Annual report of the Worcester Insane Asylum at Worcester

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THIRTY-FIRST ANNUAL REPORT

WORCESTER INSANE ASYLUM

WORCESTER,

Year ending November 30, 1908.

Digitized by the Internet Archive

in 2010 with funding from

University of Massachusetts Amherst

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CONTENTS

PAGE

Report of Trustees, ........ 55

Report of Superintendent, ....... 58

Report of Treasurer, . . . . . . . .65

Statistics, .......... 71

OFFICERS OF THE ASYLUM.

TRUSTEES.

THOMAS H. GAGE, Jr.,
THOMAS RUSSELL,
SARAH E. WH1TIN, .
FRANCES M. LINCOLN,
SAMUEL B. WOODWARD,
GEORGE F. BLAKE, .
LYMAN A. ELY, .

Worcester.

Boston.

Whitinsville.

Worcester.

Worcester.

Worcester.

Worcester.

RESIDENT OFFICERS.

ERNEST V. SCRIBNER, M.D.,
H. LOUIS STICK, M.D.,
ARTHUR E. PATTRELL, M.D.,
RALPH C. KELL, M.D.,
B. HENRY MASON, M.D., .
ABBIE S. FAY, .

Superintendent.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assista?it 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.

®t)e tfommomoealtt) of ittcmactyiusette*

TRUSTEES' REPORT.

To His Excellency the Governor and the Honorable Council.

The trustees of the Worcester Insane Hospital, having in
charge the Worcester Insane Asylum, respectfully submit their
thirty-first annual report of the asylum, together with the re-
ports of the superintendent and treasurer.

The asylum was directed to make provision during the year
for an average of 1,000 patients, and the daily average number
of patients for the year has been 997.46, as against 922.61 for
the previous year. The appropriation for the past year has
proved adequate to provide for the needs of the institution.

In compliance with law there has been a decrease in the
hours of labor of the employees and weekly payment of wages
has been instituted. There has also been some increase in the
wages paid nurses and attendants.

The general health of the institution has been good and the
death-rate rather below the average.

At the asylum no new work has been undertaken, but the
changes, alterations and repairs in the kitchen and in the con-
gregate dining room for men have been substantially completed.
For the ensuing year no appropriation is asked for on behalf
of the asylum beyond that necessary for its ordinary mainte-
nance.

At the colony much is being accomplished. A new building
for 60 excitable women is in process of erection. With the
completion of this new building the present dining accommoda-
tions in the basement of the Birches will prove inadequate.
This dining room at best is dark and unsatisfactory, and is
filled to its capacity. - We ask for an appropriation of $35,000
for the erection and furnishing of a service building which will

56 WORCESTER INSANE ASYLUM. [Dec.

provide a kitchen and dining room for the group of buildings
occupied by women patients.

It is expected that the institution will be called upon to care
for 1,075 patients 'during the coming year. This will require
additional accommodations for the so-called colony type, and an
appropriation of $40,000 is asked for the erection and furnish-
ing of one building for 50 women and one building for 50
men.

During the past year there has been a distinct improvement
in the quality of the employees. This improvement is due in
part to the business depression, but it seems probably due in
part to the lessening of the hours of service of employees, the
increase in wages and the general betterment of the conditions
under which they labor. But more remains to be accomplished
in this direction. The rapid increase in the number of em-
ployees has outrun the accommodations designed for them, and
many employees are now occupying quarters intended for pa-
tients. It is desirable to furnish houses for as many employees
as possible, where they can live when off duty under better
and more normal conditions than at present. To this end we
ask an appropriation of $18,000 for the erection of three cot-
tages, each one of which shall provide on the first floor a home
for a man and his family, and on the second floor furnished
rooms for at least seven nurses.

The institution has had the constant advice and co-operation
of the State Board of Health in regard to its water supply. The
present water supply, during the phenomenal drought of the
past year, has been barely adequate to supply the present needs
of the colony. In view of the assured development of the in-
stitution the present water supply will be insufficient, and the
State Board of Health has advised the trustees to take imme-
diate steps to secure an additional water supply. Expert ex-
amination indicates that there is no other great source of supply
on the premises now owned by the institution. In order to
obtain a proper source of supply by the acquisition of adjoining
estates upon which it can be found, an appropriation of $12,600
is asked for.

In accordance with the suggestions of the State Board of
Health, and with the appropriation granted last year, the work

1908.] PUBLIC DOCUMENT — No. 23. 57

of sewage disposal lias been undertaken. The estimate of the
expense of disposal was $14,000, of which $6,000 only was asked
for and obtained last year. For the completion of the work
undertaken an appropriation of $7,000 is asked.

Road building and repairing machinery has been acquired,
and during the past year a substantial beginning has been made
in the care and maintenance of the road adjoining the land of
the Commonwealth.

In some of the colony buildings there is unused space which
could be finished off to provide for the accommodation of em-
ployees, and several of the old barns need repair, in order that
they may afford better storage for hay and other necessary farm
accommodations.

At two points along the line of the electric street railway
running through the colony, waiting stations for employees and
friends of patients would prove a great convenience. The man-
agement of the road does not seem inclined to construct these
shelters. For the accomplishment of this miscellaneous work
an appropriation of $3,500 is asked.

During the year two changes have occurred on the official
staff. Dr. Wheeler resigned his position to enter general prac-
tice and Dr. Hanson accepted a position with the State Board
of Insanity. Drs. B. H. Mason and R. C. Kell have been
elected to fill the vacancies.

The trustees gladly acknowledge their obligation to the
superintendent, members of the staff and employees for their
faithful and devoted service to the asylum during the past year.

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

Worcester, Nov. 30, 1908.

58 WORCESTER INSANE ASYLUM. [Dec.

SUPERINTENDENT'S REPORT.

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

Insane Asylum.

The thirty-first annual report of the superintendent of the
Worcester Insane Asylum is respectfully submitted.

At the beginning of the statistical year, Oct. 1, 1907, 975
persons were inmates of this institution, — 469 men and 506
women. During the year there were admitted 135 cases, — 57
men and 78 women, making the whole number of cases under
treatment 1,110, — 526 men and 584 women. Of this num-
ber, there were discharged as capable of self-support 2 men and
1 woman, as improved 1 man and 2 women, as not improved 2
men, 7 men were transferred elsewhere, 2 men and 1 woman
escaped, 4 men and 5 women are on visit, and 20 men and 28
women died, leaving, Sept. 30, 1908, 1,035 patients, — 488
men and 547 women. The daily average for the statistical
year was 987.48, as against 911.30 for the previous year.

The persons admitted have not been in as good physical con-
dition as usual, and there has been among them less of active
excitement and more of dementia. The enfeebled mental con-
dition of these persons gives little hope of improvement and
still less of recovery. A continued influx of persons of this
unpromising condition of mind, as it lessens the hope of mental
improvement imposes a serious handicap upon our attempts to
encourage useful work and effort. While active interest is kept
up and encouraging results are obtained, even under existing
conditions, it is evident that our richest returns will undoubt-
edly come at that time, which I am confident will come, when
the great body of our patients is received more directly from
the general public and less by transfer from other institutions.
Meantime, the difficulty of securing useful workers among our
patients renders necessary a larger percentage of paid em-

1908.] PUBLIC DOCUMENT — No. 23. 59

ployees, and appreciably adds to the sum total of our expendi-
tures.

It is pleasant to be able to turn from the contemplation of
this rather unsatisfactory aspect of our work and to present
something more cheerful. Of the persons discharged during
the year, 2 men and 1 woman were classified as " capable of
self-support." The subsequent histories of these persons since
discharge, in each case, indicate a recovery, and nothing but a
desire to be conservative prevented them from being rated as
recovered at the time of their leaving the institution. All of
them have re-entered the life of the community and resumed
their old places, and have so far been able to maintain them-
selves. From the character of the mass of our patients even
one recovery would be a rich return for any effort.

Notwithstanding the feeble condition of those admitted, on
the whole our patients have shown physical improvement.
There has been no case of contagious disease, in either patients
or employees, originating during the year. The death-rate
continues low. As a cause of death, tuberculosis, after a tem-
porary retirement in several reports,' advances again to first
place. This showing is rather misleading, however, as the
great majority of those who died from this disease were af-
flicted with it on admission here. This preponderance in
numbers is rather due to the accident of the selection of cases
for transfer than from any probability that tuberculosis is on
the increase among the insane. In fact, I am very confident
that the contrary is true. It is interesting to note that dementia
was the predominant mental condition in those who died from
tuberculosis. Among those admitted primary dementia seems
to have played a more important part than usual.

The sole purpose of the maintenance of this institution is,
of course, the care and treatment of the insane. To properly
carry out this purpose is quite a complex proposition. We wish
to avail ourselves of the best means and instruments that we can
command. One of the most important considerations is the
selection and retaining of proper persons to assist in the care
of our unfortunate charges. It has been very noticeable in the
past that in the times of general business depression it has been
much easier to secure and retain suitable persons in the em-

60 WORCESTER INSANE ASYLUM. [Dec.

ployment of the institution. With the return of business pros-
perity in the community there has always come an exodus of
too many of our better people, showing that something must
be done to improve the conditions of the service if we are to
retain in our employ the more desirable persons. With this end
in view I would recommend that your Board ask for an ap-
propriation of $18,000 for the erection of three cottages for
employees.

During the past few years there has been a rapid increase in
the number of patients cared for at this asylum. As the parent
institution in Worcester was long ago filled to the limit of its
capacity, all of the later increase has been cared for at the
Grafton colony. A large percentage of the cases cared for
there has been of that noisy and turbulent class which has de-
manded a close supervision and substantial construction of
buildings to withstand the -wear and tear of use. That class
has been pretty well taken care of, for a time, and we can now
turn our energies more towards the development of the colony
idea. To the milder and quieter cases, more amenable to con-
trol, a much greater range of liberty can be accorded. For
these people much simpler and less expensive accommodations
will suffice. To properly care for these colony cases I respect-
fully recommend that your Board ask the Legislature for an
appropriation of $40,000 for the erection and furnishing of
one building for 50 men and one building for 50 women. An
excellent location for the building for men exists a short dis-
tance to the south of the present building at the Oaks. The
kitchen and dining room at this latter building are of sufficient
capacity to care for the patients who would occupy the pro-
posed building, an arrangement which would tend greatly to
economy in the administration of this group. The present
steam plant is also of sufficient capacity to furnish the neces-
sary heat. In this part of our colony an excellent opportunity
offers for the development of the special colony work for men.
The land is rough and rocky, but when once subdued and under
cultivation the soil is good, and gives good return for the effort
expended upon it. A variety of building sites offer here, well
located for future expansion.

1908.] PUBLIC DOCUMENT— No. 23. 61

Up to the present time the chief effort in the development of
the colony idea has been among the men. This is perhaps
natural, as the majority of the activities of out-of-door country
life are those in which men ordinarily engage. I feel that it is
unnecessary and even wrong to bar women from the probable
benefits that would accrue from a more active, out-of-door ex-
istence. I believe that a large share of such work can be
reckoned as distinctly within woman's sphere. The planting
and the cultivation of flowers, much of the care of the grounds
adjacent to the women's buildings and many of the light ag-
ricultural operations of the vegetable garden seem to me to
offer avenues of proper and useful effort. In carrying out such
a work as this it should always be borne in mind that the
improvement of the individual is the prime end sought, and
that the occupation is a purely subordinate means to an end.
Work of this sort would be a remedial measure, prescribed in
the treatment of disease. The success or failure of such an
undertaking would depend in a large measure upon the interest
and capacity of the individual immediately in charge of this
work. At the No. 2 colony are several sites very suitable for
the location of colony buildings for women.

At the group for excitable women, with the completion of
the building now under construction, a considerable enlarge-
ment of our kitchen and dining facilities will be needed. When
undertaking this work I believe that it will be the part of wis-
dom to make provision for something in excess of our present
needs, as this location is a natural center, near which some
future expansion will be likely to take place. Carefully pre-
pared plans have been made which show that for the erection
of this building, and the bringing to it of the necessary heating
and water connections, $35,000 will be required. For the car-
rying out of these plans I recommend that your Board ask for
the above sum of money.

The consumption of water at the colony is at the present
time about 100,000 gallons per day. Tests made in the early
part of the year, under the direction of an experienced and
competent sanitary engineer, developed a daily output, from
our present source of supply, of nearly 300,000 gallons. It

62 WORCESTER INSANE ASYLUM. [Dec.

was estimated from this that a supply of 100,000 gallons could
probably be depended upon in the season of shortest supply.
Our experience has demonstrated that this amount probably
could be depended upon in an average year, but at the present
time we are finding it difficult to make the supply keep pace
with our consumption. Careful estimates have been obtained,
which show that for the purchase of additional land and the
installation of necessary pipes and pumps the sum of $12,600
will be needed. I recommend that this amount be asked from
the Legislature.

The work of providing suitable disposition for the sewage
of the colony is being steadily carried on. Such an appropria-
tion was secured from the last Legislature as it was thought
could be profitably used during the year. A most careful es-
timate shows that an appropriation of $7,000 more will be
needed to complete the work.

For the providing of additional rooms in certain buildings,
for the repair of three old barns and for the providing of suit-
able waiting stations along the line of the electric road an ap-
propriation of $3,500 will be needed.

Another of our farm cottages, that was not adapted to the
use of patients, has been repaired and painted and had sanitary
plumbing installed. This now serves as a very comfortable
home for one of our employees and his family.

In the line of colony development the work of redemption of
wild lands is steadily progressing, and each year sees a little
more land under the' plough than the preceding one. A greatly
increased amount of ensilage corn has been produced and stored
in our silos, a fact which will very materially help to com-
pensate for a rather light hay crop. The general result of our
farming operations has been satisfactory.

A considerable advance has been made in the improvement of
our herds. During the coming year the number of our milch
cows will be very materially increased from stock which has
been raised from our own cows. A few registered cattle have
been purchased, so that we might further improve the quality
of our stock. The new cow barn at No. 3 has been completed
and occupied since my last report. It is proving very con-
venient and satisfactory in operation.

1908.] PUBLIC DOCUMENT— No. 23. 63

I wish again to record my appreciation of the very intelligent
assistance that 'has been given me by officers and employees in
administering the affairs of the institution.

To the " Worcester Evening Gazette " we are indebted for a
copy of their paper. The Worcester Employment Society has
done for us a large amount of useful sewing. The Hospital
Newspaper Society has, as usual, contributed books and mis-
cellaneous reading matter.

E. V. SCEIBNER,

Superintendent .

64

WORCESTER INSANE ASYLUM.

[Dec.

OFFICERS AND THEIR SALARIES.

Ernest V. Scribner, M.D., Superintendent,
H. Louis Stick, M.D., Assistant Physician,
Arthur E. Pattrell, M.D., Assistant Physician,
Ralph C. Kell, M.D., Assistant Physician,
B. Henry Mason, 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,

$3,000 00

1,500 00

1,000 00

900 00

800 00

100 00

800 00

400 00

50 00

780 00

1,000 00

VALUE OF STOCK AND SUPPLIES

Dec. 1, 1908.
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 superintendent's department,

Ready-made clothing,

Dry goods,

Provisions and groceries,

Drugs and medicines,

Fuel,

Library,

Other supplies undistributed,

$13,477 00

4,592 25

5,772 85

. 45,037 84

. 28,300 82

9,829 95

. 10,000 00

3,588 76

1,651 17

1,420 92

450 00

3,716 85

1,325 00

2,454 80

$131,618 21

1908.]

PUBLIC DOCUMENT— No. 23.

65

TREASURER'S REPORT.

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

Insane Asylum.

\ I herewith submit my thirty-first annual report of the finances
of the Worcester Insane Asylum, for the year ending Nov. 30,
1908: —

Available funds Nov. 30, 1907: —

With State Treasurer : —

Maintenance appropriation,

$4,173 94

At asylum, .......

3,000 00

$7,173 94

Amounts received during the year : —

From reimbursed cases, .

$4,270 85

From other sources, .

887 12

Collected by the State Board of Insanity,

44 11

5,202 08

Deficiency appropriation, . . . .

3,623 85

Appropriation by the Commonwealth for the

support of

patients,. ......

211,000 00

226,999 87
The expenditures for the year have been as follows : —

Salaries and wages,

Food : —
Butter,
Beans, .
Crackers,

Cereals, rice, meal, etc.,
Cheese,
Eggs, .
Flour, .
Fish, .

Amounts carried forward,

t,622 67

$8,701

92

870 82

478 59

1,166

93

560

31

1,631

16

7,758

36

1,861

86

5,029 95 $84,622 67

66

WORCESTER INSANE ASYLUM.

[Dec.

Amounts brought forward,

Fruit (dried and fresh), .
Meats, ....
Milk, ....
Molasses and syrup,
Sugar, ....
Tea, coffee, broma and cocoa,
Vegetables, .
Sundries,
Express and freight,

Clothing and material : —
Boots, shoes and rubbers,
Clothing, .....
Dry goods for clothing, and small wares,
Furnishing goods, ....
Hats and caps, ....
Leather and shoe findings,
Sundries, .....
Express and freight,

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

Heat, light and power
Coal,
Gas,
Oil,

Sundries,
Freight,

Repairs and improvements : -
Cement, lime and plaster,
Electrical work and supplies, .
Hardware, ....
Lumber, ....

Amounts carried forward, .

$,029 95 $84,622 67

1,660 35

11,512 16

633 72

302 50

2,573 37

1,643 92

5,139 35

1,643 08

36 66

48,175 06

$2,129 86

5,498 89

2,962 67

50 27

91 43

91 24

347 67

28 56

11,200 59

$2,841 87

•

41 67

288 85

560 86

176 33

430 76

174 62

1,630 40

8 27

6,153 63

$16,657 24

12 81

303 07

349 85

3,079 76

20,402 73

$494 82

573 16

1,371 52

1,675 85

1,115 35 $170,554 68

1908.]

PUBLIC DOCUMENT— No. 23.

67

Amounts brought forward,

Machinery, etc., ....

Paints, oils, glass, etc., .

Plumbing, steam fitting and supplies,

Roofing and materials, .

Mechanics and laborers (not on pay roll),

Sundries, .....

Express and freight,

Farm, stable and grounds : -

Blacksmith and supplies, . . . $524 06

Carriages, wagons, and repairs,

734 39

Fertilizers, vines, seeds, etc., .

. 2,129 16

Hay, grain, etc.,

9,030 50

Harness and repairs,

438 71

Horses,

600 00

Cows, . . ...

170 00

Other live stock,

88 00

Tools, farm machines, etc.,

278 28

Sundries,

529 03

Express and freight,

176 38

Miscellaneous : —

Books, periodicals, etc., ..... $292 13

Chapel services and entertainments,

733 20

Freight, expressage and transportation,

4,771 60

Funeral expenses, ....

153 00

Hose, etc., ....

26 02

Ice, .....

97 20

Medicines and hospital supplies,

1,442 36

Medical attendance, nurses, etc.,

35 00

Postage, ....

169 74

Printing and printing supplies,

25 65

Return of runaways,

31 20

Soap and laundry supplies,

2,616 30

Stationery and office supplies,

419 76

Travel and expenses (officials),

215 26

Telephone and telegraph,

399 38

Tobacco, ....

447 92

Water, .....

1,356 81

Sundries,

886 54

54,115 35 $170,554 68

90 00

1,550 67

2,256 39

31 59

1,648 26

838 42

50 30

10,580 98

14,698 51

14,119 07

Total, . .

Amount carried forward, .

,953 24
,953 24

68 WORCESTER INSANE ASYLUM. [Dec.

Amount brought forward, ... . . . . $209,953 24

Balance with State Treasurer : —

Maintenance appropriation, . . . $7,844 55

Collections, 5,202 08

At asylum, . . . . . . 4,000 00

17,046 63

$226,999 87
Resources.
Balance of 1908 appropriation Dec. 1, 1908, . . . $11,844 55

Liabilities.
Salaries and wages, ....... 11,844 54

Inmates' Fund.
Cash on hand Dec. 1, 1907,
Received from inmates, ....
Received from interest on account, .

. $849 91
47 76

$0 01

$2,771 15

897 67

$530 84
234 34

$3,668 82
765 18

Cash refunded,

Interest paid to State Treasurer,

Balance (savings bank, $2,200 ; national bank, $672 . 48 ;

drawer, $31.16), $2,903 64

Respectfully submitted,

ALBERT WOOD,

Treasurer.
Worcester, Mass., Dec. 1, 1908.

Worcester, Mass., Dec. 14, 1908.

I hereby certify that I have made a monthly examination of all bills and pay
rolls representing the current expenses of the Worcester Insane Asylum for the
year ending Nov. 30, 1908 ($209, 953 . 24), and have found them properly scheduled
and correctly cast.

GEORGE L. CLARK,

Examiner of Accounts.

1908.]

PUBLIC DOCUMENT— No. 23.

69

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Statistical Tables

[Form prescribed by State Board of Insanity.]

STATISTICAL TABLES.

1 . — General Statistics of the Year.

Insane.

Males.

Females.

Totals.

Patients in asylum Oct. 1, 1907,

469

506

975

Admitted within the year,

57

78

135

Viz. : by transfer,

52

76

128

from visit, . . . .

1

-

1

from visit, nominally, .

4

2

6

Whole number of cases in year,

526

584

1,110

Dismissed within the year, . .

38

37

75

Discharged, ......

5

3

8

Viz. : as recovered at time of leaving asy-

lum, .....

-

-

-

as capable of self-support,

2

1

3

as improved, ....

1

2

3

as not improved,

2

-

2

Died,

20

28

48

Transferred, .....

7

-

7

Escaped, ......

2

1

3

On visit Oct, 1, 1908, .

4

5

9

Patients remaining Sept. 30, 1908,

488

547

1,035

Viz. : supported as State patients, .

477

531

1,008

as private patients,

-

-

-

as reimbursing patients,

11

16

27

Number of different persons within the year,

522

582

1,104

Number of different persons admitted,

53

76

129

Number of different persons dismissed,

34

35

69

Number of different persons recovered,

-

-

-

Number of different persons discharged ca-

pable of self-support, ....

2

1

3

Daily average number of patients,

474.21

513.27

987.48

Viz. : State patients, ....

463.46

497.83

961.29

private patients, .

-

-

-

reimbursing patients, .

10.75

15.44

26.19

74

WORCESTER INSANE ASYLUM.

[Dec.

2. — Received on First and Subsequent Admissions.

NUMBER OF ADMISSIONS.

Cases admitted.

Males.

Females.

Totals.

First (to this asylum), • N •
Second (to this asylum),
Third (to this asylum),

51
1

75
1

126
2

Total cases, ....
Total persons, ....

52
52

76
76

128
128

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

Persons died.

AT 1

TOST ATTACK.

AT TIME OP DEATH.

Males.

Females.

Totals.

Males.

Females.

Totals.

Congenital,

_

_

_

_

15 years and less,

3

2

5

-

1

From 15 to 20 years, .

-

2

2

-

1

20 to 25 years, .

1

2

3

-

-

25 to 30 years, .

-

4

4

4

5

30 to 35 vears, .

-

3

3

2

3

35 to 40 years, .

1

2

3

1

2

40 to 50 years, .

2

1

3

5

8

50 to 60 years, .

-

-

-

5

12

60 to 70 years, .

1

3

4

4

7

70 to 80 years, .

-

1

1

4

5

Over 80 years, .

-

-

-

3

4

Unknown, . . .

12

8

20

-

-

-

Totals,

20

28

48

20

28

48

Total persons,

20

28

48

20

28

48

Mean known ages (in years),

28.25

34.10

32.42

49.60

54.03

52.19

1908.] .

PUBLIC DOCUMENT— No. 23.

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A. — First admitted to any hospital when
from which transferred: —
Alcoholic insanity, acute,
Alcoholic insanity, chronic,
Arterio-sclerotic dementia, ;
Chronic delusional insanity,
Dementia, primary,
Dementia, chronic,
Dementia, senile,
Epilepsy, ....
Epilepsy with dementia,
General paralysis, .
Hysterical epileptic,
Imbecile, ....
Imbecile with epilepsy, .
Involution psychosis, melancholia,
Manic-depressive insanity, maniacal
Manic-depressive insanity, mixed for
Psychopathic inferiority,

o

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[Dec.

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B. — Other admissions: —

Alcoholic insanity, acute,
Alcoholic insanity, chronic,
Arterio-sclerotic dementia.
Chronic delusional insanity,
Dementia, primary,
Dementia, chronic,
Dementia, senile, .
Epilepsy,

Epilepsy with dementia,
General paralysis, .
Hysterical insanity,
Imbecile, .
Imbecile with dementia,
Imbecile with epilepsy, .
Involution psychosis, melanchc
Manic-depressive insanity, mix
Manic-depressive insanity, mar
Psychopathic inferiority,

Totals B

Aggregate cases,
Aggregate persons,

PUBLIC DOCUMENT— No. 23.

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Nervous system: —

Epilepsy, .......

General paralysis, ......

Circulatory system: —

Arterio sclerosis, ......

Arterio sclerosis and chronic valvular heart disease,
Cerebral hemorrhage, .....

Cerebral hemorrhage and necrosis of bone,
Cerebral hemorrhage and pulmonary tuberculosis,
Cerebral hemorrhage and tertian malaria,
Chronic valvular heart disease,
Chronic valvular heart disease and asthma,
Endocarditis, ......

General arterio sclerosis and chronic nephritis, .

1908.]

PUBLIC DOCUMENT— No. 23.

79

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General diseases: —

Acute gastro-enteritis, .....

Acute nephritis and cerebral oedema.
Carcinoma of liver, .....

Chronic appendicitis, retro-peritoneal abscess, .
Facial erysipelas, ......

Facial erysipelas and meningitis,

Senile debility, ......

Respiratory system: —

Broncho-pneumonia, .....
General miliary tuberculosis, ....
Lobar pneumonia and cerebral hemorrhage,
Pneumonia (hypostatic) and epilepsy,
Pulmonary tuberculosis, .....
Pulmonary tuberculosis and broncho-pneumonia,
Pulmonary tuberculosis and lobar pneumonia, .
Pulmonary tuberculosis with epilepsy,
Pulmonary tuberculosis and paresis,
Pulmonary and laryngeal tuberculosis,

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80

WORCESTER INSANE ASYLUM.

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1908.]

PUBLIC DOCUMENT— No. 23.

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