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

TWENTY-SEVENTH ANNUAL REPORT 



WORCESTER INSANE ASYLUM 



WORCESTER, 



FOR THE 



Year ending September 30, 1904. 



Digitized by the Internet Archive 

in 2010 with funding from 

University of Massachusetts Amherst 



http://www.archive.org/details/annualreportofwo97worc 



CONTENTS. 



PAGE 

Report of Trustees, 59 

Report of Superintendent, 62 

Report of Treasurer, 69 

Statistics, , . 75 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



FRANCES M. LINCOLN, . 
SAMUEL B. WOODWARD, 



LYMAN A. ELY, . 
ROCKWOOD HOAR, 
THOMAS RUSSELL, 
SARAH E. WHITIN, 



Worcester. 
Worcester. 

Worcester. 
Worcester. 
Boston. 
Whitinsville. 



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, Treasurer, 

GEORGE L. CLARK, Examiner. 

SUSIE G. WARREN "... Clerk. 

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

FOREST A. SLATER Engineer. 



dtommntttomitfj of lltessarjjusrtts* 



TRUSTEES' REPORT. 



To His Excellency the Governor and the Honorable Council. 

The trustees of the Worcester Insane Hospital, in charge of 
the Worcester Insane Asylum, respectfully submit their twenty- 
seventh annual report, together with the reports of the superin- 
tendent and treasurer. 

The asylum is in good condition and ably managed. The 
average number of patients for the past year has been 624.46, 
against 577.97 for the previous year. The general health of 
the inmates has been good. 

The work in the kitchen is not yet completed. This work 
is necessarily slow as it is done in large part by our own work- 
men, and it must also be done in such manner that the daily 
work of the institution can be carried on as well as the ordinary 
repairs made. The machinery for the refrigerating plant is 
being installed and the excavations are being made for the cold- 
storage rooms. The work in the dining room for the male side 
of the house will be carried on during the winter. This work 
is to be done by our own workmen and from our own resources* 
It has been left until this time as there was more pressing work 
on hand. A small enlargement of the chapel has resulted from 
the changes in the kitchen. 

The work at the colony is progressing rapidly. Forty-seven 
men are now cared for in the various farm-houses. They seem 
contented and happy and many of them are able and willing 
to work. 



60 WORCESTER INSANE ASYLUM. [Oct. 

The building for 60 women, begun last year, will soon be 
complete'd and occupied. It is a model for convenience and 
is well adapted for the care of the insane. The water tower is 
finished and the pipe connections are being made. Active work 
in the electric lighting plant will be prosecuted as soon as the 
power house is finished. 

The contract for the new building for 100 disturbed women 
has been let and the work is well under way. The foundations 
are in and it is thought the building will be roofed in before 
winter. The erection of several one-story wooden buildings, 
to be used as dormitories for men of the colony type, is con- 
templated. Plans for such buildings have been made and one 
of them is now in process of erection. 

In the death of Mr. Philip W. Moen the asylum has lost a 
useful and interested member of its Board of Trustees. His 
great practical knowledge and experience were invaluable, par- 
ticularly in the plans and location of the power house and side 
tracks. He took great interest in all that pertained to the 
colony and was ever ready to give time and thought to the 
work there. He was a member of the Board but a short time, 
but had already made himself a power in it. 

For the proper development of the colony the Board will 
ask the Legislature this year for an appropriation of $85,000 
to erect and furnish a building for 100 disturbed men, also for 
$15,000 for a one-story wooden building for 50 men of the 
colony type, and for $25,000 for further colony development. 
Under this head will come a bridge over the tracks of the Bos- 
ton & Albany railroad, the equipment of the laundry, bakery 
and carpenter shop, a fence on each side of the railroad and 
other necessary improvements. 

For the asylum we respectfully request permission to use 
$9,000 of our accumulated surplus for the purpose of install- 
ing an interior telephone system, for new ovens for our bakery, 
for two new boilers and for some new plumbing on the male 
side. 

The asylum has again been indebted to the publishers of the 
* ' Worcester Evening Gazette " and the ' ' Worcester Daily Spy " 
for copies of their papers, to the Hospital Newspaper Society 
for contribution of books and papers, to Mrs. Penelope S. Can- 



1904.] PUBLIC DOCUMENT — No. 23. 61 

field and Miss Mary F. Sargent for liberal gifts of books and 
magazines, to Mrs. John C. Whitin for a handsome carriage 
to be used at the colony, and to the Worcester Employment 
Society for a large amount of sewing for the new building at 
the colony. For all these favors we desire to return our grate- 
ful thanks. 

There has been no change in the staff since our last report. 
The superintendent, officers and employes have been faithful 
in the discharge of their duties and merit the thanks of the 
trustees. 

Eespectfully submitted , 

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



62 WORCESTER INSANE ASYLUM. [Oct. 



SUPERINTENDENT'S REPORT. 



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

Insane Asylum. 

I respectfully present the twenty-seventh annual report of 
the Worcester Insane Asylum. 

Oct. 1, 1903, there remained in this institution 621 pa- 
tients, — 298 men and 323 women. There have been admitted 
46 persons, — 20 men and 26 women, — making the whole num- 
ber under treatment during the year 667, — 316 men and 351 
women. Of this number, 15 men and 22 women died, 1 man 
was discharged as much improved, 6 women were transferred 
elsewhere, and 2 men escaped and have not since been returned 
to the institution. The daily average number of patients has 
been 624.46, as against 577.97 for the previous year. 

More than one-half of the admissions were cases of chronic 
delusional insanity. Dementia, as usual, was a predominant 
mental feature, affording little hope of improvement in the 
majority of cases. The general character of the admissions for 
the past few years has been quite degenerative. With the 
subordination of the mental powers the lower instincts have 
become more unrestrained, making a class of persons at once 
more difficult and more unpromising to care for. I still be- 
lieve, however, that something can be done even for this class 
of cases, and in the evolution of our colony work an effort 
should be made in this particular direction. An increased in- 
terest in surroundings has already been noted in some of the 
cases transferred there. 

Among the causes of death pulmonary tuberculosis no longer 
holds the important place which it has occupied in years past, 
in but four cases the fatal result being attributed to this disease, 
a more or less direct result, no doubt, of the maintenance of 



1904.] PUBLIC DOCUMENT — No. 23. 63 

better sanitary conditions and the application of better and 
more scientific methods of treatment. The average death-rate 
still continues abnormally low for the class of chronic and en- 
feebled cases for which the institution cares, the ratio computed 
on the daily average being 5.92, as against 6.40 of last year. 
There have been a few cases of acute disease, chiefly confined 
to employees. Three cases of measles developed, one being a 
patient. No serious results followed in either case and the 
contagion was easily limited by prompt isolation. Twelve 
cases of diphtheria occurred during the year, a fatal result 
following in the person of one male nurse. All the other cases 
yielded readily to antitoxin. Of the whole number in but one 
instance was a patient attacked. These cases have been scat- 
tered throughout the year, the original cause of each outbreak 
being evidently from an outside source. At the present time 
the institution is entirely free from all acute contagious disease 
and I feel very sure that no focus of infection exists in our 
midst. 

Much difficulty has been experienced in securing and retain- 
ing proper and efficient help for conducting the operations of 
the institution. The situation has now become a little less 
acute, but the help problem is still a serious matter in many of 
our departments. Our training school has continued to afford 
instruction which has been of very great assistance in securing 
a more intelligent and efficient cooperation of the nursing with 
the medical staff, thus raising the standard of care. Every 
effort consistent with the carrying out of the primary object 
of the establishment of the institution has been made to render 
the service here as attractive as possible to the young men and 
women who seek employment here. The Legislature of last 
year having granted permission to devote $5,000 of the asylum 
fund to the reconstruction and enlargement of the general din- 
ing room of the male department, when this work is completed 
it will be possible to provide the male nurses with a private 
dining room, in the same way as is now done for the female 
nurses. The stress of other operations has somewhat delayed 
the carrying out of this plan, but it is now intended to advance 
the work to as early a completion as possible. 

The installation of the refrigerating plant, funds for which 



64 WORCESTER INSANE ASYLUM. [Oct. 

work were provided by the last Legislature, is now being rapidly 
pushed forward. The kitchen reconstruction is also approach- 
ing completion, and with the finishing of these two undertak- 
ings the various domestic departments will be placed in a much 
better position than ever before. 

At the Grafton colony of this institution the work of devel- 
opment has been carried rapidly forward. In the construction 
of the building for 60 women a considerable amount of the 
work has been accomplished with our own forces. This method 
is more economical, but is much slower than entire contract 
construction and has occasioned some delay. Occupancy of 
this building will take place at an early date. The building 
for 100 women is being erected wholly by contract work, the 
completion of which is called for by April 1, 1905. Plans 
for the erection of two one-story wooden colony buildings, 
which will provide accommodations for 50 men of the more 
quiet class, are already perfected and the work on one of these 
buildings is well under way. This work will be carried on 
largely by our own mechanics and by the labor of the patients, 
so far as possible. As these buildings are much more simple 
in construction than the brick buildings we shall probably be 
able to push the work to completion at a reasonably early date 
during the coming winter. 

The power house is approaching completion and promises 
occupancy at an early date. Much of the apparatus enter- 
ing into the make-up of our electric plant is ready for de- 
livery, and the remainder is coming so rapidly forward that it 
seems that the machine^ will be in hand nearly if not quite 
as soon as the building will be ready to receive it. If no un- 
expected delays occur our electrical plant should be in opera- 
tion before the setting in of winter. 

A stone water tower has been erected, surmounted by a 
wooden tank. The elevation of this structure is such as to 
give a water pressure at each of our buildings which is deemed 
adequate for both domestic and fire purposes. Cast-iron pipe 
is being rapidly laid, and our nearer and more important build- 
ings will receive an immediate water service. The pipe is in 
hand to carry the water supply across the railroad to our other 
groups of colony buildings. The extension of this pipe line 



1904.] PUBLIC DOCUMENT — No. 23. 65 

will be pushed as rapidly as the prosecution of our general 
work will permit. Our present source of water is a spring, 
flowing from a ledge of broken rock. The State Board of 
Health has made an examination of this water and has pro- 
nounced it of excellent quality and adapted for our use. It is 
expected that the flow of this spring will be sufficient for pres- 
ent purposes. Should an additional supply be required other 
springs are at hand, lying at a lower level, the flow from which 
seems abundant. A short extension of our pipe line would be 
sufficient to reach these springs. 

A part of our system of sewer piping is already installed 
and pipe enough to provide for its completion is already on 
the ground. An abundance of gravel is at hand for the con- 
struction of filter beds, and no doubt whatever exists as to 
providing an easy and efficient method of sewage disposal in 
all parts of the colony. 

In the conduct of our colony work many new and unex- 
pected expenses have arisen which have necessarily been met 
from current funds. This, together with the material^ in- 
creased cost of general supplies, has added somewhat to the 
ordinary cost of operation. 

In the prosecution of the colony plans patients have been 
encouraged to work wherever possible. They have rendered 
valuable assistance in the domestic departments and in the 
more active out-of-door labor of our farming operations. 
They have been of material help in the laying of our various 
pipe lines and in the general work of colony development. 
The number of patients at the colony up to the present time 
has necessarily been small and the ratio of employees large. 
With the added accommodation which will soon become avail- 
able this ratio will be reversed, and it will be possible to still 
further enlarge the scope of the work which can be accom- 
plished by patients with profit both to themselves and to the 
institution. As several of our most efficient colony workers 
were before their transfer there lazy and seemingly incorri- 
gible, there is every reason to hope that with the advent of in- 
creased numbers there will be a corresponding increase in 
active workers. In the more ordinary grades of manual labor 
every year should see an increase in the proportion accom- 



M WORCESTER INSANE ASYLUM. [Oct. 

plished by patients. The new power building at the colony 
will not only accommodate the power plant but. will also serve 
in some measure as a general industrial building, where such 
industries can be established as it is found profitable or advis- 
able. 

In the construction of our buildings for excitable patients at 
the Grafton colony the chief provision up to the present time 
has been for women. With the opening of the two large build- 
ings now being made ready decided relief should be given to 
the overcrowding of our female department at the asylum. In 
my opinion some action should now be taken for making special 
provision at the colony for excitable men . A site well adapted 
for the erection of a group of buildings for this purpose exists 
in another part of the colony, reasonably remote from the 
present group. I recommend that the Legislature be asked 
for an appropriation of $85,000 for the erection of a building 
for 100 excitable men, special provision being made in connec- 
tion with the same for the installation of a central heating plant 
which could serve to supply heat for the whole group should 
other buildings be erected later. I also recommend that an 
appropriation of $15,000 be asked for the erection of a one- 
story wooden building for 50 men of the colony type. 

An easier means of communication should be provided be- 
tween our side track and power house at the Grafton colony 
and the groups of buildings lying across the railroad and to the 
south. In this direction lies the site of the proposed group of 
new buildings for excitable men. An overhead bridge across 
the tracks of the Boston & Albany railroad near the present 
side track would afford a more direct avenue for the transporta- 
tion of building and other materials used in the colony develop- 
ment, and would greatly simplify grades. In accordance with 
an act of the last Legislature the institution will hereafter be 
expected to care for the public highways running through and 
bordering upon its colony property. To properly accomplish 
this end some road-making machinery will be needed. A con- 
siderable amount of fencing should be done along the tracks 
of the Boston & Albany railroad. Several of our farm build- 
ings, on which no work has yet been attempted, could profit- 
ably be repaired and adapted to colony use. Machinery should 



1904.] PUBLIC DOCUMENT — No. 23. 67 

be supplied for the laundry and carpenter shop. The bakery 
should have ovens installed. The general colony development 
should be continued. To accomplish the above purposes I 
recommend that an appropriation of $25,000 be asked for. 

At the institution in Worcester no special appropriation will 
be needed if permission can be obtained to make use of a cer- 
tain amount from the asylum fund. For some years a more 
efficient means of general telephonic comuiunication between 
the various departments of the institution has been demanded, 
but other matters have hitherto prevented any active measures 
being taken in the matter. The dispensary and adjacent 
rooms should be remodelled and refurnished. A general bath 
room with hydrotherapeutic apparatus for the male department 
is needed. New ovens are needed in the bakery. Two new 
steam boilers should be installed in our boiler room. I recom- 
mend that permission be asked from the Legislature to use 
$9,000 from the asylum fund for the accomplishment of the 
above purposes. 

I am again indebted to the officers of the institution for the 
cordial and efficient co-operation which has at all times been 
given to me in the administration of the affairs of the institution . 

I wish to thank your Board for your continued counsel and 
support. 

E. V. SCRIBNER, 

Superintendent. 



QS 



WOKCESTEK INSANE ASYLUM. 



[Oct. 



OFFICEES 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 

800 00 

100 00 

500 00 

400 00 

50 00 

480 00 

1,000 00 



YALUE OF STOCK AND SUPPLIES. 

Oct. 1, 1904. 



Live stock, . . . . 

Produce of farm on hand, .... 

Carriages and agricultural implements, . 

Machinery and mechanical fixtures, . 

Beds and bedding in inmates' department, 

Other furniture in inmates 1 department, . 

Personal property of State in superintendent's 

Ready-made clothing, . 

Dry goods, . 

Provisions and groceries, 

Drugs and medicines, . 

Fuel, : 

Library, 

Other supplies undistributed, 



. 


$5,731 00 




4,114 12 




3,565 00 




14,703 00 




11,500 00 




4,000 00 


department, 


10,000 00 




2,782 82 




1,705 54 




1,629 58 




330 00 


. 


3,639 63 




750 00 




1,082 76 




$65,533 45 



1904.] 



PUBLIC DOCUMENT — No. 23. 



69 



TREASURER'S REPORT. 



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

Insane Asylum. 

I herewith submit my twenty-seventh annual report of the 

finances of the "Worcester Insane Asylum for the year ending 

Sept. 30, 1904: — 



Available funds Sept. 30, 1903 : 
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' aid for support of patients, 
From other sources, 



Appropriation by the Commonwealth for sup- 
port of patients for the year 1904, . 



The expenditures for the year have been as follows : — 



$20,310 46 




187 77 






$20,498 23 




$37,494 06 




1,112 05 




384 39 




1,141 77 






40,132 27 






122,149 42 




$182,779 92 



Salaries and wages, . 

Food : — 
Butter, 
Beans, 
Crackers, . 

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

Fish, .... 
Fruit, .... 



),678 52 



Amounts carried forward, 



$4,777 


85 


147 


97 


478 


23 


389 


28 


344 


82 


1,842 


93 


5,505 


35 


1,378 


10 


1,147 


20 


$16,011 


73 $40,678 52 



70 



WORCESTER INSANE ASYLUM. 



[Oct. 



Amounts brought forward, 

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, 

Leather and shoe findings, 

Sundries, 



L6.011 37 

6,221 20 
6,703 56 

238 65 
1,945 53 

952 80 
3,188 16 
1,503 56 



$1,054 15 

3,764 40 

2,371 35 

206 80 

148 82 

1 67 

62 46 



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



$2,677 17 
208 17 
106 32 
552 38 

79 67 
404 09 

75 64 
620 25 



Heat, light and power : — 
Coal, . . . . 

Gas, 

Oil, 

Sundries, . 



),214 88 

19 40 

240 39 

19 26 



Repairs and improvements : — 

Bricks, 

Cement, lime and plaster, 
Doors, sashes, etc., . 
Electrical work and supplies, . 

Hardware, 

Lumber, 

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



$111 63 

238 71 

20 85 

448 78 

1,020 66 

1,921 09 

1,522 13 

1,019 96 

49 10 

776 30 



Amount carried forward, 



1904.] 



PUBLIC DOCUMENT 



Amount brought for ward, 



No. 23. 71 

. $107,400 19 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and supplies, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., 
Harness and repairs, 
Horse, 
Cows, 

Other live stock, 
Tools, farm machines, etc 
Sundries, . 



Miscellaneous : — 
Books, periodicals, etc., 
Freight, express and transportation, 
Funeral expenses, .... 

Hose, etc., 

Ice, 

Medicines and hospital supplies, 
Medical attendance, nurses, etc. (extra), 

Postage, 

Printing and printing supplies, 
Return of runaways, .... 
Soap and laundry supplies, 
Stationery and office supplies, . 
Travel and expenses (officials), 
Telephone and telegraph, 

Tobacco, 

Water, . . . 

Sundries, . • 



Total, ....... 

Balance with State Treasurer, . 

Cash on hand payable to State Treasurer, 



Resources. 
Balance with State Treasurer, . 
Cash on hand payable to State Treasurer, 



$259 30 
297 57 
511 63 

1,343 60 
116 20 
200 00 
114 00 
94 44 
114 60 
98 25 



$117 46 


t/, 4.1*/ *J%J 


184 


19 




219 


23 




6 


00 




426 


36 




524 


96 




398 43 




119 


52 




3 


87 




52 


23 




1,410 


98 




301 


89 




191 


75 




406 


04 




581 


26 




1,106 


02 




341 


46 


6,391 65 








$116,941 43 


$62,266 70 




3,571 


79 


fl* S3S AQ 



32,266 70 
3,571 79 



Liabilities. 



Salaries and supplies, 



$182,779 92 



$65,838 49 



10,301 92 



£55,533 57 



72 WORCESTER INSANE ASYLUM. [Oct. 



Inmates' Funds. 
Cash on hand Oct. 1, 1903, . . . . . . $2,073 16 

Received^from inmates, $254 40 

Received from interest on account, . . . . 21 61 

276 01 

$2,349 17 
Cash refunded, ... 295 42 

Balance, $2,053 75 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 
Worcester, Mass., Oct. 1, 1904. 

Worcester, Mass., Oct. 20, 1904. 
The undersigned has this day carefully compared the treasurer's statement of the 
expenditures for the year ending Sept. 30, 1904, with the vouchers which are on file 
at the Worcester Insane Asylum, and finds it to he correct. 

GEO. L. CLARK, 

Examiner of Accounts. 



1904.] 



PUBLIC DOCUMENT — No. 23. 



73 



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STATISTICAL TABLES 



[Form prescribed by State Board of Insanity.] 



1. — General Statistics of the Year. 





Insane. 




Males. 


Females. 


Totals. 


Patients in asylum Oct. 1, 1903, 


296 


325 


621 


Admitted within the year, 


20 


26 


46 


Viz. : by transfer, 


19 


26 


45 


from visit, 


- 


- 


- 


from escape, 


1 


- 


1 


Whole number of cases in year, 


316 


351 


667 


Discharged within the year : — 








Viz. : as recovered at time of leaving 
asylum 
as much improved, 


1 


— 


1 


as improved, 


- 


- 


- 


as not improved 


- 


- 


- 


Died, 


15 


22 


37 


Transferred, 


- 


6 


6 


Eloped, 


2 


- 


2 


On visit, . . . .. 


- 


- 


- 


Patients remaining Sept. 30, 1904, . 


298 


323 


621 


Viz. : supported as State patients, . 


294 


321 


615 


as private patients, 


4 


2 


6 


Number of different persons within the 


316 


351 


667 


year. 
Number of different persons admitted 

by transfer. 
Number of different persons recovered, . 


19 


26 


45 


Daily average number of patients, . 


296.96 


327.50 


624.46 


Viz. : State patients, .... 


292.96 


325.50 


618.46 


private patients, .... 


4.00 


2.00 


6.00 



78 



WORCESTER INSANE ASYLUM. 



[Oct. 



2. — Received on First and Subsequent Admissions. 



NUMBER OF ADMISSIONS. 



Cases Admitted. 



First (to any asylum), 
Second (to any asylum), 
Third (to any asylum), 

Total cases, 

Total persons, . 



19 
1 



26 



20 
20 



26 
26 



45 

1 



46 
46 



5. — Ages of Insane at First Attack, and Death. 











Pebsons died. 




AT FIKST ATTACK. 


AT TIME OF DEATH. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, 

15 years and less, . 








1 


- 


1 


- 


- 


- 


From 15 to 20 years, 








- 


1 


1 


- 


- 


- 


20 to 25 years, 








1 


2 


3 


- 


1 


1 


25 to 30 years, 








2 


1 


3 


- 


- 


- 


30 to 35 years, 








- 


1 


1 


1 


1 


2 


35 to 40 years, 








1 


6 


7 


1 


1 


2 


40 to 50 years, 








2 


3 


5 


1 


4 


5 


50 to 60 years, 








3 


4 


7 


1 


5 


6 


60 to 70 years, 








- 


3 


3 


3 


6 


9 


70 to 80 years, 








3 


1 


4 


4 


1 


5 


Over 80 years, . 








- 


- 


- 


4 


S 


7 


Unknown, . 








2 


- 


2 


- 


- 


- 


Totals, 


15 


22 


37 


15 


22 


37 


Total persons, 








15 


22 


37 


15 


22 


37 


Mean known ages in years, 


49.58 


42.36 


45.97 


52.33 


54.15 


53.24 



1904.] 



PUBLIC DOCUMENT — No. 23. 



79 



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FORM OF DISEASE. 


itted to any hospital when re- 
by institution from which 
srred : — 

c insanity, 

a, primary, 

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a, post paralytic, 

iSBions : — 

delusional insanity, . 
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Imbecilt 

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Chronic 
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Dement 
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Dement 
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Idiot, . ' 
Recurre 


a> cd 
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80 



WORCESTER INSANE ASYLUM. 



[Oct. 



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from which transferred, 



1904.] 



PUBLIC DOCUMENT — No. 23. 



81 



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82 



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