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Full text of "Annual report of the Worcester Insane Asylum at Worcester"

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TWENTY-NINTH ANNUAL EEPOET 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending November 30, 1906. 



CONTEJS^TS 



PAGE 

Report of Trustees, 55 

Report of Superintendent, 57 

Report of Treasurer, 64 

Statistics, . 73 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

GEORGE F. BLAKE, 
LYMAN A. ELY, 
THOMAS H. GAGE, Jr., 
THOMAS RUSSELL, . 
SARAH E. WHITIN,. 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 



Worcester. 

Worcester. 

Worcester. * 

Boston. 

Whitinsville. 

Worcester. 

Worcester. 



RESIDENT OFFICERS. 

ERNEST V. SCRIBNER, M.D., 
H. LOUIS STICK, M.D., . 
ARTHUR E. PATTRELL, M.D., 
WILLIAM T. HANSON, M.D , 
ABBIE S. FAY, . . . . 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS. 



ALBERT WOOD, 
GEORGE L. CLARK, 
SUSIE G. WARREN, 
FREDERICK H. BAKER, M.D., 
FOREST A. SLATER, 



Treasurer. 

Examiner. 

Clerk. 

Pathologist. 

Engineer. 



Cammfliitojealtl^ 0f S^assarfeusetts, 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Ho?iorable Council. 

The trustees of the Worcester Insane Hospital, having in 
charge the Worcester Insane Asylum, respectfully present the 
twenty-ninth annual report of this institution. 

Through the operation of the law changing the time of end- 
ing of the financial year, the time covered by this report repre- 
sents a period of fourteen months. During this time the asylum 
has rapidly added to the number of its patients, the daily aver- 
age having been nearly 768, as against 688 of the previous 
year. This increase has been at the Grafton colony, which has 
been the scene of our most extensive operations. Since our 
last report the bridge across the Boston & Albany Kailroad has 
been completed and has for some time been in use, thus elimi- 
nating a most dangerous grade crossing. The building for ex- 
citable men and the building at our No. 3 colony will soon be 
ready for occupancy. The new cattle barn is also in process of 
construction. Much work has been done in the improvement 
of the farm and in general colony development. 

The water supply at the colony is proving insufficient in 
quantity, and measures should be taken as early as possible to 
make a provision commensurate Avith the needs of the institu- 
tion. An appropriation is asked for sufficient to cover the 
necessary expenditure, the estimate of which will be presented 
later. 

An increase of the capacity for sewage disposal is also needed 
at the colony. For the accomplishment of this purpose we ask 
an appropriation of $2,000. 

We also ask that an appropriation of $3,000 be granted for 
the purchase of road-making machinery for use at the Grafton 
colony. 



56 WOECESTER INSANE ASYLUM. [Dec. 

At the asylum no special appropriation is asked for. The 
work authorized here by the last Legislature is being activel}^ 
prosecuted. 

The institution has been free from any considerable amount 
of acute illness, and the general physical health of the inmates 
has been as good as could be expected in a community of such 
a character. 

The reports of the superintendent and treasurer, which are 
appended hereto, show in more detail the operations of the 
institution. 

Much difficulty has been experienced in securing sufficient 
and proper employees. The general prosperity of the country 
has enabled many desirable young men and young women to 
obtain more congenial employment and at higher rates of wages 
than the asylum can offer. This Board believes that such an 
improvement of service as would greatly simplifj^ the problems 
of hospital management would be secured if such financial pro- 
vision could be made as would render possible a substantial in- 
crease in wages. 

Dr. P. C. Bartlett, assistant physician at the asylum, has 
been obliged to resign his position, on account of ill health. 
The resignation of Dr. Bartlett was accepted with regret, and 
he carries with him the best wishes of this Board for his future 
success. The position made vacant has been filled by promo- 
tion, and Dr. William T. Hanson has been appointed to the 
staff as junior assistant. 

We wish to record our appreciation of the high character and 
ability of the late Hon. Rockwood Hoar, who for many years 
was actively interested in the work of this institution. 

We renew our expressions of esteem and appreciation to the 
superintendent, the members of the staff, the officials and em- 
ployees for their faithful and efficient services. 

Respectfully submitted, 

GEORGE F. BLAKE. 
LYMAN A. ELY. 
THOMAS H. GAGE, Jr. 
THOMAS RUSSELL. 
SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 



1906.] PUBLIC DOCUMENT — No. 23. 57 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester Insane Hospital, acting for the Worcester 

Insane Asylum. 

I respe'ctfully present the twenty-ninth annual report of the 
supermtendent of the Worcester Insane Asylum. 

In reviewing the general operations of the past year, it is 
to be borne in mind that the statistical tables are compiled for 
the year ending Sept. 30, 1906, while all other information 
deals with the period ending Nov. 30, 1906, which in this 
special report covers a space of fourteen months. 

Considering the statistical year, on Oct. 1, 1905, 360 men 
and 344 women — 704 patients — were inmates of this insti- 
tution. During the year 31 men and 171 women were ad- 
mitted, bringing the whole number of cases for the year up to 
906, — 391 men and 515 women. Of this number, 22 men 
and 31 women died, and 7 men and 6 women were removed 
from various causes, leaving 362 men and 478 women, — 840 
persons present Sept. 30, 1906. Of this number remaining, 
25 persons are reimbursing patients, leaving the great bulk 
of our population supported at the public expense. Of the 
persons discharged, 2 men and 2 women were transferred to 
other places, 3 as improved and 1 as not improved ; and 5 men 
escaped. The daily average number of patients for the statisti- 
cal year was 755.84 ; while for the financial year, ending Nov. 
30, 1906, the daily average was 767.66, — a very substantial 
increase over the numbers of last year. 

The vast majority of the patients received have, as usual, 
been quite advanced in dementia. Marked improvement in 
cases like this, is, of course, not to be hoped for. Mental 
disease, however, often changes its manifestations ; and, while 
not ending in recovery, such limited improvement sometimes 
takes place as greatly contributes to the capacity of the indi- 
vidual to appreciate the enjoyment of living. A careful and 



58 WORCESTEE INSANE ASYLUM. [Dec. 

painstaking attention on the part of nurses is necessary, if we 
are to detect and fan into flame these flickerings of reason. 
The care and tact necessary for the proper management of 
these cases often equal that required for the care of an acute 
case. 

Notwithstanding the utmost care and attention, the securing 
and retaining of suitable employees have been more difficult 
than ever during the past year. It has more often been a 
difficulty in the matter of quality, though at times the ques- 
tion of number has been acute. Many conscientious and 
capable people have entered the service, but have been retained 
with difficulty. Under existing conditions, the financial re- 
sources of the institution will not warrant the offering of that 
compensation which I feel should be given. I am very sure 
that if a substantial increase in wages could be given a corre- 
sponding substantial rise would follow in the character of the 
persons obtainable and the duration and quality of the service 
rendered. 

The death rate has continued low. The deaths have been 
scattered over a greater number of causes than usual. Pul- 
monary tuberculosis, which has been such a prominent cause 
of death in past years, has dropped to nearly half its usual 
ratio. The various forms of heart disease have been more 
prominent than usual as a cause of death. It has been my 
experience that affections of the heart are quite common 
among the insane. About one-fifth of all the deaths have 
been obviously due to causes directly connected with mental 
disease. Of the remaining four-fifths, while these same causes 
doubtless contributed in many cases, the immediate causation 
was more in line with the causes operating in the general 
community. 

The general health of the institution has been good, both in 
Worcester and at the colony. A few cases of contagious dis- 
ease occurred, but all were promptly isolated, and no general 
epidemic followed. There were eight cases of measles and one 
case of chicken-pox, all among the employees. The occurrence 
or spread of contagious disease is rare among the patients. 
The typhoid fever, which at the time of my last annual report 
existed at our colony, was all confined to one building. Sev- 



1906.] PUBLIC DOCUMENT — No. 23. 59 

eral cases occurred. The causation of that outbreak was clearly- 
traced to one case, contracted from some outside source. Since 
the termination of those cases the colony has been free from 
this disease, showing that no local source of infection exists. 
A few scattered cases have occurred at the asylum, but always 
apparently due to some cause outside the institution. 

For several years past the institution has been rapidly ex- 
panding its capacity for tlie care of patients, and each year has 
seen some new undertaking entered upon. During this time 
our energies have been chiefly exerted in this direction. For 
the coming year no new building operations will he begun, 
and an opportunity will be given for the completion of work 
now in hand. At the asylum no special appropriation will be 
asked for. At the colony our needs will be small in compari- 
son with the undertakings of previous years. The problem of 
an adequate water supply has not yet been solved there. The 
water which is obtained is of most excellent quality, but is in- 
suiEcient in quantity. At the time of the writing of my last 
annual report it was believed that the solution of the water 
problem would be an easy one, inasmuch as a quite extensive 
water-shed, draining uncontaminated areas, centered within 
the asylum property. Upon attempting to sink wells here, the 
presence of water was demonstrated ; but at a comparatively 
shallow depth quicksand was encountered in large quantity, 
and proved so difficult to handle that the work has been tem- 
porarily suspended, as the financial requirements were such as 
could not be well met from our ordinary revenues. Although 
our water supply is more abundant than a year ago, our re- 
quirements have increased in greater ratio. 

I recommend that an appropriation be asked for the develop- 
ment of our water supply. The exact sum needed cannot 
be accurately stated at this time, but will be determined by 
the driving of a test well, which will assist in demonstrating the 
quality and flow of water as well as the probable cost of the 
work. An estimate of the expenditure involved can undoubt- 
edly be ready in ample season for the consideration of the 
coming Legislature. Such sum only will be sought as will 
make reasonable provision for the very near future. Extensive 
enlargement of population might in time present other needs. 



60 WORCESTER INSANE ASYLUM. [Dec. 

During the year considerable work has been done in the 
matter of sewage disposal in the construction of new filter 
beds. Our filtration areas should be still further extended, to 
keep pace with our extension in capacity. I recommend that 
an appropriation of $2,000 be asked for this purpose. This 
sum, with the work which can be done with our present forces, 
will probably be sufficient for the work. 

Last year a road machine was purchased, which has been of 
great assistance in the care of our colony roads. I believe, 
however, that roads of a more substantial nature should be 
eventually constructed. To enable us to properly perform 
this work, I recommend that an appropriation of $3,000 be 
asked for, to provide for the purchase of a stone crusher and 
other road-making machinery. As the colony has already 
over five miles of public highway for the care of which it is 
responsible, this, together with the other miles of private road- 
ways which will become necessary in our colonj^ development, 
will make a work of such magnitude as will necessarily ex- 
tend over a comparatively long period of time. 

At the colony the building for 100 women, which at the 
time of my last annual report was nearly completed, has long 
been occupied and is already completely filled. This building 
is used for the excitable insane women, and is proving well 
adapted for its purpose. At our No. 2 group the dormitory 
building for men has for some time been occupied. The build- 
ing for 100 excitable men is nearly ready for occupancy, and, 
with the building for 50 men at our No. 3 group, which will 
be ready a little later, will very materially increase our colony 
capacity. While the last two mentioned buildings were nomi- 
nally to be of a capacity of 100 and of 50 respectively, the 
actual capacity will be quite considerably in excess of this num- 
ber, — an aggregate of 200 easily, — thus materially reducing 
the per capita cost of construction. 

In the erection of our buildings at Grafton the superiority 
of concrete construction is to my mind very evident. This style 
of building is not only practically fireproof, but it is much more 
sound-proof than wooden construction, and cannot fail to be 
less expensive in the matter of future repairs. As the differ- 
ence in cost is not excessive, I am fully persuaded that in any 



1906.] PUBLIC DOCUMENT — No. 23. 61 

future building brick and concrete should be given the prefer- 
ence over wood. 

The silo at the new barn has been erected, and is now fur- 
nishing ensilage for the feeding of the cows at our No. 3 group. 
The foundations for the barn are partially completed, and the 
erection of this building will be pushed as rapidly as possible. 
Meantime, the cattle are very comfortably housed in the old 
barn near by. It is expected that later on the whole of this 
old barn will be needed for hay storage. 

The bridge over the Boston & Albany Railroad has been 
completed and in use for some months. A roadway has also 
been constructed, leading from the main public highway to 
and for a, short distance beyond this bridge, thus giving access 
from our main headquarters at No. 1 to the power house, the 
Pines and the farm group beyond. Now there is no public 
passageway anywhere across the tracks of the Boston & Albany 
at grade. This bridge is built with sufficient strength and 
equipment to admit of the passage of a trolley car, should this 
be desirable at some future date. I can easily imagine that 
some time, with a considerable increase in the population and 
buildings there, a private tramway connecting the various parts 
of the colony may be the most satisfactory solution of freight 
and passenger transportation. 

At the asjdum the work of renewing our plumbing is in 
active progress. Here, as at the colony, it is not expected to 
undertake any new work the coming year. The Hermitage 
Pond, from which the asylum has a private pipe line, because 
of the extension of the city in that direction, has for some time 
been used only as a source of supply for the boilers, to run 
elevators and for other mechanical purposes. The domestic 
water supply of the institution is entirely from the city mains. 

My assistant, Dr. Bartlett, has been compelled, through ill 
health, to resign his position on the medical staif. Dr. Bart- 
lett has rendered faithful and efficient service during his con- 
nection with the institution, and he leaves with the regret and 
the best wishes of myself and his associates. 

Dr. Stick has been promoted, and Dr. William T. Hanson 
has been appointed as junior assistant. 

I wish to acknowledge my indebtedness to the officers and 



62 WORCESTER INSANE ASYLUM. [Dec. 

the many faithful employees who have assisted in conducting 
the operations of the institution. 

To the publishers of the Worcester " Evening Gazette" we 
are indebted for a copy of their paper, and to the Hospital 
Newspaper Society for books and papers. To Mrs. Charles 
H. Doe we owe special thanks for very generous contributions 
of books. 

The Worcester Employment Society has done a large 
amount of sewing, which has been of very material assistance 
to the institution. 

E. V. SCRIBNER, 

Superintendent. 



1906.] 



PUBLIC DOCUMENT — No. 23. 



63 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 
H. Louis Stick, M.D., Assistant Physician, 
Arthur E. Pattrell, M.D., Assistant Physician, 
William T. Hanson, M.D., Assistant Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fay, Matron,. 
Albert Wood, Treasurer, . 
George L. Clark, Examiner, 
Susie G. Warren, Clerk, 
Forest A. Slater, Engineer, 



13,000 00 

1,400 00 

800 00 

800 00 

100 00 

500 00 

400 00 

50 00 

480 00 

1,000 00 



YALUE OF STOCK AND SUPPLIES. 



Dec. 1, 1906 

Live stock, 

Produce of farm on hand. 

Carriages and agricultural implements. 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department. 

Other furniture in inmates' department. 

Personal property of State in superintenden 

Ready-made clothing, 

Dry goods, 

Provisions and groceries. 

Drugs and medicines, 

Fuel, .... 

Library, .... 

Other supplies undistributed, 



t's department, 



000 00 
552 19 
882 94 
,000 00 
,000 00 
,300 00 
,000 00 
,403 86 
,146 54 
,191 74 
330 00 
,000 00 
000 00 
,348 87 



$102,156 14 



64 



WORCESTER INSANE ASYLUM. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester Insa7ie Hospital, acting for the Worcester 

Insane Asylum. 

I herewith submit my twenty-ninth annual report of the 
finances of the Worcester Insane Asylum for the fourteen 
months ending Nov. 30, 1906 : — 



Available funds Sept. 30, 1905 : — 
With State Treasurer : — 

Maintenance appropriation, . 

Asylum fund, . . . . 
At asylum, 



Amounts received during fourteen months : — 

From reimbursed cases, 

From other sources 

Collected by State Board of Insanity, 

Appropriation by the Commonwealth for sup- 
port of patients, 



$49,374 07 

- 13,677 86 

155 73 



f5,346 51 

1,153 60 

125 00 



163,207 66 

6,625 11 
139,648 56 
,481 33 



The expenditures for the fourteen months have been as fol- 
lows : — 



Salaries and wages, .... 


. 


166,765 68 


Food : — 






Beans, 


|527 54 




Butter, 


6,930 62 




Crackers, 


599 24 




Cei'eals, rice, meal, etc., 


763 35 




Cheese, 


618 80 




Eggs, 


1,664 06 




Fish, 


1,899 94 




Flour 


8,891 85 





Amounts carried forv}ard, . 



$21,895 40 $66,765 68 



1906.] 



PUBLIC DOCUMENT — No. 23. 



65 



Amounts brought forward. 

Fruit 

Meats, 

Milk, . . . . 
Molasses, .... 

Sugar, 

Tea, coffee and cocoa, 
Vegetables, .... 
Sundries, . . . . 



Clothing and clothing material : — 
Boots, shoes and rubbers, . 

Clothing, 

Dry goods for clothing, and small wares, 
Furnishing goods, .... 

Hats and caps, 

Leather and shoe findings, . 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., 
Brushes, brooms, etc , 
Carpets, rugs, etc , 
Crockery, etc.. 
Furniture and upholstery. 
Kitchen furnishings, . 
Wooden ware, buckets, pails, etc., 
Sundries, 

Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, 



Repairs and improvements : 
Bricks, .... 

Cement, lime and plaster, . 
Electrical work and supplies. 
Hardware, iron, steel, etc.. 
Lumber, .... 
Machinery, etc., . 
Paints, oils, glass, etc.. 
Plumbing supplies. 
Roofing and materials. 
Sundries, 

Amount carried forward. 



$21,895 40 

1,430 67 
9,087 14 
1,552 38 
320 90 
2,216 66 
1,459 09 
3,616 75 
2,011 70 



^1,650 50 

5,668 15 

2,807 73 

226 22 

88 10 

3 50 

223 35 



$4,218 76 
389 78 
95 54 
912 14 
327 99 
846 74 
133 47 
1,271 32 



$15,948 29 

12 29 

530 56 

42 76 



$83 25 

631 19 

1,260 67 

1,783 49 

2,620 45 

200 00 

2,327 85 

1,987 23 

67 77 

1,269 19 



5,765 68 



43,590 69 



10,667 55 



8,195 74 



16,533 90 



12,231 09 
$157,984 65 



66 WORCESTER INSANE 


ASYLUM. 


[Dec. 


Amount brought forward, 




$157,984 65 


Farm, stable and grounds : — 






Blacksmith and supplies, $444 94 




Carriages, wagons and supplies. 






808 


81 




Fertilizers, vines, seeds, etc., 






980 80 




Harness and repairs, . 






199 


85 




Hay, grain, etc., .... 






5,437 


43 




Cows, 






441 


50 




Horses 






365 


00 




Other live stock. 






187 


00 




Tools, farm machines, etc.. 






97 


39 




Sundries, 






850 


27 










9,312 99 






Miscellaneous : — 






Books, periodicals, etc., $518 17 




Chapel services and entertainments. 




637 


30 




Freight, expressage and transportation, 




1,274 49 




Funeral expenses, .... 




820 00 




Hose, etc., 




82 


60 




Ice, 




76 


62 




Labor (not on pay roll), . 




1,894 


16 




Medical attendance, nurses, etc. (extra), 




385 


00 




Medicines and hospital supplies. 




1,092 


47 




Postage, 




161 


99 




Printing, 




14 


50 




Return of runaways, .... 




40 


22 




Soap and laundry supplies, 




2,196 


51 




Stationery and office supplies, . 




342 


69 




Telegraph and telephone, . 




491 


01 




Tobacco, . . . 




795 


98 




Travel and expenses of officials, 




124 


12 




Water, 




2,391 


44 




Sundries, 




933 


64 










13,772 71 




. 


Total, 


$181,070 36 


Reverting to State treasury : — 






Of the 1904 appropriation, $2,817 97 




Of the 1905 asylum fund, 6,692 


20 


9,510 17 


Balance with State treasurer : — 






23 




Collections paid since Jan. 1, 1906, . . 5,211 


58 














18,900 81 








$209,481 33 



1906.] PUBLIC DOCUMENT — No. 23. > 67 



Resources. 
Balance with State Treasurer : — 

Maintenance appropriation, .... $11,689 23 

At asylum, 2,000 00 

$13,689 23 

Liabilities. 
Salaries and supplies, 13,396 83 



$292 40 
Inmates' Funds. 

Cash on hand Oct. 1, 1906, $2,088 71 

Received from inmates, $721 10 

Received from interest on account, . . . 33 21 

754 31 

$2,843 02 
Cash refunded 388 45 

Balance, $2,454 57 

Eespectfully submitted, 

ALBERT WOOD, 

Treasurer. 

Worcester, Mass., Dec. 1, 1906. 

Worcester, Mass., Dec. 10, 1906. 
The undersigned has this day carefully compared the treasurer's statement of 
the expenditures for the fourteen months ending Nov. 30, 1906, with the vouchers 
which are on file at the Worcester Insane Asylum, and finds it to be correct. 

GEO. L. CLARK, 

Examiner of Accounts. 



68 



WORCESTER INSANE ASYLUM. 



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1906.] 



PUBLIC DOCUMENT — No. 23. 



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03 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



1 . — General Statistics of the Year. 





Insane. 




Males. 


Females. 


Totals. 


Patients in asylum Oct. 1, 1905, . 


360 


344 


704 


Admitted within the year, 


31 


171 


202 


Viz : by transfer, 


31 


169 


200 


from visit, 


- 


1 


1 


from visit, nominally, . 


- 


1 


1 


Whole number of cases in year, . 


391 


515 


906 


Dismissed within year, .... 


29 


37 


66 


Discharged, 


- 


4 


4 


Viz. : as recovered at time of leaving 


_ 


_ 


_ 


asylum 
as capable of self-support, . 


- 


- 


- 


as improved, .... 


- 


3 


3 


as not improved 


- 


1 


1 


Died, 


22 


31 


53 


Transferred, 


2 


2 


4 


Escaped, 


5 


- 


5 


On visit Oct. 1, 1906 


- 


- 


- 


Patients remaining Sept. 30, 1906, 


862 


478 


840 


Viz. : supported as State patients. 


350 


463 


813 


as private patients, 


- 


- 


- 


as reimbursing patients. 


12 


15 


27 


Number of different persons within the 


391 


514 


905 


year. 


31 


170 


201 


Number of different persons recovered, 


- 


- 


- 


Daily average number of patients. 


365.30 


390.55 


755.85 


Viz. : State patients, .... 


353.31 


375.38 


728.69 


private patients, . ■. . . 


- 


- 


- 


reimbursing patients, . . . 


11.99 


15.17 


27.16 



74 



WORCESTER INSANE ASYLUM. 



[Dec. 



2. — Received on First and Subsequent Admissions. 





Cases admitted. 


NUMBER OF ADMISSIONS. 


Males. 


Females. 


Totals. 


First (to this asylum), .... 
Second (to this asylum), 
Third (to this asylum) , . 


31 


167 

2 


198 
2 


Total eases, 

Total persons, 


31 
31 


169 
169 


200 
200 



5. — Ages of Insane at First Attack and Death. 





Persons died. 




AT riBST ATTACK. 


AT TIME OF DEATH. 




i 




3 


i 


a 


OS 




s 


Eh 


E-i 


s 


i^ 


tH 


Congenital, .... 


3 


2 


5 


_ 


_ 


_ 


15 years and less. 


1 


1 


2 


- 


1 


1 


From 15 to 20 years, . 


1 


2 


3 


1 


- 


1 


20 to 25 years, . 


- 


2 


2 


1 


1 


2 


25 to 30 years, . 


3 


- 


3 


- 


2 


2 


30 to 35 years, . 


2 


4 


6 


1 


3 


4 


35 to 40 years, . 


- 


3 


3 


1 


2 


3 


40 to 50 years, . 


4 


5 


9 


4 


4 


8 


50 to 60 years, . 


2 


1 


3 


8 


7 


15 


60 to 70 years, . 


- 


- 


- 


3 


8 


11 


70 to 80 years,. 


- 


- 


- 


3 


3 


6 


Over 80 years, .... 


- 


- 


- 


- 


- 


- 


Unknown, 


6 


11 


17 


- 


- 


- 


Totals, .... 


22 


31 


53 


22 


31 


53 


Total persons, . 


22 


31 


53 


22 


31 


53 


Mean known ages in years. 


36.15 


35.41 


35.08 


52.27 


50.80 


51.41 



1906.] 



PUBLIC DOCUMENT — No. 23. 



75 



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A. — First admitted to any hos 
tution from which tr 
Alcoholic insanity, chr 
Chronic delusional ins 
Constitutional inferior 
Dementia, primary. 
Dementia, chronic, 
Dementia, senile. 
Epilepsy, 
General paresis, . 
Hysterical insanity. 
Idiot, . 
Imbecile, 

Involution psychosis, 
Involution psychosis, i 
Manic depressive insai 
Manic depressive insai 
Post paralytic dementi 
Primary delusional ins 


<5' 
B 

o 
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76 



WORCESTER INSANE ASYLUM. 



[Dec. 



a 
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13 



IS 



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m 


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IC — -H 
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FORM OF DISEASE. 






















B. — Other admissions : — 

Alcoholic insanity, chronic, 
Chronic deliisional insanity. 
Dementia, primary. 
Dementia, chronic. 
Dementia, senile, . 
Epilepsy, .... 
Hysterical insanity. 

Idiot 

Imbecile, .... 
Imbecile with dementia. 
Involution psychosis, . 
Manic depressive insanity, . 
Primary delusional insanity, 


Totals B 

Aggregate cases. 
Aggregate persons, . 



1906.] 



PUBLIC DOCUMENT — No. 23. 



77 






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Pm M H 


Total cases, 

Total persons first admitted to any hos- 
pital when received by institution 
from which transferred. 



78 



WORCESTER INSANE ASYLUM. 



[Dec. 



"« 



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W 
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O 
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02 
OQ 
<) 


Nervous system : — 

Epilepsy, 

Epilepsy, hypostatic pneumonia, 

Exhaustion, chronic delusional insanity, .... 

Exhaustion, terminal dementia 

General paresis, 

Circulatory system : — 

Arterio sclerosis, chronic nephritis, 

Cerebral thrombosis, 

Cerebral thrombosis, hypostatic pneumonia, 

Cerebral thrombosis, paralysis, 

Cerebral hemorrhage, embolism, 

Chronic valvular heart disease 

General arterio sclerosis, 



1906.] 



PUBLIC DOCUMENT — No. 23. 



79 



III 1 1 1 1 1 1 1 1 1 1 1 1 1 






III i 1 1 1 1 1 1 1 1 1 1 1 1 


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1 


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III IrHrHIII -^Ir-lrHIMr-lr-llg 












Fatty myocarditis, general oedema, 
Valvular heart disease, general ojdema. 
Valvular heart disease, malaria. 

General diseases : — 
Carcinoma of liver, . . . ■ . 
Clu'onic cystitis, broncho pneumonia, . 
Senile debility, chronic prostatitis, . 

Streptococcus stomatitis 

Spinal tuberculosis, lumbar abscess. 
Typhoid fever, 

Respiratory system : — 

Pneumonia, broncho 

Pneumonia, broncho, bronchiectasis, 

Pneumonia, lobar, 

Pneumonia, septic 

Pulmonary tuberculosis 

Pulmonary tuberculosis, broncho pneumonia. 
Pulmonary tuberculosis, gastro enteritis. 


f- 



80 



WOKCESTER INSANE ASYLUM. 



[Dec. 



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a 

a 
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2 


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1 1 1 1 1 1 r 1 1 1 1 1 1 ' 






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ft 


Oi 
02 


Nervous sysiem : — 

Epilepsy ■ 

Epilepsy, hypostatic pneumonia, 

Exhaustion, chronic delusional insanity 

Exhaustion, terminal dementia, 

General paresis, 

Circulatory system : — 

Arterio sclerosis, chronic nephritis, 

Cerebral thrombosis 

Cerebral thrombosis, hypostatic pneumonia 

Cerebral thrombosis, paralysis, 

Cerebral hemorrhage, embolism 

Chronic valvular heart disease 

General arterio sclerosis, 



1906,] 



PUBLIC DOCUMENT — No. 23, 



81 



III 1 1 1 1 1 1 1 1 1 1 rH 1 1 


<M 




III 1 1 1 1 1 1 1 1 1 1 iH 1 1 


- 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 iH 








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»< 1 

I 




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III 1 1 1 1 1 1 1 1 I 1 rH 1 1 1 t- 




III 1 t 1 1 1 1 1 1 1 1 rH 1 1 1 -* 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 CO 




1 
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 rH 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 rH 




II, , , , , , rH 1 1 , 1 1 , 1 rH 




III 1 1 1 1 1 rH 1 1 1 1 1 1 1 


r-i 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 rH 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 


- 




III 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 
















Fatty myocarditis, general wdema, . . : 
Valvular heart disease, general oedema, . 
Valvular heart disease, malaria. 

General diseases: — 

Carcinoma of liver, 

Chronic cystitis, broncho pneumonia. 
Senile debility, chronic prostatitis, . 

Streptococcus stomatitis 

Spinal tuberculosis, lumbar abscess, 
Typhoid fever 

Respiratory system : — 

Pneumonia, broncho 

Pneumonia, broncho, bronchiectasis, 

Pneumonia, lobar, 

Pneumonia, septic 

Puhnonary tuberculosis 

Pulmonary tuberculosis, broncho pneumonia. 
Pulmonary tuberculosis, gastro enteritis, 


3 

o 





82 



WORCESTER INSANE ASYLUM. [Dec. 1906. 






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