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

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University of Massachusetts Amherst 



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

SEVENTY-THIED ANNUAL EEPOET 

OF 

THE TRUSTEES 

OF THE 

Worcester Insane Hospital, 

AND 

TWENTY-EIGHTH ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WORCESTER INSANE ASYLUM AT WORCESTER, 

FOR THE 

Year ending September 30, 1905. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1906. 



PUBLIC DOCUMENT . 



No. 23. 



SEVENTY-THIBD ANNUAL EEPOET 

OP 

THE TRUSTEES 

OF THE 

Worcester Insane Hospital, 

AND 

TWENTY-EIGHTH ANNUAL REPORT OF THE TRUSTEES 

OF THE 

WORCESTER INSANE ASYLUM AT WORCESTER, 

FOB THE 

Yeae ending September 30, 1905. 





/h* 



BOSTON : 

WRIGHT & POTTER PROTLNG CO., STATE PRINTERS, 

18 Post Office Square. 

1906. 






Approved by 
The State Board of Publication, 



3 



CONTENTS 



Report of Trustees, 7 

Report of Superintendent, 12 

Report of Treasurer, 23 

Statistics, 31 



OFFICERS OF THE HOSPITAL. 



TRUSTEES. 

SAMUEL B. WOODWARD, Worcester. 

LYMAN A. ELY, Worcester. 

GEORGE F. BLAKE, Worcester. 

ROCKWOOD HOAR, Worcester. 

THOMAS RUSSELL, Boston. 

SARAH E. WHITIN, ........ Whitinsville. 

FRANCES M. LINCOLN Worcester. 



RESIDENT 
HOSEA M. QUINBY, M.D., 
ALFRED I. NOBLE, M.D., 
ISADOR H. CORIAT, M.D., . 
CORNELIA B. J. SCHORER, M.D., 
EDWARD MELLUS, M.D., 
WALTER C. HAVILAND, M.D., 
THEODORE A. HOCH M.D., . 
FREEMAN A. TOWER, M.D., 
GEORGE B. LANDERS, M.D., 
HARRY W. HAMMOND, M.D., 
ROBERT 0. LeBARON, 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 Assistant. 

. Superintendent of Nurses. 



Steward. 
Matron. 
Farmer. 



non-resident officers. 

WILLIAM D. SPROAT, Druggist. 

ALBERT WOOD Treasurer. 

GEORGE I. CLARK, Auditor. 

JESSIE M. D. HAMILTON, Clerk. 

JAMES DICKISON, Jr., Engineer. 



Cnmmotxfomltfj d WSLUBmfynutte. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital herewith re- 
spectfully submit their seventy-third annual report. 

It would seem that the appended reports of the superintendent 
and treasurer, together with the statistical tables, furnish all 
the information concerning the institution which the Revised 
Laws require or expect the trustees annually to submit, and 
that a particular statement of the " condition of the hospital and 
its affairs " is so well presented therein that but few additional 
words are actually needed on the part of the Board by way of 
explanation of matters more particularly deserving of notice. 

Again, as for several years past, the average number of 
patients is increased; this year by 23 over that of the year 
before, giving a new high number, namely, 1,242. 

We are, as always, and as are all similar institutions in the 
State, overcrowded, with beds where there should be airing 
courts, and cots in the corridors at night. It is hoped that these 
conditions are not always to prevail, and that the dangers inci- 
dent to such over-plus of patients will eventually be relieved. 

The hospital work has gone on smoothly and without inter- 
ruption. A large number of inmates (some 300) have been 
usefully employed upon the grounds, both to their own advan- 
tage and to that of the hospital. By their exertions, much work 
has been accomplished that could not have been profitably under- 
taken had we been obliged to depend upon hired labor. Land 
of extraordinary roughness has been cleared of stones and 



8 WORCESTER, INSANE HOSPITAL. [Oct. 

stumps, roads laid out, underdrained and macadamized, and 
land brought under cultivation that has long been of no profit 
to the State. 

The electric wiring of the whole building is now practically 
completed, and, with the installation of a few further fixtures, 
the use of gas, always dangerous in such an institution, will be 
practically abolished. 

The changes authorized in the administration building are 
well under way, and when completed will relieve a condition of 
affairs which had become almost unbearable. 

A landmark in the history of the hospital was the graduation 
of the first class from its training school, which occurred during 
the past summer. On August the first, diplomas were presented 
to 21 nurses by the chairman of the Board in Sargent Hall. 
Prayer was offered by Eev. Eldridge Mix, and an address deliv- 
ered by Dr. Edward Cowles, formerly superintendent of the 
McLean Hospital at Waverley. Eive of the class remain in the 
hospital service. Many will take post-graduate courses in gen- 
eral hospitals, and will thus be peculiarly fitted for special nurs- 
ing, or to fill positions of trust in this or similar institutions. 

Three of the assistant physicians have left us during the year : 
Dr. M. G. Rowe, to take up private practice in Denver ; Dr. E. 
M. Eisher, August 31, to accept a position in Morris Plains; 
Dr. Isador H. Coriat, in September, to enter on private practice 
in Boston. Drs. W. C. Haviland and Freeman A. Tower, junior 
assistants, were appointed to fill two vacancies; the third is at 
present unfilled. 

With the completion of the pathological building this im- 
portant department of the hospital work will be properly housed, 
and the present temporary, crowded and inconvenient basement 
quarters abandoned. 

Ten years ago, in their sixty-third annual report, the trus- 
tees stated that it had been a source of reproach to the lunatic 
hospitals of Massachusetts, as well as to those of other States, 
that they were nothing more than enormous boarding houses 
for the care of the insane, well-managed boarding houses, it is 
admitted, but accomplishing little for the advancement of medi- 
cal and pathological science. The reorganization of our medical 



1905.] PUBLIC DOCUMENT — No. 23. 9 

service, which took place that same year, and the establishment 
of a laboratory were the beginning of an attempt to remove the 
stigma from this hospital, at least. 

The system of having internes or junior assistants, inau- 
gurated at that time, is still maintained. As they serve but 
twelve months, an opportunity is offered a large number of 
young medical men to study nervous diseases on both the prac- 
tical and scientific side, while the hospital has always been able 
from their ranks to fill vacancies occurring in the staff, thus 
obtaining men whose attainments have been judged during 
their pupilage, with manifest benefit to itself. From our labo- 
ratory come every day (so the superintendent informs us) 
answers to most perplexing questions; so that in the treatment 
of the patients more benefit to them is often obtained from this 
source than from the druggist and the pharmacy. It is the 
laboratory work that largely attracts these young men, from 
whose number not only our own ranks are kept full, but who, 
as graduates of this training school, have frequently been called 
to positions in similar institutions in this and other States. 

Until 1902, when he was called to New York as medical 
director of the newly formed pathological institute, the clinical 
and pathological work was done under the supervision of Dr. 
Adolph Meyer. The benefit to the patients of the more careful 
study that could thus be given them under the direction of one 
whose time was not taken up so largely by administrative work 
as is that of the superintendent of a large hospital, whose 1,500 
inmates depend upon him for the control of every detail of 
management, became so manifest that since the resignation of 
Dr. Meyer the system, with its extended and valued records, 
has been continued. 

The most urgent need of the hospital, at present, is a home 
for male nurses. This matter has been presented in the last 
two annual reports, but as no appropriation was granted us by 
the Legislatures of 1903 and 1904, it must, of necessity, come 
up again. 

The building of a home for female nurses, completed two 
years since, removed from the main building 58 attendants, and 
in their stead we have 113 additional patients to care for. 



10 WORCESTER INSANE HOSPITAL. [Oct. 

We wish, to provide a building for 80 men, whose places in 
the main building can be filled by at least as many additional 
patients. 

Much dissatisfaction must be expected to exist among the 
male attendants, until they are as well provided for as are 
those of the opposite sex, and a corresponding difficulty in ob- 
taining proper persons to undertake the often arduous and 
disagreeable work of caring for the unfortunate insane. 

The establishment of a home and a training school for women 
has greatly increased the efficiency of our working force. The 
offer of instruction in a profession which gives them a chance 
for lucrative employment when their hospital life ceases has 
brought us an increasingly desirable class of applicants. Those 
without fixed purpose are kept away by the obligation of re- 
maining with us for two years, and an esprit de corps is created 
by their association in class room and lecture hall which is of 
infinite value to patients and hospital alike. The chance for 
relief from the sights and sounds inseparable from an institution 
for the insane, at meal times and at night, brings them brighter 
and fresher to their work, and renders them more efficient care- 
takers of those committed to their charge. 

We expect corresponding benefits from the establishment of 
a similar home for the men, and, as the number of men willing 
to engage in insane hospital work is always much smaller than 
that of women, the need and the expected benefits are all the 
•greater. We ask for an appropriation of $55,000 for the work. 

After the preparation of plans prepared by an engineer, 
acceptable to the State Board of Health, — plans later approved 
by that board, — we last spring asked the Legislature for an 
appropriation for the construction of sewage beds. Similar 
beds are in satisfactory use in other institutions, can be cared 
for in a proper manner, at very slight annual expense, and we 
consider this the most efficient and economical way of abating 
whatever nuisance may have been created by our present meth- 
ods. Eor this purpose the sum of $15,000 is needed and asked 
for. 

The trustees wish to express their high approval of the work 
of the officers of the institution. Active, efficient, economical 
administration is the watchword of the superintendent,- who, 



1905.] PUBLIC DOCUMENT — No. 23. 11 

after thirty-two years spent in this and its sister institution, the 
Worcester Insane Asylum, is still as enthusiastic as ever in the 
service of the State, and of the unfortunate insane committed 
to his care. To him and to his associates may safely be left 
the task to further advance the already high reputation of this 
hospital, established in 1832, one of the oldest in the country. 
The trustees cannot close this report without reference to 
the recent death of Dr. John G. Park, who from 1872 to 1890 
faithfully served this hospital, five years as assistant physician, 
twelve years as superintendent. The trustees of 1890 thus 
speak of him : " Of great executive ability, he has managed 
the affairs of the hospital to the entire satisfaction of the Board. 
Of kindly disposition, great gentleness and courtesy, and per- 
fect justness, he has endeared himself to all. The staff, the 
employees, the patients and the friends of the patients will all 
miss him." 

Respectfully submitted, 

SAMUEL B. WOODWAED. 
LYMAN A. ELY. 
GEOBGE E. BLAKE. 
KOCKWOOD HOAE. 
THOMAS EUSSELL. 
SAEAH E. WHITIN. 
FEANCES M. LINCOLN. 

Sept. 30, 1905. 



12 WORCESTER INSANE HOSPITAL. [Oct. 



SUPERINTENDENT'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, 1905, it being the seventy- 
third annual report. 

There remained at the hospital Oct. 1, 1905, 1,226 pa- 
tients, — 619 men and 607 women. During the year 571 
patients — 307 men and 264 women — were admitted; 273 
patients — 149 men and 124 women — were discharged; 162 
patients — 101 men and 61 women (1 habitual drunkard) — 
died; 117 patients — 61 men and 56 women — were trans- 
ferred, and 43 patients — 26 men and 17 women — left on 
visit and escape, leaving at the end of the official year 1,202 
patients, — 589 men and 613 women. Of this number, 1,045 
were supported by the State, 1 by town (an habitual drunkard, 
woman) and 156 by friends. Of the 390 discharged and 
transferred, 123, including 6 habitual drunkards (women), 
were reported recovered, 52 much improved, 59 improved (1 
habitual drunkard, woman), and 152 not improved; 4 were 
discharged not insane. Thirty men were transferred by the 
State Board of Insanity to the Worcester Insane Asylum, 30 
women to the State Colony at Gardner, 26 men to the Fox- 
borough State Hospital, 2 men and 1 woman to the Boston 
Insane Hospital, 2 women each to Tewksbury and Westborough, 
1 man each to McLean and Northampton, and 1 woman each 
to Baldwinville Cottages and Herbert Hall. Twenty-three men 
and 17 women were removed from the State and 17 women and 
1 man were boarded out. 

There remained at the end of the year 28 patients less than 
at the beginning. The smallest number under treatment on 
any one day was 1,180, and the largest, 1,306. The daily 
average number was 1,242.76. 



1905.] PUBLIC DOCUMENT — No. 23. 13 

The percentage of recoveries, calculated upon the number 
of discharges and deaths, was 22.2 ; calculated upon the num- 
ber of admissions it was 21.5. 

The death rate was 9.5, calculated on the whole number of 
patients under treatment; and 13.04, calculated on the daily 
average number. 

The clinical work, conducted upon the basis formerly estab- 
lished, has been stimulated by interesting and instructive staff 
meetings for the study of unusual cases and the consideration 
of literature. The medical work has been advanced along the 
line of non-restraint, either chemical or mechanical, by a fuller 
use of hydrotherapy and by agreeable and useful occupation 
for patients. We have come to recognize more and more the 
physical basis of insanity, and the real demands for nursing 
care in most of our recent cases and in practically all excited 
ones. These demands in the female wards have been well met 
by our more efficient nursing force. 

Our training school for nurses, established two years ago, 
is in successful operation, with a full complement of pupil- 
nurses and a respectable waiting list from which to draw candi- 
dates. 

On Aug. 1, 1905, our first graduation exercises were held, 
and 21 young women who had completed the required school 
work and had passed the final examinations were awarded 
diplomas. Practically all of these graduates are now taking 
either a six months' post-graduate course in a general or special 
hospital, or they are planning to do so within the current year. 
After the drill here and the special work in other institutions, 
these young women should be well fitted for the duties of the 
nurse, and especially qualified to fill the places of head nurses 
and supervisors in hospitals of this character ; and it is hoped 
and expected that a certain number of them each year may be 
induced, by an advance in position and wages, to remain in 
the service of the hospital. 

The school organization and the training have raised very 
perceptibly the standard of care and nursing for our patients. 
They have enabled us to secure in sufficient numbers a higher 
grade of applicants, and have contributed not a little to the 
better morale of the institution. These improvements in per- 



14 WORCESTER INSANE HOSPITAL. [Oct. 

manency and grade of the nursing service, together with much 
shorter hours for the nurses and cheerful surroundings to which 
they may retire when not upon actual duty, have been made 
possible by the home for female nurses, and it is reasonable 
to suppose that similar advantages would accrue were a home 
for male nurses provided. 

The laboratory work has been conducted as in previous years 
and complete post-mortem examinations made in every case which 
came to autopsy. The members of the staff have shown an 
active interest in the work and have taken advantage of the 
opportunities to familiarize themselves with the more important 
methods of technique. They have also gained much from the 
study of normal and pathological specimens of the nervous 
system. It has been the aim to utilize the most recent methods 
of technique and staining, and some good results have been 
obtained. 

During the year many interesting and instructive cases came 
to autopsy. Among them may be mentioned two brain tumors, 
many cases of subdural hemorrhage, one case each of lead 
encephalitis, complete transposition of the viscera, dextrocardia, 
and one of rapid carcinomatous degeneration of a dermoid cyst. 
Some valuable neurological material sent to the laboratory by 
practising physicians has been studied. Further studies on 
the chemistry of the nervous system were carried on in the 
chemical laboratory, as were also the necessary examinations in 
aid of the clinical diagnosis. 

During the year Dr. I. H. Coriat published an article in the 
" Journal of Comparative Neurology and Psychology," Vol. 
15, No. 2, 1905, entitled " A review of some recent literature 
on the chemistry of the central nervous system ; " also one on 
" The production of cholin from lecithin and brain tissue, " 
" American Journal of Psychology, " Vol. 12, December, 
1904. In addition to these original articles he has reviewed 
the current psychiatrical literature for the " American Journal 
of Psychology." 

Dr. T. A. IToch contributed the following two articles to 
medical literature : " Acute anterior poliomyelitis in a youth," 
" Journal of Nervous and Mental Diseases," September and 
October, 1905, and " A study of somatic ideas in various 
psychoses," " American Journal of Insanity," October, 1905. 



1905.] PUBLIC DOCUMENT — No. 23. 15 

The systematic effort tliat lias been made to find employment 
for our inmates has, I am pleased to say, met with a large 
measure of success. During the season we have had an average 
of 300 men at work outside the wards, which represents the 
large proportion of those physically and mentally fit. Besides 
assisting in the general work of the hospital, and in our garden 
and about the grounds, they have been usefully employed in 
clearing the land in the rear of the hospital and at our Shrews- 
bury farm, breaking up stones, building roads and drains and 
excavating for our new buildings. 

With the wiring of our wards — which we were able to do 
during the summer — our electric light plant is practically 
complete. We have also finished the extension to our laundry 
and installed the necessary addition of machinery, and are now 
in a position to meet promptly all the demands of this impor- 
tant department, a thing which we had heretofore found impos- 
sible. 

I would again urge the need of more ample and better accom- 
modations for our male nurses. As was pointed out in my last 
report and in that of the previous year, the quarters of our 
male nurses have long been inadequate. The original design of 
the hospital provided for a relatively small number of attend- 
ants, and made little or no provision for future increase. Since 
its opening the capacity of the hospital has been more than 
doubled, and at the same time our ideas as to proper ratio 
between the number of patients and attendants has greatly 
increased. Formerly 1 attendant to 12 or 14 patients was 
considered ample, but with our present standard of care 1 to 
10 is found none too many. Formerly there were but 2 night 
watches on either side to safe-guard the house and its inmates. 
"Now we have regularly 24 persons on night duty. In the mean- 
time, no provision has been made on the male side of the house 
for additional attendants, and we have been obliged to resort 
to all sorts of makeshifts to provide the necessary room for 
them. As a result, our male night watchmen and nurses are 
lodged in rooms designed for storage purposes, off our chapel 
gallery and directly under the chapel bell, used through the day 
as a call bell for officers and employees. 

It is hardly to be wondered at that under these conditions 
they complain that they cannot sleep and that they object to 






16 WOECESTEE INSANE HOSPITAL. [Oct. 

going on night duty. The day attendants are better provided 
for but at the expense of the patients whose rooms they occupy, 
and who as a consequence are crowded out and obliged to put 
up with beds upon the corridors. 

Another change which is demanded, and which makes an 
increased number of attendants and increased accommodations 
imperative, is the lessening of their hours of service. In the 
earlier days of the hospital we had few bed patients and few 
paralytics and persons needing special nursing. Now, how- 
ever, our population is largely made up of these classes, and 
the Avork of the attendants has correspondingly increased. Un- 
der the old conditions their hours were long but their work 
was light, and they had frequent opportunities of getting out 
for recreation with the patients. Now their duties are not only 
more exacting but are continuous, while their hours remain the 
same. It is impossible, however, to reduce materially their 
hours of service without increasing our force or leaving the 
wards insufficiently supervised. We have the utmost difficulty 
in finding satisfactory male nurses, or of keeping them when 
found, and I believe that these proposed changes will in a 
large measure obviate this difficulty and attract to our service 
a more intelligent, efficient and stable class of help ; such, at 
least, has been our experience on the women's side of the house 
when similar changes have been made. 

The Legislature of last year, having failed to make an appro- 
priation for the filter beds required by the State Board of 
Health for the disposal of our sewage, it will be necessary to 
renew our request the coming year. 

The current expenses, less the amount received from articles 
sold, have been $268,513.89; dividing this by 1,242.76, the 
daily average number of patients, gives $216.06 as the annual 
cost of support, which is equivalent to a weekly cost of $4.15. 

We wish to thank the proprietors of the " Worcester Evening 
Gazette " and the " Eitchburg Sentinel " for copies of their 
papers, and the Worcester Employment Society for sewing. 



Worcester, Sept. 30, 1905. 



HOSEA M. QUINBY, 

Superintendent. 



1905.] PUBLIC DOCUMENT — No. 23. 



17 






PRODUCTS OF THE FARM 

On Hand Oct. 1, 1905, and not delivered at the Hospital. 



Apples, barrels, . 


800 


Hay, swale, tons, 


10 


Beans, lima, bushels, . 


29 


Lettuce, heads, . 


3,000 


Beets, bushels, . 


400 


Parsnips, bushels, 


400 


Cabbage, heads, . 


12,000 


Parsley, bushels, 


1 


Cauliflower, heads, 


419 


Rowen, dry, tons, 


10 


Carrots, bushels, 


100 


Rowen, uncut, tons, . 


28 


Celery, heads, 


8,000 


Rye, bushels, 


10 


Ensilage, tons, . 


287 


Spinach, bushels, . 


75 


Fodder, barley, tons, . 


50 


Squash, winter, pounds, 


17,200 


Fodder, millet, tons, . 


30 


Straw, rye, tons, . 


8 


Hay, English, tons, 


212 


Turnips, bushels, 


100 



FARM ACCOUNT. 



Dr. 

Beds, $19 80 

Bread, 314 03 

Butter, 852 26 

Blacksmith, . 356 00 

Carriages, wagons, and repairs, 477 07 

Current expenses, 1,113 63 

Fertilizer, 537 90 

Fish, 242 58 

Fuel, . . . x . . . 1,293 56 

Furniture, 5 00 

Groceries, etc., 2,225 06 

Harness and repairs, 2b0 79 

Hay, grain, etc., 9,234 51 

Ice, 40 89 

Lights, 316 20 

Amount carried forward, $17,309 28 






18 WORCESTER INSANE HOSPITAL. [Oct. 

Amount brought forward, $17,309 28 



Live stock : — 

Bulls, . 

Cows, . 

Horses, . 
Meats, . 
Milk, . 
Repairs, 
Seeds, . 
Sugar, . 
Tools, . 
Wages, 
Water, 
Net gain for year ending Sept. 30, 1905, 



Cr. 



Apples, No. 1, 167.5 barrels, 

Apples, No. 2, 166.5 barrels, 

Apples, crab, 1 bushel, 

Asparagus, 8 bushels, 

Barrels sold, 75, . 

Beans, lima, 171.75 bushels. 

Beans, shell, 97 bushels, 

Beans, string, 176 bushels, 

Beef, forequarters, 34, 

Beef, hindquarters, 34, 

Beets, .... 

Beet greens, 34.5 bushels, 

Bones sold, 5,660 pounds, 

Cabbage, 319.75 barrels, 

Carrots, 59.5 bushels, 

Cartage, 

Cauliflower, 1,125 heads, 

Celery, 367 dozen, 

Cider, 1,336 gallons, . 

Corn, 3,130 dozen, 

Cucumbers, 6,828, 

Cucumber, pickles, 27,232, 

Currants, 875 quarts, . 

Dressing, 25 loads, 

Egg plants, 13, . 

Feed, ground, 1,000 pounds. 

Gravel, 182 loads, 

Gravel sold, 12 loads, . 

Hay, 27,895 pounds, . 

Hides, cow, sold, 1,779 pounds, 

Amount carried forward, 



1905.] 



PUBLIC DOCUMENT — No. 23. 



19 



Amount brought forward, 

Hides, calf, sold, 3, 
Ice, 1,068 tons, . 
Ice sold, 170 tons, 
Live stock sold : — 

Calves, 60, . 

Cows, 11, 

Hogs, 15, 
Lettuce, 1,138 dozen, . 
Milk, 390,987 quarts, . 
Oats, 879 bushels, 
Onions, 631 bushels, . 
Parsley, 

Parsnips, 227.5 bushels, 
Pears, 19 bushels, 
Peas, 214.5 bushels, . 
Peppers, .5 bushel, 
Plants sold, 75, . 
Popcorn sold, 422 pounds, 
Pork sold, 43,447.75 pounds, 
Pork, grease sold, 256 pounds, 
Radishes, 11,064, . 
Raspberries, red, 12 quarts, 
Rhubarb, 11,113 pounds, 
Rhubarb sold, 140 pounds, 
Rye sold, 5 bushels, . 
Sand, 295 yards, . 
Sand sold, 1 yard, 
Scullions, 3.75 bushels, 
Spinach, 345.5 bushels, 
Squash, summer, 670.5 dozen, 
Squash, winter, 60,550 pounds, 
Straw, oat, 70,442 pounds, . 
Straw, rye, 4,480 pounds, . 
Strawberries, 4,664 quarts, . 
Strawberries sold, 
Thrashing machine sold, . 
Tomatoes, 401.25 bushels, . 
Tomatoes, green, 23 bushels, 
Turnips, 119 bushels, . 
Veal, forequarters, 2, . 
Veal, hindquarters, 2, . 
Farm attendants (extra), 852 days, 
Labor, men, 1,977 days, 
Teams, 639 days, 

Total receipts, 



|4,550 15 



1 


95 


728 


93 


42 


50 


515 


50 


172 


00 


120 


35 


388 


70 


15,639 


48 


364 56 


621 


25 




32 


199 


76 


19 


25 


254 


30 




42 




75 


7 


97 


3,106 


00 


2 56 


191 


20 


1 


80 


161 


08 


1 


40 


4 


25 


375 


00 


1 


25 


3 


75 


114 


26 


124 


97 


908 


25 


462 


58 


55 


98 


466 


40 


94 33 


10 00 


421 


00 


11 


50 


56 


92 


3 


60 


4 


50 


1,278 


00 


1,977 


00 


2,556 


oo 



5,021 72 



20 



WORCESTER INSANE HOSPITAL. 



[Oct. 



LIST OF PERSONS 

Employed in the Worcester Insane Hospital Sept. 30, 1905. 



Superintendent, per year, 
Assistant superintendent, per year, 
Assistant physicians (3), each, per year, 
Assistant physician, per year, 
Junior assistant physicians (4), each, per year, 
Pathologist, per year, .... 
Druggist, per week, .... 
Assistant in laboratory, per month, 
Steward, per year, .... 

Matron, per year, 

Clerk, per month, . . 

Treasurer, per year, .... 

Auditor, per year, .... 

Stenographers (2), per week, . 

Stenographer, per month, . 

Superintendent of nurses, per year, 

Supervisors (3 men), each, per month, 

Supervisors (5 women), each, per month, 

Marker of clothing, etc., 

Seamstresses (4), each, per month, 

Attendants (60 men), each, per month, 

Attendants and nurses (80 women), each, per month 

Baker, per month, .... 

Assistant baker, per month, . 

Steward's assistant, per month, . 

Kitchen men (2), each, per month, 

Cooks (4), each, per month, 

Laundrymen (2), each, per week and month 

Laundress, per month, .... 

Laundry girls (8), each, per month, . 

Kitchen girls (6), each, per month, 



$3,000 00 

2,000 00 

1,000 00 

800 00 

400 00 

1,200 00 

20 00 

25 00 

1,200 00 

600 00 

60 00 

500 00 

75 00 

10 00 

30 00 

900 00 

00 to 45 00 

25 00 

20 00 

18 00 

23 00 to 28 00 

U 00 to 20 00 

60 00 

45 00 

30 00 

$23 00 and 30 00 

22 00 to 50 00 

12 00 and 28 00 

25 00 

$16 00 to 18 00 

14 00 to 18 00 



$40 



1905.] 



PUBLIC DOCUMENT — No 



House girls (20), each, per month, 
Office girl, per month, . 
Carpenters (5), each, per day, 
Painters (2), each, per day, 
Masons (3), each, per day, 
Tenders (2), per day, . 
Steamfitter, per day, 
Plumber, per month, . 
Engineer, per day, 
Assistant engineers (2), each, per day 
Firemen (2), each, per month, 
Night fireman, per day, 
Farmers (2), per month, 
Housekeepers (3) each, per month, 
Farm laborers (18), each, per montb, 
Florist, per month, 
Coachman, per month, . 
Expressman, per month, 
Basement and yard men (2), each, per 
Butcher,- per month, 
Electrician, per week, . 



month, 



21 

.$14 00 to $16 00 
18 00 
50 to 3 00 

2 50 

3 25 

2 25 

3 00 
75 00 

3 00 
2 25 
40 00 
2 00 
$45 00 and 75 00 
18 00 to 25 00 
25 00 to 40 00 
45 00 
28 00 
25 00 
$25 00 and 28 00 
28 00 
20 00 



22 WORCESTER INSANE HOSPITAL. [Oct. 



VALUATION OF PERSONAL ESTATE 

Sept. 30, 1905. 



Provisions and groceries, $7,302 81 

Ready-made clothing, 2,471 90 

Dry-goods : — 

For clothing, 323 16 

For bedding, etc 708 12 

Furnishings : — 

Beds and bedding in inmates' department, .... 32,516 50 

Other furnishings in inmates' department, .... 24,053 30 

Personal property of State in superintendent's department, . 18,040 73 

All other property, 19,313 68 

Heat, light and power : — 

Fuel 6,922 50 

Repairs and improvements : — 

Machinery and mechanical fixtures, 54,306 62 

All other property, . 1,550 00 

Farm, stable and grounds : — 

Live stock on farm, 15,240 00 

Produce of farm on hand, 10,270 70 

Carriages and agricultural implements, .... 6,208 80 

All other property, , 1,395 80 

Miscellaneous : — 

Drugs and medicines, 802 26 

Tobacco, 215 43 

Library 6,015 99 

Other supplies undistributed, . 6,442 49 

$214,100 79 



1905.] 



PUBLIC DOCUMENT — No. 23. 



23 






TREASUEER'S REPORT. 



To the Trustees of the Worcester Insane Hospital. 

I hereby submit my annual report on the finances of the 
Worcester Insane Hospital for the year ending Sept. 30, 1905. 



Receipts. 

Cash on hand Sept. 30, 1904, 

Received from cities and towns for support of patients, 

from individuals for support of patients, 

from individuals for suppoi't of patients, reimburse 
ment, .... 

from interest on bank balance, 

from farm and farm products, 

from sales from store, 

from sale of sundries, 

from Commonwealth for current expenses, 

from Commonwealth from special appropriations, 



Total receipts, 



$6,142 55 


845 


46 


50,232 


84 


12,149 


93 


150 


21 


4,263 


17 


860 


28 


2,758 


56 


276,395 


90 


38,492 


89 


$392,291 


79 



Expenditures. 



Pay roll, 



11,823 49 



Food : — 
Butter, 
Beans, 

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

Molasses, etc., 
Sugar, 

Tea, coffee, etc., 
Vegetables, 
Sundries, 



Amount carried forward, 



$12,699 


52 




746 


52 




661 


75 




1,571 


85 




1,106 


97 




6,185 


25 




13,697 


50 




3,551 


23 




2,775 


49 




20,716 


76 




587 


26 




6,168 


63 




1,736 


69 




3,586 


10 




2,394 


60 


78,186 12 








$170,009 61 



24 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Amount brought forward, 



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, glass ware, 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., .... 

Mechanics and laborers (not on pay roll) 

Paints, oils, glass, etc., 

Plumbing, steamfitting and supplies, 

Roofing and materials, 

Sundries, 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, seeds, etc., 
Hay, grain, etc., 
Harness and repairs, 
Horses, 

Amounts carried forward, . 







$170,009 61 


$1,798 96 




5,686 49 




2,467 


16 




709 


72 




158 


18 




50 


24 




27 


52 


10,898 27 






$4,109 33 




338 52 




273 


92 




2,119 


61 




545 


94 




709 


00 




123 


37 




377 


91 


8,597 60 






$24,472 08 




6,335 


37 




225 


98 




110 


96 


31,144 39 






$500 


76 




1,250 


37 




244 


05 




55 


58 




1,266 


83 




2,973 


80 




2,815 


83 




93 


65 




1,788 


18 




7,508 


19 




1,573 


32 




2,427 


43 


22,497 99 






$618 


44 




997 


39 




888 


14 




9,218 


51 




490 


76 




695 


00 





$12,908 24 $243,147 86 



1905.] 



PUBLIC DOCUMENT — 



Amounts brought forward, 



Cows, .... 
Other live stock, 
Tools, farm machines, etc., 
Sundries, .... 



Miscellaneous : — 
Books, periodicals, etc., . 
Chapel services and entertainments, 
Freight, expressage, etc., . 
Funeral expenses, 

Gratuities, 

Hose, etc., 

Medicines and hospital supplies, 
Medical attendance, . 

Postage, 

Printing and printing supplies, 
Return of runaways, 
Soap and laundry supplies, 
Stationery and office supplies, . 
School books and school supplies, 
Travel and expenses (officials), 
Telephone and telegraph, 

Tobacco, 

Water, 

Sundries, ..... 

Printing annual report, 

Total, 

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



Total expenditures, . 
Cash on hand Sept. 30, 1905, 



STo. 23. 


25 


$12,908 24 


$243,147 86 


2,595 50 




85 00 




507 94 




1,173 72 






17,270 40 




$471 06 




391 80 




304 96 




403 00 




47 40 




80 68 




2,027 13 




390 00 




470 80 




212 54 




211 26 




3,037 81 




432 58 




310 68 




166 22 




167 52 




1,293 98 




3,925 91 




1,378 99 






15,724 32 




. 


253 32 


. 


$276,395 90 


f38,492 89 




71,381 71 






109,874 60 



^386,270 50 
" 6,021 29 



2,291 79 



Resources. 
Cash on hand Oct. 1, 1905, .... 
Bills due from cities and towns, 
Bills due from individuals, 
Bills due from individuals, reimbursements, 
Unexpended special appropriations, . 



$6,021 29 

42 71 

13,009 02 

3,854 06 

8,421 49 



Total resources, $31,348 57 



26 



WORCESTER INSANE HOSPITAL. 



[Oct. 



Liabilities. 

Due for salaries and wages, 

Due for all other current expenses, . 

Due for special appropriations, . 



$8,610 99 

10,318 25 

353 68 



Total liabilities f 19,282 92 



Special Appropriations. 



Object 


Resolves. 


Whole 
Amount. 


Expended 
during 
the Hos- 
pital Year. 


Expended 
to Date. 


Balance 
Oct. 1, 1905. 


Electric lighting, 


1902, chap. 118, 


$16,000 00 


$11,772 28 


$15,576 57 


$423 43 


Electric lighting, 


1903, chap. 414, 


45,000 00 


9,454 83 


45,000 00 


- 


Stenographer's room, 


1903, chap. 414, 


3,000 00 


- 


2,986 16 


13 84 


Pathological building, 


1904, chap. 323, 


10,000 00 


9,750 00 


10,000 00 


- 


Alterations in administration 
building 


1904, chap. 59, 


11,000 00 


3,572 83 


3,572 83 


7,427 17 


Laundry and laundry machin- 


1904, chap. 59, 


4,500 00 


3,942 95 


3,942 95 


557 05 



Patients' Funds. 
Balance on hand Sept. 30, 1904, . 
Receipts during year, ..... 
Interest on bank balance, .... 



Refunded, 

Balance on hand Sept. 30, 1905, . 

Respectfully submitted, 



$2,680 92 




1,690 65 




51 10 






#4,422 67 




■ 


1,599 83 



,822 84 



ALBERT WOOD, 

Treasurer. 



Sept. 30, 1905. 



1905.] 



PUBLIC DOCUMENT — No. 23. 



27 



STATEMENT OF FUNDS. 



Lewis Fund. 



Balance on hand Sept. 30, 1904, 
Dividends, 



Expended for vault rent, 



Investment. 
Chicago, Burlington & Quincy Railroad bond, 
Worcester County Institution for Savings, 
Cash on hand Sept. 30, 1905, 

Wheeler Fund. 
Balance on hand Sept. 30, 1904, 
Dividends, 



Expended for books, 



Investment. 
Three shares Worcester National Bank, . 
Five shares Boston & Philadelphia Steamship 

Company, 

Worcester County Institution for Savings, 
Worcester Five Cents Savings Bank, 
Mechanics Savings Bank, .... 
Cash on hand Sept. 30, 1905, . 

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

1904, 

For sale of trees, 

Dividends, 

Expended for shrubs, seeds, etc., 



,293 17 
53 68 



$570 00 

712 50 

1,600 00 

1,719 47 

79 14 

193 37 



$1,346 85 
6 00 

$1,340 85 



$926 36 

342 60 

71 89 


$1,340 85 




$4,861 13 
186 63 


$5,047 76 
173 28 





$4,874 48 



1,874 48 



$948 54 

145 00 

40 32 


$1,133 86 
234 57 





$899 29 



28 WORCESTEE INSANE HOSPITAL. [Oct. 1905. 



Investment. 

Mechanics Savings Bank, $852 75 

Cash on hand Sept. 30, 1905 46 54 



Manson Fund. 
Balance in Worcester County Institution for 

Savings Sept. 30, 1905, 

Dividends, 

Expended for bookcases, 



$899 29 



$1,430 96 




54 21 






$1,485 17 




. . . 


165 00 



$1,320 17 



Investment. 
Worcester County Institution for Savings, . $1,294 29 

Cash on hand Sept. 30, 1905 25 88 

$1,320 17 

Land Account. 

Balance on hand Sept. 30, 1904, $33 02 

Expended for plans, 5 50 



Balance in bank Sept. 30, 1905, $27 52 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer of Corporation. 
Sept. 30, 1905. 

"Worcester, Mass., Oct. 19, 1905. 

I hereby certify that I have this day compared the treasurer's statement of 
receipts and disbursements for the year ending Sept. 30, 1905, with the hooks kept 
at the Worcester Insane Hospital, and find it correct. 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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32 



WORCESTER INSANE HOSPITAL. 



[Oct. 



2. — Insane received on First and Subsequent Commitment. 



NUMBER OF THE COMMITMENT. 



Cases committed 



Males. Females. Totals 



First to this hospital 

Second to this hospital, . 

Third to this hospital, 

Fourth to this hospital, .... 

Fifth to this hospital, . 

Sixth to this hospital, . 

Seventh to this hospital, .... 

Eighth to this hospital 

Ninth to this hospital 

Total cases, 

Total persons, 

Never before in any hospital for the insane, 



242 


199 


441 


26 


21 


47 


7 


3 


10 


2 


2 


4 


1 


1 


2 


2 


1 


3 


- 


1 


1 


- 


1 


1 


1 


- 


1 


- 281 


229 


510 


276 


229 


505 


219 


182 


401 



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

Any Hospital. 



Totals. 



PLACES OF NATIVITY 




1905.] 



PUBLIC DOCUMENT — No. 23. 



33 



Residence of Insane Persons admitted by Commitment. 





First admitted to 
Ant Hospital. 


Other Admissions. 


PLACES. 




i 






• 








a! 

a 




1 


a 


o 


Massachusetts (by counties) : — 














Essex, 


- 


5 


5 


- 


3 


3 


Middlesex, 


46 


59 


105 


9 


18 


27 


Norfolk, . . • . 


12 


5 


17 


- 


- 


- 


Suffolk, 


33 


21 


54 


16 


5 


21 


Worcester, 


128 


92 


220 


32 


21 


53 


Totals, 


219 


182 


401 


57 


47 


104 


Cities or towns, .... 


176 


132 


308 


41 


32 


73 


Country districts, 


43 


50 


93 


16 


15 


31 



Civil Condition of Insane Persons first admitted to Any Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


no 


50 


160 


Married, 


81 


84 


165 


Widowed, 


19 


32 


51 


Divorced, 


1 


4 


5 


Unknown, 


8 


12 


20 


Totals, 


219 


182 


401 



M 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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



FEMALES. 


Attendant, .... 1 


Nurse, 1 


Clerks, . 






3 


Operatives, . . . .11 


Cooks, 






2 


Stenographer, 1 


Domestics, 






32 


No occupation, ... 40 


Dressmakers, 






2 





Housekeeper's, 






23 


Total, . . . .168 


Housewives, 






49 


Unknown, .... 14 


Laundress, 






1 





Milliners, . 






2 


Total, . . . .182 


MALES. 


Agent, 1 


Mechanics, .... 2 


Apprentice, 






1 


Merchants, 






2 


Armorer, . 






1 


Mill overseer, . 






1 


Barbers, . 






3 


Motor man, 






1 


Bartender, 






1 


Moulders, 






2 


Bookkeepers, 






2 


Operatives, 






20 


Bootmaker, 






1 


Painters, . 






4 


Brass finisher, 






1 


Peddler, . 






1 


Brokers, . 






2 


Polisher, . 






1 


Builders, . 






2 


Porter, 






1 


Butchers, . 






2 


Physician, 






1 


Cabinet maker, 






1 


Pullman conductor, 






1 


Carpenters, 






12 


Quarryman, 






1 


Clerks, . 






6 


Railroad gateman, 






1 


Clergymen, 






2 


Retired, . 






2 


Coachman, 






1 


Seaman, . 






1 


Cook, 






1 


Shoemakers, 






3 


Coremaker, 






1 


Stationary engineer, 






1 


Deputy sheriff, 




1 


Stone cutter, 






1 


Electric car conductor, 




I 


Tailors, 






2 


Farmers, . 




9 


Teamsters, 






4 


Fishermen, 






2 


Telegraph operator, 






1 


Flagman, . 






1 


Tinsmiths, 






3 


Foreman, . 






1 


Tramp, 






1 


Gardener, . 






1 


Varnish maker, 






1 


Grinder, . 






1 


Waiter, 






1 


Hostlers, . 






2 


Watchman, 






1 


Iron workers, 






2 


Weavers, 






4 


Janitor, 






1 


No occupation, 






18 


Laborers, . 






52 











Lineman, . 






1 


Total, 






214 


Machinists, 






13 


Unknown, 






5 


Mason, 






1 





Meat cutter, 






1 


Total, . . . .219 



PUBLIC DOCUMENT — No. 23. 



35 









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WORCESTER INSANE HOSPITAL. 



[Oct. 



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1905.] PUBLIC DOCUMENT — No. 23. 



37 



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Menopause, . 

Menopause and other causes 
Menstrual disorders, . 
Miscarriage, . 

Opium 

Overwork, . 

Pregnancy, . 

Puberty, 

Puerperium, . 

Senility, 

Senility and other causes, 

Syphilis, 

Syphilis and other causes, 

Trauma, 

Trauma and other causes, 


Mental 
Bereavement, 
Fright, .... 
Worry, .... 


a 
& 



38 



WORCESTER INSANE HOSPITAL. 



[Oct. 



9. — Probable Duration of Mental Disease before Admission. 











First admitted to Ant Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, 








6 


1 


7 


Under 1 month, 








44 


41 


85 


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27 


25 


52 


3 to 6 months, 








16 


18 


34 


6 to 12 months, 








12 


15 


27 


1 to 2 years, 








22 


13 


35 


2 to 5 years, 








20 


13 


33 


5 to 10 years, 








9 


12 


21 


10 to 20 years, 








7 


6 


13 


Over 20 years, 








1 


3 


4 


Totals, . 


164 


147 


311 


Unknown, 








55 


35 


90 


Totals, . 


219 


182 


401 


Average known duration in years, 




2.7 


2.4 


2.6 



1905.] 



PUBLIC DOCUMENT — No. 23. 



39 



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A. — First admitted to any hospi- 
tal:— 
Alcoholic insanity, 

Amentia 

Constitutional inferiority, 
Delirium (infectious, toxic and 

aesthenic), . . . . 
Dementia, prascox, 
Epileptic insanity, 
General paralysis of the insane, 
Hysterical insanity, . 

Imbecility 

Involution psychosis, 

Katatonia, 

Lead encephalitis, 
Melarcholia, .... 
Oraanic dementia, 
Paranoic condition, . 
Periodic insanity : — 

Circular, 

Depressed 

Manic, 

Manic-delirious, 

Mixed, 

Polyneuritic psychosis, 

Senile dementia 

Traumatic insanity, . 

Not insane, 


"5 
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40 



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[Oct. 



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

Imbecility 

Involution psychosis, 

Katatonia, 

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

Depressed 

Manic, 

Mixed 

Senile dementia 

Traumatic insanity, . 


Aggregate persons, 
Aggregate cases, 



PUBLIC DOCUMENT — No. 23. 



41 



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42 



WORCESTER INSANE HOSPITAL. 



[Oct. 



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I. General diseases : — 

Septicaemia and broncho-pneumonia, . 

Pulmonary tuberculosis 

Pulmonary tuberculosis and subdural hem- 
Pulmonary tuberculosis and pleurisy with 
Tubercular enteritis 

Epithelioma of groin 

Pernicious anaemia 

Exhaustion from acute mania and fracture, 
II. Diseases of the nervous system : — 

Cerebral hemorrhage 

Cerebral embolism, 

General paralysis of the insane, . 

Status epilepticus, 

III. Diseases of the circulatory system : — 

Cardiac valvular disease 

Endocarditis and pleurisy with effusion, . 
Rupture of the heart 

Arterio sclerosis 

IV. Diseases of the respiratory system : — 

Chronic bronchitis, 

Hypostatic pneumonia, .... 

Lobar pneumonia, 

Lobar pneumonia and cerebral hemorrhage, 



1905.] 



PUBLIC DOCUMENT — No. 23. 



43 



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to 


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Lobar pneumonia and pleurisy with effu- 
Broncho-pneumonia and pleurisy, 

V. Diseases of th'- digestive organs : — 

VI. Diseases of the genito-urinary system : — 
VII. Diseases of the skin : — 
VIII. Violence: — 


"5 
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44 



WORCESTER INSANE HOSPITAL 



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I. General diseases : — 

Septicaemia and broncho-pneumonia 

Pulmonary tuberculosis and subdural hemorrhage, 
Pulmonary tuberculosis and pleurisy with effusion, 

Exhaustion from acute mania and fracture, 
II. Diseases of the nervous system : — 

III. Diseases of the circulatory system : — 

Endocarditis and pleurisy with effusion, .... 

IV. Diseases of the respiratory system: — 

Lobar pneumonia and cerebral hemorrhage, . 
Lobar pneumonia and pleurisy with effusion, . 

Broncho-pneumonia and pleurisy, 



1905.] PUBLIC DOCUMENT — No. 23. 



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V. Diseases of the digestive organs : — 

VI. Diseases of the genito-urinary system : — 
VII. Diseases of the skin : — 
VIII. Violence: — 


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