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

TWENTY-EIGHTH ANNUAL EEPOET 



WORCESTER INSANE ASYLUM 



WORCESTER, 



Year ending September 30, 1905. 



Digitized by the Internet Arcinive 

in 2010 with funding from 

University of IVIassachusetts Amherst 



http://www.arGhive.org/details/annualreportofwo99worc 



COIN^TENTS. 



Report of Trustees, 55 

Report of Superintendent, 58 

Report of Treasurer, 65 

Statistics, 71 



OFFICERS OF THE ASYLUM. 



TRUSTEES. 



SAMUEL B. AVOODWARD, 
GEORGE F. BLAKE, 
LYMAN A, ELY, 
ROCKWOOD HOAR,. 
THOMAS RUSSELL,. 
SARAH E. WHITIN, 
FRANCES M. LINCOLN, 



Worcester. 

Worcester. 

Worcester. 

Worcester. 

Boston. 

Whitinsville. 

W^ ORG ester. 



RESIDENT OFFICERS. 
ERNEST V. SCRIBNER, M,D., 
P. CHALLIS BARTLETT, M.D., 
H. LOUIS STICK, M.D., . 
ARTHUR E. PATTRELL, M.D., 
ABBIE S FAY,. 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Matron. 



NON-RESIDENT OFFICERS. 

ALBERT WOOD, Treasurer. 

GEORGE L. CLARK Examiner. 

SUSIE G, WARREN, Clerk. 

FREDERICK H. BAKER, M.D Pathologist. 

FOREST A. SLATER Engineer. 



Cnmmnnfo^altfe d S^assarjyusttts. 



TRUSTEES' REPORT. 



To His Excellency the Governor atid the Honorable Council. 

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

The average number of patients in the asylum for the past 
year has been 688, against 624 for the previous year. An aver- 
age of 82 has been at the colony, so that the asylum building has 
held an average of 606. 

The new kitchen is not yet completed. Various causes have 
delayed this work, necessarily slow at the best, as it must be 
done while the rooms are in use, and by our own small force ; it 
will undoubtedly be completed during the winter. Much work 
has been done toward the enlargement of the south congregate 
dining room; this will also be in use before another year. 

The refrigerating plant is nearly completed, and from the 
ice-making machine enough ice was furnished to supply our 
needs during the hot weather. 

!N^o appropriation is asked for at this time, but we respectfully 
request permission to use from our accumulated surplus the 
sum of $9,500, for the purpose of thoroughly overhauling and 
renewing the plumbing on the north side, for piping and for a 
new heater for domestic water supply. 

Work at the colony has progressed in every direction. At 
ISTo. 1 the dormitory and assembly building is nearly ready for 
use, and is indeed partly occupied. In it is an office, sleeping 
and bath room for the assistant physician, who is in residence, 
a large assembly room, and a dormitory which will accommo- 



56 WOECESTER INSANE ASYLUM. [Oct. 

date 20 patients. The walls of tlie building for 100 " disturbed 
men " are rapidly rising, and the building will probably be com- 
pleted during the winter. The barn is being fitted to accommo- 
date more of our cattle. 

At No. 2 the building for 60 women has been occupied since 
early in the year. The building for 100 women, known as 
" Pines B. " will be completed and occupied this winter, as will 
also the wooden dormitory for men. 

At No. 3 the batter boards are up for the colony building to 
accommodate 50 men, and, largely with our own force of work- 
men, we hope to make such progress during the cold weather 
that this can also be used early in the year. The power house 
is finished and in use, and electricity is now furnished to all 
our buildings. 

A large amount of water and drain pipe has been laid during 
the summer, and further sources of water supply discovered and 
utilized. The health of the patients has been generally good. 

Six cases of typhoid fever at " Pines A " caused us some 
anxiety for a while. An employee was first attacked, and we are 
confident that the infection came from outside our boundaries. 
No further trouble is apprehended. 

The bridge to be built over the Boston & Albany Railroad 
track is contracted for, and its completion will give us more 
direct communication between the two sections of the property, 
as Ave are now obliged to make a long circuit, or to use a grade 
crossing, which has proved a source of danger. 

The bakery has not yet been installed, nor is the laundry 
equipped, as for the present it seems more economical to do the 
work at the asylum. As the number of patients increases, these 
departments will be gradually developed. At the end of the 
year there were 125 patients in the buildings. 

With the completion of the building now in process of erec- 
tion we shall have three buildings for excitable patients, capable 
of accommodating about 300 persons. 

We shall need as many able-bodied patients as possible to 
enable us to carry on our work, and it is in this direction that it 
seems to us best at present to expand. To enable us to erect a 
building to accommodate 100 men of the colony type, we there- 
fore ask an appropriation of $50,000. 



1905.] PUBLIC DOCUMENT — No. 23. 57 

The colony now largely furnishes the asylum with milk, but 
to fully utilize our pasturage, and at the same time provide for 
the increasing number of patients, it is necessary to purchase 
cattle, and for this purpose we ask for an appropriation of 
$1,000. For the erection of a cattle shed, and to provide for 
the storage of hay, we ask a further appropriation of $5,000. 

The superintendent advises and the trustees believe that the 
orchards should be kept up and further developed, and for the 
purchase of trees we therefore ask for an appropriation of $500. 

Dr. A. E. Pattrell has been added to the staff since our last 
report, and is stationed at the colony. 

A great amount of work has devolved upon the superintend- 
ent in the development of the Grafton plant, and here, as here- 
tofore, he has shown himself faithful, energetic and conscien- 
tious. In him and in the other officers the trustees have the 
utmost confidence. 

Respectfully submitted, 

SAMUEL B. WOODWAED. 
GEO. P. BLAIvE. 
LYMAN A. ELY. 
EOCKWOOD HOAE. 
THOMAS EUSSELL. 
SAEAH E. WHITIN. 
PEANCES M. LINCOLN. 

Sept. 30, 1905. 



58 WORCESTER INSANE ASYLUM. [Oct. 



SUPERINTEN^DEJS^T'S REPORT. 



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

Insane Asylum. 

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

Oct. 1, 1904, there remained in the asylum 621 patients, — 
298 men and 323 women. During the year 78 men and 58 
women were admitted by transfer from other institutions, mak- 
ing a total of 757 cases, — 376 men and 381 women. Of this 
number, 15 men and 30 women died, 1 man and 1 woman were 
discharged as not improved, 1 man escaped and has not been 
returned, 2 women are out on visit, and 4 women were trans- 
ferred elsewhere, leaving as inmates of this institution on Sept. 
30, 1905, 704 persons, — 360 men and 344 women. The daily 
average number was 688.32, as against 624.46 for the previous 
year. The general character of the mental disease in those 
admitted remains of the same unfavorable type as in previous 
years. 

The general health of patients and employees has been good. 
The death rate, computed on the daily average number, was 6.53, 
as against 5.92 last year, — a slight increase, but still very low 
when we consider the weakened power of resistance to physical 
ailment in nearly all our patients. Several cases of contagious 
disease occurred during the year. At the asylum there were 6 
cases of diphtheria, — 4 men and 2 women, all employees. 
Three of the female nurses had the mumps. One male patient, 
1 female patient and 1 female nurse had typhoid fever. No 
deaths occurred among these cases. The diphtheria cases were 
all promptly removed to the Worcester Isolation Hospital, the 
others being treated in the asylum wards. Isolation and rig- 
orous sanitary measures limited the spread of contagion, and 
no further trouble from this source is expected. At our Grafton 
colony 1 female nurse had diphtheria. This case made a good 



1905.] PUBLIC DOCUMENT — No. 23. 59 

recovery, and no others followed. In one of the new colony 
buildings several cases of typhoid fever occurred, 2 female 
employees and 4 female patients having contracted the disease. 
The method of its introduction seems well determined. One of 
our employees contracted the disease from some outside and 
unknown source, the other cases following from this. As no 
cases have occurred outside of this one building, the water and 
milk supplies remain above suspicion. The spread of the dis- 
ease now seems to be checked. With the exception of the above- 
mentioned cases, the general health of the colony has been good. 

At the colony a large amount of miscellaneous work has been 
accomplished, in which the labor of patients has been an impor- 
tant factor. A very considerable acreage of fallow and long un- 
productive land has been returned to cultivation, seeded down, 
and another year will bring its added yield to the output of farm 
products. Many of our fields and pastures do not produce, not 
because they have become exhausted by long tillage, but because 
they have been allowed to remain long untilled, and have re- 
turned more or less to a state of nature. These fields will be 
fairly easy of redemption. Then, again, many acres now covered 
with sprouts and bushes can be converted into valuable pasture 
lands largely by the aid of unskilled labor, furnishing sustenance 
for the herds which must increase with the growth of our asylum 
population. Much of this farm labor makes little showing at 
present, but contributes to such a steady betterment of agricul- 
tural conditions as will eventually make valuable additions to 
our cultivated tracts. 

Patients have assisted not only in all the departments of farm 
labor, but have been valuable helpers in the repair and construc- 
tion of buildings. 

A larger force of colony workers could have been profitably 
employed, biit m^nj of the persons received this past year were 
either so feeble physically or so inclined to run away, that the 
percentage of useful workers who could be of assistance in our 
out-of-door work is much less than had been hoped for. 

It seems plain that the institution must in the future rely in 
considerable part for its supply of working patients upon Avhat 
can be accomplished by development from its present non-work- 
ing and non-producing classes. The success of such an effort 



60 WORCESTER INSANE ASYLUM. [Oct. 

would of course represent the highest type of colony work, and 
is the ideal towards which we are striving. 

In many of the colony cases an improvement in physical well- 
being has seemed to follow the change in hospital residence. A 
few have seemed to take an increased interest in their surround- 
ings. An improved physical appearance has been more notice- 
able among the female patients, most probably because in their 
colony life a greater amount of time has been spent in the open 
air and in a closer contact with nature. Then, too, mere change 
of environment, as we all know, is a potent factor in its influence 
upon mental conditions in the sane or insane. 

The large spring upon which we have hitherto placed our main 
dependence as a water supply has proven inadequate in its flow 
during the summer, and we have been forced to turn elsewhere 
for additions to our supply. Fortunately, other springs and 
water-bearing areas are at hand. Some of these sources have 
already been drawn upon, and a further development of the 
water supply is now in progress. I am confident that a supply 
commensurate with our present needs can be easily obtained, 
and it seems probable that the output can be increased to keep 
pace with our colony expansion. It has been found possible to 
pipe our springs directly to our power house, so that the water 
will feed by gravity to the j)ump which lifts it into the large 
,tank which is the main storage of our water system. By this 
arrangement the pumping can be done at the engine room under 
the supervision of the regular engineer's force, saving the neces- 
sity for the duplication of pumps and for the expensive housing- 
in of the different springs. 

The heating and power plant which was in process of con- 
struction at the time of the last annual report is now in opera- 
tion. This plant furnishes light and power for the whole colony. 
It furnishes heat for the power building and for all laundry 
operations. It also heats the two near-by buildings for excitable 
women, and furnishes a hot-water circulation for the whole 
group. The piping is so arranged that the heating of the power 
and laundry building, the nearer building for women and the 
domestic water service for the whole group will be accomplished 
by the exhaust steam from the engines. The operation of the 
engines and generators is extremely satisfactory, and our whole 



1905.] PUBLIC DOCUMENT — No. 23. 61 

colony is now suiDplied witli an electric service wliicli compares 
favorably with that of any. An all-night service has not yet 
been furnished, bnt will be as our numbers increase to that point 
when it seems to be demanded. 

The new building for 25 men at our No. 1 colony is nearly 
completed. The large day room has been occupied for some 
little time, and is proving a very useful adjunct to the old farm- 
house grouj?; with its large open fireplace and concrete floor, it 
furnishes a comfortable and cheerful living room, where patients 
and employees alike can congregate during their hours of re- 
laxation. At our No. 2 gToup a dormitory building with base- 
ment dining room is approaching completion. Tlie occupancy 
of these new buildings in connection with our farmhouse group 
marks the beginning of a new era in our colony work. 

The building for 100 women is nearly ready for occupancy; 
but for an unexpected delay in the perfection of the plumbing 
and heating apparatus, this building would have long since been 
in use. An early completion of this work is promised. 

It is expected that an overhead bridge across the tracks of the 
Boston & Albany Railroad will be completed before the setting 
in of winter. This bridge will obviate the use of a dangerous 
grade crossing leading from our side track, and will be of great 
advantage in the transportation of freight and general supplies. 

The excavation for the foundation of the colony building for 50 
men has been completed, and the site is now ready for the laying 
of stone. The press of our other operations has been such that 
the work of the erection of this building has not been undertaken 
as early as was anticipated; but it is expected that the founda- 
tions will be put in before the ground freezes up, leaving the 
wooden superstructure to be erected by our own mechanics dur- 
ing the winter. An effort is being made to perform as much of 
the erection of this building as possible with our regular em- 
ployees, aided by patients. Owing to the pressure for imme- 
diate accomplishment, a larger percentage of our colony building 
operations is now let out by contract than we hope will be the 
case later on, when, with a better-organized and more fully 
trained working force, the labor of patients can be made more 
effective. With an increase in our colony numbers will naturally 
come an increased range of selection. 



ij2 WORCESTER INSANE ASYLUM. [Oct. 

The work on the new building for 100 men is well advanced 
and is being vigorously prosecuted. This building will not be 
ready for occupancy before next summer. With the completion 
of this building the colony will be pretty well equipped for 
caring for its more excitable patients; and I believe that our 
next efforts should be in the line of providing increased accom- 
modation for the more quiet cases, which can be properly cared 
for in a building of considerably less per capita cost. I recom- 
mend that the Legislature be asked for an appropriation of 
$50,000 for the erection of a one-story wooden building for the 
accommodation of 100 men of the colony type. An excellent 
location for the erection of this building exists not far from the 
site of the building now in process of construction. 

While there are considerable numbers of various kinds of 
fruit trees scattered over our colony property, by far the greater 
number of these trees are old, and every year producing less 
and less fruit. Doubtless intelligent pruning and supervision 
will do much to improve the quality of the yield, and possibly 
to prolong their existence. New trees should be set out, to be 
ready to take the place of the present orchards when they have 
passed beyond their profitable producing limit. I recommend 
that an appropriation of $500 be asked for the purchase of fruit 
trees. 

The colony is now producing all of the milk which is needed 
for its own use, and is prepared in addition to furnish the asylum 
with about one-half of its necessary supply. Our capacity for 
the production of milk should be increased, and to that end I 
recommend that an appropriation of $6,000 be asked for the 
erection of a cattle barn for the accommodation of 50 cows and 
for the purchase of some additional stock. This cow barn can 
be erected as an addition to an already existing group of build- 
ings, thus avoiding, for the present at least, the necessity for 
the erection of special and expensive buildings to house the 
farmers and patients who will be required to care for the cattle. 

At the asylum the reconstruction and repair of the kitchen 
building has consumed more time than was anticipated, but the 
major part of the work has already been accomplished, and an 
early completion of the task is now assured. Several rooms of 
our refrigerating plant have been in use for some months, and 



1905.] PUBLIC DOCUMENT — No. 23. 63 

have proven very satisfactory in operation. No ice has been 
purchased since the early part of the summer. The larger storage 
rooms are nearly completed, and will be ready for use at an 
early date. The work of enlargement of the male dining room 
has been actively entered upon, and will be pushed as rapidly as 
possible. The greater part of the building material for this 
work has already been delivered. The completion of this work 
will not only give increased dining-room space, but will result 
in an appreciable addition to the capacity of the male depart- 
ment. 

At the asylum the plumbing in the female department has 
been installed for many years, and now needs a thorough over- 
hauling to put it into proper condition. Considerable of the 
piping for the steam and water supply needs to be renewed, and 
in many places the water service should be rearranged and ex- 
tended. 

The heater now in use for the domestic water service is too 
small, is of an antiquated pattern and not well adapted to our 
present needs. It is unfavorably located, is worn from long use 
and is liable to fail us at any time. A new heater should be 
installed. 

I recommend that permission be asked to use $9,500 of the 
asylum fund for the accomplishment of the purposes outlined 
above. 

With the increase in the numbers of persons at our colony the 
necessities of the medical work there have assumed an impor- 
tance which has caused the assignment of a resident medical 
assistant to service there. Dr. Arthur E. Pattrell. No other 
change in the official staff has been made. Officers and em- 
ployees have in the main united in a faithful service, which I 
commend to your attention. 

To the publishers of the " Worcester Evening Gazette " thanks 
are again due for a copy of their paper, which they have con- 
tributed. We are also indebted to the Worcester Employment 
Society for sewing which has been done. 

E. Y. SCEIBNEK, 

Superintendent. 



64 



WORCESTER INSANE ASYLUM. 



[Oct. 



OFFICERS AND THEIR SALARIES. 



Ernest V. Scribner, M.D , Supe7^i7itendent, 

P. Challis Bartlktt, M.D., Assistmit Physician, 

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

Arthur E. Pattrell, M.D., Assistant Physician, 

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

Abbie S. Fay, Matron, . 

Albert Wood, Treasurer, . 

George L. Clark, Exami7ier, 

Susie G. AVarren, Clerk, 

Forest A. Slater, Engineer, 







f3,ooo oa 






1,400 00 






1,000 00 






600 00 






100 00 






500 00 






400 00 






60 00 






480 00 






1,000 00 



YALUE OF STOCK A^D SUPPLIES. 



Oct. 1, 1905 

Live stock, 

Produce dt farm on hand, 

Carriages and agricultui'al implements, 

Machinery and mechanical fixtures, 

Beds and bedding in inmates' department. 

Other furniture in inmates' department, 

Personal property of State in superintendent's department. 

Ready-made clothing, . 

Dry goods. 

Provisions and groceries, 

Drugs and medicines, . 

Fuel 

Library, .... 
Other supplies undistributed 



$6,899 42 


4,602 


67 


3,882 


94 


40,000 


00 


12,700 


00 


5,000 00 


10,000 00 


2,204 67 


2,203 68 


1,359 


93 


320 00 


6,139 


00 


760 


00 


1,141 


53 


$97,213 


84 



1905.] 



PUBLIC DOCUMENT — No. 23. 



65 



TREASUREE'S REPORT. 



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

Insane Asylum. 

I herewith submit my twenty-eighth annual report of the 

finances of the Worcester Insane Asylum for the year ending 

Sept. 30, 1905: — 



Available funds Sept. 30, 1904 : — 
With State Treasurer : — 

Maintenance appropriation, . 

Asylum fund, .... 
At asylum, 



Amounts received during the year : — 
From reimbursed cases, . . 
From other sources, .... 



$44,064 64 

18,202 16 

3,571 79 


165,838 49 

6,069 64 
132,072 32 


$4,701 28 
1,858 36 


. 



Appropriation by the Commonwealth for sup- 
port of patients for the year 1905, 



$203,970 45 

The expenditures for the je&v have been as follows : — 

Salaries and wages, |45,529 40 

Food : — 

Butter, $5,465 48 

Beans, . 

Crackers, 

Cereals, rice, meal, etc 

Cheese, 

Eggs, . 

Flour, . 

Fish, . 

Fruit, . 

Meats, . 

Milk, . 



386 


12 


474 


41 


500 


94 


368 


92 


1,614 45 


8,531 


65 


1,618 


08 


1,037 


91 


6,779 


82 


6,290 


28 



Amounts carried forward, 



J,068 06 $45,629 40 



66 



WORCESTER INSANE ASYLUM. 



[Oct. 



Amounts brought forwai'd. 

Molasses, .... 

Sugar, 

Tea, coffee, bvoma 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 ware, buckets, pails, etc., 
Sundries, 



Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, 

Repairs and improvements : — 

Bricks, 

Cement, lime and plaster, . 
Electrical work and supplies, . 

Hai'dware, 

Lumber, 

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

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



$33,068 06 


$45,529 40 


256 


38 




1,308 


33 




1,037 


07 




1,964 


91 




1,465 


52 


39,100 27 






$1,183 


38 




3,678 


87 




1,611 


79 




157 


35 




79 


01 




72 


39 


6,682 79 






$4,303 34 




221 


43 




168 


38 




782 


95 




96 


92 




810 


75 




72 


85 




1,090 


21 


7,546 83 






$10,989 45 




15 


66 




368 


24 




11 


70 


11,335 05 






$24 


13 




38 


12 




373 


79 




445 


52 




459 


64 




1,268 


44 




2,211 


55 




40 


30 




348 


99 


5,210 48 






|333 


56 




220 


52 




1,020 


96 




2,389 


82 





Amounts carried forward. 



5,964 86 $115,404 82 



1905.] 



PUBLIC DOCUMENT 



Amounts hroughl foriuard^ . 

Harness and repairs, . 
Tools, farm machines, etc.. 
Sundries, 



Total, 

Amount appropriated from asylum fund, . 



Balance with State Treasurer : — 
Maintenance appropriation, . 
Asylum fund, 

Cash on hand payable to State Treasurer, 



Resources. 
Balance with State Treasurer : — 

Maintenance appropriation, . 

Asylum fund, 

Cash on hand payable to State Treasurer, 



Liabilities. 



No. 23. 

$3,964 86 

340 96 

64 84 

104 95 



Miscellaneous : — 




Books, periodicals, etc., .... 


188 00 


Chapel services and entertainments, . 


152 40 


I'reight, expressage and transportation, . 


201 63 


Funeral expenses, 


217 00 


Hose, etc., 


15 00 


Ice, 


523 69 


Labor (not on pay roll), .... 


210 00 


Medicines and hospital supplies. 


557 44 


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


410 01 


Postage, 


114 60 


Return of runaways, 


21 21 


Soap and laundry supplies. 


1,174 34 


Stationery and oiflce supplies, . 


284 97 


Travel and expenses (officials), 


131 95 


Telephone and telegraph, . . 


439 92 


Tobacco, 


625 27 


Water, 


1,098 28 


Sundries, 


616 65 



$49,374 07 

13,677 86 

155 73 



67 
,404 82 

4,475 61 



6,882 36 



. $126,762 79 
14,000 00 

$140,762 79 



63,207 66 



1203,970 45 



K9,374 07 

13,677 86 

155 73 



Salaries and supplies, 



$63,207 66 



13,366 52 



$49,841 14 



68 WORCESTER INSANE ASYLUM. [Oct. 



Inmates' Funds. 

Cash on hand Oct. 1, 1904, 

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





$2,053 75 


$355 70 




22 17 






377 87 



$2,431 62 
Cash refunded, 342 91 



Balance, f2,088 71 

Respectfully submitted, 

ALBERT WOOD, 

Treasurer. 

"Worcester, Mass., Oct. 2, 1905. 

Worcester, Mass., Oct. 19, 1905. 

The undersigned has this day carefully compared the treasurer's statement of the 
expenditures for the year ending Sept. 30, 1905, with the vouchers which are on file 
at the "Worcester Insane Asylum, and finds it to be correct. 

GEO. L. CLARK, 

Exmniner of Accounts, 



PUBLIC DOCUMENT — No. 23. 



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70 



WOECESTER INSANE ASYLUM. [Oct. 1905. 



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STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



General Statistics of the Year. 





Insane. 




Males. 


Females. 


Totals. 


Patients in asylum Oct. 1, 1904, 


298 


323 


621 


Admitted within the year, 


79 


58 


137 


Viz. : by transfer, ..... 


78 


58 


136 


from visit, 


- 


- 


- 


from escape, nominally. 


1 


- 


1 


Whole number of cases in year. 


377 


381 


758 


Dismissed within the year, • . 


17 


37 


54 


Discharged, 


1 


1 


2 


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


— 


: 


_ 


as improved, 


- 


- 


- 


as not improved, .... 


1 


1 


2 


Died, 


15 


30 


45 


Transferred 


- 


4 


4 


Eloped, 


1 


- 


1 


On visit Oct. 1, 1905, . . . . 


- 


2 


2 


Patients remaining Sept, 30, 1905, . 


360 


344 


704 


Viz. : supported as State patients, . 


360 


344 


704 


as private patients. 


- 


- 


- 


Number of different persons within the 


376 


381 


757 


year. 
Number of different persons admitted, . 


78 


58 


136 


Number of different persons recovered, 


- 


- 


- 


Daily average number of patients, 


338.79 


349.53 


688.32 


Viz. : State patients, .... 


338.79 


349.53 


688.32 


private patients, .... 


- 


- 


- 



74 



WORCESTEE INSANE ASYLUM. 



[Oct. 



2. — Received on First and Subsequent Admissions. 





Cases admitted. 


NUMBER OF ADMISSIONS. 


Males. 


Females. 


Totals. 


First (to this asylum), .... 

Second (to this asylum), 

Third (to this asylum), .... 


78 


66 
2 


134 
2 


Total cases, 

Total persons, 


78 

78 


68 

68 


136 

136 



3. — Ages of Insane at First Attack and Death. 





Persoks died. 




AT FIRST ATTACK. 


AT TIME OF DEATH. 




Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


Congenital, .... 


2 




2 


_ 


_ 


_ 


16 years and less. 


2 


- 


2 


- 


- 


- 


From 15 to 20 years, . 


1 


4 


5 


- 


- 


- 


20 to 26 years, . 


1 


2 


3 


1 


- 


1 


26 to 30 years, . 


2 


4 


6 


2 


2 


4 


30 to 36 years, . 


2 


6 


7 


1 


1 


2 


36 to 40 years, . 


1 


1 


2 


- 


4 


4 


40 to 60 years, . 


- 


6 


6 


4 


4 


8 


50 to 60 years, . 


- 


- 


- 


1 


4 


5 


60 to 70 years, . 


- 


1 


1 


6 


9 


15 


70 to 80 years, . 


- 


- 


- 


- 


6 


6 


Over 80 years, .... 


- 


- 


- 


- 


- 


- 


Unknown, 


4 


7 


11 


- 


- 


- 


Totals, .... 


15 


30 


45 


15 


30 


45 


Total persons, . 


15 


30 


46 


16 


30 


45 


Mean known ages in years, 


25.11 


32.93 


29.78 


49 


56.4 


53.17 



1905 


K CO 

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PUBLIC DOCUMENT — No. 23. 

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75 



76 



WORCESTER INSANE ASYLUM. 



[Oct. 



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1905.] 



PUBLIC DOCUMENT — No. 23. 



77 



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Nervous system : — 

Acute myelitis, exhaustion, 

Epileptic convulsions 

Epilepsy, hypostatic pneumonia 

Arterio sclerosis, osteo sarcoma, 

Arterio sclerosis valvular heart disease, 

General: — 

Cancer of liver 

Chronic nephritis, hepatitis, 

Entero-colitis 

Erysipelas, acute enteritis, 

Intestinal obstruction, 

Primary dementia, malaria, 

Senile debility 

Senile debility, acute enteritis 

Senile debility, hypostatic pneumonia 

Senile debility, ovarian cyst, shock from paracentesis. 

Senile debility, valvular heart disease 

Respiratory system: — 

Displaced patellor, hypostatic pneumonia 

Hypostatic pneumonia, 

Intestinal obstruction, broncho-pneumonia, .... 

Pulmonary tuberculosis, 

Pulmonary tuberculosis, valvular heart disease 


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78 WORCESTEK INSANE ASYLUM. [Oct. 1905. 






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