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Annual report, board of trustees, Georgia State Sanitarium, Milledgeville, Georgia for the year ending December 31,1922 through December 31, 1930 [1922-30]
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Georgia. Georgia State Sanitarium at Milledgeville
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Georgia. Georgia State Sanitarium at Milledgeville
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Date
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1931
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application/pdf
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http://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-be450-pm5-ba1-b1922-h30
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Language
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eng
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Macon, GA : Georgia. Georgia State Sanitarium at Milledgeville
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Source
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University of Georgia. Map and Government Information Library
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United States, Georgia, 32.75042, -83.50018
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Georgia
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extracted text
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THE LIBRARY OF
THE UNIVERSITY OF GEORGIA
JL*
Seventy-Ninth Annual Report
Board of Trustees
I
5*/
Georgia State Sanitarium
Milledgeville, Georgia
For the Year Ending
December Thirty - First
Nineteen Twenty-Two
Board of Trustees
President.
JOHN
T.
H. H.
DEAN
C. C.
BRANTLEY
Blackshear, Ga.
BRANTLEY
Vice-President.
Gainesville, Ga.
Secretary.
Valdosta, Ga.
E. E. LINDSEY
J. C. JARNAGIN
A. C. NEWELL
Tuos. M. HALL, M. D
THOS. R. "WRIGHT, M. D
WM. RAWLINGS,
Rome,
Warrenton,
Atlanta,
Milledgeville,
Augusta,
M. D
OF SEO^
Ga.
Ga.
Ga.
Ga.
Ga.
-.Sandersville, Ga.
*»
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee.
E. E. Lindsey, Chairman,
J. C. Jarnagin,
A. C. Newell,
Thos. M. Hall,
C. C. Brantley.
Finance and Auditing Committee.
A. C. Newell, Chairman,
Wm. Rawlings,
C. C. Brantley.
Committee on Sanitation, Medical and Dispensary Service.
Thos. M. Hall,
Thos. R. Wright, Chairman,
Wm. Rawlings.
Committtee on Buildings and Grounds.
H. H. Dean, Chairman,
E. E. Lindsey,
Thos. R. Wright.
Committee on Farm and Outside Business.
J. C. Jarnagin, Chairman,
H. H. Dean,
Wm. Rawlings.
Officers of the Sanitarium
*L. M. Jones, M. D
Superintendent and Resident Physician
R. C. Swint, M. D
Clinical Director
J. W. Mobley, M. D
First Assistant Physician
N. P. Walker, M. D
Second Assistant Physicain
Y. H. Yarbrough, M. D
Assistant Physician
L. P. Longino, M. D
Assistant Physician
J. I. Garrard, ML D._
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
J. K. Pettit, M. D
Assistant Physician
W. H. Allen, M. D
Assistant Physician
D. T. Rankin, ML D. (Prom April, 1922)
Assistant Physician
**B. McH. Cline, M. D. (Until March, 1922)
Consultant E. E. N. & T.
L. H. McCalla, M. D. (From April, 1922)
Interne
R. W. Bradford, M. D. (From Sept., 1922)
Interne
G. H. Green, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
L. J. Lamar
Steward
T. H. DeSaussure
Engineer
H. S. Jones
Secretary
F. C. Penuel
Farm Steward
Homer Bivins
Assistant Steward
C. C. Miner (From June, 1922)
Assistant Engineer
Arthur Farell
Storekeeper
Mrs. Ann G. Pettit
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge (From November, 1922)
Inspector
Rev. Thos. G. Watts
Chaplin
♦'Resigned.
♦Deceased.
Seventy-Ninth Annual Report
OP THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM.
MILLEDGEVILLE. GEORGIA,
To His
EXCELLENCY, THOMAS
W.
January 1, 1923.
HARDWICK, GOVERNOR:
Sir:—The seventy-ninth annual report of the Board of
Trustees of the Georgia State Sanitarium, covering the year
1922, is now respectfully submitted.
Annual Report of the Superintendent.
The annual report of the Superintendent hereto attached will supply essential details of the year's work. In this
connection it is the sad duty of the Board to report the
death of Dr. Lodrick M. Jones, the honored Superintendent
of the Sanitarium, which occurred on December 7, 1922,
following a brief illness. He served it for twenty-five years
as Assistant Physician and fifteen as Superintendent. His
death deprives it of an able executive and the State of a
faithful public servant. Appropriate services in his honor
were held by the Board and the memorial then adopted
appears as part of this report. Pending the election of his
successor Second Assistant Physician N. P. Walker was
placed in charge of the Sanitarium.
Advancing Efficiency
The record of the year shows the continued advance
of the Sanitarium in the great purpose for which it was
founded, the care and treatment of the insane. The number
of patients discharged as restored or improved is gratifyingly large. The death rate is the lowest had in twenty
years. The number of patients secluded or restrained has
reached a new low minimum. The atmosphere and general
trend of the Sanitarium point to further progress. These
brief facts are full of meaning, indicating that the Superintendent and Staff are capable and wide awake and that
tbey are working in harmony for the happiness and well
being of their afflicted charges. It is the duty and pleasure
of the Board to warmly commend them and those under
them for the work of the year.
LIBRARIES
KEItW*
SEVENTY-NINTH ANNUAL REPORT
The widened use of occupational therapy as a remedial
measure accounts for much of the good record. It seeks
through interesting work or play to divert and occupy the
morbid mind and serves to make the patient happier and
more contented, with a consequent improvement in health.
A striking illustration of its value comes from the negro male
department in which the number of patients thus employed
increased from 160 in 1919 to 534 in 1922, while in the same
time bed cases decireased from 90 to 14. This was followed
by a marked improvement in general health and by a sharp
decline in the death rate. This is but indicative of equally
interesting results had in the other departments. There
is needed for the extension of this form of treatment in the
white female department a small building with ample garden space surrounding it. Male patients can work and
play largely in the open, but other provision must be made
for females. The cost of such a building so situated is not
large and its possibilities for the good of the patient so great
that the Board respectfully urges that an appropriation for
this purpose be made available at once.
The Sanitarium Training School for Nurses is another
factor of increasing importance in improving the work of
the Sanitarium and its beneficient results are everywhere
visible.
Yet another factor is the careful supervision of the
food supply as to quality, preparation and service by the
competent officer whose duty this is.
Admissions for the. Year.
The new patients admitted during the year numbered
857 as compared with admissions of 989 the previous year.
The terms of the deficiency appropriation added to the
burden carried by the Superintendent serving to increase
an already heavy demand for admission. None the less
every effort was made to meet such demand, preference
being given to recent and acute cases offering some hope
of cure.
Admissions for the past ten years totaled 12438, the
yearly average being 1243.8. The indications now are that
admissions for the new year will show a heavy increase as
the after effect of the deficiency appropriation above
referred to.
GEORGIA STATE SANITARIUM
The number of patients resident in the Sanitarium at
the close of the year was 3972, an increase of 74 over the
previous year. The records show that the number of
resident patients on January 1, 1913 was 3284 and that the
increase in ten years is 688, the net annual increase
being 68.8.
,
The health record of the patients for the year was excellent; typhoid, tuberculosis and pellagra cases were relatively small and showed a substantial reduction from the
previous year.
Cost of Operation.
A condensed comparative summary of receipts and
disbursements, and of the financial condition of the Sanitarium at the close of the year is here given:
Receipts
Balance over from previous year
Regular appropriation
Deficiency appropriation
New building appropriation
Patients deposits
Miscellaneous income
Overdraft with Treasurer
Total
1921
$
38,288.39
891,334.00
.00
.00
21,289.66
20,507.59
62,747.76
1922
$
12,513.66
800,000.00
150,000.00
40,000.00
14,447.00
16,690.00
15,052.74
$1,034,167.40
$1,048,703.41
$
$
Disbursements
Overdraft previous year
Salaries and wages
Supplies purchased
New building
Patients deposits withdrawn
Cash balance .Total
-00
377,400.95
608,824.82
13,272.27
22,155.70
12,513.66
62,747.76
386,803.11
545,841.44
26,350.44
.14,031.75
12,928.91
$1,034,167.40
$1,048,703.41
$
$
Working resources
Cash on hand
Due on requisition 1921
Accounts receivable
Sundry items
Supplies at cost
Farm products valued
Live stock, implements, etc
Total
12,513.66
5,000.00
4,380.46
1,258.01
97,851.10
19,639.00
79,490.67
$ 220,132.90
12,928.91
3,000.00
5,282.81
1,106.40
70,926.93
21,672.65
*41,600.25
$ 156,517.95
SEVENTY-NINTH ANNUAL REPORT
Liabilities
Overdraft with Treasurer
$
New building appropriation
Patients deposits
Accounts payable
Salaries and wages due and unpaid.Sundry items
Excess liabilities over resources
Total
1921
62,747.76
20,627.63
9,513.66
11,694.04
33,304.51
420.88
81,824.42
$ 220,132.90
$
1922
15,052.74
34,277.19
9,928.91
7,431.36
33,284.37
481.26
56,062.12
$ 156,517.95
* The decrease in this item is due to revaluation of live stock and
farming implements.
From this summary is seen that the cash liabilities of
the Sanitarium at the close of the year exceeded its resources
by $78,137.15. Included in such resources is $5,282.81 in
receivables which are of doubtful value and the elimination
of this item increases the excess of liabilities to $83,419.96.
Supplies show a shrinkage of $26,924.17. The total of these
items makes an apparent deficit for the year of $110,344.76The last report of the Board submitted an estimate of this
deficit as $260,660.00 for which an appropriation was asked,
but only $150,000.00 was granted. The full amount was
needed.
The cost to the State for each patient was $238.04, as
compared with a cost in 1921 of $240.72. The cost per day
was $0.6525. This low cost under prevailing conditions is
indicative of the careful administration had of the State's
funds.
It may be of interest to note how the cost of $238-04 is
distributed:
Pood
$ 64.90
Wages
83.91
Clothing
J938
Heat and Lights
^_17.32
Salaries
i
14.81
Bedding, etc
IO.55
Repairs
7.68
Farm, Dairy, etc
7.76
Medical supplies
3.I8
Sundries
8.54
Crowded Condition White Female Department
The Board regrets it must again call attention to the
dangerously congested condition of the white female department which continues unchanged since its last report, A new
GEORGIA STATE SANITARIUM
building which will relieve this congestion has been under
way for three years but cannot be completed from lack of
sufficient funds to do so. The last report of the Board submitted a careful estimate of the sum needed for this purpose
as $108,915, of which but $40,000 was appropriated. When
this appropriation is exhausted the building will be about
65% completed. To finish the building will now require
an additional appropriation of $67,245 and to furnish it
simply ready for use will require the further sum of $14,000.
It will be used as a home for the nurses and headquarters
for the Sanitarium Training School for Nurses. The transfer to it of the nurses will vacate their rooms on the wards
for the use of patients and relieve the present congestion.
This need is so pressing that the Board again begs most
earnestly for the funds with which to complete and furnish
the new building ready for use. It is being erected by day
labor under the supervision of the Engineer and its cost
kept as low as possible. In recognition of the long service
of oue of its members the Board has named this building
"John T. Brantley Building.''
The Physical Plant.
The vast size of the Sanitarium plant makes the cost
of its upkeep no small item and this cost naturally increases
as the buildings grow in age. Carpenters, plasterers
painters and plumbers are kept busy all the year. In recent
years only minor repairs have been possible and the major
ones from lack of funds have necessarily been allowed to
go over. Some of these last can no longer safely be delayed and it is the duty of the Board to call the attention of
your Excellency to them.
The first of these is the rebuilding of the present ice
plant which is now worn out and outgrown. It will at once
be appreciated that an ample ice supply is vital to every
hospital and the Sanitarium is no. exception- With such
rebuilding should come increased cold storage room for
the preservation of foodstuffs. The cost of doing this work
is conservatively estimated by the Engineer at $29,905.
The next is the protection of the Sanitarium from the
present danger of a water famine. To do this a duplicate
pipe line from the pumping station on the Oconee River
three miles away is necessary. The present single pipe
line runs under land a mile of which is subject to overflow
10
SEVENTY-NINTH ANNUAL REPORT
from the river and if a break should occur at such a time
it could not be reached until the flood subsided. The water
stored on the grounds is sufficient for a two days' supply
while such floods are apt to continue for several days longer.
The very great importance of this need cannot be overstated,
for a water famine would be disastrous. Some economy
will be accomplished by a duplicate pipe line through the
lessened power required for pumping, due to the reduction
in friction. The cost of this work is estimated by the
Engineer at $44,036. The pumping station has a capacity
of 1,000,000 gallons in 24 hours, while the present consumption of water is approximately 700,000 gallons.
The matter of outside fire escapes is an old one- Their
absence from the Sanitarium equipment has subjected the
management more than once to severe criticism. Such
critics are not aware that in the construction of the buildings this need was sought to be met by inside, enclosed
stairways protected by fire doors and walls. No patient
has ever been lost by fire, but the possibility of such is
recognized. The ordinary type of outside fire escapes would
constitute as great a danger to the patients in case of fire
as the fire itself. The only type having a recognized value
for institutions of this kind is known as the Kirker-Bender
and to install a sufficient number of these for the additional
safety of the inmates will require an appropriation of not
less than $25,000.
The Sanitarium possesses no electric plant and relies
on a local corporation for current for light and power. The
cost of this service including lamps for the past year was
$15,000. The possibility of effecting a saving by providing
the Sanitarium with a plant of its own at least merits careful study. With it might be combined the new ice plant
so that the two could be under one management. If to
these a central heating plant can be added in time a much
greater economy will thereby be effected, i
Looking to the Future
The tremendous importance to the State of the Sanitarium in 1923. The amount so needed is $239,864.68 and is
future policy of the State most timely. The Sanitarium
should not be allowed to increase indefinitely in size. Another hospital located elsewhere in the State should be considered and the class of patients to be sent to each definitely determined.
GEORGIA STATE SANITARIUM
11
The need in the Sanitarium equipment of a modern
psychopathic hospital has many times been presented by
the Board. It would now suggest that its every need looking
to its increasing usefulness should be supplied not only as
an act of mercy to its sorely afflicted inmates but as a
measure of economy to the State. Every patient it can restore to health is an asset gained and a liability lost.
The funds at the disposal of the Board should be large
enough and its authority ■ great enough to undertake the
after care of patients discharged as restored. The physician's duty does not end with the discharge of his patient
from the hospital. The period of convalescence must be
carefully watched and the patient kept on the right road
to renewed strength. This is no less true of mental than
of physical diseases. To this end there should be some
authorized agency in each county to watch over newly discharged cases lest by overtaxing of their newly regained
mental strength they become invalids and a charge upon
the State for life. Such agencies could be made of much
value in securing accurate histories of the new cases for
whom admission is sought.
The establishment of mental clinics similar to that now
being conducted in Macon should be encouraged in all the
leading centers of the State. In this way persons liable in
time to be committed to the Sanitarium are properly diagnosed and proper care and treatment outlined for them before
they reach such a condition. The success of the Macon
clinic has been markedThe commitment of mental cases to the common jails
of the State pending admission to the Sanitarium is a gross
injustice and should be frowned upon. Such harsh treatment frequently works an irreparable injury to the patient
that no amount of Sanitarium treatment can undo.
The Board renews a recommendation several times
made that the name of the Sanitarium be changed to
"Georgia State Hospital for the Insane," as serving to clearly define its function and to separate it from other institutions of similar name.
12
SEVENTY-NINTH ANNUAL REPORT
Deficiency Appropriation for Support and
Maintenance in 1923.
It will be neccessary to supplement the regular appropriation had for the support and maintenance of the Sanitarium in 1923. The amount so needed is $239,864.68 and is
arrived at in this way:
Regular appropriation for 1923
$ 800,000.00
Less cash deficit from 1922
83,419.96
Available for 1923
716,580.04
Estimated cost in 1923 based on 1922__ 956,444.72
Deficit to be provided
$ 239,864.68
Regular Appropriations for 1924 and 1925.
It is difficult to forecast the future of the Sanitarium
as to population and cost. The demand on it for admission
continues unabated and promises to increase. The cost of
supplies and labor continue high and there is no prospect of
a reduction in either. The Board estimates the Sanitarium
will have to provide for 4118 patients in 1924 and for 4218
in 1925. For its support and maintenance in these years it
recommends appropriations in the sums of $1,150,000 and
$1,250,000 respectively.
Special Appropriations
For the reason set out in this report the Board recommends appropriations in the sums and for the purposes now
stated:
To complete and furnish the new building
now under construction
$81,245.00
To build and equip occupational therapy
building for white female patients
9,260.00
To rebuild ice plant and enlarge cold
storage
29,905.00
To install duplicate water pipe line from
pumping station to Sanitarium
44,036.00
To provide outside fire escapes of iron
25,000.00
GEORGIA STATE SANITARIUM
13
In Conclusion.
Quarterly meetings of the Board were held at the
Sanitarium during the year and its committees visited it
monthly. The interests of the State received no less careful consideration than did the interests of humanity. The
Superintendent was given the full support of the Board in
meeting the problems of management. All it could do to
advance the efficiency of the Sanitarium was done and to
this end the time of its members was freely and gladly given
for there is that about this work which mightily grips and
holds the heart. The working force of the Sanitarium is
well embued with the spirit of service and the future bright
with promise.
The Board now makes grateful acknowledgment of the
unfailing support given it by your Excellency in the discharge of its duties. With an humble prayer that the blessings of Almighty God may ever rest upon this great charity,
this report is now submitted.
By order of the Board :
C. C.
BEANTLEY,
Secretary.
JOHN
T.
BRANTLEY,
President.
14.
SEVENTY-NINTH ANNUAL REPORT
Memorial on the Death of Dr. L. M. Jones
ADOPTED BY THE BOARD OF TRUSTEES.
MEMORIAL.
Dr. Lodrick M. Jones was the son of Thomas and
Martha T'harpe Jones, and was born in Twiggs County,
Georgia, April 28th, 1850. His boyhood was spent in the trying times of the Civil War and he attained to young manhood
in the gaunt days which followed. In that stern school of
experience, with necessity as his teacher, he learned lessons
of self control, self denial and self reliance, he was never
afterwards to forget. (From the lips of his devoted parents
he gained the fundamental principles of true manhood and
was taught to put his trust in Almighty God. These were
powerful factors in the formation of his character. He was
given such educational advantages as his parents could
afford and in due time entered the office of Dr. William
0'Daniel of Twiggs County, a noted physician of that day,
to begin the study of medicine. He completed this study
in Atlanta Medical College from which he graduated in 1878.
He then located at Gordon, Georgia, where his ability gained him a lucrative practice. The nature of his work there
was such as to attract the attention of the authorities of the
State Lunatic Asylum, now known as the State Sanitarium,
and in October, 1882 he was elected to the office of Fourth
Assistant Physician. He began his new work at once, applying himself with earnest diligence to the mastery of his
duties. He proved an apt student of the "methods employed
by Dr. T. 0. Powell, Superintendent, a psychiatrist of great
skill and wide renown, and made them his own. His faithful and efficient work soon justified the wisdom of his election. An unassuming manner, kindly disposition and natural courtesy won him lasting friends, while his helpful, sympathetic interest in his patients greatly endeared him to
them. Fidelity and sincerity were coupled to ability and
sound judgment in his character, a combination which firmly
GEORGIA STATE SANITARIUM
15
established him in the confidence of Superintendent Powell.
Twenty-five years were thus spent by him. He did not seek
preferment and was content in the performance of his full
duty. The members of the Board of Trustees rarely saw him
about the administration building, for when not at work on
the wards he was at home with his family. His time was not
wasted but used in such way as prepared him all unconsciously for greater responsibility. On the death of Dr.
Powell in August, 1907, he was elected Superintendent to
succeed him, and thenceforth gave himself wholly to his new
duties. His quick grasp of administrative problems gave
abundant evidence of the thoroughness of his preparation,
and under his direction the Sanitarium affairs continued to
move with their accustomed smoothness. He seldom absented
himself from the Sanitarium and then only for the shortest
possible time. He gave to it his best freely and without stint.
His administration was characterized by his marked business
ability, good judgment and wise foresight; by his firm.
prompt decisions in matters of management; by his just and
courteous treatment of officers and employees alike, to whom
be was always accessible; and by his unfailing effort to promote the welfare and happiness of the increasingly great
number of patients in his care. The World "War brought in
its train many vexatious problems which gravely affected
the Sanitarium and these he confronted and solved with
quiet courage. The crowded condition of the Sanitarium
and growing demand for admission created other problems
requiring wise solution. He did not shrink from his responsibility and it is to be noted that even when his burdens
were heaviest he carried them alone, nor asked help of any
other than his Heavenly Father to whom he ever turned
for strength and consolation. He was a singularly modest
man and the records of the Board show few, if any, requests
preferred by him affecting his own or his family's comfort.
He accepted the inadequate salary fixed by law without
complaint and that it was afterward increased was not due
to his initiative. His chief concern was for the great Institution over which he presided and his own interests he was
m^^mm
16
■i
SEVENTY-NINTH ANNUAL REPORT
content to leave with the Board. His attitude toward the
Board wag always deferential and courteous. If on occasion he differed from it his reasons were frankly stated.
If following this the decision remained against him he loyally
carried out the judgment of the Board. For fifteen years,
in the full confidence of the Board, he administered the
affairs of the Sanitarium, and thus rendered a service of incalculable value to the State and humanity, for which he
merits highest praise.
As a man and citizen Dr. Jones ranked high. He was
upright, straightforward, honest and sincere. He scorned
evasions and met every issue face to face. He had strong
convictions and the courage of them. He possessed high
ideals which he sought to convert into realities. His cordial
support was given every movement looking to the bettering of the public welfare. His helping hand was not withheld from those in need and there are many to testify to
his generosity. He was quick to forgive and forget an injury done him and cherished no resentment. Deeply imprinted on his heart was the divine injunction to "do justly,
love mercy and walk humbly before thy God" and he
shaped his life by it. He was a member and officer of the
Baptist Church and a regular attendant in its Sabbath
School. His pastor had in him a true friend and counsellor
In his home life he was a tender, considerate husband,
a kind, indulgent father and a hospitable host. He found
his chief pleasure in his family and his life in their midst
was a benediction. His friendship, slowly given, was loyal,
warm and lasting. His last illness was appallingly brief. Conscious only of a slight indisposition and without premonition of what was to come, he went from his office to his bed;
then followed a few days of intense suffering, and then
his Coronation Day dawned. It was given him to die in
harness, with mental and physical faculties unimpaired,
and in the full prime of great usefulness. With unfaltering
GEORGIA STATE SANITARIUM
17
trust he walked down into the valley of the shadow, facing
the great adventure unafraid, for with the Apostle Paul
he could say in faith,
"For I know in whom I have believed and am persuaded that
He is able to keep that which I have committed unto Him
against that day."
The Words of Tennyson fit the solemn hour of his passing:
"Sunset and evening star,
And one clear call for me;
And may there be no moaning of the bar.
When I put out to sea.
But such a tide as moving seems asleep,
Too full for sound and foam,
When that which $!rew from out the boundless deep
Turns again home.
Twilight and evening bell,
And after that the dark!
And may there be no sadness of farewell,
When I embark.
For tho' from out our bourne of Time and Place
The flood may bear me far,
I hope to meet my Pilot face to face
When I have crost the bar."
The funeral service was held in his private apartments
so that officers and employees might be privileged to attend.
Every member of the Board of Trustees and friends from
far and near were present to do him honor. The great
wealth of floral offerings bore mutely eloquent testimony to
the affection in which he was held. The sad service ended,
his body was tenderly laid to rest in the Milledgeville City
Cemetery, there to await the resurrection morn. In his
death a great heart is stilled, a noble life is ended, but there
is left to those who mourn his going a precious heritage—
the record of a great service greatly and unselfishly rendered. There are many to rise up and call him blessed. To us
who remain he has thrown the flaming torch—it is ours to
take it up and carry on. This great Institution, for which
he lived and died, is our sacred charge. We must see to it,
it does not suffer for his going.
18
SEVENTY-NINTH ANNUAL REPORT
Report of the Superintendent
FOR THE YEAR BEGINNING JANUARY 1ST
DECEMBER 31ST, 1922.
1922
AND ENDING
GEORGIA STATE SANITARIUM, FEBRUARY 1ST,
To
1923.
THE HONORABLE BOARD OP TRUSTEES OF
THE GEORGIA STATE SANITARIUM
:
Gentlemen:—I have the honor of submitting for your
official consideration, the seventy-ninth annual report of
the Georgia State Sanitarium for the year ending December 31st, 1922.
During the period covered by this report Dr L M
,aooS wf Superintendent until his death on December 7th,
1922, and Dr. N. P. Walker was acting Superintendent during the remainder of the year.
TABLE OF GENERAL INFORMATION.
1.
Date of opening as an institution for the
msane.
2.
Type of institution
3.
Hospital plant:
10-12-1842
__State
Value of hospital property:
Real estate including buildings
Personal property
Total
$l 692 750 00
'327,452.00
$2,020,202.00
Total acreage of Sanitarium property
3450 acres
Additional acreage rented
0 acres
Total acreage under cultivation previous year~1750 acres
4. Officers and Employees:
Males
Females
Totals
Superintendents
i
0
1
Clinical Director
j
0
1
Assistant Physicians
9
0
9
Internes
2
0
2
Resident Dentist
1
0
1
Stewards
0
1
19
GEORGIA STATE SANITARIUM
Males
Druggist
Laboratory Technician
Embalmer
graduate Nurses
'Other Nurses and
Attendants
Teachers of Occupational
Therapy
Social Workers
All other Officers and
Employees
Total
Females
Total
10
10
10
1
16
177
254
13
0
0
1
1
1
17
431
4
0
182
10
192
389
283
672
MOVEMENT OF POPULATION.
The hospital year beginning January 1st, 1922, showed
a total population of 4,598, consisting of 3177 whites and
1,421, colored including the patients on furlough.
We received during the year 540 whites and 317 colored
making a total reception of 857.
There have been discharged, eloped and died 599
whites and 303 colored leaving in the institution on January
1st, 1923, 4,553 of whom there are 430 whites and 151 colored
on furlough, not discharged.
The daily average number under treatment was 3,918,
while the total number under treatment was 4,755 the percentage discharged, recovered and improved, based on the
number of patients received during the year, was 58.2.
The percentage of deaths during the year based on the
number under treatment was 5.95, the lowest death rate we
have had in twenty years.
MEDICAL SERVICE.
The medical work was under the direction of the Clinical Director and Staff meetings were held daily as usual
except on Sundays, and every patient admitted during the
year was brought before the Staff for consideration except
a few who were so ill and feeble on admission that they
died before they could be examined. •
Drs. L. A. McCalla and R. W. Bradford were appointed
Internes during the year.
^^^H^^H
20
SEVENTY-NINTH ANNUAL REPORT
ADMISSIONS.
Of the 857 admissions during the year, 268 were white
males, 272 were white females, 160 were colored males and
157 were colored females.
Of the 857 admissions, 652 were first admissions and
205 were readmissions.
The following 3 tabulations give diagnostic grouping
of all admissions, first admissions and readmissions :
Diagnostic Grouping of Patients Admitted
During the Year 1922.
Traumatic psychoses
Senile psychoses
Psychosis with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dimentia praeeox
Paranoia or paranloc condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
Total
White
M
P
1
21
18
19
2
0
0
13
8
3
3
1
3
7
7
3
1
73
32
0
9
8
6
25
23
0
1
4
1
2
0
1
7
2
2
2
Colored
M
P Total
1
G
17
21
2
0
0
6
6
12
5
1
2
46
49
55
12
2
59
2
17
3
15
17
27
0
0
2
0
0
0
2
1
31
37
0
12
0
0
13
14
1
0
0
0
0
1
0
7
0
73
21
0
9
0
0
VI
1
0
0
0
0
6
8
8
19
4
267
152
2
47
11
21
67
65
1
1
6
1
0
0
0
1
0
0
2
3
268 272 160| 157j
857
on
21
GEORGIA STATE SANITARIUM
Diagnostic Grouping of First Admissions
During the Year 1922.
Traumatic psychoses
General paralysis of the insane
_
Psychoses with cerebral arteriosclerosisGeneral paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Hunting-ton's chorea
Psychoses with other brain or nervous disease
:
Alcoholic psychoses
-Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychosis
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psy
chosis
Mental deficiency without psychosis
Total
White Colored
M
F Total
M
F
2
45
47
45
11
2
1
12
Hi
17
12
2
0
19
1
0
1
5
1
0
0
2
1
23
33
0
12
0
0
13
13
1
0
0
0
1
0
7
0
57
19
0
8
0
0
11
1
0
0
0
4
6
4
13
4
169
111
1
24
9
14
55
54
1
3
1
0
0
0
2
2
191 184 144 133
652
46,
18
0
7
■7
6
2
1
1
19
2
43
41
15
2
8
12
22
0
2
0
0
0
1
'■• ■f-"^--"J-rr-nii(iiirtiMfliili
22
SEVENTY-NINTH ANNUAL REPORT
Diagnostic Grouping of Readmissions
During the Year 1922.
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Manic-depressive psychoses
.
Dementia praecox
Epileptic psychoses
Paranoia or paranoic condition
Psychoneuroses or neuroses
_•
Pyschoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Mental deficiency without psychosis
Total
White
Colored
M
M
F
rota!
F
1
2
7
0
0
0
0
0
0
0
1
0
1
2
10
1
2
2
3
0
27
14
0
0
1
0
6
5
0
0
1
1
47
18
2
1
1
7
5
5
0
0
0
0
16
5
1
0
0
0
1
2
2
4
1
98
41
5
1
2
7
12
11
1
3
1
0
0
0
77l
88
1
3
1
16
24
205
DISCHARGES AND FURLOUGHS.
All patients leaving the Sanitarium were furloughed
except the "not insane." The duration of furlough is 12
months and discharge applies to those leaving the Sanitarium
as "not insane" or have remained away on furlough beyond
its expiration without renewal.
Of the 697 patients furloughed or discharged during
the year 260 were white males, 254 were white females, 87
were colored males and 106 were colored females.
Based upon the number of admissions 21.8% were furloughed as restored and 36.4% as improved, making a total
of 58.2% furloughed as restored or improved. Of the 499
patients furloughed as restored or improved, there were
186 white males, 164 white females, 69 colored males and 80
colored females.
The following tabulation gives classified information
of all furloughs and discharges:
Colored
White
Furlough of Patients Classified with Reference to
Principle Psychosis and Condition on Furlough.
R
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with.other brain or nervous disease.Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or parunoic condition
Epileptic psychoses
Psychoneurosis or neuroses
I sycuoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Pellagra without psychosis
Psychopathic personality without psychosisMental deficiency without psychosis
Total
I
1
0
0
0
0
0
3
7
4
1
0
36
1
0
2
4
G
6
4
0
1
0
0
1
0
U
S
R
I
U
Female
Male
Female
Male
S
0
3
1
2
0
0
(J
0
0
1
0
27
15
2
12
1
3
12
8
0
0
0
0
0
0
77 109 62 12 29135 87
R
I
U
S
0
1
0
1
0
0
0
0
0
0
0
4
3
0
2
0
1
5
0
0
0
0
0
0
0
3 32 37 17
R
I
U
S Total
0
0
0
0
0
0
0
0
0
0
0
17
9
0
2
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1 49 31 15
0
0
0
0
0
0
2
16
16
13
2
1
16
11
6
7
4
257
90
4
29
14
27
94
67
4
2
5
1
5
4
697
Q
H
O
S)
o
m
►
H
02
>
►
d
lr^ill»-<r-rt,rt>>JWWu
24
SEVENTY-NINTH ANNUAL REPORT
PHYSICAL DISEASES.
The health of the institution has been very good during
the year, but we had a mild influenza epidemic and 146 of
our population suffered with the disease with a very low
mortality. Only 6 eases of typhoid fever were reported
throughout the year, while ten cases were reported the
previous year. 22 cases of pellagra and 28 cases of tuberculosis were reported compared to 65 and 45 respectively
the previous year.
A routine Wassermann of the blood serum was made on
all admissions except those that were seriously ill when
admitted and lived but a few days.
The following is a tabulation of physical diseases occurring among our population during the year.
2o
GEORGIA STATE SANITARIUM
Physical Diseases Reported During the
Year" 1922.
General Diseases:
Auto-intoxication (intestinal)
Chicken pox
Dengue fever
Influenza
Malarial fever—intermittent
Malarial fever—tertian
Pellagra
Rheumatism, acute articular
Rheumatism, muscular
Syphilis
Syphilis, secondary
Tuberculosis, pulmonary—
Tubercular enteritis
Typhoid fever
Para-typhoid fever
Disease of the Nervous System and
Organs of Special Sense:
Cerebral hemorrhage
Cerebral thrombosis
Chalazion
Chorea (Sydenhams)
Cleft palate
Conjunctivitis, acute
Conjunctivitis, acute catarrhal
Conjunctivitis, acute purulent
Deviated septum, nasal
Ectropion, left lid
Episcleritis
Glaucoma, chronic
Hypertrophy of middle turbinate
Impacted cerumen
Keratitis
Keratitis, ulcerative, acute
Kerato-iritis
Multiple neuritis
Nasal polypi
Nasal spurs
Otitis media, acute
Otitis media, chronic catarrhal
Otitis media, chronic purulent
Otomycocis
Peforated nasal septum
Paretic convulsions
Pterygium
Rhinitis, atrophic
Rhinitis, chronic
Status epilepticus
Traumatic eye
Ulcer nasal septum
White Colored
M
F
1
3
0
21
2
2
3
0
0
0
0
2
0
0
0
3
1
0
0
0
3
8
1
17
0
0
1
2
10
1
1
0
1
0
2
0
0
2
4
77
0
0
11
2
0
3
1
3
0
4
Total
M
0
0
0
10
0
0
3
0
1
0
0
0
38
0
0
5
0
0
0
3
1
0
1
0
20
0
u
3
0
0
0
0
1
(I
0
0
1
0
(I
0
8
0
0
0
0
0
1
0
0
0
0
0
2
0
0
0
3
0
0
u
0
0
0
0
o
0
0
0
0
0
1
1
0
1
0
2
0
0
0
0
0
0
0
0
0
0
2
0
0
o
4
146
2
2
22
2
1
3
1
28
1
5
1
11
1
1
1
1
6
9
1
23
1
1
1
4
26
2
1
1
1
4
3
1
1
5
2
2
3
2
1
5
1
2
■
r.<„h,.,ttL.JuJU
26
SEVENTY-NINTH ANNUAL REPORT
Diseases of the Digestive System,
White Colored
M
Diseases of the Digestive System:
Appendicitis, acute
Carcinoma of stomach
Cholecystitis
Colitis, acute
Colitis, chronic
Diarrhoea, acute
Diarrhoea, chronic
Dysentery, acute
Dysentery, amoebic
Pharyngitis, acute
Pyorrhoea, alveolaris
Stomatitis
Stomatitis, acute ulcerative
Tonsillitis, acute
Tonsillitis, chronic
Intestinal parasites:
Ascaris lumbricoides
Diseases of the Respiratory System:
Asthma, bronchial
Bronchitis, acute
Coryza, acute
Pleurisy
~~
Pleurisy with effusion
I
I
Pneumonia, broncho
Pneumonia, hypostatic
Pneumonia, lobor
"III
Diseases of the Circulatory System:
Endocarditis
Hemorrhoids
Hemorrhoids, external
Mitral regurgitation
Myocarditis, acute
[
Pericarditis
Valvular heart disease
~
Diseases of the G. U. System:
Carcinoma of cervix
Carcinoma of uterus
Dysmenorrhea
Gonorrhoea
Meuorrhagia
Nephritis, acute
I
J_~_
Nephritis, chronic
'_
Vaginitis, purulent
'_
Diseases of the Skin, Glands and Cellular
Tissue:
Abscess of arm
Abscess of cervical gland, tubercular
""
Abscess of forehead
Axillary abscess
Burn of 2nd degree of face
Cellulitis of foot
0
0
2
0
1
1
0
2
0
0
2
0
0
0
22
F
3
0
0
0
2
63
0
0
0
0
0
3
0
0
1
0
0
0
0
6
15
0
0
0
0
0
10
2
3
0
0
1
0
2
0
M
F
Total
0
1
0
1
0
0
0
4
7
1
0
1
1
3
12
3
1
2
1
3
67
1
7
8
2
3
2
1
26
86
0
0
0
0
0
2
0
1
1
7
4
1
1
20
3
6
0
0
0
0
2
1
0
0
0
0
0
(i
0
1
2
2
1
2
1
1
0
2
2
4
3
1
1
0
0
0
0
0
0
1
(I
0
1
2
2
6
3
2
1
1
1
27
GEORGIA STATE SANITARIUM
Diseases of the Skin, Glands and Cellular
tissue (Continued)
Cellulitis of hand
Oellulitis of leg
_
Epithelioma of thigh
Erysipelas, facial
Erysipelas, not specified
Furunculosis
Gangrene hand and foot
Herpes zoster
Mastitis, acute
Pediculi corpons
Scabies
Tinea circinata
Tinea cruris
Ulcer of leg
—
Ulcer of leg, chronic
Miscellaneous Diseases:
Angio-neurotic oedema
Infection maxillary sinus—
Inguinal hernia
Labor
Pregnancy
Total
White Colored
M
F Total
M
F
0
0
0
2
0
0
1
2
1
0
0
1
0
0
0
0
1
1
0
0
1
3
0
0
2
5
1
6
5
1
1
1
1
2
16
1
4
5
1
1
0
0
0
0
0
0
0
0
0
1
1
2
1
2
75 125
714
1
3
0
3
1
1
1
0
0
0
7
0
0
0
0
1
2
0
3
4
0
0
0
0
0
9
0
0
3
0
0
0
0
0
0
0
1
0
0
0
0
0
2
1
2
169 345
o
SURGERY.
The surgical work was kept up to its usual standard
during the year and the following tabulation gives the number and kind of operations performed by members of the
staff.
Minor surgical procedures such as incising abscesses,
suturing wounds, vaccinations etc, are not included.
Adenectomy, double inguinal
Adenoidectomy and tonsillectomy
Amputation of finger
Appendectomies
Appendicostomy for dysentery
Circumcision
Cystotomy, urinary bladder
Dilitation and curettage
Enucleation of the eye ball
Ethmoidectomy
Excision bunion
Excision epithelioma of face
Excision epithelioma of thigh
Excision ingrowing toe nail
Excision large tumor of palate and gum
Excision polypus from ear
Excision sebaceous cyst
1
4
1
10
1
5
1
5
1
1
1
1
1
6
1
1
2
1
■ii^l^Hi
28
SEVENTY-NINTH ANNUAL REPORT
Excision tumor of gluteal region
(
Excision tumor of jaw
ZZ "
Fistulectomy
ZZZZZZ
Fistulotomy, fistula in ano
ZZZZZZZZZZZZZZ
Hemorrhoidectomy
Herniotomy (femoral hernia strangulated)— ___Z
ZZZZZ
ZZ
Herniotomy, inguinal
~_~
Herniotomy, umbilical
~~
Hysterectomy, pan
~
Hysterectomy, vaginal
~~
Incision and drainage cellulitis hand
ZZZZZZZZZZ_.""Z"~
Incision infected cellulitis finger
'_
Intravenous administration salvarsan
_
Labor (childbirth)
Laparotomy and drainage pelvic abscess
ZZZ
Laparotomy and excision subserous fibroid of uterus
Z
Laparotomy, appendectomy and excision ovarian cyst
Laparotomy for intestinal obstructure
Laparotomy —hysterectomy, supra-vaginal for fibroid, appendectomy, single salpingo-cophorectomy
Laparotomy—ovarotomy and appendectomy
Z.__
Laparotomy—Salpingo-cophorectomy (Pyo-Salpinx)
ZZ ZZ
Laporotomy—suspension of uterus
ZZ
Laparotomy—suspension of uterus and appendectomy
I
Meatotomy
Nephrectomy (acute hydronephrosis—floating kidney) _ZZ ZZZZ Z
Operation for cystocele
Operation for hydrocele
I
Operation for pterygium
'_
~~~
Operation for prolapse of rectum
"
Operation for strabismus
~__
Paracentesis abdominis
"
Perineorrhaphy
Reduction and fixation collis fracture
—————
Reduction and fixation dislocated inferior maxillaZ—~_ _ Z Z ~
Reduction and fixation fractured femur
___
Reduction and fixation fractured humerus
ZZZZZZZ
Reduction and fixation fractured inferior maxilla
._
Reduction and fixation metatarsal bone
_Z "" "
Reduction and fixation fractured nasal bone
———
Reduction and fixation fractured radium
ZZZ
Reduction and fixation fractured tibia and fibula—Z.Z
Submucous resection nasal septum
Thyroidectomy
Tonsillectomies
~
'_'_
'
Tonsillectomies, double
ZZZZ
ZZ
Trephine for cystic tumor of brain
ZZZZZZZZZZ
Z.ZZZ__
Trephine for old depressed fracture of skull
ZZ
Z..Z
Total
j
13
1
16
1
2
2
1
597
1
1
1
1
1
1
4
2
1
4
1
2
4
^
2
2
3
1
^
1
1
2
gg
37
1
1
ZZT832
GEORGIA STATE SANITARIUM
29
DEATHS.
There were 283 deaths during the year. 138 less than
the preceding year and the smallest number of deaths
since 1904.
Of the 283 who died there were 87 white males, 74 white
females, 52 colored males and 70 colored females. General
paralysis of the insane, pulmonary tuberculosis and cerebral
hemorrhage were the 3 leading causes of death.
The following tabulation gives classified information
as to the various causes of death during the year.
HHH^HHH
30
SEVENTY-NINTH ANNUAL REPORT
Causes of deaths of Patients Who Died
During the Year 1922.
White Colored
M
Asphyxiation
Carcinoma of cervix with metastasis
Carcinoma of face
Carcinoma of left mammary
Carcinoma of liver
Carcinoma of neck
Carcinoma of prostate and bladder
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral syphilis
Cerebral thrombosis (softening)
Diabetes, gangrene
Diarrhoea
Dysentery
Enteritis
Epilepsy
'
Erysipelas
Exhaustion
Exhaustion, acute mental disease
Exhaustion, chronic mental disease
Exhaustion, senile, (gangrene feet and left
hand)
Fracture of femur
"
Gangrene, heel and ankle
(iastric hemorrhage (ulcer of stomach)
General paralysis of the insane
Intestinal obstruction, acute
Nephritis, acute
Nephritis, chronic interstitial
\
Organic brain disease
Organic heart disease, myocarditis—
II
Pellagra
Peritonitis, tubercular
Pneumonia, broncho
'_
Pneumonia, hypostatic
II
Pneumonia, lobor
Pulmonary congestion, following herniotomy
with ether enaesthetic
Pyloric stenosis
Septicaemia (carbuncle knee)
I
Syphilis
Traumatism by falling from window
Tuberculosis, pulmonary
Tuberculosis, miliary
Typhoid fever
Valvular heart disease, aortic insufficiency—
Unknown
_g°tel
1
P
M
F Total
0
0
0
0
0
0
0
0
0
12
0
0
0
1
1
1
0
0
0
0
0
2
0
0
0
1
0
1
3
0
1
0
()
1
5
0
0
1
II
2
II
0
1
0
0
1
0
0
4
7
3
7
0
7
0
0
1
1
22
0
0
0
0
0
1
0
1
1
1
1
1
1
1
4
2
32
1
3
1
5
5
8
15
2
1
5
3
1
1
1
1
42
1
1
12
16
7
17
1
23
6
n
3
0
0
0
0
0
6
0
0
2
2
87
74
32
l
1
3
10
52
70
283
GEORGIA STATE SANITARIUM
31
TRAINING SCHOOL FOR NURSES.
The curriculum of the Training School for Nurses was
kept up to its usual standard during the year.
The influence of the training school.is noted on all the
wards of the white female department and the infirmary
and sick wards of the white male department.
During the latter part of the year some study and investigations were made by the Clinical Director with the
idea of formulating a schedule of training for our attendants throughout the institution. Wie contemplate getting
this in working order during the coming year.
Detailed information relative to Training School for
Nurses will be found in Superintendent of Nurses' report.
OCCUPATIONAL THERAPY.
We made some definite progress in therapeutic occupational training during the year. Arts and craft work among
the white females and colored females have been extended
and more definitely organized.
Two new buildings, one a tin and repair shop and arts
and crafts building were erected from reclaimed material
and lumber from and old cottage that was located near
colored female pavilion.
Work simply as work is not of so great value unless
real interest is aroused, for through interest an emotional
outlet may be attained. Furthermore, occupation may be
the means of sublimating repressed complexes.
HYDROTHERAPY.
This feature of treatment of certian distrubed type of
patients was kept up during the year, and the hydrotherapy
rooms in the white male and female departments had a
trained person in direct charge of each. The continuous
bath on colored male reception ward was very useful and
packs were given in the colored female department and
other departments of the institution where indicated and
no other type of hydrotherapy available.
32
SEVENTY-NINTH ANNUAL REPORT
DENTAL WORK.
We have a dentist who resides within the Sanitarium
and is subject to call at all times. He makes a routine examination of the teeth of all patients admitted to the Sanitapium, and does dental work for all patients in the intsitution who need it! Our physicians are alert to the possibility of bad teeth or other foci of infection being an etiological factor in mental disorders, as well as being a factor
is causing other medical problems.
Pharmaceutical and Laboratory Departments.
The policy and standard of these departments were the
same as the previous year. The report of the pharmacist
and laboratory technician gives some detailed information
as to the work of these departments during the year.
PELLAGRA STUDY.
The U. S. Public Health Service continued during the
year the study of pellagra, under the direction of Dr.
Joseph W. Goldberger of Washington, D. C. with Dr. W. F.
Tanner in immediate charge. This study has been going
continuously since 1914. During the past year this study
was along the same general lines as were followed the
previous year, and the result, according to these investigators
was confirmatory of their previous conclusions that the
etiology of pellagra is a deficiency of proteins in the food.
OUR NEEDS.
Some of the buildings of the Sanitarium are badly in
need of repair and are deteriorating as a result. It will
cost about $20,000 to make these repairs.
Our ice plant is inadequate and the cold storage needs
modernizing. This would require about $30,000.
We need an occupation therapy building preferably
constructed of brick, size 100 x 40 feet, far the white femalesEstimated cost $9,260.
We do not know when we shall have a fire that will
destroy some' of our buildings and menace the lives of our
patients. We hope that we will not have such an ex-
33
GEORGIA STATE SANITARIUM
perience, but we should be prepared and make provisions
for such. It is estimated that it will cost $25,000.00 to
build an adequate number of Kirker-Bender fire escapes to
give us sufficient avenues of escape in case of fire.
Our water main from the water works to the Sanitarium
crosses two streams and is subject to overflow by high water
from the river for a mile of its length. Should there happen
a leak or break during a period of high water, it would
be an impossibility to fix it until the water receded. We
have a supply of water in our cistern that would last us a
couple of days and high water frequently lasts several days
or more than a week. Our Engineer informs me that it
would not only be wise but economical to put in a duplicate
main. If the pipe line capacity is doubled, the velocity in
feet per second of the water flowing in the pipe would be
reduced by one half and the present friction loss by 70 per
cent. The estimated cost of this main is $42,382.00.
The overcrowding in the white female department
makes it necessary that something be done to remedy this.
The completion of the Nurses Home would relieve this condition for some time, as the rooms occupied by nurses and
attendants could be used for patients. It will take an additional appropriation of $67,000.00 far this item.
In the following statistical tables will be found additional classified information of interest of the patients admitted during the year.
Respectfully Submitted,
R. C.
SWINT,
M. D.
. Superintendent
34
SEVENTY-NINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922.
Appling .
Bacon
Baker
Baldwin .
Banks
Barrow .
Bnrtow _
Ben Hill—
Berrien _.
Bibb
Bleckley .,
Brantley
Brooks __.
Bulloch ...
Burke
Butts
Calhoun _.
Camden _.
Campbell .
Carroll __.
Catoosa _.
Charlton .
Chatham .
Chattooga
Cherokee .
Clark
Clay
Clayton ._
Clinch ..
Cobb
Coffee
Colquitt ..
Columbia _
Cook
Coweta __
Crawford
Dawson ._,
Deeatur ._.
DeKalb ...
Dodge
Dooly
Dougherty
Douglas __.
Early
Efflngham .
Elbert
Emanuel _.
Evans
Pannin
Payette ...
Ployd
Porsyth ...
White Colored
M
1
3
0
1
2
P
M
0
0
0
3
0
0
(1
2
3
0
4
3
1
1
3
0
11
5
5
0
1
1
0
1
0
0
2
1
2
0
1
1
0
3
1
0
0
1
1
2
1
0
0
0
1
1
5
1
2
1
2
0
1
0
0
17 13 24
0
4
0
1
2
0
4
1
2
2
0
0
1
0
3
1
3
2
0
5
1
1
1
0
3
4
1
1
0
3
3
0
1
4
3
1
1
2
0
1
0
0
3
2
2
7
9
3
1
1
1
1
1
2
1
0
3
3
7
0
0
0
0
2
0
1
5
3
2
0
0
0
0
1
0
3
2
0
1
2
0
10
1
2
11
4
P Total
0
0
0
3
1
0
2
1
0
8
0
0
1
1
3
3
1
1
0
0
0
0
24
1
0
1
0
0
1
0
1
6
0
1
3
0
0
0
1
1
1
1
0
1
1
1
1
0
0
1
01
o
1
4
1
Q
4
1
7
9
4
29
2
1
4
4
7
4
5
2
2
8
3
1
78
5
3
8
2
4
7
6
3
14
4
5
11
3
1
7
20
4
5
5
10
1
4
11
1
1
5
4
13
5
GEORGIA STATE SANITARIUM
Admissions from the Various Counties
During the Year 1922.
(Continued)
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haraldson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meri wether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
•-
35
White Colored
M
F
0
2
22 24
0
1
1
0
1
3
1
4
2
1
1
2
6
3
0
1
4
6
1
1
4
5
1
1
2
0
3
3
4
2
1
3
0
1
2
1
0
2
0
2
1
2
2
0
1
1
2
0
0
0
1
0
1
0
5
1
0
1
0
1
5
2
1
1
3
0
1
1
0
2
0
0
0
1
4
0
0
1
0
2
4
M
Total
F
0
1
1
0
2
1
0
3
2
0
0
2
0
3
2
1
0
0
0
1
0
2
0
0
1
1
3
2
1
0
0
0
0
1
1
1
1
1
0
1
4
1
0
1
1
0
1
1
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
3
1
2
1
0
2
0
0
2
0
2
2
5
62
1
1
5
6
6
4
11
2
11
11
3
5
7
8
5
5
7
3
1
3
3
2
6
5
1
6
2
1
1
7
1
5
8
4
4
2
1
8
2
5
1
3
13
1
3
11
1
6
8
■IIH
36
SEVENTY-NINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922.
(Continued)
Piekens __
Pierce
Pike
Polk
Putnam ...
Rabun
Randolph .
Richmond .
Rockdale _.
Schiey
Screven __.
Seminole _.
Spalding __
Stephens __
Stewart ___
Sumter
Talbot
Taliaferro _
Tattnall ...
Telfair
Terrell
Thomas
Tiit
Toombs
Troup
Turner
Twiggs
Union
Upson
Walker
Walton ....
Ware
Warren
Washington
Wheeler .
White
Whitfield .__
Wilcox
Wilkes
Wilkinson .
Worth
Total
White Colored
M
2
0
3
1
0
1
2
1
0
0
0
3
1
1
1
1
1
1
2
3
3
1
1
3
0
0
1
1
]
2
1
1
1
0
2
2
3
1
0
P
M
4
1
1
2
1
2
1
7
0
2
2
0
3
0
0
0
0
0
2
4
3
4
3
1
2
1
1
1
1
2
0
0
0
0
1
1
1
0
2
0
0
0
1
7
0
2
0
0
2
0
1
0
0
1
1
0
0
3
1
5
2
2
5
0
2
1
1
1
1
1
1
4
0
0
1
0
0
0
3
0
0
0
1
1
0
0
1
1
0
0
0
2
1
1
0
1
2
2
0
1
0
0
0
0
0
0
2
1
0
1
0
0
0
4
1
4
3
2
]
1
0
F
268 272 160 157
Total
7
3
3
6
4
2
10
11
1
4
3
1
7
4
7
5
6
4
5
8
11
7
5
2
8
1
3
2
4
3
4
6
2
9
2
6
5
5
5
2
1
857
37
GEORGIA STATE SANITARIUM
Nativity of All Patients Admitted
During the Year 1922.
Alabama
Canada
Connecticut
Denmark
Florida
Georgia
Germany
Illinois
Ireland
Italy
Kentucky
Maryland
Michigan
North Carolina
Pennsylvania
Russia
South Carolina
Tennessee
Texas
Virginia
Unascertained
Totill
:
White Colored
M
F
M
F Total
0
6
0
0
0
1
0
1
1
2
235 150 142
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
0
1
2
0
3
0
0
1
0
0
1
7
5
6
0
0
4
0
1
0
0
0
1
1
3
7
16
1
2
1
4
762
1
1
1
1
1
]
1
9
3
1
22
6
1
2
20
■..JJ68^272_160 157
857
857
1
0
0
235
1
0
1
1
0
0
0
4
2
0
4
2
0
1
38
SEVENTY-NINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922.
Agricultural Pursuits:
Farmers
Farmer's daughters
'"
Farmer's sons
Farmer's wives
~
Farmer's widows
!~™
Farm laborers
Farm laborer's daughters
™"
Gardener
Truck farmers
—1.1.1
Professional Service:
Druggist
Jeweler
Minister
Minister's wives
Music teacher
~~~~"
Physician
Physician's daughters
I
'__
Physician's sons
I
School teachers
"
School teacher's wife
_"__
Domestic and Personal Service"
Barber
Clothes presser
>__""
Clothes presser's wife
"_"
Governess
~'
Housekeeper
~™
Janitor
Janitor's wife
""'.
Laborers
Laborer's wife
~~"
Laborer's daughter
'_
Laundress
Laandryman's wife
~~~
Mail carriers
Piano tuners
~
Policeman
'
Policeman's wife
~~
Porter
~
Quilt maker
111™ """""
Seamstress
"
Servants
Soda water dispenser..
Tailor
\
Waiter's wife
I
Trade and Transportation:""
Accountant
Advertising agent
Rank clerk
~
Government clerk
Clerks
Chauffeur
~~
Bookkeepers
White Colored
M
M
114
0
14
0
0
7
0
0
2
2
19
0
68
5
9
9
0
0
18
0
1
0
0
76
0
1
0
2
2
2
0
0
3
0
1
0
0
0
0
0
3
1
0
1
0
2
0
0
0
0
0
0
0
0
14
0
0
0
0
2
2
2
0
0
0
0
0
1
1
0
1
1
1
2
8
0
3
Total
0
62
0
0
0
134
21
15
77
5
154
9
1
2
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
2
2
3
4
1
3
1
1
2
1
0
0
1
1
21
0
0
1
1
1
0
1
0
0
0
1
0
1
6
2
0
0
0
1
1
0
0
0
1
0
37
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
5
0
1
6
0
0
27
0
1
1
1
1
26
1
1
58
1
1
27
1
2
2
2
1
1
1
6
7
1
2
1
0
0
0
0
4
2
0
0
0
0
0
0
0
0
0
0
0
(I
0
0
0
0
0
0
5
0
0
1
II
0
(I
o!
1
J
1
2
12
2
3
39
GEORGIA STATE SANITARIUM
Classified Occupation of Patients Admitted
During the Year 1922.
Electrician's wives
Florist's wife
Foreman's wife
Funeral director
Insurance agent
Insurance agent's wife
Lineman
'
Live stock dealer
Merchants
Merchant's daughter
Merchant's wife
Moving picture theatre manager's wife
Mule trader
Photographer
'
Post office clerk
'
Post office clerk's daughter
R. R. conductor
R. R. conductor's wife
R. R. engineer
R. R. engineer's wife
R. R. fireman
R. R. fireman's wife
R. R. flagman
R. R. section hand
R. R. section hand's wife
R. R. switchman
R. R. switchman's wife
Sailor
,
Salesman
Salesman's wife
Stenographers
Telegraph Operator
Telephone operator's wife
Truck driver's wife
Manufacturing and Mechanical Pursuits:
Brickmason
Basket maker
Carpenter
Carpenter's daughter
Carpenter's wife
Machinist
Machinist's daughter
Machinist's wife
'.
Mechanics
Mechanics wife
Moulders
Painters
Painter's wife
Food and its Kindred Products:
Cook
Dairymen
Fisherman's wife
White Colored
M
M
F
0
0
0
1
2
0
1
1
7
0
0
0
1
1
1
0
2
0
1
0
0
F Total
3
1
1
0
0
2
0
0
0
1
2
1
0
0
0
1
0
0
0
1
0
1
0
0
1
0
0
0
0
2
4
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
2
3
0
1
2
0
2
0
0
3
0
1
0
0
0
0
0
0
0
0
0
2
3
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
1
1
1
2
2
1
1
7
1
2
1
1
1
1
1
2
2
1
1
1
1
1
2
1
1
1
1
5
2
4
1
1
2
0
0
0
0
0
0
0
0
0
0
0
3
1
3
2
3
2
1
2
3
2
1
4
3
(I
16
0
20
1
1
40
SEVENTY-NINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922.
(Continued)
Fish Merchant's son
lee dealer
Oyster cleaner
Textiles:
Cotton mill employee
Cotton mill hand
Coton mill hand's wife
Cotton mill laborer's son
Cotton mill operative
Cotton mill superintendent's daughter..
Leather and its Kindred Products:
Shoemaker
Iron, Steel and Their Products:
Blacksmith
>
Boiler maker
Plumber and steam fitter
Lumper and its manufacturers:
Cabinet maker
Gin saw builder
Planing mill laborer's wife..I
"
Saw mill laborer
Saw mill laborer's wife
Sawyer furniture factory
~ "'
Turpentine laborer
'___'_
Wood worker
Miscellaneous:
Laborer in match factory.
Peddler
Student
~_
~~
School girl
Tramp
'__
Vocational training—Ex Service
"'
None
Unascertained
JTotal
White Colored
M
M
Total
0
U
0
0
0
0
0
0
0
1
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
6
3
1
0
0
1
0
0
3
11
68
32
268 272 160 157
857
1
1
0
1
(I
1
0
0
0
0
5
0
0
1
14
3
0
2
2
0
0
0
ir,
15
A"es of First Admissions During the Year 1922.
Classified With Reference to Principle Psyehoses^-White Population.
Traumatic psychoses
Senile psychoses
Psyohoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous diseaseAlcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
TJndiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis—
* Mental deficiency without psychosis
Total-
WHITE FEMALES
YEARS
WHITE MALES
YEARS
1
0
14
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25 46 34 28
Is
21
0
0
0
4
0
0
1
0
0
2
(i
0
0|
0
0
it
3
1
0
0
10
4
0
1
1
0
0
4
2
0
0
15
8
■!
1
2
9
3
0
0
0
0
(i
6
(I
1
0
0
0
0
1
0
0
0
0
0
0
0
0
Over
70 Total
Under
20
Over
70
Under 2130
20
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
3
0
1
n
0
0
0
0
0 1
0 0
2 11
6 13
0 0
4 5
0 0
2 4
2 4
1
0
10
5
1
2
0
0
1
7
4
1
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
I)
6
3
0
2
0
0
0
0
01 0
0 0
6
0
0
20 461 49 3f! 16 13
0
0
0
0
0
0
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
3
1
2
1
10
375
0
5
2
0
0
0
1
0
0
• 0
0
1
1
O
M
O
fa
o
CO
>
H
w
>
>
to
a
g
Ages of First Admissions During the Year 1922.
Classified With Reference to Principle Psychosis—Colored Population.
COLORED MALES
YEARS
COLORED FEMALES
YEARS
Under 21- 31- 41- 51- 61- Over
30 40 50 60 70
70
20
Under 21 31- 41- 51- 61- Over
20
30 40 50 60 70 70 Total
CO
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra—_
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
:
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
.—
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane:
.
Mental deficiency without psychosis
Total
0 0
0 2
2 10
6 4
0 0
0 0
0 0
0 0
0 0
0 1
0 0
3 3
1 0
0 0
1 0
0 0
0 0
0 0
2 1
0 0
0 1
0
0
5
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
21 42 32 15 22
7
5
0 1 0
0 0 0
0 0 0
1 3 3
0 0 1
0 0 0
0 0 1
0 0 0
0 0 0
0 0 1
0 0 1
6 5 6
3 19 10
0 0 0
2 6 3
0 0 0
0 0 0
8 5 0
1 2 6
0 1 0
0 0 0
0 0 0
0 0 0
0 0 1
0 3 4
1 1 1
0 0 n
0 0 0
0 0 l
0 0 0
0 3 2
0 0 0
8 23 11
5 8 5
0 0 0
6 1 1
0 0 0
0 0 0
1 6 2
1 0 0
0 0
0 0 0
0
0
2!
2
1
0
5
2
1
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
•0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
23
30
6
22 45 28 16 12 10
0
277
a
II
0
0
0
1
0
7
1
0
0
0
0
1
0
0
0
0
1
1
1
1
1
0
0
0
1
0
6
0
0
0
0
0
1
0
0
0
i
1
1
0
9
1
80
52
0
20
0
0
24
1
1
1
H
<
H
2,
a
>
a>
b
S3
H
>tJ
O
S3
►3
Degree of Education of First Admissions During
the Year 1922—Classified with Reference to
Principle Psychosis. White Population.
S3
o
o
I
0
0
0
4
2
0
1
2
0
12
2
0
1
0
0
i
5S
«I
5 o)
O o
03 03 tS O02 W 05
OlP-3
0
1
2
0
1
0
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
.Psychoses with other brain or nervous diseaseAlcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
,
Undiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
—
Total
a o
a
WHITE FEMALES
0)1
1*2
o
.5 a;
W ' SO OJ
SB
OtJ.
a), w
aj
■a >d -t;
■a
£f,ao
29
1
82
1
4
6
4
0
0
1
2
1
1
0
11
7
0
2
4
6
0
5
0
2
3
0
1
0
0
0
0
1
1
7
1
0
6
0
0
10
4
0
0
0
0
0
0
0
0
0
4
2
0
1
0
0
0
0
0
0
l
3
1
14
13
0
5
2
4
2
8
0
4
1
2
0
1
1
0
0
1
0
18
18
1
4
0
3
0
6
0
0
1
0
0
n
(1
0
0
0
0
0
0
0
0
0
59
36
l
59
n
n
0
0
0
0
0
n
Coll
Una
tain
WHITE MALES
o
1
0 . 0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
4
0
0
0
0
0
0
0
1 • 0
0
0
1
1
0
2
1
1
0
0
1
0
0
1
0
2
4
0
0
0
0
0
2
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
3
1
2
1
60
10
3
15
375
n
O
H
O
J3
©
>-i
>
H
w
>
•z
►
d
COLORED MALES
Degree of Education of First Admissions During
the Year 1922—Classified with Reference to
Principle Psychosis. Colored Population.
*" m
Total
0
3
10
9
0
0
0
0
1
0
8
18
7
13
G
0
1
71'
—
a o _, o
31 3 c aoflj
W ' GO
fl
£
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
■Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Not insane:
Mental deficiency without psychosis
COLORED FEMALES
^
1>
0
0
0
0
0
tl
0
0
0
0
11
0
0
0
CP
4> L»
6
1
0
1
0
1
0
0
0
11
5
0
4
1
0
12
39
1
(1
o
CJ
s a
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
II
3
0
(I
1
0
o
(I
0
0
(I
0
0
0
0
0
0
0
0
3
^3 ac
.2 't
S
3 ^
8 S'B
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
2
0
2-3
8
4
9
0
0
67
II
II
(I
o
0
0
0
0
0
0
°l0
15
=1 o
a> a>
0
II
II
0
0
1
4
0
26
9
4
0
1
0
0
0
0
0
Ol
50
8
0
0
(I
0
II
0
0
6
1
0
1
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
Ia
!-i 3
so
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
23
30
6
1
1
1
9
1
80
52
20
24
14
1
1
0
131
277
0
1
1
1
1
0
0
0
1
0
0
0
s
1
<
ss
K
>
>1
tM
o
W
45
GEORGIA STATE SANITARIUM
9
■A
tf
1
33
Traumatic psychosis
Senile psychoses
Psychoses with cerebral arteri' osclerosis
General paralysis of the insane—
Psychoses with cerebral syphilis..
Ps'vchoses with Huntington's cho
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic dis
ease
Manic-depressive psychoses
Pementia praecox
—
Paranoia or paranoic condition—Epileptic psychosis
Psychoneurosis or neuroses
Psychoses with psychopathic per
sonality
Psychoses with mental deficiencyTJndiagnosed
Not insane:
Drug addict without psycho
FEMALES
MALES
Environment of First Admissions During the Year 1922.
Classified with Reference to Principle Psychosis.
White Population.
2
01
0
11
5
1
3
2
21
0
0
1
0
8
5
0
1
0
1
3
2
0
1
1
0
1
o1
0
0
0
0
0
0
6
3
5
4
9
0
34
II
0
5
6
0
1
2
0
0
0
1
211
20
1
12
2
3
8S
59
1
22
9
0
0
3
5
13
10
II
Epileptic without psychosisPsychopathic personality
without psychosis
Mental deficiency without psycho
sis
Total
511
0
0
0
0
2
1
0
24
15
5
15 121
4|| 60|
14
0
0
1
0
0
0
0
0
0
0
0
llll
7|
14
at
40
375
46
SEVENTY-NINTH ANNUAL REPORT
Environment of First Admissions During the Year 1922.
Classified with Reference to Principle Psychosis. Colored Population.
MALES
FEMALES
u*
>.
Bs
Traumatic psychoses
1
Senile psychoses
1
Psychoses with cerebral arteri
sclerosis
6
General paralysis of the Insane... 5
Psychoses with cerebral syphilis.. 0
Psychoses with Huntington's cho
rea
0
Psychoses with other brain or nervous disease
1
Alcoholic psychoses
0
Psychoses with pellagra
0
Psychoses with other somatic dis
ease
'
1
Manic-depressive psychoses
3
Dementia praecox
101
K pi Up tie psychoses
t
Psychoses with mental deficiency
2
TJndiagnosed
Ci
Not insane:
0
Mental deficiency without psycho
sis
1
Total
! 37
_gto
7^
5 >
<D
,—i
M
0
a
& *&
II
p-
0
0
1
12
0
0
0
23
20
G
0
0
0
0
0
0
6
1
1
9
0
0
2
1
0
35
8
5
8
1
0
1
80
52
20
21
14
1
n
1
0
0
4 lnl
1
46
8
75
277
47
GEORGIA STATE SANITARIUM
FEMALES
MALES
Economic Condition of First Admissions Classified with Reference
to Principle Psychosis. White
Population.
u
•a
CIS to
■d
a
O
B 4>
r
1
33
J raumatic psychoses
Senile psychoses
Psychoses with cerebral arterio
sclerosis
General paralysis of the insanePsychosis with cerebral syphilis.
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellegra
Psychoses with other somatic dis0
ease
IS
Manic-depressive psychoses
in
I lementia praecox
Faranoia or paranoic condition-.. 0
1
Epileptic psychoses
1
Psychoneurosis or neuroses
Psychoses with psychopathic per
3
sonality
Psychoses with mental deficiency - Li
TJndiagnosed
Not insane:
Drug addict without psycho
sis
Epileptic without psychosisPsychopathic personality
without psychosis
Mental deficiency without
psychosis
Total
80
21
15
5
1
0
0
3
3
5
1
9
2
21
19
0
9
1
3
89
59
1
22
9
14
31
40
10
13
93
0
0
3
1
0
2
0
1
25
375
SEVENTY-NINTH ANNUAL REPORT
Economic Condition of First Admissions Classified with Reference
to Principle Psychosis. Colored
Population.
traumatic psychoses
Senile psychoses
Psychoses with cerebral arterioscelerosis
General paralysis of the insane—
Psychoses with cerebral syphilis.
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychosis with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
!.]>ilcptic psychoses
Psychoses witli mental denciency.
TJndiagnosed
Not insane:
'
Mental deficiency without psychosis
MALES
FEMALES
Comftbl.
Marginal
Dependent
48
5 8
"3
+-»
o
H
1
1
4
0
0
0
1
0
0
0
1
12
1
6
0
6
10
1
4
1
0
(5
2
0
1
2
0
2
5
4
23
30
G
0
0
0
0
1
0
II
1
0
2
0
0
0
0
0
0
0
0
1
0
1
4
I
1
9
0
15
18
0
0
1
6
3
-1
3
1
1
4
3
3
1
3
0
0
2
3
1
0
1
0
0
45
11
5
8
0
0
1
80
52
20
24
14
1
0
0
1
0
0
0
20
76
24
24
15
94
II
(1
0
0
0
(i
1
1
1
0
0
7
fi
0
18
0
10
277
FEMALES
MALES
Civil Condition of First Admissions—Classified with Refer
ence to Principle Psychosis. White Population.
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the iusane
Psychoses with cerebral syphilis
Psychoses with Huntingtou's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosisMental deficiency without psychosis
Total
£ I I o
3
3
0
3
2
3
0
0
1
1
0
0
0
17
10
0
3
2
1
14
3
0
12
11
8
1
0
0
2
3
2
1
2:!
5
0
3
4
3
4
10
0
5
3
0
0
0
0
0
1
1
0
5
0
0
0
0
0
0
2
1
0
0
0
0
0
1
1
1
0
0
0
0
0
0
63
93
17
a
III
£
3
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
1
0
0
1
0
0
0
1
2
0
1
0
2
0
0
0
2
0
1
0
0
0
0
0
1
0
5
15
0
5
0
4
9
7
0
0
0
0
1
0
0
0
0
0
0
0
10
49
()
-B
3
3
o
9
3
0
2
0
1
0
0
1
1
4
4
0
2
0
11
!
l
o!
0
0
93
_so
£1 5
29
0
0
0
0
0
0
0
0
0
0
0
1
1
1
0
0
2
1
2
0
0
0
0
0:
0'
0
0
0
0
0
0
0
0
0
0
0
0
0
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
0
0
0
o:
3
1
2
1
0
375
O
H
O
to
o
in
>
H
>
>
35
FEMALES
MALES
Civil Condition of First Admissions—Classified with Refer
erence to Principle Psychosis. Colored Population.
0)
to
.91
Iraumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Jrsyclioses with pellagra
Psychoses with other somatic disease
Mnnic-denressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
TJndiagnosed
Not insane:
Mental deficiency without psychosis
Total
u
&
0
0
0
3
0
0
0
0
0
0
10
14
7
11
3
1
1
50
*o
o
P
31 a';&3
0
1
4
3
0
0
0
0
1
0
0
1
1
0
0
0
0
0
1
0
0
3
1
0
2
0
0
0
0
0
0
1
0
0
0
3
0
12
5
6
5
0
0
0
9
32
1
1
0
2
0
0
13
0
en
o
-a
is
>
(I
69!
■a
•d
a
d S2
Q
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
30
8
2
3
0
0
58
a a£
27
0
15
o
l
c
6
30
6
1
1
1
9
1
80
52
20
24
14
1
1
277
<
as
A
X
>
2
d
>
t-1
to
O
to
Traumatic psychoses
•Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Involutional melancholia
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Unclassified
Total
Over Unascer
70
tained
31- 4140 50
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
I)
0
1
0
0
0
2
0
3
0
0
0
1
4
0
0
2
6
7 10 13 21
0
0
0
o
FEMALES
MALES
Ages of Patients at Time of Death—Classified
with Reference to Principle Psychosis. White Under
Population.
20
o1
0
0
0
1
0
1
0
0
0
0
0
0
(i
0
0
o!
0|
2
0
1
0
4
0
0
0
0
2
41- 51 61- Over Unascertained Total
50 60 70 70
Under
20
20
0
in
0
0
0
2
0
0
0
0
0
0
1
0
0
1
0
0
1
1
0
0
10
7
0
0
0
0
0
1
0
0
0
0
0
0
o: o
4
3
7 11
1
29
23
11
2
3
1
7
20
1
21
1
14
1
18
4
5
14
26
161
O
O
w
>
H
>
>
I—I
d
w
<
Ages of Patients at Time of Death—Classified
Under
with Reference to Principle Psychosis
20
Colored Population
FE
MALES
Under
2131415131- 41 51- 61- Over Unascertained
40 50 60 70 70
20
30 40 50 60
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Total
0
00
12
0
0
0
0
0
0
0
0
0
0
2
0
1
3
0
0 0
0 0
3 3
0 0
0 1
3 0
6 10
3 1
0 0
2 1
3 0
0 1
6 20 17
0
0
3
0
0
1
1
1
0
0
0
1
Over Unascer70
tained
K!
Total
1
1
1
1
1
1
1
0
1
0
0
2
36
1
2
5
20
15
1
12
6
9
7 10
122
5
>
z
>1
tr
S)
H
hd
O
>-3
-
FEMALES
MALES
Duration of Hospital Residence of Patients Dying
in Hospital—Classified with Reference to Principle
Psychosis. White Population.
o
m
z&
.jl
o
M
£
Pi-H
Senile psychoses-
-
0
1
(1
?
0
0
0
2
1
0
0
0
0
0
1
0
- -
Psychoses with cerebral syphilis .
L'sychoses with other brain or nervous disease
Psychoses with other somatic diseasePsychoses with pellagra
Manic-depressive psychoses
_ _
Involutional melancholia
_
----Dementia praecox
....
- _ - Paranoia or paranoic condition
.
- - _
Epileptic psychosesPsychoses with psychopathic personality
Psvchoses with mental deficiency
TTndiagnosed
- - Total
.
-
_
•
0 <t
U3
0
l
2
0
0
0
1
0
1
0
0
1
b
[V,
8
0
0
0
0
3
1
2
0
2
0
8
0
10
15
37
0
V
a
n
l
u
0
3
V
0
0
0
0
0
1
0
2
0
0
0
')
U
o
►H
0
u
II
n
0
0
0
0
0
0
0
0
2
0
1
0
3
.-H OlM
prH
0
1
II
0
l
0
2
0
0
0
3
1
0
U
II
0
0
0
0
0
0
0
1
0
(1
0
II
1
7
2
0
u
II
n
0
u
u
n
i
£
i—i
up
0
3
II
n
0
u
0
0
II
1
0
0
5
1
n
1
0
0
0
0
l
2
0
1
0
0
0
1
2
0
0
0
0
0
0
4
0
1
0
3
0
4
0
4
12
6
18
i
n
2
U
0
0
('
o
o
04
i-H
u
1
0
2
0
1
0
1
u
0
3
II
0
0
2
U
1
2
0
3
0
2
1
1)
1
15
0
1
II
6§
o
0
3
1
2
U
2
0
II
3
1
29
23
11
2
3
1
7
20
1
21
1
14
1
18
8
10
9
161
n
0
u
u
u
i
u
u
n
n
0
0
u
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1
u
5
0
0
u
O
o
IS
Q
>
w
>
H
fe
2
>-3
►
SI
d.
i—i
5.
CTOS.
MALES
Duration of Hospital Residence of Patients Dying
in Hospital—Classified with Reference to Principle
Psychosis. Colored Population.
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Dementia praecox
Paranoia or piranoic condition
Epileptic psychoses
Psychoses with mental deficiency
TTndiagnosed
Total
FEMALES
CO
H
<
U
£2
til cii
H,OM
o
CD
y—1
T—t
2
2
0
1
1
0
9
5
0
2
4
2
0
0
0
0
1
0
1
2
1
1
1
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
36
1
2
5
20
15
1
12
7
9
28
7
3
1
122
12
Y—1
3
3
13
0
0
0
0
1
0
0
0
0
21
10
8
12
H
H
o
■a °
6g
0o
H
H
K!
2!
d
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O
to
1-3
GEORGIA STATE SANITARIUM
55
Dentist's Report
FOR THE YEAR
DR.
R. C.
SWINT,
1922.
Superintendent.
Dear Sir:—I have the honor of submitting the report of
the Dental Department for the year ending December 31st.
1922.
In caring for the mouths of the inmates of this Institution the Dentist feels that the relief of acute suffering, of
a dental origin, is of first importance and should be relieved
as promptly as possible. To this end those having patients
ill their immediate charge are instructed to report, without delay, all such cases as come under their observation.
Certain hours in each day being set aside in which these
emergencies are met, that immediate relief may be given,
if posssible.
Work of a temporary nature is frequently given to those
whose residence within the Institution will probably terminate at an early date, that their teeth may not deteriorate
during the period of their temporary confinement.
There are many patients, however, the length of whose
stay must, of necessity, be uncertain, whose desire to conserve their teeth, whose habits of cleanliness and whose willingness to co-operate with the dentist justifies the most careful consideration. Such patients are furnished thorough
dental treatment and work of a permanent nature.
The mouths of all patients are subjected to an examination soon after their admission, one morning in each week
being set aside for this purpose.
The Dentist resides within the Institution and his services are available at all times.
Below will be found an itemized statement of the work
done in this department during the year just ended.
56
SEVENTY-NINTH ANNUAL REPORT
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Lancing gums over 3rd. Molar
Treating gums about 3rd. Molar
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits
(number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Plates made
Plates repaired
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges made
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up
(number of patients)
Setting screws in roots
Removing impacted 3rd. Molars
_812
4
__333
151
13
63
_ 3^
3
g
ig
_ 26
g2
_ 73
_ 15
_ 43
4
6
42
17
37
6
3
99
9
9
j
jg
5
4
3
JQ
3
2
g
2
g
48
j
2
57
GEORGIA STATE SANITARIUM
Removing sequestrum
Special calls to wards
Number of new patients examined
Number of patients treated
1
60
826
924
,
Total number of operations
. and treatments
2019
Respectfully submitted,
GEORGE
IT.
GREEN,
Dentist
58
SEVENTY-NINTH ANNUAL REPORT
Report of Superintendent of Nurses
DR.
R. C.
SWINT,
Superintedent.
Dea,r Sir:—The following is a report of the Training
School for Nurses for the year beginning January 1st,
1922 and ending December 31st, 1922.
The annual commencement of the Training School was
held October 17th, at eight o'clock, in the amusement hall,
Dr. L. M. Jones, Superintendent, presiding.
Diplomas were awarded to eight young ladies making
the total number of graduates ninety-five.
A most interesting and instructive class address was
very ably delivered by Dr. George McDonnell of Waycross,
Georgia.
Hon. John T. Brantley, President of the Board of
Trustees, in his usual pleasing manner presented the diplomas and Mr. C. C. Brantley, Secretary of the Board of
Trustees, presented the hospital pins to the members of the
graduating class.
A reception and dance followed, music being furnished
by the Sanitarium band.
PLANS OF INSTRUCTIONS.
The course extends over a period of three years including three months probation and six months affiliation in
some general hospital. The course consists of lectures, recitations, demonstrations and practical work on wards, diet
kitchen, hydrotherapy, occupation therapy and laboratory.
NURSING STAFF.
Superintendent of Nurses
Assistant Superintendent of Nurses
Supervisor
Chief Operating Nurses
Occupation Therapy Nurses
Hydrotherapy Nurse
N-Ray Technician
, __
1
1
1
2
3
1
l
59
GEORGIA STATE SANITARIUM
Graduate Nurses employed as head Nurses
Senior Nurses in School
Junior Nurses in School
Ereshman Nurses in School
Total number Student Nurses
Number White Female Attendants
Number of Vacancies
10
13
13
13
39
139
0
CURRICULUM.
First Year.
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstrations
Materia Medica
Dietetics
Bandaging
History of Nursing
—
16 hours
8 "
24 " .
16 "
24 "
16 "
16 "
8 "
8 "
Second Year.
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Advanced Anatomy
Obstetrics
Hydrotherapy
Massage
Dietetics
Clinical Medicine
16
26
6
16
16
16
6
10
16
10
"
"
"
"
"
"
"
"
"
Third Year.
Surgery
Pediatrics
.
Disease of Nervous System
Occupation Therapy
Oral Hygiene
16
16
16
12
16
"
GO
SEVENTY-NINTH ANNUAL REPORT
Emergencies and Anaesthetics
Abnormal Psychology
Gynecology
Mental Diseases and Nursing Insane
Chemistry
Diseases of Eye, Ear, Nose and Throat
Bacteriology and Laboratory work
16
12
16
16
8
12
8
"
"
"
"
"
"
"
Graduates
Class 1912
Miss Annie Athon—now Mrs. Parrell—Assistant Superintendent of Nurses, Georgia State Sanitarium.
Miss Vallie Badger—Charge Nurse, Georgia State Sanitarium.
Miss Ora Barnett, R. N. (Florida)—Institutional ward
Psychopathic Hospital, Indiana.
Mrs. Lula Putral—Private duty nurse, Dublin, Georgia.
Miss Willie Geiger—now Mrs. Goolsby, Monticello,
Georgia.
Miss Emmie Layfield—Charge Nurse, Georgia State
Sanitarium.
Miss Alma Snipes—Deceased.
Miss Alice Vaughan, R. N.—Superintendent of Nurses,
St. Elizabeth's Hospital, Washington, D. C.
Mr. Robert Taylor—Charge Nurse, Georgia State Sanitarium.
Class 1913
Miss Minnie Champion—Charge Nurse Georgia State
Sanitarium.
Miss Eula Cheek, R. N. (Oklahoma)—Private duty,
Oklahoma City, Oklahoma.
Miss Mrytle DuBose—Now Mrs. Arnsdorff, Savannah,
Georgia.
Mrs. Littleton Doughtry—Now Mrs. Beverly—Private
duty, Atlanta, Georgia.
Miss Susie Kemp—Deceased.
Miss Lora Moran—Now Mrs. McCook, Pierce, Florida.
Mrs. Amanda Oxford—Deceased.
GEORGIA STATE SANITARIUM
61
Miss Alma Smith, R. N.—Red Cross Service, Johnson,
South Carolina.
Miss Pearl Summerford. R. N. (Florida)—Superintendent of Nurses, State Hospital Chattahoochee, Florida.
Miss Kate Jackson—Now Mrs. Childers.
Miss Maude Griffin—Now Mrs. Roberts, Reidsville,
North Carolina.
Miss Nannie Finney—Chief Nurse—Hall and Little
Sanitorium, Milledgeville, Georgia.
Class 1915.
Miss Mary Beckerdite—Now Mrs. Sutherland—Tracy,
California.
Miss Connie Cornelius — Now Mrs. Caskin, Tampa,
Florida.
Miss Mary Lou Huff—Now Mrs. 0'Brian, Milwaukee,
Wisconsin.
Miss Ada Nelson—Now Mrs. Gordon. Atlanta, Georgia.
Miss Dove Thurmond—Now' Mrs. Farrell, Augusta,
Georgia.
Miss Nan Walters, R. N.—Chief Operating Nurse and
XJiay Technician, Georgia State Sanitarium.
Class 1916
Miss Margaret Atwater—Now Mrs. Wooten, Assistant
Pharmacist, Georgia State Sanitarium.
Miss Eula Belle Bailey, R. N—Now Mrs. Lamar, Aiken.
South Carolina.
Miss Essie Barnett—Now Mrs. Evans, Coburn, Virginia.
Miss Mary L. Buford. R, N—Metropolitan Life Insurance Company, Macon, Georgia.
Miss Ida Godfrey, R. N.—Public Health Nurse, Chicago,
Illinois.
Miss Addie Grimes, R, N. (New York)—Waynesville,
North Carolina.
Miss Ethel Howard—Now Mrs. Staubs, Aiken, South
Carolina.
Miss Myrtle May, R. N.—Now Mrs. Le Flame, Atlanta,
Georgia.
■■Hi
■^■■■■■■l
62
SEVENTY-NINTH ANNUAL REPORT
Miss Hattie Osborne—Now Mrs. Pierce, Milledgeville,
Georgia.
Miss Rosa Simmons—Now Mrs. Switzer, Hardwick,
Georgia.
Class 1917
Miss Emma Ashurst—Private duty, Atlanta, Georgia.
Miss Daisy Clark, R. N.—Now Mrs. Pulton, Atlanta,
Georgia.
Miss Cornelia Cannon—Now Mrs Harrison, Macon,
Georgia.
Miss Florence Dixon—Now Mrs. Stone, Dixon's Mills,
Alabama.
Miss Anna Mae Barron—Private duty, Dublin, Georgia
Miss Ruby Edwards, R, N— Now Mrs. Sapp—Atlanta,
Georgia.
Miss Willie Greene, R. N.—Now Mrs. Baker, Florence,
South Carolina.
Miss Elizabeth Grimes, R. N. (New York)—Army Nurse
Corps, Fort McPherson, Georgia.
Miss Agnes Hemphill—Now Mrs. Murdoch, Bolixi
Mississippi.
Miss Fannie Etouria Harris—Married.
Miss Ada Harper—Private duty, Atlanta, Georgia.
Miss Emma Long—Now Mrs. Murray, Jacksonville,
Florida.
Miss Rosa Mercer, R. N.—Now Mrs. Buford, Macon,
Georgia.
Miss Clara Molton — Charge Nurse, Georgia State
Sanitarium.
Miss Illah Perry—Now Mrs. Joiner—Florida.
Miss Anna Mae Simpson—Now Mrs. Brake, Milledgeville, Georgia.
Miss Annie Lou Ward—Now Mrs. Marchman, Hardwick,
Georgia.
Class 1918
Miss Johnnie Robinson—Chief Hydrotherapy Nurse,
Georgia State Sanitarium.
_ Miss Eva Taylor—Charge Nurse, Georgia State Sanitarium.
GEORGIA STATE SANITARIUM
63
Miss Essie Wade—Now Mrs. West, Macon, Georgia.
Miss Valera Wommack—Private duty, Dublin, Georgia.
Miss Parnella Wrye—Now Mrs. Giddins, Eastman,
Georgia.
Miss Minnie Belle Wright—Now Mrs. Evans, Greenville,
South Carolina.
Mr. J. C. Johnson—Laboratory work—Georgia State
Sanitarium.
Class 1919
Miss Minnie Clay—Now Mrs. Bryan, Milledgeville,
Georgia.
Miss Marie Dunford—Private duty, Albany. Georgia.
Miss Inez Dunford—Now Mrs. Glisson, Miami, Florida.
Miss Teif er Estes, R. N—Chief Operating Nurse, Male
Department, Georgia State Sanitarium.
Miss Florence Kitchen, R. N. (S. C.)—Dr. King's Sanitarium, Stone Mountain, Georgia.
Miss Bertha Morris, R. N. (S. C.)— General duty, Aiken
Hospital, Aiken, South Carolina.
Miss Amy Leah Oxford, R. N.— Chief Occupation
Therapy Nurse, Georgia State Sanitarium.
Miss Marie Pullum—Now Mrs. Prosser, Milledgeville,
Georgia.
Miss Nolah Scott — Now Mrs. Davis, Milledgeville,
Georgia.
Miss Lucy Watson—Now Mrs. Gidley, Athens Georgia.
Class 1920
Miss Ruth Barrett, R. N. (S. C.)—private duty, Atlanta,
Georgia.
Miss Annie Branan—Unable for duty, Oakville Sanitorium, Oakville, Tennessee.
Miss Edith Boyd — Aiken Hospital, Aiken, South
Carolina.
Miss Mary Gould—Now Mrs. Burnett, Macon, Georgia.
Miss Bessie Gould—Now Mrs. Joiner, Palatka, Florida.
Miss Ethel Head, R, N. (S. C.) —Now Mrs. Ham,
Ilardwick, Georgia.
Miss Ethel Sanders—Now Mrs. Green, Dublin, Georgia.
Miss Reece Spurlock—Now Mrs. Sandstrom, Texas.
64
SEVENTY-NINTH ANNUAL REPORT
Class 1921
Miss Leola Ayers—Private duty, Memphis, Tennessee.
Miss Mattie Lou Brantley—Charge Nurse, Georgia
State Sanitarium.
Miss Mae Elizabeth Coleman, R. N.,— Private duty,
Atlanta, Georgia.
Miss Stella Hutchinson—Charge Nurse, Georgia State
Sanitarium.
Miss Gladys Kitchings—Charge Nurse, Georgia State
Sanitarium.
Miss Mabel McDonald—Charge Nurse, Georgia State
Sanitarium.
Miss Florence Pettigrew—Now Mrs. Jones, Slocomb,
Alabama.
Miss Cora Renfroe — Charge Nurse, Georgia State
Sanitarium.
Class 1922
Miss Cora Grace Binford—Special Psychiatric Nurse,
Georgia State Sanitarium.
Miss Myrtis Darby—Aiken Hospital, Aiken, South
Carolina.
Miss Nannie B. Pordham—Now Mrs. Prosser, Milledgeville, Georgia.
Miss Ruby Godfrey—Private duty, Memphis, Tennessee.
Miss Gertrude Ham—Affiliating six months University
Hospital, Augusta, Georgia.
Miss Mattie Cornelia Johnson—General duty, The Clinic,
Macon, Georgia.
Miss Gracie Ellen Pearee—Post Graduate course, University Hospital, Augusta, Georgia.
Miss Mary Regina Strickland—Post graduate course
University Hospital, Augusta, Georgia.
I wish to express my appreciation and thanks to the
Medical Staff and other Officers for lectures and medical
services rendered the nurses during the year.
Respectfully Submitted,
MAE M. JONES, R. N. (Ohio)
Superintendent of Nurses.
GEORGIA STATE SANITARIUM
65
Report of Dietitian
DR.
R. C
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Dietetical
Department of the Georgia State Sanitarium, for the year
1922.
Plans have been prepared for two diet kitchens in the
Colored Department, also for enlarging and completely
equipping the diet kitchen in the Twin Building so as to
make this the main diet kitchen of the institution.
For the purpose of improving our methods of baking,
we had a chemist from one of the largest flour mills in the
North spend several days in our bakery. He gave us many
valuable suggestions which are being carried out. A bread
room for storing bread until delivered to the wards is in
the course of construction, this will prevent the bread drying out and also prevent waste in this food.
A white uniform has been adopted by all the employees
in the department.
The amount of daily garbage has been one of our big
problems, the daily weighing of which would help us to
keep up with the amount wasted in each food. At different
times during the year we have weighed the foods before
being served and the amounts left after serving, these
amounts varied from 9% to 50%. We have no means now
of weighing the food daily from each building, a pair ot
scales in a sheltered portion of each garbage house would
be necessary. Constant and daily supervision of the garbage
will help us reduce it to the minimum. One pound of garbage per person per day should be the maximum, some of
the buildings are above and some below this amount.
With the co-operation of the Farm Steward we have
tried to have an equal distribution of vegetables to each
kitchen due to amounts of waste under different condiSons this has been difficult to do. If the vegetables could be
cleaned in one central place, then weighed and distributed,
the amounts would always be accurate.
66
SEVENTY-NINTH ANNUAL REPORT
iProm time to time the cooks are weighing fuel and ash
in their respective kitchens and have economized greatly in
this item.
As you will notice from our report, the amount of canning done this year was much higher than in the previous
year. We have asked for a cannery to take care of the excess vegetables raised, so that none will be wasted. Besides
saving these we could can about all the vegetables needed
during the winter.
Except the building and equipping this would have
practically no cost, as the work here could be done by our
colored female patients.
The following is the canning report for the year:—
Strawberry Preserves—
Pear Preserves
Blackberfy Jelly
Apple Jelly
Grape Jelly
Peaches
rears
■
202
Glasses
58% Gallons
34?
£PPtl6S
ZTSS
: ;
P *----i icicle Cucumbers
Tomatoes & Okra..._.
Egg Plant
Lima Beans
Mustard Pickle.....".
Chili Sauce....
GWs
216
^^
m
GWg
14Q
^^
185
Gallons
202
Gall
267
745
°ns
Gallons
Gallons
ql/ n „
" *
°" 0M
4
^ °"s
2°
JJ
£a 0ns
fqi/ ^0M
^ ^a ons
Tomato Pickle..^^3^367^ ZZl
co-operation and kindness shown throughoutTe year.
Respectfully,
MRS.
J. K.
PETTIT,
Dietitian.
67
GEORGIA STATE SANITARIUM
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Pharmaceutical Department of the Georgia State Sanitarium for
the year of 1922.
You will see from the attached manufacturing report
that we are still putting out all preparations used in the
Institution, in the line of Tinctures, Elixirs, Syrups and
other Pharmaceuticals found in the U. S. P. and N. F. The
report shows over five thousand pounds of the products
made during the year. While we sent out over thrity-two
thousand prescriptions.
We owe much of our success in handling this department to the co-operation of yourself, the Board of Trustees
and the Medical Staff, for which I wish to thank each of
you most cordially.
Below is a condensed list of manufactured products.
Tinctures, Spirits & Extracts
2,372 Lbs.
Elixirs
U48
Syrups
290
Ointments
107
Liquors, Lotions & Mixtures
1,129
Library Paste
I8
Medicated Dusting Powder
4
Baking Powder
33
Indelible Ink
24
Glycerites
152
Liniments
1'"
Quinine, Anodyne & Influenze Capsules filled, 25,000.
68
SEVENTY-NINTH ANNUAL REPORT
1922—
STATEMENT
Dec. 31st, Inventory as of Dec. 31st, 1921__$5,819.65
Purchases During the Year
Drugs, Chemicals, Dental, Surgical and Laboratory Supplies_$l 1,459.37
Freight and Express
402.52
Total
Less Goods Returned
$11,861.89
250.44
Total
$11,611.45
Deduct: Inventory at Dec. 31st, 1922__
$17,431.10
5,300.95
Goods to account for
$12 130.15
Credits
Departmental Sales
Prescriptions tilled for Wards, 32,921
aggregating
$11,513.95
Sales to Officers and Employees
616.20
Total
$12,130.15
Respectfully submitted,
J. J.
WOOTTEN,
Pharmacist.
GEORGIA STATE SANITARIUM
69
Report of Matron
DR.
R. C. SWINT, Superintendent.
Dear Sir:—Permit me to submit the following as a
list of articles made in the white female department for
the year beginning January 1st, 1922 and ending December 31st, 1922.
All the cutting is done in the sewing room except some
of the gingham dresses. A large per cent, of the sewing
such as pillow cases, sheets, underwear, gowns etc,, is done
by patients on the wards, but all the pants, operating lmen,
burial pillows, etc., are made in the sewing room.
We have six employees and six white female patients
employed in the sewing room.
igham
25 Napkins .
62
Aprons, gingt
Pants, prs.
4849
Aprons, kitchen
1381
Petticoats, cotton
7681
Aprons, operating
24
Petticoats, flannel
225
Aprons, sleeve
135
Pillow cases, bleached
900
Bags, ice
12
Pillow cases, unbleached-_
Bed ticks
3337
10,339
Bonnets
16
Pillows, burial
220
Capes, flannel
498
Pillows, feather
12
Caps, operating
69
Pillow ticks
964
Chemise, bleached
175
Sacks, cotton
208
Chemise, unbleached
4780
Sand bags
28
Covers, operating pads
48
Scarfs, dresser
1,392
Covers, table
22S9
Sheets, bleached
990
Curtains, draw, bleached— 327
Sheets, unbleached
8496
Curtains, long, bleached
36
Sheets, section
16
Curtains, long, unbleached- 118
Shirts, night, bleached
375
Diapers
150
Shirts, night, unbleached __ _1140
Drawers, bleached
.- 125
Skirts, under, bleached
125
Drawers, unbleached
4211
Skirts, under, unbleached--.2305
Dresses, gingham
3680
Towels, hand
8886
Dresses, homespun
3184
Towels, roller
124
Dresses, strong
1396
Waist, burial
125
Gowns, bleached
555
Waist, flannel
225
Gowns, uubleached
3655
Waist, gingham, boys
250
Gowns, examination
24
Warmers, foot
50
Gowns, operating
100
Hammocks
9
Length
Bandages
Width
2
1392 ft.
Muslin Bandages
^ in1296 ft.
Muslin Bandages
2
in.
288 ft.
Muslin Bandages
3
in.
2876 ft.
Scultetus Bandages.
Respectfully submitted,
MAE M. JONES,
Matron Protem.
70
SEVENTY-NINTH ANNUAL REPORT
Report of Storekeeper
MR.
L. J.
LAMAR,
Steward.
Dear Sir:—I herewith hand you my report for the fiscal
year ending December 31st, 1922.
Respectfully submitted,
ARTHUR FARRELL,
Storekeeper.
Stock on hand Jan. 1st, 1922
$ 35 972 28
Mdse, received Jan. 1st, 1922, to Jan. 1st,
1923
273,922.74
Issues Jan. 1st, 1922, to Jan. 1st, 1923
Stock on hand Jan. 1st, 1923
•
$309,895.02
$267,984.92
4L616.44
Shrinkage
293 66
■
$309,895.02
71
GEORGIA STATE SANITARIUM
Report of Farm Steward
DR.
R. C.
SWINT,
Superintendent.
•Georgia State Sanitarium.
My Dear Sir':— I beg to submit a report of the foodstuffs produced in my department for the fiscal year, ending Dec. 31st, 1922.
Farm and Garden:
Beets_
*
799% bushels
57% busbels
'
% bushels
161,440 lbs.
- 45-737 heads
Beans" butter
Beans, snap
Beans, velvet
Cabbage
Carrots
Cantaloupes
Collards
Corn, roasting
_
Corn
Com'sUage"
Cucumbers
Egg plant
Fodder
Lettuce
Mustard
Oats, shelled
Oats, sheath
Oats straw
Alfalfa hay
Okra
Onions
Peas, green
Peas, garden
Peas, Brabham
Peppers
Peaches
PeavinS hay
2 125
25 bushels
575
21 890 beads
'
M5>2 ears
6,158 bushels
540 tons
26 bushels
62 bushels
31,625 lbs.
40
° heads
75
.
65% tons
94'750 lbs5
577
busbels
291
-—
/2 bushels
HO bushels
1,810% bushels
82 bushels
Potatoes, Irish
Potatoes, sweet
Radishes
Rye
tons
571 bushels
Pork
Rape
busbels
5 944 bushels
.
1°% bushels
2
=",850 lbs.
33,347 lbs.
332 bushels
10,094% bushels
100 bushels
918 bushels
149 bushels
j*mm
^^^^Wafitoiooto^fcS
72
SEVENTY-NINTH ANNUAL REPORT
Squashes
Tomatoes
Turnips
Turnips and greens
Watermelons
1,612 bushels
797 crates
2,266% bushels
4,713% bushels
_ 13425
Dairy:
Sweet milk
Sweet milk (colony)
Buttermilk
Butter
Butter (colony)
Cream
Beef
Calves sold
Sacks sold
^
Loads of manure hauled to fields
Chicken Yard:
Eggs issued
Eggs set
Chickens issued
_._
71197
gaIlong
570%
gallons
299 gaIlons
7S3
poun(,s
100 pounds
12%
gaUoug
16345 pounds
9
575
1,109
1,966 dozen
102 dozen
122
In addition to growing and delivering these foodstuffs
to the institution, we have cleared and broken sevearl acres
of land across the creek. Have cut and sawed in stove wood
lengths and delivered to different kitchens and officers
houses about 400 cords of wood. Have hauled all the coal
burned at the Center building boiler room, shop boiler room,
colored building boiler room. Hospital, detached buildings
and to the officers houses. We have kept up the entire road
system of the institution, making several improvements
in eliminating a dangerous corner at Twin Building, and
one at the Colored building. We also hauled from 200 to
300 loads of sand for' the nurses home and about 50 loads
of sand at water works.
I wish to thank you, the officers of the institution and
others for the kindness and co-operation shown me throughout the year.
Respectfully submitted,
(Signed) F. C. PENUEL,
Farm Steward.
73
GEORGIA STATE SANITARIUM
Report of Chaplain
DR.
R. C. SWINT, Superindendent,
Georgia State Sanitarium,
My Dear Sir:—During the period of my service as
Chaplain for the Georgia State Sanitarium, from Nov. 1,
1921 to Dec. 1, 1922, I conducted religious services in the
Chapel on Sunday afternoons, also buried the dead and performed other duties of the office of Chaplain.
The Chapel services were at all times well attended,
and the patients manifested a splendid interest in the services. I believe these Sunday afternoon services are not only
a diversion to all, but of spiritual benefit to a great many
of the patients.
The patients seem to enjoy especially the song service,
and I believe that the benefits from the entire Chapel service might be greatly augmented by the addition of an effective song leader, or a stronger organ or other musical instrument to lead the people in their singing. It is very
difficult for the minister who, as a rule, is not a singer, to
lead these people in this part of the service effectively, as
not many of the patients seem to have any knowledge of
music. They could, however, follow more effectively the
lead of a strong musical instrument and their singing would
be greatly improved.
I can not close this report without mention of the unfailing kindness and keen interest at all times of the former
Superintendent, Dr. L. M. Jones, whose patience never
seemed exhaused and whose interest in the services and in
the patients was always manifest. I desire also to express
my hearty appreciation for the many courtesies extended
by the various officers of the Institution during the period
of my services, and to commend the courteous attitude at
all times of the nurses and attendants who were present
at the services.
May God's rich blessing rest upon you and those associated with you in every department of this great work
for the relief of suffering humanity. "Inasmuch as ye did it
unto one of the least of these my brethren, ye did it unto me.''
Respectfully submitted,
TIIOS. GORDON WATTS,
Chaplain 1922.
^6665fea^^^-^^pSg»aa«&
74
SEVENTY-NINTH ANNUAL REPORT
Report of Steward
FOR THE YEAR
DR.
R. C.
SWINT,
1922.
Superintendent,
Georgia State Sanitarium.
Dear Sir:—I. have the honor of submitting the following Exhibits and Schedules, making up a detailed report
of all receipts and disbursements through this office during
the fiscal year ended, December 31st, 1922.
EXHIBITS:
1.
Consolidated Statement Cash Receipts and Disbursements.
2. Analysis Cash Receipts and Disbursements General
and Special Funds.
3. Balance Sheet at December 31st, 1922.
4. Statement of Income and Expenditures for Year.
5. Profit and Loss Statement Farm and Garden.
6. Profit and Loss Statement—Dairy.
7. Comparative Analysis Surplus Account, 1921-1922.
Analysis Expenditure, Nurses Home.
SCHEDULES:
1.
2.
Accounts Payable as of December 31st.
Accounts Receivable as of December 31st.
A comparison of the per capita cost for the year, with
that of 1921 follows:
1921
1922
Patients
4,097
3,918
Per Capita
$240.72
238.04
Per Diem
$0.65.95
0.65.25
Purchases have been promptly paid throughout the
year, and cancelled vouchers and bills filed in the Executive
Department as required by law.
Respectfully submitted,
L. J.
LAMAR,
Steward.
Exhibit No. 1.
Consolidated Cash Statement Receipts
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Due
Due
Due
Due
SUMMARY:
Treasurer Overdraft
$15,052.74
Nurses Home Fund
34,277.19
Patients
9,928.91
Wing Whittle Building
123.68
Total
Less Cash in Hand, Treasurer
Less Cash in Hand, Steward
Total
Cash Deficit Maintenance Fund
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59,382.52
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$ 9,928.91
3,000.00
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12,928.91
$46,453.61
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Exhibit No. 2.
Analysis Cash Receipts and Disbursements
General and Special Funds
DISBURSEMENTS
RECEIPTS
Forward from 1921—
In Hand Treasurer
In Hand Steward
$
Paid Otto M, Conn, Treasurer,
$
Overdraft from 1921
Special FundsNurses Home
* ^•6°{'-^l
Patients Withdrawals
14,0a.7o
9,513.66
3,000.00
$
12,513.66
State Appropriations—
Support and Maint. 1921
$ 2,000.00
Support and Maint., regular,
1922
800,000.01
Support and Maint..deficiency, 150,000.00
Special Nurses Home
40,000.00
Patients Deposits
Miscellaneous Sales,, Etc.
Food Supplies
Coupons
Bodies
Drugs
»--Dental Material
Laboratory Supplies
Barrels
Sundries
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40,382.19
For Support and Maintenance—
Officers Salaries
* 58.0J0.48
Wages, Medical Department.- 218,253.43
Wages, Stewards Department- 41,492.69
Wages, Engineers Department 50,099.87
Wages Farm & G. Department
14,283.15
992,000.01
14,447.00
$
62,747.76
1,941.91
1,018.42
170.00
62.40
1.00
5.00
62,80
677.97
3,939.50
Wages, Dairy Department-
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4^43.49
$ 386,803.11
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Food SuppliesWards
Supts. Dining Room
Stewards Dining Room
$250,945.71
2,448.18
901.73
Miscellaneous—
Clothing and Dry Goqds
Furniture and Bedding
Fuel _
Maint. of Plant
Medical Supplies
$ 75,983.75
41,350.92
52,733.00
28,685.58
12,493.14
a
254,295.62
I
Sales: Farm, Garden and Dairy—
Calves
$
Hides
Sundries
Other Receipts—
Board Special Attendants
$
Telephone and Telegrams
Wages Forfeited
Care and Treatment W. R. I.
Patients
Interest on Balances
Rents
Fines
Checks Returned
Miscellaneous Income
Occupation Therapy
Insurance on Coleman Res
Stationery and Postage
Incidentals
2000
125.57
20
59
166.16
1,064.19
64.41
198,73
IT.
^
Farm
and^ Garden—
Live Stock
Vehicles and Implements
Fertilizer
Seed
Sundries
261,177.07
$
10 00
4 650 89
8[25o!63
H
7948S
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505 37
55
4,356.00
2,108.86
12 70
n .
Dairy—
Feed
Miscellaneous Supplies
Sundries
800
206.17
634.51
970.77
960.00
14,211.77
?
15,052.74
Total for Support & Maint
Special Funds—
Nurses Home
$
Patients Withdrawals
932,6'44.55
55
55
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Balance, Cash in Hand—
Treasurer
Steward
$
9.928.91
3,000.00..
12,928.91
$1,048,703.41
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26,350.44
14,031.75
40,832.19
Grand Total.
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55
25
13,514.40
2 514 58
'i2800
16,156.98
10,584.34
Difference—
Overdraft, General Fund.
3,454.24
46,476.44
.Grand Total
$1,048,703.41
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Exhibit No. 3.
Balance Sheet at December 31st, 1922.
LIABILITIES.
ASSETS.
Cash in Hand—
Treasurer, Patients Fund
Steward, Working Fund
Total
Miscellaneous—
Unpaid Requisitions
Freight and Express
$ 9,928.91
3,000.00
$
$
3,000.00
1,106.40
Total
Accounts Receivable—
Officers and Employees
$ 570.76
Bureau War Risk Ins
4,555.67
U. S. Public Health Service.,
156.38
Total
Purchased Supplies—
Storekeeper
Sewing Room
Engineer, Fuel
Engineer, Misc. Supplies
Cold Storage
Pharmacist
Total
$41,616.44
3,973.97
8,957.09
9,439.26
1,639.22
5,300.95
Due Otto M. Conn, Treasurer—
Maintenance Fund
Due Special Funds—
Nurses Home
12,928.91
Patients Deposits
Occupational Department
Wing Whittle Building
4,106.40
Total
Salaries and Wages—
Employees for December
Officers lor December
$
15,052.74
$34,277.19
9,928.91
357.58
123.68
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44,687.36
$28,869.25
4,869.12
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Total
5,282.81 Accounts Payable—
Purchases lor
No. 2
33,284.37
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►—I
1922,
a
Schedule
7,431.36
Surplus—
As of Jan. 1st, 1922
$81,833.54
Less Depreciation on Live Stock
and "Vehicles and Implements. 39,700.42
70,926.93
Balance
>
42,133.12
Farm Products on Hand—
Farm and Garden
$18,760.65
Dairy
.
2,912.00
Total
Property Accounts—
Live Stock, Farm and Garden_$17,621.00
Live Stock, Dairy
17,745.00
Total
Vehicles and Implements—
Dairy
Farm and Garden
Total
Grand Total
Plus
Excess of Income
Expenditures
21,672.65 Balance at Dec. 31st, 1922.
Above
13,929.00
56,062.12
w
35,366.00
$
<
938.00
5,296.25
6,234.25
$156,517.95
Grand Total,
$156,517.95
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Exhibit No. 4.
Income and Expenditures for Year
EXPENDITURES.
General Administration—
Officers Salaries
$
Wages and Labor—
Medical Department
$226,937.73
Engineers Department
52,110.68
Stewards Department
42,307.14
60,500.07
$297,821.10
901.73
2,448.18
Total
Miscellaneous—
$
Fuei
Medical Supplies
Stationery and Postage
Furniture and Be,dding
Dry Goods and Clothing
Maintenance of Plant
Heat, Light and Power
Laboratory Supplies
Office Supplies
Dental Sup. and Equipment—
301,171.01
72,604.46
11,525.66
3,454.24
40,020.86
64,281.02
28,685.53
15,119.74
547.18
206.56
299.71
Miscellaneous—
Board of Officers
$
Board of Special Attendants
Board Employees
Rents
Interest an Balances
Sales, Books
Pines
Dental Work and Material-.
Miscellaneous Income
Care and Treatment Patients
Sundries
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6,570.00
904.02
966,699.55
3,038.26
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555.62
930.91
4,050.80
182.00
2,111.61
12.00
59.50
1.00
1,322.08
Total
Additional—
Net Profit from Dairy
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$ 950,000.01
Total
321,355.55
Total
Food Supplies—
Wards
Supts. Dining Room
Stewards Dining Room
INCOME
State Appropriation—
f 800,000.01
Regular of Maintenance
Deficiency for Maintenance^ 150,000.00
Repairs, Autos and Trucks...
Incidentals
Escaped Patients
Advertising
Amusements
Travel
Medical Books and Journals..
Telephone and Telegraph
Surgical Instruments
Total.!
Difference—
Excess
of
Income
Above
Cost of Maintenance
Grand Total
1,445.05
34,342.45
177.58
161.34
1,037.29
1,517.96
273.58
468.78
300.24
Net Profit from Farm and
Garden
Poultry Yards
2,681.03
1,006.07
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959,495.91
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13,929.00
% 973,424.91
Grand Total..
$ 973,424.91
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Exhibit No. 5.
Profit and Loss Statement, Farm and Garden
CREDITS.
DEBITS.
$16,980.00
Inventory as of Dec. 31st, 1921
Purchases During Year—
Nitrate of Soda
8-4-4 Goods
Garden Seed
Freight
?
281.88
7,968.75
710 95
83 93
-
Total
Departmental Purchases—
' Misccellaneous Farm Products__$37,283.08
Miscellaneous Farm Products— 1,310.00
Compost
1.229.50
Total
Grand Total
Deduct—
Inventory Dec. 31st, 1922
- Net Cost Feeds, Fertilizer, Etc.
Gross Profits for Year
Grand Total
9,045.51
39,822.58
Production—
Vegetables
Corn
._
Hav ___
peas::::::::::
Rye __.
-—
_
oats:::::::
Oat Straw
Pork
Poultry and Eggs
Dairy Products
Pecans
Fodder
Silage
Velvet Beans
Potatoes
$22,441.35
7,697.50
3,697.22
3,677.50
1,591.50
5,944.00
922.98
7,127.00
151.40
171.24
39.60
316.00
5,000.00
8,838.00
4,896.00
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$65,848.09
Total
$18,760.65
$47,087.44
25,561.80
$72,649.24
Sales—
Miscellaneous
Total—
$72,511.29
137.95
$72,649.24
CO
Operating Expense—
Wages and Labor_ .
Board Employees
Treating Hogs
Misc. Supplies and Repairs
Gas. and Oils .
..
Sundries
Total
..
Net Profit for Year (Exhibit No. 4).
Grand Total
Gross Profit Brought Down-- .. —
.$15,505.21
_ 2,719.30
268.25
_ 4.650.89
110.90
126.22
$25,561.80
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$22,880.77
2,681.03
Grand Total.. ...
$25,561.80
$25,561.80
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Exhibit No. §.
Profit and Loss Statement, Dairy.
DEBITS.
Inventory as of Dec. 31st, 1921
Purchases During Year—■
Cotton Seed Meal
Hulls
Hay
Molasses
Velvet Beans
Silage
Chow Chow
Miscellaneous
CREDITS.
$ 2,659.00
$ 1,690.00
939.28
2,914.27
1,198.55
8.28
435.96
2,552.00
4,220.30
Total
$13,958.64
$16,617.64
Deduct—
Inventory at End of Year
$ 2,912.00
Total
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$21,439.79
19.95
245.40
1,189.68
1,539.22
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Grand Total
Cost of Food Used
Gross Profit for Year
Departmental Sales—
Sweet Milk
Butter Milk
Butter
Dressed Beef
Compost
$13,705.64
11,052.82
$24,758.46
Total
Cash Sales—
Feeds
Hides
Live Stock
Empty Sacks and Barrels
$24,434.04
$
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111.05
109.57
25.00
78.80
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Total.
324.42
$24,758.46
Operating Expense—
Salaries and Wages
Rents
Miscellaneous Repairs
Board of Employees
Total
Difference—
Net Profit
No. 4)
Total
Gross Profit Brought Down.
$ 4,722.18
128.00
2,514.58
649.80
$11,052.82
CO
$ 8,014.56
<
for
Year
(Exhibit
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3.038.26
$11,052.82
Total_
$11,052.82
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Exhibit No. 7.
Comparative Analysis Surplus Account, 1921-1922
DESCRIPTIVE
Working Resources:
$
Property Accounts:
Total
Current Assets:
1922
Total
1921
$
35,972.28
2,010.28
15.792.11
5,819.65
19,639.00
36,219.77
2,037.01
-
41,616.44
3,973.97
9,439.26
5,300.95
21,672.65
8,957.09
1,639.22
• 6,234.25
35,366.00
20,680.67
58,810.00
-
134,199.83
$ 196,980.77
-§
Total
$
12,513.66
4,380.46
5,000.00
12,928.91
5,282.81
3,000.00
1,106.40
22,956.19
22,318.12
$ 219,936.96
$ 156,517.95
$
Current Liabilities:
Due for Supplies
Employees Wages
Officers' Salaries
Outstanding Coupons
S
if
Total
Due Treas., Maintenance Fund
Reserved for Special Funds:
New Building
Wing Whittle Building
Patients Deposits
Occupation Therapy
f
11,379.77
28,171.00
4,914.96
336.88
if
7,431.36
28,415.25
4.869.12
$
44,802.01
62,747.76
$
20,627.63
123.68
9,5i3.66
297.20
34,277.19
123.68
9,928.91
357.58
$
30,562.17
Grand Total
$
138,112.54
$
As Adjusted
Less Excess of ExpendituresPlus Excess of Income
Net As per Books
Total
Grand Total
226,420.63
877.09
,$
if
81,333.54
81,333.54
if
225.543.54
143,719.12
$
42,133.12
44,687.36
100,455.83
81,824.42
if
219.936.96
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13,929.00
$
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5
Total
$
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$
Surplus: At Beginning of Years,
Adjustment, 1921-1922
40,715.73
15,052.74
ta
if
56,062.12
$
156,517.95
Exhibit No. 8.
Analysis Expenditure Nurses Home
RECEIPTS.
DISBURESMENTS
Brick
'
Forward from 1921
Appropriated in 1922
-? 3,313.25
2 034 77
Lumber"Lime and Cement
'
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$20,627.63
40,000.00
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938.55
331.60
Crushed""Stone
Roofing
Sewers
Sundries
Total
Wages Employees
Insurance (Builders Risk)
Total
AlMl
4,193.38
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$13,895.29
1,200.00
~
Balance—
Cash in Hand
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$15,095.29
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*34,277.19
d
$20,627.63
^ran,d Total
-_-^
$60^627^63
■
90
SEVENTY-NINTH ANNUAL REPORT
Report of Treasurer
R. C. SWINT, Superintendent.
Georgia State Sanitarium,
Milledgeville, Ga.,
DR.
My Dear Sir:—Agreeable to your request of this dale
I beg to enclose a statement showing the receipts and disbursements of the Treasurer of the Georgia State Sanitarium
for the year 1922 and trust that you will find same in order.
Yours very truly,
OTTO M. CONN,
Treasurer Georgia State Sanitarium.
Statement of Receipts and Disbursements of the Treasurer of the Georgia State Sanitarium for year 1922.
Dec. 31st, 1921, Balance Cash on Hand
$
7,452.77
Regular Maintenance Fund
800,000.01
Special Appropriation
149,999.99
Special Appropriation, Nurses Home
40,000.00
Gov. Hardwick—Check Account Loss
Coleman House
960.00
Refund Pay Roll for Month of March, L. J.
Lamar, Steward
197.00
T. R. Bennett, Supt. of Banks, Portion of
Unpaid Check of Bank of Emanuel
2,000.00
Interest on Daily Balances 4 1-20%
2,081.25
L. J. Lamar, Steward
11,442.58
$1,014,133.60
Disbursements for the Year 1922
Dec. 30th, 1922, Balance Cash on Hand
$ 990,347.88
23,785^72
$1,014,133.60
As Treasurer Georgia State Sanitarium and as assistant cashier of Exchange Bank we certify that at close of
business Dec. 30th, 1922, there was to the credit of Otto M.
Conn, Treasurer Georgia State Sanitarium the sum of
Twenty Three Thousand Seven Hundred Eighty Five Dollars and Seventy-two Cents.
Witness:
OTTO M. CONN,
Treasurer Ga. S. S.
H. G. BANKS,
D. W. BROWN,
Asst. Cashr. Ex. Bank.
N. P. B. Co., Ga.
GEORGIA STATE SANITARIUM
91
Report of Laboratory Technician
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Pathological Laboratory for the year 1922.
Resume
Serological examinations, as follows:
Blood (serum) for the Wassermann (Noguchi)reaction._- 1,400
Cerebrospinal Fluid for the Wassermann (Noguchi), colcolloidal Gold, Noguchi's Butyric Acid and Ross Jones
331
reactions and Cell Counts
Clinical Laboratory examinations, as follows:
TJrmalysis
Feces, Microscopic
Feces, Chemical for occult blood
Sputum, Microscopic for tubercle bacilli
Blood, films for malarial parasites
Blood, Counts, white, red or differential
Blood, hemoglobin estimations
Blood, sugar estimations
Gastric Contents
Pus, Microscopic aid Cultured
Milk, Chemical and Bacteriological
Bacteriological examinations, as follows:
Widal's agglutination test
Cultures, throat membrane
Cultures, blood
Cultures, urine
Cultures, acetic fluid
Culture, feces for bacillus typhosus
Vaccines, autogenous prepared
Histological examinations, as follows:
Surgical Tissue
Dog's Brains
..„
*«
J«
»5
<»>*
6
<
l
»
45
4
*
4
4
Post Mortem examinations, as follows:
Autopsies
Serological Examinations
The blood of the new patients have been collected, inactivated and examined for the Wassermann (Noguchi)
reaction as in the past eight years.
92
SEVENTY-NINTH ANNUAL REPORT
Of the 1406 specimens of blood serum examined for
the Wassermann of these 820 were from the new admission
or routine cases, and 586 were from the treated and nonroutine cases.
The following is a tabulation of the findings in the
routine blood examinations for the Wassermann reaction:
Race
White
White
Colored
Colored
Sex
Females
Males
„__ Females
Males
Total
No. Ex.
257
255
153
155
820
No. 4 plus Percent
reaction
age
10
3.8
24
9.4
40
26.1
27
17.4
101
12.3
Of the above examinations five white females, seven
white males, two colored females and two colored males
showed a weak or three plus reactions, making a total of
117 specimens that showed some degree of inhibition of
hemolysis, thus raising the percentage of positives to 14.2%.
The reagents for conducting the "Wassermann (Noguchi) reaction were made and standardized as in the past.
The Wassermann (Noguchi) reaction has been made
in all new cases since 1913, and the following comparative
statement of percentage may be of interest:
1914
1915
1916
1917
1918
1919
1920
1921
1922
General average for 9 years
Percentage
plus positive
9.8
11.6
12.5
13.4
15.8
15.7
20.0
15.5
12.3
14.06
Cerebrospinal Fluid Examinations
Of the 331 specimens of cerebrospinal fluid examined
for the Wassermann (Noguchi), Colloidal Gold, Noguchi's
Butyric acid and Ross Jones reactions and Cell Counts, 234
93
GEORGIA STATE SANITARIUM
were from the routine or new admission cases and the remaining 97 were from the non-routine or old cases and
treated cases. Two of the non-routine specimens were from
suspected spinal meningitis with negative results.
The following is a tabulation of the findings in the 234
specimens of eerebrospinal fluid relative to the Wassermann
■ (Noguchi), Colloidal Gold, Butyric Acid and Ross Jones
reactions with a comparative blood Wassermann reaction :
Race Sex
Blood
Fluid B.A.-R.J.
Colloidal Number
Race hex
mooo^
^^ Globulin
Positive
Goid
White
White
White
White
White
White
White
Col
Col
Col
Col '
Col
Col!
F's
F's
F's
M's
M's
M's
M's
F's
F's
F's
M's
M's
M's
4 plus
4 plus
Negative
4 plus
4 plus
Negative
Negative
4 plus
4 plus
Negative
4 plus
4 plus
Negative
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
P. Z.
S. Z.
S. Z.
P. Z.
S. /.
P. Z.
S. Z.
P. Z.
S. Z.
P. Z.
P. Z.
S. Z.
P. Z.
3
2
2
J
s
4
I
3
1
12
4
3
^ or
72
5J
°°-5
<«
Total considered pathological
Average Cell Count in Paretic Zone
-Average Cell Count in Syphilitic Zone
General Average
General Average for the past two years
20
%
- One of the routine specimens of spinal fluid showed a
three plus Wassermann reaction, Miningetic Zone in the
Colloidal Gold reaction with a Cell Count of one hundred
thirty-four, and a negative blood Wasserman reaction. The
specimen was also examined for bacteria with negative
results.
Clinical Laboratory Examinations
Urinalysis (Routine)
The following tabulation shows the abnormal constituents found in the 490 specimens of the routine urine:
Albumen, cast and pus
Albumen, cast and red cells
Albumen and cast
Albumen and pus
'
6
2
41
108
94
SEVENTY-NINTH ANNUAL REPORT
Albumen and red cells
Albumen and few leukocytes
Albumen, sugar and pus
Albumen, sugar and cast
Albumen and Sugar
Albumen alone
Sugar alone
12
106
l
2
1
8
3
Total considered pathological
290 or 59.1%
(Urinalysis Nonroutine)
The following tabulation shows the abnormal constituents found in the 949 specimens of the nonroutine
urine:
Albumen, pus and red cells
Albumen pus and cast
Albumen and pus
Albumen and cast
Albumen and red cells
Albumen and few leukocytes
Albumen, cast, pus and bile
Albumen and uric acid crystals
Albumen, sugar and pus
Albumen, sugar and cast
Albumen and sugar
Albumen alone
Sugar alone
Sugar, albumen, pus and cast
Cast alone
j
Total considered pathological
20
136
191
7
9
370
1
5
5
1
1
2
1
1
4
754 or 78.3%
Peces (Microscopic)
The following tabulation shows the microscopic findings in the 592 specimens of feces examined for animal
parasites or ova:
Necator americanus ova alone
42
Necator americanus, ascaris lumbricoides and trichuris
trichiura ova
1
Necator americanus and trichuris trichiura ova
8
Necator americanus ova and strongyloides stercoralis
embryos
2
Necator americanus, trichuris trichiura ova and cercomonas hominis
1
Ascaris lumbricoides ova alone
12
Ascaris lumbricoides, trichuris trichiura ova and strongyloides stercoralis embryos
15
GEORGIA STATE SANITARIUM
95
Ascaris lumbricoides, trichuris trichiura ova, strongyloides stercoralis embryos and cercomonas hominis 1
Ascaris lumbricoides, trichuris trichiura ova and entamoeba coli
1
Ascaris lumiiricoides and trichuris trichiura ova
50
Ascaris lumbricoides, trichuris trichiura ova and cercomonas hominis1
Ascaris lumbricoides ova and entamoeba histolytica
1
Trichuris trichiura ova alone
258
Trichuris trichiura ova and strongyloides stercoralis embryos
31
Trichuris trichiura ova, strongyloides stercoralis embryos and cercomonas hominis
3
Trichuris trichiura ova, strongyloides stercoralis embryos, cercomonas hominis and entamoeba histolytica
1
Trichuris trichiura ova, strongyloides stercoralis embryos and entamoeba histolytica
1
Trichuris trichiura ova, strongyloides stercoralis embryos, cercomonas hominis and entamoeba coli
1
Trichuris trichiura ova and cercomonas hominis
4
Trichuris trichiura ova
cercomonas hominis and entamoeba histolytica
3
Trichuris trichiura ova
cercomonas hominis and entamoeba coli
1
Trichuris trichiura ova and entamoeba coli
2
Strongyloides stercoralis embryos alone
22
Strongyloides stercoralis embryos and cercomonas hominis
2
Strongyloides stercoralis embryos and entamoeba coli 1
Cercomonis hominis alone
16
Cercomonas hominis and entamoeba histolytica
3
Cercomonas hominis and entamoeba coli
3
Entamoeba histolytica alone
2
Hymenolophis nana ova alone
2
Oxyuris vermicularis ova alone
1
Total positive for parasites or ova
492 or 55%
Feces (Chemical)
Two specimens of urethral pus were cultured, one of
and four of these specimens were reported postive.
Sputum (Microscopic)
Of the 90 specimens of sputum examined for tubercle
bacilli, 11 were reported postive.
™
96
SEVENTY-NINTH ANNUAL REPORT
Blood Films (Microscopic)
Of the 65 specimens of blood examined for malarial
parasites, 6 were reported positive for tertain parasites.
Blood Sugar Estimations
Four specimens of blood examined and recorded for
their sugar content while several other specimens were
examined in experimenting that were not recorded. The
Myers-Bailey Test Tube Colorimeter method was employed.
The four specimens recorded were from patients with
positive sugar reactions in urine, and specimens were collected after fourteen hours fasting, and all were reported increase in sugar content.
Bacteriological Examinations
Pus Cultures
Thirteen specimens of vaginal pus were cultured, ten
of which were reported positive for Gram negative diplococci or gonococci.
Two specimens of urethral pus were cultured, one of
these was reported positive for Gram negative diplococci or
gonococci.
One specimen of pus cultured from facial ulcer and
was reported positive for streptococcus and staphlococcus,
both aures and albus.
Throat Membrane Cultures
Four specimens of throat membrane were cultured
with negative results for B. diptheria.
Blood Cultures
One specimen of blood cultured with negative results.
Urine Cultures
Four specimens of catheterized urine were cultured,
and were reported positive for staphlococcus aureus. The
four specimens were from the same patient.
Feces Cultures
One specimen of feces cultured for B. typhosus with
negative results.
GEORGIA STATE SANITARIUM
97
Widal's Agglutination Test
Of the forty-five specimens of blood (serum) examined
for the Widal's agglutination test, twelve were reported
positive.
The following is a tabulation of the ten autogenous
vaccines prepared:
Prepared
Bacteria Used
Source
Number
3
Staphlococcus aureus-albus and bacillus
Face pustules
acne _
1
Staphlococcus aureus
Bladder
5
Staphlococcus aureus-albus
Furuncle
1
Gonococcus and staphococcus
Urethra
Total 10
In conclusion I wish to thank you, the Clinical Director,
Medical Staff and all concerned for their kind consideration and co-operation.
Respectfully submitted,
D. C. LEAPTROTT,
Laboratory Technician.
9S
SEVENTY-NINTH ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician:
Dear Sir:—Please find below the annual report of the
Engineer's Department for the year ending December 31st
1922.
IMPROVEMENTS
Work on the Nurses Home, suspended in September on
account of a lack of funds, was resumed in December in a
small way, it being necessary to make new contracts for lumber and to wait for its drying. The roof of this building
is on and the sash are in the windows, but not hung. The
interior remains to be completed. This includes the steam
heating, boilers, hot water apparatus, plumbing, electric
lighting, cutting up the interior into rooms by partitions,
plastering, stairways, all interior trim and painting.
A concrete slop stand has been built in the back yard
of the T. 0. Powell Building. This stand takes the place
of several wooden ones which were located about the premises. It is supplied with connections to the sewer and has
hot water pipe connections for the purpose of keeping it clean.
It also has a pipe frame around it which will be covered
with woven wire as a protection against dogs and buzzards.
The telephone line to the water works has been renovated ; that part of the line running through the city bein^
carried in the lead cable of the Milledgeville Telephone Co°
and -that on the other side on the poles of our power line!
The service is much improved.
A small porch has been built in the rear of the Echols
cottage.
Toilets have been built in the backyard of the Twin
Buildings for the convenience of the patients and employees
working in the kitchen.
A feed shed 100 feet long by forty feet wide at the
colony has been covered with galvanized roofing.
The Colony Buildings have been overhauled and the
cottage occupied by Mr. Swann has been painted inside
and outside.
GEORGIA STATE SANITARIUM
99
A small lean-to building has been built against the
wall near the horse stables with two water-closets and a
shower bath placed therein for the use of the white and
colored garden hands.
Two of the pumps at the water works have been
thoroughly overhauled and put in good working order. The
other pair were worked over last year. These pumps have
been worked for nearly fourteen years about half time with
out any extensive repairs having been made on them
previously.
Three washing machines in the laundry for whites
have had the outer galvanized iron shells removed and the replacement made with sheets of more permanent copper.
Other washing machinery has also been repaired.
Six rooms in the female and two in the male convalescent center buildings have been remodeled and plumbing installed, making three two-room apartments for officer's
quarters.
A porch has been built over the platform in front of
the cold-storage rooms, the roof being covered with a Barrett's 20 year specification pitch and gravel roof.
The woodwork of the circular covered way around
the water tower has been renewed and covered with tin.
The water closet in the recreation yard of the male
colored building has been remodeled and a new sewer run
from it in place of the original one which had become stopped up by roots having grown into it.
The cooking apparatus in all the kitchens has been
overhauled and put in good working order.
The pots for heating water for scalding hogs when
butchered have been moved from near the negro occupation building to a point on the branch near the "Hospital,"
and a concrete scalding vat and cleaning platform built
nearby.
Electric lights have been put in all the nurses rooms
in. the Twin Buildings., Those roqms were not wired when
the building was first occupied.
100
SEVENTY-NINTH ANNUAL REPORT
Two of the officer's cottages have had new hot water
pipes run to them.
The grade hands in this department have leveled off
the site for the new dairy building.
The fire department has been reorganized under Mr.
Miner and weekly drills are made.
The cottage occupied by the engineer at the waterworks, which was destroyed by fire early in the year, has
been rebuilt along the same lines as the original. This
work was done by the regular force of carpenters employed by the institution with the addition of a few extra hands.
On the west end of the Green building, where the walls
had spread through settlement, six through bolts have been
run to prevent further movement.
A sanitary system of sewers has been built at the
"Colony" for negroes with a septic tank and eight water
closets. This does away entirely with the unsanitary open
privies previously in use there.
A new stage has been built in the Amusement Hall in
the place of the old temporary one torn out.
An electrically driven coffee grinder has been installed
in the storehouse. It has the capacity of 180 pounds of
freshly roasted coffee, ground fine, per hour.
A new dairy barn has been begun just to the north of
the present buildings. This structure is 120' feet long by
35 feet wide. It is well under way and will be completed
in thirty days.
An electrically operated food grinder and mixer has
been installed in the kitchen of the T. 0. Powell Building.
Two toilet rooms have been built in the Negro Building. These rooms have cement floors, laid on cinder concrete, and each of them is furnished with a bath and water
closets.
One thousand square, feet of wood flooring have been
laid in the Twin Buildings.
GEORGIA STATE SANITARIUM
101
The work begun last year of replacing the worn out
and antequated seat flushing devices on the water closets
in the wards has been continued until now all of the water
closets in the institution, with the exception of a few in the
Powell Building, have the more modern overhead tank flushing equipment.
The walls and the woodwork of the Infirmary in the
Powell Building have been enameled white.
One room on the 20th white female ward has been
painted.
The floors on wards "A" and "D" in the Whittle
Building have been stained and waxed.
The Hot house has been repaired, a new roof put on
and glazed and the entire building painted inside and out.
The floors of thirty eight rooms, other than those mentioned above have been stained and waxed.
All of the woodwork of the 21st white female ward has
been painted and enameled.
The stairways and the walls of the stairwells in the
vestibules on each side of the Powell Building have been
painted.
In addition to the ordinary repair work of the institution the following work has been done in the several
shops:
CARPENTER SHOP
48
956
12
23
62
3
227
1
1
102
1
10
3
16
Lattice benches
Scrub brush backs
plow beams
Wagon bolsters
Turned balusters
One horse wagon bodies
Window buttons
Splint
Wagon breast yoke
Flush tank boards
Proof box in bakery
Coal bins on casters
Large meat chopping blks.
Oven peels
1
1
2
1
'295
8
6
27
783
9
1
210
33
Large kitchen cabinet
Large supply cabinet
Tool cupboards
Elevator car
Lin. ft. wire fence built
Door frames
Large double yard gates
made
Wagon hounds
Mop handles made
Large dipper handles
Chicken house
Pass locks rebuilt
Polishing mops
LIBRARY
102
SEVENTY-NINTH ANNUAL REPORT
18
1
3
4
36
1
1
1
8
1
15
1005
4
236
5015
Binder blades
Broomcorn vat
Hay crates
Plush tank covers
Tomato crates
Rolling chair crated
Book case
Furnace door center
Small cabinets
Double ox yoke
Panelled ;doors
Sqr. ft. floor laid
Large double gates made
Seed trays
Sq. ft. floor laid in white
wards
8 Ax handles
40 Hoe handles
8 Step ladders
146 Table legs turned
56 Pot paddles
20 Coupling poles
1 Platform
52 Box benches
420 Basket bottoms
39 Flower boxes
10 Two horse wagon bodies
1 Ox cart
4 Large refrigerators
7 Fumigating boards
12 Meat boxes
15 Voucher boxes
2 Sixty ft. cold frames
1 Bakers sponge board
2 Bread boxes
1 Meter box, waterproof
1 Soiled clothes box
6 Barrel covers
11 Water cooler cabinets
1 Tool box
3 Chicken coops
2 Baskets crated
7 Soiled clothes closets
9 Rooms ceiled
130
32
2
5
4
6
953
1
16
2
24
1
Pot plugs
Curtain poles
Pistons for binders
Poultry racks
Clothes racks
Bed back-rests
Fly swatters
Table for coffee grinder
Sets clothes shelves
See-saws for children
Sash
Shed around kitchen at
negro building
11 Singletrees
6 Feed troughs
45 Tables
3 Laundry trucks
34 Screen doors
93 Window screens ma,de
17 Porches screened
2 Ventilators screened
327 Coffins made
50 Chair rockers
1 Hat rack
26 Flights of steps
16 Flower stands
5 Stools
3 Dining room safes
4 Large double swings
1 Hay rake shaft
11 Wagon tongues
12 Doubletrees
1 Watering trough
15 Sink tables
1 Truck platform
4 Vegetable washers
227 Screen doors rebuilt
1242 Window screen repaired
3 Safes screened
3 Sleeping porches
screened
207 Boxes for shipping
coffins
TIN SHOP
5
2
5
24
6
Large refrigerators lined
Ash pans
Joints 6 in. stove pipe
Large tin dippers
Vegetable washers lined
66
6
12
1
2
Large ,dish pans made
Coal shovels
Oil cans
Funnel
Tables zinc covered
GEORGIA STATE SANITARIUM
2
12
36
3
330
99
Ice boxes lined
Milk shakers
Flower basket cups
Milk cans
Ft. couductor pipe set up
Ft. of valley laid
60
12
65
140
360
103
Squares of new tin roof
Vegetable baskets
Joints 5 in. stove pipe
Ft. eav trough hung
Ft. copper valley laid
BROOM FACTORY
5,760 Brooms made
SHOE SHOP
1615
1035
15
1000
Pairs shoes half soled
Heels repaired
Pairs rubber heels
Heel plates put on
825 Whole heels put on
800 Rips sewed up
100 Insoles put in
FURNITURE AND HARNESS REPAIR SHOP
31
10
307
7
26
55
8
4
99
207
24
20
Trunks repaired
Organ stools repaired
Window shades put up
Mangle aprons made
Baskets crated
Reins repaired
Window awnings put up
Art squares laid
Horse collars repaired
Window shades repaired
Chairs upholstered
Sewing machines repaired
29 Sewing machines crated
16 Pairs new reins made
4 Carpets put down
28 Pcs. furniture crated
26 Reaper aprons made
775 Wooden chair seats put
on
160 Cane seats put on
66 Dressers Varnished
44 Tables made
134 Tables varnished
110 Stools repaired
158
'49
175
51
95
190
206
10
3565
37
Mirrors put in dressers
Safes varnished
Bed frames repaired
Lounges upholstered
Sets of harness repaired
Bridles repaired
Hamestrings made
Suit cases repaired
Chairs repaired
Leather chair seats put
on
77 Dressers repaired
357 Board seats put on chairs
140 Tables repaired
75 Stools made
128 Stools varnished
59 Safes repaired
145 Bed springs put to bedsteads
. 50 Iron bedsteads repaired
58 Lounges repaired
84 Breechings repaired
12 Tie reins made
176 Backstraps made
104
SEVENTY-NINTH ANNUAL REPORT
PAINT SHOP
2
20
1
6
1
123
2
135
166
13
2
1
3
23
40
1
1
1
32
1238
Dressers scraped and varnished
Chairs scraped and varnished
Window seat box grained and varnished
Sink tables painted
Bedstead scraped and varnished
Flush tank boards stained and varnished
Cabinets varnished
Sash painted
Window frames given two coats
Porches painted
Porch floors waterproofed
Wagon painted
Bath rooms painted
Yard benches painted
Window screens painted
Small house painted
Outside flight of stairs painted
Room at Colony painted
Squares of new tin roof painted two coats
Large window glasses put in
Eightieth Annual Report
Board of Trustees
Georgia State Sanitarium
Milledgeville, Georgia
For the Year Ending
December, Thirty-First
Nineteen Twenty-Three
-— ■--•- 0* I--.."... £&ffi*
Board of Trustees
President.
T.
JOHN
Blackshear, Ga.
BRANTLEY
Vice-President.
H. II.
Gainesville, Ga.
DEAN
Secretary.
C. C.
BRANTLEY
E. E.
LINDSEY
Rome. Ga.
J. C.
JARNAGIN
Warrenton, Ga.
A. C.
NEWELL
Atlanta, Ga.
THOS.
M.
*THOS.
R.
II. W.
HALL,
Valdosta, Ga.
M. I)
WRIGHT,
SHAW,
'Deceased.
M. D. (Until July, 1923)... Augusta, Ga.
M. D. (From July. 1923)
WM. RAWLINGS,
Milledgeville, Ga.
M. 1)
Augusta, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee.
J. C. Jarnagin,
Thos. M. Hall,
E. E. Lindsey, Chairman,
A. C. Newell,
C. C. Brantley.
Finance and Auditing Committee.
A. C. Newell, Chairman,
C. C. Brantley.
Committee on Sanitation, Medical and Dispensary Service.
Win. Rawlings, M. D., Chairman,
Thos. M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds.
II. H. Dean, Chairman,
E. E. Lindsey,
II. W. Shaw, M. D.
Committee on Farm and Outside Business.
II. II. Dean,
J. C. Jarnagin, Chairman,
Wm. Rawlings.
Officers of the Sanitarium
R. C. Swint, M. D
Superintendent and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
J. K. Pettit, M. D
Assistant Physician
W. H. Allen, M. D
Assistant Physician
*D. T. Rankin, M. D. (Until June, 1923) .Assistant Physician
E. B. Saye, M. D. (Prom June, 1923)
Pathologist
C. G. Cox, M. D. (From July, 1923)
Interne
U . S. Bowen, M. D. (From June, 1923)
Interne
Jno. R, Harrison, M. D. (From July, 1923)
Interne
G. II. Green, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure
Engineer
II. S. Jones
Secretary
F. C. Penuel
Farm Steward
C. C. Miner
Assistant Engineer
Arthur Fared
Storekeeper
Mrs. Ann. G. Pettit
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge
Inspector
Rev. H. D. Warnock
Chaplain
•Resigned.
Eightieth Annual Report
OP
THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1924.
To His Excellency, Clifford Walker, Governor:
SIR : The annual report, required by law, of the Board
of Trustees of the Georgia State Sanitarium, for the year 1923,
is now respectfully submitted.
Report of Management.
The accompanying annual report of the Superintendent
and Resident Physician, to which is attached those of department heads, give in essential detail the record of the heaviest
year in the history of the Sanitarium. The new patients
received reached a total of 1,157, an increase of 300 over 1922.
The daily average number of patients resident in the Sanitarium was 4,172, exceeding the previous year by 254. Including its officers and employees, the Sanitarium now has a population of 4,899.
The work of the medical department continues of unusual
excellence and shows the Sanitarium to be steadily advancing
in efficiency in the treatment of insanity. It should be a matter of pride to the State that this is so.
The good work of the business officers is shown in a cost
to the State for each patient of $234.95, in which every
expense connected with the Sanitarium is included. This is
slightly lower than the cost of 1922. The daily cost for each
patient was but 64.37 cents. *■
The Training School for Nurses is a most valuable
adjunct and its thorough methods of training reflect much
credit on the Superintendent of Nurses in whose charge it is.
The Sanitarium is well managed because well officered.
Superintendent Swint, although but a year in office, has discharged his responsible duties most acceptably to the Board.
He has the loyal support of the medical and business officers
and it is to their combined effort that the remarkably fine
record for the year may be attributed.
1^1^——
EIGHTIETH ANNUAL REPORT
Financial Condition.
The deficiency appropriation granted at the last session
of the Legislature was unpaid at the close of the year, greatly
to the embarrassment of the Board. In consequence of this
the year closed with a deficit or overdraft of $222,966.03. The
Sanitarium was saved from a situation of exceeding gravity
only through the ability and willingness of the Treasurer of
the Sanitarium to advance the funds needed to meet its
expensesj and for this patriotic service lie is now tendered the
grateful thanks of the Board. This dangerous experience leads
the Board to enter a very respectful protest against the custom lately adopted of making appropriations for the support
of the Sanitarium which are known to be insufficient, thus
placing on the Board the burden of finding funds with which
to meet its needs until a deficiency appropriation can be had.
Such custom increases the cost because of the interest paid
on such funds. The Board deems the custom as unwise as it
is dangerous. The simple needs of this great family of the
afflicted are and ought to be a first charge on the resources of
the State, and should be willingly and generously supplied.
The receipts and disbursements for the year and the
financial condition of the Sanitarium at the close of the year
are shown in the following statement:
Receipts:
Balance from previous year
Regular appropriation
Deficiency appropriation
New building appropriation
Patients' deposits
Miscellaneous sales, etc
Overdraft with Treasurer
Total receipts
Disbursements:
Overdraft paid
Salaries and wages
Supplies bought
New building
Patients' deposits
Cash on hand
Total disbursements
$
1922
12,513.66
800,000.00
150,000.00
40,000.00
14,447.00
16,690.00
15,052.74
$
1923
12,928.91
800,000.00
Unpaid
.00
16,650.41
10,267.19
222,966.03
$1,048,703.40
$1,062,812.54
$
$
62,747.76
386,803.11
545,841.44
26,350.44
14,031.75
12,928!91
$1,048,703.41
15,052.74
383,985.95
598,250.49
35,943.74
15,552.59
14,027.03
$1,062,812.54
The working resources and current liabilities at the close
of the year, compared with the previous year, are as follows:
GEORGIA STATE SANITARIUM
Working Resources:
Cash on hand
Unpaid requisition
Accounts receivable
Sundry items
Supplies at cost
Farm products valued at
Live stock, farm implements, etc
Total working resources
Working Liabilities:
Overdraft. with Treasurer
'
New building appropriation
Salaries and wages due and unpaid
Accounts payable
Sundry items
Patients' deposits
Total working liabilities
$
$
12,928.91. $
3,000.00
5,282.81
1,106.40
70*926.93
21,672.65
41,600.25
156,517.95
$
14,027.03
849,96
8,058.74
98,164.77
21,654.65
41,600.25
184,355.40
15,052.74 $ 222,966.03
34,277.19
33,754.74
33,284.37
11,071.30
7,431.36
401.07
481.26
11,027.03
9.928.S1
$ 100,455.83
I 279,220.17
Dangerously Overcrowded Condition.
The Sanitarium has not room enough to meet the everincreasing demand on it, and the Superintendent now reports
that every bed in every ward is occupied. The condition in
the white female department is especially bad, for here a
normal capacity for 1,164 patients is now stretched to accommodate 1,573. Such a condition is as dangerous as it is unsafe.
Nor is it new, as the reports of the Board made each year will
show. It must be at once relieved if the Sanitarium is to continue to function in this department. A new building partly
completed is now had, but until an appropriation is made for
its completion it must stand idle. When it is completed it
will permit the removal of the nurses to it, and thus vacate
their rooms on the wards for the use of the white female
patients. This need is so imperative and further delay so dangerous that the Board very earnestly renews its request for
an appropriation sufficient to complete and furnish this building. It should be made available at once, so that work may
be resumed on it without delay.
Psychopathic Hospital.
The Board again calls attention to the great need in
the equipment of the Sanitarium for a suitably located and
equipped psychopathic hospital to be used solely for the care
and treatment of curable cases of insanity. Through it their
injurious association with the hopeless or chronic insane, now
unavoidable, would be done away with, and a better chance
for recovery given them. Such an addition to the equipment
would be not only a wonderful stimulus to the Medical Staff
but of great assistance to it. In addition, it would afford
needed relief to the present crowded wards in every department by the removal of such curable cases to it and might
well mark the limit in size to which the Sanitarium may be
wisely allowed to attain. A building for this purpose fully
SoSoOOOO
entSil a C St
°
°f
bGtWeen $250 000 00 a
'
-
"d
Occupational Therapy Building.
Occupational therapy means simply the effort to divert
and hold the morbid mind by giving the hands interesting
employment. Such markedly beneficial results have followed
its introduction, especially among the chronic or hopeless
cases and the least attractive of these, that it is being extended
as rapidly as possible. For this purpose there is now needed
a small building for the use of the white female patients in
which they may be protected from the weather, and occupation
taught them. The cost is but $9,260.00. The Board asks that
an appropriation be made in this sum and for this purpose
to become available at once, believing that this progressive
work of the Medical Staff and nursing force is worthy of
every encouragement.
Ice Plant Worn Out.
The ice plant of the Sanitarium has been in use for more
than twenty years and is now not only outgrown but worn
out to such an extent that it is no longer equal to the demand
on it. Inasmuch as an abundant supply of ice is so vital to
the comfort and well-being of the patients, the Board now
asks for an appropriation of $29,905.00, which is the estimated
cost tor the installation of a new plant and for a needed addif ion to the cold storage room now had.
Duplicate Water Supply Pipe Line.
It is necessary to call attention once more to the situation
of the Sanitarium in respect of its water supply Its single
pumping station is located on the banks of the Oconee River
about four miles away from the Sanitarium, which is reached
through a single pipe line running for one mile through land
subject to overflow when the river is in flood. A break in it
at such time and place could not be repaired and a water
famine would follow. Only a duplicate pipe line will protect
the Sanitarium and its inmates from such a happening, and
GEORGIA STATE SANITARIUM
its cost is estimated by the Sanitarium Engineer at $44,036.00.
The very great importance of this protection fully warrants
the appropriation asked.
Outside Fire Escapes.
Criticism of the Sanitarium continues to be made from
time to time because of the absence from its equipment of
outside fire escapes, such critics being apparently unmindful
of the fact that escapes of the usual ladder type would be as
dangerous to the patients as fire. The Sanitarium has always
relied on inside enclosed stairway of wood well placed as the
means of escape in the event of fire. The only type of outside escape of any value would be the enclosed iron cylinder
with spiral slides known as the Kirkner-Bender escape. The
Board will be very glad to install these if an appropriation of
$25,000,00 may be had to defray the cost.
The Plant.
The usual repair and replacement work has been carried
on through the year. The increasing age of most of the buildings makes this work an item of considerable and growing
expense. The report of the Engineer will show how busy his
department has been.
Planning Now for the Future.
The Board believes the time is at hand when the State
should face the problem of founding a second hospital for the
insane. The Sanitarium now has a population of patients, employes and officers of approximately 5,000 and may not wisely
be permitted to attain a much larger size. A second hospital to
care for the steadily increasing number of insane is the only
solution. Whether it should be used to separate the curable
from the incurable cases, or to separate the races, or to be
a duplicate of the Sanitarium, receiving all classes and races,
is a matter which should receive mature consideration. The
problem is one which might well be committed to a special
commission created for this purpose and reporting to some
future Legislature. The Board will be glad to give its assistance in any way desired.
Deficiency Appropriation for 1924.
The regular appropriation of $800,000.00 for the support
of the Sanitarium in 1924 was known to be insufficient when
granted and it was far under the carefully prepared estimate
HWI mma
10
EIGHTIETH ANNUAL REPORT
of the Board submitted at that time. The Board now estimates that the cost for 1924 will be $1,015,478.00 and to this
is to be added the deficit brought over from 1923 of $222,966.00. From it is to be deducted the deficiency appropriation for 1923 when paid of $239,864.00. This'will leave a
deficiency of $198,580.00 to be supplied and an appropriation
in this sum and for this purpose to be made available in the
year as needed is respectfully asked .
Regular Appropriations for 1925 and 1926.
The very careful estimate of the Steward, approved by
the Superintendent and checked by the Board, fixes the number of patients to be cared for in 192.1 and 1926 and the sums
needed for their support as follows:
For:
Salaries and wages
Food supplies
. Clothing, etc
Furniture, bedding, etc
Fuel and lights
Upkeep ot plant
Medical supplies
btationery and postage
Miscellaneous expenses
Farm, garden and dairy
Total
1925
' 1926
4472 Patients 4G22 Patients
$ 411,594.95 $ 425,399.4:,
263,584.13
272,42513
80,752.50
83,46150
60,876.75
83,46150
91,576.75
94,655.25
35,515.80
36,706.80
11,011.16
11,380 16
4,725 91
4 88491
62^866.36
64c75 36
28^221^24
29,'l66!24
$1,050,725.55 "$1,085,973.05
and appropriation in these sums are recommended.
Summary of Appropriations for Needed Additions and Improvements.
1.
For the completion and furnishing of the John T. Brantley Building (Nurses Home), the sum of $81,245.00.
2.
For a new ice plant and enlargement of cold storage room
the sum of $29,905.00.
3.
For occupational therapy building for use of white female
patients, the sum of 9,260.00.
4.
For a duplicate pipe line from pumping station to Sanitarium, the sum of $44,036.00.
5.
For the installation of outside fire escapes, the sum of
$25,000.00.
6.
For the erection and equipment of a psychopathic hospital, the sum of $250,000.00.
11
GEORGIA STATE SANITARIUM
Changes in the Law.
The Board recommends the following changes in the laws
governing the Sanitarium:
1.
Amended so as to permit the transfer to the State Home
and School for the Feeble Minded of the children in
this class now inmates of the Sanitarium.
2.
Amended so as to forbid the reception of the criminal
insane whose care and safekeeping should devolve upon
the Prison Commission. The Sanitarium is a hospital
and not a prison. It has no means of safeguarding
these criminals. The enforced association of the innocent insane with these criminals is repulsive to every
sense of decency.
Amended so as to clearly define the classes entitled to
admission to the Sanitarium.
3.
4.
Amended so as to provide for the admission on the recommendation of one or more reputable physicians of border
line cases for the purpose of examination and advice.
For the Board.
The Board has endeavored to discharge its full duty
punctually and faithfully. It has held quarterly meetings at
the Sanitarium through the year and caused its committees
to visit it monthly. The funds at its disposal have been carefully administered. Supplies were bought on competitive bid
as far as practicable. The Superintendent has been given every
support. The record for the year is full of hope. The Board
is grateful to your Excellency for your continued confidence
and now thanks you for it. With the prayer that the favor
of God may ever rest upon this great family of the afflicted
this report is now submitted.
By order of the Board :
C. C.
BRANTLEY,
Secretarv.
JOHN
T.
BRANTLEY,
President.
12
EIGHTIETH ANNUAL REPORT
Report of the Superintendent
GEORGIA STATE SANITARIUM, JANUARY 1ST,
1924.
THE HONORABLE BOARD OP TRUSTEES,
.GEORGIA STATE SANITARIUM
:
Gentlemen:—In accordance with your requirements I
submit herewith the Eightieth Annual Report of the Georgia
State Sanitarium which covers the period from January 1st
1923 through December 31st, 1923.
Accompanying this are reports of the heads of the various
departments of the institution which I trust will give you a
satisfactory account of the management of the Sanitarium for
the year 1923.
TABLE OF GENERAL INFORMATION.
1.
2.
3.
Date of opening as an institution for the
insane
October 12th, 1842
Type of institution
__State
Hospital plant:
Real estate including buildings
#1,692,750.00
Personal property
.
'327'452^00
Total
4.
$2,020,202.00
Total acreage of hospital property owned (Includes
grounds occupied by buildings, farm and garden
sites)
3450 aereg
total acreage under cultivation previous year
1,750 acres
Officers and employes actually in service at end of year:
Superintendents
Clinical Director
Pathologist
Assistant PhysiciansMedical Internes
Clinical Assistants
Resident Dentist
Stewards
Graduate Nurses _
des
1
1
1
7
3
0
1
1
1
Females
0
0
0
0
0
0
0
0
16
Totals
1
1
1
7
3
0
1
1
17
GEORGIA STATE SANITARIUM
Other Nurses and
Attendants
All Other Officers and
Employes
Total Officers and
Employes
186
209
395
203
25
228
405
250
655
GENERAL STATISTICS OE PATIENT POPULATION
FOR THE YEAR 1923.
Total number of patients on records, January 1st, 1923—4,553
Admitted during the year:
Males
First admissions
442
Readmissions
10^
Total admissions
547
Total under treatment during the year
Females
473
137
610
Total
915
242
1,157
_.5,123
-_4,172
Daily average under treatment
Discharged during the year:
(Does not include patients on furlough , but those
who have remained out over twelve months.)
Total
Females
Males
163
66
As recovered,
"'
233
137
As improved
"6
116
71
As unimproved
4o
17
4
As without psychosis
13
529
278
251
350
166
184
Died
879
444
435
Total discharged during the year_
Total actually in Sanitarium
4,244
2,286
January 1st, 1924
1,958
587
317
Total number at home on furlough— 270
4,831
2,603
Total remaining on books
2,228
The work done by the Sanitarium for the reception, care,
treatment and discbarge of patients, is the principal business
of the institution, to which all other activities are secondary,
and was increased compared to the previous year by 300 admissions, 254 in daily average, and 270 increased population
at the end of the fiscal year. The percentage discharged,
recovered and improved, based on the number of patients
received during the year, was 33.15%. This does not include
those furloughed during the year, but those who have remained
out of the Sanitarium longer than 12 months, and have made
readjustments that enable them to remain out of the institution.
14
EIGHTIETH ANNUAL REPORT
You will find an analysis of the furloughed patients in
the Clinical Director's report. Of the 720 patients furloughed
during the year 586 or 48'/, (based on the number of admissions) were furloughed as restored or improved.
Some of the patients admitted to the Sanitarium are
incurable on admission, and their problem is one principally
ol custodial care, but the majority of admissions have problems that aiv very complex as to etiology. The cause of their
illness is not found in some existing physical disease alone,
but to a complication of factors. We cannot go verv far, however, in the study of behavior disorders without becoming
aware that in order to understand them they must be studied
and considered in relation to feeling and thought. In other
words, we have to consider relations between soundness of
mind and soundness of body.
In order to properly approach these problems it is very
essential that we know something of the personal and family
history of the case under study, their habit of reacting to
various stimuli of their environment, as to whether "the reaction is graded to the stimulus and appropriate to tne occasion.
An individual witli mental disease is as truly sick as one
with some definite physical disease, and should be'so regarded
hut there is still a great deal of prejudice and superstition of
mediaeval times among the educated and intellectual as well
as the uneducated in their attitude and notion of mental
diseases. The general public has not become fully educated
to the necessity of making an intelligent contribution nor of
assuming the correct attitude toward their most unfortunate
fellow beings who have to he deprived of their liberty by the
very nature of their illness.
Many of the things known and of recognized value are
not being made use of for the conservation of mental health
and the betterment of the race. How ignorant we are of the
mechanism of heredity, and yet how dependent we are upon its
influences.
Does not the planter and the stock breeder pay attention
to the improving tendency of the laws of Heredity?
_ Are we as human beings going to keep our eves closed to
its influences as applied to the race?
No one can today be intelligently interested in questions
ot public welfare who is not prepared to consider the problem
Of eugenics m relation to individual success, happiness and
race improvement.
GEORGIA STATE SANITARIUM
15
MEDICAL SERVICE.
Several changes have taken place in the medical staff
(luring the year.
Assistant Physicians R. W. Bradford, L. A. McCalla and
I). T. Raiikin resigned. The two former to enter private practice; the latter to accept a position of promotion in a state
hospital in Pennsylvania.
Drs. U. S. Bowen, C. G. Cox and Jno. R. Harrison were
employed as Internes to fill their vacancies.
Dr. E. B. Saye, who was formerly Pathologist to the
Sanitarium hut resigned during the world war to enter the
army, was reelected Pathologist, and returned to us on June
1st and since that time has had charge of the laboratory.
During the previous year he was Associate Professor of Pathology and Bacteriology at Emory University Medical School.
His training and experience should prove of great value to
the medical service of the institution. In co-operation with
the medical staff he has begun some research studies of the
blood chemistry of epileptics.
You will find a detailed report of the medical work
during the year in the report of the Clinical Director.
Extra Mural Mental Clinics and Social Service.
The maintenance appropriation for the Sanitarium has
been too inadequate to attempt the establishment of additional
mental clinics similar to the one that has been conducted at
Macon for several years. It seems that the usefulness of the
institution might spread more and more into extramural activities along this line so that borderline and prepsychotic
cases could be reached before they are committable. I believe
that the usefulness of the Sanitarium can also be extended
by establishing an out patient clinic at the institution. I occasionally get letters from some physician or others asking for
advice, or to recommend where they might go or send some
relative or friend for expert examination. Furthermore, the
service of the institution might be more efficient if our maintenance appropriation was adequate for the inauguration
of a Social Service Department. Much good could be accomplished in this work along the lines of obtaining historical
data of new admissions, and follow up or after care service
in the furloughed patients. Conduct disorder is the chief
cause of the committment of patients, and a properly organized social service could do a great deal toward helping
1C
EIGHTIETH ANNUAL REPORT
the furloughed patients through their earlier stages of adjustment in their various communities.
Overcrowded.
Your honorable body is fully aware of our overcrowded
condition as your attention has been called to this from time
to time, and you have called attention to it in previous reports
to the Governor. The matter has now reached that stage
where something must be done. Every ward in the institution
is full, and we are forced to make room for beds in every
available space that can be utilized for such purpose.
In the white female department we have had to lattice
off a portion of some of the day rooms for beds. Such a condition of overcrowding is to be regretted, it is not safe, for
we are forced to sleep two in rooms that should be occupied
by only one. Allowing 1,000 cubic feet of air space for each
patient our estimated capacity in the white female department
is 1,164, while our actual resident population in this department is 1,573, making 409 above normal capacity, or 35%
overcrowding.
The time has come when the State will have to face the
problem of building another institution for the care and treat■ ment of mental diseases in some other section of the State. The
completion of the nurses' home would not solve this problem
but would give us additional rooms that we badlv need In
tins connection I will state that the success of any hospital
whether state or private, is greatly dependent upon its nursing torce, and we cannot expect the best and most efficient
services from our nurses and attendants unless thev are properly domiciled and taken care of. It is rather unreasonable
to insist that they constantly live in the environments of the
hospital wards. I hope the next legislature can be made to
see the wisdom of making an adequate appropriation to
finish and furnish the Jno. T. Brantley Building, our new
A arses Home, that is already about two-thirds completed
and has had to remain in this condition during the past year
on account of lack of funds for its completion.
One of the worst features of this overcrowding is that
it interferes with and is a great handicap in the treatment of
our patients especially the habit training that is so essential
in many of the unfortunates who are sent to the Sanitarium.
Finances.
The report of the Steward gives an analysis of our income
and expendrtures for the year. Economy has been the watch
GEORGIA STATE SANITARIUM
17
word in every department, and we have practiced the strictest economy possible considering efficiency of service, the
welfare of the patients, and the preservation of the physical
plant. The cost to the State for each patient was $234.95 as
compared to $238.04 the previous year. The cost per day
was 0.6437 compared to 0.6525 the previous year. This cost
included every expense connected with the care and treatment as well as the upkeep of the physical plant. During the
year, however, we have been greatly handicapped in our efforts
by an inadequate appropriation to meet our actual needs. Your
honorable body is thoroughly familiar with this matter, and
I do not deem it necessary to elaborate on it. The State has
no greater obligation, nor will it ever undertake a more
humane endeavor than taking upon itself the responsibility
for the care and treatment of her unfortunate citizens who
are afflicted with mental diseases. Civilization will have advanced a step when social consciousness awakens to the importance of placing at the disposal of the Boards of Trustees
funds adequate to meet the needs of the problem of conservation, care and treatment, and rehabilitation in this field of
humanity's greatest wreckage.
Improvements and Repairs.
Some of the buildings of the institution have been occupied for more than 80 years, and the wear and tear given a
building and its furnishings inhabited by all kinds of patients
afflicted with all types of mental diseases, is necessarily great.
Many improvements have been made during the year that
add to the value of the physical plant and equipment. The
report of the Engineer, Capt. T. H. DeSaussure, gives a detailed account of the improvements and repairs during the
year, and it shows the mass of work along this line that is
required for the upkeep of the institution.
Farm, Garden and Dairy.
By reference to the Farm Steward's report you will note
the amount of food stuffs produced during the year.
Considering the excessive rains during the year I think
the amount produced makes a very favorable showing. It
seemed at one time as if our corn crop at the Colony would
be almost a failure on account of excessive rains, but the production was 7,511 bushels compared to 6,158 bushels the previous year; also 66,525 lbs. of pork compared to 33,347 lbs.
the previous year. Our farm, garden and dairy was operated
during the year at an estimated net profit of about $13,000.00.
^OHWHHBMMHU
18
EIGHTIETH ANNUAL REPORT
Religious Services.
Religious services were held on Sunday afternoons each
week during the year by the pastor of the Baptist Church at
Milledgeville. He also conducted the funerals of all white
patients buried in the Sanitarium cemetary. The Catholic
Priest from the City of Milledgeville looked after the requirements of the members of the Catholic Church. Religious
services and burials in the colored department were conducted
by our local chaplain in that department.
Amusements of Patients.
The Sanitarium Band gave concerts for the patients three
times a week. Moving picture shows were provided for them
twice a week, and they attended their usual dances at the
amusement hall one afternoon each week. Other features of
amusement such as walks and games viz: tug of war, foot
races, sack races, running and jumping, climbing greased
poles, baseball, etc., were provided.
Reactions to amusement is very noticeable in an audience
composed of the colored insane. Various forms of diversion
is appreciated by the patients of both the white and colored
races, and it is beneficial to them. In this connection I will
state that the improvement in the physical appearance of the
wards and its furnishings such as an extra coat of paint etc
has a salutary effect upon them.
Needed Improvements Requiring Special Appropriations.
1. The completion and furnishing of the Jno. T Brantley Building. (Nurses' Home.)
2. Enlargement of ice plant, and reconstruction of cold
storage.
3. Build and equip an occupation building for white
female patients.
4. Install duplicate water pipe line from water works
to bamtarmm.
5. Outside fire escapes for the various buildings.
6. Build and equip a modern hospital building adequate
to accomodate all patients of both sexes and races who have
some definite physical disease problem requiring special medical or surgical treatment with a centralized operating room
ouch an addition would modernize our institution, and create
that atmosphere of progress and stimulatiou that nothing else
could.
°
GEORGIA STATE SANITARIUM
19
New Legislative Matters.
1. Sec. 3, Page 163-4, Acts 1918 should be revised.
2. Voluntary admission law should be enacted whereby
upon the recommendation of a reputable physician early and
borderline cases might be admitted for a few days for examination and advice.
3. Means for raising funds for aiding the maintenance
of the Sanitarium could be found in a county payment
law so formed that each county would become responsible to
the State Treasury for one-half the amount it cost to maintain and treat each patient committed from said county.
4. To change the name of the Georgia State Sanitarium
to Georgia State Hospital.
PELLAGRA STUDY.
The U. S. Public Health Service continued during the
year the study of the dietary treatment and prevention of
pellagra begun at the Sanitarium in 1914. This work is being
done under the direction of Dr. Joseph W. Goldberger of
Washington, D. C, and, as for some years past Dr. W. P.
Tanner continued in immediate charge of it.
During the year tests of buttermilk, batter and cod liver
oil were made with results, according to the investigators,
which confirm the previously favorable experience with milk,
and indications that butter and cod liver oil are lacking iv
specific value in this disease.
Acknowledgements.
The successful management and conduct of the affairs of
an institution of the type and size of the Sanitarium cannot
obtain without loyal and efficient heads of departments, and
loyal and co-operative employes. He who assumes the responsibility of Chief Executive or Administrative Officer must
pay a great toll.
I deem it # privilege to express to your honorable body
my deep appreciation for your confidence, kindness and
courtesy to me, and for your constant interest in the affairs of
the institution during the year. My profound gratitude is
here expressed to the Medical Staff, other officers, nurses,
attendants and all other employes for their loyalty, faithfulness and co-operative spirit.
We also express our sincere thanks to the Women's clubs,
and other organizations and individuals over the State who
were so thoughtful and kind to send to the patients so many
boxes and gifts at Christmas time.
Respectfully submitted,
R. C. SWINT, Superintendent.
^■**
nSHHHHH
20
EIGHTIETH ANNUAL REPORT
Report of Clinical Director
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—I have the honor of submitting the report of
the Medical Department of the Sanitarium for the year ending December 31st, 1923.
During the year 1,157 patients were admitted of whom
242 were readmissions; 743 patients left the institution and
350 died.
•
Tables 2 and 3 give diagnostic groupings of the first and
second admissions. Twenty-three patients were discharged
as not insane. They were grouped as follows: Drug addicts
not insane 12; Constitutional psychopathic inferiority without psychosis 3; Mental deficiency without psychosis 3; Alcoholism 1; Recovered before admission 1.
Three not insane.
Table 4 gives diagnostic grouping of those furloughed.
The subsequent tabulations are self explanatory.
The number furloughed as restored or improved was
48% of the admissions.
Health.
The percentage of deaths was 6.8 based on number treated.
A large portion of the deaths were due to degenerative
diseases such as arterio-sclerosis, paresis, nephritis, etc-.
Sixty-seven per cent, of the deaths from pneumonia occurred
in patients over sixty years of age. Five cases of typhoid
fever with no deaths were reported during the vear. The
entire population with the exception of a few sick'and feeble
were vaccinated against typhoid. There has been a very
noticeable decrease in the number of mosquitoes. Only one
case of malaria was reported. Pneumonia, general paralvsis
of the insane and tuberculosis were the leading causes of death.
Medical Work.
Staff Meetings. The policy of bringing before the Staff
only those new cases which presented some problem from the
point of cause, diagnosis or treatment has been adopted'. This
is a time saving procedure and the Staff can spend its efforts
to the best advantage as a result. At intervals also Staff
conferences have been held at which medical problems of
general interest were discussed. These have been of much
value.
GEORGIA STATE SANITARIUM
21
Sustained efforts have been made along two broad linesintensive treatment of acute curable cases and improvement
or amelioration of chronic incurable cases.
Occupation therapy, diversion, increased personal contact, rest, special diet and special nursing have been the chief
factors stressed in treatment of the acute cases. Treatment
is begun in most instances at the time the patient is received
on the ward. Provision has been made on the white female
reception ward so that new patients can be carried to occupation rooms on the same ward. This is of especial value since
it serves to check idle tendencies. A ward full of busy
patients is an incentive to a new arrival. A large number
of warm and cold packs are given on some of these wards. In
the white male department a small tract of land has provided
the means of out door employment for a large number of men.
This fulfills a long felt need. There has been a most noticeable decrease in the number of baths and packs given since
this feature was inagurated. Furthermore, there are almost
limitless opportunities to further develop out door employment and diversion in this department.
Among the chronic cases, more particularly dementia
praecox, habit training and occupation are chiefly relied upon.
In an institution so large as ours it is difficult to provide occupation or diversion for all.
The medical and surgical work has been well taken care
of by the Staff.
The pathologist collaborating, one of the ward physicians
treated five cases of dementia praecox by intra-spinous injections of normal horse serum after the manner outlined by
Carroll. No results were evident and the work was discontinued.
In a similar manner blood chemistry of epileptics has
been taken up. At this time no positive conclusions have been
reached.
Laboratory. The work here has been conscientiously and
efficiently done. The serological information afforded is one
of the greatest value. In addition to the routine duties some
research has been undertaken. The laboratory is fulfilling its
function better than ever before.
22
EIGHTIETH ANNUAL REPORT
Training School for Nurses.
The work in this department has been carried on in the
same efficient way as fomerly. The graduates have been
uniformly successful and reflect great credit on the training
school and its head. It is a matter of pride to note that one
ox its graduates received the highest mark on the Slate Board
examination during the year.
»
Training School for Attendants.
This has been planned entirely along practical lines
Beginning m October a series of lectures dealing with every
day problems of nursing the insane were delivered to all the
attendants in the institution. This was supplemented by
distribution of pamphlets giving illustrative cases with
methods of management. The results have been better than
was expected. The fact, alone, that the number of filthy
patients were reduced by 34% in a few months amply justifies all efforts made m this direction. (The ultimate aim of
this work is to increase loyalty. Results will nal urally follow )
In order to gam first hand information a graduate nurse has
spent her entire time doing mental nursing, Her efforts have
been fruitful and we can reasonably hope for further ad-
h been arra ed t0 issue
IZlV
T7\ Uand
fnurses in ^order that they
—ith
eaflets to X"
the attendants
mayv
be kep better posted as to what is being accomplished "in he
medical work throughout the Institution.
Occupation Therapy.
Occupation therapy has been started at eight different
t' tl
I"0"6!l0T^ Wm S°°n be ™** for occupancy.
About three hundred patients daily is the average number
treated in this way. This does not of course include tho e
working on the wards and in the industrial departments
The products of the occupation therapy group have been sold
and he proceeds reinvested in material, "in Addition a R^l
outfit that may be connected with any Ward having a telephone
has been purchased from the funds. A portable movSp
Jure machine bought by this department is used chiefly for
the colored population. This however mav be used on any
of the wards. A recent exhibition of pictures to a class 0f
parents who cannot be carried to the amusement hau, showed
AZ
23
GEORGIA STATE SANITARIUM
very conclusively that their attention could be attracted and
held This is of distinct therapeutic value particularly to
the chronic, untidy, apathetic, indifferent cases of dementia
praecox and the more extensive use of the pictures is urged
if finances will permit.
Out-Patient Department. The Macon Clinic has entered
well into its fifth year. The number of patients attending
has been about the same as in former years. We feel that
this work is well established and is of much value. It seems
probable at the time of writing this that our Clinic will be
made the neucleus of one of the Commonwealth's demonstration Clinics. This would be a distinct compliment to the institution as one of our physicians will be ultimately put in
charge.
Grateful acknowledgment is made to the Board, to you,
to the Staff and to all those in the Medical service who have
co-operated to carry the year's work through.
Respectfully submitted,
N. P.
"WALKER,
Clinical Director
24
EIGHTIETH ANNUAL REPORT
TABLE I.
Diagnostic Grouping of Patients Admitted During Year 1923.
Psychoses.
1.
2.
3.
4.
5.
G.
7.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
White
Colored
M
M
F
Total
Traumatic
2
0
1
1
4
Senile
~ 17
1
25
10
53
With cerebral arteriosclerosis
25
11
20
10
66
General paralysis of the insane__. 18
3
27
14
62
With cerebral syphilis
3
0
4
1
8
With Huntington's chorea
3
0
0
0
3
With brain tumor
0
1
0
0
1
With other brain and nervous diseases
3
4
2
0
9
Alcoholic
11
0
2
0
13
Due to drugs
7
0
0
0
7
With Pellagra
l'.~~
7
3
2
8
20
With other somatic diseases
3
9
0
1
13
Manic depressive
79 150
40
68
337
Dementia praecox
45
73
40
76
234
Paranoia or paranoic condition...
0
0
0
0
0
Epileptic psychosis
24
5
18
6
53
Psychoneuroses and neuroses
3
9
0
0
12
With constitutional psychopathic
inferiority
10
0
0
0
10
With mental deficiency!..'
... 33
8
20
13
74
Undiagnosed psychoses
28
42
20
15
105
Not insane
2
1
0
0
3
Alcoholism without psychoses..
3
0
0
0
3
Drug addict without psychoses,
5
5
0
0
10
Epilepsy without psychoses
I 2
10
1
0
13
Phychopatic personality without
psychoses
1
6
0
0
7
Mental deficiency without psychoses
12
19
3
3
37
Total
346 384 201 226 | 1157
25
GEORGIA STATE SANITARIUM
TABLE II.
Diagnostic Grouping of First Admissions During Year 1923.
White
Phychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
M
2
Traumatic
17
Senile
23
With cerebral arteriosclerosis
General paralysis of the insane.— 16
2
With cerebral syphilis
3
With Huntington's chorea
0
With brain tumor
With other brain and nervous dis
3
eases
10
Alcoholic
2
Due to drugs
7
With pellagra
3
With other somatic diseases
51
Mania depressive
28
Dementia praecox
0
Paranoia or paranoie condition—
21
Epileptic psychoses
2
Psychoneuroses and neuroses
With constitutional psychopatic
9
inferiority
With mental deficiency
26
Undiagnosed psychoses
24
2
Not insane
Alcoholism
1
Drug addict without psychoses3
Epilepsy without psychoses
2
Psychopatic personality without
psychoses
Mental deficiency without psychoses
Total
264
r
Colored
M
F
Total
0
25
10
3
0
0
1
1
1
19
27
4
0
0
1
11
9
12
0
0
0
4
54
61
58
6
3
1
3
0
0
3
7
95
56
0
10
6
2
1
0
2
0
30
35
0
18
0
0
0
0
7
0
50
62
0
5
0
11
2
19
10
226
181
0
54
3
14
37
0
0
4
1
0
17
17
0
0
0
1
0
13
14
0
0
0
1
12
70
92
2
1
7
5
19
286
178
187
915
HH^^^HUBi
20
EIGHTIETH ANNUAL REPORT
TABLE III.
Diagnostic Grouping of Beadmissions During Year 1923.
Phychoses.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane—
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous dis
eases
Alcoholic
Due to drugs
With Pellagra
With other somatic diseases
Mania depressive
Dementia praecox
Paranoia or paranoic condition__
Epileptic psychoses
Psyehoneuroses and neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychoses^
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic personality without psychoses
Mental deficiency without psy
choses
Total
White
Colored
M
M
F
0
0
1
2
1
0
0
F
Total
0
0
0
2
1
0
0
0
0
3
4
2
0
0
0
0
0
1
1
18
14
0
0
0
2
1
5
1
3
111
53
0
4
4
(I
0
0
0
0
1
1
0
0
0
0
3
20
14
1
2
4
0
0
0
0
3
0
0
23
39
1
0
5
0
0
28
17
0
2
1
1
0
0
0
2
55
17
0
2
3
0
1
0
0
0
10
5
1
11
5
0
2
2
0
2
5
5
0
3
3
82
98
(I
0
0
242
TABLE IV
Diagnostic Grouping of Patients Furloughcd During the Year 1923.
11
COLORED
WHITE
Rl I
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous diseasesAlcoholic psychoses
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
Constitutional psychopathic inferiorityMental deficiency
Undiagnosed psychoses
Not insane
Drug addict without psychoses
Constitutional psychopathic inferiorityEpilepsy without psychoses
Mental deficiency without psychoses
Alcoholism without psychoses
Total
_
0
0
o
0
0
0
0
0
6
4
1
0
27
1
0
0
0
3
4
4
0
0
0
0
0
0
R I
US
I)
3
4
I)
0
(I
o
2
0
0
1
0
10
24
0
5
0
4
14
(i
0
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
0 63
0 5
0 0
0 2
R I
I" S
0
0
01
0
0
0:
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
1
0
0
0
0
0
0
1
4
(12
35
1
3
4
0
7
12
0
0
0
0
0
0
Female
Male
Female
Male
Psychoses.
Rl I
U S
2
1
0
0
1
o
2!
2
0
0
0
0!
0
0
0
1
0
0
o: 0
1
II
0!
2
0
0
0
0;
o!
0
19
8l
0
0
0
5
0
3
0
01
0
0
0;
0
0
0
0
0
0
0
0
0
o
0
1
0]
0
50 132 73 15 961311 52)
6
0
0
47 30
01
U S Total
0
0
0
0
0
0
0
0
0
0
0
0
0
-2
2
0
0
0 0
0 0
o! 0
0 0
4, 1
0 1
31 20
1 13
0
0
3
0
o
7
3
2
0~ 0
0 0
01 0,
0, 0
0 0
0 0
1 41 51
oi 0
31
41
01
0
0
0
0
0
0
0
0
0
8
0
o| o
3
7
10
O
9
c
5
0
0
7
9
6
16
15
316
131
1
30
9
18
65
63
4
12
3
0
3
1
743
w
>
H
H
W
>
1—1
>
5d
w^wn
28
EIGHTIETH ANNUAL REPORT
TABLE V.
SURGERY.
Amputation of finger
Appendectomies
'___'
Appendiceal abscess drained
~
Autimeningo-coccus serum administered
I
Cyst (wrist) removed
Circumcisions
Cystotomies, supra-pubic
Currettage
Castration
~
Catherization, ureter
~__"
Cystoscopic, exam.
7
Curettage, perineorrhaphy, pvariotomy
"__
Dilation, currettage, salpingectomy, oorphorectomy_I"_"
Enucleation of eye
Empyema, resection of rib
Epididymitis suppurative operation
I
Fistulotomies
Fibromyomata removal
'
Hemorrboidectomies
"""'
Herniotomies
Herniotomies strangulated
~.V~S. ' ""
Hydrocele operation
Hysterectomies
CeUulitis incised and drained
"" "___'_
Salvarsan administered
"
Labor
Mastoidectomy
"
Nasal polypi removed
"
"_ ~~
Pterygium excision
" """
Paracentesis abdominalis
"
Reduction and fixation fracture femur"" "
Reduction and fixation dislocation shoulder
Reduction and fixation Colles fracture
Reduction and fixation fracture clavicle
Reduction and fixation fracture fibula
Reduction and fixation fracture ulna
Reduction' and fixation fracture metatarsal bone"
Keduction and fixation dislocated jaw
Tonsillectomies
Trephine extradural hemorrhage"——
Trephine exploratory
Trephine cerebral cyst
'"_
Urethrotomy external
I _'__
X-ray treatment epithelioma _ .
"
5
i4n
12
13
4
29
GEORGIA STATE SANITARIUM
TABLE VI.
Causes of Deaths of Patients Who Died During the Year 1923.
Alcoholism
Arterio-sclerosis
Appendiceal abscess
Carcinoma
Cirrhosis liver
Brain tumor
Dysentery (not defined)
Dysentery amoebic
Exhaustion of acute mental diseaseEnteritis acute
Erysipelas
Epilepsy
Heart disease organic
Hemorrhage cerebral
Heat stroke
Hernia, strangulated
Influenza
Myocarditis
Myocardium rupture
.
Meningitis, eerebrol spinal
Nephritis, acute
Nephritis, chronic
General paralysis of insane
Organic brain disease (not defined) —
Burn
Pellagra
Pneumonia, broncho
Pneumonia, lobar
Ptomaine poison
Septicaemia
Salpingitis
Status epilepticus
Syphilis, cerebral
Tuberculosis, acute miliary
Tuberculosis, pulmonary
Tuberculosis, laryngeal
Tuberculor pneumonia
Eracture femur
Ulcer of the stomach
Auto accident
Encephalitis
Gangrene of lung
Bronchitis
Pericarditis
Uterine fibroids
Unknown
Total
White
Colored
M
M
1
4
1
2
1 1
0
0
0
1
2
2 1
10
5
7
0
0
0
2
1
0
1
1
17
8
0
1
20
3
0
1
0
0
0
0
8
1
1
1
0
0
0
0
0
0
0
3
0
6
1
1
0
1
2
0
4
2
1
3
1
6
1
0
1
0
0
0
1
5
0
2
1
5
14
fi
0
0
0
0
0
1
9
0
1
0
1
1
1
1
1
1
1
5
105 | 87
Total
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
0
7
0
0
0
0
0
0
0
0
0
0
4
1
4
5
2
0
0
3
9
0
0
0
1
0
0
1
4
8
2
0
3
5
1
0
0
1
1
1
1
19
0
1
0
0
0
0
0
0
0
0
4
79
79
1
0
4
5
8
0
1
0
1
0
1
0
11
18
0
0
3
11
1
1
0
0
0
1
1
12
2
3
2
1
3
4
10
7
3
17
14
30
1
1
1
4
1
1
3
21
43
12
1
12
50
11
1
1
1
1
2
2
43
1
3
1
1
1
1
1
1
1
1
16
350
HM^H
EIGHTIETH ANNUAL REPORT
30
TABLE VII.
Admissions frdm the Various Counties Dining the Year 1923.
White
Colored
County.
M
F
M
F
Tota
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berricn
Bibb
Blecklcy
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
/ Evans ..
1
1
0
0
5
1
3
3
5
0
(i
U
2
0
1
2
0
0
0
1
1
7
1
0
1
12
5
5
3
1
2
0
5
2
6
1
3
2
3
1
2
0
1
7
1
0
1
3
1
3
2
5
0
1
0
0
1
0
0
0
0
3
1
0
0
0
0
6
0
1
3
3
3
0
1
0
0
0
0
0
0
0
29
2
0
0
0
0
1
5
0
1
3
1
1
12
0
0
3
1
9
1
0
0
0
1
0
0
0
0
24
0
0
1
0
0
0
1
1
1
2
1
8
2
2
0
0
2
1
1
0
5
0
0
1
2
1
0
2
18
4
4
Hi
9
4
31
0
3
9
7
15
5
2
0
2
2
17
1
1
1
80
9
10
11
4
4
1
13
3
13
6
5
14
9
8
2
1
5
11
7
2
8
11
6
4
9
7
0
0
2
0
10
3
3
7
0
0
3
2
1
4
1
0
1
0
10
0
1
0
15
2
5
2
0
1
1
3
0
5
2
1
4
0
2
0
1
2
3
1
0
1
6
2
0
t>
2
0
0
3
1
0
4
0
1
1
o
0
4
3
0
0
0
0
4
2
1
2
3
0
0
0
0
1 ;
o |
0 I
GEORGIA STATE SANITARIUM
Admissions from the Various Counties During the Year 1923.
(Continued.)
Colored
White
County.
F (Total
M
M ! F
Fannin __
Fayette
Floyd
Forsyfh
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham _.
Hall
Hancock
Haraldson ...
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis _Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether .
Miller
Milton
Mitchell ....
Monroe
Montgomery
Morgan
Murray
Muscogee --McDuffle
Mclntosh ...
2
3
11
7
5
31
1
0
2
5
7
5
4
50
1
0
0
5
9
0
5
4
2
3
8
5
0
1
3
G
1
2
2
1
3
3
1
7
2
0
1
2
2
4
2
2
0
1
2
0
1
1
0
.0
0
1
1
3
1
0
1
5
0
0
0
0
1
0
0
0
2
3
0
2
1
0
2
2
0
]
2
3
1
0
1
1
1
2
1 • 2
0
2
1
4
4
5
9
7
0
0
0
0
i
0
1
2
0
0
9
0
0
0
1
0
2
2
1
2
2
1
1
0
0
0
3
3
1
1
0
0
0
2
1
0
1
1
1
1
1
1
2
0
2
0
1
3
0
0
2
0
0
4
0
2
1
1
1
o !
4
0 I
2;
o
0
1
0
2
4
1
1
1
2
0
0
1
1
3
3
0
0
2
0
0
1
0
0
2
0
6
1
0
0
0
0
0
5
0
3
3
0
0
1
1
1
1
1
6
0
0
24
12
9
114
2
0
3
11
12
7
12
7
16
5
10
4
4
7
11
8
6
7'
7
1
2
3
2
2
6
2
13
2
1
2
1
7
2
o
11
1
2
6
4
3
10
10
24
1
1
..--.":--- '-.■-: -;>.--WM
EIGHTIETH ANNUAL REPORT
Admissions from the Various Counties During the Year 1923.
(Continued.)
White
County.
M
Newton
Oconee
Oglethorpe
Paulding -.
Pickens
Pierce
Pike
Polk
Pulaski
Putnam ...
Quitman ...
Rabun
Randolph ..
Richmond
Rockdale _.
Schley
Screven
Seminole __
Spalding ...
Stephens __.
Stewart __
Sumter
Talbot .._.
Talialerro
Tattnall ...
Telfair
Terrell
Thomas
Tift
Toombs
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware.
Warren
Washington
Wayne
Webster ...
Wheeler
White
Whitfleld __
Wilcox
Wilkes
Wilkinson _
Worth
Total
j
2
1
6
o
2
3
2
4
2
i Colored
F I M
3
1
1
7
5
1
0
6
0
0
2
1
3
4
0
0
4
0
5
1
2
2
0
0
1
1
0
3
4
3
1
2
0 !
Total
7
4
3
11
7
2
1
11
3
5
2
1
10
16
3
0
8
0
10
3
0
3
3
5
6
8
6
6
3
13
4
4 I
5
4
4
1
1
1
2
1
0
0
1
6
2
3
6
8
6
8
4
10
4
2
3
5
1
2
346
384
201 I 226 I 1157
33
GEORGIA STATE SANITARIUM
TABLE VIII.
Nativity of All Patients Admitted During the Year 1923.
White
Alabama
England
Florida
Georgia
Germany
Greece
Indiana
Ireland
Japan
Kansas
Kentucky
Missouri
Mississippi
North Carolina
Ohio
Pennsylvania __
Phillipines
South Carolina
Syria
Tennessee
Vermont
Virginia
West Virginia Unascertained .
Total
Colored
M
P
M
12
1
2
300
1
0
0
1
1
1
1
0
5
1
1
0
3
0
3
1
2
1
9
7
0
2
332
0
1
1
0
0
0
1
1
1
9
2
1
1
7
1
5
0
0
0
12
3
0
0
182
0
0
0
0
0
0
0
0
1
3
0
0
0
8
0
1
0
1
346
384
0
P Total
23
1
4
1032
0
2
1
0
0
218
0
0
0
0
0
0
0
0
0
2
0
0
0
5
0
0
0
0
0
0
201
226
1157
2
2
19
3
2
1
23
1
9
1
3
1
23
mmmm
34
EIGHTIETH ANNUAL REPORT
TABLE IX.
Classified Occupation of Patients Admitted During the Year 1923.
Agricultural Pursuits:
Farmers
Farmer's daughters
Farmer's sons
Farmer's wives
Farmers widows
Farm laborers
Gardener
Professional Service:
Ministers
Physicians
School teachers
Trained nurses
Domestic and Personal service:
Barber
Grave Digger
Houskeeper
Laborers
Laborer's wives
Laundress
Porter
Seamstress
Servants
Watchmen
Trade and Transportation:
Advertising agent
Clerk
Clerical workers
Bookkeepers
Electrician
Linemen
Merchants
Merchant's wives
Messenger
Office boy
Postmaster (assistant)
Printers
R. R. conductor
R. R. engineer
R. R. fireman
R. R. mail clerk
R. R. section hand
Real estate agent __
Salesmen
Stenographers
Stone worker
Street car conductor
Warehouseman
White
Colored
M
F
M
F Total
150
0
1
0
0
6
0
1
0
8
1
1
1
69
0
0
0
0
12
0
11
1
0
0
0
19
0
238
2
1
8
1
38
1
2
7
1
0
0
0
0
3
2
0
0
0
0
0
0
0
4
7
1
3
1
1
0
11
0
0
0
0
0
2
0
0
229
0
1
0
0
4
5
0
4
0
0
73
0
0
0
0
0
0
0
0
(54
15
0
23
3
0
35
0
5
1
293
99
1
23
3
4
40
2
0
13
0
1
2
1
6
0
0
0
1
3
1
1
1
1
0
1
8
0
2
1
1
1
1
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
14
2
3
2
1
8
1
1
1
1
3
1
1
1
1
1
1
8
4
2
1
1
0
1
0 I
o I
4
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
GEORGIA STATE SANITARIUM
35
Classified Occupation of Patients Admitted During the Year 1923.
(Continued.)
Manufacturing and Mechanical
Pursuits:
Brickmason
Carpenter
Carpenter's wife
Mechanics
;
Moulders
Painters
Plasterers
Upholsterers
Food and It's Kindred Products:
Cook
Fishermen
Ice dealer
Textiles:
Cotton mill employee
Cotton mill hand
Garment maker
Iron, Steel and Their Products:
Blacksmith
Plumber
Lumber and Its Manufacturers:
Box maker
Saw mill laborer
,
Turpentine laborer
Wood chopper
Miscellaneous:
Cigar maker
Hospital employee
Missionary
Student
None
Unascertained
Total
White
Colored
M
F
M
1
0
0
6
1
5
0
3
0
0
1
0
0
0
0
0
0
1
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
17
0
0
13
0
1
9
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
1
1
0
7
56
17
0
0
0
346
1
5
79
18
1
0
1
1
1
F Total
1
0
0
19
5
0
0
0
3
27
10
201
226
22
15
18
50
115
36
EIGHTIETH ANNUAL REPORT
TABLE X.
Ages of First Admissions During the Year 1923.
Classified with Reference to Principal Psychoses.
White Population.
-WHITE MALES.
Psychoses.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
__..
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic discascs-„
Manic depressive
Dementia Praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses—
With constitutional psychopathic personality
With mental deficiency
Undiagnosed
Not insane
Epileptic without psychoses
Mental deficiency without
psychoses
Drug addict without psychoses
Constitutional psychopathic
personality without psychoses
Alcoholism without psychoses
Total
Under
20
Over
70
Unascertained
Total
0
0
0
0
0
0
0
2
17
23
16
2
3
0
0
0
0
3
10
2
7
3
51
28
0
21
2
1
0
6
6
0
4
0
1
7
3
0
1
9
26
24
2
2
0
0
7
0'
0 0
0
34
56 48 47 1!)
21
264
37
GEORGIA STATE SANITARIUM
Ages of First Admissions.
WHITE FEMALES
Psychoses.
Traumatic
Senile
With cerebral artcrio-sclerosis—
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—
Manic depressive
Dementia praccox
Paranoid or paranoia condition
Epileptic psychoses
Psychoneuroses and neuroses—
With
constitutional
psyco
patliic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epileptic without psychoses
Psychopathic
personality
without psychoses
Mental deficiency without
psychoses
Total
5161 Over
6070 70
Under
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
3
0
2
1
1
0
0
3 0
4l 1
22 28
1
(I
0
0
J
1
1
0
0
18
Total
0
9
0
0
0
0
0
0
2
0
0
0
0
0
0
25
10
3
0
0
1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
2
0
0
0
0
3
0
0
3
7
95
56
0
10
6
0
0
0
0
0
0
3
14
37
0
1
0
67 72 60 22 31
Unascertained
12
286
■■■I
;:--W-.
38
EIGHTIETH ANNUAL REPORT
Ages of First Admission
COLORED MALES
Psychoses.
Traumatic
Senile
:
With cerebral arterio-sclerosis.
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseascs___
Manic depressive
Dementia praecox
Paranoid or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses.—
With
constitutional
psycopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoscs.
Psychopathic personality without psychoses
Mental deficiency without
psychoses
Total
Under
20
0
0
0
0
0
0
0
Over
70
1 0
0 0
1 4
0 0
0 0
Unascertained
Total
1
1
19
27
4
0
0
0
0
0
0
0
5
4
0
6
0
2
1
0
2
0
30
35
0
18
0
0
12
2
0
0
17
17
0
0
0
0
2
31
33 23
178
39
GEORGIA STATE SANITARIUM
Ages of First Admission.
COLORED FEMALES
Psychoses.
tinascertained
Under 2131
20 30 40
51161 Over
60i70 70
0
0
0
0
0
1
2
0
0
0
0
7
0
0
0
0
0
1
11
9
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
50
62
0
5
0
0
0
0
0
0
13
14
0
Traumatic
Senile
;
With cerebral arterio-sclcrosis
General paralysis oi insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—
Manic depressive __
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses—
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
1
0
0
0
0
0
0
0
I)
0
8
2
0
0
0
0
0
0
22
12
0
0
0
0
6
1
0
0
1
4
0 0
1
0
0
5
0
0
0
1
0
Total
CllOSGS -
Drug addict without psychoses
Epilepsy without phychoses
Psychopathic personality without psychoses
Mental deficiency without
psychoses
Total
0
1
0 0
0
2
19
56
187
40
EIGHTIETH ANNUAL REPORT
TABLE XL
Degree of education oi First Admissions. Classified with Reference to Principal Psychoses. 1923. White Males.
a w\a — \
—
»Sgp
o
BOi O O
K
Traumatic
Senile
With arterio-sclerosisGeneral paralysis of insane
Witli cerebral syphilis
With Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neuroses___
Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
,
Alcoholism without phyehoses
Due to drugs without psychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
4
Total
39
O
G
S
O
o o
O K
ra
©
H •
0
8
1)
2
0
2
0
0
0
6
9
2
1
0
2
17
23
16
2
3
0
0
5
0
1
1
22
6
0
11
2
1
4
0
2
0
17
17
0
3
0
3
10
2
7
3
51
28
0
21
2
1
1(1
II
0
5
4
5
1
9
26
24
2
80 , 13
27 '264
GEORGIA STATE SANITARIUM
41
Degree of Education of first Admissions. Classified With Reference to Principal Psychoses. 1923. White Females.
-So
o3 I ssfe gK $SW
W
Traumatic
Senile
—
With cerebral arteriosclerosisGeneral paralysis of insane
With cerebral syphilis
Huntfngton's chorea
Brain tumor
j
With other brain and nervous
diseases
;
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—_
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neurosesConstitutional psychopathic in
feriority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without phychoses
Drug addict without psychose s
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
0
I
0
0
0
«
K
©
EH
0
25
10
3
0
0
1
3
0
0
3
7
95
5G
0
10
G
3
14
37
0
46
286
42
EIGHTIETH ANNUAL REPORT
Degree of Education of First Admissions. Classified With Reference to Principal Psychoses. 1923. Colored Males.
o
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses_Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phychoses
Drug addict without phychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
72
be
a>
"3
w
D
K
a
>
s*>
o
o
o
1
0
3
12
1
0
0
0
0
2
2
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
2
f,
1
0
0
1
1
19
27
4
0
0
0
0
0
0
0
12
16
0
7
0
0
1
0
0
3
5
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
2
1
0
2
0
30
35
0
18
0
0
1
7
0
0
0
3
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
3
GO
19
1
1
u
n
0
(1
2
2
0
0
0
0
3
0
0
17
17
0
0
16 178
43
GEORGIA STATE SANITARIUM
Degree of Education oi First Admissions. Classified With Reference to Principal Psychoses. 1923. Colored Female.
T3
0 in
CJ
ao
a
a>
T3
S3
02-r-l
DC
o>
M
w
IB -o
1
11
9
12
0
0
0
Traumatic
Senile
Cerebral artcrio-sclerosis
General paralysis of the insane.
Cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alocoholic
Due to drugs
Pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses.-Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychosesDrug addict without psychosesEpilepsy without psychoses
Constitutional psychopathic in
feriority
Mental deficiency without phy
choses
Total
o
o
°a £°
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
53
61
37
27 187
EIGHTIETH ANNUAL REPORT
44
TABLE XII.
MALE
Environment of First Admissions During Year 1923. Classified With Reference to Prin
cipal Psychoses. White Population.
FEMALE
o
-a
P
Traumatic
1
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingdon's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses.
Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority
Mental deficiency without
psychoses
Total
o
0
5
6
11
1
1
0
25
in
3
0
II
1
1
7
1
2
2
22
II
0
5
2
0
3
7
95
56
0
10
6
6
13
9
1
3
14
37
0
0 !
111 143
0
3
2
1
0
4
1
1
0
I)
G
3
8
264
104 105
28G
45
GEORGIA STATE SANITARIUM
EEMALE
MALE
Environment of First Adniis
sions During Year 1923. Classified With Reference to Prinpal Psychoses. Colored Population.
Traumatic
Senile
With cerebral artcrio-sclerosis
General paralysis of insane—
With cerebral syphilis
Huntington's chorea —
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases.—
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psysoncuroses and neuroses—
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed __ __
Not insane
Alcoholism without psy
choscs
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
0
0
8
13
3
0
0
1
1
11
13
1
0
0
1
L
1!)
27
4
0
0
0
10
6
4
0
0
0
1
11
9
12
0
0
0
0
1
0
0
0
6
9
0
4
0
2
0
0
2
0
24
24
0
14
0
2
1
0
2
0
30
35
0
18
0
0
0
0
6
0
33
32
0
3
0
0
0
0
7
0
50
62
0
5
0
0
4
5
0
0
13
12
0
0
17
17
0
0
13
11
0
0
0
3
2
54 121
178
64 114
187
EIGHTIETH ANNUAL REPORT
46
TABLE XIII.
Economic Condition of First Admissions Classified With Reference to Principal Psychoses. 1923. White Population.
MALE
FEMALE
o
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
insane
With cerebral syphilis
Huntington's choreaBrain tumor
With other brain and
nervous diseases—
Alcoholic
Due to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroses
and
neuroses
Constitutional psycho
pathic inferiority.
With mental deficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drug addict without phychoses
Epilepsy
without
psychoses
Constitutional psyco
pathic inferiority.
Mental
deficiency
without psychoses. 0
Total
0
0
0
2
17
0
25
23
10
2
0
0
0
16
2
3
0
3
0
0
1
0
3
0
0
3
2
6
1
G
0
0
3
10
2
7
2
40
16
0
2
4
3
51
28
7
95
56
0
14
0
6
0
21
0
10
1
0
2
6
6
1
9
3
14
16
1
11
3
0
26
24
2
14
37
0
1
0
1
3
0
3
2
0
2
1
0
1
2
2
6
33 163
40
28 264
1
38 173
45
30 286
47
GEORGIA STATE SANITARIUM
Economic Condition of First Admissions Classified With Reference to Principal psychoses. 1923. Colored Population.
FEMALE
MALE
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis.
Huntington's choreaBrain tumor
With other brain and
nervous diseases..
Alcoholic
Duo to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroscs
and
neuroses
Constitutional psychopathic inferiority.
With mental deficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drjig addict without psychoses
Epilepsy
without
psychoses
Constitutional psyeopathic inferiority
Mental
deficiency
without psychoses
Total
0
1
1
11
1
0
1
1
11
19
15
3
0
0
27
4
0
0
6
0
0
0
12
0
0
0
2
1
0
2
2
1
0
2
0
0
0
7
0
0
0
7
0
24
27
0
30
35
0
40
44
0
50
62
0
12
0
18
0
4
0
5
0
0
0
0
0
0
0
0
8
12
0
17
17
0
6
12
0
13
14
0
0
0
0
0
0
0
0
0
0
1
1
1
0
0
0
0
0
3
0
2
178
129
18 118 | 33
0
0
0
3
34
n; 187
TABLE XIV
MALE
EEMALE
Civil Condition of First Admissions Classified With Refer
ence to Principal Psychoses. Year 1923.
White Population.
«c
« a
x
0
4
3
2
0
0
1
1
0
0
2
5
60
28
0
4
3
0
3
23
0
0
2
0
0
0
Traumatic
Senile
With cerebral arterio-sclerosis
-_.
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With other brain and nervous diseases
Brain tumor
Alcoholic
Due to Drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiorityMental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiorityMental deficiency without psychoses
Total
1112 119
24
0
2
7 264
76 141 | 54
C
0
25
10
3
0
0
3
1
0
0
3
7
95
56
0
10
6
3
14
37
0
0
4
1
0
9 286
H
O
X
§
a
>
55
55
>
H
O
fa
FEMALE
MALE
Civil Condition of First Admissions Classified With Keference to Principal Psychoses. Year 1923.
Colored Population.
02.S
03 03
03 03
Psychoses.
Traumatic
Senile
With cerebral arteno-sclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
r
With other brain and nervous diseases
Alcoholic
Due to drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic conditionEpilepsy
Psvchoneuroses or neuroses
With constitutional psychopathic inferiority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic inferiority without psychosesMental deficiency without psychoses
Total
J-
3
0
0
G
7
1
0
1
0
0
1
0
7
26
0
12
0
0
16
3
1
0
7
17
1
0
0
1
84
0
1
0
19
5
0
3
0
0
1
11
67
x &
J
1 !
5
2
0
0
0
0
0
0
1
2
0
2
0
0
0
2
0
0
0
0
0
0
17
1
1
19
27
4
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
0
1
0
0
2
2
0
0
0
0
0
1
5
0
8
11
0
1
0
0
10
2
0
0
0
1
0
3
0
1
5 178 . 43
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
11
9
12
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
0
2
2
3
7 187
0
0
0
0
1
1
0
0
II
88
44
O
H
O
o
>
H
H
m
>
t-H
>
1—4
d
EIGHTIETH ANNUAL REPORT
50
TABLE XV.
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. White Males.
Vl £D
T
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the
insane
With cerebral syphilis
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praccox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neunoses
Constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority
without psychoses
Mental deficiency without psychoses
Total
I
0
16
0
0
14
5
0 i
0 I
7
1
0
16
4
0
I I
1 '
0
0
II
(I
0 i
0
2
2
0
1
1
7
12
0
10
0
0
0
9
10
0
0
0
0
o I 0
0
0
0
0
1
0
3
10
18 | 15
28
105
51
GEORGIA STATE SANITARIUM
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. White Females.
fH T3
-o>
>
o
T
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis-.
Huntington's chorea
With other brain and
nervous diseases
Brain tumor
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic contion
With epilepsy
Psychoneuroses and neuroses
Constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Total
o
0
5
& s
,__
53 S3
a-w
t>
o
H
0
19
0
14
o
2
2
0
l
0
0
0
0
0
1
0
0
2
0
2
1
1
10
15
0
1
0
2
0
0
2
3
14
0
1
1
3
0
15
18
21
0
87
»...>■ (.y.-jm
52
EIGHTIETH ANNUAL REPORT
Ages of Patients at time, of Death. Classified With Reference to
Principal Psychoses. Colored Males.
Traumatic
Senile
With cerebral arterio-sclcrosis
General paralysis of the
insane
With cerebral syphilis
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
0
With epilepsy
1
Psychoneuroses and neunoses
; 0
Constitutional
psychopathic inferiority
| 0
With mental deficiency
4
Undiagnosed
Not insane
Total
5
53
GEORGIA STATE SANITARIUM
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. Colored Females.
SHT3
03 03
0
0
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis—
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With Epilepsy
Psychoneuroses and neunoses
Constitutional
psycho
pathic inferiority
With mental deficiency—
Undiagnosed
Not insane
Total
0
0
0
11
0
0
0
2
0
0
0
0 ; 0
1
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
o I 0
2
0
0
1
0
21
1
9
0
0
0
2
0
10
9
0
5
18
20
13
13
79
54
EIGHTIETH ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
White Males.
t*
Psychoses.
(H
>
c
Traumatic
0
Senile
3
With cerebral arteriosclerosis
1
General paralysis of the insane 2
With cerebral syphilis
0
With Huntington*s chorea—
0
With other brain and nervous
diseases
0
With brain tumor
0
Alcoholic psychoses
0
Psychoses due to drugs
0
With pellagra
0
With other somatic diseases—
0
Manic depressive
1
Dementia praecox
0
Paranoia or paranoic condition 0
Psychoses with epilepsy
0
Psychoneuroses and neuroses— 0
Psychoses with constitutional
psychopathic inferiority
n
WTith mental deficiency
0
Undiagnosed psychoses
3
Not insane
0
Total
10
o
EH
0
7
8
5
0
0
0
1
2
5
1
0
0
4
6
3
0
0
0
1
0
1
0
0
0
0
0
0
(I
If.
17
16
1
0
0
0
1
0
1
1
3
1
0
1
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
3
0
0
1
0
1
0
0
0
2
2
0
2
0
0
0
0
0
0
0
1
3
0
1
0
2
0
2
0
1
1
7
12
0
10
0
0
1
1
0
0
1
0
0
0
4
1
0
0
0
0
0
1
2
1
0
1
9
10
0
30
11
27
10
9
8 105
0
0
II
55
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
White Females.
h
H
Psychoses.
o
H
Traumatic
Senile
-With cerebral arteno-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseasesManic depressive
Dementia praecox
z':~~~
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses.
Psychoses with constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total
»
U
0
1
2
0
0
0
0
20
6
2
1
0
0
0
1
0
0
2
1
0 I 10
15
1
1
0
0
0
0
2
0
0
0
0
0
2
2
0
<1
1
0
0
I 11 I 10
13
1
4
14
0
21
7
13
12
87
5G
EIGHTIETH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
Colored Males.
Psychoses.
§
o
EH
Traumatic
Senile
With cerebral arterio-sclerosis—
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases—
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses—
With constitutional psychopathic inferiority*.
With mental deficiency
Undiagnosed psychoses
Not insane
Total
1
0
0
0
0
0
0
2
1
20
19
2
0
0
2
0
2
0
0
0
0
0
0
0
1
0
0
0
0
3
0
0
u
u
2
0
0
0
2
0
8
7
0
5
0
n
0
0
in
4
0
0
II
1
0
0
o
3
0
23
16
11
19
0
0
0
0
1
0
0
7
4
0
3
2
79
GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
Colored Females.
.O
a©
Psychoses.
■i>
T3
UJ
Traumatic
Senile
With cerebral arterio-sclerosis__
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total
Tfl
fi
ao
CO
Tfl
fi
ao
T—<
O
4->
o
-t-3
TH
t^
n
u
Tfl
Tfl
U
lO
O
-M
<M
C3
t-(
a>
o
o
o
■+J
o
_l
1—(
u
T—1
«o
o
4s
i
*■<
¥
"
o
Ei
2
0
0
5
1
3
1
0
0
2
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
0
0
0
1
0
4
1
0
0
0
0
0
0
0
0
0
2
2
0
0
0
1
0
0
0
0
0
7
2
0
1
0
1
0
0
0
0
3
2
0
0
0
1)
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
1
0
21
9
0
2
0
0
1
4
0
0
2
2
0
0
2
1
0
0
5
0
0
0
0
0
0
0
0
1
0
0
0
1
0
0
10
9
0
14
16
17
19
7
3
3
79
0
2
0
3
0
0
0
1
>>
o
0
11
4
8
2
0
2
0
(I
58
EIGHTIETH ANNUAL REPORT
Report of Pathological Laboratory
FOR THE YEAR
DR.
1923.
R. C. SWINT, Superintendent.
Dear Sir:—The following Report of the Pathological
Laboratory for the year 1923 is submitted:
RESUME
SEROLOGICAL EXAMINATIONS,
as follows:
Blood (serum) for the Wasserman (Noguchi) reaction_l,271
Cerebrospinal Fluid, for the Wasserman (Noguchi),
Colloidal Gold, Noguchi's Butyric Acid, and RossJones reactions, and Cell Count
346
CLINICAL LABORATORY EXAMINATIONS,
as follows:
Urinalysis
1,378
Feces, for parasites or ova, or for occult blood
487
Sputum, for tubercle bacilli
365
Blood, Chemical examination, including dextrose, creatinine, urea, uric acid, non-protein nitrogen, cholestrol, chlorides, and carbon dioxide combining capacity
51
Blood, Films for malaria parasites
67
Blood, for determination of coagulation time
9
Blood, Counts, red, white, or differential
366
Gastric Contents or Vomitus
5
Films of Exudates
46
Blood, for type determination
30
Hemoglobin estimations
35
Brain (dog), films for Negri bodies
6
Cerebrospinal Fluid, special cytologieal examination
10
BACTERIOLOGICAL EXAMINATIONS,
as follows:
Cultures of Blood
Cultures of Exudates or other Body Fluids
Widal tests
.
Autogenous Vaccines prepared
Milk
Human Milk
Animal I noeulations
15
22
34
18
39
1
3
GEORGIA STATE SANITARIUM
PATHOLOGICAL EXAMINATIONS,
as follows:
Necropsies
Postmortem Examination of Animals
Surgical Tissue specimens
r
59
21
10
9
Serological Examinations
Of the 1,271 examinations of blood for the Wassermann
reaction, 1,120 were "routine" specimens, that is, were for
patients admitted to the institution during the year. A tabulation of the results of these examinations follows:
Ha.ce
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Number
examined
382
320
222
196
4-plus
reaction
9
32
34
116
Percentage
2.3
10.0
15.0
10.3
The average percentage of 4-plus reactions found in the
routine examinations of the blood for the Wassermann reaction during the years 1914-1923, inclusive, is 13.7.
Of the 346 specimens of cerebrospinal fluid, 267 were
from patients admitted during the year. A routine examination of the cerebrospinal fluid has been made in the case of
each patient whose blood gave a positive Wassermann reaction. In the following tabulation the results of these routine
examinations are shown with reference to race and sex, those
marked "pathological" being specimens which showed concomitant positive changes in the Wassermann, colloidal gold
and globulin reactions, and in the cell count.
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Number
examined
54
47
63
103
Number
pathological
4
18
11
28
Percentage
pathological
7.4
38.3
17.4
27.1
Clinical Laboratory Examinations.
The following enumeration of intestinal parasites or ova
found, either alone or associated with other parasites or ova,
in the 346 specimens of feees examined, may be of interest:
60
EIGHTIETH ANNUAL REPORT
Necator americanus ova
Ascaris lumbricoides ova
Trichuris trichiura ova
Strongylus stercoralis embryos
Cercomonas intestinalis
Oxyuris vermicularis ova
Bndameba histolytica
Endameba coli
Hymenolepis nana ova
52
24
113
26
13
1
6
4
Mr. Leaptratt, the senior technician, has found 4 cases
of Linguatula serrata infestation in 6 dogs killed near the
Sanitarium that were thought to be suffering from rabies. No
Negri bodies were found, however, in the brains of these
animals.
Blood Chemistry.
A group of otherwise healthy epileptic patients has been
studied with reference to the chemical composition of their
blood. Similar examinations have been made in a control
series of healthy non-epileptic patients and employes. No
marked difference has been noted in the findings for the two
groups.
Necropsies.
Only 20 necropsies were performed during the entire year.
In accordance with your instructions, summaries of the
necropsy findings are, for reason of brevity, omitted from
this report.
Respectfully,
\
E. B.
SAVE,
Pathologist.
GEORGIA STATE SANITARIUM
61
Dentist's Report
FOR THE YEAR
DR.
R. C.
1923.
Superintendent.
Milledgeville, Ga.
SWINT,
Dear Sir:—I have the honor of submitting the following
report of the Dental Department for the year ending Dee. 31st,
1923.
Believing that the Dentist's most urgent duty to his
patients is relief of acute suffering, those having the patients
of the Institution in their immediate charge are instructed
to report, at once, such cases as are in need of emergency
dental treatment. That these patients may have prompt attention certain hours of each afternoon are set aside for this work.
Temporary dental work is afforded those patients whose
term of residence within the Institution is likely to terminate
at a reasonably early date, in order that their teeth may not
deteriorate during the period which must elapse before they
can again return to their own dentists.
There are many patients, however, whose habits of cleanliness, whose desire to preserve their teeth and whose willingness to co-operate are such as to warrant the most careful
treatment, yet whose mental condition is such as to promise a
stay of indefinite length within the Sanitarium. Such patients
are given thorough attention and work of a permanent nature.
An examination of the mouth of each patient is made
promptly after admission, one morning of each week being set
aside for this purpose.
The Dentist resides within the Institution and is subject
to call at all times.
Below will be found an itemized statement of the work
done in this Department during the year 1923.
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
828
4
263
120
21
40.
62
EIGHTIETH ANNUAL REPORT
Gold inlays
Acolite inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Application mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over 3rd molar
Treating gums about 3rd molar
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted 3rd molar
Dislocations reduced
Removing sequestrum
Special calls to wards
Number of new patients examined
Number of patients treated
!i
26
1
3
6
18
18
67
52
2
6
33
1
14
17
9
32
2
6
117
12
3
15
13
6
2
4
1
6
13
4
6
3
41
2
2
2
1
196
1,151
893
Total number of operations and treatments
1,841
Respectfully submitted,
GEORGE
II.
GREEN,
Dentist.
GEORGIA STATE SANITARIUM
63
Report of Superintendent of Nurses
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Training
School for Nurses for the year beginning January 1st, 1923
and ending December 31st, 1923.
Every effort has been made to raise the school to the
highest standard. Today it is classed with the best schools in
the State of Georgia.
All students admitted within the last year have had at
least one year high school education and quite a number are
high school graduates. We hope within a short time to admit
only high school graduates.
The affiliation course of six months with Memphis General
Hospital, Memphis, Tennessee, and the University Hospital,
Augusta, so far, has been very satisfactory.
At present students have their affiliation course in their
senior year but we hope in the near future to place it in the
junior year and give all their theoretical training in this school.
The annual commencement of the Training School was
held October 18th, at eight o'clock in the amusement hall, Dr.
R. C. Swint, Superintendent, presiding. The class address
was very ably delivered by Rev. Dr. Carr of the First Presbyterian Chuch of Savannah.
The diplomas were presented by Hon. John T. Brantley,
President of the Board of Trustees, who always gives the
graduates very wholesome advice in a very pleasing manner.
Mr. E. E. Lindsey, Chairman of the Executive Committee
Board of Trustees, presented the hospital pins.
Mrs. L. P. Longino with her usual sweet soprano voice,
sang, June Is in My Heart, by Graham Vaughn and Song of
Love from Blossom Time.
A reception and dance followed, music being furnished by
the Sanitarium Band.
The following are the names of the graduates receiving
diplomas:
64
Miss
Miss
Miss
Miss
Miss
Miss
EIGHTIETH ANNUAL REPORT
Agnes Barker
Ella Mae Digby
Cora Albertha Fomby
Adeline Joiner
Mattie Lou Stanley
Mary Jane Taylor
Miss
Miss
Miss
Miss
Mrs.
Miss
Gladys Lee
Priscilla Kate Messer
Mattie Lona Patterson
Sara Ann Pearson
Thyrza B. Smith
Pennie Ella Willoughby
The total number of graduates is one hundred and seven,
many of whom are holding very responsible positions in the
various hospitals throughout the United States.
PLAN OF INSTRUCTIONS.
\
The course extends over a period of three years including
three months probation and six months affiliation in some general hospital. The course consists of lectures, recitations,
demonstrations and practical work on wards, diet, kitchen,
hydrotherapy, occupation therapy and laboratory.
NURSING STAFF.
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Hydrotherapy Nurse
X-Ray Technician
Graduate Nurses employed as Head Nurses
Senior Nurses in School
Junior Nurses in School
Freshmen Nurses in School
Total number of Student Nurses
Number White Female Attendants
Number of vacancies
]
4
"
•>
4
4
4
~ g
9
10
~ " 45
_ 34
145
Q
CURRICULUM.
First Year.
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstration
Materia Medica
Dietetics
Bandaging
History of Nursing
32 hours
g >>
_ 24 "
46 "
_ 20 "
46 >>
20 "
g >>
" 40 >>
65
GEORGIA STATE SANITARIUM
Second Year.
16 ho urs
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Obstetrics
Hydrotherapy
Massage
Dietetics
Bacteriology
Mental Diseases
Oral Hygiene
Occupation Therapy
26
6
16
1°
"
10
2
^
j6
1°
16
16
.
Third Year.
Surgery
Eye, Ear, Nose and Throat
Chemistry
Gynaecology
Pediatrics
Diseases of Nervous System—
j°
i»
|^
|°
j°
1°
On May 1st, the Nursing Staff was reorganized and four
Supervisors were placed in charge of the different services.
Am glad to report this has been very satisfactory as to the
services rendered the patients, the general up keep of the
wards and the issuing of supplies.
In October, a course in Care of the Mentally Afflicted,
was given all attendants by Dr. N. P. Walker, Clinical Director The object was to teach the attendants how they might
render better service to the patients. Very good results were
obtained from these lectures.
I wish to thank you for your kind consideration and help,
and the Medical Staff for lectures and medical services rendered the students and all other Officers who assisted in
teaching during the year.
Respectfully submitted,
MAE
M. JONES, R. N. (Ohio)
Superintendent of Nurses.
EIGHTIETH ANNUAL REPORT
66
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the pharmaceutical department of the Georgia State Sanitarium for the year
of 1923.
The work of the laboratory and prescription departments
show about the same amount as the previous year, with the
exception of a germicide which we now make for the extermination of bed bugs and other insects. This being brought
about at the suggestion of our Clinical Director.
It is gratifying to state that we not only run our purchases lower for this year, but have done so each year for the
past four years. This being partly due to the fact that we
were fortunate in securing some surgical supplies and chemicals that was put on the market by the War Department.
I appreciate your co-operation, also that of the Trustees,
the Clinical Director and Medical Staff in aiding me to carry
on the work of this department.
Below is a condensed list of manufactured products.
Tinctures, Spirits and Extracts
2,103 Jjbs.
Elixirs
1,276
Syrups
782
Ointments
88
Liquors, Lotions and Mixtures
1,204
Library Paste
12
Medicated Dusting Powder
5
Indelible Ink
32
Glycerites
112
Liniments
128
Capsules, Quinine, Anodyne and Influenza, tilled__10,500
Germicide
150 Gallons
67
GEORGIA STATE SANITARIUM
1923.
STATEMENT
Dec. 31st, Inventory as of Dec. 31st, 1922
$ 5,300.95
Purchases During the Year
Drugs, Chemicals, Dental, Surgical and
Laboratory Supplies
$10,870.33
Freight and Express
392.19
Total
Less Goods Returned
$11,262.52
483.90
Total
$10,778.62
Deduct: Inventory at Dec. 31st, 1923
$16,079.57
4,970.87
Goods to account for
$11,108.70
Credits
Departmental Sales
Prescriptions filled for Wards, 32,258
aggregating
$10,574.20
Sales to Officers and Employees
534.50
Total
$11,108.70
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
68
EIGHTIETH ANNUAL REPORT
Report of Treasurer
Statement of receipts and disbursements of the Treasurer
of Georgia State Sanitarium for fiscal year ending December
31st, 1923.
Dec. 30th, 1922, Bal. Cash on Hand__$ 23,785.72
To Maintenance Fund
800,000.00
To Recovery Bank of Emanuel
through Banking Dept
3,000.00
To Interest on Bank Balances
873.18
To Sanitarium Steward
6,353.08
To Gov. Walker Acct. Fire Loss
24.35
$834,036.33
Disbursements for Fiscal Year Ending Dec. 31st,
1923 ____
$833,446.21
Dec. 31st, 1923, Bal. Cash on Hand
590.12
$834,036.33
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank we certify that above report is
correct and we further certify that at close of business Dec.
31st, 1923, there was to the credit of Otto M. Conn, Treas. Ga.
State Sanitarium the sum of Five Hundred Ninety Dollars
and Twelve Cents.
OTTO
M. CONN,
Treasurer Ga. S. S.
H. G. BANKS,
Asst. Cashr. Ex. Bank.
H. H. HERNDON,
N. P., B. Co., Ga
GEORGIA STATE SANITARIUM
G9
Statement of receipts and disbursements Treasurer Georgia State Sanitarium, Patients' Account, fiscal year ending
Dec. 31st, 1923.
Dec. 30th, 1922, Bal. Cash on Hand
To Sanitarium, Steward
$ 9,928.91
16,650.41
$26,579.32
Disbursements for year ending Dec. 31st, 1923
Dec. 31st, 1923, Bal. Cash on Hand
$15,552.29
11,027.03
$26,579.32
As Treasurer Georgia State Sanitarium, Patients' Account, and as Asst. Cashier Exchange Bank, we certify that
the above report is correct and we further certify that at
close of business Dec. 31st, 1923, there is to the credit of Otto
M. Conn, Treasurer Georgia State Sanitarium, Patients'
Account the sum of $11,027.03.
M. CONN,
Treas. Ga. S. S. Patients' Acct.
OTTO
H. G.
BANKS,
Asst. Cashr. Ex. Bank.
Witness:
II. H. HERNDON,
N. P., B. Co., Ga.
70
EIGHTIETH ANNUAL REPORT
Report of Farm Steward
January 1st, 1924.
DR.
R. C. SWINT, Superintendent.
Georgia State Sanitarium.
My Dear Sir:—I beg to submit a report of the foodstuffs
produced in my department for the fiscal year ending December 31st, 1923.
Beets
Beans, butter (shelled)
Beans, snap
Beans, velvet
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting cars
Corn, sillage
Cucumbers
Fodder
Lettuce
Oats, shelled
Oats, hay
Oats, straw
Okra
Onions
Peas, green
Peas, garden (shelled)
Peas, seed
Peppers
Peayine hay
Pork
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
Kye
Squashes
omatoes
Turnips ...
Turnips and greens
Watermelons
Strawberries
B. Berries
Dairy:
Sweet milk, dairy
Sweet mi k, Colony
Buttermilk
Butter, dairy
429% bushels
lie bushels
1.720% bushels
00,380 pounds
53,368 heads
31,930 heads
350
7,511 bushels
72,079 ears
500 tons
72% bushels
(18,756 pounds
4,050 heads
2,575 bushels
50 tons
47,375 pounds
208% bushels
979y2 bushels
29% bushels
154 bushels
1,181 bushels
108 bushels
269,860 pounds
pounds
66525
8,161 bushels
756% bushels
bushels
196
1,721 bushels
256 bushels
bushels
671
1>048y crates
3,788y2 bushels
2,547% bushels
6 564
~;~
750
quarts
752
quarts
77i045
3053
28i)
699
gallons
n
|aU
pounds
71
GEORGIA STATE SANITARIUM
Butter, CMony
Sweet cream
Beet
Green hides
Calves
Sacks
Manure, 1,690 loads sent to field.
Chicken Yard:
Chickens (hens), issued
Friers, issued
Eggs, issued
Eggs, set
feffit
%ounds
p0Un(is
550
^
14
49gl
1043
sold
112
„ fifi„ (,ri7m
2-663 dozin
lid/3 dozen
In addition to this we have cut about 500 cords of wood.
Cleared about 30 acres of new ground. All coal fromthe
Chutes has been distributed by this department. We have
spent considerable time working and improving the road system around the institution. Two of the most important improvements to the roads was the widening of the road in front
of the center building yard and the widening and raising of
the road in the back yard and adopting a one-way drive, this
eliminating a great deal of danger when going in and out ot
the back yard gates.
During the year I kept four mules and one horse for their
board. We had two old mules to die during the year.
There has been several improvements made down on the
farm and at the dairy. On the farm by changing fences and
cleaning up fence rows, hedgerows and swamps. At the dairy
bv building a new barn and installing a 4-inch water mam and
putting in fire plugs; also by putting in new equipment in one
end of the barn, including individual drinking cups. I consider the drinking cups very important to the health and productivity of the cows.
During the year we made all the calf feed fromfoodstuffs
produced on the farm. We also furnished all but about 50
C of hav for the dairy. We did not buy any cotton seed
Sit S. In audition to the above work, there has been
several things done that are too numerous to mention.
I wish to thank you, the Board of Trustees, the officers
of the institution and others for the gratitude and co-operation
shown me throughout the year.
Respectfully,
F. C. PENUEL,
Farm Steward,
72
EIGHTIETH ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
SUPERINTENDENT AND RESIDENT PHYSICIAN.
Dear Sir:—Please find below the animal report of the
Engineer's Department for the year ending December 31st,
1923:
'
IMPROVEMENTS
Some work on the John T. Brantley Building has been
done during the year, but all operations have been suspended
now on account of a lack of funds. During the period in which
work was carried on the partitions dividing the interior into
rooms have been put in and most of them lathed. The interior
wiring has been done also and the top story plastered.
The grounds immediately in front of the John T. Brantley
Building have been graded, the terrace sodded and the lawn
planted with Bermuda grass. A concrete walk has been laid
up to the building from the walk leading from the Powell
Building.
Cencrete slop stands for holding the slop barrels have
been constructed in the back yards of all the buildings. A hot
water supply has been run to each stand and all of them are
connected to the sewers.
A water closet in the recreation yard of the Whittle Building and one in the yard at the Cabaniss Building have each
been improved by having side walls built to them, forming
urinal stalls. These stalls have a water supply and are connected to the sewer.
A new wire fence has been built around two sides of the
patients' recreation yard on the west side of the Powell Building and a wire fence has been built dividing the 27th ward
yard from that used by the patients on the east side of the
Powell Building.
The pipe line at the water works leading from the relief
valve on the electric pump has been changed so as to discharge
into the clear water basin instead of into the suction well. A
fitting having a glass protected observation window in it has
been placed on this line just below the relief valve.
GEORGIA STATE SANITARIUM
Two water closets have been installed in the basement of
the Powell Building and partitions built around them. These
closets are for the use of the cooks working nearby.
Three hundred feet of hot water pipe leading to the cottages on the east side of the institution have been replaced
with new pipe.
Three closets have been built between the arches in the
basement leading to the sewing room. These closets being for
the storage of dry goods.
Six water closets in the L. M. Jones Building have changed
from the old seat-flushing kind to the overhead-tank flushing
type.
The new flower garden in front of the Powell Building
has been piped for water.
A telephone has been installed in the office of the Supervisor in the Green Building and one in the Whittle Building.
A brick addition to the bakery has been built for the storage of the day's baking of bread.
A concrete constant head sulphate of aluminum tank has
beeen made and installed at the water works. This tank has
a glass float valve and a variable control orifice outlet made of
rubber.
The water level in the pipe line between the pump in the
water works building and the clear water basin has been raised
by the addition of a 12-inch 45-degree elbow at the discharge
end. The purpose of this raise being to keep the pipe fullof
water at all times, thus ensuring a better mixing of the chlorine
gas used in sterilization.
The water pressure at the "Hospital" Building has been
improved by running a new line from the mains in front of
the Twin Buildings. The old pipe line has been taken up,
cleaned out and laid in the new line to the dairy.
A 4-inch cast iron water pipe line has been run from the
rear of the Twin Buildings to and around the dairy buildings
and a line of fire hydrants placed on each side of the buildings
there New water pipes have been put throughout the dairy
buildings and fifty stalls have been equipped with individual
automatic drinking cups for the cows.
All of the buildings, including the silos, with the exception of the last barn built, which was whitewashed on the inside, have been painted inside and out.
74
EIGHTIETH ANNUAL REPORT
An entrance has been made into the Supervisor's office at
the Negro Building from the outside, and a small covered
porch built over the doorway. This enables the employees
and the public to enter the office without first having to pass
through the Supervisor's private quarters.
The temporary stage in the amusement hall has been
taken out and a permanent one bu ilt in its place.
The barn at the dairy, begun last year, has been completed. This building is 120 feet long by 156 feet wide. Its
construction is similar to the other barns, and while the interior has not been made with cement floors and stalls for the
cows, the construction is such that it can be changed for milch
cows without disarranging the construction.
The old boilers in the L. M. Jones Building have been
removed and replaced with now and larger ones. The larger
boilers being for the purpose of supplying steam for the heating of the John T. Brantley Building, as well as the storehouse and the L. M. Jones Building. The old brick chimney
has also been replaced with a taller and larger one.
A larger duplex steam pump and receiver has been placed
in a new position in the pump pit of the L. M. Jones Building
boiler room, and a new system of hot water supply installed.
These two items being for the care of the L. M. Jones Building,
the storehouse, three surrounding cottages and the John T.
Brantley Building.
An additional power table has been added to the sewing
room equipment. This table has two power sewing machines
on it.
All of the washing machines in the white laundry have
been overhauled and put in good shape. Four of these machines required new copper shells.
A 42-inch by 84-inch new Monel Metal Cascade Washer
has been added to the equipment of the white laundry.
A hot bed with glass top 120 feet long and 6 feet wide
has been built for the florist.
An eight-horse power vertical tubular boiler has been
installed at the dairy.
The wooden center sills in all of the older dairy buildings
have been taken out and replaced with others built of concrete.
New gravel and sand have been placed in the filters at
the water works and all of the 1,500 filter strainers taken out
and cleaned.
GEORGIA STATE SANITARIUM
75
The kitchen and dining room building at the "Hospital"
has been recovered with galvanized sheet iron.
The large box stalls on the south end of the dairy have
been taken out and replaced with stalls for the milch cows
similar to those in the balance of the building. The floor in
this part of the building has been relaid with concrete to conform with the balance of the work.
A marquee has been placed over the entrance to the John
T. Brantley Building.
The cottage occupied by Dr. Longino has been repaired,
banisters put to the front porch and painted inside and out.
A ventilator has been put over the toilet at the Apothecary.
A portion of the 14th ward has been cut off by a partition, making a much needed clothes room.
Clothes cabinets have been built in the bathroom of the
cottage occupied by Dr. Tanner, and the whole house has been
worked over and painted inside and out.
Clothes closets have been built in ten of the bath rooms
of the Powell Building.
A third story has been added to the porch at the Male
Convalescent Building.
A closet has been built in the dining room of the Cabaniss
Building.
The brick flooor in the colored laundry kettle room has
been replaced with one of cement. This floor has a drainage
to the center and connection with the sewer.
The cottage occupied by Dr. Cox has been repaired and
painted both inside and out.
Twelve steam radiators have been placed in the sun rooms
of the west wing of the Powell Building. Four of these are
new placements; the others take place of an old type of radiator which has never been very effective.
Clothes lockers have been built in the kitchens of the
Negro Building and the Twin Buildings for the operatives.
A new shingle roof has been put on the first cottage to the
south of the negro Building and the house put in good repair.
All of the employee's cottages on the south side of the
institution have been repaired and the roofs patched.
LUt^*""'"'
76
EIGHTIETH ANNUAL REPORT
A cement walk seven feet wide has been laid between the
south end of the storehouse and the east end of the Powell Center Building.
The wooden porch floor and steps in front of the Whittle
Building have been taken out and replaced with concrete.
The diet kitchen on Ward "0" has been removed to "C"
Ward, and a brick chimney built for the range. Sinks and
tables have been made for this kitchen.
A Delco lighting system has been bought and installed at
the "Colony." This takes the place of the old and worn-out
acetyline gas system used there.
A latticed framework has been built around the stairway
leading to the yard in the rear of the west Detached Building.
The grounds between the Powell and Jones Buildings
have been worked over and newly graded. The walks in this
area have been resurfaced and grass has been planted over the
lawns.
The old metal ceiling in four of the dining rooms at the
Negro Building has been removed and replaced with wood
ceiling.
The second and third floor apartments in the center building of the Male Convalescent Building have been painted.
The cottage occupied by the Steward has been painted.
The female T. B. ward has been painted on the inside
throughout.
The outside of the Storehouse Building has been given two
coats of paint and the inside of the building has been gone
over also.
The rooms and hallways on the 23rd Female Ward have
been painted.
The floors of the hallways in the Powell center building
have been waxed and polished twice during the year.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness repair
shop, the tin shop, the paint shop, broom factory and shoe
repair shop have been kept busy in manufacturing and repairing various articles used in the different departments.
Respectfully submitted,
T. II.
DESAUSSUKE,
Engineer.
77
GEORGIA STATE SANITARIUM
Report of Steward
FOR THE YEAR
DR.
1923.
R. C. SWINT, Superintendent.
Georgia State Sanitarium.
Dear Sir:—I have the honor of submitting the following
exhibits and schedules making up a detailed report of all receipts and disbursements through this office during the fiscal
year ended December 31st, 1923.
EXHIBITS:
1. Consolidated Cash Statement Receipts and Disbursements.
Analysis Cash Receipts and Disbursements, General
and Special Funds.
3. Balance Sheet at December 31st.
4. Statement of Income and Expenditure for Year.
5. Profit and Loss Statement', Farm and Garden.
6. Profit and Loss Statement, Dairy.
7. Analysis Expenditure Nurses' Home.
8. Analysis Incidental Account Shown in Exhibit No. 4.
SCHEDULES:
1.
2.
Accounts Payable as of December 31st.
Accounts Receivable as of December 31st.
A comparison of the per capita cost for the year with
that of 1922 follows:
Year
Per Capita
Per Diem
Patients
1922
$238.04
$0.65.25
3,918
1923
234.95
0.64.37
4,172
With a few exceptions, purchases have been promptly
paid throughout the year.
Cancelled vouchers and bills have been filed in the
Executive Department as required by law.
Respectfully submitted,
HOMER BIVINS,
Steward.
Exhibit No. 1.
Consolidated Cash Statement Receipts and Disbursements
General
Fund
DESCRIPTIVE
Balance from 1922_
Less due Treasurer-- _
Less due Special Funds
_
_
$15,052.74
Patients' Steward's
New
Fund
Fund
Buildings
$9,928.91
Patients' Support &
Deposits Maint'nce
$3,000.00
$34,400.87
$9,928.91
$46,453.61
Receipts:
Maintenance Appropriation, regular
Maintenance Appropriation, part 1921
Returned checks
Insurance—Colony Farm Loss
Interest on balances
Patients' deposits
Miscellaneous—Sales, etc.
$800,000.00
3,000.00
15.48
24.35
873.98
Balance
__—____•—
Transferred by Steward
$788,861.07
6,353.08
$9,928.91
16,550.41
$26,003.49
23,003.49
$34,400.87
$26,579.32 $763,813.28
Balance Disbursed on vouchers
$795,214.15
1,018,180.18
$26,579.32
15,552.29
$3,000.00
49,040.97
$34,400.87
35,943.74
$26,579.32 $763,813.28
948,747.76
$ 222,966.03
$11,027.03
$52,040.97
49,040.97
$1,542.87
$26,579.32 $184,934.48
15,552.29
33,488.68
$222,966.03
$11,027.03
$3,000.00
$1,542.87
$11,027.03 $218,423.16
Balance Disbursed by StewardBalance _
....
.
______
•
16,650.41
6,353.08
16,650.41
$800,000.00
3,000.00
15.48
24.35
873.98
6,353.08
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S)
H
o
i-3
Exhibit No. 1 (Continued).
Consolidated Cash Statement Receipts and Disbursements
O
H
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ft)
SUMMARY
o
Due Treasurer, overdraft
Due patients' deposits
$222,966.03
11,027.03
Total
Less cash in hand, Treasurer
Less cash in hand, Steward
Less due by Nurses' Home Fund
$11,027.03
3,000.00
1,542.87
Total
Difference: Cash deficit Maintenance Fund
w
>
$233,993.06
H
w
>
H
$15,569.90
$218,423.16
>
Pi
Exhibit No. 2.
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Forward from 1922:
In hand Treasurer
In hand Steward .
$9,928.91
3,000.00
$12,928.91
State Appropriations:
Regular, for maintenance, 1923- $800,000.00
Regular for maintenance part
1921
3.000.00
$16,650.41
.
Old material, iron, brass, bar
rels, etc.
Sundries
$1,822.29
150.00
132.00
30.00
143.60
Trust Funds:
Patients' withdrawals
Support and Maintenance:
Officers' salaries
Wages Medical Dept
Wages Steward's Dept
Wages Engineer's Dept
Wages, farm, garden & dairy__
$15,552.59
592.38
48.74
$134.49
313.65
.14
a>
r
w
O
to
$242,381.62
549.75
2,970.76
$75,334.50
56,793.75
85,419.75
33,133.80
10,273.16
4,407.91
5
55
55
$245,902.13
Miscellaneous:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
O
K
X
>
$54,907.46
216,746.62
39,507.74
53,849.48
18,974.65
$383,985.95
Food supplies:
Wards
Superintendent's D. room
Steward's D. room
$2,919.01
Sales—Farm, Garden and Dairy:
Hides and calves
Farm products
.._
$15,052.74
$37,949.63
$803,000.00
Trust Funds:
Patients deposits
Miscellaneous:
Merchandise sales
Sales, bodies
Sales, drugs
Dental material
Medical books
DISBURSEMENTS
Paid O. M. Conn, Treas., overdraft from 1922
Special Funds:
Nurses' Home
$35,943.74
Occupation therapy
2,005.89
Exhibit No. 2 (Continued).
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Other:
Board special attendants
Telephone and telegrams
Wages
Interest on balances
Kents
Checks returned
Occupation therapy
Insurance—Colony Loss
Difference:
Overdraft, General Fund
Incidentals
$973.32
47.35
139.32
873.98
3.00
15.48
1,823.24
24.35
DISBURSEMENTS
58,648.36
$324,011.23
Farm and Garden:
Live stock
Vehicles and implements
Fertilizers
Seed
Sundries
75.00
2,664.28
9,064.50
623.41
361.79
$3,900.04
$222,966.03
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>
$12,788.98
Dairy:
Feed
Misc. supplies
Sundries
>
and
230.55
$11,027.03
3,000.00
$14,027.03
Grand total
$1,062,812.54
Grand total
H
w
>
Z
10,911.25
1,956.50
674.51
$13 542.26
Total for support
maintenance
Balance Cash in Hand:
Treasurer
Steward
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O
$1,062,812.54
Exhibit No. 3.
Balance Sheet at December 31st, 1923
LIABILITIES
ASSETS
Cash in Hand:
Treasurer, Patients' Fund
Steward, Working Fund
$11,027.03
3,000.00
$14,027.03
Miscellaneous:
Freight and express
Due by Nurses' Home Fund
Accounts Receivable:
Officers and employees
United States Public Health-—
Outsiders
Purchased Supplies:
Storekeeper
Sewing room
$6,392.39
1,666.35
$222,966.03
$11,027.03
277.39
123.68
$8,058.74
Salaries and Wages:
Employees, December
Officers, December
$849.96
Accounts payable:
Purchases for 1923
Surplus:
As of Jan.lst,1923
Less 1923 adjustment
>
•za
>
$28,630.64
5,124.10
$33,754.74
$11,071.30
$56,062.12
4,555.67
o
a
3
1-3
511,428.10
$430.61
320.68
98.67
$37,936.32
5,134.92
Due O. M. Conn, Treasurer:
Maintenance Fund
Due Special Funds:
Patients' deposits
Occupation therapy
Wing Whittle Building
F
to
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O
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i-3
Exhibit No. 3 (Continued).
Balance Sheet at December 31st, 1923
LIABILITIES
ASSETS
Engineer, fuel
Engineer, supplies
Cold storage
Pharmacist
Net to account for.
33,521.46
10,410.96
6,190.24
4,970.87
$51,506.45
O
O
o
$98,164.77
Farm Products on Hand:
Earrn and garden
Dairy
w
$18,742.65
2,912.00
>
H
H
$21,654.65 !
Property Accounts:
Live stock, farm and garden
Live stock, dairy
03
>
$17,621.00
17,745.00
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►
ft)
r—I
$35,366.00
Vehicles and Imp., farm
Vehicles and Imp., dairy
a
$5,296.25
938.00
$6,234.25
Difference:
Excess expenditure, Exhibit No. 4
Total
$146,371.22
$330,726.62
Total
$330,726.62
Exhibit No. 4.
Statement of Income and Expenditure for Year
EXPENDITURE
General admisitration:
Officers' salaries
Wages and Labor:
Medical Department
$226,502.82
Engineer's Department
54,970.34
Steward's Department
40,712.13
Total
Food Supplies:
Wards
Officers' dining rooms
Total
Miscellaneous:
Fuel
Medical supplies
Stationery and postage
Furniture and bedding
Dry goods and clothing
Maintenance of plant
Heat, light and power
Laboratory supplies
Office supplies
$57,992.82
$322,185.29
$240,349.77
3,520.51
$243,870.28
$60,855.38
10,273.16
4,407.91
46,417.31
64,955.07
32,162.10
15,077.75
830.82
1,220.92
INCOME
State Appropriation:
Regular, maintenance
Miscellaneous:
Board of officers
Board special attendants
Board employees
Rents, residences
Interest on balances
1
Sales, medical books
Fines
Dental work and material
Miscellaneous sales
Miscellaneous income
Poultry yards
$800,000.00
Total
Additional:
Net profit from dairy
$ 3,485.60
Net profit from farm and garden- 13,064.76
Total
Difference:
Excess expenditure for year
O
a
$797.29
1,033.95
3,638.23
225.50
893.99
141.10
151.00
12.25
1,236.65
114.51
81.63
H
i-3
a
>
d
>
F
W
H
$8,326.10
O
fS
i-3
$16,550.36
$146,371.22
•
Exhibit No. 4 (Continued).
Statement of Income and Expenditure for Year
Dental supplies and equipment
Repairs, autos and trucks
Incidentals
Escaped patients
Advertising
Amusements
Travel
Medical books and journals
Telephone and telegraph
Surgical instruments
Interest paid
Automobiles, purchased
Total
Food Supplies:
Furnished by farm, garden and dairy
Grand total
Q
H
O
W
INCOME
EXPENDITURE
Carried to Exhibit No. 3.
279£
2,106.30
33,162.26
1 la
f?n'm
„„ 21
1,573.7b
371
-^f
491.73
^
j™«
3,304.1b
Q
w
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H
w
>
H
►
r-H
a
$282,181.87
$65,017.42
$971,247.68
Grand total
$971,247.68
Exhibit No. 5.
Profit and Loss Statement, Farm and Garden
DEBITS
$18,742.65
Inventory as of December 31st, 1922Purchases During Year:
$9,064.50
Commercial fertilizer
623.41
Seed
361.79
Freight
Total
Departmental Purchases:
Compost
Total
Deduct inventory Dec. 31, 1923_
$10,049.70
$2,314.00
$31,106.35
18,742.65
Net cost feeds, fertilizer, etc.
Difference:
Gross profit for year
$12,363.70
Total
Operating Expense:
Wages employees
Sundries
Miscellaneous supplies and repairsTreating hogs
Board employees
Difference:
Net profit for year
$45,434.07
CREDITS
Departmental Sales:
Vegetables
Peas, potatoes, etc_
Pork
Dairy products
Poultry and eggs..
Dairy feed
Total __.
Cash Sales:
Miscellaneous
_s27.273 ,48
- 4,514, 70
_ 8,390, 35
944, 00
996, 49
. 3,001, ,40
I—I
Q
$4.""). 120.42
a
§
313.65
X
>
Total
$45,434.(17
Gross profit down
$33,070.37
33,070.37
z
a
>
r
w
H
Grand total
►0
o
to
$14,714.50
70.00
2,594.28
172.00
2,454.83
13,064.76
$33,070.37
Grand total
$33,070.37
Exhibit No. 6.
Profit and Loss Statement, Dairy
DEBITS
Inventory as of Dec. 31st, 1922
Purchases During Year:
Feeds
Freight on feeds
Pasturage
CREDITS
$2,912.00
1,911.25
574.51
100.00
$11,585.76
Departmental Purchases:
Feeds, from farm and garden
Total
Deduct inventory at Dec. 31st, 1923Net cost of feeds, etc
Difference:
Gross profit for year
Total
Operating Expense:
Salaries and wages
Misc. supplies and repairs
Board employees
Sundries
$3,002.00
Departmental Sales:
Milk
Butter
Dressed beef
Compost
Sacks
Total
Cash Sales:
Calves, hides, etc
M„,„
,47
¥ Z'°f
l K.75
f.
"?4.50
z
> ^ ,00
7!) .28
O
a
o
$25,283.00
:
134.49
©
10,829.73
w
>
H
w
>
2!
1—1
$25,417.49
>
$17,499.76
2,912.00
$14,587.76
Total
Gross profit brought down.
$25,417.49
$10,829.73
I—I
d
S4.721.93
1,956.50
590.70
75.00
Total
Difference:
Net profit for year
$7,344.13
Total
$10,829.73
3,485.60
Total
$10,829.73
Exhibit No. 7.
Analysis Expenditure Nurses' Home
DISBURSEMENTS
Brick
Lime cement and plaster
Tile
Lumber
Laths
Wooden columns
Electrical supplies
Hardware
Plumbing and steam fittings
Boiler, heater and radiators
Sand
Insurance (builders' risk)
Miscellaneous
Total
Wages:
Employees
Total expenditure
RECEIPTS
Forward from 1922
Difference:
Due regular Maintenance Fund—.
$583.20
2,587.77
2,558.25
9,288.36
1,585.25
106.73
3.303.68
773.23
2.539.72
1,700.77
548.25
800.00
273.23
EJ.
-.$34,277.19
- 1,666.65
O
a►3
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i-3
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w
.$26,648.44
1-3
9,295.30
.$35,943.74
Total
$35,943.74
89
GEORGIA STATE SANITARIUM
Exhibit No. 8.
Analysis Incidental Account Shown in Exhibit No. 4
Housekeeping
Kitchen supplies
Laundry supplies
Dining rooms—wards
Broom factory
Cemetery supplies
Florists' supplies
Auditing
Insurance, property
Barber supplies
Implements
Electrical supplies
Telephone supplies
Tobaccos
Sundries
Total
$7,819.48
1,295.53
4,674.71
3,673.65
2,149.69
694.94
251.81
1,455.24
640.04
253.73
382.71
1,228.49
192.04
8,207.85
242.35
$33,162.26
90
EIGHTIETH ANNUAL REPORT
Schedule No. 1.
Accounts Payable as of December 31st, 1923
DR.
Acme card filling system
Armour & Co.
Augusta Chronicle
Atlantic Broom Supply Co
American Laundry Machinery Co
Atlanta Journal Co
Bell Grocery Co_E. E. Bell
.__
Brantley, C. C
Brantley, John T
Bright, Brooks Lumber Co
Bland, S. J
Burroughs Adding Machine Co
Chandler Brothers
Callaway's Stores
Chicago White Lead and Oil Co
Carter White Lead Co
Cudahy Packing Co
Cotton States Belting & Supply Co..
Coleman Meadows Pate Drug Co
H. L. Corv Coal Co
Cone. E. H.
Crane & Co.
Conn, John & Co.
Constitution Publishing Co.
Curington Elrod Co
Dannenberg Co.
Dean, H. H.
__'_'.'.
Dowman Dozier Mfg. Co
Doubleday, Page & Co
Doody, W. A. & Co
I. Epstein & Bro
Ennis, J. H
Evans, W. C
Enterprise Mfg. Co.
Empire Products Co
Pulton Supply Co
Eried, J. R
__~
Georgia Railroad Co
Gilham Schoen Electric Co
B. G. Glass Motor Co
S. Gumpert & Co
Gulf Refining Co.
'"_
Glenn Photo Stock Co
Hall, Dr. T. M
"
R. W. Hatcher Hardware Co
I
Eeri & Frerich Chemical Co
Harris Laboratories
J. I. Holcolmb Mfg. Co
Hinman Milking Machine To
Hosch Brothers & Co_
Ivey, O. E
CR.
$438.70
1,797.96
4.20
$20.39
3.54
10.80
499.10
143.16
3.24
12.50
72.08
219.34
24.99
8.10
36.36
5.38
32.63
41.92
3.50
25.36
197.58
10.70
13.96
7.41
12.96
3.00
26746
25.00
572
2.00
9.51
.45
1,263.48
120.60
i;n 25
$26.00
65
2.00
7 70
■
217
2.6.-)
2.00
32.00
52.33
19.4.-,
25.00
22.25
181.li.-,
32.76
1.29
.4:',
237.45
91
GEORGIA STATE SANITARIUM
Schedule No. 1 (Continued).
Accounts Payable as of December 31, 1923
CR.
90.50
DR.
Ivey, W. H
James Supply Co
.lordon, Lee N.
Kewanee Boiler Co.
Kronenberg X-Ray Supply Co
Lester Book and Stationery Co
Laib Co
Samuel Lewis
Liberty Yeast Corporation
McMillan Co
MeKinley & Collins
Macon Telegraph Publishing Co
Matheison Alkali Works
Merritt Hardware Co.
J. A. Majors Co.
Miller Rubber Co.
Milledgeville Telephone Co
Montgomery, W. H.
Milton Bradley Co
H. B. Mulford & Co
Milledgeville News
C. E. Newton & Bros
Newell, A. C.
Oconec River Mills
National Biscuit Co.
-Nervous & Mental Disease Co
National Committee Mental HygienePeople's Oil Co
Parke, Davis & Co
Phenix Supply Co.
Procter & Gamble Dist. Co
Rawlings, Dr. William
Ridley, Yates & Co
J. B. Riley Drug Co.—Ro^in and Turpentine Export Co
Rice & Hutchins Atlanta Co
Riddle Coal Co.
-—
(). N. Richardson Milling Co
Roughton Halliburton
David Rothschild & Co
Rome Mfg. Co
Shaw, Dr. W. H
Schwartz & Phaul
Selden Sales Co
Selig Co
Southern Express Co.
Stembridgc, J. W.
Smith, R. G.
Standard Oil Co.
Solomon Co.
Swift & Co
54
-dH
31.15
9.02
59.38
48.18
2
'^:'
M
94.16
4.68
369.77
7.20
»4.oU
°-ro
■ <■*"
■".«.
-
.20
27.23
39.62
33.63
24.68
18.00
6.50
285.50
25.00
1,337.95
73.04
6.00
26.50
10 uu
L»u
„<.
54.ua
„
'-00
6 00
-
.q97
«•»'
229.05
62.50
17.44
4.15
250.30
289.24
236.75
2.25
1.38
75.00
81.06
16.84
38.75
34.07
815.74
ngg0#*
^^"^"^^^B^H^^^^^H^HI
92
EIGHTIETH ANNUAL REPORT
Schedule No. 1 (Continued).
Accounts Payable as of December 31, 1923
DR.
Surgical Selling Co
Southern Cotton Oil Trading Co
Scientific Materials Co
Tanner, Dr. W. F
Tenniile, W. C
Tribune Herald
Veal, O. F
Union Recorder
United Provision Co
Whitfield Grocery Co
Western Union Telegraph Co
E. A. Waxelbaum & Bro
Wilson & Co
West Disinfecting Co
Western Electric Co
Watson, E. T
Wachtel Physician Supply Co
Williams & Wilkins Co
Max Wocher & Son
Willingham ,Tiit Lumber Co
Winthrop Chemical Co
Wootten, R. H
Total
CR.
4.40
62.50
27.40
80.13
44.95
2.28
56.25
80.00
53.04
1,205.41
25.35
.69
.75
6.00
6.13
12.93
1.96
173.90
.52
5.00
33.30
2.72
$1,080.48 $11,886.73
93
GEORGIA STATE SANITARIUM
Schedule No. 2.
Accounts Receivable as of December 31st, 1923
DR.
Allen, W. K
Adams, Alethia
Allen, W. H.
Adams, Lusallie
Austin, Frank
Amos, Essie
Allen, C D
Andrews, Mandy
Bonner, Mary
Beal, Lizzie Mae
Blackwell, A. N
Bailey, R. F.
Berry, Lucile
Bonner, A. E.
Benlord, Lillie
Bonner, Allen
Bloodworth, J. G.
Bivins, Homer
Braswell, Willie
Brown, Easter
Brantley, Mattic Lou
Bowen,
U. S.
BrowTn, Annie
Brown, Eula
Boyer, Maria
Brown, Luvie
Brantley, T. C.
Bentley, G. R. W.
Baugh, W. E
Chappell, Louis
Cox, C. G.
Combes. Mrs. D. N
Couch, C. E
Cooper, Mrs. J. O.
Coleman, E. H.
Coxwell, Mrs. T. B
Digby, Velma
Digby, Mae
Davis, J. R
DeSaussure, T. H.
Dillard, Joe
Dickerson, A. B.
Denham, J. H.
Eehols, G. L
Epps, R. S
Farell, Arthur
Freeman, Lillian
Freeman, Lnla
Grimes, Ruth
Georgia State Farm
Green, G. H
,
•-
CR.
„„„ ,„ $3.75
$10.40
22.50
1-9?
l-8o
1-60
-30
-65
35
2.52
3.90
1-35
1-50
-20
3.19
5.00
2.15
3.78
-35
-50
1-15
13.53
2.61
2.54
1-28
-25
-25
-50
-35
3.00
1-66
.65
.30
-10
.74
.40
2.14
-33
-75
3.83
2.00
-35
-35
1-31
-70
-Jl
2.9o
2.50
-85
10.50
^
94
EIGHTIETH ANNUAL REPORT
Schedule No. 2 (Continued).
Accounts Receivable as of December 31st, 1923
Gilman, J. M
Godfrey, Delia
Gilman, Lucy
Gilman, Ernest
Humphrey, Joe
Harper, Lucile
Hutchinson, Stella
Hardie, J. H
Hawkins, Johnnie
Hall, J. M
Hartley, Loraine
Horton, O. D.
Hattaway, G. W.
Harrison, John
Hudson, C. E.
Hawkins, A. J.
Hogan, Callie
Herringdine, Gussie
Humphrey, J. O.
Hoover, Ruby
Holsev, L. S.
Hudson, J. E
Johnson, Nannie Sue
Jackson, Ellen
Jones, H. S.
Josey, J. E.
Johnson, B. E.
Kitchens, Gladys
Lawson, E. L.
Lord, J. E
Longino, L. P.
Leonard, Lila
Lavender, O. B.
Liggins, Rosa
Logue, J. S.
Layfleld, J. A.
McKinley, Lannle
McDade, Hessic
Merritt, Willie Mae
Mathews. T. W.
Malone, J. B.
Martin, L. J
Moye, Lula
Miner, C. C
Mobley, J. W.
Nelson, Nicic
Odcn, J. W.
Oxford, Amy
Osborne, H. L
Penuel, F. C
Pettitt, J. K
*
DR. CR.
.20
.38
41
.50
.30
8.50
.78
1.00
.45
.62
1.05
7.50
1.50
8.67
3.97
4.34
1.40
1.72
.35
.50
.40
.60
3.36
3.78
.70
.50
.40
12.96
.65
1.35
1.24
1.26
.55
6.35
.35
.15
.30
10.18
4.64
1.45
1.47
1.05
.75
.80
24.45
.01
31.05
.60
.35
8.69
10.82
GEORGIA STATE SANITARIUM
Schedule No. 2 (Continued).
Accounts Receivable as of December 31st, 1923
DR.
Polk, J. B.
Phillips, Vera
Price, Marie
Ross, J. D.
Ray, Seott
Rice, Walter
Rivers, Eula
Robinson, Agnes
Radney, Zclma
Renfroe, Cora
Richardson, Willie
Reid, Bertha
Reliford, Mamie
State Anatomical Board
Smith, J. T.
Smith, Lillian
Snow, W. H
Simpson, C. E.
Stembridge, W.,W
Simpson, B. C.
Saye, E. B.
Switzer, A. W
Smith, Eva
Smith, E. L
Thompson, Eclix
Tanner, W. F
Tucker, Walter
Thomas, Annie
Threat, Eannie
Thomas, Trellie Mae
Thompkins, Katie
United States P. II. S
Vinson, J. T.
Veal, Joe
Vcatch, C. N.
West, J. H.
Walker, N. P.
West, Maggie
Wright, S. E.
Wootten, J. J
Wright, S. E., Jr
Wynn, Lucile
Walker, W. A.
Wright, D. B
Yarbrough, Y. H. __
-■
4.10
4.72
7.10
105
2.28
-50
1.91
3.09
5.72
13.91
4.27
1-65
2.25
10.00
3.75
-35
3.50
1-25
.35
-50
.40
1.14
3.40
.40
.25
88.17
4.11
5.20
1.20
1-25
1-10
320.68
.25
-75
-25
3.85
2.97
1-40
2.04
1-03
-25
-67
-35
.40
1-30
OR.
fcpr*fc*--»*»>"-^~~~J^**kJ&»l3LjiJL^^
BRAID a MUTTON INC.
PRINTERS AND LITHOGRAPHERS
SAVANNAH, GA.
EIGHTY-FIRST ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Four
*/jpo*
Board of Trustees
President
T.
JOHN
_______
BRANTLEY
Blackshear, Ga.
Vice-President
H. H.
_________
DEAN
Gainesville, Ga.
Secretary
C. C.
BRANTLEY
E. E.
LINDSEY
J. C.
JARNAGIN
A. C.
NEWELL
THOS.
M.
H. W.
SHAW,
HALL
_________
__________
________
________
_______
M. D.
_____
_
Rome, Ga.
Warrenton, Ga.
_________
M. D.
WM. RAWLINGS,
Valdosta,. Ga.
Atlanta, Ga.
Milledgeville, Ga.
_
Augusta, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
B. B. Lindsey, Chairman
A. C. Newell
C. C. Brantley
J. C. Jarnagin
Thos. M. Hall
Finance and Auditing Committee
A. C. Newell, Chairman
Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
"Wm. Rawlings, M. D., Chairman
Thomas M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds
H. H. Dean, Chairman
E. B. Lindsey
H. W. Shaw, M. D.
Committee on Farm and Outside Business
J. C. Jarnagin, Chairman
H. H. Dean
Wm. Rawlings
fe^^%jjB3h£»iiflayat
Officers of the Sanitarium
R. C. Swint, M. D
Superintendent and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Eehols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
*J. K. Pettit, M. D.___(To Sept. 1, 1924) Assistant Physician
W. H. Allen, M. D
Assistant Physician
D. T. Rankin, M. D._(Prom March, 1924) Assistant Physician
E. B. Saye, M. D
____Pathologist
R. W. Bradford, M. D
(From July, 1924) Junior Assistant Physician
U. S. Bowen, M. D
(From July, 1924) Junior Assistant Physician
C. G. Cox, M. D
(From July, 1924) Junior Assistant Physician
G. H. Green, D. D. S
Dentist
S. I. Ney, D. D. S
(From Dec. 1, 1924) Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure
Engineer
F. C. Penuel
Farm Steward
H. S. Jones
Secretary
Arthur Farell
Storekeeper
Miss Catherine McGinley
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge
Inspecior
Rev. H. C. Emory
Chaplai
ain
"■Resigned.
Eighty-first Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1ST, 1925.
To His Excellency, Clifford Walker, Governor.
Sir:
Conforming with the State law, the Board of Trustees of
the Georgia State Sanitarium respectfully submits its annual
report for the year 1924, which is supplemented by the annual
report of the Superintendent and Resident Physician in which
is included reports from the heads of the different departments of that Institution. These reports supply information
in detail of the work which has been done during the year.
Some Physical Facts
From these reports it will be seen that the net increase
over the past year was 203 patients, as compared with 207
for the previous year, though the total admissions for the
year were only six less than the previous year. The year
closed with 4,447 patients on hand.
The report of the Steward shows that the daily per capita
cost for the past year was $0,622, as compared with $0,643
for the previous year. This reduced cost per capita comes in
face of an increase of a little more than $52,000.00 for food
during the past year.
The salaries and wages account shows that the cost of such
was $2,001.00 less than the previous year.
Farm Steward's Report
From the Farm Steward's report for the past year, it will
be seen that the value of the products taken from the garden
and farm of the Sanitarium for use in maintaining the Institution amounted to a little more than $100,000.00, based on the
value of such products in the open markets. It has been the
policy of the Farm Committee of the Board to try to make
that department productive of the greatest possible value to
the Institution. The output from the farm and garden included vegetables, fruits, milk, dairy products, gram, sweet
potatoes and other crops of that character.
EIGHTY-FIRST ANNUAL REPORT
Engineering Department
In the Engineering Department, the repairs upon the
various buildings have been kept up, and an unusually large
amount of work done in extending pipe lines for heating purposes, water mains for fire protection; the installation of a
mattress renovating plant, and quite a large amount of grading and drive-way construction has been done. Work has
been pushed upon the new nurses home, the John T. Brantley
Building, which has been in course of construction for the
past several years, and which will take care of the white female
nurses when it is completed, thereby relieving in a measure,
some of the greatest congestion on the halls, is to be completed
during June or July of the current year. The work is being
done largely by the regular force of carpenters, masons and
painters of the Institution, in the interest of economy.
The Scope of the Property
These references will give an idea of the physical work
which has been done at the Sanitarium during the past year.
In order to appreciate the enormous amount of work to be
done in these departments, it may be said that the original
cost of the real estate of the Institution, including all of its
buildings, approximates $1,693,000.00. Most of these are old
buildings which require constant repairs, such as new floors,
new ceilings, new roofs and other repairs of that character.
The grounds of the Institution cover over 3,450 acres, and of
this amount 1,750 acres were under cultivation the past year.
There are under irrigation about 18 acres of land which is
very productive, furnishing an enormous amount of vegetables during the season.
There are employed at the Institution, including the
Medical Staff, Nurses, Attendants, and employes in other
departments, 355 males and 324 females, making a total of
679. Its total population is now 5,126, while 605 patients
were out on furlough at the close of the year.
Finances
The careful management of the Sanitarium is indicated
elsewhere. The report of the Steward sets out in detail the
receipt and expenditure of funds appropriated to it. The
report is corroborated by that of the State Auditor. The
appropriation of $800,000.00 for 1925 will be insufficient to
maintain the Sanitarium and a deficiency appropriation of
GEORGIA STATE SANITARIUM
$250,000.00 to be made available on the exhaustion of the regular appropriation will be necessary.
The Medical Department
The Board of Trustees point with pride to the most excellent service which has been rendered in the Medical Department during the past year. We believe that the morale of the
Institution, the devotion of the employes to the unfortunates
in their charge, and the spirit of co-operation which exists m
all of the departments, was never better than it is at the present time. The Board of Trustees has been especially impressed
and pleased with the excellent results which have come from
the development of Occupational Therapy among both the
males and females in the Institution, and among the black,
as well as the white population. This work includes manual
effort in many different lines. It is not enforced service, but
it is the kind of work which various types of patients are
fitted for doing. In the male department it has been grading,
gardening and work of that type. The patients have taken to
it with enthusiasm and some wonderful results have been
accomplished.
In the female department, the work includes nearly all
kinds of fancy work. An exhibit of this work would compare
favorably with similar work from any institution in the country. A suitable building for the further development of this
form of treatment is urgently needed for the use of white
females. It is a pleasure to see the excellent development in
these lines, and especially since the diversion has had such a
wholesome effect upon the mentality of those engaged m it.
Our Crowded Condition
The Board of Trustees feels that the work for the past
year has been unusually good, considering the crowded condition of the Institution, and the handicap under which every
department is laboring. There has been a net gain of about
500 patients in the past two years, and the Institution was
overcrowded before these patients were received. The condition that exists upon some of the halls at the present time is
almost intolerable. We feel confident that it would not exist
if the people of Georgia and the members of the General
Assembly understood the situation as it really is. A great
Institution which is founded for charity and which has to
deal with a type of human beings who need regular hospital
treatment and constant care and attention, should not be
ggXW* —
EIGHTY-FIRST ANNUAL REPORT
forced to subject its inmates to a condition which tends to
aggravate, rather than relieve, the trouble from which they
are suffering. The State Sanitarium is not a place of mere
confinement, or a prison, but it is a place of treatment, and
the fact that a large percentage of those who are received
each year are returned to lives of usefulness and to their
families, shows that the work of the Institution is reaching
the high ideals for which it was established.
Need of Another Institution
The Board of Trustees, after having given much thought
and consideration to the present condition in the Institution, is firm in the belief that the time has arrived when
the State should now prepare for the establishment of another
hospital for treatment of the insane, probably located in some
other part of the State. The experience of other States has
been that the best results are not obtained where the congestion is so great and the Institution is so large. The Georgia
State Sanitarium is one of the largest in the United States.
While the number of insane population is not proportionately
as great in Georgia as in most of the other States, and the
cost of maintenance is not so large, we have our entire insane
population in a single Institution, located at one point. The
Board of Trustees will amplify this view in a special report
to your Excellency, with the hope that the attention of the
next Legislature may be called to it.
The Fire Hazard
The Board of Trustees desires to call attention again to the
need of a dependable system of fire escapes for the various
buildings in which patients are confined. While we have had
no trouble in the past, and while the Trustees and the officials
of the Institution have done all in their power towards improving the system of fire protection, by the extension of
water mains and putting in more hydrants, we daily realize
what a horrible situation would confront us and the people
of Georgia if a fire should get beyond the control of our fire
department—a condition that is as liable to happen at the
Sanitarium as elsewhere.
Need of Duplicate Water Main
We also wish to call attention again to the urgent need of
a duplicate water main from the pumping station to the
GEORGIA STATE SANITARIUM
Sanitarium. At present, we have only one main which is
sometimes covered by freshet water from the Oconee River.
It runs under Pishing Creek and two or three smaller
branches, and is liable to be put out of commission almost any
time. Such a happening would bring about a deplorable situation at the Sanitarium, and one which the people of Georgia
should not tolerate longer.
Ice and Cold Storage
"We call attention again to the urgent need of a new ice
plant and improved cold storage facilities. Our present ice
plant is worn out and has been out-grown for several years.
The Institution is dependent upon it for ice for its 5,000 population and for cold storage in which to keep its dairy products,
vegetables, beef and other things that are dependent upon
cold storage for preservation.
Some Other Needs
We also call attention to the fact that the Sanitarium needs
a much larger Amusement Hall to meet the needs of the large
population of patients who are wonderfully helped in this
way. The present Amusement Hall has been in use for forty
years and is no longer adequate.
There is also an imperative need of additional buildings
for white female and colored female patients. It is estimated
that these buildings will cost $150,000.00 each. A schedule of
needed improvements for the next two years, and which require special appropriation, are as follows:
1. New ice plant and cold storage. Estimated cost
$ 30,000.00
2. Duplicate water main from pumping station to Sanitarium. Estimated cost
44,000.00
3. Occupational Therapy Building for white females.
Estimated cost
9,260,00
4. Outside fire escapes. Estimated cost
25,000.00
5. Modern Hospital Building, adequately equipped. Estimated cost
250,000.00
6. Amusement Hall adequate to meet the needs of our
large population to replace the small one that has
been in use for 40 years
7. Two additional buildings will have to be provided to
take care of the over-crowded white females and
colored females, if no steps are taken towards the
establishment of another Institution in some other
section of the State. Estimated cost, each
150,000.00
Xjffuuiacatx rti'ir«iv
10
EIGHTY-FIRST ANNUAL REPORT
Changes in the Law
The Board respectfully calls your attention to needed
changes in the State law, which will clearly define the type
of patients to be admitted to the Sanitarium; and to change
the law so as to make each county of the state bear one-half
of the cost of caring for the patients from the different counties ; and another change in the name of the Institution from
"Georgia State Sanitarium" to "Georgia State Hospital."
The Board of Trustees will present these matters to your
Excellency in more definite shape in the special report hereinbefore referred to, at which time the Board will undertake to
show the advantages which are to be derived from these
changes.
In Conclusion
The Board heartily commends Superintendent Swint for
the record which he and his assistants have made during the
past year.
We wish to thank your Excellency for the co-operation
which has come from the Executive Office, and which has been
very helpful to the Board in discharging its duties. "We also
recognize the fine spirit which has been shown by the State
Auditor in seeking to meet the needs of the Institution.
The Board has held its meetings regularly during the year,
with committee meetings each month, and, in that way has
sought to do its duty. The funds of the Institution have been
carefully administered. Supplies have been bought on competitive bids as far as possible, and the Board has been gratified to find a spirit of sympathy and helpfulness on the part
of business concerns that have had dealings with the Institution. "We look to the future with hope, confident that God
will continue to bless our efforts, and that the great-hearted
people of Georgia will not stint their greatest charity or
deprive it of the things that are needed to relieve suffering
among those who have ties binding them to almost every
home and fireside in the state.
Respectfully submitted,
JOHN
T.
BRANTLEY,
President.
C. C.
BRANTLEY,
Secretary.
GEORGIA STATE SANITARIUM
11
Report of the Superintendent
GEORGIA STATE SANITARIUM
JANUARY 1ST,
1925
The Honorable Board of Trustees,
Georgia State Sanitarium.
Gentlemen:—In accordance with your rules and statutory
requirements, I submit herewith the Eighty-first Annual
Report of the Georgia State Sanitarium which covers the
period from January 1st, 1924, through December 31st, 1924.
Appended hereto are reports of the Clinical Director,
Pathologist, Dentist, Superintendent of Nurses, Pharmacist,
Steward, Farm Steward, Engineer and Treasurer that give
the details of the operation of the Institution throughout the
year.
TABLE OF GENERAL INFORMATION
1. Date of opening as an institution for the
insane
October 12, 1842
2. Type of institution
State
3. Hospital Plant:
Real estate including buildings
$1,692,750.00
(This does not include Nurses' Home that
is now under construction which will cost
about $200,000.00 when completed.)
Personal property
327,452.00
Total
$2,020,202.00
Total acreage of hospital property owned (Includes grounds
occupied by buildings, farm and garden sites)—3,450
Total acreage under cultivation previous year
1,750
4. Officers and employes actually in service at the end of the
year:
12
EIGHTY-FIRST ANNUAL REPORT
Males
Superintendents
Clinical Director
Pathologist
Assistant Physicians
Medical Internes
Clinical Assistants
Resident Dentist
Steward
!
Graduate Nurses
Other Nurses and Attendants.
All Other Officers and Employes
Total Officers and Employes.
Females
Total
1
195
0
0
0
0
0
0
0
0
15
291
1
1
1
10
0
0
2
1
16
486
143
355
18
324
161
679
1
10
0
0
2
GENERAL STATISTICS OF PATIENT POPULATION
FOR THE YEAR 1924
Admissions during the year:
First Admissions
Readmissions
Females
478
116
Males
444
113
Total Admissions During
the Year
557
Total under treatment during the year-
594
Total
922
229
1,151
.5,479
.4,389
Daily average under treatment
Discharged from records during the year:
Total
males
Males
179
126
As recovered
53
234
116
As improved
118
88
26
As unimproved
62
25
11
As without psychosis
14
247
209
279
197
526
406
Total discharges including deaths— 456
Total actually in Sanitarium January 1st, 1925
2,036
Total out on furlough
299
476
932
2,411
304
4,447
603
Total remaining on books, January
1st, 1925
2,335
2,715
5,050
Total discharges
Died during the year
GEORGIA STATE SANITARIUM
13
We began the year with a greatly overcrowded institution,
and notwithstanding our effort to limit the admissions to
young applicants who offered some hope of being benefited by
treatment, and to those who furnished histories of being violent, and too dangerous to be kept at home, our population
increased 203 during the year compared to 270 the previous
year, and the total admissions were 1,151 or 6 less than the
previous year. Other requests for admissions that we were
obliged to decline emphasizes the need for increased accommodations.
The function of the Sanitarium is not simply that of custodial care • its principal object and aim is to serve as a hospital for those unfortunate citizens of the State who become
afflicted with mental disease, and we are endeavoring with
all the resources at our command to make it a hospital for
such in service as well as in name.
The cause, care and proper treatment of those afflicted
with mental disorders is one of the most vital and complex of
all medical problems. "We are rightly getting away from the
narrow and technical definition of the word "insanity," and
view the cases from the standpoint of adjustment. Some of
the cases admitted have comparatively mild symptoms which
are nevertheless manifestations of a diseased mind of functional nervous disorder. Individuals afflicted with these types
of illness, are just as much in need of special treatment as the
more fully developed and frank eases of mental disease. It
is therefore, regrettable that the state has not provided adequate accommodations for all who wish and need treatment.
The percentage of discharges from the records during the
years as recovered and improved, based on the number of
admissions, was 35.8% compared to 33.15% during the previous year.
Also, of the 792 patients furloughed during the year 51.6%
were restored and improved. A detailed analysis of this group
will be found in a tabulation of the Clinical Director's report.
Overcrowded
Overcrowding has been a problem of the institution for
many years, and attention has repeatedly been called to it in
previous annual reports. It has now become one of the most
pressing problems confronting us. Its ill effect reaches every
phase of the medical service, and this is most notably true on
reception wards where the most difficult and responsible medi-
UHWH
14
EIGHTY-FIRST ANNUAL REPORT
cal work and study of new admissions is concentrated. It seems
that we are paroling the restored, improved and harmless cases
as rapidly as wisdom justifies. The notion obtains, however,
among some of the uninformed, that there are many inmates
in the Sanitarium who should be discharged, but any one
familiar with the situation knows that it is not only the duty,
but one of the pleasantest duties of the Superintendent to see
that no person is illegally or unjustly confined in the Sanitarium, and to discharge those who become restored and are
able to make a social readjustment.
The problem of overcrowding and requests for admission
should be provided for: it cannot be solved by sidetracking.
I do not think it would be expedient to further expand this
institution. Experience has demonstrated, and it is the opinion
of those best informed on the science of hospital management
and control that the best condition and results cannot obtain
in institutions with so extremely large populations. T therefore, think it would be wise for your honorable body to aerain
call the Governor's attention to this problem of overcrowding,
and stress to him tlie importance of establishing another state
hospital in some other section of the State. Even after the
completion of the Nurses' Home—the John T. Brantlev Building—and the rooms on the wards now occupied by nurses
become filled with patients, we will still be overcrowded on
the White Female Department by several hundred patients.
MEDICAL SERVICE
A detailed report of the medical work during the year
will be found in the Clinical Director's report, A few changes
took place in the Staff during the year:—Dr. R. "W. Bradford,
who was formerly with us and resigned to enter general practice, was reelected, and returned to us July 5th as Junior
Assistant Physician. Drs. U. S. Bowen and C. G. Cox, after
a competitive examination as required by law, were promoted
in July from Internes to Junior Assistant Physicians. Dr.
Jno. R. Harrison, Interne, resigned July 1st, to enter general practice in South Carolina. Assistant Physician J. K.
Pettit resigned September 1st to accept a position at Letchworth Village, N. Y. Only one of the two vacancies caused
by the resignations has been filled. The Staff shortage has
caused the patient population in each service to range from
300 to 800 depending on the character of the service. Of
course, best results need not be expected when one physician
has so many patients to care for, as he cannot give the personal contact to each case that is so essential in psychiatric
GEORGIA STATE SANITARIUM
15
practice. It is difficult to get the proper type of young
physicians who are interested in psychiatry to fill vacancies
on the Staff, as most of the young graduates seem to be interested in other branches of medicine that offer prospect of
greater remuneration. This is a problem that is not confined
to Georgia, but according to reports it obtains in practically
every State in the Union. When the medical schools begin to
pay more attention to the teaching of psychiatry the attitude
and interest of students may be changed.
Our maintenance appropriation has been too inadequate
for us to expand the relation of the institution to the various
communities of the State in the form of additional extra mural
mental clinics and social service department, but I believe
that the usefulness of the Sanitarium would be extended by
the establishment and development of these features of the
medical service, and that good results would obtain from them.
The Business Department
The report of the Steward gives schedules and exhibits
that show in detail the receipts and disbursements during the
year.
We endeavored to practice the strictest economy throughout the year, keeping in mind the welfare of the patients, the
amount appropriated, and the efficiency of the various departments.
Notwithstanding the fact that we were more liberal with
our menu and spent $52,057.87 more for food than during the
previous year, our daily per capita cost was 0.617 compared to
0.643 the previous year. This cost included every item of
expense connected with the care and treatment of a daily
average of 4,389 unfortunate charges placed here by the state,
as well as the repairs and upkeep of the physical plant.
" The largest item in the maintenance account is the matter
of salaries and wages, although this item was $2,001.64 less
than the previous year. If we are to maintain the efficiency
of the institution it is necessary that an adequate force of
officers and employes be kept and paid commensurate with
their duties, responsibilities, training, service, etc. It seems
that we have this matter very well before us, and cannot
expediently anticipate any reduction. The needs of the institution, and the welfare of our unfortunate charges could
better be provided for if we were given a more liberal per
capita allowance.
16
EIGHTY-FIRST ANNUAL REPORT
Engineer's Department
The various divisions of this department have been kept
busy during the year in meeting the needs of the institution.
An institution as old and large as this, with the various buildings originally so economically constructed, necessarily requires considerable repairs for their proper upkeep, and there
is still a great deal of repair work ahead of us.
The report of Capt, T. H. DeSaussure, who has been the
head of this department for many years, gives a full account
of the improvements made on the plant during the year. One
of the most needed and useful of these improvements was the
construction of a mattress house, and equipping it with an
electrically driven picker and other appliances for mattress
making.
,
Since October the Engineer and some of his force have
been concentrating their efforts toward the completion of the
unfinished Nurses' Home.
Farm, Garden and Dairy
The Farm Steward's report gives a tabulation of food
stuffs and dairy products produced in this department during
the year. The extreme cold weather in January killed out
growing vegetables and oats, but the seasons were favorable
to our corn crop. We produced 15.000 bushels compared
to 7,511 bushels the previous year. Also while 21,672 lbs. of
pork was killed, the amount carried over to be killed after
Christmas will total about the amount killed the previous year.
Religious Services
Religious services were held each Sunday afternoon by
the regular chaplain, the Pastor of the Milledgeville Methodist Church serving in this capacity until Nov. 1st, and since
then the Pastor of the Milledgeville Episcopal Church. These
pastors have also conducted the funerals of all white patients
buried in the Sanitarium cemetery. The Catholic Priest from
the Milledgeville Catholic Church looked after the needs and
requirements of the members of his religious faith. Services
and burials in the colored departments were conducted by our
chaplain in that department.
GEORGIA STATE SANITARIUM
17
Amusement of Patients
The Sanitarium Band as usual gave concerts for the
patients three times a week. Moving picture shows were provided for them twice a week. During the early period of the
year we perfected arrangements with sixteen film distributing
agencies in Atlanta through the Atlanta Film Board of Trade
to furnish us gratis films thereby saving the institution several
hundred dollars, and in this connection we wish to thank the
Associated First National Pictures, Consolidated Film & Supply Co., Educational Film Exchange, Famous Players-Lasky
Corporation, Film Booking Offices of America, Fox Film Corporation, Goldwin Distributing Corporation, Producers Distributing Corporation, Al Litchman Corporation, Metro
Pictures Corporation, Pathe Exchange, Progress Pictures,
Southern States Film Co., and Vitagraph for their interest
and contribution to the enjoyment of our unfortunate charges.
The Junior Order American Mechanics Imperial Council
No. 10 also gave a gratis entertainment for the patients on
March 21st that they greatly enjoyed.
. Other features of amusement, such as games, walks, picnics, etc., were provided.
Occupation therapy was extended some during the year.
Two large portico rooms in the white female department were
thoroughly renovated, and are now being used for this purpose. Brightening up the walls, ceilings and floors with a few
coats of paint has a salutary effect upon the patients. It has
been said that sight is probably the most important of the five
Jensen because it is responsible for more than sixty percent, of
all the impressions taken into the mind.
PELLAGRA RESEARCH
The U. S. Public Health Service continued during the year
their research studies of pellagra begun at the Sanitarium in
1914. This work is directed by Dr. Joseph W. Goldberger
of Washington, D. C, with Dr. W. F. Tanner of the Public
Health Service in immediate charge. Dr. Tanner, who had
charge of this work for several years, was transferred to
Washington in November, and Dr. G. A. Wheeler of the Public
Health Laboratory in Washington was sent down to take his
place, and has been in charge since the middle of November.
ifffl$K?*'°ftiVttTr
18
EIGHTY-FIRST ANNUAL REPORT
Schedule of Needed Improvements for Next Two Years
Requiring Special Appropriations
1. New ice plant and cold storage. Estimated cost_$ 30,000.00
2. Duplicate water main from pumping station to
the Sanitarium. Estimated cost
$ 44,000.00
3. Occupation Therapy building for white females.
Estimated cost
9,260.00
4. Outside fire escapes. Estimated cost
25,000.00
5. Modern Hospital building, adequately equipped.
Estimated cost
250,000.00
6. Amusement Hall adequate to meet the needs of
our large population to replace the small
one that has been in use about 40 years
7. Additional buildings will have to be provided to
take care of the overcrowded white females
and colored females if no steps are taken
toward the establishment of another institution in some other section of the State.
Estimated cost, each
150,000.00
Changes in the Law
I respectfully call your attention to the following legislative matters that I think are very important for the welfare of
the service:
1. Section 3, Pages 163-4, Acts 1918, should be revised so
as to define more clearly its meaning, and the type of cases
that should be committed and admitted to the Sanitarium.
2. Means for raising funds for aiding the maintenance of
the Sanitarium can be found in a county payment law so
formulated that each county would become responsible to the
State Treasury for one-half the amount it cost to maintain
and treat each and every patient committed from said county.
When the patient has adequate property to pay for his or her
treatment, give the county the authority of collecting and
reimbursement for the amount paid out for treatment for
said patient. This probably would have an influence toward
preventing the committing of harmless incurable cases; also
senile cases whose principal problem is custodial care, and
because of their irritability, childishness and forgetfulness
they become a burden to their relatives.
GEORGIA STATE SANITARIUM
19
3. The name of the Georgia State Sanitarium should be
changed to the "Georgia State Hospital." This would be
more in keeping with progressive psychiatric thought and
state control.
Acknowledgments
In concluding this report covering the work of the Sani
tarium for the year just closed, I desire to express my cordial
thanks and appreciation to your honorable body for your
confidence and constant interest in the affairs of the institution throughout the year—to the medical staff—all other officers and employes for their loyalty and faithful service rendered throughout the year; to the Women's Clubs, American
Legion and others who were so thoughtful and kind to send
to the patients at Christmas time so many gifts.
Respectfully submitted,
Superintendent, Etc.
R. C. SWINT,
EIGHTY-FIRST ANNUAL REPORT
20
Report of Clinical Director
DR.
R. C. SWINT,
Superintendent.
Dear Sir:—
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31st, 1924.
During the year there were 922 first admissions and 229
second admissions, making a total of 1,151.
The most noticeable difference as compared with the previous year is the increase in number of cases of paresis among
the colored males. For the first time general paralysis of the
insane was the leading form of psychosis among first admissions in any of the departments, 41 of the 168 colored first
admissions having been classified as paretics. In 1924, 24%
of the first admissions among the colored males suffered from
paresis, as compared with 15.1% for the previous year. It
is to be sincerely hoped that the rate of increase of neurosyphilis among the colored race will not continue as indicated
by the above figures. The usual laboratory findings in the
blood and spinal fluid helped to confirm the diagnoses.
Of the 23 patients diagnosed as not insane, ten showed
mental deficiency; three psychopathic personality; four were
epileptics; two were drug addicts; one was an alcoholic, and
in the case of two no evidence of abnormality was at hand.
It may have been that they showed evidences of mental disturbance before admission.
Thirty-three of the second admissions had been in private
sanitariums, most of them for very short periods. In most
instances they were brought direct from the private sanitariums.
Seven hundred and ninety-two patients were furloughed.
Of these 27 were classified as not insane. Of the remaining
765, 594 were furloughed as restored and improved. Omitting 23 patients admitted during the year who were classified
as not insane, the combined percentage of those furloughed
restored or improved was 52% of the number of admissions.
GEORGIA STATE SANITARIUM
21
We have had a number of cases of chicken pox and
measles, but no epidemic of a serious nature. There were 406
deaths, 7.5% of the total number treated. Tuberculosis, general paralysis of the insane and cerebral hemorrhage were the
leading causes of death in the order named. Sixty patients
died of tuberculosis, 52 of general paralysis of the insane and
36 of cerebral hemorrhage. In 1923 the number of patients
dying from these diseases in the order named was 49, 43 and
30. Paresis and cerebral arterio-sclerosis appear to be much
more rapidly fatal among the colored males than elsewhere.
At least they do not live long after admission. Taking into
consideration the number of cases of general paralysis of the
insane and arterio-sclerotics admitted and the large number
of old and feeble patients now in the institution, we can
scarcely hope for any great reduction in the death rate.
The medical work may be arbitrarily divided into three
spheres of activity. First, the treatment of those physical
ailments which are incidental and have no connection with
the mental state of the patient. Second, the treatment of those
conditions which bear a known relationship to the mental
illness of the patient. Third, the treatment of the mental
state itself either symptomatically or otherwise.
In the first sphere the work has been well done. We have
a staff competent to ably handle any condition that may
arise. The staff has had the invaluable assistance of the laboratory in this sphere as well as in the others. The staff also
received the valuable co-operation of the training school, and
its head, as well as of the graduates now in the employ of the
institution.
The most important work done in the second sphere has
been in the field of neuro-syphilis. The results have been anything but encouraging in this particular line. In addition to
the older methods of treatment, tryparsamide has been tried
in fourteen cases of paresis. None of the patients recovered.
There was an unstable improvement in the serology < I some
of the cases, particularly was there a reduction in ttJ number of cells in the spinal fluid. One of the patients became
blind after the second dose of three grams. The great majority of our paretics, more especially the negro men, are
usually in a very advanced stage when admitted. We are
indebted to Dr. Wade Brown of Rockefeller Institute for
furnishing tryparsamide in sufficient quantities to treat the
fourteen patients above mentioned.
f^ftttxiiaxum
22
EIGHTY-FIRST ANNUAL REPORT
Upon application, Dr. E. C. Rosenow, of the Mayo Clinic,
furnished sufficient serum for the treatment of five cases of
encephalitis. Here, too, our patients had been ill for a long
time, and improvement was scarceely to be hoped for. None
of the patients showed any benefit from its use.
All of our acute cases of pellagra are now being treated
under the direction of Drs. Goldberger and Wheeler, of the
United States Public Health Service. Splendid results are
being obtained. Not only our institution, but the human
race at large are indebted to these physicians for their most
excellent work.
Particular attention has been given to the activities in
the third sphere. Here the means of treatment is neither
medicinal nor surgical, and is far from being fully developed.
The co-operation of the other departments of the institution has been of much help in this particular line. Special
nursing, occupation, habit training, amusement and diversion
are the most valuable assets in treatment. During the latter
part of the year special nurses were placed with a small
number of highly excited, destructive and filthy patients. The
results were good. There was an evident response in every
case except one. Individual nursing in the cases of such
patients is apparently costly, but the contrary is true, in
many cases, at least. The continuation of this policy in selected cases is recommended. As far as possible, occupation
and diversion were provided for all newly admitted patients
who were able to take part in such.
Among the chronic, incurable cases (chiefly dementia
praecox), habit training and occupation are the chief aids
relied upon. A small number of patients suffering from dementia praecox of long standing (seven to eighteen years) were
put in the care of special nurses for habit training. In not
a single instance was there a complete failure. On the contrary, some of these patients became tidy and non-destructive.
This is an economic, as well as humane procedure. It is an
effort to train these patients so that they will be less offensive
to other patients and at the same time a great deal less expensive to the hospital. This feature of the work should also be
continued. Some of the physicians have segregated their destructive patients and placed them under the care of selected
nurses. The same thing has been done to a limited extent with
the untidy patients. In both instances improvement in the
habits of the patients have resulted. The effects of habit
training have become evident in the diminished amount of
GEORGIA STATE SANITARIUM
23
work necessary at the laundry and a well marked lessening of
clothing and bedding destroyed.
The crowded condition of the institution hampers us at
every turn. This is not only unhealthful, but is positively
dangerous The two white female reception wards have a
capacity of 28 each (one to a room). They have averaged
from 45 to 60 patients to the ward. Under such circumstances,
a new patient about whom we may know nothing must be
placed in a room with another. Attacks by one patient upon
another are bound to occur. Fortunately, no serious accident
has recently happened on this account. The hospital cannot
possibly fulfill its function so long as such conditions exist.
It cannot afford a place of restfulness and quiet so long as a
noisy, excited and possibly dangerous patient has to be confined in the same room with another or in a dormitory where
he may disturb a hundred. A patient from the above reception wards has to go where there may be a so-called vacancy
unless it is found possible to shift another patient. There are
at this time aged patients on the reception ward where the
most violent and impulsive patients are received. The danger
to these old and feeble persons is self-evident. There are
times when it is not easy to say which of two patients sleeping
in the same room is the filthy one. Indeed, there has been
an instance where three such patients slept in a single room.
The very large amount of work being done in the laboratory is indicated by the number of examinations made, 6,566.
Several thousand of these specimens were collected by the pathologist or his assistants. This is a time-consuming procedure.
In addition to the laboratory work, the technicians have embalmed 317 bodies. In the midst of his other work, the pathologist has found time to do some research work. Mention of
this is made in his report. It is to be greatly regretted that
our institution, as well as those of other states, contribute so
little towards research work in a field of which we have such
comparatively meager knowledge. The pathologist's report
contains much information of interest.
The training school under the Superintendent of Nurses
continues its work in the same manner as formerly. Many of
its graduates are filling positions of responsibility and importance.
In May and October short courses were given the newly
employed attendants. Each course consisted of lectures whicli
supplemented quizzes and examination on a small pamphlet
24
EIGHTY-FIRST ANNUAL REPORT
prepared for the purpose. In addition to this, a monthly
bulletin was published and distributed to the wards. The
course has not yet been made what it should be, but we hope
that eventually it will be much improved. Without doubt,
the monthly bulletin does more to improve the nursing of the
insane than anything so far tried.
The clinic at Macon continues with about the same attendance as in former years. The results are good. The location
of rooms for the clinic are a definite drawback to its further
upbuilding.
The classes in psychology from the University of Georgia
and from Emory University spent several days at the institution in the late spring. They were given all the advantages
possible to study the manifestations of abnormal psychology.
The medical department cannot function at its best without the co-operation of the other departments. We have been
glad to receive the assistance of these departments in the
year's work.
We cannot escape the feeling that the spirit of the entire
medical service has improved. The suggestions and foresight
of the physicians have helped very materially in making our
hospital a better one. The uniform willingness with which
the nursing force has undertaken to carry out untried procedures proves their loyalty.
Acknowledgments are made to the Board, to you and the
entire medical service for assistance and suggestions looking
to the betterment of the medical work.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
25
GEORGIA STATE SANITARIUM
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1924.
Psychoses.
White
Colored
M
M
0
Traumatic
18
Senile
33
With cerebral arteriosclerosis
17
General paralysis of the insane
3
With cerebral syphilis
0
With Huntington's chorea
With other brain or nervous diseases
8. Alcoholic
5
9. Due to drugs .
7
10. With pellagra
4
11. With other somatic diseases
92
12. Manic depressive
43
13. Dementia praecox
0
14. Paranoia or paranoic conditions
16
15. Epileptic psychoses
4
1G. Psychoncuroses and neuroses
17. With constitutional psychopathic
9
inferiority
■40
18. With mental deficiency
49
19. Undiagnoscd psychoses
2
20. Not insane:
1
Alcoholism without psychoses1
Drug addict without psychoses2
Epilepsy without psychoses
Constitutional psychopathic ininferioriy without psychoses
Mental deficiency without phy
choscs
1.
2.
3.
4.
5.
6.
7.
Total.
370
F
Total
F
0
19
14
3
1
2
0
6
18
11
2
0
0
6
19
16
0
0
0
49
6
0
7
5
6
133
70
1
12
4
1
3
0
0
0
33
35
0
13
0
1
0
0
13
2
50
74
0
12
0
12
11
12
25
12
308
222
1
53
1
20
39
2
0
5
2
0
16
18
0
0
0
0
0
12
33
0
0
0
0
10
88
139
4
1
6
4
0
0
5
1
0
12
187
238
1151
356
84
77
6
2
■
EIGHTY-FIRST ANNUAL REPORT
26
TABLE II
Diagnostic Grouping of First Admissions During Year 1924.
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
»
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praccox
Paranoia or paranoic conditions—
Epileptic psychoses
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychoses—
Drug addict without psychoses-Epilepsy, without psychoses
Constitutional psychopathic ininferiority without psychoses.—
Mental deficiency without psychoses
Total
White
Colored
M
M
F
Total
0
15
32
17
3
0
0
19
14
3
1
2
0
5
16
41
2
0
0
6
18
15
0
0
0
45
80
76
3
7
3
7
3
49
28
0
13
4
5
0
6
5
6
84
54
0
10
4
1
2
0
0
0
25
32
0
13
0
1
0
0
13
2
38
64
0
11
0
10
9
9
25
11
196
178
0
47
6
34
39
1
1
0
2
0
18
34
2
0
2
2
0
13
17
0
0
0
0
0
9
27
0
0
0
0
6
74
117
3
1
2
4
10
276
274
168
204
922
27
GEORGIA STATE SANITARIUM
TABLE III
Diagnostic Grouping of Readmissions During Year 1924.
Psychoses.
White
Colored
M
M
1.
2.
3
4.
5.
6.
7.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
Alcoholic
2
9. Duo to drugs
0
10. With pellagra
1
11. With other somatic diseases
43
12. Manic depressive
15
13. Dementia praecox
0
14. Paranoia or parnoic conditions—
3
15. Epileptic psychoses
0
16. Psychoneuroscs and neuroses
17. With constitutional psychopathic
3
inferiority
6
18. With mental deficiency
10
19. Undiagnosed psychoses
1
20. Not insane:
0
Alcoholism without psychoses—
1
Drug addict without psychoses0
Epilepsy without physchoses
Psychopathic inferiority without
psychoses
Mental deficiency without psychoses
TotaL
94
P
Total
F
0
0
0
0
0
0
0
0
1
1
0
0
0
4
4
1
0
0
1
0
0
0
0
0
12
10
0
1
0
2
2
3
0
1
112
44
1
6
0
0
3
6
0
0
0
0
4
14
22
1
0
4
0
31
229
0
1
0
0
49
16
1
2
0
1
2
5
0
0
3
0
82
19
TABLE IV
Diagnostic Grouping of Patients Furloughed During Year 1924.
COLORED
WHITE
Psychoses.
R I
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without
psychoses
Mental deficiency without psychoses
Total
Female
Male
U S R I
1
1
3
4
0
0
1
u
2
0
1
42 9
25 24
0 1
3 6
4 2
4 3
0
0
0
0
0
0
0
0
(I
0
0
0
0
0
0
0
0
0
II
1
2
2
0
4
6
0
0
0
0
0
0
0
5
3
1
0
1
3
0
0
2
4
U S
Male
R I
Female
U S R I
0
0
1
10
22
20
2
1
7
10
15
7
10
303
154
3
34
13
22
55
76
2
2
7
2
0
0
0
0
5
9
1 22 75
4
0
0
1
1
II
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
4
0
1
0
1
0
51 71) 17
6 25 16
0 2 ii
1 4 7
4 3 0
0 5 6
2 in 2
8 12 6
0 0 l)
0 0 0
0 0 0
0 0 0
0
0
0
0
0
1
0
0
0
0
73127 79 15 78|l50 58 11
(I
0
0
0
0
0
0
II
II
0
4 65 30
IT S Total
0
0
0
0
0
0
0
0
0
1
0
16
1
0
0
0
0
1
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
II
0
0
0
0
0
0
0
0
(I
(I
0
II
0
0
(I
II
0
(I
II
0
0
II
0
792
O
aH
w
>
2
3
>
r
si
H
o
to
GEORGIA STATE SANITARIUM
29
TABLE V
SURGERY
Amputation, Angers
Appendectomies
Ascites, aspiration
Angina ludovici, aspiration
Breast, amputation
Circumcisions
Carcinoma vulva, excised
Castration
Dilatation and curettage, uterus
Eyes, refracted
Fractures, reduced and fixed
Gangrene intestine, aspiration
Hermatoccle, drained
Hemorrhoidectomies
Herniotomies
Hysterectomies
Ischio-rectal abscess, drained
Laparotomy, exploratory
Maxillary Sinus, irrigation
Necrosis inf. Maxilla, aspiration
Nasal polypi removed
Oophorcctomy
Perineorrophy
Paracentesis, thoracis
Pterygium, aspiration
Puncture car drum
Salpingectomy
Salvarson and tryparsamide, doses
Tonsillectomies
Trachelorrophy
X-Ray treatments
X-Ray pictures
Total
4
9
1
1
*
*
2
"5
I4
1
1
5
5
1
1
1
1
*
•*
■*•
"
2
"
*
953
^1
1
55
419
i-653
uncvemr
30
EIGHTY-FIRST ANNUAL REPORT
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1924.
White
M
Abscess, Isehio-rectal
Anaemia, pernicious
Anaesthesia, chloroform
Angino pectoris
Arteriosclerosis
Asthma
Carcinoma _'
Chorea, Huntington's
Drowning, accidental
Dysentery, amoebic
Dysentery (not specified)
Embolysm, pulmonary
Empyema
Encephalitis
Endocarditis
Enteritis, acute
Enteritis, chronic
Enteritis, tubercular
Epilepsy
Erysipelas
Exhaustion, acute mental disease
Fever, typhoid
Fracture of hip
Gangrene, intestinal
Gangrene, senile
General paralysis of the insane
Heart disease, organic
Heart disease, valvular
Hemorrhage, cerebral
Hemorrhage, from bowels (cause un
known)
Hernia, incarcerated
Ilius, acute
Influenza
Leukemia, S. M.
Myocarditis, acute
Myocarditis, chronic
Nephritis, acute
Nephritis, chronic
Organic, brain disease
Parasites, intestinal
Pellagra
Pneumonia, broncho
Pneumonia, lobor
Sarcoma
Septicaemia
Suicide
Syphilis, cerebral
Tuberculosis, abdominal
Tuberculosis, acute miliary
Tuperculosis, pulmonary
Unknown
Total
Colored
F
1
0
1
0
7
1
1
2
0
0
2
0
1
1
1
2
2
1
8
0
2
0
0
0
1
10
4
0
9
0
1
0
1
7
0
4
0
1
0
1
1
0
0
0
6
4
0
5
1
4
2
1
0
0
0
0
0
7
1
0
0
0
0
0
0
0
5
13
0
7
12
6
0
1
0
1
0
0
Total
M
0
0
0
0
4
0
1
0
0
0
0
0
0
1
1
1
0
0
7
1
1
0
0
0
0
34
0
3
6
0
0
0
0
2
0
1
0
0
1
1
0
0
0
0
1
0
1
2
0
4
0
0
1
0
8
0
3
14
1
9
5
1
1
1
1
6
1
2
5
0
6
13
5
1
1
1
0
0
0
7
4
1
1
0
0
0
6
0
1
1
3
4
0
0
0
1
0
0
11
2
0
1
0
0
0
0
0
0
1
0
0
4
7
5
0
1
0
0
2
0
28
7
118
102
91
95
0
0
0
0
31
GEORGIA STATE SANITARIUM
TABLE VII
Admissions from the Various Counties During the Year 1924.
Colored
White
County.
Coffee
Cook
DeKalb
M
1
0
2
1
0
2
3
5
3
2
10
2
1
0
1
3
2
0
3
0
1
1
2
0
1
0
23
2
3
4
0
2
6
0
6
2
2
3
1
1
2
3
6
2
2
1
P
1
1
1
1
5
0
4
5
3
1
7
1
2
1
0
5
0
2
1
0
3
0
5
1
1
0
19
3
4
1
2
1
5
6
3
1
1
2
2
1
0
1
10
5
2
0
M
0
0
1
3
6
0
0
2
2
0
10
0
0
3
0
2
4
0
0
1
1
0
1
0
0
0
23
0
0
2
0
1
1
0
0
0
2
1
0
2
0
4
3
2
2
1
Tntnl
F
0
0
0
0
7
0
0
0
1
0
9
1
0
4
0
1
5
1
3
0
1
0
4
0
1
1
29
2
1
3
0
0
1
1
0
0
0
3
1
1
0
3
6
1
0
4
2
1
4
b
18
2
V
12
9
3
36
4
3
8
1
11
11
3
7
1
6
1
12
1
3
1
94
7
8
10
2
4
13
7
9
3
5
9
4
5
2
11
25
10
6
6
■—»-•'
-
■■■""
rrrr^Trr^-r***
32
EIGHTY-FIRST ANNUAL REPORT
Admissions from the Various Counties During the Year 1924.
(Continued)
County.
Douglas
Early
Effingham
Elbert
_
_ .
Emanuel
Evans
Eannin
Eayette
Floyd
Forsvth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady _
_ _ _„__,
Green
Gwinnett
Habersham
Hall
Hancoek
Haralson
Harris
Hart
Heard
.
_
Henrv
Houston _ _
_
Irwin
Jackson
_ _
Jasper .
Jeff Davi3
. _
Jefferson
Jenkins
Johnson ...
Jones
Lamar
Lanier
.
...
Laurens
Lee
White
Colored
M
F
M
F
0
0
0
6
0
0
3
2
10
4
5
35
1
0
4
5
6
2
5
2
1
2
1
3
4
1
14
1
2
34
2
2
1
2
1
1
0
0
0
2
1
1
0
1
3
0
1
15
0
0
2
0
0
1
0
0
0
0
0
4
0
0
1
4
1
0
0
0
2
0
1
2
0
0
1
1
0
2
0
0
1
0
0
0
1
0
0
20
0
0
1
0
0
2
1
1
0
3
1
0
0
0
4
0
0
1
2
0
4
2
1
0
1
0.
3
2
9
_
9.
10
0
4
3
1
0
2
0
1
3
1
1
1
n
0
0
2
1
8
0
1
6
1
3
2
1
1
1
2
0
1
0
1
0
3
3
4
3
0
2
0
Total
5
4
1
10
3
4
7
4
28
5
8
104
3
2
7
7
7
6
16
7
16
4
8
9
2
1
8
6
2
5
3
2
7
5
5
6
6
1
14
3
33
GEORGIA STATE SANITARIUM
Admissions from the Various Counties During the Year 1924.
(Continued)
County.
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwcther .
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee ___
McDuffle
Mclntosh ___
Newton
Oconee
Oglethorpe _
Paulding
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph __.
Richmond ._
Rockdalo ...
Schley
Screven
Seminole ___
Spalding
Stephens
Stewart
Sumter
Talbot
White
Colored
M
M
0
0
5
2
0
4
2
2
3
4
1
1
5
2
5
0
0
2
0
2
1
1
5
1
10
0
2
1
1
6
0
0
0
2
5
3
2
0
0
P
1
1
0
0
1
0
0
1
0
0
0
2
3
0
4
0
0
2"
0
2
0
0
0
Total
P
0
2
4
1
3
3
3
2
0
0
1
2
2
0
3
5
3
3
0
0
0
0
0
1
0
0
1
0
0
4
0
0
2
0
2
1
2
6
2
2
3
13
3
5
11
6
7
4
4
4
6
11
5
14
6
2
7
1
2
6
4
14
2
6
2
4
23
1
2
5
2
9
6
7
7
3
;
-%1*<rf£!*;
EIGHTY-FIRST ANNUAL REPORT
34
Admissions from the Various Counties During the Year 1924
(Continued)
White
Colored
M
M
Total
F
Talialerro _.
Tattnall ___.
Taylor
Telfair
Terrell
Thomas
Tiit
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield __.
Wilcox
Wilkes
Wilkinson _.
Worth
Total
5
4
2
5
12
11
5
3
1
2
13
4
5
2
8
5
5
4
4
11
2
2
3
6
12
5
3
7
3
370
356
187
238
1151
35
GEORGIA STATE SANITARIUM
TABLE VIII
Nativity of All Patients Admitted During the Year 1924.
Alabama
Canada
Connecticut
Delaware
England
Florida
France
Georgia
Germany
Greece
Illinois
Indiana
Ireland
Kentucky
Maryland
Massachusetts _
Mississippi
New Jersey
New York
North Carolina
Ohio
Oklahoma
Russia
South Carolina
Tennessee
Texas
Vermont
Virginia
Unascertained _
Total
White
Colored
M
F
M
F
11
0
1
1
2
4
1
310
1
2
0
1
0
0
1
1
1
0
4
6
0
1
1
5
5
0
0
1
10
5
1
0
0
1
3
0
310
1
0
0
0
1
1
1
1
0
7
4
0
0
11
4
1
1
0
3
4
0
0
0
0
2
0
167
0
0
0
0
0
0
0
0
2
0
0
3
0
0
0
4
0
0
0
0
5
3
0
0
0
0
1
0
224
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
5
23
1
1
1
3
10
1
1011
2
2
1
1
1
1
1
1
4
1
4
16
4
1
1
24
9
1
1
1
23
370
356
187
238
1151
0
0
Total
36
EIGHTY-FIRST ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1924.
Agricultural Pursuits:
Farmers
Farmer's daughters
Farmer's wives
Farm laborer
Professional Service:
Lawyer
Minister
Physicians
School teachers
Trained nurse
Domestic and Personal Service:
Barber
Bootblack
Chauffeur
Delivery boy
Demonstrator
Domestic
Garage worker
Housekeeper
Housewives
Janitor
Laborer
Laundress
Laundry worker
Maid
Nurse
Policeman
Porter
Seamstress
Servants
Shoemaker
Timekeeper
Waiter
Watchman
Trade and Transportation:
Advertising agent
Clerk
Bookkeeper
Insurance agent
Mail carrier
Merchants
Postmaster
Postoffice employee
Printers
R. R. employee
R. R. engineer
R. R. fireman
White
Colored
M
M
F
0
0
40
237
1
6
57
0
0
0
4
0
2
5
2
9
1
0
0
0
0
0
0
2
2
1
2
1
1
1
68
213
1
91
27
1
3
4
1
4
6
17
2
1
2
2
0
0
0
0
0
0
0
0
0
0
0
0
2
16
7
1
2
7
1
1
5
3
1
2
Total
F
169
0
0
1
2
1
6
0
58
0
0
16
2
4
2
2
0
0
0
0
2
1
0
1
0
1
2
0
0
0
0
0
0
0
0
0
0
2
1
2
0
0
0
0
0
1
64
0
1
0
0
0
4
0
0
2
0
0
1
1
0
0
0
20
0
0
0
0
1
0
0
0
0
1
0
0
0
213
0
0
0
0
0
3
0
0
3
0
0
0
0
0
1
5
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
68
0
0
7
27
0
3
1
0
0
3
17
0
0
1
GEORGIA STATE SANITARIUM
Classified Occupation of Patients Admitted During the year 1924.
(Continued)
Trade and Transportation, cont'd
Railway news dealer
Salesman
Stenographers
Stonecutter
Street commissioner
Teamster
Telegraph operator
Truck driver
Manufacturing and Mechanical
Pursuits:
Brickmason
Cabinet maker
Carpenter
Mechanic
Metal worker
Painters
Food and Its Kindred Products:
Baker
Butler
Cook
Meat cutter
Miller
Textiles:
Cotton mill employee
Iron, Steel and Other Products:
Blacksmith
.
Pipefitter
Plumber
Steel worker
Lumber and Its Manufacturers:
Sawmill laborer
Sawyer
Turpentine laborer
Miscellaneous:
Band master
Convict
Mattress maker
Miner
Peddler
Student
Vulcanizer
None
Unascertained
Total.
White
Colored
M
M
F
Total
F
1
1
7
10
1
6
0
0
0
0
0
0
2
1
9
10
1
7
0
1
0
0
1
0
0
15
0
0
1
1
16
1
1
20
12
2
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
1
1
1
0
0
0
0
1
0
1
0
0
0
2
1
1
1
0
1
1
1
2
1
54
4
0
0
0
0
0
0
1
0
0
0
0
0
17
4
0
0
0
0
0
1
0
34
1
1
1
1
1
13
1
193
24
187
238
1151
370
111
0
356
^.^■"-•■■'•-
-"•'
EIGHTY-FIRST ANNUAL REPORT
38
TABLE X
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
Traumatic
Senile
Psychoses with cerebral ar
terio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea—
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic conditions __—
Epileptic psychoses
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Contsitutional
psycho
pathic inferiority with
out psychoses
Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
Under 21 31
20 30 40
2 4
4 7
01 0
0
10
0
0
0
15
6
0
0
0
0
0
0
0
0
0
32
17
3
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
0
3
3
7
7
3
49
28
0
0
0
0
0
0
0
13
4
0
0
0
0
0
0
0
0
6
34
39
1
0 0
2
0
3
4
0
6
20
276
26
74 52 37129 38
39
GEORGIA STATE SANITARIUM
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population (Continued).
FEMALES
Psychoses.
Under 2131
20 30 1U
Traumatic
Senile
Psychoses with cerebral ar
terior-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic diseaseManic depressive
Dementia praecox
Paranoia or paranoic condi
tions
Epileptic psychoses
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psy
choses
Drug addict without psychoses
Epilepsy without psychoses
Contsitutional
psychopathic inferiority without psychoses
1Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
0
0
o
1
0
19
0
0
0
0
0
2
0
0
0
0
14
3
1
2
0
0
0
0
0
0
7
1
0
0
0
0
0
0
2
5
6
0
5
6
84
54
0
0
0
0
10
4
0
4
1
0 0
1 1
3 0
0
0
0
0
18
34
2
0
7
3
1
0 0
0
0 0
0
0
2
01
0
3
27
69 51
13
274
EIGHTY-FIRST ANNUAL REPOR-
40
Ages of First Admission During the Year 1924.
Classified with Eeferenee to Principal Psychoses.
Colored Population.
MALES
Psychoses.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of theinsane
With cerebral syphilis
With Huntington's chorea—
With brain tumor
With other brain or nervous
disease
:
Alcoholic
Due to drugs
With pellagra
With other somatic diseaseManic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses__
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic
inferiority
without psychoses
Mental deficiency without
psychoses
Total
Under
20
41'51
50 00
UnOver ascer- Total
70 tained
0
0
0
5
0
0
0
0
0
16
41
2
0
0
0
0
0
0
0
7
11
1
2
0
0
0
25
32
0
3
0
0
13
0
0
4
0
0
0
13
17
0
0 0
0 0
0 0
0 0
26
41 3124 27 12
168
41
GEORGIA STATE SANITARIUM
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population (Continued).
FEMALES
Psychoses.
Traumatic
Senile
With cerebral arterio-sclerosis
Generalparalysis of the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses..
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psy
choses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic
inferiority
without psychoses
Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
Under 2131
20 30 40
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
18
15
0
0
0
1
0
0
1
0
0
0
1
1
0
0
13
2
38
64
0
0
0
0
11
0
0
0
0
0
0
9
27
0
1
0
0
0
4
7
0 0 0
10 0
0 0 0
0
2
0
0
1
4
0
4
10
0 0
0 0
0
0
0
0
20
69 56 27 16
204
x^K^arxyHr+^v^MWi
EIGHTY-FIRST ANNUAL REPORT
42
TABLE XI
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
ao
T3
a 'a
f>
o
Psychoses.
03
+3
Traumatic
0
Senile
0
With cerebral arteriosclerosis- 1
General paralysis of the insane. 0
With cerebral syphilis
1
With Huntington's chorea
0
With brain tumor
0
With other brain or nervous
disease
0
Alcoholic
0
Due to drugs
0
With pellagra
0
With other somatic disease
0
Manic depressive
6
Dementia praccox
0
Paranoia or paranoid condition 0
Epilepsy
3
Psychoneuroscs or neuroses
1
With constitutional psycho
pathic inferiority
0
With mental deficiency
17
Undiagnosed
5
Not insane:
0
Alcoholism without phychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
39
O
o
o
en
ffiM 0
a
0
0
0
0
0
0
0
5
16
3
1
0
0
0
3
10
(5
0
0
0
0
0
2
4
0
0
0
0
2
1
2
0
0
0
0
4
2
2
1
0
0
0
15
32
17
3
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
2
1
16
5
0
5
1
1
2
1
2
2
12
18
0
4
2
0
3
2
0
0
6
4
0
1
0
0
1
0
1
0
2
0
0
0
0
n
n
0
0
3
7
3
7
3
49
28
0
13
4
0
0
0
0
0
9
14
0
2
5
13
1
3
0
2
0
1
2
0
0
0
1
5
0
6
34
39
1
0
0
0
0
0
0-
0
0
0
0
0
0
0
0
0
n
0
0
0
0
2
1
0
0
3
0
3
1
0
0
0
6
1
84
87
28
12
I
0
2
n
7
1
II
25 276
43
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALES
73
a
a
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic diseasc-.
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathc inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without phychoses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total.
£ o
P
50
0
7
5
0
0
0
0
0
2
0
0
0
4
0
1
2
0
24
19
0
5
0
0
0
0
5
1(1
0
1
0
0
19
14
3
1
2
0
1
0
0
12
4
0
1
0
5
0
6
5
6
84
54
0
10
4
0
0
4
1
0
18
34
2
0
3
274
^
'-:'-■-;
■■^■^r-
EIGHTY-FIRST ANNUAL REPORT
44
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
MALES
■o
a
a
o
bo
0)
3
°m SK ao
o
n
n
n
0
0
3
6
GO
Psychoses
CO
a
fc
Traumatic
0
Senile
3
With cerebral arteriosclerosis
7
General paralysis of the insane 13
With cerebral syphilis
U
With Huntington's chorea
0
With brain tumor
0
With other brain or nervous
disease
0
Alcoholic
1
Due to drugs
0
With pellagra ._..
0
With other somatic disease
0
Manic depressive
10
Dementia praecox
5
Paranoia or paranoid condition 0
Epilepsy
6
Psychoneuroses or neuroses
0
With constitutional psycho
pathic inferiority
0
With mental deficiency
8
Undiagnosed
8
Not insane:
0
Alcoholism without phychoses
0
Drug addict without psychoses
0
Epilepsy without psychoses 0
Constitutional psychopathic
inferiority without psychoses
0
Mental deficiency without
psychoses
1
Total
62
&
>
a
SB'S
c3
a*
0
1
0
2
0
0
0
0
1
4
16
1
0
0
0
0
2
4
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
1
0
0
0
0
11
19
0
4
0
0
1
0
0
0
2
6
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
2
3
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
n
0
0
5
16
41
2
0
0
0
1
0
0
2
0
1
2
0
0
0
25
32
0
1:1
0
0
0
1
0
0
3
0
0
0
13
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
7
62
19
1
2
n
0
0
0
0
0
0
l
0
0
0
0
n
15 168
GEORGIA STATE SANITARIUM
45
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
FEMALES
a
B O
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea__.
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease—
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathc inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without phychoses
Drug addict without psychoses
Epilepsy without psychosesConstitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total.
a
c
he
B'g 'tub'
0
3
13
6
0
0
0
0
6
18
15
0
0
0
0
0
0
5
1
13
12
0
4
0
1
0
0
13
2
38
64
0
11
0
0
6
9
0
0
9
27
0
0
0
72
204
EIGHTY-FIRST ANNUAL REPORT
46
TABLE XII
Environment of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALE
MALE
Psychoses.
0
19
14
3
1
0
2
Traumatic
Senile
With cerebral arteriosclerosisGeneral paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease...
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses...
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
AlcoTTblism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
5
0
6
5
6
84
54
0
10
4
0
18
34
2
82
3
0
6
3
17 276
171
274
GEORGIA STATE SANITARIUM
47
Environment of First Admissions During the Year 1924.
Classified with Eeference to Principal Psychoses.
Colored Population.
MALE
FEMALE
Psychoses.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Hunting-ton's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease,.
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
'.
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
58 107
0
0
0
0
0
0
168
115
204
EIGHTY-FIRST ANNUAL REPORT
48
TABLE XIII
Economic Condition of First Admissions During the Year 1924,
with Reference to Principal Psychoses.
White Population.
FEMALE
MALE
Psychoses.
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis.
With Huntington's
chorea
With brain tumor
With other brain or
nervous disease __
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox _.
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses
or
neuroses
With constitutional
psychopathic inferi
ority
With
mental
deficiency
Undiagnosed
Not insane:
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy
without
psychoses
Constitutional psychopathic inferiority without psychoses
Mental
deficiency
without psychoses.
Total
0
4
0
3
0
8
6
13
12
5
0
5
3
6
0
0
0
0
0
0
0
0
4
1
0
0
1
2
3
3
1
0
3
0
9
3
0
27
15
3
8
10
0
1
0
1
0
11
1
1
2
1
5
0
5
5
1
5
22
0
23
10
0
2
0
1
0
0
0
1
0
0
0
0
0
0
0
2
0
2
0
2
1
0
3
0
1
P.
2
0
6
2
Ill 105 12
276
149
48
1
1
n
»l
39
1
14
GEORGIA STATE SANITARIUM
49
Economic Condition of First Admissions During the Year 1924,
with Reference to Principal Psychoses.
Colored Population.
MALE
FEMALE
Psychoses.
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilisWith Huntingdon's
chorea
With brain tumor
With other brain or
nervous disease _____
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses
or
neuroses
With constitutional
psychopathic inferiority
With
mental
deficiency
Undiagnosed
Not insane:
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy
without
psychoses
Constitutional psychopathic inferiority without psychoses
Mental
deficiency
without psychoses.
Total
~
0
5
0
6
16
18
27
1
41
2
15
0
0
0
0
0
0
0
0
0
0
1
2
0
0
1
0
0
13
0
13
13
0
25
32
2
38
64
0
9
0
13
0
11
13
17
0
9
27
0
0
0
0
0
0
0
0
0
1
0
1
13 168
145
23 204
TABLE XIV
MALES
Civil Condition of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
v
Psychoses.
Total
0
3
4
2
1
0
0
2
2
0
2
2
11
20
0
8
1
1
29
12
0
0
0
2
2
5
109
0
6
20
13
2
0
0
0
5
3
3
0
31
8
0
4
3
4
3
21
1
1
0
0
1
1
130
T3
WT3
•J.
Traumatic
Senile
With cerebral arteriosclerosis
I
———.
General paralysis of the insane
_.
With cerebral syphilis
With Huntington's chorea
"
With brain tumor
With other brain or nervous disease
I
Alcoholic
Due to drugs
I
~
With pellagra
With other somatic disease
Manic depressive
"
Dementia praccox
'_
Paranoia or paranoid condition
'__ _'_
With epliepsy
Psychoncuroses or neuroses
'____'
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
'_
Alcoholism without psychoses
I
I
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
EEMALES
c
H
&
0
2
0'
0
0
1
DC
0
15
32
&
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
3
0
0
3
7.
3
7
3
49
28
0
13
1
0
0
0
0
0
0
26
1
8 276
79 1149
-in
0
o
0
19
14
3
1
2
0
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
2
2
0
3
1 274
I—I
O
X
H
CO
►
►
r
wH
o
w
EEMALES
MALES
Civil Condition of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
« a
o3 o3
0
41
2
0
0
0
0
0
0
1
2
0
0
0
25
32
0
13
0
0
13
17
0
0
0
0
0
1
1
0
0
0
7
10
0
5
0
0
0
7
0
0
0
0
0
0
66
x
S
0
5
16
0
3
7
2d
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epliepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
TJndiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
Total
m
V
Psychoses.
60
23
15 168
47
90
54
1
0
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
0
0
0
204
o
H
O
a
m
>
H
H
CO
>
I—(
>
2
3
s
52
EIGHTY-FIRST ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
S
o
EH
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
:
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority...
With mental deficiency
Undiagnosed
Total.
0
20
22
12
1
3
0
6
1
0
4
1
14
0
11
1
11
15
19
1!)
2.3
22
0 118
GEORGIA STATE SANITARIUM
Aees of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALES
]
s
>
c~
s
Psychoses.
Traumatic
Senile
■
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis—
With Huntington"s chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Undiagnosed
Total
0
0
0
0
1
3
0
0
0
1
tH
0)
>
a
o
o
Zi
0
12
0
0
2
0
0
0
0
0
0
0
0
0
o
H
0
18
0
0
0
1
4
0
0
0
0
0
0
0
0
2
■2
0
2
2
0
3
3
0
20
12
0
3
0
0
2
0
2
(i
1
0
4
1
0
0
2
1
11
15
13
13
0 102
54
EIGHTY-FIRST ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
MALES
Psychoses.
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis__.
With Huntington's chorea.
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority—
With mental deficiency
Undiagnosed
TotaL
0
3
35
1
0
0
0
0
0
0
2
7
7
0
10
0
0
3
14
14
23
11)
17
91
55
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
FEMALES
Psychoses.
o
1
10
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous idsease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Undiagnosed
Total
o
H
10
1
0
0
1
0
0
2
1
19
18
0
7
0
0
5
12
2
95
56
EIGHTY-FIRST ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
White Population.
MALES
HI
a
o
Psychoses.
rH
Si
a>
■a
a
+J
a
o
3
a
a
o
s
>H
SH
<u
03
CJ
>H
03
lO
©
8
o
o
+3
CO
i—<
<M
lO
O
+->
O
0
1
0
4
0
4
0
4
0
2
5
3
7
4
5
1
0
0
2
0
2
0
2
0
1
0
1
0
0
1
0
0
0
0
0
1
0
a
£>
O
+3
iH
+a
Traumatic
0
Senile .
4
With cerebral arteriosclerosis
3
General paralysis of the
insane
__
0
With cerebral syphilis .
0
With Huntington's chorea. 0
With brain tumor
0
With other brain or nervout disease
0
Alcoholic
1
Due to drugs
0
With pellagra
2
With other somatic disease
0
Manic depressive .
2
Dementia praeeox
0
Paranoia or paranoid condition
0
With epilepsy
0
Psychoneuroscs or neuroses 0
With constitutional psychopathic inferiority.._ 0
With mental deficiency
0
Undiagnosed
1
13
a;
r*
GO
FH
o
1—1
..
a>
(H
00
f-i
03
o
CO
Total
u
03
DO
83
a>
>H
a>
"3
+-»
o
>■
o
En
0
0
0
1
0
20
0
0
0
22
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
1
3
0
1
0
0
1
1
0
0
0
1
0
0
0
1
0
1
0
0
0
6
1
0
4
0
5
0
0
2
1
o
1
0
0
0
2
0
2
2
II
3
1
14
8
0
0
1
0
1
0
0
0
0
0
4
0
0
3
0
0
3
0
0
0
0
0
11
1
0
0
1
0
0
0
0
1
0
0
2
1
0
3
0
0
0
0
0
2
3
0
8
6
17
17
19
25
13
4
II
0
1)
10 118
57
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
White Population.
FEMALES
•Q 1
a
o
S
Psychoses.
QQ
tn
J3
ft
a
o
a
o
s
u
a>
m
u
-M
03
a>
CO
W
03
03
>x
t*
u
o
o
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Total
-
.
03
<v
0
1
0
3
0
3
0
3
0
4
2
2
0
3
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
2
0
0
0
0
1
1
1
'o
8 8
O
+a
FH
<D
F—<
C3
o
O
0
1
0
1
0
0
16
3
0
0
0
in
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
4
0
0
3
0
0
3
0
0
3
2
0
6
2
0
2
1
0
4
3
0
0
2
1
22
11
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
1
1
0
0
2
0
0
1
1
1
fi
0
0
5
0
1
1
0
1
1
0
0
1
0
2
0
1
2
1
0
3
2
0
2
5
1
11
16
15
11
9
12
18
11
15
General paralysis of the
cerebral syphilis
Huntington's Chorea
brain tumor _
other brain or nerv-
GO
FH
o
With cerebral arterio-scle-
With
With
With
With
O
T—1
T—1
o
o>
<X>
•a
a
U
O
02
U
03
n
0
0
0
n
2
1
11 102
EIGHTY-FIRST ANNUAL REPORT
58
Duration of Hospital Resfdence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
Colored Population.
MALES
w
H
c^
tn
f-,
c3
>
>H
<1>
Psychoses.
8
0
CD
s
M
P»
*H
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis.—
With Huntington's Chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority—
With mental deficiency
Undiagnosed
Total.
o
3
0
0
0
35
1
0
0
0
0
0
0
0
0
0
0
1
0
2
2
7
7
0
3
0
0
10
0
0
0
1
0
3
14
13
91
59
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
Colored Population.
FEMALES
■a
a
o
Psychoses.
CD
a>
General paralysis of the
With cerebral syphilis
With Huntington's Chorea
With brain tumor
With other brain or nerv-
With pellagra
With other somatic dis-
Paranoia or paranoid conWith epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Total
- - - -
CO
f-H
Xfl
03
03
VI
f-i
o
O !
O
-M
FH
03
03
CD
c3
<u
^H
O
<M
i—I
CO
•a
a
P
With cerebral arterio-scle-
a
o
a
1—1
t-l
u
QQ
XI
.a
a
o
|H
c^
O
©
©
o
O
O
o
1M
Hi
u
>
1—1
"3
o
H
0
1
0
3
0
0
i
3
0
2
0
1
0
0
0
0
1
10
.3
1
3
3
0
0
0
0
10
1
0
0
0
2
0
0
0
3
0
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
1
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
1
0
0
2
0
2
2
1
1
3
0
1
1
0
2
3
0
10
2
0
2
6
0
1
1
0
0
0
1
19
18
0
0
0
0
1
0
0
0
0
0
4
0
0
2
0
0
0
0
0
0
0
0
0
0
0
V
0
0
0
6
0
0
0
0
1
0
0
1
1
0
1
2
0
2
2
0
1
1
0
1
0
0
5
12
6
12
10
20
21
13
3
0
95
60
EIGHTY-FIRST ANNUAL REPORT
Report of Pathologist
FOB THE YEAR
DR.
1924
R. C. SWINT,
Superintendent.
Dear Sir:
The following Report of the Pathological Laboratory for
the year 1924 is submitted:
SUMMARY
:
Blood for the Wassermann (Noguchi) reaction
1,501
Cerebrospinal fluid, including cell count and Wassermann, globulin and colloidal gold reactions
446
CLINICAL LABORATORY SPECIMENS EXAMINED :
Urine, routine analysis
1960
Feces, for parasites or ova, or for occult blood
843
Sputum, for tubercle bacilli
219
Blood, chemical examination
98
Blood, for malaria parasites
87
Blood, coagulation time determination
no
Blood, counts—red, white or differential
722
Blood, type determination
36
Blood, hemoglobin estimation
90
Gastric contents, chemically and microscopically
10
Exudates, microscopically
38
SEROLOGICAL SPECIMENS EXAMINED
BACTERIOLOGICAL SPECIMENS EXAMINED:
Blood, culture
Exudates, culture
Blood, for Widal reaction
Pus, for autogenous vaccine preparation
Pus, pathogenicity tests __'
Brain (dog), for Negri bodies
21
5g
37
27
7
1
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL:
Necropsies
Necropsy tissues, histological examination
Postmortem examination of animals
Surgical tissue specimens
Total number of examinations
49
176
8
24
6,566
61
GEORGIA STATE SANITARIUM
Serological Examinations
Of the 1,501 specimens of blood examined for the Wassermann reaction during the year, 1,200 were secured, in conformity with our routine practice, from patients newly admitted to the hospital. A tabulation of the results of these
routine examinations follows:
Race
White
White
Colored
Colored
Sex.
Female
Male
Female
Male
Number
No.
Positive
Percentage
Examined. (4-plus reaction) Positive
392
12
3.0
358
31
8.6
245
46
18.0
205
50
24.3
1,200
Total
139
11.6
The average percentage of 4-plus Wassermann reactions
obtained by routine examinations of blood specimens in the institution during the years 1914-1924, inclusive, is 12.5.
Of the 446 specimens of cerebrospinal fluid examined, 295
were obtained from patients admitted to the institution during
the year. A routine examination of the cerebrospinal fluid
is made in the case of each patient whose blood reacts positively to the Wassermann test. In the following tabulation
there is shown the incidence of serological neurosyphilis
among patients admitted to the hospital during the year. The
term '' luetic'' is here employed to denote the occurrence of
a positive Wassermann reaction upon the cerebrospinal fluid,
and usually also other serological indications of syphilis of
the nervous system as well.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
No.
Examined
53
61
82
99
No.
Luetic
6
20
17
39
Percentage
Luetic
11.3
32.8
20.7
39.3
Necropsies
During the year, 49 necropsies were performed. Sections
of tissue, taken from the principal viscera and from gross
lesions, were examined. A complete record of the necropsy
findings in each case is filed in the office of the Clinical Director, as well as in the Laboratory.
62
EIGHTY-FIRST ANNUAL REPORT
By a more persistent effort to get in touch with relatives
of patients, by explaining to such relatives the value to themselves and others of the information sought, and by assuring
them that careful restitution of the body will be made upon
the completion of our examination, we could, I believe, obtain
permission for necropsy in a larger percentage of patients
dying in the institution. The granting of permission for
necropsy affords us an opportunity to render a service to the
relatives of patients as well as to expand our knowledge of
diseases that we are called upon to treat.
Intestinal Parasites
Of the 843 specimens of feces examined this year, 356
contained parasites or their ova, in the following order of frequency: Trichuris trichiura, Necator americanus, Ascaris
lumbricoides, Trichomonas hominis, Strongylus stercoralis,
Endameba coli, Hymenolepis nana, Endameba histolytica, and
Enterobius vermicularis. I have omitted from this report,
however, a detailed analysis of the findings, for the reason
that they do not show accurately the incidence of intestinal
parasitic infections either among the patients admitted to the
hospital during the year or in the population of the institution as a whole.
Research
We have done some work upon the question of the possible anaphylactoid nature of so-called essential epilepsy. Our
endeavor has been to demonstrate indirectly, by means of precipitin-production, the existence of a specific protein antigenic
substance, and to determine whether or not changes in the
total number and relative percentages of the various kinds of
leucocytes bear a definite relation to the occurrence of th;
convulsive seizures. We are making quantitative determinations of the dextrose content of the cerebrospinal fluid in the
various psychoses. All of the foregoing investigations are still
in progress.
Milk
In compliance with your instructions, we have examined
monthly, a specimen of milk from each of the various sources
of supply, including the Sanitarium dairy. In these examinations, we have employed the standard methods of milk analysis
recommended by the American Public Health Association.
GEORGIA STATE SANITARIUM
63
Equipment
Our work has been somewhat facilitated by the installation
in the laboratory of a gasoline gas machine, which machine is
simple to operate and economical to maintain.
Embalming
The technicians are also embalmers, and, in addition to their
other duties, have embalmed, during the year, 317 cadavers.
Personnel
The summary given at the beginning of this report shows
a total for the year of 6,566 examinations, exclusive of such
procedures as the preparation of bacteriological and serological
reagents, and the collection of specimens. The laboratory is
fortunate in having experienced technicians; without such
trained assistance, it would have been impossible to handle
adequately so large a volume of work. Mr. Leaptrott has had
thirteen years continuous service in the laboratory; Mr. Johnson, five years. If the demands upon the laboratory continue
to increase, as they should normally do, we shall soon require
an additional assistant. My time, as well as that of the technicians, is so nearly completely consumed by the routine work
that I cannot find the time that I would like to devote to histopathological'and other studies.
Respectfully,
E. B. SAVE,
Pathologist.
64
EIGHTY-FIRST ANNUAL REPORT
Dentist's Report
FOR THE YEAR
1924
MlLLEDGEVILLE, GA.,
JANUARY 1ST, 1925.
DR.
R. C. SWINT,
Superintendent.
Dear Sir:
I have the honor of submitting the report of the Dental
Department for the year ending Dee. 31st, 1924.
In caring for the mouths of the patients in an institution
as large as ours, the dentist's first concern has been, of necessity, to give relief promptly to those suffering with acute
oral disorders.
In order that this may be accomplished, those having the
patients in their immediate charge are instructed to report at
once all cases of acute oral infection that may come to their
attention.
There are many patients within the Sanitarium who wish
to conserve their teeth, whose general mental condition, whose
habits of personal cleanliness and whose willingness to co-operate with the dentist are such as to justify the most careful attention.
Such patients may be divided into two classes, (a) those
whose residence within the institution will likely terminate
at an early date, and (b) those who will probably have to
remain for an indefinite period. For the latter class thorough work, of a permanent nature, is supplied; while, for the
most part, those coming within the first class are given work
more temporary in character, that their teeth may not deteriorate during the time that may elapse before they can
again command the services of their home dentists.
The mouths of all patients are given an examination by
the dentist promptly after admission.
I would call attention to the fact that the work of a single dentist is incorporated in this report, although the patients have profited by the services of a second dentist through
the month of December, and it may not seem amiss, in this
GEORGIA STATE SANITARIUM
65
connection, to express my gratification that the Board of Trustees has recognized the need of the services of a second dentist in the institution.
The dentists reside within the institution, and their services are available at all times.
Below will be found an itemized statement of the work
done in this department during the year 1924:
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerve devitalized
Root treatments
Root fillings
Applications mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
!'221
4
193
136
10
44
'
I3
-*-&
'*
50
19
5
"
6
40
45
24
54
3
I7
68
14
10
1
4
"
™
66
EIGHT'V-FIRST ANNUAL REPORT
Gold crowns
Porcelain crowns
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted third molar
Removing sequestrum
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
2
5
2
2
6
4
6
g
41
1
5
1
320
1,039
993
2,238
Respectfully submitted,
GEORGE
H.
GREEN,
Dentist.
GEORGIA STATE SANITARIUM
67
Report of Superintendent of Nurses
DR.
R. C. SWINT,
Superintendent.
Dear Sir:
I wish to submit the following as the report of the Training
School for Nurses for the year beginning January 1st, 1923,
and ending December 31st, 1924.
The record of the year's work has been unusually good, the
class work of high order and practical.
Wo have experienced no difficulty in obtaining desirable
applicants, most of them being 21 years of age or over. We
find stadents of this age to be more reliable, interested and
ethical than younger students.
Four of our graduate, charge, nurses had a leave of absence f jr six months during the year for a post-graduate
course.
The annual commencement of the Training School was
held on the evening of July 16th in the amusement hall, Dr.
R. C. Swint, Superintendent, presiding.
The class address was eloquently delivered by Senator
Joseph B. Duke, of Eatonton.
The diplomas were presented by Hon. John T. Brantley,
President of the Board of Trustees, and the hospital pins by
Dr. Thomas M. Hall, also a member of the Board.
Miss Pauline Maxwell sang very sweetly "Where My Caravan Has Rested" and "Love, Here Is My Heart."
A dance and reception followed, music being furnished
by the Sanitarium Band.
The following are the names of the graduates receiving
diplomas:
Miss Ruth Estelle Grimes
Miss
Miss Martha Loraine Hartley Miss
Miss Nannie Mae Poss
Miss
The total number of graduates is
Mary Lucile Wynn
Estie Jane Warren
Evielena Smith
one hundred and thirteen.
68
EIGHTY-FIRST ANNUAL REPORT
NURSING STAFF
Superintendent of nurses
Supervisors
Chief operating nurses
Occupation therapy nurses
Special nurses
Special attendants
Graduate nurses employed as head nurses
Senior nurses in school
Junior nurses in school
Freshmen nurses in school
Total number of student nurses
Number of white female attendants
Number of vacancies
1
4
2
8
2
4
9
9
12
17
38
.__140
'
0
CURRICULUM
First Year
Anatomy and physiology
Nursing ethics
Theory of nursing
Hygiene
Practical demonstration
Dietetics
History of nursing
Bandaging
Hydrotherapy
Massage
60 hours
g "
26 "
16 "
22 "
__20 "
10 hours
_ 8 "
_ 6 "
__10 "
Second Year
Medicine
Practical and surgical nursing
Nursing ethics
Materia medica
Dietetics
Bacteriology
Obstetrics
Mental diseases
Eye, ear, nose and throat
Surgery
Occupation therapy
Oral hygiene
16 hours
26
_ 6
_ ig
_ 25
16
__16
__16
8
10
16
_16
GEORGIA STATE SANITARIUM
69
Senior Year
Pediatrics
Surgery
Bye, ear, nose and throat
Gynaecology
Chemistry
16 hours
10
6
16
20
A course of twelve lectures on Nursing the Insane was
given the attendants by Dr. N. P. Walker, Clinical Director.
These lectures are very practical, and there has been great
improvement in the nursing service.
I wish to thank you for your support and consideration
and the Medical Staff for lectures and medical services rendered the students during the year.
Respectfully submitted,
(Mrs.) Mae M. Jones, R. N. (Ohio)
Superintendent of Nurses.
70
EIGHTY-FIRST ANNUAL REPOR1
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
Dear Sir:
I herewith submit the annual report of the Pharmaceutical
Department for the year ending December 31st, 1924:
By comparing this report with the one of the previous
year, you will see an increase in the laboratory work and in
prescriptions sent out.
There are few changes in prices. Some few chemicals have
declined, but this is offset by advance in other essentials, such
as castor oil. Our figure for purchase of goods may seem
large, but when we consider that all surgical dressings, disinfectants, supplies for mortuary and dental departments are
included in this, the actual cost of medicine per patient is
small.
To you, the Board of Trustees, the Clinical Director and
other officers of the institution, I am truly grateful for many
helpful suggestions and hearty co-operation.
Below is a condensed list of manufactured products:
Tinctures, spirits and extracts
2,668 pounds
Elixirs
1,558
Syrups
;;_"_ 925
Ointments
125
Liquors, lotions and mixtures
1,035
Library paste and mucilage
' 15
Medicated dusting powder
21
Indelible ink
32
Glycerites
200
Liniments
104
Tonics
224
Aquas medicated
45
Tooth powder
,
g
Quinine, anodyne and influenza capsules, filled_10,600
Germicide
730 gallons
GEORGIA STATE SANITARIUM
71
STATEMENT
Debits
1924.
Dec. 31st, Inventory as of Dec. 31st, 1923
$ 4,970.87
Purchases During the Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$10,290.41
Freight and express
254.83
Total
Less goods returned
__$10,545.24
289.85
Net
$10,255.39
Total
Deduct: Inventory at December 31st, 1924
$15,226.26
5,402.67
Goods to account for
$ 9,823.59
Credits
Departmental Sales
Prescriptions filled for wards, 33,469, aggregating
$ 9,393.55
Sales to officers and employees
430.04
Total
$ 9,823.59
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
72
EIGHTY-FIRST ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE, GA.,
MARCH 11TH, 1925
DR.
R. C. SWINT,
Supt. Ga. S. 8., Milledgeville, Ga.
My Dear Sir:'
In accordance with instructions previously received, I beg
to submit below a report of the receipts and disbursement's
of the office of Treasurer Georgia State Sanitarium for fiscal
year ending Dec. 31st, 1924:
Dec. 31st, 1923. Balance cash on
hand
$
590.12
To amt. received from regular appropriation
799,999.98
To amt. received from Steward-.
7,648.25
To amt, received from interest
1,478.87
To amt. received from special appropriation
369,931.08
To amt. received from S. J. Slate,
insurance prem. on Nurses'
Home
650.00
To amt, received for Nurses'
Home
60,933.75
$1,240,332.05
Disbursements for the year 1924_
Dec. 31st, 1924, bal. cash on hand
$1 206 910 06
' 33 42199
$1,240,332.05
As Treasurer Georgia State Sanitarium and as assistant
cashier Exchange Bank, we certify that at close of business
Dee. 31st, 1924, there was to the credit of Otto M. Conn, Treasurer Ga. State Sanitarium, the sum of $33,421.99 (Thirtythree Thousand, Four Hundred Twenty-one Dollars and
Ninety-five Cents.
OTTO M. CONN,
Treas. Ga. S. S.
H. G. BANKS,
„.
Asst. Cashr. Exchange Bank.
H. H. HERNDON,
N. P. B. Co., Ga.
GEORGIA STATE SANITARIUM
Report of Farm Steward
DR.
R. C. SWINT,
Superintendent Ga. State Sanitarium.
My Dear Sir:
I beg to submit a report of the foodstuffs produced in my
department for the fiscal year ending December 31st, 1924 :
Beets _—
Beans, "butter ("shelled)
Beans, snap
Beans, velvet
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting
Corn, silage
Cucumbers
Fodder
Kale
Lettuce"-"
Oats, shelled
Oats straw
Okra
Onions
Peas, garden"!
Peppers
Peavine hay
Pork (dressed)
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
jjye
Squashes""""!!
Tomatoes
Greens (turnfpsT
Turnips and greens
Watermelons
Strawberries
Egg Plant
Peanuts
1,364 bushels
113 bushels
645 bushels
44,700 pounds
19,494 heads
14,541 heads
3,517
15,004 bushels
32,648 ears
540 tons
799 bushels
30J tons
362 bushels
850 heads
601 bushels
10 tons
1,010 bushels
380 bushels
881 bushels
963bushels
„_ 89! tons
21,672 pounds
6,195 bushels
1,802 bushels
288 bushels
1,363 bushels
566 bushels
1,878 bushels
528 bushels
232 bushels
4,119 bushels
13,304
990 quarts
104 bushels
300 bushels
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
11 calves sold for
300 sacks sold for
68,990 gallons
288 gallons
714 pounds
271 gallons
13,034 pounds
2,272 pounds
$45.25
-08 apiece
74
EIGHTY-FIRST ANNUAL REPORT
Chicken Yard
Hens issued
Friers issued
ued
Ills
-tiggs, St
set
"
044
521
::::::::::::::::::::2,302 91i
doZen
dozen
In addition to this work, we have cut about 500 cords of
wood and delivered to the buildings, cleared about 40 acres
of new ground. All the coal from the chutes has been distributed by my department. The entire road system of the
institution has been worked and kept in condition by several small improvements, as grading hills and putting sewer
piping where necessary.
During the year I have kept one mule and one horse for
their board.
I have worked seven mules short the entire year, due to
some dying and having to use some elsewhere. I let the white
occupational therapy department have one, then I had to put
two to the trash carts when we did away with the old steers. I
consider the mules a great improvement over the steers.
I sold the seven old steers for $230.00, hoping to use that
money and purchase a pair of mules to take their places.
We purchased 1,000 white leghorn baby chicks last April
* rom them we have about 365 grown pullets, from which we
expect to start a first class chicken farm.
The freeze last January killed everything we had growing
thus making us late with our vegetables, as we had to start
all over. The oat crop was also killed, but we planted a few
spring oats to get out seed for this fall.
T ie
! ¥*/& weather during July and August caused our
peas to shed their blooms, making the crop a failure.
I wish to thank you, the Board of Trustees, the officers of
the institution and others for the gratitude and co-operation
shown me and my department throughout the year.
Respectfully,
F. C. PBNUEL,
Farm Steward.
GEORGIA STATE SANITARIUM
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician.
Dear Sir:—Please find below the annual report of the
Engineer's Department for the year ending December 31st,
1924:
Improvements
Four pipe lines for taking steam and hot water from the
boiler room of the Jones Building to the John T. Brantley
Building, and for the return circulation, have been laid
under ground between the two buildings. These pipes are all
anchored under the buildings and provision has been made
for the expansion in them in a reinforced concrete manhole
set midway between the two buildings. These pipes are all
laid in approved conduit and with the best insulation available. Drainage is provided along the length of each pipe
line, which necessarily are on different levels, and the ditch
filled in with field gravel up to the center line of them.
Work on the John T. Brantley Building was begun late
in the year, but no great amount of work has been accomplished since it was necessary to get together the material for
it.
Partitions dividing the front part of two of the buildings
at the Colony into rooms for single patients have been
removed and the whole of that part of the buildings thrown
into an open dormitory, which makes for more accommodation.
A hog pen to be used for fattening hogs has been built
near the slaughter pen. This pen is 16 ft. by 18 ft. It has
a concrete floor and has a roof built over it on substantial
columns. The roof is of galvanized corrugated iron and has
an over hang of two feet on all sides.
Eight electric lights have been put in the cold storage
rooms. Marine type fixtures were used in this work in order
to prevent the "shorting" of the current from the moisture
unavoidable there. For this service it was necessary to run
a separate circuit from the switch box in the boiler room.
76
EIGHTY-FIRST ANNUAL REPORT
The house for storing the cotton used in mattress making
has been enlarged by an extension 20 feet wide by 40 feet
long. This extension is divided by a partition into two rooms
each with windows and doors on two sides for ventilation and
light, ihe building is equipped with an electrically driven
picker, and other appliances for mattress making.
Six water closets in the T. 0. Powell Building have had the
old seat flushing devices removed and fitted with overhead
flush tanks.
A water closet has been put in on the ground floor in the
rear of the administration part of the Negro Building for the
use of the office force employed there. A partition of wood
has been put across the opening in which this closet is located.
A porch has been built out from the third story of the
center building of the L. M. Jones Building.
The wagon platform scale at the horse lot has been moved
and set up ma more convenient place near the storehouse.
liie pit tor this scale in its new position has enclosing walls
concrete
videcuf
- Drainage from the pit has been proThe composition roof of the female tuberculosis buildin<*
for negro patients has been taken off and replaced with one of
The underfeed mechanical stoker in the boiler room at the
laundry has been thoroughly overhauled and a new retort with
dead plates put in.
The wall in the rear of the Negro Building which marked
the confines of the origmal building, but which after the new
building was erected separated the two, has been taken down
and the bricks used to build a wall connecting the west end
of the old building with the west end of the new one, thus
completing the closing in of the buildings on that side This
fro nTe Tthj R,IrnWalter Stembridge with but nttie Lip
trom the Engineer's Department.
». AneW fl,00r ^ n een put in on the 27th white female ward,
and the roof partially recovered with shingles.
,
A diet kitchen has been established in the Negro Build-
Sm»£ "T/ f°i thH PUrp°Se have been fitted "P on both
and mlf TeDiv SldeS, Wlth the necessai> Petitions, sinks
and range. In this work a doorway has been cut through
GEORGIA STATE SANITARIUM
77
one of the fire walls. This opening has been protected by an
Underwriter's steel clad fire door.
A chicken house 16 feet wide by 80 feet long has been
built at the farm. This building has a concrete floor and a
galvanized corrugated steel roof.
The summer houses in front of the Powell Building have
been repaired and painted.
Two transformers have been set up in the rear of the horse
lot and electric connection made to them so that the saw for
cutting wood may be run by the electric motor used in cutting ensilage. A small house has been built at this place for
housing the motor.
The brick wall around the patient's yard at the rear of
the L. M. Jones Building has been taken down. The bricks
have been cleaned.
Two rooms in the Powell Building have been thoroughly
renovated and painted. In one room it was necessary to put
in a new floor and a new ceiling. These large rooms are being
used for occupational therapy work. The floors are stained
and waxed.
The floors of all the rooms and the corridors in the L. M.
Jones Building have been stained and waxed.
The operating room at the Negro Building, and the adjoining rooms have been repaired and painted. The outside of this
building has been painted also.
Bight stone markers have been set at Fort Wilkinson, outlining the five acres given by the state to the Nancy Hart
Chapter of the Daughters of the Kevolution.
The water heater of the hydrotherapy rooms of the Male
Convalescent Building has been connected to the service pipes
of the building for its betterment.
. Fifty wooden bedsteads have been made for the Negro
Building.
The electric stoves and ovens used by the dietitian with her
classes have been moved from "0" ward in the Cabaniss
Building to "C" ward in the "Whittle Building. A new brick
78
EIGHTY-FIRST ANNUAL REPORT
chimney has been built at this last named location, and a
wrought iron range put in for the use of the diet kitchen.
The patients' yard at the west side of the Powell Building
has been leveled up and the washes stopped by logs buried in
the ground. A new fence has been built around this yard.
A gasoline-gas machine has been installed in the laboratory, and the building piped for gas and heaters.
The entire woodwork of the L. M. Jones Building has been
painted.
The brick dutch oven at the Green Building has been
pulled down and rebuilt on larger and better lines. A roof
has been built over this oven to protect it from the weather.
Five and one-fifth squares of metal ceiling has been put
in place of defective plastering in the Powell Building.
Three adapters have been purchased. These adapters
make it possible for us to use the hose of the Milledgeville
Fire Department on our fire plugs, should the occasion require it.
The Mobley Cottage has been repaired and painted
throughout.
The Echols Cottage has been painted inside and out.
An additional coal heater has been put in the 27th female
ward, and two new brick chimneys required by the change
from wood burning furnace to coal have been built.
The roof of the 27th white female ward has been partially
recovered with shingles.
The cottage at the dry dairy, and one of those in the rear
of the Negro Building have had new roofs put on them.
The Yarborough Cottage has been painted on the outside.
A water closet, a lavatory, and a sink have been put in the
dormitory on the fourth story of the "Whittle Building.
The boilers removed from the boiler room of the L. M.
Jones Building to make room for the larger ones intended to
79
GEORGIA STATE SANITARIUM
serve both the Jones Building and the Brantley Building,
have been reset, one in the Green Building boiler room, and
the other in the boiler room of the Twin Buildings. These
boilers take the place of boilers which are smaller.
A composition roof has been removed from one of the
tuberculosis pavilions at the "Hospital" and replaced with
one of 40 pound coating tin.
New door frames and doors have been put on the front of
the No. 2 boiler in the Powell Building boiler room.
Two power sewing machines have been added to the equipment of the sewing room in the white female building.
A water heater has been put in the laundry and connected
up for the supply of the West Detached Building and the two
nearby tuberculosis pavilions.
In addition to the ordinary repair work of the institution,
the carpenter shop, the furniture and harness repair shop,
the tin shop, the paint shop, broom factory and shoe repair
shop have been kept busy in manufacturing and repairing
various articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSURE,
Engineer.
so
EIGHTY-FIRST ANNUAL REPORT
Report of Steward
DR.
R. C. SWINT,
Supt. Ga. State Sanitarium.
Dear Sir:
I have the honor of submitting the following exhibits and
schedules making up a detailed report of all receipts and disbursements through this office during the fiscal year ended
December 31st, 1924:
EXHIBITS:
No. 1. Consolidated Cash Statement Receipts and Disbursements.
2. Analysis—Cash Receipts and Disbursements General
and Special Funds.
3. Balance Sheet at December 31st.
4. Statement of Income and Expenditure for Year.
5. Profit and Loss Statement—Farm Garden and Dairy.
6. Analysis—Expenditure John T. Brantley Building.
7. Comparative Statement Cash Expenditure 1923-1924.
8. Statement Operating Funds, December 31st.
SCHEDULES:
No. 1. Accounts payable as of December 31st.
2. Accounts Receivable as of December 31st.
3. Production—Farm, Garden and Dairy.
A comparison of the per capita and per diem cost for the
year with that of 1923 follows:
Total cash expenditure
Per capita
Per diem
Average number patients
Year 1923
Year 1924
$980,230.55
$996,756.04
234.95
227.10
.64.37
.62.22
4,172
4.389
All bills have been paid promptly during the year, and duplicates, together with cancelled vouchers, filed in the Executive Department, as heretofore.
Respectfully submitted,
HOMER BIVINS,
Steward.
Exhibit No. 1
Consolidated Cash Statement, Receipts and Disbursements
so
.2§
soic'S
3 Q-
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so
C3 T3
DESCRIPTIVE
» S o
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Balance from 1923
,
Less due Treasurer
1
Less Trust Funds
Difference: Overdraft
Support and maintenance
RECEIPTS.
Maintenance appropriation, regular
Part 1923 deficiency appropriation.
Part 1924 deficiency appropriationPart 1924 special appropriation
Patients' deposits
Special insurance fund
Miscellaneous sales
Vouchers returned
Interest on balances
Balance
Transferred by Steward
Balance
Disbursed on vouchers
Balance
Disbursed by Steward
Balance
9
to
$11,027.03
g.ss
£"&
CB
t* 3 «
°8 ,
so
s
3,000.00
3
/?0
to
1,666.35 $123.68 $ 277.39
O
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$ 222,966.03
$11,027.03
$218,700.75
w
>
000.00
200,000.00
169.031.06
H
w
650.00
5,053.13
132.88
132.88
1,482.65
1,482.65
$1,009,264.31 $11,027.03 $27,700.84 $ 1,666.35 $123.68 $2,872.51 $60,933.75 $28,079.62 $957,648.97
7,648.25 17,052.591 24,700.84
$1,016,912.56 $28,079,621$ 3,000.00 $ 1,666.35 $123.68 $2,872.51 $60,933.75 $28,079.62 $957,648.97
964,051.48
1,363.98
1,021,166.30 15,925.67l 48,630.23 23,046.28
$
4,253.74 $12,153.95 $51,630.23 $24,712.63 $123.68 $1,508.53 $60,933.75 $28,079.62 $ 6,402.51
15,925.67 32,704.56
48,630.23
i$
4,253.74 $12,153.95 $ 3,000.00 $24,712.63 $123.68 $1,508.53 $60,933.75 $12,153.95 $ 39,107.07
>
$800,000.00
200,000.00
169,031.
60,933.75
650.00
>
$60,933.75
$17,052.59
$17,052.59
7,648.25
2,595.12
r-H
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3
K
H
Exhibit No. 1 (Continued)
Consolidated Cash Statement, Receipts and Disbursements
K!
SUMMARY
H
Cash in hand Treasurer
$12,153.95
Cash in hand Steward
3,000.00
Due from Brantlcy Building
24,712.63
Difference—Current Cash, overdraft Maintenance
Fund
39,107.07
Total
$78,973.65
Due
Due
Due
Due
Due
Treasurer—Overdraft
patients' deposits
Wing Whittle Building
Occupation Department
new buildings
Total
$ 4,253.74
12,153.95
123.68
1,508.53
60,933.75
>
$78,973.65
H
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to
2
>
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to
Exhibit No. 2
Analysis Cash Receipts and Disbursements
DISBURSEMENTS
Overdraft—General Eund from 1923
$222,966.03
Support and Maintenance:
Wages and Labor:
General administration, officers' salaries
$ 57,912.47
Medical Department
$215,906.87
Steward's Department
40,648.04
Engineers' Department
49,749.22
Farm and Garden Dept
13,399.09
Dairy Department
4,368.62
324,071.84
Food Supplies:
Wards
Steward's dining room
Supt's dining room
$293,733.77
3,421.91
804.32
297,960.00
Miscellaneous:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
Incidentals
$ 78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
58,899.74
$280,345.38
EECEIPTS
Balance Cash in Hand:
Patients' Fund
Steward—Working Fund
$ 11,027.03
3,000.00
Total
$
State Appropriations:
Regular, 1924 ■
$800,000.00
Deficiency, 1924
169,031.06
Deficiency, 1923
200,000.00
Special, 1924, Jno. T. Brantley Building
60,933.75
Total
Miscellaneous:
Sales merchandise
Bodies, sold
Sales, Pharmacist
Sales, dental supplies
Sales, sacks, hides, etc
Sales, live stock
Sales, Occupation Dept
Total
Other:
Board special attendants
Interest on balances
Wages, refunded
Phones and telegrams
14,027.03
$ 3,574.48
30.00
52.99
23.40
40.75
262.50
1,030.88
$
$ 1,024.15
1,516.29
441.98
51.93
ES
O
%
$1,229,964.81
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5,015.00
Exhibit No. 2 (Continued)
Analysis Cash Receipts and Disbursements
RECEIPTS
DISBURSEMENTS
Farm and Garden:
Dairy:
$ 20,263.35
16,203.00
$ 36,466.35
Total
Special Funds:
Nurses' Home
Occupation therapy
Patients' withdrawals
$996,756.04
$ 23,046.28
1,363.98
15,925.67
Total
Balance Cash in Hand:
Treasurer—Patients' Fund __$ 12,153.95
Steward—Working Fund
3,000.00
Donations
Travel, refund
Fines
Escape patients
Special, Insurance Fund
"Vouchers returned
Sundries
Total
Special Funds:
Patients' Deposits
260.05
71.49
32.00
2.00
650.Q0
132.88
716.01
$
$
o
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i-3
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S3
4,898.78
17,052.59
Grand total
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$ 40,335.93
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Total
$ 15,153.95
Less—Cash overdraft, General Fund
4,253.74
Difference
CO
i-3
i-3
$ 10,900.21
$1,270,958.21
Grand total
$1,270,958.21
Exhibit No. 3
Balance Sheet, December 31st, 1924
LIABILITIES
ASSETS
Cash*
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time deposit
Total
Bonds:
Three 100-s 4th Liberty Loan
Two 50-s 4th Liberty Loan
Three 50-s Third Liberty Loan
Total
Accounts Receivable:
Officers and employees
Sundries
Total
Unpaid Appropriations:
Balance due on 1923 deficiency
Balance due on 1924 deficiency
$ 12,153.95
3,000.00
963.37
-$
$ 16,117.32
300.00
100.00
150.00
$
$
550.00
721.23
2.78
$
724.01
$ 39,864.68
29,468.86
Total
—- $ 69,333.54
Stocks on Hand:
Stores—Misc. merchandise
$ 50,009.36
Packing house products
1,577.65
Dry goods in process of manufacture-. 3,873.46
Due Treasurer:
49rq74
Overdraft
$ 4,2o3.74
Due Special Funds:
Special—John T. Brantley Building—$ 36,221.12
Occupation Department, male
^YSS™
Occupation Department, female
157.69
Wing Whittle Building
123.68
Total
Accounts Payable:
Individuals and Companies
Sundries
Total
Trust Funds:
Patient's deposits
Salaries, Wages and Labor:
Employees
Officers
Total
Q
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$ 37,853.33
marrm
ib 10,bhT.A)
720.25
w
$ 11,387.45
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lAioa.ao
$ 2Aol9.95
5,059.11
$ 32,579.06
Difference;
Excess liabilities at beginning of year.$158,088.02
Excess income above operating cost
for year
250,826.44
H
>
Ed
d
Exhibit No. 3 (Continued)
Balance Sheet, December 31st, 1924
LIABILITIES
Net surplus at end of year
ASSETS
Drugs, chemicals, etc
Engineering material
Fuel—Steam coal
5,402.67
12,598.68
30,721.79
Total
Miscellaneous:
Freight and express items undistributed
Total
$ 92,738.42
I—I
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X
H
$104,183.61
K!
I—I
57.47
$190,965.95
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Total
___$190,965.95
HI
>
ADDITIONAL
>
On Hand:
Farm products
Live stock
Vehicles and, implements
Supplies, Consumed:
Food
Dairy feed
$ 23,184.75
35,366.00
6,234.25
$ 64,785.00
Institution investment beginning of
year
$ 63,254.90
Institution investment during year
65,046.21
to
Total
Net profit for year (Exhibit No. 5)
i-3
$128,301.11
9,407.77
$ 64,985.76
7,938.12
$ 72,923.88
$137,708.88
Total—
$137,708.!
H
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Exhibit No. 4
Statement Income and Expenditure
EXPENDITURE
General Administration:
Officers' salaries
$
Wages ami Labor:
Medical Department
$ 224,246.51
Engineer's Department
50,188.19
Steward's Department
41,181.34
Farm and Garden Department
13,635.58
Dairy Department
4,306.06
Total
Eood Supplies:
Wards
Steward's dining room
Superintendent's dining room
Total
Miscellaneous:
Clothing and dry goods
Furniture and bedding
fuel
Stationery and postage
Medical supplies
Total
Maintenance of Plant:
Fire apparatus
Machinery supplies
61,970,33
$ 333,557.68
$288,274.12
3,421
-?i
804.32
$ 292,500.35
$ 72,969.86
49,828.63
55,989.23
4,010.92
11,156.90
$ 193,955.54
$
200.00
1,859.71
INCOME
State Appropriations:
Regular
Deficiency, 1923
Deficiency, 1924
Total
Miscellaneous:
Board officers
Board employees
Board special attendants
Total
Other Receipts:
Donations
Dental work and material
Fines
Interest on balances
Sales old material
Rents
Total
Farm and Garden:
Sales—Farm products
Rent stock
TotaL
$800,000.00
239,864.60
198,500.00
O
H
O
»
ZZTZ~$1,238,364.60
$ 1,994.84
3,468.15
1,018.65
$
CO
H
%
6,481.64
$ 1,773.42
10.50
269.10
1,515.29
1,103.37
163.00
.$
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CO
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>
4,834.68
160.20
50.00
210.20
Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Builders' hardware
Cement
----Lime, hair and masons' supplies
Lumber and building material
Painters' supplies
Plumbing supplies
Sewer supplies
Tinners' supplies
Cooking apparatus
Steam pipe and boiler fittings
Water works supplies
Ice works supplies
Grading supplies
Total
Earm and Garden:
Commercial fertilizer
Seed
Misc. supplies and repairs
Board employees
Live stock
Budding trees
Rent land
Treating hogs
Poultry yards
Sundries
Total
INCOME
Dairy:
Sales—Dairy products
Sales—Live stock
2,061.18
1,025.34
1,190.22
4,731.34
3,060.58
2,094.16
217.73
1,419.75
340.64
2,156.12
988.65
639.24
45.78
?
,.„,„
3> <>V°£-2x
2,149.29
i'ill'l*
f
o^o'nn
X
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/.O.OO
, °>fiJ
W<
•£>
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Total-
53.25
262.50
I—I
315.75
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Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Misc. supplies and repairs
Board employees
Live stock
Feeds
Registration lees
Rent pasture
$
™n')4
709.67
iAla,K
14,686.15
10-00
WO-00
Total
~
$
Incidentals:
15 89
Light and power
$ 2 '2 no
Housekeeping
^'A^'OO
l
Laboratory supplies
'~lni
Office supplies
J21™
Dental supplies and equipment
2,494.23
Repair Account—Autos and trucks— 1,062.24
Escaped patients
iS'™
Advertising
154.78
Amusements
_ J?°-V°
Travel
1,717.40
2
Medical books and journals
i?'co
Phones and telegrams
,5 o?
Surgical instruments
J*^
Interest paid
257.62
16,203.00
Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Florists' supplies
Printing
Gas and oils
X-ray supplies and equipment
Blacksmith supplies
Broom factory
Electric light repairs
Cemetery supplies
Phone supplies
Registration—Autos and trucks
Insurance premiums
Repairs—Vehicles
Vehicles and implements
INCOME
200.54
96.00
3,046.40
254.75
233.54
1,243.75
1,398.51
378.33
412.89
121.85
1,568.40
104.40
325.00
a
03
>
55
55
a
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r
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o
Total
$ 58,899.74
Surplus—At end of year carried to Exhibit 1__$ 250,826.44
Total
$1,250,206.87
W
i-3
Total..
—$1,250,206.87
Exhibit No. 5
Profit and Loss Statement, Farm, Garden and Dairy
DEBITS
Inventory January 1st, 1924
Purchases During Year:
Commercial fertilizer
Compost
Commercial feeds
Home-grown feeds
Seed
Freight on seed
Pasturage
Total
$ 21,654.65
$ 7,062.50
4,972.50
14,686.15
41,698.67
1,967.59
181.70
100.00
$ 70,669.11
Grand total
Less inventory December 31st
$ 92,323.76
22,184.75
Net cost feeds, fertilizer, etc
Gross profit for year
$ 70,139.01
38,311.00
Total
$108,450.01
CREDITS
Production:
Miscellaneous farm products
Fruits and vegetables
Packing house products
Poultry and eggs
Dairy products
Compost
Total
Cash Sales:
Steers
Calves
Hides
Total.
Total
Gross profit brought down
O
o
$ 41,549.50
33,717.70
4,793.56
1,086.25
22,014.75
4,972.50
O
.$108,134.26
230.00
32.50
53.25
TO
>
H
TO
>
i-3
315.75
$108,450.01
$ 38,311.00
>
I—I
a
Exhibit No. 5
(Continued)
B
Profit and Loss Statement, Farm, Garden and Dairy
DEBITS
Operating Expense:
Wages
Board employees
Misc. supplies and repairs
Treating hogs
Budding trees
Live stock
Sundries
Total
Net profit for year (Exhibit No. 3)
Total
H
CREDITS
$ 17,941.64
3,463.15
5,042.44
81.50
871.50
1,348.00
155.00
>
>
b
w
$ 28,903.23
9,407.77
$ 39,311.00
H
O
Total.
.$ 39,311.00
w
Exhibit No. 6
Analysis Expenditure, John T. Brantley Building
DISBURSEMENTS
Due general Fund lor 1923 expenditure
Material:
Brick
$
Lime, cement and plaster
Lumber
Sand
Drain tile
Plumbing and steam fittings
Hardware
Radiators
Roofing
Tiling
Sundries
Total
Wages
insurance
$ 1,666.65
RECEIPTS
Three-fourths 1923 special appropriations.
60,933.75
88.00
3,337.42
4,357.54
289.75
151.60
9,207.87
751.01
1,864.10
31.95
829.00
62.58
w
H
H
w
>
I—I
>
$ 20,970.82
$ 1,925.46
150.00
Total
Balance in hand
$ 2,075.45
$ 36,220.82
Total
$ 60,933.75
Q
H
O
d
Total
_$ 60,933.75
Exhibits Nos. 7 and 8
Comparative Statement Cash Expenditure 1923-1924
DESCRIPTIVE
General administration
Wages and labor
Pood supplies
Clothing and dry goods
Eurniture and bedding
Euel, coke and coal
Maintenance of plant
Medical supplies
_________
Stationery and"postage
Incidentals and contingenciesEarm and garden
Dairy
- _.
Total
- -
Amount
1923
Amount
1924
Increase
1924
$ 54,907.46
329,078.49
245,902.13
75,334.50
56,793.75
85,419.75
33,133.80
10,273.16
4,407.91
58,648.36
12,788.98
13,542.26
$ 57,912.47
324,071.84
297,960.00
78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
58,899.74
20,263.35
16,203.00
$ 3,005.01
$980,230.55
$996,756.04
$ 69,428.13
52,057.87
3,095.02
883.74
251.38
7,474.37
2,660.74
Decrease
1924
5,006.65
6,965.12
29,430.52
11,103.36
396.39
$ 52,902.64
Per Capita
1924
Per Diem
1924
$ 13.20
73.83
67.90
17.87
11.35
12.76
5.02
.2.54
.91
13.41
4.62
3.69
$0.0361
.2035
.1797
.0490
.0320
.0350
.0140
.0094
.0022
.0361
.0151
.0101
$227.10
$0.6222
X
H
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>
z
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>1
t-
H
Statement Operating Funds December 31st
Due Special and Maintenance Funds
$54,261.02
Cash and cash items
$17,448.80
Demand Obligations:
Balance due on appropriations
69,333.54
Accounts payable
$11,387.45
Difference: Cash deficit at end of year— 11,445.19
Salaries and wages
32,579.06
43,966.51
Total
$98,227.53
Total
$98,227.53
O
GEORGIA STATE SANITARIUM
95
Schedule No. 1
Accounts Payable as of December 31st, 1924
NAME
Atlanta Dental Manufacturing Co.
Augusta Drug Co.
Armour & Company
Am. District Steam Co.
Atlantic Broom Supply Co
American Mills Company
American Radiator Company
Atlanta Journal Company
Bell Grocery Company
Beck & Gregg Hardware Company
Bell, E. E.
Berry Asbestos Company
Barrett Watson Company
Barrett Company
Bone, F. E., Agent
Brantley, C. C
Brantley, John T.
Burke, T. C
Brown Company, D. W.
Bright-Brooks Lumber Company
Braid & Hutton
Carr Company, A. J.
Collins, W. H.
Soleman, Meadows, Pate & Co
Conn & Company, John
Chicago White Lead Company
Carter White Lead Company
Conklin Tin Plate and Metal Co
Clark, R. E
The Chemo Company
Dean, Col. H. H
Dotty Delite Baking Company
Dupont NeMours Company, E. I.
Dixie Packing Company
Ennis, J. H
Evans, W. C
Ehrenreich & Sons Co., I.
Fischer, Carl
Flcmister Coal Company
Fouch Company, A. J.
Frederick Disinfecting Company
Guild Company, William H.
Glass Motor Co., B. G.
Hall, Dr. T. M
Herf & French Chemical Co.
Hatcher Hardware Co.. R. W.
Haines, Jones & Cadbury Co.
Harris Laboratories
1
Hosch Brothers & Company
Holcomb Manufacturing Co., J. I.
Johnson & Johnson
Ivey, W. H.
Ivey, O. E,
....
Debits
Credits
if
$ 7.51
20.39
1.44
8.61
19.50
72.08
5.38
32.63
46.62
.94
25.00
1.62
3.91
2.17
4.29
1.02
996.92
12.21
9.72
378.59
120.60
22.00
3.85
150.00
12.50
162.50
43.87
50.90
131.85
45.00
187.43
69.18
2.95
193.80
529.00
120.00
25.00
200.00
20.08
846.36
256.32
4.39
127.50
2.35
12.70
24.25
2.90
25.00
16.35
4.18
82.50
77.25
322.05
EIGHTY-FIRST ANNUAL REPORT
96
Schedule No. 1 (Continued)
Accounts Payable as of December 31st, 1924
NAME
Debits
Jaques & Tinsley Company
James Supply Company
.54
Lindsey, E. E.
—
Lombard Iron Works and Supply Company—
Laib Company
47.55
Lewis, Samuel
■&>
Lester Book and Stationery Company
McKinley, G. C.
Majors Company, J. A.
Mathieson Alkali Works
135.12
Milledgeville Phone Company
Milledgeville Milling Company __
Miller Rubber Company
5.98
Milledgeville Lighting Company
Macon Terra Mosaic Tile Company
National Biscuit Company
Psychoanalytic Review
Newton & Brother, C. E
Pittsburg Plate Glass Company
11.10
Palmolive Company
Pierce, Butler & Pierce
2.41
Peoples Oil Company
7.30
Parke-Davis Company
20.26
Peaslee Gaulbert Company
9.27
Quinn Marshall Company
6.00
Powers Regular Company
Riley Drug Company, J. B.
Rawlings, Dr. William
Roberts, Johnson & Rand
2.00
Richardson Milling Company, O. N.
1.20
Roughton Halliburton Company
Ridley, Yates Company
1.80
Rosin Turpentine Export Company
54.08
Riley, C. E.
Shaw, H. M
Schlesinger, Harry L.
Schwartz & Phaul
7.55
Selig Company
11.00
Saunders, W. B. Company
Stovall Daniel Company
.47
Surgical Selling Company
Standard Oil Company
Southern Sanitary Manufacturing Co.
Southern Electric Company
.57
Southern Cotton Oil Trading Co
Squibb & Sons, E. R
Smith & Company, R. G.
■Stembridge, J. W.
Solomon Company
-19
Southern Express Company
Tennille, W. C.
Union Recorder
Veal, O. F.
Credits
260.00
12.50
24.00
23.23
498.82
99.23
36.77
205.13
1,403.20
175.00
43.84
6.00
262.00
158.40
63.75
44.20
62.50
68.75
37.75
100.00
43.05
8.00
8.74
37.47
400.24
67.50
14.32
36.25
37.50
64.12
42.50
15.00
44.38
97
GEORGIA STATE SANITARIUM
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1924
Name.
Watson, E. T.
Western Union Telegraph Co.
White Provision Company
Weed & Company, J. D.
Whitman Company, J. R.
West Disinfecting Company
Whitneld Grocery Company
Welch Grape Juice Company
Williams & Wilkins Company
Wootten, R. H.
Wilson & Company
Wocher & Sons, Max
Willingham-Tiit Lumber Company
Winthrop Chemical Company
Total
Debits. Credits.
12.93
13.17
6.00
1.96
173.90
20.33
89.10
58.17
210.00
316.80
5.00
2.33
988.95
55.00
$780.48
$11,447.68
98
EIGHTY-FIRST ANNUAL REPORT
Schedule No. 2
Accounts Receivable as of December 31st
Name.
Allen, C. D.
Adams, Athelia
Allen, W. K.
Andrews, Lula
Allman, Laura
Allen, Dr. W. H.
Andrews, Mandy
Austin, Frank
Andrews, Adam
Baugh, Evelyn
Beal, Lizzie Mae
Bowen, U. S.
Bivins, Homer
Brookins, Mollie
Brantley, C. C.
Brantley, Fannie May
Brookins, Mary Sue
Brown, Erne M.
Bonner, A. E.
Bradford, R. W.
Blaekwell, A. N.
Braswell, Willie
Brown, Annie
Bentley, G. R. W.
Bailey, R. F.
Berry, W. T.
Burgess, Bessie
Chapman, Myrtice
Combes, Louise
Cox, C. G.
Combes, Mrs. D. N.
Chapman, Mattie
Durden, W. R.
Digby, Velma
Digby, Mae
DeSaussure, T. H.
Dillard, Mattie
Digby, Annie
Ethridge, Essie Lee
Echols, G. L.
Floyd, Verna
Griffin, Ola
Debits. Credits.
$ .10
.50
.65
5.49
.30
35.00
1.92
1.85
.30
2.20
.50
36.36
10.13
.20
13.74
.40
.25
3.14
.80
9.71
3.50
.35
2 64
4o!50
1.15
2.20
2.64
11.25
5.00
1.05
.55
3.53
.30
2 14
.33
374
75
L98
434
"~" L64
30
.~Z'JLl~l~~
Gilman. J. M.
Gault, Gertrude
Garrard, J. I.
Green, G. H.
Gilham.-Schoen Electric Company
Godfrey, Delia
Georgia State Farm
(iiles Forrest
Godard, C. L.
Holder, J. H
—-."I
Hubbard, Amanda „
,_,
„
„
,
'.65
.35
[55
620
L15
'59
126
n'25
_ _ '98
" 1000
52
_,_, i.'gg
GEORGIA STATE SANITARIUM
SCHEDULE No. 2
99
(Continued)
Accounts Receivable as of December 31st
Name.
Hays, Sylvie
Harden, D. E
Ham, D. W.
Hester, Auba
Hudson, C. E
Hattaway, G. W.
HCmphill, W. A
Heringdine, Joe
Humphrey, J. O.
Humphrey, Joe
Hubbard, Luey
Harper, Lottie
Head, Eunice
Heringdine, O. C.
Johnson, J. 0.
Johnson, A. W.
Johnson, Mamie
Jones, H. S.
Josey, J. E.
Jenkins, Lottie
Jones, Annie P.
Jackson, J. P.
Leonard, Lila
Leonard, A.
Lewis, Herbert
Lord, J. E.
Lawson, E. L.
Longino, L P.
Layfleld, B. L
Layfleld, Lollie
Latimer, Fannie
Landrum, Mattie
Layfleld, J. W.
McDonald, Mable
McKinley, R. L
McCullar, Lillian
MeAdams, J. I
MeGinley, Catherine
Maddox, Willie
Mathews, T. W.
May, G. C
Mullinnix, D. W
Mobley, J. W.
Miller, G. C
Molton, Clara
Ney, S. I
Newsome, Grace
Oglesby, Nina
Oxford, Amy
Oglesby, Percic
Osborne, H. L.
Oden, J. W
Debits. Credits.
1.10
.25
.45
.60
.35
.40
1.00
.15
.75
2.42
-84
1-35
.99
1.47
2.41
10.00
2.02
2.15
.75
.35
-41
-40
-30
-55
-25
-40
4.2o
5.09
1-08
8.41
.72
2.63
-20
1-00
2.50
3.20
-20
1-44
-27
-35
2.39
10-00
2.73
40
-60
1-20
o-8"
-79
-90
-32
-30
54 80
-
100
EIGHTY-FIRST ANNUAL REPORT
SCHEDULE No. 2
(Continued)
Accounts Receivable as of December 31st
Name
Debits. Credits.
Nash, W. H
30
Nash, Bessie
__
30
poik, j. B
:::::::::::::;::: 3:50
Payne, Annie Lee
320
Penuel, F. C.
"~ 2370
Peeler, J. G.
30
Proctor, Herschal
______
$0 50
Parham, Percie
~~ g.26
Peacock, Maggie
55
Phillips, Nathan
{QQ
Rutherford, Emma
'40
Richardson, Janic
gg
Rutherford Alice
3J0
Radney, Zelma
4 g4
Rankin, D. T.
]
jg'jO
Ross, J. D., Jr.
" 10 00
Ray Sherman
"
Renfroe, Cora
'___'
_ " 39
Sanford, Estelle
'_
5'ig
Seals, Cheeley
2 00
Saye, E. B.
~_~
{_5Q
State Anatomical Board
5000
Sanford Fleming
2 00
Shurling, Catherine
I
g'72
Smith, Hogan
'35
Stevens, L. K.
"
'95
Simpson, C. E.
~.
~~~_ '_'
g^g
Stokes, Leila
"""'
'25
stevens, R^J
"in:::::::;::::::: 5:00
Simpson, C. H.
20
Smallwood, Lena
_
2Q
Stewart, A. H.
~
"
j'70
Phillips, Louis
'79
Taylor, R. A
{£
Thompkins, Katie
Vn
Tanner, W. F
~~~H~"
14 ig
Thornton, Emma
_____
264
Turner, Eleanor
_ ___
332
Thornton, Amanda
""
o'id
Vinson, J. T
"""
2
Valentine, Jewel
""
'2n
United States Public Health Service
' 3qq'qq
Veal, Lila B
^
West, J. H. __
'
i™
Waller, J. H
""'
'%%
Walker, N. P
/"
Watson, Winnie
" "
o'on
Wheeler, Dr. G. A
----""-"_-_-______"_____ 8.38
101
GEORGIA STATE SANITARIUM
SCHEDULE No. 2
(Continued)
Accounts Receivable as of December 31st
Name.
Watson, J. E.
Winslett, Margaret
Wright, S. E., Jr.
Wootten, J. J.
Wright, D. B.
Williamson, Mollie
Yarbrough, Dr. Y. H.
Young, Mary Alice
Youngblood, J. M.
Total
Debits. Credits.
.34
5.62
.35
1-50
2.73
.05
2.30
4.27
1.86
$721/73
$0.50
102
EIGHTY-FIRST ANNUAL REPORT
Schedule No. 3
Production, Farm, Garden and Dairy
Farm Products:
44,700 Lbs. velvet beans
15,004 bus. corn
6,19o bus. sweet potatoes
601 bus. oats
17qfm
f' F°
179,500 Lbs.
hay
61,000 Lbs. fodder
300 bus. peanuts
540 tons silage
$ 447 nn
-."HIIT2%S*00
7 743 75
:::::: '6U1;U0
1,698.00
99497';
fwlm
1"
^QQ
5,400.00
rruitfa^Tegetable;:
$41,549.50
881 bus. peas
e 1 709 an
1,802 bus. Irish potatoes":::!
* 9 7()toi)
13,304 melons
-IZZZZIi: iffio
380 bus. onions
%QM
1,878 bus squash
3756-00
3,517 cantaloupes
i7^s^
1,010 bus. okra
-JIZIZMZIZIIIZZ:::: S
96 bus. peppers
moo
104 bus. egg plant
104 ou
528 bus. tomatoes
1 crju'nn
19,494 heads cabbage
1 94940
14,541 heads collards
'72705
288 bus. radishes
"
576OO
4,119 bus. turnips and greens „
----- ^ ^g^
US greens
1 ?cl Kbus.
- rape
'116-00
1,303
ggj
go
990 quarts strawberries
I """""
"__
14850
US
beans
fin bus.
K - PS"
1.29l'0O
850
lettuce
1;700.00
262 bus. kale
13100
799 bus. cucumbers
1 997 go
1,364 bus. beets
"
4^092^00
Pack?n| House'ProdutTsT
13,034 Lbs. beef
pouS^'Eggs:
d Z eggs
Hlr
u°- -,
865 chickens
Dai?y Products:
688 990 gallons sweet milk
288 gallons buttermilk
714 Lbs. butter
27i gallons cream
Commit:
3,349 loads compost
Grand total
$33,717.70
l!o42.76
-^^
$ 740.25
346.00
4 793 56
'$
$20,669.70
.
36 00
24990
55,00
m625
-
-
331$ 22,014.75
$ 4,972 50
$108,134.26
EIGHTY-SECOND ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Five
Board of Trustees
President
T.
JOHN
BBANTLEY
_______
Blackshear, Ga.
Vice-President
H. H.
DEAN
_________
Gainesville, Ga.
Secretary
C. C
BBANTLEY
E. B.
LINDSEY
J. C.
JARNIGAN
A. C.
NEWELL
________
__________
________
_____
M. D.
_____
Rome,
Qa.
Warrenton, Ga.
_________
Tuos. M. HALL, M. D.
H. W. SHAW, M. D.
WM. RAWLINGS,
Valdosta, Ga.
Atlanta, Ga.
Milledgeville, Ga.
Augv&t&> Ga
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. B. Lindsey, Chairman
J. C. Jarnigan
Thos. M. Hall
A. C. Newell
C. C. Brantley
Finance and Auditing Committee ,
A. C. Newell, Chairman
Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
Wm. Rawlings, M. D., Chairman
Thomas M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds
H. H. Dean, Chairman
B. E. Lindsey
H. W. Shaw, M. D.
Committee on Farm and Outside Business
J. C. Jarnigan, Chairman
H. H. Dean
Wm. Rawlings
Officers of the Sanitarium
R. C. Swint, M. D. _ Superintendent and Resident Physician
N. P. Walker, M. D. ______
Clinical Director
L. P. Longino, M. D. _ _ _ First Assistant Physician
Y. H. Yarbrough, M. D. _ _ Second Assistant Physician
J. I. Garrard, M. D.
_____
Assistant Physician
Geo. L. Echols, M. D. _ _ _ _ _ Assistant Physician
J. W. Oden, M. D. _____ _ Assistant Physician
tW. H. Allen, M. D. (to July, 1925) _ Assistant Physician
D. T. Rankin, M. D. _ _ _ _ _ Assistant Physician
E. B. Saye, M. D. ________ _ Pathologist
R. W. Bradford, M. D. _ _
Junior Assistant Physician
U. S. Bowen, M. D. _ _ _ Junior Assistant Physician
C. G. Cox, M. D. _ _ _ _ Junior Assistant Physician
W. A. Bostick, M. D. (from March 31, 1925) _ _ Interne
G. H. Green, D. D. S. _________ Dentist
J. A. Adcock, D. D. S. (from Nov. 1, 1925) _ _ Dentist
J. J. Woo_ten __________ Pharmacist
Mrs. Mae M. Jones, R. N. _ _ Superintendent of Nurses
Otto M. Conn __________
Treasurer
Homer Bivins
__________
Steward
T. H. DeSaussure _________
Engineer
P. C. Penuel _________ Farm Steward
H. S. Jones ___________ Secretary
Arthur Farell
_________
Storekeeper
Miss Catherine McGinley
_______ Dietitian
*Miss Amy Oxford (to Sept. 15, 1925 _____
------- Director Occupation Therapy
W. W. Stembridge _________ Inspector
Rev. F. II. Harding _________ Chaplain
tOn leave of absence. *Dead.
Eighty-Second Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
To His Excellency, Clifford Walker, Governor.
SIR:
The Georgia State Sanitarium completed on December
31, 1925, its eighty-second year of continuous service to the
insane, and the record made is now respectfully submitted
for your consideration by the Board of Trustees. The annual
report of the Superintendent and Resident Physician is
attached hereto and will supply interesting details of the
year's work, income and expenditures, movement of population, etc. It will be noted from this report that a total of
6,225 patients received treatment during the year, the daily
average being 4,591; that the year closed with 5,319 patients
enrolled on the books of the Sanitarium, of which number
678 were furloughed, with the right of return any time
within twelve months; that 1,175 new patients were admitted
during the year, 18 of whom were found not to be insane;
that the number of patients now in the Sanitarium exceeds
its normal capacity by 740, and that because of this fact
the doors of the Sanitarium have been closed except to the
curahle and dangerous cases; that the per capita cost of
maintenance was $229.14, the daily per capita cost being but
$.6277, which shows a slight increase over the cost of 1924;
that the Sanitarium has lived within its income, and that it
continues to advance in efficiency and, therefore, in usefulness. Credit for this happy state of affairs goes primarily
to the Superintendent and Resident Physician, and secondarily to the members of the medical and business staffs, as
well as to the nurses and attendants, who have given him
fine co-operation in his efforts to advance the well-being of
the afflicted ones in his care. It is the duty and pleasure of
the Board to heartily commend him and them for the splendid
record made.
Asylum and Hospital
The Sanitarium is charged with two distinct duties. It
must provide an asylum for the chronic insane where they
may have the humane custodial care needed by them. It
EIGHTY-SECOND ANNUAL, REPORT
must likewise provide a hospital where recent or curable
cases of insanity may be given such care and expert treatment
as may possibly restore them to mental health. Both of these
duties have been faithfully discharged, and despite the lack
ot sufficient equipment, the Sanitarium is steadily advancing
in efficiency. The efforts of the medical staff are not confined
to the curable cases alone. Through the use of vocational
therapy and habit-forming training, satisfactory results are
being had, even among the chronic insane. The devoted interest of officers and employees has made possible what the
-tioard believes to be the best work yet done in its long and
useful history.
Growth in Population
The comparative figures here submitted illustrate the
steady increase in the population of the Sanitarium:
Year
1900 1925
No. of patients on hand at beginning of year 2,440 4 447
No. new patients received
'696 l'l75
No. patients on hand at close of year
2,551 4'640
Daily average number of patients
2^495 4^591
Total number receiving treatment in the year___3)l59 6^225
No Corresponding Increase in Equipment
Prom 1900 to 1925 three buildings for patients and one
for nurses, providing room for 1,458 patients, were added
to the Sanitarium equipment. In the same time the daily
average number of patients in the Sanitarium grew from
2,495 to 4,591, an increase of 2,096. The increase in equipment has not kept pace with the increase in population It
was over-crowded in 1900, as the report of the Board for
that year shows, and is over-crowded to-day. Some relief
has been afforded in this time by the establishment of a
colony farm for negro male patients, bv the building on the
Sanitarium grounds of pavilions for the use of tubercular
patients and by the occupancy in the present year of the
nurses home, through which rooms were vacated on the
wards for patients. But even so, room is still needed for
740 patients had in excess of the normal capacity of the
Sanitarium.
Admissions Restricted
So acute is the situation in respect of room that the
Board in October last was compelled most reluctantly to issue
GEORGIA STATE SANITARIUM
an order to the Superintendent and Resident Physician,
directing him to decline to receive other patients, with but
two exceptions. He is permitted to receive recent or acute cases
which offer hope of benefit through proper care and treatment, and violent cases found to be dangerous to themselves
or others. This order will continue in force until additional
accommodations are had. The Board is very conscious of the
hardship and suffering caused by this order, but there was
no escape from it. A specific recommendation for the additional buildings required for the use of patients appears
elsewhere in this report.
Convict and Criminal Insane
The Board enters its most earnest protest against the
effort made from time to time to transfer to the Sanitarium
the care of the convict insane now in the custody of another
department of the State government, and with this protest
it would just as emphatically recommend an amendment to
the present law which will make it the duty of the same
department to care for the criminal insane; that is to say,
those persons who escape punishment for crime through plea
of insanity. This protest and recommendation are based on
these facts: The Sanitarium is in no sense a prison, having
neither prison walls, bars nor guards, by means of which
the escape of dangerous criminals can be prevented. It is,
on the contrary, a hospital for the mentally sick, in which by
skilled treatment and gentle, humane care they may possibly
be restored to mental health. To create a prison atmosphere
about them would be fatal to such treatment. To force the
association by law of the innocent insane with the criminal
insane now in the Sanitarium is revolting enough, but when
it is proposed to add the convict insane to their number, such
enforced association outrages every sense of decency.
Pay Patients
The present law governing the Sanitarium provides for
pay patients, but is couched in such vague terms as to make
it difficult of practical application. So much is this the case
that the Board has thus far been unable to enforce it. Its
usefulness and value are doubtful. The best interests of
society and the State demand that the insane shall be properly
cared for, it matters not whether they be paupers or possessed of means. If the effect of this law is to keep out of
the Sanitarium those who should properly be there, it operates against such interests. The law sets up no machinery
EIGHTY-SECOND ANNUAL REPORT
for determining the value of the estate of persons found to
be insane, or for collecting therefrom for the use of the Sanitarium its charge for such support. It makes no provision
for continuing in the Sanitarium on a pauper basis those
persons whose estate may become exhausted or from which no
collection can be made. If they still continue insane, it is
manifest that they can not be discharged for failure to pay.
The effect of the law, if possible of application, is to create in
'the_Sanitarium two classes of patients—those who pay and
those who do not, a distinction capable of doing much harm
to the pauper patients and most unfortunate in its effect.
The revenue possible to be had in this way will not overcome the injustice of the law. In the judgment of the Board,
it should be promptly repealed and the Sanitarium made
free, as heretofore, to the bona-fide citizens of the State whose
taxes make it possible. The division of the cost of maintenance might possibly be distributed between the State and
the County committing, but the value of this is problematical
if it shall result in keeping out of the Sanitarium, because
of such cost, those who should for the best interests of society
and the State be committed to it.
If, however, the present law is to remain unchanged it
should be clarified, and should provide the necessary machinery for ascertaining the value of the estate of such patients,
and for collecting for the use of the Sanitarium its charge
for support.
Murder of a Patient
The most terrible incident in the history of the Sanitarium occurred in September last, when Miss Amy Oxford,
instructor in vocational therapy, while passing through the
grounds in the discharge of her duties, was struck and
instantly killed by a negro patient, to be followed a few
days later 'by the murder of this patient at the hands of
parties who are still unknown. Entrance was forced at night
into the building in which he was confined, from which he
was carried into the adjoining County and there murdered
Every effort has been made by the Board to discover the
perpetrators of this horrible crime, without success The
reward offered by your Excellency for proof to convict was
supplemented by an offer by the Board of $1,000.00 for the
same proof, but no information has yet been had. The offer
continues in force. The simple doors and locks which guard
the patients are not proof against such attacks at the hands
oi determined men.
GEORGIA STATE SANITARIUM
Water Supply
The consumption of water by the Sanitarium is now in
excess of 700,000 gallons daily. The pumping plant has a
capacity of 1,000,000 gallons of filtered water in twenty-four
hours. The increasing consumption also increases the pressure on the single main connecting the plant with the Sanitarium, and, therefore, increases the danger of breakage. A
part of this main is laid under a creek which at flood frequently spreads out for a mile or more. If a break should
occur at such a timte and place the impossibility of repairing
it under such condition will put the Sanitarium in a situation
not pleasant to contemplate. The only possible solution is
a duplicate main, and a recommendation is elsewhere made to
cover its cost.
Recent Additions to the Plant
The new building so long in construction was completed
during the year, and is now occupied by the nurses, for whom
it was intended. Their removal to it vacated many rooms on
the wards for the use of patients. This generous recognition
of the worth of these faithful employees is much appreciated
by them and promises to bring about a still greater improvement in the nursing service. The building and its modest
furnishings are such as reflect credit on the State.
The new ice plant provided for at the last session of
the Legislature is under way and will shortly be in use. Its
completion will supply one of the most urgent of the Sanitarium's needs. When such completion is had the old plant
will be transferred without charge to the Prison Commission
for use at the Prison Farm.
Other Equipment Which Must Be Had
1. To provide for the 740 patients now in the Sanitarium in excess of its normal capacity and to allow room
for future growth, four new buildings, two for each race,
with a capacity of not less than 1,200 patients, are now
necessary. Such buildings will care for 460 patients in
excess of the present population. With admissions slowly
mounting higher each year, and already approximating 1,200
annually, such growth is inevitable if the Sanitarium is to
continue to do its duty.
2. The greatest need of the Medical Department in
treating the acute and curable cases of insanity, and in caring
for the physically sick, is a general hospital located amid the
10
EIGHTY-SECOND ANNUAL REPORT
pleasantest surroundings possible and supplied with every
appliance known to be of value to the ends sought. Both
races should be provided for in it. It will enable the curable
cases to be separated from the chronic cases and thus remove
a present serious handicap to successful treatment. In it
should be located all of the reception wards in which new
patients are kept for observation and diagnosis, as well as
all of the hospital wards, operating rooms, etc. By means
of this concentration under one roof much better attention is
made possible. Such a hospital will greatly advance the work
of the Medical Department, and at the same time provide
more room for patients in the general wards.
3. A need of much importance is a larger amusement
hall, the present one, built many years ago, being entirely outgrown. It provides for the convalescent patients through moving pictures, concerts, dances and religious services, with
their principal pleasures, and should by all means be made
ample in size for this purpose. Whatever is needed to lessen
the pathos of their condition should be supplied with a
generous hand. The Board would suggest that such a building when erected should provide recreation rooms for the
white male attendants in which they can gather for social
pleasure when off duty.
4. A frame building is needed by the Medical Department in carrying on occupational therapy work among the
white female patients, from which such good results are
being had. The cost is very small in comparison with the
great good to come from it,
5. If fire escapes are deemed a necessity, they should
be had at once. Ladder escapes would be .as dangerous to
the patients as fire, and only tube escapes can be used.
Inside enclosed stairways have been relied on for many years
as the means of escape in case of fire, and these are bad. The
buildings are constantly patrolled at night as a further protection.
6. The growth of the Sanitarium has made necessary
more commodious offices for the officers in charge. As one
solution of this problem the Board would like to see the
Superintendent and Resident Physician; supplied with a
residence in keeping with the dignity of his position and
roomy enough to enable him to dispense the hospitality
expected of one in his position. His present quarters in the
Powell Building could then be converted into offices.
GEORGIA STATE SANITARIUM
11
7. A central heating plant with which is combined an
electric light and power plant offers possibilities of economy.
Appropriations Recommended
1. For the sum of $700,000, to be used for the erection
and equipment of four buildings for the use of patients.
2. For the sum of $250,000, to be used for the erection
and equipment of a general hospital building.
3. For the sum of $44,000, to defray the cost of a duplicate water main from the pumping station to the Sanitarium.
4. For the sum of $50,000, to be used for the erection
of an amusement hall for the use of patients.
5. For the sum of $8,000, to be used for the erection
of an occupational therapy building.
6. For the sum of $25,000, to be used for the erection of
a home for the Superintendent.
7. For the sum of $25,000 to provide fire escapes of
approved type.
Amendments to the Law Recommended
The Board recommends an amendment to the law which
will make the Sanitarium free to bona-fide citizens of the
State:
Also that the present name of the Sanitarium to be
changed to read "State Hospital for the Insane," the better
to define its functions.
The Appreciation of the Board
The Board makes grateful acknowledgment of the generous support given it by your Excellency, by the State
Auditor and by the General Assembly in its faithful effort
to have the Sanitarium fully realize the merciful purpose
for which it was founded. It begs for an even more generous
support in the future, that it may be in position to do all that
is humanly possible for the relief of these sorely afflicted ones
for whom it is responsible. With a prayer that the blessings
of a Merciful Father may continue to rest on this great house
of mercy, this report is respectfully submitted.
By order of the Board of Trustees.
JOHN
CHARLES
C.
BRANTLEY,
Secretary.
T.
BRANTLEY
President.
12
EIGHTY-SECOND ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
The Honorable Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the Eighty-second Annual Report of the Georgia State Sanitarium, which covers the period
from January 1, 1925, through December 31, 1925.
Appended hereto are reports of the Clinical Director,
Pathologist, Dentist, Superintendent of Nurses, Pharmacist,
Engineer, Steward, Farm Steward and Treasurer. These
reports give a general review of the activities of the institution in its various departments throughout the year.
General Statistics of Patient Population for the Year 1925
Males Females Total
Patients remaining on books Jan. 1,1925.2,335 2,715 5,050
Admitted during the year :
First admissions 1
520
434
954
Preadmissions
113
108
221
Total admitted during the year
633
542
1,175
Total under treatment during the year__2,968
Discharged during the year:
As recovered
63
As improved
132
As unimproved
54
As not insane
14
Died
219
3,257
6,225
68
154
23
3
177
131
286
77
17
396
482
425
907
Remaining on books Dec. 31, 1925
2,486
Num'ber on parole Dec. 31, 1925
335
Actual residents of Sanitarium Dec. 31,
1925
2,151
Daily average under treatment
2,832
343
5,318
678
2,489
4,640
4,591
Total discharged and died
GEORGIA STATE SANITARIUM
13
A comparative study of the above statistics shows that
first admissions increased 32, readmissions decreased 8, and
total admissions increased 24, as compared to the previous
year. The percentage of the discharges from the records
(patients who remained on furlough over twelve months) as
recovered and improved, based on the number of admissions,
was 35.5%, compared with 35.8% the previous year; also
the daily average was 202 more, and the deaths 10 less.
Of the actual resident patient population, 852 patients
were furloughed during the year, and of this number 660,
or 56%, were restored or improved—based on the total admissions; 174 were unimproved, but clinically harmless, and 18
were discharged as not insane.
Over-crowding has been, and continues one of our most
pressing problems. It has greatly handicapped the efficiency
of the institution throughout the year.
The records and previous reports of the Sanitarium show
that this has been a serious problem for many years. The
actual resident patient population has never been as great
as it is now, and the over-crowding never so acute, and as
serious. It is unjust to new admissions, as well as those
already in the Sanitarium to allow over-crowding of such
proportions, and I hope that the above statement will be
adequate without more word painting to indicate the seriousness of this problem.
In order to clarify the situation, it might be well to
note just here that the additional 198 beds available after
opening the John T. Brantley Building (nurses' home) on
July 15th, 1925, gave the Sanitarium a normal capacity of
3,900 beds, and these additional beds provided a slight relief
for_excessive over-crowding on white female reception wards,
but overcrowding there is still hazardous, as we are still
required to sleep two patients in rooms intended for only one.
We began the year with an actual resident patient population of 4,447 and closed with 4,640, a net increase of 193,
or an actual over-crowding of 740 above normal capacity, not
counting 678 patients on parole, who have the privilege of
returning, if necessary, during their furlough period.
It seems that many of the Counties over the State have
abolished their almshouses, and there appears a slight grow-
14
EIGHTY-SECOND ANNUAL REPORT
ing tendency to commit to the Sanitarium senile persons who
are more or less invalids; also feeble-minded individuals who
might be cared for at home with some extra personal attention, or who might be successfully cared for in County almshouses.
When we decline the application for admission of such
type of cases, we find it difficult to resist the appeals of relatives, and in some instance physicians and politicians, who
seem not to hesitate to exaggerate the merits of the applicant.
We hope, however, that by adhering to resolutions below
that you adopted at full Board meeting in October, 1925,
there will result a decrease in number of admissions during
the coming year, and that the total discharges will outnumber
or at least equal total admissions, and thereby prevent any
further population increase.
We cannot feel so sanguine about this, however, as the
applications for admission seem to be increasing.
The following is the copy of letter mailed to the Ordinaries containing the resolutions above referred to:
"Judge Court of Ordinary.
"DEAR SIR:
"I am instructed by the Board of Trustees of the Georgia
State Sanitarium to send to the Ordinaries of the various
Counties of the State the following resolutions adopted at this
meeting, October 22, 1925:
"The over-crowded condition of the Sanitarium being
under consideration, the following action was had:
"It appearing that the Georgia State Sanitarium,
with a normal capacity of 3,900 patients, is now taxed
with the care of 4,650, with 676 other patients furloughed, with the right to return within twelve months,
and that as a result of this condition two and three patients are crowded into rooms intended for one, which
is dangerous, unsanitary and a handicap to treatment;
and these facts have been repeatedly reported by the
Board of Trustees, with no relief granted; and that
the ever-increasing demand for admission makes some
action by the Board imperative; therefore,
GEORGIA STATE SANITARIUM
15
"It is ordered, effective October 28, 1925, that the
Superintendent of the Sanitarium shall enforce the
following rules:
"1. Admission shall be granted to very urgent
cases; that is, to young acute cases whose symptoms
are of recent origin, and who offer hope of benefit by
treatment, and to violent cases dangerous to themselves and others, who cannot be safely cared for at
home, and are unable to pay for treatment in a private
hospital.
"2. Admission shall be denied to senile, feebleminded and harmless incurable cases who cannot be
benefited by treatment.
"3. Ordinaries shall be required to send the Superintendent in advance of commitment a full history of
each and every case proposed to be committed, in order
that he may determine if and when said applicant may
be received.
"4 A copy of this action shall be sent to every
Ordinary of the State, in order that he may have a
clear understanding of the condition which makes this
action necessary and imperative.
"5. These rules shall continue in force as long
as the present condition prevails."
Medical Service
The report of the Clinical Director gives a review of
the medical work and nursing service for the year. Notwithstanding the shortage of staff members, the medical work
was kept at the usual standard of excellence. The Clinical
Director and Staff more actively interested themselves in
habit training, and some gratifying results were obtained
along this line.
The monthly bulletin of the Clinical Director has been
of interest and help to the nursing personnel. We anticipate
further development and results along this line during the
coming year.
The Sanitarium population was not afflicted with any
epidemics of acute physical illness, except during the sum-
16
EIGHTY-SECOND ANNUAL REPORT
mer there was a short epidemic of acute enteritis of unknown
cause. A rather extensive laboratory study of this disease
failed to give us any information as to its cause. Clinically
it was characterized by diarrhoea, with very little temperature
reaction, but with profound prostration, and in many instances rapid fatal termination. The same type of illness
occurred about the same period in other localities of the
State. It was not traceable to any local dietary cause. Our
total death rate during the year, based on the number under
treatment, was 6.94%.
Dr. Joseph Goldberger, of Washington, D. O, of the
United States Public Health Service, continued his research
studies of pellagra with Dr. G. A. Wheeler, of the Public
Health 'Service, in immediate charge of this work. The research work of these two physicians has been of interest,
stimulating, and has given us valuable information concerning the cause and treatment of this dreadful malady.
During the early part of the year, with your permission,
we arranged with Dr. Sam Darling, of the Rockefeller
Foundation, who had charge of the malarial research station
at Leesburg, Ga., to send a member of his staff here to work
with our Staff in doing some research study of the malarial
treatment of general paralysis of the insane. Dr. Henry
Carr, of the Foundation, was sent, and, working with members of our Staff, inoculated fifty-five cases of general paralysis of the insane. We are not yet prepared to offer an
opinion as to the merits of this type of treatment, but results
noted to date are not so encouraging.
The unfortunate occurrence during September resulting
in the death of Miss Amy Oxford, our Occupation Therapy
Director, and in a few days the lynching of the colored male
patient who struck her, by an unknown mob, cast a gloom
over the entire Sanitarium for some time. I hope that the
institution will never have to experience another such trying
ordeal. The Sanitarium is a hospital, and not a prison.
Therefore, we are not prepared to offer armed resistance to
the invasion of mobs.
The establishment of the school psychiatric clinic at
Blberton in September expanded our extra mural activities,
and in the course of time should prove of value. The edu-
GEORGIA STATE SANITARIUM
17
cational propaganda and advice obtained from such clinics
properly conducted has a far-reaching effect toward causing
the public to get away from old superstitions, and to assume
a more correct attitude toward mental disease and the Sanitarium. A member of our Staff conducts this clinic twice a
month. The psychiatric clinic at Macon, that we have been
conducting for several years, was kept up, and held weekly
by one of our Staff members. It has become rather definitely
established, and is now regarded as a part of the regular
medical program for the City of Macon and its vicinity.
Dental Service
It is generally recognized by physicians and dentists that
diseased teeth and infections have a pathological effect on
the human organism, and in order that this feature of treatment may receive proper attention, the Sanitarium employs
two full-timed dentists, one for the female service and one
for the male service. Both of these dentists reside in the
institution, and devote their entire time to the dental service.
The report of the Senior Dentist gives the character and
amount of work done in this department during the year.
Recreational Diversions
The Clinical Director's report gives a review of the
activities during the year in the Occupation Therapy Department, It is our policy to interest patients in some form of
diversion as soon as possible after their admission. On account
of the large population of the hospital, and our limited facilities, this work has to be mainly concentrated on new admissions, although a large per cent, of our hospital population
is daily engaged in some form of work that is more or less
beneficial to them, and very necessary for the operation of
the hospital. The weekly dances and picture shows were
kept up during the year. Our projection machine, unfortunately, caught fire in December, and it was practically destroyed, with damage to the booth and amusement hall. The
picture shows will have to be discontinued until the machine
is replaced, and an absolutely fire-proof booth constructed.
When the weather was favorable we made the rule of
taking all the patients that were able, out of the buildings
to the recreation grounds twice daily. Many of them were
given walks over the grounds, and some of the white females
were given picnics by the occupation teachers.
18
EIGHTY-SECOND ANNUAL REPORT
The Sanitarium Band kept up the tri-weekly concerts.
The band leader also organized an orchestra that played at
the picture shows, which added to its entertainment feature.
Religious services were held every Sunday afternoon
as formerly.
The Business Department
The report of the Steward gives a detailed account of
the receipts and disbursements made during the year. Our
per capita cost was $229.14, compared with $227.10 the previous year. The per diem cost was .6277, compared to .6222.
These figures include every item of cost connected with hospitalization of patients, as well as maintenance and repairs
of physical plant. However, the institution could not be
operated on so small a per capita cost at the same standard
of efficiency without the aid of our farm, garden and dairy
productions, and the practice of strict economy on every
hand.
But there are many needs and improvements that might
be added for the welfare of our unfortunate charges if funds
were more liberally appropriated. I think that the dominant
question in our minds should be—What are we doing for our
patients, rather than how cheaply are we operating the institution.
In this connection it might be of interest to note that
we spent $48,952.00 more for food, $6,751.00 less for clothing
and dry goods, and $14,798.00 less for fuel compared to the
previous year.
The report of the Farm Steward gives a tabulated statement of the productions for the year of the farm, garden,
dairy and poultry yard.
Improvements and Repairs
The report of the Engineer gives a detailed description
of the items constructed in this department during the year.
We are delighted to report that the John T. Brantley Building (home for white female employes) has been completed,
furnished and occupied since July 15th. It is modern in
construction and furnishings. We are proud of it. I believe
that it will prove a benediction to the institution.
GEORGIA STATE SANITARIUM
19
Other notable improvements were the construction of
three badly needed tubercular pavilions for colored females,
and the addition of verandas to the two old ones which are
now occupied by colored males. These additions now provide
adequate quarters for the tubercular cases among our colored
population.
The two tile silos, with combined capacity of 600 tons
of silage, that were constructed at the dairy, provides^ muchneeded addition that should contribute to the efficiency of
the dairy.
The replacement of concrete floors in bath and toilet
rooms in the Twin Building were other needed improvements.
These replacements were completed on six of the wards, but
this work had to be discontinued for awhile. It might be wise
to consider extending this type of improvement to the other
wards of the institution.
Plans also have been made and work begun on the construction of the new ice and cold storage plant. We hope to
have this completed by summer.
Needs Requiring Special Appropriations
1. Over-crowding is the Sanitarium's most acute problem. I think it would be wiser for the State to build another
State Hospital for Mental Disease in some other section of
the State rather than further enlarge this institution, although
it would be practicable to enlarge this plant to a 6,000 patient
basis.
2. If this institution is to provide adequate facilities
for caring for the present needs and demands of the mentally afflicted in the State, it should now have four additional buildings to provide for 740 patients who are already
over-crowding our normal capacity, in addition to making a
capacity provision for annual increase of about 200 population from new admissions.
Estimated cost for four buildings, $700,000.00.
3. In my opinion a modern hospital building with adequate capacity and equipment to care for the special medical
and surgical needs of the entire Sanitarium would be a farseeing and progressive addition. It would have a great influence toward hospitalizing the atmosphere of the entire Sani-
20
EIGHTY-SECOND ANNUAL REPORT
tarium, and provide an equipment essential for the study and
treatment of the very complex problems of the mentally
afflicted.
Estimated cost, $250,000.00.
4. As previously recommended: A duplicate water
main from pumping station to Sanitarium. Estimated cost,
$44,000.00.
Occupation Therapy building for white females. Estimated cost, $10,000.00.
Outside fire escapes. Estimated cost, $25,000.00.
Amusement hall adequate for Sanitarium population.
Estimated cost, $50,000.00.
Conclusion
In concluding this report, I desire to express my gratitude to your honorable body for your official co-operation,
personal kindness and constant interest in the affairs of the
institution throughout the year. Also to aknowledge my appreciation of the faithful services rendered by the officers
and the employes, and to thank the Women's Clubs, American Legion, Knights of Columbus and others who were so
thoughtful and kind with so many gifts to the patients during
the Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
GEORGIA STATE SANITARIUM
2l
Report of Clinical Director
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31, 1925:
During the year 1,175 patients were received. Of these
954 were first admissions and 221 were readmissions.
Of the readmissions, 44 had been admitted to either private hospitals or to other state hospitals; 177 had been previously admitted to this hospital.
Twenty-two patients were diagnosed as not insane. Of
these, 2 showed no evidence of insanity after admission and
no history was obtained pointing definitely to mental disturbance before admission. In three cases the commitment
seems to have been due to alcoholism; in the case of two,
criminal charges had been preferred; one drug addict not
insane was admitted; one suffered from encephalitis; two
from epilepsy; eight were classified as constitutional psychopathic inferiority and three as mentally deficient.
Ten criminals were sent by order of court, eight whites
and two colored. The court charges were as1 follows: Stealing,
1; vagrancy, 2; homicide, 3 ; beastiality, 1; wife-beating, 1;
robbery, 1; larceny, 1. Of these ten, one suffered from manic
depressive insanity; 2 dementia praecox; 4 psychosis associated with mental deficiency, and 3 were not insane. In the
case of the homicides, 1 was classified as dementia praecox,
1 as mental deficiency (low grade, not responsible), and 1,
who came late in the year, is still under observation.
Eight hundred and fifty-two (852) patients were furloughed, of whom 665 were restored or improved. Leaving
out the not insane patients received, this gives us a recovery
rate of 57%. Twenty of the furloughed patients were removed
to government hospitals for ex-veterans.
22
EIGHTY-SECOND ANNUAL REPORT
There were no epidemics or outbreaks of acute disease
during the year other than an enteritis of unidentified character. Rather extensive laboratory investigations did not
reveal any etiological factor. There were reasons for thinking
that it may have been the enteric form of influenza. It was
prevalent in this section at the time.
There were 396 deaths, a percentage of 7.0 of those
treated. The leading causes of death in their order were as
follows: Arteriosclerosis, 59; cerebral hemorrhage, 44; general paralysis of the insane, 41; broncho pneumonia, 38;
tuberculosis, 37. Only seven deaths were assigned to pellagra.
Of these six died within twenty-five days after admission
and the seventh died three months and twenty-six days after
being admitted. Following the observations and recommendations of Drs. Goldberger and Wheeler, yeast has been used
as an adjunct to the dietetic treatment of pellagra and has
been found to be a valuable therapeutic agent in the acute
stages of this disease.
We here acknowledge our indebtedness to Fleischman
Company for having furnished generous quantities of yeast
to the institution. These manufacturers have agreed to furnish yeast again for the year 1926, and it is expected that a
much more satisfactory estimate of the value of yeast as a
therapeutic agent in pellagra will be arrived at. It may be
of interest to recall that in 1915 a diagnosis of phychosis
due to pellagra was made in the case of 210 patients and
that 220 deaths were assigned to pellagra in that year. In
the year 1925 the diagnosis of psychosis due to pellagra was
made in twenty-three instances, and that, as above stated,
seven deaths were due to this disease in the same year.
Fifty-seven (57) patients died within one month after
admission. This is about the same as in former years.
In 1905 our death rate from tuberculosis per thousand
patients treated was 30; in 1925 it was 6.4, a reduction of 78
per cent. For many years approximately 40 per cent, of
the deaths from tuberculosis in our hospital have occurred
among the colored females. The erection during the year of
the three new tubercular pavilions for this department will
provide for the removal of the known active cases from the
main buildings. During the year no inconsiderable amount
of time has been spent by the physicians in charge of this
GEORGIA STATE SANITARIUM
23
department in the routine examination of the old patients
for the purpose of reducing the morbidity and mortality of
tuberculosis. Some of the wards in this department are overcrowded by 130 per cent. This, together with the natural
predisposition of the colored race to the disease, makes an
ideal situation for its development.
The treatment of paresis by the inoculation of such
patients with malaria was tried out during the year. This
work was done jointly by Dr. Carr of the Rockefeller Commission for the study of malaria and two members of the
regular staff, Drs. Yarbrough and Oden. The results were
very disappointing. A total of 55 patients were inoculated
with the blood of malarial carriers. Twenty-one were whites
and 34 were colored. All of the whites were "takes" and
showed more or less satisfactory rises in temperature. One
of these died within the year and one went out on furlough
as not improved, the others remaining in the institution at
the end of the year. Thirty-four negroes were inoculated in
the same way as the whites. Seventeen of these showed no
signs of malaria, either serologically or clinically. The remaining 17 showed malarial parasites in the blood, but only
3 had more than a negligible amount of fever. Only one of
the colored patients showed any marked improvement.
It seems of more than passing significance that the colored race appears to be so much less susceptible to inoculation with malaria than the whites, when we consider the
fulminating character of paresis in the former race. In the
years 1920-1922, inclusive, 59 white and 120 colored paretics
were admitted. At this time (February, 1926) 13.5 per cent,
of the white and 4.1 per cent, of the colored patients are still
in the institution; 13.5 per cent, of the whites and 5.8 per
cent, of the colored patients have been discharged; 72.8 per
cent, of the whites and 90 per cent, of the colored patients
have died within the institution. The average length of life
of the whites who died in the institution was 441 days; for
the colored it was 183 days. As may be readily conceived,
there might have been a difference in duration before admission.
Our pathologist and his assistants have spent, their
usual busy year in the laboratory. A total of 7,786 specimens
were examined during the year. The routine procedures as
24
EIGHTY-SECOND ANNUAL REPORT
practiced in the laboratories are set forth in Dr. Saye 's report
and contain much that is instructive as well as of interest.
The recommendation for the establishment of ward
laboratories, if carried out, would relieve the main laboratory
of a mass of routine work and leave the pathologist free to
devote more time to research, a thing very much to be desired.
When the additional story is added this will further facilitate the laboratory work. As it is now, too much time is consumed in the routine common to any clinical laboratory and
not enough to the furtherance of our knowledge of mental
diseases.
Drs. Goldberger and Wheeler have continued their valuable work in pellagra and have robbed this disease of much
of its mystery, of many of its terrors.
Our training school under the efficient management of
Mrs. Jones has continued to do the good work of former
years and needs no comment for those who are acquainted
with its good standing.
In October and November a course of instruction was
given the new attendants. This consisted of recitations and
quizzes from a pamplet prepared for the purpose. This pamphlet has been twice revised, and is still far from satisfactory.
It is expected that this course will be repeated in May and
October in the coming year. The publication of the Bulletin
has been continued as stimulant to interest.
Following the death of Miss Amy Oxford, Miss Brown
took charge of the Occupation Department in the female
service. She has proven herself efficient and capable. This
department is still badly cramped for the lack of facilitiesmore especially a suitable building. In the white male department better progress has been made because of better arrangements. During the coming year more shop space and equipment will be added, thus avoiding the necessity of calling on
the regular institutional shop for help. We have on the
premises an abundance of good clay, and the development of
pottery-making and allied work, would open a new and most
interesting field for occupation for both males and females.
I believe that good nursing aided materially in the recovery rate for the past year, but there is much room for improvement, Some of the most gratifying work done in the
GEORGIA STATE SANITARIUM
25
whole institution has been in the line of habit training. The
response of cases of dementia praecox of long standing has
been surprising, as well as pleasing. Not a great many cases
have been tried systematically, but in not a single instance
has there been a complete failure.
The clinic in Macon continues with good attendance and
good results. The establishment of the clinic at Elberton has
afforded further needs for mental hygiene. Such work proves
of value not only to the community, but to the physician
who conducts it.
The added equipment and improvement to our X-ray
outfit has added materially to its efficiency. Bight hundred
and five pictures were made, fifty-three fluroscopic examinations were made and 50 treatments were given.
I wish to thank you and the Board for generous aid to
the medical service.
Aknowledgment is here made for assistance and aid rendered by other departments.
I am particularly grateful for the co-operation of the
staff and nursing service.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
26
EIGHTY-SECOND ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1925
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
White
Colored
M
F
M
E
0
15
19
2
0
2
1
1
5
26
37
6
0
1
0
5
20
15
1
1
0
2
54
100
67
10
5
2
3
1
1
5
4
106
66
0
33
10
1
2
0
0
1
33
17
0
20
0
0
0
0
7
4
46
60
0
10
1
12
15
8
23
14
287
191
1
82
19
1
23
32
0
0
0
1
0
0
0
38
32
0
0
0
0
0
0
0
13
30
1
0
0
0
0
1
7
113
141
2
3
2
1
1
2
1
1
0
8
0
1
1
3
222 | 216
1175
Traumatic
1
Senile
29
With cerebral arteriosclerosis
35
General paralysis of the insane—_ 13
With cerebral syphilis
3
With Huntington's chorea
2
With brain tumor
0
With other brain or nervous disease
8
Due to alcohol
12
Due to drugs
7
With pellagra _
11
With other somatic disease
5
Manic depressive
102
Dementia praecox
48
Paranoia or paranoid condition.
1
With epilepsy _
19
Psychoneurosis or neuroses
8
With constitutional psychopathic
inferiority
6
With mental deficiency
39
Unclassified
47
Not insane
1
Alcoholism without psychosis...
3
Criminal without psychosis
2
Drug addict without psychosis..
0
Encephalitis without psychosis..
1
Epilepsy without psychosis
1
Constitutional psychopathic inferiority without psychosis
6
Mental deficiency without psychisis _ .
1
Total
411
326
Total
27
GEORGIA STATE SANITARIUM
TABLE II
Diagnostic Grouping of First Admissions During the Year 1925
Psychoses.
White
Colored
M
M
1
Traumatic
26
Senile
33
With cerebral arteriosclerosis...
11
General paralysis of the insane
2
With cerebral syphilis
2
With Huntington's chorea
0
With brain tumor
With other brain or nervous dis7
ease
10
9. Due to alcohol
4
10. Due to drugs
9
11. With pellagra
5
12. With other somatic disease
60
13. Manic depressive
31
14. Dementia praecox
1
15. Paranoia or paranoid condition...
18
16. With epilepsy
7
17. Psychoneuroses or neuroses
18. With constitutional psychopathic
3
inferiority
35
19. With mental deficiency
38
20. Unclassified
0
21. Not insane
2
Alcoholism without psychosis..
2
Criminal without psychosis
0
Drug addict without psychosis1
Encephalitis without psychosis1
Epilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psy
0
chosis
1.
2.
3.
4.
5.
6.
7.
8.
Total
-•
312
E
Total
E
0
14
19
2
0
2
1
1
4
25
36
6
0
1
0
6
20
15
1
1
0
2
49
97
64
9
5
2
1
1
1
3
4
67
49
0
32
7
1
1
0
0
1
28
16
0
19
0
0
0
0
6
4
37
46
0
10
1
9
12
5
18
14
192
142
1
79
15
0
18
23
0
0
0
0
0
0
0
35
32
0
0
0
0
0
0
0
12
29
1
0
0
0
0
1'
3
100
122
1
2
2
0
1
2
1
1
0
5
0
1
0
1
245
208
189
954
28
EIGHTY-SECOND ANNUAL REPORT
TABLE III
Diagnostic Grouping of Readmissions During Year 1925
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
~~~
With cerebral arteriosclerosis
General paralysis of the insane...
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Due to alcohol
Due to drugs
With pellagra
"~
With other somatic disease
Manic depressive
Dementia praecox
'
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified __
""'
Not insane
~
Alcoholism without psychosis—
Criminal without psychosis
Drug addict without psychosisEncephalitis without psychosis..
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis.._
Mental deficiency without psychosis
Total.
White
Colored
M
M
P
Total
0
3
2
2
1
0
0
0
1
0
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
1
2
3
2
0
42
17
0
1
1
2
0
0
2
0
39
17
0
1
3
0
0
0
0 I
3
4
9
1
1
0
0
0
0
1
5
9
0
0
0
1
0
5
3
3
1
0
0
0
14
0
0
0
3
3
3
5
0
95
49
0
3
4
0
0
0
3
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
4
13
19
1
1
0
1
0
0
3
0
0
0
3
1
0
0
1
2
99
81
14
27
221
1
0
0
0
5
1
0
1
1
0
9
immmm*
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1925.
COLORED
WHITE
Psychoses.
u s
R I
1
0
0
0
0
With cerebral syphilis
_______
0
With Huntington's chorea
- 0
With brain tumor
1
7
Due to alcohol
- 3
Due to drugs
_
_
'.
6
With pellagra
_ _
_______
2
With other somatic disease
______
Manic depressive
_________ 45
0
Dementia praecox
_
0
Paranoia or paranoid condition
_______
With epilepsy
_________ 0
5
Psychoneuroses or neuroses _
1
With constitutional psychopathic inferiority
5
With mental deficiency
6
Unclassified _
__—_
0
Not insane:
_______
0
Alcoholism without psychosis
0
Criminal without psychosis
0
Drug addict without psychosis
0
Encephalitis without psychosis
0
Epilepsy without psychosis
Constitutional psychopathic inferiority with0
out psychosis
_
0
Mental deficiency without psychosis
2 Senile
3 With cerebral arteriosclerosis
S
6
7
9
10
11.
12
13
14
15.
16.
17.
18.
19
20.
21.
Total _
__—____—_- -
-
-
u
B I
R I
S
u s
R I
s
s
3
6
17
14
5
0
0
10
15
7
19
17
324
157
3
29
18
20
61
109
3
2
2
1
0
1
0
0
0
0
0
1
7
2
1 26 80
3
1
852
0
1
0
0
0
1
1
0
0
0
1
0
0
0
6
5
0
2
0
0
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
1
15
1
0
0
0
1
0
4
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
2
2
0
0
0
0
0
0
0
0
0
0
1
1
2
3
3
54
2
0
1
2
3
3
11
0
0
0
0
0
0
0
2
3
0
0
0
0
2
0
1
1
3
78
40
0
7
6
0
7
21
0
0
0
0
0
0
0
1
3
0
0
0
0
1
0
0
2
1
17
18
1
3
2
1
2
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
1
0
0
0
0
0
0
s
3 ' 13 84 20
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
3
1
0
0
0
1
1
0
0
2
22
21
0
7
0
3
12
10
0
0
0
0
0
0
0
0
3
1
1
0
0
3
1
0
0
1
15
25
1
3
0
4
'18
19
0
0
0
0
0
0
u s
0 0
2 0
1 1
4 1
2 0
0 0
0 0
1 0
0 0
0 0
o 0
2 0
22 0
31 0
0 0
1 1
0 0
0 0
6 0
8 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
9
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1
3
6
1
0
0
0
2
1
3
2
41
14
1
4
3
7
6
22
0
0
0
0
0
0
82 118 95 13 86 171 56
Female
Male
Female
Male
H
O
o
m
>
H
CO
>
>
2
a
30
EIGHTY-SECOND ANNUAL REPORT
TABLE V
SURGERY
Appendectomies
Acroflavine intravenous injection""
Ascite's, aspiration for
Abscess lung, resection rib
"" ~
Abscess, Bartholin gland drainage. """"""'
Abscess, pelvic
Circumcisions
Cholecystotomy drainage
"
Dilatation and curettage
Fractures reduced and fixed
""""
Hemorrhoidectomies
"
Herniotomies
'_ _________
Hysterectomies
"
Hydrocele operation
_
___~_
Injection of air into pleural cavity__"
Intravenous injection spinal fluid
'_
"
Intravenous injection salvarsan and "tryparsamid doses
intravenous injection mercurochrome
Intravenous injection sod. salicylate
""
Intraspinous injection magnesium sulphate" _
Intraspinous injection horse serum
Inoculations with malarial blood ___
_
Laparotomies, exploratory
__
Lipoma removal
"
Oophorectomy
Paracentesis, thoracis
"
"
Pterygium transplanted
Phymosis operation
Papilloma excised
""
Prolapsed rectum operation
~_ " ""
Strabismus operation
Salpingectomy
Sebaceous cyst excised
Tonsillectomies
Tubercular peritonitis operation". __ _
Vaccinations, typhoid
Vaccinations, smallpox
I " ""
""
Varicocele operations
X-Ray treatments
" "
X-Ray pictures
'_
Flutoscopic examinations
"
,.
A
o
f
1
3
1
1
15
7
\
' 1
' 7
267
"
Q
2
3
"* q
ri.
«
.
)
%
%
,
66
2
1BJ
™\
™
Jz
GEORGIA STATE SANITARIUM
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1925.
Anaemia (not specified)
Abscess of lung
Arteriosclerosis
Brain tumor
Cancer of lung
Carcinoma of stomach
Carcinoma of esophagus
Carcinoma of uterus
Chorea, Huntington's
Colitis, ulcerated
Drowned, accidental
Dysentery (not specified)
Embolism
Encephalitis
Endocarditis, acute
Enteritis, acute
Enteritis, chronic
Enteritis, acute gastro
Epilepsy
Erysipelas
Exhaustion, acute mental disease
Exhaustion, heat
General paralysis of the insane
Heart, acute dilation
Heart disease, organic
Heart disease, valvular
Hemorrhage, cerebral
Hernia, mesenteric strangulated
HyDostatic congestion of lungs
Influenza
Injuries inflicted by another patient
Injury to head by parties unknown__
Intestinal obstruction
Meningitis (not specified)
Meningitis, tubercular
»
Myocarditis, acute
Myocarditis, chronic
Nephritis, chronic
Organic brain disease (not specified)
Pellagra
Perforation of intestines
Pneumonia, broncho
Pneumonia, lobar
Prostatitis
Septicaemia
Suicide
Strangulation by food
Surgical shock
Syphilis, cerebral
Tuberculosis, abdominal
Tuberculosis, pulmonary
Tuberculosis, intestinal
Volvulus of intestines
Unknown
Total.
White
Colored
M
F
M
0
0
24
0
0
1
0
0
0
0
0
0
0
2
0
9
0
3
8
0
5
0
10
0
0
3
8
1
1
0
1
0
0
0
0
1
2
9
0
4
0
20
2
1
1
3
1
1
0
1
7
0
1
1
0
3
24
1
0
1
1
0
1
1
131
0
0
1
0
1
7
2
0
2
1
3
1
1
0
0
2
12
0
0
1
0
0
0
0
0
0
2
5
2
0
1
11
2
Total
P
0
1
7
1
0
0
0
0
0
0
1
1
0
0
0
0
0
0
10
1
0
0
22
0
1
0
15
0
0
0
0
1
1
0
0
0
2
4
0
0
\]
0
0
0
0
0
0
0
4
0
0
3
(3
1
0
0
0
0
0
2
1
5
0
0
5
96
68
1
0
4
0
1
1
0
2
0
0
0
0
0
0
1
1
0
2
7
0
4
0
8
3
0
2
9
0
0
0
0
0
0
2
1
0
2
3
1
3
0
1
3
0
0
0
0
1
0
1
1G
1
0
0
1
4
59
2
1
3
1
2
1
1
1
1
1
2
2
17
2
5
27
2
12
1
41
3
1
7
44
1
1
1
1
1
1
2
1
1
8
21
3
7
1
38
8
1
1
3
1
2
2
3
32
1
1
9
81 ' 396
32
EIGHTY-SECOND ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1925.
County.
Appling
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahooehee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Deeatur
DcKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Efflngham
Elbert
Emanuel
White
Colored
M
M
F
Total
1
0
6
0
1
0
0
0
12
0
0
1
3
5
0
1
3
0
0
0
0
1
0
25
1
0
1
0
1
1
5
0
1
1
3
1
14
1
0
2
3
4
0
1
0
3
0
0
0
0
1
24
1
0
1
3
0
1
2
2
1
0
0
2
1
2
0
0
6
2
0
3
4
0
1
0
1
1
7
2
18
3
10
'10
3
1
44
3
1
6
12
14
5
4
4
4
1
13
1
2
3
8fi
9
13
9
3
3
1
14
5
7
2
4
16
1
4
1
5
9
18
6
6
5
4
9
1
3
10
3
2
1
3
2
3
2
0
0
14
0
1
2
3
3
4
2
1
0
0
11
1
0
1
24
4
7
2
0
2
0
6
3
2
I
2
4
0
0
1
1
2
8
2
2
0
3
4
0
0
4
1
3
0
4
1
5
7
0
0
4
2
0
1
3
2
1
0
0
1
1
2
0
1
I
13
3
6
5
0
0
0
6
0
2
1
2
6
0
2
0
4
0
(1
3
1
1
1
1
0
1
1
1
1
0
0
0
2
0
0
4
0
0
0
0
1
2
1
0
0
0
3
1
1
1
1
0
GEORGIA STATE SANITARIUM
33
Admissions Prom the Various Counties During the Year 1925.
(Continued)
County.
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
-_.
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham _.
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
►.
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
LongLowndes
Lumpkin
Macon
Madison
Marion
Meriwether .
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee __.
McDuffle..,..
White
Colored
M
F
M
1
0
1
14
2
4
40
1
1
3
3
0
5
2
1
6
5
5
4
2
1
4
1
3
3
2
3
1
0
0
3
2
0
1
0
4
1
4
1
2
4
1
3
0
1
2
1
0
2
4
5
3
1
3
1
10
5
5
33
0
2
1
3
2
3
3
4
7
0
4
2
2
2
3
1
0
0
1
0
2
2
1
0
0
2
0
0
0
1
2
0
1
2
0
2
0
2
1
1
0
1
5
15
0
1
0
1
1
0
0
18
0
0
3
0
0
1
1
0
1
3
0
2
2
1
1
5
1
1
3
4
2
1
1
3
0
3
1
2
2
0
0
0
2
0
2
0
0
0
2
2
0
3
0
3
2
Total
F
0
0
1
1
0
0
20
0
0
3
0
0
4
2
0
0
2
0
0
1
0
1
1
2
0
1
0
2
3
3
0
0
2
0
1
0
0
1
0
3
0
1
2
1
0
2
0
2
2
0
0
1
3
3
4
26
7
9
111
1
3
10
6
2
13
8
5
14
10
9
8
7
4
9
8
6
4
7
7
7
6
5
6
2
7
2
3
6
2
7
1
8
6
4
7
1
3
7
4
2
8
9
23
6
34
EIGHTY-SECOND ANNUAL REPORT
Admissions From the Various Counties During the Year 1925.
(Continued)
County.
White
Colored
M
M
Newton __.
Oconee
Oglethorpe
Paulding __
Peach
Pickens ___
Pierce
Pike
Polk
Pulaski ___
Putnam ...
Rabun
Randolph .
Richmond _
Rockdale __
Screven
Spalding __
Stephens ..
Stewart ___
Sumter
Taliaferro
Tattnall _._
Taylor
Telfair
Terrell
Thomas ._.
Tilt
Toombs .__
Towns
Treutlen ___
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfleld __.
Wilcox
Wilkes
Wilkinson _.
Worth
1
0
0
6
2
0
3
1
3
0
4
0
3
3
1
0
3
3
1
0
2
0
1
1
3
4
3
2
3
0
4
0
1
2
1
2
2
0
1
2
Total..
411
326
6
2
2
1
1
3
2
2
4
2
2
0
3
4
4
1
2
2
1
6
2
0
3
4
3
4
6
1
1
0
0
1
3
0
0
1
1
1
2
2
9
2
2
1
2
0
2
1
0
1
5
0
2
2
2
1
0
3
4
0
1
0
4
0
0
3
4
2
2
0
2
1
1
3
1
1
2
1
0
1
2
0
5
0
2
0
0
2
6
0
2
0
0
0
0
0
1
2
0
0
0
0
0
0
4
0
3
222
Total
1
0
0
0
3
1
0
0
0
1
1
0
1
11
0
3
1
0
2
2
0
0
3
1
3
0
1
0
0
0
2
0
3
0
1
0
0
3
1
2
0
1
1
0
0
0
0
1
1
216
12
3
3
1
9
7
2
5
9
6
6
2
8
25
7
9
5
5
5
11
3
1
9
10
11
6
11
3
1
2
17
3
6
6
6
6
2
10
2
11
3
3
3
4
5
3
4
4
6
1175
35
GEORGIA STATE SANITARIUM
TABLE VIII
Nativity of All Patients Admitted During the Year 1925
Alabama
Arkansas
Florida
Georgia
Germany
Greece
Ireland
Kentucky
Massachusetts _
Mississippi
North Carolina
New Jersey
New York
Ohio
Pennsylvania _.
Poland
Scotland
South Carolina
Tennessee
Turkey
Virginia
Wales
Unknown
Total
White
Colored
M
M
F
F
13
1
2
10
0
1
0
0
0
0
2
2
362 291 203 209
2
(1
0
0
2
0
0
0
0
0
1
0
3
1
0
0
1
Q
0
0
1
2
0
0
3
0
4
2
1
0
0
0
0
0
2
3
0
0
1
0
0
1
0
0
1
0
0
0
1
0
0
0
11
12
4
2
2
0
0
3
1
0
0
0
0
1
1
0
0
1
0
0
0
4
2
3
411
326
222
216
Total
26
1
4
1065
2
2
1
4
1
3
9
1
5
1
1
1
1
29
5
1
2
1
9
1175
36
EIGHTY-SECOND ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1925.
County.
Agricultural Pursuits:
Farmers
Professional Service:
Artist
Auditor
Druggist
Lawyer
Minister
Physician
School teacher
Trained Nurse
Domestic and Personal Service:
Barber
Bill poster
Chauffeur
Delivery boy
Domestic
Fireman
Fisherman
Governess
Housekeeper
Inspector
Laborer
Laundress
Linotype operator
Messenger boy
News boy
Nurse
Policeman
Porter
Seamstress
Servants
Shoeblack
Umbrella maker
Warehouseman
Watchman
Trade and Transportation:
Bookkeeper
Clerk
Contractor
Electrician
Insurance agent
Live stock dealer
Loan agent
Merchants
White
Colored
M
F
M
F
Total
212
1
68
12
293
1
1
2
1
2
4
1
0
0
0
0
0
0
0
5
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
1
1
2
1
3
4
7
2
1
0
0
0
0
1
0
0
0
1
20
0
1
1
0
0
1
0
0
0
0
1
1
1
0
0
0
0
2
0
0
1
214
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1
1
0
0
1
0
0
0
101
0
0
0
1
0
0
2
0
1
1
0
0
1
0
0
0
0
0
0
0
0
fi8
0
29
22
0
0
0
3
0
0
0
19
0
0
0
0
1
1
1
1
2
1
1
1
282
1
150
22
1
1
1
3
1
2
2
20
1
1
1
2
4
11
3
1
2
1
1
10
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
15
3
1
2
1
1
10
GEORGIA STATE SANITARIUM
37
Classified Occupation of Patients Admitted During the year 1925.
(Continued)
County.
Printer
R. R. agent
R. R. Employee
R. R. flagman
Salesman
Shipping clerk
Special R. R. agent
Stenographers
Stone cutters
Teamster
Telegraph operator
Telephone operator
Truck driver
Manufacturing and Mechanical Pursuits:
Architect
Brickmason
Carpenter
Mechanic
Painter
Plumber
Food and Its Kindred Products:
Cook
Grist mill operator
Textiles:
Cotton mill employee
Iron, Steel and Other Products:
Blacksmith
Stoves polisher
Lumber and Its Manufacturers:
Sawmill laborer
Miscellaneous:
Convict
Marble worker
Market keeper
Millwright
Peddler
Sailor
Soldier
Student
Watch repairer
None
Unascertained
TotaL
White
Colored
M
M
F
F
Total
2
2
10
5
3
1
0
0
0
0
0
0
2
3
11
6
4
1
1
1
20
0
22
1
10
19
2
1
3
1
1
0
1
1
1
3
1
1
8
1
49
1
0
0
0
0
0
0
0
3
0
77
1
1
0
0
0
1
0
0
0
0
26
5
0
0
0
0
0
0
0
4
0
34
4
1
1
1
1
4
1
1
15
1
186
11
411
326
222
216
1175
38
EIGHTY-SECOND ANNUAL REPORT
TABLE X
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
UnOver ascer- Total
70 tained
Under
20
1. Traumatic
2. Senile
3. With cerebral arttrio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis..
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nerv
our disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and neuroses
18. With constitutional psychopathic inferiority19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic inferiority
withoust psychosis___
Mental deficiency without
phychosis
Criminal without psychosis
Encephalitis without psy
chosis
TotaL
0
17
1
26
10
33
0
0
0
0
11
2
2
0
1
0
0
0
7
10
4
9
0
2
0
5
60
31
0
0
1
18
1
14
3
3
35
38
0
0
0
2
0
0
0
0
0
0
0
1
1
0 0
0
0
3
0
0
0
0
0
0
0
0
0
2
1
0
0
1
40
30
312
3d
GEORGIA STATE SANITARIUM
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
Psychoses.
1. Traumatic
2. Senile
3. With cerebral arterio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis.
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nerv
ous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic dis
ease
13. Manic depressive
14. Dementia Praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and neu
roses
18. With constitutional psy
chopathic inferiority.
19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psychopathic inferiority
without psychosis
Mental deficiency without
phychosis
Criminal without psychosis
Encephalitis without psy
chosis
Total.
Under
20
31
UnOver ascer- Total
70 tained
0 0
0 0
0
14
19
0
0
0
0
2
0
2
1
0
0
0
0
1
1
1
3
0
4
4
4
67
49
1 1
14 23
1613
0
11
0
32
0
18
23
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
30
13
245
40
EIGHTY-SECOND ANNUAL REPORT
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
Psychoses.
UnOver ascer- Total
70 tained
Under
20
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the
insane
5. With cerebral syphilis
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and m
roses
18. With constitutional psychopathic inferiority.
19. With mental deficiency,._
20. Unclassified
21. Not insane:
Alcoholism without psy
chosis,
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psycho
pathic inferiority
without phychosis
Mental deficiency without
psychosis
Criminal without psychosis
Encephalitis without psy
chosis
1
4
26
0
1
0
0
114 9
1
1 2
0
0
0
0
0
0
0
0
36
6
0
1
0
0
0
0
0
1
0
0 0
0
0
0
0
1
1
0
0
3
0
0
0
1
28
16
0
4
0
0
0
19
0
1
0
19
7
0 0
0 0
6 4
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
1
0
0
1
0
0
0
0
0
0
0
0
37
45 36 30 35 19
0
35
32
208
41
GEORGIA STATE SANITARIUM
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued)
FEMALES
Psychoses.
Under
20
1. Traumatic
2. Senile
3. With cerebral arterio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis—
6. With Huntington's chorea
J. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic dis
ease
13. Manic depressive
14. Dementia praecox
..
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority.
19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psycho
pathic inferiority
without psychosisMental deficiency without
phychosis
Criminal without psy
chosis
Encephalitis without psychosis
Total.
4151
50 60
UnOver ascer- Total
70 tained
0
5
20
2
0
0
0
0
0
0
0
0
0
0
1
0
0
15
1
1
0
1
1
0
0
0
6
1
7
2
0
0
0
4
37
46
0
3
0
0
0
10
0
3
5
0
0
2
71 7
0 0
0
0
0
0
0
0
0
0
0
12
29
1
0
o! 0 0 0
0
0
0
0
0 0 0 0
0
0
0
1
0 0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
189
42
EIGHTY-SECOND ANNUAL REPORT
TABLE XI
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population
MALES
Psychoses.
§
o
o
1
S «
Hi
w
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nervous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psy
chosis
Criminal
without
psy
chosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total
1
26
33
1
0
0
2
0
0
o
0
0
11
2
2
0
0
7
0
10
4
9
5
6(1
31
1
2
0
0
6
0
0
0
1
18
7
1
0
23
6
13
3
35
38
$>
16
2
2
0
1
1
3
0
53
0
115
22
312
GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
§
1
Psychoses.
f.
Total
o
H
3
3
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nerv
ous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroscs or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnoscd
21. Not insane:
Alcoholism without psychosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
o
^X
0
0
0
0
1
0
0
~0~
14
1
0
19
1
0
0
0
0
0
2
0
2
1
0
1
1
1
2
29
27
1
1
1
1
3
4
67
49
0
7
6
0
32
7
0
18
0
1
1
0
1
5
0
1
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
38
9
69
96
245
0
23
44
EIGHTY-SECOND ANNUAL REPORT
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
13
g
Psychoses.
§
1
5
I
S=0 ya
=
1. Traumatic ...
2. Senile
3. With cerebral arterioscle
rosis
.
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nervous disease
8. With brain tumor
9 Due to alcohol ___
10. Due to drugs
11. Due to pellagra _
12. With other somatic disease.
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psy
chosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathi
inferiority without psychosis
Mental deficiency without
psychosis
Total.
1
4
1
4
12
25
10
3
0
36
6
0
0
0
0
0
0
10
2
1
1
1
0
0
1
28
16
0
10
0
0
19
0
0
28
9
0
35
32
1
ill
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
1
71
21
208
45
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued)
FEMALES
13
S <" o o
Psychoses.
x
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With brain or other nerv
ous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psychosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total.
o
o
o
w
0
3
7
0
0
0
0
0
3
0
0
15
1
1
0
0
0
0
3
3
IS
23
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
2
0
0
0
0
6
4
37
46
0
5
0
0
0
0
0
1
0
0
10
1
0
1
14
0
0
0
0
0
0
0
4
0
0
12
29
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
56
189
46
EIGHTY-SECOND ANNUAL REPORT
TABLE XII
Environment of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
FEMALES
Psychoses.
e
C
o
1. Traumatic
2. Senile
~"
3. With cerebral arterioscle
rosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorca_
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psycho
sis
Criminal without phychosis
Drug addict without psychosis"
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total.
1
9 I 51
97 211
2G
0
10
0
14
33
14
19
11
2
2
0
2
0
0
0
0
0
1
1
2
0
2
1
7
10
1
9
5
-31
0
0
1
1
0
23
17
1
1
0
2
4
44
32
1
1
1
3
4
67
49
1
18
7
0
10
2
0
22
5
0
32
7
3
3.-)
38
0
0
5
6
0
0
12
17
0
0
18
23
0
2
2
0
0
0
0
0
0
1
1
0
0
167
245
(ill
4 312
47
GEORGIA STATE SANITARIUM
Environment of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
FEMALES
Psychoses.
O
o
EH
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psyco
sis
Criminal
without
psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
0
5
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
1
1
0
0
1
0
139
208
189
48
EIGHTY-SECOND ANNUAL REPORT
TABLE XIII
Economic Condition of First Admissions During the Year 1925.
With Reference to Principal Psychoses.
White Population.
MALE
■a
a>
Psychoses.
0
s0
0
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea__
7. With brain tumor
8. With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoic condition
MS. With epilepsy
17. Psychoneuroses or neuroses,
18. With constitutional psycho- pathic inferiority
19. With Mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Criminal without phychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis.
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total
FEMALE
73
a>
fl
n
"3
a
r
a
be
-
ft
a>
a
M « P
03
03
■w
a
0
rn
E
0
O
'3
"3 a
a XJ a>
cue
s
a>
CO
03
ft
0
a
Q P
0
23
0
12
0 0
0 14
10 21
13
0 19
4
1
1
0
5
1
1
0
3 4
5 3
3 1
4 4
3 1
30 2°,
14 16
0
0
1
1
0
1
0
2
0
7
10
4
9
5
60
31
0
0
1
2
3
30
26
2
0
1
0
1
1
0
1
1
26
18
0
0
0
0
2
0
2
1
0 1
0 1
0 1
0 3
0 4
1 67
0 49
1 0
4 13
4
0
32
7
2
23
16
0
0
18
23
0
1
1
0
0
17 123167
5 3121 20 95 429
1245
49
GEORGIA STATE SANITARIUM
Economic Condition of First Admissions During the Year 1926.
With Reference to Principal Psychoses.
Colored Population.
FEMALE
MALE
Psychoses.
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea..
7 With brain tumor
8. With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic discase.
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses.
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psy
chosis
Criminal without psychosis.
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
Total.
1
4
0
4
0
5
15
16
20
13 22
3 3
0 0
0 0
13
0
1
0 0
15
1
1
0
1 0
1 0
0 0
0 0
0 1
18 10
6 10
0
0
0
4
2
17
20
0
0
0
6
4
37
46
0 0
5 It
0
7
0
10
1
0
0
20
9
0
0
0
0
<; 6
13 15
1
0
0
0
0
0
0
0
12
29
1
0
0
1
1
86 116
2oe
2189
TABLE XIV
MALES
Civil Condition of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
Psychoses.
FEMALES
g> a
a
03 C3
a*"
n P
S3
be
ft
a
x
GO I
o
a
Wi —
C3 03
a*3
P
1. Traumatic
2. Senile
"___
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. Epileptic psychoses
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic inferiority without psy
chosis
Mental deficiency without psychosis
Total
c
r-
o
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
yo 79
28
12
2 208
56
78
37
16
2
1*9
H
3
nH
in
a
o
o
o
►
a
>
r
W
H
1)
O
P3
H
11;
tJmJmmmmm
mmm
FEMALES
MALES
Civil Condition of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population.
T)
CT3
o o
o a
(H
w —<
03 ca
a
0
s-^ ©
x P
trt
Psychoses.
■'/..
>
H
a:
T3
0J
03
H
03
a a
03
a 03
a*2
w
0
0
1. Traumatic
11
7
2. Senile
5
3 22
3 With cerebral arteriosclerosis
0
2
7
4. General paralysis of the insane
1
0
1
5. With cerebral syphilis
2
0
0
6. With Huntington's chorea
0
0
0
7. With brain tumor
1
2
4
8. With other brain or nervous disease
1
2
6
9. Due to alcohol
1
1
2
10. Due to drugs
4
2
3
11. With pellagra
0
5
0
12. With other somatic disease
17 41
2
13. Manic depressive
3
17
9
14. Dementia praecox
0
1
0
15. Paranoia or paranoid condition
0
14
4
16. Epileptic psychoses
0
4
3
17 Psychoneuroses or neuroses
1
2
0
18. With constitutional psycopathic inferiority
2
27
6
19. With mental deficiency
8
11 16
20. Undiagnosed
0
0
0
21. Not insane:
1
1
0
Alcoholism without psychosis
2
0
0
Criminal without psychosis
0
0
0
Drug addict without psychosis
0
1
0
Encephalitis without psychosis
0
1
0
Epilepsy without psychosis
—
---—7
Constitutional psychopathic inferiority without psy
0
1
2
chosis
0
0
0
Mental deficiency without psychosis
1
26
33
11
2
2
0
7
10
4
9
5
60
31
1
18
7
3
35
38
0
2
2
0
1
1
0
5
10
1
0
1
1
1
1
1
3
4
40
26
0
11
3
0
2
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
23
0
0
0
0
0
0
3
0
1
0
0
0
1
0
41
312
125
TotaL
115 145
245
O
H
O
w
>
a
03
!>
Z
►
52
EIGHTY-SECOND ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
S^ f
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosisGeneral paralysis of the insane
With cerebral syphilis
With Huntington's chorea...
With brain tumor
With other brain or nervous
disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease..
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With
constitutional
psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosis..
Criminal without psychosis
Drug addict without psychosis.
Encephalitis without psychosis.
Epilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psychosis
Total.
19
11
0
0
0
0
2
0
0
0
0
0
n
0
o
0
Oi
0!
1
0,
3
0
3
0
0
1
0
3
0
0
0
0
0
5
1
0
2
0
0
0
0
n
o
0!
0
0
3
1
4
2
0
0
0
0
0
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
2
0
0
0
0
0
0
25
29
11
0
0
0
3
0
0
4
4
18
11
0
9
0
n
o
0
0
0
0
o
0
0
0
1
0
1
0
0
0
12 22 33 34
o
o
0
131
53
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
Psychoses.
a
0}
o
o
SH
f
a *
1=
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses.,
18. With
constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosis—.
Drug addict without psychosis
Encephalitis without psychosisEpilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psychosis
o
5
o
>
1
o fc
«e
0
25
12
1
0
2
1
0
0
1.
2.
3.
4
5.
6.
7.
8.
Total-
P5
l—l
d
II
2
1
II
II
II
(I
U
1
0
0
0
0
0
0
0
0
0
3
1
0
1
II
0
3
2
(i
7
0
0|
0
0
1
0
0
0
0
0
0
0
4
9
0
0
0
0
0
0
0
1
0
15
1
0
0
0
1
12
16
0
11
0 0
(1
12 13 18 33
96
54
EIGHTY-SECOND ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population.
MALES
Psychoses.
a
o
r-
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
1<5.
17.
18.
19.
20.
21.
•
Traumatic
Senile
With cerebral arteriosclerosis.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea___
With brain tumor
With other brain or nervous
disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease...
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psycfioneuroses or neuroses..
With
constitutional
psychopathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosisCriminal without psychosis—
Drug addict without psychosis.
Encephalitis without psychosis.
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
0
Total
0
2
17
23
3
0
1
1
1
0
0
0
5
8
0
11
0
0
5
11
0
0 0
01 0
0 0
11 19
17 18
55
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued).
FEMALES
8
Psychoses.
s
_H
5
a
1
2.
3.
4.
5
6.
7
8.
Traumatic
- - Senile
With cerebral arteriosclerosis—
General paralsis of the insane—
With cerebral syphilis
With Huntington's chorea
With brain tumor _ .
With other brain or nervous
disease
- 9 Due to alcohol
10 Due to drugs
11 With pellagra
_ 12. With other somatic disease
13 Manic depressive
____
14 Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
______
17. Psychoneuroses or neuroses
18. With
constitutional
psychopathic inferiority _ 19 With mental deficiency
20. Unclassified
_
____
21 Not insane:
- - - Alcoholism without psychosisCriminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
i
J
Total
__________
a
>
o
t_
_H
_H
1
_H
era
_H
o
_4
s
1
>
o
o
CS
-_>
o
0
4
9
8
0
1
0
0
0
0
0
0
0
0
0
0
0
1
5
0
0
0
0
1
2
2
0
1
0
0
0
3
1
0
0
0
0
3
1
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
1
1
0
3
0
0
0
0
5
0
4
3
0
5
0
0
0
0
0
0
3
7
0
1
0
0
0
0
0
1
3
4
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
0 0
1 7
0 1
0 12
0 16
0 0
0 9
0 0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
_
0
0
1
5
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
c
fl
c
0
0
0
0
0
0
'0
0
0
0 0
0 1
1 13
0 0
0 0
0 0
0 0
0 0
0 0
c
c
c
c
0
(
0
c
0
0
0
(1
0
c
c c
c c
c (
ll If 2C 11
0
{
c
c c
41
1
_
81
0
56
EIGHTY-SECOND ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
White Population.
MALES
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
Traumatic
Senile
With cerebral arteriosclerosis...
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
16. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
I
21. Not insane:
Alcoholism without psychosis..
Criminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosis
Mental deficiency without psychosis
Total.
0
6
U
4
0
0
0
0
o
n
l
i
5
1
0
1
0
0
0
3
0
0
0
I)
0
0
c! o
•
I
£
0
C
0
3
4
1
0
0
0
0
0
0
0
0
0,
0
0
2
0
0
4
2
0
1
0
25
29
11
0
0
0
0
0
0
0
o
0
0
0
0
0
1
3
0
0
4
4
18
11
0
0
3
0
0
1
0
0
0
I
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
12 22 20
0
0
0
0
9
0
0
0
0
0
0
131
57
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
White Population (Continued).
FEMALES
Psychoses.
1.
2.
3.
4.
5.
('..
7
8.
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington s chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoic condition.
16. With epilepsy
17. Psychoneuroses or neuroses
18. With
constitutional
psycho
pathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis
Total.
0
3
2
0
0
1
tl
0
0
0
0
25
12
1
0 0
0 2
0 1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
°4
0
0
1
0
0
0
1
12
16
0
11
0
0
0
1
0
0
0
0
0
0
3
0
0
0
0
0
0
1
1
9 13
0
0
0
0
0
1
4
2
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
1
1
14 13 96
58
EIGHTY-SECOND ANNUAL REPORT
Duration of Hospital Residence ol Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
Colored Population.
MALES
CD
Psychoses.
c fi
o a
o
t-l
a
CO
a
o
C3
CO
o
a>
a>
©
8
T—1
o o
o
O
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosis,
General paralysis of the insane.
With cerebral syphilis
With Huntington's cohera
With brain tumor
With other brain or nervous
disease
Due to alcohol .
Due to drugs
With pellagra .
With other somatic disease
Manic depressive
Dementia praecox
Paranoia and paranoid condition
With epilepsy .
Psychoneuroses or neuroses
With
constitutional
psychopathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosis—
Criminal without psychosis—
Drug addict without psychosis.
Encephalltis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis ._ ..
Total
O
O
CO
1.
2.
3.
4.
5.
6.
7.
8.
02
cd
GO
t—t
GO
f-
e
o>
"3
o
0 0
0 0
5 6
1 14
2 0
0 0
1 0
0
2
0
4
1
0
0
0
0
5
3
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 2
0 17
0 23
0 3
0 0
0 1
I
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
1
0
1
0
0
1
0
0
0
1
0
0
3
0
0
0
0
0
0
1
6
0
4
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
n
0
0
0
0
0
0
0
n
0
0
1
1
0
0
0
5
8
0
11
0 0
0
0
5
0
0
0
0
0
0
0
2
3
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0 0
0 5
0 11
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17 26 11 14 14
3
3
0 88
59
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
Colored Population (Continued).
FEMALES
Psychoses.
t*
>■
>H
£
1.
2.
3.
4.
5.
6.
7.
8.
Traumatic
Senile
With cerebral arteriosclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive ,
14. Dementia praecox
15. Paranoia or paranoic condition.
16. With epilepsy
17. Psychoneuroses or neuroses
18. With
constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosisDrug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis
Total.
0
2
1
3
II
i)
0
0
0
0
1
0
2
1
0
2
0
0
0
1
3
0
0
0
0
1
3
0
0
0
0
0
0
0
01 4
9
8
0
1
0
0
0
0
2
1
0
1
0
0
0
0
0
0
0
0
I)
1
0
1
0
3
1
0
3
0
0
0
II
0
0
0
0
0
0
7
1
12
16
0
9
0
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
13
0; 0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
0
0
0
15 13 14 15[ 8
81
GO
EIGHTY-SECOND ANNUAL REPORT
Report of Pathologist
FOR YEAR
DR.
1925
R. C. SWINT,
Superintendent.
DEAR SIR:
The report of the Pathological Laboratory for the year
1925 follows:
Summary
SEROLOGICAL SPECIMENS EXAMINED:
Blood, for the Wassermann (Noguchi) reaction
1,497
Cerebrospinal fluid, including Wassermann, globulin and '
colloidal gold reactions, and cell count
477
CLINICAL LABORATORY SPECIMENS EXAMINED
Urine, routine analysis
Urine, renal function test
Peces, for parasites or ova, or for occult blood
Sputum, for tubercle bacilli
Blood, chemical examination
Blood, for malaria parasites
Blood, counts—red, white, or differential
Blood, coagulation time determination
Blood, hemoglobin estimation
Cerebrospinal fluid chemical examination
Gastric contents, chemically and microscopically
:
__2 119
3
966
153
248
133
923
64
145
226
14
BACTERIOLOGICAL SPECIMENS EXAMINED:
Blood, culture
34
Blood, agglutination tests for B. typhosus, etc
149
Exudates, culture
172
Exudates, microscopically
52
Exudates, dark field examination for T. pallidum
~_
2
Exudates, animal inoculation
5
Brain (dog) for Negri bodies
"
4
Water
-.Q
Milk
i"i"i::::":::::::::::::_ 299
61
GEORGIA STATE SANITARIUM
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL:
45
r
Necropsies
Postmortem examination of animals
Surgical tissue specimens
Total number of examinations
7,786
Note—In addition to the total number of procedares
enumerated above, 324 cadavers were embalmed by the technicians who are also licensed embalmers.
Serological Examinations
There were 1,497 specimens of blood examined for the
Wassermann reaction, of which number 1,156 were secured,
as a matter of routine from patients upon their admission to
the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number
Examined
326
392
216
222
1,156
Number
Positive
(4-plus)
7
24
45
57
Percentage
Positive
2.1
6.1
20.8
25.7
133
11.5
TABLE II.—Percentages and Distribution by Race and
Sex of Positive {4-plus) Wassermann Reactions in Patients
Admitted During Preceding Ten Years.
Entire
White
White
Colored Colored
Group
Male
Female
Male
Year. Female
12.5
5
6
10.6
14.2
19.0
1916
13.4
""6 1
11.0
20.5
20.6
1917
15.8
8
2
12.9
20.4
25.4
1918
15.7
36
13.9
24.4
27.6
1919
20.0
7
9
16.4
31.0
33.1
1920
15.5
6.8
7.0
27.0
33.1
1921
12.3
3.8
9.4
26.1
17.4
1922
15.9
"
"2
3
10.0
15.0
10.3
1923
11.6
""3
0
8.6
18.0
24.3
1924
11.5
"21
6.1
20.8
25.7
1925
14.5
23.6
Ave. 10 years_4.9
10.6
21.7
i2_
EIGHTY-SECOND ANNUAL REPORT
fln;/!!fr\Wtre
ex mined
«
477
specimens of cerebrospinal
T B
I IIInciden
D /- ^ ^ . ~
™ of Serological Neurosvvhilii
in
Patients Admitted During Year 1925
^r»sypnu%s m
Number
R
6
Wht
Female
**$£<*
White Male
I
392
Colored Female „_„"."" 216
Colored Male
__I 222
Number
***"
o
18
Jf
Percentage
P
°SS™
™
«o
£*
Entire Group
1456
"^
89
^e-The tem «Positive„ deQot
• f
h
occu
positive Wassermann reaction upon the cerebrospinal fluid
and usually also other serological indications of neurosyph^
Reference to Tables I and III will show that 42 8 ner
th
te
f the
per
oVSe
cT°T'women
^ *"
^
whiiiSJ^S
per ce°nt
cent, of
the colored
and
78.8° per cent
of the col
ored men, whose blood reacted positively to the Wassermann
testthe
upon
admission
also gave serological evideLe of syph'S
01
nervous
system.
»,ypmiis>
Necropsies
There were 45 necropsies, reports of which are filed with
the appropriate histories in the office of the PHnUin; ♦
and also in the records of the L^lto^ sSmma'r\SoTZ
Bacteriology and Clinical Pathology
Experimental Investigation
of tht hf eCJal S^Udy Tas
made of the
quantitative relationship
GEORGIA STATE SANITARIUM
63
to be published in the Journal of the Medical Association of
Georgia.
Ward Laboratories
The purpose of a pathological laboratory in a state hospital is twofold—to make the numerous and varying kinds
of examinations that the scientific practice of medicine demands, and to endeavor, through investigation, to enlarge the
boundaries of knowledge concerning nervous and mental
diseases. At present, my time and that of the technicians
is largely consumed by many procedures which, although
essential to the efficient care of the sick and to modern neuropsychiatric diagnosis, are of minor importance so far as skill
necessary to making them is concerned. These examinations
should not diminish in number. On the other hand, there
should, perhaps, be a larger number done than at present. In
order, therefore, that the laboratory may have more time to
devote to investigative work, while at the same time an increased amount of laboratory service may be made more readily available, I would suggest that you consider the advisability of establishing three ward laboratories—one each for
the white male and white female departments and one for
colored buildings. A period of instruction in the laboratory
should qualify nurses selected for duty in the ward laboratories to do all of the simpler, essentially clinical examinations, such as urinalyses, sputum for tubercle bacilli, and blood
counts.
If the establishment of ward laboratories is believed to be
inexpedient at present, we should, perhaps, begin the training
of an additional assistant in laboratory technique and in embalming.
Building
When the contemplated addition of an upper story to
the present laboratory building is made, our work will be
facilitated. It should provide greater access of daylight and
more freedom from dust. The upper story, suitably divided,
will permit the serological, pathological, bacteriological and
clinical laboratory phases of the work to proceed with less
interruption. The first story will furnish ample room for the
embalming and necropsy work, for the storage of supplies
of the Mortuary Department, and space for a suitable chapel.
Respectfully,
E. B. SAVE,
Pathologist.
64
EIGHTY-SECOND ANNUAL REPORT
Report of Dental Department
FOR THE YEAR
1925
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the following report of
the work done in the Dental Department during the year
ending December 31st, 1925:
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Alveolotomies
Suturing incisions
Post-operative treatments
Gold fillings
Amalgam fillings
Cement fillings
Synthetic porcelain fillings
Gold inlays
Acolite inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Applications mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for erosion
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Scaling teeth (number of patients
Applications silver nitrate
4,177
1,698
670
262
25
47
2
282
144
106
20
1
4
30
12
17
21
26
1
31
73
12
22
3
4
54
80
135
25
65
GEORGIA STATE SANITARIUM
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveloar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges made
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted third molar
Removing sequestrum
Fractures set
Resecting gums (number of patients)
Treatments of general type
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
1
29
17
17
1
38
33
22
3
5
2
8
2
3
4
7
1
4
52
1
12
1
1
11
24
341
1,174
1,981
8,283
Respectfully submitted,
GEORGE
H.
GREEN,
Dentist
66
EIGHTY-SECOND ANNUAL REPORT
Report of Superintendent of Nurses
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
The following is the annual report of the Training School
for Nurses for the year ending December 31st, 1925:
The nurses moved into the beautiful new home, "Brantley Hall," July 11th. It is exceedingly comfortable and well
equipped, giving the nurses every comfort.
The hours of rest and recreation away from the wards
have improved the service and disposition of the nurses very
much.
Every effort has been made to keep the school up to the
highest standard. All classes have been held regularly, and
all instructors have shown marked interest and purpose in
giving the students the very best theoretical course possible.
The annual commencement was held July 15th, at 8 :30
o'clock, in the Amusement Hall.
Miss Jane Van deVrede, Secretary of the Nurse Examining Board of Georgia, gave the class address, which was
much enjoyed by the nurses and the large audience.
Diplomas were awarded to seven graduates by Hon.
John T. Brantley, President of the Board of Trustees, and
the hospital pins by Hon. C. C. Brantley, Secretary of the
Board.
A reception and dance at the nurses' home followed,
music being furnished by the Sanitarium Band.
The following are the names of the nurses receiving diplomas:
Miss Blanche Barker
Miss Love Estelle Kelly
Miss Essie Cummings
Miss Lannie McKinley
Miss Mary Henrietta McDade Miss Ruby Poss
Miss Allene Elizabeth Thompson
The total number of graduates is 120.
GEORGIA STATE SANITARIUM
67
NURSING STAFF
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Special Attendants
Senior Nurses in School
Junior Nurses in School
Freshmen Nurses in School
Total Number of Student Nurses
Number of White Female Attendants
Vacancies
1
4
2
7
6
11
11
15
37
146
CURRICULUM
First Year
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene
Practical Demonstrations
Dietetics
History of Nursing
Bandaging
Hydrotherapy
Massage
60 hours
6
26
1"
24
20
10
8
6
10
Second Year
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Dietetics
Surgery
Eye, Ear, Nose and Throat
Obstetrics
Bacteriology
Mental Diseases
Oral Hygiene
16 hours
26
6
16
25
10
6
16
16
16
16
68
EIIGHTY-SECOND ANNUAL REPORT
Third Year
Pediatrics
Chemistry
Gynaecology
Diseases of Nervous System
16 hours
16 "
16 "
16 "
The regular course for new attendants was given to a
class of fifty-two by Dr. N. P. Walker in October and November.
I would like to recommend the erection of a hospital
building for the care of all medical and surgical cases of the
institution, with one central operating room, diet kitchen and
laboratory. This would give all sick patients better nursing,
under closer supervision, and the students a wider and a more
varied practical course.
I wish to thank you for your suppport and consideration, and the Medical Staff for lectures and medical services
rendered the students and attendants during the year.
Respectfully submitted,
(Mrs.)
MAE
M. JONES, R. N. (Ohio),
Superintendent of Nurses.
69
GEORGIA STATE SANITARIUM
Report of Pharmaceutical Department
DR.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR
:
The following is the annual report of the Pharmaceutical
Department for the year ending December 31st, 1925:
Grateful acknowledgments are offered to the Board of
Trustees, to you and other officers for helpful suggestions and
co-operation in this work.
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
2,046 pounds
Elixirs
1,100
Syrups
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated dusting powder
839
185
1,078
26
36
•
Indelible ink
56
Glycerites
90
Liniments
168
Tonics
88
Aquas medicated
34
Tooth powder
4
Quinine, anolyne and influenza capsules, filled--8,300
Germicide
Fly and mosquito exterminator
1,020 gallons
245
70
EIGHTY-SECOND ANNUAL REPORT
STATEMENT
Debits
1925.
Dec. 31st, Inventory as December 31st, 1924
$ 5,402.67
Purchases During the Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$11,016.96
Freight and express
303.66
Total
Less goods returned
Net
$11,320.62
259.12
$11,061.50
Total
Deduct: Inventory at December 31st, 1925
$16,464.17
5,309.36
Goods to account for
$11,154.81
Credits
Departmental Sales
Prescriptions filled for wards, 34,550,
aggregating
$10,713.40
Sales to officers and employees
441.41
Total
$11,154.81
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
71
GEORGIA STATE SANITARIUM
Report of Treasurer
MILLEDGEVILLE, GA., MABCH 24TH,
1926.
R. C. SWINT,
Superintendent Georgia State Sanitarium,
Milledgeville, Ga.
DR.
MY DEAR SIR:
I beg to submit herewith a report of the receipts and disbursements of the Treasurer of Georgia State Sanitarium for
the year 1925:
1924.
Dec. 31st. Bal. cash on hand
1925.
To regular maintenance appro
To special appro
To Nurses' Home appro
To ice and cold storage appro
To Int. on daily balances
To Homer Bivins, Steward
$
33,421.99
799,999.92
319,333.70
20,311.25
10,000.00
2,868.53
9,440.01
Disbursements for the year 1925
Dec. 31st, 1925. Bal. cash on hand
$1,195,375.40
$1,109,886.92
85,488.48
$1,195,375.40
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank, we certify that at close of business
Dec. 31st, 1925, there was to the credit of Otto M. Conn,
Treas. Ga. S. S., the sum of eighty-five thousand four hundred
eighty-eight dollars and forty-eight cents ($85,488.48).
M. CONN,
Treas. Ga. S. S.
OTTO
II. G. BANKS,
Asst. Cashier Ex. Bank
Witness.
H. II. HERNDON,
N. P., B. Co., Ga.
EIGHTY-SECOND ANNUAL REPORT
Report of Farm Steward
DR.
R. C. SWINT,
Superintendent Georgia State Sanitarium.
MY DEAR SIR
:
I beg to submit my report of the foodstuffs produced in
my department for the fiscal year ending December 31st, 1925:
Asparagus
Beans, butter (shelled)
Beans, snap
Beets
Cabbage
Collards
Carrots
Cantaloupes
,
Corn
Corn, roasting
Corn, tons
Cucumbers
Fodder
Hay, oat
Lettuce
Corn meal
Oats
Oats straw
Okra
Onions
Peanuts
Peas, field
Peas, garden
Peppers
Pork, dressed
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
Rye
Rye straw
Squashes
Tomatoes
Turnips and greens
Watermelons
Strawberries
106
busnels
773
355
510
»
»
»
1913S
heads
__13 230
"
"""""" ' 8 bushels
.26 604
9776
bushels
167g6
ears
1000
tons
216
bushels
62 tons
go
»
""™" 1,910 heads
3102J bushels
™II~~I~"
g04
11
16i tons
848
bushels
575
»
304
»
371
jOO
»
20
~-~-.~~~~~42,366 pounds
.... 9>86S busheis
754
»
290
"
~~™ 3,080
,.
470
_
4 tons
1>eM
busnels
218 crates
6(832
bushels
-.17 315
~~~"~~" ' 36 bushels
73
GEORGIA STATE SANITARIUM
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
Calves sold
Sacks sold
Loads of manure
80,688 gallons
261
656 pounds
421 gallons
14,902 pounds
1,671
16
1,254
1,800
:-
Chicken Yard
Hens and roosters, issued
Friers, issued
Eggs, received
Eggs, set
..
112
184
4,0854 dozen
92
In addition to this work, we have cut about six hundred
(600) cords of stove wood, cleared about thirty (30) acres of
new ground. All the coal from the chutes has been distributed to the buildings and all the cinders hauled away from
the boiler rooms. The entire road system of the institution
has been worked and kept in condition by my department.
We have been doing some grading around the dairy.
We graded and planted bermuda grass around Drs. Bradford and Echol's houses. We also hauled several loads of
sand for the Engineer's Department.
I wish to thank you, the Board of Trustees, the officers
of the institution and others for the gratitude and co-operation shown me and my department throughout the year.
Respectfully submitted,
F. C. PENUEL,
Farm Steward.
EIGHTY-SECOND ANNUAL REPORT
Report of Engineer
DR.
P. C. SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1925:
Improvements
The John T. Brantley Building has been completed. A
complete kitchen has been outfitted in the basement of this
building, with an elevator running to the dining room above.
A trunk storage room has been established in the basement,
and a small laundry, with facilities for electric ironing, has
been outfitted in an adjoining room to the kitchen. Steam for
the kitchen has been brought from the boiler room of the
Powell Buiding. A part of this steam line runs underground
between the buildings. This part of the line was run through
RicWil pipe covering, and is otherwise well insulated.
The electric stoves and ovens used by the Dietitian with
her classes has been removed from the Whittle Building to
the class room in the John T. Brantley Building, set up there
and connected to the electric wiring.
The high water of January left an immense bank of
sand in the river a short distance above the intake well of
our waterworks, and raised the sand in the bed of the river
to such a height that it lacked but a short distance of being
up to the opening in the intake well through which we take
our water. Since the general level of the water in the river
has been raised by the building of a concrete dam across the
river at the power station just below us, it became necessary
to build the walls of the intake well higher, and to place on
the river side a couple of sluice gates for the control of the
level from which the water is taken. A portion of this work
has been done, and we have on hand the sluice gates ready
to be put in just as soon as a period of low water sets in
and the weather gets warm enough to work in the water. A
temporary curbing of wood staves has been placed around
the intake well. This will protect the opening until such
time as we shall be able to get at in the summer.
GEORGIA STATE SANITARIUM
75
A doorway has been cut between two rooms in the Male
Convalescent Building, making a couple of offices for the
dentist there. Electric wiring has been done for the several
dental engines in these rooms, and steam and plumbing fixtures installed.
The wooden posts supporting the radiators and the radiator housings in the basement of the Powell Building have
been cut off eight inches above the floor. Brick pillars have
been built in the place in the ends of the posts so removed,
to the end that the rotting of the posts might not throw the
radiators down.
Four hundred and sixty-five squares of flooring have
been laid in the Negro Building.
The power sewing machine table in the white sewing
room has been lengthened by the addition of one section, and
two power sewing machines added to the equipment. Two old
foot power machines, which had been driven by power, have
been discarded, and in their places two new power machines
have been put.
A water heater, left on hand from the changes necessary
for the supply of the John T. Brantley Building, has been
put up in the laundry and connections made with the "West
Detached Building and the nearby T. B. Ward.
A deep well hand pump has been installed in the well
by the dining room at the Colony.
The gas engine driven triplex pump at the Colony waterworks has been overhauled and has had new plungers and
connecting rods put in it.
Much work has been done on the old ice machine from
time to time during the year in patching it up, and in putting
in new parts where absolutely necessary, in order to keep the
old machine going until we could get the new one, for which
we have an appropriation, installed.
The chicken house on the south side of the Twin Building has been remodeled and made rat proof, so far as the
foundations and floor is concerned, by concrete floors and
foundations.
The front porch floor and the steps of the Cabaniss Building, which were of wood, have been replaced with concrete.
76
EIGHTY-SECOND ANNUAL REPORT
Concrete steps have been placed down the terrace in
front of the Whittle and of the Cabaniss Buildings. Each
flight is ten feet wide and consists of fifteen steps.
Two tile silos have been built at the dairy. The site
selected for the silos being on newly made ground, it was
necessary to go seven and a half feet below the dairy floor
before a good foundation could be secured. This excavation
was utilized in making the silos by bringing this part of them
up to the dairy floor level, built of reinforced concrete. The
silos are 20 feet in diameter and 41 feet 6 inches high. The
combined capacity is 600 tons of silage.
Three pavilions have been built in the rear of the Negro
Building. Each building is 131 feet long by 21 feet wide.
Each has a porch 79 feet long by 10% feet wide. They are
nicely constructed of dressed long-leaf yellow pine, and are
painted inside and out. Each building has an open central
section 77y2 feet long. This section, above a height of four
feet above the floor, is open to the weather, except for a line
of sash running three feet above the solid portion of the
wall. These sash can be lowered into pockets when required.
In the ends of the buildings are the service rooms; two toilet
rooms, two nurses' bedrooms, a dining room, a pantry and a
clothes room.
The two older T. B. pavilions just west of the new ones
have had porches built to them similar to those on the new
buildings.
Six bath and six toilet rooms in the Twin Buildings
have had the wooden floors and the lath and plastered partitions taken out and the replacement made with concrete. One
bath tub in each of the six bath rooms has been taken out and
a shower bath put in its place. In each toilet room an enameled iron slop sink has been placed.
All of the return pipes in the back yard of the older part
of the Negro Building have been taken out and new pipes
put in.
One corner of the Negro Building kitchen has been underpinned to prevent the further development of a crack due
to a settlement of the foundation.
Six 36-inch ventilators have been put on the roof over
the dining rooms of the Twin Buildings. Connections have
been made with these to openings in the dining room below.
Twelve new steam radiators have been put in the Green
Building, and twelve in the Negro Building to replace others
which had rusted out.
77
GEORGIA STATE SANITARIUM
A small brick room has been built under the tower shed
for the housing of the series outside light regulating apparatus.
Plans have been made for the construction of a brick
and concrete public comfort station on the lower level of the
lawn in front of the Twin Buildings.
A new transformer has been placed at the Twin Building,
replacing one burnt out by lightning.
Plans have been made for the ice plant to be built and
for the additional cold storage rooms required.
An additional room, with sleeping porch attached, has
been added to one of the cottages.
Two small buildings have been razed from the site of
the ice works, the site graded, the foundations dug out and
filled in with concrete up to the point where the brick walls
start. The foundations for the refrigeration tank have also
been laid.
The building of three six-room cottages, to be occupied
by as many physicians and their families, has been commenced.
The dining room at the Colony and one of the dormitories have been refloored.
The kitchen at the Colony has been refloored with concrete. The floor is drained to a central cesspool and from
there to the sewer, which has been extended some 200 feet
into the adjoining field.
A 56-foot Seagrave extension ladder has been added to
the fire fighting equipment.
The water mains have been extended to afford fire protection to the John T. Brantley Building, and three additional
fire hydrants have been placed around it. These, with the
hydrants already in position near the building, give it all the
protection of this kind needed.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness repair
shop, the paint shop, broom factory and shoe repair shop
have been kept busy in manufacturing and repairing various
articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSURE,
Engineer
78
EIGHTY-SECOND ANNUAL REPORT
Report of Steward
DR.
R. C. SWINT,
Superintendent Georgia State Sanitarium.
:
I have the honor of submitting the following exhibits and
schedules, making up a detailed report of all receipts and disbursements through this office during the fiscal year ended
December 31st, 1925:
DEAR SIR
EXHIBITS:
1—Consolidated Cash Statement Receipts and Disbursements.
2—Analysis Cash Receipts and Disbursements—General and
Special Funds.
3—Balance Sheet, December 31st, 1925.
4—Statement of Income and Expenditure for Year.
5—Profit and Loss Statement, Farm, Garden and Dairy.
6—Analysis Expenditure, New Buildings.
7—Comparative Statement Cash Expenditure Years 19241925.
8—Statement Operating Funds.
SCHEDULES:
1—Accounts Payable as of December 31st.
2—Accounts Receivable as of December 31st.
3—Production, Farm, Garden and Dairy.
A comparison of per capita and per diem cost for the
year with that of 1924 follows:
1924
1925
Total cash expenditures
$996,756.04
$1,052,016.12
Per capita cost
227.10
229.14
Per diem cost
.62.22
.62.77
Average number patients
4,389
4,591
Receipted vouchers supporting all disbursements are on
file in this office.
I have devoted my entire time throughout the year to my
duties, and, considering limited clerical help, discharged them
to the best of my ability.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Consolidated Cash Statement Receipts and Disbursements
a
o >.
DESCRIPTIVE
=3 T3
o
1925.
Jan. 1—Balance from 1924
Less due Treasurer
Less due Special Eunds
Less due Trust Funds
RECEIPTS:
Maintenance Appropriation, regular _
Maintenance Appropriation, deficiency
Part 1923 maintenance deficiency
Part 1924 Special
Part 1925 Special
Vouchers returned
Patients' deposits
Miscellaneous sales
Interest on balances
c
03
e PR~
m
$
12,153.95 $
3,000.00
Ss §•
a £
5
£ o
H
1,015.90
Z H
O
3
550.00
4,253.74
$
1,508.53
>
800,000.00
250,000.00
69,333.54
20,311.26
10,000.00
97.05
20,145.35
9,440.01
2,597.67
>
to
I—I
a
2,868.53
32,586.36 $
1,045.90
550.00 $
4,106.20
Balances
Transferred by Steward
$1,148,356.63
9,440.01
12,153.95
20,145.35
29,585.36
Balances
Disbursed by vouchers
$1,157,796.64 $
1,107,300.02
32,299.30
1'8,95S.49
3,000.00 $
50,454.31
1,015.90
550.00
4,106.20
807.37
Balances
Disbursed by Steward
$
50,496.62 $
13,343.81
53,454.31 $
50,454.31
1,015.90
550.00
3,298.83
50,496.62 $
13,343.81
3,000.00 $
1,015.90
550.00 $
3,298.83
BALANCES
P
El
O
W
O
EXHIBIT No. 1 (Continued)
Consolidated Cash Statement Receipts and Disbursements
So
a
DESCRIPTIVE
05
2
a a
2
a (1,
* —
£
a "35
is
Z) ft
•~H
03
(1)
o
Hi
1925.
Jan. 1—Balance from 1924 .
Less due Treasurer
Less due Special Funds
Less due Trust Funds
RECEIPTS:
Maintenance Appropriation, regular
Maintenance Appropriation, deficiency „
Part 1923 maintenance deficiency _
Part 1924 Special .
Part 1925 Special
_
Vouchers returned
_ _ _
Patients' deposits
_ __..
Miscellaneous sales
__ .
Interest on balances __.
Balances .
Transferred by Steward
Disbursed by vouchers
Balances . __
Disbursed by Steward
BALANCES
-
.
....
_. ..
.
$
.___
>>.S
&~
2
a«
•9 m
sft .aoj
si '3
a ^
02
h—1
00,933.75
$
24,712.63
$
$
$
123.68
800,000.00
250,000.00
69,333.54
97.05
20,145.35
1335.17
5,007.17
2,868.53
$
93,080.17 $
32,299.30
$
93,080.17 $
32,299.30
a
o
x
H
a
o
o
20,311.26
10,000.00
$
37,541.17
12,153.95
$
.
a
« §
$
24,712.63 $
123.68$1,089,765.12
$
4,176.33
24,712.63 $
51,107.67
128.68 $1,089,765.12
123.68 1,019,586.15
93,080.17 $
32,299.30 $
18,955.49
4,176.33 $
75,820.30
|$
70,178.97
31,498.82
$ 93,080.17 $
13,343.81 $
4,176.33 $
75,820.30
1$
38,680.15
D
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EXHIBIT No. 1 (Continued)
B
Consolidated Cash Statement Receipts and Disbursements
O
tO
SUMMARY
Cash in Hand—General Fund
Cash in Hand—Patients' Fund
Cash in Hand—Steward's Fund
Cash in Hand—Time Deposits
Liberty Bonds
Due by Nurses' Home, Fund
Due by lee and Cold Storage Plant
Total
CO
i-3
Credits
Debits
$ 50,496.62
18,343.81
3,000.01)
l,01o.90
,-^22
7o,820.3U
4,1*76.33
$148,402.96
Due New Buildings
Due Occupation Therapy
Due Trust Funds
Balance in Hand for Maintenance
$ 93,080.17
3,298.83
13,343.81
38,680.15
!>
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Total
$148,402.96
g
EXHIBIT No. 2
Analysis Cash Receipts and Disbursements
«ta C
tj-2
S.S
ft «
DESCRIPTIVE
Overdraft from 1924
DISBURSEMENTS:
General administration __
WAGES AND LABOR:
Medical Dept.
Steward's Dept.
Engineer's Dept.
Farm and Garden Dept.
Dairy Dept.
FOOD SUPPLIES:
Wards
Officers' dining rooms
MISCELLANEOUS:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
Farm and garden
Dairy
Incidentals
$
be
a
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oft
o
B "2
IS
ft
ft
gffl
so
EH
H
aS O
-a ft
5
o
Q
EH
H
Kl
4,258.74
OQ
58,915.67
o
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219.602.15
39,513.50
51,401.44
13,572.53
4,233.95
>
338,407.07
6,153.54
50
H
P
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2v289.62
19,845.86
26,937.65
60,354.82
►0
O
50
H
EXHIBIT No. 2 (Continued)
Analysis Cash Receipts and Disbursments
MISCELLANEOUS:
Board Spec. Attdts.
Interest on balances ...
Wages refunded
_ .
Phones and telegrams
Travel—Refund __
Pines
.._._,
Insurance—Rebate
.
Rents .
Vouchers returned _
Freight and express
Sundries .
_______
TRUST FUNDS—Patients dep.__.
Refund on bldg. material ...
SALES:
Misc. merchandise .
Baskets, rugs, etc.
Hides, sacks, etc. _
Sundries .
Total
...
u 2
Total
M
Liberty
Bonds
o5
o »b_
Time
Deposit
Brantley
Building
d
_- c3
Patients'
Fund
DESCRIPTIVE
Support &
Maintenance
EXHIBIT No. 2 (Continued)
Analysis Cash Receipts and Disbursements
H
Q
X
►■_
><
w
1,497.33
2,881.93
215.43
30.78
117.11
10.00
139.23
2.33
97.05
173.90
1,513.54
3>
H
►■0
20,145.35
o
122.92
H
4,393.84
937.02
129.58
143.60
$1,134,616.21 $
32,299.30 $
20,434.17 $
10,000.00 $
1.015.90$
550.00 $1,198,915.58
EXHIBIT No. 3
Balance Sheet, December 31st, 1925
LIABILITIES
DUE SPECIAL FUNDS:
John T. Brantley Building
$ 7,259.87
Ice and cold storage plant
5,823.67
Occupation Therapy—Male dept. 3,179.68
Occupation Therapy — Female
dept
119.15—$
TRUST FUNDS:
Patients' Deposits
$
ACCOUNTS PAYABLE:
Individuals and companies
$
SALARIES AND WAGES:
Employes—December
$ 28,986.58
Officers—December
5,080.78—$
EXCESS ASSETS JAN. 1, 1925:
Adjustments during year
$
110.89
Total to account lor
Excess assets for 1925
Total
Total
16,382.37
13,343.81
15,402.03
34,067.36
$ 92,627.53
56.78
$92,684.31
$171,879.88
ASSETS
Treasurer—General Fund
$
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time Deposit
BONDS:
Three 100s 4th Liberty Loan
$
Two 50s 4th Liberty Loan
Three 50s 3rd Liberty Loan
ACCOUNTS RECEIVABLE:
Officers and employees
$
United States Public Health
Service
MISCELLANEOUS:
Freight and express
STOCK ON HAND:
Stores—Miscellaneous merchandise
$
Packing house products
Dry goods in process of manufacture
Drugs, chemicals, etc.
Engineering material
Fuel—Coal and coke
Dairy feeds
Farm feed—Fertilizer, etc..
Total
50,496.62
13,348.81
3,000.00
1,015.90—$ 67,866.33
300.00
100.00
150.00-5
550.00
a
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>
668.67
380.41—$ 1,049.08
1,695.82
H
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38,795.38
3,083.85
2a.
2,590.88
5,309.36
11,585.15
36,344.30
2,045.50
974.28-$100,728.65
$171,879.88
g
EXHIBIT No. 4
Statement of Income and Expenditure
EXPENDITURES
General Administration—Officers' Salaries..$ 63,085.9!?
WAGES AND LABOR:
Medieal Department
$226,438.27
Engineers' Department
53,422.82
Stewards' Department
41,482.70
Farm and garden
13,761.49
Dairy
4,304.05—$330,406.33
FOOD SUPPLIES:
Wards
$337,226.86
Superintendent's dining room
1,085.66
Steward's dining room
5,067.88—$343,380.40
.MISCELLANEOUS:
Clothing and dry goods
$ 66.218.72
Furniture and bedding
45,781.86
Fuel
41,191.16
Stationery and postage
2,289.62
Medical supplies
10,713.40
Autos and trucks
5,261.50—$171,456.26
MAINTENANCE OF PLANT:
Fire apparatus
$
196.50
Machinery supplies and repairs.. 2.311.91
Builders' hardware
4,013.81
Cement
1
1,386.82
Lime, hair and masons' supplies.
874.00
Lumber and building material.. 5,933.41
INCOME
STATE APPROPRIATIONS:
Regular
$800,000.00
Deficiency
250,000.00—$1,050,000.00
MISCELLANEOUS:
Board of officers
$ 1,918.18
Board of special attendants... 1,910.67
Board of employees
2,576.19
Donations
57.53
Dental work and material
112.55
Fines
344.00
Interest on balances
2,884.36
Sales old material
1,893.75
Rents
149.83—
11,847.06
FARM AND GARDEN:
Sales products
$
149.49
DAIRY:
Sales products
111.48—$
260.97
O
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V
EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Painters' supplies
Plumbing supplies
Sewer supplies
Tinners' supplies
Cooking apparatus
Steam piping and boiler fittings.
Waterworks, supplies
Ice works supplies
Grading supplies
Sundries
FARM AND GARDEN:
Commercial fertilizer
:
$
Seed
Miscellaneous supplies
Board employees
Live stock
Budding trees
Feed
Freight and express
DAIRY::
Feeds
$
Misc.- supplies and repairs
Freight and express
Board employes
Rents, pasture
Live stock
INCIDENTALS:
Light and power
$
4,886.16
3,545.10
508.26
1,456.45
936.98
3,619.08
1,460.48
2,178.67
287.66
4,775.97—$ 38,571.26
8,153.22
1,827.72
3,931.32
2,418.80
2,390.00
100.00
884.82
139.98—$ 19,845.86
22,584.69
1,212.05
1,92S.25
575.68
127.00
512.98—$ 26,937.65
15,707.73
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EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Laboratory supplies and equipment
Dental supplies and equipment—
Officers' supplies and equipment.
Repair Account — Autos and
trucks
Escaped patients
Advertising
Amusements
_
Travel
"~"
Barbers' supplies
Phones and telegrams
Interest paid
Florists' supplies
Printing
Gas and oils
X-ray supplies
Blacksmith supplies
Broom factory supplies
Electric light supplies
Cemetery supplies
Telephone repairs
Registration automobiles
Insurance premiums
Medical books and journals
Poultry yards
Dining room supplies
Kitchen supplies
Laundry supplies
845.68
952.93
1,627.73
944.07
25222
281.45
40740
1,573.09
296.20
571.74
4.O4
25516
1.73o!lS
4 489 35
'5S5M
450.48
870.87
1,698.42
752.28
418.98
31.85
620.00
117.96
1,326.92
1,697.37
1,342.61
4,621.73
o
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EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Tools and implements
Tobaccos
Vehicles and implements
Housekeeping supplies
Sundries
330.49
5,942.91
541.25
6,938.66
1,370.27
Total
Grand total
ADD. Excess income over expenditure
$ 69,547.45
$1,062,051.25
56.78
3>
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>
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d
Total
$1,062,108.03
90
EIGHTY-SECOND ANNUAL REPORT
EXHIBIT No. 5
Profit and Loss Statement Farm, Garden and Dairy
DESCRIPTIVE
Farm &
Garden
Dairy
Total
Inventory Jan. 1st, 1925
Commercial fertilizezrs
Compost
Commercial Feeds
Seed
Freight
Farm products .
Pasturage
if 48,626.00 $ 15,993.00 $
9,127.50
2,700.00
884.82 24,630.19
1,827.72
139.98
1,925.26
10,000.00
127.00
Total
Less inventories, Dec. 31st
« <w Rdfi no
Net cost of feed fertilizer, etc.
Gross profit for year
$ 30,920.36 $ 29,301.24'$ 60,221.60
33,339.98
9,986.96 43,326.63
64,619.00
9,127.50
2,700.00
25,515.01
1,827.72
2,065.23
10,000.00
127.00
<t KOC7K jn'jllt
32,386.66!
OIOI-I
AD
a3 374 ao
-
' | 55,759.86
$ 64,260.34 $ 39,287.89 $103,548.23
. OPERATING EXPENSE:
Miscellaneous supplies
Wages and labor
Board, employees
Live stock _
Budding trees
Net profit for year
Total
$ 3,931.32 $
13,761.49
2,418.80
2,633.12
100.0*
10,495.2!
1,212.05 $
4,304.05
575.68
1,792.80
2,102.07
5,143.37
18,065.54
2,994.48
4,425.92
100.00
12,597.32
$ 33,339.9; > 9,986.651$ 43,326.63
FURNISHED INSTITUTION::
d
£°°
Dairy V~j
teed
Compost
__
Cash Sales-Supplies
ON HAND:
Farm products—Feeds, etc. ...
Live stock
Vehicles and implements
? 90,587.26
10,000.00
2 700 00
'26o!97—$103,548.23
_
$15 733 03
3422250
' 5,610.83
Total
$65,566.36
Grand total
$159,114.59
91
GEORGIA STATE SANITARIUM
EXHIBIT No. 5 (Continued)
Profit and Loss Statement Farm, Garden and Dairy
Farm &
Garden
PRODUCTION:
Traits and Vegetables
_ _ _
Packing house products
Poultry and eggs
.
.- Dairy products
- _ _ Dairy feed
- __
Compost
_
_ _
Misc. food supplies
Dairy
Total
$
$ 36,365.70
7,839.16 $ 1,221.96
1,606.30
35,254.45
10,000.00
2,700.00
8,299.70
36,365.70
9,061.11
1,606.30
35,254.45
10,000.00
2,700.00
8,299.70
Total
- - - $ 64,110.85 $ 39,176.41 $103,287.26
CASH SALES:
75.00
50.00 $
25.00 $
Live stock _
__________ $
20.75
20.75
Corn
_.- _
57.36
57.35
Rye
12.24
12.24
Cotton seed
66.51
66.51
Sacks
_
- - 29.12
9.16
19.97
Sundries
_____________
$ 64,260.34 $ 39,287.89 $103,548.23
Total
Gross profit brought down
Total _
_
-
_
$ 33,339.98 $ 9,986.65 $ 43,326.63
$ 33,339.98 $ 9,986.65 $ 43,326.63
Institution investment beginning of year
Institution investment during year
Net profit from farm, garden and dairy
$ 64,619.00
81,898.27
12,597.32
$159,114.59
92
EIGHTY-SECOND ANNUAL REPORT
EXHIBIT No. 6
Analysis Expenditure New Buildings
Ice and
Brantley Cold storBuilding age Plant
DESCRIPTIVE
1925.
Balance from 1924
$ 36,220.82
$
RECEIPTS:
One-fourth special appropriation-.. 20,311.25
One-third special appropriation
$ 10,000.00
Material returned . _.
1,367.24
Total
Miscellaneous materials
Plastering
Tiling floors _
Wages and labor
Furniture and bedding
Household supplies
Kitchen supplies _
Insurance
Balance in hand
Total
Total
36,220.82
20,311.25
10,000.00
1,835.17
$ 58,367.24 $ 10,000.00 $ 68,367.24
_
$ 13,744.09 $
6,237.24
326.02
10,786.50
15,382.80
3,318.10
680.00
7,259.87
4 Hfi'HJ -\f7<¥X\Af>
632.62
5,823.67
6,237.24
R2fi0e
10,786.50
15,382.80
3,318.10
632 62
fiSOOfl
13,083.54
$ 58,367.24 $ 10,000.00 $ 68,367.24
EXHIBITS NOS. 7 AND 8
Comparative Statement Cash Expenditure, Years 1924-
General administration
Food supplies
_ Clothing and dry goods
Furniture and bedding
Fuel Coal and coke
Maintenance of plant- -Medical supplies
_ .
Stationery and postage .
Dairy
Incidentals
_
Total
Cash and cash items
Cash deficit at end of year
Amount
1925
Amount
1924
DESCRIPTIVE
$
57,912.47
3124,071.84
297,960.00
78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
20,263.35
16,203.00
58,899.74
$ 996,756.04
$
58,915.67
328,323.57
344,560.55
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2,289.62
19,845.86
26,937.65
60,354.82
$1,052,016.02
$
1,003.20
4.251.73
46,600.55
$
15,327.29
10,242.73
2,208.74
9,426.86
95.40
1,721.30
417.49
10,734.65
1,455.08
$
79,372.50
$
24,112.52
Per Capita
Per Diem
$ 12.83
71.66
75.24
14.77
10.31
10.03
8.12
2.40
.51
4.32
5.85
13.10
$0.0346
.1904
.2055
.0400
.0270
.0226
.0231
.0270
.0006
.0127
.0231
.0211
$229.14
$0.6277
STATEMENT OPERATING FUNDS
December 31st, 1925
$71,151.23
Due Special and Maintenance Funds
$29,726.18
8,109.66
DEMAND OBLIGATONS:
Accounts payable
$15,467.35
Salaries and wages
34,067.36
Total
Total
Decrease
Increase
$79,260.89
Total
$49,534.71
$79,260.89
Q
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94
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1925
NAME
American District Steam Co.
American Specialty and Import Co
American Radiator Co.
Atlanta Dental Mfg. Co.
Armour & Co.
Atlanta Blank Book Mfg. Co
Atlantic Broom Mfg. Co.
Augusta Chronicle
Atlanta Journal Co.
Austin Nichols Co.
Armstrong Cork Co.
Barrett Watson Company
Barrett Company
Brantley, John T.
Bell Dry Goods Co.
Bell Grocery Co.
Benson's Bakery
Block Co., Frank E.
Bright-Brooks Lumber Co.
Brantley, C. C.
.
Brown, D. W. Co.
Brown Shoe Co.
■_
Burroughs Adding Machine Co.
Carter, E. Light Co.
Carr Company. A. J.
Carter White Lead Co.
Chandler Bros.
Carter White Lead Co.
Coleman, Meadows, Pate & Co.
Collins. W. H.
Conn & Co., John
Dean. Col. H. H.
Dennis, F. A.
Dunlap Hardware Co.
Dunlap-Huckabce Auto Co.
Ennis, J. H.
Evans, W. C.
Everhart, Laurence '
Estes Surgical Selling Co.
Fechheimer Bros. Co.
Fay & Egan Co.
Fillman Co., John W.
Fruitland Nurseries
Frederick Disinfecting Co.
Fulton Supply Co.
Gilman, W. P.
Gilman, J. M.
Gulf Refining Co.
Greeno Co., C. L.
Jones & Cadbury
Hatcher Hardware Co.
Debits
Credits
_.$ 7.51
„ 15.60
1.05
20.39
1950
72 08
8.96
35.63
32.63
5.38
~
15.00
1.62
$
131.34
1,670.34
195.09
4.20
10.80
487.50
1,722.68
24.22
12.50
16.77
33.44
200.00
9.16
12.50
23.15
25.45
611.16
3.65
61.86
128.55
193.03
25.00
10.50
429.94
10.50
227.96
620.00
5.88
3.63
6.86
5.27
2.87
13.20
38.10
53.50
40.13
75.83
38.25
175.77
GEORGIA STATE SANITARIUM
95
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1925
NAME
Happ Bros. Co.
Herf & French Chemical Co.
Hollingshead, G. W.
Hall, Dr. T. M.
Holcomb Mfg. Co., J. I.
Ivan Allen Marshall Co.
Ivey, W. H.
. _
Ivey, O. E.
Jefferson Distilling and Denaturing Co
Jaques & Tinsley Co.
Jordan, Lee N.
Johnson & Johnson
King Hardware Co.
Lombard Iron Works Co.
Logan Company
McKinley, G. C.
Mathieson Alkali Works
Gambrell, P. H.
Malt Diastase Co.
Majors Co., J. A.
Metz Laboratories, H. A.
Merchant & Evans Co.
Milledgeville Light Co.
Milledgeville Times
Milledgeville Telephone Co.
Mitchell Co., Henry P.
Miller Rubber Co.
Morris & Co.
National Biscuit Co.
New Orleans Broom Mfg. Co.
Newell, A. C.
Pittsburg Plate Glass Co.
Peeler Hardware Co.
Pierce, Butler Co.
Peoples Oil Co.
Rawlings, Dr. William
Ray Lyon Co.
Ralston Purina Mills
Ric Wil Co.
Riley Drug Co., J. B.
Richardson Milling Co., O. N.
Robinson Co., A. M.
Rossville Co.
Roughton Halliburton Co.
Roberts, Johnson & Rand
Ridley Yates Co.
Rosin Turpentine Co.
Schlesinger, Harry L Co.
Singer Sewing Machine Co.
Southern Express Co.
Southern Dental Mfg. Co.
Debits
35.07
400 00
2.17
29.52
18.81
Credits
.77
12.50
240.51
88.35
65.93
212.00
38.40
56.00
8.50
24.96
40.96
786.00
10.71
12.50
38.88
3.15
14.31
1,432.68
20.00
43.42
5.98
39.53
2.41
7.30
.21
59.04
37.19
12.50
9.08
106.20
62.50
7.on
33.14
6.00
1.80
54.08
1,375.00
50.19
331.50
.60
501.59
. 49.62
18.75
58.00
35.33
2.00
96
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1925
Debits
NAME
Squibb & Sons, E. R.
Standard Oil Co.
Stembridge, J. W.
Superior Coal Co.
Schwartz & Phaul
Stovall, Daniel Co.
Teasdale Co., J. W.
Southern Electric Supply Co.
Solomon Co.
Tidewater Sales Corporation
Thomas Co., Arthur H.
Trawick, S. B.
Troy Engine Co.
.
Union Recorder
Veal, O. E.
Victor X-Ray Co.
Van Range Co., John
Wade & Co.
Watons, E. T.
Western Electric Co.
Welch Grape Juice Co.
Western Union Telegraph Co.
West Disinfecting Co.
Whitfleld Grocery Co.
White Provision Co.
Whitman, J. R.
Wootten, R. H.
Wocher & Son, Max
Total
Credits
109.17
181.85
36.25
80.03
7.55
.47
6.63
.57
.19
6.00
13.17
—
1.13
110.40
561.14
78.75
170.00
56.88
65.00
533.00
1.60
28.95
166.28
185.84
21.70
0.00
378.60
314.50
1.25
1.96
$907.70
$16,309.73
GEORGIA STATE SANITARIUM
97
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1925
Names
Allen, T. M.
Allen, Marie
Allen, W. K.
Adcoek, Dr. J. C.
Allen, 0. D.
Allen,' W. H.
Andrews, Mandy
Andrews, Katie
Andrews. Eula
Alsop, Willie
Austin, Jesse
Bailey, R. F.
Batehelor, Olive
Baugh, Evelyn
Beekum, M. N.
Bell, Minnie Lee
Blaek, H. G
Bivins, Homer
Blaekwell, A. N.
Bloodworth, Ruby
Boman. Shade
Bowen. IT. S.
Braddock, Carrie
Brannan. R. F.
Bradford, Dr. R. W.
Brantlcy. C. C.
Brown, Easter
Brown, Eula
Brown, Willie
Brooking. E.
Carter, Arthur
Carter Luke
Cheney, Dessie
Champion. R. L.
Cole, G C.
Copps, C. G.
Coxwell, Mrs. T. B.
Davis, J. R.
Davis, Rosa
Davis, Corinne
DeSaussure, T. H.
Dillard, Hannah
Dunn, L. A.
Durden, Paul
Durden, W. R.
Eehols, G. L.
Epps, R S.
Etheridge, Nannie
Ennis. O. M.
Pordham Kathleen
Fuller, I. L. ...
Amount
$
-
.
.
.60
.01
.50
.95
1.25
10.50
4.48
2.13
2.53
5.09
1.53
.85
5.14
2.48
.30
4.80
.40
.50
3.50
.80
13 68
35.00
5.06
.15
3.06
26.63
25
1.35
-60
.30
1.00
5.00
4.09
-65
1.65
1.30
.45
1.30
5.24
4.39
3.98
4.27
.15
-35
-50
2.87
-40
1-80
1-00
1-26
1-90
98
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
Garrard, ,1. I.
Gault Gertrude
Oilman, E. G.
Oilman, W. P.
State Farm
Gilbert, Sarah
Giles, Leslie
Giles, Forest
Grimes, B. F.
Haddock, C. H.
Harris, Joe
Hawkins, A. J.
Hattaway, G. W.
Hardy, Mrs. A. B.
Harper, Mildred
Harper, Lottie
Herringdine, Emma
Hill, Mattie
Hitchcock, Josephine
Hitchcock, Alice Mae
Hood, Elizabeth
Hopkins, Bens
Holloway, Bessie
Holloway, Grace
Hollie, J. T.
Hudson, Charlie
Hubbard, John
Humphrey, Catherine
Humphrey, Joe
Ingram, Mamie
Ivie, Daisy
Janes, George
Jackson, Elizabeth
Johnson, R. L.
Johnson, J. C.
Jones, H. S.
Jones, Annie
Key, Evelyn
Langford, Valma
Layfleld, B. L.
Lavender, C. B.
Lawson, B. L.
Lawrence, Bertha May
Layfleld, Lollie
Leonard, A.
Lewis, Rosa
Lester, Mattie Kate
Leverette, Ruth
Lindsey, E. E.
Longino, L. P.
Lynch, Edward
Amount
9.55
6.04
1.35
.40
29.50
' 6.01
1.58
.70
.35
.60
5.00
4.55
2.65
.50
7.71
1.65
.85
5.43
1.07
.40
.72
5.00
418
.08
.10
.55
5.00
.95
.27
1.47
.01
.25
3.55
.70
2.15
.90
1.22
.70
60
.65
.40
28.85
.50
7.97
.20
4,24
5.82
2 22
19 90
2.00
.25
GEORGIA STATE SANITARIUM
9§
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
McAdams, J. 1.
McCullough, Lillian
McGinley, Catherine
Matthews, T. W.
Martin, L. J.
Middlebrooks, Leola
Morlock, Anna
Moses Maybelle
Moore, Georgia
Mobley, J. W.
Nisbet, Eloise
Nash, W. H.
Oden, J. W.
Pattishall, Annie
Patterson, Sabryna
Pinkston, Lucy
Padgett, Lucile
Parham, Percy
Pinkston, Daisy
Page, Carrie
Phillips, Louis
Penuel, F. C.
Pearson, Emma
Pendleton, Annie
Polk, J. B.
Posey, Myrtle
Preston, Silvia
Reynolds, Fannie
Rankin, Dr. D. T.
Ray, Scott
Reed, R. R.
Reliford, Pearl
Reynolds, T. J.
Richardson, Janie
Rogers, Pearl
Saulsbury, Annie
Seals, J. S.
Saulsbury, Sam
Saulsbury, Lee
Seals, J. A.
Simpson, C. H.
Simpson, Roy
Simpson, Fannie
Smith, Willie
Smith, J. T.
Smith, Eva
Smith, Vallie
Snellgrove, Cecil
Speights, Mamie
Pattishall, T. J.
Stembridge, W. W.
Amount
100
.84
1.70
-65
.20
7.28
.96
1-59
.25
2.73
--70
.35
44.00
.25
.1.11
5.11
6.88
2.23
4.58
5.27
1.00
4.00
4.32
.30
4.40
2.02
5.06
4.25
----- —19.80
6.50
.50
1-94
.40
2.26
5.67
6.31
-85
1.00
-05
-35
1-45
2.30
4.27
3.37
4.65
1-46
5.14
6.82
3.60
.15
1-00
100
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
Stevens, C. B.
Steverson, Essie
Stewart, Mildred
Stokes, Ethel
State Anatomical Board
Swint, R. C.
Switzer, A. W.
Thomas, Emanuel
Thomas, Kelley Mae
Trawiek, Rosa
Turner, John
U. S. Public Health Service
Vinson, J. T.
Vinson, Annie Mae
Watson, J. E.
Walker, W. A. .__"
Walker, Dr. N. P. ...
Walton, Lavinia
Watson, Winnie
Wheeler, Dr. G. A.
Woolfork, Ruth __:
Wright, S. E., Jr.
Yarbrough, Dr. Y. H.
Young, D. B.
Youngblood, C. A.
Yarbrough, O. C.
Total
%
___
:
:__
Amount
.20
5.11
.73
.25
50.00
1.62
4.03
5.00
3.92
645
1,00
380.41
:
.25
0.88
.70
3 40
.80
.60
1.12
__
3 00
4.71
__..
1.40
7.20
.20
.95
1.00
$1,049.08
GEORGIA STATE SANITARIUM
101
SCHEDULE No. 3
Production—Farm, Garden and Dairy
Farm Products:
1,000 tons ensilage
3,1024 bus. meal
9,865 bus. sweet potatoes
371 bus. peas
304 bus. peanuts
Fruits and Vegetables:
52 bus. okra
127 bus. asparagus
1,894 bus. squash
13,230 heads collards
754 bus. Irish potatoes
1,910 bus. lettuce
6,832' bus. turnips and greens
510 bus. beets
19,113 heads cabbage
3,080 bus. rape
575 bus. onions
290 bus. radish
855 bus. snap beans
36 bus. berries
216 bus. cucumbers
573 bus. onions
218 bus. tomatoes
8 bus. carrots
17.315 melons
773 bus. butter beans
16,786 roasting ears
26,604 cantaloupes
Value
$10,000.00
4,344.20
1,473.00
1,208.50
684.00—$ 18,299.70
$
76.00
381.00
4,715.00
1,323.00
1,508.00
3,820.00
6,832.00
1,530.00
1,911.30
1,540.00
1,437.50
435.00
1,710.00
14.40
540.00
1,719.00
1,046.40
12.00
1,731.50
2,473.60
279.80
1,330.20—$ 36,365.70
Packing House Products:
42,366 lbs. pork
14,902 lbs. dressed beet
Poultry and eggs
$ 7,839.15
1,221.96—$ 9,061.11
$ 1,606.30
Dairy Products:
80,688 gals, sweet milk
261 gals, buttermilk
42J gals, cream
056 lbs. butter
$34,867.20
39.35
85.50
262.40—$ 35,254.45
Compost:
1,800 loads
$ 2,700.00
Total
$103,287.26
EIGHTY-THIRD ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Six
Board of Trustees
President
JOHN
T.
BRANTLEY
_______
Vice
H. H.
DEAN
Blackshear, Ga.
v.ident
_________
Gainesville, Ga.
Secretary
C. C.
BRANTLEY
E. E.
LINDSEY
J. C.
JARNAGIN
A. C.
NEWELL
THOS.
M.
P. H.
GAMBRELL
HALL,
________
__________
________
M. D.
_____
_
_
_
_
Atlanta, Ga.
Milledgeville, Ga.
_________
M. D.
Rome, Ga.
Warrenton, Ga.
_________
*WM. RAWLINGS,
^Deceased.
Valdosta, Ga.
_
Macon, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. E. Lindsey, Chairman
J. C. Jarnagin
Thos. M. Hall
A. C. Newell
C. C. Brantley
Finance and A*»
<g Committee
A. C. Newell, Chairman
*Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
*Dr. William Rawlings, Chairman
Dr. Thos. M. Hall
P. H. Gambrell
Committee on Buildings and Grounds
H. H. Dean, Chairman
E. E. Lindsey
P. H. Gambrell
Committee on Farm and Outside Business
J. C. Jarnagin, Chairman
H. H. Dean
*Deceased.
*Wm. Rawlings
Officers of the Sanitarium
R. C.Swint,M.D. _, Superintendent and Resident Physician
N. P. Walker, M. D. ______
Clinical Director
L. P. Longino, M. D. _ _ _ First Assistant Physician
Y. H. Yarbrough, M. D. _ _ Second Assistant Physician
J. I. Garrard, M. D.
_____ Assistant Physician
Geo. L. Echols, M. D. _ _ _ _ _ Assistant Physician
*J. W. Oden, M. D. (Until May 1, 1926) _ _ _ _
__________ Assistant Physician
D. T. Rankin, M. D. _ _ _ _ _ Assistant Physician
R. W. Bradford, M. D. (From May 1, 1926) _ _ _
__________ Assistant Physician
J. W. Mobley, M. D. (From Sept. 1, 1926) _ _ _
--________ Assistant Physician
U. S. Bowen, M. D. (From Nov. 1, 1926) _ _ _ _
__________ Assistant Physician
C. G. Cox, M. D. (From Nov. 1, 1926) _ Assistant Physician
W. A. Bostick, M. D. (From Aug. 1, 1926) _ _ _
--______ Junior Assistant Physician
B. B. Saye, M. D. _________ Pathologist
A. H. Fowler, M. D. (From Aug. 1, 1926) _ _ _ Interne
W. F. Dohyns, M. D. (From Sept. 1, 1926) _ _ _ Interne
J. T. Stephenson, M. D. (From Sept. 1, 1926) _ _ Interne
C. B. Kinney, M. D. (From July 15, 1926) _ _ Interne
G. H. Green, D. D. S. _________ Dentist
J. A. Adcock, D. D. S. _ _ _ _ _ _ _ _ Dentist
J. J. Wooftten __________ Pharmacist
Mrs. Mae M. Jones, R. N. _ _ Superintendent of Nurses
Otto M. Conn __________
Treasurer
Homer Bivins
__________
Steward
T. H. DeSaussure _________
Engineer
W. S. Jett, Jr. _
— _ _ _ _ Assistant Engineer
F. C. Penuel _________ Farm Steward
H. S. Jones ___________ Secretary
Arthur Farell
_________
Storekeeper
*Miss Catherine McGinley _______ Dietitian
W. W. Stembridge _________ Inspector
Rev. T. G. Watts __________ Chaplain
* Resigned.
Eighty-Third Annual Report
OP
THE
BOARD OP TRUSTEES OP THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1927.
To His Excellency, Clifford Walker, Governor.
SIR:
The Board of Trustees of the Georgia State Sanitarium
begs to submit herewith the report required by law to be made
of the conduct and management of this institution. It covers
the year 1926 and is the eighty-third to be so made.
The annual report of the Superintendent and Resident
Physician, supported by those of heads of departments, is
attached hereto and will supply details of the year's work.
The record made is highly creditable and merits for the
Superintendent and his assistants the commendation of the
Board.
The recommendations presented herein are of first importance and should have immediate attention. The cost
involved is large, but no larger than the purpose to be served.
It is not possible to state the needs of so vast and populous
an institution in small sums, especially when some of the
needs have been long neglected. A longer delay in supplying
them will be full of danger.
Population
A gain of 208 in the number of resident patients as noted,
the total number to-day being 4848, with 646 other patients
out on furlough. The daily average number was 4782, an
increase over the preceding year of 191.
Applications for admission totaled 1402, of which 1180
were admitted and 105 denied. Admission was granted 117
who were not presented after being notified.
Financial
The cost of maintenance was $1,119,759.62. The cost for
each patient was $234.16, or $0.6415 per day, which is a little
higher than last year.
EIGHTY-THIRD ANNUAL REPORT
For the maintenance of the Sanitarium in the next biennial period the careful estimate of the Steward shows that
$2,351,307.00 will be needed.
For the special purposes to be set out in the recommendations referred to, appropriations totaling $1,496,150.00 will
be required.
The Physical Plant
Three frame cottages for officers' use were added in the
year, lumber being had from timber owned by the Sanitarium.
Purchase was made of 322 additional acres of pasture
land for the use of the dairy.
Purchase was also made of an approved type of motor
fire pumper for the further fire protection it affords. It is
now installed and is named "T. H. DeSaussure" in honor of
one of the oldest and most valuable officers of the Sanitarium.
The stand pipe in the rear of the Powell Building is now
so old as to be beyond repair and must be razed. It is necessary to replace it with one of larger size and higher elevation.
Careful study should be given to the removal to one central location of the many steam heating plants now in use,
through which a more economical service can be had. With
it should go the woodshop in the rear of the Powell Building
in the interest of neatness of the grounds and to remove a
dangerous fire hazard. The consolidation should include a
steam driven electric power and light plant, so designed as
to make use of the exhaust steam for heating the buildings.
The cost of this improvement will be heavy and in the face
of greater and more urgent needs no recommendation is yet
made that it be provided.
Legal Amendments Needed
The Board calls attention to its inability to enforce the
law governing admissions as found in Michie's compiliation
of the Code, "Guardians and Wards," Chapter 3, Article 2,
Section 3102, because of the confusion therein. It should be
clarified or repealed. It seeks to create pay and pauper patients, the last being those who are possessed of estates valued
under $3,000. It provides no method of valuing such estates,
GEORGIA STATE SANITARIUM
nor for the collection and payment to the Sanitarium of its
"reasonable charge for board and keep." It makes no provision for those inmates who shall have their estate exhausted,
lost or stolen, or which shall fail to produce a sufficient income for their support. It is not retroactive and applies to
new admissions only. The Board would suggest that the State
must of necessity place under custodial care its insane citizens
regardless of their possession. If they are possessed of property it is already taxed for the support of the Sanitarium.
It is conceivable there may be those of means whose family
or kindred will refuse to apply for commitment because of
the expense involved. In the opinion of the Board the interests of society are best served by making the Sanitarium
free to the citizens of the State. It is obvious a patient cannot and ought not to be discharged before restoration simply
because of the failure of estate or income therefrom. Internally the effect of this law, could it be enforced, on the
patients will be most unhappy because of the distinction
drawn among themselves between those who pay and those
who are paupers. There is perhaps one exception which can
be made, and this in cases where an estate is had with no
family or near dependent kindred. In such cases it would
seem proper the law shall vest such estate in the Board of
Trustees for the use and support of the patient, it being provided that on his discharge the residue of such estate shall
be returned to him, or that at his death it shall become the
property of the Sanitarium. In such eases the Sanitarium
takes the place of family and kindred.
If the burden of properly supporting the Sanitarium is
become too great for the State to carry alone consideration
might be given pro-rating the cost between the State and the
counties on some fair and equitable basis.
This law also attempts to define the classes who shall or
shall not be admitted, but it lacks clearness.
For these and other reasons the Board recommends the
repeal of this law, and the enactment of the following:
SANITARIUM FREE TO WHOM: The said Sanitarium shall be free to all bona fide citizens of the State
who may be insane or afflicted with mental disease. No
paralytic invalid, epileptic, idiot, imbecile, drug addict
or alcoholic addict who is not insane shall be committed
or admitted to it.
EIGHTY-THIRD ANNUAL REPORT
The history which must accompany all applications
for admission to the said Sanitarium shall contain adequate and just reasons why such admission should be had,
and if such reasons are not given, the Superintendent
may refuse admission.
If the family or friends of any person who shall be
committed and admitted to the said Sanitarium shall
desire to furnish clothing, extra food or other comforts,
they may be allowed to do so at their own cost under such
rules and regulations as may be prescribed by the Board
of Trustees.
If any person who is committed and admitted to the
said Sanitarium shall be possessed of an estate and shall
be without family or near dependent relatives, such estate
shall vest in the Board of Trustees of the Sanitarium to
be expended for his use and support, it being provided
that in the event of his discharge any residue remaining
of such estate shall be put into his possession, or that in
the event of the death of such inmate his estate shall then
become the property of the Sanitarium.
Recommendation is also made that the examination now
required to be made by the Board of applicants for the place
of assistant physician be repealed. The license of the State
should be quite sufficient provided the other qualifications are
had.
Recommendation is also made that the name of the
Sanitarium be changed to "Georgia State Hospital," the better to indicate its field and to avoid the confusion arising from
the similarity in names with another State institution.
Death of Trustee Rawlings
The Board records with deep regret the death of one of
its members, Dr. William Rawlings, which occurred at his
home in Sandersville on August 1, 1926. He brought to its
sessions the experience of a successful man of large affairs,
an expert knowledge of medical and hospital matters, a sane
and sound judgment and an understanding sympathy which
made him a most useful member. These qualities together
with his unfailing courtesy, fine mind and warm heart greatly
endeared him to his colleagues.
GEORGIA STATE SANITARIUM
General
A fire which occurred during the year in one of the
main buildings, fortunately in the day time, was extinguished
after a hard fight without loss of life or limb, and without
serious property damage. Grateful acknowledgement is now
made the cities of Milledgeville and Macon for the immediate response of their fire departments to a call for their help
at a moment when a general conflagration seemed inevitable.
The Sanitarium fire department was of invaluable help in getting the fire under control. Through the calmness and good
judgment of officers, nurses and other employes the inmates
of the building were moved to safety.
No clue has yet been had leading to the murderer or
murderers of the negro patient who was forcibly removed
at night from one of the buildings in September, 1925, and
murdered. This shocking crime is therefore unpunished. The
reward offered by the Board for information still stands.
First Recommendation
The situation of the Sanitarium in respect of room is exceedingly critical and speedy relief must be given it. A careful
survey of the present buildings which has just been made
shows that they can safely and comfortably accommodate but
3607 patients. This estimate is based on 1,000 cubic feet of
space allowed for each patient in ceiled rooms and dormitories
and 100 square feet of floor space in those unceiled. These
buildings contain to-day 4848 patients, or 1241 in excess of
their intended capacity. By departments the situation is as
follows:
White male
White female
Colored male
Colored female
Capacity. Patients. Overcrowded.
1180
1396
216
1322
1754
432
575
793
218
530
905
375
3607
4848
1241
Expressed in percentage, the overcrowding is as follows:
White male
White female
Colored male
Colored female
18%
32%
37%
70%
10
EIGHTY-THIRD ANNUAL REPORT
The congestion is worst in the colored female department, but exists in lesser degree in all. Patients can now
be accommodated only by putting two or more in small rooms
intended but for one and by crowding the dormitories. The
risk of physical injury to the patients among themselves is
thus very greatly aggravated, while bad hygienic and sanitary conditions are unavoidable. Lack of room to isolate all
patients having communicable diseases is responsible for the
mounting death rate reported from tuberculosis, while the
control of an outbreak of contagious sickness is for this reason made all but impossible. The added danger in case of fire is
a constant nightmare to those responsible for the safety of the
inmates. The steady growth in population adds to the gravity of this situation. The gain last year was 208 and for
ten years 1078 patients. None but recent or acute cases and
cases found to be dangerous are now admitted.
The impression prevails with the uninformed that more
room could be had by discharging many of the patients and
that they ought to be so discharged. The facts are that every
patient in the Sanitarium has been legally adjudged entitled
to admission and there are none whose discharge before recovery would not do violence to common humanity. It is the
duty of the Superintendent under the law to discharge any
found not to be insane or who are restored to mental health
and this duty is scrupulously, promptly and gladly observed.
It is very plain that unless more room is speedily had,
further admissions must of necessity be limited to vacancies
had through discharge and death. The Board would point
out that the effect of such an order will be pitiful in the
extreme. No one will deny to these stricken, dependent and
helpless beings a first claim on the generosity of the State.
Two ways of supplying additional room are possible
and both are here presented.
1. The first assumes that the Sanitarium is to continue
to receive both races, as now. In this event it will be necessary to supply it with four new buildings for patients, one
for each sex of each race. They must be sufficiently large
to take care of the present overpopulation and still have some
room left for the future. Their cost, if of brick and wood construction, is estimated at $175,000 each, or $700,000 for the
four. If of fireproof construction, as they should be by all
means, 15% or $105,000 must be added to this estimate.
Warning is given that these buildings, together with a hospi-
GEORGIA STATE SANITARIUM
11
tal building recommended elsewhere, are had and occupied,
the Sanitarium will have reached the maximum population
it can safely be allowed to attain. It is now one of the largest hospitals for the insane in the United States and its successful management becomes an increasingly difficult matter. The time is at hand when the State must plan for the
founding of a second hospital.
2. The alternative is to found such second hospital at
once to care for the negro race, to which shall be transferred
the 1665 patients of this race now in the Sanitarium. When
this is done the buildings once occupied by them can be renovated and made ready for white patients. If this plan be
adopted, and there are sound reasons to commend it, the
necessity for the four new buildings for patients will be
removed. With the renovation of the negro buildings must
come a general renovation of all the other buildings housing
patients, all of which are old and greatly in need of major
repairs, for which the funds at the disposal of the Board have
never been adequate. New floors, walls and ceilings, new
paint, new plumbing, etc., are items of cost which will be
incurred and which are difficult to estimate with accuracy.
The Board would suggest that $1,000,000.00 as the minimum initial appropriation to be made for the founding of
this second hospital, to be made available in one or two
years, it being assumed that use can be made of lands already
owned by the State.
For defraying the cost of renovating the negro buildings
and for putting all the buildings in first-class repair, a work
never before attempted, the Board estimates $200,000 will be
required.
Second Recommendation
An ample supply of pure drinking water is vital and
means to this end must be carefully safeguarded. The present water plant is twenty years old and is at the maximum
of its present capacity. Its age and increasing demand on
it makes an enlargement imperative as a measure of safety.
Two additional settling basins, one additional filter and a second electric pump are required. A steel stand pipe of 150,000
gallons capacity on the Sanitarium grounds to replace the old
now to be razed is also required. It is necessary to duplicate the single 12-inch main through which the Sanitarium
is reached and which is about four miles in length. This sin-
12
EIGHTY-THIRD ANNUAL REPORT
gle main is now under heavy constant pressure to keep the
Sanitarium supplied and a fracture is thus made possible
at any time and without warning. It passes through an intervening creek which at flood widen out two and three miles.
If a fracture should occur at such a time and place a repair
would be impossible and the Sanitarium would quickly become helpless. A second main is therefore a most important
protection and will serve to reduce the pumping cost because
of the following reduction in friction. The cost of these additions, including housing and all minor parts, will be as follows:
Basins and Filter
Duplicate electric pump
Duplicate water main
Stand pipe complete
Total
$22,800.00'
2,650.00'
39,200.00
15,000.00
$79,650.00
Third Recommendation
The work of the medical department continues to be of
high order and should be given strong support. Its record is
the more remarkable when the heavy handicaps under which
it labors are remembered. Its greatest need is for a commodious general hospital in which to gather all cases offering hope, under proper treatment, of cure, and the physically
ill. At present both these classes are found in the several
reception, and hospital wards throughout the institution.
Many advantages are to be had from grouping them under
one roof, apart from its convenience. Among the most important is that it will separate the curable cases of insanity
from the incurables. The association which is now unavoidable serves to intensify an already abnormal mental depression and greatly retards, if it does not render impossible, successful treatment. It will enable better care of the physically
ill. It is proposed to place this hospital in attractive surroundings and to make it within and without as cheerful as
possible. When fully equipped with whatever may be needed
for its dual purpose it will be of substantial help to the medical department. It must be large enough for both races and
its cost cannot be less than $250,000. To make it fireproof
this estimate must be increased 15%, or $37,500.00. Against
this cost should be set its possible contribution to the sum
of human happiness had through every patient restored to
mental health. Every patient so restored ceases to be a bur-
GEORGIA STATE SANITARIUM
13
den and becomes a helpful unit of society. Every unrestored
patient remains a charge upon the State for life. The investment is therefore economically sound.
Fourth Recommendation
The present amusement hall is no longer large enough
for its purpose. It was built many years ago when the population was very much smaller than now. In it the usual religious services are held, moving pictures exhibited, dances
had, etc. It is a valuable help to the medical department
through the pleasure and diversion afforded therein to the
convalescent patients and it should be sufficiently large for
their gatherings. It is an investment in happiness from
which good returns may be expected and its cost is estimated
at $50,000. The abandonment of the old one will occasion no
loss since it is so situated as to be readily converted into
rooms or dormitories for the patients.
Fifth Recommendation
The Sanitarium buildings are of brick and wood with tin
roofs and fire risk is ever present. Inside enclosed stairways
of wood conveniently placed are relied on for the protection
of the inmates against fire. The system is not perfect, but
has thus far served. Outside ladder escapes would be as
dangerous to the inmates as fire, while the value of tube
escapes for insane persons is at least problematical. In lieu
of these for which many recommendations have been made in
the past, the Board recommends as an alternative the installation in all the main buildings housing patients and in the store
room, of a system of automatic fire sprinklers.
The cost of such installations, including a required stand
pipe of 100,000 gallons capacity to serve for this purpose
alone, is estimated at $230,000. These installations will not
only provide far greater security for the inmates, but will
result in a greatly lowered insurance rate on these particular buildings.
Sixth Recommendation
In the eighty-three years of its existence the Sanitarium
has never had a residence for its Superintendent, and this
want should be supplied. The pressing need for more office
room, for which his present quarters are admirably adapted,
makes the present an opportune time. A very appropriate
site on the grounds is reserved for it. He is the host of the
14
EIGHTY-THIRD ANNUAL REPORT
institution and his residence should be ample in size for the
hospitality he must dispense. By the erection of such residence and by the conversion of his present quarters into
offices, it will no doubt be possible to provide much needed
room in the storehouse through the removal of the Steward's
office now located in it and thus obviate the necessity for the
appropriation recommended herein for this purpose. A suitable residence can be built at a cost estimated at $25,000.
Seventh Recommendation
It is now become necessary to add a second floor to the
storehouse in order to accommodate the growing quantity of
supplies needed to be carried in stock, the cost of which
is estimated at $10,000.
Eighth Recommendation
The medical department asks for a commodious onestory building in which can be housed the vocational therapy
activities of the white female patients which because of
weather conditions must be had indoors. At present use is
had of some of the day rooms for this purpose, thus diverting them from the use for which they are intended. They do
not give room for enlargement, hence the request for a
suitable building. Such good results have followed the introduction of this form of treatment that its wider use is highly
desirable. The cost of such building as is wanted will be
$9,000.
Summary of Special Appropriations
The special appropriations sought herein are summarized as follows:
For four buildings for patients made fireproof-_$ 805,000.00
For hospital building made fireproof
287,500.00
For additions to water works, including duplicate main, stand pipe, etc.
79,650.00
For amusement hall
50,000.00
For vocational therapy building
9,000.00
For Superintendent's residence
25,000.00
For enlargement of storehouse
10,000.00
For automatic fire sprinklers
230,000.00
Total
$1,496,150.00
GEORGIA STATE SANITARIUM
15
If a second hospital for negroes is founded the first item
in this summary should be omitted, and for it should be substituted $200,000 for the complete renovation of all the buildings.
In Conclusion
The Board is grateful to Your Excellency for the support given it in the discharge of its duties. It is not unmindful of the growing weight of such duties, but none the less
it has been a joy and privilege to assume them. The Superintendent has not lacked sympathetic and helpful support in
his work for the happiness and well being of the inmates, nor
have the interests of the State been allowed to suffer. If its
acts shall have your approval it will be sufficiently rewarded.
By order of the Board of Trustees.
JOHN
C. C.
BEANTLEY,
Secreiay.
T.
BEANTLEY,
President.
16
EIGHTY-THIRD ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1927.
The Hon. Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the eighty-third annual Report
of the Georgia State Sanitarium, which covers the fiscal year
ending December 31st, 1926:
Appended hereto are report of the
Clinical Director,
Pathologist,
Dental Department,
Superintendent of Nurses,
Pharmacist,
Engineer,
Farm Steward,
Treasurer,
Steward.
These reports give a general review of the activities of
the institution in its various departments throughout the
year.
General Statistics of Patient Population for the Year 1926
Male Female Total
Actual resident patient population Jan.
1, 1926
2,151 2,489 4,640
Patients remaining on books Jan. 1, 1926.2,486 2,832 5,318
Admitted during the year:
First admissions
Readmissions
476
94
478
132
954
226
Total admitted during the year_ 570
Total under treatment during the
year
.
3,056
610
1,180
3,442
6,498
GEORGIA STATE SANITARIUM
Discharged during the year:
As recovered
As improved
As unimproved
As without psychosis
Died
Total discharged and died
17
Male Female Total
75
79
154
143
159
302
73
30
103
4
9
13
248
184
432
543
461
1,004
2,513
324
2,981
322
5,494
646
Actual resident patient population
Dec. 31, 1926
2,189
Daily average under treament
2,659
4,848
4,782
Remaining on books Dec. 31, 1926
Num'ber on parole Dec. 31, 1926
A study of the above statistics show that the total first
admissions were the same as previous year, with a decrease
of 44 in number of males and increase of 44 in the number
of females.
The total readmissions were increased 5 compared to the
previous year, with a decrease of 19 males and an increase
of 24 females.
Notwithstanding our constant effort to limit admissions
to urgent type of applicants on account of the already greatly
over-crowded condition of the Institution, there were 1,180
total admissions, or an increase of 5 compared to the previous
year.
There were a total of 572 discharged during the year;
that is, patients who were furloughed and remained out over
12 months, the furlough period fixed by law, except 4 males
and 9 females who did not manifest any symptoms of mental
disorder, and were discharged as without psychosis (not insane).
The policy we adopted some years ago of furloughing all
cases except the not insane, is a good one, as our experience
has taught us that some patients, while clinically restored
and have apparent normal behavior for quite a period while
living the routine of institutional life, soon have a recurrence
of their abnormal mental symptoms soon after they return to
their old environment. If they are on furlough they may be
returned to the Sanitarium without the ordeal and expense
of a new commitment.
18
EIGHTY-THIRD ANNUAL REPORT
The advancement in psychiatric knowledge indicates
that this problem, of recurrence as well as the cause of the
original onset of mental disorder, is a very complex affair,
involving more than the aged formulation of "Sound mind
in a sound body." In the solution of the problem we find
that it involves not merely a section of one's life, but all the
forces which operate to make that life what it is.
Based on the number of admissions, the discharges during the year were 38.6% as recovered or improved compared
to 35.5% the previous year. The daily average under treatment was 191 greater, and there were 36 more deaths than
the previous year.
Overcrowding continues our most pressing problem, and
one of our greatest handicaps to treatment. We had a daily
average overcrowding of 1,185. "We began the year with an
actual resident population of 4,640, and closed with 4,848, a
net increase of 208, or 1,241 overcrowded. Notwithstanding
the overcrowded handicap we furloughed 819 patients during
the year, and of this number 613 were restored or improved.
Based on the total admissions this is 51.9% compared to 56%
the previous year.
It might be of interest to note that the females show a
greater growth than males in resident patient population. The
year's 208 increase in population were as follows: White
males, 17; white females, 98; colored males, 24, and colored
females, 69.
Allowing one patient to a room—to each patient in
ceiled dormitories 1,000 cubic feet of space, and in unceiled
dormitories in the open unceiled wooden structures 100
square feet each, the institution has a normal capacity of
3,607 patients.
The following tabulation gives normal capacity of patients and overcrowding in each department:
White males
White females
Colored males
Colored females
Total—
Normal
Capacity
1,180
1,322
575
530
No. Patients
1,396
1,754
793
905
Overcrowded
216
432
218
375
3,607
4,848
1,241
GEORGIA STATE SANITARIUM
19
We have been estimating our normal capacity at 3,900
based on old estimate made several years ago, but during
the year a new estimate of the different buildings and wards
was made with allowance given above, and we find that our
actual normal capacity is nearly 300 patients less.
The above figures show that at the end of the year the
Sanitarium is 1,241 patients overcrowded as follows:
216
432
218
375
or
or
or
or
18.3%
32.6%
36.1%
70.0%
in
in
in
in
White Male Department,
White Female Department,
Colored Male Department, and
Colored Female Department.
Therefore, it is clearly seen that the present capacity of
the institution is greatly overtaxed, and its overcrowded condition is unhygienic, hazardous, and a great handicap to
treatment, and especially is this true in the Colored Female,
Colored Male and White Female Departments.
If some relief for this condition of affairs is not soon
obtained, such overcrowding is likely to result in a great
increase in the incidence of tuberculosis among the patient
population, as well as other calamities.
Medical Service
During the year Drs. Wm. F. Dobyns, A. H. Fowler, C.
B. Kennedy and J. T. Stephenson were appointed internes.
Drs. Dobyns and Fowler had just completed interneship at
University Hospital at Augusta, Ga. Dr. Stephenson came
to us from U. S. Veterans Hospital, Augusta. Also Dr. J. W.
Mobley, who was formerly First Assistant Physician and
resigned a few years ago on account of ill health, having regained his health, was elected Assistant Physician.
Drs. Joseph Goldberger and G. A. Wheeler of the U. S.
Public Health Service continued throughout the year their
research study of pellagra.
The Psychiatric Clinics at Macon and Elberton were
kept up during the year. A member of the Staff went to
Macon weekly to conduct the former, and another member
to Elberton monthly, except during the summer vacation
period of the Elberton School.
20
EIGHTY-THIRD ANNUAL REPORT
During the Summer there developed 23 cases of smallpox among the colored female population, but prompt isolation and vaccination prevented its spread and further development. No other epidemic of illness of any consequence
occurred during the year.
Occupation Therapy has proven of value as an aid in
the treatment of mental disease, and we continued this feature
of treatment throughout the year, and I think we are gradually making some progress. Individual attention to a population as large as the Sanitarium's is a tremendous problem,
and the limited means at our disposal rather limits the scope
of activity in this department. Some increased interest and
attention were given to habit training in chronic cases.
Also during the year we begun the construction of an
additional wood work shop at white male occupation park.
This building is being constructed and equipped with funds
earned in this department. In this connection I will state
that under the direction of Supervisor Roberts of the "White
Male Department over 21,000' pounds of tomatoes were grown
and gathered by patients from about IV2 acres of land.
A general review of the year's medical work with statistical tables will be found in report of Clinical Director.
Dental Department
Two full time dentists are employed to render dental
service for the institution. Each has a well equipped office—
one in the female department doing dental work for the
female population, and one in the male department rendering
dental service for the male population. The amount and
character of work done by them during the year is given
in their report.
Training School for Nurses
Our Training School for Nurses has been in active operation during the past 15 years, and during this period have
graduated 129 nurses, many of them now holding responsible
positions in various parts of the country. During the past
year we received a certificate from the American Psychiatric
Association certifying that our Training School had complied
with the standards established by the Association for school
of nursing in mental hospitals, and had been placed on the
accredited list. This is quite a compliment.
GEORGIA STATE SANITARIUM
21
During the past year the school was kept at its previous
standard, and we regard its usefulness to the institution as
indispensable.
Engineering Department
The report of the Engineer gives a detailed account of
the improvements and repairs during the year.
The new ice plant and cold storage was built and the
old cold storage rooms rebuilt, and new coils built in them.
Before we can say that this plant is completed we hope to
build a tile lined milk and butter room, and to install an
equipment for pastuerizing all milk before issuing.
During the year representatives of the Underwriters
Association made a survey of the institution with reference to
fire hazards and our fire fighting equipment. Their recommendations were adopted with some exceptions and are being
carried out. Our maintenance fund is not adequate to install
the equipment and put into effect all the items they recommended. However, a thousand gallon a minute LaFrance automobile pumper was bought at a cost of $13,000.00 to supplement our steam pump, and this equipment with additional
new hose, etc., gives us the feeling that we are better prepared to fight fire in case of need.
The completion of three officers' cottages from timber
sawed on Sanitarium grounds were items badly needed. They
are the best and most comfortable cottages ever constructed
on the Sanitarium premises Also hope to have the detached
white male infirm ward completed to accommodate about 60
patients within a few days.
Notwithstanding the employment of several extra day
carpenters and other laborers in this department throughout
the year, many needed repairs on many of the buildings had
to remain for future attention. Most of our buildings are
old, and the repair upkeep is necessarily great.
The Business Department
The report of the Steward gives an account of receipts and
disbursements of monies made during the year. The per
capita cost for the year was $234.16 compared to $229.14 the
previous year. Daily cost was 64.15 cents compared to 62.77
cents the previous year.
22
EIGHTY-THIRD ANNUAL REPORT
Total expenditure for maintenance, including every item
of cost connected with hospitalization of patients, $1,119,759.62 compared with $1,052,016.12 the previous year.
A comparative statement of the cash expenditures for
the year and that of the previous year will be found in Exhibit Nos. 7-8 of the Steward's report.
The building of three officers' cottages and a frame building for white male infirm ward to accommodate about 60 patients, the purchase of automobile fire pump, and 322.63
acres of land added several thousand dollars to our total
operating expenses, and while these items are rather capital
investments, they were badly needed, and adds materially to
the Sanitarium equipment.
Farm Steward's Department
The Farm Steward's report gives a tabulation of vegetables and other foodstuffs produced in this department during the year.
The farm and garden productions were increased compared to 'the previous year. The farm at the Colony was the
most successful we have had there. The 150 to 160 colored
male patients kept there are as a rule healthy, and seem to
enjoy the outdoor work.
Fifteen thousand, four hundred and two bushels of corn
was produced compared to 9,776 bushels the previous year.
We should be able to grind nearly enough meal to supply us
the coming year. We also had a good oats and vetch crop.
Threshed out 1,556 bushels of oats, and made 437 tons of
oat and vetch hay. Also gathered 4,423 bushels of field peas.
Killed 70,678 pounds pork compared to 42,366 pounds the
previous year.
The dairy productions also were increased—99,784 gallons milk compared to 80,688 gallons the previous year.
Additional Needed Equipment
1. To provide for 1,241 patients now in the Sanitarium
overcrowding its normal capacity, and to provide room for
future growth at a rate of at least 200 annually, and to increase the efficiency of the medical service by furnishing better
environment and equipment for the unfortunate charges com-
GEORGIA STATE SANITARIUM
23
mitted to our care, a group of five buildings is now badly
needed, viz: one hospital building and four other general
ward buildings. Estimated cost to build and furnish, $950,000.
Georgia's mental disease problem has greatly outgrown
the present capacity- of the Sanitarium, and looking to the
future I think it would be wise to begin immediately the
construction of another state hospital in some other section
of the State, as the above additions would soon prove inadequate at the present rate of growth.
2.
A central heating and power plant.
We now have seven separate boiler rooms, and it requires
seven firemen to keep them going, and an additional seven
at night in very cold weather. Our light and electric power
cost us $16,973.32 for the past year as furnished by the Milledgeville Electric Lighting Co. The present service rendered
by this Company is rather unsatisfactory due to so many interferences with current since they have begun to transmit it
from distant points. If we owned our own power plant in
connection with a central heating station it would be more
satisfactory and more economical than our present equipment.
Estimated cost, $300,000.00.
3. The present amusement hall built more than 40 years
ago has been greatly outgrown by the Sanitarium, and a larger
amusement hall is badly needed to accommodate a greater
number of patients who may be able to attend the various
types of amusement provided there from time to time. This
building should be of fire resistant construction at an estimated cost of $50,000.00.
4. The present capacity of the storehouse is too small to
provide storage for supplies for the increased growth of the
institution. I therefore recommend that an additional story
be added to the storehouse, and a modern electric elevator installed. Estimated cost, $10,000.00.
5. The principal buildings occupied by patients are old
and are three stories high. They are not of fire resistant
construction, and as a safeguard to the unfortunates locked
therein should be provided with fire escapes. Estimated cost
to provide a sufficient number of the approved type, $25,000.00.
24
EIGHTY-THIRD ANNUAL REPORT
6. The daily consumption of water by the institution
is now nearly equal to the daily capacity of the plant. Basin
sedimentation capacity as well as filtration capacity should
be increased. The Sanitarium water supply plant has been
in operation about 20 years, and the population has increased
from 3,018 to 4,848; also a duplicate water main from pumping station to Sanitarium should be provided. The single
main now in use has been in continuous service for 20 years,
and some of the piping of the main is more than 30 years
old, as it was transferred from old water supply when this
main was constructed 20 years ago; therefore, it may likely
break at any time under continuous pressure and service.
Estimated cost for enlarging plant, $20,000.00, and material
for main, $44,000,000. Total, $64,000.00.
7. The present 40,000 gallon water tank on tower at
Sanitarium is beginning to leak. It was built in 1876—more
than 50 years of continuous service. The capacity of this is
too small, and should be replaced with a higher tower and
tank of 150,000 gallon capacity. Estimated cost of tank,
tower and pumping equipment, $14,000.00.
New Legislative Matters
I respectfully call your attention to the following legislative matters that I think important for the welfare of the
Sanitarium.
1. Section 3, pages 163-4, Acts of 1918, should be revised so as to define more clearly its meaning, and eliminating
its pay feature. It should more clearly define the type of
eases that should be committed and admitted to the Sanitarium.
2. The law requiring physicians to stand a competitive
examination for election to medical staff should be repealed,
as this law was enacted years before the State Board of
Medical Examiners was created.
3. A law should be enacted empowering the Superintendent of the Sanitarium to deputize as many police officers as may be required to prevent trespassing, keep peace
and order on the Sanitarium premises.
GEORGIA STATE SANITARIUM
25
Religious Services
Religious services were held each Sunday afternoon by
the regular Chaplain. The same policy obtains as in former
year of rotating this service to the different Protestant pastors of the Milledgeville churches. During the past year the
pastor of the Presbyterian Church was Chaplain, and he
also conducted the funerals of unclaimed remains of white
patients who were interred in the Sanitarium cemetery.
The Catholic priest of Milledgeville also looked after the
religious requirements of the members of the Catholic Church.
Services and burials in the colored department were conducted by our Chaplain in that department.
Conclusion
In conclusion, I wish to express my feeling of gratitude
to the members of the Board of Trustees for their wise counsel, constant interest and co-operation for the welfare of the
institution. I also wish to express my appreciation of the cooperation and faithful services rendered by the Medical Staff,
other officers and employes who share greatly the credit for
the success of carrying on the work throughout the year.
I also wish to thank the Womens' Clubs, Knights of Columbus, and others who were so thoughtful with gifts to patients during Xmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
26
EIGHTY-THIRD ANNUAL REPORT
Report of Medical Department
JANUARY
DR.
R. C.
1, 1927.
SWINT,
Superintendent.
DEAR SIR:
The following pages contain the report, of the Medical
Department for the year 1926:
Eleven hundred and eighty (1,180) patients were admitted during the year. Of these 954 were first admissions and
226 were re-admissions. Of the latter 43 were first admitted
to other institutions either public or private.
In the case of twelve (12) patients a diagnosis of not
insane was made. Four (4) of these gave a history of alcoholism, two (2) were mentally deficient, five (5) were drug
addicts and one (1) had committed homicide. It must be borne
in mind that in some instances it is almost impossible to obtain information about patients, but this source of error has
been eliminated as far as possible.
Eight hundred and nineteen (819) patients went out on
furlough. Of this number 613 had been either restored or
had improved. This gives a recovery rate of 51.1 per cent,
as against 57 per cent, for the year 1925. The patients received in 1926 were of about the same general character as
those received in 1925.
There were 432 deaths during the year, which gives a
death rate of 7.4% as against 7% for the previous year. Arteriosclerosis with complications (hemorrhage) was the leading cause. Tuberculosis, general paralysis and broncho pneumonia were the other leading causes in the order named. One
hundred and sixty-six (166) patients died within six months
after admission and of these fifty-five (55) died within one
month after admission. This serves to show the physical condition of many of the patients at the time of admission. One
patient admitted had malaria and died from this cause two
days after he came. The actual number of deaths from tuberculosis was 40% higher than it was in 1925. The increase
GEORGIA STATE SANITARIUM
27
in actual number of deaths consisted of four in the white department and twenty-two in the colored.
The wards are becoming more and more overcrowded.
This is unhygienic, dangerous and interferes with treatment.
The overcrowding for each department is as follows: White
male, 187o (this will be less when the new frame building
is occupied) ; white female, 32% ; colored male, 37% ; colored
female, 70%. In the later department single rooms to the
number of 100 are occupied by two patients. Such rooms are
scarcely large enough for one. It seems rather remarkable
that more patients are not injured by other patients under
the circumstances. The death rate from tuberculosis is mounting, as is to be expected. This is especially true in the colored department, where the over-crowding is most marked.
We have 1,200 patients above our capacity.
Somewhat more attention has been paid to habit training
and the results have been quite satisfactory. As a result there
has been increased tidiness among the patients and the work
is of considerable economic importance. The efforts in this
line have been carried on almost altogether among the cases
of demeitia praecox of long standing. We have good reasons
to continue and increase the work along these lines.
In the latter part of the year some preliminary efforts
were made in treating paresis by the administration of foreign proteids. The results up to this time have been unsatisfactory. Typhoid vaccine has been used, being given intravenously, doses varying from 50 million up to 16 billion
have been given, but the reactions have been quite variable
and we have not yet determined any uniformity of dosage.
Fleischman Company furnished 200 pounds of yeast,
which was used during the year in treating pellagra. A more
detailed report of the results of its use is expected to be
made at another time and place. The results have tended
to confirm the observation made last year as to its value.
Drs. Goldberger and Wheeler have continued their work
with pellagra and have lent their assistance whenever requested.
Attention is called to the report of the pathologist. The
mere fact that 8,455 examinations were made in the laboratory does not convey an accurate idea of the time and work
required. The collection of specimens alone is time consuming, since the wards are so widely separated. It will be seen
28
EIGHTY-THIRD ANNUAL REPORT
also that there has been great variety in the character of the
work. It will be seen from the report that the Wassermann
test was positive in 10.9 per cent, of the newly admitted cases,
as against 13.8 per cent, for the ten-year period. The incidence of positive spinal fluids for the year was 7.1 per cent.,
as against 6.3 per cent, for the ten-year period. Co-operation
of the pathologist and his assistants has been ideal and the
aid given by them in the general medical work of the institution has been invaluable.
The weekly clinic held in Macon is now in its eighth
year. During the year of 1926, 130 new patients visited this
clinic. The number of visits totaled 430. This includes 30
visits made to patients who were not able to reach headquarters. The City of Macon furnishes a part time nurse who is
of much assistance. This nurse made 54 visits to patients
in their homes. Very satisfactory quarters are now furnished
at the City Hospital and the amount and character of the
work done has more than fulfilled our expectations. Children
make up a considerable proportion of the patients seen. It
might be added that the knowledge of the clinic has gradually
spread—largely through patients—and many come from the
surrounding towns and counties.
Clinics for school children have continued to be held at
Elberton with satisfactory results. There is one other feature
of this work that has been stressed before and that is, it gives
the physician an opportunity to see mental diseases in the
making, so to speak.
The training school for nurses has continued to function
as in former years and has fulfilled its place of usefulness in
the institution.
I wish to thank you and the Board for the generous additions to the medical equipment and for the encouragement
given.
I am glad to acknowledge an indebtedness to the medical
service as a whole for the efforts made to improved the condition of patients.
Respectfully,
N. P. WALKER,
Clinical Director.
29
GEORGIA STATE SANITARIUM
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1926
White
Psychosis.
Traumatic
Senile
With cerebral artcrio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatie disease
Manic depressive
Dementia praccox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
Colored
M.
P.
M.
P. Total
2
18
4
23
2
1
0'
8
15
15
7
7
74
42
1
20
1
0
28
10
1
2
2
0
6
0
8
14
2
126
80
1
2S
4
0
7
19
31
2
0
0
2
2
0
4
0
40
33
0
29
0
0
6
17
11
4
0
0
1
0
1
11
4
71
68
0
14
0
6
37
34
2
1
0
0
2
22
28
1
0
5
0
0
17
23
0
1
0
0
0
6
32
0
0
0
2
117
3
2
5
2
360
362
210
248
1180
2
54
90
66
10
3
0
17
17
24
36
113
311
223
2
EIGHTY-THIRD ANNUAL REPORT
30
TABLE II
Diagnostic Grouping of First Admissions During the Year 1926
Psychosis.
M.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
Colored
White
F,
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
0
21
9
1
2
M.
F. Total
0
4
0
6
10
2
79
54
0
22
3
0
7
1«
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
2
49
84
64
10
3
0
13
14
14
31
12
220
168
1
77
4
4
34
31
2
0
0
0
1
15
22
1
0
2
0
0
17
21
0
1
0
0
0
6
29
0
0
0
2
5
72
103
3
1
2
2
285
256
191
222
954
2!
GEORGIA STATE SANITARIUM
31
TABLE III
Diagnostic Grouping of Re-admissions During the Year 1926
Colored
White
Psychosis.
Traumatic
Senile ■
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
teriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Total
M.
M.
F. Total
0
3
4
2
0
0
0
1
2
8
1
1
26
IS
0
3
0
0
2
1
0
0
0
0
2
0
2
4
0
47
26
1
3
1
0
0
0
0
0
0
0
0
0
0
0
0
10
11
0
2
0
0
5
6
2
0
0
0
4
3
10
5
1
91
55
1
11
1
2
3
3
0
1
0
1
7
6
0
0
3
0
0
3
0
0
0
3
10
14
0
1
3
75
106
2<;
226
19
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1926
WHITE
Psychosis.
Male
R I
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
,
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid cond.
With epilepsy
Psyehoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Criminal, no psychosis
Encephalitis, no psychosis
Constitutional psychopathic inferiority
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
U S R I
4
11 2
i
6
2
37
0
0
0
0
11
6
0
0
0
0
0
0
0
Eemale
0
0
0
1
1
1
4
2
58
25
1
6
2
<;
18
21
0
0
0
0
0
0
0
U49 86
0
0
Male
U S
1
1
0
0
0
12
11
COLORED
3
0
0
o!
0
0
0
0
0
0; 0
6 1
2 3
0
64
39
0 0
0| 6
2! 1
3 0
1 10
5 18
0; 0
R I
U S R I
0
0
0
0
0
0
0
2
0
0
7
0
0
0
0
18
19
0
11
2
0
3
11
0
0
0
0
0
0
0
1
2
0
0
0
2
0
0
0
25
10
0
2
0
0
6
4
0
0
0
0
0
0
0
5 78146 73
6
Female
4 52 24
U S Total
0
0
0
0
0
0
0
0
0
0
4
1
20 17
3 30
0 0
1 32 64 10
2
7
16
10
6
2
0
8
15
21
21
8
306
158
2
36
10
18
71
94
1
819
H
O
X
H
«!
X
53
d
>
>
M
*d
O
W
H
GEORGIA STATE SANITARIUM
33
TABLE V
Causes of Deaths of Patients Who Died During the Year 1926.
Anaemia, pernicious
Abscess of lung
Arterio-sclerosis
Burn, accidental
Brain tumor
Brain, concussion of
Cancer, pancreas
Cancer, uterus
Cancer, stomach
Cancer, breast
Diphtheria
Dysentery, bacilliary
Dysentery, amebic
Encephalitis
Enteritis, acute
Enteritis, chronic
Epilepsy
Erysipelas
Exhaustion, acute mental disease.Gangrene of lung
Gastritis
Gangrene, intestines (Thrombosis).
General paralysis of the insane
Goiter, exopthalmic
Heart, acute dilatation
Heart, valvular disease
Hemorrhage, cerebral
Influenza
Intestinal obstruction
Meningitis, pneumococcus
Meningitis, not specified
Myocarditis, chronic
Malaria
Nephritis, chronic interstitial
Nephritis, acute
Pellagra
Pneumonia, broncho
Pneumonia, lobar
Pneumonia, not specified
Pulmonary congestion
Suicide by hanging
Surgical shock
Syphilis, cerebral
Strangulation by food
Septicemia
Tuberculosis, pulmonary
Tuberculosis, of spine
Tubercular peritonitis
Unknown
Total-
White
Colored
M
M
0
0
23
0
0
0
1
0
0
0
0
0
0
2
4
1
7
0
2
0
1
1
10
0
1
0
1
26
0
1
1
0
0
0
0
1
1
6
0
6
13
5
0
2
1
1
0
1
1
7
0
0
3
0
0'
12
1
0
0
0
3
1
1
0
1
0
2
2
1
4
1
2
0
0
0
3
1
1
2
6
1
2
0
0
0
0
1
1
7
13
6
2
0
2
1
0
0
0
9
0
0
0
112
89
1
0
0
0
0
Total
1
0
8
1
2
1
0
0
36
0
0
1
9
0
2
1
0
2
0
1
0
3
4
5
1
0
0
0
0
0
1
25
0
1
0
1
0
5
0
0
0
0
1
1
1
0
0
0
0
2
0
6
0
3
0
0
0
10
0
0
0
7
0
0
0
1
7
0
3
0
10
6
4
0
0
0
0
2
0
0
19
1
2
3
1
1
66
1
1
1
1
4
2
2
1
1
1
4
9
2
25
2
9
1
1
1
59
1
2
136
95
432
0
1
0
9
27
2
4
1
1
9
1
11
1
26
36
20
03
2
3
2
2
1
2
60
1
3
6
EIGHTY-THIRD ANNUAL REPORT
34
TABLE VI
Admissions From the Various Counties During the Year 1926.
Appling
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dawson
Decatur
DeKalb
Dodge
White
Colored
M
M
0
1
0
2
4
0
3
3
0
8
0
3
1
1
2
2
0
2
1
2
1
10
2
2
14
3
3
2
0
2
0
3
3
1
0
2
4
3
4
1
4
9
3
F
0
0
1
6
1
1
4
6
2
11
1
0
2
0
1
0
1
0
0
0
2
7
1
1
19
3
3
2
0
3
0
6
0
3
2
0
1
1
3
1
0
6
3
1
0
1
3
0
1
1
0
1
10
0
0
3
0
4
6
2
0
1
3
1
0
0
0
23
0
0
2
2
1
1
1
0
1
0
0
2
3
2
0
0
0
1
F
0
0
0
4
0
0
0
2
0
10
1
1
1
0
1
3
3
1
0
0
2
0
1
0
27
0
1
4
0
0
1
2
3
1
3
3
7
3
1
0
1
2
3
Total
1
1
2
15
5
2
8
11
3
39
2
4
7
1
8
11
6
3
2
5
6
17
4
3
83
6
7
10
2
6
2
12
6
6
5
5
14
10
10
2
5
17
10
GEORGIA STATE SANITARIUM
35
Admissions From the Various Counties During the Year 1926.
(Continued.)
Dooly
Dougherty
Douglas _.
Early
Effingham
Elbert
Emanuel _.
Tannin
Fayette ...
Floyd
Forsyth __
Franklin ..
Fulton
Gilmer
Glascock _.
Glynn
Gordon ...
Grady
Greene
Gwinnett _
Habersham
Hall
Hancock .
Haralson .
Harris
Hart
Heard
Henry
Houston __
Irwin
Jackson ._
Jasper
Jeff Davis
Jefferson _
Jenkins ...
Johnson _.
Jones
Lamar ...
Lanier
Laurens -.
Lee
Liberty ___
Lincoln ...
White
Colored
M
M
3
0
2
5
0
6
2
3
1
8
2
4
37
1
1
1
2
1
0
6
1
2
1
7
1
0
2
1
0
0
5
2
1
3
2
2
2
1
0
4
0
0
1
1
2
1
0
1
0
3
1
1
9
1
2
35
2
0
1
1
2
3
4
4
10
1
1
2
2
2
2
2
0
6
2
0
1
0
5
0
1
1
6
1
0
4
2
1
0
1
2
0
1
0
1
4
0
0
16
0
0
1
0
8
0
0
0
0
5
0
2
0
1
0
4
1
0
0
0
1
1
1
0
0
1
0
1
2
2
F Total
4
3
1
1
0
2
1
0
0
1
0
0
23
0
0
0
0
1
2
0
0
1
3
0
1
0
0
0
1
0
1
0'
0
3
4
3
1
0
0
0
1
1
0
10
6
4
9
3
8
7
4
3
22
3
6
111
3
1
3
3
7
5
10
5
13
10
8
6
2
5
3
7
1
12
4
1
8
7
11
3
2
2
10
3
3
7
36
EIGHTY-THIRD ANNUAL REPORT
Admissions From the Various Counties During the Year 1926.
(Continued.)
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether _
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee ___
McDuffie
Mclntosh ...
Newton
Oconee
Oglethorpe .
Paulding _„_
Piekens
Pierce
Pike
Peach
Polk
Pulaski
Putnam
Randolph __
Richmond __
Rockdale ___
Schley
Screven
Seminole __.
Spalding .__
Stephens ___
Stewart __._
Sumter
Talbot
Taliaferro ..
Tattnall _...
Taylor
Telfair .....
Terrell
Thomas ....
White
Colored
M
M
3
1
0
3
1
6
3
2
1
0
2
2
1
5
1
0
2
0
1
2
1
1
4
0
3
1
3
1
S
2
1
2
2
3
2
5
1
0
0
3
1
3
0
3
F
2
0
2
3
0
7
0
1
1
1
1
2
0
10
1
0
4
3
0
6
1
1
3
2
2
0
1
2
11
2
1
4
1
5
0
1
2
1
2
2
3
1
1
2
6
0
2
1
0
1
1
0
0
1
1
1
0
4
0
1
2
0
4
0
0
1
1
5
0
2
4
0
21
0
0
2
0
1
1
0
6
0
3
1
0
4
0
0
F
4
0
2
0
0
2
1
0
2
2
2
2
0
5
2
0
4
1
1
0
0
1
0
0
2
0
4
4
4
0
0
4
0
3
0
1
2
0
2
1
0
1
5
4
Total
15
1
6
7
1
16
5
3
6
4
6
7
1
24
4
1
12
4
6
8
2
4
8
7
7
3
12
7
22
4
2
12
3
12
3
7
11
1
7
7
4
9
6
9
GEORGIA STATE SANITARIUM
37
Admissions From the Various Counties During the Year 1926.
(Continued)
Tift
..
Toombs
Towns Treutlen _ _ __ .
Troup _ _
Turner ____
Twiggs
Union
Upson _
Walker
Walton
Ware
Warren
.____.
Washington
___
Wayne
Webster
Wheeler
White .
Whitfleld
_
Wilcox
Wilks
Wilkinson
Worth
Total
_
.
White
Colored
M
M
P
P
Total
1
2
1
2
5
4
1
1
2
5
1
4
1
2
2
1
0
1
1
2
2
1
1
2
1
0
0
3
2
2
1
2
3
2
0
2
3
0
1
1
1
4
3
1
3
1
1
0
0
0
2
1
0
0
2
0
3
1
1
0
0
0
3
0
1
1
1
1
1
3
0
0
0
4
1
2
0
1
1
0
3
2
2
0
1
0
0
1
1
3
2
2
7
3
1
14
8
5
2
7
9
6
8
6
7
2
3
4
2
7
7
7
7
5
360
362
210
248
1180
2i
38
EIGHTY-THIRD ANNUAL REPORT
TABLE VII
Nativity of All Patients Admitted During the Year 1926.
White
Colored
M
F
M
F
8
0
0
1
321
1
0
0
1
1
2
0
0
1
20
1
2
1
1
1
1
0
0
2
200
0
0
0
0
1
0
0
0
0
3
0
0
1
0
0
3
25
1
0
1
1
8
3
229 1065
1
0
1
0
1
0
1
0
4
0
2
10
1
0
1
1
1
0
R
42
0
1
0 !
5
0 !
5
0
1
1 i
5
362
210
?48 ! 11 SO
Alabama
13
Austria
____.
_______
1
California ___ ______
0
Florida _ __
2
Georgia _ _
__ ____
___ 315
Indian Territory _ __ _
0
Indiana
__
1
Kentucky _____
_ _
_ _
1
Missouri
_
0
New York __
2
North Carolina . ____
6
Oklahoma
_ __ _
1
Ohio ...
0
Eussia _____
0
South Carolina
__ _
11
Syria _
0
Tennessee ___ _____
3
Virginia
__
_ __ __
3
West Virginia
_ _
0
Not given
__ _
1
Total
__
_
360
Total
1
39
GEORGIA STATE SANITARIUM
TABLE VIII
Classified Occupation of Patients Admitted During Year 1926.
Agricultural Pursuits:
Farmers
Farm Demonstrator
Nurseryman
Dairyman
Professional Service:
Dentist
Druggist
Lawyer
Physician
School teacher
Trained nurse
Domestic and Personal Service:
Beauty parlor operator
Barber
Boot Black
Chauffeur
Collector
Decorator
Delivery Boy
Fireman
Housekeeper
Janitor
Laborers
Laundress
Linotype operator
Milliner
Newsboy
Photographer
Pullman porter
Porter
Policeman
Reporter
Seamstress
Servants
Shoe repairer
Upholsterer
Watchman
Waitress
Waiter
X-Ray operator
Trade and Transportation:
Clerk
Cashier
Candy packer
Contractor
Express agent
Draftsman
White
Colored
M
M
F Total
F
146
1
1
1
9
0
0
0
58
0
0
0
14
0
0
0
227
1
1
1
1
1
4
5
1
0
0
0
0
0
3
3
0
0
0
0
0
0
0
0
0
0
2
0
1
1
4
5
6
3
1
0
0
2
0
0
1
0
1
0
2
0
0
0
0
0
0 230
0 '0
0
20
0
0
1
0
1
0
1
0
1
0
0
0
0
0
0
2
1
0
0
2
1
0
0
1
1
0
0
1
1
0
0
1
1
3
0
0
1
1
0
4
85
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
S2
0
1
11
0
0
0
1
2
0
0
2
1
1
0
0
0
0
0
0
1
3
1
4
1
2
1
1
312
4
142
18
1
1
1
1
1
2
2
1
2
29
1
1
1
2
1
1
0
0
0
0
0
0
0
0
0
0
0
0
13
1
1
0
1
2
37
18
0
0
0
0
0
0
0
0
0
28
0
0
0
1
40
EIGHTY-THIRD ANNUAL REPORT
Classified Occupation of Patients Admitted During Year 1926.
(Continued.)
Mattress tacker
Merchant
Moulder
Post Office clerk
Printer
Railroad agent
Railroad employes
Real estate agent
Salesman
Saleslady
Shipping clerk
Special railroad agent
Stenographer
Street car conductor
Telegraph operator
Telephone operator
Truck driver
Tailor
Manufacturing and Mechanical Pur
suits
Blacksmith
Brickmason
Carpenter
Harness maker
Painter
Plumber
Mechanic
Food and Its Kindred Products:
Baker
Cook
Textiles:
Cotton mill operators
Cotton grader
Lumber and Its Manufacturers:
Cabinet worker
Miscellaneous:
Basket maker
Convict
Market keeper
Peddler
Pauper
Stone mason
Student
Tire chopper
None
Unascertained
Total
White
Colored
M
M
Total
0
9
1
1
3
0
5
2
15
0
0
1
1
1
3
1
2
0
1
12
2
1
3
0
5
2
IS
1
0
1
2
1
4
1
3
2
1
0
11
1
3
2
6
0
0
0
0
0
0
0
1
1
16
1
3
2
6
1
0
0
21
1
22
9
2
0
0
18
2
0
0
0
1
0
0
2
0
64
1
0
0
0
0
0
0
3
0
86
4
1
1
1
0
1
1
1
1
31
2
0
0
0
0
0
0
5
0
36
3
21
10
360
362
210
248
1180
mm
41
GEORGIA STATE SANITARIUM
TABLE IX
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
White Male Population.
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis __
General parlysis of insane.With cerebral syphilis
With Huntingdon's chorea—
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condidition
With epilepsy
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Total.
UnOver ascer70 70 tained Total
Under
20
2
0
0
0
0
0
0
0
0
0
2
0
0 0
0 0
0
0
0
0
0
6
0
0
3
0
0
0
0
0
0
0
0
2
IB
40
21
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
13
7
6
6
48
27
0
0
0
0
0
0
1
17
1
0
0
0
0
0
0
0
4
34
31
2
23
0
2«5
1
0 0
6 2
1 0
2
16
2
0
31
0
9
112'
0
0
0
0
1
71 46 10 12 32
42
EIGHTY-THIRD ANNUAL REPORT
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
Cerebral artesiosclerosis
General paralysis of insane.
With cerebral syphilis
With Huntington's chorea.._
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses.
With constitutional psychopathic inferiorty ...
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis.
Total
Un- I
Under 21 31 41 51 51 Over ascer-l
20 80 40 50 60 70 70 tained Total
0
0
0
0
0'
0
0
0
0
0
0
0
1
0
0
0
1
1
1
0
0
0
1
2
0
0
0
0
0
8
5
0
0
0
0
0
12
1
0
0
0
0
0
0
0
0
0
0
0
0
21
9
1
2
2
0
0>
0
0
0
1
3
2
3
0
3
4
0
22
22
1 0
0 0
1 1
5 1
1 0
19 25
13 11
0
0
1
0
0
8
6
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
6
10
2
79
54
0
9
0
0 0 0 0 0
5 5 2 1 0
2 1 0 0 0
0
0
0
0
0
0
0
22
3
1
3
1
0
0
0
7
4
0
1
Oj 0
0
0
0
0
0
0
0
0
0
0
1
15
22
1
2
74 57 51 25 16
13
0
256
20
0
0
0
0
1
1
0
0
1
7
1
0
0
2
5
0
1
0
2
4
0
0
0
1
0
43
GEORGIA STATE SANITARIUM
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Un- 1
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis __.
General paralysis of insane
With cerebral syphilis
With Huntington's chorea..
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses.
With constitutional psychopathic inferiority ...
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis...
Total
Over ascer70 tained Total
Under
20
0
0
0
1
0
0>
0
0
0
0
0
0
0 0 10
0 1
0
9
0
0 0
5 2
0 0
0 0
1 1
Oi 0
0
12i
2
0
0
33
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
32
30
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
17
21
0
1
1
0
0
50 35 33 20 13
0
7
18
31
2
0
0
0
0
5
0
0
0
0
1
0
0
0
1
1
191
44
EIGHTY-THIRD ANNUAL REPORT
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
Senile
With cerebral ateriosclerosis
General paralysis of insane.
With cerebral syphilis
With Huntington's chorea...
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psyehoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified __
Not insane
Mental deficiency, no psychosis
TotaL
UnOver ascer
70 tained Total
Under
20
0
0
0
2
0
0
0
0 0
0 0
0
0
1
2
0
15
1
10
0 0
0!
4
2
17
1719
0
3
0
o| 0
a 2
I
I
0
0
1
II 1
0 0
0 0
G 2
0 0
0
1
3
0
30
0
0
0
2
1
0 0
0 0
57
0
0
0
0
0
0
0
0
6
17
11
4
0
0
0
0
0
0
0
0
0
1
0
1
11
4
61
57
0
0
0
0
12
0
0
0
0
0
0
6
29
0
222
45
GEORGIA STATE SANITARIUM
TABLE X
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Male Population.
MALE
T3
Psychosis.
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insaneCerebral syphilis
Huntington's chorea
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
Due to pellagra
With somatic disease
Manic depressive
Dementia praecox
--Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses—
With
constitutional
pschopathic inferiority
With mental deficiency
Unclassified
Not insane
Total
TO o
o 2
c
c
g£
x
■SOQ
2
15
0 40
1 21
2
0
1
0
0
0'
1
1
4
0
0
0
0
2
3
0
0
0
0
7
19
1
1
1
1
3
12
13
0
0
0
0
0
0
0
0
1
0
0
0
2
0
3
0
5
5
1
4
19
15
0
0
2
2
0
0
4
5
1
1
0
2
1
3
1
3
0
2
0
2
1
19
3
0
5
0
0
0
0
0
6
0
0
4
1
0
24
1
0
0
0
0
0
1 44
8 I 85 107
1
4
1
0
1
1
1
2
0
0
3
0
0
0'
7
0
13
7
6
6
48
27
1
2
0
0
0
0
0
0
0
1
17
1
0
0
3
0
0
0
0
0
1
1
4
34
31
2
25
12
0
2
0
0
0
1
0
0
0
0
0
1
0
46
EIGHTY-THIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
T3
Psychosis.
© O
S.g
©
Traumatic
Senile
Cerebral arteriosclerosis .""
General paralysis of insane __
Cerebral syphilis
Huntington's chorea
"
With brain and nervous dis
ease
With brain tumor" .1..
Due to alcohol
" ""
Due to drugs
With pellagra
"_~
"
With somatic disease _
Manic depressive
Dementia praecox _""""" "_ '
Paranoia or paranoid condition
With epilepsy
"""_
Psychoneuroses or neuroses"
With
constitutional
pschopathic inferiority
With mental deficiency.
Unclassified
Not insane
""""
Drug addict, not" insane"!"
TotaL
0
5
3
0
1
1
0
2
0
0
0
0
5
3
0
0
0
0
0
0
0
0
0
0
0
o
o
3
0
0
4
5
1
47
32
0
0
0
0
3
3
1
1
0
5
0
0
0
0
0
7
0
in
0
11
2
0
0
0
0
0
0
0
1
6
0
0
1
8
13
1
1
35
1
0
n
o
0
0
0
0
0
0
l
3
1
16
9
1
4
w
0
5
3
0
1
0
1
1
o
o
3
0
0
54 113
0
0
1
0
1
22"
1
0
0
0
0
0
21
9
1
2
0
0
3
2
0
0
0
0
0
0
0
0
79
'54
0
0
0
0
0
0
0
22
3
0
0
0
0
0
0
0
0
0
0
1
15
22
1
2
1
0
0
4
0
0
6
10
2
25fi
47
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
Psychosis.
o
o
°2
<5
"Si «
a
o
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With
constitutional
pscho
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Total
0
0
6
12
0
0
0
7
18
31
2
0
0
1
0
1
o
91
I
0
1
0
17
14
0
4
0
32
30
0
8
0
0
26
0
0
2
4
0
0
0
17
21
0
1
65
12
1C 191
48
EIGHTY-THIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
Psychosis.
§
•a *<
1
cafe:
yen
CO r*
3
Traumatic
0
Senile
6
Cerebral arteriosclerosis
9
General paralysis of insane
3
With cerebral syphilis
1
With Huntington's chorea
0
With brain and nervous dis
ease
0
With brain tumor
0
Due to alcohol
0
Due to drugs
0
With pellagra
3
With somatic disease
1
Manic depressive
;
11
Dementia praecox
9
Paranoia or paranoid condition
0
With epilepsy
7
Psychoneuroses or neuroses
0
With
constitutional
pschopathic inferiority
0
With mental deficiency
4
Unclassified
9
Not insane
~_ 0
Mental deficiency, no phychosis 2
Total
65
o
0
0
4
4
2
0
0
0
2
2
1
0
0
2
2
0
0
1
0
0
0
4
1
30
32
0
0
0
0
1
2
IS
0
0
0
0
2
0
1
0
6
17
11
4
0
2
1
0
0
1
11
4
61
57
0
3
0
0
0
0
0
12
0
0
2
10
0
0
0
0
2
0
0
0
6
29
0
2
93
11 222
49
GEORGIA STATE SANITARIUM
TABLE XI
Environment of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
White Population.
FEMALES
MALES
Psychosis.
O
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insaneCerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses—
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis
Total
68 197
2
15
40
21
2
1
0
7
13
7
6
6
48
27
0
21
9
1
2
2
0
4
0
6
10
2
79
54
1
17
1
0
22
3
4
34
31
2
0
1
15
22
1
2
285 100 1S6
256
50
EIGHTY-THIRD ANNUAL REPORT
Environment of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
Colored Population.
MALE
a
a?
>
Psychosis.
a
a "3
u
.a
t-,
a
&
Traumatic
0 0
Senile
2
5
Cerebral arteriosclerosis
6 12
General paralysis of insane... 17 14
Cerebral syphilis _ __
1
1
Huntington's chorea
0
0
With brain tumor .
0
0
Brain and nervous disease
1
0
Due to alcohol ...
0
1
Due to drugs
. _
0
0
With pellagra
2
2
With somatic disease
0
0
Manic depressive _
9 23
Dementia praecox .
14 14
Paranoia or paranoid condition 0
0
With epilepsy _.
6 20
Psychoneuroses or neuroses... 0
0
With constitutional psycho
pathetic inferiority .
0
0
With mental deficiency
4 13
Unclassified _.
7 13
Alcoholism, no psychosis .
1
0
Mental deficiency, no psychosis 0
0
Total
FEMALE
70 118
3
o
a
>
3
o
"3H
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
0
0
0
0
0
6
29
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
3
7
2
2
0
0
1
0
0
5
1
26
23
0
1
0
M
0
3
8
8
2
0
0
0
0
1
6
3
35
34
0
11
0
0
0
1
0
0
0
17
21
1
0
0
2
14
0
1
0
4
15
0
1
EH
3 191
3
a
03
,a
88 131
o
"3
©
&H
3 222
51
GEORGIA STATE SANITARIUM
TABLE XII
Economic Conditions of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Population.
FEMALE
MALE
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane.With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With episelpsy
Psychoeuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis
Total
L 4 148 126
Oi
0
0
0
2 -0
40 29
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0
22
3
1
15
22
1
2
7 285
5124125
2256
EIGHTY-THIRD ANNUAL REPORT
52
Economic Condition of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Population.
MALE
FEMALE
-o
a>
T3
C1
U
Psychosis.
o
"3
in
so —
o &
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane__
With cerebral syphilis
With Huntington's chorea __
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Mental deficiency, no psychosis.
Total
a
73
o
a>
M
o
n 0
2 5
5 13
12 19
0 1
0 0
0 0
0 1
1 0
0 0
3 1
0 0
24 7
21 7
0 0
14 11
0 0
0
0
0
0
0
0
0 0
2 15
9 11
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 93 91
03
03
hi
03
a
P
0
0
0
0
1
0
0
0
0
0
0
0
1
2
0
1
0
-t-3
S3
a
<*>
a
T3
«, s
n
o
e o S
Q
o
0'
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0 0
0 17
1 21
0 0
1 1
0 0
a
o
0
0
o
0
0
0
0
0
0
0
0
2
0
0
0
a
a>
o3
a
&
0 0 0 0
1 5 0 6
10 7 0 17
5 6 0 11
2 2 0 4
0 0! 0 0
0 0 0 0
0 l! 0 1
0 oj 0| 0
1 0 0 1
6 3 2' 11
1 3 0 4
41 19, 1 61
36 19, 0 57
0 0 0 0
3 9 0 12
0 0 0 0
0 0 0
0 1 5
0 12 15
0 0 0
0 0 0
0 1 1
7 191 I 2 120 95
0 0
0 6
2 29
0 0
0 0
0 2
5
TABLE XIII
MALES
Civil Condition of First Admissions During the Year 1926.
Classified With Reference to Principal Psychoses.
White Population.
Psychoses.
Traumatic
_______________
______________
Senile
___._______„_______
_
Cerebral arteriosclerosis
________________
General parlysis of insane -___________
With cerebral syphilis
_ _
_ _ _ _
With Huntington's chorea
- _ __ _
With brain tumor _
With brain and nervous disease. _
_________
Due to alcohol
______
____
Due to drugs
_
_____
______
With pellagra
_
_____
With somatic disease _
Manic depressive _
_
Dementia praecox __
Paranoia or paranoid condition _ _
With epilepsy
_
_____
_
_
_ _
_
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency _
_.____..__
Unclassified _
_ __
Not insane _
_
___
__ __ _
Drug addict, no psychosis
_ __ _ __
Total
T3
03
a
__
•a
<_>
o
S3
FEMALES
T3
T3
u
O
5
_>
+_
03
_4
03
_.
_>
GO
0
8
25
18
0
0
0
4
11
6
5
4
21
5
0
5
0
1
4
16
2
0
0
5
13
0
0
0
0
0
0
0
1
0
1
0
1
1
0
0
1
2
0
0
0
0
0
0
0
0
0
1
0
0
0
0
2
1
0
0
1
0
0
1
0
0
1
1
0
0
1
0
0
1
1
1
0
2
1
2
0
1
0
0
0
1
0
0
105 135
25
6
13
1
1
2
Q
0
1
1
0
1
1
0
5
0
22
19
0
10
0
3
29
11
0
0
s_-0
T3
03 03
°E
u
a> <_■
O fl
&
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
"3
+_
o
■__
a
EH
33
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
4
34
31
2
0
0
5
2
0
1
2
0
1
0
1
0
0
15
16
0
13
0
1
12
3
0
2
1 285
03
73
o
-a
<_>
(_>
n
o
>
5
■a
O)
03
t-t
03
&
<_>
(_-0
<_>
a
W _-"
03 033
a-*-
GO
03
•+_
o
H
©
0
£'
0
6
1
1
0
0
0
2
0
3
10
2
54
30
0
7
2
0
3
14
0
0
0
10
5
0
0
0
0
1
0
1
0
0
9
3
0
1
0
0
0
3
1
0
0
0
1
0
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
4
0
1
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72 137
34
4
9
0 256
21
9
1
?,
?,
0
4
0
6
10
9,
79
54
0
22
3
1
15
n
1
9
M
O
Pi
_o
► _.
H
w
>
►
23
FEMALES
MALES
Civil Condition of First Admissions During the Year 1926.
Classified With Reference to Principal Psychoses.
Colored Population.
a
Psychoses.
Ul
DQ
VI «*2
IB 03
a-*
P
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
17
21
0
1
0
Traumatic
Senile
With arteriosclerosis
General parlysis of insane
Cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiorityWith mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Mental deficiency, no psychosis
Total.
fc.T3
u H
o a
ca is
90
62
14
0
23
2 191 I 58
37
3
o
0
0
1
2
1
0
0
1
0
0
2
1
8
13
0
3
0
0
2
3
0
0
0
0
0
0
6
0 17
1 11
4
0
0
0
0
0
1
0
0
0
1
0
0 11
4
0
0 61
0 57
0
0
0 12
0
0
0
0
6
0
0 29
0
0
0
0
2
0
37
1 222
H
(—I
O
X
H
K|
H
X
a
>
y,
a
>1
cto
H
O
55
GEORGIA STATE SANITARIUM
TABLE XIV
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
White Male Population.
MALE
Psychosis.
a
*?
Traumatic
Senile
Cerebral arterio-sclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition___
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
1
5
0
0
0
0
0
0
1
0
1
1
0
1
0
0
2
0
0
3
0
0
3
1
0
0
0
0
0
0
2
1
3
0
18
22
12
0
0
0
2
0
0
5
1
14
0
3
0
11
0
a
0
3
1
0
10 11 12 19 21 35
14
0
1
6
6
0
112
EIGHTY-THIRD ANNUAL REPORT
56
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
Psychosis.
§
S
Traumatic
Senile
With cerebral arteriosclerosis—
General parlysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
.
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
4
0
1
4
0
2
3
0
0 0
0 13
0 10
0 3
0 1
0 0
0 0
0 1
0 0
0 1
0 7
0 1
2 15
C
G
1
3
0
0
0
0
0
0
1
0
7
3
0
2
0
5 14 19 13
1 14
0
10
0
0
0
0
0
0
0
0
0
1
0
1
1
11
0
18
89
57
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition,..
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
4
9
0
0
0
a
o
0
1
0
0!
0
4
2
0
1
0
1
0
0
5
6!
2
2'
Oj
0
2
6
0
0
0
0
Oj
0
0
1
0!
01
0
0!
1
0
1
0
0
0
0
0
0
0
0
19
36
4
0
0
0
1
0
3
1
10
10
0
14
0
1
11
17
0
6 28 20 22 25 18
1136
EIGHTY-THIRD ANNUAL REPORT
.58
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
Psychosis.
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition...
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
3
1
0
0
0
0
0
3
1
4
10
0
1
0
0
1
4
0
21 28 1G 10
0
3
11
10
1
0
0
0
0
0
10
1
11
22
0
6
0
0
6
14
0
95
59
GEORGIA STATE SANITARIUM
TABLE XV
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
White Male Population
MALE
A
a
J3
n
Psychosis.
s*—<
-M
*H
O
SO
_
CM
03
Of
I—1
0
+J
o -t^>
o
-t^
+J
1—1
to
«5
0 0
3 8
4 10
1 4
0 0
0 0
0 0
0 0
3 1
0 1
2 2
0 1
0 0
0 2
0 0
0
1
3
0
a;
U
03
a?
cfi
CS1
o
a
t=
Total
S
«
>o
Traumatic
Senile
Cerehral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.—
With epilepsy _—
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
.
ao
a
o
0
2
2
3
0
1
C
0
c
c
1
0
~H
8 8
o
o
w
l>
o
0
18
22
12
0
2
0
0
5
1
14
14
0
11
0
0
3
2
1
0
0
()
0
0
0
2
0
1
6
6
0
0
1
2
0
17 32
f-
10 19
10
6112
EIGHTY-THIRD ANNUAL REPORT
60
Duration of Hospital Kesidence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
p
Psychosis.
CO
U
03
a aIN
§
a
a
o
a
o
-M
i—t
cu
<a
a
o
©
+a
to
+J
P
Total
+3
si
tn
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
With brain and nervous disease..
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With episelpsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
A
CO
n
TH
1
4
0
0
0
0
0
0
0
1
5
0
1
1
1
1
0
1
0
0
0
0
0
0
0
0
1
1
0
0
9 14
2
3
1
1
0
0
0
0
0
1
1
0
3
03
o
h
o
o
-M
c 0
0
0
0
0
0
0
0
CO
O)
>
0
13
10
3
1
1
0
1
7
1
15
14
0
10
0
1
(I
0
0
1
1
11
0
9 16
89
61
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
n
a
n
Psychosis.
a
t>
Total
Vi
^3
.C
'Jl
u
-M
a
o
3 uo
^ §
a>
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.._
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
aj
tH
03
S*
to
o
O
-M
-M
1—*
«5
C3
i*
<M
>H
io
O
-M
rH
O
+-*
C^
O
o
W5
1
5
9
14
1
0
0
0
0
2
0
2
1
0
4
0
o; o
o o
oj o 19
0
1
11
17
0
0
0
o| 0
0
0
0
0
0
0
1
1
0
0
15 40 16 20 19 17
0 36
0 4
3
0
0
1
0
3
1
10
10
0
14
0
6136
EIGHTY-THIRD ANNUAL REPORT
62
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
.C
Psychosis.
W
a
J3
s
a
o
rH
ti
CJ
T1
a
&
s
'/.
c
—
CG
U2
~
a
a*
(*
tn
es
>H
(H
>H
1—1
(M
'O
0
+■>
-M
O
-M
o
-M
0
+J
i-H
cc
r~i
IM
lO
TH
<l
IN
Traumatic
Senile
Cerebral arteiosclerosis
General paralysis of insane
With cerebral syphilis
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition—
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
VI
CO
o
(4
a>
>
o
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
3 1
0 0
0 1
3 13
0 0
0 2
0 0
0
3
11
10
1
0
0
0
0
10
1
11
22
0
6
0
0
1
1
0
0
6
14
0
0
0
1
0
14 25 10
R
o
8 20 12
3 95
GEORGIA STATE SANITARIUM
63
Report of Pathologist
FOR THE YEAR
DR.
R. C.
1926
SWINT,
Superintendent.
DEAR SIR:
The Report of the Pathological Laboratory for the year
1926 follows:
Summary
SEROLOGICAL EXAMINATIONS
Blood, Wassermann
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
:
(Noguchi) reaction
Wassermann reaction
Colloidal Gold reaction
Globulin estimation
Cell Count
1,555
387
387
387
387
CLINICAL LABORATORY EXAMINATIONS:
Urine, routine analysis
2,457
Urine, renal function test
6
Urine, Special chemical examination
120
Feces, for parasites or ova
895
Feces, for occult blood
5
Blood, chemical examination
8
Blood, for malaria parasites
116
Blood, counts—red, white, or differential
908
Blood, coagulation time determination
5
Blood, hemoglobin estimation
60
Blood, reticulocyte count
1
Blood, fragility tests
1
Blood, type determination
.
17
Sputum, for tubercle bacilli
193
Milk, butter fat determination
81
Gastric Contents, chemically and microscopically——-7
64
EIGHTY-THIRD ANNUAL REPORT
BACTERIOLOGICAL EXAMINATIONS:
Blood, culture
Blood', agglutination tests for B. typhosus, etc
Urine, culture
Feces, culture
Exudates, culture
Exudates, microscopically
Exudates, dark field examination for T. palhdum
Exudates, animal inoculation
Milk, bacteria count
Vaccines, Autogenous
17
102
^
rt
bi
l
6
8
°*
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL
Necropsies
;—
Postmortem examination of laboratory animals
Surgical Tissue
Total number of examinations
:
35„
»
_
8,455
Note—In addition to the total number of procedures
enumerated above, 407 cadavers were embalmed by the technicians who are also licensed embalmers.
Serological Examinations
There were 1,555 specimens of blood examined for the
Wassermann reaction, of which number 1,177 were secured
as a matter of routine from patients upon their admission to
the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
Sex
Race
Female
White
Male
White
Colored Female
Colored Male
Total
Number
Examined
380
331
248
218
Number
Positive
(4-plus)
9
27
45
47
Percentage
Positive
2.4
8.2
22.5
21.5
1,177
128
10.9
There were examined 387 specimens of cerebrospmal
fluid, of which number 282 were obtained from patients admitted during the year. A routine examination of this fluid
is made in the case of each patient whose blood reacts positively to the Wassermann test.
GEORGIA STATE SANITARIUM
65
TABLE II.—Incidence of Serological Neurosyphilis in
Patients Admitted During Year 1926.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number
Examined
380
331
248
218
1,177
Number
Positive
3
21
14
31
84
Percentage
Positive
0.7
6.3
5.6
14.2
7.1
Note—The term "Positive" denotes the occurrence of a
positive Wassermann reaction upon the cerebrospinal fluid,
and usually also other serological indications of neurosyphillis
as well.
Reference to Tables I and II will show that 33.3 per cent,
of the white women, 77.8 per cent, of the white men, 31.1 per
cent, of the colored women, and 65.9 per cent, of the colored
men, whose blood reacted positively to the Wassermann test
upon admission also gave serological evidence of sypillis of
the nervous system.
From an analysis of our serological findings for the 10year period, 1916-1925, certain outstanding facts appear which
would seem to be of sufficient general interest to warrant
their publication. During this period there were made 10,881
routine Wassermann tests upon the blood serums of newlyadmitted patients. Of this number, 1,506, or 13.8 per cent,
gave 4-plus reactions, and serological evidence of syphilis of
the nervous system occured in 695, or 6.3 per cent. Exclusive
of the neurosyphilitic group, positive Wassermann reactions
were obtained in 8 per cent, of patients. This does not imply
that syphilis is an important factor in the genesis of psychoses
other than frankly neurosyphilitic ones. The fact that there
is a somewhat constant percentage of syphilis in all of the
various non-syphilitic psychoses suggests that this proportion
of syphilis is incidental rather than causative. Perhaps it
may reflect to some extent the prevalence of syphilis
in the adult general population of the state. Tf we
assume that 3 per cent, of all syphilitics develop neurosyphilis,
and that no neurosyphilitics fail to arrive eventually at the
Sanitarium, then there must be at least 2,500 new cases of
syphilis in Georgia annually, since there are admitted here
yearly 75 paretics and cerebral syphilitics. The incidence
of positive blood and cerebrospinal fluid Wassermann reactions in each of the various clinical groups is shown in the
following table.
EIGHTY-THIRD ANNUAL REPORT
66
TABLE III.—Incidence of Positive Blood and Cerebrospinal Fluid Wassermann Reactions in the Various Clinical
Groups.
PercentNumber
PSYCHOSES.
Examined
General paralysis of the
insane
o28
With cerebral syphillis— 104
Due to alcohol
110
With constitutional inferiority
368
Due to drugs
log
Without psychosis
88
Unclassified
923
With other somatic disease 103
With mental deficiency-.- 858
Dementia praecox
1,699
Accompanying pellagra __ 496
With epilepsy
660
Manic depressive
^,99b
Paranoia or paranoid condition
40
70s
Senile psychosis
With other brain or nervous disease
148
WSth cerebral arterioscelGrosis
oi«
With Huntingdon's chorea
32
Psychoneuroses or neuroses
140
With brain tumor
8
Total
10.881
with
4-plus
Blood
Percentage with
4-plus
Blood
576
92
16
91.7
88.4
14.5
45
19
10
83
9
74
145
40
53
236
12.2
11.9
11.3
9.3
8.7
8.6
8.6
8.1
8.0
7.8
3
51
7.5
7.2
10
6.8
38
2
6.2
6.2
Number
with
4-plus
Spinal
Fluid
age with
4-plus
Spinal
Fluid
599
89
95.4
84.5
*
*
*
*
*
*
*
*
2.8
1.506
13.8
688 (*)
6.2 (•)
♦Positive cerebrospinal fluid Wassermann reactions are
here recorded only for the general paralysis and cerebral
syphilis groups. Occasionally positive results were obtained
in other groups, but were so infrequently encountered that it
is considered more accurate to omit entirely figures for these
occasional findings.
In the series recorded above, 4-plus cerebrospinal fluid
Wassermanns were found in 73 instances where the corresponding blood finding was negative, as follows: Paresis, 52;
Cerebral syphilis, 12; Tabes dorsalis, 1; Other groups, 8.
The diagnoses with which the serological findings reported in the foregoing tabulation are correlated are those
recorded with the histories in the Clinical Director's office.
Respectfully,
E. B. SATE,
Patholopist.
67
GEORGIA STATE SANITARIUM
Report of Dental Department
MlLLEDGEVILLE, GA., JAN. 1ST, 1927.
DR.
R. C.
SWINT,
Superintendent.
DEAR SIR:
We have the honor of reporting the work done in the
Dental Department for the year ending Dec. 31st, 1926.
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl Chloride anaesthesias
Alveolotomies
Incisions sutured
Post-operative treatments
Gold fillings
Amalgam fillings
,
Cement fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Abscesses aspirated
Lancing gums over 3rd molar
Treating gums about 3rd molar
Hemorrhages arrested ......—.........—.....
4.167
2,394
635
15
189
18
163
3
179
65
51
17
5
8
1
2
19
15
43
27
2
14
26
——
7
68
EIGHTY-THIRD ANNUAL REPORT
Treatments for erosion
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Sealing teeth (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Impacted 3rd molars removed
Sequestra removed
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
3
26
38
153
1
2
33
106
12
20
12
■*"
25
3
9
°
"
'
'
45
31
5
380
1,179
1,947
8,675
Respectfully submitted,
GEORGE
J. C.
H.
GREEN,
ADCOCK,
D. D. S.
D. D. b.
GEORGIA STATE SANITARIUM
Report of Superintendent of Nurses
GEORGIA STATE SANITARIUM,
JANUARY 1ST,
DR.
R. C.
1927.
SWINT,
Superintendent Georgia State Sanitarium.
DEAR SIR:
I wish to submit the following as a report of the Training
School for Nurses for the year ending December 31st, 1926.
The School has been in progress fifteen years, and has
graduated one hundred and twenty-nine nurses.
We feel the School is indispenable to the Hospital, and
that the graduates are well educated in all departments of
nursing, and have rendered to the world valuable service.
Many of our graduates are holding places of responsibility not only in this school, but in the different schools
throughout the United States.
The Alumnae Association of the School has a membership
of sixty-two, and has been very active during the year. It
has given the school and Superintendent of Nurses hearty
support in all efforts to make it the foremost among such
institutions.
The Annual Commencement was held July 21st, at 8 :30,
in the Amusement Hall.
Mrs. Archibald P. Brantley, President of the State Federated Clubs of Georgia, gave a most pleasing class address
to the graduates.
Mr. John T. Brantley, President of the Board of Trustees,
with a talk on service, delivered the diplomas, and Mr. H. H.
Dean, Vice-President of the Board, presented the hospital
pins.
EIGHTY-THIRD ANNUAL REPORT
A reception and dance followed, music being furnished
by the Sanitarium Band.
The following nurses received diplomas.
Miss
Mrs.
Miss
Mrs.
Miss
Miss
Miss
Miss
Miss
Alethia Adams ________ Dublin,
Carrie Mills Braddock _ _ _ _ Sandersville,
Mary Ivie _________ Willard,
Mary Elizabeth Hood ______ Atlanta,
Lucy Poss ________ Washington,
Floye Louise Page ______ Stillmore,
Mildred Stewart _______ Eatonton,
Irma Smith
________ Tennille,
Lillian Happ Veal
_____ Sandersville,
6a.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
PLAN OF INSTRUCTION
The course extends over a period of three years, including three months probation and six months affiliation in the
University Hospital, Augusta, Ga., or Memphis General Hospital, Memphis, Tenn. This course consists of lectures, recitations, demonstrations, and practical work on wards, diet
kitchen, operating room and laboratory. Classes are conducted eight months each year.
CURRICULUM
First Year
Anatomy and'Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstrations
Chemistry
Dietetics
Bandaging
.
History of Nursing
Hydrotherapy
Massage
60 hours
6
26
16
24
16
20
8
10
6
10
Second Year
Nursing Ethics
Practical and Surgical Nursing
Medicine
Solutions
Materia Medica
Obstetrics
8 hours
20
22
16
jj
16
16
71
GEORGIA STATE SANITARIUM
Oral Hygiene
Mental Diseases
Dietetics
Bacteriology
Applied Bacteriology
16
16
25
16
10
_
Third Year
Eye, Ear, Nose and Throat
Surgery
Gynecology
Pediatrics
Diseases of Nervous System
6 Hours
16
16
16
16
NURSING STAFF
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Special Psychiatric Nurses
Special Attendants
Senior Nurses in School
Junior Nurses in School
Freshman Nurses in School
1
4
2
1
2
?
12
H
16
Total number of Student Nurses
Number of White Female Attendants
Vacancies
39
149
—
In conclusion, I wish to thank you for your support and
co-operation, the Medical Staff for lectures and medical services rendered the students, and all other officers who assisted
in the teaching during the year.
Respectfully submitted,
MAE
M.
JONES,
R. N. (Ohio),
Superintendent of Nurses.
EIGHTY-THIRD ANNUAL REPORT
72
Report of Pharmaceutical Department
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR:
The following is the annual report of the Pharmaceutical
Department for the year ended December 31st, 1926.
Below is shown a condensed list of manufactured products.
Tinctures, spirits and extracts
2,017 pounds
Elixirs
1,416
Syrups
781
Ointments
122
Liquors, lotion and mixtures
1,148
Library paste and mucilage
58
Medicated dusting powder
61
Indelible Ink
48
Glycerites
58
Liniments
258
Tonics
108
Tooth powder
6
Quinine, anodyne and lagrippe capsules, nlled__ll,800
Germicide
935 gallons
Fly and mosquito exterminator
375
GEORGIA STATE SANITARIUM
73
STATEMENT
Debits
Jan. 1, 1926, Inventory as of Dec. 31st, 1925
$ 5,309.36
Purchases During Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$10,707.63
Freight and Express
,_
218.24
Total
Less Goods Returned
$10,925.87
285.45
Net amount Goods purchased
$10,640.42
Total
Deducts; Inventory Dec. 31st, 1926
$15,949.78
5,644.75
Amount of goods to be accounted for
$10,305.03
Credits
Dec. 31st, 1926, Prescriptions filled for
wards, 33,073, aggregating
$ 9,823.87
Sales to Officers and Employes
481.16
Total
$10,305.03
Respectfully submitted,
J. J.
WOOTTEN,
Pharmacist.
74.
EIGHTY-THIRD ANNUAL REPORT
Report of Treasurer
DR.
R. 0.
SWINT,
Supt. Georgia State Sanitarium.
MY DEAR DR. SWINI?:
I beg to enclose below a report showing receipts and
disbursements of the Treasurer of Georgia State Sanitarium
for the year 1926.
Dec. 31st, 1925. Balance cash on
hand
$ 85,488.48
Maintenance fund received
1,100,000.00
Interest on balances
1,954.22
Homer Bivins, Steward
7,617.37
Fire Losses through the Governor__
1,287.45
Ice Plant Appropriation
20,000.00
Disbursements for the year 1926
Dec. 31st, 1926. Bal. cash on hand
$1,216,347.52
$1,169,936.02
46,411.50
$1,216,347.52
I certify that the above report is correct to the best of my
knowledge and belief.
As Treasurer Georgia State Sanitarium and as Assistant
Cashier of Exchange Bank, we certify that at the close of
business Dec. 31st, 1926, there is to the credit of Otto M.
Conn, Treasurer Georgia State Sanitarium the sum of
$46,411.50.
M. CONN,
Treas. Oa. S. S.
OTTO
H. G. BANKS,
Cash'r Exchange Bank.
Witness:
H. H.
HERNDON,
N. P., B. Co., 6a.
75
GEORGIA STATE SANITARIUM
DR.
R. C.
SWINT,
Supt. Georgia State Sanitarium.
MY DEAR DR. SWINT,
I beg to submit below a statement of the receipts and disbursements of Treasurer Georgia State Sanitarium, Patients'
Accounts, for the year 1926.
Dec. 31st, 1925. Balance cash on hand_$13,343.81
Received from Homer Bivins, Steward- 18,588.90
$31,932.71
Disbursements for the year 1926
Dec. 31st, 1926. Bal. cash on hand
$18,307.64
13,625,07
$31,932.71
I certify that the above report is correct to the best of
my knowledge and belief.
As Treasurer Georgia State Sanitarium Patients'
Accounts, and as Assistant Cashier Exchange Bank, we certify that at the close of business Dec. 31st, 1926, there is to
the credit of Otto M. Conn, Treasurer Georgia State Sanitarium Patients' Accounts, the sum of $13,625.07.
M. CONN,
Treas. Ga. S. S.
OTTO
H. G. BANKS,
Cash'r Exchange Bank.
Witness :
H. H.
HERNDON,
N. P., B. Co., Ga.
76
EIGHTY-THIRD ANNUAL REPORT
Report of Farm Steward
DR.
R. C.
SWINT,
Superintendent Georgia State Sanitarium.
MY DEAR SIR:
I wish to submit a report of the foodstuffs produced in
my department, and some of the other things done around
the institution during the fiscal year ending December 31st,
1926.
Asparagus
Beans, butter (shelled)
Beans, snap
Beans, Ototan
Beets
Cabbage
Collards
Cantaloupes
Corn
Lorn, roasting
Corn, tons
Sorghum insilage
Cucumbers
Fodder
Hay (Oats and Vetch)
Kale
Lettuce
Oats (shelled)
Oat and Rye straw
okra
Onions
Peas (field green)
Peas (field dry)
Peas, garden
Peppers
Pork (dressed)
Potatoes, sweet
Potatoes, Irish
Rape
Rye
I
"
~_~~
202 bushels
294
i <
1309
Igji bushels
299
-_~-I~"~"~43,982 heads
5190
67 114
I-~~"I~15|400 bushels
75,661 ears
600tons
600
404 bushels
§5 tons
427
"~ 160 bushels
_ 3 005 heads
"_Z~_
1^556 bushels
1950 bales
:::::: '690J bushels
919
639
3,784V3
212
'_
28
70,678 pounds
3'647 bushels
2045
" 6|283
554
77
GEORGIA STATE SANITARIUM
Spinach
Squashes
Tomatoes
Turnips and greens
Watermelons
Strawberries
Soy bean hay
268
1,106
485|
8,640
16,555
120
20
"
"
crates
bushels
quarts
tons
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
Calves sold (for $59.00)
Loads of manure
The dairy shows an increase of 19,096
milk over last.
99,784 gallons
265
674 pounds
120£
"
21,916
2,940
9
1,430
gallons of sweet
Chicken Yard
Hens and roosters, issued
Friers, issued
Eggs, received
Eggs, issued
Eggs, set
230
554
4,809 dozen
4,445
"
364
We hauled all the lumber from the sawmill to the lumber
yard, put all the material on the ground for the three new
cottages and the old men's dormitory at the Twin Building;
hauled all the sand for these buildings and the new cold storage plant, unloaded several cars of coal and foodstuffs, hauled
all the coal out of the chutes and cut about 1,000 cords of
stove wood. We have also kept up the entire road system
of the Institution.
I wish to thank you, the Board of Trustees, the officers
and others for the gratitude and co-operation shown me
throughout the year.
Respectfully submitted,
P. C.
PENUBL,
Farm Steward.
EIGHTY-THIRD ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1926:
Improvements
A
All of
pillars
of the
placed
new floor has been put in one of the Colony buildings.
the other floors have been repaired, and new brick
placed under the buildings were needed. A large part
bottom of the water tank at the Colony has been rewith new material.
Three cottages, each having seven rooms and a bath room,
have been built on the road between the Powell Building and
the Twin Buildings. These cottages are connected to the
sewer and are supplied with cold water connections to the
general supply.
A new ice plant has been built. This machine is housed
in a brick building. It is of the compression type and has a
capacity of twenty-five tons of ice each twenty-four. A good
portion of this capacity is used in the cooling of the cold
storage rooms. The cooling water used is sprayed through
a system of nozzles into a spray pond on the roof of the
building. The new plant includes an ice storage room, three
new cold storage rooms and a work room for the cutting and
issue of meats, etc. The total capacity of the new rooms,
together with the old, is nineteen thousand eight hundred
seventy-nine cubic feet. Two of the old cold storage rooms
have been thrown into one and the large room, together with
one of the meat rooms has been rebuilt and thoroughly insulated with cork-board. New coils for carrying the cooling
brime have been built for all of the rooms. These coils are
all built above bunkers which have drainage to the sewer.
This drainage of the bunkers prevents the possibility of any
drippage from the coils falling on the goods stored. A sus-
GEORGIA STATE SANITARIUM
79
pended track is arranged through the center of the work room
from the front door into and around the inside of the two
meat rooms on which the quarters of beef are handled as received.
The portion of the tin roofs of the institution which was
not painted in 1925, about one-fourth of the entire amount,
has been painted.
The State Board of Health has commended us for the
excellent quality of our water supply for the entire year, and
for our co-operation with them in furnishing samples of
water to be analyzed. They have sent us a gold sealed certificate to this effect.
Two 70-gallon jacketed cast iron kettles have been placed
in the Negro Building kitchen, and four of the same size in
the kitchen of the Green Building. These kettles replace
others which have been worn out.
A galvanized steel flue has been run from the hood over
the range in the kitchen of the John T. Brantley Building, to
the roof.
An ironing table, to accomodate twelve electric irons has
been built and wired in the white laundry.
Two steam heated, electrically driven, garment presses
have been installed in the white laundry.
The sleeping porch in the cottage just north of the
Female Convalescent Building has been enclosed. This has
been accomplished principally with glass sash.
A new tin roof has been put on one of the tuberculosis
buildings, the old composition one having been damaged
beyond repair by a wind storm.
A new set of brass tubes has been placed in one of the
water heaters of the Twin Building.
Pantry sinks have been put on wards 10th, 11th and 12th
of the Powell Building.
A new floor has been laid in the day room of ward "N,"
new joists being placed where necessary.
80
EIGHTY-THIRD ANNUAL REPORT
Tables, safes and a linen cabinet have been built for the
kitchen of the John T. Brantley Building.
Steps between the 7th, 8th and 9th wards at the Colored
Building have been built.
The Steward's dining room has been repainted. New
and larger electric lights have been placed in this room, and
a, new steam heated coffee urn installed.
A brick public comfort building has been built on the
terrace in front of the Twin Buildings for the use of the
patients.
Forms have been made for the reinforced concrete posts
for the fence around the Colored Building, and some of the
posts have been made.
Bight power sewing machines with motor drive have been
installed in the sewing room for white females.
Two cottages built some years ago have been painted
both inside and out.
A doorway has been cut through the west wall of the sewing
room. This affords an easy egress in case of fire, and facilitates the handling of stores and of the manufactured output
of the room.
Such fire doors as have been found defective, through
the rusting through of the tin covering, have been recovered.
The old moving picture booth in the Female Convalescent
Building has been torn out, and the walls and woodwork of
the chapel have been painted.
The outside woodwork of one of the cottages at the waterworks has been painted.
The walls of six rooms in the center building of the
Female Convalescent Building have been painted.
A water cooler has been built and installed in the yard
of the Negro Building, and also in the dining room of the
Twin Building. These coolers each hold six hundred pounds
of ice at a filling.
GEORGIA STATE SANITARIUM
81
The steam drying room in the laundry at the Colored
Building has been rebuilt; the woodwork being renewed where
necessary and the steam coils replaced with new ones.
The hall floor of the third story in the center building
of the Powell Building has been surfaced, stained and waxed.
The defective steel ceiling in the corridors of the Celored
Building has been removed, and the electric conduit injured
in the process of removal has been repaired.
The damage done by fire on the 18th ward has been repaired.
Boxes for the reception of soiled clothes have been placed
on the outside of wards "D" and "N."
An ice box has been built for the patient's store in the
Female Convalescent Building. A cabinet for the same place
has been repaired and fitted with glass doors.
A portion of the yard pavilion on the female side of the
Colored Building has been boarded up and supplied with
electric lights to serve as an isolation ward.
New brass tubes have been put in the water heater serving the Male Convalescent Building.
A set of new tubes has been put in one of the steam boilers at the Green Building.
The fire fighting equipment of the istitution has been
increased by the addition of a one thousand-gallon automobile "Pumper." This machine has on it a 50-gallon soda-acid
engine with the necessary equipment of rubber hose, twelve
hundred feet of 21/2-inch standard fire hose, and two 21/&gallon soda-acid extinguishers, and the necessary shut off
nozzles for the 21/2-inch hose. Twelve one quart Pyrene extinguishers and fifty-three 21/£-gallon soda-acid extinguishers
have been placed on the wards.
A bath room has been cut off from room No. 1 in the
center building of the Powell Building by a lath and plaster
partition. This room is furnished with a toilet, bath tub with
shower-bath fixtures and electric light.
82
EIGHTY-THIRD ANNUAL REPORT
The shingle roof over the white female tuberculosis pavilion
as well as the composition roof over the adjoining building
has been replaced with one of 5 V Crimp galvanized roofing.
About one-half of the shingle roof over the 27th female
ward has been renewed.
Bins have been built in the storehouse for the dispensing
of sugar, meal, etc.
An electrically driven band saw has been installed in
the cold-storage work room for the purpose of cutting up
beef and hams.
The schoolhouse for feeble-minded children has been repaired. This work includes new sills, new roof, new plastering and painting.
A map of the institution has been made showing the
location of the various buildings and the position of the outside fire hydrants.
A set of new tubes has been put in one of the boilers of
the Twin Buildings.
The Longino cottage has been reshingled.
The chimney over the range and bread oven at the Colored
Building has been torn down and rebuilt from the roof up.
A covered lumber shed having a floor area of 60 x 20 feet
has been built near the machine shop. This structure has
two decks and an overhanging roof for the protection of dry
lumber.
A one story frame building has been built near the Twin
Buildings. This building is "T" shaped, the main bodv being
140 ft. long by 28 ft. wide. The "T" projection is 54 ft.
long and contains the dining room and quarters for the nurses
serving the building. A porch 8 ft, wide runs the full length
of the building on the front. There are five bath tubs, six
water closets, two slop sinks, a pantry sink and a lavatory
included in the plumbing of the building. All of the plumbing is connected to the main sewer by a six-inch drain pipe
965 feet long.
83
GEORGIA STATE SANITARIUM
Traveling ladders have been set up on the front of the
shelving in the Storehouse.
The solid wooden panels have been removed from four
of the large outside doors of the Storehouse. These panels
have been replaced with thick glass and the glass protected
by heavy wire window guards.
Steam radiators have been placed in the ice plant, the
cold storage work room, and in the base of the Tower to prevent the freezing of the water pipes there in cold weather.
In addition to the ordinary repair work of the institution
the carpenter shop, the furniture and harness repair shop,
the shoe repair shop, the paint shop and broom factory have
been kept busy in manufacturing and repairing the various
articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSUEE,
Engineer.
84
EIGHTY-THIRD ANNUAL REPORT
Report of Steward
FISCAL YEAR ENDED DEC. 31ST,
1926
MlLLEDGEVILLE, GA., DECEMBER 31ST, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I beg to submit herein a report of the financial condition
of the Sanitarium at December 31st, its income and expenditure for the fiscal year, together with other information
shown under the exhibits and schedules that follow.
EXHIBITS:
1—Balance Sheet—December 31st.
2—Statement of Income and Expenditure for Year.
3—Consolidated Cash Statement of Receipts and Disbursements.
4—Analysis Cash Receipts and Disbursements for (Maintenance.
5—Statement Receipts and Disbursements Account Special
Appropriations.
6—Profit and Loss Statement, Farm, Garden and Dairy.
7—Comparative Statement Cash Expenditure, Years 1925-26.
8—Statement Operating Funds—December 31st.
9—Comparative Statement Per-Capita and Per-Diem Cost,
Years 1925-26.
SCHEDULES:
1—Accounts Payable as of December 31st.
2—Accounts Receivable as of December 31st.
3—Production, Farm, Garden and Dairy.
All accounts for supplies purchased during the year were
promptly settled in accordance with contracts, and receipted
vouchers covering such disbursements are on file in this office.
I am grateful to the Board, yourself and others for the
assistance you have given, and the kindness you have shown
me in the performance of my duties.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Balance Sheet, December 31st, 1926
Treasurer—General Fund
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time Deposit
Steward—Time Deposit
$ 34,210.77
14,286.36
3,000.00
290.00
1,616.76—$ 53,403.89
ACCOUNTS RECEIVABLE:
U. S. Public Health Service
Officers and Employees
$
STOCKS:
Provisions—Groceries, Clothing
and Dry Goods, Shoes, Notions,
Etc.
$
Packing House Products
Clothing, Bedding, Etc.—in Manufacture
Engineering Materials
Fuel—Coal and Coke
Drugs, Chemicals and Sundries..
Farm Supplies—Fertilizers
Dairy Feeds
FREIGHT AND EXPRESS:
Applicable to Mdse. Stocks
150.60
597.36—
748.05
52,701.89
7,558.88
723.99
7,104.35
37,501.67
5,691.05
1,283.75
1,186.50— 113,752.08
446.78
DUE SPECIAL FUNDS:
Brantley Building
$ 3,579.73
Ice and Cold Storage Plant
258,24
Occupation Department;—Male— 5,581.32
Occupation Department—Female
241.33
Female Commissary
290.00
Total
$168,350.80
$ 9,950.62
o
TRUST FUND:
Patients' Deposits
$ 14,286.36
>
ACCOUNTS PAYABLE:
Individuals and Corporations
$ 22,783.02
w
>
SALARIES, WAGES AND LABOR:
Officers—December
$ 5,807.42
Employees—December
31,113.94
Excess Assets as Adjusted
Operating Gain for 1926
Total
H
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Total
$ 36,921.36
Excess. Assets Jan. 1st, 1926
$ 92,627.53
*Adjustments Applicable to 1925 13,470.73
Total
Total
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$ 79,156.80
5,252.64
$ 84,409.44
$168,350.80
3
EXHIBIT No. 1 (Continued)
I—<
P
X
Balance Sheet, December 31st, 1926
PROPERTY ACCOUNTS:
Miscellaneous Farm and Dairy
Products
$ 28,490.50
Live Stock
35,260.20
Vehicles and Implements
4,786.63—$ 68,517.33
NOTE—$13,344.30 of this amount represents fuel
gone into consumption during the last two years It
is written off to bring the fuel account into closer
agreement with the actual inventory of fuel on hand.
INSTITUTION INVESTMENTFarm and Garden
$ 46,002.13
Dairy
22,515.20
Total
$ 68,517.33
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Total
$ 68,517.33
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Total
$ 68,517.33
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EXHIBIT No. 2
Statement of Income and Expenditure for Year
EXPENDITURE
Gen. Administration—Officers' Salaries., $
WAGES AND LABOR:
Medical Department
Engineers Department
Stewards Department
Earm and Garden Dept.
Dairy Department
$236,050.19
68,003.21
46,273.63
13,950.31
4,511.58—
FOOD SUPPLIES:
General Wards
$303,556.10
Superintendent's Dining Room. 1,114.17
Steward's Dining Room
5,108.94
Brantley Bldg. Dining Room.-. 10,633.05—
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Stationery and Postage
Medical Supplies
Automobiles and Tracks
INCOME
63,789.36
368,788.92
320,411.26
State Appropriation—Regular
MISCELLANEOUS:
Board of Officers
Board Special Attendants
Board of Employees
Donations
Dental Work and Material
Fines
Interest on Balances
Sales Old Material
Rents, Cottages
Discount
$1,100,000.00
o
Total
$ 72,871.11
37,808.79
42,895.68
2,859.91
9,828.61
2,483.70—
MAINTENANCE OF PLANT:
Fire Apparatus
$ 15,391.93
Machinery Supplies and Repairs
1,197.72
Builders' Hardware
3,809.77
168,747.70
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$
FARM AND GARDEN:
Sales
$
342.92
DAIRY:
Sales
$
255.11
Total
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$ 1,249.60
1,644.65
3,423.00
72.11
14.00
167.75
2,009.14
3,141.46
126.00
58.45
10,906.16
>
2
$
598.03
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Cement and Crushed Stone
2,604.89
Lime, Hair and Masons' Supplies
2,205.16
Lumber and Building Material 9,501.40
Painters' Supplies
4,521.28
Plumbing Supplies
4,235.81
Sewer Supplies
410.51
Tinners' Supplies
1,014.65
Cooking Apparatus and Supplies
1,406.88
Steam Pipe and Boiler Fittings 3,650.00
Water Works Supplies
1,262.53
Grading Supplies
25.00
Gasoline Equipment
761.67
Brick
1,399.75
Sundries
11,683.01-
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65,081.%
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FARM AND GARDEN:
Commercial Fertilizer
Seed
Commercial Feeds
Misc. Supplies and Repairs
Board Employees
Live Stock
Treating Hogs
Freight and Express
$ 8,156.75
3,289.12
1,288.76
3,468.69
2,763.00
1,600.00
272.15
438.00—
DAIRY:
Commercial Feeds
$ 20.850.56
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21,271.47
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Misc. Supplies and Repairs
Freight and Express
Board of Employees
INCIDENTALS:
Light and Power
..$
Laboratory Supplies and Equipment
Dental Supplies and Equipment
Office Supplies and Equipment.
Repair Account — Auto and
Trucks
Escaped Patients
Advertising
Amusements
Travel
Barbers' Supplies
Telephones and Telegrams
Florists' Supplies
Medical Books and Journals—
Broom Factory Supplies
Blacksmith Supplies
Cemetery Supplies
Dining Room Supplies
E. Light and Supplies and Repairs
Gas and Oils
Household Supplies
Kitchen Supplies
2,097.15
1,250.36
660.00—
16,973.32
899.46
696.92
2,106.39
1,654.51
193.22
172.96
69.71
1,575.25
347.52
445.93
173.37
284.17
1,532.01
639.43
887.29
2,227.43
3,154.78
5,243.58
9,317.04
2,8312.14
24,858.07
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Laundry Supplies
Musical Instruments
Printing
Registration Autos and Trucks
Telephone Equipment
Tools and Implements Other
Than Farm
Tobaccos
Insurance Premiums
X-Ray Supplies and Equipment
Interest Paid
Premium on Bond
Surgical Instruments
Sundries
Poultry Yards
Total Expenditure
Operating Gain for Year
Total
5,586.91
1,27000
740.19
46.76
443.26
800 26
6,133.95
1,321.43
1,404.89
239.35
25.00
4657
1,410.83—$
70,915.82
2,386.99
$1,106,251.55
5,252.64
$1,111,504.19
EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
a
o >>
DESCRIPTIVE
o
« "2
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& W
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:$ 50,496.62 $
Balance from 1925
Less Due Special Funds
Less Due Trust Fund
RECEIPTS:
1,100,000.00
Maintenance Appropriation—Regular
Part Maintenance Appropriation 1925—Regular
20,000,00
Part Special Appropriation, 1925—Ice Plant1,287,45
Fire Insurance—Losses
Patients Deposits
Misc. Sales—Etc.
1,954.22
Interest on Balances
1,013.46
Checks—Returned
Totals
Transferred by Steward
$1,174,751.83
j
8,343.36
13,343.81
20,938.58
32,281.94
29,281.94
1.356.76
550.00
550.00 $
550.00
6,241.40
Balance
Disbursed on Vouchers
$1,183,095.19
I 1,148,884.42
34,282.39
19,996.03
3,000.00 %
29,279.94
1,906.76
$
6,241.40
418.75
Balance
Disbursed by Steward-
34,210.77
14,286.36
32,279.94 $
29,279.94
1,906.76
$
5,822.65
34,210.77 $
14,286.36 $
3,0O0.0C
1,906.76
$
5,822.65
$
1,015.90
550.00
13,343.81 $
Balance
3,000.00)$
So
$
3,2»8.83
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20,938.58
8,343.36
2,942.57
340.86
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EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements
© -w
DESCRIPTIVE
a
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cd
■° IT
2
CO P-i
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<u 05
Balance from 1925
Less Due Special Funds
_ _ ..__
Less Due Trust Fund _.
RECEIPTS:
Maintenance Appropriation—Regular
Part Maintenance Appropriation, 1925.
Part Special Appropriation—1925
Ice Plant
Fire Insurance—Losses _ ■"""""""'
Patients' Deposits
""""
Misc. Sales, Etc.
Interest on Balances
VS.'.""
Checks Returned
Totals
Transferred by Steward
j—i
$
93,080.17 5
13,343.81
5
4,176.33 $
So
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03
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£ S
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ft CO
ft a
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75,820.30
$
38,680.15
a
1,100,000.00
10,000.00
5
1,287.45
00,938.58
290.00
5 103,080.17 5
103,080.17
2!
>
5,451.65
1,954.22
1,013.46
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5,828.67
20,000.00
75,820.30
83,080.17
290.00 $1,148,387.01
Balance
„
Disbursed on Vouchers.
34,282.39 $
25,823.67
25,444.65
7,259.87
3,680.14
290.00 $1,148,387.01
1,110,056.97
Balance
Disbursed by Steward
34,282.39 5
19,996.03
379.02$
3,579.73$
290.00 $
38,330.04
9,283.91
14,286.36
379.02 5
3,579.73 $
290.00'$
29,046.13
5
d
g
10,000.00
34,282.39
Balance.
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SUMMARY
Cash,
Cash,
Cash,
Cash,
Treasurer—General Fund
Steward—Working Fund
Steward—Time Deposits
Treasurer—Patients Fund
$34,210.77
3,000.00
1,906.76
14,286.36
2
DUE SPECIAL FUNDS:
Brantley Building
$ 3,579.73
Ice and Cold Storage Plant
379.02
Patients Deposits
14,286.36
Occupation Therapy
5,8212.65
Female — Commissary
290.00
Balance in Hand for Support and
Maintenance
29,046.13
Total.
.$53,403.89
Total
$53,403.89
Total.
.$53,403.89
Total
$53,403.89
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94
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 4
Analysis Cash Receipts and Disbursements for Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers' Salaries
$
62,656.42
WAGES AND LABOR:
Medical Department
Stewards Department
Engineers Department
Farm and Garden Department
Dairy Department
x
$ 229i746.34
43,930.39
65,563.47
13,910.01
4,389.13—$ 357,630.34
FOOD SUPPLIES:
General Wards
Brantley Bldg., Dining- Room
Officers—Dining Rooms
$ 333.555.05
10,633.05
6,223.11—
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Incidentals
$
FARM AND GARDEN:
Fertilizers
Seed
Live Stock
Misc. Supplies and Repairs
Commercial Feeds
Board of Employees
Treating Hogs
Freight and Express
DAIRY:
Commercial Feeds
Misc. Supplies and Repairs
Freight and Express
Board of Employees
$
__
75,118.66
40.056.34
46.738.31
55,957.17
9,446.82
2.859.91
72.845.91—
303,023.12
8.156.75
3.289.12
1,600.00
3.468.69
1,283.76
2,763.00
272.15
438.00—
21,271.47
20,850.56
2,097.15
1,250.36
G6O.O0—
24,858.07
BALANCE IN HAND:
Treasurer
Steward
$
34,210.77
4,906.76
Total
Less Due Special Fund
$
39,117.53
3,958.75—
Grand total
350,411.21
35,158.78
$1,154,918.41
GEORGIA STATE SANITARIUM
95
EXHIBIT No. 4 (Continued)
Analysis Cash Receipts and Disbursements for Maintenance
RECEIPTS
BALANCE FROM 1925:
Treasurer
Steward
Total
Less Due Special Appropriation
Appropriation 1926—Regular
Appropriation 1925—Part regular
Fire Insurance Loss
MISCELLANEOUS:
Interest on Daily Balances
Vouchers—Returned
Board Officers and Employees
Wages—Refunded
Phones and Telegrams
Travel—Refund
Donations
$
$
55,062.52
13,083.54—$ 41,978.98
$1,100,000.00
.08
1,287.45—$1,101,287.53
$
SALES:
Store Supplies
$
Farm Products
Dairy Products
Drugs—Sundries, Etc.
Dental Materials and Supplies
Baskets, Rugs, Etc.
Scrap Iron, Barrels, Sacks, Rags
Soft Drinks, Tobacco and Confectioneries
Grand total
50,496.02
4,565.90
2,045.97
1,013.46
1,794.42
757.40
17.73
120.42
30.00—
5,779.40
2,589.58
242.10
134.41
46.53
109.55
908.75
1,551.58
29O.O0—
5,872.50
$1,154,918.41
EIGHTY-THIRD ANNUAL REPORT
96
EXHIBIT No. 5
Statement of Receipts and Disbursements Account
Special Appropriations
DISBURSEMENTS
Brantley
Building
Ammonia
Belting
Cement and Lime
163.20
Cork Insulation
Chloride-Calcium
Dining Room Equipment
603.23
Electrical Equipment
Furniture
1,206.90
Freight and Express
7.75
Housekeeping Supplies
105.34
Insurance Premiums
640.00
Kitchen Supplies and Equipment
109.30
Lumber
Musical Instruments
300.00
Machinery
Oils
Plumbing
Supplies
and
Equipment
062.31
Roofing Contract
Structural Steel
Steam Piping and Fittings.- 210.11
Sundries
Tiling
Vacuum Cleaner
70.00
Ventilators
Wages
Total
Balance in Hand
Grand Total
Balance from 1925
Ice and
Cold
Storage
Plant
$ 526.47
127.58
68.00
1.947.13
723.52
943.94
1,989.49
13,892.34
18.74
Total
$
526.47
107.58
233.20
1,947.13
723.52
603.23
943.94
1,206.90
7.75
105.34
640.00
109.30
1.9S9.49
300.00
13,892.34
18.74
30.87
3,085.79
969.82
864.50
374.49
210.11
157.38
16.90
70.00
30.87
3,085.79
$3,680.14
3,579.73
$25,444.65
379.02
$29,124.79
3,958.75
$7,259.87
$25,823.67
$33,083.54
$7,259.87
$ 5,823.67
$13,083.54
20,000.00
20,000.00
$25,823.67
$33,083.54
677.51
864.50
374.49
157.38
16.90
RECEIPTS.
Balance Due on 1925—Special
Appropriation
Total
$7,259.87
GEORGIA STATE SANITARIUM
97
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
DESCRIPTIVE
Inventory as of Jan 1st—
Purchases During Year:
Commercial Fertilizers _.
Commercial Feeds
Compost
.
Seed
Freight and Express
Feeds—Home Grown
Farm &
Garden
Dairy
Total
$ 32L385.66 $ 23,374.20 $ 55,759.86
7,395.00
1,283.76
3.006.00
3.289.12
438,00
2)1,062.78
1.250.36
10,000.00
7,395.00
22,346.54
3,006.00
3.289.12
1.688.36
10,000.00
Total
$ 47,797.54
Less Inventories as of December
31st, 1926
46,002.13
55,687.34 $103,484.88
Net Cost, Feed-Seed, Fertilizer, Etc, $ 1,795.41
Gross Profit for Year
72,371.58
33,172.14 $ 34,967.55
14,452.42 86,824.00
Total_
OPERATING EXPENSE:
Wages Employees
Misc. Supplies and Repairs.
Live stock
Treatment—Hogs
Board—Employes
Net Profit for Year
Total.
FURNISHED INSTITUTION:
Food Supplies
Dairy Feeds
Compost
Cash Sale—Supplies
ON HAND:
Misc. Farm Products
Live Stock
Vehicles and Implements
Total
22,515.20
68,517.33
$ 74,166.99 $ 47,624.56 $121,791.55
13.950.31
3,468.69
1.600.00
272.15
2.763.0O
50,317.13
4,511.58
2,097.15
660.00
7,183.69
18.461.89
5,565.84
1.600.00
272.15
3.423.00
57,501.12
72,371.58
14,452.42
86,824.00
$108,458.44
10,000.00
3,006.00
327.11
$28,490.50
35,260.20
4,766.63—$ 68,517.33
$190,308.88
98
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 6 (Continued)
Profit and Loss Statement, Farm, Garden and Dairy
Farm&
Garden
DESCRIPTIVE
Fruits and Vegetables ..
Packing House ProductsPoultry and Eggs
Dairy Products _ _
Dairy Feed
Compost _ .
Misc. Food Supplies __ .
Total
CASH SALES:
Live Stock _.
Misc. Farm Products ..
Empty Bags
Sundries
Total
Gross Profit Brought Down
Dairy
Total
$ 50,881.02
$50,881.02
10,603.95 $ 2,028.49 12,632.44
2,197.10
2,197.10
42,334.96 42,334.96
10,000.00
10,000.00
3,006.00
3,006.00
142.00
142.00
$ 73,824.07 $ 47,369.45 $121,193.52
$
72.00 $
270.92
111.00 $
128.56
15.55
183.00
270.92
128.56
15.55
? 74,166.99 $ 47,624.56 $121,791.55
$72,371.58 $ 14,452.42 $ 86,824.00
5 72,371.58 ¥ 14,452.42 $ 86,824.00
Investment as of Jan. 1st
Investment During Year .
Net Profit for Year
Total.
e KK 7J-Q 8fi
* 7704700
~™~Z~~™"~~ CT^m
-$190,308.88
EXHIBIT Nos. 7 AND 8
Comparative Statement Cash Expenditure, Years 1925-1926
General Administration. ..
Wages and Labor _
Pood Supplies . _
Clothing and Dry Goods—
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant —
Medical Supplies _.
Stationery and Postage
Dairy
- Incidentals & Contingencies
Amount
1926
Amount
1925
DESCRIPTIVE
$
58,915.67
328,323.57
344,560.55
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2,289.62
19,845.86
26,937.65
60,354.82
$1,052,016.02
$
Increase
62,656.42
357,539.34
350,411.21
75,118.66
40,056.34
46,738.31
55,957.17
9,446.82
2,859.91
21,271.47
24,858.07
72,845.90
$
$1,119,759.62
$
Decrease
3,740.75
29,215.77
5,850.66
6,931.87
7,563.55
175.94
18,599.44
1,614.68
570.29
1,425.61
2,079.58
12,491.09
79,001.42
$
11,257.81
PerCapita Per Diem
$ 13.11
74.79
73.28
15.72
8.38
9.73
11.70
1.98
.59
4.45
5.19
15.24
$0.03.52
.20.49
.20.10
.04.32
.02.32
.02.66
.03.24
.00.55
.00.02
.01.22
.01.43
.04.28
$234.16
$0.64.15
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STATEMENT OF OPERATING FUNDS
December 31st, 1926.
Cash and Cash Items
Cash Deficit at End of Year.
Total-
——■-—■
_$54 151.94
I 29',916.20—$84,068.14
-$84,068.14
Due Special and Maintenance Funds
$24,363.76
DEMAND OBLIGATIONS:
Accounts payable
$22,783.02
Salaries and Wages
36,921.36— 59,704.38
Total
$84,068.14
100
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 9
Comparative Statement Per Capita and Per Diem Cost,
Years 1925-1926
Explanatory.
Total Cash Expenditure
Per Capita, Cost
Per Diem Cost
Average Number Patients
Increase Over 1925
1925
1906
$1,052,016.12
$1,119,759.62
229.14
234.16
J2JZ
.64.15
4591
4782
191
101
GEORGIA STATE SANITARIUM
SCHEDULE No. 1
Accounts Payable as of December 31st, 1926
NAME.
Allen Bona, Inc.
American Bakeries Co.
American District Steam Co.
Am. LaFrance Tire Engine Co.
American Railway Express Co.
Armour & Co.
Atlanta Blank Book Mfg. Co
Atlantic Broom Supply Co.
Atlanta Dental Mtg. Co
Babcock & Wilcox Mfg. Co.
Barrett, The. Co.
Beck & Gregg Hdw. Co.
Bell Dry Goods Co.
Bell Grocery Co.
Benson's Bakery
Bernd Co., G.
Block Company, Erank E.
Bothwell Webb Co.
Brantley, John T.
Bright-Brooks Lumber Co.
Brown Co., D. W.
Brown Shoe Company
Callaways Dept. Stores
Carr Company, A. J.
Carter Electric Company
Carter White Lead Company
Central of Ga. Railway Co.
Chicago White Lead & Oil Co.
Clark, R. E.
Coleman, Meadows, Pate Drug Company
Columbus Enquirer-Sun
Collins, W. H.
Conn, O. M., Agent
Conklin Tin Plate & Metal Co.
Crane Company
Cudahy Packing Co.
Culver & Kidd Drug Co.
Dean, Col. H. H.
Dunlap Hardware Co.
Estes Surgical Supply Co.
Ennis, J. H.
Evans, W. C.
Eay & Eagan Co., J. A.
Fisher Scientific Company
Eowler Elemister Coal Co.
Eraleys Pharmacy
Frederick Disinfectant Co.
Gambrell, P. H.
Georgia Railway Company
General Electric Company
Ga. Carolina Oil Company
Gilham Electric Co.
Debits
$
8.58
7.51
20.39
19.50
72.08
2.06
32.63
5.38
2.00
-43
1-82
37.50
2.11
Credits
$
14.00
6,500.00
31.60
2,889.98
4.96
32.77
1.83
27.00
197.92
536.05
52.00
68.71
21.60
10.50
12.50
9.00
72:55
260.20
27.26
418.52
175.00
26.58
6.00
149.61
172.45
123.78
3.00
25.00
2.67
869.72
748.00
7.79
56.30
790.55
.65
12.50
2.84
15.47
4021.56
102
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1926
NAME.
Gilman, J. M.
Gilman, W. P.
"
"
——
Graves Turner Mfg. Company"!" "
Graybar Electric Company
" ""
Gulf Refining Company
_'_ _
games, Jones & Cadbury Co.
Hall, Dr. T. M.
Halliburton Company, T H ~
Happ Brothers Co.
"
garriman Brothers Broom'Cora
Hatcher Hdw. Company _
Herf & Frerich Chemical "Co7i::
J. I. Halcomb Mfg Co
___
Ivan Allen Marshall Co """'
Irwin, J. D.
Ivey, O. E.
Ivey, W. H.
""""" "" """
Jaques & Tinsley Co"""""""
Jefferson Distilling & Denaturing
Lee N. Jordan
Kewanee Boiler Co
I"
Lester Book & Sta. Co"
Lmdsey, E. E. _
Lombard Iron Wk"s~~& Sup.~Co"
Long, O. C.
Lowe Electric Co H E
McArdle & Walsh
'
McKinley, G. C.
MeKennon Motor Co ~_I
Maconi Blue Print Company
Malt Diastase Company
:
Mathieson Alkali Works I
? h ws Gas
™ ii !i
Machine Co!
Milledgeville Lighting Co.
Mi edgeville Products Co.
Milledgeville Tel. & TeleeranlTrvT
P
Miller Rubber Company
Mines Safety Appliance Co
Montgomery, W H
National Biscuit Company
Newell, A. C
_ ____
New Orleans Broom "Mfg" Co"
Newton & Brother, C. E
Oconee Brick & Tile Co.'
Peeler Hdw. Company
Pierce, Butler & Pierce
Albert Pick & Co
Poland Soap Works
"
Prior Co., W F
Rawlings, Dr. William
Bay Lyon Company
Regal Equip. Co
Debits
,
M
L62
2M
^m
200.00
""
'70
■""
Credits
22.93
99.15
200.00
5.60
1.00
16 59
-
52
-56
3ae0
1010
1212
37.50
147.85
199.92
254.53
2.17
2.40
88.20
151.65
326.52
1,417.95
6.00
1.25
11.70
99.00
72.45
1.80
787.20
1.50
38.68
22.74
1,420.56
330.00
5 98
'
39.37
21.75
108.50
41.01
17>24
".06
„
.50
12ril
4.68
.50
154.50
56.25
34.78
128.88
210.00
15.00
24.00
103
GEORGIA STATE SANITARIUM
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1926
NAME.
Bic-Wil Company
Rich & Brothers, M.
Richmond Dry Goods Co.
Ridley Yates & Company
Riley Drug Co., J. B.
Richardson Mill. Co. O. N.
Robinson & Company, A. M.
Rosin & Turpentine Export Co.
Rossville Company
David Rothschild Company
Samuel & Bloom Broom Sup. Co.
Schlesinger Co., Harry L.
Schofleld's Sons, J. S.
Scribner's, Chas., Sons
Schwartz & Paul
Selig Company
Sherwin-Williams Company
Smith, L. D.
Smith, R G.
Solomon Company
Southern Belting Company
Standard Oil Company
Standard Extinguisher Co.
Stovall Daniel Co.
Swirt & Company
Thomas Company, Arthur H.
Union-Recorder
Van Range Co., John
Vaughan Company
Veal, O. F
Victor X-Ray Corporation
Wappler Electric Co.
Washburn-Crosby Mill Company
Ward, J. D.
West Disinfecting Company
West Lumber Company
Western Union Tel. Co.
Westinghouse E. & Mfg. Co.
Whitman Co., J. R.
Whitfleld Grocery Company
Wilson & Company
Wocher & Sons, Max
Wootten, R. H.
...
Wyeth, John, & Brother
Yates Tabor Company
Total
De
r
^t1s,
33.14
2.65
1.80
54.08
6.00
1.44
7.55
10.00
5.81
-19
1.58
.47
95.50
83.08
6.00
2.14
13.17
Credits
15.95
33.28
324.30
.94
59.00
61.82
135.57
2.16
1.40
42.00
92.33
102.00
643.05
10.46
27.50
1.77
54.00
7.00
6.44
9.00
15.38
12.50
549.47
247.48
1.96
1-55
18.00
106.70
$1,035.99 $23,819.01
104
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1926
NAME
Debits
Andrews, Eula C.
«■ o KQ
Allen, Dr. W. H.
* ,0^
Allen, W. K.
._.
25
Anderson, J. D.
_
"
iVg
Andrews, Kate
ZZZli'lZZl".
i 77
Austin, Jessie Lee
* _____ ~~" o 07
Ashurst, Sarah
_
'""
-,'1A
Beek, Bethel
_ """
,™
Braddoek, Mrs. Carrie
cnS
Beekum, Luoile
""
,Vn
Brantley, Mary Leon
" """
aoi
Brantley, C. C.
£%Z
Blaekwell, A. N.
H?
Bivins, Mrs. Homer .
_
"
YX
Bostwiek, Dr. W. A.
"
Ww
Bowen, Dr. U. S. _
\'™
Bradford, Dr. R. W
cc
Bell, Minnie
'
/S.$
Brooks, Mary
" "
fX£
4
Bailey, R. E. _
25
Bloodworth, J. G.
"'
'IX
Brookins, E.
——
.ov
Coxwell, Mrs. T. B
"
Jl
Cole, G. C. ...
"
■£?
Collins, N. A.
•£>
Grooms, R. H. .
Ai
Coats, Margaret _.
I
,'S
Cooper Marie _.
"
,»,
cox, Dr. c G. .___:::
tS
Collins, A. J. .
*■*
Champion, R. L.
~
%i
Durden, D. G.
~
■_"
Durden, Paul
•_£
Davis, John ___
/™
DeSaussure, T. H _ _
~
oSV
Dillard, Minnie __
S'Si
Dance, Maggie
" •
f^
5
Dunn, L. A. _
"
-™
Davis, J. R. ___ _
•*!
Echols, Dr. G. L. _
"
A%
l
Epps, R. S. ...
""
-%i
Edwards, B. D. __
„-°?
Ennis, O. M.
""_
fnn
Fowler, Dr. A. H
_H
Earrell, Rena
_
—— —
05
Gilman, E. G.
Y™
105
GEORGIA STATE SANITARIUM
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
Debits
NAME
Gilman, H. E.
Oilman, J. M.
Gilman, W. E. ..
Gladin, B. M.
Gilbert, Sarah
Garrard, Dr. J. I.
Green, Dr. George H.
Grantling, Theodore
Gore, J. I., Sr.
Giles, Liler
Happoldt, Nellie
Harper, Bertha
Herringdine, Gussie
Head, Eunice
Hudson, Charles
Hollis, Tom
Humphrey, Otis
Hawkins, A. J.
Huff, Robert
Holmes, Louise
Hitchcock, Jose
Hardy, Lula
Happoldt, Mildred
Harris, E. L.
Harrison, W. S.
Hattaway, G. W.
Horton, O. D.
Johnson, Eugene
Jones, H S.
Jackson, Lizzie
Jackson, Essie
Jones, Annie
Johnson, J. C.
Josey, J. E.
Kemp, Lucile
Kenny, Dr. C. B.
Layfleld, Lollie
Lindsey, E. E.
Leonard, Lila
Layfleld, B. L.
Leonard, E. A.
Lawson, E. L.
Landrum, Willie
Longino, Dr. L. P.
Louther, Bessie
Lavender, C. B.
-™
*•""
•*&
*•""
g-J£
f™
±-W
*•**:
•£>
?•«>
*-«"
0
-*
-^
^.IU
.
'
*•«£
•*"
l
-™'
-gV
•>■*>
j-Jg
J**
f-™
l-°°
5
-^
•■*?
•<£
• 6 -^
-6*
-40
*-£J
*•**
, 6^5°
-f
-f
6
-™
-«J
™l
3d
-^
•£"
-^
]-yi
!•?&
™
4.Ud
l
-^i
-55
106
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
NAME
Debits
MeCullar, Lillian
McKinley, A. C.
McDade, W. C.
Mason, Fannie
Milines, Lillian
McClain, Carrie ....
Mobley, Dr. J. W.
Moses, Ben
Moore, Lula
Martin, Trudie
Morlock, Anna
Murray, Agnes
McCorkle, Gladys ..
Pattishall, Jewel _.
Penuel, F. C.
Pattishall, Paul .
Polk, J. B.
Poss, Lucy
Patterson, W. E.
Preston, Patsie
Pinkston, Daisy
Beid, R. R
Ross, J. D.
."
9J
""
""' "
"
" "
" "
"
"
I
_ .
I
———
"
———
Reese, Matthew
" "
Resseau, E. C.
Rice, Alva
"
Ray, Scott
....
Rankin, Dr. D. T
Renfroe, Minnie
"
Swint, Dr. R. C.
Seals, Mrs. J. S. .._' .
Swann, Mary
Stembridge, W. W.
""
Stephenson, Dr. J. T.
Saye, Dr. E. B. _ ._
Seals, John ......
'_
"~~
Simpson, Roy
"" __' ""
Switzer, Alton
"
Smith, Eva ._...
Speights, Mary
"
Switzer, A. W. _
1
""
Sparks, Wm. ..
"'
Smith, J. R. ._
Simpson, W. I. .
Smith, J. T. „
Smith, Simon .
"
"
"
"
o'nn
,£,
0™
taa
jn£
JJ-jS?
zz
2°
'Li
"Z
-\\Z
2"XV
££j
a,
.f*
4
'J2
;fn
%-\i
A.U
</~
f-JS
h
H
.£}
'S
-*S
l°l
3.58
*™
,o„
H*
ll
iV
•*}
,7^
H2
I'™
L
™
™
-£V
•£*
/5
f%°
i'XX
5
-0O
-^
2.00
1*0
107
GEORGIA STATE SANITARIUM
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
NAME
State Anatomical Board
State Farm, Georgia
Turner, John
Tennille, A. S.
Tennille, W. K.
Thompson, J. M.
Thomas, Annie
Thornton, Emma
Trawick, Addie
Taylor, R. A.
Thornton, Bertha
United States Public Health Service
Usery, W. J.
Vinson, J. T.
Veal, Louise
Veal, Lillian
Veatch, C. N.
Wade, Susie
Watson, B. P. C.
Wright, Andrew
Wright, S. E.
Wright, S. E., Jr.
Wright, D. B.
Walker, Dr. N. P.
Walker, W. A.
Wheeler, Dr. G. A.
Yarbrough, Dr. Y. H.
Yarbrough, O. C.
Total
Debits
50.00
* 46-50
!-00
•£>
f.67
°.il
l-£*
2.31
4.14
-»5
,„„•$
150.69
-4o
-40
4.84
1-40
1-20
■&
1-50
2.45
1-00
1-09
-45
-74
2.00
2.00
6.31
2.67
$748.05
108
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FARM PRODUCTS:
1,000 tons Ensilage
71 bus. Peas
Value
$10,000 00
142.00—$10,142.00
FRUITS AND VEGETABLES:
6,229 bus. Rape
_
8,588 bus. Turnips and Greens—
262 bus. Spinach
3,005 hds. Lettuce
202 bus. Asparagus
905 bus. Onions
160 bus. Kale
43,982 hds. Cabbages
1,309 bus. Snap Beans
212 bus. English Peas
404 bus. Cucumbers
30 gal. Strawberries
31© bus. Beets
766 bus. Okra
2,043 bus. I. Potatoes
1,106 bus. Squash
254 bus. B. Beans
396 bus. Peanuts
26 bus. Pepper
390 bus. Egg Plant
3,447 bus. Sweet Potatoes
5,290 hds. Collards
"
56,139 Cantaloupes
1,195 crt. Tomatoes
16,555 Melons
75,661 R. Ears
I __
1,837 lbs. Pecans
"
311450
8*588*00
39300
15025
606*00
2 262 50
so 00
4 398 20
2618 00
'530.00
1,010.00
' 12 00
94500
1049 75
4,086*00
2,765.00
76200
733*00
7800
1170'00
3447 00
52900
2 806 95
4*78000
1,655*50
1576 27
'734*80—$30,881.0-2
PACKING HOUSE PRODUCTSs
ork
#$!
m - Dressed
£
*-■s23,316 lbs.
Beef
Total
.
DAIRY
101,743 gals.
262 gals.
684 lbs.
118 gals.
PRODUCTS:
Sweet Milk
Butter Milk
Butter
Cream
10 603 95
S ' '
2,028.49
~—;____■__
12r632.44
$41777 20
' 4715
273*60
237.00
Total
Poultry and Eggs
Compost
Total
Grand Total
49 00. q£
_.X*»M0
500600
?
5,203.10
$121,193.52
EIGHTY-FOURTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siaie Sanitarium
MILLEDGEVILLE, GA.
For the Year Ending
December Thirty-First
Nineteen Twenty-Seven
Board of Trustees
President
JOHN
T. BRANTLEY
Blackshear, Ga.
Vice-President
*H. H. DEAN
Gainesville, Ga.
THOS. M. HALL, M. D.(From Oct. 1927)Milledgeville, Ga.
Secretary
C. C. BRANTLEY
Valdosta, Ga.
E. E. LINDSEY
Rome, Ga.
J. C. JARNAGIN
Warrenton, Ga.
A. C. NEWELL
THOS.
Atlanta, Ga.
M. HALL M. D
Milledgeville, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
Macon, Ga.
M. D
C. PITNER, (From Sept., 1927)
*Deceased
Commerce, Ga.
Athens, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
J. C. Jarnigan
Thos. M. Hall
E. E. Lindsey, Chairman
A. C. Newell
C. C. Brantley
Finance and Auditing Committee
A. C. Newell, Chairman
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Dr. Thos. M. Hall, Chairman
Dr. Laetus Sanders
P. H. Gambrell
Committee on Buildings and Grounds
*H. H. Dean, Chairman
E. E. Lindsey
P. H. Gambrell
Committee on Farm and Outside Business
*H. H. Dean
*Deceased
J. C. Jarnagin, Chairman
Laetus Sanders, M. D.
Officers of the Sanitarium
R. C. Swint - Superintendent and Resident Physician
N. P. Walker, M. D. - - - - - Clinical Director
L. P. Longino, M. D. - - First Assistant Physician
Y. H. Yarbrough M. D. - - Second Assistant Phsician
J. I. Garrard, M. D. - - - - - Assistant Physician
Geo. L. Echols, M. D. - Assistant Physician
D. T. Rankin, M. D.
Assistant Physician
U. S. Bowen, M. D.
Assistant Physician
C. G. Cox, M. D.
Assistant Physician
R. W. Bradford, M. D. - - - - Assistant Physician
W. A. Bostick, M. D. - - - - Assistant Physician
J. W. Mobley, M. D. - - - - Assistant Physician
W. F. Dobyns, M. D. - - Junior Assistant Physician
A. H. Fowler, M. D. - - -Junior Assistant Physician
E. B. Saye, M. D. - - Pathologist
J. D. Wiley, M. D. -------- . Interne
G. H. Green, D. D. S.
Dentist
J. C. Adcock, D. D. S. ------- - Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N. - Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure --------- Engineer
W. S. Jett, Jr.
- - Assistant Engineer
F. C. Penuel
Farm Steward
H. S. Jones
Secretary
Arthur Farell
Storekeeper
W. W. Stembridge
----- Sanitation Officer
Rev. H. D. Warnock -------- Chaplain
Leone Frederickson
Dietitian
Mrs. Geo. L. Echols (From Nov. 1st, 1927) - Dietitian
Cecil Humphrey (From Nov. 1st, 1927) - Social Worker
Eighty-Fourth Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVlLLE, GA., JANUARY 1, 1928.
To His Excellency, Lamartine G. Hardman, Governor.
SIR:
The annual report required by law to be made by
the Board of Trustees of the Georgia State Sanitarium
of the conduct and management of this institution is respectfully submitted herewith. It covers the year ended
December 31, 1927, and is the eighty-fourth report to be
so made. Its principal feature is the annual report to
the Board of the Superintendent and Resident Physician,
in which is included like reports to him from the heads
of departments, the whole setting out the work of the
year in substantial detail. For the excellent showing
made, due credit goes to this officer and his assistants.
With a clear vision of the Sanitarium as it might be, he
presses on with modest courage and calm judgment to
the conversion of his vision into terms of fact, in which
effort he has the loyal support of each member of the
medical and business staffs. This fine spirit is reflected
in the service rendered by nurses and attendants, as well
as 'by other employes.
In this forward movement
the Board assumes its full share, seeking by all means
in its power to make the Sanitarium a real sanctuary for
the insane. The State has just cause for pride in this great
hospital.
The year closed with a resident population of 4,936,
which is an increase of 83 over the preceding year. The
daily average of 4,931 shows a gain of 149 patients. Applications for admission reached a total of 1503 and of
these 1221 were admitted. Because of the congested
condition of the Sanitarium, admission was necessarily
denied to all cases deemed incurable and harmless, but
every effort was made to receive recent and acute cases
and cases certified as dangerous.
EIGHTY-FOURTH ANNUAL REPORT
Medical Department
The Board calls attention to the hopeful note found
in the report from the medical department which, under
the leadership of the Clinical Director, is slowly but
steadily growing in usefulness. Evidences of good team
work are abundant. Through personal instruction and
by means of informing bulletins issued monthly, faithful effort is made to give nurses and attendants a clear
conception of the nature of their work and its importance to the patients in their care. Through the intelligent and personal interest thus created, much good has
been accomplished, especially with excited and untidy
patients. A new beginning in behalf of epileptic patients
will be noted.. The rate of recovery shows an increase,
while the death rate has been lowered. The pathological
laboratory plays its useful part, as twelve thousand examinations in the year attests. The daily clinics indicate the thoroughness of the effort made to reach a correct
diagnosis and determine proper treatment for each of the
new admissions.
The training school for nurses reflects increasing
credit on the Superintendent of Nurses by whom it is
conducted and continues to amply justify its existance.
Apart from the marked betterment of the nursing service,
for which it takes credit, it attracts to the Sanitarium an
ample supply of higher grade applicants for training. No
investment in recent years is paying such large dividends
in bettered and happier service as is the nurses' home.
The Board hopes the time is not far distant when some
like provision can be made for the attendants.
The mental clinics conducted by members of the
medical staff at Macon and Elberton and the success
which has attended them point to a field of usefulness
which the Sanitarium should be permitted to fully develop. It should also be permitted to give its discharged
patients some after care, for which trained field agents
will be needed.
Business Department
The current cash resources of the Sanitarium at the
close of the year were $55,470.52 and its cash liabilities
$84,927.97, making an apparent cash deficit of $32,457.45.
A partial offset to this is had in the purchase by the
GEORGIA STATE SANITARIUM
Board of an improved automatic hook and ladder truck
with which to better safeguard the lives of the inmates,
and of 322.63 acres of additional pasturage land. The
cost of these two items was $16,436.16 and is properly
charged to equipment account. The total cash expenditures were $1,107,334.22, a decrease of $12,425.40 from
the expenditures in 1926. The per capita cost was
$224.57, a decrease of $9.59 from the cost last year. The
per diem per capita cost was but $0.6152. This is a
gratifying showing and evidences the good work of the
business department.
The farm gardens and dairy were so handled as to
make their usual substantial contribution to the support
of the Sanitarium. The dairy sustained a heavy loss in
the necessary disposal of a large number of its best milch
cows because of tubercular infection. Their replacement
will be undertaken only after a thorough disinfection has
been had and will be a matter of heavy expense.
Engineering Department
The upkeep of the great physical plant is the duty
of the Engineer's department and his report shows a
busy year.
The long and highly useful service rendered by this official is eloquent testimony to his worth.
The addition to the water works made possible by
special appropriation had by the last General Assembly
will be done with Sanitarium labor under his capable
supervision. The pipe for the duplicate water main has
been bought at an advantageous price and is now being
delivered. The completion of this important work will
safeguard the water supply for years to come.
New Buildings
The special appropriation of $500,000.00 had by
the last General Assembly will afford the Sanatarium
some measure of relief and its wise expenditure is now
receiving the careful study of the Board. Plans have
already been adopted for a domitory building for negro
patients and bids are being solicited for its construction.
It will be completed and occupied as quickly as possible.
This building together with the proposed enlargement
of the colony farm, will care for the present needs of this
department. The second building to be errected will
EIGHTY-FOURTH ANNUAL REPORT
be used for a psychopathic and general hospital. Its
use will permit the gathering under one roof of recent
and acute cases for closer observation and better attention. The physically ill will also be housed in this building. Good results are confidently expected to follow this
long needed addition to the equipment of the Sanitarium.
In Conclusion
The Board makes grateful acknowledgement of the
generous treatment accorded the Sanitarium joy the
General Assembly and also of the continued courtesy of
the State Auditor. A like acknowledgement is made to
his Excellency for the strong and interested support
given it in the discharge of its responsible duties. If its
acts therein shall merit his approval, it will be sufficiently
rewarded. The helpful interest shown by the press in
the problems crowding upon it for solution is warmly
appreciated and now publicly acknowledged.
By order of the Board
JOHN
T. BRANTLEY,
President.
C. C. BRANTLEY,
Secretary,
GEORGIA STATE SANITARIUM
Report of Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1928
The Hon. Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the eighty-fourth annual
report of the Georgia State Sanitarium for the fiscal year
ending, December 31st, 1927.
This report composes the reports of the heads of
departments, each giving a general review of the activities of the institution throughout the year and are appended hereto as follows:
The Clinical Director,
The Pathologist,
The Dental Department,
The Superintendent of Nurses,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
Table of General Information
1. Date of opening as an institution for
the insane
Oct. 12, 1842
2. Type of institution
State
3. Hospital plant:
Real estate including buildings
$1,885,750.00
Personal property
350,452.00
Total
$2,236,202.00
Total acreage of hospital property owned
(Includes grounds occupied by buildings,
farm and garden sites)
Total acreage under cultivation previous year
3,772
1,500
10
EIGHTY-FOURTH ANNUAL REPORT
4. Officers and employes actually in service at the
end of the year:
Males Females Total
Superintendent
10
1
Clinical Directors
10
1
Pathologist
10
1
Assistant Physicians
12
0
12
Medical Internes
_.... 2
0
2
Clinical Assistants —
0
0
0
Resident Dentist
2
0
2
Steward
10
1
Graduate Nurses
1
13
14
Other nurses and attendants. 220
300
520
All other officers and employes....186
7
193
Total Officers and employes
427
320
747
General Statistics of Patient Population for the Year 1927
Patients on books first day of
year:
Male Female Total
Actual resident population
2,189
2,659
4,848
On parole or otherwise absent
but still on books
323
323
646
Total
Admitted during year:
First admissions
Readmissions
2,512
Male
501
119
2,982
Female
466
135
5,492
Total
967
254
Total received during the year.... 620
Total on books during the year.... 3,132
Discharged during the year:
Male
As Recovered
75
As improved
134
As unimproved
62
As without psychosis
'."
8
601
3,583
Female
89
150
45
6
1,221
6,715
Total
164
284
107
14
Total discharged during the year
Total died during the year
279
236
290
198
569
434
Total discharged and died during
the year
515
488
1.003
GEORGIA STATE SANITARIUM
Patients on books last day of year:
Actual resident population
2,248
On parole or otherwise absent.... 373
2,688
403
11
4,936
776
Total
2,621
3,091
5,712
Average daily resident population
during the year
4,931
During the year we received 1,503 applications for ad(mission. Of this number, 1,353 were notified that we
would receive them and 150 were refused on account of
the greatly overcrowded condition of the institution. The
150 applications for admission that were refused, according to their application histories, were composed of
harmless seniles, bedridden invalids and feebleminded
persons who were incurable and it seemed might be successfully cared for outside of the Sanitarium with some
extra attention.
We hope, by the end of another year, to have completed at least one of the buildings we plan for relief of
the Sanitarium's overcrowded condition.
The total first admissions during the year were 967;
an increase of 13 over the previous year. There were
254 readmissions compared to 228 the previous year, or
an increase of 28. The total admissions during the year
were 1221; compared to 1180 the previous year, an increase of 31.
The term, first admissions, applies to those cases
that have never before been admitted to a hospital for
mental diseases for treatment. Therefore, the number
of cases in this group represents the new cases of mental
disease occurring within the State during the year with
the exception noted below.
Readmissions comprises the group of cases who
have previously received treatment in a mental hospital;
either state or private. Not all of this group have had
previous admissions to this institution.
32.1% of the total admissions during the year
were diagnostically grouped as manic depressive psychoses. Dementia praecox psychoses composed the next
largest grouping, viz:—17.4% of the total admissions
Psychoses with cerebral arteriosclerosis composed the
third largest grouping, or 9.6% of the total admissions.
12
EIGHTY-FOURTH ANNUAL REPORT
It might be of interest to note that 32.4 Jo of the
total admissions were afflicted with organic or degenerative psychoses and were incurable. This does not include the group of cases diagnosed as dementia praecox
psychoses. It also should be of interest to note that of
the total admissions only 23 were diagnosed as alcoholic
psychoses and 9 as psychoses due to drugs, compared to 17
and 24 respectively for the previous year. It should be of
further interest to note that of 1,225 routine blood wassermann tests on new admissions, 117 or 9.5% were positive;
according to race and sex as follows:—White females
2.8%, white males 6.3%, colored females 16.9% and colored males 18.8%. A total average of 9.5%.
Also of the 117 positive blood wassermann reactions, 83 or 70.9% had positive wassermann reaction of
the spinal fluid and other serological indications of neurosyphilis. Of the 83 neurosyphilitic cases, 6 were white
females, 26 white males, 15 colored females and 36 colored males. A more detailed analysis of these findings
will be found in the report of the Pathologist.
1,100 of the 1,221 patients admitted during the year
were native Georgians; 113 were born in other States
of the United States, and only 8 were foreign born. Admissions were received from 156 Counties of the State.
217 of the admissions were farmers, 120 were laborers,
263 housekeepers, 20 cooks, 20 textile workers, 12 had
professions and 355 had no occupations according to admission histories. The occupations of the remainder
were varied and among the group were 13 students.
A total of 569 patients were discharged during the
year. Of this number, 164 were restored, 284 improved,
108 unimproved and 14 not insane. This group of cases,
except the not insane, had previously been furloughed
into the custody of their relatives and had remained out
of the Sanitarium over twelve months.
During the year, 974 patients were furloughed. Of
this group, 197 were restored, 571 improved and 206
unimproved; although we considered them harmless in
the custody of their relatives. On account of the greatly
overcrowded condition of the Sanitarium, we were rather
liberal in granting furloughs during the year to certain
chronic unimproved cases, in order to make room for
GEORGIA STATE SANITARIUM
13
more urgent acute cases who were applying for admission, and this, in a measure, is responsible for the increase in the number of patients furloughed, but at the
same time, an analysis of the records show that 62.8%
of cases furloughed were restored or improved, compared to 51.9% for the similar group the previous year.
Therefore, we feel gratified that results indicate due
credit should be given the medical and nursing service
rendered; especially when the Sanitarium's greatly overcrowded condition is considered.
The following notation on psychiatric diagnostic
grouping with recorded mental condition of patients furloughed should be of interest:
Traumatic psychoses—improved
1
Senile psychosis—improved
5
Senile psychosis—unimproved
1
Psychoses with cerebral arteriosclerosis—restored .... 2
Psychoses with cerebral arteriosclerosis—improved.— 25
General paralysis of the insane—improved
18
General paralysis of the insane—unimproved
3
Psychoses with cerebral syphilis—restored
2
Psychoses with cerebral syphilis—improved
4
Psychoses with Huntington's Chorea—unimproved.... 2
Psychoses with other brain and nervous disease
—improved
5
Psychoses with other brain and nervous disease
—unimproved
11
Psychoses due to alcohol—restored
15
Psychoses' due to alcohol—improved
8
Psychoses due to drugs—restored
13
Psychoses due to drugs—improved
2
Psychoses with pellagra—restored
11
Psychoses with pellagra—improved
8
Psychoses with pellagra—unimproved
1
Psychoses with other somatic disease—restored
3
Psychoses with other somatic disease—improved .... 8
Psychoses with other somatic disease—unimproved 1
Manic depressive psychoses—restored
Ill
Manic depressive psychoses—improved
237
Manic depressive psychoses—unimproved
38
Dementia praecox psychoses—restored
5
Dementia praecox psychosjes—improved
136
Dementia praecox psychoses—unimproved
52
Paranoid condition—improved
1
14
EIGHTY-FOURTH ANNUAL REPORT
Psychoses with epilepsy—unimproved
22
Psychoses with epilepsy—improved
12
Psychoneuroses—restored
4
Psychoneuroses—improved
14
Psychoneuroses—unimproved
4
Psychoses with psychopathic personality
(episodes) res'td
4
Psychoses with psychopathic personality
(episodes)—improved
8
Psychoses with psychopathic personality
(episodes)—unimproved
3
Psychoses with mental deficiency (episodes)
—restored
5
Psychoses with mental deficiency (episodes)
—improved
32
Psychoses with mental deficiency (episodes)
—unimproved
28
Unclassified group—restored
22
Unclassified group—improved
57
Unclassified group—unimproved
23
Just here it might be well to state that on account
of inadequate information concerning onset of mental
disorder and absence of definite and distinctive symptoms for grouping under one of the previous groups mentioned above, certain patients are left unclassified at
least temporarily until further observation and progress
of the case.
There were 434 deaths during the year; an increase
of 2 compared to the previous year, but the death rate
was 7.1% compared to 7.4% for the previous year, based
on the total number of patients under treatment.
Medical Service
The report of the Clinical Director gives a general
review of the medical service for the year, also statistical tables containing data concerning diagnostic grouping of admissions; also ages, degree of education, environment, civil condition, etc., of first admissions. A statistical study of first admissions gives important information bearing on the social and economic problems concerning the genesis of mental diseases.
It might be of interest to note that the Sanitarium
has six reception wards for reception of all new admis-
GEORGIA STATE SANITARIUM
15
sions, viz;—two for white females, two for white males,
one for colored females and one for colored males. When
patients are first admitted to the institution, they are
received in one of these wards where they are kept under close observation and a physical and mental examination is made of them. When this examination is completely written and an abstract or summary of it made,
the patient is presented before the Medical Staff for review and discussion. This requires daily Staff meetings
except on Sundays. Also many cases are brought before
the Staff for discharge consideration.
During the year a group of epileptics were segregated for Ketogenic treatment by administration of a fat
diet. This treatment is being continued and results
noted, but we have not yet reached any conclusion as to
its merit; also we continued the research treatment of
general paralysis of the insane by the intravenous administration of typhoid vaccine. The results obtained
warrant a continued study of this method of treatment,
and our experience would indicate its merit equal to or
superior to the malarial treatment of this fatal disease.
No epidemic diseases of any consequence developed
among the patients during the year.
Dr. G. A. Wheeler of the United States Public Health
Service, under the direction of Dr. Joseph Goldberger of
Washington, D. C, continued their research study of pellagra. This study dealt largely with the prevention of
the disease through the use of certain food supplements
to the basic diet, and the application of this, as well as
previously acquired information, to the routine care and
treatment of active cases. It was shown that 1200 C. C.
per day of expressed juice of canned tomatoes used as a
supplement to routine diet will prevent a recurrence
among pellagrins. Also 150 grams (about 5 ounces) of
commercial wheat germ, when used as a supplement and
served as a cooked cereal, will successfully prevent recurrences. These workers have published their findings,
ana have recommended that tomatoes and whole wheat
flour be included in the dietary of those living in sections where pellagra seems endemic.
Some changes occurred in the Medical Staff during
the year. Internes, Drs. J. T. Stephenson and C. B. Kinney resigned to enter general practice and Drs. W. E.
16
EIGHTY-FOURTH ANNUAL REPORT
Brigman and J. D. Wiley were secured to fill their vacancies. Drs. W. F. Dobyns and A. H. Fowler were promoted from Internes to Junior Assistant Physicians and
Dr. W. A. Bostick was promoted from Junior Assistant
Physician to Assistant Physician. During the early part
of the year we secured the services of Miss Leona C.
Frederickson of the United States Marine Hospital, Baltimore, Md., as dietian and Mrs. G. L. Echols was elected an additional dietitian in October. Also, beginning
September 1st, the services of Miss Cecile Humphrey
was secured as psychiatric social worker.
The Training School for Nurses, under the direction of Mrs. Mae M. Jones, was kept at its usual standard of excellence and her report gives a review of its
activities, curriculum, etc.
The Sanitarium's extra mural activities were limited
to the Macon and Elberton psychiatric clinics, and a report of them is incorporated in the Clinical Director's
report. Plans have been made to allow a member of our
Staff make regular visits to the Boys Training School;
also we have under consideration the establishment of
Clinics at Columbus and Savannah, Ga.
The work of the Dental Department was done by
Drs. Geo. H. Green and J. C. Adcock as previously. All
new admissions had their mouths examined soon after
admission, and immediate steps taken to put them in a
hygenic condition. The report of these Dentists gives
a tabulation of the amount and character of work done
in this department.
Amusements aud Diversions
Realizing from past experience that Occupational
Therapy was a valuable aid in the treatment of mental
disease, we endeavored during the year to interest new
admissions as soon after admission as practicable by
sending them daily to Occupational Therapy classes. We
expanded this activity in white female department by fixing up one of the day porticos between the 18th and 22nd
wards, so that some of the more chronic type of cases
could be reached. Also wood work shop was completed
at white male occupation park and equipped with modern electrical machinery.
GEORGIA STATE SANITARIUM
17
The weekly dances in the amusement hall seem to
be greatly enjoyed by the patients; also the moving picture shows.
We now have a fire-proof room for our moving picture machine, built of brick and cement on the outside
of the west wall of amusement hall.
The Sanitariujm Band gave concerts on the lawns
tri-weekly. During the summer barbecues were given
the various working groups and during the Christmas
season, Christmas trees were held and presents were
put on the trees for each patient of the groups represented, and delivered to them after an amusement program was completed with each tree.
Religious services were held each Sunday afternoon
in the chapel by the Chaplain, Rev. H. D. Warnock, Pastor, First Baptist Church, Milledgeville, Ga., until November 1st, and from that date by Rev. J. F. Yarbrough,
pastor, First Methodist Church, Milledgeville, Ga. They
also conducted funerals of remains of white patients interred in the Sanitarium cemetery.
Improvements and Repairs
The report of the Engineer gives a detailed review
of the principal improvements and repairs made during
the year.
The purchase of an American Lafranc Aerial Ladder Truck during the latter part of the year gave us
quite an addition to our fire department.
A badly needed addition of three rooms to the laboratory is under construction and will soon be completed.
More than ten thousand square feet of new flooring
have been laid on the wards during the year, and considerably more repairs are needed that we hope to have
accomplished the coming year.
Reconditioning of buildings at dry dairy for stables
is well under way and plans for removal of work shop
from back yard of Powell Building have been made.
The completion of pasteurizing room adjoining the
cold storage plant and the installation of a three hundred gallon milk pasteurizer therein gave us a very useful equipment.
18
EIGHTY-FOURTH ANNUAL REPORT
Business Department
The report of the Steward gives a detailed account
of receipts and disbursements of monies during the year.
The total amount expended, including every item of cost
for maintenance and upkeep of the institution was
$1,107,334.22 compared to 1,119,759.62 the previous year.
The annualper capita cost was $224.57; daily per
capita cost .6153 cents compared to $234.16 and .6415
cents respectively. The above figures bespeak economy
in financial matters thoughout the year.
Farm Steward's Department
The Farm Steward's report gives a tabulation of
vegetables and other products raised on the farm, garden, dairy and poultry yard during the year.
The Colony farm made a fine crop of corn and peas;
the largest harvest of corn ever made there. We were
taxed for storage space. We also had an abundant harvest of sweet potatoes. We had the misfortune; however, to lose many of our best dairy cows from tubercular
infection; also many hogs from swine plague and cholera,
although they had received preventive inoculations
against cholera by representative from State Veterinarian's office.
Notable Events During the Year
April 20th and 21st.
The Sanitarium was visited by Governor elect, Dr.
L. G. Hardman.
August 25th.
The Sanitarium was visited by the Georgia Weekly
Press Association and they were given a barbecue
at the white male occupation park.
October 19th and 20th.
The Sanitarium was visited by His Excellency Governor L. G. Hardman and Mrs. Hardman.
GEORGIA STATE SANITARIUM
19
Conclusion
In conclusion, I wish to express my cordial appreciation to the many friends of the institution for their
words of encouragement and thoughtful donations to patients. To your Honorable Body, I wish to extend my
thanks for the cordial support you gave me and the constant interest you have devoted to the welfare of the institution, and to the Medical Staff, other officers and employes, I wish to extend my grateful acknowledgement
for their loyal co-operation and faithfulness in the performance of their duties; without which the successful
results of the year could not have been obtained.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
EIGHTY-FOURTH ANNUAL REPORT
20
Report of Medical Department
JANUARY
DR.
1, 1928
R. C. SWINT,
Superintendent.
DEAR SIR:
The following pages contain the report of the Medical Department for the year 1927.
Twelve hundred and twenty-one (1221) patients
were received. Of these nine hundred and sixty-five
(965) were first admissions and two hundred and fiftysix (256) were readmissions. Of the latter sixty-seven
(67) were first admitted to private hospitals or other
state institutions.
In eleven (11) instances a diagnosis of not insane
was made. Two of these were placed in psychopathic
group, one was mentally deficient, one was an alcoholic,
one a drug habitue, one epileptic and three were criminals. The remaining two could not be classified as insane for lack of symptoms.
In the case of ten patients, criminal acts appeared to
have been the immediate cause of commitment. Three
of these were found to be not insane, two were classified
as manic depressive, one as psychosis with epilepsy and
four were left unclassified. Of the last group one patient,
charged with homicide, was in the last stage of tuberculosis when received and died seven days after admission,
one was feeble minded and the remaining two belonged
to the psychopathic group.
The criminal charges were as follows:
Stealing
Forgery
Homicide
Felony, not specified
-
-
-
4
3
2
1
Seven of these ten patients were sent by order of
the court.
GEORGIA STATE SANITARIUM
21
Nine hundred and eighty-eight (988) patients left
the institution on furlough. (This does not include a
number of patients who had their furloughs renewed or
who were returned a short while after escaping.) Of
these furloughs seven hundred and sixty-eight (768) had
been restored or had improved. This gave a recovery
rate of 62.8% as against 51.1% for 1926 and 57% for
1925.
There were four hundred and thirty-four (434)
deaths during the year. The death rate was 6.8% as
against 7.4% for 1926 and 7.% for 1925. Arteriosclerosis or cerebral hemorrhage was the assigned cause of
death in one hundred and nine (109) instances. This
constituted 25% of the deaths. As a cause of death paresis was second with fifty-nine (59) and tuberculosis third
with fifty-eight (58). Five patients committed suicide,
all by strangulation. This is unusual. Three patients
who were extremely sick with typhoid at time of admission died of that disease. One patient died of hook worm
disease twenty-two (22) days after admission. One
hundred and fifty-three (153) patients died within six
months after they were admitted. Fifty-four (54) of
these died within one month of the date of admission.
All patients, with the exception of the sick and feeble
were vaccinated against typhoid fever.
During the year forty-three (43) patients suffering
from paresis were treated by the use of foreign protein
(typhoid vaccine). In addition, the treatment was begun but not completed in six other cases. It is not yet
possible to determine the value of this form of treatment
as insufficient time has elapsed. These were not selected
cases except for the fact that in two or three instances the
patients were so feeble that it was not thought wise to
subject them to treatment. It seems probable that much
better results will be had with white than with colored
patients. Very satisfactory results were obtained in fifteen cases treated in 1926 by the same method. It has
been remarked before that paresis among the colored
males is either much more rapidly fatal than it is among
white males or else the disease in the colored patients is
much further advanced when they are received.
In the latter nine months of the year some epileptics
were treated by dietary means but no results of consequence have been noted up to this time.
22
EIGHTY-FOURTH ANNUAL REPORT
Personal contact with patients has been emphasized
as a means of treatment and no doubt this has played a
part in such success as has come to the Medical Service.
The influence of special attention to excited and untidy
patients has been as evident as in former years.
Details of; the work done in the laboratory will be
found in the report of the pathologist. The fact that
more than twelve thousand (12,000) examinations were
made in the laboratory indicates the amount of work
done in that department. The laboratory is an indispensable part of the Medical Service.
The training school for nurses has, as in former
years, continued to fulfill its place of usefulness in the
institution. Its graduates are filling many positions of
responsibility with credit to themselves and to the institution.
The Macon Clinic was held each Friday afternoon
with exception of one afternoon when offices were closed
on account of legal holiday. A total of one hundred and
sixty-three (163) patients paid five hundred and four
(504) calls at the headquarters. Telephone calls to the
number of one hundred and fifty-seven (157) were received from or concerning patients. The popularity of
this work has gradually gained since its inception eight
years ago.
The monthly school clinic held at Elberton has also
been productive of good and has attracted some attention. A total of one hundred and eighty-nine (189) visits
were paid to this clinic. In addition to this the attending physician received a number of calls in the vicinity
in regard to frank psychoses in adults. These two extramural clinics bring us into contact with only a very
small portion of the states population but serve as indicators of what might be accomplished.
Miss Cecile Humphrey, B. S. (Health) began work
September first as Social Worker. Up to the present
her time has been spent on the wards where she is acauirinc n first hand knowledge of abnormal psychology
and etiology of mental diseases. She has also been active in directing plays, games and other forms of intertainment. Miss Humphrey is well qualified for her
work by reason of native ability and disposition and by
GEORGIA STATE SANITARIUM
23
reasons of studies in physical education, educational psychology and mental hygiene, social policy in education,
mental tests and measures and vocational guidance. We
are in much need of work in these lines.
Some needed improvements in the Medical Department have been recommended from time to time in
monthly reports and are a matter of record.
Due acknowledgement is here made to all who have
assisted in the Medical work.
The customary tabulations follow.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
24
EIGHTY-FOURTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1927.
Psychosis.
White
M. | U\
Traumatic
0
2
Senile
4 15
With cerebral arterio-sclez-osis
bj
13
.General paralysis of the insane
24
5
With cerebral syphilis
2
1
With Huntingdon's chorea
0
1
With brain tumor
0
1
With other brain and nervous diseases
8
6
Due to alcohol
IS
1
Due to drugs
5
4
With pellagra
8 14
With somatic disease
5
5
Manic depressive
109 126
Dementia praecox
63 74
Paranoia or paranoid condition
0
0
With epilepsy
24 18
Psychoneuroses or neuroses
7 11
With constitutional psychopathic
inferiority
7
With mental deficiency
28
Unclassified
16
Not insane
2
Mental deficiency, no psychosis
2
Constitutional psychopathic inferiority,
2
no psychosis
Alcoholism, no psychosis
1
Drug habitue, no psychosis
0
Epilepsy, no psychosis
0
TOTAL
Colored |
M. I f. I Total
1
1
36
33
0
0
1
1
3
0
1
0
79
16
0
20
0
0
3
8 28
10 118
13 75
2
5
0
1
0
2
1 16
1 23
0
9
4 27
4 14
79 393
60 213
0
0
6 68
0 16
2
15
15
0
0
C I 13
7 | 67
35 I 116
II 5
0 I 2
0
0
0
0
396 369 224 232 1221
GEORGIA STATE SANITARIUM
25
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1927.
Psychosis.
White
M.
Traumatic
Senile
with cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chores
With brain tumor
With other brain and nervous diseases..
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
Constitutional psychopathic inferiority,
no psychosis
Alcoholism, no psychosis
Drug habitue, no psychosis
Epilepsy, no psychosis
TOTAL
Colored
F.
M.
F.
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
1
1
35
32
0
0
1
1
2
0
1
0
64
10
0
20
0
0
2
7 27
9 109
13 73
1
3
0
1
0
2
1 15
1 16
0
4
4 27
4 13
62 272
53 150
0
0
5 59
0 15
5
22
13
2
1
4
14
42
2
0
2
12
14
0
0
0 11
6 54
32 101
1
5
0
1
2
1
0
0
0
0
1
0
0
0
0
0
0
0
0
1
Total
2
1
1
1
305 |264
264 196 200 965
26
EIGHTY-FOURTH ANNUAL REPORT
TABLE III
Diagnostic Grouping of Re-admissions During the Year 1927
Psychosis.
White
M. IF.
Colored
M. | F.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
;
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
1
0
6
1
1
0
0
1
6
3
0
0
35
20
0
4
1
0
0
1
0
0
0
0
0
0
2
0
1
54
30
0
4
2
0
0
1
1
0
0
0
0
1
0
0
0
15
6
0
0
0
2
6
3
0
1
0
3
8
0
0
0
3
1
0
0
TOTAL
91 105
28
Total
1
0
1
1
1
9
2
0
1
2
0
0
0
0
1
0
0
7
0
5
0
0
0
1
17 121
7 63
0
0
1
9
0
3
0
1
3
0
0
2
13
15
0
1
32 256
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1927.
WHITE
COLORED
i
Male
female
Male
Female
R\ I |U S|R I lU
■Rl I IUIS Rl I U
Total
Traumatic
0| 1| 0
0
0
0| 0
1
Senile
0| 31 0
0
0| 0
0
6
With cerebral arterio-sclerosis
0! 16| 9
1
01 5
1
43
General paralysis of the insane
0
2
21
With cerebral syphilis
n
1
6
Huntington's chorea
0
0
2
With brain tumor
0
0
0
With other brain and nervous diseases
0
0
16
Due to alcohol
1
1
23
Due to drugs
4
0
15
With pellagra
2
3
20
With somatic disease
1
12
1
Manic depressive
35[ 67
43
1|41
46
386
Dementia praecox
2| 46
0
0
32 61 0 183
Paranoid or paranoid condition
0
0
0
0 0| 0
1
With epilepsy
0
0
0
3 2 0 34
Psychoneuroses or neuroses
0
0
4
0 0| 0 22
With constitutional psychopathic inferiority
1
0
3
0 0 0 15
With mental deficiency
1 13|141
3
0
1
5 31 0
65
Unclassified
11 141 5|
01 6 11 2| 0 102
5
0| 6
Not insane
0'
0| 01 0| 0| 0 0 01 1
01 01 0|
6
Drug addict, no psychosis
0'
01 0| 0| 01 0
0 0! 0
01 01 0|
1
Alcoholism, no psychosis
0| 01 01 0| 0 0 0| 0
01
1
01 01 0|
Epilepsy, no psychosis
01 01 0|
01 01 0| 0| 0 0 01 1
01
1
Mental deficiency, no psychosis
0 01 1
0| 01 01 0| 0
01 01 0
01 0| 0|
Constitutional psychopathic inferiority, no psychosis
0! 01 0
0| 0| 0| 0| 0 0! 01 0
3
01 0| 0|
-I
TOTAL
801209164! 9 66|185|89
-1—1—1-
2171132! 0149 106120! 31 988
O
H
O
W
a
w
>
H
M
w
>
H
>
I—I
a
.23
EIGHTY-FOURTH ANNUAL REPORT
TABLE V
Causes of Deaths of Patients Who Died During the Year 1927
Amoebic dysentery
Arterio-sclerosis
Anaemia, agranulocytic
""
Brain tumor
Brain disease, organic, not specined ""
Brain, concussion of
Carcinoma of orbit___„
Carcinoma of caecum
"
Carcinoma of brain
~
Carcinoma of colon
Carcinoma of ovary
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral thrombosis
Cardio-vascular disease
Cerebral syphilis
Exhaustion from acute mental disease
Endocarditis chronic
Erysipelas
Enteritis, acute
~-~--~-~~l-~,l__
Enteritis, chronic
Epilepsy
Encephalitis
~~_~
~~
Hook worm disease
Intestinal obstruction
Influenza
Myocarditis, chronic
1111
Nephritis, chronic
'
Osteomyelitis
"
Peritonitis
Poisoning, lye soap
1 I
Pneumonia, lobar
~"
Pneumonia, broncho
"_
Paresis
Pellagra
Suicide by strangulation
~™~""
Septicemia
Tuberculosis, pulmonary _ JJ
~~~
Tuberculosis, intestinal .__!
Typhoid fever
~" [
Tubercular peritonitis
"ZZ1ZZZ".
Uremic poisoning
~~"
Unknown
Valvular he?rt disease
~"
TOTAL
White
M. I F.
0| 2
27 I 17
0
0
0
0
1
0
0
0
0
0
0
13
0 I
0
0
1
0
0
1
1
1
0
1
0
2
3
1
0
11
6
0
2
0
1
1
3
0
0
5
5
4
0
0
0
1
0
0
0
6
3
18
6
13
2
0
8
2
3
2
0
11
9
0
01
0
3 I
0
0I
1
H
2
21
1
II
Colored
M. | F. Total
0
1
3
27 10 81
0
1
1
1
0
2
0
0
3
1
0
1
0
0
1
0
0
1
0
0
1
0
0
1
0
1
1
0
0 I
1
0
1
2
4
2 | 20
0
1 I 1
0
oI 1
0
2| 2
0
5
8
0
01
1
0
0
1
0
4
9
0
0
1
12
4 33
1
1
4
0
0
1
0
0
4
1
0
1
7
2 19
1
3
8
0
1
1
1
0
2
0
1
1
5
2 16
4
6 34
33 11 59
0
6 14
01 5
01
31 5
12| 24 I 56
01 l! 1
o
II 4
11 II 2
o
01 2
01
71 11
II 3
0|
°l
125 | 97 | 111 | 101 | 434
GEORGIA STATE SANITARIUM
29
TABLE VI
Surgical Operations for the Year 1927
Abcess, ischio-rectol, drained
Abcess, periurethral, drained
~_ ~_
Amputation, arm
Amputation, leg
I~~
"""
Amputation, fingers
~™IZ~ _
Amputation, hand
~
Amputation foot
~ ~
Appendectomies
Carcinoma of intestine, laparotomy
Cervical polypus, removed
Cysj;, prostatic, drained
~
Cystotomy
Circumcisions
Dilatation and curettage of uterus
Dislocation of shoulder, reduced
Fracture, femur, treatment for
Fracture, colles, treatment for
Fracture, humerus, treatment for
Fracture, metatarsal bones, treatment for
Fracture, radius, treatment for
Fracture, tibia, treatment for
Hydrocele, operation for
Hemorrhoidectomies
Herniotomies
Intestinal obstruction, operation for
Laparotomy, exploratory
Maxillary sinus, irrigation of
Otitis media, paracentesis
Orchidectomy
Perineorrhapie
Prolapsed rectum, operation for
Prostatecomies
Pterygium, transplantation
^
Strabismus, operation for
Testicle, tumor of, removed
Tonsillectomies
Uterus, suspension of
Varicocele, operation for
Varicotomy
\
1
3
i
3
1
1
1
4
7
1
9
1
1
1
1
1
1
6
10
3
1
1
2
6
3
1
3
4
1
1
51
1
1
1
30
EIGHTY-FOURTH ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1927
White
Colored
M. F. M. | F. Total
Appling
4
1
0
5
0
Atkinson
1
0
0
0
1
Bacon
2
0
0
0
2
Baker
0
0
0
1
1
Baldwin
3
3
3
2 11
Banks
1
4
0
0
5
Barrow
2
3
0
0
5
Bartow
3
5
0
0
8
Ben Hill
2
1
1
II 5
Berrien
2
3
0
1
6
Bibb
11 10
9 14 44
Bleckley
5
1
0
0
6
Brantley
2
0
0
0
2
Brooks
1
1
2
4
8
Bulloch
2
1
2
3
8
Burke
__
0
5
8
3 16
Butts
3
1
2
2
8
Calhoun
1
1
1
4
7
Camden
1
1
0
0
2
Campbell
3
1
0
0
4
Candler
2
2
0
1
5
Carroll
5
5
2
2 14
Catoosa
0
1
0
0
1
Charlton
1
1
0
0
2
Chattahoochee
1
0
1
0
2
Chatham
21 16 27 27 91
Chattooga
3
2
1
1
7
Cherokee
4
2
0
1
7
Clark
4
4
0
4 12
Clay
0
0
1
2
3
Clayton
0
0
2
1
3
Clinch
0
0
1
0
1
Cobb
6
2
3
1 12
Coffee
2
2
1
1
6
Colquitt
3
1
0
1
5
Columbia
1
2
2
0
5
Cook
4
1
1
0
6
Coweta
2
6
2
2 12
Crawford
1
0
2
1
4
Crisp
1
0
3
1
5
Dade
0
2
0
0
2
Decatur
3
2
2
1
8
DeKalb
2
0
18
GEORGIA STATE SANITARIUM
31
Admissions From the Various Counties During the Year 1927
(Continued)
Dodge
Dooly _
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glynn .
Hall
Hart
Colored
I Wh ite
| M. F. M. | F.
Total
51
0
0
5
0
2
2
1
8
3
0
7
5
1
1
4
1
8
0
3
1
1
1
2
5
1
4
0
3
0
2
2
1
1
6
?,
2
1
5
0
1
1
0
0
0
4
0
0
3
2
0
0
0
2
2 24
10
10
2
4
0
0
0
4
3
0
15
25 110
35 .35
0
1
1
0
0
1
0
0
1
0
1
2
5
1
1
1
5
2
0
2
2
5
2
0
1
2
6
0
3
1
1
19
2
8
8
6
2
0
2
2
14
1
2
8
3
5
2
2
1
0
5
1
3
0
1
2
1
0
II
0
6
1
1
0
4
1
0
1
0
0
8
1
4
1
2
6
0
3
1|
2
3
0
1
II
1
5
0
4|
0
1
5
2
1
1
1
0]
0
0
0
0
0|
3
3
0
0
1
1
6
11
9
21
3
1
0
0
0|
5
0
2
3
01
5
2
0
3
0|
4
1
1
2
0
1
0
01
1
11
3
01
2
0
?
-
32
EIGHTY-FOURTH ANNUAL REPORT
Admissions Prom the Various Counties During the Year 1927
(Continued)
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion ,
Meriwether _
Miller
Milton
Mitchell ___
Monroe
Montgomery
Morgan
Murray
Muscogee __
McDuffie ___
Mclntosh ...
Newton
Oconee
Oglethorpe _.
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph
Rabun
._.
Richmond
Rockdale
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
White
Colored
M. | F. M. | F.
0|
1
2|
1|
1|
C
0|
01
4|
4|
l|
0|
01
1|
01
1|
4|
01
4|
0
2
1
0
0
1
2
6
2
4[
1
2]
3|
1
0
1|
1]
0
2|
3
2|
1|
1
2
01
II
1
1
2
0
1
2
3
3
3
3
0
0
11 11
2
5
2
4
1
1
0
0
1
1
3
3
4
0
1
0
1
1
2
1
1
1
4
3
0
0
2
1
2
1
0
0
1
0
1
0
0
0
5
2
2
1
2
4
1
1
4
2
2
0
2
2
3
2
1
0
0
0
3
4
4
2
1
0
10
9
1
0
1
1
2
2
1
0
2
6
1
2
3
0
1
0
3
1
2
3
0
2
1
0
1
0
1
2
1
1
3
2
6
3
1
1
II
3
4
51
0
1
2
71
2
3!
1
0
Total
4
1
14
1
5
6
2
14
7
2
8
4
4
9
6
29
8
2
10
3
5
7
6
1
1
10
8
8
9
1
13
1
35
4
5
3
17
4
5
6
3
3
5
13
8
8
12
15
5
GEORGIA STATE SANITARIUM
33
Admissions From the Various Counties During the Year 1927
(Continued)
Towns
Treutlen
Troup
_.
Turner _
Twiggs
_
Union
_
_
Upson
Walker __
Walton
_ _
Ware
_
_ _
Warren _
_ _
Washington __
Wayne _. _
_ _
Webster
___
Wheeler
White
_
Whitfield
_
Wilcox
_ _ _
Wilks
Wilkinson
_
_
Worth _
_
_ _
..
TOTAL
White
Colored
M. | F. M. | F. Total
1
1
2
01
0
0
2
3
4
4
2
4 14
1
0
0
1
2
4
1
2
0
7
3
4
0
0
7
3
0
1
1
5
3
0
2
1
0
g
2
4
1
1
1
5
3
1 10
2
1
1
0
0
3
6
1
2 12
g
3
2
1
0
1
0
1
0
0
4
1
2
1
0
3
3
0
0
0
9
4
4
0
1
3
0
0
2
1
6
1
3
3 13
9
4
4
0
1
7
2
1
1
3
396| 369 224 232 1221
34
EIGHTY-FOURTH ANNUAL REPORT
TABLE VIII
Nativity of all Patients Admitted During the Year, 1927
Alabama
Arkansas
England
Florida
France
Georgia
Greece
Illinois
Ireland
Italy
Kentucky
Louisiana
Mississippi
Missouri
Massachusetts .
New York
North Carolina
Ohio
Oregon
Poland
South Carolina
Sweden
Tennessee
Unknown
Virginia
Wisconsin
TOTAL
White
Colored |
M. F. M. | F. | Total
15
6
5
6
1
1
0
0
2
1
0
0
0
1
4
5
0
2
11
0
1
0
0
1
347 332 211 210 1100
2
0
0
2
0
1
0
0
0
1
0
1
0
0
1
1
0
0
0
1
0
1
0
0
1
1
0
0
0
1
0
0
1
0
1
0
1
0
0
1
1
0
0
0
1
2
1
0
0
3
4
4
1
3
12
0
1
0
0
1
1
0
0
0
1
0
1
0
0
1
8
4
3
10
25
0
1
0
0
1
4
7
0
0
11
0
1
3
1
5
1
1
01 0
2
2
0
0
2
396 369| 224| 232 1221
GEORGIA STATE SANITARIUM
35
TABLE IX
Classified Occupation of Patients Admitted During the Year 1927
White
M. I F.
Agricultural Pursuits:
Farmers
Professional Service:
Dentist
Druggist
Lawyers
Ministers
Physicians
Domestic and Personal Service:
Barbers
Caddy
Delivery Boy
Hair dresser
House keepers
Insurance agents
Laundry workers
Laborers
Mail carriers
Photographer
Seamstress
Servants
Trade and Transportation:
Bookkeepers
Bridge hands
Clerks
Collectors
Jewelers
Merchants
Post Office clerks
Railroad engineers
Salesmen
Shipping clerks
Stenographers
Teachers
Telegraph operators
140
1
1
4
1
591
0
0
0
0
0
4
0
0
0
0
0
0
1
0 201
2
0
0
1
24
0
2
0
2
0
0
1
0
6
0
9
2
1
8
0
5
13
1
1
0
1
Colored
M. I F.
1
0
0
0
0
0
1
0
0
0
3
7
0
17 217
0
0
0
0
0
1
1
2
0
0
0
0
80
0
0
0
2
0
2
0
0
0
1
0
0
0
0
0
0
0
Total
1
1
4
4
2
0
5
0
1
0
2
0
1
62 263
0
2
25 26
16 120
0
2
0
2
0
1
16
18
0
0
0
0
0
0
0
0
0
0
0
0
0
7
2
9
2
1
9
1
5
13
1
4
7
1
36
EIGHTY-FOURTH ANNUAL REPORT
Classified Occupation of Patients Admitted During the Year 1927
(Continued)
White
M. I F.
Manufacturing and Mechanical Pursuits:
Blacksmith
Brickmason
Carpenters
Chemical engineer
Compress superintendent
Coppersmith
Electrician
Gas fitter
Gunsmith
Line foreman
Machinists
Miner
,
Moulder
Painters
Plasterers
Printers
Road construction
Stone cutter
Truck driver
Upholsterer
Foods and its Kindred Products:
Butcher
Cooks
Fisherman
Waiter
Textile Workers:
Cotton mill workers
Lumber and its Manufacturers:
Saw mill laborers
Plaining mill operator
Turpentine operator
Miscellaneous:
Clerk of court
Convict
Fortune teller
Maker of artificial flowers
Peddler
Pumper
Students
No occupation
Not given
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
1
1
0
1
0
0
Colored |
M. | F. | Total
0
2
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
9
1
1
4
2
2
1
1
6
1
1
6
2
3
1
1
1
1
0
0
0
0
0
19
0
0
3
20
1
1
1
1
11
20
4
1
0
1
0
0
0
0
1
0
o
3
0
1
0
6
6
92 135
2
1
0
1
0
1
56
1
0
0
0
8
1
2
0
0
0
1
1
1
1
4
1
13
355
7
i!
0
0
0
72
3
396 369 224 232 1221
37
GEORGIA STATE SANITARIUM
TABLE X
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis.
White Male Population.
Phychosis.
|
Traumatic
Senile
J
With cerebral arteriosclerois
General paralysis of
|
the insane
i
With cerebral syphilis
j
With Huntington's chorea|
With brain tumor
|
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease __
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional
psychopathic infer
iority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no
psychosis
Constitutional psycho
pathic inferiority, no
phychosis
Alcoholism, no psychosis._
TOTAL
!
Under |20|30!40|50|60 Over) Not |
20 |30|40|50|60|70 70 Given I Total
0 110 0 0 0 0
o I 1
0
0 0 0 0 2 2
o .1 4
0 01 11121 20
6
0
0
0
0
0
0
0
0
0
0
0
23
1
0
0
3 1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
7
12
2
8
5
74
43
0
0
0
0
0
20
101
1
0
0|
2
81
4|
21
0
53
2
5
1
0
0
11
5|
0|
0
0
2
0
5
22
13
2
1| 0 01 0
I ,'
1110 0] 0
0 I 01 1 01 0
-I-
27
|82155 47140130! 24
305
EIGHTY-FOURTH ANNUAL REPORT
38
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
(Continued)
Phychosis
|
Traumatic
1
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis._
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With mental deficiency _.
Unclassified
Not insane
Drug habitue, no
psychosis
TOTAL
Under 20 30 40 50 60 Over Not |
20
30 40 50 60 70 70 Given
o
o
0 0 0 0 0
0 0 0 1 7
0
7
0
0
0
15
0
0 0 0 3 5
4
0
12
0
0
0
0
1
0
0
0
1
0
0
0
0
1
0
0
2
0
1
0
1
0
0
1
0
0
0
0
0
0
0
0
5
1
1
1
1
0
0
0
0
4
4
3
0
0
4
2
20
14
1
0
1
4
1
19
12
0
1
1
4
0
23
8
1
0
0
2
1
5
5
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
2
14
4
72
44
0
2
0 0 0 0 0
8 2 2 0 0
0
0
0
0
0
14
1
3 3 2 0 0
0
0
0
1
3
0
0
0
1
0
0
0
0
0
1 0 0 0 0
0
0
72 56 57 28 20 12
0
2
3
2
0
0
19
1
4
10
1
0
2
9
1
1
3
11
0
0
1
6
0
4
14
42
2
264
GEORGIA STATE SANITARIUM
39
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis.
Colored Male Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With mental deficiency..
Unclassified
Not insane
TOTAL
Under |20|30|40|50|60|Over Not
20 !30|40|50j60|70| 70 Given Total
1
1
35
0
0
0
0
32
0
0
1
|
0
0
0
0
0
11
0
1
2
0
1
0
64
10
[
0
I 0
0
I 0
20
I
I o
|
2
12
14
0
I 6
I 4
I 0
24
0| 0
56 33 3131115
4
196
EIGHTY-FOURTH ANNUAL REPORT
40
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
Epilepsy, no psychosis __.
TOTAL
Under|20|30|40|50|60|Over| Not |
2u j3U|40|50l60 70| 70 j Given] Total
0| 0 0
01 0 0
0
0
0
0
0
0
0
0
13
1
0
0
0
0
0
6
3
0
0
0
0
0
0
0
1
1
0
4
4
62
53
0
2
0
0
0
6
32
1
1
0
0
6
0
0
17
0
0
76 5132 13 6
4
200
GEORGIA STATE SANITARIUM
41
TABLE XI
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
ao
>
CD
Traumatic
0
0| 0
Senile
01 0
0
Vfith cerebral arteriosclerosis
1
8
18
General paralysis of the insane _
0 0
11
With cerebral syphilis
0 0
0
With Huntington's chorea
0 0
0
With brain tumor
0
0
0
With other brain and
nervous disease
1
2
4
Due to alcohol
0
3
6
Due to drugs
0
1
1
With pellagra
5
1
2
With somatic disease
1
3
1
2
Manic depressive
22 39
Dementia praecox
3
6 30
Paranoia or paranoid condition. _
0
0| 0 0
With epilepsy
9
4
0
Psychoneuroses or neuroses
3
With constitutional psychopathic
inferiority
0 0| 0 4
12
With mental deficiency
II 4 5
0
Unclassified
7
0
Not insane
o| o| i| II
Mental deficiency, no psychosis __
II 0| 0 01
Constitutional psychopathic inI
I I
inferiority, no psychosis __
01 01 01
0| 01 0| 1|
Alcoholism, no psychosis
TOTAL
I 421
61 85(138! 27
Ul
h
-fj
<a
o
U
Z
H
0
0
2
0
0
0
0
0
0
0
0
0
0
0
1
4
53
23
1
0
0
0
1
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
7
12
2
8
5
74
43
0
20
6
1
0
0
01
01
0
0
0
01
0
5
22
13
I
01
01
I
01
01
01 305
42
EIGHTY-FOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population
Psychosis.
o
H
M
Traumatic
Senile
With cerebral arteriosclerosis -.
General paralysis of the insane -With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug habitue, no psychosis
TOTAL
0
0
2
0
0
0
0
0
15
12
5
1
1
1
1
6
1
2
14
4
72
44
0
14
9
0
0
1
0
7
3
0
1
0
1
0
0
0
4
14
42
2
1
I 32 12 60 119 23 16
264
GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
o
'iraumatic
Senile
With cerebral arteriosclerosis __
General paralysis of the insaneWith cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
I
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
1
0
0
0
1
1
25
17
0
0
1
1
1
0
0
0
18
6
0
11
0
1100!
0|
31
0|
0
5
0
01
0|
0
0 1
3| 0 0
0| 3 0)
0! o' of
_____
9| 67| 15|
0
0
0
0
0
0
0
1
1
35
32
0
0
1
0
0
0
0
0
0
0
0|
01
0
1
2
0
1
0
64
10
0
20
0
01
l|
0
0
0
0
0|
0!
0|
0
0
0
2
12
14
0
2[
0
196
of 0
44
EIGHTY-FOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis,
Colored Female Population.
CO
0)
+J
Phychosis
w
-o
n!
Zj
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no pshchosis
TOTAL
'A
0
7
7
2
0
0
73
«
u
o
o
-n
a
WJ
VI
Tl
a
<u
c
o
a
i
o
o
o
(3
■fi
f/J
cl
hn
<D
01
bi\
<u
>
o
^ -^
a a zo
0
0
1
2
1
0
0
o
H
0
7
9
13
1
0
0
0
0
0 0
0
0
0
1
1
0
3,3
8
25 11
0
0
2
0
0
0
1
1
0
4
4
62
53
0
5
0
0
0
10
0
1
0
6
32
1
1
« o
0
0
1
4
0
0
0
0
0
9
0
0
9 77 33
0
4| 200
GEORGIA STATE SANITARIUM
45
TABLE XII
Environment of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
Male
Female
Psychosis
O
o
Traumatic
Senile
With cerebral arteriosclerosis __.
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _.
With Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug habitue, no psychosis
Constitutional psychopathic inferiority, no psychosis
Mental deficiency, no psychosis _.
TOTAL
0
1
0 4
13 40
19 4
0
1
0
0
0
0
1
4
53
23
1
0
0
0
15
12
5
1
1
1
2
5
7
5
1
1
3
5
1
4
25 49
16 27
0 0
5 15
3 3
7
12
2
8
5
74
43
0
20
6
6
1
2
14
4
72
44
0
14
9
2
3
3 19
8
5
0
2
1
0
0
0
5
22
13
2
1
0
4
14
42
2
0
1
2
1
0
0
2
0
0
1
|114191|
0 305
98 164
2 264
46
EIGHTY-FOURTH ANNUAL REPORT
Environment of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis:
Colored Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
0
0
10
10
0
0
1
1
1
35
32
0
0
1
1
2
0
1
0
24
4
01 0|
7| 13|
0| 0
0|
1
2
o|
1
0:
64
10
0|
20'
0'
Of
21
I
II
41
I-
1
8
| 74 121
I
01
211 0
1211 3 2|
14|| 16 16!
Oil II 01
01
l| 0
19611131 86
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
0
0
0
0
0
0
0|
I
0
0
ll
0| 32
01 1
01 1
11200
TABLE XIII
MALE
Econimic Condition of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
Psychosis.
s
X>
a
C3
"So
O
O
7
T3
a
1)
>
C3
5
'Si
u
3
o
a
0
0
11
10
1
0
0
1
5
2
2
1
43
11
0
4
4
2
3
7
0
0
0
0
0
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional Psychopathic inferiority
With mental deficiency
Unclassified
Not insane —_*.
Alcoholism, no psychosis
Mental deficiency, no psychosis
Constitutional psychopathic inferiority, no psychosis
Drug habitue, no psychosis
TOTAL
FEMALE
1
4
40
12
0
0
0
6
6
0
6
4
28
31
0
16
2
3
19
6
2
1
1
2
0
107 190
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
5
22
13
2
1
1
2
0
1
305
6
C
0)
p.
<u
a
o
0
2
1
1
1
1
0
1
1
2
3
1
38
12
0
5
1
0
0
10
1
0
0
0
0
0
13
11
4
0
0
1
5
0
0
11
3
33
29
0
9
7
4
14
31
1
0
0
0
1
81
177
C
>
3
o
2
5o
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
14
42
2
0
0
0
1
0
264
M
O
73
H
H
w
>
h-l
H
w
I—I
S
FEMALE
MALE
1
Economic Condition of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
OS
-u
u
o
a
so
u
a
>
o
Q
£
<u
fta
■-•
3
0
0
0
0
0
0
0
0
1
-p
c<D
•a
o
1
1.
0 | 196
0
0
1
2
1
0
0
0
0
0
0
0
14
16
0
0
0
0
0
6
0
0
1
a<u
t>
• f-<
O
o
Q
125
$o
0
7
8
11
0
0
0
1
1
0
4
4
48
37
0
5
0
0
5
26
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
D.
0)
o
0 1 1
1
0
0
35
32
0
0
0
0
0
1
0
1
0
0
2
0
0
0
1
0
0
64
0
10
0
0
0
0 20
0
0
2
0
0
12
14
0
0
0
0
0
0 | 30 | 166 |
a01
I
4J
1
1
34
30
0
0
1
1
1
0
1
0
41
7
0
20
0
2
12
14
0
0
0 I 1
2
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0 23
-I
a<U
-p
13
V
C3
0 | 41 | 158 |
4J
O
1| 200
a
i
o
c
w
H
w
>
z
d
>
o
w
TABLE XIV
MALE
FEMALE
Civil Condition of Fist Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
be
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
Brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra __'
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
Constitutional psychopathic inferiority, no psychosis
Alcoholism, no psychosis
Drug habitue, no psychosis
TOTAL
g
0
0
0 3
7 34
6 13
1
0
0
0
0
0
4
1
2 7
0
1
1
6
2 2
23 42
27
9
0| 0
16
4
0
41
1
2
18
3
31 6
2| 0
1
1
9
2
0
0
0
1
1
1
0
o
21
1
0| 0
01 0
01 1
0 0
0| 1
0! 2
0 0
01
0 0
0 0
II
0| Of
01
0| 0 01 01
124|140 19| 12|
0
0
3
1
0
0
0
1
2
0
0
0
4
3
0
0
1
2
0
2
0
0
0
0|
0|
19[
II
0|
0|
0|
0|
0|
01
0
0|
01
74
43
0
20
6
5
22
13
2
0
3
4
1
0
1
0
3
1
2
7
4
161 43
20 16
0 0
0
9
6
2
1
0
1
1
0
0
3
0
9
3
°!
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
21
0
1
0
1
0
0
0
0
0
0
0
0
3
4
0
1
0
1
2
3
71
2!
4! 4
1
3| 0 o
81 3
1)
12 21
4
0 2 o of 0
0 0 0 01 0
0 0 0 0 0
o
0 0 o
01
01
0| 0|| 1| 0| 0|
01
1[305|| 81|119| 43) 5f 16|
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
0 14
0 42
0| 2
01 0
0 0
01 0
01 1
0|264
a
H
O
W
a
H
H
H
>
m
>
►
2
5
B
MALE
Civil Condition of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General parp.lysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
T3
•n
bo
o
-a
o
W
i*
Q
0
1
4
6
0
0
0
1
2
0
0
0
30
4
0
17
0
1
11
8
0
0
85| 59| 20
FEMALE
a
>
3
>
o
EH
0
0
0
7
0
0
0
0
0
0
0
0
10]
II
1
1
35
32
0
o
1
0
0
01
o|
0
0
9| 19|
4|196| 62| 761 26]
4| 30
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
3 200
M
I—I
O
X
H3
«!
I
O
<=!
>
>
w
M
O
W
GEORGIA STATE SANITARIUM
51
TABLE XV
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arteriosclerosis _.
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor __
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneouroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency __
Unclassified
Not insane
TOTAL
| Under
20
0
0
60 Over | Not |
70 70 Given | Total
01 01 0
0
0 0 2
10
o
16
41
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
1
1
3
7
14
0
0
0
0
0
10
2
14
7
0
12 1115 24 32 27
125
52
EIGHTY-FOURTH ANNUAL REPORT
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
!
Traumatic
|
Senile
|
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With Mental deficiency _
Unclassified
Not insane
TOTAL
| Under
20
40 50j6u Over Not
50 60|7070 I Given
0! 0
0 0
Total
0
18
0 0
0 0
21 0
0!
0
0
0
0
0
0
0
0
1
0
2
1
0
0
0
0
0
2
3
0
0
0
0
0
1
0
1
0
0
6
2
13
11
0
1
0
0
0
10
0
I
7 13 14 14123! 22
0
10
16
0
97
GEORGIA STATE SANITARIUM
53
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
|
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
TOTAL
| Under
20
50|60 Over | Not |
60|70 70 | Given | Total
01 0
0
3
1 1
20
1
0
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
1
1
0
0
0
8
9
0
4
0
0
0
14
1
0
6
15
0
0 0
9
16 16 26 21 15
5
111
EIGHTY FOURTH ANNUAL REPORT
54
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
i
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis __.
With Huntington's chorea.
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
TOTAL
Under 20 30 40 50 60 Over | Not
20
30 40 50 60 70 70 Given
0| 0
0| 0
0 1
Total
0
4
11
11
3
0
0
2
0
0
2
1
21
21
0
6
1
5
13
0
33125
0 I 101
GEORGIA STATE SANITARIUM
55
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
X
c
Psychosis.
&
r-f
T3
rr, -C
<r. +J
c
c c
0 g
■p
s
CD
C
+J
T-4
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With other brain and nervous diseases.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
m
u
a
U
u;
h
=1
>, >>
h
-i
^
CM lO rH
O 0
+J +J +^
CO r-i <M in
0
+J
0
10
41
13
0
3
0
0
1
3
7
14
0
10
0
0 0
3 4
2
14
01 0| 1| 01 II 3 7
01 0 0 0| 01 0 0
110[29|13|17|17|12|10|17 125
5G
EIGHTY-FOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
0|
01
0|
0|
II
0|
0|
2
0
o(
01
0
0
0
1
o
0
01 0
o| o!
0,
3! 2 0
0
1
0|
0|
2|
0]
0
01
61
01
0|
II
4|
01
0
0
0
0
0
0
of 0
H o
3
0
1
0
01
21
21
0|
1|
0
0
2
1
0
1
0
0
01
01
01
0
11
II
01
0|
21
01
01
0|
0
2|
5|
0|
21
0
0
18
5
1
0
2
1
1
0
0
6
2
13
11
0
10
1
I
0|
01
0|
01
0
31
2|
01
0 0
3| 10
3| 16
01 0
I- -I
112116! 81 9|17| 9lllll5l 97
GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
Traumatic
I
Senil^
With cerebral arteriosclerosis
f
General paralysis of the insane
|
With cerebral syphilis
I
With other brain and nervous diseases..!
Due to alcohol
|
Due to drugs
|
With pellagra
|
Wj.th somatic disease
|
Manic depressive
|
Dementia praecox
|
Paranoi a or paranoid condition
I
With epilepsy
|
Psychoneuroses or neuroses
|
With constitutional psychopathic inferiority
I
With mental deficiency
|
Unclassified
j
Not insane
I
TOTAL
0 0| 0 0 0
0
1
4
7
0
0
0
0
o
0
o
0
0
0
0
0
0
4
0
0
0
0
0
4
0
0
0
0
0|
II
0|
0|
II
0|
01
0|
0|
2|
0|
11
0
0 0
0 3
0 20
0 34
0 0
0 1
0 1
0 0
0 0
0 0
0 8
2 9
0 0
o 14
0 0
0
1
4 2
01 0
0
01 01 0
0
6
15
0
71101 71 7
111
I—
119131 231
1
1
58
EIGHTY-FOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
I
Senile
|
With cerebral arterioscleroisis
|
General paralysis of the insane
|
With cerebral syphilis
With other brain and nervous diseases.
Due to alcohol
Due to drugs
With pellagra
With somanic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
|
Unclassified
Not insane
|
TOTAL
0
1
1
5
0
0
0
0
0
1
0
0
0
1
0
0
4
11
11
3
2
0
0
2
1
21
21
0
6
0
0
0
4
0
31 0
0| 0
1
5
13
0
|13|23 10 14 281 8
101
l-l-
GEORGIA STATE SANITARIUM
59
Report of Pathologist
1927
FOR THE YEAR
DR.
R. C. SWINT,
Superintendent.
DEAR SIR
:
The Report of the Pathological Laboratory for the
Year 1927 follows:
♦
Summary
SEROLOGICAL EXAMINATIONS
Blood, Wassermann
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
:
(Noguchi) reaction
Wasserman reaction
Colloidal Gold test
Globulin estimation
Cell Count
1477
353
353
353
353
CLINICAL LABORATORY EXAMINATIONS:
Urine, routine analysis
4243
Urine, Special chemical examinations
2315
Feces, for parasites or ova
1158
Feces, for occult blood
5
Blood, chemical examination
78
Blood for malaria parasites
106
Blood, counts—red, white or differential
508
Blood, coagulation time
6
Blood, hemoglobin estimation...40
Blood, type determination
6
Sputum, for tubercle bacilli
188
Milk, butter fat determination
133
Gastric Contents, chemically and microscopically....
5
BACTERIOLOGICAL EXAMINATIONS
:
Blood, culture
Blood, agglutination test
Exudates, culture
Exudates, microscopically
Exudates, dark field examination for T. Pallidum
25
254
74
87
1
EIGHTY-FOURTH ANNUAL REPORT
60
Exudates, animal inoculation
Milk, bacteria count
Vaccine, Autogenous
10
105
32
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL
Necropsies
—
Postmortem examination of animals....
Brain, Cat, for Negri Bodies
Surgical Tissue, Gross and microscopical
Necropsy Tissue, microscopically
Total Number of Examinations
:
37
15
1
43
144
12,518
Note—In addition to the total number of procedures
enumerated above, 415 cadavers were embalmed by the
technicians who are also licensed embalmers.
SEROLOGICAL EXAMINATIONS
There were 1417 specimens of blood examined for
the Wassermann reaction, of which number 1225 were
secured as a matter of routine frofri patients upon their
admission to the institution.
There were 353 specimens of cerebrospinal fluid
examined, of which number 306 were obtained from
patients admitted during the year. A routine examination of this fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test.
TABLE L- -Results of Routine Blood Wassermann
Tests.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number Number
Examined Positive
(4 plus)
11
386
26
377
239
40
42
223
1,225
119
Percentage
Positive
2.8
6.9
16.7
18.8
9.5
GEORGIA STATE SANITARIUM
61
TABLE II.—Estimate of Serological Neurosyphilis
in Patients Admitted During Year 1927.
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Positive Spinal Percentage
Admitted Fluid Wassermann Positive
386
377
239
223
6
26
15
36
1.5
7.2
6.3
13.9
1,225
83
6.8
Reference to Tables I and II will show that 54.5 per
cent, of the white women, 100 per cent, of the white
men, 37.5 per cent, of the colored women and 85.7 per
cent, of the colored men, whose blood specimens reacted
positively to the Wassermann test, also gave serological
evidence of syphilis of the nervous system.
Respectfully,
E. B. SAYE,
Pathologist.
EIGHTY-FOURTH ANNUAL REPORT
62
Report of Dental Department
MlLLEDGEVILLE, GA., JAN. 1ST, 1927.
Superintendent.
DEAR SIR:
We have the honor of offering the following report
of the work done in the Dental Department during the
year ending Dec. 31st, 1927.
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl chloride anaesthesias
Alveolotomies
Incisions sutured
J...
Post-operative treatments
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Applications mummefying paste
Abcesses lanced
Abcesses treated
Abscesses aspirated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for erosion
Treatment for pyorrhea alveolaris
Cleaning teeth (number of patients)
Scaling teeth (number of patients)
Applications silver nitrate
Treatments for acute odontalgia
5,154
2,463
823
21
97
11
143
207
94
14
77
21
6
9
7
6
29
25
1
46
24
7
9
7
9
1
19
35
147
8
30
GEORGIA STATE SANITARIUM
63
Treating gums (number of patients)
125
Treatments for oral ulcers
10
Treatments for stomatitis
4
Curetting alveolar process (number of patients)
9
Plates made
74
Plates repaired
43
Plates milled
2
Gold crowns
_
2
Porcelain crowns
4
Cast-base crowns (gold)
2
Cast-base crowns (acolite)
2
Crowns removed
18
Crowns reset
2
Bridges removed
16
Bridges made
2
Bridges repaired
1
Bridges reset
5
Disfigured teeth shaped up (number of patients)
87
Impacted 3rd molars removed
31
Apicoectamies
_
1
Sequestra removed
1
Fractures reduced
1
Calls to wards
345
Number of new patients examined
1,242
Number of patients treated
2,326
Total number of operations and treatments
9,992
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
EIGHTY-FOURTH ANNUAL REPORT
64
Report of Superintendent of Nurses
JANUARY
DR.
1, 1928.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the sixteenth annual
report of the Georgia State Sanitarium Training School
for Nurses for the year beginning January 1, 1927, and
ending December 31, 1927.
The school has been in progress seventeen years and
has graduated one hundred and forty-one nurses.
The records of the school show that forty per cent,
of the students enrolled withdraw before completing the
full three year course. Various reasons are given for
leaving, but matrimony ranks first.
The raising of the educational requirements to full
high school graduates, has increased, rather than decreased, the number of applications.
The Alumnae Association has a membership of
eighty-eight and continues to be of great benefit to the
school and Superintendent of Nurses.
A Young Woman's Christian Association was organized April 4, 1927 with twenty-three members. Vesper service is held every Sunday evening in the lounge
of Brantley Hall. Miss Myrtle Lomax, class of 1927 is
president, and has increased the membership to fifty.
The Annual Commencement was held May 18, 1927
at eight o'clock in Amusement Hall, twelve nurses receiving diplomas.
Dr. M. A. Clark, a prominent physician of Macon,
gave a very pleasing address to the graduates.
The diplomas were delivered by Mr. John T. Brantley, president of the Board of Trustees, and the hospital
pins by Dr. T. M. Hall, chairman of the Medical Committee.
GEORGIA STATE SANITARIUM
65
„.„ M™- Lovic Pierce Longino, accompanied by Mrs
Wiles Homer Allen at the piano, sang very sweetly—
Until—and Answer, by Terry.
A Reception and dance followed, music being furnished by the Sanitarium band.
The following nurses received diplomas:
1
65
11
^
Milledgeville, Ga.
Muriel Copeland ..... Milledgeville, Ga.
Mane Duke
Danville Ga.
Vashti Durden
Stillmore, Ga.
Janie Gertrude Gault
- - - . Milstead, Ga.
Mabry Grimes
..... Milledgeville, Ga.
Sarah Daisy Ivie
---... Willard Ga
SB? ^yrv.tle Lomax
" " " Jeffersonville,' Ga!
Willie Webster Maddox
Willard Ga.
Lucile Parker
Dub]in Ga
Sabryna Patterson --.... Macon Ga
Myrtle Posey
..... Milledgeville,' Ga."
MSS^P "^
Miss
Miss
Miss
Miss
Miss
Miss
™-SS
Miss
Miss
Miss
Miss
PLAN OF INSTRUCTION
o+ The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education.
The course extends over a period of three years, including three months probation and six months affiliation in some large general hospital. Classes are conducted eight months out of each year and consist of lectures, recitations and laboratory work.
A passing grade of 75 in all branches is necessarv
for graduation.
CURRICULUM
First Year
Nursing Ethics
Nursing Technique
Anatomy and Physiology
History of Nursing
Bandaging
Dietetics
...
6 ho
"'.'"."."
go
60
10
g
4c
>•
"
"
„
»
66
EIGHTY-FOURTH ANNUAL REPORT
Second Year
Hydrotherapy
Massage
Nursing Ethics
----Nursing Technique
Bacteriology
—
Materia Medica
Solutions
Oral Hygiene
Mental Diseases
Obstetrics
Medicine and Contagious Diseases
j*
^
°
^
—■ ^
|°
Jjj
j°
- £°
-
-
24
Third Year
Gynaecology
Pediatrics
Surgery
Eye, Ear, Nose and Throat
Public Health
Diseases of Nervous System
—-
^
j£
^
»
- °
1°
NURSING STAFF
Superintendent of Nurses
1
Supervisors
|
Chief Operating Nurses
*
Occupation Therapy Nurses
<
Special Attendants
™
Senior Nurses in School
1*
Junior Nurses in School
jj*
Freshmen Nurses in School
1°
Total number of Student Nurses
^9
Number of White Female Attendants
149
2
Number of Vacancies
I wish to thank you and all officers and nurses who
have contributed to the success of the school.
Respectfully submitted,
M. JONES, R. N.
Superintendent of Nurses.
(MRS.) MAE
GEORGIA STATE SANITARIUM
67
Report of Pharmaceutical Department
DR.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR:
The following is the annual report of the Pharmaceutical Department for the year ending December 31st
1927.
Below is shown a condensed list of manufactured
products.
Tinctures, spirits and extracts
Elixirs
:
Syrups
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated powder
Indelible ink
Glycerites
Liniments
Tonics
Tooth powder
Roach powder
Quinine, anodyne and lagrippe
capsules, filled
'..._
Germicide
Fly and mosquito exterminator
2,091 pounds
1,210
"
748
128
1,045
68
82
43
68
312
Z
135
2
32
15,900
'822 gallons
595
STATEMENT
Debits
Jan. 1, 1927, Inventory as of Dec. 31st, 1926
$5,691.05
63
EIGHTY-FOURTH ANNUAL REPORT
Purchases During Year
Drugs, chemical, dental, surgical and
laboratory supplies
$11,493.30
Freight and Express
257.12
Total
Less Goods Returned
$11,750.42
83.54
Net Amount Goods Purchased
$11,666.88
Total
Deduct: Inventory Dec. 31st, 1927
$17,357.93
5,309.00
Amount of Goods to account for
$12,048.93
Credits
Dec. 31st, 1927, Prescriptions
filled for wards, 35,044
aggregating
Sales to Officers and Employes
$11,430.48
618.45
Total
$12,048.93
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
GEORGIA STATE SANITARIUM
69
Report of Treasurer
MARCH 13TH,
DR.
1928.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
Milledgeville, Ga.
MY DEAR SIR:
I beg to submit below a report of the receipts and
disbursements of the Treasurer of Georgia State Sanitarium for the year 1927.
Dec. 31st, 1926. Bal. cash on
.ha?d
$ 46,411.50
p
Received from Homer Bivins,
Steward, during year 1927
12,213.97
Interest on balances
1 813 29
Requisitions paid by State
Treasurer
1,100,000.00
Total
$1,160,438.76
Disbursements for the year on warrants
signed by Superintendent and Steward. $1,091,547 80
Dec. 31st, 1927. Bal. cash on hand
68i890.'96
Total
$1,160,438.76
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank we certify that at close of business December 31st, 1927, there was to the credit of Otto
* <£on^^ea^rer Georgia State Sanitarium the sum
of $68,89096, Sixty Eight Thousand Eight Hundred
Ninety Dollars and Ninety Six Cents.
OTTO
„,.
Witness:
W. CONN,
Treas. Ga. S. S.
H. G. BANKS,
Cashier Exchange Bank.
H. H. HERNDON,
N. P., B. Co., Ga.
EIGHTY-FOURTH ANNUAL REPORT
70
Report of Farm Steward
FEBRUARY, 9TH,
DR.
1928.
R. C. SWINT,
Superintendent.
DEAR SIR:
I wish to submit my report for the fiscal year ending
December 31st, 1927.
The following is a list of food stuffs produced by my
department during the year.
Asparagus
Beans, Butter
Beans, snap
Beans, ototan
Beets
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting ears
Corn, silage
Cucumbers
Fodder
Hay, (oats arid vetch)
Hay, alfalfa
Lettuce
Oats, shelled
Oat straw
Okra
Onions
Peas, garden
Peas, field, green
Peas, field, dried
Peppers
Peaches
Pork, dressed
Potatoes, Irish
Potatoes, aweet
Radishes
Rape
-
-
-
Ill
627
1,114
40
1,077
82,307
32,422
12,378
19,892
57,360
935
104
97
201
6
3,761
400
718
637
1,560
348
566
2,700
114
Ill
38,632
830
13,302
79
3,779
bushels
JJ
heads
bushels
ears
tons
bushels
tons
heads
bushels
bales
bushels
crates
pounds
bushels
GEORGIA STATE SANITARIUM
R
ye
,
Spinich
Squashes
^up
Tomatoes
Turnips
Turnip salad
Watermelons
71
336
252
"
2,883
"
.;. 'g80
gallons
629i/2 crates
_
3)556
bushels
_
4,659
27^810
Dairy
Sweet Milk
Butter milk
Butter
Sweet cream
Beef
Hides, (green)
Calves sold
Bulls sold
Manure
Sacks sent to storehouse
:78,608
152
425
37514
...12,249
1,542
6
1
1,481
2,256
gallons
"
pounds
gallons
pounds
for $50
loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
Eggs issued
Eggs set
Turkeys issued
247
11
505
4,632i/2 dozen
4,139
"
4931/2
26
In addition to producing the above my, department
has moved all the coal from the coal chutes to the boiler
rooms. Have also kept up the entire road system around
the institution, and have done several other things too
numerous to mention.
I wish to thank you, the Board of Trustees, the Officers and others for the gratitude and cooperation shown
me throughout the year.
Respectfully yours,
C. PENUEL,
Farm Steward.
72
EIGHTY-FOURTH ANNUAL REPORT
Report of Engineer
DR.
R. C. SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1927.
Improvements
The toilet room on the first floor of the Powell Building ; formerly for the use of men, has been reconditioned
for the convenience of female visitors, and a new toilet
room for white males and the use of the Officers has
been built in the basement. The new room has a tile
floor and a full equipment of fixtures.
The first floor hallway of the executive part of the
Powell Building has been surfaced, stained and waxed.
Runners of battleship linoleum have been placed through
the main hallways, and the front hall and the Usher's
room have been covered entirely with this material.
The floor of the public parlor in the Powell Building has been taken up, the joists leveled and a new subfloor put in. Over this sub-floor has been laid a floor of
oak; the surface of which has been surfaced, shellaced
and waxed.
A line of storm sewer has been placed in the backyard of the colored female building. Cast iron gratings
have been placed along this line to care for the surface
water.
A porch has been built in front of the cold storage
plant. This porch has a concrete floor and a Barrett
Specification roof
The last three of the cold storage rooms have been
completed.
Electric lights and an electrically operated cloth
cutter have been installed in the sewing room at the
Negro Building.
GEORGIA STATE SANITARIUM
73
The open doorways leading from the water closet
rooms of the octagonal dormitories in the Twin Buildings have been bricked up as suggested by the Underwriter's Association.
Wire guards have been put over the windows of the
pavilion for old men which was recently built near the
1 win Buildings, and a room has been cut off from the
dormitory to serve as a toilet room for the female nurses
employed there. A water closet and a lavatory have
been installed in this room.
«. A1s^Ter one hundred eighty feet long has been run
through the yard of the 27th female ward.
A cabinet containing locked mailed boxes has been
made and set up for the care of the mail of the Officers.
A frame house, twenty by eighty feet long, has been
built on the outskirts of the grounds for caring for and
the baling of waste paper.
The fire engine house has been wired for electric
lights, and there has been installed a circuit for an electric heater for keeping the engine warm and easy to
start in cold weather.
Pantry sinks have been put on wards 4, 5 and 6 in
the colored building.
A one story wooden building, thirty by sixty feet has
been built in the white male occupational therapy park,
and six electrically operated wood working machines
placed in operation there
A heavy wire fence, ten feet high, with reinforced
concrete posts has been built around the recreation yard
of the colored females.
All of the toilet rooms and bath rooms in the Twin
Buildings have now been worked over and have concrete floors and reinforced cement plastered partitions
between the toilet rooms and the bath (shower) rooms.
A brick moving picture booth has been built onto
the outside of the west end of the amusement hall, and
a large plastered framework for holding the screen erected in the hall on the east end. This construction eliminates all danger from fire getting into the building,
should the equipment in the operating booth catch on
74
EIGHTY-FOURTH ANNUAL REPORT
fire. A doorway has also been cut through the south
wall of the hall as a fire escape.
A "Cyclone" wire gate, eighteen feet wide, and a
wire fence has been built betweeen the fire engine house
and the adjacent wall, closing this opening into the back
yard. Reinforced concrete posts were used.
An additional room has been added to one of the
houses at the waterworks.
A new set of sterilizing apparatus for water, bandages, instruments and pans has been installed in the operating room of the white female department.
The storehouse has been completely rewired for
electric lights and additional lights put in the newly
created departments.
An improved type of lightning arrester of the oxide
film type has been installed at the waterworks for the
protection of the 2300 volt motor there.
A concrete floor has been placed in the diet kitchen
in the Whittle Building in place of the old wooden floor.
A brick tunnel runs under this floor to make accessible
the water main running under it.
A new forty inch overdriven extractor has been installed in the white laundry.
Two of the boilers at the white laundry has been
reset; the brickHvork around them entirely renewed.
A four inch cast iron pipe has been run from the
bottom of the clear water basin at the water works to
the hillside. This pipe is for facilitating the washing
out of the basin when this is required.
Four standard fire-hose houses have been built
over as many fire-hydrants at danger points around the
the institution, and a quantity of hose with nozzels and
spanners placed in each of them.
A cqmplete set of new tubes has been put in one of
the boilers at the Male Convalescent Building, and the
hand-holes of the three boilers there have been reinforced
by oxy-Acetyline welding.
An annex to the kitchen at the Twin Buildings has
been built. This addition runs entirely across one end
of the kitchen. A portion of the addition is enclosed and
GEORGIA STATE SANITARIUM
75
is used as a pastry room, the balance of it is open on one
side and is used as a vegetable cleaning and washing
piciCG.
A small wooden house has been put up at the dairy
to accomodate the toilets and shower rooms installed
there for the use of the workmen in the dairy, and a concrete septic tank has been built to take care of the sewage from this house and from that occupied by the dairy
man and his family.
A brick addition, with a concrete floor and a drain to
the sewer, has been made to the boiler room at the Twin
Buildings, and the hot-water tanks, originally placed in
the kitchen, have been removed from that place and installed therein.
A water sluice gate of substantial iron construction
and having two gate openings, each fifteen by twenty
inches in area, has been put in the intake well at the
river, and the brickwork of the well has been raised four
feet to care for the rise in the river made by the placing
of a concrete dam across it lower down. This gate fills
a long felt want, and enables the cleaning out of the
well to be done when required, as well as the control of
the depth from which the water is taken at times when
the river is filled up with sand.
The underground steam pipe through the yard of
the female colored building has been replaced with a new
one, and all of the return pipes from the heating apparatus lying between the building and the boiler room have
been renewed.
The old tank room of the abandoned ice plant has
been renovated by putting in new windows and doors,
new plastering and a concrete floor. In this room, there
has been installed a three hundred gallon jmilk pasteurizer, and a sterilizing washer for the milk cans.
A new forty-two inch by eighty-four inch model
metal cascade washer has been added to the equipment
of the white laundry.
Extensive repairs have been made on the first building erected at the Colony. New piers have been built under it, and bins made for the storage and fumigation of
cow peas.
76
EIGHTY-FOURTH ANNUAL REPORT
Duplicate electrically driven centrifugal pumps have
been placed in the ice plant; one for the circulation of
water through the condenser and the other for the circulation of brine through the coldstorage rooms.
A brick addition to the Laboratory building, consisting of three rooms and a basement room has been
commenced. This work is well under way and will be
completed early in the coming year.
The location of the present water main from the
waterworks to the institution has been staked off and
the number of feet the line runs through the property
of the different owners along the line has been obtained
preparatory to beginning the "securing the right-of-way
for the new line.
An aerial ladder truck—gasoline driven—has been
bought and added to the fire fighting equipment of the
institution. A wooden extension to the present fire-engine house has been made to accommodate the great length
of this apparatus. A shuck-pen roofed addition has been
built to care for the old hand-drawn ladder truck which
was removed from the engine house to make room for
the aerial ladder truck.
An additional water closet has been placed on wards
22 and 23, and a porcelain bath tub placed on these wards
instead of the old fashioned black iron ones which has
been there since the building was constructed.
Work has been begun on reconditioning the buildings once used as a dry-dairy to make them suitable for
the accomodation of the mules and the equipment of the
Farm Steward.
Plans have been drawn for the proposed new carpenter shop; the machine shop and the Wood working
machine shop which are to be built on the site now occupied by "The Lot."
More than ten thousand square feet of flooring have
been laid on the wards during the year, and many minor
improvements and repairs have been made.
Plans and specifications have been made for the four
hundred twenty patient building to be errected in 1928
for the colored.
GEORGIA STATE SANITARIUM
77
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness
repair shop, the shoe repair shop, the paint shop and
broom factory have been kept busy in manufacturing
and repairing the various articles in the different departments.
Respectfully submitted,
T. H. DESAUSSURE,
Engineer.
78
EIGHTY-FOURTH ANNUAL REPORT
Report of Steward
MlLLEDGEVILLE, GA., DEC. 31ST, 1927.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I beg to submit herein a report of the financial condition of the Sanitarium at December 31st, its income
and expenditure for the fiscal year, together with other
information shown under the exhibits and schedules that
follow.
EXHIBITS:
1—Balance Sheet—December 31st, 1927.
2—Statement of Income and Expenditures for Year.
3—Consolidated Cash Statement of Receipts and Disbursements.
4—Analysis of Cash Receipts and Disbursements for
Maintenance.
5—Statement of Receipts and Disbursements Account
Special Appropriations.
6—Profit and Loss Statement Farm, Garden and Dairy.
7—Comparative Statement Cash Expenditure, Years
1926-1927.
8—Statement Operating Funds, December 31st, 1927.
9—Comparative Statement Per-Capita and Per-Diem
Cost, Years, 1926-1927.
SCHEDULES:
1—Accounts Payable as of December 31st, 1927.
2—Accounts Receivable as of December 31st, 1927.
3—Production, Farm Garden and Dairy.
All accounts for supplies purchased during the year
were promptly settled in accordance with contracts, and
receipted vouchers covering such disbursements are on
file in this office.
I am grateful to our honorable Board, yourself and
others for the assistance you have given, and the kindness shown me in the performance of my duties.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Balance Sheet^December 31, 1927
Treasurer—General Fund
Treasurer—Patients Fund ~~I~I
Treasurer—Occupation Therapy Department
Steward—Working Fund
11 11
Steward—Time Department Exchange Bank
Steward—Time Department Merchants & Farmers Bank
TOTAL
ACCOUNTS RECEIVABLE:
Officers and Employes
U. S. Public Health Service
TOTAL
STOCKS—SUPPLIES:
General Merchandies
Drugs, Chemicals and Sundries
Fuel—Coal and Coke
Engineering Materials
Packing House Products
Clothing and Bedding in Manufacture
Farm Supplies, Fertilizers, etc
Dairy Feeds, etc.
TOTAL
FREIGHT AND EXPRESS:
Applicable to Mds. Stocks
GRAND TOTAL
33,718.54
10,589.74
DUE SPECIAL FUNDS:
Occupation Therapy Male
Occupation Therapy, Female
Occupation Therapy, Special
Brantley Building
Ice and Cold Storage Plant
Female Commissary Dept.
3,933.41
3,000.00
1,716.64
5,738.50
33103
3,933.41
2,425.64
204.83
1367.90
O
M
O
1,367.90
TOTAL _ _.
$14,001.31
TRUST FUNDS:
$54,326.23
Patients Deposits
<t? mcon^
ACCOUNTS PAYABLE:"
10,589.74
1,004.81
139.48
Individuals and Corporations
22 0finifl
SALARIES, WAGES AND LABOR?
^.^U.lb
$ 6,733.22
$ 1,144.29 Officers—December
Employees—December
31,538.86
48,320.23
5,309.00
32,770.00
12,210.55
3,866.84
TOTAL
GROUP INSURANCE:
Advance Collections
EXCESS ASSETS:
Balance from 1926
Less: Adjustments applicable
1926
1,360.24
1,283.75
1,186.50
Balance
Adjustments for 1927
$106,307.11 Less:
414.43 Balance
$162,192.06 I
to
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to
>
$38,272.08
H
4.68
W
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$ 84,409.44
to
34.22
$ 84,375.22
7,111.13
$ 77.264.09
GRAND TOTAL
ft)
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$162,192.06
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EXHIBIT£No/2
^Statement of Income and Expenditures for Year
EXPENDITURE:
INCOME:
GENERAL ADMINISTRATION:
STATE APPROPRIATIONS:
Officers Salaries
$75i,824.04 Regular
.$1,100,000.00
WAGES AND LABOR.
MISCELLANEOUS:
Farm and Garden Department
$ 13,349.48
Dairy Department
4,318.66
Board
of Officers
$ 1,229.40
Engineer's Department
60,107.65
Board of Special Attendants
1,557.70
Stewards Department
48,902.02
Board of Employees
3,904.30
Medical Department
244,080.54
149.50
TOTAL
$370,758.35 Fines
Interest on Balances
1,840.08
FOOD SUPPLIES:
Miscellaneous Sales
1,972.50
General Wards
$307,859.55
205.07
Miscellaneous Income
Nurses Home
13,861.70
518.17
Sales Ice
Stewards Dining Room
4,707.96
125.30
Rents
Supt's Dining Room
1,309.93
131.88
TOTAL
$327,739.14 Donations
Dairy Sales
$
11,723.90
TOTAL
MISCELLANEOUS:
Clothing and Dry Goods
$ 67,310.08
DIFFERENCE:
Furniture and Bedding
42,796.00
$7,111.13
Fuel
—
56,413.61
Adjustment Excess Assets for Year
Medical Supplies
11,778.68
Stationery and Postage
2,309.67
Farm and Garden
16,214.85
Dairy
13,374.65
TOTAL
INVESTMENTS:
322.63 Acres Land
Fire Fighting Apparatus
$210,197.54
$
-_-
4,436.16
12,000.00
M
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EXHIBIT4N0. 2 (Continued)
Statement of Income and Expenditures for Year
Pasteurizing Equipment
Autos and Trucks
Live Stock
Laundry Equipment
Picture Show Equipment
Sterilizing Equipment
$
TOTAL
MAINTENANCE OF PLANT:
Brick
$
Builders Hardware
Cement
Crushed Stone
Cooking Apparatus
Fire Apparatus
Grading Supplies
Ice Works
Lime, Hair and Mason Supplies __
Lumber and Building Materials
Machinery Supplies
Painters Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners Supplies
Water Works Supplies
Sundries
TOTAL
1,237.70
2,950.00
400.00
5,050.00
1,044.19
1,233.00
$ 28,351.06
782.25
2,615.59
2,263.10
333.11
206.50
1,725.78
59.00
863.37
1,558,59
5,261.58
414.50
4,371.01
3,746.32
217.85
470.38
209.93
3,330.61
669.30
654.53
736.82
$ 30,490.12
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditures for Year
INCIDENTALS AND CONTINGENCIES:
Advertising
$
620.54
Amusements
308.16
Barber Supplies
365.21
Laundry Supplies
$ 5,754.88
Broom Factory Supplies
973.56
Blacksmith Supplies
480.94
Cemetery Supplies
901.33
Dental Supplies and Equipment
460.29
Dining Room Supplies
2,412.91
Escaped Patients
192.95
Electric Light Supplies
2,086.65
Florists Supplies
163.23
Gas and Oils
4,201.68
Garage Supplies
60.00
Electric Light and Power
18,472.01
Harness "Repairs
40.53
Housekeeping Supplies
8,756.44
Interest Paid
743.22
Insurance Premiums
2,261.00
Kitchen Supplies
6,359.28
Laboratory Supplies and Equipment
1,050.47
Medical Books and Journals
255.42
Musical Instruments
638.04
Office Supplies and Equipment
1,917.51
Printing
1,183.30
Poultry Yards
778.10
Repair Account, Autos and Trucks __
1,184.07
Registration Autos and Trucks
43.65
Surgical Instruments
85.00
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EXHIBIT No. 2 (Continued)
Statement of Income and Eqpenditures for Year
Telephone Supplies
Telephone and Telegraph Bills
Tobaccos
Tools and Implements
Travel
X-Ray Supplies and Equipment
Sundries
TOTAL
715.83
373.10
6,408.28
465.58
2,354.26
866.39
1,540.98
O
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2
$ 75,474.79
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GRAND TOTAL
$1,118,835.03
GRAND TOTAL
$1,118,835.03
EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
w
EXPLANATORY
is
;^
O
Balance from 1926
Less Due Special Funds
RECEIPTS
Maintenance Appropriations
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales, Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
$
o
o.
a :fa
a
.2
'•£3 . •—
fl
3J3 CD
o. P. S
?v o.
p-i
34,210.77|$
14,286.36|$
3,000.00|$
I
1,136,279.74|
11,489.981
1,147,769.72|
1,114,051.181
33,718.54|
a
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5,299.23
4,039.67
4,039.57
15,161.45
4,039.57
3,084.54
15,161.45|
5,158.511
10,002.94
4,039.57
106.16
3,933.41
3,084.54
10,002.94|
3,933.41
11,489.98|
1,813.29|
255.68|
W
O
5,822.65
$l,100,000.0i0|
I
HPw
1,906.76
I
1
|
jfe.
ss
20,307.60
14,286.36|
20,307.601
34,593.96.
I
I
34,797.58
31,797.58
3,000.00
45,728.86
48,728.86|
45,728.861
33,718.541
10,589.741
3,000.00!
24,004.221
10,589.741
1,177.78
3,084.54
3,084.54
o
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EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements.
>>
M
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DQ
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EXPLANATORY:
OJ 'C
4J ^3
fi 3
asm
M
CM
Balance from 1926, Less Due Special Funds $
RECEIPTS—FUNDS
Maintenance Appropriation
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales, Store Supplies
Total
Transferred by Steward
Disbursed on Vouchers
Balances
Disbursed by Steward
Ralances
14,286.361$
I
379.02 $
3,579.73
317.60
20,307. 60|
I
34,593 96|
I
I
34,593 ,96|
24,004, 22|
10,589, 74|
696.62
3,579.73
491.79
204.83
1,154.09
2,425.64
204.83
2,425.64
0)
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290.00 $
29.046.13
>
1,094,383.17
11,489.98
1,813.29
255.68
>
81.15
1,096.63
1,386.63 1,137,069.40
18.73 1,085,609.58
51,459.82
1,367.90
21,724.64
1,667.90
29,735.18
H
H
;»
SUMMARY
DEBITS.
CKEDITS:
General Fund
'.
Patients Fund
Stewards Fund
Time Deposits
Occupation Therapy Depts.
Total
_
33,718.54
10,589.74
3,000.00
3,084.54
3,933.41
Due Occupation Therapy Fund __$ 10,002.94
Due Female Commissary
1,367.90
Due Patients—Deposits
10,589.74
Due, Ice and Cold Storage Plant..
204.83
Due Brantley Building
2,425.64
Balance Due Maintenance Fund.. 29,735.18
$ 54,326.23
Total
$ 54,326.23
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GEORGIA STATE SANITARIUM
87
EXHIBIT No. 4
Analysis Cash Receipts and Disbursements for
Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Stewards Department
Engineers Department
Farm and Garden Department
Dairy Department
$70,752.96
237,40i6.25
47,853.50
59,883.60
13,416.61
4,385.66
Total
FOOD SUPPLIES:
General Wards
Brantley Building
Officers Dining Rooms
$362,945.62
$315,925.26
13,861.70
6,017.89
Total
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Occupation Therapy Depts.
Incidentals
$335,804.85
$ 67,310.08
42,796.00
51,994.02
30,490.12
11,760.34
2,309.67
5,616.83
98,290.16
Total
FARM AND GARDEN:
Fertilizer
Seed
Misc. Supplies and Repairs
Commercial Feeds
Board of Employees
Treating Hogs
Freight and Express
$310,567.22
$
7,075.00
2,256.30
3,519.89
77.49
3,106.66
178.20
52.35
Total
DAIRY:
Commercial Feeds
Misc. Supplies and Repairs
Freight and Express
Board of Employees
Total
$ 16,265.89
13,452.10
1,408.69
956.08
797.64
$ 16,614.51
^
EIGHTY-FOURTH ANNUAL REPORT
EXHIBIT No. 4 (Continued)
Analysis Cash Receipts and Disbursements for
Maintenance
RECEIPTS
BALANCE IN HAND:
Treasurer—General Fund
Steward—Working- and Special Fund
$ 37 651 95
I
6,'o84.54
T al
^
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Less Due Special Funds
$ 43.736.49
14,001.31
T
Balance in Hand for Maintenance
$ 29 735 18
GRAND TOTAL
$1,142,686.23
Balance from 1926
APPROPRIATION 1927:
Regular
Board of Officers and Attendants
Checks Returned
Telephones and Telegrams
Interest on Balances
Freight and Express
329,046.13
"
~~
1,100,000.00
1 573 78
'25568
g'03
1 900 41
'l8L33
Total
$1,103,919.22
ALL OTHER SOURCES:
L
!»!«
l? stoSupplies
ck" v
Sales—Store
Sales—Baskets, Rugs, Chairs, etc
Sales—Scrap Iron, Paper, Bones,
Rags, etc.
premiums on Group Insurance
Wages Refunded
Dental Work and Material
Donations
Sales Drugs
Jnnes
X-Ray Supplies
Sundries
Total
GRAND TOTAL
*
11
_
T_
3 306 86
> - 39
1555
68113
2,800.80
100 24
59249
32730
^
1225
700
^'25
7876
—
9>72088
Sl.142.fi8fi.ga
GEORGIA STATE SANITARIUM
EXHIBIT No. 5
Statement of Receipts and Disbursements Account
Special Appropriations
RECEIPTS
EXPLANATORY
Brantley
Building
Balance from 1926
Sales Empty Cement Bags
$ 3.57i-.73
Grand Total
DISBURSEMENTS:
Caustic Soda
Cork Insulation
Expresss
Electrical Equipment
Housekeeping Supplies
Hall Clock
Hooks for Meat
Insurance Premiums
Packing
Shrubbery for Yards
Thermometers
Travel
Balance in Hand
GRAND TOTAL
3,579.73
.50
186.50
125.00
757.50
Ice & Cold
Storage
Plant
$ 258.24
317.60
$ 575.84
20.40
241.22
22.50
12.72
5.61
80.00
—
$
68.56
4.59
2,425.64
204.83
3,579.73
$ 575.84
90
EIGHTY-FOURTH ANNUAL REPORT
EXHIBIT No. 6
Profit and Loss Statement, Farm Garden and Dairy
DESCRIPTIVE
Inventory as of January 1st
Purchases During Year:
Commercial Fertilizer _
Commercial Feeds _
Compost
Seed—Planting
Freight and Express
Fence Posts
Feeds—Home Grown _
Farm&
Garden
Dairy
Total
$ 46,002.13 $ 22,515.20 $ 68,517.33
7,075.00
77.49
4,396.00
2,256.30
52.35
425.00
13,452.10
956.08
10,000.00
7,075.00
13,529.59
4,396.00
2 256 30
1,008.43
425 00
10,000.00
Total . .
...
$ 60,284.27 $ 46,923.38 $107,207.65
Less Inventories as of December
31st, 1927
44,985.20 19,360.00 64,345.20
Net Cost Feeds, Fertilizer, Etc..
Gross Profit for Year - _
Total
_
27,563.38 42,862.45
12.622.99 102,837.51
$105,513.59 $ 40,186.37 $145,699.96
OPERATING EXPENSE:
Wages and Labor _
Misc. Supplies and Repairs
Rents
Treatment of Hogs
Board of Employees _
Net Profit for Year
GRAND TOTAL
15,299.07
90,214.52
„
FURNISHED INSTITUTION:
Food Supplies
Dairy Feed
Compost
Cash Sales
$ 13,349.48
3,094.89
4,318.66
1,308.69
100.00
178.20
3,106.66
70,485.29
797.64
6,098.00
$ 90,214.52 $ 12,622.99 $102,837.51
$128,021.06
10,000.00
4,396.00
3,282.90
Total
ON HAND:
Misc. Farm Products
Live Stock
Vehicles and Implements
17,668.14
4,403.58
100 00
178 20
3,904.30
76,583.29
$145,699.96
$ 32,950.00
26,895.20
4,500.00
Total
$ 64,345.20
GRAND TOTAL
$210,045.16
GEORGIA STATE SANITARIUM
91
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
1
Farm &
| Garden
$ 74,516.55
5,704.80
2,096.20
DESCRIPTIVE
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Dairy Feeds
Compost
Misc. Food Supplies
Dairy
10,000.00
1,200.00
11,945.00
Total
$ 74,516.55
1,242.35
6,947.15
2,096.20
32,516.16 32,516.16
10,000.00
3,196.00
4,396.00
11.945.00
$105,462.55 $ 36,954.51 $142,417.06
Total __
CASH SALES:
3,231.86
51.04
Misc. Farm Products
Total
$105,513.59 $ 40,186.37 $145,699.96
_
Gross Profit Brought Down
Grand Total
__
$ 90,214.52 $ 12,622.99 $102,837.51
$ 90,214.52 $ 12,622.99 $102,837.51
Investment as of Beginning of Year
Investment During Year —
Net Profit for Year
Total
3,231.86
51.04
$ 68,517.33
64,944.54
76,583.29
$210,045.16
EXHIBIT No. 7 AND 8
Comparative Statement Cash Expenditures, Years 1926-1927
DESCRIPTIVE
General Administration; Salaries
Food Supplies
Wages and Labor
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Farm and Garden
Dairy
Incidentals and Contingencies
Totals
Amount
Amount
Per Capita Per Diem
Increase
Decrease
1926
1927
1927
1927
$ 02,656.42 $ 70,752.96 $ 8,096.54
14.53
0.04.02
357,539.34
362,945.62
5,406.28
73.59
.20.22
350,411.21
335,804.85
14,606.36
68.09
.18.67
75,118.66
67,310.08
7,808.58
13.63
.03.74
40,056.34
42,796.00
2,739.66
8.67
.02.38
46,738.31
51,994.02
5,255.71
10.50
.02.88
55,957.17
30,490.12
25,467.05
6.17
.01,69
9,446.82
11,760.34
2,213.52
2,38
.00,65
2,859.91
2,309.67
550.24
.46
.00.01
21,271.47
16,265.89
5,005.58
3.28
.00.89
f
24,858.07
16,614.51|
8,243.56
19.91
.00.92
I
72,845.90|
98,290.16)
25,444.26|
3.36|
.05.46
I'
j $1,119,759.62|$1,107,334.22
49.255.971:
61,681.37|$
224.57[$
0.61.53
Total
$ 55,470.52
29,452.77
$ 84,923.29
CREDITS:
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
Accounts Payable
Salaries and Wages
Total
O
w
H
W
>
2!
>
w
STATEMENT OF OPERATING FUNDS
DEBITS:
Cash and Cash Items
Cash Deficit at End of Year
o
K
$ 24,591.05
22.060.16
38,272.08
% 84,923.29
O
w
GEORGIA STATE SANITARIUM
93
EXHIBIT No 9
Comparative Statement Per Capita and Per Diem Cost,
Years 1926-1927
EXPLANATORY
Total Cash Expenditure
Per Capita Cost
Per Diem Cost
Average Number Patients
Increase over 1926-1927
1926
$1,119,759.62
234.16
.64.15
4782
191
1927
$1,107,334.22
224.57
.61.52
4931
149
94
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1927
NAME:
DEBITS
Aetna Life Insurance Co.
American LaFrance Fire Engine Co. II "
American Railway Express Co.
™™.
Armour & Co.
Atlanta Journal Co., The
I
I"
Augusta Chronicle, The
I
~_
Banks, Gaither
'__
Bazanos, E.
~
Bell Dry Goods Co.
Bell Grocery Co.
~ '
Bensons Bakery
Boone's Pharmacy
" ~~
Brantley, John T.
~~ ~
Butler Provision Co
«i n
Carr Co., A. J.
:„"„""
Carter Electric Co.
Coleman-Meadows-Pate Drug Co
Collins, W. H.
~
Conn & Co., John
Conklin Tin Plate & Metal Co.
_"_
50
Crane Co.
Cudahy Packing Co.
j 50
Dairy & Farm Supply Co.
Dannenberg Waxelbaum Co.
Dean, H. H.
"
Duer & Sons, John
~_
_
j 73
Dunlap Hardware Co.
Ennis, J. H.
Epstein & Bro., I.
—
Erwin, J. D.
Estes Surgical Supply Co.
Eureka Fire Hose Mfg. Co.
Evans, W. C.
Frederick Disinfectant Co.
54 1 R
Gambrell. P. H.
~"1~1~1~
General Electric Co.
3 99
Georgia Highway Express Co.
Georgia Power Co.
Gilham Electric Co.
~_
Oilman, J. M.
Oilman. W. P.
III
""
Goodyear Tire & Rubber Co.
Gulf Refining Co.
Halliburton & Co.. T. H.
Hamilton Brown Shoe Co.
Hammett & Co., J. L.
Hapn Brothers Co.
I"™!™
Harrison, W. L.
II
Hatcher Hardware Co.. R. W. IIIIIIII
Herf & Frerich Chemical Co. ..
350.00
CREDITS
$
168.48
6,000.00
47.25
316.44
10.80
4.20
790.00
32.50
32.54
70.21
282.50
1.00
162.50
238.00
7.38
42.49
172.74
294.39
20.07
2.38
1.50
137.50
.94
3.45
3.43
169.40
2.52
1,680.00
780.00
12.40
.70
94^.92
116.49
12.19
130.38
80.70
71.39
550.65
1.11520
51.00
1.935.38
200 60
170.00
GEORGIA STATE SANITARIUM
95
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1927
NA
ME.
DEBITS
Hollin|gshead, G. W.
Horner Brothers Woolen Mills
Ivey, W. H.
Kelly Bros
$.57
Kny Scheerer Co.
Kuttner & Sons, J.
4.45
Long, O. C.
1.41
McKinnon Motor Co.
McKinley, G. C.
Macmillan Co., The
19.20
McCray Refrigerator
14.17
Macon Telegraph Publishing Co., The
Marshall Field & Co.
1.65
Muthieson Alkali Works
Michigan Wire Cloth Co.
5.56
Milledgeville Lighting Co.
Milledgeville Telephone & Telegraph Co. __
Montgomery, W. H.
Morris & Co.
«.
Newell, A. C.
Newton & Bros., C. E.
1.05
New Orleans Coffee Co.
31.27
Ray Lyon Co.
Richmond Dry Goods Co.
.57
Rich & Brothers,_M.
Richardson Milling Co., O. N.
20.34
Rice & Son, C. W.
Riley Drug Co., J. B.
Roberts-Johnson & Rand
1.60
Rosin & Turpentine Export Co.
54.08
Saxony Mills
Scott & Co.
6.25
Sherwin-Williams Co., The
6.23
Shi Engineering & Construction Co.
350.00
Southern Cotton Oil Trading Co.
Squibb & Sons, E. R.
Swift & Co.
Taylor Iron Works
26.08
Trawick Bros.
Trawick, S. B.
Troy Laundry Machinery Co.
Union Recorder
Underwood Typewriter Co.
Veal, O. F.
Vitamin Food Co.
Washburn Crosby Milling Co.
5.15
Western Union Telegram Co.
Whitfield Grocery Co.
Wilson & Co.
Winchester, Simmons Hardware Co.,
1.69
Total
$
964.22
CREDITS
$235.80
525 00
293^2
2.03
7 78
59340
2 70
22.74
.20
33.37
123.90
88.18
37.50
9.00
32.25
269.70
40.41
1,445.25
67.50
2.19
115.00
546.60
58.42
8.07
4.50
53.03
74.25
25.00
12,97
372.02
1,042.79
$23,024.38
96
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Adcock, Dr. J. C.
Albert, Rosa
Alford, Charlie . .
"
Alford, Grover _____
Alford, Vandine _.__
Allen, Bessie T. __
Allen, T. M.
"""
Allen, W. K. ______
Anderson, J. D.
Anderson, Mary H.
I
Andrews, Wastein ___
""""
Ashurst, Sarah ____
Badger, Annie Laura
"
Badger, F. D.
Badger, J. S.
'_
Bailey, LaRue
Banks, Martha
Battle, Bob
."..I
Beal, Lizzie Mae __
Beck, Bethel
Bell, Minnie Lee .___
Bivins, Homer
~
Bivins, Mrs. Homer
Blackwell, A. N.
Blackwell, Helen __
Bloodworth, Inez
__
Bloodworth, Ruby _
""
Bonner, A. E.
Bonner, Mary
I
"
Bostick, Dr. W. A.
Bowen, Dr. U. S.
"""""
Bowman, Octavia
I
Boyer, Eddie
Bradford, Dr. R. W. _
'"
Brannan, R. F.
Brantley, C. C.
Brantley, Mary Leon _
Brantley, T. C.
Brigman, Dr. W. B. ___
" "
Brown, Ben
Brown, Dan
Brown, Emily
Brown, Eva
__ _
Brown Lillian
__ "" ' "~
Brown, Luvie
Brown, Richard
Brown, Rufus —_
Brown, Willie
Burgamy, Sadie
""
Butts, Compton" .
""
«
$
DEBITS
,-_,_
17
9fQ
Z™
f'*®
f'°°
„°
-°°
^
„n
"ao
9™
^
CREDITS
/QV
1
-_
-^
-f°
"^
{■%%
X
'fn
2
-°°
■*»
H°
„{^°
„5
„tn
3
^
V?"
R°
•)?!:
"™
,/
, ?£
H?
j-°l
TIA
i-**
j/i,%
R
«„
*°"
,-■?„
l
'-™
§.00
*■'*
•""
-ab
Rn
„„„
,""
f""
^""
|g
" -5l
GEORGIA STATE SANITARIUM
97
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Butts, Rebecca
Califlf, H. G.
I!
Carter, Louise
Carter, Luke
I
Case Fowler Lumber Co. ___
Champion, R. L.
Conn, O. M.
_~S.Z
Cook, Hattie
Cooper, Mrs. A.
Cox, Dr. C. G.
Coxwell, Mrs. T. B.
Criswell, Wilmer
Crosby, Daisy E.
Curry, Eula
Davis, Cleveland
Davis, Cora
Davis, George
Davis, Mildred E.
Davis, Rosa
Dawson, Vallie
DeSaussure, T. H.
Dickerson, A. B.
Digby, Annie
Dillard, Joe
;
Dobyns, Dr. Wm. F.
Doke, Ruth
Dudley, Mattie Lou
Dunn, R. D.
Durden, Degrafenreed G.
Durden, Paul
Durden, W. R.
Eaton, Frank
Echols, Mrs. G. L.
Echols, Dr. G. L.
Edwards, B. D.
Epps, Roy S.
Evans, Joseph
Evans, Mattie L.
Evans, Thomas
Farrell, Arthur
Ferrell, Geo. L.
Findley, Robert
Fountain, Bessie
Fowler, Dr. A. H.
Frazier, Maudie M.
Frazier, Annie Mary
Frederickson, Leon C. __
Freeman, Annie M.
Freeman, Rosevelt
Gambrell, P. H.
9 QQ
2.88
H"
tnn
"";
'
VQ
\ri
%™
J
™
'5,
r'oR
nt
'£
«n
."
_I
_
-
17
_
.
'~_~^'~ ~_
'_
___""
_
_'__
II
"
_~"
187
2 00
g'69
2'nn
gp
4^43
340
j2g
'on
'60
2 00
i3'3o
'g0
7~40
150
'35
'05
'35
200
300
440
^20
10^50
2.64
2.74
3^7g
[90
"70
2.00
.15
12.35
^60'
.64
1.07
.60
2.00
13.56
CREDITS
98
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Garrard, Dr. J. I.
lrrQ
Gibson, Minnie . .
J,
Gilbert, Sarah
__
"
,„
Giles, Ethel
"'
« *-?4
Oilman, A. H. . _
* 1(U8
Gilman, E. G.
7_
"
nS
Gilman, H. E.
"
"^
Gilman, J. M.
/^n
Goolsby, Cora
9n
Gore, J. i
::::::::;:;:
fg
Grantling, Arthur
o'7fl
Green, Dr. G. H.
_ _
%£
Griffin, Annie Will ___
«„
Hall, Dr. T. M
,/x"
Happoldt, Nellie
___
_.
RA
Harden, D. E.
~~~
'og
Hardin, Eva
"
3*40
Harris, Gladys
'12
Harrison, Alma B.
~
g'10
Hartley, Estelle
———
u.xo
Harville, Willie Maude
____!__
1*69
Herringdine, Elizabeth
4'13
Herringdine, Joe
1'fin
Hiii, Willie
::::
200
Hines, Edward R.
0*0,
Hitchcock, Minnie
__
go
Holder, J. H.
i '7e
Hollis, D. H.
10
Hollis, J. T.
~~~
~~"~"
20
Hodger, Pinkie Lou
~_
'60
Hall, Bessie Lou
'gg
Holsey, Mrs. L. S.
"45
Hopkins, Ben
j'^g
Horton, O. D.
"
"
'50
Hudson, C. E.
'35
Hudson, Mary
'gg
Hudson, Sarah
4'22
Humphrey, A. R.
'40
Humphrey, Cecile O.
g'oo
Humphrey, Otis
2.00
Hutchins, Eulata
2.25
Ivey, Odella
gg
Jackson, Essie
i|4g
Jackson, Jesse
g'55
Jackson, Ruby
'gg
Janes, Geo.
135
Janes, L. B.
'4g
Jarnigin, Dr. J. C.
'01
Jenkins, Jim
2 00
Jett. W. S.
IR.70
CREDITS
.60
GEORGIA STATE SANITARIUM
99
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1917
NAME
Johnson, B. P,
Johnson, Ivy
Johnson, James
Johnson, Jesse
Johnson, J. C.
Johnson, R. L.
Jones, Annie
Jones, Ben
Jones, Frank
Jones, H. S.
Josey, J. E.
Key, Mary
Landrum, Louise
Landrum, Seaborn
Lavender, C. B.
Lavender, Ma.bel
Lawrence, J. M.
Lawson, E. L.
Layfield, A. W.
Layfield, B. L.
Leaptrott, Lillian
Lee, Joe
Leonard, J. A.
Leonard, Lila
Lindsey, E. E.
Little, F. G.
Lomax, Myrtle
Longino, Dr. L. P.
Lynch, Edward
McCoy, Osie
McDade, W. W.
McDaniel, J. T.
McKinley, A. C.
McKinley, R. L.
McLane, Clara
McLendon, Eva
Marsh, R. L.
Martin, Irna
Maroney, Gretha
Mathews, Thelma
Mathews, J. W.
Miles, Eugene
Mitchell, Berry
Mobley, Dr. J. W.
Moore, S. I.
Moran, Donie
Moses, Salonia Mae
Mosley, Dosh
Mosley, Richard
'
DEBITS CREDITS
1.00
2.00
2.00
2.00
1.55
1.38
1.44
2,00
2.00
.75
.20
4.84
.82
2.00
.40
.60
1.00
1.43
.60
.80
.30
2.00
.20
3.19
65.97
4.10
.60
9.12
2.00
1.56
.40
.75
3.00
4.30
2.74
1.90
1.37
.60
.60
1.70
1.98
2.00
.90
17.50
.70
.60
?
1.49
2.00
2.06
100
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Napier, Willie
Newell, A. C.
Norton, Anna
Osborne, H. L.
Parham, Oscar
Paul, Nannie J.
Payne, Leo
Peacock, Lwdia
Pendleton, Annie B.
Penuel, F. C. 1
P'hillips, Louise
Phillips, Nathan
Pinkston, Daisy
Pittman, Shellie
Pitner, W. C. .1
Pounds, Louise
Pritchard, James
Preston, J. G.
Quinn, C. J. _
Ransom, Charlei
Rankin, Dr. D. T.
Ray, Addie P.
Ray, Scott
Reeves, C. P.
Reid, R. R'. _'___
Renfroe, Samantha
Resseau, Frankie
Resseau, Ola L.
Reynolds, Dumas
Rice, Joe
Rice, Walter
Richards, John
Ricketts, Ina
Rivers. Will
Roach, Mary Lou
Roberts, H. B.
Robinson, Lucile
Ross, Mrs. G. W.
Ross, J D., Sr.
Ross, J. D., Jr.
Sams, Essie Rams, Lewis
Sanders, Dr. Luctus
Sanford. A. F.
Sanford, Charlie
Spnford, Jerry
-I-~I"I~~I
I
~"
1
CREDITS
o nn
35
l'gg
25
g'^g
'go
'35
'go
'go
22.06
2.00
.30
60
6;8B
.60
5.78
2^75
'35
2 00
4.98
.60
.50
2 75
.25
.60
.60
.60
2.00
2.00
.35
4.55
.60
2.00
7.33
4.88
.60
.90
.63
.60
2.30
2.00
lt.70
3.00
2.00
2.00
S .GO
GEORGIA STATE SANITARIUM
101
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Satchel, Frank
Saye, Dr. E. B.
Seals, J. D.
Seals, Mrs. J. S.
Self, Lillie Mae
Shurling, Catherine
Simpson, C. H.
Simpson, Roscoe
Simpson, Roy.
Smith, Arthur S.
Smith, Darrell D.
Smith, E. L.
Smith, J. H.
Smith, J. T.
Sparks, G. Mclntosh
Speights, Annie
Speights, Belford
Spivey, C. W. -State Farm, Georgia
Stavely, G. C.
Steonbridge, Clifford F.
Stembridge, W. W.
Stephenson, Dr. J. T.
Stokes, Ethel
Strozier, Alma E.
Swan, Mrs. Mary
Swint, Dr. R. C.
Switzer, A. W.
Switzer, T. Alton
Taylor, Hershal
Tennille, A. S.
Thompson, Felix
Thompson, Nora
Thornton, Bertha
Thornton, Jim
Tompkins, Katie
Trawick, John
Tucker, Joe
Tucker, Tom
United States Public Health Service
Veatch, C. N.
Vinson, Bertha Mae
Vinson, Brack
Vinson, J. T.
Walker, N. P.
Wallace, H. B.
Waller, Squire
DEBITS
<£
2.00
85
1^80
1.35
2!oO
.60
.45
.50
3^25
.25
.60
- .40
1.80
3.75
9.00
,1.19
2.00
3.60
17.00
.20
.45
4.95
1.00
2.56
.60
.30
3.10
.18
.50
2.00
.50
1.62
.30
.60
.2.00
.60
2.00
2.00
.50
139.48
.60
3.30
2.00
.75
4.62
.25
2.00
CREDITS
102
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Warnock, H. D.
Watson, B. F.
Watson, Mozelle
Wheeler, Dr. G. A.
Wiley, Dr. J. D
Wilson, Ernest
Williams, Eugene
Williams, Lillian S.
Worsham, J. I.
Wright, Andrew
Wright, D. B.
Wright, Leola
Wright, S. E., Sr.
Wright, S. E., Jr.
Wright, Willie
Yancy, Bessie
Yarbrough, Irene
Yarbrough, Rev. J. F.
Yarbrough, Dr. Y. H.
Youngblood, Lilly
Youngblood, Rebecca
Youngblood, Willie
Total
..
DEBITS
8.70
.50
5.85
}
13.29
.65
.40
2.00
2.55
.30
2.00
.35
.55
1.05
1.25
2.00
10.72
.60
6.00
6.30
2.83
4.19
.40
CREDITS
$ 1,146.00
$
1.71
GEORGIA STATE SANITARIUM
103
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
2,874 Bushels Squash
1,115 Bushels Snap Beans
32,063 Heads Collards
5,039 Bushels Rape
7,599 Bushels Turnips
48,131 Heads Cabbage
252 Bushels Spinach
111 Bushels Asparar ii
3,761 Heads Lettuce
72 bushels Radishes
1,081 Bushels Beets
1,520 Bushels Onions
3,944 Bushels English Peas
830 Bushels Irish Potatoes
234 Bushels Cucumbers
637 Bushels Okra
625 Bushels Butter Beans
132 Crates Peaches
114 Bushels Pepper
530 Crates Tomatoes
211 Bushels Egg Plants
13,272 Bushels Sweet Potatoes
880 Gallons Syrup
12,378 Cantaloupes
27,810 Water Melons
12,260 Roasting Ears
VALUE
$ 7,185.00
3,568.00
3,206.30
2,519.50
7,599.00
4,813.10
378.00
._.
333.00
188.05
144.00
3,243.00
3,800.00
11,832.00
1,660.00
585.00
955.50
1,875.00
264.00
342.00
2,120.00
633.00
13,272.00
352.00
618.90
2,781.00
249.20- -$ 74,516.55
PACKING HOUSE PRODUCTS:
38,032 Pounds Pork
12,549 Pounds Beef
$ 5,704.80
1,242.35- -$
6,947.15
POULTRY AND EGGS:
1,012
1,211
4,129
260
49
Pounds Hens
Pounds Friers
Dozen Eggs
Pounds Turkeys
Pounds Roosters
$
202.40
363.30
1,445.15
78.00
7.35- -$
2,096.20
104
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 3—(Continued)
Production—Farm, Garden and Dairy
DAIRY PRODUCTS:
78,953 Gallons Sweet Milk
161 Gallons Butter Milk
3651,4 Gallons Cream
437 Pounds Butter
FARM PRODUCTS:
1,000 Tons Ensilage
COMPOST:
MISCELLANEOUS FOOD SUPPLIES:
1,631 Bushels Peas
5,362 Bushels Meal
3,311 Bushels Potatoes
TOTAL VA^UE
$31,581.20
29.16
731.00
174.80—$ 32,516.16
$
$10,000.00
4,396.00
$ 3,272.00
5,362.00
3,311.00—$ 11,945.00
$142,417.06
EIGHTY-FIFTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siafe Sanitarium
MILLEDGEVIIXE, GA.
For the Year Ending
December Thirty-First
Nineteen Twenty-Eight
Board of Trustees
President
JOHN
T. BRANTLEY
Blachshear, Ga.
Vice-President
THOS.
M. HALL, M. D
Milledgeville, Ga.
Secretary
C. C. BRANTLEY
Valdosta, Ga.
E. E. LlNDSEY
Rome, Ga.
*J. C. JARNAGIN
A. C. NEWELL
Warrenton, Ga.
Atlanta, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
*Deceased
Macon, Ga.
M. D
C. PITNER
Commerce, Ga.
Athens, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. E. Lindsey, Chairman
J. C. Jarnagin
Thos. M. Hall, M. D.
A. C. Newell
C. C. Brantley
Finance and Auditing Committee
P. H. Gambrell, Chairman
Walter C. Pitner
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Thos. M. Hall, Chairman
Laetus Sanders, M. D.
P. H. Gambrell
Committee on Buildings and Grounds
E. E. Lindsey
A. C. Newell, Chairman
Lateus Sanders, M. D.
Committee on Farm and Outside Business
*J. C. Jarnagin, Chairman
Walter C. Pitner
Laetus Sanders, M. D.
*Deceased
Officers of the Sanitarium
R. C. Swint, M. D. - - Supt. and Resident Physician
N. P. Walker, M. D. - - - - - Clinical Director
L. P. Longino, M. D. - - First Assistant Physician
Y. H. Yarbrough, M. D. - Second Assistant Physician
J. I. Garrard, M. D. - - - - - Assistant Physician
Geo. L. Echols, M. D. - Assistant Physician
D. T. Rankin, M. D. - - - - - Assistant Physician
U. S. Bowen, M. D. - - - - - Assistant Physician
C. G. Cox, M. D. ----- - Assistant Physician
R. W. Bradford, M. D. - - - - Assistant Physician
W. A. Bostick, M. D. - - - - Assistant Physician
J. W. Mobley, M. D. - - - - Assistant Physician
W. F. Dobyns, M. D. - - Junior Assistant Physician
A. H. Fdwler, M. D. (Resigned) Junior Asst. Physician
E. B. Saye, M. D. (Resigned) - - - - Pathologist
W. B. Brigman, M. D. (Resigned) - - - - Interne
J. D. Wiley, M. D. (Resigned) ------ Interne
J. C. Statham, M. D. (From Aug. 1st, 1928) - Interne
C. R. Youmans, M. D. (From Aug. 1st, 1928) - Interne
G. H. Green, D. D. S. - - Dentist
J. C. Adcock, D. D. S. -------- - Dentist
J. J. Wooten ---------- Pharmacist
Mrs. Mae M. Jones, R. N. - Superintendent of Nurses
Otto M. Conn ---------- Treasurer
Homer Bivins
---------Steward
T. H. DeSaussure --------- Engineer
H. S. Jones
---------Secretary
W. S. Jett, Jr. ------ - Assistant Engineer
F. C. Penuel
-------- Farm Steward
Arthur Farell
--------- Storekeeper
W. W. Stembridge
----- Sanitation Officer
Rev. Jno. F. Yarbrough ------- Chaplain
Leone Frederickson
-------- Dietitian
Mrs. Geo. L. Echols --------- Dietitian
Cecile Humphrey -------- Social Worker
Eighty-Fifth Annual Report
OP THE
BOARD OF TRUSTEES
OF THE
GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1929.
To His Excellency, Lamartine G. Hardman, Governor.
SIR:
The eighty-fifth annual report made mandatory by
law of the Board of Trustees of the Georgia State Sanitarium, covering the conduct and management of this institution for the year 1928, is respectfully submitted
herewith, together with such recommendations therein
as are pertinent and necessary to be made.
Superintendent's Report
The attached annual report of the Superintendent
and Resident Physician, supported by similar reports of
department heads, presents in comprehensive detail the
work of the year. The results shown are such as to
merit for this responsibile officer, and for those serving
under him the high praise of the Board.
Encouraging Note
The Sanitarium is charged with the care of the
State's insane who may be broadly divided into two classes, the acute or curable, and the chonic or incurable. It
is, therefore, both hospital and asylum, and the Board
notes with deep satisfaction its slowly growing efficiency
in both these purposes. The recovery rate for the year
shows a small increase. The chronic insane offers the
medical profession what is doubtless its most discouraging field of endeavor, and yet some progress is made
here. A recent bulletin issued by the medical department for circulation among officers and employees
states that since the introduction in 1919 of habit training there has been effected, using the record of that year
as a basis of comparison, a reduction of 61 per cent in
the total number of hours of seclusion, and of 80 per
cent in the total number of hours of restraint in which it
has heretofore been found necessary to hold certain types
of this class both for their own and the protection of
EIGHTY-FIFTH ANNUAL REPORT
others. At the same time their destructive tendency has
been sharply reduced. Such significant and happy results are due to the clear vision and patient work of the
Clinical Director and his assistants, and they testify
anew to the far-sighted wisdom of a former beloved
Superintendent in being first to substitute kindness for
harshness in the care of the insane, a policy which his
successors have steadily continued. They demonstrate
conclusively that the mentally ill respond to good nursing
no less than do the physicially ill. In this connection,
the Training School for Nurses maintained by the Sanitarium is a most valuable adjunct. Because of these
things the new year is entered with hope and courage despite one serious handicap, the overcrowded condition of
the Sanitarium.
Population
The year closed with 5096 resident patients, an increase for the year of 133, and for ten years of 1134.
The number of patients parolled with the right of return
within twelve months was 698, making a total enrollment of 5794 patients. The daily average number of
resident patients was 5046, an increase of 111. Applications for admission numbered 1591, of whom 1090 were
admitted. Others were granted admission, but for some
reason were not presented. Admission was necessarily
denied to harmless cases offering no hope of benefit and
easily cared for at home.
The report of the Board for 1927 stated that the
Sanitarium was then overcrowded by 1241 patients, and
this number has now grown to 1462. The gravity of this
condition needs no comment by the Board.
Measure for Relief
Responding to that report the Legislature in that
year generously granted the Board an appropriation of
$500,000, available in 1927 and 1928, for the erection of
two additional buildings. The first of these will be ready
for occupancy in February next and will accommodate
400 patients. It will be used to relieve the congestion
where it is most acute, the colored female department.
This building will be as nearly fire proof as it is possible
to make it and will mark a distinct advance in the type of
GEORGIA STATE SANITARIUM
buildings heretofore had. Sanitarium labor has been used
as much as possible to reduce its cost which up to this
time has been $190,255.72. The second building, of the
same type of construction, is now under way and should
be ready for occupancy in the late summer of 1929. It
will be used as a hospital for the treatment of the acute
insane, and of the physically ill, thus supplying the greatest need of the medical department. It will contain 218
beds and be fitted with the best equipment it is possible
to give it. In honor of the long and faithful service of
the late Superintendent and Resident Physician it will
be known as the "L. M. Jones Building".
The report of the Board for 1927 stated that five
new buildings were necessary to provide for the over
population, and this estimate remains unchanged. The
completion of the two buildings under way will leave
three yet to be supplied, and these are needed to accommodate 300 white female patients, 200 white males and
200 colored males now in the Sanitarium. No provision
will be had in them for the future.
Other Building Needs
In addition to the three buildings just mentioned
there is urgent need for an amusement hall, ample in
size for the present population. The old one was built
many years ago and is much too small. No loss will result from its abandonment, since it can easily be converted into dormitories for patients. The very helpful
pleasures of the insane are not many, and such a hall is
a primary need for this purpose.
A second story should be added to the storehouse so
that sufficient room may be had in it for the storage of
supplies now necessary to be carried in stock.
A suitable residence should be provided for the use
of the Superintendent and Resident Physician, and his
present apartment in the Powell building used for administrative purposes. Such a residence should be in
keeping with the dignity of the institution and large
enough to permit him to dispense the hospitality expected of him as its official head.
A water main should be laid from the Sanitarium
to its Colony Farm four miles away so that the patients
there may be assured of an ample supply of water,
since the present source is unreliable. The alternative
is an artesian well with uncertain results.
8
EIGHTY-FIFTH ANNUAL REPORT
Fire is the nightmare of all who are charged with
the care of the insane. The best protection is to be had
through fire proof buildings, of which the Sanitarium
has none, save the two new ones now under construction.
Its principal buildings now in use are of brick and wood
construction, with roofs of metal, slate or tile, and are
three stories high. Save in the case of the nurses home
no fire escapes are had. Escapes of the ladder type
would be as dangerous to insane persons as fire. Reliance has always been had on enclosed inside stairways
as a means of escape in case of fire, and thus far no fatalities have occurred. For protection against fire, reliance is had on water mains distributed throughout the
grounds from which the buildings are reached through
four-inch headers, a late model auto triple fire pumper,
an auto extension ladder of ample height, and a well
organized fire department. As a further and safer
means of protecting both buildings and inmates from fire
they should be speedily equipped with automatic fire
sprinklers. In calling attention to this ever present danger, the Board is painfully aware that the present congested condition of the Sanitarium very greatly multiplies it.
Attention is called to the attached report of the
heating engineer employed to make a survey of the present method and cost of heating the buildings, in connection with the present cost of electric current used for
lights and power, in order to ascertain what saving, if
any, is possible through a consolidated heating plant in
which is combined one or more electric power units, the
estimated cost of such, etc. No suffering is now had
from lack of heat, or from shortage of electric current
had from the Georgia Power Company, and the matter
is to be considered from the standpoint of economy alone.
When these needs shall have been supplied it is the
deliberate judgment of the Board that the further enlargement of the Sanitarium should end.
Provision for the Future
This judgment of the Board grows out of its knowledge that the Sanitarium is already one of the largest
institutions for the care of the insane in the United
States, and that its wise management is a problem of the
first magnitude. It believes that in it the safety limit
has been reached and passed. This problem is not peculiar to Georgia, and other States, facing the future, have
GEORGIA STATE SANITARIUM
found the only safe solution of it to be in a second hospital. This course the Board very earnestly urges upon
his Excellency and the Legislature. There can be no
question of the dire need for such in the face of 501 applications for admission to the Sanitarium on hand at
the end of the year. Many other insane persons are
doubtless held at home or are cared for in private hospitals.
Hospitals for Sane Epileptics
No hospital program of the State will be complete
without some provision for epileptics who are not insane and for whom no State provision is now had. The
tendency of this malady is toward insanity and whatever the State can do to avert such an end is most wise
and humane. The distress of this class is the greater
because the nature of their malady with its repulsive
manifestation causes them to be shunned by the well.
The colony type of hospital which seems to be indicated
for their care and treatment might be made partly self
sustaining through the self helpful work of its patients,
and to this end ample ground for farm, garden, orchard,
poultry yards, etc. should be had. This class is not insane and such an hospital has no proper connection with
an hospital for the insane.
Surgical Sterilization
Bearing on the general problem of the insane is the
need for a compulsory law which will operate to prevent
the unfit from reproducing their kind to the consequent
detriment of society and burden to the State. This is to
be accomplished through surgical sterilization, and such
a law, if enacted, should apply to certain types of the
insane, the feeble minded, syphilitics and criminal recidivists as it may define, and should be compulsory under such regulations as may be provided. The beneficial effect of such a law will not be immediately apparent
for obvious reasons, but none who know the facts can
question its wisdom. The report of the Superintendent
cites the California law as a safe model to follow.
Widening Usefulness
The mental clinics established in Macon and Elberton by local physicians with the assistance of members
of the Sanitarium medical staff have justified themselves,
10
EIGHTY-FIFTH ANNUAL REPORT
and might usefully be set up in all the large centers of
the State. Cases of suspected mental disorder are
brought before them for examination and such advice as
will avert a mental collapse.
The usefulness of the Sanitarium might be increased
by its assumption of some after care of its discharged
patients until such time as mental strength is had. This
could be accomplished through especially trained field
workers, who might also be used to gain fuller histories
of patients under treatment, for the guidance of the
medical staff. The means at its disposal do not now permit this additional work to be undertaken.
Growing public interest in mental hygiene is shown
in visits to the Sanitarium during the year by classes in
psychology from several of the colleges and universities
in the State. Lectures were had before them by members of the medical staff.
Water Supply
The water supply of the Sanitarium is drawn from
the Oconee river. An appropriation was had in 1927,
available in 1928, for enlarging this supply by additional filters, pump and water main. For economical reasons this work is being done with Sanitarium labor and
because of heavy weather during the year as well as the
need for work elsewhere this work has been much retarded. Pipe for the duplicate 12-inch main is on the
ground and partly laid, and a standpipe of 150,000 gallon capacity has been erected and is in use. The whole
work will be completed as rapidly as possible. The expenditures to date for this work are $42,613.01.
Although the pumping station is supposed to be located well above the highest water mark of record, the
flood during the year put it under four feet of water.
Only the great storage reservoir so wisely provided in
the past prevented a desperate situation. A levee has
now been built for its protection.
Milk Supply
An outbreak in the past of contagious abortion and
the prevalence of tuberculosis in the dairy herd have
served to greatly deplete its number. Rigorous measures were, taken to stamp out both troubles and the remainder of the herd now appears to be free. No replacements will be made until all danger of further infection
is passed. In the meantime reliance must be had on outside sources for an adequate supply.
GEORGIA STATE SANITARIUM
11
Finances
The total expenditures in the year for the support
of the Sanitarium were $1,191,871.25, of which $13,388.54
was from sources other than the State.
The cost per patient was $233.55, an increase over
1927 of $8.63, and mainly accounted for in the increased
cost of food supplies. The daily per capita cost was
$0.6398.
The year closed with working assets on hand of
$182,159.94 invested in cash, supplies, etc. The cash
liabilities were $81,534.49. The apparent cash deficit
was $12,122.15, as against a like deficit last year of $29,452.77. To offset this, a gain in the worth of supplies
on hand of $19,966.88 will be noted. In this connection
it should be remembered that the Sanitarium can never
be without a safe margin of supplies with which to meet
any emergency.
Supplies were bought as usual on competitive bids,
open to all, from samples submitted.
The usual audit of the books by the State Auditor
was made with satisfactory results.
The excellent work shown in the business department, including farm, garden and dairy, and in the department of up-keep of the vast physical plant, is such as
to merit for the Steward, Farm Steward and Engineer
the warm commendation of the Board.
Legal Amendments
The Board once again calls attention to the impossibility of enforcing the law governing admissions to the
Sanitarium as shown in Michie's Compilation of the
Code, Chapter 3, Article 2, Section 3102. It should either
be clarified, or repealed. It seeks to define the classes
entitled to admission, and to create both pay and pauper
patients, the last being those whose estates are valued
under $3000. It provides no method of ascertaining the
value of the estate of those seeking admission, nor for
the management of the estate of those admitted so as to
insure the payment to the Sanitarium of its "reasonable
charge for board and keep". It contains no provision
for those whose estates may fail to yield a sufficient income for their support, nor for those whose estate may
be wasted or stolen after admission. It is not made retroactive and is applicable to new admissions only. This
EIGHTY-FIFTH ANNUAL REPORT
problem was fought out in the Legislature many years
ago and the Sanitarium then made free to bona fide citizens of the State. It was realized then that the State
must of necessity provide for her insane regardless of
their property holdings, and that the patients of the
Sanitarium could not be discharged from its care because
of inability to pay. It was realized, too, that the property of insane citizens bears it proportion of taxes for
the support of the State government. One exception to
this general rule seems possible and it in the case of those
possessing an estate but having no family or near dependent relatives. In such a case as this the estate might
properly vest in the Sanitarium to be expended for his
support, it being expressly provided that any residue remaining at his discharge shall be restored to him, or that
at his death it shall become the property of the Sanitarium. In such cases the Sanitarium takes the place of
family and relatives. Another serious objection to the
law is the unhappy and harmful effect on the patients
themselves through the class distinction the law would
create. For these and for other reasons the Board recommends the repeal of this section, and the enactment
of the following:
SANITARIUM FREE TO WHOM: The said Sanitarium
shall be free to all bona fide citizens of the State who may be
insane or afflicted with mental disease. No paralytic invalid,
idiot, imbecile, epileptic, drug or alcoholic addict, who is not
insane, shall be committed to or admitted to it.
The history which must accompany all applications for
admission to the said Sanitarium shall contain just and adequate reasons why such admission should be had. and if such
reasons are not given, the Superintendent may refuse admission.
It shall be permitted the family or friends of any person
who may be admitted to the said Sanitarium to furnish such
person at their own cost such clothing, extra food and other
luxuries as they may desire under such rules and regulations as may be prescribed by the Board of Trustees.
If any person who may be admitted to the said Sanitarium shall be possessed of an estate, and shall be without
family or near dependent relatives, such estate shall vest in
the Board of Trustees of the said Sanitarium to be managed
for his benefit and to be expended for his use and support
while a patient in the Sanitarium, it being provided, however,
that in the event of his discharge any residue remaining of
such estate shall be put into his possession or that in the event
of his death it shall become the property of the said Sanitarium.
The Board also recommends the repeal of Section
1585, Article 2, Chapter 1, governing the examination of
13
GEORGIA STATE SANITARIUM
Assistant Physicians, for the reason that it
necessary. The State examination required
cians seeking the right to practice within
should be sufficient, assuming the required
fications to be had.
is no longer
of all physiher borders
moral quali-
Appropriations for 1930 and 1931
In submitting its estimates of the sum needed for
the support of the Sanitarium, and for the special purposes stated herein, the Board has not departed from its
invariable custom of asking only for what is actually
needed for the purpose stated.
Appropriations will be required
For the support of the Sanitarium
1930 providing for a population
5300
For the support of the Sanitarium
1931 providing for a population
5450
For three new buildings for patients
For an amusement hall.....
For storehouse enlargement
For Farm Colony water main
For Superintendent's residence....
For automatic fire sprinklers
in
of
..$1,237,285.00
in
of
1,272,302.00
500,000.00
50,000.00
10,000.00
12,000.00
25,000.00
230,000.00
Death of Board Members
The Board has lost two of its oldest and most highly
esteemed members in the last biennial period and the
fact is recorded with a deep sense of personal loss.
Mr. H. H. Dean, of Gainesville, Vice President of
and for eighteen years a member of the Board, died in
October 1927 following a surgical operation. His fine
legal ability and wide business experience gave worth to
his counsel and made him a tower of strength to the
Board. The benevolent purpose of the Sanitarium enlisted his whole heart and mind and caused him to give
it generously of his best. The call of duty when its
interest were to be served never failed to be answered.
The death of Mr. J. C. Jarnagin, of Warrenton, occurred in December 1928 following a brief illness, and
14
EIGHTY-FIFTH ANNUAL REPORT
brought a service of nineteen years as a member of the
Board to its close. He brought to its sessions the wisdom had from long business experience, an understanding heart, a willingness to work and a faithfulness to
duty beautiful to see. Combined with his sterling qualities of heart and mind were a modest demeanor and a
happy disposition which won him many friends.
Personal
The duties of the Board have been faithfully discharged and every effort made to protect the interests
of the State and of society. It is grateful to his Excellency for his continued confidence and strong support.
Its thanks are due to the State Auditor for helpful aid in
the solution of its financial problems, to the Legislature
for its generous treatment, and to the Press for the
kindly and helpful interest shown in the Sanitarium. It
humbly prays that this great family of the helpless may
ever abide in the care of Almighty God.
By order of the Board of Trustees,
JOHN
T. BRANTLEY,
President
C. C. BRANTLEY,
Secretary
GEORGIA STATE SANITARIUM
15
ESTIMATE FOR CENTRAL HEATING AND
POWER PLANT
GEORGIA STATE SANITARIUM
BY
THE MARKEL COMPANY, ENGINEERS, ATLANTA, GEORGIA
In preparing an estimate on the cost of the proposed new plant, we believe we are safe and that in actual
practice it will be possible to reduce this.
Considerable of the construction, especially the tunnels, could be done by the Sanitarium at a cost much less
than estimated.
The detailed estimate for this plant follows, and is
the basis for operating costs of the new plant.
The new plant would handle a low grade of fuel
which we estimate to cost not over 83 cents per ton at
the mine. The freight is estimated to be the same as at
present, or $2.99, making a total cost of $3.82 per ton.
For the plant labor for the new plant, we include,
Two engine room men ($150.00 per month)
Two firemen ($100.00 per month)
Labor
$3,600.00
2,400.00
1,150.00
$7,150.00
Regarding the extra coal for summer load, we believe this item will really disappear owing to the fact that
in the day time it will be absorbed by the laundry, while
the balance of the time it will be used in keeping up the
temperature of the domestic water, or in offsetting the
fuel that is now used in keeping pressure on the fire
pump.
In each set of estimates we have used amounts which
we believe will be required during the next year when
buildings, now under construction, will be under full operation. This applies to fuel, material and labor. In
estimating replacements in old plants, we believe this
amount will be necessary owing to the great age of the
equipment.
If we decided that no additions would be necessary,
in the present plants during the next ten years, then we
can reduce the size of the proposed new plant by at least
fifty thousand dollars.
16
EIGHTY-FIFTH ANNUAL REPORT
COST OF CONSTRUCTING NEW PLANT'.
Three large boilers and two smaller ones, total 12,500
H. P.
1
Stokers
Breeching
■stack and foundation
Coal handling
_____________
Ash handling
Generating equipment
Electrical work
Piping, etc.
-__-_-_________
_. .,_,.
_
,
,
.Building for the plant
77,000.00
27,300.00
2,000.00
8 200 00
20;oOo!oo
4,500.00
32,500.00
2500 00
5;500'.00
$179,500.00
75,000.00
OUTSIDE WORK.
Remodeling rail trackage and extending same 800
feet
7,500.00
?
Repairing roadways
500.00
Construction of pipe tunnels
72 000 00
Pipe lines to connect up central plant and buildings.. 35^00o!oo
Electric pumps with wiring, to replace existing steam
pumps in existing plants
7 500 00
Electrical work to connect to existing lines
'500.00
$123,000.00
$377,500.00
TnTAT
1U1AL
OPERATING COSTS—NEW PLANT.
Interest on total new investment (5% on
$377,500.00) _____
Depreciation on equipment—4%
In boiler house
Outside lines
$18,875.00
8 880 00
$179,500
42 500
„
.
$222,000
Coal—including allowance for new buildings 9 300
tons @ $3.82
_'___ 35,526.00
Additional coal for summer electricity during hours
that steam will not be needed
4 000 00
Oil and supplies
~ i^ooioo
Plant labor
7,150.00
$75,931.00
OPERATING COSTS—OLD PLANT.
Interest on investment—$175,000 @ 5%
$ 8 750 00
Depreciation—(4% on $100,000)
4000 00
Replacement during next ten years $25,000.00, therefore per year..
2,500.00
New construction in next ten years $35,000.00, therefore per year
3 500 00
Fuel for last year 12,500 tons at $4.42 per ton
5525000
General supplies
500 00
Labor
1 7,380^00
Power and light
16,500.00
$98,380.00
GEORGIA STATE SANITARIUM
CONCLUSION.
Operating costs of old plant
Operating costs of new plant
Difference in favor of new plant
Total investment of new plant
Sale value of old equipment
17
$98,380.00
75,931.00
$23,449.00
$377,500.00
10,000.00
Net cost
$367,500.00
Return on investment
23,449.00
Per cent on investment approximate 6%%.
Respectfullly submitted,
THE MARKEL COMPANY, Engineers.
EIGHTY-FIFTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE, GA., JAN. 1, 1929.
THE HONORABLE BOARD OF TRUSTEES,
GEORGIA STATE SANITARIUM,
MlLLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules and statuatory requirements, I respectfully submit the eighty-fifth annual
report of the Georgia State Sanitarium for the fiscal year
ending December 31st, 1928.
The reports of the heads of Departments give a
general review of the activities of the institution throughout the year, and are appended hereto as follows:
The
The
The
The
The
The
The
The
Clinical Director,
Dental Department,
Superintendent of Nurses,
Pharmacist,
Engineer,
Farm Steward,
Treasurer,
Steward.
Table of General Information
1. Date of opening as an institution for
mental diseases
Oct. 12, 1842
2. Type of institution
State
3. Hospital plant:
Real estate including buildings.
Personal property
$2,055,750.00
350,452.00
Total
..$2,406,202.00
Total acreage of hospital property owned
3,772
(Includes grounds occupied by buildings,
farm and garden sites.)
Total acreage under cultivation previous year. .1.600
GEORGIA STATE SANITARIUM
19
4. Officers and employees actually in service at the end
of the year:
Superintendents
Clinical Directors
Assistant Physicians
Medical Internes
Resident Dentists
Pharmacist
Stewards
Farm Stewards
Engineers
Assistant Engineers
Graduate nurses
Other nurses and attendants....
All other officers and employees
Total officers and employees..
Males
Females
10
10
11
0
3
0
2
0
10
1
0
10
10
10
1
13
223
321
175
7
422
341
Total
1
1
11
3
2
1
1
1
1
1
14
544
182
763
General Statistics of Patient Population
for the Year 1928
Patients on books first day of year:
Males
Actual resident population
2,248
On parole or otherwise absent but
still on books
373
Total
Admitted During the year:
First admissions
Readmissions
Total discharged and died during year
Total
2,688
4,936
403
776
2,621
3,091
5,712
Males
Females
Total
484
3,575
1,090
6,802
Females
Total
462
144
Total received during the year.. 606
Total on books during the year 3,227
Discharged from records during year:
As recovered
As improved
As unimproved
As without psychosis
Died during the year
Females
Males
64
196
45
8
217
530
369
115
831
259
92
156
187
383
53
98
19
172
389
505
1,035
20
EIGHTY-FIFTH ANNUAL REPORT
Patients on books last day of year:
Actual resident population
On parole or otherwise absent
Males
Females
2,332 2,737
363 " 335
Total on records at end of year 2,695
Average daily resident population
3,072
Total
5,069
698
5,767
5,046
A study of the above table shows an admission of
606 males and 484 females, or a total of 1,090 during the
year. This number is 131 less than the previous year,
but we received a total of 1,591 applications for admission, compared to 1,503 the previous year. The greatly
overcrowded condition of the institution compelled us to
refuse admission to many who made application for admission. In passing on applications, we endeavored to
give preference to the younger and more urgent type of
cases. The information contained in applicant's history
being the only criteria we had at hand, except supplemental letters from friends and relatives of those refused and later accepted. We hope, by the middle of
February, the new building for colored females will be
ready for occupancy. This building is constructed of
brick with concrete floors, and is of fire resistant construction throughout and will accommodate about 400
patients; allowing 50 square feet of floor space per patient for dormitory purposes and 30 square feet per patient additional for day porticos. This will provide adequate quarters for the colored females for some time.
Contractors begun work on the Psychopathic Hospital Building in November, and they plan to have it completed by. July 1st, 1929. This building will have six
wards and will accommodate about 240 patients. It will
be of fire resistant construction throughout and three
stories high with terrazo floors. The north side of the
building will be four stories including the basement,
which will compose gymnasium, occupation therapy
room, hydrotherapy room, X-ray quarters, physiotherapy
rooms and work shop. The first two floors will be reception wards for new admissions and the top floor will be
hospital wards for sick and surgical cases, with a modern
operating room and diet kitchen in connection therewith.
This building has been long needed by the institution in
meeting the problems of the unfortunate charges committed to her care.
GEORGIA STATE SANITARIUM
21
When these two buildings are completed and occupied, the institution will still be overcrowded in the
white male, white female and colored male departments,
by about 700 patients. Therefore, it is important that
provisions be made as early as practicable for this overcrowding, and to provide for the future growth of the
mental disease problem in this state. This commonwealth has assumed the burden of this problem, and it is
one that should be second to none of all of her responsibilities.
Individuals afflicted with mental disorders, have the
most serious of afflictions and are the most needful of
hospitalization of all who become sick, because the very
nature of their illness causes them to have behavior that
sooner or later conflicts with society and the law. Then
the law deprives them of their liberty. A person only
physically sick may elect to take treatment at home or
some general hospital of their choice, but if they become
mentally sick, they have no choice in the matter. Therefore, an environment should be provided for these unfortunates, equipped with facilities for treatment to comply with all requirements that modern phychiatry and
medical science offers, for their restoration to health and
useful citizenship.
After many years of thought and study of this problem, we are convinced that another institution for mental disease should be founded in another section of the
State and located near one of the medical schools or
large cities, so that a staff of consulting physicians and
surgeons (Specialist) would be available as consultants
with the resident staff. Looking to the future, we think
this would be wiser than to add more buildings to this
institution, except those now needed.
The above idea conforms to the opinions of most of
the leading and experienced superintendents of state Hospitals in the United States and Canada, and is practiced
by those states most advanced in equipment for meeting
the needs of their mental disease problem. Georgia is
the only State in the Union of its size, population and
wealth that is attempting to provide for this tremendous
problem with one institution.
The history of this institution, since it was founded,
convinces us that the problem will continue to grow with
the coming years, as the population of the State increas-
22
EIGHTY-FIFTH ANNUAL REPORT
es; notwithstanding the progress being made in the methods of treatment and the fact that we are learning more
and more about mental hygiene, by a closer study of the
individual and his personal attributes in childhood and
adult life, and the various factors that cause maladjustment.
However, much greater results might be accomplished in the prevention of mental diseases, during this modern and stressful era, if the public mind would concentrate their energies to the problem of bad heredity. It
does not matter whether legal restriction of marriage,
surgical sterilization or segregation should be remedy
or remedies applied with other mental hygienic activities; the prescription is a long one, and would require
many years before outstanding results might be obtained. I am convinced that surgical sterilization of those
afflicted with certain types of mental disease, the feebleminded, syphilitics and criminal recidivists, is the best
remedy medical science has to offer and would eventuate
in greatest results if made compulsory. If not made compulsory, I doubt the wisdom of such law. California has
one of the simplest and best sterilization laws that I
have been able to find.
Furloughs, Discharges and Deaths
Of the 898 patients furloughed during the year, 355
were white males, 307 white females, 116 colored males
and 120 colored females. Of this group, 188 were restored and 546 improved, making a total of 67.3 per cent
restored and improved, based on the total admissions for
the year.
Of the 646 patients discharged during the year, nine
were without psychosis, 156 were restored, 383 improved
and 98 unimproved, but we regarded harmless. This
group of cases, except those without psychosis, had previously been furloughed into the custody of relatives and
remained out of the institution over twelve months; the
furlough period allowed by law. A few of the restored
cases, soon after leaving the institution, requested their
discharges for business reasons, and they were given.
Of the 389 deaths during the year, 121 were white
males, 82 white females, 96 colored males and 90 colored
females. The total deaths during the year were 45 less
than the previous year. The average daily patient pop-
GEORGIA STATE SANITARIUM
23
ulation was 5,046 and the total number under treatment,
exclusive of those on furlough, were 6.026. The death
rate during the year was .064 per cent of the total number under treatment.
Medical Service
No innovations in treatment were instituted during
the year, but we endeavored to keep in mind the idea of
studying the origin and meaning of symptoms and nursing attention. While no great discoveries, like insulin in
the treatment of diabetes has been made, yet, we think
that some progress is being made in the treatment of
mental disorders, and one of the evidences of this is the
noted improvement on the wards of the destructive rate,
seclusions and restraints of the disturbed cases. While
we are gradually learning more and more about the problems of the different type of cases, yet, we sometimes feel
that our progress is rather slow.
We continued the use of foreign protein in the form
of typhoid vaccine in the treatment of general paralysis
of the insane. Of the 84 cases treated, 46 were white
males, 3 were white females, 27 were colored males and
8 colored females. Of the 46 white males treated, 21
improved, 11 did not improve and 14 died. Of the 3
white females treated, none improved—all still living.
Of the 27 colored males treated, 1 improved, 9 did not
improve and 17 died. Of the 8 colored females treated,
2 improved, 4 did not improve and 2 died. Ten of the
improved group have been furloughed into the custody
of relatives, and the future alone can determine the final
result. We discontinued the Ketogenic dietary treatment of the group of epileptics, as results obtained did
not warrant its continuance.
We continued occupation therapy as an aid in treatment, but made no material advances in this department,
as we have been unable to secure a properly trained individual to take charge of this work in the white female
department. In this connection, I will state that the
many male patients' that we encourage to work in the
gardens, on the farm and the many activities about the
institution are greatly benefitted thereby. It does not
matter so much whether an individual is engaged in arts
and crafts, industrial or agricultural activities, the results obtained may be good if the proper approach is
'2A_
EIGHTY-FIFTH ANNUAL REPORT
made under tactful and wise supervision. When work
of any kind is employed as a therapeutic measure, it
should be under the direction of the physician, effect
noted and recorded.
The general health of the patients during the year
has been very good; no extensive contagious and infectious disease epidemic occurred, although during the latter part of the year, a mild epidemic of influenza developed with a few deaths from pneumonia complications.
We were rather apprehensive when water works
was flooded by the river during the high water in August. The bacteriological test of the water afterwards
showed evidence of slight pollution, but no harmful results followed.
The institution's extra mural activities expanded
some during the year. In addition to continuing the
Macon and Elberton Clinics, a member of the Staff began
spending an afternoon of each week at the Georgia Training School for Boys. Also classes from Georgia State
College for Women, Milledgeville; Teachers' College,
Athens; Emory University, Atlanta; Mercer University,
Macon; Morris Brown University (colored) Atlanta,
visited the institution and were given lectures on abnormal psychology and shown clinical cases. Amusements in the form of weekly dances, moving pictures and
band concerts were provided as formerly.
The record made by the Training School for Nurses
was unusually good. A detailed report of the "home
coming" of the Alumnae, graduating exercises, list of
graduates, plan of instruction and curriculum will be
found in the report of Superintendent of Nurses.
A detailed review of the medical work with statistical tables will be found in the report of the Clinical
Director.
Changes in Medical Staff
Junior Assistant Physician A. H. Fowler resigned to
enter private practice at Langley, S. C.
Interne W. B. Brigman resigned on account of ill
health.
GEORGIA STATE SANITARIUM
25
Interne J. D. Wiley resigned to accept position of
health officer of Jenkins County, Ga.
Pathologist E. B. Saye resigned to accept position of
pathologist to Davis-Fisher Sanitarium, Atlanta, Ga.
Drs. J. C. Statham and C. R. Youmans were appointed as Internes.
Pellagra Study
The studies on the treatment and prevention of pellagra, conducted by the United States Public Health Service in conjunction with the medical staff, were continued
under the general supervision of Dr. Joseph Goldberger,
with Dr. G. A. Wheeler in local charge. Several staple
foods have been studied and their pellagra prevention influence determined.
Fresh milk or buttermilk in quantities of 40 ounces
as a daily food supplement, has been found satisfactory
in the prevention or treatment of the disease. Also, seven ounces of fresh beef, six ounces of canned salmon and
one ounce of dry powdered yeast have each been found
satisfactory agents in prevention and treatment of the disease.
Findings obtained by these workers in their dietary
studies have led them to the conclusion that pellagra is
due, not to too much or too little protein, carbohydrate,
fat or mineral constituents, but to a fault in some accessary food principle of the class known as vitamins,
that have been designated by Dr. Goldberger and his
associates as the P. P., or pellagra preventive factor.
Some students of nutrition have since classified it as
Vitamin F; others as Vitamin G. Meat; fresh lean
meats, salmon, tomatoes, wheat germ and yeast are
known to contain it in more or less abundance. This
vitamin has been found to be soluble in water and alcohol,
and not appreciably affected by heat. It seems that the
pellagra problem, as a result of these studies, will become
more and more simple, as the various foods are studied,
and their values, as sources of this vitamin, be publicly
made known.
Laboratory Report
The Pathologist having resigned in October, the following data for the year's laboratory work was collected
by Mr. D. C. Leaptrott, laboratory technician.
26
EIGHTY-FIFTH ANNUAL REPORT
SEROLOGICAL EXAMINATIONS :
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Colloidal Gold reaction
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
1,490
456
456
456
456
CLINICAL LABORATORY EXAMINATIONS :
Urine, routine analysis
1,833
Urine, special chemical examinations
716
Feces, micro, for parasites or ova
839
Feces, Chemically for occult blood
3
Sputum, micro, for tubercle bacilli
124
Blood, Chemical examinations...
14
Blood, films for malaria parasites
86
Blood, counts—white, red or differential
488
Blood, coagulation time...
3
Blood, hemoglobin estimation
44
Blood, type determination
13
Blood, icterus index
1
Blood, fragility test
1
Blood, reticuloctyte count
1
Cerebrospical Fluid, chemical examination
2
Milk, butter fat percentage determination
376
Gastric Contents, chemically and microscopically....
5
BACTERIOLOGICAL EXAMINATIONS :
Blood, culture
14
Blood, agglutination test (Widal)
53
Cerebrospinal Fluid, culture
2
Exudates, cluture and microscopically...
71
Exudates, dark field illumination for T. Pallidum
3
Exudates, animal inoculation
4
Milk, bacteria count
376
Vaccine, autogenous
25
ANATOMICAL EXAMINATIONS :
Necropsies
Postmortem examination of animals
Brain, Dog, for Negri Bodies....
Surgical Tissue, gross and microscopical
7
4
2
24
:
There were 1,490 specimens of blood examined for
the Wassermann reaction, of which number 1,122 were
secured as a matter of routine from patients upon admission to the institution.
SEROLOGICAL EXAMINATIONS
GEORGIA STATE SANITARIUM
27
There were 456 specimens of cerebrospinal fluid examined for the Wassermann, Colloidal Gold tests, Globulin estimation and Cell Counts, of which number 313
were obtained from patients admitted during the year.
A routine examination of this fluid is made in the case of
each patient whose blood reacts positively to the Wassermann test, or shows any other clinical indications to necessitate this examination.
TABLE
I.—Results of Routine Blood Wasserman Tests.
Race
White
White
Colored
Colored
Sex
Number
Examined
Number
Positive
(4 plus)
Percentage
Positive
Female
Male
Female
Male
318
442
178
184
18
26
32
34
5.6
5.8
17.9
18.4
1,122
110
9.8
Total
TABLE
//.—Estimate of Serological Neurosyphilis in
Patients Admitted During the Year
Sex
Race
White
White
Colored
Colored
Total
Female
Male
Female
Male
Number
Positive
Number Cerebrospinal Percentage
Examined Fluid (Wass'n. Positive
70
94
67
82
7
26
11
24
2.2
5.8
6.1
13.0
313
68
6.7
Engineering Department
A general review of the main improvements and repairs made during the year will be found in the report of
the Engineer.
Deeds to the right-of-way through the land of different owners through which the duplicate water main
to the water works will be laid, has been secured and
properly recorded at the County Court House, and
nearly 2,000 feet of this pipe line has been placed.
The contractors, Dupree & Sons of Rome, Ga., completed their part of the construction of the new building
for colored females, November 20th. Our Engineering
Department is doing the electrical wiring, plumbing and
heating for this building, and we hope to have it ready
28
EIGHTY-FIFTH ANNUAL REPORT
for occupancy by February 15th, 1929. Mention has
been made of this building in a previous section of this
report.
Two new pavilions for tubercular patients were constructed of Wood: one for white females and other attached as an addition to pavilion A for white males; provides adequate room for our tubercular patients for the
present.
The erection of the 150,000 gallon steel water tower,
by J. S. Schofields, Sons & Company of Macon, Ga., to replace the 40,000 gallon tower that has been in use 52
years, provides a much needed equipment.
Some of the work laid out for this department had to
remain unfinished, on account of effort to complete the
new building for colored females so that it could be occupied as early as possible to relieve the greatly overcrowded condition in this department, and to provide
room for others waiting admission.
The Business Department
The report of the Steward shows a total disbursement for maintenance during the year of $1,191,871.25,
including internal income of $13,388.04. On the basis of
deducted internal income, the per-capita cost for the year
was $233.55 or .6398 cents a day compared to .6162 a
day the previous year.
A detailed analysis of the receipts and disbursements, both for maintenance and special appropriations,
accounts payable and receivable at the end of the year;
also statement concerning productions of farm, garden
and dairy with estimated values and cost of operation,
etc., are included in the Steward's report.
Farm, Garden and Dairy
On account of the severe cold weather last winter
and the excessive rains throughout the year, productions
of vegetables and farm products were not as good as the
previous year. The pecan trees that we had budded four
years ago are beginning to grow and bear a little. We
gathered 2,900 pounds pecans; enough to give every
patient some during Christmas.
GEORGIA STATE SANITARIUM
29
The dairy herd has not yet become entirely negative
to tuberculin test, as two reactors were found when last
test was made in November. We are now milking about
one-third of the cows we were before we discovered the
infection in 1927; hence, we have continued to buy milk
to make up our deficient supply.
The Farm Steward's report gives a tabulation of the
amount of food stuffs and other products raised on the
farm, garden and dairy during the year.
Religious Services
Religious services were held each Sunday afternoon
at 3 o'clock by the Chaplain, Rev. J. F. Yarbrough, pastor of the Milledgeville First Methodist Church, until
November 1st, after which date these services were conducted by his successor, Rev. F- H. Harding, the pastor
of the Milledgeville Episcopal Church.
Funerals of remains of patients who were interred
in the Sanitarium cemetery were conducted by the Chaplain.
Needs of the Institution Requiring Special Legislation
1. The name Georgia State Sanitarium should be
changed to Georgia State Hospital, or preferably Milledgeville State Hospital, in order to conform to names of
similar institutions in other States, and to keep it identified from other similar institutions that may be founded
in other sections of the State in the future.
2. An appropriation should be made available as
soon as possible for the erection of buildings to accommodate 300 white females, 200 white males and 200 colored males.
3. Another State hospital should be founded near
Atlanta, and the State divided into two zones to be served
by these institutions.
4. An appropriation of $10,000 should be provided
for making an addition to store house, which is now too
small to serve the needs of the Sanitarium.
5. An appropriation of $12,000 should be provided
to buy piping and material to run water main to the
colony.
30
EIGHTY-FIFTH ANNUAL REPORT
6. A central heating and power plant would be
more economical and more efficient, and is most earnestly recommended.
7. Amusements and diversions are important aids
in the treatment of mental patients. The present amusement hall is too small. It has been in use more than
forty years and could be made into an occupation therapy
room for white females. An appropriation should now
be provided to erect a larger and fire-proof amusement
hall; estimated cost $50,000.
Conclusion
In conclusion, I wish to thank the members of the
Board of Trustees for their constant and unfailing interest in the welfare of the institution. I also wish to express my appreciation and thanks to those officers and
employees of the Sanitarium who have been loyal in their
support and faithful in the discharge of duty, because
they share greatly the credit for the success of carrying
on the work throughout the year.
I also wish to thank the women's clubs and others
who were thoughtful enough to send various gifts to the
patients during Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
GEORGIA STATE SANITARIUM
31
Report of Medical Department
DR.
R. C. SWINT, Superintendent,
DEAR SIR:
The following pages contain the report of the medical department for the year, 1928.
During the year one thousand and ninety (1090)
patients were admitted. Of these, eight hundred and
thirty-one (831) were first admissions and two hundred
and fifty-nine (259) were re-admissions. The percentage for each in the classification scheme is given in tables
one and two. Fourteen (14) were diagnosed as not insane. Four of these were placed in the mental deficiency
group. Two of these four were classified idiots. Of the
remainder one was a drug addict, a second was an alcoholic, a third was a psychopath and seven
did not present
sufficient symptoms to be classified Jas insane. Some of
the histories received with patients are extremely poor
and this at times is a drawback to classification and even
to diagnosis of insanity. The unclassified group is
rather large for the same reason.
The percentage of re-admissions is somewhat higher than last year. Of the two hundred and fifty-nine
(259) re-admissions fifty-four (54) had been previously
admitted to other hospitals, either private or public.
Twenty-two (22) patients were sent by order of
court. The criminal charges were as follows:
Murder
2
Shop lifting
1
Wife beating
1
Assault with intent to murder
5
Obtaining money under false pretenses..
1
Assault
1
Sending threatening letters
1
Public indecency
2
Malicious mischief
1
Larceny
3
Assault with battery
2
Forgery
1
Burglary
1
22
32
EIGHTY-FIFTH ANNUAL REPORT
The mental diagnosis in the above cases were as follows:
Psychosis with mental deficiency
5
Manic depressive
4
Dementia praecox
4
Traumatic psychosis
1
Psychosis with epilepsy
1
Psychosis with cerebral arteriosclerosis
2
General paralysis of the insane
1
Senile
1
Not insane
3
22
The death rate for the year was 6.3 per cent of
those treated. Arteriosclerosis was the leading cause of
death; general paralysis of the insane was second while
epilepsy and broncho pneumonia occupied third place.
Two patients committed suicide by hanging. One patient was attacked by« another and died as a result of the
attack.
Eight hundred and ninety-seven (897) patients were
furloughed. Not included in this number were twentytwo (22) patients who returned to the institution to renew their furloughs and ten (10) patients who were discharged as not insane. One hundred and twenty-eight
(128) patients were furloughed as restored and five hundred and forty-six (546) as improved, making the combined recovery rate 67.3 per cent as compared with 62.8
per cent for the previous year.
The same general policies in treatment have been
followed that have been heretofore pursued.
After nearly two years trial, the ketogenic dietary
treatment of epilepsy has been discontinued because of
the lack of encouraging results.
The treatment of general paralysis by the use of
foreign proteins has been continued. The tabulation below gives some indication of the results. In the number
are included all patients who were given full treatment
or who died before treatment was completed. Not included are a few who are still under treatment and two
who escaped before treatment was completed. No results whatever were seen in the colored males. It ap-
33
GEORGIA STATE SANITARIUM
pears that a febrile reaction was obtained less easily in
this group than in some of the others. In one instance
a dose of 40 billion dead bacilli were given intravenously
with a resulting temperature of 103. The improved
group included all degrees of improvement. Ten of
these have been f urloughed and are now at home:
Dead
White male
14 (30%)
White female
0
Colored male ...... 17 (62%)
Colored female .... 2 (25%)
Total
33 (39%)
Not
Improved
11
3
9
4
Improved Total
(23%) 21 (45%)
(100%) 0
(33%)
1 (3%)
(50%)
2 (25%)
27 (30%)
24 (28%)
46
3
27
8
84
The resignation of Dr. Saye, pathologist, has badly
crippled the laboratory work. The technicians, however,
are rendering valuable service in that department.
A small pamplet which deals with some of the practical points in nursing the insane has been prepared and
distributed to the attendants. It is expected that short
courses will be given to all those who enter this service.
It is thought twice per year will be sufficient. Quizzes
will be supplemented by lectures and demonstrations.
The need of such work has been long recognized but the
practical fulfillment of such a need is a matter of no
small difficulty. Lectures alone do not fill the need.
This will not be in conflict with the regular training
school which continues to operate as formerly.
The weekly clinic in Macon has been held each Friday. This work is in its tenth year and more and better
service has been given than ever before. During the
year 109 new cases were seen and a total of 428 visits
were recorded. The visiting physician is a member of
the Staff of the Macon City Hospital as consultant in
mental and nervous diseases and gives a course of instruction in nursing mental and nervous diseases to the
nurses at the Macon City Hospital and the Middle Georgia Sanitarium.
The Elberton School clinic has been held each month
during the school year. A total of 192 visits have been
paid to this clinic. This included 108 first visits. The
cooperation of the local agencies has been splendid and
it is felt that this clinic, not only offers an opportunity
34
EIGHTY-FIFTH ANNUAL REPORT
for mental hygiene but it is also an educational opportunity for the visiting physician. The attention of the
Common Wealth Fund Board has been attracted and they
have made an offer of assistance in the sum of $1,800 00
per year provided local agencies raise $600.00 per year.
This amount is to be used to pay a visiting teacher or
social service worker.
One member of the staff has recently begun work
at the State Reformatory for Boys. There is a very
large amount of work that might be done at that place
and we hope for some results.
During the year classes in psychology from Teachers
college at Athens; Emory University; Mercer University
and Morris Brown (colored) visited the institution and
were given clinical demonstration and lectures in abnormal psychology. The graduating class in medicine from
Emory University also paid us a visit.
The Elberton clinic, the work at the boys reformatory, the visit from the college and university students,
are all a result of a growing popular interest in psychology and mental diseases. The requests for assistance were voluntary. The institution is less isolated
than it once was and time seems right for judicious expansion in mental hygiene.
I wish to thank you and the Board for assistance
rendered and I make grateful acknowledgment to the
whole medical service for efforts at improvement.
Respectfully,
N. P. WALKER, M. D.,
Clinical Director.
GEORGIA STATE SANITARIUM
35
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1928.
PSYCHOSIS
Traumatic
Senile
with cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic
personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane
Drug addict, not insane
Constitutional psychopathic personality, not insane
Alcoholism, not insane
TOTAL
I White
I M. | F.
3
2
42
28
0
0
0
9
13
11
22
2
122
69
0
18
2
Colored |
M. | F. ]Total|
0
4
9
6
0
0
0
7
0
5
10
1
120
70
0
20
14
2
11
25 17
33 24
1
5
4 0
0
1
1
1
0
0
%
3
.27
0
0
7 14 1.28
1
23
7 81 7.43
24 11
69 6.33
0
0 0
0
0
0
0
0
0
0
0
2 21 1.92
3
14 1.28
0
1
16 1.46
0
0
7 45 4.12
6
1
5
.45
1
72 49 363 33.30
23 48 210 19.26
0
0
0
0
57 5.22
12
7
0
16 1.46
0
°l
0
0
6
28
0
0
0
0
0
13 1.19
56 5.13
93 8.53
7
.64
4 .36
1
.09
1
1
.09
.09
423 311 183J173 1090|99.89
3G
EIGHTY-FIFTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1923.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic persoii
ality
With mental deficiency
Unclassified
Not insane
Alcoholism, not insane
Drug addict, not insane
Mental deficiency, not insane
TOTAL
White
M. I F.
Colored
M. | F. Total!
2
1
41
25
01
0
0
9
10
8
19
2
68
51
0
13
1
0
0
2
.24
1
7 13 1.56
23
7
79 9.50
23 10
63 7.58
0
0
0
0
0
0
0
0
0
0
0
0
3 2
20 2.40
1
0
11 1.32
0
0
10 1.20
6
6 40 4.81
1
1
.60
•5
52 36 225!27.07
18 38 158|19.01
0
0
0
0
12
7 49 5.89
0
0
14 1.68
0
0
0
6
0
2
91
1
691
51
0
17
13
5
1
14 15
28 20
4
1
1
0
0
1
4 0
0 0
8
4
7 28
1
0
0
0
0
0
0
0
%
6 .72
41 4.93
83 9.98
6
.72
1
.12
1
.12
4
.48
30612231156:146 831199.93
GEORGIA STATE SANITARIUM
37
TABLE 3
Diagnostic Grouping of Re-admissions Dui-ing the Year 1928
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Constitutional psychopathic personality,
not insane
TOTAL
Colored
White
M. F. M.
0
0
1
0
1
0
0
1
1
1
1
3
0
0
0
0
0
0
0
0
0
0
0
1
0
0
3
0
3
3
0
1
3
0
0
0
20
54 51
19
5
18
0
0
0
0
3
5
1
1
0
F.
u
Total
0
0
1
0
0
0
0
0
0
1
0
13
10
0
0
0
1
1
2
6
0
0
0
1
3
6
5
0
138
52
0
8
2
6
11
5
1
1
2
4
0
0
0
1
0
0
2
0
0
7
15
10
1
1
0
0
0
1
117
88
27
27
259
TABLE 4
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1928
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoid _.=
With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane
Psychopathic personality, not insane
Alcoholism, not insane
Drug addict, not insane
Epilepsy, not insane
TOTAL
WHITE
COLORED
MALE
| FEMALE
MALE
FEMALE!
I. | U.| S.| R.| I. | U.| S.|l R.| I. | U.| S.| R.| I. | U.| S.| Total
1
1
0 0
0
2
0 0
7
6
1
0
0
7
6
3
9
1
66
58
1
8
1
8
16
12
0
0
0
0
0
0
1
0
0
0
0
0
0
0
4
4
5
0
0
0
0
0
0
0
1
32
15
0
2
0
0
3
0
24
16
1
0
0
15
21
16
30
5
383
167
1
42
19
21
53
80
5
1
1
1
1
1
.1 811211163 7|61|180|65l 2|| 6 83|27| ll4()|72
01 907
0
3 58
0
0
29
2
0
0
0
1
1
2 10
0 0
(1
0
0
0
0
0
0
0
(I
t—I
a
w
H
I
*]
t—i
*I
H
a
>
•z
a►
t-1
w
O
w
i-3
GEORGIA STATE SANITARIUM
39
TABLE No. 5
Causes of Deaths of Patients Who Died During the Year 1928
Colored
White
M. F. M. I F.
Total
Amoebic dysentery
1
0
1
0
0
Arterio-sclerosis
14 24
11
68
19
1
1
Brain tumor
0
0
0
1
Cancrum Oris
0
0
1
0
1
1
0
0
Carcinoma, breast
0
0
0
1
1
Carcinoma, jaw
0
1
1
0
0
0
Carcinoma, liver
1
0
1
0
Carcinoma, prostate
0
1
1
0
0
0
Carcinoma, throat
2
5
4
21
Cerebral hemorrhage
10
Cirrhosis, liver
1
1
0
0
0
Cholecystitis
1
0
1
0
0
Encephalitis
3
0
0
0
3
Erysipelas
2
0
1
1
0
38
Epilepsy
4] 8 18 8
9
2
0
3
Enteritis, actue
Exhaustion from acute mental disease.
2
1
5
1
1
0 I
0
0
1
Fibroid tumor
1
0
0
Gangrene of lung
1
01
54
18
4 25
7
General paralysis of the insane
1
0
0
0
Homicide, by patient
1
0
1
0
1
0
Huntington's Chorea
2
0
1
0
1
Influenza
Intestinal obstruction
1
0
1
0
0
1
Meningitis, staphylococcus
0
0
0
1
Myocarditis, chronic
19
4
7
5
3
15
Nephritis, acute
0
5
7
3
1
Pancreatitis
0
1
0
0
Pellagra
3
4
19
2
10
Pneumonia, lobar
1
13
7
4
1
38
Pneumonia, broncho
6
1
6
25
Suicide by hanging
2
1
0
0
1
1
1
0
0
Syphilis
0
47
Tuberculosis, Pulmonary
11
8
19
9
12
4
4
0
4
Unknown
2
0
4
Valvular heart disease
2
0
i\
TOTAL
121 I 82
96
90
389
40
EIGHTY-FIFTH ANNUAL REPORT
TABLE 6
SURGICAL OPERATIONS FOR THE YEAR 1928
Amputation, finger
Amputaton, toes
Appendectomy
Cataract, extraction
Cysts, ovarian, removed
CystJotomy
Cellulitis, operation for
Circumcision
Currettage
Dilatation and curettage
Dislocation, humerus
Eye, enucleation
Fracture, femur, treatment for
Fracture, radius, treatment for
Fracture, ulnar treatment for
Fracture, humerus, treatment for
Fracture, clavicle, treatment for
Hernjotomies
Hemorrhoidectomy
Hysterectomy
Iridectomy
Maxillary sinus, irrigation
Paracentesis, abdominal
Paracentisis, thorax
Fhimosis, operation for
Pterygium, transplanted
Tonsillectomies
Uterus, suspension of
Ulcer of cornea, cauterized
1
2
9
2
1
i
2
2
i
2
1
i
14
Q
1
x
1
5
2
4
j
1
2
2
1
2
91^
2
j
GEORGIA STATE SANITARIUM
41
TABLE 7
Admissions from Various Counties During the Year 1928
Colored
White
Total
M. I F. M. | F.
6
0
0
31 3
Applmg
1
0
1
o 0
Atkinson
1
1
0
0
01
Bacon
5
1
3
0
1
Baker
23
6
8
4
5
Baldwin
1
0
0
11 0
Banks
6
1
2
0
3|
Barrow
17
2
0
8
7
B&rtow
3.
0
1
0
2
Ben Hill
5
0
2
3
0
Berrien
35
1
8
7
19
Bibb
1
0
0
0
1
Bleckley
2
1
1
0
0
Brantley
1
6
1
1
3
Brooks
2
0
1
1
0
Bryan
6
0
0
4
2
Bulloch
9
4
3
1
1
Burke
9
1
3
3
2
Butts
3
0
2
1
0
Calhoun
5
0
0
0
5
Campbell
6
0
0
2
4
Candler
8
4
0
2
2
Carroll
3
0
0
2
1
Catoosa
1
0
0
0
1
Charlton
1
0
0
0
1
Chattahoochee
79
7 23 25
24
Chatham
6
0
0
3
3
Chattooga
8
0
0
3
5
Cherokee
5
2
1
1
1
Clark
2
0
2
0
0
Clay
4
2
2
0
0
Clayton
2
1
1
0
0
Clinch
15
1
0
9
5
Cobb
2
0
0
2
0
Coffee
2
15
1
5
7
Colquitt
2
0
1
1 . 0
Columbia
o
O
0
0
1
2
Cook
2
13
1
7
3
Coweta
1
0
0
0
1
Crawford
1
0 1
1
0
o
Crisp
1
0
0
1
0
Dade
4
0
0
2
2
Decatur
12
1
2
6 1
3
DeKalb
42
EIGHTY-FIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
(Continued)
Dodge
• Dooly
DoughertyDouglas __
Early
Effingham
Elbert ___
Emanuel _.
Evans
Fannin
Fayette —.
Floyd .__.
Forsyth __.
Franklin _.
Fulton
Gilmer
Glascock _.
Glynn
Gordon
Grady
Green
Gwinnett _.
Habersham
Hall
Hancock __
Haralson __
Harris
Hart
Heard
Henry
Houston __
Jackson __.
Jasper
Jeff Davis
Jefferson __
Jenkins
Johnson
Jones
Lamar
Lanier
Laureus __
Lee
Liberty
White
Colored
M. F. M. I F.
Total
0
2
3
1
6
2
1
1
3
7
2
1
0
2
5
1
11
0c
1
3
0
3
22
0
5
0
1]
C0
0
1
5
3
11
1
10
1
2
2
1
6
1
0C
C0
0
1
2
3s
c0
0
5
4
5u
0
1
10
11
7rt
1
2
21
2
3
0
0
5
4
3S
0
1
8
45
38
18
16
L6
10
109
6
1
0
0
7
1
0
0
0
1
0
0
0
1
1
3
0
1
0
4
4
4
0
4
12
3
2
0
0
5
4
1
0
0
5
4
2
0
0
6
5
0
6
0
11
2
1
1
2
6
5
0
6
1
12
3
1
2
0
6
4
1
2
0
7
3
1
0
0
4
0
2
1
1
4
2
0
1
2
5
2
3
2
0
7
1
2
5
9
11
II
II
0
II
3
2
8
1 I
8
21
2 I
2
11
II
61
2
0
21
4
01
1
01
II
31
5
31
II
01
31
7
01
01
II
1
01
4!
II
21
01
7
II
01
1
01
11 0 I ol
01
1
I
I
°l
43
GEORGIA STATE SANITARIUM
Admissions from Various Counties During the Year 1928
(Continued)
Lincoln
Long
Lowndes —
Lumpkin —
Macon
Madison
Marion
Meriwether Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee __
McDuffie
Newton
Oconee
Oglethorpe _
Paulding
Peach
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph __.
Richmond —
Rockdale —
Schley
Screven
Spalding ___
Stephens —
Stewart
Sumter
Talbot
Taliaferro -Tattnall __.
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Colored
White
M. I F. M. 1 F.
()
2
0
0
1
4
2
3
2
0
1
2
0
3
1
5
0
0
1
0
1
5
4
1
0
1
2
4
4
11
01
4
1
0
1
0
2
2
5
0
2
0
4
1
8
1
1
1
7
3
1
0
2
0
4
3
1
1
1
1
3
31
H
1
0
5
1
0
2
1
1
0
0
4
8
0
1
3
2
0
1
2
0
0
0
1
0
0
0
3
2
0
0
4
3
0
a
I
I
3
9
0
1
0
2
1
1
1
1
2
1
2
2
2
2
1
0
1
2
0
Total
4
1
11
6
5
3
3
9
2
1
9
9
1
9
5
18
4
10
2
4
0
3
0
6
11
4
1
8
2
10
0
3
2
6
1
1
0
5
0
11
3
31
6
1
0
3
0
4
0
12
1
4
0
4
1
7
4
4
1
4
2
1
6
6
0
3
0
4
1
6
3
4
0
1
4
44
EIGHTY-FIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
(Continued)
Total
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton ....
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilks
Wilkinson _.
Worth
TOTAL
423
GEORGIA STATE SANITARIUM
45
TABLE 8
Nativity of All Patients Admitted During the Year 1928
Alabama
Arkansas
Canada
England
Florida
Georgia
Indiana
Ireland
Kansas
Kentucky
Mississippi
New Mexico —
North Carolina
Ohio
Oklahoma
Poland
Russia
South Carolina
Tennessee
Undetermined _
Virginia
West Indies
Colored
White
Total
M. P. M. I F.
20
0
3
6
11
1
0
1
0
0
1
0
0
0
1
1
0
0
1
0
6
0
0
2
4
380 286 176 165 1007
2
0
1
0
1
1
0
1
0
0
1
0
0
0
1
1
0
0
1
0
3
1
0
0
2
1
0
1
0
0
0
6
0
3
3
1
0
0
1
0
0
2
2
0
0!
1
0
0
ol 1
3
2
0
0
il
21
3
2!
61
101
6
4
1
II 0
1
1
ol 0
0
2
2
0
Oi
01
1
2
ll
0
01
TOTAL
4231 3111 1831 1731 1090
46
EIGHTY-FIFTH ANNUAL REPORT
TABLE 9
Classified Occupations of Patients Admitted During the Year 1928
White | Colored
M. 1 F. 1 M. | F.
Agriculture, Forestry and Animal
Industry:
Farmers
Farmers' wives
Farmers' daughters
Farm laborers
Farm laborers' wives
Lumber dealers
Box maker
Saw mill laborer
Saw mill laborers' wives
Turpentine laborer
Live stock dealer
Dairyman's wife
Professional:
Dentist
Druggist
Lawyer
Lawyer's wife
Minister
Minister's wife
Physician
Teacher
Teachers' wives
Civil engineer
Editor
Photographer
Minerals:
Oil company manager's wife__
Filling station manager
Filling station manager's wifePublic Service:
Bailiff
Policeman
Policeman's wife
r
Street cleaner
1
Watchman's wife
Total
143
0,
0|
iii
0
2
1
2
0
0
1
0
0
60
1
0
0
0
0
0
2
0
0
1
50
0
0
26
0
0
0
1
0
1
0
0
4
19
0
9
1
0
0
0
1
0
0
0
197
79
1
43
1
2
1
3
3
1
1
1
1
1
1
0
1
0
1
2
0
1
1
1
0
0
0
1
0
1
0
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
1
1
1
1
2
1
4
2
1
1
1
0
1
0
I
0
II
0
0
o
0
0
0
1
1
1
0
0
0
0
0
1
1
1
1
1
1
1
0
1
0
47
GEORGIA STATE SANITARIUM
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During the Year 1928
White I Colored
M. | F. 1 M. | F.
Trade:
]
Bank clerk
I
Accountant's wife
I
Bookkeeper
Merchant
Merchants' wives
Bank solicitor's wife_
Salesmen
Salesmen's wives
Salesladies
Sales manager
Stenographer
Manufacturing and Mechanical Pursuits:
Baker
Blacksmith
Blacksmith's wife
Brickmason
Carpenters
Carpenters' wives
Contractor
Electrician
Engineer, stationary
Laborers __
Laborers' wives
Machinist
Machinists' wives
1
Auto mechanic
Moulder —
Moulder's wife
Painters
Painter's wife
Typewriter mechanic
Patent maker
Plasterer
Foundry worker
Printer
Candy maker
Bicycle mechanic
.—
Marble polisher
Shoemaker
Shoemaker's wife
Tinner's wife
Tailor
Textile mill supt.'s wife
Textile workers
Textile workers' wives
—
Total
2
0
5
7
0
0
23
0
0
1
0
0
1
0
2
5
1
0
2
7
0
1
0
0
0
0
0
0
0
0
0
0
0
2
1
5
9
5
23
23
2
7
1
1
1
1
0
1
8
0
1
2
1
12
0
4
0
3
1
0
5
0
1
1
1
1
3
1
1
1
1
0
0
0
0|
15|
0|
0
0
1
0
0
2
0
0
0
0
3
0
3
0
0
1
0
1
0
0
0
0
0
0
0
0
0
1
1
0
1
6
1
0
0
1
0
0
0
0
0
45
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
2
1
1
2
8
2
1
2
1
64
12
4
3
3
2
1
6
2
1
1
1
1
3
1
1
1
1
1
1
1
1
21
4
48
EIGHTY-FIFTH ANNUAL REPORT
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During the Year 1928
White
M. | F.
Domestic and Personal Service:
Barber
Barber's wife
Chauffeur
Housekeepers
Janitor
Laundry worker
Laundry operator
Porters
Butler
Servants
Clothes presser
Washerwomen
Cooks
Resturant proprietor's wife-Waiter
Meat cutters
Transportation:
Bridgeworker's wife
Depot agent's wife
Express agent's wife
Railroad fireman
Railroad conductor
Railroad flagman
Railroad porter
Section foreman's wife
Street car conductor's wife..
Telegraph operator
Telephone operator's wife
Truck driver
Ship steward
Transfer agent
Miscellaneous:
Coast line guard
Insurance agents
Newsboy
•_
Peddler
Students
J
J
0
1
0
2
0
0
0
1
0
50
0
0
0
0
0
4
0
0
0
1
0
Colored
M. 1 F. | Total
J
J
0
0|
1
0
0
0
13
0
22
9
0
0
0
3
1
1
75
1
1
1
2
1
17
1
22
11
1
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
3
1
1
1
5
1
1
o
25
o|
1
1
1
0
0
0
0
3
1
0
1
0
0
0
I
0
0
0
0
5
0
0
0
1
2
0
0
0
0
1
1
2
1
1
14
NOT GIVEN
None
4
0
117 125
0
42
3
47
7
331
TOTAL
423 311
183 173
1090
49
GEORGIA STATE SANITARIUM
TABLE 10
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
White Male Population.
!
Phychosis.
Traumatic
Senile
With cerebral arteriosclerois
General paralysis of
the insane
With cerebral syphilis—
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid —
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Not insane
Mental deficiency, not insane
Alcoholism, not insane__
TOTAL
Under|20|30|40
20
30140150
01 1 0] 0
oj 0 0i 0
Over Not
70 Given Total
2
0 |
0
1
0 |
0
i
01 1 2|16112 10
I
0
41
0
0
0
22!10
9
10
8
19
2
68
51
0
13
0 0! 0
5
14
28
4
4
1
29
88154 59 45 19 11
306
EIGHTY-FIFTH ANNUAL REPORT
50
TABLE 10—(Continued)
Ages of First Admissions During the Year 1923
Classified With Reference to Principal Psychosis.
White Female Population.
Phychosis
Traumatic
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis. _
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency ..
Unclassified
Not insane
Drug addict, not insane..
TOTAL
Under j20|30|40|50)60]Over Not |
20 I30I40I50J60 70 70 Given! Total
u| 01 u! 0! 0!
0 Oj 0| 0| 1|
0
o
3
0
0
0 0 2! 3
3
0
0| 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Mil
! o
0
0
0
0
3
0
0
0
2
0
0
0
1
1
7
0
24
15
o
l
7
3
0
3
I
I
I 01 0
I 3! 4
i 2| 4I
!
I
I1 °3
0
3
8 5
1 0 0
0 1
27
0
0 0
41 01
!
3!
I
0|
01
0!
I
0|
I
0
0
2
0
I
I
I
I
I
I
5
0
0
0
6
0
2
9
1
69
51
17
I
13
0
15
20
1
1
0
I 223
ol 0
|49|68]44ll9ll0
0
4
I
0! 0
-r—r—r—r—(-
i
51
GEORGIA STATE SANITARIUM
TABLE 10—(Continued)
Ages of First Admissions During ths Year 1923
Classified With Reference to Principal Psychosis.
Colored Male Population.
]
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency. _
Unclassified
Not insane
TOTAL
Under|20|30|40|50|60 Over Not |
20 |30|40|50160|70 70 Given! Total
0
I 0j 0| Oi 0| 0|
1
i o| oi u| o| i|
I I I I
23
8| 4
0[ 1
0
0
0
0
23
0
0
0
3|11
0 0
0| 0
0| 0
3
1
0
6
1
52
18
0
0
0
0
0
13
1
0
1
0
12
oi 0
5| 3
0| 0
n
Oi 01
0
I
0
8
7
1
5
19
|52 32122118 8|
0
5
156
52
EIGHTY-FIFTH ANNUAL REPORT
TABLE 10—(Continued)
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Female Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
Ceneral paralysis of
the insane
With cerebral syphilis
With Hunting-ton's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathc personality
With mental deficiency
Unclassified
Not insane
TOTAL
1
Under |20|30|40|50|60|Over| Not
20 |30|40 50 (JO 701 70 | Given | Total
0
0
| 0
I 0
I
0
I 0
0
0
0
0
0
0
0
0
0
4
4
0
4
0
1
4
0
17
2! 31 4 i| o
0 0 0 0
01 0
ol 0
11 1
I 0 0
I 01 0
I ll 0
115111
|13|12
I
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
6
1
36
33
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
4
28
0
I
I 01 0 01 0| 0|
II 1 ll 01 0|
Mini
01 0
I I
01 01
21 0|
6|10|
01 0|
01
I
01
11
5[
0|
01 01
I I
0| 0|
01 01
1| 2|
0| 0|
I—II44l40!27!l2l 51
1
146
GEORGIA STATE SANITARIUM
53
TABLE 11
Degree of Education of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
M
Traumatic
Senile
Yfith cerebral arteriosclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane. _
Alcoholism, not insane
TOTAL
0
0
12
0
0
0
0
2
0
0
2
2
6
2
0
6
0
0
101
50
0
0
0
1
1
1
71
0
19
9
0
1
0
0
0 3
G
0
1
1
II
0|
0
5! 68 142 31
0
0
0
3
0
0
0
0
1
1
0
0
0
3
0
0
0
1
0
0
0
0
0
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
4
1
9
11 306
54
EIGHTY-FIFTH ANNUAL REPORT
TABLE 11—(Continued)
Degree of Education of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population
W
<v
c
Psvchosis.
>>
B
m
w
■n
a
s
X
h(l
« «
O
a
a
TOTAL
01
0
2
0
ol
o|
2
0)
o
c
el
o!
5!
01
txi n
0)
s «
1
]
-4-3
O
2
5
o
E-
0
o
1
4!
01
1|
0
21 4411151 22l 10
1| 223
1
0:
0
0!
ol
o
o
2
0
0
0
0
ol
ol
0
0| 0; 1
0' 131 37
l| ll| 26
0! 0! 0
01
01
ol
91
01
ol
291
c
0)
0|
II
II
0
ol
ol
ol
OT
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
01
ol
o
0
0
5!
__
o
o
T3
c
o
Traumatic
Senile
With cerebral arteriosclerosis _
General paralysis of the insane _
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
o
,S
o
T>
'A
0,
£
1
Oj
0|
41 121
Oi 1!
01 01
0
0
9
81
ol
0|
GEORGIA STATE SANITARIUM
55
TABLE 11—(Continued)
Degree of EoucE-tion of First Admissions During the Year 1923.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
>.
£
O
<0
a
o
55
Traumatic
Senile
With cerebral arteriosclerosis _'
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality-With mental deficiency
Unclassified
Not insane
TOTAL
T3
C3
o
H
«
M
0
1
15
12
0
0
0
1
0
0
6
1
20
4
0
9
0
0
7
5
1
0
0
2
0
0
0
0
1
0
0
0
0
1
0
0
3
0
0
0
0
0
82
7
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
II
1 156
56
EIGHTY-FIFTH ANNUAL REPORT
TABLE 11—(Continued)
Degree of Education of First Admissions During th? Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
m
0)
+J
Fhychosis
>>
O
xn
T3
M
0)
c
«
'A
Traumatic
Senile
With cerebral arterio-sclerosis_
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
TOTAL
o
. 7
2
1
0
0
0
0
0
0
1
0
'
ol
41
0
0
l!
14
0!
471
o
o
J3
-c
c
w
a
T3
01
o
C
X
o
o
S
£
« o
o
I
7|
01
0
0
0
VI
0!
2i
(/)
J2
zl
<D
r.r
<P
]
K
O
0
0
0!
0
0
0
01
01
a
<n
>
O
-J-J
&
0
0
o
01
1
0
0
3!
o!
21 18! 8
31 14! 12
0| 01 Oi
l| 21 Oi
0
0
01
0
0
0
0
0
0
0!
(1
31
71
01
0!
51
01
0
8! 60| 301
1
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0'
0
o1
0!
0
01 146
ol
II
GEORGIA STATE SANITARIUM
57
TABLE 12
Environment of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Population.
Female
Male
Psvchosis
o
Traumatic
_•
Senile
With cerebral arteriosclerosis __
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With Epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Alcoholism, not insane
TOTAL
2
0
10
18
0
0
0
4
7
7
8
0
24
23
0
4
0
5
4
13
3
0
1
0
0
1
31
7
0
0
0
5
3
1
11
2
44
28
0
9
1
0
10
14
II
0
3
II
2
1
41
25
0
0
0
9
10
8
19
2
G8
51
0
13
1
5
14
28
4
0
4
1
133 1721
1306
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
93 130
0 223
58
EIGHTY-FIFTH ANNUAL REPORT
TABLE 12—(Continued)
Environment of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Population.
II
Male
Female
Psychosis
c
~3s
c
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane. .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease. _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality...
With mental deficiency
Unclassified
Not insane
TOTAL
0
1
12
12
0
0
0
2
0
0
5
1
38
8
0
7
0
0
5
3
0
I 62 94
M
0
1
23
23
0
0
0
3
1
0
6
1
52
18
o:
oi
01
01
0
3
3
6
0
0
0
2
0
4
4
4
0
0
01
01
-t->
o
£
o
H
o
0
0
0
7
01 7
0| 10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
65! si
0!l46
0
o|
0^ 01
1
5
0
II
13 23
22 16i
Oil 0 01
I2i 3 ■1
0, 0 01
0
0
0
81 1 31
ni IT
ol
0 156
9
>
o
TABLE 13
FEMALE
MALE
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
White Population.
,0
a
a
-a
a<u
£
a
O
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis —
General paralysis of the insane __
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition —
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane —_Drug addict, not insane
Alcoholism, not insane
Mental deficiency, not insane
TOTAL
O
0
0
11
7
0
0
0
1
7
4
6
0
32
17
0
3
0
2
2
5
2
0
1
2
o
z
2
1
28
18
0
0
0
8
3
3
13
2
36
34
0
10
1
3
12
22
2
0
0
2
102 200
T3
C
O
1
o
zo
o
H
0 I
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
0
1
4
1
0
0
0
0
0
0
5
1
12
9
0
3
3
0
0
1
0
1
0
0
0
4
6
3
0
0
0
6
0
2
4
0
54
40
0
14
8
1
15
18
1
0
0
0
306
38
176
0
2 I
o
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
2
223
o
w
o
w
a
w
H
>
H
H
m
>
i—i
H
>
MALE
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Population.
, ,
Rl
a
M
a
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
__
0
FEMALE
01
J3
nj
-u
a<v
T3
fi
ft
s
Q
0
0
4
3
0
0
0
0
1
0
1
0
25
5
0
1
19
20
0
0
0
3
0
0
5
1
27 1
13 1
o
o
-4->
O
H
s
O
o
,_
g
So
s
0
o
CD
Q
EH
0
7
6
6
0
0
0
2
0
0
G
1
27
33
0
6
0
0
2
24
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
43 113 , 0 I 156 1|
e
a
ft
0
26
120
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0
146
H
O
a
i
S3
w
>
>
t-1
w
H
O
w
TABLE 14
FEMALE
MALE
Civil Condition of First Admissions During the Year 1923.
Classified With Reference to Principal Psychosis.
White Population.
O
M
0
o
H
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis _
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Alcoholism, not insane
TOTAL
1
1
I6| 24
5 14
0
0
0
7
3
1
2
0
27
36
0
9
1
2
14
5
3
0
4
0
12711341 26|
O
M
O
O
H
>
>
4 14
1306!
76| 98 29
21 18
1 H
69 >
51 E0
C
11
i;
l
15
20
1
1
0
0
0 223
■TABLE 14—(Continued)
Fl :M^ LLE
MA XE
Civil Conditions of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
T)
01
71
g
in
OS
T3
oj
o
-a
0 0 0
0
1
0
4 6 10
2
5 13
0 0 0
0
0 0
0
0
0
1
0
1
1
0
0
0
0
0
1
4 0
1
0 0
1
25 21
11
0
5
0
0
0
8 2
0
0 0
0
0
0 0
1
7
0
0
3
4
1
0
0
66 59 14
T3
U
o
>
s
T3
0>
+J
03
-a
u
O
p.
o
W
o
0
0
0
0
0 3
0 3
0
0
0 0
0
0
0
1
0
0
0 0
1
0
0
0
0
5
0 2
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0 17
■a
G
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
"3 71
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
156
TI
a>
iso
c
in
u
0
2
1
2
0
0
0
1
0
0
0
0
7
12
0
5
0
0
3
7
0
40
0 0
1
3
1
5
1
4
0
0
0 0
0 0
0
1
0
0
0
0
2 2
0
1
4
16
10 3
0 0
1
1
0
0
0 o
1
o
12
4
0
o
53| 20
03
o
C
o
>
s
+3
03
S-c
03
P.
a>
a(O
>
O
o
W
0
0
0
1
0
0
0 3
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
9
3 10
0
0
0
0
0
0
0
0
0
0
1
4
0
0
4 29
"3
-4->
o
EH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
146
GEORGIA STATE SANITARIUM
63
TABLE 15
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
|
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Epilepsy, not insane
TOTAL
|Under
20
30|40 50|60Over| Not
40 50 60170 70 iGiven
0 0 0, 0 0j
0 0 0 0 2
0
3
0
I
0
131 12
01
o|
01
0!
0
0
0
0
Total
0
5
30
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
2
0
0
2
1
0
1
0
0
4
1
7
2
1
3
1
11
11
0
0
0| 0! 01 01 01
I 1 3| 3
0
9
0
I 0 0! 0
I o
I 2
0
0
0
1
1
3
2
0|
0
I
I 0
I 1
0
[ 9 19|20'25!27l 21
0
2
6
10
0 I 121
EIGHTY-FIFTH ANNUAL REPORT
64
TABLE 15—(Continued)
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
,
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With Mental deficiency __
Unclassified
TOTAL
Under
20
Over | Not |
70 | Given | Total
0| 0| 0| 0| 0
0! 0 0 1| 2
I
I
I
0
12
I
0| 01 01 0! 1
0
0
0
0
0 2 2| 0! 0
1 o[ 0
1 o| 0
0
0
0
0
0 |
0 |
0 |
0 I
4
0
1
0
0
0
0
0
0
0
0
0 0
1
1 0
0 0
0 1
0 5
0 0
1 :;
0 1
0
0
0
0
0
2
3
3
0
1
6
0
11
0
0
0 0
4 6
0
0
0
13
01 01 0
0
01 0
0
0
0
9121 8!10|11| 23
0
!
I
|
l
5
12
82
65
GEORGIA STATE SANITARIUM
TABLE 15—(Continued)
Ages of Patients at Time of Death During the Year 1928.
Classified with Reference to Principal Psychosis.
Colored Male Population.
I
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis __.
General paralysis of
the insane
With cerebral syphilis __
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
:
With psychopahic personality
With mental deficiency __
Unclassified
TOTAL
| Under 120
20 130
0 | 0| 0| 0| 1
0
0| 01 0! 0
Over | Not
70 Given
0
0
0
18
0
0
0
0
0
0
0
0
26
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
2
0
10
51 4 01 0| 0
0
0
0
1
0
14
Ol 0 0' 01 Ol
0
0 1| 3
0
0
0
0
I 3] 7)10
| 01 0| 0
0] 0
0 0
0
0
0
0
0
1
0
0
4
ol 0 01 0| 0
I
0
4
9
0! 0 Ol 01 0!
21 0
01 3
6
Total
1
2
-
|14ll7l21ll8ll3l
6
96
66
EIGHTY-FIFTH ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis __.
With Huntington's chorea.
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
|Underj20J30|40
20 l30|40|50
0
0
Over | Not |
70 | Given | Total
| 01 01 0| 0
I 0| 0| 0| 2
0
MM
I 0| 01 2|
0
0
0
0
I II 21
| oj 01
I 01 Of
I 0| Oj
1
3
0
0
0
J 00
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
2
0
0
3
0
20
18
0
0
0
7
0
0
0
0
0
0
0
0
1 2| 0
1 o| 0 0| 0
1 21 71 61 3
1 4| 66|! 4| 1
0
0
0
0
0
0
2
0
2
01 0| 01 0
31 11 01 ll
0
0
0
0! 0: 01 0| 0
1 o!
1 ol
I
!
I-
I
I
0
0
0
0
I 0| 0| 0| 0| 0|
I 0! 3! 01 11 01
I 41 41 6| 01 2|
0
0
1
0
4
17
2
Il6'23'22ill! 91
7
90
67
GEORGIA STATE SANITARIUM
TABLE 16
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis —
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive _
Dementia praecox
.-7--Paranoia or paranoid condition
With epilepsy
.
PSychoneurosis or neurosis
With Psychopathic Personality..
With mental deficiency
Unclassified
Epilepsy, not insane
TOTAL
0
2
G
4
0
0
0
0|
H
0|
0]
11
01
01
0
1
2
0
21
1
2
1
0
1
0
0
0 1] 1
0 o| 0
0 01 0
01 0
3| 2
oj 0
01 0
0
0
5
30
21
0
0
0
7
2
1
3
1
11
11
0
9
0
2
6
10
2
11 21 16120 20 16 7 10 121
68
EIGHTY-FIFTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients. Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain and nervous disease _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality. _
With mental deficiency
Unclassified
TOTAL
0
3
2
1
0
0
2
0
0
II 0 0
0|
2!
2|
01
3!
0|
0
0
0
0
0
0|
0|
0|
0
01
0
4
3
0
3
0
H o
li 0
H 0
_
n
0
0
0
0
0
0
0
12
5
4
0
1
3
0
1
6
0
11
8
0
13
0
1
5
12
51 5' 8'18 14 9 12 82
69
GEORGIA STATE SANITARIUM
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Male Population.
.
n ja rn
SH
c a
c fl
Psychosis.
T0TAL
§
-t-»
-^
T-t
SO
M
«
>> >>
<N1 (M lO
50 ^
u to
O o
o
c
Traumatic
Senile
7—
With cerebral arteriosclerosis General paralysis of the insane .
With cerebral syphilis
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
a
ol o
0 0
2| 7
4|10
0
0
0
(I
0
2
0
0
0
0
Ol 0
0| 0
0| 0
Ol 0
II1
rH
O)
0|
11
5
0
01
0|
1
0
0 0| 0
1 0| 0
0 0 18
1 0| 26
0 0 0 0
1
0
1
0
0
2
0
10
8
0
14
0
0
4
9
9ll9ll5ll4|20l 6| 6 7 96
70
EIGHTY-FIFTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
S O
Traumatic
Senile
With cerebral arterioseleroisis "
Generai paraiysis of the insane
With cerebral syphilis
With brain and nervous
nervoui disease^
Due to alcohol
Due to drugs
With pellagra
~_
With somanic disease
I
Manic depressive
I
Dementia praecox
~
Paranoia or paranoid condition"
With epilepsy
Psychoneurosis or neurosis
"
With psychopathic personality _
With mental deficiency
Unclassified _
TOTAL
01 0
II 2
0
01
0|
0!
0
1
0
0
i! i
01 01
01 01 01 01
o| 0! 31 11
01
01
II
5|
01
0'
01
51
01
0!
01
01
01
01
01
4|
0
1
2
1
0
0
0
0
0
0
61
H
0'
31
01
0
0! 0
01 0
0 0
0
7
5
7
0
2
0
0
3
0
20
5
18
0
0
0| 0
7
01 0
0
0 0 01 0
1 o| 01 4
31 0 01 0| 17
111151 8113119110] 7| 7| 90
GEORGIA STATE SANITARIUM
71
Report of Superintendent of Nurses
JANUARY
DR.
1, 1929
R. C. SWINT,
Superintendent
DEAR SIR:
The following is the annual report of the Georgia
State Sanitarium Training School for Nurses for the year
beginning January 1, 1928 and ending December 31,
1928.
, ,
„
The record of the year's work has been unusually
good, the class work of high order and practical
The admission standards have been gradually raised
to require a full high school education. We have had no
difficulty in obtaining sufficient students and have a long
waiting list.
The Alumnae Association, each year, offers a prize
of all expenses to attend the State Nurses Association
Convention, to the nurse making the highest average during her junior year. The prize this year was won by
Miss Samantha Renfoe.
A "home coming" for all graduates was held May
16, 1928, and about fifty nurses returned to enjoy a reunion with friends and classmates. An excellent barbecue was served at six o'clock P. M. in a park near the
hospital after which all attended the annual commencement held in the Amusement Hall.
,.,,,..
The Annual Commencement was held at eight thirty
P. M., May 16th.
.
Dr Stewart Roberts, a well known physician of Atlanta gave an excellent address on the Trend in Medicine
which was enjoyed by the class and large audience.
Hon John T. Brantley, Blackshear, Ga., President
of the Board of Trustees, who has delivered diplomas to
all of the sixteen graduating classes except one, presented the diplomas. The hospital pins were presented
by Dr. Leatus Sanders, Commerce, Ga., a member of the
Board of Trustees.
72
EIGHTY-FIFTH ANNUAL REPORT
Mrs. Eustace McKinney, Jr., Blackshear, Ga. accompanied by Miss Anna Belle Pendleton on piano rendered two beautiful violin solos.
The Georgia Military College orchestra played the
processional and several selections on the program.
A reception and dance followed, music being furnished by the Georgia Military College orchestra.
The following nurses received dipflomas, making
total number of graduates one hundred and fortv-nine ■
Miss Bessie Thelma Allen.
' Tvpv r '
Miss Ruby Bloodworth.._
IveV J^'
Miss Sallie Elizabeth Daniel....
Dublin Ga
Miss Thelma Mathews
Thomson,' Ga.'
Miss Rosa Lee Mathews
Thomson Ga
Miss Annie Lou Stanley
Milledgeville,' Ga.'
Miss Ethel Lottie Taylor
Crawfordville, Ga
Miss Lila Belle Veal
Sandersville, Ga.
PLAN OF INSTRUCTION
The course extends over a period of three years, including three months probation and six months affiliation in some large general hospital for an additional
amount of obstetrics, pediatrics, and surgery. Classes
are conducted eight months out of each year and consist
of lectures, recitations, and laboratory work.
A passing grade of 75 in all branches is required for
graduation.
CURRICULUM
First Year
Nursing Ethics
Nursing Technique
Anatomy and Physiology
History of Nursing...
Bandaging
Dietetics
Hygiene
Chemistry
6 hourg
80
6Q
10
g
4c
16
"
9Q
«
«
„
„
„
„
„
73
GEORGIA STATE SANITARIUM
Second Year
Nursing Ethics
-----Nursing Technique
Medicine and Contagious Diseases
Bacteriology
—Massage
----Solutions
Materia Medica
Oral Hygiene
Obstetrics
—
-
10 hours
32
-
— 24
■■ 20
10
lb
16
16
-
24
Third Year
■-
Surgery
Eye, Ear, Nose and Throat
Pediatrics
Gynaecology -—
Mental Diseases
Neurology
Public Health
-
12 hours
16
16
16
16
-
10
NURSING STAFF
L
Superintendent of Nurses
Supervisors
—:
Graduate Nurses
-- 12
8
Senior Nurses in School.
13
Junior Nurses in School
——
Freshmen Nurses in School
---------- 10
Total Number of Student Nurses
31
Occupation Therapy Nurses...
.-- 10
9
Special Attendants
----56
White Female Attendants.
—I
Vacancies
----I am grateful to you and all officers and nurses who
have contributed to the success of the school.
Respectfully submitted,
M. JONES, R. N.,
Superintendent of Nurses.
(MRS.) MAE
74
EIGHTY-FIFTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE, G\.
R. C. SWINT,
Superintendent.
DEAR SIR :
Jan. 1st, 1929.
DR.
We have the honor of reporting the following work
done in the Dental Department during the year ending
December 31st, 1928:
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl chloride anaesthesias....
Alveolotomies
Incisions sutured
Post-operative treatments
Gold fillings
'"'"'
Amalgam fillings
....'
Cement fillings
~~~~
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
'
Gold inlays reset....
Nerve cappings
Nerve treatments
"
Nerves devitalized
"
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Abscesses aspirated
Lancing gums over 3rd. molar
Treating gums about 3rd. molar
Excessive hemorrhages arrested
Treatments for pyorrhea alveolaris
Cleaning teeth
Scaling teeth
Applications silver nitrate
]""""
Treatments for acute odontalgia...
Treatments for pericementitis
Treating gums
5 Qg4
2419
'808
12
-Qg
g
144
g
219
72
13
51
24
2
jg
7
""
jg
29
4g
22
12
15
ig
j2
21
37
ig4
28
3
2g7
GEORGIA STATE SANITARIUM
75
Treatments for oral ulcers
20
Treatments for stomatitis....
5
Curetting alveolar process
15
Plates made
75
Plates repaired
- —
29
Gold crowns
4
Porcelain crowns
5
Cast-base crowns (gold)
1
Crowns removed
28
Crowns reset
2
Bridges removed
26
Bridges made
-:
2
Bridges repaired
—
—
4
Bridges reset
8
Disfigured teeth shaped up (number of patients)..
82
Setting screws in roots
1
Impacted 3rd. molars removed
28
Sequestra removed
- 4
Fractures reduced
5
Calls to wards
342
Number of new patients examined
1,095
Number of patients treated.
2,319
Total number of operations and treatments
9,930
Respectfully submitted,
GEORGE H. GREEN, D. D. S.,
J. C. ADCOCK, D. D. S.
76
EIGHTY-FIFTH ANNUAL REPORT
Report of Pharmaceutical Department
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR
:
The following is the annual report of the Pharmaceutical Department for the year ending December
31st, 1928.
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
2,389 pounds
------- 1,060
"
Syrups
_.__
1041
Ointments
J18
»
Liquors, lotions and mixtures
1,114
"
Library paste and mucilage
65
Medicated powder
79
«
Indelible ink
4g
«
Glycerites
43
«
Liniments
220
"
Tonics
goQ
„
Tooth powder
3
«
Quinine, anodyne and lagrippe capsules,
fiIled
25,300
rmidde
2f
"
866 gallons
Fly and mosquito exterminator
430
Elixirs
GEORGIA STATE SANITARIUM
77
STATEMENT
Debits
Jan. 1, 1928, Inventory as of Dec. 31st, 1927......$5,309.00
PURCHASES DURING THE YEAR
Drugs, chemical, dental, surgical
and laboratory supplies....
$11,768.44
Freight and express
216.95
-
TOTAL
Less goods returned
$11,985.39
401.74
Net amount goods purchased
$11,583.65
T0TAL
Deduct:
Inventory Dec. 31, 1928
Amount goods to account for
-
$16,892.65
4,641.50
$12,251.15
Credits
Dec. 31, 1928, Prescriptions filled
wards 36,259 aggregating ...$ll,5bb.lU
Sales to officers and employees....
b8b.ua
TOTAL
..."
?12'251-15
Respectfully submitted,
J. J. WOOTTEN, Pharmacist.
78
EIGHTY-FIFTH ANNUAL REPORT
Report of Engineer
DR. R. C. SWINT,
Superintendent and Resident Physician
DEAR SIR :
Please find below the annual report of the Engineers
Department for the year ending December 31st 1928"
Improvements
h
«,,r Thvf ri!?
u.?f Way th™ugh the several properties
3th? the,f w pipe line to the water-workwS
be laid has been obtained, and nearly two thousand
tnousand feet
leet
of the new 12-inch pipe has been laid.
rw Jh-6 work°f reconditioning the buildings of the old
dry dairy, making them suitable for a horfe and mule
?i fSHbeMn C0I?pleted
- A utility
Wasksmith
shophas
andb an addigeneral
purpose
tS^SS^f
™
A rate for electric power current having been oh
^ inStitUti°n ^^haTtht
gTenfo°r ligMs Tuf
fhl ™ °
, ' , l?e of three Wlres has been run from
the meter pole of the Georgia Power company to Z
pump room, with a branch line to the laundry *
„,, ,A11 of. *he buildings have been removed from the
old horse lot preparatory to moving the present wood
working shop to this location.
Present wood^f*7h!L^-rk °/ edging the Laboratory, consisting
of the addition of three rooms and a basement room with
other improvements about the building, comrnenSd^ast
year, has been completed.
wwmnencea last
Two new pavilions for tubercular patients havP he™
T^
f
bee
s ssrua*; sprite -
these boilers at around 125 per cent cant ti
/""
GEORGIA STATE SANITARIUM
79
Two 1 000 gallon-per-minute motor driven centrifugal pumps have been purchased and installed in the
pump room of the T. 0. Powell Building. A suction well
of brick construction has been built and connected to
the yard system of supply. . The pumps take suction
from this well.
A telephone line has been run from the hospital to
the mule lot, and a line of poles placed for electric lights
in and around the building there.
The Cox cottage has been remodeled and painted.
Two suites of rooms on the second and third floors
of the Female Convalescent Building have been painted
throughout.
The sewing machines in the sewing room of the
negro building have been placed on a motor driven basis.
A brick Dutch oven has been built adjacent to the
kitchen at the Colony. This oven has the firing and
access doors in the kitchen.
Two outside ladder all metal fire escapes have been
placed on the two rear ends of the wings of the John 1.
Brantley Building.
A 150 000-gallon elevated steel tank, the highest
point of which is 133 feet above the pump-room floor,
has been erected in the backyard of the T. O. Powell
Building This tank is so connected that all of cne
pumps can deliver water into it, and the outlets are connected to the mains serving the fire protection, buildings
and the irrigation systems.
A forty-gallon cast iron jacketed steam kettle has
been placed in the kitchen of the Female Convalescent
Building.
A new concrete floor has been put in the kitchen of
the Twin Buildings, and the cooking apparatus has all
been reset, using new piping and valves. Thirty pounds
of metalic floor hardener to the square was used in laying this floor.
The RED BARN has been taken from the old horse
lot and rebuilt at the dairy. Two sheds, each with a
width equal to the width of the barn, have been built the
full length of the barn, one on each side. Both barn and
sheds are covered with galvanized sheet iron.
80
EIGHTY-FIFTH ANNUAL REPORT
The 10-inch water main and the 6-inch sewer exposed by the Georgia R. R. in lowering their tracks around
the storehouse have been cut and lowered out of the way.
Two cottages have been moved from the site selected for the L. M. Jones Building, and established in
new positions.
A pipe tunnel, three feet wide by fifty inches high
has been built between the boiler room of the negro
building and the new building. The length of this tunnel is seven hundred sixty-five feet. It has pipe supports built in it every ten feet of its length, and in it are
laid the 4 and 6-inch steam pipes and the 2 ^-inch return feed line.
A septic tank has been built to serve one of the cottages removed from the site of the L. M. Jones Building.
The cottage occupied by Dr. Longino has been remodeled and painted.
All of the slate roofs of the institution have been repaired by a competent slater.
The 10,000-gallon gasoline storage tank at the Storehouse which was exposed by the lowering of the tracks
of the Georgia R. R. at that point has been lowered and
connected by piping with the pump and filling opening.
The cottages occupied by Dr. Walker and Dr. Wheeler have been recovered with shingles.
Two garages have been built near the two cottages
removed from the site of the L. M. Jones Building.
The eighty-foot potato-curing-house at the Colon v
has been raised from its foundations, new floor put in
and reconditioned generally for the curing of sweet potatoes in crates.
The cottage occupied by Mr. Couch has been recovered, the piazza repaired and refloored.
A hot bed 150 feet long, with glass sash, has been
built for the gardener.
A new duplex coffee mill has been installed in the
storehouse.
A Barrett twenty-year-guarantee roof has been put
over the pump room of the Powell Building. Two skv
lights Were placed in this roof.
GEORGIA STATE SANITARIUM
81
The grading of the site of the L. M. Jones Building
has been completed, and the contractor has commenced
operations.
Two garages, each having divisions for four cars,
have been built to replace those it became necessary to
move from the site of the L. M. Jones Building.
A storm water sewer has been run from the backyard of the Female Convalescent Building to the spur
track of the railroad running to the Twin Buildings.
The contractor for the new colored building has
completed his work and our force of plumbers, steam
fitters and electricians are now engaged in putting in
this part of the work.
New tubes have been put in the two smaller boilers
at the laundry.
The coal yard fence at the Female Convalescent
Building, which was removed by the Georgia Railroad in
the changes made in their trackage around our storehouse, has been rebuilt and lengthened.
The two cottages near the new colored building have
been overhauled and given new roofs. The porches of
these houses have been widened and recovered and refloored. Small rooms have been built to these houses in
which water closets will be placed, removing the necessity for yard closets.
Two partitions have been built across the hallways
of the officers quarters in both the male and the female
convalescent buildings.
A frost proof water closet for servants use has been
placed at one of the cottages.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and shoe repair
shop, the paint shop and the broom factory have been
kept busy in manufacturing and repairing the various
articles in the different departments.
Respectfuly submitted,
T. H. DESAUSSURE, Engineer.
82
EIGHTY-FIFTH ANNUAL REPORT
Report of Farm Steward
JANUARY
DR.
28, 1929
R. C. SWINT, Supt.,
DEAR SIR
:
I wish to submit my report for the fiscal year ending December 31, 1928.
The following is a list of food stuffs produced during the year:
Asparagus
Beans, butter
Beans, snap
Beets
Cabbage
Collards
Cantaloups
Corn
Corn, roasting ears
Corn silage
Corn meal
Cucumbers
Fodder
Hay, oat and vetch
Hay, peavine and grass
Lettuce
OVits
Okra
Onions
Peas, garden
Peas, field green
Peas, field dried
Pecans
Peppers
Peaches
Pork, dressed
Potatoes, Irish
Potatoes, sweet
Radishes
Rape
Rye
Spinich
Squashes
124
bushels
116
"
911
"
339
22,811 heads
5,410
1,940
13,474
bushels
95,925 ears
705 tons
6,140
bushels
48
"
40 tons
50
"
2811/; "
700 " heads
110 bushels
712
177
"
122
"
53
"
250
2,900 pounds
8 bushels
1,7921/2
32,163 " pounds
804 bushels
3,300
34
"
1,243
147
253
458
"
GEORGIA STATE SANITARIUM
Tomatoes
Turnips
Watermelons, sent to patients
Watermelons fed to hogs
83
3111/, crates
7,174 bushels
10,300
15,500
Dairy
Sweet milk
Sweet cream
Beef, dressed
Hides, green
Calves sold
Manure
.45,246 gallons
154% "
7,170 pounds
233
"
1 ($2.00)
897 loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
Eggs set
Turkeys issued
136
15
402
3,300 dozen
394 "
21
In addition to producing these foods products, I
haul all the coal from the coal chutes to the boiler
rooms, moved all the cinders away from the boiler rooms
and have worked the entire road system of the institution. Have cut a new road from in front of Female
Convalescent Building through to the Park woods road.
Have graded and filled in the yards around Dr. Echols'
and Dr. Rankin's houses and planted them in Bermuda
grass.
I have also cut and distributed to officers' houses
and kitchens about 600 cords of stove wood.
I wish to thank you, the Board of Trustees, the officers and others of the institution for the gratitude and
cooperation shown me throughout the year.
Respectfuly yours,
F. C. PENUEL, Farm Steward.
84
EIGHTY-FIFTH ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE, GA., MARCH 5TH, 1929.
R. C. SWINT, Superintendent,
Georgia State Sanitarium.
DR.
Milledgeville, Ga.,
DEAR DR. SWINT:
I beg to submit a report of the receipts and disbursements of the treasurer of Georgia State Sanitarium
for the year 1928 :
December 31st, 1927 Bal. cash
on hand
$ 68,890.96
Received maintenance fund.. 1,200,000.00
Received special appropriations
247,206.15
Received Homer Bivins,
Steward
8,621.55
Received interest on balances
1,758.95
$1,526,477.61
Disbursements for the year per warrants
drawn by Superintendent and Steward.... $1,442,324.99
Dec. 31st, 1928 Bal. cash on hand in Exchange Bank
84,152.62
$1,526,477.61
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank, we certify that at close of
business December 31st, 1928, there was to the credit of
Otto M. Conn, Treasurer Georgia State Sanitarium, the
sum of $84,152.62.
OTTO W. CONN, Treas. Ga. S. S.
H. G. BANKS, Cashier Exchange Bank.
Witness:
H. H. HERNDON,
N. P. B. Co. Ga.
GEORGIA STATE SANITARIUM
85
Report of Steward
MlLLEDGEVILLE, GA.
DECEMBER 31ST, 1928.
DR. R. C. SWINT,
DEAR SIR:
Superintendent,
The receipts of the Sanitarium for support and
maintenance during the year 1928 were $1,201,844.27.
Its expenditure for the year was $1,178,483.21, leaving
the sum of $23,361.36 in excess assets. On this basis
its per capita cost was $233.55 annually, and $0.63,98
daily, as compared with $224.92 annually and $0.61,62
daily during the year 1927.
The sum of $190,225.72 was spent within the year
for the erection and equipment of the New Negro building, $32,526.44 for the Psychopathic building; and $42,613.01 for a duplicate water-main, tank, tower, etc., leaving the sum of $314,604.83 available for the completion
and equipment of the three projects.
Our demand obligations at the end of the year, exceeded our cash and cash items by $12,122.16, which figure when compared with that of 1927 shows a decrease
of $17,330.61.
In support of the foregoing figures, the following exhibits and schedules are given:
EXHIBITS :
1—Comparative Balance Sheet, Dec. 31st, 1927-28.
2—Comparative Statement Receipts and Disbursements
Years 1927-28.
3_Consolidated Statement Cash Receipts and Disbursements.
4_Statement Cash Receipts and Disbursements for
Maintenance.
5_Statement of Receipts and Disbursements, Account
Special Appropriations.
6_Profit and Loss Statement, Farm Garden and Dairy.
7_Statement Operating Funds; Per-Capita, Etc.
SCHEDULES:
l_Accounts Payable as of Dec. 31st, 1928.
2 Accounts Receivable as of Dec. 31st, 1928.
3—Production, Farm Garden and Dairy.
With a few exceptions, bills throughout the year
have been promptly settled in accordance with contracts,
and receipted voucher-checks covering disbursements
filed in this office.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT No. 1
Comparative Bfclance Sheet, December 31st, 1927-1928
Explanatory.
1927
1928
Increase
Decrease
ASSETS
CASH:
•
Treasurer—General Fund
$ 33 718 54
Treasurer—Patients' Fund
lo'589 74
Treasurer—Occupation Therapy Department
3 933 41
Steward—Working Fund
3000 00
Steward—Time Deposit—Merchants & Farmers Bank___
l',367.90
.Svewar/d—Time Deposit—Exchange Bank
i 716.64
Accounts Receivable
1144!29
$ 26,429.35
11,126.26
4,070.62
3,000.00
1,666.67
1,230.02
1,292.88
DUE BY TREASURY DEPARTMENT:
Unpaid Requisitions Against Special Appropriations
New Buildirgs
STOCKS:
General Merchantile
Fuel—Coal an Coke
Drugs, Chemicals and Sundries
Engineering Materials
Packing House Products
Dry Goods, Clothing, Etc.—in Manufactured
.
Farm Supplies
Dairy Feeds
."!_".""
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTAL
48 320 2°
32'77000
530900
12^21o!55
3'86o'84
136024
l'283 75
l!l86!50
414.43
$162,192.06
$ 7,289.19
$
536.52
137.21
w
298.77
lji
486.62
148.59
20,596.53
20,596.53
58,761.93
26,395.36
4,641.50
14,245.78
3,286.82
1,890.76
1,283.75
1,186.50
10,441.70
1,055.21
640.78
$182,159.94
$35,365.85
H
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d
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X
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>
6,374.64
667.50
2,035.23
580.02
530.52
H
►n
0
to
-i
$15,397.97
EXHIBIT No. 1—(Continued)
Comparative Balance Sheet, December 31st, 1927-1928
Explanatory
1927
1928
Increase
Decrease
LIABILITIES
DUE SPECIAL FUNDS:
Brantley Building
Occupation Therapy Department
Occupation Therapy Department—Female
Occupation Therapy Department—Male
Female Commissary
Water-works Appropriation
Cold Storage Plant
TRUST FUND:
Patients Deposits
ACCOUNT'S PAYABLE:
Individuals and Corporaions
WAGES AND LABOR:
Officers Salaries
Employees Wages
GROUP INSURANCE:
Advance Premiums
EXCESS ASSETS:
Net at End of Years
TOTAL
2,425.64
3,933.41
331.03
5,738.50
1,367.90
967.48
4,071.62
280.93
5,458.70
1,661.17
2,406.71
50.10
279.80
O
M
O
W
O
204.83
in
H
1,458.16
138.21
293.27
2,406.71
204.83
>
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10,589.74
11,126.26
22,060.16
16,902.38
5,157.78
6,733.22
31,538.86
6,529.89
32,129.35
203.33
536.52
>
>
590.49
4.68
4.68
77,264.09
100,625.45
23,361.36
$162,192.06
$182,159.94
$27,326.56
$7,358.68
EXHIBIT No. 2
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
State Appropriation,
1927
Regular
MISCELLANEOUS:
Interest on Balances
Donations
GRAND TOTAL Plus Internal Income
Increase
$1,100,000.00
$1,200,000.00
$100,000.00
1,840.08
'l31.88
1774 89
' 69.68
$1,101,971.96
$1,201,844.57
$100,000.00
$
$
$
.
Total, Less Internal Ir.come
Internal Income:
Board of Officers
Board of Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales—Ice
Sales—Dairy Products
Sales—Farm Products
Fines
Sundries
1928
"~_
1,229.40
1,557.70
3,904.30
1,972.50
125.30
1,247.90
1,960.85
3,196.33
1,729.54
56.00
Decrease
65.19
62.20
127.39
707.97
242.96
69.30
518 17
g61 44
343 27
547.30
1,5.00
3,003.;;?
496 26
35.50
3,308.61
$1115,014. ;0
$1,215,232.61
$104,605.29
H
«1
H
18.50
403 15
3 239.86
' 5i'.04
149.50
295.07
2
o
w
$3,239.86
$4,387.48
>
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
1927
1928
Increase
Decrease
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Steward's Department
Engineer's Department
Farm and Garden Department
Dairy Department
FOOD SUPPLIES:
General Wards
Nurses Home
Steward's Dining Room
Superintendent's Dining Room
MISCELLANEOUS.
Clothing and Dry Goods
Furniture and Bedding
Fuel
Medical Supplies
'_
Stationery and Postage
Advertising
Amusements
Repair Account—Autos and Trucks
Barber Supplies
Broom Factory Supplies
Blacksmith Supplies
Cemetary Supplies
$
_•
75,824.04
$
82,517.86
$
6,693.82
244,080.54
48,902.02
60,107.65
13,349.48
4,318.66
256,287.67
50,168.13
67,480.73
10,944.37
3,091.46
12,207.13
1,266.11
7,373.08
307,859.55
13,861.70
4,707.96
1,309.93
351,892.85
15,000.82
5,946.22
1,244.06
44,033.30
1,139.12
1,238.26
67,310.08
42,796.00
56,413.61
11,778.68
2,309.67
620.54
308.16
1,184.07
365.21
• 973.56
480.94
901.33
75,241.15
41,417.93
64,578.14
11,876.76
2,695.56
390.71
251.59
1,839.68
409.65
1,722.50
450.04
87.50
7,931.07
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o
2,405.11
1,227.20
>
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65.87
8,164.53
98.08
385.89
655.61
44.44
748.94
w
H
►
H
1,378.07
229.83
56.57
30.90
813.83
>
EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
Dental Supplies and Repairs
Dining Room Supplies
Electric Light Repairs and Supplies
Electric Power Supplies
Escaped Patients
Florists Supplies
Gas and Oils
Garage Supplies
Housekeeping Supplies
Harness Supplies
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries
Musical Instruments
Office Supplies
Telephone and Telegraph Supplies
Printing
Poultry Yards
Registration Autos
Surgical Instruments
Telephone and Telegrams
Tobaccos
' 1927
DISBURSEMENTS— (Continued)
460.29
2,412.91
2,086.65
192.95
163.23
4,201.68
60.00
8,756.44
40.53
2,261.00
743.22
6,359.28
1,050.47
5,754.88
18,472.01
255.42
__
____
638.04
1,917.51
715.83
1,183.30
778.10
43.65
85.00
373.10
6,408.28
1928
572.06
2,345.83
1,872.54
1,507.90
210.16
31.45
3,949.86
169.78
9,875.31
2,219.45
495.63
3,419.09
1,249.39
5,679.75
25,364.62
200.79
556.30
34.68
2,616.19
889.47
1,887.55
52.75
620.10
557.24
7,555.32
Increase
Decrease
111.77
67.08
214.11
1,507.90
17.21
131.78
251.82
109.78
1,118.87
40.53
41.55
247.59
2,940.19
198.92
75.13
►xj
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6,892.61
54.63
556.30
►C
603.36
698.68
715.83
293.83
1,109.45
9.10
535.10
184.14
1,147.04
o
EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
Tools and Implements
Travel
X-Ray Supplies
Sundries
FARM AND GARDEN:
Freight and Express
Miscellaneous Supplies and Repairs
Seed
Commercial Fertilizer
Board of Employees
Treating Hogs
Fencing
Commercial Feeds
DAIRY:
Board of Employees
Miscellaneous Supplies and Repairs
Freight and Express
Commercial Feeds .___—
_
Rents
MAINTENANCE OF PLANT:
Bri*
Builders' Hardware
Cement
Crushed Stone
Cooking Apparatus
Fire Apparatus
Grading Supplies
1927
DISBURSEMENT S—(Continued)
465.58
2,354.26
866.39
1,540.98
j
__
.
1928
Increase
591.00
2,465.85
211.53
1,512.27
125 42
111.59
52.35
3,094.89
2,256.30
7,075.00
3,106.66
178.20
425.00
77 49
280.70
1,936.85
1,647.35
7,550.94
2,696.33
143.50
228.35
797.64
1,308.69
'956!o8
13,452.10
100.00
480.00
212.87
178^27
11,021.54
782.25
2,615.59
2,263.10
333.H
206.50
1,725.78
59.00
1,738.41
3,051.14
2,202.24
87 23
297.38
204.91
393.42
Decrease
654.86
28.71
475.94
1,158.04
608.95
410.33
34.70
425.00
77.49
317.64
1,095.82
777.81
2,430.56
100.00
956.16
435.55
90 88
334 42
60.86
245.88
1,520.87
Q
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursement
EXPLANATORY.
1927
Years 1927-1928
1928
Increase
Decrease
DISBURSEMENTS— (ConJnued)
Ice Works
Lime Hair and Masons Supplies
Lumber and Building Material
Machinery Supplies
Painters' Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners' Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Land
Fire Fighting Apparatus __
Pasturizing Equipment
Autos and Trucks
Live Stock
Laundry Equipment
Picture Show Equipment
_Sterilizing Equipment
—
•
201.10
366.67
13,476.50
102.50
6,437.96
4,009.81
486.24
418.93
272.86
914.28
1,169.49
809.07
1,558.52
662.27
1,191.92
8,214.92
312.00
2,066.95
263.49
268.39
I—I
O
a
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51.45
62.93
2,416.33
500.19
154.54
821.70
4,436.16
12,000.00
1,237.70
875.00
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5,050.00
844.19
1,233.00
o
w
2,075.00
1,000.00
$1,122,125.93
$1,191,871.25
$121,887.67
$52,142.35
7,111.13
23,361.36
23,361.36
7,111.13
-.-$1,115,014.80
$1,215,232.61
$145,249.03
$45,031.22
600.00
200.00
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12,000.00
1,237.70
2,950.00
rnrn'nn
o,050.00
1,044.19
1,233.00
TOTAL DISBURSEMENTS, Plus Inlernal Income,
See Exhibit No. 7
DIFFERENCE:
Operating Loss/Gain for Years
GRAND TOTAL
863-37
1,558.59
5,261.58
414.50
4,371.01
3,746.32
217.85
470.38
209.93
3,330.61
669.30
654.63
736.82
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EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
.2 ft
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EXPLANATORY
fa
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Balance from 1927
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation- -Regular.
Special Appropriation
Interest on Balances _______
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward
Balance
....
Disbursed on Vouchers.
Balances
Disbursed by Steward
Balances
$
S P
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33,718.54 $10,589.74
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a) " fa
26,429.35|$11,126.26
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$3,933.41
$3,000.00 $3,084.54
$10,589.74
$10,002.94
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138.21
69.68
8,065.25
22.840.39
$
SQ
W
1,200,000.00
247-205.35
1,718.95
1,494.41
$1,484,137.25 $10,589.74
8.065.25 22,840.39
$1,492,202.50 $33,430.13
1,465,773.15 22.303.87
$ 26,429.35]$11,126.26
P.
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322.50
432.08
$33,905.64 $3,586.30 $10,325.44
30,905.64
$ 3,000.00'$ 3-586.30l$10,325.44
46,465.261
689.6l|
652.40
$49,465.26 $ 2.896.69 $ 9,673.041
46,465.26
$ 3,000.001$ 2,896.691$ 9,673.04|
22,840.39
$4.071.62i$33,430.13
$4,071.62l$33,430.13
$4,071.62[$33,430.13
22,303.87
$4,071.62|$11.126.26
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SUMMARY
DEBITS:
General Fund
Patients Fund
Stewards Fund
Time Deposits—Banks
Occupation Therapy Accounts
New Negro Building
Psychopathic Building
Total
CREDITS:
$26,420.35
11,126.26
__ 3,000.00
2896.69
4,071.62
18,095.91
2,500.62
Patients Deposits
$11,126.76
Occupation Therapy Accounts
9,673.04
Brantley Building
967.48
Female Commissary
1,661.17
Water-works Appropriation
2,406.71
Due Support and Maintenance.-, 42,285.79
Total
$68,120.45
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$68,120.45
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EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements.
2
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EXPLANATORY:
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Balance from 1927
$
$
204.83 $
2,425.64 $
3^
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29,735.18
1,367.90
H
RECEIPTS:
Maintenance Appropriation
1,200.000.00
$172,159.81 $ 30.025.82 $ 45,019.72
Interest on Balances
Miscellaneous Sales
Sales—Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
$204.83
$2,425.64
$204.83
204.S3
$2,425.64
1,458.16
$ 967.48
1,926.84
1,494.41
7,742.75
493.33
61.25
$1,861.23|$172,159.81 $ 30.025.82 $ 45,019.72l$l,240,837.93
1
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$ 967.48
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$1,861.23 $172,159.81 $ 30.025.82 $ 45,019.72 $1,240,837.93
200.06 190,255.72
32.526.44 42,613.01 1.174,390.75
$1.661.17|$ 18,095.91 $ 2,500.62 $ 2,406.711$ 66,447.18
|
24.161.39
$1,661,171$ 18,095.91 $ 2,500.62 $ 2,406.71|$ 42.285.79
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EIGHTY-FIFTH ANNUAL REPORT
96
EXHIBIT No. 4
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY.
Balance from 1927
$
RECEIPTS:
Maintenance Appropriation, Regular
Vouchers Returned
....
Interest on Balances
Accounts Receivable
Accounts Payable
Freight and Express
Board of Employees
Wages Refunded
—
Phones and Telegrams
Dental Supplies and Repairs
Fines
—
Travel
Salaries
,.-Refund on Insurance Premiums,
Rebates
Impounding Live Stock
Sales, Empty Bags
Sales, Barrels
Sales, Old Iron
Sales, Egg Crates
Sales. Peas
Sales, Empty Cylinders
Sales, Food
Sales, Vacant Houses
Sales, Old Paper
Sales, Rags and Bones
Sundries +
.
1,200,000.00
1,464.41
1,757.11
1.929.54
552.96
205.33
1,960.85
789.79
14.74
302.92
5.00
233.09
34.50
108.75
28.30
3.00
220.22
435.84
4.77
12.90
17.50
75.00
22.53
125.00
52.65
500.00
246.05
Total
Amount
29,735.18
Total
$1,240,837.93
97
GEORGIA STATE SANITARIUM
EXHIBIT No. 4—(Continued)
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY.
Amount
Total
DISBURSEMENTS
General Administration
Officers Salaries
Wages—Medical Department
Wages—Stewards Department
Wages—Engineers Department
Wages—Farm and Garden
WageS—Dairy _.__
$
Food—General Wards _.—
Food—Brantley Building
Food—Officers Dining Rooms
357,092.85
15,000.82
7,190.28
Clothing and Dry Goods
Furniture and Bedding __
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Fostage
Investments
Incidentals and Contingencies
80,482.85
46,505.75
69,665.96
40,233.89
11.876.76
2,695.56
3,275.00
88,953.37
Farm and Garden—Fertilizer
Farm and Garden—Seed
Farm and Garden—Misc. Supplies and
Repairs
■
Farm and Garden—Board Employees __
Farm and Garden—Treating Hogs
Farm and Garden—Freight and Express
Dairy—Commercial Feeds
Dairy—Misc. Supplies and Repairs
Dairy—Board of Employees
Dairy—Freight and Express —
Total
Balance in Hand
GRAND TOTAL
76,591.56
244,881.82
48,519.29
65.768.85
10,676.48
2,992.70
7,550.94
1,647.35
1,936.85
2,696.33
143.50
280.70
11,021.54
212.87
480.00
178.27
$1,198,552.14
42,285.79
-
$1,240,837.93
EXHIBIT No. 5
to
en
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY.
RECEIPTS:"
Paid by Treasury DepartmentRequisitions in Transit
Requisitions to be Drawn...
Total
DISBURSEMENTS:
Bond Premiums
Brick, Cement and Mortar
Bonus—48 Days
Concrete Forms
Concrete Footings
Concrete Flooring
Concrete Stairways
Cement Floor Finish
Concrete Work—Cash
Common and Fire Brick
Caulking Material
Crushed Stone
Capp Stone
Dynamite
Electrical Equipment
Equipment—Miscellaneous
Excavating and Filling
Electric Power
Form Work and Lumber
Finishing Hardware
New Negro
Building
Psychopathic
Building
$172,159.81
11,040.46
7,055.45
$190,255.72
$30,025.82
344.62
2,156.00
$32,526.44
$
$ 3,800.00
2,373.00
49,628.24
1.200.00
369.50
393.30
3,935.00
1,344.00
5,162.20
2,732.45
2.166.54
$45,019.72
98.29
$45,118.01
1,240.00
Total
$247,205.35
11,385.08
9,309.74
$267,900.17
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$
2,805.46
1,049.74
3.250.00
67.76
14,832.00
1,000.00
WaterWorks
47.59
108.89
386.00
13.10
1,378.48
6,173.00
49,628.24
1,200.00
3,174.96
393.30
3,935.00
1.344.00
5,162.20
2,732.45
2,166.54
47.59
108.89
386.00
13.10
2,428.22
1,240.00
3,250.00
67.76
14,832.00
1,000.00
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EXHIBIT No. 5—(Continued)
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY.
DISBURSEMENTS—(Continued)
Flanges and Gauges
Liability Insurance
Incidentals
Miscellaneous Material on Sites __.
Mill Work and Labor
Manholes
Moving Cottages
Motors, Pumps, Etc.
Melting Furnace
Painting
Parapet Walls
Plastering
Plumbing and Heating
Plans __
Pig Lead
Pipe Fittings
Pipe Joiners
Reinforced Concrete
Reinforced Steel
Roofing and Sheet Metal Work
Rough Carpenter Work
Right of Ways
Sheds and Preliminaries
Salaries
Structural Steel and Cast Iron Work
Psychopathic |
Building
New Negro
Building
WaterWorks
291.13
2,000 00
1,000, 00
1,600.00
5,142.10
14,950 00
32 32
36.03
2,155.00
1,803.95
54.65
1,400 00
2,000. 00
5,857, 80
13-696 .53
500 ,00
9,860.72
2,620.80
598.19
11.00
16,547 83
8,005 00
5,015 ,00
699, 45
L463.00
1,260.00
929.70
1,250.00
840.00
10,524.33
I
Total
291.13
3,600.00
1,000.00
5.142.10
14,950.00
68.35
2,155.00
1,803.95
54.65
1.400.00
2,000.00
5,857.80
13,696.53
10,360.72
2,620.80
598.19
11.00
18,010.83
9,265.00
5.015.00
699.45
929.70
1,250.00
840.00
10,524.33
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EXHIBIT No. 5—(Continued)
Statement of Receipts and Disbursements
Account Special Appropriations
New Negro
Building
EXPLANATORY.
Psychopathic
Building
WaterWorks
Total
DISBURSEMNNTS—(Continued)
Slab Tile
Shower Stalls
Stairways, Studs and Risers
Store-room
Sewer and Drain Pipe
Trench Excavation
Transportation
Tiling
Tanks. Tower, Etc.
Twelve-inch Piping
Valves
Wood Blocks
Wire Cloth
Wages—Employees
Withdrawn Balance
4,306.75
200.00
325.85
231.00
185.99
304.13
770.00
150.00
427.00
7,266.27
26,224.98
779.21
92.27
6.80
~]
Total Expenditure
Withdrawn for wages
Total Appropriations for New Buildings, Water-works, etc
Less Total Expenditure During 1928
Balance Available for Completion and Equipment
3,339.75
9,357.39
$190,225.72
$32,523.44
!
$45,118.01
2,505.00
4,306.75
200.00
325.85
231.00
490.12
770.00
150.00
427.00
7,266.2.7
26.224.98
779.21
92.27
6.80
3,339.75
9,357.39
$265,395.17
2,505.00
$580,000, 00
265,395. 17
$314,604.83
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GEORGIA STATE SANITARIUM
101
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
| Farm and|
I Garden I
Dairy | Total
Inventories at beginning of year— $44,985.20 $19,360.00 $64,345.20
PURCHASES DURING YEAR:
11,021.54
7,550.94
Commercial Fertilizer
11,021.54 11,021.54
Commercial Feeds
2,582.50
2,582.50
Compost
1,647.35
1,647.35
Seed. Planting
458.97
178.27
280.70
Freight and Express
7,050.00
7,050.00
Feeds^—Home Grown
EXPLANATORY.
$57,046.69 $37,609.81 $94,656.50
Total
Deduct: Inventories at End of Year 33.095.00 20,468.50 53,563.50
Net Cost
Gross Profit for Year.
$23,951.69 $17,141.31 $41,093.00
4,712.17 30.497.09
25,784.92
$49,736.61 $21,853.48 $71,590.09
Total
OPERATING EXPENSE:
10.944.37 3,091.46 14,035.83
Wages and Labor
212.87 2,149.72
1,936.85
Miscellaneous Supplies and Repairs
143.50
143.50
Treatment of Hogs
480.00 3,176.33
2,696.33
Board of Employees
Total
Net Profit for Year
Grand Total _.
$15,721.05
10,153.87
3,784.33 $19,505.38
927.84 11.081.71
$25,874.92| $4,712.17 $30,587.09
102
EIGHTY-FIFTH ANNUAL REPORT
EXHIBIT No. 6—(Continued)
Profit and Loss Statement, Farm, Garden and Dairy
Farm and
EXPLANATORY.
Garden
Dairy
Total
Fruits and Vegetables
$24,320.
$24,320.70
Packing House Products
3,881
817.38 4,698.54
Poultry and Eggs
,.—
1,503.
1,503.95
Dairy Products
18,453.60 18,453.60
Dairy Feeds
7.050.00
7,050.00
Compost
__2,582.50 2,582.50
Miscellaneous Food Supplies12,433
12,433.50
Cash Sales
547,
547.30
Total
$49,736.61 $21,853.48 $71,590:09
Gross Profit Down.
$25,784.92]$ 4.712.17 $30,497.09
SUMMARY
FURNISHED INSTITUTION:
Food Supplies
Dairy Feed
Compost
Cash Sales
-$61,410.29
_ 7,050.00
- 2,582.50
547.30
$71,590.09
ON HAND:
Miscellaneous Farm Products
Live Stock
Vehicles and Implements
$24,498.50
25,065.00
4,000.00
$53,563.50
Total
Investment Beginning of Year
Investment During Year
Net Profit for Year
Total
$125,153.59
$64,345.20
49.726.68
11,081.71
$125,153.59
EXHIBIT No. 7
Statement Operating Funds, Per Capita, Etc.
1927
EXPLANATORY.
DEBITS:
Cash and Cash Items
Cash Deficit at End of Years.
Total
CREDITS:
Due Special and Maintenance Funds.
DEMAND OBLIGATIONS:
Accounts Payable
Salaries and Wages
Total
1928
Increase Decrease
$55,470.52 $69,412.33
29,452.77 12,122.16
$13,941.81
17,330.61
$84,923.29 $81,534.49
$31,272.42
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$24,591.05 $25,972.87 $1,381.82
22,060.16 16,902.38
38,272.08 38,659.24
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$ 5T57.78
387.16
$84,923.29 $81,534.49 $1,768.98 $ 5,157.78
COMPARATIVE PER CAPITA COST YEARS, 1927-28
Total Expenditure
Less Internal Income
1927
-$1,122,125.93
13,042.84
1928
$1,191,871.25
13,388.04
Net Expenditure
Average Number Patients
Per Capita Cost for Year.
Per Capita Cost for Day..
.$1,109,083.09
4931
$224.92
$0.61.62
$1,178,483.21
5046
$233.55
$0.63.98
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104
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1928
NAME.
American Railway Express Co
American Oil Pump & Tank Co., The
American Radiator Co
Armour & Co.
Atlanta Constitution, The
Atlanta Dental Supply Co.
Atlanta Journal Co., The
Augusta Chronicle. The
Banks, H. G
Barnhouse, C. L
Barrett Co., The
Bell Dry Goods Co
Bell Grocery Co
Benson's Bakery
Brantley. John T
Brown Co., D. W
Brown, R. P
Burroughs Adding Machine Co
Butler Provision Co
Calumet Baking Powder Co.__
Carr Co., A. J
Central of Georgia Railway Co
Coleman-Meadows-Pate Drug Co
Collins, W. H
Conn Co., John
Conn. Otto M., Agt
Cooper, J. C, Clerk
Crandall Packing Co.
Cudahy Packing Co
Crane Co.
Culver & Kidd Drug Co
Davidson-Faxon Co.
Dean. H. H
Dixie Seal & Stamp Co
Dunlap Hardware Co
Eastman Kodak Stores, Inc
Eatonton Oil & Auto Co
Ehrmann & Strauss Co
Ennis, J. H
__
Enquirer Sun, The
Erwin, J. D
Estes Surgical Supply Co
Evans. W. C
Federal Motor Truck Sales Co
Fischer Scientific Co
Fleischmann Co., The
Frederick Disinfectant Co
Friedman Specialty Co
Fulton Supply Co
Gambrell, P. H
Georgia Power Co
Debit
$
Credit
$
49.50
1.73
33.21
880.46
9.72
23.12
10.80
4.20
932.20
1.08
45.00
81.48
33.40
112.50
12.50
10.90
67.46
29.05
1.11
21.80
120.74
276.89
22.51
102.60
308.16
18.85
64.20
9.59
255.17
3.99
.25
22.82
137.50
2.90
.91
38.60
70.70
45.00
1,316.04
6.00
188J3
7.99
610.00
15.70
61.67
40.16
30.00
36.62
1.94
37.40
129.15
105
GEORGIA STATE SANITARIUM
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1928
NAME.
Georgia Power Co
Georgia Railroad Co
Gilham Electric Co
Gilman, J. M
Gilman, W. P
Graybar Electric Co
Gulf Refining Co
Hall, Dr. T. M
Hall Milling Co
Halliburton & Co., T. H
____
Hammett & Co.. J. L
Happ Bros. Co
Harrington Bros.
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
Hollinshead, G. W.£
Ivan-Allen Marshall Co
Ivey, W. H
Jarnagin, Dr. J. C
Jenkins & Sons, J. W
Johnson & Johnson
Kelly Bros.
Lee, J. C
Leonard-Rooke & Co
Logan Co., The
Lombard Iron Works & Supply Co
Long, O. C
Loose-Wiles Biscuit Co
McKinley. G. C.__
—
McKinnon Motor Co
McCray Refrigerator
Macon Pure Milk Co
Marshall Field & Co
Mathieson Alkali Works—
Meador-Pasley Co.
Milledgeville Lighting Co
Milledgeville Telephone & Telegraph Co
Montgomery, W. H.
National Comjmittee for Mental Hygiene
Newell, A. C
News-Tribune, The
Newton & Bros. C. E
Packard Service Station
Parke, Davis & Co
Peeler Hardware Co
Pepper & Son. J. W
Pick & Co., Albert
Pitner, W. C
Platt Iron Works
Powers Regulator Co., The
Prior Co., Inc.. W. F
Debit
Credit
2.168.23
820.49
34.08
30.14
87.67
10.60
32.00
75.00
1,830.00
435.00
41.40
210.40
16.00
44.44
250.00
667.20
2.13
357.40
25.00
.53
51.00
.57
75.36
132.80
74.20
37.50
1.41
37.61
760.70
5.50
14.17
96.25
1.64
61.24
.83
.20
50.39
98.88
3.00
37.50
1.08
1.05
5.97
56.00
212.25
2.25
148.05
25.00
70.00
23.30
15.00
106
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1928
NAME.
Rice, C. W. & Son
Ray-Lyon Co., Inc
Richmond Dry Goods Co
Riley, J. B. Drug Co
Rosin & Turpentine Export Co
Sanders. Dr. Lactus
Scott & Co
Schofield's Sons Co., J. S._
Selig & Co., The
Shapiro, Bernstein & Co
Shi Engineering & Construction Co
Slusky. David & Sons__
Solomon, Steve M. Jr
Southern Paint & Varnish Co
Stembridge & Co
Surgical Selling Co
Trawick Bros.
Veal, O. F
Van Range Co., John
Wager & Co
Watson. F. E
Western Union Telegraph Co
Whitman, Ward & Lee
Whitfield Grocery Co
Wilson & Co
Winchester Simmons Hardware Co.__
Year Book Publishing Co., The
TOTAL
Debit
Credit
33.01
31.50
.57
143.30
54.08
150.00
6.25
77.81
4.50
.38
4,000.00
2.63
20.93
1.01
.47
9.19
798.88
108.88
51.00
3,024.76
151.35
18.33
78.54
641.87
879.34
%
1.69
3.00
$4,486.35
$21,388.73
GEORGIA STATE SANITARIUM
107
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1928
NAME.
Adams, Ophelia
Adcock. Dr. J. C
Albert, Rosa
Alford, Eddie
Alford, Lillie
Alford, Vandine
Allen, L. E
Allen. Lillie Mae
Allen, W. K
Anderson, J. D
Babb, Mrs. W. R
Badger, J. S
Bailey. R. F
Bell, Francis
Bennett, Ruby
Berry, W. T.__
Bivins, Homer
Blackwell, A. N
Blackwell, Helen
Bloodworth. J. G
Bonner, A. E
Bostick, Dr. W. A
Bowdion, Pauline
Bowen, Dr. U. S
Boyer, Eddie
Bradford. Dr. R. W
Brantley, C. C
Brantley, T. C
Brookins, Beatrice
Brookins. Mollie
Broome, Annie
Brown, Emily
Burgamy, C. E.__
Burgaany, Mozelle
Butts, Rebecca
Califf. D. C
Califf, Doris
Califf, H. G
Carter, Arthur
Carter, Louise __
Case-Fowler Lumber Co
Champion, R. L
Chitwood' Grace
Cole, G. C
Collins, A. J.
Collins, Virginia
•
Conn, O. M
Cook, O. D
Cooper. Mrs. Annie
Couch, J. G
Couch, T. A
Cox, Dr. C. G
Crenshaw, J. B
Debit
3.37
19.50
.89
.50
.65
2.02
.30
4.64
1.25
.50
.25
.35
1.75
2.02
.78
2.69
30.40
.75
2.25
3.19
1.63
1.07
1.20
4.50
6.00
—
5.65
137.83
.83
1.61
-56
1.36
.82
.50
.92
1.90
.50
.30
.60
5.00
2.64
17.19
.15
1.31
•
-35
-—
1.40
— -—
8.52
45.00
4.03
.75
2.68
.25
3.49
2.69
$
Credit
EIGHTY-FIFTH ANNUAL REPORT
108
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Criswell, Wilmer
Davis. Cora
Davis, J. R
Davis, Rosa
Dawson, Hamp
Dennis, Wm. English
DeSaussure, T. H.
Dickerson. A. B
Dickerson, R. G
Digby, W. L
Dillard, Joe
Dobyns, Dr. Wm. F
Dunn, L. A
Durden. B. W
Durden, D. G
Durden, Paul
Durden, W. R
Echols, Dr. Geo. L
Edwards, B. D
Edwards. Minnie
Elliott, Gertrude
English, Mrs. Eillie
Epps, R. S
-Evans. Joseph
Farell, Arthur
Fendley, Edith
Finsley, Ellison
Flurry, Julius
Fountain. Bessie __
Frederickson, Leone C
Fuller, I. L
Gambrell, P. H
Garrard, Dr. J. I
Gilbert, Sarah
Oilman, H. E
Gilman, J. M
Gladin, B. M
Glenn. Lumpkin
Gore, J. I
Hall, Dr. T. M
Hardy, J. B
Hardy, J. P
±
Hardy, Mrs. A. B
Hardy. Louise __
Hardy, Sallie Mae
Hardy, Lula „
Hardy, Marion
Hardin, D. E.__
Harper. Bryson
Harris, I. L
Harrison, Alma B
Debit
Credit
1.17
-61
1-00
-30
2.22
2.74
6.38
.50
.75
-15
1-92
15.65
-50
.15
.40
1.00
.75
3.83
.80
._
—
1-38
.60
2.25
2.64
.20
.60
1.76
.25
1-63
.45
2.25
81.02
20.97
2.03
.45
.50
.50
.25
1-00
34.90
2.69
1-95
.60
2.09
2.21
1.93
.50
.35
3.00
.40
2.55
.92
GEORGIA STATE SANITARIUM
109
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Harton, J. C
Hartley, Estelle
Hattaway, G. W
Hemphill. W. A
"_
Herring-dine, Elizabeth
Hitchcock, Minnie
Hobgood, Susie
Holder, J. H.__
Hooks, Vita
Hopkins. Ben
Horton, 0. D
Hubbard, Carrie
Hudson, C. E.
Hudson, J. E
Humphrey, A. R
Humphrey. Otis
Jackson, Elizabeth
Janes, L. B
Jarnagin, Dr. J. C
Jett, W. S., Jr
Johnson. A. W
Johnson, Glen H
Johnson, Ida Mae
Johnson, J. C
Johnson. Nettie
Jones, Annie
Josey, J. E
Josey, L. R
Kemp, Maude
Key, Mary
Landrum. Louise
Landrum, Mattie
Lavender, C. B
Lawson, E. L,
Layfield, B. L
Layfield, R. G
Leaptrott. D. C
Lee, Dorothy __
Leonard, Lila
Lomax, Myrtle
Longino, Dr. L. F
Loyd, Alice
McCorkle. Gladys
McCoy, Ocie __
McDade, W. C
McDade, W. W.__
McDaniel, James T
McKinley, A. C
McKinley. R. L
McMichael, Hattie
Marsh, J. F
Matthews, John W
Debit
,.-_-
.85
6.69
.40
.60
1.93
.97
.77
.61
.60
1.76
1.75
1.24
.25
.35
.40
2.00
1.93
.60
.01
28.53
2.89
1.00
1.82
1.50
1.55
1.15
1.25
.15
2.72
2.25
2.13
2.30
1.50
.65
2.15
.15
.38
6.40
.20
.30
2.15
.60
2.25
1.40
2.30
.75
1.00
3.00
2.55
.60
.15
.25
Credit
110
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Matthews, T. W
Mathis, Mrs. S. R
Mitchell. Berry
Mobley, Dr. J. W
Moore, Lena
Moore, Lula
Moore, S. I
Moye, W. E
Murray, Agnes
Newell, A. C
Nichols, Estelle
Nolan, Ruby
Osborn, H. L
Osborn. R. W
Palmer, Ruby
Parham, Ella
Parham, Oscar
Peacock, Lydia
Perry, Fred H.
Penuel. F. C.-_
Phillips, Annie
Pierce, Anderson
Pinkston, Daisy
Pitts, Alice
Pitner, W. C
Pounds. S. F
Powers, W. B
Prescott, Agnes
Quinn, C. J
Rankin, Dr. D. T
Reese, Ollie
Reid. R. R
Renfroe, Samantha
Resseau, Frankie
Reynolds, J. Alfred
Rivers, Fannie
Roberts, H. B
Rogers. W. E
Ross, Mrs. G. W
Ross, J. D., Sr
Sanders, Dr. Lactus
Sanford, A. Fleming
Saulsberry. Sam __
Simmons, Clem
Simpson, Charlie E
Simpson, C. H
Simpson, Roscoe
Smith, E. L.
Smith, J. Roger
Smith, J. T
Smith, Oreta
Debit
._
___,
Credit
.50
.60
.90
18.10
6.20
.50
3.75
5.37
.30
J>
64.50
.60
5.40
;50
.85
.15
.96
5.78
.30
1.15
5.53
1.61
.30
.30
.97
46.60
.25
.25
.76
1.25
4.40
1.80
.50
2.25
2.25
2.45
3.82
.38
.60
.70
.38
81.70
.50
1.92
.30
.35
.90
.45
.15
.50
4.50
1.21
GEORGIA STATE SANITARIUM
111
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Snellgrove, Cecil
Snellgrove, Jewel
Sparks- George Mclntosh
Speights, Annie
Statham, Dr. J. C
Georgia State Farm
Stavely, G. C
Stembridge, W. W
Stephens. Thomas
Steveson, Lewis
Swan, Mrs. Mary
Swint, Dr. R. C
Switzer, T. Alton
Taylor, Ora
Taylor. R. A
Tennille, A. S
Thompson, M. L
Tooel, E. F
Trawick, Addie Kate
Trawick, John
Tucker. Rufus
Twilly, Birdie
U. S. Public Healh Service
Veal, Joe
Veal, Louise
Veal, M. M
Veal, W. A
Beatch. C. N
Vinson, J. T
Wade, Susie
Walker, Dr. N. P
Wallace, Mattie Lena
Warren, Mari L
Wheeler. Dr. G. A
Wiley, Dr. Jno. D
Wilson, Ernest
Williams, Lillian S
Willoughby, Gertrude
Wood, B. F
Worsham. J. I
Wright, D. B
Wright, S. E., Sr
Wright, S. E., Jr
Yarbrough. Rev. J. F
Yarbrough, Dr. Y. H
Young, G. W
Youngblood, J. M
Youngblood, P. J
TOTAL
Debit
Credit
.60
1.55
45.00
1.19
19.80
35.00
.35
1.73
1.38
2.30
.50
.72
1.13
1.80
.25
.35
17.00
2.32
.30
.25
1.39
.60
157.35
.75
2.21
5.37
2.69
2.00
.40
1.70
.40
1.80
1.80
10.77
7.65
.75
2.55
1.80
.75
.75
.73
.38
.78
5.75
4.49
2.69
.50
.50
$1,295.27
$2.39
112
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
18 Bushels Asparagus
116 Bushels Butter Beans
911 Bushels Beans—Snap
44 Bushels Beets
15,925 Heads Cabbage
12,197 Heads Collards
1,940 Cantaloupes
95,925 Ears Corn
48 Bushels Cucumbers
700 Heads Lettuce
712 Bushels Okra
143 Bushels Onions
122 Bushels Peas—English
71 Bushels Peas—Field
8 Bushels Peppers
1,792% Bushels leaches
838 Bushels Potatoes—Irish
3,300 Bushels Potatoes—Sweet
34 Bushels Radishes
1,278 Bushels Rape
_•_
253 Bushels Spinach
458 Bushels Squash
62% Crates Tomatoes
6,159 Bushels Turnip Salad
25,300 Water-melons
2,900 Founds Pecans
PACKING HOUSE PRODUCTS:
32,343 Pounds Dressed Pork
7,170 Pounds Dressed Beef
POULTRY AND EGGS:
761% Founds Hens
908 Pounds Friers
83 Pounds Roosters
210 Pounds Turkeys
3,304 Dozen Eggs
DAIRY PRODDCTS:
45,369 Gallons Sweet Milk
153 Gallons Cream
FARM PRODUCTS:
705 Tons Ensilage
1,033 Founds Compost
MISC. FOOD PRODUCTS:
1,193 Bushels Peas
6,114 Bushels Meal
2,405 Bushels Sweet Potatoes
Total
3
54.00
348.00
2,960.75
110.00
1,592.50
1.219.70
194.00
2,877.75
120.00
35.00
1,068.00
357.50
122.00
106.50
24.00
3,585.00
838.00
68.00
639.00
126.50
1,145.00
250.00
3,079.50
2,530.00
870.00—$24,320.70
$3,881.16
817.38—$ 4,698.54
$ 152.30
272.40
12.45
75.60
991.20—$ 1,503.95
$18,147.60
306.00—$18,453.60
$7,050.00
2,582.50—$ 9,632.50
$2,386.00
7,642.50
2,405.00—$12,433.50
$71,042.79
THE PSYCHOPATHIC HOSPITAL BUILDING RECENTLY COMPLETED
EIGHTY-SIXTH ANNUAL REPORT
BOARD OF TRUSTEES
Milledgeville State Hospital
(Formerly Georgia State Sanitarium)
MILLEDGEVILLE, GEORGIA
^
For The Year Ending
December Thirty-First
Nineteen Twenty-Nine
BOARD OF TRUSTEES
President
John T. Brantley
Blackshear, Ga.
Vice-President
Thos. M. Hall, M. D
Milledgeville, Ga.
Secretary
C. C. Brantley,
E. E. Lindsey,
A. C. Newell
1'. H. Gambrell,..
Laetus Sanders, M. D
Walter C. Pitner
H. W. Shaw, M. D
Valdosta, Ga.
Rome, Ga.
Atlanta. Ga.
Macon, Ga.
.....Commerce, Ga.
Athens. Cr.i.
Augusta, Ga.
COMMITTEES OF THE BOARD OF TRUSTEES
Milledgeville State Hospital
Executive Committee
E. E. Lindsey, Chairman
C. C. Brantlej
A. C. Newell
H. W. Shaw
Thos. M. Hall
Finance and Auditing Committee
P. H. Gambrell. Chairman
W. C. Pitner
C. C. Brantlev
Committee on Sanitation, Medical and Dispensary Service
Thos. M. Hall. Chairman
A. C. Newell
Laetus Sanders
Committee on Buildings and Grounds
A. C. Newell, Chairman
H. W. Shaw-
E. li. Lindsey
Committee on Farm & Outside Business
W. C. Pitner. Chairman
Laetus Sanders
P. H. Gambrell
OFFICERS OF THE HOSPITAL
R. C. Swint, M. D
Supt. and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarborough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
D. T. Rankin, M. D
Assistant Physician
U. S. Bowen, M. D
Assistant Physician
C. G. Cox, M. D
Assistant Physician
R. W. Bradford, M. D
Assistant Physician
W. A. Bostick, M. D
Assistant Physician
J. W. Mobley, M. D
Assistant Physician
W. F. Dobyns, M. D. (Resigned) Jr. Assistant Physician
J. C. Statham, M. D
Interne
C. R. Youmans, M. D
Interne
E. W. Schwall, M. D
Interne
G. H. Green, D. D. S
Dentist
J. C. Adcock, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto. M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure (To October 1929)
Engineer
H. S. Jones
Secretary
W S- Jett, Jr.
Assistant Engineer
F. C. Penuel
Farm Steward
Arthur Farell
Storekeeper
W. W. Stembridge
Sanitation Officer
Rev. F. H. Harding
Chaplin
Leone Frederickson
Dietitian
Mrs. Geo. L. Echols
Dietitian
Cecile Humphrey
Social Worker
E. R. Hines
Attorney
Geo. M. Sparks
Publicity
*Deceased
EIGHTY SIXTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
Milledgeville, Georgia, January 1, 1930
To his Excellency, Lamartine G. Hardman, Governor,
Sir:The Beard of Trustees of the Milledgeville State Hospital, formerly known as Georgia State Sanitarium, respectfully submits herewith its report on the conduct and management of this institution for the year ended December 31,
1929, it being the eighty-sixth consecutive report to be so
made.
The usual quarterly meetings of the Board were held at
the Hospital during the year and its committees visited it
monthly. The well being of the patients, as well as the
financial interests of the State, have received its careful
thought. Every wise economy has been practiced and the
Board is happy to believe that the Hospital is slowly but
steadily advancing in efficiency. It observes in the officers
of the Hospital that which evidences a full appreciation of
their responsibility and of their opportunity to render a service of distinct value in its humane purpose.
Report of Superintendent
The annual report of the Superintendent and Resident
Physician hereto attached will supply essential details of the
movement of population, work of the medical department,
expenditures for the support of the Hospital, etc. The duties of this officer have been well and faithfully discharged
and he merits, as do the officers serving under him, the
warm commendation of the Board for the excellent record
of the year.
Patient Population
The resident patient population at the end of the year
was 5,291, a gain over the preceding year of 222. The paroled patients numbered 678, thus bringing the total enrollment up to 5,969 and establishing a new record for the Hospital. The pressure on the Hospital for admission shows
no abatement, the applications numbering 1,683, as against
EIGHTY-SIXTH ANNUAL REPORT
1,591 last year. Admission was denied to 379 applicants
because of the unrelieved congested condition of the Hospital, which makes it imperative that admission be restricted
to cases offering hope of benefit from hospital care and to
dangerous cases.
Congested Buildings
The situation of the Hospital in the matter of room grows
more and more serious. One of the new buildings provided
for in the appropriation of 1927 is completed and occupied.
The second is practically completed, but must be furnished
before it can be used. An appropriation of $50,000.00 was had
in 1929 for this purpose and for the payment of interest due
its contractors and when this is paid the building can be
utilized. At the same time an appropriation was had to
provide additional dormitory buildings for the use of patients, three such being needed for the relief of the present
congestion. The uncertainty surrounding the payment of
this last appropriation is such that the Board does not feel
authorized in going forward with plans for their erection,
sore as is the need for them. The Hospital must, therefore,
continue to crowd 5,300 and more patients into buildings
which can safely accomodate but 4,000. The danger of this
condition needs no comment, for it is painfully apparent.
Cost of Maintaining the Hospital
The daily average number of patients in the Hospital during the year was 5,219, while that for 1928 was 5,046, an
increase of 173 patients. These were cared for at a cost
to the State of $229.56 each, which covers every expense
connected with the Hospital. This cost is $3.99" less than
that of 1928. The daily per capita cost was $0.6289.
The Hospital has lived within its income, assuming the
appropriation for maintenance to have been paid in full, and
has on hand an unexpended cash balance of $2,770.07 in addition to the usual quantity of supplies. The farm and garden operations were of substantial assistance to this end.
So satisfactory a result is witness to the vigilant work of
the business officers headed by the Steward.
Financial Condition
The year was one of grave anxiety because of the inability of tiie State Treasury to meet the demands on it. Payments to the Hospital were not made at regular intervals
nor in equal monthly installments as has been the custom
MILLEDGEVILLE STATE HOSPITAL
for many years and because of this it has not been possible
to carry on its business in orderly fashion. The year closed with $250,000.00 due the Hospital for maintenance and
unpaid. The ability and willingness of the Hospital Treasurer to come to its aid saved a situation which bade fair
to become tragic and for this disinterested service the
Board makes to this valued officer its grateful acknowledgement. The overdraft with the Hospital Treasurer is
now $203,832.67 and in addition there is due for supplies
and accumulated payrolls the sum of $82,335.91. To the
usual items in the Board's estimates of cost, interest must
now be included.
The continued failure of the State, through lack of
funds, to complete the payment of the building appropriation had in 1927, due for payment in 1928 and 1929, gives
the Board great embarrassment, for it is thus unable to discharge the debt due the contractors of the second building
erected thereunder. There is due on this appropriation a
balance of $287,746.42, which must be paid in full before
the Board can come to the well deserved relief of the contractors. In the meantime, the interest cost on this debt
is mounting. It will be recalled that authority was given
the Board to proceed with the erection of this building and
that payment of this and other past due appropriations was
legalized at the last session of the Legislature.
In the same year was had another appropriation to be
used for a much needed enlargement of the Hospital water
supply and on it there is still to be paid a balance of
$34,052.42. For economical reasons, the work under this
appropriation is being done by the Hospital and not by contract. The payments received have permitted the purchase
and laying of a duplicate 12 inch water main three and three
quarter miles long and also the erection of a steel stand
pipe. There remains to be purchased and installed settling basins, filters and electric pumps and this can only be
done when payment is had of the balance due on this appropriation. The speedy completion of this work has become a matter of first importance, so that a danger which
now threatens the water supply may be averted. This danger is in the age of the niters now in use whose walls, weakened from long, constant use, show signs of collapse.
There are two of these and both are worked to capacity to
keep the Hospital supplied. The new ones will have to be
installed and put into use before the old ones can be torn
down and rebuilt. The Board very earnest!}' urges the
EIGHTY-SIXTH ANNUAL REPORT
quick payment of this balance so that this work may be
completed.
Death of Engineer DeSaussure
The Hospital was deprived by death on October 25, 1929
of the services of one of its most useful and capable officers,
Engineer T. H. DeSaussure. For forty-five years he gave
it of his best. His work was characterized by its thoroughness. He was remarkably proficient in the fields of civil,
hydraulic, mechanical, electrical and sanitary engineering
and in addition he was an architect of no mean ability.
Many of the present buildings of the Hospital were erected
under his supervision and its only fireproof building recently added was built to his plans and specifications. He has
left behind him many monuments to his skill. As fire chief,
he was responsible for the safety of the buildings and their
inmates from fire and the good record of the Hospital in this
respect is history. He merited and enjoyed the full confidence of the Board of Trustees. He gave to the Superintendent a ready obedience and an unquestioned loyalty.
He was held in affectionate esteem by all. His death is a
distinct loss to the Hospital.
Second Hospital for the Insane
There can be but little doubt but that the time is at hand
when the State must found a second hospital for her insane,
whose number grows steadily larger. The present hospital
even with the new buildings provided for in the appropriation referred to herein erected and put into use, can not
properly care for more than its present population of patients, nor is it wise that it should attempt to do so. Provision must be made for the steady increase and wisdom
points to a second hospital as the only solution. The Board
urges that due consideration should be given this important
matter, for it is important alike to society and to the afflicted.
Hospital for Epileptics not Insane
The State's hospital program for the future should include suitable provision for the epileptics who are not insane. The Hospital receives those who are insane, but no
provision is had by the State for the sane among them.
Their condition is indeed pitiful, for the nature of this malady, due to its repulsive manifestations, is such as to cause
them to be shunned and avoided by the well. Its tendency
MILLEDGEVILLE STATE HOSPITAL
9
is toward insanity and unless it is checked those who suffer
from it must ultimately become charges upon the State for
life. Because the self helpful labor of the inmates of such a
hospital as is suggested can be made to contribute substantially to its support, the burden to the State for such support
should not be heavy. The interest of this Board arises from
its knowledge of the pitiful condition of these sufferers.
In Conclusion
The Board is well aware of his Excellency's interest and
sympathy in the work committed to its care. It has done its
best to cope with a most unusual financial situation. This
great family of the afflicted for which it is responsible must
be fed, clothed and tended and funds to this end must come
from the State. It knows of no way by which the Hospital
can support its present population on any sum materially
less than the appropriation made for this purpose. It can but
hope that the State will be able to make full payments to
the Hospital regularly and punctually throughout the coming year, but, if for any reason it should appear that such
payments can not be made, then his Excellency is asked for
instructions as to how the Board is to proceed to meet such
a condition. Any substantial reduction in the cost of maintaining the Hospital necessarily means a substantial reduction in the number of its patients. To bring this about will
involve so much human suffering and want that it should
not be considered until every possible resource of the State
has first been exhausted.
In submitting this report the Board does so in the hope
its acts are such as to warrant his Excellency's approval. It
has been a privilege to the members of the Board to serve
the Hospital to the best of their ability.
Commending this house of mercy to the protection of the
Great Physician, this report is respectfully submitted.
JOHN T. BRANTLEY,
President.
C. C. BRANTLEY,
Secretary.
10
EIGHTY-SIXTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE, GA., JAN. I, I93O.
THE HONORABLE BOARD OF TRUSTEES,
MLLLEDGEVILLE STATE HOSPITAL,
MlLLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules I have the honor of submitting the eighty-sixth annual report of the Milledgeville
State Hospital for the fiscal year ending December 31, 1929.
In this connection you will recall that the Legislature
changed the name of the Georgia State Sanitarium to "Milledgeville State Hospital" during the biennial session the
past summer. The present name conforms to good psychiatric nomenclature and definitely identifies the hospital from
any other state institution that now exists or may be founded in the future.
The reports of the heads of Departments give a general
review of the activities of the hospital throughout the year
by departments, and these reports are appended hereto as
follows:
The Clinical Director,
The Dental Department,
The Superintendent of Nurses,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
Table of General Information
1. Date of opening as an institution for
mental diseases
2. Type of institution
3. Hospital plant:
Estimated value of hospital property:
Real estate including buildings
Personal Property
Oct. 12, 1842
State
$2,405,750.00
375,452.00
Total
$2,781,202.00
Total acreage of hospital property owned
3,772
(Includes grounds occupied by buildings,
farm and garden sites.)
MILLEDGEVILLE STATE HOSPITAL
11
Total acreage under cultivation previous year
1,700
4. Officers and employees actually in service at the end of
the year:
Males
Superintendents
Clinical Directors
Assistant Physicians
Medical Internes
:
Resident Dentists
Pharmacists
Stewards
Farm Stewards
Engineers
Superintendent of Nurses
Social Workers
Graduate Nurses
Occupational Therapists
Other nurses and attendants
All other officers and employees
Females
Total
10
1
10
1
12
0
12
2
0
2
2
0
2
10
1
1
0
1
10
1
1
0
1
0
11
0
11
1
13
14
6
15
21
217
306
523
175
7
182
Total officers and employees
422
341
General Statistics of Patient Population
For The Year IQ2Q
Patients on books first day of year:
Males
763
Females
Total
Actual resident population
2,332
On parole or otherwise absent but still
on books
363
2,737
5,069
335
698
Total
Admitted during the year :
First admissions
Readmissions
2,695
3,072
5,767
476
132
471
150
947
282
Total received during the year ... 608
Total on books during year
3,303
Discharged from books during year:
As recovered
71
As improved
186
As unimproved
39
As without psychosis
7
621
3,693
1,229
6,996
77
157
34
3
148
343
73
10
303
251
271
202
574
453
Total discharged and died during
year
554
473
1,027
Total discharged during year
Total died during year
12
EIGHTY-SIXTH ANNUAL REPORT
Patients on books last day of year:
Actual resident population
On parole or otherwise absent
Total
2,402
346
2,',
332
5,291
678
2,748
3,221
5,969
Average daily population during year
Applications for admission received during year
Applications for admission refused during year
5,219
1,683
379
The overcrowded condition of the hospital caused the refusal of admission of many urgent cases that necessarily resulted in considerable suffering on account of the delay in
admission, but the total admissions for the year were 139
greater than the previous year, and the total applications for
admission were 1,683 compared to 1,591 the previous year.
The building for colored females, described in eighty-fifth
annual report, was completed and opened on February 18,
1929. This provided room for 420 colored females and relieved the greatly overcrowded wards in that department,
and since the opening of this building, we have had room to
admit all colored female applicants. Before the completion
of this building, the colored female wards were more greatly
overcrowded than other wards of the hospital.
We now anticipate completion and opening in two or
three months, the Psychopathic Hospital, L. M. Jones
Building. This will provide room for about 240 white patients, accommodating both males and females. This building has been referred to and described in eighty-fifth annual
report. We are proud of this building. It has long been
needed, and we think it will make quite a contribution to the
hospital's facilities for meeting the very complex problems
of the unfortunate charges committed to the hospital's care
and treatment.
The mental disease problem in this state, as in other
states, is gradually growing. The $500,000.00 appropriated
by the legislature last summer for additional buildings, if
available now, would provide buildings adequate for the
present overcrowded wards, but it will not provide for the
future growth of the problem. Therefore, this feature of the
problem must be anticipated if we ever expect to relieve the
present overcrowded wards, so that we may have adequate
room so essential for the proper care and treatment of mental patients. In this connection, it might be of interest to
note some facts about the growth of the problem. The following tabulation gives the growth of the hospital and the
state by decades since 1846, when state care was adopted:
13
MILLEDGEVILLE STATE HOSPITAL
Date
1846-1856
1856-1866
1866-1876
1876-1886
1886-1896
1896-1906
1906-1916
1916-1926
1926-1930
Population of Hospital
72- 161
161- 299
299- 604
604-1,238
.1,238-2,002
2,002-3,018
3,018-4,115
4,115-4.848
4,848-5,291
Increase
State's Population
89
138
405
634
764
1,016
1,097
733
443
691,000
906,000
1,057,286
1,184,109
1,542,180
1,837,353
2,216,331
2,609,121
3,000,000
A study of the above tabulation gives an idea of what may
be anticipated. What is to be done about it?
I am personally convinced that we have enough statistical information to prove that psychopathic inheritance is a
predisposing cause of mental disease, and no mistake will be
made if we concentrate our energies on the problem of prevention of bad heredity. There are many psychiatrists and
other scientists who do not place so great emphasis on heredity, but rather emphasize environment. Every student of
the subject realizes the importance of both, and the most
optimistic environmentalists cannot disprove the many facts
that are known concerning the laws of heredity, while there
are many things concerning inheritance not yet fully understood. If an individual is born of good inheritance, the environment problem will be partly solved, because every individual is a part of and contributes to the making of his environment. It seems that we might at least pay as much attention to human betterment as we do to animal and plant life.
The best and most practical remedy that medical science
has to offer toward the prevention of bad heredity, is surgical sterilization of those afflicted with certain types of mental disease—the feeble-minded, syphilitics and criminal recidivists. Legal restriction of marriage is not practical. Segregation is too tremendous an economic problem to consider. Twenty-three states have already enacted a sterilization law, and has not enlightenment and civilization advanced far enough in Georgia for the public mind to face
and solve this problem in keeping with the times?
Another mental hygiene measure that would prove helpful to the problem would be the establishment of psychopathic wards to general hospitals and creating a psychiatric
department of these hospitals. The experience of some general hospitals has demonstrated that this may be done successfully, and without much expense or much change in
hospital structure. It seems that this might be successfully
done in Atlanta, Augusta, Savannah, Macon, and probably
14
EIGHTY-SIXTH ANNUAL REPORT
other larger cities of the state. The general hospital could
occupy a most strategic position in the field of mental hygiene, making quite a contribution to a program of cure and
prevention. A well equipped general hospital already has
many facilities needed for the diagnosis and treatment of
mental disorders. They would form earlier contact with patients, and particularly so called "nervous" patients with
vague mental symptoms, and also extend benefits to the local community in helping to educate the public to look upon
mental disease in the same way it regards physical disease,
thereby giving the individual afflicted with mental disease
the equal opportunity to get well that the less unfortunate
individual with only physical affliction. Also, such a program would be of value in educating the general practitioner to some of the problems of mental patients, thereby
rendering him more interested and efficient in the treatment
of them.
Medical Service
The report of the Clinical Director gives a general review
of the activities of the medical work with statistical tables
that contain much information of interest.
I am pleased to state that the medical work of the hospital
was carried on in the usual efficient manner, and that the
general health of the patients were as good as could be reasonably expected, and that the population did not suffer With
any epidemic disease. With the greatly overcrowded wards.
the responsibilities and work of the medical staff, nurses
and attendants have necessarily been greater, and only careful attention and faithful performance of duty made possible
the results obtained.
850 patients were furloughed during the year, and of this
number 364 were white males, 287 were white females, 86
colored males and 113 colored females. 219 of this group
were restored and 500 improved, making a total of 719 furloughed as restored and improved, or 57.6 per cent, based on
the total admissions for the year.
574 patients were discharged from the records during the
year. This does not refer to deaths, but patients who had
been furloughed and were not returned to the hospital before the expiration of twelve months. Of this group, 303
were males and 271 females. 148 were restored, 343 were
improved, 77> unimproved and 10 as without psychosis.
There were 453 deaths during the year. Of this group, 117
were white males, 104 were white females, 134 were colored
males and 98 were colored females. Based on 6,298, the total
M1LLEDGEVILLE STATE HOSPITAL
IS
number under treatment during the year, the discharge rate
was .09 per cent., and the death rate .07 per cent.
We feel that we made a little progress in occupation therapy work during the year. Three new occupation rooms
were fixed up and put into operation in the white female department: two in the Powell Building and one in the female
convalescent building. A renewed interest and activity in
this work was also shown in the white male department
with work rooms on the fourth floors of the Whittle and
Cabaniss Buildings, and the work shop at the white male
occupation park made a creditable showing in furniture
making.
Quite a bit of interest and activity was directed toward
amusement of patients,—dances, moving picture shows,
band concerts, group picnics and walks. Quite an interest
was taken by patients in Field Day, conducted by Miss Cecile Humphrey, Social Worker. Many contests were engaged in by patients and they greatly enjoyed them.
The Training School for the feeble-minded was continued in operation with Misses Bonner and Pendleton as
teachers. This school, in addition to teaching the children
something, provides a play ground for them.
The Hospital's extra mural activities were continued during the year with the psychiatric clinics at Macon, Elberton
and Georgia Training School for Boys. Classes from the
University of Georgia, Emory University, Mercer University and Georgia State College for Women visited the hospital and were given clinics and practical demonstrations
of abnormal psychology. Also, the Superintendent addressed the Kiwanis and Rotary Clubs at Macon and the
Kiwanis Club in Atlanta, and the Rotary Club of Americus,
and the Second Assistant Physician gave two addresses to
Parent-Teachers Associations at Macon.
A few changes occurred in the medical staff during the
year. Junior Assistant Physician W. F. Dobyns resigned to
accept position with Veterans Bureau at Memphis, Tenn.,
and we secured the services of Drs. E. W. Schwall and C. R.
Smith as Medical Internes.
The Training School for Nurses was kept up to its usual
efficiency, and its successful operation is due mainly to our
efficient Superintendent of Nurses, and her report gives pupil admission requirements, plan of instruction, an outline
of curriculum and other information.
We hope that the training course for attendants, begun
this year, will prove of great value to the medical service,
and we are looking forward to the time when every ward in
16
EIGHTY-SIXTH ANNUAL REPORT
the hospital will be in charge of a graduate nurse or graduate attendant.
Religious services for patients were held as formerly each
Sunday afternoon at 3 o'clock by Rev. F. H. Harding, until
November 1, at which time the four Protestant pastors of
the Baptist, Episcopal, Methodist and Presbyterian
churches of Milledgeville, begun to rotate monthly as Chaplains, to conform to resolution passed by the Board of Trustees at their quarterly meeting in October.
Pellagra Study
The dietary study of pellagra, begun by the United States
Public Health Service, 1914, under the general supervision
of Dr. Joseph Goldberger, was continued during the year.
But, medical science and societv suffered a great loss in the
death of Dr. Goldberger, January 17, 1929. He was one of
the most unassuming and yet one of the greatest medical
men I ever came in contact with. He was peculiarly possessed of those qualities so essential for a research worker.
We were fortunate to have this work continued under the
charge of Dr. G. A. Wheeler, who has been working with
Dr. Goldberger for many years.
The work completed the past year has included tests of
superheated dry yeast and canned Haddock, as pellagra
preventatives. "The yeast was first exposed to the heaf of
the autoclave at fifteen pounds pressure for three and onehalf hours. By this process the antineuritic factor, or Vitamin B, was destroyed. The finding that the pellagra preventive value of yeast is not noticeably affected by this heat
confirms previous studies along this line and paves the way
for a study of the value of the various canned foods in respect to their value in pellagra. The Haddock study has
shown that eight ounces per day as a dietary supplement, is
hardly sufficient to prevent a recurrence, but that twelve is
quite adequate."
During the latter part of the year, in co-operation with
the Clinical Director, Dr. Wheeler begun a preliminarv
study of the influence of diet on epilepsy.
Dental Department
Two full time dentists were employed during the year
rep rt giveS a tabula
n^li
°
*ion of the work done. Of the
'.866 operations and treatments given by them, 5,129 were
extractions. They made 362 calls to the wards, examined
\,il/ new admissions and treated 2,305 patients.
MILLEDGEVILLE STATE HOSPITAL
17
Laboratory Report
The position of Pathologist being still vacant, the following data for the year's laboratory work was submitted by
Mr. D. C. Leaptrott, who has been laboratory Technician
for many years and has carried on the routine laboratory
work in a satisfactory way.
SEROLOGICAL EXAMINATIONS:
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Colloidal Gold test
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
CLINICAL LABORATORY EXAMINATIONS
1,569
468
470
471
474
:
Urine, routine analysis
Urine, Renal Function test (P. S. P.)
Urine, Special chemical test
Feces, for Parasites or ova
Feces, for occult blood
Cerebrospinal Fluid, for occult blood
Blood, Chemical examination
Blood, for Malaria parasites
Blood, Counts—red, white or differential
,
Blood, Platelet count
Blood, Hemoglobin estimation
Blood, Coagulation time
Sputum, for tubercle bacilli
Milk, butter fat determination
Gastric Contents, chemically and microscopically
BACTERIOLOGICAL EXAMINATIONS
Blood, culture
Blood, agglutination test (Widal)
Cerebrospinal Fluid, culture
Cerebrospinal Fluid, film (micro.)
Exudate, film (micro.)
Exudate, culture
Exudate, animal inoculation
Urine, culture
Feces, culture
Milk, bacteria count
Vaccine, autogenous prepared
2,308
13
114
1,073
2
1
52
208
535
1
76
8
141
288
6
:
-
'.
14
26
3
2
40
26
2
2
1
288
36
18
EIGHTY-SIXTH ANNUAL REPORT
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICALLY:
Necropsies
Surgical Tissue, Gross and microscopical
Postmortem examination of animals
5
10
1,781
Total number of examinations
10,514
Note : In addition to the total number of procedures enumerated above, 446
cadavers were embalmed, making a total of 10,960 procedures.
SEROLOGICAL EXAMINATIONS
:
There were 1,569 specimens of blood examined for the
Wassermann reaction, of which number 1,214 were secured
as a matter of routine from patients upon their admission to
the hospital.
TABLE
I.—Results of Routine Blood Wassermann Tests.
Race
Se\
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Examined
Number
Positive
(4 plus)
Percentage
Positive
(4 plus)
339
396
283
196
11
22
63
60
3.2
5.5
22.0
30.6
1,234
156
12.8
There were 468 specimens of cerebrospinal fluid examined, of which number 358 were routine specimens secured
from patients referred to in Table I. A routine examination
of the cerebrospinal fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test. Of
the 11 white females in above tabulation with 4 plus positive blood Wassermann. 5 or 45.4 per cent, had positive reactions in spinal fluid. Of the 22 white males with 4 plus
positive blood Wassermann. 19 or 86.3 per cent, had positive reactions in spinal fluid. Of the 63 colored females with
4 plus positive blood Wassermann, 15 or 23.8 per cent, had
positive reaction in spinal fluid. Of the 60 colored males
with 4 plus Wassermann of the blood, 41 or 68.3 per cent
had positive reaction in spinal fluid. General average 55.9
per cent, positive serological reactions. This gives an idea
of the incidence of neurosyphilis in patients admitted to the
hospital with syphilis.
Engineering Department
The sudden death of Engineer T. H. DeSaussure, October
25, 1929, caused a great loss to the hospital, He was depend-
MILLEDGEVILLE STATE HOSPITAL
19
able and efficient, and rendered forty-six years of efficient
and faithful service to the hospital. Since his death, the
work of this department has been satisfactorily carried on
by Assistant Engineer W. S. Jett, and his report gives a
general review of the principal activities of the department
during the year. The upkeep and repairs of the physical
plant of the hospital requires quite a number of more or less
skilled workmen and a large amount of varied work. As in
previous years, quite a bit of authorized and outlined work
remains unfinished and will be carried to completion the
next year.
The Business Department
The report of the Steward gives a detailed analysis of income and expenditures during the year. The exhibits and
schedules give in detail the condition of all accounts. The
annual per capita cost was $229.56 compared to $233.55 the
previous year. The daily per capita cost .6289 cents compared to .6398 the previous year.
The hospital experienced a very difficult year, financing
the construction of the L. M. Jones Building without the
funds appropriated for this purpose; also during the latter
part of the year, the State Treasury was unable to make
prompt payment of maintenance ; hence the year ended with
the Treasury owing the hospital quite a sum and the hospital owing many unpaid bills.
Farm, Gardens and Dairy
The Farm Steward's report gives a tabulation of the food
stuffs produced during the year. We had rather favorable
seasons for food crops during the year, and were fairly successful. Among the items produced were 21,532 bushels of
corn, and this should be enough to feed our stock and provide meal for the hospital for the year.
Conclusion
In concluding this report. T wish to thank the members
of the Board of Trustees for their support and interest in the
hospital. I also desire, at this time, to express my appreciation for the valuable assistance rendered by the officers and
employes of the hospital throughout the year.
Also, the women's clubs of the various districts of the
state and many others are due the thanks of the hospital for
20
EIGHTY-SIXTH ANNUAL REPORT
their thoughtfulness in remembering the patients with many
gifts during the Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent.
Dr. R. C. Swint, Superintendent,
Dear Sir:
The following pages contain the medical report for the
year, 1929.
Twelve hundred and twenty-nine (1,229) patients were
received; one hundred and thirty-nine (139) more than the
previous year. Of these nine hundred and forty-seven (947)
were first admissions and two hundred and eighty-two
(282) re-admissions. Many of those readmitted had been in
other institutions either public or private.
The larger groups (manic depressive and dementia praecox) were in about the same ratio as for the previous year.
Among the smaller groups there was an actual increase of
29 or 35% in the number of cases classified as psychosis
with cerebral arterio-sclerosis and actual increase of 25 or
55% in the number diagnosed as psychosis due to pellagra.
Nineteen (19) patients suffering from encephalitis were admitted. These form but a small part of the number of patients received, but they are of a pitiable nature. Stramonium seems to have given best results in treatment.
Six (6) patients, three (3) of whom were criminals, were
considered not insane. Three (3) of these six appeared to
belong to the psychopathic group.
Seventeen (17) patients were sent by order of the court.
The criminal charges were as follows: arson 2; assault and
battery 1 ; accusation for escape 1 ; assault with intent to
murder 2; assault with intent to rape 1; burglary 1; giving
worthless checks 1 ; larceny 4; murder 3; vagrancy 1. Three
of these were classified as not insane.
The recovery rate does not have a very definite meaning
unless the length of the furlough period is considered. As
heretofore the recovery rate is the ratio of those furloughed
as improved or restored to the number received. The recovery rate for the year was 58.50% under the twelve months
furlough regime. For 1928 it was 67.3. Had the furlough period been three months as it was some years ago the recovery rate would have been lower for the reason that one hundred and twenty-six (126) patients were returned after more
than three months but in less than twelve months. Under
MILLEDGEVILLE STATE HOSPITAL
21
the three months rule these patients (126) would necessarily have been recommitted and thus the number of patients
received by admission increased by this number. The discharge rate would have been affected in the opposite way
since these patients (126) would have been discharged after
being away from the institution for three months.
The recovery rate was lower than for the previous year.
This seems to be accounted for in part at least by the increased proportion of colored patients received. In 1928 the
colored patients constituted 32.66% of those received while
in 1929 they made up 39.30%. The recovery rate for the
whites in 1929 was 73.9% against 72.6% for 1928. For the
colored the rate for 1929 was 34.5% against 56.4% for 1928.
The average rate for the two races for the past seven years
has been 65.5 and 45.0 respectively. The increase in the ratio of colored patients received is not to be taken to mean
that there has been a corresponding increase in insanity
among the colored race but is due rather to increased capacity in the colored department.
There were four hundred and fifty-three (453) deaths,
7.06% of all patients actually under treatment. For 1928 the
death rate was 6.3%. The leading assigned causes of death
were: arterio-sclerosis ninety-three (93) ; general paralysis
of the insane seventy-three (73) ; tuberculosis fifty-seven
(57) ; pellagra thirty-four (34) ; cerebral hemorrhage thirtythree (33).
The treatment of paresis by the use of foreign proteids
has been continued. Malaria has been given a second trial
and is still being used. We have been unable to secure the
favorable results reported by others but there has been
enough encouragement to continue the methods of treatment.
In September and March short courses of instruction in
nursing the insane were given the attendants who had entered the service in the preceding six months. This consisted of quizzes, lectures and clinical demonstrations with
patients. This is considered a matter of much importance
but up to this time it has been difficult to organize the work
on a satisfactory basis. If it were possible to put each new
attendant under an experienced and capable head it would
probably help considerably. The above course was given to
159 attendants. Dr. Yarbrough lent valuable assistance in
the matter.
The weekly clinic held in Macon on each Friday afternoon has been continued by a member of the staff. One
hundred and forty-nine (149) patients reported at thite
22
EIGHTY-SIXTH ANNUAL REPORT
clinic. The total number of patients' visits were four hundred and ninety-eight (498). The visiting psychiatrist continues lectures on nervous and mental diseases for the three
nurses' training schools in Macon and holds clinical demonstrations for these nurses in this hospital. He has been
called on to give talks before various civic, church and
school organizations in that city.
Five (5) monthly school clinics were held at Elberton.
A total of one hundred and four (104) patient-visits were
paid to this clinic, fifty (50) of which were first visits. The
patients presented problems of delinquency, physical handicaps, finance and home situations. The visiting staff member was called on in a number of instances to see adult
psychotic cases at Elberton or in its vicinity.
The examination of the inmates of the State Reformatory
for boys has continued by a member of the staff.
The activity of the laboratory technicians is testified to by
the fact that more than 10,000 examinations were made in
that department. The details are given in their report.
The customary tabulations will be found on following
pages.
I here make grateful acknowledgement to all who have
contributed towards making our medical service an efficient
one.
Respectfully,
X. P. WALKER, M. D.,
Clinical Director.
MILLEDGEVILLE STATE HOSPITAL
23
TABLE 1
Diagnostic Grouping of Patients Admit'ted During the Year 1929
White | Oolored |
M. | F. | M. | F. | Tot'l
PSYCHOSIS
2
3 .24
Traumatic
18 1.46
3
Senile
60
110 8.95
With cerebral arterio -sclerosis
84 6.83
23
General paralysis of the insane
...
1
0
4 .32
With cerebral syphilis
2 .16
1 0
With Huntington's chorea
0
0 0
0
With brain tumor
26 2.11
12 6
With brain and nervous disease
1
16 1.30
11
Due to alcohol
10 .81
4 6
Due t'o drugs
70 5.69
21 17
With pellagra
11 .89
4 2
With somatic disease
399 32.46
131 131
Manic depressive
232 18.87
48 89
Dementia praecox
1
.08
Paranoia or paranoid condition
0 1
26 17
73 5.93
With epilepsy
17 1.38
S 12
Psychoneurosis or neurosis
17 1.38
7
With psychopathic personality
21
43 3.49
With mental deficiency
87 7.08
21
Unclassified
3 .24
1
Not insane
3
3 .24
Psychopathic personality, not insane
405 341203 280 1229 99.91
TOTAL
24
EIGHTY-SIXTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1929.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane
TOTAL
White Colored
M. F. M. F. Total
2
1
0
3
3
6
0
18
51
7 22 19 99
20
4 43 10 77
1
0
0
3
4
1
0
0
0
1
0
0
0
0
0
11
4
5
3 23
7
1
2
2
12
3
4
0
0
7
13
16 10 22 61
2
1
1
4
8
79 76 53 57 265
31 55
17 62 165
0
1
0
0
1
22
14 17
12 65
4
9
0
0 13
3
5
0
2 10
14
7
8
5 34
17
18
12 30 77
0
1
0
1
2
2
0
0
0
2
286 230 190 241 947
MILLEDGEVILLE STATE HOSPITAL
25
TABLE 3
Diagnostic Grouping of Re-admissions During the Year 1929.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane
TOTAL
White Colored |
M. | F. M. | F. |Total
0
0
0
0
0
0
0
0
0
0
1
1
11
9
0
2
2
7
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
2
0
0
1
3
4
4
0
0
0
2
0
0
3
1
1
0
0
9
8
0
0
2
1
3
52 55
9 18 134
15 67
17 34
1
0
0
0
0
0
8
4
1
0
3
0
4
1
0
3
0
0
7
4
3
1
7
1
0
9
1
1
4
4
10
0
1
1
0
0
1
0
0
0
1
13 39 282
119 111
TABLE 4
Diagnostic Grouping And Mental Condition of Patients Furloughed or Discharged During the Year 1929.
White
R.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtan's chorea
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychonaurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane..
Mental deficiency, not insane
TOTAL
Male
I. U.
1119[200| 45j
Female
R. I. U. S.
7 57J176 54
Colored
Male
Female
I. U. S. R. I. U.
2 13 511 22
0 30 73 10
Total
3
1
27
13
1
00
14
23
15
32
6
379
155
0
41
16
28
38
01 59
1
0|
01
11860
o
X
X
>
ss
c
>
r
ss
w
►n
o
H
MILLEDGEVILLE STATE HOSPITAL
27
TABLE 5
Causes of Deaths of Patients Who Died During The Year 1929.
White Colored |
M.I F. M.| F. |Total
Psychosis
1
1
0
0
0
Abscess of lung
1
0
1
0
0
Acute poisoning from eating filth
1
0
0
1
0
Acute yellow atrophy of liver
15 93
25 25 28
Arterio-sclerosis
1
0
1
0
0
Asthma
1
0
1
0
0
Carcinoma, breast
1
0
0
1
0
Cellulitis
5 33
8
9 11
Cerebral hemorrhage
1
0
0
0
1
Cerebral syphilis
1
0
1
0
0
Cholecystitis
1
1
0
0
0
Cirrhosis, liver
,
2
1
0
1
Encephalitis
1
2
0
0
Endocarditis ..'.
7
3
0
3
Enteritis, acute
.
2
0
0
0
2
Enteritis, chronic
20
4
4 11
Epilepsy
2
1
0
0
Erysipelas
4 11
1
3
3
Exhaustion from acute mental disease1
0
0
1
0
Fracture, femur
1
0
0
0
1
Fracture, skull
1
0
0
0
1
Gastric ulcer
1
0
0
0
1
Gastritis, acute
2
1
0
0
1
Gangrene, foot
2 34 13 73
24
General paralysis of the insane
1
1
0
0
0
Influenza
1
0
0
1
0
Intestinal obstruction
1
0
1
0
0
Meningitis
7 25
6
4
8
Myocarditis, chronic
2
7
2
0
3
Nephritis, acute
5
1
2
1
1
Nephritis, chronic
1
1
0
0
0
Organic brain disease
12 34
9
4
Pellagra
1
0
0
0
Pericarditis
2
0
1
1
Peritonitis
4 25
10
9
Pneumonia, broncho
'.
—
1
13
7
3
Pneumonia, lobar
1
0
0
0
Pneumonia, tubercular
9 12 17 14 52
Pulmonary tuberculosis
1
1
0
0
0
Pyelitis
1
0
1
0
0
Sarcoma
4
1
0
2
1
Suicide by strangulation
3
3
0
0
0
Syphilis
1
1
0
0
0
Tuberculosis of intestines
3
0
3
0
0
Tuberculosis of spine
4
3
1
0
Unknown
0
0
3
0
Valvular heart disease
117| 104 134 981 453
TOTAL
28
EIGHTY-SIXTH ANNUAL REPORT
TABLE 6
Surgical Operations For The Year 1929.
Abscess of brain, drainage
Amputation, breast
Amputation, thumb
Amputation, leg
Appendectomy
Carbuncle, incised and drained
Circumcision
Cyst, inguinal, removed
Dilation and curett'age uterus
\
Eye, enucleation
Ear-drum, incised
External urethrotomy
Fixation of uterus and sterilization
™
Fixation of uterus
Fracture, femur, treatment for
~™"._I
Fracture, humerus, treatment for
Fracture, jaw, treatment for
Fracture, finger, treatment for
Fracture, clavicle, treatment for
..".""".""."
Fracture, Colles, treatment for
Fracture, radius, treatment for
Fracture, toe, treatment for
Fracture, ulna, treatment for
Gastric ulcer, operation for
'''
Herniotomy
"
Hemorrhoidectomy
Hydrocele, operation for
Hysterectomy
Laparot'omy, exploratory
Laparotomy, tubercular peritonitis
Lipoma, removal of
Mastoiditis, radical, operation for
Maxillary sinus, drainage of
Orchidectomy
_"""
Ovarian cyst, removal
Paracentesis, thorax
Perineorrhaphy
Prolapse of rectum, operation for
.."
Prostatectomy, suprapubic
Submucous resection
Squint, operation for
Tonsillectomies
"
1
2
2
j
2
4
i
2
1
1
10
2
1
3
2
4
\
2
1
13
4
1
?
2
2
1
2
1
2
3
\
eg
29
MILLEDGEVILLE STATE HOSPITAL
TABLE 7
Admissions From Various Counties During The Year 1929.
White Colored
M.I F. M. F. Total
Psychosis
6
2
1
Appling
2
0
0
Atkinson
1
1
0
Bacon
1
0
1
Baker
19
4
2
7
Baldwin
4
0
2
1
Banks
6
4
0
1
Barrow
12
C
1
5
Bartow ....:
6
0
2
1
Ben Hill
4
2
1
0
Berrien
29
6
6
10
Bibb
2
0
2
0
Bleckley
S
1
2
2
Brantley
7
1
2
3
Brooks
0
0
0
0
Bryan
7
4
0
2
Bulloch
13
1
3
3
Burke
2
1
0
1
Butts
4
1
1
0
2
Calhoun
3
1
1
0
1
Camden
3
0
0
1
2
Campbell
4
1
0
1
2
Candler
15
1
1
12
1
Carroll
2
4
0
0
2
Catoosa
1
0
1
0
0
Charlton
3
0
0
1
Chattahoochee
12 29 31 87
15
Chatham
10
1
1
4
4
Chattooga
1
10
0
2
7
Cherokee
2
0
1
1
0
Clarke
4
2
1
0
Clay
4
1
1
1
Clayton
1
2
0
0
1
Clinch
19
1
6
3
9
Cobb
4
1
0
1
2
Coffee
2
2 13
4
5
Colquit
6
3
1
1
1
Columbia
0
8
0
3
5
Cook
5
0
2 13
6
Coweta
2
0
0
1
1
Crawford
8
1
1
1
5
Crisp
2
0
0
2
0
Dade
1
0
1
0
0
Dawson
4
2 12
2
4
Decatur
0 15
0
8
DeKalb
1
5
0
2
Dodge
s 6
0
1
Dooly
4
7 15
0
Dougherty
4
1
0
2
Douglas
4
2
1
Early
3
1
1
Effingham
8 18
4
Elbert
2
1
Emanuel
0
1
Evans
-\
\
EIGHTY-SIXTH ANNUAL REPORT
30
TABLE 7—(Continued)
Admissions From Various Counties During The Year 1929.
Psychosis
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Gordon
Grady
Gwinnett
Habersham
Hall
Hancock
Haralson
Hart
Houston
Irwin
Jeff Davis
Jefferson
Jenkins
Jones
,i
Lamar ..
Lanier
Laurens
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Milier
Milt'on
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Newton
.
W hite Col Dred
M. F. M. F. Total
6
4
0
0 10
4
1
1
2
0
10
8
2
0 20
2
1
1
0
0
g
4
2
1
1
30 38 12 28 108
5
5
0
0
0
4
2
0
1
1
0
1
3
1
5
7
2
5
0
0
7
3
2
1
1
2
4
2
0
0
4
6
0
2 12
5
1
4
0
0
7
6
1
0 14
4
3
0
0
1
7
2
S
0
0
5
1
0
0
4
7
4
1
0
2
3
0
0
0
3
4
1
2
1
0
4
0
1
0
3
3
1
2
0
0
7
2
3
1
1
6
1
0
0
5
]
0
1
0
0
2
4
0
2
0
9
2
3
4
0
9
4
1
2
2
4
1
0
1
2
7
1
1
3
2
1
1
0
0
0
2
3
5
4 14
4
0
0
1
3
2
1
0
1
0
2
2
0
0
0
1
1
0
0
0
5
3
1
3 12
2
2
0
0
0
4
1
1
2
0
4
3
0
0
1
3
0
0
3
0
3
6
2
7 18
1
0
0
0
1
4
2
2
0
0
5
1
1
1
3
2
0
0
1
1
2
0
1
0
3
0
1
2
4
7
5
5
0
0 10
23
8 10
1
4
6
2
2
2
0
1
5
2
2 10
MILLEDGEVILLE STATE HOSPITAL
.31
TABLE 7—(Continued)
Admissions From Various Counties During The Year 1929.
White I Colored
M. F. Total
| M.
Psychosis
1
2
0
1!
Oconee
6
0
0
3
Oglethorpe ...
6
0
3
21
Paulding
6
2
II
2
Peach
4
0
1
0
3
Pickens
1
1
0
0
0
Pierce
5
1
0
1
3
Pike
0
3 11
5
3
Polk
6
1
2
0
3
Pulaski
6
3
1
2
0
Putnam
3
0
3
0
0
Quitman
0
0
0
0
0
Rabun
9
4
4
1
0
Randolph ....
5 27
7
7
8
Richmond ....
5
1
2
2
0
Rockdale
2
S
2
0
1
Schley
:.-.5 12
2
3
2
Screven ...:....
2
0
2
0
0
Seminole
S 17
3
4
5
Spalding
4
1
0
2
1
Stevens ........
8
3
0
3
2
Stewart ........
2
9
4
0
3
Sumter
6
2
1
1
2
Talbot
2
3
0
0
1
Taliaferro ....
5
0
1
0
4
Tattnall ........
8
2
4
1
Taylor
6
2
1
1
Telfair
3 10
1
3
Terrell
'.....
3 14
7
3
1
Thomas
4
0
3
1
0
Tift
6
2
0
3
1
Toombs
0
0
0
0
0
Towns
...
0
0
0
0
0
Treutlin
6 14
4
2
2
Troup
1
6
2
0
3
Turner
9
2
1
3
3
Twiggs
1
0
0
0
1
LTnion
0
7
2
0
5
Upson
4
0
0
2
2
Walker
1
6
1
2
2
Walton
8
1
2
3
2
Ware
2
0
0
2
0
Warren
11
2
1
4
Washington
1
0
0
0
Wayne
5
0
0
4
Webster
7
2
1
2
Wheeler
7
0
3
3
White
9
5
2
Whitfield
9
5
2
Wilcox
5
1
0
Wilkes
7
1
3
Wilkinson ...
4
0
3
Wortli
405 3411 203j 28011229
TOTAL
32
EIGHTY-SIXTH ANNUAL REPORT
TABLE 8
Nativity of All Patients Admitted During The Year 1929.
Psychosis
Alabama
Austria
California
Florida
Georgia
Greece
Illinois
Iowa
,
Kansas
Kentucky
Louisiana
Michigan
Mississippi
Missouri
North Carolina
New York
Not given
Ohio
Russia
South Carolina
Tennessee
Texas
Virginia
TOTAL
White
M. F.
13 10
1
0
1
0
3
0
3'63 309
2
0
1
0
0
1
1
0
0
1
2
1
0
1
0
2
1
0
3
3
1
0
1
1
0
1
1
0
8
5
2
5
1
0
1
0
405 341
Colored
M. F. Total
2
5 30
0
0
1
0
0
1
2
4
9
179 253 1104
0
0
2
0
1
2
0
0
1
0
1
0
0
0
1
0
0
3
0
0
1
0
0
2
0
0
1
5
3
14
0
0
1
3
3
8
0
0
1
0
0
1
11
10 34
1
1
9
0
0
1
0
0
1
203 2801229
M1LLEDGEVILLE STATE HOSPITAL
33
TABLE 9
Classified Occupations of Patients Admitted During The Year J929.
White Colored
M. I F. M.I F. Total
Psychosis
Agriculture, Forestry And Animal
Industry:
0
1
0
0
1
Box maker
2
0
2
0
0
Cross tie cutter
62
0 224
1
161
Farmers
2
0
2
0
0
Farmer's daughters
0 35 99
0 64
Farmer's wives
0 24 26 64
14
Farm laborers
7
7
0
0
0
Farm laborer's wives
2
0
0
0
2
Lumber dealer
2
0
0
2
0
Saw mill laborer
1
1
0
0
0
Saw mill laborer's wives
1
0
0
1
0
Saw mill operator's wives
1
1
0
0
0
Turpentine laborers
1
0
0
1
Turpentine still operator
2
3
0
0
Turpentine still operator's wives
1
1
0
0
Wood cutter
Professional:
1
0
0
0
Dentist's wife
2
0
0
2
Druggist
3
0
0
3
Lawyer
1
0
0
0
Lawyer's wives
6
0
4
2
Minister
1
1
0
0
Minister's wives
1
0
0
Newspaper man
1
0
0
Physician
1
0
0
Physician's wives
1
3
0
Teachers
Minerals:
1
0
0
Filling station operator
1
0
0
Garage man's wife
Public Service:
1
0
0
1
Post office clerk
1
0
0
0
Mail carrier's wife
1
1
0
0!
0
Watchman
2
0
0
0
2
Watchmen's wives
Trade:
1
0
0
1
Accountant
2
0
0
0
Auditor's wives
1
0
0
0
Banker's wives
1
0
0
1
Broker
3
0
1
2
Insurance agent
9
0
0
5
Clerks
1
0
0
0
Clerk's wives
1
0 13
12
Merchants
7
0
0
0
Merchants' wives
0
0 12
12
Salesmen
2
0
0
0
Salesmen's wives
1
0
0
Shipping clerk
34
EIGHTY-SIXTH ANNUAL REPORT
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During The Year 1929.
Psychosis
Manufacturing And Mechanical Pursuits:
Automobile mechanic
Blacksmith
Blacksmith's wives
Boiler maker
Brick mason
Carpenters
Carpenter's wives
Casket maker's wife
Coal crane operator ..'.
Contractor
Contractor's wives
Chemist's wife
Electrician
Gun smith
Laborers
Laborers' wives
Match factory superintendent
Mechanic
Mechanics' wives
Moulder
Moving picture machine operator
Painters
Plasterer
Plasterer's wife
Plumber
Saw filer's wife
Shoe makers' wives
Steam fitter
Steel worker's wife
Stone cutter's wife
Textile workers
Textile workers' wives
Domestic and Personal Service
Baker
Barbers
Barbers' wives
Butchers
Butchers' wives
Clothes presser
Cooks
Cook's wife
Decorator's wife
Housekeepers
Ice man's wife
Maid
Photographer's wife
Porter
Restaurant' proprietor's wife
White
M. F.
0
0
2
0
0
0
2
1
0
0
1
1
0
0
0
7
0
0
3
0
0
0
0
0
0
1
2
0
1
1
10
7
0
0
2
0
1
0
6
0
1
49
1
1|
1
i
Colored
M. F. Total
0
1
0
0
0
0
0
0
0
0
65
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
10
16
0
0
1
0
0
0
0
1
0
0
0
0
0
0
1
0
2
3
2
2
2
8
3
1
1
2
1
1
1
1
94
23
1
10
4
1
1
6
1
1
1
1
2
1
1
1
20
7
0
0
0
0
0
2
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
16
1
0
22
0
0
0
0
0
1
3
2
3
1
3
23
1
1
71
1
1
1
1
1
MILLEDGEV1LLE STATE HOSPITAL
35
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During The Year_1929.
White | Colored |
M. 1 F. I M. | F. |Total
Psychosis
5
1
0
4
0
Seamstress
0 34 34
0
0
Servants
0
1
0
0
Tailor
0
0
1
0
Tailor's wife
0
0
1
0
Telephone manager's wife
0
1
2
0
Waiters
0 17
0
0
Washerwomen
Transportation:
1
0
0
0
Chauffeur's wife
0
0
0
1
Elevator operator
0
0
1
0
Railroad conductor's wife
0
0
1
0
Railroad construction foreman
0
0
0
1
Railroad flagman
0
0
0
1
Railroad foreman
0
2
0
0
Railroad foremen's wives
.....
1
0
0
0
Railroad laborer
0
2
2
0
Railroad laborers' wives
0
0
1
0
Street car conductor
0
0
1
0
Telegraph operator
0
0
1
0
Taxi driver
1
0
1
0
Truck drivers
1
0
0
0
Truck driver's wife
Miscellaneous:
0
0
1
0
Attendant's wife
0
0
0
1
Convict guard's wife
0
0
1
0
Experiment station director's wife
0
0
1
0
Junk dealer
0
0
1
0
Real estate agent
2
3 14
4
5
Students
4
1
0
3
NOT GIVEN
131 25 76 320
None
|1229
TOTAL
-I
36
EIGHTY-SIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Under
Over Not
Psychosis
20
70 Given Total
Traumatic
0
2
Senile
2
3
With cerebral arterio-sclerosis
19
51
General paralysis of the
insane
0
20
With cerebral syphilis
0
1
With Huntington's chorea ..
0
1
With brain and nervous
disease
0
11
Due to alcohol
0
7
Due to drugs
0
3
With pellagra
0
13
With somatic disease
0
2
Manic depressive
0
79
Dementia praecox
0
31
Paranoia or paranoid
condition
I)
0
0
With epilepsy
1
0
22
Psychoneurosis or neurosis
0
0
4
With psychopathic personality
0
0
3
With mental deficiency
01 0
0
14
Unclassified
7 0
0
17
Not insane
0
0| 0
0
Psychopathic personality, not
insane
0| 0
TOTAL
31 164 43 55 48|24 21
286
MILLEDGEV1LLE STATE HOSPITAL
37
TABLE 10
Ages of Eirst Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
[Under 20 30
50160 Over Not I
60 70 70 Given Total
I 20 30 40
Psychosis
1
0
0
Traumatic
6
0
0
Senile
7
0
0
With cerebral arterio-sclerosis
General paralysis of the
4
0
0
insane
0
0
0
With cerebral syphilis
0
0
0
With Hunt'ington's chorea
With brain and nervous
4
0
1
0
disease
1
0
0
0
Due to alcohol
4
0
0
0
Due to drugs
16
7
0
0
With pellagra
0
1
0
0
With somatic disease
76
0
17
7
Manic depressive
0
55
21
1
Dementia praecox
Paranoia or paranoid
1
0
0
0
condition
14
0
2
s
With epilepsy
9
0
2
0
Psychoneurosis or neurosis ....
0
5
2
0
With psychopathic personality
7
0
1
3
With mental deficiency
18
0
5
2
Unclassified
1
0
0
0
Not insane
!
o
230
4 \
0
TOTAL
| 18 54|58|47|29120|
38
EIGHTY-SIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
40150 60 Over Not
|Under
50 60 70 70 Given Total
I 20
Psychosis
0
0
0
Traumatic
0
0
0
Senile
22
0
0
With cerebral arterio-sclerosis
General paralysis of the
43
0
1
insane
0
0
0
With cerebral syphilis
0
0
0
With Huntington's chorea
With brain and nervous
5
0
0
disease
2
0
0
Due to alcohol
0
0
0
Due to drugs
0
10
0
With pellagra
1
0
0
With somatic disease
0
53
9
Manic depressive
17
0
3
Dementia praecox
Paranoia or paranoid
0
0
0
condition
17
0
5
With epilepsy
0
0
0
Psychoneurosis or neurosis
0
0
0
With psychopathic personality
0
8
3
With mental deficiency
0
12
0
Unclassified
0
0
0
Not insane
TOTAL
| 21 |50|35|30|26121|
7 \
0 | 190
M1LLEDGEVILLE STATE HOSPITAL
39
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis
General parolysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis....
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under
20
0
0
0
Over Not |
70 Given Total
0
9
19
0
0
0
0
10
3
0
0
0
0
0
0
1
4
s
3
2
0
22
4
57
62
0
2
0
0
0
2
0
14
0
12
0
2
5
30
1
241
79 (.0 41 12 15
10
40
EIGHTY-SIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population
en
V
Psychosis
>,
"2
O
VI
D
rt
V
'A
Traumatic
Senile
With cerebral arterio-sclerosis
Oi
1
0
9
7
With cerebral svphilis
With brain and nervous disease
Due t'o alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis or neurosis
With mental deficiencv
Unclassified
Not insane
TOTAL
n
n
?,
n
n
n
0
s
1
0
4
1
n
13
2
0
40
"3
'u
0
*o
ixi
aa
c
o
£
Tl
o
o
o
rt
B
S
hn
<&
u
X
V)
T)
V
o
0 0 1 0
0 ? 1
0
0 18 17 7
0 4 6 S
n 0 1 0
0 0 0 1
1
1
7 n
0 ? 4 1
n 1 ? 0
n 7 S n
0 2 0 0
0 18 44 11
0 8 16 4
n n 0 n
? 8 8 0
0 0 ,1 0
9
0 1
n
0 1 0 0
0 6 7 l
0 0 0 2
3 79 124 32
c
>
ID
1
3^*
u
£
■
ft
o
0
n
0
7
0
0
0
H
0
?
n
3
0 SI
i ?n
0 i
n i
n n
11
0
0
1
0
i
?
0
0
??
0 7
0 3
0 13
0 ?
n 79
n 31
n 0
n
n 0
n n
0
l
0
7
4
^
0 14
0 17
0 ?
l '86
41
MILLEDGEVILLE STATE HOSPITAL
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis
(4 X
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
TOTAL
20
4 55 110 28]
7
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
6 230
42
EIGHTY-SIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
b£
K
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane ..
With cerebral syphilis
With Huntington's chorea
With brain t'umor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecoix
Paranoia or paranoid condition ..
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
TOTAL .......................
x
0
0
18
20
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
1
s
l
11
6
0
9
0
0
5
7
_0
95
0
0
22
43
0
0
0
s
J)
6 68
5
0
2
0
10
1
S3
17
0
17
0
0
8
12
0
01190
43
MILLEDGEVILLE STATE HOSPITAL
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
ho
«
Pi
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
'
With Huntington's chorea
With brain tumor
..
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis _
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
..".
I
|
j
0
0
1
0
0
I ?oj
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
2
0
0
2
1
0
11
2
33
34
0
5
0
0
0
14
1
2112
0
0
0
2
0
0
0
0
1
0
2
0
9
9
0
0
0
2
0
7
0
32|
0
0
1
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
1
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
01 30
0 1
0|241
44
EIGHTY-SIXTH ANNUAL REPORT
TABLE 12
Environment of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due t'o alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
,
TOTAL
0 2
0 3
34 17
15
0 1
0 1
0 0
4 7
3 4
1 2
2 11
0 2
22 57
9 22
0 0
8 14
0 4
2
1
5 9
7 10
2 0
114 172
0
3
2
51
3
ti| 2ti 4
0
0
0
0
0
0
0
1
0
0
0
3
0
8
0
0
40
0
0
29
0
1
0
9
0
4
0
3
0
4
0
6
0
1
0 286! 118 111
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
1|230
45
MILLEDGEV1LLE STATE HOSPITAL
TABLE 12—(Continued)
Environment of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
Female
Male
Psychosis
Traumatic
Senile
-—
With cerebral art'erio-sclerosis ...
General paralysis of the insane ..
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality .
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
14
25
0
0
0
3
0
0
7
1
29
11
12
0
0
0
4
6
78 112]
0
0
22
43
0
0
0
5
2
0
10
1
53
17
17
0
0
0
4
10
8
2
0
0
1
2
0
7
0
21
28
0
2
0
2
1
14
1
0 19011103 138
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
_1
0J241
46
EIGHTY-SIXTH ANNUAL REPORT
TABLE 13
Economic Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.,
White Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Wit'h epilepsy
..
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
.'
I
TOTAL
I
0 2
0 2
9 41
2 17
1 0
1
0
0 0
2 9
S 2
1 2
3 10
0 2
20 58
9 22
0 0
3 19
0 4
0 3
2 12
4 12
1
II
5 63 218|
0 286
1
4
6
4
0
0
0
4
1
3
12
1
63
46
0|
12
8
4
6
IS
1
7 23 191:
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
9 230
47
MILLEDGEV1LLE STATE HOSPITAL
TABLE 13—(Continued)
Economic Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
Female
Male
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain & nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
0
0
0
0
0
0
o\
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
0 0
22
1 21
43
3 40
0
0 0
0
0 0
0
0 0
5
2 3
2
1
1
0
0 0
10
0 10
1
0 1
53
8 45
17
2 15
0
0 0
17
2 15
0
0 0
0
0
8
0
12
3
0
0
22|168|0190|
0
0
9
9
18
19
9 0! 10
3
3
0
0
0
0
3
3
2
2
0
0
22
21
4
3
57
46
62
52
0
0
12
11
0
0
2
2
5
4
30
29
1
1
0| 281213J 0[241
TABLE 14
Male
Female
Civil Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Population.
—
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis ..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
OJ
2
2
26
14
0
0
0
6
4
0
6
1
44
8
0
7
2
1
0
8
I)
1112 1311 22
0
0
1
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
_o
11
181
0
0
0
2
0
0
1
0
6
2
0
0
12
8
22
5
1
0
10
1
3
0
4
0
7
0
5
5
0
II 0
2 286|| 74(1081 28
0
0
0
1
0
0
0
0
0
0
1
0
c
>
tf
o
0 1
0 6
0 7
0 4
0 0
0 0
0 0
0 4
0 1
0 4
0 16
01
0! 76
Oj 55
01 1
01 14
0| 9
01 5
0| 7
Oj 18
Ol 1
3 17
0|230
K
O
X
H
X
H
>
G
>
r
w
o
H
TABLE 14—(Continued)
Female
Male
Civil Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
3
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
_..._.
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis ......
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
10
23
0
0
0
0
1
0
4
1
IS
3
0
3
0
0
0
4
0
63|
0
0
6
4
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
2\ 19
0
22
Oj 43
0 0
4 190
0
0
0
0
s
0
2
0
0 0
0
0 0
0
0
0
0
0
1
0
0
0
0
1
0
1
0
! 56] 881 481 3| 45
0
0
5
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
1241
r
r
w
c
o
w
<
t—I
r
r
w
en
H
>
H
M
a
o
w
H
>
r
50
EIGHTY-SIXTH ANNUAL REPORT
TABLE 15
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Under
30 40
Over Not |
Psychosis
20
40 50
70 Given Total
Traumatic
0
0
0
1
Senile
0
6
1
7
Wit'h cerebral arterio-sclerosis
0
13
0
27
General paralysis of the insane
0
1
0
24
With cerebral syphilis
0
0
0
1
With Huntington's chorea ....
0
1
0
2
With brain tumor
0
0
0
0
With brain & nervous disease
0
1
0
2
Due to alcohol
„„.
0
0
0
0
Due to drugs
0
0
0
0
With pellagra
0
0
0
6
With somatic disease
0
0
0
4
Manic depressive
0
1
0
8
Dementia praecox
0
2
0
9
Paranoia or paranoid condition
0
0
1
0
With epilepsy
0
0
0
9
Psychoneurosis or neurosis ....
0
0
0
1
Wit'h psychopathic personality
0
0
0
0
With mental deficiency
1
0
0
6
Unclassified
0
2
1
9
Not insane
0
0
0
0
TOTAL
1 |12|15|23 20|17 27
117
MILLEDGEVILLE STATE HOSPITAL
51
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
|Under|20 30(40 50|60|Over Not
| 20 |30 40150 60170 70 Given Total
Psychosis
0
0
0
0
Traumatic
17
1
15
0
Senile
8
0
4
0
With cerebral arterio-sclerosis
3
0
1
0
General paralysis of the insane
0
0
0
0
With cerebral syphilis
0
0
0
0
With Huntington's chorea
0
0
0
0
With brain tumor
2
0
0
0
With brain & nervous disease
0
0
0
0
Due to alcohol
0
0
0
0
Due to drugs
8
0
0
0
With pellagra
1
0
0
0
With somatic disease
21
0
6
0
Manic depressive
19
0
4
0
Dementia praecox
.......
0
0
0
0
Paranoia or paranoid condit'n
10
0
0
1
With epilepsy
v
1
0
1
0
Psychoneurosis or neurosis ....
2
0
0
0
With psychopathic personal'y
2
0
0
0
With mental deficiency
10
1
2
0
Unclassified
0
0
0
0
Not insane
104
16|
33
11I14I16I11
TOTAL
52
EIGHTY-SIXTH ANNUAL REPORT
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of th' insane
With cerebral syphilis
Wit'h Huntington's chorea
With brain tumor
With brain & nervous disease|
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condit'n
With epilepsy
Psychoneurosis or neurosis ....
With psychopathic personal'y
With mental deficiency
|
Unclassified
I
Not insane
I
TOTAL
~1
Underl20
Over Not
20 30
70 Given Total
0
01 0
0
0
0
0
1
0
1
0
10
0
25
1
2
0
37
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
1
1
1
0
21
1
0
0
8
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
2
0
0
6
0
1
1
11
0
0
0
0
5 18 21 25 23|26 15
134
MILLEDGEVILLE STATE HOSPITAL
55
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
U nder|20|30|40|50
Over I Not 1
70 1 Given|Total
20 130140150160
Psychosis
0
0
0
0
Traumatic
5
0
4
0
Senile
—
13
0
7
0
With cerebral arterio-sclerosis
13
0
1
0
General paralysis of the insane
1
0
0
0
With cerebral syphilis
0
0
0
0
With Huntington's chorea ....
0
0
0
0
With brain tumor
2
0
0
0
With brain & nervous disease
0
0
0
0
Due to alcohol
0
0
0
0
Due to drugs
7
0
0
0
With pellagra
0
0
0
0
With somatic disease
19
0
0
0
Manic depressive
21
1
2
0
Dementia praecox
0
0
0
0
Paranoia or paranoid coudit'n
3
0
0
1
With epilepsy
■
0
0
0
0
Psychoneurosis or neurosis
0
0
0
0
With psychopathic personal'y
2
0
0
0
With mental deficiency
12
0
0
1
Unclassified
0
0
0
0
Not insane
98
10
14
27
19
TOTAL
J
54
EIGHTY-SIXTH ANNUAL REPORT
TABLE 16
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
15 25
0
0
3
1
0
1
0
0
0
0
0
1
2
0
0
2
0
0
1
2
0
5 16 22 13 15
1
7
27
24
1
2
0
2
0
0
6
4
8
9
1
9
1
0
6
9
0
6 117
55
M1LLEDGEVILLE STATE HOSPITAL
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis
Traumatic
Senile
.With cerebral arterio-sclerosis ...
General paralysis of the insane .
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain and nervous disease .
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-—
Paranoia or paranoid condition
With epilepsy
•_■
Psycho-neurosis or neurosis
With Psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL --
0
0
1
0
0
0
0
0
3
0
1
0
0
0
0
o
I
8
1
16
l
2
0
0
0
3
3
0
3
1
2
0
2
0
251 18|
0
0
17
4
8
1
3
0
0
0
0
0
0
0
2
1
0
0
0
0
8
0
1
1
21
3
19
1
0
0
10
2
1
0
2
0
2
1
10
0
01 0 0
141 14|104
56
EIGHTY-SIXTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929. '
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0 0
0 0 0
0 0
0 0 0
7 6
4 2 3
8 16
5 3
1
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
5 1
0 0 0
0 1
0 0 0
0 5
4 6 2
0 0
2 4 0
0 o
0 0 0
1
3
2 6 3
0 0
0 0 0
0 0
0 0 0
0 0
1 3 0
3 2
1
1
1
_0 0
0 0 0
24 34| 13 19 25 10
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
1
0
0
5
0
1
25
37
0
0
0
1
0
0
6
1
21
8
0
17
0
0
6
11
0
4134
MILLEDGEVILLE STATE HOSPITAL
57
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ...
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
■
Psychoneurosis or neurosis_
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
--TOTAL
0
0
0
1
0
0
0
0
0
0
4
0
0
1
0
0
0
0
0
5
0
111
o
3
6
5
0
0
0
0
0
0
3
0
2
4
0
1
0
0
1
3
0
28
0
0
0
2
0
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
0
SI4
2
0
0
0
1
0
o
6J10J17_J3
0
5
13
13
1
0
0
2
0
0
7
0
19
21
0
3
0
0
2
12
0| 0
51 98
58
EIGHTY-SIXTH ANNUAL REPORT
Report of Superintendent of Nurses
January 1, 1930.
Dr. R. C. Swint,
Superintendent
Dear Sir:
The following is a report of the Training School for
Nurses for the year beginning January 1, 1929, and ending
December 31, 1929.
We have had a greater number of applications for entrance to the school this year than ever before; therefore,
could be more select in our choice of students. The selections were made according to age, physique, and standing
in high school.
Thirty-three applications were received from which eighteen were admitted. Four of these withdrew for various reasons, two failed in examinations, and one was not accepted
after serving part of the probationary period.
One junior and one senior withdrew from school during
the year.
Miss Ora Blanche Taylor, Milledgeville, Ga., made the
highest average during her junior year. As a reward the
Alumnae of the school paid her expenses to the Georgia
State Nurses' Association Convention, which met in Rome,
Ga., in November.
The Alumnae, with a membership of fifty-five, continued
its loyal support to the school and participated in all the activities of the Sixth District Nurses' Association as well as
the State Association.
The Annual Commencement was held May 23, in the
Amusement Hall. Dr. R. C. Swint, Superintendent, presided.
The processional was played by the Hospital Band and
Miss Gladys McMichael, Beuna Vista, Ga., sang two beautiful solos accompanied on the piano by Mrs. Lovic Pierce
Longino.
Dr. Richard Orme Flinn, pastor of the North Avenue
Presbyterian Church, Atlanta, Ga., gave a most interesting
address to the class and large audience. Hon. John T. Brantley, Blackshear, Ga., President of the Board of Trustees, in
his usual charming manner, delivered the diplomas, and Dr.
T. M. Hall, Milledgeville, Ga., Vice-President of the Board,
in a few well chosen words, presented the hospital pins.
The following nurses received diplomas:
MiLLEDGEVlU^_JTATEJIOSPITAL
Miss Helen Blackwell
Miss Mary Hazel Key
Miss Gladys McCorkle
Miss Oreta Smith....
Miss Samantha Renfoe
Miss Frankie Resseau
Miss Elva Louise Veal
Miss Susie Mae Wade.
Total number of graduates
59
^TnwH S'
^
n' r*
Thomson, Ga.
^^-i, ' rl'
Milledgeville, Ga.
Hardwick, Ga.
Sandersville, Ga.
B ron ( ,a
y
> iD/
f -
Plan of Instruction
The curriculum conforms as near as possible to the Standard Curriculum planned by the National League of Nursing
The course extends over a period of three years, including
three months probation and six months affiliation in some
large general hospital for additional experience in surgery,
pediatrics, and obstetrics. Classes are conducted eight
months out of each year and consist of lectures, recitations,
and laboratory work.
.
.
A passing grade of 75 in all branches is required for
gr
A "short' course in Nursing Mental Diseases was conducted in March and October by Dr. N. P. Walker, Clinical
Director, for all new attendants.
Nursing Staff
Superintendent of Nurses
4
Supervisors
" ^
Graduate Nurses
- 1Q
Senior Nurses in School
■
Junior Nurses in School
Freshmen Nurses in School
Total Number Student Nurses
^
Occupation Therapy Nurses
Special Attendants
1fin
i0
White Female Attendants
'
Vacancies
"" ',* „,i
I wish to thank you for your constant support and all
physicians and other officers who have contributed to the
success of the school.
Respectfully submitted,
(Mrs.) Mae M. Jones, R. N.,
Superintendent of Nurses.
60
EIGHTY-SIXTH ANNUAL REPORT
Dentists' Report For 1929
Dr. R. C. Swint,
Superintendent.
Milledgeville, Ga.,
January 1, 1930.
Dear Sir:
I have the honor of handing you, herewith, an itemized
report of the work done in the Dental Department during
s
the year 1929.
Extractions
5129
Infiltration anaesthesias
2421
Conductive anaesthesias
897
Ethyl chloride anaesthesias
;
9
Alveolotomies
127
Incisions sutured
5
Post-operative treatments
129
Gold fillings
2
Amalgam fillings
I44
Cement fillings
57
Gutta-percha fillings
5
Synthetic porcelain fillings
38
Gold inlays
20
Gold inlays reset
2
Nerve cappings
5
Nerve treatments
4
Nerves devitalized
5
Root treatments
15
Root fillings
10
Abscesses lanced
40
Abscesses treated
23
Lancing gums over 3rd molar
18
Treating gums about 3rd molor
15
Excessive hemorrhages arrested
8
Treatments for erosion
1
Treatments for pyorrhea alveolaris
32
Cleaning teeth (number of patients)
33
Scaling teeth (number of patients)
Z ..... 155
Applications silver nitrate
2
Treatments for acute odontalgia
"...
35
Treatments for pericementitis
1
Treating gums (number of patients)
"..."
170
Treatments for oral ulcers
13
MILLEDGEVILLE STATE HOSPITAL
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Crowns removed
Crowns reset
Bridges removed
Bridges made
Bridges reset
Disfigured teeth shaped up (number of patients)
Impacted 3rd molars removed
Dislocations reduced
Sequestra removed
Fractures reduced
Calls to wards
Number of new patients examined
Number of patients treated
:
Total number of operations and treatments ...
61
9
29
^
4
~
2
^
12
•?
20
j.
•?
58
26
—
2
'
*
362
1327
2305
9866
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
62
EIGHTY-SIXTH ANNUAL REPORT
Report of Pharmaceutical Department
Dr. R. C. Swint,
Superintendent, Milledgeville State Hospital,
Dear Sir:
The following is the annual report of the Pharmaceutical
Department for the year ending December 31, 1929.
Below is shown a condensed list of manufactured products :
Tinctures, spirits and extracts
2764 Pounds
Elixirs
1189 pounds
Syrups
1127 pounds
Ointments
162 pounds
Liquors, lotions and mixtures
Library paste and mucilage
1131 pounds
:
48 pounds
Medicated powder
58 pounds
Indelible ink
48 pounds
Glycerites
139 pounds
Liniments
320 pounds
Tonics
Tooth powder
248 pounds
2 pounds
Quinine, anodyne and lagrippe capsules, filled 41,950
Germicide
922 gallons
Fly and mosquito exterminator
490 gallons
M ILLEDGEVILLE STATE HOSPITAL
63
Statement
Debits
Jan. 1, 1929, Inventory as o£ Dec. 31, 1928
$ 4,641.50
Purchases During Year
Drugs, chemical, dental, surgical and
laboratory supplies
*11'^-^
Freight and express
lyl.ii*
Total
Less goods returned
$11,894.07
383.72
Net amount goods purchased
$11,510.35
Deduct: Inventory Dec. 31, 1929
$16,151.85
5,581.85
Amount goods to account for
$10,570.00
Total
Credits
Dec. 31, 1929, Prescriptions tilled for
wards, 37, 661 aggregating
$ 9>*f-f
Sales to officers and employees
/Z1.4U
Total
"
Respectfully submitted,
*10'S7a0°
^ ^^^
Pharmacist.
64
EIGHTY-SIXTH ANNUAL REPORT
Report of Engineer
Dr. R. C. Swint,
Superintendent and Resident Physician.
Dear Sir:
Please find below the annual report of the Engineering
Department for the year ending December 31, 1929.
The new negro building has been completed and is now
occupied. All plumbing, steam fitting and electrical work in
this building was done by this department. The steam for
this building is supplied from the old negro building boiler
room, the efficiency of the boilers in this place having been
increased by placing hand stokers under them. An 8" water
main has been run from near the old negro building boiler
room to the new building. Six-inch branches have been run
from this main to four fire-plugs placed around the building
in accordance to the recommendation of the Southeastern
Underwriters Association.
Water closets have been installed in the two cottages near
the new negro building. These two cottages have been
painted on the outside.
All of the barns and outhouses at the dairy have been
given a coat of whitewash.
The cottage at the dairy, and the one at the mule lot have
been reconditioned. Two rooms have been added to each.
Two ventilating fans have been installed in the Amusement Hall. These fans were paid for by the Occupational
Therapy Department.
The cottage located at the south end of the front yard of
the Green Building has been renovated and painted. A portion of two rooms has been partitioned off to form a toilet
room, and a water closet and lavatory installed therein.
The steps from the railroad level to the lawn level in front
of the Green Building have been relaid. Some of the treads
in this flight are of concrete, there not being enough of the
old granite treads to make the increased height caused by
the lowering of the railroad tracks.
Two cafeteria units have been installed in the dining
rooms of the Twin Buildings. This includes two electrically
operated dish-washers.
The old concrete floor in the negro building kitchen has
been taken up and a new one laid. All of the cooking equipment was reset; new pipe, fittings, valves and a steam trap
MILLEDGEVILLE STATE HOSPITAL
65
being used. One of the old cast iron kettles was replaced by
a new aluminum kettle of the same capacity.
A brick room, 16 feet by 20 feet for use as a pastry room,
has been built on the east side of the negro budding kitchen
This room has a concrete floor, with a center floor dram, and
is connected to the main kitchen by a ten-foot arch.
A bath room, containing a sink, a shower and two water
closets, has been built between the negro building kitchen
and the boiler room. This room connects directly to the
kitchen, and is for the use of the patients and negro employees that work in the kitchen.
The officer's quarters on the third floor of the Male Convalescent Building have been painted throughout.
A plaster partition has been built in the hall on the third
floor of the officer's quarters in the Female Convalescent
Building.
. „ .
A corrugated, galvanized iron garage has been built in
the rear of the L. M. Jones Building. This garage has three
car stalls. Two of these stalls replace the two garages that
were located between the Female Convalescent Building
and the L. M. Jones Building.
.
A tile storm-sewer drainage system has been installed
around the front and the west side of the 1917 negro
building. This system takes off all of _ the storm water that
falls on and around this part of the building.
All of the floors in the old negro building, with the exception of the bath-room floors, have been repaired or renewed.
Also all windows and door frames have been repaired or renewed This same work is .now being done in the Green
Building. The floors in the Green Building are being stained
and waxed as soon as completed.
A flight of concrete steps, thirteen treads high, has been
built from the Twin Building Road to one of the officer s
cottages on this road.
One unit of the Twin Buildings water heating apparatus
has been retubed. Also the water heater at the Green Building, and the water heater that supplies the center portion of
the T O Powell Building have been retubed.
The work of laying the duplicate 12" cast iron water mam
from the waterworks to the Sanitarium will be completed
about the first of March, 1930. Quite a lot of time has been
lost from this work, due to the fact that the labor was required to do the steam work at the new negro building, and
also to do the work around the Female Convalescent Building, preparatory to supplying steam to the L. M Jones
Building.
66
EIGHTY-SIXTH ANNUAL REPORT
A new 1,000 gallon-per-minute, motor-driven centrifugal
pump has been purchased for the waterworks. This pump
will deliver the clear water to the storage reservoir at the
Sanitarium. As soon as the necessary valves and fittings are
secured, this pump will be put in service.
A brick suction well has been built at the waterworks, to
be used in connection with the new clear water pump.
Anticipating the lowering of the water in the river on account of the breaking of the dam at the power plant by the
city of Milledgeville. the intake well at the river has been
remodeled to receive two cast iron sluice gates. These gates
will be placed in the well at a lower level than the present
openings. This will allow the flow of water in the well to be
controlled from the top of the well, no matter how much the
river is lowered by the breaking of the above mentioned
dam. The two gates have been purchased and will be installed during the coming summer.
Once a month during the year, samples of our water were
sent to the State Board of Health for bacteriological analysis. The Board of Health states, that to be safe for drinking,
a water should not show pollution in over 10% of the total
number of samples examined. During this year 190 10 c. c.
portions of our water were examined. Of this number, a
fraction over 4% showed pollution.
The Plumbing and Electrical Contractors have completed
their work on the L. M. Jones Building. The General Contractor has also completed his work, with the exception of a
few minor jobs.
The main sewer line from the Jones Building was installed under contract, under the supervision of this Department. This sewer line is 1,475 feet long, and has a maximum
depth of 36 feet 6 inches. The sewer is laid with a 1% grade.
The steam for the L. M. Jones Building is supplied from
the Female Convalescent Building boiler room. In order to
accomplish this, the following work was done :
A concrete tunnel was constructed between the Female
Convalescent and the Jones Buildings. This tunnel carries
the steam and the steam-return pipes.
A new hand stoker boiler was installed in the boiler
room. This necessitated the enlargement of the boiler room
building, and the erection of a larger chimney. The chimney
erected was a radial tile chimney, 100 feet high.
A new pump-pit was built at one side of the boiler room,
and two motor-driven, centrifugal boiler feed pumps installed therein.
An 8-inch cast iron water main has been run from the
MILLEDGEVILLE STATE HOSPITAL
rear of the Female Convalescent Building to the Jones
Building.
In addition to the ordinary repair work required continually throughout the institution, the carpenter shop, the furniture shop, the shoe repair shop, the broom factory and the
paint shop have been kept busy making and repairing the
various articles required in the different departments.
Respectfully submitted,
W. S. JETT, JR.,
Engineer.
68
EIGHTY-SIXTH ANNUAL REPORT
Report of Farm Steward
Dr. R. C. Swint, Superintendent.
Dear Sir:
I wish to submit my report for the fiscal year ending December 31, 1929.
The following is a list of food stuffs produced during the
year:
Beans, Otonton
200 Bushels
Beans, butter
1018 Bushels
Beans, snap
975 Bushels
Beets
445 Bushels
Cabbage
28,026 Heads
Collards
22,750 Heads
Cantaloups
25,438 Heads
Corn
21,532 Bushels
Corn, roasting ears
26,415 Bushels
Corn meal
1,037 Bushels
Cucumbers
196 Bushels
Fodder
99 Tons
Egg Plant
74y2 Bushels
Lettuce
690 Heads
Oats
807 Bushels
Oats and vetch hay
37 Tons
Okra
1,324 Bushels
Onions
1,246 Bushels
Peas, garden
58 Bushels
Peas, green field
400 Bushels
Peas, field dried
250 Bushels
Pecans
1,350 Pounds
Peppers
171 Bushels
Peaches
1,589 Baskets
Pork, dressed
59.385 Pounds
Potatoes, Irish
727V2 Bushels
Potatoes, sweet
14,182 Bushels
Rape
,
1,809 Bushels
Rye
11 Bushels
Spinach
290 Bushels
Squashes
1,424 Bushels
Tomatoes
1,066 Crates
Turnips and turnip salad
2,919 Bushels
Watermelons
27,591
Ensilage
433 Tons
MILLEDGEVILLE STATE HOSPITAL
69
Dairy
Sweet milk
Sweet cream
Beef dressed
Calves sold. Three calves and one bull for
Manure sent to fields
50.425 Gallons
34'4 Gallons
4,425 Pounds
$113.00
1.258 Loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
"°
9
*>4y
2,610 Doz.
In addition to producing these food products I have
moved all the coal from the chutes to the Center Building,
Colored Building and the shop boiler rooms, distributed
coal to officers' houses and all the pavilions that are not
heated from the boiler rooms. Have moved the cinders from
the boiler rooms and have maintained the entire road system
of the institution.
I have also cut and distributed to the Officers' houses and
various kitchens about 600 to 700 cords of stove wood.
I wish to thank you, the Board of Trustees, the Officers
and others of the institution for the gratitude and co-operation shown me throughout the year.
Respectfully yours,
F. C. PENUEL,
Farm Steward.
EIGHTY-SIXTH ANNUAL REPORT
70
Report of Treasurer
March 13, 1930.
Dr. R. C. Swint, Supt.,
Milledgeville, Ga.
My dear Sir:
I beg to submit below a report of the receipts and disbursements of the treasurer of Georgia State Sanitarium
for the year 1929.
Dec. 31, 1928, Bal. cash on hand $ 84,152.62
Special Appropriations
60,659.08
Regular maintenance fund
950,000.00
Homer Bivins, Std
5,689.23
Interest
601.27
$1,101,102.20
Disbursements for the year
Dec. 31, 1929, Bal. cash on hand..
$1,099,675.95
1,426.25
$1,101,102.20
The above report is correct.
OTTO M. CONN,
Treasurer Georgia State Sanitarium
Witness:
H. H. HERNDON,
N. P. B. Co., Ga.
MILLEDGEVILLE STATE HOSPITAL
71
Report of Steward
Fiscal Year Ended December 31, 1929
Milledgeville, Ga.,
December 31, 1929.
Dr. R. C. Swint, Supt.,
Milledgeville State Hospital.
Dear Sir:
I submit herein a comparative financial report of the condition of the
MILLEDGEVILLE STATE HOSPITAL
for the fiscal years ended December 31, 1928-29; also comparative detailed statements of receipts and disbursements
and other data for these periods.
It appears that the operation of the hospital during these
years was confined within its income by narrow margins,
but that its cash deficit of $12,122.16 at the end of the 1928
period, was displaced with a balance of $2,770.07 at the close
of 1929, provided its maintenance appropriation had been
paid in full to the end of the year.
According to the books and accounts in this office the income of the hospital for the year 1929, less INTERNAL
INCOME, was $1,200,635.17, and its expenditure $1,198,064.83; a difference of $2,570.34 in excess assets. On this
basis its per-capita cost compared favorably with that of
1928 (The appropriations for the two years being the same)
and is as follows :
1928
1929
Annual per-capita cost
....'$233.55
$229.56
Daily per-capita cost
63,98
.62,89
The daily average number of patients increased from
5,046 in 1928 to 5,219 in 1929, a difference of 173, and while
supported at a lower annual cost than in 1928, necessitated
an increased expenditure for the year of $39,713.88.
A total of $325,906.58 was spent during the years 1928-29
in the construction of the Psychopathic or Jones building.
$293,380.14 of which was in 1929, and $202,300.17 in the
construction and equipment of the new negro building,
$12,045.45 of which was spent during 1929, making a total
expenditure of $528,206.75 against special appropriations
made in 1927-29 for new buildings, and leaving an available
balance of $21,793.25 for completion, equipment, etc.
11
EIGHTY-SIXTH ANNUAL REPORT
Of the appropriations for new buildings, aggregating
$550,000.00, the state has paid the sum of $262,746.42, leaving an unpaid balance of $287,253.58 now due. The payment
of $262,746.42 made by the state against these appropriations when applied to the sum expended for the construction and equipment of new buildings leaves a balance of
$265,460.33, the greater part of whicn has been temporarily
borrowed from banks by contractors and others with requisitions on the Governor used as collateral. A further payment has been made on this expenditure by a disbursement
of some $39,927.67 from the regular maintenance fund, and
the balance is still due contractors, individuals and corporations for labor and material supplied.
The sum of $45,947.58 was spent during 1928-29 against a
special appropriation of $80,000.00 made in 1927 for the erection of a lank and tower, the enlargement of the waterworks system, the laying of a duplicate water-main, etc.;
leaving a balance of $34,052.42 available for the completion
of this work. Of this expenditure of $45,947.58, the state has
paid the sum of $45,118.01.
The following exhibits and schedules set forth in detail
the condition of all accounts, and are used in support of the
figures above given.
Exhibits:
No. 1. Comparative Balance Sheets December 31, 1928-29.
No. 2. Comparative Statements Receipts and Disbursements, 1928-29.
No. 3. Consolidated Cash Statement Receipts and Disbursements for 1929.
No. 4. Statement Receipts and Disbursements Account
Special Appropriations.
No. 5. Statement of Special Appropriations, Expenditure
and Balance Available.
No. 6. Profit and Loss Statement, Farm, Garden and
Dairy.
No. 7. Statement of Operating Funds, Per-capita, etc.
Schedules:
No. 1. Accounts Payable as of December 31, 1929.
No. 2. Accounts Receivable as of December 31, 1929.
No. 3. Production, Farm, Garden and Dairy.
We have been financially embarrassed throughout the
year, not alone because of our inability to promptly pay our
officers and employees, but our creditors as well.
The financial condition of the state treasury and its failure to pay our maintenance fund when due, has made it impossible for us to promptly pay our current obligations, and
MILLEDGEVILLE STATE HOSPITAL_
73
we closed the year with more than $200,000.00 in unpaid accounts, payrolls, etc.; many of which were more than three
months past due, and all payable from our regular mamtenance. We also closed the year with more than $^A),UUU.UU
due us on special appropriations, the greater part of which
had been borrowed and spent.
The non-payment of our appropriations both regular and
specials upon their due dates has further handicapped us, in
that it has necessitated the payment of interest on borrowed
money and on past due accounts. Since there is no provision
made for the payment of this item of expense, it must of
necessity be incorporated in OUR EXPENDITURE and
deducts'from our maintenance. The failure of our creditors
to invoice accrued interest at end of fiscal year, accounts for
the small amount shown in report, and the full amount of
this unforeseen item of expense must appear in report for
1930.
Strict economy has been practiced throughout the year,
and such distribution made of the limited funds available
for our support as would best tend to maintain the confidence and good will of our officers and employees, as well
as that the hospital has always heretofore enjoyed from the
business people of this and other states.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT NO. 1
Comparative Balance Sheet, December 31, 1928-29
Explanatory
CASH:
Treasurer—General Fund
Treasurer—Patients Fund
Treasurer—Occupation Therapy Department
Steward—Working Fund
Steward—Time Deposit Merchants & Farmers Bank
Steward—Time Deposit Exchange Bank
ACCOUNTS RECEIVABLE:
Officers, Employees and Others
DUE BY TREASURY DEPARTMENT:
Unpaid Expenditure against Special Appropriations
Unpaid Requisitions Against Maintenance Appropriation
STOCKS:
General Merchandise
Fuel-Coal and Coke
Drugs—Chemicals and Sundries
Engineering Materials
Packing House Products
Drygoods, Clothing, Etc.—In Manufacture
Farm Supplies
Dairy Feeds
_
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTALS
1928
1929
Increase
$ 26,429.35
11,126.26
4,070.62
3,000.00
1,666.67
1,230.02
12,302.55
4,214.40
3,000.00
1,440.38
1,230.02
1,176.29
143.78
1,292.88
1,316.30
23.42
20,596.53
266,290.90
250,000.00
245,694.37
250,000.00
58,761.93
26,395.36
. 4,641.50
14,245.78
3,286.82
1,890.76
1,283.75
1,186.50
53,375.30
20,257.29
5,581.85
11,862.96
5,504.25
833.48
284.70
450.70
1,055.21
3,232.64
2,177.43
$182,159.94
$641,177.72
$502,373.07
Decreas
26,429.35
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226.29
■r.
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H
5,386.63
6,138.07
940.35
2,382.82
2,217.43
1,057.28
999.05
735.80
$ 43,355.29
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EXHIBIT NO. 1
Comparative Balance Sheet December 31,1928-29—(Continued)
Explanatory
1928
Due Special Funds
$ Am{f?
Brantley Building
?«fi'<n
Occupation Therapy Department
Tiam
Occupation Therapy Department—Female
»,«»./u
Occupation Therapy Department—Male
i.001.1/
Female Commissary
''m/
Water Works
TRUST FUNDS:
&2fi
Patients Deposits
'
DUE TREASURER:
Overdraft General Fund
ACCOUNTS PAYABLE:
16,902.38
Individuals and Corporations
WAGES AND LABOR:
Officers Salaries
^2 129 35
Employees Wages
>
Due Contractors and Others, for labor and materials in
construction of new building. Temporarily paid with
requisitions on Governor, and discounted by banks
EXCESS ASSETS:
innaitAt,
Net at End of Years
100,625.45
■$182.159.94
TOTALS
1929
Decrease
Increase
$
187.98
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779.50
4,217.40
405.90
5,786.28
1,440.38
145.78
124.97
327.58
12,302.55
1,176.29
w
203,832.67
203,832.67
>
42,997.97
26,095.59
6,290.72
33,047.22
917.87
220.79
2,406.71
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239.17
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225,923.89
225,923.89
104,153.24
3,527.79
$641,177.72
$462,072.43
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$
3,054.65
EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years, 1928-29
Explanatory
State Appropriation—Regular
MISCELLANEOUS:
Interest on Balances
Donations
1928
$1,200,000.00
1929
$1,200,000.00
1,774.89
69.68
635.17
.'$1,201,844.57
$1,200,635.17
1,247.90
1,960.85
3,196.33
1,729.54
56.00
861.44
547.30
185.00
3,603.68
1,223.61
2,044.02
3,195.97
1,682.52
42.00
925.74
57,714.28
24,218.15
146.01
265.09
„$1,215,232.61
$1,292,092.56
Increase
Decrease
1,139 72
69 68
i
Total, Less Internal Income
INTERNAL INCOME:
Board of Officers
Board Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales, Ice
Sale—Farm Products
Sales—Dairy Products
Fines
Sundries
GRAND TOTAL
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Stewards Department
Engineering Department
Farm and Garden
Dairy Department
$
_
„
_
_
82,517.86
256,287.67
50,168.13
67,480.73
10,944.37
3,091.46
$
1,209. 40
$
24. 29
83.17
36
47 02
14 00
64.30
57,166.98
24,218.15
$
81,532.60
$
4,672.65
$
3.526.23
10,596.06
1,149.73
1,882.00
125.73
125.64
X
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38, 99
3,338. 59
78,991.63
266,883.73
51,317.86
65,598.73
10,818.64
3,217.10
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EXHIBIT NO. 2
Comparative Statement Receip^s^ndDisbursejr^rrtsYears 1928-1929—(Continued)
Increase
1929
1928
99,665.14
451,557.99
^^!Z „==
T^89T85
5,343.69
20,344.51
FOOD SUPPLIES:
^ 1S)000.82
5,579.10
General Wards
5,946.22
76.20
1,320.26
Nurses Home
1,244.06
Stewards Dining Room
3,177.29
Supts. Dining Room
75 241 15
78,418.44
40,479.78
MISCELLANEOUS:
4l|417.93
Clothing and Dry Goods
64^578.14
52,748.37
Furniture and Bedding
11*876.76
9,855.95
2,378.94
Fuel
2*695.56
Medical Supplies
390.71
140.14
Stationery and Postage
251.59
217.50
1,410.98
Advertising
1,839.68
Amusement's
409.65
301.18
Repairs—Autos and Trucks
1,722.50
1,462.94
105.19
Barber Supplies
'450 04
555.23
38.50
Broom Factory Supplies
g7 50
126.00
Blacksmith Supplies .,
572.06
544.28
10.21
Cemetery Supplies
? 345 33
2,356.04
:
Dental Supplies and Repairs
1*872.54
1,827.74
Dining Room Supplies
-.
•-] 507 90
193.35
Electric Light Repairs and Supplies
'210*16
54.70
264.86
Electric Power Supplies
45
49.60
31
81.05
Escaped Patients
3,949.86
3,416.49
Florists Supplies
169.78
6.50
1,127.05
Gas and Oils
9,875.31
11,002.36
95.90
Garage Supplies
95.90
Housekeeping Supplies
Decrease
367.12
938.15
11,829.77
2,020.81
316.62
250.57
34.09
428.70
108.47
259.56
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27.78
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44.80
1,314.55
H
333.37
163.28
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EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Explanatory
Harness Repairs
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries
Musical Instruments
Office Supplies
Telephone and Telegraph, Supplies
Printing
Poultry Yards
Registration—Autos
Surgical Instruments
Telephone and Telegraph
Tobaccos
Tools and Implements
Travel
X-Ray Supplies
Sundries
FARM AND GARDEN:
Freight and Express
Misc. Supplies and Repairs
Seed
~
$
„
_
1928
2,219.45
495.63
3,419.09
1,249.39
5,679.75
25,364.62
200.79
556.30
34.68
2,616.19
1929
2,413.90
1,602.91
3,909.70
628.15
$
889.47
1,887.55
52.75
620.10
557.24
7,555.32
591.00
2,465.85
211.53
1,512.27
5,071.74
28,054.35
188.60
2.00
32.33
958.45
190.56
1,312.55
782.09
47.50
158.10
650.04
9,100.57
510.02
1,853.57
176.70
1,164.24
280.70
1,936.85
1,647.35
55.90
1,802.96
1,588.56
Increase
194.45
1,107.28
490.61
Decrease
W
621.24
$
2,689.73
H
608.01
12 .19
554 30
2, 35
1,657 74
190.56
423.08
92.80
1,545.25
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1,105. 46
5 25
462 00
80 98
612, 28
34 .83
348 03
224.80
133.89
58.79
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EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Increase
1929
l
Explanatory
_
—
5,390.70
12,941.64
Fertilizer, Commercial
9«>fir*
'2,681.48
Board of Employees
win
126.25
Treating Hogs and Mules
MO.W
DAIRY:
.„nnn
34.49
514.49
Board of Employees
?I?'R7
91.85
. 304.72
Misc. Supplies and Repairs
17827
44.05
222.32
Freight and Express
1102154
10,262.35
Commercial Feeds
"
'
MAINTENANCE OF PLANT:
]73S4\
709.96
Brick
*
VnSIU
2,248.58
Builders Hardware
2 202 24
1,327.50
Cement'
' on o%
Crushed Stone
207' *e
538.02
835.40
Cooking Apparatus
204 91
46.01
Fire Apparatus
30 V4?
119.85
Grading Supplies
?01 10
294.14
495.24
Ice Works
~-xe,f,ea
249.70
616.37
Lime Hair and Masons Supplies
n^'cri
7,404.95
Lumber and Building Materials
102 SO
137.43
239.93
Machinery Supplies
, 43796
3,427.64
Painting Supplies
Vmo'«1
2,435.72
Plumbing Supplies
486 24
86.75
Pump Repairs
,.„'„,
213.11
632.04
Range Repairs
272 86
175.94
Sewer Supplies
' ." R
183.02
1,097.30
yi
Steam Pipe Fittings
^°
Decrease
14.85
17.25
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759.19
1,028.45
802.56
874.74
87.23
158.90
273.57
6,071.55
3,010.32
1,574.09
399.49
96.92
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EXHIBIT NO. 2
o
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Explanatory
1928
1929
Tinners Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Autos and Trucks
Live Stock
Picture Show Equipment
Cafeteria Equipment
Topographical Map
1,169.49
809.07
1,558.52
782.34
1,328.88
950.97
519.81
2,075.00
1,000.00
200.00
2,191.00
1,675.00
116.00
675.00
3,872.54
4,000.00
3,872.54
4,000.00
$1,289,522.22
$ 144,708.52
TOTAL DISBURSEMENTS Plus Internal Income —$1,191,871.25
DIFFERENCE:
Operating Loss/Gain for Years
__
23,361.36
GRAND TOTAL
$1,215,232.61
Decrease
Increase
387.15
607.55
200.00
$
47,057.55
20,791.02
$ 144,708.52
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2,570.34
$1,292,092.56
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$
67,848.57
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EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
2
V "2
C
C 3
EXPLANATORY
O
Balance from 1928
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation
Regular
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales Store Supplies
Totals
Transferred by Steward
Balances .
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
"■"■"■"■■■■'■■
$
5-g
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26,429.35 $11,126.26 $ 3,000.00 $ 2,896.69
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$ 4,071.62
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9,811.25
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11,126.26
rf
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950,000.00
60,659.08
641.33
28,142.87
7,339.35
25,274.08
5.50
$1,065,872.63 $11,126.26 $35,618.93 $
7,344.85 25,274.08 32,618.93
$1,073,217.48 $36,400.34 $ 3,000.00i$
1,277,050.151 24,097.79 46,278.291
| $ 203,832.67 $12,302.55 $49,278.29|$
46,278.291
I $ 203,832.67j$12,302.55|$ 3,000.001$
70.27
145.78
1,012.20
52H
145.78
W
25,274.08
985.09
3,952.05 $10,969,231$ 4,217.40 $36,400.34
3.952.05 $10,969,231$ 4,217.40 $36,400.34
559.65|
1,281.65
2,670.40 $10,409,581$ 4,217.40 $36,400.34
24,097.79
2,670.4Ol$10,409.58!$ 4,217.401$12,302.55
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SUMMARY
CREDITS:
DEBITS:
Treasurer—Patients Fund
$ 12,302.55
Steward—Working Fund
3,000.00
Steward—Time Deposits
2,670.40
Treas.—Occupation Dept. Special ..
4,217.40
Due by New Negro Building
12,045.45
Due by Psychopathic Building
253,415.88
Due by Water-works
829.57
Due Treasurer—Overdraft
Occupation Therapy—Depts
Due Patients Deposits
Due Brantley Building
Due Female Commissary
Due Maintenance Fund
$288,481.25
TOTAL
.
TOTAL
:
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$203,832.67
10,409.58
12,302.55
779.50
1,440.38
59,716.57
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$288,481.25
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EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements-(Continued)
ho
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£2
EXPLANATORY
CQffi
Balance from 1928
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation
Regular
Special Appropriations
Interest on Balances
Checks Returned
Miscellaneous Sales
Sales Store Supplies
Totals
Disbursed on Vouchers
Balances —
Disbursed by Steward
Balances
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1,661.17
18,095.91
70.27
990.59
$
$
$
c/3§
CO
$ 18,095.91 $ 2,500.62]$
967.48
rt o
££
42,464.88
S B
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2,406.71
98.29
42,147.58
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950,000.00
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641.33
28,142.87
6,327.15
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$ 39,964.26 $ 2,505.00 $1,027,258.93
2,722.03
967.48
3,334.57 945,361.86
293,380.14
$
12,045.45
1,281.65
187.98
81,897.07
$
829.57
779.50 $ 1,440.38 $ 12,045.45 $253,415.88
22,180.50
829.57
$
59,716.57
$253,415,
$
12,045.45
779.501$ 1,440.38
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EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations
EXPLANATORY
Balance Cash in Hand from 1928
Cash Receipts from State Treasury During Year
Less Balance due on 1928 Expenditure
Balance to Apply on 1929 Expenditure
.'.
Balance due by State Treasury on 1929 Expenditure
TOTALS
_
EXPENDITURE:
o2
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££
o
h
2,406.71
2,406.71
98.29 60,659.08
42,464.88
20,596.53
2,500.62
39,964.26
2,505.00 42,469.26
829.57 266,290.90
12.045.45l 253,415.88)
$ 12,045.45|$293,380.14|$ 3,334.57 $308,760.16
o
517.16
50.14
1,717.98
22,237.00
893.15
10,169.54
473.01
373.54
1,998.80
6,968.80
587.00
400.00
105.44
10,332.23
1,659.58
3,500.00
2,634.49
>
18,095.91
18,095.91
517.16
50.14
1,717.98
22,237.00
893.15
10,169.54
473.01
105.44
43.87
390.50
373.54
1,998.80
6,968.80
587.00
400.00
10,288.36
568.01
3,500.00
2,634.49
701.07
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EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations— (Continued^
i> SO
EXPLANATORY
Foreman
Floor Hardener
Face Brick
Furniture and Bedding
Finishing Hardware
Glass and Glazing
Grounds
Heating Equipment
Hollow Tile
EXPENDITURE:
Housekeeping Supplies
Interest and Discount
Inspection—Architect's —
Kitchen Supplies
.
Limestone and Granite
Labor
Laundry Chutes
Light and Power ....
Mill Work
Marble Tile and Terrazo
Metal Cabinets
Metal Bucks and Doors
Ornamental and Sundry Iron
Pumps
Painting ^^^^r;-;-;;;;;::;;;;-;;;;.
rt ho
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1,980 00
650.00
12,723.96
4,001.59
4,094.00
300.00
200.00
14,739.00
10,911.50
1,980.00
650.00
4,001.59
28.60
2,908.31
12,723.96
4,094.00
300.00
200.00
14,739.00
10,911.50
8,287.48
2,405.71
6,586.00
446.00
200.00
1,399.59
14,892.00
15,693.09
350.00
4,214.00
5,641.00
2,180.00
400.00
H
28.60
8,287.48
2,405.71
2,908.31
6,586.00
446.00
200.00
1,399.59
14,892.00
15,693.09
350.00
4,214.00
5,641.00
2,180.00
400.00
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Plastering
Plain Concrete
Plumbing
New Negro Bldg.
EXPLANATORY
Psychopathic Bldg.
EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations—(Continued)
21,057.00
1,520.00
22,414.71
20,079.90
2,110.34
Right of Ways
Roof Sheathing
Roofing and Sheet Metal .
351.12
971.61
TOTALS
21,057.00
1,520.00
24,525.05
20,079.90
7.50
650.00
11,829.00
1,560.00
2,162.00
9,317.00
250.00
1,170.75
6,942.61
4,044.60
1,783.00
348.00
96.00
19,330.00
7.50
1,120.00
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1,120.00
11.06
$
11.06
390.00
390.00
205.00
205.00
512.00
512.00
$ 12,045.45 $293,380.14 $ 3,334.57|$308,760.16
$
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O
H
650.00
11,829.00
1,560.00
2,162.00
9,317.00
250.00
1,170.75
6,591.49
3,072.99
1,783.00
348.00
96.00
19,330.00
Screens
T. C. Trim
EXPENDITURE:
U (A
$
EXHIBIT No. 5
Statement Special Appropriations, Expenditure, and Balances Available
to
rt o
EXPLANATORY
ffi
Appropriated During 1927 for New Buildings
A^laS^
TOTALS
Less Expenditure to Date ..........
.............
"
Balances Available for Completion and Equipment
—
■ $
500 00
'
'
528,206.75
$ 21,793.25
1* •—__
O
H
$500,000.00
80,000.00
50,000.00
80,000.00 $630,000.00
45,947.58 574,154.33
34,052.42 $ 55,845.67
$ 80,000.00
r
r
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o
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<
r
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w
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W
o
>
EIGHTY-SIXTH ANNUAL REPORT
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
<=8 c
Explanatory
Q
Inventories Beginning of Year
PURCHASES DURING YEAR:
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
Feeds—Home Grown
TOTALS
Deduct Inventories at End of Year
Net
Gross Profit for Year
Grand Totals
OPERATING EXPENSE:
Wages and Labor
Miscellaneous Supplies and Repairs
Treatment of Live Stock
Board of Employees
TOTALS
Net Profit for Year
Grand Total
PRODUCTION:
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Compost
Miscellaneous Food Supplies
Cash Sales
TOTALS
Gross Profit, down
o
H
$33,095.00 $20,468.50 $53,563.50
9,442.64
7,028.90
3,499.00
1,588.56
55.90
222.32
7,050.00
$47,681.10 $34,769.72
45,250.00 14,890.80
$ 2,431.10 $19,878.92
57,170.78 4,339.23
]$59,601.88 $24,218.15
9,442.64
7,028.90
3,499.00
1,588.56
278.22
7,050.00
$82,450.82
60,140.80
$22,310.02
61,510.01
$83,820.03
$10,818.64$ 3,217.10 $14,035.74
1,802.96
304.72 2,107.68
126.25
126.25
2,681.48
514.49 3,195.97
$15,429,331: 4,036.31 $19,465.64
302.92 42,044.37
41,741.451
$57,170.781$ 4,339.23 $61,510.01
$47,817.68
8,500.55
1,334.25
1,887.60
61.80
$59,601.88
57,170.78
$47,817.68
9,146.60
1,334.25
19,963.10 19,963.10
3,499.00 3,499.00
1,887.60
110.00
171.80
$24,218.15 $83,820.03
4.339.23 61,510.01
646.05
EXHIBIT No. 7
Statement ofOperating Funds, Per-Capita, Etc.
1929
I
1928
I
EXPLANATORY
69,412.33 $ 539,794.55 $
Cash and Cash Items
12,122.16
Cash Deficit at End of Years
$ 81,534.49]$ 539,794.55 $
TOTALS
250,855.90
25,972.87
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
42,997.97
16,902.38
Accounts Payable
39,337.94
38,659.24
Salaries and Wages
■- -•203,832.67
Due Treasurer, Overdraft General Fund
2,770.07
Balance
539,794.55j$
$ 81,534.49
TOTALS
Increase |
470,382.22
470,382.22]$
Decrease
12,122.16
12,122.16
224,883.03
t—i
r
r
w
26,095.59
678.70
203,832.67
2,770.07
458,260.06
in
H
>
H
W
K
COMPARATIVE PER-CAPITA, YEARS 1928-1929
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
Per-Capita Cost for Year ..
Per-Capita Cost for Day ..
$1,191,871.25 $1,289,522,221$
91,457.39|
13,388.04
1,178,483.21 1,198,064.83|
5,219
5,046
229.56)
233.55
0.62,89
0.63,98
r1
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97,650.97
78,069.35
19,581.62
173
O
in
•xl
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H
3.99
>
r
90
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1929
NAME
Adams, Clifton
Aetna Life Insurance Co
Allen, Bona
Alphons Cust'odis Chimney Construction Co. .American Bakeries Co
American Railway Express Co
Armour & Co
Atlanta Constitution, The
Atlanta Dental Supply Co., The
Atlanta-Godman Shoe Co., The
Atlanta Journal Co., The
Banks, H. G
Barnhouse, C. L
Barrett-Watson Co
Beck & Gregg Hardware Co
Bell Dry Goods Co., E. E
Bell Grocery Co
Bland Lumber Co
Bone & Shy Agents
Bowen Brothers Hdw. Co
Brantley, John T
Brown Co. D. W
Burford Hall & Smith
Burke Co., J. W
Burke, Inc., T. C
Campbell Coal Co
Capitol Electric Co
Carithers-Wallace-Courtney
Carr Co., A. J
Central of Georgia Railway Co
Chandler's Variety Store
Coleman-Meadows-Pate Drug Co
Collins, W. H
Conn, Agt. O. M
Conn Co., John
Crane Co
Culver & Kidd Drug Co
Dairy & Farm Supply Co
Dunlap Hardware Co
Electric Vacuum Cleaner Co., Inc
Ennis, J. H
Erwin, J. D
Estes Surgical Supply Co
Evans, W. C
Evansville Packing Co., The
Fillman Co., John W
Foley Co., Howard P
Fowler & Flemister Coal Co
Frederick Disinfectant Co
Friedman Shelby International Shoe Co
Fulton Electric Co.
Gambrell, P. H
Debits
Credits
$
1-20
938.44
7.90
12.36
230.00
4.85
439.76
8.64
17.22
2.62
16.80
948.80
19
57.30
23.30
12.25
1,368.62
57.72
100.00
-57
410.83
9.55
1,090.00
10.17
125.60
223.28
791.68
-30
364.75
4,717.02
7.11
94.74
100.80
13.50
405.27
60.24
2.00
13.77
-51
10.07
1,402.74
156.63
6.02
620.00
787.50
1-50
479.30
318.50
15.00
14.37
43.87
25.00
91
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1929
NAME
General Electric Supply Corp
General Electric Co
Georgia Banana Co
Georgia Power Co
Georgia Railroad Co
Gilham Electric Co
Gilman, j. M
Gilman, W. P
Graybar Electric Co
Grinnell Co
Gulf Refining Co
Hall, Dr. T. M
Halliburton Co., T. H
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
Herring, Frank S
Hollinshead, G. W
Ivey, W. H
Jakes Shoe Store
Jordan, L. N
Joel Manufacturing Co
Johns-Manville
Lombard Iron Works & Supply Co
McKesson-Riley Drug Co
McKinnon Motor Co
McKinley, G. C
McMillan, R. W
McCray Refrigerator
Macon Electric Co
Macon Telegraph Publishing Co., The
Malt Diastase Co
Manufacturers Record
Mathieson Alkali Works
Metz, Laboratories, H. A
Milledgeville Telephone & Telegraph Co
Milledgeville Brick Works
Nash Engineering Co., The
Newell, A. C
Oconee Clay Products
Peeler Hardware Co
Pitner, W. C
Pick & Co., Albert
Pocahontas Finishing & Commission Co
Rambo Co., R. K
Ray-Lyon Co., Inc
Rhoads & Co
Richardson Milling Co., O. N
Robinson, A. M. & Co
Rothschild, David & Co
Sanders, Laetus
Schofield's, J. S. Sons Co
Seft'on Manufacturing Co
Credits
Debits
260.65
6.49
100.42
3,071.77
12,425.46
30.48
21.53
69.83
28.26
108.37
113.74
37.50
834.41
140.24
250.0U
1,000.00
557.61
395.80
108.90
/B
.52
473.01
45.02
103.26
4.75
689.20
236.64
14
-!'
-
1.02
13.50
35.63
11.20
42.87
60.00
51.99
17.30
929.07
25.00
176.69
4.01
25.00
446.08
.91
81.97
1.20
.86
123.00
20 40
-
143.70
150.00
72.94
39.00
92
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1929
NAME
Selig Co
Shaw, Dr. H. M
Silvermans Bakery
Slusky, David & Son
Southern Paint & Varnish Co
Sparta Crushed Stone Co
Spiller's Cannery, W. A
Standard Sanitary Mfg Co
Stembridge & Co
Stephens, Inc
Swift & Co
Taylor Iron Works
Thomas County Produce Exchange
Tidweii, L. E
Trawick, S. B
Tropical Paint & Oil Co
Truscon Steel Co
Union Recorder
Veal, O. F
Wager & Co. .
Washburn Crosby Milling Co
Warren Webster & Co
White Provision Co
Whit'field Grocery Co. ...
Wood, R. D. & Co
Youngblood, J. M
TOTAL
Debits
Credits
9.S0
1.01
48.72
ZZZZZ
19 U
...;;;"";
ZZZZZZ
ZZZZZZ
10 00
23.04
162.50
125.00
104.50
153.98
118.50
16.91
139.50
49.37
199.52
240.81
887.80
47.48
51.78
30.00
193.38
553.01
133.03
4.25
339.98
37.20
$
437.11
$43,435.08
93
UTT T.F.nc-EVlLLE STATE HOSPITAL
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1929
Debits
NAME
Adams, Eula
Adams, Lois
Adams, Leila
Adcock, Dr. J. C
Allen, L. E
Allen, T. M
Allen, W. K
Anderson, Mary H
Andrews, Kate
Austin, Augustus
Austin, Jessie Lee
Badger, F. D
Bailev, La Rue
Bailey, R. F
Baugh, W. E
Beck, Bethel
Beck, Ophelia
$
,
<
^ $
,'„
.;,n
1&
-^
■%?.
.-^
L
°^
■
'.,.
„
'
-™
\-'Ji
^
■'"
^
,^i
Berry, W. T
\f:
Bivins, Homer
Blackwell, A. N
Blount, Cleo
Bonner, A. E
Bonner, M. M
Bonner, R. B
Bostick, Dr. W. A
Bowen, Dr. U. S
Bradford, Dr. R. W
Brannan, Mrs-. Belle
Brantley, Clara
Brantley, C. L
Brantley, T. C
Brookins, E
Brooks, Arline
Brooks, Mary, Sr
Brooks, Mary, Jr
Brown, Dan
Brundage, Ellie
Butts, Compton
Califf, D. C
Califf, H. G
Calloway, Naomi
Carter, Josephine
Case-Fowler Lumber Co
Champion, R. L
Clay, Laura
Coats, Margaret
Collins, A. J
Collins, Virginia
Combes, Louise
•„„
^
'oc
'7f)
'^
.'.,„
Cooper, Annie
Credits
1ZU
340
r'^
—
-
^
5;
„c
'_„
j^i
-•_,,
^°
'70
.'^Q
.'„„
■
£"
°"
',.
.._•.„
ify
• Q
•-,
^
.'r.-,
^
'20
94
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No, 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Debits
Cox, Dr. C. G
Cox, Willie Mae
Coxwell, Mrs. T. B
Criswell, I. G
Crumby, Gladys
Curtis, J. L
Davis, J. Roy
DeSaussure, T. H
Dickerson, A. B
Dobyns, Dr. W. F
Durden, Paul
g^den, W. R
Echols, Marie
Echols, Dr. G. L
Edwards, G. W
Edwards, Mary A
Edwards, Minnie
English, Mrs. Rillie
Epps, R. S
Evans, Sarah
Farell, Arthur
Finsley, Ellison
Frederickson, Miss L. C
Gambrell, P. H
Garland, Lillie
Garland, Rosa
Garrard, Dr. J. I
Gay, Thetus
Gilman, H. E
Gilman, James, Jr
Gilman, J. M
Gilman, W. F
Golden, Bell
Golden, Willie
Ha'j. Dr. T. M
Hall, Mattie
Hamlin, Vallie Mae
Harding, F. H
Harden, Dovie
Harden, Donnie Mae
Hardie, Blanche
Hardy, James Preston
Hardy, Mrs. A. B
Hardy, Lula
Harris, I. L
Harris, Leonora
Harrison, I. V
Harrison, W. S
Hemphill, W. A
Herringdine, Joe
Hicks, Audry
Hilburn, Ophelia
Credits
17.16
2*30
315
2 72
'99
'45
70
"
Z.
"
ZZZ."
Z.ZZZZZ"
'
'
.............
1!..."""....
'
ZZZZ
10
gQO
'go
2L00
60
70
'52
34
'25
2.00
'30
85
1 76
1 15
65 70
2 95
~\ ZZ
1 33
'35
^ 55
25
70
42
"<n
......ZZIIZZZZZZ
'"""""'
ZZZ"
ZZZ.'.
ZZ.
ZZZ.
69T0
345
60
3^0
500
45
1 ?0
'35
25
60
V
01
2 94
i'7r
90
J'QQ
7'qo
ZZZZZZZZZZZ
L20
2.50
99.68
10.60
MTT
95
T FDGF.VILLE STATE HOSPITAL
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Hilbun, Pauline
Hitson, Linnie
Hobgood, Susie
Holland, Louise Eva
Hollis, D. H
Holsenbeck, J. B
Holsey, L. S
Hubbard, Carrie
Hudson, C. E
Hudson, Mary
Humphrey, Cecile O
Humphrey, Otis
Hunt, Sadie
Jackson, Dovie
Janes, George A
Jett, W. S
Johnson, A. W
Johnson, F. J
Johnson, J. C
Johnson, Myrtle
Johnson, Nancy Lorene
Johnson, R. L
Joiner, Pauline
Jones, H. S
Kelsey, Mariah
Kemp, Maude
Kitchens, Idel
Knowles, Sarah L
Lavender, C. B
Lawson, E. L
Layfield, A. W
Lavfield, B. L
Layfield, J. A
Layfield, R. G
Lee, Lutitia
Lenderman, Lois
Leonard, W. H
Little, F. G
Lingold, Pearl ...
Longino, Dr. L. V
Lundy, E. J
Lyons, Julia
Lyons, Sallie Mae
McCorkle, Kitty
McDade, A. C
McDade, W. C
McDade, W W
McKinley, A. C
McKinley, R. L
McManus, Louise
McMichael, Geo. L
Debits
CreditS
H^
-
3Q
'-o
'-£°
j-~
^
^
20
/^n
j'^
-QO
"pg
'^2
^
-^
60
215
6g
1193
'~„
^
/QO
jjs
'«
2*6n
lg0
',Q
'^
'^j
'en
-™
„„
^
,'^j
264
.'25
jg
740
10 30
^
\Q
'yg
.'R„
^
1ftn
'""
3$
2 1j
',,
'gj
96
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Mahoney, Fannie
Manson, Evelyn
Marsh, J. F
Martin, Janie
Mathews, T. W
•
Medlin, C. P
Mobley, Dr. J. W
ZZZZZZZZ
Moore, Lula
Morris, Addie Mae
..
Moses, Will
Mullinix, D. W
Newell, A. C
ZZZ.ZZZ.
Nelson, Nicie
Olliff, Estell
ZZ.ZZ.ZZZ
Osborn, H. L
Overton, Minnie ....
Payne, Leo
Peacock, Lydia
Penuel, F. C
Peeler, Lorene
Pendleton, Annie B
Perry, Fred H
Pitner, W. C
ZZZZZZZZ
Phillips, Louis
Pitmann, Shellie
Pounds, S. F
Power, W. B
Quinn, C. J
Rankin, Dr. D. T
Reeves, C. F. ...
""
Reed, R. R
ZZZZZZZZ.
Renfroe, Edna
ZZZ.
Renfroe, Samantha
Reynolds, G. B
Reynolds, J. Alfred
Reynolds, T. J
ZZZZZZZZZZZZZ.
Rhodes, Laurice
Rice, Walter
ZZZZZZZZ
Richardson, Janie
Roberts, H. B
ZZZZZZZZ.
Robinson, Johnnie E
'""'
Robinson, Lucile
Rogers, J. A
[
Rogers, W. E
Ross, G. W.
Ross, j. D., sr
....;;
Ross, J. D., Jr
...ZZZ
Sanders, Laetus, Dr.
Sanford, Willie
ZZZ..."
Satcher, Maggie
Satcher, Mattie
.Z..Z
Debits
Credits
.30
142
JQ
138
'50
2 72
SJS
'49
'51
'gQ
'70
69A0
jo
66
25
1 gQ
'35
'3Q
475
'47
'30
'ir
1160
JQ
'59
j'95
'70
or
,„
?r
20
60
2 24
J"oc
7,'f.c
75
<%Q
100
c'nn
50
'3Q
j'30
,•.7?
1fi Co
16
-^
35
1 cn'on
144
'o0
30
l,M
MILLEDGEVILLE STATE HOSPITAL
97
97
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
Debits
NAME
Saulsberry, Sam
Schwall, Dr. E. W
Scott, Sallie
Shaw, Dr. H. M
Shepard, Ruth^
Simpson, B. C
Simpson, Charles E
Simpson, C. H
Skinner, Sallie Mae
Smith, Arthur S
Smith, Dr. l_. K
Smith, E. L
Smith, J. Roger ,
Smith, Jewell
Smith, J. T
Snellings, Corene
Snow, W. H
Sparks, George Mclntosh
Sparks, Wm
Spinks, Nora Elizabeth
Statham, Dr. J. C
State Farm. Ga
Stavely, G. C
Stembridge, W. W
Stinson, J. F
Stubbs, Cleo
Taylor, Hershal
Taylor, Ora
Tennille, A. S
Tennille, W. K
Thomas, Annie M
Thompson, F
Tooel, Elias F
Toulson, John R
Toulson, W. S
Tucker, Martha
U. S. Public Health Service
Usery, W. J
Vinson, J. T
Warnock, H. D
Walker, Carrie B
Walker, Dr. N. P
Waller, Robert
Watson, Mozelle
West, Maggie
Wheeler, Dr. G. A
White, James
Wilson, Ernest
Wood, B. F
Worsham, Dora
Worsham, J. I
CreditS
2 •„.
07
1J!
"
17,ft
u
'Ti
2 75
VQ
-—
-^
</»,
°-^
;1Q
^
'7Q
'65
3'90
.".j
'5Q
-.—
-
/nft
°-^
-'~n
'•"
;7S
j ^
,'Qn
^
'g0
'2Q
^
125
'n9
•"£
■^
„'^7
^5
^5
207
1W7?
lzo
-^
j5
^'JQ
—•■
-----
^
•-„
.„
£^j
j'^g
„".,8
-]°
^j
".c
-^
'oc
3Q
98
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Wright, D. B
Wright, S. R., Jr
Yancey, Bessie
Yarbrough, J. F
Yarbrough, Dr. Y. H
Youmans, Dr. C. R
Young, D. V
Youngblood, C. A
Youngblood, C. E
TOTAL
Debits
Credits
.20
5.40
7.12
17.25
5.00
34.10
3.39
.20
.70
$ 1,449.96
$
133.66
99
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
1,018 Bushels Butter Beans
$ 3,054.00
975 Bushels Snap Beans
V ™
315 Bushels Beets
652.50
22 Bushels Carrots
33.00
30,860 Heads Cabbage
,,(££en
33,685 Heads Collards
Y o?5™
25,538 Cantaloupes
^InZ,
5,356 Roasting Ears
160.68
169 Bushels Cucumbers
no'en
890 Heads Lettuce
9£f0
26 Bushels Egg Plants
78.00
1,324 Bushels Okra
I'mS'cn
1,245 Bushels Onions
T'?!,™
420 Bushels Garden Peas
M^XX
171 Bushels Pepper
468.00
100 Bushels Irish Potatoes
inn,oX°»
14,182 Bushels Sweet Potatoes
'tH™
8
1,734 Bushels Rape
°2-00
265 Bushels Spinach
167.50
1.424 Bushels Squash
3.5W.UU
1,060 Crates Tomatoes
7'?™ en
2,979 Bushels Turnip Greens
M*n*n
26,496 Watermelons
■•*
1,589 Bushels Peaches
3,178.00
1,350 Pounds Pecans
337.50
PACKING HOUSE PRODUCTS:
4.425 Pounds Dressed Beef
58,491 Pounds Pork
POULTRY AND EGGS:
741 Lbs. Hens
1,050 Lbs. .Friers
119 Lbs. Roosters
2,549 Dozen Eggs
DAIRY PRODUCTS:
49,729 Gallons Sweef milk
3554 Gallons Cream
FARM PRODUCTS:
1,356 Loads Compost
FARM SALES:
3 Bushels Corn
100 Pounds Vetch
$
$47,817.68
646.05
8.500.55
$ 8,146.60
146.46
361.06
17-95
808 78
-
? 1,334.^
*,„0™*n
$19,891.60
71.50
$19,963.10
$ 3,499.00
? 3,4yy.UU
$
$
6.00
If-0"
200
iSdz^anz::zzzzzzzzzz _4a§2 $
DAIRY SALES:
1 Bull zzzzzz.
MISCELLANEOUS FOOD SUPPLIES:
Meal and Potatoes
10.00 $
$ 1,887.60
6i.so
no.00
$ 1,887.60
JOHN T. BRANTLEY
President of the Board of Trustees and a member of it from 1901.
EIGHTY-SEVENTH ANNUAL REPORT
BOARD OF TRUSTEES
Milledgeville State Hospital
(Formerly Georgia State Sanitarium)
MILLEDGEVILLE, GA.
For the Year Ending
December Thirty-First
Nineteen Thirty - - -
Board of Trustees
President
JOHN
T. BRANTLEY
Blackshear, Ga.
Vice-President
*THOS.
M. HALL, M. D
Milledgeville, Ga.
Secretary
xC. C. BRANTLEY
Valdosta, Ga.
E. E. LINDSEY
ALFRED C. NEWELL
.....Rome, Ga.
Atlanta, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
M. D
C. PITNER
Macon, Ga.
Commerce, Ga.
Athens, Ga.
H. W. SHAW, M. D
Augusta, Ga.
RICHARD BINION, M. D
Milledgeville, Ga.
(From August, 1930).
MRS. FANNIE PEEPLES PATTERSON
Valdosta, Ga.
(From October, 1930).
*Resigned.
xDeceased.
Committees of the Board of Trustees
MlLLEDGEVILLE STATE HOSPITAL
Executive Committee
Alfred C. Newell, Chairman
E. E. Lindsey
*Thos. M. Hall
Walter C. Pitner
xC. C. Brantley
Finance and Auditing Committee
E. E. Lindsey, Chairman
P. H. Gambrell
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Thos. M. Hall, Chairman
H. W. Shaw
Laetus Sanders
Committee on Buildings and Grounds
H. W. Shaw, Chairman
P. H. Gambrell
Alfred C. Newell
Committee on Farm and Outside Business
Walter C. Pitner, Chairman
Laetus Sanders
P- H. Gambrell
*Resigned.
xDeceased.
Officers of the Hospital
R. C. Swint, M. D
Supt. and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
...-Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
D. T. Rankin, M. D
Assistant Physician
U.S. Bowen, M. D. (Resigned 10/21/30) Asst. Physician
R. W. Bradford, M. D
Assistant Physician
. C. G. Cox, M. D
Assistant Physician
W. A. Bostick, M. D
Assistant Physician
J. W. Mobley, M. D
Assistant Physician,
C.R.Youmans,M.D. (Resigned7/1/30) Jr. Asst. Physician
J.C.Statham,M.D. (Resigned 12/31/30) Jr. Asst.Physician
E. W. Schwall, M. D
Junior Assistant Physician
J. D. Wiley, M. D. (From 11/15/30) Assistant Physician
W. J. Burdashaw, M. D. (Resigned 6/1/30)
Interne
G. K. Cornwell, M. D. (From 9/15/30)
Interne
Raymond Suarez, M. D.(From 10/15/30)
Interne
Geo. H. Green, D. D. S
Dentist
J. C. Adcock, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
W. S. Jett, Jr
Engineer
H. S. Jones
Secretary
F. C. Penuel
Farm Steward
Arthur Farell
Storekeeper
W. W. Stembridge
Sanitation Officer
Leone Frederickson, (Resigned 4/ 30)
Dietitian
Mrs. Geo. L. Echols
Dietitian
Cecil Humphrey
Social Worker
Hines & Carpenter
Attorneys
EIGHTY-SEVENTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
MlLLEDGEVILLE, GA., JANUARY 1, 1931.
To His Excellency, Lamartine G. Hardman, Governor.
Sm:
The Board of Trustees of Milledgeville State Hospital,
charged with the care of the State's insane, respectfully
submits herewith its eighty-seventh annual report
covering the conduct and management of ^ inrtitafaon
for the year 1930. The annual report of the Superintendent and Resident Physician, accompanied by those ot
the heads of departments, forms its principal part and
presents the history of the year ""nteresting d M
The record made is an excellent one and justly entitles this
official, and his assistants, to high praise. The Hospital
continues to make steady progress, even though it be slow,
toward a greater efficiency in the humane purpose tor
which it exists.
The Patients
The year closed with 5320 resident patients in the
Hospital. The average daily number of such was 5^29,
an increase of 110 over the previous year It was
necessary to deny admission to 458 applicants, while 1052
were granted admission. Lack both of room and of funds
for their support made such denials imperative. The rule
of the Board severely restricting admissons to dangerous
cases, and to recent or acute cases, and even these
to vacancies caused by death or discharge, has occasioned
much distress in many instances, but hasbeen unavoidable The reports reaching the Board would indicate that
many of those to whom admission was denied are being
cared for in the county jails in the absence of local
hospital facilities. The Board deeply ^egrets this condition and again urges that the funds appropriated for
relieving it be made available at once.
EIGHTY-SEVENTH ANNUAL REPORT
Cost to the State
The operation of the Hospital in 1930 cost the State
$1,245,912.00, or $233.80 for each patient based on the
average daily number resident in it. Assuming the
appropriations made to it for maintenance to have been
paid in full it would appear to have lived within its means,
and to have closed the year with a surplus of supplies and
cash on hand of $157,619.00. Its good business management is thus attested. Unfortunately, however, these
appropriations have not been paid in, full and the year
closed with $380,000.00 yet due the Hospital on them,
and with it in turn due its creditors a correspondingly
large sum, on which interest is now accumulating. It has
been able to pay few supply bills since; June last. The
Board now records its appreciation of the generout treatment accorded the Hospital by its creditors in the extension of time of payment granted, and which has made
it possible to keep the Hospital open.
The problem of maintenance, because of the inability
of the State to discharge its obligations to the Hospital
punctually and in full, was not the only one to confront
the Board, for it was also faced by liabilities it could not
discharge incurred under the new building appropriation
of 1927, due for payment in 1928 and 1929, and which has
still not been paid in full. A second appropriation for
new buildings was made in 1929, and on the two the State
was due the Hospital at the close of the year $597,135.00.
There was also due it on the appropriation for enlargement of the pumping station made in 1927 a balance of
$34,881.00. In this situation the Board felt justified in
using a payment of $205,000.00 made on the 1929
appropriation to reduce the indebtedness incurred under
the older one and this was done. This payment left a
balance yet due on this indebtedness of $67,129.00. When
payment is made of the 1927 balance the Board will be
able to pay this debt in full and to restore the funds
borrowed from the new appropriation. It can take no
steps for the construction of buildings under the new
appropriation until this has been done.
In all, the State would appear to be due the Hospital
under all these appropriations the sum of $977,133.00.
Provision for 1932 and 1933
At its present rate of growth and with the new
buildings completed and in use, the Board estimates that
provisions must be made for 5700 patients in 1932, and
MILLEDGEVILLE STATE HOSPITAL
for 5900 in 1933. Because of the downward tendency in
the cost of supplies it believes that this increased number
of patients can be cared for within the estimated cost for
1931 and therefore recommends that an appropriation
for the next biennial period of $2,800,000.00 be granted,
one half of which shall be made available in 1932, and one
half in 1933.
The Plant
The Hospital continues overcrowded, its equipment
being unequal to the demand on it. This serious situation
is not new, nor has the Legislature faikd to act for its
relief as the building appropriation had in 1927 and 19^9
testifv. Three buildings were thus provided for, one ot
which is completed and in use, and a second completed
but not yet in use because of a lack of funds with which
to furnish and operate it. This second building is designed for use as a hospital and promises to be of great
worth to the medical department. The appropriation of
1929 orovides in error for but one building, and not lor
the three asked by the Board. The sum appropriated is
sufficient for the three and permission should be granted
the Board to erect them as soon as the appropriation is
paid The completion of all these buildings will relieve
the present congestion but will provide little room for
fUtU
Thfrgreat physical plant has been kept in the best
repair possible with the limited funds available to the
Board The great age of many of the buildings makes
this expense an item of no mean proportions.
A consolidated or central heating plant, combined
with an electric power and light plant offers attractive
economical possibilities and might wisely be given careSi consideration by the Legislature. The report of the
Board for 1928 presented an estimate of the cost ot
building and operation of such prepared by. ^i^rs °f
experience. The cost was then estimated at $367,500.00,
and the saving to be effected by it at $23,449 00 per
annum. No doubt the cost could now be revised downWarC
There should be a revision of the value on which the
fire insurance carried by the State on the plant is based
The replacement cost of the buildings is far in excess of
the original cost now the basis for this insurance, and
the State should be more fully protected for its own sake,
as well as for the sake of the Hospital.
10
EIGHTY-SEVENTH ANNUAL REPORT
The water supply of the Hospital is seriously
endangered because of the failure to complete the enlargement of the pumping station made possible by the
appropriation for this purpose had in 1927. This is due
to the failure to make payment to the Board of the balance
due on this appropriation. A part of this work has been
completed and is in use, but additional settling basins,
filters and pumps are yet to be installed. Water consumption by the Hospital now nears the capacity of the
present plant and is seriously endangered by the weakened
condition of the filters in use. The Board cannot too
strongly urge the necessity for making the balance due on
the appropriation available to it at once.
Other Building Needs
The report of the Clinical Director gives some indication of the growing use by the medical department of
occupation thereapy in the treatment given. Its worth
has been so abundantly demonstrated that the needs of
the department looking to its wider use should be fullv
supplied. The most important of the present needs is for
a larger amusement hall, the old one having long since
become too small for the present population. It is located
in one of the dormitory buildings and can be readily
utilized so that its abandonment will occasion no loss. A
new building of ample size and suitably equipped is
estimated to cost $50,000.00.
The Hospital in all the years of its existence has
never possessed a home for its Superintendent, and to
which he is entitled. The need for more room for administrative purposes and the fact that his present apartments are located on the second floor of the administration
building and are convenient for such use impels the Board
to ask an appropriation in the sum of $25,000.00 with
which to build such a home. He is the official host of
the Hospital and his residence should be ample in size and
in keeping with the dignity of his position.
Protection From Fire
The danger of fire is ever present in the Hospital.
One such was had during the year but without serious
results. With the exceptions of simple frame bulidings in
use on the farm and as tuburcular wards, and one
building of fire resistant construction, the buildings
housing patients are of brick and wood construction and
MILLEDGEVILLE STATE HOSPITAL
11
covered with metal roois. Practically all are three
stories in height. The Hospital has no fire escapes on
the outside. Those of the ladder type would be dangerous
to insane persons and those of the tube type of dubious
value. Reliance is placed on inside stair ways of wood
properly enclosed, and on fire doors, for the protection ot
the inmates. The Hospital has an organized, well
equipped fire department, and is supplied with water
mains well distributed throughout the grounds. A water
storage reservoir of 1,000.000 gallons capacity is kept constantly filled. The most practical form of protection
against fire, other than those had, is through sprinklers,
and to install these in all the buildings will entail a cost
estimated at $230,000.00.
Widening the Work of the Hospital
The Board continues to grant the use of members of
the medical staff to clinics in Macon and Elberton, conducted by the local medical bodies, to aid in the diagnosis
of persons showing signs of mental disorder and in prescribing proper care and treatment for them. The success
attending these clinics has led to the establishment ot
another in Athens, from which good results are expected
The expense thus far has been small. This work might
usefully be extended to all the large centers in the State,
and should be when funds to defray the cost are had. The
advice of the Hospital physician in such cases may not
infrequently serve to prevent a later commitment to the
^Insufficient funds and not lack of interest has kept
the Hospital out of another field of usefulness which
should be occupied, and this the after care of its discharged patients until mental strength is fully restored.
The newly restored mental case does not differ greatly
from the newly restored physical case, and both require
watchful oversight for a time. To subject such cases too
soon to the stress and strain of life is most unwise. The
Board hopes that through the organization of the smaller
counties into health districts to be supervised by health
officers that the way may be opened for this supervision
at the minimum of cost. In the larger counties in which
a well organized health service now exists this supervision
should not be difficult when once installed.
The Hospital School of Nursing is conducted with
such success as to keep the Hospital well supplied with
graduate nUrSes well trained in the care of mental and
12
EIGHTY-SEVENTH ANNUAL REPORT
nervous cases, and in addition to send forth into private
practice many others so trained. A service of distinct
value is thus rendered society.
Second Hospital for the Insane
It is very evident that the founding of a second
hospital for the insane is inevitable. This is shown in the
great and growing population of this Hospital, and in the
unceasing demand on it for admission. In addition there
are problems of management which make too large a
hospital most unwise. The founding of such second
hospital is a matter of such major importance as to
demand that its founding be preceded by careful study,
not only of the need but also of type and location. The
Board suggests the unwisdom of a much longer delay.
Law Amendment
The present provision for admission to the Hospital
as shown in Michie's Code Chapter 3, Article 2,
Section 3102, because of the confusion in its terms, should
be repealed. It seeks to create two classes of patients,
pay and pauper, the last being those possessed of estates
of less than $3000 in value. It sets up no method for
ascertaining the value of any property owned by those
seeking admission, and provides no means of collecting
from the estate of "pay" patients its "reasonable charge
for board and keep". No provision is had for those whose
estates may be exhausted in their support, or whose income may be unequal to the cost of such. It is not
retroactive and applies only to new cases. Its terms are
such as to prevent its enforcement. The Board does not
believe the law wise, and for these reasons:
(a) The State must of necessity place under
custodial care its insane citizens regardless of any
property they may possess. The best interest of society
are so served.
(b) Patients possessed of property are already
taxed for the support of the State government, including
the Hospital.
(c) It is conceivable there may be cases whose
relatives will prefer to keep them out of the Hospital in
order to save the expense involved, and so endanger the
interest of society.
(d) It will serve to create within the Hospital a
class distinction among the patients capable of working
a great harm to those of the "pauper" class.
MILLEDGEVILLE STATE HOSPITAL
13
It is the well considered opinion of the Board that the
wise policy of the State is to admit free of charge all bona
fide citizens of the State. If any citizen is to be taxed for
the cost of his support therein it might well be those who
possess an ample estate with no one dependent on them.
These however, will be few in number and the income
from 'such source will be small. Of the admissions in
the year just ended only 11 are reported as having an
ample estate and all of these doubtless had dependents
Should the burden of supporting the Hospital be too great
a tax on the income of the State then the Board suggests
that consideration might be given to the policy prevailing
in many of the States of pro-rating the cost, on some
equitable basis, between the State, and the County committing.
For these and other reasons the Board recommends
the repeal of the law cited and the enactment ot the
following as a substitute:
STATE HOSPITAL FREE TO WHOM: The said State
Wr^nital shall be free to all bona fide citizens of the State
w^may be legally adjudged insane, or afflicted with mental
disease.No paralytic invalid, epileptic, idiot imbecile drug
addict or alcoholic addict shall be committed or admitted
to it.
A history must accompany all applications for admission
to the said State Hospital which shall show a just and adequate
reason why such admission should be had, and if .such reason
is not given, the Superintendent may refuse admission.
The relatives or friends of any person admitted to the
said State Hospital who may desire to furnish them with
clothing extra food and other creature comforts shall be
allowed the privilege of doing so at their own cost but under
sucT rules and regulations as the Board of Trustees may
prescribe,
If any person committed and admitted to the said State
Hospital shall be possessed of an estate equa to his support
and sha 1 be without near and dependent relatives such estate
shalfvest in the Board of Trustees to be expended for his use
and support; provided, however, that in the event of his discharge any residue remaining of such estate shall be restored to
him: and it being further provided that injhe event of his
death the title to such estate shall then vest m the btate
Hospital
In view of the biennial sessions of the Legislature
some expense might be saved the Hospital by the substitution of biennial for the annual reports now required by law to be made by this Board. The Board
recommends that the law be so amended.
14
EIGHTY-SEVENTH ANNUAL REPORT
Resignation of Trustee, Thomas M. Hall
The resignation from the Board of its Vice-President,
Dr. Thomas M. Hall of Milledgeville, because of ill health,
deprives it of the services of one of its most useful
members, and it records the fact with deep regret. The
demands of a large practice did not prevent the punctual
discharge of his every duty to the Hospital. In, his search
for renewed health the kindly interest of trustees and
officers alike follow him.
Death of Trustee, C. C. Brantley
It is the sad duty of the Board to record the passing
of one of its members, the death of Mr. Charles Conn
Brantley of Valdosta having occurred on July 28, 1930,
after a brief illness. He became such member by appointment of Governor Joseph M. Brown in 1913, and in 1921
was made its Secretary. His wise judgment of men and
matters, a faithful service ably rendered and a warm
heart gave him high place in the esteem of his associates,
and cause him to be greatly missed.
In Conclusion
In submitting this report of its stewardship the
Board thanks his Excellency for the support given it in, a
most trying year. Responsibility for the well being of
so many of the helpless and dependent is not a light one,
especially so when funds for their support is lacking, but
the Board has made a most faithful effort to meet it. It
can but hope the dark days of the Hospital are safely
passed and that the coming year will see its financial
needs fully supplied. It makes due acknowledgement of
the courtesy shown it by the State Auditor, and of the
sympathetic attitude of the State press. Its members
esteem it a high privilege to have rendered this service to
humanity and once more unite in commending this great
family of the afflicted to the protection of the Heavenly
Father.
By order of the Board of Trustees,
JOHN T. BRANTLEY,
President.
15
MILLEDGEVILLE STATE HOSPITAL
Eighty-Seventh Annual Report
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
THE HONORABLE BOARD OF TRUSTEES,
MILLEDGEVILLE STATE HOSPITAL,
MILLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules and statutory requirements, I have the honor of submitting the eightyseventh annual report of the Milledgeville State Hospital
for the fiscal year ending December 31, 1930.
The reports of the heads of Departments give a
general review of the work of the hospital during the year,
and the reports are appended hereto as follows:
The Clinical Director,
The Dental Department,
The Superintendent of Nurses,
The Laboratory,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
General Statistics of Patient Population
for the year 1930.
Patients on books first day of year:
Actual resident population....
On parole or otherwise absent
Total
^ ^^ ^
2402
34b
2889
6te
5291
b 5
'
2748
3221
5969
Admitted during the year:
First admissions
Readmissions
<<
J^
*'£
_^f
'
^UU
Total admissions during the year....
Total on books during the year
465
3213
487
3708
952
W^i
6
16
EIGHTY-SEVENTH ANNUAL REPORT
Discharged from records during
the year:
As restored
- - As improved
-As unimproved
As without psychosis...
*£
^
^^
6
73
157
28
3
164
319
61
9
Total discharged during the year.
Total died during the year
292
227
261
196
553
423
Total discharged and died
Patients on books last day of year:
Actual resident population..
On parole or otherwise absent—
519
457
976
2365
331
2955
294
5320
625
2696
3249
5945
Average daily population
Applications received during the year
Applications refused account overcrowding
-
5329
lolJJ
458
Total
Of the 5,320 patients in the Hospital December 31,
1930, 8 are clinically grouped as Traumatic psychoses,
composed of 6 white males, 1 colored male and 1 colored
female.
75 are grouped as Senile psychoses, composed ot J
white males, 33 white females, 5 colored males and 28
colored females.
164 are grouped as psychoses with Cerebral Arteriosclerosis, composed of 68 white males, 22 white females,
42 colored males and 32 colored females.
128 are grouped as Dementia Paralytica, composed
of 62 white males, 11 white females, 33 colored males and
22 colored females.
25 are grouped as psychoses with Cerebral Syphilis,
composed of 14 white males, 5 colored males and 6 colored
females.
,
7 are grouped as psychoses with Huntington s
Chorea, composed of 3 white males, 3 white females and
1 colored female.
71 are grouped as psychoses with other Brain and
Nervous Disease, composed of 29 white males, 22 white
females, 16 colored males and 4 colored females.
14 are grouped as psychoses due to Alcohol, composed
of 11 white males and 3 colored males.
10 are grouped as psychoses due to Drugs, composed
of 7 white males, 2 white females and 1 colored female.
MILLEDGEVILLE STATE HOSPITAL
17
38 are grouped as psychoses with Pellagra, composed
of 8 white males, 4 white females, 1 colored male and 15
colored females.
32 are grouped as psychoses with other bomatic
Disease, composed of 9 white males, 11 white females, 6
colored males and 6 colored females.
1092 are grouped as Manic-Depressive psychoses,
composed of 228 white males, 454 white females, 165
colored males and 245 colored females.
1 993 are grouped as Dementia Praecox, composed of
556 white males, 719 white females, 249 colored males and
469 colored females.
36 are grouped as Paranoia or Paranoid Condition,
composed of 12 white males, 20 white females, and 4
colored females.
414 are grouped as psychoses with Epilepsy, composed of 131 white males, 148 white females, 89 colored
males and 46 colored females.
#
30 are grouped as Psychoneurosis, composed of J
white males, 19 white females and 2 colored males.
37 are grouped as psychoses with Psychopathic
Personality, composed of 15 white males, 12 white
females, 8 colored males and 2 colored females.
708 are grouped as psychoses with Mental Deficiency,
composed of 259 white males, 265 white females, 119
colored males and 65 colored females.
445 are left Unclassified, composed of 98 white males,
179 white females, 84 colored males and 84 colored
females. A further study of this group will doubtless
find that the majority of them have developed symptoms
that will put them in the Dementia Praecox group.
1 white male is provisionally grouped as Mental Deficiency without Psychosis, 1 white female and 1 colored
male are grouped as Epileptics without psychoses.
It is noted from the above information that 1,993
patients or 37.4% of the Hospital population are afflicted
with Dementia Praecox, and 1,092 or 20.5% with MamcDepressive psychoses, and that these two mental disorders comprise over one-half or 57.9% of the Hospital
Population. When it is further noted that these two
mental disorders constitute 54.3% of the total admissions,
the location of the clinical groups containing the major
problems in mental disease is more clearly indicated.
The total number of patients in the Hospital at the
end of the year is only 29 more than at the beginning, but
the daily average was 5.329 compared to 5,219 the
previous year, or an increase of 110.
18
EIGHTY-SEVENTH ANNUAL REPORT
Admissions
1,510 applications for admission were received, compared to 1,683 the previous year, a decrease of 173. We
think this decrease probably due to the Ordinaries of the
various Counties having knowledge of the overcrowded
condition of the institution, rather than a decrease in the
incidence of mental disease in the State.
Account of overcrowding, 458 were refused admission, compared to 379 the previous year, an increase of
79.
952 were admitted, compared to 1,229 the previous
year, a decrease of 277. Of the 952 admitted, 752 were
first admissions and 200 were readmissions, i. e. had
previously received treatment in this institution, other
State hospitals or private mental hospitals.
It might be of interest to note also that 337 or 35.3%
of the admissions had been engaged in some form of
agricultural occupation, 26 or 2.7% had professions, 140
or 14.7% had occupations of domestic and personal
service, 6 previously employed in public service, 45 in
trades and transportations and the remainder had
miscellaneous occupations.
848 or 89% of the total admissions were native
Georgians, and only 5 were born in foreign Countries.
Of the 752 first admissions, 214 had a common school
education, 44 high school and 15 college. 265; had urban
and 487 rural environments. 11 were said to be in
comfortable financial circumstances, 127 marginal and the
remainder financially dependent, or unascertained.
Furloughs, Discharges and Deaths
We are sometimes asked if there are not many
patients in the Hospital who might be discharged. Of
course, this is a question that daily confronts us, especially
as the Hospital is now so greatly overcrowded and many
applicants are awaiting admission. Each member of the
Medical Staff is charged with the responsibility of
promptly reporting the names of patients as soon as they
are well enough to leave the Hospital, so that the matter
of their furlough or discharge may be brought up for
consideration.
A recent diagnostic tabulation of the patients in the
Hospital shows only one patient provisionally grouped as
mentally deficient (feebleminded) without psychosis and
two others as epileptics without psychoses.
MILLEDGEVILLE STATE HOSPITAL
19
During the year, 779 patients were furloughed, and
of this number, 194 were restored, composed of 97 white
males, 43 white females, 28 colored males and 26 colored
females. 451 were improved, and of this number, 162
were white males, 145 white females, 61 colored males
and 83 colored females. Based on total admissions,
20.3% were furloughed as restored and 47.3% improved,
making a total of 67.6% restored and improved, compared
to 57.6%, the previous year, an increase of 10%.
553 patients remained out of the Hospital beyond the
12 months' furlough period and were discharged from the
records. Of this number, 164 were restored, composed of
91 males and 73 females. 319 were improved, composed
162 males and 157 females. Based on total admissions,
17 2% were discharged as restored and 35.5% as improved, making a total of 50.7% discharged as restored
and improved.
A total of 423 deaths occurred during the year, a decrease of 30 compared to the previous year.
Capacity of the Hospital
It seems that the overcrowded condition of the wards
of the institution which has existed for many years, and
the necessity for the refusal of admission, on account of
overcrowding, to many very urgent applications, should
be sufficient proof that the capacity of the plant is inadequate to meet the needs of the State's mental disease
problem. At the close of the year there were over 100
patients in the County jails and more than that number
being cared for by relatives and friends awaiting
admission because of overcrowding and no room. Such
a condition necessarily results in considerable suffering
and is poor business from an economical standpoint, as we
have learned from experience that the sooner the
hospitalization of individuals afflicted with mental
disease, the better chance they have for recovery.
Another and recent study of the capacity of the
Hospital, making a liberal estimate but complying with
sanitary and other hospitalization requirements, shows
that the population of the Hospital should not exceed
4,403; exclusive of the new Psychopathic Hospital (L. M.
Jones) Building. This building was completed in April
and partly furnished during the Summer, but could not
be occupied on account of inability to obtain maintenance
appropriation. When this building becomes occupied it
will add 240 beds to the capacity of the institution.
20
EIGHTY-SEVENTH ANNUAL REPORT
As the institution is now operated, the following
tabulation gives information as to capacity, present
actual resident patient population and overcrowding in
each of the four departments:
White Males
White Females
Colored Males
Colored Females
Capacity
Patient
Population
1,250
1,500
665
988
1,537
1,925
828
1,030
Overcrowded
287
425
163
42
Total
4,403
5,320
919
The greatest overcrowding is now 425 in, the White
Female Department, next the white male, then colored
males and colored females. When the new colored female
building was opened in February, 1929, there was enough
overcrowding in that department to fill it up, leaving
some vacancies on wards in the older buildings. These
vacancies have been filled and this department is now
beginning to again overcrowd.
Medical Service
The report of the Clinical Director gives a review of
the medical work during the year. No serious epidemic
occurred among the Hospital population. No marked
changes were made in the routine and methods of treatment. We are gradually expanding Occupation Therapy.
Staff meetings were conducted daily at 9 A. M.,
except on Sundays, by the Clinical Director on reception
wards where a summary of the mental and physical
examinations of new admissions were read and _ the
various problems of the cases discussed. Also sometimes
abstracts of histories of patients to be furloughed or discharged were reviewed and discussed.
While a great many scientific investigations from
various viewpoints have been and are now being made of
the most common types of mental disease, yet, their etiology
and pathology still remain problematical, and, therefore
their treatment is largely empirical; hence, in their treatment we utilize psychotherapy, occupation therapy,
drug therapy, organotherapy and other therapeutic resources of medical science. Until one has made a serious
and prolonged study of human behavior and its dynamic
problems in relation to mental disease, he can have no
adequate conception of its complexity. In no other branch
of the medical science is it so essential that the human
MILLEDGEVILLE STATE HOSPITAL
21
organism be studied as a whole, i. e., body and mind,
keeping in mind that man's greatness and sanity is not
determined by his physical body alone, but mainly by
virtue of his ability for creative thinking, constructive
acting and capacity for adjustment. Furthermore, that
bodily conditions and diseases may effect one's mind, or
hinder the restoration of a mental disorder, and that a
fair test of mental health obtains when one does adjust
to environment and has that state of mind which permits
him to approach his maximum efficiency and happiness
with the minimum amount of friction and effort.
In the treatment of mental disease, the old adage
"An ounce of prevention is worth a pound of cure" is
beyond doubt, true. Therefore, preventive measures
should not be neglected, and they may be found in mental
hygiene and eugenics. A mental hygiene program should
include the home, the school, social life and business
activities. Eugenic measures should be adopted, looking
to the prevention of bad heredity. We have enough convincing information to indicate that an inherited predisposition is the foundation for mental disorder, and that
modern medicine teaches that the condition necessary for
a good mind is the inheritance of such germ plasm from
one's progenitors as will yield a brain and nervous organization capable of high grade development to individual
and social usefulness and the protection of that brain and
nervous organization from injury and the submission of
it to influences favorable to the development of its
powers. The best remedy that medical science has to
offer, at this time, for the prevention of bad heredity, is
surgical sterilization of those afflicted with certain types
of mental disease—the feeble-minded, syphilitics and
criminal recidivists, as recommended in, a previous report.
Pellagra Study
The dietary study of pellagra, begun by the United
States Public Health Service in 1914, was continued
during the year, under the supervision and direct charge
of Dr. G. A. Wheeler of the United States Public Health
Service.
This study during the year has consisted of a continuation of the test of individual food stuffs for their
pellagra preventive value. A study of the mature onion
was completed and showed no appreciable protection. A
study of canned turnip greens, canned spinach, canned
EIGHTY-SEVENTH ANNUAL REPORT
english peas and canned string beans was begun, and,
while these studies are still in progress, those pertaining
to turnip greens and spinich have advanced far enough
to indicate that they possess some capacity for protection.
In addition to the above, co-operation was extended
to the Clinical Director in the study of the influence on
epilepsy of a diet low in the antipellagric vitamin. A
group of ten epileptics were brought under observation,
eight of whom showed a pronounced reduction in the
number of epileptic seizures while on a diet of this
character. While the therapeutic value of such a diet is
limited by the fact that symptoms of pellagra will, in
time, appear, the results obtained, however, constitute
an important contribution to the study relating to the
influence of metabolism on epilepsy in which many
students of neuropsychiatry are interested.
Changes in Medical Staff
Dr. Chas. E. Dowman, of Atlanta, was added to the
Staff as Consulting Neurological Surgeon.
Interne W. J. Burdashaw resigned to accept position
with United States Veterans Bureau.
Junior Assistant Physician C. R. Youmans resigned
to engage in general practice.
Junior Assistant Physician J. C. Statham resigned
to accept position with United States Veterans Bureau.
Assistant Physician U. S. Bowen resigned to accept
position with United States Veterans Bureau.
Dr. J. D. Wiley, Interne, but later employed by United
States Public Health Service, was elected Assistant
Physician.
Drs. G. K. Cornwell, Raymond Suarez and M. F.
Langston were appointed Internes.
Dr. Langston will report for duty January 5, 1931,
as Dr. Statham's resignation does not become effective
until January 3, 1931.
After Dr. Bowen's resignation, the Clinic at Boys'
Training School was temporarily discontinued, but will
be resumed soon after the beginning of the new year.
Training School for Nurses
There are 32 student nurses in the School of Nursing,
10 of whom were in the Senior Class, 11 in the Junior and
11 in the Freshman. Since the establishment of the School
of Nursing, we have graduated 165 women and 2 men,
making a total of 167.
MILLEDGEVILLE STATE HOSPITAL
23
The School was kept up to its usual standard during
the year, and detailed report will be found in Superintendent of Nurses' report in subsequent pages.
Dental Department
Two full time dentists were employed during the
year, and their report shows 8,607 total number of
operations and treatments. Of the 8,607 operations, 4,187
were extractions, 2,083 patients treated and 360 calls
to wards.
We regard the dental work as an important aid in
treatment, therefore,we have them to examine the mouths
and teeth of new admissions soon after they are admitted.
School for Feeble-minded
The School for the feeble-minded children was continued in operation during the year with Miss Mary
Bonner and Miss Anna Belle Pendleton as teachers. The
average daily attendance was 18.
The children were taught simple mental work such
as reading, writing, writing numbers, cutting, pasting
and color work, as well as industrial work such as sewing,
etc.
Improvement and Repairs
A detailed review of the repairs and improvements
to the physical plant is given in the Engineer's report.
On accout of lack of funds, much needed repair work
had to be postponed.
The Business Department
On account of the State Treasury being unable to
meet the requirements of the maintenance appropriation
and the added $250,000.00 indebtedness to maintenance
for the previous year, a very difficult year for the
operation of the Hospital has resulted. The bills for
supplies and other expenses could not be met in the usual
orderly way; thereby causing considerable embarrassment to the creditors and the Hospital, and in addition
has cost the institution considerable interest on delayed
payments. The institution was operated within the
appropriation.
The per capita cost for the year was $233.80, the
daily cost .6405 cents compared to .6289 the previous year,
24
EIGHTY-SEVENTH ANNUAL REPORT
an icrease of .0116 cents per day. The Steward's report
in subsequent pages has exhibits and schedules that give
an analysis of income and expenditures and other detailed
information.
Farm, Garden and Dairy
The Farm Steward's report gives information concerning the food stuffs raised during the year. The
drouth during the Summer reduced the amount of farm
and garden products that probably would have been made
if the seasons had been more favorable.
Religious Services
The religious services for patients were conducted as
formerly on Sunday afternoons at 3 P. M. by the pastors
of the Baptist, Episcopal, Methodist and Presbyterian
Churches of Milledgeville as Chaplains rotating monthly.
In addition to holding religious services, the Chaplains
conducted funeral services and performed other duties
that were required of them.
Needs of the Hospital
1. If the institution is to be orderly and successfully
operated, it is necessary that provisions be made for the
prompt monthly payment of the maintenance appropriation.
2. There is an urgent need for all unpaid special
appropriations for buildings and other improvements, so
that balance on Psychopathic Hospital (L. M.
Jones) Building may be paid, the waterworks addition
completed, as present wooden filter tubs are decaying
and filter capacity inadequate for needs of the growth of
the Hospital, and to erect new buildings to provide room
for overcrowding and new admissions.
3. A new and larger amusement hall is needed to
comply with the growth and modern requirements of the
institution.
4. A central heating and power plant.
5. Automatic Sprinkler system in certain buildings
for fire protection as recommended in previous reports.
6. Immediate steps should be taken looking to the
founding of another State hospital in another section of
the State as recommended in a previous report. It seems
that this is impertative if the mental disease problem in
the State is to be humanely and modernly provided for.
MILLEDGEVILLE STATE HOSPITAL
25
7. Change in the law, clarifying section 3, Acts
1918, and eliminating the hinted at pay feature. Everything considered, we believe it would be wiser for the
Hospital to remain free to all resident citizens of the
State afflicted with mental disease.
8. It seems that, according to present laws, if a
person is committed to the Hospital, and even though discharged as recovered or not insane, he is still legally insane unless judicially decided otherwise, and persons
having business dealings with the person formerly committed must bear the burden of showing him sane at time
of contract. I therefore, recommend that a law be enacted
to read somewhat as follows: Whenever,a person who
has been committed to the Milledgeville State Hospital
shall be discharged therefrom, as recovered or as not
insane, he shall be presumed to have been restored to
sanity and capacity to manage his or her estate.
Conclusion
In concluding this report, I desire to express my
appreciation to the Board of Trustees for their encouragement, support and unselfish devotion to the welfare of the
Hospital. I also desire at this time to thank the officers
and employees who have been faithful in the discharge
of their duties and other friends and organizations who
have manifested an interest in the welfare of the institution.
Respectfully submitted,
R. C. SWINT,
Superintendent.
m
EIGHTY-SEVENTH ANNUAL REPORT
26
Report of Clinical Director
JANUARY 1ST,
DR.
1931
R. C. SWINT,
Superintendent,
DEAR SIR:
The following pages contain the report for the Medical Department for the year 1930.
A total of nine hundred and fify-two (952) patients
were admitted. Table No. 2 shows the actual number
classified under each group and the percentage of each.
Seven hundred and fifty-two (752) were first admissions
and two hundred (200) were readmissions. A considerable
number of the readmissions had been admitted to either
private hospitals or other state hospitals. Table No. 3 gives
actual number and percentage of each group of the first
admssions.
Ten (10) criminal patients were sent by order of
court. The charges were as follows:
Assault and battery
1
Assault with intent to kill
1
Aiding other prisoners to escape
1
Forgery
2
Larceny
1
Murder
2
Rape
1
Not given
1
One of these ten patients was found to be not insane.
Of the total of seven diagnosed as not insane two were
drug habitues, two were mentally deficient and one belonged to the psychopathic group.
The actual number of patients treated was 6349 and
was made up as follows:
Resident population at end of previous year
5291
Admitted
952
Returned (furloughed in 1929)
106
The deaths numbered four hundred and twenty-three
(423) or 6.6 per cent of those treated. The average of the
death rates for the five year period ending with and including 1929 was 6.91. The leading causes of death for
the year and the number assigned to each were as follows:
Arterio-sclerosis and cerebral hemorrhage 95, general
paralysis 50, tuberculosis 50, epilepsy 36, pellagra 27.
On an average there are from 60 to 80 patients confined
to bed on account of tuberculosis. From 90 to 100 others
MILLEDGEVILLE STATE HOSPITAL
27
are bedridden for the most part on account of arteriosclerosis and cerebral hemorrhage. In addition the infirmaries are well filled with acute medical and surgical
cases.
For purposes of comparison, the recovery rate is
estimated in the same way as in years past and consists
of the ratio of those improved and restored at the time of
furlough to the number of patients received. Of the
seven hundred and eighty-sevein (787) patients
furloughed, six hundred and forty-five (645) had either
improved or recovered giving a recovery rate of 67.7
The average of the recovery rates for the five year period
ending with and including 1929 was 59.34. The above
figures do not include twenty-nine (29) extensions of
furlough.
The discharge rate presents a different set of figures.
This is made up of the number of patients who remained
out of the institution for the length of the furlough period
which is twelve (12) months. The ratio of those discharged as recovered or improved to the number received
was 50,7.
The treatment of general paralysis by the use of
typhoid vaccine has been continued. While we have not
obtained the results reported by other institutions and
clinics we have not thought it wise to abandon its use.
Malaria has been used from time to time but its superiority
over nonspecific protein therapy has not been demonstrated in our hands. In December the serology, blood
and spinal fluid, of twenty-one (21) general paralytics
was repeated. These patients had been in the institution,
for periods varying from seven months to 17 years. The
blood and spinal fluid were completely negative in ten. In
one other the blood was two plus and the globulin test was
one plus, otherwise the examination was negative. In
still another there was no abnormality other than a two
plus spinal fluid. Three of these patients had been in the
hospital for less than ten months and as might be expected the findings were still positive throughout. Ten of
the remaining eighteen were negative throughout. All
twenty-one of these patients are still general paralytics
despite any serological changes. In at least one large
clinic in the United States patients who have no mental
symptoms but do show serological changes are classed as
asymptomatic paresis. The criterion of improvement is
the clearing up of the blood and spinal fluid, there are
obviously no mental symptoms to clear up. The patients
28
EIGHTY-SEVENTH ANNUAL REPORT
that we class as general paralysis are of quite a different
type and are not necessarily well though the serology may
be rendered entirely negative. Various forms of therapy
have been used in the treatment of these patients including malaria, typhoid vaccine, mercury, arsenic and
iodides.
One may, with a reasonable degree of accuracy, assert
that in recent years the amount of literature dealing with
the treatment of general paralysis is five times as great
as that dealing with the treatment of manic depressive
and dementia praecox combined. General paralytics deserve the best that can be done for them but so do those
sufferng from manic depressive and dementia praecox.
The number of general paralytics in other hospitals is
doubtless higher proportionately than in ours. The
following figures illustrate the comparison in our own
hospital:
G. P M.D.&D.P.
Percentage of all admissions 1930
7.14
54.40
Percentage of total population
Dec. 1930
2.04
57.90
Percentage of increase in population
in five years..95
76.00
The patients suffering from general paralysis have
received vigorous treatment, perhaps too vigorous in
certain instances.
From a strictly numerical and
economic point of view general paralysis in our hospital
is not in the same category with manic depressive and dementia praecox and the economic side of our work has
and will continue to play an important part. The substance of the above is that while we are obligated to give
our general paralytics the best possible treatment, other
larger groups have not been neglected. The actual
number of cases of general paralysis in the institution at
the end of the year was 128; the number of manics and
dementia praecox combined 3085.
The short courses given the new attendants in
preparation for their work has been continued. As heretofore the course consisted of quizzes, lectures and demonstrations. The course was given in March and September.
Seventy-two (72) attended. Instruction in the same line
but based on a somewhat better principal is the habit
of one of the physicians who for two years has had weekly
conferences with his head attendants. At these meetings
various problems both general and specific have been
MILLEDGEVILLE STATE HOSPITAL
29
discussed. Particular attention has been given to symptomatic treatment with some very happy results in cure
and amelioration that cannot be attributed to any
other source. This is .after all the real source of knowledge concerning the teatment of mental diseases per se.
It is intensely practical and deals directly with individuals
as well as with groups. Successful nursing of mental
diseases is bound to be more a matter of nursing indviduals than in the case of physical diseases.
Another effort not required by rule but undertaken
as extra work is that of a small group of nurses who four
years ago opened a small commissary. This has been
patronized by patients and employees. Up to the present
time more than four thousand dollars ($4000.00) in
profits have been spent for such things and occassions as
seemed wise. Hundreds of dollars have been spent for
music for dances which the patients ask for. Nine
portable victrolas with records to correspond, eight
radios, prizes and refreshments for card parties, seasonal
parties, subscription to thewty-three (23) magazines and
papers, outfits for base-ball and volley ball are some of
the things provided. During Christmas, 1930, inexpensive
but acceptable gifts were provided for more than one
thousand (l'OOO) patients from this source. These particular patients were selected because they were not expected to receive anything from home. The gifts went
to both white and colored and were not bought in a haphazard way. The wishes of the patients were ascertained
in every possible instance. The child like simplicity of
the things asked for was quite striking and shows that the
Wishes of the patients may be easily overshot. Fiftythree (53) asked for strings of beads; twelve (12) wished
for dolls; two hundred and fifteen (215) desired snuff
and tobacco and nearly all asked for candy.
Others have gone beyond the prescribed limits of
their duties to help in some way to lighten the burdens of
the patients or promote their recovery. It augurs well
for the hospital that these things are so. There can be
nothing cold blooded in such work. The personal attitude
of those in the medical service towards the patients is a
factor that cannot be put on paper nor can its effect
be tested in the laboratory but there should be just as
much satisfaction in bringing a so-called deteriorated
dementia praecox to a state of remission as doing the
same thing for a case of general paralysis and the
physician or nurse who helps to do this in the one case
30
EIGHTY-SEVENTH ANNUAL REPORT
deserves credit as well as he who brings; it about in the
other.
No machine can run forever without repairs and a
continuous supply of energy. Occupation therapy cannot successfully continue without the added energy that
comes from interest and stimulation. For this reason
this form of treatment is apt to lag. As a whole there has
been an improvement in this direction. The best results
have been obtained in those instances where patients
were carefully selected and occupation combined with
other forms of treatment such as diversion and personal
contact. The articles produced in the various departments are of considerable moment. In the female department among other things made were 26544 garments,
992 pieces of embroidery, 679 paper flowers, 506 hand
painted pieces, 276 crocheted pieces, 268 reed baskets and
30 rugs. In the white male department at the Park, 1541
articles were made and 294 repaired. Among the most
important articles made were 128 substantial rocking
and straight chairs made of oak, 369 basket containers,
14 ironing boards, 478 basket bottoms, 52 hoe handles, 63
axe handles and 41 settees. From the garden connected
with the park were gathered 6846 pounds of butter beans,
6676 pounds of tomatoes and 264 quarts of strawberries.
The dry weather cut the vegetables quite short. Among
the articles repaired were 21 chairs and 143 wheel
barrows. In the other male departments 882 chairs were
reconstructed, rebottomed or painted. From willow
grown on the premises 251 baskets were made. There
has been a marked increase in amusements and other
forms of entertainment. This is due almost entirely to
the funds derived from the commissary already mentioned.
This form of treatment has a place that is just as definite
as occupation.
The work at the State Reformatory for boys has been
temporarily discontinued. The clinics at Elberton and
Macon have been continued. In November another
monthly school clinic was opened at Athens and although
only two sessions have been held prospects for usefulness
are encouraging. At Elberton clinics were held for six
of the school months. There were 67 first visits and 50
return visits. At request the visiting psychiatrist saw
a number of frank mental cases in the vicinity. At Athens
there were 19 first visits by school children. Six adult
mental cases were also seen in the city and the vicinity.
MILLEDGEVILLE STATE HOSPITAL
31
At the Macon Clinic which is held each Frday afternoon there were 484 visits, first visits 156, return visits
328. The visiting staff member has been called upon to
act in an advisory capacity to the juvenile court of that
city. He delivered five addresses before various organizations.
The technicians at the laboratory has continued to
do good work. An inspection of their report shows some
interesting things. The total procedures numbered
10,074.
The training school for nurses has been operated by
the superintendent of nurses with the co-operation of the
members of the medical staff and others.
Six classes from the colleges and universities of the
state visited the hospital for clinical instruction in abnormal psychology and allied subjects. A number of
addresses were delivered by different members of the staff
before P. T. A. associations and other civic organizations.
The calls for this kind of service seem to increase. Three
training school for nurses receive their instruction in
psychiatric nursing from a member of the staff and the
student nurses visit this hospital for clinical demonstration.
Successful administration of the medical department
depends on co-operation and due acknowledgement is
here made for such co-operation.
Respectfully,
N. P. WALKER, M. D.
Clinical Director
32
EIGHTY-SEVENTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of all Patients in Institution January 1st, 1931.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis__
General paralysis of the insane-.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drug
With pellagra
With somatic disease
Manic depressive __
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
Epilepsy, not insane
TOTAL
White 1 Colored
M.
F.
6
9
68
62
14
3
0
29
11
7
8
9
228
556
12
131
.9
IB
259
98
0
33
22
11
0
3
0
22
0
2
4
11
454
719
20 i
148
19
12
265 |
179
H
o1
01
1
M. 1
1
5
42
33
5
0
0
16
3
0
1
6
165
249
F.
1 Total
8
1
28
75
32 164
22 128
25
6
1
7
0
0
4
71
14
0
10
1
38
15
32
6
245 1092
469 1993
4
36
o
89 46 414
30
2
0
37
8
2
119 651 708
84 84 445
o1
0|
1
1
0
2
153519251 829110311 5320
33
MILLEDGEVILLE STATE HOSPITAL
TABLE 2
Diagnostic Grouping of Patients Admitted During the Year 1930.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Psychopathic personality, not insane
TOTAL
Colored |
M. | F. |Total|
White
M. I F.
2
]
31
29
0
1
0
6
0
0
i
0
3
4
0
11
5
6
5
2 0
82 113
53 68
0
0
IV
9
6 10
2
2
4
13
19 19
i
0
31 1
0
1! 0
%
.21
2
0 0
21 2.20
1 11
7 71 7.35
25
68 7.14
22 11
5 .52
1
4
.10
1
0
0
.10
1
0
0
13 1.36
3
3
12 1.26
1
0
oi 0 11 1.15
351 3.67
2 20
3
2
71 .73
55 60 310| 32.56
20 67 208 21.84
0
0
0
0
49 5.14
7
16
17 1.78
1
0
.52
5
1
0
36 3.78
11
73 7.66
13 22
.21
2
1
0
.21
2
0
0
.21
2
1
0
.10
1
0| 0
291I262H74I225I 9521
EIGHTY-SEVENTH ANNUAL REPORT
34
TABLE 3
Diagnostic Grouping of First Admissions During the Year 1J30.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosisGeneral paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathif personality.
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
TOTAL
| White
I M. | F.
21
o|
301
24
0
i
i
3
8
4
9
5
5
0
0
0
3
0
31
41
o|
55! 71
37| 44
0| 0
16' 61
4| 8|
2| 2!
12! 41
161 161
0 0
1 0|
■ed
F. Total
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
0
2
20
67
61
5
1
1
12
9
7
32
7
215
154
0
44
13
4
32
64
1
1
226|179!151H96| 7521
%
.26
2.65
8.90
8.11
.66
.13
.13
1.59
1.19
.93
4.25
.93
28.59
20.47
0
5.85
1.72
.53
4.25
8.51
.13
.13
35
MILLEDGEVILLE STATE HOSPITAL
TABLE 4
Diagnostic Grouping of Re-admissions During the Year 1930.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
_.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-7
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality,
With mental deficiency
Unclassified
Not insane
Drug addict, not insane__
Mental deficiency, not insane
Psychopathic personality, not insaneTOTAL
White
M. F.
0
0
0
1
3
1
1
5
0
0
0
0
0
0
1
0
0
3
2
2
1
0
0
0
27 42
2i
16
0
0
3
1
2
2
0
0
0
1
3
3
0
0
1
1
0
1
0
1
Colored
Total
M. I F.
0
| 0 | 0 |
1
I 0
4
I o
7
I 1
0
0
0
I o
0
0
1
I 0
3
0
4
0
3
0
0
0
95
13
54
5
0
o I
5
0
4
0 I 0
1
0
4
9
0
2
2
1
ff5 | 83 | 23
29
200
TABLE 5
FURL OUGHS
Traumatic
Senile
Arteriosclerosis
General paralysis of the insane.
With cerebral syphilis _ ._
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis
With psychopathic personality _
With mental deficiency
Unclassified
Vii nil
COLORED
MALE
| FEMALE ||
MALE
|FEMALE|
R. I I. | U S.| R. I. | U | S.|IR-I I. | U.| S.| K.| I u S-LTotal
0
0
0
0
0
0
7
11
9
1
58
1
0
0
1
0
9
a
o> 0°
12
2
0
5
5
1
4
2
54
31
6
5
3
14
15
2
2
0
0
0
0
0
0
12
8
8
0
1
3
4
17 162 10
*R—Restored
I—Improved
o o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
3
0
27
1
0
4
0
2
1
u
u OJ
01
o o
1 2
2
2 0
0 I)
6 2
2 0
2 0
2 0
1 0
71 19
25 19
6 3
4 2
3 2
6 1
12] 3
0 43 145 53
01
Oj
0
01
01
o!
01
0!
01
o
o
o
Oi
0|
01 0| 0
0| 0 1
21 2 0
0 5 1
0 2 0
0 0 1
0 0 0
0 0 0
21 1 0
0 0 1
18 35 8
1 5 11
0 1 2
0 0 0
0 0 0
1 1 1
4 9 1
ol 28 61 27
U—Unimproved
S—Not insane
01
3
0
4
0
24
0
14
0
2
0
14
16
0
0
19
0
31
0
5
0 348
0 137
0
30
0
16
0
13
31
0
0
72
O
0 26 83 14 0 779
O
W
H
0| 0 0
0 0 0
0 0 3
0 0 2
0 0 0
0 0 0
0 2 0
0 0 0
0 7 3
0 0 0
0 12 32
0 3 23
0 0 4
0 0 1
0 1 2
0 0 2
0 1 11
0
0
1
0
0
0
0
0
0
0
2
9
0
0
0
0
2
a
M
<
H
a
>
>1
t-
w
TABLE 6
DISCH ARGES
OOLOKED
li
FEMALE
FEMALE
MALE
R. | I. | U.-| S.| R.| I. I U.I S. h R.| I. | U.| S.| R-l I. | U,| S. 1 Total
Traumatic
Arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With brain and nervous disease
Due to alcohol __'
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
__With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Psychopathic personality, not insane.
TOTAL
„_*R—Restored
I—Improved
3
0 0
0
2
0 0| 0
24
3 1
2
l| 10 4
10
1 2
0
01 5 0
1
0 0
0
o 0 0
7
0 0
3
0 4 0
18
0 0
0
10
4 0
8
0 0
3
41 0 0
24
0 0
3
91 3 0
4
0 0
0
01 1 1
259
2(3 2
48
40, 54 0
79
1121
3 5
21
0 16 4
19
1
2 2
3
0
6 2
12
0
0 0
5
2 1
1
22
0
0 0
7
3 2
6
18
5 1
3
4 2
1
35
0
4
5 10 2
4
0 0
0| 01
0
0
2
01 0
0 0
0
0
2
0 0| 01
0! o| 0| 0| 0| 0] 01
0
0
7911221181 5|49|102!22| 2||11 421131 0 28151] 61 1| 551
U—Unimproved
S—Not insane
r
f
H
D
O
H
<
r1
ca
w
>
H
a
o
w
>
38
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 7
Causes of Deaths of Patients Who Died During the Year 1930.
Abscess, jaw
Abscess, perineal
Accidental burn
Accidental suffocation
Arterio-sclerosis
Asthma, bronchial
Brain tumor
Carcinoma
Cerebral hemorrhage
Colitis
Dysentery
Encephalitis
Enteritis
Epilepsy
Erysipelas
Exhaustion from acute mental disease.
Fracture, femur
Gangrene, large instestine
Gangrene, leg
Gastric ulcer
General paralysis of the insane
Homicide, by another patient
Huntington's chorea
Influenza
Intestinal obstruction
Myocarditis, acute
Myocarditis, chronic
Nephritis, chronic
Organic brain disease
Paratyphoid fever
Pellagra
Peritonitis
Pneumonia, broncho
Pneumonia, lobar
Pneumonia, not differentiated
Prostatitis, chronic
Pulmonary hemorrhage
Pulmonary tuberculosis
Sarcoma
Septicemia
Suicide, by hanging
Suicide, by strangulation
Syphilis
Tuberculosis, hip joint
Unknown
Valvular heart disease
TOTAL
White
M. | F.
1
0
0
1
1
2
0
21
14
1
0
2
0
1
7
12
8
1
0
1
0
2
2
3
8
12
10
1
1
1
2
0
2
1
0
1
0
1
0
16
8
0
0
1
0
0
1
1
0
0
2
7
3
4
3
0
1
0
0
5
3
0
0
11
B
•4
5
4
0
1
0
0
0
9
7
0
1
0
0
\
0
1
1
0
0
0
0
2
2
4
1
( °
128 106
Colored |
M. | F. | Total
0 ! o i
1
0
1
1
0
0
2
0
0
2
18
9
62
0
0
1
0
0
2
2
0
10
8
5
33
1
0
0
2
1
0
2
1
7
0
3
14
13
1
36
2
0
0
0
1
4
0
0
2
0
0
1
1
0
0
1
0
0
22
4
50
2
1
1
1
0
0
1
0
0
1
0
0
2
0
0
5
6
21
4
1
12
1
0
0
1
0
1
6 13
27
1
0
1
0
20
4
2
1
12
0
0
4
1
0
0
1
2
1
12
22
50
1
0
0
1
1
0
0
n
1
2
0 | 0
2
0 1 2
1
1 1 0
2 | 10
16
0 | 0
5
l
99 1 90
423
39
Mlf.LEDGEVILLE STATE HOSPITAL
TABLE 8
SURGERY
Abscess, palmar, drained
Abscess, axillary, drained
Abscess, rectal, drained
Abscess, peritonsillar, drained
Amputation, breast
Amputation, finger
Appendectomies
Bladder, suprapubic drainage
Fracture, metacarpal bone, treatment for
Fracture, Colles, treatment for
Fracture, femur, treatment for
—
Fracture, olecranon process, treatment for
Fracture, humerus, treatment for
Fracture, jaw, treatment for
_Fracture, fibula, treatment for
Fracture, radius, treatment for
Herniotomies
Iridectomies
Cataract, extraction
Dilatation and curettage uterus
Infected knee, drainage of
Circumcisions
—
Hemorrhoidectomies
Laporatomy, exploratory
Parancentesis, thoracis
Hydrocele, operation for
Hysterectomy
-Tonsillectomies
—
Salpingectomies
Sebaceous cyst, enucleation of
Uterus, suspension of—
Pterygium, transplanted
Urethra, removal of foreign bodies from
Nasal polypus, removal of
Maxillary sinus, operation on
Maxillary sinus, irrigation of
Submucous resection
Turbinectomy
Mastoidectomy
—
Parascentesis, abdominalis
Strabisimus, operation for
_„
Ear drum, incised
—
—
1
*
1
—
——
■="
—
——
——
--""
„
—""
~
«
—"
40
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 9
Admissions from Various Counties During the Year 1930.
Appling .
Atkinson .
Bacon __.
Baker
Baldwin _
Banks
Barrow _.
B&rtow
Ben Hill .
Berrien _.
Bibb
Bleckley .
Brantley .
Brooks -.
Bryan __.
Bulloch _.
Burke
Butts
Calhoun _.
Camden _
Campbell
Candler _.
Carroll __
Catoosa _.
Charlton _
Chatham _
Chattooga
Cherokee _
Clark
Clayton __.
Clinch ...
Cobb
Coffee ___
Colquitt
Columbia .
Cook
Coweta __.
Crawford
Crisp
Decatux _.
DeKalb __
Dodge
Dooly
White
M. I F.
2
3
1
0
2
2
1
1
6
2
0
1
1
3
2
4
1
1
3
0
7
3
0
2
0
2
1
1
0
1
0
1
0
0
2
1
o
It
2
1
i)
3
5
1
1
0
5
0
6
2
3
2
0
1
1
1
0
1
1
1
4
0
0
13
2
3
3
2
2
7
0
2
0
0
2
0
0 1
1
2 1
0 I
1 1
Colored
M. I F.
1
1
o
o
1
1
1
5
5
0
1
1
0
0
7
0
1
2
0
1
3
1
1
0
1
2
1
0
0
21
0
0
0
1
1
0
0
0
5
0
1
0
1 |
2
1 |
1
0
1
0
1
0
2
1
0
1
1
0
7
1
0
4
2
1
5
1
1
2
1
0
1
0
1
25
0
1
3
0
0
3
1
1
3
0
1 1
0 1
4 1
0 1
2 1
3 1
4 1
Total
6
1
6
7
15
2
5
8
3
3
24
3
3
8
2
4
9
4
2
3
5
4
9
2
2
68
5
9
7
4
3
15
1
9
10
3
6
2
5
4
14
7
7
41
MILLEDGEVILLE STATE HOSPITAL
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1930.
Dougherty .
Douglas
Early
Echols
Effingham
Elbert
Emanuel _Evans
Fannin
Fayette
Floyd
Forsyth —
Franklin _.
Fulton
Gilmer —
Glascock _Gordon —
Grady
Greene
Gwinnett _.
Habersham
Hall
Hancock _.
Haralson -.
Harris
Hart
Heard
Henry
Houston _.
Irwin
Jackson _.
Jasper
Jeff Davis
Jefferson _
Jenkins —
Johnson __
Jones
Lamar
Lanier
Laurens _.
Lee
Liberty --
White
Colored
M. I F. M.
F.
•I
0
3
2
1
2
0
0
0
2
1
0
0
0
1
0
3
1
1
0
4
4
1
2
2
0
0
2
2
0
0
1
1
0
0
0
1
0
1
0
11
1
1
7
2
1
0
0
2
2
0
1
22 22
5 13
0
2
1
0
i
0
0
1
2
2
0
0
1
0
1
1
1
0
1
1
1
3
0
5
0
1
1
0
3
0
3
4
2
2
1
3
2
0
1
4
1
1
1
1
0
0
a 2
1
0
o 1
2
2
1
2
1
3
0
0
0
0
0 | 1
0
4
2
0
2
3
1
1
0
0
1
1
0
1
2
3
1
0
1
2
0
0
2
2
0
0 I 4
0
2
0
2
0
0
0
1
4
0 l 3
4
0
1
1 I o
0
I
1
1
Total
7
3
3
1
5
11
4
3
1
2
20
3
5
62
3
2
4
3
3
9
2
10
8
7
4
5
2
7
4
1
6
7
1
5
5
4
6
4
1
11
2
3
42
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1930.
White
M. I F.
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether Miller
Milton
Mitchell __.
Monroe
Montgomery
Morgan
Murray
Muscogee _.
McDuffie __.
Newton
Oconee
Oglethorpe .
Paulding
Peach
Pickens
Pierce
Pike
Polk
Putnam
Quifcman __.
Rabun
Randolph __
Richmond _.
Rockdale __.
Schley
Screven
Spalding __.
Stephens __.
Stewart
Sumter
Talbot
Taliaferro _
Tattnall ...
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlin ._
1 l
2 I
1 I
3 !
2 I
1 1
3
0
0
4
1
1
1
2
3
2
1
1
1
A
1
2
0
0
3
1
0
1
3
6
1
0
o
4
1
1
1
0
0
0
1
3
2
4
2
I
1
0
4
0
2
1
1
0
1
4
8
3
2
1
1
4
0
1
2
0
3
0
1
2
2
6
0
0
3
3
0
2
2
2
0
1
1
1
4
0
4
2
2
Colored |
M. | F. | Total
2
I 0 i 0
7
2 I 1
0 | 0
1
4
7
| o
2
1 1
0
7
0
1
2
3
0
2
0
1
1
7
6
3
1
1
6
4
7
2
3
0
6
0
7
1
19
1
1
7
0
2
5
0
1
3
0
0
2
1
0
9
0
2
3
0
0
3
2
0
4
2
2
4
0
0
6
4
3
8
1
0
2
0
0
3
5
3
13
4
12
28
0
1
2
0
1
1
3
1
7
2
1
10
1
0
2
3
0
6
3
4
10
1
4
1
0
1
1
2
3
0
1
0
3
1
9
4
1
4
11
0
4
0
1
7
0
0
0
3
B
1
1
43
MILLEDGEVILLE STATE HOSPITAL
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1928
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster - Wheeler —
White
Whitfield —
Wilcox
Wilkes
Wilkinson _
Worth
TOTAL
Colored
White
M. I F. M.
0 I 3
0 I 1
0
1
2
1
2
2
4
2
0 I
0
2 1
3
0
3
1
1
0
0
0
0
5
2
4
5
3
2
3
1
0
1
1
0
1
291 |262 174 225
Total
13
1
2
3
5
9
3
8
2
6
3
2
5
6
8
8
5
5
952
44
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 10
Nativity of all Patients Admitted During the Year 1930.
Alabama
Arkansas
California
Colorado
England
Florida
Georgia
Germany
Greece
Illinois
Indiana
Italy
Kansas
Kentucky
Mississippi
Missouri
New York
North Carolina __.
Norway
Not given
Ohio
Oklahoma
Pennsylvania
Russia
South Carolina __.
Tennessee
Texas
Virginia
Washington, D. C._
TOTAL
White
M. | F.
8 | 12
0 I 1
1
0
0
0
1
0
0
1
254 226
1
0
0
1
1
0
2
0
1
0
1
0
1
1
1
0
1
0
0
1
4
5
0
1
4
2
0
1
0 I 1
2 I 1
1 I 0
4 I 5
1 I
1
0 I 1
1 i 1
1 I 0
Colored |
M. | F. | Total
4
3
27
0
0
1
0
0
1
1
0
1
0
0
1
1
2
4
159 209
848
0
0
1
0
0
1
0
0
1
0
0
2
0
0
1
0
0
1
0
0
2
0
0
1
0
0
1
0
0
1
2
1
12
0
0
1
2
I 2
10
0
0
1
I 0 I 0
1
|0|0
3
10 10
1
5 | 6
20
0 I 1
3
0 I 0
1
0 I 0
2
2
0 I 1
-I-
391 1262 1174 1225 I
952
45
MILLEDGEVILLE STATE HOSPITAL
T A RT V 11
fiWified Occupation of Patients Admitted During the Year 1930.
White Colored
M. I F. M. I F. Total
1
Agriculture Forestry and Animal
1
Industry:
0
Box maker
1
Dairyman
—
11
Farm laborer
0
Farm laborer's wives
112
Farmer
0
Farmer's daughter
0
Farmer's son
—-0
Farmer's wives
1
Landscape gardner
0
Saw mill operator's wife
0
Stock dealer's wife
2
Timber grader
1
Turpentine laborer __0
Turpentine laborer's wives
0
Wood cutter
1
Professional:
1
Druggist
0
Druggist's wife
6
Lawyer —_
0
Lawyer's wife
2
Minister
0
Minister's wife
0
Newspaper manager's wife
0
Nurse
,
1
Physician
0
Stenographer
3
Teacher
.
I
Domestic and Personal Service:
21
Barber
—
0!
Barber's wife
0!
Bellboy
0
Butler's wife
0
Cook
-_
0
Hotel clerk
0
Housekeeper
0
Janitor
—
0
Laundryman's wife
2
Meat cutter
0
Meat cutter's wife
Porter
01
Restaurant proprietors wiie__.
41
Restaurant workers
01
Servants
—
21
Truck driver
01
Truck driver's wife
01
Waiter's wife
01
Waitress
._
01
Washerwoman
.—
Manufacturing and Mechanical Pursuits
n|
Auto dealer's wife
01
Blacksmith's wife
II
Boiler maker
— -■
°1
}1
i
:
1
1
0
24
0
39
0
1
0
0
0
0
0
3
0
1
0
0
0
1
0
1
0
73
0
1
1
0
0
0
0
1
Oi
1!
01
1
0
1
1
1
0
1
5
oi
II
0
0
01
II
o|
1
1
°l
0
0
01
0
1
0
01
01
61
01
01
2|
01
01
01
01
01
II
II
01
01
0'.
01
33]
01
21
0[
1
0
1
0
0
0
1
01
o|
1
0
0
27
3
1
1
0
29
0
0
0
0
0
2
0
1
1
62
4
152
2
1
102
1
1
1
2
4
2
1
0
0
0
0
0
0
0
0
0
0
1
1
1
6
1
2
1
1
1
2
1
9
0
0|
01
20!
2
1
1
1
15
1
47
1
2
2
1
6
1
4
29
2
2
1
1
20
01
01
01
1
1
1
1
14
0
14
0
27
46
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 11—(Continued)
Classified Occupation of Patients Admitted During the Year 1930.
.Brick masoi
Brick mason's wife
Carpenter
Carpenter's vife
Electrician
Electrician's wife
Ice man's wife
Laborer
Laborer's wife
Mechanic
Mechanic's wife
Painter
Plumber
Plumber's wife
Shoe maker
Stone cutter
Textile operator
_ Textile operator's wife
Minerals:
Filling station operator's wife_
Public Service:
Cuty fireman's wife
Mail carrier
Mail carrier's wife
Radio station operator's wife__
Telephone supervisor
Trades:
Auditor
Bank cashier
Bank cashier's wife
Bookkeeper
Bookkeeper's wife
Merchant
Salesman
Salesman's wife
__.
Watchmaker
Transportation:
Construction foreman's wife_.
Engineer's wife
Garage helper
Railroad laborer's wife
Train dispatcher
Miscellaneous :
Collector
Life insurance agent
Life insurance agent's wife
Newsboy
I
None
;
Not fiven
PeddTer
Printer's wife
Sailor
Soldier
Student
Theater manager
Time keeper
TOTAL
White
Colored |
M. I F. M, | F. | Total
0|
0
11
1
o
0|
1
0
0
1
8|
0
0
8
0
0
0
1
1
2
0
0
0
2
0
1
0
0
1
0
0
11
1
7
73
0| 61
5
0
4
13
17
6
0
0
6
0
0
6
6
2
1
0
3
2
0
0
0
2
1
0
0
0
1
3
1
2
0
0
3
0
0
3
12
0
0
15
8
0
0
0
7
o
o
b
o
o
o
o
'1
0|
0
1
1
1
1
2
0
2
0
5
18
0
2
0
0
0
0
0
0
1
0
1
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
I
01
01
01
o|
01
I
1
0
01
1
0
0|
0
0
01
2
1
01
47
841 24 6o;
2
2
1
01
0
0|
1
01
1
o|
6
1
1
01
1
01
2911 2621 1741 2251
1
1
1
2
1
5
18
7
2
1
2
2
1
1
1
1
1
3
215
4
1
2
1
1
12
1
1
952
47
MILLEDGEVILLE STATE HOSPITAL
TABLE 12
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
60|Over Not
70 70 Given) Total
Under
1
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of
the insane
With cerebral syphilis-__
With Huntington's chore
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox _Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _Unclassified
Not insane
Drug addict, not insane,_
TOTAL
20
0
0
2
0
01 II 0 8il4|
7
30
Oj
Oj
0
o|
0
0
0
0
0| 1| Oj 1| 0
0| 0| 0 0| 0|
I
0
0
0
0
I
6J10
0 0
0 0
i| o
51
0
1
o
31
0
o|
o
1
0 I 2 4
0 I 1| 0
0| 2
0
01 1
0
5 20| 7
1 20
0
6
01 0
o| 0
24
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
8
4
8
2
55
37
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
2
12
16
0
1
0| 0
0 0
2
4
2
0
0
1 2
01 0] 0 0| 0
01 1 01 01 0
21
|59|39|41|36|23|
0 0
226
48
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 12~| Continued)
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
[
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of
the insane
With cerebral syphilis^_
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
"
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under 120
20 130
60|Over| Not |
70| 70 | Given I Total
| 0| 01 0 0| 0|
| 0| 0 0 01 II
0
0
0 0 0
0
0
0
0
1
0
0
0
0
3
3
0
1
1
0
0
0
I1
o
11
11
! 0
10
110)21
I I
I 0| 0
! 3| 0
I
I
I 3| 0
1
2
1
0
14
i I
0
0
2
1
0
18
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
4
0
71
44
0| 0
01 0
0
0
I
o I
o I
01 01
0
0
I 1| 0
0
I II 1
H 5 51 3
0
0
0
0
0J 0| 0[ 0| 0|
|33|59|40|18| 6|
9
0
6
2
4
16
0
179
49
MILLEDGEVILLE STATE HOSPITAL
TABLE 12—(Continued)
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Male Population.
|
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of the
insane
With cerebral syphilis .
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency. _
Unclassified
Not insane
TOTAL
601 Over Not I
Under 120 30|40
70 70 Given I Total
20 (30 40150
0
0 I 0| 0| 0| 0| 0| 0
1
0 I 0| 0| 01 0| 0| 1
f I I
\ »', o1, 2 9 9
I I I
0
I 1 51 31 7
I 0| l| 1| 1
01 01 0| 0
I 01 0 j 0| 0
I
I
li 0
0
0
II
0
I 01 0
I 0| 0
I 2| 1
I 2| 1
I 0| 0
17
25
5
I
0|
I
0
0
0
0
0
0
21
4
0
0
0
0
0
0
0
0
0
3
0
0
2
2
42
15
0
0
0
16
0
0|
0|
0|
01
0
0
0
0
|32[33|22 25|16|
6
0
9
11
0
0
I 151
50
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 12—(Continued)
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis,
Traumatic
Senile
With cerebral
arterio-sclerosis
Ceneral paralysis of
the insane
With cerebral syphilis ___.
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease ___
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Not insane
TOTAL
Under|20|30|40|50|60|Over| Not |
20 |30[40|50|60|70| 70 | Given! Total
1
0
0
0
1
0
0
0
0
9
4
0
2
0
u u u| 0| 0|
0] 4|
0 0
0
7
0 0
0
2
0
0
0
0
0
0
0
0
0
0
0
11
1
0 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
01 0| 0
2 01 0
0
0
o
o
1| 0| 0| 0| 0|
0
0
0
0
* 0
0
0
3
1
8110
191 9
0| 0| 0| 01 0|
0
4
2
0
21 0| i! o| o|
51 3| 51 4| 21
23
I55I39I42I21 91
11
1
0
18
3
47
58
I
0
6
0
0
I
0
7
21
1
0
I 196
1! 01 01 01 0|
7
0
0
51
MILLEDGEVILLE STATE HOSPITAL
TABLE 13
Degree of Education of First Admissions During- the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
tfl
a
-tJ
Psychosis.
>>
c
O
u
o
o
T3
w
C
a
m
Traumatic
Senile
With cerebral arterio-sclerosis __
General paralysis of the insane _
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease._
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality..
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
_
TOTAL
fl
T3
-a
£
05
05
03
<D
0|
II
0|
01
0]
01
01
21
2|
0
6|
0|
0|
0|
i| ol
o;
61
11
n
01
261
01
01
0
1
0
0
0
21
0
10
4
0
0
1
0
2
1
3
0
18
14
0
51
0|
01
41
6
0!
01
o
i—<
o
S3
,fio
s .13
s Ml
a ffi
11
13
0
1
0
2
3
1
4
2
27
17
0
0|
0|
1
2
0
0
0
0
1
2
1
0
7
1
0
31 691100 191
>
<u
be
o
o
O
X
-t->
01
o|
4
2
0
0
0
0
1
0
0
0
0
2
0
2
0
30
24
0
1
1
3
9
01 226
2
55
37
0
16
4
2
12
16
0
1
52
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 13—(Continued)
Degree of Education of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population
xn
0)
u
is
Psychosis.
O
CO
■o
J-i
Traumatic
Senile
With cerebral arterio-sclerosis _
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
TOTAL
A
01
II
li
01
o,
0
o.
II
01
0!
01
01
71
21
0
01
01
01
31
21
01
1.71
CO
Tl
o
o
S3
o
u>
O)
S
J=
;_|0)
o
0
Ml
o
O
fid
W
O
-^>
25
0|
0|
0|
0|
2
2
2
1
1
4
0
0
0
0
0
0
1
1
0
0
1
1
3
1
0
0
15 38
9 25
0
0
2
2
8
3
1
0
0
1
4
6
0
0
3
0
0
0
0
0
0
0
1
0
0
8
6
0
1
2
1
0
2
0
0
1
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
21 431 86! 241
5!
0
01
o
0
0
0
0
0
o
0
0
1|
01
0
1
0
0
0
01
01
0|
^
J3
S3
«0) «
« «
0|
o
rC
—1—
—1
8
5
5
0
0
0
3
0
3
4
0
71
44
0
6
8
2
4
16
0
21 179
MILLEDGEVILLE STATE HOSPITAL
53
TABLE 13—(Continued)
Degree of Education of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
C
Q>
>
Traumatic
Senile
With cerebral arterio-sclerosis _
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality..
With mental deficiency
Unclassified
Not insane
TOTAL
w I Pi
0
0| 0
1 0! 0
20|
91
1
0|
0!
0!
01
01
II
01
181
51
0!
101
761
o
0|
01
-t->
o
£
0
0
1L
l|
0|
0
ol
0]
01
0
0
0
o I'l
11 II
1| 22|
1| 6|
0 0
II
51
0!
0|
1]
7
0|
0
0
II
3
0
0
0|
0
1]
01
0|
61 591
81
01 0J 0[
01
71
4!
01
CJ
M
U)
£3
o
U
Ql
01
01
o
0|
0
01
0|
0|
01
0
0
0
0
0
0
0
0
0
0
0
o
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
0
9
11
0
II 151
EIGHTY-SEVENTH ANNUAL REPORT
54
TABLE 13—(Continued)
Degree of Education of First Admissions During- the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
w
a
-M
T,
Psychosis.
>>
£
■—i
c
< >
«
m
c
55
Traumatic
Senile
With cerebral arterio-sclerosis_
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
TOTAL
01
10
6
6
1
0
0
3
0
0
4
II
O
X
w
eo
S
1
o
o
X
o
r/j
J3
Ml
T3
C3
73
w
W u W
0
0
0
0
0
0
1
0
0
2
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
9
0
1
1
0
0
2
0
33
24 14
0
0
0
0
2
0
0
1
0
0
0
0
0
0
2
0
1
0
11
0
1
0
ctf
0
9f
16!
01
4!
0
0
5
7|
0|
0
0
1|
0
72!
91 88 1 20
-I
1
B
aj
Q)
bo,
t»
;
]
o
>
O
4J
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
2
1
0
2
0
0
0
0
0
1
0
0
6
o
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
55
MILLEDGEVILLE STATE HOSPITAL
TABLE 14
Environment of First Admissions! During the Year 1930.
Classified With Reference to Principal Psychosis.
White Population.
Female
Male
c
Psychosis
o
c
O
H
CO
>
rn
JJ
-^o
P M
55
a
u
Z
^_,
3
Traumatic
01
o 2 o 01 0| 0
7 o
Senile
01 01 0 0|
II
5
4
With cerebral arterio-sclerosis _.
1
30
3| 27
2
5
24
3
General paralysis of the insane 14| 10
0
0
0
0
With cerebral syphilis
01 0
0
0
0
1
With Huntington's chorea
0!
0
1
With brain tumor
01
o| 0
3
0
3
3
With brain and nervous disease_
21
0
0
8
0
Due to alcohol
II
3
2
1
4'
Due to drugs
II
4
8
0 4
21
With pellagra
0
0
2
0
With somatic disease
01
71
551 26 41
10| 45'
Manic depressive
44
37| 21 21!
131 24
Dementia praecox
0
0
0
01
01 0
Paranoia or paranoid condition _
4
1
21 14| 0 16|
With epilepsy
3
41
3
1! 3'
Psychoneurosis or neurosis
2
1
1
2
II 1
With psychopathic personality_.
4
1
3
12
2| 10
With mental deficiency
16
6| 10
16
10| 6
Unclassified
0
0| 0
0!
01 0
Not insane
0
0| 0
II 0
i!
Drug addict, not insane
TOTAL
6311621
112261 72l 99
8 179
56
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 14—(Continued)
Environment of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Population.
Male
Psychosis
!
Female
a
a
c
>0)
>
£>
!->
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality__.
With mental deficiency
Unclassified
Not insane
TOTAL
o,
*3h
3
«
U
01 1
8 16
7 14
31 1
0, 0
01 0
11 2
0| 0
01 0
01 2
2
0
0 31
41 11
01 0
41 12
li
0
01 0
31 6
31 8
0
01
-1311061
'So
+J
o
Z
0
-M
o
H
J2
«H
1=
p
M
O
o
1—.
*J?
£
H
01
0|
1|
II
0|
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
0|
0| 0
1
5
25
6
21
5
4
0
0
0
0
0
3
1
0
0
0
0
21
10
2
1
42
29
151 29| 281
0'
01 0
161
31
0|
0!
ol 0
91
31 4
111
91 11
Oj
1
0
01 0
0| 7
1| 21
01 1
2|151! 87 104
51196
01
01
0|
01
01
01
0)
0[
°l
TABLE 15
FEMALE
MALE
Econ mic Condition cf First Admi.sions During the Year 1930
Classified With Reference to Principal Psychosis.
White Population.
•a
S3
a
>
g
s
13
a
Traumatic
Senile
With cerebral arterio-sclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane —__
Drug addict, not insane
TOTAL
a
g
3
►
p<
o
Psychosis.
g
a!
o
o
U
0
0
0
0|
0
0
0
0
0
11
0
8
8
0
0
0
2
6
2
1
0
18
13
0
3
2
0
0
3
o
0
0
1
0
0
0
0
0
0
0
0
0
1
1
I
l
0
22
15
0
1
1
1
2
2
7
2
36
24
0
13
2
2
12
13
01 0
1
01
671
2|
0!
30
1 24
0
0
1
0
1
0
3
0
0
8
4
0'
0
8
2
0
55
0
0
37
0
0,
0
16
4
0
2
0
12
0
161
0
0
01
1
01
II 22611
21
41
131
01
01
0
8
5
5
0
0
0
3
0
3
4
0
71
44
0
6
8
2
4
16
0
0
191 146|
4 179
oi
0
0
0
0
0
0
0
0
0
1
0
0
6
2
0
0
0
0
0
1
101
0|
0!
0
0
0
0
0
0
0
0
0
9
6
0
1
1
0
0
2
o
8!
4|
5!
0]
01
oi
31
01
2
4!
01
551
34|
0!
51
f
f
w
O
a
<
f1
cH
w
>
M
w
o
w
>1
c-
TABLE 15—(Continued)
FEMALE
MALE
Economic Condition of First Admissions During the Year 193l
Classified With Reference to Principal Psychosis.
Colored Population.
-a
^3
a
a
o
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality^With mental deficiency
Unclassified
Not insane
TOTAL
o
55
0
0
l
2
1
0
0
0
0
0
0
0
7
3
0
2
0
0
1
1
0
u
1
24
19
3
0
0
3
0
0
2
2
34
12
0
14
0
0
8
10
0
1
IS 132
0
o
o
0
o
o
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
o
c
B
o
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
0
9
11
0
1 151!
I—I
o
55
o
O
0
0
0
1
1
o|
0
0
1
0
0
0
12
5
0
0
0
0
0
3
0
01
U
11
7
10
0
0
0
3
0
0
18
3
35
52
0
6
1
0
7
17
1
23| 171
O
X
o
H
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
u
11
Kj
7
<
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
2 196
M
H
a
w
-d
o
w
H
TABLE 16
FEMALE
MALE
Civil Condition of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Population.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis —
General paralysis of the insane -With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _.
With epilepsy
Psychoneurosis or neurosis—_ —
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
Drug addict, not insane
TOTAL
T3
<1>
a
-a
-a
T3
o
o
u
o
■a
s
ii
a
u
at
a,
a
>
s
35
0
0
3
3
0
0
0
1
0
0
1
0
27
25
0
12
1
2
10
81
01
+->
a
!>
T3
o
"3
o
O
W
1
0
i
0
0 0
0
23
?,
2
1
14
0 0 0
0 0
1
0 0
1
?, 0 0
1
5 0
0 0
4
7 0 0
0 0
1
3
0
23
10
2 0
0 0 0
0
4 0
31 0 0
0
0
0 0 0
1 1 01 0
01 0 0
I °
0
0
1
4
0
0
0
0
2
0
0
1
1
0
0
0
0
01
2
11
0
oi
oi
o|
9411.051
9
4| 121
o|
T3
•s
a
B
ea
s
o
o
>
5
21
o 0 0 0
0
1
5
1
0
0
3
1
1
30
0 0
0 2
24
0
0
0 0
0
0
0
0 0
1
0
0
0 0
1
0
0
2
1
3
0
0
0
0
8
0
0
0 3
4
1
0
3
0
8
0
0 0
0
2
2
9
9 49
55
37 15 25 2 0
0
0
0
o 0
0
1
2
3
16
1
0
4
3 4
0
0| 0
2
2
o 12 3 1 0 o
o 9 | 71 0 1 o 1 o
0
0| 0
0 o
o
o 1 i 0| 0| 0| 0
21226 ! 401102 ! 231 4|
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
o
4-»
u
a
p.
CD
0
1
0
3
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
9
c
>
o
2
01
o
E-i
0
0
8
0
0
b
b
0
0
0
0
0
0
0
3
0
0
0
0 3
4
0
0 0
0 71
1 44
0
0
0 6
8
0
0 2
4
0
0
V
0
0
01 0
11179
c
H
a
o
M
<!
t—t
f1
tH
m
!>
H
a
o
H
;>
TABLE 16—(Continu-d)
||
MALE
Civil Condition of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
a>
■a
'u
u
a
"O
0)
I*o
T3
xa
U|
0|
4|
7|
1|
0|
0|
3|
0|
0|
Oi
2|
19|
6|
0;
11|
0|
0|
8|
5|
01
66
0 o
1
0
12
5
10
2
3
0
0 0
0
0
0
0
0 0
0
0
0
1
0
0
2J 0
5 0
0
0
1
2
0
0
01 0
l| 0
5 1
0| 0
591 10
Tf
T3
Q
U
o
V
-p
u
>
s
a
0
0
0
o
0
3
2
0
0
0
0 0
0
0
0
0
0
0
0 0
0
1
0 0
0
2
0
3
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0 13
T1
o
■4->
w
FEMALE
o
o
o
c
aX
-a
-p
0)
iso
-a
0 o
0
0|
0
1
0
1
8
1 25
0
3
3
0 21
4 3
3
0 4
0 0
1
0
0
0 0
0
0
0
0
0
0
0
3
1
1
1
0
1
0
0|| 0
0
0
0
0
0
0
2
4 2
2
0
2
1
2 0
1 42 10 23
4
1 15 17 19 8
0
0
0
0
0
0 16
3 2
0
0
0
1
0
0
0
0
0
0
0
o 9 7 0 0
o 11 5 5 5
1
01 0
0 0
3|1511 53 62 36
u
o
>
s
a
u
a
p.
m
>
3
+->
o
2
-p
o
M
O
W
H3
K)
0 0
0
2
0
1
0
1
0
0
0
0
0
0
0 0
0
0
0
0
2
6
0
0
0 10
0 12
0
0
0
1
0
0
0
0
0
0
0
5
0 0
2 38
01 0
0 11
0
7
0 11
0
1
0
0
0 0
0
3
0
1
0
0
2 18
0
3
0 47
2 58
0 0
0
6
0
1
0
0
0
7
1 21
0
1
5|196
I
in
H
<
H
•z>
>
w
H
O
W
H
61
MILLEDGEVILLE STATE HOSPITAL
TABLE 17
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis __
General paralysis of
the insane
With cerebral syphilis _.
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox _
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency Unclassified
TOTAL
50)60 Over | Not
60170 70 | Given
Under 20 30
20 30 40
Total
0
0
0
| 01 0| 0| 0
| 0| 0| 0| 0
1
0
1
0
| 0 0[ II 9
7
0
25
0
0
0
0
o
0
0
0
18
0
0
1
1
0
0
1
1
2
5
0
0
0
0
0
0
0
5
0
0
6
1
18
19
I I
i
0
0
I 0 31 9 3
I 0 0 0] 0
0| 01 0
II 0| 0
o
I
0) 1
0[ 0
01 0
0
0
o
0
0
I 0
I 1
0
0] 0| II 0
5 31 3 2
0
0
0
0
1
1
I
1
1
0|
1
i|
il
0|
1 1
1
o
o
0 1 01 1
1
o
0
o 0 01 0
i 1 0| 2 1
0 1 1| 3
o
o
o
0
0
1
-—
9115I21I29I33I 19
I
I
2
18
1
5
6
128
62
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
| Under 20130
20 3040
O
0
0
o
60 Over| Not
70 70 I Given Total
i 0| 0| 0| 0
0
I 0! 01 01 0
10
1
0 0
o
1 1
5
0
4| 0| 1 1
01 01 0 0
0 0| 0 0
0 0! o 0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
1|
01
0|
01
1
0
0
0
0
0
0
0|
0|
0|
0|
0|
"11
11 1 0| 0 0
0 01 0 0
0 0| 0 0
2 01 0 0
0 0| 0 0
5 11 2 8
3 5| 0 6
0
0
0
0
0
7
4
0
0
0
0
0
0
1
3
0
0
2
0
23
20
0
1
01 0 01 0 1
21 4! 11 2 3
1
1
0
0
2
14
0
0 0 1 0 1
0
0
0
1
0
1
0 01 0 1 0
1 1 1 1 3
0 3 1 1 2
0
0
0
0
0
3
-—
| 6123110] 91291 25
0
—
106
63
MILLEDGEVILLE STATE HOSPITAL
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified with Reference to Principal Psychosis.
Colored Male Population.
|
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis —
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
|Under|20|30
20 |30]40
i 0
I 0
0
50160 Over| Not |
60170 70 IGivenl Total
0
01 0
2.
0 0
I 0
17
1
24
0
0
0
I o.
I o
I 0
0
0
0
0
0
0
0
0
2
0
0
0
1
1
3
1
0
0
0
0
0
0
1
I 0] 01 0| 0| 0|
I 31 el II 1| 01
0
0
0! 0| 01 0| 0!
0
1
0
0
1
0
8
2
1
0
0
1
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
3
2
|17[20|13I17I20|
2
0
0
3
1
15
7
0
13
0
6
9
I 01 0 01 0
I II 2 1 1
I 0| 1 3 0
3
0
0
0
0
0
0
0
9
99
EIGHTY-SEVENTH ANNUAL REPORT
64
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis __
With Huntington's chorea
With brain tumor
With brain and nervous
| Under
20
0| 0| 0| 0| 0|
0 0 01 0 5i
I I I I I
01 01 1! 3 21
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
TOTAL
Over | Not |
70 | Given | Total
0!
01
Oi
01
1|
0,
0|
01
II
01
0!
3|
21
2!
4!
0
0
0!
3|
01
61
51
2|
0|
0;
Of
01
5|
0|
II
81
0
2
0
0
0
I
0
0|
0|
0|
0|
0|
0i
0;
01
0
0
0
0
4
0
0
0
0
0
0
3
4
01
01
01
o
0
3!
21
0
0
0
0
0
0
0
2
0
0
01 0' 01 01 01
01 01 0; It 01
0
0
0
0
11
2
15
25
I
I
I
0
1
I
I
0
4
13
01 01 01 01 01
Mill
01 01 01 01 01
1| 01 3| 0| 0|
51 31 1| 31 1|
1
—1—I—1—1—I-
I18I18I21I15I13I
0
0
90
65
MILLEDGEVILLE STATE HOSPITAL
TABLE 18
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
n
H
Ifl
*H
OS
01
El
C1J
ca
>.
> >! ©>. ©
cfl
<u
CJ
CO
LO
rH
0
O
S
H
N IO
h
0
(M
<M
Psychosis.
T3
Ifl
p
Traumatic
Senile
7
With cerebral arterio-sclerosis __.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
■——
Paranoia or paranoid condition
With epilepsy
;
PSychoneurosis or neurosis
With Psychopathic personality _With mental deficiency
Unclassified
TOTAL
4J
01 01 Oj 0| 01 0|
0. 0| 01 0| 1 01
3| 71 4] 9( 2| 0|
31 51 0 1| 6! 21
0'| 0 0 01 0 01
0
0| 01 0 0
01
01 II 0 0
0 o| 0 0
0 01 0
0 0| 0) 0
1 11 0 1
0| o| o| 0
21 31 11 2
01 0 01 0
0! 0| 0 0 01 0
21 01 II 31 1| "
01 11 0| Oj l1
0| 01 0| 0| 0
01 ol 01 01 11
1 2 01 0 0
O
0)
>
H
|°0|
o
H
0
0 1
0| 25
0 18
01 0
0 0
1
0
5
0
0
0
0
0
6
0
1
0
51 0 18
6111 19
2
2! 0
18
2
1
5
6
01
01
0|
1
0
0
0
12|20| 6116117114126 171128
66
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population.
-C
■*>
m
§
0
c fi X.
n -M
e li
Psychosis.
^ £
o
■a
a
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
P
■-c
a
Cfvl
c
"
m
r/j
03
>.
CM
+-<
0
-M
CO
rH
01
3|
4|
21
0
0
0'
II
of
■r-
an
(H
in
o
CM
<g&)
>.
©
C1J
>
+-*
LO
P-
r^
O
CM
O
0
0
0 0|
0
1 2|
0
0 3|
0
3 oj
0
0 01
0
0] 01
0 01 01 01
1 0| 0| 0[
0 01 0! 01
Oi 0 0
0|
0
0
0
2
1
0
0
0
0
■2
tl
0)
CM
M
w
>
rt
H
*-H O
01
2|
0
0
0
0
0
0
0
0
0
0
10
7
7
0
0
0
3
0
0
2
0
23
20
2
14
2
1
2| 0 0
-I-
81171 21 7I10I23I21I18I106
67
MILLKDGEVILLE STATE HOSPITAL
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified Wdth Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
S O f
Traumatic
Senile
,
:
With cerebral arterio-sclerosis —
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
_Psychoneurosis or neurosis. — —
With psychopathic personality.
With mental deficiency
Unclassified
TOTAL
0| 0 0 01 01
01 0 0 0 1
5 1 2 5| 1|
2 41 0|
11
0|
01
01
0|
0|
01
0
0
0
0
0
0
1
0
0 0| 0
0 01 0
1
0
0
0 0
0 0
1 0
0 0
01 0
01 1
01 Ol 0
0| 0
01 0
0
1
0
0
0
0
4
1
o
4
0| 0]
01
o|
0|
01
01
o|
0| 17
01 24
0 0
0
0
2
0
0
3
1
15
7
0
13
0
0
0
6
0
1 6 9
22112] 61211111121 71 99
68
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
rn
A
,r,
c X -*->
C c m
§ o
a
4*
1-1
Psychosis.
^H
u CO
73 o
c
Traumatic
Senile
With cerebral arterio-sclerosis __
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
is
rH
01!
1
0
1|
01
0!
01
01
01
0|
7|
2|
01
0!
01
0!
01
01
0]
21
0|
51
l|
3|
0!
01
01
1|
0!
01
31
0)
2|
2|
01
01
0|
0
01
51
a
01
rH
CM
-^Q
CO
00
H
sj
01
>, >>
m
U
a
m
(H
Bl
03
>> >>
01
Si
Cl
>1
o
© CM CM
in rH
C h
Q o 0 4J
4J
rH
~^>
+->
CM
us
T—i
O
0| 0 01 0
0| 0
ll
0|
0|
0!
01
II
01
01
1|
0|
0|
4|
01
01
01
1
0
0
0
0
0
0
0
0
0
0
01
0
0
01
0!
0
01
0|
0
0
01
0
1|
4[
3
2|
61
4
0|
01
0
01
0| H o
0
01 01 0
o| o| o| 0| 0
01 0] 0| H 3
1 II 2| II 1
41
0!
01
01
01
0|
01
0
7
6
4
0
0
0
2
0
0
11
2
15
25
0
1
0
o
4
13
131221 81 8I14I11| 81 61 90
69
MILLEDGEVILLE STATE HOSPITAL
Report of Laboratory
DR.
R. C. SWINT, Superintendent.
DEAR SIR :
A condensed tabulated report of the work done in
the Pathological Laboratory for the Year 1930 follows:
Summary
SEROLOGICAL EXAMINATIONS :
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Collidal Gold Test
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
-
1,444
41/
41/
41/
41/
CLINICAL LABORATORY EXAMINATIONS :
Urine, routine analysis
i-9^
Urine, Renal Function test (P. S. P.)
-£"
Urine, Special chemical test
J°
y4
Feces, for parasites or ova
^
Feces, for occult blood
*
Cerebrospinal Fluid, for occult blood
—
i
Blood, Chemical examination
4U
Blood, for malaria parasites
^°
Blood, Counts, red, white or differential.-- »»«»
4U
Blood, Hemoglobin estimation..
»
Blood, Coagulation time...
&
Blood, Color index
~
"
Sputum, for tubercle bacilli
^
Milk, butter fat determination
...--- ^v
Gastric Contents, Chemically and microscopically..
4
BACTERIOLOGICAL EXAMINATION
Blood, culture
Blood, agglutination test (Widal)
Cerebrospinal Fluid, Culture
Cerebrospinal Fluid, Film (Micro)
Exudate, film (Micro)
Exudate, Culture
Exudate, animal inoculation
Urine, Culture
Feces, Culture
Milk, bacteria count
Vaccine, Autogenous prepared
:
-
-
-
-
19
*»
£
jj
™
6
„
°
9K
2„q
^
EIGHTY-SEVENTH ANNUAL REPORT
70
ANATOMICAL EXAMINATIONS? GROSS
AND MICROSCOPICALLY :
Necropsies
Surgical Tissue, Gross and miscroscopical
Necropsy Tissue
Total Number of Examinations
10
4
2
8,693
Note: In addition to the total number of procedures enumerated
above, 413 cadavers were embalmed and 968 beeves inspected,
making a grand total of 10,074 procedures.
:
There were 1,444 specimens of blood examined for
the Wassermann reaction, of which number 989 were
secured as a matter of routine from patients upon their
admission to the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
SEROLOGICAL EXAMINATIONS
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Examined
280
306
228
175
989
Number
Positive
(4 plus)
11
Percentage
Positive
(4 plus)
30
47
40
3.9
9.8
20.6
22.8
128
12.9
There were 417 specimens of cerebrospinal fluid
examined, of which number 228 were routine specimens
secured from patients referred to in Table I. A routine
examination of the cerebrospinal fluid is made in the case
of each patient whose blood reacts positively to the
Wassermann test.
TABLE II.—Estimate of Serological Neurosyphillis in
Patients. Admitted During Year (1930).
Race
White
White
Colored
Colored
Total
Sex
Female
Male
Female
Male
Number
Admitted
280
306
228
175
989
Number
Positive
Spinal Fluid
Percenta
Posith
9
29
8
28
3.2
9.4
3.5
16.0
74
7.4
MILLEDGEVILLE STATE HOSPITAL
71
Reference to Tables I and II will show that 81.8 per
cent of the white women, 96.6 per cent of the white men,,
17 per cent of the colored women and 14.2 per cent of
the colored men or a total of 59.3 per cent of all whose
blood specimens reacted positively to the Wassermann
test, also gave serological evidence of syphillis of the
nervous system.
.
In conclusion I wish to thank you, the Clinical
Director and all concerned in this work for your generous
co-operation and confidence.
Respectfully submitted,
D. C. LEAPTROTT,
Laboratory Technician.
EIGHTY-SEVENTH ANNUAL REPORT
72
Report of Superintendent of Nurses
JANUARY 1ST,
DR.
1931
R. C. SWINT,
Superintendent
:
The following is a report of the Training School for
Nurses from January 1, 1930, to December 31, 1930.
Every effort has been made to keep the school up to
the highest standard. The addition of a part time instructor has been very beneficial to the school and of
material assistance to the Superintendent of Nurses.
One hundred and sixty-five (165) applications for entrance to the school were received during the year.
Ninety-five per cent were graduates of accredited high
schools.
A class of twelve was selected, all graduates of accredited high schools, three of whom had one or more
years in college.
Expenses to the Georgia State Nurses' Association
offered by the Alumnae of the School to the nurse making
the highest average in her junior year was won by Miss
Bernice Henry of Stillmore, Ga., who made a general
average of 95 1/6.
The Annual Commencement was held in the
Amusement Hall the evening of May 21st.
The processional was played by the Hospital Band
and Miss Irma Vaughan, Cartersville, Ga., accompanied
by Mrs. Lovic Pierce Longino on the piano, rendered two
beautiful vocal solos.
Senator J. M. Pittner, Washington, Ga., made an
eloquent and instructive address to the class and large
audience.
The diplomas were delivered by Hon. John T.
Brantley, President of the Board of Trustees, and the
hospital pins by Dr. T. M. Hall, Vice-President of the
Board.
A reception, and dance followed.
The following nurses received diplomas, making the
total number of graduates one hundred and sixty-seven.
DEAR SIR
Miss Frances Eudelle Evans
Miss Louise Idelle Giles
Miss Ethel Paine Giles
Miss Elizabeth Heringdine
Miss Cecyle Hope Kennedy
Chauncey,
Sandersville,
Sandersville,
Milledgeville,
Arnoldsville,
Ga.
Ga.
Ga.
Ga.
Ga.
MILLEDGEVILLE STATE HOSPITAL
Miss
Miss
Miss
Miss
Miss
Louise Ima Martin,
Ollie Adelia Reese
Ora Blanche Taylor
Mattie Lena Wallace
Gertrude Willoughby
73
Milledgeville, Ga.
Warrenton, Ga.
Milledgeville, Ga.
Sparta, Ga.
Phenix City, Ala.
Plan of Instruction
The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education.
The course extends over a period of three years, including three months probation and six months affiliation
in some large, general hospital for additional experience
in surgery, pediatrics, and obstetrics. Classes are conducted eight months out of each year and consists of
lectures, recitations, and laboratory work.
A passing grade of 75 in all branches is required for
graduation.
A short course in Nursing Mental Diseases was conducted in March and October by Dr. N. P. Walker, Clinical
Director for all new attendants.
Nursing Staff
Superintendent of Nurses ....
1
Instructor
1
Supervisors
—
*
Head Nurses (Graduates)
»
Dietitian
*
Senior Nurses in School
jy
Junior Nurses in School
11
Freshmen Nurses in School
11
Total Number Student Nurses
32
Occupation Therapy Nurses
13
Special Attendants
?
White Female Attendants..
!«>»
Vacancies
I wish to thank you for your constant support, and
all officers for co-operation and contributions to the
success of the school.
Respectfully submitted,
(MRS.) MAE M. JONES, R. N.,
Superintendent of Nurses.
74
EIGHTY-SEVENTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE, GA.,
JAN. 1st. 1931.
R. C. SWINT,
Superintendent.
DEAR SIR :
We beg to offer the following report of the work done
in the Dental Department of the Milledgeville State
Hospital during the year ending Dec. 31st, 1930:
Extractions
4,187
Infiltration anaesthesias
2,048
Conductive anaesthesias
785
Ethyl chloride anaesthesias
10
Alveolotomies
126
Incisions sutured
6
Post-operative treatments
171
Amalgam fillings
212
Cement fillings
68
Gutta-percha fillings
5
Synthetic porcelain fillings
54
Gold inlays
16
Gold inlays reset
3
Nerve cappings
4
Nerve treatments
8
Nerves devitalized
5
Root treatments
18
Root fillings
12
Abscesses lanced
33
Abscesses treated
19
Lancing gums about 3rd molar
12
Treating gums about 3rd molar
47
Excessive hemorrhages arrested
6
Treatments for erosion
2
Treatments for pyorrhea alveolaris (number
of patients)
38
Cleaning teeth (number of patients)
44
Scaling teeth (number of patients)
148
Applications silver nitrate
1
Treatments for acute odontalgia
31
Treating gums (number of patients)
148
Treatments for oral ulcers
27
Treatments for stomatitis
7
Curetting aveolar process
18
Plates made
Q2
Plates repaired
47
DR.
MILLEDGEVILLE STATE HOSPITAL
7_5
c
Plates milled
Plates rebased
Gold crowns
Porcelain crowns
Crowns removed
Bridges removed
Bridges made
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients).... 10^
Impacted 3rd molars removed
24
Dislocations reduced
Sequestra removed
Calls to wards
------ ^60
Number of new and returned patients examined.... 1,101
2
Number of patients treated
>°83
Total number of operations and treatments
8,607.
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
76
EIGHTY-SEVENTH ANNUAL REPORT
Report of Pharmaceutical Department
DR.
R. C. SWINT,
JANUARY 1ST,
1931.
Superintendent, Milledgeville State Hospital.
DEAR SIR :
The following is the annual report of the Pharmaceutical Department for the year ending December
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
tZl I:::::::::::::::::
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated powder....
Indelible ink
Glycerites
Liniments
Tonics
Tooth powder
Quinine, anodyne and lagrippe capsules
. fi!Ied
r
Germicide
Fly and mosquito exterminator
2,958
940
pounds
935
126
1,600
48
83
48
188
334
560
2
33,800
'
445
<<
^
STATEMENT
Debits
January 1, 1930, Inventory as of Dec. 31. 1929....$5,581.85
January i,
'puRCHASES DuRING YEAR
Drugs, chemical, dental, surgical
and laboratory supplies
Freight and express
$11.981.78
••
__
_ . .
Total
Less goods returned
$12,219.49
2g5 34
-•
j
Net amount goods purchased
Total
«"""M""IQTO""
Deduct: Inventory Dec. 31, 1930 -
$11,934.15
J?_
$17,516.00
5,095.40
Amount goods to be accounted for..
$12,420.60
Credits
Dec. 31,1930, Prescriptions filled
for wards, 37,915 aggregating....$11/jr 10.05
Sales to officers and employees .^^u^oo
$12,420.60
Total
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
78
-^™™THANNUA£REP^
Report of Engineer
JANUARY
DR. R. C. SWINT,
DEAnSmrintendent ^
1, 1931.
ReSident Ph
^ian.
3S com le
March. The new dear wS
P ted early in
P Ump Was co
time later. TMsW ™L
^
™ected a short
alternately ^ColTZiTZZlT "" ^ uJd
was Xleted"^^^^ L- fM- ^nes Building
Plumbing and steam lines tX ^^ in ApriL The
equipment were instaSS hvth£ P*^™ and kitchen
=atin,g room ^^^^51^^^^
Thirty Stops we^SdTo %*"*•?? remod^
switching framfwinnfarcred «n?G SWltfhboard. The
the switchboard to the ^Isement m°.ved*r°»
behind
under
switchboard, All cables w?tw£ ' edlrectIy
the
going to the Twin Bri din« £n A ^c?Ption of those
Building, were enlarged Sdnl^ ^ Convalescent
wooden conduit. Twenty sevpn £ew ? ,UI\der ground *°
stalled. These teleXET
,
telephones were ine P
r
L M Jon
Building, the new n egTo LI d mf
^
^
"
g
e old
negro"
kitchen, and several ofthT™
'
building
the negro wards
out telephones
that were with
located
the Femfe ctva^e^S^§1 WJ th
between
Building was torn]townandtl T* .e U M" ^es
cottage occupied by Dr g0s?4
' m the rear of the
occupledTD^ wSr8 *"* in the rear of the cottage
the GTrIe°nnSiad!nf$&£** ***» -re installed in
FemalnCot3escemntttachen0aSter WaS instalIed *» the
inStalled ta the
roomie tKwirBundin'gr
dining
^ent^SS^^^^
<«ftr in the
cne tront
Building.
lobby of the Powell
MILLEDGEVILLE STATE HOSPITAL
79
Two brick rooms were built onto the Twin Building
dining rooms. The dishwashing machines were moved
to these rooms, and a slop sink was installed in each room.
The old brick floor in the washroom section of the
negro laundry was torn out, and a concrete floor put down
in its place.
One of the old washing machines from the White
Laundry was overhauled, and installed in the Negro
Laundry. This machine is powered by an electric motor,
installed for the purpose. The motor and shafting was
installed with sufficient capacity to operate two more
washing machines.
It has required the whole time of one mechanic and
one helper the entire year, to keep the old machines in the
White Laundry in running condition.
The cottage occupied by Dr. Yarbrough was recovered
with red cedar shingles.
The old shingle roof on the 27th White Female Ward
was torn off, and replaced with a "5-V Crimp" galvanized
iron roof.
A room five feet square was added to the mattress
factory, and a frost-proof closet installed therein.
A new, electric powered, morticing machine was installed in the carpenter shop.
The following places were repainted during the year:
The interior of the Officers' quarters on the ground
floor of the Female Convalescent Building.
The interior of the Powell Building kitchen.
The interior and exterior of the cottage occupied by
Mr. Bivins.
The exterior of the cottage occupied by Dr. Walker.
The exterior and interior of the cottage occupied by
Miss Humphrey.
The interior of the cottage formerly occupied by
Dr. Cox.
Four Rooms of the cottage formerly occupied by
Dr. Bowen.
The hall ways at each side of the center part of the
Powell Building.
The dome on the Powell Building.
The White Female Infirmary. The back wing of the
Infirmary was also replastered before painting.
The operating room on "D" Ward.
The woodwork and the dining rooms and sitting
rooms of several of the White Female Wards.
80
EIGHTY-SEVENTH ANNUAL REPORT
A concrete loading platform was built along the
entire west side of the Store House.
Two cast iron sluice gates were installed in the intake well at the water works. These gates were installed
at a lower elevation than the ones installed in 1927. The
lower elevation of the openings was made necessary by
the breaking of the dam at the old power house of the
Mill^dgeville Lighting Co.
The three-inch cast iron water main that ran from
the Colony Pond to the elevated tank at the Colony was
dug up and relaid on a direct line from the Colony Spring
to the tank.
A new Myer's "Bull Dozier" power pump was installed at the Colony Spring. This pump delivers 48
gallons of water per minute to the elevated tank at the
Colony.
Under the supervision of the Farm Steward, the
"Grade Gang" of this Department, graded all the
shoulders of the roads that were paved by the Highway
Department.
With the help of the wagons from the Farm Department, the ground around the L. M. Jones Building
was graded and sodded.
The old wooden pavilions on each side of the old
Negro Building were torn down. The west side yard of
this building was filled in and graded to a one per cent
grade. This necessitated building three brick retaining
walls across this yard.
The southwest corner of the wall enclosing the back
yard of the West Detached Building was torn down and
rebuilt on a curve. This eliminates a "Blind Corner" at
this point. This work was done by attendants and patients
from the Negro Department.
An eighteen-hole minature golf course was constructed in the south side yard of the Green Building.
On the 6th of November the dining room ,and
kitchen of the 24th White Male Ward caught on fire from
a rat nest between the studding of the wall between the
kitchen and dining room. Owing to the prompt action
of the fire department the fire was extinguished after
doing very little damage to the building.
A 40-gallon Childs Soda and Acid Chemical engine
was installed at the Colony Farm, and the supervisors
and attendants were instructed in its operation.
MILLEDGEVILLE STATE HOSPITAL
81
Four 2i-gallon Foamite Fire Extinguishers were
purchased. One was installed in the paint shop, one in
the garage and the other two were mounted on the
apparatus.
All of the electric light circuits in the Powell
Building, with the exception of the center part, were rewired, the insulation on the old wire having rotted to such
an extent that a number of grounds had developed on
the several circuits. This same work was done in the 1st
and 2nd Negro Female Wards.
In addition to the ordinary repair work required
continually throughout the institution, the carpenter
shop, the furniture repair shop, the shoe repair shop and
the broom factory have been kept busy during the year
making and repairing the various articles required in the
different departments.
Respectfully submitted,
W. S. JETT, JR., Engineer.
82
EIGHTY-SEVENTH ANNUAL REPORT
Report of Farm Steward
FEBRUARY
DR.
2, 1931.
R. C. SWINT, Superintendent,
DEAR SIR:
I wish to submit my report for the fiscal year ending
December 31st, 1930.
The following is a list of food stuffs produced by my
department during the year:
Beans, butter
924
"
Beans, snap
207
Beans, ototon
ioo
Be
ets
_
". 2260 Heads
Cabbage
_
2890
Collards
13209
Cantaloupes
10000 Bu.
Corn
979
Corn, roasting ears
1000 Tons
Corn, silage
162 Bu.
Cucumbers
150 Tons
Fodder
igu u
Hay, (oats & vetch)
960 Heads
Lettuce
_
1020 Bu.
Oats, shelled
280 Bales
Oat straw
749 Bu.
Okra
~ 505 Bu.
Onions
508
Peas, garden
202
Peas, field, green
695
Peas, field, dried
800
Peaches
862 Baskets
Pork, dressed
26466 Lbs
Potatoes, irish
899 Bu.
Potatoes,
sweet
8500
R
ape
1520
R
ye
81
Spinish
126
Squashes
1884
Syrup
1215 Gal.
Tomatoes
535 Crates
Turnips and turnip salad
4879 Bu.
Watermelons
26940
83
MILLEDGEVILLE STATE HOSPITAL
Dairy
5798
Sweet milk
Sweet cream
Beef
Calves'sold
Manure
-
-
-
-----
8
26
3873
1
1316
Gal.
Lbs.
*or f6-00
Loads
Chicken Farm
Hens issued
134
Roosters issued
5
Friers issued
-—
?
QQI
r>
0
Eggs received
- - 21°°4 ,fEggs issued
1891
Eggs set
f^'*
Turkeys issued
139 Lbs.
In addition to producing the above my department
has cut about 500 cords of stove wood and distributed to
houses and kitchens. We have moved all the coal from
the chutes to the boiler rooms. Have also kept up the
entire road system around the institution and have done
several other things too numerous to mention.
I wish to thank you, the Board of Trustees, the
officers and others for the gratitude and co-operation
shown me throughout the year.
Respectfully,
F. C. PENUEL,
Farm Steward.
84
EIGHTY-SEVENTH ANNUAL REPORT
Report of Treasurer
DR.
R. C. SWINT, Superintendent,
MARCH 24TH,
1931.
Milledgeville State Hospital,
Milledgeville, Ga.,
MY DEAR DR. SWINT :
Agreeable your request I beg to submit statements of
accounts as treasurer Milledgeville State Hospital for
fiscal year ending December 31st, 1930.
Dec. 31st, 1929, Bal. cash
on hand
.$
1,426.25
Requisitions received 1930
1,170,000.00
Misc. collections from
Homer Bivins, Steward
10,561.96
Interest on account
697.07
$1,182,685.28
Disbursements for year 1930
$1,134,974.20
Dec. 31st, 1930, Bal. cash on hand
47,711.08
$1,182,685.28
Building and Equipment and Special Appropriation
Accounts.
Requisitions received during
year 1930
$225,000.00
Interest received on accounts....
564.60
$225,564.60
Disbursements during year 1930
$184,765.87
Dec. 31st, 1930, Bal. cash on hand
40,798.73
$225,564.60
As treasurer Milledgeville State Hospital and as
cashier Exchange Bank, we certify that the above
accounts are correct.
OTTO M. CONN. Treas. Milledgeville S. H.
H. G. BANKS, Cashier Exchange Bank.
Witness:
H. H. HERNDON,
N. P. B. Co. Ga,
MILLEDGEVILLE STATE HOSPITAL
85
Report of Steward
DR. R. C. SWINT, Superintendent,
Milledgeville State Hospital.
DEAR SIR :
I submit herein a comparative financial report of the
condition of the Milledgeville State Hospital for the fiscal
years ended December 31, 1929-1930; together with comparative detailed statements of receipts and disbursements and other data for these periods.
The year of 1930, as well as that of 1929 has been
most unusual in the history of the Hospital, in that the
State's inability to promptly pay our appropriations has
seriously handicapped us in its proper operation and prevented the opening of our Psychopathic building completed early in the year.
On December 31, the State was indebted to us for
maintenance in the amount of $250,000.00 for the year
1929 and $130,000.00 for 1930; the non-payment of which
sums'continues to embarrass us, since it prevents the payment of the greater number of our supply bills since
June first.
The Hospital was operated within its appropriations
during both the year 1929 and 1930, and at the end of
1930 had excess assets of $157,619.25 an increase of
$53,466.01 over 1929. Our expenditure for maintenance
for 1930 less internal income was $1,245,912.62, and on
this basis our annual cost per patient for care and, treatment was $233.80, a slight increase over 1929 ot $4.^4,
and our per-diem $0.64,05, and increase of $0.1,16.
The State was also indebted to us on December 31, in
the sum of $597,135.57 which amount represented unpaid
balances on special appropriations $562,253!.581 of which
was for new buildings, and the balance of $34,881.99 for
the enlargement of our Water-works.
Our experditure on the New Negro and Psychopathic
buildings at the end of the year totalled the sum of
$554,875.55, including interest of $23,929.05, and that
of the Water-works $46,178.60 including interest of
$117 39
On the expenditure of $554,875.55 for new
buildings, the State has paid the sum of $487,746.42,
$205 000 00 of which was paid on an appropriation made
in 1929 of $500,000.00 for additional new buildings. The
EIGHTY-SEVENTH ANNUAL REPORT
balance of $67,129.13 is being carried by banks and in
open accounts, subject to eight per-cent interest. On the
expenditure of $46,178.60 for Water-works, the State has
paid the sum of $45,118.01, leaving an unpaid balance of
£1,060.59.
The following exhibits and schedules set forth the
condition of all accounts in detail, and are offered in
support of the above statements.
EXHIBITS:
1—Comparative Balance Sheet December 31, 1929-1930.
2—Comparative Statement Receipts and Disbursements
Years, 1929-1930.
3—Consolidated Cash Statement Receipts and Disbursements.
4—Statement Receipts and Disbursements Account
Special Appropriations.
5—Statement Special Appropriations, Expenditures and
Balances Available.
6—Profit and Loss Statement, Farm, Garden and Dairy.
7—Statement Operating Funds, Per-capita, Etc.
SCHEDULES:
1—Accounts Payable as of December 31, 1930.
2—Accounts Receivable as of December 31, 1930.
3—Production, Farm Garden and Dairy.
Vouchers have been drawn throughout the year in
the payment of all accounts promptly upon their due
dates, but because of a lack of funds were held in the
office from month to month, and on December 31,
amounted to $260,800.93 for maintenance alone.
All paid vouchers and all bills for purchases made
during the year, are regularly filed and of record in this
office.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT No. 1
Comparative Balance Sheet, December 31, 1929-1930
1929
EXPLANATORY:
CASH:
» loQnoKR
Treasurer-Patients' Fund
> ^f-^%
Treasurer—Occupation Therapy fund — _
4,^±*.*u
Treasurer—Building and Equipment Fund
Treasurer—Special App. Building Fund
3 000 00
Steward—Working Fund
•'■£"?'
1'A An in
Steward-Time Deposit-Merchants & Farmers Bank—
1,440 38
Steward—Time Deposit—Exchange Bank
1,/du.uz
ACCCOUNTS RECEIVABLE:
Officers, Employees and Others
Increase
1930
12,477.18
4,390.57
1,530.32
39 268.41
3,000.00
463.87
1,306.86
$
174-63
176.17
1,530.32
39,268.41
976.51
76.84
IQI«S0
1,845.16
528.86
DUE BY TREASURY DEPARTMENT:
Unpaid Expenditures Against Special Appropriafons - 226,290.90
Unpaid Requisitions Against Maintenance Appropriations 250,000.00
67,809.48
380,000.00
130,000.00
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STOCKS:
ro 07c on
General Merchandise
Fuel—Coal and Coke
Drugs, Chemicals and Sundries
Engineering Materials
Packing House Products
Dry Goods, Clothing in Manufacture
Farm Supplies
Dairy Feeds
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTAL
20 257-29
_'-„.. R1186296
5'504 25
'SQQ'/IH
__
°^-*°
45070
3,2^.b4
_^^^^^^^4M7^72_
Decrease
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198,481.42
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58,326.73
20,257.29
5,505.08
11,608.06
5,095.40
1,992.69
4,951.43
858.00
407-30
1,159.21
284.70
1,345.17
1,887.47
$ 617.622.57
a
76.77
254.90
408.85
$178 273.17
S201.828.32
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EXHIBIT No. 1—(Continued)
Comparative Balance Sheet, December 31. 1929-1930
EXPLANATORYDUE SPECIAL FUNDS:
Brantley Building
Occupation Therapy Department
Occupation Therapy Department—Female
Occupation Therapy Department—Male
Female Commissary
TRUST FUND:
Patients Deposits
ACCOUNTS PAYABLE:
Individuals and Corporations
DUE TREASURER:
Overdraft General Fund
SALARIES, WAGES AND LABOR:
Officers Salaries
Employees Wages
Due contractors for labor and materials in construction
of New Building. Temporary paid with Requisitions
on Governor and discounted by banks
GROUP INSURANCE:
Advancements
EXCESS ASSETS:
Net at End of Years
TOTAL
1929
779.50
4,217.40
405.90
5,786.28
1,440.38
1930
$
342.00
4,390.57
525.00
9-204.64
46387
l.isrease
Decrease
437.5J
173.17
119.10
3.418.36
976.51
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12,302.55
12,477.18
42,997.97
61941.06
18,943.09
203,832.67
211,947.55
8,114.88
6,290.72
33,047.22
6.856.98
37,392.36
566.26
4,345.14
225,923.89
114,440 30
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174.63
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111,483.53
21 81
21.81
104,153.24
157,619.25
53,466.01
$641,177.72
$617,622.57
$ 89 342.45
$ 112.897.60
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EXHIBIT No. 2
Comparative Statement Receipts and Disbursements Years, 1929-1930
EXPLANATORY.
=
"
State Appropriation, Regular
MISCELLANEOUS:
Interest on Balances
Donations
Total, Less Internal Income
1929
$1,200,000.00
1930
$1,300,000.00
723
vo
°-
$1 200,635.17
Incr^T
Decreass
$100,000.00
3
8846
101.32
'
101.32
$1,300,824.95
$100,189.78
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INTERNAL INCOME:
Board of Officers
Board of Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales—Ice
Sundries ___--—Saes-Farm Products
Sales—Dairy Products
Pines
GRAND TOTAL
S'n?
2,044.02
^f
42 00
925;74
265 09
57,714.28
24 218 15
146 01
$1.292.092.56
1041-29
176151
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^ 12
38 50
1,114.32
291.46
36,342-82
27,676.87
218.00
$1.373.708.33
182.32
282.51
806.40
3.50
188.58
26.37
21,371.46
3,458.72
71.99
$104.261.96
$ 22 646.19
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements Years. 1929-1930
EXPLANATORY.
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Steward's Department
Engineer's Department
Farm and Garden Department
Dairy Department
FOOD SUPPLIES:
General Wards
Nurses Home Dining Room
Steward's Dining Room
Superintendent's Dining Room
MISCELLANEOUS.
Clothing and Dry Goods
Furniture and Bedding
Fuel
Medical Supplies
Stationery and Postage
Advertising
Amusements
Repairs, Autos and Trucks
Barber Supplies
Broom Factory Supplies
Blacksmith Supplies
Dental Supplies and Repairs
1929
9
78,991.63
1930
$
84,289.64
206,883.73
51,317.86
65,598.73
10,818.64
3,217.10
308,822.12
57,661.69
61,178.79
12,334.56
4,244.51
451,557.99
20,344.51
5,579.10
1,320.26
426,352.76
19,448.56
5,651.35
1,124.49
78,418.44
40,479.78
52,748.37
9,855.95
2,378.94
140.14
217.50
1,410.98
301.18
1,462.94
555.23
544.28
72,816.21
35,037.34
66,904.39
11,552.49
2,133.93
227.86
178.97
1,118.89
341.58
1,316.99
721.15
410.40
Increase
$
5,298.01
Decrease
$
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41,938.39
6,343.83
4,419.94
1,515.92
1,027.41
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25,205.23
895.95
72.25
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195.77
5,602.23
5,442.44
14,156.02
1,696.54
245.01
87.72
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38.53
292.09
40.40
145.95
165.92
133.88
EXHIBIT No. 2- -(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930
Demurrage __
Dining Room Supplies ——-.
■Electric Light Repairs and Supplies
Electric Power Supplies
Escaped Patients
Florists Supplies
Gas and Oils
Garage Supplies ____
Housekeeping Supplies
Hanressl Repairs
Cemetery Supplies
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
__—_
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries .Musical Instruments
Office Supplies
r"S"—,"
Telephone and Telegraph Supplies
Printing
Poultry Yards
Publicity Work
Registration Autos
Surgical Instruments
1930
1929
EXPLANATORY.
-
2 356.04
i'827 74
'l93'35
26486
81'05
3 41649
6 50
11002 36
'95 90
12600
2 413 90
l'602 91
390970
628 15
5 07174
28'054'35
'l88'.60
2 00
32;33
958 45
190'56
1312 55
'782;o9
—
14.00
2,137.68
1,868.70
814.94
166.67
42.38
3,760.44
86.90
10,868.87
108.38
66.00
3,808.64
8 080.47
l',782.42
715.44
5,161.29
23 210.68
'504.25
18 48
15^3
1402.57
4',97l'.45
875.46
1,005.04
223.51
gl25
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'
100
43 64
Increase
14.00
40.96
621.59
Decrease
218.36
98.19
38.67
343.95
80.40
133.49
12.48
1,394.74
6,477.56
87.29
89.55
60.00
2,127.28
222.95
223.51
33.75
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4,843.67
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315.65
16.48
444.12
4,780.89
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437.09
114.46
EXHIBIT NO. 2—(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930
EXPLANATORY.
Telephone and Telegrams
Tobaccos
Tools and Implements
Travel
X-Ray Supplies and Repairs
Sundries
FARM AND GARDEN:
Freight and Express
Miscellaneous Supplies and RepaL-s
Seed
Fertilizers
Board of Employees
Treating Live Stock
DAIRY:
Board of Employees
Miscellaneous Supplies and Repairs
Freight and Express
Feed
Fencing—Post
MAINTENANCE OF PLANT:
Brick
Builders' Hardware
Cement
Crushed Stone
Cooking Apparatus
Electrical Equipment
Fire Apparatus
1929
__.
__
1930
650.04
9,100.57
510.02
1,853.57
176.70
1,164.24
601.51
7,939.98
314.93
1,370.50
223.20
977.00
55.90
1,802.96
1,588.56
12,941.64
2,681.48
126 25
62.96
1,701.59
1,412.35
11,089.70
2,807.49
514.49
304.72
222.32
10,262.35
715.00
301.94
398.00
11,429.54
204.40
709.96
2,248.58
1,327.50
847.28
1,020.83
1,135.50
218.82
1,142.86
791.68
309.72
835.40
46.01
Increase
Decrease
48.53
1,160.59
195.09
483.07
O
K
•-3
187.24
w
46.50
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7.06
101.37
176.21
1,851.94
126.01
126.25
200.51
2.78
175.68
1,167.19
204.40
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137.32
1,227.75
192.00
218.82
307.46
791.68
263.71
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EXHIBIT NO. 2—(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930_
EXPLANATORY.
Grading Supplies
Ice Works Supplies
Lime Hair and Masons Supplies
Lumber and Building Material
Machinery Repairs and Supplies
Painting Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners' Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Automobiles and Trucks
Live Stock
__
Cafeteria Equipment
Topographical Map
—
__—
1930
V^'f
495.^4
r, A/aL
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i%W%A
t'AVnt
' o«7r
°°-'°
,nrTQA
nin'tn
-709^1
6.85
250.33
1,109.40
5,351.22
2,402.72
2,151.30
2,642.32
172.84
362.64
851.33
1,197.17
463.67
1,834.04
2,283.81
ZOQ'QQ
i,d<s».a»
950.97
Increase
Decrease
113.00
244.91
493.03
2,053.73
r1
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1,276.34
a
2,162.79
269.40
675.39
99.87
318.67
505.16
1,332.84
$1,289,522.22
§1,318,897.32
99,656.14
2,570.34
54,811.01
52,240.67
$1.292.092.56
$1,373,708.33
$151,896.81
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2,905.75
5,096.75
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206.60
86.09
2,191.00
1,675:00
3,872.54
4,000.00
—
TOTAL DISBURSEMENTS, Plus Internal Income,
DIFFERENCE:
Operating Gain for Years,
GRAND TOTAL
1929
1,675.00
3 872.54
4,000.00
$ 70,281.04
$ 70 281.04
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EXHIBIT No. 3
Consolidated Cash Statement Receipts and Disbursements
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EXPLANATORY
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ho
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|$ 4,217.40!$12,302.55|$ 3,000.00!$12,045.45|$253,415.88
H
Balance from 1929
Less Due Special Funds —
RECEIPTS:
Maintenance Appropriation
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward —
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
—
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$205,000.00 $20,000.00
139.651
424.95
|
3,694.88
225,000.00
546.6J
173.17;
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10,068.14|
23,829.51|
$205,139.65'$24,119.83|$ 4,390.57|$12 302.55l$36,897.65!$12,045.45|$
|
|
[ 23.829.511 33,897.651
I
$205,139.65l$24,119.83!: 4,390.57!$36,132.061$ 3,000.00|$12,045 45|!
I 23.654.881 27,050.67i
183 361
165 871.24! 22,589.511
$ 39,268.41!$ 1,530.32'i 4,390.57I$12,477.18!$30,050.67IS12,228.811$
|
| 27.050.671
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$ 39,268.41!$ 1,530.32|$ 4,390.57 $12 477.181$ 3,000.00'$12.228.811$
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27,851.28
27,851.28
26668.80
54,520.08
54.520.08
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SUMMARY
CREDITS:
DEBITS:
Treasurer—General Fund—
Treasurer—Building Fund
§39,268.41
Treasurer—Building & Equipment
Fund
- 1.530.32
Treasurer—Occupational Therapy
Fund
4,390.57
Treasurer—Patients Fund-- —__ 12,477.18
Steward—Working Fund
3,000.00
Steward—Time Deposits
1,770.73
Unpaid Requisitions—
Negro Building
12,228.81
Unpaid Requisitions—■
Psychopathic Building
.. 54,520.08
Unpaid Requisitions—
Water Works
1,060.59
Overdraft—Maintenance Fund ___109,104.12
Total
__—
Overdrafts
$211,947.55
Occupation Therapy Department- 14,120.21
Patients Deposits
12,477.18
Brantley Building
342.00
Female Commissary
463.87
Total
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$239,350.81
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$239,350.81
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EXHIBIT No. 3—(Continued)
Consolidated Cash
Statement Receipts and Disbursements
Balance from 1929
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation __
Special Appropriations —
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers ----Balances
...-■—
Disbursed by Steward
Balances
——
$2,670.40
Occupation
Therapy
Depts.
Treasurer
General
Fund
EXPLANATORY:
Steward
Time
Deposits
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j$ 203,832.67!$10,409.58l
|$12,302.55
I 1,170,000.00|
I
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173.17|
697.07|
101.321
45,131.07|
4,277.95j
23,829.51
1,268.791
£4,040.51]$l,011,995.47|$14,860.7Oj$36,132.06
I
10,068.141
?4,040.51|$1,022.063,.61[$14J860.7(4|$36,132.06
2,269,781 1.234.011.161
740.491
$1,770,731$ 21 l,947.55!$14,120.21l$36,132.06
I
|$23,654.88
$1,770.731$ 211,947.55l$14.120.21]$12,477.18
G2
cs .«
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$779,501$
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$779.50[$
I
$779,501$
437.501
$342,001$
$342,001$
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C 0
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1$ 829 5V
1,440.38!
1$
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59,716.57
1,170,000.00
801.39
48,825.95
5,787.19
1.268.79
2,709.171$ 829.57|$1,285,131.10
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2 709.17|$ 829.57|$1,285,131.10
2,245.301 231.0211.390 839.43
463.87|$l,060.59l$ 105 708.33
3.395.79
463.87|$1,060 59 « 109.104 12
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Statement Receipts an
EXHIBIT No. 4
Disbursements Account Special Appropriations
EXPLANATORY
"RKCBIPTST"
stot. Treasury on 1929, Appropriations-SSS State T,SK on 1927, Appropriations.
easssSi^^sj^^^
$12,228,811
$12,228.8lji
TotalsBalance due on 19|^29-1930 Expenditure.
DISBURSEMENTS, 1930.
Office Equipment
Kitchen Equipment . —Dining Room Equipment
Furniture and Bedding .
Plumbing
$12,045,451$
Miscellaneous Supplies
1$
5.861
177.50|
205,000.00
20,000.00
564.60
67.809.48
205,000.00|
20,000.00|
564.601
54,520.08|$
1,060.59|
280,084.68|!
1.060.591$
253,415.881$
1,300.40|
4.902.36|
365.00
3,603.41
117.98
743.94
15,635.71
293,374.08
829.57|$ "266,299.00
I
1$
117.39
113.63
1,300.40
4,902.36
365.00
3,603.41
117.98
743.94
15,758.96
291.13
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EXHIBIT No. 5
Statement of Special Appropriations, Expenditure and Balances Available
93
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EXPLANATORY.
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Appropriated in 1927
Appropriated in 1929
TOTALS
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_
Excess Expenditure Over Appropriation
Balances
Expenditure for years, 1928-1929-1930__
--Balances Available __
:
:
Totals
$500,000.00[$
50,000.001
$550,000,001$
4,875.551
$554,875,551$
$554,875,551$
I
$554,»va.ob|$
80,000.00
$
80,U00.00|$
80,000.001$
46,178.601
33,821.401$
80.000.00|$
1$
580,000.00
500,000.00
550,000.00
500,000.001$ 1,130.000.00
I
4,875.55
500 000.00|$ 1.134,875.55
1$ 601,054.15
500.000.001
533.821.40
500,0OQ.O0|$ I.134.'87B.'SB
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MILLEDGEVILLE STATE HOSPITAL
99
EXHIBIT No* 6
Profit and Loss Statement, Farm, Garden and Dairy
Inventories at beginning of year-PURCHASES DURING YEAR:
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
Feeds—Home Grown
Total
-,-;-Less Inventories at End of Year-
Net
Gross Profit for YearGrand Total-
"OPERATTNG^XPENSE
Wages and Labor
Miscellaneous Supplies and Repairs:
Board of Employees
Total
^tjWrt^nrJfear
Grand Total
PRODUCTION:
Dairy Products _-Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Feeds
Compost
■---—- —
Miscellaneous Food SuppliesCash Sales
$45,250.00|$14,890.80|$60,140.80
6,829.70
9,929.54
4,260.00
4,260.00
1,412.35
1,412.35
460.96
398.00
62.96
1,500.00 1.500.00
$57,815.01|$26,718.34|$84,533.3d
33,860.00] 15,693^00|_ 49,553.00
$23,955.01|pi,025.34j$34,980.35
i«WljljJj:65_1.53! 34.653.34
"S4l!956.82.$27.676.87i$69.633.69
6,829.70
9,929.54
$12,334,561$ 4,244.5111*16,679.01
1,701.591
506.34| 2,207.93
715.001 3,522.49
2.807.49!
! 5,465.85 $22,309.49
$1
12.343.85
?'ft8?T
1 1,158^7 11,185.68
$18.001.81l$16.651.53'*34.653.34
1$22,876.40|$22,876.40
29,369.60
534.471 3,716.99
947.70
I
I 2.395.60
4,260.001 4,260.00
6,061.40
6,061.40
6.00
6.001
friTQfifi.82l827.676.87|$69.633.69
$1 «.00L821S16.651.531$34.653.34
$29,369.60
3,182.52
947.70
2,395.60
EXHIBIT No. 7
Statement of Operating Funds, Per Capita, Etc.
EXPLANATORY.
Cash and Cash Items.
VJ-Zi)
1930
Increase | Decrease
$539,794.55[$512,091.85|
$ 27,702.70
1
Total
$539,794.55|$512,091.85i
I
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
Accounts Payable
Accrued Salaries and Wages
Treasurer—General Fund Overdraft^
Balances
Total
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
Per Capita Cost for Years _
Per Diem Cost
~~~
I
I
P250,855.90|$141,843.56I
!
I
I 27,702.70
109,012.34
f 42,997.971$ 61,941.06|$18,943 09
39,337.94[ 44,249.341 4,911 40
203,832.67! 211,947.55| 8,114 88
2,770.071 52.110.341 49.340. 27!
■IS539,794.55|$512,091.85I$81,309.64]$109.012.34
COMPARATIVE PER-CAPITA YEARS, 1929-1930
1929
1930
-$1,289,522.22
$1,318,897.32
91,457.39
72,984.70
_
""
—
„„ .„„
$1,198,064.83
J&?l9
229.56
S -62.89
11,245,912.62
5,329
233.80
$ .64.05
t—i
o
a
H
I
W
<
H
S5
H
■«
>
►
t-1
W
O
W
H
101
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE. No. 1
AxcountsJ^yable^s_ofDecen^
: T . „_,
NAME
.
Aetna Life Insurance Company
American Bakeries Co.
—
g
American Disinfection Co
Armour & Company
Atlanta Dentai Supply <Jo.__
—
Banks, H. G
———
Barnhouse, C. L.
Barrett Watson Co
Bedford Tobacco Co
-Bell City Manufacturing Oo
Belknap Hardware Co
Bell Dry Goods Co
--—
Bell Grocery Co
Binion, Dr. Richard
—
Brantley. John T. __-Brown Company, D. W
Burford Hall & Smith
Burroughs Adding Machine Co
Campbell Coal Company
Carr Company, A. J._Carithers Wallace Courtney
Central of Ga. Railway Co
—
Coleman, P. H,_—-~■——
——
Coleman, Medows, Pate Co
Collins, W. H
Conn & Company, John
Conn Agent, Otto M._ — -------Container Corporation of AmericaConklin Tin Plate & Metal Co
—
Crane & Company
Cudahy Packing Company
—
Dairy Products Co., The
—
Duer & Sons, John
—
—~
Dunlap-Peeler Hardware Co
Eatonton Oil & Auto Co.__
__—-—-Ennis, J. H
Erwin, J. D
—
Evans, W. C
.--—Eureka Fire Hose Mfg. Co._
Everhart Surgical Supply Co—
Fay & Egan Co., J. A.__——
Fowler-Flemister Coal Co
Foy Paint Company
Freeman-Dent Company
Fulton Supply Company
General
General
Georgia
Georgia
Gilham
Gilman.
Gilman,
Electric~Supply Corporation
Electric X-Ray Corporation
Power Company
Railroad Company
Electric Company
J. M
W. P
Credits
Debits
—
950.47
319.00
g 1Q
^
1,139.10
2.71
1,178.00
12.15
19.98
7.00
142.33
86.30
35.83
62.50
162.50
3.80
1,188.10
29.05
69.03
1,919.25
19.03
11,451.19
23.12
61.90
90.94
1,570.60
181.50
35.75
66.55
554.91
10 00
.„
3.35
4.10
12.75
70.50
3,230.25
152.21
542.50
3.32
8.56
149.79
46.00
473.00
64.86
12.50
10.84
12.60
1.858.39
22.888.71
231.27
19.43
79.28
102
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31, 1930
NAME
Debits
Green & Milam
$
Grinnell Company
Hajoca Corporation
so
Hall, Dr. T. M
Halliburton & Co., T. H
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
250.00
Hofmayer Dry Goods Company
"
Holcomb, J. I., Mfg. Co
Hollinshed, George W.
Hosch Brothers
Ivey, W. H.
Ivey, J. C.
1125
Johnson, S. C. & Son__
Johnson-Pluker Co
Johnson Hardware Company
I
Kutter, J. & Sons
Lea & Pebiger
Lombard Iron Works & Supply Co
__~I_I
McKinnon Motor Co
McKesson-Riley Drug Co
McKinley. G. C.
""""
McGraw-Hill Book Co., Inc
---•—
McMillan, R. W
McMillan Co., The
~II"~_
McCray Refrigerator
14 17
Macon Electric Co.__
Malt-Diastase Co.
"
Matthews Gas Machine Co
14 00
Mathieson Alkali Works
17 32
Milledgeville Brick Works
Milledgeville Telephone & Telegraph Co
National Committee for Mental Hvsjiene
Newell, A. C
"""
Noland Company
'
Oconee Clay Products Company
Patterson, Miss Fannie
""
Peaslee-Gaulbert Co
Albert Pick-Barth Company
~~ 87.50
Pocahontas Finishing Commission Company.__ 12 83
Postal Cable Telephone Co
Qu-'rm-Marshall Co.
Railway Express Co.
28.40
Roberts Filter Mfg. Co
72 15
Robinson & Co., A. M
I
20.40
Rossville Commercial Alcohol Corporation
Sanders. Lactus
Sargent. E. H. & Co
~.Z~~~~
Saxonv Mills
Schofield's Sons Co.. J. S
Scheurer, Harry & Son
Selig Company
Credits
221.31
48.54
125.00
22.07
147.41
32.50
341.25
354.60
132.09
475.80
109.13
51.11
3.61
.17
6.00
7.50
4.63
106.00
715.00
13.00
75.81
3.28
1.02
34.37
173.72
58.79
3.00
25.00
2.41
67.93
37.50
43.58
4.21
3.95
58.64
15000
17.59
1,325.00
36.50
.40
155.99
103
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 1—(Continued)
NAME
Accounts Payable as of December 31, 1930
Debits
37.50
36.45
Shaw, Dr. H. W.
Singer Sewing Machine Co
Silvey, John & Co
~
Southern Paint & Varnish Co
__
Springfield Woolen Mills, Inc
Standard Oil Company
—
Standard Sanitary Mfg. Co
Stembridge & Co
—
Swift & Company
Teasdale, J. W. & Co
Tidwell. L. E
—----,
Thomas, Chas. C, Publishers
-.
Thomas County Produce Exchange
Trawick, S. B
Union Recorder
Veal, O. F.
__
Wade & Company
-—Washburn Crosby Milling Co
Western Union Telegraph Co
Whitfield Grocery Co
Williams & Wilkins Co
Youngblood Brothers ——
Youngblood, J. M
TOTAL
Credits
i'oi
£•«£
Du
- '
72.35
20.24
87.37
2,663.94
22.36
573.27
10.00
-i»-1J-
938.40
143.25
196.63
10.15
10
iu 00
uu
-
_
*
587 40
-
11.99
1,168.83
5.00
48.35
30.17
$62,528.46
104
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2
Accounts Payable as of December 31, 1930
NAME
Debits
Adams, Ophelia
$
191
Adcock, Dr. J. C
"
1972
Alford, Eddie
~_
~"~
113
Alford, Vandine
~
j/83
Allen, George
'45
Allen, L. E.
'qn
Allen, W. K.
--ZZZZZZZZZZZZZZZZZZZ
!75
Anderson, J. D.
'qc
Badger, F. D
ZZZ
"«
Bailey, R. P.
.."11
50
Beal, Lizzie Mae
"
'5^
Beck, Bethel
J ' J
^89
Beck, J. C
i'«|
Berry, W. T.
Z__ZZZZZZZZ
I""
60
Bivins, Homer
5509
Bloodworth, W. L
\Q
Bonner, R. B.
'2n
Bostick, Dr. W. A
70
Bowdion, Pauline E
"
'25
Boyer, Eddie
'co
Bowen, Dr. U. S
ZZZZZZZZZZZ '"" 11 50
Boys Training School
"
cn'nn
Bradford, Dr. R. W.
_
,™
Brantley, C. C
-———-——___
a./o
Brantley, T. C
""
25
Brantley, Tom
~
"
'57
Bray, Addie
_
2 30
Brookins, E
'en
Brooks, Mary
j'og
Brown, Dan
'an
Brown, Eula
ai
Burgamy, C. E.
'30
Bustin, Kate
"
6'70
Cheaves, Evelyn
__
o'na
Collins, N. A
-Z._ZZZZZ.ZZ.ZZ.ZZ
75
Combes, Leo
'gQ
Combes. Velva
'qfi
Cornwell, Dr. G. K
"
~~~~
233
conn, o M.
zzzzzzzzzzzzzzzz 91.W
Cooper, Annie
1 ?c
Couch, J. G.
" "
{'or
Couch. T. A.
""""
"
o2
Cox, Dr. C. G
_~~Z~~"
'"""
O'IK
Coxwell, Mrs. T. B.
9n
Crooms. R H.
"
,Curtis. J. L.
'4f)
Daniel, Ophelia
Z
r'q4
Davis, Bertha
"
i-?,
Davis, J. Roy
J
^i
Davis, Ruby
/-„
Dean, Grace __
"I
'
Z%Z
DeSaussure, T. H
Credits
5.80
2.50
MIU^EDGEVIU^^ATEJIOSPITAL
_i«5
SCHEDULE No. 2—(Continued)
Accounts Pa^ble^fDeceinber^l930_
=
Debits
Credits
NAME
Dunn, L. A.
Durden, Florence
Durden, Paul
Durden, W. R.
Echols, Dr. G. L.
Echols, Mrs. G. L
Edwerds, B. D.
Eidson, Otis
Eskew, Olene ---English, Mrs. RiHia
Epps, R. S.
Farell, Annie
Parell, Arthur
Farell, Bob
Flurry, Julius
Gambrell, P. H.
Garland, Mrs. Eugene
Garland, R. L.
Garrard, Dr. J. I
Gearheart, C. E
Gilman, James
Gilman, J. M
Gilman, W. P.
Goodson, L. A.
Gore, J. I.
Grantland, Arthur
Griffin, Lilly
Haddock, C. H.
Hall, Dr. T. M.—
Hardin, Rev. F. H.
Harden, Dovie
Harper, Bryson
Harper, Jennie Mae
Harris, I. L.
Harton, J. C. -_
Hattaway, G. W.
Hawkins. A. J.
Hemphill, W. A
Herringdine, Joe
Herringdine. O. C.
Hilburn, Ruby
Hinton, Elizabeth
Hitson, Emmie
Hitchcock, Minnie
Hogan, J. ,C.
Holder, J. H.
Hollis. D. H.
Hooks, Ernest
Horton, O. D.
Hudson. Arthur
Hudson C. E. —
Humphries, Madeline
'
~
.20
3.46
.15
.30
"""
"""
' "__
~ ~
"
_
■"""
"_
~
"""
.35
1.00
.60
1.15
.20
2.35
.85
.50
10.00
.50
18.92
1.47
90
n.40
1.15
~
_
1.10
■
.50
.30
—
.25
.75
"
3.47
4.62
.25
" _
138.60
—"
5.75
— "
i.n
__
10.OO
.70
65
~
"
.60
"
.40
.50
" "
""
.50
6.20
15.50
5.73
"
3.46
6.55
"
1.47
5.34
.50
.60
——
25
3.77
1.15
__
.25
' "
8.10
»—
5.62
106
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31, 1930
NAME
Humphrey, Otis
Ingram, Joe
Janes, G. A. .
Janes, L. B.
Jenkins, Iduma
jett, w. s
Debits
Credits
91n
"
""
:::::::
Johnson, A. W
———.Johnson, Bennie
Johnson, F. J.
"
———
Johnson, Jessie
Johnson, J. C.
" '___
Johnson, R. L
_"
Josey, J. E.
_ _
Kemp, Hazel . . ""
Kemp, Maude
I
"
Kitchen, Nellie
"
""
Lavender, C. B.
___
Lawson, E. L.
'
Layfield, A. W. " ""
'
Layfield, B. L. .
Leaptrott, D. C.
"""
Lee, Lutitia
Leonard, Lila
Lindsey, E. E.
'
Little, F. G
—-——
Longino, Dr. L. P.
_ """
Lyons, Sallie Mae
_"
Lyons, Julia
McCook, Idell ~ """"
"
McCoy, Ocie __ ~~"
McDade, W. W.
"
_
McKinley, A. C. _
McKinley, R. L.
Marsh, Mrs. Irma
""""
Martin, Mattie Lou
"
Mason, Mamie
"""
"•
Matthews, John W _
Matthews, T W
"
May. G. C. _
' """"
Medlin, C. P."
'
"__"
Middlebrooks, Leola
Mills, Martha
___! "~™
Mobley.-Dr. J. W. "__'_
Moore, Lula
"
Mullinix, D. W. _
Newell, A. C
_~ " "___
Nelson, Roxie
"___
—--—-.
Norman Andrew
Norris, Hubie
I ~~~~
_
Norton. Anna "
~~~
Olliff, Estelle _™
Pace, Carrie
ft."
-f0
„no
jj™
4
H»
qn
9"™
t.au
},,.
x
~"
*°"
•%»
-°°
,*°
^'^
, ™
■L°
-J™
•£)>
1
-°"
•„•"
4
^„
mco
111.52
,5ft
7 Q„
48.00
''XX
°-*2
4
-^
-°f
„-™
g.00
''™
/%%
4
-°£
^„
-50
A5
-60
*25
0
2
-74
,„',£
i-l.il
-^5
-6o
69.50
,57
.58
•'-0
XSL
?
sn
.58
107
MILLEDGEVILLB STATE HOSPITAL
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31. 1930.
=
==
" ^AME
Parker, S. H.
Pattishall, Jewell
fattishali, Paul
Penuel, V. C.
Phillips, Pinkie
Prosser, W. B.
Quinn, C. J.
kabun, Myrtice
Kankin, Dr. D. T.
Ransom, Maggie
Randolph, Mat
Reese, Matthew
Reaves, Mary Jane
Reaves, Neshantia
Reeves, Odessa
Reed, R. R.
Resseau, W. L.
Reynolds, Mary
Rhodes, Laurice ___.
Richardson, Annie Lee
Rkrardson, Willie
Roberts, H. B.
Robinson, Lucile
Rogers, J. A
Ross, Bessie
Ross, Beulah
Ross. Geo. W.
Ross, J. D.
Sanders, Dr. Laetus
Sanford, Katie
Saulsberry, Laura
Saulsberry, Sam
Scarbrough, Ruby
Schwall, Mertice
Schwalh Dr^ E W
Shaw. Dr. H. W.
Simpson, Corme
Simpson, C. E.
Simpson, C. H.
Simpson, Roscoe
Simpson, Roy
Simpson, Tom Hall
Smith, Albert S
Smith, E. L.
Smith, Freddie
Smith, J. Roger
Smith, Maude
Smith, Simon
Sparks, Geo. Mclntosn
Stanley. Rachel
Statham, Dr. J. C.
State Farm, Georgia „
Stembridge, W. W.
^editS
25
^Qg
2g'00
4"12
"
'53
"50
'60
5'_67
2 95
'
^gg
2"00
"
'5g
1'80
——
^ gg
'50
-^
^ g^
5-"7g
Credits
2.42
3 08
1'71
^g
'4g
2.48
^ - gg
50
g0
—
148.80
"
2 44
'gg
10"10
^^
7'06
2646
—
——
n;50
1 15
|3g
'gg
j'gO
9g
2;50
60
-
'75
60
25
in
\
t 5
n 6n
lg
3
g95
96 7g
^
1.55
108
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31. 1930.
NAME
Credits
Steverson, Essie
555
Stinson, J. F.
~"
'_
'59
Stubbs, Cleo
7*1 ~_
27
Suarez, Dr. Raymond
__'_
8 60
Swint, Dr. R. C.
'72
Switzer, Alton
~__
1/4Q
Tanner, Gussie
l'g5
Taylor, Hattie _J
'EQ
Tennille, W. C.
"
'=n
Tennille, W. K.
Terrell, Alma
"
2 80
Thompson, J. M.
27 00
Thompson, M. L.
'gg
Toole, Luella
7'gQ
Tucker, Sarah
1*47
Tuft, Susie
"
"
gg
Turner, Nina
{n
U. S. Public Health Service,504 37
Veatch, C. N
'50
Vinson, J. T.
1'in
Walker, Dr. N. P.
£1 =
Waller, Lillie B.
VSJllZ" 'I
1 86
Warren, Jewell
""
1\c
Wheeler, Dr. G. A.
'__'_
_~~~~~~~
16'3g
White, James
4QQ
Wiley, Dr. John D
15 94
Williams. Sylvia
__!__"
'72
Wilson, Ernest
\
~— ~
1*40
Wilson, Odessa
~~ ~"
'gg
Wooten, J. J.
j'gg
Worsham, Dora
'25
Worsham, J. I.
'go
Worsham. L. D.
'oc
Wright, D. B.
II
i„n
Wright, s. E
::::::
50
Yancey, Bessie
346
Yarbroueh, Dr. Y. H.
4*00
Young. D. V.
g0
Youngblood, C. A.
"
'g0
Yjungblood C. E.
_"__"
70
Younfblood. P -T
*gn
Youngblood, Lillian
~1I~
.45
TOTALS
$1,911.65
Credits
.02
% 66.49
W'J
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
515 Bushels Butter Beans
894 Bushels Snap Beans
100 Bushels Beets
960 Heads Cabbage
1,260 Heads Collards
13,209 Cantaloupes
975 Roasting Ears
170 Bushels Cucumbers
811 Bushels Okra
502 Bushels Onions
786 Bushels Garden Peas __-..
689 Bushels Irish Potatoes
6,500 Bushels Sweet Potatoes
844 Bushels Peaches
2,812 Bushels Rape
66 Bushels Spinach
1,884 Bushels Squash
530 Bushels Tomatoes
4,248 Bushels Turnip Greens
20,694 Watermelons
1000 Heads Lettuce
-? I'^^Ji
'fnn'nn
!«"•""
io«nn
^°-""
OQ'PK
o«'nn
Ko«'^n
I'TTsnn
I'sq^n
'fQ '™
i'^nnnn
V'^Hn
I'lnfi'nn
' o«nn
„.f'™
«
I'oilnn
-J 4,u
innnn
100 00
-
S29 369 60
§29^b9-bu
*
°??-*'
3,182.52
, o 716
99
* -^lb-yy
?
;£.D4
—-
PACKING HOUSE PRODUCTS:
3,873 Pounds Beef
261466 Pounds Pork
.POULTRY AND EGGS:
4914 Pounds Hens
949 Pounds Friers
21 Pounds Roosters
183 Pounds Turkeys
1,8834 Dozen Eggs
DAIRY PRODUCTS:
57,066 Gallons Sweet Milk
26 Gallons Cream
O'IK
*
°-j°
^.4D
657 76
"
*
' 52
«nn
-00
<fi22 876
40
^>»'b-4U
94
'"'U
FARM PRODUCTS:
^IS To^a^-:::::::::::::::::::" tlooioo $ 5,760.00
FARM SALES:
111 Bushels Soy Beans
122 Bushels Peas
?
_
6lb.^
oou
DAIRY SALES:
1 Bull
>
MISCELLANEOUS FOOD SUPPLIES:
1,215 Gallons Syrup
*
$
*
**«•'*"
*
6_55
EIGHTY-SEVENTH ANNUAL REPORT
OF THE
BOARD OF TRUSTEES
OF THE
MILLEDGEVILLE
STATE HOSPITAL
MILLEDGEVILLE, GEORGIA
GENERAL LIBRARY
THE U
7Y OF GEORGIA
GIFT OF ^ tC^ uy>K^ vm-
GENERAL LIBRAE
OCT 7 1939
UNIVERSITY OF GEORGlJ
For The Year Ending
December Thirty-First
Nineteen Thirty ....
BYCK CO. PRINTERS, SAV'H
DATE DUE
n 02.-20
fUXUXZ JXUZ
DEMCO 38-297
ffi^frr"*"!!'! i>*fai"*
UNIVERSITY OF GEORGIA LIBRAHIES
3 ElDfi DSbfl3 OOSS
-
THE LIBRARY OF
THE UNIVERSITY OF GEORGIA
JL*
Seventy-Ninth Annual Report
Board of Trustees
I
5*/
Georgia State Sanitarium
Milledgeville, Georgia
For the Year Ending
December Thirty - First
Nineteen Twenty-Two
Board of Trustees
President.
JOHN
T.
H. H.
DEAN
C. C.
BRANTLEY
Blackshear, Ga.
BRANTLEY
Vice-President.
Gainesville, Ga.
Secretary.
Valdosta, Ga.
E. E. LINDSEY
J. C. JARNAGIN
A. C. NEWELL
Tuos. M. HALL, M. D
THOS. R. "WRIGHT, M. D
WM. RAWLINGS,
Rome,
Warrenton,
Atlanta,
Milledgeville,
Augusta,
M. D
OF SEO^
Ga.
Ga.
Ga.
Ga.
Ga.
-.Sandersville, Ga.
*»
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee.
E. E. Lindsey, Chairman,
J. C. Jarnagin,
A. C. Newell,
Thos. M. Hall,
C. C. Brantley.
Finance and Auditing Committee.
A. C. Newell, Chairman,
Wm. Rawlings,
C. C. Brantley.
Committee on Sanitation, Medical and Dispensary Service.
Thos. M. Hall,
Thos. R. Wright, Chairman,
Wm. Rawlings.
Committtee on Buildings and Grounds.
H. H. Dean, Chairman,
E. E. Lindsey,
Thos. R. Wright.
Committee on Farm and Outside Business.
J. C. Jarnagin, Chairman,
H. H. Dean,
Wm. Rawlings.
Officers of the Sanitarium
*L. M. Jones, M. D
Superintendent and Resident Physician
R. C. Swint, M. D
Clinical Director
J. W. Mobley, M. D
First Assistant Physician
N. P. Walker, M. D
Second Assistant Physicain
Y. H. Yarbrough, M. D
Assistant Physician
L. P. Longino, M. D
Assistant Physician
J. I. Garrard, ML D._
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
J. K. Pettit, M. D
Assistant Physician
W. H. Allen, M. D
Assistant Physician
D. T. Rankin, ML D. (Prom April, 1922)
Assistant Physician
**B. McH. Cline, M. D. (Until March, 1922)
Consultant E. E. N. & T.
L. H. McCalla, M. D. (From April, 1922)
Interne
R. W. Bradford, M. D. (From Sept., 1922)
Interne
G. H. Green, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
L. J. Lamar
Steward
T. H. DeSaussure
Engineer
H. S. Jones
Secretary
F. C. Penuel
Farm Steward
Homer Bivins
Assistant Steward
C. C. Miner (From June, 1922)
Assistant Engineer
Arthur Farell
Storekeeper
Mrs. Ann G. Pettit
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge (From November, 1922)
Inspector
Rev. Thos. G. Watts
Chaplin
♦'Resigned.
♦Deceased.
Seventy-Ninth Annual Report
OP THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM.
MILLEDGEVILLE. GEORGIA,
To His
EXCELLENCY, THOMAS
W.
January 1, 1923.
HARDWICK, GOVERNOR:
Sir:—The seventy-ninth annual report of the Board of
Trustees of the Georgia State Sanitarium, covering the year
1922, is now respectfully submitted.
Annual Report of the Superintendent.
The annual report of the Superintendent hereto attached will supply essential details of the year's work. In this
connection it is the sad duty of the Board to report the
death of Dr. Lodrick M. Jones, the honored Superintendent
of the Sanitarium, which occurred on December 7, 1922,
following a brief illness. He served it for twenty-five years
as Assistant Physician and fifteen as Superintendent. His
death deprives it of an able executive and the State of a
faithful public servant. Appropriate services in his honor
were held by the Board and the memorial then adopted
appears as part of this report. Pending the election of his
successor Second Assistant Physician N. P. Walker was
placed in charge of the Sanitarium.
Advancing Efficiency
The record of the year shows the continued advance
of the Sanitarium in the great purpose for which it was
founded, the care and treatment of the insane. The number
of patients discharged as restored or improved is gratifyingly large. The death rate is the lowest had in twenty
years. The number of patients secluded or restrained has
reached a new low minimum. The atmosphere and general
trend of the Sanitarium point to further progress. These
brief facts are full of meaning, indicating that the Superintendent and Staff are capable and wide awake and that
tbey are working in harmony for the happiness and well
being of their afflicted charges. It is the duty and pleasure
of the Board to warmly commend them and those under
them for the work of the year.
LIBRARIES
KEItW*
SEVENTY-NINTH ANNUAL REPORT
The widened use of occupational therapy as a remedial
measure accounts for much of the good record. It seeks
through interesting work or play to divert and occupy the
morbid mind and serves to make the patient happier and
more contented, with a consequent improvement in health.
A striking illustration of its value comes from the negro male
department in which the number of patients thus employed
increased from 160 in 1919 to 534 in 1922, while in the same
time bed cases decireased from 90 to 14. This was followed
by a marked improvement in general health and by a sharp
decline in the death rate. This is but indicative of equally
interesting results had in the other departments. There
is needed for the extension of this form of treatment in the
white female department a small building with ample garden space surrounding it. Male patients can work and
play largely in the open, but other provision must be made
for females. The cost of such a building so situated is not
large and its possibilities for the good of the patient so great
that the Board respectfully urges that an appropriation for
this purpose be made available at once.
The Sanitarium Training School for Nurses is another
factor of increasing importance in improving the work of
the Sanitarium and its beneficient results are everywhere
visible.
Yet another factor is the careful supervision of the
food supply as to quality, preparation and service by the
competent officer whose duty this is.
Admissions for the. Year.
The new patients admitted during the year numbered
857 as compared with admissions of 989 the previous year.
The terms of the deficiency appropriation added to the
burden carried by the Superintendent serving to increase
an already heavy demand for admission. None the less
every effort was made to meet such demand, preference
being given to recent and acute cases offering some hope
of cure.
Admissions for the past ten years totaled 12438, the
yearly average being 1243.8. The indications now are that
admissions for the new year will show a heavy increase as
the after effect of the deficiency appropriation above
referred to.
GEORGIA STATE SANITARIUM
The number of patients resident in the Sanitarium at
the close of the year was 3972, an increase of 74 over the
previous year. The records show that the number of
resident patients on January 1, 1913 was 3284 and that the
increase in ten years is 688, the net annual increase
being 68.8.
,
The health record of the patients for the year was excellent; typhoid, tuberculosis and pellagra cases were relatively small and showed a substantial reduction from the
previous year.
Cost of Operation.
A condensed comparative summary of receipts and
disbursements, and of the financial condition of the Sanitarium at the close of the year is here given:
Receipts
Balance over from previous year
Regular appropriation
Deficiency appropriation
New building appropriation
Patients deposits
Miscellaneous income
Overdraft with Treasurer
Total
1921
$
38,288.39
891,334.00
.00
.00
21,289.66
20,507.59
62,747.76
1922
$
12,513.66
800,000.00
150,000.00
40,000.00
14,447.00
16,690.00
15,052.74
$1,034,167.40
$1,048,703.41
$
$
Disbursements
Overdraft previous year
Salaries and wages
Supplies purchased
New building
Patients deposits withdrawn
Cash balance .Total
-00
377,400.95
608,824.82
13,272.27
22,155.70
12,513.66
62,747.76
386,803.11
545,841.44
26,350.44
.14,031.75
12,928.91
$1,034,167.40
$1,048,703.41
$
$
Working resources
Cash on hand
Due on requisition 1921
Accounts receivable
Sundry items
Supplies at cost
Farm products valued
Live stock, implements, etc
Total
12,513.66
5,000.00
4,380.46
1,258.01
97,851.10
19,639.00
79,490.67
$ 220,132.90
12,928.91
3,000.00
5,282.81
1,106.40
70,926.93
21,672.65
*41,600.25
$ 156,517.95
SEVENTY-NINTH ANNUAL REPORT
Liabilities
Overdraft with Treasurer
$
New building appropriation
Patients deposits
Accounts payable
Salaries and wages due and unpaid.Sundry items
Excess liabilities over resources
Total
1921
62,747.76
20,627.63
9,513.66
11,694.04
33,304.51
420.88
81,824.42
$ 220,132.90
$
1922
15,052.74
34,277.19
9,928.91
7,431.36
33,284.37
481.26
56,062.12
$ 156,517.95
* The decrease in this item is due to revaluation of live stock and
farming implements.
From this summary is seen that the cash liabilities of
the Sanitarium at the close of the year exceeded its resources
by $78,137.15. Included in such resources is $5,282.81 in
receivables which are of doubtful value and the elimination
of this item increases the excess of liabilities to $83,419.96.
Supplies show a shrinkage of $26,924.17. The total of these
items makes an apparent deficit for the year of $110,344.76The last report of the Board submitted an estimate of this
deficit as $260,660.00 for which an appropriation was asked,
but only $150,000.00 was granted. The full amount was
needed.
The cost to the State for each patient was $238.04, as
compared with a cost in 1921 of $240.72. The cost per day
was $0.6525. This low cost under prevailing conditions is
indicative of the careful administration had of the State's
funds.
It may be of interest to note how the cost of $238-04 is
distributed:
Pood
$ 64.90
Wages
83.91
Clothing
J938
Heat and Lights
^_17.32
Salaries
i
14.81
Bedding, etc
IO.55
Repairs
7.68
Farm, Dairy, etc
7.76
Medical supplies
3.I8
Sundries
8.54
Crowded Condition White Female Department
The Board regrets it must again call attention to the
dangerously congested condition of the white female department which continues unchanged since its last report, A new
GEORGIA STATE SANITARIUM
building which will relieve this congestion has been under
way for three years but cannot be completed from lack of
sufficient funds to do so. The last report of the Board submitted a careful estimate of the sum needed for this purpose
as $108,915, of which but $40,000 was appropriated. When
this appropriation is exhausted the building will be about
65% completed. To finish the building will now require
an additional appropriation of $67,245 and to furnish it
simply ready for use will require the further sum of $14,000.
It will be used as a home for the nurses and headquarters
for the Sanitarium Training School for Nurses. The transfer to it of the nurses will vacate their rooms on the wards
for the use of patients and relieve the present congestion.
This need is so pressing that the Board again begs most
earnestly for the funds with which to complete and furnish
the new building ready for use. It is being erected by day
labor under the supervision of the Engineer and its cost
kept as low as possible. In recognition of the long service
of oue of its members the Board has named this building
"John T. Brantley Building.''
The Physical Plant.
The vast size of the Sanitarium plant makes the cost
of its upkeep no small item and this cost naturally increases
as the buildings grow in age. Carpenters, plasterers
painters and plumbers are kept busy all the year. In recent
years only minor repairs have been possible and the major
ones from lack of funds have necessarily been allowed to
go over. Some of these last can no longer safely be delayed and it is the duty of the Board to call the attention of
your Excellency to them.
The first of these is the rebuilding of the present ice
plant which is now worn out and outgrown. It will at once
be appreciated that an ample ice supply is vital to every
hospital and the Sanitarium is no. exception- With such
rebuilding should come increased cold storage room for
the preservation of foodstuffs. The cost of doing this work
is conservatively estimated by the Engineer at $29,905.
The next is the protection of the Sanitarium from the
present danger of a water famine. To do this a duplicate
pipe line from the pumping station on the Oconee River
three miles away is necessary. The present single pipe
line runs under land a mile of which is subject to overflow
10
SEVENTY-NINTH ANNUAL REPORT
from the river and if a break should occur at such a time
it could not be reached until the flood subsided. The water
stored on the grounds is sufficient for a two days' supply
while such floods are apt to continue for several days longer.
The very great importance of this need cannot be overstated,
for a water famine would be disastrous. Some economy
will be accomplished by a duplicate pipe line through the
lessened power required for pumping, due to the reduction
in friction. The cost of this work is estimated by the
Engineer at $44,036. The pumping station has a capacity
of 1,000,000 gallons in 24 hours, while the present consumption of water is approximately 700,000 gallons.
The matter of outside fire escapes is an old one- Their
absence from the Sanitarium equipment has subjected the
management more than once to severe criticism. Such
critics are not aware that in the construction of the buildings this need was sought to be met by inside, enclosed
stairways protected by fire doors and walls. No patient
has ever been lost by fire, but the possibility of such is
recognized. The ordinary type of outside fire escapes would
constitute as great a danger to the patients in case of fire
as the fire itself. The only type having a recognized value
for institutions of this kind is known as the Kirker-Bender
and to install a sufficient number of these for the additional
safety of the inmates will require an appropriation of not
less than $25,000.
The Sanitarium possesses no electric plant and relies
on a local corporation for current for light and power. The
cost of this service including lamps for the past year was
$15,000. The possibility of effecting a saving by providing
the Sanitarium with a plant of its own at least merits careful study. With it might be combined the new ice plant
so that the two could be under one management. If to
these a central heating plant can be added in time a much
greater economy will thereby be effected, i
Looking to the Future
The tremendous importance to the State of the Sanitarium in 1923. The amount so needed is $239,864.68 and is
future policy of the State most timely. The Sanitarium
should not be allowed to increase indefinitely in size. Another hospital located elsewhere in the State should be considered and the class of patients to be sent to each definitely determined.
GEORGIA STATE SANITARIUM
11
The need in the Sanitarium equipment of a modern
psychopathic hospital has many times been presented by
the Board. It would now suggest that its every need looking
to its increasing usefulness should be supplied not only as
an act of mercy to its sorely afflicted inmates but as a
measure of economy to the State. Every patient it can restore to health is an asset gained and a liability lost.
The funds at the disposal of the Board should be large
enough and its authority ■ great enough to undertake the
after care of patients discharged as restored. The physician's duty does not end with the discharge of his patient
from the hospital. The period of convalescence must be
carefully watched and the patient kept on the right road
to renewed strength. This is no less true of mental than
of physical diseases. To this end there should be some
authorized agency in each county to watch over newly discharged cases lest by overtaxing of their newly regained
mental strength they become invalids and a charge upon
the State for life. Such agencies could be made of much
value in securing accurate histories of the new cases for
whom admission is sought.
The establishment of mental clinics similar to that now
being conducted in Macon should be encouraged in all the
leading centers of the State. In this way persons liable in
time to be committed to the Sanitarium are properly diagnosed and proper care and treatment outlined for them before
they reach such a condition. The success of the Macon
clinic has been markedThe commitment of mental cases to the common jails
of the State pending admission to the Sanitarium is a gross
injustice and should be frowned upon. Such harsh treatment frequently works an irreparable injury to the patient
that no amount of Sanitarium treatment can undo.
The Board renews a recommendation several times
made that the name of the Sanitarium be changed to
"Georgia State Hospital for the Insane," as serving to clearly define its function and to separate it from other institutions of similar name.
12
SEVENTY-NINTH ANNUAL REPORT
Deficiency Appropriation for Support and
Maintenance in 1923.
It will be neccessary to supplement the regular appropriation had for the support and maintenance of the Sanitarium in 1923. The amount so needed is $239,864.68 and is
arrived at in this way:
Regular appropriation for 1923
$ 800,000.00
Less cash deficit from 1922
83,419.96
Available for 1923
716,580.04
Estimated cost in 1923 based on 1922__ 956,444.72
Deficit to be provided
$ 239,864.68
Regular Appropriations for 1924 and 1925.
It is difficult to forecast the future of the Sanitarium
as to population and cost. The demand on it for admission
continues unabated and promises to increase. The cost of
supplies and labor continue high and there is no prospect of
a reduction in either. The Board estimates the Sanitarium
will have to provide for 4118 patients in 1924 and for 4218
in 1925. For its support and maintenance in these years it
recommends appropriations in the sums of $1,150,000 and
$1,250,000 respectively.
Special Appropriations
For the reason set out in this report the Board recommends appropriations in the sums and for the purposes now
stated:
To complete and furnish the new building
now under construction
$81,245.00
To build and equip occupational therapy
building for white female patients
9,260.00
To rebuild ice plant and enlarge cold
storage
29,905.00
To install duplicate water pipe line from
pumping station to Sanitarium
44,036.00
To provide outside fire escapes of iron
25,000.00
GEORGIA STATE SANITARIUM
13
In Conclusion.
Quarterly meetings of the Board were held at the
Sanitarium during the year and its committees visited it
monthly. The interests of the State received no less careful consideration than did the interests of humanity. The
Superintendent was given the full support of the Board in
meeting the problems of management. All it could do to
advance the efficiency of the Sanitarium was done and to
this end the time of its members was freely and gladly given
for there is that about this work which mightily grips and
holds the heart. The working force of the Sanitarium is
well embued with the spirit of service and the future bright
with promise.
The Board now makes grateful acknowledgment of the
unfailing support given it by your Excellency in the discharge of its duties. With an humble prayer that the blessings of Almighty God may ever rest upon this great charity,
this report is now submitted.
By order of the Board :
C. C.
BEANTLEY,
Secretary.
JOHN
T.
BRANTLEY,
President.
14.
SEVENTY-NINTH ANNUAL REPORT
Memorial on the Death of Dr. L. M. Jones
ADOPTED BY THE BOARD OF TRUSTEES.
MEMORIAL.
Dr. Lodrick M. Jones was the son of Thomas and
Martha T'harpe Jones, and was born in Twiggs County,
Georgia, April 28th, 1850. His boyhood was spent in the trying times of the Civil War and he attained to young manhood
in the gaunt days which followed. In that stern school of
experience, with necessity as his teacher, he learned lessons
of self control, self denial and self reliance, he was never
afterwards to forget. (From the lips of his devoted parents
he gained the fundamental principles of true manhood and
was taught to put his trust in Almighty God. These were
powerful factors in the formation of his character. He was
given such educational advantages as his parents could
afford and in due time entered the office of Dr. William
0'Daniel of Twiggs County, a noted physician of that day,
to begin the study of medicine. He completed this study
in Atlanta Medical College from which he graduated in 1878.
He then located at Gordon, Georgia, where his ability gained him a lucrative practice. The nature of his work there
was such as to attract the attention of the authorities of the
State Lunatic Asylum, now known as the State Sanitarium,
and in October, 1882 he was elected to the office of Fourth
Assistant Physician. He began his new work at once, applying himself with earnest diligence to the mastery of his
duties. He proved an apt student of the "methods employed
by Dr. T. 0. Powell, Superintendent, a psychiatrist of great
skill and wide renown, and made them his own. His faithful and efficient work soon justified the wisdom of his election. An unassuming manner, kindly disposition and natural courtesy won him lasting friends, while his helpful, sympathetic interest in his patients greatly endeared him to
them. Fidelity and sincerity were coupled to ability and
sound judgment in his character, a combination which firmly
GEORGIA STATE SANITARIUM
15
established him in the confidence of Superintendent Powell.
Twenty-five years were thus spent by him. He did not seek
preferment and was content in the performance of his full
duty. The members of the Board of Trustees rarely saw him
about the administration building, for when not at work on
the wards he was at home with his family. His time was not
wasted but used in such way as prepared him all unconsciously for greater responsibility. On the death of Dr.
Powell in August, 1907, he was elected Superintendent to
succeed him, and thenceforth gave himself wholly to his new
duties. His quick grasp of administrative problems gave
abundant evidence of the thoroughness of his preparation,
and under his direction the Sanitarium affairs continued to
move with their accustomed smoothness. He seldom absented
himself from the Sanitarium and then only for the shortest
possible time. He gave to it his best freely and without stint.
His administration was characterized by his marked business
ability, good judgment and wise foresight; by his firm.
prompt decisions in matters of management; by his just and
courteous treatment of officers and employees alike, to whom
be was always accessible; and by his unfailing effort to promote the welfare and happiness of the increasingly great
number of patients in his care. The World "War brought in
its train many vexatious problems which gravely affected
the Sanitarium and these he confronted and solved with
quiet courage. The crowded condition of the Sanitarium
and growing demand for admission created other problems
requiring wise solution. He did not shrink from his responsibility and it is to be noted that even when his burdens
were heaviest he carried them alone, nor asked help of any
other than his Heavenly Father to whom he ever turned
for strength and consolation. He was a singularly modest
man and the records of the Board show few, if any, requests
preferred by him affecting his own or his family's comfort.
He accepted the inadequate salary fixed by law without
complaint and that it was afterward increased was not due
to his initiative. His chief concern was for the great Institution over which he presided and his own interests he was
m^^mm
16
■i
SEVENTY-NINTH ANNUAL REPORT
content to leave with the Board. His attitude toward the
Board wag always deferential and courteous. If on occasion he differed from it his reasons were frankly stated.
If following this the decision remained against him he loyally
carried out the judgment of the Board. For fifteen years,
in the full confidence of the Board, he administered the
affairs of the Sanitarium, and thus rendered a service of incalculable value to the State and humanity, for which he
merits highest praise.
As a man and citizen Dr. Jones ranked high. He was
upright, straightforward, honest and sincere. He scorned
evasions and met every issue face to face. He had strong
convictions and the courage of them. He possessed high
ideals which he sought to convert into realities. His cordial
support was given every movement looking to the bettering of the public welfare. His helping hand was not withheld from those in need and there are many to testify to
his generosity. He was quick to forgive and forget an injury done him and cherished no resentment. Deeply imprinted on his heart was the divine injunction to "do justly,
love mercy and walk humbly before thy God" and he
shaped his life by it. He was a member and officer of the
Baptist Church and a regular attendant in its Sabbath
School. His pastor had in him a true friend and counsellor
In his home life he was a tender, considerate husband,
a kind, indulgent father and a hospitable host. He found
his chief pleasure in his family and his life in their midst
was a benediction. His friendship, slowly given, was loyal,
warm and lasting. His last illness was appallingly brief. Conscious only of a slight indisposition and without premonition of what was to come, he went from his office to his bed;
then followed a few days of intense suffering, and then
his Coronation Day dawned. It was given him to die in
harness, with mental and physical faculties unimpaired,
and in the full prime of great usefulness. With unfaltering
GEORGIA STATE SANITARIUM
17
trust he walked down into the valley of the shadow, facing
the great adventure unafraid, for with the Apostle Paul
he could say in faith,
"For I know in whom I have believed and am persuaded that
He is able to keep that which I have committed unto Him
against that day."
The Words of Tennyson fit the solemn hour of his passing:
"Sunset and evening star,
And one clear call for me;
And may there be no moaning of the bar.
When I put out to sea.
But such a tide as moving seems asleep,
Too full for sound and foam,
When that which $!rew from out the boundless deep
Turns again home.
Twilight and evening bell,
And after that the dark!
And may there be no sadness of farewell,
When I embark.
For tho' from out our bourne of Time and Place
The flood may bear me far,
I hope to meet my Pilot face to face
When I have crost the bar."
The funeral service was held in his private apartments
so that officers and employees might be privileged to attend.
Every member of the Board of Trustees and friends from
far and near were present to do him honor. The great
wealth of floral offerings bore mutely eloquent testimony to
the affection in which he was held. The sad service ended,
his body was tenderly laid to rest in the Milledgeville City
Cemetery, there to await the resurrection morn. In his
death a great heart is stilled, a noble life is ended, but there
is left to those who mourn his going a precious heritage—
the record of a great service greatly and unselfishly rendered. There are many to rise up and call him blessed. To us
who remain he has thrown the flaming torch—it is ours to
take it up and carry on. This great Institution, for which
he lived and died, is our sacred charge. We must see to it,
it does not suffer for his going.
18
SEVENTY-NINTH ANNUAL REPORT
Report of the Superintendent
FOR THE YEAR BEGINNING JANUARY 1ST
DECEMBER 31ST, 1922.
1922
AND ENDING
GEORGIA STATE SANITARIUM, FEBRUARY 1ST,
To
1923.
THE HONORABLE BOARD OP TRUSTEES OF
THE GEORGIA STATE SANITARIUM
:
Gentlemen:—I have the honor of submitting for your
official consideration, the seventy-ninth annual report of
the Georgia State Sanitarium for the year ending December 31st, 1922.
During the period covered by this report Dr L M
,aooS wf Superintendent until his death on December 7th,
1922, and Dr. N. P. Walker was acting Superintendent during the remainder of the year.
TABLE OF GENERAL INFORMATION.
1.
Date of opening as an institution for the
msane.
2.
Type of institution
3.
Hospital plant:
10-12-1842
__State
Value of hospital property:
Real estate including buildings
Personal property
Total
$l 692 750 00
'327,452.00
$2,020,202.00
Total acreage of Sanitarium property
3450 acres
Additional acreage rented
0 acres
Total acreage under cultivation previous year~1750 acres
4. Officers and Employees:
Males
Females
Totals
Superintendents
i
0
1
Clinical Director
j
0
1
Assistant Physicians
9
0
9
Internes
2
0
2
Resident Dentist
1
0
1
Stewards
0
1
19
GEORGIA STATE SANITARIUM
Males
Druggist
Laboratory Technician
Embalmer
graduate Nurses
'Other Nurses and
Attendants
Teachers of Occupational
Therapy
Social Workers
All other Officers and
Employees
Total
Females
Total
10
10
10
1
16
177
254
13
0
0
1
1
1
17
431
4
0
182
10
192
389
283
672
MOVEMENT OF POPULATION.
The hospital year beginning January 1st, 1922, showed
a total population of 4,598, consisting of 3177 whites and
1,421, colored including the patients on furlough.
We received during the year 540 whites and 317 colored
making a total reception of 857.
There have been discharged, eloped and died 599
whites and 303 colored leaving in the institution on January
1st, 1923, 4,553 of whom there are 430 whites and 151 colored
on furlough, not discharged.
The daily average number under treatment was 3,918,
while the total number under treatment was 4,755 the percentage discharged, recovered and improved, based on the
number of patients received during the year, was 58.2.
The percentage of deaths during the year based on the
number under treatment was 5.95, the lowest death rate we
have had in twenty years.
MEDICAL SERVICE.
The medical work was under the direction of the Clinical Director and Staff meetings were held daily as usual
except on Sundays, and every patient admitted during the
year was brought before the Staff for consideration except
a few who were so ill and feeble on admission that they
died before they could be examined. •
Drs. L. A. McCalla and R. W. Bradford were appointed
Internes during the year.
^^^H^^H
20
SEVENTY-NINTH ANNUAL REPORT
ADMISSIONS.
Of the 857 admissions during the year, 268 were white
males, 272 were white females, 160 were colored males and
157 were colored females.
Of the 857 admissions, 652 were first admissions and
205 were readmissions.
The following 3 tabulations give diagnostic grouping
of all admissions, first admissions and readmissions :
Diagnostic Grouping of Patients Admitted
During the Year 1922.
Traumatic psychoses
Senile psychoses
Psychosis with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dimentia praeeox
Paranoia or paranloc condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
Total
White
M
P
1
21
18
19
2
0
0
13
8
3
3
1
3
7
7
3
1
73
32
0
9
8
6
25
23
0
1
4
1
2
0
1
7
2
2
2
Colored
M
P Total
1
G
17
21
2
0
0
6
6
12
5
1
2
46
49
55
12
2
59
2
17
3
15
17
27
0
0
2
0
0
0
2
1
31
37
0
12
0
0
13
14
1
0
0
0
0
1
0
7
0
73
21
0
9
0
0
VI
1
0
0
0
0
6
8
8
19
4
267
152
2
47
11
21
67
65
1
1
6
1
0
0
0
1
0
0
2
3
268 272 160| 157j
857
on
21
GEORGIA STATE SANITARIUM
Diagnostic Grouping of First Admissions
During the Year 1922.
Traumatic psychoses
General paralysis of the insane
_
Psychoses with cerebral arteriosclerosisGeneral paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Hunting-ton's chorea
Psychoses with other brain or nervous disease
:
Alcoholic psychoses
-Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychosis
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psy
chosis
Mental deficiency without psychosis
Total
White Colored
M
F Total
M
F
2
45
47
45
11
2
1
12
Hi
17
12
2
0
19
1
0
1
5
1
0
0
2
1
23
33
0
12
0
0
13
13
1
0
0
0
1
0
7
0
57
19
0
8
0
0
11
1
0
0
0
4
6
4
13
4
169
111
1
24
9
14
55
54
1
3
1
0
0
0
2
2
191 184 144 133
652
46,
18
0
7
■7
6
2
1
1
19
2
43
41
15
2
8
12
22
0
2
0
0
0
1
'■• ■f-"^--"J-rr-nii(iiirtiMfliili
22
SEVENTY-NINTH ANNUAL REPORT
Diagnostic Grouping of Readmissions
During the Year 1922.
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Manic-depressive psychoses
.
Dementia praecox
Epileptic psychoses
Paranoia or paranoic condition
Psychoneuroses or neuroses
_•
Pyschoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Mental deficiency without psychosis
Total
White
Colored
M
M
F
rota!
F
1
2
7
0
0
0
0
0
0
0
1
0
1
2
10
1
2
2
3
0
27
14
0
0
1
0
6
5
0
0
1
1
47
18
2
1
1
7
5
5
0
0
0
0
16
5
1
0
0
0
1
2
2
4
1
98
41
5
1
2
7
12
11
1
3
1
0
0
0
77l
88
1
3
1
16
24
205
DISCHARGES AND FURLOUGHS.
All patients leaving the Sanitarium were furloughed
except the "not insane." The duration of furlough is 12
months and discharge applies to those leaving the Sanitarium
as "not insane" or have remained away on furlough beyond
its expiration without renewal.
Of the 697 patients furloughed or discharged during
the year 260 were white males, 254 were white females, 87
were colored males and 106 were colored females.
Based upon the number of admissions 21.8% were furloughed as restored and 36.4% as improved, making a total
of 58.2% furloughed as restored or improved. Of the 499
patients furloughed as restored or improved, there were
186 white males, 164 white females, 69 colored males and 80
colored females.
The following tabulation gives classified information
of all furloughs and discharges:
Colored
White
Furlough of Patients Classified with Reference to
Principle Psychosis and Condition on Furlough.
R
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with.other brain or nervous disease.Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or parunoic condition
Epileptic psychoses
Psychoneurosis or neuroses
I sycuoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Pellagra without psychosis
Psychopathic personality without psychosisMental deficiency without psychosis
Total
I
1
0
0
0
0
0
3
7
4
1
0
36
1
0
2
4
G
6
4
0
1
0
0
1
0
U
S
R
I
U
Female
Male
Female
Male
S
0
3
1
2
0
0
(J
0
0
1
0
27
15
2
12
1
3
12
8
0
0
0
0
0
0
77 109 62 12 29135 87
R
I
U
S
0
1
0
1
0
0
0
0
0
0
0
4
3
0
2
0
1
5
0
0
0
0
0
0
0
3 32 37 17
R
I
U
S Total
0
0
0
0
0
0
0
0
0
0
0
17
9
0
2
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1 49 31 15
0
0
0
0
0
0
2
16
16
13
2
1
16
11
6
7
4
257
90
4
29
14
27
94
67
4
2
5
1
5
4
697
Q
H
O
S)
o
m
►
H
02
>
►
d
lr^ill»-<r-rt,rt>>JWWu
24
SEVENTY-NINTH ANNUAL REPORT
PHYSICAL DISEASES.
The health of the institution has been very good during
the year, but we had a mild influenza epidemic and 146 of
our population suffered with the disease with a very low
mortality. Only 6 eases of typhoid fever were reported
throughout the year, while ten cases were reported the
previous year. 22 cases of pellagra and 28 cases of tuberculosis were reported compared to 65 and 45 respectively
the previous year.
A routine Wassermann of the blood serum was made on
all admissions except those that were seriously ill when
admitted and lived but a few days.
The following is a tabulation of physical diseases occurring among our population during the year.
2o
GEORGIA STATE SANITARIUM
Physical Diseases Reported During the
Year" 1922.
General Diseases:
Auto-intoxication (intestinal)
Chicken pox
Dengue fever
Influenza
Malarial fever—intermittent
Malarial fever—tertian
Pellagra
Rheumatism, acute articular
Rheumatism, muscular
Syphilis
Syphilis, secondary
Tuberculosis, pulmonary—
Tubercular enteritis
Typhoid fever
Para-typhoid fever
Disease of the Nervous System and
Organs of Special Sense:
Cerebral hemorrhage
Cerebral thrombosis
Chalazion
Chorea (Sydenhams)
Cleft palate
Conjunctivitis, acute
Conjunctivitis, acute catarrhal
Conjunctivitis, acute purulent
Deviated septum, nasal
Ectropion, left lid
Episcleritis
Glaucoma, chronic
Hypertrophy of middle turbinate
Impacted cerumen
Keratitis
Keratitis, ulcerative, acute
Kerato-iritis
Multiple neuritis
Nasal polypi
Nasal spurs
Otitis media, acute
Otitis media, chronic catarrhal
Otitis media, chronic purulent
Otomycocis
Peforated nasal septum
Paretic convulsions
Pterygium
Rhinitis, atrophic
Rhinitis, chronic
Status epilepticus
Traumatic eye
Ulcer nasal septum
White Colored
M
F
1
3
0
21
2
2
3
0
0
0
0
2
0
0
0
3
1
0
0
0
3
8
1
17
0
0
1
2
10
1
1
0
1
0
2
0
0
2
4
77
0
0
11
2
0
3
1
3
0
4
Total
M
0
0
0
10
0
0
3
0
1
0
0
0
38
0
0
5
0
0
0
3
1
0
1
0
20
0
u
3
0
0
0
0
1
(I
0
0
1
0
(I
0
8
0
0
0
0
0
1
0
0
0
0
0
2
0
0
0
3
0
0
u
0
0
0
0
o
0
0
0
0
0
1
1
0
1
0
2
0
0
0
0
0
0
0
0
0
0
2
0
0
o
4
146
2
2
22
2
1
3
1
28
1
5
1
11
1
1
1
1
6
9
1
23
1
1
1
4
26
2
1
1
1
4
3
1
1
5
2
2
3
2
1
5
1
2
■
r.<„h,.,ttL.JuJU
26
SEVENTY-NINTH ANNUAL REPORT
Diseases of the Digestive System,
White Colored
M
Diseases of the Digestive System:
Appendicitis, acute
Carcinoma of stomach
Cholecystitis
Colitis, acute
Colitis, chronic
Diarrhoea, acute
Diarrhoea, chronic
Dysentery, acute
Dysentery, amoebic
Pharyngitis, acute
Pyorrhoea, alveolaris
Stomatitis
Stomatitis, acute ulcerative
Tonsillitis, acute
Tonsillitis, chronic
Intestinal parasites:
Ascaris lumbricoides
Diseases of the Respiratory System:
Asthma, bronchial
Bronchitis, acute
Coryza, acute
Pleurisy
~~
Pleurisy with effusion
I
I
Pneumonia, broncho
Pneumonia, hypostatic
Pneumonia, lobor
"III
Diseases of the Circulatory System:
Endocarditis
Hemorrhoids
Hemorrhoids, external
Mitral regurgitation
Myocarditis, acute
[
Pericarditis
Valvular heart disease
~
Diseases of the G. U. System:
Carcinoma of cervix
Carcinoma of uterus
Dysmenorrhea
Gonorrhoea
Meuorrhagia
Nephritis, acute
I
J_~_
Nephritis, chronic
'_
Vaginitis, purulent
'_
Diseases of the Skin, Glands and Cellular
Tissue:
Abscess of arm
Abscess of cervical gland, tubercular
""
Abscess of forehead
Axillary abscess
Burn of 2nd degree of face
Cellulitis of foot
0
0
2
0
1
1
0
2
0
0
2
0
0
0
22
F
3
0
0
0
2
63
0
0
0
0
0
3
0
0
1
0
0
0
0
6
15
0
0
0
0
0
10
2
3
0
0
1
0
2
0
M
F
Total
0
1
0
1
0
0
0
4
7
1
0
1
1
3
12
3
1
2
1
3
67
1
7
8
2
3
2
1
26
86
0
0
0
0
0
2
0
1
1
7
4
1
1
20
3
6
0
0
0
0
2
1
0
0
0
0
0
(i
0
1
2
2
1
2
1
1
0
2
2
4
3
1
1
0
0
0
0
0
0
1
(I
0
1
2
2
6
3
2
1
1
1
27
GEORGIA STATE SANITARIUM
Diseases of the Skin, Glands and Cellular
tissue (Continued)
Cellulitis of hand
Oellulitis of leg
_
Epithelioma of thigh
Erysipelas, facial
Erysipelas, not specified
Furunculosis
Gangrene hand and foot
Herpes zoster
Mastitis, acute
Pediculi corpons
Scabies
Tinea circinata
Tinea cruris
Ulcer of leg
—
Ulcer of leg, chronic
Miscellaneous Diseases:
Angio-neurotic oedema
Infection maxillary sinus—
Inguinal hernia
Labor
Pregnancy
Total
White Colored
M
F Total
M
F
0
0
0
2
0
0
1
2
1
0
0
1
0
0
0
0
1
1
0
0
1
3
0
0
2
5
1
6
5
1
1
1
1
2
16
1
4
5
1
1
0
0
0
0
0
0
0
0
0
1
1
2
1
2
75 125
714
1
3
0
3
1
1
1
0
0
0
7
0
0
0
0
1
2
0
3
4
0
0
0
0
0
9
0
0
3
0
0
0
0
0
0
0
1
0
0
0
0
0
2
1
2
169 345
o
SURGERY.
The surgical work was kept up to its usual standard
during the year and the following tabulation gives the number and kind of operations performed by members of the
staff.
Minor surgical procedures such as incising abscesses,
suturing wounds, vaccinations etc, are not included.
Adenectomy, double inguinal
Adenoidectomy and tonsillectomy
Amputation of finger
Appendectomies
Appendicostomy for dysentery
Circumcision
Cystotomy, urinary bladder
Dilitation and curettage
Enucleation of the eye ball
Ethmoidectomy
Excision bunion
Excision epithelioma of face
Excision epithelioma of thigh
Excision ingrowing toe nail
Excision large tumor of palate and gum
Excision polypus from ear
Excision sebaceous cyst
1
4
1
10
1
5
1
5
1
1
1
1
1
6
1
1
2
1
■ii^l^Hi
28
SEVENTY-NINTH ANNUAL REPORT
Excision tumor of gluteal region
(
Excision tumor of jaw
ZZ "
Fistulectomy
ZZZZZZ
Fistulotomy, fistula in ano
ZZZZZZZZZZZZZZ
Hemorrhoidectomy
Herniotomy (femoral hernia strangulated)— ___Z
ZZZZZ
ZZ
Herniotomy, inguinal
~_~
Herniotomy, umbilical
~~
Hysterectomy, pan
~
Hysterectomy, vaginal
~~
Incision and drainage cellulitis hand
ZZZZZZZZZZ_.""Z"~
Incision infected cellulitis finger
'_
Intravenous administration salvarsan
_
Labor (childbirth)
Laparotomy and drainage pelvic abscess
ZZZ
Laparotomy and excision subserous fibroid of uterus
Z
Laparotomy, appendectomy and excision ovarian cyst
Laparotomy for intestinal obstructure
Laparotomy —hysterectomy, supra-vaginal for fibroid, appendectomy, single salpingo-cophorectomy
Laparotomy—ovarotomy and appendectomy
Z.__
Laparotomy—Salpingo-cophorectomy (Pyo-Salpinx)
ZZ ZZ
Laporotomy—suspension of uterus
ZZ
Laparotomy—suspension of uterus and appendectomy
I
Meatotomy
Nephrectomy (acute hydronephrosis—floating kidney) _ZZ ZZZZ Z
Operation for cystocele
Operation for hydrocele
I
Operation for pterygium
'_
~~~
Operation for prolapse of rectum
"
Operation for strabismus
~__
Paracentesis abdominis
"
Perineorrhaphy
Reduction and fixation collis fracture
—————
Reduction and fixation dislocated inferior maxillaZ—~_ _ Z Z ~
Reduction and fixation fractured femur
___
Reduction and fixation fractured humerus
ZZZZZZZ
Reduction and fixation fractured inferior maxilla
._
Reduction and fixation metatarsal bone
_Z "" "
Reduction and fixation fractured nasal bone
———
Reduction and fixation fractured radium
ZZZ
Reduction and fixation fractured tibia and fibula—Z.Z
Submucous resection nasal septum
Thyroidectomy
Tonsillectomies
~
'_'_
'
Tonsillectomies, double
ZZZZ
ZZ
Trephine for cystic tumor of brain
ZZZZZZZZZZ
Z.ZZZ__
Trephine for old depressed fracture of skull
ZZ
Z..Z
Total
j
13
1
16
1
2
2
1
597
1
1
1
1
1
1
4
2
1
4
1
2
4
^
2
2
3
1
^
1
1
2
gg
37
1
1
ZZT832
GEORGIA STATE SANITARIUM
29
DEATHS.
There were 283 deaths during the year. 138 less than
the preceding year and the smallest number of deaths
since 1904.
Of the 283 who died there were 87 white males, 74 white
females, 52 colored males and 70 colored females. General
paralysis of the insane, pulmonary tuberculosis and cerebral
hemorrhage were the 3 leading causes of death.
The following tabulation gives classified information
as to the various causes of death during the year.
HHH^HHH
30
SEVENTY-NINTH ANNUAL REPORT
Causes of deaths of Patients Who Died
During the Year 1922.
White Colored
M
Asphyxiation
Carcinoma of cervix with metastasis
Carcinoma of face
Carcinoma of left mammary
Carcinoma of liver
Carcinoma of neck
Carcinoma of prostate and bladder
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral syphilis
Cerebral thrombosis (softening)
Diabetes, gangrene
Diarrhoea
Dysentery
Enteritis
Epilepsy
'
Erysipelas
Exhaustion
Exhaustion, acute mental disease
Exhaustion, chronic mental disease
Exhaustion, senile, (gangrene feet and left
hand)
Fracture of femur
"
Gangrene, heel and ankle
(iastric hemorrhage (ulcer of stomach)
General paralysis of the insane
Intestinal obstruction, acute
Nephritis, acute
Nephritis, chronic interstitial
\
Organic brain disease
Organic heart disease, myocarditis—
II
Pellagra
Peritonitis, tubercular
Pneumonia, broncho
'_
Pneumonia, hypostatic
II
Pneumonia, lobor
Pulmonary congestion, following herniotomy
with ether enaesthetic
Pyloric stenosis
Septicaemia (carbuncle knee)
I
Syphilis
Traumatism by falling from window
Tuberculosis, pulmonary
Tuberculosis, miliary
Typhoid fever
Valvular heart disease, aortic insufficiency—
Unknown
_g°tel
1
P
M
F Total
0
0
0
0
0
0
0
0
0
12
0
0
0
1
1
1
0
0
0
0
0
2
0
0
0
1
0
1
3
0
1
0
()
1
5
0
0
1
II
2
II
0
1
0
0
1
0
0
4
7
3
7
0
7
0
0
1
1
22
0
0
0
0
0
1
0
1
1
1
1
1
1
1
4
2
32
1
3
1
5
5
8
15
2
1
5
3
1
1
1
1
42
1
1
12
16
7
17
1
23
6
n
3
0
0
0
0
0
6
0
0
2
2
87
74
32
l
1
3
10
52
70
283
GEORGIA STATE SANITARIUM
31
TRAINING SCHOOL FOR NURSES.
The curriculum of the Training School for Nurses was
kept up to its usual standard during the year.
The influence of the training school.is noted on all the
wards of the white female department and the infirmary
and sick wards of the white male department.
During the latter part of the year some study and investigations were made by the Clinical Director with the
idea of formulating a schedule of training for our attendants throughout the institution. Wie contemplate getting
this in working order during the coming year.
Detailed information relative to Training School for
Nurses will be found in Superintendent of Nurses' report.
OCCUPATIONAL THERAPY.
We made some definite progress in therapeutic occupational training during the year. Arts and craft work among
the white females and colored females have been extended
and more definitely organized.
Two new buildings, one a tin and repair shop and arts
and crafts building were erected from reclaimed material
and lumber from and old cottage that was located near
colored female pavilion.
Work simply as work is not of so great value unless
real interest is aroused, for through interest an emotional
outlet may be attained. Furthermore, occupation may be
the means of sublimating repressed complexes.
HYDROTHERAPY.
This feature of treatment of certian distrubed type of
patients was kept up during the year, and the hydrotherapy
rooms in the white male and female departments had a
trained person in direct charge of each. The continuous
bath on colored male reception ward was very useful and
packs were given in the colored female department and
other departments of the institution where indicated and
no other type of hydrotherapy available.
32
SEVENTY-NINTH ANNUAL REPORT
DENTAL WORK.
We have a dentist who resides within the Sanitarium
and is subject to call at all times. He makes a routine examination of the teeth of all patients admitted to the Sanitapium, and does dental work for all patients in the intsitution who need it! Our physicians are alert to the possibility of bad teeth or other foci of infection being an etiological factor in mental disorders, as well as being a factor
is causing other medical problems.
Pharmaceutical and Laboratory Departments.
The policy and standard of these departments were the
same as the previous year. The report of the pharmacist
and laboratory technician gives some detailed information
as to the work of these departments during the year.
PELLAGRA STUDY.
The U. S. Public Health Service continued during the
year the study of pellagra, under the direction of Dr.
Joseph W. Goldberger of Washington, D. C. with Dr. W. F.
Tanner in immediate charge. This study has been going
continuously since 1914. During the past year this study
was along the same general lines as were followed the
previous year, and the result, according to these investigators
was confirmatory of their previous conclusions that the
etiology of pellagra is a deficiency of proteins in the food.
OUR NEEDS.
Some of the buildings of the Sanitarium are badly in
need of repair and are deteriorating as a result. It will
cost about $20,000 to make these repairs.
Our ice plant is inadequate and the cold storage needs
modernizing. This would require about $30,000.
We need an occupation therapy building preferably
constructed of brick, size 100 x 40 feet, far the white femalesEstimated cost $9,260.
We do not know when we shall have a fire that will
destroy some' of our buildings and menace the lives of our
patients. We hope that we will not have such an ex-
33
GEORGIA STATE SANITARIUM
perience, but we should be prepared and make provisions
for such. It is estimated that it will cost $25,000.00 to
build an adequate number of Kirker-Bender fire escapes to
give us sufficient avenues of escape in case of fire.
Our water main from the water works to the Sanitarium
crosses two streams and is subject to overflow by high water
from the river for a mile of its length. Should there happen
a leak or break during a period of high water, it would
be an impossibility to fix it until the water receded. We
have a supply of water in our cistern that would last us a
couple of days and high water frequently lasts several days
or more than a week. Our Engineer informs me that it
would not only be wise but economical to put in a duplicate
main. If the pipe line capacity is doubled, the velocity in
feet per second of the water flowing in the pipe would be
reduced by one half and the present friction loss by 70 per
cent. The estimated cost of this main is $42,382.00.
The overcrowding in the white female department
makes it necessary that something be done to remedy this.
The completion of the Nurses Home would relieve this condition for some time, as the rooms occupied by nurses and
attendants could be used for patients. It will take an additional appropriation of $67,000.00 far this item.
In the following statistical tables will be found additional classified information of interest of the patients admitted during the year.
Respectfully Submitted,
R. C.
SWINT,
M. D.
. Superintendent
34
SEVENTY-NINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922.
Appling .
Bacon
Baker
Baldwin .
Banks
Barrow .
Bnrtow _
Ben Hill—
Berrien _.
Bibb
Bleckley .,
Brantley
Brooks __.
Bulloch ...
Burke
Butts
Calhoun _.
Camden _.
Campbell .
Carroll __.
Catoosa _.
Charlton .
Chatham .
Chattooga
Cherokee .
Clark
Clay
Clayton ._
Clinch ..
Cobb
Coffee
Colquitt ..
Columbia _
Cook
Coweta __
Crawford
Dawson ._,
Deeatur ._.
DeKalb ...
Dodge
Dooly
Dougherty
Douglas __.
Early
Efflngham .
Elbert
Emanuel _.
Evans
Pannin
Payette ...
Ployd
Porsyth ...
White Colored
M
1
3
0
1
2
P
M
0
0
0
3
0
0
(1
2
3
0
4
3
1
1
3
0
11
5
5
0
1
1
0
1
0
0
2
1
2
0
1
1
0
3
1
0
0
1
1
2
1
0
0
0
1
1
5
1
2
1
2
0
1
0
0
17 13 24
0
4
0
1
2
0
4
1
2
2
0
0
1
0
3
1
3
2
0
5
1
1
1
0
3
4
1
1
0
3
3
0
1
4
3
1
1
2
0
1
0
0
3
2
2
7
9
3
1
1
1
1
1
2
1
0
3
3
7
0
0
0
0
2
0
1
5
3
2
0
0
0
0
1
0
3
2
0
1
2
0
10
1
2
11
4
P Total
0
0
0
3
1
0
2
1
0
8
0
0
1
1
3
3
1
1
0
0
0
0
24
1
0
1
0
0
1
0
1
6
0
1
3
0
0
0
1
1
1
1
0
1
1
1
1
0
0
1
01
o
1
4
1
Q
4
1
7
9
4
29
2
1
4
4
7
4
5
2
2
8
3
1
78
5
3
8
2
4
7
6
3
14
4
5
11
3
1
7
20
4
5
5
10
1
4
11
1
1
5
4
13
5
GEORGIA STATE SANITARIUM
Admissions from the Various Counties
During the Year 1922.
(Continued)
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haraldson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meri wether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
•-
35
White Colored
M
F
0
2
22 24
0
1
1
0
1
3
1
4
2
1
1
2
6
3
0
1
4
6
1
1
4
5
1
1
2
0
3
3
4
2
1
3
0
1
2
1
0
2
0
2
1
2
2
0
1
1
2
0
0
0
1
0
1
0
5
1
0
1
0
1
5
2
1
1
3
0
1
1
0
2
0
0
0
1
4
0
0
1
0
2
4
M
Total
F
0
1
1
0
2
1
0
3
2
0
0
2
0
3
2
1
0
0
0
1
0
2
0
0
1
1
3
2
1
0
0
0
0
1
1
1
1
1
0
1
4
1
0
1
1
0
1
1
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
3
1
2
1
0
2
0
0
2
0
2
2
5
62
1
1
5
6
6
4
11
2
11
11
3
5
7
8
5
5
7
3
1
3
3
2
6
5
1
6
2
1
1
7
1
5
8
4
4
2
1
8
2
5
1
3
13
1
3
11
1
6
8
■IIH
36
SEVENTY-NINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922.
(Continued)
Piekens __
Pierce
Pike
Polk
Putnam ...
Rabun
Randolph .
Richmond .
Rockdale _.
Schiey
Screven __.
Seminole _.
Spalding __
Stephens __
Stewart ___
Sumter
Talbot
Taliaferro _
Tattnall ...
Telfair
Terrell
Thomas
Tiit
Toombs
Troup
Turner
Twiggs
Union
Upson
Walker
Walton ....
Ware
Warren
Washington
Wheeler .
White
Whitfield .__
Wilcox
Wilkes
Wilkinson .
Worth
Total
White Colored
M
2
0
3
1
0
1
2
1
0
0
0
3
1
1
1
1
1
1
2
3
3
1
1
3
0
0
1
1
]
2
1
1
1
0
2
2
3
1
0
P
M
4
1
1
2
1
2
1
7
0
2
2
0
3
0
0
0
0
0
2
4
3
4
3
1
2
1
1
1
1
2
0
0
0
0
1
1
1
0
2
0
0
0
1
7
0
2
0
0
2
0
1
0
0
1
1
0
0
3
1
5
2
2
5
0
2
1
1
1
1
1
1
4
0
0
1
0
0
0
3
0
0
0
1
1
0
0
1
1
0
0
0
2
1
1
0
1
2
2
0
1
0
0
0
0
0
0
2
1
0
1
0
0
0
4
1
4
3
2
]
1
0
F
268 272 160 157
Total
7
3
3
6
4
2
10
11
1
4
3
1
7
4
7
5
6
4
5
8
11
7
5
2
8
1
3
2
4
3
4
6
2
9
2
6
5
5
5
2
1
857
37
GEORGIA STATE SANITARIUM
Nativity of All Patients Admitted
During the Year 1922.
Alabama
Canada
Connecticut
Denmark
Florida
Georgia
Germany
Illinois
Ireland
Italy
Kentucky
Maryland
Michigan
North Carolina
Pennsylvania
Russia
South Carolina
Tennessee
Texas
Virginia
Unascertained
Totill
:
White Colored
M
F
M
F Total
0
6
0
0
0
1
0
1
1
2
235 150 142
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
0
1
2
0
3
0
0
1
0
0
1
7
5
6
0
0
4
0
1
0
0
0
1
1
3
7
16
1
2
1
4
762
1
1
1
1
1
]
1
9
3
1
22
6
1
2
20
■..JJ68^272_160 157
857
857
1
0
0
235
1
0
1
1
0
0
0
4
2
0
4
2
0
1
38
SEVENTY-NINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922.
Agricultural Pursuits:
Farmers
Farmer's daughters
'"
Farmer's sons
Farmer's wives
~
Farmer's widows
!~™
Farm laborers
Farm laborer's daughters
™"
Gardener
Truck farmers
—1.1.1
Professional Service:
Druggist
Jeweler
Minister
Minister's wives
Music teacher
~~~~"
Physician
Physician's daughters
I
'__
Physician's sons
I
School teachers
"
School teacher's wife
_"__
Domestic and Personal Service"
Barber
Clothes presser
>__""
Clothes presser's wife
"_"
Governess
~'
Housekeeper
~™
Janitor
Janitor's wife
""'.
Laborers
Laborer's wife
~~"
Laborer's daughter
'_
Laundress
Laandryman's wife
~~~
Mail carriers
Piano tuners
~
Policeman
'
Policeman's wife
~~
Porter
~
Quilt maker
111™ """""
Seamstress
"
Servants
Soda water dispenser..
Tailor
\
Waiter's wife
I
Trade and Transportation:""
Accountant
Advertising agent
Rank clerk
~
Government clerk
Clerks
Chauffeur
~~
Bookkeepers
White Colored
M
M
114
0
14
0
0
7
0
0
2
2
19
0
68
5
9
9
0
0
18
0
1
0
0
76
0
1
0
2
2
2
0
0
3
0
1
0
0
0
0
0
3
1
0
1
0
2
0
0
0
0
0
0
0
0
14
0
0
0
0
2
2
2
0
0
0
0
0
1
1
0
1
1
1
2
8
0
3
Total
0
62
0
0
0
134
21
15
77
5
154
9
1
2
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
2
2
3
4
1
3
1
1
2
1
0
0
1
1
21
0
0
1
1
1
0
1
0
0
0
1
0
1
6
2
0
0
0
1
1
0
0
0
1
0
37
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
5
0
1
6
0
0
27
0
1
1
1
1
26
1
1
58
1
1
27
1
2
2
2
1
1
1
6
7
1
2
1
0
0
0
0
4
2
0
0
0
0
0
0
0
0
0
0
0
(I
0
0
0
0
0
0
5
0
0
1
II
0
(I
o!
1
J
1
2
12
2
3
39
GEORGIA STATE SANITARIUM
Classified Occupation of Patients Admitted
During the Year 1922.
Electrician's wives
Florist's wife
Foreman's wife
Funeral director
Insurance agent
Insurance agent's wife
Lineman
'
Live stock dealer
Merchants
Merchant's daughter
Merchant's wife
Moving picture theatre manager's wife
Mule trader
Photographer
'
Post office clerk
'
Post office clerk's daughter
R. R. conductor
R. R. conductor's wife
R. R. engineer
R. R. engineer's wife
R. R. fireman
R. R. fireman's wife
R. R. flagman
R. R. section hand
R. R. section hand's wife
R. R. switchman
R. R. switchman's wife
Sailor
,
Salesman
Salesman's wife
Stenographers
Telegraph Operator
Telephone operator's wife
Truck driver's wife
Manufacturing and Mechanical Pursuits:
Brickmason
Basket maker
Carpenter
Carpenter's daughter
Carpenter's wife
Machinist
Machinist's daughter
Machinist's wife
'.
Mechanics
Mechanics wife
Moulders
Painters
Painter's wife
Food and its Kindred Products:
Cook
Dairymen
Fisherman's wife
White Colored
M
M
F
0
0
0
1
2
0
1
1
7
0
0
0
1
1
1
0
2
0
1
0
0
F Total
3
1
1
0
0
2
0
0
0
1
2
1
0
0
0
1
0
0
0
1
0
1
0
0
1
0
0
0
0
2
4
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
2
3
0
1
2
0
2
0
0
3
0
1
0
0
0
0
0
0
0
0
0
2
3
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
1
1
1
2
2
1
1
7
1
2
1
1
1
1
1
2
2
1
1
1
1
1
2
1
1
1
1
5
2
4
1
1
2
0
0
0
0
0
0
0
0
0
0
0
3
1
3
2
3
2
1
2
3
2
1
4
3
(I
16
0
20
1
1
40
SEVENTY-NINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922.
(Continued)
Fish Merchant's son
lee dealer
Oyster cleaner
Textiles:
Cotton mill employee
Cotton mill hand
Coton mill hand's wife
Cotton mill laborer's son
Cotton mill operative
Cotton mill superintendent's daughter..
Leather and its Kindred Products:
Shoemaker
Iron, Steel and Their Products:
Blacksmith
>
Boiler maker
Plumber and steam fitter
Lumper and its manufacturers:
Cabinet maker
Gin saw builder
Planing mill laborer's wife..I
"
Saw mill laborer
Saw mill laborer's wife
Sawyer furniture factory
~ "'
Turpentine laborer
'___'_
Wood worker
Miscellaneous:
Laborer in match factory.
Peddler
Student
~_
~~
School girl
Tramp
'__
Vocational training—Ex Service
"'
None
Unascertained
JTotal
White Colored
M
M
Total
0
U
0
0
0
0
0
0
0
1
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
6
3
1
0
0
1
0
0
3
11
68
32
268 272 160 157
857
1
1
0
1
(I
1
0
0
0
0
5
0
0
1
14
3
0
2
2
0
0
0
ir,
15
A"es of First Admissions During the Year 1922.
Classified With Reference to Principle Psyehoses^-White Population.
Traumatic psychoses
Senile psychoses
Psyohoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous diseaseAlcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
TJndiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis—
* Mental deficiency without psychosis
Total-
WHITE FEMALES
YEARS
WHITE MALES
YEARS
1
0
14
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25 46 34 28
Is
21
0
0
0
4
0
0
1
0
0
2
(i
0
0|
0
0
it
3
1
0
0
10
4
0
1
1
0
0
4
2
0
0
15
8
■!
1
2
9
3
0
0
0
0
(i
6
(I
1
0
0
0
0
1
0
0
0
0
0
0
0
0
Over
70 Total
Under
20
Over
70
Under 2130
20
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
3
0
1
n
0
0
0
0
0 1
0 0
2 11
6 13
0 0
4 5
0 0
2 4
2 4
1
0
10
5
1
2
0
0
1
7
4
1
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
I)
6
3
0
2
0
0
0
0
01 0
0 0
6
0
0
20 461 49 3f! 16 13
0
0
0
0
0
0
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
3
1
2
1
10
375
0
5
2
0
0
0
1
0
0
• 0
0
1
1
O
M
O
fa
o
CO
>
H
w
>
>
to
a
g
Ages of First Admissions During the Year 1922.
Classified With Reference to Principle Psychosis—Colored Population.
COLORED MALES
YEARS
COLORED FEMALES
YEARS
Under 21- 31- 41- 51- 61- Over
30 40 50 60 70
70
20
Under 21 31- 41- 51- 61- Over
20
30 40 50 60 70 70 Total
CO
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra—_
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
:
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
.—
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane:
.
Mental deficiency without psychosis
Total
0 0
0 2
2 10
6 4
0 0
0 0
0 0
0 0
0 0
0 1
0 0
3 3
1 0
0 0
1 0
0 0
0 0
0 0
2 1
0 0
0 1
0
0
5
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
21 42 32 15 22
7
5
0 1 0
0 0 0
0 0 0
1 3 3
0 0 1
0 0 0
0 0 1
0 0 0
0 0 0
0 0 1
0 0 1
6 5 6
3 19 10
0 0 0
2 6 3
0 0 0
0 0 0
8 5 0
1 2 6
0 1 0
0 0 0
0 0 0
0 0 0
0 0 1
0 3 4
1 1 1
0 0 n
0 0 0
0 0 l
0 0 0
0 3 2
0 0 0
8 23 11
5 8 5
0 0 0
6 1 1
0 0 0
0 0 0
1 6 2
1 0 0
0 0
0 0 0
0
0
2!
2
1
0
5
2
1
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
•0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
23
30
6
22 45 28 16 12 10
0
277
a
II
0
0
0
1
0
7
1
0
0
0
0
1
0
0
0
0
1
1
1
1
1
0
0
0
1
0
6
0
0
0
0
0
1
0
0
0
i
1
1
0
9
1
80
52
0
20
0
0
24
1
1
1
H
<
H
2,
a
>
a>
b
S3
H
>tJ
O
S3
►3
Degree of Education of First Admissions During
the Year 1922—Classified with Reference to
Principle Psychosis. White Population.
S3
o
o
I
0
0
0
4
2
0
1
2
0
12
2
0
1
0
0
i
5S
«I
5 o)
O o
03 03 tS O02 W 05
OlP-3
0
1
2
0
1
0
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
.Psychoses with other brain or nervous diseaseAlcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
,
Undiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
—
Total
a o
a
WHITE FEMALES
0)1
1*2
o
.5 a;
W ' SO OJ
SB
OtJ.
a), w
aj
■a >d -t;
■a
£f,ao
29
1
82
1
4
6
4
0
0
1
2
1
1
0
11
7
0
2
4
6
0
5
0
2
3
0
1
0
0
0
0
1
1
7
1
0
6
0
0
10
4
0
0
0
0
0
0
0
0
0
4
2
0
1
0
0
0
0
0
0
l
3
1
14
13
0
5
2
4
2
8
0
4
1
2
0
1
1
0
0
1
0
18
18
1
4
0
3
0
6
0
0
1
0
0
n
(1
0
0
0
0
0
0
0
0
0
59
36
l
59
n
n
0
0
0
0
0
n
Coll
Una
tain
WHITE MALES
o
1
0 . 0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
4
0
0
0
0
0
0
0
1 • 0
0
0
1
1
0
2
1
1
0
0
1
0
0
1
0
2
4
0
0
0
0
0
2
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
3
1
2
1
60
10
3
15
375
n
O
H
O
J3
©
>-i
>
H
w
>
•z
►
d
COLORED MALES
Degree of Education of First Admissions During
the Year 1922—Classified with Reference to
Principle Psychosis. Colored Population.
*" m
Total
0
3
10
9
0
0
0
0
1
0
8
18
7
13
G
0
1
71'
—
a o _, o
31 3 c aoflj
W ' GO
fl
£
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
■Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Not insane:
Mental deficiency without psychosis
COLORED FEMALES
^
1>
0
0
0
0
0
tl
0
0
0
0
11
0
0
0
CP
4> L»
6
1
0
1
0
1
0
0
0
11
5
0
4
1
0
12
39
1
(1
o
CJ
s a
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
II
3
0
(I
1
0
o
(I
0
0
(I
0
0
0
0
0
0
0
0
3
^3 ac
.2 't
S
3 ^
8 S'B
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
2
0
2-3
8
4
9
0
0
67
II
II
(I
o
0
0
0
0
0
0
°l0
15
=1 o
a> a>
0
II
II
0
0
1
4
0
26
9
4
0
1
0
0
0
0
0
Ol
50
8
0
0
(I
0
II
0
0
6
1
0
1
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
Ia
!-i 3
so
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
23
30
6
1
1
1
9
1
80
52
20
24
14
1
1
0
131
277
0
1
1
1
1
0
0
0
1
0
0
0
s
1
<
ss
K
>
>1
tM
o
W
45
GEORGIA STATE SANITARIUM
9
■A
tf
1
33
Traumatic psychosis
Senile psychoses
Psychoses with cerebral arteri' osclerosis
General paralysis of the insane—
Psychoses with cerebral syphilis..
Ps'vchoses with Huntington's cho
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic dis
ease
Manic-depressive psychoses
Pementia praecox
—
Paranoia or paranoic condition—Epileptic psychosis
Psychoneurosis or neuroses
Psychoses with psychopathic per
sonality
Psychoses with mental deficiencyTJndiagnosed
Not insane:
Drug addict without psycho
FEMALES
MALES
Environment of First Admissions During the Year 1922.
Classified with Reference to Principle Psychosis.
White Population.
2
01
0
11
5
1
3
2
21
0
0
1
0
8
5
0
1
0
1
3
2
0
1
1
0
1
o1
0
0
0
0
0
0
6
3
5
4
9
0
34
II
0
5
6
0
1
2
0
0
0
1
211
20
1
12
2
3
8S
59
1
22
9
0
0
3
5
13
10
II
Epileptic without psychosisPsychopathic personality
without psychosis
Mental deficiency without psycho
sis
Total
511
0
0
0
0
2
1
0
24
15
5
15 121
4|| 60|
14
0
0
1
0
0
0
0
0
0
0
0
llll
7|
14
at
40
375
46
SEVENTY-NINTH ANNUAL REPORT
Environment of First Admissions During the Year 1922.
Classified with Reference to Principle Psychosis. Colored Population.
MALES
FEMALES
u*
>.
Bs
Traumatic psychoses
1
Senile psychoses
1
Psychoses with cerebral arteri
sclerosis
6
General paralysis of the Insane... 5
Psychoses with cerebral syphilis.. 0
Psychoses with Huntington's cho
rea
0
Psychoses with other brain or nervous disease
1
Alcoholic psychoses
0
Psychoses with pellagra
0
Psychoses with other somatic dis
ease
'
1
Manic-depressive psychoses
3
Dementia praecox
101
K pi Up tie psychoses
t
Psychoses with mental deficiency
2
TJndiagnosed
Ci
Not insane:
0
Mental deficiency without psycho
sis
1
Total
! 37
_gto
7^
5 >
<D
,—i
M
0
a
& *&
II
p-
0
0
1
12
0
0
0
23
20
G
0
0
0
0
0
0
6
1
1
9
0
0
2
1
0
35
8
5
8
1
0
1
80
52
20
21
14
1
n
1
0
0
4 lnl
1
46
8
75
277
47
GEORGIA STATE SANITARIUM
FEMALES
MALES
Economic Condition of First Admissions Classified with Reference
to Principle Psychosis. White
Population.
u
•a
CIS to
■d
a
O
B 4>
r
1
33
J raumatic psychoses
Senile psychoses
Psychoses with cerebral arterio
sclerosis
General paralysis of the insanePsychosis with cerebral syphilis.
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellegra
Psychoses with other somatic dis0
ease
IS
Manic-depressive psychoses
in
I lementia praecox
Faranoia or paranoic condition-.. 0
1
Epileptic psychoses
1
Psychoneurosis or neuroses
Psychoses with psychopathic per
3
sonality
Psychoses with mental deficiency - Li
TJndiagnosed
Not insane:
Drug addict without psycho
sis
Epileptic without psychosisPsychopathic personality
without psychosis
Mental deficiency without
psychosis
Total
80
21
15
5
1
0
0
3
3
5
1
9
2
21
19
0
9
1
3
89
59
1
22
9
14
31
40
10
13
93
0
0
3
1
0
2
0
1
25
375
SEVENTY-NINTH ANNUAL REPORT
Economic Condition of First Admissions Classified with Reference
to Principle Psychosis. Colored
Population.
traumatic psychoses
Senile psychoses
Psychoses with cerebral arterioscelerosis
General paralysis of the insane—
Psychoses with cerebral syphilis.
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychosis with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
!.]>ilcptic psychoses
Psychoses witli mental denciency.
TJndiagnosed
Not insane:
'
Mental deficiency without psychosis
MALES
FEMALES
Comftbl.
Marginal
Dependent
48
5 8
"3
+-»
o
H
1
1
4
0
0
0
1
0
0
0
1
12
1
6
0
6
10
1
4
1
0
(5
2
0
1
2
0
2
5
4
23
30
G
0
0
0
0
1
0
II
1
0
2
0
0
0
0
0
0
0
0
1
0
1
4
I
1
9
0
15
18
0
0
1
6
3
-1
3
1
1
4
3
3
1
3
0
0
2
3
1
0
1
0
0
45
11
5
8
0
0
1
80
52
20
24
14
1
0
0
1
0
0
0
20
76
24
24
15
94
II
(1
0
0
0
(i
1
1
1
0
0
7
fi
0
18
0
10
277
FEMALES
MALES
Civil Condition of First Admissions—Classified with Refer
ence to Principle Psychosis. White Population.
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the iusane
Psychoses with cerebral syphilis
Psychoses with Huntingtou's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane:
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosisMental deficiency without psychosis
Total
£ I I o
3
3
0
3
2
3
0
0
1
1
0
0
0
17
10
0
3
2
1
14
3
0
12
11
8
1
0
0
2
3
2
1
2:!
5
0
3
4
3
4
10
0
5
3
0
0
0
0
0
1
1
0
5
0
0
0
0
0
0
2
1
0
0
0
0
0
1
1
1
0
0
0
0
0
0
63
93
17
a
III
£
3
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
1
0
0
1
0
0
0
1
2
0
1
0
2
0
0
0
2
0
1
0
0
0
0
0
1
0
5
15
0
5
0
4
9
7
0
0
0
0
1
0
0
0
0
0
0
0
10
49
()
-B
3
3
o
9
3
0
2
0
1
0
0
1
1
4
4
0
2
0
11
!
l
o!
0
0
93
_so
£1 5
29
0
0
0
0
0
0
0
0
0
0
0
1
1
1
0
0
2
1
2
0
0
0
0
0:
0'
0
0
0
0
0
0
0
0
0
0
0
0
0
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
0
0
0
0
0
0
0
o:
3
1
2
1
0
375
O
H
O
to
o
in
>
H
>
>
35
FEMALES
MALES
Civil Condition of First Admissions—Classified with Refer
erence to Principle Psychosis. Colored Population.
0)
to
.91
Iraumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntington's chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Jrsyclioses with pellagra
Psychoses with other somatic disease
Mnnic-denressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
TJndiagnosed
Not insane:
Mental deficiency without psychosis
Total
u
&
0
0
0
3
0
0
0
0
0
0
10
14
7
11
3
1
1
50
*o
o
P
31 a';&3
0
1
4
3
0
0
0
0
1
0
0
1
1
0
0
0
0
0
1
0
0
3
1
0
2
0
0
0
0
0
0
1
0
0
0
3
0
12
5
6
5
0
0
0
9
32
1
1
0
2
0
0
13
0
en
o
-a
is
>
(I
69!
■a
•d
a
d S2
Q
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
30
8
2
3
0
0
58
a a£
27
0
15
o
l
c
6
30
6
1
1
1
9
1
80
52
20
24
14
1
1
277
<
as
A
X
>
2
d
>
t-1
to
O
to
Traumatic psychoses
•Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Involutional melancholia
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Unclassified
Total
Over Unascer
70
tained
31- 4140 50
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
I)
0
1
0
0
0
2
0
3
0
0
0
1
4
0
0
2
6
7 10 13 21
0
0
0
o
FEMALES
MALES
Ages of Patients at Time of Death—Classified
with Reference to Principle Psychosis. White Under
Population.
20
o1
0
0
0
1
0
1
0
0
0
0
0
0
(i
0
0
o!
0|
2
0
1
0
4
0
0
0
0
2
41- 51 61- Over Unascertained Total
50 60 70 70
Under
20
20
0
in
0
0
0
2
0
0
0
0
0
0
1
0
0
1
0
0
1
1
0
0
10
7
0
0
0
0
0
1
0
0
0
0
0
0
o: o
4
3
7 11
1
29
23
11
2
3
1
7
20
1
21
1
14
1
18
4
5
14
26
161
O
O
w
>
H
>
>
I—I
d
w
<
Ages of Patients at Time of Death—Classified
Under
with Reference to Principle Psychosis
20
Colored Population
FE
MALES
Under
2131415131- 41 51- 61- Over Unascertained
40 50 60 70 70
20
30 40 50 60
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Total
0
00
12
0
0
0
0
0
0
0
0
0
0
2
0
1
3
0
0 0
0 0
3 3
0 0
0 1
3 0
6 10
3 1
0 0
2 1
3 0
0 1
6 20 17
0
0
3
0
0
1
1
1
0
0
0
1
Over Unascer70
tained
K!
Total
1
1
1
1
1
1
1
0
1
0
0
2
36
1
2
5
20
15
1
12
6
9
7 10
122
5
>
z
>1
tr
S)
H
hd
O
>-3
-
FEMALES
MALES
Duration of Hospital Residence of Patients Dying
in Hospital—Classified with Reference to Principle
Psychosis. White Population.
o
m
z&
.jl
o
M
£
Pi-H
Senile psychoses-
-
0
1
(1
?
0
0
0
2
1
0
0
0
0
0
1
0
- -
Psychoses with cerebral syphilis .
L'sychoses with other brain or nervous disease
Psychoses with other somatic diseasePsychoses with pellagra
Manic-depressive psychoses
_ _
Involutional melancholia
_
----Dementia praecox
....
- _ - Paranoia or paranoic condition
.
- - _
Epileptic psychosesPsychoses with psychopathic personality
Psvchoses with mental deficiency
TTndiagnosed
- - Total
.
-
_
•
0 <t
U3
0
l
2
0
0
0
1
0
1
0
0
1
b
[V,
8
0
0
0
0
3
1
2
0
2
0
8
0
10
15
37
0
V
a
n
l
u
0
3
V
0
0
0
0
0
1
0
2
0
0
0
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U
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►H
0
u
II
n
0
0
0
0
0
0
0
0
2
0
1
0
3
.-H OlM
prH
0
1
II
0
l
0
2
0
0
0
3
1
0
U
II
0
0
0
0
0
0
0
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(1
0
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1
7
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u
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£
i—i
up
0
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0
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1
0
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5
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1
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0
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2
0
1
0
0
0
1
2
0
0
0
0
0
0
4
0
1
0
3
0
4
0
4
12
6
18
i
n
2
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0
0
('
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04
i-H
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1
0
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1
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1
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0
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0
0
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1
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0
3
0
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1
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1
15
0
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6§
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0
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1
2
U
2
0
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1
29
23
11
2
3
1
7
20
1
21
1
14
1
18
8
10
9
161
n
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2
>-3
►
SI
d.
i—i
5.
CTOS.
MALES
Duration of Hospital Residence of Patients Dying
in Hospital—Classified with Reference to Principle
Psychosis. Colored Population.
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manic-depressive psychoses
Dementia praecox
Paranoia or piranoic condition
Epileptic psychoses
Psychoses with mental deficiency
TTndiagnosed
Total
FEMALES
CO
H
<
U
£2
til cii
H,OM
o
CD
y—1
T—t
2
2
0
1
1
0
9
5
0
2
4
2
0
0
0
0
1
0
1
2
1
1
1
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
36
1
2
5
20
15
1
12
7
9
28
7
3
1
122
12
Y—1
3
3
13
0
0
0
0
1
0
0
0
0
21
10
8
12
H
H
o
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H
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to
1-3
GEORGIA STATE SANITARIUM
55
Dentist's Report
FOR THE YEAR
DR.
R. C.
SWINT,
1922.
Superintendent.
Dear Sir:—I have the honor of submitting the report of
the Dental Department for the year ending December 31st.
1922.
In caring for the mouths of the inmates of this Institution the Dentist feels that the relief of acute suffering, of
a dental origin, is of first importance and should be relieved
as promptly as possible. To this end those having patients
ill their immediate charge are instructed to report, without delay, all such cases as come under their observation.
Certain hours in each day being set aside in which these
emergencies are met, that immediate relief may be given,
if posssible.
Work of a temporary nature is frequently given to those
whose residence within the Institution will probably terminate at an early date, that their teeth may not deteriorate
during the period of their temporary confinement.
There are many patients, however, the length of whose
stay must, of necessity, be uncertain, whose desire to conserve their teeth, whose habits of cleanliness and whose willingness to co-operate with the dentist justifies the most careful consideration. Such patients are furnished thorough
dental treatment and work of a permanent nature.
The mouths of all patients are subjected to an examination soon after their admission, one morning in each week
being set aside for this purpose.
The Dentist resides within the Institution and his services are available at all times.
Below will be found an itemized statement of the work
done in this department during the year just ended.
56
SEVENTY-NINTH ANNUAL REPORT
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Lancing gums over 3rd. Molar
Treating gums about 3rd. Molar
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits
(number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Plates made
Plates repaired
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges made
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up
(number of patients)
Setting screws in roots
Removing impacted 3rd. Molars
_812
4
__333
151
13
63
_ 3^
3
g
ig
_ 26
g2
_ 73
_ 15
_ 43
4
6
42
17
37
6
3
99
9
9
j
jg
5
4
3
JQ
3
2
g
2
g
48
j
2
57
GEORGIA STATE SANITARIUM
Removing sequestrum
Special calls to wards
Number of new patients examined
Number of patients treated
1
60
826
924
,
Total number of operations
. and treatments
2019
Respectfully submitted,
GEORGE
IT.
GREEN,
Dentist
58
SEVENTY-NINTH ANNUAL REPORT
Report of Superintendent of Nurses
DR.
R. C.
SWINT,
Superintedent.
Dea,r Sir:—The following is a report of the Training
School for Nurses for the year beginning January 1st,
1922 and ending December 31st, 1922.
The annual commencement of the Training School was
held October 17th, at eight o'clock, in the amusement hall,
Dr. L. M. Jones, Superintendent, presiding.
Diplomas were awarded to eight young ladies making
the total number of graduates ninety-five.
A most interesting and instructive class address was
very ably delivered by Dr. George McDonnell of Waycross,
Georgia.
Hon. John T. Brantley, President of the Board of
Trustees, in his usual pleasing manner presented the diplomas and Mr. C. C. Brantley, Secretary of the Board of
Trustees, presented the hospital pins to the members of the
graduating class.
A reception and dance followed, music being furnished
by the Sanitarium band.
PLANS OF INSTRUCTIONS.
The course extends over a period of three years including three months probation and six months affiliation in
some general hospital. The course consists of lectures, recitations, demonstrations and practical work on wards, diet
kitchen, hydrotherapy, occupation therapy and laboratory.
NURSING STAFF.
Superintendent of Nurses
Assistant Superintendent of Nurses
Supervisor
Chief Operating Nurses
Occupation Therapy Nurses
Hydrotherapy Nurse
N-Ray Technician
, __
1
1
1
2
3
1
l
59
GEORGIA STATE SANITARIUM
Graduate Nurses employed as head Nurses
Senior Nurses in School
Junior Nurses in School
Ereshman Nurses in School
Total number Student Nurses
Number White Female Attendants
Number of Vacancies
10
13
13
13
39
139
0
CURRICULUM.
First Year.
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstrations
Materia Medica
Dietetics
Bandaging
History of Nursing
—
16 hours
8 "
24 " .
16 "
24 "
16 "
16 "
8 "
8 "
Second Year.
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Advanced Anatomy
Obstetrics
Hydrotherapy
Massage
Dietetics
Clinical Medicine
16
26
6
16
16
16
6
10
16
10
"
"
"
"
"
"
"
"
"
Third Year.
Surgery
Pediatrics
.
Disease of Nervous System
Occupation Therapy
Oral Hygiene
16
16
16
12
16
"
GO
SEVENTY-NINTH ANNUAL REPORT
Emergencies and Anaesthetics
Abnormal Psychology
Gynecology
Mental Diseases and Nursing Insane
Chemistry
Diseases of Eye, Ear, Nose and Throat
Bacteriology and Laboratory work
16
12
16
16
8
12
8
"
"
"
"
"
"
"
Graduates
Class 1912
Miss Annie Athon—now Mrs. Parrell—Assistant Superintendent of Nurses, Georgia State Sanitarium.
Miss Vallie Badger—Charge Nurse, Georgia State Sanitarium.
Miss Ora Barnett, R. N. (Florida)—Institutional ward
Psychopathic Hospital, Indiana.
Mrs. Lula Putral—Private duty nurse, Dublin, Georgia.
Miss Willie Geiger—now Mrs. Goolsby, Monticello,
Georgia.
Miss Emmie Layfield—Charge Nurse, Georgia State
Sanitarium.
Miss Alma Snipes—Deceased.
Miss Alice Vaughan, R. N.—Superintendent of Nurses,
St. Elizabeth's Hospital, Washington, D. C.
Mr. Robert Taylor—Charge Nurse, Georgia State Sanitarium.
Class 1913
Miss Minnie Champion—Charge Nurse Georgia State
Sanitarium.
Miss Eula Cheek, R. N. (Oklahoma)—Private duty,
Oklahoma City, Oklahoma.
Miss Mrytle DuBose—Now Mrs. Arnsdorff, Savannah,
Georgia.
Mrs. Littleton Doughtry—Now Mrs. Beverly—Private
duty, Atlanta, Georgia.
Miss Susie Kemp—Deceased.
Miss Lora Moran—Now Mrs. McCook, Pierce, Florida.
Mrs. Amanda Oxford—Deceased.
GEORGIA STATE SANITARIUM
61
Miss Alma Smith, R. N.—Red Cross Service, Johnson,
South Carolina.
Miss Pearl Summerford. R. N. (Florida)—Superintendent of Nurses, State Hospital Chattahoochee, Florida.
Miss Kate Jackson—Now Mrs. Childers.
Miss Maude Griffin—Now Mrs. Roberts, Reidsville,
North Carolina.
Miss Nannie Finney—Chief Nurse—Hall and Little
Sanitorium, Milledgeville, Georgia.
Class 1915.
Miss Mary Beckerdite—Now Mrs. Sutherland—Tracy,
California.
Miss Connie Cornelius — Now Mrs. Caskin, Tampa,
Florida.
Miss Mary Lou Huff—Now Mrs. 0'Brian, Milwaukee,
Wisconsin.
Miss Ada Nelson—Now Mrs. Gordon. Atlanta, Georgia.
Miss Dove Thurmond—Now' Mrs. Farrell, Augusta,
Georgia.
Miss Nan Walters, R. N.—Chief Operating Nurse and
XJiay Technician, Georgia State Sanitarium.
Class 1916
Miss Margaret Atwater—Now Mrs. Wooten, Assistant
Pharmacist, Georgia State Sanitarium.
Miss Eula Belle Bailey, R. N—Now Mrs. Lamar, Aiken.
South Carolina.
Miss Essie Barnett—Now Mrs. Evans, Coburn, Virginia.
Miss Mary L. Buford. R, N—Metropolitan Life Insurance Company, Macon, Georgia.
Miss Ida Godfrey, R. N.—Public Health Nurse, Chicago,
Illinois.
Miss Addie Grimes, R, N. (New York)—Waynesville,
North Carolina.
Miss Ethel Howard—Now Mrs. Staubs, Aiken, South
Carolina.
Miss Myrtle May, R. N.—Now Mrs. Le Flame, Atlanta,
Georgia.
■■Hi
■^■■■■■■l
62
SEVENTY-NINTH ANNUAL REPORT
Miss Hattie Osborne—Now Mrs. Pierce, Milledgeville,
Georgia.
Miss Rosa Simmons—Now Mrs. Switzer, Hardwick,
Georgia.
Class 1917
Miss Emma Ashurst—Private duty, Atlanta, Georgia.
Miss Daisy Clark, R. N.—Now Mrs. Pulton, Atlanta,
Georgia.
Miss Cornelia Cannon—Now Mrs Harrison, Macon,
Georgia.
Miss Florence Dixon—Now Mrs. Stone, Dixon's Mills,
Alabama.
Miss Anna Mae Barron—Private duty, Dublin, Georgia
Miss Ruby Edwards, R, N— Now Mrs. Sapp—Atlanta,
Georgia.
Miss Willie Greene, R. N.—Now Mrs. Baker, Florence,
South Carolina.
Miss Elizabeth Grimes, R. N. (New York)—Army Nurse
Corps, Fort McPherson, Georgia.
Miss Agnes Hemphill—Now Mrs. Murdoch, Bolixi
Mississippi.
Miss Fannie Etouria Harris—Married.
Miss Ada Harper—Private duty, Atlanta, Georgia.
Miss Emma Long—Now Mrs. Murray, Jacksonville,
Florida.
Miss Rosa Mercer, R. N.—Now Mrs. Buford, Macon,
Georgia.
Miss Clara Molton — Charge Nurse, Georgia State
Sanitarium.
Miss Illah Perry—Now Mrs. Joiner—Florida.
Miss Anna Mae Simpson—Now Mrs. Brake, Milledgeville, Georgia.
Miss Annie Lou Ward—Now Mrs. Marchman, Hardwick,
Georgia.
Class 1918
Miss Johnnie Robinson—Chief Hydrotherapy Nurse,
Georgia State Sanitarium.
_ Miss Eva Taylor—Charge Nurse, Georgia State Sanitarium.
GEORGIA STATE SANITARIUM
63
Miss Essie Wade—Now Mrs. West, Macon, Georgia.
Miss Valera Wommack—Private duty, Dublin, Georgia.
Miss Parnella Wrye—Now Mrs. Giddins, Eastman,
Georgia.
Miss Minnie Belle Wright—Now Mrs. Evans, Greenville,
South Carolina.
Mr. J. C. Johnson—Laboratory work—Georgia State
Sanitarium.
Class 1919
Miss Minnie Clay—Now Mrs. Bryan, Milledgeville,
Georgia.
Miss Marie Dunford—Private duty, Albany. Georgia.
Miss Inez Dunford—Now Mrs. Glisson, Miami, Florida.
Miss Teif er Estes, R. N—Chief Operating Nurse, Male
Department, Georgia State Sanitarium.
Miss Florence Kitchen, R. N. (S. C.)—Dr. King's Sanitarium, Stone Mountain, Georgia.
Miss Bertha Morris, R. N. (S. C.)— General duty, Aiken
Hospital, Aiken, South Carolina.
Miss Amy Leah Oxford, R. N.— Chief Occupation
Therapy Nurse, Georgia State Sanitarium.
Miss Marie Pullum—Now Mrs. Prosser, Milledgeville,
Georgia.
Miss Nolah Scott — Now Mrs. Davis, Milledgeville,
Georgia.
Miss Lucy Watson—Now Mrs. Gidley, Athens Georgia.
Class 1920
Miss Ruth Barrett, R. N. (S. C.)—private duty, Atlanta,
Georgia.
Miss Annie Branan—Unable for duty, Oakville Sanitorium, Oakville, Tennessee.
Miss Edith Boyd — Aiken Hospital, Aiken, South
Carolina.
Miss Mary Gould—Now Mrs. Burnett, Macon, Georgia.
Miss Bessie Gould—Now Mrs. Joiner, Palatka, Florida.
Miss Ethel Head, R, N. (S. C.) —Now Mrs. Ham,
Ilardwick, Georgia.
Miss Ethel Sanders—Now Mrs. Green, Dublin, Georgia.
Miss Reece Spurlock—Now Mrs. Sandstrom, Texas.
64
SEVENTY-NINTH ANNUAL REPORT
Class 1921
Miss Leola Ayers—Private duty, Memphis, Tennessee.
Miss Mattie Lou Brantley—Charge Nurse, Georgia
State Sanitarium.
Miss Mae Elizabeth Coleman, R. N.,— Private duty,
Atlanta, Georgia.
Miss Stella Hutchinson—Charge Nurse, Georgia State
Sanitarium.
Miss Gladys Kitchings—Charge Nurse, Georgia State
Sanitarium.
Miss Mabel McDonald—Charge Nurse, Georgia State
Sanitarium.
Miss Florence Pettigrew—Now Mrs. Jones, Slocomb,
Alabama.
Miss Cora Renfroe — Charge Nurse, Georgia State
Sanitarium.
Class 1922
Miss Cora Grace Binford—Special Psychiatric Nurse,
Georgia State Sanitarium.
Miss Myrtis Darby—Aiken Hospital, Aiken, South
Carolina.
Miss Nannie B. Pordham—Now Mrs. Prosser, Milledgeville, Georgia.
Miss Ruby Godfrey—Private duty, Memphis, Tennessee.
Miss Gertrude Ham—Affiliating six months University
Hospital, Augusta, Georgia.
Miss Mattie Cornelia Johnson—General duty, The Clinic,
Macon, Georgia.
Miss Gracie Ellen Pearee—Post Graduate course, University Hospital, Augusta, Georgia.
Miss Mary Regina Strickland—Post graduate course
University Hospital, Augusta, Georgia.
I wish to express my appreciation and thanks to the
Medical Staff and other Officers for lectures and medical
services rendered the nurses during the year.
Respectfully Submitted,
MAE M. JONES, R. N. (Ohio)
Superintendent of Nurses.
GEORGIA STATE SANITARIUM
65
Report of Dietitian
DR.
R. C
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Dietetical
Department of the Georgia State Sanitarium, for the year
1922.
Plans have been prepared for two diet kitchens in the
Colored Department, also for enlarging and completely
equipping the diet kitchen in the Twin Building so as to
make this the main diet kitchen of the institution.
For the purpose of improving our methods of baking,
we had a chemist from one of the largest flour mills in the
North spend several days in our bakery. He gave us many
valuable suggestions which are being carried out. A bread
room for storing bread until delivered to the wards is in
the course of construction, this will prevent the bread drying out and also prevent waste in this food.
A white uniform has been adopted by all the employees
in the department.
The amount of daily garbage has been one of our big
problems, the daily weighing of which would help us to
keep up with the amount wasted in each food. At different
times during the year we have weighed the foods before
being served and the amounts left after serving, these
amounts varied from 9% to 50%. We have no means now
of weighing the food daily from each building, a pair ot
scales in a sheltered portion of each garbage house would
be necessary. Constant and daily supervision of the garbage
will help us reduce it to the minimum. One pound of garbage per person per day should be the maximum, some of
the buildings are above and some below this amount.
With the co-operation of the Farm Steward we have
tried to have an equal distribution of vegetables to each
kitchen due to amounts of waste under different condiSons this has been difficult to do. If the vegetables could be
cleaned in one central place, then weighed and distributed,
the amounts would always be accurate.
66
SEVENTY-NINTH ANNUAL REPORT
iProm time to time the cooks are weighing fuel and ash
in their respective kitchens and have economized greatly in
this item.
As you will notice from our report, the amount of canning done this year was much higher than in the previous
year. We have asked for a cannery to take care of the excess vegetables raised, so that none will be wasted. Besides
saving these we could can about all the vegetables needed
during the winter.
Except the building and equipping this would have
practically no cost, as the work here could be done by our
colored female patients.
The following is the canning report for the year:—
Strawberry Preserves—
Pear Preserves
Blackberfy Jelly
Apple Jelly
Grape Jelly
Peaches
rears
■
202
Glasses
58% Gallons
34?
£PPtl6S
ZTSS
: ;
P *----i icicle Cucumbers
Tomatoes & Okra..._.
Egg Plant
Lima Beans
Mustard Pickle.....".
Chili Sauce....
GWs
216
^^
m
GWg
14Q
^^
185
Gallons
202
Gall
267
745
°ns
Gallons
Gallons
ql/ n „
" *
°" 0M
4
^ °"s
2°
JJ
£a 0ns
fqi/ ^0M
^ ^a ons
Tomato Pickle..^^3^367^ ZZl
co-operation and kindness shown throughoutTe year.
Respectfully,
MRS.
J. K.
PETTIT,
Dietitian.
67
GEORGIA STATE SANITARIUM
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Pharmaceutical Department of the Georgia State Sanitarium for
the year of 1922.
You will see from the attached manufacturing report
that we are still putting out all preparations used in the
Institution, in the line of Tinctures, Elixirs, Syrups and
other Pharmaceuticals found in the U. S. P. and N. F. The
report shows over five thousand pounds of the products
made during the year. While we sent out over thrity-two
thousand prescriptions.
We owe much of our success in handling this department to the co-operation of yourself, the Board of Trustees
and the Medical Staff, for which I wish to thank each of
you most cordially.
Below is a condensed list of manufactured products.
Tinctures, Spirits & Extracts
2,372 Lbs.
Elixirs
U48
Syrups
290
Ointments
107
Liquors, Lotions & Mixtures
1,129
Library Paste
I8
Medicated Dusting Powder
4
Baking Powder
33
Indelible Ink
24
Glycerites
152
Liniments
1'"
Quinine, Anodyne & Influenze Capsules filled, 25,000.
68
SEVENTY-NINTH ANNUAL REPORT
1922—
STATEMENT
Dec. 31st, Inventory as of Dec. 31st, 1921__$5,819.65
Purchases During the Year
Drugs, Chemicals, Dental, Surgical and Laboratory Supplies_$l 1,459.37
Freight and Express
402.52
Total
Less Goods Returned
$11,861.89
250.44
Total
$11,611.45
Deduct: Inventory at Dec. 31st, 1922__
$17,431.10
5,300.95
Goods to account for
$12 130.15
Credits
Departmental Sales
Prescriptions tilled for Wards, 32,921
aggregating
$11,513.95
Sales to Officers and Employees
616.20
Total
$12,130.15
Respectfully submitted,
J. J.
WOOTTEN,
Pharmacist.
GEORGIA STATE SANITARIUM
69
Report of Matron
DR.
R. C. SWINT, Superintendent.
Dear Sir:—Permit me to submit the following as a
list of articles made in the white female department for
the year beginning January 1st, 1922 and ending December 31st, 1922.
All the cutting is done in the sewing room except some
of the gingham dresses. A large per cent, of the sewing
such as pillow cases, sheets, underwear, gowns etc,, is done
by patients on the wards, but all the pants, operating lmen,
burial pillows, etc., are made in the sewing room.
We have six employees and six white female patients
employed in the sewing room.
igham
25 Napkins .
62
Aprons, gingt
Pants, prs.
4849
Aprons, kitchen
1381
Petticoats, cotton
7681
Aprons, operating
24
Petticoats, flannel
225
Aprons, sleeve
135
Pillow cases, bleached
900
Bags, ice
12
Pillow cases, unbleached-_
Bed ticks
3337
10,339
Bonnets
16
Pillows, burial
220
Capes, flannel
498
Pillows, feather
12
Caps, operating
69
Pillow ticks
964
Chemise, bleached
175
Sacks, cotton
208
Chemise, unbleached
4780
Sand bags
28
Covers, operating pads
48
Scarfs, dresser
1,392
Covers, table
22S9
Sheets, bleached
990
Curtains, draw, bleached— 327
Sheets, unbleached
8496
Curtains, long, bleached
36
Sheets, section
16
Curtains, long, unbleached- 118
Shirts, night, bleached
375
Diapers
150
Shirts, night, unbleached __ _1140
Drawers, bleached
.- 125
Skirts, under, bleached
125
Drawers, unbleached
4211
Skirts, under, unbleached--.2305
Dresses, gingham
3680
Towels, hand
8886
Dresses, homespun
3184
Towels, roller
124
Dresses, strong
1396
Waist, burial
125
Gowns, bleached
555
Waist, flannel
225
Gowns, uubleached
3655
Waist, gingham, boys
250
Gowns, examination
24
Warmers, foot
50
Gowns, operating
100
Hammocks
9
Length
Bandages
Width
2
1392 ft.
Muslin Bandages
^ in1296 ft.
Muslin Bandages
2
in.
288 ft.
Muslin Bandages
3
in.
2876 ft.
Scultetus Bandages.
Respectfully submitted,
MAE M. JONES,
Matron Protem.
70
SEVENTY-NINTH ANNUAL REPORT
Report of Storekeeper
MR.
L. J.
LAMAR,
Steward.
Dear Sir:—I herewith hand you my report for the fiscal
year ending December 31st, 1922.
Respectfully submitted,
ARTHUR FARRELL,
Storekeeper.
Stock on hand Jan. 1st, 1922
$ 35 972 28
Mdse, received Jan. 1st, 1922, to Jan. 1st,
1923
273,922.74
Issues Jan. 1st, 1922, to Jan. 1st, 1923
Stock on hand Jan. 1st, 1923
•
$309,895.02
$267,984.92
4L616.44
Shrinkage
293 66
■
$309,895.02
71
GEORGIA STATE SANITARIUM
Report of Farm Steward
DR.
R. C.
SWINT,
Superintendent.
•Georgia State Sanitarium.
My Dear Sir':— I beg to submit a report of the foodstuffs produced in my department for the fiscal year, ending Dec. 31st, 1922.
Farm and Garden:
Beets_
*
799% bushels
57% busbels
'
% bushels
161,440 lbs.
- 45-737 heads
Beans" butter
Beans, snap
Beans, velvet
Cabbage
Carrots
Cantaloupes
Collards
Corn, roasting
_
Corn
Com'sUage"
Cucumbers
Egg plant
Fodder
Lettuce
Mustard
Oats, shelled
Oats, sheath
Oats straw
Alfalfa hay
Okra
Onions
Peas, green
Peas, garden
Peas, Brabham
Peppers
Peaches
PeavinS hay
2 125
25 bushels
575
21 890 beads
'
M5>2 ears
6,158 bushels
540 tons
26 bushels
62 bushels
31,625 lbs.
40
° heads
75
.
65% tons
94'750 lbs5
577
busbels
291
-—
/2 bushels
HO bushels
1,810% bushels
82 bushels
Potatoes, Irish
Potatoes, sweet
Radishes
Rye
tons
571 bushels
Pork
Rape
busbels
5 944 bushels
.
1°% bushels
2
=",850 lbs.
33,347 lbs.
332 bushels
10,094% bushels
100 bushels
918 bushels
149 bushels
j*mm
^^^^Wafitoiooto^fcS
72
SEVENTY-NINTH ANNUAL REPORT
Squashes
Tomatoes
Turnips
Turnips and greens
Watermelons
1,612 bushels
797 crates
2,266% bushels
4,713% bushels
_ 13425
Dairy:
Sweet milk
Sweet milk (colony)
Buttermilk
Butter
Butter (colony)
Cream
Beef
Calves sold
Sacks sold
^
Loads of manure hauled to fields
Chicken Yard:
Eggs issued
Eggs set
Chickens issued
_._
71197
gaIlong
570%
gallons
299 gaIlons
7S3
poun(,s
100 pounds
12%
gaUoug
16345 pounds
9
575
1,109
1,966 dozen
102 dozen
122
In addition to growing and delivering these foodstuffs
to the institution, we have cleared and broken sevearl acres
of land across the creek. Have cut and sawed in stove wood
lengths and delivered to different kitchens and officers
houses about 400 cords of wood. Have hauled all the coal
burned at the Center building boiler room, shop boiler room,
colored building boiler room. Hospital, detached buildings
and to the officers houses. We have kept up the entire road
system of the institution, making several improvements
in eliminating a dangerous corner at Twin Building, and
one at the Colored building. We also hauled from 200 to
300 loads of sand for' the nurses home and about 50 loads
of sand at water works.
I wish to thank you, the officers of the institution and
others for the kindness and co-operation shown me throughout the year.
Respectfully submitted,
(Signed) F. C. PENUEL,
Farm Steward.
73
GEORGIA STATE SANITARIUM
Report of Chaplain
DR.
R. C. SWINT, Superindendent,
Georgia State Sanitarium,
My Dear Sir:—During the period of my service as
Chaplain for the Georgia State Sanitarium, from Nov. 1,
1921 to Dec. 1, 1922, I conducted religious services in the
Chapel on Sunday afternoons, also buried the dead and performed other duties of the office of Chaplain.
The Chapel services were at all times well attended,
and the patients manifested a splendid interest in the services. I believe these Sunday afternoon services are not only
a diversion to all, but of spiritual benefit to a great many
of the patients.
The patients seem to enjoy especially the song service,
and I believe that the benefits from the entire Chapel service might be greatly augmented by the addition of an effective song leader, or a stronger organ or other musical instrument to lead the people in their singing. It is very
difficult for the minister who, as a rule, is not a singer, to
lead these people in this part of the service effectively, as
not many of the patients seem to have any knowledge of
music. They could, however, follow more effectively the
lead of a strong musical instrument and their singing would
be greatly improved.
I can not close this report without mention of the unfailing kindness and keen interest at all times of the former
Superintendent, Dr. L. M. Jones, whose patience never
seemed exhaused and whose interest in the services and in
the patients was always manifest. I desire also to express
my hearty appreciation for the many courtesies extended
by the various officers of the Institution during the period
of my services, and to commend the courteous attitude at
all times of the nurses and attendants who were present
at the services.
May God's rich blessing rest upon you and those associated with you in every department of this great work
for the relief of suffering humanity. "Inasmuch as ye did it
unto one of the least of these my brethren, ye did it unto me.''
Respectfully submitted,
TIIOS. GORDON WATTS,
Chaplain 1922.
^6665fea^^^-^^pSg»aa«&
74
SEVENTY-NINTH ANNUAL REPORT
Report of Steward
FOR THE YEAR
DR.
R. C.
SWINT,
1922.
Superintendent,
Georgia State Sanitarium.
Dear Sir:—I. have the honor of submitting the following Exhibits and Schedules, making up a detailed report
of all receipts and disbursements through this office during
the fiscal year ended, December 31st, 1922.
EXHIBITS:
1.
Consolidated Statement Cash Receipts and Disbursements.
2. Analysis Cash Receipts and Disbursements General
and Special Funds.
3. Balance Sheet at December 31st, 1922.
4. Statement of Income and Expenditures for Year.
5. Profit and Loss Statement Farm and Garden.
6. Profit and Loss Statement—Dairy.
7. Comparative Analysis Surplus Account, 1921-1922.
Analysis Expenditure, Nurses Home.
SCHEDULES:
1.
2.
Accounts Payable as of December 31st.
Accounts Receivable as of December 31st.
A comparison of the per capita cost for the year, with
that of 1921 follows:
1921
1922
Patients
4,097
3,918
Per Capita
$240.72
238.04
Per Diem
$0.65.95
0.65.25
Purchases have been promptly paid throughout the
year, and cancelled vouchers and bills filed in the Executive
Department as required by law.
Respectfully submitted,
L. J.
LAMAR,
Steward.
Exhibit No. 1.
Consolidated Cash Statement Receipts
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2;
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Due
Due
Due
Due
SUMMARY:
Treasurer Overdraft
$15,052.74
Nurses Home Fund
34,277.19
Patients
9,928.91
Wing Whittle Building
123.68
Total
Less Cash in Hand, Treasurer
Less Cash in Hand, Steward
Total
Cash Deficit Maintenance Fund
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•k
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59,382.52
>
$ 9,928.91
3,000.00
d
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12,928.91
$46,453.61
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Exhibit No. 2.
Analysis Cash Receipts and Disbursements
General and Special Funds
DISBURSEMENTS
RECEIPTS
Forward from 1921—
In Hand Treasurer
In Hand Steward
$
Paid Otto M, Conn, Treasurer,
$
Overdraft from 1921
Special FundsNurses Home
* ^•6°{'-^l
Patients Withdrawals
14,0a.7o
9,513.66
3,000.00
$
12,513.66
State Appropriations—
Support and Maint. 1921
$ 2,000.00
Support and Maint., regular,
1922
800,000.01
Support and Maint..deficiency, 150,000.00
Special Nurses Home
40,000.00
Patients Deposits
Miscellaneous Sales,, Etc.
Food Supplies
Coupons
Bodies
Drugs
»--Dental Material
Laboratory Supplies
Barrels
Sundries
O
H
O
S3
40,382.19
For Support and Maintenance—
Officers Salaries
* 58.0J0.48
Wages, Medical Department.- 218,253.43
Wages, Stewards Department- 41,492.69
Wages, Engineers Department 50,099.87
Wages Farm & G. Department
14,283.15
992,000.01
14,447.00
$
62,747.76
1,941.91
1,018.42
170.00
62.40
1.00
5.00
62,80
677.97
3,939.50
Wages, Dairy Department-
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4^43.49
$ 386,803.11
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Food SuppliesWards
Supts. Dining Room
Stewards Dining Room
$250,945.71
2,448.18
901.73
Miscellaneous—
Clothing and Dry Goqds
Furniture and Bedding
Fuel _
Maint. of Plant
Medical Supplies
$ 75,983.75
41,350.92
52,733.00
28,685.58
12,493.14
a
254,295.62
I
Sales: Farm, Garden and Dairy—
Calves
$
Hides
Sundries
Other Receipts—
Board Special Attendants
$
Telephone and Telegrams
Wages Forfeited
Care and Treatment W. R. I.
Patients
Interest on Balances
Rents
Fines
Checks Returned
Miscellaneous Income
Occupation Therapy
Insurance on Coleman Res
Stationery and Postage
Incidentals
2000
125.57
20
59
166.16
1,064.19
64.41
198,73
IT.
^
Farm
and^ Garden—
Live Stock
Vehicles and Implements
Fertilizer
Seed
Sundries
261,177.07
$
10 00
4 650 89
8[25o!63
H
7948S
<
505 37
55
4,356.00
2,108.86
12 70
n .
Dairy—
Feed
Miscellaneous Supplies
Sundries
800
206.17
634.51
970.77
960.00
14,211.77
?
15,052.74
Total for Support & Maint
Special Funds—
Nurses Home
$
Patients Withdrawals
932,6'44.55
55
55
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Balance, Cash in Hand—
Treasurer
Steward
$
9.928.91
3,000.00..
12,928.91
$1,048,703.41
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26,350.44
14,031.75
40,832.19
Grand Total.
«)
55
25
13,514.40
2 514 58
'i2800
16,156.98
10,584.34
Difference—
Overdraft, General Fund.
3,454.24
46,476.44
.Grand Total
$1,048,703.41
o
Exhibit No. 3.
Balance Sheet at December 31st, 1922.
LIABILITIES.
ASSETS.
Cash in Hand—
Treasurer, Patients Fund
Steward, Working Fund
Total
Miscellaneous—
Unpaid Requisitions
Freight and Express
$ 9,928.91
3,000.00
$
$
3,000.00
1,106.40
Total
Accounts Receivable—
Officers and Employees
$ 570.76
Bureau War Risk Ins
4,555.67
U. S. Public Health Service.,
156.38
Total
Purchased Supplies—
Storekeeper
Sewing Room
Engineer, Fuel
Engineer, Misc. Supplies
Cold Storage
Pharmacist
Total
$41,616.44
3,973.97
8,957.09
9,439.26
1,639.22
5,300.95
Due Otto M. Conn, Treasurer—
Maintenance Fund
Due Special Funds—
Nurses Home
12,928.91
Patients Deposits
Occupational Department
Wing Whittle Building
4,106.40
Total
Salaries and Wages—
Employees for December
Officers lor December
$
15,052.74
$34,277.19
9,928.91
357.58
123.68
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44,687.36
$28,869.25
4,869.12
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Total
5,282.81 Accounts Payable—
Purchases lor
No. 2
33,284.37
S3
►—I
1922,
a
Schedule
7,431.36
Surplus—
As of Jan. 1st, 1922
$81,833.54
Less Depreciation on Live Stock
and "Vehicles and Implements. 39,700.42
70,926.93
Balance
>
42,133.12
Farm Products on Hand—
Farm and Garden
$18,760.65
Dairy
.
2,912.00
Total
Property Accounts—
Live Stock, Farm and Garden_$17,621.00
Live Stock, Dairy
17,745.00
Total
Vehicles and Implements—
Dairy
Farm and Garden
Total
Grand Total
Plus
Excess of Income
Expenditures
21,672.65 Balance at Dec. 31st, 1922.
Above
13,929.00
56,062.12
w
35,366.00
$
<
938.00
5,296.25
6,234.25
$156,517.95
Grand Total,
$156,517.95
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Exhibit No. 4.
Income and Expenditures for Year
EXPENDITURES.
General Administration—
Officers Salaries
$
Wages and Labor—
Medical Department
$226,937.73
Engineers Department
52,110.68
Stewards Department
42,307.14
60,500.07
$297,821.10
901.73
2,448.18
Total
Miscellaneous—
$
Fuei
Medical Supplies
Stationery and Postage
Furniture and Be,dding
Dry Goods and Clothing
Maintenance of Plant
Heat, Light and Power
Laboratory Supplies
Office Supplies
Dental Sup. and Equipment—
301,171.01
72,604.46
11,525.66
3,454.24
40,020.86
64,281.02
28,685.53
15,119.74
547.18
206.56
299.71
Miscellaneous—
Board of Officers
$
Board of Special Attendants
Board Employees
Rents
Interest an Balances
Sales, Books
Pines
Dental Work and Material-.
Miscellaneous Income
Care and Treatment Patients
Sundries
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6,570.00
904.02
966,699.55
3,038.26
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555.62
930.91
4,050.80
182.00
2,111.61
12.00
59.50
1.00
1,322.08
Total
Additional—
Net Profit from Dairy
O
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$ 950,000.01
Total
321,355.55
Total
Food Supplies—
Wards
Supts. Dining Room
Stewards Dining Room
INCOME
State Appropriation—
f 800,000.01
Regular of Maintenance
Deficiency for Maintenance^ 150,000.00
Repairs, Autos and Trucks...
Incidentals
Escaped Patients
Advertising
Amusements
Travel
Medical Books and Journals..
Telephone and Telegraph
Surgical Instruments
Total.!
Difference—
Excess
of
Income
Above
Cost of Maintenance
Grand Total
1,445.05
34,342.45
177.58
161.34
1,037.29
1,517.96
273.58
468.78
300.24
Net Profit from Farm and
Garden
Poultry Yards
2,681.03
1,006.07
w
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959,495.91
H
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13,929.00
% 973,424.91
Grand Total..
$ 973,424.91
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Exhibit No. 5.
Profit and Loss Statement, Farm and Garden
CREDITS.
DEBITS.
$16,980.00
Inventory as of Dec. 31st, 1921
Purchases During Year—
Nitrate of Soda
8-4-4 Goods
Garden Seed
Freight
?
281.88
7,968.75
710 95
83 93
-
Total
Departmental Purchases—
' Misccellaneous Farm Products__$37,283.08
Miscellaneous Farm Products— 1,310.00
Compost
1.229.50
Total
Grand Total
Deduct—
Inventory Dec. 31st, 1922
- Net Cost Feeds, Fertilizer, Etc.
Gross Profits for Year
Grand Total
9,045.51
39,822.58
Production—
Vegetables
Corn
._
Hav ___
peas::::::::::
Rye __.
-—
_
oats:::::::
Oat Straw
Pork
Poultry and Eggs
Dairy Products
Pecans
Fodder
Silage
Velvet Beans
Potatoes
$22,441.35
7,697.50
3,697.22
3,677.50
1,591.50
5,944.00
922.98
7,127.00
151.40
171.24
39.60
316.00
5,000.00
8,838.00
4,896.00
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$65,848.09
Total
$18,760.65
$47,087.44
25,561.80
$72,649.24
Sales—
Miscellaneous
Total—
$72,511.29
137.95
$72,649.24
CO
Operating Expense—
Wages and Labor_ .
Board Employees
Treating Hogs
Misc. Supplies and Repairs
Gas. and Oils .
..
Sundries
Total
..
Net Profit for Year (Exhibit No. 4).
Grand Total
Gross Profit Brought Down-- .. —
.$15,505.21
_ 2,719.30
268.25
_ 4.650.89
110.90
126.22
$25,561.80
03
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2,
$22,880.77
2,681.03
Grand Total.. ...
$25,561.80
$25,561.80
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Exhibit No. §.
Profit and Loss Statement, Dairy.
DEBITS.
Inventory as of Dec. 31st, 1921
Purchases During Year—■
Cotton Seed Meal
Hulls
Hay
Molasses
Velvet Beans
Silage
Chow Chow
Miscellaneous
CREDITS.
$ 2,659.00
$ 1,690.00
939.28
2,914.27
1,198.55
8.28
435.96
2,552.00
4,220.30
Total
$13,958.64
$16,617.64
Deduct—
Inventory at End of Year
$ 2,912.00
Total
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$21,439.79
19.95
245.40
1,189.68
1,539.22
SO
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Grand Total
Cost of Food Used
Gross Profit for Year
Departmental Sales—
Sweet Milk
Butter Milk
Butter
Dressed Beef
Compost
$13,705.64
11,052.82
$24,758.46
Total
Cash Sales—
Feeds
Hides
Live Stock
Empty Sacks and Barrels
$24,434.04
$
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111.05
109.57
25.00
78.80
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Total.
324.42
$24,758.46
Operating Expense—
Salaries and Wages
Rents
Miscellaneous Repairs
Board of Employees
Total
Difference—
Net Profit
No. 4)
Total
Gross Profit Brought Down.
$ 4,722.18
128.00
2,514.58
649.80
$11,052.82
CO
$ 8,014.56
<
for
Year
(Exhibit
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3.038.26
$11,052.82
Total_
$11,052.82
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Exhibit No. 7.
Comparative Analysis Surplus Account, 1921-1922
DESCRIPTIVE
Working Resources:
$
Property Accounts:
Total
Current Assets:
1922
Total
1921
$
35,972.28
2,010.28
15.792.11
5,819.65
19,639.00
36,219.77
2,037.01
-
41,616.44
3,973.97
9,439.26
5,300.95
21,672.65
8,957.09
1,639.22
• 6,234.25
35,366.00
20,680.67
58,810.00
-
134,199.83
$ 196,980.77
-§
Total
$
12,513.66
4,380.46
5,000.00
12,928.91
5,282.81
3,000.00
1,106.40
22,956.19
22,318.12
$ 219,936.96
$ 156,517.95
$
Current Liabilities:
Due for Supplies
Employees Wages
Officers' Salaries
Outstanding Coupons
S
if
Total
Due Treas., Maintenance Fund
Reserved for Special Funds:
New Building
Wing Whittle Building
Patients Deposits
Occupation Therapy
f
11,379.77
28,171.00
4,914.96
336.88
if
7,431.36
28,415.25
4.869.12
$
44,802.01
62,747.76
$
20,627.63
123.68
9,5i3.66
297.20
34,277.19
123.68
9,928.91
357.58
$
30,562.17
Grand Total
$
138,112.54
$
As Adjusted
Less Excess of ExpendituresPlus Excess of Income
Net As per Books
Total
Grand Total
226,420.63
877.09
,$
if
81,333.54
81,333.54
if
225.543.54
143,719.12
$
42,133.12
44,687.36
100,455.83
81,824.42
if
219.936.96
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13,929.00
$
<
5
Total
$
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$
Surplus: At Beginning of Years,
Adjustment, 1921-1922
40,715.73
15,052.74
ta
if
56,062.12
$
156,517.95
Exhibit No. 8.
Analysis Expenditure Nurses Home
RECEIPTS.
DISBURESMENTS
Brick
'
Forward from 1921
Appropriated in 1922
-? 3,313.25
2 034 77
Lumber"Lime and Cement
'
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$20,627.63
40,000.00
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938.55
331.60
Crushed""Stone
Roofing
Sewers
Sundries
Total
Wages Employees
Insurance (Builders Risk)
Total
AlMl
4,193.38
"■«
2J3 iiu
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CO
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^„Q $11,255.15
$13,895.29
1,200.00
~
Balance—
Cash in Hand
H
CO
$15,095.29
>
*34,277.19
d
$20,627.63
^ran,d Total
-_-^
$60^627^63
■
90
SEVENTY-NINTH ANNUAL REPORT
Report of Treasurer
R. C. SWINT, Superintendent.
Georgia State Sanitarium,
Milledgeville, Ga.,
DR.
My Dear Sir:—Agreeable to your request of this dale
I beg to enclose a statement showing the receipts and disbursements of the Treasurer of the Georgia State Sanitarium
for the year 1922 and trust that you will find same in order.
Yours very truly,
OTTO M. CONN,
Treasurer Georgia State Sanitarium.
Statement of Receipts and Disbursements of the Treasurer of the Georgia State Sanitarium for year 1922.
Dec. 31st, 1921, Balance Cash on Hand
$
7,452.77
Regular Maintenance Fund
800,000.01
Special Appropriation
149,999.99
Special Appropriation, Nurses Home
40,000.00
Gov. Hardwick—Check Account Loss
Coleman House
960.00
Refund Pay Roll for Month of March, L. J.
Lamar, Steward
197.00
T. R. Bennett, Supt. of Banks, Portion of
Unpaid Check of Bank of Emanuel
2,000.00
Interest on Daily Balances 4 1-20%
2,081.25
L. J. Lamar, Steward
11,442.58
$1,014,133.60
Disbursements for the Year 1922
Dec. 30th, 1922, Balance Cash on Hand
$ 990,347.88
23,785^72
$1,014,133.60
As Treasurer Georgia State Sanitarium and as assistant cashier of Exchange Bank we certify that at close of
business Dec. 30th, 1922, there was to the credit of Otto M.
Conn, Treasurer Georgia State Sanitarium the sum of
Twenty Three Thousand Seven Hundred Eighty Five Dollars and Seventy-two Cents.
Witness:
OTTO M. CONN,
Treasurer Ga. S. S.
H. G. BANKS,
D. W. BROWN,
Asst. Cashr. Ex. Bank.
N. P. B. Co., Ga.
GEORGIA STATE SANITARIUM
91
Report of Laboratory Technician
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Pathological Laboratory for the year 1922.
Resume
Serological examinations, as follows:
Blood (serum) for the Wassermann (Noguchi)reaction._- 1,400
Cerebrospinal Fluid for the Wassermann (Noguchi), colcolloidal Gold, Noguchi's Butyric Acid and Ross Jones
331
reactions and Cell Counts
Clinical Laboratory examinations, as follows:
TJrmalysis
Feces, Microscopic
Feces, Chemical for occult blood
Sputum, Microscopic for tubercle bacilli
Blood, films for malarial parasites
Blood, Counts, white, red or differential
Blood, hemoglobin estimations
Blood, sugar estimations
Gastric Contents
Pus, Microscopic aid Cultured
Milk, Chemical and Bacteriological
Bacteriological examinations, as follows:
Widal's agglutination test
Cultures, throat membrane
Cultures, blood
Cultures, urine
Cultures, acetic fluid
Culture, feces for bacillus typhosus
Vaccines, autogenous prepared
Histological examinations, as follows:
Surgical Tissue
Dog's Brains
..„
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6
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45
4
*
4
4
Post Mortem examinations, as follows:
Autopsies
Serological Examinations
The blood of the new patients have been collected, inactivated and examined for the Wassermann (Noguchi)
reaction as in the past eight years.
92
SEVENTY-NINTH ANNUAL REPORT
Of the 1406 specimens of blood serum examined for
the Wassermann of these 820 were from the new admission
or routine cases, and 586 were from the treated and nonroutine cases.
The following is a tabulation of the findings in the
routine blood examinations for the Wassermann reaction:
Race
White
White
Colored
Colored
Sex
Females
Males
„__ Females
Males
Total
No. Ex.
257
255
153
155
820
No. 4 plus Percent
reaction
age
10
3.8
24
9.4
40
26.1
27
17.4
101
12.3
Of the above examinations five white females, seven
white males, two colored females and two colored males
showed a weak or three plus reactions, making a total of
117 specimens that showed some degree of inhibition of
hemolysis, thus raising the percentage of positives to 14.2%.
The reagents for conducting the "Wassermann (Noguchi) reaction were made and standardized as in the past.
The Wassermann (Noguchi) reaction has been made
in all new cases since 1913, and the following comparative
statement of percentage may be of interest:
1914
1915
1916
1917
1918
1919
1920
1921
1922
General average for 9 years
Percentage
plus positive
9.8
11.6
12.5
13.4
15.8
15.7
20.0
15.5
12.3
14.06
Cerebrospinal Fluid Examinations
Of the 331 specimens of cerebrospinal fluid examined
for the Wassermann (Noguchi), Colloidal Gold, Noguchi's
Butyric acid and Ross Jones reactions and Cell Counts, 234
93
GEORGIA STATE SANITARIUM
were from the routine or new admission cases and the remaining 97 were from the non-routine or old cases and
treated cases. Two of the non-routine specimens were from
suspected spinal meningitis with negative results.
The following is a tabulation of the findings in the 234
specimens of eerebrospinal fluid relative to the Wassermann
■ (Noguchi), Colloidal Gold, Butyric Acid and Ross Jones
reactions with a comparative blood Wassermann reaction :
Race Sex
Blood
Fluid B.A.-R.J.
Colloidal Number
Race hex
mooo^
^^ Globulin
Positive
Goid
White
White
White
White
White
White
White
Col
Col
Col
Col '
Col
Col!
F's
F's
F's
M's
M's
M's
M's
F's
F's
F's
M's
M's
M's
4 plus
4 plus
Negative
4 plus
4 plus
Negative
Negative
4 plus
4 plus
Negative
4 plus
4 plus
Negative
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
4 plus
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
Increased
P. Z.
S. Z.
S. Z.
P. Z.
S. /.
P. Z.
S. Z.
P. Z.
S. Z.
P. Z.
P. Z.
S. Z.
P. Z.
3
2
2
J
s
4
I
3
1
12
4
3
^ or
72
5J
°°-5
<«
Total considered pathological
Average Cell Count in Paretic Zone
-Average Cell Count in Syphilitic Zone
General Average
General Average for the past two years
20
%
- One of the routine specimens of spinal fluid showed a
three plus Wassermann reaction, Miningetic Zone in the
Colloidal Gold reaction with a Cell Count of one hundred
thirty-four, and a negative blood Wasserman reaction. The
specimen was also examined for bacteria with negative
results.
Clinical Laboratory Examinations
Urinalysis (Routine)
The following tabulation shows the abnormal constituents found in the 490 specimens of the routine urine:
Albumen, cast and pus
Albumen, cast and red cells
Albumen and cast
Albumen and pus
'
6
2
41
108
94
SEVENTY-NINTH ANNUAL REPORT
Albumen and red cells
Albumen and few leukocytes
Albumen, sugar and pus
Albumen, sugar and cast
Albumen and Sugar
Albumen alone
Sugar alone
12
106
l
2
1
8
3
Total considered pathological
290 or 59.1%
(Urinalysis Nonroutine)
The following tabulation shows the abnormal constituents found in the 949 specimens of the nonroutine
urine:
Albumen, pus and red cells
Albumen pus and cast
Albumen and pus
Albumen and cast
Albumen and red cells
Albumen and few leukocytes
Albumen, cast, pus and bile
Albumen and uric acid crystals
Albumen, sugar and pus
Albumen, sugar and cast
Albumen and sugar
Albumen alone
Sugar alone
Sugar, albumen, pus and cast
Cast alone
j
Total considered pathological
20
136
191
7
9
370
1
5
5
1
1
2
1
1
4
754 or 78.3%
Peces (Microscopic)
The following tabulation shows the microscopic findings in the 592 specimens of feces examined for animal
parasites or ova:
Necator americanus ova alone
42
Necator americanus, ascaris lumbricoides and trichuris
trichiura ova
1
Necator americanus and trichuris trichiura ova
8
Necator americanus ova and strongyloides stercoralis
embryos
2
Necator americanus, trichuris trichiura ova and cercomonas hominis
1
Ascaris lumbricoides ova alone
12
Ascaris lumbricoides, trichuris trichiura ova and strongyloides stercoralis embryos
15
GEORGIA STATE SANITARIUM
95
Ascaris lumbricoides, trichuris trichiura ova, strongyloides stercoralis embryos and cercomonas hominis 1
Ascaris lumbricoides, trichuris trichiura ova and entamoeba coli
1
Ascaris lumiiricoides and trichuris trichiura ova
50
Ascaris lumbricoides, trichuris trichiura ova and cercomonas hominis1
Ascaris lumbricoides ova and entamoeba histolytica
1
Trichuris trichiura ova alone
258
Trichuris trichiura ova and strongyloides stercoralis embryos
31
Trichuris trichiura ova, strongyloides stercoralis embryos and cercomonas hominis
3
Trichuris trichiura ova, strongyloides stercoralis embryos, cercomonas hominis and entamoeba histolytica
1
Trichuris trichiura ova, strongyloides stercoralis embryos and entamoeba histolytica
1
Trichuris trichiura ova, strongyloides stercoralis embryos, cercomonas hominis and entamoeba coli
1
Trichuris trichiura ova and cercomonas hominis
4
Trichuris trichiura ova
cercomonas hominis and entamoeba histolytica
3
Trichuris trichiura ova
cercomonas hominis and entamoeba coli
1
Trichuris trichiura ova and entamoeba coli
2
Strongyloides stercoralis embryos alone
22
Strongyloides stercoralis embryos and cercomonas hominis
2
Strongyloides stercoralis embryos and entamoeba coli 1
Cercomonis hominis alone
16
Cercomonas hominis and entamoeba histolytica
3
Cercomonas hominis and entamoeba coli
3
Entamoeba histolytica alone
2
Hymenolophis nana ova alone
2
Oxyuris vermicularis ova alone
1
Total positive for parasites or ova
492 or 55%
Feces (Chemical)
Two specimens of urethral pus were cultured, one of
and four of these specimens were reported postive.
Sputum (Microscopic)
Of the 90 specimens of sputum examined for tubercle
bacilli, 11 were reported postive.
™
96
SEVENTY-NINTH ANNUAL REPORT
Blood Films (Microscopic)
Of the 65 specimens of blood examined for malarial
parasites, 6 were reported positive for tertain parasites.
Blood Sugar Estimations
Four specimens of blood examined and recorded for
their sugar content while several other specimens were
examined in experimenting that were not recorded. The
Myers-Bailey Test Tube Colorimeter method was employed.
The four specimens recorded were from patients with
positive sugar reactions in urine, and specimens were collected after fourteen hours fasting, and all were reported increase in sugar content.
Bacteriological Examinations
Pus Cultures
Thirteen specimens of vaginal pus were cultured, ten
of which were reported positive for Gram negative diplococci or gonococci.
Two specimens of urethral pus were cultured, one of
these was reported positive for Gram negative diplococci or
gonococci.
One specimen of pus cultured from facial ulcer and
was reported positive for streptococcus and staphlococcus,
both aures and albus.
Throat Membrane Cultures
Four specimens of throat membrane were cultured
with negative results for B. diptheria.
Blood Cultures
One specimen of blood cultured with negative results.
Urine Cultures
Four specimens of catheterized urine were cultured,
and were reported positive for staphlococcus aureus. The
four specimens were from the same patient.
Feces Cultures
One specimen of feces cultured for B. typhosus with
negative results.
GEORGIA STATE SANITARIUM
97
Widal's Agglutination Test
Of the forty-five specimens of blood (serum) examined
for the Widal's agglutination test, twelve were reported
positive.
The following is a tabulation of the ten autogenous
vaccines prepared:
Prepared
Bacteria Used
Source
Number
3
Staphlococcus aureus-albus and bacillus
Face pustules
acne _
1
Staphlococcus aureus
Bladder
5
Staphlococcus aureus-albus
Furuncle
1
Gonococcus and staphococcus
Urethra
Total 10
In conclusion I wish to thank you, the Clinical Director,
Medical Staff and all concerned for their kind consideration and co-operation.
Respectfully submitted,
D. C. LEAPTROTT,
Laboratory Technician.
9S
SEVENTY-NINTH ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician:
Dear Sir:—Please find below the annual report of the
Engineer's Department for the year ending December 31st
1922.
IMPROVEMENTS
Work on the Nurses Home, suspended in September on
account of a lack of funds, was resumed in December in a
small way, it being necessary to make new contracts for lumber and to wait for its drying. The roof of this building
is on and the sash are in the windows, but not hung. The
interior remains to be completed. This includes the steam
heating, boilers, hot water apparatus, plumbing, electric
lighting, cutting up the interior into rooms by partitions,
plastering, stairways, all interior trim and painting.
A concrete slop stand has been built in the back yard
of the T. 0. Powell Building. This stand takes the place
of several wooden ones which were located about the premises. It is supplied with connections to the sewer and has
hot water pipe connections for the purpose of keeping it clean.
It also has a pipe frame around it which will be covered
with woven wire as a protection against dogs and buzzards.
The telephone line to the water works has been renovated ; that part of the line running through the city bein^
carried in the lead cable of the Milledgeville Telephone Co°
and -that on the other side on the poles of our power line!
The service is much improved.
A small porch has been built in the rear of the Echols
cottage.
Toilets have been built in the backyard of the Twin
Buildings for the convenience of the patients and employees
working in the kitchen.
A feed shed 100 feet long by forty feet wide at the
colony has been covered with galvanized roofing.
The Colony Buildings have been overhauled and the
cottage occupied by Mr. Swann has been painted inside
and outside.
GEORGIA STATE SANITARIUM
99
A small lean-to building has been built against the
wall near the horse stables with two water-closets and a
shower bath placed therein for the use of the white and
colored garden hands.
Two of the pumps at the water works have been
thoroughly overhauled and put in good working order. The
other pair were worked over last year. These pumps have
been worked for nearly fourteen years about half time with
out any extensive repairs having been made on them
previously.
Three washing machines in the laundry for whites
have had the outer galvanized iron shells removed and the replacement made with sheets of more permanent copper.
Other washing machinery has also been repaired.
Six rooms in the female and two in the male convalescent center buildings have been remodeled and plumbing installed, making three two-room apartments for officer's
quarters.
A porch has been built over the platform in front of
the cold-storage rooms, the roof being covered with a Barrett's 20 year specification pitch and gravel roof.
The woodwork of the circular covered way around
the water tower has been renewed and covered with tin.
The water closet in the recreation yard of the male
colored building has been remodeled and a new sewer run
from it in place of the original one which had become stopped up by roots having grown into it.
The cooking apparatus in all the kitchens has been
overhauled and put in good working order.
The pots for heating water for scalding hogs when
butchered have been moved from near the negro occupation building to a point on the branch near the "Hospital,"
and a concrete scalding vat and cleaning platform built
nearby.
Electric lights have been put in all the nurses rooms
in. the Twin Buildings., Those roqms were not wired when
the building was first occupied.
100
SEVENTY-NINTH ANNUAL REPORT
Two of the officer's cottages have had new hot water
pipes run to them.
The grade hands in this department have leveled off
the site for the new dairy building.
The fire department has been reorganized under Mr.
Miner and weekly drills are made.
The cottage occupied by the engineer at the waterworks, which was destroyed by fire early in the year, has
been rebuilt along the same lines as the original. This
work was done by the regular force of carpenters employed by the institution with the addition of a few extra hands.
On the west end of the Green building, where the walls
had spread through settlement, six through bolts have been
run to prevent further movement.
A sanitary system of sewers has been built at the
"Colony" for negroes with a septic tank and eight water
closets. This does away entirely with the unsanitary open
privies previously in use there.
A new stage has been built in the Amusement Hall in
the place of the old temporary one torn out.
An electrically driven coffee grinder has been installed
in the storehouse. It has the capacity of 180 pounds of
freshly roasted coffee, ground fine, per hour.
A new dairy barn has been begun just to the north of
the present buildings. This structure is 120' feet long by
35 feet wide. It is well under way and will be completed
in thirty days.
An electrically operated food grinder and mixer has
been installed in the kitchen of the T. 0. Powell Building.
Two toilet rooms have been built in the Negro Building. These rooms have cement floors, laid on cinder concrete, and each of them is furnished with a bath and water
closets.
One thousand square, feet of wood flooring have been
laid in the Twin Buildings.
GEORGIA STATE SANITARIUM
101
The work begun last year of replacing the worn out
and antequated seat flushing devices on the water closets
in the wards has been continued until now all of the water
closets in the institution, with the exception of a few in the
Powell Building, have the more modern overhead tank flushing equipment.
The walls and the woodwork of the Infirmary in the
Powell Building have been enameled white.
One room on the 20th white female ward has been
painted.
The floors on wards "A" and "D" in the Whittle
Building have been stained and waxed.
The Hot house has been repaired, a new roof put on
and glazed and the entire building painted inside and out.
The floors of thirty eight rooms, other than those mentioned above have been stained and waxed.
All of the woodwork of the 21st white female ward has
been painted and enameled.
The stairways and the walls of the stairwells in the
vestibules on each side of the Powell Building have been
painted.
In addition to the ordinary repair work of the institution the following work has been done in the several
shops:
CARPENTER SHOP
48
956
12
23
62
3
227
1
1
102
1
10
3
16
Lattice benches
Scrub brush backs
plow beams
Wagon bolsters
Turned balusters
One horse wagon bodies
Window buttons
Splint
Wagon breast yoke
Flush tank boards
Proof box in bakery
Coal bins on casters
Large meat chopping blks.
Oven peels
1
1
2
1
'295
8
6
27
783
9
1
210
33
Large kitchen cabinet
Large supply cabinet
Tool cupboards
Elevator car
Lin. ft. wire fence built
Door frames
Large double yard gates
made
Wagon hounds
Mop handles made
Large dipper handles
Chicken house
Pass locks rebuilt
Polishing mops
LIBRARY
102
SEVENTY-NINTH ANNUAL REPORT
18
1
3
4
36
1
1
1
8
1
15
1005
4
236
5015
Binder blades
Broomcorn vat
Hay crates
Plush tank covers
Tomato crates
Rolling chair crated
Book case
Furnace door center
Small cabinets
Double ox yoke
Panelled ;doors
Sqr. ft. floor laid
Large double gates made
Seed trays
Sq. ft. floor laid in white
wards
8 Ax handles
40 Hoe handles
8 Step ladders
146 Table legs turned
56 Pot paddles
20 Coupling poles
1 Platform
52 Box benches
420 Basket bottoms
39 Flower boxes
10 Two horse wagon bodies
1 Ox cart
4 Large refrigerators
7 Fumigating boards
12 Meat boxes
15 Voucher boxes
2 Sixty ft. cold frames
1 Bakers sponge board
2 Bread boxes
1 Meter box, waterproof
1 Soiled clothes box
6 Barrel covers
11 Water cooler cabinets
1 Tool box
3 Chicken coops
2 Baskets crated
7 Soiled clothes closets
9 Rooms ceiled
130
32
2
5
4
6
953
1
16
2
24
1
Pot plugs
Curtain poles
Pistons for binders
Poultry racks
Clothes racks
Bed back-rests
Fly swatters
Table for coffee grinder
Sets clothes shelves
See-saws for children
Sash
Shed around kitchen at
negro building
11 Singletrees
6 Feed troughs
45 Tables
3 Laundry trucks
34 Screen doors
93 Window screens ma,de
17 Porches screened
2 Ventilators screened
327 Coffins made
50 Chair rockers
1 Hat rack
26 Flights of steps
16 Flower stands
5 Stools
3 Dining room safes
4 Large double swings
1 Hay rake shaft
11 Wagon tongues
12 Doubletrees
1 Watering trough
15 Sink tables
1 Truck platform
4 Vegetable washers
227 Screen doors rebuilt
1242 Window screen repaired
3 Safes screened
3 Sleeping porches
screened
207 Boxes for shipping
coffins
TIN SHOP
5
2
5
24
6
Large refrigerators lined
Ash pans
Joints 6 in. stove pipe
Large tin dippers
Vegetable washers lined
66
6
12
1
2
Large ,dish pans made
Coal shovels
Oil cans
Funnel
Tables zinc covered
GEORGIA STATE SANITARIUM
2
12
36
3
330
99
Ice boxes lined
Milk shakers
Flower basket cups
Milk cans
Ft. couductor pipe set up
Ft. of valley laid
60
12
65
140
360
103
Squares of new tin roof
Vegetable baskets
Joints 5 in. stove pipe
Ft. eav trough hung
Ft. copper valley laid
BROOM FACTORY
5,760 Brooms made
SHOE SHOP
1615
1035
15
1000
Pairs shoes half soled
Heels repaired
Pairs rubber heels
Heel plates put on
825 Whole heels put on
800 Rips sewed up
100 Insoles put in
FURNITURE AND HARNESS REPAIR SHOP
31
10
307
7
26
55
8
4
99
207
24
20
Trunks repaired
Organ stools repaired
Window shades put up
Mangle aprons made
Baskets crated
Reins repaired
Window awnings put up
Art squares laid
Horse collars repaired
Window shades repaired
Chairs upholstered
Sewing machines repaired
29 Sewing machines crated
16 Pairs new reins made
4 Carpets put down
28 Pcs. furniture crated
26 Reaper aprons made
775 Wooden chair seats put
on
160 Cane seats put on
66 Dressers Varnished
44 Tables made
134 Tables varnished
110 Stools repaired
158
'49
175
51
95
190
206
10
3565
37
Mirrors put in dressers
Safes varnished
Bed frames repaired
Lounges upholstered
Sets of harness repaired
Bridles repaired
Hamestrings made
Suit cases repaired
Chairs repaired
Leather chair seats put
on
77 Dressers repaired
357 Board seats put on chairs
140 Tables repaired
75 Stools made
128 Stools varnished
59 Safes repaired
145 Bed springs put to bedsteads
. 50 Iron bedsteads repaired
58 Lounges repaired
84 Breechings repaired
12 Tie reins made
176 Backstraps made
104
SEVENTY-NINTH ANNUAL REPORT
PAINT SHOP
2
20
1
6
1
123
2
135
166
13
2
1
3
23
40
1
1
1
32
1238
Dressers scraped and varnished
Chairs scraped and varnished
Window seat box grained and varnished
Sink tables painted
Bedstead scraped and varnished
Flush tank boards stained and varnished
Cabinets varnished
Sash painted
Window frames given two coats
Porches painted
Porch floors waterproofed
Wagon painted
Bath rooms painted
Yard benches painted
Window screens painted
Small house painted
Outside flight of stairs painted
Room at Colony painted
Squares of new tin roof painted two coats
Large window glasses put in
Eightieth Annual Report
Board of Trustees
Georgia State Sanitarium
Milledgeville, Georgia
For the Year Ending
December, Thirty-First
Nineteen Twenty-Three
-— ■--•- 0* I--.."... £&ffi*
Board of Trustees
President.
T.
JOHN
Blackshear, Ga.
BRANTLEY
Vice-President.
H. II.
Gainesville, Ga.
DEAN
Secretary.
C. C.
BRANTLEY
E. E.
LINDSEY
Rome. Ga.
J. C.
JARNAGIN
Warrenton, Ga.
A. C.
NEWELL
Atlanta, Ga.
THOS.
M.
*THOS.
R.
II. W.
HALL,
Valdosta, Ga.
M. I)
WRIGHT,
SHAW,
'Deceased.
M. D. (Until July, 1923)... Augusta, Ga.
M. D. (From July. 1923)
WM. RAWLINGS,
Milledgeville, Ga.
M. 1)
Augusta, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee.
J. C. Jarnagin,
Thos. M. Hall,
E. E. Lindsey, Chairman,
A. C. Newell,
C. C. Brantley.
Finance and Auditing Committee.
A. C. Newell, Chairman,
C. C. Brantley.
Committee on Sanitation, Medical and Dispensary Service.
Win. Rawlings, M. D., Chairman,
Thos. M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds.
II. H. Dean, Chairman,
E. E. Lindsey,
II. W. Shaw, M. D.
Committee on Farm and Outside Business.
II. II. Dean,
J. C. Jarnagin, Chairman,
Wm. Rawlings.
Officers of the Sanitarium
R. C. Swint, M. D
Superintendent and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
J. K. Pettit, M. D
Assistant Physician
W. H. Allen, M. D
Assistant Physician
*D. T. Rankin, M. D. (Until June, 1923) .Assistant Physician
E. B. Saye, M. D. (Prom June, 1923)
Pathologist
C. G. Cox, M. D. (From July, 1923)
Interne
U . S. Bowen, M. D. (From June, 1923)
Interne
Jno. R, Harrison, M. D. (From July, 1923)
Interne
G. II. Green, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure
Engineer
II. S. Jones
Secretary
F. C. Penuel
Farm Steward
C. C. Miner
Assistant Engineer
Arthur Fared
Storekeeper
Mrs. Ann. G. Pettit
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge
Inspector
Rev. H. D. Warnock
Chaplain
•Resigned.
Eightieth Annual Report
OP
THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1924.
To His Excellency, Clifford Walker, Governor:
SIR : The annual report, required by law, of the Board
of Trustees of the Georgia State Sanitarium, for the year 1923,
is now respectfully submitted.
Report of Management.
The accompanying annual report of the Superintendent
and Resident Physician, to which is attached those of department heads, give in essential detail the record of the heaviest
year in the history of the Sanitarium. The new patients
received reached a total of 1,157, an increase of 300 over 1922.
The daily average number of patients resident in the Sanitarium was 4,172, exceeding the previous year by 254. Including its officers and employees, the Sanitarium now has a population of 4,899.
The work of the medical department continues of unusual
excellence and shows the Sanitarium to be steadily advancing
in efficiency in the treatment of insanity. It should be a matter of pride to the State that this is so.
The good work of the business officers is shown in a cost
to the State for each patient of $234.95, in which every
expense connected with the Sanitarium is included. This is
slightly lower than the cost of 1922. The daily cost for each
patient was but 64.37 cents. *■
The Training School for Nurses is a most valuable
adjunct and its thorough methods of training reflect much
credit on the Superintendent of Nurses in whose charge it is.
The Sanitarium is well managed because well officered.
Superintendent Swint, although but a year in office, has discharged his responsible duties most acceptably to the Board.
He has the loyal support of the medical and business officers
and it is to their combined effort that the remarkably fine
record for the year may be attributed.
1^1^——
EIGHTIETH ANNUAL REPORT
Financial Condition.
The deficiency appropriation granted at the last session
of the Legislature was unpaid at the close of the year, greatly
to the embarrassment of the Board. In consequence of this
the year closed with a deficit or overdraft of $222,966.03. The
Sanitarium was saved from a situation of exceeding gravity
only through the ability and willingness of the Treasurer of
the Sanitarium to advance the funds needed to meet its
expensesj and for this patriotic service lie is now tendered the
grateful thanks of the Board. This dangerous experience leads
the Board to enter a very respectful protest against the custom lately adopted of making appropriations for the support
of the Sanitarium which are known to be insufficient, thus
placing on the Board the burden of finding funds with which
to meet its needs until a deficiency appropriation can be had.
Such custom increases the cost because of the interest paid
on such funds. The Board deems the custom as unwise as it
is dangerous. The simple needs of this great family of the
afflicted are and ought to be a first charge on the resources of
the State, and should be willingly and generously supplied.
The receipts and disbursements for the year and the
financial condition of the Sanitarium at the close of the year
are shown in the following statement:
Receipts:
Balance from previous year
Regular appropriation
Deficiency appropriation
New building appropriation
Patients' deposits
Miscellaneous sales, etc
Overdraft with Treasurer
Total receipts
Disbursements:
Overdraft paid
Salaries and wages
Supplies bought
New building
Patients' deposits
Cash on hand
Total disbursements
$
1922
12,513.66
800,000.00
150,000.00
40,000.00
14,447.00
16,690.00
15,052.74
$
1923
12,928.91
800,000.00
Unpaid
.00
16,650.41
10,267.19
222,966.03
$1,048,703.40
$1,062,812.54
$
$
62,747.76
386,803.11
545,841.44
26,350.44
14,031.75
12,928!91
$1,048,703.41
15,052.74
383,985.95
598,250.49
35,943.74
15,552.59
14,027.03
$1,062,812.54
The working resources and current liabilities at the close
of the year, compared with the previous year, are as follows:
GEORGIA STATE SANITARIUM
Working Resources:
Cash on hand
Unpaid requisition
Accounts receivable
Sundry items
Supplies at cost
Farm products valued at
Live stock, farm implements, etc
Total working resources
Working Liabilities:
Overdraft. with Treasurer
'
New building appropriation
Salaries and wages due and unpaid
Accounts payable
Sundry items
Patients' deposits
Total working liabilities
$
$
12,928.91. $
3,000.00
5,282.81
1,106.40
70*926.93
21,672.65
41,600.25
156,517.95
$
14,027.03
849,96
8,058.74
98,164.77
21,654.65
41,600.25
184,355.40
15,052.74 $ 222,966.03
34,277.19
33,754.74
33,284.37
11,071.30
7,431.36
401.07
481.26
11,027.03
9.928.S1
$ 100,455.83
I 279,220.17
Dangerously Overcrowded Condition.
The Sanitarium has not room enough to meet the everincreasing demand on it, and the Superintendent now reports
that every bed in every ward is occupied. The condition in
the white female department is especially bad, for here a
normal capacity for 1,164 patients is now stretched to accommodate 1,573. Such a condition is as dangerous as it is unsafe.
Nor is it new, as the reports of the Board made each year will
show. It must be at once relieved if the Sanitarium is to continue to function in this department. A new building partly
completed is now had, but until an appropriation is made for
its completion it must stand idle. When it is completed it
will permit the removal of the nurses to it, and thus vacate
their rooms on the wards for the use of the white female
patients. This need is so imperative and further delay so dangerous that the Board very earnestly renews its request for
an appropriation sufficient to complete and furnish this building. It should be made available at once, so that work may
be resumed on it without delay.
Psychopathic Hospital.
The Board again calls attention to the great need in
the equipment of the Sanitarium for a suitably located and
equipped psychopathic hospital to be used solely for the care
and treatment of curable cases of insanity. Through it their
injurious association with the hopeless or chronic insane, now
unavoidable, would be done away with, and a better chance
for recovery given them. Such an addition to the equipment
would be not only a wonderful stimulus to the Medical Staff
but of great assistance to it. In addition, it would afford
needed relief to the present crowded wards in every department by the removal of such curable cases to it and might
well mark the limit in size to which the Sanitarium may be
wisely allowed to attain. A building for this purpose fully
SoSoOOOO
entSil a C St
°
°f
bGtWeen $250 000 00 a
'
-
"d
Occupational Therapy Building.
Occupational therapy means simply the effort to divert
and hold the morbid mind by giving the hands interesting
employment. Such markedly beneficial results have followed
its introduction, especially among the chronic or hopeless
cases and the least attractive of these, that it is being extended
as rapidly as possible. For this purpose there is now needed
a small building for the use of the white female patients in
which they may be protected from the weather, and occupation
taught them. The cost is but $9,260.00. The Board asks that
an appropriation be made in this sum and for this purpose
to become available at once, believing that this progressive
work of the Medical Staff and nursing force is worthy of
every encouragement.
Ice Plant Worn Out.
The ice plant of the Sanitarium has been in use for more
than twenty years and is now not only outgrown but worn
out to such an extent that it is no longer equal to the demand
on it. Inasmuch as an abundant supply of ice is so vital to
the comfort and well-being of the patients, the Board now
asks for an appropriation of $29,905.00, which is the estimated
cost tor the installation of a new plant and for a needed addif ion to the cold storage room now had.
Duplicate Water Supply Pipe Line.
It is necessary to call attention once more to the situation
of the Sanitarium in respect of its water supply Its single
pumping station is located on the banks of the Oconee River
about four miles away from the Sanitarium, which is reached
through a single pipe line running for one mile through land
subject to overflow when the river is in flood. A break in it
at such time and place could not be repaired and a water
famine would follow. Only a duplicate pipe line will protect
the Sanitarium and its inmates from such a happening, and
GEORGIA STATE SANITARIUM
its cost is estimated by the Sanitarium Engineer at $44,036.00.
The very great importance of this protection fully warrants
the appropriation asked.
Outside Fire Escapes.
Criticism of the Sanitarium continues to be made from
time to time because of the absence from its equipment of
outside fire escapes, such critics being apparently unmindful
of the fact that escapes of the usual ladder type would be as
dangerous to the patients as fire. The Sanitarium has always
relied on inside enclosed stairway of wood well placed as the
means of escape in the event of fire. The only type of outside escape of any value would be the enclosed iron cylinder
with spiral slides known as the Kirkner-Bender escape. The
Board will be very glad to install these if an appropriation of
$25,000,00 may be had to defray the cost.
The Plant.
The usual repair and replacement work has been carried
on through the year. The increasing age of most of the buildings makes this work an item of considerable and growing
expense. The report of the Engineer will show how busy his
department has been.
Planning Now for the Future.
The Board believes the time is at hand when the State
should face the problem of founding a second hospital for the
insane. The Sanitarium now has a population of patients, employes and officers of approximately 5,000 and may not wisely
be permitted to attain a much larger size. A second hospital to
care for the steadily increasing number of insane is the only
solution. Whether it should be used to separate the curable
from the incurable cases, or to separate the races, or to be
a duplicate of the Sanitarium, receiving all classes and races,
is a matter which should receive mature consideration. The
problem is one which might well be committed to a special
commission created for this purpose and reporting to some
future Legislature. The Board will be glad to give its assistance in any way desired.
Deficiency Appropriation for 1924.
The regular appropriation of $800,000.00 for the support
of the Sanitarium in 1924 was known to be insufficient when
granted and it was far under the carefully prepared estimate
HWI mma
10
EIGHTIETH ANNUAL REPORT
of the Board submitted at that time. The Board now estimates that the cost for 1924 will be $1,015,478.00 and to this
is to be added the deficit brought over from 1923 of $222,966.00. From it is to be deducted the deficiency appropriation for 1923 when paid of $239,864.00. This'will leave a
deficiency of $198,580.00 to be supplied and an appropriation
in this sum and for this purpose to be made available in the
year as needed is respectfully asked .
Regular Appropriations for 1925 and 1926.
The very careful estimate of the Steward, approved by
the Superintendent and checked by the Board, fixes the number of patients to be cared for in 192.1 and 1926 and the sums
needed for their support as follows:
For:
Salaries and wages
Food supplies
. Clothing, etc
Furniture, bedding, etc
Fuel and lights
Upkeep ot plant
Medical supplies
btationery and postage
Miscellaneous expenses
Farm, garden and dairy
Total
1925
' 1926
4472 Patients 4G22 Patients
$ 411,594.95 $ 425,399.4:,
263,584.13
272,42513
80,752.50
83,46150
60,876.75
83,46150
91,576.75
94,655.25
35,515.80
36,706.80
11,011.16
11,380 16
4,725 91
4 88491
62^866.36
64c75 36
28^221^24
29,'l66!24
$1,050,725.55 "$1,085,973.05
and appropriation in these sums are recommended.
Summary of Appropriations for Needed Additions and Improvements.
1.
For the completion and furnishing of the John T. Brantley Building (Nurses Home), the sum of $81,245.00.
2.
For a new ice plant and enlargement of cold storage room
the sum of $29,905.00.
3.
For occupational therapy building for use of white female
patients, the sum of 9,260.00.
4.
For a duplicate pipe line from pumping station to Sanitarium, the sum of $44,036.00.
5.
For the installation of outside fire escapes, the sum of
$25,000.00.
6.
For the erection and equipment of a psychopathic hospital, the sum of $250,000.00.
11
GEORGIA STATE SANITARIUM
Changes in the Law.
The Board recommends the following changes in the laws
governing the Sanitarium:
1.
Amended so as to permit the transfer to the State Home
and School for the Feeble Minded of the children in
this class now inmates of the Sanitarium.
2.
Amended so as to forbid the reception of the criminal
insane whose care and safekeeping should devolve upon
the Prison Commission. The Sanitarium is a hospital
and not a prison. It has no means of safeguarding
these criminals. The enforced association of the innocent insane with these criminals is repulsive to every
sense of decency.
Amended so as to clearly define the classes entitled to
admission to the Sanitarium.
3.
4.
Amended so as to provide for the admission on the recommendation of one or more reputable physicians of border
line cases for the purpose of examination and advice.
For the Board.
The Board has endeavored to discharge its full duty
punctually and faithfully. It has held quarterly meetings at
the Sanitarium through the year and caused its committees
to visit it monthly. The funds at its disposal have been carefully administered. Supplies were bought on competitive bid
as far as practicable. The Superintendent has been given every
support. The record for the year is full of hope. The Board
is grateful to your Excellency for your continued confidence
and now thanks you for it. With the prayer that the favor
of God may ever rest upon this great family of the afflicted
this report is now submitted.
By order of the Board :
C. C.
BRANTLEY,
Secretarv.
JOHN
T.
BRANTLEY,
President.
12
EIGHTIETH ANNUAL REPORT
Report of the Superintendent
GEORGIA STATE SANITARIUM, JANUARY 1ST,
1924.
THE HONORABLE BOARD OP TRUSTEES,
.GEORGIA STATE SANITARIUM
:
Gentlemen:—In accordance with your requirements I
submit herewith the Eightieth Annual Report of the Georgia
State Sanitarium which covers the period from January 1st
1923 through December 31st, 1923.
Accompanying this are reports of the heads of the various
departments of the institution which I trust will give you a
satisfactory account of the management of the Sanitarium for
the year 1923.
TABLE OF GENERAL INFORMATION.
1.
2.
3.
Date of opening as an institution for the
insane
October 12th, 1842
Type of institution
__State
Hospital plant:
Real estate including buildings
#1,692,750.00
Personal property
.
'327'452^00
Total
4.
$2,020,202.00
Total acreage of hospital property owned (Includes
grounds occupied by buildings, farm and garden
sites)
3450 aereg
total acreage under cultivation previous year
1,750 acres
Officers and employes actually in service at end of year:
Superintendents
Clinical Director
Pathologist
Assistant PhysiciansMedical Internes
Clinical Assistants
Resident Dentist
Stewards
Graduate Nurses _
des
1
1
1
7
3
0
1
1
1
Females
0
0
0
0
0
0
0
0
16
Totals
1
1
1
7
3
0
1
1
17
GEORGIA STATE SANITARIUM
Other Nurses and
Attendants
All Other Officers and
Employes
Total Officers and
Employes
186
209
395
203
25
228
405
250
655
GENERAL STATISTICS OE PATIENT POPULATION
FOR THE YEAR 1923.
Total number of patients on records, January 1st, 1923—4,553
Admitted during the year:
Males
First admissions
442
Readmissions
10^
Total admissions
547
Total under treatment during the year
Females
473
137
610
Total
915
242
1,157
_.5,123
-_4,172
Daily average under treatment
Discharged during the year:
(Does not include patients on furlough , but those
who have remained out over twelve months.)
Total
Females
Males
163
66
As recovered,
"'
233
137
As improved
"6
116
71
As unimproved
4o
17
4
As without psychosis
13
529
278
251
350
166
184
Died
879
444
435
Total discharged during the year_
Total actually in Sanitarium
4,244
2,286
January 1st, 1924
1,958
587
317
Total number at home on furlough— 270
4,831
2,603
Total remaining on books
2,228
The work done by the Sanitarium for the reception, care,
treatment and discbarge of patients, is the principal business
of the institution, to which all other activities are secondary,
and was increased compared to the previous year by 300 admissions, 254 in daily average, and 270 increased population
at the end of the fiscal year. The percentage discharged,
recovered and improved, based on the number of patients
received during the year, was 33.15%. This does not include
those furloughed during the year, but those who have remained
out of the Sanitarium longer than 12 months, and have made
readjustments that enable them to remain out of the institution.
14
EIGHTIETH ANNUAL REPORT
You will find an analysis of the furloughed patients in
the Clinical Director's report. Of the 720 patients furloughed
during the year 586 or 48'/, (based on the number of admissions) were furloughed as restored or improved.
Some of the patients admitted to the Sanitarium are
incurable on admission, and their problem is one principally
ol custodial care, but the majority of admissions have problems that aiv very complex as to etiology. The cause of their
illness is not found in some existing physical disease alone,
but to a complication of factors. We cannot go verv far, however, in the study of behavior disorders without becoming
aware that in order to understand them they must be studied
and considered in relation to feeling and thought. In other
words, we have to consider relations between soundness of
mind and soundness of body.
In order to properly approach these problems it is very
essential that we know something of the personal and family
history of the case under study, their habit of reacting to
various stimuli of their environment, as to whether "the reaction is graded to the stimulus and appropriate to tne occasion.
An individual witli mental disease is as truly sick as one
with some definite physical disease, and should be'so regarded
hut there is still a great deal of prejudice and superstition of
mediaeval times among the educated and intellectual as well
as the uneducated in their attitude and notion of mental
diseases. The general public has not become fully educated
to the necessity of making an intelligent contribution nor of
assuming the correct attitude toward their most unfortunate
fellow beings who have to he deprived of their liberty by the
very nature of their illness.
Many of the things known and of recognized value are
not being made use of for the conservation of mental health
and the betterment of the race. How ignorant we are of the
mechanism of heredity, and yet how dependent we are upon its
influences.
Does not the planter and the stock breeder pay attention
to the improving tendency of the laws of Heredity?
_ Are we as human beings going to keep our eves closed to
its influences as applied to the race?
No one can today be intelligently interested in questions
ot public welfare who is not prepared to consider the problem
Of eugenics m relation to individual success, happiness and
race improvement.
GEORGIA STATE SANITARIUM
15
MEDICAL SERVICE.
Several changes have taken place in the medical staff
(luring the year.
Assistant Physicians R. W. Bradford, L. A. McCalla and
I). T. Raiikin resigned. The two former to enter private practice; the latter to accept a position of promotion in a state
hospital in Pennsylvania.
Drs. U. S. Bowen, C. G. Cox and Jno. R. Harrison were
employed as Internes to fill their vacancies.
Dr. E. B. Saye, who was formerly Pathologist to the
Sanitarium hut resigned during the world war to enter the
army, was reelected Pathologist, and returned to us on June
1st and since that time has had charge of the laboratory.
During the previous year he was Associate Professor of Pathology and Bacteriology at Emory University Medical School.
His training and experience should prove of great value to
the medical service of the institution. In co-operation with
the medical staff he has begun some research studies of the
blood chemistry of epileptics.
You will find a detailed report of the medical work
during the year in the report of the Clinical Director.
Extra Mural Mental Clinics and Social Service.
The maintenance appropriation for the Sanitarium has
been too inadequate to attempt the establishment of additional
mental clinics similar to the one that has been conducted at
Macon for several years. It seems that the usefulness of the
institution might spread more and more into extramural activities along this line so that borderline and prepsychotic
cases could be reached before they are committable. I believe
that the usefulness of the Sanitarium can also be extended
by establishing an out patient clinic at the institution. I occasionally get letters from some physician or others asking for
advice, or to recommend where they might go or send some
relative or friend for expert examination. Furthermore, the
service of the institution might be more efficient if our maintenance appropriation was adequate for the inauguration
of a Social Service Department. Much good could be accomplished in this work along the lines of obtaining historical
data of new admissions, and follow up or after care service
in the furloughed patients. Conduct disorder is the chief
cause of the committment of patients, and a properly organized social service could do a great deal toward helping
1C
EIGHTIETH ANNUAL REPORT
the furloughed patients through their earlier stages of adjustment in their various communities.
Overcrowded.
Your honorable body is fully aware of our overcrowded
condition as your attention has been called to this from time
to time, and you have called attention to it in previous reports
to the Governor. The matter has now reached that stage
where something must be done. Every ward in the institution
is full, and we are forced to make room for beds in every
available space that can be utilized for such purpose.
In the white female department we have had to lattice
off a portion of some of the day rooms for beds. Such a condition of overcrowding is to be regretted, it is not safe, for
we are forced to sleep two in rooms that should be occupied
by only one. Allowing 1,000 cubic feet of air space for each
patient our estimated capacity in the white female department
is 1,164, while our actual resident population in this department is 1,573, making 409 above normal capacity, or 35%
overcrowding.
The time has come when the State will have to face the
problem of building another institution for the care and treat■ ment of mental diseases in some other section of the State. The
completion of the nurses' home would not solve this problem
but would give us additional rooms that we badlv need In
tins connection I will state that the success of any hospital
whether state or private, is greatly dependent upon its nursing torce, and we cannot expect the best and most efficient
services from our nurses and attendants unless thev are properly domiciled and taken care of. It is rather unreasonable
to insist that they constantly live in the environments of the
hospital wards. I hope the next legislature can be made to
see the wisdom of making an adequate appropriation to
finish and furnish the Jno. T. Brantley Building, our new
A arses Home, that is already about two-thirds completed
and has had to remain in this condition during the past year
on account of lack of funds for its completion.
One of the worst features of this overcrowding is that
it interferes with and is a great handicap in the treatment of
our patients especially the habit training that is so essential
in many of the unfortunates who are sent to the Sanitarium.
Finances.
The report of the Steward gives an analysis of our income
and expendrtures for the year. Economy has been the watch
GEORGIA STATE SANITARIUM
17
word in every department, and we have practiced the strictest economy possible considering efficiency of service, the
welfare of the patients, and the preservation of the physical
plant. The cost to the State for each patient was $234.95 as
compared to $238.04 the previous year. The cost per day
was 0.6437 compared to 0.6525 the previous year. This cost
included every expense connected with the care and treatment as well as the upkeep of the physical plant. During the
year, however, we have been greatly handicapped in our efforts
by an inadequate appropriation to meet our actual needs. Your
honorable body is thoroughly familiar with this matter, and
I do not deem it necessary to elaborate on it. The State has
no greater obligation, nor will it ever undertake a more
humane endeavor than taking upon itself the responsibility
for the care and treatment of her unfortunate citizens who
are afflicted with mental diseases. Civilization will have advanced a step when social consciousness awakens to the importance of placing at the disposal of the Boards of Trustees
funds adequate to meet the needs of the problem of conservation, care and treatment, and rehabilitation in this field of
humanity's greatest wreckage.
Improvements and Repairs.
Some of the buildings of the institution have been occupied for more than 80 years, and the wear and tear given a
building and its furnishings inhabited by all kinds of patients
afflicted with all types of mental diseases, is necessarily great.
Many improvements have been made during the year that
add to the value of the physical plant and equipment. The
report of the Engineer, Capt. T. H. DeSaussure, gives a detailed account of the improvements and repairs during the
year, and it shows the mass of work along this line that is
required for the upkeep of the institution.
Farm, Garden and Dairy.
By reference to the Farm Steward's report you will note
the amount of food stuffs produced during the year.
Considering the excessive rains during the year I think
the amount produced makes a very favorable showing. It
seemed at one time as if our corn crop at the Colony would
be almost a failure on account of excessive rains, but the production was 7,511 bushels compared to 6,158 bushels the previous year; also 66,525 lbs. of pork compared to 33,347 lbs.
the previous year. Our farm, garden and dairy was operated
during the year at an estimated net profit of about $13,000.00.
^OHWHHBMMHU
18
EIGHTIETH ANNUAL REPORT
Religious Services.
Religious services were held on Sunday afternoons each
week during the year by the pastor of the Baptist Church at
Milledgeville. He also conducted the funerals of all white
patients buried in the Sanitarium cemetary. The Catholic
Priest from the City of Milledgeville looked after the requirements of the members of the Catholic Church. Religious
services and burials in the colored department were conducted
by our local chaplain in that department.
Amusements of Patients.
The Sanitarium Band gave concerts for the patients three
times a week. Moving picture shows were provided for them
twice a week, and they attended their usual dances at the
amusement hall one afternoon each week. Other features of
amusement such as walks and games viz: tug of war, foot
races, sack races, running and jumping, climbing greased
poles, baseball, etc., were provided.
Reactions to amusement is very noticeable in an audience
composed of the colored insane. Various forms of diversion
is appreciated by the patients of both the white and colored
races, and it is beneficial to them. In this connection I will
state that the improvement in the physical appearance of the
wards and its furnishings such as an extra coat of paint etc
has a salutary effect upon them.
Needed Improvements Requiring Special Appropriations.
1. The completion and furnishing of the Jno. T Brantley Building. (Nurses' Home.)
2. Enlargement of ice plant, and reconstruction of cold
storage.
3. Build and equip an occupation building for white
female patients.
4. Install duplicate water pipe line from water works
to bamtarmm.
5. Outside fire escapes for the various buildings.
6. Build and equip a modern hospital building adequate
to accomodate all patients of both sexes and races who have
some definite physical disease problem requiring special medical or surgical treatment with a centralized operating room
ouch an addition would modernize our institution, and create
that atmosphere of progress and stimulatiou that nothing else
could.
°
GEORGIA STATE SANITARIUM
19
New Legislative Matters.
1. Sec. 3, Page 163-4, Acts 1918 should be revised.
2. Voluntary admission law should be enacted whereby
upon the recommendation of a reputable physician early and
borderline cases might be admitted for a few days for examination and advice.
3. Means for raising funds for aiding the maintenance
of the Sanitarium could be found in a county payment
law so formed that each county would become responsible to
the State Treasury for one-half the amount it cost to maintain and treat each patient committed from said county.
4. To change the name of the Georgia State Sanitarium
to Georgia State Hospital.
PELLAGRA STUDY.
The U. S. Public Health Service continued during the
year the study of the dietary treatment and prevention of
pellagra begun at the Sanitarium in 1914. This work is being
done under the direction of Dr. Joseph W. Goldberger of
Washington, D. C, and, as for some years past Dr. W. P.
Tanner continued in immediate charge of it.
During the year tests of buttermilk, batter and cod liver
oil were made with results, according to the investigators,
which confirm the previously favorable experience with milk,
and indications that butter and cod liver oil are lacking iv
specific value in this disease.
Acknowledgements.
The successful management and conduct of the affairs of
an institution of the type and size of the Sanitarium cannot
obtain without loyal and efficient heads of departments, and
loyal and co-operative employes. He who assumes the responsibility of Chief Executive or Administrative Officer must
pay a great toll.
I deem it # privilege to express to your honorable body
my deep appreciation for your confidence, kindness and
courtesy to me, and for your constant interest in the affairs of
the institution during the year. My profound gratitude is
here expressed to the Medical Staff, other officers, nurses,
attendants and all other employes for their loyalty, faithfulness and co-operative spirit.
We also express our sincere thanks to the Women's clubs,
and other organizations and individuals over the State who
were so thoughtful and kind to send to the patients so many
boxes and gifts at Christmas time.
Respectfully submitted,
R. C. SWINT, Superintendent.
^■**
nSHHHHH
20
EIGHTIETH ANNUAL REPORT
Report of Clinical Director
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—I have the honor of submitting the report of
the Medical Department of the Sanitarium for the year ending December 31st, 1923.
During the year 1,157 patients were admitted of whom
242 were readmissions; 743 patients left the institution and
350 died.
•
Tables 2 and 3 give diagnostic groupings of the first and
second admissions. Twenty-three patients were discharged
as not insane. They were grouped as follows: Drug addicts
not insane 12; Constitutional psychopathic inferiority without psychosis 3; Mental deficiency without psychosis 3; Alcoholism 1; Recovered before admission 1.
Three not insane.
Table 4 gives diagnostic grouping of those furloughed.
The subsequent tabulations are self explanatory.
The number furloughed as restored or improved was
48% of the admissions.
Health.
The percentage of deaths was 6.8 based on number treated.
A large portion of the deaths were due to degenerative
diseases such as arterio-sclerosis, paresis, nephritis, etc-.
Sixty-seven per cent, of the deaths from pneumonia occurred
in patients over sixty years of age. Five cases of typhoid
fever with no deaths were reported during the vear. The
entire population with the exception of a few sick'and feeble
were vaccinated against typhoid. There has been a very
noticeable decrease in the number of mosquitoes. Only one
case of malaria was reported. Pneumonia, general paralvsis
of the insane and tuberculosis were the leading causes of death.
Medical Work.
Staff Meetings. The policy of bringing before the Staff
only those new cases which presented some problem from the
point of cause, diagnosis or treatment has been adopted'. This
is a time saving procedure and the Staff can spend its efforts
to the best advantage as a result. At intervals also Staff
conferences have been held at which medical problems of
general interest were discussed. These have been of much
value.
GEORGIA STATE SANITARIUM
21
Sustained efforts have been made along two broad linesintensive treatment of acute curable cases and improvement
or amelioration of chronic incurable cases.
Occupation therapy, diversion, increased personal contact, rest, special diet and special nursing have been the chief
factors stressed in treatment of the acute cases. Treatment
is begun in most instances at the time the patient is received
on the ward. Provision has been made on the white female
reception ward so that new patients can be carried to occupation rooms on the same ward. This is of especial value since
it serves to check idle tendencies. A ward full of busy
patients is an incentive to a new arrival. A large number
of warm and cold packs are given on some of these wards. In
the white male department a small tract of land has provided
the means of out door employment for a large number of men.
This fulfills a long felt need. There has been a most noticeable decrease in the number of baths and packs given since
this feature was inagurated. Furthermore, there are almost
limitless opportunities to further develop out door employment and diversion in this department.
Among the chronic cases, more particularly dementia
praecox, habit training and occupation are chiefly relied upon.
In an institution so large as ours it is difficult to provide occupation or diversion for all.
The medical and surgical work has been well taken care
of by the Staff.
The pathologist collaborating, one of the ward physicians
treated five cases of dementia praecox by intra-spinous injections of normal horse serum after the manner outlined by
Carroll. No results were evident and the work was discontinued.
In a similar manner blood chemistry of epileptics has
been taken up. At this time no positive conclusions have been
reached.
Laboratory. The work here has been conscientiously and
efficiently done. The serological information afforded is one
of the greatest value. In addition to the routine duties some
research has been undertaken. The laboratory is fulfilling its
function better than ever before.
22
EIGHTIETH ANNUAL REPORT
Training School for Nurses.
The work in this department has been carried on in the
same efficient way as fomerly. The graduates have been
uniformly successful and reflect great credit on the training
school and its head. It is a matter of pride to note that one
ox its graduates received the highest mark on the Slate Board
examination during the year.
»
Training School for Attendants.
This has been planned entirely along practical lines
Beginning m October a series of lectures dealing with every
day problems of nursing the insane were delivered to all the
attendants in the institution. This was supplemented by
distribution of pamphlets giving illustrative cases with
methods of management. The results have been better than
was expected. The fact, alone, that the number of filthy
patients were reduced by 34% in a few months amply justifies all efforts made m this direction. (The ultimate aim of
this work is to increase loyalty. Results will nal urally follow )
In order to gam first hand information a graduate nurse has
spent her entire time doing mental nursing, Her efforts have
been fruitful and we can reasonably hope for further ad-
h been arra ed t0 issue
IZlV
T7\ Uand
fnurses in ^order that they
—ith
eaflets to X"
the attendants
mayv
be kep better posted as to what is being accomplished "in he
medical work throughout the Institution.
Occupation Therapy.
Occupation therapy has been started at eight different
t' tl
I"0"6!l0T^ Wm S°°n be ™** for occupancy.
About three hundred patients daily is the average number
treated in this way. This does not of course include tho e
working on the wards and in the industrial departments
The products of the occupation therapy group have been sold
and he proceeds reinvested in material, "in Addition a R^l
outfit that may be connected with any Ward having a telephone
has been purchased from the funds. A portable movSp
Jure machine bought by this department is used chiefly for
the colored population. This however mav be used on any
of the wards. A recent exhibition of pictures to a class 0f
parents who cannot be carried to the amusement hau, showed
AZ
23
GEORGIA STATE SANITARIUM
very conclusively that their attention could be attracted and
held This is of distinct therapeutic value particularly to
the chronic, untidy, apathetic, indifferent cases of dementia
praecox and the more extensive use of the pictures is urged
if finances will permit.
Out-Patient Department. The Macon Clinic has entered
well into its fifth year. The number of patients attending
has been about the same as in former years. We feel that
this work is well established and is of much value. It seems
probable at the time of writing this that our Clinic will be
made the neucleus of one of the Commonwealth's demonstration Clinics. This would be a distinct compliment to the institution as one of our physicians will be ultimately put in
charge.
Grateful acknowledgment is made to the Board, to you,
to the Staff and to all those in the Medical service who have
co-operated to carry the year's work through.
Respectfully submitted,
N. P.
"WALKER,
Clinical Director
24
EIGHTIETH ANNUAL REPORT
TABLE I.
Diagnostic Grouping of Patients Admitted During Year 1923.
Psychoses.
1.
2.
3.
4.
5.
G.
7.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
White
Colored
M
M
F
Total
Traumatic
2
0
1
1
4
Senile
~ 17
1
25
10
53
With cerebral arteriosclerosis
25
11
20
10
66
General paralysis of the insane__. 18
3
27
14
62
With cerebral syphilis
3
0
4
1
8
With Huntington's chorea
3
0
0
0
3
With brain tumor
0
1
0
0
1
With other brain and nervous diseases
3
4
2
0
9
Alcoholic
11
0
2
0
13
Due to drugs
7
0
0
0
7
With Pellagra
l'.~~
7
3
2
8
20
With other somatic diseases
3
9
0
1
13
Manic depressive
79 150
40
68
337
Dementia praecox
45
73
40
76
234
Paranoia or paranoic condition...
0
0
0
0
0
Epileptic psychosis
24
5
18
6
53
Psychoneuroses and neuroses
3
9
0
0
12
With constitutional psychopathic
inferiority
10
0
0
0
10
With mental deficiency!..'
... 33
8
20
13
74
Undiagnosed psychoses
28
42
20
15
105
Not insane
2
1
0
0
3
Alcoholism without psychoses..
3
0
0
0
3
Drug addict without psychoses,
5
5
0
0
10
Epilepsy without psychoses
I 2
10
1
0
13
Phychopatic personality without
psychoses
1
6
0
0
7
Mental deficiency without psychoses
12
19
3
3
37
Total
346 384 201 226 | 1157
25
GEORGIA STATE SANITARIUM
TABLE II.
Diagnostic Grouping of First Admissions During Year 1923.
White
Phychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
M
2
Traumatic
17
Senile
23
With cerebral arteriosclerosis
General paralysis of the insane.— 16
2
With cerebral syphilis
3
With Huntington's chorea
0
With brain tumor
With other brain and nervous dis
3
eases
10
Alcoholic
2
Due to drugs
7
With pellagra
3
With other somatic diseases
51
Mania depressive
28
Dementia praecox
0
Paranoia or paranoie condition—
21
Epileptic psychoses
2
Psychoneuroses and neuroses
With constitutional psychopatic
9
inferiority
With mental deficiency
26
Undiagnosed psychoses
24
2
Not insane
Alcoholism
1
Drug addict without psychoses3
Epilepsy without psychoses
2
Psychopatic personality without
psychoses
Mental deficiency without psychoses
Total
264
r
Colored
M
F
Total
0
25
10
3
0
0
1
1
1
19
27
4
0
0
1
11
9
12
0
0
0
4
54
61
58
6
3
1
3
0
0
3
7
95
56
0
10
6
2
1
0
2
0
30
35
0
18
0
0
0
0
7
0
50
62
0
5
0
11
2
19
10
226
181
0
54
3
14
37
0
0
4
1
0
17
17
0
0
0
1
0
13
14
0
0
0
1
12
70
92
2
1
7
5
19
286
178
187
915
HH^^^HUBi
20
EIGHTIETH ANNUAL REPORT
TABLE III.
Diagnostic Grouping of Beadmissions During Year 1923.
Phychoses.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane—
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous dis
eases
Alcoholic
Due to drugs
With Pellagra
With other somatic diseases
Mania depressive
Dementia praecox
Paranoia or paranoic condition__
Epileptic psychoses
Psyehoneuroses and neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychoses^
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic personality without psychoses
Mental deficiency without psy
choses
Total
White
Colored
M
M
F
0
0
1
2
1
0
0
F
Total
0
0
0
2
1
0
0
0
0
3
4
2
0
0
0
0
0
1
1
18
14
0
0
0
2
1
5
1
3
111
53
0
4
4
(I
0
0
0
0
1
1
0
0
0
0
3
20
14
1
2
4
0
0
0
0
3
0
0
23
39
1
0
5
0
0
28
17
0
2
1
1
0
0
0
2
55
17
0
2
3
0
1
0
0
0
10
5
1
11
5
0
2
2
0
2
5
5
0
3
3
82
98
(I
0
0
242
TABLE IV
Diagnostic Grouping of Patients Furloughcd During the Year 1923.
11
COLORED
WHITE
Rl I
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous diseasesAlcoholic psychoses
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
Constitutional psychopathic inferiorityMental deficiency
Undiagnosed psychoses
Not insane
Drug addict without psychoses
Constitutional psychopathic inferiorityEpilepsy without psychoses
Mental deficiency without psychoses
Alcoholism without psychoses
Total
_
0
0
o
0
0
0
0
0
6
4
1
0
27
1
0
0
0
3
4
4
0
0
0
0
0
0
R I
US
I)
3
4
I)
0
(I
o
2
0
0
1
0
10
24
0
5
0
4
14
(i
0
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
0 63
0 5
0 0
0 2
R I
I" S
0
0
01
0
0
0:
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
1
0
0
0
0
0
0
1
4
(12
35
1
3
4
0
7
12
0
0
0
0
0
0
Female
Male
Female
Male
Psychoses.
Rl I
U S
2
1
0
0
1
o
2!
2
0
0
0
0!
0
0
0
1
0
0
o: 0
1
II
0!
2
0
0
0
0;
o!
0
19
8l
0
0
0
5
0
3
0
01
0
0
0;
0
0
0
0
0
0
0
0
0
o
0
1
0]
0
50 132 73 15 961311 52)
6
0
0
47 30
01
U S Total
0
0
0
0
0
0
0
0
0
0
0
0
0
-2
2
0
0
0 0
0 0
o! 0
0 0
4, 1
0 1
31 20
1 13
0
0
3
0
o
7
3
2
0~ 0
0 0
01 0,
0, 0
0 0
0 0
1 41 51
oi 0
31
41
01
0
0
0
0
0
0
0
0
0
8
0
o| o
3
7
10
O
9
c
5
0
0
7
9
6
16
15
316
131
1
30
9
18
65
63
4
12
3
0
3
1
743
w
>
H
H
W
>
1—1
>
5d
w^wn
28
EIGHTIETH ANNUAL REPORT
TABLE V.
SURGERY.
Amputation of finger
Appendectomies
'___'
Appendiceal abscess drained
~
Autimeningo-coccus serum administered
I
Cyst (wrist) removed
Circumcisions
Cystotomies, supra-pubic
Currettage
Castration
~
Catherization, ureter
~__"
Cystoscopic, exam.
7
Curettage, perineorrhaphy, pvariotomy
"__
Dilation, currettage, salpingectomy, oorphorectomy_I"_"
Enucleation of eye
Empyema, resection of rib
Epididymitis suppurative operation
I
Fistulotomies
Fibromyomata removal
'
Hemorrboidectomies
"""'
Herniotomies
Herniotomies strangulated
~.V~S. ' ""
Hydrocele operation
Hysterectomies
CeUulitis incised and drained
"" "___'_
Salvarsan administered
"
Labor
Mastoidectomy
"
Nasal polypi removed
"
"_ ~~
Pterygium excision
" """
Paracentesis abdominalis
"
Reduction and fixation fracture femur"" "
Reduction and fixation dislocation shoulder
Reduction and fixation Colles fracture
Reduction and fixation fracture clavicle
Reduction and fixation fracture fibula
Reduction and fixation fracture ulna
Reduction' and fixation fracture metatarsal bone"
Keduction and fixation dislocated jaw
Tonsillectomies
Trephine extradural hemorrhage"——
Trephine exploratory
Trephine cerebral cyst
'"_
Urethrotomy external
I _'__
X-ray treatment epithelioma _ .
"
5
i4n
12
13
4
29
GEORGIA STATE SANITARIUM
TABLE VI.
Causes of Deaths of Patients Who Died During the Year 1923.
Alcoholism
Arterio-sclerosis
Appendiceal abscess
Carcinoma
Cirrhosis liver
Brain tumor
Dysentery (not defined)
Dysentery amoebic
Exhaustion of acute mental diseaseEnteritis acute
Erysipelas
Epilepsy
Heart disease organic
Hemorrhage cerebral
Heat stroke
Hernia, strangulated
Influenza
Myocarditis
Myocardium rupture
.
Meningitis, eerebrol spinal
Nephritis, acute
Nephritis, chronic
General paralysis of insane
Organic brain disease (not defined) —
Burn
Pellagra
Pneumonia, broncho
Pneumonia, lobar
Ptomaine poison
Septicaemia
Salpingitis
Status epilepticus
Syphilis, cerebral
Tuberculosis, acute miliary
Tuberculosis, pulmonary
Tuberculosis, laryngeal
Tuberculor pneumonia
Eracture femur
Ulcer of the stomach
Auto accident
Encephalitis
Gangrene of lung
Bronchitis
Pericarditis
Uterine fibroids
Unknown
Total
White
Colored
M
M
1
4
1
2
1 1
0
0
0
1
2
2 1
10
5
7
0
0
0
2
1
0
1
1
17
8
0
1
20
3
0
1
0
0
0
0
8
1
1
1
0
0
0
0
0
0
0
3
0
6
1
1
0
1
2
0
4
2
1
3
1
6
1
0
1
0
0
0
1
5
0
2
1
5
14
fi
0
0
0
0
0
1
9
0
1
0
1
1
1
1
1
1
1
5
105 | 87
Total
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
0
7
0
0
0
0
0
0
0
0
0
0
4
1
4
5
2
0
0
3
9
0
0
0
1
0
0
1
4
8
2
0
3
5
1
0
0
1
1
1
1
19
0
1
0
0
0
0
0
0
0
0
4
79
79
1
0
4
5
8
0
1
0
1
0
1
0
11
18
0
0
3
11
1
1
0
0
0
1
1
12
2
3
2
1
3
4
10
7
3
17
14
30
1
1
1
4
1
1
3
21
43
12
1
12
50
11
1
1
1
1
2
2
43
1
3
1
1
1
1
1
1
1
1
16
350
HM^H
EIGHTIETH ANNUAL REPORT
30
TABLE VII.
Admissions frdm the Various Counties Dining the Year 1923.
White
Colored
County.
M
F
M
F
Tota
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berricn
Bibb
Blecklcy
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
/ Evans ..
1
1
0
0
5
1
3
3
5
0
(i
U
2
0
1
2
0
0
0
1
1
7
1
0
1
12
5
5
3
1
2
0
5
2
6
1
3
2
3
1
2
0
1
7
1
0
1
3
1
3
2
5
0
1
0
0
1
0
0
0
0
3
1
0
0
0
0
6
0
1
3
3
3
0
1
0
0
0
0
0
0
0
29
2
0
0
0
0
1
5
0
1
3
1
1
12
0
0
3
1
9
1
0
0
0
1
0
0
0
0
24
0
0
1
0
0
0
1
1
1
2
1
8
2
2
0
0
2
1
1
0
5
0
0
1
2
1
0
2
18
4
4
Hi
9
4
31
0
3
9
7
15
5
2
0
2
2
17
1
1
1
80
9
10
11
4
4
1
13
3
13
6
5
14
9
8
2
1
5
11
7
2
8
11
6
4
9
7
0
0
2
0
10
3
3
7
0
0
3
2
1
4
1
0
1
0
10
0
1
0
15
2
5
2
0
1
1
3
0
5
2
1
4
0
2
0
1
2
3
1
0
1
6
2
0
t>
2
0
0
3
1
0
4
0
1
1
o
0
4
3
0
0
0
0
4
2
1
2
3
0
0
0
0
1 ;
o |
0 I
GEORGIA STATE SANITARIUM
Admissions from the Various Counties During the Year 1923.
(Continued.)
Colored
White
County.
F (Total
M
M ! F
Fannin __
Fayette
Floyd
Forsyfh
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham _.
Hall
Hancock
Haraldson ...
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis _Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether .
Miller
Milton
Mitchell ....
Monroe
Montgomery
Morgan
Murray
Muscogee --McDuffle
Mclntosh ...
2
3
11
7
5
31
1
0
2
5
7
5
4
50
1
0
0
5
9
0
5
4
2
3
8
5
0
1
3
G
1
2
2
1
3
3
1
7
2
0
1
2
2
4
2
2
0
1
2
0
1
1
0
.0
0
1
1
3
1
0
1
5
0
0
0
0
1
0
0
0
2
3
0
2
1
0
2
2
0
]
2
3
1
0
1
1
1
2
1 • 2
0
2
1
4
4
5
9
7
0
0
0
0
i
0
1
2
0
0
9
0
0
0
1
0
2
2
1
2
2
1
1
0
0
0
3
3
1
1
0
0
0
2
1
0
1
1
1
1
1
1
2
0
2
0
1
3
0
0
2
0
0
4
0
2
1
1
1
o !
4
0 I
2;
o
0
1
0
2
4
1
1
1
2
0
0
1
1
3
3
0
0
2
0
0
1
0
0
2
0
6
1
0
0
0
0
0
5
0
3
3
0
0
1
1
1
1
1
6
0
0
24
12
9
114
2
0
3
11
12
7
12
7
16
5
10
4
4
7
11
8
6
7'
7
1
2
3
2
2
6
2
13
2
1
2
1
7
2
o
11
1
2
6
4
3
10
10
24
1
1
..--.":--- '-.■-: -;>.--WM
EIGHTIETH ANNUAL REPORT
Admissions from the Various Counties During the Year 1923.
(Continued.)
White
County.
M
Newton
Oconee
Oglethorpe
Paulding -.
Pickens
Pierce
Pike
Polk
Pulaski
Putnam ...
Quitman ...
Rabun
Randolph ..
Richmond
Rockdale _.
Schley
Screven
Seminole __
Spalding ...
Stephens __.
Stewart __
Sumter
Talbot .._.
Talialerro
Tattnall ...
Telfair
Terrell
Thomas
Tift
Toombs
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware.
Warren
Washington
Wayne
Webster ...
Wheeler
White
Whitfleld __
Wilcox
Wilkes
Wilkinson _
Worth
Total
j
2
1
6
o
2
3
2
4
2
i Colored
F I M
3
1
1
7
5
1
0
6
0
0
2
1
3
4
0
0
4
0
5
1
2
2
0
0
1
1
0
3
4
3
1
2
0 !
Total
7
4
3
11
7
2
1
11
3
5
2
1
10
16
3
0
8
0
10
3
0
3
3
5
6
8
6
6
3
13
4
4 I
5
4
4
1
1
1
2
1
0
0
1
6
2
3
6
8
6
8
4
10
4
2
3
5
1
2
346
384
201 I 226 I 1157
33
GEORGIA STATE SANITARIUM
TABLE VIII.
Nativity of All Patients Admitted During the Year 1923.
White
Alabama
England
Florida
Georgia
Germany
Greece
Indiana
Ireland
Japan
Kansas
Kentucky
Missouri
Mississippi
North Carolina
Ohio
Pennsylvania __
Phillipines
South Carolina
Syria
Tennessee
Vermont
Virginia
West Virginia Unascertained .
Total
Colored
M
P
M
12
1
2
300
1
0
0
1
1
1
1
0
5
1
1
0
3
0
3
1
2
1
9
7
0
2
332
0
1
1
0
0
0
1
1
1
9
2
1
1
7
1
5
0
0
0
12
3
0
0
182
0
0
0
0
0
0
0
0
1
3
0
0
0
8
0
1
0
1
346
384
0
P Total
23
1
4
1032
0
2
1
0
0
218
0
0
0
0
0
0
0
0
0
2
0
0
0
5
0
0
0
0
0
0
201
226
1157
2
2
19
3
2
1
23
1
9
1
3
1
23
mmmm
34
EIGHTIETH ANNUAL REPORT
TABLE IX.
Classified Occupation of Patients Admitted During the Year 1923.
Agricultural Pursuits:
Farmers
Farmer's daughters
Farmer's sons
Farmer's wives
Farmers widows
Farm laborers
Gardener
Professional Service:
Ministers
Physicians
School teachers
Trained nurses
Domestic and Personal service:
Barber
Grave Digger
Houskeeper
Laborers
Laborer's wives
Laundress
Porter
Seamstress
Servants
Watchmen
Trade and Transportation:
Advertising agent
Clerk
Clerical workers
Bookkeepers
Electrician
Linemen
Merchants
Merchant's wives
Messenger
Office boy
Postmaster (assistant)
Printers
R. R. conductor
R. R. engineer
R. R. fireman
R. R. mail clerk
R. R. section hand
Real estate agent __
Salesmen
Stenographers
Stone worker
Street car conductor
Warehouseman
White
Colored
M
F
M
F Total
150
0
1
0
0
6
0
1
0
8
1
1
1
69
0
0
0
0
12
0
11
1
0
0
0
19
0
238
2
1
8
1
38
1
2
7
1
0
0
0
0
3
2
0
0
0
0
0
0
0
4
7
1
3
1
1
0
11
0
0
0
0
0
2
0
0
229
0
1
0
0
4
5
0
4
0
0
73
0
0
0
0
0
0
0
0
(54
15
0
23
3
0
35
0
5
1
293
99
1
23
3
4
40
2
0
13
0
1
2
1
6
0
0
0
1
3
1
1
1
1
0
1
8
0
2
1
1
1
1
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
14
2
3
2
1
8
1
1
1
1
3
1
1
1
1
1
1
8
4
2
1
1
0
1
0 I
o I
4
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
GEORGIA STATE SANITARIUM
35
Classified Occupation of Patients Admitted During the Year 1923.
(Continued.)
Manufacturing and Mechanical
Pursuits:
Brickmason
Carpenter
Carpenter's wife
Mechanics
;
Moulders
Painters
Plasterers
Upholsterers
Food and It's Kindred Products:
Cook
Fishermen
Ice dealer
Textiles:
Cotton mill employee
Cotton mill hand
Garment maker
Iron, Steel and Their Products:
Blacksmith
Plumber
Lumber and Its Manufacturers:
Box maker
Saw mill laborer
,
Turpentine laborer
Wood chopper
Miscellaneous:
Cigar maker
Hospital employee
Missionary
Student
None
Unascertained
Total
White
Colored
M
F
M
1
0
0
6
1
5
0
3
0
0
1
0
0
0
0
0
0
1
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
17
0
0
13
0
1
9
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
1
1
0
7
56
17
0
0
0
346
1
5
79
18
1
0
1
1
1
F Total
1
0
0
19
5
0
0
0
3
27
10
201
226
22
15
18
50
115
36
EIGHTIETH ANNUAL REPORT
TABLE X.
Ages of First Admissions During the Year 1923.
Classified with Reference to Principal Psychoses.
White Population.
-WHITE MALES.
Psychoses.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
__..
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic discascs-„
Manic depressive
Dementia Praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses—
With constitutional psychopathic personality
With mental deficiency
Undiagnosed
Not insane
Epileptic without psychoses
Mental deficiency without
psychoses
Drug addict without psychoses
Constitutional psychopathic
personality without psychoses
Alcoholism without psychoses
Total
Under
20
Over
70
Unascertained
Total
0
0
0
0
0
0
0
2
17
23
16
2
3
0
0
0
0
3
10
2
7
3
51
28
0
21
2
1
0
6
6
0
4
0
1
7
3
0
1
9
26
24
2
2
0
0
7
0'
0 0
0
34
56 48 47 1!)
21
264
37
GEORGIA STATE SANITARIUM
Ages of First Admissions.
WHITE FEMALES
Psychoses.
Traumatic
Senile
With cerebral artcrio-sclerosis—
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—
Manic depressive
Dementia praccox
Paranoid or paranoia condition
Epileptic psychoses
Psychoneuroses and neuroses—
With
constitutional
psyco
patliic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epileptic without psychoses
Psychopathic
personality
without psychoses
Mental deficiency without
psychoses
Total
5161 Over
6070 70
Under
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
3
0
2
1
1
0
0
3 0
4l 1
22 28
1
(I
0
0
J
1
1
0
0
18
Total
0
9
0
0
0
0
0
0
2
0
0
0
0
0
0
25
10
3
0
0
1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
2
0
0
0
0
3
0
0
3
7
95
56
0
10
6
0
0
0
0
0
0
3
14
37
0
1
0
67 72 60 22 31
Unascertained
12
286
■■■I
;:--W-.
38
EIGHTIETH ANNUAL REPORT
Ages of First Admission
COLORED MALES
Psychoses.
Traumatic
Senile
:
With cerebral arterio-sclerosis.
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseascs___
Manic depressive
Dementia praecox
Paranoid or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses.—
With
constitutional
psycopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoscs.
Psychopathic personality without psychoses
Mental deficiency without
psychoses
Total
Under
20
0
0
0
0
0
0
0
Over
70
1 0
0 0
1 4
0 0
0 0
Unascertained
Total
1
1
19
27
4
0
0
0
0
0
0
0
5
4
0
6
0
2
1
0
2
0
30
35
0
18
0
0
12
2
0
0
17
17
0
0
0
0
2
31
33 23
178
39
GEORGIA STATE SANITARIUM
Ages of First Admission.
COLORED FEMALES
Psychoses.
tinascertained
Under 2131
20 30 40
51161 Over
60i70 70
0
0
0
0
0
1
2
0
0
0
0
7
0
0
0
0
0
1
11
9
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
50
62
0
5
0
0
0
0
0
0
13
14
0
Traumatic
Senile
;
With cerebral arterio-sclcrosis
General paralysis oi insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—
Manic depressive __
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses—
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
1
0
0
0
0
0
0
0
I)
0
8
2
0
0
0
0
0
0
22
12
0
0
0
0
6
1
0
0
1
4
0 0
1
0
0
5
0
0
0
1
0
Total
CllOSGS -
Drug addict without psychoses
Epilepsy without phychoses
Psychopathic personality without psychoses
Mental deficiency without
psychoses
Total
0
1
0 0
0
2
19
56
187
40
EIGHTIETH ANNUAL REPORT
TABLE XL
Degree of education oi First Admissions. Classified with Reference to Principal Psychoses. 1923. White Males.
a w\a — \
—
»Sgp
o
BOi O O
K
Traumatic
Senile
With arterio-sclerosisGeneral paralysis of insane
Witli cerebral syphilis
With Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neuroses___
Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
,
Alcoholism without phyehoses
Due to drugs without psychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
4
Total
39
O
G
S
O
o o
O K
ra
©
H •
0
8
1)
2
0
2
0
0
0
6
9
2
1
0
2
17
23
16
2
3
0
0
5
0
1
1
22
6
0
11
2
1
4
0
2
0
17
17
0
3
0
3
10
2
7
3
51
28
0
21
2
1
1(1
II
0
5
4
5
1
9
26
24
2
80 , 13
27 '264
GEORGIA STATE SANITARIUM
41
Degree of Education of first Admissions. Classified With Reference to Principal Psychoses. 1923. White Females.
-So
o3 I ssfe gK $SW
W
Traumatic
Senile
—
With cerebral arteriosclerosisGeneral paralysis of insane
With cerebral syphilis
Huntfngton's chorea
Brain tumor
j
With other brain and nervous
diseases
;
Alcoholic
Due to drugs
With pellagra
With other somatic diseases—_
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neurosesConstitutional psychopathic in
feriority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without phychoses
Drug addict without psychose s
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
0
I
0
0
0
«
K
©
EH
0
25
10
3
0
0
1
3
0
0
3
7
95
5G
0
10
G
3
14
37
0
46
286
42
EIGHTIETH ANNUAL REPORT
Degree of Education of First Admissions. Classified With Reference to Principal Psychoses. 1923. Colored Males.
o
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses_Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phychoses
Drug addict without phychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
72
be
a>
"3
w
D
K
a
>
s*>
o
o
o
1
0
3
12
1
0
0
0
0
2
2
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
2
f,
1
0
0
1
1
19
27
4
0
0
0
0
0
0
0
12
16
0
7
0
0
1
0
0
3
5
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
2
1
0
2
0
30
35
0
18
0
0
1
7
0
0
0
3
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
3
GO
19
1
1
u
n
0
(1
2
2
0
0
0
0
3
0
0
17
17
0
0
16 178
43
GEORGIA STATE SANITARIUM
Degree of Education oi First Admissions. Classified With Reference to Principal Psychoses. 1923. Colored Female.
T3
0 in
CJ
ao
a
a>
T3
S3
02-r-l
DC
o>
M
w
IB -o
1
11
9
12
0
0
0
Traumatic
Senile
Cerebral artcrio-sclerosis
General paralysis of the insane.
Cerebral syphilis
Huntington's chorea
Brain tumor
With other brain and nervous
diseases
Alocoholic
Due to drugs
Pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses.-Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychosesDrug addict without psychosesEpilepsy without psychoses
Constitutional psychopathic in
feriority
Mental deficiency without phy
choses
Total
o
o
°a £°
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
53
61
37
27 187
EIGHTIETH ANNUAL REPORT
44
TABLE XII.
MALE
Environment of First Admissions During Year 1923. Classified With Reference to Prin
cipal Psychoses. White Population.
FEMALE
o
-a
P
Traumatic
1
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingdon's chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses.
Constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without phychoses
Constitutional psychopathic
inferiority
Mental deficiency without
psychoses
Total
o
0
5
6
11
1
1
0
25
in
3
0
II
1
1
7
1
2
2
22
II
0
5
2
0
3
7
95
56
0
10
6
6
13
9
1
3
14
37
0
0 !
111 143
0
3
2
1
0
4
1
1
0
I)
G
3
8
264
104 105
28G
45
GEORGIA STATE SANITARIUM
EEMALE
MALE
Environment of First Adniis
sions During Year 1923. Classified With Reference to Prinpal Psychoses. Colored Population.
Traumatic
Senile
With cerebral artcrio-sclerosis
General paralysis of insane—
With cerebral syphilis
Huntington's chorea —
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases.—
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psysoncuroses and neuroses—
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed __ __
Not insane
Alcoholism without psy
choscs
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
0
0
8
13
3
0
0
1
1
11
13
1
0
0
1
L
1!)
27
4
0
0
0
10
6
4
0
0
0
1
11
9
12
0
0
0
0
1
0
0
0
6
9
0
4
0
2
0
0
2
0
24
24
0
14
0
2
1
0
2
0
30
35
0
18
0
0
0
0
6
0
33
32
0
3
0
0
0
0
7
0
50
62
0
5
0
0
4
5
0
0
13
12
0
0
17
17
0
0
13
11
0
0
0
3
2
54 121
178
64 114
187
EIGHTIETH ANNUAL REPORT
46
TABLE XIII.
Economic Condition of First Admissions Classified With Reference to Principal Psychoses. 1923. White Population.
MALE
FEMALE
o
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
insane
With cerebral syphilis
Huntington's choreaBrain tumor
With other brain and
nervous diseases—
Alcoholic
Due to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroses
and
neuroses
Constitutional psycho
pathic inferiority.
With mental deficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drug addict without phychoses
Epilepsy
without
psychoses
Constitutional psyco
pathic inferiority.
Mental
deficiency
without psychoses. 0
Total
0
0
0
2
17
0
25
23
10
2
0
0
0
16
2
3
0
3
0
0
1
0
3
0
0
3
2
6
1
G
0
0
3
10
2
7
2
40
16
0
2
4
3
51
28
7
95
56
0
14
0
6
0
21
0
10
1
0
2
6
6
1
9
3
14
16
1
11
3
0
26
24
2
14
37
0
1
0
1
3
0
3
2
0
2
1
0
1
2
2
6
33 163
40
28 264
1
38 173
45
30 286
47
GEORGIA STATE SANITARIUM
Economic Condition of First Admissions Classified With Reference to Principal psychoses. 1923. Colored Population.
FEMALE
MALE
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis.
Huntington's choreaBrain tumor
With other brain and
nervous diseases..
Alcoholic
Duo to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroscs
and
neuroses
Constitutional psychopathic inferiority.
With mental deficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drjig addict without psychoses
Epilepsy
without
psychoses
Constitutional psyeopathic inferiority
Mental
deficiency
without psychoses
Total
0
1
1
11
1
0
1
1
11
19
15
3
0
0
27
4
0
0
6
0
0
0
12
0
0
0
2
1
0
2
2
1
0
2
0
0
0
7
0
0
0
7
0
24
27
0
30
35
0
40
44
0
50
62
0
12
0
18
0
4
0
5
0
0
0
0
0
0
0
0
8
12
0
17
17
0
6
12
0
13
14
0
0
0
0
0
0
0
0
0
0
1
1
1
0
0
0
0
0
3
0
2
178
129
18 118 | 33
0
0
0
3
34
n; 187
TABLE XIV
MALE
EEMALE
Civil Condition of First Admissions Classified With Refer
ence to Principal Psychoses. Year 1923.
White Population.
«c
« a
x
0
4
3
2
0
0
1
1
0
0
2
5
60
28
0
4
3
0
3
23
0
0
2
0
0
0
Traumatic
Senile
With cerebral arterio-sclerosis
-_.
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With other brain and nervous diseases
Brain tumor
Alcoholic
Due to Drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiorityMental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiorityMental deficiency without psychoses
Total
1112 119
24
0
2
7 264
76 141 | 54
C
0
25
10
3
0
0
3
1
0
0
3
7
95
56
0
10
6
3
14
37
0
0
4
1
0
9 286
H
O
X
§
a
>
55
55
>
H
O
fa
FEMALE
MALE
Civil Condition of First Admissions Classified With Keference to Principal Psychoses. Year 1923.
Colored Population.
02.S
03 03
03 03
Psychoses.
Traumatic
Senile
With cerebral arteno-sclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
r
With other brain and nervous diseases
Alcoholic
Due to drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic conditionEpilepsy
Psvchoneuroses or neuroses
With constitutional psychopathic inferiority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic inferiority without psychosesMental deficiency without psychoses
Total
J-
3
0
0
G
7
1
0
1
0
0
1
0
7
26
0
12
0
0
16
3
1
0
7
17
1
0
0
1
84
0
1
0
19
5
0
3
0
0
1
11
67
x &
J
1 !
5
2
0
0
0
0
0
0
1
2
0
2
0
0
0
2
0
0
0
0
0
0
17
1
1
19
27
4
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
0
1
0
0
2
2
0
0
0
0
0
1
5
0
8
11
0
1
0
0
10
2
0
0
0
1
0
3
0
1
5 178 . 43
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
11
9
12
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
0
2
2
3
7 187
0
0
0
0
1
1
0
0
II
88
44
O
H
O
o
>
H
H
m
>
t-H
>
1—4
d
EIGHTIETH ANNUAL REPORT
50
TABLE XV.
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. White Males.
Vl £D
T
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the
insane
With cerebral syphilis
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praccox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neunoses
Constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority
without psychoses
Mental deficiency without psychoses
Total
I
0
16
0
0
14
5
0 i
0 I
7
1
0
16
4
0
I I
1 '
0
0
II
(I
0 i
0
2
2
0
1
1
7
12
0
10
0
0
0
9
10
0
0
0
0
o I 0
0
0
0
0
1
0
3
10
18 | 15
28
105
51
GEORGIA STATE SANITARIUM
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. White Females.
fH T3
-o>
>
o
T
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis-.
Huntington's chorea
With other brain and
nervous diseases
Brain tumor
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic contion
With epilepsy
Psychoneuroses and neuroses
Constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Total
o
0
5
& s
,__
53 S3
a-w
t>
o
H
0
19
0
14
o
2
2
0
l
0
0
0
0
0
1
0
0
2
0
2
1
1
10
15
0
1
0
2
0
0
2
3
14
0
1
1
3
0
15
18
21
0
87
»...>■ (.y.-jm
52
EIGHTIETH ANNUAL REPORT
Ages of Patients at time, of Death. Classified With Reference to
Principal Psychoses. Colored Males.
Traumatic
Senile
With cerebral arterio-sclcrosis
General paralysis of the
insane
With cerebral syphilis
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
0
With epilepsy
1
Psychoneuroses and neunoses
; 0
Constitutional
psychopathic inferiority
| 0
With mental deficiency
4
Undiagnosed
Not insane
Total
5
53
GEORGIA STATE SANITARIUM
Ages of Patients at time of Death. Classified With Reference to
Principal Psychoses. Colored Females.
SHT3
03 03
0
0
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis—
Huntington's chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With Epilepsy
Psychoneuroses and neunoses
Constitutional
psycho
pathic inferiority
With mental deficiency—
Undiagnosed
Not insane
Total
0
0
0
11
0
0
0
2
0
0
0
0 ; 0
1
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
o I 0
2
0
0
1
0
21
1
9
0
0
0
2
0
10
9
0
5
18
20
13
13
79
54
EIGHTIETH ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
White Males.
t*
Psychoses.
(H
>
c
Traumatic
0
Senile
3
With cerebral arteriosclerosis
1
General paralysis of the insane 2
With cerebral syphilis
0
With Huntington*s chorea—
0
With other brain and nervous
diseases
0
With brain tumor
0
Alcoholic psychoses
0
Psychoses due to drugs
0
With pellagra
0
With other somatic diseases—
0
Manic depressive
1
Dementia praecox
0
Paranoia or paranoic condition 0
Psychoses with epilepsy
0
Psychoneuroses and neuroses— 0
Psychoses with constitutional
psychopathic inferiority
n
WTith mental deficiency
0
Undiagnosed psychoses
3
Not insane
0
Total
10
o
EH
0
7
8
5
0
0
0
1
2
5
1
0
0
4
6
3
0
0
0
1
0
1
0
0
0
0
0
0
(I
If.
17
16
1
0
0
0
1
0
1
1
3
1
0
1
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
3
0
0
1
0
1
0
0
0
2
2
0
2
0
0
0
0
0
0
0
1
3
0
1
0
2
0
2
0
1
1
7
12
0
10
0
0
1
1
0
0
1
0
0
0
4
1
0
0
0
0
0
1
2
1
0
1
9
10
0
30
11
27
10
9
8 105
0
0
II
55
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
White Females.
h
H
Psychoses.
o
H
Traumatic
Senile
-With cerebral arteno-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseasesManic depressive
Dementia praecox
z':~~~
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses.
Psychoses with constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total
»
U
0
1
2
0
0
0
0
20
6
2
1
0
0
0
1
0
0
2
1
0 I 10
15
1
1
0
0
0
0
2
0
0
0
0
0
2
2
0
<1
1
0
0
I 11 I 10
13
1
4
14
0
21
7
13
12
87
5G
EIGHTIETH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
Colored Males.
Psychoses.
§
o
EH
Traumatic
Senile
With cerebral arterio-sclerosis—
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases—
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses—
With constitutional psychopathic inferiority*.
With mental deficiency
Undiagnosed psychoses
Not insane
Total
1
0
0
0
0
0
0
2
1
20
19
2
0
0
2
0
2
0
0
0
0
0
0
0
1
0
0
0
0
3
0
0
u
u
2
0
0
0
2
0
8
7
0
5
0
n
0
0
in
4
0
0
II
1
0
0
o
3
0
23
16
11
19
0
0
0
0
1
0
0
7
4
0
3
2
79
GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital.
Classified With Reference to Principal Psychoses.
Colored Females.
.O
a©
Psychoses.
■i>
T3
UJ
Traumatic
Senile
With cerebral arterio-sclerosis__
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total
Tfl
fi
ao
CO
Tfl
fi
ao
T—<
O
4->
o
-t-3
TH
t^
n
u
Tfl
Tfl
U
lO
O
-M
<M
C3
t-(
a>
o
o
o
■+J
o
_l
1—(
u
T—1
«o
o
4s
i
*■<
¥
"
o
Ei
2
0
0
5
1
3
1
0
0
2
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
0
0
0
1
0
4
1
0
0
0
0
0
0
0
0
0
2
2
0
0
0
1
0
0
0
0
0
7
2
0
1
0
1
0
0
0
0
3
2
0
0
0
1)
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
1
0
21
9
0
2
0
0
1
4
0
0
2
2
0
0
2
1
0
0
5
0
0
0
0
0
0
0
0
1
0
0
0
1
0
0
10
9
0
14
16
17
19
7
3
3
79
0
2
0
3
0
0
0
1
>>
o
0
11
4
8
2
0
2
0
(I
58
EIGHTIETH ANNUAL REPORT
Report of Pathological Laboratory
FOR THE YEAR
DR.
1923.
R. C. SWINT, Superintendent.
Dear Sir:—The following Report of the Pathological
Laboratory for the year 1923 is submitted:
RESUME
SEROLOGICAL EXAMINATIONS,
as follows:
Blood (serum) for the Wasserman (Noguchi) reaction_l,271
Cerebrospinal Fluid, for the Wasserman (Noguchi),
Colloidal Gold, Noguchi's Butyric Acid, and RossJones reactions, and Cell Count
346
CLINICAL LABORATORY EXAMINATIONS,
as follows:
Urinalysis
1,378
Feces, for parasites or ova, or for occult blood
487
Sputum, for tubercle bacilli
365
Blood, Chemical examination, including dextrose, creatinine, urea, uric acid, non-protein nitrogen, cholestrol, chlorides, and carbon dioxide combining capacity
51
Blood, Films for malaria parasites
67
Blood, for determination of coagulation time
9
Blood, Counts, red, white, or differential
366
Gastric Contents or Vomitus
5
Films of Exudates
46
Blood, for type determination
30
Hemoglobin estimations
35
Brain (dog), films for Negri bodies
6
Cerebrospinal Fluid, special cytologieal examination
10
BACTERIOLOGICAL EXAMINATIONS,
as follows:
Cultures of Blood
Cultures of Exudates or other Body Fluids
Widal tests
.
Autogenous Vaccines prepared
Milk
Human Milk
Animal I noeulations
15
22
34
18
39
1
3
GEORGIA STATE SANITARIUM
PATHOLOGICAL EXAMINATIONS,
as follows:
Necropsies
Postmortem Examination of Animals
Surgical Tissue specimens
r
59
21
10
9
Serological Examinations
Of the 1,271 examinations of blood for the Wassermann
reaction, 1,120 were "routine" specimens, that is, were for
patients admitted to the institution during the year. A tabulation of the results of these examinations follows:
Ha.ce
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Number
examined
382
320
222
196
4-plus
reaction
9
32
34
116
Percentage
2.3
10.0
15.0
10.3
The average percentage of 4-plus reactions found in the
routine examinations of the blood for the Wassermann reaction during the years 1914-1923, inclusive, is 13.7.
Of the 346 specimens of cerebrospinal fluid, 267 were
from patients admitted during the year. A routine examination of the cerebrospinal fluid has been made in the case of
each patient whose blood gave a positive Wassermann reaction. In the following tabulation the results of these routine
examinations are shown with reference to race and sex, those
marked "pathological" being specimens which showed concomitant positive changes in the Wassermann, colloidal gold
and globulin reactions, and in the cell count.
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Number
examined
54
47
63
103
Number
pathological
4
18
11
28
Percentage
pathological
7.4
38.3
17.4
27.1
Clinical Laboratory Examinations.
The following enumeration of intestinal parasites or ova
found, either alone or associated with other parasites or ova,
in the 346 specimens of feees examined, may be of interest:
60
EIGHTIETH ANNUAL REPORT
Necator americanus ova
Ascaris lumbricoides ova
Trichuris trichiura ova
Strongylus stercoralis embryos
Cercomonas intestinalis
Oxyuris vermicularis ova
Bndameba histolytica
Endameba coli
Hymenolepis nana ova
52
24
113
26
13
1
6
4
Mr. Leaptratt, the senior technician, has found 4 cases
of Linguatula serrata infestation in 6 dogs killed near the
Sanitarium that were thought to be suffering from rabies. No
Negri bodies were found, however, in the brains of these
animals.
Blood Chemistry.
A group of otherwise healthy epileptic patients has been
studied with reference to the chemical composition of their
blood. Similar examinations have been made in a control
series of healthy non-epileptic patients and employes. No
marked difference has been noted in the findings for the two
groups.
Necropsies.
Only 20 necropsies were performed during the entire year.
In accordance with your instructions, summaries of the
necropsy findings are, for reason of brevity, omitted from
this report.
Respectfully,
\
E. B.
SAVE,
Pathologist.
GEORGIA STATE SANITARIUM
61
Dentist's Report
FOR THE YEAR
DR.
R. C.
1923.
Superintendent.
Milledgeville, Ga.
SWINT,
Dear Sir:—I have the honor of submitting the following
report of the Dental Department for the year ending Dee. 31st,
1923.
Believing that the Dentist's most urgent duty to his
patients is relief of acute suffering, those having the patients
of the Institution in their immediate charge are instructed
to report, at once, such cases as are in need of emergency
dental treatment. That these patients may have prompt attention certain hours of each afternoon are set aside for this work.
Temporary dental work is afforded those patients whose
term of residence within the Institution is likely to terminate
at a reasonably early date, in order that their teeth may not
deteriorate during the period which must elapse before they
can again return to their own dentists.
There are many patients, however, whose habits of cleanliness, whose desire to preserve their teeth and whose willingness to co-operate are such as to warrant the most careful
treatment, yet whose mental condition is such as to promise a
stay of indefinite length within the Sanitarium. Such patients
are given thorough attention and work of a permanent nature.
An examination of the mouth of each patient is made
promptly after admission, one morning of each week being set
aside for this purpose.
The Dentist resides within the Institution and is subject
to call at all times.
Below will be found an itemized statement of the work
done in this Department during the year 1923.
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
828
4
263
120
21
40.
62
EIGHTIETH ANNUAL REPORT
Gold inlays
Acolite inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Application mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over 3rd molar
Treating gums about 3rd molar
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted 3rd molar
Dislocations reduced
Removing sequestrum
Special calls to wards
Number of new patients examined
Number of patients treated
!i
26
1
3
6
18
18
67
52
2
6
33
1
14
17
9
32
2
6
117
12
3
15
13
6
2
4
1
6
13
4
6
3
41
2
2
2
1
196
1,151
893
Total number of operations and treatments
1,841
Respectfully submitted,
GEORGE
II.
GREEN,
Dentist.
GEORGIA STATE SANITARIUM
63
Report of Superintendent of Nurses
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the Training
School for Nurses for the year beginning January 1st, 1923
and ending December 31st, 1923.
Every effort has been made to raise the school to the
highest standard. Today it is classed with the best schools in
the State of Georgia.
All students admitted within the last year have had at
least one year high school education and quite a number are
high school graduates. We hope within a short time to admit
only high school graduates.
The affiliation course of six months with Memphis General
Hospital, Memphis, Tennessee, and the University Hospital,
Augusta, so far, has been very satisfactory.
At present students have their affiliation course in their
senior year but we hope in the near future to place it in the
junior year and give all their theoretical training in this school.
The annual commencement of the Training School was
held October 18th, at eight o'clock in the amusement hall, Dr.
R. C. Swint, Superintendent, presiding. The class address
was very ably delivered by Rev. Dr. Carr of the First Presbyterian Chuch of Savannah.
The diplomas were presented by Hon. John T. Brantley,
President of the Board of Trustees, who always gives the
graduates very wholesome advice in a very pleasing manner.
Mr. E. E. Lindsey, Chairman of the Executive Committee
Board of Trustees, presented the hospital pins.
Mrs. L. P. Longino with her usual sweet soprano voice,
sang, June Is in My Heart, by Graham Vaughn and Song of
Love from Blossom Time.
A reception and dance followed, music being furnished by
the Sanitarium Band.
The following are the names of the graduates receiving
diplomas:
64
Miss
Miss
Miss
Miss
Miss
Miss
EIGHTIETH ANNUAL REPORT
Agnes Barker
Ella Mae Digby
Cora Albertha Fomby
Adeline Joiner
Mattie Lou Stanley
Mary Jane Taylor
Miss
Miss
Miss
Miss
Mrs.
Miss
Gladys Lee
Priscilla Kate Messer
Mattie Lona Patterson
Sara Ann Pearson
Thyrza B. Smith
Pennie Ella Willoughby
The total number of graduates is one hundred and seven,
many of whom are holding very responsible positions in the
various hospitals throughout the United States.
PLAN OF INSTRUCTIONS.
\
The course extends over a period of three years including
three months probation and six months affiliation in some general hospital. The course consists of lectures, recitations,
demonstrations and practical work on wards, diet, kitchen,
hydrotherapy, occupation therapy and laboratory.
NURSING STAFF.
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Hydrotherapy Nurse
X-Ray Technician
Graduate Nurses employed as Head Nurses
Senior Nurses in School
Junior Nurses in School
Freshmen Nurses in School
Total number of Student Nurses
Number White Female Attendants
Number of vacancies
]
4
"
•>
4
4
4
~ g
9
10
~ " 45
_ 34
145
Q
CURRICULUM.
First Year.
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstration
Materia Medica
Dietetics
Bandaging
History of Nursing
32 hours
g >>
_ 24 "
46 "
_ 20 "
46 >>
20 "
g >>
" 40 >>
65
GEORGIA STATE SANITARIUM
Second Year.
16 ho urs
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Obstetrics
Hydrotherapy
Massage
Dietetics
Bacteriology
Mental Diseases
Oral Hygiene
Occupation Therapy
26
6
16
1°
"
10
2
^
j6
1°
16
16
.
Third Year.
Surgery
Eye, Ear, Nose and Throat
Chemistry
Gynaecology
Pediatrics
Diseases of Nervous System—
j°
i»
|^
|°
j°
1°
On May 1st, the Nursing Staff was reorganized and four
Supervisors were placed in charge of the different services.
Am glad to report this has been very satisfactory as to the
services rendered the patients, the general up keep of the
wards and the issuing of supplies.
In October, a course in Care of the Mentally Afflicted,
was given all attendants by Dr. N. P. Walker, Clinical Director The object was to teach the attendants how they might
render better service to the patients. Very good results were
obtained from these lectures.
I wish to thank you for your kind consideration and help,
and the Medical Staff for lectures and medical services rendered the students and all other Officers who assisted in
teaching during the year.
Respectfully submitted,
MAE
M. JONES, R. N. (Ohio)
Superintendent of Nurses.
EIGHTIETH ANNUAL REPORT
66
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent.
Dear Sir:—The following is a report of the pharmaceutical department of the Georgia State Sanitarium for the year
of 1923.
The work of the laboratory and prescription departments
show about the same amount as the previous year, with the
exception of a germicide which we now make for the extermination of bed bugs and other insects. This being brought
about at the suggestion of our Clinical Director.
It is gratifying to state that we not only run our purchases lower for this year, but have done so each year for the
past four years. This being partly due to the fact that we
were fortunate in securing some surgical supplies and chemicals that was put on the market by the War Department.
I appreciate your co-operation, also that of the Trustees,
the Clinical Director and Medical Staff in aiding me to carry
on the work of this department.
Below is a condensed list of manufactured products.
Tinctures, Spirits and Extracts
2,103 Jjbs.
Elixirs
1,276
Syrups
782
Ointments
88
Liquors, Lotions and Mixtures
1,204
Library Paste
12
Medicated Dusting Powder
5
Indelible Ink
32
Glycerites
112
Liniments
128
Capsules, Quinine, Anodyne and Influenza, tilled__10,500
Germicide
150 Gallons
67
GEORGIA STATE SANITARIUM
1923.
STATEMENT
Dec. 31st, Inventory as of Dec. 31st, 1922
$ 5,300.95
Purchases During the Year
Drugs, Chemicals, Dental, Surgical and
Laboratory Supplies
$10,870.33
Freight and Express
392.19
Total
Less Goods Returned
$11,262.52
483.90
Total
$10,778.62
Deduct: Inventory at Dec. 31st, 1923
$16,079.57
4,970.87
Goods to account for
$11,108.70
Credits
Departmental Sales
Prescriptions filled for Wards, 32,258
aggregating
$10,574.20
Sales to Officers and Employees
534.50
Total
$11,108.70
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
68
EIGHTIETH ANNUAL REPORT
Report of Treasurer
Statement of receipts and disbursements of the Treasurer
of Georgia State Sanitarium for fiscal year ending December
31st, 1923.
Dec. 30th, 1922, Bal. Cash on Hand__$ 23,785.72
To Maintenance Fund
800,000.00
To Recovery Bank of Emanuel
through Banking Dept
3,000.00
To Interest on Bank Balances
873.18
To Sanitarium Steward
6,353.08
To Gov. Walker Acct. Fire Loss
24.35
$834,036.33
Disbursements for Fiscal Year Ending Dec. 31st,
1923 ____
$833,446.21
Dec. 31st, 1923, Bal. Cash on Hand
590.12
$834,036.33
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank we certify that above report is
correct and we further certify that at close of business Dec.
31st, 1923, there was to the credit of Otto M. Conn, Treas. Ga.
State Sanitarium the sum of Five Hundred Ninety Dollars
and Twelve Cents.
OTTO
M. CONN,
Treasurer Ga. S. S.
H. G. BANKS,
Asst. Cashr. Ex. Bank.
H. H. HERNDON,
N. P., B. Co., Ga
GEORGIA STATE SANITARIUM
G9
Statement of receipts and disbursements Treasurer Georgia State Sanitarium, Patients' Account, fiscal year ending
Dec. 31st, 1923.
Dec. 30th, 1922, Bal. Cash on Hand
To Sanitarium, Steward
$ 9,928.91
16,650.41
$26,579.32
Disbursements for year ending Dec. 31st, 1923
Dec. 31st, 1923, Bal. Cash on Hand
$15,552.29
11,027.03
$26,579.32
As Treasurer Georgia State Sanitarium, Patients' Account, and as Asst. Cashier Exchange Bank, we certify that
the above report is correct and we further certify that at
close of business Dec. 31st, 1923, there is to the credit of Otto
M. Conn, Treasurer Georgia State Sanitarium, Patients'
Account the sum of $11,027.03.
M. CONN,
Treas. Ga. S. S. Patients' Acct.
OTTO
H. G.
BANKS,
Asst. Cashr. Ex. Bank.
Witness:
II. H. HERNDON,
N. P., B. Co., Ga.
70
EIGHTIETH ANNUAL REPORT
Report of Farm Steward
January 1st, 1924.
DR.
R. C. SWINT, Superintendent.
Georgia State Sanitarium.
My Dear Sir:—I beg to submit a report of the foodstuffs
produced in my department for the fiscal year ending December 31st, 1923.
Beets
Beans, butter (shelled)
Beans, snap
Beans, velvet
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting cars
Corn, sillage
Cucumbers
Fodder
Lettuce
Oats, shelled
Oats, hay
Oats, straw
Okra
Onions
Peas, green
Peas, garden (shelled)
Peas, seed
Peppers
Peayine hay
Pork
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
Kye
Squashes
omatoes
Turnips ...
Turnips and greens
Watermelons
Strawberries
B. Berries
Dairy:
Sweet milk, dairy
Sweet mi k, Colony
Buttermilk
Butter, dairy
429% bushels
lie bushels
1.720% bushels
00,380 pounds
53,368 heads
31,930 heads
350
7,511 bushels
72,079 ears
500 tons
72% bushels
(18,756 pounds
4,050 heads
2,575 bushels
50 tons
47,375 pounds
208% bushels
979y2 bushels
29% bushels
154 bushels
1,181 bushels
108 bushels
269,860 pounds
pounds
66525
8,161 bushels
756% bushels
bushels
196
1,721 bushels
256 bushels
bushels
671
1>048y crates
3,788y2 bushels
2,547% bushels
6 564
~;~
750
quarts
752
quarts
77i045
3053
28i)
699
gallons
n
|aU
pounds
71
GEORGIA STATE SANITARIUM
Butter, CMony
Sweet cream
Beet
Green hides
Calves
Sacks
Manure, 1,690 loads sent to field.
Chicken Yard:
Chickens (hens), issued
Friers, issued
Eggs, issued
Eggs, set
feffit
%ounds
p0Un(is
550
^
14
49gl
1043
sold
112
„ fifi„ (,ri7m
2-663 dozin
lid/3 dozen
In addition to this we have cut about 500 cords of wood.
Cleared about 30 acres of new ground. All coal fromthe
Chutes has been distributed by this department. We have
spent considerable time working and improving the road system around the institution. Two of the most important improvements to the roads was the widening of the road in front
of the center building yard and the widening and raising of
the road in the back yard and adopting a one-way drive, this
eliminating a great deal of danger when going in and out ot
the back yard gates.
During the year I kept four mules and one horse for their
board. We had two old mules to die during the year.
There has been several improvements made down on the
farm and at the dairy. On the farm by changing fences and
cleaning up fence rows, hedgerows and swamps. At the dairy
bv building a new barn and installing a 4-inch water mam and
putting in fire plugs; also by putting in new equipment in one
end of the barn, including individual drinking cups. I consider the drinking cups very important to the health and productivity of the cows.
During the year we made all the calf feed fromfoodstuffs
produced on the farm. We also furnished all but about 50
C of hav for the dairy. We did not buy any cotton seed
Sit S. In audition to the above work, there has been
several things done that are too numerous to mention.
I wish to thank you, the Board of Trustees, the officers
of the institution and others for the gratitude and co-operation
shown me throughout the year.
Respectfully,
F. C. PENUEL,
Farm Steward,
72
EIGHTIETH ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
SUPERINTENDENT AND RESIDENT PHYSICIAN.
Dear Sir:—Please find below the animal report of the
Engineer's Department for the year ending December 31st,
1923:
'
IMPROVEMENTS
Some work on the John T. Brantley Building has been
done during the year, but all operations have been suspended
now on account of a lack of funds. During the period in which
work was carried on the partitions dividing the interior into
rooms have been put in and most of them lathed. The interior
wiring has been done also and the top story plastered.
The grounds immediately in front of the John T. Brantley
Building have been graded, the terrace sodded and the lawn
planted with Bermuda grass. A concrete walk has been laid
up to the building from the walk leading from the Powell
Building.
Cencrete slop stands for holding the slop barrels have
been constructed in the back yards of all the buildings. A hot
water supply has been run to each stand and all of them are
connected to the sewers.
A water closet in the recreation yard of the Whittle Building and one in the yard at the Cabaniss Building have each
been improved by having side walls built to them, forming
urinal stalls. These stalls have a water supply and are connected to the sewer.
A new wire fence has been built around two sides of the
patients' recreation yard on the west side of the Powell Building and a wire fence has been built dividing the 27th ward
yard from that used by the patients on the east side of the
Powell Building.
The pipe line at the water works leading from the relief
valve on the electric pump has been changed so as to discharge
into the clear water basin instead of into the suction well. A
fitting having a glass protected observation window in it has
been placed on this line just below the relief valve.
GEORGIA STATE SANITARIUM
Two water closets have been installed in the basement of
the Powell Building and partitions built around them. These
closets are for the use of the cooks working nearby.
Three hundred feet of hot water pipe leading to the cottages on the east side of the institution have been replaced
with new pipe.
Three closets have been built between the arches in the
basement leading to the sewing room. These closets being for
the storage of dry goods.
Six water closets in the L. M. Jones Building have changed
from the old seat-flushing kind to the overhead-tank flushing
type.
The new flower garden in front of the Powell Building
has been piped for water.
A telephone has been installed in the office of the Supervisor in the Green Building and one in the Whittle Building.
A brick addition to the bakery has been built for the storage of the day's baking of bread.
A concrete constant head sulphate of aluminum tank has
beeen made and installed at the water works. This tank has
a glass float valve and a variable control orifice outlet made of
rubber.
The water level in the pipe line between the pump in the
water works building and the clear water basin has been raised
by the addition of a 12-inch 45-degree elbow at the discharge
end. The purpose of this raise being to keep the pipe fullof
water at all times, thus ensuring a better mixing of the chlorine
gas used in sterilization.
The water pressure at the "Hospital" Building has been
improved by running a new line from the mains in front of
the Twin Buildings. The old pipe line has been taken up,
cleaned out and laid in the new line to the dairy.
A 4-inch cast iron water pipe line has been run from the
rear of the Twin Buildings to and around the dairy buildings
and a line of fire hydrants placed on each side of the buildings
there New water pipes have been put throughout the dairy
buildings and fifty stalls have been equipped with individual
automatic drinking cups for the cows.
All of the buildings, including the silos, with the exception of the last barn built, which was whitewashed on the inside, have been painted inside and out.
74
EIGHTIETH ANNUAL REPORT
An entrance has been made into the Supervisor's office at
the Negro Building from the outside, and a small covered
porch built over the doorway. This enables the employees
and the public to enter the office without first having to pass
through the Supervisor's private quarters.
The temporary stage in the amusement hall has been
taken out and a permanent one bu ilt in its place.
The barn at the dairy, begun last year, has been completed. This building is 120 feet long by 156 feet wide. Its
construction is similar to the other barns, and while the interior has not been made with cement floors and stalls for the
cows, the construction is such that it can be changed for milch
cows without disarranging the construction.
The old boilers in the L. M. Jones Building have been
removed and replaced with now and larger ones. The larger
boilers being for the purpose of supplying steam for the heating of the John T. Brantley Building, as well as the storehouse and the L. M. Jones Building. The old brick chimney
has also been replaced with a taller and larger one.
A larger duplex steam pump and receiver has been placed
in a new position in the pump pit of the L. M. Jones Building
boiler room, and a new system of hot water supply installed.
These two items being for the care of the L. M. Jones Building,
the storehouse, three surrounding cottages and the John T.
Brantley Building.
An additional power table has been added to the sewing
room equipment. This table has two power sewing machines
on it.
All of the washing machines in the white laundry have
been overhauled and put in good shape. Four of these machines required new copper shells.
A 42-inch by 84-inch new Monel Metal Cascade Washer
has been added to the equipment of the white laundry.
A hot bed with glass top 120 feet long and 6 feet wide
has been built for the florist.
An eight-horse power vertical tubular boiler has been
installed at the dairy.
The wooden center sills in all of the older dairy buildings
have been taken out and replaced with others built of concrete.
New gravel and sand have been placed in the filters at
the water works and all of the 1,500 filter strainers taken out
and cleaned.
GEORGIA STATE SANITARIUM
75
The kitchen and dining room building at the "Hospital"
has been recovered with galvanized sheet iron.
The large box stalls on the south end of the dairy have
been taken out and replaced with stalls for the milch cows
similar to those in the balance of the building. The floor in
this part of the building has been relaid with concrete to conform with the balance of the work.
A marquee has been placed over the entrance to the John
T. Brantley Building.
The cottage occupied by Dr. Longino has been repaired,
banisters put to the front porch and painted inside and out.
A ventilator has been put over the toilet at the Apothecary.
A portion of the 14th ward has been cut off by a partition, making a much needed clothes room.
Clothes cabinets have been built in the bathroom of the
cottage occupied by Dr. Tanner, and the whole house has been
worked over and painted inside and out.
Clothes closets have been built in ten of the bath rooms
of the Powell Building.
A third story has been added to the porch at the Male
Convalescent Building.
A closet has been built in the dining room of the Cabaniss
Building.
The brick flooor in the colored laundry kettle room has
been replaced with one of cement. This floor has a drainage
to the center and connection with the sewer.
The cottage occupied by Dr. Cox has been repaired and
painted both inside and out.
Twelve steam radiators have been placed in the sun rooms
of the west wing of the Powell Building. Four of these are
new placements; the others take place of an old type of radiator which has never been very effective.
Clothes lockers have been built in the kitchens of the
Negro Building and the Twin Buildings for the operatives.
A new shingle roof has been put on the first cottage to the
south of the negro Building and the house put in good repair.
All of the employee's cottages on the south side of the
institution have been repaired and the roofs patched.
LUt^*""'"'
76
EIGHTIETH ANNUAL REPORT
A cement walk seven feet wide has been laid between the
south end of the storehouse and the east end of the Powell Center Building.
The wooden porch floor and steps in front of the Whittle
Building have been taken out and replaced with concrete.
The diet kitchen on Ward "0" has been removed to "C"
Ward, and a brick chimney built for the range. Sinks and
tables have been made for this kitchen.
A Delco lighting system has been bought and installed at
the "Colony." This takes the place of the old and worn-out
acetyline gas system used there.
A latticed framework has been built around the stairway
leading to the yard in the rear of the west Detached Building.
The grounds between the Powell and Jones Buildings
have been worked over and newly graded. The walks in this
area have been resurfaced and grass has been planted over the
lawns.
The old metal ceiling in four of the dining rooms at the
Negro Building has been removed and replaced with wood
ceiling.
The second and third floor apartments in the center building of the Male Convalescent Building have been painted.
The cottage occupied by the Steward has been painted.
The female T. B. ward has been painted on the inside
throughout.
The outside of the Storehouse Building has been given two
coats of paint and the inside of the building has been gone
over also.
The rooms and hallways on the 23rd Female Ward have
been painted.
The floors of the hallways in the Powell center building
have been waxed and polished twice during the year.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness repair
shop, the tin shop, the paint shop, broom factory and shoe
repair shop have been kept busy in manufacturing and repairing various articles used in the different departments.
Respectfully submitted,
T. II.
DESAUSSUKE,
Engineer.
77
GEORGIA STATE SANITARIUM
Report of Steward
FOR THE YEAR
DR.
1923.
R. C. SWINT, Superintendent.
Georgia State Sanitarium.
Dear Sir:—I have the honor of submitting the following
exhibits and schedules making up a detailed report of all receipts and disbursements through this office during the fiscal
year ended December 31st, 1923.
EXHIBITS:
1. Consolidated Cash Statement Receipts and Disbursements.
Analysis Cash Receipts and Disbursements, General
and Special Funds.
3. Balance Sheet at December 31st.
4. Statement of Income and Expenditure for Year.
5. Profit and Loss Statement', Farm and Garden.
6. Profit and Loss Statement, Dairy.
7. Analysis Expenditure Nurses' Home.
8. Analysis Incidental Account Shown in Exhibit No. 4.
SCHEDULES:
1.
2.
Accounts Payable as of December 31st.
Accounts Receivable as of December 31st.
A comparison of the per capita cost for the year with
that of 1922 follows:
Year
Per Capita
Per Diem
Patients
1922
$238.04
$0.65.25
3,918
1923
234.95
0.64.37
4,172
With a few exceptions, purchases have been promptly
paid throughout the year.
Cancelled vouchers and bills have been filed in the
Executive Department as required by law.
Respectfully submitted,
HOMER BIVINS,
Steward.
Exhibit No. 1.
Consolidated Cash Statement Receipts and Disbursements
General
Fund
DESCRIPTIVE
Balance from 1922_
Less due Treasurer-- _
Less due Special Funds
_
_
$15,052.74
Patients' Steward's
New
Fund
Fund
Buildings
$9,928.91
Patients' Support &
Deposits Maint'nce
$3,000.00
$34,400.87
$9,928.91
$46,453.61
Receipts:
Maintenance Appropriation, regular
Maintenance Appropriation, part 1921
Returned checks
Insurance—Colony Farm Loss
Interest on balances
Patients' deposits
Miscellaneous—Sales, etc.
$800,000.00
3,000.00
15.48
24.35
873.98
Balance
__—____•—
Transferred by Steward
$788,861.07
6,353.08
$9,928.91
16,550.41
$26,003.49
23,003.49
$34,400.87
$26,579.32 $763,813.28
Balance Disbursed on vouchers
$795,214.15
1,018,180.18
$26,579.32
15,552.29
$3,000.00
49,040.97
$34,400.87
35,943.74
$26,579.32 $763,813.28
948,747.76
$ 222,966.03
$11,027.03
$52,040.97
49,040.97
$1,542.87
$26,579.32 $184,934.48
15,552.29
33,488.68
$222,966.03
$11,027.03
$3,000.00
$1,542.87
$11,027.03 $218,423.16
Balance Disbursed by StewardBalance _
....
.
______
•
16,650.41
6,353.08
16,650.41
$800,000.00
3,000.00
15.48
24.35
873.98
6,353.08
H
Q
X
H
sH
X
>
•z
d
>
S)
H
o
i-3
Exhibit No. 1 (Continued).
Consolidated Cash Statement Receipts and Disbursements
O
H
O
ft)
SUMMARY
o
Due Treasurer, overdraft
Due patients' deposits
$222,966.03
11,027.03
Total
Less cash in hand, Treasurer
Less cash in hand, Steward
Less due by Nurses' Home Fund
$11,027.03
3,000.00
1,542.87
Total
Difference: Cash deficit Maintenance Fund
w
>
$233,993.06
H
w
>
H
$15,569.90
$218,423.16
>
Pi
Exhibit No. 2.
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Forward from 1922:
In hand Treasurer
In hand Steward .
$9,928.91
3,000.00
$12,928.91
State Appropriations:
Regular, for maintenance, 1923- $800,000.00
Regular for maintenance part
1921
3.000.00
$16,650.41
.
Old material, iron, brass, bar
rels, etc.
Sundries
$1,822.29
150.00
132.00
30.00
143.60
Trust Funds:
Patients' withdrawals
Support and Maintenance:
Officers' salaries
Wages Medical Dept
Wages Steward's Dept
Wages Engineer's Dept
Wages, farm, garden & dairy__
$15,552.59
592.38
48.74
$134.49
313.65
.14
a>
r
w
O
to
$242,381.62
549.75
2,970.76
$75,334.50
56,793.75
85,419.75
33,133.80
10,273.16
4,407.91
5
55
55
$245,902.13
Miscellaneous:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
O
K
X
>
$54,907.46
216,746.62
39,507.74
53,849.48
18,974.65
$383,985.95
Food supplies:
Wards
Superintendent's D. room
Steward's D. room
$2,919.01
Sales—Farm, Garden and Dairy:
Hides and calves
Farm products
.._
$15,052.74
$37,949.63
$803,000.00
Trust Funds:
Patients deposits
Miscellaneous:
Merchandise sales
Sales, bodies
Sales, drugs
Dental material
Medical books
DISBURSEMENTS
Paid O. M. Conn, Treas., overdraft from 1922
Special Funds:
Nurses' Home
$35,943.74
Occupation therapy
2,005.89
Exhibit No. 2 (Continued).
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Other:
Board special attendants
Telephone and telegrams
Wages
Interest on balances
Kents
Checks returned
Occupation therapy
Insurance—Colony Loss
Difference:
Overdraft, General Fund
Incidentals
$973.32
47.35
139.32
873.98
3.00
15.48
1,823.24
24.35
DISBURSEMENTS
58,648.36
$324,011.23
Farm and Garden:
Live stock
Vehicles and implements
Fertilizers
Seed
Sundries
75.00
2,664.28
9,064.50
623.41
361.79
$3,900.04
$222,966.03
w
>
$12,788.98
Dairy:
Feed
Misc. supplies
Sundries
>
and
230.55
$11,027.03
3,000.00
$14,027.03
Grand total
$1,062,812.54
Grand total
H
w
>
Z
10,911.25
1,956.50
674.51
$13 542.26
Total for support
maintenance
Balance Cash in Hand:
Treasurer
Steward
©
O
$1,062,812.54
Exhibit No. 3.
Balance Sheet at December 31st, 1923
LIABILITIES
ASSETS
Cash in Hand:
Treasurer, Patients' Fund
Steward, Working Fund
$11,027.03
3,000.00
$14,027.03
Miscellaneous:
Freight and express
Due by Nurses' Home Fund
Accounts Receivable:
Officers and employees
United States Public Health-—
Outsiders
Purchased Supplies:
Storekeeper
Sewing room
$6,392.39
1,666.35
$222,966.03
$11,027.03
277.39
123.68
$8,058.74
Salaries and Wages:
Employees, December
Officers, December
$849.96
Accounts payable:
Purchases for 1923
Surplus:
As of Jan.lst,1923
Less 1923 adjustment
>
•za
>
$28,630.64
5,124.10
$33,754.74
$11,071.30
$56,062.12
4,555.67
o
a
3
1-3
511,428.10
$430.61
320.68
98.67
$37,936.32
5,134.92
Due O. M. Conn, Treasurer:
Maintenance Fund
Due Special Funds:
Patients' deposits
Occupation therapy
Wing Whittle Building
F
to
H
O
to
i-3
Exhibit No. 3 (Continued).
Balance Sheet at December 31st, 1923
LIABILITIES
ASSETS
Engineer, fuel
Engineer, supplies
Cold storage
Pharmacist
Net to account for.
33,521.46
10,410.96
6,190.24
4,970.87
$51,506.45
O
O
o
$98,164.77
Farm Products on Hand:
Earrn and garden
Dairy
w
$18,742.65
2,912.00
>
H
H
$21,654.65 !
Property Accounts:
Live stock, farm and garden
Live stock, dairy
03
>
$17,621.00
17,745.00
H
►
ft)
r—I
$35,366.00
Vehicles and Imp., farm
Vehicles and Imp., dairy
a
$5,296.25
938.00
$6,234.25
Difference:
Excess expenditure, Exhibit No. 4
Total
$146,371.22
$330,726.62
Total
$330,726.62
Exhibit No. 4.
Statement of Income and Expenditure for Year
EXPENDITURE
General admisitration:
Officers' salaries
Wages and Labor:
Medical Department
$226,502.82
Engineer's Department
54,970.34
Steward's Department
40,712.13
Total
Food Supplies:
Wards
Officers' dining rooms
Total
Miscellaneous:
Fuel
Medical supplies
Stationery and postage
Furniture and bedding
Dry goods and clothing
Maintenance of plant
Heat, light and power
Laboratory supplies
Office supplies
$57,992.82
$322,185.29
$240,349.77
3,520.51
$243,870.28
$60,855.38
10,273.16
4,407.91
46,417.31
64,955.07
32,162.10
15,077.75
830.82
1,220.92
INCOME
State Appropriation:
Regular, maintenance
Miscellaneous:
Board of officers
Board special attendants
Board employees
Rents, residences
Interest on balances
1
Sales, medical books
Fines
Dental work and material
Miscellaneous sales
Miscellaneous income
Poultry yards
$800,000.00
Total
Additional:
Net profit from dairy
$ 3,485.60
Net profit from farm and garden- 13,064.76
Total
Difference:
Excess expenditure for year
O
a
$797.29
1,033.95
3,638.23
225.50
893.99
141.10
151.00
12.25
1,236.65
114.51
81.63
H
i-3
a
>
d
>
F
W
H
$8,326.10
O
fS
i-3
$16,550.36
$146,371.22
•
Exhibit No. 4 (Continued).
Statement of Income and Expenditure for Year
Dental supplies and equipment
Repairs, autos and trucks
Incidentals
Escaped patients
Advertising
Amusements
Travel
Medical books and journals
Telephone and telegraph
Surgical instruments
Interest paid
Automobiles, purchased
Total
Food Supplies:
Furnished by farm, garden and dairy
Grand total
Q
H
O
W
INCOME
EXPENDITURE
Carried to Exhibit No. 3.
279£
2,106.30
33,162.26
1 la
f?n'm
„„ 21
1,573.7b
371
-^f
491.73
^
j™«
3,304.1b
Q
w
!>
H
w
>
H
►
r-H
a
$282,181.87
$65,017.42
$971,247.68
Grand total
$971,247.68
Exhibit No. 5.
Profit and Loss Statement, Farm and Garden
DEBITS
$18,742.65
Inventory as of December 31st, 1922Purchases During Year:
$9,064.50
Commercial fertilizer
623.41
Seed
361.79
Freight
Total
Departmental Purchases:
Compost
Total
Deduct inventory Dec. 31, 1923_
$10,049.70
$2,314.00
$31,106.35
18,742.65
Net cost feeds, fertilizer, etc.
Difference:
Gross profit for year
$12,363.70
Total
Operating Expense:
Wages employees
Sundries
Miscellaneous supplies and repairsTreating hogs
Board employees
Difference:
Net profit for year
$45,434.07
CREDITS
Departmental Sales:
Vegetables
Peas, potatoes, etc_
Pork
Dairy products
Poultry and eggs..
Dairy feed
Total __.
Cash Sales:
Miscellaneous
_s27.273 ,48
- 4,514, 70
_ 8,390, 35
944, 00
996, 49
. 3,001, ,40
I—I
Q
$4.""). 120.42
a
§
313.65
X
>
Total
$45,434.(17
Gross profit down
$33,070.37
33,070.37
z
a
>
r
w
H
Grand total
►0
o
to
$14,714.50
70.00
2,594.28
172.00
2,454.83
13,064.76
$33,070.37
Grand total
$33,070.37
Exhibit No. 6.
Profit and Loss Statement, Dairy
DEBITS
Inventory as of Dec. 31st, 1922
Purchases During Year:
Feeds
Freight on feeds
Pasturage
CREDITS
$2,912.00
1,911.25
574.51
100.00
$11,585.76
Departmental Purchases:
Feeds, from farm and garden
Total
Deduct inventory at Dec. 31st, 1923Net cost of feeds, etc
Difference:
Gross profit for year
Total
Operating Expense:
Salaries and wages
Misc. supplies and repairs
Board employees
Sundries
$3,002.00
Departmental Sales:
Milk
Butter
Dressed beef
Compost
Sacks
Total
Cash Sales:
Calves, hides, etc
M„,„
,47
¥ Z'°f
l K.75
f.
"?4.50
z
> ^ ,00
7!) .28
O
a
o
$25,283.00
:
134.49
©
10,829.73
w
>
H
w
>
2!
1—1
$25,417.49
>
$17,499.76
2,912.00
$14,587.76
Total
Gross profit brought down.
$25,417.49
$10,829.73
I—I
d
S4.721.93
1,956.50
590.70
75.00
Total
Difference:
Net profit for year
$7,344.13
Total
$10,829.73
3,485.60
Total
$10,829.73
Exhibit No. 7.
Analysis Expenditure Nurses' Home
DISBURSEMENTS
Brick
Lime cement and plaster
Tile
Lumber
Laths
Wooden columns
Electrical supplies
Hardware
Plumbing and steam fittings
Boiler, heater and radiators
Sand
Insurance (builders' risk)
Miscellaneous
Total
Wages:
Employees
Total expenditure
RECEIPTS
Forward from 1922
Difference:
Due regular Maintenance Fund—.
$583.20
2,587.77
2,558.25
9,288.36
1,585.25
106.73
3.303.68
773.23
2.539.72
1,700.77
548.25
800.00
273.23
EJ.
-.$34,277.19
- 1,666.65
O
a►3
I—H
a
i-3
X
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>
F
3
El
t)
O
w
.$26,648.44
1-3
9,295.30
.$35,943.74
Total
$35,943.74
89
GEORGIA STATE SANITARIUM
Exhibit No. 8.
Analysis Incidental Account Shown in Exhibit No. 4
Housekeeping
Kitchen supplies
Laundry supplies
Dining rooms—wards
Broom factory
Cemetery supplies
Florists' supplies
Auditing
Insurance, property
Barber supplies
Implements
Electrical supplies
Telephone supplies
Tobaccos
Sundries
Total
$7,819.48
1,295.53
4,674.71
3,673.65
2,149.69
694.94
251.81
1,455.24
640.04
253.73
382.71
1,228.49
192.04
8,207.85
242.35
$33,162.26
90
EIGHTIETH ANNUAL REPORT
Schedule No. 1.
Accounts Payable as of December 31st, 1923
DR.
Acme card filling system
Armour & Co.
Augusta Chronicle
Atlantic Broom Supply Co
American Laundry Machinery Co
Atlanta Journal Co
Bell Grocery Co_E. E. Bell
.__
Brantley, C. C
Brantley, John T
Bright, Brooks Lumber Co
Bland, S. J
Burroughs Adding Machine Co
Chandler Brothers
Callaway's Stores
Chicago White Lead and Oil Co
Carter White Lead Co
Cudahy Packing Co
Cotton States Belting & Supply Co..
Coleman Meadows Pate Drug Co
H. L. Corv Coal Co
Cone. E. H.
Crane & Co.
Conn, John & Co.
Constitution Publishing Co.
Curington Elrod Co
Dannenberg Co.
Dean, H. H.
__'_'.'.
Dowman Dozier Mfg. Co
Doubleday, Page & Co
Doody, W. A. & Co
I. Epstein & Bro
Ennis, J. H
Evans, W. C
Enterprise Mfg. Co.
Empire Products Co
Pulton Supply Co
Eried, J. R
__~
Georgia Railroad Co
Gilham Schoen Electric Co
B. G. Glass Motor Co
S. Gumpert & Co
Gulf Refining Co.
'"_
Glenn Photo Stock Co
Hall, Dr. T. M
"
R. W. Hatcher Hardware Co
I
Eeri & Frerich Chemical Co
Harris Laboratories
J. I. Holcolmb Mfg. Co
Hinman Milking Machine To
Hosch Brothers & Co_
Ivey, O. E
CR.
$438.70
1,797.96
4.20
$20.39
3.54
10.80
499.10
143.16
3.24
12.50
72.08
219.34
24.99
8.10
36.36
5.38
32.63
41.92
3.50
25.36
197.58
10.70
13.96
7.41
12.96
3.00
26746
25.00
572
2.00
9.51
.45
1,263.48
120.60
i;n 25
$26.00
65
2.00
7 70
■
217
2.6.-)
2.00
32.00
52.33
19.4.-,
25.00
22.25
181.li.-,
32.76
1.29
.4:',
237.45
91
GEORGIA STATE SANITARIUM
Schedule No. 1 (Continued).
Accounts Payable as of December 31, 1923
CR.
90.50
DR.
Ivey, W. H
James Supply Co
.lordon, Lee N.
Kewanee Boiler Co.
Kronenberg X-Ray Supply Co
Lester Book and Stationery Co
Laib Co
Samuel Lewis
Liberty Yeast Corporation
McMillan Co
MeKinley & Collins
Macon Telegraph Publishing Co
Matheison Alkali Works
Merritt Hardware Co.
J. A. Majors Co.
Miller Rubber Co.
Milledgeville Telephone Co
Montgomery, W. H.
Milton Bradley Co
H. B. Mulford & Co
Milledgeville News
C. E. Newton & Bros
Newell, A. C.
Oconec River Mills
National Biscuit Co.
-Nervous & Mental Disease Co
National Committee Mental HygienePeople's Oil Co
Parke, Davis & Co
Phenix Supply Co.
Procter & Gamble Dist. Co
Rawlings, Dr. William
Ridley, Yates & Co
J. B. Riley Drug Co.—Ro^in and Turpentine Export Co
Rice & Hutchins Atlanta Co
Riddle Coal Co.
-—
(). N. Richardson Milling Co
Roughton Halliburton
David Rothschild & Co
Rome Mfg. Co
Shaw, Dr. W. H
Schwartz & Phaul
Selden Sales Co
Selig Co
Southern Express Co.
Stembridgc, J. W.
Smith, R. G.
Standard Oil Co.
Solomon Co.
Swift & Co
54
-dH
31.15
9.02
59.38
48.18
2
'^:'
M
94.16
4.68
369.77
7.20
»4.oU
°-ro
■ <■*"
■".«.
-
.20
27.23
39.62
33.63
24.68
18.00
6.50
285.50
25.00
1,337.95
73.04
6.00
26.50
10 uu
L»u
„<.
54.ua
„
'-00
6 00
-
.q97
«•»'
229.05
62.50
17.44
4.15
250.30
289.24
236.75
2.25
1.38
75.00
81.06
16.84
38.75
34.07
815.74
ngg0#*
^^"^"^^^B^H^^^^^H^HI
92
EIGHTIETH ANNUAL REPORT
Schedule No. 1 (Continued).
Accounts Payable as of December 31, 1923
DR.
Surgical Selling Co
Southern Cotton Oil Trading Co
Scientific Materials Co
Tanner, Dr. W. F
Tenniile, W. C
Tribune Herald
Veal, O. F
Union Recorder
United Provision Co
Whitfield Grocery Co
Western Union Telegraph Co
E. A. Waxelbaum & Bro
Wilson & Co
West Disinfecting Co
Western Electric Co
Watson, E. T
Wachtel Physician Supply Co
Williams & Wilkins Co
Max Wocher & Son
Willingham ,Tiit Lumber Co
Winthrop Chemical Co
Wootten, R. H
Total
CR.
4.40
62.50
27.40
80.13
44.95
2.28
56.25
80.00
53.04
1,205.41
25.35
.69
.75
6.00
6.13
12.93
1.96
173.90
.52
5.00
33.30
2.72
$1,080.48 $11,886.73
93
GEORGIA STATE SANITARIUM
Schedule No. 2.
Accounts Receivable as of December 31st, 1923
DR.
Allen, W. K
Adams, Alethia
Allen, W. H.
Adams, Lusallie
Austin, Frank
Amos, Essie
Allen, C D
Andrews, Mandy
Bonner, Mary
Beal, Lizzie Mae
Blackwell, A. N
Bailey, R. F.
Berry, Lucile
Bonner, A. E.
Benlord, Lillie
Bonner, Allen
Bloodworth, J. G.
Bivins, Homer
Braswell, Willie
Brown, Easter
Brantley, Mattic Lou
Bowen,
U. S.
BrowTn, Annie
Brown, Eula
Boyer, Maria
Brown, Luvie
Brantley, T. C.
Bentley, G. R. W.
Baugh, W. E
Chappell, Louis
Cox, C. G.
Combes. Mrs. D. N
Couch, C. E
Cooper, Mrs. J. O.
Coleman, E. H.
Coxwell, Mrs. T. B
Digby, Velma
Digby, Mae
Davis, J. R
DeSaussure, T. H.
Dillard, Joe
Dickerson, A. B.
Denham, J. H.
Eehols, G. L
Epps, R. S
Farell, Arthur
Freeman, Lillian
Freeman, Lnla
Grimes, Ruth
Georgia State Farm
Green, G. H
,
•-
CR.
„„„ ,„ $3.75
$10.40
22.50
1-9?
l-8o
1-60
-30
-65
35
2.52
3.90
1-35
1-50
-20
3.19
5.00
2.15
3.78
-35
-50
1-15
13.53
2.61
2.54
1-28
-25
-25
-50
-35
3.00
1-66
.65
.30
-10
.74
.40
2.14
-33
-75
3.83
2.00
-35
-35
1-31
-70
-Jl
2.9o
2.50
-85
10.50
^
94
EIGHTIETH ANNUAL REPORT
Schedule No. 2 (Continued).
Accounts Receivable as of December 31st, 1923
Gilman, J. M
Godfrey, Delia
Gilman, Lucy
Gilman, Ernest
Humphrey, Joe
Harper, Lucile
Hutchinson, Stella
Hardie, J. H
Hawkins, Johnnie
Hall, J. M
Hartley, Loraine
Horton, O. D.
Hattaway, G. W.
Harrison, John
Hudson, C. E.
Hawkins, A. J.
Hogan, Callie
Herringdine, Gussie
Humphrey, J. O.
Hoover, Ruby
Holsev, L. S.
Hudson, J. E
Johnson, Nannie Sue
Jackson, Ellen
Jones, H. S.
Josey, J. E.
Johnson, B. E.
Kitchens, Gladys
Lawson, E. L.
Lord, J. E
Longino, L. P.
Leonard, Lila
Lavender, O. B.
Liggins, Rosa
Logue, J. S.
Layfleld, J. A.
McKinley, Lannle
McDade, Hessic
Merritt, Willie Mae
Mathews. T. W.
Malone, J. B.
Martin, L. J
Moye, Lula
Miner, C. C
Mobley, J. W.
Nelson, Nicic
Odcn, J. W.
Oxford, Amy
Osborne, H. L
Penuel, F. C
Pettitt, J. K
*
DR. CR.
.20
.38
41
.50
.30
8.50
.78
1.00
.45
.62
1.05
7.50
1.50
8.67
3.97
4.34
1.40
1.72
.35
.50
.40
.60
3.36
3.78
.70
.50
.40
12.96
.65
1.35
1.24
1.26
.55
6.35
.35
.15
.30
10.18
4.64
1.45
1.47
1.05
.75
.80
24.45
.01
31.05
.60
.35
8.69
10.82
GEORGIA STATE SANITARIUM
Schedule No. 2 (Continued).
Accounts Receivable as of December 31st, 1923
DR.
Polk, J. B.
Phillips, Vera
Price, Marie
Ross, J. D.
Ray, Seott
Rice, Walter
Rivers, Eula
Robinson, Agnes
Radney, Zclma
Renfroe, Cora
Richardson, Willie
Reid, Bertha
Reliford, Mamie
State Anatomical Board
Smith, J. T.
Smith, Lillian
Snow, W. H
Simpson, C. E.
Stembridge, W.,W
Simpson, B. C.
Saye, E. B.
Switzer, A. W
Smith, Eva
Smith, E. L
Thompson, Eclix
Tanner, W. F
Tucker, Walter
Thomas, Annie
Threat, Eannie
Thomas, Trellie Mae
Thompkins, Katie
United States P. II. S
Vinson, J. T.
Veal, Joe
Vcatch, C. N.
West, J. H.
Walker, N. P.
West, Maggie
Wright, S. E.
Wootten, J. J
Wright, S. E., Jr
Wynn, Lucile
Walker, W. A.
Wright, D. B
Yarbrough, Y. H. __
-■
4.10
4.72
7.10
105
2.28
-50
1.91
3.09
5.72
13.91
4.27
1-65
2.25
10.00
3.75
-35
3.50
1-25
.35
-50
.40
1.14
3.40
.40
.25
88.17
4.11
5.20
1.20
1-25
1-10
320.68
.25
-75
-25
3.85
2.97
1-40
2.04
1-03
-25
-67
-35
.40
1-30
OR.
fcpr*fc*--»*»>"-^~~~J^**kJ&»l3LjiJL^^
BRAID a MUTTON INC.
PRINTERS AND LITHOGRAPHERS
SAVANNAH, GA.
EIGHTY-FIRST ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Four
*/jpo*
Board of Trustees
President
T.
JOHN
_______
BRANTLEY
Blackshear, Ga.
Vice-President
H. H.
_________
DEAN
Gainesville, Ga.
Secretary
C. C.
BRANTLEY
E. E.
LINDSEY
J. C.
JARNAGIN
A. C.
NEWELL
THOS.
M.
H. W.
SHAW,
HALL
_________
__________
________
________
_______
M. D.
_____
_
Rome, Ga.
Warrenton, Ga.
_________
M. D.
WM. RAWLINGS,
Valdosta,. Ga.
Atlanta, Ga.
Milledgeville, Ga.
_
Augusta, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
B. B. Lindsey, Chairman
A. C. Newell
C. C. Brantley
J. C. Jarnagin
Thos. M. Hall
Finance and Auditing Committee
A. C. Newell, Chairman
Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
"Wm. Rawlings, M. D., Chairman
Thomas M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds
H. H. Dean, Chairman
E. B. Lindsey
H. W. Shaw, M. D.
Committee on Farm and Outside Business
J. C. Jarnagin, Chairman
H. H. Dean
Wm. Rawlings
fe^^%jjB3h£»iiflayat
Officers of the Sanitarium
R. C. Swint, M. D
Superintendent and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Eehols, M. D
Assistant Physician
J. W. Oden, M. D
Assistant Physician
*J. K. Pettit, M. D.___(To Sept. 1, 1924) Assistant Physician
W. H. Allen, M. D
Assistant Physician
D. T. Rankin, M. D._(Prom March, 1924) Assistant Physician
E. B. Saye, M. D
____Pathologist
R. W. Bradford, M. D
(From July, 1924) Junior Assistant Physician
U. S. Bowen, M. D
(From July, 1924) Junior Assistant Physician
C. G. Cox, M. D
(From July, 1924) Junior Assistant Physician
G. H. Green, D. D. S
Dentist
S. I. Ney, D. D. S
(From Dec. 1, 1924) Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure
Engineer
F. C. Penuel
Farm Steward
H. S. Jones
Secretary
Arthur Farell
Storekeeper
Miss Catherine McGinley
Dietitian
Miss Amy Oxford
Director Occupation Therapy
W. W. Stembridge
Inspecior
Rev. H. C. Emory
Chaplai
ain
"■Resigned.
Eighty-first Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1ST, 1925.
To His Excellency, Clifford Walker, Governor.
Sir:
Conforming with the State law, the Board of Trustees of
the Georgia State Sanitarium respectfully submits its annual
report for the year 1924, which is supplemented by the annual
report of the Superintendent and Resident Physician in which
is included reports from the heads of the different departments of that Institution. These reports supply information
in detail of the work which has been done during the year.
Some Physical Facts
From these reports it will be seen that the net increase
over the past year was 203 patients, as compared with 207
for the previous year, though the total admissions for the
year were only six less than the previous year. The year
closed with 4,447 patients on hand.
The report of the Steward shows that the daily per capita
cost for the past year was $0,622, as compared with $0,643
for the previous year. This reduced cost per capita comes in
face of an increase of a little more than $52,000.00 for food
during the past year.
The salaries and wages account shows that the cost of such
was $2,001.00 less than the previous year.
Farm Steward's Report
From the Farm Steward's report for the past year, it will
be seen that the value of the products taken from the garden
and farm of the Sanitarium for use in maintaining the Institution amounted to a little more than $100,000.00, based on the
value of such products in the open markets. It has been the
policy of the Farm Committee of the Board to try to make
that department productive of the greatest possible value to
the Institution. The output from the farm and garden included vegetables, fruits, milk, dairy products, gram, sweet
potatoes and other crops of that character.
EIGHTY-FIRST ANNUAL REPORT
Engineering Department
In the Engineering Department, the repairs upon the
various buildings have been kept up, and an unusually large
amount of work done in extending pipe lines for heating purposes, water mains for fire protection; the installation of a
mattress renovating plant, and quite a large amount of grading and drive-way construction has been done. Work has
been pushed upon the new nurses home, the John T. Brantley
Building, which has been in course of construction for the
past several years, and which will take care of the white female
nurses when it is completed, thereby relieving in a measure,
some of the greatest congestion on the halls, is to be completed
during June or July of the current year. The work is being
done largely by the regular force of carpenters, masons and
painters of the Institution, in the interest of economy.
The Scope of the Property
These references will give an idea of the physical work
which has been done at the Sanitarium during the past year.
In order to appreciate the enormous amount of work to be
done in these departments, it may be said that the original
cost of the real estate of the Institution, including all of its
buildings, approximates $1,693,000.00. Most of these are old
buildings which require constant repairs, such as new floors,
new ceilings, new roofs and other repairs of that character.
The grounds of the Institution cover over 3,450 acres, and of
this amount 1,750 acres were under cultivation the past year.
There are under irrigation about 18 acres of land which is
very productive, furnishing an enormous amount of vegetables during the season.
There are employed at the Institution, including the
Medical Staff, Nurses, Attendants, and employes in other
departments, 355 males and 324 females, making a total of
679. Its total population is now 5,126, while 605 patients
were out on furlough at the close of the year.
Finances
The careful management of the Sanitarium is indicated
elsewhere. The report of the Steward sets out in detail the
receipt and expenditure of funds appropriated to it. The
report is corroborated by that of the State Auditor. The
appropriation of $800,000.00 for 1925 will be insufficient to
maintain the Sanitarium and a deficiency appropriation of
GEORGIA STATE SANITARIUM
$250,000.00 to be made available on the exhaustion of the regular appropriation will be necessary.
The Medical Department
The Board of Trustees point with pride to the most excellent service which has been rendered in the Medical Department during the past year. We believe that the morale of the
Institution, the devotion of the employes to the unfortunates
in their charge, and the spirit of co-operation which exists m
all of the departments, was never better than it is at the present time. The Board of Trustees has been especially impressed
and pleased with the excellent results which have come from
the development of Occupational Therapy among both the
males and females in the Institution, and among the black,
as well as the white population. This work includes manual
effort in many different lines. It is not enforced service, but
it is the kind of work which various types of patients are
fitted for doing. In the male department it has been grading,
gardening and work of that type. The patients have taken to
it with enthusiasm and some wonderful results have been
accomplished.
In the female department, the work includes nearly all
kinds of fancy work. An exhibit of this work would compare
favorably with similar work from any institution in the country. A suitable building for the further development of this
form of treatment is urgently needed for the use of white
females. It is a pleasure to see the excellent development in
these lines, and especially since the diversion has had such a
wholesome effect upon the mentality of those engaged m it.
Our Crowded Condition
The Board of Trustees feels that the work for the past
year has been unusually good, considering the crowded condition of the Institution, and the handicap under which every
department is laboring. There has been a net gain of about
500 patients in the past two years, and the Institution was
overcrowded before these patients were received. The condition that exists upon some of the halls at the present time is
almost intolerable. We feel confident that it would not exist
if the people of Georgia and the members of the General
Assembly understood the situation as it really is. A great
Institution which is founded for charity and which has to
deal with a type of human beings who need regular hospital
treatment and constant care and attention, should not be
ggXW* —
EIGHTY-FIRST ANNUAL REPORT
forced to subject its inmates to a condition which tends to
aggravate, rather than relieve, the trouble from which they
are suffering. The State Sanitarium is not a place of mere
confinement, or a prison, but it is a place of treatment, and
the fact that a large percentage of those who are received
each year are returned to lives of usefulness and to their
families, shows that the work of the Institution is reaching
the high ideals for which it was established.
Need of Another Institution
The Board of Trustees, after having given much thought
and consideration to the present condition in the Institution, is firm in the belief that the time has arrived when
the State should now prepare for the establishment of another
hospital for treatment of the insane, probably located in some
other part of the State. The experience of other States has
been that the best results are not obtained where the congestion is so great and the Institution is so large. The Georgia
State Sanitarium is one of the largest in the United States.
While the number of insane population is not proportionately
as great in Georgia as in most of the other States, and the
cost of maintenance is not so large, we have our entire insane
population in a single Institution, located at one point. The
Board of Trustees will amplify this view in a special report
to your Excellency, with the hope that the attention of the
next Legislature may be called to it.
The Fire Hazard
The Board of Trustees desires to call attention again to the
need of a dependable system of fire escapes for the various
buildings in which patients are confined. While we have had
no trouble in the past, and while the Trustees and the officials
of the Institution have done all in their power towards improving the system of fire protection, by the extension of
water mains and putting in more hydrants, we daily realize
what a horrible situation would confront us and the people
of Georgia if a fire should get beyond the control of our fire
department—a condition that is as liable to happen at the
Sanitarium as elsewhere.
Need of Duplicate Water Main
We also wish to call attention again to the urgent need of
a duplicate water main from the pumping station to the
GEORGIA STATE SANITARIUM
Sanitarium. At present, we have only one main which is
sometimes covered by freshet water from the Oconee River.
It runs under Pishing Creek and two or three smaller
branches, and is liable to be put out of commission almost any
time. Such a happening would bring about a deplorable situation at the Sanitarium, and one which the people of Georgia
should not tolerate longer.
Ice and Cold Storage
"We call attention again to the urgent need of a new ice
plant and improved cold storage facilities. Our present ice
plant is worn out and has been out-grown for several years.
The Institution is dependent upon it for ice for its 5,000 population and for cold storage in which to keep its dairy products,
vegetables, beef and other things that are dependent upon
cold storage for preservation.
Some Other Needs
We also call attention to the fact that the Sanitarium needs
a much larger Amusement Hall to meet the needs of the large
population of patients who are wonderfully helped in this
way. The present Amusement Hall has been in use for forty
years and is no longer adequate.
There is also an imperative need of additional buildings
for white female and colored female patients. It is estimated
that these buildings will cost $150,000.00 each. A schedule of
needed improvements for the next two years, and which require special appropriation, are as follows:
1. New ice plant and cold storage. Estimated cost
$ 30,000.00
2. Duplicate water main from pumping station to Sanitarium. Estimated cost
44,000.00
3. Occupational Therapy Building for white females.
Estimated cost
9,260,00
4. Outside fire escapes. Estimated cost
25,000.00
5. Modern Hospital Building, adequately equipped. Estimated cost
250,000.00
6. Amusement Hall adequate to meet the needs of our
large population to replace the small one that has
been in use for 40 years
7. Two additional buildings will have to be provided to
take care of the over-crowded white females and
colored females, if no steps are taken towards the
establishment of another Institution in some other
section of the State. Estimated cost, each
150,000.00
Xjffuuiacatx rti'ir«iv
10
EIGHTY-FIRST ANNUAL REPORT
Changes in the Law
The Board respectfully calls your attention to needed
changes in the State law, which will clearly define the type
of patients to be admitted to the Sanitarium; and to change
the law so as to make each county of the state bear one-half
of the cost of caring for the patients from the different counties ; and another change in the name of the Institution from
"Georgia State Sanitarium" to "Georgia State Hospital."
The Board of Trustees will present these matters to your
Excellency in more definite shape in the special report hereinbefore referred to, at which time the Board will undertake to
show the advantages which are to be derived from these
changes.
In Conclusion
The Board heartily commends Superintendent Swint for
the record which he and his assistants have made during the
past year.
We wish to thank your Excellency for the co-operation
which has come from the Executive Office, and which has been
very helpful to the Board in discharging its duties. "We also
recognize the fine spirit which has been shown by the State
Auditor in seeking to meet the needs of the Institution.
The Board has held its meetings regularly during the year,
with committee meetings each month, and, in that way has
sought to do its duty. The funds of the Institution have been
carefully administered. Supplies have been bought on competitive bids as far as possible, and the Board has been gratified to find a spirit of sympathy and helpfulness on the part
of business concerns that have had dealings with the Institution. "We look to the future with hope, confident that God
will continue to bless our efforts, and that the great-hearted
people of Georgia will not stint their greatest charity or
deprive it of the things that are needed to relieve suffering
among those who have ties binding them to almost every
home and fireside in the state.
Respectfully submitted,
JOHN
T.
BRANTLEY,
President.
C. C.
BRANTLEY,
Secretary.
GEORGIA STATE SANITARIUM
11
Report of the Superintendent
GEORGIA STATE SANITARIUM
JANUARY 1ST,
1925
The Honorable Board of Trustees,
Georgia State Sanitarium.
Gentlemen:—In accordance with your rules and statutory
requirements, I submit herewith the Eighty-first Annual
Report of the Georgia State Sanitarium which covers the
period from January 1st, 1924, through December 31st, 1924.
Appended hereto are reports of the Clinical Director,
Pathologist, Dentist, Superintendent of Nurses, Pharmacist,
Steward, Farm Steward, Engineer and Treasurer that give
the details of the operation of the Institution throughout the
year.
TABLE OF GENERAL INFORMATION
1. Date of opening as an institution for the
insane
October 12, 1842
2. Type of institution
State
3. Hospital Plant:
Real estate including buildings
$1,692,750.00
(This does not include Nurses' Home that
is now under construction which will cost
about $200,000.00 when completed.)
Personal property
327,452.00
Total
$2,020,202.00
Total acreage of hospital property owned (Includes grounds
occupied by buildings, farm and garden sites)—3,450
Total acreage under cultivation previous year
1,750
4. Officers and employes actually in service at the end of the
year:
12
EIGHTY-FIRST ANNUAL REPORT
Males
Superintendents
Clinical Director
Pathologist
Assistant Physicians
Medical Internes
Clinical Assistants
Resident Dentist
Steward
!
Graduate Nurses
Other Nurses and Attendants.
All Other Officers and Employes
Total Officers and Employes.
Females
Total
1
195
0
0
0
0
0
0
0
0
15
291
1
1
1
10
0
0
2
1
16
486
143
355
18
324
161
679
1
10
0
0
2
GENERAL STATISTICS OF PATIENT POPULATION
FOR THE YEAR 1924
Admissions during the year:
First Admissions
Readmissions
Females
478
116
Males
444
113
Total Admissions During
the Year
557
Total under treatment during the year-
594
Total
922
229
1,151
.5,479
.4,389
Daily average under treatment
Discharged from records during the year:
Total
males
Males
179
126
As recovered
53
234
116
As improved
118
88
26
As unimproved
62
25
11
As without psychosis
14
247
209
279
197
526
406
Total discharges including deaths— 456
Total actually in Sanitarium January 1st, 1925
2,036
Total out on furlough
299
476
932
2,411
304
4,447
603
Total remaining on books, January
1st, 1925
2,335
2,715
5,050
Total discharges
Died during the year
GEORGIA STATE SANITARIUM
13
We began the year with a greatly overcrowded institution,
and notwithstanding our effort to limit the admissions to
young applicants who offered some hope of being benefited by
treatment, and to those who furnished histories of being violent, and too dangerous to be kept at home, our population
increased 203 during the year compared to 270 the previous
year, and the total admissions were 1,151 or 6 less than the
previous year. Other requests for admissions that we were
obliged to decline emphasizes the need for increased accommodations.
The function of the Sanitarium is not simply that of custodial care • its principal object and aim is to serve as a hospital for those unfortunate citizens of the State who become
afflicted with mental disease, and we are endeavoring with
all the resources at our command to make it a hospital for
such in service as well as in name.
The cause, care and proper treatment of those afflicted
with mental disorders is one of the most vital and complex of
all medical problems. "We are rightly getting away from the
narrow and technical definition of the word "insanity," and
view the cases from the standpoint of adjustment. Some of
the cases admitted have comparatively mild symptoms which
are nevertheless manifestations of a diseased mind of functional nervous disorder. Individuals afflicted with these types
of illness, are just as much in need of special treatment as the
more fully developed and frank eases of mental disease. It
is therefore, regrettable that the state has not provided adequate accommodations for all who wish and need treatment.
The percentage of discharges from the records during the
years as recovered and improved, based on the number of
admissions, was 35.8% compared to 33.15% during the previous year.
Also, of the 792 patients furloughed during the year 51.6%
were restored and improved. A detailed analysis of this group
will be found in a tabulation of the Clinical Director's report.
Overcrowded
Overcrowding has been a problem of the institution for
many years, and attention has repeatedly been called to it in
previous annual reports. It has now become one of the most
pressing problems confronting us. Its ill effect reaches every
phase of the medical service, and this is most notably true on
reception wards where the most difficult and responsible medi-
UHWH
14
EIGHTY-FIRST ANNUAL REPORT
cal work and study of new admissions is concentrated. It seems
that we are paroling the restored, improved and harmless cases
as rapidly as wisdom justifies. The notion obtains, however,
among some of the uninformed, that there are many inmates
in the Sanitarium who should be discharged, but any one
familiar with the situation knows that it is not only the duty,
but one of the pleasantest duties of the Superintendent to see
that no person is illegally or unjustly confined in the Sanitarium, and to discharge those who become restored and are
able to make a social readjustment.
The problem of overcrowding and requests for admission
should be provided for: it cannot be solved by sidetracking.
I do not think it would be expedient to further expand this
institution. Experience has demonstrated, and it is the opinion
of those best informed on the science of hospital management
and control that the best condition and results cannot obtain
in institutions with so extremely large populations. T therefore, think it would be wise for your honorable body to aerain
call the Governor's attention to this problem of overcrowding,
and stress to him tlie importance of establishing another state
hospital in some other section of the State. Even after the
completion of the Nurses' Home—the John T. Brantlev Building—and the rooms on the wards now occupied by nurses
become filled with patients, we will still be overcrowded on
the White Female Department by several hundred patients.
MEDICAL SERVICE
A detailed report of the medical work during the year
will be found in the Clinical Director's report, A few changes
took place in the Staff during the year:—Dr. R. "W. Bradford,
who was formerly with us and resigned to enter general practice, was reelected, and returned to us July 5th as Junior
Assistant Physician. Drs. U. S. Bowen and C. G. Cox, after
a competitive examination as required by law, were promoted
in July from Internes to Junior Assistant Physicians. Dr.
Jno. R. Harrison, Interne, resigned July 1st, to enter general practice in South Carolina. Assistant Physician J. K.
Pettit resigned September 1st to accept a position at Letchworth Village, N. Y. Only one of the two vacancies caused
by the resignations has been filled. The Staff shortage has
caused the patient population in each service to range from
300 to 800 depending on the character of the service. Of
course, best results need not be expected when one physician
has so many patients to care for, as he cannot give the personal contact to each case that is so essential in psychiatric
GEORGIA STATE SANITARIUM
15
practice. It is difficult to get the proper type of young
physicians who are interested in psychiatry to fill vacancies
on the Staff, as most of the young graduates seem to be interested in other branches of medicine that offer prospect of
greater remuneration. This is a problem that is not confined
to Georgia, but according to reports it obtains in practically
every State in the Union. When the medical schools begin to
pay more attention to the teaching of psychiatry the attitude
and interest of students may be changed.
Our maintenance appropriation has been too inadequate
for us to expand the relation of the institution to the various
communities of the State in the form of additional extra mural
mental clinics and social service department, but I believe
that the usefulness of the Sanitarium would be extended by
the establishment and development of these features of the
medical service, and that good results would obtain from them.
The Business Department
The report of the Steward gives schedules and exhibits
that show in detail the receipts and disbursements during the
year.
We endeavored to practice the strictest economy throughout the year, keeping in mind the welfare of the patients, the
amount appropriated, and the efficiency of the various departments.
Notwithstanding the fact that we were more liberal with
our menu and spent $52,057.87 more for food than during the
previous year, our daily per capita cost was 0.617 compared to
0.643 the previous year. This cost included every item of
expense connected with the care and treatment of a daily
average of 4,389 unfortunate charges placed here by the state,
as well as the repairs and upkeep of the physical plant.
" The largest item in the maintenance account is the matter
of salaries and wages, although this item was $2,001.64 less
than the previous year. If we are to maintain the efficiency
of the institution it is necessary that an adequate force of
officers and employes be kept and paid commensurate with
their duties, responsibilities, training, service, etc. It seems
that we have this matter very well before us, and cannot
expediently anticipate any reduction. The needs of the institution, and the welfare of our unfortunate charges could
better be provided for if we were given a more liberal per
capita allowance.
16
EIGHTY-FIRST ANNUAL REPORT
Engineer's Department
The various divisions of this department have been kept
busy during the year in meeting the needs of the institution.
An institution as old and large as this, with the various buildings originally so economically constructed, necessarily requires considerable repairs for their proper upkeep, and there
is still a great deal of repair work ahead of us.
The report of Capt, T. H. DeSaussure, who has been the
head of this department for many years, gives a full account
of the improvements made on the plant during the year. One
of the most needed and useful of these improvements was the
construction of a mattress house, and equipping it with an
electrically driven picker and other appliances for mattress
making.
,
Since October the Engineer and some of his force have
been concentrating their efforts toward the completion of the
unfinished Nurses' Home.
Farm, Garden and Dairy
The Farm Steward's report gives a tabulation of food
stuffs and dairy products produced in this department during
the year. The extreme cold weather in January killed out
growing vegetables and oats, but the seasons were favorable
to our corn crop. We produced 15.000 bushels compared
to 7,511 bushels the previous year. Also while 21,672 lbs. of
pork was killed, the amount carried over to be killed after
Christmas will total about the amount killed the previous year.
Religious Services
Religious services were held each Sunday afternoon by
the regular chaplain, the Pastor of the Milledgeville Methodist Church serving in this capacity until Nov. 1st, and since
then the Pastor of the Milledgeville Episcopal Church. These
pastors have also conducted the funerals of all white patients
buried in the Sanitarium cemetery. The Catholic Priest from
the Milledgeville Catholic Church looked after the needs and
requirements of the members of his religious faith. Services
and burials in the colored departments were conducted by our
chaplain in that department.
GEORGIA STATE SANITARIUM
17
Amusement of Patients
The Sanitarium Band as usual gave concerts for the
patients three times a week. Moving picture shows were provided for them twice a week. During the early period of the
year we perfected arrangements with sixteen film distributing
agencies in Atlanta through the Atlanta Film Board of Trade
to furnish us gratis films thereby saving the institution several
hundred dollars, and in this connection we wish to thank the
Associated First National Pictures, Consolidated Film & Supply Co., Educational Film Exchange, Famous Players-Lasky
Corporation, Film Booking Offices of America, Fox Film Corporation, Goldwin Distributing Corporation, Producers Distributing Corporation, Al Litchman Corporation, Metro
Pictures Corporation, Pathe Exchange, Progress Pictures,
Southern States Film Co., and Vitagraph for their interest
and contribution to the enjoyment of our unfortunate charges.
The Junior Order American Mechanics Imperial Council
No. 10 also gave a gratis entertainment for the patients on
March 21st that they greatly enjoyed.
. Other features of amusement, such as games, walks, picnics, etc., were provided.
Occupation therapy was extended some during the year.
Two large portico rooms in the white female department were
thoroughly renovated, and are now being used for this purpose. Brightening up the walls, ceilings and floors with a few
coats of paint has a salutary effect upon the patients. It has
been said that sight is probably the most important of the five
Jensen because it is responsible for more than sixty percent, of
all the impressions taken into the mind.
PELLAGRA RESEARCH
The U. S. Public Health Service continued during the year
their research studies of pellagra begun at the Sanitarium in
1914. This work is directed by Dr. Joseph W. Goldberger
of Washington, D. C, with Dr. W. F. Tanner of the Public
Health Service in immediate charge. Dr. Tanner, who had
charge of this work for several years, was transferred to
Washington in November, and Dr. G. A. Wheeler of the Public
Health Laboratory in Washington was sent down to take his
place, and has been in charge since the middle of November.
ifffl$K?*'°ftiVttTr
18
EIGHTY-FIRST ANNUAL REPORT
Schedule of Needed Improvements for Next Two Years
Requiring Special Appropriations
1. New ice plant and cold storage. Estimated cost_$ 30,000.00
2. Duplicate water main from pumping station to
the Sanitarium. Estimated cost
$ 44,000.00
3. Occupation Therapy building for white females.
Estimated cost
9,260.00
4. Outside fire escapes. Estimated cost
25,000.00
5. Modern Hospital building, adequately equipped.
Estimated cost
250,000.00
6. Amusement Hall adequate to meet the needs of
our large population to replace the small
one that has been in use about 40 years
7. Additional buildings will have to be provided to
take care of the overcrowded white females
and colored females if no steps are taken
toward the establishment of another institution in some other section of the State.
Estimated cost, each
150,000.00
Changes in the Law
I respectfully call your attention to the following legislative matters that I think are very important for the welfare of
the service:
1. Section 3, Pages 163-4, Acts 1918, should be revised so
as to define more clearly its meaning, and the type of cases
that should be committed and admitted to the Sanitarium.
2. Means for raising funds for aiding the maintenance of
the Sanitarium can be found in a county payment law so
formulated that each county would become responsible to the
State Treasury for one-half the amount it cost to maintain
and treat each and every patient committed from said county.
When the patient has adequate property to pay for his or her
treatment, give the county the authority of collecting and
reimbursement for the amount paid out for treatment for
said patient. This probably would have an influence toward
preventing the committing of harmless incurable cases; also
senile cases whose principal problem is custodial care, and
because of their irritability, childishness and forgetfulness
they become a burden to their relatives.
GEORGIA STATE SANITARIUM
19
3. The name of the Georgia State Sanitarium should be
changed to the "Georgia State Hospital." This would be
more in keeping with progressive psychiatric thought and
state control.
Acknowledgments
In concluding this report covering the work of the Sani
tarium for the year just closed, I desire to express my cordial
thanks and appreciation to your honorable body for your
confidence and constant interest in the affairs of the institution throughout the year—to the medical staff—all other officers and employes for their loyalty and faithful service rendered throughout the year; to the Women's Clubs, American
Legion and others who were so thoughtful and kind to send
to the patients at Christmas time so many gifts.
Respectfully submitted,
Superintendent, Etc.
R. C. SWINT,
EIGHTY-FIRST ANNUAL REPORT
20
Report of Clinical Director
DR.
R. C. SWINT,
Superintendent.
Dear Sir:—
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31st, 1924.
During the year there were 922 first admissions and 229
second admissions, making a total of 1,151.
The most noticeable difference as compared with the previous year is the increase in number of cases of paresis among
the colored males. For the first time general paralysis of the
insane was the leading form of psychosis among first admissions in any of the departments, 41 of the 168 colored first
admissions having been classified as paretics. In 1924, 24%
of the first admissions among the colored males suffered from
paresis, as compared with 15.1% for the previous year. It
is to be sincerely hoped that the rate of increase of neurosyphilis among the colored race will not continue as indicated
by the above figures. The usual laboratory findings in the
blood and spinal fluid helped to confirm the diagnoses.
Of the 23 patients diagnosed as not insane, ten showed
mental deficiency; three psychopathic personality; four were
epileptics; two were drug addicts; one was an alcoholic, and
in the case of two no evidence of abnormality was at hand.
It may have been that they showed evidences of mental disturbance before admission.
Thirty-three of the second admissions had been in private
sanitariums, most of them for very short periods. In most
instances they were brought direct from the private sanitariums.
Seven hundred and ninety-two patients were furloughed.
Of these 27 were classified as not insane. Of the remaining
765, 594 were furloughed as restored and improved. Omitting 23 patients admitted during the year who were classified
as not insane, the combined percentage of those furloughed
restored or improved was 52% of the number of admissions.
GEORGIA STATE SANITARIUM
21
We have had a number of cases of chicken pox and
measles, but no epidemic of a serious nature. There were 406
deaths, 7.5% of the total number treated. Tuberculosis, general paralysis of the insane and cerebral hemorrhage were the
leading causes of death in the order named. Sixty patients
died of tuberculosis, 52 of general paralysis of the insane and
36 of cerebral hemorrhage. In 1923 the number of patients
dying from these diseases in the order named was 49, 43 and
30. Paresis and cerebral arterio-sclerosis appear to be much
more rapidly fatal among the colored males than elsewhere.
At least they do not live long after admission. Taking into
consideration the number of cases of general paralysis of the
insane and arterio-sclerotics admitted and the large number
of old and feeble patients now in the institution, we can
scarcely hope for any great reduction in the death rate.
The medical work may be arbitrarily divided into three
spheres of activity. First, the treatment of those physical
ailments which are incidental and have no connection with
the mental state of the patient. Second, the treatment of those
conditions which bear a known relationship to the mental
illness of the patient. Third, the treatment of the mental
state itself either symptomatically or otherwise.
In the first sphere the work has been well done. We have
a staff competent to ably handle any condition that may
arise. The staff has had the invaluable assistance of the laboratory in this sphere as well as in the others. The staff also
received the valuable co-operation of the training school, and
its head, as well as of the graduates now in the employ of the
institution.
The most important work done in the second sphere has
been in the field of neuro-syphilis. The results have been anything but encouraging in this particular line. In addition to
the older methods of treatment, tryparsamide has been tried
in fourteen cases of paresis. None of the patients recovered.
There was an unstable improvement in the serology < I some
of the cases, particularly was there a reduction in ttJ number of cells in the spinal fluid. One of the patients became
blind after the second dose of three grams. The great majority of our paretics, more especially the negro men, are
usually in a very advanced stage when admitted. We are
indebted to Dr. Wade Brown of Rockefeller Institute for
furnishing tryparsamide in sufficient quantities to treat the
fourteen patients above mentioned.
f^ftttxiiaxum
22
EIGHTY-FIRST ANNUAL REPORT
Upon application, Dr. E. C. Rosenow, of the Mayo Clinic,
furnished sufficient serum for the treatment of five cases of
encephalitis. Here, too, our patients had been ill for a long
time, and improvement was scarceely to be hoped for. None
of the patients showed any benefit from its use.
All of our acute cases of pellagra are now being treated
under the direction of Drs. Goldberger and Wheeler, of the
United States Public Health Service. Splendid results are
being obtained. Not only our institution, but the human
race at large are indebted to these physicians for their most
excellent work.
Particular attention has been given to the activities in
the third sphere. Here the means of treatment is neither
medicinal nor surgical, and is far from being fully developed.
The co-operation of the other departments of the institution has been of much help in this particular line. Special
nursing, occupation, habit training, amusement and diversion
are the most valuable assets in treatment. During the latter
part of the year special nurses were placed with a small
number of highly excited, destructive and filthy patients. The
results were good. There was an evident response in every
case except one. Individual nursing in the cases of such
patients is apparently costly, but the contrary is true, in
many cases, at least. The continuation of this policy in selected cases is recommended. As far as possible, occupation
and diversion were provided for all newly admitted patients
who were able to take part in such.
Among the chronic, incurable cases (chiefly dementia
praecox), habit training and occupation are the chief aids
relied upon. A small number of patients suffering from dementia praecox of long standing (seven to eighteen years) were
put in the care of special nurses for habit training. In not
a single instance was there a complete failure. On the contrary, some of these patients became tidy and non-destructive.
This is an economic, as well as humane procedure. It is an
effort to train these patients so that they will be less offensive
to other patients and at the same time a great deal less expensive to the hospital. This feature of the work should also be
continued. Some of the physicians have segregated their destructive patients and placed them under the care of selected
nurses. The same thing has been done to a limited extent with
the untidy patients. In both instances improvement in the
habits of the patients have resulted. The effects of habit
training have become evident in the diminished amount of
GEORGIA STATE SANITARIUM
23
work necessary at the laundry and a well marked lessening of
clothing and bedding destroyed.
The crowded condition of the institution hampers us at
every turn. This is not only unhealthful, but is positively
dangerous The two white female reception wards have a
capacity of 28 each (one to a room). They have averaged
from 45 to 60 patients to the ward. Under such circumstances,
a new patient about whom we may know nothing must be
placed in a room with another. Attacks by one patient upon
another are bound to occur. Fortunately, no serious accident
has recently happened on this account. The hospital cannot
possibly fulfill its function so long as such conditions exist.
It cannot afford a place of restfulness and quiet so long as a
noisy, excited and possibly dangerous patient has to be confined in the same room with another or in a dormitory where
he may disturb a hundred. A patient from the above reception wards has to go where there may be a so-called vacancy
unless it is found possible to shift another patient. There are
at this time aged patients on the reception ward where the
most violent and impulsive patients are received. The danger
to these old and feeble persons is self-evident. There are
times when it is not easy to say which of two patients sleeping
in the same room is the filthy one. Indeed, there has been
an instance where three such patients slept in a single room.
The very large amount of work being done in the laboratory is indicated by the number of examinations made, 6,566.
Several thousand of these specimens were collected by the pathologist or his assistants. This is a time-consuming procedure.
In addition to the laboratory work, the technicians have embalmed 317 bodies. In the midst of his other work, the pathologist has found time to do some research work. Mention of
this is made in his report. It is to be greatly regretted that
our institution, as well as those of other states, contribute so
little towards research work in a field of which we have such
comparatively meager knowledge. The pathologist's report
contains much information of interest.
The training school under the Superintendent of Nurses
continues its work in the same manner as formerly. Many of
its graduates are filling positions of responsibility and importance.
In May and October short courses were given the newly
employed attendants. Each course consisted of lectures whicli
supplemented quizzes and examination on a small pamphlet
24
EIGHTY-FIRST ANNUAL REPORT
prepared for the purpose. In addition to this, a monthly
bulletin was published and distributed to the wards. The
course has not yet been made what it should be, but we hope
that eventually it will be much improved. Without doubt,
the monthly bulletin does more to improve the nursing of the
insane than anything so far tried.
The clinic at Macon continues with about the same attendance as in former years. The results are good. The location
of rooms for the clinic are a definite drawback to its further
upbuilding.
The classes in psychology from the University of Georgia
and from Emory University spent several days at the institution in the late spring. They were given all the advantages
possible to study the manifestations of abnormal psychology.
The medical department cannot function at its best without the co-operation of the other departments. We have been
glad to receive the assistance of these departments in the
year's work.
We cannot escape the feeling that the spirit of the entire
medical service has improved. The suggestions and foresight
of the physicians have helped very materially in making our
hospital a better one. The uniform willingness with which
the nursing force has undertaken to carry out untried procedures proves their loyalty.
Acknowledgments are made to the Board, to you and the
entire medical service for assistance and suggestions looking
to the betterment of the medical work.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
25
GEORGIA STATE SANITARIUM
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1924.
Psychoses.
White
Colored
M
M
0
Traumatic
18
Senile
33
With cerebral arteriosclerosis
17
General paralysis of the insane
3
With cerebral syphilis
0
With Huntington's chorea
With other brain or nervous diseases
8. Alcoholic
5
9. Due to drugs .
7
10. With pellagra
4
11. With other somatic diseases
92
12. Manic depressive
43
13. Dementia praecox
0
14. Paranoia or paranoic conditions
16
15. Epileptic psychoses
4
1G. Psychoncuroses and neuroses
17. With constitutional psychopathic
9
inferiority
■40
18. With mental deficiency
49
19. Undiagnoscd psychoses
2
20. Not insane:
1
Alcoholism without psychoses1
Drug addict without psychoses2
Epilepsy without psychoses
Constitutional psychopathic ininferioriy without psychoses
Mental deficiency without phy
choscs
1.
2.
3.
4.
5.
6.
7.
Total.
370
F
Total
F
0
19
14
3
1
2
0
6
18
11
2
0
0
6
19
16
0
0
0
49
6
0
7
5
6
133
70
1
12
4
1
3
0
0
0
33
35
0
13
0
1
0
0
13
2
50
74
0
12
0
12
11
12
25
12
308
222
1
53
1
20
39
2
0
5
2
0
16
18
0
0
0
0
0
12
33
0
0
0
0
10
88
139
4
1
6
4
0
0
5
1
0
12
187
238
1151
356
84
77
6
2
■
EIGHTY-FIRST ANNUAL REPORT
26
TABLE II
Diagnostic Grouping of First Admissions During Year 1924.
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
»
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praccox
Paranoia or paranoic conditions—
Epileptic psychoses
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane:
Alcoholism without psychoses—
Drug addict without psychoses-Epilepsy, without psychoses
Constitutional psychopathic ininferiority without psychoses.—
Mental deficiency without psychoses
Total
White
Colored
M
M
F
Total
0
15
32
17
3
0
0
19
14
3
1
2
0
5
16
41
2
0
0
6
18
15
0
0
0
45
80
76
3
7
3
7
3
49
28
0
13
4
5
0
6
5
6
84
54
0
10
4
1
2
0
0
0
25
32
0
13
0
1
0
0
13
2
38
64
0
11
0
10
9
9
25
11
196
178
0
47
6
34
39
1
1
0
2
0
18
34
2
0
2
2
0
13
17
0
0
0
0
0
9
27
0
0
0
0
6
74
117
3
1
2
4
10
276
274
168
204
922
27
GEORGIA STATE SANITARIUM
TABLE III
Diagnostic Grouping of Readmissions During Year 1924.
Psychoses.
White
Colored
M
M
1.
2.
3
4.
5.
6.
7.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
Alcoholic
2
9. Duo to drugs
0
10. With pellagra
1
11. With other somatic diseases
43
12. Manic depressive
15
13. Dementia praecox
0
14. Paranoia or parnoic conditions—
3
15. Epileptic psychoses
0
16. Psychoneuroscs and neuroses
17. With constitutional psychopathic
3
inferiority
6
18. With mental deficiency
10
19. Undiagnosed psychoses
1
20. Not insane:
0
Alcoholism without psychoses—
1
Drug addict without psychoses0
Epilepsy without physchoses
Psychopathic inferiority without
psychoses
Mental deficiency without psychoses
TotaL
94
P
Total
F
0
0
0
0
0
0
0
0
1
1
0
0
0
4
4
1
0
0
1
0
0
0
0
0
12
10
0
1
0
2
2
3
0
1
112
44
1
6
0
0
3
6
0
0
0
0
4
14
22
1
0
4
0
31
229
0
1
0
0
49
16
1
2
0
1
2
5
0
0
3
0
82
19
TABLE IV
Diagnostic Grouping of Patients Furloughed During Year 1924.
COLORED
WHITE
Psychoses.
R I
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With other brain or nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without
psychoses
Mental deficiency without psychoses
Total
Female
Male
U S R I
1
1
3
4
0
0
1
u
2
0
1
42 9
25 24
0 1
3 6
4 2
4 3
0
0
0
0
0
0
0
0
(I
0
0
0
0
0
0
0
0
0
II
1
2
2
0
4
6
0
0
0
0
0
0
0
5
3
1
0
1
3
0
0
2
4
U S
Male
R I
Female
U S R I
0
0
1
10
22
20
2
1
7
10
15
7
10
303
154
3
34
13
22
55
76
2
2
7
2
0
0
0
0
5
9
1 22 75
4
0
0
1
1
II
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
4
0
1
0
1
0
51 71) 17
6 25 16
0 2 ii
1 4 7
4 3 0
0 5 6
2 in 2
8 12 6
0 0 l)
0 0 0
0 0 0
0 0 0
0
0
0
0
0
1
0
0
0
0
73127 79 15 78|l50 58 11
(I
0
0
0
0
0
0
II
II
0
4 65 30
IT S Total
0
0
0
0
0
0
0
0
0
1
0
16
1
0
0
0
0
1
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
II
0
0
0
0
0
0
0
0
(I
(I
0
II
0
0
(I
II
0
(I
II
0
0
II
0
792
O
aH
w
>
2
3
>
r
si
H
o
to
GEORGIA STATE SANITARIUM
29
TABLE V
SURGERY
Amputation, Angers
Appendectomies
Ascites, aspiration
Angina ludovici, aspiration
Breast, amputation
Circumcisions
Carcinoma vulva, excised
Castration
Dilatation and curettage, uterus
Eyes, refracted
Fractures, reduced and fixed
Gangrene intestine, aspiration
Hermatoccle, drained
Hemorrhoidectomies
Herniotomies
Hysterectomies
Ischio-rectal abscess, drained
Laparotomy, exploratory
Maxillary Sinus, irrigation
Necrosis inf. Maxilla, aspiration
Nasal polypi removed
Oophorcctomy
Perineorrophy
Paracentesis, thoracis
Pterygium, aspiration
Puncture car drum
Salpingectomy
Salvarson and tryparsamide, doses
Tonsillectomies
Trachelorrophy
X-Ray treatments
X-Ray pictures
Total
4
9
1
1
*
*
2
"5
I4
1
1
5
5
1
1
1
1
*
•*
■*•
"
2
"
*
953
^1
1
55
419
i-653
uncvemr
30
EIGHTY-FIRST ANNUAL REPORT
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1924.
White
M
Abscess, Isehio-rectal
Anaemia, pernicious
Anaesthesia, chloroform
Angino pectoris
Arteriosclerosis
Asthma
Carcinoma _'
Chorea, Huntington's
Drowning, accidental
Dysentery, amoebic
Dysentery (not specified)
Embolysm, pulmonary
Empyema
Encephalitis
Endocarditis
Enteritis, acute
Enteritis, chronic
Enteritis, tubercular
Epilepsy
Erysipelas
Exhaustion, acute mental disease
Fever, typhoid
Fracture of hip
Gangrene, intestinal
Gangrene, senile
General paralysis of the insane
Heart disease, organic
Heart disease, valvular
Hemorrhage, cerebral
Hemorrhage, from bowels (cause un
known)
Hernia, incarcerated
Ilius, acute
Influenza
Leukemia, S. M.
Myocarditis, acute
Myocarditis, chronic
Nephritis, acute
Nephritis, chronic
Organic, brain disease
Parasites, intestinal
Pellagra
Pneumonia, broncho
Pneumonia, lobor
Sarcoma
Septicaemia
Suicide
Syphilis, cerebral
Tuberculosis, abdominal
Tuberculosis, acute miliary
Tuperculosis, pulmonary
Unknown
Total
Colored
F
1
0
1
0
7
1
1
2
0
0
2
0
1
1
1
2
2
1
8
0
2
0
0
0
1
10
4
0
9
0
1
0
1
7
0
4
0
1
0
1
1
0
0
0
6
4
0
5
1
4
2
1
0
0
0
0
0
7
1
0
0
0
0
0
0
0
5
13
0
7
12
6
0
1
0
1
0
0
Total
M
0
0
0
0
4
0
1
0
0
0
0
0
0
1
1
1
0
0
7
1
1
0
0
0
0
34
0
3
6
0
0
0
0
2
0
1
0
0
1
1
0
0
0
0
1
0
1
2
0
4
0
0
1
0
8
0
3
14
1
9
5
1
1
1
1
6
1
2
5
0
6
13
5
1
1
1
0
0
0
7
4
1
1
0
0
0
6
0
1
1
3
4
0
0
0
1
0
0
11
2
0
1
0
0
0
0
0
0
1
0
0
4
7
5
0
1
0
0
2
0
28
7
118
102
91
95
0
0
0
0
31
GEORGIA STATE SANITARIUM
TABLE VII
Admissions from the Various Counties During the Year 1924.
Colored
White
County.
Coffee
Cook
DeKalb
M
1
0
2
1
0
2
3
5
3
2
10
2
1
0
1
3
2
0
3
0
1
1
2
0
1
0
23
2
3
4
0
2
6
0
6
2
2
3
1
1
2
3
6
2
2
1
P
1
1
1
1
5
0
4
5
3
1
7
1
2
1
0
5
0
2
1
0
3
0
5
1
1
0
19
3
4
1
2
1
5
6
3
1
1
2
2
1
0
1
10
5
2
0
M
0
0
1
3
6
0
0
2
2
0
10
0
0
3
0
2
4
0
0
1
1
0
1
0
0
0
23
0
0
2
0
1
1
0
0
0
2
1
0
2
0
4
3
2
2
1
Tntnl
F
0
0
0
0
7
0
0
0
1
0
9
1
0
4
0
1
5
1
3
0
1
0
4
0
1
1
29
2
1
3
0
0
1
1
0
0
0
3
1
1
0
3
6
1
0
4
2
1
4
b
18
2
V
12
9
3
36
4
3
8
1
11
11
3
7
1
6
1
12
1
3
1
94
7
8
10
2
4
13
7
9
3
5
9
4
5
2
11
25
10
6
6
■—»-•'
-
■■■""
rrrr^Trr^-r***
32
EIGHTY-FIRST ANNUAL REPORT
Admissions from the Various Counties During the Year 1924.
(Continued)
County.
Douglas
Early
Effingham
Elbert
_
_ .
Emanuel
Evans
Eannin
Eayette
Floyd
Forsvth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady _
_ _ _„__,
Green
Gwinnett
Habersham
Hall
Hancoek
Haralson
Harris
Hart
Heard
.
_
Henrv
Houston _ _
_
Irwin
Jackson
_ _
Jasper .
Jeff Davi3
. _
Jefferson
Jenkins
Johnson ...
Jones
Lamar
Lanier
.
...
Laurens
Lee
White
Colored
M
F
M
F
0
0
0
6
0
0
3
2
10
4
5
35
1
0
4
5
6
2
5
2
1
2
1
3
4
1
14
1
2
34
2
2
1
2
1
1
0
0
0
2
1
1
0
1
3
0
1
15
0
0
2
0
0
1
0
0
0
0
0
4
0
0
1
4
1
0
0
0
2
0
1
2
0
0
1
1
0
2
0
0
1
0
0
0
1
0
0
20
0
0
1
0
0
2
1
1
0
3
1
0
0
0
4
0
0
1
2
0
4
2
1
0
1
0.
3
2
9
_
9.
10
0
4
3
1
0
2
0
1
3
1
1
1
n
0
0
2
1
8
0
1
6
1
3
2
1
1
1
2
0
1
0
1
0
3
3
4
3
0
2
0
Total
5
4
1
10
3
4
7
4
28
5
8
104
3
2
7
7
7
6
16
7
16
4
8
9
2
1
8
6
2
5
3
2
7
5
5
6
6
1
14
3
33
GEORGIA STATE SANITARIUM
Admissions from the Various Counties During the Year 1924.
(Continued)
County.
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwcther .
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee ___
McDuffle
Mclntosh ___
Newton
Oconee
Oglethorpe _
Paulding
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph __.
Richmond ._
Rockdalo ...
Schley
Screven
Seminole ___
Spalding
Stephens
Stewart
Sumter
Talbot
White
Colored
M
M
0
0
5
2
0
4
2
2
3
4
1
1
5
2
5
0
0
2
0
2
1
1
5
1
10
0
2
1
1
6
0
0
0
2
5
3
2
0
0
P
1
1
0
0
1
0
0
1
0
0
0
2
3
0
4
0
0
2"
0
2
0
0
0
Total
P
0
2
4
1
3
3
3
2
0
0
1
2
2
0
3
5
3
3
0
0
0
0
0
1
0
0
1
0
0
4
0
0
2
0
2
1
2
6
2
2
3
13
3
5
11
6
7
4
4
4
6
11
5
14
6
2
7
1
2
6
4
14
2
6
2
4
23
1
2
5
2
9
6
7
7
3
;
-%1*<rf£!*;
EIGHTY-FIRST ANNUAL REPORT
34
Admissions from the Various Counties During the Year 1924
(Continued)
White
Colored
M
M
Total
F
Talialerro _.
Tattnall ___.
Taylor
Telfair
Terrell
Thomas
Tiit
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield __.
Wilcox
Wilkes
Wilkinson _.
Worth
Total
5
4
2
5
12
11
5
3
1
2
13
4
5
2
8
5
5
4
4
11
2
2
3
6
12
5
3
7
3
370
356
187
238
1151
35
GEORGIA STATE SANITARIUM
TABLE VIII
Nativity of All Patients Admitted During the Year 1924.
Alabama
Canada
Connecticut
Delaware
England
Florida
France
Georgia
Germany
Greece
Illinois
Indiana
Ireland
Kentucky
Maryland
Massachusetts _
Mississippi
New Jersey
New York
North Carolina
Ohio
Oklahoma
Russia
South Carolina
Tennessee
Texas
Vermont
Virginia
Unascertained _
Total
White
Colored
M
F
M
F
11
0
1
1
2
4
1
310
1
2
0
1
0
0
1
1
1
0
4
6
0
1
1
5
5
0
0
1
10
5
1
0
0
1
3
0
310
1
0
0
0
1
1
1
1
0
7
4
0
0
11
4
1
1
0
3
4
0
0
0
0
2
0
167
0
0
0
0
0
0
0
0
2
0
0
3
0
0
0
4
0
0
0
0
5
3
0
0
0
0
1
0
224
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
5
23
1
1
1
3
10
1
1011
2
2
1
1
1
1
1
1
4
1
4
16
4
1
1
24
9
1
1
1
23
370
356
187
238
1151
0
0
Total
36
EIGHTY-FIRST ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1924.
Agricultural Pursuits:
Farmers
Farmer's daughters
Farmer's wives
Farm laborer
Professional Service:
Lawyer
Minister
Physicians
School teachers
Trained nurse
Domestic and Personal Service:
Barber
Bootblack
Chauffeur
Delivery boy
Demonstrator
Domestic
Garage worker
Housekeeper
Housewives
Janitor
Laborer
Laundress
Laundry worker
Maid
Nurse
Policeman
Porter
Seamstress
Servants
Shoemaker
Timekeeper
Waiter
Watchman
Trade and Transportation:
Advertising agent
Clerk
Bookkeeper
Insurance agent
Mail carrier
Merchants
Postmaster
Postoffice employee
Printers
R. R. employee
R. R. engineer
R. R. fireman
White
Colored
M
M
F
0
0
40
237
1
6
57
0
0
0
4
0
2
5
2
9
1
0
0
0
0
0
0
2
2
1
2
1
1
1
68
213
1
91
27
1
3
4
1
4
6
17
2
1
2
2
0
0
0
0
0
0
0
0
0
0
0
0
2
16
7
1
2
7
1
1
5
3
1
2
Total
F
169
0
0
1
2
1
6
0
58
0
0
16
2
4
2
2
0
0
0
0
2
1
0
1
0
1
2
0
0
0
0
0
0
0
0
0
0
2
1
2
0
0
0
0
0
1
64
0
1
0
0
0
4
0
0
2
0
0
1
1
0
0
0
20
0
0
0
0
1
0
0
0
0
1
0
0
0
213
0
0
0
0
0
3
0
0
3
0
0
0
0
0
1
5
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
0
68
0
0
7
27
0
3
1
0
0
3
17
0
0
1
GEORGIA STATE SANITARIUM
Classified Occupation of Patients Admitted During the year 1924.
(Continued)
Trade and Transportation, cont'd
Railway news dealer
Salesman
Stenographers
Stonecutter
Street commissioner
Teamster
Telegraph operator
Truck driver
Manufacturing and Mechanical
Pursuits:
Brickmason
Cabinet maker
Carpenter
Mechanic
Metal worker
Painters
Food and Its Kindred Products:
Baker
Butler
Cook
Meat cutter
Miller
Textiles:
Cotton mill employee
Iron, Steel and Other Products:
Blacksmith
.
Pipefitter
Plumber
Steel worker
Lumber and Its Manufacturers:
Sawmill laborer
Sawyer
Turpentine laborer
Miscellaneous:
Band master
Convict
Mattress maker
Miner
Peddler
Student
Vulcanizer
None
Unascertained
Total.
White
Colored
M
M
F
Total
F
1
1
7
10
1
6
0
0
0
0
0
0
2
1
9
10
1
7
0
1
0
0
1
0
0
15
0
0
1
1
16
1
1
20
12
2
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
1
1
1
0
0
0
0
1
0
1
0
0
0
2
1
1
1
0
1
1
1
2
1
54
4
0
0
0
0
0
0
1
0
0
0
0
0
17
4
0
0
0
0
0
1
0
34
1
1
1
1
1
13
1
193
24
187
238
1151
370
111
0
356
^.^■"-•■■'•-
-"•'
EIGHTY-FIRST ANNUAL REPORT
38
TABLE X
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
Traumatic
Senile
Psychoses with cerebral ar
terio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea—
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic conditions __—
Epileptic psychoses
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Contsitutional
psycho
pathic inferiority with
out psychoses
Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
Under 21 31
20 30 40
2 4
4 7
01 0
0
10
0
0
0
15
6
0
0
0
0
0
0
0
0
0
32
17
3
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
0
3
3
7
7
3
49
28
0
0
0
0
0
0
0
13
4
0
0
0
0
0
0
0
0
6
34
39
1
0 0
2
0
3
4
0
6
20
276
26
74 52 37129 38
39
GEORGIA STATE SANITARIUM
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population (Continued).
FEMALES
Psychoses.
Under 2131
20 30 1U
Traumatic
Senile
Psychoses with cerebral ar
terior-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic diseaseManic depressive
Dementia praecox
Paranoia or paranoic condi
tions
Epileptic psychoses
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psy
choses
Drug addict without psychoses
Epilepsy without psychoses
Contsitutional
psychopathic inferiority without psychoses
1Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
0
0
o
1
0
19
0
0
0
0
0
2
0
0
0
0
14
3
1
2
0
0
0
0
0
0
7
1
0
0
0
0
0
0
2
5
6
0
5
6
84
54
0
0
0
0
10
4
0
4
1
0 0
1 1
3 0
0
0
0
0
18
34
2
0
7
3
1
0 0
0
0 0
0
0
2
01
0
3
27
69 51
13
274
EIGHTY-FIRST ANNUAL REPOR-
40
Ages of First Admission During the Year 1924.
Classified with Eeferenee to Principal Psychoses.
Colored Population.
MALES
Psychoses.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of theinsane
With cerebral syphilis
With Huntington's chorea—
With brain tumor
With other brain or nervous
disease
:
Alcoholic
Due to drugs
With pellagra
With other somatic diseaseManic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses__
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic
inferiority
without psychoses
Mental deficiency without
psychoses
Total
Under
20
41'51
50 00
UnOver ascer- Total
70 tained
0
0
0
5
0
0
0
0
0
16
41
2
0
0
0
0
0
0
0
7
11
1
2
0
0
0
25
32
0
3
0
0
13
0
0
4
0
0
0
13
17
0
0 0
0 0
0 0
0 0
26
41 3124 27 12
168
41
GEORGIA STATE SANITARIUM
Ages of First Admission During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population (Continued).
FEMALES
Psychoses.
Traumatic
Senile
With cerebral arterio-sclerosis
Generalparalysis of the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease.
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses..
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psy
choses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic
inferiority
without psychoses
Mental deficiency without
psychoses
Total.
UnOver ascer- Total
70 tained
Under 2131
20 30 40
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
18
15
0
0
0
1
0
0
1
0
0
0
1
1
0
0
13
2
38
64
0
0
0
0
11
0
0
0
0
0
0
9
27
0
1
0
0
0
4
7
0 0 0
10 0
0 0 0
0
2
0
0
1
4
0
4
10
0 0
0 0
0
0
0
0
20
69 56 27 16
204
x^K^arxyHr+^v^MWi
EIGHTY-FIRST ANNUAL REPORT
42
TABLE XI
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
ao
T3
a 'a
f>
o
Psychoses.
03
+3
Traumatic
0
Senile
0
With cerebral arteriosclerosis- 1
General paralysis of the insane. 0
With cerebral syphilis
1
With Huntington's chorea
0
With brain tumor
0
With other brain or nervous
disease
0
Alcoholic
0
Due to drugs
0
With pellagra
0
With other somatic disease
0
Manic depressive
6
Dementia praccox
0
Paranoia or paranoid condition 0
Epilepsy
3
Psychoneuroscs or neuroses
1
With constitutional psycho
pathic inferiority
0
With mental deficiency
17
Undiagnosed
5
Not insane:
0
Alcoholism without phychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
39
O
o
o
en
ffiM 0
a
0
0
0
0
0
0
0
5
16
3
1
0
0
0
3
10
(5
0
0
0
0
0
2
4
0
0
0
0
2
1
2
0
0
0
0
4
2
2
1
0
0
0
15
32
17
3
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
2
1
16
5
0
5
1
1
2
1
2
2
12
18
0
4
2
0
3
2
0
0
6
4
0
1
0
0
1
0
1
0
2
0
0
0
0
n
n
0
0
3
7
3
7
3
49
28
0
13
4
0
0
0
0
0
9
14
0
2
5
13
1
3
0
2
0
1
2
0
0
0
1
5
0
6
34
39
1
0
0
0
0
0
0-
0
0
0
0
0
0
0
0
0
n
0
0
0
0
2
1
0
0
3
0
3
1
0
0
0
6
1
84
87
28
12
I
0
2
n
7
1
II
25 276
43
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALES
73
a
a
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic diseasc-.
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathc inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without phychoses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total.
£ o
P
50
0
7
5
0
0
0
0
0
2
0
0
0
4
0
1
2
0
24
19
0
5
0
0
0
0
5
1(1
0
1
0
0
19
14
3
1
2
0
1
0
0
12
4
0
1
0
5
0
6
5
6
84
54
0
10
4
0
0
4
1
0
18
34
2
0
3
274
^
'-:'-■-;
■■^■^r-
EIGHTY-FIRST ANNUAL REPORT
44
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
MALES
■o
a
a
o
bo
0)
3
°m SK ao
o
n
n
n
0
0
3
6
GO
Psychoses
CO
a
fc
Traumatic
0
Senile
3
With cerebral arteriosclerosis
7
General paralysis of the insane 13
With cerebral syphilis
U
With Huntington's chorea
0
With brain tumor
0
With other brain or nervous
disease
0
Alcoholic
1
Due to drugs
0
With pellagra ._..
0
With other somatic disease
0
Manic depressive
10
Dementia praecox
5
Paranoia or paranoid condition 0
Epilepsy
6
Psychoneuroses or neuroses
0
With constitutional psycho
pathic inferiority
0
With mental deficiency
8
Undiagnosed
8
Not insane:
0
Alcoholism without phychoses
0
Drug addict without psychoses
0
Epilepsy without psychoses 0
Constitutional psychopathic
inferiority without psychoses
0
Mental deficiency without
psychoses
1
Total
62
&
>
a
SB'S
c3
a*
0
1
0
2
0
0
0
0
1
4
16
1
0
0
0
0
2
4
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
1
0
0
0
0
11
19
0
4
0
0
1
0
0
0
2
6
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
2
3
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
n
0
0
5
16
41
2
0
0
0
1
0
0
2
0
1
2
0
0
0
25
32
0
1:1
0
0
0
1
0
0
3
0
0
0
13
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
7
62
19
1
2
n
0
0
0
0
0
0
l
0
0
0
0
n
15 168
GEORGIA STATE SANITARIUM
45
Degree of Education of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
FEMALES
a
B O
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea__.
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease—
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathc inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without phychoses
Drug addict without psychoses
Epilepsy without psychosesConstitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total.
a
c
he
B'g 'tub'
0
3
13
6
0
0
0
0
6
18
15
0
0
0
0
0
0
5
1
13
12
0
4
0
1
0
0
13
2
38
64
0
11
0
0
6
9
0
0
9
27
0
0
0
72
204
EIGHTY-FIRST ANNUAL REPORT
46
TABLE XII
Environment of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALE
MALE
Psychoses.
0
19
14
3
1
0
2
Traumatic
Senile
With cerebral arteriosclerosisGeneral paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease...
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses...
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane:
AlcoTTblism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
5
0
6
5
6
84
54
0
10
4
0
18
34
2
82
3
0
6
3
17 276
171
274
GEORGIA STATE SANITARIUM
47
Environment of First Admissions During the Year 1924.
Classified with Eeference to Principal Psychoses.
Colored Population.
MALE
FEMALE
Psychoses.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Hunting-ton's chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease,.
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane:
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psychoses
Mental deficiency without
psychoses
Total
'.
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
58 107
0
0
0
0
0
0
168
115
204
EIGHTY-FIRST ANNUAL REPORT
48
TABLE XIII
Economic Condition of First Admissions During the Year 1924,
with Reference to Principal Psychoses.
White Population.
FEMALE
MALE
Psychoses.
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis.
With Huntington's
chorea
With brain tumor
With other brain or
nervous disease __
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox _.
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses
or
neuroses
With constitutional
psychopathic inferi
ority
With
mental
deficiency
Undiagnosed
Not insane:
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy
without
psychoses
Constitutional psychopathic inferiority without psychoses
Mental
deficiency
without psychoses.
Total
0
4
0
3
0
8
6
13
12
5
0
5
3
6
0
0
0
0
0
0
0
0
4
1
0
0
1
2
3
3
1
0
3
0
9
3
0
27
15
3
8
10
0
1
0
1
0
11
1
1
2
1
5
0
5
5
1
5
22
0
23
10
0
2
0
1
0
0
0
1
0
0
0
0
0
0
0
2
0
2
0
2
1
0
3
0
1
P.
2
0
6
2
Ill 105 12
276
149
48
1
1
n
»l
39
1
14
GEORGIA STATE SANITARIUM
49
Economic Condition of First Admissions During the Year 1924,
with Reference to Principal Psychoses.
Colored Population.
MALE
FEMALE
Psychoses.
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilisWith Huntingdon's
chorea
With brain tumor
With other brain or
nervous disease _____
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses
or
neuroses
With constitutional
psychopathic inferiority
With
mental
deficiency
Undiagnosed
Not insane:
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy
without
psychoses
Constitutional psychopathic inferiority without psychoses
Mental
deficiency
without psychoses.
Total
~
0
5
0
6
16
18
27
1
41
2
15
0
0
0
0
0
0
0
0
0
0
1
2
0
0
1
0
0
13
0
13
13
0
25
32
2
38
64
0
9
0
13
0
11
13
17
0
9
27
0
0
0
0
0
0
0
0
0
1
0
1
13 168
145
23 204
TABLE XIV
MALES
Civil Condition of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
v
Psychoses.
Total
0
3
4
2
1
0
0
2
2
0
2
2
11
20
0
8
1
1
29
12
0
0
0
2
2
5
109
0
6
20
13
2
0
0
0
5
3
3
0
31
8
0
4
3
4
3
21
1
1
0
0
1
1
130
T3
WT3
•J.
Traumatic
Senile
With cerebral arteriosclerosis
I
———.
General paralysis of the insane
_.
With cerebral syphilis
With Huntington's chorea
"
With brain tumor
With other brain or nervous disease
I
Alcoholic
Due to drugs
I
~
With pellagra
With other somatic disease
Manic depressive
"
Dementia praccox
'_
Paranoia or paranoid condition
'__ _'_
With epliepsy
Psychoncuroses or neuroses
'____'
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
'_
Alcoholism without psychoses
I
I
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
EEMALES
c
H
&
0
2
0'
0
0
1
DC
0
15
32
&
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
3
0
0
3
7.
3
7
3
49
28
0
13
1
0
0
0
0
0
0
26
1
8 276
79 1149
-in
0
o
0
19
14
3
1
2
0
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
2
2
0
3
1 274
I—I
O
X
H
CO
►
►
r
wH
o
w
EEMALES
MALES
Civil Condition of First Admissions During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
« a
o3 o3
0
41
2
0
0
0
0
0
0
1
2
0
0
0
25
32
0
13
0
0
13
17
0
0
0
0
0
1
1
0
0
0
7
10
0
5
0
0
0
7
0
0
0
0
0
0
66
x
S
0
5
16
0
3
7
2d
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epliepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
TJndiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
Total
m
V
Psychoses.
60
23
15 168
47
90
54
1
0
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
0
0
0
204
o
H
O
a
m
>
H
H
CO
>
I—(
>
2
3
s
52
EIGHTY-FIRST ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
S
o
EH
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
:
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority...
With mental deficiency
Undiagnosed
Total.
0
20
22
12
1
3
0
6
1
0
4
1
14
0
11
1
11
15
19
1!)
2.3
22
0 118
GEORGIA STATE SANITARIUM
Aees of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
White Population.
FEMALES
]
s
>
c~
s
Psychoses.
Traumatic
Senile
■
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis—
With Huntington"s chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Undiagnosed
Total
0
0
0
0
1
3
0
0
0
1
tH
0)
>
a
o
o
Zi
0
12
0
0
2
0
0
0
0
0
0
0
0
0
o
H
0
18
0
0
0
1
4
0
0
0
0
0
0
0
0
2
■2
0
2
2
0
3
3
0
20
12
0
3
0
0
2
0
2
(i
1
0
4
1
0
0
2
1
11
15
13
13
0 102
54
EIGHTY-FIRST ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
MALES
Psychoses.
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis__.
With Huntington's chorea.
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority—
With mental deficiency
Undiagnosed
TotaL
0
3
35
1
0
0
0
0
0
0
2
7
7
0
10
0
0
3
14
14
23
11)
17
91
55
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1924.
Classified with Reference to Principal Psychoses.
Colored Population.
FEMALES
Psychoses.
o
1
10
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous idsease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Undiagnosed
Total
o
H
10
1
0
0
1
0
0
2
1
19
18
0
7
0
0
5
12
2
95
56
EIGHTY-FIRST ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
White Population.
MALES
HI
a
o
Psychoses.
rH
Si
a>
■a
a
+J
a
o
3
a
a
o
s
>H
SH
<u
03
CJ
>H
03
lO
©
8
o
o
+3
CO
i—<
<M
lO
O
+->
O
0
1
0
4
0
4
0
4
0
2
5
3
7
4
5
1
0
0
2
0
2
0
2
0
1
0
1
0
0
1
0
0
0
0
0
1
0
a
£>
O
+3
iH
+a
Traumatic
0
Senile .
4
With cerebral arteriosclerosis
3
General paralysis of the
insane
__
0
With cerebral syphilis .
0
With Huntington's chorea. 0
With brain tumor
0
With other brain or nervout disease
0
Alcoholic
1
Due to drugs
0
With pellagra
2
With other somatic disease
0
Manic depressive .
2
Dementia praeeox
0
Paranoia or paranoid condition
0
With epilepsy
0
Psychoneuroscs or neuroses 0
With constitutional psychopathic inferiority.._ 0
With mental deficiency
0
Undiagnosed
1
13
a;
r*
GO
FH
o
1—1
..
a>
(H
00
f-i
03
o
CO
Total
u
03
DO
83
a>
>H
a>
"3
+-»
o
>■
o
En
0
0
0
1
0
20
0
0
0
22
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
1
3
0
1
0
0
1
1
0
0
0
1
0
0
0
1
0
1
0
0
0
6
1
0
4
0
5
0
0
2
1
o
1
0
0
0
2
0
2
2
II
3
1
14
8
0
0
1
0
1
0
0
0
0
0
4
0
0
3
0
0
3
0
0
0
0
0
11
1
0
0
1
0
0
0
0
1
0
0
2
1
0
3
0
0
0
0
0
2
3
0
8
6
17
17
19
25
13
4
II
0
1)
10 118
57
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
White Population.
FEMALES
•Q 1
a
o
S
Psychoses.
QQ
tn
J3
ft
a
o
a
o
s
u
a>
m
u
-M
03
a>
CO
W
03
03
>x
t*
u
o
o
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Total
-
.
03
<v
0
1
0
3
0
3
0
3
0
4
2
2
0
3
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
2
0
0
0
0
1
1
1
'o
8 8
O
+a
FH
<D
F—<
C3
o
O
0
1
0
1
0
0
16
3
0
0
0
in
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
4
0
0
3
0
0
3
0
0
3
2
0
6
2
0
2
1
0
4
3
0
0
2
1
22
11
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
1
1
0
0
2
0
0
1
1
1
fi
0
0
5
0
1
1
0
1
1
0
0
1
0
2
0
1
2
1
0
3
2
0
2
5
1
11
16
15
11
9
12
18
11
15
General paralysis of the
cerebral syphilis
Huntington's Chorea
brain tumor _
other brain or nerv-
GO
FH
o
With cerebral arterio-scle-
With
With
With
With
O
T—1
T—1
o
o>
<X>
•a
a
U
O
02
U
03
n
0
0
0
n
2
1
11 102
EIGHTY-FIRST ANNUAL REPORT
58
Duration of Hospital Resfdence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
Colored Population.
MALES
w
H
c^
tn
f-,
c3
>
>H
<1>
Psychoses.
8
0
CD
s
M
P»
*H
Traumatic
Senile
With cerebral arterio-scle
rosis
General paralysis of the
insane
With cerebral syphilis.—
With Huntington's Chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority—
With mental deficiency
Undiagnosed
Total.
o
3
0
0
0
35
1
0
0
0
0
0
0
0
0
0
0
1
0
2
2
7
7
0
3
0
0
10
0
0
0
1
0
3
14
13
91
59
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924. With Reference to Principal Psychoses.
Colored Population.
FEMALES
■a
a
o
Psychoses.
CD
a>
General paralysis of the
With cerebral syphilis
With Huntington's Chorea
With brain tumor
With other brain or nerv-
With pellagra
With other somatic dis-
Paranoia or paranoid conWith epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority—
With mental deficiency
Total
- - - -
CO
f-H
Xfl
03
03
VI
f-i
o
O !
O
-M
FH
03
03
CD
c3
<u
^H
O
<M
i—I
CO
•a
a
P
With cerebral arterio-scle-
a
o
a
1—1
t-l
u
QQ
XI
.a
a
o
|H
c^
O
©
©
o
O
O
o
1M
Hi
u
>
1—1
"3
o
H
0
1
0
3
0
0
i
3
0
2
0
1
0
0
0
0
1
10
.3
1
3
3
0
0
0
0
10
1
0
0
0
2
0
0
0
3
0
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
1
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
1
0
0
2
0
2
2
1
1
3
0
1
1
0
2
3
0
10
2
0
2
6
0
1
1
0
0
0
1
19
18
0
0
0
0
1
0
0
0
0
0
4
0
0
2
0
0
0
0
0
0
0
0
0
0
0
V
0
0
0
6
0
0
0
0
1
0
0
1
1
0
1
2
0
2
2
0
1
1
0
1
0
0
5
12
6
12
10
20
21
13
3
0
95
60
EIGHTY-FIRST ANNUAL REPORT
Report of Pathologist
FOB THE YEAR
DR.
1924
R. C. SWINT,
Superintendent.
Dear Sir:
The following Report of the Pathological Laboratory for
the year 1924 is submitted:
SUMMARY
:
Blood for the Wassermann (Noguchi) reaction
1,501
Cerebrospinal fluid, including cell count and Wassermann, globulin and colloidal gold reactions
446
CLINICAL LABORATORY SPECIMENS EXAMINED :
Urine, routine analysis
1960
Feces, for parasites or ova, or for occult blood
843
Sputum, for tubercle bacilli
219
Blood, chemical examination
98
Blood, for malaria parasites
87
Blood, coagulation time determination
no
Blood, counts—red, white or differential
722
Blood, type determination
36
Blood, hemoglobin estimation
90
Gastric contents, chemically and microscopically
10
Exudates, microscopically
38
SEROLOGICAL SPECIMENS EXAMINED
BACTERIOLOGICAL SPECIMENS EXAMINED:
Blood, culture
Exudates, culture
Blood, for Widal reaction
Pus, for autogenous vaccine preparation
Pus, pathogenicity tests __'
Brain (dog), for Negri bodies
21
5g
37
27
7
1
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL:
Necropsies
Necropsy tissues, histological examination
Postmortem examination of animals
Surgical tissue specimens
Total number of examinations
49
176
8
24
6,566
61
GEORGIA STATE SANITARIUM
Serological Examinations
Of the 1,501 specimens of blood examined for the Wassermann reaction during the year, 1,200 were secured, in conformity with our routine practice, from patients newly admitted to the hospital. A tabulation of the results of these
routine examinations follows:
Race
White
White
Colored
Colored
Sex.
Female
Male
Female
Male
Number
No.
Positive
Percentage
Examined. (4-plus reaction) Positive
392
12
3.0
358
31
8.6
245
46
18.0
205
50
24.3
1,200
Total
139
11.6
The average percentage of 4-plus Wassermann reactions
obtained by routine examinations of blood specimens in the institution during the years 1914-1924, inclusive, is 12.5.
Of the 446 specimens of cerebrospinal fluid examined, 295
were obtained from patients admitted to the institution during
the year. A routine examination of the cerebrospinal fluid
is made in the case of each patient whose blood reacts positively to the Wassermann test. In the following tabulation
there is shown the incidence of serological neurosyphilis
among patients admitted to the hospital during the year. The
term '' luetic'' is here employed to denote the occurrence of
a positive Wassermann reaction upon the cerebrospinal fluid,
and usually also other serological indications of syphilis of
the nervous system as well.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
No.
Examined
53
61
82
99
No.
Luetic
6
20
17
39
Percentage
Luetic
11.3
32.8
20.7
39.3
Necropsies
During the year, 49 necropsies were performed. Sections
of tissue, taken from the principal viscera and from gross
lesions, were examined. A complete record of the necropsy
findings in each case is filed in the office of the Clinical Director, as well as in the Laboratory.
62
EIGHTY-FIRST ANNUAL REPORT
By a more persistent effort to get in touch with relatives
of patients, by explaining to such relatives the value to themselves and others of the information sought, and by assuring
them that careful restitution of the body will be made upon
the completion of our examination, we could, I believe, obtain
permission for necropsy in a larger percentage of patients
dying in the institution. The granting of permission for
necropsy affords us an opportunity to render a service to the
relatives of patients as well as to expand our knowledge of
diseases that we are called upon to treat.
Intestinal Parasites
Of the 843 specimens of feces examined this year, 356
contained parasites or their ova, in the following order of frequency: Trichuris trichiura, Necator americanus, Ascaris
lumbricoides, Trichomonas hominis, Strongylus stercoralis,
Endameba coli, Hymenolepis nana, Endameba histolytica, and
Enterobius vermicularis. I have omitted from this report,
however, a detailed analysis of the findings, for the reason
that they do not show accurately the incidence of intestinal
parasitic infections either among the patients admitted to the
hospital during the year or in the population of the institution as a whole.
Research
We have done some work upon the question of the possible anaphylactoid nature of so-called essential epilepsy. Our
endeavor has been to demonstrate indirectly, by means of precipitin-production, the existence of a specific protein antigenic
substance, and to determine whether or not changes in the
total number and relative percentages of the various kinds of
leucocytes bear a definite relation to the occurrence of th;
convulsive seizures. We are making quantitative determinations of the dextrose content of the cerebrospinal fluid in the
various psychoses. All of the foregoing investigations are still
in progress.
Milk
In compliance with your instructions, we have examined
monthly, a specimen of milk from each of the various sources
of supply, including the Sanitarium dairy. In these examinations, we have employed the standard methods of milk analysis
recommended by the American Public Health Association.
GEORGIA STATE SANITARIUM
63
Equipment
Our work has been somewhat facilitated by the installation
in the laboratory of a gasoline gas machine, which machine is
simple to operate and economical to maintain.
Embalming
The technicians are also embalmers, and, in addition to their
other duties, have embalmed, during the year, 317 cadavers.
Personnel
The summary given at the beginning of this report shows
a total for the year of 6,566 examinations, exclusive of such
procedures as the preparation of bacteriological and serological
reagents, and the collection of specimens. The laboratory is
fortunate in having experienced technicians; without such
trained assistance, it would have been impossible to handle
adequately so large a volume of work. Mr. Leaptrott has had
thirteen years continuous service in the laboratory; Mr. Johnson, five years. If the demands upon the laboratory continue
to increase, as they should normally do, we shall soon require
an additional assistant. My time, as well as that of the technicians, is so nearly completely consumed by the routine work
that I cannot find the time that I would like to devote to histopathological'and other studies.
Respectfully,
E. B. SAVE,
Pathologist.
64
EIGHTY-FIRST ANNUAL REPORT
Dentist's Report
FOR THE YEAR
1924
MlLLEDGEVILLE, GA.,
JANUARY 1ST, 1925.
DR.
R. C. SWINT,
Superintendent.
Dear Sir:
I have the honor of submitting the report of the Dental
Department for the year ending Dee. 31st, 1924.
In caring for the mouths of the patients in an institution
as large as ours, the dentist's first concern has been, of necessity, to give relief promptly to those suffering with acute
oral disorders.
In order that this may be accomplished, those having the
patients in their immediate charge are instructed to report at
once all cases of acute oral infection that may come to their
attention.
There are many patients within the Sanitarium who wish
to conserve their teeth, whose general mental condition, whose
habits of personal cleanliness and whose willingness to co-operate with the dentist are such as to justify the most careful attention.
Such patients may be divided into two classes, (a) those
whose residence within the institution will likely terminate
at an early date, and (b) those who will probably have to
remain for an indefinite period. For the latter class thorough work, of a permanent nature, is supplied; while, for the
most part, those coming within the first class are given work
more temporary in character, that their teeth may not deteriorate during the time that may elapse before they can
again command the services of their home dentists.
The mouths of all patients are given an examination by
the dentist promptly after admission.
I would call attention to the fact that the work of a single dentist is incorporated in this report, although the patients have profited by the services of a second dentist through
the month of December, and it may not seem amiss, in this
GEORGIA STATE SANITARIUM
65
connection, to express my gratification that the Board of Trustees has recognized the need of the services of a second dentist in the institution.
The dentists reside within the institution, and their services are available at all times.
Below will be found an itemized statement of the work
done in this department during the year 1924:
Extractions
Gold fillings
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerve devitalized
Root treatments
Root fillings
Applications mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Removing calcareous deposits (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
!'221
4
193
136
10
44
'
I3
-*-&
'*
50
19
5
"
6
40
45
24
54
3
I7
68
14
10
1
4
"
™
66
EIGHT'V-FIRST ANNUAL REPORT
Gold crowns
Porcelain crowns
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted third molar
Removing sequestrum
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
2
5
2
2
6
4
6
g
41
1
5
1
320
1,039
993
2,238
Respectfully submitted,
GEORGE
H.
GREEN,
Dentist.
GEORGIA STATE SANITARIUM
67
Report of Superintendent of Nurses
DR.
R. C. SWINT,
Superintendent.
Dear Sir:
I wish to submit the following as the report of the Training
School for Nurses for the year beginning January 1st, 1923,
and ending December 31st, 1924.
The record of the year's work has been unusually good, the
class work of high order and practical.
Wo have experienced no difficulty in obtaining desirable
applicants, most of them being 21 years of age or over. We
find stadents of this age to be more reliable, interested and
ethical than younger students.
Four of our graduate, charge, nurses had a leave of absence f jr six months during the year for a post-graduate
course.
The annual commencement of the Training School was
held on the evening of July 16th in the amusement hall, Dr.
R. C. Swint, Superintendent, presiding.
The class address was eloquently delivered by Senator
Joseph B. Duke, of Eatonton.
The diplomas were presented by Hon. John T. Brantley,
President of the Board of Trustees, and the hospital pins by
Dr. Thomas M. Hall, also a member of the Board.
Miss Pauline Maxwell sang very sweetly "Where My Caravan Has Rested" and "Love, Here Is My Heart."
A dance and reception followed, music being furnished
by the Sanitarium Band.
The following are the names of the graduates receiving
diplomas:
Miss Ruth Estelle Grimes
Miss
Miss Martha Loraine Hartley Miss
Miss Nannie Mae Poss
Miss
The total number of graduates is
Mary Lucile Wynn
Estie Jane Warren
Evielena Smith
one hundred and thirteen.
68
EIGHTY-FIRST ANNUAL REPORT
NURSING STAFF
Superintendent of nurses
Supervisors
Chief operating nurses
Occupation therapy nurses
Special nurses
Special attendants
Graduate nurses employed as head nurses
Senior nurses in school
Junior nurses in school
Freshmen nurses in school
Total number of student nurses
Number of white female attendants
Number of vacancies
1
4
2
8
2
4
9
9
12
17
38
.__140
'
0
CURRICULUM
First Year
Anatomy and physiology
Nursing ethics
Theory of nursing
Hygiene
Practical demonstration
Dietetics
History of nursing
Bandaging
Hydrotherapy
Massage
60 hours
g "
26 "
16 "
22 "
__20 "
10 hours
_ 8 "
_ 6 "
__10 "
Second Year
Medicine
Practical and surgical nursing
Nursing ethics
Materia medica
Dietetics
Bacteriology
Obstetrics
Mental diseases
Eye, ear, nose and throat
Surgery
Occupation therapy
Oral hygiene
16 hours
26
_ 6
_ ig
_ 25
16
__16
__16
8
10
16
_16
GEORGIA STATE SANITARIUM
69
Senior Year
Pediatrics
Surgery
Bye, ear, nose and throat
Gynaecology
Chemistry
16 hours
10
6
16
20
A course of twelve lectures on Nursing the Insane was
given the attendants by Dr. N. P. Walker, Clinical Director.
These lectures are very practical, and there has been great
improvement in the nursing service.
I wish to thank you for your support and consideration
and the Medical Staff for lectures and medical services rendered the students during the year.
Respectfully submitted,
(Mrs.) Mae M. Jones, R. N. (Ohio)
Superintendent of Nurses.
70
EIGHTY-FIRST ANNUAL REPOR1
Report of Pharmacist
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
Dear Sir:
I herewith submit the annual report of the Pharmaceutical
Department for the year ending December 31st, 1924:
By comparing this report with the one of the previous
year, you will see an increase in the laboratory work and in
prescriptions sent out.
There are few changes in prices. Some few chemicals have
declined, but this is offset by advance in other essentials, such
as castor oil. Our figure for purchase of goods may seem
large, but when we consider that all surgical dressings, disinfectants, supplies for mortuary and dental departments are
included in this, the actual cost of medicine per patient is
small.
To you, the Board of Trustees, the Clinical Director and
other officers of the institution, I am truly grateful for many
helpful suggestions and hearty co-operation.
Below is a condensed list of manufactured products:
Tinctures, spirits and extracts
2,668 pounds
Elixirs
1,558
Syrups
;;_"_ 925
Ointments
125
Liquors, lotions and mixtures
1,035
Library paste and mucilage
' 15
Medicated dusting powder
21
Indelible ink
32
Glycerites
200
Liniments
104
Tonics
224
Aquas medicated
45
Tooth powder
,
g
Quinine, anodyne and influenza capsules, filled_10,600
Germicide
730 gallons
GEORGIA STATE SANITARIUM
71
STATEMENT
Debits
1924.
Dec. 31st, Inventory as of Dec. 31st, 1923
$ 4,970.87
Purchases During the Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$10,290.41
Freight and express
254.83
Total
Less goods returned
__$10,545.24
289.85
Net
$10,255.39
Total
Deduct: Inventory at December 31st, 1924
$15,226.26
5,402.67
Goods to account for
$ 9,823.59
Credits
Departmental Sales
Prescriptions filled for wards, 33,469, aggregating
$ 9,393.55
Sales to officers and employees
430.04
Total
$ 9,823.59
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
72
EIGHTY-FIRST ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE, GA.,
MARCH 11TH, 1925
DR.
R. C. SWINT,
Supt. Ga. S. 8., Milledgeville, Ga.
My Dear Sir:'
In accordance with instructions previously received, I beg
to submit below a report of the receipts and disbursement's
of the office of Treasurer Georgia State Sanitarium for fiscal
year ending Dec. 31st, 1924:
Dec. 31st, 1923. Balance cash on
hand
$
590.12
To amt. received from regular appropriation
799,999.98
To amt. received from Steward-.
7,648.25
To amt, received from interest
1,478.87
To amt. received from special appropriation
369,931.08
To amt. received from S. J. Slate,
insurance prem. on Nurses'
Home
650.00
To amt, received for Nurses'
Home
60,933.75
$1,240,332.05
Disbursements for the year 1924_
Dec. 31st, 1924, bal. cash on hand
$1 206 910 06
' 33 42199
$1,240,332.05
As Treasurer Georgia State Sanitarium and as assistant
cashier Exchange Bank, we certify that at close of business
Dee. 31st, 1924, there was to the credit of Otto M. Conn, Treasurer Ga. State Sanitarium, the sum of $33,421.99 (Thirtythree Thousand, Four Hundred Twenty-one Dollars and
Ninety-five Cents.
OTTO M. CONN,
Treas. Ga. S. S.
H. G. BANKS,
„.
Asst. Cashr. Exchange Bank.
H. H. HERNDON,
N. P. B. Co., Ga.
GEORGIA STATE SANITARIUM
Report of Farm Steward
DR.
R. C. SWINT,
Superintendent Ga. State Sanitarium.
My Dear Sir:
I beg to submit a report of the foodstuffs produced in my
department for the fiscal year ending December 31st, 1924 :
Beets _—
Beans, "butter ("shelled)
Beans, snap
Beans, velvet
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting
Corn, silage
Cucumbers
Fodder
Kale
Lettuce"-"
Oats, shelled
Oats straw
Okra
Onions
Peas, garden"!
Peppers
Peavine hay
Pork (dressed)
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
jjye
Squashes""""!!
Tomatoes
Greens (turnfpsT
Turnips and greens
Watermelons
Strawberries
Egg Plant
Peanuts
1,364 bushels
113 bushels
645 bushels
44,700 pounds
19,494 heads
14,541 heads
3,517
15,004 bushels
32,648 ears
540 tons
799 bushels
30J tons
362 bushels
850 heads
601 bushels
10 tons
1,010 bushels
380 bushels
881 bushels
963bushels
„_ 89! tons
21,672 pounds
6,195 bushels
1,802 bushels
288 bushels
1,363 bushels
566 bushels
1,878 bushels
528 bushels
232 bushels
4,119 bushels
13,304
990 quarts
104 bushels
300 bushels
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
11 calves sold for
300 sacks sold for
68,990 gallons
288 gallons
714 pounds
271 gallons
13,034 pounds
2,272 pounds
$45.25
-08 apiece
74
EIGHTY-FIRST ANNUAL REPORT
Chicken Yard
Hens issued
Friers issued
ued
Ills
-tiggs, St
set
"
044
521
::::::::::::::::::::2,302 91i
doZen
dozen
In addition to this work, we have cut about 500 cords of
wood and delivered to the buildings, cleared about 40 acres
of new ground. All the coal from the chutes has been distributed by my department. The entire road system of the
institution has been worked and kept in condition by several small improvements, as grading hills and putting sewer
piping where necessary.
During the year I have kept one mule and one horse for
their board.
I have worked seven mules short the entire year, due to
some dying and having to use some elsewhere. I let the white
occupational therapy department have one, then I had to put
two to the trash carts when we did away with the old steers. I
consider the mules a great improvement over the steers.
I sold the seven old steers for $230.00, hoping to use that
money and purchase a pair of mules to take their places.
We purchased 1,000 white leghorn baby chicks last April
* rom them we have about 365 grown pullets, from which we
expect to start a first class chicken farm.
The freeze last January killed everything we had growing
thus making us late with our vegetables, as we had to start
all over. The oat crop was also killed, but we planted a few
spring oats to get out seed for this fall.
T ie
! ¥*/& weather during July and August caused our
peas to shed their blooms, making the crop a failure.
I wish to thank you, the Board of Trustees, the officers of
the institution and others for the gratitude and co-operation
shown me and my department throughout the year.
Respectfully,
F. C. PBNUEL,
Farm Steward.
GEORGIA STATE SANITARIUM
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician.
Dear Sir:—Please find below the annual report of the
Engineer's Department for the year ending December 31st,
1924:
Improvements
Four pipe lines for taking steam and hot water from the
boiler room of the Jones Building to the John T. Brantley
Building, and for the return circulation, have been laid
under ground between the two buildings. These pipes are all
anchored under the buildings and provision has been made
for the expansion in them in a reinforced concrete manhole
set midway between the two buildings. These pipes are all
laid in approved conduit and with the best insulation available. Drainage is provided along the length of each pipe
line, which necessarily are on different levels, and the ditch
filled in with field gravel up to the center line of them.
Work on the John T. Brantley Building was begun late
in the year, but no great amount of work has been accomplished since it was necessary to get together the material for
it.
Partitions dividing the front part of two of the buildings
at the Colony into rooms for single patients have been
removed and the whole of that part of the buildings thrown
into an open dormitory, which makes for more accommodation.
A hog pen to be used for fattening hogs has been built
near the slaughter pen. This pen is 16 ft. by 18 ft. It has
a concrete floor and has a roof built over it on substantial
columns. The roof is of galvanized corrugated iron and has
an over hang of two feet on all sides.
Eight electric lights have been put in the cold storage
rooms. Marine type fixtures were used in this work in order
to prevent the "shorting" of the current from the moisture
unavoidable there. For this service it was necessary to run
a separate circuit from the switch box in the boiler room.
76
EIGHTY-FIRST ANNUAL REPORT
The house for storing the cotton used in mattress making
has been enlarged by an extension 20 feet wide by 40 feet
long. This extension is divided by a partition into two rooms
each with windows and doors on two sides for ventilation and
light, ihe building is equipped with an electrically driven
picker, and other appliances for mattress making.
Six water closets in the T. 0. Powell Building have had the
old seat flushing devices removed and fitted with overhead
flush tanks.
A water closet has been put in on the ground floor in the
rear of the administration part of the Negro Building for the
use of the office force employed there. A partition of wood
has been put across the opening in which this closet is located.
A porch has been built out from the third story of the
center building of the L. M. Jones Building.
The wagon platform scale at the horse lot has been moved
and set up ma more convenient place near the storehouse.
liie pit tor this scale in its new position has enclosing walls
concrete
videcuf
- Drainage from the pit has been proThe composition roof of the female tuberculosis buildin<*
for negro patients has been taken off and replaced with one of
The underfeed mechanical stoker in the boiler room at the
laundry has been thoroughly overhauled and a new retort with
dead plates put in.
The wall in the rear of the Negro Building which marked
the confines of the origmal building, but which after the new
building was erected separated the two, has been taken down
and the bricks used to build a wall connecting the west end
of the old building with the west end of the new one, thus
completing the closing in of the buildings on that side This
fro nTe Tthj R,IrnWalter Stembridge with but nttie Lip
trom the Engineer's Department.
». AneW fl,00r ^ n een put in on the 27th white female ward,
and the roof partially recovered with shingles.
,
A diet kitchen has been established in the Negro Build-
Sm»£ "T/ f°i thH PUrp°Se have been fitted "P on both
and mlf TeDiv SldeS, Wlth the necessai> Petitions, sinks
and range. In this work a doorway has been cut through
GEORGIA STATE SANITARIUM
77
one of the fire walls. This opening has been protected by an
Underwriter's steel clad fire door.
A chicken house 16 feet wide by 80 feet long has been
built at the farm. This building has a concrete floor and a
galvanized corrugated steel roof.
The summer houses in front of the Powell Building have
been repaired and painted.
Two transformers have been set up in the rear of the horse
lot and electric connection made to them so that the saw for
cutting wood may be run by the electric motor used in cutting ensilage. A small house has been built at this place for
housing the motor.
The brick wall around the patient's yard at the rear of
the L. M. Jones Building has been taken down. The bricks
have been cleaned.
Two rooms in the Powell Building have been thoroughly
renovated and painted. In one room it was necessary to put
in a new floor and a new ceiling. These large rooms are being
used for occupational therapy work. The floors are stained
and waxed.
The floors of all the rooms and the corridors in the L. M.
Jones Building have been stained and waxed.
The operating room at the Negro Building, and the adjoining rooms have been repaired and painted. The outside of this
building has been painted also.
Bight stone markers have been set at Fort Wilkinson, outlining the five acres given by the state to the Nancy Hart
Chapter of the Daughters of the Kevolution.
The water heater of the hydrotherapy rooms of the Male
Convalescent Building has been connected to the service pipes
of the building for its betterment.
. Fifty wooden bedsteads have been made for the Negro
Building.
The electric stoves and ovens used by the dietitian with her
classes have been moved from "0" ward in the Cabaniss
Building to "C" ward in the "Whittle Building. A new brick
78
EIGHTY-FIRST ANNUAL REPORT
chimney has been built at this last named location, and a
wrought iron range put in for the use of the diet kitchen.
The patients' yard at the west side of the Powell Building
has been leveled up and the washes stopped by logs buried in
the ground. A new fence has been built around this yard.
A gasoline-gas machine has been installed in the laboratory, and the building piped for gas and heaters.
The entire woodwork of the L. M. Jones Building has been
painted.
The brick dutch oven at the Green Building has been
pulled down and rebuilt on larger and better lines. A roof
has been built over this oven to protect it from the weather.
Five and one-fifth squares of metal ceiling has been put
in place of defective plastering in the Powell Building.
Three adapters have been purchased. These adapters
make it possible for us to use the hose of the Milledgeville
Fire Department on our fire plugs, should the occasion require it.
The Mobley Cottage has been repaired and painted
throughout.
The Echols Cottage has been painted inside and out.
An additional coal heater has been put in the 27th female
ward, and two new brick chimneys required by the change
from wood burning furnace to coal have been built.
The roof of the 27th white female ward has been partially
recovered with shingles.
The cottage at the dry dairy, and one of those in the rear
of the Negro Building have had new roofs put on them.
The Yarborough Cottage has been painted on the outside.
A water closet, a lavatory, and a sink have been put in the
dormitory on the fourth story of the "Whittle Building.
The boilers removed from the boiler room of the L. M.
Jones Building to make room for the larger ones intended to
79
GEORGIA STATE SANITARIUM
serve both the Jones Building and the Brantley Building,
have been reset, one in the Green Building boiler room, and
the other in the boiler room of the Twin Buildings. These
boilers take the place of boilers which are smaller.
A composition roof has been removed from one of the
tuberculosis pavilions at the "Hospital" and replaced with
one of 40 pound coating tin.
New door frames and doors have been put on the front of
the No. 2 boiler in the Powell Building boiler room.
Two power sewing machines have been added to the equipment of the sewing room in the white female building.
A water heater has been put in the laundry and connected
up for the supply of the West Detached Building and the two
nearby tuberculosis pavilions.
In addition to the ordinary repair work of the institution,
the carpenter shop, the furniture and harness repair shop,
the tin shop, the paint shop, broom factory and shoe repair
shop have been kept busy in manufacturing and repairing
various articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSURE,
Engineer.
so
EIGHTY-FIRST ANNUAL REPORT
Report of Steward
DR.
R. C. SWINT,
Supt. Ga. State Sanitarium.
Dear Sir:
I have the honor of submitting the following exhibits and
schedules making up a detailed report of all receipts and disbursements through this office during the fiscal year ended
December 31st, 1924:
EXHIBITS:
No. 1. Consolidated Cash Statement Receipts and Disbursements.
2. Analysis—Cash Receipts and Disbursements General
and Special Funds.
3. Balance Sheet at December 31st.
4. Statement of Income and Expenditure for Year.
5. Profit and Loss Statement—Farm Garden and Dairy.
6. Analysis—Expenditure John T. Brantley Building.
7. Comparative Statement Cash Expenditure 1923-1924.
8. Statement Operating Funds, December 31st.
SCHEDULES:
No. 1. Accounts payable as of December 31st.
2. Accounts Receivable as of December 31st.
3. Production—Farm, Garden and Dairy.
A comparison of the per capita and per diem cost for the
year with that of 1923 follows:
Total cash expenditure
Per capita
Per diem
Average number patients
Year 1923
Year 1924
$980,230.55
$996,756.04
234.95
227.10
.64.37
.62.22
4,172
4.389
All bills have been paid promptly during the year, and duplicates, together with cancelled vouchers, filed in the Executive Department, as heretofore.
Respectfully submitted,
HOMER BIVINS,
Steward.
Exhibit No. 1
Consolidated Cash Statement, Receipts and Disbursements
so
.2§
soic'S
3 Q-
is
O
so
C3 T3
DESCRIPTIVE
» S o
a C
o I—i rH
Balance from 1923
,
Less due Treasurer
1
Less Trust Funds
Difference: Overdraft
Support and maintenance
RECEIPTS.
Maintenance appropriation, regular
Part 1923 deficiency appropriation.
Part 1924 deficiency appropriationPart 1924 special appropriation
Patients' deposits
Special insurance fund
Miscellaneous sales
Vouchers returned
Interest on balances
Balance
Transferred by Steward
Balance
Disbursed on vouchers
Balance
Disbursed by Steward
Balance
9
to
$11,027.03
g.ss
£"&
CB
t* 3 «
°8 ,
so
s
3,000.00
3
/?0
to
1,666.35 $123.68 $ 277.39
O
o
O
$ 222,966.03
$11,027.03
$218,700.75
w
>
000.00
200,000.00
169.031.06
H
w
650.00
5,053.13
132.88
132.88
1,482.65
1,482.65
$1,009,264.31 $11,027.03 $27,700.84 $ 1,666.35 $123.68 $2,872.51 $60,933.75 $28,079.62 $957,648.97
7,648.25 17,052.591 24,700.84
$1,016,912.56 $28,079,621$ 3,000.00 $ 1,666.35 $123.68 $2,872.51 $60,933.75 $28,079.62 $957,648.97
964,051.48
1,363.98
1,021,166.30 15,925.67l 48,630.23 23,046.28
$
4,253.74 $12,153.95 $51,630.23 $24,712.63 $123.68 $1,508.53 $60,933.75 $28,079.62 $ 6,402.51
15,925.67 32,704.56
48,630.23
i$
4,253.74 $12,153.95 $ 3,000.00 $24,712.63 $123.68 $1,508.53 $60,933.75 $12,153.95 $ 39,107.07
>
$800,000.00
200,000.00
169,031.
60,933.75
650.00
>
$60,933.75
$17,052.59
$17,052.59
7,648.25
2,595.12
r-H
a
3
K
H
Exhibit No. 1 (Continued)
Consolidated Cash Statement, Receipts and Disbursements
K!
SUMMARY
H
Cash in hand Treasurer
$12,153.95
Cash in hand Steward
3,000.00
Due from Brantlcy Building
24,712.63
Difference—Current Cash, overdraft Maintenance
Fund
39,107.07
Total
$78,973.65
Due
Due
Due
Due
Due
Treasurer—Overdraft
patients' deposits
Wing Whittle Building
Occupation Department
new buildings
Total
$ 4,253.74
12,153.95
123.68
1,508.53
60,933.75
>
$78,973.65
H
o
to
2
>
r
to
Exhibit No. 2
Analysis Cash Receipts and Disbursements
DISBURSEMENTS
Overdraft—General Eund from 1923
$222,966.03
Support and Maintenance:
Wages and Labor:
General administration, officers' salaries
$ 57,912.47
Medical Department
$215,906.87
Steward's Department
40,648.04
Engineers' Department
49,749.22
Farm and Garden Dept
13,399.09
Dairy Department
4,368.62
324,071.84
Food Supplies:
Wards
Steward's dining room
Supt's dining room
$293,733.77
3,421.91
804.32
297,960.00
Miscellaneous:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
Incidentals
$ 78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
58,899.74
$280,345.38
EECEIPTS
Balance Cash in Hand:
Patients' Fund
Steward—Working Fund
$ 11,027.03
3,000.00
Total
$
State Appropriations:
Regular, 1924 ■
$800,000.00
Deficiency, 1924
169,031.06
Deficiency, 1923
200,000.00
Special, 1924, Jno. T. Brantley Building
60,933.75
Total
Miscellaneous:
Sales merchandise
Bodies, sold
Sales, Pharmacist
Sales, dental supplies
Sales, sacks, hides, etc
Sales, live stock
Sales, Occupation Dept
Total
Other:
Board special attendants
Interest on balances
Wages, refunded
Phones and telegrams
14,027.03
$ 3,574.48
30.00
52.99
23.40
40.75
262.50
1,030.88
$
$ 1,024.15
1,516.29
441.98
51.93
ES
O
%
$1,229,964.81
~
O
H
O
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I—I
5,015.00
Exhibit No. 2 (Continued)
Analysis Cash Receipts and Disbursements
RECEIPTS
DISBURSEMENTS
Farm and Garden:
Dairy:
$ 20,263.35
16,203.00
$ 36,466.35
Total
Special Funds:
Nurses' Home
Occupation therapy
Patients' withdrawals
$996,756.04
$ 23,046.28
1,363.98
15,925.67
Total
Balance Cash in Hand:
Treasurer—Patients' Fund __$ 12,153.95
Steward—Working Fund
3,000.00
Donations
Travel, refund
Fines
Escape patients
Special, Insurance Fund
"Vouchers returned
Sundries
Total
Special Funds:
Patients' Deposits
260.05
71.49
32.00
2.00
650.Q0
132.88
716.01
$
$
o
X
i-3
H
*l
I—»
S3
4,898.78
17,052.59
Grand total
>
>
b
$ 40,335.93
w
H
hfl
O
W
Total
$ 15,153.95
Less—Cash overdraft, General Fund
4,253.74
Difference
CO
i-3
i-3
$ 10,900.21
$1,270,958.21
Grand total
$1,270,958.21
Exhibit No. 3
Balance Sheet, December 31st, 1924
LIABILITIES
ASSETS
Cash*
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time deposit
Total
Bonds:
Three 100-s 4th Liberty Loan
Two 50-s 4th Liberty Loan
Three 50-s Third Liberty Loan
Total
Accounts Receivable:
Officers and employees
Sundries
Total
Unpaid Appropriations:
Balance due on 1923 deficiency
Balance due on 1924 deficiency
$ 12,153.95
3,000.00
963.37
-$
$ 16,117.32
300.00
100.00
150.00
$
$
550.00
721.23
2.78
$
724.01
$ 39,864.68
29,468.86
Total
—- $ 69,333.54
Stocks on Hand:
Stores—Misc. merchandise
$ 50,009.36
Packing house products
1,577.65
Dry goods in process of manufacture-. 3,873.46
Due Treasurer:
49rq74
Overdraft
$ 4,2o3.74
Due Special Funds:
Special—John T. Brantley Building—$ 36,221.12
Occupation Department, male
^YSS™
Occupation Department, female
157.69
Wing Whittle Building
123.68
Total
Accounts Payable:
Individuals and Companies
Sundries
Total
Trust Funds:
Patient's deposits
Salaries, Wages and Labor:
Employees
Officers
Total
Q
H
O
o
$ 37,853.33
marrm
ib 10,bhT.A)
720.25
w
$ 11,387.45
>
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IOIMQC
lAioa.ao
$ 2Aol9.95
5,059.11
$ 32,579.06
Difference;
Excess liabilities at beginning of year.$158,088.02
Excess income above operating cost
for year
250,826.44
H
>
Ed
d
Exhibit No. 3 (Continued)
Balance Sheet, December 31st, 1924
LIABILITIES
Net surplus at end of year
ASSETS
Drugs, chemicals, etc
Engineering material
Fuel—Steam coal
5,402.67
12,598.68
30,721.79
Total
Miscellaneous:
Freight and express items undistributed
Total
$ 92,738.42
I—I
O
X
H
$104,183.61
K!
I—I
57.47
$190,965.95
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Total
___$190,965.95
HI
>
ADDITIONAL
>
On Hand:
Farm products
Live stock
Vehicles and, implements
Supplies, Consumed:
Food
Dairy feed
$ 23,184.75
35,366.00
6,234.25
$ 64,785.00
Institution investment beginning of
year
$ 63,254.90
Institution investment during year
65,046.21
to
Total
Net profit for year (Exhibit No. 5)
i-3
$128,301.11
9,407.77
$ 64,985.76
7,938.12
$ 72,923.88
$137,708.88
Total—
$137,708.!
H
hj
O
to
Exhibit No. 4
Statement Income and Expenditure
EXPENDITURE
General Administration:
Officers' salaries
$
Wages ami Labor:
Medical Department
$ 224,246.51
Engineer's Department
50,188.19
Steward's Department
41,181.34
Farm and Garden Department
13,635.58
Dairy Department
4,306.06
Total
Eood Supplies:
Wards
Steward's dining room
Superintendent's dining room
Total
Miscellaneous:
Clothing and dry goods
Furniture and bedding
fuel
Stationery and postage
Medical supplies
Total
Maintenance of Plant:
Fire apparatus
Machinery supplies
61,970,33
$ 333,557.68
$288,274.12
3,421
-?i
804.32
$ 292,500.35
$ 72,969.86
49,828.63
55,989.23
4,010.92
11,156.90
$ 193,955.54
$
200.00
1,859.71
INCOME
State Appropriations:
Regular
Deficiency, 1923
Deficiency, 1924
Total
Miscellaneous:
Board officers
Board employees
Board special attendants
Total
Other Receipts:
Donations
Dental work and material
Fines
Interest on balances
Sales old material
Rents
Total
Farm and Garden:
Sales—Farm products
Rent stock
TotaL
$800,000.00
239,864.60
198,500.00
O
H
O
»
ZZTZ~$1,238,364.60
$ 1,994.84
3,468.15
1,018.65
$
CO
H
%
6,481.64
$ 1,773.42
10.50
269.10
1,515.29
1,103.37
163.00
.$
H
CO
>
i—i
>
4,834.68
160.20
50.00
210.20
Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Builders' hardware
Cement
----Lime, hair and masons' supplies
Lumber and building material
Painters' supplies
Plumbing supplies
Sewer supplies
Tinners' supplies
Cooking apparatus
Steam pipe and boiler fittings
Water works supplies
Ice works supplies
Grading supplies
Total
Earm and Garden:
Commercial fertilizer
Seed
Misc. supplies and repairs
Board employees
Live stock
Budding trees
Rent land
Treating hogs
Poultry yards
Sundries
Total
INCOME
Dairy:
Sales—Dairy products
Sales—Live stock
2,061.18
1,025.34
1,190.22
4,731.34
3,060.58
2,094.16
217.73
1,419.75
340.64
2,156.12
988.65
639.24
45.78
?
,.„,„
3> <>V°£-2x
2,149.29
i'ill'l*
f
o^o'nn
X
'Q,I sn
s
ik™
/.O.OO
, °>fiJ
W<
•£>
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-*'
Total-
53.25
262.50
I—I
315.75
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22 030 44
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Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Misc. supplies and repairs
Board employees
Live stock
Feeds
Registration lees
Rent pasture
$
™n')4
709.67
iAla,K
14,686.15
10-00
WO-00
Total
~
$
Incidentals:
15 89
Light and power
$ 2 '2 no
Housekeeping
^'A^'OO
l
Laboratory supplies
'~lni
Office supplies
J21™
Dental supplies and equipment
2,494.23
Repair Account—Autos and trucks— 1,062.24
Escaped patients
iS'™
Advertising
154.78
Amusements
_ J?°-V°
Travel
1,717.40
2
Medical books and journals
i?'co
Phones and telegrams
,5 o?
Surgical instruments
J*^
Interest paid
257.62
16,203.00
Exhibit No. 4 (Continued)
Statement Income and Expenditure
EXPENDITURE
Florists' supplies
Printing
Gas and oils
X-ray supplies and equipment
Blacksmith supplies
Broom factory
Electric light repairs
Cemetery supplies
Phone supplies
Registration—Autos and trucks
Insurance premiums
Repairs—Vehicles
Vehicles and implements
INCOME
200.54
96.00
3,046.40
254.75
233.54
1,243.75
1,398.51
378.33
412.89
121.85
1,568.40
104.40
325.00
a
03
>
55
55
a
>
r
&
o
Total
$ 58,899.74
Surplus—At end of year carried to Exhibit 1__$ 250,826.44
Total
$1,250,206.87
W
i-3
Total..
—$1,250,206.87
Exhibit No. 5
Profit and Loss Statement, Farm, Garden and Dairy
DEBITS
Inventory January 1st, 1924
Purchases During Year:
Commercial fertilizer
Compost
Commercial feeds
Home-grown feeds
Seed
Freight on seed
Pasturage
Total
$ 21,654.65
$ 7,062.50
4,972.50
14,686.15
41,698.67
1,967.59
181.70
100.00
$ 70,669.11
Grand total
Less inventory December 31st
$ 92,323.76
22,184.75
Net cost feeds, fertilizer, etc
Gross profit for year
$ 70,139.01
38,311.00
Total
$108,450.01
CREDITS
Production:
Miscellaneous farm products
Fruits and vegetables
Packing house products
Poultry and eggs
Dairy products
Compost
Total
Cash Sales:
Steers
Calves
Hides
Total.
Total
Gross profit brought down
O
o
$ 41,549.50
33,717.70
4,793.56
1,086.25
22,014.75
4,972.50
O
.$108,134.26
230.00
32.50
53.25
TO
>
H
TO
>
i-3
315.75
$108,450.01
$ 38,311.00
>
I—I
a
Exhibit No. 5
(Continued)
B
Profit and Loss Statement, Farm, Garden and Dairy
DEBITS
Operating Expense:
Wages
Board employees
Misc. supplies and repairs
Treating hogs
Budding trees
Live stock
Sundries
Total
Net profit for year (Exhibit No. 3)
Total
H
CREDITS
$ 17,941.64
3,463.15
5,042.44
81.50
871.50
1,348.00
155.00
>
>
b
w
$ 28,903.23
9,407.77
$ 39,311.00
H
O
Total.
.$ 39,311.00
w
Exhibit No. 6
Analysis Expenditure, John T. Brantley Building
DISBURSEMENTS
Due general Fund lor 1923 expenditure
Material:
Brick
$
Lime, cement and plaster
Lumber
Sand
Drain tile
Plumbing and steam fittings
Hardware
Radiators
Roofing
Tiling
Sundries
Total
Wages
insurance
$ 1,666.65
RECEIPTS
Three-fourths 1923 special appropriations.
60,933.75
88.00
3,337.42
4,357.54
289.75
151.60
9,207.87
751.01
1,864.10
31.95
829.00
62.58
w
H
H
w
>
I—I
>
$ 20,970.82
$ 1,925.46
150.00
Total
Balance in hand
$ 2,075.45
$ 36,220.82
Total
$ 60,933.75
Q
H
O
d
Total
_$ 60,933.75
Exhibits Nos. 7 and 8
Comparative Statement Cash Expenditure 1923-1924
DESCRIPTIVE
General administration
Wages and labor
Pood supplies
Clothing and dry goods
Eurniture and bedding
Euel, coke and coal
Maintenance of plant
Medical supplies
_________
Stationery and"postage
Incidentals and contingenciesEarm and garden
Dairy
- _.
Total
- -
Amount
1923
Amount
1924
Increase
1924
$ 54,907.46
329,078.49
245,902.13
75,334.50
56,793.75
85,419.75
33,133.80
10,273.16
4,407.91
58,648.36
12,788.98
13,542.26
$ 57,912.47
324,071.84
297,960.00
78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
58,899.74
20,263.35
16,203.00
$ 3,005.01
$980,230.55
$996,756.04
$ 69,428.13
52,057.87
3,095.02
883.74
251.38
7,474.37
2,660.74
Decrease
1924
5,006.65
6,965.12
29,430.52
11,103.36
396.39
$ 52,902.64
Per Capita
1924
Per Diem
1924
$ 13.20
73.83
67.90
17.87
11.35
12.76
5.02
.2.54
.91
13.41
4.62
3.69
$0.0361
.2035
.1797
.0490
.0320
.0350
.0140
.0094
.0022
.0361
.0151
.0101
$227.10
$0.6222
X
H
w
>
z
d
>1
t-
H
Statement Operating Funds December 31st
Due Special and Maintenance Funds
$54,261.02
Cash and cash items
$17,448.80
Demand Obligations:
Balance due on appropriations
69,333.54
Accounts payable
$11,387.45
Difference: Cash deficit at end of year— 11,445.19
Salaries and wages
32,579.06
43,966.51
Total
$98,227.53
Total
$98,227.53
O
GEORGIA STATE SANITARIUM
95
Schedule No. 1
Accounts Payable as of December 31st, 1924
NAME
Atlanta Dental Manufacturing Co.
Augusta Drug Co.
Armour & Company
Am. District Steam Co.
Atlantic Broom Supply Co
American Mills Company
American Radiator Company
Atlanta Journal Company
Bell Grocery Company
Beck & Gregg Hardware Company
Bell, E. E.
Berry Asbestos Company
Barrett Watson Company
Barrett Company
Bone, F. E., Agent
Brantley, C. C
Brantley, John T.
Burke, T. C
Brown Company, D. W.
Bright-Brooks Lumber Company
Braid & Hutton
Carr Company, A. J.
Collins, W. H.
Soleman, Meadows, Pate & Co
Conn & Company, John
Chicago White Lead Company
Carter White Lead Company
Conklin Tin Plate and Metal Co
Clark, R. E
The Chemo Company
Dean, Col. H. H
Dotty Delite Baking Company
Dupont NeMours Company, E. I.
Dixie Packing Company
Ennis, J. H
Evans, W. C
Ehrenreich & Sons Co., I.
Fischer, Carl
Flcmister Coal Company
Fouch Company, A. J.
Frederick Disinfecting Company
Guild Company, William H.
Glass Motor Co., B. G.
Hall, Dr. T. M
Herf & French Chemical Co.
Hatcher Hardware Co.. R. W.
Haines, Jones & Cadbury Co.
Harris Laboratories
1
Hosch Brothers & Company
Holcomb Manufacturing Co., J. I.
Johnson & Johnson
Ivey, W. H.
Ivey, O. E,
....
Debits
Credits
if
$ 7.51
20.39
1.44
8.61
19.50
72.08
5.38
32.63
46.62
.94
25.00
1.62
3.91
2.17
4.29
1.02
996.92
12.21
9.72
378.59
120.60
22.00
3.85
150.00
12.50
162.50
43.87
50.90
131.85
45.00
187.43
69.18
2.95
193.80
529.00
120.00
25.00
200.00
20.08
846.36
256.32
4.39
127.50
2.35
12.70
24.25
2.90
25.00
16.35
4.18
82.50
77.25
322.05
EIGHTY-FIRST ANNUAL REPORT
96
Schedule No. 1 (Continued)
Accounts Payable as of December 31st, 1924
NAME
Debits
Jaques & Tinsley Company
James Supply Company
.54
Lindsey, E. E.
—
Lombard Iron Works and Supply Company—
Laib Company
47.55
Lewis, Samuel
■&>
Lester Book and Stationery Company
McKinley, G. C.
Majors Company, J. A.
Mathieson Alkali Works
135.12
Milledgeville Phone Company
Milledgeville Milling Company __
Miller Rubber Company
5.98
Milledgeville Lighting Company
Macon Terra Mosaic Tile Company
National Biscuit Company
Psychoanalytic Review
Newton & Brother, C. E
Pittsburg Plate Glass Company
11.10
Palmolive Company
Pierce, Butler & Pierce
2.41
Peoples Oil Company
7.30
Parke-Davis Company
20.26
Peaslee Gaulbert Company
9.27
Quinn Marshall Company
6.00
Powers Regular Company
Riley Drug Company, J. B.
Rawlings, Dr. William
Roberts, Johnson & Rand
2.00
Richardson Milling Company, O. N.
1.20
Roughton Halliburton Company
Ridley, Yates Company
1.80
Rosin Turpentine Export Company
54.08
Riley, C. E.
Shaw, H. M
Schlesinger, Harry L.
Schwartz & Phaul
7.55
Selig Company
11.00
Saunders, W. B. Company
Stovall Daniel Company
.47
Surgical Selling Company
Standard Oil Company
Southern Sanitary Manufacturing Co.
Southern Electric Company
.57
Southern Cotton Oil Trading Co
Squibb & Sons, E. R
Smith & Company, R. G.
■Stembridge, J. W.
Solomon Company
-19
Southern Express Company
Tennille, W. C.
Union Recorder
Veal, O. F.
Credits
260.00
12.50
24.00
23.23
498.82
99.23
36.77
205.13
1,403.20
175.00
43.84
6.00
262.00
158.40
63.75
44.20
62.50
68.75
37.75
100.00
43.05
8.00
8.74
37.47
400.24
67.50
14.32
36.25
37.50
64.12
42.50
15.00
44.38
97
GEORGIA STATE SANITARIUM
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1924
Name.
Watson, E. T.
Western Union Telegraph Co.
White Provision Company
Weed & Company, J. D.
Whitman Company, J. R.
West Disinfecting Company
Whitneld Grocery Company
Welch Grape Juice Company
Williams & Wilkins Company
Wootten, R. H.
Wilson & Company
Wocher & Sons, Max
Willingham-Tiit Lumber Company
Winthrop Chemical Company
Total
Debits. Credits.
12.93
13.17
6.00
1.96
173.90
20.33
89.10
58.17
210.00
316.80
5.00
2.33
988.95
55.00
$780.48
$11,447.68
98
EIGHTY-FIRST ANNUAL REPORT
Schedule No. 2
Accounts Receivable as of December 31st
Name.
Allen, C. D.
Adams, Athelia
Allen, W. K.
Andrews, Lula
Allman, Laura
Allen, Dr. W. H.
Andrews, Mandy
Austin, Frank
Andrews, Adam
Baugh, Evelyn
Beal, Lizzie Mae
Bowen, U. S.
Bivins, Homer
Brookins, Mollie
Brantley, C. C.
Brantley, Fannie May
Brookins, Mary Sue
Brown, Erne M.
Bonner, A. E.
Bradford, R. W.
Blaekwell, A. N.
Braswell, Willie
Brown, Annie
Bentley, G. R. W.
Bailey, R. F.
Berry, W. T.
Burgess, Bessie
Chapman, Myrtice
Combes, Louise
Cox, C. G.
Combes, Mrs. D. N.
Chapman, Mattie
Durden, W. R.
Digby, Velma
Digby, Mae
DeSaussure, T. H.
Dillard, Mattie
Digby, Annie
Ethridge, Essie Lee
Echols, G. L.
Floyd, Verna
Griffin, Ola
Debits. Credits.
$ .10
.50
.65
5.49
.30
35.00
1.92
1.85
.30
2.20
.50
36.36
10.13
.20
13.74
.40
.25
3.14
.80
9.71
3.50
.35
2 64
4o!50
1.15
2.20
2.64
11.25
5.00
1.05
.55
3.53
.30
2 14
.33
374
75
L98
434
"~" L64
30
.~Z'JLl~l~~
Gilman. J. M.
Gault, Gertrude
Garrard, J. I.
Green, G. H.
Gilham.-Schoen Electric Company
Godfrey, Delia
Georgia State Farm
(iiles Forrest
Godard, C. L.
Holder, J. H
—-."I
Hubbard, Amanda „
,_,
„
„
,
'.65
.35
[55
620
L15
'59
126
n'25
_ _ '98
" 1000
52
_,_, i.'gg
GEORGIA STATE SANITARIUM
SCHEDULE No. 2
99
(Continued)
Accounts Receivable as of December 31st
Name.
Hays, Sylvie
Harden, D. E
Ham, D. W.
Hester, Auba
Hudson, C. E
Hattaway, G. W.
HCmphill, W. A
Heringdine, Joe
Humphrey, J. O.
Humphrey, Joe
Hubbard, Luey
Harper, Lottie
Head, Eunice
Heringdine, O. C.
Johnson, J. 0.
Johnson, A. W.
Johnson, Mamie
Jones, H. S.
Josey, J. E.
Jenkins, Lottie
Jones, Annie P.
Jackson, J. P.
Leonard, Lila
Leonard, A.
Lewis, Herbert
Lord, J. E.
Lawson, E. L.
Longino, L P.
Layfleld, B. L
Layfleld, Lollie
Latimer, Fannie
Landrum, Mattie
Layfleld, J. W.
McDonald, Mable
McKinley, R. L
McCullar, Lillian
MeAdams, J. I
MeGinley, Catherine
Maddox, Willie
Mathews, T. W.
May, G. C
Mullinnix, D. W
Mobley, J. W.
Miller, G. C
Molton, Clara
Ney, S. I
Newsome, Grace
Oglesby, Nina
Oxford, Amy
Oglesby, Percic
Osborne, H. L.
Oden, J. W
Debits. Credits.
1.10
.25
.45
.60
.35
.40
1.00
.15
.75
2.42
-84
1-35
.99
1.47
2.41
10.00
2.02
2.15
.75
.35
-41
-40
-30
-55
-25
-40
4.2o
5.09
1-08
8.41
.72
2.63
-20
1-00
2.50
3.20
-20
1-44
-27
-35
2.39
10-00
2.73
40
-60
1-20
o-8"
-79
-90
-32
-30
54 80
-
100
EIGHTY-FIRST ANNUAL REPORT
SCHEDULE No. 2
(Continued)
Accounts Receivable as of December 31st
Name
Debits. Credits.
Nash, W. H
30
Nash, Bessie
__
30
poik, j. B
:::::::::::::;::: 3:50
Payne, Annie Lee
320
Penuel, F. C.
"~ 2370
Peeler, J. G.
30
Proctor, Herschal
______
$0 50
Parham, Percie
~~ g.26
Peacock, Maggie
55
Phillips, Nathan
{QQ
Rutherford, Emma
'40
Richardson, Janic
gg
Rutherford Alice
3J0
Radney, Zelma
4 g4
Rankin, D. T.
]
jg'jO
Ross, J. D., Jr.
" 10 00
Ray Sherman
"
Renfroe, Cora
'___'
_ " 39
Sanford, Estelle
'_
5'ig
Seals, Cheeley
2 00
Saye, E. B.
~_~
{_5Q
State Anatomical Board
5000
Sanford Fleming
2 00
Shurling, Catherine
I
g'72
Smith, Hogan
'35
Stevens, L. K.
"
'95
Simpson, C. E.
~.
~~~_ '_'
g^g
Stokes, Leila
"""'
'25
stevens, R^J
"in:::::::;::::::: 5:00
Simpson, C. H.
20
Smallwood, Lena
_
2Q
Stewart, A. H.
~
"
j'70
Phillips, Louis
'79
Taylor, R. A
{£
Thompkins, Katie
Vn
Tanner, W. F
~~~H~"
14 ig
Thornton, Emma
_____
264
Turner, Eleanor
_ ___
332
Thornton, Amanda
""
o'id
Vinson, J. T
"""
2
Valentine, Jewel
""
'2n
United States Public Health Service
' 3qq'qq
Veal, Lila B
^
West, J. H. __
'
i™
Waller, J. H
""'
'%%
Walker, N. P
/"
Watson, Winnie
" "
o'on
Wheeler, Dr. G. A
----""-"_-_-______"_____ 8.38
101
GEORGIA STATE SANITARIUM
SCHEDULE No. 2
(Continued)
Accounts Receivable as of December 31st
Name.
Watson, J. E.
Winslett, Margaret
Wright, S. E., Jr.
Wootten, J. J.
Wright, D. B.
Williamson, Mollie
Yarbrough, Dr. Y. H.
Young, Mary Alice
Youngblood, J. M.
Total
Debits. Credits.
.34
5.62
.35
1-50
2.73
.05
2.30
4.27
1.86
$721/73
$0.50
102
EIGHTY-FIRST ANNUAL REPORT
Schedule No. 3
Production, Farm, Garden and Dairy
Farm Products:
44,700 Lbs. velvet beans
15,004 bus. corn
6,19o bus. sweet potatoes
601 bus. oats
17qfm
f' F°
179,500 Lbs.
hay
61,000 Lbs. fodder
300 bus. peanuts
540 tons silage
$ 447 nn
-."HIIT2%S*00
7 743 75
:::::: '6U1;U0
1,698.00
99497';
fwlm
1"
^QQ
5,400.00
rruitfa^Tegetable;:
$41,549.50
881 bus. peas
e 1 709 an
1,802 bus. Irish potatoes":::!
* 9 7()toi)
13,304 melons
-IZZZZIi: iffio
380 bus. onions
%QM
1,878 bus squash
3756-00
3,517 cantaloupes
i7^s^
1,010 bus. okra
-JIZIZMZIZIIIZZ:::: S
96 bus. peppers
moo
104 bus. egg plant
104 ou
528 bus. tomatoes
1 crju'nn
19,494 heads cabbage
1 94940
14,541 heads collards
'72705
288 bus. radishes
"
576OO
4,119 bus. turnips and greens „
----- ^ ^g^
US greens
1 ?cl Kbus.
- rape
'116-00
1,303
ggj
go
990 quarts strawberries
I """""
"__
14850
US
beans
fin bus.
K - PS"
1.29l'0O
850
lettuce
1;700.00
262 bus. kale
13100
799 bus. cucumbers
1 997 go
1,364 bus. beets
"
4^092^00
Pack?n| House'ProdutTsT
13,034 Lbs. beef
pouS^'Eggs:
d Z eggs
Hlr
u°- -,
865 chickens
Dai?y Products:
688 990 gallons sweet milk
288 gallons buttermilk
714 Lbs. butter
27i gallons cream
Commit:
3,349 loads compost
Grand total
$33,717.70
l!o42.76
-^^
$ 740.25
346.00
4 793 56
'$
$20,669.70
.
36 00
24990
55,00
m625
-
-
331$ 22,014.75
$ 4,972 50
$108,134.26
EIGHTY-SECOND ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Five
Board of Trustees
President
T.
JOHN
BBANTLEY
_______
Blackshear, Ga.
Vice-President
H. H.
DEAN
_________
Gainesville, Ga.
Secretary
C. C
BBANTLEY
E. B.
LINDSEY
J. C.
JARNIGAN
A. C.
NEWELL
________
__________
________
_____
M. D.
_____
Rome,
Qa.
Warrenton, Ga.
_________
Tuos. M. HALL, M. D.
H. W. SHAW, M. D.
WM. RAWLINGS,
Valdosta, Ga.
Atlanta, Ga.
Milledgeville, Ga.
Augv&t&> Ga
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. B. Lindsey, Chairman
J. C. Jarnigan
Thos. M. Hall
A. C. Newell
C. C. Brantley
Finance and Auditing Committee ,
A. C. Newell, Chairman
Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
Wm. Rawlings, M. D., Chairman
Thomas M. Hall, M. D.
H. W. Shaw, M. D.
Committee on Buildings and Grounds
H. H. Dean, Chairman
B. E. Lindsey
H. W. Shaw, M. D.
Committee on Farm and Outside Business
J. C. Jarnigan, Chairman
H. H. Dean
Wm. Rawlings
Officers of the Sanitarium
R. C. Swint, M. D. _ Superintendent and Resident Physician
N. P. Walker, M. D. ______
Clinical Director
L. P. Longino, M. D. _ _ _ First Assistant Physician
Y. H. Yarbrough, M. D. _ _ Second Assistant Physician
J. I. Garrard, M. D.
_____
Assistant Physician
Geo. L. Echols, M. D. _ _ _ _ _ Assistant Physician
J. W. Oden, M. D. _____ _ Assistant Physician
tW. H. Allen, M. D. (to July, 1925) _ Assistant Physician
D. T. Rankin, M. D. _ _ _ _ _ Assistant Physician
E. B. Saye, M. D. ________ _ Pathologist
R. W. Bradford, M. D. _ _
Junior Assistant Physician
U. S. Bowen, M. D. _ _ _ Junior Assistant Physician
C. G. Cox, M. D. _ _ _ _ Junior Assistant Physician
W. A. Bostick, M. D. (from March 31, 1925) _ _ Interne
G. H. Green, D. D. S. _________ Dentist
J. A. Adcock, D. D. S. (from Nov. 1, 1925) _ _ Dentist
J. J. Woo_ten __________ Pharmacist
Mrs. Mae M. Jones, R. N. _ _ Superintendent of Nurses
Otto M. Conn __________
Treasurer
Homer Bivins
__________
Steward
T. H. DeSaussure _________
Engineer
P. C. Penuel _________ Farm Steward
H. S. Jones ___________ Secretary
Arthur Farell
_________
Storekeeper
Miss Catherine McGinley
_______ Dietitian
*Miss Amy Oxford (to Sept. 15, 1925 _____
------- Director Occupation Therapy
W. W. Stembridge _________ Inspector
Rev. F. II. Harding _________ Chaplain
tOn leave of absence. *Dead.
Eighty-Second Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
To His Excellency, Clifford Walker, Governor.
SIR:
The Georgia State Sanitarium completed on December
31, 1925, its eighty-second year of continuous service to the
insane, and the record made is now respectfully submitted
for your consideration by the Board of Trustees. The annual
report of the Superintendent and Resident Physician is
attached hereto and will supply interesting details of the
year's work, income and expenditures, movement of population, etc. It will be noted from this report that a total of
6,225 patients received treatment during the year, the daily
average being 4,591; that the year closed with 5,319 patients
enrolled on the books of the Sanitarium, of which number
678 were furloughed, with the right of return any time
within twelve months; that 1,175 new patients were admitted
during the year, 18 of whom were found not to be insane;
that the number of patients now in the Sanitarium exceeds
its normal capacity by 740, and that because of this fact
the doors of the Sanitarium have been closed except to the
curahle and dangerous cases; that the per capita cost of
maintenance was $229.14, the daily per capita cost being but
$.6277, which shows a slight increase over the cost of 1924;
that the Sanitarium has lived within its income, and that it
continues to advance in efficiency and, therefore, in usefulness. Credit for this happy state of affairs goes primarily
to the Superintendent and Resident Physician, and secondarily to the members of the medical and business staffs, as
well as to the nurses and attendants, who have given him
fine co-operation in his efforts to advance the well-being of
the afflicted ones in his care. It is the duty and pleasure of
the Board to heartily commend him and them for the splendid
record made.
Asylum and Hospital
The Sanitarium is charged with two distinct duties. It
must provide an asylum for the chronic insane where they
may have the humane custodial care needed by them. It
EIGHTY-SECOND ANNUAL, REPORT
must likewise provide a hospital where recent or curable
cases of insanity may be given such care and expert treatment
as may possibly restore them to mental health. Both of these
duties have been faithfully discharged, and despite the lack
ot sufficient equipment, the Sanitarium is steadily advancing
in efficiency. The efforts of the medical staff are not confined
to the curable cases alone. Through the use of vocational
therapy and habit-forming training, satisfactory results are
being had, even among the chronic insane. The devoted interest of officers and employees has made possible what the
-tioard believes to be the best work yet done in its long and
useful history.
Growth in Population
The comparative figures here submitted illustrate the
steady increase in the population of the Sanitarium:
Year
1900 1925
No. of patients on hand at beginning of year 2,440 4 447
No. new patients received
'696 l'l75
No. patients on hand at close of year
2,551 4'640
Daily average number of patients
2^495 4^591
Total number receiving treatment in the year___3)l59 6^225
No Corresponding Increase in Equipment
Prom 1900 to 1925 three buildings for patients and one
for nurses, providing room for 1,458 patients, were added
to the Sanitarium equipment. In the same time the daily
average number of patients in the Sanitarium grew from
2,495 to 4,591, an increase of 2,096. The increase in equipment has not kept pace with the increase in population It
was over-crowded in 1900, as the report of the Board for
that year shows, and is over-crowded to-day. Some relief
has been afforded in this time by the establishment of a
colony farm for negro male patients, bv the building on the
Sanitarium grounds of pavilions for the use of tubercular
patients and by the occupancy in the present year of the
nurses home, through which rooms were vacated on the
wards for patients. But even so, room is still needed for
740 patients had in excess of the normal capacity of the
Sanitarium.
Admissions Restricted
So acute is the situation in respect of room that the
Board in October last was compelled most reluctantly to issue
GEORGIA STATE SANITARIUM
an order to the Superintendent and Resident Physician,
directing him to decline to receive other patients, with but
two exceptions. He is permitted to receive recent or acute cases
which offer hope of benefit through proper care and treatment, and violent cases found to be dangerous to themselves
or others. This order will continue in force until additional
accommodations are had. The Board is very conscious of the
hardship and suffering caused by this order, but there was
no escape from it. A specific recommendation for the additional buildings required for the use of patients appears
elsewhere in this report.
Convict and Criminal Insane
The Board enters its most earnest protest against the
effort made from time to time to transfer to the Sanitarium
the care of the convict insane now in the custody of another
department of the State government, and with this protest
it would just as emphatically recommend an amendment to
the present law which will make it the duty of the same
department to care for the criminal insane; that is to say,
those persons who escape punishment for crime through plea
of insanity. This protest and recommendation are based on
these facts: The Sanitarium is in no sense a prison, having
neither prison walls, bars nor guards, by means of which
the escape of dangerous criminals can be prevented. It is,
on the contrary, a hospital for the mentally sick, in which by
skilled treatment and gentle, humane care they may possibly
be restored to mental health. To create a prison atmosphere
about them would be fatal to such treatment. To force the
association by law of the innocent insane with the criminal
insane now in the Sanitarium is revolting enough, but when
it is proposed to add the convict insane to their number, such
enforced association outrages every sense of decency.
Pay Patients
The present law governing the Sanitarium provides for
pay patients, but is couched in such vague terms as to make
it difficult of practical application. So much is this the case
that the Board has thus far been unable to enforce it. Its
usefulness and value are doubtful. The best interests of
society and the State demand that the insane shall be properly
cared for, it matters not whether they be paupers or possessed of means. If the effect of this law is to keep out of
the Sanitarium those who should properly be there, it operates against such interests. The law sets up no machinery
EIGHTY-SECOND ANNUAL REPORT
for determining the value of the estate of persons found to
be insane, or for collecting therefrom for the use of the Sanitarium its charge for such support. It makes no provision
for continuing in the Sanitarium on a pauper basis those
persons whose estate may become exhausted or from which no
collection can be made. If they still continue insane, it is
manifest that they can not be discharged for failure to pay.
The effect of the law, if possible of application, is to create in
'the_Sanitarium two classes of patients—those who pay and
those who do not, a distinction capable of doing much harm
to the pauper patients and most unfortunate in its effect.
The revenue possible to be had in this way will not overcome the injustice of the law. In the judgment of the Board,
it should be promptly repealed and the Sanitarium made
free, as heretofore, to the bona-fide citizens of the State whose
taxes make it possible. The division of the cost of maintenance might possibly be distributed between the State and
the County committing, but the value of this is problematical
if it shall result in keeping out of the Sanitarium, because
of such cost, those who should for the best interests of society
and the State be committed to it.
If, however, the present law is to remain unchanged it
should be clarified, and should provide the necessary machinery for ascertaining the value of the estate of such patients,
and for collecting for the use of the Sanitarium its charge
for support.
Murder of a Patient
The most terrible incident in the history of the Sanitarium occurred in September last, when Miss Amy Oxford,
instructor in vocational therapy, while passing through the
grounds in the discharge of her duties, was struck and
instantly killed by a negro patient, to be followed a few
days later 'by the murder of this patient at the hands of
parties who are still unknown. Entrance was forced at night
into the building in which he was confined, from which he
was carried into the adjoining County and there murdered
Every effort has been made by the Board to discover the
perpetrators of this horrible crime, without success The
reward offered by your Excellency for proof to convict was
supplemented by an offer by the Board of $1,000.00 for the
same proof, but no information has yet been had. The offer
continues in force. The simple doors and locks which guard
the patients are not proof against such attacks at the hands
oi determined men.
GEORGIA STATE SANITARIUM
Water Supply
The consumption of water by the Sanitarium is now in
excess of 700,000 gallons daily. The pumping plant has a
capacity of 1,000,000 gallons of filtered water in twenty-four
hours. The increasing consumption also increases the pressure on the single main connecting the plant with the Sanitarium, and, therefore, increases the danger of breakage. A
part of this main is laid under a creek which at flood frequently spreads out for a mile or more. If a break should
occur at such a timte and place the impossibility of repairing
it under such condition will put the Sanitarium in a situation
not pleasant to contemplate. The only possible solution is
a duplicate main, and a recommendation is elsewhere made to
cover its cost.
Recent Additions to the Plant
The new building so long in construction was completed
during the year, and is now occupied by the nurses, for whom
it was intended. Their removal to it vacated many rooms on
the wards for the use of patients. This generous recognition
of the worth of these faithful employees is much appreciated
by them and promises to bring about a still greater improvement in the nursing service. The building and its modest
furnishings are such as reflect credit on the State.
The new ice plant provided for at the last session of
the Legislature is under way and will shortly be in use. Its
completion will supply one of the most urgent of the Sanitarium's needs. When such completion is had the old plant
will be transferred without charge to the Prison Commission
for use at the Prison Farm.
Other Equipment Which Must Be Had
1. To provide for the 740 patients now in the Sanitarium in excess of its normal capacity and to allow room
for future growth, four new buildings, two for each race,
with a capacity of not less than 1,200 patients, are now
necessary. Such buildings will care for 460 patients in
excess of the present population. With admissions slowly
mounting higher each year, and already approximating 1,200
annually, such growth is inevitable if the Sanitarium is to
continue to do its duty.
2. The greatest need of the Medical Department in
treating the acute and curable cases of insanity, and in caring
for the physically sick, is a general hospital located amid the
10
EIGHTY-SECOND ANNUAL REPORT
pleasantest surroundings possible and supplied with every
appliance known to be of value to the ends sought. Both
races should be provided for in it. It will enable the curable
cases to be separated from the chronic cases and thus remove
a present serious handicap to successful treatment. In it
should be located all of the reception wards in which new
patients are kept for observation and diagnosis, as well as
all of the hospital wards, operating rooms, etc. By means
of this concentration under one roof much better attention is
made possible. Such a hospital will greatly advance the work
of the Medical Department, and at the same time provide
more room for patients in the general wards.
3. A need of much importance is a larger amusement
hall, the present one, built many years ago, being entirely outgrown. It provides for the convalescent patients through moving pictures, concerts, dances and religious services, with
their principal pleasures, and should by all means be made
ample in size for this purpose. Whatever is needed to lessen
the pathos of their condition should be supplied with a
generous hand. The Board would suggest that such a building when erected should provide recreation rooms for the
white male attendants in which they can gather for social
pleasure when off duty.
4. A frame building is needed by the Medical Department in carrying on occupational therapy work among the
white female patients, from which such good results are
being had. The cost is very small in comparison with the
great good to come from it,
5. If fire escapes are deemed a necessity, they should
be had at once. Ladder escapes would be .as dangerous to
the patients as fire, and only tube escapes can be used.
Inside enclosed stairways have been relied on for many years
as the means of escape in case of fire, and these are bad. The
buildings are constantly patrolled at night as a further protection.
6. The growth of the Sanitarium has made necessary
more commodious offices for the officers in charge. As one
solution of this problem the Board would like to see the
Superintendent and Resident Physician; supplied with a
residence in keeping with the dignity of his position and
roomy enough to enable him to dispense the hospitality
expected of one in his position. His present quarters in the
Powell Building could then be converted into offices.
GEORGIA STATE SANITARIUM
11
7. A central heating plant with which is combined an
electric light and power plant offers possibilities of economy.
Appropriations Recommended
1. For the sum of $700,000, to be used for the erection
and equipment of four buildings for the use of patients.
2. For the sum of $250,000, to be used for the erection
and equipment of a general hospital building.
3. For the sum of $44,000, to defray the cost of a duplicate water main from the pumping station to the Sanitarium.
4. For the sum of $50,000, to be used for the erection
of an amusement hall for the use of patients.
5. For the sum of $8,000, to be used for the erection
of an occupational therapy building.
6. For the sum of $25,000, to be used for the erection of
a home for the Superintendent.
7. For the sum of $25,000 to provide fire escapes of
approved type.
Amendments to the Law Recommended
The Board recommends an amendment to the law which
will make the Sanitarium free to bona-fide citizens of the
State:
Also that the present name of the Sanitarium to be
changed to read "State Hospital for the Insane," the better
to define its functions.
The Appreciation of the Board
The Board makes grateful acknowledgment of the generous support given it by your Excellency, by the State
Auditor and by the General Assembly in its faithful effort
to have the Sanitarium fully realize the merciful purpose
for which it was founded. It begs for an even more generous
support in the future, that it may be in position to do all that
is humanly possible for the relief of these sorely afflicted ones
for whom it is responsible. With a prayer that the blessings
of a Merciful Father may continue to rest on this great house
of mercy, this report is respectfully submitted.
By order of the Board of Trustees.
JOHN
CHARLES
C.
BRANTLEY,
Secretary.
T.
BRANTLEY
President.
12
EIGHTY-SECOND ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
The Honorable Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the Eighty-second Annual Report of the Georgia State Sanitarium, which covers the period
from January 1, 1925, through December 31, 1925.
Appended hereto are reports of the Clinical Director,
Pathologist, Dentist, Superintendent of Nurses, Pharmacist,
Engineer, Steward, Farm Steward and Treasurer. These
reports give a general review of the activities of the institution in its various departments throughout the year.
General Statistics of Patient Population for the Year 1925
Males Females Total
Patients remaining on books Jan. 1,1925.2,335 2,715 5,050
Admitted during the year :
First admissions 1
520
434
954
Preadmissions
113
108
221
Total admitted during the year
633
542
1,175
Total under treatment during the year__2,968
Discharged during the year:
As recovered
63
As improved
132
As unimproved
54
As not insane
14
Died
219
3,257
6,225
68
154
23
3
177
131
286
77
17
396
482
425
907
Remaining on books Dec. 31, 1925
2,486
Num'ber on parole Dec. 31, 1925
335
Actual residents of Sanitarium Dec. 31,
1925
2,151
Daily average under treatment
2,832
343
5,318
678
2,489
4,640
4,591
Total discharged and died
GEORGIA STATE SANITARIUM
13
A comparative study of the above statistics shows that
first admissions increased 32, readmissions decreased 8, and
total admissions increased 24, as compared to the previous
year. The percentage of the discharges from the records
(patients who remained on furlough over twelve months) as
recovered and improved, based on the number of admissions,
was 35.5%, compared with 35.8% the previous year; also
the daily average was 202 more, and the deaths 10 less.
Of the actual resident patient population, 852 patients
were furloughed during the year, and of this number 660,
or 56%, were restored or improved—based on the total admissions; 174 were unimproved, but clinically harmless, and 18
were discharged as not insane.
Over-crowding has been, and continues one of our most
pressing problems. It has greatly handicapped the efficiency
of the institution throughout the year.
The records and previous reports of the Sanitarium show
that this has been a serious problem for many years. The
actual resident patient population has never been as great
as it is now, and the over-crowding never so acute, and as
serious. It is unjust to new admissions, as well as those
already in the Sanitarium to allow over-crowding of such
proportions, and I hope that the above statement will be
adequate without more word painting to indicate the seriousness of this problem.
In order to clarify the situation, it might be well to
note just here that the additional 198 beds available after
opening the John T. Brantley Building (nurses' home) on
July 15th, 1925, gave the Sanitarium a normal capacity of
3,900 beds, and these additional beds provided a slight relief
for_excessive over-crowding on white female reception wards,
but overcrowding there is still hazardous, as we are still
required to sleep two patients in rooms intended for only one.
We began the year with an actual resident patient population of 4,447 and closed with 4,640, a net increase of 193,
or an actual over-crowding of 740 above normal capacity, not
counting 678 patients on parole, who have the privilege of
returning, if necessary, during their furlough period.
It seems that many of the Counties over the State have
abolished their almshouses, and there appears a slight grow-
14
EIGHTY-SECOND ANNUAL REPORT
ing tendency to commit to the Sanitarium senile persons who
are more or less invalids; also feeble-minded individuals who
might be cared for at home with some extra personal attention, or who might be successfully cared for in County almshouses.
When we decline the application for admission of such
type of cases, we find it difficult to resist the appeals of relatives, and in some instance physicians and politicians, who
seem not to hesitate to exaggerate the merits of the applicant.
We hope, however, that by adhering to resolutions below
that you adopted at full Board meeting in October, 1925,
there will result a decrease in number of admissions during
the coming year, and that the total discharges will outnumber
or at least equal total admissions, and thereby prevent any
further population increase.
We cannot feel so sanguine about this, however, as the
applications for admission seem to be increasing.
The following is the copy of letter mailed to the Ordinaries containing the resolutions above referred to:
"Judge Court of Ordinary.
"DEAR SIR:
"I am instructed by the Board of Trustees of the Georgia
State Sanitarium to send to the Ordinaries of the various
Counties of the State the following resolutions adopted at this
meeting, October 22, 1925:
"The over-crowded condition of the Sanitarium being
under consideration, the following action was had:
"It appearing that the Georgia State Sanitarium,
with a normal capacity of 3,900 patients, is now taxed
with the care of 4,650, with 676 other patients furloughed, with the right to return within twelve months,
and that as a result of this condition two and three patients are crowded into rooms intended for one, which
is dangerous, unsanitary and a handicap to treatment;
and these facts have been repeatedly reported by the
Board of Trustees, with no relief granted; and that
the ever-increasing demand for admission makes some
action by the Board imperative; therefore,
GEORGIA STATE SANITARIUM
15
"It is ordered, effective October 28, 1925, that the
Superintendent of the Sanitarium shall enforce the
following rules:
"1. Admission shall be granted to very urgent
cases; that is, to young acute cases whose symptoms
are of recent origin, and who offer hope of benefit by
treatment, and to violent cases dangerous to themselves and others, who cannot be safely cared for at
home, and are unable to pay for treatment in a private
hospital.
"2. Admission shall be denied to senile, feebleminded and harmless incurable cases who cannot be
benefited by treatment.
"3. Ordinaries shall be required to send the Superintendent in advance of commitment a full history of
each and every case proposed to be committed, in order
that he may determine if and when said applicant may
be received.
"4 A copy of this action shall be sent to every
Ordinary of the State, in order that he may have a
clear understanding of the condition which makes this
action necessary and imperative.
"5. These rules shall continue in force as long
as the present condition prevails."
Medical Service
The report of the Clinical Director gives a review of
the medical work and nursing service for the year. Notwithstanding the shortage of staff members, the medical work
was kept at the usual standard of excellence. The Clinical
Director and Staff more actively interested themselves in
habit training, and some gratifying results were obtained
along this line.
The monthly bulletin of the Clinical Director has been
of interest and help to the nursing personnel. We anticipate
further development and results along this line during the
coming year.
The Sanitarium population was not afflicted with any
epidemics of acute physical illness, except during the sum-
16
EIGHTY-SECOND ANNUAL REPORT
mer there was a short epidemic of acute enteritis of unknown
cause. A rather extensive laboratory study of this disease
failed to give us any information as to its cause. Clinically
it was characterized by diarrhoea, with very little temperature
reaction, but with profound prostration, and in many instances rapid fatal termination. The same type of illness
occurred about the same period in other localities of the
State. It was not traceable to any local dietary cause. Our
total death rate during the year, based on the number under
treatment, was 6.94%.
Dr. Joseph Goldberger, of Washington, D. O, of the
United States Public Health Service, continued his research
studies of pellagra with Dr. G. A. Wheeler, of the Public
Health 'Service, in immediate charge of this work. The research work of these two physicians has been of interest,
stimulating, and has given us valuable information concerning the cause and treatment of this dreadful malady.
During the early part of the year, with your permission,
we arranged with Dr. Sam Darling, of the Rockefeller
Foundation, who had charge of the malarial research station
at Leesburg, Ga., to send a member of his staff here to work
with our Staff in doing some research study of the malarial
treatment of general paralysis of the insane. Dr. Henry
Carr, of the Foundation, was sent, and, working with members of our Staff, inoculated fifty-five cases of general paralysis of the insane. We are not yet prepared to offer an
opinion as to the merits of this type of treatment, but results
noted to date are not so encouraging.
The unfortunate occurrence during September resulting
in the death of Miss Amy Oxford, our Occupation Therapy
Director, and in a few days the lynching of the colored male
patient who struck her, by an unknown mob, cast a gloom
over the entire Sanitarium for some time. I hope that the
institution will never have to experience another such trying
ordeal. The Sanitarium is a hospital, and not a prison.
Therefore, we are not prepared to offer armed resistance to
the invasion of mobs.
The establishment of the school psychiatric clinic at
Blberton in September expanded our extra mural activities,
and in the course of time should prove of value. The edu-
GEORGIA STATE SANITARIUM
17
cational propaganda and advice obtained from such clinics
properly conducted has a far-reaching effect toward causing
the public to get away from old superstitions, and to assume
a more correct attitude toward mental disease and the Sanitarium. A member of our Staff conducts this clinic twice a
month. The psychiatric clinic at Macon, that we have been
conducting for several years, was kept up, and held weekly
by one of our Staff members. It has become rather definitely
established, and is now regarded as a part of the regular
medical program for the City of Macon and its vicinity.
Dental Service
It is generally recognized by physicians and dentists that
diseased teeth and infections have a pathological effect on
the human organism, and in order that this feature of treatment may receive proper attention, the Sanitarium employs
two full-timed dentists, one for the female service and one
for the male service. Both of these dentists reside in the
institution, and devote their entire time to the dental service.
The report of the Senior Dentist gives the character and
amount of work done in this department during the year.
Recreational Diversions
The Clinical Director's report gives a review of the
activities during the year in the Occupation Therapy Department, It is our policy to interest patients in some form of
diversion as soon as possible after their admission. On account
of the large population of the hospital, and our limited facilities, this work has to be mainly concentrated on new admissions, although a large per cent, of our hospital population
is daily engaged in some form of work that is more or less
beneficial to them, and very necessary for the operation of
the hospital. The weekly dances and picture shows were
kept up during the year. Our projection machine, unfortunately, caught fire in December, and it was practically destroyed, with damage to the booth and amusement hall. The
picture shows will have to be discontinued until the machine
is replaced, and an absolutely fire-proof booth constructed.
When the weather was favorable we made the rule of
taking all the patients that were able, out of the buildings
to the recreation grounds twice daily. Many of them were
given walks over the grounds, and some of the white females
were given picnics by the occupation teachers.
18
EIGHTY-SECOND ANNUAL REPORT
The Sanitarium Band kept up the tri-weekly concerts.
The band leader also organized an orchestra that played at
the picture shows, which added to its entertainment feature.
Religious services were held every Sunday afternoon
as formerly.
The Business Department
The report of the Steward gives a detailed account of
the receipts and disbursements made during the year. Our
per capita cost was $229.14, compared with $227.10 the previous year. The per diem cost was .6277, compared to .6222.
These figures include every item of cost connected with hospitalization of patients, as well as maintenance and repairs
of physical plant. However, the institution could not be
operated on so small a per capita cost at the same standard
of efficiency without the aid of our farm, garden and dairy
productions, and the practice of strict economy on every
hand.
But there are many needs and improvements that might
be added for the welfare of our unfortunate charges if funds
were more liberally appropriated. I think that the dominant
question in our minds should be—What are we doing for our
patients, rather than how cheaply are we operating the institution.
In this connection it might be of interest to note that
we spent $48,952.00 more for food, $6,751.00 less for clothing
and dry goods, and $14,798.00 less for fuel compared to the
previous year.
The report of the Farm Steward gives a tabulated statement of the productions for the year of the farm, garden,
dairy and poultry yard.
Improvements and Repairs
The report of the Engineer gives a detailed description
of the items constructed in this department during the year.
We are delighted to report that the John T. Brantley Building (home for white female employes) has been completed,
furnished and occupied since July 15th. It is modern in
construction and furnishings. We are proud of it. I believe
that it will prove a benediction to the institution.
GEORGIA STATE SANITARIUM
19
Other notable improvements were the construction of
three badly needed tubercular pavilions for colored females,
and the addition of verandas to the two old ones which are
now occupied by colored males. These additions now provide
adequate quarters for the tubercular cases among our colored
population.
The two tile silos, with combined capacity of 600 tons
of silage, that were constructed at the dairy, provides^ muchneeded addition that should contribute to the efficiency of
the dairy.
The replacement of concrete floors in bath and toilet
rooms in the Twin Building were other needed improvements.
These replacements were completed on six of the wards, but
this work had to be discontinued for awhile. It might be wise
to consider extending this type of improvement to the other
wards of the institution.
Plans also have been made and work begun on the construction of the new ice and cold storage plant. We hope to
have this completed by summer.
Needs Requiring Special Appropriations
1. Over-crowding is the Sanitarium's most acute problem. I think it would be wiser for the State to build another
State Hospital for Mental Disease in some other section of
the State rather than further enlarge this institution, although
it would be practicable to enlarge this plant to a 6,000 patient
basis.
2. If this institution is to provide adequate facilities
for caring for the present needs and demands of the mentally afflicted in the State, it should now have four additional buildings to provide for 740 patients who are already
over-crowding our normal capacity, in addition to making a
capacity provision for annual increase of about 200 population from new admissions.
Estimated cost for four buildings, $700,000.00.
3. In my opinion a modern hospital building with adequate capacity and equipment to care for the special medical
and surgical needs of the entire Sanitarium would be a farseeing and progressive addition. It would have a great influence toward hospitalizing the atmosphere of the entire Sani-
20
EIGHTY-SECOND ANNUAL REPORT
tarium, and provide an equipment essential for the study and
treatment of the very complex problems of the mentally
afflicted.
Estimated cost, $250,000.00.
4. As previously recommended: A duplicate water
main from pumping station to Sanitarium. Estimated cost,
$44,000.00.
Occupation Therapy building for white females. Estimated cost, $10,000.00.
Outside fire escapes. Estimated cost, $25,000.00.
Amusement hall adequate for Sanitarium population.
Estimated cost, $50,000.00.
Conclusion
In concluding this report, I desire to express my gratitude to your honorable body for your official co-operation,
personal kindness and constant interest in the affairs of the
institution throughout the year. Also to aknowledge my appreciation of the faithful services rendered by the officers
and the employes, and to thank the Women's Clubs, American Legion, Knights of Columbus and others who were so
thoughtful and kind with so many gifts to the patients during
the Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
GEORGIA STATE SANITARIUM
2l
Report of Clinical Director
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31, 1925:
During the year 1,175 patients were received. Of these
954 were first admissions and 221 were readmissions.
Of the readmissions, 44 had been admitted to either private hospitals or to other state hospitals; 177 had been previously admitted to this hospital.
Twenty-two patients were diagnosed as not insane. Of
these, 2 showed no evidence of insanity after admission and
no history was obtained pointing definitely to mental disturbance before admission. In three cases the commitment
seems to have been due to alcoholism; in the case of two,
criminal charges had been preferred; one drug addict not
insane was admitted; one suffered from encephalitis; two
from epilepsy; eight were classified as constitutional psychopathic inferiority and three as mentally deficient.
Ten criminals were sent by order of court, eight whites
and two colored. The court charges were as1 follows: Stealing,
1; vagrancy, 2; homicide, 3 ; beastiality, 1; wife-beating, 1;
robbery, 1; larceny, 1. Of these ten, one suffered from manic
depressive insanity; 2 dementia praecox; 4 psychosis associated with mental deficiency, and 3 were not insane. In the
case of the homicides, 1 was classified as dementia praecox,
1 as mental deficiency (low grade, not responsible), and 1,
who came late in the year, is still under observation.
Eight hundred and fifty-two (852) patients were furloughed, of whom 665 were restored or improved. Leaving
out the not insane patients received, this gives us a recovery
rate of 57%. Twenty of the furloughed patients were removed
to government hospitals for ex-veterans.
22
EIGHTY-SECOND ANNUAL REPORT
There were no epidemics or outbreaks of acute disease
during the year other than an enteritis of unidentified character. Rather extensive laboratory investigations did not
reveal any etiological factor. There were reasons for thinking
that it may have been the enteric form of influenza. It was
prevalent in this section at the time.
There were 396 deaths, a percentage of 7.0 of those
treated. The leading causes of death in their order were as
follows: Arteriosclerosis, 59; cerebral hemorrhage, 44; general paralysis of the insane, 41; broncho pneumonia, 38;
tuberculosis, 37. Only seven deaths were assigned to pellagra.
Of these six died within twenty-five days after admission
and the seventh died three months and twenty-six days after
being admitted. Following the observations and recommendations of Drs. Goldberger and Wheeler, yeast has been used
as an adjunct to the dietetic treatment of pellagra and has
been found to be a valuable therapeutic agent in the acute
stages of this disease.
We here acknowledge our indebtedness to Fleischman
Company for having furnished generous quantities of yeast
to the institution. These manufacturers have agreed to furnish yeast again for the year 1926, and it is expected that a
much more satisfactory estimate of the value of yeast as a
therapeutic agent in pellagra will be arrived at. It may be
of interest to recall that in 1915 a diagnosis of phychosis
due to pellagra was made in the case of 210 patients and
that 220 deaths were assigned to pellagra in that year. In
the year 1925 the diagnosis of psychosis due to pellagra was
made in twenty-three instances, and that, as above stated,
seven deaths were due to this disease in the same year.
Fifty-seven (57) patients died within one month after
admission. This is about the same as in former years.
In 1905 our death rate from tuberculosis per thousand
patients treated was 30; in 1925 it was 6.4, a reduction of 78
per cent. For many years approximately 40 per cent, of
the deaths from tuberculosis in our hospital have occurred
among the colored females. The erection during the year of
the three new tubercular pavilions for this department will
provide for the removal of the known active cases from the
main buildings. During the year no inconsiderable amount
of time has been spent by the physicians in charge of this
GEORGIA STATE SANITARIUM
23
department in the routine examination of the old patients
for the purpose of reducing the morbidity and mortality of
tuberculosis. Some of the wards in this department are overcrowded by 130 per cent. This, together with the natural
predisposition of the colored race to the disease, makes an
ideal situation for its development.
The treatment of paresis by the inoculation of such
patients with malaria was tried out during the year. This
work was done jointly by Dr. Carr of the Rockefeller Commission for the study of malaria and two members of the
regular staff, Drs. Yarbrough and Oden. The results were
very disappointing. A total of 55 patients were inoculated
with the blood of malarial carriers. Twenty-one were whites
and 34 were colored. All of the whites were "takes" and
showed more or less satisfactory rises in temperature. One
of these died within the year and one went out on furlough
as not improved, the others remaining in the institution at
the end of the year. Thirty-four negroes were inoculated in
the same way as the whites. Seventeen of these showed no
signs of malaria, either serologically or clinically. The remaining 17 showed malarial parasites in the blood, but only
3 had more than a negligible amount of fever. Only one of
the colored patients showed any marked improvement.
It seems of more than passing significance that the colored race appears to be so much less susceptible to inoculation with malaria than the whites, when we consider the
fulminating character of paresis in the former race. In the
years 1920-1922, inclusive, 59 white and 120 colored paretics
were admitted. At this time (February, 1926) 13.5 per cent,
of the white and 4.1 per cent, of the colored patients are still
in the institution; 13.5 per cent, of the whites and 5.8 per
cent, of the colored patients have been discharged; 72.8 per
cent, of the whites and 90 per cent, of the colored patients
have died within the institution. The average length of life
of the whites who died in the institution was 441 days; for
the colored it was 183 days. As may be readily conceived,
there might have been a difference in duration before admission.
Our pathologist and his assistants have spent, their
usual busy year in the laboratory. A total of 7,786 specimens
were examined during the year. The routine procedures as
24
EIGHTY-SECOND ANNUAL REPORT
practiced in the laboratories are set forth in Dr. Saye 's report
and contain much that is instructive as well as of interest.
The recommendation for the establishment of ward
laboratories, if carried out, would relieve the main laboratory
of a mass of routine work and leave the pathologist free to
devote more time to research, a thing very much to be desired.
When the additional story is added this will further facilitate the laboratory work. As it is now, too much time is consumed in the routine common to any clinical laboratory and
not enough to the furtherance of our knowledge of mental
diseases.
Drs. Goldberger and Wheeler have continued their valuable work in pellagra and have robbed this disease of much
of its mystery, of many of its terrors.
Our training school under the efficient management of
Mrs. Jones has continued to do the good work of former
years and needs no comment for those who are acquainted
with its good standing.
In October and November a course of instruction was
given the new attendants. This consisted of recitations and
quizzes from a pamplet prepared for the purpose. This pamphlet has been twice revised, and is still far from satisfactory.
It is expected that this course will be repeated in May and
October in the coming year. The publication of the Bulletin
has been continued as stimulant to interest.
Following the death of Miss Amy Oxford, Miss Brown
took charge of the Occupation Department in the female
service. She has proven herself efficient and capable. This
department is still badly cramped for the lack of facilitiesmore especially a suitable building. In the white male department better progress has been made because of better arrangements. During the coming year more shop space and equipment will be added, thus avoiding the necessity of calling on
the regular institutional shop for help. We have on the
premises an abundance of good clay, and the development of
pottery-making and allied work, would open a new and most
interesting field for occupation for both males and females.
I believe that good nursing aided materially in the recovery rate for the past year, but there is much room for improvement, Some of the most gratifying work done in the
GEORGIA STATE SANITARIUM
25
whole institution has been in the line of habit training. The
response of cases of dementia praecox of long standing has
been surprising, as well as pleasing. Not a great many cases
have been tried systematically, but in not a single instance
has there been a complete failure.
The clinic in Macon continues with good attendance and
good results. The establishment of the clinic at Elberton has
afforded further needs for mental hygiene. Such work proves
of value not only to the community, but to the physician
who conducts it.
The added equipment and improvement to our X-ray
outfit has added materially to its efficiency. Bight hundred
and five pictures were made, fifty-three fluroscopic examinations were made and 50 treatments were given.
I wish to thank you and the Board for generous aid to
the medical service.
Aknowledgment is here made for assistance and aid rendered by other departments.
I am particularly grateful for the co-operation of the
staff and nursing service.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
26
EIGHTY-SECOND ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1925
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
White
Colored
M
F
M
E
0
15
19
2
0
2
1
1
5
26
37
6
0
1
0
5
20
15
1
1
0
2
54
100
67
10
5
2
3
1
1
5
4
106
66
0
33
10
1
2
0
0
1
33
17
0
20
0
0
0
0
7
4
46
60
0
10
1
12
15
8
23
14
287
191
1
82
19
1
23
32
0
0
0
1
0
0
0
38
32
0
0
0
0
0
0
0
13
30
1
0
0
0
0
1
7
113
141
2
3
2
1
1
2
1
1
0
8
0
1
1
3
222 | 216
1175
Traumatic
1
Senile
29
With cerebral arteriosclerosis
35
General paralysis of the insane—_ 13
With cerebral syphilis
3
With Huntington's chorea
2
With brain tumor
0
With other brain or nervous disease
8
Due to alcohol
12
Due to drugs
7
With pellagra _
11
With other somatic disease
5
Manic depressive
102
Dementia praecox
48
Paranoia or paranoid condition.
1
With epilepsy _
19
Psychoneurosis or neuroses
8
With constitutional psychopathic
inferiority
6
With mental deficiency
39
Unclassified
47
Not insane
1
Alcoholism without psychosis...
3
Criminal without psychosis
2
Drug addict without psychosis..
0
Encephalitis without psychosis..
1
Epilepsy without psychosis
1
Constitutional psychopathic inferiority without psychosis
6
Mental deficiency without psychisis _ .
1
Total
411
326
Total
27
GEORGIA STATE SANITARIUM
TABLE II
Diagnostic Grouping of First Admissions During the Year 1925
Psychoses.
White
Colored
M
M
1
Traumatic
26
Senile
33
With cerebral arteriosclerosis...
11
General paralysis of the insane
2
With cerebral syphilis
2
With Huntington's chorea
0
With brain tumor
With other brain or nervous dis7
ease
10
9. Due to alcohol
4
10. Due to drugs
9
11. With pellagra
5
12. With other somatic disease
60
13. Manic depressive
31
14. Dementia praecox
1
15. Paranoia or paranoid condition...
18
16. With epilepsy
7
17. Psychoneuroses or neuroses
18. With constitutional psychopathic
3
inferiority
35
19. With mental deficiency
38
20. Unclassified
0
21. Not insane
2
Alcoholism without psychosis..
2
Criminal without psychosis
0
Drug addict without psychosis1
Encephalitis without psychosis1
Epilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psy
0
chosis
1.
2.
3.
4.
5.
6.
7.
8.
Total
-•
312
E
Total
E
0
14
19
2
0
2
1
1
4
25
36
6
0
1
0
6
20
15
1
1
0
2
49
97
64
9
5
2
1
1
1
3
4
67
49
0
32
7
1
1
0
0
1
28
16
0
19
0
0
0
0
6
4
37
46
0
10
1
9
12
5
18
14
192
142
1
79
15
0
18
23
0
0
0
0
0
0
0
35
32
0
0
0
0
0
0
0
12
29
1
0
0
0
0
1'
3
100
122
1
2
2
0
1
2
1
1
0
5
0
1
0
1
245
208
189
954
28
EIGHTY-SECOND ANNUAL REPORT
TABLE III
Diagnostic Grouping of Readmissions During Year 1925
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
~~~
With cerebral arteriosclerosis
General paralysis of the insane...
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous disease
Due to alcohol
Due to drugs
With pellagra
"~
With other somatic disease
Manic depressive
Dementia praecox
'
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified __
""'
Not insane
~
Alcoholism without psychosis—
Criminal without psychosis
Drug addict without psychosisEncephalitis without psychosis..
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis.._
Mental deficiency without psychosis
Total.
White
Colored
M
M
P
Total
0
3
2
2
1
0
0
0
1
0
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
1
2
3
2
0
42
17
0
1
1
2
0
0
2
0
39
17
0
1
3
0
0
0
0 I
3
4
9
1
1
0
0
0
0
1
5
9
0
0
0
1
0
5
3
3
1
0
0
0
14
0
0
0
3
3
3
5
0
95
49
0
3
4
0
0
0
3
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
4
13
19
1
1
0
1
0
0
3
0
0
0
3
1
0
0
1
2
99
81
14
27
221
1
0
0
0
5
1
0
1
1
0
9
immmm*
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1925.
COLORED
WHITE
Psychoses.
u s
R I
1
0
0
0
0
With cerebral syphilis
_______
0
With Huntington's chorea
- 0
With brain tumor
1
7
Due to alcohol
- 3
Due to drugs
_
_
'.
6
With pellagra
_ _
_______
2
With other somatic disease
______
Manic depressive
_________ 45
0
Dementia praecox
_
0
Paranoia or paranoid condition
_______
With epilepsy
_________ 0
5
Psychoneuroses or neuroses _
1
With constitutional psychopathic inferiority
5
With mental deficiency
6
Unclassified _
__—_
0
Not insane:
_______
0
Alcoholism without psychosis
0
Criminal without psychosis
0
Drug addict without psychosis
0
Encephalitis without psychosis
0
Epilepsy without psychosis
Constitutional psychopathic inferiority with0
out psychosis
_
0
Mental deficiency without psychosis
2 Senile
3 With cerebral arteriosclerosis
S
6
7
9
10
11.
12
13
14
15.
16.
17.
18.
19
20.
21.
Total _
__—____—_- -
-
-
u
B I
R I
S
u s
R I
s
s
3
6
17
14
5
0
0
10
15
7
19
17
324
157
3
29
18
20
61
109
3
2
2
1
0
1
0
0
0
0
0
1
7
2
1 26 80
3
1
852
0
1
0
0
0
1
1
0
0
0
1
0
0
0
6
5
0
2
0
0
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
1
15
1
0
0
0
1
0
4
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
2
2
0
0
0
0
0
0
0
0
0
0
1
1
2
3
3
54
2
0
1
2
3
3
11
0
0
0
0
0
0
0
2
3
0
0
0
0
2
0
1
1
3
78
40
0
7
6
0
7
21
0
0
0
0
0
0
0
1
3
0
0
0
0
1
0
0
2
1
17
18
1
3
2
1
2
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
1
0
0
0
0
0
0
s
3 ' 13 84 20
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
3
1
0
0
0
1
1
0
0
2
22
21
0
7
0
3
12
10
0
0
0
0
0
0
0
0
3
1
1
0
0
3
1
0
0
1
15
25
1
3
0
4
'18
19
0
0
0
0
0
0
u s
0 0
2 0
1 1
4 1
2 0
0 0
0 0
1 0
0 0
0 0
o 0
2 0
22 0
31 0
0 0
1 1
0 0
0 0
6 0
8 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
9
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1
3
6
1
0
0
0
2
1
3
2
41
14
1
4
3
7
6
22
0
0
0
0
0
0
82 118 95 13 86 171 56
Female
Male
Female
Male
H
O
o
m
>
H
CO
>
>
2
a
30
EIGHTY-SECOND ANNUAL REPORT
TABLE V
SURGERY
Appendectomies
Acroflavine intravenous injection""
Ascite's, aspiration for
Abscess lung, resection rib
"" ~
Abscess, Bartholin gland drainage. """"""'
Abscess, pelvic
Circumcisions
Cholecystotomy drainage
"
Dilatation and curettage
Fractures reduced and fixed
""""
Hemorrhoidectomies
"
Herniotomies
'_ _________
Hysterectomies
"
Hydrocele operation
_
___~_
Injection of air into pleural cavity__"
Intravenous injection spinal fluid
'_
"
Intravenous injection salvarsan and "tryparsamid doses
intravenous injection mercurochrome
Intravenous injection sod. salicylate
""
Intraspinous injection magnesium sulphate" _
Intraspinous injection horse serum
Inoculations with malarial blood ___
_
Laparotomies, exploratory
__
Lipoma removal
"
Oophorectomy
Paracentesis, thoracis
"
"
Pterygium transplanted
Phymosis operation
Papilloma excised
""
Prolapsed rectum operation
~_ " ""
Strabismus operation
Salpingectomy
Sebaceous cyst excised
Tonsillectomies
Tubercular peritonitis operation". __ _
Vaccinations, typhoid
Vaccinations, smallpox
I " ""
""
Varicocele operations
X-Ray treatments
" "
X-Ray pictures
'_
Flutoscopic examinations
"
,.
A
o
f
1
3
1
1
15
7
\
' 1
' 7
267
"
Q
2
3
"* q
ri.
«
.
)
%
%
,
66
2
1BJ
™\
™
Jz
GEORGIA STATE SANITARIUM
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1925.
Anaemia (not specified)
Abscess of lung
Arteriosclerosis
Brain tumor
Cancer of lung
Carcinoma of stomach
Carcinoma of esophagus
Carcinoma of uterus
Chorea, Huntington's
Colitis, ulcerated
Drowned, accidental
Dysentery (not specified)
Embolism
Encephalitis
Endocarditis, acute
Enteritis, acute
Enteritis, chronic
Enteritis, acute gastro
Epilepsy
Erysipelas
Exhaustion, acute mental disease
Exhaustion, heat
General paralysis of the insane
Heart, acute dilation
Heart disease, organic
Heart disease, valvular
Hemorrhage, cerebral
Hernia, mesenteric strangulated
HyDostatic congestion of lungs
Influenza
Injuries inflicted by another patient
Injury to head by parties unknown__
Intestinal obstruction
Meningitis (not specified)
Meningitis, tubercular
»
Myocarditis, acute
Myocarditis, chronic
Nephritis, chronic
Organic brain disease (not specified)
Pellagra
Perforation of intestines
Pneumonia, broncho
Pneumonia, lobar
Prostatitis
Septicaemia
Suicide
Strangulation by food
Surgical shock
Syphilis, cerebral
Tuberculosis, abdominal
Tuberculosis, pulmonary
Tuberculosis, intestinal
Volvulus of intestines
Unknown
Total.
White
Colored
M
F
M
0
0
24
0
0
1
0
0
0
0
0
0
0
2
0
9
0
3
8
0
5
0
10
0
0
3
8
1
1
0
1
0
0
0
0
1
2
9
0
4
0
20
2
1
1
3
1
1
0
1
7
0
1
1
0
3
24
1
0
1
1
0
1
1
131
0
0
1
0
1
7
2
0
2
1
3
1
1
0
0
2
12
0
0
1
0
0
0
0
0
0
2
5
2
0
1
11
2
Total
P
0
1
7
1
0
0
0
0
0
0
1
1
0
0
0
0
0
0
10
1
0
0
22
0
1
0
15
0
0
0
0
1
1
0
0
0
2
4
0
0
\]
0
0
0
0
0
0
0
4
0
0
3
(3
1
0
0
0
0
0
2
1
5
0
0
5
96
68
1
0
4
0
1
1
0
2
0
0
0
0
0
0
1
1
0
2
7
0
4
0
8
3
0
2
9
0
0
0
0
0
0
2
1
0
2
3
1
3
0
1
3
0
0
0
0
1
0
1
1G
1
0
0
1
4
59
2
1
3
1
2
1
1
1
1
1
2
2
17
2
5
27
2
12
1
41
3
1
7
44
1
1
1
1
1
1
2
1
1
8
21
3
7
1
38
8
1
1
3
1
2
2
3
32
1
1
9
81 ' 396
32
EIGHTY-SECOND ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1925.
County.
Appling
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahooehee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Deeatur
DcKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Efflngham
Elbert
Emanuel
White
Colored
M
M
F
Total
1
0
6
0
1
0
0
0
12
0
0
1
3
5
0
1
3
0
0
0
0
1
0
25
1
0
1
0
1
1
5
0
1
1
3
1
14
1
0
2
3
4
0
1
0
3
0
0
0
0
1
24
1
0
1
3
0
1
2
2
1
0
0
2
1
2
0
0
6
2
0
3
4
0
1
0
1
1
7
2
18
3
10
'10
3
1
44
3
1
6
12
14
5
4
4
4
1
13
1
2
3
8fi
9
13
9
3
3
1
14
5
7
2
4
16
1
4
1
5
9
18
6
6
5
4
9
1
3
10
3
2
1
3
2
3
2
0
0
14
0
1
2
3
3
4
2
1
0
0
11
1
0
1
24
4
7
2
0
2
0
6
3
2
I
2
4
0
0
1
1
2
8
2
2
0
3
4
0
0
4
1
3
0
4
1
5
7
0
0
4
2
0
1
3
2
1
0
0
1
1
2
0
1
I
13
3
6
5
0
0
0
6
0
2
1
2
6
0
2
0
4
0
(1
3
1
1
1
1
0
1
1
1
1
0
0
0
2
0
0
4
0
0
0
0
1
2
1
0
0
0
3
1
1
1
1
0
GEORGIA STATE SANITARIUM
33
Admissions Prom the Various Counties During the Year 1925.
(Continued)
County.
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
-_.
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham _.
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
►.
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
LongLowndes
Lumpkin
Macon
Madison
Marion
Meriwether .
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee __.
McDuffle..,..
White
Colored
M
F
M
1
0
1
14
2
4
40
1
1
3
3
0
5
2
1
6
5
5
4
2
1
4
1
3
3
2
3
1
0
0
3
2
0
1
0
4
1
4
1
2
4
1
3
0
1
2
1
0
2
4
5
3
1
3
1
10
5
5
33
0
2
1
3
2
3
3
4
7
0
4
2
2
2
3
1
0
0
1
0
2
2
1
0
0
2
0
0
0
1
2
0
1
2
0
2
0
2
1
1
0
1
5
15
0
1
0
1
1
0
0
18
0
0
3
0
0
1
1
0
1
3
0
2
2
1
1
5
1
1
3
4
2
1
1
3
0
3
1
2
2
0
0
0
2
0
2
0
0
0
2
2
0
3
0
3
2
Total
F
0
0
1
1
0
0
20
0
0
3
0
0
4
2
0
0
2
0
0
1
0
1
1
2
0
1
0
2
3
3
0
0
2
0
1
0
0
1
0
3
0
1
2
1
0
2
0
2
2
0
0
1
3
3
4
26
7
9
111
1
3
10
6
2
13
8
5
14
10
9
8
7
4
9
8
6
4
7
7
7
6
5
6
2
7
2
3
6
2
7
1
8
6
4
7
1
3
7
4
2
8
9
23
6
34
EIGHTY-SECOND ANNUAL REPORT
Admissions From the Various Counties During the Year 1925.
(Continued)
County.
White
Colored
M
M
Newton __.
Oconee
Oglethorpe
Paulding __
Peach
Pickens ___
Pierce
Pike
Polk
Pulaski ___
Putnam ...
Rabun
Randolph .
Richmond _
Rockdale __
Screven
Spalding __
Stephens ..
Stewart ___
Sumter
Taliaferro
Tattnall _._
Taylor
Telfair
Terrell
Thomas ._.
Tilt
Toombs .__
Towns
Treutlen ___
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfleld __.
Wilcox
Wilkes
Wilkinson _.
Worth
1
0
0
6
2
0
3
1
3
0
4
0
3
3
1
0
3
3
1
0
2
0
1
1
3
4
3
2
3
0
4
0
1
2
1
2
2
0
1
2
Total..
411
326
6
2
2
1
1
3
2
2
4
2
2
0
3
4
4
1
2
2
1
6
2
0
3
4
3
4
6
1
1
0
0
1
3
0
0
1
1
1
2
2
9
2
2
1
2
0
2
1
0
1
5
0
2
2
2
1
0
3
4
0
1
0
4
0
0
3
4
2
2
0
2
1
1
3
1
1
2
1
0
1
2
0
5
0
2
0
0
2
6
0
2
0
0
0
0
0
1
2
0
0
0
0
0
0
4
0
3
222
Total
1
0
0
0
3
1
0
0
0
1
1
0
1
11
0
3
1
0
2
2
0
0
3
1
3
0
1
0
0
0
2
0
3
0
1
0
0
3
1
2
0
1
1
0
0
0
0
1
1
216
12
3
3
1
9
7
2
5
9
6
6
2
8
25
7
9
5
5
5
11
3
1
9
10
11
6
11
3
1
2
17
3
6
6
6
6
2
10
2
11
3
3
3
4
5
3
4
4
6
1175
35
GEORGIA STATE SANITARIUM
TABLE VIII
Nativity of All Patients Admitted During the Year 1925
Alabama
Arkansas
Florida
Georgia
Germany
Greece
Ireland
Kentucky
Massachusetts _
Mississippi
North Carolina
New Jersey
New York
Ohio
Pennsylvania _.
Poland
Scotland
South Carolina
Tennessee
Turkey
Virginia
Wales
Unknown
Total
White
Colored
M
M
F
F
13
1
2
10
0
1
0
0
0
0
2
2
362 291 203 209
2
(1
0
0
2
0
0
0
0
0
1
0
3
1
0
0
1
Q
0
0
1
2
0
0
3
0
4
2
1
0
0
0
0
0
2
3
0
0
1
0
0
1
0
0
1
0
0
0
1
0
0
0
11
12
4
2
2
0
0
3
1
0
0
0
0
1
1
0
0
1
0
0
0
4
2
3
411
326
222
216
Total
26
1
4
1065
2
2
1
4
1
3
9
1
5
1
1
1
1
29
5
1
2
1
9
1175
36
EIGHTY-SECOND ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1925.
County.
Agricultural Pursuits:
Farmers
Professional Service:
Artist
Auditor
Druggist
Lawyer
Minister
Physician
School teacher
Trained Nurse
Domestic and Personal Service:
Barber
Bill poster
Chauffeur
Delivery boy
Domestic
Fireman
Fisherman
Governess
Housekeeper
Inspector
Laborer
Laundress
Linotype operator
Messenger boy
News boy
Nurse
Policeman
Porter
Seamstress
Servants
Shoeblack
Umbrella maker
Warehouseman
Watchman
Trade and Transportation:
Bookkeeper
Clerk
Contractor
Electrician
Insurance agent
Live stock dealer
Loan agent
Merchants
White
Colored
M
F
M
F
Total
212
1
68
12
293
1
1
2
1
2
4
1
0
0
0
0
0
0
0
5
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
1
1
2
1
3
4
7
2
1
0
0
0
0
1
0
0
0
1
20
0
1
1
0
0
1
0
0
0
0
1
1
1
0
0
0
0
2
0
0
1
214
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
1
1
0
0
1
0
0
0
101
0
0
0
1
0
0
2
0
1
1
0
0
1
0
0
0
0
0
0
0
0
fi8
0
29
22
0
0
0
3
0
0
0
19
0
0
0
0
1
1
1
1
2
1
1
1
282
1
150
22
1
1
1
3
1
2
2
20
1
1
1
2
4
11
3
1
2
1
1
10
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
15
3
1
2
1
1
10
GEORGIA STATE SANITARIUM
37
Classified Occupation of Patients Admitted During the year 1925.
(Continued)
County.
Printer
R. R. agent
R. R. Employee
R. R. flagman
Salesman
Shipping clerk
Special R. R. agent
Stenographers
Stone cutters
Teamster
Telegraph operator
Telephone operator
Truck driver
Manufacturing and Mechanical Pursuits:
Architect
Brickmason
Carpenter
Mechanic
Painter
Plumber
Food and Its Kindred Products:
Cook
Grist mill operator
Textiles:
Cotton mill employee
Iron, Steel and Other Products:
Blacksmith
Stoves polisher
Lumber and Its Manufacturers:
Sawmill laborer
Miscellaneous:
Convict
Marble worker
Market keeper
Millwright
Peddler
Sailor
Soldier
Student
Watch repairer
None
Unascertained
TotaL
White
Colored
M
M
F
F
Total
2
2
10
5
3
1
0
0
0
0
0
0
2
3
11
6
4
1
1
1
20
0
22
1
10
19
2
1
3
1
1
0
1
1
1
3
1
1
8
1
49
1
0
0
0
0
0
0
0
3
0
77
1
1
0
0
0
1
0
0
0
0
26
5
0
0
0
0
0
0
0
4
0
34
4
1
1
1
1
4
1
1
15
1
186
11
411
326
222
216
1175
38
EIGHTY-SECOND ANNUAL REPORT
TABLE X
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
UnOver ascer- Total
70 tained
Under
20
1. Traumatic
2. Senile
3. With cerebral arttrio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis..
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nerv
our disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and neuroses
18. With constitutional psychopathic inferiority19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic inferiority
withoust psychosis___
Mental deficiency without
phychosis
Criminal without psychosis
Encephalitis without psy
chosis
TotaL
0
17
1
26
10
33
0
0
0
0
11
2
2
0
1
0
0
0
7
10
4
9
0
2
0
5
60
31
0
0
1
18
1
14
3
3
35
38
0
0
0
2
0
0
0
0
0
0
0
1
1
0 0
0
0
3
0
0
0
0
0
0
0
0
0
2
1
0
0
1
40
30
312
3d
GEORGIA STATE SANITARIUM
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
Psychoses.
1. Traumatic
2. Senile
3. With cerebral arterio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis.
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nerv
ous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic dis
ease
13. Manic depressive
14. Dementia Praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and neu
roses
18. With constitutional psy
chopathic inferiority.
19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psychopathic inferiority
without psychosis
Mental deficiency without
phychosis
Criminal without psychosis
Encephalitis without psy
chosis
Total.
Under
20
31
UnOver ascer- Total
70 tained
0 0
0 0
0
14
19
0
0
0
0
2
0
2
1
0
0
0
0
1
1
1
3
0
4
4
4
67
49
1 1
14 23
1613
0
11
0
32
0
18
23
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
30
13
245
40
EIGHTY-SECOND ANNUAL REPORT
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
Psychoses.
UnOver ascer- Total
70 tained
Under
20
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the
insane
5. With cerebral syphilis
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses and m
roses
18. With constitutional psychopathic inferiority.
19. With mental deficiency,._
20. Unclassified
21. Not insane:
Alcoholism without psy
chosis,
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psycho
pathic inferiority
without phychosis
Mental deficiency without
psychosis
Criminal without psychosis
Encephalitis without psy
chosis
1
4
26
0
1
0
0
114 9
1
1 2
0
0
0
0
0
0
0
0
36
6
0
1
0
0
0
0
0
1
0
0 0
0
0
0
0
1
1
0
0
3
0
0
0
1
28
16
0
4
0
0
0
19
0
1
0
19
7
0 0
0 0
6 4
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
1
0
0
1
0
0
0
0
0
0
0
0
37
45 36 30 35 19
0
35
32
208
41
GEORGIA STATE SANITARIUM
Ages of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued)
FEMALES
Psychoses.
Under
20
1. Traumatic
2. Senile
3. With cerebral arterio
sclerosis
4. General paralysis of the
insane
5. With cerebral syphilis—
6. With Huntington's chorea
J. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic dis
ease
13. Manic depressive
14. Dementia praecox
..
15. Paranoia or paranoid
condition
16. Epileptic psychoses
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority.
19. With mental deficiency—
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Constitutional psycho
pathic inferiority
without psychosisMental deficiency without
phychosis
Criminal without psy
chosis
Encephalitis without psychosis
Total.
4151
50 60
UnOver ascer- Total
70 tained
0
5
20
2
0
0
0
0
0
0
0
0
0
0
1
0
0
15
1
1
0
1
1
0
0
0
6
1
7
2
0
0
0
4
37
46
0
3
0
0
0
10
0
3
5
0
0
2
71 7
0 0
0
0
0
0
0
0
0
0
0
12
29
1
0
o! 0 0 0
0
0
0
0
0 0 0 0
0
0
0
1
0 0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
189
42
EIGHTY-SECOND ANNUAL REPORT
TABLE XI
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population
MALES
Psychoses.
§
o
o
1
S «
Hi
w
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nervous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psy
chosis
Criminal
without
psy
chosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total
1
26
33
1
0
0
2
0
0
o
0
0
11
2
2
0
0
7
0
10
4
9
5
6(1
31
1
2
0
0
6
0
0
0
1
18
7
1
0
23
6
13
3
35
38
$>
16
2
2
0
1
1
3
0
53
0
115
22
312
GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
§
1
Psychoses.
f.
Total
o
H
3
3
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nerv
ous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroscs or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnoscd
21. Not insane:
Alcoholism without psychosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
o
^X
0
0
0
0
1
0
0
~0~
14
1
0
19
1
0
0
0
0
0
2
0
2
1
0
1
1
1
2
29
27
1
1
1
1
3
4
67
49
0
7
6
0
32
7
0
18
0
1
1
0
1
5
0
1
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
38
9
69
96
245
0
23
44
EIGHTY-SECOND ANNUAL REPORT
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
13
g
Psychoses.
§
1
5
I
S=0 ya
=
1. Traumatic ...
2. Senile
3. With cerebral arterioscle
rosis
.
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With other brain or nervous disease
8. With brain tumor
9 Due to alcohol ___
10. Due to drugs
11. Due to pellagra _
12. With other somatic disease.
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psy
chosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathi
inferiority without psychosis
Mental deficiency without
psychosis
Total.
1
4
1
4
12
25
10
3
0
36
6
0
0
0
0
0
0
10
2
1
1
1
0
0
1
28
16
0
10
0
0
19
0
0
28
9
0
35
32
1
ill
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
1
71
21
208
45
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued)
FEMALES
13
S <" o o
Psychoses.
x
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With brain or other nerv
ous disease
8. With brain tumor
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psychosis
Criminal
without
psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total.
o
o
o
w
0
3
7
0
0
0
0
0
3
0
0
15
1
1
0
0
0
0
3
3
IS
23
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
2
0
0
0
0
6
4
37
46
0
5
0
0
0
0
0
1
0
0
10
1
0
1
14
0
0
0
0
0
0
0
4
0
0
12
29
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
56
189
46
EIGHTY-SECOND ANNUAL REPORT
TABLE XII
Environment of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
FEMALES
Psychoses.
e
C
o
1. Traumatic
2. Senile
~"
3. With cerebral arterioscle
rosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorca_
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psycho
sis
Criminal without phychosis
Drug addict without psychosis"
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total.
1
9 I 51
97 211
2G
0
10
0
14
33
14
19
11
2
2
0
2
0
0
0
0
0
1
1
2
0
2
1
7
10
1
9
5
-31
0
0
1
1
0
23
17
1
1
0
2
4
44
32
1
1
1
3
4
67
49
1
18
7
0
10
2
0
22
5
0
32
7
3
3.-)
38
0
0
5
6
0
0
12
17
0
0
18
23
0
2
2
0
0
0
0
0
0
1
1
0
0
167
245
(ill
4 312
47
GEORGIA STATE SANITARIUM
Environment of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population
MALES
FEMALES
Psychoses.
O
o
EH
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea.
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid con
dition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psyco
sis
Criminal
without
psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
0
5
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
1
1
0
0
1
0
139
208
189
48
EIGHTY-SECOND ANNUAL REPORT
TABLE XIII
Economic Condition of First Admissions During the Year 1925.
With Reference to Principal Psychoses.
White Population.
MALE
■a
a>
Psychoses.
0
s0
0
1. Traumatic
2. Senile
3. With cerebral arterioscle
rosis
4. General paralysis of the in
sane
5. With cerebral syphilis
6. With Huntington's chorea__
7. With brain tumor
8. With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoic condition
MS. With epilepsy
17. Psychoneuroses or neuroses,
18. With constitutional psycho- pathic inferiority
19. With Mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosis
Criminal without phychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis.
Constitutional psychopathic
inferiority without psychosis
Mental deficiency without
psychosis
Total
FEMALE
73
a>
fl
n
"3
a
r
a
be
-
ft
a>
a
M « P
03
03
■w
a
0
rn
E
0
O
'3
"3 a
a XJ a>
cue
s
a>
CO
03
ft
0
a
Q P
0
23
0
12
0 0
0 14
10 21
13
0 19
4
1
1
0
5
1
1
0
3 4
5 3
3 1
4 4
3 1
30 2°,
14 16
0
0
1
1
0
1
0
2
0
7
10
4
9
5
60
31
0
0
1
2
3
30
26
2
0
1
0
1
1
0
1
1
26
18
0
0
0
0
2
0
2
1
0 1
0 1
0 1
0 3
0 4
1 67
0 49
1 0
4 13
4
0
32
7
2
23
16
0
0
18
23
0
1
1
0
0
17 123167
5 3121 20 95 429
1245
49
GEORGIA STATE SANITARIUM
Economic Condition of First Admissions During the Year 1926.
With Reference to Principal Psychoses.
Colored Population.
FEMALE
MALE
Psychoses.
1. Traumatic
2. Senile
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea..
7 With brain tumor
8. With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic discase.
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses.
18. With constitutional psycho
pathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psy
chosis
Criminal without psychosis.
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
Total.
1
4
0
4
0
5
15
16
20
13 22
3 3
0 0
0 0
13
0
1
0 0
15
1
1
0
1 0
1 0
0 0
0 0
0 1
18 10
6 10
0
0
0
4
2
17
20
0
0
0
6
4
37
46
0 0
5 It
0
7
0
10
1
0
0
20
9
0
0
0
0
<; 6
13 15
1
0
0
0
0
0
0
0
12
29
1
0
0
1
1
86 116
2oe
2189
TABLE XIV
MALES
Civil Condition of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
Psychoses.
FEMALES
g> a
a
03 C3
a*"
n P
S3
be
ft
a
x
GO I
o
a
Wi —
C3 03
a*3
P
1. Traumatic
2. Senile
"___
3. With cerebral arteriosclerosis
4. General paralysis of the insane
5. With cerebral syphilis
6. With Huntington's chorea
7. With brain tumor
8. With other brain or nervous disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. Epileptic psychoses
17. Psychoneuroses or neuroses
18. With constitutional psychopathic inferiority
19. With mental deficiency
20. Undiagnosed
21. Not insane:
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic inferiority without psy
chosis
Mental deficiency without psychosis
Total
c
r-
o
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
yo 79
28
12
2 208
56
78
37
16
2
1*9
H
3
nH
in
a
o
o
o
►
a
>
r
W
H
1)
O
P3
H
11;
tJmJmmmmm
mmm
FEMALES
MALES
Civil Condition of First Admissions During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population.
T)
CT3
o o
o a
(H
w —<
03 ca
a
0
s-^ ©
x P
trt
Psychoses.
■'/..
>
H
a:
T3
0J
03
H
03
a a
03
a 03
a*2
w
0
0
1. Traumatic
11
7
2. Senile
5
3 22
3 With cerebral arteriosclerosis
0
2
7
4. General paralysis of the insane
1
0
1
5. With cerebral syphilis
2
0
0
6. With Huntington's chorea
0
0
0
7. With brain tumor
1
2
4
8. With other brain or nervous disease
1
2
6
9. Due to alcohol
1
1
2
10. Due to drugs
4
2
3
11. With pellagra
0
5
0
12. With other somatic disease
17 41
2
13. Manic depressive
3
17
9
14. Dementia praecox
0
1
0
15. Paranoia or paranoid condition
0
14
4
16. Epileptic psychoses
0
4
3
17 Psychoneuroses or neuroses
1
2
0
18. With constitutional psycopathic inferiority
2
27
6
19. With mental deficiency
8
11 16
20. Undiagnosed
0
0
0
21. Not insane:
1
1
0
Alcoholism without psychosis
2
0
0
Criminal without psychosis
0
0
0
Drug addict without psychosis
0
1
0
Encephalitis without psychosis
0
1
0
Epilepsy without psychosis
—
---—7
Constitutional psychopathic inferiority without psy
0
1
2
chosis
0
0
0
Mental deficiency without psychosis
1
26
33
11
2
2
0
7
10
4
9
5
60
31
1
18
7
3
35
38
0
2
2
0
1
1
0
5
10
1
0
1
1
1
1
1
3
4
40
26
0
11
3
0
2
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
23
0
0
0
0
0
0
3
0
1
0
0
0
1
0
41
312
125
TotaL
115 145
245
O
H
O
w
>
a
03
!>
Z
►
52
EIGHTY-SECOND ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population.
MALES
Psychoses.
S^ f
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosisGeneral paralysis of the insane
With cerebral syphilis
With Huntington's chorea...
With brain tumor
With other brain or nervous
disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease..
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With
constitutional
psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosis..
Criminal without psychosis
Drug addict without psychosis.
Encephalitis without psychosis.
Epilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psychosis
Total.
19
11
0
0
0
0
2
0
0
0
0
0
n
0
o
0
Oi
0!
1
0,
3
0
3
0
0
1
0
3
0
0
0
0
0
5
1
0
2
0
0
0
0
n
o
0!
0
0
3
1
4
2
0
0
0
0
0
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
2
0
0
0
0
0
0
25
29
11
0
0
0
3
0
0
4
4
18
11
0
9
0
n
o
0
0
0
0
o
0
0
0
1
0
1
0
0
0
12 22 33 34
o
o
0
131
53
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
White Population (Continued)
FEMALES
Psychoses.
a
0}
o
o
SH
f
a *
1=
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses.,
18. With
constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosis—.
Drug addict without psychosis
Encephalitis without psychosisEpilepsy without psychosis
Constitutional psychopathic inferiority without psychosis
Mental deficiency without psychosis
o
5
o
>
1
o fc
«e
0
25
12
1
0
2
1
0
0
1.
2.
3.
4
5.
6.
7.
8.
Total-
P5
l—l
d
II
2
1
II
II
II
(I
U
1
0
0
0
0
0
0
0
0
0
3
1
0
1
II
0
3
2
(i
7
0
0|
0
0
1
0
0
0
0
0
0
0
4
9
0
0
0
0
0
0
0
1
0
15
1
0
0
0
1
12
16
0
11
0 0
(1
12 13 18 33
96
54
EIGHTY-SECOND ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population.
MALES
Psychoses.
a
o
r-
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
1<5.
17.
18.
19.
20.
21.
•
Traumatic
Senile
With cerebral arteriosclerosis.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea___
With brain tumor
With other brain or nervous
disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease...
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psycfioneuroses or neuroses..
With
constitutional
psychopathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosisCriminal without psychosis—
Drug addict without psychosis.
Encephalitis without psychosis.
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
0
Total
0
2
17
23
3
0
1
1
1
0
0
0
5
8
0
11
0
0
5
11
0
0 0
01 0
0 0
11 19
17 18
55
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During the Year 1925.
Classified With Reference to Principal Psychoses.
Colored Population (Continued).
FEMALES
8
Psychoses.
s
_H
5
a
1
2.
3.
4.
5
6.
7
8.
Traumatic
- - Senile
With cerebral arteriosclerosis—
General paralsis of the insane—
With cerebral syphilis
With Huntington's chorea
With brain tumor _ .
With other brain or nervous
disease
- 9 Due to alcohol
10 Due to drugs
11 With pellagra
_ 12. With other somatic disease
13 Manic depressive
____
14 Dementia praecox
15. Paranoia or paranoid condition
16. With epilepsy
______
17. Psychoneuroses or neuroses
18. With
constitutional
psychopathic inferiority _ 19 With mental deficiency
20. Unclassified
_
____
21 Not insane:
- - - Alcoholism without psychosisCriminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
i
J
Total
__________
a
>
o
t_
_H
_H
1
_H
era
_H
o
_4
s
1
>
o
o
CS
-_>
o
0
4
9
8
0
1
0
0
0
0
0
0
0
0
0
0
0
1
5
0
0
0
0
1
2
2
0
1
0
0
0
3
1
0
0
0
0
3
1
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
1
1
0
3
0
0
0
0
5
0
4
3
0
5
0
0
0
0
0
0
3
7
0
1
0
0
0
0
0
1
3
4
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
0 0
1 7
0 1
0 12
0 16
0 0
0 9
0 0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
_
0
0
1
5
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
c
fl
c
0
0
0
0
0
0
'0
0
0
0 0
0 1
1 13
0 0
0 0
0 0
0 0
0 0
0 0
c
c
c
c
0
(
0
c
0
0
0
(1
0
c
c c
c c
c (
ll If 2C 11
0
{
c
c c
41
1
_
81
0
56
EIGHTY-SECOND ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
White Population.
MALES
Psychoses.
1.
2.
3.
4.
5.
6.
7.
8.
Traumatic
Senile
With cerebral arteriosclerosis...
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. Due to pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
16. Paranoia or paranoid condition
16. With epilepsy
17. Psychoneuroses or neuroses
18. With constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
I
21. Not insane:
Alcoholism without psychosis..
Criminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosis
Mental deficiency without psychosis
Total.
0
6
U
4
0
0
0
0
o
n
l
i
5
1
0
1
0
0
0
3
0
0
0
I)
0
0
c! o
•
I
£
0
C
0
3
4
1
0
0
0
0
0
0
0
0
0,
0
0
2
0
0
4
2
0
1
0
25
29
11
0
0
0
0
0
0
0
o
0
0
0
0
0
1
3
0
0
4
4
18
11
0
0
3
0
0
1
0
0
0
I
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
12 22 20
0
0
0
0
9
0
0
0
0
0
0
131
57
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
White Population (Continued).
FEMALES
Psychoses.
1.
2.
3.
4.
5.
('..
7
8.
Traumatic
Senile
With cerebral arteriosclerosis—
General paralysis of the insane
With cerebral syphilis
With Huntington s chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive
14. Dementia praecox
15. Paranoia or paranoic condition.
16. With epilepsy
17. Psychoneuroses or neuroses
18. With
constitutional
psycho
pathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosis
Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis
Total.
0
3
2
0
0
1
tl
0
0
0
0
25
12
1
0 0
0 2
0 1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
°4
0
0
1
0
0
0
1
12
16
0
11
0
0
0
1
0
0
0
0
0
0
3
0
0
0
0
0
0
1
1
9 13
0
0
0
0
0
1
4
2
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
1
1
14 13 96
58
EIGHTY-SECOND ANNUAL REPORT
Duration of Hospital Residence ol Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
Colored Population.
MALES
CD
Psychoses.
c fi
o a
o
t-l
a
CO
a
o
C3
CO
o
a>
a>
©
8
T—1
o o
o
O
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Traumatic
Senile
With cerebral arteriosclerosis,
General paralysis of the insane.
With cerebral syphilis
With Huntington's cohera
With brain tumor
With other brain or nervous
disease
Due to alcohol .
Due to drugs
With pellagra .
With other somatic disease
Manic depressive
Dementia praecox
Paranoia and paranoid condition
With epilepsy .
Psychoneuroses or neuroses
With
constitutional
psychopathic inferiority
With mental deficiency
Unclassified
Not insane:
Alcoholism without psychosis—
Criminal without psychosis—
Drug addict without psychosis.
Encephalltis without psychosisEpilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis ._ ..
Total
O
O
CO
1.
2.
3.
4.
5.
6.
7.
8.
02
cd
GO
t—t
GO
f-
e
o>
"3
o
0 0
0 0
5 6
1 14
2 0
0 0
1 0
0
2
0
4
1
0
0
0
0
5
3
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 2
0 17
0 23
0 3
0 0
0 1
I
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
1
0
1
0
0
1
0
0
0
1
0
0
3
0
0
0
0
0
0
1
6
0
4
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
n
0
0
0
0
0
0
0
n
0
0
1
1
0
0
0
5
8
0
11
0 0
0
0
5
0
0
0
0
0
0
0
2
3
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0 0
0 5
0 11
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17 26 11 14 14
3
3
0 88
59
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925. With Reference to Principal Pychoses.
Colored Population (Continued).
FEMALES
Psychoses.
t*
>■
>H
£
1.
2.
3.
4.
5.
6.
7.
8.
Traumatic
Senile
With cerebral arteriosclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain or nervous
disease
9. Due to alcohol
10. Due to drugs
11. With pellagra
12. With other somatic disease
13. Manic depressive ,
14. Dementia praecox
15. Paranoia or paranoic condition.
16. With epilepsy
17. Psychoneuroses or neuroses
18. With
constitutional
psychopathic inferiority
19. With mental deficiency
20. Unclassified
21. Not insane:
Alcoholism without psychosisCriminal without psychosisDrug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis
Total.
0
2
1
3
II
i)
0
0
0
0
1
0
2
1
0
2
0
0
0
1
3
0
0
0
0
1
3
0
0
0
0
0
0
0
01 4
9
8
0
1
0
0
0
0
2
1
0
1
0
0
0
0
0
0
0
0
I)
1
0
1
0
3
1
0
3
0
0
0
II
0
0
0
0
0
0
7
1
12
16
0
9
0
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
13
0; 0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
0
0
0
15 13 14 15[ 8
81
GO
EIGHTY-SECOND ANNUAL REPORT
Report of Pathologist
FOR YEAR
DR.
1925
R. C. SWINT,
Superintendent.
DEAR SIR:
The report of the Pathological Laboratory for the year
1925 follows:
Summary
SEROLOGICAL SPECIMENS EXAMINED:
Blood, for the Wassermann (Noguchi) reaction
1,497
Cerebrospinal fluid, including Wassermann, globulin and '
colloidal gold reactions, and cell count
477
CLINICAL LABORATORY SPECIMENS EXAMINED
Urine, routine analysis
Urine, renal function test
Peces, for parasites or ova, or for occult blood
Sputum, for tubercle bacilli
Blood, chemical examination
Blood, for malaria parasites
Blood, counts—red, white, or differential
Blood, coagulation time determination
Blood, hemoglobin estimation
Cerebrospinal fluid chemical examination
Gastric contents, chemically and microscopically
:
__2 119
3
966
153
248
133
923
64
145
226
14
BACTERIOLOGICAL SPECIMENS EXAMINED:
Blood, culture
34
Blood, agglutination tests for B. typhosus, etc
149
Exudates, culture
172
Exudates, microscopically
52
Exudates, dark field examination for T. pallidum
~_
2
Exudates, animal inoculation
5
Brain (dog) for Negri bodies
"
4
Water
-.Q
Milk
i"i"i::::":::::::::::::_ 299
61
GEORGIA STATE SANITARIUM
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL:
45
r
Necropsies
Postmortem examination of animals
Surgical tissue specimens
Total number of examinations
7,786
Note—In addition to the total number of procedares
enumerated above, 324 cadavers were embalmed by the technicians who are also licensed embalmers.
Serological Examinations
There were 1,497 specimens of blood examined for the
Wassermann reaction, of which number 1,156 were secured,
as a matter of routine from patients upon their admission to
the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number
Examined
326
392
216
222
1,156
Number
Positive
(4-plus)
7
24
45
57
Percentage
Positive
2.1
6.1
20.8
25.7
133
11.5
TABLE II.—Percentages and Distribution by Race and
Sex of Positive {4-plus) Wassermann Reactions in Patients
Admitted During Preceding Ten Years.
Entire
White
White
Colored Colored
Group
Male
Female
Male
Year. Female
12.5
5
6
10.6
14.2
19.0
1916
13.4
""6 1
11.0
20.5
20.6
1917
15.8
8
2
12.9
20.4
25.4
1918
15.7
36
13.9
24.4
27.6
1919
20.0
7
9
16.4
31.0
33.1
1920
15.5
6.8
7.0
27.0
33.1
1921
12.3
3.8
9.4
26.1
17.4
1922
15.9
"
"2
3
10.0
15.0
10.3
1923
11.6
""3
0
8.6
18.0
24.3
1924
11.5
"21
6.1
20.8
25.7
1925
14.5
23.6
Ave. 10 years_4.9
10.6
21.7
i2_
EIGHTY-SECOND ANNUAL REPORT
fln;/!!fr\Wtre
ex mined
«
477
specimens of cerebrospinal
T B
I IIInciden
D /- ^ ^ . ~
™ of Serological Neurosvvhilii
in
Patients Admitted During Year 1925
^r»sypnu%s m
Number
R
6
Wht
Female
**$£<*
White Male
I
392
Colored Female „_„"."" 216
Colored Male
__I 222
Number
***"
o
18
Jf
Percentage
P
°SS™
™
«o
£*
Entire Group
1456
"^
89
^e-The tem «Positive„ deQot
• f
h
occu
positive Wassermann reaction upon the cerebrospinal fluid
and usually also other serological indications of neurosyph^
Reference to Tables I and III will show that 42 8 ner
th
te
f the
per
oVSe
cT°T'women
^ *"
^
whiiiSJ^S
per ce°nt
cent, of
the colored
and
78.8° per cent
of the col
ored men, whose blood reacted positively to the Wassermann
testthe
upon
admission
also gave serological evideLe of syph'S
01
nervous
system.
»,ypmiis>
Necropsies
There were 45 necropsies, reports of which are filed with
the appropriate histories in the office of the PHnUin; ♦
and also in the records of the L^lto^ sSmma'r\SoTZ
Bacteriology and Clinical Pathology
Experimental Investigation
of tht hf eCJal S^Udy Tas
made of the
quantitative relationship
GEORGIA STATE SANITARIUM
63
to be published in the Journal of the Medical Association of
Georgia.
Ward Laboratories
The purpose of a pathological laboratory in a state hospital is twofold—to make the numerous and varying kinds
of examinations that the scientific practice of medicine demands, and to endeavor, through investigation, to enlarge the
boundaries of knowledge concerning nervous and mental
diseases. At present, my time and that of the technicians
is largely consumed by many procedures which, although
essential to the efficient care of the sick and to modern neuropsychiatric diagnosis, are of minor importance so far as skill
necessary to making them is concerned. These examinations
should not diminish in number. On the other hand, there
should, perhaps, be a larger number done than at present. In
order, therefore, that the laboratory may have more time to
devote to investigative work, while at the same time an increased amount of laboratory service may be made more readily available, I would suggest that you consider the advisability of establishing three ward laboratories—one each for
the white male and white female departments and one for
colored buildings. A period of instruction in the laboratory
should qualify nurses selected for duty in the ward laboratories to do all of the simpler, essentially clinical examinations, such as urinalyses, sputum for tubercle bacilli, and blood
counts.
If the establishment of ward laboratories is believed to be
inexpedient at present, we should, perhaps, begin the training
of an additional assistant in laboratory technique and in embalming.
Building
When the contemplated addition of an upper story to
the present laboratory building is made, our work will be
facilitated. It should provide greater access of daylight and
more freedom from dust. The upper story, suitably divided,
will permit the serological, pathological, bacteriological and
clinical laboratory phases of the work to proceed with less
interruption. The first story will furnish ample room for the
embalming and necropsy work, for the storage of supplies
of the Mortuary Department, and space for a suitable chapel.
Respectfully,
E. B. SAVE,
Pathologist.
64
EIGHTY-SECOND ANNUAL REPORT
Report of Dental Department
FOR THE YEAR
1925
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the following report of
the work done in the Dental Department during the year
ending December 31st, 1925:
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Alveolotomies
Suturing incisions
Post-operative treatments
Gold fillings
Amalgam fillings
Cement fillings
Synthetic porcelain fillings
Gold inlays
Acolite inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Applications mummefying paste
Abscesses lanced
Abscesses treated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for erosion
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Scaling teeth (number of patients
Applications silver nitrate
4,177
1,698
670
262
25
47
2
282
144
106
20
1
4
30
12
17
21
26
1
31
73
12
22
3
4
54
80
135
25
65
GEORGIA STATE SANITARIUM
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveloar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges made
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Setting screws in roots
Removing impacted third molar
Removing sequestrum
Fractures set
Resecting gums (number of patients)
Treatments of general type
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
1
29
17
17
1
38
33
22
3
5
2
8
2
3
4
7
1
4
52
1
12
1
1
11
24
341
1,174
1,981
8,283
Respectfully submitted,
GEORGE
H.
GREEN,
Dentist
66
EIGHTY-SECOND ANNUAL REPORT
Report of Superintendent of Nurses
MlLLEDGEVILLE, GA., JANUARY 1, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
The following is the annual report of the Training School
for Nurses for the year ending December 31st, 1925:
The nurses moved into the beautiful new home, "Brantley Hall," July 11th. It is exceedingly comfortable and well
equipped, giving the nurses every comfort.
The hours of rest and recreation away from the wards
have improved the service and disposition of the nurses very
much.
Every effort has been made to keep the school up to the
highest standard. All classes have been held regularly, and
all instructors have shown marked interest and purpose in
giving the students the very best theoretical course possible.
The annual commencement was held July 15th, at 8 :30
o'clock, in the Amusement Hall.
Miss Jane Van deVrede, Secretary of the Nurse Examining Board of Georgia, gave the class address, which was
much enjoyed by the nurses and the large audience.
Diplomas were awarded to seven graduates by Hon.
John T. Brantley, President of the Board of Trustees, and
the hospital pins by Hon. C. C. Brantley, Secretary of the
Board.
A reception and dance at the nurses' home followed,
music being furnished by the Sanitarium Band.
The following are the names of the nurses receiving diplomas:
Miss Blanche Barker
Miss Love Estelle Kelly
Miss Essie Cummings
Miss Lannie McKinley
Miss Mary Henrietta McDade Miss Ruby Poss
Miss Allene Elizabeth Thompson
The total number of graduates is 120.
GEORGIA STATE SANITARIUM
67
NURSING STAFF
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Special Attendants
Senior Nurses in School
Junior Nurses in School
Freshmen Nurses in School
Total Number of Student Nurses
Number of White Female Attendants
Vacancies
1
4
2
7
6
11
11
15
37
146
CURRICULUM
First Year
Anatomy and Physiology
Nursing Ethics
Theory of Nursing
Hygiene
Practical Demonstrations
Dietetics
History of Nursing
Bandaging
Hydrotherapy
Massage
60 hours
6
26
1"
24
20
10
8
6
10
Second Year
Medicine
Practical and Surgical Nursing
Nursing Ethics
Materia Medica
Dietetics
Surgery
Eye, Ear, Nose and Throat
Obstetrics
Bacteriology
Mental Diseases
Oral Hygiene
16 hours
26
6
16
25
10
6
16
16
16
16
68
EIIGHTY-SECOND ANNUAL REPORT
Third Year
Pediatrics
Chemistry
Gynaecology
Diseases of Nervous System
16 hours
16 "
16 "
16 "
The regular course for new attendants was given to a
class of fifty-two by Dr. N. P. Walker in October and November.
I would like to recommend the erection of a hospital
building for the care of all medical and surgical cases of the
institution, with one central operating room, diet kitchen and
laboratory. This would give all sick patients better nursing,
under closer supervision, and the students a wider and a more
varied practical course.
I wish to thank you for your suppport and consideration, and the Medical Staff for lectures and medical services
rendered the students and attendants during the year.
Respectfully submitted,
(Mrs.)
MAE
M. JONES, R. N. (Ohio),
Superintendent of Nurses.
69
GEORGIA STATE SANITARIUM
Report of Pharmaceutical Department
DR.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR
:
The following is the annual report of the Pharmaceutical
Department for the year ending December 31st, 1925:
Grateful acknowledgments are offered to the Board of
Trustees, to you and other officers for helpful suggestions and
co-operation in this work.
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
2,046 pounds
Elixirs
1,100
Syrups
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated dusting powder
839
185
1,078
26
36
•
Indelible ink
56
Glycerites
90
Liniments
168
Tonics
88
Aquas medicated
34
Tooth powder
4
Quinine, anolyne and influenza capsules, filled--8,300
Germicide
Fly and mosquito exterminator
1,020 gallons
245
70
EIGHTY-SECOND ANNUAL REPORT
STATEMENT
Debits
1925.
Dec. 31st, Inventory as December 31st, 1924
$ 5,402.67
Purchases During the Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$11,016.96
Freight and express
303.66
Total
Less goods returned
Net
$11,320.62
259.12
$11,061.50
Total
Deduct: Inventory at December 31st, 1925
$16,464.17
5,309.36
Goods to account for
$11,154.81
Credits
Departmental Sales
Prescriptions filled for wards, 34,550,
aggregating
$10,713.40
Sales to officers and employees
441.41
Total
$11,154.81
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
71
GEORGIA STATE SANITARIUM
Report of Treasurer
MILLEDGEVILLE, GA., MABCH 24TH,
1926.
R. C. SWINT,
Superintendent Georgia State Sanitarium,
Milledgeville, Ga.
DR.
MY DEAR SIR:
I beg to submit herewith a report of the receipts and disbursements of the Treasurer of Georgia State Sanitarium for
the year 1925:
1924.
Dec. 31st. Bal. cash on hand
1925.
To regular maintenance appro
To special appro
To Nurses' Home appro
To ice and cold storage appro
To Int. on daily balances
To Homer Bivins, Steward
$
33,421.99
799,999.92
319,333.70
20,311.25
10,000.00
2,868.53
9,440.01
Disbursements for the year 1925
Dec. 31st, 1925. Bal. cash on hand
$1,195,375.40
$1,109,886.92
85,488.48
$1,195,375.40
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank, we certify that at close of business
Dec. 31st, 1925, there was to the credit of Otto M. Conn,
Treas. Ga. S. S., the sum of eighty-five thousand four hundred
eighty-eight dollars and forty-eight cents ($85,488.48).
M. CONN,
Treas. Ga. S. S.
OTTO
II. G. BANKS,
Asst. Cashier Ex. Bank
Witness.
H. II. HERNDON,
N. P., B. Co., Ga.
EIGHTY-SECOND ANNUAL REPORT
Report of Farm Steward
DR.
R. C. SWINT,
Superintendent Georgia State Sanitarium.
MY DEAR SIR
:
I beg to submit my report of the foodstuffs produced in
my department for the fiscal year ending December 31st, 1925:
Asparagus
Beans, butter (shelled)
Beans, snap
Beets
Cabbage
Collards
Carrots
Cantaloupes
,
Corn
Corn, roasting
Corn, tons
Cucumbers
Fodder
Hay, oat
Lettuce
Corn meal
Oats
Oats straw
Okra
Onions
Peanuts
Peas, field
Peas, garden
Peppers
Pork, dressed
Potatoes, sweet
Potatoes, Irish
Radishes
Rape
Rye
Rye straw
Squashes
Tomatoes
Turnips and greens
Watermelons
Strawberries
106
busnels
773
355
510
»
»
»
1913S
heads
__13 230
"
"""""" ' 8 bushels
.26 604
9776
bushels
167g6
ears
1000
tons
216
bushels
62 tons
go
»
""™" 1,910 heads
3102J bushels
™II~~I~"
g04
11
16i tons
848
bushels
575
»
304
»
371
jOO
»
20
~-~-.~~~~~42,366 pounds
.... 9>86S busheis
754
»
290
"
~~™ 3,080
,.
470
_
4 tons
1>eM
busnels
218 crates
6(832
bushels
-.17 315
~~~"~~" ' 36 bushels
73
GEORGIA STATE SANITARIUM
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
Calves sold
Sacks sold
Loads of manure
80,688 gallons
261
656 pounds
421 gallons
14,902 pounds
1,671
16
1,254
1,800
:-
Chicken Yard
Hens and roosters, issued
Friers, issued
Eggs, received
Eggs, set
..
112
184
4,0854 dozen
92
In addition to this work, we have cut about six hundred
(600) cords of stove wood, cleared about thirty (30) acres of
new ground. All the coal from the chutes has been distributed to the buildings and all the cinders hauled away from
the boiler rooms. The entire road system of the institution
has been worked and kept in condition by my department.
We have been doing some grading around the dairy.
We graded and planted bermuda grass around Drs. Bradford and Echol's houses. We also hauled several loads of
sand for the Engineer's Department.
I wish to thank you, the Board of Trustees, the officers
of the institution and others for the gratitude and co-operation shown me and my department throughout the year.
Respectfully submitted,
F. C. PENUEL,
Farm Steward.
EIGHTY-SECOND ANNUAL REPORT
Report of Engineer
DR.
P. C. SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1925:
Improvements
The John T. Brantley Building has been completed. A
complete kitchen has been outfitted in the basement of this
building, with an elevator running to the dining room above.
A trunk storage room has been established in the basement,
and a small laundry, with facilities for electric ironing, has
been outfitted in an adjoining room to the kitchen. Steam for
the kitchen has been brought from the boiler room of the
Powell Buiding. A part of this steam line runs underground
between the buildings. This part of the line was run through
RicWil pipe covering, and is otherwise well insulated.
The electric stoves and ovens used by the Dietitian with
her classes has been removed from the Whittle Building to
the class room in the John T. Brantley Building, set up there
and connected to the electric wiring.
The high water of January left an immense bank of
sand in the river a short distance above the intake well of
our waterworks, and raised the sand in the bed of the river
to such a height that it lacked but a short distance of being
up to the opening in the intake well through which we take
our water. Since the general level of the water in the river
has been raised by the building of a concrete dam across the
river at the power station just below us, it became necessary
to build the walls of the intake well higher, and to place on
the river side a couple of sluice gates for the control of the
level from which the water is taken. A portion of this work
has been done, and we have on hand the sluice gates ready
to be put in just as soon as a period of low water sets in
and the weather gets warm enough to work in the water. A
temporary curbing of wood staves has been placed around
the intake well. This will protect the opening until such
time as we shall be able to get at in the summer.
GEORGIA STATE SANITARIUM
75
A doorway has been cut between two rooms in the Male
Convalescent Building, making a couple of offices for the
dentist there. Electric wiring has been done for the several
dental engines in these rooms, and steam and plumbing fixtures installed.
The wooden posts supporting the radiators and the radiator housings in the basement of the Powell Building have
been cut off eight inches above the floor. Brick pillars have
been built in the place in the ends of the posts so removed,
to the end that the rotting of the posts might not throw the
radiators down.
Four hundred and sixty-five squares of flooring have
been laid in the Negro Building.
The power sewing machine table in the white sewing
room has been lengthened by the addition of one section, and
two power sewing machines added to the equipment. Two old
foot power machines, which had been driven by power, have
been discarded, and in their places two new power machines
have been put.
A water heater, left on hand from the changes necessary
for the supply of the John T. Brantley Building, has been
put up in the laundry and connections made with the "West
Detached Building and the nearby T. B. Ward.
A deep well hand pump has been installed in the well
by the dining room at the Colony.
The gas engine driven triplex pump at the Colony waterworks has been overhauled and has had new plungers and
connecting rods put in it.
Much work has been done on the old ice machine from
time to time during the year in patching it up, and in putting
in new parts where absolutely necessary, in order to keep the
old machine going until we could get the new one, for which
we have an appropriation, installed.
The chicken house on the south side of the Twin Building has been remodeled and made rat proof, so far as the
foundations and floor is concerned, by concrete floors and
foundations.
The front porch floor and the steps of the Cabaniss Building, which were of wood, have been replaced with concrete.
76
EIGHTY-SECOND ANNUAL REPORT
Concrete steps have been placed down the terrace in
front of the Whittle and of the Cabaniss Buildings. Each
flight is ten feet wide and consists of fifteen steps.
Two tile silos have been built at the dairy. The site
selected for the silos being on newly made ground, it was
necessary to go seven and a half feet below the dairy floor
before a good foundation could be secured. This excavation
was utilized in making the silos by bringing this part of them
up to the dairy floor level, built of reinforced concrete. The
silos are 20 feet in diameter and 41 feet 6 inches high. The
combined capacity is 600 tons of silage.
Three pavilions have been built in the rear of the Negro
Building. Each building is 131 feet long by 21 feet wide.
Each has a porch 79 feet long by 10% feet wide. They are
nicely constructed of dressed long-leaf yellow pine, and are
painted inside and out. Each building has an open central
section 77y2 feet long. This section, above a height of four
feet above the floor, is open to the weather, except for a line
of sash running three feet above the solid portion of the
wall. These sash can be lowered into pockets when required.
In the ends of the buildings are the service rooms; two toilet
rooms, two nurses' bedrooms, a dining room, a pantry and a
clothes room.
The two older T. B. pavilions just west of the new ones
have had porches built to them similar to those on the new
buildings.
Six bath and six toilet rooms in the Twin Buildings
have had the wooden floors and the lath and plastered partitions taken out and the replacement made with concrete. One
bath tub in each of the six bath rooms has been taken out and
a shower bath put in its place. In each toilet room an enameled iron slop sink has been placed.
All of the return pipes in the back yard of the older part
of the Negro Building have been taken out and new pipes
put in.
One corner of the Negro Building kitchen has been underpinned to prevent the further development of a crack due
to a settlement of the foundation.
Six 36-inch ventilators have been put on the roof over
the dining rooms of the Twin Buildings. Connections have
been made with these to openings in the dining room below.
Twelve new steam radiators have been put in the Green
Building, and twelve in the Negro Building to replace others
which had rusted out.
77
GEORGIA STATE SANITARIUM
A small brick room has been built under the tower shed
for the housing of the series outside light regulating apparatus.
Plans have been made for the construction of a brick
and concrete public comfort station on the lower level of the
lawn in front of the Twin Buildings.
A new transformer has been placed at the Twin Building,
replacing one burnt out by lightning.
Plans have been made for the ice plant to be built and
for the additional cold storage rooms required.
An additional room, with sleeping porch attached, has
been added to one of the cottages.
Two small buildings have been razed from the site of
the ice works, the site graded, the foundations dug out and
filled in with concrete up to the point where the brick walls
start. The foundations for the refrigeration tank have also
been laid.
The building of three six-room cottages, to be occupied
by as many physicians and their families, has been commenced.
The dining room at the Colony and one of the dormitories have been refloored.
The kitchen at the Colony has been refloored with concrete. The floor is drained to a central cesspool and from
there to the sewer, which has been extended some 200 feet
into the adjoining field.
A 56-foot Seagrave extension ladder has been added to
the fire fighting equipment.
The water mains have been extended to afford fire protection to the John T. Brantley Building, and three additional
fire hydrants have been placed around it. These, with the
hydrants already in position near the building, give it all the
protection of this kind needed.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness repair
shop, the paint shop, broom factory and shoe repair shop
have been kept busy in manufacturing and repairing various
articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSURE,
Engineer
78
EIGHTY-SECOND ANNUAL REPORT
Report of Steward
DR.
R. C. SWINT,
Superintendent Georgia State Sanitarium.
:
I have the honor of submitting the following exhibits and
schedules, making up a detailed report of all receipts and disbursements through this office during the fiscal year ended
December 31st, 1925:
DEAR SIR
EXHIBITS:
1—Consolidated Cash Statement Receipts and Disbursements.
2—Analysis Cash Receipts and Disbursements—General and
Special Funds.
3—Balance Sheet, December 31st, 1925.
4—Statement of Income and Expenditure for Year.
5—Profit and Loss Statement, Farm, Garden and Dairy.
6—Analysis Expenditure, New Buildings.
7—Comparative Statement Cash Expenditure Years 19241925.
8—Statement Operating Funds.
SCHEDULES:
1—Accounts Payable as of December 31st.
2—Accounts Receivable as of December 31st.
3—Production, Farm, Garden and Dairy.
A comparison of per capita and per diem cost for the
year with that of 1924 follows:
1924
1925
Total cash expenditures
$996,756.04
$1,052,016.12
Per capita cost
227.10
229.14
Per diem cost
.62.22
.62.77
Average number patients
4,389
4,591
Receipted vouchers supporting all disbursements are on
file in this office.
I have devoted my entire time throughout the year to my
duties, and, considering limited clerical help, discharged them
to the best of my ability.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Consolidated Cash Statement Receipts and Disbursements
a
o >.
DESCRIPTIVE
=3 T3
o
1925.
Jan. 1—Balance from 1924
Less due Treasurer
Less due Special Eunds
Less due Trust Funds
RECEIPTS:
Maintenance Appropriation, regular _
Maintenance Appropriation, deficiency
Part 1923 maintenance deficiency
Part 1924 Special
Part 1925 Special
Vouchers returned
Patients' deposits
Miscellaneous sales
Interest on balances
c
03
e PR~
m
$
12,153.95 $
3,000.00
Ss §•
a £
5
£ o
H
1,015.90
Z H
O
3
550.00
4,253.74
$
1,508.53
>
800,000.00
250,000.00
69,333.54
20,311.26
10,000.00
97.05
20,145.35
9,440.01
2,597.67
>
to
I—I
a
2,868.53
32,586.36 $
1,045.90
550.00 $
4,106.20
Balances
Transferred by Steward
$1,148,356.63
9,440.01
12,153.95
20,145.35
29,585.36
Balances
Disbursed by vouchers
$1,157,796.64 $
1,107,300.02
32,299.30
1'8,95S.49
3,000.00 $
50,454.31
1,015.90
550.00
4,106.20
807.37
Balances
Disbursed by Steward
$
50,496.62 $
13,343.81
53,454.31 $
50,454.31
1,015.90
550.00
3,298.83
50,496.62 $
13,343.81
3,000.00 $
1,015.90
550.00 $
3,298.83
BALANCES
P
El
O
W
O
EXHIBIT No. 1 (Continued)
Consolidated Cash Statement Receipts and Disbursements
So
a
DESCRIPTIVE
05
2
a a
2
a (1,
* —
£
a "35
is
Z) ft
•~H
03
(1)
o
Hi
1925.
Jan. 1—Balance from 1924 .
Less due Treasurer
Less due Special Funds
Less due Trust Funds
RECEIPTS:
Maintenance Appropriation, regular
Maintenance Appropriation, deficiency „
Part 1923 maintenance deficiency _
Part 1924 Special .
Part 1925 Special
_
Vouchers returned
_ _ _
Patients' deposits
_ __..
Miscellaneous sales
__ .
Interest on balances __.
Balances .
Transferred by Steward
Disbursed by vouchers
Balances . __
Disbursed by Steward
BALANCES
-
.
....
_. ..
.
$
.___
>>.S
&~
2
a«
•9 m
sft .aoj
si '3
a ^
02
h—1
00,933.75
$
24,712.63
$
$
$
123.68
800,000.00
250,000.00
69,333.54
97.05
20,145.35
1335.17
5,007.17
2,868.53
$
93,080.17 $
32,299.30
$
93,080.17 $
32,299.30
a
o
x
H
a
o
o
20,311.26
10,000.00
$
37,541.17
12,153.95
$
.
a
« §
$
24,712.63 $
123.68$1,089,765.12
$
4,176.33
24,712.63 $
51,107.67
128.68 $1,089,765.12
123.68 1,019,586.15
93,080.17 $
32,299.30 $
18,955.49
4,176.33 $
75,820.30
|$
70,178.97
31,498.82
$ 93,080.17 $
13,343.81 $
4,176.33 $
75,820.30
1$
38,680.15
D
>
>
a
w
a
o
H
EXHIBIT No. 1 (Continued)
B
Consolidated Cash Statement Receipts and Disbursements
O
tO
SUMMARY
Cash in Hand—General Fund
Cash in Hand—Patients' Fund
Cash in Hand—Steward's Fund
Cash in Hand—Time Deposits
Liberty Bonds
Due by Nurses' Home, Fund
Due by lee and Cold Storage Plant
Total
CO
i-3
Credits
Debits
$ 50,496.62
18,343.81
3,000.01)
l,01o.90
,-^22
7o,820.3U
4,1*76.33
$148,402.96
Due New Buildings
Due Occupation Therapy
Due Trust Funds
Balance in Hand for Maintenance
$ 93,080.17
3,298.83
13,343.81
38,680.15
!>
i-3
H
CO
►
>
to
I—I
Total
$148,402.96
g
EXHIBIT No. 2
Analysis Cash Receipts and Disbursements
«ta C
tj-2
S.S
ft «
DESCRIPTIVE
Overdraft from 1924
DISBURSEMENTS:
General administration __
WAGES AND LABOR:
Medical Dept.
Steward's Dept.
Engineer's Dept.
Farm and Garden Dept.
Dairy Dept.
FOOD SUPPLIES:
Wards
Officers' dining rooms
MISCELLANEOUS:
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
Farm and garden
Dairy
Incidentals
$
be
a
■3.3
oft
o
B "2
IS
ft
ft
gffl
so
EH
H
aS O
-a ft
5
o
Q
EH
H
Kl
4,258.74
OQ
58,915.67
o
H
O
z
o
>
219.602.15
39,513.50
51,401.44
13,572.53
4,233.95
>
338,407.07
6,153.54
50
H
P
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2v289.62
19,845.86
26,937.65
60,354.82
►0
O
50
H
EXHIBIT No. 2 (Continued)
Analysis Cash Receipts and Disbursments
MISCELLANEOUS:
Board Spec. Attdts.
Interest on balances ...
Wages refunded
_ .
Phones and telegrams
Travel—Refund __
Pines
.._._,
Insurance—Rebate
.
Rents .
Vouchers returned _
Freight and express
Sundries .
_______
TRUST FUNDS—Patients dep.__.
Refund on bldg. material ...
SALES:
Misc. merchandise .
Baskets, rugs, etc.
Hides, sacks, etc. _
Sundries .
Total
...
u 2
Total
M
Liberty
Bonds
o5
o »b_
Time
Deposit
Brantley
Building
d
_- c3
Patients'
Fund
DESCRIPTIVE
Support &
Maintenance
EXHIBIT No. 2 (Continued)
Analysis Cash Receipts and Disbursements
H
Q
X
►■_
><
w
1,497.33
2,881.93
215.43
30.78
117.11
10.00
139.23
2.33
97.05
173.90
1,513.54
3>
H
►■0
20,145.35
o
122.92
H
4,393.84
937.02
129.58
143.60
$1,134,616.21 $
32,299.30 $
20,434.17 $
10,000.00 $
1.015.90$
550.00 $1,198,915.58
EXHIBIT No. 3
Balance Sheet, December 31st, 1925
LIABILITIES
DUE SPECIAL FUNDS:
John T. Brantley Building
$ 7,259.87
Ice and cold storage plant
5,823.67
Occupation Therapy—Male dept. 3,179.68
Occupation Therapy — Female
dept
119.15—$
TRUST FUNDS:
Patients' Deposits
$
ACCOUNTS PAYABLE:
Individuals and companies
$
SALARIES AND WAGES:
Employes—December
$ 28,986.58
Officers—December
5,080.78—$
EXCESS ASSETS JAN. 1, 1925:
Adjustments during year
$
110.89
Total to account lor
Excess assets for 1925
Total
Total
16,382.37
13,343.81
15,402.03
34,067.36
$ 92,627.53
56.78
$92,684.31
$171,879.88
ASSETS
Treasurer—General Fund
$
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time Deposit
BONDS:
Three 100s 4th Liberty Loan
$
Two 50s 4th Liberty Loan
Three 50s 3rd Liberty Loan
ACCOUNTS RECEIVABLE:
Officers and employees
$
United States Public Health
Service
MISCELLANEOUS:
Freight and express
STOCK ON HAND:
Stores—Miscellaneous merchandise
$
Packing house products
Dry goods in process of manufacture
Drugs, chemicals, etc.
Engineering material
Fuel—Coal and coke
Dairy feeds
Farm feed—Fertilizer, etc..
Total
50,496.62
13,348.81
3,000.00
1,015.90—$ 67,866.33
300.00
100.00
150.00-5
550.00
a
o
in
>
668.67
380.41—$ 1,049.08
1,695.82
H
B
w
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>
38,795.38
3,083.85
2a.
2,590.88
5,309.36
11,585.15
36,344.30
2,045.50
974.28-$100,728.65
$171,879.88
g
EXHIBIT No. 4
Statement of Income and Expenditure
EXPENDITURES
General Administration—Officers' Salaries..$ 63,085.9!?
WAGES AND LABOR:
Medieal Department
$226,438.27
Engineers' Department
53,422.82
Stewards' Department
41,482.70
Farm and garden
13,761.49
Dairy
4,304.05—$330,406.33
FOOD SUPPLIES:
Wards
$337,226.86
Superintendent's dining room
1,085.66
Steward's dining room
5,067.88—$343,380.40
.MISCELLANEOUS:
Clothing and dry goods
$ 66.218.72
Furniture and bedding
45,781.86
Fuel
41,191.16
Stationery and postage
2,289.62
Medical supplies
10,713.40
Autos and trucks
5,261.50—$171,456.26
MAINTENANCE OF PLANT:
Fire apparatus
$
196.50
Machinery supplies and repairs.. 2.311.91
Builders' hardware
4,013.81
Cement
1
1,386.82
Lime, hair and masons' supplies.
874.00
Lumber and building material.. 5,933.41
INCOME
STATE APPROPRIATIONS:
Regular
$800,000.00
Deficiency
250,000.00—$1,050,000.00
MISCELLANEOUS:
Board of officers
$ 1,918.18
Board of special attendants... 1,910.67
Board of employees
2,576.19
Donations
57.53
Dental work and material
112.55
Fines
344.00
Interest on balances
2,884.36
Sales old material
1,893.75
Rents
149.83—
11,847.06
FARM AND GARDEN:
Sales products
$
149.49
DAIRY:
Sales products
111.48—$
260.97
O
i-3
w
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d
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O
V
EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Painters' supplies
Plumbing supplies
Sewer supplies
Tinners' supplies
Cooking apparatus
Steam piping and boiler fittings.
Waterworks, supplies
Ice works supplies
Grading supplies
Sundries
FARM AND GARDEN:
Commercial fertilizer
:
$
Seed
Miscellaneous supplies
Board employees
Live stock
Budding trees
Feed
Freight and express
DAIRY::
Feeds
$
Misc.- supplies and repairs
Freight and express
Board employes
Rents, pasture
Live stock
INCIDENTALS:
Light and power
$
4,886.16
3,545.10
508.26
1,456.45
936.98
3,619.08
1,460.48
2,178.67
287.66
4,775.97—$ 38,571.26
8,153.22
1,827.72
3,931.32
2,418.80
2,390.00
100.00
884.82
139.98—$ 19,845.86
22,584.69
1,212.05
1,92S.25
575.68
127.00
512.98—$ 26,937.65
15,707.73
H
O
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>
EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Laboratory supplies and equipment
Dental supplies and equipment—
Officers' supplies and equipment.
Repair Account — Autos and
trucks
Escaped patients
Advertising
Amusements
_
Travel
"~"
Barbers' supplies
Phones and telegrams
Interest paid
Florists' supplies
Printing
Gas and oils
X-ray supplies
Blacksmith supplies
Broom factory supplies
Electric light supplies
Cemetery supplies
Telephone repairs
Registration automobiles
Insurance premiums
Medical books and journals
Poultry yards
Dining room supplies
Kitchen supplies
Laundry supplies
845.68
952.93
1,627.73
944.07
25222
281.45
40740
1,573.09
296.20
571.74
4.O4
25516
1.73o!lS
4 489 35
'5S5M
450.48
870.87
1,698.42
752.28
418.98
31.85
620.00
117.96
1,326.92
1,697.37
1,342.61
4,621.73
o
o
55
o
55
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E*
w
i-J
EXHIBIT No. 4 (Continued)
Statement of Income and Expenditure (Continued)
Tools and implements
Tobaccos
Vehicles and implements
Housekeeping supplies
Sundries
330.49
5,942.91
541.25
6,938.66
1,370.27
Total
Grand total
ADD. Excess income over expenditure
$ 69,547.45
$1,062,051.25
56.78
3>
S
i-3
>
i—I
d
Total
$1,062,108.03
90
EIGHTY-SECOND ANNUAL REPORT
EXHIBIT No. 5
Profit and Loss Statement Farm, Garden and Dairy
DESCRIPTIVE
Farm &
Garden
Dairy
Total
Inventory Jan. 1st, 1925
Commercial fertilizezrs
Compost
Commercial Feeds
Seed
Freight
Farm products .
Pasturage
if 48,626.00 $ 15,993.00 $
9,127.50
2,700.00
884.82 24,630.19
1,827.72
139.98
1,925.26
10,000.00
127.00
Total
Less inventories, Dec. 31st
« <w Rdfi no
Net cost of feed fertilizer, etc.
Gross profit for year
$ 30,920.36 $ 29,301.24'$ 60,221.60
33,339.98
9,986.96 43,326.63
64,619.00
9,127.50
2,700.00
25,515.01
1,827.72
2,065.23
10,000.00
127.00
<t KOC7K jn'jllt
32,386.66!
OIOI-I
AD
a3 374 ao
-
' | 55,759.86
$ 64,260.34 $ 39,287.89 $103,548.23
. OPERATING EXPENSE:
Miscellaneous supplies
Wages and labor
Board, employees
Live stock _
Budding trees
Net profit for year
Total
$ 3,931.32 $
13,761.49
2,418.80
2,633.12
100.0*
10,495.2!
1,212.05 $
4,304.05
575.68
1,792.80
2,102.07
5,143.37
18,065.54
2,994.48
4,425.92
100.00
12,597.32
$ 33,339.9; > 9,986.651$ 43,326.63
FURNISHED INSTITUTION::
d
£°°
Dairy V~j
teed
Compost
__
Cash Sales-Supplies
ON HAND:
Farm products—Feeds, etc. ...
Live stock
Vehicles and implements
? 90,587.26
10,000.00
2 700 00
'26o!97—$103,548.23
_
$15 733 03
3422250
' 5,610.83
Total
$65,566.36
Grand total
$159,114.59
91
GEORGIA STATE SANITARIUM
EXHIBIT No. 5 (Continued)
Profit and Loss Statement Farm, Garden and Dairy
Farm &
Garden
PRODUCTION:
Traits and Vegetables
_ _ _
Packing house products
Poultry and eggs
.
.- Dairy products
- _ _ Dairy feed
- __
Compost
_
_ _
Misc. food supplies
Dairy
Total
$
$ 36,365.70
7,839.16 $ 1,221.96
1,606.30
35,254.45
10,000.00
2,700.00
8,299.70
36,365.70
9,061.11
1,606.30
35,254.45
10,000.00
2,700.00
8,299.70
Total
- - - $ 64,110.85 $ 39,176.41 $103,287.26
CASH SALES:
75.00
50.00 $
25.00 $
Live stock _
__________ $
20.75
20.75
Corn
_.- _
57.36
57.35
Rye
12.24
12.24
Cotton seed
66.51
66.51
Sacks
_
- - 29.12
9.16
19.97
Sundries
_____________
$ 64,260.34 $ 39,287.89 $103,548.23
Total
Gross profit brought down
Total _
_
-
_
$ 33,339.98 $ 9,986.65 $ 43,326.63
$ 33,339.98 $ 9,986.65 $ 43,326.63
Institution investment beginning of year
Institution investment during year
Net profit from farm, garden and dairy
$ 64,619.00
81,898.27
12,597.32
$159,114.59
92
EIGHTY-SECOND ANNUAL REPORT
EXHIBIT No. 6
Analysis Expenditure New Buildings
Ice and
Brantley Cold storBuilding age Plant
DESCRIPTIVE
1925.
Balance from 1924
$ 36,220.82
$
RECEIPTS:
One-fourth special appropriation-.. 20,311.25
One-third special appropriation
$ 10,000.00
Material returned . _.
1,367.24
Total
Miscellaneous materials
Plastering
Tiling floors _
Wages and labor
Furniture and bedding
Household supplies
Kitchen supplies _
Insurance
Balance in hand
Total
Total
36,220.82
20,311.25
10,000.00
1,835.17
$ 58,367.24 $ 10,000.00 $ 68,367.24
_
$ 13,744.09 $
6,237.24
326.02
10,786.50
15,382.80
3,318.10
680.00
7,259.87
4 Hfi'HJ -\f7<¥X\Af>
632.62
5,823.67
6,237.24
R2fi0e
10,786.50
15,382.80
3,318.10
632 62
fiSOOfl
13,083.54
$ 58,367.24 $ 10,000.00 $ 68,367.24
EXHIBITS NOS. 7 AND 8
Comparative Statement Cash Expenditure, Years 1924-
General administration
Food supplies
_ Clothing and dry goods
Furniture and bedding
Fuel Coal and coke
Maintenance of plant- -Medical supplies
_ .
Stationery and postage .
Dairy
Incidentals
_
Total
Cash and cash items
Cash deficit at end of year
Amount
1925
Amount
1924
DESCRIPTIVE
$
57,912.47
3124,071.84
297,960.00
78,429.52
49,828.63
55,989.23
22,030.44
11,156.90
4,010.92
20,263.35
16,203.00
58,899.74
$ 996,756.04
$
58,915.67
328,323.57
344,560.55
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2,289.62
19,845.86
26,937.65
60,354.82
$1,052,016.02
$
1,003.20
4.251.73
46,600.55
$
15,327.29
10,242.73
2,208.74
9,426.86
95.40
1,721.30
417.49
10,734.65
1,455.08
$
79,372.50
$
24,112.52
Per Capita
Per Diem
$ 12.83
71.66
75.24
14.77
10.31
10.03
8.12
2.40
.51
4.32
5.85
13.10
$0.0346
.1904
.2055
.0400
.0270
.0226
.0231
.0270
.0006
.0127
.0231
.0211
$229.14
$0.6277
STATEMENT OPERATING FUNDS
December 31st, 1925
$71,151.23
Due Special and Maintenance Funds
$29,726.18
8,109.66
DEMAND OBLIGATONS:
Accounts payable
$15,467.35
Salaries and wages
34,067.36
Total
Total
Decrease
Increase
$79,260.89
Total
$49,534.71
$79,260.89
Q
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94
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1925
NAME
American District Steam Co.
American Specialty and Import Co
American Radiator Co.
Atlanta Dental Mfg. Co.
Armour & Co.
Atlanta Blank Book Mfg. Co
Atlantic Broom Mfg. Co.
Augusta Chronicle
Atlanta Journal Co.
Austin Nichols Co.
Armstrong Cork Co.
Barrett Watson Company
Barrett Company
Brantley, John T.
Bell Dry Goods Co.
Bell Grocery Co.
Benson's Bakery
Block Co., Frank E.
Bright-Brooks Lumber Co.
Brantley, C. C.
.
Brown, D. W. Co.
Brown Shoe Co.
■_
Burroughs Adding Machine Co.
Carter, E. Light Co.
Carr Company. A. J.
Carter White Lead Co.
Chandler Bros.
Carter White Lead Co.
Coleman, Meadows, Pate & Co.
Collins. W. H.
Conn & Co., John
Dean. Col. H. H.
Dennis, F. A.
Dunlap Hardware Co.
Dunlap-Huckabce Auto Co.
Ennis, J. H.
Evans, W. C.
Everhart, Laurence '
Estes Surgical Selling Co.
Fechheimer Bros. Co.
Fay & Egan Co.
Fillman Co., John W.
Fruitland Nurseries
Frederick Disinfecting Co.
Fulton Supply Co.
Gilman, W. P.
Gilman, J. M.
Gulf Refining Co.
Greeno Co., C. L.
Jones & Cadbury
Hatcher Hardware Co.
Debits
Credits
_.$ 7.51
„ 15.60
1.05
20.39
1950
72 08
8.96
35.63
32.63
5.38
~
15.00
1.62
$
131.34
1,670.34
195.09
4.20
10.80
487.50
1,722.68
24.22
12.50
16.77
33.44
200.00
9.16
12.50
23.15
25.45
611.16
3.65
61.86
128.55
193.03
25.00
10.50
429.94
10.50
227.96
620.00
5.88
3.63
6.86
5.27
2.87
13.20
38.10
53.50
40.13
75.83
38.25
175.77
GEORGIA STATE SANITARIUM
95
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1925
NAME
Happ Bros. Co.
Herf & French Chemical Co.
Hollingshead, G. W.
Hall, Dr. T. M.
Holcomb Mfg. Co., J. I.
Ivan Allen Marshall Co.
Ivey, W. H.
. _
Ivey, O. E.
Jefferson Distilling and Denaturing Co
Jaques & Tinsley Co.
Jordan, Lee N.
Johnson & Johnson
King Hardware Co.
Lombard Iron Works Co.
Logan Company
McKinley, G. C.
Mathieson Alkali Works
Gambrell, P. H.
Malt Diastase Co.
Majors Co., J. A.
Metz Laboratories, H. A.
Merchant & Evans Co.
Milledgeville Light Co.
Milledgeville Times
Milledgeville Telephone Co.
Mitchell Co., Henry P.
Miller Rubber Co.
Morris & Co.
National Biscuit Co.
New Orleans Broom Mfg. Co.
Newell, A. C.
Pittsburg Plate Glass Co.
Peeler Hardware Co.
Pierce, Butler Co.
Peoples Oil Co.
Rawlings, Dr. William
Ray Lyon Co.
Ralston Purina Mills
Ric Wil Co.
Riley Drug Co., J. B.
Richardson Milling Co., O. N.
Robinson Co., A. M.
Rossville Co.
Roughton Halliburton Co.
Roberts, Johnson & Rand
Ridley Yates Co.
Rosin Turpentine Co.
Schlesinger, Harry L Co.
Singer Sewing Machine Co.
Southern Express Co.
Southern Dental Mfg. Co.
Debits
35.07
400 00
2.17
29.52
18.81
Credits
.77
12.50
240.51
88.35
65.93
212.00
38.40
56.00
8.50
24.96
40.96
786.00
10.71
12.50
38.88
3.15
14.31
1,432.68
20.00
43.42
5.98
39.53
2.41
7.30
.21
59.04
37.19
12.50
9.08
106.20
62.50
7.on
33.14
6.00
1.80
54.08
1,375.00
50.19
331.50
.60
501.59
. 49.62
18.75
58.00
35.33
2.00
96
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1925
Debits
NAME
Squibb & Sons, E. R.
Standard Oil Co.
Stembridge, J. W.
Superior Coal Co.
Schwartz & Phaul
Stovall, Daniel Co.
Teasdale Co., J. W.
Southern Electric Supply Co.
Solomon Co.
Tidewater Sales Corporation
Thomas Co., Arthur H.
Trawick, S. B.
Troy Engine Co.
.
Union Recorder
Veal, O. E.
Victor X-Ray Co.
Van Range Co., John
Wade & Co.
Watons, E. T.
Western Electric Co.
Welch Grape Juice Co.
Western Union Telegraph Co.
West Disinfecting Co.
Whitfleld Grocery Co.
White Provision Co.
Whitman, J. R.
Wootten, R. H.
Wocher & Son, Max
Total
Credits
109.17
181.85
36.25
80.03
7.55
.47
6.63
.57
.19
6.00
13.17
—
1.13
110.40
561.14
78.75
170.00
56.88
65.00
533.00
1.60
28.95
166.28
185.84
21.70
0.00
378.60
314.50
1.25
1.96
$907.70
$16,309.73
GEORGIA STATE SANITARIUM
97
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1925
Names
Allen, T. M.
Allen, Marie
Allen, W. K.
Adcoek, Dr. J. C.
Allen, 0. D.
Allen,' W. H.
Andrews, Mandy
Andrews, Katie
Andrews. Eula
Alsop, Willie
Austin, Jesse
Bailey, R. F.
Batehelor, Olive
Baugh, Evelyn
Beekum, M. N.
Bell, Minnie Lee
Blaek, H. G
Bivins, Homer
Blaekwell, A. N.
Bloodworth, Ruby
Boman. Shade
Bowen. IT. S.
Braddock, Carrie
Brannan. R. F.
Bradford, Dr. R. W.
Brantlcy. C. C.
Brown, Easter
Brown, Eula
Brown, Willie
Brooking. E.
Carter, Arthur
Carter Luke
Cheney, Dessie
Champion. R. L.
Cole, G C.
Copps, C. G.
Coxwell, Mrs. T. B.
Davis, J. R.
Davis, Rosa
Davis, Corinne
DeSaussure, T. H.
Dillard, Hannah
Dunn, L. A.
Durden, Paul
Durden, W. R.
Eehols, G. L.
Epps, R S.
Etheridge, Nannie
Ennis. O. M.
Pordham Kathleen
Fuller, I. L. ...
Amount
$
-
.
.
.60
.01
.50
.95
1.25
10.50
4.48
2.13
2.53
5.09
1.53
.85
5.14
2.48
.30
4.80
.40
.50
3.50
.80
13 68
35.00
5.06
.15
3.06
26.63
25
1.35
-60
.30
1.00
5.00
4.09
-65
1.65
1.30
.45
1.30
5.24
4.39
3.98
4.27
.15
-35
-50
2.87
-40
1-80
1-00
1-26
1-90
98
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
Garrard, ,1. I.
Gault Gertrude
Oilman, E. G.
Oilman, W. P.
State Farm
Gilbert, Sarah
Giles, Leslie
Giles, Forest
Grimes, B. F.
Haddock, C. H.
Harris, Joe
Hawkins, A. J.
Hattaway, G. W.
Hardy, Mrs. A. B.
Harper, Mildred
Harper, Lottie
Herringdine, Emma
Hill, Mattie
Hitchcock, Josephine
Hitchcock, Alice Mae
Hood, Elizabeth
Hopkins, Bens
Holloway, Bessie
Holloway, Grace
Hollie, J. T.
Hudson, Charlie
Hubbard, John
Humphrey, Catherine
Humphrey, Joe
Ingram, Mamie
Ivie, Daisy
Janes, George
Jackson, Elizabeth
Johnson, R. L.
Johnson, J. C.
Jones, H. S.
Jones, Annie
Key, Evelyn
Langford, Valma
Layfleld, B. L.
Lavender, C. B.
Lawson, B. L.
Lawrence, Bertha May
Layfleld, Lollie
Leonard, A.
Lewis, Rosa
Lester, Mattie Kate
Leverette, Ruth
Lindsey, E. E.
Longino, L. P.
Lynch, Edward
Amount
9.55
6.04
1.35
.40
29.50
' 6.01
1.58
.70
.35
.60
5.00
4.55
2.65
.50
7.71
1.65
.85
5.43
1.07
.40
.72
5.00
418
.08
.10
.55
5.00
.95
.27
1.47
.01
.25
3.55
.70
2.15
.90
1.22
.70
60
.65
.40
28.85
.50
7.97
.20
4,24
5.82
2 22
19 90
2.00
.25
GEORGIA STATE SANITARIUM
9§
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
McAdams, J. 1.
McCullough, Lillian
McGinley, Catherine
Matthews, T. W.
Martin, L. J.
Middlebrooks, Leola
Morlock, Anna
Moses Maybelle
Moore, Georgia
Mobley, J. W.
Nisbet, Eloise
Nash, W. H.
Oden, J. W.
Pattishall, Annie
Patterson, Sabryna
Pinkston, Lucy
Padgett, Lucile
Parham, Percy
Pinkston, Daisy
Page, Carrie
Phillips, Louis
Penuel, F. C.
Pearson, Emma
Pendleton, Annie
Polk, J. B.
Posey, Myrtle
Preston, Silvia
Reynolds, Fannie
Rankin, Dr. D. T.
Ray, Scott
Reed, R. R.
Reliford, Pearl
Reynolds, T. J.
Richardson, Janie
Rogers, Pearl
Saulsbury, Annie
Seals, J. S.
Saulsbury, Sam
Saulsbury, Lee
Seals, J. A.
Simpson, C. H.
Simpson, Roy
Simpson, Fannie
Smith, Willie
Smith, J. T.
Smith, Eva
Smith, Vallie
Snellgrove, Cecil
Speights, Mamie
Pattishall, T. J.
Stembridge, W. W.
Amount
100
.84
1.70
-65
.20
7.28
.96
1-59
.25
2.73
--70
.35
44.00
.25
.1.11
5.11
6.88
2.23
4.58
5.27
1.00
4.00
4.32
.30
4.40
2.02
5.06
4.25
----- —19.80
6.50
.50
1-94
.40
2.26
5.67
6.31
-85
1.00
-05
-35
1-45
2.30
4.27
3.37
4.65
1-46
5.14
6.82
3.60
.15
1-00
100
EIGHTY-SECOND ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1925
Names
Stevens, C. B.
Steverson, Essie
Stewart, Mildred
Stokes, Ethel
State Anatomical Board
Swint, R. C.
Switzer, A. W.
Thomas, Emanuel
Thomas, Kelley Mae
Trawiek, Rosa
Turner, John
U. S. Public Health Service
Vinson, J. T.
Vinson, Annie Mae
Watson, J. E.
Walker, W. A. .__"
Walker, Dr. N. P. ...
Walton, Lavinia
Watson, Winnie
Wheeler, Dr. G. A.
Woolfork, Ruth __:
Wright, S. E., Jr.
Yarbrough, Dr. Y. H.
Young, D. B.
Youngblood, C. A.
Yarbrough, O. C.
Total
%
___
:
:__
Amount
.20
5.11
.73
.25
50.00
1.62
4.03
5.00
3.92
645
1,00
380.41
:
.25
0.88
.70
3 40
.80
.60
1.12
__
3 00
4.71
__..
1.40
7.20
.20
.95
1.00
$1,049.08
GEORGIA STATE SANITARIUM
101
SCHEDULE No. 3
Production—Farm, Garden and Dairy
Farm Products:
1,000 tons ensilage
3,1024 bus. meal
9,865 bus. sweet potatoes
371 bus. peas
304 bus. peanuts
Fruits and Vegetables:
52 bus. okra
127 bus. asparagus
1,894 bus. squash
13,230 heads collards
754 bus. Irish potatoes
1,910 bus. lettuce
6,832' bus. turnips and greens
510 bus. beets
19,113 heads cabbage
3,080 bus. rape
575 bus. onions
290 bus. radish
855 bus. snap beans
36 bus. berries
216 bus. cucumbers
573 bus. onions
218 bus. tomatoes
8 bus. carrots
17.315 melons
773 bus. butter beans
16,786 roasting ears
26,604 cantaloupes
Value
$10,000.00
4,344.20
1,473.00
1,208.50
684.00—$ 18,299.70
$
76.00
381.00
4,715.00
1,323.00
1,508.00
3,820.00
6,832.00
1,530.00
1,911.30
1,540.00
1,437.50
435.00
1,710.00
14.40
540.00
1,719.00
1,046.40
12.00
1,731.50
2,473.60
279.80
1,330.20—$ 36,365.70
Packing House Products:
42,366 lbs. pork
14,902 lbs. dressed beet
Poultry and eggs
$ 7,839.15
1,221.96—$ 9,061.11
$ 1,606.30
Dairy Products:
80,688 gals, sweet milk
261 gals, buttermilk
42J gals, cream
056 lbs. butter
$34,867.20
39.35
85.50
262.40—$ 35,254.45
Compost:
1,800 loads
$ 2,700.00
Total
$103,287.26
EIGHTY-THIRD ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE, GEORGIA
For the Year Ending
December Thirty-First
Nineteen Twenty-Six
Board of Trustees
President
JOHN
T.
BRANTLEY
_______
Vice
H. H.
DEAN
Blackshear, Ga.
v.ident
_________
Gainesville, Ga.
Secretary
C. C.
BRANTLEY
E. E.
LINDSEY
J. C.
JARNAGIN
A. C.
NEWELL
THOS.
M.
P. H.
GAMBRELL
HALL,
________
__________
________
M. D.
_____
_
_
_
_
Atlanta, Ga.
Milledgeville, Ga.
_________
M. D.
Rome, Ga.
Warrenton, Ga.
_________
*WM. RAWLINGS,
^Deceased.
Valdosta, Ga.
_
Macon, Ga.
Sandersville, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. E. Lindsey, Chairman
J. C. Jarnagin
Thos. M. Hall
A. C. Newell
C. C. Brantley
Finance and A*»
<g Committee
A. C. Newell, Chairman
*Wm. Rawlings
C. C. Brantley
Committee on Sanitation, Medical and Dispensary Service
*Dr. William Rawlings, Chairman
Dr. Thos. M. Hall
P. H. Gambrell
Committee on Buildings and Grounds
H. H. Dean, Chairman
E. E. Lindsey
P. H. Gambrell
Committee on Farm and Outside Business
J. C. Jarnagin, Chairman
H. H. Dean
*Deceased.
*Wm. Rawlings
Officers of the Sanitarium
R. C.Swint,M.D. _, Superintendent and Resident Physician
N. P. Walker, M. D. ______
Clinical Director
L. P. Longino, M. D. _ _ _ First Assistant Physician
Y. H. Yarbrough, M. D. _ _ Second Assistant Physician
J. I. Garrard, M. D.
_____ Assistant Physician
Geo. L. Echols, M. D. _ _ _ _ _ Assistant Physician
*J. W. Oden, M. D. (Until May 1, 1926) _ _ _ _
__________ Assistant Physician
D. T. Rankin, M. D. _ _ _ _ _ Assistant Physician
R. W. Bradford, M. D. (From May 1, 1926) _ _ _
__________ Assistant Physician
J. W. Mobley, M. D. (From Sept. 1, 1926) _ _ _
--________ Assistant Physician
U. S. Bowen, M. D. (From Nov. 1, 1926) _ _ _ _
__________ Assistant Physician
C. G. Cox, M. D. (From Nov. 1, 1926) _ Assistant Physician
W. A. Bostick, M. D. (From Aug. 1, 1926) _ _ _
--______ Junior Assistant Physician
B. B. Saye, M. D. _________ Pathologist
A. H. Fowler, M. D. (From Aug. 1, 1926) _ _ _ Interne
W. F. Dohyns, M. D. (From Sept. 1, 1926) _ _ _ Interne
J. T. Stephenson, M. D. (From Sept. 1, 1926) _ _ Interne
C. B. Kinney, M. D. (From July 15, 1926) _ _ Interne
G. H. Green, D. D. S. _________ Dentist
J. A. Adcock, D. D. S. _ _ _ _ _ _ _ _ Dentist
J. J. Wooftten __________ Pharmacist
Mrs. Mae M. Jones, R. N. _ _ Superintendent of Nurses
Otto M. Conn __________
Treasurer
Homer Bivins
__________
Steward
T. H. DeSaussure _________
Engineer
W. S. Jett, Jr. _
— _ _ _ _ Assistant Engineer
F. C. Penuel _________ Farm Steward
H. S. Jones ___________ Secretary
Arthur Farell
_________
Storekeeper
*Miss Catherine McGinley _______ Dietitian
W. W. Stembridge _________ Inspector
Rev. T. G. Watts __________ Chaplain
* Resigned.
Eighty-Third Annual Report
OP
THE
BOARD OP TRUSTEES OP THE GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1927.
To His Excellency, Clifford Walker, Governor.
SIR:
The Board of Trustees of the Georgia State Sanitarium
begs to submit herewith the report required by law to be made
of the conduct and management of this institution. It covers
the year 1926 and is the eighty-third to be so made.
The annual report of the Superintendent and Resident
Physician, supported by those of heads of departments, is
attached hereto and will supply details of the year's work.
The record made is highly creditable and merits for the
Superintendent and his assistants the commendation of the
Board.
The recommendations presented herein are of first importance and should have immediate attention. The cost
involved is large, but no larger than the purpose to be served.
It is not possible to state the needs of so vast and populous
an institution in small sums, especially when some of the
needs have been long neglected. A longer delay in supplying
them will be full of danger.
Population
A gain of 208 in the number of resident patients as noted,
the total number to-day being 4848, with 646 other patients
out on furlough. The daily average number was 4782, an
increase over the preceding year of 191.
Applications for admission totaled 1402, of which 1180
were admitted and 105 denied. Admission was granted 117
who were not presented after being notified.
Financial
The cost of maintenance was $1,119,759.62. The cost for
each patient was $234.16, or $0.6415 per day, which is a little
higher than last year.
EIGHTY-THIRD ANNUAL REPORT
For the maintenance of the Sanitarium in the next biennial period the careful estimate of the Steward shows that
$2,351,307.00 will be needed.
For the special purposes to be set out in the recommendations referred to, appropriations totaling $1,496,150.00 will
be required.
The Physical Plant
Three frame cottages for officers' use were added in the
year, lumber being had from timber owned by the Sanitarium.
Purchase was made of 322 additional acres of pasture
land for the use of the dairy.
Purchase was also made of an approved type of motor
fire pumper for the further fire protection it affords. It is
now installed and is named "T. H. DeSaussure" in honor of
one of the oldest and most valuable officers of the Sanitarium.
The stand pipe in the rear of the Powell Building is now
so old as to be beyond repair and must be razed. It is necessary to replace it with one of larger size and higher elevation.
Careful study should be given to the removal to one central location of the many steam heating plants now in use,
through which a more economical service can be had. With
it should go the woodshop in the rear of the Powell Building
in the interest of neatness of the grounds and to remove a
dangerous fire hazard. The consolidation should include a
steam driven electric power and light plant, so designed as
to make use of the exhaust steam for heating the buildings.
The cost of this improvement will be heavy and in the face
of greater and more urgent needs no recommendation is yet
made that it be provided.
Legal Amendments Needed
The Board calls attention to its inability to enforce the
law governing admissions as found in Michie's compiliation
of the Code, "Guardians and Wards," Chapter 3, Article 2,
Section 3102, because of the confusion therein. It should be
clarified or repealed. It seeks to create pay and pauper patients, the last being those who are possessed of estates valued
under $3,000. It provides no method of valuing such estates,
GEORGIA STATE SANITARIUM
nor for the collection and payment to the Sanitarium of its
"reasonable charge for board and keep." It makes no provision for those inmates who shall have their estate exhausted,
lost or stolen, or which shall fail to produce a sufficient income for their support. It is not retroactive and applies to
new admissions only. The Board would suggest that the State
must of necessity place under custodial care its insane citizens
regardless of their possession. If they are possessed of property it is already taxed for the support of the Sanitarium.
It is conceivable there may be those of means whose family
or kindred will refuse to apply for commitment because of
the expense involved. In the opinion of the Board the interests of society are best served by making the Sanitarium
free to the citizens of the State. It is obvious a patient cannot and ought not to be discharged before restoration simply
because of the failure of estate or income therefrom. Internally the effect of this law, could it be enforced, on the
patients will be most unhappy because of the distinction
drawn among themselves between those who pay and those
who are paupers. There is perhaps one exception which can
be made, and this in cases where an estate is had with no
family or near dependent kindred. In such cases it would
seem proper the law shall vest such estate in the Board of
Trustees for the use and support of the patient, it being provided that on his discharge the residue of such estate shall
be returned to him, or that at his death it shall become the
property of the Sanitarium. In such eases the Sanitarium
takes the place of family and kindred.
If the burden of properly supporting the Sanitarium is
become too great for the State to carry alone consideration
might be given pro-rating the cost between the State and the
counties on some fair and equitable basis.
This law also attempts to define the classes who shall or
shall not be admitted, but it lacks clearness.
For these and other reasons the Board recommends the
repeal of this law, and the enactment of the following:
SANITARIUM FREE TO WHOM: The said Sanitarium shall be free to all bona fide citizens of the State
who may be insane or afflicted with mental disease. No
paralytic invalid, epileptic, idiot, imbecile, drug addict
or alcoholic addict who is not insane shall be committed
or admitted to it.
EIGHTY-THIRD ANNUAL REPORT
The history which must accompany all applications
for admission to the said Sanitarium shall contain adequate and just reasons why such admission should be had,
and if such reasons are not given, the Superintendent
may refuse admission.
If the family or friends of any person who shall be
committed and admitted to the said Sanitarium shall
desire to furnish clothing, extra food or other comforts,
they may be allowed to do so at their own cost under such
rules and regulations as may be prescribed by the Board
of Trustees.
If any person who is committed and admitted to the
said Sanitarium shall be possessed of an estate and shall
be without family or near dependent relatives, such estate
shall vest in the Board of Trustees of the Sanitarium to
be expended for his use and support, it being provided
that in the event of his discharge any residue remaining
of such estate shall be put into his possession, or that in
the event of the death of such inmate his estate shall then
become the property of the Sanitarium.
Recommendation is also made that the examination now
required to be made by the Board of applicants for the place
of assistant physician be repealed. The license of the State
should be quite sufficient provided the other qualifications are
had.
Recommendation is also made that the name of the
Sanitarium be changed to "Georgia State Hospital," the better to indicate its field and to avoid the confusion arising from
the similarity in names with another State institution.
Death of Trustee Rawlings
The Board records with deep regret the death of one of
its members, Dr. William Rawlings, which occurred at his
home in Sandersville on August 1, 1926. He brought to its
sessions the experience of a successful man of large affairs,
an expert knowledge of medical and hospital matters, a sane
and sound judgment and an understanding sympathy which
made him a most useful member. These qualities together
with his unfailing courtesy, fine mind and warm heart greatly
endeared him to his colleagues.
GEORGIA STATE SANITARIUM
General
A fire which occurred during the year in one of the
main buildings, fortunately in the day time, was extinguished
after a hard fight without loss of life or limb, and without
serious property damage. Grateful acknowledgement is now
made the cities of Milledgeville and Macon for the immediate response of their fire departments to a call for their help
at a moment when a general conflagration seemed inevitable.
The Sanitarium fire department was of invaluable help in getting the fire under control. Through the calmness and good
judgment of officers, nurses and other employes the inmates
of the building were moved to safety.
No clue has yet been had leading to the murderer or
murderers of the negro patient who was forcibly removed
at night from one of the buildings in September, 1925, and
murdered. This shocking crime is therefore unpunished. The
reward offered by the Board for information still stands.
First Recommendation
The situation of the Sanitarium in respect of room is exceedingly critical and speedy relief must be given it. A careful
survey of the present buildings which has just been made
shows that they can safely and comfortably accommodate but
3607 patients. This estimate is based on 1,000 cubic feet of
space allowed for each patient in ceiled rooms and dormitories
and 100 square feet of floor space in those unceiled. These
buildings contain to-day 4848 patients, or 1241 in excess of
their intended capacity. By departments the situation is as
follows:
White male
White female
Colored male
Colored female
Capacity. Patients. Overcrowded.
1180
1396
216
1322
1754
432
575
793
218
530
905
375
3607
4848
1241
Expressed in percentage, the overcrowding is as follows:
White male
White female
Colored male
Colored female
18%
32%
37%
70%
10
EIGHTY-THIRD ANNUAL REPORT
The congestion is worst in the colored female department, but exists in lesser degree in all. Patients can now
be accommodated only by putting two or more in small rooms
intended but for one and by crowding the dormitories. The
risk of physical injury to the patients among themselves is
thus very greatly aggravated, while bad hygienic and sanitary conditions are unavoidable. Lack of room to isolate all
patients having communicable diseases is responsible for the
mounting death rate reported from tuberculosis, while the
control of an outbreak of contagious sickness is for this reason made all but impossible. The added danger in case of fire is
a constant nightmare to those responsible for the safety of the
inmates. The steady growth in population adds to the gravity of this situation. The gain last year was 208 and for
ten years 1078 patients. None but recent or acute cases and
cases found to be dangerous are now admitted.
The impression prevails with the uninformed that more
room could be had by discharging many of the patients and
that they ought to be so discharged. The facts are that every
patient in the Sanitarium has been legally adjudged entitled
to admission and there are none whose discharge before recovery would not do violence to common humanity. It is the
duty of the Superintendent under the law to discharge any
found not to be insane or who are restored to mental health
and this duty is scrupulously, promptly and gladly observed.
It is very plain that unless more room is speedily had,
further admissions must of necessity be limited to vacancies
had through discharge and death. The Board would point
out that the effect of such an order will be pitiful in the
extreme. No one will deny to these stricken, dependent and
helpless beings a first claim on the generosity of the State.
Two ways of supplying additional room are possible
and both are here presented.
1. The first assumes that the Sanitarium is to continue
to receive both races, as now. In this event it will be necessary to supply it with four new buildings for patients, one
for each sex of each race. They must be sufficiently large
to take care of the present overpopulation and still have some
room left for the future. Their cost, if of brick and wood construction, is estimated at $175,000 each, or $700,000 for the
four. If of fireproof construction, as they should be by all
means, 15% or $105,000 must be added to this estimate.
Warning is given that these buildings, together with a hospi-
GEORGIA STATE SANITARIUM
11
tal building recommended elsewhere, are had and occupied,
the Sanitarium will have reached the maximum population
it can safely be allowed to attain. It is now one of the largest hospitals for the insane in the United States and its successful management becomes an increasingly difficult matter. The time is at hand when the State must plan for the
founding of a second hospital.
2. The alternative is to found such second hospital at
once to care for the negro race, to which shall be transferred
the 1665 patients of this race now in the Sanitarium. When
this is done the buildings once occupied by them can be renovated and made ready for white patients. If this plan be
adopted, and there are sound reasons to commend it, the
necessity for the four new buildings for patients will be
removed. With the renovation of the negro buildings must
come a general renovation of all the other buildings housing
patients, all of which are old and greatly in need of major
repairs, for which the funds at the disposal of the Board have
never been adequate. New floors, walls and ceilings, new
paint, new plumbing, etc., are items of cost which will be
incurred and which are difficult to estimate with accuracy.
The Board would suggest that $1,000,000.00 as the minimum initial appropriation to be made for the founding of
this second hospital, to be made available in one or two
years, it being assumed that use can be made of lands already
owned by the State.
For defraying the cost of renovating the negro buildings
and for putting all the buildings in first-class repair, a work
never before attempted, the Board estimates $200,000 will be
required.
Second Recommendation
An ample supply of pure drinking water is vital and
means to this end must be carefully safeguarded. The present water plant is twenty years old and is at the maximum
of its present capacity. Its age and increasing demand on
it makes an enlargement imperative as a measure of safety.
Two additional settling basins, one additional filter and a second electric pump are required. A steel stand pipe of 150,000
gallons capacity on the Sanitarium grounds to replace the old
now to be razed is also required. It is necessary to duplicate the single 12-inch main through which the Sanitarium
is reached and which is about four miles in length. This sin-
12
EIGHTY-THIRD ANNUAL REPORT
gle main is now under heavy constant pressure to keep the
Sanitarium supplied and a fracture is thus made possible
at any time and without warning. It passes through an intervening creek which at flood widen out two and three miles.
If a fracture should occur at such a time and place a repair
would be impossible and the Sanitarium would quickly become helpless. A second main is therefore a most important
protection and will serve to reduce the pumping cost because
of the following reduction in friction. The cost of these additions, including housing and all minor parts, will be as follows:
Basins and Filter
Duplicate electric pump
Duplicate water main
Stand pipe complete
Total
$22,800.00'
2,650.00'
39,200.00
15,000.00
$79,650.00
Third Recommendation
The work of the medical department continues to be of
high order and should be given strong support. Its record is
the more remarkable when the heavy handicaps under which
it labors are remembered. Its greatest need is for a commodious general hospital in which to gather all cases offering hope, under proper treatment, of cure, and the physically
ill. At present both these classes are found in the several
reception, and hospital wards throughout the institution.
Many advantages are to be had from grouping them under
one roof, apart from its convenience. Among the most important is that it will separate the curable cases of insanity
from the incurables. The association which is now unavoidable serves to intensify an already abnormal mental depression and greatly retards, if it does not render impossible, successful treatment. It will enable better care of the physically
ill. It is proposed to place this hospital in attractive surroundings and to make it within and without as cheerful as
possible. When fully equipped with whatever may be needed
for its dual purpose it will be of substantial help to the medical department. It must be large enough for both races and
its cost cannot be less than $250,000. To make it fireproof
this estimate must be increased 15%, or $37,500.00. Against
this cost should be set its possible contribution to the sum
of human happiness had through every patient restored to
mental health. Every patient so restored ceases to be a bur-
GEORGIA STATE SANITARIUM
13
den and becomes a helpful unit of society. Every unrestored
patient remains a charge upon the State for life. The investment is therefore economically sound.
Fourth Recommendation
The present amusement hall is no longer large enough
for its purpose. It was built many years ago when the population was very much smaller than now. In it the usual religious services are held, moving pictures exhibited, dances
had, etc. It is a valuable help to the medical department
through the pleasure and diversion afforded therein to the
convalescent patients and it should be sufficiently large for
their gatherings. It is an investment in happiness from
which good returns may be expected and its cost is estimated
at $50,000. The abandonment of the old one will occasion no
loss since it is so situated as to be readily converted into
rooms or dormitories for the patients.
Fifth Recommendation
The Sanitarium buildings are of brick and wood with tin
roofs and fire risk is ever present. Inside enclosed stairways
of wood conveniently placed are relied on for the protection
of the inmates against fire. The system is not perfect, but
has thus far served. Outside ladder escapes would be as
dangerous to the inmates as fire, while the value of tube
escapes for insane persons is at least problematical. In lieu
of these for which many recommendations have been made in
the past, the Board recommends as an alternative the installation in all the main buildings housing patients and in the store
room, of a system of automatic fire sprinklers.
The cost of such installations, including a required stand
pipe of 100,000 gallons capacity to serve for this purpose
alone, is estimated at $230,000. These installations will not
only provide far greater security for the inmates, but will
result in a greatly lowered insurance rate on these particular buildings.
Sixth Recommendation
In the eighty-three years of its existence the Sanitarium
has never had a residence for its Superintendent, and this
want should be supplied. The pressing need for more office
room, for which his present quarters are admirably adapted,
makes the present an opportune time. A very appropriate
site on the grounds is reserved for it. He is the host of the
14
EIGHTY-THIRD ANNUAL REPORT
institution and his residence should be ample in size for the
hospitality he must dispense. By the erection of such residence and by the conversion of his present quarters into
offices, it will no doubt be possible to provide much needed
room in the storehouse through the removal of the Steward's
office now located in it and thus obviate the necessity for the
appropriation recommended herein for this purpose. A suitable residence can be built at a cost estimated at $25,000.
Seventh Recommendation
It is now become necessary to add a second floor to the
storehouse in order to accommodate the growing quantity of
supplies needed to be carried in stock, the cost of which
is estimated at $10,000.
Eighth Recommendation
The medical department asks for a commodious onestory building in which can be housed the vocational therapy
activities of the white female patients which because of
weather conditions must be had indoors. At present use is
had of some of the day rooms for this purpose, thus diverting them from the use for which they are intended. They do
not give room for enlargement, hence the request for a
suitable building. Such good results have followed the introduction of this form of treatment that its wider use is highly
desirable. The cost of such building as is wanted will be
$9,000.
Summary of Special Appropriations
The special appropriations sought herein are summarized as follows:
For four buildings for patients made fireproof-_$ 805,000.00
For hospital building made fireproof
287,500.00
For additions to water works, including duplicate main, stand pipe, etc.
79,650.00
For amusement hall
50,000.00
For vocational therapy building
9,000.00
For Superintendent's residence
25,000.00
For enlargement of storehouse
10,000.00
For automatic fire sprinklers
230,000.00
Total
$1,496,150.00
GEORGIA STATE SANITARIUM
15
If a second hospital for negroes is founded the first item
in this summary should be omitted, and for it should be substituted $200,000 for the complete renovation of all the buildings.
In Conclusion
The Board is grateful to Your Excellency for the support given it in the discharge of its duties. It is not unmindful of the growing weight of such duties, but none the less
it has been a joy and privilege to assume them. The Superintendent has not lacked sympathetic and helpful support in
his work for the happiness and well being of the inmates, nor
have the interests of the State been allowed to suffer. If its
acts shall have your approval it will be sufficiently rewarded.
By order of the Board of Trustees.
JOHN
C. C.
BEANTLEY,
Secreiay.
T.
BEANTLEY,
President.
16
EIGHTY-THIRD ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1927.
The Hon. Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the eighty-third annual Report
of the Georgia State Sanitarium, which covers the fiscal year
ending December 31st, 1926:
Appended hereto are report of the
Clinical Director,
Pathologist,
Dental Department,
Superintendent of Nurses,
Pharmacist,
Engineer,
Farm Steward,
Treasurer,
Steward.
These reports give a general review of the activities of
the institution in its various departments throughout the
year.
General Statistics of Patient Population for the Year 1926
Male Female Total
Actual resident patient population Jan.
1, 1926
2,151 2,489 4,640
Patients remaining on books Jan. 1, 1926.2,486 2,832 5,318
Admitted during the year:
First admissions
Readmissions
476
94
478
132
954
226
Total admitted during the year_ 570
Total under treatment during the
year
.
3,056
610
1,180
3,442
6,498
GEORGIA STATE SANITARIUM
Discharged during the year:
As recovered
As improved
As unimproved
As without psychosis
Died
Total discharged and died
17
Male Female Total
75
79
154
143
159
302
73
30
103
4
9
13
248
184
432
543
461
1,004
2,513
324
2,981
322
5,494
646
Actual resident patient population
Dec. 31, 1926
2,189
Daily average under treament
2,659
4,848
4,782
Remaining on books Dec. 31, 1926
Num'ber on parole Dec. 31, 1926
A study of the above statistics show that the total first
admissions were the same as previous year, with a decrease
of 44 in number of males and increase of 44 in the number
of females.
The total readmissions were increased 5 compared to the
previous year, with a decrease of 19 males and an increase
of 24 females.
Notwithstanding our constant effort to limit admissions
to urgent type of applicants on account of the already greatly
over-crowded condition of the Institution, there were 1,180
total admissions, or an increase of 5 compared to the previous
year.
There were a total of 572 discharged during the year;
that is, patients who were furloughed and remained out over
12 months, the furlough period fixed by law, except 4 males
and 9 females who did not manifest any symptoms of mental
disorder, and were discharged as without psychosis (not insane).
The policy we adopted some years ago of furloughing all
cases except the not insane, is a good one, as our experience
has taught us that some patients, while clinically restored
and have apparent normal behavior for quite a period while
living the routine of institutional life, soon have a recurrence
of their abnormal mental symptoms soon after they return to
their old environment. If they are on furlough they may be
returned to the Sanitarium without the ordeal and expense
of a new commitment.
18
EIGHTY-THIRD ANNUAL REPORT
The advancement in psychiatric knowledge indicates
that this problem, of recurrence as well as the cause of the
original onset of mental disorder, is a very complex affair,
involving more than the aged formulation of "Sound mind
in a sound body." In the solution of the problem we find
that it involves not merely a section of one's life, but all the
forces which operate to make that life what it is.
Based on the number of admissions, the discharges during the year were 38.6% as recovered or improved compared
to 35.5% the previous year. The daily average under treatment was 191 greater, and there were 36 more deaths than
the previous year.
Overcrowding continues our most pressing problem, and
one of our greatest handicaps to treatment. We had a daily
average overcrowding of 1,185. "We began the year with an
actual resident population of 4,640, and closed with 4,848, a
net increase of 208, or 1,241 overcrowded. Notwithstanding
the overcrowded handicap we furloughed 819 patients during
the year, and of this number 613 were restored or improved.
Based on the total admissions this is 51.9% compared to 56%
the previous year.
It might be of interest to note that the females show a
greater growth than males in resident patient population. The
year's 208 increase in population were as follows: White
males, 17; white females, 98; colored males, 24, and colored
females, 69.
Allowing one patient to a room—to each patient in
ceiled dormitories 1,000 cubic feet of space, and in unceiled
dormitories in the open unceiled wooden structures 100
square feet each, the institution has a normal capacity of
3,607 patients.
The following tabulation gives normal capacity of patients and overcrowding in each department:
White males
White females
Colored males
Colored females
Total—
Normal
Capacity
1,180
1,322
575
530
No. Patients
1,396
1,754
793
905
Overcrowded
216
432
218
375
3,607
4,848
1,241
GEORGIA STATE SANITARIUM
19
We have been estimating our normal capacity at 3,900
based on old estimate made several years ago, but during
the year a new estimate of the different buildings and wards
was made with allowance given above, and we find that our
actual normal capacity is nearly 300 patients less.
The above figures show that at the end of the year the
Sanitarium is 1,241 patients overcrowded as follows:
216
432
218
375
or
or
or
or
18.3%
32.6%
36.1%
70.0%
in
in
in
in
White Male Department,
White Female Department,
Colored Male Department, and
Colored Female Department.
Therefore, it is clearly seen that the present capacity of
the institution is greatly overtaxed, and its overcrowded condition is unhygienic, hazardous, and a great handicap to
treatment, and especially is this true in the Colored Female,
Colored Male and White Female Departments.
If some relief for this condition of affairs is not soon
obtained, such overcrowding is likely to result in a great
increase in the incidence of tuberculosis among the patient
population, as well as other calamities.
Medical Service
During the year Drs. Wm. F. Dobyns, A. H. Fowler, C.
B. Kennedy and J. T. Stephenson were appointed internes.
Drs. Dobyns and Fowler had just completed interneship at
University Hospital at Augusta, Ga. Dr. Stephenson came
to us from U. S. Veterans Hospital, Augusta. Also Dr. J. W.
Mobley, who was formerly First Assistant Physician and
resigned a few years ago on account of ill health, having regained his health, was elected Assistant Physician.
Drs. Joseph Goldberger and G. A. Wheeler of the U. S.
Public Health Service continued throughout the year their
research study of pellagra.
The Psychiatric Clinics at Macon and Elberton were
kept up during the year. A member of the Staff went to
Macon weekly to conduct the former, and another member
to Elberton monthly, except during the summer vacation
period of the Elberton School.
20
EIGHTY-THIRD ANNUAL REPORT
During the Summer there developed 23 cases of smallpox among the colored female population, but prompt isolation and vaccination prevented its spread and further development. No other epidemic of illness of any consequence
occurred during the year.
Occupation Therapy has proven of value as an aid in
the treatment of mental disease, and we continued this feature
of treatment throughout the year, and I think we are gradually making some progress. Individual attention to a population as large as the Sanitarium's is a tremendous problem,
and the limited means at our disposal rather limits the scope
of activity in this department. Some increased interest and
attention were given to habit training in chronic cases.
Also during the year we begun the construction of an
additional wood work shop at white male occupation park.
This building is being constructed and equipped with funds
earned in this department. In this connection I will state
that under the direction of Supervisor Roberts of the "White
Male Department over 21,000' pounds of tomatoes were grown
and gathered by patients from about IV2 acres of land.
A general review of the year's medical work with statistical tables will be found in report of Clinical Director.
Dental Department
Two full time dentists are employed to render dental
service for the institution. Each has a well equipped office—
one in the female department doing dental work for the
female population, and one in the male department rendering
dental service for the male population. The amount and
character of work done by them during the year is given
in their report.
Training School for Nurses
Our Training School for Nurses has been in active operation during the past 15 years, and during this period have
graduated 129 nurses, many of them now holding responsible
positions in various parts of the country. During the past
year we received a certificate from the American Psychiatric
Association certifying that our Training School had complied
with the standards established by the Association for school
of nursing in mental hospitals, and had been placed on the
accredited list. This is quite a compliment.
GEORGIA STATE SANITARIUM
21
During the past year the school was kept at its previous
standard, and we regard its usefulness to the institution as
indispensable.
Engineering Department
The report of the Engineer gives a detailed account of
the improvements and repairs during the year.
The new ice plant and cold storage was built and the
old cold storage rooms rebuilt, and new coils built in them.
Before we can say that this plant is completed we hope to
build a tile lined milk and butter room, and to install an
equipment for pastuerizing all milk before issuing.
During the year representatives of the Underwriters
Association made a survey of the institution with reference to
fire hazards and our fire fighting equipment. Their recommendations were adopted with some exceptions and are being
carried out. Our maintenance fund is not adequate to install
the equipment and put into effect all the items they recommended. However, a thousand gallon a minute LaFrance automobile pumper was bought at a cost of $13,000.00 to supplement our steam pump, and this equipment with additional
new hose, etc., gives us the feeling that we are better prepared to fight fire in case of need.
The completion of three officers' cottages from timber
sawed on Sanitarium grounds were items badly needed. They
are the best and most comfortable cottages ever constructed
on the Sanitarium premises Also hope to have the detached
white male infirm ward completed to accommodate about 60
patients within a few days.
Notwithstanding the employment of several extra day
carpenters and other laborers in this department throughout
the year, many needed repairs on many of the buildings had
to remain for future attention. Most of our buildings are
old, and the repair upkeep is necessarily great.
The Business Department
The report of the Steward gives an account of receipts and
disbursements of monies made during the year. The per
capita cost for the year was $234.16 compared to $229.14 the
previous year. Daily cost was 64.15 cents compared to 62.77
cents the previous year.
22
EIGHTY-THIRD ANNUAL REPORT
Total expenditure for maintenance, including every item
of cost connected with hospitalization of patients, $1,119,759.62 compared with $1,052,016.12 the previous year.
A comparative statement of the cash expenditures for
the year and that of the previous year will be found in Exhibit Nos. 7-8 of the Steward's report.
The building of three officers' cottages and a frame building for white male infirm ward to accommodate about 60 patients, the purchase of automobile fire pump, and 322.63
acres of land added several thousand dollars to our total
operating expenses, and while these items are rather capital
investments, they were badly needed, and adds materially to
the Sanitarium equipment.
Farm Steward's Department
The Farm Steward's report gives a tabulation of vegetables and other foodstuffs produced in this department during the year.
The farm and garden productions were increased compared to 'the previous year. The farm at the Colony was the
most successful we have had there. The 150 to 160 colored
male patients kept there are as a rule healthy, and seem to
enjoy the outdoor work.
Fifteen thousand, four hundred and two bushels of corn
was produced compared to 9,776 bushels the previous year.
We should be able to grind nearly enough meal to supply us
the coming year. We also had a good oats and vetch crop.
Threshed out 1,556 bushels of oats, and made 437 tons of
oat and vetch hay. Also gathered 4,423 bushels of field peas.
Killed 70,678 pounds pork compared to 42,366 pounds the
previous year.
The dairy productions also were increased—99,784 gallons milk compared to 80,688 gallons the previous year.
Additional Needed Equipment
1. To provide for 1,241 patients now in the Sanitarium
overcrowding its normal capacity, and to provide room for
future growth at a rate of at least 200 annually, and to increase the efficiency of the medical service by furnishing better
environment and equipment for the unfortunate charges com-
GEORGIA STATE SANITARIUM
23
mitted to our care, a group of five buildings is now badly
needed, viz: one hospital building and four other general
ward buildings. Estimated cost to build and furnish, $950,000.
Georgia's mental disease problem has greatly outgrown
the present capacity- of the Sanitarium, and looking to the
future I think it would be wise to begin immediately the
construction of another state hospital in some other section
of the State, as the above additions would soon prove inadequate at the present rate of growth.
2.
A central heating and power plant.
We now have seven separate boiler rooms, and it requires
seven firemen to keep them going, and an additional seven
at night in very cold weather. Our light and electric power
cost us $16,973.32 for the past year as furnished by the Milledgeville Electric Lighting Co. The present service rendered
by this Company is rather unsatisfactory due to so many interferences with current since they have begun to transmit it
from distant points. If we owned our own power plant in
connection with a central heating station it would be more
satisfactory and more economical than our present equipment.
Estimated cost, $300,000.00.
3. The present amusement hall built more than 40 years
ago has been greatly outgrown by the Sanitarium, and a larger
amusement hall is badly needed to accommodate a greater
number of patients who may be able to attend the various
types of amusement provided there from time to time. This
building should be of fire resistant construction at an estimated cost of $50,000.00.
4. The present capacity of the storehouse is too small to
provide storage for supplies for the increased growth of the
institution. I therefore recommend that an additional story
be added to the storehouse, and a modern electric elevator installed. Estimated cost, $10,000.00.
5. The principal buildings occupied by patients are old
and are three stories high. They are not of fire resistant
construction, and as a safeguard to the unfortunates locked
therein should be provided with fire escapes. Estimated cost
to provide a sufficient number of the approved type, $25,000.00.
24
EIGHTY-THIRD ANNUAL REPORT
6. The daily consumption of water by the institution
is now nearly equal to the daily capacity of the plant. Basin
sedimentation capacity as well as filtration capacity should
be increased. The Sanitarium water supply plant has been
in operation about 20 years, and the population has increased
from 3,018 to 4,848; also a duplicate water main from pumping station to Sanitarium should be provided. The single
main now in use has been in continuous service for 20 years,
and some of the piping of the main is more than 30 years
old, as it was transferred from old water supply when this
main was constructed 20 years ago; therefore, it may likely
break at any time under continuous pressure and service.
Estimated cost for enlarging plant, $20,000.00, and material
for main, $44,000,000. Total, $64,000.00.
7. The present 40,000 gallon water tank on tower at
Sanitarium is beginning to leak. It was built in 1876—more
than 50 years of continuous service. The capacity of this is
too small, and should be replaced with a higher tower and
tank of 150,000 gallon capacity. Estimated cost of tank,
tower and pumping equipment, $14,000.00.
New Legislative Matters
I respectfully call your attention to the following legislative matters that I think important for the welfare of the
Sanitarium.
1. Section 3, pages 163-4, Acts of 1918, should be revised so as to define more clearly its meaning, and eliminating
its pay feature. It should more clearly define the type of
eases that should be committed and admitted to the Sanitarium.
2. The law requiring physicians to stand a competitive
examination for election to medical staff should be repealed,
as this law was enacted years before the State Board of
Medical Examiners was created.
3. A law should be enacted empowering the Superintendent of the Sanitarium to deputize as many police officers as may be required to prevent trespassing, keep peace
and order on the Sanitarium premises.
GEORGIA STATE SANITARIUM
25
Religious Services
Religious services were held each Sunday afternoon by
the regular Chaplain. The same policy obtains as in former
year of rotating this service to the different Protestant pastors of the Milledgeville churches. During the past year the
pastor of the Presbyterian Church was Chaplain, and he
also conducted the funerals of unclaimed remains of white
patients who were interred in the Sanitarium cemetery.
The Catholic priest of Milledgeville also looked after the
religious requirements of the members of the Catholic Church.
Services and burials in the colored department were conducted by our Chaplain in that department.
Conclusion
In conclusion, I wish to express my feeling of gratitude
to the members of the Board of Trustees for their wise counsel, constant interest and co-operation for the welfare of the
institution. I also wish to express my appreciation of the cooperation and faithful services rendered by the Medical Staff,
other officers and employes who share greatly the credit for
the success of carrying on the work throughout the year.
I also wish to thank the Womens' Clubs, Knights of Columbus, and others who were so thoughtful with gifts to patients during Xmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
26
EIGHTY-THIRD ANNUAL REPORT
Report of Medical Department
JANUARY
DR.
R. C.
1, 1927.
SWINT,
Superintendent.
DEAR SIR:
The following pages contain the report, of the Medical
Department for the year 1926:
Eleven hundred and eighty (1,180) patients were admitted during the year. Of these 954 were first admissions and
226 were re-admissions. Of the latter 43 were first admitted
to other institutions either public or private.
In the case of twelve (12) patients a diagnosis of not
insane was made. Four (4) of these gave a history of alcoholism, two (2) were mentally deficient, five (5) were drug
addicts and one (1) had committed homicide. It must be borne
in mind that in some instances it is almost impossible to obtain information about patients, but this source of error has
been eliminated as far as possible.
Eight hundred and nineteen (819) patients went out on
furlough. Of this number 613 had been either restored or
had improved. This gives a recovery rate of 51.1 per cent,
as against 57 per cent, for the year 1925. The patients received in 1926 were of about the same general character as
those received in 1925.
There were 432 deaths during the year, which gives a
death rate of 7.4% as against 7% for the previous year. Arteriosclerosis with complications (hemorrhage) was the leading cause. Tuberculosis, general paralysis and broncho pneumonia were the other leading causes in the order named. One
hundred and sixty-six (166) patients died within six months
after admission and of these fifty-five (55) died within one
month after admission. This serves to show the physical condition of many of the patients at the time of admission. One
patient admitted had malaria and died from this cause two
days after he came. The actual number of deaths from tuberculosis was 40% higher than it was in 1925. The increase
GEORGIA STATE SANITARIUM
27
in actual number of deaths consisted of four in the white department and twenty-two in the colored.
The wards are becoming more and more overcrowded.
This is unhygienic, dangerous and interferes with treatment.
The overcrowding for each department is as follows: White
male, 187o (this will be less when the new frame building
is occupied) ; white female, 32% ; colored male, 37% ; colored
female, 70%. In the later department single rooms to the
number of 100 are occupied by two patients. Such rooms are
scarcely large enough for one. It seems rather remarkable
that more patients are not injured by other patients under
the circumstances. The death rate from tuberculosis is mounting, as is to be expected. This is especially true in the colored department, where the over-crowding is most marked.
We have 1,200 patients above our capacity.
Somewhat more attention has been paid to habit training
and the results have been quite satisfactory. As a result there
has been increased tidiness among the patients and the work
is of considerable economic importance. The efforts in this
line have been carried on almost altogether among the cases
of demeitia praecox of long standing. We have good reasons
to continue and increase the work along these lines.
In the latter part of the year some preliminary efforts
were made in treating paresis by the administration of foreign proteids. The results up to this time have been unsatisfactory. Typhoid vaccine has been used, being given intravenously, doses varying from 50 million up to 16 billion
have been given, but the reactions have been quite variable
and we have not yet determined any uniformity of dosage.
Fleischman Company furnished 200 pounds of yeast,
which was used during the year in treating pellagra. A more
detailed report of the results of its use is expected to be
made at another time and place. The results have tended
to confirm the observation made last year as to its value.
Drs. Goldberger and Wheeler have continued their work
with pellagra and have lent their assistance whenever requested.
Attention is called to the report of the pathologist. The
mere fact that 8,455 examinations were made in the laboratory does not convey an accurate idea of the time and work
required. The collection of specimens alone is time consuming, since the wards are so widely separated. It will be seen
28
EIGHTY-THIRD ANNUAL REPORT
also that there has been great variety in the character of the
work. It will be seen from the report that the Wassermann
test was positive in 10.9 per cent, of the newly admitted cases,
as against 13.8 per cent, for the ten-year period. The incidence of positive spinal fluids for the year was 7.1 per cent.,
as against 6.3 per cent, for the ten-year period. Co-operation
of the pathologist and his assistants has been ideal and the
aid given by them in the general medical work of the institution has been invaluable.
The weekly clinic held in Macon is now in its eighth
year. During the year of 1926, 130 new patients visited this
clinic. The number of visits totaled 430. This includes 30
visits made to patients who were not able to reach headquarters. The City of Macon furnishes a part time nurse who is
of much assistance. This nurse made 54 visits to patients
in their homes. Very satisfactory quarters are now furnished
at the City Hospital and the amount and character of the
work done has more than fulfilled our expectations. Children
make up a considerable proportion of the patients seen. It
might be added that the knowledge of the clinic has gradually
spread—largely through patients—and many come from the
surrounding towns and counties.
Clinics for school children have continued to be held at
Elberton with satisfactory results. There is one other feature
of this work that has been stressed before and that is, it gives
the physician an opportunity to see mental diseases in the
making, so to speak.
The training school for nurses has continued to function
as in former years and has fulfilled its place of usefulness in
the institution.
I wish to thank you and the Board for the generous additions to the medical equipment and for the encouragement
given.
I am glad to acknowledge an indebtedness to the medical
service as a whole for the efforts made to improved the condition of patients.
Respectfully,
N. P. WALKER,
Clinical Director.
29
GEORGIA STATE SANITARIUM
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1926
White
Psychosis.
Traumatic
Senile
With cerebral artcrio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatie disease
Manic depressive
Dementia praccox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
Colored
M.
P.
M.
P. Total
2
18
4
23
2
1
0'
8
15
15
7
7
74
42
1
20
1
0
28
10
1
2
2
0
6
0
8
14
2
126
80
1
2S
4
0
7
19
31
2
0
0
2
2
0
4
0
40
33
0
29
0
0
6
17
11
4
0
0
1
0
1
11
4
71
68
0
14
0
6
37
34
2
1
0
0
2
22
28
1
0
5
0
0
17
23
0
1
0
0
0
6
32
0
0
0
2
117
3
2
5
2
360
362
210
248
1180
2
54
90
66
10
3
0
17
17
24
36
113
311
223
2
EIGHTY-THIRD ANNUAL REPORT
30
TABLE II
Diagnostic Grouping of First Admissions During the Year 1926
Psychosis.
M.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
Colored
White
F,
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
0
21
9
1
2
M.
F. Total
0
4
0
6
10
2
79
54
0
22
3
0
7
1«
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
2
49
84
64
10
3
0
13
14
14
31
12
220
168
1
77
4
4
34
31
2
0
0
0
1
15
22
1
0
2
0
0
17
21
0
1
0
0
0
6
29
0
0
0
2
5
72
103
3
1
2
2
285
256
191
222
954
2!
GEORGIA STATE SANITARIUM
31
TABLE III
Diagnostic Grouping of Re-admissions During the Year 1926
Colored
White
Psychosis.
Traumatic
Senile ■
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
teriority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug addict, no psychosis
Total
M.
M.
F. Total
0
3
4
2
0
0
0
1
2
8
1
1
26
IS
0
3
0
0
2
1
0
0
0
0
2
0
2
4
0
47
26
1
3
1
0
0
0
0
0
0
0
0
0
0
0
0
10
11
0
2
0
0
5
6
2
0
0
0
4
3
10
5
1
91
55
1
11
1
2
3
3
0
1
0
1
7
6
0
0
3
0
0
3
0
0
0
3
10
14
0
1
3
75
106
2<;
226
19
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1926
WHITE
Psychosis.
Male
R I
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
,
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid cond.
With epilepsy
Psyehoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Criminal, no psychosis
Encephalitis, no psychosis
Constitutional psychopathic inferiority
Drug addict, no psychosis
Mental deficiency, no psychosis
Total
U S R I
4
11 2
i
6
2
37
0
0
0
0
11
6
0
0
0
0
0
0
0
Eemale
0
0
0
1
1
1
4
2
58
25
1
6
2
<;
18
21
0
0
0
0
0
0
0
U49 86
0
0
Male
U S
1
1
0
0
0
12
11
COLORED
3
0
0
o!
0
0
0
0
0
0; 0
6 1
2 3
0
64
39
0 0
0| 6
2! 1
3 0
1 10
5 18
0; 0
R I
U S R I
0
0
0
0
0
0
0
2
0
0
7
0
0
0
0
18
19
0
11
2
0
3
11
0
0
0
0
0
0
0
1
2
0
0
0
2
0
0
0
25
10
0
2
0
0
6
4
0
0
0
0
0
0
0
5 78146 73
6
Female
4 52 24
U S Total
0
0
0
0
0
0
0
0
0
0
4
1
20 17
3 30
0 0
1 32 64 10
2
7
16
10
6
2
0
8
15
21
21
8
306
158
2
36
10
18
71
94
1
819
H
O
X
H
«!
X
53
d
>
>
M
*d
O
W
H
GEORGIA STATE SANITARIUM
33
TABLE V
Causes of Deaths of Patients Who Died During the Year 1926.
Anaemia, pernicious
Abscess of lung
Arterio-sclerosis
Burn, accidental
Brain tumor
Brain, concussion of
Cancer, pancreas
Cancer, uterus
Cancer, stomach
Cancer, breast
Diphtheria
Dysentery, bacilliary
Dysentery, amebic
Encephalitis
Enteritis, acute
Enteritis, chronic
Epilepsy
Erysipelas
Exhaustion, acute mental disease.Gangrene of lung
Gastritis
Gangrene, intestines (Thrombosis).
General paralysis of the insane
Goiter, exopthalmic
Heart, acute dilatation
Heart, valvular disease
Hemorrhage, cerebral
Influenza
Intestinal obstruction
Meningitis, pneumococcus
Meningitis, not specified
Myocarditis, chronic
Malaria
Nephritis, chronic interstitial
Nephritis, acute
Pellagra
Pneumonia, broncho
Pneumonia, lobar
Pneumonia, not specified
Pulmonary congestion
Suicide by hanging
Surgical shock
Syphilis, cerebral
Strangulation by food
Septicemia
Tuberculosis, pulmonary
Tuberculosis, of spine
Tubercular peritonitis
Unknown
Total-
White
Colored
M
M
0
0
23
0
0
0
1
0
0
0
0
0
0
2
4
1
7
0
2
0
1
1
10
0
1
0
1
26
0
1
1
0
0
0
0
1
1
6
0
6
13
5
0
2
1
1
0
1
1
7
0
0
3
0
0'
12
1
0
0
0
3
1
1
0
1
0
2
2
1
4
1
2
0
0
0
3
1
1
2
6
1
2
0
0
0
0
1
1
7
13
6
2
0
2
1
0
0
0
9
0
0
0
112
89
1
0
0
0
0
Total
1
0
8
1
2
1
0
0
36
0
0
1
9
0
2
1
0
2
0
1
0
3
4
5
1
0
0
0
0
0
1
25
0
1
0
1
0
5
0
0
0
0
1
1
1
0
0
0
0
2
0
6
0
3
0
0
0
10
0
0
0
7
0
0
0
1
7
0
3
0
10
6
4
0
0
0
0
2
0
0
19
1
2
3
1
1
66
1
1
1
1
4
2
2
1
1
1
4
9
2
25
2
9
1
1
1
59
1
2
136
95
432
0
1
0
9
27
2
4
1
1
9
1
11
1
26
36
20
03
2
3
2
2
1
2
60
1
3
6
EIGHTY-THIRD ANNUAL REPORT
34
TABLE VI
Admissions From the Various Counties During the Year 1926.
Appling
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dawson
Decatur
DeKalb
Dodge
White
Colored
M
M
0
1
0
2
4
0
3
3
0
8
0
3
1
1
2
2
0
2
1
2
1
10
2
2
14
3
3
2
0
2
0
3
3
1
0
2
4
3
4
1
4
9
3
F
0
0
1
6
1
1
4
6
2
11
1
0
2
0
1
0
1
0
0
0
2
7
1
1
19
3
3
2
0
3
0
6
0
3
2
0
1
1
3
1
0
6
3
1
0
1
3
0
1
1
0
1
10
0
0
3
0
4
6
2
0
1
3
1
0
0
0
23
0
0
2
2
1
1
1
0
1
0
0
2
3
2
0
0
0
1
F
0
0
0
4
0
0
0
2
0
10
1
1
1
0
1
3
3
1
0
0
2
0
1
0
27
0
1
4
0
0
1
2
3
1
3
3
7
3
1
0
1
2
3
Total
1
1
2
15
5
2
8
11
3
39
2
4
7
1
8
11
6
3
2
5
6
17
4
3
83
6
7
10
2
6
2
12
6
6
5
5
14
10
10
2
5
17
10
GEORGIA STATE SANITARIUM
35
Admissions From the Various Counties During the Year 1926.
(Continued.)
Dooly
Dougherty
Douglas _.
Early
Effingham
Elbert
Emanuel _.
Tannin
Fayette ...
Floyd
Forsyth __
Franklin ..
Fulton
Gilmer
Glascock _.
Glynn
Gordon ...
Grady
Greene
Gwinnett _
Habersham
Hall
Hancock .
Haralson .
Harris
Hart
Heard
Henry
Houston __
Irwin
Jackson ._
Jasper
Jeff Davis
Jefferson _
Jenkins ...
Johnson _.
Jones
Lamar ...
Lanier
Laurens -.
Lee
Liberty ___
Lincoln ...
White
Colored
M
M
3
0
2
5
0
6
2
3
1
8
2
4
37
1
1
1
2
1
0
6
1
2
1
7
1
0
2
1
0
0
5
2
1
3
2
2
2
1
0
4
0
0
1
1
2
1
0
1
0
3
1
1
9
1
2
35
2
0
1
1
2
3
4
4
10
1
1
2
2
2
2
2
0
6
2
0
1
0
5
0
1
1
6
1
0
4
2
1
0
1
2
0
1
0
1
4
0
0
16
0
0
1
0
8
0
0
0
0
5
0
2
0
1
0
4
1
0
0
0
1
1
1
0
0
1
0
1
2
2
F Total
4
3
1
1
0
2
1
0
0
1
0
0
23
0
0
0
0
1
2
0
0
1
3
0
1
0
0
0
1
0
1
0'
0
3
4
3
1
0
0
0
1
1
0
10
6
4
9
3
8
7
4
3
22
3
6
111
3
1
3
3
7
5
10
5
13
10
8
6
2
5
3
7
1
12
4
1
8
7
11
3
2
2
10
3
3
7
36
EIGHTY-THIRD ANNUAL REPORT
Admissions From the Various Counties During the Year 1926.
(Continued.)
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether _
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee ___
McDuffie
Mclntosh ...
Newton
Oconee
Oglethorpe .
Paulding _„_
Piekens
Pierce
Pike
Peach
Polk
Pulaski
Putnam
Randolph __
Richmond __
Rockdale ___
Schley
Screven
Seminole __.
Spalding .__
Stephens ___
Stewart __._
Sumter
Talbot
Taliaferro ..
Tattnall _...
Taylor
Telfair .....
Terrell
Thomas ....
White
Colored
M
M
3
1
0
3
1
6
3
2
1
0
2
2
1
5
1
0
2
0
1
2
1
1
4
0
3
1
3
1
S
2
1
2
2
3
2
5
1
0
0
3
1
3
0
3
F
2
0
2
3
0
7
0
1
1
1
1
2
0
10
1
0
4
3
0
6
1
1
3
2
2
0
1
2
11
2
1
4
1
5
0
1
2
1
2
2
3
1
1
2
6
0
2
1
0
1
1
0
0
1
1
1
0
4
0
1
2
0
4
0
0
1
1
5
0
2
4
0
21
0
0
2
0
1
1
0
6
0
3
1
0
4
0
0
F
4
0
2
0
0
2
1
0
2
2
2
2
0
5
2
0
4
1
1
0
0
1
0
0
2
0
4
4
4
0
0
4
0
3
0
1
2
0
2
1
0
1
5
4
Total
15
1
6
7
1
16
5
3
6
4
6
7
1
24
4
1
12
4
6
8
2
4
8
7
7
3
12
7
22
4
2
12
3
12
3
7
11
1
7
7
4
9
6
9
GEORGIA STATE SANITARIUM
37
Admissions From the Various Counties During the Year 1926.
(Continued)
Tift
..
Toombs
Towns Treutlen _ _ __ .
Troup _ _
Turner ____
Twiggs
Union
Upson _
Walker
Walton
Ware
Warren
.____.
Washington
___
Wayne
Webster
Wheeler
White .
Whitfleld
_
Wilcox
Wilks
Wilkinson
Worth
Total
_
.
White
Colored
M
M
P
P
Total
1
2
1
2
5
4
1
1
2
5
1
4
1
2
2
1
0
1
1
2
2
1
1
2
1
0
0
3
2
2
1
2
3
2
0
2
3
0
1
1
1
4
3
1
3
1
1
0
0
0
2
1
0
0
2
0
3
1
1
0
0
0
3
0
1
1
1
1
1
3
0
0
0
4
1
2
0
1
1
0
3
2
2
0
1
0
0
1
1
3
2
2
7
3
1
14
8
5
2
7
9
6
8
6
7
2
3
4
2
7
7
7
7
5
360
362
210
248
1180
2i
38
EIGHTY-THIRD ANNUAL REPORT
TABLE VII
Nativity of All Patients Admitted During the Year 1926.
White
Colored
M
F
M
F
8
0
0
1
321
1
0
0
1
1
2
0
0
1
20
1
2
1
1
1
1
0
0
2
200
0
0
0
0
1
0
0
0
0
3
0
0
1
0
0
3
25
1
0
1
1
8
3
229 1065
1
0
1
0
1
0
1
0
4
0
2
10
1
0
1
1
1
0
R
42
0
1
0 !
5
0 !
5
0
1
1 i
5
362
210
?48 ! 11 SO
Alabama
13
Austria
____.
_______
1
California ___ ______
0
Florida _ __
2
Georgia _ _
__ ____
___ 315
Indian Territory _ __ _
0
Indiana
__
1
Kentucky _____
_ _
_ _
1
Missouri
_
0
New York __
2
North Carolina . ____
6
Oklahoma
_ __ _
1
Ohio ...
0
Eussia _____
0
South Carolina
__ _
11
Syria _
0
Tennessee ___ _____
3
Virginia
__
_ __ __
3
West Virginia
_ _
0
Not given
__ _
1
Total
__
_
360
Total
1
39
GEORGIA STATE SANITARIUM
TABLE VIII
Classified Occupation of Patients Admitted During Year 1926.
Agricultural Pursuits:
Farmers
Farm Demonstrator
Nurseryman
Dairyman
Professional Service:
Dentist
Druggist
Lawyer
Physician
School teacher
Trained nurse
Domestic and Personal Service:
Beauty parlor operator
Barber
Boot Black
Chauffeur
Collector
Decorator
Delivery Boy
Fireman
Housekeeper
Janitor
Laborers
Laundress
Linotype operator
Milliner
Newsboy
Photographer
Pullman porter
Porter
Policeman
Reporter
Seamstress
Servants
Shoe repairer
Upholsterer
Watchman
Waitress
Waiter
X-Ray operator
Trade and Transportation:
Clerk
Cashier
Candy packer
Contractor
Express agent
Draftsman
White
Colored
M
M
F Total
F
146
1
1
1
9
0
0
0
58
0
0
0
14
0
0
0
227
1
1
1
1
1
4
5
1
0
0
0
0
0
3
3
0
0
0
0
0
0
0
0
0
0
2
0
1
1
4
5
6
3
1
0
0
2
0
0
1
0
1
0
2
0
0
0
0
0
0 230
0 '0
0
20
0
0
1
0
1
0
1
0
1
0
0
0
0
0
0
2
1
0
0
2
1
0
0
1
1
0
0
1
1
0
0
1
1
3
0
0
1
1
0
4
85
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
S2
0
1
11
0
0
0
1
2
0
0
2
1
1
0
0
0
0
0
0
1
3
1
4
1
2
1
1
312
4
142
18
1
1
1
1
1
2
2
1
2
29
1
1
1
2
1
1
0
0
0
0
0
0
0
0
0
0
0
0
13
1
1
0
1
2
37
18
0
0
0
0
0
0
0
0
0
28
0
0
0
1
40
EIGHTY-THIRD ANNUAL REPORT
Classified Occupation of Patients Admitted During Year 1926.
(Continued.)
Mattress tacker
Merchant
Moulder
Post Office clerk
Printer
Railroad agent
Railroad employes
Real estate agent
Salesman
Saleslady
Shipping clerk
Special railroad agent
Stenographer
Street car conductor
Telegraph operator
Telephone operator
Truck driver
Tailor
Manufacturing and Mechanical Pur
suits
Blacksmith
Brickmason
Carpenter
Harness maker
Painter
Plumber
Mechanic
Food and Its Kindred Products:
Baker
Cook
Textiles:
Cotton mill operators
Cotton grader
Lumber and Its Manufacturers:
Cabinet worker
Miscellaneous:
Basket maker
Convict
Market keeper
Peddler
Pauper
Stone mason
Student
Tire chopper
None
Unascertained
Total
White
Colored
M
M
Total
0
9
1
1
3
0
5
2
15
0
0
1
1
1
3
1
2
0
1
12
2
1
3
0
5
2
IS
1
0
1
2
1
4
1
3
2
1
0
11
1
3
2
6
0
0
0
0
0
0
0
1
1
16
1
3
2
6
1
0
0
21
1
22
9
2
0
0
18
2
0
0
0
1
0
0
2
0
64
1
0
0
0
0
0
0
3
0
86
4
1
1
1
0
1
1
1
1
31
2
0
0
0
0
0
0
5
0
36
3
21
10
360
362
210
248
1180
mm
41
GEORGIA STATE SANITARIUM
TABLE IX
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
White Male Population.
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis __
General parlysis of insane.With cerebral syphilis
With Huntingdon's chorea—
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condidition
With epilepsy
Psychoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Total.
UnOver ascer70 70 tained Total
Under
20
2
0
0
0
0
0
0
0
0
0
2
0
0 0
0 0
0
0
0
0
0
6
0
0
3
0
0
0
0
0
0
0
0
2
IB
40
21
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
13
7
6
6
48
27
0
0
0
0
0
0
1
17
1
0
0
0
0
0
0
0
4
34
31
2
23
0
2«5
1
0 0
6 2
1 0
2
16
2
0
31
0
9
112'
0
0
0
0
1
71 46 10 12 32
42
EIGHTY-THIRD ANNUAL REPORT
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
Cerebral artesiosclerosis
General paralysis of insane.
With cerebral syphilis
With Huntington's chorea.._
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses.
With constitutional psychopathic inferiorty ...
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis.
Total
Un- I
Under 21 31 41 51 51 Over ascer-l
20 80 40 50 60 70 70 tained Total
0
0
0
0
0'
0
0
0
0
0
0
0
1
0
0
0
1
1
1
0
0
0
1
2
0
0
0
0
0
8
5
0
0
0
0
0
12
1
0
0
0
0
0
0
0
0
0
0
0
0
21
9
1
2
2
0
0>
0
0
0
1
3
2
3
0
3
4
0
22
22
1 0
0 0
1 1
5 1
1 0
19 25
13 11
0
0
1
0
0
8
6
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
6
10
2
79
54
0
9
0
0 0 0 0 0
5 5 2 1 0
2 1 0 0 0
0
0
0
0
0
0
0
22
3
1
3
1
0
0
0
7
4
0
1
Oj 0
0
0
0
0
0
0
0
0
0
0
1
15
22
1
2
74 57 51 25 16
13
0
256
20
0
0
0
0
1
1
0
0
1
7
1
0
0
2
5
0
1
0
2
4
0
0
0
1
0
43
GEORGIA STATE SANITARIUM
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Un- 1
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis __.
General paralysis of insane
With cerebral syphilis
With Huntington's chorea..
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses.
With constitutional psychopathic inferiority ...
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis...
Total
Over ascer70 tained Total
Under
20
0
0
0
1
0
0>
0
0
0
0
0
0
0 0 10
0 1
0
9
0
0 0
5 2
0 0
0 0
1 1
Oi 0
0
12i
2
0
0
33
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
32
30
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
17
21
0
1
1
0
0
50 35 33 20 13
0
7
18
31
2
0
0
0
0
5
0
0
0
0
1
0
0
0
1
1
191
44
EIGHTY-THIRD ANNUAL REPORT
Ages of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
Senile
With cerebral ateriosclerosis
General paralysis of insane.
With cerebral syphilis
With Huntington's chorea...
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psyehoneuroses or neuroses.
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified __
Not insane
Mental deficiency, no psychosis
TotaL
UnOver ascer
70 tained Total
Under
20
0
0
0
2
0
0
0
0 0
0 0
0
0
1
2
0
15
1
10
0 0
0!
4
2
17
1719
0
3
0
o| 0
a 2
I
I
0
0
1
II 1
0 0
0 0
G 2
0 0
0
1
3
0
30
0
0
0
2
1
0 0
0 0
57
0
0
0
0
0
0
0
0
6
17
11
4
0
0
0
0
0
0
0
0
0
1
0
1
11
4
61
57
0
0
0
0
12
0
0
0
0
0
0
6
29
0
222
45
GEORGIA STATE SANITARIUM
TABLE X
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Male Population.
MALE
T3
Psychosis.
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insaneCerebral syphilis
Huntington's chorea
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
Due to pellagra
With somatic disease
Manic depressive
Dementia praecox
--Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses—
With
constitutional
pschopathic inferiority
With mental deficiency
Unclassified
Not insane
Total
TO o
o 2
c
c
g£
x
■SOQ
2
15
0 40
1 21
2
0
1
0
0
0'
1
1
4
0
0
0
0
2
3
0
0
0
0
7
19
1
1
1
1
3
12
13
0
0
0
0
0
0
0
0
1
0
0
0
2
0
3
0
5
5
1
4
19
15
0
0
2
2
0
0
4
5
1
1
0
2
1
3
1
3
0
2
0
2
1
19
3
0
5
0
0
0
0
0
6
0
0
4
1
0
24
1
0
0
0
0
0
1 44
8 I 85 107
1
4
1
0
1
1
1
2
0
0
3
0
0
0'
7
0
13
7
6
6
48
27
1
2
0
0
0
0
0
0
0
1
17
1
0
0
3
0
0
0
0
0
1
1
4
34
31
2
25
12
0
2
0
0
0
1
0
0
0
0
0
1
0
46
EIGHTY-THIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
T3
Psychosis.
© O
S.g
©
Traumatic
Senile
Cerebral arteriosclerosis .""
General paralysis of insane __
Cerebral syphilis
Huntington's chorea
"
With brain and nervous dis
ease
With brain tumor" .1..
Due to alcohol
" ""
Due to drugs
With pellagra
"_~
"
With somatic disease _
Manic depressive
Dementia praecox _""""" "_ '
Paranoia or paranoid condition
With epilepsy
"""_
Psychoneuroses or neuroses"
With
constitutional
pschopathic inferiority
With mental deficiency.
Unclassified
Not insane
""""
Drug addict, not" insane"!"
TotaL
0
5
3
0
1
1
0
2
0
0
0
0
5
3
0
0
0
0
0
0
0
0
0
0
0
o
o
3
0
0
4
5
1
47
32
0
0
0
0
3
3
1
1
0
5
0
0
0
0
0
7
0
in
0
11
2
0
0
0
0
0
0
0
1
6
0
0
1
8
13
1
1
35
1
0
n
o
0
0
0
0
0
0
l
3
1
16
9
1
4
w
0
5
3
0
1
0
1
1
o
o
3
0
0
54 113
0
0
1
0
1
22"
1
0
0
0
0
0
21
9
1
2
0
0
3
2
0
0
0
0
0
0
0
0
79
'54
0
0
0
0
0
0
0
22
3
0
0
0
0
0
0
0
0
0
0
1
15
22
1
2
1
0
0
4
0
0
6
10
2
25fi
47
GEORGIA STATE SANITARIUM
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
Psychosis.
o
o
°2
<5
"Si «
a
o
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With
constitutional
pscho
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Total
0
0
6
12
0
0
0
7
18
31
2
0
0
1
0
1
o
91
I
0
1
0
17
14
0
4
0
32
30
0
8
0
0
26
0
0
2
4
0
0
0
17
21
0
1
65
12
1C 191
48
EIGHTY-THIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
Psychosis.
§
•a *<
1
cafe:
yen
CO r*
3
Traumatic
0
Senile
6
Cerebral arteriosclerosis
9
General paralysis of insane
3
With cerebral syphilis
1
With Huntington's chorea
0
With brain and nervous dis
ease
0
With brain tumor
0
Due to alcohol
0
Due to drugs
0
With pellagra
3
With somatic disease
1
Manic depressive
;
11
Dementia praecox
9
Paranoia or paranoid condition
0
With epilepsy
7
Psychoneuroses or neuroses
0
With
constitutional
pschopathic inferiority
0
With mental deficiency
4
Unclassified
9
Not insane
~_ 0
Mental deficiency, no phychosis 2
Total
65
o
0
0
4
4
2
0
0
0
2
2
1
0
0
2
2
0
0
1
0
0
0
4
1
30
32
0
0
0
0
1
2
IS
0
0
0
0
2
0
1
0
6
17
11
4
0
2
1
0
0
1
11
4
61
57
0
3
0
0
0
0
0
12
0
0
2
10
0
0
0
0
2
0
0
0
6
29
0
2
93
11 222
49
GEORGIA STATE SANITARIUM
TABLE XI
Environment of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
White Population.
FEMALES
MALES
Psychosis.
O
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insaneCerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses—
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis
Total
68 197
2
15
40
21
2
1
0
7
13
7
6
6
48
27
0
21
9
1
2
2
0
4
0
6
10
2
79
54
1
17
1
0
22
3
4
34
31
2
0
1
15
22
1
2
285 100 1S6
256
50
EIGHTY-THIRD ANNUAL REPORT
Environment of First Admissions During Year 1926.
Classified With Reference to Principal Psychoses.
Colored Population.
MALE
a
a?
>
Psychosis.
a
a "3
u
.a
t-,
a
&
Traumatic
0 0
Senile
2
5
Cerebral arteriosclerosis
6 12
General paralysis of insane... 17 14
Cerebral syphilis _ __
1
1
Huntington's chorea
0
0
With brain tumor .
0
0
Brain and nervous disease
1
0
Due to alcohol ...
0
1
Due to drugs
. _
0
0
With pellagra
2
2
With somatic disease
0
0
Manic depressive _
9 23
Dementia praecox .
14 14
Paranoia or paranoid condition 0
0
With epilepsy _.
6 20
Psychoneuroses or neuroses... 0
0
With constitutional psycho
pathetic inferiority .
0
0
With mental deficiency
4 13
Unclassified _.
7 13
Alcoholism, no psychosis .
1
0
Mental deficiency, no psychosis 0
0
Total
FEMALE
70 118
3
o
a
>
3
o
"3H
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
0
0
0
0
0
6
29
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
3
7
2
2
0
0
1
0
0
5
1
26
23
0
1
0
M
0
3
8
8
2
0
0
0
0
1
6
3
35
34
0
11
0
0
0
1
0
0
0
17
21
1
0
0
2
14
0
1
0
4
15
0
1
EH
3 191
3
a
03
,a
88 131
o
"3
©
&H
3 222
51
GEORGIA STATE SANITARIUM
TABLE XII
Economic Conditions of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
White Population.
FEMALE
MALE
Psychosis.
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane.With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With episelpsy
Psychoeuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict, no psychosis
Total
L 4 148 126
Oi
0
0
0
2 -0
40 29
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0
22
3
1
15
22
1
2
7 285
5124125
2256
EIGHTY-THIRD ANNUAL REPORT
52
Economic Condition of First Admissions During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Population.
MALE
FEMALE
-o
a>
T3
C1
U
Psychosis.
o
"3
in
so —
o &
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane__
With cerebral syphilis
With Huntington's chorea __
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Mental deficiency, no psychosis.
Total
a
73
o
a>
M
o
n 0
2 5
5 13
12 19
0 1
0 0
0 0
0 1
1 0
0 0
3 1
0 0
24 7
21 7
0 0
14 11
0 0
0
0
0
0
0
0
0 0
2 15
9 11
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 93 91
03
03
hi
03
a
P
0
0
0
0
1
0
0
0
0
0
0
0
1
2
0
1
0
-t-3
S3
a
<*>
a
T3
«, s
n
o
e o S
Q
o
0'
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0 0
0 17
1 21
0 0
1 1
0 0
a
o
0
0
o
0
0
0
0
0
0
0
0
2
0
0
0
a
a>
o3
a
&
0 0 0 0
1 5 0 6
10 7 0 17
5 6 0 11
2 2 0 4
0 0! 0 0
0 0 0 0
0 l! 0 1
0 oj 0| 0
1 0 0 1
6 3 2' 11
1 3 0 4
41 19, 1 61
36 19, 0 57
0 0 0 0
3 9 0 12
0 0 0 0
0 0 0
0 1 5
0 12 15
0 0 0
0 0 0
0 1 1
7 191 I 2 120 95
0 0
0 6
2 29
0 0
0 0
0 2
5
TABLE XIII
MALES
Civil Condition of First Admissions During the Year 1926.
Classified With Reference to Principal Psychoses.
White Population.
Psychoses.
Traumatic
_______________
______________
Senile
___._______„_______
_
Cerebral arteriosclerosis
________________
General parlysis of insane -___________
With cerebral syphilis
_ _
_ _ _ _
With Huntington's chorea
- _ __ _
With brain tumor _
With brain and nervous disease. _
_________
Due to alcohol
______
____
Due to drugs
_
_____
______
With pellagra
_
_____
With somatic disease _
Manic depressive _
_
Dementia praecox __
Paranoia or paranoid condition _ _
With epilepsy
_
_____
_
_
_ _
_
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency _
_.____..__
Unclassified _
_ __
Not insane _
_
___
__ __ _
Drug addict, no psychosis
_ __ _ __
Total
T3
03
a
__
•a
<_>
o
S3
FEMALES
T3
T3
u
O
5
_>
+_
03
_4
03
_.
_>
GO
0
8
25
18
0
0
0
4
11
6
5
4
21
5
0
5
0
1
4
16
2
0
0
5
13
0
0
0
0
0
0
0
1
0
1
0
1
1
0
0
1
2
0
0
0
0
0
0
0
0
0
1
0
0
0
0
2
1
0
0
1
0
0
1
0
0
1
1
0
0
1
0
0
1
1
1
0
2
1
2
0
1
0
0
0
1
0
0
105 135
25
6
13
1
1
2
Q
0
1
1
0
1
1
0
5
0
22
19
0
10
0
3
29
11
0
0
s_-0
T3
03 03
°E
u
a> <_■
O fl
&
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
"3
+_
o
■__
a
EH
33
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
4
34
31
2
0
0
5
2
0
1
2
0
1
0
1
0
0
15
16
0
13
0
1
12
3
0
2
1 285
03
73
o
-a
<_>
(_>
n
o
>
5
■a
O)
03
t-t
03
&
<_>
(_-0
<_>
a
W _-"
03 033
a-*-
GO
03
•+_
o
H
©
0
£'
0
6
1
1
0
0
0
2
0
3
10
2
54
30
0
7
2
0
3
14
0
0
0
10
5
0
0
0
0
1
0
1
0
0
9
3
0
1
0
0
0
3
1
0
0
0
1
0
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
4
0
1
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72 137
34
4
9
0 256
21
9
1
?,
?,
0
4
0
6
10
9,
79
54
0
22
3
1
15
n
1
9
M
O
Pi
_o
► _.
H
w
>
►
23
FEMALES
MALES
Civil Condition of First Admissions During the Year 1926.
Classified With Reference to Principal Psychoses.
Colored Population.
a
Psychoses.
Ul
DQ
VI «*2
IB 03
a-*
P
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
17
21
0
1
0
Traumatic
Senile
With arteriosclerosis
General parlysis of insane
Cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiorityWith mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Mental deficiency, no psychosis
Total.
fc.T3
u H
o a
ca is
90
62
14
0
23
2 191 I 58
37
3
o
0
0
1
2
1
0
0
1
0
0
2
1
8
13
0
3
0
0
2
3
0
0
0
0
0
0
6
0 17
1 11
4
0
0
0
0
0
1
0
0
0
1
0
0 11
4
0
0 61
0 57
0
0
0 12
0
0
0
0
6
0
0 29
0
0
0
0
2
0
37
1 222
H
(—I
O
X
H
K|
H
X
a
>
y,
a
>1
cto
H
O
55
GEORGIA STATE SANITARIUM
TABLE XIV
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
White Male Population.
MALE
Psychosis.
a
*?
Traumatic
Senile
Cerebral arterio-sclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition___
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
1
5
0
0
0
0
0
0
1
0
1
1
0
1
0
0
2
0
0
3
0
0
3
1
0
0
0
0
0
0
2
1
3
0
18
22
12
0
0
0
2
0
0
5
1
14
0
3
0
11
0
a
0
3
1
0
10 11 12 19 21 35
14
0
1
6
6
0
112
EIGHTY-THIRD ANNUAL REPORT
56
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
Psychosis.
§
S
Traumatic
Senile
With cerebral arteriosclerosis—
General parlysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
.
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
4
0
1
4
0
2
3
0
0 0
0 13
0 10
0 3
0 1
0 0
0 0
0 1
0 0
0 1
0 7
0 1
2 15
C
G
1
3
0
0
0
0
0
0
1
0
7
3
0
2
0
5 14 19 13
1 14
0
10
0
0
0
0
0
0
0
0
0
1
0
1
1
11
0
18
89
57
GEORGIA STATE SANITARIUM
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition,..
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
4
9
0
0
0
a
o
0
1
0
0!
0
4
2
0
1
0
1
0
0
5
6!
2
2'
Oj
0
2
6
0
0
0
0
Oj
0
0
1
0!
01
0
0!
1
0
1
0
0
0
0
0
0
0
0
19
36
4
0
0
0
1
0
3
1
10
10
0
14
0
1
11
17
0
6 28 20 22 25 18
1136
EIGHTY-THIRD ANNUAL REPORT
.58
Ages of Patients at Time of Death During Year 1926.
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
Psychosis.
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition...
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
3
1
0
0
0
0
0
3
1
4
10
0
1
0
0
1
4
0
21 28 1G 10
0
3
11
10
1
0
0
0
0
0
10
1
11
22
0
6
0
0
6
14
0
95
59
GEORGIA STATE SANITARIUM
TABLE XV
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
White Male Population
MALE
A
a
J3
n
Psychosis.
s*—<
-M
*H
O
SO
_
CM
03
Of
I—1
0
+J
o -t^>
o
-t^
+J
1—1
to
«5
0 0
3 8
4 10
1 4
0 0
0 0
0 0
0 0
3 1
0 1
2 2
0 1
0 0
0 2
0 0
0
1
3
0
a;
U
03
a?
cfi
CS1
o
a
t=
Total
S
«
>o
Traumatic
Senile
Cerehral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.—
With epilepsy _—
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
.
ao
a
o
0
2
2
3
0
1
C
0
c
c
1
0
~H
8 8
o
o
w
l>
o
0
18
22
12
0
2
0
0
5
1
14
14
0
11
0
0
3
2
1
0
0
()
0
0
0
2
0
1
6
6
0
0
1
2
0
17 32
f-
10 19
10
6112
EIGHTY-THIRD ANNUAL REPORT
60
Duration of Hospital Kesidence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
White Female Population.
FEMALE
p
Psychosis.
CO
U
03
a aIN
§
a
a
o
a
o
-M
i—t
cu
<a
a
o
©
+a
to
+J
P
Total
+3
si
tn
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
With brain and nervous disease..
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With episelpsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
A
CO
n
TH
1
4
0
0
0
0
0
0
0
1
5
0
1
1
1
1
0
1
0
0
0
0
0
0
0
0
1
1
0
0
9 14
2
3
1
1
0
0
0
0
0
1
1
0
3
03
o
h
o
o
-M
c 0
0
0
0
0
0
0
0
CO
O)
>
0
13
10
3
1
1
0
1
7
1
15
14
0
10
0
1
(I
0
0
1
1
11
0
9 16
89
61
GEORGIA STATE SANITARIUM
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
Colored Male Population.
MALE
n
a
n
Psychosis.
a
t>
Total
Vi
^3
.C
'Jl
u
-M
a
o
3 uo
^ §
a>
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.._
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
aj
tH
03
S*
to
o
O
-M
-M
1—*
«5
C3
i*
<M
>H
io
O
-M
rH
O
+-*
C^
O
o
W5
1
5
9
14
1
0
0
0
0
2
0
2
1
0
4
0
o; o
o o
oj o 19
0
1
11
17
0
0
0
o| 0
0
0
0
0
0
0
1
1
0
0
15 40 16 20 19 17
0 36
0 4
3
0
0
1
0
3
1
10
10
0
14
0
6136
EIGHTY-THIRD ANNUAL REPORT
62
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis.
Colored Female Population.
FEMALE
.C
Psychosis.
W
a
J3
s
a
o
rH
ti
CJ
T1
a
&
s
'/.
c
—
CG
U2
~
a
a*
(*
tn
es
>H
(H
>H
1—1
(M
'O
0
+■>
-M
O
-M
o
-M
0
+J
i-H
cc
r~i
IM
lO
TH
<l
IN
Traumatic
Senile
Cerebral arteiosclerosis
General paralysis of insane
With cerebral syphilis
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition—
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
VI
CO
o
(4
a>
>
o
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
3 1
0 0
0 1
3 13
0 0
0 2
0 0
0
3
11
10
1
0
0
0
0
10
1
11
22
0
6
0
0
1
1
0
0
6
14
0
0
0
1
0
14 25 10
R
o
8 20 12
3 95
GEORGIA STATE SANITARIUM
63
Report of Pathologist
FOR THE YEAR
DR.
R. C.
1926
SWINT,
Superintendent.
DEAR SIR:
The Report of the Pathological Laboratory for the year
1926 follows:
Summary
SEROLOGICAL EXAMINATIONS
Blood, Wassermann
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
:
(Noguchi) reaction
Wassermann reaction
Colloidal Gold reaction
Globulin estimation
Cell Count
1,555
387
387
387
387
CLINICAL LABORATORY EXAMINATIONS:
Urine, routine analysis
2,457
Urine, renal function test
6
Urine, Special chemical examination
120
Feces, for parasites or ova
895
Feces, for occult blood
5
Blood, chemical examination
8
Blood, for malaria parasites
116
Blood, counts—red, white, or differential
908
Blood, coagulation time determination
5
Blood, hemoglobin estimation
60
Blood, reticulocyte count
1
Blood, fragility tests
1
Blood, type determination
.
17
Sputum, for tubercle bacilli
193
Milk, butter fat determination
81
Gastric Contents, chemically and microscopically——-7
64
EIGHTY-THIRD ANNUAL REPORT
BACTERIOLOGICAL EXAMINATIONS:
Blood, culture
Blood', agglutination tests for B. typhosus, etc
Urine, culture
Feces, culture
Exudates, culture
Exudates, microscopically
Exudates, dark field examination for T. palhdum
Exudates, animal inoculation
Milk, bacteria count
Vaccines, Autogenous
17
102
^
rt
bi
l
6
8
°*
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL
Necropsies
;—
Postmortem examination of laboratory animals
Surgical Tissue
Total number of examinations
:
35„
»
_
8,455
Note—In addition to the total number of procedures
enumerated above, 407 cadavers were embalmed by the technicians who are also licensed embalmers.
Serological Examinations
There were 1,555 specimens of blood examined for the
Wassermann reaction, of which number 1,177 were secured
as a matter of routine from patients upon their admission to
the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
Sex
Race
Female
White
Male
White
Colored Female
Colored Male
Total
Number
Examined
380
331
248
218
Number
Positive
(4-plus)
9
27
45
47
Percentage
Positive
2.4
8.2
22.5
21.5
1,177
128
10.9
There were examined 387 specimens of cerebrospmal
fluid, of which number 282 were obtained from patients admitted during the year. A routine examination of this fluid
is made in the case of each patient whose blood reacts positively to the Wassermann test.
GEORGIA STATE SANITARIUM
65
TABLE II.—Incidence of Serological Neurosyphilis in
Patients Admitted During Year 1926.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number
Examined
380
331
248
218
1,177
Number
Positive
3
21
14
31
84
Percentage
Positive
0.7
6.3
5.6
14.2
7.1
Note—The term "Positive" denotes the occurrence of a
positive Wassermann reaction upon the cerebrospinal fluid,
and usually also other serological indications of neurosyphillis
as well.
Reference to Tables I and II will show that 33.3 per cent,
of the white women, 77.8 per cent, of the white men, 31.1 per
cent, of the colored women, and 65.9 per cent, of the colored
men, whose blood reacted positively to the Wassermann test
upon admission also gave serological evidence of sypillis of
the nervous system.
From an analysis of our serological findings for the 10year period, 1916-1925, certain outstanding facts appear which
would seem to be of sufficient general interest to warrant
their publication. During this period there were made 10,881
routine Wassermann tests upon the blood serums of newlyadmitted patients. Of this number, 1,506, or 13.8 per cent,
gave 4-plus reactions, and serological evidence of syphilis of
the nervous system occured in 695, or 6.3 per cent. Exclusive
of the neurosyphilitic group, positive Wassermann reactions
were obtained in 8 per cent, of patients. This does not imply
that syphilis is an important factor in the genesis of psychoses
other than frankly neurosyphilitic ones. The fact that there
is a somewhat constant percentage of syphilis in all of the
various non-syphilitic psychoses suggests that this proportion
of syphilis is incidental rather than causative. Perhaps it
may reflect to some extent the prevalence of syphilis
in the adult general population of the state. Tf we
assume that 3 per cent, of all syphilitics develop neurosyphilis,
and that no neurosyphilitics fail to arrive eventually at the
Sanitarium, then there must be at least 2,500 new cases of
syphilis in Georgia annually, since there are admitted here
yearly 75 paretics and cerebral syphilitics. The incidence
of positive blood and cerebrospinal fluid Wassermann reactions in each of the various clinical groups is shown in the
following table.
EIGHTY-THIRD ANNUAL REPORT
66
TABLE III.—Incidence of Positive Blood and Cerebrospinal Fluid Wassermann Reactions in the Various Clinical
Groups.
PercentNumber
PSYCHOSES.
Examined
General paralysis of the
insane
o28
With cerebral syphillis— 104
Due to alcohol
110
With constitutional inferiority
368
Due to drugs
log
Without psychosis
88
Unclassified
923
With other somatic disease 103
With mental deficiency-.- 858
Dementia praecox
1,699
Accompanying pellagra __ 496
With epilepsy
660
Manic depressive
^,99b
Paranoia or paranoid condition
40
70s
Senile psychosis
With other brain or nervous disease
148
WSth cerebral arterioscelGrosis
oi«
With Huntingdon's chorea
32
Psychoneuroses or neuroses
140
With brain tumor
8
Total
10.881
with
4-plus
Blood
Percentage with
4-plus
Blood
576
92
16
91.7
88.4
14.5
45
19
10
83
9
74
145
40
53
236
12.2
11.9
11.3
9.3
8.7
8.6
8.6
8.1
8.0
7.8
3
51
7.5
7.2
10
6.8
38
2
6.2
6.2
Number
with
4-plus
Spinal
Fluid
age with
4-plus
Spinal
Fluid
599
89
95.4
84.5
*
*
*
*
*
*
*
*
2.8
1.506
13.8
688 (*)
6.2 (•)
♦Positive cerebrospinal fluid Wassermann reactions are
here recorded only for the general paralysis and cerebral
syphilis groups. Occasionally positive results were obtained
in other groups, but were so infrequently encountered that it
is considered more accurate to omit entirely figures for these
occasional findings.
In the series recorded above, 4-plus cerebrospinal fluid
Wassermanns were found in 73 instances where the corresponding blood finding was negative, as follows: Paresis, 52;
Cerebral syphilis, 12; Tabes dorsalis, 1; Other groups, 8.
The diagnoses with which the serological findings reported in the foregoing tabulation are correlated are those
recorded with the histories in the Clinical Director's office.
Respectfully,
E. B. SATE,
Patholopist.
67
GEORGIA STATE SANITARIUM
Report of Dental Department
MlLLEDGEVILLE, GA., JAN. 1ST, 1927.
DR.
R. C.
SWINT,
Superintendent.
DEAR SIR:
We have the honor of reporting the work done in the
Dental Department for the year ending Dec. 31st, 1926.
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl Chloride anaesthesias
Alveolotomies
Incisions sutured
Post-operative treatments
Gold fillings
Amalgam fillings
,
Cement fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Abscesses aspirated
Lancing gums over 3rd molar
Treating gums about 3rd molar
Hemorrhages arrested ......—.........—.....
4.167
2,394
635
15
189
18
163
3
179
65
51
17
5
8
1
2
19
15
43
27
2
14
26
——
7
68
EIGHTY-THIRD ANNUAL REPORT
Treatments for erosion
Treatments for pyorrhea alveolaris
Cleaning teeth (number of patients)
Sealing teeth (number of patients)
Applications silver nitrate
Treatments for facial neuralgia
Treatments for acute odontalgia
Treating gums (number of patients)
Treatments for oral ulcers
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Cast-base crowns (gold)
Crowns removed
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients)
Impacted 3rd molars removed
Sequestra removed
Calls to wards
Number of new patients examined
Number of patients treated
Total number of operations and treatments
3
26
38
153
1
2
33
106
12
20
12
■*"
25
3
9
°
"
'
'
45
31
5
380
1,179
1,947
8,675
Respectfully submitted,
GEORGE
J. C.
H.
GREEN,
ADCOCK,
D. D. S.
D. D. b.
GEORGIA STATE SANITARIUM
Report of Superintendent of Nurses
GEORGIA STATE SANITARIUM,
JANUARY 1ST,
DR.
R. C.
1927.
SWINT,
Superintendent Georgia State Sanitarium.
DEAR SIR:
I wish to submit the following as a report of the Training
School for Nurses for the year ending December 31st, 1926.
The School has been in progress fifteen years, and has
graduated one hundred and twenty-nine nurses.
We feel the School is indispenable to the Hospital, and
that the graduates are well educated in all departments of
nursing, and have rendered to the world valuable service.
Many of our graduates are holding places of responsibility not only in this school, but in the different schools
throughout the United States.
The Alumnae Association of the School has a membership
of sixty-two, and has been very active during the year. It
has given the school and Superintendent of Nurses hearty
support in all efforts to make it the foremost among such
institutions.
The Annual Commencement was held July 21st, at 8 :30,
in the Amusement Hall.
Mrs. Archibald P. Brantley, President of the State Federated Clubs of Georgia, gave a most pleasing class address
to the graduates.
Mr. John T. Brantley, President of the Board of Trustees,
with a talk on service, delivered the diplomas, and Mr. H. H.
Dean, Vice-President of the Board, presented the hospital
pins.
EIGHTY-THIRD ANNUAL REPORT
A reception and dance followed, music being furnished
by the Sanitarium Band.
The following nurses received diplomas.
Miss
Mrs.
Miss
Mrs.
Miss
Miss
Miss
Miss
Miss
Alethia Adams ________ Dublin,
Carrie Mills Braddock _ _ _ _ Sandersville,
Mary Ivie _________ Willard,
Mary Elizabeth Hood ______ Atlanta,
Lucy Poss ________ Washington,
Floye Louise Page ______ Stillmore,
Mildred Stewart _______ Eatonton,
Irma Smith
________ Tennille,
Lillian Happ Veal
_____ Sandersville,
6a.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
Ga.
PLAN OF INSTRUCTION
The course extends over a period of three years, including three months probation and six months affiliation in the
University Hospital, Augusta, Ga., or Memphis General Hospital, Memphis, Tenn. This course consists of lectures, recitations, demonstrations, and practical work on wards, diet
kitchen, operating room and laboratory. Classes are conducted eight months each year.
CURRICULUM
First Year
Anatomy and'Physiology
Nursing Ethics
Theory of Nursing
Hygiene for Nurses
Practical Demonstrations
Chemistry
Dietetics
Bandaging
.
History of Nursing
Hydrotherapy
Massage
60 hours
6
26
16
24
16
20
8
10
6
10
Second Year
Nursing Ethics
Practical and Surgical Nursing
Medicine
Solutions
Materia Medica
Obstetrics
8 hours
20
22
16
jj
16
16
71
GEORGIA STATE SANITARIUM
Oral Hygiene
Mental Diseases
Dietetics
Bacteriology
Applied Bacteriology
16
16
25
16
10
_
Third Year
Eye, Ear, Nose and Throat
Surgery
Gynecology
Pediatrics
Diseases of Nervous System
6 Hours
16
16
16
16
NURSING STAFF
Superintendent of Nurses
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Special Psychiatric Nurses
Special Attendants
Senior Nurses in School
Junior Nurses in School
Freshman Nurses in School
1
4
2
1
2
?
12
H
16
Total number of Student Nurses
Number of White Female Attendants
Vacancies
39
149
—
In conclusion, I wish to thank you for your support and
co-operation, the Medical Staff for lectures and medical services rendered the students, and all other officers who assisted
in the teaching during the year.
Respectfully submitted,
MAE
M.
JONES,
R. N. (Ohio),
Superintendent of Nurses.
EIGHTY-THIRD ANNUAL REPORT
72
Report of Pharmaceutical Department
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR:
The following is the annual report of the Pharmaceutical
Department for the year ended December 31st, 1926.
Below is shown a condensed list of manufactured products.
Tinctures, spirits and extracts
2,017 pounds
Elixirs
1,416
Syrups
781
Ointments
122
Liquors, lotion and mixtures
1,148
Library paste and mucilage
58
Medicated dusting powder
61
Indelible Ink
48
Glycerites
58
Liniments
258
Tonics
108
Tooth powder
6
Quinine, anodyne and lagrippe capsules, nlled__ll,800
Germicide
935 gallons
Fly and mosquito exterminator
375
GEORGIA STATE SANITARIUM
73
STATEMENT
Debits
Jan. 1, 1926, Inventory as of Dec. 31st, 1925
$ 5,309.36
Purchases During Year
Drugs, chemicals, dental, surgical and
laboratory supplies
$10,707.63
Freight and Express
,_
218.24
Total
Less Goods Returned
$10,925.87
285.45
Net amount Goods purchased
$10,640.42
Total
Deducts; Inventory Dec. 31st, 1926
$15,949.78
5,644.75
Amount of goods to be accounted for
$10,305.03
Credits
Dec. 31st, 1926, Prescriptions filled for
wards, 33,073, aggregating
$ 9,823.87
Sales to Officers and Employes
481.16
Total
$10,305.03
Respectfully submitted,
J. J.
WOOTTEN,
Pharmacist.
74.
EIGHTY-THIRD ANNUAL REPORT
Report of Treasurer
DR.
R. 0.
SWINT,
Supt. Georgia State Sanitarium.
MY DEAR DR. SWINI?:
I beg to enclose below a report showing receipts and
disbursements of the Treasurer of Georgia State Sanitarium
for the year 1926.
Dec. 31st, 1925. Balance cash on
hand
$ 85,488.48
Maintenance fund received
1,100,000.00
Interest on balances
1,954.22
Homer Bivins, Steward
7,617.37
Fire Losses through the Governor__
1,287.45
Ice Plant Appropriation
20,000.00
Disbursements for the year 1926
Dec. 31st, 1926. Bal. cash on hand
$1,216,347.52
$1,169,936.02
46,411.50
$1,216,347.52
I certify that the above report is correct to the best of my
knowledge and belief.
As Treasurer Georgia State Sanitarium and as Assistant
Cashier of Exchange Bank, we certify that at the close of
business Dec. 31st, 1926, there is to the credit of Otto M.
Conn, Treasurer Georgia State Sanitarium the sum of
$46,411.50.
M. CONN,
Treas. Oa. S. S.
OTTO
H. G. BANKS,
Cash'r Exchange Bank.
Witness:
H. H.
HERNDON,
N. P., B. Co., 6a.
75
GEORGIA STATE SANITARIUM
DR.
R. C.
SWINT,
Supt. Georgia State Sanitarium.
MY DEAR DR. SWINT,
I beg to submit below a statement of the receipts and disbursements of Treasurer Georgia State Sanitarium, Patients'
Accounts, for the year 1926.
Dec. 31st, 1925. Balance cash on hand_$13,343.81
Received from Homer Bivins, Steward- 18,588.90
$31,932.71
Disbursements for the year 1926
Dec. 31st, 1926. Bal. cash on hand
$18,307.64
13,625,07
$31,932.71
I certify that the above report is correct to the best of
my knowledge and belief.
As Treasurer Georgia State Sanitarium Patients'
Accounts, and as Assistant Cashier Exchange Bank, we certify that at the close of business Dec. 31st, 1926, there is to
the credit of Otto M. Conn, Treasurer Georgia State Sanitarium Patients' Accounts, the sum of $13,625.07.
M. CONN,
Treas. Ga. S. S.
OTTO
H. G. BANKS,
Cash'r Exchange Bank.
Witness :
H. H.
HERNDON,
N. P., B. Co., Ga.
76
EIGHTY-THIRD ANNUAL REPORT
Report of Farm Steward
DR.
R. C.
SWINT,
Superintendent Georgia State Sanitarium.
MY DEAR SIR:
I wish to submit a report of the foodstuffs produced in
my department, and some of the other things done around
the institution during the fiscal year ending December 31st,
1926.
Asparagus
Beans, butter (shelled)
Beans, snap
Beans, Ototan
Beets
Cabbage
Collards
Cantaloupes
Corn
Lorn, roasting
Corn, tons
Sorghum insilage
Cucumbers
Fodder
Hay (Oats and Vetch)
Kale
Lettuce
Oats (shelled)
Oat and Rye straw
okra
Onions
Peas (field green)
Peas (field dry)
Peas, garden
Peppers
Pork (dressed)
Potatoes, sweet
Potatoes, Irish
Rape
Rye
I
"
~_~~
202 bushels
294
i <
1309
Igji bushels
299
-_~-I~"~"~43,982 heads
5190
67 114
I-~~"I~15|400 bushels
75,661 ears
600tons
600
404 bushels
§5 tons
427
"~ 160 bushels
_ 3 005 heads
"_Z~_
1^556 bushels
1950 bales
:::::: '690J bushels
919
639
3,784V3
212
'_
28
70,678 pounds
3'647 bushels
2045
" 6|283
554
77
GEORGIA STATE SANITARIUM
Spinach
Squashes
Tomatoes
Turnips and greens
Watermelons
Strawberries
Soy bean hay
268
1,106
485|
8,640
16,555
120
20
"
"
crates
bushels
quarts
tons
Dairy
Sweet milk
Buttermilk
Butter
Sweet cream
Beef, dressed
Green hides
Calves sold (for $59.00)
Loads of manure
The dairy shows an increase of 19,096
milk over last.
99,784 gallons
265
674 pounds
120£
"
21,916
2,940
9
1,430
gallons of sweet
Chicken Yard
Hens and roosters, issued
Friers, issued
Eggs, received
Eggs, issued
Eggs, set
230
554
4,809 dozen
4,445
"
364
We hauled all the lumber from the sawmill to the lumber
yard, put all the material on the ground for the three new
cottages and the old men's dormitory at the Twin Building;
hauled all the sand for these buildings and the new cold storage plant, unloaded several cars of coal and foodstuffs, hauled
all the coal out of the chutes and cut about 1,000 cords of
stove wood. We have also kept up the entire road system
of the Institution.
I wish to thank you, the Board of Trustees, the officers
and others for the gratitude and co-operation shown me
throughout the year.
Respectfully submitted,
P. C.
PENUBL,
Farm Steward.
EIGHTY-THIRD ANNUAL REPORT
Report of Engineer
DR.
R. C.
SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1926:
Improvements
A
All of
pillars
of the
placed
new floor has been put in one of the Colony buildings.
the other floors have been repaired, and new brick
placed under the buildings were needed. A large part
bottom of the water tank at the Colony has been rewith new material.
Three cottages, each having seven rooms and a bath room,
have been built on the road between the Powell Building and
the Twin Buildings. These cottages are connected to the
sewer and are supplied with cold water connections to the
general supply.
A new ice plant has been built. This machine is housed
in a brick building. It is of the compression type and has a
capacity of twenty-five tons of ice each twenty-four. A good
portion of this capacity is used in the cooling of the cold
storage rooms. The cooling water used is sprayed through
a system of nozzles into a spray pond on the roof of the
building. The new plant includes an ice storage room, three
new cold storage rooms and a work room for the cutting and
issue of meats, etc. The total capacity of the new rooms,
together with the old, is nineteen thousand eight hundred
seventy-nine cubic feet. Two of the old cold storage rooms
have been thrown into one and the large room, together with
one of the meat rooms has been rebuilt and thoroughly insulated with cork-board. New coils for carrying the cooling
brime have been built for all of the rooms. These coils are
all built above bunkers which have drainage to the sewer.
This drainage of the bunkers prevents the possibility of any
drippage from the coils falling on the goods stored. A sus-
GEORGIA STATE SANITARIUM
79
pended track is arranged through the center of the work room
from the front door into and around the inside of the two
meat rooms on which the quarters of beef are handled as received.
The portion of the tin roofs of the institution which was
not painted in 1925, about one-fourth of the entire amount,
has been painted.
The State Board of Health has commended us for the
excellent quality of our water supply for the entire year, and
for our co-operation with them in furnishing samples of
water to be analyzed. They have sent us a gold sealed certificate to this effect.
Two 70-gallon jacketed cast iron kettles have been placed
in the Negro Building kitchen, and four of the same size in
the kitchen of the Green Building. These kettles replace
others which have been worn out.
A galvanized steel flue has been run from the hood over
the range in the kitchen of the John T. Brantley Building, to
the roof.
An ironing table, to accomodate twelve electric irons has
been built and wired in the white laundry.
Two steam heated, electrically driven, garment presses
have been installed in the white laundry.
The sleeping porch in the cottage just north of the
Female Convalescent Building has been enclosed. This has
been accomplished principally with glass sash.
A new tin roof has been put on one of the tuberculosis
buildings, the old composition one having been damaged
beyond repair by a wind storm.
A new set of brass tubes has been placed in one of the
water heaters of the Twin Building.
Pantry sinks have been put on wards 10th, 11th and 12th
of the Powell Building.
A new floor has been laid in the day room of ward "N,"
new joists being placed where necessary.
80
EIGHTY-THIRD ANNUAL REPORT
Tables, safes and a linen cabinet have been built for the
kitchen of the John T. Brantley Building.
Steps between the 7th, 8th and 9th wards at the Colored
Building have been built.
The Steward's dining room has been repainted. New
and larger electric lights have been placed in this room, and
a, new steam heated coffee urn installed.
A brick public comfort building has been built on the
terrace in front of the Twin Buildings for the use of the
patients.
Forms have been made for the reinforced concrete posts
for the fence around the Colored Building, and some of the
posts have been made.
Bight power sewing machines with motor drive have been
installed in the sewing room for white females.
Two cottages built some years ago have been painted
both inside and out.
A doorway has been cut through the west wall of the sewing
room. This affords an easy egress in case of fire, and facilitates the handling of stores and of the manufactured output
of the room.
Such fire doors as have been found defective, through
the rusting through of the tin covering, have been recovered.
The old moving picture booth in the Female Convalescent
Building has been torn out, and the walls and woodwork of
the chapel have been painted.
The outside woodwork of one of the cottages at the waterworks has been painted.
The walls of six rooms in the center building of the
Female Convalescent Building have been painted.
A water cooler has been built and installed in the yard
of the Negro Building, and also in the dining room of the
Twin Building. These coolers each hold six hundred pounds
of ice at a filling.
GEORGIA STATE SANITARIUM
81
The steam drying room in the laundry at the Colored
Building has been rebuilt; the woodwork being renewed where
necessary and the steam coils replaced with new ones.
The hall floor of the third story in the center building
of the Powell Building has been surfaced, stained and waxed.
The defective steel ceiling in the corridors of the Celored
Building has been removed, and the electric conduit injured
in the process of removal has been repaired.
The damage done by fire on the 18th ward has been repaired.
Boxes for the reception of soiled clothes have been placed
on the outside of wards "D" and "N."
An ice box has been built for the patient's store in the
Female Convalescent Building. A cabinet for the same place
has been repaired and fitted with glass doors.
A portion of the yard pavilion on the female side of the
Colored Building has been boarded up and supplied with
electric lights to serve as an isolation ward.
New brass tubes have been put in the water heater serving the Male Convalescent Building.
A set of new tubes has been put in one of the steam boilers at the Green Building.
The fire fighting equipment of the istitution has been
increased by the addition of a one thousand-gallon automobile "Pumper." This machine has on it a 50-gallon soda-acid
engine with the necessary equipment of rubber hose, twelve
hundred feet of 21/2-inch standard fire hose, and two 21/&gallon soda-acid extinguishers, and the necessary shut off
nozzles for the 21/2-inch hose. Twelve one quart Pyrene extinguishers and fifty-three 21/£-gallon soda-acid extinguishers
have been placed on the wards.
A bath room has been cut off from room No. 1 in the
center building of the Powell Building by a lath and plaster
partition. This room is furnished with a toilet, bath tub with
shower-bath fixtures and electric light.
82
EIGHTY-THIRD ANNUAL REPORT
The shingle roof over the white female tuberculosis pavilion
as well as the composition roof over the adjoining building
has been replaced with one of 5 V Crimp galvanized roofing.
About one-half of the shingle roof over the 27th female
ward has been renewed.
Bins have been built in the storehouse for the dispensing
of sugar, meal, etc.
An electrically driven band saw has been installed in
the cold-storage work room for the purpose of cutting up
beef and hams.
The schoolhouse for feeble-minded children has been repaired. This work includes new sills, new roof, new plastering and painting.
A map of the institution has been made showing the
location of the various buildings and the position of the outside fire hydrants.
A set of new tubes has been put in one of the boilers of
the Twin Buildings.
The Longino cottage has been reshingled.
The chimney over the range and bread oven at the Colored
Building has been torn down and rebuilt from the roof up.
A covered lumber shed having a floor area of 60 x 20 feet
has been built near the machine shop. This structure has
two decks and an overhanging roof for the protection of dry
lumber.
A one story frame building has been built near the Twin
Buildings. This building is "T" shaped, the main bodv being
140 ft. long by 28 ft. wide. The "T" projection is 54 ft.
long and contains the dining room and quarters for the nurses
serving the building. A porch 8 ft, wide runs the full length
of the building on the front. There are five bath tubs, six
water closets, two slop sinks, a pantry sink and a lavatory
included in the plumbing of the building. All of the plumbing is connected to the main sewer by a six-inch drain pipe
965 feet long.
83
GEORGIA STATE SANITARIUM
Traveling ladders have been set up on the front of the
shelving in the Storehouse.
The solid wooden panels have been removed from four
of the large outside doors of the Storehouse. These panels
have been replaced with thick glass and the glass protected
by heavy wire window guards.
Steam radiators have been placed in the ice plant, the
cold storage work room, and in the base of the Tower to prevent the freezing of the water pipes there in cold weather.
In addition to the ordinary repair work of the institution
the carpenter shop, the furniture and harness repair shop,
the shoe repair shop, the paint shop and broom factory have
been kept busy in manufacturing and repairing the various
articles used in the different departments.
Respectfully submitted,
T. H.
DESAUSSUEE,
Engineer.
84
EIGHTY-THIRD ANNUAL REPORT
Report of Steward
FISCAL YEAR ENDED DEC. 31ST,
1926
MlLLEDGEVILLE, GA., DECEMBER 31ST, 1926.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I beg to submit herein a report of the financial condition
of the Sanitarium at December 31st, its income and expenditure for the fiscal year, together with other information
shown under the exhibits and schedules that follow.
EXHIBITS:
1—Balance Sheet—December 31st.
2—Statement of Income and Expenditure for Year.
3—Consolidated Cash Statement of Receipts and Disbursements.
4—Analysis Cash Receipts and Disbursements for (Maintenance.
5—Statement Receipts and Disbursements Account Special
Appropriations.
6—Profit and Loss Statement, Farm, Garden and Dairy.
7—Comparative Statement Cash Expenditure, Years 1925-26.
8—Statement Operating Funds—December 31st.
9—Comparative Statement Per-Capita and Per-Diem Cost,
Years 1925-26.
SCHEDULES:
1—Accounts Payable as of December 31st.
2—Accounts Receivable as of December 31st.
3—Production, Farm, Garden and Dairy.
All accounts for supplies purchased during the year were
promptly settled in accordance with contracts, and receipted
vouchers covering such disbursements are on file in this office.
I am grateful to the Board, yourself and others for the
assistance you have given, and the kindness you have shown
me in the performance of my duties.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Balance Sheet, December 31st, 1926
Treasurer—General Fund
Treasurer—Patients' Fund
Steward—Working Fund
Steward—Time Deposit
Steward—Time Deposit
$ 34,210.77
14,286.36
3,000.00
290.00
1,616.76—$ 53,403.89
ACCOUNTS RECEIVABLE:
U. S. Public Health Service
Officers and Employees
$
STOCKS:
Provisions—Groceries, Clothing
and Dry Goods, Shoes, Notions,
Etc.
$
Packing House Products
Clothing, Bedding, Etc.—in Manufacture
Engineering Materials
Fuel—Coal and Coke
Drugs, Chemicals and Sundries..
Farm Supplies—Fertilizers
Dairy Feeds
FREIGHT AND EXPRESS:
Applicable to Mdse. Stocks
150.60
597.36—
748.05
52,701.89
7,558.88
723.99
7,104.35
37,501.67
5,691.05
1,283.75
1,186.50— 113,752.08
446.78
DUE SPECIAL FUNDS:
Brantley Building
$ 3,579.73
Ice and Cold Storage Plant
258,24
Occupation Department;—Male— 5,581.32
Occupation Department—Female
241.33
Female Commissary
290.00
Total
$168,350.80
$ 9,950.62
o
TRUST FUND:
Patients' Deposits
$ 14,286.36
>
ACCOUNTS PAYABLE:
Individuals and Corporations
$ 22,783.02
w
>
SALARIES, WAGES AND LABOR:
Officers—December
$ 5,807.42
Employees—December
31,113.94
Excess Assets as Adjusted
Operating Gain for 1926
Total
H
I—I
>
Total
$ 36,921.36
Excess. Assets Jan. 1st, 1926
$ 92,627.53
*Adjustments Applicable to 1925 13,470.73
Total
Total
O
H
O
$ 79,156.80
5,252.64
$ 84,409.44
$168,350.80
3
EXHIBIT No. 1 (Continued)
I—<
P
X
Balance Sheet, December 31st, 1926
PROPERTY ACCOUNTS:
Miscellaneous Farm and Dairy
Products
$ 28,490.50
Live Stock
35,260.20
Vehicles and Implements
4,786.63—$ 68,517.33
NOTE—$13,344.30 of this amount represents fuel
gone into consumption during the last two years It
is written off to bring the fuel account into closer
agreement with the actual inventory of fuel on hand.
INSTITUTION INVESTMENTFarm and Garden
$ 46,002.13
Dairy
22,515.20
Total
$ 68,517.33
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Total
$ 68,517.33
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Total
$ 68,517.33
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EXHIBIT No. 2
Statement of Income and Expenditure for Year
EXPENDITURE
Gen. Administration—Officers' Salaries., $
WAGES AND LABOR:
Medical Department
Engineers Department
Stewards Department
Earm and Garden Dept.
Dairy Department
$236,050.19
68,003.21
46,273.63
13,950.31
4,511.58—
FOOD SUPPLIES:
General Wards
$303,556.10
Superintendent's Dining Room. 1,114.17
Steward's Dining Room
5,108.94
Brantley Bldg. Dining Room.-. 10,633.05—
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Stationery and Postage
Medical Supplies
Automobiles and Tracks
INCOME
63,789.36
368,788.92
320,411.26
State Appropriation—Regular
MISCELLANEOUS:
Board of Officers
Board Special Attendants
Board of Employees
Donations
Dental Work and Material
Fines
Interest on Balances
Sales Old Material
Rents, Cottages
Discount
$1,100,000.00
o
Total
$ 72,871.11
37,808.79
42,895.68
2,859.91
9,828.61
2,483.70—
MAINTENANCE OF PLANT:
Fire Apparatus
$ 15,391.93
Machinery Supplies and Repairs
1,197.72
Builders' Hardware
3,809.77
168,747.70
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$
FARM AND GARDEN:
Sales
$
342.92
DAIRY:
Sales
$
255.11
Total
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$ 1,249.60
1,644.65
3,423.00
72.11
14.00
167.75
2,009.14
3,141.46
126.00
58.45
10,906.16
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$
598.03
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Cement and Crushed Stone
2,604.89
Lime, Hair and Masons' Supplies
2,205.16
Lumber and Building Material 9,501.40
Painters' Supplies
4,521.28
Plumbing Supplies
4,235.81
Sewer Supplies
410.51
Tinners' Supplies
1,014.65
Cooking Apparatus and Supplies
1,406.88
Steam Pipe and Boiler Fittings 3,650.00
Water Works Supplies
1,262.53
Grading Supplies
25.00
Gasoline Equipment
761.67
Brick
1,399.75
Sundries
11,683.01-
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65,081.%
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FARM AND GARDEN:
Commercial Fertilizer
Seed
Commercial Feeds
Misc. Supplies and Repairs
Board Employees
Live Stock
Treating Hogs
Freight and Express
$ 8,156.75
3,289.12
1,288.76
3,468.69
2,763.00
1,600.00
272.15
438.00—
DAIRY:
Commercial Feeds
$ 20.850.56
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21,271.47
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Misc. Supplies and Repairs
Freight and Express
Board of Employees
INCIDENTALS:
Light and Power
..$
Laboratory Supplies and Equipment
Dental Supplies and Equipment
Office Supplies and Equipment.
Repair Account — Auto and
Trucks
Escaped Patients
Advertising
Amusements
Travel
Barbers' Supplies
Telephones and Telegrams
Florists' Supplies
Medical Books and Journals—
Broom Factory Supplies
Blacksmith Supplies
Cemetery Supplies
Dining Room Supplies
E. Light and Supplies and Repairs
Gas and Oils
Household Supplies
Kitchen Supplies
2,097.15
1,250.36
660.00—
16,973.32
899.46
696.92
2,106.39
1,654.51
193.22
172.96
69.71
1,575.25
347.52
445.93
173.37
284.17
1,532.01
639.43
887.29
2,227.43
3,154.78
5,243.58
9,317.04
2,8312.14
24,858.07
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditure for Year
Laundry Supplies
Musical Instruments
Printing
Registration Autos and Trucks
Telephone Equipment
Tools and Implements Other
Than Farm
Tobaccos
Insurance Premiums
X-Ray Supplies and Equipment
Interest Paid
Premium on Bond
Surgical Instruments
Sundries
Poultry Yards
Total Expenditure
Operating Gain for Year
Total
5,586.91
1,27000
740.19
46.76
443.26
800 26
6,133.95
1,321.43
1,404.89
239.35
25.00
4657
1,410.83—$
70,915.82
2,386.99
$1,106,251.55
5,252.64
$1,111,504.19
EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
a
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DESCRIPTIVE
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:$ 50,496.62 $
Balance from 1925
Less Due Special Funds
Less Due Trust Fund
RECEIPTS:
1,100,000.00
Maintenance Appropriation—Regular
Part Maintenance Appropriation 1925—Regular
20,000,00
Part Special Appropriation, 1925—Ice Plant1,287,45
Fire Insurance—Losses
Patients Deposits
Misc. Sales—Etc.
1,954.22
Interest on Balances
1,013.46
Checks—Returned
Totals
Transferred by Steward
$1,174,751.83
j
8,343.36
13,343.81
20,938.58
32,281.94
29,281.94
1.356.76
550.00
550.00 $
550.00
6,241.40
Balance
Disbursed on Vouchers
$1,183,095.19
I 1,148,884.42
34,282.39
19,996.03
3,000.00 %
29,279.94
1,906.76
$
6,241.40
418.75
Balance
Disbursed by Steward-
34,210.77
14,286.36
32,279.94 $
29,279.94
1,906.76
$
5,822.65
34,210.77 $
14,286.36 $
3,0O0.0C
1,906.76
$
5,822.65
$
1,015.90
550.00
13,343.81 $
Balance
3,000.00)$
So
$
3,2»8.83
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20,938.58
8,343.36
2,942.57
340.86
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EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements
© -w
DESCRIPTIVE
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2
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Balance from 1925
Less Due Special Funds
_ _ ..__
Less Due Trust Fund _.
RECEIPTS:
Maintenance Appropriation—Regular
Part Maintenance Appropriation, 1925.
Part Special Appropriation—1925
Ice Plant
Fire Insurance—Losses _ ■"""""""'
Patients' Deposits
""""
Misc. Sales, Etc.
Interest on Balances
VS.'.""
Checks Returned
Totals
Transferred by Steward
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$
93,080.17 5
13,343.81
5
4,176.33 $
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75,820.30
$
38,680.15
a
1,100,000.00
10,000.00
5
1,287.45
00,938.58
290.00
5 103,080.17 5
103,080.17
2!
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5,451.65
1,954.22
1,013.46
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5,828.67
20,000.00
75,820.30
83,080.17
290.00 $1,148,387.01
Balance
„
Disbursed on Vouchers.
34,282.39 $
25,823.67
25,444.65
7,259.87
3,680.14
290.00 $1,148,387.01
1,110,056.97
Balance
Disbursed by Steward
34,282.39 5
19,996.03
379.02$
3,579.73$
290.00 $
38,330.04
9,283.91
14,286.36
379.02 5
3,579.73 $
290.00'$
29,046.13
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10,000.00
34,282.39
Balance.
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SUMMARY
Cash,
Cash,
Cash,
Cash,
Treasurer—General Fund
Steward—Working Fund
Steward—Time Deposits
Treasurer—Patients Fund
$34,210.77
3,000.00
1,906.76
14,286.36
2
DUE SPECIAL FUNDS:
Brantley Building
$ 3,579.73
Ice and Cold Storage Plant
379.02
Patients Deposits
14,286.36
Occupation Therapy
5,8212.65
Female — Commissary
290.00
Balance in Hand for Support and
Maintenance
29,046.13
Total.
.$53,403.89
Total
$53,403.89
Total.
.$53,403.89
Total
$53,403.89
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94
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 4
Analysis Cash Receipts and Disbursements for Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers' Salaries
$
62,656.42
WAGES AND LABOR:
Medical Department
Stewards Department
Engineers Department
Farm and Garden Department
Dairy Department
x
$ 229i746.34
43,930.39
65,563.47
13,910.01
4,389.13—$ 357,630.34
FOOD SUPPLIES:
General Wards
Brantley Bldg., Dining- Room
Officers—Dining Rooms
$ 333.555.05
10,633.05
6,223.11—
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Incidentals
$
FARM AND GARDEN:
Fertilizers
Seed
Live Stock
Misc. Supplies and Repairs
Commercial Feeds
Board of Employees
Treating Hogs
Freight and Express
DAIRY:
Commercial Feeds
Misc. Supplies and Repairs
Freight and Express
Board of Employees
$
__
75,118.66
40.056.34
46.738.31
55,957.17
9,446.82
2.859.91
72.845.91—
303,023.12
8.156.75
3.289.12
1,600.00
3.468.69
1,283.76
2,763.00
272.15
438.00—
21,271.47
20,850.56
2,097.15
1,250.36
G6O.O0—
24,858.07
BALANCE IN HAND:
Treasurer
Steward
$
34,210.77
4,906.76
Total
Less Due Special Fund
$
39,117.53
3,958.75—
Grand total
350,411.21
35,158.78
$1,154,918.41
GEORGIA STATE SANITARIUM
95
EXHIBIT No. 4 (Continued)
Analysis Cash Receipts and Disbursements for Maintenance
RECEIPTS
BALANCE FROM 1925:
Treasurer
Steward
Total
Less Due Special Appropriation
Appropriation 1926—Regular
Appropriation 1925—Part regular
Fire Insurance Loss
MISCELLANEOUS:
Interest on Daily Balances
Vouchers—Returned
Board Officers and Employees
Wages—Refunded
Phones and Telegrams
Travel—Refund
Donations
$
$
55,062.52
13,083.54—$ 41,978.98
$1,100,000.00
.08
1,287.45—$1,101,287.53
$
SALES:
Store Supplies
$
Farm Products
Dairy Products
Drugs—Sundries, Etc.
Dental Materials and Supplies
Baskets, Rugs, Etc.
Scrap Iron, Barrels, Sacks, Rags
Soft Drinks, Tobacco and Confectioneries
Grand total
50,496.02
4,565.90
2,045.97
1,013.46
1,794.42
757.40
17.73
120.42
30.00—
5,779.40
2,589.58
242.10
134.41
46.53
109.55
908.75
1,551.58
29O.O0—
5,872.50
$1,154,918.41
EIGHTY-THIRD ANNUAL REPORT
96
EXHIBIT No. 5
Statement of Receipts and Disbursements Account
Special Appropriations
DISBURSEMENTS
Brantley
Building
Ammonia
Belting
Cement and Lime
163.20
Cork Insulation
Chloride-Calcium
Dining Room Equipment
603.23
Electrical Equipment
Furniture
1,206.90
Freight and Express
7.75
Housekeeping Supplies
105.34
Insurance Premiums
640.00
Kitchen Supplies and Equipment
109.30
Lumber
Musical Instruments
300.00
Machinery
Oils
Plumbing
Supplies
and
Equipment
062.31
Roofing Contract
Structural Steel
Steam Piping and Fittings.- 210.11
Sundries
Tiling
Vacuum Cleaner
70.00
Ventilators
Wages
Total
Balance in Hand
Grand Total
Balance from 1925
Ice and
Cold
Storage
Plant
$ 526.47
127.58
68.00
1.947.13
723.52
943.94
1,989.49
13,892.34
18.74
Total
$
526.47
107.58
233.20
1,947.13
723.52
603.23
943.94
1,206.90
7.75
105.34
640.00
109.30
1.9S9.49
300.00
13,892.34
18.74
30.87
3,085.79
969.82
864.50
374.49
210.11
157.38
16.90
70.00
30.87
3,085.79
$3,680.14
3,579.73
$25,444.65
379.02
$29,124.79
3,958.75
$7,259.87
$25,823.67
$33,083.54
$7,259.87
$ 5,823.67
$13,083.54
20,000.00
20,000.00
$25,823.67
$33,083.54
677.51
864.50
374.49
157.38
16.90
RECEIPTS.
Balance Due on 1925—Special
Appropriation
Total
$7,259.87
GEORGIA STATE SANITARIUM
97
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
DESCRIPTIVE
Inventory as of Jan 1st—
Purchases During Year:
Commercial Fertilizers _.
Commercial Feeds
Compost
.
Seed
Freight and Express
Feeds—Home Grown
Farm &
Garden
Dairy
Total
$ 32L385.66 $ 23,374.20 $ 55,759.86
7,395.00
1,283.76
3.006.00
3.289.12
438,00
2)1,062.78
1.250.36
10,000.00
7,395.00
22,346.54
3,006.00
3.289.12
1.688.36
10,000.00
Total
$ 47,797.54
Less Inventories as of December
31st, 1926
46,002.13
55,687.34 $103,484.88
Net Cost, Feed-Seed, Fertilizer, Etc, $ 1,795.41
Gross Profit for Year
72,371.58
33,172.14 $ 34,967.55
14,452.42 86,824.00
Total_
OPERATING EXPENSE:
Wages Employees
Misc. Supplies and Repairs.
Live stock
Treatment—Hogs
Board—Employes
Net Profit for Year
Total.
FURNISHED INSTITUTION:
Food Supplies
Dairy Feeds
Compost
Cash Sale—Supplies
ON HAND:
Misc. Farm Products
Live Stock
Vehicles and Implements
Total
22,515.20
68,517.33
$ 74,166.99 $ 47,624.56 $121,791.55
13.950.31
3,468.69
1.600.00
272.15
2.763.0O
50,317.13
4,511.58
2,097.15
660.00
7,183.69
18.461.89
5,565.84
1.600.00
272.15
3.423.00
57,501.12
72,371.58
14,452.42
86,824.00
$108,458.44
10,000.00
3,006.00
327.11
$28,490.50
35,260.20
4,766.63—$ 68,517.33
$190,308.88
98
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 6 (Continued)
Profit and Loss Statement, Farm, Garden and Dairy
Farm&
Garden
DESCRIPTIVE
Fruits and Vegetables ..
Packing House ProductsPoultry and Eggs
Dairy Products _ _
Dairy Feed
Compost _ .
Misc. Food Supplies __ .
Total
CASH SALES:
Live Stock _.
Misc. Farm Products ..
Empty Bags
Sundries
Total
Gross Profit Brought Down
Dairy
Total
$ 50,881.02
$50,881.02
10,603.95 $ 2,028.49 12,632.44
2,197.10
2,197.10
42,334.96 42,334.96
10,000.00
10,000.00
3,006.00
3,006.00
142.00
142.00
$ 73,824.07 $ 47,369.45 $121,193.52
$
72.00 $
270.92
111.00 $
128.56
15.55
183.00
270.92
128.56
15.55
? 74,166.99 $ 47,624.56 $121,791.55
$72,371.58 $ 14,452.42 $ 86,824.00
5 72,371.58 ¥ 14,452.42 $ 86,824.00
Investment as of Jan. 1st
Investment During Year .
Net Profit for Year
Total.
e KK 7J-Q 8fi
* 7704700
~™~Z~~™"~~ CT^m
-$190,308.88
EXHIBIT Nos. 7 AND 8
Comparative Statement Cash Expenditure, Years 1925-1926
General Administration. ..
Wages and Labor _
Pood Supplies . _
Clothing and Dry Goods—
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant —
Medical Supplies _.
Stationery and Postage
Dairy
- Incidentals & Contingencies
Amount
1926
Amount
1925
DESCRIPTIVE
$
58,915.67
328,323.57
344,560.55
68,186.79
47,619.89
46,562.37
37,357.73
11,061.50
2,289.62
19,845.86
26,937.65
60,354.82
$1,052,016.02
$
Increase
62,656.42
357,539.34
350,411.21
75,118.66
40,056.34
46,738.31
55,957.17
9,446.82
2,859.91
21,271.47
24,858.07
72,845.90
$
$1,119,759.62
$
Decrease
3,740.75
29,215.77
5,850.66
6,931.87
7,563.55
175.94
18,599.44
1,614.68
570.29
1,425.61
2,079.58
12,491.09
79,001.42
$
11,257.81
PerCapita Per Diem
$ 13.11
74.79
73.28
15.72
8.38
9.73
11.70
1.98
.59
4.45
5.19
15.24
$0.03.52
.20.49
.20.10
.04.32
.02.32
.02.66
.03.24
.00.55
.00.02
.01.22
.01.43
.04.28
$234.16
$0.64.15
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STATEMENT OF OPERATING FUNDS
December 31st, 1926.
Cash and Cash Items
Cash Deficit at End of Year.
Total-
——■-—■
_$54 151.94
I 29',916.20—$84,068.14
-$84,068.14
Due Special and Maintenance Funds
$24,363.76
DEMAND OBLIGATIONS:
Accounts payable
$22,783.02
Salaries and Wages
36,921.36— 59,704.38
Total
$84,068.14
100
EIGHTY-THIRD ANNUAL REPORT
EXHIBIT No. 9
Comparative Statement Per Capita and Per Diem Cost,
Years 1925-1926
Explanatory.
Total Cash Expenditure
Per Capita, Cost
Per Diem Cost
Average Number Patients
Increase Over 1925
1925
1906
$1,052,016.12
$1,119,759.62
229.14
234.16
J2JZ
.64.15
4591
4782
191
101
GEORGIA STATE SANITARIUM
SCHEDULE No. 1
Accounts Payable as of December 31st, 1926
NAME.
Allen Bona, Inc.
American Bakeries Co.
American District Steam Co.
Am. LaFrance Tire Engine Co.
American Railway Express Co.
Armour & Co.
Atlanta Blank Book Mfg. Co
Atlantic Broom Supply Co.
Atlanta Dental Mtg. Co
Babcock & Wilcox Mfg. Co.
Barrett, The. Co.
Beck & Gregg Hdw. Co.
Bell Dry Goods Co.
Bell Grocery Co.
Benson's Bakery
Bernd Co., G.
Block Company, Erank E.
Bothwell Webb Co.
Brantley, John T.
Bright-Brooks Lumber Co.
Brown Co., D. W.
Brown Shoe Company
Callaways Dept. Stores
Carr Company, A. J.
Carter Electric Company
Carter White Lead Company
Central of Ga. Railway Co.
Chicago White Lead & Oil Co.
Clark, R. E.
Coleman, Meadows, Pate Drug Company
Columbus Enquirer-Sun
Collins, W. H.
Conn, O. M., Agent
Conklin Tin Plate & Metal Co.
Crane Company
Cudahy Packing Co.
Culver & Kidd Drug Co.
Dean, Col. H. H.
Dunlap Hardware Co.
Estes Surgical Supply Co.
Ennis, J. H.
Evans, W. C.
Eay & Eagan Co., J. A.
Fisher Scientific Company
Eowler Elemister Coal Co.
Eraleys Pharmacy
Frederick Disinfectant Co.
Gambrell, P. H.
Georgia Railway Company
General Electric Company
Ga. Carolina Oil Company
Gilham Electric Co.
Debits
$
8.58
7.51
20.39
19.50
72.08
2.06
32.63
5.38
2.00
-43
1-82
37.50
2.11
Credits
$
14.00
6,500.00
31.60
2,889.98
4.96
32.77
1.83
27.00
197.92
536.05
52.00
68.71
21.60
10.50
12.50
9.00
72:55
260.20
27.26
418.52
175.00
26.58
6.00
149.61
172.45
123.78
3.00
25.00
2.67
869.72
748.00
7.79
56.30
790.55
.65
12.50
2.84
15.47
4021.56
102
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1926
NAME.
Gilman, J. M.
Gilman, W. P.
"
"
——
Graves Turner Mfg. Company"!" "
Graybar Electric Company
" ""
Gulf Refining Company
_'_ _
games, Jones & Cadbury Co.
Hall, Dr. T. M.
Halliburton Company, T H ~
Happ Brothers Co.
"
garriman Brothers Broom'Cora
Hatcher Hdw. Company _
Herf & Frerich Chemical "Co7i::
J. I. Halcomb Mfg Co
___
Ivan Allen Marshall Co """'
Irwin, J. D.
Ivey, O. E.
Ivey, W. H.
""""" "" """
Jaques & Tinsley Co"""""""
Jefferson Distilling & Denaturing
Lee N. Jordan
Kewanee Boiler Co
I"
Lester Book & Sta. Co"
Lmdsey, E. E. _
Lombard Iron Wk"s~~& Sup.~Co"
Long, O. C.
Lowe Electric Co H E
McArdle & Walsh
'
McKinley, G. C.
MeKennon Motor Co ~_I
Maconi Blue Print Company
Malt Diastase Company
:
Mathieson Alkali Works I
? h ws Gas
™ ii !i
Machine Co!
Milledgeville Lighting Co.
Mi edgeville Products Co.
Milledgeville Tel. & TeleeranlTrvT
P
Miller Rubber Company
Mines Safety Appliance Co
Montgomery, W H
National Biscuit Company
Newell, A. C
_ ____
New Orleans Broom "Mfg" Co"
Newton & Brother, C. E
Oconee Brick & Tile Co.'
Peeler Hdw. Company
Pierce, Butler & Pierce
Albert Pick & Co
Poland Soap Works
"
Prior Co., W F
Rawlings, Dr. William
Bay Lyon Company
Regal Equip. Co
Debits
,
M
L62
2M
^m
200.00
""
'70
■""
Credits
22.93
99.15
200.00
5.60
1.00
16 59
-
52
-56
3ae0
1010
1212
37.50
147.85
199.92
254.53
2.17
2.40
88.20
151.65
326.52
1,417.95
6.00
1.25
11.70
99.00
72.45
1.80
787.20
1.50
38.68
22.74
1,420.56
330.00
5 98
'
39.37
21.75
108.50
41.01
17>24
".06
„
.50
12ril
4.68
.50
154.50
56.25
34.78
128.88
210.00
15.00
24.00
103
GEORGIA STATE SANITARIUM
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1926
NAME.
Bic-Wil Company
Rich & Brothers, M.
Richmond Dry Goods Co.
Ridley Yates & Company
Riley Drug Co., J. B.
Richardson Mill. Co. O. N.
Robinson & Company, A. M.
Rosin & Turpentine Export Co.
Rossville Company
David Rothschild Company
Samuel & Bloom Broom Sup. Co.
Schlesinger Co., Harry L.
Schofleld's Sons, J. S.
Scribner's, Chas., Sons
Schwartz & Paul
Selig Company
Sherwin-Williams Company
Smith, L. D.
Smith, R G.
Solomon Company
Southern Belting Company
Standard Oil Company
Standard Extinguisher Co.
Stovall Daniel Co.
Swirt & Company
Thomas Company, Arthur H.
Union-Recorder
Van Range Co., John
Vaughan Company
Veal, O. F
Victor X-Ray Corporation
Wappler Electric Co.
Washburn-Crosby Mill Company
Ward, J. D.
West Disinfecting Company
West Lumber Company
Western Union Tel. Co.
Westinghouse E. & Mfg. Co.
Whitman Co., J. R.
Whitfleld Grocery Company
Wilson & Company
Wocher & Sons, Max
Wootten, R. H.
...
Wyeth, John, & Brother
Yates Tabor Company
Total
De
r
^t1s,
33.14
2.65
1.80
54.08
6.00
1.44
7.55
10.00
5.81
-19
1.58
.47
95.50
83.08
6.00
2.14
13.17
Credits
15.95
33.28
324.30
.94
59.00
61.82
135.57
2.16
1.40
42.00
92.33
102.00
643.05
10.46
27.50
1.77
54.00
7.00
6.44
9.00
15.38
12.50
549.47
247.48
1.96
1-55
18.00
106.70
$1,035.99 $23,819.01
104
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1926
NAME
Debits
Andrews, Eula C.
«■ o KQ
Allen, Dr. W. H.
* ,0^
Allen, W. K.
._.
25
Anderson, J. D.
_
"
iVg
Andrews, Kate
ZZZli'lZZl".
i 77
Austin, Jessie Lee
* _____ ~~" o 07
Ashurst, Sarah
_
'""
-,'1A
Beek, Bethel
_ """
,™
Braddoek, Mrs. Carrie
cnS
Beekum, Luoile
""
,Vn
Brantley, Mary Leon
" """
aoi
Brantley, C. C.
£%Z
Blaekwell, A. N.
H?
Bivins, Mrs. Homer .
_
"
YX
Bostwiek, Dr. W. A.
"
Ww
Bowen, Dr. U. S. _
\'™
Bradford, Dr. R. W
cc
Bell, Minnie
'
/S.$
Brooks, Mary
" "
fX£
4
Bailey, R. E. _
25
Bloodworth, J. G.
"'
'IX
Brookins, E.
——
.ov
Coxwell, Mrs. T. B
"
Jl
Cole, G. C. ...
"
■£?
Collins, N. A.
•£>
Grooms, R. H. .
Ai
Coats, Margaret _.
I
,'S
Cooper Marie _.
"
,»,
cox, Dr. c G. .___:::
tS
Collins, A. J. .
*■*
Champion, R. L.
~
%i
Durden, D. G.
~
■_"
Durden, Paul
•_£
Davis, John ___
/™
DeSaussure, T. H _ _
~
oSV
Dillard, Minnie __
S'Si
Dance, Maggie
" •
f^
5
Dunn, L. A. _
"
-™
Davis, J. R. ___ _
•*!
Echols, Dr. G. L. _
"
A%
l
Epps, R. S. ...
""
-%i
Edwards, B. D. __
„-°?
Ennis, O. M.
""_
fnn
Fowler, Dr. A. H
_H
Earrell, Rena
_
—— —
05
Gilman, E. G.
Y™
105
GEORGIA STATE SANITARIUM
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
Debits
NAME
Gilman, H. E.
Oilman, J. M.
Gilman, W. E. ..
Gladin, B. M.
Gilbert, Sarah
Garrard, Dr. J. I.
Green, Dr. George H.
Grantling, Theodore
Gore, J. I., Sr.
Giles, Liler
Happoldt, Nellie
Harper, Bertha
Herringdine, Gussie
Head, Eunice
Hudson, Charles
Hollis, Tom
Humphrey, Otis
Hawkins, A. J.
Huff, Robert
Holmes, Louise
Hitchcock, Jose
Hardy, Lula
Happoldt, Mildred
Harris, E. L.
Harrison, W. S.
Hattaway, G. W.
Horton, O. D.
Johnson, Eugene
Jones, H S.
Jackson, Lizzie
Jackson, Essie
Jones, Annie
Johnson, J. C.
Josey, J. E.
Kemp, Lucile
Kenny, Dr. C. B.
Layfleld, Lollie
Lindsey, E. E.
Leonard, Lila
Layfleld, B. L.
Leonard, E. A.
Lawson, E. L.
Landrum, Willie
Longino, Dr. L. P.
Louther, Bessie
Lavender, C. B.
-™
*•""
•*&
*•""
g-J£
f™
±-W
*•**:
•£>
?•«>
*-«"
0
-*
-^
^.IU
.
'
*•«£
•*"
l
-™'
-gV
•>■*>
j-Jg
J**
f-™
l-°°
5
-^
•■*?
•<£
• 6 -^
-6*
-40
*-£J
*•**
, 6^5°
-f
-f
6
-™
-«J
™l
3d
-^
•£"
-^
]-yi
!•?&
™
4.Ud
l
-^i
-55
106
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
NAME
Debits
MeCullar, Lillian
McKinley, A. C.
McDade, W. C.
Mason, Fannie
Milines, Lillian
McClain, Carrie ....
Mobley, Dr. J. W.
Moses, Ben
Moore, Lula
Martin, Trudie
Morlock, Anna
Murray, Agnes
McCorkle, Gladys ..
Pattishall, Jewel _.
Penuel, F. C.
Pattishall, Paul .
Polk, J. B.
Poss, Lucy
Patterson, W. E.
Preston, Patsie
Pinkston, Daisy
Beid, R. R
Ross, J. D.
."
9J
""
""' "
"
" "
" "
"
"
I
_ .
I
———
"
———
Reese, Matthew
" "
Resseau, E. C.
Rice, Alva
"
Ray, Scott
....
Rankin, Dr. D. T
Renfroe, Minnie
"
Swint, Dr. R. C.
Seals, Mrs. J. S. .._' .
Swann, Mary
Stembridge, W. W.
""
Stephenson, Dr. J. T.
Saye, Dr. E. B. _ ._
Seals, John ......
'_
"~~
Simpson, Roy
"" __' ""
Switzer, Alton
"
Smith, Eva ._...
Speights, Mary
"
Switzer, A. W. _
1
""
Sparks, Wm. ..
"'
Smith, J. R. ._
Simpson, W. I. .
Smith, J. T. „
Smith, Simon .
"
"
"
"
o'nn
,£,
0™
taa
jn£
JJ-jS?
zz
2°
'Li
"Z
-\\Z
2"XV
££j
a,
.f*
4
'J2
;fn
%-\i
A.U
</~
f-JS
h
H
.£}
'S
-*S
l°l
3.58
*™
,o„
H*
ll
iV
•*}
,7^
H2
I'™
L
™
™
-£V
•£*
/5
f%°
i'XX
5
-0O
-^
2.00
1*0
107
GEORGIA STATE SANITARIUM
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1926
NAME
State Anatomical Board
State Farm, Georgia
Turner, John
Tennille, A. S.
Tennille, W. K.
Thompson, J. M.
Thomas, Annie
Thornton, Emma
Trawick, Addie
Taylor, R. A.
Thornton, Bertha
United States Public Health Service
Usery, W. J.
Vinson, J. T.
Veal, Louise
Veal, Lillian
Veatch, C. N.
Wade, Susie
Watson, B. P. C.
Wright, Andrew
Wright, S. E.
Wright, S. E., Jr.
Wright, D. B.
Walker, Dr. N. P.
Walker, W. A.
Wheeler, Dr. G. A.
Yarbrough, Dr. Y. H.
Yarbrough, O. C.
Total
Debits
50.00
* 46-50
!-00
•£>
f.67
°.il
l-£*
2.31
4.14
-»5
,„„•$
150.69
-4o
-40
4.84
1-40
1-20
■&
1-50
2.45
1-00
1-09
-45
-74
2.00
2.00
6.31
2.67
$748.05
108
EIGHTY-THIRD ANNUAL REPORT
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FARM PRODUCTS:
1,000 tons Ensilage
71 bus. Peas
Value
$10,000 00
142.00—$10,142.00
FRUITS AND VEGETABLES:
6,229 bus. Rape
_
8,588 bus. Turnips and Greens—
262 bus. Spinach
3,005 hds. Lettuce
202 bus. Asparagus
905 bus. Onions
160 bus. Kale
43,982 hds. Cabbages
1,309 bus. Snap Beans
212 bus. English Peas
404 bus. Cucumbers
30 gal. Strawberries
31© bus. Beets
766 bus. Okra
2,043 bus. I. Potatoes
1,106 bus. Squash
254 bus. B. Beans
396 bus. Peanuts
26 bus. Pepper
390 bus. Egg Plant
3,447 bus. Sweet Potatoes
5,290 hds. Collards
"
56,139 Cantaloupes
1,195 crt. Tomatoes
16,555 Melons
75,661 R. Ears
I __
1,837 lbs. Pecans
"
311450
8*588*00
39300
15025
606*00
2 262 50
so 00
4 398 20
2618 00
'530.00
1,010.00
' 12 00
94500
1049 75
4,086*00
2,765.00
76200
733*00
7800
1170'00
3447 00
52900
2 806 95
4*78000
1,655*50
1576 27
'734*80—$30,881.0-2
PACKING HOUSE PRODUCTSs
ork
#$!
m - Dressed
£
*-■s23,316 lbs.
Beef
Total
.
DAIRY
101,743 gals.
262 gals.
684 lbs.
118 gals.
PRODUCTS:
Sweet Milk
Butter Milk
Butter
Cream
10 603 95
S ' '
2,028.49
~—;____■__
12r632.44
$41777 20
' 4715
273*60
237.00
Total
Poultry and Eggs
Compost
Total
Grand Total
49 00. q£
_.X*»M0
500600
?
5,203.10
$121,193.52
EIGHTY-FOURTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siaie Sanitarium
MILLEDGEVILLE, GA.
For the Year Ending
December Thirty-First
Nineteen Twenty-Seven
Board of Trustees
President
JOHN
T. BRANTLEY
Blackshear, Ga.
Vice-President
*H. H. DEAN
Gainesville, Ga.
THOS. M. HALL, M. D.(From Oct. 1927)Milledgeville, Ga.
Secretary
C. C. BRANTLEY
Valdosta, Ga.
E. E. LINDSEY
Rome, Ga.
J. C. JARNAGIN
Warrenton, Ga.
A. C. NEWELL
THOS.
Atlanta, Ga.
M. HALL M. D
Milledgeville, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
Macon, Ga.
M. D
C. PITNER, (From Sept., 1927)
*Deceased
Commerce, Ga.
Athens, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
J. C. Jarnigan
Thos. M. Hall
E. E. Lindsey, Chairman
A. C. Newell
C. C. Brantley
Finance and Auditing Committee
A. C. Newell, Chairman
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Dr. Thos. M. Hall, Chairman
Dr. Laetus Sanders
P. H. Gambrell
Committee on Buildings and Grounds
*H. H. Dean, Chairman
E. E. Lindsey
P. H. Gambrell
Committee on Farm and Outside Business
*H. H. Dean
*Deceased
J. C. Jarnagin, Chairman
Laetus Sanders, M. D.
Officers of the Sanitarium
R. C. Swint - Superintendent and Resident Physician
N. P. Walker, M. D. - - - - - Clinical Director
L. P. Longino, M. D. - - First Assistant Physician
Y. H. Yarbrough M. D. - - Second Assistant Phsician
J. I. Garrard, M. D. - - - - - Assistant Physician
Geo. L. Echols, M. D. - Assistant Physician
D. T. Rankin, M. D.
Assistant Physician
U. S. Bowen, M. D.
Assistant Physician
C. G. Cox, M. D.
Assistant Physician
R. W. Bradford, M. D. - - - - Assistant Physician
W. A. Bostick, M. D. - - - - Assistant Physician
J. W. Mobley, M. D. - - - - Assistant Physician
W. F. Dobyns, M. D. - - Junior Assistant Physician
A. H. Fowler, M. D. - - -Junior Assistant Physician
E. B. Saye, M. D. - - Pathologist
J. D. Wiley, M. D. -------- . Interne
G. H. Green, D. D. S.
Dentist
J. C. Adcock, D. D. S. ------- - Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N. - Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure --------- Engineer
W. S. Jett, Jr.
- - Assistant Engineer
F. C. Penuel
Farm Steward
H. S. Jones
Secretary
Arthur Farell
Storekeeper
W. W. Stembridge
----- Sanitation Officer
Rev. H. D. Warnock -------- Chaplain
Leone Frederickson
Dietitian
Mrs. Geo. L. Echols (From Nov. 1st, 1927) - Dietitian
Cecil Humphrey (From Nov. 1st, 1927) - Social Worker
Eighty-Fourth Annual Report
OF THE
BOARD OF TRUSTEES OF THE GEORGIA STATE SANITARIUM
MlLLEDGEVlLLE, GA., JANUARY 1, 1928.
To His Excellency, Lamartine G. Hardman, Governor.
SIR:
The annual report required by law to be made by
the Board of Trustees of the Georgia State Sanitarium
of the conduct and management of this institution is respectfully submitted herewith. It covers the year ended
December 31, 1927, and is the eighty-fourth report to be
so made. Its principal feature is the annual report to
the Board of the Superintendent and Resident Physician,
in which is included like reports to him from the heads
of departments, the whole setting out the work of the
year in substantial detail. For the excellent showing
made, due credit goes to this officer and his assistants.
With a clear vision of the Sanitarium as it might be, he
presses on with modest courage and calm judgment to
the conversion of his vision into terms of fact, in which
effort he has the loyal support of each member of the
medical and business staffs. This fine spirit is reflected
in the service rendered by nurses and attendants, as well
as 'by other employes.
In this forward movement
the Board assumes its full share, seeking by all means
in its power to make the Sanitarium a real sanctuary for
the insane. The State has just cause for pride in this great
hospital.
The year closed with a resident population of 4,936,
which is an increase of 83 over the preceding year. The
daily average of 4,931 shows a gain of 149 patients. Applications for admission reached a total of 1503 and of
these 1221 were admitted. Because of the congested
condition of the Sanitarium, admission was necessarily
denied to all cases deemed incurable and harmless, but
every effort was made to receive recent and acute cases
and cases certified as dangerous.
EIGHTY-FOURTH ANNUAL REPORT
Medical Department
The Board calls attention to the hopeful note found
in the report from the medical department which, under
the leadership of the Clinical Director, is slowly but
steadily growing in usefulness. Evidences of good team
work are abundant. Through personal instruction and
by means of informing bulletins issued monthly, faithful effort is made to give nurses and attendants a clear
conception of the nature of their work and its importance to the patients in their care. Through the intelligent and personal interest thus created, much good has
been accomplished, especially with excited and untidy
patients. A new beginning in behalf of epileptic patients
will be noted.. The rate of recovery shows an increase,
while the death rate has been lowered. The pathological
laboratory plays its useful part, as twelve thousand examinations in the year attests. The daily clinics indicate the thoroughness of the effort made to reach a correct
diagnosis and determine proper treatment for each of the
new admissions.
The training school for nurses reflects increasing
credit on the Superintendent of Nurses by whom it is
conducted and continues to amply justify its existance.
Apart from the marked betterment of the nursing service,
for which it takes credit, it attracts to the Sanitarium an
ample supply of higher grade applicants for training. No
investment in recent years is paying such large dividends
in bettered and happier service as is the nurses' home.
The Board hopes the time is not far distant when some
like provision can be made for the attendants.
The mental clinics conducted by members of the
medical staff at Macon and Elberton and the success
which has attended them point to a field of usefulness
which the Sanitarium should be permitted to fully develop. It should also be permitted to give its discharged
patients some after care, for which trained field agents
will be needed.
Business Department
The current cash resources of the Sanitarium at the
close of the year were $55,470.52 and its cash liabilities
$84,927.97, making an apparent cash deficit of $32,457.45.
A partial offset to this is had in the purchase by the
GEORGIA STATE SANITARIUM
Board of an improved automatic hook and ladder truck
with which to better safeguard the lives of the inmates,
and of 322.63 acres of additional pasturage land. The
cost of these two items was $16,436.16 and is properly
charged to equipment account. The total cash expenditures were $1,107,334.22, a decrease of $12,425.40 from
the expenditures in 1926. The per capita cost was
$224.57, a decrease of $9.59 from the cost last year. The
per diem per capita cost was but $0.6152. This is a
gratifying showing and evidences the good work of the
business department.
The farm gardens and dairy were so handled as to
make their usual substantial contribution to the support
of the Sanitarium. The dairy sustained a heavy loss in
the necessary disposal of a large number of its best milch
cows because of tubercular infection. Their replacement
will be undertaken only after a thorough disinfection has
been had and will be a matter of heavy expense.
Engineering Department
The upkeep of the great physical plant is the duty
of the Engineer's department and his report shows a
busy year.
The long and highly useful service rendered by this official is eloquent testimony to his worth.
The addition to the water works made possible by
special appropriation had by the last General Assembly
will be done with Sanitarium labor under his capable
supervision. The pipe for the duplicate water main has
been bought at an advantageous price and is now being
delivered. The completion of this important work will
safeguard the water supply for years to come.
New Buildings
The special appropriation of $500,000.00 had by
the last General Assembly will afford the Sanatarium
some measure of relief and its wise expenditure is now
receiving the careful study of the Board. Plans have
already been adopted for a domitory building for negro
patients and bids are being solicited for its construction.
It will be completed and occupied as quickly as possible.
This building together with the proposed enlargement
of the colony farm, will care for the present needs of this
department. The second building to be errected will
EIGHTY-FOURTH ANNUAL REPORT
be used for a psychopathic and general hospital. Its
use will permit the gathering under one roof of recent
and acute cases for closer observation and better attention. The physically ill will also be housed in this building. Good results are confidently expected to follow this
long needed addition to the equipment of the Sanitarium.
In Conclusion
The Board makes grateful acknowledgement of the
generous treatment accorded the Sanitarium joy the
General Assembly and also of the continued courtesy of
the State Auditor. A like acknowledgement is made to
his Excellency for the strong and interested support
given it in the discharge of its responsible duties. If its
acts therein shall merit his approval, it will be sufficiently
rewarded. The helpful interest shown by the press in
the problems crowding upon it for solution is warmly
appreciated and now publicly acknowledged.
By order of the Board
JOHN
T. BRANTLEY,
President.
C. C. BRANTLEY,
Secretary,
GEORGIA STATE SANITARIUM
Report of Superintendent
MlLLEDGEVILLE, GA., JANUARY 1, 1928
The Hon. Board of Trustees,
Georgia State Sanitarium,
Milledgeville, Ga.
GENTLEMEN :
In accordance with your rules and statutory requirements, I respectfully submit the eighty-fourth annual
report of the Georgia State Sanitarium for the fiscal year
ending, December 31st, 1927.
This report composes the reports of the heads of
departments, each giving a general review of the activities of the institution throughout the year and are appended hereto as follows:
The Clinical Director,
The Pathologist,
The Dental Department,
The Superintendent of Nurses,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
Table of General Information
1. Date of opening as an institution for
the insane
Oct. 12, 1842
2. Type of institution
State
3. Hospital plant:
Real estate including buildings
$1,885,750.00
Personal property
350,452.00
Total
$2,236,202.00
Total acreage of hospital property owned
(Includes grounds occupied by buildings,
farm and garden sites)
Total acreage under cultivation previous year
3,772
1,500
10
EIGHTY-FOURTH ANNUAL REPORT
4. Officers and employes actually in service at the
end of the year:
Males Females Total
Superintendent
10
1
Clinical Directors
10
1
Pathologist
10
1
Assistant Physicians
12
0
12
Medical Internes
_.... 2
0
2
Clinical Assistants —
0
0
0
Resident Dentist
2
0
2
Steward
10
1
Graduate Nurses
1
13
14
Other nurses and attendants. 220
300
520
All other officers and employes....186
7
193
Total Officers and employes
427
320
747
General Statistics of Patient Population for the Year 1927
Patients on books first day of
year:
Male Female Total
Actual resident population
2,189
2,659
4,848
On parole or otherwise absent
but still on books
323
323
646
Total
Admitted during year:
First admissions
Readmissions
2,512
Male
501
119
2,982
Female
466
135
5,492
Total
967
254
Total received during the year.... 620
Total on books during the year.... 3,132
Discharged during the year:
Male
As Recovered
75
As improved
134
As unimproved
62
As without psychosis
'."
8
601
3,583
Female
89
150
45
6
1,221
6,715
Total
164
284
107
14
Total discharged during the year
Total died during the year
279
236
290
198
569
434
Total discharged and died during
the year
515
488
1.003
GEORGIA STATE SANITARIUM
Patients on books last day of year:
Actual resident population
2,248
On parole or otherwise absent.... 373
2,688
403
11
4,936
776
Total
2,621
3,091
5,712
Average daily resident population
during the year
4,931
During the year we received 1,503 applications for ad(mission. Of this number, 1,353 were notified that we
would receive them and 150 were refused on account of
the greatly overcrowded condition of the institution. The
150 applications for admission that were refused, according to their application histories, were composed of
harmless seniles, bedridden invalids and feebleminded
persons who were incurable and it seemed might be successfully cared for outside of the Sanitarium with some
extra attention.
We hope, by the end of another year, to have completed at least one of the buildings we plan for relief of
the Sanitarium's overcrowded condition.
The total first admissions during the year were 967;
an increase of 13 over the previous year. There were
254 readmissions compared to 228 the previous year, or
an increase of 28. The total admissions during the year
were 1221; compared to 1180 the previous year, an increase of 31.
The term, first admissions, applies to those cases
that have never before been admitted to a hospital for
mental diseases for treatment. Therefore, the number
of cases in this group represents the new cases of mental
disease occurring within the State during the year with
the exception noted below.
Readmissions comprises the group of cases who
have previously received treatment in a mental hospital;
either state or private. Not all of this group have had
previous admissions to this institution.
32.1% of the total admissions during the year
were diagnostically grouped as manic depressive psychoses. Dementia praecox psychoses composed the next
largest grouping, viz:—17.4% of the total admissions
Psychoses with cerebral arteriosclerosis composed the
third largest grouping, or 9.6% of the total admissions.
12
EIGHTY-FOURTH ANNUAL REPORT
It might be of interest to note that 32.4 Jo of the
total admissions were afflicted with organic or degenerative psychoses and were incurable. This does not include the group of cases diagnosed as dementia praecox
psychoses. It also should be of interest to note that of
the total admissions only 23 were diagnosed as alcoholic
psychoses and 9 as psychoses due to drugs, compared to 17
and 24 respectively for the previous year. It should be of
further interest to note that of 1,225 routine blood wassermann tests on new admissions, 117 or 9.5% were positive;
according to race and sex as follows:—White females
2.8%, white males 6.3%, colored females 16.9% and colored males 18.8%. A total average of 9.5%.
Also of the 117 positive blood wassermann reactions, 83 or 70.9% had positive wassermann reaction of
the spinal fluid and other serological indications of neurosyphilis. Of the 83 neurosyphilitic cases, 6 were white
females, 26 white males, 15 colored females and 36 colored males. A more detailed analysis of these findings
will be found in the report of the Pathologist.
1,100 of the 1,221 patients admitted during the year
were native Georgians; 113 were born in other States
of the United States, and only 8 were foreign born. Admissions were received from 156 Counties of the State.
217 of the admissions were farmers, 120 were laborers,
263 housekeepers, 20 cooks, 20 textile workers, 12 had
professions and 355 had no occupations according to admission histories. The occupations of the remainder
were varied and among the group were 13 students.
A total of 569 patients were discharged during the
year. Of this number, 164 were restored, 284 improved,
108 unimproved and 14 not insane. This group of cases,
except the not insane, had previously been furloughed
into the custody of their relatives and had remained out
of the Sanitarium over twelve months.
During the year, 974 patients were furloughed. Of
this group, 197 were restored, 571 improved and 206
unimproved; although we considered them harmless in
the custody of their relatives. On account of the greatly
overcrowded condition of the Sanitarium, we were rather
liberal in granting furloughs during the year to certain
chronic unimproved cases, in order to make room for
GEORGIA STATE SANITARIUM
13
more urgent acute cases who were applying for admission, and this, in a measure, is responsible for the increase in the number of patients furloughed, but at the
same time, an analysis of the records show that 62.8%
of cases furloughed were restored or improved, compared to 51.9% for the similar group the previous year.
Therefore, we feel gratified that results indicate due
credit should be given the medical and nursing service
rendered; especially when the Sanitarium's greatly overcrowded condition is considered.
The following notation on psychiatric diagnostic
grouping with recorded mental condition of patients furloughed should be of interest:
Traumatic psychoses—improved
1
Senile psychosis—improved
5
Senile psychosis—unimproved
1
Psychoses with cerebral arteriosclerosis—restored .... 2
Psychoses with cerebral arteriosclerosis—improved.— 25
General paralysis of the insane—improved
18
General paralysis of the insane—unimproved
3
Psychoses with cerebral syphilis—restored
2
Psychoses with cerebral syphilis—improved
4
Psychoses with Huntington's Chorea—unimproved.... 2
Psychoses with other brain and nervous disease
—improved
5
Psychoses with other brain and nervous disease
—unimproved
11
Psychoses due to alcohol—restored
15
Psychoses' due to alcohol—improved
8
Psychoses due to drugs—restored
13
Psychoses due to drugs—improved
2
Psychoses with pellagra—restored
11
Psychoses with pellagra—improved
8
Psychoses with pellagra—unimproved
1
Psychoses with other somatic disease—restored
3
Psychoses with other somatic disease—improved .... 8
Psychoses with other somatic disease—unimproved 1
Manic depressive psychoses—restored
Ill
Manic depressive psychoses—improved
237
Manic depressive psychoses—unimproved
38
Dementia praecox psychoses—restored
5
Dementia praecox psychosjes—improved
136
Dementia praecox psychoses—unimproved
52
Paranoid condition—improved
1
14
EIGHTY-FOURTH ANNUAL REPORT
Psychoses with epilepsy—unimproved
22
Psychoses with epilepsy—improved
12
Psychoneuroses—restored
4
Psychoneuroses—improved
14
Psychoneuroses—unimproved
4
Psychoses with psychopathic personality
(episodes) res'td
4
Psychoses with psychopathic personality
(episodes)—improved
8
Psychoses with psychopathic personality
(episodes)—unimproved
3
Psychoses with mental deficiency (episodes)
—restored
5
Psychoses with mental deficiency (episodes)
—improved
32
Psychoses with mental deficiency (episodes)
—unimproved
28
Unclassified group—restored
22
Unclassified group—improved
57
Unclassified group—unimproved
23
Just here it might be well to state that on account
of inadequate information concerning onset of mental
disorder and absence of definite and distinctive symptoms for grouping under one of the previous groups mentioned above, certain patients are left unclassified at
least temporarily until further observation and progress
of the case.
There were 434 deaths during the year; an increase
of 2 compared to the previous year, but the death rate
was 7.1% compared to 7.4% for the previous year, based
on the total number of patients under treatment.
Medical Service
The report of the Clinical Director gives a general
review of the medical service for the year, also statistical tables containing data concerning diagnostic grouping of admissions; also ages, degree of education, environment, civil condition, etc., of first admissions. A statistical study of first admissions gives important information bearing on the social and economic problems concerning the genesis of mental diseases.
It might be of interest to note that the Sanitarium
has six reception wards for reception of all new admis-
GEORGIA STATE SANITARIUM
15
sions, viz;—two for white females, two for white males,
one for colored females and one for colored males. When
patients are first admitted to the institution, they are
received in one of these wards where they are kept under close observation and a physical and mental examination is made of them. When this examination is completely written and an abstract or summary of it made,
the patient is presented before the Medical Staff for review and discussion. This requires daily Staff meetings
except on Sundays. Also many cases are brought before
the Staff for discharge consideration.
During the year a group of epileptics were segregated for Ketogenic treatment by administration of a fat
diet. This treatment is being continued and results
noted, but we have not yet reached any conclusion as to
its merit; also we continued the research treatment of
general paralysis of the insane by the intravenous administration of typhoid vaccine. The results obtained
warrant a continued study of this method of treatment,
and our experience would indicate its merit equal to or
superior to the malarial treatment of this fatal disease.
No epidemic diseases of any consequence developed
among the patients during the year.
Dr. G. A. Wheeler of the United States Public Health
Service, under the direction of Dr. Joseph Goldberger of
Washington, D. C, continued their research study of pellagra. This study dealt largely with the prevention of
the disease through the use of certain food supplements
to the basic diet, and the application of this, as well as
previously acquired information, to the routine care and
treatment of active cases. It was shown that 1200 C. C.
per day of expressed juice of canned tomatoes used as a
supplement to routine diet will prevent a recurrence
among pellagrins. Also 150 grams (about 5 ounces) of
commercial wheat germ, when used as a supplement and
served as a cooked cereal, will successfully prevent recurrences. These workers have published their findings,
ana have recommended that tomatoes and whole wheat
flour be included in the dietary of those living in sections where pellagra seems endemic.
Some changes occurred in the Medical Staff during
the year. Internes, Drs. J. T. Stephenson and C. B. Kinney resigned to enter general practice and Drs. W. E.
16
EIGHTY-FOURTH ANNUAL REPORT
Brigman and J. D. Wiley were secured to fill their vacancies. Drs. W. F. Dobyns and A. H. Fowler were promoted from Internes to Junior Assistant Physicians and
Dr. W. A. Bostick was promoted from Junior Assistant
Physician to Assistant Physician. During the early part
of the year we secured the services of Miss Leona C.
Frederickson of the United States Marine Hospital, Baltimore, Md., as dietian and Mrs. G. L. Echols was elected an additional dietitian in October. Also, beginning
September 1st, the services of Miss Cecile Humphrey
was secured as psychiatric social worker.
The Training School for Nurses, under the direction of Mrs. Mae M. Jones, was kept at its usual standard of excellence and her report gives a review of its
activities, curriculum, etc.
The Sanitarium's extra mural activities were limited
to the Macon and Elberton psychiatric clinics, and a report of them is incorporated in the Clinical Director's
report. Plans have been made to allow a member of our
Staff make regular visits to the Boys Training School;
also we have under consideration the establishment of
Clinics at Columbus and Savannah, Ga.
The work of the Dental Department was done by
Drs. Geo. H. Green and J. C. Adcock as previously. All
new admissions had their mouths examined soon after
admission, and immediate steps taken to put them in a
hygenic condition. The report of these Dentists gives
a tabulation of the amount and character of work done
in this department.
Amusements aud Diversions
Realizing from past experience that Occupational
Therapy was a valuable aid in the treatment of mental
disease, we endeavored during the year to interest new
admissions as soon after admission as practicable by
sending them daily to Occupational Therapy classes. We
expanded this activity in white female department by fixing up one of the day porticos between the 18th and 22nd
wards, so that some of the more chronic type of cases
could be reached. Also wood work shop was completed
at white male occupation park and equipped with modern electrical machinery.
GEORGIA STATE SANITARIUM
17
The weekly dances in the amusement hall seem to
be greatly enjoyed by the patients; also the moving picture shows.
We now have a fire-proof room for our moving picture machine, built of brick and cement on the outside
of the west wall of amusement hall.
The Sanitariujm Band gave concerts on the lawns
tri-weekly. During the summer barbecues were given
the various working groups and during the Christmas
season, Christmas trees were held and presents were
put on the trees for each patient of the groups represented, and delivered to them after an amusement program was completed with each tree.
Religious services were held each Sunday afternoon
in the chapel by the Chaplain, Rev. H. D. Warnock, Pastor, First Baptist Church, Milledgeville, Ga., until November 1st, and from that date by Rev. J. F. Yarbrough,
pastor, First Methodist Church, Milledgeville, Ga. They
also conducted funerals of remains of white patients interred in the Sanitarium cemetery.
Improvements and Repairs
The report of the Engineer gives a detailed review
of the principal improvements and repairs made during
the year.
The purchase of an American Lafranc Aerial Ladder Truck during the latter part of the year gave us
quite an addition to our fire department.
A badly needed addition of three rooms to the laboratory is under construction and will soon be completed.
More than ten thousand square feet of new flooring
have been laid on the wards during the year, and considerably more repairs are needed that we hope to have
accomplished the coming year.
Reconditioning of buildings at dry dairy for stables
is well under way and plans for removal of work shop
from back yard of Powell Building have been made.
The completion of pasteurizing room adjoining the
cold storage plant and the installation of a three hundred gallon milk pasteurizer therein gave us a very useful equipment.
18
EIGHTY-FOURTH ANNUAL REPORT
Business Department
The report of the Steward gives a detailed account
of receipts and disbursements of monies during the year.
The total amount expended, including every item of cost
for maintenance and upkeep of the institution was
$1,107,334.22 compared to 1,119,759.62 the previous year.
The annualper capita cost was $224.57; daily per
capita cost .6153 cents compared to $234.16 and .6415
cents respectively. The above figures bespeak economy
in financial matters thoughout the year.
Farm Steward's Department
The Farm Steward's report gives a tabulation of
vegetables and other products raised on the farm, garden, dairy and poultry yard during the year.
The Colony farm made a fine crop of corn and peas;
the largest harvest of corn ever made there. We were
taxed for storage space. We also had an abundant harvest of sweet potatoes. We had the misfortune; however, to lose many of our best dairy cows from tubercular
infection; also many hogs from swine plague and cholera,
although they had received preventive inoculations
against cholera by representative from State Veterinarian's office.
Notable Events During the Year
April 20th and 21st.
The Sanitarium was visited by Governor elect, Dr.
L. G. Hardman.
August 25th.
The Sanitarium was visited by the Georgia Weekly
Press Association and they were given a barbecue
at the white male occupation park.
October 19th and 20th.
The Sanitarium was visited by His Excellency Governor L. G. Hardman and Mrs. Hardman.
GEORGIA STATE SANITARIUM
19
Conclusion
In conclusion, I wish to express my cordial appreciation to the many friends of the institution for their
words of encouragement and thoughtful donations to patients. To your Honorable Body, I wish to extend my
thanks for the cordial support you gave me and the constant interest you have devoted to the welfare of the institution, and to the Medical Staff, other officers and employes, I wish to extend my grateful acknowledgement
for their loyal co-operation and faithfulness in the performance of their duties; without which the successful
results of the year could not have been obtained.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
EIGHTY-FOURTH ANNUAL REPORT
20
Report of Medical Department
JANUARY
DR.
1, 1928
R. C. SWINT,
Superintendent.
DEAR SIR:
The following pages contain the report of the Medical Department for the year 1927.
Twelve hundred and twenty-one (1221) patients
were received. Of these nine hundred and sixty-five
(965) were first admissions and two hundred and fiftysix (256) were readmissions. Of the latter sixty-seven
(67) were first admitted to private hospitals or other
state institutions.
In eleven (11) instances a diagnosis of not insane
was made. Two of these were placed in psychopathic
group, one was mentally deficient, one was an alcoholic,
one a drug habitue, one epileptic and three were criminals. The remaining two could not be classified as insane for lack of symptoms.
In the case of ten patients, criminal acts appeared to
have been the immediate cause of commitment. Three
of these were found to be not insane, two were classified
as manic depressive, one as psychosis with epilepsy and
four were left unclassified. Of the last group one patient,
charged with homicide, was in the last stage of tuberculosis when received and died seven days after admission,
one was feeble minded and the remaining two belonged
to the psychopathic group.
The criminal charges were as follows:
Stealing
Forgery
Homicide
Felony, not specified
-
-
-
4
3
2
1
Seven of these ten patients were sent by order of
the court.
GEORGIA STATE SANITARIUM
21
Nine hundred and eighty-eight (988) patients left
the institution on furlough. (This does not include a
number of patients who had their furloughs renewed or
who were returned a short while after escaping.) Of
these furloughs seven hundred and sixty-eight (768) had
been restored or had improved. This gave a recovery
rate of 62.8% as against 51.1% for 1926 and 57% for
1925.
There were four hundred and thirty-four (434)
deaths during the year. The death rate was 6.8% as
against 7.4% for 1926 and 7.% for 1925. Arteriosclerosis or cerebral hemorrhage was the assigned cause of
death in one hundred and nine (109) instances. This
constituted 25% of the deaths. As a cause of death paresis was second with fifty-nine (59) and tuberculosis third
with fifty-eight (58). Five patients committed suicide,
all by strangulation. This is unusual. Three patients
who were extremely sick with typhoid at time of admission died of that disease. One patient died of hook worm
disease twenty-two (22) days after admission. One
hundred and fifty-three (153) patients died within six
months after they were admitted. Fifty-four (54) of
these died within one month of the date of admission.
All patients, with the exception of the sick and feeble
were vaccinated against typhoid fever.
During the year forty-three (43) patients suffering
from paresis were treated by the use of foreign protein
(typhoid vaccine). In addition, the treatment was begun but not completed in six other cases. It is not yet
possible to determine the value of this form of treatment
as insufficient time has elapsed. These were not selected
cases except for the fact that in two or three instances the
patients were so feeble that it was not thought wise to
subject them to treatment. It seems probable that much
better results will be had with white than with colored
patients. Very satisfactory results were obtained in fifteen cases treated in 1926 by the same method. It has
been remarked before that paresis among the colored
males is either much more rapidly fatal than it is among
white males or else the disease in the colored patients is
much further advanced when they are received.
In the latter nine months of the year some epileptics
were treated by dietary means but no results of consequence have been noted up to this time.
22
EIGHTY-FOURTH ANNUAL REPORT
Personal contact with patients has been emphasized
as a means of treatment and no doubt this has played a
part in such success as has come to the Medical Service.
The influence of special attention to excited and untidy
patients has been as evident as in former years.
Details of; the work done in the laboratory will be
found in the report of the pathologist. The fact that
more than twelve thousand (12,000) examinations were
made in the laboratory indicates the amount of work
done in that department. The laboratory is an indispensable part of the Medical Service.
The training school for nurses has, as in former
years, continued to fulfill its place of usefulness in the
institution. Its graduates are filling many positions of
responsibility with credit to themselves and to the institution.
The Macon Clinic was held each Friday afternoon
with exception of one afternoon when offices were closed
on account of legal holiday. A total of one hundred and
sixty-three (163) patients paid five hundred and four
(504) calls at the headquarters. Telephone calls to the
number of one hundred and fifty-seven (157) were received from or concerning patients. The popularity of
this work has gradually gained since its inception eight
years ago.
The monthly school clinic held at Elberton has also
been productive of good and has attracted some attention. A total of one hundred and eighty-nine (189) visits
were paid to this clinic. In addition to this the attending physician received a number of calls in the vicinity
in regard to frank psychoses in adults. These two extramural clinics bring us into contact with only a very
small portion of the states population but serve as indicators of what might be accomplished.
Miss Cecile Humphrey, B. S. (Health) began work
September first as Social Worker. Up to the present
her time has been spent on the wards where she is acauirinc n first hand knowledge of abnormal psychology
and etiology of mental diseases. She has also been active in directing plays, games and other forms of intertainment. Miss Humphrey is well qualified for her
work by reason of native ability and disposition and by
GEORGIA STATE SANITARIUM
23
reasons of studies in physical education, educational psychology and mental hygiene, social policy in education,
mental tests and measures and vocational guidance. We
are in much need of work in these lines.
Some needed improvements in the Medical Department have been recommended from time to time in
monthly reports and are a matter of record.
Due acknowledgement is here made to all who have
assisted in the Medical work.
The customary tabulations follow.
Respectfully submitted,
N. P. WALKER,
Clinical Director.
24
EIGHTY-FOURTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1927.
Psychosis.
White
M. | U\
Traumatic
0
2
Senile
4 15
With cerebral arterio-sclez-osis
bj
13
.General paralysis of the insane
24
5
With cerebral syphilis
2
1
With Huntingdon's chorea
0
1
With brain tumor
0
1
With other brain and nervous diseases
8
6
Due to alcohol
IS
1
Due to drugs
5
4
With pellagra
8 14
With somatic disease
5
5
Manic depressive
109 126
Dementia praecox
63 74
Paranoia or paranoid condition
0
0
With epilepsy
24 18
Psychoneuroses or neuroses
7 11
With constitutional psychopathic
inferiority
7
With mental deficiency
28
Unclassified
16
Not insane
2
Mental deficiency, no psychosis
2
Constitutional psychopathic inferiority,
2
no psychosis
Alcoholism, no psychosis
1
Drug habitue, no psychosis
0
Epilepsy, no psychosis
0
TOTAL
Colored |
M. I f. I Total
1
1
36
33
0
0
1
1
3
0
1
0
79
16
0
20
0
0
3
8 28
10 118
13 75
2
5
0
1
0
2
1 16
1 23
0
9
4 27
4 14
79 393
60 213
0
0
6 68
0 16
2
15
15
0
0
C I 13
7 | 67
35 I 116
II 5
0 I 2
0
0
0
0
396 369 224 232 1221
GEORGIA STATE SANITARIUM
25
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1927.
Psychosis.
White
M.
Traumatic
Senile
with cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chores
With brain tumor
With other brain and nervous diseases..
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
Constitutional psychopathic inferiority,
no psychosis
Alcoholism, no psychosis
Drug habitue, no psychosis
Epilepsy, no psychosis
TOTAL
Colored
F.
M.
F.
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
1
1
35
32
0
0
1
1
2
0
1
0
64
10
0
20
0
0
2
7 27
9 109
13 73
1
3
0
1
0
2
1 15
1 16
0
4
4 27
4 13
62 272
53 150
0
0
5 59
0 15
5
22
13
2
1
4
14
42
2
0
2
12
14
0
0
0 11
6 54
32 101
1
5
0
1
2
1
0
0
0
0
1
0
0
0
0
0
0
0
0
1
Total
2
1
1
1
305 |264
264 196 200 965
26
EIGHTY-FOURTH ANNUAL REPORT
TABLE III
Diagnostic Grouping of Re-admissions During the Year 1927
Psychosis.
White
M. IF.
Colored
M. | F.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
;
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
1
0
6
1
1
0
0
1
6
3
0
0
35
20
0
4
1
0
0
1
0
0
0
0
0
0
2
0
1
54
30
0
4
2
0
0
1
1
0
0
0
0
1
0
0
0
15
6
0
0
0
2
6
3
0
1
0
3
8
0
0
0
3
1
0
0
TOTAL
91 105
28
Total
1
0
1
1
1
9
2
0
1
2
0
0
0
0
1
0
0
7
0
5
0
0
0
1
17 121
7 63
0
0
1
9
0
3
0
1
3
0
0
2
13
15
0
1
32 256
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1927.
WHITE
COLORED
i
Male
female
Male
Female
R\ I |U S|R I lU
■Rl I IUIS Rl I U
Total
Traumatic
0| 1| 0
0
0
0| 0
1
Senile
0| 31 0
0
0| 0
0
6
With cerebral arterio-sclerosis
0! 16| 9
1
01 5
1
43
General paralysis of the insane
0
2
21
With cerebral syphilis
n
1
6
Huntington's chorea
0
0
2
With brain tumor
0
0
0
With other brain and nervous diseases
0
0
16
Due to alcohol
1
1
23
Due to drugs
4
0
15
With pellagra
2
3
20
With somatic disease
1
12
1
Manic depressive
35[ 67
43
1|41
46
386
Dementia praecox
2| 46
0
0
32 61 0 183
Paranoid or paranoid condition
0
0
0
0 0| 0
1
With epilepsy
0
0
0
3 2 0 34
Psychoneuroses or neuroses
0
0
4
0 0| 0 22
With constitutional psychopathic inferiority
1
0
3
0 0 0 15
With mental deficiency
1 13|141
3
0
1
5 31 0
65
Unclassified
11 141 5|
01 6 11 2| 0 102
5
0| 6
Not insane
0'
0| 01 0| 0| 0 0 01 1
01 01 0|
6
Drug addict, no psychosis
0'
01 0| 0| 01 0
0 0! 0
01 01 0|
1
Alcoholism, no psychosis
0| 01 01 0| 0 0 0| 0
01
1
01 01 0|
Epilepsy, no psychosis
01 01 0|
01 01 0| 0| 0 0 01 1
01
1
Mental deficiency, no psychosis
0 01 1
0| 01 01 0| 0
01 01 0
01 0| 0|
Constitutional psychopathic inferiority, no psychosis
0! 01 0
0| 0| 0| 0| 0 0! 01 0
3
01 0| 0|
-I
TOTAL
801209164! 9 66|185|89
-1—1—1-
2171132! 0149 106120! 31 988
O
H
O
W
a
w
>
H
M
w
>
H
>
I—I
a
.23
EIGHTY-FOURTH ANNUAL REPORT
TABLE V
Causes of Deaths of Patients Who Died During the Year 1927
Amoebic dysentery
Arterio-sclerosis
Anaemia, agranulocytic
""
Brain tumor
Brain disease, organic, not specined ""
Brain, concussion of
Carcinoma of orbit___„
Carcinoma of caecum
"
Carcinoma of brain
~
Carcinoma of colon
Carcinoma of ovary
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral thrombosis
Cardio-vascular disease
Cerebral syphilis
Exhaustion from acute mental disease
Endocarditis chronic
Erysipelas
Enteritis, acute
~-~--~-~~l-~,l__
Enteritis, chronic
Epilepsy
Encephalitis
~~_~
~~
Hook worm disease
Intestinal obstruction
Influenza
Myocarditis, chronic
1111
Nephritis, chronic
'
Osteomyelitis
"
Peritonitis
Poisoning, lye soap
1 I
Pneumonia, lobar
~"
Pneumonia, broncho
"_
Paresis
Pellagra
Suicide by strangulation
~™~""
Septicemia
Tuberculosis, pulmonary _ JJ
~~~
Tuberculosis, intestinal .__!
Typhoid fever
~" [
Tubercular peritonitis
"ZZ1ZZZ".
Uremic poisoning
~~"
Unknown
Valvular he?rt disease
~"
TOTAL
White
M. I F.
0| 2
27 I 17
0
0
0
0
1
0
0
0
0
0
0
13
0 I
0
0
1
0
0
1
1
1
0
1
0
2
3
1
0
11
6
0
2
0
1
1
3
0
0
5
5
4
0
0
0
1
0
0
0
6
3
18
6
13
2
0
8
2
3
2
0
11
9
0
01
0
3 I
0
0I
1
H
2
21
1
II
Colored
M. | F. Total
0
1
3
27 10 81
0
1
1
1
0
2
0
0
3
1
0
1
0
0
1
0
0
1
0
0
1
0
0
1
0
1
1
0
0 I
1
0
1
2
4
2 | 20
0
1 I 1
0
oI 1
0
2| 2
0
5
8
0
01
1
0
0
1
0
4
9
0
0
1
12
4 33
1
1
4
0
0
1
0
0
4
1
0
1
7
2 19
1
3
8
0
1
1
1
0
2
0
1
1
5
2 16
4
6 34
33 11 59
0
6 14
01 5
01
31 5
12| 24 I 56
01 l! 1
o
II 4
11 II 2
o
01 2
01
71 11
II 3
0|
°l
125 | 97 | 111 | 101 | 434
GEORGIA STATE SANITARIUM
29
TABLE VI
Surgical Operations for the Year 1927
Abcess, ischio-rectol, drained
Abcess, periurethral, drained
~_ ~_
Amputation, arm
Amputation, leg
I~~
"""
Amputation, fingers
~™IZ~ _
Amputation, hand
~
Amputation foot
~ ~
Appendectomies
Carcinoma of intestine, laparotomy
Cervical polypus, removed
Cysj;, prostatic, drained
~
Cystotomy
Circumcisions
Dilatation and curettage of uterus
Dislocation of shoulder, reduced
Fracture, femur, treatment for
Fracture, colles, treatment for
Fracture, humerus, treatment for
Fracture, metatarsal bones, treatment for
Fracture, radius, treatment for
Fracture, tibia, treatment for
Hydrocele, operation for
Hemorrhoidectomies
Herniotomies
Intestinal obstruction, operation for
Laparotomy, exploratory
Maxillary sinus, irrigation of
Otitis media, paracentesis
Orchidectomy
Perineorrhapie
Prolapsed rectum, operation for
Prostatecomies
Pterygium, transplantation
^
Strabismus, operation for
Testicle, tumor of, removed
Tonsillectomies
Uterus, suspension of
Varicocele, operation for
Varicotomy
\
1
3
i
3
1
1
1
4
7
1
9
1
1
1
1
1
1
6
10
3
1
1
2
6
3
1
3
4
1
1
51
1
1
1
30
EIGHTY-FOURTH ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1927
White
Colored
M. F. M. | F. Total
Appling
4
1
0
5
0
Atkinson
1
0
0
0
1
Bacon
2
0
0
0
2
Baker
0
0
0
1
1
Baldwin
3
3
3
2 11
Banks
1
4
0
0
5
Barrow
2
3
0
0
5
Bartow
3
5
0
0
8
Ben Hill
2
1
1
II 5
Berrien
2
3
0
1
6
Bibb
11 10
9 14 44
Bleckley
5
1
0
0
6
Brantley
2
0
0
0
2
Brooks
1
1
2
4
8
Bulloch
2
1
2
3
8
Burke
__
0
5
8
3 16
Butts
3
1
2
2
8
Calhoun
1
1
1
4
7
Camden
1
1
0
0
2
Campbell
3
1
0
0
4
Candler
2
2
0
1
5
Carroll
5
5
2
2 14
Catoosa
0
1
0
0
1
Charlton
1
1
0
0
2
Chattahoochee
1
0
1
0
2
Chatham
21 16 27 27 91
Chattooga
3
2
1
1
7
Cherokee
4
2
0
1
7
Clark
4
4
0
4 12
Clay
0
0
1
2
3
Clayton
0
0
2
1
3
Clinch
0
0
1
0
1
Cobb
6
2
3
1 12
Coffee
2
2
1
1
6
Colquitt
3
1
0
1
5
Columbia
1
2
2
0
5
Cook
4
1
1
0
6
Coweta
2
6
2
2 12
Crawford
1
0
2
1
4
Crisp
1
0
3
1
5
Dade
0
2
0
0
2
Decatur
3
2
2
1
8
DeKalb
2
0
18
GEORGIA STATE SANITARIUM
31
Admissions From the Various Counties During the Year 1927
(Continued)
Dodge
Dooly _
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glynn .
Hall
Hart
Colored
I Wh ite
| M. F. M. | F.
Total
51
0
0
5
0
2
2
1
8
3
0
7
5
1
1
4
1
8
0
3
1
1
1
2
5
1
4
0
3
0
2
2
1
1
6
?,
2
1
5
0
1
1
0
0
0
4
0
0
3
2
0
0
0
2
2 24
10
10
2
4
0
0
0
4
3
0
15
25 110
35 .35
0
1
1
0
0
1
0
0
1
0
1
2
5
1
1
1
5
2
0
2
2
5
2
0
1
2
6
0
3
1
1
19
2
8
8
6
2
0
2
2
14
1
2
8
3
5
2
2
1
0
5
1
3
0
1
2
1
0
II
0
6
1
1
0
4
1
0
1
0
0
8
1
4
1
2
6
0
3
1|
2
3
0
1
II
1
5
0
4|
0
1
5
2
1
1
1
0]
0
0
0
0
0|
3
3
0
0
1
1
6
11
9
21
3
1
0
0
0|
5
0
2
3
01
5
2
0
3
0|
4
1
1
2
0
1
0
01
1
11
3
01
2
0
?
-
32
EIGHTY-FOURTH ANNUAL REPORT
Admissions Prom the Various Counties During the Year 1927
(Continued)
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion ,
Meriwether _
Miller
Milton
Mitchell ___
Monroe
Montgomery
Morgan
Murray
Muscogee __
McDuffie ___
Mclntosh ...
Newton
Oconee
Oglethorpe _.
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph
Rabun
._.
Richmond
Rockdale
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
White
Colored
M. | F. M. | F.
0|
1
2|
1|
1|
C
0|
01
4|
4|
l|
0|
01
1|
01
1|
4|
01
4|
0
2
1
0
0
1
2
6
2
4[
1
2]
3|
1
0
1|
1]
0
2|
3
2|
1|
1
2
01
II
1
1
2
0
1
2
3
3
3
3
0
0
11 11
2
5
2
4
1
1
0
0
1
1
3
3
4
0
1
0
1
1
2
1
1
1
4
3
0
0
2
1
2
1
0
0
1
0
1
0
0
0
5
2
2
1
2
4
1
1
4
2
2
0
2
2
3
2
1
0
0
0
3
4
4
2
1
0
10
9
1
0
1
1
2
2
1
0
2
6
1
2
3
0
1
0
3
1
2
3
0
2
1
0
1
0
1
2
1
1
3
2
6
3
1
1
II
3
4
51
0
1
2
71
2
3!
1
0
Total
4
1
14
1
5
6
2
14
7
2
8
4
4
9
6
29
8
2
10
3
5
7
6
1
1
10
8
8
9
1
13
1
35
4
5
3
17
4
5
6
3
3
5
13
8
8
12
15
5
GEORGIA STATE SANITARIUM
33
Admissions From the Various Counties During the Year 1927
(Continued)
Towns
Treutlen
Troup
_.
Turner _
Twiggs
_
Union
_
_
Upson
Walker __
Walton
_ _
Ware
_
_ _
Warren _
_ _
Washington __
Wayne _. _
_ _
Webster
___
Wheeler
White
_
Whitfield
_
Wilcox
_ _ _
Wilks
Wilkinson
_
_
Worth _
_
_ _
..
TOTAL
White
Colored
M. | F. M. | F. Total
1
1
2
01
0
0
2
3
4
4
2
4 14
1
0
0
1
2
4
1
2
0
7
3
4
0
0
7
3
0
1
1
5
3
0
2
1
0
g
2
4
1
1
1
5
3
1 10
2
1
1
0
0
3
6
1
2 12
g
3
2
1
0
1
0
1
0
0
4
1
2
1
0
3
3
0
0
0
9
4
4
0
1
3
0
0
2
1
6
1
3
3 13
9
4
4
0
1
7
2
1
1
3
396| 369 224 232 1221
34
EIGHTY-FOURTH ANNUAL REPORT
TABLE VIII
Nativity of all Patients Admitted During the Year, 1927
Alabama
Arkansas
England
Florida
France
Georgia
Greece
Illinois
Ireland
Italy
Kentucky
Louisiana
Mississippi
Missouri
Massachusetts .
New York
North Carolina
Ohio
Oregon
Poland
South Carolina
Sweden
Tennessee
Unknown
Virginia
Wisconsin
TOTAL
White
Colored |
M. F. M. | F. | Total
15
6
5
6
1
1
0
0
2
1
0
0
0
1
4
5
0
2
11
0
1
0
0
1
347 332 211 210 1100
2
0
0
2
0
1
0
0
0
1
0
1
0
0
1
1
0
0
0
1
0
1
0
0
1
1
0
0
0
1
0
0
1
0
1
0
1
0
0
1
1
0
0
0
1
2
1
0
0
3
4
4
1
3
12
0
1
0
0
1
1
0
0
0
1
0
1
0
0
1
8
4
3
10
25
0
1
0
0
1
4
7
0
0
11
0
1
3
1
5
1
1
01 0
2
2
0
0
2
396 369| 224| 232 1221
GEORGIA STATE SANITARIUM
35
TABLE IX
Classified Occupation of Patients Admitted During the Year 1927
White
M. I F.
Agricultural Pursuits:
Farmers
Professional Service:
Dentist
Druggist
Lawyers
Ministers
Physicians
Domestic and Personal Service:
Barbers
Caddy
Delivery Boy
Hair dresser
House keepers
Insurance agents
Laundry workers
Laborers
Mail carriers
Photographer
Seamstress
Servants
Trade and Transportation:
Bookkeepers
Bridge hands
Clerks
Collectors
Jewelers
Merchants
Post Office clerks
Railroad engineers
Salesmen
Shipping clerks
Stenographers
Teachers
Telegraph operators
140
1
1
4
1
591
0
0
0
0
0
4
0
0
0
0
0
0
1
0 201
2
0
0
1
24
0
2
0
2
0
0
1
0
6
0
9
2
1
8
0
5
13
1
1
0
1
Colored
M. I F.
1
0
0
0
0
0
1
0
0
0
3
7
0
17 217
0
0
0
0
0
1
1
2
0
0
0
0
80
0
0
0
2
0
2
0
0
0
1
0
0
0
0
0
0
0
Total
1
1
4
4
2
0
5
0
1
0
2
0
1
62 263
0
2
25 26
16 120
0
2
0
2
0
1
16
18
0
0
0
0
0
0
0
0
0
0
0
0
0
7
2
9
2
1
9
1
5
13
1
4
7
1
36
EIGHTY-FOURTH ANNUAL REPORT
Classified Occupation of Patients Admitted During the Year 1927
(Continued)
White
M. I F.
Manufacturing and Mechanical Pursuits:
Blacksmith
Brickmason
Carpenters
Chemical engineer
Compress superintendent
Coppersmith
Electrician
Gas fitter
Gunsmith
Line foreman
Machinists
Miner
,
Moulder
Painters
Plasterers
Printers
Road construction
Stone cutter
Truck driver
Upholsterer
Foods and its Kindred Products:
Butcher
Cooks
Fisherman
Waiter
Textile Workers:
Cotton mill workers
Lumber and its Manufacturers:
Saw mill laborers
Plaining mill operator
Turpentine operator
Miscellaneous:
Clerk of court
Convict
Fortune teller
Maker of artificial flowers
Peddler
Pumper
Students
No occupation
Not given
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
1
1
0
1
0
0
Colored |
M. | F. | Total
0
2
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
9
1
1
4
2
2
1
1
6
1
1
6
2
3
1
1
1
1
0
0
0
0
0
19
0
0
3
20
1
1
1
1
11
20
4
1
0
1
0
0
0
0
1
0
o
3
0
1
0
6
6
92 135
2
1
0
1
0
1
56
1
0
0
0
8
1
2
0
0
0
1
1
1
1
4
1
13
355
7
i!
0
0
0
72
3
396 369 224 232 1221
37
GEORGIA STATE SANITARIUM
TABLE X
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis.
White Male Population.
Phychosis.
|
Traumatic
Senile
J
With cerebral arteriosclerois
General paralysis of
|
the insane
i
With cerebral syphilis
j
With Huntington's chorea|
With brain tumor
|
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease __
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional
psychopathic infer
iority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no
psychosis
Constitutional psycho
pathic inferiority, no
phychosis
Alcoholism, no psychosis._
TOTAL
!
Under |20|30!40|50|60 Over) Not |
20 |30|40|50|60|70 70 Given I Total
0 110 0 0 0 0
o I 1
0
0 0 0 0 2 2
o .1 4
0 01 11121 20
6
0
0
0
0
0
0
0
0
0
0
0
23
1
0
0
3 1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
7
12
2
8
5
74
43
0
0
0
0
0
20
101
1
0
0|
2
81
4|
21
0
53
2
5
1
0
0
11
5|
0|
0
0
2
0
5
22
13
2
1| 0 01 0
I ,'
1110 0] 0
0 I 01 1 01 0
-I-
27
|82155 47140130! 24
305
EIGHTY-FOURTH ANNUAL REPORT
38
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
(Continued)
Phychosis
|
Traumatic
1
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis._
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With mental deficiency _.
Unclassified
Not insane
Drug habitue, no
psychosis
TOTAL
Under 20 30 40 50 60 Over Not |
20
30 40 50 60 70 70 Given
o
o
0 0 0 0 0
0 0 0 1 7
0
7
0
0
0
15
0
0 0 0 3 5
4
0
12
0
0
0
0
1
0
0
0
1
0
0
0
0
1
0
0
2
0
1
0
1
0
0
1
0
0
0
0
0
0
0
0
5
1
1
1
1
0
0
0
0
4
4
3
0
0
4
2
20
14
1
0
1
4
1
19
12
0
1
1
4
0
23
8
1
0
0
2
1
5
5
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
2
14
4
72
44
0
2
0 0 0 0 0
8 2 2 0 0
0
0
0
0
0
14
1
3 3 2 0 0
0
0
0
1
3
0
0
0
1
0
0
0
0
0
1 0 0 0 0
0
0
72 56 57 28 20 12
0
2
3
2
0
0
19
1
4
10
1
0
2
9
1
1
3
11
0
0
1
6
0
4
14
42
2
264
GEORGIA STATE SANITARIUM
39
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis.
Colored Male Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With mental deficiency..
Unclassified
Not insane
TOTAL
Under |20|30|40|50|60|Over Not
20 !30|40|50j60|70| 70 Given Total
1
1
35
0
0
0
0
32
0
0
1
|
0
0
0
0
0
11
0
1
2
0
1
0
64
10
[
0
I 0
0
I 0
20
I
I o
|
2
12
14
0
I 6
I 4
I 0
24
0| 0
56 33 3131115
4
196
EIGHTY-FOURTH ANNUAL REPORT
40
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
Epilepsy, no psychosis __.
TOTAL
Under|20|30|40|50|60|Over| Not |
2u j3U|40|50l60 70| 70 j Given] Total
0| 0 0
01 0 0
0
0
0
0
0
0
0
0
13
1
0
0
0
0
0
6
3
0
0
0
0
0
0
0
1
1
0
4
4
62
53
0
2
0
0
0
6
32
1
1
0
0
6
0
0
17
0
0
76 5132 13 6
4
200
GEORGIA STATE SANITARIUM
41
TABLE XI
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
ao
>
CD
Traumatic
0
0| 0
Senile
01 0
0
Vfith cerebral arteriosclerosis
1
8
18
General paralysis of the insane _
0 0
11
With cerebral syphilis
0 0
0
With Huntington's chorea
0 0
0
With brain tumor
0
0
0
With other brain and
nervous disease
1
2
4
Due to alcohol
0
3
6
Due to drugs
0
1
1
With pellagra
5
1
2
With somatic disease
1
3
1
2
Manic depressive
22 39
Dementia praecox
3
6 30
Paranoia or paranoid condition. _
0
0| 0 0
With epilepsy
9
4
0
Psychoneuroses or neuroses
3
With constitutional psychopathic
inferiority
0 0| 0 4
12
With mental deficiency
II 4 5
0
Unclassified
7
0
Not insane
o| o| i| II
Mental deficiency, no psychosis __
II 0| 0 01
Constitutional psychopathic inI
I I
inferiority, no psychosis __
01 01 01
0| 01 0| 1|
Alcoholism, no psychosis
TOTAL
I 421
61 85(138! 27
Ul
h
-fj
<a
o
U
Z
H
0
0
2
0
0
0
0
0
0
0
0
0
0
0
1
4
53
23
1
0
0
0
1
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
7
12
2
8
5
74
43
0
20
6
1
0
0
01
01
0
0
0
01
0
5
22
13
I
01
01
I
01
01
01 305
42
EIGHTY-FOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population
Psychosis.
o
H
M
Traumatic
Senile
With cerebral arteriosclerosis -.
General paralysis of the insane -With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug habitue, no psychosis
TOTAL
0
0
2
0
0
0
0
0
15
12
5
1
1
1
1
6
1
2
14
4
72
44
0
14
9
0
0
1
0
7
3
0
1
0
1
0
0
0
4
14
42
2
1
I 32 12 60 119 23 16
264
GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
o
'iraumatic
Senile
With cerebral arteriosclerosis __
General paralysis of the insaneWith cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
I
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
1
0
0
0
1
1
25
17
0
0
1
1
1
0
0
0
18
6
0
11
0
1100!
0|
31
0|
0
5
0
01
0|
0
0 1
3| 0 0
0| 3 0)
0! o' of
_____
9| 67| 15|
0
0
0
0
0
0
0
1
1
35
32
0
0
1
0
0
0
0
0
0
0
0|
01
0
1
2
0
1
0
64
10
0
20
0
01
l|
0
0
0
0
0|
0!
0|
0
0
0
2
12
14
0
2[
0
196
of 0
44
EIGHTY-FOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis,
Colored Female Population.
CO
0)
+J
Phychosis
w
-o
n!
Zj
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no pshchosis
TOTAL
'A
0
7
7
2
0
0
73
«
u
o
o
-n
a
WJ
VI
Tl
a
<u
c
o
a
i
o
o
o
(3
■fi
f/J
cl
hn
<D
01
bi\
<u
>
o
^ -^
a a zo
0
0
1
2
1
0
0
o
H
0
7
9
13
1
0
0
0
0
0 0
0
0
0
1
1
0
3,3
8
25 11
0
0
2
0
0
0
1
1
0
4
4
62
53
0
5
0
0
0
10
0
1
0
6
32
1
1
« o
0
0
1
4
0
0
0
0
0
9
0
0
9 77 33
0
4| 200
GEORGIA STATE SANITARIUM
45
TABLE XII
Environment of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
Male
Female
Psychosis
O
o
Traumatic
Senile
With cerebral arteriosclerosis __.
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _.
With Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism, no psychosis
Drug habitue, no psychosis
Constitutional psychopathic inferiority, no psychosis
Mental deficiency, no psychosis _.
TOTAL
0
1
0 4
13 40
19 4
0
1
0
0
0
0
1
4
53
23
1
0
0
0
15
12
5
1
1
1
2
5
7
5
1
1
3
5
1
4
25 49
16 27
0 0
5 15
3 3
7
12
2
8
5
74
43
0
20
6
6
1
2
14
4
72
44
0
14
9
2
3
3 19
8
5
0
2
1
0
0
0
5
22
13
2
1
0
4
14
42
2
0
1
2
1
0
0
2
0
0
1
|114191|
0 305
98 164
2 264
46
EIGHTY-FOURTH ANNUAL REPORT
Environment of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis:
Colored Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
0
0
10
10
0
0
1
1
1
35
32
0
0
1
1
2
0
1
0
24
4
01 0|
7| 13|
0| 0
0|
1
2
o|
1
0:
64
10
0|
20'
0'
Of
21
I
II
41
I-
1
8
| 74 121
I
01
211 0
1211 3 2|
14|| 16 16!
Oil II 01
01
l| 0
19611131 86
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
0
0
0
0
0
0
0|
I
0
0
ll
0| 32
01 1
01 1
11200
TABLE XIII
MALE
Econimic Condition of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
Psychosis.
s
X>
a
C3
"So
O
O
7
T3
a
1)
>
C3
5
'Si
u
3
o
a
0
0
11
10
1
0
0
1
5
2
2
1
43
11
0
4
4
2
3
7
0
0
0
0
0
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional Psychopathic inferiority
With mental deficiency
Unclassified
Not insane —_*.
Alcoholism, no psychosis
Mental deficiency, no psychosis
Constitutional psychopathic inferiority, no psychosis
Drug habitue, no psychosis
TOTAL
FEMALE
1
4
40
12
0
0
0
6
6
0
6
4
28
31
0
16
2
3
19
6
2
1
1
2
0
107 190
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
5
22
13
2
1
1
2
0
1
305
6
C
0)
p.
<u
a
o
0
2
1
1
1
1
0
1
1
2
3
1
38
12
0
5
1
0
0
10
1
0
0
0
0
0
13
11
4
0
0
1
5
0
0
11
3
33
29
0
9
7
4
14
31
1
0
0
0
1
81
177
C
>
3
o
2
5o
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
14
42
2
0
0
0
1
0
264
M
O
73
H
H
w
>
h-l
H
w
I—I
S
FEMALE
MALE
1
Economic Condition of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
OS
-u
u
o
a
so
u
a
>
o
Q
£
<u
fta
■-•
3
0
0
0
0
0
0
0
0
1
-p
c<D
•a
o
1
1.
0 | 196
0
0
1
2
1
0
0
0
0
0
0
0
14
16
0
0
0
0
0
6
0
0
1
a<u
t>
• f-<
O
o
Q
125
$o
0
7
8
11
0
0
0
1
1
0
4
4
48
37
0
5
0
0
5
26
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
D.
0)
o
0 1 1
1
0
0
35
32
0
0
0
0
0
1
0
1
0
0
2
0
0
0
1
0
0
64
0
10
0
0
0
0 20
0
0
2
0
0
12
14
0
0
0
0
0
0 | 30 | 166 |
a01
I
4J
1
1
34
30
0
0
1
1
1
0
1
0
41
7
0
20
0
2
12
14
0
0
0 I 1
2
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0 23
-I
a<U
-p
13
V
C3
0 | 41 | 158 |
4J
O
1| 200
a
i
o
c
w
H
w
>
z
d
>
o
w
TABLE XIV
MALE
FEMALE
Civil Condition of Fist Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Population.
be
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
Brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra __'
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency, no psychosis
Constitutional psychopathic inferiority, no psychosis
Alcoholism, no psychosis
Drug habitue, no psychosis
TOTAL
g
0
0
0 3
7 34
6 13
1
0
0
0
0
0
4
1
2 7
0
1
1
6
2 2
23 42
27
9
0| 0
16
4
0
41
1
2
18
3
31 6
2| 0
1
1
9
2
0
0
0
1
1
1
0
o
21
1
0| 0
01 0
01 1
0 0
0| 1
0! 2
0 0
01
0 0
0 0
II
0| Of
01
0| 0 01 01
124|140 19| 12|
0
0
3
1
0
0
0
1
2
0
0
0
4
3
0
0
1
2
0
2
0
0
0
0|
0|
19[
II
0|
0|
0|
0|
0|
01
0
0|
01
74
43
0
20
6
5
22
13
2
0
3
4
1
0
1
0
3
1
2
7
4
161 43
20 16
0 0
0
9
6
2
1
0
1
1
0
0
3
0
9
3
°!
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
21
0
1
0
1
0
0
0
0
0
0
0
0
3
4
0
1
0
1
2
3
71
2!
4! 4
1
3| 0 o
81 3
1)
12 21
4
0 2 o of 0
0 0 0 01 0
0 0 0 0 0
o
0 0 o
01
01
0| 0|| 1| 0| 0|
01
1[305|| 81|119| 43) 5f 16|
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
0 14
0 42
0| 2
01 0
0 0
01 0
01 1
0|264
a
H
O
W
a
H
H
H
>
m
>
►
2
5
B
MALE
Civil Condition of First Admissions During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General parp.lysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy, no psychosis
TOTAL
T3
•n
bo
o
-a
o
W
i*
Q
0
1
4
6
0
0
0
1
2
0
0
0
30
4
0
17
0
1
11
8
0
0
85| 59| 20
FEMALE
a
>
3
>
o
EH
0
0
0
7
0
0
0
0
0
0
0
0
10]
II
1
1
35
32
0
o
1
0
0
01
o|
0
0
9| 19|
4|196| 62| 761 26]
4| 30
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
3 200
M
I—I
O
X
H3
«!
I
O
<=!
>
>
w
M
O
W
GEORGIA STATE SANITARIUM
51
TABLE XV
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arteriosclerosis _.
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea.
With brain tumor __
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneouroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency __
Unclassified
Not insane
TOTAL
| Under
20
0
0
60 Over | Not |
70 70 Given | Total
01 01 0
0
0 0 2
10
o
16
41
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
1
1
3
7
14
0
0
0
0
0
10
2
14
7
0
12 1115 24 32 27
125
52
EIGHTY-FOURTH ANNUAL REPORT
Ages of First Admissions During the Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
!
Traumatic
|
Senile
|
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority
With Mental deficiency _
Unclassified
Not insane
TOTAL
| Under
20
40 50j6u Over Not
50 60|7070 I Given
0! 0
0 0
Total
0
18
0 0
0 0
21 0
0!
0
0
0
0
0
0
0
0
1
0
2
1
0
0
0
0
0
2
3
0
0
0
0
0
1
0
1
0
0
6
2
13
11
0
1
0
0
0
10
0
I
7 13 14 14123! 22
0
10
16
0
97
GEORGIA STATE SANITARIUM
53
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
|
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
TOTAL
| Under
20
50|60 Over | Not |
60|70 70 | Given | Total
01 0
0
3
1 1
20
1
0
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
1
1
0
0
0
8
9
0
4
0
0
0
14
1
0
6
15
0
0 0
9
16 16 26 21 15
5
111
EIGHTY FOURTH ANNUAL REPORT
54
Ages of Patients at Time of Death During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
i
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis __.
With Huntington's chorea.
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psychopathic inferiority.
With mental deficiency _.
Unclassified
Not insane
TOTAL
Under 20 30 40 50 60 Over | Not
20
30 40 50 60 70 70 Given
0| 0
0| 0
0 1
Total
0
4
11
11
3
0
0
2
0
0
2
1
21
21
0
6
1
5
13
0
33125
0 I 101
GEORGIA STATE SANITARIUM
55
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
White Male Population.
X
c
Psychosis.
&
r-f
T3
rr, -C
<r. +J
c
c c
0 g
■p
s
CD
C
+J
T-4
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With other brain and nervous diseases.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
m
u
a
U
u;
h
=1
>, >>
h
-i
^
CM lO rH
O 0
+J +J +^
CO r-i <M in
0
+J
0
10
41
13
0
3
0
0
1
3
7
14
0
10
0
0 0
3 4
2
14
01 0| 1| 01 II 3 7
01 0 0 0| 01 0 0
110[29|13|17|17|12|10|17 125
5G
EIGHTY-FOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
0|
01
0|
0|
II
0|
0|
2
0
o(
01
0
0
0
1
o
0
01 0
o| o!
0,
3! 2 0
0
1
0|
0|
2|
0]
0
01
61
01
0|
II
4|
01
0
0
0
0
0
0
of 0
H o
3
0
1
0
01
21
21
0|
1|
0
0
2
1
0
1
0
0
01
01
01
0
11
II
01
0|
21
01
01
0|
0
2|
5|
0|
21
0
0
18
5
1
0
2
1
1
0
0
6
2
13
11
0
10
1
I
0|
01
0|
01
0
31
2|
01
0 0
3| 10
3| 16
01 0
I- -I
112116! 81 9|17| 9lllll5l 97
GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
Traumatic
I
Senil^
With cerebral arteriosclerosis
f
General paralysis of the insane
|
With cerebral syphilis
I
With other brain and nervous diseases..!
Due to alcohol
|
Due to drugs
|
With pellagra
|
Wj.th somatic disease
|
Manic depressive
|
Dementia praecox
|
Paranoi a or paranoid condition
I
With epilepsy
|
Psychoneuroses or neuroses
|
With constitutional psychopathic inferiority
I
With mental deficiency
|
Unclassified
j
Not insane
I
TOTAL
0 0| 0 0 0
0
1
4
7
0
0
0
0
o
0
o
0
0
0
0
0
0
4
0
0
0
0
0
4
0
0
0
0
0|
II
0|
0|
II
0|
01
0|
0|
2|
0|
11
0
0 0
0 3
0 20
0 34
0 0
0 1
0 1
0 0
0 0
0 0
0 8
2 9
0 0
o 14
0 0
0
1
4 2
01 0
0
01 01 0
0
6
15
0
71101 71 7
111
I—
119131 231
1
1
58
EIGHTY-FOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
I
Senile
|
With cerebral arterioscleroisis
|
General paralysis of the insane
|
With cerebral syphilis
With other brain and nervous diseases.
Due to alcohol
Due to drugs
With pellagra
With somanic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
|
Unclassified
Not insane
|
TOTAL
0
1
1
5
0
0
0
0
0
1
0
0
0
1
0
0
4
11
11
3
2
0
0
2
1
21
21
0
6
0
0
0
4
0
31 0
0| 0
1
5
13
0
|13|23 10 14 281 8
101
l-l-
GEORGIA STATE SANITARIUM
59
Report of Pathologist
1927
FOR THE YEAR
DR.
R. C. SWINT,
Superintendent.
DEAR SIR
:
The Report of the Pathological Laboratory for the
Year 1927 follows:
♦
Summary
SEROLOGICAL EXAMINATIONS
Blood, Wassermann
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
Cerebrospinal Fluid,
:
(Noguchi) reaction
Wasserman reaction
Colloidal Gold test
Globulin estimation
Cell Count
1477
353
353
353
353
CLINICAL LABORATORY EXAMINATIONS:
Urine, routine analysis
4243
Urine, Special chemical examinations
2315
Feces, for parasites or ova
1158
Feces, for occult blood
5
Blood, chemical examination
78
Blood for malaria parasites
106
Blood, counts—red, white or differential
508
Blood, coagulation time
6
Blood, hemoglobin estimation...40
Blood, type determination
6
Sputum, for tubercle bacilli
188
Milk, butter fat determination
133
Gastric Contents, chemically and microscopically....
5
BACTERIOLOGICAL EXAMINATIONS
:
Blood, culture
Blood, agglutination test
Exudates, culture
Exudates, microscopically
Exudates, dark field examination for T. Pallidum
25
254
74
87
1
EIGHTY-FOURTH ANNUAL REPORT
60
Exudates, animal inoculation
Milk, bacteria count
Vaccine, Autogenous
10
105
32
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICAL
Necropsies
—
Postmortem examination of animals....
Brain, Cat, for Negri Bodies
Surgical Tissue, Gross and microscopical
Necropsy Tissue, microscopically
Total Number of Examinations
:
37
15
1
43
144
12,518
Note—In addition to the total number of procedures
enumerated above, 415 cadavers were embalmed by the
technicians who are also licensed embalmers.
SEROLOGICAL EXAMINATIONS
There were 1417 specimens of blood examined for
the Wassermann reaction, of which number 1225 were
secured as a matter of routine frofri patients upon their
admission to the institution.
There were 353 specimens of cerebrospinal fluid
examined, of which number 306 were obtained from
patients admitted during the year. A routine examination of this fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test.
TABLE L- -Results of Routine Blood Wassermann
Tests.
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Total
Number Number
Examined Positive
(4 plus)
11
386
26
377
239
40
42
223
1,225
119
Percentage
Positive
2.8
6.9
16.7
18.8
9.5
GEORGIA STATE SANITARIUM
61
TABLE II.—Estimate of Serological Neurosyphilis
in Patients Admitted During Year 1927.
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Positive Spinal Percentage
Admitted Fluid Wassermann Positive
386
377
239
223
6
26
15
36
1.5
7.2
6.3
13.9
1,225
83
6.8
Reference to Tables I and II will show that 54.5 per
cent, of the white women, 100 per cent, of the white
men, 37.5 per cent, of the colored women and 85.7 per
cent, of the colored men, whose blood specimens reacted
positively to the Wassermann test, also gave serological
evidence of syphilis of the nervous system.
Respectfully,
E. B. SAYE,
Pathologist.
EIGHTY-FOURTH ANNUAL REPORT
62
Report of Dental Department
MlLLEDGEVILLE, GA., JAN. 1ST, 1927.
Superintendent.
DEAR SIR:
We have the honor of offering the following report
of the work done in the Dental Department during the
year ending Dec. 31st, 1927.
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl chloride anaesthesias
Alveolotomies
Incisions sutured
J...
Post-operative treatments
Amalgam fillings
Cement fillings
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments
Nerves devitalized
Root treatments
Root fillings
Applications mummefying paste
Abcesses lanced
Abcesses treated
Abscesses aspirated
Lancing gums over third molar
Treating gums about third molar
Excessive hemorrhages arrested
Treatments for erosion
Treatment for pyorrhea alveolaris
Cleaning teeth (number of patients)
Scaling teeth (number of patients)
Applications silver nitrate
Treatments for acute odontalgia
5,154
2,463
823
21
97
11
143
207
94
14
77
21
6
9
7
6
29
25
1
46
24
7
9
7
9
1
19
35
147
8
30
GEORGIA STATE SANITARIUM
63
Treating gums (number of patients)
125
Treatments for oral ulcers
10
Treatments for stomatitis
4
Curetting alveolar process (number of patients)
9
Plates made
74
Plates repaired
43
Plates milled
2
Gold crowns
_
2
Porcelain crowns
4
Cast-base crowns (gold)
2
Cast-base crowns (acolite)
2
Crowns removed
18
Crowns reset
2
Bridges removed
16
Bridges made
2
Bridges repaired
1
Bridges reset
5
Disfigured teeth shaped up (number of patients)
87
Impacted 3rd molars removed
31
Apicoectamies
_
1
Sequestra removed
1
Fractures reduced
1
Calls to wards
345
Number of new patients examined
1,242
Number of patients treated
2,326
Total number of operations and treatments
9,992
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
EIGHTY-FOURTH ANNUAL REPORT
64
Report of Superintendent of Nurses
JANUARY
DR.
1, 1928.
R. C. SWINT,
Superintendent.
DEAR SIR:
I have the honor of submitting the sixteenth annual
report of the Georgia State Sanitarium Training School
for Nurses for the year beginning January 1, 1927, and
ending December 31, 1927.
The school has been in progress seventeen years and
has graduated one hundred and forty-one nurses.
The records of the school show that forty per cent,
of the students enrolled withdraw before completing the
full three year course. Various reasons are given for
leaving, but matrimony ranks first.
The raising of the educational requirements to full
high school graduates, has increased, rather than decreased, the number of applications.
The Alumnae Association has a membership of
eighty-eight and continues to be of great benefit to the
school and Superintendent of Nurses.
A Young Woman's Christian Association was organized April 4, 1927 with twenty-three members. Vesper service is held every Sunday evening in the lounge
of Brantley Hall. Miss Myrtle Lomax, class of 1927 is
president, and has increased the membership to fifty.
The Annual Commencement was held May 18, 1927
at eight o'clock in Amusement Hall, twelve nurses receiving diplomas.
Dr. M. A. Clark, a prominent physician of Macon,
gave a very pleasing address to the graduates.
The diplomas were delivered by Mr. John T. Brantley, president of the Board of Trustees, and the hospital
pins by Dr. T. M. Hall, chairman of the Medical Committee.
GEORGIA STATE SANITARIUM
65
„.„ M™- Lovic Pierce Longino, accompanied by Mrs
Wiles Homer Allen at the piano, sang very sweetly—
Until—and Answer, by Terry.
A Reception and dance followed, music being furnished by the Sanitarium band.
The following nurses received diplomas:
1
65
11
^
Milledgeville, Ga.
Muriel Copeland ..... Milledgeville, Ga.
Mane Duke
Danville Ga.
Vashti Durden
Stillmore, Ga.
Janie Gertrude Gault
- - - . Milstead, Ga.
Mabry Grimes
..... Milledgeville, Ga.
Sarah Daisy Ivie
---... Willard Ga
SB? ^yrv.tle Lomax
" " " Jeffersonville,' Ga!
Willie Webster Maddox
Willard Ga.
Lucile Parker
Dub]in Ga
Sabryna Patterson --.... Macon Ga
Myrtle Posey
..... Milledgeville,' Ga."
MSS^P "^
Miss
Miss
Miss
Miss
Miss
Miss
™-SS
Miss
Miss
Miss
Miss
PLAN OF INSTRUCTION
o+ The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education.
The course extends over a period of three years, including three months probation and six months affiliation in some large general hospital. Classes are conducted eight months out of each year and consist of lectures, recitations and laboratory work.
A passing grade of 75 in all branches is necessarv
for graduation.
CURRICULUM
First Year
Nursing Ethics
Nursing Technique
Anatomy and Physiology
History of Nursing
Bandaging
Dietetics
...
6 ho
"'.'"."."
go
60
10
g
4c
>•
"
"
„
»
66
EIGHTY-FOURTH ANNUAL REPORT
Second Year
Hydrotherapy
Massage
Nursing Ethics
----Nursing Technique
Bacteriology
—
Materia Medica
Solutions
Oral Hygiene
Mental Diseases
Obstetrics
Medicine and Contagious Diseases
j*
^
°
^
—■ ^
|°
Jjj
j°
- £°
-
-
24
Third Year
Gynaecology
Pediatrics
Surgery
Eye, Ear, Nose and Throat
Public Health
Diseases of Nervous System
—-
^
j£
^
»
- °
1°
NURSING STAFF
Superintendent of Nurses
1
Supervisors
|
Chief Operating Nurses
*
Occupation Therapy Nurses
<
Special Attendants
™
Senior Nurses in School
1*
Junior Nurses in School
jj*
Freshmen Nurses in School
1°
Total number of Student Nurses
^9
Number of White Female Attendants
149
2
Number of Vacancies
I wish to thank you and all officers and nurses who
have contributed to the success of the school.
Respectfully submitted,
M. JONES, R. N.
Superintendent of Nurses.
(MRS.) MAE
GEORGIA STATE SANITARIUM
67
Report of Pharmaceutical Department
DR.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR:
The following is the annual report of the Pharmaceutical Department for the year ending December 31st
1927.
Below is shown a condensed list of manufactured
products.
Tinctures, spirits and extracts
Elixirs
:
Syrups
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated powder
Indelible ink
Glycerites
Liniments
Tonics
Tooth powder
Roach powder
Quinine, anodyne and lagrippe
capsules, filled
'..._
Germicide
Fly and mosquito exterminator
2,091 pounds
1,210
"
748
128
1,045
68
82
43
68
312
Z
135
2
32
15,900
'822 gallons
595
STATEMENT
Debits
Jan. 1, 1927, Inventory as of Dec. 31st, 1926
$5,691.05
63
EIGHTY-FOURTH ANNUAL REPORT
Purchases During Year
Drugs, chemical, dental, surgical and
laboratory supplies
$11,493.30
Freight and Express
257.12
Total
Less Goods Returned
$11,750.42
83.54
Net Amount Goods Purchased
$11,666.88
Total
Deduct: Inventory Dec. 31st, 1927
$17,357.93
5,309.00
Amount of Goods to account for
$12,048.93
Credits
Dec. 31st, 1927, Prescriptions
filled for wards, 35,044
aggregating
Sales to Officers and Employes
$11,430.48
618.45
Total
$12,048.93
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
GEORGIA STATE SANITARIUM
69
Report of Treasurer
MARCH 13TH,
DR.
1928.
R. C. SWINT,
Superintendent, Georgia State Sanitarium.
Milledgeville, Ga.
MY DEAR SIR:
I beg to submit below a report of the receipts and
disbursements of the Treasurer of Georgia State Sanitarium for the year 1927.
Dec. 31st, 1926. Bal. cash on
.ha?d
$ 46,411.50
p
Received from Homer Bivins,
Steward, during year 1927
12,213.97
Interest on balances
1 813 29
Requisitions paid by State
Treasurer
1,100,000.00
Total
$1,160,438.76
Disbursements for the year on warrants
signed by Superintendent and Steward. $1,091,547 80
Dec. 31st, 1927. Bal. cash on hand
68i890.'96
Total
$1,160,438.76
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank we certify that at close of business December 31st, 1927, there was to the credit of Otto
* <£on^^ea^rer Georgia State Sanitarium the sum
of $68,89096, Sixty Eight Thousand Eight Hundred
Ninety Dollars and Ninety Six Cents.
OTTO
„,.
Witness:
W. CONN,
Treas. Ga. S. S.
H. G. BANKS,
Cashier Exchange Bank.
H. H. HERNDON,
N. P., B. Co., Ga.
EIGHTY-FOURTH ANNUAL REPORT
70
Report of Farm Steward
FEBRUARY, 9TH,
DR.
1928.
R. C. SWINT,
Superintendent.
DEAR SIR:
I wish to submit my report for the fiscal year ending
December 31st, 1927.
The following is a list of food stuffs produced by my
department during the year.
Asparagus
Beans, Butter
Beans, snap
Beans, ototan
Beets
Cabbage
Collards
Cantaloupes
Corn
Corn, roasting ears
Corn, silage
Cucumbers
Fodder
Hay, (oats arid vetch)
Hay, alfalfa
Lettuce
Oats, shelled
Oat straw
Okra
Onions
Peas, garden
Peas, field, green
Peas, field, dried
Peppers
Peaches
Pork, dressed
Potatoes, Irish
Potatoes, aweet
Radishes
Rape
-
-
-
Ill
627
1,114
40
1,077
82,307
32,422
12,378
19,892
57,360
935
104
97
201
6
3,761
400
718
637
1,560
348
566
2,700
114
Ill
38,632
830
13,302
79
3,779
bushels
JJ
heads
bushels
ears
tons
bushels
tons
heads
bushels
bales
bushels
crates
pounds
bushels
GEORGIA STATE SANITARIUM
R
ye
,
Spinich
Squashes
^up
Tomatoes
Turnips
Turnip salad
Watermelons
71
336
252
"
2,883
"
.;. 'g80
gallons
629i/2 crates
_
3)556
bushels
_
4,659
27^810
Dairy
Sweet Milk
Butter milk
Butter
Sweet cream
Beef
Hides, (green)
Calves sold
Bulls sold
Manure
Sacks sent to storehouse
:78,608
152
425
37514
...12,249
1,542
6
1
1,481
2,256
gallons
"
pounds
gallons
pounds
for $50
loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
Eggs issued
Eggs set
Turkeys issued
247
11
505
4,632i/2 dozen
4,139
"
4931/2
26
In addition to producing the above my, department
has moved all the coal from the coal chutes to the boiler
rooms. Have also kept up the entire road system around
the institution, and have done several other things too
numerous to mention.
I wish to thank you, the Board of Trustees, the Officers and others for the gratitude and cooperation shown
me throughout the year.
Respectfully yours,
C. PENUEL,
Farm Steward.
72
EIGHTY-FOURTH ANNUAL REPORT
Report of Engineer
DR.
R. C. SWINT,
Superintendent and Resident Physician.
DEAR SIR:
Please find below the annual report of the Engineer's
Department for the year ending December 31st, 1927.
Improvements
The toilet room on the first floor of the Powell Building ; formerly for the use of men, has been reconditioned
for the convenience of female visitors, and a new toilet
room for white males and the use of the Officers has
been built in the basement. The new room has a tile
floor and a full equipment of fixtures.
The first floor hallway of the executive part of the
Powell Building has been surfaced, stained and waxed.
Runners of battleship linoleum have been placed through
the main hallways, and the front hall and the Usher's
room have been covered entirely with this material.
The floor of the public parlor in the Powell Building has been taken up, the joists leveled and a new subfloor put in. Over this sub-floor has been laid a floor of
oak; the surface of which has been surfaced, shellaced
and waxed.
A line of storm sewer has been placed in the backyard of the colored female building. Cast iron gratings
have been placed along this line to care for the surface
water.
A porch has been built in front of the cold storage
plant. This porch has a concrete floor and a Barrett
Specification roof
The last three of the cold storage rooms have been
completed.
Electric lights and an electrically operated cloth
cutter have been installed in the sewing room at the
Negro Building.
GEORGIA STATE SANITARIUM
73
The open doorways leading from the water closet
rooms of the octagonal dormitories in the Twin Buildings have been bricked up as suggested by the Underwriter's Association.
Wire guards have been put over the windows of the
pavilion for old men which was recently built near the
1 win Buildings, and a room has been cut off from the
dormitory to serve as a toilet room for the female nurses
employed there. A water closet and a lavatory have
been installed in this room.
«. A1s^Ter one hundred eighty feet long has been run
through the yard of the 27th female ward.
A cabinet containing locked mailed boxes has been
made and set up for the care of the mail of the Officers.
A frame house, twenty by eighty feet long, has been
built on the outskirts of the grounds for caring for and
the baling of waste paper.
The fire engine house has been wired for electric
lights, and there has been installed a circuit for an electric heater for keeping the engine warm and easy to
start in cold weather.
Pantry sinks have been put on wards 4, 5 and 6 in
the colored building.
A one story wooden building, thirty by sixty feet has
been built in the white male occupational therapy park,
and six electrically operated wood working machines
placed in operation there
A heavy wire fence, ten feet high, with reinforced
concrete posts has been built around the recreation yard
of the colored females.
All of the toilet rooms and bath rooms in the Twin
Buildings have now been worked over and have concrete floors and reinforced cement plastered partitions
between the toilet rooms and the bath (shower) rooms.
A brick moving picture booth has been built onto
the outside of the west end of the amusement hall, and
a large plastered framework for holding the screen erected in the hall on the east end. This construction eliminates all danger from fire getting into the building,
should the equipment in the operating booth catch on
74
EIGHTY-FOURTH ANNUAL REPORT
fire. A doorway has also been cut through the south
wall of the hall as a fire escape.
A "Cyclone" wire gate, eighteen feet wide, and a
wire fence has been built betweeen the fire engine house
and the adjacent wall, closing this opening into the back
yard. Reinforced concrete posts were used.
An additional room has been added to one of the
houses at the waterworks.
A new set of sterilizing apparatus for water, bandages, instruments and pans has been installed in the operating room of the white female department.
The storehouse has been completely rewired for
electric lights and additional lights put in the newly
created departments.
An improved type of lightning arrester of the oxide
film type has been installed at the waterworks for the
protection of the 2300 volt motor there.
A concrete floor has been placed in the diet kitchen
in the Whittle Building in place of the old wooden floor.
A brick tunnel runs under this floor to make accessible
the water main running under it.
A new forty inch overdriven extractor has been installed in the white laundry.
Two of the boilers at the white laundry has been
reset; the brickHvork around them entirely renewed.
A four inch cast iron pipe has been run from the
bottom of the clear water basin at the water works to
the hillside. This pipe is for facilitating the washing
out of the basin when this is required.
Four standard fire-hose houses have been built
over as many fire-hydrants at danger points around the
the institution, and a quantity of hose with nozzels and
spanners placed in each of them.
A cqmplete set of new tubes has been put in one of
the boilers at the Male Convalescent Building, and the
hand-holes of the three boilers there have been reinforced
by oxy-Acetyline welding.
An annex to the kitchen at the Twin Buildings has
been built. This addition runs entirely across one end
of the kitchen. A portion of the addition is enclosed and
GEORGIA STATE SANITARIUM
75
is used as a pastry room, the balance of it is open on one
side and is used as a vegetable cleaning and washing
piciCG.
A small wooden house has been put up at the dairy
to accomodate the toilets and shower rooms installed
there for the use of the workmen in the dairy, and a concrete septic tank has been built to take care of the sewage from this house and from that occupied by the dairy
man and his family.
A brick addition, with a concrete floor and a drain to
the sewer, has been made to the boiler room at the Twin
Buildings, and the hot-water tanks, originally placed in
the kitchen, have been removed from that place and installed therein.
A water sluice gate of substantial iron construction
and having two gate openings, each fifteen by twenty
inches in area, has been put in the intake well at the
river, and the brickwork of the well has been raised four
feet to care for the rise in the river made by the placing
of a concrete dam across it lower down. This gate fills
a long felt want, and enables the cleaning out of the
well to be done when required, as well as the control of
the depth from which the water is taken at times when
the river is filled up with sand.
The underground steam pipe through the yard of
the female colored building has been replaced with a new
one, and all of the return pipes from the heating apparatus lying between the building and the boiler room have
been renewed.
The old tank room of the abandoned ice plant has
been renovated by putting in new windows and doors,
new plastering and a concrete floor. In this room, there
has been installed a three hundred gallon jmilk pasteurizer, and a sterilizing washer for the milk cans.
A new forty-two inch by eighty-four inch model
metal cascade washer has been added to the equipment
of the white laundry.
Extensive repairs have been made on the first building erected at the Colony. New piers have been built under it, and bins made for the storage and fumigation of
cow peas.
76
EIGHTY-FOURTH ANNUAL REPORT
Duplicate electrically driven centrifugal pumps have
been placed in the ice plant; one for the circulation of
water through the condenser and the other for the circulation of brine through the coldstorage rooms.
A brick addition to the Laboratory building, consisting of three rooms and a basement room has been
commenced. This work is well under way and will be
completed early in the coming year.
The location of the present water main from the
waterworks to the institution has been staked off and
the number of feet the line runs through the property
of the different owners along the line has been obtained
preparatory to beginning the "securing the right-of-way
for the new line.
An aerial ladder truck—gasoline driven—has been
bought and added to the fire fighting equipment of the
institution. A wooden extension to the present fire-engine house has been made to accommodate the great length
of this apparatus. A shuck-pen roofed addition has been
built to care for the old hand-drawn ladder truck which
was removed from the engine house to make room for
the aerial ladder truck.
An additional water closet has been placed on wards
22 and 23, and a porcelain bath tub placed on these wards
instead of the old fashioned black iron ones which has
been there since the building was constructed.
Work has been begun on reconditioning the buildings once used as a dry-dairy to make them suitable for
the accomodation of the mules and the equipment of the
Farm Steward.
Plans have been drawn for the proposed new carpenter shop; the machine shop and the Wood working
machine shop which are to be built on the site now occupied by "The Lot."
More than ten thousand square feet of flooring have
been laid on the wards during the year, and many minor
improvements and repairs have been made.
Plans and specifications have been made for the four
hundred twenty patient building to be errected in 1928
for the colored.
GEORGIA STATE SANITARIUM
77
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and harness
repair shop, the shoe repair shop, the paint shop and
broom factory have been kept busy in manufacturing
and repairing the various articles in the different departments.
Respectfully submitted,
T. H. DESAUSSURE,
Engineer.
78
EIGHTY-FOURTH ANNUAL REPORT
Report of Steward
MlLLEDGEVILLE, GA., DEC. 31ST, 1927.
DR.
R. C. SWINT,
Superintendent.
DEAR SIR:
I beg to submit herein a report of the financial condition of the Sanitarium at December 31st, its income
and expenditure for the fiscal year, together with other
information shown under the exhibits and schedules that
follow.
EXHIBITS:
1—Balance Sheet—December 31st, 1927.
2—Statement of Income and Expenditures for Year.
3—Consolidated Cash Statement of Receipts and Disbursements.
4—Analysis of Cash Receipts and Disbursements for
Maintenance.
5—Statement of Receipts and Disbursements Account
Special Appropriations.
6—Profit and Loss Statement Farm, Garden and Dairy.
7—Comparative Statement Cash Expenditure, Years
1926-1927.
8—Statement Operating Funds, December 31st, 1927.
9—Comparative Statement Per-Capita and Per-Diem
Cost, Years, 1926-1927.
SCHEDULES:
1—Accounts Payable as of December 31st, 1927.
2—Accounts Receivable as of December 31st, 1927.
3—Production, Farm Garden and Dairy.
All accounts for supplies purchased during the year
were promptly settled in accordance with contracts, and
receipted vouchers covering such disbursements are on
file in this office.
I am grateful to our honorable Board, yourself and
others for the assistance you have given, and the kindness shown me in the performance of my duties.
Respectfully submitted,
HOMER BIVINS,
Steward.
EXHIBIT No. 1
Balance Sheet^December 31, 1927
Treasurer—General Fund
Treasurer—Patients Fund ~~I~I
Treasurer—Occupation Therapy Department
Steward—Working Fund
11 11
Steward—Time Department Exchange Bank
Steward—Time Department Merchants & Farmers Bank
TOTAL
ACCOUNTS RECEIVABLE:
Officers and Employes
U. S. Public Health Service
TOTAL
STOCKS—SUPPLIES:
General Merchandies
Drugs, Chemicals and Sundries
Fuel—Coal and Coke
Engineering Materials
Packing House Products
Clothing and Bedding in Manufacture
Farm Supplies, Fertilizers, etc
Dairy Feeds, etc.
TOTAL
FREIGHT AND EXPRESS:
Applicable to Mds. Stocks
GRAND TOTAL
33,718.54
10,589.74
DUE SPECIAL FUNDS:
Occupation Therapy Male
Occupation Therapy, Female
Occupation Therapy, Special
Brantley Building
Ice and Cold Storage Plant
Female Commissary Dept.
3,933.41
3,000.00
1,716.64
5,738.50
33103
3,933.41
2,425.64
204.83
1367.90
O
M
O
1,367.90
TOTAL _ _.
$14,001.31
TRUST FUNDS:
$54,326.23
Patients Deposits
<t? mcon^
ACCOUNTS PAYABLE:"
10,589.74
1,004.81
139.48
Individuals and Corporations
22 0finifl
SALARIES, WAGES AND LABOR?
^.^U.lb
$ 6,733.22
$ 1,144.29 Officers—December
Employees—December
31,538.86
48,320.23
5,309.00
32,770.00
12,210.55
3,866.84
TOTAL
GROUP INSURANCE:
Advance Collections
EXCESS ASSETS:
Balance from 1926
Less: Adjustments applicable
1926
1,360.24
1,283.75
1,186.50
Balance
Adjustments for 1927
$106,307.11 Less:
414.43 Balance
$162,192.06 I
to
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to
>
$38,272.08
H
4.68
W
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$ 84,409.44
to
34.22
$ 84,375.22
7,111.13
$ 77.264.09
GRAND TOTAL
ft)
O
$162,192.06
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EXHIBIT£No/2
^Statement of Income and Expenditures for Year
EXPENDITURE:
INCOME:
GENERAL ADMINISTRATION:
STATE APPROPRIATIONS:
Officers Salaries
$75i,824.04 Regular
.$1,100,000.00
WAGES AND LABOR.
MISCELLANEOUS:
Farm and Garden Department
$ 13,349.48
Dairy Department
4,318.66
Board
of Officers
$ 1,229.40
Engineer's Department
60,107.65
Board of Special Attendants
1,557.70
Stewards Department
48,902.02
Board of Employees
3,904.30
Medical Department
244,080.54
149.50
TOTAL
$370,758.35 Fines
Interest on Balances
1,840.08
FOOD SUPPLIES:
Miscellaneous Sales
1,972.50
General Wards
$307,859.55
205.07
Miscellaneous Income
Nurses Home
13,861.70
518.17
Sales Ice
Stewards Dining Room
4,707.96
125.30
Rents
Supt's Dining Room
1,309.93
131.88
TOTAL
$327,739.14 Donations
Dairy Sales
$
11,723.90
TOTAL
MISCELLANEOUS:
Clothing and Dry Goods
$ 67,310.08
DIFFERENCE:
Furniture and Bedding
42,796.00
$7,111.13
Fuel
—
56,413.61
Adjustment Excess Assets for Year
Medical Supplies
11,778.68
Stationery and Postage
2,309.67
Farm and Garden
16,214.85
Dairy
13,374.65
TOTAL
INVESTMENTS:
322.63 Acres Land
Fire Fighting Apparatus
$210,197.54
$
-_-
4,436.16
12,000.00
M
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EXHIBIT4N0. 2 (Continued)
Statement of Income and Expenditures for Year
Pasteurizing Equipment
Autos and Trucks
Live Stock
Laundry Equipment
Picture Show Equipment
Sterilizing Equipment
$
TOTAL
MAINTENANCE OF PLANT:
Brick
$
Builders Hardware
Cement
Crushed Stone
Cooking Apparatus
Fire Apparatus
Grading Supplies
Ice Works
Lime, Hair and Mason Supplies __
Lumber and Building Materials
Machinery Supplies
Painters Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners Supplies
Water Works Supplies
Sundries
TOTAL
1,237.70
2,950.00
400.00
5,050.00
1,044.19
1,233.00
$ 28,351.06
782.25
2,615.59
2,263.10
333.11
206.50
1,725.78
59.00
863.37
1,558,59
5,261.58
414.50
4,371.01
3,746.32
217.85
470.38
209.93
3,330.61
669.30
654.53
736.82
$ 30,490.12
EXHIBIT No. 2 (Continued)
Statement of Income and Expenditures for Year
INCIDENTALS AND CONTINGENCIES:
Advertising
$
620.54
Amusements
308.16
Barber Supplies
365.21
Laundry Supplies
$ 5,754.88
Broom Factory Supplies
973.56
Blacksmith Supplies
480.94
Cemetery Supplies
901.33
Dental Supplies and Equipment
460.29
Dining Room Supplies
2,412.91
Escaped Patients
192.95
Electric Light Supplies
2,086.65
Florists Supplies
163.23
Gas and Oils
4,201.68
Garage Supplies
60.00
Electric Light and Power
18,472.01
Harness "Repairs
40.53
Housekeeping Supplies
8,756.44
Interest Paid
743.22
Insurance Premiums
2,261.00
Kitchen Supplies
6,359.28
Laboratory Supplies and Equipment
1,050.47
Medical Books and Journals
255.42
Musical Instruments
638.04
Office Supplies and Equipment
1,917.51
Printing
1,183.30
Poultry Yards
778.10
Repair Account, Autos and Trucks __
1,184.07
Registration Autos and Trucks
43.65
Surgical Instruments
85.00
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EXHIBIT No. 2 (Continued)
Statement of Income and Eqpenditures for Year
Telephone Supplies
Telephone and Telegraph Bills
Tobaccos
Tools and Implements
Travel
X-Ray Supplies and Equipment
Sundries
TOTAL
715.83
373.10
6,408.28
465.58
2,354.26
866.39
1,540.98
O
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2
$ 75,474.79
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GRAND TOTAL
$1,118,835.03
GRAND TOTAL
$1,118,835.03
EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
w
EXPLANATORY
is
;^
O
Balance from 1926
Less Due Special Funds
RECEIPTS
Maintenance Appropriations
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales, Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
$
o
o.
a :fa
a
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'•£3 . •—
fl
3J3 CD
o. P. S
?v o.
p-i
34,210.77|$
14,286.36|$
3,000.00|$
I
1,136,279.74|
11,489.981
1,147,769.72|
1,114,051.181
33,718.54|
a
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5,299.23
4,039.67
4,039.57
15,161.45
4,039.57
3,084.54
15,161.45|
5,158.511
10,002.94
4,039.57
106.16
3,933.41
3,084.54
10,002.94|
3,933.41
11,489.98|
1,813.29|
255.68|
W
O
5,822.65
$l,100,000.0i0|
I
HPw
1,906.76
I
1
|
jfe.
ss
20,307.60
14,286.36|
20,307.601
34,593.96.
I
I
34,797.58
31,797.58
3,000.00
45,728.86
48,728.86|
45,728.861
33,718.541
10,589.741
3,000.00!
24,004.221
10,589.741
1,177.78
3,084.54
3,084.54
o
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H
EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements.
>>
M
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DQ
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EXPLANATORY:
OJ 'C
4J ^3
fi 3
asm
M
CM
Balance from 1926, Less Due Special Funds $
RECEIPTS—FUNDS
Maintenance Appropriation
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales, Store Supplies
Total
Transferred by Steward
Disbursed on Vouchers
Balances
Disbursed by Steward
Ralances
14,286.361$
I
379.02 $
3,579.73
317.60
20,307. 60|
I
34,593 96|
I
I
34,593 ,96|
24,004, 22|
10,589, 74|
696.62
3,579.73
491.79
204.83
1,154.09
2,425.64
204.83
2,425.64
0)
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fe
290.00 $
29.046.13
>
1,094,383.17
11,489.98
1,813.29
255.68
>
81.15
1,096.63
1,386.63 1,137,069.40
18.73 1,085,609.58
51,459.82
1,367.90
21,724.64
1,667.90
29,735.18
H
H
;»
SUMMARY
DEBITS.
CKEDITS:
General Fund
'.
Patients Fund
Stewards Fund
Time Deposits
Occupation Therapy Depts.
Total
_
33,718.54
10,589.74
3,000.00
3,084.54
3,933.41
Due Occupation Therapy Fund __$ 10,002.94
Due Female Commissary
1,367.90
Due Patients—Deposits
10,589.74
Due, Ice and Cold Storage Plant..
204.83
Due Brantley Building
2,425.64
Balance Due Maintenance Fund.. 29,735.18
$ 54,326.23
Total
$ 54,326.23
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GEORGIA STATE SANITARIUM
87
EXHIBIT No. 4
Analysis Cash Receipts and Disbursements for
Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Stewards Department
Engineers Department
Farm and Garden Department
Dairy Department
$70,752.96
237,40i6.25
47,853.50
59,883.60
13,416.61
4,385.66
Total
FOOD SUPPLIES:
General Wards
Brantley Building
Officers Dining Rooms
$362,945.62
$315,925.26
13,861.70
6,017.89
Total
MISCELLANEOUS:
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Occupation Therapy Depts.
Incidentals
$335,804.85
$ 67,310.08
42,796.00
51,994.02
30,490.12
11,760.34
2,309.67
5,616.83
98,290.16
Total
FARM AND GARDEN:
Fertilizer
Seed
Misc. Supplies and Repairs
Commercial Feeds
Board of Employees
Treating Hogs
Freight and Express
$310,567.22
$
7,075.00
2,256.30
3,519.89
77.49
3,106.66
178.20
52.35
Total
DAIRY:
Commercial Feeds
Misc. Supplies and Repairs
Freight and Express
Board of Employees
Total
$ 16,265.89
13,452.10
1,408.69
956.08
797.64
$ 16,614.51
^
EIGHTY-FOURTH ANNUAL REPORT
EXHIBIT No. 4 (Continued)
Analysis Cash Receipts and Disbursements for
Maintenance
RECEIPTS
BALANCE IN HAND:
Treasurer—General Fund
Steward—Working- and Special Fund
$ 37 651 95
I
6,'o84.54
T al
^
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Less Due Special Funds
$ 43.736.49
14,001.31
T
Balance in Hand for Maintenance
$ 29 735 18
GRAND TOTAL
$1,142,686.23
Balance from 1926
APPROPRIATION 1927:
Regular
Board of Officers and Attendants
Checks Returned
Telephones and Telegrams
Interest on Balances
Freight and Express
329,046.13
"
~~
1,100,000.00
1 573 78
'25568
g'03
1 900 41
'l8L33
Total
$1,103,919.22
ALL OTHER SOURCES:
L
!»!«
l? stoSupplies
ck" v
Sales—Store
Sales—Baskets, Rugs, Chairs, etc
Sales—Scrap Iron, Paper, Bones,
Rags, etc.
premiums on Group Insurance
Wages Refunded
Dental Work and Material
Donations
Sales Drugs
Jnnes
X-Ray Supplies
Sundries
Total
GRAND TOTAL
*
11
_
T_
3 306 86
> - 39
1555
68113
2,800.80
100 24
59249
32730
^
1225
700
^'25
7876
—
9>72088
Sl.142.fi8fi.ga
GEORGIA STATE SANITARIUM
EXHIBIT No. 5
Statement of Receipts and Disbursements Account
Special Appropriations
RECEIPTS
EXPLANATORY
Brantley
Building
Balance from 1926
Sales Empty Cement Bags
$ 3.57i-.73
Grand Total
DISBURSEMENTS:
Caustic Soda
Cork Insulation
Expresss
Electrical Equipment
Housekeeping Supplies
Hall Clock
Hooks for Meat
Insurance Premiums
Packing
Shrubbery for Yards
Thermometers
Travel
Balance in Hand
GRAND TOTAL
3,579.73
.50
186.50
125.00
757.50
Ice & Cold
Storage
Plant
$ 258.24
317.60
$ 575.84
20.40
241.22
22.50
12.72
5.61
80.00
—
$
68.56
4.59
2,425.64
204.83
3,579.73
$ 575.84
90
EIGHTY-FOURTH ANNUAL REPORT
EXHIBIT No. 6
Profit and Loss Statement, Farm Garden and Dairy
DESCRIPTIVE
Inventory as of January 1st
Purchases During Year:
Commercial Fertilizer _
Commercial Feeds _
Compost
Seed—Planting
Freight and Express
Fence Posts
Feeds—Home Grown _
Farm&
Garden
Dairy
Total
$ 46,002.13 $ 22,515.20 $ 68,517.33
7,075.00
77.49
4,396.00
2,256.30
52.35
425.00
13,452.10
956.08
10,000.00
7,075.00
13,529.59
4,396.00
2 256 30
1,008.43
425 00
10,000.00
Total . .
...
$ 60,284.27 $ 46,923.38 $107,207.65
Less Inventories as of December
31st, 1927
44,985.20 19,360.00 64,345.20
Net Cost Feeds, Fertilizer, Etc..
Gross Profit for Year - _
Total
_
27,563.38 42,862.45
12.622.99 102,837.51
$105,513.59 $ 40,186.37 $145,699.96
OPERATING EXPENSE:
Wages and Labor _
Misc. Supplies and Repairs
Rents
Treatment of Hogs
Board of Employees _
Net Profit for Year
GRAND TOTAL
15,299.07
90,214.52
„
FURNISHED INSTITUTION:
Food Supplies
Dairy Feed
Compost
Cash Sales
$ 13,349.48
3,094.89
4,318.66
1,308.69
100.00
178.20
3,106.66
70,485.29
797.64
6,098.00
$ 90,214.52 $ 12,622.99 $102,837.51
$128,021.06
10,000.00
4,396.00
3,282.90
Total
ON HAND:
Misc. Farm Products
Live Stock
Vehicles and Implements
17,668.14
4,403.58
100 00
178 20
3,904.30
76,583.29
$145,699.96
$ 32,950.00
26,895.20
4,500.00
Total
$ 64,345.20
GRAND TOTAL
$210,045.16
GEORGIA STATE SANITARIUM
91
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
1
Farm &
| Garden
$ 74,516.55
5,704.80
2,096.20
DESCRIPTIVE
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Dairy Feeds
Compost
Misc. Food Supplies
Dairy
10,000.00
1,200.00
11,945.00
Total
$ 74,516.55
1,242.35
6,947.15
2,096.20
32,516.16 32,516.16
10,000.00
3,196.00
4,396.00
11.945.00
$105,462.55 $ 36,954.51 $142,417.06
Total __
CASH SALES:
3,231.86
51.04
Misc. Farm Products
Total
$105,513.59 $ 40,186.37 $145,699.96
_
Gross Profit Brought Down
Grand Total
__
$ 90,214.52 $ 12,622.99 $102,837.51
$ 90,214.52 $ 12,622.99 $102,837.51
Investment as of Beginning of Year
Investment During Year —
Net Profit for Year
Total
3,231.86
51.04
$ 68,517.33
64,944.54
76,583.29
$210,045.16
EXHIBIT No. 7 AND 8
Comparative Statement Cash Expenditures, Years 1926-1927
DESCRIPTIVE
General Administration; Salaries
Food Supplies
Wages and Labor
Clothing and Dry Goods
Furniture and Bedding
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Postage
Farm and Garden
Dairy
Incidentals and Contingencies
Totals
Amount
Amount
Per Capita Per Diem
Increase
Decrease
1926
1927
1927
1927
$ 02,656.42 $ 70,752.96 $ 8,096.54
14.53
0.04.02
357,539.34
362,945.62
5,406.28
73.59
.20.22
350,411.21
335,804.85
14,606.36
68.09
.18.67
75,118.66
67,310.08
7,808.58
13.63
.03.74
40,056.34
42,796.00
2,739.66
8.67
.02.38
46,738.31
51,994.02
5,255.71
10.50
.02.88
55,957.17
30,490.12
25,467.05
6.17
.01,69
9,446.82
11,760.34
2,213.52
2,38
.00,65
2,859.91
2,309.67
550.24
.46
.00.01
21,271.47
16,265.89
5,005.58
3.28
.00.89
f
24,858.07
16,614.51|
8,243.56
19.91
.00.92
I
72,845.90|
98,290.16)
25,444.26|
3.36|
.05.46
I'
j $1,119,759.62|$1,107,334.22
49.255.971:
61,681.37|$
224.57[$
0.61.53
Total
$ 55,470.52
29,452.77
$ 84,923.29
CREDITS:
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
Accounts Payable
Salaries and Wages
Total
O
w
H
W
>
2!
>
w
STATEMENT OF OPERATING FUNDS
DEBITS:
Cash and Cash Items
Cash Deficit at End of Year
o
K
$ 24,591.05
22.060.16
38,272.08
% 84,923.29
O
w
GEORGIA STATE SANITARIUM
93
EXHIBIT No 9
Comparative Statement Per Capita and Per Diem Cost,
Years 1926-1927
EXPLANATORY
Total Cash Expenditure
Per Capita Cost
Per Diem Cost
Average Number Patients
Increase over 1926-1927
1926
$1,119,759.62
234.16
.64.15
4782
191
1927
$1,107,334.22
224.57
.61.52
4931
149
94
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1927
NAME:
DEBITS
Aetna Life Insurance Co.
American LaFrance Fire Engine Co. II "
American Railway Express Co.
™™.
Armour & Co.
Atlanta Journal Co., The
I
I"
Augusta Chronicle, The
I
~_
Banks, Gaither
'__
Bazanos, E.
~
Bell Dry Goods Co.
Bell Grocery Co.
~ '
Bensons Bakery
Boone's Pharmacy
" ~~
Brantley, John T.
~~ ~
Butler Provision Co
«i n
Carr Co., A. J.
:„"„""
Carter Electric Co.
Coleman-Meadows-Pate Drug Co
Collins, W. H.
~
Conn & Co., John
Conklin Tin Plate & Metal Co.
_"_
50
Crane Co.
Cudahy Packing Co.
j 50
Dairy & Farm Supply Co.
Dannenberg Waxelbaum Co.
Dean, H. H.
"
Duer & Sons, John
~_
_
j 73
Dunlap Hardware Co.
Ennis, J. H.
Epstein & Bro., I.
—
Erwin, J. D.
Estes Surgical Supply Co.
Eureka Fire Hose Mfg. Co.
Evans, W. C.
Frederick Disinfectant Co.
54 1 R
Gambrell. P. H.
~"1~1~1~
General Electric Co.
3 99
Georgia Highway Express Co.
Georgia Power Co.
Gilham Electric Co.
~_
Oilman, J. M.
Oilman. W. P.
III
""
Goodyear Tire & Rubber Co.
Gulf Refining Co.
Halliburton & Co.. T. H.
Hamilton Brown Shoe Co.
Hammett & Co., J. L.
Hapn Brothers Co.
I"™!™
Harrison, W. L.
II
Hatcher Hardware Co.. R. W. IIIIIIII
Herf & Frerich Chemical Co. ..
350.00
CREDITS
$
168.48
6,000.00
47.25
316.44
10.80
4.20
790.00
32.50
32.54
70.21
282.50
1.00
162.50
238.00
7.38
42.49
172.74
294.39
20.07
2.38
1.50
137.50
.94
3.45
3.43
169.40
2.52
1,680.00
780.00
12.40
.70
94^.92
116.49
12.19
130.38
80.70
71.39
550.65
1.11520
51.00
1.935.38
200 60
170.00
GEORGIA STATE SANITARIUM
95
SCHEDULE No. 1 (Continued)
Accounts Payable as of December 31st, 1927
NA
ME.
DEBITS
Hollin|gshead, G. W.
Horner Brothers Woolen Mills
Ivey, W. H.
Kelly Bros
$.57
Kny Scheerer Co.
Kuttner & Sons, J.
4.45
Long, O. C.
1.41
McKinnon Motor Co.
McKinley, G. C.
Macmillan Co., The
19.20
McCray Refrigerator
14.17
Macon Telegraph Publishing Co., The
Marshall Field & Co.
1.65
Muthieson Alkali Works
Michigan Wire Cloth Co.
5.56
Milledgeville Lighting Co.
Milledgeville Telephone & Telegraph Co. __
Montgomery, W. H.
Morris & Co.
«.
Newell, A. C.
Newton & Bros., C. E.
1.05
New Orleans Coffee Co.
31.27
Ray Lyon Co.
Richmond Dry Goods Co.
.57
Rich & Brothers,_M.
Richardson Milling Co., O. N.
20.34
Rice & Son, C. W.
Riley Drug Co., J. B.
Roberts-Johnson & Rand
1.60
Rosin & Turpentine Export Co.
54.08
Saxony Mills
Scott & Co.
6.25
Sherwin-Williams Co., The
6.23
Shi Engineering & Construction Co.
350.00
Southern Cotton Oil Trading Co.
Squibb & Sons, E. R.
Swift & Co.
Taylor Iron Works
26.08
Trawick Bros.
Trawick, S. B.
Troy Laundry Machinery Co.
Union Recorder
Underwood Typewriter Co.
Veal, O. F.
Vitamin Food Co.
Washburn Crosby Milling Co.
5.15
Western Union Telegram Co.
Whitfield Grocery Co.
Wilson & Co.
Winchester, Simmons Hardware Co.,
1.69
Total
$
964.22
CREDITS
$235.80
525 00
293^2
2.03
7 78
59340
2 70
22.74
.20
33.37
123.90
88.18
37.50
9.00
32.25
269.70
40.41
1,445.25
67.50
2.19
115.00
546.60
58.42
8.07
4.50
53.03
74.25
25.00
12,97
372.02
1,042.79
$23,024.38
96
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Adcock, Dr. J. C.
Albert, Rosa
Alford, Charlie . .
"
Alford, Grover _____
Alford, Vandine _.__
Allen, Bessie T. __
Allen, T. M.
"""
Allen, W. K. ______
Anderson, J. D.
Anderson, Mary H.
I
Andrews, Wastein ___
""""
Ashurst, Sarah ____
Badger, Annie Laura
"
Badger, F. D.
Badger, J. S.
'_
Bailey, LaRue
Banks, Martha
Battle, Bob
."..I
Beal, Lizzie Mae __
Beck, Bethel
Bell, Minnie Lee .___
Bivins, Homer
~
Bivins, Mrs. Homer
Blackwell, A. N.
Blackwell, Helen __
Bloodworth, Inez
__
Bloodworth, Ruby _
""
Bonner, A. E.
Bonner, Mary
I
"
Bostick, Dr. W. A.
Bowen, Dr. U. S.
"""""
Bowman, Octavia
I
Boyer, Eddie
Bradford, Dr. R. W. _
'"
Brannan, R. F.
Brantley, C. C.
Brantley, Mary Leon _
Brantley, T. C.
Brigman, Dr. W. B. ___
" "
Brown, Ben
Brown, Dan
Brown, Emily
Brown, Eva
__ _
Brown Lillian
__ "" ' "~
Brown, Luvie
Brown, Richard
Brown, Rufus —_
Brown, Willie
Burgamy, Sadie
""
Butts, Compton" .
""
«
$
DEBITS
,-_,_
17
9fQ
Z™
f'*®
f'°°
„°
-°°
^
„n
"ao
9™
^
CREDITS
/QV
1
-_
-^
-f°
"^
{■%%
X
'fn
2
-°°
■*»
H°
„{^°
„5
„tn
3
^
V?"
R°
•)?!:
"™
,/
, ?£
H?
j-°l
TIA
i-**
j/i,%
R
«„
*°"
,-■?„
l
'-™
§.00
*■'*
•""
-ab
Rn
„„„
,""
f""
^""
|g
" -5l
GEORGIA STATE SANITARIUM
97
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Butts, Rebecca
Califlf, H. G.
I!
Carter, Louise
Carter, Luke
I
Case Fowler Lumber Co. ___
Champion, R. L.
Conn, O. M.
_~S.Z
Cook, Hattie
Cooper, Mrs. A.
Cox, Dr. C. G.
Coxwell, Mrs. T. B.
Criswell, Wilmer
Crosby, Daisy E.
Curry, Eula
Davis, Cleveland
Davis, Cora
Davis, George
Davis, Mildred E.
Davis, Rosa
Dawson, Vallie
DeSaussure, T. H.
Dickerson, A. B.
Digby, Annie
Dillard, Joe
;
Dobyns, Dr. Wm. F.
Doke, Ruth
Dudley, Mattie Lou
Dunn, R. D.
Durden, Degrafenreed G.
Durden, Paul
Durden, W. R.
Eaton, Frank
Echols, Mrs. G. L.
Echols, Dr. G. L.
Edwards, B. D.
Epps, Roy S.
Evans, Joseph
Evans, Mattie L.
Evans, Thomas
Farrell, Arthur
Ferrell, Geo. L.
Findley, Robert
Fountain, Bessie
Fowler, Dr. A. H.
Frazier, Maudie M.
Frazier, Annie Mary
Frederickson, Leon C. __
Freeman, Annie M.
Freeman, Rosevelt
Gambrell, P. H.
9 QQ
2.88
H"
tnn
"";
'
VQ
\ri
%™
J
™
'5,
r'oR
nt
'£
«n
."
_I
_
-
17
_
.
'~_~^'~ ~_
'_
___""
_
_'__
II
"
_~"
187
2 00
g'69
2'nn
gp
4^43
340
j2g
'on
'60
2 00
i3'3o
'g0
7~40
150
'35
'05
'35
200
300
440
^20
10^50
2.64
2.74
3^7g
[90
"70
2.00
.15
12.35
^60'
.64
1.07
.60
2.00
13.56
CREDITS
98
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Garrard, Dr. J. I.
lrrQ
Gibson, Minnie . .
J,
Gilbert, Sarah
__
"
,„
Giles, Ethel
"'
« *-?4
Oilman, A. H. . _
* 1(U8
Gilman, E. G.
7_
"
nS
Gilman, H. E.
"
"^
Gilman, J. M.
/^n
Goolsby, Cora
9n
Gore, J. i
::::::::;:;:
fg
Grantling, Arthur
o'7fl
Green, Dr. G. H.
_ _
%£
Griffin, Annie Will ___
«„
Hall, Dr. T. M
,/x"
Happoldt, Nellie
___
_.
RA
Harden, D. E.
~~~
'og
Hardin, Eva
"
3*40
Harris, Gladys
'12
Harrison, Alma B.
~
g'10
Hartley, Estelle
———
u.xo
Harville, Willie Maude
____!__
1*69
Herringdine, Elizabeth
4'13
Herringdine, Joe
1'fin
Hiii, Willie
::::
200
Hines, Edward R.
0*0,
Hitchcock, Minnie
__
go
Holder, J. H.
i '7e
Hollis, D. H.
10
Hollis, J. T.
~~~
~~"~"
20
Hodger, Pinkie Lou
~_
'60
Hall, Bessie Lou
'gg
Holsey, Mrs. L. S.
"45
Hopkins, Ben
j'^g
Horton, O. D.
"
"
'50
Hudson, C. E.
'35
Hudson, Mary
'gg
Hudson, Sarah
4'22
Humphrey, A. R.
'40
Humphrey, Cecile O.
g'oo
Humphrey, Otis
2.00
Hutchins, Eulata
2.25
Ivey, Odella
gg
Jackson, Essie
i|4g
Jackson, Jesse
g'55
Jackson, Ruby
'gg
Janes, Geo.
135
Janes, L. B.
'4g
Jarnigin, Dr. J. C.
'01
Jenkins, Jim
2 00
Jett. W. S.
IR.70
CREDITS
.60
GEORGIA STATE SANITARIUM
99
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1917
NAME
Johnson, B. P,
Johnson, Ivy
Johnson, James
Johnson, Jesse
Johnson, J. C.
Johnson, R. L.
Jones, Annie
Jones, Ben
Jones, Frank
Jones, H. S.
Josey, J. E.
Key, Mary
Landrum, Louise
Landrum, Seaborn
Lavender, C. B.
Lavender, Ma.bel
Lawrence, J. M.
Lawson, E. L.
Layfield, A. W.
Layfield, B. L.
Leaptrott, Lillian
Lee, Joe
Leonard, J. A.
Leonard, Lila
Lindsey, E. E.
Little, F. G.
Lomax, Myrtle
Longino, Dr. L. P.
Lynch, Edward
McCoy, Osie
McDade, W. W.
McDaniel, J. T.
McKinley, A. C.
McKinley, R. L.
McLane, Clara
McLendon, Eva
Marsh, R. L.
Martin, Irna
Maroney, Gretha
Mathews, Thelma
Mathews, J. W.
Miles, Eugene
Mitchell, Berry
Mobley, Dr. J. W.
Moore, S. I.
Moran, Donie
Moses, Salonia Mae
Mosley, Dosh
Mosley, Richard
'
DEBITS CREDITS
1.00
2.00
2.00
2.00
1.55
1.38
1.44
2,00
2.00
.75
.20
4.84
.82
2.00
.40
.60
1.00
1.43
.60
.80
.30
2.00
.20
3.19
65.97
4.10
.60
9.12
2.00
1.56
.40
.75
3.00
4.30
2.74
1.90
1.37
.60
.60
1.70
1.98
2.00
.90
17.50
.70
.60
?
1.49
2.00
2.06
100
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
DEBITS
Napier, Willie
Newell, A. C.
Norton, Anna
Osborne, H. L.
Parham, Oscar
Paul, Nannie J.
Payne, Leo
Peacock, Lwdia
Pendleton, Annie B.
Penuel, F. C. 1
P'hillips, Louise
Phillips, Nathan
Pinkston, Daisy
Pittman, Shellie
Pitner, W. C. .1
Pounds, Louise
Pritchard, James
Preston, J. G.
Quinn, C. J. _
Ransom, Charlei
Rankin, Dr. D. T.
Ray, Addie P.
Ray, Scott
Reeves, C. P.
Reid, R. R'. _'___
Renfroe, Samantha
Resseau, Frankie
Resseau, Ola L.
Reynolds, Dumas
Rice, Joe
Rice, Walter
Richards, John
Ricketts, Ina
Rivers. Will
Roach, Mary Lou
Roberts, H. B.
Robinson, Lucile
Ross, Mrs. G. W.
Ross, J D., Sr.
Ross, J. D., Jr.
Sams, Essie Rams, Lewis
Sanders, Dr. Luctus
Sanford. A. F.
Sanford, Charlie
Spnford, Jerry
-I-~I"I~~I
I
~"
1
CREDITS
o nn
35
l'gg
25
g'^g
'go
'35
'go
'go
22.06
2.00
.30
60
6;8B
.60
5.78
2^75
'35
2 00
4.98
.60
.50
2 75
.25
.60
.60
.60
2.00
2.00
.35
4.55
.60
2.00
7.33
4.88
.60
.90
.63
.60
2.30
2.00
lt.70
3.00
2.00
2.00
S .GO
GEORGIA STATE SANITARIUM
101
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Satchel, Frank
Saye, Dr. E. B.
Seals, J. D.
Seals, Mrs. J. S.
Self, Lillie Mae
Shurling, Catherine
Simpson, C. H.
Simpson, Roscoe
Simpson, Roy.
Smith, Arthur S.
Smith, Darrell D.
Smith, E. L.
Smith, J. H.
Smith, J. T.
Sparks, G. Mclntosh
Speights, Annie
Speights, Belford
Spivey, C. W. -State Farm, Georgia
Stavely, G. C.
Steonbridge, Clifford F.
Stembridge, W. W.
Stephenson, Dr. J. T.
Stokes, Ethel
Strozier, Alma E.
Swan, Mrs. Mary
Swint, Dr. R. C.
Switzer, A. W.
Switzer, T. Alton
Taylor, Hershal
Tennille, A. S.
Thompson, Felix
Thompson, Nora
Thornton, Bertha
Thornton, Jim
Tompkins, Katie
Trawick, John
Tucker, Joe
Tucker, Tom
United States Public Health Service
Veatch, C. N.
Vinson, Bertha Mae
Vinson, Brack
Vinson, J. T.
Walker, N. P.
Wallace, H. B.
Waller, Squire
DEBITS
<£
2.00
85
1^80
1.35
2!oO
.60
.45
.50
3^25
.25
.60
- .40
1.80
3.75
9.00
,1.19
2.00
3.60
17.00
.20
.45
4.95
1.00
2.56
.60
.30
3.10
.18
.50
2.00
.50
1.62
.30
.60
.2.00
.60
2.00
2.00
.50
139.48
.60
3.30
2.00
.75
4.62
.25
2.00
CREDITS
102
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 2 (Continued)
Accounts Receivable as of December 31st, 1927
NAME
Warnock, H. D.
Watson, B. F.
Watson, Mozelle
Wheeler, Dr. G. A.
Wiley, Dr. J. D
Wilson, Ernest
Williams, Eugene
Williams, Lillian S.
Worsham, J. I.
Wright, Andrew
Wright, D. B.
Wright, Leola
Wright, S. E., Sr.
Wright, S. E., Jr.
Wright, Willie
Yancy, Bessie
Yarbrough, Irene
Yarbrough, Rev. J. F.
Yarbrough, Dr. Y. H.
Youngblood, Lilly
Youngblood, Rebecca
Youngblood, Willie
Total
..
DEBITS
8.70
.50
5.85
}
13.29
.65
.40
2.00
2.55
.30
2.00
.35
.55
1.05
1.25
2.00
10.72
.60
6.00
6.30
2.83
4.19
.40
CREDITS
$ 1,146.00
$
1.71
GEORGIA STATE SANITARIUM
103
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
2,874 Bushels Squash
1,115 Bushels Snap Beans
32,063 Heads Collards
5,039 Bushels Rape
7,599 Bushels Turnips
48,131 Heads Cabbage
252 Bushels Spinach
111 Bushels Asparar ii
3,761 Heads Lettuce
72 bushels Radishes
1,081 Bushels Beets
1,520 Bushels Onions
3,944 Bushels English Peas
830 Bushels Irish Potatoes
234 Bushels Cucumbers
637 Bushels Okra
625 Bushels Butter Beans
132 Crates Peaches
114 Bushels Pepper
530 Crates Tomatoes
211 Bushels Egg Plants
13,272 Bushels Sweet Potatoes
880 Gallons Syrup
12,378 Cantaloupes
27,810 Water Melons
12,260 Roasting Ears
VALUE
$ 7,185.00
3,568.00
3,206.30
2,519.50
7,599.00
4,813.10
378.00
._.
333.00
188.05
144.00
3,243.00
3,800.00
11,832.00
1,660.00
585.00
955.50
1,875.00
264.00
342.00
2,120.00
633.00
13,272.00
352.00
618.90
2,781.00
249.20- -$ 74,516.55
PACKING HOUSE PRODUCTS:
38,032 Pounds Pork
12,549 Pounds Beef
$ 5,704.80
1,242.35- -$
6,947.15
POULTRY AND EGGS:
1,012
1,211
4,129
260
49
Pounds Hens
Pounds Friers
Dozen Eggs
Pounds Turkeys
Pounds Roosters
$
202.40
363.30
1,445.15
78.00
7.35- -$
2,096.20
104
EIGHTY-FOURTH ANNUAL REPORT
SCHEDULE No. 3—(Continued)
Production—Farm, Garden and Dairy
DAIRY PRODUCTS:
78,953 Gallons Sweet Milk
161 Gallons Butter Milk
3651,4 Gallons Cream
437 Pounds Butter
FARM PRODUCTS:
1,000 Tons Ensilage
COMPOST:
MISCELLANEOUS FOOD SUPPLIES:
1,631 Bushels Peas
5,362 Bushels Meal
3,311 Bushels Potatoes
TOTAL VA^UE
$31,581.20
29.16
731.00
174.80—$ 32,516.16
$
$10,000.00
4,396.00
$ 3,272.00
5,362.00
3,311.00—$ 11,945.00
$142,417.06
EIGHTY-FIFTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siafe Sanitarium
MILLEDGEVIIXE, GA.
For the Year Ending
December Thirty-First
Nineteen Twenty-Eight
Board of Trustees
President
JOHN
T. BRANTLEY
Blachshear, Ga.
Vice-President
THOS.
M. HALL, M. D
Milledgeville, Ga.
Secretary
C. C. BRANTLEY
Valdosta, Ga.
E. E. LlNDSEY
Rome, Ga.
*J. C. JARNAGIN
A. C. NEWELL
Warrenton, Ga.
Atlanta, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
*Deceased
Macon, Ga.
M. D
C. PITNER
Commerce, Ga.
Athens, Ga.
Committees of the Board of Trustees
GEORGIA STATE SANITARIUM
Executive Committee
E. E. Lindsey, Chairman
J. C. Jarnagin
Thos. M. Hall, M. D.
A. C. Newell
C. C. Brantley
Finance and Auditing Committee
P. H. Gambrell, Chairman
Walter C. Pitner
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Thos. M. Hall, Chairman
Laetus Sanders, M. D.
P. H. Gambrell
Committee on Buildings and Grounds
E. E. Lindsey
A. C. Newell, Chairman
Lateus Sanders, M. D.
Committee on Farm and Outside Business
*J. C. Jarnagin, Chairman
Walter C. Pitner
Laetus Sanders, M. D.
*Deceased
Officers of the Sanitarium
R. C. Swint, M. D. - - Supt. and Resident Physician
N. P. Walker, M. D. - - - - - Clinical Director
L. P. Longino, M. D. - - First Assistant Physician
Y. H. Yarbrough, M. D. - Second Assistant Physician
J. I. Garrard, M. D. - - - - - Assistant Physician
Geo. L. Echols, M. D. - Assistant Physician
D. T. Rankin, M. D. - - - - - Assistant Physician
U. S. Bowen, M. D. - - - - - Assistant Physician
C. G. Cox, M. D. ----- - Assistant Physician
R. W. Bradford, M. D. - - - - Assistant Physician
W. A. Bostick, M. D. - - - - Assistant Physician
J. W. Mobley, M. D. - - - - Assistant Physician
W. F. Dobyns, M. D. - - Junior Assistant Physician
A. H. Fdwler, M. D. (Resigned) Junior Asst. Physician
E. B. Saye, M. D. (Resigned) - - - - Pathologist
W. B. Brigman, M. D. (Resigned) - - - - Interne
J. D. Wiley, M. D. (Resigned) ------ Interne
J. C. Statham, M. D. (From Aug. 1st, 1928) - Interne
C. R. Youmans, M. D. (From Aug. 1st, 1928) - Interne
G. H. Green, D. D. S. - - Dentist
J. C. Adcock, D. D. S. -------- - Dentist
J. J. Wooten ---------- Pharmacist
Mrs. Mae M. Jones, R. N. - Superintendent of Nurses
Otto M. Conn ---------- Treasurer
Homer Bivins
---------Steward
T. H. DeSaussure --------- Engineer
H. S. Jones
---------Secretary
W. S. Jett, Jr. ------ - Assistant Engineer
F. C. Penuel
-------- Farm Steward
Arthur Farell
--------- Storekeeper
W. W. Stembridge
----- Sanitation Officer
Rev. Jno. F. Yarbrough ------- Chaplain
Leone Frederickson
-------- Dietitian
Mrs. Geo. L. Echols --------- Dietitian
Cecile Humphrey -------- Social Worker
Eighty-Fifth Annual Report
OP THE
BOARD OF TRUSTEES
OF THE
GEORGIA STATE SANITARIUM
MlLLEDGEVILLE, GA., JANUARY 1, 1929.
To His Excellency, Lamartine G. Hardman, Governor.
SIR:
The eighty-fifth annual report made mandatory by
law of the Board of Trustees of the Georgia State Sanitarium, covering the conduct and management of this institution for the year 1928, is respectfully submitted
herewith, together with such recommendations therein
as are pertinent and necessary to be made.
Superintendent's Report
The attached annual report of the Superintendent
and Resident Physician, supported by similar reports of
department heads, presents in comprehensive detail the
work of the year. The results shown are such as to
merit for this responsibile officer, and for those serving
under him the high praise of the Board.
Encouraging Note
The Sanitarium is charged with the care of the
State's insane who may be broadly divided into two classes, the acute or curable, and the chonic or incurable. It
is, therefore, both hospital and asylum, and the Board
notes with deep satisfaction its slowly growing efficiency
in both these purposes. The recovery rate for the year
shows a small increase. The chronic insane offers the
medical profession what is doubtless its most discouraging field of endeavor, and yet some progress is made
here. A recent bulletin issued by the medical department for circulation among officers and employees
states that since the introduction in 1919 of habit training there has been effected, using the record of that year
as a basis of comparison, a reduction of 61 per cent in
the total number of hours of seclusion, and of 80 per
cent in the total number of hours of restraint in which it
has heretofore been found necessary to hold certain types
of this class both for their own and the protection of
EIGHTY-FIFTH ANNUAL REPORT
others. At the same time their destructive tendency has
been sharply reduced. Such significant and happy results are due to the clear vision and patient work of the
Clinical Director and his assistants, and they testify
anew to the far-sighted wisdom of a former beloved
Superintendent in being first to substitute kindness for
harshness in the care of the insane, a policy which his
successors have steadily continued. They demonstrate
conclusively that the mentally ill respond to good nursing
no less than do the physicially ill. In this connection,
the Training School for Nurses maintained by the Sanitarium is a most valuable adjunct. Because of these
things the new year is entered with hope and courage despite one serious handicap, the overcrowded condition of
the Sanitarium.
Population
The year closed with 5096 resident patients, an increase for the year of 133, and for ten years of 1134.
The number of patients parolled with the right of return
within twelve months was 698, making a total enrollment of 5794 patients. The daily average number of
resident patients was 5046, an increase of 111. Applications for admission numbered 1591, of whom 1090 were
admitted. Others were granted admission, but for some
reason were not presented. Admission was necessarily
denied to harmless cases offering no hope of benefit and
easily cared for at home.
The report of the Board for 1927 stated that the
Sanitarium was then overcrowded by 1241 patients, and
this number has now grown to 1462. The gravity of this
condition needs no comment by the Board.
Measure for Relief
Responding to that report the Legislature in that
year generously granted the Board an appropriation of
$500,000, available in 1927 and 1928, for the erection of
two additional buildings. The first of these will be ready
for occupancy in February next and will accommodate
400 patients. It will be used to relieve the congestion
where it is most acute, the colored female department.
This building will be as nearly fire proof as it is possible
to make it and will mark a distinct advance in the type of
GEORGIA STATE SANITARIUM
buildings heretofore had. Sanitarium labor has been used
as much as possible to reduce its cost which up to this
time has been $190,255.72. The second building, of the
same type of construction, is now under way and should
be ready for occupancy in the late summer of 1929. It
will be used as a hospital for the treatment of the acute
insane, and of the physically ill, thus supplying the greatest need of the medical department. It will contain 218
beds and be fitted with the best equipment it is possible
to give it. In honor of the long and faithful service of
the late Superintendent and Resident Physician it will
be known as the "L. M. Jones Building".
The report of the Board for 1927 stated that five
new buildings were necessary to provide for the over
population, and this estimate remains unchanged. The
completion of the two buildings under way will leave
three yet to be supplied, and these are needed to accommodate 300 white female patients, 200 white males and
200 colored males now in the Sanitarium. No provision
will be had in them for the future.
Other Building Needs
In addition to the three buildings just mentioned
there is urgent need for an amusement hall, ample in
size for the present population. The old one was built
many years ago and is much too small. No loss will result from its abandonment, since it can easily be converted into dormitories for patients. The very helpful
pleasures of the insane are not many, and such a hall is
a primary need for this purpose.
A second story should be added to the storehouse so
that sufficient room may be had in it for the storage of
supplies now necessary to be carried in stock.
A suitable residence should be provided for the use
of the Superintendent and Resident Physician, and his
present apartment in the Powell building used for administrative purposes. Such a residence should be in
keeping with the dignity of the institution and large
enough to permit him to dispense the hospitality expected of him as its official head.
A water main should be laid from the Sanitarium
to its Colony Farm four miles away so that the patients
there may be assured of an ample supply of water,
since the present source is unreliable. The alternative
is an artesian well with uncertain results.
8
EIGHTY-FIFTH ANNUAL REPORT
Fire is the nightmare of all who are charged with
the care of the insane. The best protection is to be had
through fire proof buildings, of which the Sanitarium
has none, save the two new ones now under construction.
Its principal buildings now in use are of brick and wood
construction, with roofs of metal, slate or tile, and are
three stories high. Save in the case of the nurses home
no fire escapes are had. Escapes of the ladder type
would be as dangerous to insane persons as fire. Reliance has always been had on enclosed inside stairways
as a means of escape in case of fire, and thus far no fatalities have occurred. For protection against fire, reliance is had on water mains distributed throughout the
grounds from which the buildings are reached through
four-inch headers, a late model auto triple fire pumper,
an auto extension ladder of ample height, and a well
organized fire department. As a further and safer
means of protecting both buildings and inmates from fire
they should be speedily equipped with automatic fire
sprinklers. In calling attention to this ever present danger, the Board is painfully aware that the present congested condition of the Sanitarium very greatly multiplies it.
Attention is called to the attached report of the
heating engineer employed to make a survey of the present method and cost of heating the buildings, in connection with the present cost of electric current used for
lights and power, in order to ascertain what saving, if
any, is possible through a consolidated heating plant in
which is combined one or more electric power units, the
estimated cost of such, etc. No suffering is now had
from lack of heat, or from shortage of electric current
had from the Georgia Power Company, and the matter
is to be considered from the standpoint of economy alone.
When these needs shall have been supplied it is the
deliberate judgment of the Board that the further enlargement of the Sanitarium should end.
Provision for the Future
This judgment of the Board grows out of its knowledge that the Sanitarium is already one of the largest
institutions for the care of the insane in the United
States, and that its wise management is a problem of the
first magnitude. It believes that in it the safety limit
has been reached and passed. This problem is not peculiar to Georgia, and other States, facing the future, have
GEORGIA STATE SANITARIUM
found the only safe solution of it to be in a second hospital. This course the Board very earnestly urges upon
his Excellency and the Legislature. There can be no
question of the dire need for such in the face of 501 applications for admission to the Sanitarium on hand at
the end of the year. Many other insane persons are
doubtless held at home or are cared for in private hospitals.
Hospitals for Sane Epileptics
No hospital program of the State will be complete
without some provision for epileptics who are not insane and for whom no State provision is now had. The
tendency of this malady is toward insanity and whatever the State can do to avert such an end is most wise
and humane. The distress of this class is the greater
because the nature of their malady with its repulsive
manifestation causes them to be shunned by the well.
The colony type of hospital which seems to be indicated
for their care and treatment might be made partly self
sustaining through the self helpful work of its patients,
and to this end ample ground for farm, garden, orchard,
poultry yards, etc. should be had. This class is not insane and such an hospital has no proper connection with
an hospital for the insane.
Surgical Sterilization
Bearing on the general problem of the insane is the
need for a compulsory law which will operate to prevent
the unfit from reproducing their kind to the consequent
detriment of society and burden to the State. This is to
be accomplished through surgical sterilization, and such
a law, if enacted, should apply to certain types of the
insane, the feeble minded, syphilitics and criminal recidivists as it may define, and should be compulsory under such regulations as may be provided. The beneficial effect of such a law will not be immediately apparent
for obvious reasons, but none who know the facts can
question its wisdom. The report of the Superintendent
cites the California law as a safe model to follow.
Widening Usefulness
The mental clinics established in Macon and Elberton by local physicians with the assistance of members
of the Sanitarium medical staff have justified themselves,
10
EIGHTY-FIFTH ANNUAL REPORT
and might usefully be set up in all the large centers of
the State. Cases of suspected mental disorder are
brought before them for examination and such advice as
will avert a mental collapse.
The usefulness of the Sanitarium might be increased
by its assumption of some after care of its discharged
patients until such time as mental strength is had. This
could be accomplished through especially trained field
workers, who might also be used to gain fuller histories
of patients under treatment, for the guidance of the
medical staff. The means at its disposal do not now permit this additional work to be undertaken.
Growing public interest in mental hygiene is shown
in visits to the Sanitarium during the year by classes in
psychology from several of the colleges and universities
in the State. Lectures were had before them by members of the medical staff.
Water Supply
The water supply of the Sanitarium is drawn from
the Oconee river. An appropriation was had in 1927,
available in 1928, for enlarging this supply by additional filters, pump and water main. For economical reasons this work is being done with Sanitarium labor and
because of heavy weather during the year as well as the
need for work elsewhere this work has been much retarded. Pipe for the duplicate 12-inch main is on the
ground and partly laid, and a standpipe of 150,000 gallon capacity has been erected and is in use. The whole
work will be completed as rapidly as possible. The expenditures to date for this work are $42,613.01.
Although the pumping station is supposed to be located well above the highest water mark of record, the
flood during the year put it under four feet of water.
Only the great storage reservoir so wisely provided in
the past prevented a desperate situation. A levee has
now been built for its protection.
Milk Supply
An outbreak in the past of contagious abortion and
the prevalence of tuberculosis in the dairy herd have
served to greatly deplete its number. Rigorous measures were, taken to stamp out both troubles and the remainder of the herd now appears to be free. No replacements will be made until all danger of further infection
is passed. In the meantime reliance must be had on outside sources for an adequate supply.
GEORGIA STATE SANITARIUM
11
Finances
The total expenditures in the year for the support
of the Sanitarium were $1,191,871.25, of which $13,388.54
was from sources other than the State.
The cost per patient was $233.55, an increase over
1927 of $8.63, and mainly accounted for in the increased
cost of food supplies. The daily per capita cost was
$0.6398.
The year closed with working assets on hand of
$182,159.94 invested in cash, supplies, etc. The cash
liabilities were $81,534.49. The apparent cash deficit
was $12,122.15, as against a like deficit last year of $29,452.77. To offset this, a gain in the worth of supplies
on hand of $19,966.88 will be noted. In this connection
it should be remembered that the Sanitarium can never
be without a safe margin of supplies with which to meet
any emergency.
Supplies were bought as usual on competitive bids,
open to all, from samples submitted.
The usual audit of the books by the State Auditor
was made with satisfactory results.
The excellent work shown in the business department, including farm, garden and dairy, and in the department of up-keep of the vast physical plant, is such as
to merit for the Steward, Farm Steward and Engineer
the warm commendation of the Board.
Legal Amendments
The Board once again calls attention to the impossibility of enforcing the law governing admissions to the
Sanitarium as shown in Michie's Compilation of the
Code, Chapter 3, Article 2, Section 3102. It should either
be clarified, or repealed. It seeks to define the classes
entitled to admission, and to create both pay and pauper
patients, the last being those whose estates are valued
under $3000. It provides no method of ascertaining the
value of the estate of those seeking admission, nor for
the management of the estate of those admitted so as to
insure the payment to the Sanitarium of its "reasonable
charge for board and keep". It contains no provision
for those whose estates may fail to yield a sufficient income for their support, nor for those whose estate may
be wasted or stolen after admission. It is not made retroactive and is applicable to new admissions only. This
EIGHTY-FIFTH ANNUAL REPORT
problem was fought out in the Legislature many years
ago and the Sanitarium then made free to bona fide citizens of the State. It was realized then that the State
must of necessity provide for her insane regardless of
their property holdings, and that the patients of the
Sanitarium could not be discharged from its care because
of inability to pay. It was realized, too, that the property of insane citizens bears it proportion of taxes for
the support of the State government. One exception to
this general rule seems possible and it in the case of those
possessing an estate but having no family or near dependent relatives. In such a case as this the estate might
properly vest in the Sanitarium to be expended for his
support, it being expressly provided that any residue remaining at his discharge shall be restored to him, or that
at his death it shall become the property of the Sanitarium. In such cases the Sanitarium takes the place of
family and relatives. Another serious objection to the
law is the unhappy and harmful effect on the patients
themselves through the class distinction the law would
create. For these and for other reasons the Board recommends the repeal of this section, and the enactment
of the following:
SANITARIUM FREE TO WHOM: The said Sanitarium
shall be free to all bona fide citizens of the State who may be
insane or afflicted with mental disease. No paralytic invalid,
idiot, imbecile, epileptic, drug or alcoholic addict, who is not
insane, shall be committed to or admitted to it.
The history which must accompany all applications for
admission to the said Sanitarium shall contain just and adequate reasons why such admission should be had. and if such
reasons are not given, the Superintendent may refuse admission.
It shall be permitted the family or friends of any person
who may be admitted to the said Sanitarium to furnish such
person at their own cost such clothing, extra food and other
luxuries as they may desire under such rules and regulations as may be prescribed by the Board of Trustees.
If any person who may be admitted to the said Sanitarium shall be possessed of an estate, and shall be without
family or near dependent relatives, such estate shall vest in
the Board of Trustees of the said Sanitarium to be managed
for his benefit and to be expended for his use and support
while a patient in the Sanitarium, it being provided, however,
that in the event of his discharge any residue remaining of
such estate shall be put into his possession or that in the event
of his death it shall become the property of the said Sanitarium.
The Board also recommends the repeal of Section
1585, Article 2, Chapter 1, governing the examination of
13
GEORGIA STATE SANITARIUM
Assistant Physicians, for the reason that it
necessary. The State examination required
cians seeking the right to practice within
should be sufficient, assuming the required
fications to be had.
is no longer
of all physiher borders
moral quali-
Appropriations for 1930 and 1931
In submitting its estimates of the sum needed for
the support of the Sanitarium, and for the special purposes stated herein, the Board has not departed from its
invariable custom of asking only for what is actually
needed for the purpose stated.
Appropriations will be required
For the support of the Sanitarium
1930 providing for a population
5300
For the support of the Sanitarium
1931 providing for a population
5450
For three new buildings for patients
For an amusement hall.....
For storehouse enlargement
For Farm Colony water main
For Superintendent's residence....
For automatic fire sprinklers
in
of
..$1,237,285.00
in
of
1,272,302.00
500,000.00
50,000.00
10,000.00
12,000.00
25,000.00
230,000.00
Death of Board Members
The Board has lost two of its oldest and most highly
esteemed members in the last biennial period and the
fact is recorded with a deep sense of personal loss.
Mr. H. H. Dean, of Gainesville, Vice President of
and for eighteen years a member of the Board, died in
October 1927 following a surgical operation. His fine
legal ability and wide business experience gave worth to
his counsel and made him a tower of strength to the
Board. The benevolent purpose of the Sanitarium enlisted his whole heart and mind and caused him to give
it generously of his best. The call of duty when its
interest were to be served never failed to be answered.
The death of Mr. J. C. Jarnagin, of Warrenton, occurred in December 1928 following a brief illness, and
14
EIGHTY-FIFTH ANNUAL REPORT
brought a service of nineteen years as a member of the
Board to its close. He brought to its sessions the wisdom had from long business experience, an understanding heart, a willingness to work and a faithfulness to
duty beautiful to see. Combined with his sterling qualities of heart and mind were a modest demeanor and a
happy disposition which won him many friends.
Personal
The duties of the Board have been faithfully discharged and every effort made to protect the interests
of the State and of society. It is grateful to his Excellency for his continued confidence and strong support.
Its thanks are due to the State Auditor for helpful aid in
the solution of its financial problems, to the Legislature
for its generous treatment, and to the Press for the
kindly and helpful interest shown in the Sanitarium. It
humbly prays that this great family of the helpless may
ever abide in the care of Almighty God.
By order of the Board of Trustees,
JOHN
T. BRANTLEY,
President
C. C. BRANTLEY,
Secretary
GEORGIA STATE SANITARIUM
15
ESTIMATE FOR CENTRAL HEATING AND
POWER PLANT
GEORGIA STATE SANITARIUM
BY
THE MARKEL COMPANY, ENGINEERS, ATLANTA, GEORGIA
In preparing an estimate on the cost of the proposed new plant, we believe we are safe and that in actual
practice it will be possible to reduce this.
Considerable of the construction, especially the tunnels, could be done by the Sanitarium at a cost much less
than estimated.
The detailed estimate for this plant follows, and is
the basis for operating costs of the new plant.
The new plant would handle a low grade of fuel
which we estimate to cost not over 83 cents per ton at
the mine. The freight is estimated to be the same as at
present, or $2.99, making a total cost of $3.82 per ton.
For the plant labor for the new plant, we include,
Two engine room men ($150.00 per month)
Two firemen ($100.00 per month)
Labor
$3,600.00
2,400.00
1,150.00
$7,150.00
Regarding the extra coal for summer load, we believe this item will really disappear owing to the fact that
in the day time it will be absorbed by the laundry, while
the balance of the time it will be used in keeping up the
temperature of the domestic water, or in offsetting the
fuel that is now used in keeping pressure on the fire
pump.
In each set of estimates we have used amounts which
we believe will be required during the next year when
buildings, now under construction, will be under full operation. This applies to fuel, material and labor. In
estimating replacements in old plants, we believe this
amount will be necessary owing to the great age of the
equipment.
If we decided that no additions would be necessary,
in the present plants during the next ten years, then we
can reduce the size of the proposed new plant by at least
fifty thousand dollars.
16
EIGHTY-FIFTH ANNUAL REPORT
COST OF CONSTRUCTING NEW PLANT'.
Three large boilers and two smaller ones, total 12,500
H. P.
1
Stokers
Breeching
■stack and foundation
Coal handling
_____________
Ash handling
Generating equipment
Electrical work
Piping, etc.
-__-_-_________
_. .,_,.
_
,
,
.Building for the plant
77,000.00
27,300.00
2,000.00
8 200 00
20;oOo!oo
4,500.00
32,500.00
2500 00
5;500'.00
$179,500.00
75,000.00
OUTSIDE WORK.
Remodeling rail trackage and extending same 800
feet
7,500.00
?
Repairing roadways
500.00
Construction of pipe tunnels
72 000 00
Pipe lines to connect up central plant and buildings.. 35^00o!oo
Electric pumps with wiring, to replace existing steam
pumps in existing plants
7 500 00
Electrical work to connect to existing lines
'500.00
$123,000.00
$377,500.00
TnTAT
1U1AL
OPERATING COSTS—NEW PLANT.
Interest on total new investment (5% on
$377,500.00) _____
Depreciation on equipment—4%
In boiler house
Outside lines
$18,875.00
8 880 00
$179,500
42 500
„
.
$222,000
Coal—including allowance for new buildings 9 300
tons @ $3.82
_'___ 35,526.00
Additional coal for summer electricity during hours
that steam will not be needed
4 000 00
Oil and supplies
~ i^ooioo
Plant labor
7,150.00
$75,931.00
OPERATING COSTS—OLD PLANT.
Interest on investment—$175,000 @ 5%
$ 8 750 00
Depreciation—(4% on $100,000)
4000 00
Replacement during next ten years $25,000.00, therefore per year..
2,500.00
New construction in next ten years $35,000.00, therefore per year
3 500 00
Fuel for last year 12,500 tons at $4.42 per ton
5525000
General supplies
500 00
Labor
1 7,380^00
Power and light
16,500.00
$98,380.00
GEORGIA STATE SANITARIUM
CONCLUSION.
Operating costs of old plant
Operating costs of new plant
Difference in favor of new plant
Total investment of new plant
Sale value of old equipment
17
$98,380.00
75,931.00
$23,449.00
$377,500.00
10,000.00
Net cost
$367,500.00
Return on investment
23,449.00
Per cent on investment approximate 6%%.
Respectfullly submitted,
THE MARKEL COMPANY, Engineers.
EIGHTY-FIFTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE, GA., JAN. 1, 1929.
THE HONORABLE BOARD OF TRUSTEES,
GEORGIA STATE SANITARIUM,
MlLLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules and statuatory requirements, I respectfully submit the eighty-fifth annual
report of the Georgia State Sanitarium for the fiscal year
ending December 31st, 1928.
The reports of the heads of Departments give a
general review of the activities of the institution throughout the year, and are appended hereto as follows:
The
The
The
The
The
The
The
The
Clinical Director,
Dental Department,
Superintendent of Nurses,
Pharmacist,
Engineer,
Farm Steward,
Treasurer,
Steward.
Table of General Information
1. Date of opening as an institution for
mental diseases
Oct. 12, 1842
2. Type of institution
State
3. Hospital plant:
Real estate including buildings.
Personal property
$2,055,750.00
350,452.00
Total
..$2,406,202.00
Total acreage of hospital property owned
3,772
(Includes grounds occupied by buildings,
farm and garden sites.)
Total acreage under cultivation previous year. .1.600
GEORGIA STATE SANITARIUM
19
4. Officers and employees actually in service at the end
of the year:
Superintendents
Clinical Directors
Assistant Physicians
Medical Internes
Resident Dentists
Pharmacist
Stewards
Farm Stewards
Engineers
Assistant Engineers
Graduate nurses
Other nurses and attendants....
All other officers and employees
Total officers and employees..
Males
Females
10
10
11
0
3
0
2
0
10
1
0
10
10
10
1
13
223
321
175
7
422
341
Total
1
1
11
3
2
1
1
1
1
1
14
544
182
763
General Statistics of Patient Population
for the Year 1928
Patients on books first day of year:
Males
Actual resident population
2,248
On parole or otherwise absent but
still on books
373
Total
Admitted During the year:
First admissions
Readmissions
Total discharged and died during year
Total
2,688
4,936
403
776
2,621
3,091
5,712
Males
Females
Total
484
3,575
1,090
6,802
Females
Total
462
144
Total received during the year.. 606
Total on books during the year 3,227
Discharged from records during year:
As recovered
As improved
As unimproved
As without psychosis
Died during the year
Females
Males
64
196
45
8
217
530
369
115
831
259
92
156
187
383
53
98
19
172
389
505
1,035
20
EIGHTY-FIFTH ANNUAL REPORT
Patients on books last day of year:
Actual resident population
On parole or otherwise absent
Males
Females
2,332 2,737
363 " 335
Total on records at end of year 2,695
Average daily resident population
3,072
Total
5,069
698
5,767
5,046
A study of the above table shows an admission of
606 males and 484 females, or a total of 1,090 during the
year. This number is 131 less than the previous year,
but we received a total of 1,591 applications for admission, compared to 1,503 the previous year. The greatly
overcrowded condition of the institution compelled us to
refuse admission to many who made application for admission. In passing on applications, we endeavored to
give preference to the younger and more urgent type of
cases. The information contained in applicant's history
being the only criteria we had at hand, except supplemental letters from friends and relatives of those refused and later accepted. We hope, by the middle of
February, the new building for colored females will be
ready for occupancy. This building is constructed of
brick with concrete floors, and is of fire resistant construction throughout and will accommodate about 400
patients; allowing 50 square feet of floor space per patient for dormitory purposes and 30 square feet per patient additional for day porticos. This will provide adequate quarters for the colored females for some time.
Contractors begun work on the Psychopathic Hospital Building in November, and they plan to have it completed by. July 1st, 1929. This building will have six
wards and will accommodate about 240 patients. It will
be of fire resistant construction throughout and three
stories high with terrazo floors. The north side of the
building will be four stories including the basement,
which will compose gymnasium, occupation therapy
room, hydrotherapy room, X-ray quarters, physiotherapy
rooms and work shop. The first two floors will be reception wards for new admissions and the top floor will be
hospital wards for sick and surgical cases, with a modern
operating room and diet kitchen in connection therewith.
This building has been long needed by the institution in
meeting the problems of the unfortunate charges committed to her care.
GEORGIA STATE SANITARIUM
21
When these two buildings are completed and occupied, the institution will still be overcrowded in the
white male, white female and colored male departments,
by about 700 patients. Therefore, it is important that
provisions be made as early as practicable for this overcrowding, and to provide for the future growth of the
mental disease problem in this state. This commonwealth has assumed the burden of this problem, and it is
one that should be second to none of all of her responsibilities.
Individuals afflicted with mental disorders, have the
most serious of afflictions and are the most needful of
hospitalization of all who become sick, because the very
nature of their illness causes them to have behavior that
sooner or later conflicts with society and the law. Then
the law deprives them of their liberty. A person only
physically sick may elect to take treatment at home or
some general hospital of their choice, but if they become
mentally sick, they have no choice in the matter. Therefore, an environment should be provided for these unfortunates, equipped with facilities for treatment to comply with all requirements that modern phychiatry and
medical science offers, for their restoration to health and
useful citizenship.
After many years of thought and study of this problem, we are convinced that another institution for mental disease should be founded in another section of the
State and located near one of the medical schools or
large cities, so that a staff of consulting physicians and
surgeons (Specialist) would be available as consultants
with the resident staff. Looking to the future, we think
this would be wiser than to add more buildings to this
institution, except those now needed.
The above idea conforms to the opinions of most of
the leading and experienced superintendents of state Hospitals in the United States and Canada, and is practiced
by those states most advanced in equipment for meeting
the needs of their mental disease problem. Georgia is
the only State in the Union of its size, population and
wealth that is attempting to provide for this tremendous
problem with one institution.
The history of this institution, since it was founded,
convinces us that the problem will continue to grow with
the coming years, as the population of the State increas-
22
EIGHTY-FIFTH ANNUAL REPORT
es; notwithstanding the progress being made in the methods of treatment and the fact that we are learning more
and more about mental hygiene, by a closer study of the
individual and his personal attributes in childhood and
adult life, and the various factors that cause maladjustment.
However, much greater results might be accomplished in the prevention of mental diseases, during this modern and stressful era, if the public mind would concentrate their energies to the problem of bad heredity. It
does not matter whether legal restriction of marriage,
surgical sterilization or segregation should be remedy
or remedies applied with other mental hygienic activities; the prescription is a long one, and would require
many years before outstanding results might be obtained. I am convinced that surgical sterilization of those
afflicted with certain types of mental disease, the feebleminded, syphilitics and criminal recidivists, is the best
remedy medical science has to offer and would eventuate
in greatest results if made compulsory. If not made compulsory, I doubt the wisdom of such law. California has
one of the simplest and best sterilization laws that I
have been able to find.
Furloughs, Discharges and Deaths
Of the 898 patients furloughed during the year, 355
were white males, 307 white females, 116 colored males
and 120 colored females. Of this group, 188 were restored and 546 improved, making a total of 67.3 per cent
restored and improved, based on the total admissions for
the year.
Of the 646 patients discharged during the year, nine
were without psychosis, 156 were restored, 383 improved
and 98 unimproved, but we regarded harmless. This
group of cases, except those without psychosis, had previously been furloughed into the custody of relatives and
remained out of the institution over twelve months; the
furlough period allowed by law. A few of the restored
cases, soon after leaving the institution, requested their
discharges for business reasons, and they were given.
Of the 389 deaths during the year, 121 were white
males, 82 white females, 96 colored males and 90 colored
females. The total deaths during the year were 45 less
than the previous year. The average daily patient pop-
GEORGIA STATE SANITARIUM
23
ulation was 5,046 and the total number under treatment,
exclusive of those on furlough, were 6.026. The death
rate during the year was .064 per cent of the total number under treatment.
Medical Service
No innovations in treatment were instituted during
the year, but we endeavored to keep in mind the idea of
studying the origin and meaning of symptoms and nursing attention. While no great discoveries, like insulin in
the treatment of diabetes has been made, yet, we think
that some progress is being made in the treatment of
mental disorders, and one of the evidences of this is the
noted improvement on the wards of the destructive rate,
seclusions and restraints of the disturbed cases. While
we are gradually learning more and more about the problems of the different type of cases, yet, we sometimes feel
that our progress is rather slow.
We continued the use of foreign protein in the form
of typhoid vaccine in the treatment of general paralysis
of the insane. Of the 84 cases treated, 46 were white
males, 3 were white females, 27 were colored males and
8 colored females. Of the 46 white males treated, 21
improved, 11 did not improve and 14 died. Of the 3
white females treated, none improved—all still living.
Of the 27 colored males treated, 1 improved, 9 did not
improve and 17 died. Of the 8 colored females treated,
2 improved, 4 did not improve and 2 died. Ten of the
improved group have been furloughed into the custody
of relatives, and the future alone can determine the final
result. We discontinued the Ketogenic dietary treatment of the group of epileptics, as results obtained did
not warrant its continuance.
We continued occupation therapy as an aid in treatment, but made no material advances in this department,
as we have been unable to secure a properly trained individual to take charge of this work in the white female
department. In this connection, I will state that the
many male patients' that we encourage to work in the
gardens, on the farm and the many activities about the
institution are greatly benefitted thereby. It does not
matter so much whether an individual is engaged in arts
and crafts, industrial or agricultural activities, the results obtained may be good if the proper approach is
'2A_
EIGHTY-FIFTH ANNUAL REPORT
made under tactful and wise supervision. When work
of any kind is employed as a therapeutic measure, it
should be under the direction of the physician, effect
noted and recorded.
The general health of the patients during the year
has been very good; no extensive contagious and infectious disease epidemic occurred, although during the latter part of the year, a mild epidemic of influenza developed with a few deaths from pneumonia complications.
We were rather apprehensive when water works
was flooded by the river during the high water in August. The bacteriological test of the water afterwards
showed evidence of slight pollution, but no harmful results followed.
The institution's extra mural activities expanded
some during the year. In addition to continuing the
Macon and Elberton Clinics, a member of the Staff began
spending an afternoon of each week at the Georgia Training School for Boys. Also classes from Georgia State
College for Women, Milledgeville; Teachers' College,
Athens; Emory University, Atlanta; Mercer University,
Macon; Morris Brown University (colored) Atlanta,
visited the institution and were given lectures on abnormal psychology and shown clinical cases. Amusements in the form of weekly dances, moving pictures and
band concerts were provided as formerly.
The record made by the Training School for Nurses
was unusually good. A detailed report of the "home
coming" of the Alumnae, graduating exercises, list of
graduates, plan of instruction and curriculum will be
found in the report of Superintendent of Nurses.
A detailed review of the medical work with statistical tables will be found in the report of the Clinical
Director.
Changes in Medical Staff
Junior Assistant Physician A. H. Fowler resigned to
enter private practice at Langley, S. C.
Interne W. B. Brigman resigned on account of ill
health.
GEORGIA STATE SANITARIUM
25
Interne J. D. Wiley resigned to accept position of
health officer of Jenkins County, Ga.
Pathologist E. B. Saye resigned to accept position of
pathologist to Davis-Fisher Sanitarium, Atlanta, Ga.
Drs. J. C. Statham and C. R. Youmans were appointed as Internes.
Pellagra Study
The studies on the treatment and prevention of pellagra, conducted by the United States Public Health Service in conjunction with the medical staff, were continued
under the general supervision of Dr. Joseph Goldberger,
with Dr. G. A. Wheeler in local charge. Several staple
foods have been studied and their pellagra prevention influence determined.
Fresh milk or buttermilk in quantities of 40 ounces
as a daily food supplement, has been found satisfactory
in the prevention or treatment of the disease. Also, seven ounces of fresh beef, six ounces of canned salmon and
one ounce of dry powdered yeast have each been found
satisfactory agents in prevention and treatment of the disease.
Findings obtained by these workers in their dietary
studies have led them to the conclusion that pellagra is
due, not to too much or too little protein, carbohydrate,
fat or mineral constituents, but to a fault in some accessary food principle of the class known as vitamins,
that have been designated by Dr. Goldberger and his
associates as the P. P., or pellagra preventive factor.
Some students of nutrition have since classified it as
Vitamin F; others as Vitamin G. Meat; fresh lean
meats, salmon, tomatoes, wheat germ and yeast are
known to contain it in more or less abundance. This
vitamin has been found to be soluble in water and alcohol,
and not appreciably affected by heat. It seems that the
pellagra problem, as a result of these studies, will become
more and more simple, as the various foods are studied,
and their values, as sources of this vitamin, be publicly
made known.
Laboratory Report
The Pathologist having resigned in October, the following data for the year's laboratory work was collected
by Mr. D. C. Leaptrott, laboratory technician.
26
EIGHTY-FIFTH ANNUAL REPORT
SEROLOGICAL EXAMINATIONS :
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Colloidal Gold reaction
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
1,490
456
456
456
456
CLINICAL LABORATORY EXAMINATIONS :
Urine, routine analysis
1,833
Urine, special chemical examinations
716
Feces, micro, for parasites or ova
839
Feces, Chemically for occult blood
3
Sputum, micro, for tubercle bacilli
124
Blood, Chemical examinations...
14
Blood, films for malaria parasites
86
Blood, counts—white, red or differential
488
Blood, coagulation time...
3
Blood, hemoglobin estimation
44
Blood, type determination
13
Blood, icterus index
1
Blood, fragility test
1
Blood, reticuloctyte count
1
Cerebrospical Fluid, chemical examination
2
Milk, butter fat percentage determination
376
Gastric Contents, chemically and microscopically....
5
BACTERIOLOGICAL EXAMINATIONS :
Blood, culture
14
Blood, agglutination test (Widal)
53
Cerebrospinal Fluid, culture
2
Exudates, cluture and microscopically...
71
Exudates, dark field illumination for T. Pallidum
3
Exudates, animal inoculation
4
Milk, bacteria count
376
Vaccine, autogenous
25
ANATOMICAL EXAMINATIONS :
Necropsies
Postmortem examination of animals
Brain, Dog, for Negri Bodies....
Surgical Tissue, gross and microscopical
7
4
2
24
:
There were 1,490 specimens of blood examined for
the Wassermann reaction, of which number 1,122 were
secured as a matter of routine from patients upon admission to the institution.
SEROLOGICAL EXAMINATIONS
GEORGIA STATE SANITARIUM
27
There were 456 specimens of cerebrospinal fluid examined for the Wassermann, Colloidal Gold tests, Globulin estimation and Cell Counts, of which number 313
were obtained from patients admitted during the year.
A routine examination of this fluid is made in the case of
each patient whose blood reacts positively to the Wassermann test, or shows any other clinical indications to necessitate this examination.
TABLE
I.—Results of Routine Blood Wasserman Tests.
Race
White
White
Colored
Colored
Sex
Number
Examined
Number
Positive
(4 plus)
Percentage
Positive
Female
Male
Female
Male
318
442
178
184
18
26
32
34
5.6
5.8
17.9
18.4
1,122
110
9.8
Total
TABLE
//.—Estimate of Serological Neurosyphilis in
Patients Admitted During the Year
Sex
Race
White
White
Colored
Colored
Total
Female
Male
Female
Male
Number
Positive
Number Cerebrospinal Percentage
Examined Fluid (Wass'n. Positive
70
94
67
82
7
26
11
24
2.2
5.8
6.1
13.0
313
68
6.7
Engineering Department
A general review of the main improvements and repairs made during the year will be found in the report of
the Engineer.
Deeds to the right-of-way through the land of different owners through which the duplicate water main
to the water works will be laid, has been secured and
properly recorded at the County Court House, and
nearly 2,000 feet of this pipe line has been placed.
The contractors, Dupree & Sons of Rome, Ga., completed their part of the construction of the new building
for colored females, November 20th. Our Engineering
Department is doing the electrical wiring, plumbing and
heating for this building, and we hope to have it ready
28
EIGHTY-FIFTH ANNUAL REPORT
for occupancy by February 15th, 1929. Mention has
been made of this building in a previous section of this
report.
Two new pavilions for tubercular patients were constructed of Wood: one for white females and other attached as an addition to pavilion A for white males; provides adequate room for our tubercular patients for the
present.
The erection of the 150,000 gallon steel water tower,
by J. S. Schofields, Sons & Company of Macon, Ga., to replace the 40,000 gallon tower that has been in use 52
years, provides a much needed equipment.
Some of the work laid out for this department had to
remain unfinished, on account of effort to complete the
new building for colored females so that it could be occupied as early as possible to relieve the greatly overcrowded condition in this department, and to provide
room for others waiting admission.
The Business Department
The report of the Steward shows a total disbursement for maintenance during the year of $1,191,871.25,
including internal income of $13,388.04. On the basis of
deducted internal income, the per-capita cost for the year
was $233.55 or .6398 cents a day compared to .6162 a
day the previous year.
A detailed analysis of the receipts and disbursements, both for maintenance and special appropriations,
accounts payable and receivable at the end of the year;
also statement concerning productions of farm, garden
and dairy with estimated values and cost of operation,
etc., are included in the Steward's report.
Farm, Garden and Dairy
On account of the severe cold weather last winter
and the excessive rains throughout the year, productions
of vegetables and farm products were not as good as the
previous year. The pecan trees that we had budded four
years ago are beginning to grow and bear a little. We
gathered 2,900 pounds pecans; enough to give every
patient some during Christmas.
GEORGIA STATE SANITARIUM
29
The dairy herd has not yet become entirely negative
to tuberculin test, as two reactors were found when last
test was made in November. We are now milking about
one-third of the cows we were before we discovered the
infection in 1927; hence, we have continued to buy milk
to make up our deficient supply.
The Farm Steward's report gives a tabulation of the
amount of food stuffs and other products raised on the
farm, garden and dairy during the year.
Religious Services
Religious services were held each Sunday afternoon
at 3 o'clock by the Chaplain, Rev. J. F. Yarbrough, pastor of the Milledgeville First Methodist Church, until
November 1st, after which date these services were conducted by his successor, Rev. F- H. Harding, the pastor
of the Milledgeville Episcopal Church.
Funerals of remains of patients who were interred
in the Sanitarium cemetery were conducted by the Chaplain.
Needs of the Institution Requiring Special Legislation
1. The name Georgia State Sanitarium should be
changed to Georgia State Hospital, or preferably Milledgeville State Hospital, in order to conform to names of
similar institutions in other States, and to keep it identified from other similar institutions that may be founded
in other sections of the State in the future.
2. An appropriation should be made available as
soon as possible for the erection of buildings to accommodate 300 white females, 200 white males and 200 colored males.
3. Another State hospital should be founded near
Atlanta, and the State divided into two zones to be served
by these institutions.
4. An appropriation of $10,000 should be provided
for making an addition to store house, which is now too
small to serve the needs of the Sanitarium.
5. An appropriation of $12,000 should be provided
to buy piping and material to run water main to the
colony.
30
EIGHTY-FIFTH ANNUAL REPORT
6. A central heating and power plant would be
more economical and more efficient, and is most earnestly recommended.
7. Amusements and diversions are important aids
in the treatment of mental patients. The present amusement hall is too small. It has been in use more than
forty years and could be made into an occupation therapy
room for white females. An appropriation should now
be provided to erect a larger and fire-proof amusement
hall; estimated cost $50,000.
Conclusion
In conclusion, I wish to thank the members of the
Board of Trustees for their constant and unfailing interest in the welfare of the institution. I also wish to express my appreciation and thanks to those officers and
employees of the Sanitarium who have been loyal in their
support and faithful in the discharge of duty, because
they share greatly the credit for the success of carrying
on the work throughout the year.
I also wish to thank the women's clubs and others
who were thoughtful enough to send various gifts to the
patients during Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent, Etc.
GEORGIA STATE SANITARIUM
31
Report of Medical Department
DR.
R. C. SWINT, Superintendent,
DEAR SIR:
The following pages contain the report of the medical department for the year, 1928.
During the year one thousand and ninety (1090)
patients were admitted. Of these, eight hundred and
thirty-one (831) were first admissions and two hundred
and fifty-nine (259) were re-admissions. The percentage for each in the classification scheme is given in tables
one and two. Fourteen (14) were diagnosed as not insane. Four of these were placed in the mental deficiency
group. Two of these four were classified idiots. Of the
remainder one was a drug addict, a second was an alcoholic, a third was a psychopath and seven
did not present
sufficient symptoms to be classified Jas insane. Some of
the histories received with patients are extremely poor
and this at times is a drawback to classification and even
to diagnosis of insanity. The unclassified group is
rather large for the same reason.
The percentage of re-admissions is somewhat higher than last year. Of the two hundred and fifty-nine
(259) re-admissions fifty-four (54) had been previously
admitted to other hospitals, either private or public.
Twenty-two (22) patients were sent by order of
court. The criminal charges were as follows:
Murder
2
Shop lifting
1
Wife beating
1
Assault with intent to murder
5
Obtaining money under false pretenses..
1
Assault
1
Sending threatening letters
1
Public indecency
2
Malicious mischief
1
Larceny
3
Assault with battery
2
Forgery
1
Burglary
1
22
32
EIGHTY-FIFTH ANNUAL REPORT
The mental diagnosis in the above cases were as follows:
Psychosis with mental deficiency
5
Manic depressive
4
Dementia praecox
4
Traumatic psychosis
1
Psychosis with epilepsy
1
Psychosis with cerebral arteriosclerosis
2
General paralysis of the insane
1
Senile
1
Not insane
3
22
The death rate for the year was 6.3 per cent of
those treated. Arteriosclerosis was the leading cause of
death; general paralysis of the insane was second while
epilepsy and broncho pneumonia occupied third place.
Two patients committed suicide by hanging. One patient was attacked by« another and died as a result of the
attack.
Eight hundred and ninety-seven (897) patients were
furloughed. Not included in this number were twentytwo (22) patients who returned to the institution to renew their furloughs and ten (10) patients who were discharged as not insane. One hundred and twenty-eight
(128) patients were furloughed as restored and five hundred and forty-six (546) as improved, making the combined recovery rate 67.3 per cent as compared with 62.8
per cent for the previous year.
The same general policies in treatment have been
followed that have been heretofore pursued.
After nearly two years trial, the ketogenic dietary
treatment of epilepsy has been discontinued because of
the lack of encouraging results.
The treatment of general paralysis by the use of
foreign proteins has been continued. The tabulation below gives some indication of the results. In the number
are included all patients who were given full treatment
or who died before treatment was completed. Not included are a few who are still under treatment and two
who escaped before treatment was completed. No results whatever were seen in the colored males. It ap-
33
GEORGIA STATE SANITARIUM
pears that a febrile reaction was obtained less easily in
this group than in some of the others. In one instance
a dose of 40 billion dead bacilli were given intravenously
with a resulting temperature of 103. The improved
group included all degrees of improvement. Ten of
these have been f urloughed and are now at home:
Dead
White male
14 (30%)
White female
0
Colored male ...... 17 (62%)
Colored female .... 2 (25%)
Total
33 (39%)
Not
Improved
11
3
9
4
Improved Total
(23%) 21 (45%)
(100%) 0
(33%)
1 (3%)
(50%)
2 (25%)
27 (30%)
24 (28%)
46
3
27
8
84
The resignation of Dr. Saye, pathologist, has badly
crippled the laboratory work. The technicians, however,
are rendering valuable service in that department.
A small pamplet which deals with some of the practical points in nursing the insane has been prepared and
distributed to the attendants. It is expected that short
courses will be given to all those who enter this service.
It is thought twice per year will be sufficient. Quizzes
will be supplemented by lectures and demonstrations.
The need of such work has been long recognized but the
practical fulfillment of such a need is a matter of no
small difficulty. Lectures alone do not fill the need.
This will not be in conflict with the regular training
school which continues to operate as formerly.
The weekly clinic in Macon has been held each Friday. This work is in its tenth year and more and better
service has been given than ever before. During the
year 109 new cases were seen and a total of 428 visits
were recorded. The visiting physician is a member of
the Staff of the Macon City Hospital as consultant in
mental and nervous diseases and gives a course of instruction in nursing mental and nervous diseases to the
nurses at the Macon City Hospital and the Middle Georgia Sanitarium.
The Elberton School clinic has been held each month
during the school year. A total of 192 visits have been
paid to this clinic. This included 108 first visits. The
cooperation of the local agencies has been splendid and
it is felt that this clinic, not only offers an opportunity
34
EIGHTY-FIFTH ANNUAL REPORT
for mental hygiene but it is also an educational opportunity for the visiting physician. The attention of the
Common Wealth Fund Board has been attracted and they
have made an offer of assistance in the sum of $1,800 00
per year provided local agencies raise $600.00 per year.
This amount is to be used to pay a visiting teacher or
social service worker.
One member of the staff has recently begun work
at the State Reformatory for Boys. There is a very
large amount of work that might be done at that place
and we hope for some results.
During the year classes in psychology from Teachers
college at Athens; Emory University; Mercer University
and Morris Brown (colored) visited the institution and
were given clinical demonstration and lectures in abnormal psychology. The graduating class in medicine from
Emory University also paid us a visit.
The Elberton clinic, the work at the boys reformatory, the visit from the college and university students,
are all a result of a growing popular interest in psychology and mental diseases. The requests for assistance were voluntary. The institution is less isolated
than it once was and time seems right for judicious expansion in mental hygiene.
I wish to thank you and the Board for assistance
rendered and I make grateful acknowledgment to the
whole medical service for efforts at improvement.
Respectfully,
N. P. WALKER, M. D.,
Clinical Director.
GEORGIA STATE SANITARIUM
35
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1928.
PSYCHOSIS
Traumatic
Senile
with cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic
personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane
Drug addict, not insane
Constitutional psychopathic personality, not insane
Alcoholism, not insane
TOTAL
I White
I M. | F.
3
2
42
28
0
0
0
9
13
11
22
2
122
69
0
18
2
Colored |
M. | F. ]Total|
0
4
9
6
0
0
0
7
0
5
10
1
120
70
0
20
14
2
11
25 17
33 24
1
5
4 0
0
1
1
1
0
0
%
3
.27
0
0
7 14 1.28
1
23
7 81 7.43
24 11
69 6.33
0
0 0
0
0
0
0
0
0
0
0
2 21 1.92
3
14 1.28
0
1
16 1.46
0
0
7 45 4.12
6
1
5
.45
1
72 49 363 33.30
23 48 210 19.26
0
0
0
0
57 5.22
12
7
0
16 1.46
0
°l
0
0
6
28
0
0
0
0
0
13 1.19
56 5.13
93 8.53
7
.64
4 .36
1
.09
1
1
.09
.09
423 311 183J173 1090|99.89
3G
EIGHTY-FIFTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1923.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic persoii
ality
With mental deficiency
Unclassified
Not insane
Alcoholism, not insane
Drug addict, not insane
Mental deficiency, not insane
TOTAL
White
M. I F.
Colored
M. | F. Total!
2
1
41
25
01
0
0
9
10
8
19
2
68
51
0
13
1
0
0
2
.24
1
7 13 1.56
23
7
79 9.50
23 10
63 7.58
0
0
0
0
0
0
0
0
0
0
0
0
3 2
20 2.40
1
0
11 1.32
0
0
10 1.20
6
6 40 4.81
1
1
.60
•5
52 36 225!27.07
18 38 158|19.01
0
0
0
0
12
7 49 5.89
0
0
14 1.68
0
0
0
6
0
2
91
1
691
51
0
17
13
5
1
14 15
28 20
4
1
1
0
0
1
4 0
0 0
8
4
7 28
1
0
0
0
0
0
0
0
%
6 .72
41 4.93
83 9.98
6
.72
1
.12
1
.12
4
.48
30612231156:146 831199.93
GEORGIA STATE SANITARIUM
37
TABLE 3
Diagnostic Grouping of Re-admissions Dui-ing the Year 1928
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Constitutional psychopathic personality,
not insane
TOTAL
Colored
White
M. F. M.
0
0
1
0
1
0
0
1
1
1
1
3
0
0
0
0
0
0
0
0
0
0
0
1
0
0
3
0
3
3
0
1
3
0
0
0
20
54 51
19
5
18
0
0
0
0
3
5
1
1
0
F.
u
Total
0
0
1
0
0
0
0
0
0
1
0
13
10
0
0
0
1
1
2
6
0
0
0
1
3
6
5
0
138
52
0
8
2
6
11
5
1
1
2
4
0
0
0
1
0
0
2
0
0
7
15
10
1
1
0
0
0
1
117
88
27
27
259
TABLE 4
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1928
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoid _.=
With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane
Psychopathic personality, not insane
Alcoholism, not insane
Drug addict, not insane
Epilepsy, not insane
TOTAL
WHITE
COLORED
MALE
| FEMALE
MALE
FEMALE!
I. | U.| S.| R.| I. | U.| S.|l R.| I. | U.| S.| R.| I. | U.| S.| Total
1
1
0 0
0
2
0 0
7
6
1
0
0
7
6
3
9
1
66
58
1
8
1
8
16
12
0
0
0
0
0
0
1
0
0
0
0
0
0
0
4
4
5
0
0
0
0
0
0
0
1
32
15
0
2
0
0
3
0
24
16
1
0
0
15
21
16
30
5
383
167
1
42
19
21
53
80
5
1
1
1
1
1
.1 811211163 7|61|180|65l 2|| 6 83|27| ll4()|72
01 907
0
3 58
0
0
29
2
0
0
0
1
1
2 10
0 0
(1
0
0
0
0
0
0
0
(I
t—I
a
w
H
I
*]
t—i
*I
H
a
>
•z
a►
t-1
w
O
w
i-3
GEORGIA STATE SANITARIUM
39
TABLE No. 5
Causes of Deaths of Patients Who Died During the Year 1928
Colored
White
M. F. M. I F.
Total
Amoebic dysentery
1
0
1
0
0
Arterio-sclerosis
14 24
11
68
19
1
1
Brain tumor
0
0
0
1
Cancrum Oris
0
0
1
0
1
1
0
0
Carcinoma, breast
0
0
0
1
1
Carcinoma, jaw
0
1
1
0
0
0
Carcinoma, liver
1
0
1
0
Carcinoma, prostate
0
1
1
0
0
0
Carcinoma, throat
2
5
4
21
Cerebral hemorrhage
10
Cirrhosis, liver
1
1
0
0
0
Cholecystitis
1
0
1
0
0
Encephalitis
3
0
0
0
3
Erysipelas
2
0
1
1
0
38
Epilepsy
4] 8 18 8
9
2
0
3
Enteritis, actue
Exhaustion from acute mental disease.
2
1
5
1
1
0 I
0
0
1
Fibroid tumor
1
0
0
Gangrene of lung
1
01
54
18
4 25
7
General paralysis of the insane
1
0
0
0
Homicide, by patient
1
0
1
0
1
0
Huntington's Chorea
2
0
1
0
1
Influenza
Intestinal obstruction
1
0
1
0
0
1
Meningitis, staphylococcus
0
0
0
1
Myocarditis, chronic
19
4
7
5
3
15
Nephritis, acute
0
5
7
3
1
Pancreatitis
0
1
0
0
Pellagra
3
4
19
2
10
Pneumonia, lobar
1
13
7
4
1
38
Pneumonia, broncho
6
1
6
25
Suicide by hanging
2
1
0
0
1
1
1
0
0
Syphilis
0
47
Tuberculosis, Pulmonary
11
8
19
9
12
4
4
0
4
Unknown
2
0
4
Valvular heart disease
2
0
i\
TOTAL
121 I 82
96
90
389
40
EIGHTY-FIFTH ANNUAL REPORT
TABLE 6
SURGICAL OPERATIONS FOR THE YEAR 1928
Amputation, finger
Amputaton, toes
Appendectomy
Cataract, extraction
Cysts, ovarian, removed
CystJotomy
Cellulitis, operation for
Circumcision
Currettage
Dilatation and curettage
Dislocation, humerus
Eye, enucleation
Fracture, femur, treatment for
Fracture, radius, treatment for
Fracture, ulnar treatment for
Fracture, humerus, treatment for
Fracture, clavicle, treatment for
Hernjotomies
Hemorrhoidectomy
Hysterectomy
Iridectomy
Maxillary sinus, irrigation
Paracentesis, abdominal
Paracentisis, thorax
Fhimosis, operation for
Pterygium, transplanted
Tonsillectomies
Uterus, suspension of
Ulcer of cornea, cauterized
1
2
9
2
1
i
2
2
i
2
1
i
14
Q
1
x
1
5
2
4
j
1
2
2
1
2
91^
2
j
GEORGIA STATE SANITARIUM
41
TABLE 7
Admissions from Various Counties During the Year 1928
Colored
White
Total
M. I F. M. | F.
6
0
0
31 3
Applmg
1
0
1
o 0
Atkinson
1
1
0
0
01
Bacon
5
1
3
0
1
Baker
23
6
8
4
5
Baldwin
1
0
0
11 0
Banks
6
1
2
0
3|
Barrow
17
2
0
8
7
B&rtow
3.
0
1
0
2
Ben Hill
5
0
2
3
0
Berrien
35
1
8
7
19
Bibb
1
0
0
0
1
Bleckley
2
1
1
0
0
Brantley
1
6
1
1
3
Brooks
2
0
1
1
0
Bryan
6
0
0
4
2
Bulloch
9
4
3
1
1
Burke
9
1
3
3
2
Butts
3
0
2
1
0
Calhoun
5
0
0
0
5
Campbell
6
0
0
2
4
Candler
8
4
0
2
2
Carroll
3
0
0
2
1
Catoosa
1
0
0
0
1
Charlton
1
0
0
0
1
Chattahoochee
79
7 23 25
24
Chatham
6
0
0
3
3
Chattooga
8
0
0
3
5
Cherokee
5
2
1
1
1
Clark
2
0
2
0
0
Clay
4
2
2
0
0
Clayton
2
1
1
0
0
Clinch
15
1
0
9
5
Cobb
2
0
0
2
0
Coffee
2
15
1
5
7
Colquitt
2
0
1
1 . 0
Columbia
o
O
0
0
1
2
Cook
2
13
1
7
3
Coweta
1
0
0
0
1
Crawford
1
0 1
1
0
o
Crisp
1
0
0
1
0
Dade
4
0
0
2
2
Decatur
12
1
2
6 1
3
DeKalb
42
EIGHTY-FIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
(Continued)
Dodge
• Dooly
DoughertyDouglas __
Early
Effingham
Elbert ___
Emanuel _.
Evans
Fannin
Fayette —.
Floyd .__.
Forsyth __.
Franklin _.
Fulton
Gilmer
Glascock _.
Glynn
Gordon
Grady
Green
Gwinnett _.
Habersham
Hall
Hancock __
Haralson __
Harris
Hart
Heard
Henry
Houston __
Jackson __.
Jasper
Jeff Davis
Jefferson __
Jenkins
Johnson
Jones
Lamar
Lanier
Laureus __
Lee
Liberty
White
Colored
M. F. M. I F.
Total
0
2
3
1
6
2
1
1
3
7
2
1
0
2
5
1
11
0c
1
3
0
3
22
0
5
0
1]
C0
0
1
5
3
11
1
10
1
2
2
1
6
1
0C
C0
0
1
2
3s
c0
0
5
4
5u
0
1
10
11
7rt
1
2
21
2
3
0
0
5
4
3S
0
1
8
45
38
18
16
L6
10
109
6
1
0
0
7
1
0
0
0
1
0
0
0
1
1
3
0
1
0
4
4
4
0
4
12
3
2
0
0
5
4
1
0
0
5
4
2
0
0
6
5
0
6
0
11
2
1
1
2
6
5
0
6
1
12
3
1
2
0
6
4
1
2
0
7
3
1
0
0
4
0
2
1
1
4
2
0
1
2
5
2
3
2
0
7
1
2
5
9
11
II
II
0
II
3
2
8
1 I
8
21
2 I
2
11
II
61
2
0
21
4
01
1
01
II
31
5
31
II
01
31
7
01
01
II
1
01
4!
II
21
01
7
II
01
1
01
11 0 I ol
01
1
I
I
°l
43
GEORGIA STATE SANITARIUM
Admissions from Various Counties During the Year 1928
(Continued)
Lincoln
Long
Lowndes —
Lumpkin —
Macon
Madison
Marion
Meriwether Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee __
McDuffie
Newton
Oconee
Oglethorpe _
Paulding
Peach
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph __.
Richmond —
Rockdale —
Schley
Screven
Spalding ___
Stephens —
Stewart
Sumter
Talbot
Taliaferro -Tattnall __.
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Colored
White
M. I F. M. 1 F.
()
2
0
0
1
4
2
3
2
0
1
2
0
3
1
5
0
0
1
0
1
5
4
1
0
1
2
4
4
11
01
4
1
0
1
0
2
2
5
0
2
0
4
1
8
1
1
1
7
3
1
0
2
0
4
3
1
1
1
1
3
31
H
1
0
5
1
0
2
1
1
0
0
4
8
0
1
3
2
0
1
2
0
0
0
1
0
0
0
3
2
0
0
4
3
0
a
I
I
3
9
0
1
0
2
1
1
1
1
2
1
2
2
2
2
1
0
1
2
0
Total
4
1
11
6
5
3
3
9
2
1
9
9
1
9
5
18
4
10
2
4
0
3
0
6
11
4
1
8
2
10
0
3
2
6
1
1
0
5
0
11
3
31
6
1
0
3
0
4
0
12
1
4
0
4
1
7
4
4
1
4
2
1
6
6
0
3
0
4
1
6
3
4
0
1
4
44
EIGHTY-FIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
(Continued)
Total
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton ....
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilks
Wilkinson _.
Worth
TOTAL
423
GEORGIA STATE SANITARIUM
45
TABLE 8
Nativity of All Patients Admitted During the Year 1928
Alabama
Arkansas
Canada
England
Florida
Georgia
Indiana
Ireland
Kansas
Kentucky
Mississippi
New Mexico —
North Carolina
Ohio
Oklahoma
Poland
Russia
South Carolina
Tennessee
Undetermined _
Virginia
West Indies
Colored
White
Total
M. P. M. I F.
20
0
3
6
11
1
0
1
0
0
1
0
0
0
1
1
0
0
1
0
6
0
0
2
4
380 286 176 165 1007
2
0
1
0
1
1
0
1
0
0
1
0
0
0
1
1
0
0
1
0
3
1
0
0
2
1
0
1
0
0
0
6
0
3
3
1
0
0
1
0
0
2
2
0
0!
1
0
0
ol 1
3
2
0
0
il
21
3
2!
61
101
6
4
1
II 0
1
1
ol 0
0
2
2
0
Oi
01
1
2
ll
0
01
TOTAL
4231 3111 1831 1731 1090
46
EIGHTY-FIFTH ANNUAL REPORT
TABLE 9
Classified Occupations of Patients Admitted During the Year 1928
White | Colored
M. 1 F. 1 M. | F.
Agriculture, Forestry and Animal
Industry:
Farmers
Farmers' wives
Farmers' daughters
Farm laborers
Farm laborers' wives
Lumber dealers
Box maker
Saw mill laborer
Saw mill laborers' wives
Turpentine laborer
Live stock dealer
Dairyman's wife
Professional:
Dentist
Druggist
Lawyer
Lawyer's wife
Minister
Minister's wife
Physician
Teacher
Teachers' wives
Civil engineer
Editor
Photographer
Minerals:
Oil company manager's wife__
Filling station manager
Filling station manager's wifePublic Service:
Bailiff
Policeman
Policeman's wife
r
Street cleaner
1
Watchman's wife
Total
143
0,
0|
iii
0
2
1
2
0
0
1
0
0
60
1
0
0
0
0
0
2
0
0
1
50
0
0
26
0
0
0
1
0
1
0
0
4
19
0
9
1
0
0
0
1
0
0
0
197
79
1
43
1
2
1
3
3
1
1
1
1
1
1
0
1
0
1
2
0
1
1
1
0
0
0
1
0
1
0
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
1
1
1
1
2
1
4
2
1
1
1
0
1
0
I
0
II
0
0
o
0
0
0
1
1
1
0
0
0
0
0
1
1
1
1
1
1
1
0
1
0
47
GEORGIA STATE SANITARIUM
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During the Year 1928
White I Colored
M. | F. 1 M. | F.
Trade:
]
Bank clerk
I
Accountant's wife
I
Bookkeeper
Merchant
Merchants' wives
Bank solicitor's wife_
Salesmen
Salesmen's wives
Salesladies
Sales manager
Stenographer
Manufacturing and Mechanical Pursuits:
Baker
Blacksmith
Blacksmith's wife
Brickmason
Carpenters
Carpenters' wives
Contractor
Electrician
Engineer, stationary
Laborers __
Laborers' wives
Machinist
Machinists' wives
1
Auto mechanic
Moulder —
Moulder's wife
Painters
Painter's wife
Typewriter mechanic
Patent maker
Plasterer
Foundry worker
Printer
Candy maker
Bicycle mechanic
.—
Marble polisher
Shoemaker
Shoemaker's wife
Tinner's wife
Tailor
Textile mill supt.'s wife
Textile workers
Textile workers' wives
—
Total
2
0
5
7
0
0
23
0
0
1
0
0
1
0
2
5
1
0
2
7
0
1
0
0
0
0
0
0
0
0
0
0
0
2
1
5
9
5
23
23
2
7
1
1
1
1
0
1
8
0
1
2
1
12
0
4
0
3
1
0
5
0
1
1
1
1
3
1
1
1
1
0
0
0
0|
15|
0|
0
0
1
0
0
2
0
0
0
0
3
0
3
0
0
1
0
1
0
0
0
0
0
0
0
0
0
1
1
0
1
6
1
0
0
1
0
0
0
0
0
45
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
2
1
1
2
8
2
1
2
1
64
12
4
3
3
2
1
6
2
1
1
1
1
3
1
1
1
1
1
1
1
1
21
4
48
EIGHTY-FIFTH ANNUAL REPORT
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During the Year 1928
White
M. | F.
Domestic and Personal Service:
Barber
Barber's wife
Chauffeur
Housekeepers
Janitor
Laundry worker
Laundry operator
Porters
Butler
Servants
Clothes presser
Washerwomen
Cooks
Resturant proprietor's wife-Waiter
Meat cutters
Transportation:
Bridgeworker's wife
Depot agent's wife
Express agent's wife
Railroad fireman
Railroad conductor
Railroad flagman
Railroad porter
Section foreman's wife
Street car conductor's wife..
Telegraph operator
Telephone operator's wife
Truck driver
Ship steward
Transfer agent
Miscellaneous:
Coast line guard
Insurance agents
Newsboy
•_
Peddler
Students
J
J
0
1
0
2
0
0
0
1
0
50
0
0
0
0
0
4
0
0
0
1
0
Colored
M. 1 F. | Total
J
J
0
0|
1
0
0
0
13
0
22
9
0
0
0
3
1
1
75
1
1
1
2
1
17
1
22
11
1
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
3
1
1
1
5
1
1
o
25
o|
1
1
1
0
0
0
0
3
1
0
1
0
0
0
I
0
0
0
0
5
0
0
0
1
2
0
0
0
0
1
1
2
1
1
14
NOT GIVEN
None
4
0
117 125
0
42
3
47
7
331
TOTAL
423 311
183 173
1090
49
GEORGIA STATE SANITARIUM
TABLE 10
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
White Male Population.
!
Phychosis.
Traumatic
Senile
With cerebral arteriosclerois
General paralysis of
the insane
With cerebral syphilis—
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid —
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Not insane
Mental deficiency, not insane
Alcoholism, not insane__
TOTAL
Under|20|30|40
20
30140150
01 1 0] 0
oj 0 0i 0
Over Not
70 Given Total
2
0 |
0
1
0 |
0
i
01 1 2|16112 10
I
0
41
0
0
0
22!10
9
10
8
19
2
68
51
0
13
0 0! 0
5
14
28
4
4
1
29
88154 59 45 19 11
306
EIGHTY-FIFTH ANNUAL REPORT
50
TABLE 10—(Continued)
Ages of First Admissions During the Year 1923
Classified With Reference to Principal Psychosis.
White Female Population.
Phychosis
Traumatic
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis. _
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency ..
Unclassified
Not insane
Drug addict, not insane..
TOTAL
Under j20|30|40|50)60]Over Not |
20 I30I40I50J60 70 70 Given! Total
u| 01 u! 0! 0!
0 Oj 0| 0| 1|
0
o
3
0
0
0 0 2! 3
3
0
0| 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Mil
! o
0
0
0
0
3
0
0
0
2
0
0
0
1
1
7
0
24
15
o
l
7
3
0
3
I
I
I 01 0
I 3! 4
i 2| 4I
!
I
I1 °3
0
3
8 5
1 0 0
0 1
27
0
0 0
41 01
!
3!
I
0|
01
0!
I
0|
I
0
0
2
0
I
I
I
I
I
I
5
0
0
0
6
0
2
9
1
69
51
17
I
13
0
15
20
1
1
0
I 223
ol 0
|49|68]44ll9ll0
0
4
I
0! 0
-r—r—r—r—(-
i
51
GEORGIA STATE SANITARIUM
TABLE 10—(Continued)
Ages of First Admissions During ths Year 1923
Classified With Reference to Principal Psychosis.
Colored Male Population.
]
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis _
With Huntington's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency. _
Unclassified
Not insane
TOTAL
Under|20|30|40|50|60 Over Not |
20 |30|40|50160|70 70 Given! Total
0
I 0j 0| Oi 0| 0|
1
i o| oi u| o| i|
I I I I
23
8| 4
0[ 1
0
0
0
0
23
0
0
0
3|11
0 0
0| 0
0| 0
3
1
0
6
1
52
18
0
0
0
0
0
13
1
0
1
0
12
oi 0
5| 3
0| 0
n
Oi 01
0
I
0
8
7
1
5
19
|52 32122118 8|
0
5
156
52
EIGHTY-FIFTH ANNUAL REPORT
TABLE 10—(Continued)
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Female Population.
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
Ceneral paralysis of
the insane
With cerebral syphilis
With Hunting-ton's chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathc personality
With mental deficiency
Unclassified
Not insane
TOTAL
1
Under |20|30|40|50|60|Over| Not
20 |30|40 50 (JO 701 70 | Given | Total
0
0
| 0
I 0
I
0
I 0
0
0
0
0
0
0
0
0
0
4
4
0
4
0
1
4
0
17
2! 31 4 i| o
0 0 0 0
01 0
ol 0
11 1
I 0 0
I 01 0
I ll 0
115111
|13|12
I
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
6
1
36
33
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
4
28
0
I
I 01 0 01 0| 0|
II 1 ll 01 0|
Mini
01 0
I I
01 01
21 0|
6|10|
01 0|
01
I
01
11
5[
0|
01 01
I I
0| 0|
01 01
1| 2|
0| 0|
I—II44l40!27!l2l 51
1
146
GEORGIA STATE SANITARIUM
53
TABLE 11
Degree of Education of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
M
Traumatic
Senile
Yfith cerebral arteriosclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency, not insane. _
Alcoholism, not insane
TOTAL
0
0
12
0
0
0
0
2
0
0
2
2
6
2
0
6
0
0
101
50
0
0
0
1
1
1
71
0
19
9
0
1
0
0
0 3
G
0
1
1
II
0|
0
5! 68 142 31
0
0
0
3
0
0
0
0
1
1
0
0
0
3
0
0
0
1
0
0
0
0
0
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
4
1
9
11 306
54
EIGHTY-FIFTH ANNUAL REPORT
TABLE 11—(Continued)
Degree of Education of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population
W
<v
c
Psvchosis.
>>
B
m
w
■n
a
s
X
h(l
« «
O
a
a
TOTAL
01
0
2
0
ol
o|
2
0)
o
c
el
o!
5!
01
txi n
0)
s «
1
]
-4-3
O
2
5
o
E-
0
o
1
4!
01
1|
0
21 4411151 22l 10
1| 223
1
0:
0
0!
ol
o
o
2
0
0
0
0
ol
ol
0
0| 0; 1
0' 131 37
l| ll| 26
0! 0! 0
01
01
ol
91
01
ol
291
c
0)
0|
II
II
0
ol
ol
ol
OT
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
01
ol
o
0
0
5!
__
o
o
T3
c
o
Traumatic
Senile
With cerebral arteriosclerosis _
General paralysis of the insane _
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
o
,S
o
T>
'A
0,
£
1
Oj
0|
41 121
Oi 1!
01 01
0
0
9
81
ol
0|
GEORGIA STATE SANITARIUM
55
TABLE 11—(Continued)
Degree of EoucE-tion of First Admissions During the Year 1923.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
>.
£
O
<0
a
o
55
Traumatic
Senile
With cerebral arteriosclerosis _'
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality-With mental deficiency
Unclassified
Not insane
TOTAL
T3
C3
o
H
«
M
0
1
15
12
0
0
0
1
0
0
6
1
20
4
0
9
0
0
7
5
1
0
0
2
0
0
0
0
1
0
0
0
0
1
0
0
3
0
0
0
0
0
82
7
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
II
1 156
56
EIGHTY-FIFTH ANNUAL REPORT
TABLE 11—(Continued)
Degree of Education of First Admissions During th? Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
m
0)
+J
Fhychosis
>>
O
xn
T3
M
0)
c
«
'A
Traumatic
Senile
With cerebral arterio-sclerosis_
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
TOTAL
o
. 7
2
1
0
0
0
0
0
0
1
0
'
ol
41
0
0
l!
14
0!
471
o
o
J3
-c
c
w
a
T3
01
o
C
X
o
o
S
£
« o
o
I
7|
01
0
0
0
VI
0!
2i
(/)
J2
zl
<D
r.r
<P
]
K
O
0
0
0!
0
0
0
01
01
a
<n
>
O
-J-J
&
0
0
o
01
1
0
0
3!
o!
21 18! 8
31 14! 12
0| 01 Oi
l| 21 Oi
0
0
01
0
0
0
0
0
0
0!
(1
31
71
01
0!
51
01
0
8! 60| 301
1
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0'
0
o1
0!
0
01 146
ol
II
GEORGIA STATE SANITARIUM
57
TABLE 12
Environment of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
White Population.
Female
Male
Psvchosis
o
Traumatic
_•
Senile
With cerebral arteriosclerosis __
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With Epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Alcoholism, not insane
TOTAL
2
0
10
18
0
0
0
4
7
7
8
0
24
23
0
4
0
5
4
13
3
0
1
0
0
1
31
7
0
0
0
5
3
1
11
2
44
28
0
9
1
0
10
14
II
0
3
II
2
1
41
25
0
0
0
9
10
8
19
2
G8
51
0
13
1
5
14
28
4
0
4
1
133 1721
1306
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
93 130
0 223
58
EIGHTY-FIFTH ANNUAL REPORT
TABLE 12—(Continued)
Environment of First Admissions During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Population.
II
Male
Female
Psychosis
c
~3s
c
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane. .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease. _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality...
With mental deficiency
Unclassified
Not insane
TOTAL
0
1
12
12
0
0
0
2
0
0
5
1
38
8
0
7
0
0
5
3
0
I 62 94
M
0
1
23
23
0
0
0
3
1
0
6
1
52
18
o:
oi
01
01
0
3
3
6
0
0
0
2
0
4
4
4
0
0
01
01
-t->
o
£
o
H
o
0
0
0
7
01 7
0| 10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
65! si
0!l46
0
o|
0^ 01
1
5
0
II
13 23
22 16i
Oil 0 01
I2i 3 ■1
0, 0 01
0
0
0
81 1 31
ni IT
ol
0 156
9
>
o
TABLE 13
FEMALE
MALE
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
White Population.
,0
a
a
-a
a<u
£
a
O
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis —
General paralysis of the insane __
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition —
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane —_Drug addict, not insane
Alcoholism, not insane
Mental deficiency, not insane
TOTAL
O
0
0
11
7
0
0
0
1
7
4
6
0
32
17
0
3
0
2
2
5
2
0
1
2
o
z
2
1
28
18
0
0
0
8
3
3
13
2
36
34
0
10
1
3
12
22
2
0
0
2
102 200
T3
C
O
1
o
zo
o
H
0 I
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
0
1
4
1
0
0
0
0
0
0
5
1
12
9
0
3
3
0
0
1
0
1
0
0
0
4
6
3
0
0
0
6
0
2
4
0
54
40
0
14
8
1
15
18
1
0
0
0
306
38
176
0
2 I
o
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
2
223
o
w
o
w
a
w
H
>
H
H
m
>
i—i
H
>
MALE
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Population.
, ,
Rl
a
M
a
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis General paralysis of the insane
With cerebral syphilis
Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
__
0
FEMALE
01
J3
nj
-u
a<v
T3
fi
ft
s
Q
0
0
4
3
0
0
0
0
1
0
1
0
25
5
0
1
19
20
0
0
0
3
0
0
5
1
27 1
13 1
o
o
-4->
O
H
s
O
o
,_
g
So
s
0
o
CD
Q
EH
0
7
6
6
0
0
0
2
0
0
G
1
27
33
0
6
0
0
2
24
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
43 113 , 0 I 156 1|
e
a
ft
0
26
120
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0
146
H
O
a
i
S3
w
>
>
t-1
w
H
O
w
TABLE 14
FEMALE
MALE
Civil Condition of First Admissions During the Year 1923.
Classified With Reference to Principal Psychosis.
White Population.
O
M
0
o
H
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis _
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Alcoholism, not insane
TOTAL
1
1
I6| 24
5 14
0
0
0
7
3
1
2
0
27
36
0
9
1
2
14
5
3
0
4
0
12711341 26|
O
M
O
O
H
>
>
4 14
1306!
76| 98 29
21 18
1 H
69 >
51 E0
C
11
i;
l
15
20
1
1
0
0
0 223
■TABLE 14—(Continued)
Fl :M^ LLE
MA XE
Civil Conditions of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
T)
01
71
g
in
OS
T3
oj
o
-a
0 0 0
0
1
0
4 6 10
2
5 13
0 0 0
0
0 0
0
0
0
1
0
1
1
0
0
0
0
0
1
4 0
1
0 0
1
25 21
11
0
5
0
0
0
8 2
0
0 0
0
0
0 0
1
7
0
0
3
4
1
0
0
66 59 14
T3
U
o
>
s
T3
0>
+J
03
-a
u
O
p.
o
W
o
0
0
0
0
0 3
0 3
0
0
0 0
0
0
0
1
0
0
0 0
1
0
0
0
0
5
0 2
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0 17
■a
G
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
"3 71
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
156
TI
a>
iso
c
in
u
0
2
1
2
0
0
0
1
0
0
0
0
7
12
0
5
0
0
3
7
0
40
0 0
1
3
1
5
1
4
0
0
0 0
0 0
0
1
0
0
0
0
2 2
0
1
4
16
10 3
0 0
1
1
0
0
0 o
1
o
12
4
0
o
53| 20
03
o
C
o
>
s
+3
03
S-c
03
P.
a>
a(O
>
O
o
W
0
0
0
1
0
0
0 3
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
9
3 10
0
0
0
0
0
0
0
0
0
0
1
4
0
0
4 29
"3
-4->
o
EH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
146
GEORGIA STATE SANITARIUM
63
TABLE 15
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
|
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Epilepsy, not insane
TOTAL
|Under
20
30|40 50|60Over| Not
40 50 60170 70 iGiven
0 0 0, 0 0j
0 0 0 0 2
0
3
0
I
0
131 12
01
o|
01
0!
0
0
0
0
Total
0
5
30
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
2
0
0
2
1
0
1
0
0
4
1
7
2
1
3
1
11
11
0
0
0| 0! 01 01 01
I 1 3| 3
0
9
0
I 0 0! 0
I o
I 2
0
0
0
1
1
3
2
0|
0
I
I 0
I 1
0
[ 9 19|20'25!27l 21
0
2
6
10
0 I 121
EIGHTY-FIFTH ANNUAL REPORT
64
TABLE 15—(Continued)
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
,
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With Mental deficiency __
Unclassified
TOTAL
Under
20
Over | Not |
70 | Given | Total
0| 0| 0| 0| 0
0! 0 0 1| 2
I
I
I
0
12
I
0| 01 01 0! 1
0
0
0
0
0 2 2| 0! 0
1 o[ 0
1 o| 0
0
0
0
0
0 |
0 |
0 |
0 I
4
0
1
0
0
0
0
0
0
0
0
0 0
1
1 0
0 0
0 1
0 5
0 0
1 :;
0 1
0
0
0
0
0
2
3
3
0
1
6
0
11
0
0
0 0
4 6
0
0
0
13
01 01 0
0
01 0
0
0
0
9121 8!10|11| 23
0
!
I
|
l
5
12
82
65
GEORGIA STATE SANITARIUM
TABLE 15—(Continued)
Ages of Patients at Time of Death During the Year 1928.
Classified with Reference to Principal Psychosis.
Colored Male Population.
I
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis __.
General paralysis of
the insane
With cerebral syphilis __
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
:
With psychopahic personality
With mental deficiency __
Unclassified
TOTAL
| Under 120
20 130
0 | 0| 0| 0| 1
0
0| 01 0! 0
Over | Not
70 Given
0
0
0
18
0
0
0
0
0
0
0
0
26
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
2
0
10
51 4 01 0| 0
0
0
0
1
0
14
Ol 0 0' 01 Ol
0
0 1| 3
0
0
0
0
I 3] 7)10
| 01 0| 0
0] 0
0 0
0
0
0
0
0
1
0
0
4
ol 0 01 0| 0
I
0
4
9
0! 0 Ol 01 0!
21 0
01 3
6
Total
1
2
-
|14ll7l21ll8ll3l
6
96
66
EIGHTY-FIFTH ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis __.
With Huntington's chorea.
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
|Underj20J30|40
20 l30|40|50
0
0
Over | Not |
70 | Given | Total
| 01 01 0| 0
I 0| 0| 0| 2
0
MM
I 0| 01 2|
0
0
0
0
I II 21
| oj 01
I 01 Of
I 0| Oj
1
3
0
0
0
J 00
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
2
0
0
3
0
20
18
0
0
0
7
0
0
0
0
0
0
0
0
1 2| 0
1 o| 0 0| 0
1 21 71 61 3
1 4| 66|! 4| 1
0
0
0
0
0
0
2
0
2
01 0| 01 0
31 11 01 ll
0
0
0
0! 0: 01 0| 0
1 o!
1 ol
I
!
I-
I
I
0
0
0
0
I 0| 0| 0| 0| 0|
I 0! 3! 01 11 01
I 41 41 6| 01 2|
0
0
1
0
4
17
2
Il6'23'22ill! 91
7
90
67
GEORGIA STATE SANITARIUM
TABLE 16
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis —
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive _
Dementia praecox
.-7--Paranoia or paranoid condition
With epilepsy
.
PSychoneurosis or neurosis
With Psychopathic Personality..
With mental deficiency
Unclassified
Epilepsy, not insane
TOTAL
0
2
G
4
0
0
0
0|
H
0|
0]
11
01
01
0
1
2
0
21
1
2
1
0
1
0
0
0 1] 1
0 o| 0
0 01 0
01 0
3| 2
oj 0
01 0
0
0
5
30
21
0
0
0
7
2
1
3
1
11
11
0
9
0
2
6
10
2
11 21 16120 20 16 7 10 121
68
EIGHTY-FIFTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients. Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain and nervous disease _
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality. _
With mental deficiency
Unclassified
TOTAL
0
3
2
1
0
0
2
0
0
II 0 0
0|
2!
2|
01
3!
0|
0
0
0
0
0
0|
0|
0|
0
01
0
4
3
0
3
0
H o
li 0
H 0
_
n
0
0
0
0
0
0
0
12
5
4
0
1
3
0
1
6
0
11
8
0
13
0
1
5
12
51 5' 8'18 14 9 12 82
69
GEORGIA STATE SANITARIUM
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Male Population.
.
n ja rn
SH
c a
c fl
Psychosis.
T0TAL
§
-t-»
-^
T-t
SO
M
«
>> >>
<N1 (M lO
50 ^
u to
O o
o
c
Traumatic
Senile
7—
With cerebral arteriosclerosis General paralysis of the insane .
With cerebral syphilis
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
a
ol o
0 0
2| 7
4|10
0
0
0
(I
0
2
0
0
0
0
Ol 0
0| 0
0| 0
Ol 0
II1
rH
O)
0|
11
5
0
01
0|
1
0
0 0| 0
1 0| 0
0 0 18
1 0| 26
0 0 0 0
1
0
1
0
0
2
0
10
8
0
14
0
0
4
9
9ll9ll5ll4|20l 6| 6 7 96
70
EIGHTY-FIFTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
S O
Traumatic
Senile
With cerebral arterioseleroisis "
Generai paraiysis of the insane
With cerebral syphilis
With brain and nervous
nervoui disease^
Due to alcohol
Due to drugs
With pellagra
~_
With somanic disease
I
Manic depressive
I
Dementia praecox
~
Paranoia or paranoid condition"
With epilepsy
Psychoneurosis or neurosis
"
With psychopathic personality _
With mental deficiency
Unclassified _
TOTAL
01 0
II 2
0
01
0|
0!
0
1
0
0
i! i
01 01
01 01 01 01
o| 0! 31 11
01
01
II
5|
01
0'
01
51
01
0!
01
01
01
01
01
4|
0
1
2
1
0
0
0
0
0
0
61
H
0'
31
01
0
0! 0
01 0
0 0
0
7
5
7
0
2
0
0
3
0
20
5
18
0
0
0| 0
7
01 0
0
0 0 01 0
1 o| 01 4
31 0 01 0| 17
111151 8113119110] 7| 7| 90
GEORGIA STATE SANITARIUM
71
Report of Superintendent of Nurses
JANUARY
DR.
1, 1929
R. C. SWINT,
Superintendent
DEAR SIR:
The following is the annual report of the Georgia
State Sanitarium Training School for Nurses for the year
beginning January 1, 1928 and ending December 31,
1928.
, ,
„
The record of the year's work has been unusually
good, the class work of high order and practical
The admission standards have been gradually raised
to require a full high school education. We have had no
difficulty in obtaining sufficient students and have a long
waiting list.
The Alumnae Association, each year, offers a prize
of all expenses to attend the State Nurses Association
Convention, to the nurse making the highest average during her junior year. The prize this year was won by
Miss Samantha Renfoe.
A "home coming" for all graduates was held May
16, 1928, and about fifty nurses returned to enjoy a reunion with friends and classmates. An excellent barbecue was served at six o'clock P. M. in a park near the
hospital after which all attended the annual commencement held in the Amusement Hall.
,.,,,..
The Annual Commencement was held at eight thirty
P. M., May 16th.
.
Dr Stewart Roberts, a well known physician of Atlanta gave an excellent address on the Trend in Medicine
which was enjoyed by the class and large audience.
Hon John T. Brantley, Blackshear, Ga., President
of the Board of Trustees, who has delivered diplomas to
all of the sixteen graduating classes except one, presented the diplomas. The hospital pins were presented
by Dr. Leatus Sanders, Commerce, Ga., a member of the
Board of Trustees.
72
EIGHTY-FIFTH ANNUAL REPORT
Mrs. Eustace McKinney, Jr., Blackshear, Ga. accompanied by Miss Anna Belle Pendleton on piano rendered two beautiful violin solos.
The Georgia Military College orchestra played the
processional and several selections on the program.
A reception and dance followed, music being furnished by the Georgia Military College orchestra.
The following nurses received dipflomas, making
total number of graduates one hundred and fortv-nine ■
Miss Bessie Thelma Allen.
' Tvpv r '
Miss Ruby Bloodworth.._
IveV J^'
Miss Sallie Elizabeth Daniel....
Dublin Ga
Miss Thelma Mathews
Thomson,' Ga.'
Miss Rosa Lee Mathews
Thomson Ga
Miss Annie Lou Stanley
Milledgeville,' Ga.'
Miss Ethel Lottie Taylor
Crawfordville, Ga
Miss Lila Belle Veal
Sandersville, Ga.
PLAN OF INSTRUCTION
The course extends over a period of three years, including three months probation and six months affiliation in some large general hospital for an additional
amount of obstetrics, pediatrics, and surgery. Classes
are conducted eight months out of each year and consist
of lectures, recitations, and laboratory work.
A passing grade of 75 in all branches is required for
graduation.
CURRICULUM
First Year
Nursing Ethics
Nursing Technique
Anatomy and Physiology
History of Nursing...
Bandaging
Dietetics
Hygiene
Chemistry
6 hourg
80
6Q
10
g
4c
16
"
9Q
«
«
„
„
„
„
„
73
GEORGIA STATE SANITARIUM
Second Year
Nursing Ethics
-----Nursing Technique
Medicine and Contagious Diseases
Bacteriology
—Massage
----Solutions
Materia Medica
Oral Hygiene
Obstetrics
—
-
10 hours
32
-
— 24
■■ 20
10
lb
16
16
-
24
Third Year
■-
Surgery
Eye, Ear, Nose and Throat
Pediatrics
Gynaecology -—
Mental Diseases
Neurology
Public Health
-
12 hours
16
16
16
16
-
10
NURSING STAFF
L
Superintendent of Nurses
Supervisors
—:
Graduate Nurses
-- 12
8
Senior Nurses in School.
13
Junior Nurses in School
——
Freshmen Nurses in School
---------- 10
Total Number of Student Nurses
31
Occupation Therapy Nurses...
.-- 10
9
Special Attendants
----56
White Female Attendants.
—I
Vacancies
----I am grateful to you and all officers and nurses who
have contributed to the success of the school.
Respectfully submitted,
M. JONES, R. N.,
Superintendent of Nurses.
(MRS.) MAE
74
EIGHTY-FIFTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE, G\.
R. C. SWINT,
Superintendent.
DEAR SIR :
Jan. 1st, 1929.
DR.
We have the honor of reporting the following work
done in the Dental Department during the year ending
December 31st, 1928:
Extractions
Infiltration anaesthesias
Conductive anaesthesias
Ethyl chloride anaesthesias....
Alveolotomies
Incisions sutured
Post-operative treatments
Gold fillings
'"'"'
Amalgam fillings
....'
Cement fillings
~~~~
Gutta-percha fillings
Synthetic porcelain fillings
Gold inlays
'
Gold inlays reset....
Nerve cappings
Nerve treatments
"
Nerves devitalized
"
Root treatments
Root fillings
Abscesses lanced
Abscesses treated
Abscesses aspirated
Lancing gums over 3rd. molar
Treating gums about 3rd. molar
Excessive hemorrhages arrested
Treatments for pyorrhea alveolaris
Cleaning teeth
Scaling teeth
Applications silver nitrate
]""""
Treatments for acute odontalgia...
Treatments for pericementitis
Treating gums
5 Qg4
2419
'808
12
-Qg
g
144
g
219
72
13
51
24
2
jg
7
""
jg
29
4g
22
12
15
ig
j2
21
37
ig4
28
3
2g7
GEORGIA STATE SANITARIUM
75
Treatments for oral ulcers
20
Treatments for stomatitis....
5
Curetting alveolar process
15
Plates made
75
Plates repaired
- —
29
Gold crowns
4
Porcelain crowns
5
Cast-base crowns (gold)
1
Crowns removed
28
Crowns reset
2
Bridges removed
26
Bridges made
-:
2
Bridges repaired
—
—
4
Bridges reset
8
Disfigured teeth shaped up (number of patients)..
82
Setting screws in roots
1
Impacted 3rd. molars removed
28
Sequestra removed
- 4
Fractures reduced
5
Calls to wards
342
Number of new patients examined
1,095
Number of patients treated.
2,319
Total number of operations and treatments
9,930
Respectfully submitted,
GEORGE H. GREEN, D. D. S.,
J. C. ADCOCK, D. D. S.
76
EIGHTY-FIFTH ANNUAL REPORT
Report of Pharmaceutical Department
DR.
R. C.
SWINT,
Superintendent, Georgia State Sanitarium.
DEAR SIR
:
The following is the annual report of the Pharmaceutical Department for the year ending December
31st, 1928.
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
2,389 pounds
------- 1,060
"
Syrups
_.__
1041
Ointments
J18
»
Liquors, lotions and mixtures
1,114
"
Library paste and mucilage
65
Medicated powder
79
«
Indelible ink
4g
«
Glycerites
43
«
Liniments
220
"
Tonics
goQ
„
Tooth powder
3
«
Quinine, anodyne and lagrippe capsules,
fiIled
25,300
rmidde
2f
"
866 gallons
Fly and mosquito exterminator
430
Elixirs
GEORGIA STATE SANITARIUM
77
STATEMENT
Debits
Jan. 1, 1928, Inventory as of Dec. 31st, 1927......$5,309.00
PURCHASES DURING THE YEAR
Drugs, chemical, dental, surgical
and laboratory supplies....
$11,768.44
Freight and express
216.95
-
TOTAL
Less goods returned
$11,985.39
401.74
Net amount goods purchased
$11,583.65
T0TAL
Deduct:
Inventory Dec. 31, 1928
Amount goods to account for
-
$16,892.65
4,641.50
$12,251.15
Credits
Dec. 31, 1928, Prescriptions filled
wards 36,259 aggregating ...$ll,5bb.lU
Sales to officers and employees....
b8b.ua
TOTAL
..."
?12'251-15
Respectfully submitted,
J. J. WOOTTEN, Pharmacist.
78
EIGHTY-FIFTH ANNUAL REPORT
Report of Engineer
DR. R. C. SWINT,
Superintendent and Resident Physician
DEAR SIR :
Please find below the annual report of the Engineers
Department for the year ending December 31st 1928"
Improvements
h
«,,r Thvf ri!?
u.?f Way th™ugh the several properties
3th? the,f w pipe line to the water-workwS
be laid has been obtained, and nearly two thousand
tnousand feet
leet
of the new 12-inch pipe has been laid.
rw Jh-6 work°f reconditioning the buildings of the old
dry dairy, making them suitable for a horfe and mule
?i fSHbeMn C0I?pleted
- A utility
Wasksmith
shophas
andb an addigeneral
purpose
tS^SS^f
™
A rate for electric power current having been oh
^ inStitUti°n ^^haTtht
gTenfo°r ligMs Tuf
fhl ™ °
, ' , l?e of three Wlres has been run from
the meter pole of the Georgia Power company to Z
pump room, with a branch line to the laundry *
„,, ,A11 of. *he buildings have been removed from the
old horse lot preparatory to moving the present wood
working shop to this location.
Present wood^f*7h!L^-rk °/ edging the Laboratory, consisting
of the addition of three rooms and a basement room with
other improvements about the building, comrnenSd^ast
year, has been completed.
wwmnencea last
Two new pavilions for tubercular patients havP he™
T^
f
bee
s ssrua*; sprite -
these boilers at around 125 per cent cant ti
/""
GEORGIA STATE SANITARIUM
79
Two 1 000 gallon-per-minute motor driven centrifugal pumps have been purchased and installed in the
pump room of the T. 0. Powell Building. A suction well
of brick construction has been built and connected to
the yard system of supply. . The pumps take suction
from this well.
A telephone line has been run from the hospital to
the mule lot, and a line of poles placed for electric lights
in and around the building there.
The Cox cottage has been remodeled and painted.
Two suites of rooms on the second and third floors
of the Female Convalescent Building have been painted
throughout.
The sewing machines in the sewing room of the
negro building have been placed on a motor driven basis.
A brick Dutch oven has been built adjacent to the
kitchen at the Colony. This oven has the firing and
access doors in the kitchen.
Two outside ladder all metal fire escapes have been
placed on the two rear ends of the wings of the John 1.
Brantley Building.
A 150 000-gallon elevated steel tank, the highest
point of which is 133 feet above the pump-room floor,
has been erected in the backyard of the T. O. Powell
Building This tank is so connected that all of cne
pumps can deliver water into it, and the outlets are connected to the mains serving the fire protection, buildings
and the irrigation systems.
A forty-gallon cast iron jacketed steam kettle has
been placed in the kitchen of the Female Convalescent
Building.
A new concrete floor has been put in the kitchen of
the Twin Buildings, and the cooking apparatus has all
been reset, using new piping and valves. Thirty pounds
of metalic floor hardener to the square was used in laying this floor.
The RED BARN has been taken from the old horse
lot and rebuilt at the dairy. Two sheds, each with a
width equal to the width of the barn, have been built the
full length of the barn, one on each side. Both barn and
sheds are covered with galvanized sheet iron.
80
EIGHTY-FIFTH ANNUAL REPORT
The 10-inch water main and the 6-inch sewer exposed by the Georgia R. R. in lowering their tracks around
the storehouse have been cut and lowered out of the way.
Two cottages have been moved from the site selected for the L. M. Jones Building, and established in
new positions.
A pipe tunnel, three feet wide by fifty inches high
has been built between the boiler room of the negro
building and the new building. The length of this tunnel is seven hundred sixty-five feet. It has pipe supports built in it every ten feet of its length, and in it are
laid the 4 and 6-inch steam pipes and the 2 ^-inch return feed line.
A septic tank has been built to serve one of the cottages removed from the site of the L. M. Jones Building.
The cottage occupied by Dr. Longino has been remodeled and painted.
All of the slate roofs of the institution have been repaired by a competent slater.
The 10,000-gallon gasoline storage tank at the Storehouse which was exposed by the lowering of the tracks
of the Georgia R. R. at that point has been lowered and
connected by piping with the pump and filling opening.
The cottages occupied by Dr. Walker and Dr. Wheeler have been recovered with shingles.
Two garages have been built near the two cottages
removed from the site of the L. M. Jones Building.
The eighty-foot potato-curing-house at the Colon v
has been raised from its foundations, new floor put in
and reconditioned generally for the curing of sweet potatoes in crates.
The cottage occupied by Mr. Couch has been recovered, the piazza repaired and refloored.
A hot bed 150 feet long, with glass sash, has been
built for the gardener.
A new duplex coffee mill has been installed in the
storehouse.
A Barrett twenty-year-guarantee roof has been put
over the pump room of the Powell Building. Two skv
lights Were placed in this roof.
GEORGIA STATE SANITARIUM
81
The grading of the site of the L. M. Jones Building
has been completed, and the contractor has commenced
operations.
Two garages, each having divisions for four cars,
have been built to replace those it became necessary to
move from the site of the L. M. Jones Building.
A storm water sewer has been run from the backyard of the Female Convalescent Building to the spur
track of the railroad running to the Twin Buildings.
The contractor for the new colored building has
completed his work and our force of plumbers, steam
fitters and electricians are now engaged in putting in
this part of the work.
New tubes have been put in the two smaller boilers
at the laundry.
The coal yard fence at the Female Convalescent
Building, which was removed by the Georgia Railroad in
the changes made in their trackage around our storehouse, has been rebuilt and lengthened.
The two cottages near the new colored building have
been overhauled and given new roofs. The porches of
these houses have been widened and recovered and refloored. Small rooms have been built to these houses in
which water closets will be placed, removing the necessity for yard closets.
Two partitions have been built across the hallways
of the officers quarters in both the male and the female
convalescent buildings.
A frost proof water closet for servants use has been
placed at one of the cottages.
In addition to the ordinary repair work of the institution, the carpenter shop, the furniture and shoe repair
shop, the paint shop and the broom factory have been
kept busy in manufacturing and repairing the various
articles in the different departments.
Respectfuly submitted,
T. H. DESAUSSURE, Engineer.
82
EIGHTY-FIFTH ANNUAL REPORT
Report of Farm Steward
JANUARY
DR.
28, 1929
R. C. SWINT, Supt.,
DEAR SIR
:
I wish to submit my report for the fiscal year ending December 31, 1928.
The following is a list of food stuffs produced during the year:
Asparagus
Beans, butter
Beans, snap
Beets
Cabbage
Collards
Cantaloups
Corn
Corn, roasting ears
Corn silage
Corn meal
Cucumbers
Fodder
Hay, oat and vetch
Hay, peavine and grass
Lettuce
OVits
Okra
Onions
Peas, garden
Peas, field green
Peas, field dried
Pecans
Peppers
Peaches
Pork, dressed
Potatoes, Irish
Potatoes, sweet
Radishes
Rape
Rye
Spinich
Squashes
124
bushels
116
"
911
"
339
22,811 heads
5,410
1,940
13,474
bushels
95,925 ears
705 tons
6,140
bushels
48
"
40 tons
50
"
2811/; "
700 " heads
110 bushels
712
177
"
122
"
53
"
250
2,900 pounds
8 bushels
1,7921/2
32,163 " pounds
804 bushels
3,300
34
"
1,243
147
253
458
"
GEORGIA STATE SANITARIUM
Tomatoes
Turnips
Watermelons, sent to patients
Watermelons fed to hogs
83
3111/, crates
7,174 bushels
10,300
15,500
Dairy
Sweet milk
Sweet cream
Beef, dressed
Hides, green
Calves sold
Manure
.45,246 gallons
154% "
7,170 pounds
233
"
1 ($2.00)
897 loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
Eggs set
Turkeys issued
136
15
402
3,300 dozen
394 "
21
In addition to producing these foods products, I
haul all the coal from the coal chutes to the boiler
rooms, moved all the cinders away from the boiler rooms
and have worked the entire road system of the institution. Have cut a new road from in front of Female
Convalescent Building through to the Park woods road.
Have graded and filled in the yards around Dr. Echols'
and Dr. Rankin's houses and planted them in Bermuda
grass.
I have also cut and distributed to officers' houses
and kitchens about 600 cords of stove wood.
I wish to thank you, the Board of Trustees, the officers and others of the institution for the gratitude and
cooperation shown me throughout the year.
Respectfuly yours,
F. C. PENUEL, Farm Steward.
84
EIGHTY-FIFTH ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE, GA., MARCH 5TH, 1929.
R. C. SWINT, Superintendent,
Georgia State Sanitarium.
DR.
Milledgeville, Ga.,
DEAR DR. SWINT:
I beg to submit a report of the receipts and disbursements of the treasurer of Georgia State Sanitarium
for the year 1928 :
December 31st, 1927 Bal. cash
on hand
$ 68,890.96
Received maintenance fund.. 1,200,000.00
Received special appropriations
247,206.15
Received Homer Bivins,
Steward
8,621.55
Received interest on balances
1,758.95
$1,526,477.61
Disbursements for the year per warrants
drawn by Superintendent and Steward.... $1,442,324.99
Dec. 31st, 1928 Bal. cash on hand in Exchange Bank
84,152.62
$1,526,477.61
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank, we certify that at close of
business December 31st, 1928, there was to the credit of
Otto M. Conn, Treasurer Georgia State Sanitarium, the
sum of $84,152.62.
OTTO W. CONN, Treas. Ga. S. S.
H. G. BANKS, Cashier Exchange Bank.
Witness:
H. H. HERNDON,
N. P. B. Co. Ga.
GEORGIA STATE SANITARIUM
85
Report of Steward
MlLLEDGEVILLE, GA.
DECEMBER 31ST, 1928.
DR. R. C. SWINT,
DEAR SIR:
Superintendent,
The receipts of the Sanitarium for support and
maintenance during the year 1928 were $1,201,844.27.
Its expenditure for the year was $1,178,483.21, leaving
the sum of $23,361.36 in excess assets. On this basis
its per capita cost was $233.55 annually, and $0.63,98
daily, as compared with $224.92 annually and $0.61,62
daily during the year 1927.
The sum of $190,225.72 was spent within the year
for the erection and equipment of the New Negro building, $32,526.44 for the Psychopathic building; and $42,613.01 for a duplicate water-main, tank, tower, etc., leaving the sum of $314,604.83 available for the completion
and equipment of the three projects.
Our demand obligations at the end of the year, exceeded our cash and cash items by $12,122.16, which figure when compared with that of 1927 shows a decrease
of $17,330.61.
In support of the foregoing figures, the following exhibits and schedules are given:
EXHIBITS :
1—Comparative Balance Sheet, Dec. 31st, 1927-28.
2—Comparative Statement Receipts and Disbursements
Years 1927-28.
3_Consolidated Statement Cash Receipts and Disbursements.
4_Statement Cash Receipts and Disbursements for
Maintenance.
5_Statement of Receipts and Disbursements, Account
Special Appropriations.
6_Profit and Loss Statement, Farm Garden and Dairy.
7_Statement Operating Funds; Per-Capita, Etc.
SCHEDULES:
l_Accounts Payable as of Dec. 31st, 1928.
2 Accounts Receivable as of Dec. 31st, 1928.
3—Production, Farm Garden and Dairy.
With a few exceptions, bills throughout the year
have been promptly settled in accordance with contracts,
and receipted voucher-checks covering disbursements
filed in this office.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT No. 1
Comparative Bfclance Sheet, December 31st, 1927-1928
Explanatory.
1927
1928
Increase
Decrease
ASSETS
CASH:
•
Treasurer—General Fund
$ 33 718 54
Treasurer—Patients' Fund
lo'589 74
Treasurer—Occupation Therapy Department
3 933 41
Steward—Working Fund
3000 00
Steward—Time Deposit—Merchants & Farmers Bank___
l',367.90
.Svewar/d—Time Deposit—Exchange Bank
i 716.64
Accounts Receivable
1144!29
$ 26,429.35
11,126.26
4,070.62
3,000.00
1,666.67
1,230.02
1,292.88
DUE BY TREASURY DEPARTMENT:
Unpaid Requisitions Against Special Appropriations
New Buildirgs
STOCKS:
General Merchantile
Fuel—Coal an Coke
Drugs, Chemicals and Sundries
Engineering Materials
Packing House Products
Dry Goods, Clothing, Etc.—in Manufactured
.
Farm Supplies
Dairy Feeds
."!_".""
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTAL
48 320 2°
32'77000
530900
12^21o!55
3'86o'84
136024
l'283 75
l!l86!50
414.43
$162,192.06
$ 7,289.19
$
536.52
137.21
w
298.77
lji
486.62
148.59
20,596.53
20,596.53
58,761.93
26,395.36
4,641.50
14,245.78
3,286.82
1,890.76
1,283.75
1,186.50
10,441.70
1,055.21
640.78
$182,159.94
$35,365.85
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6,374.64
667.50
2,035.23
580.02
530.52
H
►n
0
to
-i
$15,397.97
EXHIBIT No. 1—(Continued)
Comparative Balance Sheet, December 31st, 1927-1928
Explanatory
1927
1928
Increase
Decrease
LIABILITIES
DUE SPECIAL FUNDS:
Brantley Building
Occupation Therapy Department
Occupation Therapy Department—Female
Occupation Therapy Department—Male
Female Commissary
Water-works Appropriation
Cold Storage Plant
TRUST FUND:
Patients Deposits
ACCOUNT'S PAYABLE:
Individuals and Corporaions
WAGES AND LABOR:
Officers Salaries
Employees Wages
GROUP INSURANCE:
Advance Premiums
EXCESS ASSETS:
Net at End of Years
TOTAL
2,425.64
3,933.41
331.03
5,738.50
1,367.90
967.48
4,071.62
280.93
5,458.70
1,661.17
2,406.71
50.10
279.80
O
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204.83
in
H
1,458.16
138.21
293.27
2,406.71
204.83
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10,589.74
11,126.26
22,060.16
16,902.38
5,157.78
6,733.22
31,538.86
6,529.89
32,129.35
203.33
536.52
>
>
590.49
4.68
4.68
77,264.09
100,625.45
23,361.36
$162,192.06
$182,159.94
$27,326.56
$7,358.68
EXHIBIT No. 2
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
State Appropriation,
1927
Regular
MISCELLANEOUS:
Interest on Balances
Donations
GRAND TOTAL Plus Internal Income
Increase
$1,100,000.00
$1,200,000.00
$100,000.00
1,840.08
'l31.88
1774 89
' 69.68
$1,101,971.96
$1,201,844.57
$100,000.00
$
$
$
.
Total, Less Internal Ir.come
Internal Income:
Board of Officers
Board of Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales—Ice
Sales—Dairy Products
Sales—Farm Products
Fines
Sundries
1928
"~_
1,229.40
1,557.70
3,904.30
1,972.50
125.30
1,247.90
1,960.85
3,196.33
1,729.54
56.00
Decrease
65.19
62.20
127.39
707.97
242.96
69.30
518 17
g61 44
343 27
547.30
1,5.00
3,003.;;?
496 26
35.50
3,308.61
$1115,014. ;0
$1,215,232.61
$104,605.29
H
«1
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18.50
403 15
3 239.86
' 5i'.04
149.50
295.07
2
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w
$3,239.86
$4,387.48
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
1927
1928
Increase
Decrease
DISBURSEMENTS
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Steward's Department
Engineer's Department
Farm and Garden Department
Dairy Department
FOOD SUPPLIES:
General Wards
Nurses Home
Steward's Dining Room
Superintendent's Dining Room
MISCELLANEOUS.
Clothing and Dry Goods
Furniture and Bedding
Fuel
Medical Supplies
'_
Stationery and Postage
Advertising
Amusements
Repair Account—Autos and Trucks
Barber Supplies
Broom Factory Supplies
Blacksmith Supplies
Cemetary Supplies
$
_•
75,824.04
$
82,517.86
$
6,693.82
244,080.54
48,902.02
60,107.65
13,349.48
4,318.66
256,287.67
50,168.13
67,480.73
10,944.37
3,091.46
12,207.13
1,266.11
7,373.08
307,859.55
13,861.70
4,707.96
1,309.93
351,892.85
15,000.82
5,946.22
1,244.06
44,033.30
1,139.12
1,238.26
67,310.08
42,796.00
56,413.61
11,778.68
2,309.67
620.54
308.16
1,184.07
365.21
• 973.56
480.94
901.33
75,241.15
41,417.93
64,578.14
11,876.76
2,695.56
390.71
251.59
1,839.68
409.65
1,722.50
450.04
87.50
7,931.07
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2,405.11
1,227.20
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65.87
8,164.53
98.08
385.89
655.61
44.44
748.94
w
H
►
H
1,378.07
229.83
56.57
30.90
813.83
>
EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
Dental Supplies and Repairs
Dining Room Supplies
Electric Light Repairs and Supplies
Electric Power Supplies
Escaped Patients
Florists Supplies
Gas and Oils
Garage Supplies
Housekeeping Supplies
Harness Supplies
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries
Musical Instruments
Office Supplies
Telephone and Telegraph Supplies
Printing
Poultry Yards
Registration Autos
Surgical Instruments
Telephone and Telegrams
Tobaccos
' 1927
DISBURSEMENTS— (Continued)
460.29
2,412.91
2,086.65
192.95
163.23
4,201.68
60.00
8,756.44
40.53
2,261.00
743.22
6,359.28
1,050.47
5,754.88
18,472.01
255.42
__
____
638.04
1,917.51
715.83
1,183.30
778.10
43.65
85.00
373.10
6,408.28
1928
572.06
2,345.83
1,872.54
1,507.90
210.16
31.45
3,949.86
169.78
9,875.31
2,219.45
495.63
3,419.09
1,249.39
5,679.75
25,364.62
200.79
556.30
34.68
2,616.19
889.47
1,887.55
52.75
620.10
557.24
7,555.32
Increase
Decrease
111.77
67.08
214.11
1,507.90
17.21
131.78
251.82
109.78
1,118.87
40.53
41.55
247.59
2,940.19
198.92
75.13
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6,892.61
54.63
556.30
►C
603.36
698.68
715.83
293.83
1,109.45
9.10
535.10
184.14
1,147.04
o
EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements, Years 1927-1928
EXPLANATORY.
Tools and Implements
Travel
X-Ray Supplies
Sundries
FARM AND GARDEN:
Freight and Express
Miscellaneous Supplies and Repairs
Seed
Commercial Fertilizer
Board of Employees
Treating Hogs
Fencing
Commercial Feeds
DAIRY:
Board of Employees
Miscellaneous Supplies and Repairs
Freight and Express
Commercial Feeds .___—
_
Rents
MAINTENANCE OF PLANT:
Bri*
Builders' Hardware
Cement
Crushed Stone
Cooking Apparatus
Fire Apparatus
Grading Supplies
1927
DISBURSEMENT S—(Continued)
465.58
2,354.26
866.39
1,540.98
j
__
.
1928
Increase
591.00
2,465.85
211.53
1,512.27
125 42
111.59
52.35
3,094.89
2,256.30
7,075.00
3,106.66
178.20
425.00
77 49
280.70
1,936.85
1,647.35
7,550.94
2,696.33
143.50
228.35
797.64
1,308.69
'956!o8
13,452.10
100.00
480.00
212.87
178^27
11,021.54
782.25
2,615.59
2,263.10
333.H
206.50
1,725.78
59.00
1,738.41
3,051.14
2,202.24
87 23
297.38
204.91
393.42
Decrease
654.86
28.71
475.94
1,158.04
608.95
410.33
34.70
425.00
77.49
317.64
1,095.82
777.81
2,430.56
100.00
956.16
435.55
90 88
334 42
60.86
245.88
1,520.87
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursement
EXPLANATORY.
1927
Years 1927-1928
1928
Increase
Decrease
DISBURSEMENTS— (ConJnued)
Ice Works
Lime Hair and Masons Supplies
Lumber and Building Material
Machinery Supplies
Painters' Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners' Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Land
Fire Fighting Apparatus __
Pasturizing Equipment
Autos and Trucks
Live Stock
Laundry Equipment
Picture Show Equipment
_Sterilizing Equipment
—
•
201.10
366.67
13,476.50
102.50
6,437.96
4,009.81
486.24
418.93
272.86
914.28
1,169.49
809.07
1,558.52
662.27
1,191.92
8,214.92
312.00
2,066.95
263.49
268.39
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51.45
62.93
2,416.33
500.19
154.54
821.70
4,436.16
12,000.00
1,237.70
875.00
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5,050.00
844.19
1,233.00
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2,075.00
1,000.00
$1,122,125.93
$1,191,871.25
$121,887.67
$52,142.35
7,111.13
23,361.36
23,361.36
7,111.13
-.-$1,115,014.80
$1,215,232.61
$145,249.03
$45,031.22
600.00
200.00
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12,000.00
1,237.70
2,950.00
rnrn'nn
o,050.00
1,044.19
1,233.00
TOTAL DISBURSEMENTS, Plus Inlernal Income,
See Exhibit No. 7
DIFFERENCE:
Operating Loss/Gain for Years
GRAND TOTAL
863-37
1,558.59
5,261.58
414.50
4,371.01
3,746.32
217.85
470.38
209.93
3,330.61
669.30
654.63
736.82
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EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
.2 ft
us P
CO T3
H P
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EXPLANATORY
fa
O
Balance from 1927
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation- -Regular.
Special Appropriation
Interest on Balances _______
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward
Balance
....
Disbursed on Vouchers.
Balances
Disbursed by Steward
Balances
$
S P
CO
fa
33,718.54 $10,589.74
^~ ~a
£ ° =
a) " fa
26,429.35|$11,126.26
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pa P-
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$3,933.41
$3,000.00 $3,084.54
$10,589.74
$10,002.94
CO
H
B
138.21
69.68
8,065.25
22.840.39
$
SQ
W
1,200,000.00
247-205.35
1,718.95
1,494.41
$1,484,137.25 $10,589.74
8.065.25 22,840.39
$1,492,202.50 $33,430.13
1,465,773.15 22.303.87
$ 26,429.35]$11,126.26
P.
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322.50
432.08
$33,905.64 $3,586.30 $10,325.44
30,905.64
$ 3,000.00'$ 3-586.30l$10,325.44
46,465.261
689.6l|
652.40
$49,465.26 $ 2.896.69 $ 9,673.041
46,465.26
$ 3,000.001$ 2,896.691$ 9,673.04|
22,840.39
$4.071.62i$33,430.13
$4,071.62l$33,430.13
$4,071.62[$33,430.13
22,303.87
$4,071.62|$11.126.26
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SUMMARY
DEBITS:
General Fund
Patients Fund
Stewards Fund
Time Deposits—Banks
Occupation Therapy Accounts
New Negro Building
Psychopathic Building
Total
CREDITS:
$26,420.35
11,126.26
__ 3,000.00
2896.69
4,071.62
18,095.91
2,500.62
Patients Deposits
$11,126.76
Occupation Therapy Accounts
9,673.04
Brantley Building
967.48
Female Commissary
1,661.17
Water-works Appropriation
2,406.71
Due Support and Maintenance.-, 42,285.79
Total
$68,120.45
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EXHIBIT No. 3 (Continued)
Consolidated Cash Statement of Receipts and Disbursements.
2
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EXPLANATORY:
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Balance from 1927
$
$
204.83 $
2,425.64 $
3^
00
29,735.18
1,367.90
H
RECEIPTS:
Maintenance Appropriation
1,200.000.00
$172,159.81 $ 30.025.82 $ 45,019.72
Interest on Balances
Miscellaneous Sales
Sales—Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
$204.83
$2,425.64
$204.83
204.S3
$2,425.64
1,458.16
$ 967.48
1,926.84
1,494.41
7,742.75
493.33
61.25
$1,861.23|$172,159.81 $ 30.025.82 $ 45,019.72l$l,240,837.93
1
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$ 967.48
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200.06 190,255.72
32.526.44 42,613.01 1.174,390.75
$1.661.17|$ 18,095.91 $ 2,500.62 $ 2,406.711$ 66,447.18
|
24.161.39
$1,661,171$ 18,095.91 $ 2,500.62 $ 2,406.71|$ 42.285.79
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EIGHTY-FIFTH ANNUAL REPORT
96
EXHIBIT No. 4
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY.
Balance from 1927
$
RECEIPTS:
Maintenance Appropriation, Regular
Vouchers Returned
....
Interest on Balances
Accounts Receivable
Accounts Payable
Freight and Express
Board of Employees
Wages Refunded
—
Phones and Telegrams
Dental Supplies and Repairs
Fines
—
Travel
Salaries
,.-Refund on Insurance Premiums,
Rebates
Impounding Live Stock
Sales, Empty Bags
Sales, Barrels
Sales, Old Iron
Sales, Egg Crates
Sales. Peas
Sales, Empty Cylinders
Sales, Food
Sales, Vacant Houses
Sales, Old Paper
Sales, Rags and Bones
Sundries +
.
1,200,000.00
1,464.41
1,757.11
1.929.54
552.96
205.33
1,960.85
789.79
14.74
302.92
5.00
233.09
34.50
108.75
28.30
3.00
220.22
435.84
4.77
12.90
17.50
75.00
22.53
125.00
52.65
500.00
246.05
Total
Amount
29,735.18
Total
$1,240,837.93
97
GEORGIA STATE SANITARIUM
EXHIBIT No. 4—(Continued)
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY.
Amount
Total
DISBURSEMENTS
General Administration
Officers Salaries
Wages—Medical Department
Wages—Stewards Department
Wages—Engineers Department
Wages—Farm and Garden
WageS—Dairy _.__
$
Food—General Wards _.—
Food—Brantley Building
Food—Officers Dining Rooms
357,092.85
15,000.82
7,190.28
Clothing and Dry Goods
Furniture and Bedding __
Fuel—Coal and Coke
Maintenance of Plant
Medical Supplies
Stationery and Fostage
Investments
Incidentals and Contingencies
80,482.85
46,505.75
69,665.96
40,233.89
11.876.76
2,695.56
3,275.00
88,953.37
Farm and Garden—Fertilizer
Farm and Garden—Seed
Farm and Garden—Misc. Supplies and
Repairs
■
Farm and Garden—Board Employees __
Farm and Garden—Treating Hogs
Farm and Garden—Freight and Express
Dairy—Commercial Feeds
Dairy—Misc. Supplies and Repairs
Dairy—Board of Employees
Dairy—Freight and Express —
Total
Balance in Hand
GRAND TOTAL
76,591.56
244,881.82
48,519.29
65.768.85
10,676.48
2,992.70
7,550.94
1,647.35
1,936.85
2,696.33
143.50
280.70
11,021.54
212.87
480.00
178.27
$1,198,552.14
42,285.79
-
$1,240,837.93
EXHIBIT No. 5
to
en
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY.
RECEIPTS:"
Paid by Treasury DepartmentRequisitions in Transit
Requisitions to be Drawn...
Total
DISBURSEMENTS:
Bond Premiums
Brick, Cement and Mortar
Bonus—48 Days
Concrete Forms
Concrete Footings
Concrete Flooring
Concrete Stairways
Cement Floor Finish
Concrete Work—Cash
Common and Fire Brick
Caulking Material
Crushed Stone
Capp Stone
Dynamite
Electrical Equipment
Equipment—Miscellaneous
Excavating and Filling
Electric Power
Form Work and Lumber
Finishing Hardware
New Negro
Building
Psychopathic
Building
$172,159.81
11,040.46
7,055.45
$190,255.72
$30,025.82
344.62
2,156.00
$32,526.44
$
$ 3,800.00
2,373.00
49,628.24
1.200.00
369.50
393.30
3,935.00
1,344.00
5,162.20
2,732.45
2.166.54
$45,019.72
98.29
$45,118.01
1,240.00
Total
$247,205.35
11,385.08
9,309.74
$267,900.17
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$
2,805.46
1,049.74
3.250.00
67.76
14,832.00
1,000.00
WaterWorks
47.59
108.89
386.00
13.10
1,378.48
6,173.00
49,628.24
1,200.00
3,174.96
393.30
3,935.00
1.344.00
5,162.20
2,732.45
2,166.54
47.59
108.89
386.00
13.10
2,428.22
1,240.00
3,250.00
67.76
14,832.00
1,000.00
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EXHIBIT No. 5—(Continued)
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY.
DISBURSEMENTS—(Continued)
Flanges and Gauges
Liability Insurance
Incidentals
Miscellaneous Material on Sites __.
Mill Work and Labor
Manholes
Moving Cottages
Motors, Pumps, Etc.
Melting Furnace
Painting
Parapet Walls
Plastering
Plumbing and Heating
Plans __
Pig Lead
Pipe Fittings
Pipe Joiners
Reinforced Concrete
Reinforced Steel
Roofing and Sheet Metal Work
Rough Carpenter Work
Right of Ways
Sheds and Preliminaries
Salaries
Structural Steel and Cast Iron Work
Psychopathic |
Building
New Negro
Building
WaterWorks
291.13
2,000 00
1,000, 00
1,600.00
5,142.10
14,950 00
32 32
36.03
2,155.00
1,803.95
54.65
1,400 00
2,000. 00
5,857, 80
13-696 .53
500 ,00
9,860.72
2,620.80
598.19
11.00
16,547 83
8,005 00
5,015 ,00
699, 45
L463.00
1,260.00
929.70
1,250.00
840.00
10,524.33
I
Total
291.13
3,600.00
1,000.00
5.142.10
14,950.00
68.35
2,155.00
1,803.95
54.65
1.400.00
2,000.00
5,857.80
13,696.53
10,360.72
2,620.80
598.19
11.00
18,010.83
9,265.00
5.015.00
699.45
929.70
1,250.00
840.00
10,524.33
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EXHIBIT No. 5—(Continued)
Statement of Receipts and Disbursements
Account Special Appropriations
New Negro
Building
EXPLANATORY.
Psychopathic
Building
WaterWorks
Total
DISBURSEMNNTS—(Continued)
Slab Tile
Shower Stalls
Stairways, Studs and Risers
Store-room
Sewer and Drain Pipe
Trench Excavation
Transportation
Tiling
Tanks. Tower, Etc.
Twelve-inch Piping
Valves
Wood Blocks
Wire Cloth
Wages—Employees
Withdrawn Balance
4,306.75
200.00
325.85
231.00
185.99
304.13
770.00
150.00
427.00
7,266.27
26,224.98
779.21
92.27
6.80
~]
Total Expenditure
Withdrawn for wages
Total Appropriations for New Buildings, Water-works, etc
Less Total Expenditure During 1928
Balance Available for Completion and Equipment
3,339.75
9,357.39
$190,225.72
$32,523.44
!
$45,118.01
2,505.00
4,306.75
200.00
325.85
231.00
490.12
770.00
150.00
427.00
7,266.2.7
26.224.98
779.21
92.27
6.80
3,339.75
9,357.39
$265,395.17
2,505.00
$580,000, 00
265,395. 17
$314,604.83
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GEORGIA STATE SANITARIUM
101
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
| Farm and|
I Garden I
Dairy | Total
Inventories at beginning of year— $44,985.20 $19,360.00 $64,345.20
PURCHASES DURING YEAR:
11,021.54
7,550.94
Commercial Fertilizer
11,021.54 11,021.54
Commercial Feeds
2,582.50
2,582.50
Compost
1,647.35
1,647.35
Seed. Planting
458.97
178.27
280.70
Freight and Express
7,050.00
7,050.00
Feeds^—Home Grown
EXPLANATORY.
$57,046.69 $37,609.81 $94,656.50
Total
Deduct: Inventories at End of Year 33.095.00 20,468.50 53,563.50
Net Cost
Gross Profit for Year.
$23,951.69 $17,141.31 $41,093.00
4,712.17 30.497.09
25,784.92
$49,736.61 $21,853.48 $71,590.09
Total
OPERATING EXPENSE:
10.944.37 3,091.46 14,035.83
Wages and Labor
212.87 2,149.72
1,936.85
Miscellaneous Supplies and Repairs
143.50
143.50
Treatment of Hogs
480.00 3,176.33
2,696.33
Board of Employees
Total
Net Profit for Year
Grand Total _.
$15,721.05
10,153.87
3,784.33 $19,505.38
927.84 11.081.71
$25,874.92| $4,712.17 $30,587.09
102
EIGHTY-FIFTH ANNUAL REPORT
EXHIBIT No. 6—(Continued)
Profit and Loss Statement, Farm, Garden and Dairy
Farm and
EXPLANATORY.
Garden
Dairy
Total
Fruits and Vegetables
$24,320.
$24,320.70
Packing House Products
3,881
817.38 4,698.54
Poultry and Eggs
,.—
1,503.
1,503.95
Dairy Products
18,453.60 18,453.60
Dairy Feeds
7.050.00
7,050.00
Compost
__2,582.50 2,582.50
Miscellaneous Food Supplies12,433
12,433.50
Cash Sales
547,
547.30
Total
$49,736.61 $21,853.48 $71,590:09
Gross Profit Down.
$25,784.92]$ 4.712.17 $30,497.09
SUMMARY
FURNISHED INSTITUTION:
Food Supplies
Dairy Feed
Compost
Cash Sales
-$61,410.29
_ 7,050.00
- 2,582.50
547.30
$71,590.09
ON HAND:
Miscellaneous Farm Products
Live Stock
Vehicles and Implements
$24,498.50
25,065.00
4,000.00
$53,563.50
Total
Investment Beginning of Year
Investment During Year
Net Profit for Year
Total
$125,153.59
$64,345.20
49.726.68
11,081.71
$125,153.59
EXHIBIT No. 7
Statement Operating Funds, Per Capita, Etc.
1927
EXPLANATORY.
DEBITS:
Cash and Cash Items
Cash Deficit at End of Years.
Total
CREDITS:
Due Special and Maintenance Funds.
DEMAND OBLIGATIONS:
Accounts Payable
Salaries and Wages
Total
1928
Increase Decrease
$55,470.52 $69,412.33
29,452.77 12,122.16
$13,941.81
17,330.61
$84,923.29 $81,534.49
$31,272.42
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$24,591.05 $25,972.87 $1,381.82
22,060.16 16,902.38
38,272.08 38,659.24
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$ 5T57.78
387.16
$84,923.29 $81,534.49 $1,768.98 $ 5,157.78
COMPARATIVE PER CAPITA COST YEARS, 1927-28
Total Expenditure
Less Internal Income
1927
-$1,122,125.93
13,042.84
1928
$1,191,871.25
13,388.04
Net Expenditure
Average Number Patients
Per Capita Cost for Year.
Per Capita Cost for Day..
.$1,109,083.09
4931
$224.92
$0.61.62
$1,178,483.21
5046
$233.55
$0.63.98
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104
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1928
NAME.
American Railway Express Co
American Oil Pump & Tank Co., The
American Radiator Co
Armour & Co.
Atlanta Constitution, The
Atlanta Dental Supply Co.
Atlanta Journal Co., The
Augusta Chronicle. The
Banks, H. G
Barnhouse, C. L
Barrett Co., The
Bell Dry Goods Co
Bell Grocery Co
Benson's Bakery
Brantley. John T
Brown Co., D. W
Brown, R. P
Burroughs Adding Machine Co
Butler Provision Co
Calumet Baking Powder Co.__
Carr Co., A. J
Central of Georgia Railway Co
Coleman-Meadows-Pate Drug Co
Collins, W. H
Conn Co., John
Conn. Otto M., Agt
Cooper, J. C, Clerk
Crandall Packing Co.
Cudahy Packing Co
Crane Co.
Culver & Kidd Drug Co
Davidson-Faxon Co.
Dean. H. H
Dixie Seal & Stamp Co
Dunlap Hardware Co
Eastman Kodak Stores, Inc
Eatonton Oil & Auto Co
Ehrmann & Strauss Co
Ennis, J. H
__
Enquirer Sun, The
Erwin, J. D
Estes Surgical Supply Co
Evans. W. C
Federal Motor Truck Sales Co
Fischer Scientific Co
Fleischmann Co., The
Frederick Disinfectant Co
Friedman Specialty Co
Fulton Supply Co
Gambrell, P. H
Georgia Power Co
Debit
$
Credit
$
49.50
1.73
33.21
880.46
9.72
23.12
10.80
4.20
932.20
1.08
45.00
81.48
33.40
112.50
12.50
10.90
67.46
29.05
1.11
21.80
120.74
276.89
22.51
102.60
308.16
18.85
64.20
9.59
255.17
3.99
.25
22.82
137.50
2.90
.91
38.60
70.70
45.00
1,316.04
6.00
188J3
7.99
610.00
15.70
61.67
40.16
30.00
36.62
1.94
37.40
129.15
105
GEORGIA STATE SANITARIUM
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1928
NAME.
Georgia Power Co
Georgia Railroad Co
Gilham Electric Co
Gilman, J. M
Gilman, W. P
Graybar Electric Co
Gulf Refining Co
Hall, Dr. T. M
Hall Milling Co
Halliburton & Co., T. H
____
Hammett & Co.. J. L
Happ Bros. Co
Harrington Bros.
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
Hollinshead, G. W.£
Ivan-Allen Marshall Co
Ivey, W. H
Jarnagin, Dr. J. C
Jenkins & Sons, J. W
Johnson & Johnson
Kelly Bros.
Lee, J. C
Leonard-Rooke & Co
Logan Co., The
Lombard Iron Works & Supply Co
Long, O. C
Loose-Wiles Biscuit Co
McKinley. G. C.__
—
McKinnon Motor Co
McCray Refrigerator
Macon Pure Milk Co
Marshall Field & Co
Mathieson Alkali Works—
Meador-Pasley Co.
Milledgeville Lighting Co
Milledgeville Telephone & Telegraph Co
Montgomery, W. H.
National Comjmittee for Mental Hygiene
Newell, A. C
News-Tribune, The
Newton & Bros. C. E
Packard Service Station
Parke, Davis & Co
Peeler Hardware Co
Pepper & Son. J. W
Pick & Co., Albert
Pitner, W. C
Platt Iron Works
Powers Regulator Co., The
Prior Co., Inc.. W. F
Debit
Credit
2.168.23
820.49
34.08
30.14
87.67
10.60
32.00
75.00
1,830.00
435.00
41.40
210.40
16.00
44.44
250.00
667.20
2.13
357.40
25.00
.53
51.00
.57
75.36
132.80
74.20
37.50
1.41
37.61
760.70
5.50
14.17
96.25
1.64
61.24
.83
.20
50.39
98.88
3.00
37.50
1.08
1.05
5.97
56.00
212.25
2.25
148.05
25.00
70.00
23.30
15.00
106
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1928
NAME.
Rice, C. W. & Son
Ray-Lyon Co., Inc
Richmond Dry Goods Co
Riley, J. B. Drug Co
Rosin & Turpentine Export Co
Sanders. Dr. Lactus
Scott & Co
Schofield's Sons Co., J. S._
Selig & Co., The
Shapiro, Bernstein & Co
Shi Engineering & Construction Co
Slusky. David & Sons__
Solomon, Steve M. Jr
Southern Paint & Varnish Co
Stembridge & Co
Surgical Selling Co
Trawick Bros.
Veal, O. F
Van Range Co., John
Wager & Co
Watson. F. E
Western Union Telegraph Co
Whitman, Ward & Lee
Whitfield Grocery Co
Wilson & Co
Winchester Simmons Hardware Co.__
Year Book Publishing Co., The
TOTAL
Debit
Credit
33.01
31.50
.57
143.30
54.08
150.00
6.25
77.81
4.50
.38
4,000.00
2.63
20.93
1.01
.47
9.19
798.88
108.88
51.00
3,024.76
151.35
18.33
78.54
641.87
879.34
%
1.69
3.00
$4,486.35
$21,388.73
GEORGIA STATE SANITARIUM
107
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1928
NAME.
Adams, Ophelia
Adcock. Dr. J. C
Albert, Rosa
Alford, Eddie
Alford, Lillie
Alford, Vandine
Allen, L. E
Allen. Lillie Mae
Allen, W. K
Anderson, J. D
Babb, Mrs. W. R
Badger, J. S
Bailey. R. F
Bell, Francis
Bennett, Ruby
Berry, W. T.__
Bivins, Homer
Blackwell, A. N
Blackwell, Helen
Bloodworth. J. G
Bonner, A. E
Bostick, Dr. W. A
Bowdion, Pauline
Bowen, Dr. U. S
Boyer, Eddie
Bradford. Dr. R. W
Brantley, C. C
Brantley, T. C
Brookins, Beatrice
Brookins. Mollie
Broome, Annie
Brown, Emily
Burgamy, C. E.__
Burgaany, Mozelle
Butts, Rebecca
Califf. D. C
Califf, Doris
Califf, H. G
Carter, Arthur
Carter, Louise __
Case-Fowler Lumber Co
Champion, R. L
Chitwood' Grace
Cole, G. C
Collins, A. J.
Collins, Virginia
•
Conn, O. M
Cook, O. D
Cooper. Mrs. Annie
Couch, J. G
Couch, T. A
Cox, Dr. C. G
Crenshaw, J. B
Debit
3.37
19.50
.89
.50
.65
2.02
.30
4.64
1.25
.50
.25
.35
1.75
2.02
.78
2.69
30.40
.75
2.25
3.19
1.63
1.07
1.20
4.50
6.00
—
5.65
137.83
.83
1.61
-56
1.36
.82
.50
.92
1.90
.50
.30
.60
5.00
2.64
17.19
.15
1.31
•
-35
-—
1.40
— -—
8.52
45.00
4.03
.75
2.68
.25
3.49
2.69
$
Credit
EIGHTY-FIFTH ANNUAL REPORT
108
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Criswell, Wilmer
Davis. Cora
Davis, J. R
Davis, Rosa
Dawson, Hamp
Dennis, Wm. English
DeSaussure, T. H.
Dickerson. A. B
Dickerson, R. G
Digby, W. L
Dillard, Joe
Dobyns, Dr. Wm. F
Dunn, L. A
Durden. B. W
Durden, D. G
Durden, Paul
Durden, W. R
Echols, Dr. Geo. L
Edwards, B. D
Edwards. Minnie
Elliott, Gertrude
English, Mrs. Eillie
Epps, R. S
-Evans. Joseph
Farell, Arthur
Fendley, Edith
Finsley, Ellison
Flurry, Julius
Fountain. Bessie __
Frederickson, Leone C
Fuller, I. L
Gambrell, P. H
Garrard, Dr. J. I
Gilbert, Sarah
Oilman, H. E
Gilman, J. M
Gladin, B. M
Glenn. Lumpkin
Gore, J. I
Hall, Dr. T. M
Hardy, J. B
Hardy, J. P
±
Hardy, Mrs. A. B
Hardy. Louise __
Hardy, Sallie Mae
Hardy, Lula „
Hardy, Marion
Hardin, D. E.__
Harper. Bryson
Harris, I. L
Harrison, Alma B
Debit
Credit
1.17
-61
1-00
-30
2.22
2.74
6.38
.50
.75
-15
1-92
15.65
-50
.15
.40
1.00
.75
3.83
.80
._
—
1-38
.60
2.25
2.64
.20
.60
1.76
.25
1-63
.45
2.25
81.02
20.97
2.03
.45
.50
.50
.25
1-00
34.90
2.69
1-95
.60
2.09
2.21
1.93
.50
.35
3.00
.40
2.55
.92
GEORGIA STATE SANITARIUM
109
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Harton, J. C
Hartley, Estelle
Hattaway, G. W
Hemphill. W. A
"_
Herring-dine, Elizabeth
Hitchcock, Minnie
Hobgood, Susie
Holder, J. H.__
Hooks, Vita
Hopkins. Ben
Horton, 0. D
Hubbard, Carrie
Hudson, C. E.
Hudson, J. E
Humphrey, A. R
Humphrey. Otis
Jackson, Elizabeth
Janes, L. B
Jarnagin, Dr. J. C
Jett, W. S., Jr
Johnson. A. W
Johnson, Glen H
Johnson, Ida Mae
Johnson, J. C
Johnson. Nettie
Jones, Annie
Josey, J. E
Josey, L. R
Kemp, Maude
Key, Mary
Landrum. Louise
Landrum, Mattie
Lavender, C. B
Lawson, E. L,
Layfield, B. L
Layfield, R. G
Leaptrott. D. C
Lee, Dorothy __
Leonard, Lila
Lomax, Myrtle
Longino, Dr. L. F
Loyd, Alice
McCorkle. Gladys
McCoy, Ocie __
McDade, W. C
McDade, W. W.__
McDaniel, James T
McKinley, A. C
McKinley. R. L
McMichael, Hattie
Marsh, J. F
Matthews, John W
Debit
,.-_-
.85
6.69
.40
.60
1.93
.97
.77
.61
.60
1.76
1.75
1.24
.25
.35
.40
2.00
1.93
.60
.01
28.53
2.89
1.00
1.82
1.50
1.55
1.15
1.25
.15
2.72
2.25
2.13
2.30
1.50
.65
2.15
.15
.38
6.40
.20
.30
2.15
.60
2.25
1.40
2.30
.75
1.00
3.00
2.55
.60
.15
.25
Credit
110
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Matthews, T. W
Mathis, Mrs. S. R
Mitchell. Berry
Mobley, Dr. J. W
Moore, Lena
Moore, Lula
Moore, S. I
Moye, W. E
Murray, Agnes
Newell, A. C
Nichols, Estelle
Nolan, Ruby
Osborn, H. L
Osborn. R. W
Palmer, Ruby
Parham, Ella
Parham, Oscar
Peacock, Lydia
Perry, Fred H.
Penuel. F. C.-_
Phillips, Annie
Pierce, Anderson
Pinkston, Daisy
Pitts, Alice
Pitner, W. C
Pounds. S. F
Powers, W. B
Prescott, Agnes
Quinn, C. J
Rankin, Dr. D. T
Reese, Ollie
Reid. R. R
Renfroe, Samantha
Resseau, Frankie
Reynolds, J. Alfred
Rivers, Fannie
Roberts, H. B
Rogers. W. E
Ross, Mrs. G. W
Ross, J. D., Sr
Sanders, Dr. Lactus
Sanford, A. Fleming
Saulsberry. Sam __
Simmons, Clem
Simpson, Charlie E
Simpson, C. H
Simpson, Roscoe
Smith, E. L.
Smith, J. Roger
Smith, J. T
Smith, Oreta
Debit
._
___,
Credit
.50
.60
.90
18.10
6.20
.50
3.75
5.37
.30
J>
64.50
.60
5.40
;50
.85
.15
.96
5.78
.30
1.15
5.53
1.61
.30
.30
.97
46.60
.25
.25
.76
1.25
4.40
1.80
.50
2.25
2.25
2.45
3.82
.38
.60
.70
.38
81.70
.50
1.92
.30
.35
.90
.45
.15
.50
4.50
1.21
GEORGIA STATE SANITARIUM
111
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1928
NAME.
Snellgrove, Cecil
Snellgrove, Jewel
Sparks- George Mclntosh
Speights, Annie
Statham, Dr. J. C
Georgia State Farm
Stavely, G. C
Stembridge, W. W
Stephens. Thomas
Steveson, Lewis
Swan, Mrs. Mary
Swint, Dr. R. C
Switzer, T. Alton
Taylor, Ora
Taylor. R. A
Tennille, A. S
Thompson, M. L
Tooel, E. F
Trawick, Addie Kate
Trawick, John
Tucker. Rufus
Twilly, Birdie
U. S. Public Healh Service
Veal, Joe
Veal, Louise
Veal, M. M
Veal, W. A
Beatch. C. N
Vinson, J. T
Wade, Susie
Walker, Dr. N. P
Wallace, Mattie Lena
Warren, Mari L
Wheeler. Dr. G. A
Wiley, Dr. Jno. D
Wilson, Ernest
Williams, Lillian S
Willoughby, Gertrude
Wood, B. F
Worsham. J. I
Wright, D. B
Wright, S. E., Sr
Wright, S. E., Jr
Yarbrough. Rev. J. F
Yarbrough, Dr. Y. H
Young, G. W
Youngblood, J. M
Youngblood, P. J
TOTAL
Debit
Credit
.60
1.55
45.00
1.19
19.80
35.00
.35
1.73
1.38
2.30
.50
.72
1.13
1.80
.25
.35
17.00
2.32
.30
.25
1.39
.60
157.35
.75
2.21
5.37
2.69
2.00
.40
1.70
.40
1.80
1.80
10.77
7.65
.75
2.55
1.80
.75
.75
.73
.38
.78
5.75
4.49
2.69
.50
.50
$1,295.27
$2.39
112
EIGHTY-FIFTH ANNUAL REPORT
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
18 Bushels Asparagus
116 Bushels Butter Beans
911 Bushels Beans—Snap
44 Bushels Beets
15,925 Heads Cabbage
12,197 Heads Collards
1,940 Cantaloupes
95,925 Ears Corn
48 Bushels Cucumbers
700 Heads Lettuce
712 Bushels Okra
143 Bushels Onions
122 Bushels Peas—English
71 Bushels Peas—Field
8 Bushels Peppers
1,792% Bushels leaches
838 Bushels Potatoes—Irish
3,300 Bushels Potatoes—Sweet
34 Bushels Radishes
1,278 Bushels Rape
_•_
253 Bushels Spinach
458 Bushels Squash
62% Crates Tomatoes
6,159 Bushels Turnip Salad
25,300 Water-melons
2,900 Founds Pecans
PACKING HOUSE PRODUCTS:
32,343 Pounds Dressed Pork
7,170 Pounds Dressed Beef
POULTRY AND EGGS:
761% Founds Hens
908 Pounds Friers
83 Pounds Roosters
210 Pounds Turkeys
3,304 Dozen Eggs
DAIRY PRODDCTS:
45,369 Gallons Sweet Milk
153 Gallons Cream
FARM PRODUCTS:
705 Tons Ensilage
1,033 Founds Compost
MISC. FOOD PRODUCTS:
1,193 Bushels Peas
6,114 Bushels Meal
2,405 Bushels Sweet Potatoes
Total
3
54.00
348.00
2,960.75
110.00
1,592.50
1.219.70
194.00
2,877.75
120.00
35.00
1,068.00
357.50
122.00
106.50
24.00
3,585.00
838.00
68.00
639.00
126.50
1,145.00
250.00
3,079.50
2,530.00
870.00—$24,320.70
$3,881.16
817.38—$ 4,698.54
$ 152.30
272.40
12.45
75.60
991.20—$ 1,503.95
$18,147.60
306.00—$18,453.60
$7,050.00
2,582.50—$ 9,632.50
$2,386.00
7,642.50
2,405.00—$12,433.50
$71,042.79
THE PSYCHOPATHIC HOSPITAL BUILDING RECENTLY COMPLETED
EIGHTY-SIXTH ANNUAL REPORT
BOARD OF TRUSTEES
Milledgeville State Hospital
(Formerly Georgia State Sanitarium)
MILLEDGEVILLE, GEORGIA
^
For The Year Ending
December Thirty-First
Nineteen Twenty-Nine
BOARD OF TRUSTEES
President
John T. Brantley
Blackshear, Ga.
Vice-President
Thos. M. Hall, M. D
Milledgeville, Ga.
Secretary
C. C. Brantley,
E. E. Lindsey,
A. C. Newell
1'. H. Gambrell,..
Laetus Sanders, M. D
Walter C. Pitner
H. W. Shaw, M. D
Valdosta, Ga.
Rome, Ga.
Atlanta. Ga.
Macon, Ga.
.....Commerce, Ga.
Athens. Cr.i.
Augusta, Ga.
COMMITTEES OF THE BOARD OF TRUSTEES
Milledgeville State Hospital
Executive Committee
E. E. Lindsey, Chairman
C. C. Brantlej
A. C. Newell
H. W. Shaw
Thos. M. Hall
Finance and Auditing Committee
P. H. Gambrell. Chairman
W. C. Pitner
C. C. Brantlev
Committee on Sanitation, Medical and Dispensary Service
Thos. M. Hall. Chairman
A. C. Newell
Laetus Sanders
Committee on Buildings and Grounds
A. C. Newell, Chairman
H. W. Shaw-
E. li. Lindsey
Committee on Farm & Outside Business
W. C. Pitner. Chairman
Laetus Sanders
P. H. Gambrell
OFFICERS OF THE HOSPITAL
R. C. Swint, M. D
Supt. and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarborough, M. D
Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
D. T. Rankin, M. D
Assistant Physician
U. S. Bowen, M. D
Assistant Physician
C. G. Cox, M. D
Assistant Physician
R. W. Bradford, M. D
Assistant Physician
W. A. Bostick, M. D
Assistant Physician
J. W. Mobley, M. D
Assistant Physician
W. F. Dobyns, M. D. (Resigned) Jr. Assistant Physician
J. C. Statham, M. D
Interne
C. R. Youmans, M. D
Interne
E. W. Schwall, M. D
Interne
G. H. Green, D. D. S
Dentist
J. C. Adcock, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto. M. Conn
Treasurer
Homer Bivins
Steward
T. H. DeSaussure (To October 1929)
Engineer
H. S. Jones
Secretary
W S- Jett, Jr.
Assistant Engineer
F. C. Penuel
Farm Steward
Arthur Farell
Storekeeper
W. W. Stembridge
Sanitation Officer
Rev. F. H. Harding
Chaplin
Leone Frederickson
Dietitian
Mrs. Geo. L. Echols
Dietitian
Cecile Humphrey
Social Worker
E. R. Hines
Attorney
Geo. M. Sparks
Publicity
*Deceased
EIGHTY SIXTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
Milledgeville, Georgia, January 1, 1930
To his Excellency, Lamartine G. Hardman, Governor,
Sir:The Beard of Trustees of the Milledgeville State Hospital, formerly known as Georgia State Sanitarium, respectfully submits herewith its report on the conduct and management of this institution for the year ended December 31,
1929, it being the eighty-sixth consecutive report to be so
made.
The usual quarterly meetings of the Board were held at
the Hospital during the year and its committees visited it
monthly. The well being of the patients, as well as the
financial interests of the State, have received its careful
thought. Every wise economy has been practiced and the
Board is happy to believe that the Hospital is slowly but
steadily advancing in efficiency. It observes in the officers
of the Hospital that which evidences a full appreciation of
their responsibility and of their opportunity to render a service of distinct value in its humane purpose.
Report of Superintendent
The annual report of the Superintendent and Resident
Physician hereto attached will supply essential details of the
movement of population, work of the medical department,
expenditures for the support of the Hospital, etc. The duties of this officer have been well and faithfully discharged
and he merits, as do the officers serving under him, the
warm commendation of the Board for the excellent record
of the year.
Patient Population
The resident patient population at the end of the year
was 5,291, a gain over the preceding year of 222. The paroled patients numbered 678, thus bringing the total enrollment up to 5,969 and establishing a new record for the Hospital. The pressure on the Hospital for admission shows
no abatement, the applications numbering 1,683, as against
EIGHTY-SIXTH ANNUAL REPORT
1,591 last year. Admission was denied to 379 applicants
because of the unrelieved congested condition of the Hospital, which makes it imperative that admission be restricted
to cases offering hope of benefit from hospital care and to
dangerous cases.
Congested Buildings
The situation of the Hospital in the matter of room grows
more and more serious. One of the new buildings provided
for in the appropriation of 1927 is completed and occupied.
The second is practically completed, but must be furnished
before it can be used. An appropriation of $50,000.00 was had
in 1929 for this purpose and for the payment of interest due
its contractors and when this is paid the building can be
utilized. At the same time an appropriation was had to
provide additional dormitory buildings for the use of patients, three such being needed for the relief of the present
congestion. The uncertainty surrounding the payment of
this last appropriation is such that the Board does not feel
authorized in going forward with plans for their erection,
sore as is the need for them. The Hospital must, therefore,
continue to crowd 5,300 and more patients into buildings
which can safely accomodate but 4,000. The danger of this
condition needs no comment, for it is painfully apparent.
Cost of Maintaining the Hospital
The daily average number of patients in the Hospital during the year was 5,219, while that for 1928 was 5,046, an
increase of 173 patients. These were cared for at a cost
to the State of $229.56 each, which covers every expense
connected with the Hospital. This cost is $3.99" less than
that of 1928. The daily per capita cost was $0.6289.
The Hospital has lived within its income, assuming the
appropriation for maintenance to have been paid in full, and
has on hand an unexpended cash balance of $2,770.07 in addition to the usual quantity of supplies. The farm and garden operations were of substantial assistance to this end.
So satisfactory a result is witness to the vigilant work of
the business officers headed by the Steward.
Financial Condition
The year was one of grave anxiety because of the inability of tiie State Treasury to meet the demands on it. Payments to the Hospital were not made at regular intervals
nor in equal monthly installments as has been the custom
MILLEDGEVILLE STATE HOSPITAL
for many years and because of this it has not been possible
to carry on its business in orderly fashion. The year closed with $250,000.00 due the Hospital for maintenance and
unpaid. The ability and willingness of the Hospital Treasurer to come to its aid saved a situation which bade fair
to become tragic and for this disinterested service the
Board makes to this valued officer its grateful acknowledgement. The overdraft with the Hospital Treasurer is
now $203,832.67 and in addition there is due for supplies
and accumulated payrolls the sum of $82,335.91. To the
usual items in the Board's estimates of cost, interest must
now be included.
The continued failure of the State, through lack of
funds, to complete the payment of the building appropriation had in 1927, due for payment in 1928 and 1929, gives
the Board great embarrassment, for it is thus unable to discharge the debt due the contractors of the second building
erected thereunder. There is due on this appropriation a
balance of $287,746.42, which must be paid in full before
the Board can come to the well deserved relief of the contractors. In the meantime, the interest cost on this debt
is mounting. It will be recalled that authority was given
the Board to proceed with the erection of this building and
that payment of this and other past due appropriations was
legalized at the last session of the Legislature.
In the same year was had another appropriation to be
used for a much needed enlargement of the Hospital water
supply and on it there is still to be paid a balance of
$34,052.42. For economical reasons, the work under this
appropriation is being done by the Hospital and not by contract. The payments received have permitted the purchase
and laying of a duplicate 12 inch water main three and three
quarter miles long and also the erection of a steel stand
pipe. There remains to be purchased and installed settling basins, filters and electric pumps and this can only be
done when payment is had of the balance due on this appropriation. The speedy completion of this work has become a matter of first importance, so that a danger which
now threatens the water supply may be averted. This danger is in the age of the niters now in use whose walls, weakened from long, constant use, show signs of collapse.
There are two of these and both are worked to capacity to
keep the Hospital supplied. The new ones will have to be
installed and put into use before the old ones can be torn
down and rebuilt. The Board very earnest!}' urges the
EIGHTY-SIXTH ANNUAL REPORT
quick payment of this balance so that this work may be
completed.
Death of Engineer DeSaussure
The Hospital was deprived by death on October 25, 1929
of the services of one of its most useful and capable officers,
Engineer T. H. DeSaussure. For forty-five years he gave
it of his best. His work was characterized by its thoroughness. He was remarkably proficient in the fields of civil,
hydraulic, mechanical, electrical and sanitary engineering
and in addition he was an architect of no mean ability.
Many of the present buildings of the Hospital were erected
under his supervision and its only fireproof building recently added was built to his plans and specifications. He has
left behind him many monuments to his skill. As fire chief,
he was responsible for the safety of the buildings and their
inmates from fire and the good record of the Hospital in this
respect is history. He merited and enjoyed the full confidence of the Board of Trustees. He gave to the Superintendent a ready obedience and an unquestioned loyalty.
He was held in affectionate esteem by all. His death is a
distinct loss to the Hospital.
Second Hospital for the Insane
There can be but little doubt but that the time is at hand
when the State must found a second hospital for her insane,
whose number grows steadily larger. The present hospital
even with the new buildings provided for in the appropriation referred to herein erected and put into use, can not
properly care for more than its present population of patients, nor is it wise that it should attempt to do so. Provision must be made for the steady increase and wisdom
points to a second hospital as the only solution. The Board
urges that due consideration should be given this important
matter, for it is important alike to society and to the afflicted.
Hospital for Epileptics not Insane
The State's hospital program for the future should include suitable provision for the epileptics who are not insane. The Hospital receives those who are insane, but no
provision is had by the State for the sane among them.
Their condition is indeed pitiful, for the nature of this malady, due to its repulsive manifestations, is such as to cause
them to be shunned and avoided by the well. Its tendency
MILLEDGEVILLE STATE HOSPITAL
9
is toward insanity and unless it is checked those who suffer
from it must ultimately become charges upon the State for
life. Because the self helpful labor of the inmates of such a
hospital as is suggested can be made to contribute substantially to its support, the burden to the State for such support
should not be heavy. The interest of this Board arises from
its knowledge of the pitiful condition of these sufferers.
In Conclusion
The Board is well aware of his Excellency's interest and
sympathy in the work committed to its care. It has done its
best to cope with a most unusual financial situation. This
great family of the afflicted for which it is responsible must
be fed, clothed and tended and funds to this end must come
from the State. It knows of no way by which the Hospital
can support its present population on any sum materially
less than the appropriation made for this purpose. It can but
hope that the State will be able to make full payments to
the Hospital regularly and punctually throughout the coming year, but, if for any reason it should appear that such
payments can not be made, then his Excellency is asked for
instructions as to how the Board is to proceed to meet such
a condition. Any substantial reduction in the cost of maintaining the Hospital necessarily means a substantial reduction in the number of its patients. To bring this about will
involve so much human suffering and want that it should
not be considered until every possible resource of the State
has first been exhausted.
In submitting this report the Board does so in the hope
its acts are such as to warrant his Excellency's approval. It
has been a privilege to the members of the Board to serve
the Hospital to the best of their ability.
Commending this house of mercy to the protection of the
Great Physician, this report is respectfully submitted.
JOHN T. BRANTLEY,
President.
C. C. BRANTLEY,
Secretary.
10
EIGHTY-SIXTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE, GA., JAN. I, I93O.
THE HONORABLE BOARD OF TRUSTEES,
MLLLEDGEVILLE STATE HOSPITAL,
MlLLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules I have the honor of submitting the eighty-sixth annual report of the Milledgeville
State Hospital for the fiscal year ending December 31, 1929.
In this connection you will recall that the Legislature
changed the name of the Georgia State Sanitarium to "Milledgeville State Hospital" during the biennial session the
past summer. The present name conforms to good psychiatric nomenclature and definitely identifies the hospital from
any other state institution that now exists or may be founded in the future.
The reports of the heads of Departments give a general
review of the activities of the hospital throughout the year
by departments, and these reports are appended hereto as
follows:
The Clinical Director,
The Dental Department,
The Superintendent of Nurses,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
Table of General Information
1. Date of opening as an institution for
mental diseases
2. Type of institution
3. Hospital plant:
Estimated value of hospital property:
Real estate including buildings
Personal Property
Oct. 12, 1842
State
$2,405,750.00
375,452.00
Total
$2,781,202.00
Total acreage of hospital property owned
3,772
(Includes grounds occupied by buildings,
farm and garden sites.)
MILLEDGEVILLE STATE HOSPITAL
11
Total acreage under cultivation previous year
1,700
4. Officers and employees actually in service at the end of
the year:
Males
Superintendents
Clinical Directors
Assistant Physicians
Medical Internes
:
Resident Dentists
Pharmacists
Stewards
Farm Stewards
Engineers
Superintendent of Nurses
Social Workers
Graduate Nurses
Occupational Therapists
Other nurses and attendants
All other officers and employees
Females
Total
10
1
10
1
12
0
12
2
0
2
2
0
2
10
1
1
0
1
10
1
1
0
1
0
11
0
11
1
13
14
6
15
21
217
306
523
175
7
182
Total officers and employees
422
341
General Statistics of Patient Population
For The Year IQ2Q
Patients on books first day of year:
Males
763
Females
Total
Actual resident population
2,332
On parole or otherwise absent but still
on books
363
2,737
5,069
335
698
Total
Admitted during the year :
First admissions
Readmissions
2,695
3,072
5,767
476
132
471
150
947
282
Total received during the year ... 608
Total on books during year
3,303
Discharged from books during year:
As recovered
71
As improved
186
As unimproved
39
As without psychosis
7
621
3,693
1,229
6,996
77
157
34
3
148
343
73
10
303
251
271
202
574
453
Total discharged and died during
year
554
473
1,027
Total discharged during year
Total died during year
12
EIGHTY-SIXTH ANNUAL REPORT
Patients on books last day of year:
Actual resident population
On parole or otherwise absent
Total
2,402
346
2,',
332
5,291
678
2,748
3,221
5,969
Average daily population during year
Applications for admission received during year
Applications for admission refused during year
5,219
1,683
379
The overcrowded condition of the hospital caused the refusal of admission of many urgent cases that necessarily resulted in considerable suffering on account of the delay in
admission, but the total admissions for the year were 139
greater than the previous year, and the total applications for
admission were 1,683 compared to 1,591 the previous year.
The building for colored females, described in eighty-fifth
annual report, was completed and opened on February 18,
1929. This provided room for 420 colored females and relieved the greatly overcrowded wards in that department,
and since the opening of this building, we have had room to
admit all colored female applicants. Before the completion
of this building, the colored female wards were more greatly
overcrowded than other wards of the hospital.
We now anticipate completion and opening in two or
three months, the Psychopathic Hospital, L. M. Jones
Building. This will provide room for about 240 white patients, accommodating both males and females. This building has been referred to and described in eighty-fifth annual
report. We are proud of this building. It has long been
needed, and we think it will make quite a contribution to the
hospital's facilities for meeting the very complex problems
of the unfortunate charges committed to the hospital's care
and treatment.
The mental disease problem in this state, as in other
states, is gradually growing. The $500,000.00 appropriated
by the legislature last summer for additional buildings, if
available now, would provide buildings adequate for the
present overcrowded wards, but it will not provide for the
future growth of the problem. Therefore, this feature of the
problem must be anticipated if we ever expect to relieve the
present overcrowded wards, so that we may have adequate
room so essential for the proper care and treatment of mental patients. In this connection, it might be of interest to
note some facts about the growth of the problem. The following tabulation gives the growth of the hospital and the
state by decades since 1846, when state care was adopted:
13
MILLEDGEVILLE STATE HOSPITAL
Date
1846-1856
1856-1866
1866-1876
1876-1886
1886-1896
1896-1906
1906-1916
1916-1926
1926-1930
Population of Hospital
72- 161
161- 299
299- 604
604-1,238
.1,238-2,002
2,002-3,018
3,018-4,115
4,115-4.848
4,848-5,291
Increase
State's Population
89
138
405
634
764
1,016
1,097
733
443
691,000
906,000
1,057,286
1,184,109
1,542,180
1,837,353
2,216,331
2,609,121
3,000,000
A study of the above tabulation gives an idea of what may
be anticipated. What is to be done about it?
I am personally convinced that we have enough statistical information to prove that psychopathic inheritance is a
predisposing cause of mental disease, and no mistake will be
made if we concentrate our energies on the problem of prevention of bad heredity. There are many psychiatrists and
other scientists who do not place so great emphasis on heredity, but rather emphasize environment. Every student of
the subject realizes the importance of both, and the most
optimistic environmentalists cannot disprove the many facts
that are known concerning the laws of heredity, while there
are many things concerning inheritance not yet fully understood. If an individual is born of good inheritance, the environment problem will be partly solved, because every individual is a part of and contributes to the making of his environment. It seems that we might at least pay as much attention to human betterment as we do to animal and plant life.
The best and most practical remedy that medical science
has to offer toward the prevention of bad heredity, is surgical sterilization of those afflicted with certain types of mental disease—the feeble-minded, syphilitics and criminal recidivists. Legal restriction of marriage is not practical. Segregation is too tremendous an economic problem to consider. Twenty-three states have already enacted a sterilization law, and has not enlightenment and civilization advanced far enough in Georgia for the public mind to face
and solve this problem in keeping with the times?
Another mental hygiene measure that would prove helpful to the problem would be the establishment of psychopathic wards to general hospitals and creating a psychiatric
department of these hospitals. The experience of some general hospitals has demonstrated that this may be done successfully, and without much expense or much change in
hospital structure. It seems that this might be successfully
done in Atlanta, Augusta, Savannah, Macon, and probably
14
EIGHTY-SIXTH ANNUAL REPORT
other larger cities of the state. The general hospital could
occupy a most strategic position in the field of mental hygiene, making quite a contribution to a program of cure and
prevention. A well equipped general hospital already has
many facilities needed for the diagnosis and treatment of
mental disorders. They would form earlier contact with patients, and particularly so called "nervous" patients with
vague mental symptoms, and also extend benefits to the local community in helping to educate the public to look upon
mental disease in the same way it regards physical disease,
thereby giving the individual afflicted with mental disease
the equal opportunity to get well that the less unfortunate
individual with only physical affliction. Also, such a program would be of value in educating the general practitioner to some of the problems of mental patients, thereby
rendering him more interested and efficient in the treatment
of them.
Medical Service
The report of the Clinical Director gives a general review
of the activities of the medical work with statistical tables
that contain much information of interest.
I am pleased to state that the medical work of the hospital
was carried on in the usual efficient manner, and that the
general health of the patients were as good as could be reasonably expected, and that the population did not suffer With
any epidemic disease. With the greatly overcrowded wards.
the responsibilities and work of the medical staff, nurses
and attendants have necessarily been greater, and only careful attention and faithful performance of duty made possible
the results obtained.
850 patients were furloughed during the year, and of this
number 364 were white males, 287 were white females, 86
colored males and 113 colored females. 219 of this group
were restored and 500 improved, making a total of 719 furloughed as restored and improved, or 57.6 per cent, based on
the total admissions for the year.
574 patients were discharged from the records during the
year. This does not refer to deaths, but patients who had
been furloughed and were not returned to the hospital before the expiration of twelve months. Of this group, 303
were males and 271 females. 148 were restored, 343 were
improved, 77> unimproved and 10 as without psychosis.
There were 453 deaths during the year. Of this group, 117
were white males, 104 were white females, 134 were colored
males and 98 were colored females. Based on 6,298, the total
M1LLEDGEVILLE STATE HOSPITAL
IS
number under treatment during the year, the discharge rate
was .09 per cent., and the death rate .07 per cent.
We feel that we made a little progress in occupation therapy work during the year. Three new occupation rooms
were fixed up and put into operation in the white female department: two in the Powell Building and one in the female
convalescent building. A renewed interest and activity in
this work was also shown in the white male department
with work rooms on the fourth floors of the Whittle and
Cabaniss Buildings, and the work shop at the white male
occupation park made a creditable showing in furniture
making.
Quite a bit of interest and activity was directed toward
amusement of patients,—dances, moving picture shows,
band concerts, group picnics and walks. Quite an interest
was taken by patients in Field Day, conducted by Miss Cecile Humphrey, Social Worker. Many contests were engaged in by patients and they greatly enjoyed them.
The Training School for the feeble-minded was continued in operation with Misses Bonner and Pendleton as
teachers. This school, in addition to teaching the children
something, provides a play ground for them.
The Hospital's extra mural activities were continued during the year with the psychiatric clinics at Macon, Elberton
and Georgia Training School for Boys. Classes from the
University of Georgia, Emory University, Mercer University and Georgia State College for Women visited the hospital and were given clinics and practical demonstrations
of abnormal psychology. Also, the Superintendent addressed the Kiwanis and Rotary Clubs at Macon and the
Kiwanis Club in Atlanta, and the Rotary Club of Americus,
and the Second Assistant Physician gave two addresses to
Parent-Teachers Associations at Macon.
A few changes occurred in the medical staff during the
year. Junior Assistant Physician W. F. Dobyns resigned to
accept position with Veterans Bureau at Memphis, Tenn.,
and we secured the services of Drs. E. W. Schwall and C. R.
Smith as Medical Internes.
The Training School for Nurses was kept up to its usual
efficiency, and its successful operation is due mainly to our
efficient Superintendent of Nurses, and her report gives pupil admission requirements, plan of instruction, an outline
of curriculum and other information.
We hope that the training course for attendants, begun
this year, will prove of great value to the medical service,
and we are looking forward to the time when every ward in
16
EIGHTY-SIXTH ANNUAL REPORT
the hospital will be in charge of a graduate nurse or graduate attendant.
Religious services for patients were held as formerly each
Sunday afternoon at 3 o'clock by Rev. F. H. Harding, until
November 1, at which time the four Protestant pastors of
the Baptist, Episcopal, Methodist and Presbyterian
churches of Milledgeville, begun to rotate monthly as Chaplains, to conform to resolution passed by the Board of Trustees at their quarterly meeting in October.
Pellagra Study
The dietary study of pellagra, begun by the United States
Public Health Service, 1914, under the general supervision
of Dr. Joseph Goldberger, was continued during the year.
But, medical science and societv suffered a great loss in the
death of Dr. Goldberger, January 17, 1929. He was one of
the most unassuming and yet one of the greatest medical
men I ever came in contact with. He was peculiarly possessed of those qualities so essential for a research worker.
We were fortunate to have this work continued under the
charge of Dr. G. A. Wheeler, who has been working with
Dr. Goldberger for many years.
The work completed the past year has included tests of
superheated dry yeast and canned Haddock, as pellagra
preventatives. "The yeast was first exposed to the heaf of
the autoclave at fifteen pounds pressure for three and onehalf hours. By this process the antineuritic factor, or Vitamin B, was destroyed. The finding that the pellagra preventive value of yeast is not noticeably affected by this heat
confirms previous studies along this line and paves the way
for a study of the value of the various canned foods in respect to their value in pellagra. The Haddock study has
shown that eight ounces per day as a dietary supplement, is
hardly sufficient to prevent a recurrence, but that twelve is
quite adequate."
During the latter part of the year, in co-operation with
the Clinical Director, Dr. Wheeler begun a preliminarv
study of the influence of diet on epilepsy.
Dental Department
Two full time dentists were employed during the year
rep rt giveS a tabula
n^li
°
*ion of the work done. Of the
'.866 operations and treatments given by them, 5,129 were
extractions. They made 362 calls to the wards, examined
\,il/ new admissions and treated 2,305 patients.
MILLEDGEVILLE STATE HOSPITAL
17
Laboratory Report
The position of Pathologist being still vacant, the following data for the year's laboratory work was submitted by
Mr. D. C. Leaptrott, who has been laboratory Technician
for many years and has carried on the routine laboratory
work in a satisfactory way.
SEROLOGICAL EXAMINATIONS:
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Colloidal Gold test
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
CLINICAL LABORATORY EXAMINATIONS
1,569
468
470
471
474
:
Urine, routine analysis
Urine, Renal Function test (P. S. P.)
Urine, Special chemical test
Feces, for Parasites or ova
Feces, for occult blood
Cerebrospinal Fluid, for occult blood
Blood, Chemical examination
Blood, for Malaria parasites
Blood, Counts—red, white or differential
,
Blood, Platelet count
Blood, Hemoglobin estimation
Blood, Coagulation time
Sputum, for tubercle bacilli
Milk, butter fat determination
Gastric Contents, chemically and microscopically
BACTERIOLOGICAL EXAMINATIONS
Blood, culture
Blood, agglutination test (Widal)
Cerebrospinal Fluid, culture
Cerebrospinal Fluid, film (micro.)
Exudate, film (micro.)
Exudate, culture
Exudate, animal inoculation
Urine, culture
Feces, culture
Milk, bacteria count
Vaccine, autogenous prepared
2,308
13
114
1,073
2
1
52
208
535
1
76
8
141
288
6
:
-
'.
14
26
3
2
40
26
2
2
1
288
36
18
EIGHTY-SIXTH ANNUAL REPORT
ANATOMICAL EXAMINATIONS, GROSS AND MICROSCOPICALLY:
Necropsies
Surgical Tissue, Gross and microscopical
Postmortem examination of animals
5
10
1,781
Total number of examinations
10,514
Note : In addition to the total number of procedures enumerated above, 446
cadavers were embalmed, making a total of 10,960 procedures.
SEROLOGICAL EXAMINATIONS
:
There were 1,569 specimens of blood examined for the
Wassermann reaction, of which number 1,214 were secured
as a matter of routine from patients upon their admission to
the hospital.
TABLE
I.—Results of Routine Blood Wassermann Tests.
Race
Se\
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Examined
Number
Positive
(4 plus)
Percentage
Positive
(4 plus)
339
396
283
196
11
22
63
60
3.2
5.5
22.0
30.6
1,234
156
12.8
There were 468 specimens of cerebrospinal fluid examined, of which number 358 were routine specimens secured
from patients referred to in Table I. A routine examination
of the cerebrospinal fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test. Of
the 11 white females in above tabulation with 4 plus positive blood Wassermann. 5 or 45.4 per cent, had positive reactions in spinal fluid. Of the 22 white males with 4 plus
positive blood Wassermann. 19 or 86.3 per cent, had positive reactions in spinal fluid. Of the 63 colored females with
4 plus positive blood Wassermann, 15 or 23.8 per cent, had
positive reaction in spinal fluid. Of the 60 colored males
with 4 plus Wassermann of the blood, 41 or 68.3 per cent
had positive reaction in spinal fluid. General average 55.9
per cent, positive serological reactions. This gives an idea
of the incidence of neurosyphilis in patients admitted to the
hospital with syphilis.
Engineering Department
The sudden death of Engineer T. H. DeSaussure, October
25, 1929, caused a great loss to the hospital, He was depend-
MILLEDGEVILLE STATE HOSPITAL
19
able and efficient, and rendered forty-six years of efficient
and faithful service to the hospital. Since his death, the
work of this department has been satisfactorily carried on
by Assistant Engineer W. S. Jett, and his report gives a
general review of the principal activities of the department
during the year. The upkeep and repairs of the physical
plant of the hospital requires quite a number of more or less
skilled workmen and a large amount of varied work. As in
previous years, quite a bit of authorized and outlined work
remains unfinished and will be carried to completion the
next year.
The Business Department
The report of the Steward gives a detailed analysis of income and expenditures during the year. The exhibits and
schedules give in detail the condition of all accounts. The
annual per capita cost was $229.56 compared to $233.55 the
previous year. The daily per capita cost .6289 cents compared to .6398 the previous year.
The hospital experienced a very difficult year, financing
the construction of the L. M. Jones Building without the
funds appropriated for this purpose; also during the latter
part of the year, the State Treasury was unable to make
prompt payment of maintenance ; hence the year ended with
the Treasury owing the hospital quite a sum and the hospital owing many unpaid bills.
Farm, Gardens and Dairy
The Farm Steward's report gives a tabulation of the food
stuffs produced during the year. We had rather favorable
seasons for food crops during the year, and were fairly successful. Among the items produced were 21,532 bushels of
corn, and this should be enough to feed our stock and provide meal for the hospital for the year.
Conclusion
In concluding this report. T wish to thank the members
of the Board of Trustees for their support and interest in the
hospital. I also desire, at this time, to express my appreciation for the valuable assistance rendered by the officers and
employes of the hospital throughout the year.
Also, the women's clubs of the various districts of the
state and many others are due the thanks of the hospital for
20
EIGHTY-SIXTH ANNUAL REPORT
their thoughtfulness in remembering the patients with many
gifts during the Christmas season.
Respectfully submitted,
R. C. SWINT,
Superintendent.
Dr. R. C. Swint, Superintendent,
Dear Sir:
The following pages contain the medical report for the
year, 1929.
Twelve hundred and twenty-nine (1,229) patients were
received; one hundred and thirty-nine (139) more than the
previous year. Of these nine hundred and forty-seven (947)
were first admissions and two hundred and eighty-two
(282) re-admissions. Many of those readmitted had been in
other institutions either public or private.
The larger groups (manic depressive and dementia praecox) were in about the same ratio as for the previous year.
Among the smaller groups there was an actual increase of
29 or 35% in the number of cases classified as psychosis
with cerebral arterio-sclerosis and actual increase of 25 or
55% in the number diagnosed as psychosis due to pellagra.
Nineteen (19) patients suffering from encephalitis were admitted. These form but a small part of the number of patients received, but they are of a pitiable nature. Stramonium seems to have given best results in treatment.
Six (6) patients, three (3) of whom were criminals, were
considered not insane. Three (3) of these six appeared to
belong to the psychopathic group.
Seventeen (17) patients were sent by order of the court.
The criminal charges were as follows: arson 2; assault and
battery 1 ; accusation for escape 1 ; assault with intent to
murder 2; assault with intent to rape 1; burglary 1; giving
worthless checks 1 ; larceny 4; murder 3; vagrancy 1. Three
of these were classified as not insane.
The recovery rate does not have a very definite meaning
unless the length of the furlough period is considered. As
heretofore the recovery rate is the ratio of those furloughed
as improved or restored to the number received. The recovery rate for the year was 58.50% under the twelve months
furlough regime. For 1928 it was 67.3. Had the furlough period been three months as it was some years ago the recovery rate would have been lower for the reason that one hundred and twenty-six (126) patients were returned after more
than three months but in less than twelve months. Under
MILLEDGEVILLE STATE HOSPITAL
21
the three months rule these patients (126) would necessarily have been recommitted and thus the number of patients
received by admission increased by this number. The discharge rate would have been affected in the opposite way
since these patients (126) would have been discharged after
being away from the institution for three months.
The recovery rate was lower than for the previous year.
This seems to be accounted for in part at least by the increased proportion of colored patients received. In 1928 the
colored patients constituted 32.66% of those received while
in 1929 they made up 39.30%. The recovery rate for the
whites in 1929 was 73.9% against 72.6% for 1928. For the
colored the rate for 1929 was 34.5% against 56.4% for 1928.
The average rate for the two races for the past seven years
has been 65.5 and 45.0 respectively. The increase in the ratio of colored patients received is not to be taken to mean
that there has been a corresponding increase in insanity
among the colored race but is due rather to increased capacity in the colored department.
There were four hundred and fifty-three (453) deaths,
7.06% of all patients actually under treatment. For 1928 the
death rate was 6.3%. The leading assigned causes of death
were: arterio-sclerosis ninety-three (93) ; general paralysis
of the insane seventy-three (73) ; tuberculosis fifty-seven
(57) ; pellagra thirty-four (34) ; cerebral hemorrhage thirtythree (33).
The treatment of paresis by the use of foreign proteids
has been continued. Malaria has been given a second trial
and is still being used. We have been unable to secure the
favorable results reported by others but there has been
enough encouragement to continue the methods of treatment.
In September and March short courses of instruction in
nursing the insane were given the attendants who had entered the service in the preceding six months. This consisted of quizzes, lectures and clinical demonstrations with
patients. This is considered a matter of much importance
but up to this time it has been difficult to organize the work
on a satisfactory basis. If it were possible to put each new
attendant under an experienced and capable head it would
probably help considerably. The above course was given to
159 attendants. Dr. Yarbrough lent valuable assistance in
the matter.
The weekly clinic held in Macon on each Friday afternoon has been continued by a member of the staff. One
hundred and forty-nine (149) patients reported at thite
22
EIGHTY-SIXTH ANNUAL REPORT
clinic. The total number of patients' visits were four hundred and ninety-eight (498). The visiting psychiatrist continues lectures on nervous and mental diseases for the three
nurses' training schools in Macon and holds clinical demonstrations for these nurses in this hospital. He has been
called on to give talks before various civic, church and
school organizations in that city.
Five (5) monthly school clinics were held at Elberton.
A total of one hundred and four (104) patient-visits were
paid to this clinic, fifty (50) of which were first visits. The
patients presented problems of delinquency, physical handicaps, finance and home situations. The visiting staff member was called on in a number of instances to see adult
psychotic cases at Elberton or in its vicinity.
The examination of the inmates of the State Reformatory
for boys has continued by a member of the staff.
The activity of the laboratory technicians is testified to by
the fact that more than 10,000 examinations were made in
that department. The details are given in their report.
The customary tabulations will be found on following
pages.
I here make grateful acknowledgement to all who have
contributed towards making our medical service an efficient
one.
Respectfully,
X. P. WALKER, M. D.,
Clinical Director.
MILLEDGEVILLE STATE HOSPITAL
23
TABLE 1
Diagnostic Grouping of Patients Admit'ted During the Year 1929
White | Oolored |
M. | F. | M. | F. | Tot'l
PSYCHOSIS
2
3 .24
Traumatic
18 1.46
3
Senile
60
110 8.95
With cerebral arterio -sclerosis
84 6.83
23
General paralysis of the insane
...
1
0
4 .32
With cerebral syphilis
2 .16
1 0
With Huntington's chorea
0
0 0
0
With brain tumor
26 2.11
12 6
With brain and nervous disease
1
16 1.30
11
Due to alcohol
10 .81
4 6
Due t'o drugs
70 5.69
21 17
With pellagra
11 .89
4 2
With somatic disease
399 32.46
131 131
Manic depressive
232 18.87
48 89
Dementia praecox
1
.08
Paranoia or paranoid condition
0 1
26 17
73 5.93
With epilepsy
17 1.38
S 12
Psychoneurosis or neurosis
17 1.38
7
With psychopathic personality
21
43 3.49
With mental deficiency
87 7.08
21
Unclassified
3 .24
1
Not insane
3
3 .24
Psychopathic personality, not insane
405 341203 280 1229 99.91
TOTAL
24
EIGHTY-SIXTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1929.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane
TOTAL
White Colored
M. F. M. F. Total
2
1
0
3
3
6
0
18
51
7 22 19 99
20
4 43 10 77
1
0
0
3
4
1
0
0
0
1
0
0
0
0
0
11
4
5
3 23
7
1
2
2
12
3
4
0
0
7
13
16 10 22 61
2
1
1
4
8
79 76 53 57 265
31 55
17 62 165
0
1
0
0
1
22
14 17
12 65
4
9
0
0 13
3
5
0
2 10
14
7
8
5 34
17
18
12 30 77
0
1
0
1
2
2
0
0
0
2
286 230 190 241 947
MILLEDGEVILLE STATE HOSPITAL
25
TABLE 3
Diagnostic Grouping of Re-admissions During the Year 1929.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane
TOTAL
White Colored |
M. | F. M. | F. |Total
0
0
0
0
0
0
0
0
0
0
1
1
11
9
0
2
2
7
3
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
2
0
0
1
3
4
4
0
0
0
2
0
0
3
1
1
0
0
9
8
0
0
2
1
3
52 55
9 18 134
15 67
17 34
1
0
0
0
0
0
8
4
1
0
3
0
4
1
0
3
0
0
7
4
3
1
7
1
0
9
1
1
4
4
10
0
1
1
0
0
1
0
0
0
1
13 39 282
119 111
TABLE 4
Diagnostic Grouping And Mental Condition of Patients Furloughed or Discharged During the Year 1929.
White
R.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtan's chorea
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychonaurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality, not insane..
Mental deficiency, not insane
TOTAL
Male
I. U.
1119[200| 45j
Female
R. I. U. S.
7 57J176 54
Colored
Male
Female
I. U. S. R. I. U.
2 13 511 22
0 30 73 10
Total
3
1
27
13
1
00
14
23
15
32
6
379
155
0
41
16
28
38
01 59
1
0|
01
11860
o
X
X
>
ss
c
>
r
ss
w
►n
o
H
MILLEDGEVILLE STATE HOSPITAL
27
TABLE 5
Causes of Deaths of Patients Who Died During The Year 1929.
White Colored |
M.I F. M.| F. |Total
Psychosis
1
1
0
0
0
Abscess of lung
1
0
1
0
0
Acute poisoning from eating filth
1
0
0
1
0
Acute yellow atrophy of liver
15 93
25 25 28
Arterio-sclerosis
1
0
1
0
0
Asthma
1
0
1
0
0
Carcinoma, breast
1
0
0
1
0
Cellulitis
5 33
8
9 11
Cerebral hemorrhage
1
0
0
0
1
Cerebral syphilis
1
0
1
0
0
Cholecystitis
1
1
0
0
0
Cirrhosis, liver
,
2
1
0
1
Encephalitis
1
2
0
0
Endocarditis ..'.
7
3
0
3
Enteritis, acute
.
2
0
0
0
2
Enteritis, chronic
20
4
4 11
Epilepsy
2
1
0
0
Erysipelas
4 11
1
3
3
Exhaustion from acute mental disease1
0
0
1
0
Fracture, femur
1
0
0
0
1
Fracture, skull
1
0
0
0
1
Gastric ulcer
1
0
0
0
1
Gastritis, acute
2
1
0
0
1
Gangrene, foot
2 34 13 73
24
General paralysis of the insane
1
1
0
0
0
Influenza
1
0
0
1
0
Intestinal obstruction
1
0
1
0
0
Meningitis
7 25
6
4
8
Myocarditis, chronic
2
7
2
0
3
Nephritis, acute
5
1
2
1
1
Nephritis, chronic
1
1
0
0
0
Organic brain disease
12 34
9
4
Pellagra
1
0
0
0
Pericarditis
2
0
1
1
Peritonitis
4 25
10
9
Pneumonia, broncho
'.
—
1
13
7
3
Pneumonia, lobar
1
0
0
0
Pneumonia, tubercular
9 12 17 14 52
Pulmonary tuberculosis
1
1
0
0
0
Pyelitis
1
0
1
0
0
Sarcoma
4
1
0
2
1
Suicide by strangulation
3
3
0
0
0
Syphilis
1
1
0
0
0
Tuberculosis of intestines
3
0
3
0
0
Tuberculosis of spine
4
3
1
0
Unknown
0
0
3
0
Valvular heart disease
117| 104 134 981 453
TOTAL
28
EIGHTY-SIXTH ANNUAL REPORT
TABLE 6
Surgical Operations For The Year 1929.
Abscess of brain, drainage
Amputation, breast
Amputation, thumb
Amputation, leg
Appendectomy
Carbuncle, incised and drained
Circumcision
Cyst, inguinal, removed
Dilation and curett'age uterus
\
Eye, enucleation
Ear-drum, incised
External urethrotomy
Fixation of uterus and sterilization
™
Fixation of uterus
Fracture, femur, treatment for
~™"._I
Fracture, humerus, treatment for
Fracture, jaw, treatment for
Fracture, finger, treatment for
Fracture, clavicle, treatment for
..".""".""."
Fracture, Colles, treatment for
Fracture, radius, treatment for
Fracture, toe, treatment for
Fracture, ulna, treatment for
Gastric ulcer, operation for
'''
Herniotomy
"
Hemorrhoidectomy
Hydrocele, operation for
Hysterectomy
Laparot'omy, exploratory
Laparotomy, tubercular peritonitis
Lipoma, removal of
Mastoiditis, radical, operation for
Maxillary sinus, drainage of
Orchidectomy
_"""
Ovarian cyst, removal
Paracentesis, thorax
Perineorrhaphy
Prolapse of rectum, operation for
.."
Prostatectomy, suprapubic
Submucous resection
Squint, operation for
Tonsillectomies
"
1
2
2
j
2
4
i
2
1
1
10
2
1
3
2
4
\
2
1
13
4
1
?
2
2
1
2
1
2
3
\
eg
29
MILLEDGEVILLE STATE HOSPITAL
TABLE 7
Admissions From Various Counties During The Year 1929.
White Colored
M.I F. M. F. Total
Psychosis
6
2
1
Appling
2
0
0
Atkinson
1
1
0
Bacon
1
0
1
Baker
19
4
2
7
Baldwin
4
0
2
1
Banks
6
4
0
1
Barrow
12
C
1
5
Bartow ....:
6
0
2
1
Ben Hill
4
2
1
0
Berrien
29
6
6
10
Bibb
2
0
2
0
Bleckley
S
1
2
2
Brantley
7
1
2
3
Brooks
0
0
0
0
Bryan
7
4
0
2
Bulloch
13
1
3
3
Burke
2
1
0
1
Butts
4
1
1
0
2
Calhoun
3
1
1
0
1
Camden
3
0
0
1
2
Campbell
4
1
0
1
2
Candler
15
1
1
12
1
Carroll
2
4
0
0
2
Catoosa
1
0
1
0
0
Charlton
3
0
0
1
Chattahoochee
12 29 31 87
15
Chatham
10
1
1
4
4
Chattooga
1
10
0
2
7
Cherokee
2
0
1
1
0
Clarke
4
2
1
0
Clay
4
1
1
1
Clayton
1
2
0
0
1
Clinch
19
1
6
3
9
Cobb
4
1
0
1
2
Coffee
2
2 13
4
5
Colquit
6
3
1
1
1
Columbia
0
8
0
3
5
Cook
5
0
2 13
6
Coweta
2
0
0
1
1
Crawford
8
1
1
1
5
Crisp
2
0
0
2
0
Dade
1
0
1
0
0
Dawson
4
2 12
2
4
Decatur
0 15
0
8
DeKalb
1
5
0
2
Dodge
s 6
0
1
Dooly
4
7 15
0
Dougherty
4
1
0
2
Douglas
4
2
1
Early
3
1
1
Effingham
8 18
4
Elbert
2
1
Emanuel
0
1
Evans
-\
\
EIGHTY-SIXTH ANNUAL REPORT
30
TABLE 7—(Continued)
Admissions From Various Counties During The Year 1929.
Psychosis
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Gordon
Grady
Gwinnett
Habersham
Hall
Hancock
Haralson
Hart
Houston
Irwin
Jeff Davis
Jefferson
Jenkins
Jones
,i
Lamar ..
Lanier
Laurens
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Milier
Milt'on
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Newton
.
W hite Col Dred
M. F. M. F. Total
6
4
0
0 10
4
1
1
2
0
10
8
2
0 20
2
1
1
0
0
g
4
2
1
1
30 38 12 28 108
5
5
0
0
0
4
2
0
1
1
0
1
3
1
5
7
2
5
0
0
7
3
2
1
1
2
4
2
0
0
4
6
0
2 12
5
1
4
0
0
7
6
1
0 14
4
3
0
0
1
7
2
S
0
0
5
1
0
0
4
7
4
1
0
2
3
0
0
0
3
4
1
2
1
0
4
0
1
0
3
3
1
2
0
0
7
2
3
1
1
6
1
0
0
5
]
0
1
0
0
2
4
0
2
0
9
2
3
4
0
9
4
1
2
2
4
1
0
1
2
7
1
1
3
2
1
1
0
0
0
2
3
5
4 14
4
0
0
1
3
2
1
0
1
0
2
2
0
0
0
1
1
0
0
0
5
3
1
3 12
2
2
0
0
0
4
1
1
2
0
4
3
0
0
1
3
0
0
3
0
3
6
2
7 18
1
0
0
0
1
4
2
2
0
0
5
1
1
1
3
2
0
0
1
1
2
0
1
0
3
0
1
2
4
7
5
5
0
0 10
23
8 10
1
4
6
2
2
2
0
1
5
2
2 10
MILLEDGEVILLE STATE HOSPITAL
.31
TABLE 7—(Continued)
Admissions From Various Counties During The Year 1929.
White I Colored
M. F. Total
| M.
Psychosis
1
2
0
1!
Oconee
6
0
0
3
Oglethorpe ...
6
0
3
21
Paulding
6
2
II
2
Peach
4
0
1
0
3
Pickens
1
1
0
0
0
Pierce
5
1
0
1
3
Pike
0
3 11
5
3
Polk
6
1
2
0
3
Pulaski
6
3
1
2
0
Putnam
3
0
3
0
0
Quitman
0
0
0
0
0
Rabun
9
4
4
1
0
Randolph ....
5 27
7
7
8
Richmond ....
5
1
2
2
0
Rockdale
2
S
2
0
1
Schley
:.-.5 12
2
3
2
Screven ...:....
2
0
2
0
0
Seminole
S 17
3
4
5
Spalding
4
1
0
2
1
Stevens ........
8
3
0
3
2
Stewart ........
2
9
4
0
3
Sumter
6
2
1
1
2
Talbot
2
3
0
0
1
Taliaferro ....
5
0
1
0
4
Tattnall ........
8
2
4
1
Taylor
6
2
1
1
Telfair
3 10
1
3
Terrell
'.....
3 14
7
3
1
Thomas
4
0
3
1
0
Tift
6
2
0
3
1
Toombs
0
0
0
0
0
Towns
...
0
0
0
0
0
Treutlin
6 14
4
2
2
Troup
1
6
2
0
3
Turner
9
2
1
3
3
Twiggs
1
0
0
0
1
LTnion
0
7
2
0
5
Upson
4
0
0
2
2
Walker
1
6
1
2
2
Walton
8
1
2
3
2
Ware
2
0
0
2
0
Warren
11
2
1
4
Washington
1
0
0
0
Wayne
5
0
0
4
Webster
7
2
1
2
Wheeler
7
0
3
3
White
9
5
2
Whitfield
9
5
2
Wilcox
5
1
0
Wilkes
7
1
3
Wilkinson ...
4
0
3
Wortli
405 3411 203j 28011229
TOTAL
32
EIGHTY-SIXTH ANNUAL REPORT
TABLE 8
Nativity of All Patients Admitted During The Year 1929.
Psychosis
Alabama
Austria
California
Florida
Georgia
Greece
Illinois
Iowa
,
Kansas
Kentucky
Louisiana
Michigan
Mississippi
Missouri
North Carolina
New York
Not given
Ohio
Russia
South Carolina
Tennessee
Texas
Virginia
TOTAL
White
M. F.
13 10
1
0
1
0
3
0
3'63 309
2
0
1
0
0
1
1
0
0
1
2
1
0
1
0
2
1
0
3
3
1
0
1
1
0
1
1
0
8
5
2
5
1
0
1
0
405 341
Colored
M. F. Total
2
5 30
0
0
1
0
0
1
2
4
9
179 253 1104
0
0
2
0
1
2
0
0
1
0
1
0
0
0
1
0
0
3
0
0
1
0
0
2
0
0
1
5
3
14
0
0
1
3
3
8
0
0
1
0
0
1
11
10 34
1
1
9
0
0
1
0
0
1
203 2801229
M1LLEDGEVILLE STATE HOSPITAL
33
TABLE 9
Classified Occupations of Patients Admitted During The Year J929.
White Colored
M. I F. M.I F. Total
Psychosis
Agriculture, Forestry And Animal
Industry:
0
1
0
0
1
Box maker
2
0
2
0
0
Cross tie cutter
62
0 224
1
161
Farmers
2
0
2
0
0
Farmer's daughters
0 35 99
0 64
Farmer's wives
0 24 26 64
14
Farm laborers
7
7
0
0
0
Farm laborer's wives
2
0
0
0
2
Lumber dealer
2
0
0
2
0
Saw mill laborer
1
1
0
0
0
Saw mill laborer's wives
1
0
0
1
0
Saw mill operator's wives
1
1
0
0
0
Turpentine laborers
1
0
0
1
Turpentine still operator
2
3
0
0
Turpentine still operator's wives
1
1
0
0
Wood cutter
Professional:
1
0
0
0
Dentist's wife
2
0
0
2
Druggist
3
0
0
3
Lawyer
1
0
0
0
Lawyer's wives
6
0
4
2
Minister
1
1
0
0
Minister's wives
1
0
0
Newspaper man
1
0
0
Physician
1
0
0
Physician's wives
1
3
0
Teachers
Minerals:
1
0
0
Filling station operator
1
0
0
Garage man's wife
Public Service:
1
0
0
1
Post office clerk
1
0
0
0
Mail carrier's wife
1
1
0
0!
0
Watchman
2
0
0
0
2
Watchmen's wives
Trade:
1
0
0
1
Accountant
2
0
0
0
Auditor's wives
1
0
0
0
Banker's wives
1
0
0
1
Broker
3
0
1
2
Insurance agent
9
0
0
5
Clerks
1
0
0
0
Clerk's wives
1
0 13
12
Merchants
7
0
0
0
Merchants' wives
0
0 12
12
Salesmen
2
0
0
0
Salesmen's wives
1
0
0
Shipping clerk
34
EIGHTY-SIXTH ANNUAL REPORT
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During The Year 1929.
Psychosis
Manufacturing And Mechanical Pursuits:
Automobile mechanic
Blacksmith
Blacksmith's wives
Boiler maker
Brick mason
Carpenters
Carpenter's wives
Casket maker's wife
Coal crane operator ..'.
Contractor
Contractor's wives
Chemist's wife
Electrician
Gun smith
Laborers
Laborers' wives
Match factory superintendent
Mechanic
Mechanics' wives
Moulder
Moving picture machine operator
Painters
Plasterer
Plasterer's wife
Plumber
Saw filer's wife
Shoe makers' wives
Steam fitter
Steel worker's wife
Stone cutter's wife
Textile workers
Textile workers' wives
Domestic and Personal Service
Baker
Barbers
Barbers' wives
Butchers
Butchers' wives
Clothes presser
Cooks
Cook's wife
Decorator's wife
Housekeepers
Ice man's wife
Maid
Photographer's wife
Porter
Restaurant' proprietor's wife
White
M. F.
0
0
2
0
0
0
2
1
0
0
1
1
0
0
0
7
0
0
3
0
0
0
0
0
0
1
2
0
1
1
10
7
0
0
2
0
1
0
6
0
1
49
1
1|
1
i
Colored
M. F. Total
0
1
0
0
0
0
0
0
0
0
65
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
10
16
0
0
1
0
0
0
0
1
0
0
0
0
0
0
1
0
2
3
2
2
2
8
3
1
1
2
1
1
1
1
94
23
1
10
4
1
1
6
1
1
1
1
2
1
1
1
20
7
0
0
0
0
0
2
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
16
1
0
22
0
0
0
0
0
1
3
2
3
1
3
23
1
1
71
1
1
1
1
1
MILLEDGEV1LLE STATE HOSPITAL
35
TABLE 9—(Continued)
Classified Occupations of Patients Admitted During The Year_1929.
White | Colored |
M. 1 F. I M. | F. |Total
Psychosis
5
1
0
4
0
Seamstress
0 34 34
0
0
Servants
0
1
0
0
Tailor
0
0
1
0
Tailor's wife
0
0
1
0
Telephone manager's wife
0
1
2
0
Waiters
0 17
0
0
Washerwomen
Transportation:
1
0
0
0
Chauffeur's wife
0
0
0
1
Elevator operator
0
0
1
0
Railroad conductor's wife
0
0
1
0
Railroad construction foreman
0
0
0
1
Railroad flagman
0
0
0
1
Railroad foreman
0
2
0
0
Railroad foremen's wives
.....
1
0
0
0
Railroad laborer
0
2
2
0
Railroad laborers' wives
0
0
1
0
Street car conductor
0
0
1
0
Telegraph operator
0
0
1
0
Taxi driver
1
0
1
0
Truck drivers
1
0
0
0
Truck driver's wife
Miscellaneous:
0
0
1
0
Attendant's wife
0
0
0
1
Convict guard's wife
0
0
1
0
Experiment station director's wife
0
0
1
0
Junk dealer
0
0
1
0
Real estate agent
2
3 14
4
5
Students
4
1
0
3
NOT GIVEN
131 25 76 320
None
|1229
TOTAL
-I
36
EIGHTY-SIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Under
Over Not
Psychosis
20
70 Given Total
Traumatic
0
2
Senile
2
3
With cerebral arterio-sclerosis
19
51
General paralysis of the
insane
0
20
With cerebral syphilis
0
1
With Huntington's chorea ..
0
1
With brain and nervous
disease
0
11
Due to alcohol
0
7
Due to drugs
0
3
With pellagra
0
13
With somatic disease
0
2
Manic depressive
0
79
Dementia praecox
0
31
Paranoia or paranoid
condition
I)
0
0
With epilepsy
1
0
22
Psychoneurosis or neurosis
0
0
4
With psychopathic personality
0
0
3
With mental deficiency
01 0
0
14
Unclassified
7 0
0
17
Not insane
0
0| 0
0
Psychopathic personality, not
insane
0| 0
TOTAL
31 164 43 55 48|24 21
286
MILLEDGEV1LLE STATE HOSPITAL
37
TABLE 10
Ages of Eirst Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
[Under 20 30
50160 Over Not I
60 70 70 Given Total
I 20 30 40
Psychosis
1
0
0
Traumatic
6
0
0
Senile
7
0
0
With cerebral arterio-sclerosis
General paralysis of the
4
0
0
insane
0
0
0
With cerebral syphilis
0
0
0
With Hunt'ington's chorea
With brain and nervous
4
0
1
0
disease
1
0
0
0
Due to alcohol
4
0
0
0
Due to drugs
16
7
0
0
With pellagra
0
1
0
0
With somatic disease
76
0
17
7
Manic depressive
0
55
21
1
Dementia praecox
Paranoia or paranoid
1
0
0
0
condition
14
0
2
s
With epilepsy
9
0
2
0
Psychoneurosis or neurosis ....
0
5
2
0
With psychopathic personality
7
0
1
3
With mental deficiency
18
0
5
2
Unclassified
1
0
0
0
Not insane
!
o
230
4 \
0
TOTAL
| 18 54|58|47|29120|
38
EIGHTY-SIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
40150 60 Over Not
|Under
50 60 70 70 Given Total
I 20
Psychosis
0
0
0
Traumatic
0
0
0
Senile
22
0
0
With cerebral arterio-sclerosis
General paralysis of the
43
0
1
insane
0
0
0
With cerebral syphilis
0
0
0
With Huntington's chorea
With brain and nervous
5
0
0
disease
2
0
0
Due to alcohol
0
0
0
Due to drugs
0
10
0
With pellagra
1
0
0
With somatic disease
0
53
9
Manic depressive
17
0
3
Dementia praecox
Paranoia or paranoid
0
0
0
condition
17
0
5
With epilepsy
0
0
0
Psychoneurosis or neurosis
0
0
0
With psychopathic personality
0
8
3
With mental deficiency
0
12
0
Unclassified
0
0
0
Not insane
TOTAL
| 21 |50|35|30|26121|
7 \
0 | 190
M1LLEDGEVILLE STATE HOSPITAL
39
TABLE 10
Ages of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis
General parolysis of the
insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis....
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under
20
0
0
0
Over Not |
70 Given Total
0
9
19
0
0
0
0
10
3
0
0
0
0
0
0
1
4
s
3
2
0
22
4
57
62
0
2
0
0
0
2
0
14
0
12
0
2
5
30
1
241
79 (.0 41 12 15
10
40
EIGHTY-SIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population
en
V
Psychosis
>,
"2
O
VI
D
rt
V
'A
Traumatic
Senile
With cerebral arterio-sclerosis
Oi
1
0
9
7
With cerebral svphilis
With brain and nervous disease
Due t'o alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis or neurosis
With mental deficiencv
Unclassified
Not insane
TOTAL
n
n
?,
n
n
n
0
s
1
0
4
1
n
13
2
0
40
"3
'u
0
*o
ixi
aa
c
o
£
Tl
o
o
o
rt
B
S
hn
<&
u
X
V)
T)
V
o
0 0 1 0
0 ? 1
0
0 18 17 7
0 4 6 S
n 0 1 0
0 0 0 1
1
1
7 n
0 ? 4 1
n 1 ? 0
n 7 S n
0 2 0 0
0 18 44 11
0 8 16 4
n n 0 n
? 8 8 0
0 0 ,1 0
9
0 1
n
0 1 0 0
0 6 7 l
0 0 0 2
3 79 124 32
c
>
ID
1
3^*
u
£
■
ft
o
0
n
0
7
0
0
0
H
0
?
n
3
0 SI
i ?n
0 i
n i
n n
11
0
0
1
0
i
?
0
0
??
0 7
0 3
0 13
0 ?
n 79
n 31
n 0
n
n 0
n n
0
l
0
7
4
^
0 14
0 17
0 ?
l '86
41
MILLEDGEVILLE STATE HOSPITAL
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis
(4 X
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
TOTAL
20
4 55 110 28]
7
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
6 230
42
EIGHTY-SIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
b£
K
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane ..
With cerebral syphilis
With Huntington's chorea
With brain t'umor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecoix
Paranoia or paranoid condition ..
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
TOTAL .......................
x
0
0
18
20
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
1
s
l
11
6
0
9
0
0
5
7
_0
95
0
0
22
43
0
0
0
s
J)
6 68
5
0
2
0
10
1
S3
17
0
17
0
0
8
12
0
01190
43
MILLEDGEVILLE STATE HOSPITAL
TABLE 11
Degree of Education of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
ho
«
Pi
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
'
With Huntington's chorea
With brain tumor
..
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis _
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
..".
I
|
j
0
0
1
0
0
I ?oj
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
2
0
0
2
1
0
11
2
33
34
0
5
0
0
0
14
1
2112
0
0
0
2
0
0
0
0
1
0
2
0
9
9
0
0
0
2
0
7
0
32|
0
0
1
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
1
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
01 30
0 1
0|241
44
EIGHTY-SIXTH ANNUAL REPORT
TABLE 12
Environment of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due t'o alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
,
TOTAL
0 2
0 3
34 17
15
0 1
0 1
0 0
4 7
3 4
1 2
2 11
0 2
22 57
9 22
0 0
8 14
0 4
2
1
5 9
7 10
2 0
114 172
0
3
2
51
3
ti| 2ti 4
0
0
0
0
0
0
0
1
0
0
0
3
0
8
0
0
40
0
0
29
0
1
0
9
0
4
0
3
0
4
0
6
0
1
0 286! 118 111
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
1|230
45
MILLEDGEV1LLE STATE HOSPITAL
TABLE 12—(Continued)
Environment of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
Female
Male
Psychosis
Traumatic
Senile
-—
With cerebral art'erio-sclerosis ...
General paralysis of the insane ..
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality .
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
14
25
0
0
0
3
0
0
7
1
29
11
12
0
0
0
4
6
78 112]
0
0
22
43
0
0
0
5
2
0
10
1
53
17
17
0
0
0
4
10
8
2
0
0
1
2
0
7
0
21
28
0
2
0
2
1
14
1
0 19011103 138
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
_1
0J241
46
EIGHTY-SIXTH ANNUAL REPORT
TABLE 13
Economic Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.,
White Population.
Male
Female
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis..
General paralysis of the insane
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Wit'h epilepsy
..
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
.'
I
TOTAL
I
0 2
0 2
9 41
2 17
1 0
1
0
0 0
2 9
S 2
1 2
3 10
0 2
20 58
9 22
0 0
3 19
0 4
0 3
2 12
4 12
1
II
5 63 218|
0 286
1
4
6
4
0
0
0
4
1
3
12
1
63
46
0|
12
8
4
6
IS
1
7 23 191:
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
9 230
47
MILLEDGEV1LLE STATE HOSPITAL
TABLE 13—(Continued)
Economic Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
Female
Male
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain & nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
0
0
0
0
0
0
o\
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
0 0
22
1 21
43
3 40
0
0 0
0
0 0
0
0 0
5
2 3
2
1
1
0
0 0
10
0 10
1
0 1
53
8 45
17
2 15
0
0 0
17
2 15
0
0 0
0
0
8
0
12
3
0
0
22|168|0190|
0
0
9
9
18
19
9 0! 10
3
3
0
0
0
0
3
3
2
2
0
0
22
21
4
3
57
46
62
52
0
0
12
11
0
0
2
2
5
4
30
29
1
1
0| 281213J 0[241
TABLE 14
Male
Female
Civil Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
White Population.
—
Psychosis
Traumatic
Senile
With cerebral art'erio-sclerosis ..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
OJ
2
2
26
14
0
0
0
6
4
0
6
1
44
8
0
7
2
1
0
8
I)
1112 1311 22
0
0
1
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
_o
11
181
0
0
0
2
0
0
1
0
6
2
0
0
12
8
22
5
1
0
10
1
3
0
4
0
7
0
5
5
0
II 0
2 286|| 74(1081 28
0
0
0
1
0
0
0
0
0
0
1
0
c
>
tf
o
0 1
0 6
0 7
0 4
0 0
0 0
0 0
0 4
0 1
0 4
0 16
01
0! 76
Oj 55
01 1
01 14
0| 9
01 5
0| 7
Oj 18
Ol 1
3 17
0|230
K
O
X
H
X
H
>
G
>
r
w
o
H
TABLE 14—(Continued)
Female
Male
Civil Condition of First Admissions During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Population.
3
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
_..._.
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis ......
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
10
23
0
0
0
0
1
0
4
1
IS
3
0
3
0
0
0
4
0
63|
0
0
6
4
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
2\ 19
0
22
Oj 43
0 0
4 190
0
0
0
0
s
0
2
0
0 0
0
0 0
0
0
0
0
0
1
0
0
0
0
1
0
1
0
! 56] 881 481 3| 45
0
0
5
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
1241
r
r
w
c
o
w
<
t—I
r
r
w
en
H
>
H
M
a
o
w
H
>
r
50
EIGHTY-SIXTH ANNUAL REPORT
TABLE 15
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Under
30 40
Over Not |
Psychosis
20
40 50
70 Given Total
Traumatic
0
0
0
1
Senile
0
6
1
7
Wit'h cerebral arterio-sclerosis
0
13
0
27
General paralysis of the insane
0
1
0
24
With cerebral syphilis
0
0
0
1
With Huntington's chorea ....
0
1
0
2
With brain tumor
0
0
0
0
With brain & nervous disease
0
1
0
2
Due to alcohol
„„.
0
0
0
0
Due to drugs
0
0
0
0
With pellagra
0
0
0
6
With somatic disease
0
0
0
4
Manic depressive
0
1
0
8
Dementia praecox
0
2
0
9
Paranoia or paranoid condition
0
0
1
0
With epilepsy
0
0
0
9
Psychoneurosis or neurosis ....
0
0
0
1
Wit'h psychopathic personality
0
0
0
0
With mental deficiency
1
0
0
6
Unclassified
0
2
1
9
Not insane
0
0
0
0
TOTAL
1 |12|15|23 20|17 27
117
MILLEDGEVILLE STATE HOSPITAL
51
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
|Under|20 30(40 50|60|Over Not
| 20 |30 40150 60170 70 Given Total
Psychosis
0
0
0
0
Traumatic
17
1
15
0
Senile
8
0
4
0
With cerebral arterio-sclerosis
3
0
1
0
General paralysis of the insane
0
0
0
0
With cerebral syphilis
0
0
0
0
With Huntington's chorea
0
0
0
0
With brain tumor
2
0
0
0
With brain & nervous disease
0
0
0
0
Due to alcohol
0
0
0
0
Due to drugs
8
0
0
0
With pellagra
1
0
0
0
With somatic disease
21
0
6
0
Manic depressive
19
0
4
0
Dementia praecox
.......
0
0
0
0
Paranoia or paranoid condit'n
10
0
0
1
With epilepsy
v
1
0
1
0
Psychoneurosis or neurosis ....
2
0
0
0
With psychopathic personal'y
2
0
0
0
With mental deficiency
10
1
2
0
Unclassified
0
0
0
0
Not insane
104
16|
33
11I14I16I11
TOTAL
52
EIGHTY-SIXTH ANNUAL REPORT
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of th' insane
With cerebral syphilis
Wit'h Huntington's chorea
With brain tumor
With brain & nervous disease|
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condit'n
With epilepsy
Psychoneurosis or neurosis ....
With psychopathic personal'y
With mental deficiency
|
Unclassified
I
Not insane
I
TOTAL
~1
Underl20
Over Not
20 30
70 Given Total
0
01 0
0
0
0
0
1
0
1
0
10
0
25
1
2
0
37
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
1
1
1
0
21
1
0
0
8
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
2
0
0
6
0
1
1
11
0
0
0
0
5 18 21 25 23|26 15
134
MILLEDGEVILLE STATE HOSPITAL
55
TABLE IS—(Continued)
Ages of Patients at Time of Death During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
U nder|20|30|40|50
Over I Not 1
70 1 Given|Total
20 130140150160
Psychosis
0
0
0
0
Traumatic
5
0
4
0
Senile
—
13
0
7
0
With cerebral arterio-sclerosis
13
0
1
0
General paralysis of the insane
1
0
0
0
With cerebral syphilis
0
0
0
0
With Huntington's chorea ....
0
0
0
0
With brain tumor
2
0
0
0
With brain & nervous disease
0
0
0
0
Due to alcohol
0
0
0
0
Due to drugs
7
0
0
0
With pellagra
0
0
0
0
With somatic disease
19
0
0
0
Manic depressive
21
1
2
0
Dementia praecox
0
0
0
0
Paranoia or paranoid coudit'n
3
0
0
1
With epilepsy
■
0
0
0
0
Psychoneurosis or neurosis
0
0
0
0
With psychopathic personal'y
2
0
0
0
With mental deficiency
12
0
0
1
Unclassified
0
0
0
0
Not insane
98
10
14
27
19
TOTAL
J
54
EIGHTY-SIXTH ANNUAL REPORT
TABLE 16
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis .
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
15 25
0
0
3
1
0
1
0
0
0
0
0
1
2
0
0
2
0
0
1
2
0
5 16 22 13 15
1
7
27
24
1
2
0
2
0
0
6
4
8
9
1
9
1
0
6
9
0
6 117
55
M1LLEDGEVILLE STATE HOSPITAL
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis
Traumatic
Senile
.With cerebral arterio-sclerosis ...
General paralysis of the insane .
With cerebral syphilis
With Huntingdon's chorea
With brain tumor
With brain and nervous disease .
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-—
Paranoia or paranoid condition
With epilepsy
•_■
Psycho-neurosis or neurosis
With Psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL --
0
0
1
0
0
0
0
0
3
0
1
0
0
0
0
o
I
8
1
16
l
2
0
0
0
3
3
0
3
1
2
0
2
0
251 18|
0
0
17
4
8
1
3
0
0
0
0
0
0
0
2
1
0
0
0
0
8
0
1
1
21
3
19
1
0
0
10
2
1
0
2
0
2
1
10
0
01 0 0
141 14|104
56
EIGHTY-SIXTH ANNUAL REPORT
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929. '
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ..
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0 0
0 0 0
0 0
0 0 0
7 6
4 2 3
8 16
5 3
1
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
5 1
0 0 0
0 1
0 0 0
0 5
4 6 2
0 0
2 4 0
0 o
0 0 0
1
3
2 6 3
0 0
0 0 0
0 0
0 0 0
0 0
1 3 0
3 2
1
1
1
_0 0
0 0 0
24 34| 13 19 25 10
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
1
0
0
5
0
1
25
37
0
0
0
1
0
0
6
1
21
8
0
17
0
0
6
11
0
4134
MILLEDGEVILLE STATE HOSPITAL
57
TABLE 16—(Continued)
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis ...
General paralysis of the insane .
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
■
Psychoneurosis or neurosis_
With psychopathic personality ..
With mental deficiency
Unclassified
Not insane
--TOTAL
0
0
0
1
0
0
0
0
0
0
4
0
0
1
0
0
0
0
0
5
0
111
o
3
6
5
0
0
0
0
0
0
3
0
2
4
0
1
0
0
1
3
0
28
0
0
0
2
0
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
0
SI4
2
0
0
0
1
0
o
6J10J17_J3
0
5
13
13
1
0
0
2
0
0
7
0
19
21
0
3
0
0
2
12
0| 0
51 98
58
EIGHTY-SIXTH ANNUAL REPORT
Report of Superintendent of Nurses
January 1, 1930.
Dr. R. C. Swint,
Superintendent
Dear Sir:
The following is a report of the Training School for
Nurses for the year beginning January 1, 1929, and ending
December 31, 1929.
We have had a greater number of applications for entrance to the school this year than ever before; therefore,
could be more select in our choice of students. The selections were made according to age, physique, and standing
in high school.
Thirty-three applications were received from which eighteen were admitted. Four of these withdrew for various reasons, two failed in examinations, and one was not accepted
after serving part of the probationary period.
One junior and one senior withdrew from school during
the year.
Miss Ora Blanche Taylor, Milledgeville, Ga., made the
highest average during her junior year. As a reward the
Alumnae of the school paid her expenses to the Georgia
State Nurses' Association Convention, which met in Rome,
Ga., in November.
The Alumnae, with a membership of fifty-five, continued
its loyal support to the school and participated in all the activities of the Sixth District Nurses' Association as well as
the State Association.
The Annual Commencement was held May 23, in the
Amusement Hall. Dr. R. C. Swint, Superintendent, presided.
The processional was played by the Hospital Band and
Miss Gladys McMichael, Beuna Vista, Ga., sang two beautiful solos accompanied on the piano by Mrs. Lovic Pierce
Longino.
Dr. Richard Orme Flinn, pastor of the North Avenue
Presbyterian Church, Atlanta, Ga., gave a most interesting
address to the class and large audience. Hon. John T. Brantley, Blackshear, Ga., President of the Board of Trustees, in
his usual charming manner, delivered the diplomas, and Dr.
T. M. Hall, Milledgeville, Ga., Vice-President of the Board,
in a few well chosen words, presented the hospital pins.
The following nurses received diplomas:
MiLLEDGEVlU^_JTATEJIOSPITAL
Miss Helen Blackwell
Miss Mary Hazel Key
Miss Gladys McCorkle
Miss Oreta Smith....
Miss Samantha Renfoe
Miss Frankie Resseau
Miss Elva Louise Veal
Miss Susie Mae Wade.
Total number of graduates
59
^TnwH S'
^
n' r*
Thomson, Ga.
^^-i, ' rl'
Milledgeville, Ga.
Hardwick, Ga.
Sandersville, Ga.
B ron ( ,a
y
> iD/
f -
Plan of Instruction
The curriculum conforms as near as possible to the Standard Curriculum planned by the National League of Nursing
The course extends over a period of three years, including
three months probation and six months affiliation in some
large general hospital for additional experience in surgery,
pediatrics, and obstetrics. Classes are conducted eight
months out of each year and consist of lectures, recitations,
and laboratory work.
.
.
A passing grade of 75 in all branches is required for
gr
A "short' course in Nursing Mental Diseases was conducted in March and October by Dr. N. P. Walker, Clinical
Director, for all new attendants.
Nursing Staff
Superintendent of Nurses
4
Supervisors
" ^
Graduate Nurses
- 1Q
Senior Nurses in School
■
Junior Nurses in School
Freshmen Nurses in School
Total Number Student Nurses
^
Occupation Therapy Nurses
Special Attendants
1fin
i0
White Female Attendants
'
Vacancies
"" ',* „,i
I wish to thank you for your constant support and all
physicians and other officers who have contributed to the
success of the school.
Respectfully submitted,
(Mrs.) Mae M. Jones, R. N.,
Superintendent of Nurses.
60
EIGHTY-SIXTH ANNUAL REPORT
Dentists' Report For 1929
Dr. R. C. Swint,
Superintendent.
Milledgeville, Ga.,
January 1, 1930.
Dear Sir:
I have the honor of handing you, herewith, an itemized
report of the work done in the Dental Department during
s
the year 1929.
Extractions
5129
Infiltration anaesthesias
2421
Conductive anaesthesias
897
Ethyl chloride anaesthesias
;
9
Alveolotomies
127
Incisions sutured
5
Post-operative treatments
129
Gold fillings
2
Amalgam fillings
I44
Cement fillings
57
Gutta-percha fillings
5
Synthetic porcelain fillings
38
Gold inlays
20
Gold inlays reset
2
Nerve cappings
5
Nerve treatments
4
Nerves devitalized
5
Root treatments
15
Root fillings
10
Abscesses lanced
40
Abscesses treated
23
Lancing gums over 3rd molar
18
Treating gums about 3rd molor
15
Excessive hemorrhages arrested
8
Treatments for erosion
1
Treatments for pyorrhea alveolaris
32
Cleaning teeth (number of patients)
33
Scaling teeth (number of patients)
Z ..... 155
Applications silver nitrate
2
Treatments for acute odontalgia
"...
35
Treatments for pericementitis
1
Treating gums (number of patients)
"..."
170
Treatments for oral ulcers
13
MILLEDGEVILLE STATE HOSPITAL
Treatments for stomatitis
Curetting alveolar process
Plates made
Plates repaired
Gold crowns
Porcelain crowns
Crowns removed
Crowns reset
Bridges removed
Bridges made
Bridges reset
Disfigured teeth shaped up (number of patients)
Impacted 3rd molars removed
Dislocations reduced
Sequestra removed
Fractures reduced
Calls to wards
Number of new patients examined
Number of patients treated
:
Total number of operations and treatments ...
61
9
29
^
4
~
2
^
12
•?
20
j.
•?
58
26
—
2
'
*
362
1327
2305
9866
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
62
EIGHTY-SIXTH ANNUAL REPORT
Report of Pharmaceutical Department
Dr. R. C. Swint,
Superintendent, Milledgeville State Hospital,
Dear Sir:
The following is the annual report of the Pharmaceutical
Department for the year ending December 31, 1929.
Below is shown a condensed list of manufactured products :
Tinctures, spirits and extracts
2764 Pounds
Elixirs
1189 pounds
Syrups
1127 pounds
Ointments
162 pounds
Liquors, lotions and mixtures
Library paste and mucilage
1131 pounds
:
48 pounds
Medicated powder
58 pounds
Indelible ink
48 pounds
Glycerites
139 pounds
Liniments
320 pounds
Tonics
Tooth powder
248 pounds
2 pounds
Quinine, anodyne and lagrippe capsules, filled 41,950
Germicide
922 gallons
Fly and mosquito exterminator
490 gallons
M ILLEDGEVILLE STATE HOSPITAL
63
Statement
Debits
Jan. 1, 1929, Inventory as o£ Dec. 31, 1928
$ 4,641.50
Purchases During Year
Drugs, chemical, dental, surgical and
laboratory supplies
*11'^-^
Freight and express
lyl.ii*
Total
Less goods returned
$11,894.07
383.72
Net amount goods purchased
$11,510.35
Deduct: Inventory Dec. 31, 1929
$16,151.85
5,581.85
Amount goods to account for
$10,570.00
Total
Credits
Dec. 31, 1929, Prescriptions tilled for
wards, 37, 661 aggregating
$ 9>*f-f
Sales to officers and employees
/Z1.4U
Total
"
Respectfully submitted,
*10'S7a0°
^ ^^^
Pharmacist.
64
EIGHTY-SIXTH ANNUAL REPORT
Report of Engineer
Dr. R. C. Swint,
Superintendent and Resident Physician.
Dear Sir:
Please find below the annual report of the Engineering
Department for the year ending December 31, 1929.
The new negro building has been completed and is now
occupied. All plumbing, steam fitting and electrical work in
this building was done by this department. The steam for
this building is supplied from the old negro building boiler
room, the efficiency of the boilers in this place having been
increased by placing hand stokers under them. An 8" water
main has been run from near the old negro building boiler
room to the new building. Six-inch branches have been run
from this main to four fire-plugs placed around the building
in accordance to the recommendation of the Southeastern
Underwriters Association.
Water closets have been installed in the two cottages near
the new negro building. These two cottages have been
painted on the outside.
All of the barns and outhouses at the dairy have been
given a coat of whitewash.
The cottage at the dairy, and the one at the mule lot have
been reconditioned. Two rooms have been added to each.
Two ventilating fans have been installed in the Amusement Hall. These fans were paid for by the Occupational
Therapy Department.
The cottage located at the south end of the front yard of
the Green Building has been renovated and painted. A portion of two rooms has been partitioned off to form a toilet
room, and a water closet and lavatory installed therein.
The steps from the railroad level to the lawn level in front
of the Green Building have been relaid. Some of the treads
in this flight are of concrete, there not being enough of the
old granite treads to make the increased height caused by
the lowering of the railroad tracks.
Two cafeteria units have been installed in the dining
rooms of the Twin Buildings. This includes two electrically
operated dish-washers.
The old concrete floor in the negro building kitchen has
been taken up and a new one laid. All of the cooking equipment was reset; new pipe, fittings, valves and a steam trap
MILLEDGEVILLE STATE HOSPITAL
65
being used. One of the old cast iron kettles was replaced by
a new aluminum kettle of the same capacity.
A brick room, 16 feet by 20 feet for use as a pastry room,
has been built on the east side of the negro budding kitchen
This room has a concrete floor, with a center floor dram, and
is connected to the main kitchen by a ten-foot arch.
A bath room, containing a sink, a shower and two water
closets, has been built between the negro building kitchen
and the boiler room. This room connects directly to the
kitchen, and is for the use of the patients and negro employees that work in the kitchen.
The officer's quarters on the third floor of the Male Convalescent Building have been painted throughout.
A plaster partition has been built in the hall on the third
floor of the officer's quarters in the Female Convalescent
Building.
. „ .
A corrugated, galvanized iron garage has been built in
the rear of the L. M. Jones Building. This garage has three
car stalls. Two of these stalls replace the two garages that
were located between the Female Convalescent Building
and the L. M. Jones Building.
.
A tile storm-sewer drainage system has been installed
around the front and the west side of the 1917 negro
building. This system takes off all of _ the storm water that
falls on and around this part of the building.
All of the floors in the old negro building, with the exception of the bath-room floors, have been repaired or renewed.
Also all windows and door frames have been repaired or renewed This same work is .now being done in the Green
Building. The floors in the Green Building are being stained
and waxed as soon as completed.
A flight of concrete steps, thirteen treads high, has been
built from the Twin Building Road to one of the officer s
cottages on this road.
One unit of the Twin Buildings water heating apparatus
has been retubed. Also the water heater at the Green Building, and the water heater that supplies the center portion of
the T O Powell Building have been retubed.
The work of laying the duplicate 12" cast iron water mam
from the waterworks to the Sanitarium will be completed
about the first of March, 1930. Quite a lot of time has been
lost from this work, due to the fact that the labor was required to do the steam work at the new negro building, and
also to do the work around the Female Convalescent Building, preparatory to supplying steam to the L. M Jones
Building.
66
EIGHTY-SIXTH ANNUAL REPORT
A new 1,000 gallon-per-minute, motor-driven centrifugal
pump has been purchased for the waterworks. This pump
will deliver the clear water to the storage reservoir at the
Sanitarium. As soon as the necessary valves and fittings are
secured, this pump will be put in service.
A brick suction well has been built at the waterworks, to
be used in connection with the new clear water pump.
Anticipating the lowering of the water in the river on account of the breaking of the dam at the power plant by the
city of Milledgeville. the intake well at the river has been
remodeled to receive two cast iron sluice gates. These gates
will be placed in the well at a lower level than the present
openings. This will allow the flow of water in the well to be
controlled from the top of the well, no matter how much the
river is lowered by the breaking of the above mentioned
dam. The two gates have been purchased and will be installed during the coming summer.
Once a month during the year, samples of our water were
sent to the State Board of Health for bacteriological analysis. The Board of Health states, that to be safe for drinking,
a water should not show pollution in over 10% of the total
number of samples examined. During this year 190 10 c. c.
portions of our water were examined. Of this number, a
fraction over 4% showed pollution.
The Plumbing and Electrical Contractors have completed
their work on the L. M. Jones Building. The General Contractor has also completed his work, with the exception of a
few minor jobs.
The main sewer line from the Jones Building was installed under contract, under the supervision of this Department. This sewer line is 1,475 feet long, and has a maximum
depth of 36 feet 6 inches. The sewer is laid with a 1% grade.
The steam for the L. M. Jones Building is supplied from
the Female Convalescent Building boiler room. In order to
accomplish this, the following work was done :
A concrete tunnel was constructed between the Female
Convalescent and the Jones Buildings. This tunnel carries
the steam and the steam-return pipes.
A new hand stoker boiler was installed in the boiler
room. This necessitated the enlargement of the boiler room
building, and the erection of a larger chimney. The chimney
erected was a radial tile chimney, 100 feet high.
A new pump-pit was built at one side of the boiler room,
and two motor-driven, centrifugal boiler feed pumps installed therein.
An 8-inch cast iron water main has been run from the
MILLEDGEVILLE STATE HOSPITAL
rear of the Female Convalescent Building to the Jones
Building.
In addition to the ordinary repair work required continually throughout the institution, the carpenter shop, the furniture shop, the shoe repair shop, the broom factory and the
paint shop have been kept busy making and repairing the
various articles required in the different departments.
Respectfully submitted,
W. S. JETT, JR.,
Engineer.
68
EIGHTY-SIXTH ANNUAL REPORT
Report of Farm Steward
Dr. R. C. Swint, Superintendent.
Dear Sir:
I wish to submit my report for the fiscal year ending December 31, 1929.
The following is a list of food stuffs produced during the
year:
Beans, Otonton
200 Bushels
Beans, butter
1018 Bushels
Beans, snap
975 Bushels
Beets
445 Bushels
Cabbage
28,026 Heads
Collards
22,750 Heads
Cantaloups
25,438 Heads
Corn
21,532 Bushels
Corn, roasting ears
26,415 Bushels
Corn meal
1,037 Bushels
Cucumbers
196 Bushels
Fodder
99 Tons
Egg Plant
74y2 Bushels
Lettuce
690 Heads
Oats
807 Bushels
Oats and vetch hay
37 Tons
Okra
1,324 Bushels
Onions
1,246 Bushels
Peas, garden
58 Bushels
Peas, green field
400 Bushels
Peas, field dried
250 Bushels
Pecans
1,350 Pounds
Peppers
171 Bushels
Peaches
1,589 Baskets
Pork, dressed
59.385 Pounds
Potatoes, Irish
727V2 Bushels
Potatoes, sweet
14,182 Bushels
Rape
,
1,809 Bushels
Rye
11 Bushels
Spinach
290 Bushels
Squashes
1,424 Bushels
Tomatoes
1,066 Crates
Turnips and turnip salad
2,919 Bushels
Watermelons
27,591
Ensilage
433 Tons
MILLEDGEVILLE STATE HOSPITAL
69
Dairy
Sweet milk
Sweet cream
Beef dressed
Calves sold. Three calves and one bull for
Manure sent to fields
50.425 Gallons
34'4 Gallons
4,425 Pounds
$113.00
1.258 Loads
Chicken Yard
Hens issued
Roosters issued
Friers issued
Eggs received
"°
9
*>4y
2,610 Doz.
In addition to producing these food products I have
moved all the coal from the chutes to the Center Building,
Colored Building and the shop boiler rooms, distributed
coal to officers' houses and all the pavilions that are not
heated from the boiler rooms. Have moved the cinders from
the boiler rooms and have maintained the entire road system
of the institution.
I have also cut and distributed to the Officers' houses and
various kitchens about 600 to 700 cords of stove wood.
I wish to thank you, the Board of Trustees, the Officers
and others of the institution for the gratitude and co-operation shown me throughout the year.
Respectfully yours,
F. C. PENUEL,
Farm Steward.
EIGHTY-SIXTH ANNUAL REPORT
70
Report of Treasurer
March 13, 1930.
Dr. R. C. Swint, Supt.,
Milledgeville, Ga.
My dear Sir:
I beg to submit below a report of the receipts and disbursements of the treasurer of Georgia State Sanitarium
for the year 1929.
Dec. 31, 1928, Bal. cash on hand $ 84,152.62
Special Appropriations
60,659.08
Regular maintenance fund
950,000.00
Homer Bivins, Std
5,689.23
Interest
601.27
$1,101,102.20
Disbursements for the year
Dec. 31, 1929, Bal. cash on hand..
$1,099,675.95
1,426.25
$1,101,102.20
The above report is correct.
OTTO M. CONN,
Treasurer Georgia State Sanitarium
Witness:
H. H. HERNDON,
N. P. B. Co., Ga.
MILLEDGEVILLE STATE HOSPITAL
71
Report of Steward
Fiscal Year Ended December 31, 1929
Milledgeville, Ga.,
December 31, 1929.
Dr. R. C. Swint, Supt.,
Milledgeville State Hospital.
Dear Sir:
I submit herein a comparative financial report of the condition of the
MILLEDGEVILLE STATE HOSPITAL
for the fiscal years ended December 31, 1928-29; also comparative detailed statements of receipts and disbursements
and other data for these periods.
It appears that the operation of the hospital during these
years was confined within its income by narrow margins,
but that its cash deficit of $12,122.16 at the end of the 1928
period, was displaced with a balance of $2,770.07 at the close
of 1929, provided its maintenance appropriation had been
paid in full to the end of the year.
According to the books and accounts in this office the income of the hospital for the year 1929, less INTERNAL
INCOME, was $1,200,635.17, and its expenditure $1,198,064.83; a difference of $2,570.34 in excess assets. On this
basis its per-capita cost compared favorably with that of
1928 (The appropriations for the two years being the same)
and is as follows :
1928
1929
Annual per-capita cost
....'$233.55
$229.56
Daily per-capita cost
63,98
.62,89
The daily average number of patients increased from
5,046 in 1928 to 5,219 in 1929, a difference of 173, and while
supported at a lower annual cost than in 1928, necessitated
an increased expenditure for the year of $39,713.88.
A total of $325,906.58 was spent during the years 1928-29
in the construction of the Psychopathic or Jones building.
$293,380.14 of which was in 1929, and $202,300.17 in the
construction and equipment of the new negro building,
$12,045.45 of which was spent during 1929, making a total
expenditure of $528,206.75 against special appropriations
made in 1927-29 for new buildings, and leaving an available
balance of $21,793.25 for completion, equipment, etc.
11
EIGHTY-SIXTH ANNUAL REPORT
Of the appropriations for new buildings, aggregating
$550,000.00, the state has paid the sum of $262,746.42, leaving an unpaid balance of $287,253.58 now due. The payment
of $262,746.42 made by the state against these appropriations when applied to the sum expended for the construction and equipment of new buildings leaves a balance of
$265,460.33, the greater part of whicn has been temporarily
borrowed from banks by contractors and others with requisitions on the Governor used as collateral. A further payment has been made on this expenditure by a disbursement
of some $39,927.67 from the regular maintenance fund, and
the balance is still due contractors, individuals and corporations for labor and material supplied.
The sum of $45,947.58 was spent during 1928-29 against a
special appropriation of $80,000.00 made in 1927 for the erection of a lank and tower, the enlargement of the waterworks system, the laying of a duplicate water-main, etc.;
leaving a balance of $34,052.42 available for the completion
of this work. Of this expenditure of $45,947.58, the state has
paid the sum of $45,118.01.
The following exhibits and schedules set forth in detail
the condition of all accounts, and are used in support of the
figures above given.
Exhibits:
No. 1. Comparative Balance Sheets December 31, 1928-29.
No. 2. Comparative Statements Receipts and Disbursements, 1928-29.
No. 3. Consolidated Cash Statement Receipts and Disbursements for 1929.
No. 4. Statement Receipts and Disbursements Account
Special Appropriations.
No. 5. Statement of Special Appropriations, Expenditure
and Balance Available.
No. 6. Profit and Loss Statement, Farm, Garden and
Dairy.
No. 7. Statement of Operating Funds, Per-capita, etc.
Schedules:
No. 1. Accounts Payable as of December 31, 1929.
No. 2. Accounts Receivable as of December 31, 1929.
No. 3. Production, Farm, Garden and Dairy.
We have been financially embarrassed throughout the
year, not alone because of our inability to promptly pay our
officers and employees, but our creditors as well.
The financial condition of the state treasury and its failure to pay our maintenance fund when due, has made it impossible for us to promptly pay our current obligations, and
MILLEDGEVILLE STATE HOSPITAL_
73
we closed the year with more than $200,000.00 in unpaid accounts, payrolls, etc.; many of which were more than three
months past due, and all payable from our regular mamtenance. We also closed the year with more than $^A),UUU.UU
due us on special appropriations, the greater part of which
had been borrowed and spent.
The non-payment of our appropriations both regular and
specials upon their due dates has further handicapped us, in
that it has necessitated the payment of interest on borrowed
money and on past due accounts. Since there is no provision
made for the payment of this item of expense, it must of
necessity be incorporated in OUR EXPENDITURE and
deducts'from our maintenance. The failure of our creditors
to invoice accrued interest at end of fiscal year, accounts for
the small amount shown in report, and the full amount of
this unforeseen item of expense must appear in report for
1930.
Strict economy has been practiced throughout the year,
and such distribution made of the limited funds available
for our support as would best tend to maintain the confidence and good will of our officers and employees, as well
as that the hospital has always heretofore enjoyed from the
business people of this and other states.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT NO. 1
Comparative Balance Sheet, December 31, 1928-29
Explanatory
CASH:
Treasurer—General Fund
Treasurer—Patients Fund
Treasurer—Occupation Therapy Department
Steward—Working Fund
Steward—Time Deposit Merchants & Farmers Bank
Steward—Time Deposit Exchange Bank
ACCOUNTS RECEIVABLE:
Officers, Employees and Others
DUE BY TREASURY DEPARTMENT:
Unpaid Expenditure against Special Appropriations
Unpaid Requisitions Against Maintenance Appropriation
STOCKS:
General Merchandise
Fuel-Coal and Coke
Drugs—Chemicals and Sundries
Engineering Materials
Packing House Products
Drygoods, Clothing, Etc.—In Manufacture
Farm Supplies
Dairy Feeds
_
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTALS
1928
1929
Increase
$ 26,429.35
11,126.26
4,070.62
3,000.00
1,666.67
1,230.02
12,302.55
4,214.40
3,000.00
1,440.38
1,230.02
1,176.29
143.78
1,292.88
1,316.30
23.42
20,596.53
266,290.90
250,000.00
245,694.37
250,000.00
58,761.93
26,395.36
. 4,641.50
14,245.78
3,286.82
1,890.76
1,283.75
1,186.50
53,375.30
20,257.29
5,581.85
11,862.96
5,504.25
833.48
284.70
450.70
1,055.21
3,232.64
2,177.43
$182,159.94
$641,177.72
$502,373.07
Decreas
26,429.35
w
X
H
K;
226.29
■r.
X
H
5,386.63
6,138.07
940.35
2,382.82
2,217.43
1,057.28
999.05
735.80
$ 43,355.29
>
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O
EXHIBIT NO. 1
Comparative Balance Sheet December 31,1928-29—(Continued)
Explanatory
1928
Due Special Funds
$ Am{f?
Brantley Building
?«fi'<n
Occupation Therapy Department
Tiam
Occupation Therapy Department—Female
»,«»./u
Occupation Therapy Department—Male
i.001.1/
Female Commissary
''m/
Water Works
TRUST FUNDS:
&2fi
Patients Deposits
'
DUE TREASURER:
Overdraft General Fund
ACCOUNTS PAYABLE:
16,902.38
Individuals and Corporations
WAGES AND LABOR:
Officers Salaries
^2 129 35
Employees Wages
>
Due Contractors and Others, for labor and materials in
construction of new building. Temporarily paid with
requisitions on Governor, and discounted by banks
EXCESS ASSETS:
innaitAt,
Net at End of Years
100,625.45
■$182.159.94
TOTALS
1929
Decrease
Increase
$
187.98
r
r
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779.50
4,217.40
405.90
5,786.28
1,440.38
145.78
124.97
327.58
12,302.55
1,176.29
w
203,832.67
203,832.67
>
42,997.97
26,095.59
6,290.72
33,047.22
917.87
220.79
2,406.71
r
r
w
H
W
X
239.17
o
I—V
225,923.89
225,923.89
104,153.24
3,527.79
$641,177.72
$462,072.43
>
r
$
3,054.65
EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years, 1928-29
Explanatory
State Appropriation—Regular
MISCELLANEOUS:
Interest on Balances
Donations
1928
$1,200,000.00
1929
$1,200,000.00
1,774.89
69.68
635.17
.'$1,201,844.57
$1,200,635.17
1,247.90
1,960.85
3,196.33
1,729.54
56.00
861.44
547.30
185.00
3,603.68
1,223.61
2,044.02
3,195.97
1,682.52
42.00
925.74
57,714.28
24,218.15
146.01
265.09
„$1,215,232.61
$1,292,092.56
Increase
Decrease
1,139 72
69 68
i
Total, Less Internal Income
INTERNAL INCOME:
Board of Officers
Board Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales, Ice
Sale—Farm Products
Sales—Dairy Products
Fines
Sundries
GRAND TOTAL
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Stewards Department
Engineering Department
Farm and Garden
Dairy Department
$
_
„
_
_
82,517.86
256,287.67
50,168.13
67,480.73
10,944.37
3,091.46
$
1,209. 40
$
24. 29
83.17
36
47 02
14 00
64.30
57,166.98
24,218.15
$
81,532.60
$
4,672.65
$
3.526.23
10,596.06
1,149.73
1,882.00
125.73
125.64
X
H
X
>
c
38, 99
3,338. 59
78,991.63
266,883.73
51,317.86
65,598.73
10,818.64
3,217.10
5
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EXHIBIT NO. 2
Comparative Statement Receip^s^ndDisbursejr^rrtsYears 1928-1929—(Continued)
Increase
1929
1928
99,665.14
451,557.99
^^!Z „==
T^89T85
5,343.69
20,344.51
FOOD SUPPLIES:
^ 1S)000.82
5,579.10
General Wards
5,946.22
76.20
1,320.26
Nurses Home
1,244.06
Stewards Dining Room
3,177.29
Supts. Dining Room
75 241 15
78,418.44
40,479.78
MISCELLANEOUS:
4l|417.93
Clothing and Dry Goods
64^578.14
52,748.37
Furniture and Bedding
11*876.76
9,855.95
2,378.94
Fuel
2*695.56
Medical Supplies
390.71
140.14
Stationery and Postage
251.59
217.50
1,410.98
Advertising
1,839.68
Amusement's
409.65
301.18
Repairs—Autos and Trucks
1,722.50
1,462.94
105.19
Barber Supplies
'450 04
555.23
38.50
Broom Factory Supplies
g7 50
126.00
Blacksmith Supplies .,
572.06
544.28
10.21
Cemetery Supplies
? 345 33
2,356.04
:
Dental Supplies and Repairs
1*872.54
1,827.74
Dining Room Supplies
-.
•-] 507 90
193.35
Electric Light Repairs and Supplies
'210*16
54.70
264.86
Electric Power Supplies
45
49.60
31
81.05
Escaped Patients
3,949.86
3,416.49
Florists Supplies
169.78
6.50
1,127.05
Gas and Oils
9,875.31
11,002.36
95.90
Garage Supplies
95.90
Housekeeping Supplies
Decrease
367.12
938.15
11,829.77
2,020.81
316.62
250.57
34.09
428.70
108.47
259.56
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27.78
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44.80
1,314.55
H
333.37
163.28
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EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Explanatory
Harness Repairs
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries
Musical Instruments
Office Supplies
Telephone and Telegraph, Supplies
Printing
Poultry Yards
Registration—Autos
Surgical Instruments
Telephone and Telegraph
Tobaccos
Tools and Implements
Travel
X-Ray Supplies
Sundries
FARM AND GARDEN:
Freight and Express
Misc. Supplies and Repairs
Seed
~
$
„
_
1928
2,219.45
495.63
3,419.09
1,249.39
5,679.75
25,364.62
200.79
556.30
34.68
2,616.19
1929
2,413.90
1,602.91
3,909.70
628.15
$
889.47
1,887.55
52.75
620.10
557.24
7,555.32
591.00
2,465.85
211.53
1,512.27
5,071.74
28,054.35
188.60
2.00
32.33
958.45
190.56
1,312.55
782.09
47.50
158.10
650.04
9,100.57
510.02
1,853.57
176.70
1,164.24
280.70
1,936.85
1,647.35
55.90
1,802.96
1,588.56
Increase
194.45
1,107.28
490.61
Decrease
W
621.24
$
2,689.73
H
608.01
12 .19
554 30
2, 35
1,657 74
190.56
423.08
92.80
1,545.25
o
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1,105. 46
5 25
462 00
80 98
612, 28
34 .83
348 03
224.80
133.89
58.79
a
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EXHIBIT NO. 2
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Increase
1929
l
Explanatory
_
—
5,390.70
12,941.64
Fertilizer, Commercial
9«>fir*
'2,681.48
Board of Employees
win
126.25
Treating Hogs and Mules
MO.W
DAIRY:
.„nnn
34.49
514.49
Board of Employees
?I?'R7
91.85
. 304.72
Misc. Supplies and Repairs
17827
44.05
222.32
Freight and Express
1102154
10,262.35
Commercial Feeds
"
'
MAINTENANCE OF PLANT:
]73S4\
709.96
Brick
*
VnSIU
2,248.58
Builders Hardware
2 202 24
1,327.50
Cement'
' on o%
Crushed Stone
207' *e
538.02
835.40
Cooking Apparatus
204 91
46.01
Fire Apparatus
30 V4?
119.85
Grading Supplies
?01 10
294.14
495.24
Ice Works
~-xe,f,ea
249.70
616.37
Lime Hair and Masons Supplies
n^'cri
7,404.95
Lumber and Building Materials
102 SO
137.43
239.93
Machinery Supplies
, 43796
3,427.64
Painting Supplies
Vmo'«1
2,435.72
Plumbing Supplies
486 24
86.75
Pump Repairs
,.„'„,
213.11
632.04
Range Repairs
272 86
175.94
Sewer Supplies
' ." R
183.02
1,097.30
yi
Steam Pipe Fittings
^°
Decrease
14.85
17.25
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r
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759.19
1,028.45
802.56
874.74
87.23
158.90
273.57
6,071.55
3,010.32
1,574.09
399.49
96.92
r
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EXHIBIT NO. 2
o
Comparative Statement Receipts and Disbursements Years 1928-1929—(Continued)
Explanatory
1928
1929
Tinners Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Autos and Trucks
Live Stock
Picture Show Equipment
Cafeteria Equipment
Topographical Map
1,169.49
809.07
1,558.52
782.34
1,328.88
950.97
519.81
2,075.00
1,000.00
200.00
2,191.00
1,675.00
116.00
675.00
3,872.54
4,000.00
3,872.54
4,000.00
$1,289,522.22
$ 144,708.52
TOTAL DISBURSEMENTS Plus Internal Income —$1,191,871.25
DIFFERENCE:
Operating Loss/Gain for Years
__
23,361.36
GRAND TOTAL
$1,215,232.61
Decrease
Increase
387.15
607.55
200.00
$
47,057.55
20,791.02
$ 144,708.52
X
H
X
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2,570.34
$1,292,092.56
X
H
$
67,848.57
*J
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O
90
H
EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements
2
V "2
C
C 3
EXPLANATORY
O
Balance from 1928
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation
Regular
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales Store Supplies
Totals
Transferred by Steward
Balances .
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
"■"■"■"■■■■'■■
$
5-g
■e
c
o >,
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3
+5 3
in
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rt &
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26,429.35 $11,126.26 $ 3,000.00 $ 2,896.69
-*-* .t^
C
<D
♦3
rt
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O
Gi<u
u
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$ 4,071.62
M
C
3
9,811.25
r
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11,126.26
rf
w
950,000.00
60,659.08
641.33
28,142.87
7,339.35
25,274.08
5.50
$1,065,872.63 $11,126.26 $35,618.93 $
7,344.85 25,274.08 32,618.93
$1,073,217.48 $36,400.34 $ 3,000.00i$
1,277,050.151 24,097.79 46,278.291
| $ 203,832.67 $12,302.55 $49,278.29|$
46,278.291
I $ 203,832.67j$12,302.55|$ 3,000.001$
70.27
145.78
1,012.20
52H
145.78
W
25,274.08
985.09
3,952.05 $10,969,231$ 4,217.40 $36,400.34
3.952.05 $10,969,231$ 4,217.40 $36,400.34
559.65|
1,281.65
2,670.40 $10,409,581$ 4,217.40 $36,400.34
24,097.79
2,670.4Ol$10,409.58!$ 4,217.401$12,302.55
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SUMMARY
CREDITS:
DEBITS:
Treasurer—Patients Fund
$ 12,302.55
Steward—Working Fund
3,000.00
Steward—Time Deposits
2,670.40
Treas.—Occupation Dept. Special ..
4,217.40
Due by New Negro Building
12,045.45
Due by Psychopathic Building
253,415.88
Due by Water-works
829.57
Due Treasurer—Overdraft
Occupation Therapy—Depts
Due Patients Deposits
Due Brantley Building
Due Female Commissary
Due Maintenance Fund
$288,481.25
TOTAL
.
TOTAL
:
X
H
X
$203,832.67
10,409.58
12,302.55
779.50
1,440.38
59,716.57
>
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$288,481.25
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EXHIBIT No. 3
Consolidated Cash Statement of Receipts and Disbursements-(Continued)
ho
>i ho
3 c
ir>
£2
EXPLANATORY
CQffi
Balance from 1928
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation
Regular
Special Appropriations
Interest on Balances
Checks Returned
Miscellaneous Sales
Sales Store Supplies
Totals
Disbursed on Vouchers
Balances —
Disbursed by Steward
Balances
—>
2.3
bo-o
•a
M
J3-5
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1,661.17
18,095.91
70.27
990.59
$
$
$
c/3§
CO
$ 18,095.91 $ 2,500.62]$
967.48
rt o
££
42,464.88
S B
t! C
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2,406.71
98.29
42,147.58
r
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950,000.00
H
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W
641.33
28,142.87
6,327.15
K
O
$ 39,964.26 $ 2,505.00 $1,027,258.93
2,722.03
967.48
3,334.57 945,361.86
293,380.14
$
12,045.45
1,281.65
187.98
81,897.07
$
829.57
779.50 $ 1,440.38 $ 12,045.45 $253,415.88
22,180.50
829.57
$
59,716.57
$253,415,
$
12,045.45
779.501$ 1,440.38
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EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations
EXPLANATORY
Balance Cash in Hand from 1928
Cash Receipts from State Treasury During Year
Less Balance due on 1928 Expenditure
Balance to Apply on 1929 Expenditure
.'.
Balance due by State Treasury on 1929 Expenditure
TOTALS
_
EXPENDITURE:
o2
<U
O
o
££
o
h
2,406.71
2,406.71
98.29 60,659.08
42,464.88
20,596.53
2,500.62
39,964.26
2,505.00 42,469.26
829.57 266,290.90
12.045.45l 253,415.88)
$ 12,045.45|$293,380.14|$ 3,334.57 $308,760.16
o
517.16
50.14
1,717.98
22,237.00
893.15
10,169.54
473.01
373.54
1,998.80
6,968.80
587.00
400.00
105.44
10,332.23
1,659.58
3,500.00
2,634.49
>
18,095.91
18,095.91
517.16
50.14
1,717.98
22,237.00
893.15
10,169.54
473.01
105.44
43.87
390.50
373.54
1,998.80
6,968.80
587.00
400.00
10,288.36
568.01
3,500.00
2,634.49
701.07
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EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations— (Continued^
i> SO
EXPLANATORY
Foreman
Floor Hardener
Face Brick
Furniture and Bedding
Finishing Hardware
Glass and Glazing
Grounds
Heating Equipment
Hollow Tile
EXPENDITURE:
Housekeeping Supplies
Interest and Discount
Inspection—Architect's —
Kitchen Supplies
.
Limestone and Granite
Labor
Laundry Chutes
Light and Power ....
Mill Work
Marble Tile and Terrazo
Metal Cabinets
Metal Bucks and Doors
Ornamental and Sundry Iron
Pumps
Painting ^^^^r;-;-;;;;;::;;;;-;;;;.
rt ho
.cm
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^
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1,980 00
650.00
12,723.96
4,001.59
4,094.00
300.00
200.00
14,739.00
10,911.50
1,980.00
650.00
4,001.59
28.60
2,908.31
12,723.96
4,094.00
300.00
200.00
14,739.00
10,911.50
8,287.48
2,405.71
6,586.00
446.00
200.00
1,399.59
14,892.00
15,693.09
350.00
4,214.00
5,641.00
2,180.00
400.00
H
28.60
8,287.48
2,405.71
2,908.31
6,586.00
446.00
200.00
1,399.59
14,892.00
15,693.09
350.00
4,214.00
5,641.00
2,180.00
400.00
r1
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Plastering
Plain Concrete
Plumbing
New Negro Bldg.
EXPLANATORY
Psychopathic Bldg.
EXHIBIT No. 4
Statement of Receipts and Disbursements—Account of Special Appropriations—(Continued)
21,057.00
1,520.00
22,414.71
20,079.90
2,110.34
Right of Ways
Roof Sheathing
Roofing and Sheet Metal .
351.12
971.61
TOTALS
21,057.00
1,520.00
24,525.05
20,079.90
7.50
650.00
11,829.00
1,560.00
2,162.00
9,317.00
250.00
1,170.75
6,942.61
4,044.60
1,783.00
348.00
96.00
19,330.00
7.50
1,120.00
M
O
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X
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1,120.00
11.06
$
11.06
390.00
390.00
205.00
205.00
512.00
512.00
$ 12,045.45 $293,380.14 $ 3,334.57|$308,760.16
$
-
O
H
650.00
11,829.00
1,560.00
2,162.00
9,317.00
250.00
1,170.75
6,591.49
3,072.99
1,783.00
348.00
96.00
19,330.00
Screens
T. C. Trim
EXPENDITURE:
U (A
$
EXHIBIT No. 5
Statement Special Appropriations, Expenditure, and Balances Available
to
rt o
EXPLANATORY
ffi
Appropriated During 1927 for New Buildings
A^laS^
TOTALS
Less Expenditure to Date ..........
.............
"
Balances Available for Completion and Equipment
—
■ $
500 00
'
'
528,206.75
$ 21,793.25
1* •—__
O
H
$500,000.00
80,000.00
50,000.00
80,000.00 $630,000.00
45,947.58 574,154.33
34,052.42 $ 55,845.67
$ 80,000.00
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EIGHTY-SIXTH ANNUAL REPORT
EXHIBIT No. 6
Profit and Loss Statement, Farm, Garden and Dairy
<=8 c
Explanatory
Q
Inventories Beginning of Year
PURCHASES DURING YEAR:
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
Feeds—Home Grown
TOTALS
Deduct Inventories at End of Year
Net
Gross Profit for Year
Grand Totals
OPERATING EXPENSE:
Wages and Labor
Miscellaneous Supplies and Repairs
Treatment of Live Stock
Board of Employees
TOTALS
Net Profit for Year
Grand Total
PRODUCTION:
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Compost
Miscellaneous Food Supplies
Cash Sales
TOTALS
Gross Profit, down
o
H
$33,095.00 $20,468.50 $53,563.50
9,442.64
7,028.90
3,499.00
1,588.56
55.90
222.32
7,050.00
$47,681.10 $34,769.72
45,250.00 14,890.80
$ 2,431.10 $19,878.92
57,170.78 4,339.23
]$59,601.88 $24,218.15
9,442.64
7,028.90
3,499.00
1,588.56
278.22
7,050.00
$82,450.82
60,140.80
$22,310.02
61,510.01
$83,820.03
$10,818.64$ 3,217.10 $14,035.74
1,802.96
304.72 2,107.68
126.25
126.25
2,681.48
514.49 3,195.97
$15,429,331: 4,036.31 $19,465.64
302.92 42,044.37
41,741.451
$57,170.781$ 4,339.23 $61,510.01
$47,817.68
8,500.55
1,334.25
1,887.60
61.80
$59,601.88
57,170.78
$47,817.68
9,146.60
1,334.25
19,963.10 19,963.10
3,499.00 3,499.00
1,887.60
110.00
171.80
$24,218.15 $83,820.03
4.339.23 61,510.01
646.05
EXHIBIT No. 7
Statement ofOperating Funds, Per-Capita, Etc.
1929
I
1928
I
EXPLANATORY
69,412.33 $ 539,794.55 $
Cash and Cash Items
12,122.16
Cash Deficit at End of Years
$ 81,534.49]$ 539,794.55 $
TOTALS
250,855.90
25,972.87
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
42,997.97
16,902.38
Accounts Payable
39,337.94
38,659.24
Salaries and Wages
■- -•203,832.67
Due Treasurer, Overdraft General Fund
2,770.07
Balance
539,794.55j$
$ 81,534.49
TOTALS
Increase |
470,382.22
470,382.22]$
Decrease
12,122.16
12,122.16
224,883.03
t—i
r
r
w
26,095.59
678.70
203,832.67
2,770.07
458,260.06
in
H
>
H
W
K
COMPARATIVE PER-CAPITA, YEARS 1928-1929
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
Per-Capita Cost for Year ..
Per-Capita Cost for Day ..
$1,191,871.25 $1,289,522,221$
91,457.39|
13,388.04
1,178,483.21 1,198,064.83|
5,219
5,046
229.56)
233.55
0.62,89
0.63,98
r1
r
w
b
o
w
<
97,650.97
78,069.35
19,581.62
173
O
in
•xl
i—t
H
3.99
>
r
90
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 1
Accounts Payable as of December 31st, 1929
NAME
Adams, Clifton
Aetna Life Insurance Co
Allen, Bona
Alphons Cust'odis Chimney Construction Co. .American Bakeries Co
American Railway Express Co
Armour & Co
Atlanta Constitution, The
Atlanta Dental Supply Co., The
Atlanta-Godman Shoe Co., The
Atlanta Journal Co., The
Banks, H. G
Barnhouse, C. L
Barrett-Watson Co
Beck & Gregg Hardware Co
Bell Dry Goods Co., E. E
Bell Grocery Co
Bland Lumber Co
Bone & Shy Agents
Bowen Brothers Hdw. Co
Brantley, John T
Brown Co. D. W
Burford Hall & Smith
Burke Co., J. W
Burke, Inc., T. C
Campbell Coal Co
Capitol Electric Co
Carithers-Wallace-Courtney
Carr Co., A. J
Central of Georgia Railway Co
Chandler's Variety Store
Coleman-Meadows-Pate Drug Co
Collins, W. H
Conn, Agt. O. M
Conn Co., John
Crane Co
Culver & Kidd Drug Co
Dairy & Farm Supply Co
Dunlap Hardware Co
Electric Vacuum Cleaner Co., Inc
Ennis, J. H
Erwin, J. D
Estes Surgical Supply Co
Evans, W. C
Evansville Packing Co., The
Fillman Co., John W
Foley Co., Howard P
Fowler & Flemister Coal Co
Frederick Disinfectant Co
Friedman Shelby International Shoe Co
Fulton Electric Co.
Gambrell, P. H
Debits
Credits
$
1-20
938.44
7.90
12.36
230.00
4.85
439.76
8.64
17.22
2.62
16.80
948.80
19
57.30
23.30
12.25
1,368.62
57.72
100.00
-57
410.83
9.55
1,090.00
10.17
125.60
223.28
791.68
-30
364.75
4,717.02
7.11
94.74
100.80
13.50
405.27
60.24
2.00
13.77
-51
10.07
1,402.74
156.63
6.02
620.00
787.50
1-50
479.30
318.50
15.00
14.37
43.87
25.00
91
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1929
NAME
General Electric Supply Corp
General Electric Co
Georgia Banana Co
Georgia Power Co
Georgia Railroad Co
Gilham Electric Co
Gilman, j. M
Gilman, W. P
Graybar Electric Co
Grinnell Co
Gulf Refining Co
Hall, Dr. T. M
Halliburton Co., T. H
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
Herring, Frank S
Hollinshead, G. W
Ivey, W. H
Jakes Shoe Store
Jordan, L. N
Joel Manufacturing Co
Johns-Manville
Lombard Iron Works & Supply Co
McKesson-Riley Drug Co
McKinnon Motor Co
McKinley, G. C
McMillan, R. W
McCray Refrigerator
Macon Electric Co
Macon Telegraph Publishing Co., The
Malt Diastase Co
Manufacturers Record
Mathieson Alkali Works
Metz, Laboratories, H. A
Milledgeville Telephone & Telegraph Co
Milledgeville Brick Works
Nash Engineering Co., The
Newell, A. C
Oconee Clay Products
Peeler Hardware Co
Pitner, W. C
Pick & Co., Albert
Pocahontas Finishing & Commission Co
Rambo Co., R. K
Ray-Lyon Co., Inc
Rhoads & Co
Richardson Milling Co., O. N
Robinson, A. M. & Co
Rothschild, David & Co
Sanders, Laetus
Schofield's, J. S. Sons Co
Seft'on Manufacturing Co
Credits
Debits
260.65
6.49
100.42
3,071.77
12,425.46
30.48
21.53
69.83
28.26
108.37
113.74
37.50
834.41
140.24
250.0U
1,000.00
557.61
395.80
108.90
/B
.52
473.01
45.02
103.26
4.75
689.20
236.64
14
-!'
-
1.02
13.50
35.63
11.20
42.87
60.00
51.99
17.30
929.07
25.00
176.69
4.01
25.00
446.08
.91
81.97
1.20
.86
123.00
20 40
-
143.70
150.00
72.94
39.00
92
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31st, 1929
NAME
Selig Co
Shaw, Dr. H. M
Silvermans Bakery
Slusky, David & Son
Southern Paint & Varnish Co
Sparta Crushed Stone Co
Spiller's Cannery, W. A
Standard Sanitary Mfg Co
Stembridge & Co
Stephens, Inc
Swift & Co
Taylor Iron Works
Thomas County Produce Exchange
Tidweii, L. E
Trawick, S. B
Tropical Paint & Oil Co
Truscon Steel Co
Union Recorder
Veal, O. F
Wager & Co. .
Washburn Crosby Milling Co
Warren Webster & Co
White Provision Co
Whit'field Grocery Co. ...
Wood, R. D. & Co
Youngblood, J. M
TOTAL
Debits
Credits
9.S0
1.01
48.72
ZZZZZ
19 U
...;;;"";
ZZZZZZ
ZZZZZZ
10 00
23.04
162.50
125.00
104.50
153.98
118.50
16.91
139.50
49.37
199.52
240.81
887.80
47.48
51.78
30.00
193.38
553.01
133.03
4.25
339.98
37.20
$
437.11
$43,435.08
93
UTT T.F.nc-EVlLLE STATE HOSPITAL
SCHEDULE No. 2
Accounts Receivable as of December 31st, 1929
Debits
NAME
Adams, Eula
Adams, Lois
Adams, Leila
Adcock, Dr. J. C
Allen, L. E
Allen, T. M
Allen, W. K
Anderson, Mary H
Andrews, Kate
Austin, Augustus
Austin, Jessie Lee
Badger, F. D
Bailev, La Rue
Bailey, R. F
Baugh, W. E
Beck, Bethel
Beck, Ophelia
$
,
<
^ $
,'„
.;,n
1&
-^
■%?.
.-^
L
°^
■
'.,.
„
'
-™
\-'Ji
^
■'"
^
,^i
Berry, W. T
\f:
Bivins, Homer
Blackwell, A. N
Blount, Cleo
Bonner, A. E
Bonner, M. M
Bonner, R. B
Bostick, Dr. W. A
Bowen, Dr. U. S
Bradford, Dr. R. W
Brannan, Mrs-. Belle
Brantley, Clara
Brantley, C. L
Brantley, T. C
Brookins, E
Brooks, Arline
Brooks, Mary, Sr
Brooks, Mary, Jr
Brown, Dan
Brundage, Ellie
Butts, Compton
Califf, D. C
Califf, H. G
Calloway, Naomi
Carter, Josephine
Case-Fowler Lumber Co
Champion, R. L
Clay, Laura
Coats, Margaret
Collins, A. J
Collins, Virginia
Combes, Louise
•„„
^
'oc
'7f)
'^
.'.,„
Cooper, Annie
Credits
1ZU
340
r'^
—
-
^
5;
„c
'_„
j^i
-•_,,
^°
'70
.'^Q
.'„„
■
£"
°"
',.
.._•.„
ify
• Q
•-,
^
.'r.-,
^
'20
94
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No, 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Debits
Cox, Dr. C. G
Cox, Willie Mae
Coxwell, Mrs. T. B
Criswell, I. G
Crumby, Gladys
Curtis, J. L
Davis, J. Roy
DeSaussure, T. H
Dickerson, A. B
Dobyns, Dr. W. F
Durden, Paul
g^den, W. R
Echols, Marie
Echols, Dr. G. L
Edwards, G. W
Edwards, Mary A
Edwards, Minnie
English, Mrs. Rillie
Epps, R. S
Evans, Sarah
Farell, Arthur
Finsley, Ellison
Frederickson, Miss L. C
Gambrell, P. H
Garland, Lillie
Garland, Rosa
Garrard, Dr. J. I
Gay, Thetus
Gilman, H. E
Gilman, James, Jr
Gilman, J. M
Gilman, W. F
Golden, Bell
Golden, Willie
Ha'j. Dr. T. M
Hall, Mattie
Hamlin, Vallie Mae
Harding, F. H
Harden, Dovie
Harden, Donnie Mae
Hardie, Blanche
Hardy, James Preston
Hardy, Mrs. A. B
Hardy, Lula
Harris, I. L
Harris, Leonora
Harrison, I. V
Harrison, W. S
Hemphill, W. A
Herringdine, Joe
Hicks, Audry
Hilburn, Ophelia
Credits
17.16
2*30
315
2 72
'99
'45
70
"
Z.
"
ZZZ."
Z.ZZZZZ"
'
'
.............
1!..."""....
'
ZZZZ
10
gQO
'go
2L00
60
70
'52
34
'25
2.00
'30
85
1 76
1 15
65 70
2 95
~\ ZZ
1 33
'35
^ 55
25
70
42
"<n
......ZZIIZZZZZZ
'"""""'
ZZZ"
ZZZ.'.
ZZ.
ZZZ.
69T0
345
60
3^0
500
45
1 ?0
'35
25
60
V
01
2 94
i'7r
90
J'QQ
7'qo
ZZZZZZZZZZZ
L20
2.50
99.68
10.60
MTT
95
T FDGF.VILLE STATE HOSPITAL
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Hilbun, Pauline
Hitson, Linnie
Hobgood, Susie
Holland, Louise Eva
Hollis, D. H
Holsenbeck, J. B
Holsey, L. S
Hubbard, Carrie
Hudson, C. E
Hudson, Mary
Humphrey, Cecile O
Humphrey, Otis
Hunt, Sadie
Jackson, Dovie
Janes, George A
Jett, W. S
Johnson, A. W
Johnson, F. J
Johnson, J. C
Johnson, Myrtle
Johnson, Nancy Lorene
Johnson, R. L
Joiner, Pauline
Jones, H. S
Kelsey, Mariah
Kemp, Maude
Kitchens, Idel
Knowles, Sarah L
Lavender, C. B
Lawson, E. L
Layfield, A. W
Lavfield, B. L
Layfield, J. A
Layfield, R. G
Lee, Lutitia
Lenderman, Lois
Leonard, W. H
Little, F. G
Lingold, Pearl ...
Longino, Dr. L. V
Lundy, E. J
Lyons, Julia
Lyons, Sallie Mae
McCorkle, Kitty
McDade, A. C
McDade, W. C
McDade, W W
McKinley, A. C
McKinley, R. L
McManus, Louise
McMichael, Geo. L
Debits
CreditS
H^
-
3Q
'-o
'-£°
j-~
^
^
20
/^n
j'^
-QO
"pg
'^2
^
-^
60
215
6g
1193
'~„
^
/QO
jjs
'«
2*6n
lg0
',Q
'^
'^j
'en
-™
„„
^
,'^j
264
.'25
jg
740
10 30
^
\Q
'yg
.'R„
^
1ftn
'""
3$
2 1j
',,
'gj
96
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Mahoney, Fannie
Manson, Evelyn
Marsh, J. F
Martin, Janie
Mathews, T. W
•
Medlin, C. P
Mobley, Dr. J. W
ZZZZZZZZ
Moore, Lula
Morris, Addie Mae
..
Moses, Will
Mullinix, D. W
Newell, A. C
ZZZ.ZZZ.
Nelson, Nicie
Olliff, Estell
ZZ.ZZ.ZZZ
Osborn, H. L
Overton, Minnie ....
Payne, Leo
Peacock, Lydia
Penuel, F. C
Peeler, Lorene
Pendleton, Annie B
Perry, Fred H
Pitner, W. C
ZZZZZZZZ
Phillips, Louis
Pitmann, Shellie
Pounds, S. F
Power, W. B
Quinn, C. J
Rankin, Dr. D. T
Reeves, C. F. ...
""
Reed, R. R
ZZZZZZZZ.
Renfroe, Edna
ZZZ.
Renfroe, Samantha
Reynolds, G. B
Reynolds, J. Alfred
Reynolds, T. J
ZZZZZZZZZZZZZ.
Rhodes, Laurice
Rice, Walter
ZZZZZZZZ
Richardson, Janie
Roberts, H. B
ZZZZZZZZ.
Robinson, Johnnie E
'""'
Robinson, Lucile
Rogers, J. A
[
Rogers, W. E
Ross, G. W.
Ross, j. D., sr
....;;
Ross, J. D., Jr
...ZZZ
Sanders, Laetus, Dr.
Sanford, Willie
ZZZ..."
Satcher, Maggie
Satcher, Mattie
.Z..Z
Debits
Credits
.30
142
JQ
138
'50
2 72
SJS
'49
'51
'gQ
'70
69A0
jo
66
25
1 gQ
'35
'3Q
475
'47
'30
'ir
1160
JQ
'59
j'95
'70
or
,„
?r
20
60
2 24
J"oc
7,'f.c
75
<%Q
100
c'nn
50
'3Q
j'30
,•.7?
1fi Co
16
-^
35
1 cn'on
144
'o0
30
l,M
MILLEDGEVILLE STATE HOSPITAL
97
97
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
Debits
NAME
Saulsberry, Sam
Schwall, Dr. E. W
Scott, Sallie
Shaw, Dr. H. M
Shepard, Ruth^
Simpson, B. C
Simpson, Charles E
Simpson, C. H
Skinner, Sallie Mae
Smith, Arthur S
Smith, Dr. l_. K
Smith, E. L
Smith, J. Roger ,
Smith, Jewell
Smith, J. T
Snellings, Corene
Snow, W. H
Sparks, George Mclntosh
Sparks, Wm
Spinks, Nora Elizabeth
Statham, Dr. J. C
State Farm. Ga
Stavely, G. C
Stembridge, W. W
Stinson, J. F
Stubbs, Cleo
Taylor, Hershal
Taylor, Ora
Tennille, A. S
Tennille, W. K
Thomas, Annie M
Thompson, F
Tooel, Elias F
Toulson, John R
Toulson, W. S
Tucker, Martha
U. S. Public Health Service
Usery, W. J
Vinson, J. T
Warnock, H. D
Walker, Carrie B
Walker, Dr. N. P
Waller, Robert
Watson, Mozelle
West, Maggie
Wheeler, Dr. G. A
White, James
Wilson, Ernest
Wood, B. F
Worsham, Dora
Worsham, J. I
CreditS
2 •„.
07
1J!
"
17,ft
u
'Ti
2 75
VQ
-—
-^
</»,
°-^
;1Q
^
'7Q
'65
3'90
.".j
'5Q
-.—
-
/nft
°-^
-'~n
'•"
;7S
j ^
,'Qn
^
'g0
'2Q
^
125
'n9
•"£
■^
„'^7
^5
^5
207
1W7?
lzo
-^
j5
^'JQ
—•■
-----
^
•-„
.„
£^j
j'^g
„".,8
-]°
^j
".c
-^
'oc
3Q
98
EIGHTY-SIXTH ANNUAL REPORT
SCHEDULE No. 2—(Continued)
Accounts Receivable as of December 31st, 1929
NAME
Wright, D. B
Wright, S. R., Jr
Yancey, Bessie
Yarbrough, J. F
Yarbrough, Dr. Y. H
Youmans, Dr. C. R
Young, D. V
Youngblood, C. A
Youngblood, C. E
TOTAL
Debits
Credits
.20
5.40
7.12
17.25
5.00
34.10
3.39
.20
.70
$ 1,449.96
$
133.66
99
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
1,018 Bushels Butter Beans
$ 3,054.00
975 Bushels Snap Beans
V ™
315 Bushels Beets
652.50
22 Bushels Carrots
33.00
30,860 Heads Cabbage
,,(££en
33,685 Heads Collards
Y o?5™
25,538 Cantaloupes
^InZ,
5,356 Roasting Ears
160.68
169 Bushels Cucumbers
no'en
890 Heads Lettuce
9£f0
26 Bushels Egg Plants
78.00
1,324 Bushels Okra
I'mS'cn
1,245 Bushels Onions
T'?!,™
420 Bushels Garden Peas
M^XX
171 Bushels Pepper
468.00
100 Bushels Irish Potatoes
inn,oX°»
14,182 Bushels Sweet Potatoes
'tH™
8
1,734 Bushels Rape
°2-00
265 Bushels Spinach
167.50
1.424 Bushels Squash
3.5W.UU
1,060 Crates Tomatoes
7'?™ en
2,979 Bushels Turnip Greens
M*n*n
26,496 Watermelons
■•*
1,589 Bushels Peaches
3,178.00
1,350 Pounds Pecans
337.50
PACKING HOUSE PRODUCTS:
4.425 Pounds Dressed Beef
58,491 Pounds Pork
POULTRY AND EGGS:
741 Lbs. Hens
1,050 Lbs. .Friers
119 Lbs. Roosters
2,549 Dozen Eggs
DAIRY PRODUCTS:
49,729 Gallons Sweef milk
3554 Gallons Cream
FARM PRODUCTS:
1,356 Loads Compost
FARM SALES:
3 Bushels Corn
100 Pounds Vetch
$
$47,817.68
646.05
8.500.55
$ 8,146.60
146.46
361.06
17-95
808 78
-
? 1,334.^
*,„0™*n
$19,891.60
71.50
$19,963.10
$ 3,499.00
? 3,4yy.UU
$
$
6.00
If-0"
200
iSdz^anz::zzzzzzzzzz _4a§2 $
DAIRY SALES:
1 Bull zzzzzz.
MISCELLANEOUS FOOD SUPPLIES:
Meal and Potatoes
10.00 $
$ 1,887.60
6i.so
no.00
$ 1,887.60
JOHN T. BRANTLEY
President of the Board of Trustees and a member of it from 1901.
EIGHTY-SEVENTH ANNUAL REPORT
BOARD OF TRUSTEES
Milledgeville State Hospital
(Formerly Georgia State Sanitarium)
MILLEDGEVILLE, GA.
For the Year Ending
December Thirty-First
Nineteen Thirty - - -
Board of Trustees
President
JOHN
T. BRANTLEY
Blackshear, Ga.
Vice-President
*THOS.
M. HALL, M. D
Milledgeville, Ga.
Secretary
xC. C. BRANTLEY
Valdosta, Ga.
E. E. LINDSEY
ALFRED C. NEWELL
.....Rome, Ga.
Atlanta, Ga.
P. H. GAMBRELL
LAETUS SANDERS,
WALTER
M. D
C. PITNER
Macon, Ga.
Commerce, Ga.
Athens, Ga.
H. W. SHAW, M. D
Augusta, Ga.
RICHARD BINION, M. D
Milledgeville, Ga.
(From August, 1930).
MRS. FANNIE PEEPLES PATTERSON
Valdosta, Ga.
(From October, 1930).
*Resigned.
xDeceased.
Committees of the Board of Trustees
MlLLEDGEVILLE STATE HOSPITAL
Executive Committee
Alfred C. Newell, Chairman
E. E. Lindsey
*Thos. M. Hall
Walter C. Pitner
xC. C. Brantley
Finance and Auditing Committee
E. E. Lindsey, Chairman
P. H. Gambrell
C. C. Brantley
Committee on Sanitation, Medical and Dispensary
Service
Thos. M. Hall, Chairman
H. W. Shaw
Laetus Sanders
Committee on Buildings and Grounds
H. W. Shaw, Chairman
P. H. Gambrell
Alfred C. Newell
Committee on Farm and Outside Business
Walter C. Pitner, Chairman
Laetus Sanders
P- H. Gambrell
*Resigned.
xDeceased.
Officers of the Hospital
R. C. Swint, M. D
Supt. and Resident Physician
N. P. Walker, M. D
Clinical Director
L. P. Longino, M. D
First Assistant Physician
Y. H. Yarbrough, M. D
...-Second Assistant Physician
J. I. Garrard, M. D
Assistant Physician
Geo. L. Echols, M. D
Assistant Physician
D. T. Rankin, M. D
Assistant Physician
U.S. Bowen, M. D. (Resigned 10/21/30) Asst. Physician
R. W. Bradford, M. D
Assistant Physician
. C. G. Cox, M. D
Assistant Physician
W. A. Bostick, M. D
Assistant Physician
J. W. Mobley, M. D
Assistant Physician,
C.R.Youmans,M.D. (Resigned7/1/30) Jr. Asst. Physician
J.C.Statham,M.D. (Resigned 12/31/30) Jr. Asst.Physician
E. W. Schwall, M. D
Junior Assistant Physician
J. D. Wiley, M. D. (From 11/15/30) Assistant Physician
W. J. Burdashaw, M. D. (Resigned 6/1/30)
Interne
G. K. Cornwell, M. D. (From 9/15/30)
Interne
Raymond Suarez, M. D.(From 10/15/30)
Interne
Geo. H. Green, D. D. S
Dentist
J. C. Adcock, D. D. S
Dentist
J. J. Wooten
Pharmacist
Mrs. Mae M. Jones, R. N
Superintendent of Nurses
Otto M. Conn
Treasurer
Homer Bivins
Steward
W. S. Jett, Jr
Engineer
H. S. Jones
Secretary
F. C. Penuel
Farm Steward
Arthur Farell
Storekeeper
W. W. Stembridge
Sanitation Officer
Leone Frederickson, (Resigned 4/ 30)
Dietitian
Mrs. Geo. L. Echols
Dietitian
Cecil Humphrey
Social Worker
Hines & Carpenter
Attorneys
EIGHTY-SEVENTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
MlLLEDGEVILLE, GA., JANUARY 1, 1931.
To His Excellency, Lamartine G. Hardman, Governor.
Sm:
The Board of Trustees of Milledgeville State Hospital,
charged with the care of the State's insane, respectfully
submits herewith its eighty-seventh annual report
covering the conduct and management of ^ inrtitafaon
for the year 1930. The annual report of the Superintendent and Resident Physician, accompanied by those ot
the heads of departments, forms its principal part and
presents the history of the year ""nteresting d M
The record made is an excellent one and justly entitles this
official, and his assistants, to high praise. The Hospital
continues to make steady progress, even though it be slow,
toward a greater efficiency in the humane purpose tor
which it exists.
The Patients
The year closed with 5320 resident patients in the
Hospital. The average daily number of such was 5^29,
an increase of 110 over the previous year It was
necessary to deny admission to 458 applicants, while 1052
were granted admission. Lack both of room and of funds
for their support made such denials imperative. The rule
of the Board severely restricting admissons to dangerous
cases, and to recent or acute cases, and even these
to vacancies caused by death or discharge, has occasioned
much distress in many instances, but hasbeen unavoidable The reports reaching the Board would indicate that
many of those to whom admission was denied are being
cared for in the county jails in the absence of local
hospital facilities. The Board deeply ^egrets this condition and again urges that the funds appropriated for
relieving it be made available at once.
EIGHTY-SEVENTH ANNUAL REPORT
Cost to the State
The operation of the Hospital in 1930 cost the State
$1,245,912.00, or $233.80 for each patient based on the
average daily number resident in it. Assuming the
appropriations made to it for maintenance to have been
paid in full it would appear to have lived within its means,
and to have closed the year with a surplus of supplies and
cash on hand of $157,619.00. Its good business management is thus attested. Unfortunately, however, these
appropriations have not been paid in, full and the year
closed with $380,000.00 yet due the Hospital on them,
and with it in turn due its creditors a correspondingly
large sum, on which interest is now accumulating. It has
been able to pay few supply bills since; June last. The
Board now records its appreciation of the generout treatment accorded the Hospital by its creditors in the extension of time of payment granted, and which has made
it possible to keep the Hospital open.
The problem of maintenance, because of the inability
of the State to discharge its obligations to the Hospital
punctually and in full, was not the only one to confront
the Board, for it was also faced by liabilities it could not
discharge incurred under the new building appropriation
of 1927, due for payment in 1928 and 1929, and which has
still not been paid in full. A second appropriation for
new buildings was made in 1929, and on the two the State
was due the Hospital at the close of the year $597,135.00.
There was also due it on the appropriation for enlargement of the pumping station made in 1927 a balance of
$34,881.00. In this situation the Board felt justified in
using a payment of $205,000.00 made on the 1929
appropriation to reduce the indebtedness incurred under
the older one and this was done. This payment left a
balance yet due on this indebtedness of $67,129.00. When
payment is made of the 1927 balance the Board will be
able to pay this debt in full and to restore the funds
borrowed from the new appropriation. It can take no
steps for the construction of buildings under the new
appropriation until this has been done.
In all, the State would appear to be due the Hospital
under all these appropriations the sum of $977,133.00.
Provision for 1932 and 1933
At its present rate of growth and with the new
buildings completed and in use, the Board estimates that
provisions must be made for 5700 patients in 1932, and
MILLEDGEVILLE STATE HOSPITAL
for 5900 in 1933. Because of the downward tendency in
the cost of supplies it believes that this increased number
of patients can be cared for within the estimated cost for
1931 and therefore recommends that an appropriation
for the next biennial period of $2,800,000.00 be granted,
one half of which shall be made available in 1932, and one
half in 1933.
The Plant
The Hospital continues overcrowded, its equipment
being unequal to the demand on it. This serious situation
is not new, nor has the Legislature faikd to act for its
relief as the building appropriation had in 1927 and 19^9
testifv. Three buildings were thus provided for, one ot
which is completed and in use, and a second completed
but not yet in use because of a lack of funds with which
to furnish and operate it. This second building is designed for use as a hospital and promises to be of great
worth to the medical department. The appropriation of
1929 orovides in error for but one building, and not lor
the three asked by the Board. The sum appropriated is
sufficient for the three and permission should be granted
the Board to erect them as soon as the appropriation is
paid The completion of all these buildings will relieve
the present congestion but will provide little room for
fUtU
Thfrgreat physical plant has been kept in the best
repair possible with the limited funds available to the
Board The great age of many of the buildings makes
this expense an item of no mean proportions.
A consolidated or central heating plant, combined
with an electric power and light plant offers attractive
economical possibilities and might wisely be given careSi consideration by the Legislature. The report of the
Board for 1928 presented an estimate of the cost ot
building and operation of such prepared by. ^i^rs °f
experience. The cost was then estimated at $367,500.00,
and the saving to be effected by it at $23,449 00 per
annum. No doubt the cost could now be revised downWarC
There should be a revision of the value on which the
fire insurance carried by the State on the plant is based
The replacement cost of the buildings is far in excess of
the original cost now the basis for this insurance, and
the State should be more fully protected for its own sake,
as well as for the sake of the Hospital.
10
EIGHTY-SEVENTH ANNUAL REPORT
The water supply of the Hospital is seriously
endangered because of the failure to complete the enlargement of the pumping station made possible by the
appropriation for this purpose had in 1927. This is due
to the failure to make payment to the Board of the balance
due on this appropriation. A part of this work has been
completed and is in use, but additional settling basins,
filters and pumps are yet to be installed. Water consumption by the Hospital now nears the capacity of the
present plant and is seriously endangered by the weakened
condition of the filters in use. The Board cannot too
strongly urge the necessity for making the balance due on
the appropriation available to it at once.
Other Building Needs
The report of the Clinical Director gives some indication of the growing use by the medical department of
occupation thereapy in the treatment given. Its worth
has been so abundantly demonstrated that the needs of
the department looking to its wider use should be fullv
supplied. The most important of the present needs is for
a larger amusement hall, the old one having long since
become too small for the present population. It is located
in one of the dormitory buildings and can be readily
utilized so that its abandonment will occasion no loss. A
new building of ample size and suitably equipped is
estimated to cost $50,000.00.
The Hospital in all the years of its existence has
never possessed a home for its Superintendent, and to
which he is entitled. The need for more room for administrative purposes and the fact that his present apartments are located on the second floor of the administration
building and are convenient for such use impels the Board
to ask an appropriation in the sum of $25,000.00 with
which to build such a home. He is the official host of
the Hospital and his residence should be ample in size and
in keeping with the dignity of his position.
Protection From Fire
The danger of fire is ever present in the Hospital.
One such was had during the year but without serious
results. With the exceptions of simple frame bulidings in
use on the farm and as tuburcular wards, and one
building of fire resistant construction, the buildings
housing patients are of brick and wood construction and
MILLEDGEVILLE STATE HOSPITAL
11
covered with metal roois. Practically all are three
stories in height. The Hospital has no fire escapes on
the outside. Those of the ladder type would be dangerous
to insane persons and those of the tube type of dubious
value. Reliance is placed on inside stair ways of wood
properly enclosed, and on fire doors, for the protection ot
the inmates. The Hospital has an organized, well
equipped fire department, and is supplied with water
mains well distributed throughout the grounds. A water
storage reservoir of 1,000.000 gallons capacity is kept constantly filled. The most practical form of protection
against fire, other than those had, is through sprinklers,
and to install these in all the buildings will entail a cost
estimated at $230,000.00.
Widening the Work of the Hospital
The Board continues to grant the use of members of
the medical staff to clinics in Macon and Elberton, conducted by the local medical bodies, to aid in the diagnosis
of persons showing signs of mental disorder and in prescribing proper care and treatment for them. The success
attending these clinics has led to the establishment ot
another in Athens, from which good results are expected
The expense thus far has been small. This work might
usefully be extended to all the large centers in the State,
and should be when funds to defray the cost are had. The
advice of the Hospital physician in such cases may not
infrequently serve to prevent a later commitment to the
^Insufficient funds and not lack of interest has kept
the Hospital out of another field of usefulness which
should be occupied, and this the after care of its discharged patients until mental strength is fully restored.
The newly restored mental case does not differ greatly
from the newly restored physical case, and both require
watchful oversight for a time. To subject such cases too
soon to the stress and strain of life is most unwise. The
Board hopes that through the organization of the smaller
counties into health districts to be supervised by health
officers that the way may be opened for this supervision
at the minimum of cost. In the larger counties in which
a well organized health service now exists this supervision
should not be difficult when once installed.
The Hospital School of Nursing is conducted with
such success as to keep the Hospital well supplied with
graduate nUrSes well trained in the care of mental and
12
EIGHTY-SEVENTH ANNUAL REPORT
nervous cases, and in addition to send forth into private
practice many others so trained. A service of distinct
value is thus rendered society.
Second Hospital for the Insane
It is very evident that the founding of a second
hospital for the insane is inevitable. This is shown in the
great and growing population of this Hospital, and in the
unceasing demand on it for admission. In addition there
are problems of management which make too large a
hospital most unwise. The founding of such second
hospital is a matter of such major importance as to
demand that its founding be preceded by careful study,
not only of the need but also of type and location. The
Board suggests the unwisdom of a much longer delay.
Law Amendment
The present provision for admission to the Hospital
as shown in Michie's Code Chapter 3, Article 2,
Section 3102, because of the confusion in its terms, should
be repealed. It seeks to create two classes of patients,
pay and pauper, the last being those possessed of estates
of less than $3000 in value. It sets up no method for
ascertaining the value of any property owned by those
seeking admission, and provides no means of collecting
from the estate of "pay" patients its "reasonable charge
for board and keep". No provision is had for those whose
estates may be exhausted in their support, or whose income may be unequal to the cost of such. It is not
retroactive and applies only to new cases. Its terms are
such as to prevent its enforcement. The Board does not
believe the law wise, and for these reasons:
(a) The State must of necessity place under
custodial care its insane citizens regardless of any
property they may possess. The best interest of society
are so served.
(b) Patients possessed of property are already
taxed for the support of the State government, including
the Hospital.
(c) It is conceivable there may be cases whose
relatives will prefer to keep them out of the Hospital in
order to save the expense involved, and so endanger the
interest of society.
(d) It will serve to create within the Hospital a
class distinction among the patients capable of working
a great harm to those of the "pauper" class.
MILLEDGEVILLE STATE HOSPITAL
13
It is the well considered opinion of the Board that the
wise policy of the State is to admit free of charge all bona
fide citizens of the State. If any citizen is to be taxed for
the cost of his support therein it might well be those who
possess an ample estate with no one dependent on them.
These however, will be few in number and the income
from 'such source will be small. Of the admissions in
the year just ended only 11 are reported as having an
ample estate and all of these doubtless had dependents
Should the burden of supporting the Hospital be too great
a tax on the income of the State then the Board suggests
that consideration might be given to the policy prevailing
in many of the States of pro-rating the cost, on some
equitable basis, between the State, and the County committing.
For these and other reasons the Board recommends
the repeal of the law cited and the enactment ot the
following as a substitute:
STATE HOSPITAL FREE TO WHOM: The said State
Wr^nital shall be free to all bona fide citizens of the State
w^may be legally adjudged insane, or afflicted with mental
disease.No paralytic invalid, epileptic, idiot imbecile drug
addict or alcoholic addict shall be committed or admitted
to it.
A history must accompany all applications for admission
to the said State Hospital which shall show a just and adequate
reason why such admission should be had, and if .such reason
is not given, the Superintendent may refuse admission.
The relatives or friends of any person admitted to the
said State Hospital who may desire to furnish them with
clothing extra food and other creature comforts shall be
allowed the privilege of doing so at their own cost but under
sucT rules and regulations as the Board of Trustees may
prescribe,
If any person committed and admitted to the said State
Hospital shall be possessed of an estate equa to his support
and sha 1 be without near and dependent relatives such estate
shalfvest in the Board of Trustees to be expended for his use
and support; provided, however, that in the event of his discharge any residue remaining of such estate shall be restored to
him: and it being further provided that injhe event of his
death the title to such estate shall then vest m the btate
Hospital
In view of the biennial sessions of the Legislature
some expense might be saved the Hospital by the substitution of biennial for the annual reports now required by law to be made by this Board. The Board
recommends that the law be so amended.
14
EIGHTY-SEVENTH ANNUAL REPORT
Resignation of Trustee, Thomas M. Hall
The resignation from the Board of its Vice-President,
Dr. Thomas M. Hall of Milledgeville, because of ill health,
deprives it of the services of one of its most useful
members, and it records the fact with deep regret. The
demands of a large practice did not prevent the punctual
discharge of his every duty to the Hospital. In, his search
for renewed health the kindly interest of trustees and
officers alike follow him.
Death of Trustee, C. C. Brantley
It is the sad duty of the Board to record the passing
of one of its members, the death of Mr. Charles Conn
Brantley of Valdosta having occurred on July 28, 1930,
after a brief illness. He became such member by appointment of Governor Joseph M. Brown in 1913, and in 1921
was made its Secretary. His wise judgment of men and
matters, a faithful service ably rendered and a warm
heart gave him high place in the esteem of his associates,
and cause him to be greatly missed.
In Conclusion
In submitting this report of its stewardship the
Board thanks his Excellency for the support given it in, a
most trying year. Responsibility for the well being of
so many of the helpless and dependent is not a light one,
especially so when funds for their support is lacking, but
the Board has made a most faithful effort to meet it. It
can but hope the dark days of the Hospital are safely
passed and that the coming year will see its financial
needs fully supplied. It makes due acknowledgement of
the courtesy shown it by the State Auditor, and of the
sympathetic attitude of the State press. Its members
esteem it a high privilege to have rendered this service to
humanity and once more unite in commending this great
family of the afflicted to the protection of the Heavenly
Father.
By order of the Board of Trustees,
JOHN T. BRANTLEY,
President.
15
MILLEDGEVILLE STATE HOSPITAL
Eighty-Seventh Annual Report
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
THE HONORABLE BOARD OF TRUSTEES,
MILLEDGEVILLE STATE HOSPITAL,
MILLEDGEVILLE, GA.
Gentlemen:
In accordance with your rules and statutory requirements, I have the honor of submitting the eightyseventh annual report of the Milledgeville State Hospital
for the fiscal year ending December 31, 1930.
The reports of the heads of Departments give a
general review of the work of the hospital during the year,
and the reports are appended hereto as follows:
The Clinical Director,
The Dental Department,
The Superintendent of Nurses,
The Laboratory,
The Pharmacist,
The Engineer,
The Farm Steward,
The Treasurer,
The Steward.
General Statistics of Patient Population
for the year 1930.
Patients on books first day of year:
Actual resident population....
On parole or otherwise absent
Total
^ ^^ ^
2402
34b
2889
6te
5291
b 5
'
2748
3221
5969
Admitted during the year:
First admissions
Readmissions
<<
J^
*'£
_^f
'
^UU
Total admissions during the year....
Total on books during the year
465
3213
487
3708
952
W^i
6
16
EIGHTY-SEVENTH ANNUAL REPORT
Discharged from records during
the year:
As restored
- - As improved
-As unimproved
As without psychosis...
*£
^
^^
6
73
157
28
3
164
319
61
9
Total discharged during the year.
Total died during the year
292
227
261
196
553
423
Total discharged and died
Patients on books last day of year:
Actual resident population..
On parole or otherwise absent—
519
457
976
2365
331
2955
294
5320
625
2696
3249
5945
Average daily population
Applications received during the year
Applications refused account overcrowding
-
5329
lolJJ
458
Total
Of the 5,320 patients in the Hospital December 31,
1930, 8 are clinically grouped as Traumatic psychoses,
composed of 6 white males, 1 colored male and 1 colored
female.
75 are grouped as Senile psychoses, composed ot J
white males, 33 white females, 5 colored males and 28
colored females.
164 are grouped as psychoses with Cerebral Arteriosclerosis, composed of 68 white males, 22 white females,
42 colored males and 32 colored females.
128 are grouped as Dementia Paralytica, composed
of 62 white males, 11 white females, 33 colored males and
22 colored females.
25 are grouped as psychoses with Cerebral Syphilis,
composed of 14 white males, 5 colored males and 6 colored
females.
,
7 are grouped as psychoses with Huntington s
Chorea, composed of 3 white males, 3 white females and
1 colored female.
71 are grouped as psychoses with other Brain and
Nervous Disease, composed of 29 white males, 22 white
females, 16 colored males and 4 colored females.
14 are grouped as psychoses due to Alcohol, composed
of 11 white males and 3 colored males.
10 are grouped as psychoses due to Drugs, composed
of 7 white males, 2 white females and 1 colored female.
MILLEDGEVILLE STATE HOSPITAL
17
38 are grouped as psychoses with Pellagra, composed
of 8 white males, 4 white females, 1 colored male and 15
colored females.
32 are grouped as psychoses with other bomatic
Disease, composed of 9 white males, 11 white females, 6
colored males and 6 colored females.
1092 are grouped as Manic-Depressive psychoses,
composed of 228 white males, 454 white females, 165
colored males and 245 colored females.
1 993 are grouped as Dementia Praecox, composed of
556 white males, 719 white females, 249 colored males and
469 colored females.
36 are grouped as Paranoia or Paranoid Condition,
composed of 12 white males, 20 white females, and 4
colored females.
414 are grouped as psychoses with Epilepsy, composed of 131 white males, 148 white females, 89 colored
males and 46 colored females.
#
30 are grouped as Psychoneurosis, composed of J
white males, 19 white females and 2 colored males.
37 are grouped as psychoses with Psychopathic
Personality, composed of 15 white males, 12 white
females, 8 colored males and 2 colored females.
708 are grouped as psychoses with Mental Deficiency,
composed of 259 white males, 265 white females, 119
colored males and 65 colored females.
445 are left Unclassified, composed of 98 white males,
179 white females, 84 colored males and 84 colored
females. A further study of this group will doubtless
find that the majority of them have developed symptoms
that will put them in the Dementia Praecox group.
1 white male is provisionally grouped as Mental Deficiency without Psychosis, 1 white female and 1 colored
male are grouped as Epileptics without psychoses.
It is noted from the above information that 1,993
patients or 37.4% of the Hospital population are afflicted
with Dementia Praecox, and 1,092 or 20.5% with MamcDepressive psychoses, and that these two mental disorders comprise over one-half or 57.9% of the Hospital
Population. When it is further noted that these two
mental disorders constitute 54.3% of the total admissions,
the location of the clinical groups containing the major
problems in mental disease is more clearly indicated.
The total number of patients in the Hospital at the
end of the year is only 29 more than at the beginning, but
the daily average was 5.329 compared to 5,219 the
previous year, or an increase of 110.
18
EIGHTY-SEVENTH ANNUAL REPORT
Admissions
1,510 applications for admission were received, compared to 1,683 the previous year, a decrease of 173. We
think this decrease probably due to the Ordinaries of the
various Counties having knowledge of the overcrowded
condition of the institution, rather than a decrease in the
incidence of mental disease in the State.
Account of overcrowding, 458 were refused admission, compared to 379 the previous year, an increase of
79.
952 were admitted, compared to 1,229 the previous
year, a decrease of 277. Of the 952 admitted, 752 were
first admissions and 200 were readmissions, i. e. had
previously received treatment in this institution, other
State hospitals or private mental hospitals.
It might be of interest to note also that 337 or 35.3%
of the admissions had been engaged in some form of
agricultural occupation, 26 or 2.7% had professions, 140
or 14.7% had occupations of domestic and personal
service, 6 previously employed in public service, 45 in
trades and transportations and the remainder had
miscellaneous occupations.
848 or 89% of the total admissions were native
Georgians, and only 5 were born in foreign Countries.
Of the 752 first admissions, 214 had a common school
education, 44 high school and 15 college. 265; had urban
and 487 rural environments. 11 were said to be in
comfortable financial circumstances, 127 marginal and the
remainder financially dependent, or unascertained.
Furloughs, Discharges and Deaths
We are sometimes asked if there are not many
patients in the Hospital who might be discharged. Of
course, this is a question that daily confronts us, especially
as the Hospital is now so greatly overcrowded and many
applicants are awaiting admission. Each member of the
Medical Staff is charged with the responsibility of
promptly reporting the names of patients as soon as they
are well enough to leave the Hospital, so that the matter
of their furlough or discharge may be brought up for
consideration.
A recent diagnostic tabulation of the patients in the
Hospital shows only one patient provisionally grouped as
mentally deficient (feebleminded) without psychosis and
two others as epileptics without psychoses.
MILLEDGEVILLE STATE HOSPITAL
19
During the year, 779 patients were furloughed, and
of this number, 194 were restored, composed of 97 white
males, 43 white females, 28 colored males and 26 colored
females. 451 were improved, and of this number, 162
were white males, 145 white females, 61 colored males
and 83 colored females. Based on total admissions,
20.3% were furloughed as restored and 47.3% improved,
making a total of 67.6% restored and improved, compared
to 57.6%, the previous year, an increase of 10%.
553 patients remained out of the Hospital beyond the
12 months' furlough period and were discharged from the
records. Of this number, 164 were restored, composed of
91 males and 73 females. 319 were improved, composed
162 males and 157 females. Based on total admissions,
17 2% were discharged as restored and 35.5% as improved, making a total of 50.7% discharged as restored
and improved.
A total of 423 deaths occurred during the year, a decrease of 30 compared to the previous year.
Capacity of the Hospital
It seems that the overcrowded condition of the wards
of the institution which has existed for many years, and
the necessity for the refusal of admission, on account of
overcrowding, to many very urgent applications, should
be sufficient proof that the capacity of the plant is inadequate to meet the needs of the State's mental disease
problem. At the close of the year there were over 100
patients in the County jails and more than that number
being cared for by relatives and friends awaiting
admission because of overcrowding and no room. Such
a condition necessarily results in considerable suffering
and is poor business from an economical standpoint, as we
have learned from experience that the sooner the
hospitalization of individuals afflicted with mental
disease, the better chance they have for recovery.
Another and recent study of the capacity of the
Hospital, making a liberal estimate but complying with
sanitary and other hospitalization requirements, shows
that the population of the Hospital should not exceed
4,403; exclusive of the new Psychopathic Hospital (L. M.
Jones) Building. This building was completed in April
and partly furnished during the Summer, but could not
be occupied on account of inability to obtain maintenance
appropriation. When this building becomes occupied it
will add 240 beds to the capacity of the institution.
20
EIGHTY-SEVENTH ANNUAL REPORT
As the institution is now operated, the following
tabulation gives information as to capacity, present
actual resident patient population and overcrowding in
each of the four departments:
White Males
White Females
Colored Males
Colored Females
Capacity
Patient
Population
1,250
1,500
665
988
1,537
1,925
828
1,030
Overcrowded
287
425
163
42
Total
4,403
5,320
919
The greatest overcrowding is now 425 in, the White
Female Department, next the white male, then colored
males and colored females. When the new colored female
building was opened in February, 1929, there was enough
overcrowding in that department to fill it up, leaving
some vacancies on wards in the older buildings. These
vacancies have been filled and this department is now
beginning to again overcrowd.
Medical Service
The report of the Clinical Director gives a review of
the medical work during the year. No serious epidemic
occurred among the Hospital population. No marked
changes were made in the routine and methods of treatment. We are gradually expanding Occupation Therapy.
Staff meetings were conducted daily at 9 A. M.,
except on Sundays, by the Clinical Director on reception
wards where a summary of the mental and physical
examinations of new admissions were read and _ the
various problems of the cases discussed. Also sometimes
abstracts of histories of patients to be furloughed or discharged were reviewed and discussed.
While a great many scientific investigations from
various viewpoints have been and are now being made of
the most common types of mental disease, yet, their etiology
and pathology still remain problematical, and, therefore
their treatment is largely empirical; hence, in their treatment we utilize psychotherapy, occupation therapy,
drug therapy, organotherapy and other therapeutic resources of medical science. Until one has made a serious
and prolonged study of human behavior and its dynamic
problems in relation to mental disease, he can have no
adequate conception of its complexity. In no other branch
of the medical science is it so essential that the human
MILLEDGEVILLE STATE HOSPITAL
21
organism be studied as a whole, i. e., body and mind,
keeping in mind that man's greatness and sanity is not
determined by his physical body alone, but mainly by
virtue of his ability for creative thinking, constructive
acting and capacity for adjustment. Furthermore, that
bodily conditions and diseases may effect one's mind, or
hinder the restoration of a mental disorder, and that a
fair test of mental health obtains when one does adjust
to environment and has that state of mind which permits
him to approach his maximum efficiency and happiness
with the minimum amount of friction and effort.
In the treatment of mental disease, the old adage
"An ounce of prevention is worth a pound of cure" is
beyond doubt, true. Therefore, preventive measures
should not be neglected, and they may be found in mental
hygiene and eugenics. A mental hygiene program should
include the home, the school, social life and business
activities. Eugenic measures should be adopted, looking
to the prevention of bad heredity. We have enough convincing information to indicate that an inherited predisposition is the foundation for mental disorder, and that
modern medicine teaches that the condition necessary for
a good mind is the inheritance of such germ plasm from
one's progenitors as will yield a brain and nervous organization capable of high grade development to individual
and social usefulness and the protection of that brain and
nervous organization from injury and the submission of
it to influences favorable to the development of its
powers. The best remedy that medical science has to
offer, at this time, for the prevention of bad heredity, is
surgical sterilization of those afflicted with certain types
of mental disease—the feeble-minded, syphilitics and
criminal recidivists, as recommended in, a previous report.
Pellagra Study
The dietary study of pellagra, begun by the United
States Public Health Service in 1914, was continued
during the year, under the supervision and direct charge
of Dr. G. A. Wheeler of the United States Public Health
Service.
This study during the year has consisted of a continuation of the test of individual food stuffs for their
pellagra preventive value. A study of the mature onion
was completed and showed no appreciable protection. A
study of canned turnip greens, canned spinach, canned
EIGHTY-SEVENTH ANNUAL REPORT
english peas and canned string beans was begun, and,
while these studies are still in progress, those pertaining
to turnip greens and spinich have advanced far enough
to indicate that they possess some capacity for protection.
In addition to the above, co-operation was extended
to the Clinical Director in the study of the influence on
epilepsy of a diet low in the antipellagric vitamin. A
group of ten epileptics were brought under observation,
eight of whom showed a pronounced reduction in the
number of epileptic seizures while on a diet of this
character. While the therapeutic value of such a diet is
limited by the fact that symptoms of pellagra will, in
time, appear, the results obtained, however, constitute
an important contribution to the study relating to the
influence of metabolism on epilepsy in which many
students of neuropsychiatry are interested.
Changes in Medical Staff
Dr. Chas. E. Dowman, of Atlanta, was added to the
Staff as Consulting Neurological Surgeon.
Interne W. J. Burdashaw resigned to accept position
with United States Veterans Bureau.
Junior Assistant Physician C. R. Youmans resigned
to engage in general practice.
Junior Assistant Physician J. C. Statham resigned
to accept position with United States Veterans Bureau.
Assistant Physician U. S. Bowen resigned to accept
position with United States Veterans Bureau.
Dr. J. D. Wiley, Interne, but later employed by United
States Public Health Service, was elected Assistant
Physician.
Drs. G. K. Cornwell, Raymond Suarez and M. F.
Langston were appointed Internes.
Dr. Langston will report for duty January 5, 1931,
as Dr. Statham's resignation does not become effective
until January 3, 1931.
After Dr. Bowen's resignation, the Clinic at Boys'
Training School was temporarily discontinued, but will
be resumed soon after the beginning of the new year.
Training School for Nurses
There are 32 student nurses in the School of Nursing,
10 of whom were in the Senior Class, 11 in the Junior and
11 in the Freshman. Since the establishment of the School
of Nursing, we have graduated 165 women and 2 men,
making a total of 167.
MILLEDGEVILLE STATE HOSPITAL
23
The School was kept up to its usual standard during
the year, and detailed report will be found in Superintendent of Nurses' report in subsequent pages.
Dental Department
Two full time dentists were employed during the
year, and their report shows 8,607 total number of
operations and treatments. Of the 8,607 operations, 4,187
were extractions, 2,083 patients treated and 360 calls
to wards.
We regard the dental work as an important aid in
treatment, therefore,we have them to examine the mouths
and teeth of new admissions soon after they are admitted.
School for Feeble-minded
The School for the feeble-minded children was continued in operation during the year with Miss Mary
Bonner and Miss Anna Belle Pendleton as teachers. The
average daily attendance was 18.
The children were taught simple mental work such
as reading, writing, writing numbers, cutting, pasting
and color work, as well as industrial work such as sewing,
etc.
Improvement and Repairs
A detailed review of the repairs and improvements
to the physical plant is given in the Engineer's report.
On accout of lack of funds, much needed repair work
had to be postponed.
The Business Department
On account of the State Treasury being unable to
meet the requirements of the maintenance appropriation
and the added $250,000.00 indebtedness to maintenance
for the previous year, a very difficult year for the
operation of the Hospital has resulted. The bills for
supplies and other expenses could not be met in the usual
orderly way; thereby causing considerable embarrassment to the creditors and the Hospital, and in addition
has cost the institution considerable interest on delayed
payments. The institution was operated within the
appropriation.
The per capita cost for the year was $233.80, the
daily cost .6405 cents compared to .6289 the previous year,
24
EIGHTY-SEVENTH ANNUAL REPORT
an icrease of .0116 cents per day. The Steward's report
in subsequent pages has exhibits and schedules that give
an analysis of income and expenditures and other detailed
information.
Farm, Garden and Dairy
The Farm Steward's report gives information concerning the food stuffs raised during the year. The
drouth during the Summer reduced the amount of farm
and garden products that probably would have been made
if the seasons had been more favorable.
Religious Services
The religious services for patients were conducted as
formerly on Sunday afternoons at 3 P. M. by the pastors
of the Baptist, Episcopal, Methodist and Presbyterian
Churches of Milledgeville as Chaplains rotating monthly.
In addition to holding religious services, the Chaplains
conducted funeral services and performed other duties
that were required of them.
Needs of the Hospital
1. If the institution is to be orderly and successfully
operated, it is necessary that provisions be made for the
prompt monthly payment of the maintenance appropriation.
2. There is an urgent need for all unpaid special
appropriations for buildings and other improvements, so
that balance on Psychopathic Hospital (L. M.
Jones) Building may be paid, the waterworks addition
completed, as present wooden filter tubs are decaying
and filter capacity inadequate for needs of the growth of
the Hospital, and to erect new buildings to provide room
for overcrowding and new admissions.
3. A new and larger amusement hall is needed to
comply with the growth and modern requirements of the
institution.
4. A central heating and power plant.
5. Automatic Sprinkler system in certain buildings
for fire protection as recommended in previous reports.
6. Immediate steps should be taken looking to the
founding of another State hospital in another section of
the State as recommended in a previous report. It seems
that this is impertative if the mental disease problem in
the State is to be humanely and modernly provided for.
MILLEDGEVILLE STATE HOSPITAL
25
7. Change in the law, clarifying section 3, Acts
1918, and eliminating the hinted at pay feature. Everything considered, we believe it would be wiser for the
Hospital to remain free to all resident citizens of the
State afflicted with mental disease.
8. It seems that, according to present laws, if a
person is committed to the Hospital, and even though discharged as recovered or not insane, he is still legally insane unless judicially decided otherwise, and persons
having business dealings with the person formerly committed must bear the burden of showing him sane at time
of contract. I therefore, recommend that a law be enacted
to read somewhat as follows: Whenever,a person who
has been committed to the Milledgeville State Hospital
shall be discharged therefrom, as recovered or as not
insane, he shall be presumed to have been restored to
sanity and capacity to manage his or her estate.
Conclusion
In concluding this report, I desire to express my
appreciation to the Board of Trustees for their encouragement, support and unselfish devotion to the welfare of the
Hospital. I also desire at this time to thank the officers
and employees who have been faithful in the discharge
of their duties and other friends and organizations who
have manifested an interest in the welfare of the institution.
Respectfully submitted,
R. C. SWINT,
Superintendent.
m
EIGHTY-SEVENTH ANNUAL REPORT
26
Report of Clinical Director
JANUARY 1ST,
DR.
1931
R. C. SWINT,
Superintendent,
DEAR SIR:
The following pages contain the report for the Medical Department for the year 1930.
A total of nine hundred and fify-two (952) patients
were admitted. Table No. 2 shows the actual number
classified under each group and the percentage of each.
Seven hundred and fifty-two (752) were first admissions
and two hundred (200) were readmissions. A considerable
number of the readmissions had been admitted to either
private hospitals or other state hospitals. Table No. 3 gives
actual number and percentage of each group of the first
admssions.
Ten (10) criminal patients were sent by order of
court. The charges were as follows:
Assault and battery
1
Assault with intent to kill
1
Aiding other prisoners to escape
1
Forgery
2
Larceny
1
Murder
2
Rape
1
Not given
1
One of these ten patients was found to be not insane.
Of the total of seven diagnosed as not insane two were
drug habitues, two were mentally deficient and one belonged to the psychopathic group.
The actual number of patients treated was 6349 and
was made up as follows:
Resident population at end of previous year
5291
Admitted
952
Returned (furloughed in 1929)
106
The deaths numbered four hundred and twenty-three
(423) or 6.6 per cent of those treated. The average of the
death rates for the five year period ending with and including 1929 was 6.91. The leading causes of death for
the year and the number assigned to each were as follows:
Arterio-sclerosis and cerebral hemorrhage 95, general
paralysis 50, tuberculosis 50, epilepsy 36, pellagra 27.
On an average there are from 60 to 80 patients confined
to bed on account of tuberculosis. From 90 to 100 others
MILLEDGEVILLE STATE HOSPITAL
27
are bedridden for the most part on account of arteriosclerosis and cerebral hemorrhage. In addition the infirmaries are well filled with acute medical and surgical
cases.
For purposes of comparison, the recovery rate is
estimated in the same way as in years past and consists
of the ratio of those improved and restored at the time of
furlough to the number of patients received. Of the
seven hundred and eighty-sevein (787) patients
furloughed, six hundred and forty-five (645) had either
improved or recovered giving a recovery rate of 67.7
The average of the recovery rates for the five year period
ending with and including 1929 was 59.34. The above
figures do not include twenty-nine (29) extensions of
furlough.
The discharge rate presents a different set of figures.
This is made up of the number of patients who remained
out of the institution for the length of the furlough period
which is twelve (12) months. The ratio of those discharged as recovered or improved to the number received
was 50,7.
The treatment of general paralysis by the use of
typhoid vaccine has been continued. While we have not
obtained the results reported by other institutions and
clinics we have not thought it wise to abandon its use.
Malaria has been used from time to time but its superiority
over nonspecific protein therapy has not been demonstrated in our hands. In December the serology, blood
and spinal fluid, of twenty-one (21) general paralytics
was repeated. These patients had been in the institution,
for periods varying from seven months to 17 years. The
blood and spinal fluid were completely negative in ten. In
one other the blood was two plus and the globulin test was
one plus, otherwise the examination was negative. In
still another there was no abnormality other than a two
plus spinal fluid. Three of these patients had been in the
hospital for less than ten months and as might be expected the findings were still positive throughout. Ten of
the remaining eighteen were negative throughout. All
twenty-one of these patients are still general paralytics
despite any serological changes. In at least one large
clinic in the United States patients who have no mental
symptoms but do show serological changes are classed as
asymptomatic paresis. The criterion of improvement is
the clearing up of the blood and spinal fluid, there are
obviously no mental symptoms to clear up. The patients
28
EIGHTY-SEVENTH ANNUAL REPORT
that we class as general paralysis are of quite a different
type and are not necessarily well though the serology may
be rendered entirely negative. Various forms of therapy
have been used in the treatment of these patients including malaria, typhoid vaccine, mercury, arsenic and
iodides.
One may, with a reasonable degree of accuracy, assert
that in recent years the amount of literature dealing with
the treatment of general paralysis is five times as great
as that dealing with the treatment of manic depressive
and dementia praecox combined. General paralytics deserve the best that can be done for them but so do those
sufferng from manic depressive and dementia praecox.
The number of general paralytics in other hospitals is
doubtless higher proportionately than in ours. The
following figures illustrate the comparison in our own
hospital:
G. P M.D.&D.P.
Percentage of all admissions 1930
7.14
54.40
Percentage of total population
Dec. 1930
2.04
57.90
Percentage of increase in population
in five years..95
76.00
The patients suffering from general paralysis have
received vigorous treatment, perhaps too vigorous in
certain instances.
From a strictly numerical and
economic point of view general paralysis in our hospital
is not in the same category with manic depressive and dementia praecox and the economic side of our work has
and will continue to play an important part. The substance of the above is that while we are obligated to give
our general paralytics the best possible treatment, other
larger groups have not been neglected. The actual
number of cases of general paralysis in the institution at
the end of the year was 128; the number of manics and
dementia praecox combined 3085.
The short courses given the new attendants in
preparation for their work has been continued. As heretofore the course consisted of quizzes, lectures and demonstrations. The course was given in March and September.
Seventy-two (72) attended. Instruction in the same line
but based on a somewhat better principal is the habit
of one of the physicians who for two years has had weekly
conferences with his head attendants. At these meetings
various problems both general and specific have been
MILLEDGEVILLE STATE HOSPITAL
29
discussed. Particular attention has been given to symptomatic treatment with some very happy results in cure
and amelioration that cannot be attributed to any
other source. This is .after all the real source of knowledge concerning the teatment of mental diseases per se.
It is intensely practical and deals directly with individuals
as well as with groups. Successful nursing of mental
diseases is bound to be more a matter of nursing indviduals than in the case of physical diseases.
Another effort not required by rule but undertaken
as extra work is that of a small group of nurses who four
years ago opened a small commissary. This has been
patronized by patients and employees. Up to the present
time more than four thousand dollars ($4000.00) in
profits have been spent for such things and occassions as
seemed wise. Hundreds of dollars have been spent for
music for dances which the patients ask for. Nine
portable victrolas with records to correspond, eight
radios, prizes and refreshments for card parties, seasonal
parties, subscription to thewty-three (23) magazines and
papers, outfits for base-ball and volley ball are some of
the things provided. During Christmas, 1930, inexpensive
but acceptable gifts were provided for more than one
thousand (l'OOO) patients from this source. These particular patients were selected because they were not expected to receive anything from home. The gifts went
to both white and colored and were not bought in a haphazard way. The wishes of the patients were ascertained
in every possible instance. The child like simplicity of
the things asked for was quite striking and shows that the
Wishes of the patients may be easily overshot. Fiftythree (53) asked for strings of beads; twelve (12) wished
for dolls; two hundred and fifteen (215) desired snuff
and tobacco and nearly all asked for candy.
Others have gone beyond the prescribed limits of
their duties to help in some way to lighten the burdens of
the patients or promote their recovery. It augurs well
for the hospital that these things are so. There can be
nothing cold blooded in such work. The personal attitude
of those in the medical service towards the patients is a
factor that cannot be put on paper nor can its effect
be tested in the laboratory but there should be just as
much satisfaction in bringing a so-called deteriorated
dementia praecox to a state of remission as doing the
same thing for a case of general paralysis and the
physician or nurse who helps to do this in the one case
30
EIGHTY-SEVENTH ANNUAL REPORT
deserves credit as well as he who brings; it about in the
other.
No machine can run forever without repairs and a
continuous supply of energy. Occupation therapy cannot successfully continue without the added energy that
comes from interest and stimulation. For this reason
this form of treatment is apt to lag. As a whole there has
been an improvement in this direction. The best results
have been obtained in those instances where patients
were carefully selected and occupation combined with
other forms of treatment such as diversion and personal
contact. The articles produced in the various departments are of considerable moment. In the female department among other things made were 26544 garments,
992 pieces of embroidery, 679 paper flowers, 506 hand
painted pieces, 276 crocheted pieces, 268 reed baskets and
30 rugs. In the white male department at the Park, 1541
articles were made and 294 repaired. Among the most
important articles made were 128 substantial rocking
and straight chairs made of oak, 369 basket containers,
14 ironing boards, 478 basket bottoms, 52 hoe handles, 63
axe handles and 41 settees. From the garden connected
with the park were gathered 6846 pounds of butter beans,
6676 pounds of tomatoes and 264 quarts of strawberries.
The dry weather cut the vegetables quite short. Among
the articles repaired were 21 chairs and 143 wheel
barrows. In the other male departments 882 chairs were
reconstructed, rebottomed or painted. From willow
grown on the premises 251 baskets were made. There
has been a marked increase in amusements and other
forms of entertainment. This is due almost entirely to
the funds derived from the commissary already mentioned.
This form of treatment has a place that is just as definite
as occupation.
The work at the State Reformatory for boys has been
temporarily discontinued. The clinics at Elberton and
Macon have been continued. In November another
monthly school clinic was opened at Athens and although
only two sessions have been held prospects for usefulness
are encouraging. At Elberton clinics were held for six
of the school months. There were 67 first visits and 50
return visits. At request the visiting psychiatrist saw
a number of frank mental cases in the vicinity. At Athens
there were 19 first visits by school children. Six adult
mental cases were also seen in the city and the vicinity.
MILLEDGEVILLE STATE HOSPITAL
31
At the Macon Clinic which is held each Frday afternoon there were 484 visits, first visits 156, return visits
328. The visiting staff member has been called upon to
act in an advisory capacity to the juvenile court of that
city. He delivered five addresses before various organizations.
The technicians at the laboratory has continued to
do good work. An inspection of their report shows some
interesting things. The total procedures numbered
10,074.
The training school for nurses has been operated by
the superintendent of nurses with the co-operation of the
members of the medical staff and others.
Six classes from the colleges and universities of the
state visited the hospital for clinical instruction in abnormal psychology and allied subjects. A number of
addresses were delivered by different members of the staff
before P. T. A. associations and other civic organizations.
The calls for this kind of service seem to increase. Three
training school for nurses receive their instruction in
psychiatric nursing from a member of the staff and the
student nurses visit this hospital for clinical demonstration.
Successful administration of the medical department
depends on co-operation and due acknowledgement is
here made for such co-operation.
Respectfully,
N. P. WALKER, M. D.
Clinical Director
32
EIGHTY-SEVENTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of all Patients in Institution January 1st, 1931.
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis__
General paralysis of the insane-.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drug
With pellagra
With somatic disease
Manic depressive __
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
Epilepsy, not insane
TOTAL
White 1 Colored
M.
F.
6
9
68
62
14
3
0
29
11
7
8
9
228
556
12
131
.9
IB
259
98
0
33
22
11
0
3
0
22
0
2
4
11
454
719
20 i
148
19
12
265 |
179
H
o1
01
1
M. 1
1
5
42
33
5
0
0
16
3
0
1
6
165
249
F.
1 Total
8
1
28
75
32 164
22 128
25
6
1
7
0
0
4
71
14
0
10
1
38
15
32
6
245 1092
469 1993
4
36
o
89 46 414
30
2
0
37
8
2
119 651 708
84 84 445
o1
0|
1
1
0
2
153519251 829110311 5320
33
MILLEDGEVILLE STATE HOSPITAL
TABLE 2
Diagnostic Grouping of Patients Admitted During the Year 1930.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Mental deficiency, not insane
Psychopathic personality, not insane
TOTAL
Colored |
M. | F. |Total|
White
M. I F.
2
]
31
29
0
1
0
6
0
0
i
0
3
4
0
11
5
6
5
2 0
82 113
53 68
0
0
IV
9
6 10
2
2
4
13
19 19
i
0
31 1
0
1! 0
%
.21
2
0 0
21 2.20
1 11
7 71 7.35
25
68 7.14
22 11
5 .52
1
4
.10
1
0
0
.10
1
0
0
13 1.36
3
3
12 1.26
1
0
oi 0 11 1.15
351 3.67
2 20
3
2
71 .73
55 60 310| 32.56
20 67 208 21.84
0
0
0
0
49 5.14
7
16
17 1.78
1
0
.52
5
1
0
36 3.78
11
73 7.66
13 22
.21
2
1
0
.21
2
0
0
.21
2
1
0
.10
1
0| 0
291I262H74I225I 9521
EIGHTY-SEVENTH ANNUAL REPORT
34
TABLE 3
Diagnostic Grouping of First Admissions During the Year 1J30.
PSYCHOSIS
Traumatic
Senile
With cerebral arterio-sclerosisGeneral paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
Psychoneurosis or neurosis
With psychopathif personality.
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
TOTAL
| White
I M. | F.
21
o|
301
24
0
i
i
3
8
4
9
5
5
0
0
0
3
0
31
41
o|
55! 71
37| 44
0| 0
16' 61
4| 8|
2| 2!
12! 41
161 161
0 0
1 0|
■ed
F. Total
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
0
2
20
67
61
5
1
1
12
9
7
32
7
215
154
0
44
13
4
32
64
1
1
226|179!151H96| 7521
%
.26
2.65
8.90
8.11
.66
.13
.13
1.59
1.19
.93
4.25
.93
28.59
20.47
0
5.85
1.72
.53
4.25
8.51
.13
.13
35
MILLEDGEVILLE STATE HOSPITAL
TABLE 4
Diagnostic Grouping of Re-admissions During the Year 1930.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
_.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-7
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality,
With mental deficiency
Unclassified
Not insane
Drug addict, not insane__
Mental deficiency, not insane
Psychopathic personality, not insaneTOTAL
White
M. F.
0
0
0
1
3
1
1
5
0
0
0
0
0
0
1
0
0
3
2
2
1
0
0
0
27 42
2i
16
0
0
3
1
2
2
0
0
0
1
3
3
0
0
1
1
0
1
0
1
Colored
Total
M. I F.
0
| 0 | 0 |
1
I 0
4
I o
7
I 1
0
0
0
I o
0
0
1
I 0
3
0
4
0
3
0
0
0
95
13
54
5
0
o I
5
0
4
0 I 0
1
0
4
9
0
2
2
1
ff5 | 83 | 23
29
200
TABLE 5
FURL OUGHS
Traumatic
Senile
Arteriosclerosis
General paralysis of the insane.
With cerebral syphilis _ ._
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis
With psychopathic personality _
With mental deficiency
Unclassified
Vii nil
COLORED
MALE
| FEMALE ||
MALE
|FEMALE|
R. I I. | U S.| R. I. | U | S.|IR-I I. | U.| S.| K.| I u S-LTotal
0
0
0
0
0
0
7
11
9
1
58
1
0
0
1
0
9
a
o> 0°
12
2
0
5
5
1
4
2
54
31
6
5
3
14
15
2
2
0
0
0
0
0
0
12
8
8
0
1
3
4
17 162 10
*R—Restored
I—Improved
o o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
3
0
27
1
0
4
0
2
1
u
u OJ
01
o o
1 2
2
2 0
0 I)
6 2
2 0
2 0
2 0
1 0
71 19
25 19
6 3
4 2
3 2
6 1
12] 3
0 43 145 53
01
Oj
0
01
01
o!
01
0!
01
o
o
o
Oi
0|
01 0| 0
0| 0 1
21 2 0
0 5 1
0 2 0
0 0 1
0 0 0
0 0 0
21 1 0
0 0 1
18 35 8
1 5 11
0 1 2
0 0 0
0 0 0
1 1 1
4 9 1
ol 28 61 27
U—Unimproved
S—Not insane
01
3
0
4
0
24
0
14
0
2
0
14
16
0
0
19
0
31
0
5
0 348
0 137
0
30
0
16
0
13
31
0
0
72
O
0 26 83 14 0 779
O
W
H
0| 0 0
0 0 0
0 0 3
0 0 2
0 0 0
0 0 0
0 2 0
0 0 0
0 7 3
0 0 0
0 12 32
0 3 23
0 0 4
0 0 1
0 1 2
0 0 2
0 1 11
0
0
1
0
0
0
0
0
0
0
2
9
0
0
0
0
2
a
M
<
H
a
>
>1
t-
w
TABLE 6
DISCH ARGES
OOLOKED
li
FEMALE
FEMALE
MALE
R. | I. | U.-| S.| R.| I. I U.I S. h R.| I. | U.| S.| R-l I. | U,| S. 1 Total
Traumatic
Arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With brain and nervous disease
Due to alcohol __'
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
__With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
Psychopathic personality, not insane.
TOTAL
„_*R—Restored
I—Improved
3
0 0
0
2
0 0| 0
24
3 1
2
l| 10 4
10
1 2
0
01 5 0
1
0 0
0
o 0 0
7
0 0
3
0 4 0
18
0 0
0
10
4 0
8
0 0
3
41 0 0
24
0 0
3
91 3 0
4
0 0
0
01 1 1
259
2(3 2
48
40, 54 0
79
1121
3 5
21
0 16 4
19
1
2 2
3
0
6 2
12
0
0 0
5
2 1
1
22
0
0 0
7
3 2
6
18
5 1
3
4 2
1
35
0
4
5 10 2
4
0 0
0| 01
0
0
2
01 0
0 0
0
0
2
0 0| 01
0! o| 0| 0| 0| 0] 01
0
0
7911221181 5|49|102!22| 2||11 421131 0 28151] 61 1| 551
U—Unimproved
S—Not insane
r
f
H
D
O
H
<
r1
ca
w
>
H
a
o
w
>
38
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 7
Causes of Deaths of Patients Who Died During the Year 1930.
Abscess, jaw
Abscess, perineal
Accidental burn
Accidental suffocation
Arterio-sclerosis
Asthma, bronchial
Brain tumor
Carcinoma
Cerebral hemorrhage
Colitis
Dysentery
Encephalitis
Enteritis
Epilepsy
Erysipelas
Exhaustion from acute mental disease.
Fracture, femur
Gangrene, large instestine
Gangrene, leg
Gastric ulcer
General paralysis of the insane
Homicide, by another patient
Huntington's chorea
Influenza
Intestinal obstruction
Myocarditis, acute
Myocarditis, chronic
Nephritis, chronic
Organic brain disease
Paratyphoid fever
Pellagra
Peritonitis
Pneumonia, broncho
Pneumonia, lobar
Pneumonia, not differentiated
Prostatitis, chronic
Pulmonary hemorrhage
Pulmonary tuberculosis
Sarcoma
Septicemia
Suicide, by hanging
Suicide, by strangulation
Syphilis
Tuberculosis, hip joint
Unknown
Valvular heart disease
TOTAL
White
M. | F.
1
0
0
1
1
2
0
21
14
1
0
2
0
1
7
12
8
1
0
1
0
2
2
3
8
12
10
1
1
1
2
0
2
1
0
1
0
1
0
16
8
0
0
1
0
0
1
1
0
0
2
7
3
4
3
0
1
0
0
5
3
0
0
11
B
•4
5
4
0
1
0
0
0
9
7
0
1
0
0
\
0
1
1
0
0
0
0
2
2
4
1
( °
128 106
Colored |
M. | F. | Total
0 ! o i
1
0
1
1
0
0
2
0
0
2
18
9
62
0
0
1
0
0
2
2
0
10
8
5
33
1
0
0
2
1
0
2
1
7
0
3
14
13
1
36
2
0
0
0
1
4
0
0
2
0
0
1
1
0
0
1
0
0
22
4
50
2
1
1
1
0
0
1
0
0
1
0
0
2
0
0
5
6
21
4
1
12
1
0
0
1
0
1
6 13
27
1
0
1
0
20
4
2
1
12
0
0
4
1
0
0
1
2
1
12
22
50
1
0
0
1
1
0
0
n
1
2
0 | 0
2
0 1 2
1
1 1 0
2 | 10
16
0 | 0
5
l
99 1 90
423
39
Mlf.LEDGEVILLE STATE HOSPITAL
TABLE 8
SURGERY
Abscess, palmar, drained
Abscess, axillary, drained
Abscess, rectal, drained
Abscess, peritonsillar, drained
Amputation, breast
Amputation, finger
Appendectomies
Bladder, suprapubic drainage
Fracture, metacarpal bone, treatment for
Fracture, Colles, treatment for
Fracture, femur, treatment for
—
Fracture, olecranon process, treatment for
Fracture, humerus, treatment for
Fracture, jaw, treatment for
_Fracture, fibula, treatment for
Fracture, radius, treatment for
Herniotomies
Iridectomies
Cataract, extraction
Dilatation and curettage uterus
Infected knee, drainage of
Circumcisions
—
Hemorrhoidectomies
Laporatomy, exploratory
Parancentesis, thoracis
Hydrocele, operation for
Hysterectomy
-Tonsillectomies
—
Salpingectomies
Sebaceous cyst, enucleation of
Uterus, suspension of—
Pterygium, transplanted
Urethra, removal of foreign bodies from
Nasal polypus, removal of
Maxillary sinus, operation on
Maxillary sinus, irrigation of
Submucous resection
Turbinectomy
Mastoidectomy
—
Parascentesis, abdominalis
Strabisimus, operation for
_„
Ear drum, incised
—
—
1
*
1
—
——
■="
—
——
——
--""
„
—""
~
«
—"
40
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 9
Admissions from Various Counties During the Year 1930.
Appling .
Atkinson .
Bacon __.
Baker
Baldwin _
Banks
Barrow _.
B&rtow
Ben Hill .
Berrien _.
Bibb
Bleckley .
Brantley .
Brooks -.
Bryan __.
Bulloch _.
Burke
Butts
Calhoun _.
Camden _
Campbell
Candler _.
Carroll __
Catoosa _.
Charlton _
Chatham _
Chattooga
Cherokee _
Clark
Clayton __.
Clinch ...
Cobb
Coffee ___
Colquitt
Columbia .
Cook
Coweta __.
Crawford
Crisp
Decatux _.
DeKalb __
Dodge
Dooly
White
M. I F.
2
3
1
0
2
2
1
1
6
2
0
1
1
3
2
4
1
1
3
0
7
3
0
2
0
2
1
1
0
1
0
1
0
0
2
1
o
It
2
1
i)
3
5
1
1
0
5
0
6
2
3
2
0
1
1
1
0
1
1
1
4
0
0
13
2
3
3
2
2
7
0
2
0
0
2
0
0 1
1
2 1
0 I
1 1
Colored
M. I F.
1
1
o
o
1
1
1
5
5
0
1
1
0
0
7
0
1
2
0
1
3
1
1
0
1
2
1
0
0
21
0
0
0
1
1
0
0
0
5
0
1
0
1 |
2
1 |
1
0
1
0
1
0
2
1
0
1
1
0
7
1
0
4
2
1
5
1
1
2
1
0
1
0
1
25
0
1
3
0
0
3
1
1
3
0
1 1
0 1
4 1
0 1
2 1
3 1
4 1
Total
6
1
6
7
15
2
5
8
3
3
24
3
3
8
2
4
9
4
2
3
5
4
9
2
2
68
5
9
7
4
3
15
1
9
10
3
6
2
5
4
14
7
7
41
MILLEDGEVILLE STATE HOSPITAL
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1930.
Dougherty .
Douglas
Early
Echols
Effingham
Elbert
Emanuel _Evans
Fannin
Fayette
Floyd
Forsyth —
Franklin _.
Fulton
Gilmer —
Glascock _Gordon —
Grady
Greene
Gwinnett _.
Habersham
Hall
Hancock _.
Haralson -.
Harris
Hart
Heard
Henry
Houston _.
Irwin
Jackson _.
Jasper
Jeff Davis
Jefferson _
Jenkins —
Johnson __
Jones
Lamar
Lanier
Laurens _.
Lee
Liberty --
White
Colored
M. I F. M.
F.
•I
0
3
2
1
2
0
0
0
2
1
0
0
0
1
0
3
1
1
0
4
4
1
2
2
0
0
2
2
0
0
1
1
0
0
0
1
0
1
0
11
1
1
7
2
1
0
0
2
2
0
1
22 22
5 13
0
2
1
0
i
0
0
1
2
2
0
0
1
0
1
1
1
0
1
1
1
3
0
5
0
1
1
0
3
0
3
4
2
2
1
3
2
0
1
4
1
1
1
1
0
0
a 2
1
0
o 1
2
2
1
2
1
3
0
0
0
0
0 | 1
0
4
2
0
2
3
1
1
0
0
1
1
0
1
2
3
1
0
1
2
0
0
2
2
0
0 I 4
0
2
0
2
0
0
0
1
4
0 l 3
4
0
1
1 I o
0
I
1
1
Total
7
3
3
1
5
11
4
3
1
2
20
3
5
62
3
2
4
3
3
9
2
10
8
7
4
5
2
7
4
1
6
7
1
5
5
4
6
4
1
11
2
3
42
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1930.
White
M. I F.
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether Miller
Milton
Mitchell __.
Monroe
Montgomery
Morgan
Murray
Muscogee _.
McDuffie __.
Newton
Oconee
Oglethorpe .
Paulding
Peach
Pickens
Pierce
Pike
Polk
Putnam
Quifcman __.
Rabun
Randolph __
Richmond _.
Rockdale __.
Schley
Screven
Spalding __.
Stephens __.
Stewart
Sumter
Talbot
Taliaferro _
Tattnall ...
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlin ._
1 l
2 I
1 I
3 !
2 I
1 1
3
0
0
4
1
1
1
2
3
2
1
1
1
A
1
2
0
0
3
1
0
1
3
6
1
0
o
4
1
1
1
0
0
0
1
3
2
4
2
I
1
0
4
0
2
1
1
0
1
4
8
3
2
1
1
4
0
1
2
0
3
0
1
2
2
6
0
0
3
3
0
2
2
2
0
1
1
1
4
0
4
2
2
Colored |
M. | F. | Total
2
I 0 i 0
7
2 I 1
0 | 0
1
4
7
| o
2
1 1
0
7
0
1
2
3
0
2
0
1
1
7
6
3
1
1
6
4
7
2
3
0
6
0
7
1
19
1
1
7
0
2
5
0
1
3
0
0
2
1
0
9
0
2
3
0
0
3
2
0
4
2
2
4
0
0
6
4
3
8
1
0
2
0
0
3
5
3
13
4
12
28
0
1
2
0
1
1
3
1
7
2
1
10
1
0
2
3
0
6
3
4
10
1
4
1
0
1
1
2
3
0
1
0
3
1
9
4
1
4
11
0
4
0
1
7
0
0
0
3
B
1
1
43
MILLEDGEVILLE STATE HOSPITAL
TABLE 9—(Continued)
Admissions from Various Counties During the Year 1928
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster - Wheeler —
White
Whitfield —
Wilcox
Wilkes
Wilkinson _
Worth
TOTAL
Colored
White
M. I F. M.
0 I 3
0 I 1
0
1
2
1
2
2
4
2
0 I
0
2 1
3
0
3
1
1
0
0
0
0
5
2
4
5
3
2
3
1
0
1
1
0
1
291 |262 174 225
Total
13
1
2
3
5
9
3
8
2
6
3
2
5
6
8
8
5
5
952
44
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 10
Nativity of all Patients Admitted During the Year 1930.
Alabama
Arkansas
California
Colorado
England
Florida
Georgia
Germany
Greece
Illinois
Indiana
Italy
Kansas
Kentucky
Mississippi
Missouri
New York
North Carolina __.
Norway
Not given
Ohio
Oklahoma
Pennsylvania
Russia
South Carolina __.
Tennessee
Texas
Virginia
Washington, D. C._
TOTAL
White
M. | F.
8 | 12
0 I 1
1
0
0
0
1
0
0
1
254 226
1
0
0
1
1
0
2
0
1
0
1
0
1
1
1
0
1
0
0
1
4
5
0
1
4
2
0
1
0 I 1
2 I 1
1 I 0
4 I 5
1 I
1
0 I 1
1 i 1
1 I 0
Colored |
M. | F. | Total
4
3
27
0
0
1
0
0
1
1
0
1
0
0
1
1
2
4
159 209
848
0
0
1
0
0
1
0
0
1
0
0
2
0
0
1
0
0
1
0
0
2
0
0
1
0
0
1
0
0
1
2
1
12
0
0
1
2
I 2
10
0
0
1
I 0 I 0
1
|0|0
3
10 10
1
5 | 6
20
0 I 1
3
0 I 0
1
0 I 0
2
2
0 I 1
-I-
391 1262 1174 1225 I
952
45
MILLEDGEVILLE STATE HOSPITAL
T A RT V 11
fiWified Occupation of Patients Admitted During the Year 1930.
White Colored
M. I F. M. I F. Total
1
Agriculture Forestry and Animal
1
Industry:
0
Box maker
1
Dairyman
—
11
Farm laborer
0
Farm laborer's wives
112
Farmer
0
Farmer's daughter
0
Farmer's son
—-0
Farmer's wives
1
Landscape gardner
0
Saw mill operator's wife
0
Stock dealer's wife
2
Timber grader
1
Turpentine laborer __0
Turpentine laborer's wives
0
Wood cutter
1
Professional:
1
Druggist
0
Druggist's wife
6
Lawyer —_
0
Lawyer's wife
2
Minister
0
Minister's wife
0
Newspaper manager's wife
0
Nurse
,
1
Physician
0
Stenographer
3
Teacher
.
I
Domestic and Personal Service:
21
Barber
—
0!
Barber's wife
0!
Bellboy
0
Butler's wife
0
Cook
-_
0
Hotel clerk
0
Housekeeper
0
Janitor
—
0
Laundryman's wife
2
Meat cutter
0
Meat cutter's wife
Porter
01
Restaurant proprietors wiie__.
41
Restaurant workers
01
Servants
—
21
Truck driver
01
Truck driver's wife
01
Waiter's wife
01
Waitress
._
01
Washerwoman
.—
Manufacturing and Mechanical Pursuits
n|
Auto dealer's wife
01
Blacksmith's wife
II
Boiler maker
— -■
°1
}1
i
:
1
1
0
24
0
39
0
1
0
0
0
0
0
3
0
1
0
0
0
1
0
1
0
73
0
1
1
0
0
0
0
1
Oi
1!
01
1
0
1
1
1
0
1
5
oi
II
0
0
01
II
o|
1
1
°l
0
0
01
0
1
0
01
01
61
01
01
2|
01
01
01
01
01
II
II
01
01
0'.
01
33]
01
21
0[
1
0
1
0
0
0
1
01
o|
1
0
0
27
3
1
1
0
29
0
0
0
0
0
2
0
1
1
62
4
152
2
1
102
1
1
1
2
4
2
1
0
0
0
0
0
0
0
0
0
0
1
1
1
6
1
2
1
1
1
2
1
9
0
0|
01
20!
2
1
1
1
15
1
47
1
2
2
1
6
1
4
29
2
2
1
1
20
01
01
01
1
1
1
1
14
0
14
0
27
46
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 11—(Continued)
Classified Occupation of Patients Admitted During the Year 1930.
.Brick masoi
Brick mason's wife
Carpenter
Carpenter's vife
Electrician
Electrician's wife
Ice man's wife
Laborer
Laborer's wife
Mechanic
Mechanic's wife
Painter
Plumber
Plumber's wife
Shoe maker
Stone cutter
Textile operator
_ Textile operator's wife
Minerals:
Filling station operator's wife_
Public Service:
Cuty fireman's wife
Mail carrier
Mail carrier's wife
Radio station operator's wife__
Telephone supervisor
Trades:
Auditor
Bank cashier
Bank cashier's wife
Bookkeeper
Bookkeeper's wife
Merchant
Salesman
Salesman's wife
__.
Watchmaker
Transportation:
Construction foreman's wife_.
Engineer's wife
Garage helper
Railroad laborer's wife
Train dispatcher
Miscellaneous :
Collector
Life insurance agent
Life insurance agent's wife
Newsboy
I
None
;
Not fiven
PeddTer
Printer's wife
Sailor
Soldier
Student
Theater manager
Time keeper
TOTAL
White
Colored |
M. I F. M, | F. | Total
0|
0
11
1
o
0|
1
0
0
1
8|
0
0
8
0
0
0
1
1
2
0
0
0
2
0
1
0
0
1
0
0
11
1
7
73
0| 61
5
0
4
13
17
6
0
0
6
0
0
6
6
2
1
0
3
2
0
0
0
2
1
0
0
0
1
3
1
2
0
0
3
0
0
3
12
0
0
15
8
0
0
0
7
o
o
b
o
o
o
o
'1
0|
0
1
1
1
1
2
0
2
0
5
18
0
2
0
0
0
0
0
0
1
0
1
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
I
01
01
01
o|
01
I
1
0
01
1
0
0|
0
0
01
2
1
01
47
841 24 6o;
2
2
1
01
0
0|
1
01
1
o|
6
1
1
01
1
01
2911 2621 1741 2251
1
1
1
2
1
5
18
7
2
1
2
2
1
1
1
1
1
3
215
4
1
2
1
1
12
1
1
952
47
MILLEDGEVILLE STATE HOSPITAL
TABLE 12
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
60|Over Not
70 70 Given) Total
Under
1
Psychosis.
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of
the insane
With cerebral syphilis-__
With Huntington's chore
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox _Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _Unclassified
Not insane
Drug addict, not insane,_
TOTAL
20
0
0
2
0
01 II 0 8il4|
7
30
Oj
Oj
0
o|
0
0
0
0
0| 1| Oj 1| 0
0| 0| 0 0| 0|
I
0
0
0
0
I
6J10
0 0
0 0
i| o
51
0
1
o
31
0
o|
o
1
0 I 2 4
0 I 1| 0
0| 2
0
01 1
0
5 20| 7
1 20
0
6
01 0
o| 0
24
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
8
4
8
2
55
37
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
2
12
16
0
1
0| 0
0 0
2
4
2
0
0
1 2
01 0] 0 0| 0
01 1 01 01 0
21
|59|39|41|36|23|
0 0
226
48
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 12~| Continued)
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
[
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of
the insane
With cerebral syphilis^_
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
"
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under 120
20 130
60|Over| Not |
70| 70 | Given I Total
| 0| 01 0 0| 0|
| 0| 0 0 01 II
0
0
0 0 0
0
0
0
0
1
0
0
0
0
3
3
0
1
1
0
0
0
I1
o
11
11
! 0
10
110)21
I I
I 0| 0
! 3| 0
I
I
I 3| 0
1
2
1
0
14
i I
0
0
2
1
0
18
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
4
0
71
44
0| 0
01 0
0
0
I
o I
o I
01 01
0
0
I 1| 0
0
I II 1
H 5 51 3
0
0
0
0
0J 0| 0[ 0| 0|
|33|59|40|18| 6|
9
0
6
2
4
16
0
179
49
MILLEDGEVILLE STATE HOSPITAL
TABLE 12—(Continued)
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Male Population.
|
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of the
insane
With cerebral syphilis .
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency. _
Unclassified
Not insane
TOTAL
601 Over Not I
Under 120 30|40
70 70 Given I Total
20 (30 40150
0
0 I 0| 0| 0| 0| 0| 0
1
0 I 0| 0| 01 0| 0| 1
f I I
\ »', o1, 2 9 9
I I I
0
I 1 51 31 7
I 0| l| 1| 1
01 01 0| 0
I 01 0 j 0| 0
I
I
li 0
0
0
II
0
I 01 0
I 0| 0
I 2| 1
I 2| 1
I 0| 0
17
25
5
I
0|
I
0
0
0
0
0
0
21
4
0
0
0
0
0
0
0
0
0
3
0
0
2
2
42
15
0
0
0
16
0
0|
0|
0|
01
0
0
0
0
|32[33|22 25|16|
6
0
9
11
0
0
I 151
50
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 12—(Continued)
Ages of first Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis,
Traumatic
Senile
With cerebral
arterio-sclerosis
Ceneral paralysis of
the insane
With cerebral syphilis ___.
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease ___
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
Not insane
TOTAL
Under|20|30|40|50|60|Over| Not |
20 |30[40|50|60|70| 70 | Given! Total
1
0
0
0
1
0
0
0
0
9
4
0
2
0
u u u| 0| 0|
0] 4|
0 0
0
7
0 0
0
2
0
0
0
0
0
0
0
0
0
0
0
11
1
0 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
01 0| 0
2 01 0
0
0
o
o
1| 0| 0| 0| 0|
0
0
0
0
* 0
0
0
3
1
8110
191 9
0| 0| 0| 01 0|
0
4
2
0
21 0| i! o| o|
51 3| 51 4| 21
23
I55I39I42I21 91
11
1
0
18
3
47
58
I
0
6
0
0
I
0
7
21
1
0
I 196
1! 01 01 01 0|
7
0
0
51
MILLEDGEVILLE STATE HOSPITAL
TABLE 13
Degree of Education of First Admissions During- the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
tfl
a
-tJ
Psychosis.
>>
c
O
u
o
o
T3
w
C
a
m
Traumatic
Senile
With cerebral arterio-sclerosis __
General paralysis of the insane _
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease._
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition __
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality..
With mental deficiency
Unclassified
Not insane
Drug addict, not insane
_
TOTAL
fl
T3
-a
£
05
05
03
<D
0|
II
0|
01
0]
01
01
21
2|
0
6|
0|
0|
0|
i| ol
o;
61
11
n
01
261
01
01
0
1
0
0
0
21
0
10
4
0
0
1
0
2
1
3
0
18
14
0
51
0|
01
41
6
0!
01
o
i—<
o
S3
,fio
s .13
s Ml
a ffi
11
13
0
1
0
2
3
1
4
2
27
17
0
0|
0|
1
2
0
0
0
0
1
2
1
0
7
1
0
31 691100 191
>
<u
be
o
o
O
X
-t->
01
o|
4
2
0
0
0
0
1
0
0
0
0
2
0
2
0
30
24
0
1
1
3
9
01 226
2
55
37
0
16
4
2
12
16
0
1
52
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 13—(Continued)
Degree of Education of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population
xn
0)
u
is
Psychosis.
O
CO
■o
J-i
Traumatic
Senile
With cerebral arterio-sclerosis _
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane
TOTAL
A
01
II
li
01
o,
0
o.
II
01
0!
01
01
71
21
0
01
01
01
31
21
01
1.71
CO
Tl
o
o
S3
o
u>
O)
S
J=
;_|0)
o
0
Ml
o
O
fid
W
O
-^>
25
0|
0|
0|
0|
2
2
2
1
1
4
0
0
0
0
0
0
1
1
0
0
1
1
3
1
0
0
15 38
9 25
0
0
2
2
8
3
1
0
0
1
4
6
0
0
3
0
0
0
0
0
0
0
1
0
0
8
6
0
1
2
1
0
2
0
0
1
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
21 431 86! 241
5!
0
01
o
0
0
0
0
0
o
0
0
1|
01
0
1
0
0
0
01
01
0|
^
J3
S3
«0) «
« «
0|
o
rC
—1—
—1
8
5
5
0
0
0
3
0
3
4
0
71
44
0
6
8
2
4
16
0
21 179
MILLEDGEVILLE STATE HOSPITAL
53
TABLE 13—(Continued)
Degree of Education of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
C
Q>
>
Traumatic
Senile
With cerebral arterio-sclerosis _
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality..
With mental deficiency
Unclassified
Not insane
TOTAL
w I Pi
0
0| 0
1 0! 0
20|
91
1
0|
0!
0!
01
01
II
01
181
51
0!
101
761
o
0|
01
-t->
o
£
0
0
1L
l|
0|
0
ol
0]
01
0
0
0
o I'l
11 II
1| 22|
1| 6|
0 0
II
51
0!
0|
1]
7
0|
0
0
II
3
0
0
0|
0
1]
01
0|
61 591
81
01 0J 0[
01
71
4!
01
CJ
M
U)
£3
o
U
Ql
01
01
o
0|
0
01
0|
0|
01
0
0
0
0
0
0
0
0
0
0
0
o
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
0
9
11
0
II 151
EIGHTY-SEVENTH ANNUAL REPORT
54
TABLE 13—(Continued)
Degree of Education of First Admissions During- the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
w
a
-M
T,
Psychosis.
>>
£
■—i
c
< >
«
m
c
55
Traumatic
Senile
With cerebral arterio-sclerosis_
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
TOTAL
01
10
6
6
1
0
0
3
0
0
4
II
O
X
w
eo
S
1
o
o
X
o
r/j
J3
Ml
T3
C3
73
w
W u W
0
0
0
0
0
0
1
0
0
2
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
9
0
1
1
0
0
2
0
33
24 14
0
0
0
0
2
0
0
1
0
0
0
0
0
0
2
0
1
0
11
0
1
0
ctf
0
9f
16!
01
4!
0
0
5
7|
0|
0
0
1|
0
72!
91 88 1 20
-I
1
B
aj
Q)
bo,
t»
;
]
o
>
O
4J
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
2
1
0
2
0
0
0
0
0
1
0
0
6
o
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
55
MILLEDGEVILLE STATE HOSPITAL
TABLE 14
Environment of First Admissions! During the Year 1930.
Classified With Reference to Principal Psychosis.
White Population.
Female
Male
c
Psychosis
o
c
O
H
CO
>
rn
JJ
-^o
P M
55
a
u
Z
^_,
3
Traumatic
01
o 2 o 01 0| 0
7 o
Senile
01 01 0 0|
II
5
4
With cerebral arterio-sclerosis _.
1
30
3| 27
2
5
24
3
General paralysis of the insane 14| 10
0
0
0
0
With cerebral syphilis
01 0
0
0
0
1
With Huntington's chorea
0!
0
1
With brain tumor
01
o| 0
3
0
3
3
With brain and nervous disease_
21
0
0
8
0
Due to alcohol
II
3
2
1
4'
Due to drugs
II
4
8
0 4
21
With pellagra
0
0
2
0
With somatic disease
01
71
551 26 41
10| 45'
Manic depressive
44
37| 21 21!
131 24
Dementia praecox
0
0
0
01
01 0
Paranoia or paranoid condition _
4
1
21 14| 0 16|
With epilepsy
3
41
3
1! 3'
Psychoneurosis or neurosis
2
1
1
2
II 1
With psychopathic personality_.
4
1
3
12
2| 10
With mental deficiency
16
6| 10
16
10| 6
Unclassified
0
0| 0
0!
01 0
Not insane
0
0| 0
II 0
i!
Drug addict, not insane
TOTAL
6311621
112261 72l 99
8 179
56
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 14—(Continued)
Environment of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Population.
Male
Psychosis
!
Female
a
a
c
>0)
>
£>
!->
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane.
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality__.
With mental deficiency
Unclassified
Not insane
TOTAL
o,
*3h
3
«
U
01 1
8 16
7 14
31 1
0, 0
01 0
11 2
0| 0
01 0
01 2
2
0
0 31
41 11
01 0
41 12
li
0
01 0
31 6
31 8
0
01
-1311061
'So
+J
o
Z
0
-M
o
H
J2
«H
1=
p
M
O
o
1—.
*J?
£
H
01
0|
1|
II
0|
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
0|
0| 0
1
5
25
6
21
5
4
0
0
0
0
0
3
1
0
0
0
0
21
10
2
1
42
29
151 29| 281
0'
01 0
161
31
0|
0!
ol 0
91
31 4
111
91 11
Oj
1
0
01 0
0| 7
1| 21
01 1
2|151! 87 104
51196
01
01
0|
01
01
01
0)
0[
°l
TABLE 15
FEMALE
MALE
Econ mic Condition cf First Admi.sions During the Year 1930
Classified With Reference to Principal Psychosis.
White Population.
•a
S3
a
>
g
s
13
a
Traumatic
Senile
With cerebral arterio-sclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
-Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality.
With mental deficiency
Unclassified
Not insane —__
Drug addict, not insane
TOTAL
a
g
3
►
p<
o
Psychosis.
g
a!
o
o
U
0
0
0
0|
0
0
0
0
0
11
0
8
8
0
0
0
2
6
2
1
0
18
13
0
3
2
0
0
3
o
0
0
1
0
0
0
0
0
0
0
0
0
1
1
I
l
0
22
15
0
1
1
1
2
2
7
2
36
24
0
13
2
2
12
13
01 0
1
01
671
2|
0!
30
1 24
0
0
1
0
1
0
3
0
0
8
4
0'
0
8
2
0
55
0
0
37
0
0,
0
16
4
0
2
0
12
0
161
0
0
01
1
01
II 22611
21
41
131
01
01
0
8
5
5
0
0
0
3
0
3
4
0
71
44
0
6
8
2
4
16
0
0
191 146|
4 179
oi
0
0
0
0
0
0
0
0
0
1
0
0
6
2
0
0
0
0
0
1
101
0|
0!
0
0
0
0
0
0
0
0
0
9
6
0
1
1
0
0
2
o
8!
4|
5!
0]
01
oi
31
01
2
4!
01
551
34|
0!
51
f
f
w
O
a
<
f1
cH
w
>
M
w
o
w
>1
c-
TABLE 15—(Continued)
FEMALE
MALE
Economic Condition of First Admissions During the Year 193l
Classified With Reference to Principal Psychosis.
Colored Population.
-a
^3
a
a
o
Psychosis
Traumatic
Senile
With cerebral arterio-sclerosis _.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality^With mental deficiency
Unclassified
Not insane
TOTAL
o
55
0
0
l
2
1
0
0
0
0
0
0
0
7
3
0
2
0
0
1
1
0
u
1
24
19
3
0
0
3
0
0
2
2
34
12
0
14
0
0
8
10
0
1
IS 132
0
o
o
0
o
o
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
o
c
B
o
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
0
9
11
0
1 151!
I—I
o
55
o
O
0
0
0
1
1
o|
0
0
1
0
0
0
12
5
0
0
0
0
0
3
0
01
U
11
7
10
0
0
0
3
0
0
18
3
35
52
0
6
1
0
7
17
1
23| 171
O
X
o
H
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
u
11
Kj
7
<
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
2 196
M
H
a
w
-d
o
w
H
TABLE 16
FEMALE
MALE
Civil Condition of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
White Population.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis —
General paralysis of the insane -With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition _.
With epilepsy
Psychoneurosis or neurosis—_ —
With psychopathic personalityWith mental deficiency
Unclassified
Not insane
Drug addict, not insane
TOTAL
T3
<1>
a
-a
-a
T3
o
o
u
o
■a
s
ii
a
u
at
a,
a
>
s
35
0
0
3
3
0
0
0
1
0
0
1
0
27
25
0
12
1
2
10
81
01
+->
a
!>
T3
o
"3
o
O
W
1
0
i
0
0 0
0
23
?,
2
1
14
0 0 0
0 0
1
0 0
1
?, 0 0
1
5 0
0 0
4
7 0 0
0 0
1
3
0
23
10
2 0
0 0 0
0
4 0
31 0 0
0
0
0 0 0
1 1 01 0
01 0 0
I °
0
0
1
4
0
0
0
0
2
0
0
1
1
0
0
0
0
01
2
11
0
oi
oi
o|
9411.051
9
4| 121
o|
T3
•s
a
B
ea
s
o
o
>
5
21
o 0 0 0
0
1
5
1
0
0
3
1
1
30
0 0
0 2
24
0
0
0 0
0
0
0
0 0
1
0
0
0 0
1
0
0
2
1
3
0
0
0
0
8
0
0
0 3
4
1
0
3
0
8
0
0 0
0
2
2
9
9 49
55
37 15 25 2 0
0
0
0
o 0
0
1
2
3
16
1
0
4
3 4
0
0| 0
2
2
o 12 3 1 0 o
o 9 | 71 0 1 o 1 o
0
0| 0
0 o
o
o 1 i 0| 0| 0| 0
21226 ! 401102 ! 231 4|
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
o
4-»
u
a
p.
CD
0
1
0
3
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
9
c
>
o
2
01
o
E-i
0
0
8
0
0
b
b
0
0
0
0
0
0
0
3
0
0
0
0 3
4
0
0 0
0 71
1 44
0
0
0 6
8
0
0 2
4
0
0
V
0
0
01 0
11179
c
H
a
o
M
<!
t—t
f1
tH
m
!>
H
a
o
H
;>
TABLE 16—(Continu-d)
||
MALE
Civil Condition of First Admissions During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Population.
Psychosis.
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
a>
■a
'u
u
a
"O
0)
I*o
T3
xa
U|
0|
4|
7|
1|
0|
0|
3|
0|
0|
Oi
2|
19|
6|
0;
11|
0|
0|
8|
5|
01
66
0 o
1
0
12
5
10
2
3
0
0 0
0
0
0
0
0 0
0
0
0
1
0
0
2J 0
5 0
0
0
1
2
0
0
01 0
l| 0
5 1
0| 0
591 10
Tf
T3
Q
U
o
V
-p
u
>
s
a
0
0
0
o
0
3
2
0
0
0
0 0
0
0
0
0
0
0
0 0
0
1
0 0
0
2
0
3
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0 13
T1
o
■4->
w
FEMALE
o
o
o
c
aX
-a
-p
0)
iso
-a
0 o
0
0|
0
1
0
1
8
1 25
0
3
3
0 21
4 3
3
0 4
0 0
1
0
0
0 0
0
0
0
0
0
0
0
3
1
1
1
0
1
0
0|| 0
0
0
0
0
0
0
2
4 2
2
0
2
1
2 0
1 42 10 23
4
1 15 17 19 8
0
0
0
0
0
0 16
3 2
0
0
0
1
0
0
0
0
0
0
0
o 9 7 0 0
o 11 5 5 5
1
01 0
0 0
3|1511 53 62 36
u
o
>
s
a
u
a
p.
m
>
3
+->
o
2
-p
o
M
O
W
H3
K)
0 0
0
2
0
1
0
1
0
0
0
0
0
0
0 0
0
0
0
0
2
6
0
0
0 10
0 12
0
0
0
1
0
0
0
0
0
0
0
5
0 0
2 38
01 0
0 11
0
7
0 11
0
1
0
0
0 0
0
3
0
1
0
0
2 18
0
3
0 47
2 58
0 0
0
6
0
1
0
0
0
7
1 21
0
1
5|196
I
in
H
<
H
•z>
>
w
H
O
W
H
61
MILLEDGEVILLE STATE HOSPITAL
TABLE 17
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis __
General paralysis of
the insane
With cerebral syphilis _.
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox _
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency Unclassified
TOTAL
50)60 Over | Not
60170 70 | Given
Under 20 30
20 30 40
Total
0
0
0
| 01 0| 0| 0
| 0| 0| 0| 0
1
0
1
0
| 0 0[ II 9
7
0
25
0
0
0
0
o
0
0
0
18
0
0
1
1
0
0
1
1
2
5
0
0
0
0
0
0
0
5
0
0
6
1
18
19
I I
i
0
0
I 0 31 9 3
I 0 0 0] 0
0| 01 0
II 0| 0
o
I
0) 1
0[ 0
01 0
0
0
o
0
0
I 0
I 1
0
0] 0| II 0
5 31 3 2
0
0
0
0
1
1
I
1
1
0|
1
i|
il
0|
1 1
1
o
o
0 1 01 1
1
o
0
o 0 01 0
i 1 0| 2 1
0 1 1| 3
o
o
o
0
0
1
-—
9115I21I29I33I 19
I
I
2
18
1
5
6
128
62
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
| Under 20130
20 3040
O
0
0
o
60 Over| Not
70 70 I Given Total
i 0| 0| 0| 0
0
I 0! 01 01 0
10
1
0 0
o
1 1
5
0
4| 0| 1 1
01 01 0 0
0 0| 0 0
0 0! o 0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
1|
01
0|
01
1
0
0
0
0
0
0
0|
0|
0|
0|
0|
"11
11 1 0| 0 0
0 01 0 0
0 0| 0 0
2 01 0 0
0 0| 0 0
5 11 2 8
3 5| 0 6
0
0
0
0
0
7
4
0
0
0
0
0
0
1
3
0
0
2
0
23
20
0
1
01 0 01 0 1
21 4! 11 2 3
1
1
0
0
2
14
0
0 0 1 0 1
0
0
0
1
0
1
0 01 0 1 0
1 1 1 1 3
0 3 1 1 2
0
0
0
0
0
3
-—
| 6123110] 91291 25
0
—
106
63
MILLEDGEVILLE STATE HOSPITAL
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified with Reference to Principal Psychosis.
Colored Male Population.
|
Psychosis.
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis —
With Huntington's chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease —
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
|Under|20|30
20 |30]40
i 0
I 0
0
50160 Over| Not |
60170 70 IGivenl Total
0
01 0
2.
0 0
I 0
17
1
24
0
0
0
I o.
I o
I 0
0
0
0
0
0
0
0
0
2
0
0
0
1
1
3
1
0
0
0
0
0
0
1
I 0] 01 0| 0| 0|
I 31 el II 1| 01
0
0
0! 0| 01 0| 0!
0
1
0
0
1
0
8
2
1
0
0
1
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
3
2
|17[20|13I17I20|
2
0
0
3
1
15
7
0
13
0
6
9
I 01 0 01 0
I II 2 1 1
I 0| 1 3 0
3
0
0
0
0
0
0
0
9
99
EIGHTY-SEVENTH ANNUAL REPORT
64
TABLE 17—(Continued)
Ages of Patients at Time of Death During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
Psychosis.
I
Traumatic
Senile
With cerebral
arterio-sclerosis
General paralysis of
the insane
With cerebral syphilis __
With Huntington's chorea
With brain tumor
With brain and nervous
| Under
20
0| 0| 0| 0| 0|
0 0 01 0 5i
I I I I I
01 01 1! 3 21
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic personality
With mental deficiency _
Unclassified
TOTAL
Over | Not |
70 | Given | Total
0!
01
Oi
01
1|
0,
0|
01
II
01
0!
3|
21
2!
4!
0
0
0!
3|
01
61
51
2|
0|
0;
Of
01
5|
0|
II
81
0
2
0
0
0
I
0
0|
0|
0|
0|
0|
0i
0;
01
0
0
0
0
4
0
0
0
0
0
0
3
4
01
01
01
o
0
3!
21
0
0
0
0
0
0
0
2
0
0
01 0' 01 01 01
01 01 0; It 01
0
0
0
0
11
2
15
25
I
I
I
0
1
I
I
0
4
13
01 01 01 01 01
Mill
01 01 01 01 01
1| 01 3| 0| 0|
51 31 1| 31 1|
1
—1—I—1—1—I-
I18I18I21I15I13I
0
0
90
65
MILLEDGEVILLE STATE HOSPITAL
TABLE 18
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
White Male Population.
n
H
Ifl
*H
OS
01
El
C1J
ca
>.
> >! ©>. ©
cfl
<u
CJ
CO
LO
rH
0
O
S
H
N IO
h
0
(M
<M
Psychosis.
T3
Ifl
p
Traumatic
Senile
7
With cerebral arterio-sclerosis __.
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
■——
Paranoia or paranoid condition
With epilepsy
;
PSychoneurosis or neurosis
With Psychopathic personality _With mental deficiency
Unclassified
TOTAL
4J
01 01 Oj 0| 01 0|
0. 0| 01 0| 1 01
3| 71 4] 9( 2| 0|
31 51 0 1| 6! 21
0'| 0 0 01 0 01
0
0| 01 0 0
01
01 II 0 0
0 o| 0 0
0 01 0
0 0| 0) 0
1 11 0 1
0| o| o| 0
21 31 11 2
01 0 01 0
0! 0| 0 0 01 0
21 01 II 31 1| "
01 11 0| Oj l1
0| 01 0| 0| 0
01 ol 01 01 11
1 2 01 0 0
O
0)
>
H
|°0|
o
H
0
0 1
0| 25
0 18
01 0
0 0
1
0
5
0
0
0
0
0
6
0
1
0
51 0 18
6111 19
2
2! 0
18
2
1
5
6
01
01
0|
1
0
0
0
12|20| 6116117114126 171128
66
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
White Female Population.
-C
■*>
m
§
0
c fi X.
n -M
e li
Psychosis.
^ £
o
■a
a
Traumatic
Senile
With cerebral arterio-sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
P
■-c
a
Cfvl
c
"
m
r/j
03
>.
CM
+-<
0
-M
CO
rH
01
3|
4|
21
0
0
0'
II
of
■r-
an
(H
in
o
CM
<g&)
>.
©
C1J
>
+-*
LO
P-
r^
O
CM
O
0
0
0 0|
0
1 2|
0
0 3|
0
3 oj
0
0 01
0
0] 01
0 01 01 01
1 0| 0| 0[
0 01 0! 01
Oi 0 0
0|
0
0
0
2
1
0
0
0
0
■2
tl
0)
CM
M
w
>
rt
H
*-H O
01
2|
0
0
0
0
0
0
0
0
0
0
10
7
7
0
0
0
3
0
0
2
0
23
20
2
14
2
1
2| 0 0
-I-
81171 21 7I10I23I21I18I106
67
MILLKDGEVILLE STATE HOSPITAL
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified Wdth Reference to Principal Psychosis.
Colored Male Population.
Psychosis.
S O f
Traumatic
Senile
,
:
With cerebral arterio-sclerosis —
General paralysis of the insane With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous disease.
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition.
With epilepsy
_Psychoneurosis or neurosis. — —
With psychopathic personality.
With mental deficiency
Unclassified
TOTAL
0| 0 0 01 01
01 0 0 0 1
5 1 2 5| 1|
2 41 0|
11
0|
01
01
0|
0|
01
0
0
0
0
0
0
1
0
0 0| 0
0 01 0
1
0
0
0 0
0 0
1 0
0 0
01 0
01 1
01 Ol 0
0| 0
01 0
0
1
0
0
0
0
4
1
o
4
0| 0]
01
o|
0|
01
01
o|
0| 17
01 24
0 0
0
0
2
0
0
3
1
15
7
0
13
0
0
0
6
0
1 6 9
22112] 61211111121 71 99
68
EIGHTY-SEVENTH ANNUAL REPORT
TABLE 18—(Continued)
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930.
Classified With Reference to Principal Psychosis.
Colored Female Population.
rn
A
,r,
c X -*->
C c m
§ o
a
4*
1-1
Psychosis.
^H
u CO
73 o
c
Traumatic
Senile
With cerebral arterio-sclerosis __
General paralysis of the insane
With cerebral syphilis
With Huntington's chorea
With brain tumor
With brain and nervous diseaseDue to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
is
rH
01!
1
0
1|
01
0!
01
01
01
0|
7|
2|
01
0!
01
0!
01
01
0]
21
0|
51
l|
3|
0!
01
01
1|
0!
01
31
0)
2|
2|
01
01
0|
0
01
51
a
01
rH
CM
-^Q
CO
00
H
sj
01
>, >>
m
U
a
m
(H
Bl
03
>> >>
01
Si
Cl
>1
o
© CM CM
in rH
C h
Q o 0 4J
4J
rH
~^>
+->
CM
us
T—i
O
0| 0 01 0
0| 0
ll
0|
0|
0!
01
II
01
01
1|
0|
0|
4|
01
01
01
1
0
0
0
0
0
0
0
0
0
0
01
0
0
01
0!
0
01
0|
0
0
01
0
1|
4[
3
2|
61
4
0|
01
0
01
0| H o
0
01 01 0
o| o| o| 0| 0
01 0] 0| H 3
1 II 2| II 1
41
0!
01
01
01
0|
01
0
7
6
4
0
0
0
2
0
0
11
2
15
25
0
1
0
o
4
13
131221 81 8I14I11| 81 61 90
69
MILLEDGEVILLE STATE HOSPITAL
Report of Laboratory
DR.
R. C. SWINT, Superintendent.
DEAR SIR :
A condensed tabulated report of the work done in
the Pathological Laboratory for the Year 1930 follows:
Summary
SEROLOGICAL EXAMINATIONS :
Blood, Wassermann (Noguchi) reaction
Cerebrospinal Fluid, Wassermann reaction
Cerebrospinal Fluid, Collidal Gold Test
Cerebrospinal Fluid, Globulin estimation
Cerebrospinal Fluid, Cell Count
-
1,444
41/
41/
41/
41/
CLINICAL LABORATORY EXAMINATIONS :
Urine, routine analysis
i-9^
Urine, Renal Function test (P. S. P.)
-£"
Urine, Special chemical test
J°
y4
Feces, for parasites or ova
^
Feces, for occult blood
*
Cerebrospinal Fluid, for occult blood
—
i
Blood, Chemical examination
4U
Blood, for malaria parasites
^°
Blood, Counts, red, white or differential.-- »»«»
4U
Blood, Hemoglobin estimation..
»
Blood, Coagulation time...
&
Blood, Color index
~
"
Sputum, for tubercle bacilli
^
Milk, butter fat determination
...--- ^v
Gastric Contents, Chemically and microscopically..
4
BACTERIOLOGICAL EXAMINATION
Blood, culture
Blood, agglutination test (Widal)
Cerebrospinal Fluid, Culture
Cerebrospinal Fluid, Film (Micro)
Exudate, film (Micro)
Exudate, Culture
Exudate, animal inoculation
Urine, Culture
Feces, Culture
Milk, bacteria count
Vaccine, Autogenous prepared
:
-
-
-
-
19
*»
£
jj
™
6
„
°
9K
2„q
^
EIGHTY-SEVENTH ANNUAL REPORT
70
ANATOMICAL EXAMINATIONS? GROSS
AND MICROSCOPICALLY :
Necropsies
Surgical Tissue, Gross and miscroscopical
Necropsy Tissue
Total Number of Examinations
10
4
2
8,693
Note: In addition to the total number of procedures enumerated
above, 413 cadavers were embalmed and 968 beeves inspected,
making a grand total of 10,074 procedures.
:
There were 1,444 specimens of blood examined for
the Wassermann reaction, of which number 989 were
secured as a matter of routine from patients upon their
admission to the hospital.
TABLE I.—Results of Routine Blood Wassermann Tests.
SEROLOGICAL EXAMINATIONS
Race
Sex
White
White
Colored
Colored
Female
Male
Female
Male
Total
Number
Examined
280
306
228
175
989
Number
Positive
(4 plus)
11
Percentage
Positive
(4 plus)
30
47
40
3.9
9.8
20.6
22.8
128
12.9
There were 417 specimens of cerebrospinal fluid
examined, of which number 228 were routine specimens
secured from patients referred to in Table I. A routine
examination of the cerebrospinal fluid is made in the case
of each patient whose blood reacts positively to the
Wassermann test.
TABLE II.—Estimate of Serological Neurosyphillis in
Patients. Admitted During Year (1930).
Race
White
White
Colored
Colored
Total
Sex
Female
Male
Female
Male
Number
Admitted
280
306
228
175
989
Number
Positive
Spinal Fluid
Percenta
Posith
9
29
8
28
3.2
9.4
3.5
16.0
74
7.4
MILLEDGEVILLE STATE HOSPITAL
71
Reference to Tables I and II will show that 81.8 per
cent of the white women, 96.6 per cent of the white men,,
17 per cent of the colored women and 14.2 per cent of
the colored men or a total of 59.3 per cent of all whose
blood specimens reacted positively to the Wassermann
test, also gave serological evidence of syphillis of the
nervous system.
.
In conclusion I wish to thank you, the Clinical
Director and all concerned in this work for your generous
co-operation and confidence.
Respectfully submitted,
D. C. LEAPTROTT,
Laboratory Technician.
EIGHTY-SEVENTH ANNUAL REPORT
72
Report of Superintendent of Nurses
JANUARY 1ST,
DR.
1931
R. C. SWINT,
Superintendent
:
The following is a report of the Training School for
Nurses from January 1, 1930, to December 31, 1930.
Every effort has been made to keep the school up to
the highest standard. The addition of a part time instructor has been very beneficial to the school and of
material assistance to the Superintendent of Nurses.
One hundred and sixty-five (165) applications for entrance to the school were received during the year.
Ninety-five per cent were graduates of accredited high
schools.
A class of twelve was selected, all graduates of accredited high schools, three of whom had one or more
years in college.
Expenses to the Georgia State Nurses' Association
offered by the Alumnae of the School to the nurse making
the highest average in her junior year was won by Miss
Bernice Henry of Stillmore, Ga., who made a general
average of 95 1/6.
The Annual Commencement was held in the
Amusement Hall the evening of May 21st.
The processional was played by the Hospital Band
and Miss Irma Vaughan, Cartersville, Ga., accompanied
by Mrs. Lovic Pierce Longino on the piano, rendered two
beautiful vocal solos.
Senator J. M. Pittner, Washington, Ga., made an
eloquent and instructive address to the class and large
audience.
The diplomas were delivered by Hon. John T.
Brantley, President of the Board of Trustees, and the
hospital pins by Dr. T. M. Hall, Vice-President of the
Board.
A reception, and dance followed.
The following nurses received diplomas, making the
total number of graduates one hundred and sixty-seven.
DEAR SIR
Miss Frances Eudelle Evans
Miss Louise Idelle Giles
Miss Ethel Paine Giles
Miss Elizabeth Heringdine
Miss Cecyle Hope Kennedy
Chauncey,
Sandersville,
Sandersville,
Milledgeville,
Arnoldsville,
Ga.
Ga.
Ga.
Ga.
Ga.
MILLEDGEVILLE STATE HOSPITAL
Miss
Miss
Miss
Miss
Miss
Louise Ima Martin,
Ollie Adelia Reese
Ora Blanche Taylor
Mattie Lena Wallace
Gertrude Willoughby
73
Milledgeville, Ga.
Warrenton, Ga.
Milledgeville, Ga.
Sparta, Ga.
Phenix City, Ala.
Plan of Instruction
The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education.
The course extends over a period of three years, including three months probation and six months affiliation
in some large, general hospital for additional experience
in surgery, pediatrics, and obstetrics. Classes are conducted eight months out of each year and consists of
lectures, recitations, and laboratory work.
A passing grade of 75 in all branches is required for
graduation.
A short course in Nursing Mental Diseases was conducted in March and October by Dr. N. P. Walker, Clinical
Director for all new attendants.
Nursing Staff
Superintendent of Nurses ....
1
Instructor
1
Supervisors
—
*
Head Nurses (Graduates)
»
Dietitian
*
Senior Nurses in School
jy
Junior Nurses in School
11
Freshmen Nurses in School
11
Total Number Student Nurses
32
Occupation Therapy Nurses
13
Special Attendants
?
White Female Attendants..
!«>»
Vacancies
I wish to thank you for your constant support, and
all officers for co-operation and contributions to the
success of the school.
Respectfully submitted,
(MRS.) MAE M. JONES, R. N.,
Superintendent of Nurses.
74
EIGHTY-SEVENTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE, GA.,
JAN. 1st. 1931.
R. C. SWINT,
Superintendent.
DEAR SIR :
We beg to offer the following report of the work done
in the Dental Department of the Milledgeville State
Hospital during the year ending Dec. 31st, 1930:
Extractions
4,187
Infiltration anaesthesias
2,048
Conductive anaesthesias
785
Ethyl chloride anaesthesias
10
Alveolotomies
126
Incisions sutured
6
Post-operative treatments
171
Amalgam fillings
212
Cement fillings
68
Gutta-percha fillings
5
Synthetic porcelain fillings
54
Gold inlays
16
Gold inlays reset
3
Nerve cappings
4
Nerve treatments
8
Nerves devitalized
5
Root treatments
18
Root fillings
12
Abscesses lanced
33
Abscesses treated
19
Lancing gums about 3rd molar
12
Treating gums about 3rd molar
47
Excessive hemorrhages arrested
6
Treatments for erosion
2
Treatments for pyorrhea alveolaris (number
of patients)
38
Cleaning teeth (number of patients)
44
Scaling teeth (number of patients)
148
Applications silver nitrate
1
Treatments for acute odontalgia
31
Treating gums (number of patients)
148
Treatments for oral ulcers
27
Treatments for stomatitis
7
Curetting aveolar process
18
Plates made
Q2
Plates repaired
47
DR.
MILLEDGEVILLE STATE HOSPITAL
7_5
c
Plates milled
Plates rebased
Gold crowns
Porcelain crowns
Crowns removed
Bridges removed
Bridges made
Bridges repaired
Bridges reset
Disfigured teeth shaped up (number of patients).... 10^
Impacted 3rd molars removed
24
Dislocations reduced
Sequestra removed
Calls to wards
------ ^60
Number of new and returned patients examined.... 1,101
2
Number of patients treated
>°83
Total number of operations and treatments
8,607.
Respectfully submitted,
GEORGE H. GREEN, D. D. S.
J. C. ADCOCK, D. D. S.
76
EIGHTY-SEVENTH ANNUAL REPORT
Report of Pharmaceutical Department
DR.
R. C. SWINT,
JANUARY 1ST,
1931.
Superintendent, Milledgeville State Hospital.
DEAR SIR :
The following is the annual report of the Pharmaceutical Department for the year ending December
Below is shown a condensed list of manufactured
products:
Tinctures, spirits and extracts
tZl I:::::::::::::::::
Ointments
Liquors, lotions and mixtures
Library paste and mucilage
Medicated powder....
Indelible ink
Glycerites
Liniments
Tonics
Tooth powder
Quinine, anodyne and lagrippe capsules
. fi!Ied
r
Germicide
Fly and mosquito exterminator
2,958
940
pounds
935
126
1,600
48
83
48
188
334
560
2
33,800
'
445
<<
^
STATEMENT
Debits
January 1, 1930, Inventory as of Dec. 31. 1929....$5,581.85
January i,
'puRCHASES DuRING YEAR
Drugs, chemical, dental, surgical
and laboratory supplies
Freight and express
$11.981.78
••
__
_ . .
Total
Less goods returned
$12,219.49
2g5 34
-•
j
Net amount goods purchased
Total
«"""M""IQTO""
Deduct: Inventory Dec. 31, 1930 -
$11,934.15
J?_
$17,516.00
5,095.40
Amount goods to be accounted for..
$12,420.60
Credits
Dec. 31,1930, Prescriptions filled
for wards, 37,915 aggregating....$11/jr 10.05
Sales to officers and employees .^^u^oo
$12,420.60
Total
Respectfully submitted,
J. J. WOOTTEN,
Pharmacist.
78
-^™™THANNUA£REP^
Report of Engineer
JANUARY
DR. R. C. SWINT,
DEAnSmrintendent ^
1, 1931.
ReSident Ph
^ian.
3S com le
March. The new dear wS
P ted early in
P Ump Was co
time later. TMsW ™L
^
™ected a short
alternately ^ColTZiTZZlT "" ^ uJd
was Xleted"^^^^ L- fM- ^nes Building
Plumbing and steam lines tX ^^ in ApriL The
equipment were instaSS hvth£ P*^™ and kitchen
=atin,g room ^^^^51^^^^
Thirty Stops we^SdTo %*"*•?? remod^
switching framfwinnfarcred «n?G SWltfhboard. The
the switchboard to the ^Isement m°.ved*r°»
behind
under
switchboard, All cables w?tw£ ' edlrectIy
the
going to the Twin Bri din« £n A ^c?Ption of those
Building, were enlarged Sdnl^ ^ Convalescent
wooden conduit. Twenty sevpn £ew ? ,UI\der ground *°
stalled. These teleXET
,
telephones were ine P
r
L M Jon
Building, the new n egTo LI d mf
^
^
"
g
e old
negro"
kitchen, and several ofthT™
'
building
the negro wards
out telephones
that were with
located
the Femfe ctva^e^S^§1 WJ th
between
Building was torn]townandtl T* .e U M" ^es
cottage occupied by Dr g0s?4
' m the rear of the
occupledTD^ wSr8 *"* in the rear of the cottage
the GTrIe°nnSiad!nf$&£** ***» -re installed in
FemalnCot3escemntttachen0aSter WaS instalIed *» the
inStalled ta the
roomie tKwirBundin'gr
dining
^ent^SS^^^^
<«ftr in the
cne tront
Building.
lobby of the Powell
MILLEDGEVILLE STATE HOSPITAL
79
Two brick rooms were built onto the Twin Building
dining rooms. The dishwashing machines were moved
to these rooms, and a slop sink was installed in each room.
The old brick floor in the washroom section of the
negro laundry was torn out, and a concrete floor put down
in its place.
One of the old washing machines from the White
Laundry was overhauled, and installed in the Negro
Laundry. This machine is powered by an electric motor,
installed for the purpose. The motor and shafting was
installed with sufficient capacity to operate two more
washing machines.
It has required the whole time of one mechanic and
one helper the entire year, to keep the old machines in the
White Laundry in running condition.
The cottage occupied by Dr. Yarbrough was recovered
with red cedar shingles.
The old shingle roof on the 27th White Female Ward
was torn off, and replaced with a "5-V Crimp" galvanized
iron roof.
A room five feet square was added to the mattress
factory, and a frost-proof closet installed therein.
A new, electric powered, morticing machine was installed in the carpenter shop.
The following places were repainted during the year:
The interior of the Officers' quarters on the ground
floor of the Female Convalescent Building.
The interior of the Powell Building kitchen.
The interior and exterior of the cottage occupied by
Mr. Bivins.
The exterior of the cottage occupied by Dr. Walker.
The exterior and interior of the cottage occupied by
Miss Humphrey.
The interior of the cottage formerly occupied by
Dr. Cox.
Four Rooms of the cottage formerly occupied by
Dr. Bowen.
The hall ways at each side of the center part of the
Powell Building.
The dome on the Powell Building.
The White Female Infirmary. The back wing of the
Infirmary was also replastered before painting.
The operating room on "D" Ward.
The woodwork and the dining rooms and sitting
rooms of several of the White Female Wards.
80
EIGHTY-SEVENTH ANNUAL REPORT
A concrete loading platform was built along the
entire west side of the Store House.
Two cast iron sluice gates were installed in the intake well at the water works. These gates were installed
at a lower elevation than the ones installed in 1927. The
lower elevation of the openings was made necessary by
the breaking of the dam at the old power house of the
Mill^dgeville Lighting Co.
The three-inch cast iron water main that ran from
the Colony Pond to the elevated tank at the Colony was
dug up and relaid on a direct line from the Colony Spring
to the tank.
A new Myer's "Bull Dozier" power pump was installed at the Colony Spring. This pump delivers 48
gallons of water per minute to the elevated tank at the
Colony.
Under the supervision of the Farm Steward, the
"Grade Gang" of this Department, graded all the
shoulders of the roads that were paved by the Highway
Department.
With the help of the wagons from the Farm Department, the ground around the L. M. Jones Building
was graded and sodded.
The old wooden pavilions on each side of the old
Negro Building were torn down. The west side yard of
this building was filled in and graded to a one per cent
grade. This necessitated building three brick retaining
walls across this yard.
The southwest corner of the wall enclosing the back
yard of the West Detached Building was torn down and
rebuilt on a curve. This eliminates a "Blind Corner" at
this point. This work was done by attendants and patients
from the Negro Department.
An eighteen-hole minature golf course was constructed in the south side yard of the Green Building.
On the 6th of November the dining room ,and
kitchen of the 24th White Male Ward caught on fire from
a rat nest between the studding of the wall between the
kitchen and dining room. Owing to the prompt action
of the fire department the fire was extinguished after
doing very little damage to the building.
A 40-gallon Childs Soda and Acid Chemical engine
was installed at the Colony Farm, and the supervisors
and attendants were instructed in its operation.
MILLEDGEVILLE STATE HOSPITAL
81
Four 2i-gallon Foamite Fire Extinguishers were
purchased. One was installed in the paint shop, one in
the garage and the other two were mounted on the
apparatus.
All of the electric light circuits in the Powell
Building, with the exception of the center part, were rewired, the insulation on the old wire having rotted to such
an extent that a number of grounds had developed on
the several circuits. This same work was done in the 1st
and 2nd Negro Female Wards.
In addition to the ordinary repair work required
continually throughout the institution, the carpenter
shop, the furniture repair shop, the shoe repair shop and
the broom factory have been kept busy during the year
making and repairing the various articles required in the
different departments.
Respectfully submitted,
W. S. JETT, JR., Engineer.
82
EIGHTY-SEVENTH ANNUAL REPORT
Report of Farm Steward
FEBRUARY
DR.
2, 1931.
R. C. SWINT, Superintendent,
DEAR SIR:
I wish to submit my report for the fiscal year ending
December 31st, 1930.
The following is a list of food stuffs produced by my
department during the year:
Beans, butter
924
"
Beans, snap
207
Beans, ototon
ioo
Be
ets
_
". 2260 Heads
Cabbage
_
2890
Collards
13209
Cantaloupes
10000 Bu.
Corn
979
Corn, roasting ears
1000 Tons
Corn, silage
162 Bu.
Cucumbers
150 Tons
Fodder
igu u
Hay, (oats & vetch)
960 Heads
Lettuce
_
1020 Bu.
Oats, shelled
280 Bales
Oat straw
749 Bu.
Okra
~ 505 Bu.
Onions
508
Peas, garden
202
Peas, field, green
695
Peas, field, dried
800
Peaches
862 Baskets
Pork, dressed
26466 Lbs
Potatoes, irish
899 Bu.
Potatoes,
sweet
8500
R
ape
1520
R
ye
81
Spinish
126
Squashes
1884
Syrup
1215 Gal.
Tomatoes
535 Crates
Turnips and turnip salad
4879 Bu.
Watermelons
26940
83
MILLEDGEVILLE STATE HOSPITAL
Dairy
5798
Sweet milk
Sweet cream
Beef
Calves'sold
Manure
-
-
-
-----
8
26
3873
1
1316
Gal.
Lbs.
*or f6-00
Loads
Chicken Farm
Hens issued
134
Roosters issued
5
Friers issued
-—
?
QQI
r>
0
Eggs received
- - 21°°4 ,fEggs issued
1891
Eggs set
f^'*
Turkeys issued
139 Lbs.
In addition to producing the above my department
has cut about 500 cords of stove wood and distributed to
houses and kitchens. We have moved all the coal from
the chutes to the boiler rooms. Have also kept up the
entire road system around the institution and have done
several other things too numerous to mention.
I wish to thank you, the Board of Trustees, the
officers and others for the gratitude and co-operation
shown me throughout the year.
Respectfully,
F. C. PENUEL,
Farm Steward.
84
EIGHTY-SEVENTH ANNUAL REPORT
Report of Treasurer
DR.
R. C. SWINT, Superintendent,
MARCH 24TH,
1931.
Milledgeville State Hospital,
Milledgeville, Ga.,
MY DEAR DR. SWINT :
Agreeable your request I beg to submit statements of
accounts as treasurer Milledgeville State Hospital for
fiscal year ending December 31st, 1930.
Dec. 31st, 1929, Bal. cash
on hand
.$
1,426.25
Requisitions received 1930
1,170,000.00
Misc. collections from
Homer Bivins, Steward
10,561.96
Interest on account
697.07
$1,182,685.28
Disbursements for year 1930
$1,134,974.20
Dec. 31st, 1930, Bal. cash on hand
47,711.08
$1,182,685.28
Building and Equipment and Special Appropriation
Accounts.
Requisitions received during
year 1930
$225,000.00
Interest received on accounts....
564.60
$225,564.60
Disbursements during year 1930
$184,765.87
Dec. 31st, 1930, Bal. cash on hand
40,798.73
$225,564.60
As treasurer Milledgeville State Hospital and as
cashier Exchange Bank, we certify that the above
accounts are correct.
OTTO M. CONN. Treas. Milledgeville S. H.
H. G. BANKS, Cashier Exchange Bank.
Witness:
H. H. HERNDON,
N. P. B. Co. Ga,
MILLEDGEVILLE STATE HOSPITAL
85
Report of Steward
DR. R. C. SWINT, Superintendent,
Milledgeville State Hospital.
DEAR SIR :
I submit herein a comparative financial report of the
condition of the Milledgeville State Hospital for the fiscal
years ended December 31, 1929-1930; together with comparative detailed statements of receipts and disbursements and other data for these periods.
The year of 1930, as well as that of 1929 has been
most unusual in the history of the Hospital, in that the
State's inability to promptly pay our appropriations has
seriously handicapped us in its proper operation and prevented the opening of our Psychopathic building completed early in the year.
On December 31, the State was indebted to us for
maintenance in the amount of $250,000.00 for the year
1929 and $130,000.00 for 1930; the non-payment of which
sums'continues to embarrass us, since it prevents the payment of the greater number of our supply bills since
June first.
The Hospital was operated within its appropriations
during both the year 1929 and 1930, and at the end of
1930 had excess assets of $157,619.25 an increase of
$53,466.01 over 1929. Our expenditure for maintenance
for 1930 less internal income was $1,245,912.62, and on
this basis our annual cost per patient for care and, treatment was $233.80, a slight increase over 1929 ot $4.^4,
and our per-diem $0.64,05, and increase of $0.1,16.
The State was also indebted to us on December 31, in
the sum of $597,135.57 which amount represented unpaid
balances on special appropriations $562,253!.581 of which
was for new buildings, and the balance of $34,881.99 for
the enlargement of our Water-works.
Our experditure on the New Negro and Psychopathic
buildings at the end of the year totalled the sum of
$554,875.55, including interest of $23,929.05, and that
of the Water-works $46,178.60 including interest of
$117 39
On the expenditure of $554,875.55 for new
buildings, the State has paid the sum of $487,746.42,
$205 000 00 of which was paid on an appropriation made
in 1929 of $500,000.00 for additional new buildings. The
EIGHTY-SEVENTH ANNUAL REPORT
balance of $67,129.13 is being carried by banks and in
open accounts, subject to eight per-cent interest. On the
expenditure of $46,178.60 for Water-works, the State has
paid the sum of $45,118.01, leaving an unpaid balance of
£1,060.59.
The following exhibits and schedules set forth the
condition of all accounts in detail, and are offered in
support of the above statements.
EXHIBITS:
1—Comparative Balance Sheet December 31, 1929-1930.
2—Comparative Statement Receipts and Disbursements
Years, 1929-1930.
3—Consolidated Cash Statement Receipts and Disbursements.
4—Statement Receipts and Disbursements Account
Special Appropriations.
5—Statement Special Appropriations, Expenditures and
Balances Available.
6—Profit and Loss Statement, Farm, Garden and Dairy.
7—Statement Operating Funds, Per-capita, Etc.
SCHEDULES:
1—Accounts Payable as of December 31, 1930.
2—Accounts Receivable as of December 31, 1930.
3—Production, Farm Garden and Dairy.
Vouchers have been drawn throughout the year in
the payment of all accounts promptly upon their due
dates, but because of a lack of funds were held in the
office from month to month, and on December 31,
amounted to $260,800.93 for maintenance alone.
All paid vouchers and all bills for purchases made
during the year, are regularly filed and of record in this
office.
Respectfully submitted,
HOMER BIVINS, Steward.
EXHIBIT No. 1
Comparative Balance Sheet, December 31, 1929-1930
1929
EXPLANATORY:
CASH:
» loQnoKR
Treasurer-Patients' Fund
> ^f-^%
Treasurer—Occupation Therapy fund — _
4,^±*.*u
Treasurer—Building and Equipment Fund
Treasurer—Special App. Building Fund
3 000 00
Steward—Working Fund
•'■£"?'
1'A An in
Steward-Time Deposit-Merchants & Farmers Bank—
1,440 38
Steward—Time Deposit—Exchange Bank
1,/du.uz
ACCCOUNTS RECEIVABLE:
Officers, Employees and Others
Increase
1930
12,477.18
4,390.57
1,530.32
39 268.41
3,000.00
463.87
1,306.86
$
174-63
176.17
1,530.32
39,268.41
976.51
76.84
IQI«S0
1,845.16
528.86
DUE BY TREASURY DEPARTMENT:
Unpaid Expenditures Against Special Appropriafons - 226,290.90
Unpaid Requisitions Against Maintenance Appropriations 250,000.00
67,809.48
380,000.00
130,000.00
x.oxo.o
STOCKS:
ro 07c on
General Merchandise
Fuel—Coal and Coke
Drugs, Chemicals and Sundries
Engineering Materials
Packing House Products
Dry Goods, Clothing in Manufacture
Farm Supplies
Dairy Feeds
FREIGHT AND EXPRESS:
Applicable to Stocks
TOTAL
20 257-29
_'-„.. R1186296
5'504 25
'SQQ'/IH
__
°^-*°
45070
3,2^.b4
_^^^^^^^4M7^72_
Decrease
H
O
O
M
<
I—I
198,481.42
tr1
f
M
w
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M
58,326.73
20,257.29
5,505.08
11,608.06
5,095.40
1,992.69
4,951.43
858.00
407-30
1,159.21
284.70
1,345.17
1,887.47
$ 617.622.57
a
76.77
254.90
408.85
$178 273.17
S201.828.32
o
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>
EXHIBIT No. 1—(Continued)
Comparative Balance Sheet, December 31. 1929-1930
EXPLANATORYDUE SPECIAL FUNDS:
Brantley Building
Occupation Therapy Department
Occupation Therapy Department—Female
Occupation Therapy Department—Male
Female Commissary
TRUST FUND:
Patients Deposits
ACCOUNTS PAYABLE:
Individuals and Corporations
DUE TREASURER:
Overdraft General Fund
SALARIES, WAGES AND LABOR:
Officers Salaries
Employees Wages
Due contractors for labor and materials in construction
of New Building. Temporary paid with Requisitions
on Governor and discounted by banks
GROUP INSURANCE:
Advancements
EXCESS ASSETS:
Net at End of Years
TOTAL
1929
779.50
4,217.40
405.90
5,786.28
1,440.38
1930
$
342.00
4,390.57
525.00
9-204.64
46387
l.isrease
Decrease
437.5J
173.17
119.10
3.418.36
976.51
M
O
W
H
■
m
12,302.55
12,477.18
42,997.97
61941.06
18,943.09
203,832.67
211,947.55
8,114.88
6,290.72
33,047.22
6.856.98
37,392.36
566.26
4,345.14
225,923.89
114,440 30
<
174.63
M
H
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111,483.53
21 81
21.81
104,153.24
157,619.25
53,466.01
$641,177.72
$617,622.57
$ 89 342.45
$ 112.897.60
W
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EXHIBIT No. 2
Comparative Statement Receipts and Disbursements Years, 1929-1930
EXPLANATORY.
=
"
State Appropriation, Regular
MISCELLANEOUS:
Interest on Balances
Donations
Total, Less Internal Income
1929
$1,200,000.00
1930
$1,300,000.00
723
vo
°-
$1 200,635.17
Incr^T
Decreass
$100,000.00
3
8846
101.32
'
101.32
$1,300,824.95
$100,189.78
t-1
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INTERNAL INCOME:
Board of Officers
Board of Special Attendants
Board of Employees
Miscellaneous Sales
Rents
Sales—Ice
Sundries ___--—Saes-Farm Products
Sales—Dairy Products
Pines
GRAND TOTAL
S'n?
2,044.02
^f
42 00
925;74
265 09
57,714.28
24 218 15
146 01
$1.292.092.56
1041-29
176151
i,/o .
^ 12
38 50
1,114.32
291.46
36,342-82
27,676.87
218.00
$1.373.708.33
182.32
282.51
806.40
3.50
188.58
26.37
21,371.46
3,458.72
71.99
$104.261.96
$ 22 646.19
C
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EXHIBIT No. 2—(Continued)
Comparative Statement Receipts and Disbursements Years. 1929-1930
EXPLANATORY.
GENERAL ADMINISTRATION:
Officers Salaries
WAGES AND LABOR:
Medical Department
Steward's Department
Engineer's Department
Farm and Garden Department
Dairy Department
FOOD SUPPLIES:
General Wards
Nurses Home Dining Room
Steward's Dining Room
Superintendent's Dining Room
MISCELLANEOUS.
Clothing and Dry Goods
Furniture and Bedding
Fuel
Medical Supplies
Stationery and Postage
Advertising
Amusements
Repairs, Autos and Trucks
Barber Supplies
Broom Factory Supplies
Blacksmith Supplies
Dental Supplies and Repairs
1929
9
78,991.63
1930
$
84,289.64
206,883.73
51,317.86
65,598.73
10,818.64
3,217.10
308,822.12
57,661.69
61,178.79
12,334.56
4,244.51
451,557.99
20,344.51
5,579.10
1,320.26
426,352.76
19,448.56
5,651.35
1,124.49
78,418.44
40,479.78
52,748.37
9,855.95
2,378.94
140.14
217.50
1,410.98
301.18
1,462.94
555.23
544.28
72,816.21
35,037.34
66,904.39
11,552.49
2,133.93
227.86
178.97
1,118.89
341.58
1,316.99
721.15
410.40
Increase
$
5,298.01
Decrease
$
I—I
O
aH
41,938.39
6,343.83
4,419.94
1,515.92
1,027.41
Hi
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25,205.23
895.95
72.25
>-3
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195.77
5,602.23
5,442.44
14,156.02
1,696.54
245.01
87.72
>
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38.53
292.09
40.40
145.95
165.92
133.88
EXHIBIT No. 2- -(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930
Demurrage __
Dining Room Supplies ——-.
■Electric Light Repairs and Supplies
Electric Power Supplies
Escaped Patients
Florists Supplies
Gas and Oils
Garage Supplies ____
Housekeeping Supplies
Hanressl Repairs
Cemetery Supplies
Insurance Premiums
Interest Paid
Kitchen Supplies
Laboratory Supplies
__—_
Laundry Supplies and Repairs
Light and Power
Medical Books and Journals
Libraries .Musical Instruments
Office Supplies
r"S"—,"
Telephone and Telegraph Supplies
Printing
Poultry Yards
Publicity Work
Registration Autos
Surgical Instruments
1930
1929
EXPLANATORY.
-
2 356.04
i'827 74
'l93'35
26486
81'05
3 41649
6 50
11002 36
'95 90
12600
2 413 90
l'602 91
390970
628 15
5 07174
28'054'35
'l88'.60
2 00
32;33
958 45
190'56
1312 55
'782;o9
—
14.00
2,137.68
1,868.70
814.94
166.67
42.38
3,760.44
86.90
10,868.87
108.38
66.00
3,808.64
8 080.47
l',782.42
715.44
5,161.29
23 210.68
'504.25
18 48
15^3
1402.57
4',97l'.45
875.46
1,005.04
223.51
gl25
i«M0
'
100
43 64
Increase
14.00
40.96
621.59
Decrease
218.36
98.19
38.67
343.95
80.40
133.49
12.48
1,394.74
6,477.56
87.29
89.55
60.00
2,127.28
222.95
223.51
33.75
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4,843.67
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16.40
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315.65
16.48
444.12
4,780.89
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437.09
114.46
EXHIBIT NO. 2—(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930
EXPLANATORY.
Telephone and Telegrams
Tobaccos
Tools and Implements
Travel
X-Ray Supplies and Repairs
Sundries
FARM AND GARDEN:
Freight and Express
Miscellaneous Supplies and RepaL-s
Seed
Fertilizers
Board of Employees
Treating Live Stock
DAIRY:
Board of Employees
Miscellaneous Supplies and Repairs
Freight and Express
Feed
Fencing—Post
MAINTENANCE OF PLANT:
Brick
Builders' Hardware
Cement
Crushed Stone
Cooking Apparatus
Electrical Equipment
Fire Apparatus
1929
__.
__
1930
650.04
9,100.57
510.02
1,853.57
176.70
1,164.24
601.51
7,939.98
314.93
1,370.50
223.20
977.00
55.90
1,802.96
1,588.56
12,941.64
2,681.48
126 25
62.96
1,701.59
1,412.35
11,089.70
2,807.49
514.49
304.72
222.32
10,262.35
715.00
301.94
398.00
11,429.54
204.40
709.96
2,248.58
1,327.50
847.28
1,020.83
1,135.50
218.82
1,142.86
791.68
309.72
835.40
46.01
Increase
Decrease
48.53
1,160.59
195.09
483.07
O
K
•-3
187.24
w
46.50
K!
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7.06
101.37
176.21
1,851.94
126.01
126.25
200.51
2.78
175.68
1,167.19
204.40
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137.32
1,227.75
192.00
218.82
307.46
791.68
263.71
I
H
EXHIBIT NO. 2—(Continued)
Comparative Statement Receipts and Disbursements Years, 1929-1930_
EXPLANATORY.
Grading Supplies
Ice Works Supplies
Lime Hair and Masons Supplies
Lumber and Building Material
Machinery Repairs and Supplies
Painting Supplies
Plumbing Supplies
Pump Repairs
Range Repairs
Sewer Supplies
Steam Pipe Fittings
Tinners' Supplies
Waterworks Supplies
Sundries
INVESTMENTS:
Automobiles and Trucks
Live Stock
__
Cafeteria Equipment
Topographical Map
—
__—
1930
V^'f
495.^4
r, A/aL
'* b
i%W%A
t'AVnt
' o«7r
°°-'°
,nrTQA
nin'tn
-709^1
6.85
250.33
1,109.40
5,351.22
2,402.72
2,151.30
2,642.32
172.84
362.64
851.33
1,197.17
463.67
1,834.04
2,283.81
ZOQ'QQ
i,d<s».a»
950.97
Increase
Decrease
113.00
244.91
493.03
2,053.73
r1
c-
1,276.34
a
2,162.79
269.40
675.39
99.87
318.67
505.16
1,332.84
$1,289,522.22
§1,318,897.32
99,656.14
2,570.34
54,811.01
52,240.67
$1.292.092.56
$1,373,708.33
$151,896.81
c-1
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2,905.75
5,096.75
M
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<!
206.60
86.09
2,191.00
1,675:00
3,872.54
4,000.00
—
TOTAL DISBURSEMENTS, Plus Internal Income,
DIFFERENCE:
Operating Gain for Years,
GRAND TOTAL
1929
1,675.00
3 872.54
4,000.00
$ 70,281.04
$ 70 281.04
W
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>
EXHIBIT No. 3
Consolidated Cash Statement Receipts and Disbursements
a
o
■81
be '
EXPLANATORY
a
CJ
SH
c c
P. (*_;,
ho
c
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SJrf-
0
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ho
■Ojh2
o *>
"-J3 *
ho
ft r•H
"i o.Ss
CS U 3
g-«£M
P
|$ 4,217.40!$12,302.55|$ 3,000.00!$12,045.45|$253,415.88
H
Balance from 1929
Less Due Special Funds —
RECEIPTS:
Maintenance Appropriation
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward —
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
—
I—I
O
«
«!
w
W
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M
$205,000.00 $20,000.00
139.651
424.95
|
3,694.88
225,000.00
546.6J
173.17;
I
a
>
10,068.14|
23,829.51|
$205,139.65'$24,119.83|$ 4,390.57|$12 302.55l$36,897.65!$12,045.45|$
|
|
[ 23.829.511 33,897.651
I
$205,139.65l$24,119.83!: 4,390.57!$36,132.061$ 3,000.00|$12,045 45|!
I 23.654.881 27,050.67i
183 361
165 871.24! 22,589.511
$ 39,268.41!$ 1,530.32'i 4,390.57I$12,477.18!$30,050.67IS12,228.811$
|
| 27.050.671
I
I
I
$ 39,268.41!$ 1,530.32|$ 4,390.57 $12 477.181$ 3,000.00'$12.228.811$
H
27,851.28
27,851.28
26668.80
54,520.08
54.520.08
c>
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13
O
SUMMARY
CREDITS:
DEBITS:
Treasurer—General Fund—
Treasurer—Building Fund
§39,268.41
Treasurer—Building & Equipment
Fund
- 1.530.32
Treasurer—Occupational Therapy
Fund
4,390.57
Treasurer—Patients Fund-- —__ 12,477.18
Steward—Working Fund
3,000.00
Steward—Time Deposits
1,770.73
Unpaid Requisitions—
Negro Building
12,228.81
Unpaid Requisitions—■
Psychopathic Building
.. 54,520.08
Unpaid Requisitions—
Water Works
1,060.59
Overdraft—Maintenance Fund ___109,104.12
Total
__—
Overdrafts
$211,947.55
Occupation Therapy Department- 14,120.21
Patients Deposits
12,477.18
Brantley Building
342.00
Female Commissary
463.87
Total
__—
r
M
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$239,350.81
o
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$239,350.81
w
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to
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EXHIBIT No. 3—(Continued)
Consolidated Cash
Statement Receipts and Disbursements
Balance from 1929
Less Due Special Funds
RECEIPTS:
Maintenance Appropriation __
Special Appropriations —
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales—Store Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers ----Balances
...-■—
Disbursed by Steward
Balances
——
$2,670.40
Occupation
Therapy
Depts.
Treasurer
General
Fund
EXPLANATORY:
Steward
Time
Deposits
w
03
in
S?&>
.2 (3
OJ o
j$ 203,832.67!$10,409.58l
|$12,302.55
I 1,170,000.00|
I
i
173.17|
697.07|
101.321
45,131.07|
4,277.95j
23,829.51
1,268.791
£4,040.51]$l,011,995.47|$14,860.7Oj$36,132.06
I
10,068.141
?4,040.51|$1,022.063,.61[$14J860.7(4|$36,132.06
2,269,781 1.234.011.161
740.491
$1,770,731$ 21 l,947.55!$14,120.21l$36,132.06
I
|$23,654.88
$1,770.731$ 211,947.55l$14.120.21]$12,477.18
G2
cs .«
h 3
rsn!
$779,501$
I
I
$779.50[$
I
$779,501$
437.501
$342,001$
$342,001$
(3
C
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09
a
K!
C 0
CQ
1$ 829 5V
1,440.38!
1$
I
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59,716.57
1,170,000.00
801.39
48,825.95
5,787.19
1.268.79
2,709.171$ 829.57|$1,285,131.10
I
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ft s
s s
mm
u0 A:
0
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I
2 709.17|$ 829.57|$1,285,131.10
2,245.301 231.0211.390 839.43
463.87|$l,060.59l$ 105 708.33
3.395.79
463.87|$1,060 59 « 109.104 12
•2,
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Statement Receipts an
EXHIBIT No. 4
Disbursements Account Special Appropriations
EXPLANATORY
"RKCBIPTST"
stot. Treasury on 1929, Appropriations-SSS State T,SK on 1927, Appropriations.
easssSi^^sj^^^
$12,228,811
$12,228.8lji
TotalsBalance due on 19|^29-1930 Expenditure.
DISBURSEMENTS, 1930.
Office Equipment
Kitchen Equipment . —Dining Room Equipment
Furniture and Bedding .
Plumbing
$12,045,451$
Miscellaneous Supplies
1$
5.861
177.50|
205,000.00
20,000.00
564.60
67.809.48
205,000.00|
20,000.00|
564.601
54,520.08|$
1,060.59|
280,084.68|!
1.060.591$
253,415.881$
1,300.40|
4.902.36|
365.00
3,603.41
117.98
743.94
15,635.71
293,374.08
829.57|$ "266,299.00
I
1$
117.39
113.63
1,300.40
4,902.36
365.00
3,603.41
117.98
743.94
15,758.96
291.13
tr1
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00
EXHIBIT No. 5
Statement of Special Appropriations, Expenditure and Balances Available
93
.2
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C
EXPLANATORY.
o
a
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I
O) 3
Appropriated in 1927
Appropriated in 1929
TOTALS
w
s
11
_.
_
Excess Expenditure Over Appropriation
Balances
Expenditure for years, 1928-1929-1930__
--Balances Available __
:
:
Totals
$500,000.00[$
50,000.001
$550,000,001$
4,875.551
$554,875,551$
$554,875,551$
I
$554,»va.ob|$
80,000.00
$
80,U00.00|$
80,000.001$
46,178.601
33,821.401$
80.000.00|$
1$
580,000.00
500,000.00
550,000.00
500,000.001$ 1,130.000.00
I
4,875.55
500 000.00|$ 1.134,875.55
1$ 601,054.15
500.000.001
533.821.40
500,0OQ.O0|$ I.134.'87B.'SB
H
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>
w
M
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MILLEDGEVILLE STATE HOSPITAL
99
EXHIBIT No* 6
Profit and Loss Statement, Farm, Garden and Dairy
Inventories at beginning of year-PURCHASES DURING YEAR:
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
Feeds—Home Grown
Total
-,-;-Less Inventories at End of Year-
Net
Gross Profit for YearGrand Total-
"OPERATTNG^XPENSE
Wages and Labor
Miscellaneous Supplies and Repairs:
Board of Employees
Total
^tjWrt^nrJfear
Grand Total
PRODUCTION:
Dairy Products _-Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Feeds
Compost
■---—- —
Miscellaneous Food SuppliesCash Sales
$45,250.00|$14,890.80|$60,140.80
6,829.70
9,929.54
4,260.00
4,260.00
1,412.35
1,412.35
460.96
398.00
62.96
1,500.00 1.500.00
$57,815.01|$26,718.34|$84,533.3d
33,860.00] 15,693^00|_ 49,553.00
$23,955.01|pi,025.34j$34,980.35
i«WljljJj:65_1.53! 34.653.34
"S4l!956.82.$27.676.87i$69.633.69
6,829.70
9,929.54
$12,334,561$ 4,244.5111*16,679.01
1,701.591
506.34| 2,207.93
715.001 3,522.49
2.807.49!
! 5,465.85 $22,309.49
$1
12.343.85
?'ft8?T
1 1,158^7 11,185.68
$18.001.81l$16.651.53'*34.653.34
1$22,876.40|$22,876.40
29,369.60
534.471 3,716.99
947.70
I
I 2.395.60
4,260.001 4,260.00
6,061.40
6,061.40
6.00
6.001
friTQfifi.82l827.676.87|$69.633.69
$1 «.00L821S16.651.531$34.653.34
$29,369.60
3,182.52
947.70
2,395.60
EXHIBIT No. 7
Statement of Operating Funds, Per Capita, Etc.
EXPLANATORY.
Cash and Cash Items.
VJ-Zi)
1930
Increase | Decrease
$539,794.55[$512,091.85|
$ 27,702.70
1
Total
$539,794.55|$512,091.85i
I
Due Special and Maintenance Funds
DEMAND OBLIGATIONS:
Accounts Payable
Accrued Salaries and Wages
Treasurer—General Fund Overdraft^
Balances
Total
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
Per Capita Cost for Years _
Per Diem Cost
~~~
I
I
P250,855.90|$141,843.56I
!
I
I 27,702.70
109,012.34
f 42,997.971$ 61,941.06|$18,943 09
39,337.94[ 44,249.341 4,911 40
203,832.67! 211,947.55| 8,114 88
2,770.071 52.110.341 49.340. 27!
■IS539,794.55|$512,091.85I$81,309.64]$109.012.34
COMPARATIVE PER-CAPITA YEARS, 1929-1930
1929
1930
-$1,289,522.22
$1,318,897.32
91,457.39
72,984.70
_
""
—
„„ .„„
$1,198,064.83
J&?l9
229.56
S -62.89
11,245,912.62
5,329
233.80
$ .64.05
t—i
o
a
H
I
W
<
H
S5
H
■«
>
►
t-1
W
O
W
H
101
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE. No. 1
AxcountsJ^yable^s_ofDecen^
: T . „_,
NAME
.
Aetna Life Insurance Company
American Bakeries Co.
—
g
American Disinfection Co
Armour & Company
Atlanta Dentai Supply <Jo.__
—
Banks, H. G
———
Barnhouse, C. L.
Barrett Watson Co
Bedford Tobacco Co
-Bell City Manufacturing Oo
Belknap Hardware Co
Bell Dry Goods Co
--—
Bell Grocery Co
Binion, Dr. Richard
—
Brantley. John T. __-Brown Company, D. W
Burford Hall & Smith
Burroughs Adding Machine Co
Campbell Coal Company
Carr Company, A. J._Carithers Wallace Courtney
Central of Ga. Railway Co
—
Coleman, P. H,_—-~■——
——
Coleman, Medows, Pate Co
Collins, W. H
Conn & Company, John
Conn Agent, Otto M._ — -------Container Corporation of AmericaConklin Tin Plate & Metal Co
—
Crane & Company
Cudahy Packing Company
—
Dairy Products Co., The
—
Duer & Sons, John
—
—~
Dunlap-Peeler Hardware Co
Eatonton Oil & Auto Co.__
__—-—-Ennis, J. H
Erwin, J. D
—
Evans, W. C
.--—Eureka Fire Hose Mfg. Co._
Everhart Surgical Supply Co—
Fay & Egan Co., J. A.__——
Fowler-Flemister Coal Co
Foy Paint Company
Freeman-Dent Company
Fulton Supply Company
General
General
Georgia
Georgia
Gilham
Gilman.
Gilman,
Electric~Supply Corporation
Electric X-Ray Corporation
Power Company
Railroad Company
Electric Company
J. M
W. P
Credits
Debits
—
950.47
319.00
g 1Q
^
1,139.10
2.71
1,178.00
12.15
19.98
7.00
142.33
86.30
35.83
62.50
162.50
3.80
1,188.10
29.05
69.03
1,919.25
19.03
11,451.19
23.12
61.90
90.94
1,570.60
181.50
35.75
66.55
554.91
10 00
.„
3.35
4.10
12.75
70.50
3,230.25
152.21
542.50
3.32
8.56
149.79
46.00
473.00
64.86
12.50
10.84
12.60
1.858.39
22.888.71
231.27
19.43
79.28
102
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 1—(Continued)
Accounts Payable as of December 31, 1930
NAME
Debits
Green & Milam
$
Grinnell Company
Hajoca Corporation
so
Hall, Dr. T. M
Halliburton & Co., T. H
Hatcher Hardware Co., R. W
Herf & Frerich Chemical Co
250.00
Hofmayer Dry Goods Company
"
Holcomb, J. I., Mfg. Co
Hollinshed, George W.
Hosch Brothers
Ivey, W. H.
Ivey, J. C.
1125
Johnson, S. C. & Son__
Johnson-Pluker Co
Johnson Hardware Company
I
Kutter, J. & Sons
Lea & Pebiger
Lombard Iron Works & Supply Co
__~I_I
McKinnon Motor Co
McKesson-Riley Drug Co
McKinley. G. C.
""""
McGraw-Hill Book Co., Inc
---•—
McMillan, R. W
McMillan Co., The
~II"~_
McCray Refrigerator
14 17
Macon Electric Co.__
Malt-Diastase Co.
"
Matthews Gas Machine Co
14 00
Mathieson Alkali Works
17 32
Milledgeville Brick Works
Milledgeville Telephone & Telegraph Co
National Committee for Mental Hvsjiene
Newell, A. C
"""
Noland Company
'
Oconee Clay Products Company
Patterson, Miss Fannie
""
Peaslee-Gaulbert Co
Albert Pick-Barth Company
~~ 87.50
Pocahontas Finishing Commission Company.__ 12 83
Postal Cable Telephone Co
Qu-'rm-Marshall Co.
Railway Express Co.
28.40
Roberts Filter Mfg. Co
72 15
Robinson & Co., A. M
I
20.40
Rossville Commercial Alcohol Corporation
Sanders. Lactus
Sargent. E. H. & Co
~.Z~~~~
Saxonv Mills
Schofield's Sons Co.. J. S
Scheurer, Harry & Son
Selig Company
Credits
221.31
48.54
125.00
22.07
147.41
32.50
341.25
354.60
132.09
475.80
109.13
51.11
3.61
.17
6.00
7.50
4.63
106.00
715.00
13.00
75.81
3.28
1.02
34.37
173.72
58.79
3.00
25.00
2.41
67.93
37.50
43.58
4.21
3.95
58.64
15000
17.59
1,325.00
36.50
.40
155.99
103
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 1—(Continued)
NAME
Accounts Payable as of December 31, 1930
Debits
37.50
36.45
Shaw, Dr. H. W.
Singer Sewing Machine Co
Silvey, John & Co
~
Southern Paint & Varnish Co
__
Springfield Woolen Mills, Inc
Standard Oil Company
—
Standard Sanitary Mfg. Co
Stembridge & Co
—
Swift & Company
Teasdale, J. W. & Co
Tidwell. L. E
—----,
Thomas, Chas. C, Publishers
-.
Thomas County Produce Exchange
Trawick, S. B
Union Recorder
Veal, O. F.
__
Wade & Company
-—Washburn Crosby Milling Co
Western Union Telegraph Co
Whitfield Grocery Co
Williams & Wilkins Co
Youngblood Brothers ——
Youngblood, J. M
TOTAL
Credits
i'oi
£•«£
Du
- '
72.35
20.24
87.37
2,663.94
22.36
573.27
10.00
-i»-1J-
938.40
143.25
196.63
10.15
10
iu 00
uu
-
_
*
587 40
-
11.99
1,168.83
5.00
48.35
30.17
$62,528.46
104
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2
Accounts Payable as of December 31, 1930
NAME
Debits
Adams, Ophelia
$
191
Adcock, Dr. J. C
"
1972
Alford, Eddie
~_
~"~
113
Alford, Vandine
~
j/83
Allen, George
'45
Allen, L. E.
'qn
Allen, W. K.
--ZZZZZZZZZZZZZZZZZZZ
!75
Anderson, J. D.
'qc
Badger, F. D
ZZZ
"«
Bailey, R. P.
.."11
50
Beal, Lizzie Mae
"
'5^
Beck, Bethel
J ' J
^89
Beck, J. C
i'«|
Berry, W. T.
Z__ZZZZZZZZ
I""
60
Bivins, Homer
5509
Bloodworth, W. L
\Q
Bonner, R. B.
'2n
Bostick, Dr. W. A
70
Bowdion, Pauline E
"
'25
Boyer, Eddie
'co
Bowen, Dr. U. S
ZZZZZZZZZZZ '"" 11 50
Boys Training School
"
cn'nn
Bradford, Dr. R. W.
_
,™
Brantley, C. C
-———-——___
a./o
Brantley, T. C
""
25
Brantley, Tom
~
"
'57
Bray, Addie
_
2 30
Brookins, E
'en
Brooks, Mary
j'og
Brown, Dan
'an
Brown, Eula
ai
Burgamy, C. E.
'30
Bustin, Kate
"
6'70
Cheaves, Evelyn
__
o'na
Collins, N. A
-Z._ZZZZZ.ZZ.ZZ.ZZ
75
Combes, Leo
'gQ
Combes. Velva
'qfi
Cornwell, Dr. G. K
"
~~~~
233
conn, o M.
zzzzzzzzzzzzzzzz 91.W
Cooper, Annie
1 ?c
Couch, J. G.
" "
{'or
Couch. T. A.
""""
"
o2
Cox, Dr. C. G
_~~Z~~"
'"""
O'IK
Coxwell, Mrs. T. B.
9n
Crooms. R H.
"
,Curtis. J. L.
'4f)
Daniel, Ophelia
Z
r'q4
Davis, Bertha
"
i-?,
Davis, J. Roy
J
^i
Davis, Ruby
/-„
Dean, Grace __
"I
'
Z%Z
DeSaussure, T. H
Credits
5.80
2.50
MIU^EDGEVIU^^ATEJIOSPITAL
_i«5
SCHEDULE No. 2—(Continued)
Accounts Pa^ble^fDeceinber^l930_
=
Debits
Credits
NAME
Dunn, L. A.
Durden, Florence
Durden, Paul
Durden, W. R.
Echols, Dr. G. L.
Echols, Mrs. G. L
Edwerds, B. D.
Eidson, Otis
Eskew, Olene ---English, Mrs. RiHia
Epps, R. S.
Farell, Annie
Parell, Arthur
Farell, Bob
Flurry, Julius
Gambrell, P. H.
Garland, Mrs. Eugene
Garland, R. L.
Garrard, Dr. J. I
Gearheart, C. E
Gilman, James
Gilman, J. M
Gilman, W. P.
Goodson, L. A.
Gore, J. I.
Grantland, Arthur
Griffin, Lilly
Haddock, C. H.
Hall, Dr. T. M.—
Hardin, Rev. F. H.
Harden, Dovie
Harper, Bryson
Harper, Jennie Mae
Harris, I. L.
Harton, J. C. -_
Hattaway, G. W.
Hawkins. A. J.
Hemphill, W. A
Herringdine, Joe
Herringdine. O. C.
Hilburn, Ruby
Hinton, Elizabeth
Hitson, Emmie
Hitchcock, Minnie
Hogan, J. ,C.
Holder, J. H.
Hollis. D. H.
Hooks, Ernest
Horton, O. D.
Hudson. Arthur
Hudson C. E. —
Humphries, Madeline
'
~
.20
3.46
.15
.30
"""
"""
' "__
~ ~
"
_
■"""
"_
~
"""
.35
1.00
.60
1.15
.20
2.35
.85
.50
10.00
.50
18.92
1.47
90
n.40
1.15
~
_
1.10
■
.50
.30
—
.25
.75
"
3.47
4.62
.25
" _
138.60
—"
5.75
— "
i.n
__
10.OO
.70
65
~
"
.60
"
.40
.50
" "
""
.50
6.20
15.50
5.73
"
3.46
6.55
"
1.47
5.34
.50
.60
——
25
3.77
1.15
__
.25
' "
8.10
»—
5.62
106
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31, 1930
NAME
Humphrey, Otis
Ingram, Joe
Janes, G. A. .
Janes, L. B.
Jenkins, Iduma
jett, w. s
Debits
Credits
91n
"
""
:::::::
Johnson, A. W
———.Johnson, Bennie
Johnson, F. J.
"
———
Johnson, Jessie
Johnson, J. C.
" '___
Johnson, R. L
_"
Josey, J. E.
_ _
Kemp, Hazel . . ""
Kemp, Maude
I
"
Kitchen, Nellie
"
""
Lavender, C. B.
___
Lawson, E. L.
'
Layfield, A. W. " ""
'
Layfield, B. L. .
Leaptrott, D. C.
"""
Lee, Lutitia
Leonard, Lila
Lindsey, E. E.
'
Little, F. G
—-——
Longino, Dr. L. P.
_ """
Lyons, Sallie Mae
_"
Lyons, Julia
McCook, Idell ~ """"
"
McCoy, Ocie __ ~~"
McDade, W. W.
"
_
McKinley, A. C. _
McKinley, R. L.
Marsh, Mrs. Irma
""""
Martin, Mattie Lou
"
Mason, Mamie
"""
"•
Matthews, John W _
Matthews, T W
"
May. G. C. _
' """"
Medlin, C. P."
'
"__"
Middlebrooks, Leola
Mills, Martha
___! "~™
Mobley.-Dr. J. W. "__'_
Moore, Lula
"
Mullinix, D. W. _
Newell, A. C
_~ " "___
Nelson, Roxie
"___
—--—-.
Norman Andrew
Norris, Hubie
I ~~~~
_
Norton. Anna "
~~~
Olliff, Estelle _™
Pace, Carrie
ft."
-f0
„no
jj™
4
H»
qn
9"™
t.au
},,.
x
~"
*°"
•%»
-°°
,*°
^'^
, ™
■L°
-J™
•£)>
1
-°"
•„•"
4
^„
mco
111.52
,5ft
7 Q„
48.00
''XX
°-*2
4
-^
-°f
„-™
g.00
''™
/%%
4
-°£
^„
-50
A5
-60
*25
0
2
-74
,„',£
i-l.il
-^5
-6o
69.50
,57
.58
•'-0
XSL
?
sn
.58
107
MILLEDGEVILLB STATE HOSPITAL
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31. 1930.
=
==
" ^AME
Parker, S. H.
Pattishall, Jewell
fattishali, Paul
Penuel, V. C.
Phillips, Pinkie
Prosser, W. B.
Quinn, C. J.
kabun, Myrtice
Kankin, Dr. D. T.
Ransom, Maggie
Randolph, Mat
Reese, Matthew
Reaves, Mary Jane
Reaves, Neshantia
Reeves, Odessa
Reed, R. R.
Resseau, W. L.
Reynolds, Mary
Rhodes, Laurice ___.
Richardson, Annie Lee
Rkrardson, Willie
Roberts, H. B.
Robinson, Lucile
Rogers, J. A
Ross, Bessie
Ross, Beulah
Ross. Geo. W.
Ross, J. D.
Sanders, Dr. Laetus
Sanford, Katie
Saulsberry, Laura
Saulsberry, Sam
Scarbrough, Ruby
Schwall, Mertice
Schwalh Dr^ E W
Shaw. Dr. H. W.
Simpson, Corme
Simpson, C. E.
Simpson, C. H.
Simpson, Roscoe
Simpson, Roy
Simpson, Tom Hall
Smith, Albert S
Smith, E. L.
Smith, Freddie
Smith, J. Roger
Smith, Maude
Smith, Simon
Sparks, Geo. Mclntosn
Stanley. Rachel
Statham, Dr. J. C.
State Farm, Georgia „
Stembridge, W. W.
^editS
25
^Qg
2g'00
4"12
"
'53
"50
'60
5'_67
2 95
'
^gg
2"00
"
'5g
1'80
——
^ gg
'50
-^
^ g^
5-"7g
Credits
2.42
3 08
1'71
^g
'4g
2.48
^ - gg
50
g0
—
148.80
"
2 44
'gg
10"10
^^
7'06
2646
—
——
n;50
1 15
|3g
'gg
j'gO
9g
2;50
60
-
'75
60
25
in
\
t 5
n 6n
lg
3
g95
96 7g
^
1.55
108
EIGHTY-SEVENTH ANNUAY REPORT
SCHEDULE No. 2—(Continued)
Accounts Payable as of December 31. 1930.
NAME
Credits
Steverson, Essie
555
Stinson, J. F.
~"
'_
'59
Stubbs, Cleo
7*1 ~_
27
Suarez, Dr. Raymond
__'_
8 60
Swint, Dr. R. C.
'72
Switzer, Alton
~__
1/4Q
Tanner, Gussie
l'g5
Taylor, Hattie _J
'EQ
Tennille, W. C.
"
'=n
Tennille, W. K.
Terrell, Alma
"
2 80
Thompson, J. M.
27 00
Thompson, M. L.
'gg
Toole, Luella
7'gQ
Tucker, Sarah
1*47
Tuft, Susie
"
"
gg
Turner, Nina
{n
U. S. Public Health Service,504 37
Veatch, C. N
'50
Vinson, J. T.
1'in
Walker, Dr. N. P.
£1 =
Waller, Lillie B.
VSJllZ" 'I
1 86
Warren, Jewell
""
1\c
Wheeler, Dr. G. A.
'__'_
_~~~~~~~
16'3g
White, James
4QQ
Wiley, Dr. John D
15 94
Williams. Sylvia
__!__"
'72
Wilson, Ernest
\
~— ~
1*40
Wilson, Odessa
~~ ~"
'gg
Wooten, J. J.
j'gg
Worsham, Dora
'25
Worsham, J. I.
'go
Worsham. L. D.
'oc
Wright, D. B.
II
i„n
Wright, s. E
::::::
50
Yancey, Bessie
346
Yarbroueh, Dr. Y. H.
4*00
Young. D. V.
g0
Youngblood, C. A.
"
'g0
Yjungblood C. E.
_"__"
70
Younfblood. P -T
*gn
Youngblood, Lillian
~1I~
.45
TOTALS
$1,911.65
Credits
.02
% 66.49
W'J
MILLEDGEVILLE STATE HOSPITAL
SCHEDULE No. 3
Production—Farm, Garden and Dairy
FRUITS AND VEGETABLES:
515 Bushels Butter Beans
894 Bushels Snap Beans
100 Bushels Beets
960 Heads Cabbage
1,260 Heads Collards
13,209 Cantaloupes
975 Roasting Ears
170 Bushels Cucumbers
811 Bushels Okra
502 Bushels Onions
786 Bushels Garden Peas __-..
689 Bushels Irish Potatoes
6,500 Bushels Sweet Potatoes
844 Bushels Peaches
2,812 Bushels Rape
66 Bushels Spinach
1,884 Bushels Squash
530 Bushels Tomatoes
4,248 Bushels Turnip Greens
20,694 Watermelons
1000 Heads Lettuce
-? I'^^Ji
'fnn'nn
!«"•""
io«nn
^°-""
OQ'PK
o«'nn
Ko«'^n
I'TTsnn
I'sq^n
'fQ '™
i'^nnnn
V'^Hn
I'lnfi'nn
' o«nn
„.f'™
«
I'oilnn
-J 4,u
innnn
100 00
-
S29 369 60
§29^b9-bu
*
°??-*'
3,182.52
, o 716
99
* -^lb-yy
?
;£.D4
—-
PACKING HOUSE PRODUCTS:
3,873 Pounds Beef
261466 Pounds Pork
.POULTRY AND EGGS:
4914 Pounds Hens
949 Pounds Friers
21 Pounds Roosters
183 Pounds Turkeys
1,8834 Dozen Eggs
DAIRY PRODUCTS:
57,066 Gallons Sweet Milk
26 Gallons Cream
O'IK
*
°-j°
^.4D
657 76
"
*
' 52
«nn
-00
<fi22 876
40
^>»'b-4U
94
'"'U
FARM PRODUCTS:
^IS To^a^-:::::::::::::::::::" tlooioo $ 5,760.00
FARM SALES:
111 Bushels Soy Beans
122 Bushels Peas
?
_
6lb.^
oou
DAIRY SALES:
1 Bull
>
MISCELLANEOUS FOOD SUPPLIES:
1,215 Gallons Syrup
*
$
*
**«•'*"
*
6_55
EIGHTY-SEVENTH ANNUAL REPORT
OF THE
BOARD OF TRUSTEES
OF THE
MILLEDGEVILLE
STATE HOSPITAL
MILLEDGEVILLE, GEORGIA
GENERAL LIBRARY
THE U
7Y OF GEORGIA
GIFT OF ^ tC^ uy>K^ vm-
GENERAL LIBRAE
OCT 7 1939
UNIVERSITY OF GEORGlJ
For The Year Ending
December Thirty-First
Nineteen Thirty ....
BYCK CO. PRINTERS, SAV'H
DATE DUE
n 02.-20
fUXUXZ JXUZ
DEMCO 38-297
ffi^frr"*"!!'! i>*fai"*
UNIVERSITY OF GEORGIA LIBRAHIES
3 ElDfi DSbfl3 OOSS
