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spontaneously in a pile of clothing, and owing to the difficulty of getting at the fire in the roof it swept to the ironing room and to the second story over the sorting room, occupied by women employes. It destroyed the roof of the ironing room, but did not seriously injure the machinery. Although the roof fell among the machinery, and the destruction from fire and water was great, yet the débris was cleared away and by 8 o'clock the next morning the laundry machinery was running as usual, though under an open sky. As a result, a new and improved dry room has been installed at an expense of $6375. Aside from this expense, the cost of repairing the building, new roofs, replacing clothing burned, etc., was $7182.71.

The plan inaugurated last year of sending about 18 patients to live in a large rented cottage on the lake shore at Wilson, Niagara County, is in operation again this year with the most gratifying results. The benefits are most immediate and noteworthy in the cases of retarded and sluggish convalescence. The gain in strength, health, spirits, etc., which comes from a three weeks' stay at the lake shore, in a house which gives a close approach to normal living condition, is most gratifying and surprising. Fishing, swimming, walking, driving and gardening constitute most of the means of occupation and recreation, and the improvement is so marked that many patients are enabled to be discharged soon after their return. Many of the more suitable men patients are also enabled to secure employment at the fruit farms of the neighborhood and some of them continue to be self-supporting

OH10.-Massillon State Hospital, Masillon.-During the past year no new buildings have been constructed.

The main entrance to the hospital grounds has been improved considerably by the construction of a brick and stone gateway. There is also in course of construction a "no-dust” driveway, manufactured from carbovia, a tar compound, which will materially improve the approach to the main buildings.

The dairy farm, which was opened some months ago, continues to prove a valuable asset. There is now an excellent and plentiful supply of milk and butter, together with a good stock of farm products. A cottage located on the farm affords lodging for about 25 patients, who assist in caring for the farm. During the year the herd was inspected by the State veterinarian, for tuberculosis, and among 116 cows examined but three reacted to the tuberculin test.

A new heating and hot water system has been installed throughout the institution, the old system being entirely inadequate.

There have been no changes in the official staff.

-Columbus State Hospital, Columbus.—This hospital is very much crowded at present and it is expected to ask for a new building for cases of tuberculosis. For several years past the cases of active tuberculosis have been in tents during the summer months, but when the cold weather comes it is necessary to move them back to the main building and cottages, and in the crowded condition and with the continual increase of population, this is difficult to do.

The cold storage plant, which cost $25,000, is very complete and gives an abundance of ice and storage capacity.

A number of concrete walks through the grounds have been laid by the hospital help, and they have added very much to the beauty of the surroundings. On one part of the farm there is a stone quarry and recently a stone-crusher was purchased. The product of this gives an abundance of crushed stone for concrete work, roads, etc.

There have been no changes in the staff.

-Ohio Hospital for Epileptics, Gallipolis.—The State conference of superintendents, trustees and stewards of Ohio State hospitals and the Board of State Charities met at the hospital on July 28 and 29. The conference had as its guest Dr. Wm. F. Drewry, of Petersburg, Virginia, president of the American Medico-Psychological Association, who made an address.

A new cottage for 25 little girls of the first grade has lately been opened. Extensive alterations to the central heating plant are under way and the establishment of a dairy in the near future is contemplated. The institution now has upward of 1400 patients.

OKLAHOMA.-State Hospital for the Insane, Fort Supply. On April 14, 1909, a fire was started here by a prairie fire, which destroyed several buildings and caused a loss of $75,000. Owing to the good service of the attendants there was no panic and no loss of life. A few days later another fire occurred, which caused slight damage, and still later a third fire, which destroyed the main hospital building. During this fire it was necessary to carry a number of patients from the building.

PENNSYLVANIA.—A bill was recently passed by the legislature providing for a State hospital for inebriates, but was vetoed by the governor because there were not sufficient funds for the purpose. The bill carried an appropriation of $100,000.

The legislature also appointed a commission to inquire into the cost of land, buildings and maintenance of a State farm for the insane, feebleminded and criminal, who are wards of the State and whose labor it is believed will be profitable, so that such an institution will be partly selfsupporting

An appropriation of $77,000 was made for the erection of the new Hospital for Criminal Insane at Fairview, the cornerstone of which was laid July 23, 1909.

An appropriation of $400,000 was also made for the Allentown Insane Asylum, and on July 20, 1909, the State Homeopathic Hospital Commission awarded contracts amounting to $338,600 for the erection of three wards, two chapels and three corridors. It is estimated that $475,000 will be needed to complete this institution.

--State Hospital for the Insane, Department for Men, Norristown. There have been a number of changes in this department during the past year. The alterations and improvements in the large refectory were completed about a year ago and this building now has accommodations for nearly 900 patients as well as attendants.

February last the new building for a demented and untidy class of patients was opened. This building has a capacity of over 250 patients. The cooking is done in the building, there being a special dietary suited to this class of patients. The building is ideally ventilated so that the amount of odor is reduced to a minimum. It has been found very well adapted to the purpose for which it was built. This building cost only $50,000.

The new convalescent building for men, which has a capacity of 80 beds, was opened on the 18th of August. This also has its own kitchen and special dietary. The building is two stories high and has ample porches and above the center of the building there is a large recreation room in addition to the ordinary day rooms. It cost $50,000.

The Nurses' Home, for male attendants, will be opened within the next month. It has room for about 140 employes. One part of the building is entirely separated from the rest for the purpose of housing the female nurses who are employed in the Male Department and who number about 25. The basement of this building is fitted up with billiard tables and shuffleboards, etc., for the recreation of the male attendants when off duty. This building, including furnishings, cost about $75,000.

With the completion of these buildings, the overcrowding of the Male Department will be largely eliminated for the present.

To the account of above building operations it should be added that the new Assembly Hall has been completed this summer. The lower floor is to be used for dancing and the upper floor contains permanent theater chairs for 1200 patients with a large stage. The hall will also be equipped with a large pipe organ for church services. The cost of this building was only $50,000. It will be used by both the male and female departments.


TEXAS.-Southwestern Insane Asylum, San Antonio.-A change in the resident staff occurred March 16, 1909, when the following physicians entered the service: J. R. Nichols, M. D., of Greenville, Texas, superintendent; J. W. Oxford, M. D., Austin, Texas, first assistant physician; J. W. Springer, M. D., San Antonio, Texas, second assistant physician; L. B. Jackson, M.D., Gatesville, Texas, third assistant physician and pathologist.

It is recommended that the name, Southwestern Insane Asylum, be changed to San Antonio State Hospital. A minor surgical department will be installed. The pathological laboratory, operating room and accessory rooms thereto are being overhauled. Additional furniture, fixtures and instruments have been ordered, which will make these departments complete.

A telephone system, bowling alley and small gas plant will be installed within the next three months. An irrigation plant has been completed at a


cost of $700, which will supply an abundance of water for the gardens. $90,000 has been appropriated to be used as follows: $35,000 to construct three female wards and an associate dining room in the basement to accommodate 120 patients; $35,000 to construct wards and an association dining room in the basement to accommodate 120 male patients; $10,000 to construct a tubercular cottage for 30 female patients, so that this class can be isolated to themselves; $10,000 to construct a tubercular cottage for 30 male patients, so that this class can be isolated to themselves. With these additions the capacity of the institution will be increased to 1050 patients. $2500 will be expended on purchasing additional laundry machinery and adding more room. $600 will be expended on purchasing additional cooking vessels for the kitchen and rearranging it. $10,000 will be expended in purchasing boilers and machinery and appliances for the engineering department.

Electric fans have been installed in the amusement hall, which enables diversions for patients during the heated term. Electric fans have been installed in the ironing room of the laundry, which makes that department more comfortable to the patients and employes.

Sanitary floors will be put in two associate dining rooms and in 12 toilet, bath rooms and lavatories. Metal ceiling will be put in on the fourth floor of Administration Building.

There are many other improvements and repairs that have been made recently, such as repairing roofs, cornice to buildings, construction of "brakes” for airing and screening unsightly articles from the different departments. Putting in a system of order, cleanliness, book-keeping, requisitions and record-keeping. Much work is being done on the grounds, building of walks and putting in curbing on driveways. New roofs have been put on several buildings in the dairy department, the cemetery put in first-class condition and a dead wagon purchased. All coffins are trimmed up neatly and the patients given Christian burial. A fire department has been organized and additional equipment purchased. Everything that needs paint and whitewashing, such as barns, fences, basements, buildings and bedsteads, are receiving a new dress as fast as possible.

VIRGINIA.—Central State Hospital, Petersburg.-A new modern cottage and all necessary equipment for the treatment of female tuberculosis patients is about completed. It will accommodate about 50 patients. The pathological department is being improved and a specialist in this line of work has been put in charge and will devote his entire time to this department of the hospital medical work. There are now in the hospital 1378 patients, exceeding the normal capacity of the hospital by 150. The next legislature will, of course, be urged to appropriate sufficient money to provide the necessary accommodations. There are, however, no insane confined in any of the jails or almshouses of the State or other local institutions. Various improvements are contemplated for the coming year.

Appointments, Resignations, Etc.

ABBOTT, DR. FLORENCE H., appointed Assistant Physician at Worcester Insane Hospital

at Worcester, Mass., June 15, 1908. AITKIN, D. C. STANLEY, Fourth Assistant Physician at Department for Men, State

Hospital for the Insane at Norristown, Pa., resigned. ALEXANDER, DR. Rose, appointed Medical Interne at Government Hospital for the

Insane at Washington, D. C., July 1, 1909. BARDIN, DR. JAMES C., appointed Pathologist and Bacteriologist at Central State Hos

pital at Petersburg, Va. BANTRAX, DR. NELL WRIGHT, appointed Medical Interne at Kings Park State Hospital

at Kings Park, N. Y., June 6, 1909. Bass, DR. THOMAS B., Assistant Superintendent of State Epileptic Colony at Abilene,

Texas, promoted to be Superintendent. BOWEN, ORLANDO M., appointed Warden of New Jersey State Hospital at Morris

Plains, April 15, 1909. BOWERS, Dr. Paul, appointed Medical Interne at Government Hospital for the Insane

at Washington, D. C., August 5, 1909. BOWERS, DR. W. G., appointed Fifth Assistant Physician at Department for Men, State

Hospital for Insane at Norristown, Pa., July 1, 1909. BRAITHWAITE, DR. Wm. W., appointed Medical Interne at Government Hospital for the

Insane at Washington, D. C., August 11, 1909. BRENT, DR. MEADE S., appointed Third Assistant Physician at Central State Hospital

at Petersburg, Va. BROOKS, DR. HENRY J., from 1874 to 1877 Assistant Physician, and from 1890 to 1893

Superintendent of Illinois Northern Hospital for the Insane at Elgin, died at his

home in Dixon, February 25, 1909, from cerebral hemorrhage, aged 59. BROWN, DR. SHERMAN, appointed Junior Physician at Kings Park State Hospital at

Kings Park, N. Y., August 10, 1909. CALDER, DR. DANIEL H., Superintendent of State Mental Hospital at Provo City, Utah,

reappointed. CAMPBELL, DR. FRED G., appointed Junior Assistant at Worcester Insane Hospital at

Worcester, Mass., July 1, 1908. CARD, DR. WILLIAM R., appointed Assistant Physician at East Mississippi Insane Hos.

pital at Meridian. CARRICK, DR. MAnton M., appointed Assistant Superintendent of State Epileptic Colony

at Abilene, Texas. CARROLL, DR. ALEXANDER J., Fourth Assistant Physician at New Jersey State Hospital

at Morris Plains, promoted to be Third Assistant Physician. CHILD, DR. HOWARD T., appointed Medical Interne at Craig Colony for Epileptics at

Sonyea, N. Y., August 2, 1909. COLE, DR. BLASE, appointed Sixth Assistant Physician at New Jersey State Hospital at

Morris Plains after a competitive examination, November 6, 1908. CORBUS, Dr. John C., from 1898 to 1906 Superintendent of Illinois Eastern Hospital

for the Insane at Hospital, died at Mendota, March 17, 1909, aged 75. Cossitt, Dr. H. Austin, Second Assistant Physician at New Jersey State Hospital at

Morris Plains, resigned October, 1908, to enter private practice in New York City. CROUCA, DR. ELMER L., Assistant Physician at Illinois Central Hospital for the Insane

at Jacksonville, resigned. DAVIS, DR. R. A., appointed Fourth Assistant Physician at Central State Hospital at

Petersburg, Va. DIEFENDORF, DR. A. Ross, Assistant Physician and Pathologist at Connecticut Hospital

for the Insane at Middletown, resigned January 31, 1908, to enter private practice. Dennon, Dr. Mary, appointed Assistant Physician at Department for Women, State

Hospital for the Insane at Norristown, Pa.

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