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LIABILITIES. Due for supplies and expenses,

$9,482 14 for salaries and wages,

8,062 01

.

$17,544 25

Invested funds, market value,

$14,505 88

2,707 00

Total surplus,

$17,212 88

· DANIEL W. BEMIS, Treasurer.

October 1, 1871. We have examined the above account with the vouchers, and find it correct.

HENRY CHAPIN,
WILLIAM WORKMAN,

Auditing Committee.

NEW HOSPITAL ACCOUNT. Received from State appropriations of 1868–70, $100,000 00 Appropriation of 1870–71,

30,000 00

$130,000 00

Drawn on the above,For purchase of land Lucy A. Watson, .

. $11,000 00 For purchase of land Henry Prentice, 23,000 00

Robert Taft, 36,000 00
Chas. Bowen,

40,000 00 Interest,

561 31

110,561 31

Balance of appropriation undrawn, .

$19,438 69

D. W. BEMIS, Treasurer.

SUPERINTENDENT’S REPORT.

GENTLEMEN :-In obedience to the laws of the Commonwealth, I have the honor to submit to you, for your consideration, the Thirty-Ninth Annual Report of the Worcester Lunatic Hospital.

For the general results of the year, and the condition of the hospital in detail, you are respectfully referred to the following tabular statements, and such brief explanatory remarks as may accompany them; to all of which I ask your careful attention.

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At the close of the previous year, there were four hundred and eight patients, inmates of the hospital, of whom one hundred and ninety-seven were males, and two hundred and eleven were females.

There were admitted during the year four hundred and seventy patients, of whom two hundred and fifty-four were males, and two hundred and sixteen were females.

The whole number of patients under treatment in the course of the year, as appears by the table, was eight hundred and seventy-nine, of whom four hundred and fifty-two were males, and four hundred and twenty-seven were females.

The largest number of inmates at any one time during the year was four hundred and sixty-eight and the smallest number was four hundred and eight.

The largest number of males at any one time during the year was two hundred and thirty-four and the smallest number was one hundred and ninety-seven.

The largest number of females at any one time during the year was two hundred and thirty-eight and the smallest number was two hundred and eleven.

The daily average number of patients, inmates of the hospital, was four hundred and thirty-nine.

The number of patients discharged during the year was three hundred and ninety-four, of whom two hundred and ten were males, and one hundred and eighty-four were females. Of the three hundred and ninety-four patients discharged, two hundred and nine,—one hundred and six males, and one hundred and three females,-were recovered. One hundred and seventyseven,-ninety-seven males and eighty females,—were improved in both mental and physical health. And eight, seven males and one female,—were discharged and removed to homes or other institutions without apparent benefit from their residence in the hospital.

There were removed by death in the course of the year, sixty-three patients, of whom forty-one were males, and twenty-two were females.

The average number of inmates exceeded that of the previous year by forty-three.

The number of admissions exceeded that of the previous year by eighty-six; the number of those discharged exceeded that of the previous year by one hundred and seven ; and the number of those who died was less by one than that of the previous year.

The ratio of recoveries was a fraction more than fifty-three per cent. to the number of those discharged, after deducting the number of those who died.

There were, as usual, several patients in the hospital who had recovered their ordinary health of body and mind, and were awaiting the convenience of friends for their removal. If the number of these were added to the number of those discharged and tabulated, the ratio of recoveries would be somewhat increased. And if twelve cases of recurrent mania be included in the tabular statement, the ratio of recoveries to the number discharged will be increased from fifty-three to a fraction of more than fifty-seven per cent.

If seven patients discharged as improved who are now reported by their friends to be recovered, had been recorded as recovered, the ratio of recoveries to the whole number discharged, would be increased to more than fifty-eight per cent.

Again, if eighty-three patients who were transferred directly to other institutions be deducted from the whole number discharged from the hospital, the ratio of recoveries to the number discharged will be nearly sixty-eight per cent.

Of those discharged as improved, many had so far regained their habits of self-control as to be able to resume their ordinary occupations with comfort to themselves and profit to their friends. Several of those removed by the Board of State Charities to almshouses were quite restored, but had no homes or friends to receive them ; and they required some intermediate assistance between the sustaining influence of the hospital and the full freedom and requirements of active life. The hospital supplies this want as far as possible by giving remunerative employment to some and by permitting others to seek employment outside of the hospital while still under its care and control.

Of those discharged not improved, two were old cases of hopeless dementia, two were cases of general paralysis removed by friends to their homes, two were cases of epilepsy of long standing, and two were cases of chronic mania in its usual form.

The rate of mortality was somewhat less than during the previous year,

and
may

be considered moderate, when we remember the condition of many of the patients when admitted.

The table of mortality will show that a large proportion of the deaths occurred to old and feeble persons and those who were suffering from various forms of disease always considered hopeless from the beginning.

No patient has died of any form of acute disease, except of exhaustion from high maniacal excitement.

TABLE No. 2.

Showing the Admissions and state of the Hospital from October 1, 1870, to

September 30, 1871.

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Patients in the Hospital, October 1, 1870,

admitted in the course of the year,

remaining in the Hospital, Sept. 30, 1871, Of the admissions there were cases of one year or

less duration, Of the admissions there were cases of more than

one year's duration, of the admissions there were cases the duration of

whose insanity could not be ascertained, Patients committed by Courts,

committed by Overseers of the Poor,
on bonds,
committed by Governor's warrant,
committed by the Board of State Charities,

committed by Commissioners of Lunacy, . Foreigners and those having no settlement in the

State, committed in course of the year, Foreigners and those having no settlement in the

State, discharged in course of the year, Foreigners and those having no settlement in the

State, remaining in the Hospital, Sept. 30, 1871, .
Patients in this Hospital previously,

in other Hospitals in this state previously,
in Hospitals of other States previously,

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State Paupers remaining in the Hospital at the close of each year, as nearly

as can be ascertained.

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