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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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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
Epilepsy, ....
Exhaustion, ....
Heredity, ....
Huntington's chorea, .
Ill health
Ill health and other causes,
111 treatment.
Immorality, . ...
Involution, ....
Lactation, ....
Masturbation,
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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Worry and other causes.
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PUBLIC DOCUMENT — No. 23.
39
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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,
43
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.
41
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A.— First admitted to any hospi-
tal :-
Alcoholic insanity.
Constitutional inferiority, .
Delirium (infectious, toxic and
and sesthenic),
Dememia, prsecox,
Epileptic insanity.
General paralysis of the in-
sane
Huntington's chorea, .
Hypomania
Hysterical insanity, .
Imbecility,
Involution psychosis,
Katatonia,
Lead encephalitis.
Melancholia
Morphinism
Organic dementia.
Paranoia,
Paranoic condition, .
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Depressed, ....
Manic,
Manic-delirious,
Mixed
Polyneuritic psychosis, .
Senile dementia, ....
Traumatic insanity, .
Not insane
i
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42
WORCESTER INSANE HOSPITAL.
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B. — Other admissions : —
Alcoholic insanity,
Consiitutional infeiiority, .
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Dementia prsecox.
Epileptic insanity.
General paralysis of the insane,
Huntington's chorea, .
Imhecility
Involution psychosis, .
Kalatonia
Melancholia,
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Paranoic condition, .
Periodic insanity : —
Circular, ....
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Manic, ....
Mixed, ....
Senile dementia, .
Not insane, ....
Totals,
Aggregate cases.
Aggregate persons, .
PUBLIC DOCUMENT — No. 23.
43
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Hypostatic pneumonia
Hypostatic pneumonia with pleurisy.
Tubercular pneumonia
Pulmonary oedema,
Pulmonary abscess and subdural hemor-
rhage
Pulmonary congestion
Pleurisy with effusion, ....
Pyopneumothorax
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,
"a
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No. 23.
45
46
WORCESTER INSANE HOSPITAL.
[Oct.
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