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

t-«*-f >--/'»■ v""':" 





TWENTY-THIRD ANNUAL EEPOET 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending September 30, 1900. 



Digitized by tine Internet Arciiive 

in 2010 witii funding from 

University of IViassaciiusetts Amiierst 



http://www.arcliive.org/details/annualreportofwo89worc 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 

GEORGE W. WELLS, Sotjthbridge. 

ROCKWOOD HOAR, Woecester. 

THOMAS RUSSELL, Boston. 

SARAH E. WHITIN, Whitinsville. 

FRANCES M. LINCOLN, Worcester. 

SAMUEL B. WOODWARD, Worcester. 

THOMAS H. GAGE Worcester. 



RESIDENT OFFICERS. 

ERNEST V. SCRIBNER, M.D., Superintendent. 

THOMAS HOWELL, M.D., Assistant Physician. 

ABBIE S. FAY, Matron. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK Auditor. 

SUSIE G. WARREN Clerk. 

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

FOREST A. SLATER Engineer. 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, acting for 
the Worcester Insane Asylum, respectfully submit their twenty- 
third annual report. 

The past year has been one of activity at this institution. 
A larger number of patients have been cared for here than 
ever before, the daily average having been 470.18, and the 
number at the end of the year 482. This has necessitated the 
employment of a larger corps of nurses, and has occasioned a 
corresponding increase of medical and administrative work. 
Much has been done to elevate the general tone of the service 
and in various ways to improve the condition of the unfortu- 
nate people entrusted to our care. When we state that two of 
these asylum cases recovered during the year, encouragement 
is given to renewed effort. It is pleasant to recall that much 
work of value has been done by the patients in the various 
departments. Useful occupation cannot but add to the comfort 
and happiness of the inmates, as well as contribute to their 
support. 

During the year most important work has been accomplished 
here for the improvement of the institution. For a detailed 
account of these operations reference may be had to the 
accompanying report of the superintendent. The new congre- 
gate dining room, which has been opened in the male depart- 
ment, has proved of such value that the Board has deemed it 
advisable to make similar provision for the female department. 
This work is being prosecuted at the present time, and it is 
expected that the room will be ready for occupancy some time 
during the coming winter. 

The Legislature of last year appropriated the sum of twelve 
thousand dollars for furnishing the asylum with an electric 
lighting and power plant. This plant is now in operation, and 



60 WORCESTER INSANE ASYLUM. [Oct. 

not only furnishes the institution with a most perfect lighting 
system, but provides power for ventilating fans and for the 
operation of the various mechanical departments. The electric 
service, as now installed, is most complete and modern in every 
respect, and, together with the many other important improve- 
ments, easily places the asylum among the more completely 
equipped of the State's establishments for the care of the in- 
sane. 

The comparative freedom from acute disease among its 
patients attests the sanitary condition of the institution. 

The only change in the official staff of the asylum has been 
occasioned by the death of Mr. William Sherman, who has 
faithfully served the institution as engineer since its opening. 
Mr. Forest A. Slater has been appointed to the position thus 
made vacant. 

The intelligent and careful attention to interests of the insti- 
tution constantly shown by the superintendent, and the efficient 
work performed by his staff and assistants, have been in the 
highest degree satisfactory to the trustees. 

GEORGE W. WELLS. 
ROCKWOOD HOAR. 
THOMAS RUSSELL. 
SARAH E. WHITIN. ^ 

FRANCES M. LINCOLN. f 
SAMUEL B. WOODWARD. 
THOMAS H. GAGE. 



1900.] 



PUBLIC DOCUMENT — No. 23. 



61 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 
Thomas Howell, M.D., Assistant Physician, 
Frederick H. Baker, M.D., Pathologist, 
Abbie S. Fat, Matron, 
Albert Wood, Treasurer, 
George L. Clark, Auditor, 
Susie G. Warren, Clerk, . - 
Forest A, Slater, Engineer, 



^2,500 00 

1,200 00 

100 00 

400 00 

400 00 

50 00 

480 00 

1,000 00 



VALUE OF STOCK AND SUPPLIES. 

. Oct. 1, 1900. 



Live stock, $360 00 

Produce of the garden on hand, 942 33 

Cari'iages and agricultural implements, 460 00 

Machinery and mechanical fixtures, 9,000 00 

Beds and bedding in inmates' department, .... 9,000 00 

Other furniture in inmates' department, 3,500 00 

Personal property of State in superintendent's department, . 9,600 00 

Ready-made clothing, . . . . . . . . 2,466 47 

Dry goods, 758 91 

Provisions and groceries, 1,740 39 

Drugs and medicines, 300 00 

Fuel 1,600 00 

Library, 600 00 

Other supplies undistributed, 1,266 79 



$41,472 89 



62 



WORCESTER INSANE ASYLUM. 



[Oct. 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit my twenty-third annual report on the 

finances of the Worcester Insane Asylum for the year ending 

Sept. 30, 1900. 

Receipts. 

Cash on hand Sept. 30, 1899 : — 

Cash belonging to the asylum, .... 

Deposits of inmates, 

Amounts received : — 

From the Commonwealth for support of pa- 
tients, 

From cities and towns for support of patients, 

From other sources 

From patients, 



$10,995 99 




1,323 94 






$12,319 93 




123,272 27 




55,170 22 




782 89 




411 61 






79,636 99 






$91,956 92 



i 



The expenditures for the year have been as follows : — 



Salaries and wages, , 

Provisions and supplies : — 
Meat of all kinds, 
Fish of all kinds. 
Fruit and vegetables. 
Flour, . 

Meal for table, . 
Straw and meal, . 
Tea and coffee, . 

Amounts carried forward. 



$24,692 45 



f3,809 


62 


833 


60 


3,012 78 


3,069 


52 


42 


60 


• 63 


26 


886 99 



fll,708 37 $24,692 45 



1900.] 



PUBLIC DOCUMENT 



Amounts brought forward. 

Milk, butter and cheese, 
Sugar and molasses, . 
Salt and other groceries, 
All other provisions, . 

Clothing and material. 

Fuel and lights, . 

Medicine and medical supplies, 

Furniture and furnishings. 

Crockery, . 

Beds and bedding, 

Transportation, . 

Travelling, . 

Trustees' expenses. 

Soap, . 

Water, 

Stationery, . 

Undertaking, 

Repairs (ordinary), 

All other current expenses. 

Total current expenses, 
Repairs (extraordinary), , 
Refunded inmates (on deposits), 



Total amount expended. 
Cash on hand Sept. 80, 1900, 



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

Due from Commonwealth for support. 
Due from cities and towns, 



Liabilities. 
Due for supplies and expenses, . 
Due for salaries and wages. 
Due inmates (cash on deposits). 



fo. 23. 


63 


$11,708 37 


$24,692 45 


8,450 38 




1,239 73 




318 92 




2,874 80 


24,592 20 




$6,533 42 




4,051 04 




322 91 




1,672 48 




337 32 




643 01 




299 88 




163 63 




16 88 




810 70 




816 06 




98 49 




217 58 




9,994 07 




1,954 99 


26,932 46 




. 


$76,217 11 


$8,300 00 




218 59 


« R1« KQ 



34,735 70 
7,221 22 

91,956 92 



$7,221 22 




6,639 25 




14,184 65 


$28,045 12 


$6,521 17 


2,414 85 




1,512 93 






10,448 95 






$17,596 17 



64 



WOECESTER INSANE ASYLUM. [Oct. 



Special Appropkiation. 



Appropriation. 



Expended. 



Balance 
Oct. 1, 1900. 



For furnishing an electric light 
plant, 



$12,000 00 



$12,000 00 



EespectfuUy submitted, 



"WoKCESTEE, Mass., Oct. 1, 1900. 



ALBERT WOOD, 

Treasurer. 



Worcester, Mass., Oct. 25, 1900. 

The undersigned has this day carefully compared the treasurer's statement of expen- 
ditures for the year ending Sept. 30, 1900, with the vouchers which are on file at the 
"Worcester Insane Asylum, and finds it to be correct. He has also compared the amount 
of bills rendered for the board of patients with the estimated earnings of the institution 
for one year, and finds them to agree. 

GEO. L. CLARK, 

Auditor of Accomits. 



I 



1900.] PUBLIC DOCUMENT — No. 23. 65 



SUPERINTENDENT'S EEPORT. 



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

Insane Asylum. 

I respectfully present to your board the twenty-third annual 
report of the superintendent of the Worcester Insane Asylum. 

The oflScial year opened with 461 persons inmates of the 
institution — 216 men and 245 women. There have been re- 
ceived 35 men and 21 women, — 56 persons, — making a total 
of 251 men and 266 women — 517 patients — under treatment 
during the year. Of this number, 2 women were discharged 
as recovered, 1 woman as much improved, 1 woman as im- 
proved and 1 woman as not improved. There have been 30 
deaths — 11 men and 19 women. Sept. 30, 1900, there re- 
mained in the institution 240 men and 242 women, — a total 
of 482 patients. Of those discharged, 1 woman was sent home 
to her mother, 1 woman went home with her sister, 1 woman 
went home with her husband, 1 woman was transferred to the 
Medfield Insane Asylum and 1 woman was removed by the 
State Board of Insanity to be boarded out in a private family. 
Of those received, 10 men and 10 women came from Taunton, 
21 men and 10 women came from Westborough, 1 man came 
from Bridgewater, 2 men and 1 woman came from Tewksbury 
and 1 man came from the Boston Insane Hospital. 

The daily average number of patients cared for here during 
the past year has been 470.18, — the largest in the history of 
the asylum. The character of the patients admitted has been 
such as to greatly increase the difficulties of our hospital work. 
Not only have these persons been in an advanced stage of 
mental disease, but in very many cases physical disease has 
made serious inroads upon their vital powers. The tendency 
of advancing mental disease is always towards perversion and 
final obliteration of the mental processes. A careful physical 
examination of the patients received reveals the fact that or- 
ganic aflTections of the heart and marked kidney disease exist 



6Q 



WORCESTER INSANE ASYLUM. 



[Oct. 



in a large majority of the cases. In these cases of advanced 
disease it is easy to predict that active medical treatment can 
hope to secure, at best, little more than the amelioration of 
symptoms. 



Batio of Deaths from the Opening of 


the 


Asyl 


um to Oct. 


1, 1900. 








Deaths 


. 


















Per Cent on 


PpT CpTit mi 


OFFICIAL YEAR. 


Whole 
Number of 
Patients. 


Daily Average 

Number 

of Patients. 


■3 


a 

1^ 




Whole Number 

of Patients 

treated. 


Daily Average 

Number 

of Patients. 


1877-78, . 


429 


382.98 


18 


8 


26 


6.05 


6.78 


1878-79, . 


422 


367.41 


22 


11 


33 


7.82 


8.98 


1879-80, . 


413 


363.15 


15 


8 


23 


6.56 


6.33 


1880-81, , 


401 


363.09 


18 


6 


24 


5.98 


6.62 


1881-82, . 


439 


375.59 


21 


11 


32 


7.28 


8.51 


1882-83, . 


461 


384.33 


37 


24 


61 


13.23 


15.84 


1883-84, . 


438 


390.69 


22 


20 


42 


9.58 


10.75 


1884-85, . 


448 


391.12 


20 


14 


34 


7.58 


8.69 


1885-86, . 


476 


400.28 


23 


15 


38 


7.98 


9.49 


1886-87, . 


444 


393.52 


21 


17 


38 


8.55 


9.65 


1887-88, . 


451 


393.95 


23 


14 


37 


8.20 


9.39 


1888-89, . 


431 


385.56 


27 


11 


38 


8.81 


9.85 


1889-90, . 


428 


330.23 


27 


4 


31 


7.24 


9.38 


1890-91, . 


464 


394.66 


22 


12 


34 


7.32 


8.61 


1891-92, . 


499 


427.82 


22 


15 


37 


7.41 


8.64 


1892-93, . 


519 


446.94 


38 


20 


68 


11.17 


12.97 


1893-94, . 


515 


442.23 


22 


21 


43 


8.35 


9.72 


1894-95, . 


504 


460,68 


22 


24 


46 


9.13 


9.99 


1895-96, . 


467 


427.36 


16 


19 


35 


7.49 


8.19 


1896-97, . 


465 


438.14 


11 


15 


26 


5.59 


5.93 


1897-98, . 


457 


428.16 


6 


15 


21 


4.59 


4.90 


1898-99, . 


493 


433.81 


15 


12 


27 


5.47 


6.22 


1899-1900, 


517 


470.18 


11 


19 


30 


5.80 


6.38 



Several cases of contagious disease occurred among the 
employees during the year, — measles, German measles and 
mumps. These cases were promptly isolated, and, save in 
one instance, the disease was confined to the individual first 
attacked. Prompt recovery followed in all cases. No patients 
were attacked. As a rule, in the cases of contagious disease 
which have occurred here, patients have enjoyed a remarkable 
immunity. This is, perhaps, to a great extent accounted for 
by the fact that the majority of our patients are of middle age 
or beyond, and have doubtless passed through these diseases 
in early life. Acute disease of any kind has been rare. But 
one death from acute disease has occurred during the year, and 
that in the case of a man greatly enfeebled from other causes. 



1900.] PUBLIC DOCUMENT — No. 23. 67 

The percentage of deaths from all causes, though a fraction 
above that of last year, is still very low. For some years I 
have predicted an increase in this ratio, and still feel that it is 
likely to occur at any time. The constantly improving sanitary 
condition of the institution has doubtless done much to hold in 
check the ravages of disease. 

To properly care for our people, it has been found necessary 
to add considerably to the number of nurses employed and to 
adopt special measures and precautions. The night service in 
the female department has been increased. In one ward are 
collected together as many as possible of those cases which by 
reason of special mental or physical infirmity need increased 
attention. In charge of this ward a special night nurse has 
been placed, whose sole duty it is to attend to these particular 
people. This arrangement has been a very satisfactory one, 
and has added greatly to the comfort and welfare not only of 
the individuals most directly concerned, but of all their asso- 
ciates. If we would secure the best results in the treatment 
of chronic disease, special effort must be made that the indi- 
viduality of the patient is not merged in the mass of cases with 
which he is surrounded. 

The special lectures to nurses have been continued, as in 
former years. In pursuance of the plan which was outlined 
in my last annual report, another of our head nurses has been 
given a term of service at the Worcester City Hospital. I can- 
not too highly recommend to your Board the continuation of 
this practice, which you have authorized, of aflbrding to certain 
of our nurses the additional experience which a general hospital 
alone can give. The association of nurses with patients is so 
close and the relation so intimate that nothing can be done to 
increase the intelligent service of the one without its reflection 
in the increased well-being of the other. 

While the employment of patients has always been deemed 
of the greatest importance here, special effort is now being 
made to develop more fully our industrial possibilities. The 
housekeeping of the wards, the work of the kitchen and laun- 
dry, the care of the garden and of the grounds have long af- 
forded profitable employment for our inmates. To supplement 
this work by the establishment of special industries will open 
up a new field of labor, which will doubtless appeal to and 



68 WOECESTER INSANE ASYLUM. [Oct. 

interest many who have hitherto declined to busy themselves. 
In the sewing room the female patients have long rendered 
efficient service in the repair and manufacture of clothing. 
The pressure of general work there has rendered it impossible 
to give to the men's clothing that attention which would seem 
desirable. A repairing department, under the care of an ex- 
perienced man, has been established, to give special attention 
to the clothing of the men. This work has started in with 
every promise of success. The great abundance of material 
for profitable work has so far confined us to the general work 
of repair, but it is expected that this beginning is but the 
nucleus which will develop into more extensive manufacturing. 
The patients who are now employed in this work are all men 
who have either previously declined to render assistance at all, 
or whose work in other departments has been of such character 
as to be valueless. Thus it will be seen that in establishing 
this industry and entering a somewhat difierent field the re- 
sults will prove a net gain, both to the patients and to the 
institution. I feel persuaded that many others of our patients 
whom we have hitherto considered incorrigible in the matter 
of work, when properly approached with something which in- 
terests them, will accept employment. 

One of the important occurrences of the year has been the 
completion and occupancy of the new congregate dining room 
for male patients. This dining room does not accommodate 
all of the men, but provides for the more disturbed and de- 
mented class, — the class of all others which has needed more 
individual attention. Not only are the meals better served, 
but a closer supervision is possible, and many patients who 
formerly could not be taken care of in the dining room now 
come and eat with the others. This change has been attended 
with even more satisfactory results than was anticipated. The 
new arrangement has been a welcome one in other ways. The 
old dining rooms are now used for sleeping rooms, and thus 
enlarge the capacity of the male department by about fifteen 
patients. Work is now in progress on a dining room of simi- 
lar character for the female department. It will be possible 
there to occupy a larger floor space, and thus provide a more 
convenient room. This is most fortunate, as the female de- 
partment is much more crowded than the male. Here again 



1900.] PUBLIC DOCUMENT — No. 23. 69 

the old dining rooms can be used for ward purposes, thereby 
enlarging the capacity of this department by about fifteen pa- 
tients. Thus the occupancy of these two dining rooms will 
not only appreciably increase the efficiency of the service, but 
the capacity of the institution as well. 

Last year the Legislature granted an appropriation of twelve 
thousand dollars for furnishing this institution with an electric 
plant. By the aid of this appropriation a great work has been 
accomplished in our engineering department since my last re- 
port. A first-class electric plant has been installed here for the 
furnishing of light and power. Our engines and generators 
have been installed in duplicate, as an insurance against interrup- 
tion of the service. Machines have been provided of sufficient ca- 
pacity to allow of considerable expansion over immediate needs. 
This is by far the most important addition to the equipment of 
the institution that has been made in recent years, and is far- 
reaching in its efiects. Everywhere the influence has been felt. 
Many desirable possibilities are now within reach. With the 
introduction of the electric light not only has a great source of 
danger been withdrawn from our wards but a source of atmos- 
pheric pollution as well. The safety and flexibility of the ser- 
vice alone would warrant its introduction. Electricity not 
only lights our lamps, but turns the motors which furnish 
power for the carpenter shop and laundry. Still another 
motor drives the large fan which day and night pours an un- 
ceasing flood of pure air into our wards. The influence of 
this constant and efficient ventilation cannot be overestimated. 
Since the introduction of electricity many dark corners have 
been illuminated where formerly the employment of gas was 
attended with such an element of risk as to practically forbid 
its use. In all corridors, stairways and water-closets a light 
is maintained all night, rendering the use of lanterns a matter 
of only occasional necessity. 

Another important application of electric power has been its 
use in heating apparatus. With power derived from a metered 
service we might not find this a profitable thing to do, but un- 
der our conditions, driving our engines with steam which is 
afterwards used for heating purposes, the situation is far diflTer- 
ent. In our medical work the electric heating pad, with its 
dry, efficient and constant heat, proves a most satisfactory sub- 



70 WORCESTER INSANE ASYLUM. [Oct. 

stitute lor the old leaky hot- water bottle ; the portable electric 
fan gives special ventilation to the sick room, and refreshes 
and restores our patients in the heat of summer ; the electric 
stove has proved of great convenience in the warming of food 
and in the preparation of special diet. All these conveniences 
have increased the efficiency of the service in the ward work. 
Another most important application of electric heating has 
been in the equipment of our laundry with electrically heated 
smoothing irons. For several months all of the laundry irons 
have been heated by electricity, and a very satisfactory service 
has been given. With these irons a larger amount of work 
can be accomplished with the expenditure of less bodily energy 
than under the old arrangement, as the constant heat main- 
tained renders needless that frequent interruption of the ser- 
vice which was formerly necessary for changing irons. A 
large coal stove has been displaced at the laundry, with a very 
considerable saving in coal as a result. Since this change was 
made, our engineer has been unable to observe any increase 
in the amount of coal consumed in our power plant. The cen- 
tralization of fuel consumption is attended by very many econ- 
omies. A more extended application of electricity for minor 
heating purposes is contemplated. 

To provide a place for our engines, an addition has been 
made to our laundry building. This addition was carried to 
the same height as the old building, — three stories. The 
ground floor is occupied as an engine room ; the upper floors 
are utilized for work rooms. Considerable of this additional 
space has been devoted to the purposes of the sewing room, 
aflfording great relief in this department, which has long suf- 
fered from inadequate accommodations. This building has 
been erected from current funds. 

So much of reconstruction and repair has been carried on 
here within the past few years that I deem it fitting to call your 
attention to something of the way in which this has been accom- 
plished. Allow me to state that but two legislative appropria- 
tions figure in the entire history of the institution, the first 
made necessary by a somewhat extensive fire, the second and 
last for the installation of an electric plant, — both necessary 
expenditures too large to be taken care of from our ordinary 



1900.] PUBLIC DOCUMENT — No. 28. 71 

resources. All the work has been accomplished from current 
funds. Our ease of access to the excellent markets of Worcester 
has contributed in no small measure to the successful manage- 
ment of our finances, and has rendered possible many results 
that would have otherwise been unattainable. The work of im- 
provement in this institution, undertaken primarily in the line 
of general repair, early assumed the character of reconstruc- 
tion. In formulating our plans the urgent and increasing 
necessity of the State for the accommodation of its insane has 
been borne in mind, and, wherever possible, with the increase 
in efficiency an increase in capacity has been provided for as 
well, so that the asylum now furnishes accommodations for con- 
siderably greater numbers of the insane than were formerly 
cared for here. This institution is to-day more completely 
equipped for its special work than ever before in its history'', 
and no longer represents the old, but rather the new, provision 
of the State for the care of the insane. 

In the renovation of the institution the work accomplished 
has been of the most substantial character. Special attention 
has been given to the lesseoing of fire risks. In the buildings 
occupied by patients all of the walls are of brick and plastered 
directly upon the masonry. In the great majority of ceilings 
metallic lath has been used, nailed directly to the under side of 
the floor timbers, making a closed pocket of the space between 
each two timbers, like the water-tight compartments of the 
modern ship, efiectually confining and limiting the spread of 
fire. Special interior stand-pipes have been provided through- 
out the wards, connected with the city high-pressure water 
service, with hose sufficient to reach the entire length of the 
buildings. No ward has less than two exits, remote from each 
other, and all of our larger wards have each three exits. The 
more recent stairways have been built of iron, with the landings 
of masonry. Special hand extinguishers have been placed in 
various parts of the building. 

Since my last report the asylum has lost a most faithful ser- 
vant by the death of our engineer, Mr. William Sherman. I 
desire to express my appreciation of Mr. Sherman's character 
and of his many 3'^ears of service here. Mr. Forest A. Slater, 
a capable and efficient man of long experience here, has been 



72 WORCESTER INSANE ASYLUM. [Oct. 1900. 

promoted to the position of engineer. No other change has 
taken place among the officers. 

I wish to acknowledge my indebtedness to the officers of 
the institution for the faithful and efficient support which they 
have at all times given me. The employees in the main have 
rendered faithful service. 

Special effi^rts have been made to entertain and interest the 
patients by dances, chapel entertainments, card parties and in 
various other ways. 

The publishers of the Worcester "Evening Gazette" have 
contributed a copy of their paper. The Hospital Newspaper 
Society has given many books and papers. Mr. A. S. Lowell 
and various other friends have given miscellaneous reading 
matter. 

E. V. SCRIBNER, 

Superintendent. 



REVISED TABLES 



Uniform Statistics 



MASSACHUSETTS HOSPITALS AND ASYLUMS 
FOR THE INSANE. 



Appbotbd by the State Board op Lttnact and Ohakitt, 
March 10, 1891. 



K 

8 

^ 



'i^ 






05 







1-i?o^^lOG<^T-(THl-l 


1 CM »o t^ 1 t^?ocMc»»oeo 




1 


?o lO »-i CO 


CO <X) lO CM 1—110 >-l CM 05 




Tt< lO 


-* I-H CO lO ... 




O 




10 ^ 




6h 




t^ ^ CM 


to 

id 






-^ T-l CO 








E-i 


08 


iO-h«5-*(Ni-i»-It-I 


lOSCMuOt^ 1 tOi— l<MC0G0»O 


< 


— 1 


'^ (M «0 CM 


l-l■^CO^^ tOCM CMOiCM 


1 


<M CM 


CM 1-1 CM ... 


tf 




lO CO 1— 1 


3 


iS 




'^ «0 GC 


->1 




CM — . 












^5 "O — ' ^ 1 1 1 1 


|i~<000 1 i-iiO l»OI^GO 




s 


T-H CO lO tH 


i-i^05io oco ascMi» 






(M CM 


CM 1-1 CM ... 






-* i-< CO 






(M QO -^ 








CM —I 




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1 1 1 1 1 1 1 1 1 1 1 1 




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1 1 1 1 1 1 1 1 


1 1 1 1 1 1 1 1 1 1 1 1 


g 
S 








2; 














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1 1 1 1 1 I 1 1 


1 1 1 1 1 1 1 1 1 1 1 1 


> 


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iiiiii iiiiii 




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C« 


1 1 1 1 1 1 1 1 


1 1 1 1 1 1 IIIIII 


-< 


1 






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1 1 1 i 1 1 1 1 


IIIIII IIIIII 


Q 


OS 

a 






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i 


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3 










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1 1 1 1 I 1 1 1 


IIIIII IIIIII 






i— i!Ot^»OCM»-ii-(i-i 


lOCMuOt^ 1 t^OCMOO'OCO 




■3 


to lo 1-1 CO 


COGOUOCM 1— iiO i-iCMOi 




^ o 


rfi 1— 1 CO »0 ... 




o 




»o ^ 




Eh 




t^ ^ CM 


H 






-ri< ~- m 


oJ 


"O'-ii0-+i(M»-ii-li-l 


lOiCMiCO- 1 CO»-i(MC0GC»O 


z 


f-J 


•"* CM CO CM 


i-l^iXit^ COCM (MOJiM 


<! 


§ 


CM CM 


CM 1-1 CM ... 


^ 




ici CO 1-1 




fe 




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CM »H 




tOiO-^ i-l 1 1 1 1 


l-HOOO 1 T-i 10 1 10 i^ 00 




qj 


1-1 CO lO i-l 


1— i-^OiuO OCO 05CMC0 




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CM CM 


CM 1-1 (M ... 




a 




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CM — 






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s 


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^ -^ 






^ ... 


02" a 






a> 


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^-T 15 "tS !^ t" <^ 
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a. ^6 S ■ ^ 






rH 1^ S'^ 0^ a a 2 
.a ^ 5 cu "rt a .rt a 

ccSa^'^cccBaitn 

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a S^=3 « rt <u ^--c S a a 

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^ • --^ ^ '=' ■ ei C, <0 ^ ^ 












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QPHt> ;iq c^a-iQt> 



76 



WOKCESTER INSANE ASYLUM. 









o^ 





W 
H 

M 

m 

H 

H 

«! • 

0-1 a 
o o 
o 


5 

O 


t>. (N <M CO CO 00 50 
t> t^ CO (M 00 05 ^ CO OS t^ 

CO ^ CN CM i-H l> 05 CO 

CO lO 10 10 "O lO CO 00 r^ CO 00 00 

"'^ ^^ ^^ ^^ "'^ "^^ '^^ ^7^ ^'T^ "^ ^^ ^^ 


470.18 




ca 

a 


CO t^ CO (Tfl t^ CO CO 
OOt^ T-iO^OOCNCO'O C^ 

^ (>3 05 CS> 06 CO '^ CO (M '^ 1 "O 
•*'#-^ COCOCO-<*'»OuO»OiO'* -^ 
<N G<1 <N (N CM OJ (?» CM <M (M (N <M G^ 




■3 


t>. «o COCOCOOOCO 10 
CO T-l 000(Mt>.05C<l Oi 

COlO'* COCOCOt>CO-^C00501 -^ 
•I— Ir-c,— 1 1— 11— i.-l.-(tO(MCOCOCO <M 
CM CM (M (M CM (M CM C^ (N (M (>> (M C^ 




i 


3 


H 


(MCOi— 1 i-H |i— IrHCOCMCMCOlO 


1 

CO CO 




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a 


(MrHi-l 1 |T-i|COr-l,-i^lO 


05 05 1 

T-\ 1— 1 




1 


ICMI i-H| |rHCOt-l,-l(?q| 


tH »-t 1 
i-H 1—1 




CS 

a 

s 


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<MCO(M (MlT-l^l^G<l<Mt-CO 


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CO CO 




a 
fa 


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^ '^ 1 

CM (M 




1 


ICMi .Hi ItHCOt-Hi-ICMI 


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'A 
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1899. 
190O. 


Total of cases, .... 

Total of persons, 

Daily average, .... 




October, . 
November, 
December, 

January, . 
February, . 
Mai'ch, 
April, 
May, . 
June, 
July, . 
August, 
September, 



1900.] 



PUBLIC DOCUMENT — No. 23. 



77 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times pbeviodslt 
recovered. 


NUMBER OF ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


35 


20 

1 


55 
1 


- 


- 


- 


Total of cases. 
Total of persons, . 


35 
35 


21 
21 


56 
56 


- 


- 





4. — Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for the insane, . 


- 




- 


Former inmates of this asylum only, 


- 


- 


- 


Former inmates of other hospitals only, . 


35 


20 


55 


Former inmates of this asylum and other hos- 
pitals, 


- 


1 


1 


Total of persons, 


35 


21 


56 



5. — Parentage of Persons admitted. 



PLACES 


Males. 


Females. 


Totals. 


OF NATIVITY. 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, . 
Total, . 


35 


35 


21 


21 


56 


56 


35 


35 


21 


21 


56 


56 














• 



78 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 



PLACES. 



Males. 


Females. 


Totals. 


1 




1 


1 


_ 


1 


_ 


1 


1 


_ 


1 


1 


6 


4 


10 


3 


1 


4 


1 


_ 


1 


20 


13 


33 


3 


1 


4 


35 


21 


56 


28 


17 


45 


7 


4 


11 



Massachusetts : — 

Barnstable CouBty, 
Bristol County, 
Dukes County, 
Essex County, . 
Middlesex County, . 
Norfolk County, 
Plymouth County, . 
Suffolk County, 
Worcester County, . 

Totals, 
Viz.: cities and towns, . 
country districts, 



7 





Civil Condition of 


Persons admitted. 










Unmabeibd. 


Maeeied. 


Widowed. 


Unknown. 


Totals. 


NUMBER OF THE 






















i 






0) 




ADMISSION. 


m 


a 






a 






C3 






ta 






cs 






C3 


y 


o 


CO 




o 






o 
El 






o 
Eh 




a 


o 
E-i 


First, 


13 


13 


26 


18 


6 


24 


1 


1 


2 


3 




3 


35 


20 


56 


Second, . 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Third, . 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


- 


Fourth, . 


- 


- 


- 


- 


- 


- 


- 


1 


1 


3 





3 


35 


1 
21 


1 


Totals, 


13 


13 


26 


18 


6 


24 


1 


2 


3 


56 



8. — Occupation of Persons admitted. 



MALES. 



Brass finisher. 
Cabinet maker. 
Engineer, 
Farmer, . 
Laborers, 
Mason, . 
Machinist, 
Metal polisher, 
Merchant, 
Peddlers, 



Piano polisher, .1 

Printer, 1 

Saw flier 1 

Shoemakers 2 

Trainman 1 

None 6 

Unknown 2 

Total 35 



FEMALES. 



Boxmaker, 1 

Domestics, 6 

Housekeepers, 3 

Housewife 1 



Printer 1 

None 9 

Total, 21 



WIFE OR DAUGHTER OF — 



Unkaown, 
Total, . 



1900.] 



PUBLIC DOCUMENT — No. 23. 



79 



TS 






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s 

6 



Oi 





00 
Eh 

> 


p « M 
w a 


o 

0! 


r 1 1 1 1 1 r I 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 1 1 1 1 1 1 1 1 1 1 


1 




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H Eh 
K EH 
Ph < 


o 


1 1 1 r I 1 1 1 1 1 1 1 1 1 1 






i' 






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w 


K 
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< 

td 


S 1 

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H Ph O 
tf Ph 

w 2 
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Eh 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 




6 


1 . 




a 


1 




05 • 

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S o 

t> ■< 

H Eh 
K EH 


o 
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1 
1 1 1 1 1 1 r 1 1 1 1 1 1 1 






II 1 1 1 1 1 1 1 






1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 






S i 

R Ph 5 
H Ph O 
Ph I^ 

s 2 

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o 

Eh 


iH(Nl-llli-l|| ll(Ml-lrH05 






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1 1 1 1 1 <H 1 1 II rtrH 1 1 M 




§"5 

2g 

M Eh 

P! H 


o 

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ll'llllrH Illltr-joO 






1 1 1 1 1 1 1 1 1 1 1 1 in 1 O 




lllllll"-! IIII(M CO 




EH 
Eh- 

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11 

gPH 


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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 1 1 1 1 




a 
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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




50 

R 


1 


1 1 1 1 1 1 1 I 1 1 1 1 1 


1 




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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




a 


1 1 1 1 1 1 1 1 1 1 




Izi 

M 


o 
Eh 


■* to rH to iH ■<il rH CO iH r-l(M CO 03 jto 






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a 


rHIM l-*i-l^,HM 1-1 IiHMtH juS 

r-l 1 eo 






03 
02 

o 




1. — Physical : — 

Epilepsy, . 
Ill health, . 
Insomnia, . 
Intemperance, . 
La grippe, . 
Masturbation, • 
Senility, . 
Syphilis, 

2. — Mental: — 

Congenital, 
Desertion, . 
Heredity, . 
Overwork, . 
Unknown, . 


"a 
o 
Eh 



80 



WORCESTER INSANE ASYLUM. 



[Oct. 






'S 



ts 
e 



a 

o 



(^ 












«o 


1 




1 


l-H 


1 


eo 


(M 


1 






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a 
























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1 




1 


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1 


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05 


1 






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M 
























a 
























o 


























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1 




1 


1 


1 


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1 






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eo 














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1 


1 




1 


1 


1 


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, 


1 




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M 
























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1 




1 


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1 




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1 


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1 


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pj 
























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la 














































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PUBLIC DOCUMENT — No. 23. 



81 



a 
S 
S 

z 

o 

i 


Q 

O 

g 
H 
H 
■< 


■3 

El 


1 1 I T-H 1 7-1 Tj^ 10 '^H 5D t^ T-l tH 1 


30 
63.63 




S 


1 1 Ii-l|rH(MeO(NeOCOt-l| 1 


19 
56.52 




3 


1 1 1 1 1 |C^<M<MeOi-l|iH! 


11 

48.63 




o 

EH 
H 


■5 




T-ll |i-l«OCOr-HDiO<MI 100 1 


30 
29.93 




"3 

a 
St 


y-t \ li-l(M.-li-(iO^I 1 1^1 


19 
30.52 




OS 


1 1 1 |i-l<N|i-li-l(MI I'*! 


11 

28.90 




hi 

i 

o 
X 

< 
o 


a 

H 

i 
i 

IS 

S5 
O 

K 
» 


Q 
H 

ts 


1 



1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 1 




"3 
§ 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 1 




1 


i 1 1 1 1 1 1 I i 1 1 1 1 1 


1 1 




H 
US 

5 


"3 



1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 1 




"3 
I 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 1 




■3 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 

1 


1 1 




AGES. 
















- •KnmfnKammmm'£ • • • 
■^ u, u< ;-> ^ ;-> u u t^ 
r>c3c3<^c3c^^^^c3 

. g P>i t>> !>5 >^ l>i (>5 P-% >^. t^ ^ . , 

'—'Oiooira 00000 m 

rj-<MtMCOCO^uO«3t-CO j- 

r-'goooooooootu ^oT 

•r- MuOOuOOiOOOOO^ > c3 
C ^T-l(M(MCOCO'#iOeOI>S g M 

toD « a -M s --i 


Total of persons. 
Mean ages. 





82 



WORCESTER INSANE ASYLUM. 



[Oct. 



12. — Reported Duration of Disease before Last Admission. 





First Admission to 
Ant Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DUKATIOX. 


« 
S 


"3 
i 




"a 


a 


o 


1 


"3 

a 
i2 


■3 


in 


Congenital, . 
Under 1 month, . 
From 1 to 3 mouths, . 

3 to 6 months, . 

6 to 12 months, . 

1 to 2 years, . 

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

10 to 20 years, . 
Over 20 years. 
Unknown, 
Not insane, . 


- 


- 


- 


1 

4 
15 
5 
3 
2 
5 

35 

35 

6.11 


1 

4 
7 
2 
1 
6 


1 

19 

12 

5 

3 

11 


1 

4 
15 
5 
3 
2 
5 


1 

4 
7 
2 
1 
6 


1 

6 

19 

12 

5 

3 

11 


Total of cases. 
Total of persons, . 
Average in years, . 


: 


- 


21 

21 

5.52 


56 

56 

5.89 


35 

35 

6.11 


21 

21 

5.52 


56 

56 

5.89 



PUBLIC DOCUMENT — No. 23. 



83 



n 

w 

D 

a 
< 
w 

o 

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B 


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saiBcaajg; 


lrHOIICC«l|(N 1 1 


as OS 




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i-H IH 










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12; 


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1 1 t 1 1 1 1 1 1 1 1 1 






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1 1 1 1 1 1 1 1 1 r 1 1 


1 1 




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1 1 r 1 1 1 1 1 1 1 1 1 


i 1 




n 
§ 

M 

EH 
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1 1 1 >H ( 1 t 1 1 1 1 1 


« rH 




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1 1 1 i-i 1 1 1 1 1 1 1 1 


r-t iH 




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1 1 1 1 1 1 1 1 1 1 1 1 


i 1 










o 
a 


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1 1 1 l-H 1 1 1 1 1 1 1 1 


iH iH 




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1 1 1 i-i 1 1 1 1 1 1 I 1 


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1 1 r 1 1 1 1 1 1 1 1 1 


1 1 




p 

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a 


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1 1 1 1 1 rH 1 1 1 1 1 1 


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1 1 1 1 1 IH 1 1 1 1 1 1 


tH i-I 




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1 1 1 1 1 J t 1 1 1 1 1 


1 1 




d 

P5 

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r 1 1 1 1 1 1 1 1 1 1 1 


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lTlllM«llNa>CqrHQ0>O 1 1 


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eq N 




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IINCOrHCqitSI I00-* 1 1 


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S 

o 
o 




a 
m o 

g 2 

o o 
o o 




A. — Insane: — 

Alcoholic insanity. 

Congenital deficiency. 

Dementia, chronic, 

epileptic, 

senile, . 

Mania, chronic, 

recurrent, . 

Melancholia, chronic. 

Paresis, . 

Primary delusional in 
sanity. 

B . — Habitual drunkards, 
C — Voluntary patients, . 





84 



WORCESTER INSANE ASYLUM. 



8 

o 






?55 



« 
-< 








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CO 


'^ 


CO 


CO 




O 














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1—1 


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1—1 






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CO 


CO 




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«o 


CO 


o> 


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>— 1 




1—1 


T— 1 












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1-1 






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1 




1 


1 




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3 


























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1 




1 


1 




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1 




1 


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1-1 


1—1 




tn 














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l-i 




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1-1 




























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1—1 




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> 
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1—1 


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1 


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PUBLIC DOCUMENT — No. 23. 



85 





•sib;oi, 


(M 1-1 1-1 


1-1 iH 
1-1 


i-i«Oi-iTHi-ii-icqTH 


o 


1-1 


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1-1 1 1 


OS 1 


1 ■* 1 1—1 1 rH (M tH 




o 












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1-1 1-1 rH 


(N tH 


r-l (M ,-( 1 1-1 1 1 I 


1—1 

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1 1 1 


1 1 


1 1 1 1 1 1 1 1 


, 


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1 1 1 


1 1 


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1 1 1 


1 1 


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1 


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1 


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<< 


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1 1 1 


r 1 


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1 


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ffq 1-1 1-1 


1-1 1-1 


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1-t 1 1 


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1—1 


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Ph0-i 





86 



WORCESTER INSANE ASYLUM. 



[Oct. 












(^ 



CO 



CO 

o 

<5 


O iJ 
Z <! 


•STOOX 


1 1 1 1 1 T-H rH 1 1 1 1 


<N Oi 1 1 

1—1 


•BaiBtaa^ 


1 1 1 1 1 rH tH 1 1 1 1 


<M C5 1 1 

1—1 


■88XBH 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


O H 
« < 
Ph (A 

%< 

go 


■8ib;oi 


1 1 1 1 1 1 tH 1 ,-( 1 1 


(M OS 1 1 


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(Tq CS 1 1 


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1 1 1 1 1 1 1 1 1 1 1 


1 1 1 1 


M 
o 


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oa 

xo 

•^ in 


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1 1 1 1 tH 1 T-l 1 1 1 1 


(?q CO 1 1 

C55 


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1 1 1 1 rH 1 1-1 1 1 1 1 


OS 


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1 1 1 i 1 1 1 1 1 ! 1 1 1 1 t 


o 

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w 

M 
O 


•sib;oi 


llllrHi-Hlllll C^ CO 1 1 


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lill^-tTHlllll CN 00 1 1 

CO 

1—1 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 


(4 

§2 


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ll|i-l|i-l(|||| <N«0 1 1 


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1 1 1 rH 1 i-H 1 1 1 1 1 


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OS 


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1 1 1 1 1 1 1 1 1 1 1 


1 1 1 1 


O 




/—s 

. 2 . 


A. — Insane : — 

Congenital, 
Under 1 month, . 
From 1 to 3 months; 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, . 

2 to 6 years, . 
5 to 10 years, . 

10 to 20 years, . 
Over 20 years, . 
Unknown, . 


Totals, . 
Average of known cases (in yea 
B. — Habitual drunkards, 
C. — Voluntary patients. 



PUBLIC DOCUMENT — No. 23. 



87 





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WORCESTER INSANE ASYLUM. 



[Oct. 






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<U050505CiOi0505050 

s-icocococoaooocooooi 

PL(,-li-(l-l,-l,-(i-(rHrHrH 







PUBLIC DOCUMENT— No. 23. 



89 



S3 <i! 



COt>.T-HCN<M liOCOiXiT-l 



O CO I G^ 



I lO (M CO tH 



CO ^ tH I ,-1 I I 



■ 


■ 


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1-1 


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00 
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1— 1 


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03 

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90 



WOECESTER INSANE ASYLUM. [Oct. 1900. 



I 

Ci 
Ci 
00 



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s 



^ 



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Si, 






Remaining 
Sept. 30, 1900. 


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tH 

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w 

s 

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a 

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5 


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> 
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g 


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a 

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d 

M 

O 
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3 


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■S8IBTO 






YEARS ENDING SEPT. 30. 






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P-|^t-(,-(,-I,-ItHtH^>-( 


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