Report of the Board of Directors and Superintendent of the State Hospital, Raleigh, N.C.

              REPORTS
OF THE
BOARD OF DIRECTORS
AND OF THE
SUPERINTENDENTS
OF THE
STATE HOSPITALS
FOR THE INSANE
AT
RALEIGH, GOLDSBORO AND MORGANTON
NORTH CAROLINA
FOR THE TWO YEARS
ENDING NOVEMBER 30, 1918
RALEIGH
Edwards & Broughton Printing Co.
State Printers
1918
BOARD OF DIRECTORS
OF THE
STATE HOSPITALS OF NORTH CAROLINA
Joseph G. Brown, President Wake County
Term expires April, 1923.
A. E. Tate - Guilford County
Term expires April, 1919.
P. B. McKinne Franklin County
Term expires April, 1921.
B. B. Adams Johnston County
Term expires April, 1921.
R. R. Clark Iredell County
Term expires April, 1923.
W. H. Williams Beaufort County
Term expires April, 1919.
C. A. Woodard . . .
.
' Durham County
Term expires April, 1919.
*C. P. Matheson Alexander County
Term expires April, 1921.
J. W. Thompson Wayne County
Term expires April, 1923.
*Died during the year and succeeded by J. H. Giles, Burke County. Term expires April, 1921.
LETTER OF TRANSMITTAL
Raleigh, N. C, December 21, 1918.
To His Excellency, T. W. Bickett,
Governor of North Carolina.
Sir:—On behalf of the Board of Directors of the State Hospitals of North
Carolina, I beg to submit herewith the reports of the superintendents, show-ing
in detail all the operations at each 'hospital for the two years beginning
December 1, 1916, and ending November 30, 1918.
The institutions and the State suffered a great loss in the death of Mr.
Charles P. Matheson, an 'honored and useful member of this Board and a
gentleman of sterling character.
Your special attention is called to the fact that a deficit is shown at each
institution. It is a source of gratification that this deficit is not larger as,
because of war conditions throughout the entire period, the price of labor
and of supplies of every kind have been excessively high.
Two years ago the directors of the three 'hospitals asked for increased
appropriations, basing their request on the advanced prices then prevailing.
The General Assembly thought best to curtail the amounts asked for, and
did so. Prices continued to advance, and, 'dearly foreseeing that the appro-priations
would be inadequate, the directors, in person and by letter, in May,
1917, called the matter to the attention of yourself and your Council of State.
After due consideration the directors were advised to make t'he available
funds go as far as possible and wihen they were exhausted to call upon you
for further instructions. This course was followed and every possible
economy was practiced. Rooms were kept empty because funds were not
sufficient to support the present population.
There are now empty rooms sufficient to accommodate at Morganton 100
and at Raleigh 110 additional patients. Because of lack of funds these rooms
could not be used, although there were many applicants on the waiting list,
and some unfortunately lying in the county jails.
In October, 1918, your attention was again called to the lack of funds, and
your Council of State authorized the directors to borrow for Goldsboro $30,000,
for Raleigh $30,000, and for Morganton $60,000. The hospitals did not find it
necessary to borrow quite so much, although at Morganton it was found
necessary to leave some outstanding bills. Attention is called to these mat-ters
in the various reports, and the General Assembly is asked to provide for
these deficits in addition to their appropriation for maintenance for the next
two years.
The directors would suggest and most earnestly urge that authority be
lodged in some one to provide for emergencies of this kind so that the direc-tors
may not be called upon to assume personal responsibility for the support
of these institutions or to ask the banks to make loans for wlhich there exists
no authority.
Your attention is further directed to the crying need for other permanent
improvements, as indicated in the reports of the superintendents. The direc-tors
are fully aware of the lack of funds sufficient to provide for all of the
interests of the various institutions of the State, but the needs of the class
Letter of Transmittal
of patients served by these hospitals are of such a nature that they think it
their duty to submit these matters for the careful consideration of yourself
and of the General Assembly.
There is a fund known as the "Receipts or Steward's Account," which
comes from pay patients and other sources and which the various hospitals
have been allowed to use. But for this fund it would have been impossible
to have made as good a showing with the regular appropriations. In large
institutions of this kind, as in smaller households, many unusual emergencies
occur which cannot possibly be anticipated. This fund has been used judi-ciously,
and detailed report is made thereof. It should not be interfered with.
Messrs. Pullen, Henderson, McKinne & Co., a well-known firm of account-ants,
have been employed to audit the books and accounts, and comparative
statements have been inaugurated which it is believed will result in great
good. Summary of the same will be found herein, and all per capita calcula-tions,
comparisons, etc., will be found in the Auditor's report.
The suggestions and requests found in these reports have been made after
the most careful consideration of the Board, and are solely for the interests
of the institutions and of the patients under their care.
The directors wish to express their appreciation of the cordial support and
hearty cooperation which they have always received at your hands.
Very respectfully, Jos. G. Brown,
President of the Board.
REPORT
OF
THE STATE HOSPITAL
AT
RALEIGH, N. C.
FOR THE
TWO YEARS ENDING NOVEMBER 30, 1918
EXECUTIVE COMMITTEE
Joseph G. Brown, Chairman
B. B. Adams C. A. Woodard
RESIDENT OFFICERS AND STAFF
Albert Anderson, M.D Superintendent
R. K. Adams, M.D -. Assistant Physician
Charles L. Jenkins, M.D Assistant Physician
Thomas M. Jordan, M.D Assistant Physician
Miss Mary S. White Steward
SUBORDINATE OFFICERS
Miss Minnie Stamps Gosney Bookkeeper
Miss Lillie Belle Goodwin Private Secretary to Superintendent
Miss Myrtle Reams Superintendent of Nurses
Miss Catherine White Matron
Miss Annie J. Eagle Druggist
T. A. Holliday Engineer
Robert Green Carpenter
James Adams Florist, Farmer and Gardener
REPORT OF THE SUPERINTENDENT
Mr. Joseph G. Brown, President, and Members of the Board of Directors of
the State Hospital at Raleigh.
Gentlemen:—Report of the work of this hospital for two years ending
November 30, 1918, is herewith submitted:
Statistical Summaey
Insane Department
Males
Patients remaining November 30, 1916 481
Admitted during the past two years 208
Total number under treatment 689
Average daily population in hospital 538
Total number discharged 224
Restored 17
Improved 88
Unimproved 2
Died 117
Per cent of deaths on number treated
Per cent of recoveries on number admitted
Remaining 465
Epileptic Department
Males
Patients remaining November 30, 1916 88
Admitted during the past two years 39
Total number under treatment 127
Average daily population 90
Total number discharged 42
Discharged improved 13
Transferred to Main Building 3
Died 26
Per cent of deaths on number treated
Total number remaining November 30, 1918 85
Females Total
556 1,037
205 413
761 1,450
618 1,156
231 455
17 34
142 230
1 3
71 188
.... 12
• • • • 4
530 995
Females Total
82 170
26 65
108 235
88 178
25 67
11 24
. . . 3
14 40
. . . 17
83 168
The statistical summary includes the Epileptic Department.
There has been no suicide during this biennial period.
There had been no epidemic of any disease until the influenza came in
October and lasted until about the close of the year.
Three hundred and seven cases, including all officers, employees, and
patients, occurred in about thirty days, a little over ten cases a day. Of these,
there were seventy-two employees and officers with only two deaths; the
balance were patients—eighteen of whom died—making 2.7-9 per cent mor-tality
among employees and officers and 7% per cent among patients.
R. E. Chesnutt, our chief cook, was the first to die of pneumonia. No finer
hero than he died in the trenches. He strictly considered his post of service
as one of patriotic duty, and flatly refused more remunerative offers and
stuck to his job with supreme loyalty.
8 State Hospital at Raleigh
W. F. Christenbury, our dairyman, was the second one to die, and he died
of the same disease—pneumonia following influenza. He, too, was faithful,
efficient, and loyal to his work.
Regular staff meetings have been held daily, at which reports from assist-ant
physicians are received as to new cases and the condition of the sick.
We have had most of our new patients examined and their histories taken
and presented to the staff meeting. The large demands of war for doctors
depleted our staff and we could not keep up with all the work as we have
been accustomed. The work of our pathological department has been done
by the State Laboratory of Hygiene since last May.
We have had no dental work done at the hospital. There is decided need
for this. There is greater need for providing dental work for tlhe mental
sick than any other iclass, 'mostly because they cannot be sent outside of the
institution in the large majority of cases. There have been very fine results
obtained by many institutions where dental work was done. Many mentally
sick cases have been restored to health by repairing the teeth.
We mentioned in our report two years ago that the old closets of the main
building should be replaced with new ones, suclh as were put in the new
buildings. The repairs on the old closets and the waste water from defects
of tlhe same justify an immediate change. Reference to estimate of the abso-lute
needs of male and female sides of main building is made on another
page.
During recent years the condition of our steam boiler plant and heating
system has reached a point where it has been impossible to heat the buildings
with any degree of comfort, or even to prevent suffering among our patients
in extremely cold weather.
The additional buildings recently erected called for additional capacity,
and the fuel consumed in an attempt to provide service was increasing at
such a rapid rate that in the spring of 1918 it was found absolutely necessary
to take some adequate steps to relieve the rapidly increasing difficulties
along this line.
As the problem presented many difficulties, owing to the large size of the
plant as a whole, and the vast amount of heating equipment and complicated
nature of the piping system which has accumulated through the various
stages of enlargement for many years, it was considered advisable to secure
the services of some engineer of experience in this class of work to plan and
superintend the contemplated improvements. After careful investigation,
Wiley & Wilson, consulting engineers of wide experience in this line of work,
were employed in February, 1918, to perform this service.
After making a very thorough survey and study of our conditions for
several weeks, our engineers submitted a report which convinced us that the
alterations would have to be extensive to be of permanent value, and that the
expenditure of approximately $15,000 originally available for the work would
only cover repairs to an inadequate equipment without reaching the desired
results, and that it would be finally wasted, as a general rebuilding of the
plant and remodeling of the equipment was inevitable.
Among other things the investigations showed that the 750 horse-power
boiler plant was connected to a chimney which was only large enough to
produce proper draft for 300 horse-power; that the brick settings surround-ing
the boilers were practically falling down; that the pipe connections and
auxiliary boiler-rooul equipment were entirely inadequate and so far worn
State Hospital at Raleigh 9
out that further repairs was a waste of money, and that serious breakdowns
and interruptions of service were sure to continue until these items had been
replaced by better equipment.
The boiler-house was largely of temporary construction with large fire
risk and not adequate to accommodate the increased capacity of equipment
needed, and the elevations of the boiler-room floor and railway sidings were
such that no adequate provision could be made for dumping and storage of
fuel, a matter wnich has caused us much trouble and expense in the past.
It was also found that the heating equipment in a number of the older
buildings needed extensive repairs, and it was necessary to remove a large
number of undersized and poorly insulated steam mains, many of which
were laid underground and leaked so badly that their further use was out of
the question.
The improvements finally agreed upon and for Which plans and specifica-tions
were prepared by our engineers covered the following:
First. The remodeling of the power-house building and construction of
coal dump and storage bins.
Second. The ' construction of a new brick chimney of sufficient size to
accommodate 1,000 horse-power steam-boiler capacity.
Third. The installation of an additional steam boiler raising the boiler
capacity to 900 horse-power total, and the rearrangement and resetting of all
of the six 150 horse-power boilers.
Fourth. The installation of entirely new power-house piping, boiler-feed
pumps, and auxiliary equipment along modern lines.
Fifth. The installation of new steam mains leading to the various build-ings,
both for heating and power purposes, so far as these renewals were
found necessary.
Sixth. The remodeling of the heating equipment in the various buildings
wlhere repairs or alterations were found necessary to provide satisfactory
heating service.
It was estimated that the above work would cost approximately $60,000.
The available funds for this purpose being only about $15,000, it was decided
to get permission from the North Carolina State Building Commission to use
funds which had been appropriated for a new kitchen to devote to the re-modeling
of our central power and heating plant. This matter was submitted
to the North Carolina Building Commission on May 9th and their approval
given, contracts being let at that time for remodeling of power-house, con-struction
of chimney, and a number of other items (which, due to the war,
would require considerable time to manufacture and deliver to the institu-tion).
The plans for the power-plant piping and equipment, also remodeling of
the entire steam-distributing system and heating apparatus in the buildings,
were submitted to the contractors soon after this time, and bids received
about June 25th. Owing to rapidly increased cost of material and labor since
estimates were made on March 25th the total cost of the improvements ex-ceeded
the estimates by $30,000 to $40,000. The matter was taken up with
the Governor's Council and the State Building Commission and permission
was given for us to proceed with the work, the funds to he supplied from
our next year's building fund or by a special appropriation.
The work has been pushed as rapidly as possible, but, owing to the unpre-cedented
conditions resulting from the war and influenza epidemic, serious
10 State Hospital at Raleigh
delays in getting material and shortage of labor have prevented its final com-pletion.
The matter, however, has been handled in such a way as to prevent
a serious interruption of the power or heating service.
The building contractor remodeling the power-house died in October, and
his wife, Who was his administrator, died soon afterwards, and this has been
the cause of one of our most serious delays. This matter has been readjusted
with a third administrator, and we hope to proceed with the completion of
the unfinished details of the building and coal dump.
The central plant is now in such shape that we are in position to furnish
practically all the buildings with heat and prevent suffering among our
patients, although up to the present time we have only three boilers in opera-tion.
The other three boilers will be in operation by January 1st, and the
improvements as a whole will be nearly completed. It will probably take a
month to six weeks after January 1st to finish up all of the minor details and
get the plant entirely finished and running in the most economical manner.
It would have been impossible for us to get through this winter and take
care of our patients without making the improvements above outlined, and
the economy resulting from the improvements will abundantly justify the
investment, notwithstanding the high cost of labor and material during the
construction period, and to say nothing of the satisfactory nature of the
service which will be obtained.
A tabulation giving cost of the various items entering into the improve-ments
as outlined can be furnished if desired, and While there may be some
slight changes as the work progresses, it is not contemplated that any mate-rial
increase will be required.
Our farm and carpenter's departments have continued under the same head,
with increased output and efficiency.
The engineer's department has of necessity changed heads four times,
mainly on account of the war. We are spending on this department all our
building appropriation for three years as above outlined.
The reports for all the departments are herewith submitted. They all
show good results in production.
In making our estimate for maintenance appropriation two years ago, we
based our estimate on the best obtainable statistics as of October 1, 1916,
which showed that the average price of food was 23.8 per cent higher than
the average for the past eight years prior to that date.
The Legislature failed to give the increased amount asked for, and we were
unable to equip and open our new receiving building. Our usual number
were sufficient to use all the maintenance fund and create a deficit of about
$30,000. We began the biennial period with a deficit of more than $16,000.
We have been able to live without larger deficit, as shown by auditor, by
making large crops, saving all we make, and practicing strictest economy
—
"eating enough and wisely, and wasting none."
By opening the new building and using all available space we can take
about one hundred and ten additional patients. But we have about six hun-dred
and thirty on the waiting list. Every mentally sick patient in the State
ought to be provided for during the acute stage. Our plan, forced by lack of
room, keeps many acute cases out till they become chronic life charges on
the State.
State Hospital at Raleigh 11
On account of the continued high prices, we must ask for $230 per capita
for next two years, and with this amount we believe we can arrange to pro-cure
sufficient help to properly care, treat, and feed 1,160 patients.
We under-estimated the cost of building a kitchen and two congregate
dining-rooms in our last report. We had plans made only for a kitchen, and
the lowest bid was about $75,000. Each one of the dining-rooms would have
cost nearly as much.
At present prices our architect informs us that the kitchen would cost
$100,000 and each dining-room $90,000, making a total of $280,000.
Our large waiting list might be reduced considerably by adhering to a strict
rule of rejecting the applications of many aged people who are bedridden,
feeble, or dotards. These do not need the special equipment of a hospital as
the mentally sick. Homes for incurables and invalids are the places for these.
G Ward building is one either to be condemned or thoroughly remodeled
according to the opinion of a competent architect. As the effects of the war
upon work, we would mention high cost of living, scarcity and restlessness
of labor, producing our deficit, making it very difficult to keep up the usual
sanitary condition in our wards and all other work on account of the short-age
of help.
To the clergy and a few Christian laymen of the city we owe our thanks
for their service in conducting our Sunday morning worship.
In the discharge of my official duties, I wish to personally thank the officers,
employees, and patients for their assistance and support. My indebtedness
to the Executive Committee, members of the Board, and members of the build-ing
commissioners for their counsel and assistance in solving the many diffi-cult
problems connected with the management of the institution is hereby
tendered with sincerest appreciation.
Respectfully submitted, Albert Anderson,
Superintendent.
12 State Hospital at Raleigh
Repairs named below are compulsory to the following wards:
Female Department
A, B, C, D, E, and F Wards
Six bath tubs $ 360.00
Eighteen lavatories 360.00
Twelve commodes 600.00
Six sinks 90.00
J Ward
Two commodes $ 100.00
Three lavatories 105.00
One sink 15.00
G Ward
Three bath tubs $ 480.00
Pour commodes 200.00
Three lavatories ., 105.00
One dish sink in C. D. room 40.00
E. B. Ward
Twelve commodes •....$ 600.00
Four bath tubs 240.00
Twelve lavatories 420.00
Four sinks 60.00
Tubercular Ward
Two commodes $ 100.00
Two lavatories 70.00
Three toilets in female courtyard 500.00
Total $4,445.00
Needed on Male Side
Sixteen commodes $ 800.00
Eight lavatory bowls 280.00
Two or three toilets in male courtyard 500.00
Total $1,580.00
Female $4,445.00
Male 1,580.00
Amount together $6,025.00
Appropriations
For 1,160 patients, 1919 $266,800.00
For 1,160 patients, 1920 , 266,800.00
State Hospital at Raleigh 13
TABLE No. 1
Showing the Number of Admissions and Discharges (Including Cures, Im-proved,
Unimproved, and Deaths) for Each Year Since the Opening of
the Hospital.
CO
o
03
H
<
Discharged
Date
73
cd
Bu
CD
>
O
a
a
CD uu
CD
CD
a
CO
a
o
T3
CD
>O
a
S
• r-t
a CD
p
o
H
Mc
'S
'cS
a
CD
1856 » 90
96
57
83
76
61
44
41
40
. 41
65
85
72
27
27
44
43
50
44
42
44
52
42
45
56
49
50
53
106
97
95
74
80
93
75
88
93
97
92
137
160
182
190
169
192
143
163
141
187
151
143
208
137
237
487
336
262
324
372
316
274
222
191
5
15
26
22
23
21
17
9
14
9
15
13
18
7
7
9
14
17
13
16
11
13
14
14
17
10
16
17
27
41
17
17
37
52
30
45
57
46
50
62
96
99
115
105
119
100
150
55
121
15
113
11
160
6
239
31
293
41
280
5
106
7
27
3
10
7
11
22
4
2
4
7
1
4
5
7
3
4
5
9
6
8
5
6
8
11
4
7
3
5
43
16
12
36
2
14
9
17
10
12
17
3
7
12
10
6
4
3
5
1
10
12
2
5
6
3
2
3
2
55
2
46
25
230
16
214
2
7
9
10
23
8
15
21
27
45
14
21
17
7
9
8
8
13
16
14
9
15
19
13
29
23
17
9
11
24
20
8
18
25
26
24
21
28
19
41
44
28
27
53
31
41
33
28
29
16
28
45
41
43
55
64
110
69
82
77
90
79
109
10
38
51
50
73
47
42
41
55
74
47
52
53
19
22
31
55
41
39
40
29
39
54
33
60
38
56
132
62
86
101
30
80
87
79
81
94
91
75
114
159
145
161
168
154
147
186-
105
240
77
154
75
209
60
324
123
467
127
423
115
432
105
350
80
1857 6
9
7
25
14
8
7
7
19
14
13
11
2
2
9
14
5
2
5
3
3
10
2
I
18
63
9
9
28
3
11
1
16
2
4
138
1858 141
185,9 . 170
186b 179
1861 . 193
1862 . _ 195
1863 195
1864 189
1865 147
1866 - 165
1867 198
1868 . 217
1869 225
1870 . 232
1871 . 245
1872 . 233
1873 . 242
1874 247
1875 249
1876 264
1877 278
1878 266
1879 277
1880 273
1881 284
1882 278
1883 199
1884 . 243
1885 . 254
1886 248
1887 292
1888 292
1889 298
1890 . 294
1891 . 301
1892 300
1893 . 288
1894 3
4
5
8
3
4
1
1
1
4
8
2
4
5
7
5
4
9
13
4
6
3
305
1895 328
1896 2 329
1897. 364
1898 393
1899 2 390
1900.. 424
1901 . . 420
1902
77
29
5
1
8
1
4
3
397
1903 . 433
1904 ... . 380
1905 . 454
1906 . . 441
1907 . 3 6 574
1908 3
1
9
13
3
6
1
4
2
3
11
8
2
1
502
1909. 677
1910.... 842
1911 1,055
1912. . 850
1913 . 1,057
1914 . . 994
1915 1,195
1916 . 1,037
1917... . 1,154
1918 995
Total 7,833 3,056 1,023 154 58 464 2,042 6,817
14 State Hospital at Raleigh
TABLE No. 2
Showing Movements of Population foe the Past Two
November 30, 1918.
Males
Patients remaining November 30, 1916 481
Admitted during the past two years 208
Total number under treatment 689
Average daily population in hospital 538
Total number discharged 224
Restored 17
Improved 88
Unimproved 2
Died 117
Per cent of deaths on number treated
Per cent of recoveries on number admitted
Remaining 465
Fears Ending
Females Total
556 1,037
205 413
761 1,450
618 1,156
231 455
17 34
142 230
1 3
71 188
12
4
530 995
TABLE No. 2—EPILEPTIC
Showing Movements of Population for the Past Two
November 30, 1918.
Males
Patients remaining November 30, 1916 88
Admitted during the past two years 39
Total number under treatment during 2 years 127
Average daily population , . . 90
Total number discharged 42
Discharged improved 13
Transferred to main building 3
Died 26
Per cent of deaths on number treated
Total number remaining November 30, 1918 85
Years HiNDING
Females Total
82 170
26 65
108 235
88 178
25 67
11 24
oO
14 40
17
83 168
TABLE No. 3
Showing Form of Insanity of Those Admitted During the Past Two Years.
Males Females Total
Epilepsy
Dementia praecox
Manic depressive
Constitutionally defective
Senile dementia
Dipsomania
Pellagra
Pseudo-bulbopalsy
Imbecile
Toxic
Paresis
Drug addiction
Traumatic
44 26 70
40 29 69
57 102 159
20 6 26
19 12 31
4 4
6 21 27
1 .... 1
4 .... 4
4 .... 4
5 1 6
3 4 7
2 .... 2
State Hospital at Raleigh 15
Table No. 3
—
Continued Males Females Total
Puerperal 1 1
Chorea 1 1
Hysteria 1 1
208 205 413
TABLE No. 4
Showing Duration of Insanity of Those Admitted During the Past
Two Years.
Males Females Total
Not to exceed 1 month 30 43 73
From 1 to 3 months 34 27 61
From 3 to 6 months 27 24 51
From 6 to 12 months 17 14 31
From 1 to 2 years 26 27 53
From 2 to 3 years 14 18 32
From 4 to 5 years 15 14 29
From 5 to 10 years 12 22 34
From 10 to 20 years 23 11 34
From 20 to 30 years 5 2 7
From 30 to 40 years 5 3 8
208 205 413
TABLE No. 5
Showing Supposed Cause of Insanity of Those Admitted During the
Past Two Years.
Males Females Total
Unknown 78 67 145
Fright 1 1 2
Heredity 10 12 22
111 health 20 26 46
Pellagra 6 17 23
Domestic trouble 2 22 24
Puerperal 7 7
Drug habit 5 3 8
Whiskey 9 9
Overwork 7 3 10
Menopause 5 5
Senility 1 1 2
Financial trouble 2 1 3
Syphilis 1 1 2
Epilepsy 30 19 49
Grief 2 8 10
Love affair 2 1 3
Worry over war 5 1 6
Traumatism 9 2 11
Masturbation 10 .... 10
Cigarettes 1 .... 1
Religion 7 6 13
208 205 413
16 State Hospital at Raleigh
TABLE No. 6
Showing Age When Admitted During Past Two Years.
Males Females Total
21 14 35
54 55 109
49 59 108
41 36 77
24 31 55
15 9 24
1 1 2
.... 1 1
From 10 to 20 years,
From 20 to 30 years,
From 30 to 40 years,
From 40 to 50 years,
From 50 to 60 years
From 60 to 70 years,
From 70 to 80 years,
From 80 to 90 years
208 205 413
TABLE No. 7
Showing Number of Attacks of Those Admitted During the Past Two Years.
Males Females Total
First attack 142 128 270
Second attack '. 21 22 43
Third attack 8 13 . 21
Fourth attack 11 8 19
Fifth attack 2 2
Several attacks '.
. . . 26 32 58
208 205 413
TABLE No. 8
Showing Occupation of Those Admitted During Past Two Years
Males Females Total
Housewife
Domestic
None
Teacher
Clerk
Farmer
Merchant
Civil engineer ....
Laborer
Mechanic
Shoemaker
Railroad conductor
Druggist
Fisherman
Policeman
Blacksmith
Insurance agent .
.
Editor
Carpenter
Contractor
Butcher
32
4
7
96
3
2
32
2
1
1
1
1
1
1
1
1
3
1
1
102
61
32
3
102
61
64
7
7
96
3
2
32
2
1
1
1
1
1
1
1
1
3
1
1
State Hospital at Raleigh 17
Table No. 8
—
Continued
Males Females Total
Mill operator 11 4 15
Student . 3 3 6
Tobacconist 2 .... 2
Lawyer 1 .... 1
208 205 413
TABLE No. 9
Showing Civil Condition of Those Admitted During the Past Two Years.
Males Females Total
Single 107 66 173
Married 96 121 217
Widowed .' 5 18 23
208 205 413
TABLE No. 10
Showing Residence of Those Admitted During the Past Two Years.
Males
Alamance 4
Anson 3
Beaufort 7
Bertie
Bladen 8
Burke 1
Brunswick 1
Buncombe 1
Camden
Carteret 2
Caswell 1
Chatham 3
Cleveland 1
Columbus 1
Craven 2
Cumberland 9
Dare 1
Duplin 3
Davidson
Durham 7
Edgecombe 8
Franklin 7
Forsyth 1
Gaston 3
Guilford 1
Granville 8
Greene
Cabarrus
Halifax 4
Harnett 6
Henderson 1
2
Females Total
2 6
.... 3
2 9
3 3
2 10
1 2
1 2
1 2
1 1
5 7
2 3
5 8
.... 1
8 9
4 6
8 17
.... rl
3 6
1 1
7 14
.... 8
5 12
.... 1
1 4
2 3
3 11
2 2
2 2
2 6
6 12
1
18 State Hospital at Raleigh
Table No. 10
—
Continued
Haywood . .
.
Hoke
Hyde ,
Iredell ,
Johnston
Jones
Jackson
Lee
Lenoir
Martin
Macon
McDowell . .
.
Moore .......
Mecklenburg
Montgomery .
Mitchell
Nash
New Hanover
Northampton
Onslow
Orange
Pamlico
Pasquotank .
Pender
Person
Pitt
Robeson .....
Rowan
Rockingham .
Sampson
Scotland
Surry
Stokes
Tyrrell
Transylvania
Vance
Wake
Swain
Warren
Washington .
Wayne ......
Wilson
Wilkes
Yancey
Males Females Total
2 .... 2
.... 4 4
.... 1 1
1 1 2
4 7 11
1 1 2
1 .... 1
2 3 5
6 2 8
2 .... 2
.... 2 2
.... 1 1
6 4 10
1 1 2
.... 3 3
2 .... 2
6 6 12
5 5 10
2 1 3
2 3 5
4 6 10
1 3 4
3 .... 3
3 1 4
2 1 3
2 4 6
7 10 17
.... 1 1
2 1 3
3 5 8
4 4 8
1 .... 1
1 .... 1
1 .... 1
.... 1 1
9 2 11
14 22 36
.... 1 1
3 1 4
1 1 2
6 7 13
4 5 9
.... 1 1
.... 2 2
208 205 413
State Hospital at Raleigh 19
TABLE No. 11
Showing Nativity of Those Admitted During the Past Two Years.
Males Females Total
Serbia 1 .... 1
Virginia 2 1 3
Mississippi 1 .... 1
Alabama 1 .... 1
Mexico 1 1
South. Carolina 5 3 8
North Carolina 195 200 395
Kentucky 1 .... 1
Germany 1 .... 1
Tennessee 1 .... 1
208 205 413
TABLE No. 12
Showing Form of Insanity of Those Recovered During the Past Two Years.
Males Females Total
Manic depressive 11 14 25
Involutional melancholia 2 2 4
Toxic 1 1
Drug habit 1 .... 1
Psychoneurosis 2 1 3
17 17 34
TABLE No. 13
Showing Duration of Insanity of Those Recovered During the Past
Two Years.
Males Females Total
From 1 to 3 months 1 1 2
From 3 to 6 months 1 2 3
From 6 to 12 months 4 9 13
From 1 to 3 years 10 5 15
From 3 to 5 years 1 .... 1
17 17 34
TABLE No. 14
Showing the Cause of Death of Those Who Died During the Past
Two Years.
Males Females Total
Acute cardiac dilatation 1 2 3
Carcinoma of nose 1 .... 1
Carcinoma of tongue 1 .... 1
Carcinoma of stomach 1 1 2
Carcinoma of breast 1 1
Pulmonary tuberculosis 6 7 13
Peritonitis 2 2
Exhaustion from epilepsy 22 9 31
20 State Hospital at Raleigh
Table No. 14
—
Continued
Lobar pneumonia
Broncho-pneumonia
Dysentery
Cardio-renal disease
Angina pectoris
Parenchymatous nephritis
Pseudo-bulbar palsy
(Edema of the glottis
Concussion of the brain ,
Erysipelas
Influenza ,
Status epilepticus ,
Heat stroke ,
Pulmonary oedema ,
Apoplexy ,
Pulmonary abscess ,
Exhaustion from senile dementia
Exhaustion from depressive insanity.
Exhaustion from dementia praecox. .
,
Pellagra
Septicaemia
Paresis
Intestinal obstruction
Aortic regurgitation
Wales Females Total
3 1 4
4 2 6
1 .... 1
4 3 7
1 .... 1
1 .... 1
1 .... 1
.... 1 1
1 .... 1
1 .... 1
11 5 16
3 1 4
1 .... 1
.... 1 1
6 .... 6
.... 1 1
18 9 27
5 .... 5
7 3 10
11 18
'
29
.... 1 1
5 2 7
.... 1 1
1 .... 1
117
TABLE No. 15
71 188
Showing the Form of Insanity of Those Who Died During the Past
Two Years.
Males
Manic depressive insanity 11
Involutional melancholia 1
Senile dementia 25
Epilepsy 33
Dementia pra&cox 20
Psychosis following pellagra 10
Imbecile 3
Toxic psychosis 1
Paresis 8
Idiot 3
Huntington's chorea
Traumatic psychosis 1
Pseudo-bulbar palsy 1
Females Total
13 24
1 2
16 41
16 49
10 30
11 21
2 5
.... 1
1 9
.... 3
1 1
• 1
117 71 188
4 3 7
10 5 15
21 13 34
29 22 51
25 12 37
19 13 32
9 3 12
State Hospital at Raleigh 21
TABLE No. 16
Showing the Age at Death of Those Who Died During the Past Two Years.
Males Females Total
From 15 to 20 years
From 20 to 30 years
From 30 to 40 years
From 40 to 50 years
From 50 to 60 years
From 60 to 70 years
From 70 to 80 years
117 71 188
TABLE No. 17
Showing Length of Time Spent in Hospital of Those Who Died During
the Past Two Years.
Males Females Total
From 1 to 4 weeks 3
From 1 to 3 months 10
From 3 to 6 months 4
From 6 to 12 months 9
From 1 to 3 years 32
From 3 to 5 years 25
From 5 to 10 years 17
From 15 to 20 years 10
From 20 to 30 years 5
From 30 to 40 years 2
4 7
7 17
4 8
10 19
14 46
6 31
16 33
6 16
3 8
1 3
117 71 188
TABLE No. 18
Showing Residence of Those Remaining in Hospital
Males Females Total
Alamance 14 12 26
Allegthany
Alexander
Anson
Ashe
Beaufort
Bertie
Bladen
Burke
Brunswick
Buncombe
Camden
Catawba
Carteret
Caswell
Caldwell
Chatham
Chowan
. . 1 1
1 .... 1
5 .... 5
2 .... 2
10 4 14
12 3 15
14 10 24
1 2 3
8 2 10
2 2 4
2 1 3
1 1 2
10 3 13
8 5 13
1 1 2
8 3 11
2 2 4
22 State Hospital at Raleigh
Table No. 18
—
^Continued
Males
Cleveland 2
Columbus 8
Cherokee .
Craven 5
Cumberland 23
Currituck 2
Cabarrus 3
Dare 1
Davie
Duplin 10
Davidson
Durham 20
Edgecombe 10
Franklin 10
Forsyth 2
Gates 1
Gaston 2
Guilford .' 2
Granville 6
Greene 2
Henderson 1
Halifax 12
Harnett 6
Hertford 3
Haywood 3
Hoke 1
Hyde 3
Iredell 4
Johnston 12
Jones 4
Jackson 1
Lee 4
Lenoir 6
Martin 5
Macon
McDowell 3
Moore 9
Mecklenburg 1
Montgomery 1
Madison 2
Mitchell 3
Nash 6
New Hanover 14
Northampton 3
Onslow 4
Orange 5
Pamlico 4
Pasquotank 10
Pender 4
Females Total
1 3
5 13
1 1
5 10
14 37
3 5
3 6
2 3
1 1
9 19
1 1
26 46
10 20
10 20
.... 2
4 5
1 3
4 6
9 15
19 21
.... 1
11 23
9 15
2 5
1 4
5 6
4 7
2 6
15 27
3 7
1 2
5 9
8 14
9 14
1 1
1 4
21 30
4 5
2 3
3 5
.... 3
9 15
25 39
11 14
12 16
6 11
7 11
10 20
1 5
State Hospital at Raleigh 23
Perquimans .
Person
Polk
Pitt
Robeson
Rowan
Randolph . .
.
Rockingham
Richmond .
Rutherford .
Sampson . .
.
Stanly
Scotland
Surry
Stokes
Tyrrell
Transylvania
Union
Vance
Wake
Warren ....
Washington .
Wayne
Watauga . .
.
Wilson
Wilkes
Yancey
Table No. 3L8
—
Continued
Males Females
3
4
19
19
2
1
2
1
2
10
1
5
2
2
2
11
35
7
26
6
1
1
Total
3
7 11
8 27
. . . . 9 28
1 3
2 3
2 4
1 2
2
7 17
1 2
5 10
4 6
1 1
1 3
1 1
2
7 18
33 68
10 17
4 4
8 34
1 1
6 12
1 2
1 2
465 530 995
CARPENTER'S REPORT
Dr. Albert Anderson, Superintendent.
Sir:—I respectfully submit to you the report covering the work in the car-penter's
department for the period from November 30, 1916, to November
30, 1918.
We lhave kept in repair all wagons, carts, binders, 'harrows, and all other
machinery and tools used in the farming department.
We have also kept up the repairs of the bedsteads, the springs being put
on in our own shop. The patients have made all the mattresses except those
bought for the two new buildings. All filling for the mattresses has been
properly sterilized. The mattresses are all made by patients under my
supervision.
We have kept in repair all cthairs and furniture used in the building with
the exception of chairs bought for the Nurses' Home and Receiving Building.
No chairs have been bought for the institution in the past five years. This
has been brought about by repairs done on old chairs.
All the necessary repairs, such as windows, panes, sashes, and other repairs
of general nature have been done in spite of the fact that the carpenter's
department has been short of labor.
We have also made enough brooms for the needs of the hospital. Most
of the broom-<corn used was grown on the farm. The handles are used over
and over again, and as the brooms are made by a patient, we were able to
supply the needs of the institution at a very small expenditure.
We have dug the graves, made coffins, and prepared for burial all bodies
buried in the hospital cemetery.
We have also kept in repair the shoes and harness. This work was done
by patients. ,
I submit the following to show the scope of the work that has been done:
Carpenter's Report for Year Ending November 30, 1917
Two small houses at Oaks Colony $ 100.00
Steps and platform at male congregate dining-room 30.00
Moving and repairing summer house 35.00
Calf barn 1,500.00
Shingling two houses at Dr. Jenkins . 30.00
Roofs on corn crib and stables 35.00
Roof over rooms at brick cottage 30.00
Pigeon run and room at brooder 60.00
Moving bins from store-room to brooder 10.00
Screening and bars at Nurses's Home 125.00
Clothes racks and bins at Receiving Building 35.00
Putting up wood-saw, extending shafting, pulleys, shed, and fence... 85.00
Eight long new dining tables for Receiving Building 80.00
Four long canning tables for Cannery 40.00
Repairing foundation sawmill carriage 25.00
Sawed 10,000 feet lumber 175.00
Two new doors, two dooMrames and work on Dr. Adams' rooms,
Center Building 75.00
State Hospital at Raleigh 25
Made seven new wagon bodies $ 70.00
Made one new wagon hay flat 9.00
Partition, swinging doors, and windows at engine-room 125.00
Bricking up partition between boiler-room and engine-room 75.00
Platform at shop for motors 10.00
Cedar chest 20.00
Stock-room at carpenter's shop 15.00
Bull-pen and house at dairy 110.00
Cement walks from old building to Receiving Building and in front
of Nurses' Home , 325.00
Two new screen doors, male T. B 8.00
Made 953 stick handle brooms at 70c 667.10
Repaired 1,325 pairs shoes at $1 1,325.00
Renovated and made 321 mattresses at $6 1,926.00
Run pipe-line from Cannery to shop 20.00
The above work (except the cement work) was done with two employees,
with the assistance of five patients.
Carpenter's Report for the Year Ending November 30, 1918
Built salt-room $ 20.00
Plastered and ceiled room at dairy residence 65.00
Cement top on male colony 35.00
Pour wagon flats with iron wheel protectors 40.00
Potato barn ". 2,430.26
Made 268 mattresses at $6 1,608.00
Made 1,152 brooms at 70c 806.40
Repaired 1,200 pairs shoes at $1 1,200.00
Repaired roofs and down-spouts 650.00
Repaired bridge across Rocky Branch 50.00
Cement walk from Receiving Building to Nurses' Home 702.00
Sawed about 25,000 feet lumber 685.00
Repaired room at brick cottage 65.00
Made 515 potato crates 257.50
Made 72 concave benches, total length 479 feet 143.70
There are quite a number of repairs and some needed construction work
that I would respectfully call your attention to.
Lack of funds with which to purchase necessary material, added to our in-ability
to secure competent help, has prevented us from doing this work.
You will note that many of the items call for a rather large expenditure,
but they all are absolutely necessary if the building is to be kept in good con-dition
and properly cared for.
I would recommend that the following things be done:
Plastering and painting $2,500.00
Wrought iron window-guards in the male department 1,500.00
Receiving porches in the 7th, 8th, 9th, and 10th wards 600.00
Receiving floor on 9th ward 100.00
Locks for rooms in main building 450.00
Farm machinery building for housing farm machinery 3,000.00
Ice room 750.00
Courtyard fence, both male and female departments 1,500.00
Floor and ceiling Erwin building 300.00
Respectfully submitted, Robert Green.
ENGINEER'S REPORT
FOR THE TWO FISCAL YEARS ENDING NOVEMBER 30, 1918
Dr. Albert Anderson,
Superintendent State Hospital, Raleigh, N. C.
My Dear Sir:—I herewith submit the report of Engineer's Department for
the two years ending November 30, 1918'. In addition to the regular daily
repair work incident to running the institution, the following changes, im-provements,
and new installations are noted:
Replaced one 30 horsepower steam engine in carpenter's shop with one
motor, the engine still being used in driving the mills. Replaced steam power
in machine shop with 5 horsenpower motor. Installed two other motors, one
each in Cannery and Bakery. Replaced the old belt-driven washing machines
in Laundry with 6 niotor-driven machines. These machines are up-to-date
and work automatically. Installed one motor to drive extractors and dry-room.
Replaced three old body ironers with two new bodying pressers.
We have overhauled and put in good condition two ammonia compressors;
put in new condensing coil'in No. 2 Ice Plant and 48 new ice cans; installed
new water closet and bath tub in Laundry dormitory; installed new water
closet at Female Epileptic Colony; installed new range at Female Epileptic
Colony.
Repaired ranges at Oaks and Male Epileptic Colonies. Removed old steril-izer
from Laundry and installed the same at carpenter's shop, connecting up
with steam, and it is now used for sterilizing mattresses and materials. In-stalled
one W. C. Meadows Mill Co.'s wheat mill.
Now have under construction new boiler-house, boiler settings, new smoke-stack,
heating system with adjacent coal bins, and for detail report of the
same, see report of Superintendent.
Respectfully submitted,
T. A. Holiday, Engineer.
REPORT OF CLOTHING SUPERVISOR
FOR 1917-1918
1917 1918
Aprons 842 510
Bonnets 57 180
Bed pads 38 407
Burial robes 24 33
Belts 58 36
Bolsters 3 ....
Corset covers 37 35
Chemises 527 578
Curtains, pairs 240 82
Chair covers 26 32
Caps 120 97
Clothes bags 69 175
Collars 18 14
Dresses 598 654
Dress shirts 22 14
Drawers, pairs 467 694
Gowns 275 298
Garters, pairs 10 16
Ice-bags 14 ....
Kimonas 7 4
Mattress ticks 321 268
Napkins 71 59
Night-shirts 147 44
Overalls, pairs 318 566
Pants, pairs 4 18
Petticoats 403 422
Pillow-ticks 38 18
Pillow-cases 1,729 1,520
Rompers, pairs 110 124
Sheets 2,567 1,634
Shirt waists 31 28
Suits, boys 2 ....
Suspenders .... 756
Shirts 954 929
Table-cloths 52 114
Towels 350 323
Underbodies 26 16
Wrappers 3 ....
Bandages, rolls 304
Hose, pairs (darned) 1,437 1,702
Garments remodeled 218 96
Garments mended 45,850 52,200
Garments marked 26,219 29,318
Average number of workers per day:
Sewing room, ladies 20
Mending and marking room, ladies 22
Laundry, men 7
Respectfully submitted, Mrs. B. L. Chesnutt,
Clothing Supervisor.
FARMER'S REPORT
Products of Farm, Garden, and Dairy for the Year 1917
Asparagus—44% bushels at $2 $ 89.00
Apples—146 bushels at $1 146.00
Beans, lima, dry—20 bushels at $3 60.00
Beans, lima, green—52 bushels at $3.20 166.40
Beans, snap—1,167 bushels at $1 1,167.00
Beef—8,062 pounds at 13c 1,048.06
Butter—1,095 pounds at 40c 438.00
Beets—346 bushels at 60c 207.60
Corn—4,875 bushels at $2 , 9,750.00
Cabbage—28,469 heads at 7c 1,988.83
Collards—20,000 heads at 5c 1,000.00
Cantaloupes—45,79 6 at 5c 289.80
Corn, ensilage—455 tons at $3.50 1,692.50
Corn, stover—55 tons at $10 , 550.00
Carrots—78 bushels at 75c 58.50
Cucumbers—183 bushels at 60c 109.80
Chickens—582 pounds at 20c 116.40
Chickens, spring—49 pounds at 25c 12.25
Dewberries—1,486 quarts at 10c 148.60
Eggs—1,248 dozen at 40c 499.20
Fodder—23 tons at $20 460.00
Grapes—139 bushels at $1.25 173.75
Hay, alfalfa—85 tons at $25 2,125.00
Hay, miscellaneous—52 tons at $25 1,300.00
Leeks—153 bushels at 60c 91.80
Lettuce—3,060 heads at 5c 153.00
Milk—36,479 gallons at 40c 14,591.60
Mutton—372 pounds at 20c 74.40
Manure—1,750 loads at $1 1,750.00
Okra—152 bushels at 50c 76.00
Onions—133 bushels at 85c 113.05
Peas, dry—400 bushels at $1.50 550.50
Peas, English—134 bushels at $3.20 428.80
Pepper—42% bushels at 80c 34.00
Peaches—748 bushels at $1.15 860.20
Plums—7% bushels at $1 7.50
Pork—33,500 pounds" at 20c 6,700.00
Potatoes, sweet-—3,800 bushels at $1 3,800.00
Potatoes, Irish—403 bushels at $1.50 604.50
Parsnips—28 bushels at 75c 21.00
Radishes—38y2 bushels at 60c 23.10
Roasting ears—1,096 dozen at 20c 219.20
Salads—1,675 bushels at 50c 887.50
Salsify—183 bushels at 60c 109.80
Squashes—547 bushels at 50c 273.50
State Hospital at Raleigh 29
Squabs—59- pairs at $1 $ 59.00
Strawberries—3,625 quarts at 10c 362.50
Tomatoes—823 bushels at 60c 493.80
Turnips—756 bushels at 40c 302.40
Watermelons—2,816 at 6c 168.96
Vegetable eggs—2,305 at 5ic 115.25
Green rye and clover—70,800 pounds at 30c. cwt 212.40
Wheat—1,100 bushels at $2 2,200.00
Wheat straw—20 tons at $10 200.00
Wood—400 cords at $5 2,000.00
Sales 896.30
Horses—two 600.00
Total $ 62,576.75
Broom-corn—2,000 pounds at 20c 400.00
Respectfully submitted, James Adams.
Products of Farm, Garden, and Dairy for the Year 1918
Asparagus—58 bushels at $2 $ 116.00
Apples—85% bushels at $1.25 107.18
Beans, Lima, dried—25 bushels at $3 75.00
Beans, Lima, green—60 bushels at $3.20 192.00
Beans, snaps—1,240 bushels at $1 1,240.00
Beef—4,578 pounds at 20c 915.60
Butter—2,544 pounds at 50c 1,272.00
Broom-corn—2,500 pounds at 18c 450.00
Beets—420 bushels at 60c 252.00
Corn—5,000 bushels at $2 10,000.00
Cabbage—18,036 heads at 8c 1,442.88
Collards—23,000 heads at 5c 1,150.00
Cantaloupes—9,782 at 5c 489.10
Corn, ensilage—375 tons at $3.50 1,312.50
Corn stover—34 tons at $10 340.00
Carrots—20 bushels at 75c 15.00
Cucumbers—74 bushels at 60'C 44.40
Chickens—1,151 pounds at 25c 287.75
Chickens, spring—1,022 pounds at 30c 306.60
Dewberries—512 quarts at 12c 61.44
Eggs—2,658 dozen at 50c 1,329.00
Fodder—21 tons at $20 420.00
Grapes—91 bushels at $1.25 113.75
Hay, alfalfa—65 tons at $25 1,625.00
Hay, miscellaneous—48 tons at $25 1,200.00
Leeks—53 bushels at 70c 37.00
Lettuce—573 heads at 5c 28.65
Milk—44,305 gallons at 60c 26,583.00
Mutton—412 pounds at 25c 102.00
Manure—1,580 loads at $1.25 1,975.00
Okra—112 bushels at 60c 67.20
30 State Hospital at Raleigh
Oats—^576 bushels at $1.25 $ 720.00
Onions—128 bushels at $1 . 128.00
Peas, dry—600 bushels at $2 1,200.00
Peas, English—1,421 bushels at $3.20 454.50
Pepper—76 bushels at 80c 60.80
Peaches—436 bushels at $1.25 545.00
Plums—12 bushels at $1 12.00
Pork—25,000 pounds at 25c 6,250.00
Potatoes, sweet—3,500 bushels at $1.25 4,375.00
Potatoes, Irish—236 bushels at $1.50 354.00
Parsnips—12 bushels at $1 12.00
Radishes—34 bushels at 80c 27.20
Roasting ears—1,475 dozen at 20'c 295.00
Salads—1,025 bushels at 60c 615.00
Salsify—163 bushels at 65c 105.95
Squashes—448 bushels at 50c 224.00
Squabs—172 pairs at $1 172.00
Strawberries—3,523 quarts at 12c 422.76
Soja beans—25 bushels at $2.40 60.00
Tomatoes-^1,041 hushels at 60<c 624.60
Turnips—625 bushels at 50c , 312.50
Watermelons—3,925 at 8c 314.00
Vegetable eggs—648 at 5c 32.40
Green rye and clover—65,750 pounds at 30c 197.25
Wheat—1,450 bushels at $2.20 3,190.00
Wheat straw—25 tons at $10 250.00
Wood—350 cords at $5.50 1,925.00
Mules—1 team •. 600.00
Sales 2,451.55
Rye—10 bushels at $2.20 22.00
$ 79,502.56
Respectfully submitted, James Adams.
MATRON'S REPORT
FOR THE YEAR ENDING NOVEMBER, 1917
CANNED VEGETABLES AND FRUITS
Beans 9,717 quarts
Tomatoes 5,055 quarts
Okra 88 quarts
Soup mixture 1,696 quarts
Peaches 4,268 quarts
Pears 5,472 quarts
Apples 968 quarts
PICKLES AND PRESERVES
Sweet pickle 14 quarts
Sour pickle 51 quarts
Pepper hash. 50 quarts
Preserved pears 26 quarts
Preserved peaches 21 quarts
Preserved grapes 30 quarts
Jelly 67 quarts
DRIED VEGETABLES
Apples 621 quarts
Pears 483 quarts
Beans 162 quarts
Okra 48 quarts
Potatoes 24 quarts
'
Beets ! 48 quarts
Carrots 12 quarts
Cabbage 48 quarts
MISCELLANEOUS
Lard 2,246 pounds
Butter 1,095 pounds
Soap 8,417 pounds
Wine 5 gallons
Tomato catsup 16 quarts
Respectfully submitted,
Miss Katherine White.
FOR THE YEAR ENDING NOVEMBER, 1918
Beans 15,062 quarts
Tomatoes 7,651 quarts
Peaches 3,342 quarts
Apples 268 quarts
32 State Hospital at Raleigh
Butter beans 164 quarts
Corn 67 quarts
Onions 44 quarts
Grape jelly 41 quarts
Grape juice 6 quarts
Lard 2,682 pounds
Butter 2,540 pounds
Soap 9,625 pounds
Respectfully submitted,
Miss Katherine White.
FINANCIAL EXHIBITS
FOR BIENNIAL PERIOD, DECEMBER 1, 1916, TO NOVEMBER 30, 1918
Dr. Albert Anderson,
Superintendent State Hospital for the Insane, Raleigh, N. C.
Dear Sir:—Herewith I beg to submit in six exhibits the biennial report of
the Steward, covering the period December 1, 1916, to November 30, 1918,
giving a record of receipts and disbursements for maintenance, permanent
improvements, and source and disposition of institutional cash receipts, along
with the status of all funds as of November 30, 1918, and detailed reconcilia-tion
of accounts with State Treasurer.
Exhibit A
—
Maintenance Account
GENERAL STATEMENT
Receipts—
Appropriation, State of North Carolina.
December 1, 1916, to November 30, 1917 $207,500.00
December 1, 1917, to November 30, 1918 207,500.00 $415,000.00
Other Receipts.
Lightning insurance 510.00
Fire insurance collected 199.50 709.50
Total receipts $415,709.50
Disbursements—
Per audited vouchers for maintenance.
(See detailed Exhibits B and C.)
December 1, 1916, to November 30, 1917 $210,711.67
December 1, 1917, to November 30, 1918 217,648.98
Total disbursed for period $428,360.65
Add deficiency in maintenance close of period No-vember
30, 1916 (see biennial report of that
date) , 13,790.43
Total against receipts $442,151.08
Deficiency to date, November 30, 1918 $ 26,441.58
(See Exhibit E for proof of above by reconciliation of accounts with State
Treasurer.)
34 State Hospital at Raleigh
Exhibit B
—
Maintenance Account
DISBURSEMENTS BY MONTHS
December 1, 1916, to November 30, 1917.
Audited vouchers issued as follows:
December, 1916 $ 16,180.82
January, 1917 15,124.22
February, 1917 14,885.84
March, 1917 18,610.12
April, 1917 20,206.90
May, 1917 18,230.43
June, 1917 18,223.79
July, 1917 . 16,796.91
August, 1917 19,329.64
September, 1917 16,521.11
October, 1917 21,841.27
November, 1917 14,760.62
$210,711.67
December 1, 1917, to November 30, 1918.
December, 1917 $ 19,148.51
January, 1918 15,166.09
February, 1918 20,971.02
March, 1918 18,819.62
April, 1918 17,945.95
May, 1918 17,303.79
June, 1918 15,085.01
July, 1918 21,408.40
August, 1918 15,843.40
September, 1918 17,993.48
October, 1918 20,298.03
November, 1918 '. 17,665.68
217,648.98
Total for the two years maintenance $428,360.65
State Hospital at Raleigh 35
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36 State Hospital at Raleigh
Exhibit D
—
Permanent Improvement Appropriations
receipts
Approp?*iations—
December 1, 1916, to November 30, 1917.
Unexpended appropriation (see biennial report
November 30, 1916) $ 4,848.45
December 1, 1917, to November 30, 1918.
Through N. C. State Bonds 70,000.00
$ 74,848.45
disbursements
December 1, 1916, to November 30, 1917
December, 1916, per audited voucher $ 4,848.45
December 1, 1917, to November 30, 1918.
April, 1918, per audited vouchers 2,100.00
May, 1918, per audited vouchers 4,889.08
June, 1918, per audited vouchers 9,204.64
July, 1918, per audited vouchers 9,061.15
August, 1918, per audited vouchers 6,462.84
September, 1918, per audited vouchers 7,436.09
October, 1918, per audited vouchers 12,563.04
November, 1918, per audited vouchers 9,981.75
Total disbursements for two years $ 66,547.04
Balance available permanent improvement appropriations,
November 30, 1918 $ 8,301.41
State Hospital at Raleigh 37
Exhibit E
—
Reconciliation With State Treasurer
institution's rooks
Credits to State Treasurer—
December 1, 1916.
Deficiency maintenance fund (Exhibit A) $ 13,790.43
Balance per. imp. fund (Exhibit D) 4,848.45
Net overdraft, December 1, 1916 $ 8,941.98
Add vouchers, issued-—Maintenance.
December 1, 1916, to November 30, 1917 (Ex. B) . .$210,711.67
December 1, 1917, to November 30, 1918 (Ex. B) . . 217,648.98
Vouchers issued, permanent improvements.
December 1, 1916, to November 30, 1917 (Ex. D) . . 4,848.45
December 1, 1917, to November 30, 1918 (Ex. D) . . 61,698.59
Total credits to State Treasurer $503,849.67
Charges to State Treasurer—
Appropriations.
Dec. 1, 1916, to Nov. 30, 1917—maintenance $207,500.00
Dec. 1, 1917, to Nov. 30, 1918—^riaintenanee 207,500.00
Dec. 1, 1916, to Nov. 30, 1917—^er. imp 70,000.00
Lightning insurance deposited, 1917 510.00
Fire insurance deposited, 1918 199.50
Total charges to State Treasurer $485,709.50
Balance overdrawn or due State Treasurer as of November
30, 1918 18,140.17
Of above vouchers the following are outstanding (have not been
presented) :
Number 942 (November, 1917 ) $ .47
Number 365 7.15
Number 751 144.50
Vouchers for November, 1918, audited and ready
for delivery 27,647.43 27,799.55
Balance per Treasurer's books (to our credit November
30, 1918) $ 9,659.38
»i
38 State Hospital at Raleigh
Steward's Institutional Receipts Fund
receipts
Sources—
Pay patients $ 18,603.84 $ 26,805.38
Board of officers 320.26 308.08
Arts and crafts and shoe shop 131.65 154.90
Sale of wood 258.95 1,748.75
Sale of hides 303.35 167.05
Sale of junk and barrels 357.66 " 249.52
Fines 209.87 287.04
Refund, investigation expense 402.75
Interest on deposits - 94.27 511.65
Miscellaneous .
.
1,905.59 1,016.92
$ 22,588.19 $ 31,249.29
SUMMARY STEWARD'S INSTITUTIONAL RECEIPTS FUND
Receipts—
Balance in bank December 1, 1916 $ 12,002.15
Receipts Dec. 1, 1916, to Nov. 30, 1917 (as above).. 22,588.19
Receipts Dec. 1, 1917, to Nov. 30, 1918 (as above) . . 31,249.29
$ 65,839.63
Disbursements—
From Dec. 1, 1916, to Nov. 30, 1917 (as detailed in
this exhibit) $ 19,869.54
From Dec. 1, 1917, to Nov. 30, 1918 (as detailed in
this exhibit) 21,516.09
41,385.63
Balance on hand Nov. 30, 1918 $ 24,454.00
State Hospital at Raleigh 39
DISBURSEMENTS
December 1, 1916, to November 30, 1917
Purpose—
Nurses' Home, balance on contract $ 4,524.86
Repairs and repair materials 2,740.88
Furniture and furnishings 2,907.28
Farm implements and animals 2,290.00
Electric supplies, etc 1,398.19
Construction supplies 620.83
Delivery truck 1,710.00
Dryer 1,200.00
Traction engine 775.00
Furnace stoker 898.65
Lock contract 500.00
Receiving building 194.55
Miscellaneous 109.30
December 1, 1917, to November 30, 1918
Piir})ose—
Plumbing and plumbing supplies $ 4,359.86
Equipment, ice plant and laundry 6,077.34
Repairs and repair material 1,769.61
Furniture and furnishings 529.66
Farm implements and animals 1,744.08
Electrical supplies, etc 161.56
Office fixtures and supplies 308.30
Automobile and gas tank 1,314.33
Potato house 1,611.06
Cement walk 702.45
Musical instruments and music 246.00
Coal 2,597.44
Miscellaneous 94.40
$ 19,869.54
21,516.09
Total disbursements—two years $ 41,385.63
(See summary opposite.)
REPORT
OF
THE STATE HOSPITAL
AT
GOLDSBORO, N. C.
FOR THE
TWO YEARS ENDING NOVEMBER 30, 1918
EXECUTIVE COMMITTEE
State Hospital, Goldsboro, N. C.
J. W. Thompson, Chairman
Col. W. H. Williams P. B. McKinne
OFFICERS
W. W. Faison, M.D '. Superintendent
W. C. Linville First Assistant Physician
Clara E. Jones, M.D Second Assistant Physician
P. L. Whelpley, M.D Clinical Director
B. R. Lacy Treasurer, Ex Officio
J. W. Bryan Steward
Mrs. J. W. Bryan Steward's Clerk
W. D. Williams Engineer
Mrs. Mamie Herring Housekeeper
Miss Luna P. Bridgers Assistant Housekeeper
H. S. Toler Storekeeper
Miss Martha Newell Seamstress
D. H. Newell Farmer
SUPERINTENDENT'S REPORT
Goldsboro, N. 0., December 18, 1918.
To the Board of Directors of the State Hospital at Goldsboro.
Gentlemen:—I herewith submit a report of the operations of this institu-tion
for the two years ending November 30, 1918.
Males Females Total
Number on roll November 30, 1916 380 625 1,005
Number admitted 242 304 546
Total number treated 622 929 1,551
Total number removed 246 312 558
Number on roll November 30, 1918 376 617 993
Number present November 30, 1918 368 594 962
Percentage of cures on number received .... .... 31
Percentage of deaths on number treated .... 11.78
We have had no serious epidemic, but, owing to the large number of patients
admitted with pellagra, many of them in the last stage, and living only a
short time after admission, our percentage of death was larger than usual.
I regret to have to report that a male patient, while assisting in moving a
car on our spur track, was accidently run over by the car and died from the
injuries received; and, also, that a female patient committed suicide by hang-ing
herself at night in her room. She had been in the hospital less than a
month, and during this time had shown no suicidal tendencies.
Of the 5,783 admissions to this institution since it was opened August 1,
1880, this is the second suicide to be reported.
IMPROVEMENTS AND REPAIRS
The following are the most important improvements and repairs: A steel
tower with two water tanks of 115,000-gallon capacity was erected and is
now in use.
A cannery 36 x 40 feet has been built and equipped with all necessary con-veniences.
There was an addition to the kitchen, and a room for preparing
vegetables was built.
There is now under construction a building for the accommodation of
ninety patients which, we hope, will be completed in the spring.
A new system of pipe lines for supplying the above building and, also, the
tubercular and epileptic buildings with water and heat is also under con-struction.
Our spur track was relaid with seventy-fivenpound rails, and a new trestle
and coal-chute were built.
See Engineer's report for a detailed account of improvements and repairs.
FARM, GARDEN, AND DAIRY
Estimated net value of farm, garden, and dairy products (1917) . . $ 26,303.73
Estimated net value of farm, garden, and dairy products (1918) . . 28,785.42
Estimated net value of farm, garden, and dairy products
(1917-1918) $ 55,089.15
44 State Hospital at Goldsboro
LABOR
During the period embraced in this report, and especially during the last
year, it has been impossible to keep sufficient help to carry on the work to the
best interest of the institution.
FINANCES
For the maintenance of this institution for the two years, 1917 and 1918,
the Legislature appropriated $245,000. The appropriation was entirely inade-quate,
and it was only by practicing the strictest economy that the deficit
was not greater than $23,470.07.
Per capita cost of maintenance for 1917 $ 132.59
Per capita cost of maintenance for 1918 147.576
NEEDS FOR THE NEXT TWO YEARS
For maintenance for 980 patients (1919) $153,125.00
For maintenance for 1,000 patients (1920) 156,250.00
For deficit for 1917 and 1918 23,470.07
For completing and furnishing new building 35,650.00
In conclusion, I wish to thank the Board, officers, and employees for their
generous and loyal support in conducting the affairs of the institution.
Respectfully submitted,
W. W. Faison, Superintendent.
State Hospital at Goldsboro 45
TABLE No. 1
Showing Movement of Patients for the Period of Two Years Ending
November 30, 1918.
1917 1918 Totals
'
Male Female Total Male Female Total Male Female Total
Remaining Nov. 30, 1918 380
113
493
36
6
10
3
3
54
112
625
142
767
45
8
9
5
1
70
138
1,005
255
1,260
81
14
19
8
4
124
250
Admitted 129
510
38
3
5
5
3
80
134
162
793
54
1
15
4
1
99
174
291
1,303
92
4
20
9
4
179
308
242
622
74
9
15
8
6
134
246
304
929
99
9
24
9
2
169
312
546
Total under treatment
Discharged, recovered
Discharged, much im-proved
1,551
173
18
Discharged, improved. .
Discharged, unimproved..
Discharged, eloped .
Died
Total removed . ._
39
17
8
303
558
Percentage of cures on number received 31
Percentage of deaths on number treated 11.78
Males Females Total
Number on roll November 30, 1918 377 617 994
Number present November 30, 1918 368 594 962
Daily average on roll, 1917 1,015
Daily average present, 1917 963
Daily average on roll, 1918 1,004
Daily average present, 1918 954
46 State Hospital at Goldsboro
TABLE No. 2
Showing the Cause of Death.
Male
Pellagra 15
Pulmonary tuberculosis
Cerebral hemorrhage
Paresis
Exhaustion from dementia
Exhaustion from mania
Status epilepticus
Interstitial nephritis
Diabetes mellitis
Acute nephritis
Pyonepihritis
Uremia
Mitral insufficiency of the heart . .
Mitral regurgitation of the heart.
Aortic regurgitation of the heart.
Fatty degeneration of the heart .
.
Pat embolism of the heart
Hydro-pericarditis
Aneurism of the abdominal aorta.
Arteriosclerosis
Lobar pneumonia
Auto-intoxication
Cancer of duodenum
Cancer of the uterus
Softening of the brain
Influenza . . .
Oholio cystitis
Sudden, no known cause
Shock from injury
Typhoid fever
Diabetic gangrene
Pyo-salpingitis
Chronic diarrhea
Tuberculosis of the pancreas
Intestinal tuberculosis
Carbuncle
Exopthalmic goitre
Hypostatic pneumonia
Erysipelas
Phlebitis
Acute indigestion
Suicide
1911
Female
24
13
6
2
4
1
2
Male
12
14
5
4
2
7
17
2
1918
Female
44
17
4
Total
95
50
22
12
4
18
30
7
2
1
1
1
8
2
2
1
1
1
1
2
3
3
1
2
1
3
1
4
1
2
2
1
9
1
1
1
1
1
1
1
1
1
Total 54 70 80 99 303
State Hospital at Goldsboro 47
TABLE No. 3
Showing Cause of Insanity as Given by Application.
Male
Unknown 56
Pellagra 4
Not stated 7
Religious excitement 6
Epilepsy 7
Worry 5
111 health 1
Heredity 3
Domestic trouble 3
Syphilis 4
Fever 2
Men
Grief
Female trouble
Injury 3
Imbecile 4
Puerperal
Apoplexy
Influenza
War
Senility 1
Anger
Overwork 3
Nervousness 1
Masturbation 2
Indigestion
Thinks they are conjured
Intemperance 1
Measles
Menopause
Total 113
1917
Female
72
10
6
3
1
6
3
3
5
2
3
1
5
2
1
4
3
Male
58
3
8
3
11
8
9
3
8
2
1918
Female
69
12
13
8
1
10
3
9
2
1
4
12
5
3
4
4
1
142 129 162
Total
255
29
34
20
20
29
16
18
8
16
8
1
9
14
13
8
8
4
9
5
4
1
5
2
2
1
1
1
2
546
48 State Hospital at Goldsboro
TABLE No. 4
Showing Psychosis of Patients Admitted
Male
Manic depressive 29
Psychosis with pellagra 13
Psychosis with epilepsy 11
Psychosis with syphilis 11
Dementia prsecox 17
Allied dementia precox 4
Infective exhaustive ".
.
8
Senile psychosis 5
Alcoholic psychosis 3
Traumatic psychosis 2
Undifferentiated depression
Psychosis with idiocy 1
Psychosis with drugs 1
Constitutional inferiority and psycho-neurosis
8
Total 113
917 1918
Female Male Female Total
70 25 64 188
30 10 31 84
1 17 6 35
2 21 2 36
14 29 28 88
10 7 16 37
6 11 1 26
6 2 6 19
. . . . 1 4
. . 1 . . 3
1 2 2 5
. . 3 . . 4
1 2
15
142 129 162 546
TABLE No. 5
Showing Duration of Insanity on Admission
Male
Less than 1 month 33
From 1 to 3 months 19
From 3 to 6 months 9
From 6 to 12 months 11
From 1 to 2 years 9
From 2 to 3 years 4
From 3 to 4 years 8
From 4 to 5 years 1
From 5 to 10 years 5
From 10 to 20 years 3
Unknown • 11
Total 113
1917
Female
42
29
12
8
16
7
4
2
5
2
15
1918
Male Female
45
23
14
13
7
10
3
2
5
2
5
60
26
20
11
9
Total
180
97
55
43
41
29
21
5
19
16
40
142 129 162 546
TABLE No. 6
Showing Social Relation
1917 1918
Male Female Male Female Total
Single 66 39 77 52 234
Married 37 86 46 95 264
Widowed 6 14 4 13 37
Divorced 2 .. 2 2 6
Not stated 2 3 .
.
. . 5
113 142 129 162 546
State Hospital at Goldsboro 49
TABLE No. 7
Showing Duration of Residence in Hospital of Those Cured
Male
Less than 3 months
From 3 to 6 months 1
From 6 to 12 months 26
From 1 to 2 years 6
From 2 to 3 years 2
From 3 to 5 years
From 5 to 10 years
From 10 to 20 years 1
Total 36
1917
Female
1
4
15
18
7
1918
Male Female
4
20
9
3
1
1
5
23
16
6
1
2
1
Total
1
14
84
49
18
2
3
2
45 38 54 173
TABLE No. 8
Showing Duration in Hospital of Those Who Died
1917 1918
Male Female
From 1 to 5 days 3
From 5 to 30 days 6 8
From 1 to 3 months 13 8
From 3 to 6 months 4 1
From 6 to 12 mpnths 8 1
From 1 to 2 years 6 13
From 2 to 3 years 3 9
From 3 to 4 years 3 4
From 4 to 5 years 3
From 5 to 10 years 6 10
From 10 to 15 years 1 7
From 15 to 20 years 2
From 20 to 30 years 2
From 30 to 40 years 2 1
Total 54 70 80
Male
1
6
10
11
8
9
10
12
1
8
2
1
1
Female
3
12
17
5
11
8
6
4
7
16
3
4
2
1
Total
7
32
48
21
28
36
28
23
11
40
13
6
5
5
99 303
TABLE No. 9
Showing Age When Admitted
1917
Male Female
From 5 to 10 years 1
From 10 to 20 years 18 11
From 20 to 30 years 42 52
From 30 to 40 years 19 30
From 40 to 50 years 16 27
From 50 to 60 years 10 12
From 60 to 70 years 4 8
From 70 to 80 years 3 2
From 80 to 90 years ,
Total 113 142
4
1918
Male Female Total
1 1 3
32 16 77
37 58 189
22 41 112
23 18 84
10 19 51
4 4 20
. . 2 7
1- 1
129 162 546
REPORT OF THE CLINICAL DIRECTOR
The patients have been given a careful physical and mental examination
as soon after their arrival as expedient, and as complete a history as possible
has been written of each one and filed for convenient reference. In many
instances the admission papers contain very little reliable information con-cerning
the patient, and the patient's condition precludes the obtaining of any
information Whatever from them concerning their past history. In most of
such cases we have been materially assisted by our attendants who bring the
cases to the Hospital, as they have freely cooperated and shown considerable
aptitude in obtaining valuable information from friends, relatives, etc., of the
patients, which has enabled us to compile a history of such cases.
The Wasserman test has been made in every new and old suspected case
so far as possible to do so. In all, 262 patients were thus tested during the
past year. We found it more expedient to have this work done at the State
Laboratory of Hygiene.
Salvarsan has been administered about fifty times to selected cases with
generally good results, and very gratifying results in six cases. We admin-istered
it from one to eight times per patient.
Post-mortems were held on all occasions where the cause o'f death was ob-scure.
Eleven autopsies were held during the past year and a record of them
written and filed for reference.
The following work was done in the pathological laboratory during the
past year:
Urinalysis 620
Sputum examinations 102
Feces examinations 14
Blood examinations for malaria 92
Blood counts 10
Urethral and vaginal discharges examined 11
Body parasites examined 12
Gastric contents examined 4
Total 865
Dr. F. L. Whelpley,
Clinical Director.
STEWARD'S REPORT
For the Biennial Period From December 1, 1916, to November 30, 1918
1916
Dec. 1. Legislative appropriation for support for 1917 $120,000.00
31. Less vouchers for December $ 11,734.30
1917
Jan. 31. Less vouchers for January 7,772.27
Feb. 28. Less vouchers for February 9,208.42
Mar. 31. Less vouchers for March 14,181.67
Apr. 30. Less vouchers for April 8,052.63
May 31. Less vouchers for May 8,056.65
June 30. Less vouchers for June 14,218.79
July 31. Less vouchers for July '. 7,440.63
Aug. 31. Less vouchers for August 8,601.31
Sept. 30. Less vouchers for September 11,239.70
Oct. 31. Less vouchers for October 18,919.55
Nov. 30. Less vouchers for November 8,256.20 127,682.52
Deficit in appropriation for 1917 $ 7,682.52
Appropriation for permanent improvements 16,708.00
May 31. Less vouchers for May $ 1,006.04
June 30. Less vouchers for June 2,272.15
July 31. Less vouchers for July 365.75
Sept. 30. Less vouchers for September 164.00
Oct. 31. Less vouchers for October 5,769.00 9,576.94
Nov. 30. Balance permanent improvement fund $ 7,131.06
Receipts and Disbursements December 1, 1017, to 'November 30, 1918
1917
Dec. 1. Legislative appropriation for support for 1918 $125,000.00
Deficit in appropriation for 1917 7,682.52
$117,317.48
Treasury balance December 1, 1916 (Auditor) 273.61
Net support fund for 1918 $117,591.09
31. Less vouchers for December $ 13,997.59
1918
Jan. 31. Less vouchers for January 9,815.10
Feb. 28. Less vouchers for February , 14,430.44
Mar. 31. Less vouchers for March 8,459.32
Apr. 30. Less vouchers for April 9,942.04
May 31. Less vouchers for May 16,050.44
June 30. Less vouchers for June 7,966.84
July 31. Less vouchers for July 8,073.06
Aug. 31. Less vouchers for August 24,129.97
52 State Hospital at Goldsboro
Sept. 30. Less vouchers for September $ 12,591.62
Oct. 31. Less vouchers for October 9,221.57
Nov. 30. Less vouchers for November 6,383.17 $141,061.16
Deficit in support fund for 1918 $ 23,470.07
(Deficit covered by notes in Wayne Nat. Bank.)
Receipts and Disbursements Permanent. Improvement Fund, December 1.
1917, to November 30, 1918
1917
Dec. 1. Balance on hand $ 7,131.06
1918
Nov. 12. Appropriation 19,845.06 $ 26,976.12
Jan. 31. Less vouchers for January $ 3,797.26
Feb. 28. Less vouchers for February 48.74
Mar. 31. Less vouchers for March 302.59
Apr. 30. Less vouchers for April 176.29
May 31. Less vouchers for May 39.55
July 31. Less vouchers for July 1,800.00
Oct. 31. Less vouchers for October 966.63
Nov. 30. Less vouchers for November 18,845.06 25,976.12
Balance permanent improvement fund $ 1,000.00
Receipts and Disbursements New Building Fund, December 1, 1917, to
November 30, 1918
1918
May 31. Appropriation $ 8,000.00
Aug. 31. Appropriation 10,000.00
Nov. 30. Appropriation 5,302.00 $ 23,302.00
May 31. Less vouchers - for May $ 12.60
June 30. Less vouchers for June 2,528.80
July 31. Less vouchers for July 1,225.34
Aug. 31. Less vouchers for August 3,709.23
Sept. 30. Less vouchers for September 3,193.57
Oct. 31. Less vouchers for October 6,589.09
Nov. 30. Less vouchers for November 3,224.11 20,482.74
Balance new building fund $ 2,819.26
Statement of Population
1917 1918
Average number patients on roll. . 1.015 1,004
Average number patients present 963 954
Average number patients at work 415 401
Annual per capita cost 132.59 147.576
Daily per capita cost .363 .404
State Hospital at Goldsboeo 53
Summary of Receipts and Disbursements on Local Cash Account
1916
Dec. 1. Balance on hand $ 540.12
1917
Nov. 30. Received from all sources 14,287.36
Total cash $ 14,827.48
Less cash paid 11,228.63
Dec. 1. Balance on hand $ 3,598.85
1918
Nov. 30. Received from all sources 14,843.38
Total cash $ 18,442.23
Less cash paid 17,603.53
Dec. 1. Balance on hand $ 838.70
Classification of Expenditures from Support Fund
1917 1918
Salaries, services, labor $ 28,828.19 $ 30,814.92
Provisions, subsistence, food supplies 53,330.45 46,025.17
Furniture, furnishings, clothing, etc 11,111.85 14,367.63
Fuel, lights, and water ." 9,621.34 14,306.14
Freights, express, postage, stationery, etc 9,442.01 13,602.42
Drugs, medicine, physicians' supplies 635.16 623.99
Incidentals, repairs, miscellany 8,726.39 9,654.71
Farm expenses, utensils, provender, etc 5,987.13 11,666.18
Total expenditures for support $127,682.52 $141,061.16
Expenditures for permanent improvements 9,576.94 25,976.12
Expenditures for new building 20,482.74
Grand total $137,259.46 $187,520.02
Classification of Receipts and Disbursements on Local Cash Account
1916
Dec. 1. Balance $ 540.12
1917
Nov. 30. Receipts: Earnings 7,983.32
Board 632.48
All others 5,671.57
Total $ 14,827.48
1917
Nov. 30. Paid: Salaries, services, labor $ 989.61
Incidentals, miscellaneous 6,606.27
Farm expenses 3,632.75 11,228.63
$ 3,598.85
54 State Hospital at Goldsboro
Classification of Receipts and Disbursements on Local Cash Account
1917
Dec. 1. Balance $ 3,598.85
1918
Nov. 30. Receipts : Earnings 7,311.96
Board 1,056.70
All others 6,474.72
Total $ 18,442.23
Paid: Salaries, services, labor $ 370.40
Food supplies 4,299.12
Incidentals, miscellaneous 4,678.04
Farm expenses 8,255.97 17,603.53
Balance $ 838.70
Statement of Dairy Account, 1917
By beef killed and calves and hides sold, etc $ 580.30
By 27,385 gallons milk at 32y2c 8,900.12
$9,480.42
To paid for feed $2,891.50
To wages of dairyman 540.00
To wages and board of helper 300.00 3,731.50
Net value of dairy products '. $5,748.92
Statement of Dairy Account, 1918
By beef killed and calves and hides sold, etc $ 964.93
By 28,776% gallons milk at 37y2c 10.771.09
$ 11,736.02
To paid for feed $4,333.23
To wages of dairyman 595.00
To wages and board of helper 351.33 5,279.56
Net value of dairy products $ 6,456.46
Respectfully submitted,
J. W. Bryan, Steward..
ENGINEER'S BIENNIAL REPORT
Dr. W. W. Faison,
Superintendent State Hospital at Goldsooro, N. C.
Dear Sir:—I beg to submit herewith a report of the Engineering Depart-ment
for the year ending November 30, 1917.
This report will be brief and, I fear, incomplete, owing to the fact that my
predecessor, Mr. Hardesty, was hurriedly called away by the Government
before he had time to make a report of the work done during the year prior
to the time of his departure.
I desire to state just here that I found the plant and work, as a whole, in
excellent condition when I took charge of it September 15th, showing plainly
the care and attention that had been given it prior to that time.
The most important improvements and repairs made during the year are
as follows:
A new trestle and coal chute have been built, the two stave silos moved to
a more suitable place and put in a first-class condition, porches added to six
tenant houses. Two rooms were added to the gardener's house.
A cannery 36 x 40 feet was built and equipped with cement sinks, steam
cookers, hot and cold water, and with all other conveniences necessary for
an up-to-date cannery.
We have under construction at the present time a steel tank and tower for
water, with a total capacity of 115,000 gallons, which, when complete, will
give much better water service and fire protection.
Respectfully submitted,
T. Miller White,
Engineer in Charge.
ENGINEER'S REPORT (1918)
Dr. W. W. Faison,
Superintendent State Hospital, Golclsboro. N. C.
I herewith submit my report as Engineer, covering the brief period of my
employment.
I took charge of the plant August 29, 1918. During this time there has been
no new work done in the way of additions to the machinery, so my work has
been confined to the upkeep and repairs of the machinery and equipment.
The principal items of repair have been leveling up the boilers, building
concrete steps to Aycock building, renewing two motors, repair of boiler feed
line and boiler feed pump, putting in one piston and plunger in ammonia
pump, overhauling one hydraulic pump.
I have recalked the suction line from the river to the pumping station; put
in one heating coil in the vegetable house; overhauled heating coils on two
fans; riveted galvanized iron duct. I have overhauled filter tank and put in
new pipes and fittings and cleaned out the reservoir. A brick foundation has
been built under portions of the walls of the engine-room, and also under the
fire-escape at Miller building, to prevent settling of the walls.
During the year, under my predecessor, the water tank and tower were
completed and put in service. An addition to the kitchen was made, and a
room for preparing vegetables was built.
Our spur track was relaid with seventy-five-pound rails.
Respectfully submitted,
W. D. Williams, Engineer.
THE FARMER'S REPORT
Farm Products of 1917
To Dr. W. W. Faison,
Superintendent of State Hospital at Goldsboro, N. C.
I respectfully submit the following report for the year 1917:
100,000 pounds alfalfa at $1.25 $ 1,250.00
600 barrels corn at $7.50 4,500.00
635 bushels cotton seed at $1.10 695.50
10 bushels cowpeas at $2.50 25.00
25,410 pounds clover at 75c 190.07
240 tons ensilage at $4 960.00
186 bushels garden peas (eaten) at 50c 93.00
374 bushels garden peas (sold) at $1.50 561.00
206 bushels Irish potatoes at $1 206.00
9,303 pounds lint cotton at 29c 2,697.87
5,010 pounds oat straw at $1 50.10
2,225 bushels oats at 80c 1,780.00
68,125 pounds oat straw (threshed) at 40c 272.50
400 pounds pea hulls at 25c 1.00
72,300 peavine hay at $1 723.00
332 bushels peanuts at $1.25 415.00
8,900 pounds peanut vines at 50c 44.50
61 bushels rye at $1.50 91.50
29,414 pounds rye straw at 40c 117.66
145 bushels snap beans at 50c 72.50
1,420 bushels sweet potatoes at 60c 852.00
54,600 pounds soja beans at 2c 1,092.00
99,461 pounds vetch and grain at $1 994.61
77 bushels wheat and vetch at $1.50 115.50
5,550 pounds wheat and vetch straw mixed at 40c 22.20
500,000 pounds corn stover at 40c 2,000.00
40 tons corn stover in ensilage at $8 320.00
6,000 pounds grass hay at 75c 450.00
Total value farm products $ 20,596.01
Garden Products of 1917
586 bushels apples at 50c $ 293.00
180 bunches asparagus at 10c 18.00
1,119 quarts apples (canned) at 10c 111.90
35 bushels beets at 50c 17.50
165 quarts beets (canned) at 15c 24.75
275 bushels cucumbers at 50c 137.50
235 barrels cabbage at $1 235.00
9,000 heads collards at 2%c 225.00
400 bushels cantaloupes at 50c 200.00
58 State Hospital at Goldsboro
1 bushel crab apples at $1 $ 1.00
55 bushels dewberries at $2 110.00
2,872 quarts dewberries (canned) at 15c 430.80
3 bushels figs at $2 6.00
40 bushels grapes at $1 40.00
300 bushels green peas at 50c 150.00
18 barrels kraut at $4 72.00
1,200 heads lettuce, at 4c 48.00
670 bushels leeks at 50c 335.00
1,200 bushels lima beans at 50c 600.00
30 bushels okra at 50c 15.00
135 bushels onion heads at 75c 101.25
16 bushels peppers at $1 16.00
1,052 quarts peaches (canned) at 20c 210.40
85 bushels peaches at $1 85.00
1 bushel plums at $1 1.00
2 buslhels (pecans at $4 8.00
6 stands popcorn at $1 6.00
6 bushels parsley at 50c 3.00
750 bushels rutabagas at 25c 187.50
6 bushels radishes at 75c 4.50
250 bushels squash at 50c 125.00
5 bushels sage at 50c 2.50
120 bushels salad onions at 50c 60.00
125 bushels strawberries at $2 250.00
616 quarts strawberries (canned) at 15c 92.40
304 bushels snap beans at 50c 152.00
750 bushels spring salad at 50c 375.00
175 quarts soup mixture at 15c 26.25
163 busbels tomatoes at $1 163.00
2,750 quarts tomatoes (canned) at 15c 412.50
1,584 bushels turnips at 25c 396.00
2,450 watermelons at 5c 122.50
600 bunches celery at 10c 60.00
100 stands green corn at $1 100.00
530 pints corn (canned) at 10c 53.00
32 bushels garden peas at 50c 16.00
713 pints garden peas (canned) at 10c 71.30
8 bushels salsify at 50c 4.00
83 hogs sold 2,809.65
7,850 pounds pork (killed) at 22y2 c 1,766.25
Total value garden products $ 10,750.45
Expenses of Farm and Garden for 1917
Salary of farmer $ 600.00
Salary of gardener 540.00
Wages and board of laborers 1,191.79
Feed for team 1,920.00
Implements and repairs 730.45
Fertilizers •. 4,424.71
State Hospital at Goldsboro 59
Seeds and plants $ 816.89
Feed and hogs 153.50
Bagging and ties 64.50
Truck baskets 60.00
Miscellaneous 289.81
Total expenses $ 10,791.65
Total value of farm products 20,596.01
Total value of garden products 10,750.45
Total value of farm and garden products $ 31,346.46
Net value of farm and garden products 20,554.81
Net value of dairy products , 5,748.92
Total net value of farm, dairy, and garden products $ 26,303.73
Dr. W. W. Faison,
Superintendent of State Hospital at Goldsboro, N. C.
I respectfully submit the following report for year of 1918:
Farm Products of 1918
26,555 pounds alfalfa hay at $1.50 $ 398.32
614 barrels corn at $8 4,912.00
1,250 bushels cotton seed at $1 1,250.00
31 bushels cowpeas at $2.50 77.50
6,890 pounds clover at $1 68.90
325 tons ensilage at $5 1,625.00
168 bushels garden peas (sold) 142.82
665 bushels Irish potatoes at $1 665.00
120 bushels Irish potatoes (fall crop) at $1.50 180.00
20,000 pounds lint cotton at 26c 5,200.00
2,625 bushels oats at 80c 2,100.00
91,500 pounds oat straw at 40c 366.00
1,240 pounds pea hulls at 40c 4.96
103,055 pounds peavine hay at $1.25 1,288.18
200 bushels peanuts at $1.25 250.00
8,700 pounds peanut vines at 50c 43.50
61 bushels rye at $1.50 91.50
8,000 pounds rye straw at 40c 32.00
271 baskets beans (sold) 313.65
1,510 bushels sweet potatoes at $1 1,510.00
390 bushels soy beans at $3 1,170.00
79,900 pounds grain and vetch at $1 799.00
85 bushels wheat and vetch at $2 170.00
9,955 pounds wheat vetch straw at 40c 39.82
298 bushels wheat at $2 596.00
34,480 pounds wheat straw at 40c 137.92
440,000 pounds corn stover at 50c 2,200.00
31,000 pounds crab grass hay at $1 310.00
150 bushels garden peas at 50c 75.00
Total value farm products $ 26,017.07
60 State Hospital at Goldsboro
Garden Products of 1918
250 bushels apples at 75c $ 187.50
202 bunches asparagus at 10c 20.20
50 bushels beets at 50c 25.00
203 bushels cucumbers at 50c 101.50
500 barrels cabbage at $1 500.00
23,850 heads collards at 2y2c 596.25
370 bushels cantaloupes at 50c 185.00
40 bushels dewberries at $2.50 100.00
3 bushels grapes at $2 6.00
225 bushels green peas at 50c 112.50
1,000 heads lettuce at 40'c 40.00
308 bushels leeks at 50c 154.00
800 bushels lima beans at 50c ' 400.00
20 bushels okra at 75c 15.00
65 bushels onion heads at $1 65.00
2 bushels peppers at $1 2.00
52 bushels peaches at $2 104.00
6 bushels plums at $1 6.00
2y2 bushels pears at $4 10.00
6 stands popcorn at $2 12.00
452 barrels rutabagas at $1 452.00
5 bushels radishes at 75c 3.75
284 bushels squashes at 50c 142.00
2 bushels sage at 50c 1.00
288 bushels salad onions at 50c 144.00
68 bushels strawberries at $2 136.00
270 bushels snap beans at $1 270.00
1,128 bushels spring salad at 50c 564.00
108 bushels tomatoes at $1 108.00
494 quarts tomatoes (canned) at 15c 74.10
1,975 barrels turnips at $1 1,975.00
2,090 watermelons at 10>c 209.00
25 stands green corn at $1.25 31.25
5 bushels salsify at 50c 2.50
5 bushels carrots at 50c 2.50
82 head of hogs 3,119.89
10,000 pounds pork (killed) at 22y2 c 2,250.00
Total value of garden products $ 12,226.94
Total value of farm products 26,017.01
Value of farm and garden products $ 38,144.01
Expenses of Farm and Garden for 1918
Salary of farmer $ 598.33
Salary of gardener 454.56
Salary of miller and feeder 224.00
Wages and board of laborers 1,002.31
Feed for team 2,170.00
Implements and repairs 1,070.75
State Hospital at Goldsboro 61
Fertilizers $ 6,090.94
Seeds and plants 1,540.62
Feed 1,369.50
Bagging and ties 50.95
Truck baskets 67.50
Miscellaneous 1,175.59
Total expenses $ 15,815.05
Total value of farm and garden products 38,144.01
Total value of dairy products 6,456.46
Total value of farm, dairy, and garden products $ 44,500.47
Total expense of farm, dairy, and garden products 15,815.05
Net value of farm, garden, and dairy products $ 28.785.42
D. H. Newell, Farmer.
SEAMSTRESS'S REPORT
Dr. W. W. Faison, Superintendent.
Dear Sir:—I hereby submit a report of the work done in the sewing-room
and on the wards for the year ending November 30, 1917.
Articles Made and Mended in Sewing-Room
Aprons 154
Bed-ticks 186
Bread covers for bakery 4
Bodies 669
Bonnets 22
Bed cases 1
Capes 123
Caps 6
Chemises 1,467
Curtains 23
Coats (made) " 245
Coats (mended) 3
Combination suits 63
Drawers 1,441
Dresses 1,004
Flannel shirts 331
Flannel skirts 18
Gowns 120
Indestructible dresses 409
Ironing sheets 12
Laundry bags 7
Laundry rack covers 2
Milk cloths 24
Mangle roller cover 4
Mangle apron ( mended ) 1
Meat covers for kitchen 2
Overalls 2
Pants 632
Pillows 145
Pillow-cases 691
Pillow-ticks 146
Protectors for hands and feet 8
Sheets 1,212
Shirts 835
Skirts 909
Sleeves, pairs 7
Sleeves (mended ) 19
Sleeved skirts 7
Shirt waists 23
Shrouds ' 72
Towels 349
State Hospital at Goldsboro 63
Tops and linings for quilts 37
Tray cloths 8
Table-cloths 6
Total 12,151
Articles Made and Mended on the Wards
Quilts (made) 334
Sheets, burlap (made) 18
m
Total 352
Articles Mended on Wards
Aprons 7
Bed-ticks 112
Blankets 33
Bodies 141
Combination suits 281
Chemises 434
Coats 286
Drawers 2,887
Dresses 935
Flannel shirts 812
Flannel skirts 210
Gowns 297
Pants 3,392
Pillow-cases 21
Sheets 177
Shirts 3,388
Skirts 585
Vest 1
Total articles made and mended on wards 14,371
Total articles made and mended in sewing-room 12,151
Total articles made and mended in wards and sewing-room 26,522
Respectfully submitted,
Miss Martha Newell,
Seamstress.
Dr. W. W. Faison, Superintendent.
Dear Sir:—I hereby submit my report of the work done in the sewing-room
and on the wards for the year ending November 30, 1918.
Articles Made in the Sewing-Room
Aprons 148
Bed-ticks 169
Bodies 957
Bonnets , 13
64 State Hospital at Goldsboro
Bed-cases 5
Burlap spreads 20
Caps 24
Curtains (pairs) : 77
Chemises 1,197
Coats 143
Combination suits 16
Combination drawers 24
Chair cushions 2
Cases for automobile curtains 3
Covers for kitchen cabinet 4
Canopies for beds 13
Covers for cream separator 1
Dresses 768
Gowns 60
Ironing sheets 32
Indestructible dresses 215
Laundry hags 4
Mangle covers 1
Night-shirts ". 34
Outing shirts 364
Pants • 502
Pillow-cases - 1,194
Pillow-ticks 2
Pillows 160
Potato-peeler covers 1
Sheets 1,395
Shirts 715
Skirts 1,357
Shirt waists 56
Shrouds Ill
Stretchers 2
Suspenders 130
Table-cloths 22
Towels 21
Tool bag 1
Tray cloths 26
Window shades 4
Total garments made in sewing-room 9,993
Articles Made on Wards
Quilts 288
Articles Mended on Wards
Bodies 250
Blankets 20
Bed-ticks 114
Combination suits 221
Coats 245
Chemises ". 700
State Hospital at Goldsbobo 65
Drawers 1,600
Flannel shirts 581
Pants 1,921
Pillow-cases 100
Shirts 2,118
Sheets 214
Sleeves 14
Skirts * 900
Dresses 600
Total garments made and mended on wards 9,886
Total garments made in sewing-room 9,993
Articles made and mended in sewing-room and wards 19,879
Respectfully submitted,
Miss Martha Newell,
Seamstress
HOUSEKEEPER'S REPORT
Dr. W. W. Faison, Superintendent.
I hereby submit my report as housekeeper for the year 1917 as follows:
Apple Jelly 28 quarts
Apple preserves 8 quarts
Crab-apple jelly 6 quarts
Crab-apple preserves 21 quarts
Fig preserves 3 quarts
Grapes, spiced 25 quarts
Plum preserves 12 quarts
Peach preserves 15 quarts
Peach sweet pickles 9 quarts
Pear preserves 8 quarts
Pear sweet pickles 9 quarts
Pear marmalade 8 quarts
Tomato sweet pickles 8 quarts
Peppers stuffed 3 quarts
Pepper relish 19 quarts
Cucumber pickles 16 bbls.
Dewberries, canned , : 16 quarts
Butter 3,267 lbs.
Lard 2,274 lbs.
Sausage 1,760 lbs.
Soap 30,000 lbs.
Respectfully submitted,
Mrs. Mamie Herring,
Housekeeper.
Miss Luna Bridgers,
Assistant Housekeeper.
Dr. W. W. Faison, Superintendent.
I hereby submit my report as housekeeper for the year 1918 as follows:
Apple jelly 8 quarts
Apple preserves 10 quarts
Blackberry jelly 4 quarts
Blackberry jam 3 quarts
Chow-chow 16 quarts
Cucumber pickle, sweet 16 quarts
Cucumber pickle, sour 20 bbls.
Pear marmalade 16 quarts
Pear preserves 20 quarts
Pear sweet pickle 16 quarts
Peach sweet pickle 36 quarts
Pear preserves 7 quarts
Plum preserves 15 quarts
State Hospital at Goldsboro 67
Butter 294 lbs.
Lard 818 lbs.
Sausage 680 lbs.
Soap 30,000 lbs.
Respectfully submitted,
Mrs. Mamie Herring,
Housekeeper.
Miss Luna Bridgers,
Assistant Housekeeper.
REPORT
OF
THE STATE HOSPITAL
AT
MORGANTON, N. C.
FOR THE
TWO YEARS ENDING NOVEMBER 30, 1918
i
EXECUTIVE COMMITTEE
A. E. Tate, Chairman
R. R. Clark J. H. Giles
OFFICERS
John McCampbell, M.D Superintendent
F. B. Watkins, M.D.
,
' Assistant Physicians
M. A. Griffin, M.D. r
P. M. Scroggs Steward
Vacancy Matron
SUPERINTENDENT'S REPORT
The Honorable Board of Directors.
Gentlemen:—In compliance with the law I am herewith submitting a re-port
of the operation of the Hospital for the biennial period ending November
30, 1918, together with the customary statistical tables.
It will be noted from Table No. 1 that we had under treatment during the
two years 2', 105 patients, and that 95 men and 97 women have been discharged
as recovered. Based upon admissions, the recovery rate for men was 37.6
per cent, and for women 30.7 per cent. During 1917 59 men and 65 women
died, making the death rate for that year 6.7 per cent. During 1918 73 men
and 82 women died, giving an annual death rate of 8.6 per cent. This was the
highest death rate recorded in the history of the institution, and was due, in
a great measure, to the epidemic of influenza which prevailed in the Hospital
during October and November of this year, afflicting more than 500 patients
and resulting in 29 deaths. The employees were affected in even a greater
proportion, there being approximately 100 stricken with the disease, and one
nurse died from it.
Five suicides have occurred during the period. The circumstances attend-ing
same were reported to the executive committee of the Board of Directors
at the time of occurrence. In each instance the coroner was notified, but in
no case did he hold an inquest. One homicide occurred. A male patient, who
had been in the Hospital for eight months without showing any dangerous
propensities or giving expression to any delusions, one day while out with a
working party picked up an axe and struck an inoffensive patient in the back
of the neck, producing a wound which caused death in a few minutes.
We have been very much hampered in the work of the Hospital owing to
lack of support funds. The estimate in our report to the last General As-sembly
was made without knowledge of the tremendous advance which was to
take place in the price of all commodities and the price of labor as well, and
was far too low to meet the vital needs of running expenses, and the appro-priation
when finally made was $25,000 less than we asked for. Consequently,
after practicing the strictest economy, and in some cases enduring privations,
we have been compelled to incur a debt of approximately $75,000. The Board
of Directors, acting under instructions of the Governor and his Council, has
borrowed $55,000, and the balance of this amount is represented by outstand-ing
bills.
The per capita cost for the past year was $216, and would have been con-siderably
more had the advance in wages to nurses, attendants, and other
employees, Which we were compelled to make, been in effect for the entire
year. We estimate that for the ensuing two years a per capita allowance of
$230 will be necessary for anything like the proper care of our unfortunate
charges.
By opening the new dormitory for women, which has stood vacant for the
past two years, our present capacity will be 1,440 patients, and for their sup-port
at the above-mentioned rate per capita we will need for support during
1919 $331,200'. In order to meet the ever-increasing demands for the admis-sion
of patients there should be constructed, during the coming year, a build-
72 State Hospital at Mokganton
ing to accommodate at least 100 men, bringing the population up to 1,540,
which at the same -rate would require an appropriation of $344,200 for 1920,
and in addition $75,000 to cover notes and outstanding hills, representing the
deficit for the last biennial period.
Owing to the inadvisability of marketing the bonds authorized by the last
General Assembly for additional improvements to the Hospital during the
stress of war times, funds for that purpose were unavailable, and even had
they been available there was no need for increased 'capacity without means
of supporting the additional population. However, the time has come when
steps should be taken looking to enlargement and improvements as provided
for by this bond issue, and the immediate needs are for a building for men
with a capacity of not less than 100 beds and a new refrigerating plant to
replace our old one, which is too small and practically worn out from its
more than twenty years of use.
Out of the appropriation made two years ago for enlargement and improve-ment
there will be available, during next year, $100,000, and this amount will
doubtless meet the actual needs in that direction for the present, leaving
nothing to be considered beyond the appropriation for maintenance.
There are two vacancies on the medical staff caused by the resignation of
Dr. Wan. R. Griffin, who left this service in last March to go into private
work, and the resignation of Dr. Houck, which occurred last April. The de-mands
of the Army for medical officers has been such that it has been impos-sible
to fill these vacancies.
The routine work of the Hospital has been kept up very well indeed con-sidering
the shortness of working forces in practically every department, and
our success in this direction has been due, in a great measure, to the loyalty
and industry of those remaining with us, and to them I desire to express my
sincere appreciation for their efforts and fidelity.
Respectfully submitted, John McCampbell.
State Hospital at Mokganton 73
TABLE No. 1
Showing Movement of Patients for the Period of Two Years Ending
November 30, 1918.
1917 1918 Totals
M. F. Total M. F. Total M. F. Total
Remaining November 30, 1916-.- 654
132
881
170
1,535
Admitted 302 122 146 268 254 316 570
Total under treatment 78b
49
28
4
1
59
1,051
55
44
2
65
1,837
104
72
6
1
124
767
46
21
1
73
1,031
42
40
4
82
1,798
88
61
5
155
908
95
49
5
1
132
1,197
97
84
6
147
2,105
Discharged as recovered 192
Discharged as improved 133
Discharged, not improved. 11
Discharged as not insane .. 1
Died 279
Total removed 141 166 307 141 168 309 282 334 616
Remaining November 30 645 885 1.530 626 863 1,489
TABLE No. 2
Showing the Ages of Those Admitted and Those Removed During the
Period of Two Years Ending November 30, 1918.
Removed
Admitted
Recovered Impioved Not
Improved
Not
Insane Died
M. F. M. F. M. F. M. F. M. F. M. F.
10 to 20 years . .. 21
63
42
42
40
40
6
18
85
85
66
20
36
6
5
28
20
14
17
11
2
22
30
20
15
7
1
2
25
9
4
5
4
6
16
21
22
10
9
2
14
22
24
25
43
2
4
20 to 30 years .. 3
1
1
1
2
1
1
16
30 to 40 years 23
40 to 50 years ._ . 29
50 to 60 years . . 27
60 up 1 47
Unknown . 1 1
1
Totals 254 316 95 97 49 84 5 6 1 132 147
74 State Hospital at Morganton
TABLE No. 3
Showing Duration of Insanity Before Admission of Those Admitted and
Those Removed During the Period of Two Years Ending
November 30, 1918.
Removed
Admitted
Recovered Improved Not
Improved
Not
Insane Died
M. F. M. F. M. F. M. F. M. F. M. F.
Less than 1 month. ._ 57
44
37
22
28
16
11
10
4
1
24
67
63
51
28
31
15
16
12
7
6
20
21
29
9
12
2
5
8
4
1
4
23
23
19
11
6
4
4
3
8
10
9
3
4
3
3
4
11
24
19
15
5
4
3
2
1 15
18
17
15
13
13
16
8
7
2
8
19
1 month and less than 3 .
.
3
1
1 21
3 months and less than 6_ 24
6 months and less than 12 1
1
14
1 year and less than 2 16
2 years and less than 3 _ _- 11
3 years and less than 5 14
5 years and less than 10 .-. 2 15
10 years and less than 20 7
20 ano up
I
1
Unknown 1 1 1 1 5
Totals 254 316 95 9'/ 49 84 5 6 1 132 147
TABLE No. 4
Showing Alleged Causes of Insanity as Shown in the Commitment Papers
of Those Admitted During the: Period of Two Years Ending
November 30, 1918.
Male
Abcess of brain 1
Accidental killing of two sons
Acute Bright' s
Acute indigestion 1
Advanced age 1
Age 1
Alcoholism 1
Alcoholism and excessive dissipation 1
Alcoholism and exposure 1
Alcoholism and pellagra 1
Always physically and mentally weak
Amenorrhea
Approach of puberty
Bad health • 1
Bad health, masturbation and work 1
Bible study
Bilious attack 1
Biliousness, toxemia, amenorrhea
Birth of child
Blow on head 3
Breach of promise
Bug in ear 1
Cerebral and bodily exhaustion
Change of life
Change of life and uterine trouble
Chronic rheumatism • 1
Female Total
1
1 1
1 1
1
1
1
1
1
1
1
1 1
1 1
1 1
1 2
1
1 1
1
1 1
4 4
3
1 1
1
1 1
3 3
1 1
1
State Hospital at Moeganton 75
Table No. 4
—
Continued
Male
Church difficulties 1
Cigarettes, war work and worry 1
Climacteric and uterine disease
Congenital
Convulsions when a child 1
Deceases, children and war
Death of child
Death of husband
Death of son ,
Declining health
Delicate constitution
Dementia prsecox 1
Desertion by husband
Desertion by wife • 1
Desertion by son who left her alone with one grandchild
Disappointment in love 1
Disease, worry over having pellagra
Dissatisfied after death of wife 1
Dissipation and lues 1
Dismenorrhea
Distracted by Holiness sect
Domestic worries 1
Domestic worries or lactation
Drafted in army 1
Drafting of son 3
Drinking whiskey 1
Exposure and suppression of menses
Falling on ground 1
Failure to collect loan 1
Father alcoholic habitue
Family troubles • 2
Fear of loss of employment 1
Fear of tuberculosis .
Female derangement
Female trouble
Financial affairs 1
Financial affairs and bad health 1
Financial loss •
Financial trouble and protracted meeting
General breakdown 1
General rundown condition
Grippe and pneumonia 1
Grief over death of grandchild
Grief over death of mother 1
Hard fall 1
Has child two months old
Heredity 3
Heredity and financial embarrassment 1
Heredity and masturbation 1
Heredity and Pellagra
Heredity and religious excitement
Holiness meeting 1
Historectomy
High blood pressure
111 health 5
111 health and cigarettes 1
111 health and jealousy
111 health and worry 1
111 health and worry over boys in army 1
Impaired health 1
female Total
1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 2
1 1
1
1 1
1 2
1 1
1
1
1 1
1 1
1
1 1
1
2 5
1
1 1
1
1
1 1
1 3
1
1 1
1 1
4 4
1
1
1 1
1 1
1
1 1
* 1
1 1
1
1
1 1
7 10
1
1
1 1
1 1
1
1 1
1 1
13 18
1
1 1
2 3
1
1
76 State Hospital at Morganton
Table No. 4
—
Continued
Male
Insomnia 1
Indigestion . 2
Indigestion and bad health 1
Indigestion and female trouble
Indigestion and rheumatism
Indigestion and worry 1
Influenza 2
Inherited *
Injury to head 1
Injury to eye 1
Jealous of husband and Bible study
Kidney trouble
La grippe 1
Loss of child and worry
Love affair 1
Low state of health
Mastoid operation 1
Masturbation 2
Masturbation and indigestion, heredity 1
Masturbation and religion 1
Masturbation, disease of the heart, liver and kidneys 1
Measles 2
Meddling of neighbors : . .
Melancholia 2
Meningitis 1
Menopause
Menopause and war
Menstrual irregularities
Morphine and illness of daughter 1
Morphine 1
Miscarriage
Mumps 1
Mutism 1
Nervous breakdown followed by poor health
Nervousness 2
Nervousness at time she conceived last child
Nervousness or general breakdown
Nervousness or love affair
Neurasthenia 2
Not stated 13
Operation
Opium 1
Overwork and bad health 1
Overwork and childbirth •
Overwork, teaching
Overheat 1
Overwork 3
Paralysis 3
Paranoia • 1
Pellagra 3
Pellagra and womb trouble
Poor health
Poor health, nervous strain and operation 1
Pregnancy
Pregnancy and childbirth
Puerperal
Rapid childbirth and overwork
Recurrence 1
Religion 4
Religion and love affair
ernale Total
1
1 3
1
1 1
1 1
1
1
oO
1 1
1 2
1
1 1
1 1
1
1 1
1 1
1 1
1
2
1
1
1
1 3
1 1
1 3
1
2 2
1 1
1 1
1
1
1 1
1
1
1 1
5 7
1 1
1
"
1
1 1
1 3
9 22
1 1
1 2
1
1 1
1 1
1
2 5
3
1
17 20
1 1
4 4
1 1
3 3
1 1
6 6
1 1
1 2
8 12
1. 1
State Hospital at Morganton 77
Table No. 4
—
Continued
Male
Religious crank 1
Religious craze • 1
Religious excitement 3
Religious problems 2
Revival 2
Rundown health 1
Self-abuse 1
Senility
Sickness and death of son-in-law
Specific 2
Spinal disease 2
Son burned to death 1
Study over religion
Stroke on the head 1
Taking off morphine 1915 1
Toxemia
Tonsillotomy
Trouble over parents' death
Tumor of brain . 1
Typhoid fever 2
Typhoid fever and operation 1
Typhoid fever and pneumonia when young
Unknown 113
Uremia following confinement
Use of morphine and cocaine 1
Utero-ovarian, excited by menopause
Whiskey and morphine 1
Want of care after childbirth
War and Bible reading
Weak mind
Working in mill and run down health
Worry 1
Worry and dope
Worry about family condition, fear of poverty
Worry and ill treatment by husband
Worry over ancestry 1
Worry over condition in life
Worry over condition of county 1
Worry over family affairs and overwork
Worry over ill health
Worry over daughter's leaving home •
Worry over law suit
Worry over loss of friend
Worry over line and corner 1
Worry over past
Worry over sickness of wife 1
Worry over son leaving home
Worry over neighbor's remarks and church affairs
Worry over Avar 2
Worry over brother going to war
Female Total
1
1 2
3
1 3
2
1
1
4 4
1 1
2
2
1
1 1
1
1
1 1
1 1
1 1
1
1
1
1 1
117 230
1 1
1
1 1
1
1 1
1 1
1 1
1 1
2 3
1 1
1 1
1 1
1
1 1
1
2 2
1 1
1 1
1 1
1 1
1
1 1
1
1 1
1 1
1 3
1 1
78 State Hospital at Morganton
TABLE No. 5
Showing Deaths for the Period of Two Years Ending November 30, 1918.
No.
5553
6145
6700
5608
6744
6663
6531
6341
3017
3444
6741
6743
6701
159
5106
6613
2148
5762
6240
6628
6124
3281
6580
6767
6541
133
6740
6206
5985
5625
539
3228
6684
6395
870
6063
3510
6685
978
6820
6642
6799
6819 Male.
3557
6696
3306
5639
5349
5498
Sex
Female-
Female-
Male
Female.
Female.
Male
Female.
Female.
Female.
Female.
Male
Female.
Female.
Male
Female.
Male
Female.
Female-
Fern ale-
Male
Male
Female.
Female,
Female.
Female.
Female_
Male
Female.
Female-
Male
Female.
Female.
Male
Male
Male
Female-
Male
Male....
Male.
Male.
Female.
Female.
Male
Male
Female-
Male
Male
Female. .
Age
23
32
57
58
40
71
45
46
53
35
73
49
50
81
57
40
29
31
59
18
37
53
81
42
66
37
20
26
69
66
67
34
74
69
20
61
48
57
74
27
53
64
60
61
61
61
Duration of
Insanity
Before
Admission
mos
yr
mo
mos
mos
mos
yrs
mos
yrs
mo. 16 d.
yrs
mos
yrs
yrs
yrs
yrs
5 yrs
Many years_
3 yrs
5 mos. 18 d..
15 d
3 yrs
1 yr
1 mo
1 yr
12 yrs
2 mos
3 yrs
3 yrs
6 mos
2 yrs
2 mos. 2 d.
7 mos
3 or 4 yrs.
1 mo
3 yrs
2 mos
3 mos
5 mos
Not given.
6 mos.-
3 mos..
11 mos.
8d..-
4 mos.
5 mos.
3 mos.
21 d...
47 7 mos.
Hospital
Residence
Date of
Death
4 yrs. 4 mos. 18 d.
1 yr. 11 mos. 28 d.
1 mo. 21 d.
4 yrs. 1 mo. 15 d.
6 d.
3 mos. 4 d.
8 mos. 12 d.
1 yr. 5 mo. 15 d.
14 yrs. 8 mos. 12 d.
13 yrs. 2 mos. 27 d.
1 mo. 20 d.
17 d.
2 mos. 2 d.
34 yrs. 3 mos. 22 d.
6 yrs. 4 mos. 10 d.
5 mos. 24 d.
3 yrs.
1 yr.
2 yrs.
6 mos. 16 d.
3 mos. 13 d.
9 mos. 27 d.
5 mos. 15 d.
1 mo. 25 d.
13 yrs. 10 mos. 19 d.
7 mos. 25 d.
15 d.
9 mos. 7 d.
34 yrs.' 6 mos. 2 d.
1 mo. 29 d.
1 yr. 11 mos. 24 d.
2 yrs. 6 mos. 22 d.
4 yrs. 1 mo. 19 d.
30 yrs. 11 mos. 28 d.
14 yrs. 1 mo. 20 d.
4 mos. 14 d.
1 yr.
28 yrs.
2 yrs.
lo yrs.
4 mos. 15 d.
8 mos. 19 d.
5 mos. 3 d.
2 mos. 12 d.
4 mos. 26 d.
27 yrs. 10 mos. 13 d.
bd.
7 mos. 21 d.
28 d.
11 d.
13 yrs. 4 d.
5 mos. 14 d.
14 yrs. mos. 25 d.
4 yrs. 3 mos. 8 d.
5 yrs. 9 mos. 26 d.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Dec.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Jan.
Feb.
Feb.
Feb.
Feb.
3-17
3-17
6-17
8-17
8-17
8-17
9-1/
10-17
14-17
14-17
18-17
18-17
20-17
20-17
24-17
28-17
1-18
6-18
6-18
6-18
11-18
13-18
16-18
16-18
22-18
25-18
2o-l»
28-18
29-18
4-18
8-18
9-18
10-18
Feb. 16-18
Feb. 17-18
Feb. 21-18
Feb. 21-18
Feb. 25-18
Mar. 7-18
Mar. 21-18
Mar. 22-18
Mar. 23-18
Mar. 25-18
Mar. 25-18
Mar. 31-18
April 6-18
April 13-18
April 13-18
Cause of Death
5 yrs. mos. 2 d. April 15-18
Pneumonia (tubercular).
Cardio-renal disease.
Exhaustion of dementia.
Tuberculosis.
Pellagra.
Facial erysipelas.
Cardio-renal disease.
Pellagra.
Acute ascending myelitis.
Pellagra.
Facial erysipelas.
Pellagra
.
Exhaustion of dementia.
Chronic interstitial nephritis.
Locomotor ataxia.
General paralysis of the in
sane.
Apoplexy.
Chronic myocarditis.
Acute myocarditis.
Exhaustion of dementia and
diarrhea.
Pneumonia.
Cellulitis and senility.
Pellagra.
General peritonitis.
Epilepsy.
Chronic myocarditis.
Pulmonary tuberculosis
Pellagra.
Facial erysipelas.
Tuberculosis.
Entero-colitis.
General paralysis of the in-sane.
Chronic myocarditis.
Apoplexy.
Pulmonary tuberculosis.
Facial and general erysipelas.
Chronic valvular heart dis-ease.
Facial erysipelas.
Chronic valvular heart dis-ease.
Exhaustion of dementia.
Exhaustion from diarrhea.
General paralysis of the in-sane.
Enteritis with diarrhea.
Exhaustion of dementia.
Cardiac disease.
Cardio-renal disease.
Chronic parenchymatous ne-phritis.
Apoplexy.
State Hospital at Morganton 79
Table No. 5
—
Continued
No. Sex Age
Duration of
Insanity
Before
Admission
Hospital
Residence
Date of
Death Cause of Death.
6502 Female.. 48 2 mos 1 yr. 1 mo. 27 d. April 16-18 Exhaustion of dementia.
6715 Male
Female. .
18
41
10 d. .
2 yrs.
5 mos. 22 d.
6 mos. 11 d.
April 17-18
April 18-18
Exhaustion of dementia.
6083 2 mos Pulmonary tuberculosis.
6647 Male 61 8 mos 8 mos. 7 d. April 19-18 Chronic valvular heart dis-
6818 Male 62 4 mos. 15 d.. 1 mo. 9 d. April 23-18
ease.
Acute enteritis with diarrhea.
3738 Male 44 4 yrs 12 yrs. 3 mos. 27 d. April 24-18 Pellagra.
5079 Female.. 73 7 d 6 yrs. 9 mos. 5 d. April 29-18 Erysipelas.
6582 Female..
Male
74
48
19 d
20 yrs.
11 mos. 9 d.
8 mos. 14 d.
May 3-18
May 4-18
Exhaustion of dementia.
2192 6 yrs. .. Apoplexy.
6854 Male
Male
38
60
20 d
26 yrs.
13 d.
mojs. 11 d.
May 8-18
May 10-18
Pellagra.
1290 6 mos.. Strangulation (suicide).
6871 Female.
.
Female-
53
62
21 d...
26 yrs.
6d.
10 mos. 5 d.
May 21-18
May 28-18
Exhaustion of dementia.
1183 Not given... Exhaustion of dementia.
6872 Female. . 43 2 mos 16 d. June 1-18 Exhaustion of dementia.
6217 Male 74 6 mos.. 2 yrs. 3 mos. 27 d. June 12-18 Acute enteritis with diarrhea.
6845 Female- 64 4 mos 1 mo. 28 d. June 15-18 Cellulitis of neck.
6897 Male 35 3 mos. 7 d. June 25-18 Asphyxiation (suicide).
4486 Female.. 31 7 mos 8 yrs. 10 mos. 25 d. June 26-18 Pellagra.
6851 Female- 56 20 yrs 2 mos. 4 d. June 27-18 Huntington's chorea.
5618 Male 24 12 yrs 4 yrs. 7 mos. 8 d. June 30-18 Pulmonary tuberculosis.
4833 Female- 28 5 mos -. 7 yrs. 8 mos. 22 d. July 2-18 Acute enteritis.
5793 Female— 59 3 yrs. 6 mos. 25 d. July 3-18 Bright's disease.
6900 Female- 60 2 yrs 14 d. July 4-18 Exhaustion of dementia.
6846 Female.. 80 3 yrs 2 mos. 18 d. July 5-18 Acute enteritis.
6880 Female.. 87 5 yrs . .. 1 mc. 5 d. July 7-18 Gangrene of foot.
6906 Female- 44 Not given 10 d. July 10-18 Acute endocarditis.
223 Male 59 3 mos 34 yrs. mos. 10 d. July 10-18 Acute enteritis with diarrhea.
5951 Male 26 1 yr 3 yrs. 28 d. July 12-18
July 17-18
July 18-18
Pulmonary tuberculosis.
6893 Female..
Male
23
47
1 mo. .
17 yrs.
1 mo. 3 d.
3 mos. 26 d.
Pellagra.
2757 1 mo. 10 d... Exhaustion of dementia.
6915 Male 72 3 or 4 yrs 14 d. July 25-18 Cardio-renal disease.
5537 Male 55 4 yrs. 6 mos. 5 yrs. 1 mo. 8 d. July 27-18 Apoplexy.
5993 Male 55 7 mos 3 yrs. 16 d. July 29-18 Pellagra.
5549 Male 45 2 mos .. 5 yrs. 21 d. Aug. 5-18 Apoplexy.
4583 Male 44 5 mos 8 yrc. 6 mos. 15 d. Aug. 5-18 Lobar pneumonia.
6940 Female.. 35 3 mos 15 d. Aug. 13-18 Pellagra.
5199 Female . 71 28 d 6 yrs. 8 mos. 5 d. Aug. 16-18 Chronic myocarditis.
6441 Male 39 6 mos lyr. 8 mos. 17 d. Aug. 17-18 Chronic gastro-enteritis.
6949 Male 38 9d 10 d. Aug. 21-18 Exhaustion of mania.
3330 Male 59 1 mo. 12 d... 14 yrs. 4 mos. 28 d. Sept. 10-18 Apoplexy.
4066 Female.. 46 3 mos.. 11 yrs. 14 d. Sept. 19-18 Cardio-ienal disease.
4752 Female.. 30 8 yrs. 1 mo. 17 d. Sept. 19-18 Cardio-renal disease.
6880 Male 30 4 mos:... .. . 4 mos. 20 d. Sept. 23-18 Exhaustion of dementia.
4440 Female.. 38 Several yrs.
.
9 yrs. 3 mos. 29 d. Sept. 23-18 Spleno-medullary leukemia.
6159 Female.. 27 2 mos. 14 d._ 2 yrs. 9 mos. 14 d. Oct. 3-18 Acute endocarditis.
6526 Female.. 59 5 mos— .. lyr. 6 mos. 18 a. Oct. 4-18 Pellagra.
5805 Female.. 36 3 yrs. 8 mos. 23 d. Oct. 4-18 Pellagra.
6636 Male 32 Not gi\en_._ 1 yr. 2 mos. 9 d. Oct. 5-18 Chronic valvular heart dis-
6213 Male 35 2 yrs 2 yrs. 7 mos. 25 d. Oct. 6-18
ease.
Exhaustion of dementia.
4374 Female.. 35 9 yrs. 8 mos. 22 d. Oct. 8-18 Pellagra.
6000 Male 46 6 mos 3 yrs. 2 mos. 19 d. Oct. 9-18 General paralysis cf the in-
4368 Female.. 36 8 yrs. 9 yrs. 9 mos. 9 d. Oct. 14-18
sane.
Cardio-renal disease.
6816 Male 32 Not given... 7 mos. 3 d. Oct. 16-18 Pellacia.
1846 Female.. 70 7 mcs... _ . 24 yrs. 11 mos. 18 d. Oct. 16-18 Carcinomia of uterus.
so State Hospital at Morganton
Table No. 5
—
Continued
No.
2422
5086
4919
5927
1615
2867
6672
3568
5663
6766
1082
6165
1837
19
3597
5856
6925
6988
5289
2778
6112
2826
3728
6865
6982
1455
1688
4648
7002
6001
6376
932
2779
5507
4348
3084
3375
3531
6087
581-6
6985
207
5544
5064
6468
3158
6924
5642
6128
5979
Sex Age
Female.. 53
Female.. 34
Male 25
Female.. 65
Female.. 51
Female.. 69
Male 26
Male 72
Female.. 44
Male 30
Male 49
Male 69
Male 34
Male 40
Male 66
Male 36
Male 40
Female.. 30
Male (?)
Male 35
Male 58
Female.
36
Female.
.
50
Female. . 53
Male 35
Male 33
Male 42
Female.. 43
Male 28
Female.. 17
Female.. 65
Female. . 35
Male 61
Female.. 44
Male 36
Female.. (?)
Male 49
Female.. 60
Male 27
Male 73
Female.. 33
Female.. 44
Male 67
Female.. 24
Female.. 57
Female.. 22
Male 52
Female.. 34
Female.. 40
Female.. 64
Male 30
Duration of
Insanity
Before
Admission
7 mos.
14 d..
12 yrs
1 yr. 8 mos
3 mos
2 yrs. 6 mos
1 yr
4 mos..
1 yr. 6 mos
5 yrs
1 mo. 15 d._
1 yr
5- yrs
9 yrs
3 yrs
1 yr
2 yrs
3 mos
7d
1 mo. 15 d..
1 mc. 10 d...
1 mo
5 mos
4 mos ...
2 yrs
2 yrs
6 mos
6 mos
3 yrs
7d
2 yrs
4 mos
1 yr
1 mo
15 yrs
Not given.
.
3 yis
6 yrs
1 yr
3 or 4 yrs...
1 yr._
5 mos
5 yis
1 yr
4 yrs
9 yrs
3 yrs
5 yrs
1 yr...
2 yrs
2 yrs
Hospital
Residence
20 yrs. 1 mo. 7d.
2 mos. 19 d.
9 mos. 9 d.
5d
7 yrs
7 yrs
3 yis. 5 mos.
24 yrs. 3 mos. 25 d.
16 yrs. 9 mos. 5 a. .
1 yr. 1 mo. 18 d.
24 d.
13 yrs.
4 yrs.
27 yrs,
2 yrs
35 yrs,
13 yrs
3 yrs
6 yrs.
17 yrs.
3 yrs.
12 yrs.
6 mos.
7 mos.
10 mos.
10 mos.
10 mos.
23 yrs.
6 mos.
4 mos.
6 mos.
3 mos.
6 mos.
5 mos.
mos.
7 mos.
10 mos.
6 mos.
16 d.
23 d.
29 d.
28 d.
2d.
21 d.
27 d.
10 d.
24 d.
19 d.
24 d.
27 6.
17 d.
3 d.
20 d.
22 d.
4d.
1 mo. 8 d.
25 yrs. 7 mos. d.
23 yrs. 10 mos. 1 d.
8 yrs. 7 mos. 18 d.
9 d.
3 yrs.
2 yrs.
28 jrs.
17 yrs.
5 yrs.
9 yrs.
15 yrs.
14 yrs.
13 yrs.
3 yrs.
3 yrs.
34 yrs.
1 yr.
7 yrs.
3 mos.
2 mos.
11 mos.
6 mos.
7 mos.
11 mos.
5 mos.
5 mos.
9 mos.
1 mo.
9 mos.
1 mo.
8 mos.
7 mos.
4 mos.
28 d.
25 d.
26 d.
7d.
2 d.
22 d.
17 d.
4d.
29 d.
13 d.
28 d.
16 d.
9d.
4 d.
28 d.
1 yr. 10 mos. 17 d.
15 yrs. 3 mos. 12 d.
4 mos. 11 d.
4 yrs. 10 mos. 14 d.
3 yrs. mos. 9 d.
3 yrs. 4 mos. 28 d.
Date of
Death
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Oct.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
16-18
18-18
19-18
24-18
24-18
25-18
27-18
27-18
28-18
29-18
29-18
30-18
30-18
30-18
2-18
4-18
5-18
6-18
7-18
8-18
10-18
11-18
11-18
11-18
11-18
Nov. 11-18
Nov. 13-18
Nov. 16-18
Nov. 16-18
Nov. 17-18
Nov.
Nov.
.Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
Nov.
18-18
19-18
21-18
21-18
21-18
22-18
22-18
22-18
22-18
22-18
24-18
24-18
24-18
25-18
26-18
Nov. 26-18
Nov. 27-18
Nov. 27-18
Nov. 27-18
Nov. 28-18
Nov. 30-18
Cause of Death
,
Cardio-ienal disease.
Pellagra.
Exhaustion of dementia.
Acute enteritis.
Acute enteritis.
Exhaustion of melancholia.
Influenza pneumonia.
Chronic valvular heart dis
ease.
Broncho-pneumonia.
Influenza pneumonia.
Pellagra.
Acute enteiitis with diarrhea.
Influenza pneumonia.
Influenza pneumonia.
Apoplexy.
Exhaustion of dementia.
Apoplexy.
Pellagra.
Influenza pneumonia.
Influenza pneumoriia.
Influenza pneumonia.
Influenza pneumonia.
Exhaustion of dementia.
Influenza pneumonia.
General paralysis of the in-sane.
General paralysis of the in-sane.
Influenza pneumonia.
Pellagra.
Influenza pneumonia.
Exhaustion of mania follow
ing influenza.
Pellagra.
Influenza pneumonia.
Influenza pneumonia.
Influenza pneumonia.
Influenza pneumonia.
Influenza pneumonia.
Influenza pneumonia.
Cardio-renal disease.
Influenza pneumonia.
Cardio-renal disease.
Influenza pneumonia.
Exhaustion of mania.
Cardio-renal disease.
Pellagra.
Chronic valvular disease of
heart.
Pellagra.
Influenza pneumonia.
Chronic endocarditis.
Influenza pneumonia.
Chronic endocarditis.
Influenza pneumonia.
State Hospital at Morganton 81
TABLE No. 6
Showing the Occupation of Those Admitted During the Period of Two
Years, Ending November 30, 1918.
Assistant Register of Deeds 1
Banker 2
Blacksmith 1
Bookkeeper 1
Business man 1
Butcher 1
Carpenter 5
Carpenter and soldier 1
Carpenter's wife • 1
Clerk 1
Clerk in postoffice 1
Cigarette factory operative 1
Commercial agent 1
Conductor • 1
Conductor and switchman 1
Contractor . . . 1
Cotton mill operative 18
District passenger agent 1
Domestic 25
Driver 1
Engineer 1
Farmer 128
Farmer and blacksmith 1
Farmer and carpenter 1
Farmer and laborer 1
Farmer and street car conductor • 1
Farmer's daughter 2
Farmer's son 1
Farmer's wife 7
Farming and housekeeping 1
Fire insurance 1
Fireman on railroad • 1
Foundry worker 1
Furniture factory operative 1
Harness maker 1
Home 1
Horse doctor • 1
Housekeeper 60
Housekeeper at hotel • 1
Housemaid 1
Housewife 98
Housewife and storekeeper 1
Housework 21
Insurance • 1
Laborer • 15
Laundress 1
Loom fixer 1
Lumberman 1
Machinist • 2
Mechanic 2
Merchant • 2
Merchant's wife 1
Mill hand 5
Mill operative • 6
Mill operative and carpenter 1
Miner 1
Minister 3
82 State Hospital at Morganton
Table No. 6
—
Continued.
Mother 1
Music teacher 1
None • 44
Not stated 23
Office writing • 1
Painter 1
Paper hanger 2
Physician 3
Policeman 1
Printer 2
Public works 1
Raised on farm 1
Saleslady 2
Salesman • 2
Salesman and farmer 1
Sawmilling • 1
School boy 1
School girl 2
School teacher 2
Seamstress 2
Shoemaker 1
Soldier 1
Stationery engineer ., 1
Stenographer 4
Student 1
Telegraph operator 2
Textile worker 2
Trained nurse 1
Transfer man 1
Typesetter 1
Wage hand 2
Water boy 1
Weaver in cotton mill 1
Wife 1
Work in hotel 1
TABLE No. 7
Showing Civil Condition of Those Admitted During the Period of Two
Years Ending November 30, 1918.
Male Female Total
Married 145 197 342
Single 94 93 187
Widowed 11 24 35
Divorced 2 2
Not stated 2 2 4
Totals ! 254 316 570
FINANCIAL STATEMENT
From December 1,
To appropriation for 1917
1916, to November 30, 1917.
Dr.
$ 20,753.86
22,987.20
20,789.06
$ 237,500.00
To overdrawn vouchers of 1917 25,291.52
Cr.
red for:
$ 262,791.52
By vouchers issued and appro\
December, 1916 _
$
January, 1917
February, 1917 - - _ - _ - - _ - - - -
Total for first quarter 64,530.12
March, 1917 $ 21,494.79
20,265.18
21,806.97
April, 1917.
May, 1917
Total for second quarter 63,566.94
June, 1917 $ 19,714.64
25,316.08
19,596.42
July, 1917
August, 1917 _
Total for third quarter 64,627.14
September, 1917 $ 20,992.80
22,600.17
26,474.35
October, 1917
November, 1917 . . . . . . .
70,067.32
$ 262,791.52
84 State Hospital at Morganton
Financial Statement—Continued.
From December 1, 1917, to November 30, 1918.
Dr.
To appropriation for 1918
To amount borrowed from banks
Cr.
By vouchers issued and approved for:
December, 1917...
January, 1918
February, 1918
Total for first quarter.
March, 1918.
April, 1918..
May, 1918...
Total for second quarter.
June, 1918
July, 1918
August, 1918
Total for third quarter.
September, 1918.
October, 1918
November, 1918.
Total for fourth quarter.
Recapitulation
To appropriation for 1917.
To appropriation for 1918.
To cash borrowed
By vouchers for 1917.
By vouchers for 1918.
20,172.93
20,776.19
19,915.80
24,616.15
21,924.94
18,126.85
27,314.43
21,720.46
27,691.69
24,135.21
19,874.10
20,939.73
$ 262,791.52
267,208.48
$ 530,000.00
237,500.00
55,000.00
$ 292,500.00
$ 60,864.92
64,667.94
76,726.58
64,949.04
$ 267,208.48
237,500.00
237,500.00
55,000.00
$ 530,000.00
State Hospital at Morganton 85
CLASSIFIED EXPENDITURES
From December 1, 1916, to November 30, 1918.
Salaries, superintendent and physicians.
Salaries, office force
Salaries, and general labor
Salaries and farm labor..
Bacon
Beef..
Pork
Hams and sausage
Poultry...
Fish and oysters
Butter and oleo
Eggs....
Flour
Corn meal.
Hominy and oat flakes
Rice
Cheese..
Crackers
Molasses and syrup
Coffee and tea
Sugar
Salt
Lard and compound
Baking powder and yeast
Spices and vinegar...
Fruits
Vegetables..
Tobacco
Soap, starch, and blueing
Stamps and stamped envelopes.
Stationery and piinted blanks..
Telegrams and telephone rent...
Dry goods and notions
Ready-made clothing
Hosiery
Shoes
Shoe findings and leather
Hats and caps...
Furniture
Bedding
Carpets and matting
Brooms and dusters
Crockery and tinware
Kitchen utensils
Coal
Wood
Ilium inating oil
Gasoline, candles, and matches.
Drugs and liquors.
Surgical instruments.
Medical literature
Extra physicians and sundries.
.
Amusements
Ministerial services
Directors' expenses.
Travelling expenses
9,
4,
46,
11.
36,
13,
1,
1.
4,
2,
16,
4,
1,
1,
16,
2,
2,
7,
12,
175.81
101.37
228.93
735 .99
971 .42
722 .48
44.11
244 .96
562.13
480.85
465 .00
041 .07
203 .51
388 .86
525.36
248 .28
170.79
209 .03
209 .31
671.12
071 .70
275 .65
676 .04
900 .41
208 .54
348 .40
251 .76
802 .50
108 .49
425 .00
300 .22
189 .70
898.65
820 .76
445 .42
201 .40
429 .03
579 .36
17.55
144 .82
45.00
403 .49
829 .33
1.15
563.21
1,
37.35
400 .04
610.81
8.41
28.00
114.56
195.13
212.48
838.81
246.15
1918
7,830.08
4,484.78
57,933.73
11,678.07
36,229.69
13,877.54
581 .45
1,218.31
3.10
5,517.90
2,148.77
17,897.16
4,023.70
1,049.25
1,082.17
2.80
128.12
3,551.77
1,205.82
2,578.73
310.40
960.84
985 .06
267 .24
1,017.36
2,285.83
3,624.62
1,970.91
600 .00
312.47
157 .06
11,951.21
3,214.12
912.07
3,221.80
103 .50
10,556.93
725 .94
1,524.52
11,556.91
1,538.50
14.85
789 .74
1,084.02
2.72
16.59
105 .72
186 .48
162 .48
1,295.57
223 .58
86 State Hospital at Morganton
Classified Expenditures—Continued.
Freight on foods
Freight on dry goods and notions
Freight on furniture
Freight on fuel
Freight on drugs..
Freight on farm supplies
Freight on repairs
Express
Fertilizer
Seeds and plants
Corn, bran, and oats
Forage
Horses and mules...
New Machineiy and implements
Machine parts
Electric fittings
Lubricating oils
Ammonia
Wagon paits and repairs..
Farm implements, parts and repairs.
Blacksmith expenses...
Lime and cement
Paints, oils, glass, and putty
Sundries
Lumber and nails
1917
2,081.25
344 .62
233 .04
13,407.49
20.57
511.14
501 .53
137 .06
2,569.01
1,258.75
3,176.25
3,655.31
69.00
253 .05
1,656.22
710.00
336 .52
58.24
14.30
354.15
157.26
6.75
1,087.94
1,164.27
% 262,791.52
1918
1,883.50
166 .33
292 .58
16,499.42
13.45
226 .62
165.21
90.31
823 .75
1,155.93
1,156.10
5,287.63
130 .80
2,283.96
414 .44
216.63
28.20
383.61
41.48
23.10
533 .48
625 .89
64.08
$ 267,208.48
State Hospital at Morganton 87
STEWARD'S REPORT OF SPECIAL FUND
From December 1, 1916, to November 30, 1918.
Dr.
To balance brought forward
To receipts support and maintenance.
Board officers families.
County claims „..
Sale of drugs
Shops
Green house
Farm and garden
Calves and pigs
Hides
Barrels, sacks, and boxes
Store room
Coal
Sundiies
Totals.
Cb.
By paid returning escaped patients
By paid County claims, patients to hospital.
Woman's building
Gas tank, range and pay rolls
V/i ton truck..
New barn
Pay rolls for repairs
Calves and freight
Farm tractor
Vouchers for support
Total disbursements-
Balance carried over.
1917
51.03
829 .05
3,834.31
3,291.84
2,253.32
% 10,259.55
$ 10,685.62
1918
$ 10,117.97 $ 10,685.62
3,540.96 5,404.05
295 .00 78.61
1,023.36 366.59
8.61 23.42
80.00 33.88
96.02 85.00
129 .52 101.18
80.00 285 .07
2,820.74 936.65
169 .84 192.92
42.01 31.74
428.17 692.97
2,112.97 3,816.55
$ 20,945.17 % 22,734.25
48.67
24.92
3,975.45
4,440.01
2,106.15
3,037.53
1,392.25
5,002.03
20,027.01
2,707.24
88 State Hospital at Morganton
REPORT OF FARM AND GARDEN
From December 1, 1917, to December 1, 1918.
Hay pounds
Green hay pounds
Fodder .bundles
Tops bundles
E