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

'.' 






TWENTY-SIXTH ANNUAL KEPORT 



WORCESTER INSANE ASYLUM 



WORCESTER. 



Year endixg September 30, 1903, 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo95worc 



CONTENTS. 



PAGE 

Report of Trustees, 67 

Report of Superintendent, 69 

Report of Treasurer, , 76 

Statistics, . . . . • . .81 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



SARAH E. WHITIN, . 
FRANCES M. LINCOLN, 
SAMUEL B. WOODWARD, 
PHILIP W. MOEN, 
LYMAN A. ELY, . 
ROCKWOOD HOAR, . 
THOMAS RUSSELL, . 



Whitinsville. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 

Worcester. 

Boston. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M.D., . 
P. CHALLIS BARTLETT, M.D., . 

H. LOUIS STICK, M.D. ' 

ABBIE S. FAY', 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Matron. 



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



Treasurer. 

Examiner. 

Clerk. 

Pathologist. 

Engineer. 



vfommontomltfj 01 litessar{jMaetts. 



TKUSTEES' EEPORT. 



To His Excellency the Governor and the Honorable Council. 

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

The past year has been an unusually busy one at the asylum. 
The daily average number of patients has been 577.97, as against 
533.48 for the previous year. This institution is now caring 
for the largest number of patients in its history, and plans are 
being carried out which will add very materially to its present 
capacity. 

Notwithstanding the large numbers of inmates, the sanitary 
conditions remain excellent. There has been but very little 
acute disease of a serious nature. A few cases of contagious 
disease developed, but no special trouble was experienced in 
then' care. 

The very considerable increase in numbers and the general 
expansion in the scope of the medical work have made it 
necessary to add another assistant physician to the medical 
staff. Dr. H. Louis Stick has been appointed to fill this 
new position. 

The special work authorized by the Legislature of last year is 
being actively prosecuted. The reconstruction of the kitchen 
is well advanced, and it is expected that the new building for 
women, at the Grafton colony, will be completed some time 
during the coming winter. 

The success in the operation of the congregate dining room 
for women has been such that it is deemed advisable to enlarge 
the dining room for men. The trustees ask that an appro- 
priation of $5,000 be made for this purpose. The Board also 
asks that an appropriation of $6,000 be made for the installation 
of a refrigerating plant here. 

Since our last annual report considerable additional land has 
been purchased for the Grafton colony of this institution. The 



68 WORCESTEK INSANE ASYLUM. [Oct. 

trustees are now in possession of a little more than 738 acres. 
A season's experience in colony development confirms the 
opinion of this Board that in this line of effort lies great promise 
for the future in the care of the insane. Doubtless in the past 
the insane have sometimes been deprived of personal liberty to 
a greater extent than now seems necessary. In the colony life 
there will be a greater opportunity for the exercise of that in- 
dividual freedom which is so dear to all of us, indulgence in 
which marks a return to a more natural mode of existence. In 
many instances where these improved conditions and surround- 
ings do not lead to complete recovery, a marked amelioration 
must follow, and something will have been added to the sum 
of human happiness which falls to the lot of these poor unfortu- 
nates who have been confided to our care. We believe that in 
the establishment of colony care for the insane we are bringing 
our patients closer to nature, and that this method of care 
marks a distinct step in advance. In the short experience of 
our colony work some minds seem to have already awakened 
to a keener appreciation and to have taken on an added interest 
in life. In the colony development of the past year 50 men 
have received accommodation there. 

It seems advisable to this Board that the capacity of the 
Grafton colony should be still further increased, and for this 
purpose we ask that an appropriation of $80,000 be made for 
the erection of a building there for the accommodation of 100 
disturbed women. This Board also asks that an appropriation 
of $30,000 be made for further colony development, which will 
include provision for 50 more men there. An appropriation 
of $26,000 is asked for the erection of a power house and for 
the extension of the railroad side track. An appropriation of 

),000 is also asked for the installation of an electric plant. 

Respectfully submitted , 

SARAH E. WHITIN. 
FRANCES M. LINCOLN. 
SAMUEL B. WOODWARD. 
PHILIP W. MOEN. 
LYMAN A. ELY. 
ROCKWOOD HOAR. 
THOMAS RUSSELL. 



1903.] PUBLIC DOCUMENT — No. 23. 69 



SUPERINTENDENT'S EEPORT. 



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

Insane Asylum. 

I respectfully present for your consideration the twenty- 
sixth annual report of the superintendent of the Worcester 
Insane Asylum. 

Oct. 1, 1902, there were 543 patients under treatment, — 
240 men and 303 women. There have been admitted 81 men 
and 41 women, — 122 cases, making a grand total of 665 per- 
sons during the year, — 321 men and 344 women. There 
have been discharged 2 men and 4 women, and 22 men and 
15 women have died, a total — discharges and deaths — of 43 
persons, — 24 men and 19 women. Sept. 30, 1903, there re- 
mained 297 men and 325 women — 622 persons — as patients 
in this asylum. There have been under treatment here during 
the year 665 different persons, — 321 men and 344 women. 
The daily average number of patients has been 577.97, — the 
largest number since the opening of the institution. Of those 
discharged, 1 woman recovered, 1 woman improved and 2 
men and 2 women were unimproved. Of the 121 admissions, 
it is interesting to note that 117 came from the cities and 
towns and but 4 from country districts. 

Alcoholic excess, anxiety and worry, and heredity, in the 
order given, head the list of the probable causes of disease in 
the persons admitted. In a large percentage of the admissions 
the probable cause of mental disease was unknown. I have 
many times called your attention to the numbers whose insan- 
ity is due to alcohol and heredity, and will pass them with 
slight mention. The number, however, is significant. 

The general health of the house has continued excellent, 
notwithstanding the fact that the crowding which has existed 



70 WORCESTER INSANE ASYLUM. [Oct. 

for so many years has been considerably intensified. Several 
cases of contagious disease appeared, but no fatalities resulted, 
and in every instance the sanitary precautions adopted seemed 
to prove effectual, no epidemic following. With the large 
increase in the number of patients has come a corresponding- 
increase in the number of employees, which entails an added 
risk of contagion from sources outside the institution. The 
death rate of the institution has been a trifle larger than that 
of last year, but is still very low. For the twenty-six years 
of the existence of this institution the average death rate, 
computed on the daily average number of patients treated, 
has been 8.42 per cent. For the past year this ratio has been 
but 6.40 per cent., a number well below the general average. 
It is highly improbable that this low death rate will long con- 
tinue, as there are large numbers of our patients who are con- 
siderably advanced in years, and whose power of resistance to 
physical ailment has been weakened by long-continued mental 
disease. 

For the first time in the history of the institution malaria 
has contributed many cases to the medical work. Until this 
past year this affection was practically unknown here. There 
has been a rather general invasion of the house, some 70 cases 
having occurred, pretty well distributed between patients and 
employees. The majority of the cases have yielded readily to 
treatment. In a few instances, in persons much debilitated 
from other disease, malaria has seemed to be a contributing 
factor to a fatal result, but no death from uncomplicated 
malaria has occurred. As to the cause of this malarial invasion, 
I can offer two possible and perhaps probable sources of infec- 
tion. Cases began to multiply almost directly after receiving 
a transfer of patients from another institution, where I am told 
that malaria has for some time had a rather vigorous hold. 
Again, malaria has been rather prevalent in this city for the 
past two years, and it seems very reasonable that some cases 
may have come from this source. Indeed, I am surprised that 
we have hitherto enjoyed such immunity. 

The work of the training school has continued during the 
year, and has contributed in great measure to the efficiency of 
the service and to the welfare of the patients. With the rapid 



1903.] PUBLIC DOCUMENT — No. 23. 71 

increase in the number of patients has come an added burden 
to the medical work. Not only have the numbers increased, 
but our medical work has been constantly tending to a higher 
plane. This has rendered necessary the addition of another 
assistant to the medical staff. 

Much trouble has been experienced during the summer 
months in securing and retaining nurses, but with the advent 
of cooler weather this difficulty has practically disappeared. 
Much has been done during the past year to render the nurses' 
service more attractive. The hours of labor have been lessened, 
and the serving of meals has been given special attention. A 
private dining room has been set apart for the female nurses, 
so that they no longer are compelled to eat in the room with 
their patients, making it possible to place them wholly off duty 
during the time of their meals. A. similar provision for the 
male nurses is planned, and the change will be made at an early 
date. The dining arrangement of the male wards is not as 
convenient as is that of the female, making provision for a 
private dining room for the male nurses here not quite as 
easy of accomplishment. As such provision would assist very 
materially in the effort to shorten the hours of labor of the 
male nurses it is of importance that some plan having this end 
in view be carried out at as early a date as authority can be 
secured for this work. The change contemplated would also 
add nearly 25 beds to the capacity of the male department. 
I recommend that your Board seek from the Legislature an 
appropriation of 15,000 for enlarging and furnishing the con- 
gregate dining room in the male department. 

Up to the present time this institution has always used ice 
for the cooling of milk, meats and other articles of food requir- 
ing to be kept at a low temperature. I believe, and the ex- 
perience of other institutions shows, that a much more efficient 
and satisfactory service can be had from some system of artificial 
refrigeration than from the use of natural ice. An economy of 
space would also be secured in ice boxes and cooling rooms. 
I recommend that the Legislature be asked for an appropriation 
of $(5,000 for the installation of a refrigerating plant here. 

In the matter of the purchase of land for the Grafton colony, 
I have to report that title has been acquired to all the land 



72 WOECESTEE INSANE ASYLUM. [Oct. 

bonded last year and that a considerable additional amount has 
been secured, bringing the total holdings up to a little more 
than 738 acres. For the purchase of several of the tracts some 
little negotiation was necessary, but it has finally been accom- 
plished that the institution has secured title to all land lying 
inside of its borders, save highway and railroad rights of 
passage. 

The prosecution of the colony work is in active progress. 
As is the case in most new undertakings, many unforeseen 
difficulties have arisen to cause delay, but the 50 male patients 
for whom provision was to be made in existing farm buildings 
are already occupying the premises. Eepairs are not fully 
completed, but rapid progress is being made, and some of these 
patients are rendering valuable assistance in the prosecution 
of the work. In several instances persons who have formerly 
done little or no work at the asylum have already become quite 
willing and efficient helpers at the colony. I have little doubt 
that this number can be considerably increased when the 
urgency of our work has a little abated, giving time for the 
necessary instruction and oversight. 

The work of erection of the new building for 60 women at 
the Grafton colony has suffered some delay because of the con- 
centration of our energies upon other colony work. This 
building is now in course of rapid erection, and if no unex- 
pected obstacles are encountered will be well roofed in at an 
early date. It is proposed to finish the interior, so far as 
possible, with our own workmen. This method of work will 
consume more time, but will be more economical than to rush 
completion with a large force of outside laborers. 

Active work is now being done in the development of the 
colony water supply. An abundance of good water seems 
already assured. The work of sewage disposal will follow the 
development of the water supply. 

The patients at Grafton are not as yet sufficient in number 
to secure that economy in support which is desirable. The 
building for women which is now in course of construction 
will, when occupied, add appreciably to the numbers there, 
but, in my judgment, a still further increase should be made. 
I recommend that an appropriation of $80,000 be asked for, to 



1903.] PUBLIC DOCUMENT — No. 23. 73 

construct and furnish a building for 100 women of the dis- 
turbed class. The necessity for accommodation for this class 
of cases seems greater than for any other, and I believe that 
such provision will best serve the interests of the Common- 
wealth. 

To properly utilize existing buildings, it has been necessary 
to establish three distinct centres, somewhat remote from each 
other, where a complete domestic organization is maintained. 
In my judgment, reasons of economy and general efficiency in 
operation call for an enlargement of capacity at each of these 
centres. I advise that this be done, partly by repair and 
alteration of existing buildings, and partly by some new con- 
struction. A one-story wooden dormitory building at each 
of these centres, located near, but, to diminish fire risks, not 
attached to, existing buildings would easily furnish additional 
accommodation for at least 50 men. On the properties ac- 
quired since my last report are some farm buildings. These 
I deem of sufficient value to utilize, but all are sadly in need 
of repair. 

The equipment for general agricultural work is fairly satis- 
factory, but a continued farm development must be carried on 
if we are to furnish the asylum with its needed farm products. 
Only the milk, used at the colony is now produced there. I 
recommend that the Legislature be asked for an appropriation 
of $30,000 for further colony development, including the 
repairs, alterations and general changes which I have out- 
lined, which shall also provide accommodation for 50 men. 

Under existing conditions, at the Grafton colony we feel 
great need of an electric lighting and power plant. This will 
become a necessity at an early date. I recommend that an 
appropriation of $26,000 be asked for, to erect a suitable power 
house and for extending the railroad side track to the same. I 
also recommend that an appropriation of $20,000 be asked for, 
to install a suitable electric plant. 

I wish to acknowledge my indebtedness to officers and em- 
ployees for the efficient work which they have accomplished, 
which has rendered possible any measure of success which may 
have been attained. 

We are again indebted to the publishers of the " Worcester 



74 WORCESTER INSANE ASYLUM. [Oct. 

Evening Gazette " and of the ' ' Worcester Spy " for copies of 
their papers. The Hospital Newspaper Society has, as usual, 
contributed books and papers. Thanks are due to the Worces- 
ter Employment Society for sewing which has been done for 
the institution. Various friends have contributed books and 
papers. 

Sunday services have been held as usual, and various chapel 
entertainments have contributed to amuse the patients and to 
while away the monotony of asylum existence. 

I am indebted to your Board for the most cordial assistance 
and support which has at all times been given me. 

E. V. SCRIBNER, 

Superintendent. 



1903.] 



PUBLIC DOCUMENT — No. 23. 



75 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D., Superintendent, 

P. Challis Bartlett, M.D., Assistant Physician, 

H. Louis Stick, M.D., Assistant Physician, 

Frederick H. Baker, M.D., Pathologist, 

Abbie S. Fay, Matron, . 

Albert Wood, Treasurer, . 

George L. Clark, Examiner, 

Susie G. Warren, Clerk, 

Forest A. Slater, Engineer, 



$2,500 00 

1,300 00 

600 00 

100 00 

500 00 

400 00 

50 00 

480 00 

1,000 00 



YALUE OF STOCK AND SUPPLIES 

Oct. 1, 1903. 



Live stock ; $2,530 50 

Produce of farm on hand, \ . . . . . . 3,920 48 

Carriages and agricultural implements, 1,450 00 

Machinery and mechanical fixtures, 11,036 00 

Beds and bedding in inmates' department, 10,000 00 

Other furniture in inmates' department, 4,000 00 

Personal property of State in superintendent's department, . 10,000 00 

Ready-made clothing, 3,263 71 

Dry goods, 2,180 80 

Provisions and groceries, 1,401 17 

Drugs and medicines, . 325 00 

Fuel 4,120 00 

Library, 700 00 

Other supplies undistributed, 1,034 64 



$55,962 30 



76 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-sixth annual report of the 
finances of the Worcester Insane Asylum for the year ending, 
Sept. 30, 1903. 

Available funds Sept. 30, 1902 : — 
With State Treasurer, .... 
At asylum, 



Amounts received during the year : — 
From cities and towns for support of patients, 
From individuals for support of patients, . 
From soldiers' relief for support of patients, 
From other sources, . . . 



$85,603 1$ 
Appropriation by the Commonwealth for support of State 

patients for the year 1903, 35,046 88" 

Amount collected by the State Board of Insanity, . . . 182 86- 



$17,678 02 
572 07 


$18,250 09- 
67,353 Of 


$64,357 88 

1,398 22 

789 73 

807 24 





$120,832 90 



The expenditures for the year have been as follows : — 
Salaries and supplies, $33,772 01 



Food : — 




Butter, 


$4,345 40 


Beans, . 


267 10 


Crackers, ...... 


398 60 


Cereals, rice, meal, etc., 


318 29 


Cheese, 


268 84 



Amounts carried forward, .... $5,598 23 $33,772 01 



1903.] 



PUBLIC DOCUMENT — No. 23. 



Amounts brought forward, 

Eggs, • 

Flour, . 

Fish, . 

Fruit, . 

Meats, . 

Milk, . 

Molasses, 

Sugar, . 

Tea, coffee and cocoa. 

Vegetables, 

Sundries, 



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

Clothing, 

Dry goods for clothing, and small wares, 
Furnishing goods, .... 
Hats and caps, ..... 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., 

Carpets, rugs, etc 

Crockery, glassware, cutlery, etc., 
Furniture and upholstery, . 
Kitchen furnishings, . 
Wooden w T are, buckets, pails, etc., 
Sundries, 

Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, 



Repairs and improvements : — 
Cement, lime and plaster, . 
Electrical work and supplies, . 

Hardware, 

Lumber, 

Paints, oils, glass, etc., . . i 
Plumbing, steam fitting and supplies, 
Roofing and materials, 
Sundries, 



77 

|5,598 23 833,772 01 

1,382 88 
3,933 21 
1,248 54 
1,639 06 
5,078 38 
6,903 99 

278 25 

982 61 

934 12 
2,689 72 
1,072 14 
31,741 13 



$680 50 

2,261 68 

2,538 09 

129 34 

107 84 

7 88 



$2,506 86 
181 96 
46 90 
375 39 
132 16 
399 90 
33 77 
800 27 



$12,686 44 

28 20 

134 14 

82 01 



$82 29 
257 00 
497 70 
261 51 
1,368 83 
337 89 
41 00 
399 63 



5,725 33 



4,477 21 



12,930 79 



3,245 85 



Amount carried forward, $91,892 32 



78 WORCESTER INSANE 


ASYLUM 


• 


[Oct. 


Amount by-ought forward, . 


• 


• 


$91,892 32 


Farm, stable and grounds : — 








Blacksmith and supplies, .... 


$167 26 




Carriage, wagons and repairs, . . . . 


529 


33 




Fertilizer, vines, seeds, etc., 


333 88 




Hay, grain, etc., 


468 


65 




Harness and repairs, 


47 


00 




Live stock, 


18 


00 




Tools, farm machines, etc., ' . 


46 


01 




Sundries, 


88 


50 


1,698 63 








Miscellaneous : — 








Books, periodicals, 


$173 45 




Chapel services and entertainments, . 


547 


75 




Freight, expressage and transportation, . 


134 06 




Funeral expenses, ..... 


253 


25 






567 


27 




Medicines and hospital supplies, 


466 


85 




Medical attendance, nurses, etc. (extra), . 


149 


87 




Postage, 


129 


00 




Printing and printing supplies, . 


34 


37 




Return of runaways, 


48 


29 




Soap and laundry supplies, 


1,477 


31 




Stationery and office supplies, . 


268 


48 




Travel and expenses (officials), 


122 


07 




Telephone and telegraph, . 


138 


39 






553 


96 




Water, 


672 


11 




Sundries, 


1,007 


24 


6,743 72 








Total, 


$100,334 67 


Balance of maintenance appropriation and re 








ceipts with State Treasurer, . 


$20,310 


46 




Cash on hand payable to State Treasurer, 


187 


77 


20,498 23 










$120,832 90 


Resources. 




Balance with State Treasurer, . 


$20,310 46 




Cash on hand payable to State Treasurer, 


187 


77 




Due from cities and towns, 


17,255 


64 




Due from individuals, . . . . . 


317 


79 




Due from soldiers 1 relief, .... 


170 Or 










$38,241 66 








Liabilities. 








Salaries and supplies, .... 


. 


• 


8,479 47 



),762 19 



1903.] 



PUBLIC DOCUMENT — No. 23. 



79 



Inmates 1 Funds. 

Cash on hand Oct. 1, 1902, 

Received from inmates, . . . 
Received from interest on account, . 



|389 49 
37 93 



Cash refunded, 
Balance, 



Respectfully submitted, 



51,930 57 



427 42 

2,357 99 

284 83 

2,073 16 



ALBERT WOOD, 

Treasurer. 
"Worcester, Mass., Oct. 1, 1903. 

"Worcester, Mass., Oct. 23, 1903. 
The undersigned has this day carefully compaerd the treasurer's statement of 
the expenditures for the year ending Sept. 30, 1903, with the vouchers which are 
on file at the Worcester Insane Asylum, and finds it to he correct. He has also 
compared the amount of hills rendered for the hoard of patients with the esti- 
mated earnings of the institution for one year, and finds them to agree. 

GEO. L. CLARK, 

Examiner of Accounts. 

Special Appropriations. 



OBJECT. 


Resolve. 


Whole 
Amount. 


Expended 

in 

1902. 


Expended 

in 

1903. 


Balance. 


Purchase of land, . 

Repairs arid alterations in 
kitchen and laundry, . 

Repairing and furnishing 
farm houses at Grafton 
colony, .... 

New building at Graf- 
ton, .... 

Sewer and water systems 
at Grafton colony, 


1902, c. 434, 

1903, c. 414, 

1903, c. 414, 
1903, c. 414, 
1903, c. 414, 


$25,000 00 
27,000 00 

13,500 00 
40,000 00 
10,000 00 


$2,700 00 


$22,055 75 
2,824 29 

11,942 93 

1,312 00 

92 30 


$244 25 
24,175 71 

1,557 07 
38,688 00 
9,907 70 




- 


$115,500 00 


$2,700 00 


$38,227 27 


$74,572 73 



Respectfully submitted, 



ALBERT WOOD, 

Treasurer. 



STATISTICAL TABLES. 



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1903'.] 



PUBLIC DOCUMENT — No. 23. 



85 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
recovered. 


NUMBER OF ADMISSION. 


Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


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


80 
1 


39 
2 


119 
3 


: 


- 


- 


Total of cases, 
Total of persons, . 


81 
81 


41 
40 


122 
121 


- 


- 


- 



Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Kever before in any hospital for the insane, . 

Former inmates of this asylum only, 

Former inmates of other hospitals only, . 

Former inmates of this asylum and other hos- 
pitals, 


80 
1 


39 
1 


119 
2 


Total of persons, 


81 


40 


121 



5. — Parentage of Persons admitted. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


Father. 


Mother. 


Father. 


Mother. 


Father. 


Mother. 


Unknown, .... 


81 


81 


40 


40 


121 
121 


121 


Totals, .... 


81 


81 


40 


40 


121 



8$ 



WORCESTER INSANE ASYLUM. 



[Oct. 



6. — Residence of Persons admitted. 



PLACES. 



Males. 



Females. 



Totals. 



Massachusetts : — 

Middlesex County, . 
Suffolk County, 
Worcester County, . 
Norfolk County, 
Bristol County, 
Totals, 
Viz. : cities and towns, . 
country districts, 



7 


5 


12 


21 


1 


22 


48 


34 


82 


4 


- 


4 


1 


- 


1 


81 


40 


121 


78 


39 


117 


3 


1 


4 



7. — Civil Condition of Persons admitted. 




1903.] 



PUBLIC DOCUMENT — No. 23. 



87 



8. — Occupation of Persons admitted. 



Blacksmith, . 






1 


Mill operatives, 




7 


Bookkeepers, 






2 


Molders, 






2 


Cabinet maker, 






1 


Mechanics, . 






3 


Chair maker, . 






1 


None, 






15 


Compositor, . 






1 


Printers, 






3 


Cigar maker, . 






1 


Paper hanger, 






1 


Chiropodist, . 






1 


Rubber worker, 






1 


Carpenters, . 






2 


Sailors, . 








2 


Comb maker, 






1 


Student,. 








1 


Engineer, 






1 


Sea captain, 








1 


Farmers, 






6 


Shoemakers, 








5 


Fisherman, . 






1 


Toy maker, 








1 


Grocer, . 






1 


Tailor,. . 








1 


Hod carrier, . 






1 


Teamster, 








1 


Laborers, 






. 13 


Unknown, 








2 


Locksmith, 






1 


Total, 








. 81 



FEMALES. 



Chair seater, . 


1 


None, 


7 


Domestics, 


8 


Seamstress, . 


: i 


Housewives, . 


4 


Stenographer, 


i 


Housekeepers, 


. 10 


Unknown, 


3 


Mill operatives, 


5 


Total, . 


. 40 



Unknown, 
Total, 



WIFE OR DAUGHTER OF — 



121 
121 



88 



WORCESTER INSANE ASYLUM. 



[Oct. 



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1. — Physical : — 

Alcohol, 
Abortion, 

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Physical injury, . 
Pregnancy, . 
Shock, . 
Sunstroke, . 
Tyhoid fever, 

2. — Mental: — 

Disappointment, . 
Anxiety and worry, 
Domestic trouble, 
Heredity, 
Over study, . 
Religion, 
Fright, . 

3. — Unknown, . 


"3 
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[Oct. 



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1903.] 



PUBLIC DOCUMENT — Ko. 23. 



91 



12. — Reported Duration of Disease before Last Admission. 





First Admission to 
Ant Hospital. 


All Other 
Admissions. 


Totals. 


PREVIOUS DURATION. 


"5 


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Congenital, . 
Under 1 month, . 
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3 to 6 months, . 

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1 to 2 years, 

2 to 5 yeai's, 
5 to 10 years, 

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


1 


- 


- 


2 

1 

10 
32 
12 
9 
2 
13 

81 

81 

6 


6 

8 
7 
8 
6 
6 


2 

1 

16 
40 
19 
17 
8 
19 

122 
121 

7 


2 

1 

10 
32 
12 
9 
2 
13 


6 

8 
7 
8 
6 
6 


2 

1 

16 

40 
19 
17 
8 
19 


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


41 
40 

8 


81 

81 

6 


41 

40 

8 


122 
121 

7 



92 



WORCESTER INSANE ASYLUM. 



[Oct. 






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A. — Insane : — 

Alcoholic insanity, 

Chronic delusional in- 
sanity, .... 

Constitutional inferior- 
ity 

Dementia, primary, 
chronic, 
senile, . 
post-paralytic, 

Epilepsy, 

General paresis, 

Idiot, .... 

Imbecile, .... 

Involution psychosis, . 

Recurrent insanity, ma- 
niacal 

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


C 

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"3 "3 
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PUBLIC DOCUMENT — No. 23. 



93 



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First, 

Second, " 

Third, 

Fourth, 


Total of cases, 
Total of persons, 



94 



WORCESTER INSANE ASYLUM. 



[Oct. 





m 


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98 



WORCESTER INSANE ASYLUM. 



[Oct. 





Kemaining of 
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