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

THIRTY-FOURTH ANNUAL REPORT 



WORCESTER STATE ASYLUM 



WORCESTER, 



Year ending November 30, 1911. 



CONTENTS 



PAGE 

Report of Trustees, 5g 

Report of Superintendent. .... 61 

Report of Treasurer, gg 

Statistics, ~~ 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo111worc 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

GEORGIE A. BACON, Worcester. 

SAMUEL B. WOODWARD, Worcester. 

GEORGE F. BLAKE, Worcester. 

LYMAN A. ELY, Worcester. 

THOMAS H. GAGE, Worcester. 

THOMAS RUSSELL, Boston. 

CARRIE B. HARRINGTON, Worcester. 



RESIDENT OFFICERS. 



ERNEST V. SCRIBNER, M.D.. 
H. LOUIS STICK, M.D., 
ARTHUR E. PATTRELL, M.D., 
B. HENRY MASON, M.D., . 
RANSOM A. GREENE, M.D., 
EFFIE A. STEVENSON, M.D., 
ABBIE S. FAY, . . . 



Superintendent and Treasurer. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Matron. 



NONRESIDENT OFFICERS. 

GEORGE L. CLARK, . . . . . . . Examiner. 

SUSIE G. WARREN, ........ Clerk. 

FREDERICK H. BAKER, M.D., .... Pathologist. 

FOREST A. SLATER, Engineer. 



60 WORCESTER STATE ASYLUM. [Dec. 

The two buildings for which an appropriation was asked two 
years ago are rapidly nearing completion and are, at the present 
time, to some extent occupied. Contracts for the buildings pro- 
vided for by last year's appropriations have been let; in each case 
the work of the contractors is to be supplemented by that of 
our own workmen and the labor of patients. 

During the year there have been but few changes in the medical 
staff. Dr. H. L. Stick has returned from his leave of absence and 
has entered with renewed vigor upon the work of the institution. 
Dr. J. H. Ranney has resigned in order to enter the service of 
another institution and Dr. Effie A. Stevenson has been appointed 
assistant physician at the colony. 

To the superintendent, the official staff and the employees the 
trustees would tender their thanks and appreciation for the faith- 
ful, efficient service rendered. 

Respectfully submitted, 

GEORGIE A. BACON. 
SAMUEL B. WOODWARD. 
GEORGE F. BLAKE. 
LYMAN A. ELY. 
THOMAS H. GAGE. 
THOMAS RUSSELL. 
CARRIE B. HARRINGTON. 



1911.1 PUBLIC DOCUMENT — No. 23. 61 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Worcester State Hospital, acting for the Worcester 
State Asylum. 

The thirty-fourth annual report of the superintendent of the 
Worcester State Asylum is respectfully submitted. 

Oct. 1, 1910, there were 1,101 patients in the institution, — 
508 men and 593 women. There have been received during the 
year 162 cases, — 99 men and 63 women, — making the whole 
number under treatment 1,263, — 607 men and 656 women. Of 
this number 6 men and 4 women were discharged into the com- 
munity; 3 men and 8 women were transferred to other places; 
2 men escaped and were not returned; 2 women went out on 
visit; and 28 men and 21 women died. Sept. 30, 1911, there 
remained in the institution 568 men and 621 women, — 1,189 
persons. Of the 74 who severed their connection with the insti- 
tution it is interesting to note that but 10 were discharged to re- 
enter the community. Of these cases 5 were improved and 5 not 
improved. 

The physical condition of those admitted during the past year 
has been better than in some previous years, but the patients 
have been on the whole rather more excitable and turbulent, mak- 
ing it more difficult to properly care for them. Notwithstanding 
this activity dementia is still the predominant mental condition. 
Primary dementia, alcoholic hallucinosis, imbecility and epileptic 
insanity were the prevailing mental states, in the order given. 
When more than half the admitted cases are deeply demented and 
a large percentage of the other half are imbeciles and idiots, it is 
not surprising that recovery and improvement do not figure laigely 
in our reports. 

In my last annual report I called your attention to the steadily 
diminishing death-rate of the institution. A still further diminu- 
tion has taken place during the past year, making the lowest mor- 



62 WORCESTER STATE ASYLUM. [Dec. 

tality ratio since the opening of the institution. Pneumonia stands 
first as a causative factor of death, with tuberculosis a close second, 
though this latter cause does not occupy as prominent a place as 
in many former years. 

The general health of the house has been good. Several cases 
of contagious disease occurred at the asylum. There were 2 cases 
of measles, the first being a nurse, followed at a later period by a 
patient. Both made a somewhat uneventful recovery. There 
were also 3 cases of diphtheria at the asylum. The first was a 
nurse, followed almost immediately by a patient and in a few more 
days by another nurse. These 3 people were promptly removed 
to the Worcester isolation hospital where they were well cared 
for. All recovered and returned to the asylum. Thirteen per- 
sons who had come into more or less intimate contact with these 
cases were given immunizing doses of diphtheria antitoxin. For 
some years it has been the practice of this institution to send its 
diphtheria and scarlet-fever patients to the hospital for such cases 
maintained by the city of Worcester and to pay their board there. 
This practice promptly removes sources of contagion from our 
large hospital population and has been found to entail a less 
financial burden than if a special ward were set apart here and 
special nurses detailed for service. 

With the evolution in the care and treatment of the insane each 
year the activities of the institution take on more varied forms. 
A greater degree of personal attention is given to the patients and 
a higher grade of service is required of the nurses. This necessi- 
tates more and better-paid employees. Last year the Legislature 
made a special addition to our maintenance appropriation in order 
that the assistant engineers might receive a substantial increase 
in wages. This will doubtless tend to a greater stability in serv- 
ice. While the rotation in employees is only a little less than last 
year, considerable less difficulty has been experienced in obtaining 
sufficient numbers and those applying have been of a rather 
higher grade. 

During the heated term of last July and August many of our 
patients suffered acutely, there being 9 cases of heat prostration 
with 3 deaths. Many of these were persons in generally feeble 
condition. One nurse was overcome by the heat, but did not at 
any time become critically ill. 



1911.] PUBLIC DOCUMENT — No. 23. 63 

At the colony 4 cases of typhoid fever occurred, all confined to 
the female wards. The first case was that of a domestic who was 
employed at the service building where the meals are served for 
the greater number of the female patients. This case was shortly 
followed by 2 patients who had contracted the disease and a Tittle 
later by still another patient. These persons resided in several 
different buildings, but were all served with food from the same 
source. Three of these cases have entirely recovered and the 
fourth seems nearly well. No other suspicious cases of disease 
now exist, and it is believed that this little outbreak has seen its 
end. The sanitary conditions at the colony are excellent and the 
water and milk supply above suspicion. There seems no reason- 
able doubt for the belief that the first case originated from causes 
outside the institution and that the patients contracted the disease 
from the employee. Three of these cases were treated with anti- 
typhoid vaccine and with good results. Immunizing doses of 
anti-typhoid vaccine were given to some 80 persons. In some 
few cases a slight febrile reaction ensued with a temporary feeling 
of malaise, but in no case were there any prolonged unpleasant 
symptoms. The experience of the United States army shows the 
value of this precautionary treatment, and its more extensive use 
would seem desirable. 

At the colony there has been a large amount of out-of-door 
work accomplished, in all cases largely by the labor of patients. 
Special nurses have been employed whose exclusive duties have 
been to interest patients in active employment and to supervise 
their work. Many of the recruits to these working crews have 
come from the most unpromising and incorrigible of our patients. 
The out-of-door women workers have had full care of the grounds 
around the wards of the female department, have done consider- 
able grading and filling, farm work, and much other work of a 
general character. The maintenance of this crew has not only 
been of individual benefit to its members, but has done much to 
promote the general peace and quiet of the wards. 

The male patients have assisted in the redemption of some 10 
acres of land which has been seeded down and next year will go 
to increase the amount of mowing lands. The great need of the 
colony is an increased hay production. While each year has seen 
a substantial increase in our hay fields, the asylum population has 



64 WORCESTER STATE ASYLUM. [Dec. 

increased by an equal or greater ratio, necessitating larger herds, 
so that there has been no great relative gain. 

Considerable road building has been accomplished, and grading 
and filling done around new buildings. The sewerage and water 
systems have been extended and perfected. The heating system 
of the No. 1 colony has been connected with the Elms, both groups 
now being heated from one central plant. Two large wagon 
houses have been erected, one at No. 1 and one at the Oaks, pro- 
viding shelter and storage for the colony wagons and farm ma- 
chinery. The street-lighting system has been extended. Perhaps 
one of the most important of the colony operations has been the 
construction of an ice pond and an ice house at the No. 2 colony. 
Formerly our supply of ice has been obtained from a pond outside 
our own premises and some 2 miles away. With the new arrange- 
ment there will be no cartage in the harvesting of the ice, the stor- 
age house being situated on the edge of the pond, the whole being 
so located as to provide for easy summer distribution to the differ- 
ent places of consumption. Much as has been accomplished, an 
untold amount of work remains yet undone. 

The farming operations of the past year have contributed in no 
small measure to the maintenance of the institution. The raising 
of poultry and the production of eggs have been successful and 
profitable. During a considerable portion of the year all the eggs 
consumed by the whole institution have been produced at the 
colony. 

At the asylum no special work of new construction has been 
entered upon. The work of general repair has been carried on, 
and considerable shop work done for the colony operations. 

At the Grafton colony the work of building and the general 
activities of colony development have progressed as rapidly as 
possible. Two dormitory buildings for 50 patients each are 
approaching completion and are already partially occupied. These 
are one-story wooden buildings with field-stone basement. They 
are so located that the basement is entirely out of the ground in 
the rear and largely so on the ends, the front alone being against 
a bank. This is a basement chiefly in name, and makes very proper 
and satisfactory day rooms, the upstairs part being devoted to 
single rooms and dormitories. These buildings have no guards 
at the windows. A good galvanized fly screen serves the double 



1911.] PUBLIC DOCUMENT — No. 23. 65 

purpose of keeping out flies and offers a slight resistance to exit 
that in the majority of cases is sufficient. 

The addition to the old farmhouse at the No. 1 colony is prac- 
tically completed. This gives, on the ground floor, a greatly 
enlarged and better arranged kitchen, with new cooking apparatus. 
It also provides a dining room entirely ample for the accommoda- 
tion of 40 to 50 employees. Upstairs are sleeping rooms for 18 
persons. Many of the employees who are lodged here formerly 
occupied rooms which are now devoted to the use of patients, thus 
indirectly increasing the accommodation for the insane. 

In regard to the special work authorized by the Legislature of 
last year, the appropriations became available at so late a date 
that construction is not as far advanced as usual. However, the 
foundations and stonework of the basements of the two buildings 
for 50 patients each are nearly completed so that the carpenter 
work of the superstructure can go on during the winter. 

The new boiler for the Elms has been delivered and is now ready 
for setting. It will soon be in commission and will increase the 
heating capacity of the plant and furnish a reserve in case of 
accident. This added steam capacity will make it possible to 
provide for the heating of other buildings which it is probable 
will be later on erected nearbj^. 

The storage building at the railroad side track and the house for 
female nurses are being erected wholly by contract. Work on 
these buildings is proceeding satisfactorily. It is expected that 
they will be ready for occupancy early next summer. 

The new dormitory buildings at the Grafton colony are simple 
and of a satisfactory type. It seems desirable to furnish addi- 
tional accommodation for 100 new patients for the coming year. 
To meet this need I respectfully recommend that your Board ask 
the Legislature for an appropriation of $40,000 for the erection 
and furnishing of two buildings for 50 patients each, these build- 
ings to follow the same plans as the dormitories now under con- 
struction. 

The female nurses will be well provided for by the new building 
for their use which is now under construction. The male nurses 
should now be given additional accommodation. To meet this 
need I respectfully recommend that your Board ask for an appro- 
priation of $29,300 for the erection and furnishing of a home for 



66 WORCESTER STATE ASYLUM. [Dec. 

male nurses, using the same plans as the nurses' home now under 
construction. 

Last year a request for hydrotherapeutic apparatus for some 
reason failed to be granted. The experience of other institutions 
has shown that much good can be accomplished by hydrotherapy 
in the treatment of mental disease. I respectfully recommend 
that your Board ask from the Legislature an appropriation of 
$2,400 to furnish and install hydrotherapeutic apparatus at the 
female department of the Grafton colony. 

I have again to thank all connected with the institution for the 
faithful service which in the main has been given. 

The Hospital Newspaper Society, as usual, has contributed a 
generous supply of books and papers. The Worcester Employ- 
ment Society has again done a large amount of sewing for the 
institution. Miss Frances M. Lincoln has given pictures and 
reading matter. 

E. V. SCRIBNER, 

Superintendent. 



1911.] PUBLIC DOCUMENT — No. 23. 67 



VALUE OF STOCK AND SUPPLIES 

Dec. 1. 1911. 



Food: — 

Provisions and groceries, $3,262 44 

Clothing and clothing material : — ■ 

Undistributed, 5,222 70 

Distributed, . 12,345 37 

Furnishings : — 

Undistributed, 3,308 73 

Inmates' department, . . 32,916 90 

Domestic department, 12,914 98 

Personal property of State in superintendent's department, . 6,55100 

Heat, light and power: — 

Fuel, 8,403 75 

Sundries, 160 65 

Repairs and improvements: — 

Machinery and mechanical fixtures, . . . . . 40,217 00 

Miscellaneous, 11,758 34 

Farm: — 

Product of farm on hand, 3,617 75 

Live stock, 17,719 00 

Miscellaneous, 10 : 926 02 

Miscellaneous: — 

Library, 1,555 00 

Hospital supplies, 1,359 81 

Sundries, 416 54 

$172,655 98 



WORCESTER STATE ASYLUM. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Worcester State Hospital, having in Charge the Wor- 
cester State Asylum. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending Nov. 30, 1911: — 



Cash Account. 



Balance Dec. 1, 1910, 



$4,884 70 



Institution Receipts. 








Board of inmates : — 








Reimbursements, insane, 




$7,878 47 




Sales : — 








Food, .... 


$75 98 






Clothing and materials, 


382 55 






Repairs and improvements, . 


12 68 






Miscellaneous, 


171 97 






Farm, stable and grounds: — 








Cows and calves, 


237 00 






Pigs and hogs, 


782 43 






Hides, .... 


13 45 






Sundries, .... 


11 73 


1,687 79 










Miscellaneous receipts: — ■ 








Interest on bank balances, . 


. $116 00 






Sundries, .... 


4 41 


120 41 








9,686 67 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations: — 

Balance of 1910 

Advance money (amount on hand November 30 

Approved schedules of 1911, . $236,647 48 

Less returned, . . . 62 80 



Special appropriations, 



Total, . 



$7,729 34 
15,000 00 



236,584 68 



259,314 02 
38,412 14 



§312,297 53 



1911.1 



PUBLIC DOCUMENT — No. 23. 



Payments. 

To treasury of Commonwealth, institution receipts, 

Maintenance appropriations : ■ — 

Balance November schedule, 1910, 
Eleven months' schedules, 1911, . 
November advances, . . 

Special appropriations : — 

Approved schedules, ..... 
November advances, ..... 



$12,614 04 

236,584 68 

8,912 63 



$38,412 14 
1,230 39 



$9,686 67 



258,111 35 



39,642 53 



Balance Nov. 30, 1911: — 

In bank, $4,185 97 

In office, ....... 671 01 

4,856 98 

Total, . . . $312,297 53 

Maintenance. 

Appropriation $259,934 40 

Expenses (as analyzed below), ....... 258,490 35 



Balance reverting to treasury of Commonwealth, 



$1,444 05 



Analysis of Expenses 




Salaries, wages and labor: — 


General administration, .... $34,015 43 


Medical service, . ... 






9,151 27 


Ward service (male), . 






18,830 37 


Ward service (female), 






19,021 74 


Repairs and improvements, . 






10,797 60 


Farm, stable and grounds, 






16,980 67 




$108 797 08 




Food: — 


Butter, $9,185 85 


Beans, .... 






924 98 


Bread and crackers, 






670 44 


Cereals, rice, meal, etc., 






1,273 88 


Cheese, 






815 70 


Eggs, .... 






1,276 70 


Flour 






8,556 23 


Fish, 






2,301 33 


Fruit (dried and fresh), 






3,245 55 


Meats, .... 






18,324 68 


Milk 






905 33 


Molasses and syrup, 






352 54 


Sugar, .... 






2,895 85 


Tea, coffee, broma and cocoa, 






1,805 08 


Vegetables, 






5,249 67 


Sundries, .... 






1,663 14 


Amount carried forward. 


59 116 95 




. $168,244 03 



70 



WORCESTER STATE ASYLUM. 



[Dec. 



Amount brought forward, ....... $168,244 03 

Clothing and materials: — ■ 

Boots, shoes and rubbers, .... $2,314 11 

Clothing, 9,159 11 

Dry goods for clothing and small wares, . 2,055 84 

Furnishing goods, ..... 8 20 

Hats and caps, 219 19 

Leather and shoe findings, . . . . 119 40 

Sundries, 291 33 







14,167 18 


Furnishings: — 

Beds, bedding, table linen, etc., 


$7,323 72 




Brushes, brooms, .... 


610 98 




Carpets, rugs, etc., .... 


303 83 




Crockery, glassware, cutlery, etc., 


472 17 




Furniture and upholstery, 


209 34 




Kitchen furnishings, .... 


533 32 




Wooden ware, buckets, pails, etc., 


164 15 




Sundries, ...... 


1,892 29 


$11,509 80 






Heat, light and power: — ■ 






Coal 


$24,053 16 




Freight on coal, 


1,014 39 




Gas, 


15 20 




Oil 


241 91 




Sundries, . . . . ... 


663 94 


25,988 60 






Repairs and improvements: — 






Brick 


$10 20 




Cement, lime and plaster, 


209 81 




Doors, sashes, etc., .... 


11 53 




Electrical work and supplies, 


734 91 




Hardware, ...... 


1,566 53 




Lumber, . . . . . 


1,528 41 




Machinery, etc., ..... 


313 74 




Paints, oil, glass, etc., .... 


2,858 68 




Plumbing, steam fitting and supplies, 


1,596 20 




Roofing and materials, 


180 08 




Sundries, ...... 


1,381 32 


10,391 41 


Farm, stable and grounds: — 




Blacksmith and supplies, 


$546 58 




Carriages, wagons, etc., and repairs, 


734 36 




Fertilizers, vines, seeds, etc., 


2,124 84 




Hay, grain, etc., ..... 


8,753 93 




Harnesses and repairs, 


233 83 




Horses, ...... 


850 00 




Other live stock, .... 


388 00 






180 91 




Sundries, ...... 


1,062 90 


14,875 35 








$245,176 37 



1911.1 



PUBLIC DOCUMENT — No. 23. 



71 



Amount brought forward, 




. $245,176 37 


Miscellaneous: — 






Books, periodicals, etc., . - . 


$448 10 




Chapel services and entertainments, 


1,046 79 




Freight, expressage and transportation, . 


1,359 86 




Funeral expenses, 


236 00 




Hose, etc., ...... 






Ice, . . . . . ~" . ■ 


29 00 




Medicines and hospital supplies, . 


1,398 47 




Medical attendance, nurses, etc. (extra), 


134 29 




Postage, ...... 


256 64 




Printing and printing supplies, 


177 04 




Printing annual report, 


114 63 




Return of runaways, .... 


83 58 




Soap and laundry supplies, . . 


2,673 83 




Stationery and office supplies, 


776 64 




Travel and expenses (officials) , 


379 11 




Telephone and telegraph, . . < 


545 44 




Tobacco, . . 


758 39 




Water 


1,745 58 




Sundries, ...... 


827 29 




Cemetery lot, ..... 


300 00 


13,313 98 






Total expenses for maintenance, 


$258,490 35 








Balance Dec. 1, 1910, .... 




$49,684 65 


Appropriations for fiscal year, . . . 




88,400 00 


Total 


$138,084 65 


Expended during the year (see statement annexed 


$38,412 14 




Reverting to treasury of Commonwealth, 


2 56 











Balance Nov. 30, 1911, 



$99,669 95 



Resources and Liabilities. 

Resources. 
Cash on hand, ....... 

November cash vouchers (paid from advance 
money) : — 

Maintenance, . . . . $8,912 63 

Specials, . . . . . 1,230 39 



Due from treasury of Commonwealth account 
November, 1911, schedule, .... 



$4,856 98 



10,143 02 
6,905 67 



$21,905 67 



Liabilities. 



Schedule of November bills, 



$21,905 67 



72 WORCESTER STATE ASYLUM. [Dec. 



Per Capita. 
During the year the average number of inmates has been 1,131.74. 
Total cost for maintenance, $258,490.35. 
Equal to a weekly per capita cost of $4,380. 
Receipts from sales, $1,687.79. 
Equal to a weekly per capita of $0,003. 
All other institution receipts, $7,998.88. 
Equal to a weekly per capita of $0,135. 



1911. 



PUBLIC DOCUMENT — No. 23. 



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74 WORCESTER STATE ASYLUM. [Dec. 1911. 



INMATES' FUND. 



Cash on hand Dec. 1, 1910, $3,400 64 

Received from inmates, $1,026 04 

Interest, national bank, 22 16 

Interest, savings bank, ..... 134 64 

1,182 84 

$4,583 48 
Cash refunded patients, 752 78 

Balance (savings bank, $2,334.64; national bank, $1,340.81; 
drawer, $155.25), $3,830 70 

Worcester, Dec. 13, 1911. 

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, 1911 ($258,490.35), and have found them properly scheduled 
and correctly cast. 

I also find in the hands of the treasurer $3,830.70 belonging to patients. 

GEO. L. CLARK, 

Examiner. 



STATISTICAL TABLES. 



[Form prescribed by State Board or Insanity.] 



STATISTICAL TABLES. 



1 . — General Statistics of the Year. 



Males. Females. Totals 



Patients in asylum Oct. 1, 1910 
Admitted within the year, 
Viz. : by transfer, . 
from visit, 

from visit, nominally, 
Whole number of cases in year, 
Dismissed within the year, 
Discharged, .... 

Viz.: as recovered at time of leaving 
asylum, 
as capable of self-support 
as improved, 
as not improved, 

Died, 

Transferred, . 

Escaped, 

On visit Oct. 1, 1911, 
Patients remaining Sept. 30, 1911 
Viz.: supported as State patients, 
as private patients 
as reimbursing patients 
Number of different persons within the year 
Number of different persons admitted, 
Number of different persons dismissed, 
Number of different persons recovered, 
Number of different persons discharged, ca 

pable of self-support, . 
Daily average number of patients, 
Viz. : State patients, 

private patients, . 
reimbursing patients, . 



508 

99 

95 

1 

3 

607 

39 



551 

17 

604 

96 

36 



514.65 
495.29 

119.36 



593 
63 
60 

3 

656 

35 

4 



2 
621 
594 

27 

653 

60 

32 



601.31 
572.11 

29.20 



1,101 

162 

155 

1 

6 

1,263 

74 

10 



5 
5 

49 

11 

2 

2 

1,189 

1,145 

44 

1,257 

156 



1,115.96 
1,067.40 

48.56 



78 



WORCESTER STATE ASYLUM. 



[Dec. 



— Received on First and Subsequent Admissions. 





Cases admitted. 




Males. 


Females. 


Totals. 


First (to this asylum), 

Second (to this asylum), 

Third (to this asylum), 


95 


60 


155 


Total cases, 

Total persons, . . . . 


95 
95 


60 
60 


155 
155 



— Ages of Insane at First Attack and Death. 



Died. 



AT FIRST ATTACK. 



Males. Females. Totals, 



AT TIME OF DEATH. 



Males. Females. Totals 



Congenital, 

15 years and less, . 

From 15 to 20 years, 

20 to 25 years, 

25 to 30 years, 

30 to 35 years, 

35 to 40 years, 

40 to 50 years, 

50 to 60 years, 

60 to 70 years, 

70 to 80 years, 
Over 80 years, 
Unknown, 

Totals, . 

Total persons, . 

Mean known ages (in years) 



28 

28 

36.41 



21 

21 

33.31 



49 

49 

34.90 



28 

28 

56.96 



21 

21 

53.33 



49 



55.41 



1911. 



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PUBLIC 

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DOCUMENT — No. 23. 


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A. — First admitted to any hospital when rec 
by institution from which transferrec 
Alcoholic insanity, acute, 
Alcoholic insanity, chronic, . 
Chronic delusional insanity, 
Constitutional inferiority, . 
Dementia, chronic, 
Dementia, primary, 
Dementia, primary, catatonic, 
Dementia, primary, hebephrenic, 
Dementia, primary, paranoid form, 

Dementia, senile 

Epilepsy 

General paresis 

Imbecile 

Imbecile moral, .... 
Imbecile with dementia, 
Imbecile with epilepsy, 
Involution, melancholia, 
Manic-depressive insanity, . 
Organic brain disease, . 
Syphilitic insanity, 


< 



79 



80 



WORCESTER STATE ASYLUM. 



[Dec. 



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I'UKM OF DISEASE. 


B. — All other admissions: — 

Alcoholic insanity, acute, .... 
Alcoholic insanity, chronic, .... 
Chronic delusional insanity, 

Dementia, chronic, 

Dementia, primary, 

Dementia, primary, catatonic, 
Dementia, primary, hebephrenic, 
Dementia, primary, paranoid form, . 

Dementia, senile, 

Epilepsy 

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Imbecile 

Imbecile, moral, 

Imbecile with dementia, .... 

Imbecile with epilepsy 

Manic-depressive insanity, .... 


Totals B 

Aggregate cases 

Aggregate persona 



1911. 



PUBLIC DOCUMENT — No. 23. 



81 





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82 



WORCESTER STATE ASYLUM. 



[Dec. 






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1911.] PUBLIC DOCUMENT — No. 23. 



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Respiratory system: — 
Asphyxiation, obstruction of oesophagus, 

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myocarditis 

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Pneumonia, tubercular, 

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1 



84 



WORCESTER STATE ASYLUM. 



[Dec. 



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1911 



PUBLIC DOCUMENT — No. 23. 



85 



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86 



WORCESTER STATE ASYLUM. [Dec. 1911. 



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Totals 

B. — Died: — 

Under 1 month, .... 
From 1 to 3 months, 

3 to 6 months, 

6 to 12 months, 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, . 

10 to 20 years, . 
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