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ANNUAL REPORT OF THE MENTAL HOSPITALS OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR 1918 British Columbia. Legislative Assembly 1919

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 ANNUAL EEPOET
OF   THE
MENTAL  HOSPITALS
PROVINCE OF BRITISH COLUMBIA
FOR THE YEAR 1918
S-^^^%^
PRINTED  BY
AUTHORITY OF THE  LEGISLATIVE  ASSEMBLY.
VICTORIA, B.C.:
Printed by William H.  Cullin, Printer to the King's Most Excellent Majesty.
1010.  To His Honour Sir Frank Stillman Barnard, K.C.M.G.,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour :
The undersigned respectfully submits herewith the Annual Report of the
Medical Superintendent of the Mental Hospitals for the year 1918.
J. D. MacLEAN,
Provincial Secretary.
Provincial Secretary's Office, February, 1919.  Members of the Provincial Mental Hospitals and Colony Farm Staffs
LlEUT.-COL.
who have joined the Colours.
). D. Freeze, M.D.
C. E. Doherty, M.D.                      Captain 1
Lieutenant R. Cullen.
Sergeant-major H. Banham.                             Sergeani
-major E. Croft.
Sergeant J. O'Reilly.                                  Sergeani
D. Montgomery'.
Corporal H. Hoult.
\
/
1 HONOUR ROLL.
KILLED IN ACTION.
*
S. McCOMBE,
/
.   Private, lOJjlh Westminster Fusiliers.
j. Mcdonald,
Trooper, British Columbia Horse.
L.  BUNDY,
Private, lOJfth Westminster Fusiliers.
F. UPHAM,
Reservist, Somerset Light Infantry.
W. H. WILLIAMS,
Private, lOJ^th Westminster Fusiliers.
A. MILNE,
Private, 62nd Battalion, C.E.F.
G. WICKHAM,
/
Private, J^lth Battalion.
1
\
Private A
Talbot.                   Private J. Loban.
Private A
. Milne.
Private E. Orme.                       Private E. Dickie.
Private II. A. Sparrow.
Private W. D. Patchell.        Private E Upham.
Private W. Ronald.
Private T. Woodburn.             Private J. McDonald.
Private J. Robertson.
Private T. E. Morris.              Private S. McCombe.
Private G. Davidson.
Private D. Price.                      Private W. H. Williams.
Private R. McKechnie.
Private D. Hughes.                  Private A. M. Miller.
Private H. Lonsdale.
Private W. McVie.                 Private L. Bundy.
Private 11. W. Strong.
Private A. McLennan.            Private G. Farrant.
Private A. E. Smith.
Private F. E. Frankum.          Private W. Robertson.
Private J. Pollard.
Private A. N. Campbell.        Private W. Headridge.
Private E. Sands.
Private A. Hall.                     Private C. Oxenbury.
Private H. Bailey.
Private A. M. Exley.               Private G. B. McNaughton.
Seaman W. Mackie.
Private Benj. Jones.               Private J. Davidson.
Private G. Wickham.
Private W. Crystall.              Private S. Wickham. OFFICERS AND STAFF, MENTAL HOSPITALS.
Officers at New Westminster.
Clerical Staff:
C E. Doherty, M.D.,  CM., Medical Superintendent.
H. 0. Steeves, M.D., CM., Assistant Medical Superintendent.
T. W. McAllister, M.D., Assistant Physician.
C. H. Gooding, Analyst.
Clerical Stuff:.
Gowan S. Macgowan, Bursar. Thomas H. Cambridge, Receiving Clerk.
Lucy Sheppard, Clinical Cleric and Stenographer.
Chaplains:
Rev. R. Lennie, Church of England. Rev. Father Murphy, Roman Catholic.
Nursing Staff and Trade Instructors:   ■
Maria Fillmore, Matron. W. F. Beggs, Tailor. II. Bailey, Farmer.
J. P. O'Reilly', Steward. J. McMillan, Shoemaker. C. Slater, Painter.
R. T. Hall, Carpenter. F. Spooner, Chief Attendant. E. B. Jones, Laundryman.
J. Booth, Gardener. W. F. Johnston, Engineer. H. Oliver, Plumber.
Officers of Essondale and Colony Farm.
Medical Staff:
C. E. Doherty, M.D., CM., Medical Superintendent.
A. L. Crease, M.D., CM., Assistant Medical Superintendent and Pathologist.
E. J. Ryan, M.D., CM., Assistant Physician.
Clerical Staff, Head Office:
Gowan S. Macgowan, Bursar.        G. Fletcher, Chief Cleric. M. H. McCabe, Book-keeper:
Floy Chase, Clinical Cleric and Stenographer. Gladys Oakley', Business Stenographer.
Chaplains:
Rev. C Yates, Church of England. Rev. Father Marcucci, Roman Catholic.
Nursing Staff and Trades:
G. Mathewson, Chief Attendant. J. L. Malcolm, Chief Engineer.
J. B. Foster, Chief Cook. T. Mowbray', Electrician.
A. A. Killen, Painter and Decorator. E. Huffnell, Plumber.
E. Fitzgerald, Mason and Builder. E. B. Stinchcombe, Outside Overseer.
R. Gow, Carpenter. S. F. Hambly, Balcer.
J. Hargie, Laundryman. W. J. Willows, Barber.
Colony Farm:
P. H. Moore, Superintendent. J. F. Simmonds, Record Cleric. ■ : ":'Pi-.l€' :.•
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X
'rH  REPORT OF MEDICAL SUPERINTENDENT
EOR THE YEAR ENDING DECEMBER 31ST, 1918.
The Honourable the Provincial Secretary,
Victoria, B.C.
Sir,—I have the honour to submit herewith the Forty-seventh Annual Report of the Public
Hospitals for the Insane at New Westminster and Essondale, B.C. This report embraces a full
account of the operations of these institutions for the year 191S, together with a summary of the
requirements for the ensuing year, which I trust may receive the approval of your Department
before the Estimates of the Provincial Legislature are framed.
It will he noticed that the accompanying statistical tables, covering the operations of the
Hospitals during the year, differ in some details of form, although little in content, from those
published in former years.
Admissions.
During the year 371 patients were admitted, a very large number when the admissions of a
few years ago are considered. This phenomenally rapid increase has at times taxed to the utmost
our accommodation. True, the taking-over of the modern building at Saanich as a hospital for
our criminally insane will relieve the situation to some extent, and will permit of the proper
segregation of this class of our insane for years to come. Still, the necessity for a modern
hospital for the proper and scientific study and treatment of our acute cases still exists, and
I would strongly advise the early consideration of the erection of such a building at Essondale
for male cases;   such a building to contain the best features of a modern psychopathic hospital.
The burden upon the taxpayer of caring for the constantly increasing numbers of insane
has occasionally given rise to a division of sentiment when the question of appropriations for
their care has been under discussion, but I can assure you that those members of the Legislature
who oppose a liberal and enlightened policy do so under a mistaken idea of economy. It is
astonishing that even among some of the members of the medical profession there are those who
insist that active treatment by the more expensive hospital methods, hydrotherapy, and laboratories with expensive apparatus and equipment is of no avail, except to increase expense and
make a show, and that formerly, in the time of the old strait-jacket, box-bed, and seclusion,
patients recovered with none of these costly aids as frequently, or nearly as frequently, as with
them. This is the attitude assumed by those who, it is hoped, constitute only a very small
minority in this enlightened Province.
We are obliged, in candour, to concede that, notwithstanding the general adoption of hospital
methods in the treatment of our insane, with the laboratory and various modern therapeutic
measures, we have failed to establish as high a rate of recovery as we -would like, but to some
extent we have been successful, and we are determined, sir, with your assistance, to further
adopt the methods of the general hospital, rather than that of the asylum, to simply feed, clothe,
and comfortably shelter the insane, or, in other words, to simply render custodial care.
In'further considering the matter of increased admissions, it may be said that, notwithstanding the existing laws regarding immigrants and immigration, which are supposed to prohibit
the entrance into this country of the feeble-minded, insane, and those suffering with incurable
diseases, a tremendous number of such are, in some way, continuously gaining admission, and
the necessity for some method of more adequate supervision and intelligent inspection, not by
laymen, but by medical men with the proper experience as phychiatrists, is yearly becoming more
apparent.
Our existing Dominion legislation has now been in effect for some twelve years, and the
question naturally arises as to the effect it has had on preventing the entrance of the insane and
others of the proscribed classes which furnish such a burden on the various Provinces. This
question can best be answered by stating the number or proportion of those cases- resident in
our public institutions. In our British Columbia institutions not quite 8 per cent, are British
Columbia born,'and not over 20 per cent. Canadian born.    Surely these statistics are sufficient V 8 Mental   Hospitals. 1919
to demonstrate conclusively that the burden imposed upon the Province in providing proper
accommodation for insane, who properly belong to other countries, is of much importance to us
as a Province.
Take the financial aspects of this undertaking, and I think it will surprise you, just as much
as it did me, after I had commenced to figure out exactly what it meant. To arrive at any
intelligent conclusion as to just what this might be, let us figure exactly. Take New York State,
where the Comptroller has recently appraised their score of institutions in order to estimate
exactly what per capita investment the State had in connection with their insane; he found
this to be a per capita one of $1,000, or a total investment of $47,000,000. This represents the
cost to the State in providing institutions and plants for the care and treatment of their insane.
In our Province we have a per capita investment of about $1,000, and if we would consider
interest on the money invested, which would seem fair at 4 per cent, "and estimate the amortization cost at 3 per cent, to cover general depreciation of buildings, equipment, etc., we have a
total charge of 7 per cent, on the original investment. Our average per capita cost for maintenance during the past five years has been $200, while the cost of committal, transportation, etc.,
would amount to about $5 as a fair average.
The total per capita cost to the province can therefore be summarized as follows :—
Interest on investment and equipment  $ 70 00
Maintenance     200 00
Other costs           5 00
Total per capita annual cost   275 00
Take our last year's admission of 375, and we find that 72 per cent., or 270, were foreign
born; this 270, at a cost of $275 per head, would represent $74,250, the actual cost to which the
Province was unnecessarily put. This, however, is only for one year, but we have found here
(as has also been found In older institutions, where statistics extend over many years) that the
average hospital-life of each patient is ten years; therefore those of foreign birth admitted
to this Hospital last year alone will, before we are through with them, cost the Province $742,500.
I go into this matter in the above cold-mannered way in order to show you just how very
important the matter of promiscuous immigration is to one Province, in only one branch of
incapables, and to give you some idea of what a tremendous burden it will eventually become if
allowed to go on. To emphasize this, I would call your attention to the fact that, in the United
States, where promiscuous immigration went on for many years, the problem in New York State
has assumed such astonishing proportions that last year it became necessary for that State to
devote practically one-fifth of its entire revenue to care for an insane population which they
estimate, if strict immigration laws had been enforced for the past twenty years, would not be
40 per cent, of what it is at the present time.
It would appear to me that this question should be one of the very first to be taken up by
the newly formed Canadian National Committee for Mental Hygiene, and if the committee could
secure effective results a great national good would be accomplished.
Treatment.
The time has now arrived in this Province when voluntary admission and the establishment
of a psychopathic wing in connection with our largest general hospital should be established.
It would appear that Arancouver should be the city and the Vancouver General Hospital the
hospital. The establishment of such a psychopathic hospital with voluntary admission would
immediately have the effect of making the public understand the fact that insanity is a disease
requiring early and careful treatment, and would also undoubtedly, in a considerable percentage
of cases, obviate the necessity for legal committal.
If a proper outdoor service was also established in connection with this psychopathic department, great assistance to the Province could be given. If such an outdoor service was in charge
of qualified men, it might be hoped that they would be able to pick out many of those types liable
to develop psychoses, and to protect them from those classes of stress which they are least able
to withstand. The neurotic child would be recognized and could be safeguarded, especially
throughout school-life and the period of puberty aud adolescence. In my mind there is no doubt
that competent advice would be sought by parents as to the best methods to be employed in the
rearing of their children. Until then it might he said we are largely helpless in the matter ot
prevention.   9 Geo. 5 Superintendent's Report. V 9
In the treatment of the psychoses the general principles of therapeutics are, of course,
applicable, as in other departments of medicine, and have been followed by the medical staffs of
our hospitals. To provide good treatment and obtain good results an intelligent, well-trained,
and conscientious staff is necessary. The happiness and welfare of the patients while they are
in our hospitals depend greatly on the character and conduct of the nurses, male and female;
upon their efficiency depends, hourly and momentarily, the safety of the patients; while upon
their humanity and conscientiousness depend, continuously, the comfort, happiness, and well-being
of the afflicted assigned to them.
I am glad that you, as Provincial Secretary, have fully realized the manifest and overwhelming importance of this question, and as a result have never placed in any way the slightest
obstacle against the instant dismissal of employees for brutality and insubordination. Without
strict discipline and full authority to discharge nurses and attendants for sufficient reason, the
best superintendent that ever breathed is powerless to effect any improvement in his patients or
in the hospital over which he is the head.
I am pleased to be able to report that the pathological department is again in full operation,
affording full facilities for scientific work directly connected with our ward cases, and essentially
as an aid to diagnosis, and it is encouraging to realize that it is achieving its purpose in a manner
which is creditable to our institution.
Occupational Therapy.
The necessity and wisdom of liberally providing means of diversion for the insane is
so generally admitted that the question is scarcely, if at all, in the field of controversy. In
observance of this well-recognized fact we have given our patients every form of amusement,,
employment, and diversion possible under existing conditions. Encouragement has been given
them to work in the shops, in the gardens, on lawns, and in various departments of the farm.
Weekly dances, concerts, and picture-shows have been given throughout the winter season, while
tennis, baseball, and football have been a source of pleasure and helpful comfort to a considerable .
number during the summer months.
I would like here to give expression to our experience in agricultural pursuits as an occupational therapy with our insane. We have found that work, and especially work in the open
air and in open and healthy surroundings, is of the utmost value for mental patients. Being
a factor in the production of health and happiness, it also becomes a means of cure. I maintain
that where work tor patients is carefully organized the mortality-rate is decreased, mechanical
restraint is unnecessary, and recoveries are more frequent; the spirits of the patients are
brightened, the labour of those who attend them is ameliorated, and the mission of the Province,
which thus provides not only for the custody but also for the recovery of its patients, is ennobled.
I therefore claim that our large farming operations are not only the best therapeutic help, but
also an economical and productive one, and should continue to receive every encouragement and
assistance that our Government can afford to give it.
In providing entertainments and amusements for the patients, the same emphasis as in
occupational training is placed upon the idea that its primary purpose is to aid in the patients'
mental restoration. Unless a cheerful, helpful atmosphere pervades an institution, the best
results are unattainable, no matter what other facilities or what professional skill may be
available. The mentally diseased are out of harmony with their environment, and environmental
conditions in a hospital should be such as to render simple readjustments easy and inviting
and essential to any process of improvement.
Expenditure.
The effect of war conditions is graphically shown in the summary contained in Tables E
and F. Despite every effort to eliminate every item of expense not imperatively necessary to
maintain a proper standard of care, the cost of maintenance has increased slightly over the
previous year. During the year the price of practically all supplies purchased by the Hospitals
advanced approximately 35 per cent., while during the latter part of the year it was not always
so much a matter of price in making essential purchases as of finding dealers able to furnish
supplies in the quantities required to meet the Hospitals' needs. Under such circumstances
I think the net per capita cost of maintenance—namely, 56 cents per diem at New Westminster
and 63 cents per diem at Essondale—is a very creditable one, and in this connection much credit
is due our Bursar, Mr. Macgowan, and also our Chief Stewards, Mr. Pumphrey and Mr. O'Reilly. V 10
Mental   Hospitals.
1919
Table A.
Showing the Average Number of Patients in Residence each Year, the Total Amounts spent for
Maintenance, and the Per Capita Cost.
Year.
Average Number
in Residence.
Maintenance
Expenditure.
Per Capita
Cost.
1872 (81 days)	
16.57
16.07
16.76
27.42
36.41
34.61
36.52
38.17
45.42
47.18
47.86
48.73
48.70
54.67
59.11
73.55
79.43
71.30
78.78
119.87
125.24
133 92
148.64
1.62.97
171.43
188.91
216.53
226.44
243.24
269.56
296.62
332.23
351.55
340.90
374.57
419.24
490.SO
526.85
563.33
641.02
736.72
550.54
384.07
487.24
489.07
515.74
560.56
524.17
633.13
535.66
716.35
585 38
752.78
$ 2,265 25
7,841 94
8,232 41
9,892 38
12,558 18
12,917 17
13,985 05
10,253 72
10,552 18
10,691 76
11.343 65
11,829 11
11,843 94
15,555 87
15,334 43
15,945 22
16,261 06
15,657 79
17,577 80
21,757 03
23,518 37
25,904 98
26,495 83
31,587 89
32,001 40
36,224 76
46,420 25
54,917 45
59,349 20
55,406 08
55,345 65    ■
59,353 57
66,052 76
63,342 07
66,596 69
74,874 64
90,269 49
96,586 32
103,900 44
126,782 50
130,924 06
119,663 71
71,079 84
125,981 45
131,420 44
123,021 70
123,878 43
116,052 21
.    155,698 37
124,124 68 '
166,231 51
156,574 85
222,097 37
$616 00
1873	
1874	
487 98
491 20
1875	
360 77
1876	
344 91
1877  	
373 26
1878	
382 93
1879	
268 63
1880	
1881	
232 32
226 62
1882	
1883	
237 02
242 75
1884	
243 20
1885	
1886	
1887  	
284 54
259 42
216 70
1888	
204 72
1889	
1890	
1891	
219 60
223 13
1S1 50
1892	
1893	
187 80
193 36
1894	
178 25
1895 .                                     	
193 83
1896	
186 67
1897	
191 75
1898	
214 38
1899	
242 52
1900	
244 00
1901	
205 54
1902	
186 59
1903                      ...   ,
178 65
1904	
1905	
187 89
185 80
1906  	
177 79
1907	
1908	
178 59
183 92
1909	
1910	
183 32
184 43
1911	
197 78
1912	
1913, M.H., New Westminster	
1913, M.H., Essondale (9 months)	
1914, M.H., Essondale	
177 71
217 36
184 76
258 56
268 36
1915, M.H., New Westminster	
238 53
1915, M.H., Essondale	
220 99
1916, M.H., New Westminster	
1916, M.H., Essondale	
1917, M.H., New Westminster	
1917, M.H., Essondale	
1918, M.H., New Westminster	
1918, M.H., Essondale	
221 40
245 91
231 72
232 05
267 47
295 03 9 Geo. 5
Superintendent's Kei'ort.
V 11
Table B.
Showing Analysis of the Per Capita Cost.
Year.
Salaries.
|279 38
Provisions.
Clothing.
Fuel and
Light.
Furniture.
Medicines.
Miscellaneous.
Total.
1872	
$184 03
$55 81
$22 44
$15 55
$10 18
$49 30
$616 69
1873	
221 48
166 81
14 55
23 65
21 59
7 74
32 16
487 98
1874	
231 10
152 10 ■
22 07
23 98
28 36
7 78
25 81
491 20
1875	
153 82
113 40
13 98
16 88
25 45
6 73
30 51
360 77
1876	
143 34
114 45
18 68
22 75
17 90
2 86
24 93
344 91
1877	
177 15
126 75
20 69
4 66
20 75
3 74
19 52
373 26
1878	
176 16
124 23
30 43
13 94
7 20
9 16
21 82
382 93
1879	
134 27
95 10
3 25
15 91
6 39
6 31
7 40
268 63
1880	
111 84
87 71
5 74
14 06
6 00
3 63
3 34
332 32
1881	
112 44
81 14
6 86
12 73
5 55
2 56
5 34
226 62
1882	
121 51
84 52
7 05
12 30
4 54
3 49
3 61
237 02
1883	
123 81
92 56
6 03
11 04
4 26
2 24
2 82
242 75
1884	
124 02
90 64
7 03
12 43
4 14
2 77
2 18
243 20
1885	
169 05
84 33
6 33
15 05
3 90
2 93
2 95
284 54
1886	
159 03
69 35
5 49
16 20
3 72
1 59
4 04
259 42
1887	
127 80
59 10
5 88
15 38
3 88
93
3 81
216 78
1888	
118 34
60 47
4 41
13 90
3 11
2 09
2 40
204 72
1889  	
131 70
121 54
59 11
62 77
7 20
9 02
12 93
17 31
4 13
4 00
2 07
1 29
2 46
7 19
219 60
1890	
223 12
1891	
88 35
54 79
3 83
20 43
3 40
1 89
8 81
181 50
1892	
94 25
56 74
4 69
20 53
3 35
1 80
6 42
' 187 80
1893	
95 50
53 55
5 43
22 60
3 39
2 69
10 20
193-36
1894	
87 76
57 07
5 25
18 83
2 98
1 43
4 93
178 25
1895	
90 83
61 15
9 90
20 41
2 51
3 10
5 93
193 83
1896	
89 13
55 93
6 30
20 29
2 56
3 63
8 83
186 67 •
1897	
89 09
58 18
8 36
19 11
2 95
3 86
10 20
191 75
1898	
94 68
69 43
9 94
21 82
2 76
5 12
10 62
214 37
1899	
113 31
72 91
8 31
33 96
2 50
2 73
8 80
242 52
1900	
116 04
72 62
9 06
32 10
2 15
1 71
10 32
244 00
1901	
99 16
66 65
lO 12
18 52
3 25
1 07
6 77
205 54
1902	
87 47
61 13
7 95
15 25
4 13
1 20
9 46
186 59
1903	
82 36
57 86
8 58
14 77
3 24
1 91
9 93
178 65
1904	
87 43
60 01
6 85
17 84
4 48
2 10
9 18
187 89
1905	
92 17
54 09
5 99
17 93
3 83
2 03
9 76
185 80
1906	
88 76
53 15
5 16
15 92
3 57
1 21
10 02
177 79
1907	
89 18
48 47
5 81
19 82
3 02
1 57
10 72
178 59
1908	
90 93
49 17
6 61
17 63
4 56
1 79
13 23
183 92
1909	
94 27
53 41
8 16
13 02
2 78
84
10 84
183 32
1910	
95 97
4S 43
7 87
21 32
2 02
1 15
7 67
184 43
1911	
97 44
58 08
9 39
18 84
I 12
1 87
11 04
197 78
1912	
78 40
56 37
10 »9
19 36
1 79
1 50
10 20
177 71
1913, M.H.,
New West.
102 37
54 07
9 43
25 27
4 74
3 21
18 27
217 36
1913, M.H.,
Essondale.
93 56
49 90
5 50
25 13
55
1 02
14 10
184 76
1914, M.H.,
New West.
115 72
68 15
2 99
24 13
69
2 64
44 24
258 56
1914, M.H.,
Essondale.
113 06
81 42
15 49
28 93
4 14
1 19
24 13
268 36
1915, M.H.,
New West.
110 94
64 32
7 57
20 30
1 88
33 52
238 53
1915, M.H.,
Essondale.
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62 84
9 44
24 87
1 14
56
26 89
220 99
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New West.
105 89
74 96
2 58
18 52
1 45
18 00
221 40
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Essondale.
89 26
75 18
17 76
26 96
4 98
42
31 35
245 91
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New West.
103 41
72 20
10 52
18 29
2 38
24 92
231 72
1917, M.H.,
Essondale.
83 57
79 98
18 92
23 39
4 77
81
20 61
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V 15
Table D.
Summary Statement showing the Gross and Net Per Capita Cost of Insane Patients to the Province
in both Institutions.
Mental Hospital, New Westminster—
Total maintenance vouchers (12 months)      $158,436 18
Colony Farm Produce Account
Essondale Hospital Account for ice, wood, etc.   .
Jan. 1, 1918     Inventory, provisions	
„ „ „ furniture and fixtures
„        „ „ clothing, woollens, etc.
14,431 99
1,582 67
965 50
2,486 26
1,537 90
Total      $179,440 50
Less Tailor Account for Essondale, clothing   $5,124 50
boots and slippers, Essondale          644 00
Colony Farm Account, re hogman     1,104 00
,, „        re hog-feed     5,033 95
„ ,,        patients'   labour    (contra)    1,440 00
Dec. 31, 1918.    Inventory, coal in bunkers     3,159 80
„ furniture and fixtures  .    2,314 51
,, provisions           368 49
„ engineer's material .... 2.951 88
„ clothing and woollens . 2,157 77
,, sundries    6 75
24,305 65
Total City Institution
$155,134 85
Mental Hospital, Essondale—
Total maintenance vouchers (12 months)   $196,601 38
Colony Farm Produce Account
City Institution Account, tailor's clothing	
„ ,,           shoes and slippers  . ..
Jan. 1, 1918.    Inventory, coal and wood  	
„        „ „         furniture and bedding
,,        ,, ,, provisions    	
„        ,, ,, clothing   	
„        „ ,, miscellaneous    	
38.233 49
5,124 50
644 00
1,917 50
4.654 34
2,135 55
4,260 45
173 07
Total      $253,744 28
Less supplies to City Institutions (see contra)      $ 1,582 67
Colony Farm Account, board of employees       7,708 00
„ „ auto-truck services  102 00
„                „          feed, fuel, uniforms, etc. .      1,899 81
,,                 „           patients' labour, farm garden   and  nursery         14.900 OO
Dec. 31,1918.    Inventory, coal and wood       2^521 66
,,        „ „ furniture and bedding .      5,345 89
„ ,, ,, provisions           1,868 90
,, „ ,, clothing and woollens .       8,140 27
.,        „ „ engineer's supplies   . ..      2,477 71
46,546 91
Total Essondale Institution    207,197 37
Total expenses both institutions (12 months)      $362,332 22
Less collections remitted to Treasury—
Mental Hospital, New Westminster    $ 35.169 86
Essondale          32,100 14
 67.270 00
Total net charge of both institutions    295,062 22
Showing a net per capita cost of $220.50 per year, or 60 cents per day. V 16 Mental   Hospitals. 1919
Table E.
Expense and Revenue Statement of the New Westminster Hospital for Year ending December 31st,
1918.
Operating Expense Accounts.
Operating expenditure by vouchers—
Salaries—
Civil Service staff    $ 7.413 32
Stall and employees        53,876 56
 $ 61,289 88
Office supplies, etc.—
Books, journals, stationery, postage     $     699 00
Telephone and telegraph           549 42
 1,248 42
Travelling expenses    57 32
Fuel, water, light, and power-
Fuel     $13,904 44
Water           2,456 48
Light and power        2.550 77
       18 911 69
Maintenance and repairs to buildings, etc.—
Repairs and renewals    $ 3,818 78
Cleaning and janitor supplies        1,302 84
         5,121 62
Furniture and fixtures, etc.—
Bedding      $ 2,147 23
Furniture  and  fixtures           1,192 73
Miscellaneous          1,309 23
         4,649 19
Provisions—
Groceries   .'   $29,257 21
Meats        12,201 00
Fish       2,378 46
 43,836 67
Clothing, boots, slippers, etc —
Clothing      $ 8 808 45
Boots and slippers       1,737 78
 10,546 23
Medical and surgical supplies      $     863 29
Medicines  and drugs     367 32
         1,230 61
Examinations, committals, and transportation—
Examinations    $     494 00
Committals    23 00
Transportation      1,884 62
 2,401 62
Incidentals and unforeseen—
Amusements    $     193 15
Gratuities   .■  16 65
Funerals     252 00
Auto-tires, tubes, repairs, and parts   21 50
Gasolene and oil   870 13
Tools and implements  8S 65
Freight and cartage    12 01
Miscellaneous (including hog-feed)     7.6S8 84
         9,142 93
Total expenditure for 12 months by voucher   $158,436 18
Institution Trading Accounts—
Colony Farm supplies-—
Dairy supplies   $ 5,833 25
Vegetables, fruit, and honey        3.249 73
Beef, pork, mutton, fowl        4,361 91
Horse-labour, etc  987 10
      14,431 99
Essondale Hospital—
Wood, ice, blankets, etc  1,582 67
$174,450 84   9 Geo. o Superintendent's Report. V 17
Table E—Concluded.
Yearly
Summary of Profit and Loss Accounts. per capita
Cost.
Salaries   ,  $ 60,185 88 $102,815
Expenses—
Office supplies, etc  1,248 42 2.133
Travelling expenses  57 32 .097
Fuel, water, light, and power  15,913 89 27.186
Maintenance and repairs to buildings   2,169 74 3.706
Furniture, fixtures, bedding, etc  5,588 44 9.547
Provisions   58,531 74 99 989
Clothing, boots, slippers, etc  4,157 86 7.103
Medical and surgical supplies    1,230 61 2.102
Examinations, committals, transportation    2,401 62 4.103
Incidentals and unforeseen, etc  5,089 33 8.694
Total gross expenditure    $156,574 85 $267,475
Less   patients'  labour    (contra   against   market   price,    Farm
Account)              1,440 00 2,459
$155,134 85 $265,016
receipts of revenue (maintenance)          35,169 86 60.080
Net cost to Government for maintenance of patients   $119,964 -99 $204,936
Remarks.
Total patients in residence, New Westminster,  December 31st, 1918, 596.
Daily average population, New Westminster, 585.38.
Gross maintenance per capita cost per year, $267.47.
Gross maintenance per capita cost per day, 73.28 cents.
Net maintenance per capita cost per year, $204.94.
Net maintenance per capita cost per day, 56.14 cents.
Table F.
Expense and Revenue Statement of the Essondale Hospital for the Year ending December 31st, 191S.
Operating Expense Accounts.
Operating expenditure by vouchers—
Salaries—
Civil Service staff    $10,117 88
Staff and employees   ".     62,734 20
  $ 72,852 08
Office supplies, etc.—
Books, journals, stationery, postage      $ 1,217 86
Telephone and telegraph          1.040 27
         2,258 13
Travelling expenses    363 14
Fuel, water, light, aud power—
Fuel   $18,700 05
Water          4.189 80
Light and power        3,928 37
       26,818 22
Maintenance and repairs to buildings, etc.—
Repairs and renewals   $ 4,915 97
Cleaning and janitor supplies   1,964 84
 6,880 81
Furniture and fixtures—
Bedding   $ 4,080 82
Furniture and fixtures   3,648 50
Miscellaneous   81 00
,  7,810 32
Provisions—
Groceries   $42,328 31
Meats   15,813 58
Fish     3,380 65
      61,522 54
Carried forward   $178,505 24
2 V 18 Mental  Hospitals. 1919
Table F—Continued.
Brought forward     $178,505 24
Clothing, boots, and shoes—
Clothing      $10,155 53
Boots and shoes          1.194 20
       11,349 73
Medical and surgical supplies—
Medicines and drugs    $     698 06
Instruments and surgical supplies   554 02
\ ,  1,252 08
Examinations, committals, and transportation—
Examinations     $       40 00
Committals   	
Transportation    4 75
  44 75
Incidentals and unforeseen—
Amusements      $     250 30
Gratuities     75 50
Funerals     697 00
Auto tires, tubes, repairs, and parts        1,330 10
Gasolene and oil    930 54
Tools and implements  205 76
Freight and cartage    98 18
Miscellaneous          1.862 20
 5,449 58
Total expenditure for 12 months by voucher .   $196,601 38
Institution Trading Accounts—
Colony Farm supplies—
Dairy supplies      $13,731 40
Beef, pork, mutton, etc       2,468 30
Horse-labour, ete       2,459 20
Miscellaneous    9 00
 18,667 90
Gardens and nursery—
Vegetables and garden-truck, fruit, honey, and flowers        10,667 51
Piggery and Poultry Department—
Pork    $    5.789 61
Eggs and fowl         3.108 47
        8,898 08
Hospitals and Industrial Departments—
Tailor-shop—
Uniforms   $ 3.352 00
Patients' clothing        1.772 50
 5,124 50
Shoemaker-shop—Boots, shoes, and slippers  644 00
$240,603 37
Yen. i*l ~v
Summary of Profit and Loss Accounts. Per Capita
Cost.
Salaries    $ 72,853 08 $ 96.777
Expenses—
Office supplies, etc     2,258 13 3.000
Travelling expenses     363 14 .482
Fuel, water, light, and power  25,126 54 33.378
Maintenance and repairs of buildings  4.403 10 5.849
Furniture and  fixtures     6,351 27 8.438
Provisions    89.496 23 118.888
Clothing, etc  12,974 41 17.235
Medical and surgical supplies, etc  1,252 08 1.663
Examinations, committals, transportation    44 75 .060
Incidentals and unforeseen    6,975 64 9.266
Total gross expenditure    $222,097 37 $295,036
iess patients' labour  (contra against market price, Farm Ac.)       14,900 00 19,792
$207,197 37 $275 244
receipts of revenue (Maintenance)          32.100 14 42.635
Net cost to Government for maintenance of patients   $175,097 23 $232,609 9 Geo. 5 Superintendent's Report. V 19
Table F—Concluded.
Capital Expenditure.
Additions and improvement of buildings      $7,939 60
Grading and improvements of grounds     1,501 13
New furniture and fixtures            348 34
Total capital expenditure    $9,789 07
I Remarks.
Total patients in residence, December 31st, 1918, 751.
Daily average population for year, 752.78.
Gross maintenance per capita cost per year, $295.03.
Gross maintenance per capita cost per day, 80.80 cents.
Net maintenance per capita cost per year, $232,609.
Net maintenance per capita cost per day, 63 cents.
Revenue.
You will note that the revenue of the hospital shows considerable increase over any previous
years. Close attention was given this matter, but I feel sure that we have in no instance worked
a hardship on relatives of patients where leniency should have been shown.
The following table will show clearly the yearly collections at this office since the tyne of
the institution's inception, and is worthy of your notice:—
1907  $20,753 35
1908     25,807 83
1909  2.5,845 65
1910   26,137 38
1911   30,100 20
1912   35,151 97
1913   40,756 56
1914 ' 42,731 83
1915, New West.  18,046 21
1915, Essondale.  16,329 72
1916, New West.  18,135 91
1916, Kssondale. 21,889 74
1917, New West. 21,435 93
1917, Essondale. 25,350 09
' 1918, New West. 35,169 86
1918, Essondale.  32,100 14
58 42
. Requirements.
The decision to take over the modern building at Saanich as a hospital for the criminally
insane will permit us ready facility to overcome a long-felt want—namely, an opportunity of
segregating in proper quarters this class of our insane; and, while the building this year of
properly constructed hutments for our tubercular cases has also been a move in the right
direction, there still remain two features calling for early consideration and action by the
Government, namely :—
(1.) The urgent necessity for a modern hospital building at Essondale for the reception,
proper examination, and scientific care and treatment of acute cases; such building should
have accommodation for 200 cases and should contain the best features of a modern psychopathic
hospital.
(2.) The second requirement is the proper provision for the more marked cases of the feebleminded of the Province. The problem of the feeble-minded is one that is going to be with us
for a long, long time, unless we do something to correct it; any Provincial plan for the care
of the feeble-minded must relate itself definitely to the public-school system; under our compulsory-education law every child should come to the attention of the school authorities, and if
there was a proper mental examination of the pupil the school record would eventually constitute
a complete registration of the feeble-minded. It is surely as important, or even much more
important, to train, properly, subnormal as normal children. In the more marked cases this
should be-done in special Institutions, and I would advise early consideration of the erection
of a group of buildings for this purpose.
Before closing this report I not only wish to thank personally, but to commend to your
favourable consideration, the Assistant Medical Superintendents, Dr. Steeves, of the New West-
1873...
... . $1,440 99
1890 	
  $     599 24
1874. .
680 00
.... 1,342 60
730 31
799 91
    479 42
1891	
    761 15
1875	
1876
1892. ...
-  1893 . ..
  2,418 43
   1,683 40
1877	
1878	
1894
1895	
2,709 53
  4,409 23
1879 .
867 38
1896	
1897
1898
1899
1900
1901
1902
1903	
1904
1905 	
.... 3,741 71
1880	
  1,433 04
3,816 80
1881	
    614 99
  4,003 79
1882	
1883	
1884	
505 18
298 24
98 35
4,769 04
6,893 33
  12,800 76
1885
  10,926 23
1886	
1887	
50 00
    720 59
  13,639 64
  15,004 22
1888	
750 00
    220 00
  16,613 18
1889	
1906	
  19,058 42 V 20 Mental   Hospitals. 1919
minster Institution, and Dr. Crease, of the Essondale Institution, and also the other Medical
Officers, who, without exception, have laboured diligently and conscientiously to promote the
administration of the Hospital throughout the year; the efficiency and untiring zeal at all times
rendered by these officers have made my duties indeed very light. Your attention is also called
to Dr. F. P. Smith's dental report;   very satisfactory work has been done in this Department.
I wish also, sir, to express to yourself and to the other Honourable Members of the Cabinet
my sincerest appreciation of your uniform support in all matters pertaining to the promotion of
the Hospitals' best interests.
I have the honour to be,
Sir,
Your obedient servant,
C. E. DOHERTY,
Medical Superintendent. 9 Geo. 5 Laboratory Report. V 21
LABORATORY REPORT.
Laboratory op Provincial Mental Hospital.
Coquitlam, B.C., January 1st, 1919.
Dr. C. E. Doherty,
Medical Superintendent, Public Hospital for the Insane,
New Westminster, B.C.
Sib,—I have the honour herewith to report work done during 191S.    The cleaning-up of the
outbreak of diphtheria which commenced In December, 1917, occupied most of the time during
the first two months of the year, and in all 3,000 cultures were taken.
It was found necessary to close the Laboratory for four mouths to carry on the work of the
Clinical Clerk, and Mr. Gooding carried on this work until a stenographer was obtained.
A routine Wassermann blood test for syphilis was made on each admission if at all possible,
and a positive reaction of 13.64 per cent, obtained on the year's admissions. The test was also
applied to some of our older admissions, and a total number of 445 examinations were made.
An acetone insoluble fraction antigen, checked by a cholesterin reinforced alcoholic extract of
human heart antigen, gave most satisfactory results. The cholesterin antigen, being more
sensitive, picked up many positive reactions not held by the acetone insoluble one. In addition,
each patient's serum was tested for natural anti-sheep amboceptor and removed If present, thus
ensuring against a false negative reaction-:
Routine work done was as follows :—
(a.)  Autopsies done, sections made and filed.
(b.)  Blood examinations—
Complete counts          21
Differential counts         14
Wassermann test for syphilis      445
(c.)  Cultures—
Nose and throat    1,950
Blood  3
Abscesses  2
(d.)  Fluids—
Plueral effusions  4
(e.)  Miscellaneous—
Urinalyses       452
Sputa for T.B        46
Vidal agglutination tests (triple)     6
Faeces for occult blood          2
Fteces, chemical examination          1
WassermaiTn test on spinal fluid          2
Noguchi's test for excess globulin         2
Smears from urethra for Gc  2
Smears for Vincent's angina  6
Smears for actinomycosis  3
Smears for streptococci           '3
Vaccines  (autogenous)     2
Guinea-pigs inoculated for T.B        10
(/.) Work done for the farm.
All animals which died during the year were autopsied, and in every case where possible
assistance was rendered to make a diagnosis of the condition, so that isolation and treatment
could be carried out more judiciously. Weekly milk-counts were done, showing very low
bacterial counts. Cultures from abscesses and infections were always taken to ascertain the
offending organism.
In conclusion, I wish to extend my thanks to Mr. Gooding for the accurate work done and
the keen interest shown by him during the year.
I have, etc.,
A. L. Crease,
Assistant Medical Superintendent and Pathologist. V 22 Mental   Hospitals. 1919
DENTAL RPOERT.
Public Hospital for the Insane,
New Westminster, B.C., January 24th, 1919.
Dr. C. E. Doherty,
Medical Superintendent, Public Hospital for the Insane,
New Westminster, B.C.
Sir,—I beg to report the following dental work done on patients in the Mental Hospitals,
New Westminster and Essondale, during the year 1918, working two days per month:—
Pyorrhoea treatments      33
Extractions      494
Prophylactic treatment     109
Amalgam fillings     121
Synth, porcelain fillings      13
Cement fillings         9
Root fillings          4
Dentures      11
Repairs, bridge       3
Repairs, dentures        10
Abscesses treated       5
Porcelain crowns       2
Fractures treated       2
Dentures trimmed        5
Refitting and setting gold crown        2
I I have, etc.,
F. P. Smith, D.D.S. 9 Geo. 5
Statistical Tables.
V 23
STATISTICAL TABLES.
Table No.    1.
Showing the Operations of the Hospitals, New Westminster and Essondale, for the Year 1918,
in Summary Form.
Movement of Population.
Male.
Female.
349
33
Total.
Total.
Male.
Female.
Total.
213
739
9
22
8
5
562
739
42
22
8
5
996
231
1,227
263
964
382
144
526
143.
383
526
143
383
1,378
Admitted during 1918—
218
6
3
4
137
6
1
355
12
3
5
53
28
18
1
73
3
77
251
375
1,753
Total under treatment, New Westminster and Essondale, for year 1918.
Discharged during 1918:
From New Westminster—
21
11
11
1
19
3
42
108
32
15
7
54
35
From Essondale—
143
21
33
18
22
0
55
155
230
231
25
21
33
18
22
6
66
155
Died ■.	
382
144
612
375
25
251
165
Total in residence, New Westminster and Essondale, December 31st, 1918..
1,347
New Westminster—
486
273
1,012
108
165
143
416
766
165
155
25
766
165
213
931
180
596
Essondale—
383
931
 ^-
155
25
180
751
213
751
596
fJrand total in residence, New Westminster and Essondale, Dec. 31st, 1918.
964
383
1,347
•
1,338.16
1,360.00
1,301.00
45.36
20.00
7.47 V 24
Mental   Hospitals.
19J9
Table No. 2.
Showing in Summary Form the Operations of the Hospital since its Inception.
013
a
_o
'co
S
Discharges.
OT
c3
0
0
Number Resident at
the Close of each
Year.
013
CO
CD
tr
O
a
rH
t-i
CD
rO
B
r^irrV
O ®
"O *
j-j CD
Percentage of Recoveries to Admissions.
Percentage of Discharges to Admissions (Deaths  excluded).
Percentage of Deaths
to Whole Number-
under Treatment.
Year.
■a
00
r.
CD
O
©
CD
en
13"
CD
O CD
*s
. a
CD
©
OT
o3
CD
Er-
CD
P
1872	
1873	
18
15
12
29
22
14
16
18
17
13
7
8
10
20
27
36
26
41
52
49
52
44
80
62
64
74
SI
101
113
115
121
139
115
123
150
221
230
232
280
332
375
380
402
332
353
371
375
1
10
4
3
11
4
7
4
5
5
3
4
2
5
10
15
12
14
17
19
17
14
13
29
23
20
27
31
38
40
30
38
46
43
36*
48
68*
73+
84
67+
74*
901!
58
83
73+
88
75
2
3
3
4
3
1
3
1
1
4
6
5
6
5
6
4
10
18
19
11
25
8
13
32
27
20
31
37
26
33
43
43
56
77
82
114
128
146
126
91
96
78
95
1
5
3
10
5
3
8
8
5
5
2
3
2
5
6
5
3
4
12
20
13
14
19
20
9
14
19
21
29
25
23
26
26
27
28
39
57
40
41
60
76
67
74
89
80
106
132
16
14
19
32
35
38
36
41
48
48
49
49
51
61
66
77
82
100
117
123
135
133
162
164
171
203
221
234
258
284
311
349
321
348
388
461
507
536
595
690
752
919
1,027
1,090
1,205
1.301
1,347
5
13
3
3
5
7
1
2
10
5
11
5
18
17
6
12
29
2
7
32
18
13
24
26
27
38
27
43
73
46
29
48
105
62
167
108
63
115
96
46
2
18
31
26
48
54
49
54
54
58
61
55
57
59
71
88
102
103
123
152
166
175
179
213
224
228
246
285
327
356
377
413
466
480
505
552
666
765
816
896
1,034
1,065
1,264
1,364
1,437
1,527
1,650
1,753
5.55
66.66
33.33
10.34
50.00
28.57
43.75
22.22
29.41
38.46
42.85
50.00
20.00
25.00
37.03
41.66
46.15
34.15
32.69
38.77
32.69
31.81
16.25
46.77
35.93
27.03
33.33
30.69
33.63
34.78
24.79
27.34
40.00
33.33
23.03
21.30
28.30
31.00
30.00
19.57
18.90
22.63
14.43
25.00
20.68
23.72
20.00
5.55
80.00
33.33
26.89
63.63
78.57
62.50
27.77
29.41
61.54
57.14
62.50
60.00
25.00
59.25
55.55
69.23
46.34
44.23
46.94
51.92
72.72
40.00
64.51
75.00
37.83
49.38
62.37
57.52
52.17
50.41
53.96
62.61
61.78
52.06
41.20
53.90
64.60
59.28
54.42
53.80
62.10
45.77
52.41
47.87
44.74
45.33
5.55
16.12
1874	
11.53
1875	
1876	
1877	
1878	
9
2
2
8
20.83
9.35
6.12
16.16
1879	
14.81
1880	
1881	
8.62
8.1-9
1882	
3.63
1884	
5.26
3.33
1885 . ..
6.94
1886	
6.81
1887	
4.80
1888	
2.87
1889	
3.25
1890	
7.64
1891	
11.69
1892	
6.95
1893	
7.60
1894	
8.92
1895	
8.92
1896	
.3.94
1897	
5.69
1898	
6.66
1899	
6.42
1900	
8.14
1901	
6.63
1902	
6.06
1903	
5.57
1904	
5.42
1905	
5.34
1906	
5.04
1907	
5.08
1908	
7.44
1909	
6.40
1910	
4.57
1911	
1912	
5.83
7.02
1913	
5.30
1914	
5.43
1915
6.19
1916	
1917	
5 24
6.42
1918	
7.47
E Three not insane.
f One not insane.
J Two not Insane
! Four not insane.   9 Geo. 5
Statistical Tables.
V 25
Table No. 3a.
Showing the Number of Admissions, Discharges, and Deaths during
1918, New Westminster.
Admissions.
Discharges.
Deaths.
Months.
Male.
Female.
Total.
Male.
2
9
. i
10
9
1
12
44
Female.
Total.
Male.
Female.
Total.
28
22
20
17
10
17
9
28
22
22
16
20
10
13
16
6
7
15
12
13
10
12
22
8
38
35
36
23
17
32
21
41
32
34
38
28
8
1
6
19
1
1
18
2
17
1
1
16
28
2
1
30
4
5
5
2
1
1
2
10
9
3
1
2
5
2
2
2
3
1
4
3
8
2
35
5
7
10
4
2
3
4
1
6
13
17
5
77
March	
April	
May	
Totals	
231
144
375
54
98
42
mber of Admissu
3.
md Deaths durin
g 1918, Essondale.
Showing Nu
Table No. 3i
ms, Discharges, i
Months.
Admissions,
Males only.
Discharges,
Males only.
Deaths,
Males only.
10
16
11
18
15
14
9
22
18
15
5
7
1
1
17
1
10
2
23
17
4
3
2
3
3
3
6
5
2
4
17
3
March	
May	
July '
November	
Totals	
160
72
55
-
-
- V 26
Mental   Hospitals.
1919
Table No. 4.
Showing the Civil State of Patients admitted during 1018.
Civil State.
Male.
Female.
Total.
140
58
8
25
36
93
15
176
151
23
5
Totals	
231
144
3725
Table No. 5.
Showing the Religious Denominations of those admitted during 1918.
Religious Denomination.
Buddhist	
Christadelphian ,
Confucian  	
Doukhobor	
Greek	
Hebrew	
Hindu	
Mohammedan	
Non-sectarian	
Protestant, various denominations
Roman Catholic	
Shinto	
Unknown	
Totals	
Male.
Female.
10
1
9
2
1
1
2
1
3
1
1
1
148
112
41
23
1
16
1
231
144
10
1
11
2
3
3
1
1
1
260
64
1
17
375
Table No. 6.
Showing the Degree of Education of those admitted during 191S.
Degree of Education.
Male.
Female.
Total.
14
145
51
14
7
13
107
14
10
27
252
65
24
7
Totals
231
144
375 9 Geo. 5
Statistical Tables.
V 27
Table No. 7.
Showing the Nationality of those admitted during 1918.
Nationality.
Australia	
Austria	
China.    	
Cyprus	
Denmark	
England	
Finland	
France	
Germany	
Holland	
Iceland	
India.	
Ireland	
Italy	
Japan 	
Montenegro	
Orkney Islands	
New Zealand  	
Newfoundland	
Norway	
Russia	
Scotland	
Spain  	
Sweden	
Switzerland	
Turkey	
United States	
Wales	
Yukon	
Unknown	
Canada—
British Columbia
Cape Breton ....
Manitoba	
New Brunswick..
Nova Scotia	
Ontario	
Saskatchewan   ..
Quebec	
Canada	
Totals ..
Male.
Female.
15
2
16
1
1
50
24
3
'7
1
2
3
6
5
4
4
9
1
2
1
1
2
6
3
2
3
12
16
1
15
i
1
1
1
22
13
3
2
1
1
15
16
1
3
6
1
1
5
2
16
24
1
3
8
3
231
144
Total.
1
17
17
1
1
74
4
1
S
2
o
3
11
8
10
2
1
1
2
9
5
28
1
16
2
1
35
5
1
1
31
1
9
2
7
40
1
11
3
375 V 28
Mental   Hospitals.
1919
Table No. S.
Showing what Districts contributed Patients during 1918.
Place of Residence at Time of Committal.
Abbotsford  	
Aldergrove ,	
Anyox	
Appledale	
Armstrong	
Banff, Alberta	
Bowser	
Brilliant	
Britannia Beach	
Burnaby    	
Chilliwack	
Clinton	
Cloverdale	
Collingwood Bast	
Colquitz	
Courtenay	
Cranbrook   	
Dawson, Y.T	
East Delta	
Edgewood	
Esquimalt	
Fernie	
Glen Valley	
Golden	
Granby Bay	
Grand Forks	
Hagwilgit Indian Reserve
Hazelton 	
Harrison Mills	
Hastings Park 	
Hat Creek	
Hope	
Iddesleigh, Alberta	
Kamloops	
Kelowna	
Kerrisdale	
Lac la Hache	
Ladner       	
Ladysmith	
Lion Island	
Lucerne	
Mas-et	
Maple Bay	
Marpole	
Matsqui    ....
Morrissey	
Nanaimo	
Nelson	
New Westminster	
Nicola  	
North Vancouver	
Oak Bay	
Ocean Falls ?	
Oakalla Prison	
Okanagan Landing	
Penticton	
Phoenix	
Pincher Creek, Alberta  ..
Point Grey	
Port Coquitlam  	
Prince Rupert	
Princeton    ....
Quathiaski Cove	
Quatsino	
Male.
Female.
1
1
1
1
1
1
1
1
1
1
5
i
3
i
1
i
1
1
1
1
2
2
1
i
2
i
2
2
I
2
1
1
1
1
1
1
1
1
1
3
1
1
1
1
2
1
1
1
1
1
1
1
1
1
'   1
4
2
5
2
8
8
1
6
2
3
2
1
2
3
o
3
3
i
Total.
1
1
I
1
1
1
2
1
1
6
3
1
2
1
1
1
3
2
1
1
3
4
1
2
1
1
1
1
1
1
1
1
1
3
2
1
1
3
1
1
1
1
1
2
1
1
6
7
16
1 1) Geo. 5
Statistical Tables.
V 29
Table No. 8—Concluded.
Place of Residence at Time of Committal.
Radium 	
Revelstoke  ........
Rivers Inlet	
Rock Bay	
Rosedale	
Saanich	
Salmon Arm	
San Francisco, Cal..
Sidney	
South Fort George. .
South Pender Island
South Vancouver...
Strawberry Hill....
Sunshine Bay	
Telegraph Creek....
Terrace	
Trail	
Vancouver	
Vernon	
Victoria	
Voght Valley	
West Vancouver ..'
White Horse, Y.T..
White Rock	
Totals ....
Male.
Female.
1
•   2
3
1
2
i
2
1
1
i
1
l
1
3
1
i
1
1
l
94
56
10
4
23
23
1
1
1
i
231
144
Total.
1
5
1
2
1
2
1
1
1
1
1
4
1
1
1
1
1
150
14
46
1
1
1
1
375 V 30
Mental   Hospitals.
1919
Table No. 9.
Showing the Occupations of those admitted during 1918.
Occupation.
Advertisement solicitor
Architect	
Baker	
Barber	
Blacksmith ...
Boiler-maker.
Book-keeper. .
Bushelman ..
Carpenter
Chauffeur ...
Clergyman ...
Clerk    	
Contractor	
Cook	
Domestic	
Draper	
Draughtsman	
Electrician........
Engineer	
Farmer	
Farm-labourer  	
Filer	
Fireman	
Fisherman	
Gardener	
Homesteader	
Hotelkeeper	
Housekeeper	
Housewife	
Immigration officer .
Insurance agent.	
Labourer	
Laundry-worker
Logger	
Longshoreman	
Lumberman	
Manufacturer	
Milliner	
Miner	
Music-teacher	
Needlewoman	
Nurse	
Orderly	
Painter	
Peddler  	
Photographer	
Policeman	
Polisher	
Postmaster	
Pre-emptor	
Professor	
Prostitute	
Rancher	
Retired	
Sailor	
Shipwright	
Soldier	
Stenographer  	
Stone-mason	
Student	
Teacher	
Telephone operator .
Tinsmith	
Trapper	
Wireman	
No occupation
Unknown	
Totals	
Male.
Female.
1
1
1
2
1
1
2
1
11
1
1
4
2
2
2
6
1
1
2
4
12
4
1
4
4
1
1
1
9
95
1
1
86
1
1
6
1
2
1
1
10
1
2
4
2
1
1
3
1
1
1
12
13
4
2
231
144
Total.
6
2
2
6
1
1
2
4
12
4
1
4
4
1
1
1
9
95
1
1
86
2
6
1
o
1
1
10
1
2
4
2
1
1
2
1
1
1
1
1
1
9
2
1
2
9
4
1
1
2
1
1
1
1
25
6
375 9 Geo. 5
Statistical Tables.
Table No. 10.
Showing the Ages of those admitted during 191S.
Age.
Male.
Female.
Total.
3
8
24
28
37
33
24
26
7
11
11
7
4
3
5
3
3
14
22
23
23
13
14
10
1
5
5
4
3
1
6
11
20 to 25     „    	
//       25 to 30    //     	
38
50
30 to 35    it    	
60
n       35 to 40    a    	
56
//       40 to 45     //     	
37
45 to 50     ,,     	
50 to 55     -/	
40
17
55 to 60     //     	
12
16
n       65 to 70    a    	
12
70 to 75    a    	
8
i,       75 to 80    it    	
6
6
Totals	
231
144
375
Table No. 11.
Showing the Number of Attacks In those admitted during 191S.
Number of Attacks.
Male.
Female.
Total.
First.                               	
163
34
2
2
1
28
1
104
25
4
6
2
2
1
267
59
Third    .                             	
6
8
Fifth	
2
3
29
1
231
144
375
Table No. 12.
Showing the Alleged Duration of Attack prior to Admission.
Duration of Attack.
Male.
34
52
27
17
22
16
14
7
2
4
35
1
[Female.
Total.
27
41
14
13
11
1
14
7
3
4
9
61
93
41
„       3 to    6      a          	
30
6 to 12      „	
„        2 to    5      »	
33
17
28
„        5 to 10      //         	
14
/;       10 tO  15      '/	
5
8
44
1
231
144
375 V 32
Mental   Hospitals.
1919
Table No. 13.
Showing Statistics of Heredity in those admitted during 191S.
Heredity.
Paternal and maternal branches
Paternal branch	
Maternal branch	
Lateral branches	
Heredity, inferred	
Unknown.     	
Not insane	
Totals	
Male.
Female.
1
1
5
7
4
11
2
3
44
40
174
82
1
231
144
Total.
2
12
15
5
84
256
1
375
Table No. 14.
Showing the Alleged Exciting Cause of Attack of Insanity in those admitted during 1918.
Alleged Cause.
Male.
Female.
Total.
Alcohol	
8
3
1
1
3
12
44
20
'4
6
4
33
4
8
16
63
1
1
1
2
1
1
22
40
10
5
1
'8
7
4
41
8
4
1
1
3
4
1
34
84
30
5
4
7
4
41
4
Toxic            	
15
20
104
1
Totals	
231
144
375
Table No. 15.
Showing the State of Bodily Health of those admitted during 1917.
Bodily Condition.
Male.
Female.
Total.
195
25
11
231
114
25
5 .
309
50
16
Totals	
144
375   9 Geo. 5
Statistical Tables.
V 33
Table No. 16.
Showing the Form of Mental Disorder In those admitted during 1918.
Form 'of Disorder.
Cerebral syphilis	
Delusional insanity	
Dementia prascox	
Epileptic insanity	
General paresis	
Idiocy and imbecility	
Mania, acute	
Mania, depressive condition
Melancholia	
Paranoia	
Puerperal	
Senile dementia	
Terminal dementia	
Toxic insanity  	
Traumatic insanity	
Not insane	
Totals .
Male.
Female.
1
1
78
20
9
4
26
5
8
6
2
54
70
1
22
14
1
22
9
3
2
8
9
1
1
231
144
1
1
98
13
31
14
2
122
1
36
1
31
5
17
1
1
375
Table No. 17a.
Showing the Number allowed out on Probation and Results during 1918, New Westminster.
Results.
Male.
Female.
Total.
21
11
11
1
5
20
32
15
7
26
53
53
26
18
1
31
73
Totals	
69
133
202
Table No. 17b.
Showing the Number allowed out on Probation and Results during 1918, Essondale.
Results.
Discharged recovered . .
// improved...
// unimproved
Returned to Hospital .
Still out at close of year
Total	
Males only.
12
14
7
14
22
69 V 34
Mental   Hospitals.
1919
Table No. 18a.
Showing the Alleged Duration of Insanity prior to Admission in those discharged from
New Westminster during 1918.
Duration of Insanity.
Less than     1 week...
m 1 month. .
From 1 to    2 months
2 to    3      „
„     3 to   6
„      6 to 12     „
a      1 to    2 years. .
it      2 to    3      //     . .
Over   3 years	
Unknown	
Not insane  	
Totals	
Male.
Female.
Total.
6
8
14
11
17
28
2
9
11
3
3
6
9
9
18
3
3
6
3
1
4
1
1
2
2
4
3
2
5
1
1
44
54
98
Table No. ISb.
Showing the Alleged Duration of Insanity prior to Admission in those discharged from
Essondale during 191S.
Duration
of Insanity.
Males
only.
15
14
10
„    3 h    6      „                        	
4
10
19
Total                      -
72 9 Geo. 5
Statistical Tables.
V 35
Table No. 19a.
Showing the Length of Residence of those who were discharged from New Westminster
during 1918.
Length of Residence.
Less than 1 month . ..
From 1 to   2 months
„     2 „
3
n     3 „
4
„      4 „
5
„     5 „
6
„     6 ,,
9
,,     9 „
12
,,     1  „
2
n     2 «
3
„     3 „
4
a     5 a
6
years
Totals ,
Discharged
Discharged
Discharged
Not insane.
recovered.
improved.
unimproved.
4
3
3
1
7
2
3
10
2
3
3
5
7
2
3
3
9
3
5
2
4
1
4
2
2
3
I        1
i
53
26
18
1
Table No. 19b.
Showing the Length of Residence of those who were discharged from Essondale during 1918.
Length of Residence.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
5
1
2
4
2
3
2
2
5
8
6
3
3
4
2
2
„       3   rr       4       //	
3
3
„     6 i,     9     „         ,	
„     9 i,   12    „         :	
1
3
„      2„      3      ,i	
4
„     3 ,,     4     „             	
1
„      4 „      5      „          . .- .'.'	
„      7 n      8      ,i          XX.	
1
2
Totals	
21
33
18 V 36
Mental   Hospitals.                                                1919
Table No. 20a.
Records
of Deaths for the Year 1918,
New Westminster.
Time in Hospital.
Register
Initials.
Sex.
Age.
Certified Cause.
No.
W. B.
Years.
Months.
Days.
24
4863
M.
3|
1
5
General tuberculosis.
5238
E. V. B.
M.
61
4
11
Toxemia of acute cystitis.
4538
A. H. C.
M.
57
2
5
4
General paralysis.
5371
M. S.
M.
35
15
Acute streptococcic cellulitis of right arm.
4447
J. S.
F.
68
2
8
23
Exhaustion of senile dementia.
5392
A. A.
M.
80
10
Broncho pneumonia.
5285
E. K.
iM.
62
3
19
Exhaustion of senile dementia.
5417
J. McC.
F.
54
8
Exhaustion of acute mania.
5327
J. H. D.
M.
37
2
25
V7incenti angina.
5361
W. H. M.
M.
70
1
25
Exhaustion of senile dementia.
5423
B. B.
M.
73
6
Exhaustion of senile dementia.
5363
M. I, Y.
F.
60
2
Toxemia of burns.
5395
E.   M.
F.
45
1
10
Tabo-paresis.
3157
L. E. W.
F.
33
6
2
8
Status-epilepticus.
5443
P. E. W.
M.
45
10
Exhaustion of general paresis.
5450
0. A. 0.
M.
77
5
Exhaustion of senile dementia.
2651
J. C.
M.
69
'i
9
6
Trombus of lateral sinus.
4990
A. M. W.
F.
5L
i
2
20
Exhaustion of general paresis.
5429
J. L.
M.
85
24
Rodent ulcer of face.
3773
D. B.'S.
F.
47
4
7
3
Endocarditis with broken compensation.
5137
W. McD.
M.
71
9
30
Cellulitis of face.
1836
M. J. W.
F.
38
11
4
8
Pulmonary tuberculosis.
5412
M. R. D.
F.
40
2
3
Cerebral syphilis.
4886
K. McR.
M.
27
1
8
4
Exhaustion of dementia precox.
4828
W. Y.
M.
77
1
10
7
Chronic endocarditis.
4002
H. A.
F.
51
3
1
8
Carcinoma of stomach.
4857
F  M. C.
F.
17
1
9
16
Status epilepticus
5283
L. F.
F.
41
7
10
Exhaustion of general paresis.
4294
M. E.
F.
49
3
6
9
Exhaustion of mania.
4106
M. B. B.
F.
28
3
11
18
Pulmonary tuberculosis.
5474
W. C.
M.
47
3
30
Exhaustion of general paralysis.
5509
R. P.
F.
42
1
25
interstitial nephritis.
5341
S. B.
M.
43
7
9
Tubercular meningitis.
5480
M. D.
F.
41
3
11
Paraplegia following myelitis.
5269
K. B. F.
F.
59
9
17
Exhaustion of acute mania.
5245
L. A.
F.
33
11
16
Tubercular adenitis and pulmonary tuberculosis.
464S
E. A. L.
F.
36
2
1
7
Epidemic of diarrluea.
5535
L. B.
F.
71
3
5
fieneral paralysis.
5519
T. A. W. W.
M.
35
3
21
General paralysis.
5434
E. A. E.
M.
41
6
26
Exhaustion of pernicious anaemia.
5294
C. L. K.
F.
55
11
Cerebral haemorrhage.
5160
F. B. B.
F.
6
1
3
4
Exhaustion of idiocy.
5538
E. M. N.
F.
50
3
14
Exhaustion of exophthalmic goitre.
5648
H. T.
M.
22
8
Strangulation.
5295
L. S.
F.
16
11
19
Pulmonar3' tuberculosis.
4878 ■
S. Y. W.
M.
57
2
6
Exhaustion from inanition.
5632
J. B.
M.
35
1
3
Pneumonia.
5518
R. S.
M.
45
4
26
General paresis of the insane.
3485
J. B.
M.
35
5
11
4
Pneumonia.
2884
J. A. L.
M.
20
7
7
5
Pneumonia.
5365
M. 0. M. D.
M.
20
10
Pneumonia.
1903
G. W. B.
M.
22
ii
7   .
io
Pneumonia.
1445
S. W. C.
M.
50
15
16
Pneumonia.
3612
P. McK.
VI.
60
5
7
10
Exhaustion of general paralysis.
5664
W. A. G.
M.
62
8
Cerebral haemorrhage.
5661
K. M.
F.
27
8
Exhaustion of acute mania.
5035
G. D.
M.
61
1
8
24
Pneumonia.
5638
A. M.
F.
38
1
10
Pneumonia.
3365
F. G. B.
M.
30
6
5
26
Pneumonia.
1490
N. T.
M.
33
14
8
22
Pneumonia.
2701
G. P.
F.
35
8
2
19
Pneumonia. 9 Geo. 5
Statistical Tables.
V 37
Table No. 20a—Concluded.
Records of Deaths for the Year 1918, New Westminster—Concluded.
Register
No
Time
in Hospital.
Certified Cause.
Initials.
Sex.
Age.
Years.
Months.
Days.
4892
S. E. B.
F.
42
2
2
11
Influenza.
2920
M. B.
F.
30
7
5
26
Pneumonia.                                                       ,
5683
M. S.
F.
77
2
Exhaustion of senile dementia.
5479
R. McC.
M.
47
7
0
Exhaustion of general paralysis.
5557
J. B.
F.
47
3
27
Exhaustion of depressive psychosis.
5669
A. N.
M.
68
24
Exhaustion of senile dementia.
5502
A. W.
F.
35
6
18
Exhaustion of general paralysis.
1872
D. S. S.
M.
79
ii
10
23
Cerebral ha-morrhage.
3080
A. H. C.
M.
47
7
1
9
Surgical emphysema.
5402
B. H.
M.
55
10
2
Exhaustion of general paralysis.
5544
.T. F.
F.
63
0
2
Exhaustion of senile dementia.
5530
I. M.
F.
46
5
22
Cerebral embolism.
5687
G. T.
M.
37
1
5
Myocarditis with broken compensation.
5720
C. B.
F.
55
10
Exhaustion of depressive psychosis.
1982
J. W.
M.
58
11
4
20
Myocarditis.
4829
J. C. T.
M.
26
2
6
9
Acute dilatation of stomach. V 38
Mental   Hospitals.
1919
Table No. 20b.
Record of Deaths for the Year 191S, Essondale.
Register
No.
Initials.
Sex.
Age.
Time
in Hospital.
Certified  Cause.
Years.
Months.
Days.
t
4781
A. F. McD.
M.
69
1
7
17
Exhaustion of senile dementia.
4724
J. C. C.
M.
79
1
9
25
Exhaustion of senile dementia.
3006
S. S.
M.
32J
3
5
25
Pulmonary tuberculosis.
1922
z. s.
M.
30
10
9
6
Pulmonary tuberculosis.
4150
D. C.
M.
64
3
7
Exhaustion of senile dementia.
4916
W. K.
M.
355
1
5
Cerebral haemorrhage.
5199
T. A. R. M.
M.
33
6
20
Exhaustion of dementia prfecox.
4498
T. M.
M.
72
2
7
Exhaustion of senile dementia.
5195
W. K.
M.
52J
7
7
Cerebral haemorrhage.
5051
•V. G. M.
M.
70
1
1
18
(Carcinoma).
4250
J. M.
M.
44
3
6
Exhaustion of general paresis.
4685
T. H.
M.
51
2
2
18
Pernicious anaemia.
1472
B. C. H.
M.
72
14
3
25
Chronic nephritis.
5073
R. T.
M.
57
1
2
Exhaustion of general paresis.
4974
C. J.
M.
17
1
5
i2
Idiocy.
3104
T. C.
M.    .
35
6
7
Pulmonary tuberculosis.
3534
J. T. T.
M.
55
5
5
Bactenemia.
4484
M. L.     '
M.
36
3
ii
Bronchopneumonia.
4431
J. S. B.
M.
65
3
3
Cerebral haemorrhage.
1326
C. W. S. S.
M.
46
15
"l
General tuberculosis.
5376
R. E. M.
M.
57
6
Strangulation (self-inflicted).
4747
A. C.
M.
44
2
3
Exhaustion of general paresis.
5132
M. K.
M.
38
1
28
Exhaustion of general paresis.
5550
W. R.
M.
60
24
Exhaustion of senile dementia.
1963
M. McD.
M.
38
ii
Pulmonary tuberculosis.
2389
E. S.
M.
30
11
5
Pulmonary tuberculosis.
5272
J. W. MeK.
M.
55.
10
15
Exhaustion of senile dementia.
5263
J. A. McL.
M.
44
10
22
Cerebral haemorrhage.
4929
Y. Y.
M.
52
1
10
14
Cerebral haemorrhage.
5247
F. E. B.
M.
29
11
21
Pulmonary tuberculosis.
5461
M. J. J.
M.
31
5
14
Pulmonary tuberculosis.
4776
C. H.
M.
76
2
5
2
Chronic nephritis.
1176
S. U.
M.
50
16
n
4
Pneumonia.
3993
J. Y.
M.
47
3
7
28
Pneumonia (influenza).
5614
M. B.
M.
40
'    1
25
Pneumonia (influenza).
5098
T. W. B.
M.
35
1
6
18
Pneumonia (influenza).
5052
M. R.
M.
- 70
1
8
3
Exhaustion'of senile dementia.
3868
H. E.
M.
20
4
u
15
Pneumonia (influenza.)
5141
A. B.
M.
30
1
5
1
Pneumonia (influenza).
4684
R. W. M.
M.
30
2
8
20
Exhaustion of general paresis.
576
R. G.
M.
57
24
4
10
Pneumonia (influenza).
4465
C. C.
M.
28
3
5
15
Pneumonia (influenza).
5608
I. (Indian).
M.
61
2
9
Pulmonary tuberculosis.
1572
W. J. D.
M.
27
3
ll
12
Pneumonia (influenza).
2658
G. S.
M.
23
•    8
4
18
Pneumonia (influenza).
4336
W. E. M.
M.
37
3
9
5
Pneumonia (influenza).
5291
H. W. W.
M.
34
1
19
Exhaustion of general paresis.
4477
J. B.
M.
42
3
5
13
Myocarditis.
3743
J. C.
M.
36
5
3
29
Pulmonary tuberculosis.
4176
A. F.
M.
52
4
3
11
Cerebral haemorrhage.
4715
H. P. A.
M.
30
2
8
12
Exhaustion of general paresis.
4806
H. A.McD
M.
26
2
5
22
Pulmonary tuberculosis.
4983
A. A.
M.
45
1
11
21
Exhaustion of general paresis.
3728
C. M. C.
M.
24
5
5
2
Exhaustion of epilepsy.
5333
P. V.
M.
82
1
28
Exhaustion of senile dementia. 9 Geo. 5
Statistical Tables.
V 39
Table No. 21.
Showing Work done by Patients during the Year 1918 at New Westminster.
J
Work done by Patients.
Days.
1,011
622
730
4,648
730
7,368
325
Florist	
3,839
365
2 348
365
2,153
1,385
996
T            '	
1,444
114
309
100
909
794'
Tailor	
466
15,933 V 40 Mental   Hospitals. 1919
Table No. 22.
Articles made for Nurses, 1918.
Aprons         106        Cuffs, pairs        66
Caps           6S        Dresses           45
Repairs for Nurses.
Aprons         256       Dresses      1S9
Articles made by Female Patients.
Aprons     224       Pillow-slips  611
Chemises   '.'.  270        Sheets  . X  710
Covers, bureau  ..;  8       Table-cloths    64
Curtains, pairs   30        Towels, bath  494
Dresses, gingham  112            „        hand   33
night  6            „        roller     297
Handkerchiefs     372            „        tea    233
Neckties     282            „       tray     148
Napkins, table  48
Repairs for Female Patients.
Aprons       303        Pillow-slips     206
Blankets, wool       235       Sheets   671
strong  .     Ill        Shirts      1,296
Blouses      2S4        Spreads, bed   27S
Chemises       735       Table-cloths   202
Drawers, pairs    1,340       Towels, bath    103
Dresses, gingham     1,307            „        roller  SS
„      serge    '      558        Ticks, bed  179
night         909       Vests, under  1,07S
Hose    11,354
Mending done for Male Patients, 1918.
Aprons         254 Shirts, under    4,S87
Blankets, wool        222       Socks, pairs  15,534
„ strong    4        Spreads, bed        306
Coats,  white        69        Sweaters        71
Drawers, pairs     3,372       Table-cloths      210
Pillow-slips           61        Towels, bath          40
Sheets     1,205 ,. roller      135
Shirts, over   4,896       Ticks, bed        75
Articles -made for Essondale.
Aprons, kitchen          12       Caps for cooks          6
for cooks          12       Table-cloths         39
Bath-towels        100
Poultry, Home Farm.
Eggs supplied to the institution, 89Sy2 dozen at 60 cents   $  539 15
Ducks, dressed, 62 at $1.50  '  93 00
Dressed poultry, 1,112 lb. at 35 cents  3S9 20
$1,021 35
Stock on hand, December 31st, 1918—
152 chickens at $1.80    $273 60
6 ducks at $2         12 00
       2S5 60
$1,306 95   9 Geo. 5 Statistical Tables. V 41
Table No. 22—Concluded.
Poultry, Home Farm—Concluded.
Debits—
Stock on hand, January 1st, 191S—
100 chickens at $1   $100 00
ISO pullets and hens at $1.50   270 00
13 ducks at $1.50  19 50
Feed for poultry   582 40
Quarter salary of man   251 00
 1.222 00
Profit      $     84 05
Garden Produce, New Westminster, 1918.
Vegetables. ■ ,
Green onions    505 lb.      at    3c. $ 16 95
Cooking-onions      425   „        „    2V2c. 10 62
Vegetable marrow     3,968   „        „    2i/2c 99 20
Pumpkins     2,816   „        „    2%& 70 40
Ripe tomatoes    1,635   „       „    8c. 130 80
Green tomatoes   568   „        „    4c. 22 72
Peas     285   „        „ 10c. 28 50
Early potatoes   2,475   „        „     2y2c. 61 87
Late potatoes    2,580   „        „     2c. 51 60
Horse-radish  65   „        „ 10c. 6 50
Carrots     14,980   „        „    lc. 149 80
Spinach and chard   15,091   „        „     2y2c. 377 27
Beets      3,850   „        „     2c 77 00
Turnips  2,500   „        „     iy2c. 37 50
Cabbage      15,640   „        „     2c. 312 80
String  beans     1,476   „        „     Sc. 118 08
Celery     S75 heads „     5c. 43 75
Lettuce     325 dozen „ 50c. 162 50
Sweet corn    305     „      „ 35c. 127 75
Parsnips     6,000 lb.       „     2c. 120 00
Cucumbers      645   „         „     2e. 12 90
Cauliflower    1,800   „        „ 10c. 180 00
Estimated total value of vegetables   $2,218 51
Fruit.
Apples  27,625 1b.      at    5c.   $1,38125
Cherries     973   „        „ 10c. 97 30
Plums      1,278   „        „     8c. 102 24
Pears     1,980   „        „ 12c. 237 60
Peaches     45   „        „    5c. 2 25
Raspberries     349   „        ,,     8c. 27 92
Currants, black   65   „        „ 12c. 7 80
,   „         red     1,093   „        „ 10c. 109 30
Gooseberries     136   „       „ 10c. 13 60
Strawberries     651   „        „ 12c. 78 12
Rhubarb     4,675   „        „     lV2c. 70 12
Estimated total value of fruit   2,127 50
Grand total     $4,346 01 V 42 Mental   Hospitals. 1919
Tailor's Report for 1918.
Uniforms made for City Institution—
54 suits at $32    $1,728 00
36 pairs of pants at $8   288 00
 $2,016 00
Patient's clothing, etc.—
1 2-piece suit at $12.50   $     12 50
2 3-piece suits at $20.50   41 00
. 31 3-piece suits at $16    496 00
112 pairs of pants at $4.50    504 00
.    28 pairs of pants at $5.50   154 00
90 coats at $8    720 00
31 coats at $11  341 00
18 vests at $3.50   43 00
30 canvas blankets (labour only)     30 00
43 bed-ticks  (labour only)     10 75
17 pillows  (labour only)    *  1 70
Miscellaneous articles   32 85
    2,3S6 00
Repairs to clothing, City Institution—
16S coats at 50 cents   $     84 00
77 vests at 30 cents  23 20
432 pairs of pants at 40 cents ,        172 80
       280 00
Total for New Westminster    $ 4,682 00
Uniforms for Essondale Institution—
86 suits at $32   $2,752 00
75 pairs of pants at $S        600 00
  $3,352 00
Patients' clothing, etc.—
12 suits clothes at $20  $  240 00
70 suits clothes at $16.50  1,155 00
1 suit clothes at $16  16 00
5 2-piece suits at $12.50  62 50
7 coats at $11    77 00
35 pairs of pants    174 50
11 canvas coats at $3.50 . . .  38 50
3 camisoles at $3    9 00
 :     1,772 50
Repairs to clothing, Essondale—
1,160 coats at 50 cents    $   580 00
846 vests at 30 cents   253 SO
2,249 pairs of pants at 40 cents  899 60
 1,733 40
Total for Essondale       6,857 90
Grand total    $11,539 90 Recreation-ground, New Westminster.
Mental Hospital, New Westminster. 9 Geo. 5 Statistical Tables. V 43
Statement op Tailor-shop for 1918.
Credits, December 31st, 1918—
Uniforms to Essondale     $3,352 00
Patients' clothing, Essondale       1,772 50
Repairs for Essondale     1,733 40
 $6,857 .90
Uniforms for New Westminster    $2,016 00
Patients' clothing, etc., New Westminster      2,386 80
Repairs for clothing, etc., New Westminster        280 00
 5,682 SO
Sale of cuttings (rags)     59 75
Material on hand, December 31st, 1918          753 60
  $13,354 05
Debits, December 31st, 1917—
Stock on hand    $   766 10
Material purchased     7,002 34
Salaries—
Mr. Beggs    $1,078 00
Mr. French     l,0OS 00
Mrs. Huntley          588 00
Mrs. Black         387 00
Miss Pennington        379 00
 3,440 00
Electric power    39 50
Electric light     30 00
 11,277 94
Profit      $ 2,076 11
Shoemaker's Report for 1918.
New work for house and stock—
59 pairs of men's hoots    $554 50
127 pairs of men's siippers      334 75
7 pairs of special boots        IS 00
  $   907 25
Repairs for New Westminster—
204 pairs of men's hoots    $232 75
47 pairs of men's slippers          52 45
123 pairs of women's boots      114 SO
        400 00
Repairs for Essondale—
633y2 pairs of boots     $001 40
399 pairs of slippers       323 80
2 pairs of special boots . -.       19 00
 1,244 20
Miscellaneous    15 00
$2,566 45
Statement of Shoemaker for 1918.
Credits—
New work for City Institution   $   907 25
Repairs for City Institution         400 00
Repairs for Essondale Institution      1,244 20
Miscellaneous for City Institution  15 00
  $2,566 45 .
Stock of raw material on hand, December 31st, 1918        331 63
Carried forward   $2,898 08 V 44 Mental   Hospitals. 1919
 g
Statement of Shoemaker—Concluded.
Brought forward     $2,898 OS
Debits-
Salary of shoemaker     $   920 00
Material purchased in year      1,714 16
Light and power used   31 75
Stock on hand, January 1st, 191S	
 2,665 91
Profit      $   232 17
Greenhouse.
Bedding Plants, 1918.
Credits—
IS plants at $1    $    IS 00
12,943 „ 10c     1,294 30
SCO        „ oc  15 00
5,510        „ 2c        110 20
 $1,437 50
Cut flowers under glass          500 00
Plants sent to Essondale—
558 plants at 10c   $     55 80
1,110        „ 2c  22 20
 78 00
 $2,015 50
Debits-
Coal used in boiler-room and greenhouse, 191S    $   247 CO
Water used during year 191S  67 87
Salary, gardener, year 191S      1,050 00
Electric light  12 00
    1,376 87
Profit      $   638 63
Fruit put up at New Westminster, 191S.
f Quarts.
Strawberries       49
Currants, black        65
red '..:     40
Crab-apples   .'     25
Pears      6S
Plums    185
Rhubarb       55
Raspberries      18
Pickles put up at New Westminster, 1918.
Quarts.
Tomatoes      125
Fruit put up at Essondale Institution.
Lb.
Currants  360
Pears     335
Plums    180   9 Geo. 5 Statistical Tables. V 45
Fruit and Preserves put up at Farm Cottage.
Currants        15 gals.
     2,
z-\
Raspberries  	
Rhubarb  15    „
Sauerkraut          3 bbls.
String beans         2    „
Red cabbage   10 gals.
Work done by Patients during the Year 1918 at Essondale.
Days.
Bake-shop    711
Billiard-room -  4,543
Carpenter     1,126
Civil engineer    863
Dining-room   6,210
Engineer  2,268
Farm and garden   15.6S9
General parole     1,223
Grade and lawn   11,259
Kitchen    1,398
Laundry      6,083
Painter     783
Plasterer   2,188
Plumber  -  350
Poultryman   1,338
Scullery     1,460
Ward-work   f  25,806
Farm Cottage Labour Report.
Days.
Farm-work    13,396
Kitchen     1,095
Dining-room    1,460
Ward-work    1,825
Stoker  365
Garden  582
City Institution Steward supplied Essondale.
35% dozen pairs of slippers   $   264 00
13     coats at $8   104 00
35     vests at $3.50  122 50
27     pairs of pants at $4.50   121 50
1     2-piece suit of clothes   12 50
1     cap     50
Total   $   625 00
Essondale supplied City Institution.
60,585     lb. ice at %c  $   302 92
27     cords of wood at $6   162 00
583% lb. butter    350 25
50     pairs of blankets   767 50
Total      $1,582 67 V 46 Mental   Hospitals. 1919
Produce, Horse-labour, etc, supplied Essondale Institution by Colony Farm during 1918.
Dairy Department—
Milk, 290,482 lb   $11,782 61
Butter, 3,150 lb       1,890 CO
Cream, 162 lb  32 40
Buttermilk, 2,639 lb  26 39
  $13,731 40
Field-gardens—
Vegetables, fruit, honey, flowers      10,667 51
Poultry Department—
Eggs and fowl       3,108 47
Meats—
Beef   $1,998 50
Mutton and veal         469 80
Pork, 21,443 lb     5,789 61
 S,257 91
Incidentals—
Horse-labour 6,148 hours        2,459 20
Straw, 9 bales  '  9 00
Total      $3S,233 49
Produce supplied New Westminster Institution by Colony Farm during Year 1918.
Dairy products—
Milk, 141,876 lb   $5,751 23
Cream, 348 lb  69 60
Buttermilk, 1,242 lb *  12 42
  $ 5,833 25
Vegetables, fruit, and honey        3,249 73
Meats—
Beef, 926 lb  $   189 83
Mutton, 1,211% lb        263 55
Pork, 13,614 lb .'      3,SS0 7S
Fowl           27 75
       4,361 91
Incidentals—■
Horse-labour, 2,367% hours   $  947 00
Straw, etc  40 10
  9S7 10
Total   $14,431 99
VICTORIA,  B.C. :
Printed by William H. Cullin, Printer to the King's Most Excellent Majesty,

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