the hospital
will see, however, that the greatest efibrt goes in the direction
of laying foundations. There is no branch of medicine so little
prepared to make use of all the new methods of investigation
as psychiatry. When bacteriology began to grow, the clinical
and anatomical knowledge of consumption was ready for the
tubercle- bacillus, erysipelas for the strepto-coccus, typhoid
fever for the typhoid bacillus, malaria for the plasmodium, etc.

20 WORCESTER INSANE HOSPITAL. [Oct.

But is the hospital for the insane, with its " acute and chronic
manias and melancholias, " ready for the psychological labora-
tory ? Here the leap from ordinary hospital habits into scientific
work is more difficult, because the safe clinical foundation is
lacking, and, owing to the slow course of the diseases, difficult
to establish. That short cuts cannot be made in this direction is
demonstrated over and over again by the failures of all attempts
which disregard the clinical foundations. These foundations
are so difficult to attain that the temptation is great to shirk
the labor ; but if we do not look for those first, we create more
of that fire work which characterizes much of the literature of
psychiatry, and which is most remarkable for the small amount
of ashes and of memories left behind. From year to year these
foundations of methodical work have been preventing more
of the insidious leakages of the very important little things
concerning the patients and the care they get ; and we begin to
have a sufficient material to bring the problems and methods
to a test, and to prepare special investigations with the feeling
that we work with the entire front of facts before us and not
with impressions. In the mean time the work is not unfruitful
both for the patients and for those who work to develop ac-
curate methods.

The following contributions have come from the hospital this
year : the articles on mania, melancholia, monomania, moral
insanity, paranoia, periodicity, psychoses, for Prof. M. Baldwin's
Dictionary of Psychology (in press). Other studies ready for
the press are : the report on eight cases who died with a pecu-
liar symptom-complex and findings in the autopsy which led to
the establishment of a very interesting pathological complex
provisionally called " central neuritis" ; further descriptions of
a tumor of the hypophysis in acromegaly, with new formation
of ganglion cells ; and of an instance of a metastatic tumor of
the thyroid and several other observations in the field of
tumors. A number of other studies have been considerably
advanced. The collection of serial sections of normal and
pathological brains and of the results of autopsy studies has
been increased considerably.

During the coming year special attention will be devoted to
the question of the usefulness of various methods of examina-

1900.] PUBLIC DOCUMENT — No. 23. 21

tion which have been introduced into general medicine of late
years ; to the determination of the bearing of studies of the
blood and the secretions, etc. ; and to a careful investigation of
the experience obtained by the respective specialists using
these methods outside of the field of psychiatry.

In closing, allow me to express my feeling of obligations for
the continued furtherance of our work.

Yours respectfully,

ADOLF MEYER.

STATISTICAL TABLES.

^

00 "-I OJ

coi>.cooO(M«3 -*r<.o?o 5o tM

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1 1 1

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

1 1 1

ag

lO 0 10

00 t^ CO t^ CM CO 0 '^ CO (» »o t-

1 1 1

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«D t^ CO

OOt^t^O 0 CMQOt^CM CO 00

ea

Oi lO »o

1-1 1-1 CO 10 I— 1 "O lO

o

1— (

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1 1 1

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03

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CO-*COt>. 10 COCMi-l^ CO CO

■3

g

lO <M 00

i-( CO rH CO CM

a

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1 t 1

03

^ 0 •.-1

uocococM 0 co»ocoo as no

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^ CO t^

1-1 CM t^ CM

. . .

' QJ-O)-

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c3 43 J3

^ hJ -<-i

a .. a c

y^.---* •-•p_,.^-,pH-

0 ej J3 43

_^

« . . . . . ^^ . ^ .

^ 1 ,^1 Si

1

CO • oj

f leavin

tients,
tients,
patients
s within
IS admit

5 recove

Tfl ' ' '

». +3

S

in the the house Oct. 1
d within tlie year,
lumber of cases within

.2

ischarged within the year
iz. : as recovered at time 0

as much improved,

as improved,

as not improved, .

as not insane,
eaths, ....
atients remaining Sept. 30
iz. : supported as State pa
as town pa
as private ]
umber of different person
umber of different person
year, ....
umber of diffei-ent persons
year, ....

aily average number of p;

iz. : State patients,
town patients,
private patients, .

atients
dmitte
''hole r

o^<^

Q> Qp.!> ^;zi ^

Qt> 1

26

WORCESTER INSANE HOSPITAL.

[Oct.

Ph is
o o

O CO OS

t^ CO j^

<Ji ^i Oi

COCO'— I'— i<M«O?O00C51

oi'-icocyi(Mcoco-*oo

05000500000

(M CO «5
lO CO CO

lO >o »o

^CCi-*-^t^(N^OO
t^OOOS-^iOtOCOf^Oi

t^ o CO

1-1 CM >-(

'^ -* -<i1

-5^t^l>.«5lOTtllOt^03 I
(MCMCO-^tOr—t'-t-OS I

E^
e

-«

cq

t« O t~ OS (N t>. >0 CO O GO «0 (M

-<*l;Cii005T— liO<>»<NtO

«0«0(M«0(M«0«Ci-<*lt>

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III

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u

a

be

-3 13 !>.

H Q

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C/3

1900.]

PUBLIC DOCUMENT — No. 23.

27

5. — Received on First and Subsequent Admissions.

Cases admitted.

Times previodslt
recovbked,

NUMBEK OF THE ADMISSION.

Males.

Females.

Totals.

Males.

Females.

Totals.

First, .
Second,
Third, .
Fourth,
Fifth, .
Sixth, .
Seventh,
Eighth,

268

25

4

1

1
1

1

218
45
9
2
3
1

2

486

70
13
3
4
2
1
2

8
3

1

11

2
2
2

1

2

19
5
2
3

1

2

Total of
Total of

case
pers

ons,

301
299

280
277

581
567

12
12

20
20

32
32

4. — Relation to Hospital of Persons admitted.

Males.

Females.

252

193

27

53

16

25

_

1

-

1

1

1

-

1

-

1

1

_

1

-

2

-

-

1

-

2

1

1

301

280

Never before in any hospital for insane, .
Former inmates of this hospital only.
Former inmates of other hospitals only, . .
Former inmates of this and other hospitals : —

Butler, R I.,

Butler and McLean, ....

Danvers,

Danvers and Medfield,

Danvers, Boston, Taunton and West-
borough,

Danvers, Taunton, Teveksbury and West-
borough,

Fort Steilacoom, Wash., .

McLean, ....

McLean and Westborough,

Northampton,

Taunton, ....

Total of persons,

445
80
41

1

1

2
1

1
1
2
1
2
2

681

28

WORCESTER INSANE HOSPITAL.

[Oct.

5. — Parentage of Persons admitted.

Males.

Females.

Totals.

PLACES OF NATIVITY.

Father.

Mother.

Father.

Mother.

Father.

Mother.

Massachusetts, ....

40

36

22

29

62

65

Other States : —

Maine

11

10

7

4

18

14

New Hampshire,

5

5

8

6

13

11

Vermont, .

8

7

3

4

11

11

Ehdde Island,

1

1

1

2

2

3

Connecticut,

2

6

1

1

3

7

New York, .

3

2

2

4

5

6

Penns\ Ivania, .

-

-

1

-

-

Maryland, .

2

2

-

-

2

District of Columbia,

1

1

-

—

1

Virginia,

2

2

-

1

3

North ( arolina, .

-

-

1

1

1

South Carolina, .

-

-

1

-

-

Georgia,

1

-

-

-

-

Missouri, .

-

-

1

1

1

Minnesota, .

-

-

1

-

-

California, .

-

-

1

1

1

Other countries : —

Canada, . . . .

19

18

19

20

38

38

Nova Scotia,

7

8

2

3

9

11

Prince Kdward Islanc

,

1

1

2

1

3

2

New Brunswick,

2

2

2

1

4

3

Newfoundland, .

4

4

1

1

5

5

Scotland, .

8

3

7

5

10

8

England, .

16

15

9

6

25

21

Ireland,

96

101

99

102

195

203

Norway,

1

1

2

2

3

3

Sweden,

1(1

11

5

5

15

16

France,

1

-

-

1

1

1

Denmark, .

1

-

1

1

2

1

Holland,

1

1

-

-

1

1

Finland,

2

2

-

-

2

2

Poland.

4

4

-

-

4

4

Germany, .

12

12

3

1

15

13

Russia,

4

4

4

4

8

8

Italy. .

2

2

-

-

2

2

Greece,

1

1

-

-

1

1

Turkey,

1

1

-

-

1

1

Unknow^n, .

35

36

71

70

106

106

Total of persons

299

299

277

277

576

576

1900.]

PUBLIC DOCUMENT — No. 23.

29

6. — Birthpl

ace 0

f Persons admitted.

PLACES OF BIRTH.

Males.

Females.

Totals.

Massachusetts,

95

75

170

Other States : —

Maine, ........

9

9

18

New Hampshire,
Vermont,

7
8

6

7

13
15

Rhode Island,

2

5

7

Connecticut,

3

3

6

New York, .

8

8

16

Pennsylvania,
Maryland, .
District of Columbia,

1

1

2

2

Virginia,

3

1

West Virginia, .

1

-

North Carolina, .

-

South Carolina, .

-

Ohio, ....

1

Iowa, .

-

Wisconsin, .

-

Missouri,

-

-

Kansas,

-

California, .

-

Other countries : —

Canada,

15

15

30

Nova Scotia,

6

9

15

Prince Edward Island

1

2

3

New Brunswick,.

4

6

10

Newfoundland, .

3

2

5

Scotland,

1

4

5

England,

14

7

21

Ireland,

53

75

128

Wales,

1

-

1

Norway,
Sweden,

1
11

2
6

3
17

France,

2

_

2

Denmark, ,

_

2

2

Finland,

1

-

1

Poland,

3

-

3

Germany, .
Austria,

7
1

2

9
1

Hungary, .
Russia,

1

6

3

1

9

Italy, .
Greece,

1
2

1

2
2

Turkey,

1

-

1

Unknown, .

25

16

41

Totals,

299

277

5:6

30

WORCESTER INSANE HOSPITAL.

[Oct.

7. — Residence of Persons admitted.

Massachusetts (by counties) : ■

Bristol,

Hampden, .

Middlesex, .

Norfolk,

Suffolk, .

Worcester, ...
Totals, .
Cities or towns,
Country districts.

1

1

2

1

1

2

96

100

196

6

8

13

46

51

97

150

116

266

299

277

576

299

277

576

PUBLIC DOCUMENT — No. 23.

31

1

o

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CO CO SO eo '^ <M 1 (N

00 CO T-l

CO

■S9iBtna^

QO CM Oi <N CO 1-* 1 (M

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CO '^ -<* i-H i-H i-H 1 1

CO (M

CM

C5
CN

is

o
a

■SIBJOl

lO i-H T-t 1 1 1 1 1

CO

CO

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I— 1 i-H 1 I 1 1 1 1

CN

I— 1

•S9IBK

-* 1 —1 1 1 1 1 1

CN

d
o

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i-H 1 1 ( 1 1 1 1

^

•B9[Bras^i

'-' 1 1 1 1 1 1 1

T—)

•saiBK

1 1 1 1 1 1 1 1

1

Q
O

•SIB^OI

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CN

<

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1—1 1—1

d

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CO -* lO 1-1 iH (M 1 1-1

O <M

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o

•83lBni9j[

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H

32

WORCESTER INSANE HOSPITAL.

[Oct.

9. — Occupation of Persons admitted.
Females.

Attendant,

1

Operatives, .... 16

Actress, ....

1

Stenographer,

1

Boarding-house keeper,

1

Seamstress, .

1

Clerks, ....

2

Stitcher,

1

Cook, ....

1

Tailoresses, .

2

Copyists,

2

Teachers,

2

Dressmakers,

2

Washerwoman,

1

Domestics,

56

Waitress,

1

Housewives, .

64

Unknown,

11

Housekeepers,

46

No occupation,

. 63

Music teacher.

Nurse, ....

1
1

Total, .

. 277

Males.

Agent, ....

1

Curriers, .... 2

Architect,

1

Dentist,

Actor, .

1

Decorator,

Blacksmiths, .

4

Designer,

Bartenders, .

2

Druggist,

Ball player, .

1

Electrician, .

Barber, .

1

Electric lineman.

Boiler maker,

1

Engineer,

Broker, .

1

Farmers,

12

Bookbinder, .

1

Fresco painter,

Book-keepers,

2

File maker, .

Butchers,

2

Fireman,

Carpenters, .

7

Foreman,

Cabinet makers.

2

Furrier, .

Chair makers.

2

Fruit dealer, .

Car cleaner, .

1

Grocers,

Carriage maker.

1

Harness maker.

Clerks, .

7

Herdic driver,

Constable,

1

Hotel clerk, .

Coachman,

1

Hostlers,

3

Comb maker.

1

Jewellei",

1

1900.]

PUBLIC DOCUMENT — No. 23.

33

9. — Occupation of Persons admitted — Concluded.
Males — Concluded.

Journalist, .... 1

Proofreader, .

i

Laborers,

55

Pool-room keeper.

1

Letter carriers,

2

Plumbers,

2

Literature,

1

Physician,

1

Lineman,

1

Quarryman, .

1

Locksmith,

1

Railroad employee.

1

Longshoreman,

1

Reporter,

1

Lumber surveyor,

1

Retired, ....

1

Lumber dealer,

1

Sailors, ....

3

Marketmen, .

2

Stone cutter, .

1

Masons, .

4

Shoemakers, .

9

Machinists, .

17

Student, ....

1

Manufacturer,

1

Superintendent of mill,

1

Merchants,

2

Tailors, ....

2

Moulders,

4

Tradesman, .

1

Motormen,

2

Teamsters,

4

Musicians,

2

Tinsmiths,

2

Music teacher.

1

Trunk maker.

1

Operatives, .

17

Waiter, ....

1

Organ pipe voicer.

1

Watchman, .

1

Painters,

7

Wire worker.

1

Plasterer,

1

Unknown,

19

Peddlers,

3

No occupation.

34

Printers,
Porter, .

3
1

Total, .

299

34

WOECESTEE INSANE HOSPITAL.

[Oct.

'«

'«
s

s

3

1~S

m

ft

■<
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P

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Eh

n
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is

o

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03

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

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

o

Eh

(M ' 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

CI 1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 1 1 1 1 1 1

(S3

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

<

m

M

O

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fq

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1

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03

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R
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ft

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pq !?
ft

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03

OSrH 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

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

->1

1

■*IN[~-*IM-*00-*rHM(MrHlO(MrHOf-rH-*rH00C0<Mt-lNm<yiOTt-(N«^OTrH
00 rH iO (N

i

OrHMI IrHltMl 1 l-HrHrHrH|lOrHrHrHOO(NICOrH10IO(N<MrHeol

rJ(rH-*-*(MCCOO(>>i-HCCe» l-*rH |10(N lOT IOrH(N'«t-l l(MeClO IrH IrH

Alcohol

Alcohol and morphine, .

Alcohol and febrile disorder, .

Alcohol and trauma.

Alcohol and ill health,

Alcohol and constitutional inferiority.

Alcohol and epilepsy.

Alcohol and senility.

Alcohol and mastiirbation.

Alcohol and sexual excesses, .

Alcohol and lactation,

Alcohol, worry and family trouble.

Abscesses,

Apoplexy

Arterio-sclerosis, ....

Bereavement,

Bereavement and spiritualism, .
Business trouble, ....

Chorea

Constitutional inferiority,
Cerebro-spinal meningitis,
Disappointment in love, .

Epilepsy

Epilepsy and ill health, .

Family trouble

Grippe

Heredity,

Immorality,

Lactation,

Lead poisoning-, ....

1900.] PUBLIC DOCUMENT — No. 23.

35

I I I I I I I I I I r I I I I I I I I I t I I I I I

I I I I I I

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I I I I I

I I I I I

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I I I I I I I

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r^ I <Mi-iei5 I

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&: S

36

WORCESTER INSANE HOSPITAL.

[Oct.

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s

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37

12. — Ages

of Insane at First Attack, Admission and Dec

ith.

Peksons First admitted
TO Ant Hospital.

Persons died.

AGES.

AT
riBST ATTACK.

WHEN
ADMITTED.

AT
FIRST ATTACK.

AT
TIME OF DEATH.

Ma.

Fe.

Tot.

Ma. 1 Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Congenital,

2

4

6

-

-

-

-

-

-

-

-

15 years and less,

2

2

4

1

1

2

-

1

1

-

-

-

From 15 to 20 years,

13

7

20

11

5

16

-

2

2

-

-

-

20 to 25 years,

25

20

45

27

18

45

2

1

3

-

-

-

25 to 30 years,

20

21

41

30

31

61

-

3

3

1

3

4

30 to 35 years.

24

15

39

30

20

50

6

3

9

3

9

12

35 to 40 years.

20

19

39

26

24

50

5

4

9

5

3

8

40 to 50 years.

30

32

62

50

35

85

10

7

17

14

4

18

50 to 60 years ,

21

21

42

29

28

57

8

11

19

11

6

17

60 to 70 years,

12

11

23

15

20

35

5

9

14

5

13

18

70 to 80 years,

10

6

16

18

5

23

4

5

9

8

8

16

Over 80 years, .

6

2

8

9

3

12

2

1

3

3

3

6

Unknown, .

67
252

33

193

100

445

6

252

3
193

9

445

14
56

3

17
106

6

1

7

Total of persons,

60

56

50

106

Mean ages in years, .

44.7

39.2

41.9

41.6

41.6

41.6

48.6

54.9

51.7

55.7

55.0

55.3

13. — Reported Duration

3/ Disease

before Last Admission.

PREVIOUS DURATION.

First Admission
TO Ant Hospital

All Other
Admissions.

Totals.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Ma.

Fe.

Tot.

Congenital,

1

5

6

1

1

2

2

6

8

Under 1 month,

61

46

107

12

23

35

73

69

142

From 1 to 3 months,

30

20

50

-

15

15

30

35

65

3 to 6 months,

21

14

35

2

11

13

23

25

48

6 to 12 months,

16

16

32

2

2

4

18

18

36

1 to 2 years, .

18

15

33

4

3

7

22

18

40

2 to 5 years, .

25

23

48

7

4

11

32

27

59

5 to 10 years, .

8

10

18

3

3

6

11

13

24

10 to 20 years, .

5

6

11

2

4

6

7

10

17

Over 20 years, .

2

-

2

1

1

2

3

1

4

Unknown, .

65

38

103

15

20

35

80

58

138

Total of cases, .

252

193

445

49

87

136

301

280

581

Total of persons,

252

193

445

47

84

131

299

277

.576

Average in years,

1.74

1.94

1.84

3.3

2.27

2.78

2.52

2.1

;2.3l

38

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41

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Cerebral hemorrhage.

Fracture of skull, .

Cerebral concussion,

Cerebro-spinal meningi-
tis.
Post-epileptic coma,

Convulsions,

Pyelitis

Peritonitis,

Peri-rectal abscess, .

Ileo-colitis,

Chronic diarrhcea, ,

G-astritis, ....

Enteritis

Exhaustion,

Inanition, ....

Carcinoma of breast.

Uterine carcinoma, .

Cancer of sigmoid flex-
ure.
Bepticsemia,

Suicide by strangulation.

Asphyxia by food, .

Totals,

42

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A. — Insane : —

Under 1 month,
From 1 to 3 months,
3 to 6 months,
6 to 12 months,

1 to 2 years, .

2 to 5 years, .
5 to to years, .

10 to 20 years,.
Over 20 years, .
Unknown,

Totals,
Average of known cases (in mo

B. — Habitual drunkards : —
From 1 to 3 months,
3 to 6 months,
6 to 12 months,
1 to 2 years, .
5 to 10 years, .
Unknown,

Totals,
Average of known cases (in mo

PUBLIC DOCUMENT — No. 23.

43

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1841
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1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859
1860
1861

1900.] PUBLIC DOCUMENT — No. 23. 45

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1889
1890
1891,
1892
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1897,
1898
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46

WOECESTER INSANE HOSPITAL.

[Oct.

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50

WORCESTER INSANE HOSPITAL.

[Oct.

LIST OF PERSOI^S

Employed in the Worcester Insane Hospital, Sept. 30, 1900.

Superintendent and physician, per year.

Assistant superintendent and physician, per year.

Assistant physician, per year (non-resident),

Assistant physician, per year, ....

Assistant physicians (two), each, per year,

Junior assistant physicians (four) , each, per year.

Steward, per year,

Matron, per year, .

Clerk, per year, .

Treasurer, per year,

Auditor, per year,

Stenographer and typewriters (three), per month.

Supervisor (man), per month, ....

Assistant supervisors (two men), each, per month.

Supervisors (three women), each, per month, .

Marker of clothing, etc., per month, .

Seamstresses (two) , each, per month.

Attendants (men, forty-seven), per month.

Attendants (women, fifty-five), per month,

Night attendants (men, seven), per month.

Night attendants (women, eight), per month, .

Baker, per month,

Assistant baker, per month, ,

Steward's assistant, per month, .

OfB.ce girl, per month, .

Kitchen men (three), per month,

Cooks (two), per month.

Laundry man, per month,

Laundress, per month, .

Assistant laundry man, per month.

Laundry girls (seven), per month,

$3,000 00

1,500 00

2,000 00

1,200 00

1,000 00

400 00

1,000 00

600 00

720 00

500 00

75 00

$60 00 and 30 00

45 00

40 00

25 00

20 00

18 00

to 28 00

to 20 00

to 28 00

18 00

50 00

27 00

27 00

16 00

to 46 00

and 28 00

30 00

20 00

25 00

14 00 to 18 00

23 00
14 00

25 00

16 00
25 00

1900.]

PUBLIC DOCUMENT — No. 23.

51

Kitchen girls (five), per month,

House girls (eight), per month.

Carpenters (two), per day.

Painter, per day, .

Mason, per day, .

Mason's helper, per day.

Plumber, per month, .

Engineer, per day.

Firemen (two), per month.

Farmer, per month.

Housekeeper, per month,

Farm laborers (fifteen), per month,

Farm help (five women), per month.

Florist, per month.

Coachman, per month, .

Expressman, per month.

Butcher, per month.

Basement and yard man, per month.

$14 00 to $18 00

14 00

2 60 and 3 00

2 50

3 25
2 25

75 00
2 50
40 00
60 00
18 00
20 00 to 30 00
14 00 to 20 00
45 00
23 00
25 00
23 00
25 00

52

WORCESTER INSANE HOSPITAL.

[Oct.

PRODUCTS OF THE FARM

On Hand Oct. 1, 1900, and not delivered at the Hospital.

Apples, .

Barley fodder,

Beets,

Cabbages,

Carrots, .

Celery, .

Corn fodder,

Ensilage,

Hay,

Hay, swale,

Mangolds,

Oat fodder,

Onions, .

Parsnips,

Rowen, .

Rye,

Squash, .

Straw, rye.

Turnips,

590 barrels.

15 tons.
500 bushels.
20,000 heads.

800 bushels.
5,000 heads.
25 tons.
600 tons. .
250 tons.
8 tons.
400 bushels.

22 tons.
400 bushels.
200 bushels.
33 tons.
40 bushels.
36,000 pounds.
12 tons.
200 bushels.

1900.]

PUBLIC DOCUMENT — No. 23.

53

FAEM ACCOUNT.

Dr.

Bread, .

Butter,

Groceries, etc..

Meat, .

Fish, .

Sugar, .

Current expenses,

Wages,

Fuel, .

Lights,

Grain and meal,

Live stock, .

Furniture, .

Repairs,

Water,

Fertilizer, .

Seeds, .

Net gain for year ending Sept. 30, 1900,

Cr.

Apples, 693 barrels, .
Asparagus, 32i dozen bunches,
Beets, 207f bushels, .
Beans, lima, 43 bushels.
Beans, string, 50i bushels.
Beef, 10,085 pounds, .
Bones sold, 3,630 pounds.
Cabbage, 247| barrels.
Celery, 53^ dozen bunches,
Carrots, 112=j^o bushels,
Cauliflower, 44 heads.
Currants, 806 quarts, .
Cucumbers, 617, .
Corn, 2,779 dozen.

Amount carried forward.

$290 92

539

43

1,576

37

1,690

38

169

66

397

60

2,092 35

6,125

02

312

79

221

63

6,864

60

2,380 00

279

41

320 98

172

37

536

59

111

93

900

18

$23,982 16

$1,312

50

41

00

120

94

49

75

87

88

840

91

75

69

338

32

73

21

81

44

2

20

62

84

66

67

222

32

,325 67

54

WORCESTER INSANE HOSPITAL.

Amount brought forward.

Crab apples, 6 bushels,

Chickens,

Cider, 1,147 gallons, .

Dandelions, 74 bushels.

Egg plant, 97, .

Eggs, 117 dozen,

Grapes, 3 bushels.

Hay, 41,350 pounds, .

Hides sold, 14, .

Honey, 19 pounds.

Ice cut, 861 tons,

Kale, 13 bushels.

Live stock sold, .

Loads of wood, three,

Milk, 327,292 quarts, .

Lettuce, 421 dozen.

Musk melons, 80,

Oat straw, 89 tons.

Onions, 615i bushels, .

Oats, 8061 bushels, .

Old iron sold,

Potatoes, 45 bushels, .

Parsnips, 87 1 bushels.

Pease, 1081 bushels, .

Peppers, one half bushel,

Parsley, 114 pints,

Pears, 16 bushels,

Pork sold, 40,455 pounds.

Radishes, 1,192| dozen,

Rhubarb,

Rye straw, 11,560 pounds.

Rye, 5 bushels, .

Spinach, 172 bushels, .

Squash, 124 1 dozen (summer).

Squash, winter, 27 barrels,

Strawberries, 108 quarts.

Scullions, 2>l\ bushels.

Tomatoes, 274| bushels.

Tomatoes, green, 16 bushels.

Turnips, 637 bushels,

Vegetables sold, .

Water melons, 62,

Wagon sold.

Drawing coal,

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