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



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



SEVENTY-FIEST ANNUAL EEPOET 



THE TEUSTEES 



Worcester Insane Hospital, 



TWENTY-SIXTH ANNUAL REPORT OF THE TRUSTEES 



WOECESTEE INSANE ASYLUM AT WOECESTEE, 



Yeak ending September 30, 1903. 




BOSTON : 

WKIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1904. 



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



SEAnENTY-FIEST ANNUAL EEPORT 



THE TRUSTEES 



Worcester Insane Hospital, 



TWENTY-SIXTH ANNUAL REPORT OF THE TRUSTEES 



WOKCESTEE INSANE ASYLUM AT WORCESTEE, 



Yeak eistden^g September 30, 1903 



7 



■ "• ^-^^u . • Yk-^^^^t.d:^,.. ^^r 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1904. 



3«rATE HOU&t, SOSTttI 




ApPliOYED BY 

The State Board of Publication. 



3 



COTnTTETsTTS 



PAGB 

Kkport of Trustees, 7 

Report of Superintendent, . 11 

Report of Treasurer, . . 23 

Statistics, 29 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

SARAH E. WHITIN, Whitinsville. 

FRANCES M. LINCOLN, . . Worcester. 

SAMUEL B. WOODWARD Worcester. 

LYMAN A. ELY, Worcester. 

PHILIP W. MOEN, Worcester. 

ROCKWOOD HOAR, Worcester. 

THOMAS RUSSELL, Boston. 



RESIDENT 
HOSEA M. QUINBY, M.D., .. 
ALFRED I. NOBLE, M.D., . 
ISADOR H. CORIAT, M.D.. . 
CORNELIA B. J. SCHORER, M.D 
HENRY S. CHAFFEE, M.D., 
CHARLES T. FISHER, M.D., 
THEODORE A. HOCH, M.D., 
MELVIN J. ROWE, M.D., . 
GEORGE H. LYNCH, M.D., . 
JAMES H. TURNER, M.D., . 
LINDA RICHARDS, . 



HENRY R. CENTER, . 
LILA J. GORDON, . 
JOSEPH T. REYNOLDS, 



OFFICERS. 

Superintende7it. 

Assistant Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physicia7i and Pathologist,. 

Junior Assistant. 

Junior Assistant. 

Junior Assistant. 

Superintendent of Nurses. 



Steward. 

Matron. 

Farmer. 



NON-RESIDENT OFFICERS. 
WILLIAM D. SPROAT. . 
ALBERT WOOD, 
GEORGE L. CLARK, 
JESSIE M. D. HAMILTON, . 
JAMES DICKISON, Jr., . 



Druggist. 
Treasurer- 
Auditor. 
Clerk. 
Etigineer.. 



Commnixtomlt^ bI ^assarl^xisttts 



TRUSTEES' REPORT. 



To His Excellency, the Governor and the Honorable Council. 

The trustees of the, Worcester Insane Hospital respectfully 
present their seventy-first annual report, including the reports 
of the superintendent and treasurer, with the required statistics. 
In the report of the superintendent will be found in detail the 
facts concerning the care and management of the institution. 
The trustees are unanimous in the opinion that the hospital 
has been most efficiently conducted, and they have only words 
of the highest respect and commendation for the officers in 
charge and their admirable services. 

For the past year the average number of patients has been 
1,125.10, — the largest perhaps in our history. The sixty- 
first annual report for 1893 gives as the average for that year 
878.78, and states that that was the hio;hest number vet reached. 
Each year now seems to yield an increase upon the average of 
the year preceding. Therefore the practical pressing problem 
is, how to expand in order to meet as we should the needs and 
demands of this rapidly growing family. The new infirmary 
wards care for about 100 of this increase. ^Nevertheless, as 
will be readily seen from the figures, we are still overcrowded. 
The new home for women nurses is nearly readj^ for occupancy, 
and when the nurses are located there, the rooms now occupied 
by them in the hospital will be available for patients, thus 
relieving the congestion in some degree. The home, which 
accommodates 58 nurses, is finely situated upon high ground. 
It runs north and south, facing the east with a beautiful outlook 
upon the lake and surrounding hills, and with the city and 



8 WORCESTER INSANE HOSPITAL. [Oct. 

sunset view in the rear. This environment makes every room 
well lighted, cheerful and desirable. This new building .will 
add much to the comfort and convenience of the nurses, and, 
with its training school, under the very efficient instruction of 
Miss Richards, will be of inestimable benefit to all. 

It gives the trustees much satisfaction to report a gradually 
increasing number of patients who are willing to work and who 
are employed in various ways outside of the wards, especially 
upon the farm. Patients thus occupied naturally enjoy greater 
freedom than thoS'e who decline to work, and occasionally one 
who is restless for change and impatient of all restraint escapes. 
Thus far, however, those who have escaped were patients well 
advanced on the road to recovery, harmless to themselves and 
to others. 

The hospital is so open to inspection that all who are inter- 
ested, whether the general public or the relatives of the patients, 
can be well informed as to the condition of the inmates, the 
care and attention they receive and the methods by which the 
institution is managed. Wednesdays and Fridays, from 10 
A.M. to 4 P.M., are visiting days, when the wards are filled 
with friends of the patients, who have an opportunity to see 
them in their every-day life and routine. Meetings of the 
Board of Trustees are held each month, when accounts are 
audited and financial conditions examined, wards are visited, 
patients seen and listened to, bedding and clothing are inspected, 
food sampled and the mode of its preparation noted. Besides 
this, individual members of the Board make unexpected visits 
at odd times, both by day and night, when the regular work 
of the house can be carefullj^ studied. Visits are also made in 
company with the officers of the hospital as they make the 
rounds Sunday mornings, when both patients and attendants 
are expected to present themselves in their best attire. At 
that time the rooms, the closets, the bedding, and in fact every 
corner of the house is thrown open for inspection. An intelli- 
gent interest by the outside public in the delicate and difficult 
work that is being done in this large and pitiful community 
would be a positive help and inspiration to those who are 
devoting themselves to its accomplishment. 

The library is a constant source of diversion and entertain- 



1903.] PUBLIC DOCUMENT — No. 23. 9 

ment to many of the inmates. From 150 to 175 books are 
given out each week. The past year 160 volumes were added 
to our shelves. These books are selected with care and dis- 
cretion, many of them only after a personal perusal by a 
competent judge. 

As year by year the hospital grows towards completeness in 
its appointments and efficiency, the wisdom and foresight of 
the State in making liberal provisions for the care of the 
afflicted ones tlirown upon its charity becomes more clear and 
praiseworthy. We are constantly reminded of the fact that 
.what we have already makes something more necessary. The 
hew opportunities make larger demands and require better 
service. To be just to the past we must be generous each 
year. 

The various recommendations of the superintendent have 
been carefully considered by the trustees, and are each and all 
regarded as essential. Estimates of the probable cost of each 
have been obtained from persons of judgment and experience 
in such matters, and the amounts called for are believed to be 
fair and reasonable. The trustees would therefore respectfully 
ask that the following appropriations be made : — 

For a pathological building and morgue, 

Additions to laundry building, 

New laundry machinery, .... 

New piggery, ...... 

Replumbing and alterations in administration building, 
Alterations and plumbing in ward dining rooms, 
Home for 70 male nurses, 

All these objects should receive immediate attention, but we 
mention the pathological building and morgue as requiring 
your special and prompt action. The trustees have watched 
with great interest the growth of the medical work of the 
hospital, and, encouraged by the marked success already 
obtained, believe that nothing should now be omitted which 
may promote its further advancement. They are unwilling to 
see it handicapped as it has been, tlirough lack of facilities to 
carry on its proper work. The home for the male nurses will 
offer the same advantages as the home for the female attend- 
ants, and is greatly to be desired. 





$10,000 00 




3,000 


00 




1,500 


00 




5,200 00 




6,000 


00 




5,000 


00 




53,000 


00 



10 WOECESTER INSANE HOSPITAL. [Oct. 

Commending the varied interests of this most important 
institution to the Legislature, that has never yet failed to make 
ample provision for its needs, we respectfully submit our 
report. 

SARAH E. WHITIN, 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
LYMAN A. ELY, 
PHILIP W. MOEN, 
ROCKWOOD HOAR, 
THOMAS RUSSELL, 

Trustees. 



1903.] PUBLIC DOCUMENT — No. 23. 11 



SUPERINTENDENT'S REPOET. 



To the Trustees of the Worcester Insane Hospital. 

I herewith respectfull}" submit the following report of the 
hospital for the year ending Sept. 30, 1903, it being the 
seventy-first annual report. 

There remained at the hospital Oct. 1, 1902, 1,116 patients, 
— 534 men and 582 women. During the year 624 patients — 
357 men and 267 women — were admitted, 439 patients — 244 
men and 267 women — were discharged, and 70 men and 47 
women died, lea%dng at the end of the official year 1,184 
patients, — 577 men and 607 women. Of this number, 375 
were supported by the State, 634 by cities and 'towns and 175 
by friends. Of the 439 persons discharged, 137, including 17 
habitual drunkards, were reported recovered, 75 much im- 
proved, 57 improved and 165 not improved ; 5 were discharged 
not insane. Sixty "men and 52 women were transferred by the 
State Board of Insanity to the Worcester Insane Asylum, 4 
men to Foxborough, 2 men to Taunton, 1 man to Medfield and 
1 woman each to Tewksbury and Dan vers. Twenty men and 
13 women were removed from the State and 10 women boarded 
out. 

There remained at the end of the year 32 more patients than 
at the beoinnino-. The smallest number under treatment on 
any one day was 1,068, and the largest 1,212. The daily 
average number was 1,125.10. 

The percentage of recoveries, calculated upon the number 
of discharges and deaths, was 22.84; calculated upon the 
number of admissions, it was 20.35. 

The death rate was 6.7, calculated on the whole number of 
patients under treatment; and 10.4, calculated upon the daily 
average number. Thirty-nine patients died of general paraly- 
sis and 28 of senile or organic dementia. One woman com- 
mitted suicide. She had been an inmate of the hospital for 



12 WORCESTER INSANE HOSPITAL. [Oct. 

several years, and at various times liad parole about the 
grounds. She appeared uniformly cheerful, and, as far as her 
delusions would allow, contented ; and there was nothing to 
indicate a suicidal tendencj^, or to call for anything beyond the 
usual care and watchfulness in her case. 

The general health of the household has been exceptionally 
good through the year, there having been no case of infectious 
disease and no acute sickness Avorthy of note either among the 
patients or employees. 

The nurses' home, begun in May, 1902, is now practically 
completed and will soon be occupied. It is located on the 
right and in front of the main building, just off the main drive- 
way. It is built of stone from the hospital quarry, with brick 
trimmings, to conform architecturally with the other hospi- 
tal buildings. It is three stories in height, with a high base- 
ment. It consists of a central building, 40 feet long by 46 
feet wide ; and two wings, 48 feet long by 37 feet wide, mak- 
ino- the entire front 13(3 feet. On the first floor of the centre 
building, on either side of the main entrance, is the reception 
room and the office of the superintendent of nurses. Directly 
over these, on the second floor, is a class room 14 feet wide by 
25 feet long ; while in the rear, on each story, across a wide 
central corridor, are the toilet rooms. Here also is located 
the main staircase, which is enclosed in brick walls and shut 
off" on each story by swing doors. Adjoining the staircase 
and in the same enclosure is an elevator shaft, also of brick. 
A room is provided in the second story for the cooking school, 
and one in the third story for the housekeeper. In the two 
wings, besides a linen closet on each floor and a staircase at 
either end, there are 53 single rooms, 9 feet 6 inches wide by 
14 feet long, and three double rooms, for nurses. The build- 
ing is to be lighted by electricity and heated by steam from 
our central heating plant, by the direct, single-pipe system 

Although exceedingly plain both in exterior and interior 
finish, it will be found, I think, well adapted for the purpose 
for which it was designed, and in every way serviceable. All 
of the rooms are bright and sunny, and all, both on front and 
rear, have a delightful outlook over the hospital grounds and 
the surrounding country. 



1903.] PUBLIC DOCUMENT — No. 23. 13 

The appropriation for erecting and furnishing this building 
was $45,000, and it has been completed within this sum. All 
the work has been done in a most thorough manner, and credit 
is due to Messrs. Fuller and Delano, architects ; Joseph G. 
Vaudreuil, general contractor ; John P. Rydberg, contractor 
for the stone work; Bianchi Bros., contractors for the tile and 
marble work; George E. Brigham, for the electrical wiring; 
and Simon Norcross, of O. S. Kendall & Son, who planried 
and supervised the installation of the heating plant, — for the 
entirely satisfactory way in which they have each carried out 
their contracts. The excavating, the piping, the plumbing 
and the painting were done by the regular employees of the 
hospital, with the assistance of the patients, and all of the beds 
and bedding and much of the furniture was also made by them. 
This has materially delaj^ed the completion of the work, but 
has resulted in the saving of several thousands of dollars to 
the State. 

The addition in the rear of the executive building for our 
stenographers and typewriters, provision for which was made 
by the last Legislature, has been completed at something under 
the sum estimated and appropriated therefor. 

The work on our electric light plant is being carried on as 
rapidly as possible. The addition to our boiler house is well 
under way, and will be completed before cold weather. Con- 
tracts for the boilers, engines and dynamos have been awarded, 
and they will all no doubt be ready for delivery as soon as the 
boiler house is completed and the necessary alterations made 
in our dynamo room. Plans for wiring the building are being 
madei This, however, will be a much less formidable and 
expensive undertaking than it otherwise would have been, had 
not provision already been made therefor in all of the more 
recent additions to the hospital. 

I would again call attention to our need of a pathological 
building and morgue. We are greatly hampered in our work 
by the lack of such a building. For some years w^e have been 
trying to bring up the standard of the medical work of the 
institution and place it upon the same plane as that of the 
general hospital, and our efforts have, I am pleased to believe, 
met with no small degree of success. Not so very long ago it 



14 WORCESTER INSANE HOSPITAL. [Oct. 

was the complaint in regard to our insane hospitals that they 
were nothing but large boarding houses, and that little if any- 
thing was done towards the treatment and cure of the inmates. 
If this was ev.er true of any one of them, which I am unwilling 
to acknowledge, they can now, I am sure, fairly claim to have 
gotten beyond the boarding house stage, and to have become 
in reality hospitals, where each individual has a most thorough 
and painstaking investigation of his case, followed by such 
treatment as modern scientiiic methods suggest. As the result 
of changed methods, the whole medical atmosphere of the insti- 
tution has changed, and as a consequence we are now able to 
attract a verj'^ superior class of young physicians as assistants. 
They no longer, as formerly, seek or hold their positions chiefly 
for the salary attached, but rather for the experience and train- 
ing received. Relieved as they now are to a large extent from 
routine duties, they give, under efficient direction, their time 
and energy to the study of their patients, and have become very 
enthusiastic and painstaking in their work. Medical enthusi- 
asm, however, in an insane hospital, where there is so much to 
claim a young person's attention in other directions, is a plant 
difficult to propagate, of slow growth,' and quick to droop un- 
less persistently and constantly cultivated and encouraged. 
To secure this result it is necessarj^ that we should keep up 
with the times, and in order to do this we must have facilities 
for carrying on certain lines of work recognized as essential 
in every modern hospital. When our little laboratory was 
established, the only available place therefor was, unfortu- 
nately ,,in the administration building, under the general offices 
and reception rooms. Here the room is not only limited, but 
on account of location entirely unsuited for the work which it 
is necessary to carry out. We are obliged, for instance, to 
forego much in the way of examination of the various excreta, 
— examinations which are now regarded as absolutely neces- 
sary for purposes of exact diagnosis, — because of their offen- 
sive nature. This not only tends to the disadvantage of the 
patient, but it discourages that thoroughness on the part of the 
physician which it should be the aim of every one to cultivate. 
Several of our young men have shown a decided talent for 
original investigation, and it has been exceedingly unpleasant 
for the superintendent to say to such that the necessary means 



1903.] PUBLIC DOCUMENT — No. 23. 15 

for carrying on their investigations could not be furnished, or 
that they must be discontinued on account of thek^ ofltensive 
nature. As to the morgue, which would naturally be provided 
for in the pathological building, I am sure that any one who 
will take the trouble to make himself familiar with the very 
disao-reeable conditions under which we now labor in carino* 
for the bodies of patients after death will readily concede that 
entirely diiferent provisions must be made before this work can 
be done in a seemly way, without undue publicity, and without 
shocking the sensibilities of the living inmates of the house. 
The estimated cost for a building such as is needed for the 
above purposes is $10,000. 

With the increase in our population, our laundry work has 
so increased that our present wash room can no longer meet 
the demands made upon it, and I would recommend that an 
addition of 20 feet be built thereto, at an estimated cost of 
$3,000. Two additional washers, a shaker out, a centrifugal 
wringer, a shirt and a body ironer should be provided. 

Our piggery on Plantation Street is becoming more and 
more a source of complaint from our neighbors. For this 
reason, if for no other, we shall undoubtedly be forced to dis- 
continue it in the near future. As there is no place upon the 
grounds suitable for it, and as it is much out of repair and 
needs immediate attention, I would recommend that a new 
piggery be built on our farm in Shrewsbury. The estimated 
cost of a building similar in size and construction to the present 
one is $5,206. 

The plumbing in the administration building has been in use 
since the institution was first opened, and is not only anti- 
quated, worn out and beyond repair, but is not properly 
arranged for our present needs. It should be entirely renewed, 
and a toilet room for either sex be provided on each of four 
floors, and a ventilatino; and lig-ht shaft extended throuo;h the 
roof. This would necessitate the tearing out of several parti- 
tions, and would cost in the neighborhood of $6,000. 

The plumbing connected with the ward dining rooms should 
also be renewed, and certain alterations made in the dining 
rooms themselves. The cost of this work as contemplated 
would be $5,000. 

The completion of the nurses' home for the women only 



16 WOECESTEK INSANE HOSPITAL. [Oct. 

emphasizes the need of a similar building for the male attend- 
ants. The necessity is equally as great in one case as in the 
other. The building should be constructed on much the same 
lines as the one just completed ; but, in order to provide for 
the increased number which must soon be provided for, it 
should be large enough to accommodate 70 attendants, besides 
the necessary care takers. This would require an appropria- 
tion of $53,000. 

In estimating the cost of such a building, however, it is 
only proper to take into consideration the fact that for every 
attendant thus provided for, provision will thereb}^ be made 
in the hospital for at least an x equal number of patients, and , 
that this will materially reduce the net cost to the State. 

With the completion of our nurses' home a training school 
will at once be opened. As superintendent of nurses we have 
been fortunate in securing the services of Miss Linda Richards, 
whose success in organizing and carrying on such schools is 
well known to every one at all conversant with hospital work. 
She entered upon her duties here September 1. 

As a part of our laboratory work through the year, inter- 
esting studies upon the chemistry of nerve degeneration in 
general paralysis and other mental disorders have been made 
by Dr. I. H. Coriat, and published in the "American Journal 
of Insanity," Vol. 59, No. 3, 1903. Other contributions will 
soon be ready for publication. This is a line of investigation 
in which but little has thus far been done, and one which 
promises valuable results in determining the causes underlying 
disorders of the brain. 

For the first time in the long history of the hospital it be- 
comes the sad duty of the superintendent to record the death 
of a medical officer of the institution. William Emmett 
Kornegay, M.D., junior assistant physician, died Sept. 18, 
1903, from general septicsemia, following a slight surgical 
operation upon the nose. 

The deceased was born near Goldsboro, in North Carolina, 
in 1877. He gained his primary education in the schools of 
that State, and entered the University of North Carolina, where 
he remained two years, when he entered the medical depart- 
ment of the University of Maryland, and graduated therefrom 



1903.] PUBLIC DOCUMENT — No. 23. 17 

in 1901. His work at the latter institution was of such 
character that at the end of his medical course he received the 
appointment of resident pathologist to the University Hospital, 
which he held for one year. Dr. Kornegay came to this hos- 
pital June 18, 1902. During his year and a quarter of service 
here he endeared himself to all by his cheerfulness and modesty, 
his uniform courtesy and his conscientious devotion to duty, 
while his attainments, his interest and enthusiasm in his work 
and his marked industry gave promise of a successful profes- 
sional career, and emphasize the great loss which the hospital 
sustained in his death. 

Dr. Henry A. Cotton, who served the hospital loyally and 
well one year as junior and over two years as senior assistant 
physician, resigned June 1, 1903, to accept a position at the 
Dan vers Insane Hospital. 

Dr. Theodore A. Hoch, who has been connected with the 
hospital since Oct. 1, 1900, first as junior and then as senior 
assistant, was appointed as pathologist and director of the 
laboratory June 1, 1903. 

Dr. Henry S. Chaifee and Dr. Charles T. Fisher, having 
served one year or more as junior assistants, were promoted 
to senior assistant physicians in April and June respectively. 

Dr. H. Walton "Wood very satisfactorily completed his 
junior year in the service and resigned July 25, 1903, to re- 
ceive an appointment at the Taunton Insane Hospital. 

The current expenses, less the amount received from articles 
sold, have been $227,751.16; dividing this by 1,125.1, the 
daily average number of patients, gives $202.43 as the annual 
cost of support, which is equivalent to a weekly cost of $3.89. 

With 625 admissions during the yea-r, many of them in the 
acute stage of insanity, the calls upon all departments of the 
hospital have often been exacting ; but I am happy to report 
that with but few exceptions all the employees have proved 
equal to the task imposed upon them, and have shown a com- 
mendable zeal and devotion to their work, and to all such I am 
certainly much indebted. 

H. M. QUINBY, 

Sujjerinlendent. 
Worcester, Sept. 30, 1903. 



18 



WOECESTER INSANE HOSPITAL. 



PKODUCTS OF THE FAKM 

On Hand Oct. 1, 1903, and not delivered at the Hospital. 



Apples, barrels, . 


1,000 


Ensilage, tons, . 


Barley and oat fodder, tons 


60 


Hay, tons, . . . . 


Beans, Lima, bushels, 


100 


Hay, swale, tons, 


Beets, bushels, . 


800 


Lettuce, plants, . 


Cabbage, heads, . , . 


32,500 


Onions, bushels, . 


Carrots, bushels, 


800 


Parsnips, bushels, 


Cauliflower, heads, 


400 


Rowen, tons. 


Celery, heads. 


10,000 


Squash, winter, pounds. 


Cider, gallons, . 


4,000 


Straw, rye, tons, . 


Corn, sweet, dozen. 


1,200 


Tomatoes, bushels. 


Egg plants, 


200 


Turnips, bushels, 



FARM ACC0U:N^T. 



Dr. 



Blacksmith, 

Bread, . 

Butter, 

Current expenses 

Fertilizer, . 

Fish, . 

Fuel, . 

Furniture, , 

Grain, . 

Groceries, etc., 

Harness, repairs. 

Ice, 

Lights, 

Live stock : — 

Cows, . 

Horses, 

Pigs, . 



etc.. 



Amount carried forward, $19,394 67 



1903.] PUBLIC DOCUMENT — No. 23. 19 

Amount brought forward, $19,394 67 

Meats, 1,882 48 

Milk, 554 80 

Repairs, 1,904 13 

Seeds, 253 09 

Sugar, 328 03 

Tools, machines, etc., 378 24 

Wages, 7,988 31 

Wagons, repairs, 508 85 

Water, 251 98 

$33,444 53 
Cr. 

Apples, No. 1, 301 barrels, $45150 

Apples, No. 2, 266 barrels, 31125 

Apples, crab, 3^ bushels, 3 60 

Asparagus, 174 bunches, 22 78 

Beans, Lima, 60 bushels, . 65 44 

Beans, shell, 78 bushels, 117 00 

Beans, string, 168 bushels, 181 31 

Beets, 278 bushels, 184 38 

Beef, 19,668 pounds, 1,619 12 

Bones sold, 3,860 pounds, 19 30 

Cabbage, 30,500 pounds, 347 40 

Carrots, 43 bushels, 23 65 

Cauliflower, 379 heads, 25 34 

Celery, 3,468 heads, 294 50 

Cider, 4,9 14 gallons, 589 68 

Corn, sweet, 1,971 dozen, 295 65 

Cucumbers, 5,610, . . ^ 164 67 

Cucumber pickles, 6,625, . 23 18 

Currants, 316 quarts, 33 28 

Drawing coal, . . 363 72 

Eggs, 67J dozen, 16 87 

Egg plants, 250, ' . . . ^ . v . 16 60 

Feed, ground, 2,610 pounds, 30 47 

Fertilizer, 100 loads, 100 00 

Gravel sold, load, 50 70 

Gravel, load, . 349 00 

Greens, 39 bushels, 19 00 

Hay, 19,970 pounds, 199 70 

Hides sold, 2,796 pounds, 179 00 

Ice, 1,102 tons, 881 28 

Ice sold, 304 tons, 89 40 

Iron, junk, sold, 6 73 

Lettuce, 234 80 



Amount carried forward, $7,309 10 



20 



WOECESTEE INSANE HOSPITAL. 



[Oct. 



Amount brought forward, 

Live stock sold : — 

Calves (38),. 

Hogs (39), . 
Milk, 403,713 quarts, 
Oats, 684 bushels. 
Onions, 660 bushels, 
Parsley, 

Parsnips, 332 bushels. 
Pears, 33 bushels. 
Peas, 120 bushels, 
Peppers, 384, 
Plants sold, . 
Pork, 6,871 pounds. 
Pork sold, 40,639 pounds. 
Radishes, 1,276 dozen, 
Raspberries, red, 66 quarts, 
Rhubarb, 11,116 pounds. 
Scullions, 10 bushels, . 
Spinach, 77 bushels, . 
Squash, summer, 1,119 pounds. 
Squash, winter, 60,900 pounds. 
Strawberries, 1,809 quarts. 
Straw, rye, 5,841 pounds, . 
Tomatoes, 86 bushels, . 
Tomatoes, green, 36 bushels, 
Turnips, 298 bushels, . 
Vegetables sold, squash, 150 pounds. 
Deficit against farm, , 



1903.] 



PUBLIC DOCUMENT — No. 23. 



21 



LIST OF PERSONS 

Employed in the Worcester Insane Hospital, Sept. 30, 1903. 



Superintendent, per year, . 

Assistant superintendent, per year, 

Assistant physician, per year, 

Assistant physician, per year. 

Assistant physicians (two), each, per year, 

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

Pathologist, per year, . 

Druggist, per week, . ... 

Assistant in laboratory, per month. 

Steward, per year. 

Matron, per year, 

Clerk, per month. 

Treasurer, per year, . 

Auditor, per year. 

Stenographer (two), per week, . 

Stenographer (one) , per month, 

Superintendent of nurses, per year. 

Supervisors (three men), each, per month. 

Supervisors (four women), each, " 

Marker of clothing, etc., " 

Seamstresses (four), " 

Attendants (fifty-three men), " 

Attendants (sixty -four women), " 

Night attendants (eight men), " 

Night attendants (twelve women), per month, , 

Baker, 

Assistant baker, 

Steward's assistant. 

Kitchen men (three), 

Cooks (two), 

Laundrymen (two). 

Laundress, 

Laundry girls (seven), 

Kitchen girls (five). 

House girls, each, 

OflSce girl. 

Carpenters (five), per day, 

Painters (two), " " 



$3,000 00 

2,000 00 

1,000 00 

900 00 

800 00 

400 00 

1,000 00 

20 00 

25 00 

1,200 00 

600 00 

60 00 

500 00 

75 00 

10 00 

80 00 

900 00 

to 45 00 

30 00 

20 00 

18 00 

28 00 

20 00 

28 00 

20 00 

60 00 

30 00 

30 00 

$25 00 to 45 00 

28 00 and 30 00 

25 00 and 35 00 

20 00 

fl4 00 to 18 00 

14 00 to 18 00 

14 00 to 16 00 

18 00 

|2 50 to 3 00 

2 50 



$40 00 
25 00 



$23 00 
14 00 
25 00 
18 00 



to 



to 
to 
to 
to 



22 



WORCESTEE INSANE HOSPITAL. 



[Oct. 



Masons (three), per day, . 

Mason's helper, " " 

Plumber, per month, . 

Engineer, per day, 

Firemen (two), per month. 

Farmers (two), each, per month, 

Housekeepers (two), each, per month. 

Farm laborers (fourteen) , each, per month, 

Farm help (five women), " " " 

Florist, per month, 

Coachman, per month, 

Expressman, per month, . 

Basement and yard man, per month. 

Butcher, per month, . 



|3 25 

2 25 
75 00 

3 00 
40 00 

$45 00 and 75 00 
18 00 and 20 00 
25 00 to 35 00 
14 00 to 22 00 
45 00 
28 00 
25 00 
28 00 
25 00 



YALUATIOIS^ OF PERSONAL ESTATE. 

Sept. 30, 1903. 



Provisions and groceries, 

Ready-made clothing, 

Dry goods : — 

For clothing, 

For bedding, etc., 

Furnishings : — 

Beds and bedding in inmates' department, 

Other furnishings in inmates' department, . 

Personal property of State in superintendent' 
ment, 

All other property. 
Heat, light and power : — 

Fuel, 

Repairs and improvements : — 

Machinery and mechanical fixtures. 
Farm, stable and grounds : — 

Live stock on farm, 

Produce of farm on hand, . 

Carriages and agricultural implements. 
Miscellaneous : — 

Drugs and medicines, .... 

Tobacco, • . 

Library 

Other supplies undistributed. 



's depart 



$4,015 45 


3,480 40 


745 


85 


880 


71 


32,454 


00 


24,053 


30 


18,029 


93 


17,496 


27 


7,550 00 


35,456 


05 


14,530 


50, 


20,450 48 


7,431 


90 


389 


04 


23 59 


5,653 


28 


6,889 


18 


fl99,529 


93 



1903.] 



PUBLIC DOCUMENT — No. 23. 



23 



TREASUEER'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I hereby submit my annual report on the finances of the 
Worcester Insane Hospital for the year ending Sept. 30, 1903. 



Receipts. 

Cash on hand Sept. 30, 1902, . . . . 
Received from cities and towns for support of patients, 

from individuals for support of patients, . 

from soldiers' relief for support of patients, 

from interest on bank balance, 

from farm and farm products, 

from sale of rags and rubber, 

from sale of ice, . 

from sale of old brass and iron, 

from sale of barrels, . 

from sale of sundries, . 

from sales from store, 

from Commonwealth for current expenses, 

fi'om Commonwealth from special appropriations. 



Total receipts, 



$5,394 41 


* 114,879 


82 


51,343 43 


2,609 


27 


349 


42 


4,378 57 


264 90 


89 


40 


75 


89 


170 


15 


1,230 


14 


717 


94 


234,773 77 


30,955 


37 


1447,132 48 



Expenditures. 
Pay roll, . . . $79,821 82 



Food : — 
Butter, 
Beans, . 

Bread and crackers, 
Cereals, rice, meal, etc. 
Cheese, 
Eggs, . 
Flour, . 
Fish, . 
Fruit, . 
Meats, . 
Molasses, etc., 



Amounts carried forward., 



$9,185 62 


628 75 


414 72 


1,688 39 


790 67 


5,725 78 


4,790 55 


3,310 57 


3,542 31 


15,320 74 


647 14 


$46,045 24 $79,821 82 



24 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Repairs and improvements : — 

Bricks, 

Cement, lime, etc.. 
Doors, sashes, etc, 
Electrical work and supplies, 

Hardware, 

Lumber, 

Machinery, etc., .... 
Paints, oils, glass, etc., 
Plumbing, steamfitting and supplies, 
Roofing and materials, 
Sundries, 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, . 

Amounts carried forward, . 



Amounts brought forward. 

Sugar, 

Tea, coffee, etc., . 
Vegetables, ... 

Sundries, .... 



Clothing and clothing material 
Boots, shoes, etc., 
Clothing, 

Dry goods for clothing, etc 
Furnishing goods, 
Hats and caps, . 
Leather and shoe findings, 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., 
Carpets, rugs, etc.. 
Crockery, glassware, cutlery, etc., 
Furniture and upholstery, . 
Kitchen furnishings, . 
Woodenware, etc., . . 
Sundries, ■ 

Heat, light and power : — 
Coal, ...... 

Gas, 

Oil, 

Sundries, 



16,045 24 $79,821 82 

4,417 44 
1,931 80 

4,877 84 
3,303 69 
60,576 51 



f 1,347 47 

5,207 36 

1,899 17 

1,486 37 

198 75 

70 19 

25 94 



J5,445 45 

387 43 

266 01 

1,236 65 

391 82 

470 25 

87 63 

487 57 



22,815 51 

6,237 54 

142 12 

58 48 



$332 38 

569 19 

59 65 

621 58 

662 91 

3,063 35 

687 34 

■ 1,532 93 

2,740 41 
230 26 

1,215 03 



|578 95 
921 70 



10,235 25 



8,772 81 



29,253 65 



11,715 03 



1,500 65 f 200,374 07 



1903.] PUBLIC DOCUMENT - 


-No. 23. 


25 


Amounts brought forward, . 


• 


. 


f 1,500 65 


jf200,374 07 


Fertilizers, seeds, etc., 






977 02 




Hay, grain, etc., .... 






9,669 06 




Harness and repairs, . 






683 07 




Horses, . . 






1,287 50 




Cows, 






2,436 00 




Other live stock, . 






161 00 




Tools, farm machines, etc.. 






483 49 




Sundries, 






1,318 74 








18,516 53 




Miscellaneous : — 




Books, periodicals, etc., f 516 30 




Chapel services, .... 






611 85 




Freight, expressage, etc., . 






268 84 




Funeral expenses. 






280 06 




Gratuities, 






27 47 




Hose, etc., . . . . . 






108 35 




Labor (not on pay roll), . 






8 00 




Medicines and hospital supplies, 






2,101 97 




Medical attendance, . 






207 51 




Postage, 






381 28 




Printing and printing supplies, . 






277 47 




Return of runaways, . 






115 14 




Soap and laundry supplies, 






2,569 44 




Stationery and office supplies, . 






428 59 




Travel and expenses (officials), 






164 68 




Telephone and telegraph, , 






189 68 




Tobacco, . . 






982 00 




Water, 






5,058 96 




Sundries, 






1,490 46 








15,787 65 





Total, 



Paid out of special appropriations, 
Receipts paid to State Treasurer, 

Total expenditures. 
Cash on hand Sept. 30, 1903, . 



Resources 
Cash on hand Oct. 1, 1903, . 
Bills due from cities and towns. 
Bills due from individuals, 
Bills due from soldiers' relief, . 
Unexpended special appropriations, 



$234,678 15 

30,955 37 
179,131 55 



$444,765 07 
2,367 41 

$447,132 48 



$2,367 41 

30,037 09 

12,082 54 

425 25 

59,711 78 



$104,624 07 



26 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Liabilities. 

Due for maintenance paid in advance, . . $152 22 

for salaries, wages and labor, . . . 7,443 74 

for all other current expenses, . . . 17,536 21 



Special Appropriations. 



),132 17 



OBJECT. 


Resolves. 


Whole 
Amount. 


Expended 
in 1902. 


Expended 
in 1903. 


Balance 
Oct. 1, 1903. 


Nurses' home, . 
Electric lighting, 
Electric lighting, 


1901, chap. 471, 

1902, chap. 118, 

1903, chap. 414, 


$45,000 00 
16,000 00 
45,000 00 


$14,767 85 
565 00 


$27,531 08 

3,239 29 

185 00 


$2,701 07 
12,195 71 
44,815 00 



Patients' Funds. 
Balance on hand Sept. 30, 1902, . . . . 

Receipts during year, 

Interest on bank balance, 

Expenditures during year, 

Balance on hand Sept. 30, 1903, . . . . 



$2,157 75 




3,449 13 




47 45 






$5,654 33 




. 


2,832 04 



?,822 29 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer, 



Oct. 1, 1903. 



1903.] PUBLIC DOCUMENT — No. 23. 27 



STATEMENT OF FUNDS. 



Lewis Fund. 

Balance on hand Sept. 30, 1902, 

Collected Springfield bond. 

Dividends, 



Safe Deposit Vault rent, 

Depreciation Springfield bond, .... 
Chicago, Burlington & Quincy Railroad bond, . 
Deposit Worcester County Institution for Sav- 
ings, 



Investment. 
Chicago, Burlington &'Quincy Railroad bond, 
Worcester County Institution for Savings, 
Cash on hand Sept. 30, 1903, 



Wheeler Fund. 

Balance on hand Sept. 30, 1902, 

Dividends, 

Central National Bank, first payment in liquida- 
tion 700 00 

Central National Bank, second payment in 
liquidation, . . . . . ... 

Advance in Worcester National Bank shares, . 

Expended for books, . . . ' . 

Five shares Boston & Philadelphia Steamship 
Company, 

Deposit Worcester County Institution for Sav- 
ings, 



$1,254 60 




1,000 00 




100 15 






$2,354 75 


15 00 




10 00 




926 36 




73 64 






1,015 00 




$1,339 75 


$926 36 




342 60 




70 79 






$1,339 75 




$4,648 22 




175 56 





I 



175 00 




16 00 






$5,713 78 


$251 84 


712 50 




57 50 






1,021 84 



$4,691 94 



28 WOECESTER INSANE HOSPITAL. [Oct. 1903. 



Investment. 
Three shares Worcester National Bank, . . |570 00 

Five shares Boston & Philadelphia Steamship 

Company, 

Worcester County Institution for Savings, 

Worcester Five Cents Savings Bank, 

Cash on hand Sept. 30, 1903, .... 

Lawn Fund. 
Balance in Mechanics Savings Bank, Sept. 30, 

1902, 

Sale of trees, 

Dividends, 



712 


50 




1,608 


36 




1,719 


47 




81 


61 


$4,691 94 






fl,210 


28 




30 


00 




43 


66 


$1,283 94 






• 


- 


371 86 


• 


$912 08 



Expenditures during year, .... 
Balance in bank Sept. 30, 1903, . 

Manson Fund. 
Balance in Worcester County Institution for 

Savings Sept. 30, 1902, 

Dividends, 

Land Account. 
Balance on hand Sept. 30, 1903, 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer of Corporation. 
Oct. 1, 1903. 

WoECESTEE, Mass., Oct. 26, 1903. 
I hereby certify that I have this day compared the treasurer's statement of disburse- 
ments for the year ending Sept. 30, 1903, with the vouchers on file at the Worcester 
Insane Hospital, and find them to agree. I have also inspected the securities repre- 
senting the invested funds of the institution, and find that their market value is as 
stated. 

GEO. L. CLARK, 

Auditor of Accounts: 



$1,323 02 
52 92 


$1,375 94 




. 


$58 52 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



«o -* o 

T-l (M -^ 

»-H to t^ 



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t^ ec t^ o <M CO 

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t^ (M O <M CO -<tl 

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^ 



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• • • • ^ ^ ... 

eS o 

« f^ 

■ • , ^a> • • • 

• • • o. ^a.B • ■ ■ 

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. ."^ S laimO— -wQ) ... 

05 « ■■ e a •ri 'r: •'-' t* m 

§ a ;: §.1.1^:5 8 81 

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.S_,3a)c3o3c3c3cS U m O O O q^ en 3 O, 

" -2 „ b ■■ oT-^ ■■ CD 03 OJ oi •• 



32 



WORCESTER INSANE HOSPITAL. 



[Oct. 












cq 





g 

H 
■A 

% . 
Oo 

a=3 

Is 

> 

< 





1,107.10 
1,095.56 
1,076.08 


CO (M t^ 'f 00 — 1 05,0 
a5(M(MCOOr-lt^t>GO 


1 


1 




(M 

r-l 
i-T 




OOlCOCOt^iOOlOCO 
OOOiOlOiCOCOiOOlO 

oooo^ — '-i — CM 








1 


576.25 
569.93 
658.32 


cocoCTsoocyjiococo 
coooaocMOt-'OOco 


1 


1 


CO 

CO 

CO 





lOCO'OOO'-iQOCO.-J-i' 

lOiocDcoasasoG^o^i 

lOiOOuOiOiOCOCOCO 






530.85 
525.63 
517.76 


co-tioo-tioascocoo 

(MCOCO-^OCO^O'— 


r 


1 






lOOt^'OCOCOCOO^Oi 
G^-^C^tM^COiOCDI^ 
lOiO'O'O'O'O'OiO'C 




o3 







Oi t>. 

T— 1 I— I 


»-iOOt^<M'-'OCO^O 

i-l T— I 1-H rH 1— 1 


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ica<ico^i^coco-t<co 

C^TjiCMCN^CS'^COO 
1— 1 


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CNC<l0OCOOS'-l'-IO5^ 

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10 

05 


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■3 
s 


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COOiOiOOOuOIMiOS^J 

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t^<Ncococ:5aoOQOuo 
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D 


1902. 

October, 

November, 

December, 




<a 

w 

Cj 



<*■* 





a 


=f-i 



H 


3 
> 

Q 




§■■■■•■ 

r4 




January, . 

February, 

March, . 

April, 

May, 

June, 

July, 

August, . 

September, 



1903. J 



PUBLIC DOCUMENT — No. 23. 



33 



3. — Received on First and Subsequent Admissions. 




NUMBER OF THE ADMISSION. 


Cases admitted. 


Times pkeviouslt 
recovered. ' 


















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 






299 


216 


615 


- 


- 


- 


Second, . 






41 


39 


80 


13 


9 


22 


Third, . 






6 


6 


12 


7 




8 


Fourth, . 






6 


1 


7 


3 




4 


Fifth, . 






2 


2 


4 


2 




3 


Sixth, 






1 


1 


2 


- 






Seventh, . 






- 


1 


1 


- 






Eighth, . 






2 


- 


2 


1 


- 




Ninth, 






- 


1 


1 


- 


1 




Total of cases, 




357 


267 


,624 


26 


15 


41 


Total of persons, 




353 


267 


620 


22 


14 


36 



34 



WORCESTER INSANE HOSPITAL. 



[Oct. 



4. — Relation to Hospital of Pei 


^sons admitted. 


\ 




Males. 


Females. 


Totals. 


Never before in any hospital for insane, . 


272 


201 


473 


Former inmates of this hospital only, 


51 


40 


91 


Former inmates of other hospitals only, . 


27 


15 


42 


Former inmates of this and other hospitals : — 








Danvers, Massachusetts Hospital for Epi- 
leptics, 


- 


1 


1 


Danvei's, Westborough, Taunton, Foxbor- 
ough, 


1 


- 


1 


Elwyn's Hospital, Pennsylvania, 


- 




1 


Herbert Hall, 


- 




1 


McLean, 


2 




3 


Medfield, 


2 




3 


Newton Nervine, McLean, . . 


1 




1 


Northampton, 


- 




1 


Palmer, ....... 


- 




1 


Taunton, 


- 




1 


Taunton, Herbert Hall, . . . 


- 




1 


Tewksbury, , . . . . 


1 




1 


Westborough, 


- 




1 


Westborough, Taunton, Tewksbury, 


- 




1 


Total of cases, 


357 


267 


624 



1903.] 



PUBLIC DOCUMENT — No. 23. 



35 



5. — Parentage of Persons admitted. 











Males. 


Females. 


TOTALSi 


PLACES OF NATIVITY. 
















Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Massachusetts, .... 


52 


46 


28 


29 


80 


75 


Other States : — 














Maine, .... 


11 


12 


9 


10 


20 


22 


New Hampshire, 






5 


6 


6 


7 


■11 


13 


Vermont 






7 


4 


5 


5 


12 


9 


Rhode Island, 






1 


2 


2 


1 


3 


3 


Connecticut, 






1 


1 


2 


1 


3 


2 


New York, . 






5 


7 


2 


2 


7 


9 


Pennsylvania, 






1 


1 


1 


- 


2 


1 


Maryland, . 






- 


- 


- 


/ 1 


- 


1 


District of Columbia, 






1 


1 


- 


_ 


1 


1 


Virginia, 






- 


- 


2 


1 


2 


1 


North Carolina, 






1 


1 


1 


1 


2 


2 


Alabama, . 






1 


1 


- 


- 


1 


1 


Other countries : — 














Canada, .... 


22 


28 


9 


8 


31 


36 


Nova Scotia, 






14 


17 


1 


1 


15 


18 


New Brunswick, 






4 


2 


4 


4 


8 


6 


Newfoundland, .• 






2 


2 


2 


2 


4 


4 


■ Prince p]dward Island 


, 




2 


1 


2 


2 


4 


3 


"West Indies, 






1 


1 


1 


1 


2 


2 


Scotland, . 






5 


7 


11 


10 


16 


17 


England, 








15 


15 


16 


14 


31 


29 


Ireland, 








109 


105 


75 


78 


184 


183 


Norway, 








1 


1 


1 


1 


2 


2 


Sweden, 








10 


10 


3 


3 


13 


13 


Denmark, 








1 


1 


- 


- 


1 


1 


Holland, 








- 


- 


2 


2 


2 


2 


France, 








- 


_ 


1 


1 


1 


1 


Germany, 








7 


7 


3 


3 


10 


10 


Austria, 








1 


1 


- 


1 


1 


2 


Italy, . 








5 


5 


2 


2 


7 


7 


Armenia, 








2 


2 


— 




2 


2 


Hungary, 








- 


- 


2 


1 


2 


1 


Finland, 








6 


6 


1 


_ 


7 


6 


Poland, 








2 


2 


2 


2 


4 


4 


Russia, 








6 


6 


2 


2 


8 


8 


Assyria, 








1 


1 


- 


- 


1 


1 


China, 








1 


1 


- 


- 


1 


1 


The Azores, 






- 


- 


1 


1 


1 


1 


Unknown, 






54 


54 


68 


70 


122 


124 


Totals, 




357 


357 


267 


267 


624 


624 



36 



WOECESTER INSANE HOSPITAL. 



[Oct. 





6.- 


— Residence of Persons admitted. 






PLACES. 


Males. 


Females. 


Totals. 


Massachusetts, (by counties) : — 














Berkshire, 














1 


- 


1 


Bristol, 














1 


- 


1 


Essex, . 














- 


1 


1 


Franklin, 














1 


- 


1 


Hampden, 














- 


1 


1 


Middlesex, 














93 


86 


178 


Norfolk, 














'7 


10 


17 


Plymouth, 














1 


- 


1 


Suffolk, 














70 


68 


128 


Worcester, 






\ 








183 


112 


295 


Totals, 


367 


267 


624 


Cities or towns, 














357 


267 


624 



PUBLIC DOCUMENT — No. 23. 



37 



< 


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CO 


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^ CO O 


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05 tH O CO <N 1— 1 1 (M 1 


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CO 


1 

w 
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& 


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1 


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GO 1-1 ^-H 1 1 1 1 1 1 O 
i-H CM 


• O 


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£0 1 1 1 1 1 1 1 1 


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1 


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■ 


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1 






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Q 


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1 


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CO '^ 

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1 




o 

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CM CO r^ 

CM CM 


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CJO O CM 1 1-1 rH T-H 1 1 CO 
C35 CM CM 


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CO <» l-H CO CM 1 1 i-H 1 '-J 
CM i-H lO 

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1 




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t) 


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CO-*^<Mi— li— 1 It-HtHOI 
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CM CM 

1 


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CO CM CO 

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& 








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38 



W0RCE8TEE INSANE HOSPITAL. 



8. — Occupation of Persons admitted. 



Bookkeepers, . . . 2 


Rubber worker, . . . 1 


Clerks, . 






4 


Saleswomen, . 






3 


Cook, . 






1 


Seamstresses, 






3 


Domestics, 






51 


Servants, 






2 


Dressmakers, 






6 


Student, . , 






1 


Housekeepers, 






39 


Tailoress, 






1 


Housemaids, . 






2 


Typewriters, . 






2 


Housewives, . 






65 


Washerwoman, 






1 


Laundresses, . 






3 


Weavers, 






2 


Matron, 






1 


Unknown, 






7 


Milliner, 






1 


No occupation, 






57 


Music teachers, 






2 




Nurses, . 






2 


Total, . . . .267 


Operatives, . 






19 





Actor, 1 


Color mixer, . . . . 1 


Baggage master. 






1 


Comb maker, 






1 


Bakers, . 






3 


Contractors, . 






2 


Barbers, 






2 


Cook, 










Bartenders, , 






4 


Cooper, . 








, 1 


Blacksmith, . 






1 


Currier, . 










Bookkeepers, 






2 


Driver, . 










Bottler, . 






1 


Electrician, 










Bricklayer, . 






1 


Engineers, 








6 


Cabinet maker, 






1 


Expressmen, 








2 


Carpentei-s, . 






5 


Farmers, 








18 


Carriage maker. 






1 


Farm hand, 








1 


Chair makers, 






4 


Felt shearer, . 








1 


Cigar makers. 






2 


Finisher, 








1 


Cigar store, . 






1 


Firemen, 








2 


Civil engineer. 






1 


Foreman, 








1 


Clerks, . 






11 


Gardener, 








1 


Coachmen, 






2 


Gate tender. 








1 



1903.] 



PUBLIC DOCUMENT— No. 23. 



39 



8. — Occupation of Persons admitted — Concluded. 



MALES — Concluded. 


Hack driver, . . . . 1 


Real estate, .... 1 


Harness maker, 






1 


Reed worker. 






1 


Hatter, . 






1 


Restaurant keepers 


) • 




2 


Hostlers, 






2 


Retired, . 






1 


Hotel keeper, 






1 


Rope maker, . 






1 


Insurance, 






1 


Rubber workers, . 






2 


Iron workers, 






2 


Salesmen, 






9 


Janitor, . 






1 


Shearer, . 






1 


Laborers, 






75 


Shoe cutter, . 






1 


Leather finisher, . 






1 


Shoe dealer, . 






2 


Liveryman, . 






1 


Shoemakers, . 






7 


Lumber dealers, . 






2 


Soap maker, . 






1 


Lunch room, . 






1 


Spectacle maker, 






1 


Machinists, . 






9 


Stableman, . 






1 


Manufacturer, 






1 


Stationery enginee 


f, 




1 


Masons, . 






4 


Steamfitter, . 






1 


Mason tender. 






1 


Stone cutters. 






2 


Mechanics, 






3 


Student, . 






1 


Milk business. 






1 


Tailoi-s, . 






4 


Moulders, 






3 


Teamsters, 






7 


Nurse, . 






1 


Tinsmith, 






1 


Operatives, . 






15 


Upholsterer, . 






1 


Organ pipe voicer, 






1 


Varnisher, 






1 


Painters, 






7 


Waiters, 






3 


Paper maker, 






1 


Weavers, 






8 


Peddler, 






1 


Wheelwright, 






1 


Physician, 






1 


Wood chopper. 






1 


Plumbers, 






2 


Wood workers, 






3 


Polisher, 






1 


Unknown, 






. 17 


Postmaster, . 






1 


No occupation. 






. 42 


Printer, . 






1 










Provision dealer, 






1 


Total, .■ 






. 357 



40 



WORCESTER INSANE HOSPITAL. 



[Oct. 



"« 






'^ 



6 



as 



Ci 





15 

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1903.] PUBLIC DOCUMENT — No. 23. 



41 



I I I I I t I I h I I I I 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 


CO 


1 1 I 1 1 1 1 1 Ill 


1 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 » 

1 


'- 


(N 


-- 




CO 




CO 


lO 


to 


-' 


PI 


"^ 


■"^ 


00 




>» 


to 


1-( 


IM 


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(M 




CO 


rH 


CO 


• 


1 


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1 


to 




C^ 


£ 


' 


1 


' 




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' 


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CO 


■^ 


(N 


1 


rH 


(M 




CO 


OS 


' 


'^ 


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'^ 




CO 


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eq 


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CO 


CO 




<M 


05 


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CO 


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r-< 


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' 


1 


1 


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1 


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42 



WOECESTER INSANE HOSPITAL. 



[Oct. 









'« 



ts 

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1903.] 



PUBLIC DOCUMENT — No. 23. 



43 



11. — Ages of Insane at First Attack^ ArJmission and Death. 



' 


Persons first admitted 
TO ANT Hospital. 


Persons died. 


AGES. 




AT 


WHEN 




AT 






AT 




j-iRST attack 


ADMITTED. 


FIRST ATTACK. 


TIME OP DEATH. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 


5 


2 


7 


- 


- 


- 


- 


- 


- 


- 


- 


- 


15 years and less, 


5 


3 


8 


1 


3 


4 


1 


- 


1 


- 


- 


- 


From 15 to 20 years, . 


9 


5 


14 


8 


4 


12 


- 


- 


- 


- 


- 


- 


20 to 25 years, . 


21 


15 


36 


30 


23 


53 


3 


4 


7 


1 


3 


4 


26 to 30 years, . 


29 


17 


46 


39 


22 


61 


6 


4 


10 


2 


1 


3 


30 to 35 years, . 


26 


23 


49 


38 


23 


61 


2 


3 


5 


4 


4 


8 


35 to 40 years, . 


20 


18 


38 


31 


20 


51 


8 


2 


10 


6 


3 


9 


40 to 50 years, . 


36 


29 


65 


48 


39 


87 


15 


6 


21 


16 


3 


19 


50 to 60 years, . 


30 


20 


50 


37 


23 


60 


10 


11 


21 


15 


7 


22 


60 to 70 years, . 


11 


11 


22 


13 


19 


32 


12 


10 


22 


14 


12 


26 


70 to 80 years, . 


11 


12 


23 


11 


16 


27 


9 


7 


16 


8 


10 


18 


Over 80 years, . 


5 


3 


8 


9 


4 


13 


3 


- 


3 


4 


4 


8 


Unknown, .... 


64 


43 


107 


7 


5 


12 


1 


- 


1 


- 


- 


- 


Total of persons. 


272 


201 


473 


272 


201 


473 


70 


47 


117 


70 


47 


117 


Mean ages in years, . 


39.3 


40.7 


40.0 


40.5 


42.7 


41.6 


50.1 


51.0 


50.5 


54.1 


58.4 


56.2 



12, — Reported Duration of Disease before Last Admission. 



PREVIOUS DURATION. 




First .Admission 
TO ANY Hospital. 


All Other 
Admissions. 


Totals. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 








5 


2 


7 


1 


- 


1 


6 


2 


8 


Under 1 month. 








73 


35 


108 


22 


12 


34 


95 


47 


142 


From 1 to 3 months. 








32 


29 


61 


10 


6 


16 


42 


35 


77 


3 to 6 months, 








20 


11 


31 


3 


4 


7 


23 


15 


38 


6 to 12 months. 








24 


8 


32 


4 


1 


5 


28 


9 


37 


1 to 2 years, . 








30 


18 


48 


5 


4 


9 


35 


22 


57 


2 to 5 years, . 








18 


28 


46 


13 


12 


25 


31 


40 


71 


5 to 10 years, . 








14 


16 


30 


8 


6 


13 


22 


21 


43 


10 to 20 years, . 








1 


9 


10 


2 


4 


6 


3 


13 


16 


Over 20 years, . 








1 


3 


4 


- 


4 


4 


1 


7 


8 


Unknown, 








64 


42 


96 


17 


14 


31 


71 


56 


127 


Total of cases, . 


272 


201 


473 


85 


66 


151 


357 


267 


624 


Total of persons, 








272 


201 


473 


81 


68 


147 


353 


267 


620 


Average in years, 








1.18 


2.60 


1.89 


1.91 


5.04 


3.47 


3.09 


7.64 


5.38 



44 



WORCESTEE INSANE HOSPITAL. 



[Oct. 



CJ 
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III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CO 


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tOi-HIM ll-lrHllt-iHIIr-llOO O^li-Hlt-lrHl 


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00 05 <D O t- -^ Oi (N ■^ Oi CD rH CO t^ »H 00 US Ol CO CO CO CO ^ ■<* 1-^ O 
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f-1 1 CO CO 


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•-•n2 


A. — Insane : — 

Alcoholic insanity. 
Climacteric melancho 
Constitutional inferio 
Delirium (infectious, 

asthenic). 
Dementia, prsecox. 
Epileptic insanity. 
General paralysis, 
Huntington's chorea. 
Hysterical insanity, 
Imbecility, . 
Katatonia, . 
Morphinism, 
Neuresth'-nia, . 
Organic dementia. 
Paranoia, . 
Paranoic condition. 
Periodic insanity : — 

Manic, 

Depressed, 

Circular, . 

Manic-delirious, 
Senile dementia. 
Traumatic insanity, 

B, — Habitual drunkards 

Not insane, 


w 

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1903.] 



PUBLIC DOCUMENT — No. 23. 



45 







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WOBCESTER INSANE HOSPITAL. [Oct 

•SIBIOT 1 coirr-iiiiiii-iii— iiiiiiiiri 


saiBuia^ 


CO 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


•sa|8i^ 


lllrHfllllr-illrHlllllllll 


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1 1 1 1 1 1 1 1 1 1 1 rH 1 1 1 1 1 1 J 1 1 1 


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1 1 1 liOMr-lr-ll-*rtl 1 1 1 1 1 |.HIpHr-( 


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1 1 I l(Mi-(-HrH|,-lrtl 1 1 t 1 1 1 1 IrHI 


ij 22 

c: ;« 
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BajBcuaj 


1 1 1 1 1 rH 1 1 1 1 1 1 1 1 1 1 rH ( 1 1 1 1 


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(MllrMt-llrHINllllllllllll 


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rnrHrHCOIN-*— lrHrH(MrHrHrH(NrHrHIMrHrHrHi-l« 


■saiBcaa^ 


tOI IINtOMI 1 IU5P 1 IrHrHrHrHrHrHrHICq 


•saiBp^ 


UjrHrHrHffl'-lrHrHrHt-rHrHrHrH | IrH 1 1 IrH 1 




W 
P 

00 
P 

O 


Phthisis pulmonalis, 

Phthisis pulmonalis and multiple neuritis, 

Tubercular broncho pneumonia, 

Broncho pneumonia 

Hypostaiic pneumonia ■ . 

Hypostatic pmumonia and pulmonary gangrene, . . . . 

Pulm 'Uary cedema, 

Lobar pneumonia 

Lobar pneumonia and uraemia, '. , 

Acute dilatation of heart, 

Rupture of heart, 

Valvular disease of heart 

Fibrous myocardiiis, 

Chronic myocarditis 

Chronic adhesive pericarditis .■ . . 

Arterio sclerosis, 



1903.] 



PUBLIC DOCUMENT— No. 23. 



47 



rHllllllllHIIi-HllllllllllllrH 


o 


rHIIIIIIIr-llirillllllllliri-l 


<D 


1 J J 1 i-H 1 1 1 1 1 1 1 1 r 1 I 1 1 


■<1< 


W . , . , . , . 


CO 


Ill J 1 rH r 1 1 1 1 1 1 1 1 1 1 1 1 1 


tM 


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 


fi 






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 


iH 


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 r-l 1 1 J 1 1 


to 


1 1 1 1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i-i 1 1 1 J 1 


CO 


'''-'''■ ,,^(,1,1, 


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iilJ{llr-lllll>l||IIJ|C^|rHII 


s 


1 1 1 ( 1 1 1 1 i 1 1 1 1 r 1 1 1 1 1 1 (M 1 ■-1 1 1 


CO 
1-H 


1 1 1 1 1 1 1 ^ 1 1 J J 1 1 1 1 1 1 1 r 1 1 1 1 1 


Ol 






ii-ii 1 ! 1 1 1 1 1 p pi-Hi rl^^lr-l i,-i.-('*^i 


05 
CO 


1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 i-i 1 1 1 1 1 r r 1 1 


CO 


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CO 






J:; 


rHIrHI 1 Ir-llrHrHr-ll IrtrlrHI 1 IrHCOlCJ!.-! 


■* 


IrH Ir-lrtrH Irt 1 1 IrtrH |rHr-lrtrHiH lrHr-lT(l-H 1 


o 


Arterio sclerosis and senile gangrene, 

Acute parenchymatous nephritis (general paralysis), . 

Chronic parenchymatous nephritis, 

Chronic interstiiiiil nephritis, 

Acute intestinal obstruction 

Enteritis 

Colitis ulcerosa, 

Cystitis and exhaustion, 

Acute peritonitis 

Carcinoma of liver, 

Erysipelas, 

Huntington's chorea . 

Multiple neuritis, 

Cerebral compression (hydrocephalic) 

Cerebral syphilis 

Cerebral hsemorrhage, 

Exhaustion 

Suicide by hanging, 


"3 
o 



48 



■73 

a 
o 
O 









o . 
O <1 


WORCESTER INSANE HOSPITAL. [Oct 

•BIBIOX e^r-llllllllrHIIIIII-^lllll 


•saiBraa^j 


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


•saiBji 


iM^llllllli-llllllli-llllll 




•SIBJOX 


iHlllrHllllllllrHlliriFHIl 


•BajEraa^ 


1 1 1 1 ^ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ^ 1 1 


•eaiBH 


r-l 1 1 1 1 1 1 r 1 1 1 1 1 >-H 1 1 ! 1 1 i 1 1 


i 

B W 


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1 I 1 r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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1 1 t 1 1 1 1 1 1 1 1 1 1 [ 1 1 1 1 1 1 1 1 


•saiBj^ 


t 1 1 t r r 1 1 1 1 1 1 1 r 1 ) 1 1 1 t 1 1 


is 


■BIB^OJ, 


(M|i-l|lllllr-*lllll-Hr-(|irill 


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C^III'lIlllllllll-lrHIIIIII 


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I r l-H 1 1 1 1 1 1 PH 1 1 1 1 1 1 1 1 1 1 1 1 


o 
n 

o 

<! 


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1-HI IrHr-ll t 1 li-ll 1 IrHI 1 IrHI 1 IrH 


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1 1 1 t 1 i-i r 1 1 1 r 1 1 r 1 1 1 1 1 1 1 1 


l-H 

5 


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r 1 t 1 pH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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' 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 


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1 1 1 1 rH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


• 


td 
< 

O 

o 

CD 

H 
ce 
P 


Phthisis pulmonalis, 

Phthisis pulmonalis and multiple neuritis, .... 

Tubercular broncho-pneumonia 

Broncho-pneumonia, 

Hypostatic pneumonia, 

Hypostatic pneumonia and pulmonary gangrene, . 

Pulmonary oedema 

Lobar pneumonia 

Lobar pneumonia and uraemia 

Lobar pneumonia and erysipelas, 

Acute dilatation of heart 

Rupture of heart, 

Valvular disease of heart, 

Fibrous myocarditis 

Chronic myocarditis, . 

Chronic adhesive pericarditis 

Arterio sclerosis, , , , , . 



1903.] PUBLIC DOCUMENT — No. 23. 



49 



ao ^ •- 



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50 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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months 

months 

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1903.] 



PUBLIC DOCUMENT — No. 23. 



51 







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1840 
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1845 
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1847 
1848 
1849 
1850 
1851 
1852 
1853 
1854 
1855 
1856 
1857 
1858 
1859 
1860 
1861 
1862 
1863 
1864 



1903!] PUBLIC DOCUMENT — No. 23. 



53 



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I I I I I I (M II rH <M « 0» O to t- 

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54 



WORCESTER INSANE HOSPITAL. 



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1903.] PUBLIC DOCUMENT — No. 23. 



55 



1 1 I r-l r r-t CO i-H -^ <M 1 rH lO CD CO CO t- CO u:) OS t- 00 ** OS 00 -^ 00 00 t- CO CO OD 00 O ^ lO O ^ 00 -* 

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56 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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1903.] 



PUBLIC DOCUMENT — No. 23. 



57 





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