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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-SECOND ANNUAL EEPORT 



THE TRUSTEES 



Worcester Insane Hospital, 



TWENTY-SEVENTH ANNUAL REPORT OF THE TRUSTEES 



WOECESTEK INSANE ASYLUM & WOECESTER, 



Year ending September 30, 1904. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1905. 



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

SEVENTY-SECOND ANNUAL REPOET 

OF 

THE TRUSTEES 

OP THE 

Worcester Insane Hospital, 

AND 

TWENTY-SEVENTH ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WOECESTER INSANE ASYLUM AT WOECESTEE, 

FOB THE 

Year ending September 30, 1904. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1905. 






^ATE Hou&t:, SOSTWI 



Approved by 
The State Board of Publication. 



3) 



COIN'TENTS, 



PAGE 

Report of Trustees, 7 

Report of Superintendent, . . . . . . . 11 

Report op Treasurer, . 25 

Statistics, 31 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

FRANCES M. LINCOLN, Worcester. 

SAMUEL B. WOODWARD, Worcester. 

LYMAN A. ELY, Worcester. 

, Worcester. 

ROCKWOOD HOAR Worcester. 

THOMAS RUSSELL, Boston. 

SARAH E. WHITIN Whitinsville, 



RESIDENT 
HOSEA M. QUINBY, M.D., . 
ALFRED I. NOBLE, M.D., . 
ISADOR H. CORIAT, M.D., . 
CORNELIA B. J. SCHORER, M.D 
MELVIN J. ROWE, M.D., 
JAMES H. TURNER, M.D., . 
THEODORE A. HOCH, M.D., 
EDWARD MELLUS, M.D., . 
WALTER C. HAVILAND, M.D., 
FREEMAN A. TOWER, M.D., 
E. MOORE FISHER, M.D., . 
LINDA A. J. RICHARDS, 



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



OFFICERS. 

Superintendent . 

Assistant Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician, 

Assistant Physician and Pathologist. 

Junior Assistant. 

Junior Assistant. 

Junior Assistant. 

Junior Assista7it. 

Superinte?ident of Nurses^ 



Steward. 

Matron. 

Farmer. 



NON-RESIDENT OFFICERS. 

WILLIAM D. SPROAT, Druggist. 

ALBERT WOOD Treasurer. 

GEORGE 1. CLARK, Auditor. 

JESSIE M. D. HAMILTON, Clerk. 

JAMES DICKISON, Jr., Engineer. 



Cnmmniito^alt^ ai "^RBmtl^xxBzttB. 



TRUSTEES' KEPOET. 



To His Excellency the Governor and the Honorable CounciL 

The trustees of the Worcester Insane Hospital respectfully 
submit their seventj-second annual report, together with the 
reports of the superintendent and treasurer and the statistical 
tables, showing in detail the affairs of the institution. 

For the past year the average number of patients has been 
1,219, — an increase of 94 over, the preceding year, and the 
laro-est number ever in the institution. This increase was 
rendered practicable by the completion of the nurses' home, 
which furnishes accommodation for 60 female nurses and 
leaves the rooms formerly occupied by them in the main 
building available for patients. The opening of the home and 
the establishment of the training school mark a new era in the 
history of the institution, and the trustees are confident that 
these changes will be of great benefit not only to the nurses for 
whose good they were primarilj^ intended but to the patients 
under their charge. 

All the work for which appropriations were made last year 
is well under waj^ The pathological building is nearly com- 
pleted and will be a great addition to our equipment. The 
laundry is practically finished. The electric lighting plant, 
for which an appropriation was made two years ago, progresses 
more slowly, as it is exceedingly difiicult to install such work 
while the building is occupied. All the machinerj^ for it is 
in ; the heating plant is finished ; the work of wiring the rear 
centre and part of the wards is done. 

The grounds are growing more and more attractive each 
year and are better cared for. Many young trees have been 



8 WOECESTER INSANE HOSPITAL. [Oct. 

set out and much interesting work has been done in raising 
trees and shrubs from seed. A large number of the quiet 
patients work about tlie grounds, and receive great benefit 
from this healthful occupation. Many of the changes have 
been carried out as much for the purpose of giving employ- 
ment to the patients as for the improvement of the grounds. 

The library now contains 4,297 volumes, — again of 159 
volmiies during the year. These books add much to the pleas- 
ure of patients and employees. 

It is proposed to ask the Legislature this year for an appro- 
priation of $55,000 for building and furnishing a home for 80 
male nurses. This is an imperative want, as the men are in 
great need of better accommodations and shorter hours of ser- 
vice. There has been some dissatisfaction among them and it 
is likely to continue until thej" are as well cared for as the 
women. The rooms in the hospital which are now occupied 
by the male attendants are needed for the increase in the num- 
ber of patients. We also need a small sum for wire fencing 
in the rear of the grounds ; for more coal pockets, the old 
ones being entirely inadequate for the supply of coal now 
used ; for a new piggery, which should be located at the farm 
in Shrewsbury ; for moving and remodelling the old piggery 
to adapt it for use as a storehouse for vegetables ; for building 
a forcing house ; for repairing the old farm-house for use of 
the farmer ; for equipping and furnishing the new pathological 
building ; for re-covering the steam pipes and for refurnishing 
some of the rooms in the administration building. The sum 
of $19,000 is needed for these improvements, and we respect- 
fully ask that we be allowed to use that amount from the sur- 
plus which we turn back to the Commonwealth. 

The attention of the Board has been called to the sewage 
beds by the State Board of Health, and while we do not think 
that the lake is in any way polluted by the present disposal of 
the sewage we are consulting an expert, and are ready to make 
an}^ change in the beds that may be recommended by him with 
the approval of the State Board of Health. An appropriation 
may be needed for this work. 

The hospital has met with a serious loss within a short time. 
Dr. Thomas H. Gage served the Commonwealth faithfully for- 



1904.] PUBLIC DOCUMENT — No. 23. 9 

twenty-seven years as a member of the Board of Trustees. He 
was appointed before the completion of these buildings. He 
kept himself in touch with every part of the work, always 
eager for progressive work yet studying the best interests of 
the institution, a sympathetic friend of the poor unfortunates 
treated here, a kind adviser of superintendent and officers and 
a wise and respected member of this Board. He endeared 
himself to all, and after he could no longer perform the more 
active duties of the position was always ready to give the most 
thoughtful advice, and was consulted on every difficult problem 
that came before the Board. His retirement was a great loss 
to his fellow- workers and to the hospital. 

In the death of his successor, Mr. Philip W. Moen, the hos- 
pital has suffered a new misfortune. Young, energetic, of 
great executive ability and interested in everything connected 
with the institution, he proved himself admirably fitted for the 
position. The vacancy caused by his death has not yet been 
filled. 

During the jenr Dr. Henry S. Chaffee resigned his position 
as assistant physician on account of ill health, and Dr. Charles 
T. Fisher leit to go into private practice. Their places were 
filled by the promotion of Dr. Melvin J. Kow^e and Dr. James 
H. Turner, junior assistants. 
I The trustees appreciate the faithful service of superintendent, 
officers and employees. It is owing to them that the hospital 
takes such high rank among the public institutions of this Com- 
monwealth. 

FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
LYMAN A. ELY, 
ROCKWOOD HOAR, 
t THOMAS RUSSELL, 

SARAH E. WHITIN, 

Trustees. 



10 WORCESTER INSANE HOSPITAL. [Oct. 



The Board of Trustees of the Worcester Insane Hospital, 
having also in charge the Worcester Insane Asylum, has lost 
a most valued and efficient member in the death of Philip W . 
Moen, Sept. 12, 1904. He was appointed trustee in March, 
1903. 

The affairs of each institution afford in their administration 
an opportunity for the exercise of widely differing abilities. 
Mr. Moen's training and previous experience enabled him to 
bring to the affairs of the hospital administrative and con- 
structive abilities of a high order, a wide acquaintance and 
knowledge of men, a cultivated taste, the love of plants, trees, 
animals and all out-door things, health, vigor, leisure, and, 
best of all, the desire and capacity to use his gifts and abilities 
in the service of his fellow men. 

The State of Massachusetts is fortunate that she could have 
called such a man as Mr. Moen to this interesting, philan- 
thropic, gratuitous service. His sudden death is her great 
loss. 

The members of the Board have lost an agreeable and re- 
spected associate. 

It is voted that this expression of regard be entered upon 
the records and that a copy be sent to his family by the secre- 
tary of the Board. 



1904.] PUBLIC DOCUMENT — No. 23. 11 



SUPEKINTE^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, 1904, it being the 
seventy-second annual report. 

There remained at the hospital Oct. 1, 1903, 1,184 patients, 
— 577 men and 607 women. During the year 673 patients — 
341 men and 332 women — were admitted ; 436 patients — 183 
men and 253 women — were discharged, and 90 men and 61 
women 'died, leaving at the end of the official year 1,226 
patients, — 619 men and 607 women. Of this number, 1,053 
were supported by the State, 1 by town, and 172 by friends. 
Of the 436 persons discharged, 121, including 6 habitual 
drunkards (women), were reported recovered, 62 much im- 
proved, 63 improved and 184, including 1 habitual drunkard, 
not improved ; 5 were discharged not insane. Twenty men and 
90 women were transferred by the State Board of Insanity to the 
Medfield Insane Asylum, 25 men to the State Colony at Gardner, 
2 men and 5 women to Tewksbury, 2 men each to Dan vers and 
Bridgewater, 1 man each to McLean, Westborough and Palmer, 
and 1 woman to Taunton. Twenty-four men and 17 women 
were removed from the State and 10 women were boarded out. 

There remained at the end of the year 42 more patients than 
at the beginning. The smallest number under treatment on 
any one day was 1,139 and the largest, 1,303. The daily 
average number was 1,219.82. 

The percentage of recoveries, calculated upon the number of 
discharges and deaths, was 20.6; calculated upon the number 
of admissions it was 17.9. 



12 WORCESTER INSANE HOSPITAL. [Oct. 

The death-rate was 8.1, calculated on the whole number of 
patients under treatment; and 12.4, calculated upon the daily 
averao-e number. 

Notwithstanding the fact that the hospital has been called 
upon to provide for a daily average of over 200 patients in 
excess of its normal capacity, it has had a year of uninterrupted 
prosperity and exemption from acute or epidemic disease or 
serious accident. 

Our nurses' home was completed and occupied early in 
October, and a little later a dining room was opened in the 
Sargent building for the female nurses. A training school 
was organized, and in order that the nurses might have time 
for study and proper opportunity for recreation, their hours on 
duty were reduced to seventy per week. Such a radical change 
in our household economy could not be carried out without a 
considerable increase in our number of employees, and, like 
most new departures, it was not accomplished without a certain 
amount of friction. At the time, it was found difficult to get 
proper persons to fill these new places, and we were for some 
months obliged to get along with a very inadequate corps of 
attendants, but the school has gone on steadily and success- 
full}^, and we now have our full complement of nurses. 

The work on our electric light plant has been subject to 
many delays, due chiefly to the conditions under which this 
work had to be done. On account of the crowded condition of 
the building it has been impossible to vacate any portion of it 
for the purpose of wiring ; neither were we able to shut down 
our steam or power plant except for a few hours each week. 
We have not only been obliged to keep the old system in full 
running order, while installing the new, but to make many 
additions and changes in the old plant. It was necessary to 
enlarge both our engine and our boiler room ; change the 
piping on our old boilers to adapt them to high-pressure ; put 
in a series of reducing valves between the high-pressure pipes 
and our kitchen, laundry and general heating system ; make 
the necessary connections to enable us to utilize our exhaust 
steam in the latter and put in two additional boilers. This 
has been done as opportunity offered, and the entire plant, 



1904.] PUBLIC DOCUMENT — No. 23. 13 

with the exception of the wiring of a portion of the wards, 
is now practically completed. The boilers were furnished 
by the Stewart Boiler Works and the piping was done 
under the direction of S. A. Norcross of O. S. Kendall 
& Son. Power for our new plant is furnished by three 
1(35 horse-power horizontal non-condensing engines of the 
automatic, high-speed type, built by the Ames Iron Works of 
Oswego, New York. To each of these are directl}'^ connected 
two 55 kilowatt, 128 volt, direct current, generators, made 
by the General Electric Companj^ which also furnished the 
motors for our carpenter shop and laundry. The switch-board 
was put up by the Albert and J. M. Anderson Manufacturing 
Company of Boston. The wiring is done by the hospital em- 
ployees. The entire work has been carried out under the 
supervision of Hollis French and Allen Hubbard, consulting 
engineers, and in accordance with plans and specifications made 
by them, and they are to be commended for the thorough and 
satisfactory manner in which the work has been planned and 
completed. 

The sum of $10,000 was appropriated by the Legislature of 
1904 for a pathological building and morgue. The contract 
for this building was awarded to E. J. Cross, and work was 
begun thereon early in August. It is now well under way and 
will soon be ready for occupancy. It is a one-story brick 
building, 50 feet square, with a high basement, situated in 
the rear of the women's wards and connected therewith by 
a short basement corridor. It will be completed within the 
appropriation, but on its completion a small additional sum 
will be needed for furnishings and equipment. 

An extension of thirty feet has been made to our laundry 
and alterations begun for the purpose of putting in new lava- 
tories in the administration building. Both of these improve- 
ments are to be paid for out of hospital funds. 

Nothing has been done as j^et towards carrying out the 
repairs and improvements in our ward dining rooms pro- 
posed in my last report and authorized by the Legislature, 
the crowded condition of the Avards having made it impos- 
sible to undertake this work at present. In the mean time it 



14 WORCESTEE INSANE HOSPITAL. [Oct. 

has become evident that radical changes must soon be made in 
these dining rooms if we would provide proper and sufficient 
table accommodations for our increased number of patients. 
Originally these rooms were barely large enough for the mini- 
mum number for which the hospital was designed. They have 
been enlarged from time to time, as our numbers have increased, 
until all of the space available for this purpose has been utilized. 
They now seat 800 persons. With our present number of 
patients, therefore, from 400 to 500 must be served on trays 
taken out upon the wards. This makes it impossible to look 
after the individual patient, adds greatly to the work of the 
attendants, increases the liability to accident, and in many 
other ways seriously embarrasses the administration. In try- 
ing to formulate some plan that would effectually remedy this 
difficulty it became evident that no additional room could be 
made within the hospital itself, and that the only adequate 
remedy would be the erecting of a separate building or build- 
ings. As our present wards are arranged, however, it was 
found difficult to devise a suitable plan for a congregate dining 
room, or, at least, one that could be carried out within reason- 
able cost, and we are not therefore prepared to urge such a 
building at present, although we feel assured that some such 
provision will have to be made in the near future. With this 
prospect in view it becomes a question, therefore, whether it 
is desirable to spend any large sum on these dining rooms in 
the way of improvements and repairs. 

I would again urge the necessity for a building for the male 
attendants. With the increase in their number the quarters 
originally designed for them have been for a long time inade- 
quate, and the surplus has from necessity been provided for 
in single rooms upon the Wards. The attendants have come to 
occupy, therefore, a disproportionally large space as compared 
with the patients, a space which is, at present, much needed for 
the latter. • We are now making up every night from 175 to 200 
beds upon the floor, and this necessity would be obviated in 
the main if we could devote to the use of the patients the room 
now occupied by the male attendants. With the completion 
of the building for women and the changes in their hours and 



1904.] PUBLIC DOCUMENT — No. 23. 15 

mode of life which were thus made possible, the necessity for a 
similar building for the men became only the more evident. 
There is no essential difference in the ward service on either 
side of the house, and it is only proper that the same hours and 
the same conditions should apply in the one cas'^ as in the 
other. This cannot be brought about, howe> ., without a 
material addit on to our present number of attendants ; but to 
add to our number is impossible on account of lack of room. 

I am again obliged to call attention to our piggery. Aside 
from its being undesirably located, and a constant source of 
offence and complaint on the part of our neighbors, it has 
become so dilapidated as to be beyond repair. Notwithstand- 
ing every precaution used, we have for several years in succes- 
sion lost many of our pigs from cholera, and no effort to stamp 
out the disease proved availing as long as they were confined 
in the old building. To put it in a sanitary condition and 
keep it so has proved to be impossible, and we have therefore 
felt compelled to abandon it and dispose of our pigs elsewhere. 
This has left us without sufficient accommodations for the 
number requisite to consume the refuse from our tables, which, 
if allowed to accumulate, soon becomes offensive and not easily 
disposed of. The amount received from the sale of pork is 
practically net gain to the hospital, and in ordinary years 
would go far toward paying the entire estimated cost of a new 
building such as is proposed. 

Our coal pocket is much too small for our present needs, 
and, since the change in our boiler room, has become inconven- 
ient. It holds only about one-third of our yearly supply, so 
that the bulk of our coal has to be stored out of doors. The only 
place available for such storage is in the space next our clothes 
yard, and on a windy day the dust from the coal makes it next 
to impossible to use the yard for drying purposes. I would 
recommend, therefore, that a new coal pocket be built to store 
three thousand tons of coal, at an estimated expense of $5,770. 

The grounds on the west side and along the rear of the 
building have never been adequately enclosed, and our pa- 
tients are often much annoyed by boys and men congregating 
about the rear wards or wandering about the premises. Our 



ft 



16 WOKCESTER INSANE HOSPITAL. [Oct. 

property should be enclosed along this line by a substantial 
wire fence. Such a fence could be erected for $1,000. 

The greater part of our steam pipe needs re-covering. The 
original covering was a poor quality of hair felt, most of which 
has become disintegrated and has fallen off, leaving the pipe 
bare except for the cloth used to keep the felt in place. This 
would cost $1,500. 

Our old farm-house, now used for storage purposes, should 
be repaired and put in order for the use of the farmer and his 
family, who now live off the premises. Some place should be 
provided for our tools and garden implements and the storage 
of straw. A small forcing pit is also needed for growing 
early plants for the garden, and a cellar should be built 
suitable for the keeping of vegetables through the winter. 
The abandoned piggery could be moved and adapted to these 
purposes at a small relative expense, and the whole work done 
probably for $1,500. 

Little or nothing has been expended for furniture in the ad- 
ministration building since the opening of the hospital, and 
many of the rooms need to be entirely refurnished. An ap- 
propriation of $2,000 would be required for this purpose. 

The medical service of the hospital has been kept fully up 
to the standard of former years as regards the character and 
amount of the work done. With the completion of our labo- 
ratory our facilities in this direction will be greatly improved, 
and we confidently expect, that the outlay will find its full jus- 
tification in the increased interest manifested by the staff and 
by the better work which the building will make possible. 

Within the past year there has been an unusually large 
amount of material available for pathological study, and it has 
been utilized as in previous years. The same general plan of 
routine examination has been followed, more especially of the 
nervous system, with a view to studying cell changes and the 
finer microscopical structures of the brain and cord. Careful 
records have been kept of all the findings. 

Many interesting problems were presented and special study 
made of the more unusual cases. Among these were two 
cases of polyneuritic psychosis, two of miliary tuberculosis, 



1904.] PUBLIC DOCUMENT— No. 23. 17 

involving the brain and meninges, one each of lead encephal- 
itis, Huntington's chorea, hemichorea and chorea insaniens, be- 
sides numerous cases of organic brain disease. Experimental 
studies in lead poisoning were carried out, and many of the 
newer histological methods received considerable attention, 
among them more especially the demonstration of neurofibrils 
by the method of Ramon y Cajal. 

During the winter months the pathologist gave weekly talks 
and demonstrations on the anatomy of the brain and cord, and 
the same plan is being followed this year. 

The chemical work has consisted of routine examinations of 
blood, sputum, urine and occasionally gastric contents, and 
also the analj^sis of pathological fluids for points of special 
interest. Special chemical work has also been pursued by Dr. 
Coriat along the lines of nerve chemistry, with particular ref- 
erence to cyto-diagnosis and chemistry of the cerebro-spinal 
fluid, with the occurrence of cholin therein, and the isolation 
of various normal and pathological products from both animal 
and human brain material. The publications from the chemi- 
cal laboratory during the last year include ' ' The Occurrence 
of the Bence-Jones Albumin in a Pleuritic Effusion" (Amer- 
ican Journal of Medical Sciences, October, 1903); "Emul- 
sion Albuminuria" (Medical Record, Nov. 14, 1903) ; "The 
Cerebro-Spinal Fluid in Hydrocephalus " (American Journal 
of Physiology, Vol. X., No. 3) ; "The Chemical Findings in 
the Cerebro-Spinal Fluid and Central Nervous System in Va- 
rious Diseases " (American Journal of Insanity, Vol. LX., No. 
4, 1904). Among other work in course of publication is a 
paper on the lecithin-splitting ferment of the brain, and 
studies in metabolism of two cases of mental disturbance asso- 
ciated with renal disorders. A paper also by Dr. Coriat, on 
" Reduplicative Paramnesia," has appeared in the Journal of 
Mental and Nervous Diseases, Vol. 31, Nos. 9 and 10. 

During the winter material was furnished by the hospital 
to illustrate a series of valuable and interesting clinical lec- 
tures given by Dr. Edward Cowles to the students of Clark 
University. 

The current expenses, less the amount received from articles 



18 WORCESTER INSANE HOSPITAL. [Oct. 

sold, have been $244,112.69; dividing this by 1,219.82, the 
daily average number of patients, gives $200.12, as the annual 
cost of support, which is equivalent to a weekly cost of $3.85. 
We wish to thank the proprietors of the ' ' Worcester Spy " 
and the " Fitchburg Sentinel" for copies of their papers, Miss 
Frances Lincoln for pictures and Mrs. William H. Bliss for 
periodicals and for a pair of candlesticks for the nurses' home, 
and the employment society for sewing. 

H. M. QUINBY, 

Superinie?ident. 
Worcester, Sept. 30, 1904. 



1904.] 



PUBLIC DOCUMENT — No. 23. 



19 



PRODUCTS OF THE FARM 

On Hand Oct. 1, 1904, and not delivered at the Hospital. 



Apples, barrels, . 


475 


Hay, swale, tons. 


10 


Beets, bushels, . 


600 


Lettuce, heads, . 


1,000 


Cabbage, heads, . 


20,000 


Parsnips, bushels. 


600 


Cauliflower, heads. 


500 


Parsley, bushels. 


10 


Carrots, bushels. 


600 


Radishes, . 


2,000 


Celery, heads, 


8,000 


Rowen, tons, 


25 


Ensilage, tons, . 


500 


Rye, bushels. 


10 


Fodder, barley, tons, . 


25 


Spinach, bushels. 


200 


Fodder, oat, tons. 


15 


Straw, rye, tons. 


4 


Hay, English, tons, 


280 


Turnips, bushels, 


600 











FARM ACCOUNT. 



Dk. 



Blacksmith,. 

Bread, •. . . . 

Butter, 

Current expenses, 

Fertilizer, . 

Fish, .... 

Fuel, .... 

Furniture and furnishings, 

Grain, .... 

Groceries, etc.. 

Harness, repairs, etc., . 

Ice, 

Lights, 

Live stock : — 

Cows, 
I Hogs, 

Horses, 
Meats, . 
Milk, . 

Amount carried forward. 



#320 


69 


800 


65 


712 


95 


1,307 


96 


464 50 


227 


94 


366 


62 


130 


29 


8,110 


37 


2,263 


38 


255 53 


50 


65 


311 


16 


1,825 00 


30 00 


1,425 


00 


1,748 


49 


549 


16 


$20,400 34 



20 



AVORCESTER INSANE HOSPITAL. 



[Oct. 



Amount brought forward, . 

Repairs, 

Seeds, .... 

Sugar, . . . 

Tools, machines, etc., . 

Wages, 

Wagons, repairs, ,. 

Water, .... 

Net gain for year ending Sept. 30, 1904, 



Cr. 



Apples, No. 1, 527 barrels, 
Apples, No. 2, 297 barrels, 
Apples, sold, 32 barrels, 
Asparagus, 90 bushels, 
Barrels, vinegar, 65, . 
Barrels, old, sold, 314, 
Baskets, berry, sold, 5,000, 
Beans, lima, 79 bushels, 
Beans, shell, 15 bushels, 
Beans, string, 251 bushels, 
Beef, fore quarters, 46, 
Beef, hind quarters, 46, 
Beets, 250^ bushels, . 
Beets, greens, 121^ bushels, 
Bones, sold, 12,452 pounds. 
Bones, carcass sold, 496 pounds 
Brussel sprouts, t bushel, 
Cabbage, 376 barrels, 
Carrots, 89 bushels. 
Cauliflower, 260 heads. 
Celery, 778.5 dozen, . 
Cider, 50,592 gallons, 
Cider, sold, 10 gallons, 
Corn, 3,109 dozen. 
Cucumbers, 4,152, 
Cucumber pickles, 17,000, 
Currants, 709 quarts, . 
Dressing, 19 loads. 
Eggplants, 65, 
Eggs, 10^ dozen. 
Feed, ground, 3,600 pounds, 
Fowls, 170 pounds. 
Gravel, 237 loads. 
Gravel sold, 202 loads. 
Hay, 30,950 pounds, . 
Hides, cow, 1,774 pounds. 

Amount carriM forward, 



1904.] 



PUBLIC DOCUMENT — No. 23. 



21 



Amount brought forward. 

Hides, calf, 6, . . . 

Ice, 1,087 tons, . 

Ice sold, 435 tons. 

Iron, junk, sold, . 

Labor, men, 2,109 days, at $1 per day. 

Labor, teams, 470i days, at f 4 per day 

Live stock sold : — 

Bull, 1, 

Calves, 45, . 

Cows, 2, 

Hogs, 44, 

Horse, 1, 
Lettuce, l,4G2i dozen, 
Milk, 429,100 quarts, . 
Oats, 18,628 pounds, . 
Onions, 1,3211^ bushels, 
Parsley, 

Parsnips, 202| bushels, 
Pears, 9i bushels. 
Peas, 114.2 bushels, . 
Peppers, 10 bushels, . 
Plants sold, tomato, 1,210, 
Pork, 13,084 pounds, . 
Pork sold, 31,148.3 pounds 
Pumpkins, 8,045 pounds. 
Radishes, 10,140, 
Rhubarb, 9,801 pounds, 
Raspberries, red, 123 quarts, 
Sand, 429.25 yards, . 
Scullions, 4 bushels, . 
Spinach, 783^ bushels. 
Squash, summer, 41 2 J dozen. 
Squash, winter, 120,123 pounds. 
Stone, 62 loads, . 
Stone, broken, 7 yards, 
Strawberries, 1,863 quarts. 
Straw, oat, 74,175 pounds, . 
Straw, I'ye, 16,950 pounds. 
Tomatoes, 342 bushels. 
Tomatoes, green, 46^ bushels, 
Turnips, 340^ bushels. 
Veal, fore quarters, 16, 
Veal, hind quarters, 16, 
Vegetables sold : — 

Beets, 165.1 bushels, . 
AVood sold, 3 loads. 

Total receipts. 



$7,898 16 



5 


48 


746 


80 


106 


25 


6 


00 


2,109 


00 


1,882 


00 


75 


00 


200 


00 


33 


00 


255 


38 


85 


00 


686 


05 


17,164 


00 


292 


30 


1,305 


90 




40 


215 


69 


7 


20 


130 


25 




30 


12 


10 


906 


28 


2,131 


74 


80 


45 


186 


00 


201 


33 


15 


99 


587 


31 


4 


44 


314 


53 


92 


11 


1,984 


11 


41 


00 


10 


50 


226 


57 


486 


87 


186 


29 


208 


68 


16 


27 


187 


17 


28 


24 


45 


74 


188 


68 


6 


00 


$41,252 56 



22 



WORCESTER INSANE HOSPITAL. 



[Oct. 



LIST OF PERSONS 



Employed in the Worcester Insane Hospital, Sept. 30, 1904. 



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 weeii, .... 

Assistant in laboratory, per month, . 

Steward, per year, .... 

Matron, per year, .... 

Clerk, per month, ... 

Treasurer, per year, .... 

Auditor, per year, .... 

Stenographers (two), per week, 

Stenographer (one), per month. 

Superintendent of nurses, per year, . 

Supervisors (three men) , each, per month 

Supervisoi's (five women), each," " 

Marker of clothing, etc., " " 

Seamstresses (four), " " 

Attendants (fifty-nine men), " " 

Attendants and nurses (seventy-four women), per month 

Baker, 

Assistant baker. 

Steward's assistant, 

Kitchen men (two). 

Cooks (three). 

Laundry men (two), per week and per month, 

Laundress, " 

Laundry girls (seven), " 

Kitchen girls (six), " 

House girls, each, " 

Ofiice girl, " 







$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 






600 00 






75 00 






10 00 






30 00 






900 00 


.140 00 


to 45 00 


. 25 00 


to 30 00 


. 


20 00 


. 


18 00 


. $23 00 


to 28 00 


, 14 00 


to 20 00 




60 00 




30 00 




30 00 


. $25 00 


to 30 00 


. 28 00 


to 45 00 


. 12 00 


and 25 00 




25 00 


.114 00 


to 18 00 


. 14 00 


to 18 00 


. 14 00 


to 16 00 






18 00 



1904.] 



PUBLIC DOCUMENT — No. 23. 



23 



Carpenters (five), per day, 
Painters (two), per day, 
Masons (three), per day. 
Tenders (two), per day, 
Steamfitters (two), per day 
Plumber, per month, . 
Engineer, per day, 
Firemen (two), per month 
Farmers (two), . 
Housekeepers (three), per 
Farm laborers (fourteen), 
Farm help (five women). 
Florist, per month, 
Coachman, per month, 
Expressman, per month. 
Basement and yard men (t 
Butcher, per month, , 
Electrician, per week, 



month. 



wo), per month 



$2 50 to |3 00 

2 50 

3 25 

2 25 
$3 00 and 2 25 

75 00 

3 00 
40 00 

f45 00 and 75 00 

18 00 to 25 00 

25 00 to 28 00 

14 00 to 22 00 

45 00 

28 00 

25 00 

f 25 00 and 28 00 

25 00 

20 00 



24 



WORCESTER INSANE HOSPITAL. 



[Oct. 



VALUATION OF PERSONAL ESTATE 

Sept. 30, 1901. 



Provisions and groceries 

Ready-made clothing, .... 

Dry goods : — 

For clothing, 

For bedding, 

Furnishings : — 

Beds and bedding in inmates' department. 

Other furnishings in inmates' department, 

Personal property of State in superintendent 

All other propert}^ .... 
Heat, light and power : t— 

Fuel, 

All other property, .... 
Repairs and impi'ovements : — 

Machinery and mechanical fixtures, 

All other property, .... 
Farm, stable and grounds : — 

Live stock on farm, ... 

Produce of farm on hand, 

Carriages and agricultural implements. 

All other property, .... 
Miscellaneous : — 

Drugs and medicines. 

Tobacco, 

Library, ...... 

Other supplies undistributed, . 



s department, 



$7,885 80 


2,315 


20 


209 


39 


334 


47 


32,454 00 


24,053 


30 


18,029 


93 


18,860 


74 


4,141 


90 


135 


00 


34,823 


23 


1,405 


00 


15,132 


00 


17,068 53 


8,232 


50 


365 


00 


442 


40 


14 


06 


5,842 


71 


7,203 


19 


$198,938 


35 



1904.] 



PUBLIC DOCUMENT — No. 23. 



25 



TREASUEER'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I herebj^ submit my annual report on the finances of the 
Worcester Insane Hospital for the year ending Sept. 30, 1904. 



Receipts 

Cash on hand Sept. 30, 1903, 

Received from cities and towns for support of patients, . 

from individuals for support of patients, . 

from individuals for support of patients, reimburse 
ments, ........ 

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 old brass and iron, 

from sale of tallow and grease, 

from sale of ice, . 

from sale of tubs and barrels, . 

from sale of sundries, 

from sales from store, 

from Commonwealth for current expenses, 

from Commonwealth from special appropriations. 

Total receipts, 



$2,367 


41 


66,240 


34 


60,035 


32 


4,579 


16 


949 


86 


257 


95 


3,238 


20 


277 


80 


37 


22 


562 


38 


106 


25 


161 


39 


1,288 


33 


786 


30 


250,570 


56 


41,297 


40 


$422,755 87 



Expenditures. 



Pay roll, 

Food : — 
Butter, 

Beans, .... 
Bread and ci*ackers, . 
Cereals, rice, meal, etc., 
Cheese, 

Eggs 

Flour, .... 



Amounts carried forward. 



$10,463 26 
1,049 14 
587 32 
1,646 81 
665 24 
6,173 42 
7,296 50 



$87,058 22 



$27,881 69 $87,058 22 



26 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Amounts brought forward. 

Fish, . 
Fruit, . 
Meats, . 
Molasses, etc.. 
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, 



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, 

Amount carried forward. 



r,881 69 187,058 22 



3,576 94 

3,075 17 

18,243 47 

379 45 




6,667 37 

1,806 05 
6,192 51 

2,819 47 


68,632 12 




11,656 64 

4,825 47 

2,663 82 

1,137 30 

266 99 




62 00 




79 27 


10,681 39 




$5,723 25 
456 03 




389 76 




1,469 12 
899 05 




556 66 




144 16 




734 38 


10,372 41 




$15,029 59 

6,538 68 

145 38 




23 80 


21,737 45 




$102 67 
756 32 




107 28 




684 74 




1,033 76 

1,181 81 

548 61 




1,492 17 

6,766 76 

697 15 




4,653 72 


18,024 88 




, . 


$216,506 47 



1904.] PUBLIC DOCUMENT - 


— No. 23. 




27 


Amount brought for to ard, 




$216,506 47 


Farm, stable and grounds : — 






Blacksmith and supplies, S604 05 




Carriages, wagons and repairs, 








852 


28 




Fertilizers, seeds, etc., 








"816 


06 




Hay, grain, etc., . 








8,508 


49 




Harness and repairs, . 








606 


32 




Horses, .... 








1,625 


00 




Cows, 








1,82£ 


00 




Other live stock, . 








3C 


00 




Tools, farm machines, etc.. 








501 


71 




Sundries, .... 








1,175 


13 










16,444 04 






Miscellaneous : — 






Books, periodicals, etc., f 560 


75 




Chapel services and entertainments, 




541 


80 




Freight, expressage, etc., .... 




297 


57 




Funeral expenses, .... 






295 


00 




Gratuities, 






46 


00 




Hose, etc., 






462 


44 




Labor (not on pay roll), . 






30 


00 




Medicines and hospital supplies, 






2,418 


77 




Medical attendance, .... 






182 


18 




Postage, ...... 






401 


74 




Printing and printing supplies, 






716 


56 




Return of runaways, 






122 


32 




Soap and laundry supplies. 






3,515 


25 




Stationery and office supplies, . 






441 


27 




School books and school supplies, . 






294 


90 




Travel and expenses (officials), 






204 


01 




Telephone and telegraph, 






201 


16 




Tobacco, 






901 


70 




Water, 






4,619 


11 




Sundries, 






1,367 


52 










17,620 05 




- 


Total, 


1250,570 56 


Paid out of special appropriations, . . . $41,297 


40 




Receipts paid to State Treasurer, 

Total expenditures, .... 


124,745 


36 






. 


$166,042 76 


Cash on hand Sept. 30, 1904, 


- 


6,142 55 




1422,755 87 



28 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Resources. 
Cash on hand Oct. 1, 1904, 
Bills due from cities and towns, 
Bills due from individuals, 
Bills due from individuals, reimbursements, 
Unexpended special appropriations, 

Total resources, .... 



$6,142 55 

584 53 

13,635 63 

3,997 72 

19,218 67 

H3,479 10 



Liabilities. 
Due for maintenance paid in advance. 
Due for salaries and wages. 
Due for all other current expenses, . 
Due for special appropriations. 

Total liabilities, 



$84 60 

7,812 15 

26,525 12 

4,830 88 

539,252 75 



Special Appropriatioyis. 



Object. 


Resolves. 


Whole 
Amount. 


Expended 
in 1902-3. 


Expended 
in 1904. 


Balance 
Oct. 1, 1904. 


Nurses' home 


1901, chap. 471, 


$45,000 00 


$42,298 93 


$2,701 07 


- 


Electric lighting, 


1902, chap. 118, 


16,000 00 


3,804 29 


- 


$12,195 71 


Electric lighting, 


1903, chap. 414, 


45,000 00 


185 00 


35,.360 17 


9,454 83 


Stenographer's room, 


1903, chap. 414, 


3,000 00 


- 


2,986 16 


13 84 


Pathological building. 


1904, chap. 323, 


10,000 00 


- 


250 00 


9,750 00 



Patients' Fdnds. 
Balance on hand Sept. 30, 1903, .... 

Receipts during year, 

Interest on bank balance, ..... 

Expenditures during year, 

Balance on hand Sept. 30, 1904, . . . . 

Respectfully submitted, 



$2,822 29 




2,500 09 




58 70 






15,381 08 
2,700 16 





|2,680 92 



ALBERT WOOD, 

Treasurer. 



Oct. 1, 1904. 



1904.] PUBLIC DOCUMENT — No. 23. 29 



STATEMEN^T OF FUNDS. 



Lewis Fund. 
Balance on hand Sept. 30, 1903, 
Dividends, 

Expended for books, 



Investment. 
Chicago, Burlington & Quincy Railroad bond, 
Worcester County Institution for Savings, 
Cash on hand Sept. 30, 1904, . 



Wheeler F^nd. 

Balance on hand Sept. 30, 1903, 

Dividends, 

Central National Bank third payment in liqui- 
dation, 

Expended for books, ...... 



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

Five shares Boston & Philadelphia Steamship 

Co., 

Worcester County Institution for Savings, 

Worcester Five Cents Savings Bank, 

Cash on hand Sept. 30, 1904, .... 

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

1903, 

Dividends, 

Balance in bank Sept. 30, 1904, . 



fl,339 75 
53 75 


$1,393 50 
100 33 


. 


$1,293 17 


$926 36 

342 60 

24 21 


$1,293 17 




|4,691 94 
188 29 

70 00 


$4,950 23 
89 10 


. 


14,861 13 



712 


50 






1,678 


36 






1,719 


47 






180 


80 










$4,861 


13 






|912 


08 






36 


46 








— 


$948 


54 



30 WORCESTER INSANE HOSPITAL. [Oct. 1904. 



Manson Fund. 
Balance in Worcester County Institution for 

Savings Sept. 30, 1903, 

Dividends, 

Balance in bank Sept. 30, 1904, . 

Land Account, 
Balance on hand Sept. 30, 1903, 
For sale of land, 



Check to State Treasurer, . 

Surveying, etc., . 

Drawing deed, . 

Balance in bank Sept. 30, 1904, 



$1,375 94 
55 02 


$1,430 96 




$68 52 
670 10 


$728 62 




f670 10 

22 50 

3 00 

33 02 


$728 62 





Respectfully submitted, 

ALBERT WOOD, 

Treasurer of Corporation. 
Oct. 1, 1904. 

Worcester, Mass., Oct. 24, 1904. 

I hereby certify that I have this day compared the treasurer's statement of 

disbursements for the year ending Sept. 30, 1904, with the vouchers on file at the 

Worcester Insane Hospital, and find them to agree. I have also inspected the 

securities representing the invested funds of the institution, and find that their 

market value is as stated. 

GEO. L. CLARK, 

Auditor of Accounts. 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



\ 



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3 



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2a. 



34 



WORCESTER INSANE HOSPITAL. 



[Oct, 



2. — Insane received on First and Subsequent Admissions. 



NUMBER OF THE ADMIS8I0N, 



Cases admitted. 



Males. Females. Totals 



First, 

Second 

Third 

Fourth, 

Fifth, ........ 

Bixth, 

Seventh, 

Total cases, 

Total persons 

Never before in any hospital for the insane, 



292 
35 



341 
338 
265 



261 

39 

18 

4 

1 
1 



324 
321 
235 



553 
74 
27 
5 
4 
1 
1 

665 
659 
500 



3. — Nativity and Parentage of Insane Persons First admitted to 

Any Hospital. 







Males . 


Females. 


Totals. 


PLACES OF NATIVITY. 




u 


u 




^ 


^ 




t^ 


C 




a 


A 


JS 


(U 


J3 


JS 


(U 


^ 


X 




c3 


fa 


o 


PL, 


iS 






a 
fa 


o 


Massachusetts 


96 


37 


34 


62 


13 


16 


158 


50 


60 


Other New England States, . 


23 


21 


21 


17 


16 


15 


40 


37 


36 


Other States 


13 


10 


10 


19 


4 


3 


32 


14 


13 


Total native 


132 


68 


65 


98 


33 


34 


230 


101 


99 


Other countries: — 




















Armenia, 


4 


3 


3 


- 


- 


- 


4 


3 


3 


Austria, 


2 


1 


1 


1 


_ 


_ 


3 


1 


1 


Azore Islands, .... 


_ 


- 


_ 


1 


- 


_ 


1 


- 


- 


Canada, 


21 


22 


21 


30 


19 


18 


51 


41 


39 


China, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Denmark 


- 


- 


- 


1 


- 


- 


1 


- 


- 


England, ...'.. 


6 


8 


6 


3 


7 


5 


9 


15 


11 


Finland, 


5 


6 


6 


10 


8 


8 


15 


14 


14 


France, 


1 


_ 


_ 


1 


1 


1 


2 


1 


1 


Greece, 


_ 


1 


1 


- 


- 


- 


- 


1 


1 


Germany, 


5 


6 


6 


1 


3 


3 


6 


9 


9 


Ireland, 


50 


79 


84 


64 


76 


78 


114 


155 


162 


Italy 


1 


1 


1 


3 


2 


2 


4 


3 


3 


Lithuania 


1 


- 


- 


- 


- 


- 


1 


- 


- 


Newfoundland 


- 


- 


- 


2 


- 


- 


2 


- 


- 


Norway, 


1 


- 


- 


1 


1 


1 


2 


1 


1 


Poland 


1 


2 


2 


- 


1 


1 


1 


3 


3 


Russia 


6 


5 


5 


2 


- 


- 


8 


5 


5 


Scotland, 


3 


5 


5 


- 


3 


2 


3 


8 


7 


Sweden, 


12 


13 


14 


7 


8 


8 


19 


21 


22 


Syria 


- 


- 


- 


1 


- 


- 


1 


- 


- 


Turkey 


1 


- 


- 


- 


- 


- 


1 


- 


- 


West Indies, 


2 


1 


1 


- 


- 


- 


2 


1 


1 


Total foreign 


123 


154 


157 


128 


129 


127 


251 


283 


284 


Unknown 


10 


43 


43 


9 


73 


74 


19 


116 


127 


Total 


265 


265 


265 


235 


235 


235 


500 


500 


500 



1904.] 



PUBLIC DOCUMENT — No. 23. 



35 



4. — Residence, of Insane Persons admitted by Commitment. 













First admitted to 
Ant Hospital. 


Othkk Admissions. 


PLACES. 




i 






i 






"3 


1 


o 


■3 


1 


■3 


In 


Massachusetts (by counties) : — 














Bristol, . 










- 


- 


- 


4 


2 


6 


Hampshire, . 










- 


1 


1 


- 


- 


- 


Middlesex, 










61 


82 


143 


24 


34 


58 


Norfolk, 










2 


4 


6 


- 


- 


- 


Suffolk, . 










49 


34 


83 


13 


9 


22 


Worcester, 










153 


114 


267 


35 


44 


79 


Totals, . 


265 


235 


500 


76 


89 


165 


Cities or towns. 










196 


177 


373 


65 


60 


125 


Country districts. 










69 


58 


127 


11 


29 


40 



5. — Civil Condition of hisane Persons First admitted to Any 

Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


116 


88 


204 


Married, 


106 


88 


194 


Widowed, 


23 


47 


70 


Divorced, 


1 


3 


4 


Unknown, 


19 


9 


28 


Totals, 


265 


235 


500 



36 



WOECESTER INSANE HOSPITAL. 



[Oct. 



6. — Occupation of Insane Persons First admitted to Any Hospital. 



Candymaker, .... 1 


Operatives, 


. 24 


Christian Science iiealer, 


1 


Seamstresses, . 


3 


Clerks, .... 


4 


Servant, . 


1 


Cook, 






1 


Waitress, . 


1 


Domestics, 






61 


No occupation, 


. 45 


Dressmakers, . 






2 






Housekeepers, . 






35 


Total, 


. 222 


Housewives, . 






39 


Unknown, . 


. 13 


Laundresses, . 






2 






Matrons, . 






2 


Total, 


. 235 



Agents, 

Baker, 

Barbers, . 

Bartender, 

Beamtender, 

Bookkeepers, . 

Brass polisher, . 

Buffer, . 

Carpenters, 

Carriage trimmer. 

Chair shoj?, 

Clerks, 

Compositor, 

Conductor (street railroad). 

Cooks, 

Coremaker, 

Dyer, 

Electricians, 

Elevator man, . 

Expressman, . 

Farmers, . 

Farm hands. 

Fireman, . 

Foreman, . 

Furniture polisher, 

Groom, 

Hackman, 

Hostler, . 

Hotel work. 

Jack repairer, . 

Jeweller, . 

Laborers, . 

Lamplighter, . 

Laundr}' man, . 

Lunch man. 



12 



Machinists, 

Masons, . 

Mechanics, 

Merchants, 

Motorman, 

Moulders, 

Newsdealers, 

Operatives, 

Overseer, . 

Painters, . 

Paper hangers. 

Peddlers, . 

Phrenologist, 

Physician, 

Pipe fitter. 

Plumber, . 

Printer, 

Quarryman, 

Rag picker. 

Salesmen, 

Seamen, . 

Shoemakers, 

Spring works, 

Stone cutter. 

Student, . 

Tailor, 

Teamsters, 

Travelling salesmen 

Waiters, . 

No occupation. 

Total, 
Unknown, 

Total, 



9 
3 
2 
6 
1 
5 
2 

31 
1 

11 
2 
3 
1 
1 
1 
1 
1 
1 
1 
2 
2 
4 
1 
1 
1 
1 

11 
2 
2 

26 

254 
11 

265 



PUBLIC DOCUMENT — No. 23. 



37 



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Alcohol, .... 
Alcohol and other causes, . 

Childbirth 

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Ill health 

Ill health and other causes, 
111 treatment. 
Immorality, . ... 
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Masturbation and other causes, 
Menopause, .... 
Menopause and other causes. 
Menstrual disorders, , 
Miscarriage and other causes. 
Morphinism, 





S8 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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40 



WORCESTER INSANE HOSPITAL. 



[Oct. 



9. — Probable Duration of Mental Disease before Admission. 













First admitted to Any Hospital. 


PREVIOUS DURATION. 










Males. 


Females. 


Totals. 


Congenital, 










10 


5 


15 


Under 1 month, 










57 


41 


98 


From 1 to 3 months, 










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47 


90 


3 to 6 months, 










21 


18 


39 


6 to 12 months, 










16 


14 


30 


1 to 2 years, 










21 


14 


35 


2 to years. 










29 


24 


53 


5 to 10 years, 










15 


6 


21 


10 to 20 years. 










10 


11 


21 


Over 20 years. 










3 


4 


7 


Total, 


225 


184 


409 


Unknown, 










40 


51 


91 


Total, 


265 


235 


500 


Average known duration in years, 




1.95 


1.92 


1.93 



1904.] 



PUBLIC DOCUMENT — No. 23. 



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A.— First admitted to any hospi- 
tal :- 

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Constitutional inferiority, . 

Delirium (infectious, toxic and 
and sesthenic), 

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Epileptic insanity. 

General paralysis of the in- 
sane 

Huntington's chorea, . 

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Involution psychosis, 

Katatonia, 

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Melancholia 

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Organic dementia. 

Paranoia, 

Paranoic condition, . 

Periodic insanity : — 

Depressed, .... 

Manic, 

Manic-delirious, 

Mixed 

Polyneuritic psychosis, . 

Senile dementia, .... 

Traumatic insanity, . 

Not insane 


i 

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42 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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_ . _ . _ _ 1 


B. — Other admissions : — 
Alcoholic insanity, 
Consiitutional infeiiority, . 
Delirium, .... 
Dementia prsecox. 
Epileptic insanity. 
General paralysis of the insane, 
Huntington's chorea, . 

Imhecility 

Involution psychosis, . 

Kalatonia 

Melancholia, 
Organic dementia. 
Paranoic condition, . 
Periodic insanity : — 

Circular, .... 

Depressed, 

Manic, .... 

Mixed, .... 
Senile dementia, . 
Not insane, .... 


Totals, 

Aggregate cases. 
Aggregate persons, . 



PUBLIC DOCUMENT — No. 23. 



43 



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V. Diseases of the digestive system : — 

Enteritis, 

Enteritis and central neuritis, . 

Diarrhoea, 

VI. Diseases of the genito-urinary system : — 

Nephritis, 

VII. Diseases of the skin : — 

Senile gangrene with toxsemia, . , 
VIII. Violence: — 

Suicide by hanging, 

Strangulation by food 

Exhaustion 

Exhaustion and heart failure, 


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PUBLIC DOCUMENT — No. 23. 



47 



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1904.] 



PUBLIC DOCUMENT — No. 23. 



49 



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