THIRTY-SECOND ANNUAL REPORT
WORCESTER STATE ASYLUM
WORCESTER,
Year ending November 30, 1909.
Digitized by the Internet Archive
in 2010 with funding from
University of Massachusetts Amherst
http://www.archive.org/details/annualreportofwo107worc
CONTENTS.
PAGE
Report of Trustees, 53
Report of Superintendent, 55
Report of Treasurer, 62
Statistics, 71
OFFICERS OF THE ASYLUM.
TRUSTEES.
THOMAS KUSSELL, Boston.
CARRIE B. HARRINGTON, Worcester.
FRANCES M. LINCOLN, ...... Worcester.
SAMUEL B. WOODWARD, . . . . . . Worcester.
GEORGE F. BLAKE, Worcester.
LYMAN A. ELY, Worcester.
THOMAS H. GAGE, Worcester.
RESIDENT OFFICERS.
ERNEST V. SCRIBNER, M.D.,
H. LOUIS STICK, M.D., .
ARTHUR E. PATTRELL, M.D.,
B. HENRY MASON, M.D., .
WILLIAM T. BAILEY, M.D.,
ABBIE S. FAY,
Superintendent.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Assistant Physician.
Matron.
NON-RESIDENT OFFICERS.
ALBERT WOOD, Treasurer.
GEORGE L. CLARK, Examiner.
SUSIE G. WARREN, Clerk.
FREDERICK H. BAKER, M.D., . . . Pathologist.
FOREST A. SLATER, Engineer.
3Mjc ^omtnonroealtlj of Jilassartiuseite,
TRUSTEES' REPORT.
To His Excellency the Governor and the Honorable Council.
The trustees of the Worcester State Hospital, having in
charge the Worcester State Asylum, respectfully submit their
thirty-second annual report of the asylum, together with the re-
ports of the superintendent and treasurer. The reports of the
superintendent and treasurer are hereto annexed, and contain
detailed statements of the condition and the work of the asylum
in all its branches, together with the changes in the staff of the
institution.
There has been no new work undertaken at the asylum this
year and no appropriation will be asked therefor for the ensuing
year beyond the appropriation necessary for its maintenance.
At the colony at Grafton the work of enlargement goes on.
The new building for 60 excitable women has been finished and
opened for use, and the others authorized last year are in process
of erection. To provide for the growth of the colony the trus-
tees ask for an appropriation of $9,700 for a new kitchen and
dining room for the No. 1 group of buildings.
During the past few years the asylum has been called upon to
care for a large number of violent and excitable cases, demand-
ing close supervision and confinement, and new buildings for
their use have been constructed at the colony, but now it seems
to the trustees that there is opportunity to return to the original
purposes of the colony, — the care of a class of cases not need-
ing such close supervision, who can be given work on the land
and who can derive benefit therefrom, while not needing build-
ings of such substantial and expensive construction as the more
excitable cases. To provide for such cases the trustees recom-
54 WORCESTER STATE ASYLUM. [Dec.
mend an appropriation of $41,300 for the erection of two build-
ings, one for the accommodation of 50 men at the Oaks, and one
for 50 women at the No. 2 group of buildings.
With the appropriation granted last year for the increase of
the water supply at the colony, two lots of land have been pur-
chased and an abundant supply of fine water has been obtained,
which furnishes water enough for the needs of the colony, and
is capable of increased development as these needs increase.
The work of sewage disposal under last year's appropriation
is proceeding well.
The trustees desire here to express their appreciation of the
faithful and efficient work of the superintendent, members of
the staff and employees of the asylum during the past year.
Respectfully submitted,
THOMAS RUSSELL.
CARRIE B. HARRINGTON.
FRANCES M. LINCOLN.
SAMUEL B. WOODWARD.
GEORGE F. BLAKE.
LYMAN A. ELY.
THOMAS H. GAGE.
1909.] PUBLIC DOCUMENT — No. 23. 55
SUPERINTENDENT'S REPORT.
To the Trustees of the Worcester State Hospital, having in Charge
the Worcester State Asylum.
I respectfully present to your Board the thirty-second annual
report of the superintendent of the Worcester State Asylum.
Our statistical year begins October 1 and ends September 30.
On Oct. 1, 1908, 488 men and 547 women — 1,035 persons —
were inmates of this institution. During the year 97 men and
69 women — 166 cases — were admitted by transfer from other
institutions or from boarding out ; 4 men and 5 women — 9
cases ■ — were returned from visit, making the whole number
under treatment for the year 589 men and 621 women — 1,210
cases. Of these cases, 4 men and 6 women were readmissions,
leaving a total of 1,200 different persons — 585 men and 615
women. There were dismissed during the year 45 men and
37 women — 82 cases. Of this number, 1 woman recovered,
6 men and 3 women were capable of self-support, 1 man and 3
women were improved, 2 men and 2 women were not improved,
and 29 men and 24 women died, leaving a total of 544 men
and 584 women — 1,128 patients — remaining Sept. 30, 1909.
The daily average number of patients for the statistical year
was 1,062.57, as against 987.48 for the previous year. Each
year shows a steady and substantial increase in numbers.
The physical condition of the persons admitted has been more
unsatisfactory than usual. This is the more to be regretted as
we are greatly in need of more assistance in the conduct of the
various departments. When we come to consider the mental
condition of the 166 persons admitted the findings are quite as
unsatisfactory. More than 25 per cent, of these were cases of
primary dementia, for whose recovery or even decided improve-
ment there is slight hope. Almost as great a number, over 24
per cent., were epileptics, the majority imbecile and far gone in
56 WORCESTER STATE ASYLUM. [Dec.
dementia. Nearly 15 per cent, were cases of alcoholic insan-
ity, perhaps in some respects more promising than the above-
mentioned classes but still not encouraging. And yet in this
material good undoubtedly exists, and this good it is our duty
and privilege to discover and draw out in such manner as we
may be able. In all but the most hopelessly demented some
remnant of interest in life remains, and if we can but approach
it in the right way some renewal of mental activity may be
hoped for. In the majority of cases any improvement which
takes place stops far short of recovery, but often results in an
increased ability to enjoy life.
Of the persons discharged 1 woman recovered and was al-
lowed to go to the home of her parents in Portugal. This case
is worthy of more than passing notice, not only because of the
apparently hopeless class of cases from which it sprung, but
also because of the usually hopeless character of the type of dis-
ease, epileptic insanity. In this disease not only was there an
abatement of the mental symptoms but a complete cessation of
epileptic seizures for a long period previous to discharge. This
patient had a history of frequent and prolonged epileptic seiz-
ures, usually attended by intense mental excitement, violence
towards others, and the most persistent and energetic suicidal
attempts which I have ever known. When this patient left the
institution she was in an apparently normal mental and physical
state. Such cases of recovery, after years of hospital residence,
are indeed rare, but the fact that they do sometimes occur lends
an added interest to the study of chronic mental conditions.
The general physical health of both patients and employees
has been good. There has been no case of contagious disease
during the year. The death-rate among the patients has been
very small, considering the class of feeble and demented cases
with which we deal. The regulation of the habits of life and
the careful and systematic attention which the insane receive in
our public institutions evidently tend to the prolongation of
their lives, and, to my mind, account for no inconsiderable
percentage ui the accumulation in hospitals. Tuberculosis oc-
casioned about 25 per cent, of all the deaths. Senility was re-
sponsible for about 12 per cent, of the mortality. This cause
of death must of course become of increasing importance in
1909.] PUBLIC DOCUMENT — No. 23. 57
succeeding years through, the operation of natural causes, as
but a small percentage of our cases are discharged or trans-
ferred.
During the last year the difficulty in securing proper employ-
ees has been less than usual. This has probably been due to
several causes. The general business of the country has not
offered full opportunities of employment and the conditions of
the service here have been improved. Some increase in com-
pensation has also been made. All laborers, workmen and me-
chanics have served an eight-hour day, in accordance with the
law. With the exception of the official staff and the heads of
departments all other persons have been accorded a service of
sixty hours per week, with one day off in every seven. This
has increased in no small measure the expenses of maintenance,
but I believe that adequate return has been made for the money
expended, and I feel that nothing less generous should be ac-
corded for the coming year. A steady betterment is also being
made in the conditions under which our employees live. The
last Legislature gave money for providing additional accommo-
dations for employees. Three new cottages for nurses are now
in process of construction and additional rooms are being fin-
ished off in existing buildings. Some of these rooms are al-
ready occupied.
The old farmhouse at our No. 1 colony serves as a gen-
eral business headquarters and also provides kitchen and dining
facilities for the officers and for considerable numbers of our
farm help. The present quarters are taxed beyond their capac-
ity. The present kitchen should be greatly enlarged, and an
addition should be made which will provide a new dining room
for the general employees. Plans have been drawn covering
these requirements and a careful estimate of the cost of con-
struction has been made. In the working out of these plans it
has been possible to make provision for a few additional sleep-
ing rooms and new toilet facilities. I recommend that your
Board ask the coming Legislature for an appropriation of $9,700
to provide for the accomplishment of this work.
Last year plans were prepared for one new building for 50
men and one for 50 women, and an appropriation for their
erection was asked for. The necessity for these buildings and
58 WORCESTER STATE ASYLUM. [Dec.
the plans for their construction were approved by the State
Board of Insanity, but in view of the great financial demands
upon the Commonwealth at that time it was finally deemed
wise to defer action on that matter. Plans and estimates cover-
ing this work are already on file with the State Board of In-
sanity. I recommend that your Board again ask the Legislature
for the necessary authority and funds for the carrying out of •
these plans. The sum of $41,300 will be necessary for the erec-
tion of these two buildings. Should this request be granted
the carrying on of our colony work will be greatly facilitated.
These plans call for one-story wooden buildings, with high base-
ment, and are intended to make provision for the more quiet
of our colony patients. In each case these buildings are in-
tended as additions to already established groups. On account
of economies in heating and general administration I regard it
as better policy to more fully develop existing centers before we
turn to the establishment of new ones.
At the time of the presentation of my last report the water
supply at the colony was very short. The last Legislature
granted an appropriation for the purpose of obtaining some ad-
ditional source of supply and for connection with our existing
service. Two lots of land have been secured, lying from one-
half to three-fourths of a mile from the general colony prop-
erty. From tests and examinations which have been made each
one of these properties seems to control an independent source
of water supply, and is so located as to be free from all clanger
of local contamination. The nearer supply has been developed
first, and the returns have been so satisfactory that it probably
will not be necessary to turn to the second source for some time
to come. Ten wells have been driven on this property. A care-
ful test conducted at the time of our greatest drought developed
an apparently constant output of some 180,000 gallons per day.
The State Board of Health has reported favorably on this sup-
ply as to quality, quantity and appropriateness of the source
from which it is derived. A pipe line has been laid connecting
these wells with our old system, and a temporary pump is al-
ready delivering water from the new source. The work of
erecting a substantial pump house and the installation of per-
manent pumps will be pushed to as rapid completion as possible.
1909.] PUBLIC DOCUMENT — No. 23. 59
Tiie property where this water supply has been developed con-
sists of a farm of some 113 acres of land, with a fairly good
house and barn. The house is already occupied by one of our
employees with his family, and the barn is utilized for the care
of some of our growing young stock. The farm can be made a
good hay producer, and is a substantial addition to our colony
lands, aside from its value as a water producer.
The work on our sewage-disposal plant is being steadily pros-
ecuted. The construction of the filter beds is being done by
contract. The completion of the pipe lines connecting with
these filter beds is being accomplished by our own employees
and teams with considerable assistance from patients. This
whole work will be pushed to as early completion as possible.
Work on the service building at the women's group, the erec-
tion of which was authorized by the last Legislature, is pro-
gressing satisfactorily. Steam heat will soon be in the building,
which will enable the work of interior finishing to continue with-
out interruption. This building will probably be ready for use
at an earlier date than called for in the contract.
The building for 60 women has been completed and named
the Larches, and is now occupied. This building seems well
adapted to our uses. It has a large, dry and well-lighted base-
ment, and being located near our power house and laundry offers
excellent opportunity for the establishment of various industrial
operations suited to women patients.
An attempt has been made at our colony during the past year
to interest some of our female patients in out-of-door work.
This effort has met with a reasonable measure of success. A
crew of working women has taken care of the grounds at the
women's group, and has done considerable work in the weeding
and hoeing of our gardens and other light agricultural work
suited to a woman's strength. As all of our already developed
workers were fully employed in the different departments, this
out-of-door crew was largely recruited from patients who have
formerly sat around the house and done very little or nothing at
all. Particular attention has been paid to getting out the noisy
and troublesome patients. This practice has the effect of mak-
ing this special outside crew less in numbers, but it has relieved
the wards of some of its noisy and turbulent women, and in most
60 WORCESTER STATE ASYLUM. [Dec.
instances with marked benefit to the patients. The measure of
success in this work has not been so much the amount of labor
accomplished as the numbers of patients who have been taken
out and led back into habits of industry. As the winter is clos-
ing in this same working crew is undertaking the cane seating
of chairs, to occupy that time when it does not seem suitable
for them to engage in out-of-door work. Already some fairly
creditable work has been done by some quite unpromising pa-
tients. It is proposed to introduce other industries as time and
opportunity admit. Considerable numbers of male patients,
both at the asylum and at the colony, have been constantly em-
ployed in the various departments and in out-of-door work, with
profit to themselves and to the institution. Here, again, as with
the women, special effort has been made to interest and employ
the excited and incorrigible. Encouraging results have been ob-
tained. The asylum is seriously handicapped so far as good
working patients are concerned, because its inmates are all re-
ceived by transfer from other institutions, and of course the
best workers are retained where first admitted.
There has been but one change in the official staff. Dr. R. C.
Kell resigned his position to accept a position in a Pennsylvania
institution. Dr. William T. Bailey was appointed to fill the
position made vacant.
Officers and employees have, as a whole, united in rendering
an efficient service, which has made possible any measure of
success which may have been attained. I wish to acknowledge
my indebtedness to them.
Thanks are due to the publishers of the " Worcester Evening
Gazette " for a copy of their paper. The Hospital Newspaper
Society has furnished us with a generous supply of books and
papers. I wish also to thank the Worcester Employment So-
ciety for the great amount of sewing which has been done for
the institution.
E. V. SCRIBKER,
Superintendent.
1909.]
PUBLIC DOCUMENT — No. 23.
61
OFFICERS AND THEIR SALARIES.
Ernest V. Scribner, M.D., Superintendent,
H. Louis Stick, M.D., Assistant Physician,
Arthur E. Pattrell, M.D., Assistant Physician
B. Henry Mason, M.D., Assistant Physician,
William T. Bailey, M.D., Assistant Physician,
Frederick H. Baker, M.D., Pathologist,
Abbie S. Eay, Matron,
Albert Wood, Treasurer, .
George L. Clark, Examiner,
Susie G. Warren, Clerk, .
Forest A. Slater, Engineer,
$3,000 00
1,600 00
1,200 00
1,000 00
800 00
100 00
800 00
400 00
50 00
780 00
1,000 00
VALUE OF STOCK AND SUPPLIES
Dec. 1, 1909.
Live stock, $14,330 00
Produce of farm on hand, 3,600 89
Carriages and agricultural implements, .... 5,052 49
Machinery and mechanical fixtures, ..... 46,051 82
Beds and bedding in inmates' department, .... 2S,688 03
Other furniture in inmates' department, . . . 11,402 15
Personal property of State in superintendent's department, 10,000 00
Ready-made clothing, 5,102 31
Dry goods, 1,191 95
Provisions and groceries, 8,706 IS
Drugs and medicines, 600 00
Fuel, 6,217 70
Library, 1,365 00
Other supplies undistributed, 4,806 50
$147,115 02
62
WORCESTER STATE ASYLUM.
[Dec.
TREASURER'S REPORT.
To the Trustees of the Worcester State Hospital, acting for the
Worcester State Asylum.
I respectfully submit the following report of the finances of
this institution for the fiscal year ending ]S3"ov. 30, 1909 : —
Balance Dec. 1, 1908,
Cash Account.
$4,000 00
Receipts.
Institution Receipts.
Board of inmates : —
Reimbursements,
Salaries, wages and labor: —
Wages not called for, .
Sales: —
Food,
Clothing and materials,
Furnishings,
Repairs and improvements,
Miscellaneous,
Farm, stable and grounds: —
Cows and calves,
Hides,
Miscellaneous receipts: —
Interest on bank balances,
Sundries, .
Receipts from Treasury of Commonwealth.
Maintenance appropriations : —
Balance of 1908, ....
Advance money, ....
Approved schedules of 1909,
S105
84
240
14
1
25
8
SO
224
79
$62
00
18
12
$133
84
2
05
Special appropriations,
Total,
5,219 31
21 85
580 82
SO 12
135 89
$7,844 54
15,000 00
228,354 80
6,037 99
251,199 34
70,402 91
$331,640 24
1909.]
PUBLIC DOCUMENT — No. 23.
63
Payments.
To treasury of Commonwealth, institution receipts,
Maintenance appropriations: —
Balance November schedule, 1908,
Eleven months' schedules, 1909, .
November advances, .
Special appropriations: —
Approved schedules, .
November advances, . . . . .
Balance Nov. 30, 1909: —
In bank, .......
In office, .......
Total,
Maintenance.
Appropriation, .
Expenses (as analyzed below),
3,037 99
11,844
54
228,354
80
13,057
64
$259,294 97
$70,402
91
205
95
70,608 86
$705
97
1,030
44
1,736 41
$331,640 24
$258,000 00
254,594 45
Balance reverting to treasury of Commonwealth,
5,405 55
Analysis of Expenses.
Salaries, wages and labor: —
General administration, .... $28,680 50
Medical service, ...... 8,417 68
Ward service (male), 17,937 69
Ward service (female), .... 15,599 82
Repairs and improvements, . . . 14,672 32
Farm, stable and grounds, .... 15,018 72
Food : —
Butter, $11,570 95
Beans, 957 60
Bread and crackers, ..... 530 60
Cereals, rice, meal, etc., .... 1,381 42
Cheese, 793 51
Eggs, 2,032 21
Flour, 12,142 95
Fish, 1,886 98
Fruit (dried and fresh), .... 2,683 52
Meats, 15,992 93
Milk, 360 11
Molasses and syrup, . . . . . 361 95
Sugar, 2,991 72
Tea, coffee, broma and cocoa, . . . 1,841 94
Vegetables, 5,890 89
Sundries, 1,721 76
Amount carried forward,
$100,326 73
63,141 04
$163,467 77
64
WORCESTER STATE ASYLUM.
[Dec.
Amount brought forward,
Clothing and materials: —
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,
Carpets, rugs, etc.,
Crockery, glassware, cutlery, etc.,
Furniture and upholstery,
Kitchen furnishings,
Wooden ware, buckets, pails, etc.,
Sundries, .....
Heat, light and power: —
Coal,
Freight on coal, .
Gas, .
Oil, .
Sundries, .
Repairs and improvements: —
Brick,
Cement, lime and plaster,
Electrical work and supplies
Hardware,
Lumber,
Machinery, etc., .
Paints, oil, glass, etc.,
Plumbing, steam fitting and suppl
Roofing and materials,
Sundries, .
Farm, stable and grounds : —
Blacksmith and supplies,
Carriages, wagons, etc., and repairs,
Fertilizers, vines, seeds, etc.,
Hay, grain, etc.,
Harnesses and repairs,
Horses,
Cows,
Other live stock,
Tools, farm machines, etc.,
Sundries, .
Miscellaneous: — ■
Books, periodicals, etc.,
Chapel services and entertainments,
Amounts carried forward,
$163,467 77
$1,644
68
8,387
53
1,350
90
191
06
114
69
118
54
238
48
12,045 88
$7,016
72
516
15
299
21
'
795
78
968
13
646
33
112
67
2,022
53
12,377 52
$18,490 87
4,753
62
,
11
41
270
14
1,483
13
25,009 17
$138
31
361
26
623
86
1,963
83
1,820
59
412
60
2,223
97
2,109
94
323
55
1,182
98
11,160 89
$520 04
1,387
78
1,952
79
12,599
23
242
08
535
00
392
00
131
50
• 322
39
1,027
62
19,110 43
$398
80
774
30
L,173 10 $243,171 66
1909.1
PUBLIC DOCUMENT — No. 23.
65
Amounts brought forward,
1,173 10 $243,171 66
Miscellaneous — ■ Con.
Freight, expressage and transportation,
Funeral expenses,
Hose, etc., ....
Ice, ......
Medicines and hospital supplies, .
Medical attendance, nurses, etc. (extra)
Postage, .....
Printing and printing supplies,
Return of runaways, .
Soap and laundry supplies, .
Stationery and office supplies,
Travel and expenses (officials),
Telephone and telegraph,
Tobacco, .....
Water, .....
Sundries, .....
Total expenses for maintenance,
Special Appropriations
Balance Dec. 1, 1908,
Appropriations for fiscal year,
Total,
1,300
51
289
00
85
16
103
90
1,400
68
7S
00
197
55
5
08
27
33
2,55S
41
577
S5
137
97
452
37
554
01
1,581
OS
900
79
11,422 79
$254,594 45
s.
$49,911 55
76,000 00
$125,911 55
Expended during the year (see statement annexed), $70,402 91
Reverting to treasury of Commonwealth, . . 10 92
70,413 83
Balance Nov. 30, 1909,
5,497 72
Resources and Liabilities.
Resources.
Cash on hand, $1,736 41
November cash vouchers (paid from advance money), 13,263 59
Due from treasury of Commonwealth account
November, 1909, schedule, .... 11,239 65
Liabilities.
Schedule of November bills,
526,239 65
526,239 65
66
WORCESTER STATE ASYLUM.
[Dec.
■a
„ _
■4^ H
O CM t— lOO^fi— iiOOOO
CM
COQOOOHHHOlOiOiO^
!>
c3 g;
OlMOiOMNOOOON
t>
Oi [x
6© H CD NOO^O)
CT>
So
t— i O i— i i— i CM O i— i
^
c3 °
<M~ ^"©"CHiO
*o
m
CM i-H
lO
€#
o
OWOTfHOOWO^O
CO
[NhhoOOOOOhOO-^O
CO
0> 0)
OJNOl^tDNOia OON
T— 1
"0 +j
0)G00OKl©NMO>OO
OS
G5^0O^Ht^C3O0O0CO"*CO
CX)
hiON^hlOOh CM l>-
o
€^ TJH T— I
Oi
m
OcO^OOffiCOffiiOO^O
T— 1
d a
ooin^o^HOO^o
OS
3*
HNNONOOOOOON
CM
GlOO^-^OSCDNCOOiOO
O
MO(MMl>M000000^«
TfH
d g
r-l ^ ^H CM ^Ot-H CM t^-
O
I s
€© CO i— t
H
-p
ooooooooooo
o
d
3
ooooooooooo
o
o •
S
ooooooooooo
o
ooooooooooo
o
<!
OiOOiO tj^O^OO^O^lO >o_
-*
-2
of io~ o" ^~ cm~ co" "-o~ ocT t-~ eo~ cm"
CO
o
€# LO «H i—l
3
CO
£
m
e
o
"<g
00 CO tO O O CD CI M IM (M (M
e
CX) 00 -<* •* tjh ^ CM CM <M CM CM
>
HHHHIOIOIOLOLO
P-,aP-,PHP H P-,PHD-,P- ( Cl J Cl l
5-
^^c3c3<^<^<^c3^w^
P*
w
^^^d^^^^X^^I^
S,
a)
ooooooooooo
■^
NNOOOOGOGOOCSOai©
o
ooooooooooo
S
+3
OOOOOOOOiOOiOi
CO
^
i— It— It— 1 i— lr— It— It— It— It— It— 1 i— i
50
mrjitJimvimmmmvim
Ph
+ J_^ + J + J40 + + u_ (J+ J + i + J
^
ooooooooooo
<]<i<r<^<!<i<;<<^<]
... .3 . . M . . . .
- > a
H
etc.
c ser
uildi
ns,
H
O
Sewage disposal,
Water supply,
Building for 60 women,
Furnishings for employees,
Silos and extending electri
Sewerage and water systen
Dining room and service b
Houses for employees,
Sewage disposal,
Repairs and waiting statio
Water supply,
P
O
CO
o
H
^
«
h-l
Ti
h^
w
CD
<1
S
+=
m
<J
CJ
Pi
2
o
1 1
a
n
<
«-H
O
£
CD
CO
1909.] PUBLIC DOCUMENT — No. 23. 67
INMATES' FUND.
. $85S 48
13 54
66 00
93S 02
$3,841 66
. $540 83
22 00
562 83
Cash on hand Dec. 1, 1908, $2,903 64
Received from inmates, .....
interest, national bank, ....
interest, savings bank, ....
Cash refunded patients,
Interest paid State Treasurer,
Balance (savings bank, $2,200; national bank, $1,002.29;
drawer, $76.54), $3,278 83
Worcester, Dec. 13, 1909.
I hereby certify that I have made a monthly examination of all bills and pay
rolls representing the current expenses of the Worcester State Asylum for the
year ending Nov. 30, 1909 ($254,594.45), and have found them properly sched-
uled and correctly cast.
I also find in the hands of the treasurer $3,278.83 belonging to patients.
GEO. L. CIsARK,
Examiner.
STATISTICAL TABLES
[Form prescribed by State Board of Insanity.]
STATISTICAL TABLES.
1. — - General Statistics of the Year.
Insane.
Males.
Females.
Total.
Patients in asylum Oct. 1, 1908, .
488
547
1,035
Admitted within the j^ear, ....
101
74
175
Viz. : by transfer,
97
69
166
from visit,
-
-
-
from visit, nominally,
4
5
9
Whole number of cases in year,
589
621
1,210
Dismissed within the year, ....
45
37
82
Discharged, . . . .
8
9
17
Viz. : as recovered at time of leaving
asylum,
-
1
1
as capable of self-support, .
5
3
8
as improved,
1
3
4
as not improved, ....
2
2
4
Died,
29
24
53
Transferred,
3
2
5
Escaped,
2
-
2
On visit Oct. 1, 1909,
3
2
5
Patients remaining Sept. 30, 1909,
544
584
1,128
Viz. : supported as State patients, .
532
571
1,103
as private patients,
-
-
-
as reimbursing patients,
12
13
25
Number of different persons within the year,
585
615
1,200
Number of different persons admitted,
97
69
166
Number of different persons dismissed,
41
32
73
Number of different persons recovered,
-
1
1
Number of different persons discharged ca-
pable of self-support,
5
3
8
Daily average number of patients,
492 . 62
569.95
1,062.57
Viz. : State patients,
477.47
553.87
1,031.34
private patients, ....
-
-
-
reimbursing patients,
15.15
16.08
31. 23 J
72
WORCESTER STATE ASYLUM:
fDec.
2. — Received on First and Subsequent Admissions.
NUMBER OF ADMISSIONS.
Cases admitted.
Males.
Females.
Total.
First (to this asylum), ....
Second (to this asylum), ....
Third (to this asylum), ....
96
1
67
2
163
3
Total cases,
Total persons,
97
97
69
69
166
166
3. — Ages of Insane at First Attack and Death.
Died.
AT FIRST ATTACK.
AT TIME OF DEATH.
Males.
Females.
Totals.
Males.
Females.
Totals.
Congenital, ....
1
1
_
_
15 years and less, .
-
-
-
-
-
-
From 15 to 20 years, .
1
-
1
-
-
-
20 to 25 years, .
2
2
4
-
-
-
25 to 30 years, .
4
4
8
1
-
1
30 to 35 years, .
2
2
4
2
1
3
35 to 40 years, .
5
1
6
2
2
4
40 to 50 years, .
4
4
8
8
2
10
50 to 60 years, .
4
2
6
11
8
19
60 to 70 years, .
-
1
1
5
5
10
70 to 80 years, .
-
-
-
-
4
4
Over 80 years,
-
-
-
-
2
2
Unknown, ....
7
7
14
-
-
-
Totals, ....
29
24
53
29
24
53
Total persons,
29
24
53
29
24
53
Mean known ages (in years),
36.45
42.05
36.33
48.34
59.70
53.67
1909.
PUBLIC DOCUMENT — No. 23.
73
t3
Bh
w X
J o ■<
< « a
O g< M
H O Q
•bi'b;ox
1 COWH 1 CM if 1 CM 1 WIOCTH 1 ~4 CO 1
-*
■sa|Braaj[
|HC<H into IM 1 1 1 1 1 1 IM 1
lO
•sarepi
I no i ion | | i mionh i h | i
o
P
•sib^ox
1 CON | 1 OfO 1 (N 1 «-*<Mrt | ihh |
CO
•sarBtna^
1 -4CM 1 | CMCM 1 CM 1 1 1 1 1 | 1— 1|
o
■sarBj\[
1 NIO 1 1 ■* ^4 1 | | NTfMH | H | |
S3
Q
H
«
a
o
w
Q
a
H
b >
c o
P<
•s^ox
1 1 1 1 1 C9 1-4 | | | | | | | | | | |
CO
•sarsuia^
1 1 1 1 1 1 -4 1 1 1 1 1 1 1 1 1 1 1
-
•sarBH
1 1 1 1 1 CM 1 1 | | | | | | | | | |
CM
Q
>
«
P.
s
•sri3;oj,
1 1 1 1 1 rt | 1 | | | | | | | | ,-1 |
CM
•sajBuia^
I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 —1 1
r
•sarBH
1 1 1 1 1 <H | | | | | | | | | | | |
-*
°o
2 CO
02
•si^ox
1 MH |fl | | | | | .-4 | | | | ~4 [
*-
•sajBraa^
1 1 1 -4 1 rH 1 1 1 1 I 1 1 1 1 I'rH |
CO
■sajBM
IliilleqtililiHiiiiii
If
Q
K
>
O
U
K
•s^^ox
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
•sa{Braaj[
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
•sarepj
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
H
s
Q
<
•s^^ox
1 CM CO l-^OOifCMtMCMOOCM 1 1 PI(N>OH
1-4 CM
o
CO
•sajBtuaj;
ICOtO lifN* |H | | | | | —1 CM CO 1
•*
•sap3H
1 OS 1 1 1 ^4 1 CM ^H CM 00 CM 1 1 H | C1H
C3
CO
!
h
n
<
A
D
H
H
H
A. — First admitted to any hospital when received
by institution from which transferred: —
Alcoholic insanity, acute, ....
Alcoholic insanity, chronic, ....
Chronic delusional insanity,
Climacteric insanity, .....
Constitutional inferiority with dementia, .
Dementia, primary, .....
Dementia, chronic, .....
Dementia, organic, .....
Dementia, primary, paranoid form,
Imbecile, with dementia, ....
Involution psychosis, melancholia,
Manic-depressive insanity, mixed form,
<
"3
o
Eh
74
WORCESTER STATE ASYLUM.
[Dec.
o
13
*fe>
Total
Discharges
and Deaths.
•EIB^OJ,
M I IP ] I COUO I ^lO I CM I ,-< | | | |
CO o o
CM t^ t^
■sajBuiaj
1 1 1 CO 1 hio | ^ro 1 h | H | | [
CO CO CO
.-i CO CO
•sajBif
1 h | w [<ni 1 [n |h | | i i i i
00 IT- t—
CO CO
a
H
•spnox
I'H im 1 I cm io | ■^•^h I n | H | | | |
t
^H CO CO I
•sareraa^
1 1 I*-*! 1 1 "3 1 ^ CM | ^ | ~H | | | 1
-J -* -*
H CM CM
•sap3j\r
1 i — 1 1 ■> — 1 1 1 CM 1 1 l<MI^H| | | | | |
C^ O O
a
a
K
<
K
u
Q
H
O O
z «
Ph
•SIB50X
1 1 1 1 1 1 H | | | | | | | | | | | |
—1 ■* •*
•sareraaj
■ i i r i t -> — ■ i ■ i i i j i j i j ■ i
i-< CM CM
•sajBH
i i i i i i i i i i i i i i i i i i i
1 CM CM
Q
H
!>
C
K
s
•sib^ox
1 1 1 CM | | | | | | | | | | | | | | |
CM "*JH -^H
■sajBuia^j
1 1 1 CM 1 1 1 1 1 1 1 1 1 | | 1 1 1 |
CM CO CO
■sa|BH
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
I ~ rl
c o
3 Ph
p. fc
•< J
O H
to
•sjb^ox
1 1 1 ^ ' 1 1 1 '
^h 00 CO
•saretna^
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 CO CO
•sa{Bj\[
1 I 1 i-< 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 *H id iO
«"
H
K
H
>
o
o
El
P3
■erBiox
I 1 I 1 ■ 1 1 1 1 I -• — • 1 1 1 1 1 1 I 1
~ ~ r-
•saiBtaaj
1 1 1 1 1 1 1 1 1 1 *-i 1 1 1 1 1 1 1 1
tH ,H ^H
■saiBjAT
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1
Admitted.
•BIB^OX
| ^rH^WCOiOCO«>CCOCPWNrt<COC<l'*H
CD CO CO
00 CO CO
•sareuia^
1 CO 1 rtCM | t^CM 1 CO 1 1 rt 1 CM 1 1 COrf
00 OS OS
(M CO CO
•S3J13JAI
1PH | | CO CO ^H CM CM CO CO 1 CM CM CO CM >-t 1
00 !>■> I>-
iO OS OS '
ft
m
<
ft
02
' 5
&
o
o
ft
o.i . 8
alep
men
form
sal fo
B. — All other admissions: —
Alcoholic insanity, acute,
Alcoholic insanity, chronic, .
Arteriosclerosis, epilepsy,
Chronic delusional insanity,
Constitutional inferiority, hysteric
Constitutional inferiority, with de
Dementia, primary,
Dementia, chronic,
Dementia, organic,
Dementia, senile, .
Epilepsy, ....
Epilepsy, with dementia,
General paresis,
Idiot, with epilepsy,
Imbecile with dementia,
Imbecile with epilepsy,
Infantile paralysis with epilepsy,
Manic-depressive insanity, mixed
Manic-depressive insanity, mania
Totals B,
Aggregate cases, ....
1909.]
PUBLIC DOCUMENT — No. 23.
75
02
■<
H
O
■Sp^OJ,
O i 1
■sajBuiaj
co l l
CO LO
CO <— 1
•sap3j<i
i> 1 1
CO
CO CM
Q
H
Q
■si^iox
CO 1 1 1 CO CM
LO 1 IO CO
■sajBuia^
■* 1 1
CM
<* o
CM H
•S3p3J\[
O 1 1
CM
C5 CM
CM CM
n
>
o
K
d.
S
o
•sps}0£
■^ 1 1
^H co
•sa^ina^
CM 1 1
CM i-l
■sap3j\[
(M 1 1
CM CM
d
H
!>
O
a
Ch
1— 1
•S[^ox
■* 1 1
■* CM
•sapuia^
CO 1 1
CO i-H
•sap;j\[
1— 1 1 1
i— I i—l
o «
o
o H
•bibjox
00 .1 1 1 00 l>
■sajBuiaj
CO 1 1 1 CO CO
•sajBif
lO 1 1 1 lO TfH
1
Q
H
P5
H
t>
O
o
m
■ei^ox
1— 1 1 1
i-f 1
■sa|t!Tnaj;
1-1 1 1
T-t 1
•sa[Bj\[
1 1 1
1 1
O
02
3
Q
<
&H
O
<A
H
2
First,
Second, ......
Third, . . . . .
Total cases, ....
Total persons first admitted to any
hospital when received by insti-
tution from which transferred, .
76
WORCESTER STATE ASYLUM.
[Dec.
< .
•srBjoj,
I I
1 1 -c | | | | r-i
i i i-i i i i i i i i i i i i-T
•sarBuiaj;
I I
1 1 1-1 1 1 1 1 tH
i i *« i i i i i i i i i i «
HOC
Q
•sajBif
3°
•STB^OX
1 I
1 — 1 1 « 1 1 1
i i i i i i i i i i-i i i i i
•sarBuia^
i I
till CSI 1 1 I
i i i i i i i i i i-i i i i i
•sarejii
II 1 -H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
3*
•si^ox
1-
1 1 1 1 1 1 1 1
1 1 1 i-liH | 1 i-. | | 1 1-1 1 1
1?
•sareuia^
1 1
1 1 1 1 1 1 1 1
1 1 1 T-l 1 1 1 1 1 1 1 1 1 1
qHh
•sajBM
1 1 1 1 1 1 1 1
o < *
C z t<
fc o 5
•S^OX
1 1
1 1 1 1 1 I ■> — ■ t — i
1 1 1 1 1 1-1 '-H | 1-1 | -1 | | |
£ ^ ^
■sajBoiajj
• saris J5
1 1
1 1 1 1 1 1 I-ti-l
I | 1 | 1 | l-H | | | 1-1 | | |
o - .
3 (H O
o s s
•sregox
1 1
1 1 1 >H 1 1 II
i-Hi-H 1 1 1 1 1 1 1 1 1 1 1 1
8ZO
0<K
/sajBuia^
•sarejii
1 1
1 1 1 - — > till
1-1 1 1 1 |- 1 1 1 1 1 1 1 1 1
LCOHOUC
NSANITY,
Acute.
•spnox
II 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sajBuia^
1 1
1 1 I i 1
«,«
■sarejii
H m
•ei^ox
IIO-H
,-H,-H,-H<MC<]^H»-<Cq
„„ rfrtrt „^ rt «^ rtMrt „
o -<
•safBnra^
1 1
I | i-li-l<N | | T-l
| rtt -|,-H | _, | | rtrt | | 1 1-1
•sarept
HIO-H
i-li-l 1 i-t IrtHH
1-1 1 1 1 1-t 1 Hrt | | 1-ll-(lH |
.2
-a
. o 'J3 .
.2 S3 £
a c a -
Wl fl c3 _ y.2
o fl .2 So
M
<
itis,
os is,
lerosif
oscler
titis ;
tertia
cardit
itism,
sis,
chro
oscler
Q
arditi
enter
ioscler
teriosc
rosis,
3 * « 8 l o -g g g, _
•_c C33 • S • -bl'E • „.2
O
£ •■! -3&S-1
so
Cj
g,-g «3.|o
S'S * g" £ S5?fflfl'8
«2
* * ;-
o
, acute
debilit
erioscl
disease
disease
disease
locardi
is, arte
alerosis
1 conge
septitis
Batitis,
isease,
aritis,
nic cys
d right
rditis,
n's cho
tis, chr
endoca
1
B
a
o
. „a
.2 3
3,3 a 1
atory system : —
;e cardiac dilatation
riosclerosis, general
bral thrombosis, ar
snic valvular heart
onic valvular heart
onic valvular heart
al regurgitation, en
carditis, endocardit
al diseases: —
te enteritis, toxemia
te enteritis, arterios
te nephritis, cerebra
te septicaemia, coleo
te dysentery, pancr
dio-renal valvular d
onic interstitial nep
onic ileocolitis, .
onic nephritis, chro
cinoma of breast an
tro enteritis, endoca
;icaemia, Huntingto
mia, chronic nephri
ile debility, chronic
or
>
5.E
2 a «
§<!<!OOUOS§
h33333tjhN«j.» fl o fl
fc
o
a
1909.
PUBLIC DOCUMENT — No. 23.
77
1 iH 1 1 1 1 1 1 1 [ 1 1 i-t |
O
1 — < 1 1 1 1 1 1 1 1 1 1 — c |
CO
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
1 1 1 1 — 1 -> 1 — 1 1 1 1 rH | r
OO
1 1 1 1 — l— • a -. — • I | l-H| |
»-
II 1 1 1 1 1 1
-
llllll—<— .|||,-,||
CO
t r ■ ■ i ■ i i i i i - — < i i
CVI
1 1 1 1 1 1 Hrt 1 1 1 1 1 1
CD
1 — ' 1 1 1 1 1 — li-H I 1 1 1 1
Oi
I - — i llltlllltfll
CO
1 1 1 1 1 1 1 ~- 1 1 1 1 1
CD
i i r i i i i i r i i — i i i t
<-*<
i i I I i i i i i I i I I I
~
i i i i i i i I i i — i i i
CO
I i i i I I i i i i i i i i
1
i i i i i i I i i i i i i I
1
i i i i i i I i i i i i i i
1
.HC, o «~^
CO
| HHrtHH IN | | | MnH
-*
■I 1 1 1 1 1 ^-.^rtr-Hrt | | |
as
o
H
arteriosclerosis, epileptic convulsions,
icute enteritis, exhaustion,
>ar,
;, chronic interstitial nephritis, .
;, chronic valvular heart disease,
emia, chronic interstitial nephritis, .
s,
s, angina ludovici, ....
3, muscular atrophy, arteriosclerosis,
s, chronic hepatitis, ....
s, pulmonic hemorrhage, .
s, chronic myocarditis and endocarditis,
1 tuberculosis, acute pulmonary congestioi
Respiratory system : —
Pneumonia, broncho,
Pneumonia, broncho,
Pneumonia, lobar, gen
Pneumonia, double lol
Pneumonia, hypostatic
Pneumonia, hypostati
Pulmonary oedema, ur
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary and genera
78
WORCESTER STATE ASYLUM.
[Dec.
c
O
"fc>
6h
1
O
3
•si^ox
III r- | 1 1 1 rH , 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
•sajBraa^
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sap3j\[
III - — r 1 1 1 1 t — 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
m
w
B
£
•srejox
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sareraajj;
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
■sarem
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
H
•spnox
-11 III- 1 1 1 1 1 1 1 1 1 1 1- 1
•sajBnia^
III 1 1 1 — 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
■sap in
-II 1 1 1 1 1 1 1 1 1 1 1 1 1 1 -. 1
. z *
13 a |z
•sp^ox
III II 1 1 1 1 1 1 1
•sajisniaj
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sal's pj
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
& -i
o 2 ,j
H w £
Sea
2 X «!
£ to j
•srnox
III 1 1 1 1 1 1 1 1 1 1 1 1 1
•Bareura^
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sarepi
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sps^ox
1 O 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
■sarBtaaj
III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•sarepi
[«5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
W
H
<!
H
P
o
02
H
02
o
Nervous system : — ■
Circulatory system: —
Acute cardiac dilatation, acute endocarditis, .....
Arteriosclerosis, general debility, .......
Cerebral thrombosis, arteriosclerosis, ......
Chronic valvular heart disease, .......
Chronic valvular heart disease, acute enteritis, ....
Chronic valvular heart disease, arteriosclerosis, ....
Mitral regurgitation, endocarditis, arteriosclerosis, ....
Myocarditis, endocarditis, arteriosclerosis, .....
General diseases: —
Acute enteritis, arteriosclerosis, exhaustion, .
Acute nephritis, cerebral congestion, arteriosclerosis,
Acute septicaemia, coleoseptitis, acute hepatitis, ....
Acute dysentery, pancreatitis, septiceemia, tertian malaria, .
Chronic interstitial nephritis, chronic myocarditis and endocarditis,
Chronic nephritis, chronic cystitis, rheumatism, ....
Carcinoma of breast and right lung,
Gastro enteritis, .endocarditis, arteriosclerosis, ....
Septicaemia, Huntington's chorea, .......
Uremia, chronic nephritis, chronic cystitis, chronic prostatitis,
Senile debility, chronic endocarditis, arteriosclerosis,
1909.
PUBLIC DOCUMENT — No. 23.
79
1 1 1 1 1 1 1
<N
1 1 1 1 1 1 1 1 1 1 1 1 1 1
i
1 1 1 1 1 1 1 1 1 1 1 1 1 1
CO
1 1 1 1 1 1 1 O) 1 | 1 1 | I
cq
1 1 1 1 1 1 1 -H 1 1 I 1 1 1
- 1
1 1 1 1 1 1 1 — 1 1 1 1 1 1
- 1
iM||i-l|||i-l||||||
CO
I 1 | <■ — 1 1 1 1 I 1 I 1 1 I t 1 CS)
• — 1 1 1 1 1 1 1 > — I 1 1 1 1 1 1
■*
1 1 1 [ 1 i I I J 1 1 ■ 1 1 — ■
~
III 1 1 1 1 —
rt
1 1 1 1 1 1 1 1 1 1 1 1 1 1
1
I 1 I [ 1 1 1 1 1 <-H 1 1 1 1
rt
1
1 1 1 1 1 1 1 1 1 —• 1 1 1 1
- 1
1 1 <-H 1 1 1 1 1 1 1 1 1 1 1
CO
1 I rH | | | | 1 | | | | | i
~
o
a
irteriosclerosis, epileptic convulsions,
unite enteritis, exhaustion, .
, chronic interstitial nephritis,
, chronic valvular heart disease, .
emia, chronic interstitial nephritis,
s, ...... .
s, angina ludovici,
s, muscular atrophy, arteriosclerosis,
s, chronic hepatitis,
s, pulmonic hemorrhage,
s, chronic myocarditis and endocardit
1 tuberculosis, acute pulmonary conge
1
Respiratory system: —
Pneumonia, broncho, :
Pneumonia, broncho, ;
Pneumonia, lobar, gen
Pneumonia, double lol
Pneumonia, hypostatic
Pneumonia, hypostatic
Pulmonary oedema, ur
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary tuberculos
Pulmonary and genera
"3
o
so
WORCESTER STATE ASYLUM. [Dec. 1909.
s
O
2*
H g
' S I^CJ,
^H | | | (NrHrtCOiOOO
*H
S
OS
^ CO
55 w
° 5
O
co
•saiBraajj
tH 1 1 IN 1 ln»<0
<*
1
-f
00
O
CM
Z
c
w 5
H CO
CD
CO
CO
2 a
•sajBi^
i
1 1 1 1 1 1H1-H 1 CMCM
CD
~
t^
CD
Q
*-■
<
(S
m
s
Eh
« CO
•spioi
,_,
i-H 1 1 1 MOhho
10
CO
^
O
O
CM
o
CO
^
■SSIBUW^
~H | | | | 1-1 | CI — C-
^
•*
CO
h! S
Sg
■sap3j\[
i
1 1 1 1 1 1 CM 1 1 CM
Tt*
CO
t*
as
-*
^
fc
55
•SIBJOX
i
1 Mil MM^OCO
CM
t*
CM
CO
CO
CO
o
o
P
1
H
«
t^-
CO
p
•sajBnia^
i
1 1 1 1 1 H | — l-*<M
00
<M
g
fc
m
1-1
H
o
-^ H —
B
W
CO
O
IS
■sapsj^;
i
1 1 1 1 1 i-i co eo to*
r^
«3
CM
CD
W
3 o
■^
CO
K
o
55
•sitnoj.
i
1 1 1 1 -HOtDOO^
CO
I
CM
CO
00
K b
H
K £
^
CO
co
•sajBina^
i
1 1 I 1 i — 1 1 rtCMlOrt
1
CO
CO 2
O H
H
U3
CO
O
«
•sajBH
i
1 1 1 1 1 NKSNlOn
CM
OS
1
s
CM
z 2
<g
o
O
TJ4
a
•ei^^ox
i
1 (ONNNlOCOiH | t-<
1*3
CM
!>•
CO
t^
61
O •
la 55
H O
CM
§
m CO
T-*
• sa^etae^
i
| <=-<» ^ — ■ t — ■ I - — ■ «=^» - — ■ ■ t
00
cq
t-
H
H 5
M
IO
£
P
•saj'BH
i
I r*< -H ~H CM Th -# 1 1 l-l
r^
10
CM
^
&-
■phj-p m co m co
13 (3 C3 f- s- ^ tn . .
c
a
.s
Q
O
c3
©
>>
' » S d »
X S fi E !h !>. >> >>
8
o
13 _ HM h
O c3
§
£
1 cq
H
1 o
- j-0000000§ _T
_jj rnrtmC0HC-l»O o .£§
fin
T3o
a "3
O 1 H rt CM O
t -1
c
13
d
o2
H .-SI & h
■dfi 2 >
.Sf3[x, J? O
ai
"c
tf
P
m
i
1
1
|
CO
>
1
<
pq
<
".'■"•■
■ ■■■■.,. ,'...,
,
::'", - ' - ■ ■■■"■ ::■:■:-■. .
