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CONTENTS.

Aliens excluded because of mental unsoundness....

Insane persons deported after landing..

Insane and feeble-minded aliens in the United States.

Foreign-born insane in institutions, 1908....

The ratio of insanity among the native-born and among the foreign-born.

The native-born of foreign father compared with the native-born of native father.
The alien insane, classified by nationality or race.

The tendency to insanity among the immigrants, by nationality or race..

Possible causes of high ratios of insanity among the foreign-born..

The inefficacy of the immigration law...

Racial or national tendencies...

The effects of change of environment..

Summary..

Page.

227

229

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234

235

237

241

245

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247

250

251

LIST OF TABLES.

TABLE 1. Number of persons of each specified class excluded from United
States, by year...

227

2. Aliens debarred from entering United States because of mental
defects or diseases, 1908 and 1909...

228

230

3. Insane in hospitals in continental United States, 1904...

4. Feeble-minded in institutions in continental United States, 1904..
5. Alien, naturalized, and native-born inmates of institutions for the
insane in the United States in 1908, by geographic division and
State...

231

232, 233

6. Proportions of native and foreign born insane in hospitals in conti-
nental United States, 1904, and of native and foreign born per-
sons in the general population, 1900..

7. Parentage of native-born white insane in hospitals in continental
United States December 31, 1903, and of native-born white per-
sons in the general population, 1900..

8. Parentage of native-born white insane in hospitals in continental
United States December 31, 1903, and of native-born white per-
sons in the general population, 1900, by specified age groups....
9. Aliens detained in institutions for the insane in the United States,
1908....

10. Persons received at Bellevue and Allied Hospitals, New York City,
for treatment for insanity, August 1, 1908, to February 28, 1909..
11. Foreign-born white insane enumerated in hospitals in continental
United States December 31, 1903, by country of birth..
12. Foreign-born white insane admitted to hospitals in continental
United States during 1904, by country of birth...

234

235

236

237

238

239

240

13. Foreign-born white feeble-minded in institutions in continental
United States, 1904, by country of birth..

14. Foreign-born white insane enumerated in hospitals in continental
United States December 31, 1903, and total foreign-born popula-
tion of continental United States in 1900, by country of birth;
per cent distribution.

15. Foreign-born persons in the United States less than three years who
were received at Bellevue and Allied Hospitals, New York City,
for treatment for insanity, August 1, 1908, to February 28, 1909..
16. Number and ratio of insane in United States and in foreign coun-
tries.....

241

242

247

248

ALIENS EXCLUDED BECAUSE OF MENTAL UNSOUNDNESS.

Foreign-born persons of unsound mind have been excluded from the United States by federal legislation since 1882. The law of 1882 prohibited the immigration of idiots and lunatics, and that of 1891 excluded idiots and insane persons. The statutes since enacted have been more comprehensive in their terms. In 1903 a law was passed prohibiting the immigration of idiots, insane persons, persons insane within five years of the date of application for admission, and persons having had two or more previous attacks of insanity. The law of 1907 excludes idiots, imbeciles, feeble-minded persons, persons insane within five years of the date of application for admission, persons having had two or more previous attacks of insanity, and persons suffering from mental defects, not otherwise specified, sufficiently serious to affect ability to earn a living.

Through the operation of these statutory provisions many aliens have been excluded. The annual reports of the United States Commissioner-General of Immigration show, for the years since 1890, the number of aliens excluded from the United States in each year, together with the causes of exclusion. These data, so far as they relate to persons of deranged or defective mentality, are presented in the following table:

TABLE 1.-Number of persons of each specified class excluded from United States, by year. [Compiled from annual reports of the United States Commissioner-General of Immigration.]

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It will be noted that the classification of persons mentally unsound differs from year to year. This variation is due to the changes in the wording of the statutes under which the aliens have been excluded. Since 1890 there has been a very marked increase in the number of persons prevented, by reason of mental diseases, from entering the United States. In 1908, 345, and in 1909, 322, foreignborn persons were excluded for the various causes specified in the table. Of those excluded in 1908, 159 are classified as insane, 20 as idiots, 45 as imbeciles, and 121 as feeble-minded persons, while of those excluded in 1909, 141 are classified as insane, 18 as idiots, 42 as imbeciles, and 121 as feeble-minded. Foreign-born persons to the number of 1.573 were debarred from entry into the United States for the causes specified in the captions of the table, during the period of 20 years from 1890 to 1909, inclusive. The returns of the table do not include persons suffering from mental diseases not included in the classification, but of a nature sufficiently gravé to affect ability to earn a living.

In the following table the aliens debarred from entering the United States because of mental defects or diseases in the years 1908 and 1909 are classified by race or people:

TABLE 2.-Aliens debarred from entering United States because of mental defects or diseases, 1908 and 1909.

[Compiled from annual reports of the United States Commissioner-General of Immigration for 1908 and 1909. This table does not include aliens having mental defects not included in the classification which may affect ability to earn a living.]

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