DEVON  EASTER  SESSIONS,  1805. 


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COMMITTEE  OF  VISITORS, 


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MEDICAL  SUPERINTENDENT 


THE  DEVON  COUNTY  LUNATIC 

ASYLUM. 


EXETER : 

PRINTED  BY  WILLIAM  POLLARD,  58,  NORTH  STREET, 

1865. 


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List  of  the  Committee  of  Visitors, 

1864. 

Chairman.  S.  T.  KEKEWICH,  Esq.,  M.P, 

EARL  OF  DEVON 
EARL  FORTESCUE 
VISCOUNT  SIDMOUTH 
SIR  E.  S.  PRIDEAUX,  Bart. 

SIR  STAFFORD  H.  NORTHCOTE,  Bart.,  M.P. 

SIR  J.  L.  DUNTZE,  Bart. 

SIR  LAWRENCE  PALK,  Bart.,  M.P. 

SIR  JOHN  KENNAWAY,  Bart. 

SIR  MASSEY  LOPES,  Bart.,  M.P. 

SIR  J.  T.  B.  DUCKWORTH,  Bart. 

D.  B.  DAVY,  Esq. 

E.  S.  DREWE,  Esq. 

JOHN  GARRATT,  Esq. 

WM.  MILES,  Esq. 

JOHN  MILFORD,  Esq. 

JOHN  SILLIFANT,  Esq. 

AUGUSTUS  STOWEY,  Esq. 

E.  A.  SANDERS,  Esq. 

T.  E,  DRAKE,  Exeter, 

Clerk  to  the  Visitors. 


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' 


REPORT  OF  THE  VISITORS  OF  THE  DEVON 
COUNTY  LUNATIC  ASYLUM  FOR 
THE  YEAR  1864, 

PRESENTED  AT  EPIPHANY  SESSIONS,  1865. 


The  minutes  of  our  proceedings  during  the  past  year  do 
not  record  any  facts  which  require  especial  notice.  The  state 
of  the  Asylum  is  in  all  respects  satisfactory,  and  we  are 
gradually  making  such  improvements,  as  will  increase  the 
ventilation,  and  particularly  as  regards  the  asphalte  floors  will 
contribute  to  the  health  and  comfort  of  the  Patients. 

The  mortality  has  been  greater  than  in  any  previous  year 
owing  to  the  large  number  of  patients  sent  into  the  Asylum 
in  a  hopeless  state ;  but,  we  feel  thankful  in  being  able  to 
report,  that  it  has  been  entirely  free  from  any  epidemic 
disorder,  which,  in  consequence  of  the  deficient  supply  of 
water  during  the  long  dry  season,  might  have  been  attended, 
with  serious  results. 

As  to  the  deficiency  of  water,  we  reported  fully  upon  that 
subject  to  the  Court  at  the  last  Quarter  Sessions,  and  have 
determined  after  much  consideration  to  expend  as  much  as 
may  be  required  of  the  sum  then  granted  in  the  experiment 
of  lengthening  the  pumps  in  the  well,  in  the  hope  that  it  will 
prove  successful,  and  so  prevent  the  necessity  of  a  consider¬ 
able  outlay  in  procuring  a  supply  of  water  from  a  distance. 

We  take  this  opportunity  of  expressing  our  best  thanks  to 
the  Earl  of  Devon  and  Sir  L.  Palk,  Bart.,  as  the  owners  of 
land  in  the  neighbourhood,  for  the  kindness  and  liberality 
with  which  they  have  met  us  with  the  view  of  procuring  the 
water  supply,  should  the  plan  of  new  pumps  prove  ineffectual. 

We  have  been  enabled  to  reduce  the  weekly  rate  of  main- 
i  tenance  from  9s.  to  8s.  9d.  per  week. 

=F2,000  of  the  Building  debt  has  been  paid  off,  which  is 
mow  reduced  to  L?14,000. 

The  number  of  patients  in  the  Asylum  on  the  31st  of 
^December  was  676,  namely,  279  males,  and  397  females. 


6 


During  the  year  82  have  died,  and  85  have  been  discharged, 
of  whom  70  had  recovered. 

From  this  statement  it  will  be  seen,  that  notwithstanding 
the  additional  accommodation  afforded  during  the  last  few 
years,  the  building  is  still  overcrowded  ;  but  as  the  Corpora¬ 
tion  of  the  Poor  of  the  city  of  Exeter  have  given  us  notice  of 
their  intention  to  remove  their  chronic  patients  about  Lady- 
day  next,  we  hope  that  the  existing  Asylum  accommodation 
will  be  sufficient,  and  render  it  unnecessary  for  us  to  call  upon 
the  county  for  further  additions. 

The  farm  buildings  are  in  a  forward  state,  and  we  have 
been  anxious  to  complete  a  large  portion  of  them  during  the 
present  year,  in  order  to  commence  the  establishment  of  a 
dairy  with  as  little  delay  as  possible ;  some  of  the  fences  of 
the  farm  have  been  removed,  and  several  acres  laid  down  to 
grass.  The  cost  of  the  building  as  it  has  proceeded  has 
been  defrayed  out  of  the  Building  and  Repair  fund,  the  amount 
of  which  will  be  presented  with  the  General  Account,  at  the 
next  Quarter  Sessions. 

We  have  to  express  our  entire  satisfaction  with  the  manner 
in  which  the  Medical  Superintendent  and  other  Officers  of 
the  establishment  continue  their  duties,  and  to  request  the 
Court  to  appoint  the  Committee  of  Visitors  for  the  ensuing 
year. 

SAMl.  TREHAWKE  KEKEWICH, 

Chairman, 


( 


NINETEENTH  ANNUAL  REPORT  OF  THE 
MEDICAL  SUPERINTENDENT. 


The  Medical  Superintendent  has  the  honour  to  submit 
to  the  Committee  of  Visitors  the  Nineteenth  Anuual  Report. 

During  the  year  1864,  169  patients  were  admitted,  of 
whom  82  were  men  and  87  were  women. 

During  the  same  period  85  were  discharged,  of  whom  87 
were  males  and  48  were  females  ;  of  these,  70  were  dis¬ 
charged  recovered. 

The  deaths  during  the  year  have  been  82  ;  males,  42 ; 
females,  40. 

The  total  number  of  patients  under  treatment  during  the 
year  has  been  848. 

The  following  Table  shews  the  changes  which  have  oc¬ 
curred  in  the  Asylum  during  the  year. 


Number  of  Patients,  31st  December,  1863 

Males. 

276 

Females. 

398 

Total. 

674 

Admissions  during  the  Year  1864 

82 

87 

169 

Total  during  the  year 

358 

485 

843 

Discharged 

37 

48 

85 

13 1  ^  cL  •  ^  •••  ••• 

42 

40 

82 

Remaining  in  the  Asylum,  Dec.  31st,  1864 

279 

397 

676 

Average  number  resident  during  the  Year 

278 

396 

674 

Number  deemed  curable  on  Dec,  31st,  1864  19 

25 

44 

I  The  recoveries  have  been  4P4  percent,  on  the  admissions. 
The  death  rate  has  been  9'72  per  cent,  on  the  total  num¬ 
ber  under  treatment  during  the  year,  and  12*16  per  cent,  on 
}  the  average  number  resident.  The  average  age  at  death  was 

53. 

The  average  residence  in  the  Asylum  of  those  discharged 
it  cured  was  1S4A  days. 


8 


In  the  majority  of  the  patients  discharged  recovered, 
the  disease  was  of  recent  date,  and  consequently,  more 
amenable  to  medical  treatment.  The  importance  of  send¬ 
ing  patients  to  Asylums  in  the  early  stages  of  mental 
disorder,  has  long  been  insisted  on  by  those  engaged  in 
the  treatment  of  the  insane,  but  the  experience  of  the 
past  year  has  shown,  that  in  some  instances,  recent  and 
curable  forms  of  the  disease  have  been  allowed  to  remain 
at  their  own  homes,  until  from  refusal  of  food,  excitement, 
and  other  causes,  they  have  been  admitted  into  the  Asylum 
in  a  moribund  state,  and,  in  spite  of  careful  nursing,  and 
the  administration  of  stimulants,  have  sunk  in  a  few  days. 

The  recommendation  made  by  the  Visitors  last  year, 
‘‘suggesting  that  it  is  of  the  greatest  importance  that  no 
chronic  and  harmless  cases  should  for  the  present  be  sent  to 
the  Asylum/'  has  been  in  many  instances  disregarded,  as 
many  old  and  feeble  patients  have  been  admitted  who  had 
lapsed  into  second  childhood,  and  were  suffering  from  the 
mental  and  bodily  infirmities  incidental  to  old  age.  These 
patients  seldom  require  more  than  a  liberal  diet  and  careful 
nursing,  to  make  them  happy  and  peaceable ;  and  the 
question  naturally  arises,  whether  it  would  not  have  been 
more  economical  to  the  Unions,  and  at  the  same  time,  have 
been  a  means  of  relieving  the  overcrowding  of  the  Asylum, 
if  a  more  liberal  scale  of  diet  or  parochial  relief  had  been 
afforded  patients  of  this  class.  Many  have  been  brought  in 
a  hopeless  state  of  debility,  and  have  only  lived  a  few  weeks. 

There  are  at  least  100  harmless  chronic  patients  in  the 
Asylum  who  might  be  removed  to  the  wards  of  Work- 
houses,  where  proper  arrangements  are  made  for  their 
accommodation,  treatment,  and  diet.  The  Commissioners 
in  Lunacy  in  their  Eighteenth  Report,  p.  74,  “  consider 
that  the  following  conditions  are  indispensable,  and  will 
in  all  cases  be  insisted  on,  viz.: 

(1.)  Separate  wards  for  the  patients  of  the  respective 
sexes.  The  dormitories  to  be  distinct  from  the  day  rooms, 
and  the  former  to  afford  cubical  space  per  patient  of  500 
feet,  and  the  latter  400.  Single  bed  rooms  to  contain  at 
least  600  cubic  feet. 

(2.)  A  liberal  dietary,  analagous  to  that  of  the  Asylums. 

(3.)  Ample  means  of  out-door  exercise  and  recreation. 

(4.)  Due  medical  visitation. 

(5.)  Properly  qualified  paid  attendants. 

(6.)  Medical  and  other  registers,  records  similar  to  those 
in  use  in  licensed  houses." 


9 


It  is  a  subject  for  congratulation,  that  although  small  pox 
and  other  zymotic  diseases  have  prevailed  in  adjoining 
districts,  there  has  been  an  immunity  from  any  epidemic 
disorder  in  the  Asylum.  This  was  a  source  of  great  anxiety 
to  your  Medical  Superintendent  during  the  Autumn,  when 
the  overcrowding  was  at  its  height,  and  the  dearth  of  water 
was  severely  felt  ;  during  the  whole  of  the  summer,  the 
water  supply  was  insufficient  for  cleaning  the  wards,  flushing 
the  closets,  &c.  ;  and  ofttimes  when  the  drought  was  at  its 
maximum,  there  was  an  entire  cessation  at  the  detached  new 
house,  containing  100  patients  ;  and  for  cooking  and  general 
purposes,  water  had  to  be  drawn  in  barrels  from  a  distant 
spring. 

The  rate  of  mortality  has  been  unusually,  high  during  the 
year,  and,  as  in  former  years,  the  chief  causes  of  death  have 
been  phthisis,  general  paralysis,  and  senile  decay.  There  is 
an  almost  entire  absence  from  the  obituary  table  of  any 
acute  and  preventible  disease. 

The  following  analysis  of  the  obituary  table  gives  at  one 
view  the  general  causes  of  death,  apart  from  the  details. 
Deaths  from  phthisis,  15;  general  paralysis  and  phthisis,  10 ; 
general  paralysis,  10 ;  old  age,  23,  (the  average  age  at 
death  was  70,  2  cases  were  complicated  with  gangrene  of 
the  foot,  4  with  heart  disease  and  bronchitis,  1  with  renal 
disease,  4  with  earthy  degeneration  of  the  cerebral  arteries) ; 
cancer  of  the  lung,  1 ;  exhaustion  from  burn  and  phthisis,  1  ; 
softening  of  the  brain,  3  ;  exhaustion  from  acute  mania  with 
heart  disease,  1  ;  diarrhoea  with  long  standing  hernia  and 
hydrocele,  1  ;  gangrene  of  the  foot,  1  ;  abscess  of  the  brain 
and  renal  disease,  1  ;  exhaustion  after  melancholia,  1  ; 
apoplexy,  2  ;  diarrhoea,  2  ;  cirrhosis  of  liver,  1  ;  renal  disease 
and  bronchitis,  1  ;  embolism  of  the  external  and  internal 
carotids,  1  ;  hydatids  of  the  brain,  1. 

A  few  cases  may  be  selected  from  the  obituary  table 
which  are  of  sufficient  interest  to  deserve  a  brief  notice. 

W.  T.,  No.  2642,  admitted  on  January  29th,  1863,  with  the 
symptoms  of  general  paralysis  marked  in  more  than  an 
ordinary  degree,  viz.,  tremors  of  tongue  and  facial  muscles* 
inequality  of  pupils,  hesitancy  of  speech,  unsteady  gait,  and 
characteristic  delusions  of  an  ambitious  and  exalted  nature. 
>]  He  fancied  himself  a  millionaire,  and  cargoes  of  gold  were 
(  constantly  shipped  for  him,  his  ribs  were  of  silver,  and  his 
inside  was  lined  with  gold,  &c.  He  gradually  became 
weaker,  and  more  demented.  On  the  11th  of  April,  a  large 
carbuncle  formed  on  the  nape  of  his  neck.  He  became 


much  emaciated  and  exhausted,  and  but  slight  hopes  were 
entertained  of  his  recovery.  By  the  administration  of 
stimulants  and  careful  nursing,  he  gradually  rallied  and 
recovered  his  usual  strength.  After  a  short  residence,  he 
lost  his  delusions,  became  strong  and  robust,  and  worked  on 
the  farm  ;  there  was  an  entire  freedom  from  tremulousness 
either  of  the  tongue,  or  of  the  muscles  of  the  extremities,  and 
he  was  discharged  apparently  cured,  on  the  18th  July,  1863. 
He  was  re-admitted  into  the  Asylum  on  the  20th  of  April, 
1864,  in  the  last  stage  of  general  paralysis,  with  dementia; 
from  his  history  it  appeared  that,  soon  after  his  discharge,  he 
relapsed  into  his  former  state,  and  gradually  became  worse. 
He  died  seven  weeks  after  his  re-admission. 

This  case  is  cited  here,  as  it  tends  to  throw  doubt  on  the 
so-called  “  crises  ”  in  the  progress  of  general  paralysis,  and 
the  permanent  benefit,  which,  according  to  some  French 
physicians,  they  are  supposed  to  exert.  This  crisis  has  been 
described  as  consisting  of  an  eruption  on  the  skin,  or  of  boils, 
or  carbuncle.  If  this  patient  had  been  lost  sight  of,  he 
might  fairly  have  been  added  to  the  list  of  curables,  but  his 
history  is  confirmatory  of  the  opinion  held  by  most  English 
psychologists,  that  general  paralysis,  as  met  with  in  Asylums, 
is  an  incurable  form  of  mental  disease. 

S,  R.,  No.  1084.  This  patient,  a  chronic  maniac,  had  been 
an  inmate  of  the  Asylum  for  11  years,  and  suffered  from 
heart  disease  of  long  standing,  and  emphysema.  She  was 
subject  to  occasional  attacks  of  bronchitis.  On  February 
28th,  she  was  laid  up  with  bronchitis,  the  breathing  was  dis¬ 
tressed,  and  the  face  and  head  were  much  congested  and 
livid  from  the  imperfect  arterialization  of  blood  in  the 
lungs,  and  faulty  action  of  the  heart.  On  March  1st,  when 
she  was  recovering  from  her  chest  affection,  she  became 
suddenly  paralyzed  on  the  right  side,  with  coma  and  ster¬ 
torous  breathing.  .  The  ordinary  remedies  failed  to  arouse 
her,  and  she  succumbed  to  the  disease  on  the  sixth  day 
of  her  illness.  At  the  post-mortem  examination,  the  aorta 
was  found  to  be  much  dilated  ;  the  inner  coat  had  under¬ 
gone  atheromatous  degeneration,  and  was  in  spots  studded 
with  earthy  plates,  which  projected  somewhat  from  the 
surface.  Fibrinous  clots  of  recent  formation  were  adhering 
to  these  projections  ;  they  were  slightly  coloured  and  con¬ 
sistent,  but  could  be  peeled  off  with  slight  force.  On  tracing 
up  the  vessels  from  the  aorta,  the  left  carotid,  at  its  point 
of  division,  was  found  to  be  plugged  with  a  firm  coagulum, 
which  extended  into  both  the  internal  and  external  branches 


II 


of  the  common  carotid.  On  opening  the  artery,  the  clot  was 
firm  and  spindle  shaped,  about  the  size  and  shape  of  a  com¬ 
mon  leech  ;  it  was  fibrinous  and  pale,  and  completely 
plugged  the  orifices  of  both  vessels.  The  internal  coat  of 
the  artery  was  roughened  from  atheromatous  deposit,  and 
was  stained  with  blood  pigment  deposited  from  the  plug. 
The  brain  was  much  congested,  and  the  vessels  at  the  base 
were  diseased. 

In  this  case,  no  doubt  owing  to  the  imperfect  and  sluggish 
flow  of  blood  through  the  lungs,  and  the  feeble  action  of  the 
heart,  the  blood  in  passing  over  the  roughened  surface  of  the 
aorta,  deposited  a  portion  of  its  fibrin,  which  coagulated.  A 
small  piece  of  tin’s  coagulum  was  next  washed  off  into  the 
current  of  blood,  and  carried  up  the  left  carotid,  until  its 
progress  was  arrested  at  the  point  of  division  of  the  vessel 
where  its  calibre  becomes  much  smaller.  It  thus  formed  a 
nucleus,  around  which  more  fibrin  was  deposited,  until  the 
supply  of  blood  to  the  left  side  of  the  brain  was  cut  off,  and 
paralysis  of  the  opposite  side  was  the  result. 

Such  a  well  marked  case  of  embolism  does  not  often  occur 
in  the  practice  of  the  Asylum,  but  it  is  probable  that  em¬ 
bolism  is  a  not  uncommon  cause  of  paralysis  and  death 
among  our  patients.  May  not  embolism  of  the  pulmonary 
artery  and  other  vessels  be  an  occasional  cause  of  the  sudden 
death,  which  is  usually  attributed  to  syncope,  of  patients 
suffering  from  acute  mania  ?  And  again,  may  not  thrombosis 
of  the  cerebral  sinuses  or  embolia,  be  found  in  epileptics  who 
die  suddenly  ? 

M.  W.  No.  2614,  an  epileptic,  had  been  in  the  Asylum  13 
months,  she  was  subject  to  slight  epileptic  fits  at  night,  and  on 
two  occasions  she  had  a  severe  series  of  fits  with  coma, 
which  scarcely  intermitted  for  thirty-six  hours.  In  the  in¬ 
tervals  she  complained  of  pain  in  the  head,  and  weakness  of 
sight.  On  her  admission,  she  had  a  delusion  lhat  her  food 
was  poisoned.  She  died  in  an  epileptic  fit  on  Feb.  9th,  1864. 

At  the  post  mortem  examination,  the  surface  of  the  brain 
was  dotted  with  echinococcus  cysts,  ten  or  more  in  number, 
and  varying  in  size  from  that  of  a  hazel  nut  to  the  size  of  a 
pigeon's  egg.  The  cysts  were  semi-transparent  and  homo¬ 
geneous  in  structure  ;  they  were  filled  with  a  serous  looking 
fluid,  in  which  floated  a  number  of  flocculent  bodies.  By 
careful  dissection  of  the  sac,  the  head  of  the  worm  with  its 
short  body,  was  found  adhering  to  the  germinal  membrane, 
and  by  the  aid  of  the  microscope  the  row  of  cephalic  hook- 
lets  and  suctorial  disks  were  clearly  demonstrated.  This 


u 


form  of  parasitism,  fortunately,  is  of  rare  occurrence,  though 
in  less  important  parts  of  the  body,  the  liver  and  other 
viscera,  it  is  by  no  means  uncommon-  The  disease  is  strictly 
analagous,  both  in  its  nature,  and  in  the  effects  it  produces, 
to  the  “  sturdy  ”  or  “  staggers  v  in  sheep,  which  is  caused  by 
an  allied  form  of  parasite,  the  cenurus  ccrebralis. 

The  best  clinical  history  of  hydatids  in  the  brain,  with 
illustrative  cases  gathered  from  various  and  scattered  sources, 
is  to  be  found  in  Davaine’s  Traits  des  Entozoaires,  &c., 
Paris,  1860. 

No.  1912,  whose  death  was  caused  by  a  burn  and  phthisis, 
is  interesting  only  from  its  novel  origin.  She  was  exercising 
as  usual,  in  the  airing  court,  on  the  6th  of  October,  when 
a  large  burning  flake  of  soot  from  the  central  kitchen  chim¬ 
ney  fell  on  her  linen  dress  and  ignited  it,  the  wind  blowing 
strongly  at  the  time.  The  inner  side  of  the  right  arm  and 
right  side  of  the  body  were  much  burnt.  The  attendants 
were,  fortunately  at  hand,  or  the  results  might  have  been 
much  worse.  The  burns  progressed  favourably,  and  were 
healing  rapidly,  and  but  for  the  existence  of  phthisis  a 
reasonable  hope  of  recovery  might  have  been  anticipated. 

For  some  time  past  the  thermometer  has  been  employed 
in  the  daily  medical  practice  of  the  wards,  and  its  use  has 
fully  justified  the  belief,  that  the  results  give  important  in¬ 
dications  in  the  diagnosis  and  treatment  of  mental,  as  well 
as  of  the  more  ordinary  bodily  diseases  met  with  in  Asylums. 
Physicians  engaged  in  the  treatment  of  the  insane  have 
unusual  difficulties  to  encounter,  both  in  diagnosis,  and  in 
carrying  out  the  subsequent  treatment ;  this  arises  mainly 
from  the  frequent  inability  and  unwillingness  of  the  patients 
to  give  any  information  about  themselves  or  their  complaints. 
In  this  respect,  the  treatment  of  the  bodily  infirmities  of  the 
insane  bears  a  close  resemblance  to  that  of  children,  who 
are  unable  to  make  their  wants  and  sufferings  known  ;  the 
physiognomy  is  often  the  key  to  the  interpretation  of  the 
nature  of  the  disease.  Of  the  various  acquirements  of  an 
alienist  physician,  there  is  none  of  greater  importance  than 
an  intimate  knowledge  of  the  physiognomy  of  bodily  as 
well  as  of  mental  disease.  An  illustration,  not  uncommon, 
may  be  mentioned,  that  at  the  daily  visits  in  the  wards, 
patients,  though  uncomplaining,  or  perhaps  even  asserting 
that  they  were  never  better,  are  suspected  of  having,  e.g ., 
pneumonia,  bronchitis,  or  phthisis,  and  the  opinion  formed  at 
first  sight,  is  verified  by  subsequent  examination.  It  is  often 
difficult  to  make  a  satisfactory  physical  examination  of  the 


state  of  the  lungs  and  heart,  owing  to  the  patient's  obstinacy 
or  excitement;  they  frequently  hold  their  breath  when  told 
to  do  otherwise,  or  make  noises  which  mask  the  natural 
breath  sounds,  and  perform  other  vagaries  which  are  familiar 
to  most  practitioners,  and  it  is  only  by  calling  to  one's  aid 
every  means  which  may  throw  any  light  on  the  nature  of  the 
disease,  that  a  correct  conclusion  can  be  arrived  at. 

The  clinical  use  of  the  thermometer  is  of  comparatively 
recent  introduction,  but  there  is  no  doubt  that  it  will  in 
future  take  its  place  among  the  older  and  more  tried  in¬ 
struments  of  our  art — the  stethoscope,  test  tube,  and  micro¬ 
scope.  A  series  of  experiments,  carefully  conducted,  and 
extending  over  a  considerable  period,  would  be  of  great 
value  and  interest,  and,  no  doubt  ere  long,  observations  on 
this  subject  will  be  forthcoming  from  some  of  our  Asylums, 
of  the  typical  curves  of  temperature  in  mania  and  other 
diseases,  similar  to  those  published  by  Wunderlich  in 
Germany,  and  by  Parkes  and  Ringer,  on  fevers,  pneumonia, 
and  phthisis,  in  our  own  country. 

A  cursory  view  only,  can,  in  the  present  place,  be  taken 
of  the  value  of  thermometry  in  Asylum  practice ;  it  will 
prove  to  be  of  great  service  in  the  prognosis  and  treat¬ 
ment  of  acute  mania,  especially  in  those  cases  which 
partake  of  the  typhoid  type  of  the  disease,  with  sleepless¬ 
ness,  excitement,  gradual  wasting,  and  tendency  to  death 
from  exhaustion  ;  the  temperature  of  the  body  is  often  from 
three  to  five  degrees  above  the  natural  standard,  and  in 
proportion  to  the  departure  from  this  average  (98°  F.)  is 
danger  to  be  feared.  Both  the  wasting  of  the  body  and 
the  high  temperature  in  such  cases  are  due  to  the  same 
cause, — viz.,  the  rapidity  with  which  retrograde  metamor¬ 
phosis,  and  the  disintegrating  processes  are  going  on  within 
the  body,  and  are  at  all  times  certain  indications  for  the 
employment  of  stimulants,  or,  in  more  homely  phraseology, 
the  combustion  going  on  within  must  be  fed  with  strong 
fuel  from  without. 

In  general  paralytics,  whose  nutritive  processes  are 
carried  on  sluggishly  and  imperfectly,  the  temperature  is 
often  one  or  two  degrees  below  the  average,  but  on  the 
access  of  maniacal  excitement,  to  which  they  are  fre¬ 
quently  subject,  the  temperature  immediately  rises,  and 
again  recedes  as  they  lapse  into  their  former  quietude. 
During  their  congestive  attacks ,  when  epileptiform  fits  or 
complete  coma  suddenly  comes  on,  there  is  generally  a  con¬ 
siderable  elevation  of  temperature.  In  the  case  of  a  general 


14 


paralytic  patient,  who  died  recently,  the  temperature  of  the 
body  for  some  time  remained  at  96°,  two  degrees  below  the 
healthy  standard,  but  an  hour  after  one  of  these  congestive 
attacks  with  twitchings  of  the  extremities,  the  temperature 
rose  to  105°,  and  on  the  following  day  to  106°  ;  thus,  in  less 
than  thirty-six  hours,  the  temperature  rose  ten  degrees. 
In  this  case,  the  temperature  indicated  great  danger,  and 
the  patient  died  thirty-six  hours  from  the  conmence- 
ment  of  the  attack.  In  the  investigation  of  the  bodily 
diseases  ordinarily  met  with  in  Asylums,  thermometry  is  of 
great  service  in  thj  diagnosis  of  phthisis  and  tuberculosis. 
The  latent  form  of  the  disease  is  frequently  met  with,  with 
an  absence  of  the  ordinary  symptoms  of  cough,  &c.,  and 
even  on  making  a  physical  examination  of  the  chest,  it  is  at 
times  difficult  to  make  a  satisfactory  diagnosis  :  but  if  the 
thermometer  be  employed  daily,  and  the  evening  tempera¬ 
ture  be  constantly  two  or  more  degrees  above  the  average, 
we  may  safely  conclude  that  the  patient  has  phthisis.  It  is, 
of  course,  assumed  that  everv  source  of  error  has  been  elirni- 
nated,  with  an  absence  of  other  diseases,  and  that  this 
indication  be  taken  in  conjunction  with  the  general  evi¬ 
dence.  The  diagnosis  of  the  early  stages  of  phthisis  is  of  the 
more  importance,  as  it  is  only  in  this  stage,  that  in  the  over¬ 
crowded  wards  of  Asylums,  we  can  hope  to  benefit  our 
patients  to  any  extent.  In  pneumonia  ako,  its  indications 
are  of  importance,  as  patients  who  occasionally  oppose 
obstacles  to  a  careful  auscultation  of  the  chest  will  seldom 
object  to  allow  the  bulb  of  a  thermometer  to  be  placed  in 
their  axilla;  and  it  has  the  additional  advantage  that  they 
can  exert  no  control  over  its  accurate  readings. 

A  greater  number  of  male  patients  have  been  employed 
on  the  farm  during  the  past  year,  in  making  the  necessary 
alterations  and  improvements  on  the  land  recently  pur¬ 
chased.  The  farm  buildings  now  in  course  of  erection,  have 
afforded  an  ample  source  of  daily  employment.  The  whole 
of  the  excavations,  and  much  of  the  masonry  and  carpentry, 
have  been  done  by  Asylum  hands. 

The  average  weekly  cost  of  maintenance,  medicine, 
clothing  and  care  of  patients  during  the  year  has  been  9s. 


15 


s. 

d. 

Provisions 

4 

6 

Clothing 

] 

2 

Salaries  and  wages 

] 

4 

Necessaries,  e.g.,  fuel,  light,  washing,  &c. 

0 

qi 

•7  4 

Surgery  and  dispensary 

0 

04 

Wine,  spirits 

Furniture  and  bedding 

0 

Of 

0 

8 

Garden  and  farm 

0 

3 

Miscellaneous,  viz.,  other  charges 

0 

3f 

9 

u 

Less  monies  received  for  goods  and 

produce  sold  ... 

0 

n 

9  0 

The  amusements  continue  as  in  former  years,  with  a  few 
additions  from  time  to  time.  The  weekly  dances  are  a  great 
source  of  innocent  enjoyment  ;  the  Christmas  and  New 
Year’s  balls  have  been  attended  with  great  success. 

During  the  winter,  your  Superintendent  has  given  weekly 
readings  to  the  patients,  and  occasional  lectures  on  popular 
subjects.  The  subjects  selected  have  been  from  the  works 
of  popular  authors,  and  have  comprised  readings  from 
Dickens’  Pickwick  Papers ,  Oliver  Twist ,  English  versions  of 
some  of  Molibre’s  Comedies,  The  Ingoldsby  Legends ,  &c.  The 
lectures  have  been  of  a  simple  nature  ;  on  the  History  of 
Newspapers,  with  an  account  of  Paper  Making,  Printing, 
&c.  ;  Iron,  an  account  of  the  operations  of  roasting,  blasting, 
casting,  rolling,  wire  manufacture,  &c.  Your  Superintendent 
lias  been  pleasurably  rewarded  for  his  efforts  to  amuse  and 
instruct  the  patients,  by  the  great  interest  they  have  taken 
at  these  weekly  meetings,  the  pleasure  with  which  they 
anticipate  them,  and,  he  is  glad  also  to  add,  that  it  has  given 
many  something  to  think  and. talk  about  during  the  week, 
and  the  hope  may  be  expressed  that  it  has  been  the  means  of 
arousing  some  from  a  state  of  apathy  and  listlessness. 

The  most  important  alteration  in  the  central  Asylum 
buildings  during  the  year,  has  been  the  fitting  up  of  the  old 
workroom  as  a  dormitory,  containing  12  beds,  and  the  con¬ 
version  of  the  gardener’s  seed,  root,  and  tool  rooms  into  a 
workroom  for  needlewomen  (32  ft.  by  20),  with  an  adjoining 
storeroom  and  room  for  the  attendant  needlewoman.  At  the 
North  Cottage  a  cheerful,  light  and  airy  day  room,  with 
pantry  and  wash  house  adjoining,  supplementary  to  the 


16 


dormitory  above  mentioned,  has  been  obtained  by  converting 
a  lumber  room,  little  used,  with  adjoining  nurse's  room,  &c. 
The  whole  of  the  work  was  done  by  the  patients,  and  our 
staff  of  artizans;  the  whole  expense  of  flooring,  plastering, 
papering,  &c.,  did  not  exceed  <U150,  which  was  defrayed  out 
of  the  Building  and  Repair  Account.  These  rooms  are 
among  some  of  the  pleasantest  in  the  Asylum.  Of  minor 
improvements  may  be  mentioned,  the  removal  of  the  wire 
blinds  in  the  dormitories,  and  in  No.  6  Gallery ;  the  removal 
of  the  screen  in  No.  6  Gallery ;  the  painting  of  several  of 
the  galleries,  and  papering  and  colouring  of  some  of  the 
dormitories,  which  have  enlivened  the  appearance  of  the 
wards,  and  exercised  a  beneficial  influence  on  the  patients. 
Much  remains  to  be  done  in  this  respect,  and  it  is  hoped 
that  when  the  labour  now  concentrated  on  the  farm  build¬ 
ings  is  no  longer  required,  further  improvements  will  be 
carried  out  in  the  Asylum  ;  among  which  may  be  especially 
mentioned,  the  removal  of  the  objectionable  asphalte  floor¬ 
ing,  and  its  substitution  by  wooden  flooring,  in  all  the 
galleries  and  day  rooms.  These  alterations  would  conduce 
greatly  to  the  health  and  comfort  of  the  patients. 

(Signed)  ^ 

G.  SYMES  SAUNDERS,  M.B.,  (Bond.) 

Member  of  the  Royal  College  of  Physicians. 

Medical  Superintendent. 


•a  o 


*OC6  c  9 


1 1 


17 


TABLE  No.  1. 

FORMS  OF  DISEASE  ON  ADMISSION. 


Mania .  80 

Melancholia  . . . 44 

Dementia .  17 

General  Paralysis . . .  ....  18 

Imbecility .  4 

Idiocy  . .  3 


Presented  no  symptoms  of  Insanity . . .  3 

Total  .  169 

TABLE  No.  2. 

AGE  ON  ADMISSION  * 


From  5 

years 

to  10 . 

.  1 

„  10 

55 

20 . 

„  20 

55 

30 . . . 

„  30 

55 

40 . . . 

„  40 

5* 

50 . 

„  50 

55 

60 . 

.  32 

„  60 

55 

70 . 

.  21 

„  70 
„  80 

55 

55 

80 . 

. . .  9 

90 . 

.  1 

Unknown  .  4 


Total  .  169 


TABLE  No.  3. 

ASSIGNED  CAUSES  OF  ILLNESS  IN  PATIENTS 

ADMITTED* 


After  Child  Birth  . . 1 

Anxiety  and  trouble . 4 

Congenital..... . . .  . .  ....  3 

Carbuncle  . 1 

Disappointed  affections .  1 

Disease  of  the  brain  . .  a .  5 

Debility . 3 

Epilepsy . 7 

Excitement . 1 

Fall .  2 

Fever .  2 

Fright . 2 

Hereditary  Tendency .  11 

Injuries  to  the  Head  . 1 

Irregular  Health . . . . . . . . . .  2 

Intemperance .  4 

Loss  of  Employment . 2 

Loss  of  Property  . 4 

Loss  of  Relatives  . „  . . .  3 

Mental  Excitement  . 3 

Remorse .  1 

Religious  Excitement . . .  7 

Unknown  . 98 

Witchcraft . 1 


Total 


169 


*  The  above  are  taken  from  the  Admission  Papers. 


18 


TAELE  No.  4. 

DURATION  OF  ATTACK  PREVIOUS  TO  ADMISSION.* 

Under  2  months  . <■ .  78 

From  2  to  4  months .  25 

4  to  6  „  8 

„  6  to  12  „  14 

,,  1  to  3  years .  15 

Above  3  years  .  12 

Congenital .  5 

Unknown  . 12 

Total  .  169 


TABLE  No.  5. 

OCCUPATIONS  OF  THOSE  ADMITTED* 


Agricultural  Labourers  .  • .  20 

„  Wives...  6 

,,  Son  ...  1 

„  Daughter  1 

Accountant  .  1 

Artilleryman  .  1 

Boot  and  Shoemakers  .  4 

„  Wife  .  1 

Bonnet  makers  . 1 

Baker’s  assistant  .  1 

Blacksmith  .  1 

„  Wife  of  .  1 

Butcher  and  Innkeeper  .  1 

Blockmaker  . 1 

Baker  .  1 

Carter  .  1 

Cabinetmaker  . 1 

Clerk  at  an  Inn  .  1 

Charwomen  .  3 

Carpenters  .  2 

Chemist  .  1 

Cooper .  1 

Cook  at  a  Hospital .  1 

Draper .  1 

Dressmakers  . 3 

Druggist’s  wife  .  1 

Domestic  servants  . ,  24 

Farmer’s  wife  .  1 

Fish  vendor  .  1 

Farm  Bailiff’s  widow  .  1 

Farmers  .  4 

Fishermen  .  2 

Governess  .  1 

Gardener .  1 

„  Wife  of .  1 

Housekeeper  . 1 

Hawker.. .  1 

Horsebreaker  .  1 

Joiner  .  1 

Laundress  . 2 

Lacemakers  .  3 


Lodging  house  keeper  . 

Late  Officer  in  the  Army  . 

Late  Private  Royal  Engineers  ... 

Master  Mariners . 

Mariner  . . 

Marine  Store  dealer’s  wife  . 

Miner’s  wife  . 

Mason  . . 

,,  Wife  of  . . 

,,  Widow  of  .  . 

Milliner  . . 

Miller’s  Wife  . 

Needlewomen  . 

No  occupation  . 

Officer  H.M.  Custom’s,  widow  of 

Porters  . 

Painter  and  Glazier  . 

Paupers  . . 

Pensioner . . . 

„  Wife  of  . 

Pauper  Idiots  .  . 

Railway  Labourer  . . 

Sailor’s  wives . 

Shipwright  . . 

Sawyer  . . . 

Sergeant  of  Police,  wife  of  .... 

Schoolmistress  . . 

Sempstress  . . . .  . . 

Sailmaker  ....  . . 

Tinman 

Tailors . . . 

Trunkmaker  . . 

Tailoress . 

Thatchers . . . . 

Traveller  ....  . ...... 

Unknown  . . . 

Washerwoman  . 

Weaver  . ....... 

Watchmaker  . 


1 

1 

1 

3 

1 
1 
1 
1 
1 
1 
1 
1 

2 
7 
1 
2 
1 
2 
1 
1 
1 
1 
3 
1 
1 
1 

1 

c* 

o 

1 

1 

3 

1 

1 

2 

1 

9 

1 

1 

1 

169 


#  r 


The  above  are  taken  from  the  Admission  Papers. 


19 


11 

11 

11 


TABLE  No.  6. 

NUMBER  OF  PATIENTS  ORDINARILY  EMPLOYED* 

Males. 

Cleaning  Wards  ...  ...  ...  ...  ...40 

Assisting  Steward  ...  ...  ...  ...  ...  2 

Masons  ...  ...  ...  ...  ...  4 

Baker  ...  ...  ...  ...  ...  2 

Brewer  ...  ...  ...  ...  ...  3 

„  Engineer  ...  ...  ...  ...  ...  7 

Attending  Piggery  ...  ...  ...  ...  ...  4 

Bookbinding  ...  ...  ...  ...  ...  1 

Blacksmith  ...  ...  ...  ...  ...  ...  2 

Tinman  ...  ...  ...  ...  ...  ...  l 

Carpenters  ...  ...  ...  ...  ...  ...  4 

Coir  Pickers  ...  ...  ...  ...  ...  40 

Emptying  and  Refilling  Beds  ...  ...  ...  ...  12 

Gardening  and  ?•  pade  Husbandry  ...  ...  ...  36 

Farm  and  Buildings  ...  ...  ...  ...  ...  24 

Organist  ...  ...  ...  ...  ...  ...  1 

Painters  ...  ...  ...  ...  ...  ...  4 

Shoemakers ...  ...  ...  ...  ...  ...  5 

Tailors  ...  ...  ...  ...  ...  ...  7 

Turning  the  Mangle  ...  ...  ...  ...  ...  1 

Turning  the  Wringing  Machine  ...  ...  ...  2 

Turning  the  Washing  Machine...  ...  ...  ...  1 

Washing  Clothes  ...  ...  ...  ...  ...  2 

Weaver  ...  ...  ...  ...  ...  ...  1 

Mat  Maker  ...  ...  ...  ...  ...  ...  1 

Working  in  Stables  and  with  Horses  ...  ...  ...  5 

Carrying  Coals  ...  ...  ...  ...  ...  2 

Carrying  Ashes  ...  ...  ...  ...  ...  2 

Cutting  up  Firewood  ...  ...  ...  ...  ...  1 

Assisting  the  Porter  ...  ...  ...  ..  ...  1 

„  in  Kitchen  ...  ...  ...  ...  ...  1 


Females. 


219 


Cleaning  Galleries,  Bed  Rooms,  Knives  and  Forks,  Making 
Beds,  and  other  Domestic  employments  ...  ’  ...  69 

Laundry,  Washing  House,  &c.  ...  '  ...  ...  ...  34 

Kitchens  ...  ...  ...  ...  ...  ...  20 

Needle  Workers  ...  ..  ...  ..  ...126 

Stocking  Knitters  ...  ...  ...  ...  ...  1 

250 


Total  Number  of 
Employed 


Male  and  Female  Patients  ordinarily 


469 


20 


TABLE  No.  7. 

DISCHARGES  DURING  THE  YEAR  1864. 


Discharged  Recovered. 


No.  in 
Admission 
Book, 

Age  on 
Admis¬ 
sion. 

Sex. 

Length  of  time 
Insane  on 
Admision. 

Residence 

in 

Asylum. 

Form  of  Disease. 

2784 

38 

F 

7  or  8  months 

Days. 

69 

Mania 

2698 

19 

F 

3  or  4  weeks 

223 

Melancholia 

2744 

3b 

F 

2  weeks 

159 

Mania 

2702 

39 

F 

1  week 

219 

Melancholia 

2762 

20 

M 

2  months 

124 

Mania 

2724 

14 

M 

7  weeks 

189 

Dementia 

2514 

56 

F 

3  weeks 

635 

Mania 

2768 

21 

M 

3  weeks 

124 

Imbecility 

2749 

31 

F 

1  week 

167 

Mania 

2788 

18 

E 

1  month 

113 

Mania 

2803 

— 

M 

unknown 

76 

Mania 

2833 

24 

F 

1  week 

42 

No  symptoms  of  insanity 

2794 

39 

M 

2  weeks 

133 

M  ania 

2814 

51 

F 

6  or  7  weeks 

82 

Melancholia 

2772 

68 

M 

2  weeks 

168 

Melancholia 

2767 

37 

F 

1  month 

213 

General  paralysis 

2791 

43 

F 

6  weeks 

164 

Melancholia 

2399 

49 

M 

12  days 

921 

Mania 

2839 

28 

M 

3  weeks 

39 

Typho  Mania 

2790 

40 

F 

1  month 

168 

Mania 

2690 

23 

F 

unknown 

358 

Mania  of  epilepsy 

2859 

20 

F 

unknown 

24 

Mania 

2562 

67 

F 

3  years 

644 

M  elancholia 

2755 

35 

M 

10  days 

244 

Mania 

2765 

31 

F 

9  weeks 

230 

Mania 

2835 

60 

M 

2  weeks 

74 

Mania 

2856 

55 

M 

10  years 

58 

Mania 

2813 

22 

M 

2  weeks 

154 

Mania 

2745 

48 

F 

6  weeks 

305 

Melancholia 

2853 

70 

M 

2  weeks 

69 

M  ania 

2722 

32 

M 

1  month 

338 

Mania 

2821 

41 

M 

1  week 

135 

Mania 

2716 

32 

F 

1  month 

364 

Melancholia 

2798 

67 

M 

2  months 

216 

Melancholia 

2882 

29 

F 

2  weeks 

49 

Mania 

2828 

57 

F 

2  weeks 

142 

Mania 

2894 

47 

M 

4  weeks 

20 

Mania 

2851 

49 

F 

5  weeks 

108 

Melancholia 

2766 

21 

M 

2  weeks 

293 

Melancholia 

2870 

25 

M 

2  months 

80 

Mania 

2883 

30 

M 

15  months 

74 

Mania 

2782 

52 

M 

2  weeks 

275 

Mania 

2844 

28 

F 

2  weeks 

139 

Mania 

2880 

38 

M 

4  months 

79 

Mania 

2820 

— 

M 

2  weeks 

196 

Mania 

2884 

63 

M 

3  months 

97 

Melancholia 

2878 

45 

F 

5  days 

85 

Mania 

21 


No.  in 
Admission 
Book. 

Age  on 
Admis¬ 
sion. 

Sex. 

Length  of  time 
Insane  on 
Admission. 

Residence 

in 

Asylum. 

Form  of  Disease, 

Days. 

2868 

30 

F 

unknow 

104 

Mania 

2914 

36 

F 

a  few  weeks 

36 

No  symptons  of  insanity 

2908 

24 

F 

5  days 

51 

Mania 

2936 

— ■ 

M 

unknown 

28 

No  symptons  of  insanity 

2850 

41 

F 

1  year  6  months 

173 

Melancholia 

2904 

54 

M 

DO 

Mania 

2891 

19 

F 

5  weeks 

118 

Mania 

2909 

43 

F 

3  weeks 

73 

Mania 

2555 

36 

M 

8  months 

799 

Dementia 

2683 

49 

F 

10  weeks 

159 

Mania 

2830 

18 

F 

2  weeks 

233 

Mania 

2890 

40 

F 

2  weeks 

127 

Mania 

2933 

20 

M 

3  days 

36 

Mania 

2912 

39 

M 

3  days 

83 

Mania 

2926 

68 

F 

several  weeks 

75 

Melancholia 

2775 

23 

F 

10  days 

379 

Mania 

2950 

18 

F 

2  weeks 

46 

Acute  Mania 

2951 

43 

F 

1  week 

46 

Mania 

2940 

50 

F 

3  years 

71 

Dementia  witl 

i  common 

paralysis 

2941 

26 

F 

1  week 

74 

Epileptic  man 

ia 

2696 

17 

F 

2  weeks 

277 

Mania 

2633 

32 

M 

3  weeks 

663 

Melancholia 

Discharged  in  care  of  Friends. 

2687 

40 

F 

some  months 

271 

Mania 

2795 

48 

M 

2  weeks 

120 

Mania 

2802 

27 

F 

1  month 

228 

Mania 

2523 

27 

F 

7  days 

800 

Mania 

2900 

51 

F 

6  month 

S 

127 

Melancholia 

2807 

55 

F 

2  years 

130 

Mania 

1161 

46 

M 

unknowr 

t 

3909 

Mania 

Removed  to 

other  Asyhn 

ns. 

2613 

37 

M 

several  days 

575 

General  paralysis 

2593 

20 

F 

2  weeks 

743 

Mania 

277 

— 

M 

unknown 

6098 

Dementia 

699 

— 

M 

unknown 

5038 

Mania 

Removed  to  Unions. 

2816 

59 

M 

6  months 

79 

Melancholia 

2818 

24 

F 

1  and  2  years 

72 

Mania 

565 

•  57 

F 

unknown 

5895 

Mania 

1520 

50 

M 

30  years 

3075 

Dementia 

1246 

29 

F 

unknown 

3492 

Mania 

22 


No.  in 
Admit. 
Book. 


60 

112 

2644 

2607 

697 

2572 

2799 

2780 

2723 

1895 

2194 

1199 

1084 

2671 

2101 

2359 

2308 

946 

2481 

2844 

2241 

2591 

2250 

2335 

2643 

828 

2855 

2728 

2653 

2367 

2863 

1753 

2861 

2809 

2867 

1622 

2847 

2756 

2801 


2688 
2  8 6 ' 

2550 


TABLE  No.  8. 

OBITUARY  FOR  THE  YEAR  1864. 


Age 

at 

Death 

H 

3 

1 

Residence 

in 

Asylum.  . 

Form  of  Mental 
Disease  when  admitted. 

Y.  M.  D. 

75 

M 

18  5  12 

Imbecility 

74 

F 

18  4  4 

Mania 

52 

F 

ton 

Mania 

59 

F 

1  3  14 

Mania 

44 

M 

14  2  24 

Maniacal 

89 

F 

1.  5  25 

Mania 

45 

M 

2  11 

Mania 

63 

M 

3  21 

General  paralysis 

50 

M 

7  12 

General  paralysis 

63 

F 

5  4  9 

Mania 

68 

F 

3  6  21 

Dementia 

30 

F 

9  112 

Epilepsy  with  de- 

mentia 

52 

F 

o 

sa 

o 

Chronic  mania 

70 

M 

11  4 

Mania 

79 

M 

4  1  15 

Dementia 

60 

F 

2  7  11 

General  paralysis 

68 

F 

2  10  20 

Melancholia 

67 

F 

12  4  9 

Epilepsy 

52 

M 

1  11  24 

Dementia 

76 

F 

9 

Mania 

60 

F 

3  4  10 

Mania 

26 

M 

1  5  22 

General  paralysis 

80 

F 

3  3  26 

Melancholia 

35 

F 

2  9  22 

Melancholia 

29 

M 

1  2  0 

Dementia 

78 

M 

13  4  16 

Chronic  Mania 

64 

M 

5 

Melancholia 

21 

M 

9  1  5 

Dementia  with 

epilepsy 

23 

M 

1  1  27 

Mania 

25 

F 

2  8  2 

Acute  mania 

54 

F 

5 

Dementia  with 

epilepsy 

56 

M 

6  4  28 

Cronic  m  inia 

71 

F 

8 

Melancholia 

44 

M 

3  28 

General  paralysis 

42 

M 

22 

Idiotcy 

75 

F 

7  3  5 

Melancholia 

61 

M 

1  27 

Melancholia  sui- 

cidal 

42 

M 

8  16 

General  paralysis 

;  05 

M 

5  13 

Melancholia 

31 

F 

1  0  22 

General  paralysis 

43 

M 

21 

General  paralysis 

38 

lu 

1  10  27 

General  paralysis 

Apparent  cause  of  Death. 


Old  age 

Emphysema  and  heart  disease 
Epilepsy 

Apoplexy  (sanguineous^ 

Phthisis 
Old  age 

Phthisis  and  exhaustion  from  mania 
General  paralysis 
General  paralysis 

Bronchitis,  heart  disease,  and  old  age 

Phthisis 

Epilepsy 

Emphysema,  embolism,  coma  and 
paralysis 
Senile  decay 
Old  age 

General  paralysis 

Natural  decay  and  gangrene  of  feet 
Epilepsy 

General  paralysis 

Exhaustion  after  acute  melancholia  . 

and  old  age 
Phthisis 

General  paralysis  and  phthisis 

Old  age 

Phthisis 

General  paralysis  and  phthisis 
Senile  gangrene  of  foot  and  leg 
Exhaustion  from  acute  melancholia 
and  refusal  of  food  prior  to  admission 
Phthisis  and  abscess  of  shoulder 

Phthisis 
Acute  phthisis 

Renal  disease, bronchitis,  and  epilepsy  ' 

Cirrhosis  of  the  liver  and  ascites 
Old  age  and  extreme  debility 
General  paralysis  and  phthisis 
Diarrhoea 

Old  age  and  heart  disease 
Exhaustion  from  melancholia  and 
heart  disease 

General  paralysis  and  phthisis 
Exhaustion  from  melancholia  and 
fatty  degeneration  of  heart  and: 
cerebral  arteries 
General  paralysis  and  phthisis 
General  paralysis  and  phthisis 
General  paralysis 


23 


No.  in 
Admit. 
Book. 

Age 

at 

Death 

8 

Si 

Residence 

in 

Asylum. 

Form  of  Mental 
Disease  when  admitted. 

2S04 

25 

F 

7 

0 

Epileptic  mania 

2697 

31 

M 

1 

4 

24 

General  paralysis 

t  1200 

60 

F 

10 

2 

0 

Dementia 

2236 

43 

M 

3 

8 

3 

Maniacal  with  gen- 

ral  paralysis 

196 

41 

F 

18 

6 

29 

Mania 

;  2899 

67 

M 

12 

Melancholia 

i1  804 

83 

F 

13 

9 

15 

Mania 

2898 

60 

M 

18 

Melancholia 

1  1765 

70 

F 

6 

5 

28 

Melancholia 

U  2432 

72 

F 

2 

6 

4 

Dementia 

}■)  1977 

33 

F 

5 

2 

29 

Mania  with  epi- 

lepsy 

!  1590 

83 

F 

7 

6 

19 

Mama 

{  2881 

48 

M 

2 

7 

Mania 

i  1551 

64 

M 

7 

10 

26 

Mania 

2810 

42 

F 

6 

27 

General  paralysis 

:  2871 

78 

F 

3 

5 

Melancholia 

1516 

38 

M 

8 

2 

4 

Idiotcy 

U  1948 

15 

M 

5 

5 

10 

Imbecility  with 

epilepsy 

1  2536 

24 

IF 

2 

1 

10 

General  paralysis 

)  2760 

41 

M 

10 

25 

General  paralysis 

it  2910 

49 

M 

1 

5 

Dementia  fromsofi- 

ening  of  the  brain 

ll  826 

45 

F 

I13 

9 

17 

M  ania 

)  2929 
i 

54 

M 

7 

Imbecility 

)  2707 

37 

M 

1 

2 

22 

General  para’ysis 

j  2585 

23 

M 

1 

11 

30 

Epilepsy 

)  2902 

18 

lM 

2 

23 

Mania 

Apparent  cause  of  Death- 


Epilepsy 

Diarrhoea  and  general  paralysis 
Apoplexy 

General  paralysis  and  phthisis 

Phthisis  and  disease  of  uterus 
Exhaustion  from  refusal  of  food  before 
admission,  chronic  bronchitis  and 
emphysema 
Senile  decay 

Diarrhoea  and  exhaustion  after  me¬ 
lancholia 
Senile  decay 
Senile  decay 
Epilepsy 

Old  age 

Abscess  of  brain  and  disease  of  kidneys 
Senile  decay 

General  paralysis  and  phthisis 
Old  age  and  exhaustion  after  melan¬ 
cholia 
Phthisis 

Phthisis  and  gangrene  of  the  lung 

General  paralysis  and  phthisis 
General  paralysis 
Disease  of  the  brain 

Phthisis 

Erysipelas  of  the  leg  and  gangrene 
of  the  foot 
General  paralysis 
Epilepsy 

Exhaustion  from  diarrhsea  with  long 
standing  hernia  and  hydrocele 


It  2053 
P  292 1 
jf  1987 
f  2759 
l\  2785 
31  1576 
If  297 o 

2963 
•ill  2869 


!  1912 
jjj  2889 


M  2278 
If  2446 
i\  2650 


23 

F 

47 

M 

66 

M 

25 

F 

40 

M 

41 

F 

57 

F 

62 

M 

57 

M 

56 

F 

62 

F 

29 

M 

32 

F 

70 

F 

5  0  21 

1  28 

5  5  7 

1  1  6 
1  0  4 

8  0  1 

1 

28 
7  18 

6  0  15 

5  21 

3  10  18 
1  11  19 
10  28 


Dementia 
General  paralysis 
Mania 
Epilepsy 

General  paralysis 
Mania 

Acute  mania 

General  paralysis 
Dementia 

Mania 

Melancholia 

Epilepsy 

|  General  paralysis 
Melancholia 


Phthisis 

General  paralysis 

Disease  of  the  heart,  liver  &  kidneys 
Epileptic  coma 
General  paralysis 
Phthisis  . 

Exhaustion  from  acute  mama  with 

heart  disease 

Rena!  disease  and  peritonitis 
Softening  of  the  brain  and  congestion 
of  the  lungs 

Gradual  exhaustion  from  a  burn  and 

phthisis  > 

Old  age  and  exhaustion  after  melan- 

cholia 

Phthisis  and  diarrhsea 
General  paralysis  and  phthisis 
Cancer  of  the  lung 


24 


TABLE  No.  9. 

Shewing  the  Annual  Number  of  Admissions,  Discharges,  and  Deaths  since 
the  Opening  of  the  Asylum,  with  percentages  of 
Recoveries  and  Deaths. 


Year. 

1 

Admissions. 

Discharges. 

Deaths. 

Percentage 
of  Deaths , 

Percentage  of 
Recoveries. 

Number  in 

Asylum  at  end 

of  Year. 

Average  number 

Resident  during 

the  Year. 

[ 

1845-46  ] 

18  months  j 

344 

62 

53 

•  • 

12-75 

229 

•  • 

1847 

139 

33 

19 

6-1 

46* 

316 

278 

1848 

116 

46 

35 

10-4 

36-2 

357 

335 

1849 

111 

52 

30 

8* 

42*3 

380 

372 

1850 

131 

62 

37 

9-36 

44-27 

412 

395 

1851 

119 

57 

47 

11* 

42-8 

428 

425 

1852 

116 

56 

30 

6-6 

52- 

459 

449 

1853 

98 

64 

47 

10-25 

57-1 

444 

458 

1854 

133 

52 

49 

10  8 

30-75 

476 

451 

1855 

143 

86 

46 

11  5 

51*7 

478 

478 

1856 

156 

72 

40 

8- 

31- 

520 

490 

1857 

154 

78 

41 

7-5 

45- 

555 

544 

1858 

157 

92 

51 

9- 

55- 

569 

566 

1859 

175 

87 

56 

9- 

42. 

602 

594 

1860 

165 

108 

80 

13-3 

59-4 

579 

592 

1861 

170 

85 

52 

8-7 

48- 

616 

595 

1862 

208 

99 

56 

8.75 

40-8 

669 

651 

1863 

174 

92 

77 

11.6 

42- 

674 

662 

1864 

169 

85 

82 

12-16 

41-4 

676 

, 

674 

25 


TABLE  No.  10. 


Shewing  the  Number  of  Pauper  Lunatics  and  Idiots  in  the  County  of 
Devon,  including  those  in  the  County  Asylum,  in  Workhouses, 
residing  with  Friends  and  others. 


In  the  County- 
Asylum. 

In  Workhouses. 

i 

Residing 
with  Friends. 

Axminster 

M. 

7 

F. 

10 

T. 

17 

M. 

3 

F. 

4 

T. 

7 

M. 

1 

F. 

3 

T. 

4 

Barnstaple 

17 

18 

35 

3 

6 

9 

4 

8 

12 

Bideford 

12 

13 

25 

3 

2 

5 

3 

12 

15 

Crediton 

9 

14 

23 

7 

7 

14 

8 

4 

12 

County  of  Devon 

6 

6 

12 

i  . . 

•  • 

Exeter 

32 

20 

52 

6 

7 

13 

5 

7 

12 

Devonport 

18 

35 

53 

6 

15 

21 

3 

3 

6 

East  Stonehouse 

3 

9 

12 

3 

2 

5 

1 

*  • 

1 

Dartmouth  Borough 

1 

7 

8 

•  • 

Honiton 

11 

21 

32 

2 

1 

3 

14 

8 

22 

Holswortby  . . 

3 

6 

9 

4 

•  • 

4 

2 

2 

4 

Kingsbridge  . . 

10 

11 

21 

3 

3 

6 

3 

5 

8 

Newton 

26 

36 

62 

6 

10 

16 

1 

6 

7 

Okehampton  . . 

i  11 

9 

20 

2 

4 

6 

10 

11 

21 

Plymouth 

20 

20 

40 

20 

24 

44 

11 

- 

14 

25 

Plympton  St.  Mary 

9 

19 

28 

3 

5 

8 

3 

7 

10 

Southmolton  . . 

7 

8 

15 

5 

7 

12 

3 

4 

St.  Thomas 

39 

54 

93 

13 

11 

24 

13 

24 

37 

Tavistock 

10 

15 

25 

1 

8 

9 

7 

8 

15 

Tiverton 

9 

20 

29  1 

3 

•  • 

3 

13 

11 

24 

Torrington 

4 

1  l 

15 

!  3 

9 

12 

i 

•  • 

3 

3 

Totnes 

14 

26 

40 

«  i 

•  • 

•  • 

6 

8 

14 

Wellington 

•  • 

4 

4 

1 

2 

3 

1  , 

5 

6 

Taunton 

1 

3 

4, 

1 

1 

Launceston 

•  • 

1 

1 

Other  Counties 

•  • 

1 

1 

Totals 

279 

397 

676 

97 

\ 

127 

224 

110 

153 

263 

DIETARY  TABLE. 


26 


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Luncheon  and  Extra  )  For  Patients  working  in  the  Wards,  Kitchen,  (  \  pint  of  beer  at  eleven  o’clock  and  four  o’clock, 
Allowance  j  Laundry,  Workshops,  Farm  and  Garden  (  2  ozs.  of  bread  and  l  oz.  of  cheese. 

Extra  diet  for  the  Sick,  with  wine,  brandy,  &c.,  is  ordered  at  the  discretion  of  the  Medical  Superintendent. 


2? 


List  of  Officers  and  Servants. 


OFFICERS. 


f  Medical  Superintendent 

*  Assistant  Medical  Officer 

Chaplain  .... 
Steward  and  Clerk  of  Asylum 
Clerk  to  the  Committee  of  Visitors 

*  Housekeeper 

SERVANTS,  (Male.) 


*  Head  Attendant 

*  1  Attendant  at  £28,  3  ditto  at  £26  each 

*  1  Ditto,  at  £25 

*  1  Ditto,  at  £24 

*  2  Night  Watches,  at  £23  each  . 

*  2  Attendant,  at  £22  . 

*  5  Ditto,  at  £20  each  . 

1  Gardener 

Brewer  at  £1  per  week 

*  Baker  at  12s.  ditto 

*  House  Porter 

*  Attendant  and  Tailor 
t  1  Gate  Keeper 

j  1  Engineer  and  Gas  Maker 
1  Shoemaker 
1  Assisiant  ditto 


Ffmale. 

*  Head  Attendant 

*  1  Cook 

*  1  Cook  at  New  House 

*  1  Assistant  Cook 

*  1  Kitchen  Maid 

*  1  House  Maid 

*  1  Needlewoman 

*  2  Night  Watches  at  £15 

*  1  Laundress 

*  Assistant  ditto,  at  £14,  2  ditto  at  £12  each 

*  2  Attendants  at  £20  each 

*  l  Ditto,  at  £18 

*  1  Ditto 

*  6  Ditto,  at  £14 

*  1  Ditto,  at  £13 

*  13  Ditto,  at  £12 


»  • 
.  46  16  0 

.  39  0  0 


£  s.  d. 
500  0  0 

100  0  0 
210  0  0 
130  0  0 

60  0  0 
60  0  0 


45  0  0 
106  0  0 

25  0  0 

24  0  0 

46  0  0 

44  0  0 

100  0  0 
46  16  0 


25  0  0 

29  0  0 

20  16  0 
54  12  0 


85  16  0 


30  0  0 

25  0  0 

16  0  0 
12  0  0 
10  0  0 
12  0  0 
19  0  0 

30  0  0 

25  0  0 

38  0  0 

40  0  0 

18  0  0 
15  0  0 

84  0  0 

13  0  0 

156  0  0 


t  Marked  thus,  have  furnished  house,  light,  fii'e,  vegetables,  and  washing. 
*  Marked  thus,  have  apartments,  board,  and  washing, 
t  Marked  thus,  have  an  unfurnished  house - 

Without  any  mark,  are  non-resident,  and  have  no  other  emoluments. 


General  Statement  of  Receipts  and  Payments  of  the 


RECEIPTS. 

Balance  due  from  Treasurer  on  1st  January,  1864 

Balance  due  from  Steward  on  his  Petty  Cash  Account,  on  1st 
January,  1864  ..... 

Received  for  County  and  Borough  Patients: 


£  s.  d* 
2674  18  2 

8  3  11 


Ax  minster 

395 

18 

8 

Barnstaple,  Union  . 

1002 

16 

3 

Ditto,  Borough 

63 

6 

0 

Bideford,  ditto 

145 

19 

2 

Ditto,  Union 

509 

15 

4 

Crediton 

518 

11 

7 

County  of  Devon  . 

328 

12 

0 

Devonport 

1300 

18 

1 

Dartmouth 

180 

5 

3 

Exeter  . 

1640 

16 

9 

Heavitree  Parish  . 

35 

11 

5 

Honiton 

832 

17 

0 

Holsworthy 

175 

5 

4 

Kingsbridge 

457 

8 

8 

Launceston 

4 

0 

0 

Newton  Abbot 

1463 

11 

7 

Okehampton 

436 

14 

8 

Plymouth 

906 

18 

6 

Ditto,  Town  Council 

37  7 

5 

7 

Plympton  St.  Mary 

636 

6 

0 

East  Stonehouse 

275 

8 

3 

South  Molton 

330 

0 

6 

St.  Thomas  . 

2132 

16 

9 

Taunton 

69 

12 

1 

Torrington 

301 

2 

6 

Tavistock 

583 

11 

0 

Tiverton,  Borough 

442 

12 

1 

Ditto,  Union 

451 

9 

2 

Totnes  . 

915 

9 

1 

Wellington 

92 

16 

2 

Ashby-de-la-Zouch 

16 

2 

10 

Bridport 

5 

14 

6 

Helston  . 

1 

15 

0 

Haverford  West 

32 

7 

1 

From  Sale  of  Barley  and  Grass  . 

\ 

•  •  • 

17063 

148 

14 

2 

10 

0 

,,  Rags,  &c. 

•  •  • 

10 

6 

6 

„  Yeast  sold  by  the  Brewer 

•  •  • 

4 

1 

0 

„  Lard,  &c. 

•  «  0 

1 

19 

0 

„  Grains,  &c. 

•  •  • 

2 

6 

0 

„  Mats,  See. 

»  •  « 

1 

10 

0  * 

Rent  of  Allotments  in  the  Field  lately  purchased  of  Mr.  Calway, 
due  previous  to  the  Tenants  giving  up  possession  at  Michaelmas, 
1864  ...... 

5 

7 

7 

(Borough  Payments  £3757  3s.  Ad.) 


Carried  over 


.  19920  9  0 


29 


Devon  County  Lunatic  Asylum  for  the  Year  1864. 


PAYMENTS. 

Salaries  and  Wages  (see  Detail ,  page  27J.  £  s.  d.  £  s.  d 

Officers’  Salaries  (see  List)  .  .  .  1017  lo  0 

Servants’  Wages  (including  occasional  Attendants)  1281  9  2 

Occasional  Schoolmaster  .  .  .  .  10  8  0 

-  2309  7  2 

Milk,  Butter,  Cheese ,  Eggs ,  Sfc.  ( supplied  by  Contract ). 

(Average  Contract  price  for  the  year — Scald  Milk,  3 \d. 
per  gall.  ;  New  ditto,  lid.  ;  Butter,  Is.  5 d.  per  lb.  ; 

Cheese,  1 1  11s.  5d.  per  cwt.) 

Milk,  3447  6s.  Id.  ;  Butter,  353/  6s.  2d.  ;  Cheese, 

179/ 13s.  2d.  ;  Eggs,  36/ 8s.  6d.  .  ,  .  .  913  14  5 


Meat  and  Fish  (  Quarterly  Contract). 

(Average  price  of  Meat  for  the  year — 2/  12s.  Id.  per  cwt.) 

Butchers’  Meat  .  .  .  .  .  3262  14  3 

Eish  .  .  .  .  •  .880 

Flour  and  Oatmeal  (  Quarterly  Contract ). 

(Average  price  for  the  year — Flour,  28s.  2fd.  per  sack  ; 
Oatmeal,  13s.  1  \d.  per  cwt.) 

Flour,  1612/  17s.  8 d.  ;  Oatmeal,  62/  2s.  6d.  .  .  . 

Potatoes  (Contract  price  during  the  year — 7gd.  per  score). 
Potatoes  ...••••• 


3271 


1675 

117 


2  3 


0  2 

3  11 


Malt,  Hops,  Brewing,  ( Contract  prices). 

(Average  price  during  the  year — Malt,  6s.  8gd.  per  bushel; 
Hops,  6/  18s.  3d.  per  cwt.) 

Malt  .  .  .  .  •  .  937  16  3 

Hops  .  .  .  .  •  .  204  18  5 

Corks  and  Shives  .  .  •  •  3  8  6 


Groceries  (as  per  Contract  prices). 

(Average  prices  during  the  year — Tea,  3s.  per  lb.;  Coffee, 
Is.  4d.  per  lb.;  Cocoa,  105s.  per  cwt.;  Loaf  Sugar, 
52s.  6d.  per  cwt.  ;  Moist  Sugar,  43s.  per  cwt.  ;  Peas, 
5s.  4^d.  per  bushel  ;  Rice,  13s.  10gd.  per  cwt.) 


Tea 

Coffee,  65/ ;  Cocoa,  63/  1 6s. 

Loaf  Sugar,  28/  9s.  6 d. ;  Moist  Sugar,  132/  3s.  3d. 
Peas,  14/  9 d.  ;  Rice,  32/  5s. 

Pepper,  8/  6s.  lOd.  ;  Salt,  7/  16s.  2d. 

Spice,  1/  Is.  9d.  ;  Ginger,  9s.  6d.  . 

Mustard,  9/ 8s. ;  Saltpetre,  18s. 

Carraway  Seeds,  19s.  ;  Tapioca,  9s. 

Sago,  13s.  Id.;  Currants,  2/  3s.  8d. 

Chickory,  16s.  4d.  ;  Lemons,  2s.  6d. 

Arrowroot,  4/  13 s.  4d.  ;  Groats,  Is.  5 d. 

Fruit  . 


246  0  6 

128  16  0 
160  12  9 

46  5  9 

16  3  0 

111  3 

10  6  0 
1  8  0 
2  16  9 

18  10 
4  14  9 

18  19  6 


638  13  1 


Carried  over 


10071  14  2 


30 


General  Statement  of  Receipts 


£  s.  d. 

Brought  over  .  19920  9  0 


Carried  over  . 


19920  9  0 


31 


and  Payments— continued. 


£  s.  d.  £  s.  d. 


Brought  over 

.  10071 

4 

2 

Medicine  and  Surgery. 

Drugs  .... 

80 

6 

5 

Water  Cushions  . 

4 

18 

6 

85 

4 

11 

Wines,  Spirits,  fyc. 

Sherry,  8?  8s.  ;  Port,  35?  4s. 

43 

12 

0 

Brandy,  72? ;  Gin,  1?  16s. 

73 

16 

0 

Rum,  1?  10s.  ;  Vineaar,  2?  5s.  8 d.  . 

3 

15 

8 

121 

3 

8 

Tobacco ,  Snuff,  and  Pipes  (  Contract  prices  ). 

(Average  prices  for  the  year — Tobacco,  3s.  O^d.  per  lb. ; 

Snuff,  2s.  11  £c?.  per  lb.) 

Tobacco,  97 1  18s.  id.  ;  Snuff,  57 1  19s.  8d.  .  .  155  18  0 

Pipes  .  .  .  .  .  .  2  15  0 

-  158  13  0 


Washing,  Cleansing,  and  Scouring  ( Contract  prices ), 

(Average  prices  during  the  year — Milbay  Soap,  32s.  0 \d. 
per  cwt.  ;  Soft  Soap,  14s.  6c?.  per  firkin;  Washing 
Powder,  11s.  per  cwt.;  Soda,  5s.  Id.  per  cwt.  ;  Starch, 


28s.  per  cwt.  ;  Blue,  6f d.  per  lb.) 

Soap,  182/  5s.  6c?.  ;  Soft  Soap,  90?  14s.  3d.  .  272  19  9 

Washing  and  Cleansing  Powder  .  .  .  36  19  9 

Soda,  4?  Is.  9 d.  ;  Starch,  8?  13s.  2c?.  .  .  12  14  11 

Blue,  1 0?  3s.  od. ;  Scouring  Bricks,  3s.  .  .  10  6  3 

Black  Lead,  3?  16s.  ;  Blacking,  3?  8c?.  .  .  6  16  8 

House  Flannel  .  .  .  .  .  47  0  3 

Oil,  Tallow,  &c.,  8?  13s.  6c?.  ;  Clothes  Pins,  Is.  10c?,  8  15  4 


395  12  1 1 


Coals  and  Fuel  (  Contract  prices ). 

(Average  prices  during  the  year — Newcastle  Coal,  2ls.  8 d. 
per  ton  ;  Steam  Coal,  1 7s.  10^c?-  per  ton  ;  Gas  Coal, 

18s.  l^cf.  per  ton.) 

Coals  .  .  .  .  .  .  865  12  9 

Furze,  10?  10s.,-  Fire  Wood,  13?  lls.  .  .  24  1  0 

’  .  _  889  13  9 


Candles  and  Light  (  Contract  prices ). 

(Average  prices  during  the  year — Dip  Candles,  5s.  3d.  per 
dozen  lbs. ;  Mould  Candles,  6s.  4c?.  per  dozen  lbs.  ; 
Composites,  7s.  per  dozen  lbs.  ;  Sperm  Oil,  7s.  6c?.  per 
gall. ;  Colza  Oil,  5s.  per  gall.) 

Candles,  19?  16s.  2c?.  ;  Oil,  39?  Is.  3o?.  *  .  58  17  5 

Lamps,  Lanterns,  and  "Repairs  .  .  ♦  8  0  7 

Wicks,  19s.  3c?,  ;  Matches,  7?  Os.  6c?.  .  •  7  19  9 


Carried  over 


.  11796  10  2 


32 


General  Statement  of  Receipts 


£  s.  d. 

Brought  over  .  19920  9  0 


Carried  over  . 


19920  9  0 


33 


and  Payments— continued. 


£  s,  d.  £  s.  d. 
Brought  over  .  11796  10  2 


Clothing  ( Contract  prices). 

(Average  prices  during  the  year — Pilot  Cloth,  7s.  Id.  per 
yard;  Corduroy,  3s.  2c?.  per  yard;  Prints,  6fc?.  per  yard; 
Ginghams,  9 d.  per  yard  ;  Shirting,  \Z\d.  per  yard  ; 
Shifting,  ll£c?.  per  yard;  Flannel,  Is.  0£c?.  per  yard  ; 
Hose,  Is.  1c?.  per  pair.) 


Pilot  Cloth  .... 
Corduroy  .... 

Cotton  Prints,  Ginghams,  Stuffs,  &c.’! 
Shirting,  74?  Is.  10<?. ;  Shifting,  76?  9s. 
Flannel  and  Serge 

Hose  ..... 
Linen,  Calico,  &c. 

Bonnets  ..... 
Liveries  and  Attendants’  Jackets  . 

Shawls,  51?  6s.  7c?.;  Men’s  Caps,  10?  1  Is.  9 d. 
Other  Clothing,  Working  Materials,  &c.  . 
Duck,  20?  17s.  3c?. ;  Making  Jackets,  53?  6s. 
Canvas  and  Wrappers 


173  9  0 

118  8  2 

245  2  4 

150  10  10 
144  1  3 

79  1  0 

246  15  0 

4  19  0 

56  4  2 

61  18  4 

257  12  8 

74  3  3 

7  16  9 


1620 


9 


Leather.  Sfc.  ( Contract  prices). 

Leather,  &c.,  183?  14s.  7 d.  ;  Women’s  Boots  and  Shoes,  247?  .  430  14  7 


Bedding,  Furniture ,  and  Matting  (  Contract  prices). 

(Average  prices  during  the  year — Sheeting,  Is.  10c?.  per 
yard  ;  Blankets,  1 1  s.  9 d.  per  pair  ;  Rugs,  8s.  9c?.  each  ; 
Hair,  Is.  per  lb.) 


Sheeting  ..... 

382 

17 

1 

Blankets  ..... 

50 

10 

0 

Rugs  ..... 

135 

17 

8 

Hair  and  Feathers 

47 

8 

0 

Twine,  Webbing,  &c. 

20 

1 1 

3 

Carpeting  .... 

25 

13 

5 

Blind  Cord,  &c.  .... 

6 

7 

6 

Table  Cloth,  Towelling,  &c. 

21 

19 

9 

Straw  ..... 

47 

10 

0 

Brushes,  &c.  .... 

65 

17 

1 

Beds,  Furniture,  &c. 

51 

1 

6 

Coir  Yarn  .... 

41 

6 

1 

Baskets,  Flaskets,  &c. 

8 

8 

0 

Ticking,  &c,,  29?  8s.  6 d. ;  Oil  Cloth,  2?  12s.  6 d. 

32 

1 

0 

Chairs,  9?  9s. ;  Waterproof  Sheeting,  12?  2s. 
Staves  for  Pails,  Tubs,  &c. 

21 

11 

0 

4 

18 

0 

Hardware,  Sfc.  (  Contract  prices). 

Tinware,  Ironmongery,  &c. 

• 

103 

8 

9 

Earthenware,  Glass,  &c.  . 

• 

99 

17 

4 

963  17  4 


203  6  1 


Carried  over 


15014  9  11 


35 


General  Statement  of  Receipts 


£  s.  d. 

Brought  over  .  19920  9  0 


Carried  over  . 


19920  9  0 


and  Payments— continued. 


34 


£  s.  d.  £  s,  d. 


Brought  over  .  15014  9  11 


Stationery ,  fyc. 


Stationery,  Printing,  &c.  . 

• 

43 

8 

7 

Advertising  .... 

• 

38 

4 

7 

Books,  Forms,  &c. 

Waste  Paper  .... 

• 

14 

19 

9 

• 

6 

7 

2 

Postages,  Parcels ,  and  Carriage. 

Postage,  Post  Bag,  and  Letter  Carrier 

• 

25 

7 

8 

Carriage  of  Goods  and  Parcels  . 

8 

0 

2 

Turnpikes  .... 

• 

3 

12 

9 

Rates,  Taxes ,  and  Tithe. 

Land  and  Assessed  Taxes 

3 

4 

8 

Poor,  Highway,  and  Church  Rates 

10 

0 

7 

Property  Tax  .... 

7 

10 

6 

Tithe  ..... 

17 

16 

0 

Manor  Rent  .... 

5 

7 

Insurance  .... 

• 

• 

• 

Maintenance  of  Patients  in  Cottages  on  Trial  (7 s.  per  week) 

• 

Coffins  (81  at  7s.  6 d.  each)  30/  7s.  6d.;  Sawdust,  1/  7s. 

6  d. 

• 

Patients’  Amusements. 

Paid  for  Teaching  Singing 

• 

2 

12 

0 

Musicians  .... 

• 

1 

18 

6 

Skittles,  Draughts,  &c. 

. 

2 

16 

8 

Slides  for  Magic  Lantern  . 

. 

4 

6 

Farm,  Garden ,  and  Piggery. 

Cash  Paid  for  1 1 4  Pigs 

193 

19 

0 

Provender  (Barley  Meal) 

51 

10 

0 

Seeds  for  Garden  and  Farm  . 

12 

16 

8 

Shoeing  Horses 

2 

17 

0 

Grinding  Bones  for  Manure  . 

2 

14 

o 

Guano,  &c. 

55 

2 

1 

Horse  Labour 

22 

7 

6 

Hay,  Oats,  &c.,  for  Farm  Horses 

55 

12 

0 

Manure  Cart,  Mattocks  and  Repairs 

24 

8 

0 

Thrashing  Barley,  &c. 

6 

12 

6 

Lime 

10 

13 

9 

Seed  Potatoes 

12 

4 

8 

Draining  Tile 

10 

9 

2 

Attendance  and  Medicine  for  Horses 

5 

15 

0 

Reed,  Spars,  & c.  . 

6 

7 

6 

103  0  1 


37  0  7 


38  17  4 

2  15  0 

158  18  0 

31  15  0 


7  118 


473  9  1 


Expenses  incurred  by  the  Escape  of  Patients  . 
Ditto  by  Removal  of  Patients  to  other  Asylums 


Carried  over 


15877  15  2 


36 


Balance  due 
December, 


General  Statement  of  Receipts 


£  s.  d. 

Brought  over  .  19920  9  0 


to  Steward  on  his  Petty  Cash  Account  31st 
1864  .  .  .  .  11  3  11 


£19931  12  11 


Total 


37 


and  Payments— continued. 


Miscellaneou  ?. 


£  Si  d»  £  Si  d. 

Brought  over  .  1587  15  2 


Paid  for  Lithographing  .  .  .  .  1  15  6 

Paid  for  Gutta  Pereha  .  .  .  .  12  7 

Christmas  Boxes,  7s,  6 d.  ;  Killing  Rats,  1/  .  17  6 

Grinding  Tailors’  Shears  .  .  .  .  16 

Hay  and  Oats  (Horses  for  Establishment).  .  51  7  0 

Periodicals  .  .  .  .  17  6  6 

Sundry  Small  Bills  .  .  .  .  8  3  11 

- -  80  14  6 


Payment  to  Building  and  Repair  Account 


1411  18  6 


Balance  in  Treasurer’s  hands,  31stf  December,  1864  ..  2561  4  9 


£19931  12  11 


This  Statement  contains  an  Analysis  made  by  the  Clerk  and  Steward  of 
Sundry  Invoices  of  Goods  received  into  Store  at  the  Asylum,  and  Receipts  and 
Payments  in  Cash,  which  have  been  Examined  and  Audited  by  the  Finance 
Committee  monthly. 

DAN.  B.  DAVY,  Chairman  of  Finance  Committee- 


JOHN  BADCOCK,  Clerk  and  Steward, 


38 


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*  All  other  Labour  on  the  Farm  and  Garden  is  performed  by  the  Patients.  JOHN  BADC0CK,  Clerk  and  Steward. 


40 


COUNTY  TREASURER’S  ACCOUNT. 


From  January  Is/  to  December  31s/,  1864. 


£ 

s. 

d. 

£ 

s. 

d. 

To  Balance  due  from 

By  Interest  paid 

644 

18 

4 

Treasurer  on  the 

,,  Paid  for  the  purchase 

last  Account  . .  2336 

3 

10 

of  additional  Land 

,,  received  Two  Rates 

at  Exminster 

1337 

0 

0 

including  the  Stoke 

,,  Principal  paid  off 

Damerel  Half  Rate  3981 

16 

0 

(leaving  £14000  due)  3000 

0 

0 

4981 

18 

4 

Balance  due  from  the 

Treasurer 

1336 

1 

n 

0 

£6317 

19 

10 

£6317 

19 

10 

EDMUND  WILLIAM  PAUL, 


Treasurer  for  the  County  of  Devon. 


