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ANNUAL REPORT OF THE MENTAL HOSPITALS OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR 1917 British Columbia. Legislative Assembly 1918

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 ANNUAL KEPOKT
of the
MENTAL   HOSPITALS
of the
PROVINCE OF BRITISH COLUMBIA
FOB THE TEAR 1917
printed by
authority of the legislative assembly.
VICTORIA,  B.C.:
Printed by William H. Cullin, Printer to the King's Most Excellent Majesty.
1918.  To His Honour Sir Prank 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  Eeport  of  the
Medical Superintendent of the Mental Hospitals for the year 1917.
j. d. Maclean,
Provincial Secretary.
Provincial Secretary's Office,
February, 1918.  Recreation-ground, New Westminster.
Mental Hospital, New Westminster. Members of the Provincial Mental Hospitals and Colony Farm Staffs
who have joined the Colours.
Major C. E. Doherty, M.D. Captain D. D. Freeze, M.D.
Lieutenant R. Cullen.
Sergeant-major H. Banham. Sergeant-major E. Croft.
Sergeant J. O'Reilly. Sergeant D. Montgomery.
Corporal H. Hoult.
\
/
HONOUR ROLL.
KILLED IN ACTION.
*
S. McCOMBE,
Private, 10Jtth Westminster Fusiliers.
j. Mcdonald,
Trooper, British Columbia Horse.
L. bundy,
Private, lOJfth Westminster Fusiliers.
F. UPHAM,
Reservist, Somerset Light Infantry.
W. H. WILLIAMS,
Private, lOl^th Westminster Fusiliers.
A. MILNE,
Private, 62nd Battalion, C.E.F.
/
\
Private A. Talbot.
Private J. Loban.
Private S. Wickiiam.
Private E. Obme.
Private E. Dickie.
Private A. Milne.
Private W. D. Patchell.
Private F. Upham.
Private H. A. Sparrow
Private T. Woodburn.
Private J. McDonald.
Private W. Ronald.
Private T. E. Morris.
Private S. McCombe.
Private J. Robertson.
Private D. Price.
Private TV. H. Williams.
Private G. Davidson.
Private D. Hughes.
Private A. M. Miller.
Private R. McKechnie
Private W. McVie.
Private L. Bundy.
Private H. Lonsdale.
Private A. McLennan.
Private G. Farrant.
Private H. W. Strong.
Private F. E. Frankum.
Private W. Robertson.
Private A. E. Smith.
Private A. N. Campbell.
Private W. Headridge.
Private J. Pollard.
Private A. Hall.
Private C Oxenbury.
Private E. Sands.
Private A. M. Exley.
Private G. B. McNaughton.
Private H. Bailey.
Private Benj. Jones.
Private J. Davidson.
Seaman W. Mackie.
Private W. Crystall. Officers at New Westminster.
J. G. McKay, M.D., CM., Acting Medical Superintendent.
H. C. Steeves, M.D., CM, Assistant Medical Superintendent.
E. J. Ryan, M.D., CM., Assistant Physician.
T. H. Cambridge, Bursar.
M. H. McCabe, Assistant Bursar.
W. E. Hunt, Clinical Clerk & Stenographer.
Maria Fillmore, Matron.
R. Rees, Steward and Storekeeper.
Rev. R. Lennie,
Church of England,
Rev. Father Murphy,
Roman Catholic,
W. F. Johnston, Engineer.
Chaplains.
F. Spooner, Acting Chief Male Attendant.
Thomas Cormack, Carpenter.
J. Fraser, Farmer.
J. Booth, Gardener.
D. Sclater, Painter.
W. F. Beggs, Tailor.
E. B. Jones, Laundryman.
J. MacMillan, Shoemaker.
H. Oliver, Plumber.
Officers of Essondale and Colony Farm.
J. G. McKay, M.D., CM., Acting Medical Superintendent.
A. L. Crease, M.D., CAL, Assistant Physician and Pathologist.
Gowan S. Macgowan, Bursar.
C Fletcher, Assistant Bursar.
C H. Gooding, Analyst.
H. W. Strong, Clinical Clerk's Stenographer.
J. B. Pumphrey, Steward and Storekeeper.
J. L. Malcolm, Engineer.
Rev. C. Yates,
Church of England,
Rev. Father Marcucci,
Roman Catholic,
G. AIathewson, Chief Attendant.
T. Mowbray, Electrician.
Chaplains.
J. B. Foster, Cook.
A. A. Kiixen, Painter and Decorator.
E. B. Stinchcombe, Outside Overseer.
A. G. Parrott, Plumber.
R. Gow, Carpenter.
E. Fitzgerald, Plasterer and Mason.
S. F. Hambly, Baker.
J. Hargie, Laundryman.
A. Robinson, Barber.
T. H. Moore, Farm Superintendent.
J. F. Simmonds, Record Clerk.   REPORT OF MEDICAL SUPERINTENDENT
FOR THE YEAR ENDING DECEMBER 31ST, 1917.
Provincl\l Mental Hospital,
Essondale, B.C., January 31st, 1918.
The Honourable the Provincial Secretary,
Victoria, B.C.
Sir,—As Acting Medical Superintendent of the Provincial Alental Hospitals, I have the
honour to submit to you our Forty-sixth Annual Report for the year ending December 31st, 1917.
As in former years, you will find herewith statistical, financial, and working tables, showing
the exact movements of the residential population aud an accurate accounting of all moneys
received and disbursed; also tables covering the work of the various departments carried on
throughout the year.
In addition to the above report, which only refers to the Hospitals' records, I will, with
your permission, call attention to certain existing social conditions, as I believe it to be tbe duty
of any Medical Superintendent to not only see that his hospital cases are properly treated, but
also to make suggestions whereby the percentage of admissions in relation to the population
might be lessened.
Before proceeding further, however, I wish to again call to your attention, as I have in my
two former reports, and also to personally pay just tribute to the members of our staff who are
serving or have served overseas. Six of them have paid the supreme sacrifice, several have
returned wounded and invalided from the service, and the balance are. still serving with the
colours on the Western Front. To the families of those killed in action we extend our most
sincere sympathies, and to the members still serving, our best wishes for a safe return and an
assurance that their positions will be held for them.
Our admissions during the year totalled 371; 245 being men and 126 women. This total
exceeds that of 1916 by eighteen, and makes a total in residence at the end of December, 1917,
of 1,301, and a residential increase of ninety-six, which is an average one compared with the
past few years, and which will continue yearly on the same basis unless more stringent methods
are adopted along etiological and prophylactic lines. To do this with any degree of efficiency
more drastic laws will have to be enacted as a protection to the populace, who, through ignorance,
continue along the same lines to their own detriment and that of the future generation.
To appreciate the above remarks more fully, I beg to call your attention to the fact that we
were able to obtain an hereditary history in seventy-eight, or nearly 20 per cent, of those admitted,
and undoubtedly a great many more of those unclassified would come under the same category
were we able to obtain an authentic history from them. This condition can be alleviated to
a great extent in many ways, but foremost by the Dominion authorities being more strict at
ports of entry to Canada, and demanding that all immigrants be thoroughly examined, not only
from a physical but from a mental standpoint as well, so that we would be protected not only
from those who are actually mental cases, but also from that class who would ordinarily pass
muster, but whose progeny would in all probability be mentally deficient, and would either have
to undergo treatment in a strictly mental sense or placed in an institution for mentally deficient
children.
Second to that of heredity, from a standpoint of etiology, comes syphilis, which was the
direct cause of 10 per cent, of our admissions, and of whom all but two were suffering from
general paresis, which does not react to treatment. I would therefore again suggest that syphilis
be placed in the same category as smallpox, tuberculosis, and other infectious diseases, so that
all cases would have to be reported to the health authorities and forced to undergo proper treatment, as the majority come under the influence of charlatans who, through their flash advertising,
are reaping a financial harvest at the expense of these unfortunate cases, carrying them along
on a false security until their condition reaches a stage where it will not react to treatment. M 8 Mental Hospitals. 1918
Aiy reasons for making these statements are that the percentage of admissions of cases of
general paresis are on the increase not only in our Hospitals, but in all others that I have had
an opportunity of communicating with. In fact, the Province of Ontario has appointed a Commission to obtain statistics that they may draft an Act based on the Western Australian Act,
which compels all cases to be reported and treated.
To assist in this work we are at the present time doing a Wassermann test on each admission,
and should the case show a positive reaction are notifying the husband or the wife, as the case
may be, and are offering to do their blood examination, as well as that of their children, free,
so that they may, if necessary, undergo treatment. As an example, in one family where we
examined the blood of the parents and children we obtained a negative reaction from the father,
but positive ones from each of the children. This routine, if carried out by all hospitals, would
undoubtedly decrease in the next decade by at least 50 per cent, the number of admissions of
general paresis.
The congenital deficients, who are usually the progeny of the above-mentioned classes, are
also on the increase and go to make up a large percentage of what we classify as "chronics."
Many of these cases could be treated much more satisfactorily if they were segregated, so that
they might be educated to a limited degree, thereby making them more or less self-supporting,
but this cannot be done under the present regime.
In addition to these conditions mentioned, I wish also to refer to the fact that we • are
receiving quite a number of patients from other Provinces, due, I believe, to the lower altitude
and milder climate of the Coast area. Would it not be possible to make an interprovincial
arrangement whereby these cases would be maintained here at a rate sufficiently high to recompense this Province, or have them returned to their home Provinces?
Laboratory.
During the past year we were again unable to carry on this branch satisfactorily owing to
our being short-handed from a medical standpoint, but during the latter part of the year this
difficulty was overcome and considerable good work was accomplished, as will be shown in
Dr. Crease's report. I personally feel that an up-to-date laboratory is as essential to the welfare
of a mental hospital as any other department, as it is only through such a medium that information of a real authentic nature can be obtained. The routine blood and urine examinations will
in themselves often bring to our notice an existing condition which would readily have been
overlooked had such not been made, and permit us to get the patient under proper treatment
at the earliest possible date. Further than the ordinary routine, we are carrying on research-
work which I believe will be particularly advantageous to us in the future.
During the latter part of December we had an outbreak of diphtheria, which, although not
severe in type, nevertheless caused considerable inconvenience, and had we not had our laboratory
working in full force it would have been the cause of a material expenditure of money.
Dentistry.
In my previous report I called your attention to the placing on our staff, during the year of
1916, of Dr. Smith as dentist to the institutions, who devotes one day of each week to this work.
This procedure has proven of inestimable value to the welfare of the patients, as a great percentage of our admissions have neglected their teeth and many are in a deplorable condition, which
has a most detrimental effect upon their digestive system. A regular routine examination is made
of all wards and cases are treated as required, both from a prophylactic and curative standpoint.
Amusements and Occupations.
Amusement and occupation are just as much a part of the treatment as medicine or hydrotherapy in psychopathic work, and should be dealt with just as judiciously. From a standpoint
of occupation we are, on account of our geographical position and also possessing 1,400 acres of
land, much more fortunate than many institutions located in or near large cities, who must
necessarily find employment for their patients indoors instead of outside. The greater portion
of the residential population of any mental hospital is of the chronic type, and it is for this
class of case that regular employment must be found; first, for their physical welfare, and,
secondly, that they may to a slight degree aid towards their own maintenance.   8 Geo. 5 Superintendent's Report. M 9
It is also essential to surround patients with as pleasing an atmosphere as possible, so that
they may in a sense get away from their morbid thoughts. This we do by having comfortable
recreation-rooms, plenty of suitable literature, and, during the winter months, devoting one
evening of each week to moving pictures, which are very highly appreciated by the great majority.
During the summer months the opportunity to get outside makes it much easier to find satisfactory amusements.
New Work. !
During the past year we have endeavoured, even more than ever before, to construct,
ourselves, any buildings required by the Hospital, and have erected a new laundry of cement
blocks, with double walls having a 2-inch air-space between. This building has a floor area of
100 x 60 feet, and "when completed will not have cost more than $9,000. Had the same been
constructed under contract and the same excavation made, it would have cost at least $20,000,
as it was necessary for us to move 6,000 yards of dirt before we could lay our foundation.
In addition to this, we have constructed a new cow-barn on the upland at a cost of $1,200.
This is a frame-and-concrete building 32 x 46 feet. We have also cleared 20 acres of laud, and
moved in all some 25,000 yards of dirt in reinforcing dykes, grading, and road-building. All of
the above is extra to the general routine work carried on in connection with the Hospital.
Expenditures.
The great national demand for economy has been kept ever before us without in any way
interfering with the welfare of our patients, and I am pleased to be able to report that our
gross per capita cost was 63.52 cents per diem, which is slightly less than that of 1916. In
referring to Table D you will note that this charge covers all expenditures, whether paid by
voucher or obtained from our farm or nurseries at prices based upon those had we purchased
same in the open market. The total expenditure for the two Hospitals is as follows: Paid out
by voucher, $281,082.48, with charges from farm and gardens, together with differences in
inventories, $8,673.36, making a total net expenditure of $290,355.84. As a partial offset to
this expenditure we have remitted to the Treasury $46,7S6.02, thereby making a net cost to
the Province of $248,569.82, or 53.28 cents per capita per diem.
Estimates for Maintenance. ,
Owing to the steady increase in the cost of all commodities required for the maintenance
of our Hospitals and farm, it has been very difficult to estimate with any degree of accuracy
the amounts, that will be required, but after conferring with many of the leading merchants
in various lines I have submitted for your approval the following: For the Public Hospital for
Insane, New Westminster, $156,964; for the Alental Hospital, Essondale, $206,020.72; for
Colony Farm, $37,935; and for the nursery, $8,880. We have based the above estimates upon
a per capita cost of $240 per annum, which is some $9 higher than the cost for the year 1916.
Requirements.
I have further submitted for your approval estimates as follows:—
Acute or Admission Building    $175,000 00
Residence for Assistant Medical Superintendent          4,000 00
Six cottages for employees who should always be on the premises,
$1,200 each          7,200 00
Installation of new bake-oveu          3,000 00
New piggery            3.000 00
Clearing land            4,500 00
All of the above are most urgently needed if we are to carry on the work with any degree
of efficiency. •
Colony Farm.
As our farm is maintained under a separate vote, although essentially a part of the
Hospitals, I feel that I should, in a sense, make my report under a separate heading. It is
now conceded by all authorities that a farm is necessary to carry out a line of treatment which
requires outdoor occupation, as well as to supply suitable farm produce, as vegetables, milk,
butter, etc. M 10 Mental Hospitals. 1918
During the past year we have disposed of a great many of our horses which were not
required for farm-work and which were proving an unprofitable investment. In addition to
this, we are now relieved of the Sunbury Farm, that the Hospitals had under lease, and which
showed an annual deficit of from $4,000 to $5,000. We are therefore starting our present calendar
year under much more favourable conditions.
As our residential population is increasing annually, so, too, must our dairy herd, and
realizing this we have not disposed of any females since the fall of 1914, excepting non-producers,
or the destruction of any found infected which might be a source of contagion to the herd. This
latter procedure we have rigorously observed by semi-annual tests, as well as general inspection.
During the above-mentioned time we have increased the females from 99 to 141 head, and hope
by the end of the fiscal year 1918-19 to have sufficient milkers not only to supply the requisite
amount of milk required by the Hospitals, but also for the manufacture of the greater part, if
not all, of the butter used, which amounts to 100 lb. per day.
The herd, as you know, are all registered Holsteins, and are now conceded to equal, if not
excel, any other Canadian herd, and, in addition to supplying our own requirements, gives the
dairymen of the Province an opportunity of purchasing animals of a high grade which, when
intermingled with their owrn herds, must necessarily prove beneficial.
In addition to the cattle and horses, we are now running some 150 head of sheep, and hope
to increase this number as they have proven a profitable investment.
Incorporated in this report you will find a financial report submitted to me by our Bursar,
and in this you will see that for the first time since the inception of the farm it has shown an
actual profit, and I am sure that in future this should not only continue, but show a material
increase, as I am unable to see any reason why we cannot maintain it on a purely commercial,
basis without in any way interfering with its original object; i.e., that of the care of the mentally
afflicted.
I would suggest that the sum of $2,000 be set aside as a contingent or trading account, so
that we might be able to purchase feeders to utilize any superfluous feed or pasture that we
might have, and these could be sold or used as meat for the Hospitals.
In addition to the above, would it not be feasible to have the moneys received from the sale
of stock credited to the Colony Farm vote, so that the Public Accounts would only show the
actual profit or deficit, as the case might be?
.Acknowledgments. ,
I wish to extend to all members of the staff my most sincere thanks for their able assistance
in carrying on the work of the Hospitals, as it is only through well co-ordinated action that the
best results can be obtained.
To my medical associates, Dr. H. C Steeves, Assistant Medical Superintendent at New
Westminster, and Dr. A. L. Crease, Assistant Medical Superintendent at Essondale, and Dr. E. J.
Ryan, Assistant Physician, I feel specially indebted, as at many times during the past year their
work has been exceptionally strenuous and trying.
In conclusion, I beg to offer my sincere appreciation to yourself for the able assistance that
you have granted me in endeavouring to carry on the work of caring for those cases who must:
necessarily come under treatment in the Mental Hospitals which are under your Department.
I have the honour to be,
-Sir,
Your obedient servant,
J. G. McKAY,
Acting Medical Superintendent.   8 Geo. 5
Superintendent's Report.
M 11
Table A.
Showing the Average Number of Patients in Residence each Year, the Total Amounts spent for
Maintenance, and the Per Capita Cost.
Year.
1872 (81 days)	
1873	
1874	
1875	
1876	
1877	
1878	
1879	
1880	
1881	
1882	
1883	
1884	
1885	
1886	
1887  	
1888	
1889	
1890	
1891	
1892	
1893	
1894	
1895	
1896	
1897	
1898	
1899	
1900	
1901	
1902	
1903	
1904	
1905	
1906	
1907	
1908	
1909	
1910	
1911  	
1912	
1913, M.H., New Westminster ...
1913, M.H., Essondale (9 months).
New Westminster.. ..
Essondale	
New Westminster.. ..
Essondale	
New Westminster .   .
Essondale	
New Westminster.. ..
1914, M.H.,
1914, M.H..
1915, M.H..
1915, M.H..
1916, M.H..
1916, M.H.
1917, M.H.
1917, M.H., Essondale.
Average Number
in Residence.
16
16.
16
27.
36
34
36
38
45
47
47
48.
48.
54.
59.
73
79.
71
78
119
125
133
148
162.
171
188.
216
226
243.
269.
296
332.
351
340
374
419,
490.
526.
563.
641.
736.
550.
384.
487.
489.
515,
560.
524.
633.
535.
716.
57
07
76
42
41
61
52
17
42
18
88
73
70
67
11
55
43
30
78
87
24
92
64
97
43
91
53
44
24
56
62
23
55
90
57
24
80
85
33
02
72
54
07
24
07
74
56
17
13
68
35
Maintenance
Expenditure.
$ 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
Per Capita
Cost.
$616 00
487 98
491 20
360 77
344 91
373 26
382 93
268 63
232 32
226 62
237 02
242 75
243 20
284 54
259 42
216 70
204 72
219 60
223 13
181 50
187 80
193 36
178 25
193 83
186 67
191 75
214 38
242 52
244 00
205 54
186 59
178 65
187 89
185 80
177 79
178 59
183 92
183 32
184 43
197 78
177 71
217 36
184 76
258 56
268 36
238 53
220 99
221 40
245 91
231 72
232 05 M 12
Mental Hospitals.
1918
Table B.
Showing Analysis of the Per Capita Cost.
Year.
Salaries.
Provisions.
Clothing.
Fuel and
Light.
Furniture.
Medicines.
Miscellaneous.
Total.
1872	
$279 38
$1S4 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
123 81
84 52
92 56
7 05
6 03
12 30
11 04
4 54
4 26
3 49
2 24
3 61
2 82
237 02
1883	
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
59 11
7 20
12 93
4 13
2 07
2 46
219 60
1890	
121 54
62 77
9 02
17 31
4 00
1 29
7 19
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
10 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
48 43
7 87
21 32
2 02
1 15
7 67
184 43
1911	
97 44
58 08
9 39
18 84
1 12
1 87
11 04
197 78
1912	
78 40
56 37
10 09
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 8S
33 52
238 53
1915, M.H.,
Essondale.
95 25
62 84
9 44
24 87
1 14
56
26 89
220 99
1916, M.H.,
New West.
105 89
74 96
2 58
18 52
1 45
18 00
221 40
1916, M.H.,
Essondale.
89 26
75 18
17 76
26 96
4 98
42
31 35
245 91
1917, M.H.,
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
232 05 8 Geo. 5
Superintendents Report.
M 13
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CJC0©CJOJCJ©©OJCJ©CJOJO5 M 14 Mental Hospitals. 1918
Table D.
Summary  Statement showing the Gross and Net Per Capita Cost of Insane Patients to the
Province in both Institutions.
Public Hospital for Insane, New Westminster—
Total maintenance vouchers (12 months)    $127,030 73
Colony Farm Account, milk, cream, butter, and vegetables  5,862 57
Mental Hospital Account, milk, butter, eggs, bacon, honey, etc. 478 22
Mental Hospital Account, cordwood   161 00
Nursery Account, vegetables    498 60
Inventory of stock on hand, January 1st, 1917  4.067 13
$138,098 25
Less Tailors'  Department Account, clothing to
Essondale     $ 5,904 26
„    Shoemakers' Account, boots, slippers, etc.,
to Essondale    989 50
„    live hogs supplied, Essondale       2,090 50
„    inventory of stock on hand, December 31st,
1917          4,989 66
 13,973 92
$124,124 3.3
Mental Hospital, Essondale—
Total maintenance vouchers (12 months)     $154,651 75
Colony Farm Account, milk, butter, feed, and vegetables  11,023 40
Nursery Account, fruit, vegetables, and flowers  8,028 89
City Institution Account, clothing   5,904 26
„                   „                boots and slippers    989 50
„                   „                live hogs supplied    2,090 50
Inventories, January 1st, 1917, stock, stores, coal, tools, etc. ... 7,4S2 88
3*8 hogs, S.690 lb. at 9c  782 10
$190,863 28
Less supplies to City Institution (see contra).. $    639 22
„    board supplied Colony Farm employees, etc. 5,329 92
„              „                nursery employees  821 25
„ „ public works employees . .. 2,871 25
„    inventory,    December    31st,    1917,    store,
wards, tools, etc  11,392 08
„    inventory,  December 31st, 1917, coal and
wood     1.917 50
„   inventory, December 31st,  1917, 44 hogs,
8,320 lb. at 14c  1,164 80
„    supplied to nursery   495 75
24,631 77
166,231 51
Total net expenditure for both institutions (12 months)      $290,355 84
Less revenue collected and remitted to Treasury—
v    Public Hospital for Insane, New Westminster   $21,435 93
Mental Hospital, Essondale      25,350 09
      46.786 02
Total net charge to Province of both institutions    $243,569 82
Showing a net yearly per capita cost of $194.54, or 53.28 cents daily to the Province. 8 Geo. 5 Superintendent's Report.  ' M 15
Revenue.
1873  $1,440 99 1889  $     220 00           1905   16,613 18
1874  680 00 1890         599 24            1906    19,058 42
1875   1,342 60 1891         76115            1907   20,753 35
1876  730 31 1892     2,418 43           1908     25,807 83
1877  799 91 1893     1,585 40           1909  25,845 65
1878  479 42 1894     2,709 53           1910  26,137 38
1879  867 38 1895     4,409 23           1911..., 30,100 20
1880  1,433 04 1896     3,74171            1912   35,15197
1881  614 99 1897       3,816 80           1913  40,756 56
1882  505 18 1898     4,003 79           1914     42,73183
1883  298 24 1899     4,769 04 1915, New West.  18,046 21
1884  98 35 1900     6,893 33 1915, Essondale. 16,329 72
1885  1901    12,800 76 1916, New West. 18,135 91
1886  50 00 1902    10,926 23 1916, Essondale. 21,889 74
1887  720 59 1903   13,639 64 1917, New West. 21,435 93
1888  750 00 1904  $15,004 22 1917, Essondale. 25,350 09 M 16 Mental Hospitals. 1918
LABORATORY  REPORT.
Laboratory of Provincial Mental Hospital,
Essondale, B.C., December 31st, 1917.
J. G. McKay, M.D.,
Acting Medical Superintendent, Hospital.
Sir,—I beg to report that the Laboratory was reopened on December 1st, and during the
month the following work was accomplished:—
One hundred and ten patients were immunized against typhoid and para-typhoids  (a)  and
(6) by the use of mixed vaccines of the above bacteria.    Media used in bacterial analyses were
freshly made up, and also the reagents required for the Wassermann reaction.    In addition to
this, the routine work carried out was as follows:—
Blood examinations—
Complete counts          2
For malaria         1
Wassermann test for syphilis    109
Cultures from nose and throat  .*   944
Fluids, pleural        1
Miscellaneous—
Urinalyses       19
Widal reactions      10
Sections from autopsy and surgical operations        4
Smears—
From chancre          1
From urethra        2
I have, etc.,
A. L. Crease,
Assistant Medical Superintendent and Pathologist.   8 Geo. 5 Dental Report. M 17
DENTAL,   REPORT.
Public Hospital for the Insane,
New Westminster, B.C., January 31st, 1918.
Dr. J. G. McKay,
Acting 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 1917:—
Pyrrhcea treatments   16
Extractions    522
Cleanings   78
Amalgam fillings   113
Synth, porcelain fillings    7
Cement fillings   19
Boot fillings     13
Plates    27
Repairs, bridge     2
Repairs, plates   16
Abscesses treated    10
I have, etc.,
Frank P. Smith, D.D.S. M 18
Mental Hospitaxs.
1918
STATISTICAL  TABLES.
Table No.    1.
Showing the Operations of the Hospitals, New Westminster and Essondale, for the Year 1917,
in Summary Form.
Movement of Population.
In residence, New Westminster, December 31st, 1916	
ii Essondale, December 31st, 1916	
On probation, carried forward from 1916, New Westminster .
ii ,i ii Essondale	
Escaped, carried forward from 1916, New- Westminster	
,i h Essondale	
Admitted during 1917—
By ordinary forms.
By urgency forms .
From the Yukon ..
Total under treatment, New Westminster and Essondale, for year 1917.
Discharged during 1917:
From New Westminster—
As recovered	
As improved	
As unimproved	
On probation and still out	
Escaped, but not discharged	
Died	
From Essondale—
As recovered	
As improved	
As unimproved	
On probation and still out ...
Escaped, but not discharged.
Died	
Total discharged from New Westminster and Essondale	
Total in residence, New Westminster and Essondale, December 31st, 1917.
New Westminster—
Total on books, December 31st, 1916 ,	
Admissions during 1917	
Returned from Essondale	
Discharged during 1917	
Transferred to Essondale during 1917.
Total in residence, New* Westminster, December 31st, 1917.
Essondale—
Total on books, December 31st, 1916 	
Transferred from New Westminster during 1917	
Discharged during 1917	
Returned to New Westminster during 1917 .
Total in residence, Essondale, December 31st, 1917	
Total in residence, New Westminster, December 31st, 1917	
Orand total in residence, New Westminster and Essondale, Dec. 31st, 1917
Male.
18
16
4
3
238
5
2
31
10
12
9
8
34
19
22
11
22
5
231
24S
11
104
170
705
170
125
11
Female.
124
38
15
33
120
343
126
518
687
52
15
4
3
362
5
4
18
27
42
8
11
22
574
371
11
224
170
705
170
125
11
Male.    Female.     Total.
936
229
952
739
213
952
120
349
120
349
349
349
349
1,301
875
739
562
1,301
Daily average population	
Maximum number present any one day	
Minimum ,, n 	
Percentage of discharges on admissions	
ii recoveries on admissions	
,i deaths on whole number under treatment.
1,252.01
1,305.00
1,204.00
44.74
23.72
6.42 8 Geo.
Statistical Tables.
M 19
Table No. 2.
Showing in Summary Form the Operations of the Hospital since its Inception.
Year.
1872
1873
1874
1875
1876
1877
1878
1879
1880
•1881
1882
1883
1SS4
1885
1886
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
■1912
1913
1914
1915
1916
1917
IB
o
w
m
Disch
irges.
co
?
o
CJ
CO
a
■O
CO
-HH ti
O CO
X §
O
P
18
i
15
10
2
12
4
29
3
3
22
11
3
14
4
4
16
/
3
18
4
1
17
5
13
5
3
/
3
1
8
4
1
10
2
4
20
5
27
10
6
36
15
5
26
12
6
41
14
5
52
17
6
49
19
4
52
17
10
44
14
18
80
13
19
62
29
11
64
23
25
74
20
8
81
27
13
101
31
32
113
38
27
115
40
20
121
30
31
139
38
37
115
46
26
123
43
33
150
36*
43
221
48
43
230
68*
56
232
73+
77
280
84
S2
332
67{
114
375
74*
128
380
90||
146
402
58
126
332
83
91
353
73+
96
371
88
78
1
5
3
10
5
3
8
8
5
6
5
3
4
12
20
13
14
19
20
9
14
19
21
29
25
25
26
26
27
28
39
57
40
41
60
76
67
74
89
80
106
|°S(
s aa 3
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
13
3
3
2
10
5
11
5
18
17
6
29
3
18
13
24
26
27
38
27
43
73
46
29
48
105
62
167
108
63
115
96
i-'.H
rO
S
a
3 rr*|
o$
"3   c3
rH    CO
ir ti
fe *>
18
31
26
48
54
49
54
54
58
61
55
57
59
71
88
102
103
123
152
166
175
179
213
224
22S
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
0.00
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
■~C   so
to<!~§
III
O   M   O
5.55
80.00
33.33
26. S9
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
■SI**
U    £ CO
Q   3 G
br Ih
t*r -r *tn
So-.!
rM       O
cu  +s
5.55
16.12
11.53
20.83
9.35
6.12
16.16
14.81
8.62
8.19
3.63
5.26
3.33
6.94
6.81
4.80
2.87
3.25
7.64
11.69
6.95
7.60
8.92
8.92
3.94
5.69
6.66
6.42
8.14
6.63
6.06
5.57
5.42
5.34
5.04
5.08
7.44
6.40
4.57
5.83
7.02
5.30
5.43
6.19
5.24
6.42
* Three not insane.
t One not insane.
J Two not insane
Four not insane. M 20
Mental Hospitals.
1918
Table No. 3a.
Showing the Number of Admissions, Discharges, and Deaths during 1917, New Westminster.
Months.
January	
February . . .
March .   ..   .
April	
May	
June	
July	
August	
September . .
October
November.. .
December...
Totals
Admissions.
Dischargee
Deaths.
Male.
Female.
Total.
Male.
Female.
Total.
Male.
Female.
24
9
33
2
2
2
5
15
10
25
1
1
2
2
15
13
28
4
16
19
2
1
22
14
36
1
1
2
18
3
21
7
8
15
3
2
18
14
32
1
2
3
5
2
24
6
30
7
12
19
2
2
19
14
33
1
1
o
4
20
S
28
1
1
2
23
17
40
o
i
o
3
3
26
/
33
1
1
4
1
21
11
32
25
53
22
47
9
2
26
245
126
371
61
114
34
7
4
3
2
5
7
4
4
2
6
5
11
60
Table No. 3b.
Showing Number of rAdmissions, Discharges, and Deaths during 1917, Essondale.
Months.
Admissions,
Males only.
Discharges,
Males only.
Deaths,
Males only..
21
12
12
17
12
6
19
13
15
17
19
7
1
1
12
4
6
1
22
5
6
5
6
Mav                                    	
3
5
6
2
1
7
2
3
170
52
46 8 Geo. 5
Statistical Tables.
M 21
Table No. 4.
Showing the Civil State of Patients admitted during 1917.
Civil State.
Male.
Female.
Total.
163
69
12
1
32
85
9
195
154
21
1
Totals	
245
126
371
Table No. 5.
Showing the Religious Denominations of those admitted during 1917.
Religious Denomination.
Agnostic 	
Atheist	
Confucian  	
Greek	
Hebrew	
Hindu	
Protestant, various denominations
Roman Catholic	
Shinto	
Unknown	
No religion	
Totals	
Male.
Female.
1
1
10
6
1
2
4
160
98
54
20
3
2
1
3
5
245
126
Total.
1
1
10
6
3
4
258
74
3
3
371
Table No. 6.
Showing the Degree of Education of those admitted during 1917.
Degree of Education.
Superior	
Common school
Very little ....
None	
Unknown	
Totals
Male.
Female.
11
5
206
102
13
5
14
13
1
1
245
126
Total.
16
308
18
27
2
371 M 22
Mental Hospitals.
1918
Table No. 7.
Showing the Nationality of those admitted during 1917.
Nationality.
Male.
Female.
Total.
2
12
1
1
11
4
5S
4
9
1
5
9
9
3
1
7
1
2
18
4
18
2
1
19
3
6
5
20
3
6
1
2
42
3
1
1
'7
4
i
1
8
1
1
1
12
i
2
i3
4
2
3
9
1
5
1
0
12
1
1
11
6
100
Finland	
7
1
10
1
Italy	
16
13
Japan 	
3
2
8
1
2
26
1
5
1
30
2
1
2
Canada—
1
32
7
8
8
29
4
11
Totals	
245
126
371 8 Geo. 5
Statistical Tables.
M 23
Table No. 8.
Showing what Districts contributed Patients during 1917.
Place of Residence at Time of Committal.
Agassiz	
Alberni	
Alert Bay	
Alice Arm	
Anyox	
Ashcroft	
Burnaby	
Burquitlam.. ..
Bridesville....
Calgary, Alta..
Campbell River
Chilliwack ....
Clinton	
Collingwood..   ,
Colquitz	
Cowichan	
Cumberland...
Dawson, Y.T...
Deep Bay	
Duncan	
East Burnaby..
Edgewood	
Edmonds .   ...
Enderby	
Esquimalt	
Excelsior Creek
Fernie	
Fort St. James....
Fraser Mills	
Gabriola Island.. ..
Golden	
Granby	
Granby Bay	
Grand Forks	
Greenwood	
Harriet Bajr  	
Hedley	
Inisfree, Alta	
James Island	
Kamloops	
Kaslo	
Kelowna	
Ladner    	
Ladysmith	
Langley	
Lawn Hill	
Lulu Island	
Lund	
Mara Lake	
Matsqui	
Merritt	
Mission City	
Morgan Creek  ....
Morrissey	
Mount Tolmie.....
Nanaimo	
Nelson	
New Westminster..
Nicola  	
North Vancouver..
Ocean Falls	
150-Mile House  ...
Parksville	
Pemberton Meadow
Y.T.
Male.     Fen
ale.
i
2
2
1
2
i
i
l
i
i
i
i
5
i
i
1
i
2
2
i
i
2
2
i
i
3
1
1
2
6
2
9
4
1
4
5
1
1
1
1
Total.
1
1
1
1
1
1
2
1
2
2
1
3
1
2
1
2
1
1
1
2
1
1
1
1
4
1
1
1
2
1
1
1
1
2
2
1
1
1
1
6
1
2
2
3
1
1
2
1
1
1
2
3
1
3
1
3
8
13
1
9
1
1
1
1 M 24
Mental Hospitals.
1918
Table No. 8—Concluded.
Place of Residence at Time of Committal.
Penticton	
Point Grey	
Port Moodv	
Port Stanley, Ont..
Prince Rupert, ....
Princeton	
Quatsino	
Revelstoke  .......
Riska Creek	
Rossland	
Royal Oak	
Ruskin	
Salmon Arm	
Saanich	
Savona 	
Selkirk, Y.T	
Sidney	
South Vancouver..
South Wellington..
Stark Falls	
Stevesville, Alta. ..
Sullivan	
Terrace	
Trail	
Ueluelet	
Vancouver	
Vernon	
Victoria	
XXfl ^r\
White Horse, Y.T.
Totals.   ..
Male.
Female.
1
1
1
2
1
I
4
2
1
3
2
1
1
o
1
1
1
2
4
1
1
1
5
6
1
1
1
1
1
2
1
94
53
4
26
15
1
1
1
245
126
Total.
2
3
1
1
4
2
1
5
1
3
1
1
1
6
1
1
1
11
1
1
1
1
1
2
1
147
4
41
1
2
371 «%S%:  8 Geo. 5
Statistical Tables.
M 25
Table No. 9.
Showing the Occupations of those admitted during 1917.
Occupation.
Male.
Female.
Total.
2
3
1
2
3
3
6
12
3
1
1
1
1
1
1
94
9
1
2
3
15
11
16
i
1
"l
i
9
86
1
i
k
16
126
2
4
1
2
3
1
1
1
6
2
1
1
6
Chef	
1
Clerk      	
7
1
Cook	
1
2
1
1
1
1
3
6
12
3
1
1
1
9
86
1
1
1
1
94
Logger	
9
1
2
3
15
1
1
•1
1
11
1
4
1
1
o
1
1
1
1
1
2
3
1
32
Totals	
245
371 M 26
Mental Hospitals.
1918
Table No. 10.
Showing the Age of those admitted during 1917.
Age.
Under 15 years	
From   15 to 20 years.
20 to 25    „     .
25 to 30    „    .
30 to 35    it    .
35 to 40    „    .
40 to 45    „    .
45 to 50    „    .
50 to 55    a
55 to 60    i,    .
60 to 65    ,i . .
65 to 70    n
70 to 75    n    .
75 to 80    ,,
Over 80 years	
Totals.
Male.
Female.
4
3
12
3
19
8
19
10
40
18
42
22
33
16
23
9
16
19
10
4
9
4
9
6
5
3
1
1
3
245
126
Total.
7
15
27
29
58
64
49
32
35
14
13
15
8
2
3
371
Table No. 11.
Showing the Number of Attacks in those admitted during 1917.
Number of Attacks.
Male.
Female.
Total.
First	
194
39
6
1
1
4
97
24
4
i
291
63
Third .                 ...             	
10
Fifth	
1
2
4
Totals   .              	
245
126
371
Table No. 12.
Showing the Alleged Duration of Attack prior to Admission.
Duration of Attack.
Under
From
week
1
1     ,
1 to
to 1 month.
3 months ...
to 6
to 12
to 2
to 5
to 10
years
„ 10 to 15
Over 15 years..
Unknown	
Totals.
Male.
Female
30
15
84
45
36
24
15
9
13
2
13
4
3
6
4
4
3
2
10
6
34
9
245
126
Total.
45
129
60
24
15
17
16
43
371 8 Geo. 5
Statistical Tables.
M 2T
Table No. 13.
Showing Statistics of Heredity in those admitted during 1917.
Heredity.
Male.
Female.
Total.
17
9
12
8
199
6
12
11
3
94
23
21
23
11
293
Totals	
245
126
371
Table No. 14.
Showing the Alleged Exciting Cause of Attack of Insanity in those admitted during 1917.
Alleged Cause.
Alcohol	
Arteriosclerosis	
Cardiorenal disease	
Cerebral embolism	
Drugs	
Epilepsy	
Hemiplegia	
Heredity, ascertained....
Heredity, inferred	
Menopause	
Old age	
Overstudy	
Pregnancy 	
Seclusion	
Strain of military service.
Syphilis	
Traumatic	
Worry	
Unknown	
Totals .
Male.
Female.
18
4
2
1
1
2
3
1
6
1
38
29
8
3
3
21
11
1
1
4
1
23
8
3
1
2
2
115
58
245
126
22
3
1
2
4
6
1
67
11
3
32
1
1
4
1
31
4
4
173
371
Table No. 15.
Showing the State of Bodily Health of those admitted during 1917.
Bodily Condition.
Male.
Female.
Total.
218
21
6
245
91
31
4
309
52
10
Totals ..
126
371 M 28
Mental Hospitals.
1918
Table No. 16.
Showing the Form of Mental Disorder in those admitted during 1917.
Form of Disorder.
Arteriosclerotic hallucinosis
Cerebral syphilis	
Dementia proscox	
Epileptic insanity	
General paresis	
Idiocy and imbecility	
Mania, acute	
Mania, depressive condition
Melancholia	
Paranoia    	
Senile dementia	
Terminal dementia	
Toxic insanity 	
Traumatic insanity	
Totals .
Male.
Female.
1
1
1
59
23
20
6
14
12
1
1
80
52     **)
1
1
11
9
25
11
3
21
10
1
245
126
1
2
82
7
26
26
2
132
2
20
36
3
31
1
371
Table No. 17a. i
Showing the Number allowed out on Probation and Results during 1917,  New Westminster.
Results.
Male.
Female.
Total.
19
4
5
3
9
18
3
6
13
32
37
it            unimproved	
7
11
16
41
Totals	
40
72
112
Table No. 17b.
Showing the Number allowed out on Probation and Results during 1917, Essondale.
Results.
Discharged recovered . .
// improved...
// unimproved
Returned to Hospital .
Still out at close of year
Total	
Males only.
11
11
3
1
22
48 8 Geo. 5
Statistical Tables.
M 29
Table No. 18a.
Showing the Alleged Duration of Insanity prior to Admission in those discharged from
New Westminster during 1917.
•                      Duration of Insanity.
Male.
Female.
Total.
10
10
6
1
3
3
1
1
18
7
17
9
2
3
2
1
2
3
15
17
n             1 month    	
27
15
„      2 to    3      a        	
2
a      3 to    6      it       	
4
//      6 to 12      n       	
5
4
„     2 to    3     „    	
3
4
33
Totals	
53
61
114
Table No. 18b.
Showing the Alleged Duration of Insanity prior to Admission in those discharged from
Essondale during 1917.
Duration of Insanity.
Males
only.
11
12
9
„     3 „     6       „	
4
1
15
Total	
52 M 30
Mental Hospitals.
1918
Table No. 19a.
Showing the Length of Residence of those who were discharged from New Westminster
during 1917.
Length of Residence.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
11
12
12
5
6
2
8
5
4
1
1
1
1
2
2
1
3
1
1
3
3
1
1
9
3
5
„     3 ii    4       ,,         	
„     4 a    5       a         	
2
i,     5 „    6       ,i         	
„     6 n    9      „        	
„     9 „ 12      „        	
2
2
1
„     2 a   3      ii        	
3
„     3 «    4      ii        	
a      4 a    5       a          ,    	
„     9 „  10       a         	
69
18
27
Table No. 19b.
Showing the Length of Residence of those who were discharged from Essondale during 1917.
Length of Residence.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
„      3 //      4     n              	
1
3
2
4
2
4
2
1
4
5
3
2
4
o
1
1
2
4
„     6 ii     9     ,,        	
„     9 »    12     „           	
1
„     '2 n     3     /,         	
2
ll     Si,      4      ii          	
2
„     7 a     8     „        	
Over  8 years	
Totals	
19
22
11 8 Geo. 5
Statistical Tables.
M 31
Table No. 20a.
Records of Deaths for the Year 1917, New Westminster.
Register
No.
Initials.
Sex.
Age.
Time
in Hospital.
Certified Cause.
Years.
Months.
Days.
4987
T. P.
M.
72
6
Cerebral embolism.
4625
R. J. M.
F.
30
1
27
General paresis.
1558
E. M.
F.
47
12
3
3
Status epilepticus.
3938
E. C.
F.
69
2
11
17
Exhaustion of senile dementia.
2877
E. T.
F.
62
5
10
14
Endocarditis and myocarditis.
5019
M. H.
F.
69
7
Exhaustion of senile dementia.
4784
E. B.
M.
6
8
12
Pulmonary tuberculosis.
4388
C. R. S.
F.
46
1
10
27
General paresis.
3081
P. W.
M.
48
6
1
9
Pulmonary tuberculosis.
4731
C. A. B.
F.
87
10
24
Exhaustion of senile dementia.
4919
F. N. P.
M.
16
4
26
Insufflation suffocation.
4856
J. K.
M.
44
7
24
Pernicious anosmia.
5037
E. R.
M.
23
17
Exhaustion of acute mania.
4375
E. M. G.
F.
65
2
25
General paresis.
5093
A. A.
M.
36
12
Cerebral tuberculosis.
5102
J. A.
M.
74
5
Bronchopneumonia.
5106
M. G. H.
F.
39
21
General paresis.
3654
R. E.
M.
37
4
24
Pulmonary tuberculosis.
1662
K. C.
M.
59
11
9
5
Exhaustion of epileptic dementia.
5131
E. L. C.
Mi
39
7
General paresis.
3122
A. H.
F.
75
5
6
1
Gangrene.
4298
T. S. B.
M.
24
2
5
16
Uremia.
4240
A. J. D.
F.
74
2
7
25
Exhaustion of senile dementia.
4457
R. H. B.
M.
45
2
1
3
Strangulation.
5077
F. B.
M.
55
o
27
(Edema of lungs.
5022
D. McD.
M.
39
5
Exhaustion of acute mania.
4677
H. G.
F.
12
1
4
17
Toxic absorption.
5034
J. A.
M.
81
4
19
Exhaustion of senile dementia.
3457
N. E.
F.
43
4
8
23
General paresis.
3238
H. H.
M.
59
5
3
16
Cerebral haemorrhage.
4972
M. L. V. K.
F.
33
7
12
General paresis.
3462
D. L.
M.
69
4
9
5
Exhaustion of epileptic dementia.
5186
L. B.
F.
48
14
General paresis.
4471
CD.
F.
3S
2
o
10
Pulmonary tuberculosis.
4904
C. C.
F.
41
11
9
General paresis.
4213
N. K. P.
F.
31
2
11
10
Pulmonary tuberculosis.
5050
N. H. J.
F.
16
6
15
Exhaustion of idiocy.
5148
M. R. L. H.
F.
33
3
19
Exhaustion of inanition.
4866
B. B. H.
M.
37
1
2
13
General paresis.
5230
N. J. Q.
P.
40
1
9
Exhaustion of manic depressive insanity.
5039
M. B.
F.
72
8
4
Myocarditis.
245
0. N.
M.
80
30
6
13
Pulmonary infarction.
4662
G. W. 0.
M.
46
1
8
29
General paresis.
5156
S. F.
F.
65
4
10
Cerebral haemorrhage.
5192
J. R. R.
M.
34
3
10
Cerebral syphilis.
4966
0. G.
M.
36
11
7
General paresis.
5316
D. McP.
M.
55
3
Gumma of the cerebrum.
4735
L, C. R.
F.
17
1
'7
21
Exhaustion of imbecility.
5241
J. B. M.
M.
50
2
21
Exhaustion of acute mania.
4900
F. G.
M.
71
1
4
23
Diabetic furunculosis.
5196
L. M. S.
F.
42
4
7
Exhaustion of acute mania.
4482
C. J. K.
M.
36
2
6
3
General paresis.
4862
E. B.
M.
7
1
4
17
Exhaustion of idiocy.
3143
L. C.
F.
37
5
11
17
Abscess of liver.
-1675
J. W. A.
M.
42
1
10
2
General paresis.
5325
J. 1'.
M.
30
14
Streptococcic septicaemia.
4955
J. A. F.
M.
62
1
27
Exhaustion of senile dementia.
5261
C. W.
M.
18
2
16
Acute dilatation of stomach.
5359
W. J. F.
M.
46
3
Ulceration of intestines (sigmoid).
1367
P. L.
M.
42
14
9
9
Pulmonary tuberculosis. M 32
Mental Hospitals.
1918
Table No. 20b.
Record of Deaths for the Year 1917, Essondale.
Register
No.
Initials.
Sex.
Age.
Time
in Hospital.
Certified Cause.
Years.
Months.
Days.
1394
H. T.
M.
65
12
6
4
Myocarditis.
3042
F. C.
M.
76
5
4
Bronchopneumonia.
4476
P. B.
M.
78
1
6
15
Sarcoma of jaw.
4155
R. W.
M.
36
2
5
18
Tubercular peritonitis.
2426
A. B. McK.
M.
62
6
6
6
Chronic nephritis.
3027
J. E.
M.
25
5
5
8
Pulmonary tuberculosis.
4803
H. S.
M.
47
9
Cerebral haemorrhage.
4796
S. B.
M.
61
9
is
Chronic nephritis.
4778
A. N. W.
M.
71
9
7
Bipneumonia and infected arm.
4762
A. A. G.
M.
50
11
Bronchopneumonia.
4351
A. D.
M.
35
2
1
ii
Pulmonary tuberculosis.
.
330
A. C.
M.
80
27
10
14
Cirrhosis of liver.
4756
C. P.
M.
41
11
17
Cerebral haemorrhage.
4912
J. B.
M.
78
6
14
Gastro-enteritis.
4599
W. B.
M.
41
1
5
25
General paresis.
3021
C. M. C.
M.
33
5
8
10
Bronchopneumonia.
4434
J. M. T.
M.
47
2
4
Pulmonary tuberculosis.
4315
H. R. S.
M.
41
2
3
29
Exhaustion of general paresis.
4739
M. W.
M.
84
1
1
24
Myocarditis.
4777
G. G.
M.
61
1
11
Cerebral haemorrhage.
5064
F. S. B. C.
M.
53
2
22
Cerebral haemorrhage.
4093
R. M.
M.
70
3
Cerebral haemorrhage.
5038
J. P. E.
M.
67
4
4
Chronic nephritis.
4712
S. L.
M.
40
1
3
12
Chronic nephritis.
3752
W. M.
M.
53
3
11
29
Pneumonia.
3770
H. D.
M.
37
3
10
21
Cerebral haemorrhage.
3853
J. V.
M.
39
3
9
9
Cerebral haemorrhage.
5123
g. k.
M.
24
2
18
Pulmonary tuberculosis.
292
C. Y.
M
80
29
5
11
Exhaustion of terminal dementia.
4340
J. B.
M.
53
2
5
18
Cerebral haemorrhage.
3912
C. D.
M.
45
3
7
23
Carcinoma of liver.
4780
G. E. M.
M.
38
1
2
18
Lobar pneumonia.
5089
T. C. R. C.
M.
37
4
16
Cerebral haemorrhage.
82
W. B.
M.
70
41
4
10
Gastro-en teritis.
4098
J. S. C.
M.
24
3
3
21
Pulmonary tuberculosis.
3218
J. McT.
M.
60
5
6
26
Exhaustion of senile dementia.
204
T. B.
M.
74
31
11
14
Mvocarditis.
3241
R. E. W.
M.
29
5
6
19
Typhoid.
2810
W. M.
M.
65
6
10
7
Exhaustion of senile dementia.
4530
V. R. K.
M.
34
2
2
14
Endocarditis.
4143
O. R.
M.
18
3
3
8
Pulmonary tuberculosis.
5095
D. L. T.
M.
40
7
Exhaustion of general paralysis.
4172
W. S.
M.
81
3
3
10
Pneumonia.
3781
K. L. B.
M.
Unk'n
4
4
Cerebral haemorrhage.
5176
O. E. M.
M.
66
5
is
Exhaustion of dementia praecox.
4763
J. E.
M.
39
1
8
Cerebral haemorrhage.   8 Geo. 5
Statistical Tables.
M 33
Table No. 21a.
Showing Work done by Patients during the Year 1917 at New Westminster.
Work done
by Patients.
Days.
365
930
632
426
3,793
730
8,285
329
Florist    	
4,035
357
2,646
365
2,393
1,558
744
1,460
131
310
760
1,154
757
297
313
22,003 M 31 Mental Hospitals. 1918
Table No. 21b. i
Labour of Patients under the Direction of the Grounds Overseer at Essondale during the
Year 1917— Days.
Blacksmith-shop    300
Boundary stone fence   727
Boiler-room and coal-bunkers     2S6
Clearing land  765
Chicken-yard     306
Chores    SOS
Cement-work and building    1,903
Colony Farm    140
Cutting wood     265
Ditches and drains    677
Dykes—
River-work      1,638
Mattress-work     935
Pile-driving and donkey   643
Field-work     631
Fencing     272
Grading grounds     301
Gardens     2,368
Lawns  (grass-cutting)     1,405
Manure     308
Miscellaneous     2,490
Nursery    S17
New laundry    2,129
Piggery     1,249
Roads     36S
Root-house  1,064
Tool-house     311
Teaming     570
Total     23,832
Labour of Patients in Various Departments at Essondale during 1917—
Bake-shop    406
Billiard-room and basement   *  4,874
Carpenter      780
Dining-room   '.  5,742
Engiueer   ,  1,810
Kitchen     1,364
Laundry     5,940
Painter     813
Plasterer    1,475
Plumber  41S
Parole patients' work   1,242
Scullery     1,458
Tailor-shop   223
Total     20,605
Labour of Patients at Colony Farm, Essondale, during the Year 1917—■
Arena     720
Carpenter-shop     260
Dining-room      1,460
Farm Superintendent's house   362
Carried forward        2,802 Table No. 21b—Concluded.
Days.
Brought forward    2,802
Farm (including fields, roads, stables, barns, and dairy)    11,281
General     705
Gardens     577
Kitchen    730
Fireman     1,095
Ward-work   1,825
Total     19,015
Table No. 22.
Articles made by Female Patients, 1917.
Aprons         266 -      rillow-slips  632
Chemises      247       Sheets   787
Clothes-bags          C       Surgeons' gowns  6
Covers, bureau         38       Skirts  0
Curtains, pairs         41       Table-cloths   53
Dresses, gingham      117       Towels, bath   321
„       night         18             „       hand   40
Handkerchiefs      240             „       roller  306
Neckties         336             „       tea  236
Napkins, table          12             „       tray   107
Articles made for Nurses.
Aprons         "117       Cuffs, pairs    74
Caps         33       Dresses   45
Mending done for Nurses.
Aprons         271       Cuffs     S
Oaps   .._          7       Dresses     173
Mending done for Female Patients.
APron«          279        Pillow-slips     ITS
Blankets, canvas          96        Sheets  466
wool         253        Skirts  1,637
Blouses        178       Spreads, bed   178
Chemises      927       Table-cloths    196
Drawers   1,447       Towels, bath   85
Dresses,  gingham      1.194             „       roller  61
night      1,030        Ticks,  bed    135
serge         705       Vests, under    1,275
Hose 11,308
Mending done for Male Patients.
AProns      ]99        SockS] pairs ]g 5QQ
Blankets, wool        175        Spreads, bed    276
Coats, white        20       Sweaters  29
Drawers    2,968       Table-cloths   271
Pillow-slips           45       Towels, bath         ' "fiS
Sheets       787             „       roller    [[ 47
Shirts, over   4,737       TickS] bed  1QO
under   3.805 „      pillow
o M 36 Mental Hospitals. 191S
Table No. 22—Continued.
Articles made for Essondale, 1917.
Aprons, kitchen          75        Caps        10
for cooks            IS        Table-cloths         05
Fruit put up in 1917.
Cherries   20 quarts.
Currants, black    25 „
red     35 „
Crab-apples     SO „
Pears     50 „
Plums   60 „
Rhubarb  125
Raspberry     45 ,,
Strawberry    #. .. 138
Pickles put up in 1917.
Pears        20 quarts.
Tomatoes       90     „
Tailor's Report for 1917.
Uniforms made for New Westminster—
49 suits     ?1,385 00
39 pairs of pants           298 SO
   $1,683 80
Stock—
48 suits       %   702 00
40 coats   	
20 vests  	
61 pairs of pants 	
1 cnmisole   	
8 canvas blankets  	
38 bod-ticks   	
16 pillow-ticks    	
Repairs—
132 coats       ?     72 SO
442 pairs of pants         110 50
75 vests    IS 75
         202 05
Miscellaneous work     2d 00
208 00
64 00
232 00
3 00
33 40
60 40
5 00
1.314 40
Total, New Westminster    • •   $3,225 25
Uniforms made for Essondale—
72 suits     -I2-640 00
53 pairs of pants         379 00
 $3,019 00
Stock—
133 suits     -¥1,784 00
9 pairs  of pants     ?ii 00
10 canvas  blankets    '  40 00
2 camisoles     "
 1,8*85 00
Carried forward      $4,884 00 8 Geo. 5 Statistical Tables. M 37
Table No. 22—Continued.
Brought forward       $4,884 00
Repairs—
866 coats    $   346 40
1,908 pairs of pants           477 00
555 vests         138 75 •
10 canvas blankets     9 75
10 camisoles     2 00
        973 90
Miscellaneous—
Work     $      3 25
69% yards lining at 27%  cents     19 11
20 yards lining at $1-20     24 00
  46 36
Total, Essondale      ¥5,904 26
Grand  total       ¥9,129 51
Statement, Tailor-shop, Year 1917.
Debits-
January 1st, 1917, stock on hand     ¥  967 93
Goods purchased, tweeds, serges, etc      5,257 84
Salaries—
Mr. Beggs    ¥   945 00
Mr. French           900 00
Mrs. Huntley         540 00
Miss Derby           240 00
Miss Pennington  '        234 00
Mrs. Black   49 00
 2,908 00
Power, electric     ¥   106 77
Light, electric   *  18 00
Repairs, Singer Machine Co  26 01
        150 78
Total       $9,284 55
Credits—
Clothing,  etc.,  to  Essondale      ¥5,904 26
Clothing, etc., to New Westminster      3,225 25
Sales of cuttings  (rags)     38 00
Stock on hand, December 31st, 1917         766 10
 9,933 61
Credit balance     ¥  649 06
Shoemaker's Report for 1917.
New work for house and stock—
59 pairs of men's boots   ¥   410 00
449 „ „      slippers         1,063 00
5 „ „       mocassins   10 00
27%      „      special shoes  89 00
Carried forward      $1,572 00 M 38 Mental Hospitals. 1918
Table No. 22—Concluded.
Brought forward     ¥1,572 00
Repairs for New Westminster—
180 pairs of men's boots   234 50
25          „          „       slippers      20 50
110         ,,       women's shoes    100 75
Repairs for Essondale—
448 pairs of men's boots   047 25
300         „         „      slippers   205 05
Miscellaneous     15 00
Total     ¥2,801 65
Home Farm Produce, 1917  (New Westminster).
Hogs sold alive, 66, value    ¥1,012 20
Pork shipped alive to Essondale, 14,610 lb. at 14 cents      2,045 40
Pork dressed and supplied to Essondale, 205 lb. at 22 cents  45 10
Pork dressed and supplied to New Westminster, 13,193 lb. at 22 cents   2,902 40
    $6,605 16
Hogs on hand—
23 sows, value  $   920 00
13 young sows, value    455 00
4 boars, value   165 00
27 hogs, average 200 lb. at 15 cents   510 00
56 hogs, average 70 lb. at 15 cents   58S 00
61 pigs at $S each   488 00
 3,126 00
Total    $9,731 10
Stock on hand, January 1st, 1917. 170 hogs, value     $2,650 00
Cost of feed, etc., during 1917      2,057 25
Half-salary of farmer apportioned         447 50
      5,754 75
Total profit on piggery for 1917      $3,976 41
Poultry Report, 1917  (New Westminster).
Eggs supplied to the institution, 844 doz. at 45 cents    $   379 SO
Ducks, dressed, 60 at $1.50   90 00
Chickens, dressed, 50 at $1-25    70 00
    ¥   539 00
Stock on hand—
13 ducks  at $1.50      $     19 50
100 chickens at $1         100 00
180 pullets aud hens at $1.50          270 00
        389 50
Total        $  929 30
Stock on hand, January 1st, 1917—
130 chickens at $1     $   130 00
18 ducks at $1.50     27 00
Feed for poultry during 1917         416 45
Quarter-salary of farmer apportioned         223 75
        797 20
Total profit on poultry for 1917    $   132 10
Total profit on piggery for 1917        3,976 41
Total profit ou home farm      ¥4,108 51 8 Geo. 5
Statistical Th\.bles.
M 39
Credits—
Green onions 	
Cooking-onions    . ..
Vegetable marrows
Garden Produce, 1917  (New Westminster).
Vegetables.
475
1,755
426
lb.
at
Pumpkin       1,120
Ripe tomatoes .
Green tomatoes
Horse-radish   ..
  40
  570
  08
Early  potatoes     2,250
Late potatoes     2,700
Peas     655
Asparagus  210
Carrots     22,720
Spinach     3,805
Turnips     1,200
Beets     9,000
Cabbage    14,460
String beans   	
Celery   	
Parsley 	
Radish
Lettuce   ...
Sweet corn
Cucumbers
625   „
950 heads     „
280 bunches „
369 dozen     „
397      „
370
3c.    !
4c.
2c.
2c.
10c.
7c.
10c.
3c.
1%C.
10c.
10c.
'l%c.
10c.
l%c.
l%c.
2c.
10c.
5c.
5c.
5c.
25c.
20c.
2c.
Estimated total value of vegetables
Credits—
Fruits.
..  29,640 lb
..    2,570   „
Raspberries   	
S74   „
60   „
Red currants	
..    1,417   „
94   „
Blackberries  	
9   „
..    5,865   „
Pears   	
..    1,000   „
Cherries   	
742   „
860   „
Plums   	
. .    1,175   „
Apples sent to Essondale ...
. .    2,050   „
at
14 25
70 20
8 52
22 50
4 00
39 90
9 SO
67 50
40 50
65 50
21 00
340 80
386 50
18 00
135 00
2S9 20
62 50
47 50
14 00
2 34
92 25
79 40
7 40
$1,838 56
$SS9 20
3c.
10c.
257 00
10c.
S7 40
10c.
6 90
10c.
141 70
12c.
11 28
10c.
90
5c.
293 25
3c.
57 00
10c.
74 20
3c.
25 80
4c.
47 00
3c.
79 50
Estimated total value of fruit   $1,971 13
vegetables        1,838 56
Total      $3,809 69
Debits-
Water used  	
Quarter-year salary, one man at $895	
1 doz. farming implements 	
1 bbl. lime spray, 42 gals	
54 apple, pear, plum, and cherry trees 	
1 month, team, ploughing, manuring, harrowing
1 month salary, teamster	
and hauling
Total   	
Credits total
Debits total .
28 53
223 75
31 50
16 80
26 55
50 00
55 00
$ 432 13
¥3,809 69
432 13
Profit   $3,377 56 M 40 Mental Hospitals. 1918
Greenhouse.
Bedding Plants grown, 1917.
Credits—
13,707 plants at 10c. each   ¥1,370 70
7,230            „        5c.     ,  361 50
13,140            „        2c.     „        262 80
Sent to Essondale and Colony Farm   150 50
Estimated value    ¥2,145 50
Cut Flowers under Glass.
Credits—
Cut flowers           450 00
Total     $2,595 50
Debits-
Coal used in boiler-room in greenhouse, 1917  •  $   274 SO
Water used during 1917  60 59
Salaries, 1917, two men   1,404 00
Total      $1,719 39
Credits during 1917    $4,741 00
Debits during 1917       1,749 39
Total profit for year 1917    $2,991 61
Poultry Statement, 1917  (Essondale).
Receipts.
Eggs supplied Mental Hospital during 1917, 3,491 doz. at 35c  $1,221 85
Live birds supplied New Westminster  44 70
Dressed fowl supplied Mental Hospital, 1917, 1,575 lb. at 30c  472 50
Poultry stock on hand, December 31st, 1017   1,204 45
Feed stock on hand, December 31st, 1917  41 25
Total     $2,984 75
Disbursements.
Stock on hand, January 1st, 1917     $   933 75
Feed supplied by Colony Farm during 1917    125 58
Horse-labour supplied by Colony Farm, 1917   107 71
Feed purchased     025 00
Wages     450 00
Balance  (being profit)     441 81
Total      $2,084 75
Piggery Statement, 1917  (Essondale).
Receipts.
Dressed pork supplied to Mental Hospital, Essondale, during 1917,
18,110% lb. at 22c   $3,984 31
Live hogs supplied to Mental Hospital, 1917, 3,115 lb. at 14c        436 10
Live hogs on hand, December 31st, 1917, 44 head—8,320 lb. at 14c. ...    1,164 80
Total     $5,5S5 21   8 Geo. 5 Statistical Tables. M 11
Disbursements.
Hogs on hand, January 1st, 1917, 38 head—8,670 lb. at 9c  $   78-2 10
Feed supplied by Colony Farm during 1917   89 71
Feed purchased     44 05
Horse-labour supplied by Colony Farm    203 60
Live hogs supplied by New Westminster during 1917, 11,610 lb. at 14c. 2,045 40
Dressed pork supplied by New Westminster, 205 lb. at 22c  45 10
Wages     450 00
Balance (being profit)     1,924 05
Total  $5,585 21
Trees and Shrubs shipped erom Nursery, Essondale, during 1917.
Grand Forks School    $   124 40
Esquimalt Public School    206 20
Government Agent, New Westminster   71 00
Matsqui School   33 90
Port Hammond School   118 20
Murrayville School     56 85
Government Agent, Nelson   S 40
Mount Anarchist School, Bridesville   39 70
Peachland  School     84 30
Government Agent, Kamloops  10 40
Ladner School   342 30
Maple Ridge School   233 80
Milner School  . .  15 30
Langley Prairie School     04 50
Aldergrove School    79 55
Revelstoke School Board  151  75
Kelowna  School Board     37 20
Mission Central  School     126 25
Sa vdis  School     161  50
Cloverdale  School    .-  27 30
Chilliwack  School     47 -15
Toplar Grove School, Penticton    61 50
Lord Lister School, New Westminster    134 30
Lord Kelvin School, New W-estnalnster    57 00
McBride School, New Westminster    30 20
Connaught High School, New Westminster  273 70
Mission City  School     12 10
Cowichan School Board, Bei'ch School    235 60
West Langley School   „  30 00
Fort Langley School  171 20
Mental Hospital    30 00
Total value of nursery stock shipped  $3,087 85
Nursery Statement, 1917  (Essondale).
Receipts.
Produce supplied Mental Hospital, Essondale, during the year 1917.. ¥ 8,028 89
Produce supplied Hospital for Insane, New Westminster, during 1917 498 60
Produce supplied Colony Farm, Essondale, during the year 1917 .... 141 30
Nursery stock supplied to schools, etc., in the Province during 1917.. 3,087 85
Inventory of produce and hay on hand, December 31st, 1917  5,155 88
Inventory of nursery stock ou hand, December 31st, 1917  25,123 30
Total     ¥42,035 82 M 42 Mental Hospitals. 1918
Disbursements.
Inventory of produce aud hay on hand, January 1st, 1917  $ 3,212 28
Inventory of nursery stock on hand, January 1st, 1917  21,193 93
Feed for horses, etc., supplied by Colony Farm  4,929 56
Feed for horses, etc., supplied by Mental Hospital  495 75
Wages for 1917  4,260 00
Maintenance, including fertilizer  2,231 62
Balance (being profit)     5,712 6S
Total      ¥42,035 82
1917.    Inventory of nursery stock     $25,123 30
1910.    Inventory of nursery stock      21,193 93
Increase     $ 3,929 37
Memorandum of Vegetables and Fruit grown in Garden at Farm Cottage
(Hospital Annex), 1917.
Radishes         250 lb.
Lettuce        300
Spinach         200
Peas     1,070
„    (dried and shelled)         230
Potatoes    3,465
Strawberries      463
Onions   (small)      370
(stored)      1,054
Tomatoes     1,200
Runner beans       440
Kidney beans       120
Cucumbers       ISO only.
Squash        220     „
Pumpkins           86     ,,
Cabbage  (green)     1,500     „
(red)         500     „
Cauliflower         500     „
Celery       '650 hd.
Brussels sprouts        120 lb.
Kale         750   „
Rhubarb       200   „
Parsnips          350   „
Fruit, preserved         432   „
Sugar used for same       324   „
Pickled tomatoes, chow-chow        100   „
Tickled red cabbage       500   „
victoria, B.C. :
Printed by William H. Cullin, Printer to the King's Most Excellent Majesty.
191S.

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