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ANNUAL REPORT ON THE ASYLUM FOR THE INSANE, NEW WESTMINSTER, FOR THE YEAR 1889. British Columbia. Legislative Assembly 1890

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 Annual Report
ON  THE
ASYLUM  FOR THE INSANE,
NEW WESTMINSTER,
for the
YEAR  1889
VICTORIA, B. C.:
Printed by Richard Wolfenden, Printer to the Queen's Most Excellent Majesty.  53 Vict. Report on the Asylum for the Lvsane. 413
REPORT
ON  THE
ASYLUM   FOR   THE   INSANE.
1889.
To the Honourable Hugh Nelson,
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 Asylum for the Insane for the year 1889.
JNO. ROBSON,
Provincial Secretary.
Provincial Secretary's Office,
1st April, 1890.  53 Vict. Report on the Asylum for the Insane. 415
REPORT
OP   THE
MEDICAL SUPERINTENDENT OF THE ASYLUM FOR THE INSANE,
New Westminster, B. C,
For the   Year ending 81st December,   1889.
To the Hon, John Robson,
Provincial Secretary.
Sir,—I have the honour to submit, herewith, the Annual Report for the eighteenth year
of this Asylum, ending 31st December, 1889.
The tables appended this year are not as complete as in former reports. Owing to the
greater portion of the old building undergoing repairs, thirty patients and two keepers had to
be given accommodation in the Provincial Gaol here, as well as new (male) patients received
during the year ; consequently, any comparative report of expenditure with former years would
not be a fair one.
The total number of patients received at Asylum and Branch Asylum (Gaol) during the
year was forty-one (41); the number discharged, nineteen (19); the number of deaths, four (4).
Received.
The number of admissions, forty-one (41), is greater than that of last year by twelve (12).
Of those admitted, only four (4) had ever been in this Asylum before. The number of females
received was nine (9), far greater than any previous year. The number of Chinese was twelve
(12), making a total of twenty-seven (27) Chinese under our care.
Discharged.
The number discharged was nineteen (19), of whom four (4) were allowed out on probation;
none of these have returned; three (3) taken away by their friends improved, and twelve (12)
recovered.
Deaths.
The number of deaths was four (4), two of whom were Chinese.
Improvements.
The Government have at last undertaken the much needed improvements, in building
about fifty thousand dollars worth of new structure, on the latest modern improved style.
The wings, capable of accommodating fifty-five (55) each ; a central building for offices, paying
patients, a large concert room, and a separate brick kitchen and laundry. The whole to be
heated with hot water and lighted with gas. I am still very anxious to have the Chinese
accommodated with a separate building, before we move into the new building, not only on
account of the feeling of the white patients and their friends on the subject, but I think it
will be more economical for the Government. .
Expenditure.
I am not able to furnish this year a correct "per capita" cost which takes in all expenses
of the Institution, including salaries, food, fuel, lighting, drugs, furniture, bedding, etc., in
fact, everything except what belongs to the Lands and Works Department, and transport of
lunatics and keepers to the Asylum. The actual "per capita" cost per day in the Asylum
alone was 60J cents.    This is, of course, wrong, as last year it was 55J cents.    The reason why I am unable to give the true cost, is, that the food supplied to the patients at the Gaol is not
charged to the Asylum, their proportion of the heating and lighting is not charged ; their
clothing is charged, also all extra food they get which is not in the Gaol bill of fare. Also the
cost of supplies and salaries of the two keepers at the. Gaol is charged.
Estimates.
The following will show the amounts expended, as compared with the estimates allowed
for the year :—
Allowed. Expended.
Salaries $9,400 00 $9,400 00
Provisions    5,500 00 4,629 36
Fuel    1,000 00 812 70
Medicines, etc., surgical instruments       150 00 147 76
Furniture, Bedding, etc       500 00 204 49
Miscellaneous       300 00 65 35
Clothing       500 00 535 03
Transport       300 00 33  50
Lands and Works 40,000 00 not known.
I am obliged to ask for a much larger vote for the coming year, under the following
headings—salaries, provisions, furniture, bedding, etc., and clothing—for the following
reasons :—
(1.) Salaries—We will require one more keeper for the wards, and one to attend to the
heating apparatus and cellar work, to the distribution of food to the various lifts, to receive
dishes, etc., sent to the kitchen, and clothing sent to the wash, etc., etc. This man ought to
understand all about plumber's work, and the extra keeper ought to be a carpenter or a tinsmith, who could take his turn in the wards in the absence of one of the other keepers. This
class of man can be got for fifty dollars a month.
These are estimated for on the following basis :—
Patients,  100—
11 Women    1 Ward    2 Keepers.
27 Chinese    1 House    2      do.
25 White Men    1 Ward    1      do.
28 do 1     „         1       do.
9 do    1     „         1       do.
General House Supervisor    1       do.
Night Watchman    1       do.
Present number    9      do.
This does not permit of any one getting leave of absence, and does not provide for a man
to look after the heating, etc.
As the cook, night watchman, and junior keeper, will have more work and more responsibility, I won Id suggest that with the new men they be given $50 per month instead of $45
that the two keepers are getting, and the $40 that the cook receives.
(2.) Provisions—
Estimated, 80 patients Cost, $5,000
110       „           „ 6,785
"        One Keeper, for food, @ $15 per month      „ 180
"        Two       „      @ $30 per month      „ 720
For provisions required    !      „ 7,145
(3.) Furniture—An elaborate estimate has been furnished to the Lands and Works
Department, for fitting up the new building, which I suppose will be provided for by a special
vote, so we will not require more than for last year for blankets and other things not mentioned
in the report sent. 53 Vic.
Report on the Asylum for the Insane.
417
(4.)  Clothing—■
For 80 patients Cost,
110
00
562 00
(5.)  Transport might be reduced to $150.
Recapitulation op Estimates.
Salaries, Vote No. 13.
Medical Superintendent. . A
Steward	
1st Keeper (Supervisor). . .
2nd      „      	
3rd       „      	
4th       „      	
5th       „      	
6th       „      	
Engineer	
Carpenter	
Night Watchman	
Cook  	
Matron  	
Assistant Matron	
Washer	
,500 00
900 00
720 00
660 00
660 00
600 00
600 00
600 00
600 00
600 00
600 00
600 00
600 00
480 00
120 00
Maintenance, Vote No. 46.
Provisions $6,785 00
Fuel    1,000 00
Medicines           150 00
Clothing       562 00
Furniture       500 00
Transport        150 00
Miscellaneous          150 00
,297 00
$10,840 00
Work.
We had not quite as much land under cultivation as last year, as a good deal of the front
was taken up with earth excavated from the cellars of the new building, and our crop, owing
to the dry season and want of new land fenced in to change the crop, did badly. We raised
only 11^ tons of potatoes, instead of 18J tons as in the previous year, and will have to buy
before the next crop comes in. The other roots did not do at all well. Besides the usual
year's work in the garden, on the roads and paths, the patients excavated 3,074 cubic yards of
earth, mostly hard pan, thirteen feet deep at the highest corner, and, if reckoned at the lowest
rate of 50 cents per cubic yard, saved the Government at least $1,537.
Divine Services.
Owing to the forty-eight male patients being confined in one ward, their beds occupying
dining and sitting rooms, and the one corridor their dining room and exercise room, we have
not been able to have services for some months, but this will be altered as soon as we get into
the new building.
Acknowledgments.
Again I have to thank the " Columbian " for its weekly edition, and think that the other
newspapers of the Province ought to contribute for the benefit of the patients. I have also to
thank the employes for the patience they have shown during the hardships of the last few
months. They have had their meals in the passage between the kitchen and the ward, and
the weather has often compelled them to take their meals in overcoats and hats. The temporary offices have been so cold that no one would stay in them longer th.in was absolutely
necessary. Also the two keepers in charge of the Branch Asylum at the Gaol (containing 45
patients) have recognized their responsibility, and, I am pleased to say, have attended to their
work faithfully. The water works, as I have informed the Government, have been a source of
constant worry, owing to land slides in the Penitentiary grounds, through which our main pipe
passes. Every pipe in the building is frozen; the well is about dry ; and we have been obliged
to take the top off the boiler to prevent an accident, and keep it supplied by buckets of water,
to get sufficient for kitchen purposes. Our supply of water at present consists of what we can
dip up with buckets from a ditch at the back of the Asylum yard. 418
Report on the Asylum for the Insane.
1890
For myself, I must ask the Government to, if possible, relieve me of the care of the Royal
Columbian Hospital. One or two seriously ill patients in that institution requiring to be seen
oftener than once a day, takes too much of my time from the Asylum.
I have, &c,
(Signed)
R. I. Bentley,
Medical Superintendent.
ANNUAL STATISTICAL REPORT
Op the operations of the Asylum por the Insane,  New Westminster, for the Year
ending 31st December, 1889.
Table No.  1,
Showing movements of patients in the Asylum for the year ending 31st December, 1889.
Remaining January 1st, 1889	
Admitted during the year:—
By Lieutenant-Governor's Warrant.
By medical certificates	
Total number under treatment during year....
Discharges during year:—
As recovered	
As improved	
Not insane	
Total number of discharged during year	
Died -	
Escaped	
Remaining in Asylum January  1st, 1890	
Male.
70
1
31
102
10
1
11
2
Female.
12
1
8
21
7
l
2
ii
Total.
82
2
39
123
17
2
19
4
100
Table No. 2,
Showing the place of residence from which patients were received during the year 1889.
Male.
Female.
Total.
12
5
9
2
2
1
1
1
4
3
16
8
9
2
1
3
1
1
1
Total	
33
8
41 53 Vic.
Report on the Asylum for the Insane.
419
Table No.  3,
Showing the length of residence in Asylum of those discharged during the year.
No.
Initials.
Sex.
When admitted.
When discharged.
Remarks.
1
E. YV. R.
F.
December 30th
, 1888
March 4th,         1889
Improved.
2
M. C. G.
F.
July 24th,
1888
March 6th,
Recovered.
3
A. S.
M.
March 18th,
18S9
March 19th,          „
Taken by friendsi
4
P. M.
F.
January 4th,
1889
April 9th,               ,,
Recovered.
5
L. R.
F.
March 16th,
1889
April 13 th.
Taken by friends.
6
R. A. C.
F.
January 19th,
1889
May 20ch,
Recovered.
7
L. M.
M.
May 21st,
1889
May 21st,
Recovered.
8
H. R.
M.
May 21st,
18S9
July 7th,                ,,
Recovered.
9
H. M.
M.
July 4th,
1889
July Sth,
Recovered.
10
W. D.
M.
May 21st,
1889
July 18th,
Recovered.
11
A. A.
M.
May 21st,
1889
August 2nd,           ,,
Recovered.
12
L. M.
M.
March 14th,
1889
September Sth,      ,,
Recovered.
13
A. Y.
M.
October 12th,
1889
October 12th,
Improved.
14
F. E.
F.
January 17th,
1888
November 4th,      ,,
Recovered.
15
E. A.
F.
May 17 th,
1889
November 4th,      ,,
Recovered.
16
J. E. H.
F.
March 12th,
18S9
November 7th,      ,,
Recovered.
17
E. W.
M.
December 2nd
1889
December 2nd,      ,,
Recovered.
18
C. M.
M.
July 15th,
1889
December 4th,      ,,
Recovered.
19
A. C.
M.
August 14th,
1888
December 13th,     ,,
Taken by friends.
Note.—The date'
'when admitted," is not the date of the certificates, but date of receiving them
from the Gaol, in most cases.
Table No. 4,
Showing age, length of residence, and proximate cause of death, of those who died during the
year 1889.
No.
Initials.
Sex.
Age.
1
E. P.
F.
45
2
A. W.
M.
35
3
A. K.
F.
32
4
F. M.
M.
36
Date of Death.
January 14th, 1889
March 13th,
June 20th,
July 15th,
Residence in Asylum.
Years.
Months.
Days.
1
9
12
11
1
3
8
28
1
8
Proximate cause of
Death.
Exhaustion.
Marasmus.
Marasmus.
Exhaustion. 420
Report on the Asylum for the Insane.
189 j
Table No.  5,
Showing admissions, discharges, deaths, escapes; number resident at close of each year;
increase or decrease each year ; percentage of recoveries; percentage of deaths, from the
opening of the Asylum to the present date, 31st December, 1889.
OS
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1872	
5.55
1873	
15
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66.66
15.62
1874	
12
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19
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26
33.33
11.53
1875	
29
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14
17
18
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49
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43.85
47.05
27.77
20.83
1876  	
9.35
1877.	
6.12
1878
16.16
1879	
14.81
1880	
17
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23.52
8.62
1881	
13
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48
49
61
55
38.46
42.85
8.19
1882	
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3.63
1883	
8
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49
57
50.00
5.26
1884....	
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2       	
51
2      	
59
50.00
3.38
1885	
21
5
1
5     	
61
10     	
80
23 80
6.25
1886	
27
16
1
6     	
65
4
88
62.96
6.81
1887	
39
21
5           1
77
12
104
53.84
4.80
1888	
29
21
2
3     	
82
5
106
72.41
2.87
1889	
41
19
4
100
18
123
46.34
3.25
Table No.  6,
Showing the amount of money received from paying patients during the year 1889.
August     $ 80 00
September  40 00
December       100 00
Total         $220 00
Table No. 7,
Showing articles made and repaired in the Female Ward during the year 1889.
Articles.
Chemises .
Coats
Dresses . .
Made. Repaired.
14
Drawers, pairs.
Dusters	
Mattresses  ....
Neckties	
Petticoats	
Pillow cases . ..
Sheets 	
Shirts	
Tape, yards
Trowsers	
Towels	
Undershirts . ..
8
1
12
2
15
16
58'
Y
69
485'
31
115
746
369'
434' Table No. 8,
Showing the return of garden produce for the year 1889.
Potatoes   23,161 pounds.
White turnips         276      „
Carrrots     2,422      ,,
Cabbage      1,083      „
Cauliflower ,  49      ,,
Cellery	
Kail	
Parsnips	
Beets	
Corn (sweet) ....    	
Green peas	
Beans 	
Gooseberries ..
Black currants
Lettuce	
Rhubarb	
Tomatoes .....
266 heads.
507 pounds
130     „
60     ,,
174 ears.
10 gallons
34      „
10      ,,
5     „
54 heads.
15 pounds
65      „
R. I. BENTLEY,
Medical Superintendent.
VICTORIA, B.C.:
Print d by Richard Wolkkkhbn, Printer to the Queen's Most Excellent Majesty.

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