Annual report, board of trustees, Georgia State Sanitarium, Milledgeville, Georgia for the year ending December 31,1922 through December 31, 1930 [1922-30]

THE LIBRARY OF
THE UNIVERSITY OF GEORGIA
JL

SeventyNinth Annual Report
Board of Trustees
I
5
Georgia State Sanitarium
Milledgeville Georgia
For the Year Ending
December Thirty First
Nineteen TwentyTwoBoard of Trustees
President
John T BrantleyBlackshear Ga
VicePresident
H H DeanGainesville Ga
Secretary
C C BrantleyValdosta Ga
E E LindseyRome Ga
J C JarnaginWarrenton Ga
A C NewellAtlanta Ga
Tuos M Hall M DMilledgeville Ga
Thos R Wright M DAugusta Ga
Wm Rawlings M DSandersville Ga

of seo

Committees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E E Lindsey Chairman
J C Jarnagin Thos M Hall
A C Newell C C Brantley
Finance and Auditing Committee
A C Newell Chairman
Wm Rawlings C C Brantley
Committee on Sanitation Medical and Dispensary Service
Thos R Wright Chairman
Thos M Hall Wm Rawlings
Committtee on Buildings and Grounds
H H Dean Chairman
E E Lindsey Thos R Wright
Committee on Farm and Outside Business
J C Jarnagin Chairman
H H Dean Wm Rawlings
Officers of the Sanitarium
L M Jones M D
Superintendent and Resident Physician
R C Swint M DClinical Director
J W Mobley M DFirst Assistant Physician
N P Walker M DSecond Assistant Physicain
Y H Yarbrough M DAssistant Physician
L P Longino M DAssistant Physician
J I Garrard ML DAssistant Physician
Geo L Echols M DAssistant Physician
J W Oden M DAssistant Physician
J K Pettit M DAssistant Physician
W H Allen M DAssistant Physician
D T Rankin ML D Prom April 1922
Assistant Physician
B McH Cline M D Until March 1922
Consultant E E N T
L H McCalla M D From April 1922Interne
R W Bradford M D From Sept 1922Interne
G H Green D D SDentist
J J WootenPharmacist
Mrs Mae M Jones R NSuperintendent of Nurses
Otto M ConnTreasurer
L J LamarSteward
T H DeSaussureEngineer
H S JonesSecretary
F C PenuelFarm Steward
Homer BivinsAssistant Steward
C C Miner From June 1922Assistant Engineer
Arthur FarellStorekeeper
Mrs Ann G PettitDietitian
Miss Amy OxfordDirector Occupation Therapy
W W Stembridge From November 1922Inspector
Rev Thos G WattsChaplin
Resigned
Deceased
SeventyNinth Annual Report
OP THE
Board of Trustees of the Georgia State Sanitarium
Milledgeville Georgia January 1 1923
To His Excellency Thomas W Hardwick Governor
SirThe seventyninth annual report of the Board of
Trustees of the Georgia State Sanitarium covering the year
1922 is now respectfully submitted
Annual Report of the Superintendent
The annual report of the Superintendent hereto attach
ed will supply essential details of the years work In this
connection it is the sad duty of the Board to report the
death of Dr Lodrick M Jones the honored Superintendent
of the Sanitarium which occurred on December 7 1922
following a brief illness He served it for twentyfive years
as Assistant Physician and fifteen as Superintendent His
death deprives it of an able executive and the State of a
faithful public servant Appropriate services in his honor
were held by the Board and the memorial then adopted
appears as part of this report Pending the election of his
successor Second Assistant Physician N P Walker was
placed in charge of the Sanitarium
Advancing Efficiency
The record of the year shows the continued advance
of the Sanitarium in the great purpose for which it was
founded the care and treatment of the insane The number
of patients discharged as restored or improved is gratify
ingly large The death rate is the lowest had in twenty
years The number of patients secluded or restrained has
reached a new low minimum The atmosphere and general
trend of the Sanitarium point to further progress These
brief facts are full of meaning indicating that the Superin
tendent and Staff are capable and wide awake and that
tbey are working in harmony for the happiness and well
being of their afflicted charges It is the duty and pleasure
of the Board to warmly commend them and those under
them for the work of the year
LIBRARIES
KEItWSEVENTYNINTH ANNUAL REPORT
The widened use of occupational therapy as a remedial
measure accounts for much of the good record It seeks
through interesting work or play to divert and occupy the
morbid mind and serves to make the patient happier and
more contented with a consequent improvement in health
A striking illustration of its value comes from the negro male
department in which the number of patients thus employed
increased from 160 in 1919 to 534 in 1922 while in the same
time bed cases decireased from 90 to 14 This was followed
by a marked improvement in general health and by a sharp
decline in the death rate This is but indicative of equally
interesting results had in the other departments There
is needed for the extension of this form of treatment in the
white female department a small building with ample gar
den space surrounding it Male patients can work and
play largely in the open but other provision must be made
for females The cost of such a building so situated is not
large and its possibilities for the good of the patient so great
that the Board respectfully urges that an appropriation for
this purpose be made available at once
The Sanitarium Training School for Nurses is another
factor of increasing importance in improving the work of
the Sanitarium and its beneficient results are everywhere
visible
Yet another factor is the careful supervision of the
food supply as to quality preparation and service by the
competent officer whose duty this is
Admissions for the Year
The new patients admitted during the year numbered
857 as compared with admissions of 989 the previous year
The terms of the deficiency appropriation added to the
burden carried by the Superintendent serving to increase
an already heavy demand for admission None the less
every effort was made to meet such demand preference
being given to recent and acute cases offering some hope
of cure
Admissions for the past ten years totaled 12438 the
yearly average being 12438 The indications now are that
admissions for the new year will show a heavy increase as
the after effect of the deficiency appropriation above
referred toGEORGIA STATE SANITARIUM

The number of patients resident in the Sanitarium at
the close of the year was 3972 an increase of 74 over the
previous year The records show that the number of
resident patients on January 1 1913 was 3284 and that the
increase in ten years is 688 the net annual increase
being 688
The health record of the patients for the year was ex
cellent typhoid tuberculosis and pellagra cases were rela
tively small and showed a substantial reduction from the
previous year
Cost of Operation
A condensed comparative summary of receipts and
disbursements and of the financial condition of the Sani
tarium at the close of the year is here given
Receipts 1921 1922
Balance over from previous year 3828839 1251366
Regular appropriation 89133400 80000000
Deficiency appropriation 00 15000000
New building appropriation 00 4000000
Patients deposits 2128966 1444700
Miscellaneous income 2050759 1669000
Overdraft with Treasurer 6274776 1505274
Total103416740 104870341
Disbursements
Overdraft previous year 00 6274776
Salaries and wages 37740095 38680311
Supplies purchased 60882482 54584144
New building 1327227 2635044
Patients deposits withdrawn 2215570 1403175
Cash balance 1251366 1292891
Total103416740 104870341
Working resources
Cash on hand 1251366 1292891
Due on requisition 1921 500000 300000
Accounts receivable 438046 528281
Sundry items 125801 110640
Supplies at cost 9785110 7092693
Farm products valued 1963900 2167265
Live stock implements etc 7949067 4160025
Total 22013290 15651795SEVENTYNINTH ANNUAL REPORT
Liabilities
1921 1922
Overdraft with Treasurer 6274776 1505274
New building appropriation 2062763 3427719
Patients deposits 951366 992891
Accounts payable 1169404 743136
Salaries and wages due and unpaid 3330451 3328437
Sundry items 42088 48126
Excess liabilities over resources 8182442 5606212
Total 22013290 15651795
The decrease in this item is due to revaluation of live stock and
farming implements
From this summary is seen that the cash liabilities of
the Sanitarium at the close of the year exceeded its resources
by 7813715 Included in such resources is 528281 in
receivables which are of doubtful value and the elimination
of this item increases the excess of liabilities to 8341996
Supplies show a shrinkage of 2692417 The total of these
items makes an apparent deficit for the year of 11034476
The last report of the Board submitted an estimate of this
deficit as 26066000 for which an appropriation was asked
but only 15000000 was granted The full amount was
needed
The cost to the State for each patient was 23804 as
compared with a cost in 1921 of 24072 The cost per day
was 06525 This low cost under prevailing conditions is
indicative of the careful administration had of the States
funds
It may be of interest to note how the cost of 23804 is
distributed
Pood 6490
Wages 8391
Clothing J938
Heat and Lights1732
Salariesi1481
Bedding etc IO55
Repairs 768
Farm Dairy etc 776
Medical supplies 3I8
Sundries 854
Crowded Condition White Female Department
The Board regrets it must again call attention to the
dangerously congested condition of the white female depart
ment which continues unchanged since its last report A newGEORGIA STATE SANITARIUM
building which will relieve this congestion has been under
way for three years but cannot be completed from lack of
sufficient funds to do so The last report of the Board sub
mitted a careful estimate of the sum needed for this purpose
as 108915 of which but 40000 was appropriated When
this appropriation is exhausted the building will be about
65 completed To finish the building will now require
an additional appropriation of 67245 and to furnish it
simply ready for use will require the further sum of 14000
It will be used as a home for the nurses and headquarters
for the Sanitarium Training School for Nurses The trans
fer to it of the nurses will vacate their rooms on the wards
for the use of patients and relieve the present congestion
This need is so pressing that the Board again begs most
earnestly for the funds with which to complete and furnish
the new building ready for use It is being erected by day
labor under the supervision of the Engineer and its cost
kept as low as possible In recognition of the long service
of oue of its members the Board has named this building
John T Brantley Building
The Physical Plant
The vast size of the Sanitarium plant makes the cost
of its upkeep no small item and this cost naturally increases
as the buildings grow in age Carpenters plasterers
painters and plumbers are kept busy all the year In recent
years only minor repairs have been possible and the major
ones from lack of funds have necessarily been allowed to
go over Some of these last can no longer safely be delay
ed and it is the duty of the Board to call the attention of
your Excellency to them
The first of these is the rebuilding of the present ice
plant which is now worn out and outgrown It will at once
be appreciated that an ample ice supply is vital to every
hospital and the Sanitarium is no exception With such
rebuilding should come increased cold storage room for
the preservation of foodstuffs The cost of doing this work
is conservatively estimated by the Engineer at 29905
The next is the protection of the Sanitarium from the
present danger of a water famine To do this a duplicate
pipe line from the pumping station on the Oconee River
three miles away is necessary The present single pipe
line runs under land a mile of which is subject to overflow10
SEVENTYNINTH ANNUAL REPORT
from the river and if a break should occur at such a time
it could not be reached until the flood subsided The water
stored on the grounds is sufficient for a two days supply
while such floods are apt to continue for several days longer
The very great importance of this need cannot be overstated
for a water famine would be disastrous Some economy
will be accomplished by a duplicate pipe line through the
lessened power required for pumping due to the reduction
in friction The cost of this work is estimated by the
Engineer at 44036 The pumping station has a capacity
of 1000000 gallons in 24 hours while the present consump
tion of water is approximately 700000 gallons
The matter of outside fire escapes is an old one Their
absence from the Sanitarium equipment has subjected the
management more than once to severe criticism Such
critics are not aware that in the construction of the build
ings this need was sought to be met by inside enclosed
stairways protected by fire doors and walls No patient
has ever been lost by fire but the possibility of such is
recognized The ordinary type of outside fire escapes would
constitute as great a danger to the patients in case of fire
as the fire itself The only type having a recognized value
for institutions of this kind is known as the KirkerBender
and to install a sufficient number of these for the additional
safety of the inmates will require an appropriation of not
less than 25000
The Sanitarium possesses no electric plant and relies
on a local corporation for current for light and power The
cost of this service including lamps for the past year was
15000 The possibility of effecting a saving by providing
the Sanitarium with a plant of its own at least merits care
ful study With it might be combined the new ice plant
so that the two could be under one management If to
these a central heating plant can be added in time a much
greater economy will thereby be effected i
Looking to the Future
The tremendous importance to the State of the Sani
tarium in 1923 The amount so needed is 23986468 and is
future policy of the State most timely The Sanitarium
should not be allowed to increase indefinitely in size An
other hospital located elsewhere in the State should be con
sidered and the class of patients to be sent to each definite
ly determinedGEORGIA STATE SANITARIUM
11
The need in the Sanitarium equipment of a modern
psychopathic hospital has many times been presented by
the Board It would now suggest that its every need looking
to its increasing usefulness should be supplied not only as
an act of mercy to its sorely afflicted inmates but as a
measure of economy to the State Every patient it can re
store to health is an asset gained and a liability lost
The funds at the disposal of the Board should be large
enough and its authority great enough to undertake the
after care of patients discharged as restored The phy
sicians duty does not end with the discharge of his patient
from the hospital The period of convalescence must be
carefully watched and the patient kept on the right road
to renewed strength This is no less true of mental than
of physical diseases To this end there should be some
authorized agency in each county to watch over newly dis
charged cases lest by overtaxing of their newly regained
mental strength they become invalids and a charge upon
the State for life Such agencies could be made of much
value in securing accurate histories of the new cases for
whom admission is sought
The establishment of mental clinics similar to that now
being conducted in Macon should be encouraged in all the
leading centers of the State In this way persons liable in
time to be committed to the Sanitarium are properly diagnos
ed and proper care and treatment outlined for them before
they reach such a condition The success of the Macon
clinic has been marked
The commitment of mental cases to the common jails
of the State pending admission to the Sanitarium is a gross
injustice and should be frowned upon Such harsh treat
ment frequently works an irreparable injury to the patient
that no amount of Sanitarium treatment can undo
The Board renews a recommendation several times
made that the name of the Sanitarium be changed to
Georgia State Hospital for the Insane as serving to clear
ly define its function and to separate it from other insti
tutions of similar name12
SEVENTYNINTH ANNUAL REPORT
Deficiency Appropriation for Support and
Maintenance in 1923
It will be neccessary to supplement the regular appro
priation had for the support and maintenance of the Sani
tarium in 1923 The amount so needed is 23986468 and is
arrived at in this way
Regular appropriation for 1923 80000000
Less cash deficit from 1922 8341996
Available for 1923 71658004
Estimated cost in 1923 based on 1922 95644472
Deficit to be provided 23986468
Regular Appropriations for 1924 and 1925
It is difficult to forecast the future of the Sanitarium
as to population and cost The demand on it for admission
continues unabated and promises to increase The cost of
supplies and labor continue high and there is no prospect of
a reduction in either The Board estimates the Sanitarium
will have to provide for 4118 patients in 1924 and for 4218
in 1925 For its support and maintenance in these years it
recommends appropriations in the sums of 1150000 and
1250000 respectively
Special Appropriations
For the reason set out in this report the Board recom
mends appropriations in the sums and for the purposes now
stated
To complete and furnish the new building
now under construction 8124500
To build and equip occupational therapy
building for white female patients 926000
To rebuild ice plant and enlarge cold
storage 2990500
To install duplicate water pipe line from
pumping station to Sanitarium 4403600
To provide outside fire escapes of iron 2500000GEORGIA STATE SANITARIUM
13
In Conclusion
Quarterly meetings of the Board were held at the
Sanitarium during the year and its committees visited it
monthly The interests of the State received no less care
ful consideration than did the interests of humanity The
Superintendent was given the full support of the Board in
meeting the problems of management All it could do to
advance the efficiency of the Sanitarium was done and to
this end the time of its members was freely and gladly given
for there is that about this work which mightily grips and
holds the heart The working force of the Sanitarium is
well embued with the spirit of service and the future bright
with promise
The Board now makes grateful acknowledgment of the
unfailing support given it by your Excellency in the dis
charge of its duties With an humble prayer that the bless
ings of Almighty God may ever rest upon this great charity
this report is now submitted
By order of the Board
C C Beantley John T Brantley
Secretary President14
SEVENTYNINTH ANNUAL REPORT
Memorial on the Death of Dr L M Jones
Adopted by the Board of Trustees
MEMORIAL
Dr Lodrick M Jones was the son of Thomas and
Martha Tharpe Jones and was born in Twiggs County
Georgia April 28th 1850 His boyhood was spent in the try
ing times of the Civil War and he attained to young manhood
in the gaunt days which followed In that stern school of
experience with necessity as his teacher he learned lessons
of self control self denial and self reliance he was never
afterwards to forget From the lips of his devoted parents
he gained the fundamental principles of true manhood and
was taught to put his trust in Almighty God These were
powerful factors in the formation of his character He was
given such educational advantages as his parents could
afford and in due time entered the office of Dr William
0Daniel of Twiggs County a noted physician of that day
to begin the study of medicine He completed this study
in Atlanta Medical College from which he graduated in 1878
He then located at Gordon Georgia where his ability gain
ed him a lucrative practice The nature of his work there
was such as to attract the attention of the authorities of the
State Lunatic Asylum now known as the State Sanitarium
and in October 1882 he was elected to the office of Fourth
Assistant Physician He began his new work at once apply
ing himself with earnest diligence to the mastery of his
duties He proved an apt student of the methods employed
by Dr T 0 Powell Superintendent a psychiatrist of great
skill and wide renown and made them his own His faith
ful and efficient work soon justified the wisdom of his elec
tion An unassuming manner kindly disposition and natu
ral courtesy won him lasting friends while his helpful sym
pathetic interest in his patients greatly endeared him to
them Fidelity and sincerity were coupled to ability and
sound judgment in his character a combination which firmlyGEORGIA STATE SANITARIUM
15
established him in the confidence of Superintendent Powell
Twentyfive years were thus spent by him He did not seek
preferment and was content in the performance of his full
duty The members of the Board of Trustees rarely saw him
about the administration building for when not at work on
the wards he was at home with his family His time was not
wasted but used in such way as prepared him all uncon
sciously for greater responsibility On the death of Dr
Powell in August 1907 he was elected Superintendent to
succeed him and thenceforth gave himself wholly to his new
duties His quick grasp of administrative problems gave
abundant evidence of the thoroughness of his preparation
and under his direction the Sanitarium affairs continued to
move with their accustomed smoothness He seldom absented
himself from the Sanitarium and then only for the shortest
possible time He gave to it his best freely and without stint
His administration was characterized by his marked business
ability good judgment and wise foresight by his firm
prompt decisions in matters of management by his just and
courteous treatment of officers and employees alike to whom
be was always accessible and by his unfailing effort to pro
mote the welfare and happiness of the increasingly great
number of patients in his care The World War brought in
its train many vexatious problems which gravely affected
the Sanitarium and these he confronted and solved with
quiet courage The crowded condition of the Sanitarium
and growing demand for admission created other problems
requiring wise solution He did not shrink from his re
sponsibility and it is to be noted that even when his burdens
were heaviest he carried them alone nor asked help of any
other than his Heavenly Father to whom he ever turned
for strength and consolation He was a singularly modest
man and the records of the Board show few if any requests
preferred by him affecting his own or his familys comfort
He accepted the inadequate salary fixed by law without
complaint and that it was afterward increased was not due
to his initiative His chief concern was for the great Insti
tution over which he presided and his own interests he wasmmm
i
16
SEVENTYNINTH ANNUAL REPORT
content to leave with the Board His attitude toward the
Board wag always deferential and courteous If on oc
casion he differed from it his reasons were frankly stated
If following this the decision remained against him he loyally
carried out the judgment of the Board For fifteen years
in the full confidence of the Board he administered the
affairs of the Sanitarium and thus rendered a service of in
calculable value to the State and humanity for which he
merits highest praise
As a man and citizen Dr Jones ranked high He was
upright straightforward honest and sincere He scorned
evasions and met every issue face to face He had strong
convictions and the courage of them He possessed high
ideals which he sought to convert into realities His cordial
support was given every movement looking to the better
ing of the public welfare His helping hand was not with
held from those in need and there are many to testify to
his generosity He was quick to forgive and forget an in
jury done him and cherished no resentment Deeply im
printed on his heart was the divine injunction to do justly
love mercy and walk humbly before thy God and he
shaped his life by it He was a member and officer of the
Baptist Church and a regular attendant in its Sabbath
School His pastor had in him a true friend and counsellor
In his home life he was a tender considerate husband
a kind indulgent father and a hospitable host He found
his chief pleasure in his family and his life in their midst
was a benediction His friendship slowly given was loyal
warm and lasting His last illness was appallingly brief Con
scious only of a slight indisposition and without premoni
tion of what was to come he went from his office to his bed
then followed a few days of intense suffering and then
his Coronation Day dawned It was given him to die in
harness with mental and physical faculties unimpaired
and in the full prime of great usefulness With unfalteringGEORGIA STATE SANITARIUM
17
trust he walked down into the valley of the shadow facing
the great adventure unafraid for with the Apostle Paul
he could say in faith
For I know in whom I have believed and am persuaded that
He is able to keep that which I have committed unto Him
against that day
The Words of Tennyson fit the solemn hour of his passing
Sunset and evening star
And one clear call for me
And may there be no moaning of the bar
When I put out to sea
But such a tide as moving seems asleep
Too full for sound and foam
When that which rew from out the boundless deep
Turns again home
Twilight and evening bell
And after that the dark
And may there be no sadness of farewell
When I embark
For tho from out our bourne of Time and Place
The flood may bear me far
I hope to meet my Pilot face to face
When I have crost the bar
The funeral service was held in his private apartments
so that officers and employees might be privileged to attend
Every member of the Board of Trustees and friends from
far and near were present to do him honor The great
wealth of floral offerings bore mutely eloquent testimony to
the affection in which he was held The sad service ended
his body was tenderly laid to rest in the Milledgeville City
Cemetery there to await the resurrection morn In his
death a great heart is stilled a noble life is ended but there
is left to those who mourn his going a precious heritage
the record of a great service greatly and unselfishly render
ed There are many to rise up and call him blessed To us
who remain he has thrown the flaming torchit is ours to
take it up and carry on This great Institution for which
he lived and died is our sacred charge We must see to it
it does not suffer for his going
18
SEVENTYNINTH ANNUAL REPORT
Report of the Superintendent
For the Year Beginning January 1st 1922 and Ending
December 31st 1922
Georgia State Sanitarium February 1st 1923
To The Honorable Board op Trustees of
The Georgia State Sanitarium
GentlemenI have the honor of submitting for your
official consideration the seventyninth annual report of
the Georgia State Sanitarium for the year ending Decem
ber 31st 1922
During the period covered by this report Dr L M
aooS wf Superintendent until his death on December 7th
1922 and Dr N P Walker was acting Superintendent dur
ing the remainder of the year
TABLE OF GENERAL INFORMATION
1 Date of opening as an institution for the
msane
10121842
2 Type of institution State
3 Hospital plant
Value of hospital property
Real estate including buildingsl 692 750 00
Personal property 32745200
Total202020200
Total acreage of Sanitarium property3450 acres
Additional acreage rented 0 acres
Total acreage under cultivation previous year1750 acres
4 Officers and Employees Males
Superintendents i
Clinical Director j
Assistant Physicians 9
Internes 2
Resident Dentist 1
Stewards
Females
0
0
0
0
0
0
Totals
1
1
9
2
1
1GEORGIA STATE SANITARIUM
19

Males Females Total
Druggist 10 1
Laboratory Technician 10 1
Embalmer 10 1
graduate Nurses 1 16 17
Other Nurses and
Attendants 177 254 431
Teachers of Occupational
Therapy 13 4
Social Workers 0 0 0
All other Officers and
Employees 182 10 192
Total 389 283 672
MOVEMENT OF POPULATION
The hospital year beginning January 1st 1922 showed
a total population of 4598 consisting of 3177 whites and
1421 colored including the patients on furlough
We received during the year 540 whites and 317 colored
making a total reception of 857
There have been discharged eloped and died 599
whites and 303 colored leaving in the institution on January
1st 1923 4553 of whom there are 430 whites and 151 colored
on furlough not discharged
The daily average number under treatment was 3918
while the total number under treatment was 4755 the per
centage discharged recovered and improved based on the
number of patients received during the year was 582
The percentage of deaths during the year based on the
number under treatment was 595 the lowest death rate we
have had in twenty years
MEDICAL SERVICE
The medical work was under the direction of the Clin
ical Director and Staff meetings were held daily as usual
except on Sundays and every patient admitted during the
year was brought before the Staff for consideration except
a few who were so ill and feeble on admission that they
died before they could be examined
Drs L A McCalla and R W Bradford were appointed
Internes during the year
HH
20
SEVENTYNINTH ANNUAL REPORT
ADMISSIONS
Of the 857 admissions during the year 268 were white
males 272 were white females 160 were colored males and
157 were colored females
Of the 857 admissions 652 were first admissions and
205 were readmissions
The following 3 tabulations give diagnostic grouping
of all admissions first admissions and readmissions
Diagnostic Grouping of Patients Admitted
During the Year 1922
Traumatic psychoses
Senile psychoses
Psychosis with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dimentia praeeox
Paranoia or paranloc condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychosis
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psy
chosis
Mental deficiency without psychosis
White Colored
M
Total
P
1
21
18
19
2
0
3
7
7
3
1
73
32
0
9
8
6
25
23
0
1
4
1
2
2
0
13
8
3
3
1
2
0
1
7
2
on
59
2
17
3
15
17
27
0
0
2
0
0
0
268 272
M
1
G
17
21
2
0
0
0
2
1
31
37
0
12
0
0
13
14
1
0
0
0
0
1
P
0
6
6
12
5
1
0
1
0
7
0
73
21
0
9
0
0
VI
1
0
0
0
0
0
0
Total
2
46
49
55
12
2
6
8
8
19
4
267
152
2
47
11
21
67
65
1
1
6
1
2
3
160 157j 857GEORGIA STATE SANITARIUM
21

Diagnostic Grouping of First Admissions
During the Year 1922
White
M F
Traumatic psychoses
General paralysis of the insane
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychosis
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psy
chosis
Mental deficiency without psychosis
1
12
Hi
12
2
0
1
5
Total
2
1
191
Colored
M F
2
46 43
18 41
0
7
7
6
15
2
8
12
22
0
2
0
0
0
184
1
19
17
19
1
0
1
0
0
2
1
23
33
0
12
0
0
13
13
1
0
0
0
1
144
0
1
0
7
0
57
19
0
8
0
0
11
1
0
0
0
0
0
133
Total
2
45
47
45
11
2
4
6
4
13
4
169
111
1
24
9
14
55
54
1
3
1
2
2
652

fJrrniiiiirtiMfliili
22
SEVENTYNINTH ANNUAL REPORT
Diagnostic Grouping of Readmissions
During the Year 1922
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous dis
ease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Manicdepressive psychoses
Dementia praecox
Epileptic psychoses
Paranoia or paranoic condition
Psychoneuroses or neuroses
Pyschoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychosis
Drug addict without psychosis
Mental deficiency without psychosis
White Colored
Total
M
1
2
7
0
2
2
3
0
27
14
0
0
1
0
6
5
1
3
1
F
77l 88
M
0
0
0
0
0
0
1
1
47
18
2
1
1
7
5
5
0
0
0
F
0
0
1
0
0
0
0
0
16
5
1
0
0
0
1
16 24
rota
1
2
10
1
2
2
4
1
98
41
5
1
2
7
12
11
1
3
1
205
DISCHARGES AND FURLOUGHS
All patients leaving the Sanitarium were furloughed
except the not insane The duration of furlough is 12
months and discharge applies to those leaving the Sanitarium
as not insane or have remained away on furlough beyond
its expiration without renewal
Of the 697 patients furloughed or discharged during
the year 260 were white males 254 were white females 87
were colored males and 106 were colored females
Based upon the number of admissions 218 were fur
loughed as restored and 364 as improved making a total
of 582 furloughed as restored or improved Of the 499
patients furloughed as restored or improved there were
186 white males 164 white females 69 colored males and 80
colored females
The following tabulation gives classified information
of all furloughs and dischargesFurlough of Patients Classified with Reference to
Principle Psychosis and Condition on Furlough
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses withother brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Paranoia or parunoic condition
Epileptic psychoses
Psychoneurosis or neuroses
I sycuoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychosis
Drug addict without psychosis
Pellagra without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
White
Male
R I U S
1
0
0
0
0
0
3
7
4
1
0
36
1
0
2
4
G
6
4
0
1
0
0
1
0
Total 77 109 62 12 29135 87 3 32 37 17 1 49 31 15
Female
R I U S
0
3
1
2
0
0
J
0
0
1
0
27
15
2
12
1
3
12
8
0
0
0
0
0
0
Colored
Male
R I U S
0
1
0
1
0
0
0
0
0
0
0
4
3
0
2
0
1
5
0
0
0
0
0
0
0
Female
R I U S
0
0
0
0
0
0
0
0
0
0
0
17
9
0
2
0
0
1
2
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
16
16
13
2
1
16
11
6
7
4
257
90
4
29
14
27
94
67
4
2
5
1
5
4
697
Q
H
O
S
o
m

H
02

dlrillrrtrtJWWu
24
SEVENTYNINTH ANNUAL REPORT
PHYSICAL DISEASES
The health of the institution has been very good during
the year but we had a mild influenza epidemic and 146 of
our population suffered with the disease with a very low
mortality Only 6 eases of typhoid fever were reported
throughout the year while ten cases were reported the
previous year 22 cases of pellagra and 28 cases of tubercu
losis were reported compared to 65 and 45 respectively
the previous year
A routine Wassermann of the blood serum was made on
all admissions except those that were seriously ill when
admitted and lived but a few days
The following is a tabulation of physical diseases occur
ring among our population during the yearGEORGIA STATE SANITARIUM
2o
Physical Diseases Reported During the
Year 1922
General Diseases
Autointoxication intestinal
Chicken pox
Dengue fever
Influenza
Malarial feverintermittent
Malarial fevertertian
Pellagra
Rheumatism acute articular
Rheumatism muscular
Syphilis
Syphilis secondary
Tuberculosis pulmonary
Tubercular enteritis
Typhoid fever
Paratyphoid fever
Disease of the Nervous System and
Organs of Special Sense
Cerebral hemorrhage
Cerebral thrombosis
Chalazion
Chorea Sydenhams
Cleft palate
Conjunctivitis acute
Conjunctivitis acute catarrhal
Conjunctivitis acute purulent
Deviated septum nasal
Ectropion left lid
Episcleritis
Glaucoma chronic
Hypertrophy of middle turbinate
Impacted cerumen
Keratitis
Keratitis ulcerative acute
Keratoiritis
Multiple neuritis
Nasal polypi
Nasal spurs
Otitis media acute
Otitis media chronic catarrhal
Otitis media chronic purulent
Otomycocis
Peforated nasal septum
Paretic convulsions
Pterygium
Rhinitis atrophic
Rhinitis chronic
Status epilepticus
Traumatic eye
Ulcer nasal septum
White
M F
1
3
0
21
2
2
3
0
0
0
0
2
0
0
0
3
1
0
0
0
3
8
1
17
0
0
1
2
10
1
1
0
1
0
2
0
Colored
M
0
2
4
77
0
0
11
2
0
3
1
3
0
4
0
0
0
10
0
0
3
0
1
u
0
3
1
0
1
3
0
0
0
0
1
I
0
0
1
0
I
0
8
0
0
0
0
0
1
0
0
0
0
0
2
0
0
0
3
0
0
0
0
0
38
0
0
5
0
0
u
0
20
0
Total
0
0
0
0
o
0
0
0
0
0
1
1
0
1
0
2
0
0
0
0
0
0
0
0
0
0
2
0
0
o
4
146
2
2
22
2
1
3
1
28
1
5
1
11
1
1
1
1
6
9
1
23
1
1
1
4
26
2
1
1
1
4
3
1
1
5
2
2
3
2
1
5
1
2

rhttLJuJU
26
SEVENTYNINTH ANNUAL REPORT
Diseases of the Digestive System
Diseases of the Digestive System
Appendicitis acute
Carcinoma of stomach
Cholecystitis
Colitis acute
Colitis chronic
Diarrhoea acute
Diarrhoea chronic
Dysentery acute
Dysentery amoebic
Pharyngitis acute
Pyorrhoea alveolaris
Stomatitis
Stomatitis acute ulcerative
Tonsillitis acute
Tonsillitis chronic
Intestinal parasites
Ascaris lumbricoides
Diseases of the Respiratory System
Asthma bronchial
Bronchitis acute
Coryza acute
Pleurisy
Pleurisy with effusionII
Pneumonia broncho
Pneumonia hypostatic
Pneumonia loborIII
Diseases of the Circulatory System
Endocarditis
Hemorrhoids
Hemorrhoids external
Mitral regurgitation
Myocarditis acute
Pericarditis
Valvular heart disease
Diseases of the G U System
Carcinoma of cervix
Carcinoma of uterus
Dysmenorrhea
Gonorrhoea
Meuorrhagia
Nephritis acuteIJ
Nephritis chronic
Vaginitis purulent
Diseases of the Skin Glands and Cellular
Tissue
Abscess of arm
Abscess of cervical gland tubercular
Abscess of forehead
Axillary abscess
Burn of 2nd degree of face
Cellulitis of foot
White Colored
M F M F
0
0
2
0
1
1
0
2
0
0
2
0
0
0
22
0
0
0
0
0
10
2
3
0
0
1
0
2
0
3
0
0
0
2
63
0
2
1
0
0
0
0
0
2
2
4
3
1
1
0
0
0
0
0
0
3
0
0
1
0
0
0
0
6
15
0
0
0
0
0
2
0
1
0
0
0
1
0
i
0
0
0
0
0
0
1
I
0
0
1
0
1
0
0
0
4
7
1
0
1
1
3
12
Total
3
1
2
1
3
67
1
7
8
2
3
2
1
26
86
1
7
4
1
1
20
3
6
1
2
2
1
2
1
1
1
2
2
6
3
2
1
1GEORGIA STATE SANITARIUM
27
Diseases of the Skin Glands and Cellular
tissue Continued
Cellulitis of hand
Oellulitis of leg
Epithelioma of thigh
Erysipelas facial
Erysipelas not specified
Furunculosis
Gangrene hand and foot
Herpes zoster
Mastitis acute
Pediculi corpons
Scabies
Tinea circinata
Tinea cruris
Ulcer of leg
Ulcer of leg chronic
Miscellaneous Diseases
Angioneurotic oedema
Infection maxillary sinus
Inguinal hernia
Labor
Pregnancy
Total
White Colored
M F M F Total
1 1 0 0 2
3 2 0 0 5
0 0 0 1 1
3 3 0 0 6
1 4 0 0 5
1 0 o 0 1
1 0 0 0 1
0 0 0 1 1
0 0 0 1 1
0 0 2 0 2
7 9 0 0 16
0 0 0 1 1
0 0 1 3 4
0 3 2 0 5
0 0 1 0 1
0 0 1 0 1
1 0 0 0 1
0 2 0 0 2
0 1 0 0 1
0 2 345 0 75 0 2
169 125 714
SURGERY
The surgical work was kept up to its usual standard
during the year and the following tabulation gives the num
ber and kind of operations performed by members of the
staff
Minor surgical procedures such as incising abscesses
suturing wounds vaccinations etc are not included
Adenectomy double inguinal 1
Adenoidectomy and tonsillectomy 4
Amputation of finger 1
Appendectomies 10
Appendicostomy for dysentery 1
Circumcision 5
Cystotomy urinary bladder 1
Dilitation and curettage 5
Enucleation of the eye ball 1
Ethmoidectomy 1
Excision bunion 1
Excision epithelioma of face 1
Excision epithelioma of thigh 1
Excision ingrowing toe nail 6
Excision large tumor of palate and gum 1
Excision polypus from ear 1
Excision sebaceous cyst 2
1iilHi
28
SEVENTYNINTH ANNUAL REPORT
Excision tumor of gluteal region j
Excision tumor of jawZZ
Fistulectomy ZZZZZZ
Fistulotomy fistula in anoZZZZZZZZZZZZZZ
Hemorrhoidectomy 13
Herniotomy femoral hernia strangulated ZZZZZZ ZZ 1
Herniotomy inguinal 16
Herniotomy umbilical 1
Hysterectomy pan
Hysterectomy vaginal 2
Incision and drainage cellulitis handZZZZZZZZZZZ 2
Incision infected cellulitis finger 1
Intravenous administration salvarsan 597
Labor childbirth
Laparotomy and drainage pelvic abscessZZZ
Laparotomy and excision subserous fibroid of uterusZ 1
Laparotomy appendectomy and excision ovarian cyst 1
Laparotomy for intestinal obstructure 1
Laparotomy hysterectomy supravaginal for fibroid appendec
tomy single salpingocophorectomy 1
Laparotomyovarotomy and appendectomyZ 1
LaparotomySalpingocophorectomy PyoSalpinxZZ ZZ 1
Laporotomysuspension of uterusZZ 4
Laparotomysuspension of uterus and appendectomyI 2
Meatotomy
Nephrectomy acute hydronephrosisfloating kidney ZZ ZZZZ Z 1
Operation for cystocele
Operation for hydroceleI
Operation for pterygium 4
Operation for prolapse of rectum 1
Operation for strabismus
Paracentesis abdominis 2
Perineorrhaphy 4
Reduction and fixation collis fracture
Reduction and fixation dislocated inferior maxillaZ Z Z 2
Reduction and fixation fractured femur 2
Reduction and fixation fractured humerusZZZZZZZ 3
Reduction and fixation fractured inferior maxilla 1
Reduction and fixation metatarsal boneZ
Reduction and fixation fractured nasal bone
Reduction and fixation fractured radiumZZZ 1
Reduction and fixation fractured tibia and fibulaZZ 1
Submucous resection nasal septum 2
Thyroidectomy
Tonsillectomies gg
Tonsillectomies doubleZZZZ ZZ 37
Trephine for cystic tumor of brainZZZZZZZZZZZZZZ 1
Trephine for old depressed fracture of skullZZZZ 1
Total ZZT832GEORGIA STATE SANITARIUM
29
DEATHS
There were 283 deaths during the year 138 less than
the preceding year and the smallest number of deaths
since 1904
Of the 283 who died there were 87 white males 74 white
females 52 colored males and 70 colored females General
paralysis of the insane pulmonary tuberculosis and cerebral
hemorrhage were the 3 leading causes of death
The following tabulation gives classified information
as to the various causes of death during the yearHHHHHH
30
SEVENTYNINTH ANNUAL REPORT
Causes of deaths of Patients Who Died
During the Year 1922
Asphyxiation
Carcinoma of cervix with metastasis
Carcinoma of face
Carcinoma of left mammary
Carcinoma of liver
Carcinoma of neck
Carcinoma of prostate and bladder
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral syphilis
Cerebral thrombosis softening
Diabetes gangrene
Diarrhoea
Dysentery
Enteritis
Epilepsy
Erysipelas
Exhaustion
Exhaustion acute mental disease
Exhaustion chronic mental disease
Exhaustion senile gangrene feet and left
hand
Fracture of femur
Gangrene heel and ankle
iastric hemorrhage ulcer of stomach
General paralysis of the insane
Intestinal obstruction acute
Nephritis acute
Nephritis chronic interstitial
Organic brain disease
Organic heart disease myocarditisII
Pellagra
Peritonitis tubercular
Pneumonia broncho
Pneumonia hypostaticII
Pneumonia lobor
Pulmonary congestion following herniotomy
with ether enaesthetic
Pyloric stenosis
Septicaemia carbuncle kneeI
Syphilis
Traumatism by falling from window
Tuberculosis pulmonary
Tuberculosis miliary
Typhoid fever
Valvular heart disease aortic insufficiency
Unknown
White
M P
0
1
0
0
1
0
0
4
7
3
7
0
7
n
3
0
0
0
0
0
6
0
0
2
2
Colored
M F
gtel1 87 74 52 70
0
0
0
0
0
0
0
0
0
12
0
0
0
1

1
5
0
0
1
0
0
1
1
22
0
0
0
0
0
1
0
1
1
0
0
0
0
0
2
0
0
0
1
0
1
3
0
1
0
II
2
II
Total
1
1
1
1
1
1
1
4
2
32
1
3
1
5
5
8
15
2
1
5
3
1
1
1
1
42
1
1
12
16
7
17
1
23
6
32
l
1
3
10
283GEORGIA STATE SANITARIUM
31
TRAINING SCHOOL FOR NURSES
The curriculum of the Training School for Nurses was
kept up to its usual standard during the year
The influence of the training schoolis noted on all the
wards of the white female department and the infirmary
and sick wards of the white male department
During the latter part of the year some study and in
vestigations were made by the Clinical Director with the
idea of formulating a schedule of training for our atten
dants throughout the institution Wie contemplate getting
this in working order during the coming year
Detailed information relative to Training School for
Nurses will be found in Superintendent of Nurses report
OCCUPATIONAL THERAPY
We made some definite progress in therapeutic occupa
tional training during the year Arts and craft work among
the white females and colored females have been extended
and more definitely organized
Two new buildings one a tin and repair shop and arts
and crafts building were erected from reclaimed material
and lumber from and old cottage that was located near
colored female pavilion
Work simply as work is not of so great value unless
real interest is aroused for through interest an emotional
outlet may be attained Furthermore occupation may be
the means of sublimating repressed complexes
HYDROTHERAPY
This feature of treatment of certian distrubed type of
patients was kept up during the year and the hydrotherapy
rooms in the white male and female departments had a
trained person in direct charge of each The continuous
bath on colored male reception ward was very useful and
packs were given in the colored female department and
other departments of the institution where indicated and
no other type of hydrotherapy available
32 SEVENTYNINTH ANNUAL REPORT
DENTAL WORK
We have a dentist who resides within the Sanitarium
and is subject to call at all times He makes a routine ex
amination of the teeth of all patients admitted to the Sani
tapium and does dental work for all patients in the intsi
tution who need it Our physicians are alert to the possi
bility of bad teeth or other foci of infection being an etio
logical factor in mental disorders as well as being a factor
is causing other medical problems
Pharmaceutical and Laboratory Departments
The policy and standard of these departments were the
same as the previous year The report of the pharmacist
and laboratory technician gives some detailed information
as to the work of these departments during the year
PELLAGRA STUDY
The U S Public Health Service continued during the
year the study of pellagra under the direction of Dr
Joseph W Goldberger of Washington D C with Dr W F
Tanner in immediate charge This study has been going
continuously since 1914 During the past year this study
was along the same general lines as were followed the
previous year and the result according to these investigators
was confirmatory of their previous conclusions that the
etiology of pellagra is a deficiency of proteins in the food
OUR NEEDS
Some of the buildings of the Sanitarium are badly in
need of repair and are deteriorating as a result It will
cost about 20000 to make these repairs
Our ice plant is inadequate and the cold storage needs
modernizing This would require about 30000
We need an occupation therapy building preferably
constructed of brick size 100 x 40 feet far the white females
Estimated cost 9260
We do not know when we shall have a fire that will
destroy some of our buildings and menace the lives of our
patients We hope that we will not have such an exGEORGIA STATE SANITARIUM
33
perience but we should be prepared and make provisions
for such It is estimated that it will cost 2500000 to
build an adequate number of KirkerBender fire escapes to
give us sufficient avenues of escape in case of fire
Our water main from the water works to the Sanitarium
crosses two streams and is subject to overflow by high water
from the river for a mile of its length Should there happen
a leak or break during a period of high water it would
be an impossibility to fix it until the water receded We
have a supply of water in our cistern that would last us a
couple of days and high water frequently lasts several days
or more than a week Our Engineer informs me that it
would not only be wise but economical to put in a duplicate
main If the pipe line capacity is doubled the velocity in
feet per second of the water flowing in the pipe would be
reduced by one half and the present friction loss by 70 per
cent The estimated cost of this main is 4238200
The overcrowding in the white female department
makes it necessary that something be done to remedy this
The completion of the Nurses Home would relieve this con
dition for some time as the rooms occupied by nurses and
attendants could be used for patients It will take an addi
tional appropriation of 6700000 far this item
In the following statistical tables will be found addi
tional classified information of interest of the patients ad
mitted during the year
Respectfully Submitted
R C Swint M D
Superintendent

34
SEVENTYNINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922
Appling
Bacon
Baker
Baldwin
Banks
Barrow
Bnrtow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Carroll
Catoosa
Charlton
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Dawson
Deeatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Efflngham
Elbert
Emanuel
Evans
Pannin
Payette
Ployd
Porsyth
White
M P
1
3
0
1
2
2
4
1
11
0
0
0
2
1
1
1
1
0
5
1
1
17
0
1
4
2
1
1
0
1
3
1
3
4
1
1
3
7
1
1
1
3
0
2
5
0
0
3
1
10
11
Colored
M P
0
3
3
3
5
1
1
2
0
0
0
1
0
1
1
2
0
13
4
2
1
0
0
3
5
1
4
0
0
3
2
0
2
9
1
1
0
7
0
0
3
0
1
2
2
1
4
0
0
0
3
0
1
0
1
0
5
1
0
1
1
3
0
2
0
1
2
0
0
24
0
0
2
0
3
2
1
0
1
3
1
1
0
0
2
3
1
2
3
0
0
1
2
0
0
0
0
2
0
0
0
3
1
0
2
1
0
8
0
0
1
1
3
3
1
1
0
0
0
0
24
1
0
1
0
0
1
0
1
6
0
1
3
0
0
0
1
1
1
1
0
1
1
1
1
0
0
1
0
o1
Total
1
4
1
Q
4
1
7
9
4
29
2
1
4
4
7
4
5
2
2
8
3
1
78
5
3
8
2
4
7
6
3
14
4
5
11
3
1
7
20
4
5
5
10
1
4
11
1
1
5
4
13
5GEORGIA STATE SANITARIUM
35
Admissions from the Various Counties
During the Year 1922
Continued
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haraldson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meri wether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
White
M F
0
22
0
0
3
4
2
1
6
0
6
1
4
1
0
3
4
2
1
3
0
1
2
1
0
1
2
0
2
0
0
0
0
1
1
5
2
3
0
1
2
0
0
0
1
4
0
0
1
0
2
4
2
24
1
1
1
1
1
2
3
1
4
1
5
1
2
3
Colored
M F
0
2
2
2
1
1
0
1
1
5
0
0
1
1
1
1
0
0
1
1
0
2
1
0
3
2
0
0
2
0
3
2
1
0
0
0
1
0
2
0
0
1
1
3
2
1
0
0
Total
5
62
1
1
5
6
6
4
11
2
11
0
0
1
1
1
1
1
0
1
4
1
0
1
1
0
1
1
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
3
1
2
1
0
2
0
0
2
0
2
2
11
3
5
7
8
5
5
7
3
1
3
3
2
6
5
1
6
2
1
1
7
1
5
8
4
4
2
1
8
2
5
1
3
13
1
3
11
1
6
8IIH
36
SEVENTYNINTH ANNUAL REPORT
Admissions from the Various Counties
During the Year 1922
Continued
Piekens
Pierce
Pike
Polk
Putnam
Rabun
Randolph
Richmond
Rockdale
Schiey
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Telfair
Terrell
Thomas
Tiit
Toombs
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Total
White Colored
M
P
2
0
3
1
0
1
2
1
0
0
0
3
1
1
1
1
1
1
2
3
3
1
1
3
0
0
1
1

2
1
1
1
0
2
2
3
1
0
4
1
1
2
1
2
1
7
0
2
2
0
3
0
0
0
0
0
2
4
3
4
3
1
2
1
1
1
1
2
0
4
1
4
3
2

1
0
M
F
0
0
1
1
2
0
1
0
0
2
1
0
1
0
1
2
5
2
1
1
1
0
1
0
3
0
1
0
1
0
0
1
0
2
0
0
0
0
2
0
0
268 272 160
0
0
1
0
0
0
7
2
0
0
0
1
0
3
5
2
0
1
1
1
4
0
0
0
0
0
1
0
1
0
2
1
1
2
1
0
0
0
1
1
0
157
Total
7
3
3
6
4
2
10
11
1
4
3
1
7
4
7
5
6
4
5
8
11
7
5
2
8
1
3
2
4
3
4
6
2
9
2
6
5
5
5
2
1
857GEORGIA STATE SANITARIUM
37
Nativity of All Patients Admitted
During the Year 1922
White
M F
Alabama
Canada
Connecticut
Denmark
Florida
Georgia
Germany
Illinois
Ireland
Italy
Kentucky
Maryland
Michigan
North Carolina
Pennsylvania
Russia
South Carolina
Tennessee
Texas
Virginia
Unascertained
1
0
0
235
1
0
1
1
0
0
0
4
2
0
4
2
0
1
Colored
M F
6
0
1
1
2
235
0
1
0
0
1
1
1
3
1
1
6
4
0
1
7
0
0
0
0
1
150
0
0
0
0
0
0
0
0
0
0
5
0
1
0
3
Totill JJ68272160 157 857
142
0
0
0
0
0
0
0
2
0
0
7
0
0
0
1
Total
16
1
2
1
4
762
1
1
1
1
1

1
9
3
1
22
6
1
2
20
85738
SEVENTYNINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922
Agricultural Pursuits
Farmers
Farmers daughters
Farmers sons
Farmers wives
Farmers widows
Farm laborers
Farm laborers daughters
Gardener
Truck farmers111
Professional Service
Druggist
Jeweler
Minister
Ministers wives
Music teacher
Physician
Physicians daughtersI
Physicians sonsI
School teachers
School teachers wife
Domestic and Personal Service
Barber
Clothes presser
Clothes pressers wife
Governess
Housekeeper
Janitor
Janitors wife
Laborers
Laborers wife
Laborers daughter
Laundress
Laandrymans wife
Mail carriers
Piano tuners
Policeman
Policemans wife
Porter
Quilt maker111
Seamstress
Servants
Soda water dispenser
Tailor
Waiters wifeI
Trade and Transportation
Accountant
Advertising agent
Rank clerk
Government clerk
Clerks
Chauffeur
Bookkeepers
White Colored
M
114
0
14
0
0
7
0
0
2
2
2
2
0
0
3
0
1
0
0
0
0
0
0
0
0
0
14
0
0
0
0
2
2
2
0
0
0
0
0
1
1
0
1
1
1
2
8
0
3
M
2
19
0
68
5
9
9
0
0
0
0
0
3
1
0
1
0
2
0
0
0
1
1
21
0
0
1
1
1
0
1
0
0
0
1
0
1
6
2
0
0
0
0
0
0
0
4
2
0
18
0
1
0
0
76
0
1
0
0
0
1
0
0
0
0
0
0
1
1
0
0
0
1
0
37
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
62
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
5
0
1
6
0
0
27
0
I
0
0
0
0
0
0
5
0
0
1
0
0
0
II
0
I
o
Total
134
21
15
77
5
154
9
1
2
2
2
3
4
1
3
1
1
2
1
1
1
1
1
26
1
1
58
1
1
27
1
2
2
2
1
1
1
6
7
1
2
1
1
J
1
2
12
2
3GEORGIA STATE SANITARIUM
39
Classified Occupation of Patients Admitted
During the Year 1922
Electricians wives
Florists wife
Foremans wife
Funeral director
Insurance agent
Insurance agents wife
Lineman
Live stock dealer
Merchants
Merchants daughter
Merchants wife
Moving picture theatre managers wife
Mule trader
Photographer
Post office clerk
Post office clerks daughter
R R conductor
R R conductors wife
R R engineer
R R engineers wife
R R fireman
R R firemans wife
R R flagman
R R section hand
R R section hands wife
R R switchman
R R switchmans wife
Sailor
Salesman
Salesmans wife
Stenographers
Telegraph Operator
Telephone operators wife
Truck drivers wife
Manufacturing and Mechanical Pursuits
Brickmason
Basket maker
Carpenter
Carpenters daughter
Carpenters wife
Machinist
Machinists daughter
Machinists wife
Mechanics
Mechanics wife
Moulders
Painters
Painters wife
Food and its Kindred Products
Cook
Dairymen
Fishermans wife
White
M F
0
0
0
1
2
0
1
1
7
0
0
0
1
1
1
0
2
0
1
0
0
Colored
M
3
1
1
0
0
2
0
0
0
1
2
1
0
0
0
1
0
0
0
1
0
1
0
0
1
0
0
0
0
2
4
0
1
0
0
0
0
2
3
0
1
2
0
2
0
0
3
3
0
0
F Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
I
16
0
3
1
1
1
2
2
1
1
7
1
2
1
1
1
1
1
2
2
1
1
1
1
1
2
1
1
1
1
5
2
4
1
1
2
3
1
3
2
3
2
1
2
3
2
1
4
3
20
1
140
SEVENTYNINTH ANNUAL REPORT
Classified Occupation of Patients Admitted
During the Year 1922
Continued
Fish Merchants son
lee dealer
Oyster cleaner
Textiles
Cotton mill employee
Cotton mill hand
Coton mill hands wife
Cotton mill laborers son
Cotton mill operative
Cotton mill superintendents daughter
Leather and its Kindred Products
Shoemaker
Iron Steel and Their Products
Blacksmith
Boiler maker
Plumber and steam fitter
Lumper and its manufacturers
Cabinet maker
Gin saw builder
Planing mill laborers wifeI
Saw mill laborer
Saw mill laborers wife
Sawyer furniture factory
Turpentine laborer
Wood worker
Miscellaneous
Laborer in match factory
Peddler
Student
School girl
Tramp
Vocational trainingEx Service
None
Unascertained
White Colored
M
JTotal 268 272 160 157
14
3
1
1
0
1
I
1
0
0
0
0
5
0
0
1
M
0
2
2
0
0
0
ir
15
0
U
0
0
0
0
1
0
0
1
1
0
0
0
0
1
0
6
3
Total
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
3
11
68
32
857
Aes of First Admissions During the Year 1922
Classified With Reference to Principle Psyeho
sesWhite Population
WHITE MALES
YEARS
Under
20
Traumatic psychoses
Senile psychoses
Psyohoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
TJndiagnosed
Not insane
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
21
30
1
0
0
2
i
0
0
0 0
2
0
0
15
8

1
2
9
3
0 0 0
Total
25 46
0
0
0
4
0
0
it
3
1
0
0
10
4
0
1
1
0
0
4
0
0
0
0
34 28
Over
70
0
i
6
I
1
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
Is
WHITE FEMALES
YEARS
Under
20
0
14
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
0
0
0
1
n
0
0
0
0
0
0
2
6
0
4
0
2
2
0
0
0
0
20
0
0
0
0
0
0
0
0
0
1
0
11
13
0
5
0
4
4
7
1
0
0
0
461 49
0
0
3
0
1
0
1
0
0
1
0
10
5
1
2
0
0
1
4
3f
I
6
3
0
2
0
0
0
0
01 0
0 0
6
1 0
0
0
0 0
16
Over
70
Total
13
0
5
2
0
0
0
1
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
3
1
2
1
O
M
O
fa
o
CO

H
w

to
a
g
10
375Ages of First Admissions During the Year 1922
Classified With Reference to Principle Psycho
sisColored Population
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane
Mental deficiency without psychosis
Total
COLORED MALES COLORED FEMALES
YEARS 61 YEARS
Under 21 31 41 51 Over Under 21 31 41 51 61 Over
20 30 1 40 0 50 0 60 0 70 70 20 30 40 50 60 70 70 Total
0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 2 0 4 0 0 0 0 1 5 0 12
0 0 0 2 10 5 0 0 0 1 2 1 2 0 23
1 3 3 6 4 2 0 0 3 4 2 1 1 0 30
0 0 1 0 0 0 0 1 1 1 1 1 0 0 6
0 0 0 0 0 0 0 0 0 n ii 1 0 0 i
0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 l 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 0 0 3 2 1 1 0 0 9
0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
6 5 6 3 3 0 0 8 23 11 7 6 2 0 80
3 19 10 1 0 0 0 5 8 5 1 0 0 0 52
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 6 3 1 0 0 0 6 1 1 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 5 0 0 0 0 0 1 6 2 1 1 0 0 24
1 2 6 2 1 0 1 1 0 0 0 0 0 0 1
0 1 0 0 0 0 0 0 0 a 0 0 0 0 1
0 0 0 0 1 0 0 0 22 0 45 0 28 0 16 0 12 0 10 0 0 1
21 42 32 15 22 7 5 277
CO
H

H
2
a

a

b
S3
H
tJ
O
S3
3Degree of Education of First Admissions During
the Year 1922Classified with Reference to
Principle Psychosis White Population
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
Total
WHITE MALES
a
o
0
1
2
0
1
0
o
i
0
0
0
4
2
0
1
2
0
12
2
0
1
0
0

a o
S3

1
4
6
4
0
0
1
2
1
1
0
11
7
0
2
4
6
0
5
0
0
1
1
i 29 1 82 59
5S
i 5 o
OlP3
WHITE FEMALES
0
2
3
0
1
0
0
0
0
1
1
7
1
0
6
0
0
10
4
0
0
0
0
36
12 01
W SO OJ o 5 a SB OtJ
a d t O o O02 a o a w aj
03 03 tS fa W 05 Coll Una tain
0 0 0 0 0 0
0 4 4 1 0 2
0 2 1 0 1 1
0 0 2 0 n 1
0 1 0 0 0 0
0 0 1 0 0 0
0 0 1 0 0 1
0 0 0 0 0 0
n n 0 0 0 0
0 3 1 0 0 1
0 1 0 0 0 0
0 14 18 1 1 2
l 13 18 4 0 4
n 0 1 0 0 0
0 5 4 0 0 0
0 2 0 0 0 0
0 4 3 1 0 0
0 2 0 0 0 0
0 8 6 1 1 2
0 0 0 2 0 0
0 0 0 0 0 0
n 0 0 0 0 0
0 0 0 0 0 0
l 59 60 10 3 15
o
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
3
1
2
1
375
O
H
O
J3

i

H
w

z

dDegree of Education of First Admissions During
the Year 1922Classified with Reference to
Principle Psychosis Colored Population
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Not insane
Mental deficiency without psychosis
Total
COLORED MALES
COLORED FEMALES




m
W GO CP
fl 31 3 c
1 4 L
0
3
10
9
0
0
0
0
1
0
8
18
7
13
G
0
1
a o o
aoflj
o cj s a
0
0
0
0
0
tl
0
0
0
0
11
0
0
0
1
1
0
71 12 39
6
1
0
1
0
1
0
0
11
5
0
4
1
0
0
0
1
1
0
0
0
0
0
0
II
3
0
I
1
0
o
0
0
0
0
0
I
0
0
I
0
0
0
0
0
0
0
0
2 t
S 3
8 SB
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
15
2
0
23
8
4
9
0
0
a a
3
a
3 c
1 o

o
l
0
0
0
0
0
0
II
II
I
0
0
I
0
II
0
0
0
1
4
0
26
9
4
0
1
0
0
67 Ol 50 8
0
0
0
0
0
0
II
II
0
0
6
1
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
I a
i 3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
0
1
1
1
1
0
0
0
1
0
0
0
s
1
0
0
0
s
o
1
12
23
30
6
1
1
1
9
1
80
52
20
24
14
1
1

ss
K

t1
M
o
W
0 131 277

GEORGIA STATE SANITARIUM
Environment of First Ad
missions During the Year 1922
Classified with Reference to Prin
ciple Psychosis White Popula
tion
MALES
Traumatic psychosis
Senile psychoses
Psychoses with cerebral arteri
osclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psvchoses with Huntingtons cho
Psychoses with other brain or ner
vous disease
Alcoholic psychoses
Drug psychoses
Psychoses with pellagra
Psychoses with other somatic dis
ease
Manicdepressive psychoses
Pementia praecox
Paranoia or paranoic condition
Epileptic psychosis
Psychoneurosis or neuroses
Psychoses with psychopathic per
sonality
Psychoses with mental deficiency
TJndiagnosed
Not insane
Drug addict without psycho
Epileptic without psychosis
Psychopathic personality
without psychosis
Mental deficiency without psycho
sis
Total
tf

A
9
2 11
01 5
0 1
0
2
1
0
0
8
5
0
1
0
0
0
0
1
II
1
3
2
0
1
1
0
34
II
0
5
6
0 13
1 10
511 15 121
3
2
21 0
0
o1
0
0
0
0
1
2
0
0
0
0
0
3
4 60
0
0
0
6
1
211
20
1
12
2
5
14
0
0
0
0
45
FEMALES
1
33
24
15
5
3
5
4
9
3
8S
59
1
22
9
0 14
0 at
1 40
0
0
0
0
llll 7 37546
SEVENTYNINTH ANNUAL REPORT
Environment of First Ad
missions During the Year 1922
Classified with Reference to Prin
ciple Psychosis Colored Popula
tion
MALES
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteri
sclerosis
General paralysis of the Insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons cho
rea
Psychoses with other brain or ner
vous disease
Alcoholic psychoses
Psychoses with pellagra
Psychoses with other somatic dis
ease
Manicdepressive psychoses
Dementia praecox
K pi Up tie psychoses
Psychoses with mental deficiency
TJndiagnosed
Not insane
Mental deficiency without psycho
sis
Total 37
1 1 0 0
6 0
5 0
0 0
0 0
1 0
0 0
0 0
1 0
3 0
10 2
t1 1
2 n
Ci 1
0 0
1 0
37 4
lnl
Bs
FEMALES
u
D
to i
g M II
7 0
5 a p
46
0
0
6
0
35
8
5
8
1
0
8 75
1
12
23
20
G
1
1
9
1
80
52
20
21
14
1
1
277GEORGIA STATE SANITARIUM
47
Economic Condition of First Ad
missions Classified with Reference
to Principle Psychosis White
Population
MALES
CIS to
a
B 4
u
FEMALES
O
rJ raumatic psychoses
Senile psychoses
Psychoses with cerebral arterio
sclerosis
General paralysis of the insane
Psychosis with cerebral syphilis
Psychoses with Huntingtons cho
rea
Psychoses with other brain or ner
vous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellegra
Psychoses with other somatic dis
ease
Manicdepressive psychoses
I lementia praecox
Faranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic per
sonality
Psychoses with mental deficiency
TJndiagnosed
Not insane
Drug addict without psycho
sis
Epileptic without psychosis
Psychopathic personality
without psychosis
Mental deficiency without
psychosis
0
IS
in
0
1
1
3
Li
Total
80
10
13
d
a

1
0
0
3
2
21
19
0
9
1
93
0
0
0
0
25
1
33
21
15
5
3
5
1
9
3
89
59
1
22
9
14
31
40
3
1
2
1
375
48
SEVENTYNINTH ANNUAL REPORT
Economic Condition of First Ad MALES FEMALES
missions Classified with Reference to Principle Psychosis Colored Population Comftbl Marginal Dependent 5 8 3 o H
traumatic psychoses
Senile psychoses
Psychoses with cerebral arterio
scelerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons cho
rea
Psychoses with other brain or ner
vous disease
Alcoholic psychoses
Psychosis with pellagra
Psychoses with other somatic dis
ease
Manicdepressive psychoses
Dementia praecox
ilcptic psychoses
Psychoses witli mental denciency
TJndiagnosed
Not insane
Mental deficiency without psy
chosis
II 1 0 0 0 0
1 4 0 1 0 1
1 6 4 5 1 2
6 10 1 2 2 5
0 1 0 0 0 4
0 0 0 0 1 0
II 1 0 0 0 0
1 0 0 0 0 1
0 2 0 0 1 4
0 0 0 1 0 0
0 15 1 4 2 45
i 18 6 3 3 11
1 0 3 3 1 5
1 7 1 1 0 8
1 fi 3 3 1 0
0 0 1 0 0 0
0 20 0 76 1 24 0 24 0 0
15 94
94 18 10
0 0
12
23
30
G
I
1
9
1
80
52
20
24
14
1
277Civil Condition of First AdmissionsClassified with Refer
ence to Principle Psychosis White Population
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the iusane
Psychoses with cerebral syphilis
Psychoses with Huntingtous chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Psychoses due to drugs
Psychoses with pellagra
Psychoses with other somatic disease
Manicdepressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneurosis or neuroses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Undiagnosed
Not insane
Drug addict without psychosis
Epilepsy without psychosis
Psychopathic personality without psychosis
Mental deficiency without psychosis
Total
MALES
I
3 3
0
3
2
3
0
0
1
1
0
0
0
17
10
0
3
2
1
14
3
0
1
1
1
63
I o
0
12
11
8
1
0
0
2
3
2
1
2
5
0
3
4
3
4
10
0
0
93
0
5
3
0
0
0
0
0
1
1
0
5
0
0
0
0
0
0
2
0
0
0
0
17
1
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
III
0
0
0
1
1
0
0
1
0
0
0
1
2
0
1
0
2
0
0
1
0
0
0
10
FEMALES
B
3 3
0
2
0
1
0
0
0
0
0
1
0
5
15
0
5
0
4
9
7
0
0
0
0
49
11
93
1 5
o
9
3
0
2
0
1
0
0
1
1
4
4
0
2
0

l
o
0
0
29
a
0
0
0
0
0
0
0
0
0
0
0
1
1
1
0
0
2
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
3
o
s
1
33
24
15
5
1
3
5
4
9
3
89
59
1
22
9
14
31
40
3
1
2
1
O
H
O
to
o
in

H

3
5
0 375Civil Condition of First AdmissionsClassified with Refer
erence to Principle Psychosis Colored Population
Iraumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with Huntingtons chorea
Psychoses with other brain or nervous disease
Alcoholic psychoses
Jrsyclioses with pellagra
Psychoses with other somatic disease
Mnnicdenressive psychoses
Dementia praecox
Epileptic psychoses
Psychoses with mental deficiency
TJndiagnosed
Not insane
Mental deficiency without psychosis
Total
MALES
to u
91
0
0
0
3
0
0
0
0
0
0
10
14
7
11
3
1
1
0 d a

o o
P 31
0
1
4
3
0
0
0
0
1
0
I
1
1
0
2
0
0
50 69 13 0 9
is
a3
0
1
1
0
0
0
0
0
1
0
0
3
1
0
2
0
0
FEMALES
0
0
0
0
1
0
0
0
3
0
12
5
6
5
0
0
0
o
a
Q
1
0
0
1
0
30
8
2
3
0
0
32 58
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27 0
a
d S2
a a
15
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
o
l
c
6
30
6
1
1
1
9
1
80
52
20
24
14
1
1
en

as
A
X

2
d

t1
to
O
to
277Ages of Patients at Time of DeathClassified
with Reference to Principle Psychosis White
Population
Traumatic psychoses
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with cerebral syphilis
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manicdepressive psychoses
Involutional melancholia
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with psychopathic personality
Psychoses with mental deficiency
Unclassified
Total
MALES
Under
20
0
0
0
o
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
I
0
1
0
0
0
2
0
3
0
31 41
40 50
0 0
0 0
1 0
4 i
0 0
0 0
1
0
4
0
0
0
o1 o 0
0 0 2
2
0
0 0
1
0
1
0
0
0
Over Unascer
70 tained
2 6 7 10 13 21 20
0
10
7
0
0
0
0
0
1
0
0
0
0
0
0
FEMALES
Under
20
4 3
41 51
50 60
0
0
1
1
0
o o
7 11
61 Over
70 70
0
in
0
0
0
2
0
0
0
0
0
0
1
0
0
1
Unascer
tained
4 5 14
Total
1
29
23
11
2
3
1
7
20
1
21
1
14
1
18
O
O
w

H

II
d
26 161Ages of Patients at Time of DeathClassified
with Reference to Principle Psychosis
Colored Population
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manicdepressive psychoses
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoses with mental deficiency
Undiagnosed
Total
MALES
Under
20
31 41
40 50
12
51 61 Over Unascer
60 70 70 tained
0 0
0 0
0 0
FE
Under 21 31 41 51
20 30 40 50 60
0 0 0 0 1
0 0 0 0 1
0 3 3 3 1
0 0 0 0 1
0 0 1 0 1
0 3 0 1 1
0 6 10 1 1
2 3 1 1 0
0 0 0 0 1
1 2 1 0 0
3 3 0 0 0
0 0 1 1 2
6 20 17 7 10
Over
70
Unascer
tained
Total
36
1
2
5
20
15
1
12
6
9
w

k
5

z

tr1
S
H
hd
O
3
122

Duration of Hospital Residence of Patients Dying MALES FEMALES
o M jl U
in HospitalClassified with Reference to Principle Psychosis White Population o m H o o o 04 O
PiH z U3 H OlM 0 t prH iH ii up 0 6 o o
0 0 0 1 0 0 0 0 0 0 0 0 0 1 IS Q
Senile psychoses 1 V 3 b u u U 1 3 0 5 3 1 u 29
1 a V V II II II II II II 1 II II n 23 w
n 0 8 n n 0 n n 1 n 0 n n 11
Psychoses with cerebral syphilis 0 l 0 0 0 0 0 i 0 0 0 0 0 0 2 H
Lsychoses with other brain or nervous disease 0 u 0 0 0 u 0 i u u 0 2 u 0 3
Psychoses with other somatic disease 0 0 0 0 0 u 0 n 0 1 0 U u u 1
Psychoses with pellagra 2 l 0 0 0 0 0 2 l 0 0 1 u 0 7 fe
Manicdepressive psychoses 1 2 1 3 0 l 0 U 2 2 4 2 i 1 20 2
Involutional melancholia 0 0 0 1 0 0 0 0 0 0 0 0 u u 1 3
Dementia praecox 0 0 2 2 0 2 1 0 1 1 1 3 3 5 21
Paranoia or paranoic condition 0 0 0 0 0 0 0 0 0 0 0 1 0 1 SI ii
Epileptic psychoses 0 1 0 2 2 0 1 1 0 1 3 2 2 0 14 d
Psychoses with psychopathic personality 0 0 0 0 0 0 0 0 0 u 0 1 U u 1 5
Psvchoses with mental deficiency 1 1 8 1 3 II 0 1 0 4 1 2 II 18
TTndiagnosed 0 0 10 0 15 0 37 0 3 1 7 1 2 0 4 2 12 0 6 0 18 1 15 0 10 3 9 8
Total 161
CT
OS
Duration of Hospital Residence of Patients Dying
in HospitalClassified with Reference to Principle
Psychosis Colored Population
Senile psychoses
Psychoses with cerebral arteriosclerosis
General paralysis of the insane
Psychoses with other brain or nervous disease
Psychoses with other somatic disease
Psychoses with pellagra
Manicdepressive psychoses
Dementia praecox
Paranoia or piranoic condition
Epileptic psychoses
Psychoses with mental deficiency
TTndiagnosed
Total
MALES
2
3
3
13
0
0
0
0
1
0
0
0
0
21
til cii
10
hOm
FEMALES
a
12
U
H o o
Y1 CD y1 Tt 6g
8 12
2 0 0 0
2 0 0 0
0 0 0 0
1 0 0 0
1 1 0 0
0 0 0 0
9 1 0 0
5 2 2 0
0 1 0 0
2 1 0 0
4 1 0 0
2 0 1 1
28 7 3 1
0
o
H
36
1
2
5
20
15
1
12
7
9
1 122
CO
H

H
H
k
2
d

ft
H
O
to
13GEORGIA STATE SANITARIUM
55
Dentists Report
For the Year 1922
Dr R C Swint Superintendent
Dear SirI have the honor of submitting the report of
the Dental Department for the year ending December 31st
1922
In caring for the mouths of the inmates of this Insti
tution the Dentist feels that the relief of acute suffering of
a dental origin is of first importance and should be relieved
as promptly as possible To this end those having patients
ill their immediate charge are instructed to report with
out delay all such cases as come under their observation
Certain hours in each day being set aside in which these
emergencies are met that immediate relief may be given
if posssible
Work of a temporary nature is frequently given to those
whose residence within the Institution will probably termi
nate at an early date that their teeth may not deteriorate
during the period of their temporary confinement
There are many patients however the length of whose
stay must of necessity be uncertain whose desire to con
serve their teeth whose habits of cleanliness and whose will
ingness to cooperate with the dentist justifies the most care
ful consideration Such patients are furnished thorough
dental treatment and work of a permanent nature
The mouths of all patients are subjected to an exami
nation soon after their admission one morning in each week
being set aside for this purpose
The Dentist resides within the Institution and his ser
vices are available at all times
Below will be found an itemized statement of the work
done in this department during the year just ended56
SEVENTYNINTH ANNUAL REPORT
Extractions 812
Gold fillings 4
Amalgam fillings 333
Cement fillings 151
Guttapercha fillings13
Synthetic porcelain fillings63
Gold inlays 3
Gold inlays reset 3
Nerve cappings g
Nerve treatments ig
Nerves devitalized 26
Root treatments g2
Root fillings 73
Abscesses lanced 15
Abscesses treated 43
Lancing gums over 3rd Molar 4
Treating gums about 3rd Molar 6
Treatments for pyorrhea alveolaris42
Cleaning teeth number of patients17
Removing calcareous deposits
number of patients37
Applications silver nitrate 6
Treatments for facial neuralgia 3
Treatments for acute odontalgia99
Treating gums number of patients 9
Treatments for oral ulcers 9
Treatments for stomatitis j
Plates made
Plates repaired jg
Porcelain crowns 5
Castbase crowns gold 4
Crowns removed 3
Crowns repaired jq
Crowns reset 3
Bridges made 2
Bridges removed g
Bridges repaired 2
Bridges reset g
Disfigured teeth shaped up
number of patients48
Setting screws in roots j
Removing impacted 3rd Molars 2GEORGIA STATE SANITARIUM
Removing sequestrum 1
Special calls to wards60
Number of new patients examined826
Number of patients treated924
Total number of operations
and treatments2019
Respectfully submitted
George IT Green
Dentist
57
58 SEVENTYNINTH ANNUAL REPORT
Report of Superintendent of Nurses
Dr R C Swint Superintedent
Dear SirThe following is a report of the Training
School for Nurses for the year beginning January 1st
1922 and ending December 31st 1922
The annual commencement of the Training School was
held October 17th at eight oclock in the amusement hall
Dr L M Jones Superintendent presiding
Diplomas were awarded to eight young ladies making
the total number of graduates ninetyfive
A most interesting and instructive class address was
very ably delivered by Dr George McDonnell of Waycross
Georgia
Hon John T Brantley President of the Board of
Trustees in his usual pleasing manner presented the diplo
mas and Mr C C Brantley Secretary of the Board of
Trustees presented the hospital pins to the members of the
graduating class
A reception and dance followed music being furnished
by the Sanitarium band
PLANS OF INSTRUCTIONS
The course extends over a period of three years includ
ing three months probation and six months affiliation in
some general hospital The course consists of lectures reci
tations demonstrations and practical work on wards diet
kitchen hydrotherapy occupation therapy and laboratory
NURSING STAFF
Superintendent of Nurses 1
Assistant Superintendent of Nurses 1
Supervisor 1
Chief Operating Nurses 2
Occupation Therapy Nurses 3
Hydrotherapy Nurse 1
NRay Technician lGEORGIA STATE SANITARIUM
59
Graduate Nurses employed as head Nurses10
Senior Nurses in School13
Junior Nurses in School13
Ereshman Nurses in School13
Total number Student Nurses 39
Number White Female Attendants139
Number of Vacancies 0
CURRICULUM
First Year
Anatomy and Physiology 16 hours
Nursing Ethics 8
Theory of Nursing 24
Hygiene for Nurses 16
Practical Demonstrations 24
Materia Medica 16
Dietetics 16
Bandaging 8
History of Nursing 8
Second Year
Medicine 16
Practical and Surgical Nursing 26
Nursing Ethics 6
Materia Medica 16
Advanced Anatomy 16
Obstetrics 16
Hydrotherapy 6
Massage 10
Dietetics 16
Clinical Medicine 10
Third Year
Surgery 16
Pediatrics 16
Disease of Nervous System 16
Occupation Therapy 12
Oral Hygiene 16GO
SEVENTYNINTH ANNUAL REPORT
Emergencies and Anaesthetics 16
Abnormal Psychology 12
Gynecology 16
Mental Diseases and Nursing Insane 16
Chemistry 8
Diseases of Eye Ear Nose and Throat 12
Bacteriology and Laboratory work 8
Graduates
Class 1912
Miss Annie Athonnow Mrs ParrellAssistant Super
intendent of Nurses Georgia State Sanitarium
Miss Vallie BadgerCharge Nurse Georgia State Sani
tarium
Miss Ora Barnett R N FloridaInstitutional ward
Psychopathic Hospital Indiana
Mrs Lula PutralPrivate duty nurse Dublin Georgia
Miss Willie Geigernow Mrs Goolsby Monticello
Georgia
Miss Emmie LayfieldCharge Nurse Georgia State
Sanitarium
Miss Alma SnipesDeceased
Miss Alice Vaughan R NSuperintendent of Nurses
St Elizabeths Hospital Washington D C
Mr Robert TaylorCharge Nurse Georgia State Sani
tarium
Class 1913
Miss Minnie ChampionCharge Nurse Georgia State
Sanitarium
Miss Eula Cheek R N OklahomaPrivate duty
Oklahoma City Oklahoma
Miss Mrytle DuBoseNow Mrs Arnsdorff Savannah
Georgia
Mrs Littleton DoughtryNow Mrs BeverlyPrivate
duty Atlanta Georgia
Miss Susie KempDeceased
Miss Lora MoranNow Mrs McCook Pierce Florida
Mrs Amanda OxfordDeceasedGEORGIA STATE SANITARIUM
61
Miss Alma Smith R NRed Cross Service Johnson
South Carolina
Miss Pearl Summerford R N FloridaSuperin
tendent of Nurses State Hospital Chattahoochee Florida
Miss Kate JacksonNow Mrs Childers
Miss Maude GriffinNow Mrs Roberts Reidsville
North Carolina
Miss Nannie FinneyChief NurseHall and Little
Sanitorium Milledgeville Georgia
Class 1915
Miss Mary BeckerditeNow Mrs SutherlandTracy
California
Miss Connie Cornelius Now Mrs Caskin Tampa
Florida
Miss Mary Lou HuffNow Mrs 0Brian Milwaukee
Wisconsin
Miss Ada NelsonNow Mrs Gordon Atlanta Georgia
Miss Dove ThurmondNow Mrs Farrell Augusta
Georgia
Miss Nan Walters R NChief Operating Nurse and
XJiay Technician Georgia State Sanitarium
Class 1916
Miss Margaret AtwaterNow Mrs Wooten Assistant
Pharmacist Georgia State Sanitarium
Miss Eula Belle Bailey R NNow Mrs Lamar Aiken
South Carolina
Miss Essie BarnettNow Mrs Evans Coburn Virginia
Miss Mary L Buford R NMetropolitan Life Insur
ance Company Macon Georgia
Miss Ida Godfrey R NPublic Health Nurse Chicago
Illinois
Miss Addie Grimes R N New York Waynesville
North Carolina
Miss Ethel HowardNow Mrs Staubs Aiken South
Carolina
Miss Myrtle May R NNow Mrs Le Flame Atlanta
Georgia
Hi
l

62
SEVENTYNINTH ANNUAL REPORT
Miss Hattie OsborneNow Mrs Pierce Milledgeville
Georgia
Miss Rosa SimmonsNow Mrs Switzer Hardwick
Georgia
Class 1917
Miss Emma AshurstPrivate duty Atlanta Georgia
Miss Daisy Clark R NNow Mrs Pulton Atlanta
Georgia
Miss Cornelia CannonNow Mrs Harrison Macon
Georgia
Miss Florence DixonNow Mrs Stone Dixons Mills
Alabama
Miss Anna Mae BarronPrivate duty Dublin Georgia
Miss Ruby Edwards R N Now Mrs SappAtlanta
Georgia
Miss Willie Greene R NNow Mrs Baker Florence
South Carolina
Miss Elizabeth Grimes R N New YorkArmy Nurse
Corps Fort McPherson Georgia
Miss Agnes HemphillNow Mrs Murdoch Bolixi
Mississippi
Miss Fannie Etouria HarrisMarried
Miss Ada HarperPrivate duty Atlanta Georgia
Miss Emma LongNow Mrs Murray Jacksonville
Florida
Miss Rosa Mercer R NNow Mrs Buford Macon
Georgia
Miss Clara Molton Charge Nurse Georgia State
Sanitarium
Miss Illah PerryNow Mrs JoinerFlorida
Miss Anna Mae SimpsonNow Mrs Brake Milledge
ville Georgia
Miss Annie Lou WardNow Mrs Marchman Hardwick
Georgia
Class 1918
Miss Johnnie RobinsonChief Hydrotherapy Nurse
Georgia State Sanitarium
Miss Eva TaylorCharge Nurse Georgia State Sani
tariumGEORGIA STATE SANITARIUM
63
Miss Essie WadeNow Mrs West Macon Georgia
Miss Valera WommackPrivate duty Dublin Georgia
Miss Parnella WryeNow Mrs Giddins Eastman
Georgia
Miss Minnie Belle WrightNow Mrs Evans Greenville
South Carolina
Mr J C JohnsonLaboratory workGeorgia State
Sanitarium
Class 1919
Miss Minnie ClayNow Mrs Bryan Milledgeville
Georgia
Miss Marie DunfordPrivate duty Albany Georgia
Miss Inez DunfordNow Mrs Glisson Miami Florida
Miss Teif er Estes R NChief Operating Nurse Male
Department Georgia State Sanitarium
Miss Florence Kitchen R N S CDr Kings Sani
tarium Stone Mountain Georgia
Miss Bertha Morris R N S C General duty Aiken
Hospital Aiken South Carolina
Miss Amy Leah Oxford R N Chief Occupation
Therapy Nurse Georgia State Sanitarium
Miss Marie PullumNow Mrs Prosser Milledgeville
Georgia
Miss Nolah Scott Now Mrs Davis Milledgeville
Georgia
Miss Lucy WatsonNow Mrs Gidley Athens Georgia
Class 1920
Miss Ruth Barrett R N S Cprivate duty Atlanta
Georgia
Miss Annie BrananUnable for duty Oakville Sani
torium Oakville Tennessee
Miss Edith Boyd Aiken Hospital Aiken South
Carolina
Miss Mary GouldNow Mrs Burnett Macon Georgia
Miss Bessie GouldNow Mrs Joiner Palatka Florida
Miss Ethel Head R N S C Now Mrs Ham
Ilardwick Georgia
Miss Ethel SandersNow Mrs Green Dublin Georgia
Miss Reece SpurlockNow Mrs Sandstrom Texas
64
SEVENTYNINTH ANNUAL REPORT
Class 1921
Miss Leola AyersPrivate duty Memphis Tennessee
Miss Mattie Lou BrantleyCharge Nurse Georgia
State Sanitarium
Miss Mae Elizabeth Coleman R N Private duty
Atlanta Georgia
Miss Stella HutchinsonCharge Nurse Georgia State
Sanitarium
Miss Gladys KitchingsCharge Nurse Georgia State
Sanitarium
Miss Mabel McDonaldCharge Nurse Georgia State
Sanitarium
Miss Florence PettigrewNow Mrs Jones Slocomb
Alabama
Miss Cora Renfroe Charge Nurse Georgia State
Sanitarium
Class 1922
Miss Cora Grace BinfordSpecial Psychiatric Nurse
Georgia State Sanitarium
Miss Myrtis DarbyAiken Hospital Aiken South
Carolina
Miss Nannie B PordhamNow Mrs Prosser Milledge
ville Georgia
Miss Ruby GodfreyPrivate duty Memphis Tennessee
Miss Gertrude HamAffiliating six months University
Hospital Augusta Georgia
Miss Mattie Cornelia JohnsonGeneral duty The Clinic
Macon Georgia
Miss Gracie Ellen PeareePost Graduate course Uni
versity Hospital Augusta Georgia
Miss Mary Regina StricklandPost graduate course
University Hospital Augusta Georgia
I wish to express my appreciation and thanks to the
Medical Staff and other Officers for lectures and medical
services rendered the nurses during the year
Respectfully Submitted
Mae M Jones R N Ohio
Superintendent of NursesGEORGIA STATE SANITARIUM
65
Report of Dietitian
Dr R C Swint Superintendent
Dear SirThe following is a report of the Dietetical
Department of the Georgia State Sanitarium for the year
1922
Plans have been prepared for two diet kitchens in the
Colored Department also for enlarging and completely
equipping the diet kitchen in the Twin Building so as to
make this the main diet kitchen of the institution
For the purpose of improving our methods of baking
we had a chemist from one of the largest flour mills in the
North spend several days in our bakery He gave us many
valuable suggestions which are being carried out A bread
room for storing bread until delivered to the wards is in
the course of construction this will prevent the bread dry
ing out and also prevent waste in this food
A white uniform has been adopted by all the employees
in the department
The amount of daily garbage has been one of our big
problems the daily weighing of which would help us to
keep up with the amount wasted in each food At different
times during the year we have weighed the foods before
being served and the amounts left after serving these
amounts varied from 9 to 50 We have no means now
of weighing the food daily from each building a pair ot
scales in a sheltered portion of each garbage house would
be necessary Constant and daily supervision of the garbage
will help us reduce it to the minimum One pound of gar
bage per person per day should be the maximum some of
the buildings are above and some below this amount
With the cooperation of the Farm Steward we have
tried to have an equal distribution of vegetables to each
kitchen due to amounts of waste under different condi
Sons this has been difficult to do If the vegetables could be
cleaned in one central place then weighed and distributed
the amounts would always be accurate
66
SEVENTYNINTH ANNUAL REPORT
iProm time to time the cooks are weighing fuel and ash
in their respective kitchens and have economized greatly in
this item
As you will notice from our report the amount of can
ning done this year was much higher than in the previous
year We have asked for a cannery to take care of the ex
cess vegetables raised so that none will be wasted Besides
saving these we could can about all the vegetables needed
during the winter
Except the building and equipping this would have
practically no cost as the work here could be done by our
colored female patients
The following is the canning report for the year
Strawberry Preserves 202 Glasses
Pear Preserves58 Gallons
Blackberfy Jelly34 GWs
Apple Jelly216
Grape Jellym GWg
Peaches14Q
rears
PPtl6S185 Gallons
ZTS202 Gallns
S267 Gallons
P 745 Gallons
i icicle Cucumbers ql n
Tomatoes Okra 0M
Egg Plant 42 s
Lima Beans JJ a 0ns
Mustard Pickle fqi 0M
Chili Sauce a ons
Tomato Pickle3367 ZZl
cooperation and kindness shown throughoutTe year
Respectfully
Mrs J K Pettit
DietitianGEORGIA STATE SANITARIUM
67
Report of Pharmacist
Dr R C Swint Superintendent
Dear SirThe following is a report of the Pharma
ceutical Department of the Georgia State Sanitarium for
the year of 1922
You will see from the attached manufacturing report
that we are still putting out all preparations used in the
Institution in the line of Tinctures Elixirs Syrups and
other Pharmaceuticals found in the U S P and N F The
report shows over five thousand pounds of the products
made during the year While we sent out over thritytwo
thousand prescriptions
We owe much of our success in handling this depart
ment to the cooperation of yourself the Board of Trustees
and the Medical Staff for which I wish to thank each of
you most cordially
Below is a condensed list of manufactured products
Tinctures Spirits Extracts2372 Lbs
ElixirsU48
Syrups 290
Ointments 107
Liquors Lotions Mixtures1129
Library Paste I8
Medicated Dusting Powder 4
Baking Powder 33
Indelible Ink 24
Glycerites 152
Liniments 1
Quinine Anodyne Influenze Capsules filled 25000
68 SEVENTYNINTH ANNUAL REPORT
1922 STATEMENT
Dec 31st Inventory as of Dec 31st 1921581965
Purchases During the Year
Drugs Chemicals Dental Sur
gical and Laboratory Suppliesl 145937
Freight and Express 40252
Total 1186189
Less Goods Returned 25044
Total 1161145
1743110
Deduct Inventory at Dec 31st 1922 530095
Goods to account for12 13015
Credits
Departmental Sales
Prescriptions tilled for Wards 32921
aggregating 1151395
Sales to Officers and Employees 61620
Total 1213015
Respectfully submitted
J J Wootten
PharmacistGEORGIA STATE SANITARIUM
69
Report of Matron
Dr R C Swint Superintendent
Dear SirPermit me to submit the following as a
list of articles made in the white female department for
the year beginning January 1st 1922 and ending Decem
ber 31st 1922
All the cutting is done in the sewing room except some
of the gingham dresses A large per cent of the sewing
such as pillow cases sheets underwear gowns etc is done
by patients on the wards but all the pants operating lmen
burial pillows etc are made in the sewing room
We have six employees and six white female patients
employed in the sewing room
igham 25 Napkins 62
Aprons gingt
Aprons kitchen1381
Aprons operating 24
Aprons sleeve135
Bags ice 12
Bed ticks3337
Bonnets 16
Capes flannel 498
Caps operating 69
Chemise bleached175
Chemise unbleached4780
Covers operating pads 48
Covers table 22S9
Curtains draw bleached 327
Curtains long bleached 36
Curtains long unbleached 118
Diapers150
Drawers bleached 125
Drawers unbleached4211
Dresses gingham3680
Dresses homespun3184
Dresses strong 1396
Gowns bleached555
Gowns uubleached3655
Gowns examination 24
Gowns operating100
Hammocks 9
Bandages Width
Muslin Bandages2 in
Muslin Bandages 2 in
Muslin Bandages 3 in
Pants prs4849
Petticoats cotton 7681
Petticoats flannel225
Pillow cases bleached900
Pillow cases unbleached
10339
Pillows burial220
Pillows feather 12
Pillow ticks 964
Sacks cotton208
Sand bags 28
Scarfs dresser 1392
Sheets bleached 990
Sheets unbleached8496
Sheets section 16
Shirts night bleached375
Shirts night unbleached 1140
Skirts under bleached125
Skirts under unbleached2305
Towels hand 8886
Towels roller 124
Waist burial 125
Waist flannel225
Waist gingham boys250
Warmers foot 50
Length
1392 ft
1296 ft
288 ft
2876 ft
Scultetus Bandages

Respectfully submitted
Mae M Jones
Matron Protem70
SEVENTYNINTH ANNUAL REPORT
Report of Storekeeper
Mr L J Lamar Steward
Dear SirI herewith hand you my report for the fiscal
year ending December 31st 1922
Respectfully submitted
Arthur Farrell
Storekeeper
Stock on hand Jan 1st 1922 35 972 28
Mdse received Jan 1st 1922 to Jan 1st
192327392274
30989502
Issues Jan 1st 1922 to Jan 1st 192326798492
Stock on hand Jan 1st 1923 4L61644
Shrinkage 293 66
30989502GEORGIA STATE SANITARIUM
71

Report of Farm Steward
Dr R C Swint Superintendent
Georgia State Sanitarium
My Dear Sir I beg to submit a report of the food
stuffs produced in my department for the fiscal year end
ing Dec 31st 1922
Farm and Garden
Beets 799 bushels
Beans butter 57 busbels
Beans snap 2125 bushels
Beans velvet161440 lbs
Cabbage 45737 heads
Carrots 25 bushels
Cantaloupes 575
Collards21890 beads
Corn roasting M52 ears
Corn 6158 bushels
ComsUage 540 tons
Cucumbers 26 bushels
Egg plant 62 bushels
Fodder 31625 lbs
Lettuce 40 heads
Mustard 75 busbels
Oats shelled 5944 bushels
Oats sheath 65 tons
Oats straw 94750 lbs
Alfalfa hay 5 tons
Okra 571 bushels
Onions 577 busbels
Peas green 2912 bushels
Peas garden HO bushels
Peas Brabham 1810 bushels
Peppers 82 bushels
Peaches 1 bushels
PeavinS hay2850 lbs
Pork 33347 lbs
Potatoes Irish 332 bushels
Potatoes sweet 10094 bushels
Radishes 100 bushels
Rape 918 bushels
Rye 149 bushels
jmm
WafitoiootofcS
72
SEVENTYNINTH ANNUAL REPORT
Squashes 1612 bushels
Tomatoes 797 crates
Turnips 2266 bushels
Turnips and greens 4713 bushels
Watermelons 13425
Dairy
Sweet milk 71197 gaIlong
Sweet milk colony 570 gallons
Buttermilk 299 gaIlons
Butter 7S3 pouns
Butter colony 100 pounds
Cream 12 gaUoug
Beef 16345 pounds
Calves sold 9
Sacks sold 575
Loads of manure hauled to fields 1109
Chicken Yard
Eggs issued 1966 dozen
Eggs set 102 dozen
Chickens issued 122
In addition to growing and delivering these foodstuffs
to the institution we have cleared and broken sevearl acres
of land across the creek Have cut and sawed in stove wood
lengths and delivered to different kitchens and officers
houses about 400 cords of wood Have hauled all the coal
burned at the Center building boiler room shop boiler room
colored building boiler room Hospital detached buildings
and to the officers houses We have kept up the entire road
system of the institution making several improvements
in eliminating a dangerous corner at Twin Building and
one at the Colored building We also hauled from 200 to
300 loads of sand for the nurses home and about 50 loads
of sand at water works
I wish to thank you the officers of the institution and
others for the kindness and cooperation shown me through
out the year
Respectfully submitted
Signed F C Penuel
Farm StewardGEORGIA STATE SANITARIUM
73
Report of Chaplain
Dr R C Swint Superindendent
Georgia State Sanitarium
My Dear SirDuring the period of my service as
Chaplain for the Georgia State Sanitarium from Nov 1
1921 to Dec 1 1922 I conducted religious services in the
Chapel on Sunday afternoons also buried the dead and per
formed other duties of the office of Chaplain
The Chapel services were at all times well attended
and the patients manifested a splendid interest in the ser
vices I believe these Sunday afternoon services are not only
a diversion to all but of spiritual benefit to a great many
of the patients
The patients seem to enjoy especially the song service
and I believe that the benefits from the entire Chapel ser
vice might be greatly augmented by the addition of an effec
tive song leader or a stronger organ or other musical in
strument to lead the people in their singing It is very
difficult for the minister who as a rule is not a singer to
lead these people in this part of the service effectively as
not many of the patients seem to have any knowledge of
music They could however follow more effectively the
lead of a strong musical instrument and their singing would
be greatly improved
I can not close this report without mention of the un
failing kindness and keen interest at all times of the former
Superintendent Dr L M Jones whose patience never
seemed exhaused and whose interest in the services and in
the patients was always manifest I desire also to express
my hearty appreciation for the many courtesies extended
by the various officers of the Institution during the period
of my services and to commend the courteous attitude at
all times of the nurses and attendants who were present
at the services
May Gods rich blessing rest upon you and those asso
ciated with you in every department of this great work
for the relief of suffering humanity Inasmuch as ye did it
unto one of the least of these my brethren ye did it unto me
Respectfully submitted
Tiios Gordon Watts
Chaplain 19226665feapSgaa
74
SEVENTYNINTH ANNUAL REPORT
Report of Steward
For the Year 1922
Dr R C Swint Superintendent
Georgia State Sanitarium
Dear SirI have the honor of submitting the follow
ing Exhibits and Schedules making up a detailed report
of all receipts and disbursements through this office during
the fiscal year ended December 31st 1922
EXHIBITS
1
2
3
4
5
6
7
Consolidated Statement Cash Receipts and Disburse
ments
Analysis Cash Receipts and Disbursements General
and Special Funds
Balance Sheet at December 31st 1922
Statement of Income and Expenditures for Year
Profit and Loss Statement Farm and Garden
Profit and Loss StatementDairy
Comparative Analysis Surplus Account 19211922
Analysis Expenditure Nurses Home
SCHEDULES
1 Accounts Payable as of December 31st
2 Accounts Receivable as of December 31st
A comparison of the per capita cost for the year with
that of 1921 follows
Patients Per Capita Per Diem
1921 4097 24072 06595
1922 3918 23804 06525
Purchases have been promptly paid throughout the
year and cancelled vouchers and bills filed in the Executive
Department as required by law
Respectfully submitted
L J Lamar
StewardExhibit No 1
Consolidated Cash Statement Receipts
Q
H
o
c
3

E
i
2
I

Ed
5SUMMARY
Due Treasurer Overdraft1505274
Due Nurses Home Fund3427719
Due Patients 992891
Due Wing Whittle Building 12368
Total 5938252
Less Cash in Hand Treasurer 992891
Less Cash in Hand Steward 300000
Total 1292891
Cash Deficit Maintenance Fund
4645361
w
H

i3
k
k
lH
3
X

d

t1
to
H
0
O
to
i3Exhibit No 2
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Forward from 1921
In Hand Treasurer 951366
In Hand Steward 300000
State Appropriations
Support and Maint 1921 200000
Support and Maint regular
1922 80000001
Support and Maintdeficiency 15000000
Special Nurses Home 4000000
Patients Deposits
Miscellaneous Sales Etc
Food Supplies 194191
Coupons 101842
17000
6240
100
500
6280
67797
Bodies
Drugs
Dental Material
Laboratory Supplies
Barrels
Sundries
1251366
99200001
1444700
DISBURSEMENTS
Paid Otto M Conn Treasurer
Overdraft from 1921
Special Funds
Nurses Home 6l
Patients Withdrawals 140a7o
For Support and Maintenance
Officers Salaries 580J048
Wages Medical Department 21825343
Wages Stewards Department 4149269
Wages Engineers Department 5009987
Wages Farm G Department 1428315
6274776
4038219
Wages Dairy Department
44349
38680311
393950
Food Supplies
Wards 25094571
Supts Dining Room 244818
Stewards Dining Room 90173
Miscellaneous
Clothing and Dry Goqds 7598375
Furniture and Bedding 4135092
Fuel 5273300
Maint of Plant 2868558
Medical Supplies 1249314
25429562
O
H
O
S3
o
w

H
H
CO

S3
aI
Sales Farm Garden and Dairy
Calves 2000
Hides 12557
Sundries 20 59
Other Receipts
Board Special Attendants 106419
Telephone and Telegrams 6441
Wages Forfeited 19873
Care and Treatment W R I
Patients 435600
Interest on Balances 210886
Rents 12 70
Fines 800
Checks Returned 20617
Miscellaneous Income 63451
Occupation Therapy 97077
Insurance on Coleman Res 96000
Difference
Overdraft
General Fund
16616
1058434
1505274
Grand Total
104870341
Stationery and Postage 345424
Incidentals 4647644
it 26117707
Farm and Garden
Live Stock 10 00
Vehicles and Implements 4 650 89
Fertilizer 825o63
Seed 7948S
Sundries 505 37
n 1421177
Dairy
Feed 1351440
Miscellaneous Supplies 2 514 58
Sundries i2800
1615698
Total for Support Maint 93264455
Special Funds
Nurses Home 2635044
Patients Withdrawals 1403175
4083219
Balance Cash in Hand
Treasurer 992891
Steward 300000
1292891
Grand Total 104870341
H

55

55
25
X

55
55
C5

f
S3
H
d
oExhibit No 3
Balance Sheet at December 31st 1922
ASSETS
Cash in Hand
Treasurer Patients Fund 992891
Steward Working Fund 300000
Total 1292891
Miscellaneous
Unpaid Requisitions 300000
Freight and Express 110640
Total 410640
Accounts Receivable
Officers and Employees 57076
Bureau War Risk Ins 455567
U S Public Health Service 15638
Total 528281
Purchased Supplies
Storekeeper4161644
Sewing Room 397397
Engineer Fuel 895709
Engineer Misc Supplies 943926
Cold Storage 163922
Pharmacist 530095
Total 7092693
LIABILITIES
Due Otto M Conn Treasurer
Maintenance Fund 1505274
Due Special Funds
Nurses Home3427719
Patients Deposits 992891
Occupational Department 35758
Wing Whittle Building 12368
Total 4468736
Salaries and Wages
Employees for December2886925
Officers lor December 486912
Total 3328437
Accounts Payable
Purchases lor 1922 Schedule
No 2 743136
Surplus
As of Jan 1st 19228183354
Less Depreciation on Live Stock
and Vehicles and Implements 3970042
Balance 4213312
O
H
O
S3
O
w

H

I

S3
I
aFarm Products on Hand
Farm and Garden1876065
Dairy 291200
Total 2167265
Property Accounts
Live Stock Farm and Garden1762100
Live Stock Dairy1774500
Total 3536600
Vehicles and Implements
Dairy 93800
Farm and Garden 529625
Total 623425
Grand Total 15651795
Plus Excess of Income Above
Expenditures1392900
Balance at Dec 31st 1922
5606212
Grand Total
15651795
w

X

2
a

F
50
H
ill
O
50
i3Exhibit No 4
Income and Expenditures for Year
EXPENDITURES
General Administration
Officers Salaries 6050007
Wages and Labor
Medical Department22693773
Engineers Department 5211068
Stewards Department 4230714
Total 32135555
Food Supplies
Wards 29782110
Supts Dining Room 90173
Stewards Dining Room 244818
Total 30117101
Miscellaneous
Fuei 7260446
Medical Supplies 1152566
Stationery and Postage 345424
Furniture and Bedding 4002086
Dry Goods and Clothing 6428102
Maintenance of Plant 2868553
Heat Light and Power 1511974
Laboratory Supplies 54718
Office Supplies 20656
Dental Sup and Equipment 29971
INCOME
State Appropriation
Regular of Maintenance
f 80000001
Deficiency for Maintenance 15000000
Total
Miscellaneous
Board of Officers 55562
Board of Special Attendants 93091
Board Employees 405080
Rents 18200
Interest an Balances 211161
Sales Books 1200
Pines 5950
Dental Work and Material 100
Miscellaneous Income 132208
Care and Treatment Pa
tients 657000
Sundries 90402
Total
Additional
Net Profit from Dairy 303826
95000001
96669955
O
H
O
w
o
w

H
H

55

2
5Repairs Autos and Trucks 144505
Incidentals 3434245
Escaped Patients 17758
Advertising 16134
Amusements 103729
Travel 151796
Medical Books and Journals 27358
Telephone and Telegraph 46878
Surgical Instruments 30024
Total 95949591
Difference
Excess of Income Above
Cost of Maintenance 1392900
Grand Total 97342491
Net Profit from Farm and
Garden
Poultry Yards
268103
100607
Grand Total
97342491
w

H

K

f
H
O
wExhibit No 5
Profit and Loss Statement Farm and Garden
DEBITS
Inventory as of Dec 31st 1921
Purchases During Year
Nitrate of Soda 28188
844 Goods 796875
Garden Seed 71095
Freight 8393
Total
Departmental Purchases
Misccellaneous Farm Products3728308
Miscellaneous Farm Products 131000
Compost 122950
Total
Grand Total
Deduct
Inventory Dec 31st 1922
Net Cost Feeds Fertilizer Etc
Gross Profits for Year
Grand Total
1698000
904551
3982258
6584809
1876065
4708744
2556180
7264924
CREDITS
Production
Vegetables 2244135
Corn 769750
Hav 369722
peas 367750
Rye 159150
oats 594400
Oat Straw 92298
Pork 712700
Poultry and Eggs 15140
Dairy Products 17124
Pecans 3960
Fodder 31600
Silage 500000
Velvet Beans 883800
Potatoes 489600
Total 7251129
Sales
Miscellaneous 13795
Total 7264924
O
H
O
o
w

H
H
w

I
i3
Operating Expense Wages and Labor 1550521 CO
Gross Profit Brought Down 2556180
Board Employees 271930
Treating Hogs 26825
Misc Supplies and Repairs 465089
Gas and Oils 11090 03
Sundries 12622

Total 2288077 2
Net Profit for Year Exhibit No 4 268103
Grand Total 2556180 Grand Total 2556180 9 w z d

ft H O V



Exhibit No
Profit and Loss Statement Dairy
DEBITS
Inventory as of Dec 31st 1921 265900
Purchases During Year
Cotton Seed Meal 169000
Hulls 93928
Hay 291427
Molasses 119855
Velvet Beans 828
Silage 43596
Chow Chow 255200
Miscellaneous 422030
Total 1395864
Grand Total 1661764
Deduct
Inventory at End of Year 291200
Cost of Food Used 1370564
Gross Profit for Year 1105282
Total 2475846
CREDITS
Departmental Sales
Sweet Milk2143979
Butter Milk 1995
Butter 24540
Dressed Beef 118968
Compost 153922
Total
Cash Sales
Feeds 11105
Hides 10957
Live Stock 2500
Empty Sacks and Barrels 7880
2443404
Total
32442
O
H
O
SO
O
w

H
m

II
H

SO
a
m
2475846Operating Expense
Salaries and Wages 472218
Rents 12800
Miscellaneous Repairs 251458
Board of Employees 64980
Total 801456
Difference
Net Profit for Year Exhibit
No 4 303826
Total 1105282
Gross Profit Brought Down
1105282
Total
1105282
CO

i3
3
X

d
F
H
D
O
3

Exhibit No 7
Comparative Analysis Surplus Account 19211922
DESCRIPTIVE 1921 Total 1922 Total
Working Resources 3597228 201028 1579211 581965 1963900 3621977 203701 2068067 5881000 19698077 2295619 4161644 397397 943926 530095 2167265 895709 163922 623425 3536600






Property Accounts


Total 1251366 438046 500000 1292891 528281 300000 110640 13419983
Current Assets





2231812

21993696 15651795

Current Liabilities
Due for Supplies
Employees Wages
Officers Salaries
Outstanding Coupons
Total
Due Treas Maintenance Fund
Reserved for Special Funds
New Building
Wing Whittle Building
Patients Deposits
Occupation Therapy
Total
Grand Total
Surplus At Beginning of Years
Adjustment 19211922
As Adjusted
Less Excess of Expenditures
Plus Excess of Income
Net As per Books
Total
Grand Total
S 1137977 2817100 491496 33688 if 4480201 6274776 3056217 f 743136 2841525 486912

if 2062763 12368 95i366 29720 3427719 12368 992891 35758 4071573 1505274
22642063 87709 8133354 if 8133354 4468736
13811254 8182442 10045583
if 22554354 14371912 4213312 1392900
if 5606212
if 21993696 15651795
xn
H

1
Z
5
K

Z
c

w
H
D
O
taExhibit No 8
Analysis Expenditure Nurses Home
DISBURESMENTS
Brick 331325
Lumber 203477
Lime and Cement 93855
Tijg 33160
CrushedStone AlMl
Roofing 419338
Sewers
Sundries 2J3iiu
Total Q 1125515
Wages Employees 1389529
Insurance Builders Risk 120000
Total 1509529
Balance
Cash in Hand 3427719
rand Total6062763
RECEIPTS
Forward from 1921
Appropriated in 1922
2062763
4000000
2062763
O
H
O
fa
Q
CO

H
CO

d
90
SEVENTYNINTH ANNUAL REPORT
Report of Treasurer
Dr R C Swint Superintendent
Georgia State Sanitarium
Milledgeville Ga
My Dear SirAgreeable to your request of this dale
I beg to enclose a statement showing the receipts and dis
bursements of the Treasurer of the Georgia State Sanitarium
for the year 1922 and trust that you will find same in order
Yours very truly
Otto M Conn
Treasurer Georgia State Sanitarium
Statement of Receipts and Disbursements of the Treas
urer of the Georgia State Sanitarium for year 1922
Dec 31st 1921 Balance Cash on Hand 745277
Regular Maintenance Fund 80000001
Special Appropriation 14999999
Special Appropriation Nurses Home 4000000
Gov HardwickCheck Account Loss
Coleman House 96000
Refund Pay Roll for Month of March L J
Lamar Steward 19700
T R Bennett Supt of Banks Portion of
Unpaid Check of Bank of Emanuel 200000
Interest on Daily Balances 4 120 208125
L J Lamar Steward 1144258
101413360
Disbursements for the Year 1922 99034788
Dec 30th 1922 Balance Cash on Hand 2378572
101413360
As Treasurer Georgia State Sanitarium and as assis
tant cashier of Exchange Bank we certify that at close of
business Dec 30th 1922 there was to the credit of Otto M
Conn Treasurer Georgia State Sanitarium the sum of
Twenty Three Thousand Seven Hundred Eighty Five Dol
lars and Seventytwo Cents
Witness Otto M Conn
Treasurer Ga S S
H G Banks
D W Brown Asst Cashr Ex Bank
N P B Co GaGEORGIA STATE SANITARIUM
91
Report of Laboratory Technician
Dr R C Swint Superintendent
Dear SirThe following is a report of the Pathologi
cal Laboratory for the year 1922
Resume
Serological examinations as follows
Blood serum for the Wassermann Noguchireaction 1400
Cerebrospinal Fluid for the Wassermann Noguchi col
colloidal Gold Noguchis Butyric Acid and Ross Jones
reactions and Cell Counts 331
Clinical Laboratory examinations as follows
TJrmalysis
Feces Microscopic
Feces Chemical for occult blood
Sputum Microscopic for tubercle bacilli J
Blood films for malarial parasites 5
Blood Counts white red or differential
Blood hemoglobin estimations 6
Blood sugar estimations
Gastric Contents
Pus Microscopic aid Cultured l
Milk Chemical and Bacteriological
Bacteriological examinations as follows
45
Widals agglutination test
Cultures throat membrane
Cultures blood 4
Cultures urine
Cultures acetic fluid
Culture feces for bacillus typhosus
Vaccines autogenous prepared
Histological examinations as follows
4
Surgical Tissue 4
Dogs Brains
Post Mortem examinations as follows
Autopsies
Serological Examinations
The blood of the new patients have been collected in
activated and examined for the Wassermann Noguchi
reaction as in the past eight years
92
SEVENTYNINTH ANNUAL REPORT
Of the 1406 specimens of blood serum examined for
the Wassermann of these 820 were from the new admission
or routine cases and 586 were from the treated and non
routine cases
The following is a tabulation of the findings in the
routine blood examinations for the Wassermann reaction
Race Sex
White Females
White Males
Colored Females
Colored Males
No 4 plus Percent
No Ex reaction age
257 10 38
255 24 94
153 40 261
155 27 174
Total820 101 123
Of the above examinations five white females seven
white males two colored females and two colored males
showed a weak or three plus reactions making a total of
117 specimens that showed some degree of inhibition of
hemolysis thus raising the percentage of positives to 142
The reagents for conducting the Wassermann Nogu
chi reaction were made and standardized as in the past
The Wassermann Noguchi reaction has been made
in all new cases since 1913 and the following comparative
statement of percentage may be of interest
Percentage
plus positive
1914
1915
1916
1917
1918
1919
1920
1921
1922
General average for 9
98
116
125
134
158
157
200
155
123
years1406
Cerebrospinal Fluid Examinations
Of the 331 specimens of cerebrospinal fluid examined
for the Wassermann Noguchi Colloidal Gold Noguchis
Butyric acid and Ross Jones reactions and Cell Counts 234GEORGIA STATE SANITARIUM
93
were from the routine or new admission cases and the re
maining 97 were from the nonroutine or old cases and
treated cases Two of the nonroutine specimens were from
suspected spinal meningitis with negative results
The following is a tabulation of the findings in the 234
specimens of eerebrospinal fluid relative to the Wassermann
Noguchi Colloidal Gold Butyric Acid and Ross Jones
reactions with a comparative blood Wassermann reaction
Race Sex Blood Fluid BARJ Colloidal Number
Race hex mooo Globulin Goid Positive
White Fs 4 plus 4 plus Increased P Z 3
White Fs 4 plus 4 plus Increased S Z 2
White Fs Negative 4 plus Increased S Z 2
White Ms 4 plus 4 plus Increased P Z J
White Ms 4 plus 4 plus Increased S s
White Ms Negative 4 plus Increased P Z 4
White Ms Negative 4 plus Increased S Z I
Col Fs 4 plus 4 plus Increased P Z
Col Fs 4 plus 4 plus Increased S Z 3
Col Fs Negative 4 plus Increased P Z 1
Col Ms 4 plus 4 plus Increased P Z 12
Col Ms 4 plus 4 plus Increased S Z 4
Col Ms Negative 4 plus Increased P Z 3
Total considered pathological or 20
Average Cell Count in Paretic Zone72
Average Cell Count in Syphilitic Zone5J
General Average 5
General Average for the past two years
One of the routine specimens of spinal fluid showed a
three plus Wassermann reaction Miningetic Zone in the
Colloidal Gold reaction with a Cell Count of one hundred
thirtyfour and a negative blood Wasserman reaction The
specimen was also examined for bacteria with negative
results
Clinical Laboratory Examinations
Urinalysis Routine
The following tabulation shows the abnormal constit
uents found in the 490 specimens of the routine urine
Albumen cast and pus 6
Albumen cast and red cells 2
Albumen and cast 41
Albumen and pus108
94
SEVENTYNINTH ANNUAL REPORT
Albumen and red cells12
Albumen and few leukocytes106
Albumen sugar and pus l
Albumen sugar and cast 2
Albumen and Sugar 1
Albumen alone 8
Sugar alone 3
Total considered pathological290 or 591
Urinalysis Nonroutine
The following tabulation shows the abnormal con
stituents found in the 949 specimens of the nonroutine
urine
Albumen pus and red cellsj 20
Albumen pus and cast136
Albumen and pus191
Albumen and cast 7
Albumen and red cells 9
Albumen and few leukocytes370
Albumen cast pus and bile 1
Albumen and uric acid crystals 5
Albumen sugar and pus 5
Albumen sugar and cast 1
Albumen and sugar 1
Albumen alone 2
Sugar alone 1
Sugar albumen pus and cast 1
Cast alone 4
Total considered pathological754 or 783
Peces Microscopic
The following tabulation shows the microscopic find
ings in the 592 specimens of feces examined for animal
parasites or ova
Necator americanus ova alone42
Necator americanus ascaris lumbricoides and trichuris
trichiura ova 1
Necator americanus and trichuris trichiura ova 8
Necator americanus ova and strongyloides stercoralis
embryos 2
Necator americanus trichuris trichiura ova and cercom
onas hominis 1
Ascaris lumbricoides ova alone12
Ascaris lumbricoides trichuris trichiura ova and strong
yloides stercoralis embryos15GEORGIA STATE SANITARIUM
95
Ascaris lumbricoides trichuris trichiura ova strong
yloides stercoralis embryos and cercomonas hominis 1
Ascaris lumbricoides trichuris trichiura ova and en
tamoeba coli 1
Ascaris lumiiricoides and trichuris trichiura ova 50
Ascaris lumbricoides trichuris trichiura ova and cerco
monas hominis 1
Ascaris lumbricoides ova and entamoeba histolytica 1
Trichuris trichiura ova alone258
Trichuris trichiura ova and strongyloides sterco
ralis embryos 31
Trichuris trichiura ova strongyloides stercoralis em
bryos and cercomonas hominis 3
Trichuris trichiura ova strongyloides stercoralis em
bryos cercomonas hominis and entamoeba his
tolytica 1
Trichuris trichiura ova strongyloides stercoralis em
bryos and entamoeba histolytica 1
Trichuris trichiura ova strongyloides stercoralis em
bryos cercomonas hominis and entamoeba coli 1
Trichuris trichiura ova and cercomonas hominis 4
Trichuris trichiura ova cercomonas hominis and en
tamoeba histolytica 3
Trichuris trichiura ova cercomonas hominis and en
tamoeba coli 1
Trichuris trichiura ova and entamoeba coli 2
Strongyloides stercoralis embryos alone 22
Strongyloides stercoralis embryos and cercomonas hom
inis 2
Strongyloides stercoralis embryos and entamoeba coli 1
Cercomonis hominis alone 16
Cercomonas hominis and entamoeba histolytica 3
Cercomonas hominis and entamoeba coli 3
Entamoeba histolytica alone 2
Hymenolophis nana ova alone 2
Oxyuris vermicularis ova alone 1
Total positive for parasites or ova492 or 55
Feces Chemical
Two specimens of urethral pus were cultured one of
and four of these specimens were reported postive
Sputum Microscopic
Of the 90 specimens of sputum examined for tubercle
bacilli 11 were reported postive

96
SEVENTYNINTH ANNUAL REPORT
Blood Films Microscopic
Of the 65 specimens of blood examined for malarial
parasites 6 were reported positive for tertain parasites
Blood Sugar Estimations
Four specimens of blood examined and recorded for
their sugar content while several other specimens were
examined in experimenting that were not recorded The
MyersBailey Test Tube Colorimeter method was employed
The four specimens recorded were from patients with
positive sugar reactions in urine and specimens were col
lected after fourteen hours fasting and all were reported in
crease in sugar content
Bacteriological Examinations
Pus Cultures
Thirteen specimens of vaginal pus were cultured ten
of which were reported positive for Gram negative diplo
cocci or gonococci
Two specimens of urethral pus were cultured one of
these was reported positive for Gram negative diplococci or
gonococci
One specimen of pus cultured from facial ulcer and
was reported positive for streptococcus and staphlococcus
both aures and albus
Throat Membrane Cultures
Four specimens of throat membrane were cultured
with negative results for B diptheria
Blood Cultures
One specimen of blood cultured with negative results
Urine Cultures
Four specimens of catheterized urine were cultured
and were reported positive for staphlococcus aureus The
four specimens were from the same patient
Feces Cultures
One specimen of feces cultured for B typhosus with
negative resultsGEORGIA STATE SANITARIUM
97
Widals Agglutination Test
Of the fortyfive specimens of blood serum examined
for the Widals agglutination test twelve were reported
positive
The following is a tabulation of the ten autogenous
vaccines prepared
Prepared Bacteria Used Source
Number
3 Staphlococcus aureusalbus and bacillus
acne Face pustules
1 Staphlococcus aureusBladder
5 Staphlococcus aureusalbus Furuncle
1 Gonococcus and staphococcusUrethra
Total 10
In conclusion I wish to thank you the Clinical Director
Medical Staff and all concerned for their kind considera
tion and cooperation
Respectfully submitted
D C Leaptrott
Laboratory Technician9S
SEVENTYNINTH ANNUAL REPORT
Report of Engineer
Dr R C Swint Superintendent and Resident Physician
Dear SirPlease find below the annual report of the
Engineers Department for the year ending December 31st
1922
IMPROVEMENTS
Work on the Nurses Home suspended in September on
account of a lack of funds was resumed in December in a
small way it being necessary to make new contracts for lum
ber and to wait for its drying The roof of this building
is on and the sash are in the windows but not hung The
interior remains to be completed This includes the steam
heating boilers hot water apparatus plumbing electric
lighting cutting up the interior into rooms by partitions
plastering stairways all interior trim and painting
A concrete slop stand has been built in the back yard
of the T 0 Powell Building This stand takes the place
of several wooden ones which were located about the prem
ises It is supplied with connections to the sewer and has
hot water pipe connections for the purpose of keeping it clean
It also has a pipe frame around it which will be covered
with woven wire as a protection against dogs and buzzards
The telephone line to the water works has been reno
vated that part of the line running through the city bein
carried in the lead cable of the Milledgeville Telephone Co
and that on the other side on the poles of our power line
The service is much improved
A small porch has been built in the rear of the Echols
cottage
Toilets have been built in the backyard of the Twin
Buildings for the convenience of the patients and employees
working in the kitchen
A feed shed 100 feet long by forty feet wide at the
colony has been covered with galvanized roofing
The Colony Buildings have been overhauled and the
cottage occupied by Mr Swann has been painted inside
and outsideGEORGIA STATE SANITARIUM
99
A small leanto building has been built against the
wall near the horse stables with two waterclosets and a
shower bath placed therein for the use of the white and
colored garden hands
Two of the pumps at the water works have been
thoroughly overhauled and put in good working order The
other pair were worked over last year These pumps have
been worked for nearly fourteen years about half time with
out any extensive repairs having been made on them
previously
Three washing machines in the laundry for whites
have had the outer galvanized iron shells removed and the re
placement made with sheets of more permanent copper
Other washing machinery has also been repaired
Six rooms in the female and two in the male conva
lescent center buildings have been remodeled and plumb
ing installed making three tworoom apartments for officers
quarters
A porch has been built over the platform in front of
the coldstorage rooms the roof being covered with a Bar
retts 20 year specification pitch and gravel roof
The woodwork of the circular covered way around
the water tower has been renewed and covered with tin
The water closet in the recreation yard of the male
colored building has been remodeled and a new sewer run
from it in place of the original one which had become stop
ped up by roots having grown into it
The cooking apparatus in all the kitchens has been
overhauled and put in good working order
The pots for heating water for scalding hogs when
butchered have been moved from near the negro occupa
tion building to a point on the branch near the Hospital
and a concrete scalding vat and cleaning platform built
nearby
Electric lights have been put in all the nurses rooms
in the Twin Buildings Those roqms were not wired when
the building was first occupied100
SEVENTYNINTH ANNUAL REPORT
Two of the officers cottages have had new hot water
pipes run to them
The grade hands in this department have leveled off
the site for the new dairy building
The fire department has been reorganized under Mr
Miner and weekly drills are made
The cottage occupied by the engineer at the water
works which was destroyed by fire early in the year has
been rebuilt along the same lines as the original This
work was done by the regular force of carpenters employ
ed by the institution with the addition of a few extra hands
On the west end of the Green building where the walls
had spread through settlement six through bolts have been
run to prevent further movement
A sanitary system of sewers has been built at the
Colony for negroes with a septic tank and eight water
closets This does away entirely with the unsanitary open
privies previously in use there
A new stage has been built in the Amusement Hall in
the place of the old temporary one torn out
An electrically driven coffee grinder has been installed
in the storehouse It has the capacity of 180 pounds of
freshly roasted coffee ground fine per hour
A new dairy barn has been begun just to the north of
the present buildings This structure is 120 feet long by
35 feet wide It is well under way and will be completed
in thirty days
An electrically operated food grinder and mixer has
been installed in the kitchen of the T 0 Powell Building
Two toilet rooms have been built in the Negro Build
ing These rooms have cement floors laid on cinder con
crete and each of them is furnished with a bath and water
closets
One thousand square feet of wood flooring have been
laid in the Twin BuildingsGEORGIA STATE SANITARIUM
101
The work begun last year of replacing the worn out
and antequated seat flushing devices on the water closets
in the wards has been continued until now all of the water
closets in the institution with the exception of a few in the
Powell Building have the more modern overhead tank flush
ing equipment
The walls and the woodwork of the Infirmary in the
Powell Building have been enameled white
One room on the 20th white female ward has been
painted
The floors on wards A and D in the Whittle
Building have been stained and waxed
The Hot house has been repaired a new roof put on
and glazed and the entire building painted inside and out
The floors of thirty eight rooms other than those men
tioned above have been stained and waxed
All of the woodwork of the 21st white female ward has
been painted and enameled
The stairways and the walls of the stairwells in the
vestibules on each side of the Powell Building have been
painted
In addition to the ordinary repair work of the insti
tution the following work has been done in the several
shops
CARPENTER SHOP
48 Lattice benches
956 Scrub brush backs
12 plow beams
23 Wagon bolsters
62 Turned balusters
3 One horse wagon bodies
227 Window buttons
1 Splint
1 Wagon breast yoke
102 Flush tank boards
1 Proof box in bakery
10 Coal bins on casters
3 Large meat chopping blks
16 Oven peels
1 Large kitchen cabinet
1 Large supply cabinet
2 Tool cupboards
1 Elevator car
295 Lin ft wire fence built
8 Door frames
6 Large double yard gates
made
27 Wagon hounds
783 Mop handles made
9 Large dipper handles
1 Chicken house
210 Pass locks rebuilt
33 Polishing mops
LIBRARY102
SEVENTYNINTH ANNUAL REPORT
18 Binder blades
1 Broomcorn vat
3 Hay crates
4 Plush tank covers
36 Tomato crates
1 Rolling chair crated
1 Book case
1 Furnace door center
8 Small cabinets
1 Double ox yoke
15 Panelled doors
1005 Sqr ft floor laid
4 Large double gates made
236 Seed trays
5015 Sq ft floor laid in white
wards
8 Ax handles
40 Hoe handles
8 Step ladders
146 Table legs turned
56 Pot paddles
20 Coupling poles
1 Platform
52 Box benches
420 Basket bottoms
39 Flower boxes
10 Two horse wagon bodies
1 Ox cart
4 Large refrigerators
7 Fumigating boards
12 Meat boxes
15 Voucher boxes
2 Sixty ft cold frames
1 Bakers sponge board
2 Bread boxes
1 Meter box waterproof
1 Soiled clothes box
6 Barrel covers
11 Water cooler cabinets
1 Tool box
3 Chicken coops
2 Baskets crated
7 Soiled clothes closets
9 Rooms ceiled
130 Pot plugs
32 Curtain poles
2 Pistons for binders
5 Poultry racks
4 Clothes racks
6 Bed backrests
953 Fly swatters
1 Table for coffee grinder
16 Sets clothes shelves
2 Seesaws for children
24 Sash
1 Shed around kitchen at
negro building
11 Singletrees
6 Feed troughs
45 Tables
3 Laundry trucks
34 Screen doors
93 Window screens made
17 Porches screened
2 Ventilators screened
327 Coffins made
50 Chair rockers
1 Hat rack
26 Flights of steps
16 Flower stands
5 Stools
3 Dining room safes
4 Large double swings
1 Hay rake shaft
11 Wagon tongues
12 Doubletrees
1 Watering trough
15 Sink tables
1 Truck platform
4 Vegetable washers
227 Screen doors rebuilt
1242 Window screen repaired
3 Safes screened
3 Sleeping porches
screened
207 Boxes for shipping
coffins
TIN SHOP
5 Large refrigerators lined
2 Ash pans
5 Joints 6 in stove pipe
24 Large tin dippers
6 Vegetable washers lined
66 Large dish pans made
6 Coal shovels
12 Oil cans
1 Funnel
2 Tables zinc coveredGEORGIA STATE SANITARIUM
103
2 Ice boxes lined
12 Milk shakers
36 Flower basket cups
3 Milk cans
330 Ft couductor pipe set up
99 Ft of valley laid
60 Squares of new tin roof
12 Vegetable baskets
65 Joints 5 in stove pipe
140 Ft eav trough hung
360 Ft copper valley laid
BROOM FACTORY
5760 Brooms made
SHOE SHOP
1615 Pairs shoes half soled
1035 Heels repaired
15 Pairs rubber heels
1000 Heel plates put on
825 Whole heels put on
800 Rips sewed up
100 Insoles put in
FURNITURE AND HARNESS REPAIR SHOP
31 Trunks repaired
10 Organ stools repaired
307 Window shades put up
7 Mangle aprons made
26 Baskets crated
55 Reins repaired
8 Window awnings put up
4 Art squares laid
99 Horse collars repaired
207 Window shades repaired
24 Chairs upholstered
20 Sewing machines re
paired
29 Sewing machines crated
16 Pairs new reins made
4 Carpets put down
28 Pcs furniture crated
26 Reaper aprons made
775 Wooden chair seats put
on
160 Cane seats put on
66 Dressers Varnished
44 Tables made
134 Tables varnished
110 Stools repaired
158 Mirrors put in dressers
49 Safes varnished
175 Bed frames repaired
51 Lounges upholstered
95 Sets of harness repaired
190 Bridles repaired
206 Hamestrings made
10 Suit cases repaired
3565 Chairs repaired
37 Leather chair seats put
on
77 Dressers repaired
357 Board seats put on chairs
140 Tables repaired
75 Stools made
128 Stools varnished
59 Safes repaired
145 Bed springs put to bed
steads
50 Iron bedsteads repaired
58 Lounges repaired
84 Breechings repaired
12 Tie reins made
176 Backstraps made104

SEVENTYNINTH ANNUAL REPORT
PAINT SHOP
2 Dressers scraped and varnished
20 Chairs scraped and varnished
1 Window seat box grained and varnished
6 Sink tables painted
1 Bedstead scraped and varnished
123 Flush tank boards stained and varnished
2 Cabinets varnished
135 Sash painted
166 Window frames given two coats
13 Porches painted
2 Porch floors waterproofed
1 Wagon painted
3 Bath rooms painted
23 Yard benches painted
40 Window screens painted
1 Small house painted
1 Outside flight of stairs painted
1 Room at Colony painted
32 Squares of new tin roof painted two coats
1238 Large window glasses put inEightieth Annual Report
Board of Trustees
Georgia State Sanitarium
Milledgeville Georgia
For the Year Ending
December ThirtyFirst
Nineteen TwentyThree 0 I ffi
Board of Trustees
President
John T BrantleyBlackshear Ga
VicePresident
H II DeanGainesville Ga
Secretary
C C Brantley Valdosta Ga
E E LindseyRome Ga
J C JarnaginWarrenton Ga
A C NewellAtlanta Ga
Thos M Hall M IMilledgeville Ga
Thos R Wright M D Until July 1923 Augusta Ga
II W Shaw M D From July 1923Augusta Ga
Wm Rawlings M 1Sandersville Ga
DeceasedCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E E Lindsey Chairman
J C Jarnagin
Thos M Hall
A C Newell
C C Brantley
Finance and Auditing Committee
A C Newell Chairman
C C Brantley
Committee on Sanitation Medical and Dispensary Service
Win Rawlings M D Chairman
Thos M Hall M D H W Shaw M D
Committee on Buildings and Grounds
II H Dean Chairman
E E Lindsey
II W Shaw M D
Committee on Farm and Outside Business
II II Dean
J C Jarnagin Chairman
Wm RawlingsOfficers of the Sanitarium
R C Swint M D
Superintendent and Resident Physician
N P Walker M DClinical Director
L P Longino M DFirst Assistant Physician
Y H Yarbrough M DSecond Assistant Physician
J I Garrard M DAssistant Physician
Geo L Echols M DAssistant Physician
J W Oden M DAssistant Physician
J K Pettit M DAssistant Physician
W H Allen M DAssistant Physician
D T Rankin M D Until June 1923 Assistant Physician
E B Saye M D Prom June 1923Pathologist
C G Cox M D From July 1923Interne
U S Bowen M D From June 1923Interne
Jno R Harrison M D From July 1923Interne
G II Green D D SDentist
J J WootenPharmacist
Mrs Mae M Jones R NSuperintendent of Nurses
Otto M ConnTreasurer
Homer BivinsSteward
T H DeSaussureEngineer
II S JonesSecretary
F C PenuelFarm Steward
C C MinerAssistant Engineer
Arthur FaredStorekeeper
Mrs Ann G PettitDietitian
Miss Amy OxfordDirector Occupation Therapy
W W StembridgeInspector
Rev H D WarnockChaplain
ResignedEightieth Annual Report
OP THE
Board of Trustees of the Georgia State Sanitarium
MlLLEDGEVILLE Ga JANUARY 1 1924
To His Excellency Clifford Walker Governor
Sir The annual report required by law of the Board
of Trustees of the Georgia State Sanitarium for the year 1923
is now respectfully submitted
Report of Management
The accompanying annual report of the Superintendent
and Resident Physician to which is attached those of depart
ment heads give in essential detail the record of the heaviest
year in the history of the Sanitarium The new patients
received reached a total of 1157 an increase of 300 over 1922
The daily average number of patients resident in the Sani
tarium was 4172 exceeding the previous year by 254 Includ
ing its officers and employees the Sanitarium now has a popu
lation of 4899
The work of the medical department continues of unusual
excellence and shows the Sanitarium to be steadily advancing
in efficiency in the treatment of insanity It should be a mat
ter of pride to the State that this is so
The good work of the business officers is shown in a cost
to the State for each patient of 23495 in which every
expense connected with the Sanitarium is included This is
slightly lower than the cost of 1922 The daily cost for each
patient was but 6437 cents
The Training School for Nurses is a most valuable
adjunct and its thorough methods of training reflect much
credit on the Superintendent of Nurses in whose charge it is
The Sanitarium is well managed because well officered
Superintendent Swint although but a year in office has dis
charged his responsible duties most acceptably to the Board
He has the loyal support of the medical and business officers
and it is to their combined effort that the remarkably fine
record for the year may be attributed11
EIGHTIETH ANNUAL REPORT
Financial Condition
The deficiency appropriation granted at the last session
of the Legislature was unpaid at the close of the year greatly
to the embarrassment of the Board In consequence of this
the year closed with a deficit or overdraft of 22296603 The
Sanitarium was saved from a situation of exceeding gravity
only through the ability and willingness of the Treasurer of
the Sanitarium to advance the funds needed to meet its
expensesj and for this patriotic service lie is now tendered the
grateful thanks of the Board This dangerous experience leads
the Board to enter a very respectful protest against the cus
tom lately adopted of making appropriations for the support
of the Sanitarium which are known to be insufficient thus
placing on the Board the burden of finding funds with which
to meet its needs until a deficiency appropriation can be had
Such custom increases the cost because of the interest paid
on such funds The Board deems the custom as unwise as it
is dangerous The simple needs of this great family of the
afflicted are and ought to be a first charge on the resources of
the State and should be willingly and generously supplied
The receipts and disbursements for the year and the
financial condition of the Sanitarium at the close of the year
are shown in the following statement
Receipts 1922 1923
Balance from previous year 1251366 1292891
Regular appropriation 80000000 80000000
Deficiency appropriation 15000000 Unpaid
New building appropriation 4000000 00
Patients deposits 1444700 1665041
Miscellaneous sales etc 1669000 1026719
Overdraft with Treasurer 1505274 22296603
Total receipts104870340
Disbursements
Overdraft paid 6274776
Salaries and wages 38680311
Supplies bought 54584144
New building 2635044
Patients deposits 1403175
Cash on hand 1292891
Total disbursements104870341 106281254
106281254
1505274
38398595
59825049
3594374
1555259
1402703
The working resources and current liabilities at the close
of the year compared with the previous year are as followsGEORGIA STATE SANITARIUM
Working Resources
Cash on hand 1292891
Unpaid requisition 300000
Accounts receivable 528281
Sundry items 110640
Supplies at cost 7092693
Farm products valued at 2167265
Live stock farm implements etc 4160025
Total working resources 15651795
Working Liabilities
Overdraft with Treasurer 1505274
New building appropriation 3427719
Salaries and wages due and unpaid 3328437
Accounts payable 743136
Sundry items 48126
Patients deposits 9928S1
Total working liabilities 10045583
1402703
84996
805874
9816477
2165465
4160025
18435540
22296603
3375474
1107130
40107
1102703
I 27922017
Dangerously Overcrowded Condition
The Sanitarium has not room enough to meet the ever
increasing demand on it and the Superintendent now reports
that every bed in every ward is occupied The condition in
the white female department is especially bad for here a
normal capacity for 1164 patients is now stretched to accom
modate 1573 Such a condition is as dangerous as it is unsafe
Nor is it new as the reports of the Board made each year will
show It must be at once relieved if the Sanitarium is to con
tinue to function in this department A new building partly
completed is now had but until an appropriation is made for
its completion it must stand idle When it is completed it
will permit the removal of the nurses to it and thus vacate
their rooms on the wards for the use of the white female
patients This need is so imperative and further delay so dan
gerous that the Board very earnestly renews its request for
an appropriation sufficient to complete and furnish this build
ing It should be made available at once so that work may
be resumed on it without delay
Psychopathic Hospital
The Board again calls attention to the great need in
the equipment of the Sanitarium for a suitably located and
equipped psychopathic hospital to be used solely for the care
and treatment of curable cases of insanity Through it their
injurious association with the hopeless or chronic insane now
unavoidable would be done away with and a better chance
for recovery given them Such an addition to the equipment
would be not only a wonderful stimulus to the Medical Staff
but of great assistance to it In addition it would afford
needed relief to the present crowded wards in every depart
ment by the removal of such curable cases to it and might
well mark the limit in size to which the Sanitarium may be
wisely allowed to attain A building for this purpose fully
SoSoOOOO entSil a CSt f bGtWeen 25000000 ad
Occupational Therapy Building
Occupational therapy means simply the effort to divert
and hold the morbid mind by giving the hands interesting
employment Such markedly beneficial results have followed
its introduction especially among the chronic or hopeless
cases and the least attractive of these that it is being extended
as rapidly as possible For this purpose there is now needed
a small building for the use of the white female patients in
which they may be protected from the weather and occupation
taught them The cost is but 926000 The Board asks that
an appropriation be made in this sum and for this purpose
to become available at once believing that this progressive
work of the Medical Staff and nursing force is worthy of
every encouragement
Ice Plant Worn Out
The ice plant of the Sanitarium has been in use for more
than twenty years and is now not only outgrown but worn
out to such an extent that it is no longer equal to the demand
on it Inasmuch as an abundant supply of ice is so vital to
the comfort and wellbeing of the patients the Board now
asks for an appropriation of 2990500 which is the estimated
cost tor the installation of a new plant and for a needed addi
f ion to the cold storage room now had
Duplicate Water Supply Pipe Line
It is necessary to call attention once more to the situation
of the Sanitarium in respect of its water supply Its single
pumping station is located on the banks of the Oconee River
about four miles away from the Sanitarium which is reached
through a single pipe line running for one mile through land
subject to overflow when the river is in flood A break in it
at such time and place could not be repaired and a water
famine would follow Only a duplicate pipe line will protect
the Sanitarium and its inmates from such a happening andGEORGIA STATE SANITARIUM
its cost is estimated by the Sanitarium Engineer at 4403600
The very great importance of this protection fully warrants
the appropriation asked
Outside Fire Escapes
Criticism of the Sanitarium continues to be made from
time to time because of the absence from its equipment of
outside fire escapes such critics being apparently unmindful
of the fact that escapes of the usual ladder type would be as
dangerous to the patients as fire The Sanitarium has always
relied on inside enclosed stairway of wood well placed as the
means of escape in the event of fire The only type of out
side escape of any value would be the enclosed iron cylinder
with spiral slides known as the KirknerBender escape The
Board will be very glad to install these if an appropriation of
2500000 may be had to defray the cost
The Plant
The usual repair and replacement work has been carried
on through the year The increasing age of most of the build
ings makes this work an item of considerable and growing
expense The report of the Engineer will show how busy his
department has been
Planning Now for the Future
The Board believes the time is at hand when the State
should face the problem of founding a second hospital for the
insane The Sanitarium now has a population of patients em
ployes and officers of approximately 5000 and may not wisely
be permitted to attain a much larger size A second hospital to
care for the steadily increasing number of insane is the only
solution Whether it should be used to separate the curable
from the incurable cases or to separate the races or to be
a duplicate of the Sanitarium receiving all classes and races
is a matter which should receive mature consideration The
problem is one which might well be committed to a special
commission created for this purpose and reporting to some
future Legislature The Board will be glad to give its assist
ance in any way desired
Deficiency Appropriation for 1924
The regular appropriation of 80000000 for the support
of the Sanitarium in 1924 was known to be insufficient when
granted and it was far under the carefully prepared estimateHWI
mma
10
EIGHTIETH ANNUAL REPORT
of the Board submitted at that time The Board now esti
mates that the cost for 1924 will be 101547800 and to this
is to be added the deficit brought over from 1923 of 222
96600 From it is to be deducted the deficiency appropria
tion for 1923 when paid of 23986400 Thiswill leave a
deficiency of 19858000 to be supplied and an appropriation
in this sum and for this purpose to be made available in the
year as needed is respectfully asked
Regular Appropriations for 1925 and 1926
The very careful estimate of the Steward approved by
the Superintendent and checked by the Board fixes the num
ber of patients to be cared for in 1921 and 1926 and the sums
needed for their support as follows
1925 1926
For 4472 Patients 4G22 Patients
Salaries and wages 41159495 4253994
Food supplies 26358413 27242513
Clothing etc 8075250 8346150
Furniture bedding etc 6087675 8346150
Fuel and lights 9157675 9465525
Upkeep ot plant 3551580 3670680
Medical supplies 1101116 11380 16
btationery and postage 4725 91 4 88491
Miscellaneous expenses 6286636 64c75 36
Farm garden and dairy 2822124 29l6624
Total105072555 108597305
and appropriation in these sums are recommended
Summary of Appropriations for Needed Additions and Im
provements
1 For the completion and furnishing of the John T Brant
ley Building Nurses Home the sum of 8124500
2 For a new ice plant and enlargement of cold storage room
the sum of 2990500
3 For occupational therapy building for use of white female
patients the sum of 926000
4 For a duplicate pipe line from pumping station to Sani
tarium the sum of 4403600
5 For the installation of outside fire escapes the sum of
2500000
6 For the erection and equipment of a psychopathic hos
pital the sum of 25000000GEORGIA STATE SANITARIUM
11
Changes in the Law
The Board recommends the following changes in the laws
governing the Sanitarium
1 Amended so as to permit the transfer to the State Home
and School for the Feeble Minded of the children in
this class now inmates of the Sanitarium
2 Amended so as to forbid the reception of the criminal
insane whose care and safekeeping should devolve upon
the Prison Commission The Sanitarium is a hospital
and not a prison It has no means of safeguarding
these criminals The enforced association of the inno
cent insane with these criminals is repulsive to every
sense of decency
3 Amended so as to clearly define the classes entitled to
admission to the Sanitarium
4 Amended so as to provide for the admission on the recom
mendation of one or more reputable physicians of border
line cases for the purpose of examination and advice
For the Board
The Board has endeavored to discharge its full duty
punctually and faithfully It has held quarterly meetings at
the Sanitarium through the year and caused its committees
to visit it monthly The funds at its disposal have been care
fully administered Supplies were bought on competitive bid
as far as practicable The Superintendent has been given every
support The record for the year is full of hope The Board
is grateful to your Excellency for your continued confidence
and now thanks you for it With the prayer that the favor
of God may ever rest upon this great family of the afflicted
this report is now submitted
By order of the Board
C C Brantley
Secretarv
John T Brantley
President12
EIGHTIETH ANNUAL REPORT
Report of the Superintendent
Georgia State Sanitarium January 1st 1924
The Honorable Board op Trustees
Georgia State Sanitarium
GentlemenIn accordance with your requirements I
submit herewith the Eightieth Annual Report of the Georgia
State Sanitarium which covers the period from January 1st
1923 through December 31st 1923
Accompanying this are reports of the heads of the various
departments of the institution which I trust will give you a
satisfactory account of the management of the Sanitarium for
the year 1923
TABLE OF GENERAL INFORMATION
1 Date of opening as an institution for the
insaneOctober 12th 1842
2 Type of institution State
3 Hospital plant
Real estate including buildings169275000
Personal property 32745200
Total202020200
Total acreage of hospital property owned Includes
grounds occupied by buildings farm and garden
sites 3450 aereg
total acreage under cultivation previous year
1750 acres
4 Officers and employes actually in service at end of year
Superintendents
Clinical Director
Pathologist
Assistant Physicians
Medical Internes
Clinical Assistants
Resident Dentist
Stewards
Graduate Nurses
des Females Totals
1 0 1
1 0 1
1 0 1
7 0 7
3 0 3
0 0 0
1 0 1
1 0 1
1 16 17
GEORGIA STATE SANITARIUM
Other Nurses and
Attendants 186
All Other Officers and
Employes 203
Total Officers and
Employes 405
209
25
250
395
228
655
GENERAL STATISTICS OE PATIENT
FOR THE YEAR 1923
Total number of patients on records January
Admitted during the year
Males
First admissions 442
Readmissions 10
Total admissions 547
Total under treatment during the year
POPULATION
1st 19234553
Females
473
137
610
Daily average under treatment
Discharged during the year
Does not include patients on furlough
who have remained out over twelve
Males
As recovered
As improved 6
As unimproved 4o
As without psychosis 13
Total
915
242
1157
5123
4172
but those
months
Females
66
137
71
4
251
184
435
278
166
444
2286
317
2603
Total
163
233
116
17
529
350
879
4244
587
4831
Died
Total discharged during the year
Total actually in Sanitarium
January 1st 19241958
Total number at home on furlough 270
Total remaining on books2228
The work done by the Sanitarium for the reception care
treatment and discbarge of patients is the principal business
of the institution to which all other activities are secondary
and was increased compared to the previous year by 300 ad
missions 254 in daily average and 270 increased population
at the end of the fiscal year The percentage discharged
recovered and improved based on the number of patients
received during the year was 3315 This does not include
those furloughed during the year but those who have remained
out of the Sanitarium longer than 12 months and have made
readjustments that enable them to remain out of the institu
tion14
EIGHTIETH ANNUAL REPORT
You will find an analysis of the furloughed patients in
the Clinical Directors report Of the 720 patients furloughed
during the year 586 or 48 based on the number of ad
missions were furloughed as restored or improved
Some of the patients admitted to the Sanitarium are
incurable on admission and their problem is one principally
ol custodial care but the majority of admissions have prob
lems that aiv very complex as to etiology The cause of their
illness is not found in some existing physical disease alone
but to a complication of factors We cannot go verv far how
ever in the study of behavior disorders without becoming
aware that in order to understand them they must be studied
and considered in relation to feeling and thought In other
words we have to consider relations between soundness of
mind and soundness of body
In order to properly approach these problems it is very
essential that we know something of the personal and family
history of the case under study their habit of reacting to
various stimuli of their environment as to whether the re
action is graded to the stimulus and appropriate to tne occa
sion
An individual witli mental disease is as truly sick as one
with some definite physical disease and should beso regarded
hut there is still a great deal of prejudice and superstition of
mediaeval times among the educated and intellectual as well
as the uneducated in their attitude and notion of mental
diseases The general public has not become fully educated
to the necessity of making an intelligent contribution nor of
assuming the correct attitude toward their most unfortunate
fellow beings who have to he deprived of their liberty by the
very nature of their illness
Many of the things known and of recognized value are
not being made use of for the conservation of mental health
and the betterment of the race How ignorant we are of the
mechanism of heredity and yet how dependent we are upon its
influences
Does not the planter and the stock breeder pay attention
to the improving tendency of the laws of Heredity
Are we as human beings going to keep our eves closed to
its influences as applied to the race
No one can today be intelligently interested in questions
ot public welfare who is not prepared to consider the problem
Of eugenics m relation to individual success happiness and
race improvementGEORGIA STATE SANITARIUM
15
MEDICAL SERVICE
Several changes have taken place in the medical staff
luring the year
Assistant Physicians R W Bradford L A McCalla and
I T Raiikin resigned The two former to enter private prac
tice the latter to accept a position of promotion in a state
hospital in Pennsylvania
Drs U S Bowen C G Cox and Jno R Harrison were
employed as Internes to fill their vacancies
Dr E B Saye who was formerly Pathologist to the
Sanitarium hut resigned during the world war to enter the
army was reelected Pathologist and returned to us on June
1st and since that time has had charge of the laboratory
During the previous year he was Associate Professor of Path
ology and Bacteriology at Emory University Medical School
His training and experience should prove of great value to
the medical service of the institution In cooperation with
the medical staff he has begun some research studies of the
blood chemistry of epileptics
You will find a detailed report of the medical work
during the year in the report of the Clinical Director
Extra Mural Mental Clinics and Social Service
The maintenance appropriation for the Sanitarium has
been too inadequate to attempt the establishment of additional
mental clinics similar to the one that has been conducted at
Macon for several years It seems that the usefulness of the
institution might spread more and more into extramural ac
tivities along this line so that borderline and prepsychotic
cases could be reached before they are committable I believe
that the usefulness of the Sanitarium can also be extended
by establishing an out patient clinic at the institution I occa
sionally get letters from some physician or others asking for
advice or to recommend where they might go or send some
relative or friend for expert examination Furthermore the
service of the institution might be more efficient if our main
tenance appropriation was adequate for the inauguration
of a Social Service Department Much good could be accom
plished in this work along the lines of obtaining historical
data of new admissions and follow up or after care service
in the furloughed patients Conduct disorder is the chief
cause of the committment of patients and a properly or
ganized social service could do a great deal toward helping1C
EIGHTIETH ANNUAL REPORT
the furloughed patients through their earlier stages of adjust
ment in their various communities
Overcrowded
Your honorable body is fully aware of our overcrowded
condition as your attention has been called to this from time
to time and you have called attention to it in previous reports
to the Governor The matter has now reached that stage
where something must be done Every ward in the institution
is full and we are forced to make room for beds in every
available space that can be utilized for such purpose
In the white female department we have had to lattice
off a portion of some of the day rooms for beds Such a con
dition of overcrowding is to be regretted it is not safe for
we are forced to sleep two in rooms that should be occupied
by only one Allowing 1000 cubic feet of air space for each
patient our estimated capacity in the white female department
is 1164 while our actual resident population in this depart
ment is 1573 making 409 above normal capacity or 35
overcrowding
The time has come when the State will have to face the
problem of building another institution for the care and treat
ment of mental diseases in some other section of the State The
completion of the nurses home would not solve this problem
but would give us additional rooms that we badlv need In
tins connection I will state that the success of any hospital
whether state or private is greatly dependent upon its nurs
ing torce and we cannot expect the best and most efficient
services from our nurses and attendants unless thev are prop
erly domiciled and taken care of It is rather unreasonable
to insist that they constantly live in the environments of the
hospital wards I hope the next legislature can be made to
see the wisdom of making an adequate appropriation to
finish and furnish the Jno T Brantley Building our new
A arses Home that is already about twothirds completed
and has had to remain in this condition during the past year
on account of lack of funds for its completion
One of the worst features of this overcrowding is that
it interferes with and is a great handicap in the treatment of
our patients especially the habit training that is so essential
in many of the unfortunates who are sent to the Sanitarium
Finances
The report of the Steward gives an analysis of our income
and expendrtures for the year Economy has been the watchGEORGIA STATE SANITARIUM
17
word in every department and we have practiced the strict
est economy possible considering efficiency of service the
welfare of the patients and the preservation of the physical
plant The cost to the State for each patient was 23495 as
compared to 23804 the previous year The cost per day
was 06437 compared to 06525 the previous year This cost
included every expense connected with the care and treat
ment as well as the upkeep of the physical plant During the
year however we have been greatly handicapped in our efforts
by an inadequate appropriation to meet our actual needs Your
honorable body is thoroughly familiar with this matter and
I do not deem it necessary to elaborate on it The State has
no greater obligation nor will it ever undertake a more
humane endeavor than taking upon itself the responsibility
for the care and treatment of her unfortunate citizens who
are afflicted with mental diseases Civilization will have ad
vanced a step when social consciousness awakens to the impor
tance of placing at the disposal of the Boards of Trustees
funds adequate to meet the needs of the problem of conserva
tion care and treatment and rehabilitation in this field of
humanitys greatest wreckage
Improvements and Repairs
Some of the buildings of the institution have been occu
pied for more than 80 years and the wear and tear given a
building and its furnishings inhabited by all kinds of patients
afflicted with all types of mental diseases is necessarily great
Many improvements have been made during the year that
add to the value of the physical plant and equipment The
report of the Engineer Capt T H DeSaussure gives a de
tailed account of the improvements and repairs during the
year and it shows the mass of work along this line that is
required for the upkeep of the institution
Farm Garden and Dairy
By reference to the Farm Stewards report you will note
the amount of food stuffs produced during the year
Considering the excessive rains during the year I think
the amount produced makes a very favorable showing It
seemed at one time as if our corn crop at the Colony would
be almost a failure on account of excessive rains but the pro
duction was 7511 bushels compared to 6158 bushels the pre
vious year also 66525 lbs of pork compared to 33347 lbs
the previous year Our farm garden and dairy was operated
during the year at an estimated net profit of about 1300000OHWH
HBmmHU
18
EIGHTIETH ANNUAL REPORT
Religious Services
Religious services were held on Sunday afternoons each
week during the year by the pastor of the Baptist Church at
Milledgeville He also conducted the funerals of all white
patients buried in the Sanitarium cemetary The Catholic
Priest from the City of Milledgeville looked after the require
ments of the members of the Catholic Church Religious
services and burials in the colored department were conducted
by our local chaplain in that department
Amusements of Patients
The Sanitarium Band gave concerts for the patients three
times a week Moving picture shows were provided for them
twice a week and they attended their usual dances at the
amusement hall one afternoon each week Other features of
amusement such as walks and games viz tug of war foot
races sack races running and jumping climbing greased
poles baseball etc were provided
Reactions to amusement is very noticeable in an audience
composed of the colored insane Various forms of diversion
is appreciated by the patients of both the white and colored
races and it is beneficial to them In this connection I will
state that the improvement in the physical appearance of the
wards and its furnishings such as an extra coat of paint etc
has a salutary effect upon them
Needed Improvements Requiring Special Appropriations
1 The completion and furnishing of the Jno T Brant
ley Building Nurses Home
2 Enlargement of ice plant and reconstruction of cold
storage
3 Build and equip an occupation building for white
female patients
4 Install duplicate water pipe line from water works
to bamtarmm
5 Outside fire escapes for the various buildings
6 Build and equip a modern hospital building adequate
to accomodate all patients of both sexes and races who have
some definite physical disease problem requiring special medi
cal or surgical treatment with a centralized operating room
ouch an addition would modernize our institution and create
that atmosphere of progress and stimulatiou that nothing else
could GEORGIA STATE SANITARIUM
19
New Legislative Matters
1 Sec 3 Page 1634 Acts 1918 should be revised
2 Voluntary admission law should be enacted whereby
upon the recommendation of a reputable physician early and
borderline cases might be admitted for a few days for exami
nation and advice
3 Means for raising funds for aiding the maintenance
of the Sanitarium could be found in a county payment
law so formed that each county would become responsible to
the State Treasury for onehalf the amount it cost to main
tain and treat each patient committed from said county
4 To change the name of the Georgia State Sanitarium
to Georgia State Hospital
PELLAGRA STUDY
The U S Public Health Service continued during the
year the study of the dietary treatment and prevention of
pellagra begun at the Sanitarium in 1914 This work is being
done under the direction of Dr Joseph W Goldberger of
Washington D C and as for some years past Dr W P
Tanner continued in immediate charge of it
During the year tests of buttermilk batter and cod liver
oil were made with results according to the investigators
which confirm the previously favorable experience with milk
and indications that butter and cod liver oil are lacking iv
specific value in this disease
Acknowledgements
The successful management and conduct of the affairs of
an institution of the type and size of the Sanitarium cannot
obtain without loyal and efficient heads of departments and
loyal and cooperative employes He who assumes the respon
sibility of Chief Executive or Administrative Officer must
pay a great toll
I deem it privilege to express to your honorable body
my deep appreciation for your confidence kindness and
courtesy to me and for your constant interest in the affairs of
the institution during the year My profound gratitude is
here expressed to the Medical Staff other officers nurses
attendants and all other employes for their loyalty faithful
ness and cooperative spirit
We also express our sincere thanks to the Womens clubs
and other organizations and individuals over the State who
were so thoughtful and kind to send to the patients so many
boxes and gifts at Christmas time
Respectfully submitted
R C Swint Superintendent
nSHHHHH
20
EIGHTIETH ANNUAL REPORT
Report of Clinical Director
Dr R C Swint Superintendent
Dear SirI have the honor of submitting the report of
the Medical Department of the Sanitarium for the year end
ing December 31st 1923
During the year 1157 patients were admitted of whom
242 were readmissions 743 patients left the institution and
350 died

Tables 2 and 3 give diagnostic groupings of the first and
second admissions Twentythree patients were discharged
as not insane They were grouped as follows Drug addicts
not insane 12 Constitutional psychopathic inferiority with
out psychosis 3 Mental deficiency without psychosis 3 Alco
holism 1 Recovered before admission 1
Three not insane
Table 4 gives diagnostic grouping of those furloughed
The subsequent tabulations are self explanatory
The number furloughed as restored or improved was
48 of the admissions
Health
The percentage of deaths was 68 based on number treated
A large portion of the deaths were due to degenerative
diseases such as arteriosclerosis paresis nephritis etc
Sixtyseven per cent of the deaths from pneumonia occurred
in patients over sixty years of age Five cases of typhoid
fever with no deaths were reported during the vear The
entire population with the exception of a few sickand feeble
were vaccinated against typhoid There has been a very
noticeable decrease in the number of mosquitoes Only one
case of malaria was reported Pneumonia general paralvsis
of the insane and tuberculosis were the leading causes of death
Medical Work
Staff Meetings The policy of bringing before the Staff
only those new cases which presented some problem from the
point of cause diagnosis or treatment has been adopted This
is a time saving procedure and the Staff can spend its efforts
to the best advantage as a result At intervals also Staff
conferences have been held at which medical problems of
general interest were discussed These have been of much
valueGEORGIA STATE SANITARIUM
21
Sustained efforts have been made along two broad lines
intensive treatment of acute curable cases and improvement
or amelioration of chronic incurable cases
Occupation therapy diversion increased personal con
tact rest special diet and special nursing have been the chief
factors stressed in treatment of the acute cases Treatment
is begun in most instances at the time the patient is received
on the ward Provision has been made on the white female
reception ward so that new patients can be carried to occupa
tion rooms on the same ward This is of especial value since
it serves to check idle tendencies A ward full of busy
patients is an incentive to a new arrival A large number
of warm and cold packs are given on some of these wards In
the white male department a small tract of land has provided
the means of out door employment for a large number of men
This fulfills a long felt need There has been a most notice
able decrease in the number of baths and packs given since
this feature was inagurated Furthermore there are almost
limitless opportunities to further develop out door employ
ment and diversion in this department
Among the chronic cases more particularly dementia
praecox habit training and occupation are chiefly relied upon
In an institution so large as ours it is difficult to provide occu
pation or diversion for all
The medical and surgical work has been well taken care
of by the Staff
The pathologist collaborating one of the ward physicians
treated five cases of dementia praecox by intraspinous injec
tions of normal horse serum after the manner outlined by
Carroll No results were evident and the work was discon
tinued
In a similar manner blood chemistry of epileptics has
been taken up At this time no positive conclusions have been
reached
Laboratory The work here has been conscientiously and
efficiently done The serological information afforded is one
of the greatest value In addition to the routine duties some
research has been undertaken The laboratory is fulfilling its
function better than ever before
22
EIGHTIETH ANNUAL REPORT
Training School for Nurses
The work in this department has been carried on in the
same efficient way as fomerly The graduates have been
uniformly successful and reflect great credit on the training
school and its head It is a matter of pride to note that one
ox its graduates received the highest mark on the Slate Board
examination during the year
Training School for Attendants
This has been planned entirely along practical lines
Beginning m October a series of lectures dealing with every
day problems of nursing the insane were delivered to all the
attendants in the institution This was supplemented by
distribution of pamphlets giving illustrative cases with
methods of management The results have been better than
was expected The fact alone that the number of filthy
patients were reduced by 34 in a few months amply justi
fies all efforts made m this direction The ultimate aim of
this work is to increase loyalty Results will nal urally follow
In order to gam first hand information a graduate nurse has
spent her entire time doing mental nursing Her efforts have
been fruitful and we can reasonably hope for further ad
IZlV X T7 U hf been arraed t0 issue ith v
eaflets to the attendants and nurses in order that they may
be kep better posted as to what is being accomplished in he
medical work throughout the Institution
Occupation Therapy
Occupation therapy has been started at eight different
aZ t tl I06l0T Wm Sn be for occupancy
About three hundred patients daily is the average number
treated in this way This does not of course include tho e
working on the wards and in the industrial departments
The products of the occupation therapy group have been sold
and he proceeds reinvested in material in Addition a Rl
outfit that may be connected with any Ward having a telephone
has been purchased from the funds A portable movSp
Jure machine bought by this department is used chiefly for
the colored population This however mav be used on any
of the wards A recent exhibition of pictures to a class 0f
parents who cannot be carried to the amusement hau showedGEORGIA STATE SANITARIUM
23

very conclusively that their attention could be attracted and
held This is of distinct therapeutic value particularly to
the chronic untidy apathetic indifferent cases of dementia
praecox and the more extensive use of the pictures is urged
if finances will permit
OutPatient Department The Macon Clinic has entered
well into its fifth year The number of patients attending
has been about the same as in former years We feel that
this work is well established and is of much value It seems
probable at the time of writing this that our Clinic will be
made the neucleus of one of the Commonwealths demonstra
tion Clinics This would be a distinct compliment to the in
stitution as one of our physicians will be ultimately put in
charge
Grateful acknowledgment is made to the Board to you
to the Staff and to all those in the Medical service who have
cooperated to carry the years work through
Respectfully submitted
N P Walker
Clinical Director24
EIGHTIETH ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1923
1
2
3
4
5
G
7
9
10
11
12
13
14
15
16
17
18
19
20
21
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous dis
eases
Alcoholic
Due to drugs
With Pellagral
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychosis
Psychoneuroses and neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychosesI
Phychopatic personality without
psychoses
Mental deficiency without
choses
White
M F
psy
Total
2
17
25
18
3
3
0
3
11
7
7
3
79
45
0
24
3
10
33
28
2
3
5
2
1
12
346
0
25
11
3
0
0
1
4
0
0
3
9
150
73
0
5
9
0
8
42
1
0
5
10
6
19
384
Colored
M
1
1
20
27
4
0
0
2
2
0
2
0
40
40
0
18
0
0
20
20
0
0
0
1
0
3
201
1
10
10
14
1
0
0
0
0
0
8
1
68
76
0
6
0
0
13
15
0
0
0
0
0
3
Total
4
53
66
62
8
3
1
9
13
7
20
13
337
234
0
53
12
10
74
105
3
3
10
13
7
37
226 1157GEORGIA STATE SANITARIUM
25
TABLE II
Diagnostic Grouping of First Admissions During Year 1923
Phychoses
White
m r
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain and nervous dis
eases
9 Alcoholic
10 Due to drugs
11 With pellagra
12 With other somatic diseases
13 Mania depressive
14 Dementia praecox
15 Paranoia or paranoie condition
16 Epileptic psychoses
17 Psychoneuroses and neuroses
18 With constitutional psychopatic
inferiority
19 With mental deficiency
20 Undiagnosed psychoses
21 Not insane
Alcoholism
Drug addict without psychoses
Epilepsy without psychoses
Psychopatic personality without
psychoses
Mental deficiency without psy
choses
2
17
23
16
2
3
0
3
10
2
7
3
51
28
0
21
2
9
26
24
2
1
3
2
Total 264
0
25
10
3
0
0
1
3
0
0
3
7
95
56
0
10
6
3
14
37
0
0
4
1
Colored
M F
286
1
1
19
27
4
0
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
0
1
1
11
9
12
0
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
Total
4
54
61
58
6
3
1
11
2
19
10
226
181
0
54
12
70
92
2
1
7
5
178 187
19
915HHHUBi
20
EIGHTIETH ANNUAL REPORT
TABLE III
Diagnostic Grouping of Beadmissions During Year 1923
Phychoses
9
10
11
12
13
14
15
16
17
18
19
20
21
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous dis
eases
Alcoholic
Due to drugs
With Pellagra
With other somatic diseases
Mania depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psyehoneuroses and neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic personality with
out psychoses
Mental deficiency without psy
choses
White
Total
M
0
0
1
2
1
0
0
1
0
5
0
0
28
17
0
2
1
1
11
5
0
2
2
0
0
3
F
Colored
82 98
M
1 0
0 1
0 0
0 0
2 0
55 10
17 5
0 I
2 0
3 0
2 0
5 3
5 3
I
0
0
0
0
0
23
F
0
0
0
2
1
0
0
0
0
0
1
1
18
14
0
0
0
0
1
1
0
0
0
0
0
0
39
Total
0
0
3
4
2
0
0
2
1
5
1
3
111
53
0
4
4
3
20
14
1
2
4
0
242TABLE IV Diagnostic Grouping of Patients Furloughcd During the Year 1923
11 COLORED
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and nervous diseases
Alcoholic psychoses
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
Constitutional psychopathic inferiority
Mental deficiency
Undiagnosed psychoses
Not insane
Drug addict without psychoses
Constitutional psychopathic inferiority
Epilepsy without psychoses
Mental deficiency without psychoses
Alcoholism without psychoses
WHITE
Male
Rl I US
Total 50 132 73 15 961311 52
0
0
o
0
0
0
0
0
6
4
1
0
27
1
0
0
0
3
4
4
0
0
0
0
0
0
I
3
4
I
0
I
o
2
0
0
1
0
10
24
0
5
0
4
14
i
0
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
Female
R I I S
0 63
0 5
0 0
0 2
0
1
2
1
0
0
0
0
0
0
1
4
12
35
1
3
4
0
7
12
0
0
0
0
0
0
0
0
01
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
0
1
6
0 0
0 0
Male
R I U S
2 0
1 0
1 o
2 1
2 0
0 0
o 0
1 2
II 0
0 0
o
0
19
8l 5
0 0
0 3
0 0
01 0
0 0
0 0
0 0
0 0
0 0
Female
Rl I U S
0 0
0 0
0 2
0 2
0 0
0 0
0 0
0 0 0
0 o 0
0 0
4 1
0 1
31 20
1 13
0 0 0
3
0
o
7
3 2
0 0
0 0
01 01 0
0 0
0 0
0 0
47 30 1 41 51 8 0
Total
0
0
0
0
0
0
0
0
0
0
0
oi 0
31 0
41 0
01 0
0 0
0 0
o o
0 0
3
7
10
9
5
0
0
7
9
6
16
15
316
131
1
30
9
18
65
63
4
12
3
0
3
1
743
O
c
w

H
H
W

11

5dwwn
28
EIGHTIETH ANNUAL REPORT

TABLE V
SURGERY
Amputation of finger 4
Appendectomies 5
Appendiceal abscess drained
Autimeningococcus serum administeredI
Cyst wrist removed
Circumcisions
Cystotomies suprapubic
Currettage
Castration
Catherization ureter
Cystoscopic exam7
Curettage perineorrhaphy pvariotomy
Dilation currettage salpingectomy oorphorectomyI
Enucleation of eye
Empyema resection of rib
Epididymitis suppurative operationI
Fistulotomies
Fibromyomata removal
Hemorrboidectomies
Herniotomies
Herniotomies strangulatedVS
Hydrocele operation
Hysterectomies
CeUulitis incised and drained
Salvarsan administered i4n
Labor
Mastoidectomy
Nasal polypi removed
Pterygium excision
Paracentesis abdominalis
Reduction and fixation fracture femur
Reduction and fixation dislocation shoulder
Reduction and fixation Colles fracture
Reduction and fixation fracture clavicle
Reduction and fixation fracture fibula
Reduction and fixation fracture ulna
Reduction and fixation fracture metatarsal bone
Keduction and fixation dislocated jaw
Tonsillectomies
Trephine extradural hemorrhage
Trephine exploratory
Trephine cerebral cyst
Urethrotomy externalI
Xray treatment epithelioma

12
13GEORGIA STATE SANITARIUM
29
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1923
Alcoholism
Arteriosclerosis
Appendiceal abscess
Carcinoma
Cirrhosis liver
Brain tumor
Dysentery not defined
Dysentery amoebic
Exhaustion of acute mental disease
Enteritis acute
Erysipelas
Epilepsy
Heart disease organic
Hemorrhage cerebral
Heat stroke
Hernia strangulated
Influenza
Myocarditis
Myocardium rupture
Meningitis eerebrol spinal
Nephritis acute
Nephritis chronic
General paralysis of insane
Organic brain disease not defined
Burn
Pellagra
Pneumonia broncho
Pneumonia lobar
Ptomaine poison
Septicaemia
Salpingitis
Status epilepticus
Syphilis cerebral
Tuberculosis acute miliary
Tuberculosis pulmonary
Tuberculosis laryngeal
Tuberculor pneumonia
Eracture femur
Ulcer of the stomach
Auto accident
Encephalitis
Gangrene of lung
Bronchitis
Pericarditis
Uterine fibroids
Unknown
White
M
Colored
Total 105 87 79
1 0
4 6
1 1
2 1
1 1 0
0 1
0 2
0 0
1 4
2 2
2 1 1
10 3
5 1
7 6
0 1
0 0
0 1
2 0
1 0
0 0
1 1
1 5
17 0
8 2
0 1
1 5
20 14
3 fi
0 0
1 0
0 0
0 0
0 0
0 1
8 9
1 0
1 1
1 0
0 1
0 1
0 1
0 1
0 1
0 1
0 1
3 5
M
0
1
0
0
0
0
0
0
0
1
0
4
5
8
0
1
0
1
0
1
0
11
18
0
0
3
11
1
1
0
0
0
1
0
7
0
0
0
0
0
0
0
0
0
0
4
Total
0
1
0
0
1
0
1
4
5
2
0
0
3
9
0
0
0
1
0
0
1
4
8
2
0
3
5
1
0
0
1
1
1
1
19
0
1
0
0
0
0
0
0
0
0
4
1
12
2
3
2
1
3
4
10
7
3
17
14
30
1
1
1
4
1
1
3
21
43
12
1
12
50
11
1
1
1
1
2
2
43
1
3
1
1
1
1
1
1
1
1
16
79 350HMH
30
EIGHTIETH ANNUAL REPORT
TABLE VII
Admissions frdm the Various Counties Dining the Year 1923
County
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berricn
Bibb
Blecklcy
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans
White Colored
M F M F Tota
1 1 0 0 2
1 0 0 0 1
0 0 0 0 0
0 1 0 1 2
5 0 3 5 18
1 2 1 0 4
3 0 0 1 4
3 10 0 3 Hi
5 3 0 1 9
0 3 0 1 4
i 7 6 12 31
U 0 0 0 0
2 0 1 0 3
0 3 3 3 9
1 2 3 1 7
2 1 3 9 15
0 4 0 1 5
0 1 1 0 2
0 0 0 0 0
1 1 0 0 2
1 0 0 1 2
7 10 0 0 17
1 0 0 0 1
0 1 0 0 1
1 0 0 0 1
12 15 29 24 80
5 2 2 0 9
5 5 0 0 10
3 2 0 1 11
1 0 3 0 4
2 1 1 0 4
0 1 0 0 1
5 3 4 1 13
2 0 0 1 3
6 5 1 1 13
1 2 1 2 6
3 1 o 1 5
2 4 0 8 14
3 0 4 2 9
1 2 3 2 8
2 0 0 0 2
0 1 0 0 1
1 2 0 2 5
7 3 0 1 11
1 1 4 1 7
0 0 2 0 2
1 1 1 5 8
3 6 2 0 11
1 2 3 0 6
3 0 0 1 4
2 t 0 1 9
5 2 0 o 7
0 0 0 0 I 0
GEORGIA STATE SANITARIUM
Admissions from the Various Counties During the Year 1923
Continued
County
Fannin
Fayette
Floyd
Forsyfh
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haraldson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
Mclntosh
White
M F
Colored
M
F Total
2
3
11
7
5
31
1
0
2
5
i
4
3
5
1
G
2
2
3
7
0
2
4
2
1
2
1
0
0
1
1
5
0
0
1
0
3
0
0
2

2
0
1
2
1
0
4
5
7
0
0
7
5
4
50
1
0
0
5
9
0
5
2
8
0
3
1
1
3
1
2
1
2
2
0
0
1
0
1
3
0
1
0
0
0
0
2
2
1
2
0
3
1
1
1
2
2
1
4
9
0
0
0
1
2
0
0
9
0
0
0
1
0
2
2
1
2
2
1
1
0
0
0
3
3
1
1
0
0
0
2
1
0
1
1
1
1
1
1
2
0
2
0
1
3
0
0
2
0
0
4
0
2
1
1
1
o
4
0 I
2
o
0
1
0
2
4
1
1
1
2
0
0
1
1
3
3
0
0
2
0
0
1
0
0
2
0
6
1
0
0
0
0
0
5
0
3
3
0
0
1
1
1
1
1
6
0
0
24
12
9
114
2
0
3
11
12
7
12
7
16
5
10
4
4
7
11
8
6
7
7
1
2
3
2
2
6
2
13
2
1
2
1
7
2
o
11
1
2
6
4
3
10
10
24
1
1 WM
EIGHTIETH ANNUAL REPORT
Admissions from the Various Counties During the Year 1923
Continued
County
Newton
Oconee
Oglethorpe
Paulding
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Talialerro
Tattnall
Telfair
Terrell
Thomas
Tift
White i Colored
M
F I M
Toombs 2
Treutlen 1
Troup 6
Turner o
Twiggsj 2
Union 3
Upson 2
Walker 4
Walton 2
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfleld
Wilcox
Wilkes
Wilkinson
Worth
Total 346
3
1
1
7
5
1
0
6
0
0
2
1
3
4
0
0
4
0
5
1
2
2
0
0
1
1
0
3
4
3
1
2
0
4 I
5
4
4
1
1
1
2
1
0
0
1
6
2
3
1
2
Total
7
4
3
11
7
2
1
11
3
5
2
1
10
16
3
0
8
0
10
3
0
3
3
5
6
8
6
6
3
13
4
6
8
6
8
4
10
4
2
3
5
384 201 I 226 I 1157GEORGIA STATE SANITARIUM
33
TABLE VIII
Nativity of All Patients Admitted During the Year 1923
Alabama
England
Florida
Georgia
Germany
Greece
Indiana
Ireland
Japan
Kansas
Kentucky
Missouri
Mississippi
North Carolina
Ohio
Pennsylvania
Phillipines
South Carolina
Syria
Tennessee
Vermont
Virginia
West Virginia
Unascertained
Total 346
White
M
12
1
2
300
1
0
0
1
1
1
0
1
0
5
1
1
0
3
0
3
1
2
1
9
P
7
0
2
332
0
1
1
0
0
0
1
1
1
9
2
1
1
7
1
5
0
0
0
12
384
Colored
M P
3
0
0
182
0
0
0
0
0
0
0
0
1
3
0
0
0
8
0
1
0
1
0
2
201
Total
1
0
0
218
0
0
0
0
0
0
0
0
0
2
0
0
0
5
0
0
0
0
0
0
23
1
4
1032
2
2
19
3
2
1
23
1
9
1
3
1
23
226 1157mmmm
34
EIGHTIETH ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the Year 1923
Agricultural Pursuits
Farmers
Farmers daughters
Farmers sons
Farmers wives
Farmers widows
Farm laborers
Gardener
Professional Service
Ministers
Physicians
School teachers
Trained nurses
Domestic and Personal service
Barber
Grave Digger
Houskeeper
Laborers
Laborers wives
Laundress
Porter
Seamstress
Servants
Watchmen
Trade and Transportation
Advertising agent
Clerk
Clerical workers
Bookkeepers
Electrician
Linemen
Merchants
Merchants wives
Messenger
Office boy
Postmaster assistant
Printers
R R conductor
R R engineer
R R fireman
R R mail clerk
R R section hand
Real estate agent
Salesmen
Stenographers
Stone worker
Street car conductor
Warehouseman
White
M F
150
0
1
0
0
6
0
2
7
1
0
1
1
0
11
0
0
0
0
0
2
0
13
0
1
2
1
6
0
0
0
1
3
1
1
1
1
0
1
8
0
2
1
1
1
0
8
1
1
1
0
0
0
3
0
0
229
0
1
0
0
4
5
0
1
1
2
0
0
0
0
1
0
0
0
0
0
0
0
0
01
0 I
o I
4
0
0
0
Colored
M F
69
0
0
0
0
12
0
2
0
0
0
4
0
0
73
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
1
0
0
0
19
0
0
0
0
0
0
0
54
15
0
23
3
0
35
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
Total
238
2
1
8
1
38
1
4
7
1
3
5
1
293
99
1
23
3
4
40
2
1
14
2
3
2
1
8
1
1
1
1
3
1
1
1
1
1
1
8
4
2
1
1GEORGIA STATE SANITARIUM
35
Classified Occupation of Patients Admitted During the Year 1923
Continued
Manufacturing and Mechanical
Pursuits
Brickmason
Carpenter
Carpenters wife
Mechanics
Moulders
Painters
Plasterers
Upholsterers
Food and Its Kindred Products
Cook
Fishermen
Ice dealer
Textiles
Cotton mill employee
Cotton mill hand
Garment maker
Iron Steel and Their Products
Blacksmith
Plumber
Lumber and Its Manufacturers
Box maker
Saw mill laborer
Turpentine laborer
Wood chopper
Miscellaneous
Cigar maker
Hospital employee
Missionary
Student
None
Unascertained
Total
White
M F
1
0
0
6
1
5
0
3
0
0
1
13
0
1
1
1
1
1
1
0
1
1
0
7
56
17
346
0
0
1
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
1
5
79
18
Colored
M F
0
1
0
0
0
2
1
0
0
1
0
0
1
0
0
0
0
0
1
1
0
1
0
0
19
5
201
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
27
10
Total
226
22
15
18
50
11536
EIGHTIETH ANNUAL REPORT
TABLE X
Ages of First Admissions During the Year 1923
Classified with Reference to Principal Psychoses
White Population
Psychoses
Under
20
WHITE MALES
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic discascs
Manic depressive
Dementia Praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psycho
pathic personality
With mental deficiency
Undiagnosed
Not insane
Epileptic without psychoses
Mental deficiency without
psychoses
Drug addict without psy
choses
Constitutional psychopathic
personality without psy
choses
Alcoholism without psy
choses
Total 34
0
0
0
0
0
0
0
0
0
0
1
0
6
6
0
4
0
1
7
3
0
1
0
56
48
47
0
0
7
0
0 0
1
Over
70
Un
ascer
tained
21
Total
2
17
23
16
2
3
0
3
10
2
7
3
51
28
0
21
2
9
26
24
2
2
264GEORGIA STATE SANITARIUM
37
Ages of First Admissions
Psychoses
Under
20
WHITE FEMALES
Traumatic
Senile
With cerebral artcriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praccox
Paranoid or paranoia condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psyco
patliic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epileptic without psychoses
Psychopathic personality
without psychoses
Mental deficiency without
psychoses
Total
0
0
0
0
0
0
0
0
0
0
0
0
5
3
0
2
1
1
1
0
0
5161
6070
0
0
1
I
0
0
J
1
0
0
3 0
4l 1
22 28
Over
70
18
67
72 60 22
31
0
9
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
0
Un
ascer
tained
12
Total
0
2
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
25
10
3
0
0
1
3
0
0
3
7
95
56
0
10
6
3
14
37
0
286I
W
38
EIGHTIETH ANNUAL REPORT
Ages of First Admission
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseascs
Manic depressive
Dementia praecox
Paranoid or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psyco
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoscs
Psychopathic personality with
out psychoses
Mental deficiency without
psychoses
Total
COLORED MALES
Under
20
0
0
0
0
0
0
0
0
0
0
0
0
5
4
0
6
0
0
12
2
0
0
0
0
2
31
33
1 0
0 0
1 4
23
0 0
0 0
Over
70
Un
ascer
tained
Total
1
1
19
27
4
0
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
178GEORGIA STATE SANITARIUM
39
Ages of First Admission
COLORED FEMALES
Psychoses
Under
20
Traumatic
Senile
With cerebral arteriosclcrosis
General paralysis oi insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
CllOSGS
Drug addict without psy
choses
Epilepsy without phychoses
Psychopathic personality with
out psychoses
Mental deficiency without
psychoses
Total
0
0
0
1
0
0
0
0
0
0
1
0
8
2
0
0
0
0
6
1
0
2131
30 40
51161
60i70
0
0
1
2
0
0
0
0
I
0
0
0
22
12
0
0
0
0
1
4
0 0
Over
70
19 56
0 0
0 0
0 0
5 1
0 0
tin
ascer
tained
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
1
11
9
12
0
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
1
0
2
18740
EIGHTIETH ANNUAL REPORT
TABLE XL
Degree of education oi First Admissions Classified with Refer
ence to Principal Psychoses 1923 White Males
Traumatic
Senile
With arteriosclerosis
General paralysis of insane
Witli cerebral syphilis
With Huntingtons chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neuroses
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
ehoses
Due to drugs without psy
choses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses 4
Total 39
a wa
BOi O O G
Sgp o
K O S
0
8
1
2
0
2
0
0
5
0
1
1
22
6
0
11
2
1
11
II
0
0
0
6
9
2
1
0
1
4
0
2
0
17
17
0
3
0
5
4
5
1
O ra
80 13
o o
O K

H
2
17
23
16
2
3
0
3
10
2
7
3
51
28
0
21
2
9
26
24
2
27 264GEORGIA STATE SANITARIUM
41
Degree of Education of first Admissions Classified With Refer
ence to Principal Psychoses 1923 White Females
Traumatic 0
Senile
With cerebral arteriosclerosis I
General paralysis of insane 0
With cerebral syphilis 0
Huntfngtons chorea 0
Brain tumorj
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic
Psychoneuroses and neuroses
Constitutional psychopathic in
feriority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without psy
chose s
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total 46

So
o3 I ssfe gK Sw
W K

Eh
0
25
10
3
0
0
1
3
0
0
3
7
95
5G
0
10
G
3
14
37
0
286

42
EIGHTIETH ANNUAL REPORT
Degree of Education of First Admissions Classified With Refer
ence to Principal Psychoses 1923 Colored Males
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without phy
choses
Epilepsy without phychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
K
Total
72
D o o w be a 3 o a s o
1 0 0 0 0
0 0 0 0 0
3 2 0 0 2
12 2 1 0 f
1 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 u 0 0 0
0 0 0 0 1
12 3 0 0 2
16 5 0 1 2
0 0 0 0 0
7 2 0 n 0
0 0 0 0 0
0 0 0 0 n
1 0 0 0 0
7 3 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 n
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GO 19 1 1 16
o
1
1
19
27
4
0
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
3
178GEORGIA STATE SANITARIUM
43
Degree of Education oi First Admissions Classified With Refer
ence to Principal Psychoses 1923 Colored Female
a
CJ T3
a S3
o o
a M
T3
0 in
02rl

a
DC
o
o
w
IB o
Traumatic
Senile
Cerebral artcriosclerosis
General paralysis of the insane
Cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and nervous
diseases
Alocoholic
Due to drugs
Pellagra
With somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic in
feriority
Mental deficiency without phy
choses
Total
53
61 37
27
1
11
9
12
0
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
18744
EIGHTIETH ANNUAL REPORT
TABLE XII
Environment of First Admis
sions During Year 1923 Class
ified With Reference to Prin
cipal Psychoses White Popu
lation
MALE
Traumatic 1
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingdons chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without phychoses
Constitutional psychopathic
inferiority
Mental deficiency without
psychoses
Total 111
0
5
6
11
1
1
0
1
7
1
2
2
22
II
0
5
2
6
13
9
1
143
3
2
1
G
264
FEMALE
P
0 0
104
1
0
0
3
105
o a
o
25
in
3
0
II
1
0
3
7
95
56
0
10
6
3
14
37
0
4
1
I
8
28GGEORGIA STATE SANITARIUM
45
Environment of First Adniis
sions During Year 1923 Class
ified With Reference to Prin
pal Psychoses Colored Popu
lation
MALE
Traumatic
Senile
With cerebral artcriosclerosis
General paralysis of insane
With cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and nervous
diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psysoncuroses and neuroses
Constitutional psychopathic in
feriority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choscs
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
0
0
8
13
3
0
0
0
1
0
0
0
6
9
0
4
0
0
4
5
0
Total
1
1
11
13
1
0
0
2
0
0
2
0
24
24
0
14
0
0
13
12
0
54 121
EEMALE
1
L
1
27
4
0
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
3
178
0
10
6
4
0
0
0
0
0
0
6
0
33
32
0
3
0
64 114
1
11
9
12
0
0
0
0
0
0
7
0
50
62
0
5
0
0
13
11
0
0
2
187
46
EIGHTIETH ANNUAL REPORT
TABLE XIII
Economic Condition of First Admissions Classified With Refer
ence to Principal Psychoses 1923 White Population
MALE
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
insane
With cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroses and
neuroses
Constitutional psycho
pathic inferiority
With mental de
ficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drug addict with
out phychoses
Epilepsy without
psychoses
Constitutional psyco
pathic inferiority
Mental deficiency
without psychoses
Total 33 163
0
0
0
0
2
6
1
G
2
40
16
0
14
1
6
14
16
1
1
3
2
1
2
2
0
0
0
0
1
0
0
0
2
4
0
6
0
1
11
3
0
0
0
0
0
2
40 28
2
17
23
16
2
3
0
3
10
2
7
3
51
28
0
21
2
9
26
24
2
1
3
2
1
6
FEMALE
264
38 173 45 30 286
o
0
25
10
3
0
0
1
3
0
0
3
7
95
56
0
10
6
3
14
37
0GEORGIA STATE SANITARIUM
47
Economic Condition of First Admissions Classified With Refer
ence to Principal psychoses 1923 Colored Population
MALE
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis
Huntingtons chorea
Brain tumor
With other brain and
nervous diseases
Alcoholic
Duo to drugs
With pellagra
With other somatic
diseases
Manic depressive
Dementia praecox
Paranoia or paranoic
condition
With epilepsy
Psychoneuroscs and
neuroses
Constitutional psycho
pathic inferiority
With mental de
ficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drjig addict with
out psychoses
Epilepsy without
psychoses
Constitutional psyeo
pathic inferiority
Mental deficiency
without psychoses
Total 18 118 33
1
0
11
15
3
0
0
2
1
0
2
0
24
27
0
12
0
0
8
12
0
0
0
0
0
0
1
1
19
27
4
0
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
0
1
0
3
178
FEMALE
0 0
0 3
6
0
0
0
0
0
0
7
0
40
44
0
4
0
0
6
12
0
0
0
1
0
0
129
0 1
1 11
34
n
12
0
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
0
2
187TABLE XIV
Civil Condition of First Admissions Classified With Refer
ence to Principal Psychoses Year 1923
White Population
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With other brain and nervous diseases
Brain tumor
Alcoholic
Due to Drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority
Mental deficiency without psychoses
MALE
Total1112 119
24
a
0 2
7 264
EEMALE
x
0
4
3
2
0
0
1
1
0
0
2
5
60
28
0
4
3
0
3
23
0
0
2
0
0
0
76 141 54
c
C
0
25
10
3
0
0
3
1
0
0
3
7
95
56
0
10
6
3
14
37
0
0
4
1
0
H
O
X

a

55
55

H
O
fa
9 286Civil Condition of First Admissions Classified With Kefer
ence to Principal Psychoses Year 1923
Colored Population
MALE
Psychoses
Traumatic
Senile
With cerebral artenosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorear
With other brain and nervous diseases
Alcoholic
Due to drugs
Pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epilepsy
Psvchoneuroses or neuroses
With constitutional psychopathic inferiority
Mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Psychopathic inferiority without psychoses
Mental deficiency without psychoses
J 3
0
0
G
7
1
0
1
0
0
1
0
7
26
0
12
0
0
16
Total
84
1
0
7
17
1
0
0
1
0
1
0
19
5
0
3
0
0
1
3 11
67
1
5
2
0
0
0
0
0
0
1
2
0
2
0
0
0
2
0
0
0
0
0
0
17
J
02S
03 03
1
1
19
27
4
0
2
1
0
2
0
30
35
0
18
0
0
17
17
0
0
0
1
0
3
FEMALE
x
03 03

5 178
0
0
2
2
0
0
0
0
0
1 5
0
8
11
0
1
0
0
10
2
0
0
0
1
0
1
43 88 44
0 0
0
0 0
0 0
0 0
1 3
1 0
0 0
0 0
II 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3
1
11
9
12
0
0
0
0
0
7
0
50
62
0
5
0
0
13
14
0
0
0
1
0
2
O
H
O
o

H
H
m

tH

14
d
7 18750
EIGHTIETH ANNUAL REPORT
TABLE XV
Ages of Patients at time of Death Classified With Reference to
Principal Psychoses White Males
T
Vl D
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
Huntingtons chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic dis
eases
Manic depressive
Dementia praccox
Paranoia or paranoic con
dition
With epilepsy
Psychoneuroses and neu
noses
Constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psy
choses
Constitutional psycho
pathic inferiority
without psychoses
Mental deficiency with
out psychoses
Total I 3 10
0 0
5 7
0 i 1
0 I 0
0 0
0 0
o I 0
0 0
I I 0
1 0
II I
0 i 0
18 15
0
16
14
16
4
0
2
2
0
1
1
7
12
0
10
0
9
10
0
0
0
0
1
0
28
105GEORGIA STATE SANITARIUM
51
Ages of Patients at time of Death Classified With Reference to
Principal Psychoses White Females
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
Huntingtons chorea
With other brain and
nervous diseases
Brain tumor
Alcoholic
Due to drugs
With pellagra
With other somatic dis
eases
Manic depressive
Dementia praecox
Paranoia or paranoic con
tion
With epilepsy
Psychoneuroses and neu
roses
Constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Total
o
T
o
l
0
0
1
0
0
0
0
2
1
0
2
1
1
3
0
15
0 0
0 0
5 14
fH T3

s

o 53 S3
aw o
o t H
18 21
0
19
2
2
0
0
1
0
0
2
1
10
15
2
3
14
0
0 87 yjm
52
EIGHTIETH ANNUAL REPORT
Ages of Patients at time of Death Classified With Reference to
Principal Psychoses Colored Males
Traumatic
Senile
With cerebral arteriosclc
rosis
General paralysis of the
insane
With cerebral syphilis
Huntingtons chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic dis
eases
Manic depressive
Dementia praecox
Paranoia or paranoic con
dition 0
With epilepsy 1
Psychoneuroses and neu
noses 0
Constitutional psycho
pathic inferiority 0
With mental deficiency 4
Undiagnosed
Not insane
Total 5
GEORGIA STATE SANITARIUM
53
Ages of Patients at time of Death Classified With Reference to
Principal Psychoses Colored Females
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
Huntingtons chorea
With other brain and
nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic dis
eases
Manic depressive
Dementia praecox
Paranoia or paranoic con
dition
With Epilepsy
Psychoneuroses and neu
noses
Constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
0 0
0 0
Total 5 18 20 13
2 0
0 0
0 0
1 0
0
0
0
0
0
0
0
0
0
1
0
0
ShT3
03 03
13
0 0
0 0
o I 0
0 0
0
11
2
0
2
0
0
1
0
21
9
0
2
0
10
9
0

79
54
EIGHTIETH ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
Classified With Reference to Principal Psychoses
White Males
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Psychoses with epilepsy
Psychoneuroses and neuroses
Psychoses with constitutional
psychopathic inferiority
WTith mental deficiency
Undiagnosed psychoses
Not insane
Total 10
0
3
1
2
0
0
0
0
0
0
0
0
1
0
0
0
0
n
0
3
0
t H

c
0 0 0 0 0
7 1 4 1 II
8 2 6 0 0
5 5 3 1 0
0 1 0 0 0
0 0 0 0 0
0 0 1 1 0
0 0 0 0 0
1 0 0 1 0
0 0 0 0 0
1 0 0 0 0
1 0 0 0 0
3 0 0 2 1
1 0 3 2 3
0 0 0 0 0
1 1 0 2 1
0 0 0 0 0
0 0 0 0 1
1 1 4 0 2
1 0 1 0 1
0 0 0 0 0
30 11 27 10 9
o
Eh
I
If
17
16
1
0
2
0
2
0
1
1
7
12
0
10
0
1
9
10
0
8 105GEORGIA STATE SANITARIUM
55
Duration of Hospital Residence of Patients Dying in Hospital
Classified With Reference to Principal Psychoses
White Females
Psychoses
Traumatic
Senile
With cerebral artenosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs U
With pellagra
With other somatic diseases
Manic depressive
Dementia praecoxz
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
Psychoses with constitutional
psychopathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
0
1
2
0
0
0
0
1
0
0
0
0
2
0
0
0
0
0
2
2
0
TotalI 11 I 10 13 21
1
1
0
0
H
h
o
H
0
20
6
2
1
0
0
1
0
0
2
1
0 I 10
7 13 12 87
15
1
1
4
14
05G
EIGHTIETH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
Classified With Reference to Principal Psychoses
Colored Males
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total 23 16 11 19
1
0
in
4
0
0
1
0
0
0
2
0
2
0
0
0
0
n
o
3
0

0
0
0
0
II
0
0
0
01
0
0
0
0
3
0
0
u 0 u 0
0 0
0 1
0 0
3 2
o
Eh
2
1
20
19
2
0
2
0
0
0
2
0
8
7
0
5
0
0
7
4
0
79GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
Classified With Reference to Principal Psychoses
Colored Females
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With other brain and nervous
diseases
With brain tumor
Alcoholic psychoses
Psychoses due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
With epilepsy
Psychoneuroses and neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed psychoses
Not insane
Total 14 16
O a Tfl fi a o fi a o Tfl U Tfl t o o Tfl u C3 a o
i CO T lO T1 o
T3 O o O o 4s i
4 t3 M J l
Uj tH t M o 1 u
0 0 n 0 0 0 0
2 1 5 2 1 0 0
0 1 0 0 0 0
3 2 3 0 0 0 0
0 0 1 1 0 0 0
0 0 0 0 0 0 0
0 0 0 1 1 1 0
0 0 0 0 0 0 0
0 0 0 0 o 0 0
0 0 0 0 0 0 0
0 1 0 0 0 0 0
0 0 0 0 0 0 0
3 4 2 7 3 1 1
0 1 2 2 2 1 1
0 0 0 0 0 0 0
1 0 0 1 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 2 2 5 0 0 0
4 2 1 0 0 1 1
0 0 0 0 0 0 0
14 16 17 19 7 3 3
o
Ei
0
11
4
8
2
0
2
0
I
0
1
0
21
9
0
2
0
0
10
9
0
7958
EIGHTIETH ANNUAL REPORT
Report of Pathological Laboratory
For the Year 1923
Dr R C Swint Superintendent
Dear SirThe following Report of the Pathological
Laboratory for the year 1923 is submitted
RESUME
Serological Examinations as follows
Blood serum for the Wasserman Noguchi reactionl271
Cerebrospinal Fluid for the Wasserman Noguchi
Colloidal Gold Noguchis Butyric Acid and Ross
Jones reactions and Cell Count 346
Clinical Laboratory Examinations as follows
Urinalysis1378
Feces for parasites or ova or for occult blood 487
Sputum for tubercle bacilli 365
Blood Chemical examination including dextrose creat
inine urea uric acid nonprotein nitrogen choles
trol chlorides and carbon dioxide combining ca
pacity 51
Blood Films for malaria parasites 67
Blood for determination of coagulation time 9
Blood Counts red white or differential 366
Gastric Contents or Vomitus 5
Films of Exudates 46
Blood for type determination 30
Hemoglobin estimations 35
Brain dog films for Negri bodies 6
Cerebrospinal Fluid special cytologieal examination 10
Bacteriological Examinations as follows
Cultures of Blood 15
Cultures of Exudates or other Body Fluids 22
Widal tests 34
Autogenous Vaccines prepared 18
Milk 39
Human Milk 1
Animal I noeulations 3GEORGIA STATE SANITARIUM
59
Pathological Examinations as follows
Necropsies 21
Postmortem Examination of Animals 10
Surgical Tissue specimens 9
Serological Examinations
r
Of the 1271 examinations of blood for the Wassermann
reaction 1120 were routine specimens that is were for
patients admitted to the institution during the year A tabu
lation of the results of these examinations follows
Hace Sex Number 4plus Percent
examined reaction age
White Female 382 9 23
White Male 320 32 100
Colored Female 222 34 150
Colored Male 196 116 103
The average percentage of 4plus reactions found in the
routine examinations of the blood for the Wassermann reac
tion during the years 19141923 inclusive is 137
Of the 346 specimens of cerebrospinal fluid 267 were
from patients admitted during the year A routine examina
tion of the cerebrospinal fluid has been made in the case of
each patient whose blood gave a positive Wassermann reac
tion In the following tabulation the results of these routine
examinations are shown with reference to race and sex those
marked pathological being specimens which showed con
comitant positive changes in the Wassermann colloidal gold
and globulin reactions and in the cell count
Race Sex Number Number Percentage
examined pathological pathological
White Female 54 4 74
White Male 47 18 383
Colored Female 63 11 174
Colored Male 103 28 271
Clinical Laboratory Examinations
The following enumeration of intestinal parasites or ova
found either alone or associated with other parasites or ova
in the 346 specimens of feees examined may be of interest60
EIGHTIETH ANNUAL REPORT
Necator americanus ova52
Ascaris lumbricoides ova24
Trichuris trichiura ova113
Strongylus stercoralis embryos26
Cercomonas intestinalis13
Oxyuris vermicularis ova 1
Bndameba histolytica 6
Endameba coli
Hymenolepis nana ova 4
Mr Leaptratt the senior technician has found 4 cases
of Linguatula serrata infestation in 6 dogs killed near the
Sanitarium that were thought to be suffering from rabies No
Negri bodies were found however in the brains of these
animals
Blood Chemistry
A group of otherwise healthy epileptic patients has been
studied with reference to the chemical composition of their
blood Similar examinations have been made in a control
series of healthy nonepileptic patients and employes No
marked difference has been noted in the findings for the two
groups
Necropsies
Only 20 necropsies were performed during the entire year
In accordance with your instructions summaries of the
necropsy findings are for reason of brevity omitted from
this report
Respectfully

E B Save
PathologistGEORGIA STATE SANITARIUM
61
Dentists Report
For the Year 1923
Dr R C Swint Superintendent
Milledgeville Ga
Dear SirI have the honor of submitting the following
report of the Dental Department for the year ending Dee 31st
1923
Believing that the Dentists most urgent duty to his
patients is relief of acute suffering those having the patients
of the Institution in their immediate charge are instructed
to report at once such cases as are in need of emergency
dental treatment That these patients may have prompt atten
tion certain hours of each afternoon are set aside for this work
Temporary dental work is afforded those patients whose
term of residence within the Institution is likely to terminate
at a reasonably early date in order that their teeth may not
deteriorate during the period which must elapse before they
can again return to their own dentists
There are many patients however whose habits of clean
liness whose desire to preserve their teeth and whose willing
ness to cooperate are such as to warrant the most careful
treatment yet whose mental condition is such as to promise a
stay of indefinite length within the Sanitarium Such patients
are given thorough attention and work of a permanent nature
An examination of the mouth of each patient is made
promptly after admission one morning of each week being set
aside for this purpose
The Dentist resides within the Institution and is subject
to call at all times
Below will be found an itemized statement of the work
done in this Department during the year 1923
Extractions 828
Gold fillings 4
Amalgam fillings 263
Cement fillings 120
Guttapercha fillings 21
Synthetic porcelain fillings 4062
EIGHTIETH ANNUAL REPORT
Gold inlays 26
Acolite inlays 1
Gold inlays reset 3
Nerve cappings 6
Nerve treatments 18
Nerves devitalized 18
Root treatments 67
Root fillings 52
Application mummefying paste 2
Abscesses lanced 6
Abscesses treated 33
Lancing gums over 3rd molar 1
Treating gums about 3rd molar 14
Treatments for pyorrhea alveolaris 17
Cleaning teeth number of patients 9
Removing calcareous deposits number of patients 32
Applications silver nitrate 2
Treatments for facial neuralgia 6
Treatments for acute odontalgia 117
Treating gums number of patients 12
Plates made 3
Plates repaired 15
Gold crowns 13
Porcelain crowns 6
Castbase crowns gold 2
Crowns removed 4
Crowns repaired1 6
Crowns reset 13
Bridges removed 4
Bridges repaired 6
Bridges reset 3
Disfigured teeth shaped up number of patients 41
Setting screws in roots 2
Removing impacted 3rd molar 2
Dislocations reduced 2
Removing sequestrum 1
Special calls to wards 196
Number of new patients examined1151
Number of patients treatedi 893
Total number of operations and treatments1841
Respectfully submitted
George II Green
DentistGEORGIA STATE SANITARIUM
63
Report of Superintendent of Nurses
Dr R C Swint Superintendent
Dear SirThe following is a report of the Training
School for Nurses for the year beginning January 1st 1923
and ending December 31st 1923
Every effort has been made to raise the school to the
highest standard Today it is classed with the best schools in
the State of Georgia
All students admitted within the last year have had at
least one year high school education and quite a number are
high school graduates We hope within a short time to admit
only high school graduates
The affiliation course of six months with Memphis General
Hospital Memphis Tennessee and the University Hospital
Augusta so far has been very satisfactory
At present students have their affiliation course in their
senior year but we hope in the near future to place it in the
junior year and give all their theoretical training in this school
The annual commencement of the Training School was
held October 18th at eight oclock in the amusement hall Dr
R C Swint Superintendent presiding The class address
was very ably delivered by Rev Dr Carr of the First Presby
terian Chuch of Savannah
The diplomas were presented by Hon John T Brantley
President of the Board of Trustees who always gives the
graduates very wholesome advice in a very pleasing manner
Mr E E Lindsey Chairman of the Executive Committee
Board of Trustees presented the hospital pins
Mrs L P Longino with her usual sweet soprano voice
sang June Is in My Heart by Graham Vaughn and Song of
Love from Blossom Time
A reception and dance followed music being furnished by
the Sanitarium Band
The following are the names of the graduates receiving
diplomas64
EIGHTIETH ANNUAL REPORT
Miss Agnes Barker Miss Gladys Lee
Miss Ella Mae Digby Miss Priscilla Kate Messer
Miss Cora Albertha Fomby Miss Mattie Lona Patterson
Miss Adeline Joiner Miss Sara Ann Pearson
Miss Mattie Lou Stanley Mrs Thyrza B Smith
Miss Mary Jane Taylor Miss Pennie Ella Willoughby
The total number of graduates is one hundred and seven
many of whom are holding very responsible positions in the
various hospitals throughout the United States
PLAN OF INSTRUCTIONS

The course extends over a period of three years including
three months probation and six months affiliation in some gen
eral hospital The course consists of lectures recitations
demonstrations and practical work on wards diet kitchen
hydrotherapy occupation therapy and laboratory
NURSING STAFF
Superintendent of Nurses
Supervisors 4
Chief Operating Nurses
Occupation Therapy Nurses 4
Hydrotherapy Nurse 4
XRay Technician 4
Graduate Nurses employed as Head Nurses g
Senior Nurses in School 9
Junior Nurses in School 10
Freshmen Nurses in School 45
Total number of Student Nurses 34
Number White Female Attendants145
Number of vacancies q
CURRICULUM
First Year
Anatomy and Physiology 32 hours
Nursing Ethics g
Theory of Nursing 24
Hygiene for Nurses 46
Practical Demonstration 20
Materia Medica 46
Dietetics 20
Bandaging g
History of Nursing 40 GEORGIA STATE SANITARIUM
65
Second Year
Medicine 16 hours
Practical and Surgical Nursing 26
Nursing Ethics 6
Materia Medica 16
Obstetrics 1
Hydrotherapy
Massage 10
Dietetics 2
Bacteriology j6
Mental Diseases 1
Oral Hygiene 16
Occupation Therapy 16
Third Year
Surgeryj
Eye Ear Nose and Throat i
Chemistry
Gynaecology
Pediatrics j
Diseases of Nervous System1
On May 1st the Nursing Staff was reorganized and four
Supervisors were placed in charge of the different services
Am glad to report this has been very satisfactory as to the
services rendered the patients the general up keep of the
wards and the issuing of supplies
In October a course in Care of the Mentally Afflicted
was given all attendants by Dr N P Walker Clinical Direc
tor The object was to teach the attendants how they might
render better service to the patients Very good results were
obtained from these lectures
I wish to thank you for your kind consideration and help
and the Medical Staff for lectures and medical services ren
dered the students and all other Officers who assisted in
teaching during the year
Respectfully submitted
Mae M Jones R N Ohio
Superintendent of Nurses66
EIGHTIETH ANNUAL REPORT
Report of Pharmacist
Dr R C Swint Superintendent
Dear SirThe following is a report of the pharmaceu
tical department of the Georgia State Sanitarium for the year
of 1923
The work of the laboratory and prescription departments
show about the same amount as the previous year with the
exception of a germicide which we now make for the extermi
nation of bed bugs and other insects This being brought
about at the suggestion of our Clinical Director
It is gratifying to state that we not only run our pur
chases lower for this year but have done so each year for the
past four years This being partly due to the fact that we
were fortunate in securing some surgical supplies and chemi
cals that was put on the market by the War Department
I appreciate your cooperation also that of the Trustees
the Clinical Director and Medical Staff in aiding me to carry
on the work of this department
Below is a condensed list of manufactured products
Tinctures Spirits and Extracts2103 Jjbs
Elixirs 1276
Syrups 782
Ointments 88
Liquors Lotions and Mixtures1204
Library Paste 12
Medicated Dusting Powder 5
Indelible Ink 32
Glycerites 112
Liniments 128
Capsules Quinine Anodyne and Influenza tilled10500
Germicide150 GallonsGEORGIA STATE SANITARIUM
67
1923 STATEMENT
Dec 31st Inventory as of Dec 31st 1922 530095
Purchases During the Year
Drugs Chemicals Dental Surgical and
Laboratory Supplies1087033
Freight and Express 39219
Total 1126252
Less Goods Returned 48390
Total 1077862
1607957
Deduct Inventory at Dec 31st 1923 497087
Goods to account for1110870
Credits
Departmental Sales
Prescriptions filled for Wards 32258
aggregating 1057420
Sales to Officers and Employees 53450
Total 1110870
Respectfully submitted
J J WOOTTEN
Pharmacist
68
EIGHTIETH ANNUAL REPORT
Report of Treasurer
Statement of receipts and disbursements of the Treasurer
of Georgia State Sanitarium for fiscal year ending December
31st 1923
Dec 30th 1922 Bal Cash on Hand 2378572
To Maintenance Fund80000000
To Recovery Bank of Emanuel
through Banking Dept 300000
To Interest on Bank Balances 87318
To Sanitarium Steward 635308
To Gov Walker Acct Fire Loss 2435
83403633
Disbursements for Fiscal Year Ending Dec 31st
1923 83344621
Dec 31st 1923 Bal Cash on Hand 59012
83403633
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank we certify that above report is
correct and we further certify that at close of business Dec
31st 1923 there was to the credit of Otto M Conn Treas Ga
State Sanitarium the sum of Five Hundred Ninety Dollars
and Twelve Cents
Otto M Conn
Treasurer Ga S S
H G Banks
Asst Cashr Ex Bank
H H Herndon
N P B Co GaGEORGIA STATE SANITARIUM
G9
Statement of receipts and disbursements Treasurer Geor
gia State Sanitarium Patients Account fiscal year ending
Dec 31st 1923
Dec 30th 1922 Bal Cash on Hand 992891
To Sanitarium Steward1665041
2657932
Disbursements for year ending Dec 31st 19231555229
Dec 31st 1923 Bal Cash on Hand1102703
2657932
As Treasurer Georgia State Sanitarium Patients Ac
count and as Asst Cashier Exchange Bank we certify that
the above report is correct and we further certify that at
close of business Dec 31st 1923 there is to the credit of Otto
M Conn Treasurer Georgia State Sanitarium Patients
Account the sum of 1102703
Otto M Conn
Treas Ga S S Patients Acct
H G Banks
Asst Cashr Ex Bank
Witness
II H Herndon
N P B Co Ga70
EIGHTIETH ANNUAL REPORT
Report of Farm Steward
January 1st 1924
Dr R C Swint Superintendent
Georgia State Sanitarium
My Dear SirI beg to submit a report of the foodstuffs
produced in my department for the fiscal year ending Decem
ber 31st 1923
Beets 429 bushels
Beans butter shelled lie bushels
Beans snap 1720 bushels
Beans velvet00380 pounds
Cabbage 53368 heads
Collards 31930 heads
Cantaloupes 350
Corn 7511 bushels
Corn roasting cars 72079 ears
Corn sillage 500 tons
Cucumbers 72 bushels
Fodder 18756 pounds
Lettuce 4050 heads
Oats shelled 2575 bushels
Oats hay 50 tons
Oats straw47375 pounds
Okra 208 bushels
Onions 979y2 bushels
Peas green 29 bushels
Peas garden shelled 154 bushels
Peas seed 1181 bushels
Peppers 108 bushels
Peayine hay269860 pounds
Pork 66525 pounds
Potatoes sweet 8161 bushels
Potatoes Irish 756 bushels
Radishes 196 bushels
Rape 1721 bushels
Kye 256 bushels
Squashes 671 bushels
omatoes 1048y crates
Turnips 3788y2 bushels
Turnips and greens 2547 bushels
Watermelons 6 564
Strawberries 750 quarts
B Berries 752 quarts
Dairy
Sweet milk dairy77i045 gallons
Sweet mi k Colony 3053 n
Buttermilk 28i aU
Butter dairy 699 poundsGEORGIA STATE SANITARIUM
71
Butter CMony feffit
Sweet cream 49gl ounds
Beet 550 p0Unis
Green hides 14
Calves 1043 sold
Sacks
Manure 1690 loads sent to field
Chicken Yard
Chickens hens issued 112
Friers issued fifi ri7m
Eggs issued 2663 dozin
Eggs set lid3 dozen
In addition to this we have cut about 500 cords of wood
Cleared about 30 acres of new ground All coal fromthe
Chutes has been distributed by this department We have
spent considerable time working and improving the road sys
tem around the institution Two of the most important im
provements to the roads was the widening of the road in front
of the center building yard and the widening and raising of
the road in the back yard and adopting a oneway drive this
eliminating a great deal of danger when going in and out ot
the back yard gates
During the year I kept four mules and one horse for their
board We had two old mules to die during the year
There has been several improvements made down on the
farm and at the dairy On the farm by changing fences and
cleaning up fence rows hedgerows and swamps At the dairy
bv building a new barn and installing a 4inch water mam and
putting in fire plugs also by putting in new equipment in one
end of the barn including individual drinking cups I con
sider the drinking cups very important to the health and pro
ductivity of the cows
During the year we made all the calf feed fromfoodstuffs
produced on the farm We also furnished all but about 50
C of hav for the dairy We did not buy any cotton seed
Sit S In audition to the above work there has been
several things done that are too numerous to mention
I wish to thank you the Board of Trustees the officers
of the institution and others for the gratitude and cooperation
shown me throughout the year
Respectfully
F C Penuel
Farm Steward
72
EIGHTIETH ANNUAL REPORT
Report of Engineer
Dr R C Swint
Superintendent and Resident Physician
Dear SirPlease find below the animal report of the
Engineers Department for the year ending December 31st
1923
IMPROVEMENTS
Some work on the John T Brantley Building has been
done during the year but all operations have been suspended
now on account of a lack of funds During the period in which
work was carried on the partitions dividing the interior into
rooms have been put in and most of them lathed The interior
wiring has been done also and the top story plastered
The grounds immediately in front of the John T Brantley
Building have been graded the terrace sodded and the lawn
planted with Bermuda grass A concrete walk has been laid
up to the building from the walk leading from the Powell
Building
Cencrete slop stands for holding the slop barrels have
been constructed in the back yards of all the buildings A hot
water supply has been run to each stand and all of them are
connected to the sewers
A water closet in the recreation yard of the Whittle Build
ing and one in the yard at the Cabaniss Building have each
been improved by having side walls built to them forming
urinal stalls These stalls have a water supply and are con
nected to the sewer
A new wire fence has been built around two sides of the
patients recreation yard on the west side of the Powell Build
ing and a wire fence has been built dividing the 27th ward
yard from that used by the patients on the east side of the
Powell Building
The pipe line at the water works leading from the relief
valve on the electric pump has been changed so as to discharge
into the clear water basin instead of into the suction well A
fitting having a glass protected observation window in it has
been placed on this line just below the relief valveGEORGIA STATE SANITARIUM
Two water closets have been installed in the basement of
the Powell Building and partitions built around them These
closets are for the use of the cooks working nearby
Three hundred feet of hot water pipe leading to the cot
tages on the east side of the institution have been replaced
with new pipe
Three closets have been built between the arches in the
basement leading to the sewing room These closets being for
the storage of dry goods
Six water closets in the L M Jones Building have changed
from the old seatflushing kind to the overheadtank flushing
type
The new flower garden in front of the Powell Building
has been piped for water
A telephone has been installed in the office of the Super
visor in the Green Building and one in the Whittle Building
A brick addition to the bakery has been built for the stor
age of the days baking of bread
A concrete constant head sulphate of aluminum tank has
beeen made and installed at the water works This tank has
a glass float valve and a variable control orifice outlet made of
rubber
The water level in the pipe line between the pump in the
water works building and the clear water basin has been raised
by the addition of a 12inch 45degree elbow at the discharge
end The purpose of this raise being to keep the pipe fullof
water at all times thus ensuring a better mixing of the chlorine
gas used in sterilization
The water pressure at the Hospital Building has been
improved by running a new line from the mains in front of
the Twin Buildings The old pipe line has been taken up
cleaned out and laid in the new line to the dairy
A 4inch cast iron water pipe line has been run from the
rear of the Twin Buildings to and around the dairy buildings
and a line of fire hydrants placed on each side of the buildings
there New water pipes have been put throughout the dairy
buildings and fifty stalls have been equipped with individual
automatic drinking cups for the cows
All of the buildings including the silos with the excep
tion of the last barn built which was whitewashed on the in
side have been painted inside and out74
EIGHTIETH ANNUAL REPORT
An entrance has been made into the Supervisors office at
the Negro Building from the outside and a small covered
porch built over the doorway This enables the employees
and the public to enter the office without first having to pass
through the Supervisors private quarters
The temporary stage in the amusement hall has been
taken out and a permanent one bu ilt in its place
The barn at the dairy begun last year has been com
pleted This building is 120 feet long by 156 feet wide Its
construction is similar to the other barns and while the inte
rior has not been made with cement floors and stalls for the
cows the construction is such that it can be changed for milch
cows without disarranging the construction
The old boilers in the L M Jones Building have been
removed and replaced with now and larger ones The larger
boilers being for the purpose of supplying steam for the heat
ing of the John T Brantley Building as well as the store
house and the L M Jones Building The old brick chimney
has also been replaced with a taller and larger one
A larger duplex steam pump and receiver has been placed
in a new position in the pump pit of the L M Jones Building
boiler room and a new system of hot water supply installed
These two items being for the care of the L M Jones Building
the storehouse three surrounding cottages and the John T
Brantley Building
An additional power table has been added to the sewing
room equipment This table has two power sewing machines
on it
All of the washing machines in the white laundry have
been overhauled and put in good shape Four of these ma
chines required new copper shells
A 42inch by 84inch new Monel Metal Cascade Washer
has been added to the equipment of the white laundry
A hot bed with glass top 120 feet long and 6 feet wide
has been built for the florist
An eighthorse power vertical tubular boiler has been
installed at the dairy
The wooden center sills in all of the older dairy buildings
have been taken out and replaced with others built of concrete
New gravel and sand have been placed in the filters at
the water works and all of the 1500 filter strainers taken out
and cleanedGEORGIA STATE SANITARIUM
75
The kitchen and dining room building at the Hospital
has been recovered with galvanized sheet iron
The large box stalls on the south end of the dairy have
been taken out and replaced with stalls for the milch cows
similar to those in the balance of the building The floor in
this part of the building has been relaid with concrete to con
form with the balance of the work
A marquee has been placed over the entrance to the John
T Brantley Building
The cottage occupied by Dr Longino has been repaired
banisters put to the front porch and painted inside and out
A ventilator has been put over the toilet at the Apothe
cary
A portion of the 14th ward has been cut off by a parti
tion making a much needed clothes room
Clothes cabinets have been built in the bathroom of the
cottage occupied by Dr Tanner and the whole house has been
worked over and painted inside and out
Clothes closets have been built in ten of the bath rooms
of the Powell Building
A third story has been added to the porch at the Male
Convalescent Building
A closet has been built in the dining room of the Cabaniss
Building
The brick flooor in the colored laundry kettle room has
been replaced with one of cement This floor has a drainage
to the center and connection with the sewer
The cottage occupied by Dr Cox has been repaired and
painted both inside and out
Twelve steam radiators have been placed in the sun rooms
of the west wing of the Powell Building Four of these are
new placements the others take place of an old type of radia
tor which has never been very effective
Clothes lockers have been built in the kitchens of the
Negro Building and the Twin Buildings for the operatives
A new shingle roof has been put on the first cottage to the
south of the negro Building and the house put in good repair
All of the employees cottages on the south side of the
institution have been repaired and the roofs patchedLUt
76
EIGHTIETH ANNUAL REPORT
A cement walk seven feet wide has been laid between the
south end of the storehouse and the east end of the Powell Cen
ter Building
The wooden porch floor and steps in front of the Whittle
Building have been taken out and replaced with concrete
The diet kitchen on Ward 0 has been removed to C
Ward and a brick chimney built for the range Sinks and
tables have been made for this kitchen
A Delco lighting system has been bought and installed at
the Colony This takes the place of the old and wornout
acetyline gas system used there
A latticed framework has been built around the stairway
leading to the yard in the rear of the west Detached Building
The grounds between the Powell and Jones Buildings
have been worked over and newly graded The walks in this
area have been resurfaced and grass has been planted over the
lawns
The old metal ceiling in four of the dining rooms at the
Negro Building has been removed and replaced with wood
ceiling
The second and third floor apartments in the center build
ing of the Male Convalescent Building have been painted
The cottage occupied by the Steward has been painted
The female T B ward has been painted on the inside
throughout
The outside of the Storehouse Building has been given two
coats of paint and the inside of the building has been gone
over also
The rooms and hallways on the 23rd Female Ward have
been painted
The floors of the hallways in the Powell center building
have been waxed and polished twice during the year
In addition to the ordinary repair work of the institu
tion the carpenter shop the furniture and harness repair
shop the tin shop the paint shop broom factory and shoe
repair shop have been kept busy in manufacturing and repair
ing various articles used in the different departments
Respectfully submitted
T II DeSaussuke
EngineerGEORGIA STATE SANITARIUM
77
Report of Steward
For the Year 1923
Dr R C Swint Superintendent
Georgia State Sanitarium
Dear SirI have the honor of submitting the following
exhibits and schedules making up a detailed report of all re
ceipts and disbursements through this office during the fiscal
year ended December 31st 1923
EXHIBITS
1
3
4
5
6
7
8
Consolidated Cash Statement Receipts and Disburse
ments
Analysis Cash Receipts and Disbursements General
and Special Funds
Balance Sheet at December 31st
Statement of Income and Expenditure for Year
Profit and Loss Statement Farm and Garden
Profit and Loss Statement Dairy
Analysis Expenditure Nurses Home
Analysis Incidental Account Shown in Exhibit No 4
SCHEDULES
1 Accounts Payable as of December 31st
2 Accounts Receivable as of December 31st
A comparison of the per capita cost for the year with
that of 1922 follows
Year Per Capita Per Diem Patients
192223804 06525 3918
192323495 06437 4172
With a few exceptions purchases have been promptly
paid throughout the year
Cancelled vouchers and bills have been filed in the
Executive Department as required by law
Respectfully submitted
Homer Bivins
StewardExhibit No 1
Consolidated Cash Statement Receipts and Disbursements
DESCRIPTIVE General Fund Patients Fund Stewards Fund New Buildings Patients Deposits Support Maintnce
Balance from 1922 1505274 992891 300000 3440087 992891
Less due Treasurer
Less due Special Funds 4645361

Receipts Maintenance Appropriation regular Maintenance Appropriation part 1921 Returned checks 80000000 300000 1548 2435 87398 1665041 635308 1665041 80000000 300000 1548 2435 87398
InsuranceColony Farm Loss
Interest on balances
Patients deposits
MiscellaneousSales etc 635308

Balance 78886107 635308 992891 1655041 2600349 2300349 3440087 2657932 76381328
Transferred by Steward

Balance Disbursed on vouchers 79521415 101818018 2657932 1555229 300000 4904097 3440087 3594374 2657932 76381328 94874776

Balance 22296603 1102703 5204097 4904097 154287 2657932 1555229 18493448 3348868
Disbursed by Steward

Balance 22296603 1102703 300000 154287 1102703 21842316

H
Q
X
H
s
H
X

z
d

S
H
o
i3Exhibit No 1 Continued
Consolidated Cash Statement Receipts and Disbursements
SUMMARY
O
H
O
ft
o
Due Treasurer overdraft22296603
Due patients deposits 1102703
Total 23399306
Less cash in hand Treasurer1102703
Less cash in hand Steward 300000
Less due by Nurses Home Fund 154287
Total 1556990
Difference Cash deficit Maintenance Fund 21842316
w

H
w

H

Pi
Exhibit No 2
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Forward from 1922
In hand Treasurer
In hand Steward
992891
300000
State Appropriations
Regular for maintenance 1923 80000000
Regular for maintenance part
1921 300000
Trust Funds
Patients deposits
Miscellaneous
Merchandise sales 182229
Sales bodies 15000
Sales drugs 13200
Dental material 3000
Medical books 14360
Old material iron brass bar
rels etc 59238
Sundries 4874
SalesFarm Garden and Dairy
Hides and calves 13449
Farm products 31365
1292891
80300000
1665041
291901
14
DISBURSEMENTS
Paid O M Conn Treas over
draft from 1922
Special Funds
Nurses Home 3594374
Occupation therapy 200589
Trust Funds
Patients withdrawals
Support and Maintenance
Officers salaries 5490746
Wages Medical Dept 21674662
Wages Stewards Dept 3950774
Wages Engineers Dept 5384948
Wages farm garden dairy 1897465
Food supplies
Wards 24238162
Superintendents D room 54975
Stewards D room 297076
Miscellaneous
Clothing and dry goods 7533450
Furniture and bedding 5679375
Fuel 8541975
Maintenance of plant 3313380
Medical supplies 1027316
Stationery and postage 440791
1505274
3794963
1555259
38398595
24590213
O
K
5
X

55
55
a

r
w
O
toExhibit No 2 Continued
Analysis Cash Receipts and Disbursements
General and Special Funds
RECEIPTS
Other
Board special attendants 97332
Telephone and telegrams 4735
Wages 13932
Interest on balances 87398
Kents 300
Checks returned 1548
Occupation therapy 182324
InsuranceColony Loss 2435
Difference
Overdraft General Fund
390004
22296603
Grand total
106281254
DISBURSEMENTS
Incidentals 5864836
Farm and Garden
Live stock 7500
Vehicles and implements 266428
Fertilizers 906450
Seed 62341
Sundries 36179
Dairy
Feed 1091125
Misc supplies 195650
Sundries 67451
Total for support and
maintenance
Balance Cash in Hand
Treasurer 1102703
Steward 300000
Grand total
32401123
1278898
13
54226
23055
1402703
106281254

O
w

H
w

Z
Exhibit No 3
Balance Sheet at December 31st 1923
ASSETS
Cash in Hand
Treasurer Patients Fund1102703
Steward Working Fund 300000
Miscellaneous
Freight and express 639239
Due by Nurses Home Fund 166635
Accounts Receivable
Officers and employees 43061
United States Public Health 32068
Outsiders 9867
Purchased Supplies
Storekeeper 3793632
Sewing room 513492
1402703
805874
84996
LIABILITIES
Due O M Conn Treasurer
Maintenance Fund
Due Special Funds
Patients deposits 1102703
Occupation therapy 27739
Wing Whittle Building 12368
Salaries and Wages
Employees December2863064
Officers December 512410
Accounts payable
Purchases for 1923
Surplus
As of Janlst19235606212
Less 1923 adjustment 455567
22296603
51142810
3375474
1107130
o
a
3
13

z
a

F
to
H
O
to
i3Exhibit No 3 Continued
Balance Sheet at December 31st 1923
ASSETS
Engineer fuel 3352146
Engineer supplies 1041096
Cold storage 619024
Pharmacist 497087
Farm Products on Hand
Earrn and garden1874265
Dairy 291200
Property Accounts
Live stock farm and garden1762100
Live stock dairy 1774500
Vehicles and Imp farm 529625
Vehicles and Imp dairy 93800
Difference
Excess expenditure Exhibit No 4
Total
LIABILITIES
Net to account for
9816477
2165465
3536600
623425
14637122
33072662
5150645
Total
33072662
O
O
o
w

H
H
03

H

ft
rI
aExhibit No 4
Statement of Income and Expenditure for Year
EXPENDITURE
General admisitration
Officers salaries
Wages and Labor
Medical Department22650282
Engineers Department 5497034
Stewards Department 4071213
Total
Food Supplies
Wards24034977
Officers dining rooms 352051
Total
Miscellaneous
Fuel 6085538
Medical supplies 1027316
Stationery and postage 440791
Furniture and bedding 4641731
Dry goods and clothing 6495507
Maintenance of plant 3216210
Heat light and power 1507775
Laboratory supplies 83082
Office supplies 122092
5799282
32218529
24387028
INCOME
State Appropriation
Regular maintenance 80000000
Miscellaneous
Board of officers 79729
Board special attendants 103395
Board employees 363823
Rents residences 22550
Interest on balances1 89399
Sales medical books 14110
Fines 15100
Dental work and material 1225
Miscellaneous sales 123665
Miscellaneous income 11451
Poultry yards 8163
Total 832610
Additional
Net profit from dairy 348560
Net profit from farm and garden 1306476
Total 1655036
Difference
Excess expenditure for year 14637122
O
a
H
i3
a

d

F
W
H
O
fS
i3 Exhibit No 4 Continued
Statement of Income and Expenditure for Year
EXPENDITURE
Dental supplies and equipment 279
Repairs autos and trucks 210630
Incidentals 3316226
Escaped patients 1 la
Advertising fnm
Amusements 21
Travel 15737b
Medical books and journals 371f
Telephone and telegraph 49173
Surgical instruments
Interest paid j
Automobiles purchased 33041b
Total
Food Supplies
Furnished by farm garden and dairy
Grand total
INCOME
Carried to Exhibit No 3
28218187
6501742
97124768
Grand total
97124768
Q
H
O
W
Q
w

H
w

H

rH
aExhibit No 5
Profit and Loss Statement Farm and Garden
DEBITS
Inventory as of December 31st 1922
Purchases During Year
Commercial fertilizer
Seed
Freight
906450
62341
36179
Total
Departmental Purchases
Compost
Total
Deduct inventory Dec 31 1923
Net cost feeds fertilizer etc
Difference
Gross profit for year
Total
Operating Expense
Wages employees
Sundries
Miscellaneous supplies and repairs
Treating hogs
Board employees
Difference
Net profit for year
Grand total
1874265
1004970
231400
3110635
1874265
1236370
3307037
4543407
1471450
7000
259428
17200
245483
1306476
3307037
CREDITS
Departmental Sales
Vegetables
Peas potatoes etc
Pork
Dairy products
Poultry and eggs
Dairy feed
s27273
4514
8390
944
996
3001
48
70
35
00
49
40
Total
Cash Sales
Miscellaneous
Total
Gross profit down
4 12042
31365
4543417
3307037
II
Q
a

X

z
a

r
w
H
0
o
to
Grand total
3307037Exhibit No 6
Profit and Loss Statement Dairy
DEBITS
Inventory as of Dec 31st 1922
Purchases During Year
Feeds
Freight on feeds
Pasturage
Departmental Purchases
Feeds from farm and garden
Total
Deduct inventory at Dec 31st 1923
Net cost of feeds etc
Difference
Gross profit for year
Total
Operating Expense
Salaries and wages
Misc supplies and repairs
Board employees
Sundries
Total
Difference
Net profit for year
Total
191125
57451
10000
291200
1158576
300200
1749976
291200
1458776
1082973
2541749
S472193
195650
59070
7500
734413
348560
1082973
CREDITS
Departmental Sales M
Milk ZfK
Butter lf
Dressed beef 4
Compost z
Sacks
Total
Cash Sales
Calves hides etc
7
47
75
50
00
28
Total
Gross profit brought down
2528300
13449
2541749
1082973
O
a
o

w

H
w

2
11

II
d
Total
1082973Exhibit No 7
Analysis Expenditure Nurses Home
DISBURSEMENTS
Brick 58320
Lime cement and plaster 258777
Tile 255825
Lumber 928836
Laths 158525
Wooden columns 10673
Electrical supplies 330368
Hardware 77323
Plumbing and steam fittings 253972
Boiler heater and radiators 170077
Sand 54825
Insurance builders risk 80000
Miscellaneous 27323
Total
Wages
Employees
Total expenditure
2664844
929530
3594374
RECEIPTS
Forward from 1922
Difference
Due regular Maintenance Fund
3427719
166665
EJ
O
a
3
IH
a
i3
X

F
3
El
t
O
w
13
Total3594374GEORGIA STATE SANITARIUM
89
Exhibit No 8
Analysis Incidental Account Shown in Exhibit No 4
Housekeeping 781948
Kitchen supplies 129553
Laundry supplies 467471
Dining roomswards 367365
Broom factory 214969
Cemetery supplies 69494
Florists supplies 25181
Auditing 145524
Insurance property 64004
Barber supplies 25373
Implements 38271
Electrical supplies 122849
Telephone supplies 19204
Tobaccos 820785
Sundries 24235
Total
3316226
90
EIGHTIETH ANNUAL REPORT
Schedule No 1
Accounts Payable as of December 31st 1923
DR
Acme card filling system
Armour Co
Augusta Chronicle
Atlantic Broom Supply Co 2039
American Laundry Machinery Co
Atlanta Journal Co
Bell Grocery Co
E E Bell
Brantley C C 324
Brantley John T
Bright Brooks Lumber Co 7208
Bland S J
Burroughs Adding Machine Co
Chandler Brothers 810
Callaways Stores 3636
Chicago White Lead and Oil Co 538
Carter White Lead Co 3263
Cudahy Packing Co
Cotton States Belting Supply Co 350
Coleman Meadows Pate Drug Co
H L Corv Coal Co
Cone E H
Crane Co
Conn John Co
Constitution Publishing Co
Curington Elrod Co
Dannenberg Co 26746
Dean H H
Dowman Dozier Mfg Co 572
Doubleday Page Co
Doody W A Co
I Epstein Bro
Ennis J H
Evans W C
Enterprise Mfg Co in 25
Empire Products Co
Pulton Supply Co 65
Eried J R
Georgia Railroad Co 7 70
Gilham Schoen Electric Co
B G Glass Motor Co
S Gumpert Co
Gulf Refining Co
Glenn Photo Stock Co
Hall Dr T M
R W Hatcher Hardware CoI
Eeri Frerich Chemical Co
Harris Laboratories
J I Holcolmb Mfg Co 217
Hinman Milking Machine To
Hosch Brothers Co
Ivey O E
CR
43870
179796
420
354
1080
49910
14316
1250
21934
2499
4192
2536
19758
1070
1396
741
1296
300
2500
200
951
45
126348
12060
2600
200
26
200
3200
5233
194
2500
2225
181li
3276
129
4
23745GEORGIA STATE SANITARIUM
91
Schedule No 1 Continued
Accounts Payable as of December 31 1923
DR
Ivey W H 54
James Supply Co dH
lordon Lee N
Kewanee Boiler Co
Kronenberg XRay Supply Co
Lester Book and Stationery Co
Laib Co 2
Samuel Lewis M
Liberty Yeast Corporation
McMillan Co
MeKinley Collins
Macon Telegraph Publishing Co
Matheison Alkali Works 4oU
Merritt Hardware Co
J A Majors Co
Miller Rubber Co ro
Milledgeville Telephone Co
Montgomery W H
Milton Bradley Co
H B Mulford Co
Milledgeville News
C E Newton Bros
Newell A C
Oconec River Mills
National Biscuit Co
Nervous Mental Disease Co
National Committee Mental Hygiene
Peoples Oil Co
Parke Davis Co
Phenix Supply Co 10uu
Procter Gamble Dist Co
Rawlings Dr William
Ridley Yates Co Lu
J B Riley Drug Co
Roin and Turpentine Export Co 54ua
Rice Hutchins Atlanta Co
Riddle Coal Co
N Richardson Milling Co
Roughton Halliburton
David Rothschild Co
Rome Mfg Co
Shaw Dr W H
Schwartz Phaul 00
Selden Sales Co
Selig Co 600
Southern Express Co
Stembridgc J W
Smith R G q97
Standard Oil Co
Solomon Co
Swift Co
CR
9050
3115
902
5938
4818
9416
468
36977
720
20
2723
3962
3363
2468
1800
650
28550
2500
133795
7304
600
2650
22905
6250
1744
415
25030
28924
23675
225
138
7500
8106
1684
3875
3407
81574ngg0
BHHHI
92
EIGHTIETH ANNUAL REPORT
Schedule No 1 Continued
Accounts Payable as of December 31 1923
DR CR
Surgical Selling Co 440
Southern Cotton Oil Trading Co 6250
Scientific Materials Co 2740
Tanner Dr W F 8013
Tenniile W C 4495
Tribune Herald 228
Veal O F 5625
Union Recorder 8000
United Provision Co 5304
Whitfield Grocery Co 120541
Western Union Telegraph Co 2535
E A Waxelbaum Bro 69
Wilson Co 75
West Disinfecting Co 600
Western Electric Co 613
Watson E T 1293
Wachtel Physician Supply Co 52
Williams Wilkins Co 500
Max Wocher Son 196
Willingham Tiit Lumber Co 17390
Winthrop Chemical Co 3330
Wootten R H 272
Total108048 1188673GEORGIA STATE SANITARIUM
93
Schedule No 2
Accounts Receivable as of December 31st 1923
DR CR
Allen W K 375
Adams Alethia 1040
Allen W H 2250
Adams Lusallie 19
Austin Frank l8o
Amos Essie 160
Allen C D 30
Andrews Mandy 65
Bonner Mary 35
Beal Lizzie Mae 252
Blackwell A N 390
Bailey R F 135
Berry Lucile 150
Bonner A E 20
Benlord Lillie 319
Bonner Allen 500
Bloodworth J G 215
Bivins Homer 378
Braswell Willie 35
Brown Easter 50
Brantley Mattic Lou 115
Bowen U S 1353
BrowTn Annie 261
Brown Eula 254
Boyer Maria 128
Brown Luvie 25
Brantley T C 25
Bentley G R W 50
Baugh W E 35
Chappell Louis 300
Cox C G 166
Combes Mrs D N 65
Couch C E 30
Cooper Mrs J O 10
Coleman E H 74
Coxwell Mrs T B 40
Digby Velma 214
Digby Mae 33
Davis J R 75
DeSaussure T H 383
Dillard Joe 200
Dickerson A B 35
Denham J H 35
Eehols G L 131
Epps R S 70
Farell Arthur Jl
Freeman Lillian 29o
Freeman Lnla 250
Grimes Ruth 85
Georgia State Farm 1050
Green G H
94
EIGHTIETH ANNUAL REPORT
Schedule No 2 Continued
Accounts Receivable as of December 31st 1923
DR CR
Gilman J M 20
Godfrey Delia 38
Gilman Lucy 41
Gilman Ernest 50
Humphrey Joe 30
Harper Lucile 850
Hutchinson Stella 78
Hardie J H 100
Hawkins Johnnie 45
Hall J M 62
Hartley Loraine 105
Horton O D 750
Hattaway G W 150
Harrison John 867
Hudson C E 397
Hawkins A J 434
Hogan Callie 140
Herringdine Gussie 172
Humphrey J O 35
Hoover Ruby 50
Holsev L S 40
Hudson J E 60
Johnson Nannie Sue 336
Jackson Ellen 378
Jones H S 70
Josey J E 50
Johnson B E 40
Kitchens Gladys 1296
Lawson E L 65
Lord J E 135
Longino L P 124
Leonard Lila 126
Lavender O B 55
Liggins Rosa 635
Logue J S 35
Layfleld J A 15
McKinley Lannle 30
McDade Hessic 1018
Merritt Willie Mae 464
Mathews T W 145
Malone J B 147
Martin L J 105
Moye Lula 75
Miner C C 80
Mobley J W 2445
Nelson Nicic 01
Odcn J W 3105
Oxford Amy 60
Osborne H L 35
Penuel F C 869
Pettitt J K 1082GEORGIA STATE SANITARIUM
Schedule No 2 Continued
Accounts Receivable as of December 31st 1923
DR OR
Polk J B 410
Phillips Vera 472
Price Marie 710
Ross J D 105
Ray Seott 228
Rice Walter 50
Rivers Eula 191
Robinson Agnes 309
Radney Zclma 572
Renfroe Cora 1391
Richardson Willie 427
Reid Bertha 165
Reliford Mamie 225
State Anatomical Board 1000
Smith J T 375
Smith Lillian 35
Snow W H 350
Simpson C E 125
Stembridge WW 35
Simpson B C 50
Saye E B 40
Switzer A W 114
Smith Eva 340
Smith E L 40
Thompson Eclix 25
Tanner W F 8817
Tucker Walter 411
Thomas Annie 520
Threat Eannie 120
Thomas Trellie Mae 125
Thompkins Katie 110
United States P II S 32068
Vinson J T 25
Veal Joe 75
Vcatch C N 25
West J H 385
Walker N P 297
West Maggie 140
Wright S E 204
Wootten J J 103
Wright S E Jr 25
Wynn Lucile 67
Walker W A 35
Wright D B 40
Yarbrough Y H 130fcprfc
JkJl3LjiJL
BRAID a MUTTON INC
PRINTERS AND LITHOGRAPHERS
SAVANNAH GAEIGHTYFIRST ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE GEORGIA
For the Year Ending
December ThirtyFirst
Nineteen TwentyFourjpo

Board of Trustees
President
John T Brantley Blackshear Ga
VicePresident
H H Dean Gainesville Ga
Secretary
C C Brantley Valdosta Ga
E E Lindsey Rome Ga
J C Jarnagin Warrenton Ga
A C Newell Atlanta Ga
Thos M Hall Milledgeville Ga
H W Shaw M D Augusta Ga
Wm Rawlings M D Sandersville GaCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
B B Lindsey Chairman
J C Jarnagin
Thos M Hall
A C Newell
C C Brantley
Finance and Auditing Committee
A C Newell Chairman
Wm Rawlings C C Brantley
Committee on Sanitation Medical and Dispensary Service
Wm Rawlings M D Chairman
Thomas M Hall M D H W Shaw M D
Committee on Buildings and Grounds
H H Dean Chairman
E B Lindsey
H W Shaw M D
Committee on Farm and Outside Business
J C Jarnagin Chairman
H H Dean
Wm RawlingsfejjB3hiiflayat
Officers of the Sanitarium
R C Swint M D
Superintendent and Resident Physician
N P Walker M D Clinical Director
L P Longino M DFirst Assistant Physician
Y H Yarbrough M DSecond Assistant Physician
J I Garrard M DAssistant Physician
Geo L Eehols M DAssistant Physician
J W Oden M DAssistant Physician
J K Pettit M DTo Sept 1 1924 Assistant Physician
W H Allen M DAssistant Physician
D T Rankin M DProm March 1924 Assistant Physician
E B Saye M DPathologist
R W Bradford M D
From July 1924 Junior Assistant Physician
U S Bowen M D
From July 1924 Junior Assistant Physician
C G Cox M D
From July 1924 Junior Assistant Physician
G H Green D D SDentist
S I Ney D D SFrom Dec 1 1924 Dentist
J J WootenPharmacist
Mrs Mae M Jones R NSuperintendent of Nurses
Otto M ConnTreasurer
Homer BivinsSteward
T H DeSaussureEngineer
F C PenuelFarm Steward
H S JonesSecretary
Arthur FarellStorekeeper
Miss Catherine McGinleyDietitian
Miss Amy OxfordDirector Occupation Therapy
W W StembridgeInspeci
Rev H C EmoryChaplai
or
ain
ResignedEightyfirst Annual Report
OF THE
Board of Trustees of the Georgia State Sanitarium
MlLLEDGEVILLE Ga JANUARY 1ST 1925
To His Excellency Clifford Walker Governor
Sir
Conforming with the State law the Board of Trustees of
the Georgia State Sanitarium respectfully submits its annual
report for the year 1924 which is supplemented by the annual
report of the Superintendent and Resident Physician in which
is included reports from the heads of the different depart
ments of that Institution These reports supply information
in detail of the work which has been done during the year
Some Physical Facts
From these reports it will be seen that the net increase
over the past year was 203 patients as compared with 207
for the previous year though the total admissions for the
year were only six less than the previous year The year
closed with 4447 patients on hand
The report of the Steward shows that the daily per capita
cost for the past year was 0622 as compared with 0643
for the previous year This reduced cost per capita comes in
face of an increase of a little more than 5200000 for food
during the past year
The salaries and wages account shows that the cost of such
was 200100 less than the previous year
Farm Stewards Report
From the Farm Stewards report for the past year it will
be seen that the value of the products taken from the garden
and farm of the Sanitarium for use in maintaining the Insti
tution amounted to a little more than 10000000 based on the
value of such products in the open markets It has been the
policy of the Farm Committee of the Board to try to make
that department productive of the greatest possible value to
the Institution The output from the farm and garden in
cluded vegetables fruits milk dairy products gram sweet
potatoes and other crops of that characterEIGHTYFIRST ANNUAL REPORT
Engineering Department
In the Engineering Department the repairs upon the
various buildings have been kept up and an unusually large
amount of work done in extending pipe lines for heating pur
poses water mains for fire protection the installation of a
mattress renovating plant and quite a large amount of grad
ing and driveway construction has been done Work has
been pushed upon the new nurses home the John T Brantley
Building which has been in course of construction for the
past several years and which will take care of the white female
nurses when it is completed thereby relieving in a measure
some of the greatest congestion on the halls is to be completed
during June or July of the current year The work is being
done largely by the regular force of carpenters masons and
painters of the Institution in the interest of economy
The Scope of the Property
These references will give an idea of the physical work
which has been done at the Sanitarium during the past year
In order to appreciate the enormous amount of work to be
done in these departments it may be said that the original
cost of the real estate of the Institution including all of its
buildings approximates 169300000 Most of these are old
buildings which require constant repairs such as new floors
new ceilings new roofs and other repairs of that character
The grounds of the Institution cover over 3450 acres and of
this amount 1750 acres were under cultivation the past year
There are under irrigation about 18 acres of land which is
very productive furnishing an enormous amount of vege
tables during the season
There are employed at the Institution including the
Medical Staff Nurses Attendants and employes in other
departments 355 males and 324 females making a total of
679 Its total population is now 5126 while 605 patients
were out on furlough at the close of the year
Finances
The careful management of the Sanitarium is indicated
elsewhere The report of the Steward sets out in detail the
receipt and expenditure of funds appropriated to it The
report is corroborated by that of the State Auditor The
appropriation of 80000000 for 1925 will be insufficient to
maintain the Sanitarium and a deficiency appropriation ofGEORGIA STATE SANITARIUM
25000000 to be made available on the exhaustion of the reg
ular appropriation will be necessary
The Medical Department
The Board of Trustees point with pride to the most ex
cellent service which has been rendered in the Medical Depart
ment during the past year We believe that the morale of the
Institution the devotion of the employes to the unfortunates
in their charge and the spirit of cooperation which exists m
all of the departments was never better than it is at the pres
ent time The Board of Trustees has been especially impressed
and pleased with the excellent results which have come from
the development of Occupational Therapy among both the
males and females in the Institution and among the black
as well as the white population This work includes manual
effort in many different lines It is not enforced service but
it is the kind of work which various types of patients are
fitted for doing In the male department it has been grading
gardening and work of that type The patients have taken to
it with enthusiasm and some wonderful results have been
accomplished
In the female department the work includes nearly all
kinds of fancy work An exhibit of this work would compare
favorably with similar work from any institution in the coun
try A suitable building for the further development of this
form of treatment is urgently needed for the use of white
females It is a pleasure to see the excellent development in
these lines and especially since the diversion has had such a
wholesome effect upon the mentality of those engaged m it
Our Crowded Condition
The Board of Trustees feels that the work for the past
year has been unusually good considering the crowded con
dition of the Institution and the handicap under which every
department is laboring There has been a net gain of about
500 patients in the past two years and the Institution was
overcrowded before these patients were received The condi
tion that exists upon some of the halls at the present time is
almost intolerable We feel confident that it would not exist
if the people of Georgia and the members of the General
Assembly understood the situation as it really is A great
Institution which is founded for charity and which has to
deal with a type of human beings who need regular hospital
treatment and constant care and attention should not beggXW
EIGHTYFIRST ANNUAL REPORT
forced to subject its inmates to a condition which tends to
aggravate rather than relieve the trouble from which they
are suffering The State Sanitarium is not a place of mere
confinement or a prison but it is a place of treatment and
the fact that a large percentage of those who are received
each year are returned to lives of usefulness and to their
families shows that the work of the Institution is reaching
the high ideals for which it was established
Need of Another Institution
The Board of Trustees after having given much thought
and consideration to the present condition in the Institu
tion is firm in the belief that the time has arrived when
the State should now prepare for the establishment of another
hospital for treatment of the insane probably located in some
other part of the State The experience of other States has
been that the best results are not obtained where the conges
tion is so great and the Institution is so large The Georgia
State Sanitarium is one of the largest in the United States
While the number of insane population is not proportionately
as great in Georgia as in most of the other States and the
cost of maintenance is not so large we have our entire insane
population in a single Institution located at one point The
Board of Trustees will amplify this view in a special report
to your Excellency with the hope that the attention of the
next Legislature may be called to it
The Fire Hazard
The Board of Trustees desires to call attention again to the
need of a dependable system of fire escapes for the various
buildings in which patients are confined While we have had
no trouble in the past and while the Trustees and the officials
of the Institution have done all in their power towards im
proving the system of fire protection by the extension of
water mains and putting in more hydrants we daily realize
what a horrible situation would confront us and the people
of Georgia if a fire should get beyond the control of our fire
departmenta condition that is as liable to happen at the
Sanitarium as elsewhere
Need of Duplicate Water Main
We also wish to call attention again to the urgent need of
a duplicate water main from the pumping station to theGEORGIA STATE SANITARIUM
Sanitarium At present we have only one main which is
sometimes covered by freshet water from the Oconee River
It runs under Pishing Creek and two or three smaller
branches and is liable to be put out of commission almost any
time Such a happening would bring about a deplorable situa
tion at the Sanitarium and one which the people of Georgia
should not tolerate longer
Ice and Cold Storage
We call attention again to the urgent need of a new ice
plant and improved cold storage facilities Our present ice
plant is worn out and has been outgrown for several years
The Institution is dependent upon it for ice for its 5000 popu
lation and for cold storage in which to keep its dairy products
vegetables beef and other things that are dependent upon
cold storage for preservation
Some Other Needs
We also call attention to the fact that the Sanitarium needs
a much larger Amusement Hall to meet the needs of the large
population of patients who are wonderfully helped in this
way The present Amusement Hall has been in use for forty
years and is no longer adequate
There is also an imperative need of additional buildings
for white female and colored female patients It is estimated
that these buildings will cost 15000000 each A schedule of
needed improvements for the next two years and which re
quire special appropriation are as follows
1 New ice plant and cold storage Estimated cost 3000000
2 Duplicate water main from pumping station to Sani
tarium Estimated cost 4400000
3 Occupational Therapy Building for white females
Estimated cost 926000
4 Outside fire escapes Estimated cost 2500000
5 Modern Hospital Building adequately equipped Esti
mated cost 25000000
6 Amusement Hall adequate to meet the needs of our
large population to replace the small one that has
been in use for 40 years
7 Two additional buildings will have to be provided to
take care of the overcrowded white females and
colored females if no steps are taken towards the
establishment of another Institution in some other
section of the State Estimated cost each15000000Xjffuuiacatx rtiiriv
10
EIGHTYFIRST ANNUAL REPORT
Changes in the Law
The Board respectfully calls your attention to needed
changes in the State law which will clearly define the type
of patients to be admitted to the Sanitarium and to change
the law so as to make each county of the state bear onehalf
of the cost of caring for the patients from the different coun
ties and another change in the name of the Institution from
Georgia State Sanitarium to Georgia State Hospital
The Board of Trustees will present these matters to your
Excellency in more definite shape in the special report herein
before referred to at which time the Board will undertake to
show the advantages which are to be derived from these
changes
In Conclusion
The Board heartily commends Superintendent Swint for
the record which he and his assistants have made during the
past year
We wish to thank your Excellency for the cooperation
which has come from the Executive Office and which has been
very helpful to the Board in discharging its duties We also
recognize the fine spirit which has been shown by the State
Auditor in seeking to meet the needs of the Institution
The Board has held its meetings regularly during the year
with committee meetings each month and in that way has
sought to do its duty The funds of the Institution have been
carefully administered Supplies have been bought on com
petitive bids as far as possible and the Board has been grati
fied to find a spirit of sympathy and helpfulness on the part
of business concerns that have had dealings with the Institu
tion We look to the future with hope confident that God
will continue to bless our efforts and that the greathearted
people of Georgia will not stint their greatest charity or
deprive it of the things that are needed to relieve suffering
among those who have ties binding them to almost every
home and fireside in the state
Respectfully submitted
John T Brantley
President
C C Brantley
SecretaryGEORGIA STATE SANITARIUM
11
Report of the Superintendent
Georgia State Sanitarium
January 1st 1925
The Honorable Board of Trustees
Georgia State Sanitarium
GentlemenIn accordance with your rules and statutory
requirements I submit herewith the Eightyfirst Annual
Report of the Georgia State Sanitarium which covers the
period from January 1st 1924 through December 31st 1924
Appended hereto are reports of the Clinical Director
Pathologist Dentist Superintendent of Nurses Pharmacist
Steward Farm Steward Engineer and Treasurer that give
the details of the operation of the Institution throughout the
year
TABLE OF GENERAL INFORMATION
1 Date of opening as an institution for the
insaneOctober 12 1842
2 Type of institutionState
3 Hospital Plant
Real estate including buildings169275000
This does not include Nurses Home that
is now under construction which will cost
about 20000000 when completed
Personal property 32745200
Total 202020200
Total acreage of hospital property owned Includes grounds
occupied by buildings farm and garden sites3450
Total acreage under cultivation previous year1750
4 Officers and employes actually in service at the end of the
year12
EIGHTYFIRST ANNUAL REPORT
Males
Superintendents
Clinical Director
Pathologist 1
Assistant Physicians 10
Medical Internes 0
Clinical Assistants 0
Resident Dentist 2
Steward
Graduate Nurses 1
Other Nurses and Attendants 195
All Other Officers and Em
ployes 143
Total Officers and Employes 355
Females Total
0 1
0 1
0 1
0 10
0 0
0 0
0 2
0 1
15 16
291 486
18 161
324 679
GENERAL STATISTICS OF PATIENT POPULATION
FOR THE YEAR 1924
Admissions during the year
Males
First Admissions444
Readmissions113
Total Admissions During
the Year557
Total under treatment during the year
Females
478
116
594
Total
922
229
1151
5479
Daily average under treatment
Discharged from records during the year
Males
As recovered 53
As improved 118
As unimproved 62
As without psychosis 14
4389
males Total
126 179
116 234
26 88
11 25
Total discharges 247
Died during the year 209
Total discharges including deaths 456
Total actually in Sanitarium Jan
uary 1st 19252036
Total out on furlough 299
Total remaining on books January
1st 19252335
279
197
476
2411
304
2715
526
406
932
4447
603
5050GEORGIA STATE SANITARIUM
13
We began the year with a greatly overcrowded institution
and notwithstanding our effort to limit the admissions to
young applicants who offered some hope of being benefited by
treatment and to those who furnished histories of being vio
lent and too dangerous to be kept at home our population
increased 203 during the year compared to 270 the previous
year and the total admissions were 1151 or 6 less than the
previous year Other requests for admissions that we were
obliged to decline emphasizes the need for increased accom
modations
The function of the Sanitarium is not simply that of cus
todial care its principal object and aim is to serve as a hos
pital for those unfortunate citizens of the State who become
afflicted with mental disease and we are endeavoring with
all the resources at our command to make it a hospital for
such in service as well as in name
The cause care and proper treatment of those afflicted
with mental disorders is one of the most vital and complex of
all medical problems We are rightly getting away from the
narrow and technical definition of the word insanity and
view the cases from the standpoint of adjustment Some of
the cases admitted have comparatively mild symptoms which
are nevertheless manifestations of a diseased mind of func
tional nervous disorder Individuals afflicted with these types
of illness are just as much in need of special treatment as the
more fully developed and frank eases of mental disease It
is therefore regrettable that the state has not provided ade
quate accommodations for all who wish and need treatment
The percentage of discharges from the records during the
years as recovered and improved based on the number of
admissions was 358 compared to 3315 during the pre
vious year
Also of the 792 patients furloughed during the year 516
were restored and improved A detailed analysis of this group
will be found in a tabulation of the Clinical Directors report
Overcrowded
Overcrowding has been a problem of the institution for
many years and attention has repeatedly been called to it in
previous annual reports It has now become one of the most
pressing problems confronting us Its ill effect reaches every
phase of the medical service and this is most notably true on
reception wards where the most difficult and responsible mediUHWH
14
EIGHTYFIRST ANNUAL REPORT
cal work and study of new admissions is concentrated It seems
that we are paroling the restored improved and harmless cases
as rapidly as wisdom justifies The notion obtains however
among some of the uninformed that there are many inmates
in the Sanitarium who should be discharged but any one
familiar with the situation knows that it is not only the duty
but one of the pleasantest duties of the Superintendent to see
that no person is illegally or unjustly confined in the Sani
tarium and to discharge those who become restored and are
able to make a social readjustment
The problem of overcrowding and requests for admission
should be provided for it cannot be solved by sidetracking
I do not think it would be expedient to further expand this
institution Experience has demonstrated and it is the opinion
of those best informed on the science of hospital management
and control that the best condition and results cannot obtain
in institutions with so extremely large populations T there
fore think it would be wise for your honorable body to aerain
call the Governors attention to this problem of overcrowding
and stress to him tlie importance of establishing another state
hospital in some other section of the State Even after the
completion of the Nurses Homethe John T Brantlev Build
ingand the rooms on the wards now occupied by nurses
become filled with patients we will still be overcrowded on
the White Female Department by several hundred patients
MEDICAL SERVICE
A detailed report of the medical work during the year
will be found in the Clinical Directors report A few changes
took place in the Staff during the yearDr R W Bradford
who was formerly with us and resigned to enter general prac
tice was reelected and returned to us July 5th as Junior
Assistant Physician Drs U S Bowen and C G Cox after
a competitive examination as required by law were promoted
in July from Internes to Junior Assistant Physicians Dr
Jno R Harrison Interne resigned July 1st to enter gen
eral practice in South Carolina Assistant Physician J K
Pettit resigned September 1st to accept a position at Letch
worth Village N Y Only one of the two vacancies caused
by the resignations has been filled The Staff shortage has
caused the patient population in each service to range from
300 to 800 depending on the character of the service Of
course best results need not be expected when one physician
has so many patients to care for as he cannot give the per
sonal contact to each case that is so essential in psychiatricGEORGIA STATE SANITARIUM
15
practice It is difficult to get the proper type of young
physicians who are interested in psychiatry to fill vacancies
on the Staff as most of the young graduates seem to be in
terested in other branches of medicine that offer prospect of
greater remuneration This is a problem that is not confined
to Georgia but according to reports it obtains in practically
every State in the Union When the medical schools begin to
pay more attention to the teaching of psychiatry the attitude
and interest of students may be changed
Our maintenance appropriation has been too inadequate
for us to expand the relation of the institution to the various
communities of the State in the form of additional extra mural
mental clinics and social service department but I believe
that the usefulness of the Sanitarium would be extended by
the establishment and development of these features of the
medical service and that good results would obtain from them

The Business Department
The report of the Steward gives schedules and exhibits
that show in detail the receipts and disbursements during the
year
We endeavored to practice the strictest economy through
out the year keeping in mind the welfare of the patients the
amount appropriated and the efficiency of the various depart
ments
Notwithstanding the fact that we were more liberal with
our menu and spent 5205787 more for food than during the
previous year our daily per capita cost was 0617 compared to
0643 the previous year This cost included every item of
expense connected with the care and treatment of a daily
average of 4389 unfortunate charges placed here by the state
as well as the repairs and upkeep of the physical plant
The largest item in the maintenance account is the matter
of salaries and wages although this item was 200164 less
than the previous year If we are to maintain the efficiency
of the institution it is necessary that an adequate force of
officers and employes be kept and paid commensurate with
their duties responsibilities training service etc It seems
that we have this matter very well before us and cannot
expediently anticipate any reduction The needs of the insti
tution and the welfare of our unfortunate charges could
better be provided for if we were given a more liberal per
capita allowance16
EIGHTYFIRST ANNUAL REPORT
Engineers Department
The various divisions of this department have been kept
busy during the year in meeting the needs of the institution
An institution as old and large as this with the various build
ings originally so economically constructed necessarily re
quires considerable repairs for their proper upkeep and there
is still a great deal of repair work ahead of us
The report of Capt T H DeSaussure who has been the
head of this department for many years gives a full account
of the improvements made on the plant during the year One
of the most needed and useful of these improvements was the
construction of a mattress house and equipping it with an
electrically driven picker and other appliances for mattress
making
Since October the Engineer and some of his force have
been concentrating their efforts toward the completion of the
unfinished Nurses Home
Farm Garden and Dairy
The Farm Stewards report gives a tabulation of food
stuffs and dairy products produced in this department during
the year The extreme cold weather in January killed out
growing vegetables and oats but the seasons were favorable
to our corn crop We produced 15000 bushels compared
to 7511 bushels the previous year Also while 21672 lbs of
pork was killed the amount carried over to be killed after
Christmas will total about the amount killed the previous year
Religious Services
Religious services were held each Sunday afternoon by
the regular chaplain the Pastor of the Milledgeville Metho
dist Church serving in this capacity until Nov 1st and since
then the Pastor of the Milledgeville Episcopal Church These
pastors have also conducted the funerals of all white patients
buried in the Sanitarium cemetery The Catholic Priest from
the Milledgeville Catholic Church looked after the needs and
requirements of the members of his religious faith Services
and burials in the colored departments were conducted by our
chaplain in that departmentGEORGIA STATE SANITARIUM
17
Amusement of Patients
The Sanitarium Band as usual gave concerts for the
patients three times a week Moving picture shows were pro
vided for them twice a week During the early period of the
year we perfected arrangements with sixteen film distributing
agencies in Atlanta through the Atlanta Film Board of Trade
to furnish us gratis films thereby saving the institution several
hundred dollars and in this connection we wish to thank the
Associated First National Pictures Consolidated Film Sup
ply Co Educational Film Exchange Famous PlayersLasky
Corporation Film Booking Offices of America Fox Film Cor
poration Goldwin Distributing Corporation Producers Dis
tributing Corporation Al Litchman Corporation Metro
Pictures Corporation Pathe Exchange Progress Pictures
Southern States Film Co and Vitagraph for their interest
and contribution to the enjoyment of our unfortunate charges
The Junior Order American Mechanics Imperial Council
No 10 also gave a gratis entertainment for the patients on
March 21st that they greatly enjoyed
Other features of amusement such as games walks pic
nics etc were provided
Occupation therapy was extended some during the year
Two large portico rooms in the white female department were
thoroughly renovated and are now being used for this pur
pose Brightening up the walls ceilings and floors with a few
coats of paint has a salutary effect upon the patients It has
been said that sight is probably the most important of the five
Jensen because it is responsible for more than sixty percent of
all the impressions taken into the mind
PELLAGRA RESEARCH
The U S Public Health Service continued during the year
their research studies of pellagra begun at the Sanitarium in
1914 This work is directed by Dr Joseph W Goldberger
of Washington D C with Dr W F Tanner of the Public
Health Service in immediate charge Dr Tanner who had
charge of this work for several years was transferred to
Washington in November and Dr G A Wheeler of the Public
Health Laboratory in Washington was sent down to take his
place and has been in charge since the middle of NovemberiffflKftiVttTr
18
EIGHTYFIRST ANNUAL REPORT
Schedule of Needed Improvements for Next Two Years
Requiring Special Appropriations
1 New ice plant and cold storage Estimated cost 3000000
2 Duplicate water main from pumping station to
the Sanitarium Estimated cost 4400000
3 Occupation Therapy building for white females
Estimated cost 926000
4 Outside fire escapes Estimated cost 2500000
5 Modern Hospital building adequately equipped
Estimated cost25000000
6 Amusement Hall adequate to meet the needs of
our large population to replace the small
one that has been in use about 40 years
7 Additional buildings will have to be provided to
take care of the overcrowded white females
and colored females if no steps are taken
toward the establishment of another insti
tution in some other section of the State
Estimated cost each15000000
Changes in the Law
I respectfully call your attention to the following legisla
tive matters that I think are very important for the welfare of
the service
1 Section 3 Pages 1634 Acts 1918 should be revised so
as to define more clearly its meaning and the type of cases
that should be committed and admitted to the Sanitarium
2 Means for raising funds for aiding the maintenance of
the Sanitarium can be found in a county payment law so
formulated that each county would become responsible to the
State Treasury for onehalf the amount it cost to maintain
and treat each and every patient committed from said county
When the patient has adequate property to pay for his or her
treatment give the county the authority of collecting and
reimbursement for the amount paid out for treatment for
said patient This probably would have an influence toward
preventing the committing of harmless incurable cases also
senile cases whose principal problem is custodial care and
because of their irritability childishness and forgetfulness
they become a burden to their relativesGEORGIA STATE SANITARIUM
19
3 The name of the Georgia State Sanitarium should be
changed to the Georgia State Hospital This would be
more in keeping with progressive psychiatric thought and
state control
Acknowledgments
In concluding this report covering the work of the Sani
tarium for the year just closed I desire to express my cordial
thanks and appreciation to your honorable body for your
confidence and constant interest in the affairs of the institu
tion throughout the yearto the medical staffall other offi
cers and employes for their loyalty and faithful service ren
dered throughout the year to the Womens Clubs American
Legion and others who were so thoughtful and kind to send
to the patients at Christmas time so many gifts
Respectfully submitted
Superintendent Etc
R C Swint20
EIGHTYFIRST ANNUAL REPORT
Report of Clinical Director
Dr R C Swint
Superintendent
Dear Sir
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31st 1924
During the year there were 922 first admissions and 229
second admissions making a total of 1151
The most noticeable difference as compared with the pre
vious year is the increase in number of cases of paresis among
the colored males For the first time general paralysis of the
insane was the leading form of psychosis among first admis
sions in any of the departments 41 of the 168 colored first
admissions having been classified as paretics In 1924 24
of the first admissions among the colored males suffered from
paresis as compared with 151 for the previous year It
is to be sincerely hoped that the rate of increase of neuro
syphilis among the colored race will not continue as indicated
by the above figures The usual laboratory findings in the
blood and spinal fluid helped to confirm the diagnoses
Of the 23 patients diagnosed as not insane ten showed
mental deficiency three psychopathic personality four were
epileptics two were drug addicts one was an alcoholic and
in the case of two no evidence of abnormality was at hand
It may have been that they showed evidences of mental dis
turbance before admission
Thirtythree of the second admissions had been in private
sanitariums most of them for very short periods In most
instances they were brought direct from the private sani
tariums
Seven hundred and ninetytwo patients were furloughed
Of these 27 were classified as not insane Of the remaining
765 594 were furloughed as restored and improved Omit
ting 23 patients admitted during the year who were classified
as not insane the combined percentage of those furloughed
restored or improved was 52 of the number of admissionsGEORGIA STATE SANITARIUM
21
We have had a number of cases of chicken pox and
measles but no epidemic of a serious nature There were 406
deaths 75 of the total number treated Tuberculosis gen
eral paralysis of the insane and cerebral hemorrhage were the
leading causes of death in the order named Sixty patients
died of tuberculosis 52 of general paralysis of the insane and
36 of cerebral hemorrhage In 1923 the number of patients
dying from these diseases in the order named was 49 43 and
30 Paresis and cerebral arteriosclerosis appear to be much
more rapidly fatal among the colored males than elsewhere
At least they do not live long after admission Taking into
consideration the number of cases of general paralysis of the
insane and arteriosclerotics admitted and the large number
of old and feeble patients now in the institution we can
scarcely hope for any great reduction in the death rate
The medical work may be arbitrarily divided into three
spheres of activity First the treatment of those physical
ailments which are incidental and have no connection with
the mental state of the patient Second the treatment of those
conditions which bear a known relationship to the mental
illness of the patient Third the treatment of the mental
state itself either symptomatically or otherwise
In the first sphere the work has been well done We have
a staff competent to ably handle any condition that may
arise The staff has had the invaluable assistance of the lab
oratory in this sphere as well as in the others The staff also
received the valuable cooperation of the training school and
its head as well as of the graduates now in the employ of the
institution
The most important work done in the second sphere has
been in the field of neurosyphilis The results have been any
thing but encouraging in this particular line In addition to
the older methods of treatment tryparsamide has been tried
in fourteen cases of paresis None of the patients recovered
There was an unstable improvement in the serology I some
of the cases particularly was there a reduction in ttJ num
ber of cells in the spinal fluid One of the patients became
blind after the second dose of three grams The great ma
jority of our paretics more especially the negro men are
usually in a very advanced stage when admitted We are
indebted to Dr Wade Brown of Rockefeller Institute for
furnishing tryparsamide in sufficient quantities to treat the
fourteen patients above mentionedfftttxiiaxum
22
EIGHTYFIRST ANNUAL REPORT
Upon application Dr E C Rosenow of the Mayo Clinic
furnished sufficient serum for the treatment of five cases of
encephalitis Here too our patients had been ill for a long
time and improvement was scarceely to be hoped for None
of the patients showed any benefit from its use
All of our acute cases of pellagra are now being treated
under the direction of Drs Goldberger and Wheeler of the
United States Public Health Service Splendid results are
being obtained Not only our institution but the human
race at large are indebted to these physicians for their most
excellent work
Particular attention has been given to the activities in
the third sphere Here the means of treatment is neither
medicinal nor surgical and is far from being fully developed
The cooperation of the other departments of the institu
tion has been of much help in this particular line Special
nursing occupation habit training amusement and diversion
are the most valuable assets in treatment During the latter
part of the year special nurses were placed with a small
number of highly excited destructive and filthy patients The
results were good There was an evident response in every
case except one Individual nursing in the cases of such
patients is apparently costly but the contrary is true in
many cases at least The continuation of this policy in se
lected cases is recommended As far as possible occupation
and diversion were provided for all newly admitted patients
who were able to take part in such
Among the chronic incurable cases chiefly dementia
praecox habit training and occupation are the chief aids
relied upon A small number of patients suffering from demen
tia praecox of long standing seven to eighteen years were
put in the care of special nurses for habit training In not
a single instance was there a complete failure On the con
trary some of these patients became tidy and nondestructive
This is an economic as well as humane procedure It is an
effort to train these patients so that they will be less offensive
to other patients and at the same time a great deal less expen
sive to the hospital This feature of the work should also be
continued Some of the physicians have segregated their de
structive patients and placed them under the care of selected
nurses The same thing has been done to a limited extent with
the untidy patients In both instances improvement in the
habits of the patients have resulted The effects of habit
training have become evident in the diminished amount ofGEORGIA STATE SANITARIUM
23
work necessary at the laundry and a well marked lessening of
clothing and bedding destroyed
The crowded condition of the institution hampers us at
every turn This is not only unhealthful but is positively
dangerous The two white female reception wards have a
capacity of 28 each one to a room They have averaged
from 45 to 60 patients to the ward Under such circumstances
a new patient about whom we may know nothing must be
placed in a room with another Attacks by one patient upon
another are bound to occur Fortunately no serious accident
has recently happened on this account The hospital cannot
possibly fulfill its function so long as such conditions exist
It cannot afford a place of restfulness and quiet so long as a
noisy excited and possibly dangerous patient has to be con
fined in the same room with another or in a dormitory where
he may disturb a hundred A patient from the above recep
tion wards has to go where there may be a socalled vacancy
unless it is found possible to shift another patient There are
at this time aged patients on the reception ward where the
most violent and impulsive patients are received The danger
to these old and feeble persons is selfevident There are
times when it is not easy to say which of two patients sleeping
in the same room is the filthy one Indeed there has been
an instance where three such patients slept in a single room
The very large amount of work being done in the labora
tory is indicated by the number of examinations made 6566
Several thousand of these specimens were collected by the path
ologist or his assistants This is a timeconsuming procedure
In addition to the laboratory work the technicians have em
balmed 317 bodies In the midst of his other work the pathol
ogist has found time to do some research work Mention of
this is made in his report It is to be greatly regretted that
our institution as well as those of other states contribute so
little towards research work in a field of which we have such
comparatively meager knowledge The pathologists report
contains much information of interest
The training school under the Superintendent of Nurses
continues its work in the same manner as formerly Many of
its graduates are filling positions of responsibility and im
portance
In May and October short courses were given the newly
employed attendants Each course consisted of lectures whicli
supplemented quizzes and examination on a small pamphlet24
EIGHTYFIRST ANNUAL REPORT
prepared for the purpose In addition to this a monthly
bulletin was published and distributed to the wards The
course has not yet been made what it should be but we hope
that eventually it will be much improved Without doubt
the monthly bulletin does more to improve the nursing of the
insane than anything so far tried
The clinic at Macon continues with about the same attend
ance as in former years The results are good The location
of rooms for the clinic are a definite drawback to its further
upbuilding
The classes in psychology from the University of Georgia
and from Emory University spent several days at the institu
tion in the late spring They were given all the advantages
possible to study the manifestations of abnormal psychology
The medical department cannot function at its best with
out the cooperation of the other departments We have been
glad to receive the assistance of these departments in the
years work
We cannot escape the feeling that the spirit of the entire
medical service has improved The suggestions and foresight
of the physicians have helped very materially in making our
hospital a better one The uniform willingness with which
the nursing force has undertaken to carry out untried pro
cedures proves their loyalty
Acknowledgments are made to the Board to you and the
entire medical service for assistance and suggestions looking
to the betterment of the medical work
Respectfully submitted
N P Walker
Clinical DirectorGEORGIA STATE SANITARIUM
25
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1924
Psychoses
White
M F
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nervous dis
eases
8 Alcoholic
9 Due to drugs
10 With pellagra
11 With other somatic diseases
12 Manic depressive
13 Dementia praecox
14 Paranoia or paranoic conditions
15 Epileptic psychoses
1G Psychoncuroses and neuroses
17 With constitutional psychopathic
inferiority
18 With mental deficiency
19 Undiagnoscd psychoses
20 Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic in
inferioriy without psychoses
Mental deficiency without phy
choscs
Total
0
18
33
17
3
0
5
7
4
92
43
0
16
4
9
40
49
2
1
1
2
370
Colored
M F
0
19
14
3
1
2
6
0
7
5
6
133
70
1
12
4
1
20
39
2
0
5
2
356
0
6
18
11
2
0
1
3
0
0
0
33
35
0
13
0
0
16
18
0
0
0
0
0
1
187
Total
0
6
19
16
0
0
1
0
0
13
2
50
74
0
12
0
0
12
33
0
0
0
0
0
0
238
0
49
84
77
6
2
12
11
12
25
12
308
222
1
53
10
88
139
4
1
6
4
5
12
1151
26
EIGHTYFIRST ANNUAL REPORT
TABLE II
Diagnostic Grouping of First Admissions During Year 1924
Psychoses
White
M
Colored
M
F
Total
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nervous dis
eases
8 Alcoholic
9 Due to drugs
10 With pellagra
11 With other somatic diseases
12 Manic depressive
13 Dementia praccox
14 Paranoia or paranoic conditions
15 Epileptic psychoses
16 Psychoneuroses or neuroses
17 With constitutional psychopathic
inferiority
18 With mental deficiency
19 Undiagnosed psychoses
20 Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic in
inferiority without psychoses
Mental deficiency without psy
choses
Total
0
15
32
17
3
0
3
7
3
7
3
49
28
0
13
4
6
34
39
1
1
0
2
0
19
14
3
1
2
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
2
2
0
5
16
41
2
0
1
2
0
0
0
25
32
0
13
0
0
13
17
0
0
0
0
0
6
18
15
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
0
0
45
80
76
10
9
9
25
11
196
178
0
47
6
74
117
3
1
2
4
10
276
274
168
204
922GEORGIA STATE SANITARIUM
27
TABLE III
Diagnostic Grouping of Readmissions During Year 1924
Psychoses
White
M P
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nervous dis
9
10
11
12
eases
Alcoholic
Duo to drugs
With pellagra
With other somatic diseases
Manic depressive
13 Dementia praecox
14 Paranoia or parnoic conditions
15 Epileptic psychoses
16 Psychoneuroscs and neuroses
17 With constitutional psychopathic
inferiority
18 With mental deficiency
19 Undiagnosed psychoses
20 Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without physchoses
Psychopathic inferiority without
psychoses
Mental deficiency without psy
choses
TotaL
2
0
1
43
15
0
3
0
3
6
10
1
0
1
0
94
Colored
M F
0
0
0
0
0
0
1
0
1
0
0
49
16
1
2
0
1
2
5
0
0
3
0
82
19
Total
0
0
1
1
0
0
0
0
0
0
0
12
10
0
1
0
0
3
6
0
0
0
0
31
0
4
4
1
0
0
2
2
3
0
1
112
44
1
6
0
4
14
22
1
0
4
0
229TABLE IV
Diagnostic Grouping of Patients Furloughed During Year 1924
Psychoses
WHITE
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With other brain or nervous diseases
Alcoholic
Due to drugs
With pellagra
With other somatic diseases
Manic depressive
Dementia praecox
Paranoia or paranoic condition
Epileptic psychoses
Psychoneuroses and neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without
psychoses
Mental deficiency without psychoses
Total
Male
R I U S
1
1
3
4
0
0
1
u
2
0
1
42 9
25 24
0 1
3 6
4 2
4 3
0
0
0
0
0
0
0
0
I
0
0
0
0
0
0
0
0
0
II
1
2
2
0
4
6
Female
R I U S
0
0
0
0
0
0
1
0
4
0
1
51
6
0
1
4
0
2
8
0
0
0
0
0
5
3
1
0
1
3
0
0
2
4
71
25
2
4
3
5
in
12
0
0
0
0
0 0
0 0
0
1
1
0
0
0
1
0
0
1
0
17
16
ii
7
0
6
2
6
l
0
0
0
0
0
COLORED
Male
R I U S
73127 79 15 78l50 58 11 4 65 30 1 22 75 4 0 792
0
0
II
0
0
0
0
0
0
0
0
I
0
0
0
0
0
0
II
II
0
0
0
0
1
Female
R I IT S
0
0
0
0
0
0
0
0
0
1
0
16
1
0
0
0
0
1
3
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
II
0
0
0
0
0
0
0
0
0
0
0
I
I
0
II
0
0
I
II
0
I
II
0
0
II
Total
1
10
22
20
2
1
7
10
15
7
10
303
154
3
34
13
22
55
76
2
2
7
2
5
9
O
a
H
w

2
3

r
si
H
o
toGEORGIA STATE SANITARIUM
29
TABLE V
SURGERY
Amputation Angers 4
Appendectomies 9
Ascites aspiration 1
Angina ludovici aspiration 1
Breast amputation
Circumcisions
Carcinoma vulva excised
Castration
Dilatation and curettage uterus 2
Eyes refracted 5
Fractures reduced and fixed I4
Gangrene intestine aspiration 1
Hermatoccle drained 1
Hemorrhoidectomies 5
Herniotomies
Hysterectomies 5
Ischiorectal abscess drained 1
Laparotomy exploratory 1
Maxillary Sinus irrigation 1
Necrosis inf Maxilla aspiration 1
Nasal polypi removed
Oophorcctomy
Perineorrophy
Paracentesis thoracis
Pterygium aspiration 2
Puncture car drum
Salpingectomy
Salvarson and tryparsamide doses 953
Tonsillectomies 1
Trachelorrophy 1
XRay treatments 55
XRay pictures 419
Totali653uncvemr
30
EIGHTYFIRST ANNUAL REPORT
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1924
Abscess Isehiorectal
Anaemia pernicious
Anaesthesia chloroform
Angino pectoris
Arteriosclerosis
Asthma
Carcinoma
Chorea Huntingtons
Drowning accidental
Dysentery amoebic
Dysentery not specified
Embolysm pulmonary
Empyema
Encephalitis
Endocarditis
Enteritis acute
Enteritis chronic
Enteritis tubercular
Epilepsy
Erysipelas
Exhaustion acute mental disease
Fever typhoid
Fracture of hip
Gangrene intestinal
Gangrene senile
General paralysis of the insane
Heart disease organic
Heart disease valvular
Hemorrhage cerebral
Hemorrhage from bowels cause un
known
Hernia incarcerated
Ilius acute
Influenza
Leukemia S M
Myocarditis acute
Myocarditis chronic
Nephritis acute
Nephritis chronic
Organic brain disease
Parasites intestinal
Pellagra
Pneumonia broncho
Pneumonia lobor
Sarcoma
Septicaemia
Suicide
Syphilis cerebral
Tuberculosis abdominal
Tuberculosis acute miliary
Tuperculosis pulmonary
Unknown
Total
White
F
M
1
0
1
0
7
1
1
2
0
0
2
0
1
1
1
2
2
1
8
0
2
0
0
0
1
10
4
0
9
1
0
0
0
0
0
0
0
5
13
0
7
12
6
0
1
0
1
0
1
9
5
118
0
1
0
1
7
0
4
0
1
0
1
1
0
0
0
6
4
0
5
1
4
2
1
0
0
0
0
0
7
0
0
1
1
1
1
6
1
2
5
0
6
13
5
1
1
1
0
0
0
7
4
102
Colored
M
0
0
0
0
4
0
1
0
0
0
0
0
0
1
1
1
0
0
7
1
1
0
0
0
0
34
0
3
6
0
0
0
1
1
0
0
0
6
0
1
1
3
4
0
0
0
1
0
0
11
2
91
0
0
0
0
2
0
1
0
0
1
1
0
0
0
0
1
0
1
2
0
4
0
0
1
0
8
0
3
14
0
1
0
0
0
0
0
0
1
0
0
4
7
5
0
1
0
0
2
0
28
7
95
TotalGEORGIA STATE SANITARIUM
31
TABLE VII
Admissions from the Various Counties During the Year 1924
White Colored Tntnl
County M P M F
1 0 2 1 0 2 3 5 3 2 10 2 1 0 1 3 2 0 3 0 1 1 2 0 1 0 23 2 3 4 0 2 6 0 6 2 2 3 1 1 2 3 6 2 2 1 1 1 1 1 5 0 4 5 3 1 7 1 2 1 0 5 0 2 1 0 3 0 5 1 1 0 19 3 4 1 2 1 5 6 3 1 1 2 2 1 0 1 10 5 2 0 0 0 1 3 6 0 0 2 2 0 10 0 0 3 0 2 4 0 0 1 1 0 1 0 0 0 23 0 0 2 0 1 1 0 0 0 2 1 0 2 0 4 3 2 2 1 0 0 0 0 7 0 0 0 1 0 9 1 0 4 0 1 5 1 3 0 1 0 4 0 1 1 29 2 1 3 0 0 1 1 0 0 0 3 1 1 0 3 6 1 0 4 2
1
4
b
18
2
V
12
9
3
36
4
3
8
1
11
11
3
7
1
6
1
12
1
3
1
94
7
8
10
2
4
13
Coffee 7
9
3
Cook 5
9
4
5
2
11
DeKalb 25
10
6
6


rrrrTrrr
32
EIGHTYFIRST ANNUAL REPORT
Admissions from the Various Counties During the Year 1924
Continued
County White Colored Total
M F M F
Douglas 0 0 0 6 0 0 3 2 10 4 5 35 1 0 4 5 6 2 9 5 2 1 2 1 3 4 1 14 1 2 34 2 2 1 2 1 1 0 0 0 2 1 1 0 1 3 0 1 15 0 0 2 0 0 1 0 0 0 0 0 4 0 0 1 4 1 0 0 0 2 0 1 2 0 0 1 1 0 2 0 0 1 0 0 0 1 0 0 20 0 0 1 0 0 2 1 1 0 3 1 0 0 0 4 0 0 1 2 0 4 2 1 0 1 0 3 2 5
Early 4
Effingham 1
Elbert 10
Emanuel 3
Evans 4
Eannin 7
Eayette 4
Floyd 28
Forsvth 5
Franklin 8
Fulton 104
Gilmer 3
Glascock 2
Glynn 7
Gordon 7
Grady 7
Green 6
Gwinnett 16
Habersham 9 1 7
Hall 10 0 4 3 1 0 2 0 1 3 1 1 1 n 0 0 2 1 8 0 6 1 3 2 1 1 1 2 0 1 0 1 0 3 3 4 3 0 2 0 16
Hancoek 4
Haralson 8
Harris 9
Hart 2
Heard 1
Henrv 8
Houston 6
Irwin 2
Jackson 5
Jasper 3
Jeff Davi3 2
Jefferson 7
Jenkins 5
Johnson 5
Jones 6
Lamar 6
Lanier 1
Laurens 14
Lee 3

GEORGIA STATE SANITARIUM
33
Admissions from the Various Counties During the Year 1924
Continued
County
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwcther
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph
Richmond
Rockdalo
Schley
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
White
M P
0
0
5
2
0
4
2
2
3
4
1
1
5
2
5
0
0
2
0
2
1
1
5
1
10
0
2
1
1
6
0
0
0
2
5
3
2
0
0
Colored
Total
M
1
1
0
0
1
0
0
1
0
0
0
2
3
0
4
0
0
2
0
2
0
0
0
P
0
2
4
1
3
3
3
2
0
0
1
2
2
0
3
5
3
3
0
0
0
0
0
1
0
0
1
0
0
4
0
0
2
0
2
1
2
6
2
2
3
13
3
5
11
6
7
4
4
4
6
11
5
14
6
2
7
1
2
6
4
14
2
6
2
4
23
1
2
5
2
9
6
7
7
31rf

34
EIGHTYFIRST ANNUAL REPORT
Admissions from the Various Counties During the Year 1924
Continued
White
M
Colored
M F
Total
Talialerro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tiit
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
5
4
2
5
12
11
5
3
1
2
13
4
5
2
8
5
5
4
4
11
2
2
3
6
12
5
3
7
3
Total 370 356
187 238
1151GEORGIA STATE SANITARIUM
35
TABLE VIII
Nativity of All Patients Admitted During the Year 1924
White
M F
Colored
M F
Total
Alabama
Canada
Connecticut
Delaware
England
Florida
France
Georgia
Germany
Greece
Illinois
Indiana
Ireland
Kentucky
Maryland
Massachusetts
Mississippi
New Jersey
New York
North Carolina
Ohio
Oklahoma
Russia
South Carolina
Tennessee
Texas
Vermont
Virginia
Unascertained
Total 370 356
11
0
1
1
2
4
1
310
1
2
0
1
0
0
1
1
1
0
4
6
0
1
1
5
5
0
0
1
10
5
1
0
0
1
3
0
310
1
0
0
0
1
1
0
0
1
1
0
7
4
0
0
11
4
1
1
0
3
4
0
0
0
0
2
0
167
0
0
0
0
0
0
0
0
2
0
0
3
0
0
0
4
0
0
0
0
5
3
0
0
0
0
1
0
224
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
5
23
1
1
1
3
10
1
1011
2
2
1
1
1
1
1
1
4
1
4
16
4
1
1
24
9
1
1
1
23
187
238
1151
36
EIGHTYFIRST ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1924
White
M
F
Colored
M F
Total
Agricultural Pursuits
Farmers
Farmers daughters
Farmers wives
Farm laborer
Professional Service
Lawyer
Minister
Physicians
School teachers
Trained nurse
Domestic and Personal Service
Barber
Bootblack
Chauffeur
Delivery boy
Demonstrator
Domestic
Garage worker
Housekeeper
Housewives
Janitor
Laborer
Laundress
Laundry worker
Maid
Nurse
Policeman
Porter
Seamstress
Servants
Shoemaker
Timekeeper
Waiter
Watchman
Trade and Transportation
Advertising agent
Clerk
Bookkeeper
Insurance agent
Mail carrier
Merchants
Postmaster
Postoffice employee
Printers
R R employee
R R engineer
R R fireman
169
0
0
1
2
4
2
2
0
2
0
0
0
0
0
1
0
0
0
20
0
0
0
0
1
0
0
0
0
2
1
6
0
0
0
0
2
1
0
0
0
0
1
0
0
0
213
0
0
0
0
0
3
0
0
3
0
0
0
0
0
1
5
2
0
0
0
0
0
0
0
0
0
58
0
0
16
0
1
0
1
0
0
2
1
2
0
0
0
0
0
1
64
0
1
0
0
0
4
0
0
2
0
0
1
0
0
0
0
0
0
0
0
0
1
1
1
0
0
40
0
0
0
4
0
0
0
0
0
0
1
0
68
0
0
7
27
0
3
1
0
0
3
17
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
237
1
6
57
2
5
2
9
1
2
2
1
2
1
1
1
68
213
1
91
27
1
3
4
1
4
6
17
2
1
2
2
2
16
7
1
2
7
1
1
5
3
1
2GEORGIA STATE SANITARIUM
Classified Occupation of Patients Admitted During the year 1924
Continued
White
M F
Colored
M F
Total
Trade and Transportation contd
Railway news dealer
Salesman
Stenographers
Stonecutter
Street commissioner
Teamster
Telegraph operator
Truck driver
Manufacturing and Mechanical
Pursuits
Brickmason
Cabinet maker
Carpenter
Mechanic
Metal worker
Painters
Food and Its Kindred Products
Baker
Butler
Cook
Meat cutter
Miller
Textiles
Cotton mill employee
Iron Steel and Other Products
Blacksmith
Pipefitter
Plumber
Steel worker
Lumber and Its Manufacturers
Sawmill laborer
Sawyer
Turpentine laborer
Miscellaneous
Band master
Convict
Mattress maker
Miner
Peddler
Student
Vulcanizer
None
Unascertained
Total
1
1
7
10
1
6
0
1
0
0
1
12
2
1
1
1
1
1
0
1
0
1
1
1
2
1
54
4
370
0
0
0
0
0
0
0
0
0
0
0
0
111
0
356
0
0
0
0
1
0
1
0
1
0
0
0
0
0
17
4
187
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
34
238
2
1
9
10
1
7
1
1
16
1
1
20
2
1
1
1
2
1
1
1
1
1
1
1
13
1
193
24
1151
38
EIGHTYFIRST ANNUAL REPORT
TABLE X
Ages of First Admission During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
Traumatic
Senile
Psychoses with cerebral ar
teriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic condi
tions
Epileptic psychoses
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Contsitutional psycho
pathic inferiority with
out psychoses
Mental deficiency without
psychoses
Total
MALES
Under
20
21 31
30 40
2
4
26
74 52
2 4
4 7
01 0
0 0
37129
Over
70
38
Un
ascer
tained
0
10
6
0
0
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
20
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
32
17
3
0
0
3
3
7
7
3
49
28
0
13
4
6
34
39
1
3
6
276GEORGIA STATE SANITARIUM
39
Ages of First Admission During the Year 1924
Classified with Reference to Principal Psychoses
White Population Continued
Psychoses
FEMALES
Under
20
2131
30 1U
Traumatic
Senile
Psychoses with cerebral ar
teriorsclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Due to drugs
Alcoholic
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic condi
tions
Epileptic psychoses
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Contsitutional psycho
pathic inferiority with
out psychoses1
Mental deficiency without
psychoses
Total
0
0
0
0
0
0
0
0
0
0
0
0
7
1
0
4
1
0
7
3
1
0
2
27
0 0
1 1
3 0
0 0
0 0
01
69 51
Over
70
Un
ascer
tained
Total
0
0
13
o
1
2
0
0
0
0
0
0
0
0
0
0
2
0 0
0 0
0 0
0
19
14
3
1
2
0
5
6
0
5
6
84
54
0
10
4
0
18
34
2
0
3
27440
EIGHTYFIRST ANNUAL REPOR
Ages of First Admission During the Year 1924
Classified with Eeferenee to Principal Psychoses
Colored Population
Psychoses
MALES
Under
20
4151
50 00
Over
70
Un
ascer
tained
Total
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of theinsane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic condi
tion
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Psychopathic inferiority
without psychoses
Mental deficiency without
psychoses
Total
0
0
0
0
0
0
0
0
0
0
0
0
7
11
0
3
0
0
4
0
0
0 0
0 0
0 0
0 0
26
41
3124
0
5
16
41
2
0
0
1
2
0
0
0
25
32
0
13
0
0
13
17
0
27
12
168GEORGIA STATE SANITARIUM
41

Ages of First Admission During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population Continued
Psychoses
Under
20
Traumatic
Senile
With cerebral arterioscle
FEMALES
2131
30 40
rosis
Generalparalysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoic condi
tion
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Psychopathic inferiority
without psychoses
Mental deficiency without
psychoses
Total
0
0
0
0
0
0
0
1
0
0
1
0
4
7
0
2
0
0
1
4
0
20
4
10
0 0
0 0
69 56
27
Over
70
0 0 0
10 0
0 0 0
16
Un
ascer
tained
Total
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
0
0
204xKarxyHrvMWi
42
EIGHTYFIRST ANNUAL REPORT
TABLE XI
Degree of Education of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
MALES
T3 a
a a o
f
03 o 3
a ffiM O 0 o
0 0 0 0 0 0
i 5 3 0 2 4
0 16 10 2 1 2
0 3 5 4 2 2
0 1 0 0 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 2 1 0 0 n
0 1 2 3 1 n
0 0 1 2 0 0
0 2 2 0 1 2
0 1 2 0 0 n
0 16 12 6 2 7
0 5 18 4 0 1
0 0 0 0 0 II
0 5 4 1 0 0
0 1 2 0 0 0
0 0 2 3 1 0
0 9 5 0 2 1
0 14 13 2 0 5
0 0 1 0 0 0
0 0 0 0 0 0
0 0 0 0 n 0
0 0 0 0 0 0
0 0 2 1 0 0
0 3 1 0 0 0
1 84 87 28 12 25
o
en
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praccox
Paranoia or paranoid condition
Epilepsy
Psychoneuroscs or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
0
0
1
0
1
0
0
0
0
0
0
0
6
0
0
3
1
0
17
5
0
39
0
15
32
17
3
0
0
3
7
3
7
3
49
28
0
13
4
6
34
39
1
3
6
276GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
FEMALES
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic diseasc
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathc inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
73
a
Total
a
o
P
0
7
5
0
0
0
0
4
0
1
2
0
24
19
0
5
0
0
5
11
0
50
0
2
0
0
0
1
0
0
0
1
0
0
12
4
0
1
0
0
0
4
1
0
19
14
3
1
2
0
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
3
274
r
44
EIGHTYFIRST ANNUAL REPORT
Degree of Education of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
MALES
o a
a a

CO a GO c3 o SBS bo 0 3
fc a m SK o a o
0 0 0 0 0 n 0
3 1 1 0 0 n 0
7 0 4 2 0 n 3
13 2 16 4 0 0 6
U 0 1 1 0 0 n
0 0 0 0 0 0 n
0 0 0 0 0 0 0
0 0 1 0 0 0 0
1 0 0 1 0 n 0
0 0 0 0 0 0 0
0 0 0 0 0 0 n
0 0 0 0 0 0 0
10 1 11 2 0 0 1
5 1 19 6 1 0 0
0 0 0 0 0 0 0
6 0 4 0 0 l 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
8 0 2 0 0 0 3
8 2 3 3 0 1 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 0
62 7 62 19 1 2 15
0
5
16
41
2
0
0
1
2
0
0
0
25
32
0
11
0
0
13
17
0
0
1
168GEORGIA STATE SANITARIUM
45
Degree of Education of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population
Psychoses
FEMALES
a
a
B O
Bg tub
c
he
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
Epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathc inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without phy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
0
3
13
6
0
0
0
0
0
0
5
1
13
12
0
4
0
0
6
9
0
72
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
20446
EIGHTYFIRST ANNUAL REPORT
TABLE XII
Environment of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
AlcoTTblism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
MALE
82
17
3
6
276
FEMALE
171
0
19
14
3
1
0
2
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
3
274GEORGIA STATE SANITARIUM
47
Environment of First Admissions During the Year 1924
Classified with Eeference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psy
choses
Drug addict without psy
choses
Epilepsy without psychoses
Constitutional psychopathic
inferiority without psy
choses
Mental deficiency without
psychoses
Total
MALE
58
107
0
0
168
FEMALE
0
0
115
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
20448
EIGHTYFIRST ANNUAL REPORT
TABLE XIII
Economic Condition of First Admissions During the Year 1924
with Reference to Principal Psychoses
White Population
MALE
Psychoses
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons
chorea
With brain tumor
With other brain or
nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional
psychopathic inferi
ority
With mental de
ficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy without
psychoses
Constitutional psy
chopathic inferior
ity without psy
choses
Mental deficiency
without psychoses
Total
0 4 0 3 0 8
6 13 12
5 0 5 3 6 0
0 0 0 0 0 0
0 4 1 0 0 1 2 3 3 1 0 3
0 9 3 0 27 15 3 8 10
0 1 0 1 0 11
1 1 2
1 5 0
5 5 1 5 22 0 23 10 0
1 0 0
0 0 0
0 0 2
0 2 1
1 P 2
48 Ill 105
1
2
0
0
0
0
0
0
12
nl
39
1
1
0
2
3
6
276
FEMALE
0
2
149
1 14GEORGIA STATE SANITARIUM
49
Economic Condition of First Admissions During the Year 1924
with Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingdons
chorea
With brain tumor
With other brain or
nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic
disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional
psychopathic inferi
ority
With mental de
ficiency
Undiagnosed
Not insane
Alcoholism without
psychoses
Drug addict without
psychoses
Epilepsy without
psychoses
Constitutional psy
chopathic inferior
ity without psy
choses
Mental deficiency
without psychoses
Total
MALE
27
1
0
0
0
1
0
0
0
13
13
0
9
13
0
5
16
41
2
0
0
1
2
0
0
0
25
32
0
13
13
17
0
0
0
0
0
1
168
FEMALE
145
23
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
9
27
0
0
0
0
0
0
204TABLE XIV
Civil Condition of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
Traumatic
Senile
With cerebral arteriosclerosisI
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous diseaseI
Alcoholic
Due to drugsI
With pellagra
With other somatic disease
Manic depressive
Dementia praccox
Paranoia or paranoid condition
With epliepsy
Psychoncuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Undiagnosed
Not insane
Alcoholism without psychosesII
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
MALES
Total109 130 26
0
3
4
2
1
0
0
2
2
0
2
2
11
20
0
8
1
1
29
12
0
0
0
2
2
5
0
6
20
13
2
0
0
0
5
3
3
0
31
8
0
4
3
4
3
21
1
1
0
0
1
1
v
J
WT3

c
H
0 0
2 15
0 32
17
3
0
0
3
7
3
7
3
49
0 28
0 0
1 13
EEMALES
1 8 276

79 1149
in
T3
DC

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
o
0
19
14
3
1
2
0
5
0
6
5
6
84
54
0
10
4
0
18
34
2
0
2
2
0
3
II
O
X
H
CO

r
w
H
o
w
0 1 274Civil Condition of First Admissions During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
MALES
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epliepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
TJndiagnosed
Not insane
Alcoholism without psychoses
Drug addict without psychoses
Epilepsy without psychoses
Constitutional psychopathic inferiority without psychoses
Mental deficiency without psychoses
Total 66 60 23
0
3
7
2d
0
0
0
0
1
0
0
0
7
10
0
5
0
0
0
7
0
0
0
0
0
0
V

o3 o3
0
5
16
41
2
0
0
1
2
0
0
0
25
32
0
13
0
0
13
17
0
0
0
0
0
1
EEMALES
15 168
m S
47 90 54 1
x
a
0 0
0
6
18
15
0
0
0
1
0
0
13
2
38
64
0
11
0
0
9
27
0
0
0
0
0
0
204
o
H
O
a
m

H
H
CO

I

2
3
s52
EIGHTYFIRST ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nerv
ous disease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Undiagnosed
Total
MALES
S
11
15
19
1
23
22 0
o
Eh
0
20
22
12
1
3
0
6
1
0
4
1
14
0
11
1
118GEORGIA STATE SANITARIUM
Aees of Patients at Time of Death During the Year 1924
Classified with Reference to Principal Psychoses
White Population
Psychoses
FEMALES
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nerv
ous disease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Undiagnosed
Total 3
0
0
0
0
1
0
0
0
0
2
2
0
3
0
0
4
1
13
0
0
0
1
0
0
0
2
0
3
3
0
2
0
0
0
2
13
s


s


c a
tH
0
o
o Zi
0 0
12 0
2 0
0 0
0 0
0 0
0 0
o
H
0
18
0
0
0
1
4
0
0
2
0
20
12
2
i
1
1
11
15
0 10254
EIGHTYFIRST ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nerv
ous disease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Undiagnosed
TotaL
MALES
14 23
11
17
o
0
3
35
1
0
0
0
0
0
0
2
7
7
0
10
0
0
3
14
91GEORGIA STATE SANITARIUM
55
Ages of Patients at Time of Death During the Year 1924
Classified with Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nerv
ous idsease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Undiagnosed
FEMALES
Total 2
o
o
H
1
10
10
1
0
0
1
0
0
2
1
19
18
0
7
0
0
5
12
9556
EIGHTYFIRST ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924 With Reference to Principal Psychoses
White Population
MALES
Psychoses a o rH Si a a a 0 4 3 0 0 0 0 0 1 0 2 0 2 0 0 0 0 0 0 1 13 a j a o 3 CO O 3 iH 0 1 5 5 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 hi a a o s 11 o a CO 0 4 3 2 0 2 0 0 0 0 0 0 5 0 0 1 0 0 0 0 u 03 a H o i 0 4 7 2 0 1 0 1 0 0 1 0 2 1 0 0 0 0 1 0 00 fi 03 a H lO o M 0 4 4 3 0 0 0 1 0 0 0 1 o 2 0 4 0 0 2 1 GO Fh 03 u o 3 lO 0 2 0 0 0 0 0 1 0 0 0 0 2 2 0 3 0 0 3 0 r Sh 03 CJ H 8 O O 0 0 0 0 0 0 0 1 0 II 0 0 0 II 0 3 0 0 0 0 DO 83 a H a o 0 1 0 0 0 0 0 1 0 0 0 0 1 3 0 0 0 0 2 3 10 3 o En
Traumatic 0 20 22 12 1 3 0 6 1 0 4 1 14 8 0 11 1 0 8 6
Senile
With cerebral arteriosclerosis
General paralysis of the insane With cerebral syphilis With Huntingtons chorea With brain tumor
With other brain or nervout disease
Alcoholic
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praeeox
Paranoia or paranoid condition
With epilepsy
Psychoneuroscs or neuroses With constitutional psychopathic inferiority With mental deficiency Undiagnosed

Total 17 17 19 25 13 4 118

GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924 With Reference to Principal Psychoses
White Population
FEMALES
Psychoses Q 1 a o S u a a a U tn J3 a o s o QQ ft M a o T1 O m u 03 a o CO 03 x o W u 03 X t O T1 o 02 U 03 o 8 O a o GO Fh 03 v 8 Fh D O F C3 o
0 1 2 0 0 0 0 2 0 0 2 1 1 1 0 0 0 0 0 5 15 0 3 2 0 0 0 0 0 0 0 0 0 3 0 0 1 0 0 1 1 11 0 3 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 0 1 1 9 0 3 3 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 1 12 0 4 3 0 0 0 0 0 0 0 0 0 6 2 0 1 0 0 2 0 18 0 1 0 0 0 0 0 1 0 0 0 0 2 1 1 1 0 1 2 1 11 0 1 0 0 0 0 0 0 0 0 0 0 4 3 0 2 0 0 3 2 15 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 0 2 5 11 n
16
With cerebral arterioscle in
General paralysis of the 0
With cerebral syphilis With Huntingtons Chorea With brain tumor 0 0 0
With other brain or nerv 4
Alcoholic 0
Due to drugs n
With pellagra 2
With other somatic disease 1
22
Dementia praecox 11
Paranoia or paranoid condition 1
With epilepsy fi
Psychoneuroses or neuroses With constitutional psy chopathic inferiority With mental deficiency 1 1 11 16
Total 102

58
EIGHTYFIRST ANNUAL REPORT
Duration of Hospital Resfdence of Patients Dying in Hospital
During the Year 1924 With Reference to Principal Psychoses
Colored Population
Psychoses
MALES
w tn
H f
c c3
1 CD
H
8 s
0 M

P
H o
Traumatic
Senile
With cerebral arterioscle
rosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons Chorea
With brain tumor
With other brain or nerv
ous disease
Alcoholic
Due to drugs
With pellagra
With other somatic dis
ease
Manic depressive
Dementia praecox
Paranoia or paranoid con
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Undiagnosed
Total
3
0
0
0
0
0
0
0
1
0
2
0
3
0
0
0
1
13
35
1
0
0
0
0
0
0
2
7
7
0
10
0
0
3
14
91GEORGIA STATE SANITARIUM
59
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1924 With Reference to Principal Psychoses
Colored Population
FEMALES
Psychoses a a o 11 tl a a a P CD a a o a CO o XI a o M iI O M CO fH 03 O Xfl 03 O 1M VI fi c3 u H O o Hi QQ Fh 03 CD H O c O 11 u 03 u o 3 o H
0 1 3 1 0 0 0 0 0 0 1 0 2 2 0 0 0 0 0 6 6 0 3 1 2 0 0 0 0 0 0 0 1 1 3 0 1 0 0 0 0 12 0 0 3 3 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 0 10 i 3 3 2 0 0 0 0 0 0 0 0 2 3 0 4 0 0 1 1 20 0 2 0 0 1 0 0 1 0 0 0 0 10 2 0 2 0 0 1 2 21 0 1 0 0 0 0 0 0 0 0 0 0 2 6 0 0 0 0 2 2 13 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 3 0 0 0 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 1 0 0 1
10
With cerebral arterioscle 10
General paralysis of the 8
With cerebral syphilis With Huntingtons Chorea With brain tumor 1 0 0
With other brain or nerv 1
0
0
With pellagra 2
With other somatic dis 1
19
18
Paranoia or paranoid con 0
With epilepsy Psychoneuroses or neuroses With constitutional psy chopathic inferiority With mental deficiency V 0 0 5 12
Total 95

60
EIGHTYFIRST ANNUAL REPORT
Report of Pathologist
Fob the Year 1924
Dr R C Swint
Superintendent
Dear Sir
The following Report of the Pathological Laboratory for
the year 1924 is submitted
SUMMARY
Serological Specimens Examined
Blood for the Wassermann Noguchi reaction1501
Cerebrospinal fluid including cell count and Wasser
mann globulin and colloidal gold reactions 446
Clinical Laboratory Specimens Examined
Urine routine analysis1960
Feces for parasites or ova or for occult blood 843
Sputum for tubercle bacilli 219
Blood chemical examination 98
Blood for malaria parasites 87
Blood coagulation time determination no
Blood countsred white or differential 722
Blood type determination 36
Blood hemoglobin estimation 90
Gastric contents chemically and microscopically 10
Exudates microscopically 38
Bacteriological Specimens Examined
Blood culture 21
Exudates culture 5g
Blood for Widal reaction 37
Pus for autogenous vaccine preparation 27
Pus pathogenicity tests 7
Brain dog for Negri bodies 1
Anatomical Examinations Gross and Microscopical
Necropsies 49
Necropsy tissues histological examination 176
Postmortem examination of animals 8
Surgical tissue specimens 24
Total number of examinations6566GEORGIA STATE SANITARIUM
61
Serological Examinations
Of the 1501 specimens of blood examined for the Wasser
mann reaction during the year 1200 were secured in con
formity with our routine practice from patients newly ad
mitted to the hospital A tabulation of the results of these
routine examinations follows
Race
White
White
Colored
Colored
Total
Number
No Positive Percentage
Sex Examined 4plus reaction Positive
Female 392 12 30
Male 358 31 86
Female 245 46 180
Male 205 50 243
1200
139
116
The average percentage of 4plus Wassermann reactions
obtained by routine examinations of blood specimens in the in
stitution during the years 19141924 inclusive is 125
Of the 446 specimens of cerebrospinal fluid examined 295
were obtained from patients admitted to the institution during
the year A routine examination of the cerebrospinal fluid
is made in the case of each patient whose blood reacts posi
tively to the Wassermann test In the following tabulation
there is shown the incidence of serological neurosyphilis
among patients admitted to the hospital during the year The
term luetic is here employed to denote the occurrence of
a positive Wassermann reaction upon the cerebrospinal fluid
and usually also other serological indications of syphilis of
the nervous system as well
No No Percentage
Race Sex Examined Luetic Luetic
White Female 53 6 113
White Male 61 20 328
Colored Female 82 17 207
Colored Male 99 39 393
Necropsies
During the year 49 necropsies were performed Sections
of tissue taken from the principal viscera and from gross
lesions were examined A complete record of the necropsy
findings in each case is filed in the office of the Clinical Direc
tor as well as in the Laboratory62
EIGHTYFIRST ANNUAL REPORT
By a more persistent effort to get in touch with relatives
of patients by explaining to such relatives the value to them
selves and others of the information sought and by assuring
them that careful restitution of the body will be made upon
the completion of our examination we could I believe obtain
permission for necropsy in a larger percentage of patients
dying in the institution The granting of permission for
necropsy affords us an opportunity to render a service to the
relatives of patients as well as to expand our knowledge of
diseases that we are called upon to treat
Intestinal Parasites
Of the 843 specimens of feces examined this year 356
contained parasites or their ova in the following order of fre
quency Trichuris trichiura Necator americanus Ascaris
lumbricoides Trichomonas hominis Strongylus stercoralis
Endameba coli Hymenolepis nana Endameba histolytica and
Enterobius vermicularis I have omitted from this report
however a detailed analysis of the findings for the reason
that they do not show accurately the incidence of intestinal
parasitic infections either among the patients admitted to the
hospital during the year or in the population of the institu
tion as a whole
Research
We have done some work upon the question of the possi
ble anaphylactoid nature of socalled essential epilepsy Our
endeavor has been to demonstrate indirectly by means of pre
cipitinproduction the existence of a specific protein antigenic
substance and to determine whether or not changes in the
total number and relative percentages of the various kinds of
leucocytes bear a definite relation to the occurrence of th
convulsive seizures We are making quantitative determina
tions of the dextrose content of the cerebrospinal fluid in the
various psychoses All of the foregoing investigations are still
in progress
Milk
In compliance with your instructions we have examined
monthly a specimen of milk from each of the various sources
of supply including the Sanitarium dairy In these examina
tions we have employed the standard methods of milk analysis
recommended by the American Public Health AssociationGEORGIA STATE SANITARIUM
63
Equipment
Our work has been somewhat facilitated by the installation
in the laboratory of a gasoline gas machine which machine is
simple to operate and economical to maintain
Embalming
The technicians are also embalmers and in addition to their
other duties have embalmed during the year 317 cadavers
Personnel
The summary given at the beginning of this report shows
a total for the year of 6566 examinations exclusive of such
procedures as the preparation of bacteriological and serological
reagents and the collection of specimens The laboratory is
fortunate in having experienced technicians without such
trained assistance it would have been impossible to handle
adequately so large a volume of work Mr Leaptrott has had
thirteen years continuous service in the laboratory Mr John
son five years If the demands upon the laboratory continue
to increase as they should normally do we shall soon require
an additional assistant My time as well as that of the tech
nicians is so nearly completely consumed by the routine work
that I cannot find the time that I would like to devote to his
topathologicaland other studies
Respectfully
E B Save
Pathologist64
EIGHTYFIRST ANNUAL REPORT
Dentists Report
For the Year 1924
MlLLEDGEVILLE Ga
January 1st 1925
Dr R C Swint
Superintendent
Dear Sir
I have the honor of submitting the report of the Dental
Department for the year ending Dee 31st 1924
In caring for the mouths of the patients in an institution
as large as ours the dentists first concern has been of ne
cessity to give relief promptly to those suffering with acute
oral disorders
In order that this may be accomplished those having the
patients in their immediate charge are instructed to report at
once all cases of acute oral infection that may come to their
attention
There are many patients within the Sanitarium who wish
to conserve their teeth whose general mental condition whose
habits of personal cleanliness and whose willingness to coop
erate with the dentist are such as to justify the most care
ful attention
Such patients may be divided into two classes a those
whose residence within the institution will likely terminate
at an early date and b those who will probably have to
remain for an indefinite period For the latter class thor
ough work of a permanent nature is supplied while for the
most part those coming within the first class are given work
more temporary in character that their teeth may not de
teriorate during the time that may elapse before they can
again command the services of their home dentists
The mouths of all patients are given an examination by
the dentist promptly after admission
I would call attention to the fact that the work of a sin
gle dentist is incorporated in this report although the pa
tients have profited by the services of a second dentist through
the month of December and it may not seem amiss in thisGEORGIA STATE SANITARIUM
65
connection to express my gratification that the Board of Trus
tees has recognized the need of the services of a second den
tist in the institution
The dentists reside within the institution and their serv
ices are available at all times
Below will be found an itemized statement of the work
done in this department during the year 1924
Extractions221
Gold fillings 4
Amalgam fillings 193
Cement fillings 136
Guttapercha fillings 10
Synthetic porcelain fillings 44
Gold inlays
Gold inlays reset
Nerve cappings
Nerve treatments I3
Nerve devitalized
Root treatments
Root fillings 50
Applications mummefying paste
Abscesses lanced 19
Abscesses treated 5
Lancing gums over third molar 6
Treating gums about third molar 40
Excessive hemorrhages arrested
Treatments for pyorrhea alveolaris 45
Cleaning teeth number of patients 24
Removing calcareous deposits number of patients 54
Applications silver nitrate 3
Treatments for facial neuralgia I7
Treatments for acute odontalgia 68
Treating gums number of patients 14
Treatments for oral ulcers 10
Treatments for stomatitis 1
Curetting alveolar process 4
Plates made
Plates repaired 66
EIGHTVFIRST ANNUAL REPORT
Gold crowns 2
Porcelain crowns 5
Crowns removed 2
Crowns repaired 2
Crowns reset 6
Bridges removed 4
Bridges repaired 6
Bridges reset g
Disfigured teeth shaped up number of patients 41
Setting screws in roots 1
Removing impacted third molar 5
Removing sequestrum 1
Calls to wards 320
Number of new patients examined1039
Number of patients treated 993
Total number of operations and treatments2238
Respectfully submitted
George H Green
DentistGEORGIA STATE SANITARIUM
67
Report of Superintendent of Nurses
Dr R C Swint
Superintendent
Dear Sir
I wish to submit the following as the report of the Training
School for Nurses for the year beginning January 1st 1923
and ending December 31st 1924
The record of the years work has been unusually good the
class work of high order and practical
Wo have experienced no difficulty in obtaining desirable
applicants most of them being 21 years of age or over We
find stadents of this age to be more reliable interested and
ethical than younger students
Four of our graduate charge nurses had a leave of ab
sence f jr six months during the year for a postgraduate
course
The annual commencement of the Training School was
held on the evening of July 16th in the amusement hall Dr
R C Swint Superintendent presiding
The class address was eloquently delivered by Senator
Joseph B Duke of Eatonton
The diplomas were presented by Hon John T Brantley
President of the Board of Trustees and the hospital pins by
Dr Thomas M Hall also a member of the Board
Miss Pauline Maxwell sang very sweetly Where My Car
avan Has Rested and Love Here Is My Heart
A dance and reception followed music being furnished
by the Sanitarium Band
The following are the names of the graduates receiving
diplomas
Miss Ruth Estelle Grimes Miss Mary Lucile Wynn
Miss Martha Loraine Hartley Miss Estie Jane Warren
Miss Nannie Mae Poss Miss Evielena Smith
The total number of graduates is one hundred and thirteen68
EIGHTYFIRST ANNUAL REPORT
NURSING STAFF
Superintendent of nurses 1
Supervisors 4
Chief operating nurses 2
Occupation therapy nurses 8
Special nurses 2
Special attendants 4
Graduate nurses employed as head nurses 9
Senior nurses in school 9
Junior nurses in school12
Freshmen nurses in school17
Total number of student nurses 38
Number of white female attendants140
Number of vacancies 0
CURRICULUM
First Year
Anatomy and physiology60 hours
Nursing ethicsg
Theory of nursing26
Hygiene16
Practical demonstration22
Dietetics20
History of nursing10 hours
Bandaging 8
Hydrotherapy 6
Massage 10
Second Year
Medicine16 hours
Practical and surgical nursing26
Nursing ethics 6
Materia medica ig
Dietetics 25
Bacteriology 16
Obstetrics 16
Mental diseases 16
Eye ear nose and throat8
Surgery 10
Occupation therapy16
Oral hygiene 16GEORGIA STATE SANITARIUM
69
Senior Year
Pediatrics16 hours
Surgery 10
Bye ear nose and throat6
Gynaecology 16
Chemistry 20
A course of twelve lectures on Nursing the Insane was
given the attendants by Dr N P Walker Clinical Director
These lectures are very practical and there has been great
improvement in the nursing service
I wish to thank you for your support and consideration
and the Medical Staff for lectures and medical services ren
dered the students during the year
Respectfully submitted
Mrs Mae M Jones R N Ohio
Superintendent of Nurses70
EIGHTYFIRST ANNUAL REPOR1
Report of Pharmacist
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
I herewith submit the annual report of the Pharmaceutical
Department for the year ending December 31st 1924
By comparing this report with the one of the previous
year you will see an increase in the laboratory work and in
prescriptions sent out
There are few changes in prices Some few chemicals have
declined but this is offset by advance in other essentials such
as castor oil Our figure for purchase of goods may seem
large but when we consider that all surgical dressings disin
fectants supplies for mortuary and dental departments are
included in this the actual cost of medicine per patient is
small
To you the Board of Trustees the Clinical Director and
other officers of the institution I am truly grateful for many
helpful suggestions and hearty cooperation
Below is a condensed list of manufactured products
Tinctures spirits and extracts2668 pounds
Elixirs
1558
Syrups 925
Ointments 125
Liquors lotions and mixtures 1035
Library paste and mucilage 15
Medicated dusting powder 21
Indelible ink 32
Glycerites 200
Liniments 104
Tonics 224
Aquas medicated 45
Tooth powder g
Quinine anodyne and influenza capsules filled10600
Germicide 730 gallonsGEORGIA STATE SANITARIUM 71
STATEMENT
Debits
1924
Dec 31st Inventory as of Dec 31st 1923 497087
Purchases During the Year
Drugs chemicals dental surgical and
laboratory supplies1029041
Freight and express 25483
Total1054524
Less goods returned 28985
Net1025539
Total1522626
Deduct Inventory at December 31st 1924 540267
Goods to account for 982359
Credits
Departmental Sales
Prescriptions filled for wards 33469 ag
gregating 939355
Sales to officers and employees 43004
Total 982359
Respectfully submitted
J J WOOTTEN
Pharmacist72
EIGHTYFIRST ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE Ga
March 11th 1925
Dr R C Swint
Supt Ga S 8 Milledgeville Ga
My Dear Sir
In accordance with instructions previously received I beg
to submit below a report of the receipts and disbursements
of the office of Treasurer Georgia State Sanitarium for fiscal
year ending Dec 31st 1924
Dec 31st 1923 Balance cash on
hand 59012
To amt received from regular ap
propriation 79999998
To amt received from Steward 764825
To amt received from interest 147887
To amt received from special ap
propriation 36993108
To amt received from S J Slate
insurance prem on Nurses
Home 65000
To amt received for Nurses
Home 6093375
124033205
Disbursements for the year 1924 1 206 910 06
Dec 31st 1924 bal cash on hand 33 42199
124033205
As Treasurer Georgia State Sanitarium and as assistant
cashier Exchange Bank we certify that at close of business
Dee 31st 1924 there was to the credit of Otto M Conn Treas
urer Ga State Sanitarium the sum of 3342199 Thirty
three Thousand Four Hundred Twentyone Dollars and
Ninetyfive Cents
Otto M Conn
Treas Ga S S
H G Banks
Asst Cashr Exchange Bank
H H Herndon
N P B Co GaGEORGIA STATE SANITARIUM
Report of Farm Steward
Dr R C Swint
Superintendent Ga State Sanitarium
My Dear Sir
I beg to submit a report of the foodstuffs produced in my
department for the fiscal year ending December 31st 1924
Beets 1364 bushels
Beans butter shelled 113 bushels
Beans snap 645 bushels
Beans velvet 44700 pounds
Cabbage 19494 heads
Collards 14541 heads
Cantaloupes 3517
Corn15004 bushels
Corn roasting32648 ears
Corn silage 540 tons
Cucumbers 799 bushels
Fodder 30J tons
Kale 362 bushels
Lettuce 850 heads
Oats shelled 601 bushels
Oats straw 10 tons
Okra 1010 bushels
Onions 380 bushels
Peas garden 881 bushels
Peppers 963bushels
Peavine hay 89 tons
Pork dressed 21672 pounds
Potatoes sweet 6195 bushels
Potatoes Irish 1802 bushels
Radishes 288 bushels
Rape1363 bushels
jjye 566 bushels
Squashes1878 bushels
Tomatoes 528 bushels
Greens turnfpsT 232 bushels
Turnips and greens4119 bushels
Watermelons 13304
Strawberries 990 quarts
Egg Plant 104 bushels
Peanuts 300 bushels
Dairy
Sweet milk68990 gallons
Buttermilk 288 gallons
Butter 714 pounds
Sweet cream 271 gallons
Beef dressed 13034 pounds
Green hides2272 pounds
11 calves sold for4525
300 sacks sold for 08 apiece74
EIGHTYFIRST ANNUAL REPORT
Chicken Yard
Hens issued 044
Friers issued 521
Ills Stued2302 doZen
tiggs set 91i dozen
In addition to this work we have cut about 500 cords of
wood and delivered to the buildings cleared about 40 acres
of new ground All the coal from the chutes has been dis
tributed by my department The entire road system of the
institution has been worked and kept in condition by sev
eral small improvements as grading hills and putting sewer
piping where necessary
During the year I have kept one mule and one horse for
their board
I have worked seven mules short the entire year due to
some dying and having to use some elsewhere I let the white
occupational therapy department have one then I had to put
two to the trash carts when we did away with the old steers I
consider the mules a great improvement over the steers
I sold the seven old steers for 23000 hoping to use that
money and purchase a pair of mules to take their places
We purchased 1000 white leghorn baby chicks last April
rom them we have about 365 grown pullets from which we
expect to start a first class chicken farm
The freeze last January killed everything we had growing
thus making us late with our vegetables as we had to start
all over The oat crop was also killed but we planted a few
spring oats to get out seed for this fall
Tie weather during July and August caused our
peas to shed their blooms making the crop a failure
I wish to thank you the Board of Trustees the officers of
the institution and others for the gratitude and cooperation
shown me and my department throughout the year
Respectfully
F C Pbnuel
Farm StewardGEORGIA STATE SANITARIUM
Report of Engineer
Dr R C Swint
Superintendent and Resident Physician
Dear SirPlease find below the annual report of the
Engineers Department for the year ending December 31st
1924
Improvements
Four pipe lines for taking steam and hot water from the
boiler room of the Jones Building to the John T Brantley
Building and for the return circulation have been laid
under ground between the two buildings These pipes are all
anchored under the buildings and provision has been made
for the expansion in them in a reinforced concrete manhole
set midway between the two buildings These pipes are all
laid in approved conduit and with the best insulation avail
able Drainage is provided along the length of each pipe
line which necessarily are on different levels and the ditch
filled in with field gravel up to the center line of them
Work on the John T Brantley Building was begun late
in the year but no great amount of work has been accom
plished since it was necessary to get together the material for
it
Partitions dividing the front part of two of the buildings
at the Colony into rooms for single patients have been
removed and the whole of that part of the buildings thrown
into an open dormitory which makes for more accommoda
tion
A hog pen to be used for fattening hogs has been built
near the slaughter pen This pen is 16 ft by 18 ft It has
a concrete floor and has a roof built over it on substantial
columns The roof is of galvanized corrugated iron and has
an over hang of two feet on all sides
Eight electric lights have been put in the cold storage
rooms Marine type fixtures were used in this work in order
to prevent the shorting of the current from the moisture
unavoidable there For this service it was necessary to run
a separate circuit from the switch box in the boiler room76 EIGHTYFIRST ANNUAL REPORT
The house for storing the cotton used in mattress making
has been enlarged by an extension 20 feet wide by 40 feet
long This extension is divided by a partition into two rooms
each with windows and doors on two sides for ventilation and
light ihe building is equipped with an electrically driven
picker and other appliances for mattress making
Six water closets in the T 0 Powell Building have had the
old seat flushing devices removed and fitted with overhead
flush tanks
A water closet has been put in on the ground floor in the
rear of the administration part of the Negro Building for the
use of the office force employed there A partition of wood
has been put across the opening in which this closet is located
A porch has been built out from the third story of the
center building of the L M Jones Building
The wagon platform scale at the horse lot has been moved
and set up ma more convenient place near the storehouse
liie pit tor this scale in its new position has enclosing walls
videcuf concrete Drainage from the pit has been pro
The composition roof of the female tuberculosis buildin
for negro patients has been taken off and replaced with one of
The underfeed mechanical stoker in the boiler room at the
laundry has been thoroughly overhauled and a new retort with
dead plates put in
The wall in the rear of the Negro Building which marked
the confines of the origmal building but which after the new
building was erected separated the two has been taken down
and the bricks used to build a wall connecting the west end
of the old building with the west end of the new one thus
completing the closing in of the buildings on that side This
fro nTe Tthj RIrnWalter Stembridge with but nttie Lip
trom the Engineers Department
AneW fl00r n een put in on the 27th white female ward
and the roof partially recovered with shingles
A diet kitchen has been established in the Negro Build
Sm T fi thH PUrpSe have been fitted P on both
and mlf TeDiv SldeS Wlth the necessai Petitions sinks
and range In this work a doorway has been cut throughGEORGIA STATE SANITARIUM
77
one of the fire walls This opening has been protected by an
Underwriters steel clad fire door
A chicken house 16 feet wide by 80 feet long has been
built at the farm This building has a concrete floor and a
galvanized corrugated steel roof
The summer houses in front of the Powell Building have
been repaired and painted
Two transformers have been set up in the rear of the horse
lot and electric connection made to them so that the saw for
cutting wood may be run by the electric motor used in cut
ting ensilage A small house has been built at this place for
housing the motor
The brick wall around the patients yard at the rear of
the L M Jones Building has been taken down The bricks
have been cleaned
Two rooms in the Powell Building have been thoroughly
renovated and painted In one room it was necessary to put
in a new floor and a new ceiling These large rooms are being
used for occupational therapy work The floors are stained
and waxed
The floors of all the rooms and the corridors in the L M
Jones Building have been stained and waxed
The operating room at the Negro Building and the adjoin
ing rooms have been repaired and painted The outside of this
building has been painted also
Bight stone markers have been set at Fort Wilkinson out
lining the five acres given by the state to the Nancy Hart
Chapter of the Daughters of the Kevolution
The water heater of the hydrotherapy rooms of the Male
Convalescent Building has been connected to the service pipes
of the building for its betterment
Fifty wooden bedsteads have been made for the Negro
Building
The electric stoves and ovens used by the dietitian with her
classes have been moved from 0 ward in the Cabaniss
Building to C ward in the Whittle Building A new brick78
EIGHTYFIRST ANNUAL REPORT
chimney has been built at this last named location and a
wrought iron range put in for the use of the diet kitchen
The patients yard at the west side of the Powell Building
has been leveled up and the washes stopped by logs buried in
the ground A new fence has been built around this yard
A gasolinegas machine has been installed in the labora
tory and the building piped for gas and heaters
The entire woodwork of the L M Jones Building has been
painted
The brick dutch oven at the Green Building has been
pulled down and rebuilt on larger and better lines A roof
has been built over this oven to protect it from the weather
Five and onefifth squares of metal ceiling has been put
in place of defective plastering in the Powell Building
Three adapters have been purchased These adapters
make it possible for us to use the hose of the Milledgeville
Fire Department on our fire plugs should the occasion re
quire it
The Mobley Cottage has been repaired and painted
throughout
The Echols Cottage has been painted inside and out
An additional coal heater has been put in the 27th female
ward and two new brick chimneys required by the change
from wood burning furnace to coal have been built
The roof of the 27th white female ward has been partially
recovered with shingles
The cottage at the dry dairy and one of those in the rear
of the Negro Building have had new roofs put on them
The Yarborough Cottage has been painted on the outside
A water closet a lavatory and a sink have been put in the
dormitory on the fourth story of the Whittle Building
The boilers removed from the boiler room of the L M
Jones Building to make room for the larger ones intended toGEORGIA STATE SANITARIUM
79
serve both the Jones Building and the Brantley Building
have been reset one in the Green Building boiler room and
the other in the boiler room of the Twin Buildings These
boilers take the place of boilers which are smaller
A composition roof has been removed from one of the
tuberculosis pavilions at the Hospital and replaced with
one of 40 pound coating tin
New door frames and doors have been put on the front of
the No 2 boiler in the Powell Building boiler room
Two power sewing machines have been added to the equip
ment of the sewing room in the white female building
A water heater has been put in the laundry and connected
up for the supply of the West Detached Building and the two
nearby tuberculosis pavilions
In addition to the ordinary repair work of the institution
the carpenter shop the furniture and harness repair shop
the tin shop the paint shop broom factory and shoe repair
shop have been kept busy in manufacturing and repairing
various articles used in the different departments
Respectfully submitted
T H DeSaussure
Engineerso
EIGHTYFIRST ANNUAL REPORT
Report of Steward
Dr R C Swint
Supt Ga State Sanitarium
Dear Sir
I have the honor of submitting the following exhibits and
schedules making up a detailed report of all receipts and dis
bursements through this office during the fiscal year ended
December 31st 1924
EXHIBITS
No 1 Consolidated Cash Statement Receipts and Disburse
ments
2 AnalysisCash Receipts and Disbursements General
and Special Funds
3 Balance Sheet at December 31st
4 Statement of Income and Expenditure for Year
5 Profit and Loss StatementFarm Garden and Dairy
6 AnalysisExpenditure John T Brantley Building
7 Comparative Statement Cash Expenditure 19231924
8 Statement Operating Funds December 31st
SCHEDULES
No 1 Accounts payable as of December 31st
2 Accounts Receivable as of December 31st
3 ProductionFarm Garden and Dairy
A comparison of the per capita and per diem cost for the
year with that of 1923 follows
Year 1923 Year 1924
Total cash expenditure98023055 99675604
Per capita 23495 22710
Per diem 6437 6222
Average number patients 4172 4389
All bills have been paid promptly during the year and du
plicates together with cancelled vouchers filed in the Execu
tive Department as heretofore
Respectfully submitted
Homer Bivins
StewardExhibit No 1
Consolidated Cash Statement Receipts and Disbursements
DESCRIPTIVE
C3 T3 CB
t 3
S o
o Ii rH
Balance from 1923
Less due Treasurer 1
Less Trust Funds
Difference Overdraft
Support and maintenance
RECEIPTS
Maintenance appropriation regular
Part 1923 deficiency appropriation
Part 1924 deficiency appropriation
Part 1924 special appropriation
Patients deposits
Special insurance fund
Miscellaneous sales
Vouchers returned
Interest on balances
Balance
Transferred by Steward
Balance
Disbursed on vouchers
Balance
Disbursed by Steward
Balance
22296603
1102703
80000000
20000000
169031
6093375
65000
13288
148265
100926431
764825
101691256
102116630
425374
i 425374
a C
to
300000
1705259
764825
1102703 2770084
17052591 2470084
28079621 300000
1592567 4863023
1215395l5163023
4863023
1215395 300000
so

9 3
so
soicS
is
166635
12368
27739
166635
166635
2304628
2471263
2471263
12368
12368
2
3 Q
O
259512
287251
so
s

1102703
287251
136398
12368 150853
12368
150853
6093375
6093375
6093375
6093375
6093375
0
8
gss
to
21870075
00000
20000000
16903106
1705259
2807962
2807962
2807962
1592567
1215395
65000
505313
13288
148265
95764897
95764897
96405148
640251
3270456
3910707
O
o
O
w

H
w

rH
aExhibit No 1 Continued
Consolidated Cash Statement Receipts and Disbursements
SUMMARY
Cash in hand Treasurer1215395
Cash in hand Steward 300000
Due from Brantlcy Building2471263
DifferenceCurrent Cash overdraft Maintenance
Fund 3910707
Total7897365
Due TreasurerOverdraft 425374
Due patients deposits 1215395
Due Wing Whittle Building 12368
Due Occupation Department 150853
Due new buildings6093375
Total7897365
3
K
H
k
H

2

r
to
H
o
toExhibit No 2
Analysis Cash Receipts and Disbursements
DISBURSEMENTS
OverdraftGeneral Eund from 192322296603
Support and Maintenance
Wages and Labor
General administration of
ficers salaries 5791247
Medical Department21590687
Stewards Department 4064804
Engineers Department 4974922
Farm and Garden Dept 1339909
Dairy Department 436862
32407184
Food Supplies
Wards 29373377
Stewards dining room 342191
Supts dining room 80432
29796000
Miscellaneous
Clothing and dry goods 7842952
Furniture and bedding 4982863
Fuel 5598923
Maintenance of plant 2203044
Medical supplies 1115690
Stationery and postage 401092
Incidentals 5889974
28034538
EECEIPTS
Balance Cash in Hand
Patients Fund 1102703
StewardWorking Fund 300000
Total 1402703
State Appropriations
Regular 1924 80000000
Deficiency 192416903106
Deficiency 192320000000
Special 1924 Jno T Brantley Build
ing 6093375
Total122996481
Miscellaneous
Sales merchandise 357448
Bodies sold 3000
Sales Pharmacist 5299
Sales dental supplies 2340
Sales sacks hides etc 4075
Sales live stock 26250
Sales Occupation Dept 103088
Total 501500
Other
Board special attendants 102415
Interest on balances 151629
Wages refunded 44198
Phones and telegrams 5193
O
H
O
ES
O

w

IIExhibit No 2 Continued
Analysis Cash Receipts and Disbursements
DISBURSEMENTS
Farm and Garden
Dairy
2026335
1620300
3646635
Total99675604
Special Funds
Nurses Home 2304628
Occupation therapy 136398
Patients withdrawals 1592567
Total 4033593
Balance Cash in Hand
TreasurerPatients Fund 1215395
StewardWorking Fund 300000
Total 1515395
LessCash overdraft Gen
eral Fund 425374
Difference 1090021
Grand total127095821
RECEIPTS
Donations 26005
Travel refund 7149
Fines 3200
Escape patients 200
Special Insurance Fund 650Q0
Vouchers returned 13288
Sundries 71601
Total 489878
Special Funds
Patients Deposits 1705259
o
X
i3
H
l
I
S3
CO
i3

b
w
H
hfl
O
W
i3
Grand total 127095821Exhibit No 3
Balance Sheet December 31st 1924
ASSETS
Cash
TreasurerPatients Fund 1215395
StewardWorking Fund 300000
StewardTime deposit 96337
Total 1611732
Bonds
Three 100s 4th Liberty Loan 30000
Two 50s 4th Liberty Loan 10000
Three 50s Third Liberty Loan 15000
Total 55000
Accounts Receivable
Officers and employees 72123
Sundries 278
Total 72401
Unpaid Appropriations
Balance due on 1923 deficiency 3986468
Balance due on 1924 deficiency 2946886
Total 6933354
Stocks on Hand
StoresMisc merchandise 5000936
Packing house products 157765
Dry goods in process of manufacture 387346
LIABILITIES
Due Treasurer 49rq74
Overdraft 42o374
Due Special Funds
SpecialJohn T Brantley Building 3622112
Occupation Department male ySS
Occupation Department female 15769
Wing Whittle Building 12368
Total 3785333
Accounts Payable marrm
Individuals and Companiesib 10bhTA
Sundries 72025
Total 1138745
Trust Funds ioimqc
Patients deposits p lAioaao
Salaries Wages and Labor
Employees 2Aol995
Officers 505911
Total 3257906
Difference
Excess liabilities at beginning of year15808802
Excess income above operating cost
for year 25082644
Q
H
O
o
w
H

H
w

Ed
dExhibit No 3 Continued
Balance Sheet December 31st 1924
ASSETS
Drugs chemicals etc 540267
Engineering material 1259868
FuelSteam coal 3072179
Total10418361
Miscellaneous
Freight and express items undistrib
uted 5747
Total19096595
LIABILITIES
Net surplus at end of year
9273842
Total
19096595
ADDITIONAL
II
O
X
H
k
II

w
HI

to
H
hj
O
to
i3
On Hand
Farm products 2318475
Live stock 3536600
Vehicles and implements 623425
Supplies Consumed
Food 6498576
Dairy feed 793812
6478500
7292388
13770888
Institution investment beginning of
year 6325490
Institution investment during year 6504621
Total12830111
Net profit for year Exhibit No 5 940777
Total137708
Exhibit No 4
Statement Income and Expenditure
EXPENDITURE
General Administration
Officers salaries 6197033
Wages ami Labor
Medical Department 22424651
Engineers Department 5018819
Stewards Department 4118134
Farm and Garden Department 1363558
Dairy Department 430606
Total 33355768
Eood Supplies
Wards 28827412
Stewards dining room 3421i
Superintendents dining room 80432
Total 29250035
Miscellaneous
Clothing and dry goods 7296986
Furniture and bedding 4982863
fuel 5598923
Stationery and postage 401092
Medical supplies 1115690
Total 19395554
Maintenance of Plant
Fire apparatus 20000
Machinery supplies 185971
INCOME
State Appropriations
Regular80000000
Deficiency 192323986460
Deficiency 192419850000
TotalZZTZ123836460
Miscellaneous
Board officers 199484
Board employees 346815
Board special attendants 101865
Total
Other Receipts
Donations 177342
Dental work and material 1050
Fines 26910
Interest on balances 151529
Sales old material 110337
Rents 16300
Total
Farm and Garden
SalesFarm products
Rent stock
16020
5000
648164
483468
O
H
O

CO
H

H
CO

ii

TotaL
21020Exhibit No 4 Continued
Statement Income and Expenditure
EXPENDITURE
Builders hardware
Cement
Lime hair and masons supplies
Lumber and building material
Painters supplies
Plumbing supplies
Sewer supplies
Tinners supplies
Cooking apparatus
Steam pipe and boiler fittings
Water works supplies
Ice works supplies
Grading supplies
206118
102534
119022
473134
306058
209416
21773
141975
34064
215612
98865
63924
4578
INCOME
Dairy
SalesDairy products
SalesLive stock
5325
26250
Total
31575
Total 2203044
Earm and Garden
Commercial fertilizer3 V2x
Seed 214929
Misc supplies and repairs iilll
Board employees f oonn
Live stock Xqi sn
Budding trees sik
Rent land OOO
Treating hogs fiJ
Poultry yards W
Sundries m
TotalLJOSS
II
O
a
II
w

r
H
OExhibit No 4 Continued
Statement Income and Expenditure
EXPENDITURE
Misc supplies and repairs n4
Board employees 70967
Live stock iAlaK
Feeds 1468615
Registration lees 1000
Rent pasture WO00
Total 1620300
Incidentals
Light and power 15289no
Housekeeping 2aoo
Laboratory supplies llni
Office supplies J21
Dental supplies and equipment 249423
Repair AccountAutos and trucks 106224
Escaped patients iS
Advertising 15478
Amusements JV
Travel 171740
Medical books and journals 2ico
Phones and telegrams 5 o
Surgical instruments J
Interest paid 25762
Exhibit No 4 Continued
Statement Income and Expenditure
EXPENDITURE
Florists supplies 20054
Printing 9600
Gas and oils 304640
Xray supplies and equipment 25475
Blacksmith supplies 23354
Broom factory 124375
Electric light repairs 139851
Cemetery supplies 37833
Phone supplies 41289
RegistrationAutos and trucks 12185
Insurance premiums 156840
RepairsVehicles 10440
Vehicles and implements 32500
Total 5889974
SurplusAt end of year carried to Exhibit 1 25082644
Total125020687
INCOME
a
03

55
55
a

r

o
W
i3
Total
125020687Exhibit No 5
Profit and Loss Statement Farm Garden and Dairy
DEBITS
Inventory January 1st 1924 2165465
Purchases During Year
Commercial fertilizer 706250
Compost 497250
Commercial feeds 1468615
Homegrown feeds 4169867
Seed 196759
Freight on seed 18170
Pasturage 10000
Total 7066911
Grand total 9232376
Less inventory December 31st 2218475
Net cost feeds fertilizer etc 7013901
Gross profit for year 3831100
Total10845001
CREDITS
Production
Miscellaneous farm products 4154950
Fruits and vegetables 3371770
Packing house products 479356
Poultry and eggs 108625
Dairy products 2201475
Compost 497250
Total
Cash Sales
Steers
Calves
Hides
10813426
23000
3250
5325
Total
31575
Total10845001
Gross profit brought down 3831100
O
o
O
TO

H
TO

i3

II
aExhibit No 5 Continued
Profit and Loss Statement Farm Garden and Dairy
B
H

b
w
H
O
w
DEBITS
Operating Expense
Wages 1794164
Board employees 346315
Misc supplies and repairs 504244
Treating hogs 8150
Budding trees 87150
Live stock 134800
Sundries 15500
Total 2890323
Net profit for year Exhibit No 3 940777
Total 3931100
CREDITS
Total
3931100Exhibit No 6
Analysis Expenditure John T Brantley Building
DISBURSEMENTS
Due general Fund lor 1923 expenditure 166665
Material
Brick 8800
Lime cement and plaster 333742
Lumber 435754
Sand 28975
Drain tile 15160
Plumbing and steam fittings 920787
Hardware 75101
Radiators 186410
Roofing 3195
Tiling 82900
Sundries 6258
Total 2097082
Wages 192546
insurance 15000
Total 207545
Balance in hand 3622082
Total 6093375
RECEIPTS
Threefourths 1923 special appropriations
6093375
Total
6093375
Q
H
O
w
H
H
w

II

dExhibits Nos 7 and 8
Comparative Statement Cash Expenditure 19231924
DESCRIPTIVE Amount 1923 Amount 1924 Increase 1924 Decrease 1924 Per Capita 1924 Per Diem 1924
General administration Wages and labor 5490746 32907849 24590213 7533450 5679375 8541975 3313380 1027316 440791 5864836 1278898 1354226 5791247 32407184 29796000 7842952 4982863 5598923 2203044 1115690 401092 5889974 2026335 1620300 300501 5205787 309502 88374 25138 747437 266074 500665 696512 2943052 1110336 39639 1320 7383 6790 1787 1135 1276 502 254 91 1341 462 369 00361 2035
Pood supplies 1797
Clothing and dry goods Eurniture and bedding Euel coke and coal 0490 0320 0350
Maintenance of plant 0140
Medical supplies 0094
Stationery andpostage Incidentals and contingenciesEarm and garden 0022 0361 0151
Dairy 0101

Total 98023055 99675604 6942813 5290264 22710 06222

X
H
w

z
d

t1
H
O
Statement Operating
Cash and cash items1744880
Balance due on appropriations6933354
Difference Cash deficit at end of year 1144519
Total9822753
Funds December 31st
Due Special and Maintenance Funds5426102
Demand Obligations
Accounts payable1138745
Salaries and wages3257906
4396651
Total9822753GEORGIA STATE SANITARIUM
95
Schedule No 1
Accounts Payable as of December 31st 1924
NAME Debits
Atlanta Dental Manufacturing Co
Augusta Drug Co
Armour Company
Am District Steam Co 751
Atlantic Broom Supply Co 2039
American Mills Company 144
American Radiator Company
Atlanta Journal Company
Bell Grocery Company
Beck Gregg Hardware Company
Bell E E
Berry Asbestos Company 861
Barrett Watson Company
Barrett Company 1950
Bone F E Agent
Brantley C C
Brantley John T
Burke T C
Brown Company D W
BrightBrooks Lumber Company 7208
Braid Hutton
Carr Company A J
Collins W H
Soleman Meadows Pate Co
Conn Company John
Chicago White Lead Company 538
Carter White Lead Company 3263
Conklin Tin Plate and Metal Co
Clark R E
The Chemo Company
Dean Col H H
Dotty Delite Baking Company
Dupont NeMours Company E I 4662
Dixie Packing Company
Ennis J H
Evans W C
Ehrenreich Sons Co I 94
Fischer Carl
Flcmister Coal Company
Fouch Company A J
Frederick Disinfecting Company
Guild Company William H
Glass Motor Co B G
Hall Dr T M
Herf French Chemical Co 2500
Hatcher Hardware Co R W
Haines Jones Cadbury Co 162
Harris Laboratories1
Hosch Brothers Company 391
Holcomb Manufacturing Co J I 217
Johnson Johnson
Ivey W H
Ivey O E
Credits
if 429
102
99692
1221
972
37859
12060
2200
385
15000
1250
16250
4387
5090
13185
4500
18743
6918
295
19380
52900
12000
2500
20000
2008
84636
25632
439
12750
235
1270
2425
290
2500
1635
418
8250
7725
3220596
EIGHTYFIRST ANNUAL REPORT
Schedule No 1 Continued
Accounts Payable as of December 31st 1924
NAME
Debits
Jaques Tinsley Company
James Supply Company 54
Lindsey E E
Lombard Iron Works and Supply Company
Laib Company 4755
Lewis Samuel
Lester Book and Stationery Company
McKinley G C
Majors Company J A
Mathieson Alkali Works13512
Milledgeville Phone Company
Milledgeville Milling Company
Miller Rubber Company 598
Milledgeville Lighting Company
Macon Terra Mosaic Tile Company
National Biscuit Company
Psychoanalytic Review
Newton Brother C E
Pittsburg Plate Glass Company 1110
Palmolive Company
Pierce Butler Pierce 241
Peoples Oil Company 730
ParkeDavis Company 2026
Peaslee Gaulbert Company 927
Quinn Marshall Company 600
Powers Regular Company
Riley Drug Company J B
Rawlings Dr William
Roberts Johnson Rand 200
Richardson Milling Company O N 120
Roughton Halliburton Company
Ridley Yates Company 180
Rosin Turpentine Export Company 5408
Riley C E
Shaw H M
Schlesinger Harry L
Schwartz Phaul 755
Selig Company 1100
Saunders W B Company
Stovall Daniel Company 47
Surgical Selling Company
Standard Oil Company
Southern Sanitary Manufacturing Co
Southern Electric Company 57
Southern Cotton Oil Trading Co
Squibb Sons E R
Smith Company R G
Stembridge J W
Solomon Company 19
Southern Express Company
Tennille W C
Union Recorder
Veal O F
Credits
26000
1250
2400
2323
49882
9923
3677
20513
140320
17500
4384
600
26200
15840
6375
4420
6250
6875
3775
10000
4305
800
874
3747
40024
6750
1432
3625
3750
6412
4250
1500
4438GEORGIA STATE SANITARIUM
97
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1924
Name Debits Credits
Watson E T 1293
Western Union Telegraph Co 2033
White Provision Company 8910
Weed Company J D 5817
Whitman Company J R 1317
West Disinfecting Company 600
Whitneld Grocery Company 21000
Welch Grape Juice Company 31680
Williams Wilkins Company 500
Wootten R H 233
Wilson Company 98895
Wocher Sons Max 196
WillinghamTiit Lumber Company 17390
Winthrop Chemical Company 5500
Total78048 114476898
EIGHTYFIRST ANNUAL REPORT
Schedule No 2
Accounts Receivable as of December 31st
Name Debits Credits
Allen C D 10
Adams Athelia 50
Allen W K 65
Andrews Lula 549
Allman Laura 30
Allen Dr W H 3500
Andrews Mandy 192
Austin Frank 185
Andrews Adam 30
Baugh Evelyn 220
Beal Lizzie Mae 50
Bowen U S 3636
Bivins Homer 1013
Brookins Mollie 20
Brantley C C 1374
Brantley Fannie May 40
Brookins Mary Sue 25
Brown Erne M 314
Bonner A E 80
Bradford R W 971
Blaekwell A N 350
Braswell Willie 35
Brown Annie 2 64
Bentley G R W 4o50
Bailey R F 115
Berry W T 220
Burgess Bessie 264
Chapman Myrtice 1125
Combes Louise 500
Cox C G 105
Combes Mrs D N 55
Chapman Mattie 353
Durden W R 30
Digby Velma 2 14
Digby Mae 33
DeSaussure T H 374
Dillard Mattie 75
Digby Annie L98
Ethridge Essie Lee 434
Echols G L L64
Floyd Verna 30
Griffin Ola ZJLll 65
Gilman J M 35
Gault Gertrude 55
Garrard J I 620
Green G H L15
GilhamSchoen Electric Company 59
Godfrey Delia 126
Georgia State Farm n25
iiles Forrest 98
Godard C L 1000
Holder J HI 52
Hubbard Amanda iggGEORGIA STATE SANITARIUM
99
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st
Name Debits Credits
Hays Sylvie 110
Harden D E 25
Ham D W 45
Hester Auba 60
Hudson C E 35
Hattaway G W 40
HCmphill W A 100
Heringdine Joe 15
Humphrey J O 75
Humphrey Joe 242
Hubbard Luey 84
Harper Lottie 135
Head Eunice 99
Heringdine O C 147
Johnson J 0 241
Johnson A W 1000
Johnson Mamie 202
Jones H S 215
Josey J E 75
Jenkins Lottie 35
Jones Annie P 41
Jackson J P 40
Leonard Lila 30
Leonard A 55
Lewis Herbert 25
Lord J E 40
Lawson E L 42o
Longino L P 509
Layfleld B L 108
Layfleld Lollie 841
Latimer Fannie 72
Landrum Mattie 263
Layfleld J W 20
McDonald Mable 100
McKinley R L 250
McCullar Lillian 320
MeAdams J I 20
MeGinley Catherine 144
Maddox Willie 27
Mathews T W 35
May G C 239
Mullinnix D W 1000
Mobley J W 273
Miller G C 40
Molton Clara 60
Ney S I 120
Newsome Grace o8
Oglesby Nina 79
Oxford Amy 90
Oglesby Percic 32
Osborne H L 30
Oden J W 5480100
EIGHTYFIRST ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st
Name Debits Credits
Nash W H 30
Nash Bessie 30
poik j b 350
Payne Annie Lee 320
Penuel F C 2370
Peeler J G 30
Proctor Herschal 0 50
Parham Percie g26
Peacock Maggie 55
Phillips Nathan qq
Rutherford Emma 40
Richardson Janic gg
Rutherford Alice 3J0
Radney Zelma 4 g4
Rankin D T jgjO
Ross J D Jr 10 00
Ray Sherman
Renfroe Cora 39
Sanford Estelle 5ig
Seals Cheeley 2 00
Saye E B 5q
State Anatomical Board 5000
Sanford Fleming 2 00
Shurling CatherineI g72
Smith Hogan 35
Stevens L K 95
Simpson C E gg
Stokes Leila 25
stevens rj in 500
Simpson C H 20
Smallwood Lena 2q
Stewart A H j70
Phillips Louis 79
Taylor R A
Thompkins Katie Vn
Tanner W FH 14 ig
Thornton Emma 264
Turner Eleanor 332
Thornton Amanda oid
Vinson J T 2
Valentine Jewel 2n
United States Public Health Service qqqq
Veal Lila B 3
West J H i
Waller J H
Walker N P
Watson Winnie oon
Wheeler Dr G A 838GEORGIA STATE SANITARIUM
101
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st
Name Debits Credits
Watson J E 34
Winslett Margaret 562
Wright S E Jr 35
Wootten J J 150
Wright D B 273
Williamson Mollie 05
Yarbrough Dr Y H 230
Young Mary Alice 427
Youngblood J M 186
Total72173050102
EIGHTYFIRST ANNUAL REPORT
Schedule No 3
Production Farm Garden and Dairy
Farm Products
44700 Lbs velvet beans 447 nn
15004 bus corn HIIT2S00
619o bus sweet potatoes 7 743 75
601 bus oats 6U1U0
17qfm f F 169800
179500 Lbs hay 99497
61000 Lbs fodder fwlm
300 bus peanuts1 qq
540 tons silage 540000
rruitfaTegetable 4154950
881 bus peas e 1 709 an
1802 bus Irish potatoes 9 7toi
13304 melons IZZZZIi iffio
380 bus onions QM
1878 bus squash 375600
3517 cantaloupes i7s
1010 bus okra JIZIZMZIZIIIZZ S
96 bus peppers moo
104 bus egg plant 104 ou
528 bus tomatoes 1 crjunn
19494 heads cabbage 1 94940
14541 heads collards 72705
288 bus radishes 576OO
4119 bus turnips and greens g
1 cl kUS greens 11600
1303 bus rape ggj go
990 quarts strawberriesI 14850
fin kUS PS beans 129l0O
850 bus lettuce 170000
262 bus kale 13100
799 bus cucumbers 1 997 go
1364 bus beets 409200
Packn HouseProdutTsT 3371770
13034 Lbs beef lo4276
pouSEggs 479356
Hlr duZ eggs 74025
865 chickens 34600
Daiy Products m625
688 990 gallons sweet milk 2066970
288 gallons buttermilk 36 00
714 Lbs butter 24990
27i gallons cream 5500
Commit331 2201475
3349 loads compost 4972 50
Grand total10813426EIGHTYSECOND ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE GEORGIA
For the Year Ending
December ThirtyFirst
Nineteen TwentyFiveBoard of Trustees
President
John T Bbantley Blackshear Ga
VicePresident
H H Dean Gainesville Ga
Secretary
C C Bbantley Valdosta Ga
E B Lindsey Rome Qa
J C Jarnigan Warrenton Ga
A C Newell Atlanta Ga
Tuos M Hall M D Milledgeville Ga
H W Shaw M D Augvt Ga
Wm Rawlings M D Sandersville GaCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E B Lindsey Chairman
J C Jarnigan A C Newell
Thos M Hall C C Brantley
Finance and Auditing Committee
A C Newell Chairman
Wm Rawlings C C Brantley
Committee on Sanitation Medical and Dispensary Service
Wm Rawlings M D Chairman
Thomas M Hall M D H W Shaw M D
Committee on Buildings and Grounds
H H Dean Chairman
B E Lindsey H W Shaw M D
Committee on Farm and Outside Business
J C Jarnigan Chairman
H H Dean Wm Rawlings
Officers of the Sanitarium
R C Swint M D Superintendent and Resident Physician
N P Walker M D Clinical Director
L P Longino M D First Assistant Physician
Y H Yarbrough M D Second Assistant Physician
J I Garrard M D Assistant Physician
Geo L Echols M D Assistant Physician
J W Oden M D Assistant Physician
tW H Allen M D to July 1925 Assistant Physician
D T Rankin M D Assistant Physician
E B Saye M D Pathologist
R W Bradford M D Junior Assistant Physician
U S Bowen M D Junior Assistant Physician
C G Cox M D Junior Assistant Physician
W A Bostick M D from March 31 1925 Interne
G H Green D D S Dentist
J A Adcock D D S from Nov 1 1925 Dentist
J J Wooten Pharmacist
Mrs Mae M Jones R N Superintendent of Nurses
Otto M Conn Treasurer
Homer Bivins Steward
T H DeSaussure Engineer
P C Penuel Farm Steward
H S Jones Secretary
Arthur Farell Storekeeper
Miss Catherine McGinley Dietitian
Miss Amy Oxford to Sept 15 1925
Director Occupation Therapy
W W Stembridge Inspector
Rev F II Harding Chaplain
tOn leave of absence DeadEightySecond Annual Report
OF THE
Board of Trustees of the Georgia State Sanitarium
MlLLEDGEVILLE Ga JANUARY 1 1926
To His Excellency Clifford Walker Governor
Sir
The Georgia State Sanitarium completed on December
31 1925 its eightysecond year of continuous service to the
insane and the record made is now respectfully submitted
for your consideration by the Board of Trustees The annual
report of the Superintendent and Resident Physician is
attached hereto and will supply interesting details of the
years work income and expenditures movement of popula
tion etc It will be noted from this report that a total of
6225 patients received treatment during the year the daily
average being 4591 that the year closed with 5319 patients
enrolled on the books of the Sanitarium of which number
678 were furloughed with the right of return any time
within twelve months that 1175 new patients were admitted
during the year 18 of whom were found not to be insane
that the number of patients now in the Sanitarium exceeds
its normal capacity by 740 and that because of this fact
the doors of the Sanitarium have been closed except to the
curahle and dangerous cases that the per capita cost of
maintenance was 22914 the daily per capita cost being but
6277 which shows a slight increase over the cost of 1924
that the Sanitarium has lived within its income and that it
continues to advance in efficiency and therefore in useful
ness Credit for this happy state of affairs goes primarily
to the Superintendent and Resident Physician and second
arily to the members of the medical and business staffs as
well as to the nurses and attendants who have given him
fine cooperation in his efforts to advance the wellbeing of
the afflicted ones in his care It is the duty and pleasure of
the Board to heartily commend him and them for the splendid
record made
Asylum and Hospital
The Sanitarium is charged with two distinct duties It
must provide an asylum for the chronic insane where they
may have the humane custodial care needed by them It
EIGHTYSECOND ANNUAL REPORT
must likewise provide a hospital where recent or curable
cases of insanity may be given such care and expert treatment
as may possibly restore them to mental health Both of these
duties have been faithfully discharged and despite the lack
ot sufficient equipment the Sanitarium is steadily advancing
in efficiency The efforts of the medical staff are not confined
to the curable cases alone Through the use of vocational
therapy and habitforming training satisfactory results are
being had even among the chronic insane The devoted inter
est of officers and employees has made possible what the
tioard believes to be the best work yet done in its long and
useful history
Growth in Population
The comparative figures here submitted illustrate the
steady increase in the population of the Sanitarium
Year
1900 1925
No of patients on hand at beginning of year2440 4 447
No new patients received696 ll75
No patients on hand at close of year2551 4640
Daily average number of patients2495 4591
Total number receiving treatment in the year3l59 6225
No Corresponding Increase in Equipment
Prom 1900 to 1925 three buildings for patients and one
for nurses providing room for 1458 patients were added
to the Sanitarium equipment In the same time the daily
average number of patients in the Sanitarium grew from
2495 to 4591 an increase of 2096 The increase in equip
ment has not kept pace with the increase in population It
was overcrowded in 1900 as the report of the Board for
that year shows and is overcrowded today Some relief
has been afforded in this time by the establishment of a
colony farm for negro male patients bv the building on the
Sanitarium grounds of pavilions for the use of tubercular
patients and by the occupancy in the present year of the
nurses home through which rooms were vacated on the
wards for patients But even so room is still needed for
740 patients had in excess of the normal capacity of the
Sanitarium
Admissions Restricted
So acute is the situation in respect of room that the
Board in October last was compelled most reluctantly to issueGEORGIA STATE SANITARIUM
an order to the Superintendent and Resident Physician
directing him to decline to receive other patients with but
two exceptions He is permitted to receive recent or acute cases
which offer hope of benefit through proper care and treat
ment and violent cases found to be dangerous to themselves
or others This order will continue in force until additional
accommodations are had The Board is very conscious of the
hardship and suffering caused by this order but there was
no escape from it A specific recommendation for the addi
tional buildings required for the use of patients appears
elsewhere in this report
Convict and Criminal Insane
The Board enters its most earnest protest against the
effort made from time to time to transfer to the Sanitarium
the care of the convict insane now in the custody of another
department of the State government and with this protest
it would just as emphatically recommend an amendment to
the present law which will make it the duty of the same
department to care for the criminal insane that is to say
those persons who escape punishment for crime through plea
of insanity This protest and recommendation are based on
these facts The Sanitarium is in no sense a prison having
neither prison walls bars nor guards by means of which
the escape of dangerous criminals can be prevented It is
on the contrary a hospital for the mentally sick in which by
skilled treatment and gentle humane care they may possibly
be restored to mental health To create a prison atmosphere
about them would be fatal to such treatment To force the
association by law of the innocent insane with the criminal
insane now in the Sanitarium is revolting enough but when
it is proposed to add the convict insane to their number such
enforced association outrages every sense of decency
Pay Patients
The present law governing the Sanitarium provides for
pay patients but is couched in such vague terms as to make
it difficult of practical application So much is this the case
that the Board has thus far been unable to enforce it Its
usefulness and value are doubtful The best interests of
society and the State demand that the insane shall be properly
cared for it matters not whether they be paupers or pos
sessed of means If the effect of this law is to keep out of
the Sanitarium those who should properly be there it oper
ates against such interests The law sets up no machineryEIGHTYSECOND ANNUAL REPORT
for determining the value of the estate of persons found to
be insane or for collecting therefrom for the use of the Sani
tarium its charge for such support It makes no provision
for continuing in the Sanitarium on a pauper basis those
persons whose estate may become exhausted or from which no
collection can be made If they still continue insane it is
manifest that they can not be discharged for failure to pay
The effect of the law if possible of application is to create in
theSanitarium two classes of patientsthose who pay and
those who do not a distinction capable of doing much harm
to the pauper patients and most unfortunate in its effect
The revenue possible to be had in this way will not over
come the injustice of the law In the judgment of the Board
it should be promptly repealed and the Sanitarium made
free as heretofore to the bonafide citizens of the State whose
taxes make it possible The division of the cost of mainte
nance might possibly be distributed between the State and
the County committing but the value of this is problematical
if it shall result in keeping out of the Sanitarium because
of such cost those who should for the best interests of society
and the State be committed to it
If however the present law is to remain unchanged it
should be clarified and should provide the necessary machin
ery for ascertaining the value of the estate of such patients
and for collecting for the use of the Sanitarium its charge
for support
Murder of a Patient
The most terrible incident in the history of the Sani
tarium occurred in September last when Miss Amy Oxford
instructor in vocational therapy while passing through the
grounds in the discharge of her duties was struck and
instantly killed by a negro patient to be followed a few
days later by the murder of this patient at the hands of
parties who are still unknown Entrance was forced at night
into the building in which he was confined from which he
was carried into the adjoining County and there murdered
Every effort has been made by the Board to discover the
perpetrators of this horrible crime without success The
reward offered by your Excellency for proof to convict was
supplemented by an offer by the Board of 100000 for the
same proof but no information has yet been had The offer
continues in force The simple doors and locks which guard
the patients are not proof against such attacks at the hands
oi determined menGEORGIA STATE SANITARIUM

Water Supply
The consumption of water by the Sanitarium is now in
excess of 700000 gallons daily The pumping plant has a
capacity of 1000000 gallons of filtered water in twentyfour
hours The increasing consumption also increases the pres
sure on the single main connecting the plant with the Sani
tarium and therefore increases the danger of breakage A
part of this main is laid under a creek which at flood fre
quently spreads out for a mile or more If a break should
occur at such a timte and place the impossibility of repairing
it under such condition will put the Sanitarium in a situation
not pleasant to contemplate The only possible solution is
a duplicate main and a recommendation is elsewhere made to
cover its cost
Recent Additions to the Plant
The new building so long in construction was completed
during the year and is now occupied by the nurses for whom
it was intended Their removal to it vacated many rooms on
the wards for the use of patients This generous recognition
of the worth of these faithful employees is much appreciated
by them and promises to bring about a still greater improve
ment in the nursing service The building and its modest
furnishings are such as reflect credit on the State
The new ice plant provided for at the last session of
the Legislature is under way and will shortly be in use Its
completion will supply one of the most urgent of the Sani
tariums needs When such completion is had the old plant
will be transferred without charge to the Prison Commission
for use at the Prison Farm
Other Equipment Which Must Be Had
1 To provide for the 740 patients now in the Sani
tarium in excess of its normal capacity and to allow room
for future growth four new buildings two for each race
with a capacity of not less than 1200 patients are now
necessary Such buildings will care for 460 patients in
excess of the present population With admissions slowly
mounting higher each year and already approximating 1200
annually such growth is inevitable if the Sanitarium is to
continue to do its duty
2 The greatest need of the Medical Department in
treating the acute and curable cases of insanity and in caring
for the physically sick is a general hospital located amid the10
EIGHTYSECOND ANNUAL REPORT
pleasantest surroundings possible and supplied with every
appliance known to be of value to the ends sought Both
races should be provided for in it It will enable the curable
cases to be separated from the chronic cases and thus remove
a present serious handicap to successful treatment In it
should be located all of the reception wards in which new
patients are kept for observation and diagnosis as well as
all of the hospital wards operating rooms etc By means
of this concentration under one roof much better attention is
made possible Such a hospital will greatly advance the work
of the Medical Department and at the same time provide
more room for patients in the general wards
3 A need of much importance is a larger amusement
hall the present one built many years ago being entirely out
grown It provides for the convalescent patients through mov
ing pictures concerts dances and religious services with
their principal pleasures and should by all means be made
ample in size for this purpose Whatever is needed to lessen
the pathos of their condition should be supplied with a
generous hand The Board would suggest that such a build
ing when erected should provide recreation rooms for the
white male attendants in which they can gather for social
pleasure when off duty
4 A frame building is needed by the Medical Depart
ment in carrying on occupational therapy work among the
white female patients from which such good results are
being had The cost is very small in comparison with the
great good to come from it
5 If fire escapes are deemed a necessity they should
be had at once Ladder escapes would be as dangerous to
the patients as fire and only tube escapes can be used
Inside enclosed stairways have been relied on for many years
as the means of escape in case of fire and these are bad The
buildings are constantly patrolled at night as a further pro
tection
6 The growth of the Sanitarium has made necessary
more commodious offices for the officers in charge As one
solution of this problem the Board would like to see the
Superintendent and Resident Physician supplied with a
residence in keeping with the dignity of his position and
roomy enough to enable him to dispense the hospitality
expected of one in his position His present quarters in the
Powell Building could then be converted into officesGEORGIA STATE SANITARIUM
11
7 A central heating plant with which is combined an
electric light and power plant offers possibilities of economy
Appropriations Recommended
1 For the sum of 700000 to be used for the erection
and equipment of four buildings for the use of patients
2 For the sum of 250000 to be used for the erection
and equipment of a general hospital building
3 For the sum of 44000 to defray the cost of a dupli
cate water main from the pumping station to the Sanitarium
4 For the sum of 50000 to be used for the erection
of an amusement hall for the use of patients
5 For the sum of 8000 to be used for the erection
of an occupational therapy building
6 For the sum of 25000 to be used for the erection of
a home for the Superintendent
7 For the sum of 25000 to provide fire escapes of
approved type
Amendments to the Law Recommended
The Board recommends an amendment to the law which
will make the Sanitarium free to bonafide citizens of the
State
Also that the present name of the Sanitarium to be
changed to read State Hospital for the Insane the better
to define its functions
The Appreciation of the Board
The Board makes grateful acknowledgment of the gen
erous support given it by your Excellency by the State
Auditor and by the General Assembly in its faithful effort
to have the Sanitarium fully realize the merciful purpose
for which it was founded It begs for an even more generous
support in the future that it may be in position to do all that
is humanly possible for the relief of these sorely afflicted ones
for whom it is responsible With a prayer that the blessings
of a Merciful Father may continue to rest on this great house
of mercy this report is respectfully submitted
By order of the Board of Trustees
Charles C Brantley
Secretary
John T Brantley
President12
EIGHTYSECOND ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE Ga JANUARY 1 1926
The Honorable Board of Trustees
Georgia State Sanitarium
Milledgeville Ga
Gentlemen
In accordance with your rules and statutory require
ments I respectfully submit the Eightysecond Annual Re
port of the Georgia State Sanitarium which covers the period
from January 1 1925 through December 31 1925
Appended hereto are reports of the Clinical Director
Pathologist Dentist Superintendent of Nurses Pharmacist
Engineer Steward Farm Steward and Treasurer These
reports give a general review of the activities of the institu
tion in its various departments throughout the year
General Statistics of Patient Population for the Year 1925
Males Females Total
Patients remaining on books Jan 119252335 2715 5050
Admitted during the year
First admissions 1 520 434 954
Preadmissions 113 108 221
Total admitted during the year 633 542 1175
Total under treatment during the year2968 3257 6225
Discharged during the year
As recovered 63 68 131
As improved 132 154 286
As unimproved 54 23 77
As not insane 14 3 17
Died 219 177 396
Total discharged and died 482 425 907
Remaining on books Dec 31 19252486 2832 5318
Number on parole Dec 31 1925 335 343 678
Actual residents of Sanitarium Dec 31
1925 2151 2489 4640
Daily average under treatment4591GEORGIA STATE SANITARIUM
13
A comparative study of the above statistics shows that
first admissions increased 32 readmissions decreased 8 and
total admissions increased 24 as compared to the previous
year The percentage of the discharges from the records
patients who remained on furlough over twelve months as
recovered and improved based on the number of admissions
was 355 compared with 358 the previous year also
the daily average was 202 more and the deaths 10 less
Of the actual resident patient population 852 patients
were furloughed during the year and of this number 660
or 56 were restored or improvedbased on the total admis
sions 174 were unimproved but clinically harmless and 18
were discharged as not insane
Overcrowding has been and continues one of our most
pressing problems It has greatly handicapped the efficiency
of the institution throughout the year
The records and previous reports of the Sanitarium show
that this has been a serious problem for many years The
actual resident patient population has never been as great
as it is now and the overcrowding never so acute and as
serious It is unjust to new admissions as well as those
already in the Sanitarium to allow overcrowding of such
proportions and I hope that the above statement will be
adequate without more word painting to indicate the serious
ness of this problem
In order to clarify the situation it might be well to
note just here that the additional 198 beds available after
opening the John T Brantley Building nurses home on
July 15th 1925 gave the Sanitarium a normal capacity of
3900 beds and these additional beds provided a slight relief
forexcessive overcrowding on white female reception wards
but overcrowding there is still hazardous as we are still
required to sleep two patients in rooms intended for only one
We began the year with an actual resident patient popu
lation of 4447 and closed with 4640 a net increase of 193
or an actual overcrowding of 740 above normal capacity not
counting 678 patients on parole who have the privilege of
returning if necessary during their furlough period
It seems that many of the Counties over the State have
abolished their almshouses and there appears a slight grow14 EIGHTYSECOND ANNUAL REPORT
ing tendency to commit to the Sanitarium senile persons who
are more or less invalids also feebleminded individuals who
might be cared for at home with some extra personal atten
tion or who might be successfully cared for in County alms
houses
When we decline the application for admission of such
type of cases we find it difficult to resist the appeals of rela
tives and in some instance physicians and politicians who
seem not to hesitate to exaggerate the merits of the applicant
We hope however that by adhering to resolutions below
that you adopted at full Board meeting in October 1925
there will result a decrease in number of admissions during
the coming year and that the total discharges will outnumber
or at least equal total admissions and thereby prevent any
further population increase
We cannot feel so sanguine about this however as the
applications for admission seem to be increasing
The following is the copy of letter mailed to the Or
dinaries containing the resolutions above referred to
Judge Court of Ordinary
Dear Sir
I am instructed by the Board of Trustees of the Georgia
State Sanitarium to send to the Ordinaries of the various
Counties of the State the following resolutions adopted at this
meeting October 22 1925
The overcrowded condition of the Sanitarium being
under consideration the following action was had
It appearing that the Georgia State Sanitarium
with a normal capacity of 3900 patients is now taxed
with the care of 4650 with 676 other patients fur
loughed with the right to return within twelve months
and that as a result of this condition two and three pa
tients are crowded into rooms intended for one which
is dangerous unsanitary and a handicap to treatment
and these facts have been repeatedly reported by the
Board of Trustees with no relief granted and that
the everincreasing demand for admission makes some
action by the Board imperative thereforeGEORGIA STATE SANITARIUM
15
It is ordered effective October 28 1925 that the
Superintendent of the Sanitarium shall enforce the
following rules
1 Admission shall be granted to very urgent
cases that is to young acute cases whose symptoms
are of recent origin and who offer hope of benefit by
treatment and to violent cases dangerous to them
selves and others who cannot be safely cared for at
home and are unable to pay for treatment in a private
hospital
2 Admission shall be denied to senile feeble
minded and harmless incurable cases who cannot be
benefited by treatment
3 Ordinaries shall be required to send the Super
intendent in advance of commitment a full history of
each and every case proposed to be committed in order
that he may determine if and when said applicant may
be received
4 A copy of this action shall be sent to every
Ordinary of the State in order that he may have a
clear understanding of the condition which makes this
action necessary and imperative
5 These rules shall continue in force as long
as the present condition prevails
Medical Service
The report of the Clinical Director gives a review of
the medical work and nursing service for the year Not
withstanding the shortage of staff members the medical work
was kept at the usual standard of excellence The Clinical
Director and Staff more actively interested themselves in
habit training and some gratifying results were obtained
along this line
The monthly bulletin of the Clinical Director has been
of interest and help to the nursing personnel We anticipate
further development and results along this line during the
coming year
The Sanitarium population was not afflicted with any
epidemics of acute physical illness except during the sum16
EIGHTYSECOND ANNUAL REPORT
mer there was a short epidemic of acute enteritis of unknown
cause A rather extensive laboratory study of this disease
failed to give us any information as to its cause Clinically
it was characterized by diarrhoea with very little temperature
reaction but with profound prostration and in many in
stances rapid fatal termination The same type of illness
occurred about the same period in other localities of the
State It was not traceable to any local dietary cause Our
total death rate during the year based on the number under
treatment was 694
Dr Joseph Goldberger of Washington D O of the
United States Public Health Service continued his research
studies of pellagra with Dr G A Wheeler of the Public
Health Service in immediate charge of this work The re
search work of these two physicians has been of interest
stimulating and has given us valuable information concern
ing the cause and treatment of this dreadful malady
During the early part of the year with your permission
we arranged with Dr Sam Darling of the Rockefeller
Foundation who had charge of the malarial research station
at Leesburg Ga to send a member of his staff here to work
with our Staff in doing some research study of the malarial
treatment of general paralysis of the insane Dr Henry
Carr of the Foundation was sent and working with mem
bers of our Staff inoculated fiftyfive cases of general paral
ysis of the insane We are not yet prepared to offer an
opinion as to the merits of this type of treatment but results
noted to date are not so encouraging
The unfortunate occurrence during September resulting
in the death of Miss Amy Oxford our Occupation Therapy
Director and in a few days the lynching of the colored male
patient who struck her by an unknown mob cast a gloom
over the entire Sanitarium for some time I hope that the
institution will never have to experience another such trying
ordeal The Sanitarium is a hospital and not a prison
Therefore we are not prepared to offer armed resistance to
the invasion of mobs
The establishment of the school psychiatric clinic at
Blberton in September expanded our extra mural activities
and in the course of time should prove of value The eduGEORGIA STATE SANITARIUM
17
cational propaganda and advice obtained from such clinics
properly conducted has a farreaching effect toward causing
the public to get away from old superstitions and to assume
a more correct attitude toward mental disease and the Sani
tarium A member of our Staff conducts this clinic twice a
month The psychiatric clinic at Macon that we have been
conducting for several years was kept up and held weekly
by one of our Staff members It has become rather definitely
established and is now regarded as a part of the regular
medical program for the City of Macon and its vicinity
Dental Service
It is generally recognized by physicians and dentists that
diseased teeth and infections have a pathological effect on
the human organism and in order that this feature of treat
ment may receive proper attention the Sanitarium employs
two fulltimed dentists one for the female service and one
for the male service Both of these dentists reside in the
institution and devote their entire time to the dental service
The report of the Senior Dentist gives the character and
amount of work done in this department during the year
Recreational Diversions
The Clinical Directors report gives a review of the
activities during the year in the Occupation Therapy Depart
ment It is our policy to interest patients in some form of
diversion as soon as possible after their admission On account
of the large population of the hospital and our limited facili
ties this work has to be mainly concentrated on new admis
sions although a large per cent of our hospital population
is daily engaged in some form of work that is more or less
beneficial to them and very necessary for the operation of
the hospital The weekly dances and picture shows were
kept up during the year Our projection machine unfortu
nately caught fire in December and it was practically de
stroyed with damage to the booth and amusement hall The
picture shows will have to be discontinued until the machine
is replaced and an absolutely fireproof booth constructed
When the weather was favorable we made the rule of
taking all the patients that were able out of the buildings
to the recreation grounds twice daily Many of them were
given walks over the grounds and some of the white females
were given picnics by the occupation teachers18 EIGHTYSECOND ANNUAL REPORT
The Sanitarium Band kept up the triweekly concerts
The band leader also organized an orchestra that played at
the picture shows which added to its entertainment feature
Religious services were held every Sunday afternoon
as formerly
The Business Department
The report of the Steward gives a detailed account of
the receipts and disbursements made during the year Our
per capita cost was 22914 compared with 22710 the pre
vious year The per diem cost was 6277 compared to 6222
These figures include every item of cost connected with hos
pitalization of patients as well as maintenance and repairs
of physical plant However the institution could not be
operated on so small a per capita cost at the same standard
of efficiency without the aid of our farm garden and dairy
productions and the practice of strict economy on every
hand
But there are many needs and improvements that might
be added for the welfare of our unfortunate charges if funds
were more liberally appropriated I think that the dominant
question in our minds should beWhat are we doing for our
patients rather than how cheaply are we operating the insti
tution
In this connection it might be of interest to note that
we spent 4895200 more for food 675100 less for clothing
and dry goods and 1479800 less for fuel compared to the
previous year
The report of the Farm Steward gives a tabulated state
ment of the productions for the year of the farm garden
dairy and poultry yard
Improvements and Repairs
The report of the Engineer gives a detailed description
of the items constructed in this department during the year
We are delighted to report that the John T Brantley Build
ing home for white female employes has been completed
furnished and occupied since July 15th It is modern in
construction and furnishings We are proud of it I believe
that it will prove a benediction to the institutionGEORGIA STATE SANITARIUM
19

Other notable improvements were the construction of
three badly needed tubercular pavilions for colored females
and the addition of verandas to the two old ones which are
now occupied by colored males These additions now provide
adequate quarters for the tubercular cases among our colored
population
The two tile silos with combined capacity of 600 tons
of silage that were constructed at the dairy provides much
needed addition that should contribute to the efficiency of
the dairy
The replacement of concrete floors in bath and toilet
rooms in the Twin Building were other needed improvements
These replacements were completed on six of the wards but
this work had to be discontinued for awhile It might be wise
to consider extending this type of improvement to the other
wards of the institution
Plans also have been made and work begun on the con
struction of the new ice and cold storage plant We hope to
have this completed by summer
Needs Requiring Special Appropriations
1 Overcrowding is the Sanitariums most acute prob
lem I think it would be wiser for the State to build another
State Hospital for Mental Disease in some other section of
the State rather than further enlarge this institution although
it would be practicable to enlarge this plant to a 6000 patient
basis
2 If this institution is to provide adequate facilities
for caring for the present needs and demands of the men
tally afflicted in the State it should now have four addi
tional buildings to provide for 740 patients who are already
overcrowding our normal capacity in addition to making a
capacity provision for annual increase of about 200 popula
tion from new admissions
Estimated cost for four buildings 70000000
3 In my opinion a modern hospital building with ade
quate capacity and equipment to care for the special medical
and surgical needs of the entire Sanitarium would be a far
seeing and progressive addition It would have a great influ
ence toward hospitalizing the atmosphere of the entire Sani20 EIGHTYSECOND ANNUAL REPORT
tarium and provide an equipment essential for the study and
treatment of the very complex problems of the mentally
afflicted
Estimated cost 25000000
4 As previously recommended A duplicate water
main from pumping station to Sanitarium Estimated cost
4400000
Occupation Therapy building for white females Esti
mated cost 1000000
Outside fire escapes Estimated cost 2500000
Amusement hall adequate for Sanitarium population
Estimated cost 5000000
Conclusion
In concluding this report I desire to express my grati
tude to your honorable body for your official cooperation
personal kindness and constant interest in the affairs of the
institution throughout the year Also to aknowledge my ap
preciation of the faithful services rendered by the officers
and the employes and to thank the Womens Clubs Ameri
can Legion Knights of Columbus and others who were so
thoughtful and kind with so many gifts to the patients during
the Christmas season
Respectfully submitted
R C Swint
Superintendent EtcGEORGIA STATE SANITARIUM
2l
Report of Clinical Director
Dr R C Swint
Superintendent
Dear Sir
I have the honor of submitting the report of the Medical
Department of the Sanitarium for the year ending December
31 1925
During the year 1175 patients were received Of these
954 were first admissions and 221 were readmissions
Of the readmissions 44 had been admitted to either pri
vate hospitals or to other state hospitals 177 had been pre
viously admitted to this hospital
Twentytwo patients were diagnosed as not insane Of
these 2 showed no evidence of insanity after admission and
no history was obtained pointing definitely to mental disturb
ance before admission In three cases the commitment
seems to have been due to alcoholism in the case of two
criminal charges had been preferred one drug addict not
insane was admitted one suffered from encephalitis two
from epilepsy eight were classified as constitutional psycho
pathic inferiority and three as mentally deficient
Ten criminals were sent by order of court eight whites
and two colored The court charges were as1 follows Stealing
1 vagrancy 2 homicide 3 beastiality 1 wifebeating 1
robbery 1 larceny 1 Of these ten one suffered from manic
depressive insanity 2 dementia praecox 4 psychosis associ
ated with mental deficiency and 3 were not insane In the
case of the homicides 1 was classified as dementia praecox
1 as mental deficiency low grade not responsible and 1
who came late in the year is still under observation
Eight hundred and fiftytwo 852 patients were fur
loughed of whom 665 were restored or improved Leaving
out the not insane patients received this gives us a recovery
rate of 57 Twenty of the furloughed patients were removed
to government hospitals for exveterans22 EIGHTYSECOND ANNUAL REPORT
There were no epidemics or outbreaks of acute disease
during the year other than an enteritis of unidentified char
acter Rather extensive laboratory investigations did not
reveal any etiological factor There were reasons for thinking
that it may have been the enteric form of influenza It was
prevalent in this section at the time
There were 396 deaths a percentage of 70 of those
treated The leading causes of death in their order were as
follows Arteriosclerosis 59 cerebral hemorrhage 44 gen
eral paralysis of the insane 41 broncho pneumonia 38
tuberculosis 37 Only seven deaths were assigned to pellagra
Of these six died within twentyfive days after admission
and the seventh died three months and twentysix days after
being admitted Following the observations and recommenda
tions of Drs Goldberger and Wheeler yeast has been used
as an adjunct to the dietetic treatment of pellagra and has
been found to be a valuable therapeutic agent in the acute
stages of this disease
We here acknowledge our indebtedness to Fleischman
Company for having furnished generous quantities of yeast
to the institution These manufacturers have agreed to fur
nish yeast again for the year 1926 and it is expected that a
much more satisfactory estimate of the value of yeast as a
therapeutic agent in pellagra will be arrived at It may be
of interest to recall that in 1915 a diagnosis of phychosis
due to pellagra was made in the case of 210 patients and
that 220 deaths were assigned to pellagra in that year In
the year 1925 the diagnosis of psychosis due to pellagra was
made in twentythree instances and that as above stated
seven deaths were due to this disease in the same year
Fiftyseven 57 patients died within one month after
admission This is about the same as in former years
In 1905 our death rate from tuberculosis per thousand
patients treated was 30 in 1925 it was 64 a reduction of 78
per cent For many years approximately 40 per cent of
the deaths from tuberculosis in our hospital have occurred
among the colored females The erection during the year of
the three new tubercular pavilions for this department will
provide for the removal of the known active cases from the
main buildings During the year no inconsiderable amount
of time has been spent by the physicians in charge of thisGEORGIA STATE SANITARIUM
23
department in the routine examination of the old patients
for the purpose of reducing the morbidity and mortality of
tuberculosis Some of the wards in this department are over
crowded by 130 per cent This together with the natural
predisposition of the colored race to the disease makes an
ideal situation for its development
The treatment of paresis by the inoculation of such
patients with malaria was tried out during the year This
work was done jointly by Dr Carr of the Rockefeller Com
mission for the study of malaria and two members of the
regular staff Drs Yarbrough and Oden The results were
very disappointing A total of 55 patients were inoculated
with the blood of malarial carriers Twentyone were whites
and 34 were colored All of the whites were takes and
showed more or less satisfactory rises in temperature One
of these died within the year and one went out on furlough
as not improved the others remaining in the institution at
the end of the year Thirtyfour negroes were inoculated in
the same way as the whites Seventeen of these showed no
signs of malaria either serologically or clinically The re
maining 17 showed malarial parasites in the blood but only
3 had more than a negligible amount of fever Only one of
the colored patients showed any marked improvement
It seems of more than passing significance that the col
ored race appears to be so much less susceptible to inocula
tion with malaria than the whites when we consider the
fulminating character of paresis in the former race In the
years 19201922 inclusive 59 white and 120 colored paretics
were admitted At this time February 1926 135 per cent
of the white and 41 per cent of the colored patients are still
in the institution 135 per cent of the whites and 58 per
cent of the colored patients have been discharged 728 per
cent of the whites and 90 per cent of the colored patients
have died within the institution The average length of life
of the whites who died in the institution was 441 days for
the colored it was 183 days As may be readily conceived
there might have been a difference in duration before admis
sion
Our pathologist and his assistants have spent their
usual busy year in the laboratory A total of 7786 specimens
were examined during the year The routine procedures as24
EIGHTYSECOND ANNUAL REPORT
practiced in the laboratories are set forth in Dr Saye s report
and contain much that is instructive as well as of interest
The recommendation for the establishment of ward
laboratories if carried out would relieve the main laboratory
of a mass of routine work and leave the pathologist free to
devote more time to research a thing very much to be desired
When the additional story is added this will further facili
tate the laboratory work As it is now too much time is con
sumed in the routine common to any clinical laboratory and
not enough to the furtherance of our knowledge of mental
diseases
Drs Goldberger and Wheeler have continued their valu
able work in pellagra and have robbed this disease of much
of its mystery of many of its terrors
Our training school under the efficient management of
Mrs Jones has continued to do the good work of former
years and needs no comment for those who are acquainted
with its good standing
In October and November a course of instruction was
given the new attendants This consisted of recitations and
quizzes from a pamplet prepared for the purpose This pam
phlet has been twice revised and is still far from satisfactory
It is expected that this course will be repeated in May and
October in the coming year The publication of the Bulletin
has been continued as stimulant to interest
Following the death of Miss Amy Oxford Miss Brown
took charge of the Occupation Department in the female
service She has proven herself efficient and capable This
department is still badly cramped for the lack of facilities
more especially a suitable building In the white male depart
ment better progress has been made because of better arrange
ments During the coming year more shop space and equip
ment will be added thus avoiding the necessity of calling on
the regular institutional shop for help We have on the
premises an abundance of good clay and the development of
potterymaking and allied work would open a new and most
interesting field for occupation for both males and females
I believe that good nursing aided materially in the recov
ery rate for the past year but there is much room for im
provement Some of the most gratifying work done in theGEORGIA STATE SANITARIUM
25
whole institution has been in the line of habit training The
response of cases of dementia praecox of long standing has
been surprising as well as pleasing Not a great many cases
have been tried systematically but in not a single instance
has there been a complete failure
The clinic in Macon continues with good attendance and
good results The establishment of the clinic at Elberton has
afforded further needs for mental hygiene Such work proves
of value not only to the community but to the physician
who conducts it
The added equipment and improvement to our Xray
outfit has added materially to its efficiency Bight hundred
and five pictures were made fiftythree fluroscopic examina
tions were made and 50 treatments were given
I wish to thank you and the Board for generous aid to
the medical service
Aknowledgment is here made for assistance and aid ren
dered by other departments
I am particularly grateful for the cooperation of the
staff and nursing service
Respectfully submitted
N P Walker
Clinical Director26
EIGHTYSECOND ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1925
Psychoses White Colored
M F M E Total
1 Traumatic 1 29 35 13 3 2 0 8 12 7 11 5 102 48 1 19 8 6 39 47 1 3 2 0 1 1 6 1 0 15 19 2 0 2 1 3 1 1 5 4 106 66 0 33 10 1 23 32 0 0 0 1 0 0 1 0 1 5 26 37 6 0 1 1 2 0 0 1 33 17 0 20 0 0 38 32 0 0 0 0 0 0 1 1 0 5 20 15 1 1 0 0 0 0 7 4 46 60 0 10 1 0 13 30 1 0 0 0 0 1 0 1 2 54 100 67 10 5 2 12 15 8 23 14 287 191 1 82 19 7 113 141 2 3 2 1 1 2 8 3
2 Senile
3 With cerebral arteriosclerosis 4 General paralysis of the insane 5 With cerebral syphilis
6 With Huntingtons chorea 7 With brain tumor 8 With other brain or nervous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease 13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition 16 With epilepsy
17 Psychoneurosis or neuroses 18 With constitutional psychopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis Criminal without psychosis Drug addict without psychosis Encephalitis without psychosis Epilepsy without psychosis Constitutional psychopathic inferiority without psychosis Mental deficiency without psychisis

Total 411 326 222 216 1175
GEORGIA STATE SANITARIUM
27
TABLE II
Diagnostic Grouping of First Admissions During the Year 1925
Psychoses
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous dis
ease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psychopathic
inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
White
M E
Total 312
1
26
33
11
2
2
0
7
10
4
9
5
60
31
1
18
7
3
35
38
0
2
2
0
1
1
0
Colored
M E
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
23
0
0
0
0
0
0
1
0
245
1
4
25
36
6
0
1
1
1
0
0
1
28
16
0
19
0
0
35
32
0
0
0
0
0
0
1
1
Total
208
0
6
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
189
2
49
97
64
9
5
2
9
12
5
18
14
192
142
1
79
15
3
100
122
1
2
2
0
1
2
5
1
95428
EIGHTYSECOND ANNUAL REPORT
TABLE III
Diagnostic Grouping of Readmissions During Year 1925
Psychoses
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous dis
ease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psychopathic
inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
Total
White
M P
0
3
2
2
1
0
0
1
2
3
2
0
42
17
0
1
1
3
4
9
1
1
0
0
0
0
3
1
99
0
1
0
0
0
0
0
2
0
0
2
0
39
17
0
1
3
1
5
9
0
0
0
1
0
0
0
0
81
Colored
M
0
1
1
1
0
0
0
0
1
0
0
0
5
1
0
1
0
0
3
0
0
0
0
0
0
0
0
0
14
Total
0
0
0
0
0
0
0
0
0
0 I
1
0
9
14
0
0
0
0
1
1
0
0
0
0
0
0
0
1
0
5
3
3
1
0
0
3
3
3
5
0
95
49
0
3
4
4
13
19
1
1
0
1
0
0
3
2
27 221

immmm
TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1925
WHITE COLORED
Psychoses Male Female Male Female
R 1 0 0 0 0 0 0 1 7 3 6 2 45 0 0 0 5 1 5 6 0 0 0 0 0 0 0 0 82 I 1 1 3 6 1 0 0 0 2 1 3 2 41 14 1 4 3 7 6 22 0 0 0 0 0 0 0 0 118 u 0 0 3 1 1 0 0 3 1 0 0 1 15 25 1 3 0 4 18 19 0 0 0 0 0 0 0 0 95 s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 2 0 0 0 5 1 13 B 0 0 0 0 0 0 0 1 1 2 3 3 54 2 0 1 2 3 3 11 0 0 0 0 0 0 0 0 86 I 0 2 3 0 0 0 0 2 0 1 1 3 78 40 0 7 6 0 7 21 0 0 0 0 0 0 0 0 171 u 0 1 3 0 0 0 0 1 0 0 2 1 17 18 1 3 2 1 2 4 0 0 0 0 0 0 0 0 56 S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 s 0 1 1 0 3 R I u s R I u s Total
0 0 0 0 0 0 0 0 2 0 0 0 9 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 3 1 0 0 0 1 1 0 0 2 22 21 0 7 0 3 12 10 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 6 5 0 2 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 4 1 15 1 0 0 0 1 0 4 0 0 0 0 0 0 0 0 0 2 1 4 2 0 0 1 0 0 o 2 22 31 0 1 0 0 6 8 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 s s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3
2 Senile 6
3 With cerebral arteriosclerosis 17
14
S With cerebral syphilis 5
6 With Huntingtons chorea 0
7 With brain tumor 0
10
9 Due to alcohol 15
10 Due to drugs 7
11 With pellagra 19
12 With other somatic disease 17
13 Manic depressive 324
14 Dementia praecox 157
15 Paranoia or paranoid condition 3
16 With epilepsy 29
17 Psychoneuroses or neuroses 18
18 With constitutional psychopathic inferiority 19 With mental deficiency 20 61
20 Unclassified 21 Not insane 109 3
Alcoholism without psychosis 2
Criminal without psychosis 2
Drug addict without psychosis 1
Encephalitis without psychosis 0
Epilepsy without psychosis 1
Constitutional psychopathic inferiority without psychosis 7
Mental deficiency without psychosis 2

Total 13 84 20 1 26 80 3 1 852
H
O
o
m

H
CO

2
a30
EIGHTYSECOND ANNUAL REPORT
TABLE V
SURGERY
1
3
1
1
15
Appendectomies
Acroflavine intravenous injection A
Ascites aspiration for o
Abscess lung resection rib f
Abscess Bartholin gland drainage
Abscess pelvic
Circumcisions
Cholecystotomy drainage
Dilatation and curettage
Fractures reduced and fixed
Hemorrhoidectomies
Herniotomies 7
Hysterectomies
Hydrocele operation
Injection of air into pleural cavity 1
Intravenous injection spinal fluid 7
Intravenous injection salvarsan and tryparsamid doses 267
intravenous injection mercurochrome q
Intravenous injection sod salicylate 2
Intraspinous injection magnesium sulphate 3
Intraspinous injection horse serum q
Inoculations with malarial blood ri
Laparotomies exploratory
Lipoma removal
Oophorectomy
Paracentesis thoracis
Pterygium transplanted
Phymosis operation
Papilloma excised
Prolapsed rectum operation
Strabismus operation
Salpingectomy
Sebaceous cyst excised
Tonsillectomies
Tubercular peritonitis operation
Vaccinations typhoid 1BJ
Vaccinations smallpox I
Varicocele operations
XRay treatments
XRay pictures Jz
Flutoscopic examinations
66
2GEORGIA STATE SANITARIUM
TABLE VI
Causes of Deaths of Patients Who Died During the Year 1925
White
M F
Colored
M P
Total
Anaemia not specified
Abscess of lung
Arteriosclerosis
Brain tumor
Cancer of lung
Carcinoma of stomach
Carcinoma of esophagus
Carcinoma of uterus
Chorea Huntingtons
Colitis ulcerated
Drowned accidental
Dysentery not specified
Embolism
Encephalitis
Endocarditis acute
Enteritis acute
Enteritis chronic
Enteritis acute gastro
Epilepsy
Erysipelas
Exhaustion acute mental disease
Exhaustion heat
General paralysis of the insane
Heart acute dilation
Heart disease organic
Heart disease valvular
Hemorrhage cerebral
Hernia mesenteric strangulated
HyDostatic congestion of lungs
Influenza
Injuries inflicted by another patient
Injury to head by parties unknown
Intestinal obstruction
Meningitis not specified
Meningitis tubercular
Myocarditis acute
Myocarditis chronic
Nephritis chronic
Organic brain disease not specified
Pellagra
Perforation of intestines
Pneumonia broncho
Pneumonia lobar
Prostatitis
Septicaemia
Suicide
Strangulation by food
Surgical shock
Syphilis cerebral
Tuberculosis abdominal
Tuberculosis pulmonary
Tuberculosis intestinal
Volvulus of intestines
Unknown
Total
0
0
24
0
0
1
0
0
0
0
0
0
0
2
0
9
0
3
8
0
5
0
10
0
0
3
8
1
1
0
1
0
0
0
0
1
2
9
0
4
0
20
2
1
1
3
1
1
0
1
7
0
1
1
0
3
24
1
0
1
1
0
1
1
0
0
1
0
1
7
2
0
2
1
3
1
1
0
0
2
12
0
0
1
0
0
0
0
0
0
2
5
2
0
1
11
2
0
0
0
0
0
0
0
4
0
0
3
0
1
7
1
0
0
0
0
0
0
1
1
0
0
0
0
0
0
10
1
0
0
22
0
1
0
15
0
0
0
0
1
1
0
0
0
2
4
0
0

3
1
0
0
0
0
0
2
1
5
0
0
5
131 96 68
1
0
4
0
1
1
0
2
0
0
0
0
0
0
1
1
0
2
7
0
4
0
8
3
0
2
9
0
0
0
0
0
0
2
1
0
2
3
1
3
0
1
3
0
0
0
0
1
0
1
1G
1
0
0
1
4
59
2
1
3
1
2
1
1
1
1
1
2
2
17
2
5
27
2
12
1
41
3
1
7
44
1
1
1
1
1
1
2
1
1
8
21
3
7
1
38
8
1
1
3
1
2
2
3
32
1
1
9
81 39632
EIGHTYSECOND ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1925
County
Appling
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahooehee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Deeatur
DcKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Efflngham
Elbert
Emanuel
White
M
2
1
3
2
3
2
0
0
14
0
1
2
3
3
4
2
1
0
0
11
1
0
1
24
4
7
2
0
2
0
6
3
2
I
2
4
0
0
1
1
2
8
2
2
0
3
4
0
0
4
1
3
0
4
1
5
7
0
0
4
2
0
1
3
2
1
0
0
1
1
2
0
1
I
13
3
6
5
0
0
0
6
0
2
1
2
6
0
2
0
4
0
1
3
1
1
1
1
0
1
1
1
Colored
M F Total
1
0
6
0
1
0
0
0
12
0
0
1
3
5
0
1
3
0
0
0
0
1
0
25
1
0
1
0
1
0
0
0
2
0
0
4
0
0
0
0
1
2
1
0
0
0
3
1
1
1
1
1
1
5
0
1
1
3
1
14
1
0
2
3
4
0
1
0
3
0
0
0
0
1
24
1
0
1
3
0
1
2
2
1
0
0
2
1
2
0
0
6
2
0
3
4
0
1
0
1
1
0
7
2
18
3
10
10
3
1
44
3
1
6
12
14
5
4
4
4
1
13
1
2
3
8fi
9
13
9
3
3
1
14
5
7
2
4
16
1
4
1
5
9
18
6
6
5
4
9
1
3
10
3GEORGIA STATE SANITARIUM
33
Admissions Prom the Various Counties During the Year 1925
Continued
County
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffle
White
M
1
0
1
14
2
4
40
1
1
3
3
0
5
2
1
6
5
5
4
2
1
4
1
3
3
2
3
1
0
0
3
2
0
1
0
4
1
4
1
2
4
1
3
0
1
2
1
0
2
4
5
3
F
1
3
1
10
5
5
33
0
2
1
3
2
3
3
4
7
0
4
2
2
2
3
1
0
0
1
0
2
2
1
0
0
2
0
0
0
1
2
0
1
2
0
2
0
2
1
1
0
1
5
15
0
Colored
M F
1
0
1
1
0
0
18
0
0
3
0
0
1
1
0
1
3
0
2
2
1
1
5
1
1
3
4
2
1
1
3
0
3
1
2
2
0
0
0
2
0
2
0
0
0
2
2
0
3
0
3
2
0
0
1
1
0
0
20
0
0
3
0
0
4
2
0
0
2
0
0
1
0
1
1
2
0
1
0
2
3
3
0
0
2
0
1
0
0
1
0
3
0
1
2
1
0
2
0
2
2
0
0
1
Total
3
3
4
26
7
9
111
1
3
10
6
2
13
8
5
14
10
9
8
7
4
9
8
6
4
7
7
7
6
5
6
2
7
2
3
6
2
7
1
8
6
4
7
1
3
7
4
2
8
9
23
634
EIGHTYSECOND ANNUAL REPORT
Admissions From the Various Counties During the Year 1925
Continued
County
Newton
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Rabun
Randolph
Richmond
Rockdale
Screven
Spalding
Stephens
Stewart
Sumter
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tilt
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfleld
Wilcox
Wilkes
Wilkinson
Worth
Total
White
M
6
2
2
1
1
3
2
2
4
2
2
0
3
4
4
1
2
2
1
6
2
0
3
4
3
4
6
1
0
0
6
2
0
3
1
3
0
4
0
3
3
1
0
3
3
1
0
2
0
411
1
1
0
0
1
3
0
0
1
1
1
2
2
9
2
2
1
2
0
2
1
0
1
5
0
2
2
2
1
0
3
1
1
3
4
3
2
3
0
4
0
1
2
1
2
2
0
1
2
326
Colored
M
4
0
1
0
4
0
0
3
4
2
2
0
2
1
1
3
1
1
2
1
0
1
2
0
5
0
2
0
0
2
6
0
2
0
0
0
0
0
1
2
0
0
0
0
0
0
4
0
3
222
1
0
0
0
3
1
0
0
0
1
1
0
1
11
0
3
1
0
2
2
0
0
3
1
3
0
1
0
0
0
2
0
3
0
1
0
0
3
1
2
0
1
1
0
0
0
0
1
1
216
Total
12
3
3
1
9
7
2
5
9
6
6
2
8
25
7
9
5
5
5
11
3
1
9
10
11
6
11
3
1
2
17
3
6
6
6
6
2
10
2
11
3
3
3
4
5
3
4
4
6
1175GEORGIA STATE SANITARIUM
35
TABLE VIII
Nativity of All Patients Admitted During the Year 1925
Alabama
Arkansas
Florida
Georgia
Germany
Greece
Ireland
Kentucky
Massachusetts
Mississippi
North Carolina
New Jersey
New York
Ohio
Pennsylvania
Poland
Scotland
South Carolina
Tennessee
Turkey
Virginia
Wales
Unknown
Total
White Colored
M F M F Total
10 13 1 2 26
0 1 0 0 1
0 2 0 2 4
362 291 203 209 1065
2 0 1 0 2
2 0 0 0 2
1 0 0 0 1
3 1 0 0 4
1 Q 0 0 1
1 2 0 0 3
4 3 2 0 9
1 0 0 0 1
3 0 2 0 5
0 1 0 0 1
0 1 0 0 1
1 0 0 0 1
1 0 0 0 1
12 4 11 2 29
3 2 0 0 5
1 0 0 0 1
0 0 1 1 2
0 1 0 0 1
3 411 4 2 0 9
326 222 216 1175
36
EIGHTYSECOND ANNUAL REPORT
TABLE IX
Classified Occupation of Patients Admitted During the year 1925
County
Agricultural Pursuits
Farmers
Professional Service
Artist
Auditor
Druggist
Lawyer
Minister
Physician
School teacher
Trained Nurse
Domestic and Personal Service
Barber
Bill poster
Chauffeur
Delivery boy
Domestic
Fireman
Fisherman
Governess
Housekeeper
Inspector
Laborer
Laundress
Linotype operator
Messenger boy
News boy
Nurse
Policeman
Porter
Seamstress
Servants
Shoeblack
Umbrella maker
Warehouseman
Watchman
Trade and Transportation
Bookkeeper
Clerk
Contractor
Electrician
Insurance agent
Live stock dealer
Loan agent
Merchants
White Colored
M F M F
212 1 68 12
1 0 0 0
1 0 0 0
2 0 0 0
1 0 0 0
2 0 1 0
4 0 0 0
1 5 0 1
0 2 0 0
1 0 0 0
0 0 1 0
0 0 1 0
0 0 1 0
0 2 0 0
1 0 0 0
0 0 1 0
0 1 0 0
0 214 0 fi8
1 0 0 0
20 0 101 29
0 0 0 22
1 0 0 0
1 0 0 0
0 0 1 0
0 0 0 3
1 0 0 0
0 0 2 0
0 2 0 0
0 0 1 19
0 0 1 0
1 0 0 0
1 0 0 0
1 0 1 0
4 0 0 0
11 4 0 0
3 0 0 0
1 0 0 0
2 0 0 0
1 0 0 0
1 0 0 0
10 0 0 0
Total
293
1
1
2
1
3
4
7
2
1
1
1
1
2
1
1
1
282
1
150
22
1
1
1
3
1
2
2
20
1
1
1
2
4
15
3
1
2
1
1
10GEORGIA STATE SANITARIUM
37
Classified Occupation of Patients Admitted During the year 1925
Continued
County
White
M F
Colored
M F
Total
Printer
R R agent
R R Employee
R R flagman
Salesman
Shipping clerk
Special R R agent
Stenographers
Stone cutters
Teamster
Telegraph operator
Telephone operator
Truck driver
Manufacturing and Mechanical Pur
suits
Architect
Brickmason
Carpenter
Mechanic
Painter
Plumber
Food and Its Kindred Products
Cook
Grist mill operator
Textiles
Cotton mill employee
Iron Steel and Other Products
Blacksmith
Stoves polisher
Lumber and Its Manufacturers
Sawmill laborer
Miscellaneous
Convict
Marble worker
Market keeper
Millwright
Peddler
Sailor
Soldier
Student
Watch repairer
None
Unascertained
TotaL
2
2
10
5
3
1
1
1
10
2
1
0
1
1
1
3
1
1
8
1
49
1
0
0
0
0
0
0
0
3
0
77
1
411 326
1
0
0
0
1
0
0
0
0
26
5
222
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
4
0
34
4
216
2
3
11
6
4
1
22
1
19
3
1
1
1
1
1
1
4
1
1
15
1
186
11
117538
EIGHTYSECOND ANNUAL REPORT
TABLE X
Ages of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population
Psychoses
1 Traumatic
2 Senile
3 With cerebral arttrio
sclerosis
4 General paralysis of the
insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nerv
our disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic dis
ease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid
condition
16 Epileptic psychoses
17 Psychoneuroses and neu
roses
18 With constitutional psy
chopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Drug addict without psy
chosis
Epilepsy without psy
chosis
Constitutional psycho
pathic inferiority
withoust psychosis
Mental deficiency without
phychosis
Criminal without psy
chosis
Encephalitis without psy
chosis
MALES
Under
20
TotaL
1
14
3
0
0
0
1
0
0
1
40
Over
70
0 0
0
0
0
17
10
0
0
0
0
1
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
30
Un
ascer
tained
0
0
0
0
0
0
0
Total
1
26
33
11
2
2
0
7
10
4
9
5
60
31
1
18
3
35
38
2
0
1
3
0
2
1
312Georgia state sanitarium
3d
Ages of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population Continued
Psychoses
FEMALES
Under
20
31
Over
70
Un
ascer
tained
Total
1 Traumatic
2 Senile
3 With cerebral arterio
sclerosis
4 General paralysis of the
insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nerv
ous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic dis
ease
13 Manic depressive
14 Dementia Praecox
15 Paranoia or paranoid
condition
16 Epileptic psychoses
17 Psychoneuroses and neu
roses
18 With constitutional psy
chopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Drug addict without psy
chosis
Epilepsy without psy
chosis
Constitutional psycho
pathic inferiority
without psychosis
Mental deficiency without
phychosis
Criminal without psy
chosis
Encephalitis without psy
chosis
Total
0
0
0
0
0
0
0
0
0
4
4
0
11
0
0
0
0
0
0
0
30
0 0
0 0
1 1
14 23
1613
0
0
0
0
0
0
0
13
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
0
18
23
0
0
0
1
0
0
0
24540
EIGHTYSECOND ANNUAL REPORT
Ages of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
MALES
Under
20
1 Traumatic
2 Senile
3 With cerebral arterio
sclerosis
4 General paralysis of the
insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nerv
ous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic dis
ease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid
condition
16 Epileptic psychoses
17 Psychoneuroses and m
roses
18 With constitutional psy
chopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Drug addict without psy
chosis
Epilepsy without psy
chosis
Constitutional psycho
pathic inferiority
without phychosis
Mental deficiency without
psychosis
Criminal without psy
chosis
Encephalitis without psy
chosis
0
1
0
0
0
0
0
0
0
1
3
0
4
0
19
7
0
0
0
1
1
0
0
37
114
1
0
0
0
1
0
0 0
9
1 2
0
0
45 36 30
0 0
0 0
6 4
Un
Over ascer
70 tained
0
0
0
0
0
0
0
35
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
1
4
26
36
6
0
1
1
1
0
0
1
28
16
0
19
0
35
32
0
0
0
1
1
0
0
208GEORGIA STATE SANITARIUM
41
Ages of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population Continued
Psychoses
FEMALES
Under
20
1 Traumatic
2 Senile
3 With cerebral arterio
sclerosis
4 General paralysis of the
insane
5 With cerebral syphilis
6 With Huntingtons chorea
J With brain tumor
8 With other brain or nerv
ous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic dis
ease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid
condition
16 Epileptic psychoses
17 Psychoneuroses or neu
roses
18 With constitutional psy
chopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Drug addict without psy
chosis
Epilepsy without psy
chosis
Constitutional psycho
pathic inferiority
without psychosis
Mental deficiency without
phychosis
Criminal without psy
chosis
Encephalitis without psy
chosis
Total
2
0
0
0
0
0
0
1
1
7
2
0
3
0
3
5
0
0
0
1
0
0
0
0
26
4151
50 60
Over
70
0
2
71 7
0 0
o 0
0 0
Un
ascer Total
tained
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
20
15
1
1
0
0
0
0
6
4
37
46
0
10
0
12
29
1
0
0
1
0
0
0
0
18942
EIGHTYSECOND ANNUAL REPORT
TABLE XI
Degree of Education of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population
Psychoses
1 Traumatic
2 Senile
3 With cerebral arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nerv
ous disease
8 With brain tumor
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psy
chosis
Criminal without psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
1
0
0
0
0
1
2
0
0
6
0
0
0
1
0
23
6
0
MALES
Total 53

13 16
1
S
2 o
0 0
0 0

o
o
Hi
w
115 22
1
26
33
11
2
2
7
0
10
4
9
5
61
31
1
18
7
3
35
38
2
2
0
1
1
3
0
312GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population Continued
Psychoses
FEMALES
1 Traumatic
2 Senile
3 With cerebral arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nerv
ous disease
8 With brain tumor
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroscs or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnoscd
21 Not insane
Alcoholism without psy
chosis
Criminal without psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
0
3
1
f
X
3
Total 38
0
0
0
1
0
1
1
1
2
29
27
0
7
6
0 1 1 0 1 5 0 1 12
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0
0 0 1
0 0 0
9 69 96
o
0 0
1 0
1 0
1 0
0 0
0 0
o
H
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
0 23
0
0
0
0
0
1
0
24544
EIGHTYSECOND ANNUAL REPORT
Degree of Education of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
MALES
13
g

1
I5
S0
ya

arterioscle
1 Traumatic
2 Senile
3 With cerebral
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With other brain or nerv
ous disease
8 With brain tumor
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psy
chosis
Criminal without psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathi
inferiority without psy
chosis
Mental deficiency without
psychosis
Total
1
4
12
10
3
0
0
0
0
0
0
1
10
2
0
10
0
0
28
9
ill
0
0
0
0
0
0
0
71
0
0
0
0
0
1
0
21
1
4
25
36
6
0
1
1
1
0
0
1
28
16
0
19
0
0
35
32
0
0
0
0
0
1
1
208GEORGIA STATE SANITARIUM
45
Degree of Education of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population Continued
Psychoses
FEMALES
13
S
o o
x
o
o
w
o
1 Traumatic
2 Senile
3 With cerebral arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain or other nerv
ous disease
8 With brain tumor
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psy
chosis
Criminal without psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
Total
56
7
0
0
0
0
0
0
3
3
IS
23
0
5
0
0
1
14
0
0
0
0
0
0
0 3
0 3
0 0
0 0
0 0
0 0
0 0
0 0
0 2
0 1
0 1
0 2
0 0
0 1
0 0
0 0
0 0
0 4
0 0
0 0
0 0
0 0
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
18946
EIGHTYSECOND ANNUAL REPORT
TABLE XII
Environment of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population
Psychoses
MALES
1 Traumatic
2 Senile
3 With cerebral arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorca
7 With brain tumor
8 With other brain or nerv
ous disease
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psycho
sis
Criminal without phychosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
Total
9 I 51
97 211
C
1
2G
33
11
2
2
0
7
10
1
9
5
ill
31
1
18
7
3
3
38
0
2
2
4 312
FEMALES
2
0
0
0
0
0
1
1
0
23
17
0
10
2
0
5
6
0
0
0
0
10
14
0
0
1
1
1
1
0
2
4
44
32
0
22
5
0
12
17
0
0
0
1
0
167
e
o
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
23
0
0
0
1
0
245GEORGIA STATE SANITARIUM
47
Environment of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
MALES
FEMALES
O
o
EH
1 Traumatic
2 Senile
3 With cerebral
arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nerv
ous disease
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid con
dition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psyco
sis
Criminal without psy
chosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
1
0
139
1
1
208
0
5
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
18948
EIGHTYSECOND ANNUAL REPORT
TABLE XIII
Economic Condition of First Admissions During the Year 1925
With Reference to Principal Psychoses
White Population
Psychoses
MALE FEMALE
a 73
a a
n fl
3 w 3 a 3
0 a ra a XJ a
s be 03 ft 03 a E cue a ft CO 03
0 a a 0 0 0 a
0 M P rn O s Q P
1 Traumatic
2 Senile
3 With cerebral
arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoic condi
tion
MS With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With Mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Criminal without phychosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
10
4
1
1
0
3
5
3
4
3
30
14
1
4
Total 17 123167 5 3121 20 95 429 1245
0
23
21
5
1
1
0
4
3
1
4
1
2
16
0
13
4
2
23
16
0
1
1
7
10
0 4
1 9
0 5
2 60
0 31
0 0
12 0
13 0
2 0
0 0
1 0
0 0
1 0
1 0
0 0
1 0
0
0
1
1
0
0
1
2
3 1
30 26
26 18
0
14
19
2
0
2
1
1
1
1
3
0 4
1 67
0 49
0
32
7
0
18
23
0
0
0GEORGIA STATE SANITARIUM
49
Economic Condition of First Admissions During the Year 1926
With Reference to Principal Psychoses
Colored Population
Psychoses
MALE
FEMALE
1 Traumatic
2 Senile
3 With cerebral
arterioscle
rosis
4 General paralysis of the in
sane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic discase
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condi
tion
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psy
chosis
Criminal without psychosis
Drug addict without psy
chosis
Encephalitis without psy
chosis
Epilepsy without psychosis
Constitutional psychopathic
inferiority without psy
chosis
Mental deficiency without
psychosis
Total
13
3
0
0
1
1
0
0
0
18
6
0
5
1
4
15
22
3
0
0
0
0
0
0
1
10
10
0
It
0
0
20
9
0
0
0
86 116
0 0
1
1
2oe
0
4
16
13
0
1
0 0
0

13
1
0
0
0
0
0
4
2
17
20
0
7
0 0
6
15
0
5
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
2189TABLE XIV
Civil Condition of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
White Population
Psychoses
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
16 Epileptic psychoses
17 Psychoneuroses or neuroses
18 With constitutional psychopathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic inferiority without psy
chosis
Mental deficiency without psychosis
Total yo
MALES
a
S3
79 28
n
g a
03 C3
a
P
FEMALES
be
a
x
ft
GO I
12
2 208
56 78 37
o a
Wi
C3 03
a3
P
16
c
r
o
20
15
1
1
0
0
0
0
6
4
37
46
0
10
1
0
12
29
1
0
0
0
0
1
0
0
H
3
n
H
in
a
o
o
o

a

r
W
H
1
O
P3
H
2 19Civil Condition of First Admissions During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
mmm
MALES
a
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
16 Epileptic psychoses
17 Psychoneuroses or neuroses
18 With constitutional psycopathic inferiority
19 With mental deficiency
20 Undiagnosed
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis7
Constitutional psychopathic inferiority without psy
chosis
Mental deficiency without psychosis
TotaL
0
7
3
2
1
0
0
1
2
1
2
0
17
17
0
14
4
2
27
11
0
0
0
0
1
1
2
0
115 145
22
7
1
2
0
4
6
2
3
5
41
9
1
4
3
0
6
16
0
1
2
0
0
0
1
0
0
11
5
0
0
0
0
2
1
1
4
0
2
3
0
0
0
1
2
8
0
1
0
0
0
0
0
0
41
x
CT3
o o
o a
w
03 ca
s
P trt
tJmJmmmmm
11
FEMALES
a
1
26
33
11
2
2
0
7
10
4
9
5
60
31
1
18
7
3
35
38
0
2
2
0
1
1
3
0
312
0
5
10
1
0
1
1
1
1
1
3
4
40
26
0
11
3
0
2
14
0
0
0
0
0
0
1
0
125
T3
T 0J

03
H H
0 03
a

H w
a a
03 03
a2
0
0
0
0
0
0
0
0
0
n
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
19
2
0
2
1
1
1
1
3
4
67
49
0
32
7
0
18
23
0
0
0
0
0
0
1
0
245
O
H
O
w

a
03

Z
52
EIGHTYSECOND ANNUAL REPORT
TABLE XV
Ages of Patients at Time of Death During the Year 1925
Classified With Reference to Principal Psychoses
White Population
Psychoses
MALES
S f
9
10
11
12
13
14
15
16
17
18
19
20
21
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain or nervous
disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
Total
0
0
n
0
o
0
Oi 3
0 0
1 3
0 0
0 0
1 3
2
0
0
0
0
0
0
0
0
5
1
0
2
0
0
0
0
n
o
0
0
0
0
0
1
12
0 0
22
0
3
1
4
2
0
0
0
0
0
3
0
0
o
0
0
0
0
0
19
11
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
2
0
0
0
0
0
33 34
0
25
29
11
0
0
0
3
0
0
4
4
18
11
0
9
0
n
o
o
o
0
0
1
131GEORGIA STATE SANITARIUM
53
Ages of Patients at Time of Death During the Year 1925
Classified With Reference to Principal Psychoses
White Population Continued
Psychoses
FEMALES
a
o o 0
Sh d
a f 5 o 1 o
1 P5 ll e o fc
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis
Total
0
0
II
1
II
II
1
0
0
0
II
0
3
2
i
7
0
0
1
0
0
0 0
0 0
15
12
2
II
I
U
0
0
0
0
0
0
3
1
0
1
0
0
1
13
0 0
0 1
18 33
0
25
12
1
0
2
1
1
0
0
0
1
12
16
0
11
0
0
4
9
0
0
0
0
0
0
9654
EIGHTYSECOND ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1925
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
MALES
a
o
r
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition
15 With epilepsy
17 Psycfioneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psychopathic in
feriority without psychosis
Mental deficiency without psy
chosis 0
Total
11
19
17
18
0
2
17
23
3
0
1
1
1
0
0
0
5
8
0
11
0
0
5
11
0
0 0
01 0
0 0 GEORGIA STATE SANITARIUM 55
Ages of Patients at Time of Death During the Year 1925 Classified With Reference to Principal Psychoses Colored Population Continued
Psychoses FEMALES
8 H a 5 H H H s 1 H era o 1 o t 4 o a s o CS o
1 Traumatic 0 0 0 1 0 c 0 0 0 0 1 0 1 1 0 3 0 0 0 1 0 0 0 0 0 c c c 0 0 0 0 0 0 0 0 0 0 5 0 4 3 0 5 0 0 0 0 0 0 0 0 0 c c ll 0 0 1 5 0 0 0 0 0 0 0 0 3 7 0 1 0 0 0 2 0 0 0 0 0 c c If 0 1 2 2 0 1 0 0 0 0 0 1 3 4 0 0 0 0 1 5 0 0 0 0 0 0 c c 2C 0 0 3 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 4 0 0 0 0 0 0 0 c 11 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c fl c 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 c c 0 4 9 8 0 1 0 0 0 0 7 1 12 16 0 9 0 0 1 13 0 0 0 0 0 0 0 0 81
2 Senile
3 With cerebral arteriosclerosis 4 General paralsis of the insane 5 With cerebral syphilis
6 With Huntingtons chorea 7 With brain tumor
8 With other brain or nervous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease 13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoid condition 16 With epilepsy
17 Psychoneuroses or neuroses 18 With constitutional psychopathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosisCriminal without psychosis Drug addict without psychosisEncephalitis without psychosisEpilepsy without psychosis Constitutional psychopathic in feriority without psychosis Mental deficiency without psy
i J Total


56
EIGHTYSECOND ANNUAL REPORT
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925 With Reference to Principal Pychoses
White Population
Psychoses
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 Due to pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
16 Paranoia or paranoid condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 UnclassifiedI
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psycopathic in
feriority without psychosis
Mental deficiency without psy
chosis
MALES
Total
0
6
U
4
0
0
0
0
o
n
l
i
5
1
0
1
0
0
0
3
0
0
0
I
0
0
c o
3
I 4
1
0 0
C 0
0 0
0 0 0
0 0 0 0 0
0
0 0 0
0 0 0
o
4
2
0
1
2
0
0
1
0
0
0
I
0
0
0
0
0 0
0 0
0 0
0 0
0
0
1
3
0
0
1
0
0
0
0
0
0
0 0
0 0
0 0
0 0
12 22 20
0
25
29
11
0
0
0
3
0
0
4
4
18
11
0
9
0
0
0
0
0
0
0
1
131GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925 With Reference to Principal Pychoses
White Population Continued
Psychoses
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
With Huntington s chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoic condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psycopathic in
feriority without psychosis
Mental deficiency without psy
chosis
FEMALES
Total
0
3
2
0
0
1
tl
0
0
0
0
0
2
0
0
0
0
0
0
1
0
0
0
0
0
9 13
0
0
0
0
0
0
1
0
1
0
0
3
0
0
0
0
0 0
0 0
0 0
0
0
0
0
0
1
4
4
0
0
1
2
0
0
0
0
0
0
0
1
14
13
0
25
12
1
0
2
1
1
0
0
0
1
12
16
0
11
0
0
1
9
0
0
0
0
0
0
0
1
9658
EIGHTYSECOND ANNUAL REPORT
Duration of Hospital Residence ol Patients Dying in Hospital
During the Year 1925 With Reference to Principal Pychoses
Colored Population
MALES
Psychoses c o tl a fi a o CO o CD a o o CO GO o C3 o CO a T1 O 02 cd a 8 O O tt GO fe o 3 o
1 Traumatic 0 0 5 1 2 0 1 I 0 0 0 0 1 1 0 0 0 0 0 5 0 0 0 0 0 0 0 0 17 0 0 6 14 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 3 0 0 0 0 0 0 0 0 26 0 2 0 4 1 0 0 0 0 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 11 0 0 5 3 0 0 0 0 1 0 0 0 1 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 14 0 0 1 1 0 0 0 0 0 0 0 0 1 6 0 4 0 0 1 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 1 n 0 0 0 0 0 0 0 0 0 0 0 0 0 n 0 2 17 23 3 0 1 1 1 0 0 0 5 8 0 11 0 0 5 11 0 0 0 0 0 0 0 0 88
2 Senile
3 With cerebral arteriosclerosis 4 General paralysis of the insane 5 With cerebral syphilis
6 With Huntingtons cohera 7 With brain tumor
8 With other brain or nervous disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease 13 Manic depressive 14 Dementia praecox
15 Paranoia and paranoid condition 16 With epilepsy 0 0
17 Psychoneuroses or neuroses 18 With constitutional psychopathic inferiority 0 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis Criminal without psychosis Drug addict without psychosis Encephalltis without psychosisEpilepsy without psychosis Constitutional psycopathic inferiority without psychosisMental deficiency without psychosis
Total

GEORGIA STATE SANITARIUM
59
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1925 With Reference to Principal Pychoses
Colored Population Continued
Psychoses
FEMALES
1 Traumatic
2 Senile
3 With cerebral arteriosclerosis
4 General paralysis of the insane
5 With cerebral syphilis
6 With Huntingtons chorea
7 With brain tumor
8 With other brain or nervous
disease
9 Due to alcohol
10 Due to drugs
11 With pellagra
12 With other somatic disease
13 Manic depressive
14 Dementia praecox
15 Paranoia or paranoic condition
16 With epilepsy
17 Psychoneuroses or neuroses
18 With constitutional psycho
pathic inferiority
19 With mental deficiency
20 Unclassified
21 Not insane
Alcoholism without psychosis
Criminal without psychosis
Drug addict without psychosis
Encephalitis without psychosis
Epilepsy without psychosis
Constitutional psycopathic in
feriority without psychosis
Mental deficiency without psy
chosis
Total
0
2
1
3
ii
i
0
0
0
0
1
0
2
1
0
2
0
0
0
3
0
0
0
0
0
0
0
0
0
0
1
3
0
0
0
0
0
0
2
1
0
1
I
1
0
0
1
0
0
0
0
H
15 13
0
1
3
0
0
0
0
0
0
0
1
0
3
1
0
3
0
0
0
2
0
0
0
0
0
14

t

0 0 0
0 01
15 8
0
0
II
0
0
0
0
0
0
0
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
4
9
8
0
1
0
0
0
0
7
1
12
16
0
9
0
0
1
13
0 0
0
0 0
81GO
EIGHTYSECOND ANNUAL REPORT
Report of Pathologist
For Year 1925
Dr R C Swint
Superintendent
Dear Sir
The report of the Pathological Laboratory for the year
1925 follows
Summary
Serological Specimens Examined
Blood for the Wassermann Noguchi reaction1497
Cerebrospinal fluid including Wassermann globulin and
colloidal gold reactions and cell count 477
Clinical Laboratory Specimens Examined
Urine routine analysis 2 119
Urine renal function test 3
Peces for parasites or ova or for occult blood 966
Sputum for tubercle bacilli 153
Blood chemical examination 248
Blood for malaria parasites 133
Blood countsred white or differential 923
Blood coagulation time determination 64
Blood hemoglobin estimation 145
Cerebrospinal fluid chemical examination 226
Gastric contents chemically and microscopically 14
Bacteriological Specimens Examined
Blood culture 34
Blood agglutination tests for B typhosus etc 149
Exudates culture 172
Exudates microscopically 52
Exudates dark field examination for T pallidum 2
Exudates animal inoculation 5
Brain dog for Negri bodies 4
Water q
Milkiii 299GEORGIA STATE SANITARIUM
61
Anatomical Examinations Gross and Microscopical
45
Necropsies r
Postmortem examination of animals
Surgical tissue specimens
Total number of examinations7786
NoteIn addition to the total number of procedares
enumerated above 324 cadavers were embalmed by the tech
nicians who are also licensed embalmers
Serological Examinations
There were 1497 specimens of blood examined for the
Wassermann reaction of which number 1156 were secured
as a matter of routine from patients upon their admission to
the hospital
TABLE IResults of Routine Blood Wassermann Tests
Race
White
White
Colored
Colored
Number
Sex Examined
Female 326
Male 392
Female 216
Male 222
Total1156
Number
Positive
4plus
7
24
45
57
133
Percentage
Positive
21
61
208
257
Year
TABLE IIPercentages and Distribution by
Sex of Positive 4plus Wassermann Reactions in
Admitted During Preceding Ten Years
White White Colored Colored
Female Male Female Male
5 6 106 142 190
6 1 110 205 206
8 2 129 204 254
3 6 139 244 276
7 9 164 310 331
68 70 270 331
38 94 261 174
2 3 100 150 103
3 0 86 180 243
21 61 208 257
115
Race and
Patients
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
Ave 10 years49 106 217
236
Entire
Group
125
134
158
157
200
155
123
159
116
115
145i2 EIGHTYSECOND ANNUAL REPORT
flnfrWtre exmined 477 specimens of cerebrospinal
d TB IIIInciden of Serological Neurosvvhilii in
Patients Admitted During Year 1925 rsypnus m
R Number Number Percentage
Wht6 Female PSS
White MaleI 392 o
Colored Female 216 18 o
Colored Male I 222 Jf
Entire Group1456 89
eThe tem Positive deQot h occu f
positive Wassermann reaction upon the cerebrospinal fluid
and usually also other serological indications of neurosyph
Reference to Tables I and III will show that 42 8 ner
per centthoVSetecTT f the whiiiSJS
per cent of the colored women and 788 per cent of the col
ored men whose blood reacted positively to the Wassermann
test upon admission also gave serological evideLe of syphS
01 the nervous system ypmiis
Necropsies
There were 45 necropsies reports of which are filed with
the appropriate histories in the office of the PHnUin
and also in the records of the Llto sSmmarSoTZ
Bacteriology and Clinical Pathology
Experimental Investigation
of tht hf eCJal SUdy Tas made of the quantitative relationshipGEORGIA STATE SANITARIUM
63
to be published in the Journal of the Medical Association of
Georgia
Ward Laboratories
The purpose of a pathological laboratory in a state hos
pital is twofoldto make the numerous and varying kinds
of examinations that the scientific practice of medicine de
mands and to endeavor through investigation to enlarge the
boundaries of knowledge concerning nervous and mental
diseases At present my time and that of the technicians
is largely consumed by many procedures which although
essential to the efficient care of the sick and to modern neuro
psychiatric diagnosis are of minor importance so far as skill
necessary to making them is concerned These examinations
should not diminish in number On the other hand there
should perhaps be a larger number done than at present In
order therefore that the laboratory may have more time to
devote to investigative work while at the same time an in
creased amount of laboratory service may be made more read
ily available I would suggest that you consider the advisa
bility of establishing three ward laboratoriesone each for
the white male and white female departments and one for
colored buildings A period of instruction in the laboratory
should qualify nurses selected for duty in the ward labora
tories to do all of the simpler essentially clinical examina
tions such as urinalyses sputum for tubercle bacilli and blood
counts
If the establishment of ward laboratories is believed to be
inexpedient at present we should perhaps begin the training
of an additional assistant in laboratory technique and in em
balming
Building
When the contemplated addition of an upper story to
the present laboratory building is made our work will be
facilitated It should provide greater access of daylight and
more freedom from dust The upper story suitably divided
will permit the serological pathological bacteriological and
clinical laboratory phases of the work to proceed with less
interruption The first story will furnish ample room for the
embalming and necropsy work for the storage of supplies
of the Mortuary Department and space for a suitable chapel
Respectfully
E
B Save
Pathologist64
EIGHTYSECOND ANNUAL REPORT
Report of Dental Department
For the Year 1925
MlLLEDGEVILLE Ga JANUARY 1 1926
Dr R C Swint
Superintendent
Dear Sir
I have the honor of submitting the following report of
the work done in the Dental Department during the year
ending December 31st 1925
Extractions4177
Infiltration anaesthesias1698
Conductive anaesthesias 670
Alveolotomies 262
Suturing incisions 25
Postoperative treatments 47
Gold fillings 2
Amalgam fillings 282
Cement fillings 144
Synthetic porcelain fillings 106
Gold inlays 20
Acolite inlays 1
Gold inlays reset 4
Nerve cappings 30
Nerve treatments 12
Nerves devitalized 17
Root treatments 21
Root fillings 26
Applications mummefying paste 1
Abscesses lanced 31
Abscesses treated 73
Lancing gums over third molar 12
Treating gums about third molar 22
Excessive hemorrhages arrested 3
Treatments for erosion 4
Treatments for pyorrhea alveolaris 54
Cleaning teeth number of patients 80
Scaling teeth number of patients 135
Applications silver nitrate 25GEORGIA STATE SANITARIUM
65
Treatments for facial neuralgia 1
Treatments for acute odontalgia 29
Treating gums number of patients 17
Treatments for oral ulcers 17
Treatments for stomatitis 1
Curetting alveloar process 38
Plates made 33
Plates repaired 22
Gold crowns 3
Porcelain crowns 5
Castbase crowns gold 2
Crowns removed 8
Crowns repaired 2
Crowns reset 3
Bridges made 4
Bridges removed 7
Bridges repaired 1
Bridges reset 4
Disfigured teeth shaped up number of patients 52
Setting screws in roots 1
Removing impacted third molar 12
Removing sequestrum 1
Fractures set 1
Resecting gums number of patients 11
Treatments of general type 24
Calls to wards 341
Number of new patients examined1174
Number of patients treated1981
Total number of operations and treatments8283
Respectfully submitted
George H Green
Dentist66 EIGHTYSECOND ANNUAL REPORT
Report of Superintendent of Nurses
MlLLEDGEVILLE Ga JANUARY 1 1926
Dr R C Swint
Superintendent
Dear Sir
The following is the annual report of the Training School
for Nurses for the year ending December 31st 1925
The nurses moved into the beautiful new home Brant
ley Hall July 11th It is exceedingly comfortable and well
equipped giving the nurses every comfort
The hours of rest and recreation away from the wards
have improved the service and disposition of the nurses very
much
Every effort has been made to keep the school up to the
highest standard All classes have been held regularly and
all instructors have shown marked interest and purpose in
giving the students the very best theoretical course possible
The annual commencement was held July 15th at 8 30
oclock in the Amusement Hall
Miss Jane Van deVrede Secretary of the Nurse Exam
ining Board of Georgia gave the class address which was
much enjoyed by the nurses and the large audience
Diplomas were awarded to seven graduates by Hon
John T Brantley President of the Board of Trustees and
the hospital pins by Hon C C Brantley Secretary of the
Board
A reception and dance at the nurses home followed
music being furnished by the Sanitarium Band
The following are the names of the nurses receiving diplo
mas
Miss Blanche Barker Miss Love Estelle Kelly
Miss Essie Cummings Miss Lannie McKinley
Miss Mary Henrietta McDade Miss Ruby Poss
Miss Allene Elizabeth Thompson
The total number of graduates is 120GEORGIA STATE SANITARIUM
67
NURSING STAFF
Superintendent of Nurses 1
Supervisors 4
Chief Operating Nurses 2
Occupation Therapy Nurses 7
Special Attendants 6
Senior Nurses in School11
Junior Nurses in School11
Freshmen Nurses in School15
Total Number of Student Nurses37
Number of White Female Attendants146
Vacancies
CURRICULUM
First Year
Anatomy and Physiology60 hours
Nursing Ethics6
Theory of Nursing26
Hygiene1
Practical Demonstrations 24
Dietetics 20
History of Nursing10
Bandaging 8
Hydrotherapy 6
Massage10
Second Year
Medicine 16 hours
Practical and Surgical Nursing26
Nursing Ethics 6
Materia Medica16
Dietetics 25
Surgery 10
Eye Ear Nose and Throat6
Obstetrics 16
Bacteriology16
Mental Diseases 16
Oral Hygiene1668
EIIGHTYSECOND ANNUAL REPORT
Third Year
Pediatrics 16 hours
Chemistry 16
Gynaecology16
Diseases of Nervous System16
The regular course for new attendants was given to a
class of fiftytwo by Dr N P Walker in October and No
vember
I would like to recommend the erection of a hospital
building for the care of all medical and surgical cases of the
institution with one central operating room diet kitchen and
laboratory This would give all sick patients better nursing
under closer supervision and the students a wider and a more
varied practical course
I wish to thank you for your suppport and considera
tion and the Medical Staff for lectures and medical services
rendered the students and attendants during the year
Respectfully submitted
Mrs Mae M Jones R N Ohio
Superintendent of NursesGEORGIA STATE SANITARIUM
69
Report of Pharmaceutical Department
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
The following is the annual report of the Pharmaceutical
Department for the year ending December 31st 1925
Grateful acknowledgments are offered to the Board of
Trustees to you and other officers for helpful suggestions and
cooperation in this work
Below is shown a condensed list of manufactured
products
Tinctures spirits and extracts2046 pounds
Elixirs1100
Syrups 839
Ointments 185
Liquors lotions and mixtures1078
Library paste and mucilage 26
Medicated dusting powder 36
Indelible ink 56
Glycerites 90
Liniments 168
Tonics 88
Aquas medicated 34
Tooth powder 4
Quinine anolyne and influenza capsules filled8300
Germicide 1020 gallons
Fly and mosquito exterminator 24570 EIGHTYSECOND ANNUAL REPORT
STATEMENT
Debits
1925
Dec 31st Inventory as December 31st 1924 540267
Purchases During the Year
Drugs chemicals dental surgical and
laboratory supplies1101696
Freight and express 30366
Total1132062
Less goods returned 25912
Net1106150
Total1646417
Deduct Inventory at December 31st 1925 530936
Goods to account for1115481
Credits
Departmental Sales
Prescriptions filled for wards 34550
aggregating1071340
Sales to officers and employees 44141
Total1115481
Respectfully submitted
J J WOOTTEN
PharmacistGEORGIA STATE SANITARIUM
71
Report of Treasurer
Milledgeville Ga Mabch 24th 1926
Dr R C Swint
Superintendent Georgia State Sanitarium
Milledgeville Ga
My Dear Sir
I beg to submit herewith a report of the receipts and dis
bursements of the Treasurer of Georgia State Sanitarium for
the year 1925
1924
Dec 31st Bal cash on hand 3342199
1925
To regular maintenance appro 79999992
To special appro 31933370
To Nurses Home appro 2031125
To ice and cold storage appro 1000000
To Int on daily balances 286853
To Homer Bivins Steward 944001
119537540
Disbursements for the year 1925110988692
Dec 31st 1925 Bal cash on hand 8548848
119537540
As Treasurer Georgia State Sanitarium and as Assistant
Cashier Exchange Bank we certify that at close of business
Dec 31st 1925 there was to the credit of Otto M Conn
Treas Ga S S the sum of eightyfive thousand four hundred
eightyeight dollars and fortyeight cents 8548848
Otto M Conn
Treas Ga S S
II G Banks
Asst Cashier Ex Bank
Witness
H II Herndon
N P B Co GaEIGHTYSECOND ANNUAL REPORT
Report of Farm Steward
Dr R C Swint
Superintendent Georgia State Sanitarium
My Dear Sir
I beg to submit my report of the foodstuffs produced in
my department for the fiscal year ending December 31st 1925
Asparagus 106 busnels
Beans butter shelled 773
Beans snap 355
Beets 510
Cabbage 1913S heads
Collards 13 230
Carrots 8 bushels
Cantaloupes 26 604
Corn 9776 bushels
Corn roasting 167g6 ears
Corn tons 1000 tons
Cucumbers 216 bushels
Fodder 62 tons
Hay oat go
Lettuce 1910 heads
Corn meal 3102J bushels
Oats g04 11
Oats strawIII 16i tons
Okra 848 bushels
Onions 575
Peanuts 304
Peas field 371
Peas garden jOO
Peppers 20
Pork dressed42366 pounds
Potatoes sweet 986S busheis
Potatoes Irish 754
Radishes 290
Rape 3080
Rye 470
Rye straw 4 tons
Squashes 1eM busnels
Tomatoes 218 crates
Turnips and greens6832 bushels
Watermelons 17 315
Strawberries 36 bushelsGEORGIA STATE SANITARIUM
73
Dairy
Sweet milk 80688 gallons
Buttermilk 261
Butter 656 pounds
Sweet cream 421 gallons
Beef dressed 14902 pounds
Green hides 1671
Calves sold 16
Sacks sold 1254
Loads of manure 1800
Chicken Yard
Hens and roosters issued 112
Friers issued 184
Eggs received 40854 dozen
Eggs set 92
In addition to this work we have cut about six hundred
600 cords of stove wood cleared about thirty 30 acres of
new ground All the coal from the chutes has been distrib
uted to the buildings and all the cinders hauled away from
the boiler rooms The entire road system of the institution
has been worked and kept in condition by my department
We have been doing some grading around the dairy
We graded and planted bermuda grass around Drs Brad
ford and Echols houses We also hauled several loads of
sand for the Engineers Department
I wish to thank you the Board of Trustees the officers
of the institution and others for the gratitude and coopera
tion shown me and my department throughout the year
Respectfully submitted
F C Penuel
Farm StewardEIGHTYSECOND ANNUAL REPORT
Report of Engineer
Dr P C Swint
Superintendent and Resident Physician
Dear Sir
Please find below the annual report of the Engineers
Department for the year ending December 31st 1925
Improvements
The John T Brantley Building has been completed A
complete kitchen has been outfitted in the basement of this
building with an elevator running to the dining room above
A trunk storage room has been established in the basement
and a small laundry with facilities for electric ironing has
been outfitted in an adjoining room to the kitchen Steam for
the kitchen has been brought from the boiler room of the
Powell Buiding A part of this steam line runs underground
between the buildings This part of the line was run through
RicWil pipe covering and is otherwise well insulated
The electric stoves and ovens used by the Dietitian with
her classes has been removed from the Whittle Building to
the class room in the John T Brantley Building set up there
and connected to the electric wiring
The high water of January left an immense bank of
sand in the river a short distance above the intake well of
our waterworks and raised the sand in the bed of the river
to such a height that it lacked but a short distance of being
up to the opening in the intake well through which we take
our water Since the general level of the water in the river
has been raised by the building of a concrete dam across the
river at the power station just below us it became necessary
to build the walls of the intake well higher and to place on
the river side a couple of sluice gates for the control of the
level from which the water is taken A portion of this work
has been done and we have on hand the sluice gates ready
to be put in just as soon as a period of low water sets in
and the weather gets warm enough to work in the water A
temporary curbing of wood staves has been placed around
the intake well This will protect the opening until such
time as we shall be able to get at in the summerGEORGIA STATE SANITARIUM
75

A doorway has been cut between two rooms in the Male
Convalescent Building making a couple of offices for the
dentist there Electric wiring has been done for the several
dental engines in these rooms and steam and plumbing fix
tures installed
The wooden posts supporting the radiators and the radi
ator housings in the basement of the Powell Building have
been cut off eight inches above the floor Brick pillars have
been built in the place in the ends of the posts so removed
to the end that the rotting of the posts might not throw the
radiators down
Four hundred and sixtyfive squares of flooring have
been laid in the Negro Building
The power sewing machine table in the white sewing
room has been lengthened by the addition of one section and
two power sewing machines added to the equipment Two old
foot power machines which had been driven by power have
been discarded and in their places two new power machines
have been put
A water heater left on hand from the changes necessary
for the supply of the John T Brantley Building has been
put up in the laundry and connections made with the West
Detached Building and the nearby T B Ward
A deep well hand pump has been installed in the well
by the dining room at the Colony
The gas engine driven triplex pump at the Colony water
works has been overhauled and has had new plungers and
connecting rods put in it
Much work has been done on the old ice machine from
time to time during the year in patching it up and in putting
in new parts where absolutely necessary in order to keep the
old machine going until we could get the new one for which
we have an appropriation installed
The chicken house on the south side of the Twin Build
ing has been remodeled and made rat proof so far as the
foundations and floor is concerned by concrete floors and
foundations
The front porch floor and the steps of the Cabaniss Build
ing which were of wood have been replaced with concrete76
EIGHTYSECOND ANNUAL REPORT
Concrete steps have been placed down the terrace in
front of the Whittle and of the Cabaniss Buildings Each
flight is ten feet wide and consists of fifteen steps
Two tile silos have been built at the dairy The site
selected for the silos being on newly made ground it was
necessary to go seven and a half feet below the dairy floor
before a good foundation could be secured This excavation
was utilized in making the silos by bringing this part of them
up to the dairy floor level built of reinforced concrete The
silos are 20 feet in diameter and 41 feet 6 inches high The
combined capacity is 600 tons of silage
Three pavilions have been built in the rear of the Negro
Building Each building is 131 feet long by 21 feet wide
Each has a porch 79 feet long by 10 feet wide They are
nicely constructed of dressed longleaf yellow pine and are
painted inside and out Each building has an open central
section 77y2 feet long This section above a height of four
feet above the floor is open to the weather except for a line
of sash running three feet above the solid portion of the
wall These sash can be lowered into pockets when required
In the ends of the buildings are the service rooms two toilet
rooms two nurses bedrooms a dining room a pantry and a
clothes room
The two older T B pavilions just west of the new ones
have had porches built to them similar to those on the new
buildings
Six bath and six toilet rooms in the Twin Buildings
have had the wooden floors and the lath and plastered parti
tions taken out and the replacement made with concrete One
bath tub in each of the six bath rooms has been taken out and
a shower bath put in its place In each toilet room an enam
eled iron slop sink has been placed
All of the return pipes in the back yard of the older part
of the Negro Building have been taken out and new pipes
put in
One corner of the Negro Building kitchen has been un
derpinned to prevent the further development of a crack due
to a settlement of the foundation
Six 36inch ventilators have been put on the roof over
the dining rooms of the Twin Buildings Connections have
been made with these to openings in the dining room below
Twelve new steam radiators have been put in the Green
Building and twelve in the Negro Building to replace others
which had rusted outGEORGIA STATE SANITARIUM
77

A small brick room has been built under the tower shed
for the housing of the series outside light regulating ap
paratus
Plans have been made for the construction of a brick
and concrete public comfort station on the lower level of the
lawn in front of the Twin Buildings
A new transformer has been placed at the Twin Building
replacing one burnt out by lightning
Plans have been made for the ice plant to be built and
for the additional cold storage rooms required
An additional room with sleeping porch attached has
been added to one of the cottages
Two small buildings have been razed from the site of
the ice works the site graded the foundations dug out and
filled in with concrete up to the point where the brick walls
start The foundations for the refrigeration tank have also
been laid
The building of three sixroom cottages to be occupied
by as many physicians and their families has been com
menced
The dining room at the Colony and one of the dormi
tories have been refloored
The kitchen at the Colony has been refloored with con
crete The floor is drained to a central cesspool and from
there to the sewer which has been extended some 200 feet
into the adjoining field
A 56foot Seagrave extension ladder has been added to
the fire fighting equipment
The water mains have been extended to afford fire pro
tection to the John T Brantley Building and three additional
fire hydrants have been placed around it These with the
hydrants already in position near the building give it all the
protection of this kind needed
In addition to the ordinary repair work of the institu
tion the carpenter shop the furniture and harness repair
shop the paint shop broom factory and shoe repair shop
have been kept busy in manufacturing and repairing various
articles used in the different departments
Respectfully submitted
T H DeSaussure
Engineer78
EIGHTYSECOND ANNUAL REPORT
Report of Steward
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
I have the honor of submitting the following exhibits and
schedules making up a detailed report of all receipts and dis
bursements through this office during the fiscal year ended
December 31st 1925
EXHIBITS
1Consolidated Cash Statement Receipts and Disbursements
2Analysis Cash Receipts and DisbursementsGeneral and
Special Funds
3Balance Sheet December 31st 1925
4Statement of Income and Expenditure for Year
5Profit and Loss Statement Farm Garden and Dairy
6Analysis Expenditure New Buildings
7Comparative Statement Cash Expenditure Years 1924
1925
8Statement Operating Funds
SCHEDULES
1Accounts Payable as of December 31st
2Accounts Receivable as of December 31st
3Production Farm Garden and Dairy
A comparison of per capita and per diem cost for the
year with that of 1924 follows
1924 1925
Total cash expenditures99675604 105201612
Per capita cost 22710 22914
Per diem cost 6222 6277
Average number patients 4389 4591
Receipted vouchers supporting all disbursements are on
file in this office
I have devoted my entire time throughout the year to my
duties and considering limited clerical help discharged them
to the best of my ability
Respectfully submitted
Homer Bivins
StewardEXHIBIT No 1
Consolidated Cash Statement Receipts and Disbursements
DESCRIPTIVE
3 T3
e
o
PR
1925
Jan 1Balance from 1924
Less due Treasurer
Less due Special Eunds
Less due Trust Funds
RECEIPTS
Maintenance Appropriation regular
Maintenance Appropriation deficiency
Part 1923 maintenance deficiency
Part 1924 Special
Part 1925 Special
Vouchers returned
Patients deposits
Miscellaneous sales
Interest on balances
Balances
Transferred by Steward
Balances
Disbursed by vouchers
Balances
Disbursed by Steward
BALANCES
425374
80000000
25000000
6933354
2031126
1000000
9705
286853
114835663
944001
1215395
300000
1215395
2014535
115779664 3229930
110730002 1895S49
5049662
1334381
5049662 1334381
03

m
2014535
944001
3258636
2958536
300000
5045431
5345431
5045431
300000
c
H
101590
104590
101590
101590
101590
o
3
55000
150853
55000
55000
55000
55000
a
o
S
s
a 5
Z H
O
259767
410620
410620
80737
329883
329883
P
El
O
W
O

to
II
aEXHIBIT No 1 Continued
Consolidated Cash Statement Receipts and Disbursements
DESCRIPTIVE So a is Hi 05 35 a 2 Z ft H 1 2 a a a 1 03 o h1 S a 2 si 3 9 m a s a ft oj a 02
1925 Jan 1Balance from 1924 Less due Treasurer 0093375 2031126 1000000 133517 1215395 2014535 2471263 12368 3754117
Less due Special Funds
Less due Trust Funds
RECEIPTS Maintenance Appropriation regular 80000000 25000000 6933354
Maintenance Appropriation deficiency Part 1923 maintenance deficiency Part 1924 Special Part 1925 Special
Vouchers returned Patients deposits 9705
Miscellaneous sales 500717 286853
Interest on balances

Balances Transferred by Steward 9308017 3229930 2471263 12368108976512
9308017 3229930 417633 2471263 5110767 12868 108976512 12368 101958615
Disbursed by vouchers
Balances 9308017 3229930 1895549 417633 7582030 7017897 3149882
Disbursed by Steward
BALANCES 9308017 1334381 417633 7582030 1 3868015
a
o
x
H
a
o
o
D

a
w
a
o
HEXHIBIT No 1 Continued
Consolidated Cash Statement Receipts and Disbursements
SUMMARY
Debits
Cash in HandGeneral Fund 5049662
Cash in HandPatients Fund 1834381
Cash in HandStewards Fund 300001
Cash in HandTime Deposits l01o90
Liberty Bonds 22
Due by Nurses Home Fund 7o8203U
Due by lee and Cold Storage Plant 417633
Total14840296
Credits
Due New Buildings 9308017
Due Occupation Therapy 329883
Due Trust Funds 1334381
Balance in Hand for Maintenance 3868015
Total14840296
B
O
tO
CO
i3

i3
H
CO

to
II
gEXHIBIT No 2
Analysis Cash Receipts and Disbursements
DESCRIPTIVE
ta
C
tj2
SS
ft
B 2
IS
ft
be
gffl
a
33
oft
o
ft
so
Eh
aS O
a ft
5
o
Eh
H
Q
H
Kl
OQ
H
O
o
z
o

P
50
H
0
O
50
H
Overdraft from 1924
DISBURSEMENTS
General administration
WAGES AND LABOR
Medical Dept
Stewards Dept
Engineers Dept
Farm and Garden Dept
Dairy Dept
FOOD SUPPLIES
Wards
Officers dining rooms
MISCELLANEOUS
Clothing and dry goods
Furniture and bedding
Fuel
Maintenance of plant
Medical supplies
Stationery and postage
Farm and garden
Dairy
Incidentals
425874
5891567
21960215
3951350
5140144
1357253
423395
33840707
615354
6818679
4761989
4656237
3735773
1106150
2v28962
1984586
2693765
6035482EXHIBIT No 2 Continued
Analysis Cash Receipts and Disbursments
EXHIBIT No 2 Continued
Analysis Cash Receipts and Disbursements
DESCRIPTIVE Support Maintenance Patients Fund Brantley Building d c3 o 5 o b M u 2 Time Deposit Liberty Bonds Total
MISCELLANEOUS Board Spec Attdts 149733 288193 21543 3078 11711 1000 13923 233 9705 17390 151354 439384 93702 12958 14360 2014535 12292
Interest on balances
Wages refunded
Phones and telegrams TravelRefund
Pines
InsuranceRebate
Rents
Vouchers returned
Freight and express
Sundries
TRUST FUNDSPatients dep Refund on bldg material
SALES Misc merchandise
Baskets rugs etc
Hides sacks etc
Sundries

Total 113461621 3229930 2043417 1000000 101590 55000 119891558

H
Q
X

w

3

H
0
o
HEXHIBIT No 3
Balance Sheet December 31st 1925
LIABILITIES
DUE SPECIAL FUNDS
John T Brantley Building 725987
Ice and cold storage plant 582367
Occupation TherapyMale dept 317968
Occupation Therapy Female
dept 11915 1638237
TRUST FUNDS
Patients Deposits 1334381
ACCOUNTS PAYABLE
Individuals and companies 1540203
SALARIES AND WAGES
EmployesDecember 2898658
OfficersDecember 508078 3406736
EXCESS ASSETS JAN 1 1925
Adjustments during year 11089
Total to account lor 9262753
Excess assets for 1925 5678
Total9268431
Total17187988
ASSETS
TreasurerGeneral Fund 5049662
TreasurerPatients Fund 1334881
StewardWorking Fund 300000
StewardTime Deposit 101590 6786633
BONDS
Three 100s 4th Liberty Loan 30000
Two 50s 4th Liberty Loan 10000
Three 50s 3rd Liberty Loan 150005 55000
ACCOUNTS RECEIVABLE
Officers and employees 66867
United States Public Health
Service 38041 104908
MISCELLANEOUS
Freight and express 169582
STOCK ON HAND
StoresMiscellaneous merchan
dise 3879538
Packing house products 308385
Dry goods in process of manu
facture 259088
Drugs chemicals etc 530936
Engineering material 1158515
FuelCoal and coke 3634430
Dairy feeds 204550
Farm feedFertilizer etc 9742810072865
Total17187988
a
o
in

H
B
w

z

2
a
gEXHIBIT No 4
Statement of Income and Expenditure
EXPENDITURES
General AdministrationOfficers Salaries 630859
WAGES AND LABOR
Medieal Department 22643827
Engineers Department 5342282
Stewards Department 4148270
Farm and garden 1376149
Dairy 43040533040633
FOOD SUPPLIES
Wards 33722686
Superintendents dining room 108566
Stewards dining room 50678834338040
MISCELLANEOUS
Clothing and dry goods 6621872
Furniture and bedding 4578186
Fuel 4119116
Stationery and postage 228962
Medical supplies 1071340
Autos and trucks 52615017145626
MAINTENANCE OF PLANT
Fire apparatus 19650
Machinery supplies and repairs 231191
Builders hardware 401381
Cement 1 138682
Lime hair and masons supplies 87400
Lumber and building material 593341
INCOME
STATE APPROPRIATIONS
Regular 80000000
Deficiency 25000000105000000
MISCELLANEOUS
Board of officers 191818
Board of special attendants 191067
Board of employees 257619
Donations 5753
Dental work and material 11255
Fines 34400
Interest on balances 288436
Sales old material 189375
Rents 14983 1184706
FARM AND GARDEN
Sales products 14949
DAIRY
Sales products 11148 26097
O
i3
w
H
O
o
d

m
H
O
VEXHIBIT No 4 Continued
Statement of Income and Expenditure Continued
Painters supplies 488616
Plumbing supplies 354510
Sewer supplies 50826
Tinners supplies 145645
Cooking apparatus 93698
Steam piping and boiler fittings 361908
Waterworks supplies 146048
Ice works supplies 217867
Grading supplies 28766
Sundries 477597 3857126
FARM AND GARDEN
Commercial fertilizer 815322
Seed 182772
Miscellaneous supplies 393132
Board employees 241880
Live stock 239000
Budding trees 10000
Feed 88482
Freight and express 13998 1984586
DAIRY
Feeds 2258469
Misc supplies and repairs 121205
Freight and express 192S25
Board employes 57568
Rents pasture 12700
Live stock 51298 2693765
INCIDENTALS
Light and power 1570773
H
O
Ed
o
II

i

H
BO

g
EXHIBIT No 4 Continued
Statement of Income and Expenditure Continued
Laboratory supplies and equip
ment 84568
Dental supplies and equipment 95293
Officers supplies and equipment 162773
Repair Account Autos and
trucks 94407
Escaped patients 25222
Advertising 28145
Amusements 40740
Travel 157309
Barbers supplies 29620
Phones and telegrams 57174
Interest paid 4O4
Florists supplies 25516
Printing 173olS
Gas and oils 4 489 35
Xray supplies 5S5M
Blacksmith supplies 45048
Broom factory supplies 87087
Electric light supplies 169842
Cemetery supplies 75228
Telephone repairs 41898
Registration automobiles 3185
Insurance premiums 62000
Medical books and journals 11796
Poultry yards 132692
Dining room supplies 169737
Kitchen supplies 134261
Laundry supplies 462173

o
o
55
o
55

E
w
iJEXHIBIT No 4 Continued
Statement of Income and Expenditure Continued
Tools and implements 33049
Tobaccos 594291
Vehicles and implements 54125
Housekeeping supplies 693866
Sundries 137027
Total 6954745
Grand total106205125
ADD Excess income over expenditure 5678
Total106210803
3

S
i3

iI
d90
EIGHTYSECOND ANNUAL REPORT
EXHIBIT No 5
Profit and Loss Statement Farm Garden and Dairy
DESCRIPTIVE Farm Garden Dairy Total
Inventory Jan 1st 1925 if 4862600 912750 270000 88482 182772 13998 1599300 2463019 192526 1000000 12700 6461900 912750 270000 2551501 182772 206523 1000000 12700
Commercial fertilizezrs
Compost
Commercial Feeds
Seed
Freight
Farm products
Pasturage
Total w Rdfi no t KOC7K jnjllt OiOii AD
Less inventories Dec 31st 3238666 a3374ao 5575986
Net cost of feed fertilizer etc Gross profit for year 3092036 3333998 2930124 6022160 998696 4332663

6426034 3928789 10354823
OPERATING EXPENSE Miscellaneous supplies 393132 1376149 241880 263312 1000 104952 121205 430405 57568 179280 210207 514337 1806554 299448 442592 10000 1259732
Wages and labor Board employees Live stock
Budding trees
Net profit for year

Total 333399 9986651 4332663
FURNISHED INSTITUTION
d Vj 9058726
Dairy teed 1000000
Compost 2 700 00
Cash SalesSupplies 26o9710354823
ON HAND
Farm productsFeeds etc 15 733 03
Live stock 3422250
Vehicles and implements 561083
Total6556636
Grand total 15911459GEORGIA STATE SANITARIUM
91
EXHIBIT No 5 Continued
Profit and Loss Statement Farm Garden and Dairy
PRODUCTION Farm Garden Dairy Total
Traits and Vegetables 3636570 783916 160630 1000000 829970 122196 3525445 270000 3636570
Packing house products 906111
Poultry and eggs 160630
Dairy products 3525445
Dairy feed 1000000
Compost 270000
Misc food supplies 829970

Total 6411085 5000 2075 5735 1224 916 3917641 2500 6651 1997 10328726
CASH SALES Live stock 7500
Corn 2075
Rye 5736
Cotton seed 1224
Sacks 6651
Sundries 2912

Total 6426034 3928789 10354823

Gross profit brought down 3333998 3333998 998665 998665 4332663
Total 4332663

Institution investment beginning of year 6461900
Institution investment during year 8189827
Net profit from farm garden and dairy 1259732
1591145992
EIGHTYSECOND ANNUAL REPORT
EXHIBIT No 6
Analysis Expenditure New Buildings
DESCRIPTIVE 1925 Brantley Building Ice and Cold storage Plant Total
Balance from 1924 3622082 2031125 136724 1000000 3622082 2031125 1000000 183517
RECEIPTS Onefourth special appropriation Onethird special appropriation Material returned
Total 5836724 1000000 6836724

Miscellaneous materials 1374409 623724 32602 1078650 1538280 331810 4 HfiHJ f7XAf
Plastering 63262 582367 623724 R2fi0e
Tiling floors
Wages and labor 1078650 1538280 331810 632 62
Furniture and bedding
Household supplies
Kitchen supplies
Insurance 68000 725987 fiSOOfl
Balance in hand 1308354

Total 5836724 1000000 6836724
EXHIBITS NOS 7 AND 8
Comparative Statement Cash Expenditure Years 1924
DESCRIPTIVE Amount 1924 Amount 1925 Increase Decrease Per Capita Per Diem
General administration 5791247 312407184 29796000 7842952 4982863 5598923 2203044 1115690 401092 2026335 1620300 5889974 5891567 32832357 34456055 6818679 4761989 4656237 3735773 1106150 228962 1984586 2693765 6035482 100320 425173 4660055 1532729 1073465 145508 1024273 220874 942686 9540 172130 41749 1283 7166 7524 1477 1031 1003 812 240 51 432 585 1310 00346 1904
Food supplies 2055
Clothing and dry goods Furniture and bedding Fuel Coal and coke 0400 0270 0226
Maintenance of plant Medical supplies 0231 0270
Stationery and postage 0006 0127
Dairy 0231
Incidentals 0211

Total 99675604 105201602 7937250 2411252 22914 06277

STATEMENT OPERATING FUNDS
December 31st 1925
Cash and cash items7115123 Due Special and Maintenance Funds 2972618
Cash deficit at end of year 810966 DEMAND OBLIGATONS
Accounts payable 1546735
Salaries and wages3406736
Total 4953471
Total7926089 Total7926089
Q
H
o
t0
P
II

w

H

to
II
d94
EIGHTYSECOND ANNUAL REPORT
SCHEDULE No 1
Accounts Payable as of December 31st 1925
NAME Debits
American District Steam Co 751
American Specialty and Import Co 1560
American Radiator Co
Atlanta Dental Mfg Co 105
Armour Co
Atlanta Blank Book Mfg Co
Atlantic Broom Mfg Co 2039
Augusta Chronicle
Atlanta Journal Co
Austin Nichols Co
Armstrong Cork Co
Barrett Watson Company
Barrett Company 1950
Brantley John T
Bell Dry Goods Co
Bell Grocery Co
Bensons Bakery
Block Co Frank E
BrightBrooks Lumber Co 72 08
Brantley C C
Brown D W Co
Brown Shoe Co 896
Burroughs Adding Machine Co
Carter E Light Co 3563
Carr Company A J
Carter White Lead Co 3263
Chandler Bros
Carter White Lead Co 538
Coleman Meadows Pate Co
Collins W H
Conn Co John
Dean Col H H
Dennis F A
Dunlap Hardware Co
DunlapHuckabce Auto Co
Ennis J H
Evans W C
Everhart Laurence
Estes Surgical Selling Co
Fechheimer Bros Co
Fay Egan Co
Fillman Co John W
Fruitland Nurseries
Frederick Disinfecting Co 1500
Fulton Supply Co
Gilman W P
Gilman J M
Gulf Refining Co
Greeno Co C L
Jones Cadbury 162
Hatcher Hardware Co
Credits
13134
167034
19509
420
1080
48750
172268
2422
1250
1677
3344
20000
916
1250
2315
2545
61116
365
6186
12855
19303
2500
1050
42994
1050
22796
62000
588
363
686
527
287
1320
3810
5350
4013
7583
3825
17577GEORGIA STATE SANITARIUM
95
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1925
NAME Debits
Happ Bros Co
Herf French Chemical Co 3507
Hollingshead G W 400 00
Hall Dr T M
Holcomb Mfg Co J I 217
Ivan Allen Marshall Co 2952
Ivey W H
Ivey O E
Jefferson Distilling and Denaturing Co
Jaques Tinsley Co
Jordan Lee N
Johnson Johnson
King Hardware Co
Lombard Iron Works Co
Logan Company
McKinley G C
Mathieson Alkali Works
Gambrell P H
Malt Diastase Co
Majors Co J A
Metz Laboratories H A
Merchant Evans Co 1881
Milledgeville Light Co
Milledgeville Times
Milledgeville Telephone Co
Mitchell Co Henry P
Miller Rubber Co 598
Morris Co
National Biscuit Co
New Orleans Broom Mfg Co 3953
Newell A C
Pittsburg Plate Glass Co
Peeler Hardware Co
Pierce Butler Co 241
Peoples Oil Co 730
Rawlings Dr William
Ray Lyon Co
Ralston Purina Mills
Ric Wil Co 3314
Riley Drug Co J B
Richardson Milling Co O N
Robinson Co A M
Rossville Co 600
Roughton Halliburton Co
Roberts Johnson Rand
Ridley Yates Co 180
Rosin Turpentine Co 5408
Schlesinger Harry L Co
Singer Sewing Machine Co
Southern Express Co
Southern Dental Mfg Co
Credits
77
1250
24051
8835
6593
21200
3840
5600
850
2496
4096
78600
1071
1250
3888
315
1431
143268
2000
4342
21
5904
3719
1250
908
10620
6250
7on
137500
5019
33150
60
50159
4962
1875
5800
3533
20096
EIGHTYSECOND ANNUAL REPORT
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1925
NAME
Debits
Squibb Sons E R
Standard Oil Co
Stembridge J W
Superior Coal Co
Schwartz Phaul 755
Stovall Daniel Co 47
Teasdale Co J W 663
Southern Electric Supply Co 57
Solomon Co 19
Tidewater Sales Corporation
Thomas Co Arthur H
Trawick S B
Troy Engine Co
Union Recorder
Veal O E
Victor XRay Co
Van Range Co John
Wade Co
Watons E T
Western Electric Co
Welch Grape Juice Co
Western Union Telegraph Co
West Disinfecting Co
Whitfleld Grocery Co 600
White Provision Co
Whitman J R 1317
Wootten R H
Wocher Son Max 196
Total90770
Credits
10917
18185
3625
8003
113
11040
56114
7875
17000
5688
6500
53300
160
2895
16628
18584
2170
000
37860
31450
125
1630973GEORGIA STATE SANITARIUM
97
SCHEDULE No 2
Accounts Receivable as of December 31st 1925
Names Amount
Allen T M 60
Allen Marie 01
Allen W K 50
Adcoek Dr J C 95
Allen 0 D 125
Allen W H 1050
Andrews Mandy 448
Andrews Katie 213
Andrews Eula 253
Alsop Willie 509
Austin Jesse 153
Bailey R F 85
Batehelor Olive 514
Baugh Evelyn 248
Beekum M N 30
Bell Minnie Lee 480
Blaek H G 40
Bivins Homer 50
Blaekwell A N 350
Bloodworth Ruby 80
Boman Shade 13 68
Bowen IT S 3500
Braddock Carrie 506
Brannan R F 15
Bradford Dr R W 306
Brantlcy C C 2663
Brown Easter 25
Brown Eula 135
Brown Willie 60
Brooking E 30
Carter Arthur 100
Carter Luke 500
Cheney Dessie 409
Champion R L 65
Cole G C 165
Copps C G 130
Coxwell Mrs T B 45
Davis J R 130
Davis Rosa 524
Davis Corinne 439
DeSaussure T H 398
Dillard Hannah 427
Dunn L A 15
Durden Paul 35
Durden W R 50
Eehols G L 287
Epps R S 40
Etheridge Nannie 180
Ennis O M 100
Pordham Kathleen 126
Fuller I L 19098
EIGHTYSECOND ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1925
Names Amount
Garrard 1 I 955
Gault Gertrude 604
Oilman E G 135
Oilman W P 40
State Farm 2950
Gilbert Sarah 601
Giles Leslie 158
Giles Forest 70
Grimes B F 35
Haddock C H 60
Harris Joe 500
Hawkins A J 455
Hattaway G W 265
Hardy Mrs A B 50
Harper Mildred 771
Harper Lottie 165
Herringdine Emma 85
Hill Mattie 543
Hitchcock Josephine 107
Hitchcock Alice Mae 40
Hood Elizabeth 72
Hopkins Bens 500
Holloway Bessie 418
Holloway Grace 08
Hollie J T 10
Hudson Charlie 55
Hubbard John 500
Humphrey Catherine 95
Humphrey Joe 27
Ingram Mamie 147
Ivie Daisy 01
Janes George 25
Jackson Elizabeth 355
Johnson R L 70
Johnson J C 215
Jones H S 90
Jones Annie 122
Key Evelyn 70
Langford Valma 60
Layfleld B L 65
Lavender C B 40
Lawson B L 2885
Lawrence Bertha May 50
Layfleld Lollie 797
Leonard A 20
Lewis Rosa 424
Lester Mattie Kate 582
Leverette Ruth 2 22
Lindsey E E 19 90
Longino L P 200
Lynch Edward 25GEORGIA STATE SANITARIUM
9
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1925
Names Amount
McAdams J 1 100
McCullough Lillian 84
McGinley Catherine 170
Matthews T W 65
Martin L J 20
Middlebrooks Leola 728
Morlock Anna 96
Moses Maybelle 159
Moore Georgia 25
Mobley J W 273
Nisbet Eloise 70
Nash W H 35
Oden J W 4400
Pattishall Annie 25
Patterson Sabryna 111
Pinkston Lucy 511
Padgett Lucile 688
Parham Percy 223
Pinkston Daisy 458
Page Carrie 527
Phillips Louis 100
Penuel F C 400
Pearson Emma 432
Pendleton Annie 30
Polk J B 440
Posey Myrtle 202
Preston Silvia 506
Reynolds Fannie 425
Rankin Dr D T 1980
Ray Scott 650
Reed R R 50
Reliford Pearl 194
Reynolds T J 40
Richardson Janie 226
Rogers Pearl 567
Saulsbury Annie 631
Seals J S 85
Saulsbury Sam 100
Saulsbury Lee 05
Seals J A 35
Simpson C H 145
Simpson Roy 230
Simpson Fannie 427
Smith Willie 337
Smith J T 465
Smith Eva 146
Smith Vallie 514
Snellgrove Cecil 682
Speights Mamie 360
Pattishall T J 15
Stembridge W W 100100
EIGHTYSECOND ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1925
Names Amount
Stevens C B 20
Steverson Essie 511
Stewart Mildred 73
Stokes Ethel 25
State Anatomical Board 5000
Swint R C 162
Switzer A W 403
Thomas Emanuel 500
Thomas Kelley Mae 392
Trawiek Rosa 645
Turner John 100
U S Public Health Service 38041
Vinson J T 25
Vinson Annie Mae 088
Watson J E 70
Walker W A 3 40
Walker Dr N P 80
Walton Lavinia 60
Watson Winnie 112
Wheeler Dr G A 3 00
Woolfork Ruth 471
Wright S E Jr 140
Yarbrough Dr Y H 720
Young D B 20
Youngblood C A 95
Yarbrough O C 100
Total104908GEORGIA STATE SANITARIUM
101
SCHEDULE No 3
ProductionFarm Garden and Dairy
Farm Products Value
1000 tons ensilage 1000000
31024 bus meal 434420
9865 bus sweet potatoes 147300
371 bus peas 120850
304 bus peanuts 68400 1829970
Fruits and Vegetables
52 bus okra 7600
127 bus asparagus 38100
1894 bus squash 471500
13230 heads collards 132300
754 bus Irish potatoes 150800
1910 bus lettuce 382000
6832 bus turnips and greens 683200
510 bus beets 153000
19113 heads cabbage 191130
3080 bus rape 154000
575 bus onions 143750
290 bus radish 43500
855 bus snap beans 171000
36 bus berries 1440
216 bus cucumbers 54000
573 bus onions 171900
218 bus tomatoes 104640
8 bus carrots 1200
17315 melons 173150
773 bus butter beans 247360
16786 roasting ears 27980
26604 cantaloupes 133020 3636570
Packing House Products
42366 lbs pork 783915
14902 lbs dressed beet122196 906111
Poultry and eggs 160630
Dairy Products
80688 gals sweet milk 3486720
261 gals buttermilk 3935
42J gals cream 8550
056 lbs butter 26240 3525445
Compost
1800 loads 270000
Total10328726EIGHTYTHIRD ANNUAL REPORT
BOARD OF TRUSTEES
Georgia State Sanitarium
MILLEDGEVILLE GEORGIA
For the Year Ending
December ThirtyFirst
Nineteen TwentySixBoard of Trustees
President
John T Brantley Blackshear Ga
Vice vident
H H Dean Gainesville Ga
Secretary
C C Brantley Valdosta Ga
E E Lindsey Rome Ga
J C Jarnagin Warrenton Ga
A C Newell Atlanta Ga
Thos M Hall M D Milledgeville Ga
P H Gambrell Macon Ga
Wm Rawlings M D Sandersville Ga
DeceasedCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E E Lindsey Chairman
J C Jarnagin A C Newell
Thos M Hall C C Brantley
Finance and A g Committee
A C Newell Chairman
Wm Rawlings C C Brantley
Committee on Sanitation Medical and Dispensary Service
Dr William Rawlings Chairman
Dr Thos M Hall P H Gambrell
Committee on Buildings and Grounds
H H Dean Chairman
E E Lindsey P H Gambrell
Committee on Farm and Outside Business
J C Jarnagin Chairman
H H Dean Wm Rawlings
DeceasedOfficers of the Sanitarium
R CSwintMD Superintendent and Resident Physician
N P Walker M D Clinical Director
L P Longino M D First Assistant Physician
Y H Yarbrough M D Second Assistant Physician
J I Garrard M D Assistant Physician
Geo L Echols M D Assistant Physician
J W Oden M D Until May 1 1926
Assistant Physician
D T Rankin M D Assistant Physician
R W Bradford M D From May 1 1926
Assistant Physician
J W Mobley M D From Sept 1 1926
Assistant Physician
U S Bowen M D From Nov 1 1926
Assistant Physician
C G Cox M D From Nov 1 1926 Assistant Physician
W A Bostick M D From Aug 1 1926
Junior Assistant Physician
B B Saye M D Pathologist
A H Fowler M D From Aug 1 1926 Interne
W F Dohyns M D From Sept 1 1926 Interne
J T Stephenson M D From Sept 1 1926 Interne
C B Kinney M D From July 15 1926 Interne
G H Green D D S Dentist
J A Adcock D D S Dentist
J J Wooftten Pharmacist
Mrs Mae M Jones R N Superintendent of Nurses
Otto M Conn Treasurer
Homer Bivins Steward
T H DeSaussure Engineer
W S Jett Jr Assistant Engineer
F C Penuel Farm Steward
H S Jones Secretary
Arthur Farell Storekeeper
Miss Catherine McGinley Dietitian
W W Stembridge Inspector
Rev T G Watts Chaplain
ResignedEightyThird Annual Report
OP THE
Board op Trustees op the Georgia State Sanitarium
MlLLEDGEVILLE Ga JANUARY 1 1927
To His Excellency Clifford Walker Governor
Sir
The Board of Trustees of the Georgia State Sanitarium
begs to submit herewith the report required by law to be made
of the conduct and management of this institution It covers
the year 1926 and is the eightythird to be so made
The annual report of the Superintendent and Resident
Physician supported by those of heads of departments is
attached hereto and will supply details of the years work
The record made is highly creditable and merits for the
Superintendent and his assistants the commendation of the
Board
The recommendations presented herein are of first im
portance and should have immediate attention The cost
involved is large but no larger than the purpose to be served
It is not possible to state the needs of so vast and populous
an institution in small sums especially when some of the
needs have been long neglected A longer delay in supplying
them will be full of danger
Population
A gain of 208 in the number of resident patients as noted
the total number today being 4848 with 646 other patients
out on furlough The daily average number was 4782 an
increase over the preceding year of 191
Applications for admission totaled 1402 of which 1180
were admitted and 105 denied Admission was granted 117
who were not presented after being notified
Financial
The cost of maintenance was 111975962 The cost for
each patient was 23416 or 06415 per day which is a little
higher than last yearEIGHTYTHIRD ANNUAL REPORT
For the maintenance of the Sanitarium in the next bien
nial period the careful estimate of the Steward shows that
235130700 will be needed
For the special purposes to be set out in the recommen
dations referred to appropriations totaling 149615000 will
be required
The Physical Plant
Three frame cottages for officers use were added in the
year lumber being had from timber owned by the Sani
tarium
Purchase was made of 322 additional acres of pasture
land for the use of the dairy
Purchase was also made of an approved type of motor
fire pumper for the further fire protection it affords It is
now installed and is named T H DeSaussure in honor of
one of the oldest and most valuable officers of the Sanitarium
The stand pipe in the rear of the Powell Building is now
so old as to be beyond repair and must be razed It is neces
sary to replace it with one of larger size and higher elevation
Careful study should be given to the removal to one cen
tral location of the many steam heating plants now in use
through which a more economical service can be had With
it should go the woodshop in the rear of the Powell Building
in the interest of neatness of the grounds and to remove a
dangerous fire hazard The consolidation should include a
steam driven electric power and light plant so designed as
to make use of the exhaust steam for heating the buildings
The cost of this improvement will be heavy and in the face
of greater and more urgent needs no recommendation is yet
made that it be provided
Legal Amendments Needed
The Board calls attention to its inability to enforce the
law governing admissions as found in Michies compiliation
of the Code Guardians and Wards Chapter 3 Article 2
Section 3102 because of the confusion therein It should be
clarified or repealed It seeks to create pay and pauper pa
tients the last being those who are possessed of estates valued
under 3000 It provides no method of valuing such estatesGEORGIA STATE SANITARIUM
nor for the collection and payment to the Sanitarium of its
reasonable charge for board and keep It makes no pro
vision for those inmates who shall have their estate exhausted
lost or stolen or which shall fail to produce a sufficient in
come for their support It is not retroactive and applies to
new admissions only The Board would suggest that the State
must of necessity place under custodial care its insane citizens
regardless of their possession If they are possessed of prop
erty it is already taxed for the support of the Sanitarium
It is conceivable there may be those of means whose family
or kindred will refuse to apply for commitment because of
the expense involved In the opinion of the Board the inter
ests of society are best served by making the Sanitarium
free to the citizens of the State It is obvious a patient can
not and ought not to be discharged before restoration simply
because of the failure of estate or income therefrom In
ternally the effect of this law could it be enforced on the
patients will be most unhappy because of the distinction
drawn among themselves between those who pay and those
who are paupers There is perhaps one exception which can
be made and this in cases where an estate is had with no
family or near dependent kindred In such cases it would
seem proper the law shall vest such estate in the Board of
Trustees for the use and support of the patient it being pro
vided that on his discharge the residue of such estate shall
be returned to him or that at his death it shall become the
property of the Sanitarium In such eases the Sanitarium
takes the place of family and kindred
If the burden of properly supporting the Sanitarium is
become too great for the State to carry alone consideration
might be given prorating the cost between the State and the
counties on some fair and equitable basis
This law also attempts to define the classes who shall or
shall not be admitted but it lacks clearness
For these and other reasons the Board recommends the
repeal of this law and the enactment of the following
SANITARIUM FREE TO WHOM The said Sani
tarium shall be free to all bona fide citizens of the State
who may be insane or afflicted with mental disease No
paralytic invalid epileptic idiot imbecile drug addict
or alcoholic addict who is not insane shall be committed
or admitted to itEIGHTYTHIRD ANNUAL REPORT
The history which must accompany all applications
for admission to the said Sanitarium shall contain ade
quate and just reasons why such admission should be had
and if such reasons are not given the Superintendent
may refuse admission
If the family or friends of any person who shall be
committed and admitted to the said Sanitarium shall
desire to furnish clothing extra food or other comforts
they may be allowed to do so at their own cost under such
rules and regulations as may be prescribed by the Board
of Trustees
If any person who is committed and admitted to the
said Sanitarium shall be possessed of an estate and shall
be without family or near dependent relatives such estate
shall vest in the Board of Trustees of the Sanitarium to
be expended for his use and support it being provided
that in the event of his discharge any residue remaining
of such estate shall be put into his possession or that in
the event of the death of such inmate his estate shall then
become the property of the Sanitarium
Recommendation is also made that the examination now
required to be made by the Board of applicants for the place
of assistant physician be repealed The license of the State
should be quite sufficient provided the other qualifications are
had
Recommendation is also made that the name of the
Sanitarium be changed to Georgia State Hospital the bet
ter to indicate its field and to avoid the confusion arising from
the similarity in names with another State institution
Death of Trustee Rawlings
The Board records with deep regret the death of one of
its members Dr William Rawlings which occurred at his
home in Sandersville on August 1 1926 He brought to its
sessions the experience of a successful man of large affairs
an expert knowledge of medical and hospital matters a sane
and sound judgment and an understanding sympathy which
made him a most useful member These qualities together
with his unfailing courtesy fine mind and warm heart greatly
endeared him to his colleaguesGEORGIA STATE SANITARIUM
General
A fire which occurred during the year in one of the
main buildings fortunately in the day time was extinguished
after a hard fight without loss of life or limb and without
serious property damage Grateful acknowledgement is now
made the cities of Milledgeville and Macon for the immedi
ate response of their fire departments to a call for their help
at a moment when a general conflagration seemed inevitable
The Sanitarium fire department was of invaluable help in get
ting the fire under control Through the calmness and good
judgment of officers nurses and other employes the inmates
of the building were moved to safety
No clue has yet been had leading to the murderer or
murderers of the negro patient who was forcibly removed
at night from one of the buildings in September 1925 and
murdered This shocking crime is therefore unpunished The
reward offered by the Board for information still stands
First Recommendation
The situation of the Sanitarium in respect of room is exceed
ingly critical and speedy relief must be given it A careful
survey of the present buildings which has just been made
shows that they can safely and comfortably accommodate but
3607 patients This estimate is based on 1000 cubic feet of
space allowed for each patient in ceiled rooms and dormitories
and 100 square feet of floor space in those unceiled These
buildings contain today 4848 patients or 1241 in excess of
their intended capacity By departments the situation is as
follows
Capacity Patients Overcrowded
White male 1180 1396 216
White female 1322 1754 432
Colored male 575 793 218
Colored female 530 905 375
3607 4848 1241
Expressed in percentage the overcrowding is as follows
White male18
White female32
Colored male37
Colored female7010 EIGHTYTHIRD ANNUAL REPORT
The congestion is worst in the colored female depart
ment but exists in lesser degree in all Patients can now
be accommodated only by putting two or more in small rooms
intended but for one and by crowding the dormitories The
risk of physical injury to the patients among themselves is
thus very greatly aggravated while bad hygienic and sani
tary conditions are unavoidable Lack of room to isolate all
patients having communicable diseases is responsible for the
mounting death rate reported from tuberculosis while the
control of an outbreak of contagious sickness is for this rea
son made all but impossible The added danger in case of fire is
a constant nightmare to those responsible for the safety of the
inmates The steady growth in population adds to the grav
ity of this situation The gain last year was 208 and for
ten years 1078 patients None but recent or acute cases and
cases found to be dangerous are now admitted
The impression prevails with the uninformed that more
room could be had by discharging many of the patients and
that they ought to be so discharged The facts are that every
patient in the Sanitarium has been legally adjudged entitled
to admission and there are none whose discharge before recov
ery would not do violence to common humanity It is the
duty of the Superintendent under the law to discharge any
found not to be insane or who are restored to mental health
and this duty is scrupulously promptly and gladly observed
It is very plain that unless more room is speedily had
further admissions must of necessity be limited to vacancies
had through discharge and death The Board would point
out that the effect of such an order will be pitiful in the
extreme No one will deny to these stricken dependent and
helpless beings a first claim on the generosity of the State
Two ways of supplying additional room are possible
and both are here presented
1 The first assumes that the Sanitarium is to continue
to receive both races as now In this event it will be neces
sary to supply it with four new buildings for patients one
for each sex of each race They must be sufficiently large
to take care of the present overpopulation and still have some
room left for the future Their cost if of brick and wood con
struction is estimated at 175000 each or 700000 for the
four If of fireproof construction as they should be by all
means 15 or 105000 must be added to this estimate
Warning is given that these buildings together with a hospiGEORGIA STATE SANITARIUM
11
tal building recommended elsewhere are had and occupied
the Sanitarium will have reached the maximum population
it can safely be allowed to attain It is now one of the larg
est hospitals for the insane in the United States and its suc
cessful management becomes an increasingly difficult mat
ter The time is at hand when the State must plan for the
founding of a second hospital
2 The alternative is to found such second hospital at
once to care for the negro race to which shall be transferred
the 1665 patients of this race now in the Sanitarium When
this is done the buildings once occupied by them can be reno
vated and made ready for white patients If this plan be
adopted and there are sound reasons to commend it the
necessity for the four new buildings for patients will be
removed With the renovation of the negro buildings must
come a general renovation of all the other buildings housing
patients all of which are old and greatly in need of major
repairs for which the funds at the disposal of the Board have
never been adequate New floors walls and ceilings new
paint new plumbing etc are items of cost which will be
incurred and which are difficult to estimate with accuracy
The Board would suggest that 100000000 as the mini
mum initial appropriation to be made for the founding of
this second hospital to be made available in one or two
years it being assumed that use can be made of lands already
owned by the State
For defraying the cost of renovating the negro buildings
and for putting all the buildings in firstclass repair a work
never before attempted the Board estimates 200000 will be
required
Second Recommendation
An ample supply of pure drinking water is vital and
means to this end must be carefully safeguarded The pres
ent water plant is twenty years old and is at the maximum
of its present capacity Its age and increasing demand on
it makes an enlargement imperative as a measure of safety
Two additional settling basins one additional filter and a sec
ond electric pump are required A steel stand pipe of 150000
gallons capacity on the Sanitarium grounds to replace the old
now to be razed is also required It is necessary to dupli
cate the single 12inch main through which the Sanitarium
is reached and which is about four miles in length This sin12
EIGHTYTHIRD ANNUAL REPORT
gle main is now under heavy constant pressure to keep the
Sanitarium supplied and a fracture is thus made possible
at any time and without warning It passes through an inter
vening creek which at flood widen out two and three miles
If a fracture should occur at such a time and place a repair
would be impossible and the Sanitarium would quickly be
come helpless A second main is therefore a most important
protection and will serve to reduce the pumping cost because
of the following reduction in friction The cost of these addi
tions including housing and all minor parts will be as fol
lows
Basins and Filter2280000
Duplicate electric pump 265000
Duplicate water main3920000
Stand pipe complete1500000
Total7965000
Third Recommendation
The work of the medical department continues to be of
high order and should be given strong support Its record is
the more remarkable when the heavy handicaps under which
it labors are remembered Its greatest need is for a com
modious general hospital in which to gather all cases offer
ing hope under proper treatment of cure and the physically
ill At present both these classes are found in the several
reception and hospital wards throughout the institution
Many advantages are to be had from grouping them under
one roof apart from its convenience Among the most im
portant is that it will separate the curable cases of insanity
from the incurables The association which is now unavoid
able serves to intensify an already abnormal mental depres
sion and greatly retards if it does not render impossible suc
cessful treatment It will enable better care of the physically
ill It is proposed to place this hospital in attractive sur
roundings and to make it within and without as cheerful as
possible When fully equipped with whatever may be needed
for its dual purpose it will be of substantial help to the med
ical department It must be large enough for both races and
its cost cannot be less than 250000 To make it fireproof
this estimate must be increased 15 or 3750000 Against
this cost should be set its possible contribution to the sum
of human happiness had through every patient restored to
mental health Every patient so restored ceases to be a burGEORGIA STATE SANITARIUM
13
den and becomes a helpful unit of society Every unrestored
patient remains a charge upon the State for life The in
vestment is therefore economically sound
Fourth Recommendation
The present amusement hall is no longer large enough
for its purpose It was built many years ago when the popu
lation was very much smaller than now In it the usual re
ligious services are held moving pictures exhibited dances
had etc It is a valuable help to the medical department
through the pleasure and diversion afforded therein to the
convalescent patients and it should be sufficiently large for
their gatherings It is an investment in happiness from
which good returns may be expected and its cost is estimated
at 50000 The abandonment of the old one will occasion no
loss since it is so situated as to be readily converted into
rooms or dormitories for the patients
Fifth Recommendation
The Sanitarium buildings are of brick and wood with tin
roofs and fire risk is ever present Inside enclosed stairways
of wood conveniently placed are relied on for the protection
of the inmates against fire The system is not perfect but
has thus far served Outside ladder escapes would be as
dangerous to the inmates as fire while the value of tube
escapes for insane persons is at least problematical In lieu
of these for which many recommendations have been made in
the past the Board recommends as an alternative the installa
tion in all the main buildings housing patients and in the store
room of a system of automatic fire sprinklers
The cost of such installations including a required stand
pipe of 100000 gallons capacity to serve for this purpose
alone is estimated at 230000 These installations will not
only provide far greater security for the inmates but will
result in a greatly lowered insurance rate on these partic
ular buildings
Sixth Recommendation
In the eightythree years of its existence the Sanitarium
has never had a residence for its Superintendent and this
want should be supplied The pressing need for more office
room for which his present quarters are admirably adapted
makes the present an opportune time A very appropriate
site on the grounds is reserved for it He is the host of the14
EIGHTYTHIRD ANNUAL REPORT
institution and his residence should be ample in size for the
hospitality he must dispense By the erection of such resi
dence and by the conversion of his present quarters into
offices it will no doubt be possible to provide much needed
room in the storehouse through the removal of the Stewards
office now located in it and thus obviate the necessity for the
appropriation recommended herein for this purpose A suit
able residence can be built at a cost estimated at 25000
Seventh Recommendation
It is now become necessary to add a second floor to the
storehouse in order to accommodate the growing quantity of
supplies needed to be carried in stock the cost of which
is estimated at 10000
Eighth Recommendation
The medical department asks for a commodious one
story building in which can be housed the vocational therapy
activities of the white female patients which because of
weather conditions must be had indoors At present use is
had of some of the day rooms for this purpose thus divert
ing them from the use for which they are intended They do
not give room for enlargement hence the request for a
suitable building Such good results have followed the intro
duction of this form of treatment that its wider use is highly
desirable The cost of such building as is wanted will be
9000
Summary of Special Appropriations
The special appropriations sought herein are summar
ized as follows
For four buildings for patients made fireproof 80500000
For hospital building made fireproof 28750000
For additions to water works including dupli
cate main stand pipe etc 7965000
For amusement hall 5000000
For vocational therapy building 900000
For Superintendents residence 2500000
For enlargement of storehouse 1000000
For automatic fire sprinklers 23000000
Total149615000GEORGIA STATE SANITARIUM
15
If a second hospital for negroes is founded the first item
in this summary should be omitted and for it should be sub
stituted 200000 for the complete renovation of all the build
ings
In Conclusion
The Board is grateful to Your Excellency for the sup
port given it in the discharge of its duties It is not unmind
ful of the growing weight of such duties but none the less
it has been a joy and privilege to assume them The Super
intendent has not lacked sympathetic and helpful support in
his work for the happiness and well being of the inmates nor
have the interests of the State been allowed to suffer If its
acts shall have your approval it will be sufficiently rewarded
By order of the Board of Trustees
C C Beantley
Secreiay
John T Beantley
President16
EIGHTYTHIRD ANNUAL REPORT
Report of the Superintendent
MlLLEDGEVILLE Ga JANUARY 1 1927
The Hon Board of Trustees
Georgia State Sanitarium
Milledgeville Ga
Gentlemen
In accordance with your rules and statutory require
ments I respectfully submit the eightythird annual Report
of the Georgia State Sanitarium which covers the fiscal year
ending December 31st 1926
Appended hereto are report of the
Clinical Director
Pathologist
Dental Department
Superintendent of Nurses
Pharmacist
Engineer
Farm Steward
Treasurer
Steward
These reports give a general review of the activities of
the institution in its various departments throughout the
year
General Statistics of Patient Population for the Year 1926
Male Female Total
Actual resident patient population Jan
1 19262151 2489 4640
Patients remaining on books Jan 1 19262486 2832 5318
Admitted during the year
First admissions 476 478 954
Readmissions 94 132 226
Total admitted during the year 570 610 1180
Total under treatment during the
year 3056 3442 6498GEORGIA STATE SANITARIUM
17
Discharged during the year Male Female Total
As recovered 75 79 154
As improved 143 159 302
As unimproved 73 30 103
As without psychosis 4 9 13
Died 248 184 432
Total discharged and died 543 461 1004
Remaining on books Dec 31 19262513 2981 5494
Number on parole Dec 31 1926 324 322 646
Actual resident patient population
Dec 31 19262189 2659 4848
Daily average under treament4782
A study of the above statistics show that the total first
admissions were the same as previous year with a decrease
of 44 in number of males and increase of 44 in the number
of females
The total readmissions were increased 5 compared to the
previous year with a decrease of 19 males and an increase
of 24 females
Notwithstanding our constant effort to limit admissions
to urgent type of applicants on account of the already greatly
overcrowded condition of the Institution there were 1180
total admissions or an increase of 5 compared to the previous
year
There were a total of 572 discharged during the year
that is patients who were furloughed and remained out over
12 months the furlough period fixed by law except 4 males
and 9 females who did not manifest any symptoms of mental
disorder and were discharged as without psychosis not in
sane
The policy we adopted some years ago of furloughing all
cases except the not insane is a good one as our experience
has taught us that some patients while clinically restored
and have apparent normal behavior for quite a period while
living the routine of institutional life soon have a recurrence
of their abnormal mental symptoms soon after they return to
their old environment If they are on furlough they may be
returned to the Sanitarium without the ordeal and expense
of a new commitment18
EIGHTYTHIRD ANNUAL REPORT
The advancement in psychiatric knowledge indicates
that this problem of recurrence as well as the cause of the
original onset of mental disorder is a very complex affair
involving more than the aged formulation of Sound mind
in a sound body In the solution of the problem we find
that it involves not merely a section of ones life but all the
forces which operate to make that life what it is
Based on the number of admissions the discharges dur
ing the year were 386 as recovered or improved compared
to 355 the previous year The daily average under treat
ment was 191 greater and there were 36 more deaths than
the previous year
Overcrowding continues our most pressing problem and
one of our greatest handicaps to treatment We had a daily
average overcrowding of 1185 We began the year with an
actual resident population of 4640 and closed with 4848 a
net increase of 208 or 1241 overcrowded Notwithstanding
the overcrowded handicap we furloughed 819 patients during
the year and of this number 613 were restored or improved
Based on the total admissions this is 519 compared to 56
the previous year
It might be of interest to note that the females show a
greater growth than males in resident patient population The
years 208 increase in population were as follows White
males 17 white females 98 colored males 24 and colored
females 69
Allowing one patient to a roomto each patient in
ceiled dormitories 1000 cubic feet of space and in unceiled
dormitories in the open unceiled wooden structures 100
square feet each the institution has a normal capacity of
3607 patients
The following tabulation gives normal capacity of pa
tients and overcrowding in each department
Normal Over
Capacity No Patients crowded
White males 1180 1396 216
White females 1322 1754 432
Colored males 575 793 218
Colored females 530 905 375
Total 3607 4848 1241GEORGIA STATE SANITARIUM
19
We have been estimating our normal capacity at 3900
based on old estimate made several years ago but during
the year a new estimate of the different buildings and wards
was made with allowance given above and we find that our
actual normal capacity is nearly 300 patients less
The above figures show that at the end of the year the
Sanitarium is 1241 patients overcrowded as follows
216 or 183 in White Male Department
432 or 326 in White Female Department
218 or 361 in Colored Male Department and
375 or 700 in Colored Female Department
Therefore it is clearly seen that the present capacity of
the institution is greatly overtaxed and its overcrowded con
dition is unhygienic hazardous and a great handicap to
treatment and especially is this true in the Colored Female
Colored Male and White Female Departments
If some relief for this condition of affairs is not soon
obtained such overcrowding is likely to result in a great
increase in the incidence of tuberculosis among the patient
population as well as other calamities
Medical Service
During the year Drs Wm F Dobyns A H Fowler C
B Kennedy and J T Stephenson were appointed internes
Drs Dobyns and Fowler had just completed interneship at
University Hospital at Augusta Ga Dr Stephenson came
to us from U S Veterans Hospital Augusta Also Dr J W
Mobley who was formerly First Assistant Physician and
resigned a few years ago on account of ill health having re
gained his health was elected Assistant Physician
Drs Joseph Goldberger and G A Wheeler of the U S
Public Health Service continued throughout the year their
research study of pellagra
The Psychiatric Clinics at Macon and Elberton were
kept up during the year A member of the Staff went to
Macon weekly to conduct the former and another member
to Elberton monthly except during the summer vacation
period of the Elberton School20 EIGHTYTHIRD ANNUAL REPORT
During the Summer there developed 23 cases of small
pox among the colored female population but prompt iso
lation and vaccination prevented its spread and further de
velopment No other epidemic of illness of any consequence
occurred during the year
Occupation Therapy has proven of value as an aid in
the treatment of mental disease and we continued this feature
of treatment throughout the year and I think we are gradu
ally making some progress Individual attention to a popu
lation as large as the Sanitariums is a tremendous problem
and the limited means at our disposal rather limits the scope
of activity in this department Some increased interest and
attention were given to habit training in chronic cases
Also during the year we begun the construction of an
additional wood work shop at white male occupation park
This building is being constructed and equipped with funds
earned in this department In this connection I will state
that under the direction of Supervisor Roberts of the White
Male Department over 21000 pounds of tomatoes were grown
and gathered by patients from about IV2 acres of land
A general review of the years medical work with sta
tistical tables will be found in report of Clinical Director
Dental Department
Two full time dentists are employed to render dental
service for the institution Each has a well equipped office
one in the female department doing dental work for the
female population and one in the male department rendering
dental service for the male population The amount and
character of work done by them during the year is given
in their report
Training School for Nurses
Our Training School for Nurses has been in active oper
ation during the past 15 years and during this period have
graduated 129 nurses many of them now holding responsible
positions in various parts of the country During the past
year we received a certificate from the American Psychiatric
Association certifying that our Training School had complied
with the standards established by the Association for school
of nursing in mental hospitals and had been placed on the
accredited list This is quite a complimentGEORGIA STATE SANITARIUM
21
During the past year the school was kept at its previous
standard and we regard its usefulness to the institution as
indispensable
Engineering Department
The report of the Engineer gives a detailed account of
the improvements and repairs during the year
The new ice plant and cold storage was built and the
old cold storage rooms rebuilt and new coils built in them
Before we can say that this plant is completed we hope to
build a tile lined milk and butter room and to install an
equipment for pastuerizing all milk before issuing
During the year representatives of the Underwriters
Association made a survey of the institution with reference to
fire hazards and our fire fighting equipment Their recom
mendations were adopted with some exceptions and are being
carried out Our maintenance fund is not adequate to install
the equipment and put into effect all the items they recom
mended However a thousand gallon a minute LaFrance au
tomobile pumper was bought at a cost of 1300000 to sup
plement our steam pump and this equipment with additional
new hose etc gives us the feeling that we are better pre
pared to fight fire in case of need
The completion of three officers cottages from timber
sawed on Sanitarium grounds were items badly needed They
are the best and most comfortable cottages ever constructed
on the Sanitarium premises Also hope to have the detached
white male infirm ward completed to accommodate about 60
patients within a few days
Notwithstanding the employment of several extra day
carpenters and other laborers in this department throughout
the year many needed repairs on many of the buildings had
to remain for future attention Most of our buildings are
old and the repair upkeep is necessarily great
The Business Department
The report of the Steward gives an account of receipts and
disbursements of monies made during the year The per
capita cost for the year was 23416 compared to 22914 the
previous year Daily cost was 6415 cents compared to 6277
cents the previous year22 EIGHTYTHIRD ANNUAL REPORT
Total expenditure for maintenance including every item
of cost connected with hospitalization of patients 1119
75962 compared with 105201612 the previous year
A comparative statement of the cash expenditures for
the year and that of the previous year will be found in Ex
hibit Nos 78 of the Stewards report
The building of three officers cottages and a frame build
ing for white male infirm ward to accommodate about 60 pa
tients the purchase of automobile fire pump and 32263
acres of land added several thousand dollars to our total
operating expenses and while these items are rather capital
investments they were badly needed and adds materially to
the Sanitarium equipment
Farm Stewards Department
The Farm Stewards report gives a tabulation of vege
tables and other foodstuffs produced in this department dur
ing the year
The farm and garden productions were increased com
pared to the previous year The farm at the Colony was the
most successful we have had there The 150 to 160 colored
male patients kept there are as a rule healthy and seem to
enjoy the outdoor work
Fifteen thousand four hundred and two bushels of corn
was produced compared to 9776 bushels the previous year
We should be able to grind nearly enough meal to supply us
the coming year We also had a good oats and vetch crop
Threshed out 1556 bushels of oats and made 437 tons of
oat and vetch hay Also gathered 4423 bushels of field peas
Killed 70678 pounds pork compared to 42366 pounds the
previous year
The dairy productions also were increased99784 gal
lons milk compared to 80688 gallons the previous year
Additional Needed Equipment
1 To provide for 1241 patients now in the Sanitarium
overcrowding its normal capacity and to provide room for
future growth at a rate of at least 200 annually and to in
crease the efficiency of the medical service by furnishing better
environment and equipment for the unfortunate charges comGEORGIA STATE SANITARIUM
23
mitted to our care a group of five buildings is now badly
needed viz one hospital building and four other general
ward buildings Estimated cost to build and furnish 950000
Georgias mental disease problem has greatly outgrown
the present capacity of the Sanitarium and looking to the
future I think it would be wise to begin immediately the
construction of another state hospital in some other section
of the State as the above additions would soon prove inade
quate at the present rate of growth
2 A central heating and power plant
We now have seven separate boiler rooms and it requires
seven firemen to keep them going and an additional seven
at night in very cold weather Our light and electric power
cost us 1697332 for the past year as furnished by the Mil
ledgeville Electric Lighting Co The present service rendered
by this Company is rather unsatisfactory due to so many in
terferences with current since they have begun to transmit it
from distant points If we owned our own power plant in
connection with a central heating station it would be more
satisfactory and more economical than our present equip
ment
Estimated cost 30000000
3 The present amusement hall built more than 40 years
ago has been greatly outgrown by the Sanitarium and a larger
amusement hall is badly needed to accommodate a greater
number of patients who may be able to attend the various
types of amusement provided there from time to time This
building should be of fire resistant construction at an esti
mated cost of 5000000
4 The present capacity of the storehouse is too small to
provide storage for supplies for the increased growth of the
institution I therefore recommend that an additional story
be added to the storehouse and a modern electric elevator in
stalled Estimated cost 1000000
5 The principal buildings occupied by patients are old
and are three stories high They are not of fire resistant
construction and as a safeguard to the unfortunates locked
therein should be provided with fire escapes Estimated cost
to provide a sufficient number of the approved type 25
0000024 EIGHTYTHIRD ANNUAL REPORT
6 The daily consumption of water by the institution
is now nearly equal to the daily capacity of the plant Basin
sedimentation capacity as well as filtration capacity should
be increased The Sanitarium water supply plant has been
in operation about 20 years and the population has increased
from 3018 to 4848 also a duplicate water main from pump
ing station to Sanitarium should be provided The single
main now in use has been in continuous service for 20 years
and some of the piping of the main is more than 30 years
old as it was transferred from old water supply when this
main was constructed 20 years ago therefore it may likely
break at any time under continuous pressure and service
Estimated cost for enlarging plant 2000000 and material
for main 44000000 Total 6400000
7 The present 40000 gallon water tank on tower at
Sanitarium is beginning to leak It was built in 1876more
than 50 years of continuous service The capacity of this is
too small and should be replaced with a higher tower and
tank of 150000 gallon capacity Estimated cost of tank
tower and pumping equipment 1400000
New Legislative Matters
I respectfully call your attention to the following legis
lative matters that I think important for the welfare of the
Sanitarium
1 Section 3 pages 1634 Acts of 1918 should be re
vised so as to define more clearly its meaning and eliminating
its pay feature It should more clearly define the type of
eases that should be committed and admitted to the Sani
tarium
2 The law requiring physicians to stand a competitive
examination for election to medical staff should be repealed
as this law was enacted years before the State Board of
Medical Examiners was created
3 A law should be enacted empowering the Superin
tendent of the Sanitarium to deputize as many police offi
cers as may be required to prevent trespassing keep peace
and order on the Sanitarium premisesGEORGIA STATE SANITARIUM
25
Religious Services
Religious services were held each Sunday afternoon by
the regular Chaplain The same policy obtains as in former
year of rotating this service to the different Protestant pas
tors of the Milledgeville churches During the past year the
pastor of the Presbyterian Church was Chaplain and he
also conducted the funerals of unclaimed remains of white
patients who were interred in the Sanitarium cemetery
The Catholic priest of Milledgeville also looked after the
religious requirements of the members of the Catholic Church
Services and burials in the colored department were con
ducted by our Chaplain in that department
Conclusion
In conclusion I wish to express my feeling of gratitude
to the members of the Board of Trustees for their wise coun
sel constant interest and cooperation for the welfare of the
institution I also wish to express my appreciation of the co
operation and faithful services rendered by the Medical Staff
other officers and employes who share greatly the credit for
the success of carrying on the work throughout the year
I also wish to thank the Womens Clubs Knights of Co
lumbus and others who were so thoughtful with gifts to pa
tients during Xmas season
Respectfully submitted
R C Swint
Superintendent Etc26 EIGHTYTHIRD ANNUAL REPORT
Report of Medical Department
January 1 1927
Dr R C Swint
Superintendent
Dear Sir
The following pages contain the report of the Medical
Department for the year 1926
Eleven hundred and eighty 1180 patients were admit
ted during the year Of these 954 were first admissions and
226 were readmissions Of the latter 43 were first admitted
to other institutions either public or private
In the case of twelve 12 patients a diagnosis of not
insane was made Four 4 of these gave a history of alco
holism two 2 were mentally deficient five 5 were drug
addicts and one 1 had committed homicide It must be borne
in mind that in some instances it is almost impossible to ob
tain information about patients but this source of error has
been eliminated as far as possible
Eight hundred and nineteen 819 patients went out on
furlough Of this number 613 had been either restored or
had improved This gives a recovery rate of 511 per cent
as against 57 per cent for the year 1925 The patients re
ceived in 1926 were of about the same general character as
those received in 1925
There were 432 deaths during the year which gives a
death rate of 74 as against 7 for the previous year Ar
teriosclerosis with complications hemorrhage was the lead
ing cause Tuberculosis general paralysis and broncho pneu
monia were the other leading causes in the order named One
hundred and sixtysix 166 patients died within six months
after admission and of these fiftyfive 55 died within one
month after admission This serves to show the physical con
dition of many of the patients at the time of admission One
patient admitted had malaria and died from this cause two
days after he came The actual number of deaths from tuber
culosis was 40 higher than it was in 1925 The increaseGEORGIA STATE SANITARIUM
27
in actual number of deaths consisted of four in the white de
partment and twentytwo in the colored
The wards are becoming more and more overcrowded
This is unhygienic dangerous and interferes with treatment
The overcrowding for each department is as follows White
male 187o this will be less when the new frame building
is occupied white female 32 colored male 37 colored
female 70 In the later department single rooms to the
number of 100 are occupied by two patients Such rooms are
scarcely large enough for one It seems rather remarkable
that more patients are not injured by other patients under
the circumstances The death rate from tuberculosis is mount
ing as is to be expected This is especially true in the col
ored department where the overcrowding is most marked
We have 1200 patients above our capacity
Somewhat more attention has been paid to habit training
and the results have been quite satisfactory As a result there
has been increased tidiness among the patients and the work
is of considerable economic importance The efforts in this
line have been carried on almost altogether among the cases
of demeitia praecox of long standing We have good reasons
to continue and increase the work along these lines
In the latter part of the year some preliminary efforts
were made in treating paresis by the administration of for
eign proteids The results up to this time have been unsat
isfactory Typhoid vaccine has been used being given in
travenously doses varying from 50 million up to 16 billion
have been given but the reactions have been quite variable
and we have not yet determined any uniformity of dosage
Fleischman Company furnished 200 pounds of yeast
which was used during the year in treating pellagra A more
detailed report of the results of its use is expected to be
made at another time and place The results have tended
to confirm the observation made last year as to its value
Drs Goldberger and Wheeler have continued their work
with pellagra and have lent their assistance whenever re
quested
Attention is called to the report of the pathologist The
mere fact that 8455 examinations were made in the labora
tory does not convey an accurate idea of the time and work
required The collection of specimens alone is time consum
ing since the wards are so widely separated It will be seen28
EIGHTYTHIRD ANNUAL REPORT
also that there has been great variety in the character of the
work It will be seen from the report that the Wassermann
test was positive in 109 per cent of the newly admitted cases
as against 138 per cent for the tenyear period The inci
dence of positive spinal fluids for the year was 71 per cent
as against 63 per cent for the tenyear period Cooperation
of the pathologist and his assistants has been ideal and the
aid given by them in the general medical work of the institu
tion has been invaluable
The weekly clinic held in Macon is now in its eighth
year During the year of 1926 130 new patients visited this
clinic The number of visits totaled 430 This includes 30
visits made to patients who were not able to reach headquar
ters The City of Macon furnishes a part time nurse who is
of much assistance This nurse made 54 visits to patients
in their homes Very satisfactory quarters are now furnished
at the City Hospital and the amount and character of the
work done has more than fulfilled our expectations Children
make up a considerable proportion of the patients seen It
might be added that the knowledge of the clinic has gradually
spreadlargely through patientsand many come from the
surrounding towns and counties
Clinics for school children have continued to be held at
Elberton with satisfactory results There is one other feature
of this work that has been stressed before and that is it gives
the physician an opportunity to see mental diseases in the
making so to speak
The training school for nurses has continued to function
as in former years and has fulfilled its place of usefulness in
the institution
I wish to thank you and the Board for the generous ad
ditions to the medical equipment and for the encouragement
given
I am glad to acknowledge an indebtedness to the medical
service as a whole for the efforts made to improved the condi
tion of patients
Respectfully
N P Walker
Clinical DirectorGEORGIA STATE SANITARIUM
29
TABLE I
Diagnostic Grouping of Patients Admitted During Year 1926
Psychosis
Traumatic
Senile
With cerebral artcriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatie disease
Manic depressive
Dementia praccox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Drug addict no psychosis
Mental deficiency no psychosis
Total 360 362
White
M P
2
18
4
23
2
1
0
8
15
15
7
7
74
42
1
20
1
6
37
34
2
1
0
0
0
28
10
1
2
2
0
6
0
8
14
2
126
80
1
2S
4
2
22
28
1
0
5
0
Colored
M P
0
7
19
31
2
0
0
2
2
0
4
0
40
33
0
29
0
0
17
23
0
1
0
0
210
0
6
17
11
4
0
0
1
0
1
11
4
71
68
0
14
0
0
6
32
0
0
0
2
248
Total
2
54
90
66
10
3
0
17
17
24
36
113
311
223
2
117
3
2
5
2
118030
EIGHTYTHIRD ANNUAL REPORT
TABLE II
Diagnostic Grouping of First Admissions During the Year 1926
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
feriority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Drug addict no psychosis
Mental deficiency no psychosis
Total
White
M F
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
4
34
31
2
0
0
0
285
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0
22
3
1
15
22
1
0
2
0
256
Colored
M
0
7
1
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
17
21
0
1
0
0
191
F
Total
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
6
29
0
0
0
2
2
49
84
64
10
3
0
13
14
14
31
12
220
168
1
77
4
5
72
103
3
1
2
2
222 954GEORGIA STATE SANITARIUM
31
TABLE III
Diagnostic Grouping of Readmissions During the Year 1926
Psychosis
White
M
Colored
M F
Total
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With other somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic in
teriority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Drug addict no psychosis
Total
0
3
4
2
0
0
0
1
2
8
1
1
26
IS
0
3
0
2
3
3
0
1
0
0
2
1
0
0
0
0
2
0
2
4
0
47
26
1
3
1
1
7
6
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
10
11
0
2
0
0
0
3
0
0
0
0
5
6
2
0
0
0
4
3
10
5
1
91
55
1
11
1
3
10
14
0
1
3
75 106
19
2
226TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1926
Psychosis
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid cond
With epilepsy
Psyehoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Criminal no psychosis
Encephalitis no psychosis
Constitutional psychopathic inferiority
Drug addict no psychosis
Mental deficiency no psychosis
Total
WHITE
Male
R I U S
0
0
0
11
i
12
11
6
2
37
0
0
0
0
11
6
0
0
0
0
0
0
0
1
1
4
2
0
0
0
1
1
1
4
2
58
25
1
6
2

18
21
0
0
0
0
0
0
0
Eemale
R I U S
U49 86 5 78146 73 6
3
0 0
0 0
o 0
0 0
0 0
0 0
6 1
2 3
0
64
39
0 0
0 6
2 1
3 0
1 10
5 18
0 0
0
0
0
0
2
0
0
7
0
0
0
0
18
19
0
11
2
0
3
11
0
0
0
0
0
0
0
COLORED
Male
R I U S
0
0
0
1
2
0
0
0
2
0
0
0
25
10
0
2
0
0
6
4
0
0
0
0
0
0
0
4 52 24
Female
R I U S
0
0
0
0
0
0
0
0
0
0
4
1
20 17
3 30
0 0
1 32 64 10 1 819
Total
2
7
16
10
6
2
0
8
15
21
21
8
306
158
2
36
10
18
71
94
H
O
X
H

X
53
d

M
d
O
W
HGEORGIA STATE SANITARIUM
33
TABLE V
Causes of Deaths of Patients Who Died During the Year 1926
Anaemia pernicious
Abscess of lung
Arteriosclerosis
Burn accidental
Brain tumor
Brain concussion of
Cancer pancreas
Cancer uterus
Cancer stomach
Cancer breast
Diphtheria
Dysentery bacilliary
Dysentery amebic
Encephalitis
Enteritis acute
Enteritis chronic
Epilepsy
Erysipelas
Exhaustion acute mental disease
Gangrene of lung
Gastritis
Gangrene intestines Thrombosis
General paralysis of the insane
Goiter exopthalmic
Heart acute dilatation
Heart valvular disease
Hemorrhage cerebral
Influenza
Intestinal obstruction
Meningitis pneumococcus
Meningitis not specified
Myocarditis chronic
Malaria
Nephritis chronic interstitial
Nephritis acute
Pellagra
Pneumonia broncho
Pneumonia lobar
Pneumonia not specified
Pulmonary congestion
Suicide by hanging
Surgical shock
Syphilis cerebral
Strangulation by food
Septicemia
Tuberculosis pulmonary
Tuberculosis of spine
Tubercular peritonitis
Unknown
White
M
Total 112
0
0
23
0
0
0
1
0
0
0
0
0
0
2
4
1
7
0
2
0
1
1
10
0
1
1
0
0
0
0
1
6
0
6
13
5
0
2
1
1
0
1
1
7
0
0
3
0
0
12
1
0
0
0
3
1
1
0
1
0
2
2
1
4
1
2
0
0
0
3
1
1
2
6
1
2
0
0
0
0
1
1
7
13
6
2
0
2
1
0
0
0
9
0
0
0
Colored
M
0
1
26
0
1
1
0
0
0
0
1
0
1
0
1
0
8
1
2
1
0
0
36
0
0
1
9
0
2
1
0
2
0
1
0
3
4
5
1
0
0
0
0
0
1
25
0
1
0
Total
89 136
1
0
5
0
0
0
0
1
1
1
0
0
0
0
2
0
6
0
3
0
0
0
10
0
0
0
7
0
0
0
1
7
0
3
0
10
6
4
0
0
0
0
2
0
0
19
1
2
3
1
1
66
1
1
1
1
4
2
2
1
1
1
4
9
2
25
2
9
1
1
1
59
1
2
9
27
2
4
1
1
9
1
11
1
26
36
20
03
2
3
2
2
1
2
60
1
3
6
95 43234
EIGHTYTHIRD ANNUAL REPORT
TABLE VI
Admissions From the Various Counties During the Year 1926
Appling
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dawson
Decatur
DeKalb
Dodge
White
M F
0
1
0
2
4
0
3
3
0
8
0
3
1
1
2
2
0
2
1
2
1
10
2
2
14
3
3
2
0
2
0
3
3
1
0
2
4
3
4
1
4
9
3
0
0
1
6
1
1
4
6
2
11
1
0
2
0
1
0
1
0
0
0
2
7
1
1
19
3
3
2
0
3
0
6
0
3
2
0
1
1
3
1
0
6
3
Colored
M F
1
0
1
3
0
1
1
0
1
10
0
0
3
0
4
6
2
0
1
3
1
0
0
0
23
0
0
2
2
1
1
1
0
1
0
0
2
3
2
0
0
0
1
0
0
0
4
0
0
0
2
0
10
1
1
1
0
1
3
3
1
0
0
2
0
1
0
27
0
1
4
0
0
1
2
3
1
3
3
7
3
1
0
1
2
3
Total
1
1
2
15
5
2
8
11
3
39
2
4
7
1
8
11
6
3
2
5
6
17
4
3
83
6
7
10
2
6
2
12
6
6
5
5
14
10
10
2
5
17
10GEORGIA STATE SANITARIUM
35
Admissions From the Various Counties During the Year 1926
Continued
White
M
Colored
M F
Total
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Tannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
3
0
2
5
0
6
2
3
1
8
2
4
37
1
1
1
2
1
0
6
1
2
1
7
1
0
2
1
0
0
5
2
1
3
2
2
2
1
0
4
0
0
1
1
2
1
0
1
0
3
1
1
9
1
2
35
2
0
1
1
2
3
4
4
10
1
1
2
2
2
2
2
0
6
2
0
1
0
5
0
1
1
6
1
0
4
2
1
0
1
2
0
1
0
1
4
0
0
16
0
0
1
0
8
0
0
0
0
5
0
2
0
1
0
4
1
0
0
0
1
1
1
0
0
1
0
1
2
2
4
3
1
1
0
2
1
0
0
1
0
0
23
0
0
0
0
1
2
0
0
1
3
0
1
0
0
0
1
0
1
0
0
3
4
3
1
0
0
0
1
1
0
10
6
4
9
3
8
7
4
3
22
3
6
111
3
1
3
3
7
5
10
5
13
10
8
6
2
5
3
7
1
12
4
1
8
7
11
3
2
2
10
3
3
736
EIGHTYTHIRD ANNUAL REPORT
Admissions From the Various Counties During the Year 1926
Continued

Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
Piekens
Pierce
Pike
Peach
Polk
Pulaski
Putnam
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
White Colored
M F M F Total
3 2 6 4 15
1 0 0 0 1
0 2 2 2 6
3 3 1 0 7
1 0 0 0 1
6 7 1 2 16
3 0 1 1 5
2 1 0 0 3
1 1 0 2 6
0 1 1 2 4
2 1 1 2 6
2 2 1 2 7
1 0 0 0 1
5 10 4 5 24
1 1 0 2 4
0 0 1 0 1
2 4 2 4 12
0 3 0 1 4
1 0 4 1 6
2 6 0 0 8
1 1 0 0 2
1 1 1 1 4
4 3 1 0 8
0 2 5 0 7
3 2 0 2 7
1 0 2 0 3
3 1 4 4 12
1 2 0 4 7
S 11 21 4 22
2 2 0 0 4
1 1 0 0 2
2 4 2 4 12
2 1 0 0 3
3 5 1 3 12
2 0 1 0 3
5 1 0 1 7
1 2 6 2 11
0 1 0 0 1
0 2 3 2 7
3 2 1 1 7
1 3 0 0 4
3 1 4 1 9
0 1 0 5 6
3 2 0 4 9
GEORGIA STATE SANITARIUM
37
Admissions From the Various Counties During the Year 1926
Continued
White Colored
M P M P Total
Tift 1 2 1 2 5 4 1 1 2 5 1 4 1 2 2 1 0 1 1 2 2 1 1 2 1 0 0 3 2 2 1 2 3 2 0 2 3 0 1 1 1 4 3 1 3 1 1 0 0 0 2 1 0 0 2 0 3 1 1 0 0 0 3 0 1 1 1 1 1 3 0 0 0 4 1 2 0 1 1 0 3 2 2 0 1 0 0 1 1 3 2 2 7
Toombs 3
Towns 1
Treutlen 2i
Troup 14
Turner 8
Twiggs 5
Union 2
Upson 7
Walker 9
Walton 6
Ware 8
Warren 6
Washington 7
Wayne 2
Webster 3
Wheeler 4
White 2
Whitfleld 7
Wilcox 7
Wilks 7
Wilkinson 7
Worth 5

Total 360 362 210 248 1180

38
EIGHTYTHIRD ANNUAL REPORT
TABLE VII
Nativity of All Patients Admitted During the Year 1926
White Colored
M F M F Total
Alabama 13 1 0 2 315 0 1 1 0 2 6 1 0 0 11 0 3 3 0 1 8 0 0 1 321 1 0 0 1 1 2 0 0 1 20 1 2 1 1 1 1 0 0 2 200 0 0 0 0 1 0 0 0 0 3 0 0 1 0 0 3 0 1 3 229 0 0 0 0 0 2 0 1 0 R 25
Austria 1
California 1
Florida 8
Georgia 1065
Indian Territory 1
Indiana 1
Kentucky 1
Missouri 1
New York 4
North Carolina 10
Oklahoma 1
Ohio 1
Eussia 1
South Carolina 42
Syria 0 1
Tennessee 0 5
Virginia 0 5
West Virginia 0 1
Not given 1 i 5
1
Total 360 362 210 48 11 SO

GEORGIA STATE SANITARIUM
39
TABLE VIII
Classified Occupation of Patients Admitted During Year 1926
Agricultural Pursuits
Farmers
Farm Demonstrator
Nurseryman
Dairyman
Professional Service
Dentist
Druggist
Lawyer
Physician
School teacher
Trained nurse
Domestic and Personal Service
Beauty parlor operator
Barber
Boot Black
Chauffeur
Collector
Decorator
Delivery Boy
Fireman
Housekeeper
Janitor
Laborers
Laundress
Linotype operator
Milliner
Newsboy
Photographer
Pullman porter
Porter
Policeman
Reporter
Seamstress
Servants
Shoe repairer
Upholsterer
Watchman
Waitress
Waiter
XRay operator
Trade and Transportation
Clerk
Cashier
Candy packer
Contractor
Express agent
Draftsman
White
M F
146
1
1
1
1
1
4
5
1
0
0
2
0
1
0
2
0
0
0
0
20
0
1
0
1
1
0
0
2
1
0
0
1
1
1
0
0
1
11
0
0
0
1
2
Colored
M F
9
0
0
0
0
0
0
0
3
3
1
0
0
0
1
0
0
0
230
0
0
0
0
1
0
0
0
0
0
0
2
1
0
0
0
1
0
0
2
1
1
0
0
0
Total
58
0
0
0
0
0
0
0
0
0
0
1
1
3
0
0
1
1
0
4
85
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
S2
37
18
0
0
0
0
0
0
0
0
0
28
0
0
0
1
0
0
0
0
0
0
0
0
227
1
1
1
1
1
4
5
6
3
1
3
1
4
1
2
1
1
312
4
142
18
1
1
1
1
1
2
2
1
2
29
1
1
1
2
1
1
13
1
1
0
1
240
EIGHTYTHIRD ANNUAL REPORT

Classified Occupation of Patients Admitted During Year 1926
Continued
Mattress tacker
Merchant
Moulder
Post Office clerk
Printer
Railroad agent
Railroad employes
Real estate agent
Salesman
Saleslady
Shipping clerk
Special railroad agent
Stenographer
Street car conductor
Telegraph operator
Telephone operator
Truck driver
Tailor
Manufacturing and Mechanical
suits
Blacksmith
Brickmason
Carpenter
Harness maker
Painter
Plumber
Mechanic
Food and Its Kindred Products
Baker
Cook
Textiles
Cotton mill operators
Cotton grader
Lumber and Its Manufacturers
Cabinet worker
Miscellaneous
Basket maker
Convict
Market keeper
Peddler
Pauper
Stone mason
Student
Tire chopper
None
Unascertained
Pur
Total 360 362 210 248
White
M
0
9
1
1
3
0
5
2
15
0
0
1
1
1
3
1
2
0
1
0
11
1
3
2
6
1
0
9
2
0
0
0
1
0
0
2
0
64
1
Colored
0
0
0
0
0
0
3
0
86
4
M
1
1
1
0
1
1
1
1
31
2
0
0
0
0
0
0
0
0
21
0
0
0
0
0
0
0
0
5
0
36
3
Total
1
12
2
1
3
0
5
2
IS
1
0
1
2
1
4
1
3
2
1
1
16
1
3
2
6
1
22
18
2
21
10
1180mm

GEORGIA STATE SANITARIUM
41
TABLE IX
Ages of First Admissions During Year 1926
Classified With Reference to Principal Psychoses
White Male Population
Psychosis
Under
20
Traumatic
Senile
Cerebral arteriosclerosis
General parlysis of insane
With cerebral syphilis
With Huntingdons chorea
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
dition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Total
2
0
0
0
0
0
0
0
0
0
0
0
6
0
0
3
0
2
16
2
0
0
0
0
2
0
0 0
0 0
70
0 0
6 2
1 0
31
71 46 10 12 32
Over
70
Un
ascer
tained
0
9
112
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23 0
2
IB
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
4
34
31
2
2542
EIGHTYTHIRD ANNUAL REPORT
Ages of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
Cerebral artesiosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiorty
With mental deficiency
Unclassified
Not insane
Drug addict no psychosis
Total
Under 21 31 41 51 51 Over
20 80 40 50 60 70 70
0 0 0 0 0 0 0
0 0 0 0 1 8 12
0 0 0 1 2 5 1
0 0 0 1 0 0 0
0 0 1 1 0 0 0
0 1 1 0 0 0 0
0 0 0 0 0 0 0
0 3 1 0 0 0 0
0 0 0 0 0 0 0
0 3 1 1 1 0 0
0 4 5 1 0 0 0
1 0 1 0 0 0 0
3 22 19 25 8 2 0
2 22 13 11 6 0 0
0 0 0 0 0 0 0
9 5 5 2 1 0 0
0 2 1 0 0 0 0
1 0 0 0 0 0 0
3 7 1 2 2 0 0
1 4 7 5 4 1 0
0 0 1 0 0 0 0
0 1 0 1 Oj 0 0
20 74 57 51 25 16 13
Un I
ascerl
tained Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0 0
0 22
0 3
0 1
0 15
0 22
0 1
0 2
0 256
GEORGIA STATE SANITARIUM
43
Ages of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Under
20
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Total 33
0
0
0
1
0
0
0
0
0
0
0
0
0
9
0
0
12i
2
0
0
0 0 10
Over
70
0 1
0 0
1 1
Oi 0
0 0
5 2
0 0
50 35 33 20 13
Un 1
ascer
tained Total
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
17
21
0
1
191
44
EIGHTYTHIRD ANNUAL REPORT
Ages of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral ateriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous dis
ease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psyehoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psy
chosis
Under
20
TotaL
0
0
0
2
0
0
0
0
0
1
2
0
15
1
0
3
0
0
1
3
0
30
0 0
0 0
a
i
i
2
1
II 1
0 0 0
0 0 0
10 0
0 0 0
0 0
4 2
2 1
17
1719
o 0
G 2
0 0
57
0 0
0 0
Over
70
Un
ascer
tained
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
6
29
0
222GEORGIA STATE SANITARIUM
45
TABLE X
Degree of Education of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
MALE
T3
TO o
g
o 2
x
c
c
SOQ
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntingtons chorea
With brain and nervous dis
ease
With brain tumor
Due to alcohol
Due to drugs
Due to pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional pscho
pathic inferiority
With mental deficiency
Unclassified
Not insane
1
1
4
0
0
0
0
0
1
0
2
1
3
1
0
5
0
0
24
1
0
Total1 44
0
2
3
0
0
0
0
0
1
0
0
0
2
0
0
0
0
0
0
0
0
0
7
19
1
1
1
3
0
2
0
2
1
19
3
1
3
12
13
0
0
3
0
5
5
1
4
19
15
0 0
6 4
0 1
8 I 85 107 25
0
0
1
4
1
0
0
0
2
2
0
0
4
5
1
2
0
0
0
3
0
0
1
1
2
0
0
1
0
2
0
0
0
1
3
0
0
0
0
0
1
0
12
0
1
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
2
15
40
21
2
1
7
0
13
7
6
6
48
27
1
17
1
4
34
31
246
EIGHTYTHIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntingtons chorea
With brain and nervous dis
ease
With brain tumor 1
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional pscho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TotaL
FEMALE
0
5
3
0
1
1
0
0
0
0
1
0
3
3
0
5
0
0
11
2
0
0
35
0
2
0
0
0
0
0
0
0
0
1
0
1
1
0
0
0
0
0
0
0
n
T3
O
Sg

o
5
3
0
0
1
1
0
o
l
3
1
16
9
0
5
3
0
1
0
3
0
0
4
5
1
47
32
0 0
7 in
0 3
0 1
1 8
6 13
0 1
0 1
54 113
o
4
w
o
0
0
0
0
1
0
1
22
0
0
0
0
0
0
0
0
0
1
0
0
3
2
0
0
0
0
0
0
0
0
o
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
9
1
2
4
0
0
6
10
2
79
54
0
22
3
1
15
22
1
2
25fiGEORGIA STATE SANITARIUM
47
Degree of Education of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
MALE

2
o
o
o
Si
a
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous dis
ease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional pscho
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Total 91
0
0
6
12
0
0
0
o
i
0
1
0
17
14
0
8
0
0
2
4
0
0
65
12
5
1C
0
7
18
31
2
0
1
0
1
0
4
0
32
30
0
26
0
0
17
21
0
1
19148
EIGHTYTHIRD ANNUAL REPORT
Degree of Education of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
FEMALE
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous dis
ease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional pscho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no phychosis
Total
0
6
9
3
1
0
0
0
0
0
3
1
11
9
0
7
0
0
4
9
0
2
65
a
cafe
CO r
3
1
0
0
4
4
2
0
1
0
0
0
4
1
30
32
0
3
0
0
2
10
0
0
93
0
0
2
2
1
0
0
0
0
0
1
2
IS
yen
o
0
2
2
0
0
0
0
0
0
2
0
1
2
0
0
0
0
0
2
0
0
11
0
6
17
11
4
0
1
0
0
1
11
4
61
57
0
12
0
0
6
29
0
2
222GEORGIA STATE SANITARIUM
49
TABLE XI
Environment of First Admissions During Year 1926
Classified With Reference to Principal Psychoses
White Population
Psychosis
MALES
Tramuatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condi
tion
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict no psychosis
Total 68 197
FEMALES
2
15
40
21
2
1
0
7
13
7
6
6
48
27
1
17
1
4
34
31
2
0
285
100
1S6
O
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0
22
3
1
15
22
1
2
25650
EIGHTYTHIRD ANNUAL REPORT
Environment of First Admissions During Year 1926
Classified With Reference to Principal Psychoses
Colored Population
MALE FEMALE
Psychosis a a a t 3 u a a a 3 o 3 o Eh a 03 a 3 H 3 M a 3 o 3 h
Traumatic 0 2 6 17 1 0 0 1 0 0 2 0 9 14 0 6 0 0 4 7 1 0 70 0 5 12 14 1 0 0 0 1 0 2 0 23 14 0 20 0 0 13 13 0 0 118 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 3 0 7 18 31 2 0 0 1 1 0 4 0 32 30 0 26 0 0 17 21 1 0 191 0 3 7 2 2 0 0 1 0 0 5 1 26 23 0 1 0 0 2 14 0 1 88 0 3 8 8 2 0 0 0 0 1 6 3 35 34 0 11 0 0 4 15 0 1 131 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 6 17 11 4 0 0 1 0 1 11 4 61 57 0 12 0 0 6 29 0 0 222
Senile
Cerebral arteriosclerosis General paralysis of insane Cerebral syphilis
Huntingtons chorea
With brain tumor
Brain and nervous disease Due to alcohol Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition With epilepsy
Psychoneuroses or neuroses With constitutional psycho pathetic inferiority With mental deficiency Unclassified
Alcoholism no psychosis Mental deficiency no psychosis Total
GEORGIA STATE SANITARIUM
51
TABLE XII
Economic Conditions of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
White Population
Psychosis
MALE
FEMALE
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With episelpsy
Psychoeuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict no psychosis
TotalL 4 148 126
Oi 0
0
0
7 285
2 0
40 29
5124125
0
21
9
1
2
2
0
4
0
6
10
2
79
54
0
22
3
1
15
22
1
2
225652
EIGHTYTHIRD ANNUAL REPORT
Economic Condition of First Admissions During Year 1926
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
MALE FEMALE
T3 o
a
U C1
o s 3 a 73 03 hi 03 o s S3 a t3 a T3
in o 03 a o3
o a a n o a a
o M P e o S Q
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Mental deficiency no psychosis
Total
0 n 0 0 0 a 0 0 0
0 2 5 0 7 o 1 5 0
0 5 13 0 18 0 10 7 0
0 12 19 0 31 0 5 6 0
0 0 1 1 2 o 2 2 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 0 l 0
0 1 0 0 1 0 0 oj 0
0 0 0 0 0 0 1 0 0
0 3 1 0 4 0 6 3 2
0 0 0 0 0 0 1 3 0
0 24 7 1 32 0 41 19 1
0 21 7 2 30 2 36 19 0
0 0 0 0 0 0 0 0 0
0 14 11 1 26 0 3 9 0
o 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 15 0 17 0 1 5 0
0 9 11 1 21 0 12 15 2
0 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0
0 0 0 0 0 0 1 1 0
0 93 91 7 191 I 2 120 95 5
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
6
29
0
0
2TABLE XIII
MALES FEMALES
Civil Condition of First Admissions During the Year 1926 Classified With Reference to Principal Psychoses White Population Psychoses 03 a T3 S3 a o T3 u O 5 T3 03 4 03 GO s0 a O fl 03 03 3 o Eh a 33 T3 E u 03 o a 73 n o 5 a O 03 tt 03 GO 0 a W 03 03 a3 03 o H
Traumatic 1 1 2 Q 0 1 1 0 1 1 0 5 0 22 19 0 10 0 3 29 11 0 0 105 0 8 25 18 0 0 0 4 11 6 5 4 21 5 0 5 0 1 4 16 2 0 135 0 5 13 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 1 2 0 0 25 0 0 0 0 0 0 0 1 0 0 0 0 2 1 0 0 1 0 0 1 0 0 6 1 1 0 0 1 0 0 1 1 1 0 2 1 2 0 1 0 0 0 1 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 15 40 21 2 1 0 7 13 7 6 6 48 27 1 17 1 4 34 31 2 0 285 0 5 2 0 1 2 0 1 0 1 0 0 15 16 0 13 0 1 12 3 0 2 72 0 6 1 1 0 0 0 2 0 3 10 2 54 30 0 7 2 0 3 14 0 0 137 0 10 5 0 0 0 0 1 0 1 0 0 9 3 0 1 0 0 0 3 1 0 34 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 4 0 0 0 0 1 0 0 0 0 0 0 0 1 4 0 1 1 0 0 1 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Senile Cerebral arteriosclerosis General parlysis of insane 21 9 1
With cerebral syphilis
With Huntingtons chorea
With brain tumor 0
With brain and nervous disease Due to alcohol 4 0
Due to drugs 6
With pellagra 10
With somatic disease 9
Manic depressive Dementia praecox Paranoia or paranoid condition With epilepsy Psychoneuroses or neuroses 79 54 0 22 3
With constitutional psychopathic inferiority 1
With mental deficiency 15
Unclassified n
Not insane 1
Drug addict no psychosis 9
Total 256

M
O
Pi

o

H
w

2
3
Civil Condition of First Admissions During the Year 1926
Classified With Reference to Principal Psychoses
Colored Population
Psychoses
Traumatic
Senile
With arteriosclerosis
General parlysis of insane
Cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Mental deficiency no psychosis
MALES
a
DQ
Total
90 62
Ul
o a
ca is
P
14 0 23 2 191 I 58
FEMALES
0
7
18
31
2
0
0
1
1
0
4
0
32
30
0
26
0
0
17
21
0
1
0
fcT3
u H
VI 2
IB 03
a
0 0
0 0
1 0
2 1
1 0
0 0
0 0
1 0
0 0
0 0
2 0
1 0
8 0
13 0
0 0
3 0
0 0
0 0
2 0
3 0
0 0
0 0
0 0
o
37 3 37 1 222
0
6
17
11
4
0
0
1
0
1
11
4
61
57
0
12
0
0
6
29
0
0
2
H
I
O
X
H
K
H
X
a

y
a

c1
to
H
OGEORGIA STATE SANITARIUM
55
TABLE XIV
Ages of Patients at Time of Death During Year 1926
Classified With Reference to Principal Psychosis
White Male Population

Psychosis
MALE
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
10

3
11
0 0
0 0
1 3
5 1
0 0
0 0
0 0
0 0
0 0
0 0
1 2
0 1
1 3
1 a
0 0
1 3
0 0
0 0
2 3
0 1
0 0
12 19
21
35
a
0
18
22
12
0
0
0
2
0
0
5
1
14
14
0
11
0
1
6
6
0
11256
EIGHTYTHIRD ANNUAL REPORT
Ages of Patients at Time of Death During Year 1926
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
FEMALE

S
Traumatic
Senile
With cerebral arteriosclerosis
General parlysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
4
0
1
4
0
2
5 14
C
G
1
3
0
0
0
0
0
0
1
0
7
3
0
2
3
0 0
19 13
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0 0
0
0
0 0
0 0
1
0
18
0
13
10
3
1
0
0
1
0
1
7
1
15
14
0
10
0
1
1
11
0
89GEORGIA STATE SANITARIUM
57
Ages of Patients at Time of Death During Year 1926
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
MALE
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total 6 28 20
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
1
4
9
0
0
0
a
o
0
1
0
4
2
0 0
1 1
0 0
22
25
0 0
5 2
6 6
2 0
2 0
Oj 0
0 0
Oj 0
1 0
0 0
01 0
0 0
0 0
1 0
0 0
1
0
18
19
36
4
0
0
0
1
0
3
1
10
10
0
14
0
1
11
17
0
113658
EIGHTYTHIRD ANNUAL REPORT
Ages of Patients at Time of Death During Year 1926
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
FEMALE
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
0
0
0
3
1
0
0
0
0
0
3
1
4
10
0
1
0
0
1
4
0
21
28
1G
10
0
3
11
10
1
0
0
0
0
0
10
1
11
22
0
6
0
0
6
14
0
95GEORGIA STATE SANITARIUM
59
TABLE XV
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
MALE
Traumatic
Senile
Cerehral arteriosclerosis
General paralysis of insane
Cerebral syphilis
Brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total
A

a J3
n M
s a o


H SO
O
o o
a J
t 11
0 0
3 8
4 10
1 4
0 0
0 0
0 0
0 0
3 1
0 1
2 2
0 1
0 0
0 2
0 0
0 0
1 1
3 2
0 0
17 32
a cfi
o 03
S Of
cm
CS1
o o
t t
to H
0 0
2 3
2 2
3 1
0 0
1 0
C
0 0
c 0
c 0
1 2
0 0
10
19
a U 03 a
I1 8 8
o f
0 w
J l
5 o o
10
0
18
22
12
0
2
0
0
5
1
14
14
0
11
0
1
6
6
0
611260
EIGHTYTHIRD ANNUAL REPORT
Duration of Hospital Kesidence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
FEMALE
p CO
CO A
n si 3
m a
a a o a o a IN
tn it
cu
a o
a J a
P tH to
U 03 CO 03

o h
M O

o o
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
Cerebral syphilis
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With episelpsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
0
0
0
0
0
0
0
1
5
0
1
1
0
0
0
0
0
1
0
Total 9
0
0
1
0
14
c
1
4
0
0
0
0
0
0
0
1
1
0
1
0
1
I
0
0
0
2
3
1
1
0
0
0
0
0
1
1
0
3
9 16
0
13
10
3
1
1
0
1
7
1
15
14
0
10
0
1
1
11
0
89GEORGIA STATE SANITARIUM
61
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
MALE
n aj
Vi 3 Jl
a C M u
n a tH C3
3 u o o 03 i
S H O
a to M io
o O O O o
a M M M
t 1 5 rH C W5
Traumatic
Senile
Cerebral arteriosclerosis
General paralysis of insane
With cerebral syphilis
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total 15 40 16 20 19 17 3 6136
1
5
9
14
1
0
0
0
0
2
0
2
1
0
4
0
0
1
0
0
o o
o o
oj o
0 0
0 0
o 0
0
0
0
0
0
0
1
19
36
4
0
0
1
0
3
1
10
10
0
14
0
1
11
17
062
EIGHTYTHIRD ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1926
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
FEMALE
C W VI tn
a J3 CO U2 a es
s a o c CG a H
rH s IN H H o R
ti 11 M O
CJ o 4
T1 l 0 0 O o a
a m J M M
iH cc ri IM lO tH o
Traumatic
Senile
Cerebral arteiosclerosis
General paralysis of insane
With cerebral syphilis
With brain and nervous disease
With brain tumor
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Total 14 25 10 8 20 12
0
0
0
1
0
0
0
0
0
3
0
0
3
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
1
0
1
13
0
2
0
0
1
1
0
0
3
11
10
1
0
0
0
0
10
1
11
22
0
6
0
0
6
14
0
3 95GEORGIA STATE SANITARIUM
63
Report of Pathologist
For the Year 1926
Dr R C Swint
Superintendent
Dear Sir
The Report of the Pathological Laboratory for the year
1926 follows
Summary
Serological Examinations
Blood Wassermann Noguchi reaction1555
Cerebrospinal Fluid Wassermann reaction 387
Cerebrospinal Fluid Colloidal Gold reaction 387
Cerebrospinal Fluid Globulin estimation 387
Cerebrospinal Fluid Cell Count 387
Clinical Laboratory Examinations
Urine routine analysis 2457
Urine renal function test 6
Urine Special chemical examination 120
Feces for parasites or ova 895
Feces for occult blood 5
Blood chemical examination 8
Blood for malaria parasites 116
Blood countsred white or differential 908
Blood coagulation time determination 5
Blood hemoglobin estimation 60
Blood reticulocyte count 1
Blood fragility tests 1
Blood type determination 17
Sputum for tubercle bacilli 193
Milk butter fat determination 81
Gastric Contents chemically and microscopically 764
EIGHTYTHIRD ANNUAL REPORT
Bacteriological Examinations
Blood culture
17
Blood agglutination tests for B typhosus etc 102
Urine culture
Feces culture
Exudates culture rt
Exudates microscopically bil
Exudates dark field examination for T palhdum 6
Exudates animal inoculation 8
Milk bacteria count
Vaccines Autogenous
Anatomical Examinations Gross and Microscopical
35
Necropsies
Postmortem examination of laboratory animals
Surgical Tissue
Total number of examinations8455
NoteIn addition to the total number of procedures
enumerated above 407 cadavers were embalmed by the tech
nicians who are also licensed embalmers
Serological Examinations
There were 1555 specimens of blood examined for the
Wassermann reaction of which number 1177 were secured
as a matter of routine from patients upon their admission to
the hospital
TABLE IResults of Routine Blood Wassermann Tests
Number
Number Positive Percentage
Race
White
White
Colored
Colored
Sex Examined
Female 380
Male 331
Female 248
Male 218
Total 1177
4plus
9
27
45
47
128
Positive
24
82
225
215
109
There were examined 387 specimens of cerebrospmal
fluid of which number 282 were obtained from patients ad
mitted during the year A routine examination of this fluid
is made in the case of each patient whose blood reacts posi
tively to the Wassermann testGEORGIA STATE SANITARIUM
65
TABLE IIIncidence of Serological Neurosyphilis in
Patients Admitted During Year 1926
Number Number Percentage
Race Sex Examined Positive Positive
White Female 380 3 07
White Male 331 21 63
Colored Female 248 14 56
Colored Male 218 31 142
Total1177 84 71
NoteThe term Positive denotes the occurrence of a
positive Wassermann reaction upon the cerebrospinal fluid
and usually also other serological indications of neurosyphillis
as well
Reference to Tables I and II will show that 333 per cent
of the white women 778 per cent of the white men 311 per
cent of the colored women and 659 per cent of the colored
men whose blood reacted positively to the Wassermann test
upon admission also gave serological evidence of sypillis of
the nervous system
From an analysis of our serological findings for the 10
year period 19161925 certain outstanding facts appear which
would seem to be of sufficient general interest to warrant
their publication During this period there were made 10881
routine Wassermann tests upon the blood serums of newly
admitted patients Of this number 1506 or 138 per cent
gave 4plus reactions and serological evidence of syphilis of
the nervous system occured in 695 or 63 per cent Exclusive
of the neurosyphilitic group positive Wassermann reactions
were obtained in 8 per cent of patients This does not imply
that syphilis is an important factor in the genesis of psychoses
other than frankly neurosyphilitic ones The fact that there
is a somewhat constant percentage of syphilis in all of the
various nonsyphilitic psychoses suggests that this proportion
of syphilis is incidental rather than causative Perhaps it
may reflect to some extent the prevalence of syphilis
in the adult general population of the state Tf we
assume that 3 per cent of all syphilitics develop neurosyphilis
and that no neurosyphilitics fail to arrive eventually at the
Sanitarium then there must be at least 2500 new cases of
syphilis in Georgia annually since there are admitted here
yearly 75 paretics and cerebral syphilitics The incidence
of positive blood and cerebrospinal fluid Wassermann reac
tions in each of the various clinical groups is shown in the
following table66
EIGHTYTHIRD ANNUAL REPORT
TABLE IIIIncidence of Positive Blood and Cerebro
spinal Fluid Wassermann Reactions in the Various Clinical
Groups
Number
PSYCHOSES Examined
General paralysis of the
insane o28
With cerebral syphillis 104
Due to alcohol 110
With constitutional inferi
ority 368
Due to drugs log
Without psychosis 88
Unclassified 923
With other somatic disease 103
With mental deficiency 858
Dementia praecox 1699
Accompanying pellagra 496
With epilepsy 660
Manic depressive 99b
Paranoia or paranoid con
dition 40
Senile psychosis 70s
With other brain or ner
vous disease 148
WSth cerebral arterioscel
Grosis oi
With Huntingdons chorea 32
Psychoneuroses or neuro
ses 140
With brain tumor8
Total 10881
Number Percent
Percent with age with
with age with 4plus 4plus
4plus 4plus Spinal Spinal
Blood Blood Fluid Fluid
576 917 599 954
92 884 89 845
16 145
45 122
19 119
10 113
83 93
9 87
74 86
145 86
40 81
53 80
236 78
3 75
51 72
10 68
38 62
2 62
1506
28
138
688 62
Positive cerebrospinal fluid Wassermann reactions are
here recorded only for the general paralysis and cerebral
syphilis groups Occasionally positive results were obtained
in other groups but were so infrequently encountered that it
is considered more accurate to omit entirely figures for these
occasional findings
In the series recorded above 4plus cerebrospinal fluid
Wassermanns were found in 73 instances where the corres
ponding blood finding was negative as follows Paresis 52
Cerebral syphilis 12 Tabes dorsalis 1 Other groups 8
The diagnoses with which the serological findings re
ported in the foregoing tabulation are correlated are those
recorded with the histories in the Clinical Directors office
Respectfully
E B Sate
PatholopistGEORGIA STATE SANITARIUM
67
Report of Dental Department
MlLLEDGEVILLE Ga JAN 1ST 1927
Dr R C Swint
Superintendent
Dear Sir
We have the honor of reporting the work done in the
Dental Department for the year ending Dec 31st 1926
Extractions 4167
Infiltration anaesthesias2394
Conductive anaesthesias 635
Ethyl Chloride anaesthesias 15
Alveolotomies 189
Incisions sutured 18
Postoperative treatments 163
Gold fillings 3
Amalgam fillings 179
Cement fillings 65
Synthetic porcelain fillings 51
Gold inlays 17
Gold inlays reset 5
Nerve cappings 8
Nerve treatments 1
Nerves devitalized 2
Root treatments 19
Root fillings 15
Abscesses lanced 43
Abscesses treated 27
Abscesses aspirated 2
Lancing gums over 3rd molar 14
Treating gums about 3rd molar 26
Hemorrhages arrested 768
EIGHTYTHIRD ANNUAL REPORT
Treatments for erosion 3
Treatments for pyorrhea alveolaris 26
Cleaning teeth number of patients 38
Sealing teeth number of patients 153
Applications silver nitrate 1
Treatments for facial neuralgia 2
Treatments for acute odontalgia 33
Treating gums number of patients 106
Treatments for oral ulcers 12
Treatments for stomatitis 20
Curetting alveolar process 12
Plates made
Plates repaired 25
Gold crowns 3
Porcelain crowns
Castbase crowns gold
Crowns removed 9
Crowns repaired
Crowns reset
Bridges removed
Bridges repaired
Bridges reset
Disfigured teeth shaped up number of patients 45
Impacted 3rd molars removed 31
Sequestra removed 5
Calls to wards 380
Number of new patients examined1179
Number of patients treated1947
Total number of operations and treatments8675
Respectfully submitted
George H Green D D S
J C Adcock D D bGeorgia state sanitarium
Report of Superintendent of Nurses
Georgia State Sanitarium
January 1st 1927
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
I wish to submit the following as a report of the Training
School for Nurses for the year ending December 31st 1926
The School has been in progress fifteen years and has
graduated one hundred and twentynine nurses
We feel the School is indispenable to the Hospital and
that the graduates are well educated in all departments of
nursing and have rendered to the world valuable service
Many of our graduates are holding places of responsi
bility not only in this school but in the different schools
throughout the United States
The Alumnae Association of the School has a membership
of sixtytwo and has been very active during the year It
has given the school and Superintendent of Nurses hearty
support in all efforts to make it the foremost among such
institutions
The Annual Commencement was held July 21st at 8 30
in the Amusement Hall
Mrs Archibald P Brantley President of the State Fed
erated Clubs of Georgia gave a most pleasing class address
to the graduates
Mr John T Brantley President of the Board of Trustees
with a talk on service delivered the diplomas and Mr H H
Dean VicePresident of the Board presented the hospital
pinsEIGHTYTHIRD ANNUAL REPORT
A reception and dance followed music being furnished
by the Sanitarium Band
The following nurses received diplomas
Miss Alethia Adams Dublin 6a
Mrs Carrie Mills Braddock Sandersville Ga
Miss Mary Ivie Willard Ga
Mrs Mary Elizabeth Hood Atlanta Ga
Miss Lucy Poss Washington Ga
Miss Floye Louise Page Stillmore Ga
Miss Mildred Stewart Eatonton Ga
Miss Irma Smith Tennille Ga
Miss Lillian Happ Veal Sandersville Ga
PLAN OF INSTRUCTION
The course extends over a period of three years includ
ing three months probation and six months affiliation in the
University Hospital Augusta Ga or Memphis General Hos
pital Memphis Tenn This course consists of lectures recita
tions demonstrations and practical work on wards diet
kitchen operating room and laboratory Classes are con
ducted eight months each year
CURRICULUM
First Year
Anatomy andPhysiology60 hours
Nursing Ethics 6
Theory of Nursing26
Hygiene for Nurses16
Practical Demonstrations 24
Chemistry16
Dietetics 20
Bandaging 8
History of Nursing10
Hydrotherapy 6
Massage 10
Second Year
Nursing Ethics 8 hours
Practical and Surgical Nursing20
Medicine 22
Solutions 16 jj
Materia Medica16
Obstetrics 16GEORGIA STATE SANITARIUM
71
Oral Hygiene16
Mental Diseases16
Dietetics 25
Bacteriology16
Applied Bacteriology10
Third Year
Eye Ear Nose and Throat 6 Hours
Surgery16
Gynecology16
Pediatrics 16
Diseases of Nervous System16
NURSING STAFF
Superintendent of Nurses 1
Supervisors 4
Chief Operating Nurses 2
Occupation Therapy Nurses 1
Special Psychiatric Nurses 2
Special Attendants
Senior Nurses in School 12
Junior Nurses in School H
Freshman Nurses in School 16
Total number of Student Nurses39
Number of White Female Attendants149
Vacancies
In conclusion I wish to thank you for your support and
cooperation the Medical Staff for lectures and medical ser
vices rendered the students and all other officers who assisted
in the teaching during the year
Respectfully submitted
Mae M Jones R N Ohio
Superintendent of Nurses72
EIGHTYTHIRD ANNUAL REPORT
Report of Pharmaceutical Department
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
The following is the annual report of the Pharmaceutical
Department for the year ended December 31st 1926
Below is shown a condensed list of manufactured prod
ucts
Tinctures spirits and extracts2017 pounds
Elixirs 1416
Syrups 781
Ointments 122
Liquors lotion and mixtures1148
Library paste and mucilage 58
Medicated dusting powder 61
Indelible Ink 48
Glycerites 58
Liniments 258
Tonics 108
Tooth powder 6
Quinine anodyne and lagrippe capsules nlledll800
Germicide 935 gallons
Fly and mosquito exterminator 375GEORGIA STATE SANITARIUM 73
STATEMENT
Debits
Jan 1 1926 Inventory as of Dec 31st 1925 530936
Purchases During Year
Drugs chemicals dental surgical and
laboratory supplies1070763
Freight and Express 21824
Total 1092587
Less Goods Returned 28545
Net amount Goods purchased1064042
Total 1594978
Deducts Inventory Dec 31st 1926 564475
Amount of goods to be accounted for1030503
Credits
Dec 31st 1926 Prescriptions filled for
wards 33073 aggregating 982387
Sales to Officers and Employes 48116
Total 1030503
Respectfully submitted
J J Wootten
Pharmacist74
EIGHTYTHIRD ANNUAL REPORT
Report of Treasurer
Dr R 0 Swint
Supt Georgia State Sanitarium
My Dear Dr Swini
I beg to enclose below a report showing receipts and
disbursements of the Treasurer of Georgia State Sanitarium
for the year 1926
Dec 31st 1925 Balance cash on
hand 8548848
Maintenance fund received110000000
Interest on balances 195422
Homer Bivins Steward 761737
Fire Losses through the Governor 128745
Ice Plant Appropriation 2000000
121634752
Disbursements for the year 1926116993602
Dec 31st 1926 Bal cash on hand 4641150
121634752
I certify that the above report is correct to the best of my
knowledge and belief
As Treasurer Georgia State Sanitarium and as Assistant
Cashier of Exchange Bank we certify that at the close of
business Dec 31st 1926 there is to the credit of Otto M
Conn Treasurer Georgia State Sanitarium the sum of
4641150
Otto M Conn
Treas Oa S S
H G Banks
Cashr Exchange Bank
Witness
H H Herndon
N P B Co 6aGEORGIA STATE SANITARIUM
75
Dr R C Swint
Supt Georgia State Sanitarium
My Dear Dr Swint
I beg to submit below a statement of the receipts and dis
bursements of Treasurer Georgia State Sanitarium Patients
Accounts for the year 1926
Dec 31st 1925 Balance cash on hand1334381
Received from Homer Bivins Steward 1858890
3193271
Disbursements for the year 19261830764
Dec 31st 1926 Bal cash on hand1362507
3193271
I certify that the above report is correct to the best of
my knowledge and belief
As Treasurer Georgia State Sanitarium Patients
Accounts and as Assistant Cashier Exchange Bank we cer
tify that at the close of business Dec 31st 1926 there is to
the credit of Otto M Conn Treasurer Georgia State Sani
tarium Patients Accounts the sum of 1362507
Otto M Conn
Treas Ga S S
H G Banks
Cashr Exchange Bank
Witness
H H Herndon
N P B Co Ga76
EIGHTYTHIRD ANNUAL REPORT
Report of Farm Steward
Dr R C Swint
Superintendent Georgia State Sanitarium
My Dear Sir
I wish to submit a report of the foodstuffs produced in
my department and some of the other things done around
the institution during the fiscal year ending December 31st
1926
Asparagus 202
Beans butter shelledI 294
Beans snap 1309
Beans Ototan Igji
Beets 299
Cabbage I43982
Collards5190
Cantaloupes67 114
CornII15400
Lorn roasting75661
Corn tons 600
Sorghum insilage 600
Cucumbers 404
Fodder 5
Hay Oats and Vetch 427
Kale 160
Lettuce 3 005
Oats shelled Z1556
Oat and Rye straw1950
okra 690J
Onions 919
Peas field green 639
Peas field dry 3784V3
Peas garden 212
Peppers 28
Pork dressed70678
Potatoes sweet 3647
Potatoes Irish 2045
Rape 6283
Rye 554
bushels
i
bushels
heads
bushels
ears
tons
bushels
tons
bushels
heads
bushels
bales
bushels
pounds
bushelsGEORGIA STATE SANITARIUM
77
Spinach 268
Squashes 1106
Tomatoes 485 crates
Turnips and greens 8640 bushels
Watermelons 16555
Strawberries 120 quarts
Soy bean hay 20 tons
Dairy
Sweet milk99784 gallons
Buttermilk 265
Butter 674 pounds
Sweet cream 120
Beef dressed21916
Green hides2940
Calves sold for 5900 9
Loads of manure1430
The dairy shows an increase of 19096 gallons of sweet
milk over last
Chicken Yard
Hens and roosters issued 230
Friers issued 554
Eggs received 4809 dozen
Eggs issued 4445
Eggs set 364
We hauled all the lumber from the sawmill to the lumber
yard put all the material on the ground for the three new
cottages and the old mens dormitory at the Twin Building
hauled all the sand for these buildings and the new cold stor
age plant unloaded several cars of coal and foodstuffs hauled
all the coal out of the chutes and cut about 1000 cords of
stove wood We have also kept up the entire road system
of the Institution
I wish to thank you the Board of Trustees the officers
and others for the gratitude and cooperation shown me
throughout the year
Respectfully submitted
P C Penubl
Farm StewardEIGHTYTHIRD ANNUAL REPORT
Report of Engineer
Dr R C Swint
Superintendent and Resident Physician
Dear Sir
Please find below the annual report of the Engineers
Department for the year ending December 31st 1926
Improvements
A new floor has been put in one of the Colony buildings
All of the other floors have been repaired and new brick
pillars placed under the buildings were needed A large part
of the bottom of the water tank at the Colony has been re
placed with new material
Three cottages each having seven rooms and a bath room
have been built on the road between the Powell Building and
the Twin Buildings These cottages are connected to the
sewer and are supplied with cold water connections to the
general supply
A new ice plant has been built This machine is housed
in a brick building It is of the compression type and has a
capacity of twentyfive tons of ice each twentyfour A good
portion of this capacity is used in the cooling of the cold
storage rooms The cooling water used is sprayed through
a system of nozzles into a spray pond on the roof of the
building The new plant includes an ice storage room three
new cold storage rooms and a work room for the cutting and
issue of meats etc The total capacity of the new rooms
together with the old is nineteen thousand eight hundred
seventynine cubic feet Two of the old cold storage rooms
have been thrown into one and the large room together with
one of the meat rooms has been rebuilt and thoroughly insu
lated with corkboard New coils for carrying the cooling
brime have been built for all of the rooms These coils are
all built above bunkers which have drainage to the sewer
This drainage of the bunkers prevents the possibility of any
drippage from the coils falling on the goods stored A susGEORGIA STATE SANITARIUM
79
pended track is arranged through the center of the work room
from the front door into and around the inside of the two
meat rooms on which the quarters of beef are handled as re
ceived
The portion of the tin roofs of the institution which was
not painted in 1925 about onefourth of the entire amount
has been painted
The State Board of Health has commended us for the
excellent quality of our water supply for the entire year and
for our cooperation with them in furnishing samples of
water to be analyzed They have sent us a gold sealed certifi
cate to this effect
Two 70gallon jacketed cast iron kettles have been placed
in the Negro Building kitchen and four of the same size in
the kitchen of the Green Building These kettles replace
others which have been worn out
A galvanized steel flue has been run from the hood over
the range in the kitchen of the John T Brantley Building to
the roof
An ironing table to accomodate twelve electric irons has
been built and wired in the white laundry
Two steam heated electrically driven garment presses
have been installed in the white laundry
The sleeping porch in the cottage just north of the
Female Convalescent Building has been enclosed This has
been accomplished principally with glass sash
A new tin roof has been put on one of the tuberculosis
buildings the old composition one having been damaged
beyond repair by a wind storm
A new set of brass tubes has been placed in one of the
water heaters of the Twin Building
Pantry sinks have been put on wards 10th 11th and 12th
of the Powell Building
A new floor has been laid in the day room of ward N
new joists being placed where necessary80
EIGHTYTHIRD ANNUAL REPORT
Tables safes and a linen cabinet have been built for the
kitchen of the John T Brantley Building
Steps between the 7th 8th and 9th wards at the Colored
Building have been built
The Stewards dining room has been repainted New
and larger electric lights have been placed in this room and
a new steam heated coffee urn installed
A brick public comfort building has been built on the
terrace in front of the Twin Buildings for the use of the
patients
Forms have been made for the reinforced concrete posts
for the fence around the Colored Building and some of the
posts have been made
Bight power sewing machines with motor drive have been
installed in the sewing room for white females
Two cottages built some years ago have been painted
both inside and out
A doorway has been cut through the west wall of the sewing
room This affords an easy egress in case of fire and facili
tates the handling of stores and of the manufactured output
of the room
Such fire doors as have been found defective through
the rusting through of the tin covering have been recovered
The old moving picture booth in the Female Convalescent
Building has been torn out and the walls and woodwork of
the chapel have been painted
The outside woodwork of one of the cottages at the water
works has been painted
The walls of six rooms in the center building of the
Female Convalescent Building have been painted
A water cooler has been built and installed in the yard
of the Negro Building and also in the dining room of the
Twin Building These coolers each hold six hundred pounds
of ice at a fillingGEORGIA STATE SANITARIUM
81
The steam drying room in the laundry at the Colored
Building has been rebuilt the woodwork being renewed where
necessary and the steam coils replaced with new ones
The hall floor of the third story in the center building
of the Powell Building has been surfaced stained and waxed
The defective steel ceiling in the corridors of the Celored
Building has been removed and the electric conduit injured
in the process of removal has been repaired
The damage done by fire on the 18th ward has been re
paired
Boxes for the reception of soiled clothes have been placed
on the outside of wards D and N
An ice box has been built for the patients store in the
Female Convalescent Building A cabinet for the same place
has been repaired and fitted with glass doors
A portion of the yard pavilion on the female side of the
Colored Building has been boarded up and supplied with
electric lights to serve as an isolation ward
New brass tubes have been put in the water heater serv
ing the Male Convalescent Building
A set of new tubes has been put in one of the steam boil
ers at the Green Building
The fire fighting equipment of the istitution has been
increased by the addition of a one thousandgallon automo
bile Pumper This machine has on it a 50gallon sodaacid
engine with the necessary equipment of rubber hose twelve
hundred feet of 212inch standard fire hose and two 21
gallon sodaacid extinguishers and the necessary shut off
nozzles for the 212inch hose Twelve one quart Pyrene ex
tinguishers and fiftythree 21gallon sodaacid extinguishers
have been placed on the wards
A bath room has been cut off from room No 1 in the
center building of the Powell Building by a lath and plaster
partition This room is furnished with a toilet bath tub with
showerbath fixtures and electric light82
EIGHTYTHIRD ANNUAL REPORT
The shingle roof over the white female tuberculosis pavilion
as well as the composition roof over the adjoining building
has been replaced with one of 5 V Crimp galvanized roofing
About onehalf of the shingle roof over the 27th female
ward has been renewed
Bins have been built in the storehouse for the dispensing
of sugar meal etc
An electrically driven band saw has been installed in
the coldstorage work room for the purpose of cutting up
beef and hams
The schoolhouse for feebleminded children has been re
paired This work includes new sills new roof new plaster
ing and painting
A map of the institution has been made showing the
location of the various buildings and the position of the out
side fire hydrants
A set of new tubes has been put in one of the boilers of
the Twin Buildings
The Longino cottage has been reshingled
The chimney over the range and bread oven at the Colored
Building has been torn down and rebuilt from the roof up
A covered lumber shed having a floor area of 60 x 20 feet
has been built near the machine shop This structure has
two decks and an overhanging roof for the protection of dry
lumber
A one story frame building has been built near the Twin
Buildings This building is T shaped the main bodv being
140 ft long by 28 ft wide The T projection is 54 ft
long and contains the dining room and quarters for the nurses
serving the building A porch 8 ft wide runs the full length
of the building on the front There are five bath tubs six
water closets two slop sinks a pantry sink and a lavatory
included in the plumbing of the building All of the plumb
ing is connected to the main sewer by a sixinch drain pipe
965 feet longGEORGIA STATE SANITARIUM
83
Traveling ladders have been set up on the front of the
shelving in the Storehouse
The solid wooden panels have been removed from four
of the large outside doors of the Storehouse These panels
have been replaced with thick glass and the glass protected
by heavy wire window guards
Steam radiators have been placed in the ice plant the
cold storage work room and in the base of the Tower to pre
vent the freezing of the water pipes there in cold weather
In addition to the ordinary repair work of the institution
the carpenter shop the furniture and harness repair shop
the shoe repair shop the paint shop and broom factory have
been kept busy in manufacturing and repairing the various
articles used in the different departments
Respectfully submitted
T H DeSaussuee
Engineer84 EIGHTYTHIRD ANNUAL REPORT
Report of Steward
Fiscal Year Ended Dec 31st 1926
MlLLEDGEVILLE Ga DECEMBER 31ST 1926
Dr R C Swint
Superintendent
Dear Sir
I beg to submit herein a report of the financial condition
of the Sanitarium at December 31st its income and expen
diture for the fiscal year together with other information
shown under the exhibits and schedules that follow
EXHIBITS
1Balance SheetDecember 31st
2Statement of Income and Expenditure for Year
3Consolidated Cash Statement of Receipts and Disburse
ments
4Analysis Cash Receipts and Disbursements for Main
tenance
5Statement Receipts and Disbursements Account Special
Appropriations
6Profit and Loss Statement Farm Garden and Dairy
7Comparative Statement Cash Expenditure Years 192526
8Statement Operating FundsDecember 31st
9Comparative Statement PerCapita and PerDiem Cost
Years 192526
SCHEDULES
1Accounts Payable as of December 31st
2Accounts Receivable as of December 31st
3Production Farm Garden and Dairy
All accounts for supplies purchased during the year were
promptly settled in accordance with contracts and receipted
vouchers covering such disbursements are on file in this office
I am grateful to the Board yourself and others for the
assistance you have given and the kindness you have shown
me in the performance of my duties
Respectfully submitted
Homer Bivins
StewardEXHIBIT No 1
Balance Sheet December 31st 1926
TreasurerGeneral Fund 3421077
TreasurerPatients Fund 1428636
StewardWorking Fund 300000
StewardTime Deposit 29000
StewardTime Deposit 161676 5340389
ACCOUNTS RECEIVABLE
U S Public Health Service 15060
Officers and Employees 59736 74805
STOCKS
ProvisionsGroceries Clothing
and Dry Goods Shoes Notions
Etc 5270189
Packing House Products 755888
Clothing Bedding Etcin Manu
facture 72399
Engineering Materials 710435
FuelCoal and Coke 3750167
Drugs Chemicals and Sundries 569105
Farm SuppliesFertilizers 128375
Dairy Feeds 118650 11375208
FREIGHT AND EXPRESS
Applicable to Mdse Stocks 44678
Total16835080
DUE SPECIAL FUNDS
Brantley Building 357973
Ice and Cold Storage Plant 25824
Occupation DepartmentMale 558132
Occupation DepartmentFemale 24133
Female Commissary 29000
Total 995062
TRUST FUND
Patients Deposits 1428636
ACCOUNTS PAYABLE
Individuals and Corporations 2278302
SALARIES WAGES AND LABOR
OfficersDecember 580742
EmployeesDecember 3111394
Total 3692136
Excess Assets Jan 1st 1926 9262753
Adjustments Applicable to 1925 1347073
Excess Assets as Adjusted 7915680
Operating Gain for 1926 525264
Total 8440944
Total 16835080
O
H
O
o

H
w

II

3EXHIBIT No 1 Continued
Balance Sheet December 31st 1926
PROPERTY ACCOUNTS
Miscellaneous Farm and Dairy
Products 2849050
Live Stock 3526020
Vehicles and Implements 478663 6851733
Total 6851733
NOTE1334430 of this amount represents fuel
gone into consumption during the last two years It
is written off to bring the fuel account into closer
agreement with the actual inventory of fuel on hand
INSTITUTION INVESTMENT
Farm and Garden 4600213
Dairy 2251520
Total 6851733
Total 6851733
I
P
X
X
w
o

r
vo
13
O
toEXHIBIT No 2
Statement of Income and Expenditure for Year
EXPENDITURE
Gen AdministrationOfficers Salaries 6378936
WAGES AND LABOR
Medical Department 23605019
Engineers Department 6800321
Stewards Department 4627363
Earm and Garden Dept 1395031
Dairy Department 451158 36878892
FOOD SUPPLIES
General Wards30355610
Superintendents Dining Room 111417
Stewards Dining Room 510894
Brantley Bldg Dining Room 1063305 32041126
MISCELLANEOUS
Clothing and Dry Goods 7287111
Furniture and Bedding 3780879
FuelCoal and Coke 4289568
Stationery and Postage 285991
Medical Supplies 982861
Automobiles and Tracks 248370 16874770
MAINTENANCE OF PLANT
Fire Apparatus 1539193
Machinery Supplies and Re
pairs 119772
Builders Hardware 380977
INCOME
State AppropriationRegular 110000000
MISCELLANEOUS
Board of Officers 124960
Board Special Attendants 164465
Board of Employees 342300
Donations 7211
Dental Work and Material 1400
Fines 16775
Interest on Balances 200914
Sales Old Material 314146
Rents Cottages 12600
Discount 5845
Total 1090616
FARM AND GARDEN
Sales 34292
DAIRY
Sales 25511
Total 59803
o
H
O

i3
m

2EXHIBIT No 2 Continued
Statement of Income and Expenditure for Year
Cement and Crushed Stone 260489
Lime Hair and Masons Sup
plies 220516
Lumber and Building Material 950140
Painters Supplies 452128
Plumbing Supplies 423581
Sewer Supplies 41051
Tinners Supplies 101465
Cooking Apparatus and Sup
plies 140688
Steam Pipe and Boiler Fittings 365000
Water Works Supplies 126253
Grading Supplies 2500
Gasoline Equipment 76167
Brick 139975
Sundries 1168301 65081
FARM AND GARDEN
Commercial Fertilizer 815675
Seed 328912
Commercial Feeds 128876
Misc Supplies and Repairs 346869
Board Employees 276300
Live Stock 160000
Treating Hogs 27215
Freight and Express 43800 2127147
DAIRY
Commercial Feeds 2085056
Q
n
H
x
d

d

F
JS
H
O
SJ
HEXHIBIT No 2 Continued
Statement of Income and Expenditure for Year
Misc Supplies and Repairs 209715
Freight and Express 125036
Board of Employees 66000 2485807
INCIDENTALS
Light and Power 1697332
Laboratory Supplies and Equip
ment 89946
Dental Supplies and Equipment 69692
Office Supplies and Equipment 210639
Repair Account Auto and
Trucks 165451
Escaped Patients 19322
Advertising 17296
Amusements 6971
Travel 157525
Barbers Supplies 34752
Telephones and Telegrams 44593
Florists Supplies 17337
Medical Books and Journals 28417
Broom Factory Supplies 153201
Blacksmith Supplies 63943
Cemetery Supplies 88729
Dining Room Supplies 222743
E Light and Supplies and Re
pairs 315478
Gas and Oils 524358
Household Supplies 931704
Kitchen Supplies 2831214
EXHIBIT No 2 Continued
Statement of Income and Expenditure for Year
Laundry Supplies 558691
Musical Instruments 127000
Printing 74019
Registration Autos and Trucks 4676
Telephone Equipment 44326
Tools and Implements Other
Than Farm 800 26
Tobaccos 613395
Insurance Premiums 132143
XRay Supplies and Equipment 140489
Interest Paid 23935
Premium on Bond 2500
Surgical Instruments 4657
Sundries 141083 7091582
Poultry Yards 238699
Total Expenditure 110625155
Operating Gain for Year 525264
Total111150419
EXHIBIT No 3
Consolidated Cash Statement of Receipts and Disbursements
DESCRIPTIVE
CD
Balance from 1925
Less Due Special Funds
Less Due Trust Fund
RECEIPTS
Maintenance AppropriationRegular
Part Maintenance Appropriation 1925Regu
lar
Part Special Appropriation 1925Ice Plant
Fire InsuranceLosses
Patients Deposits
Misc SalesEtc
Interest on Balances
ChecksReturned
5049662
110000000
2000000
128745
195422
101346
Totals117475183
Transferred by Stewardj 834336
Balance118309519
Disbursed on VouchersI 114888442
Balance
Disbursed by Steward
3421077
Balance 3421077
2
1334381
1334381
2093858
3428239
1999603
1428636
1428636
w
2093858
834336
3228194
2928194
300000
2927994
3227994
2927994
30O00C
o
ft
So
300000 101590
34086
135676
55000
190676
190676
190676
O
W
Hi
55000
32883
55000
55000
a
o
ftS
294257
624140
624140
41875
582265
582265
a
H
O
to
a

w

H
i3
i
sEXHIBIT No 3 Continued
Consolidated Cash Statement of Receipts and Disbursements
DESCRIPTIVE

Balance from 1925
Less Due Special Funds
Less Due Trust Fund
RECEIPTS
Maintenance AppropriationRegular
Part Maintenance Appropriation 1925
Part Special Appropriation1925
Ice Plant
Fire InsuranceLosses
Patients Deposits
Misc Sales Etc
Interest on BalancesVS
Checks Returned
a 2
U ft
9308017 5 1334381
1000000
0093858
Totals
Transferred by Steward
Balance
Disbursed on Vouchers
5 10308017
10308017
Balance
Disbursed by Steward
Balance
5 3428239
3428239
3428239
1999603
5 1428636
w O a cd So a
IT 2 Pi
CO a a
u 05 ji gffl
fl
5 417633
5 1000000
7582030
582867
2000000
2582367
2544465
7582030
8308017
725987
368014
37902
5 357973
03
CO
w
S
I I
29000
29000
29000
5 37902 357973 29000
8
c
CO
a
es
ft CO
ft a
3
CO
3868015
110000000
128745
545165
195422
101346
114838701
114838701
111005697
3833004
928391
29000 2904613
H
O
X
H
a
d
g
2

H
O
toSUMMARY
Cash TreasurerGeneral Fund3421077
Cash StewardWorking Fund 300000
Cash StewardTime Deposits 190676
Cash TreasurerPatients Fund1428636
Total
Total
5340389
5340389
DUE SPECIAL FUNDS
Brantley Building 357973
Ice and Cold Storage Plant 37902
Patients Deposits 1428636
Occupation Therapy 5821265
Female Commissary 29000
Balance in Hand for Support and
Maintenance2904613
Total5340389
Total5340389
o
H
O
2

w

H
H
w

i3

d94
EIGHTYTHIRD ANNUAL REPORT
EXHIBIT No 4
Analysis Cash Receipts and Disbursements for Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION
Officers Salaries 6265642
WAGES AND LABOR
Medical Department 229i74634
Stewards Department 4393039
Engineers Department 6556347
Farm and Garden Department 1391001
Dairy Department x 438913 35763034
FOOD SUPPLIES
General Wards 33355505
Brantley Bldg Dining Room 1063305
OfficersDining Rooms 622311 35041121
MISCELLANEOUS
Clothing and Dry Goods 7511866
Furniture and Bedding 4005634
FuelCoal and Coke 4673831
Maintenance of Plant 5595717
Medical Supplies 944682
Stationery and Postage 285991
Incidentals 7284591 30302312
FARM AND GARDEN
Fertilizers 815675
Seed 328912
Live Stock 160000
Misc Supplies and Repairs 346869
Commercial Feeds 128376
Board of Employees 276300
Treating Hogs 27215
Freight and Express 43800 2127147
DAIRY
Commercial Feeds 2085056
Misc Supplies and Repairs 209715
Freight and Express 125036
Board of Employees G6OO0 2485807
BALANCE IN HAND
Treasurer 3421077
Steward 490676
Total 3911753
Less Due Special Fund 395875 3515878
Grand total 115491841GEORGIA STATE SANITARIUM
95
EXHIBIT No 4 Continued
Analysis Cash Receipts and Disbursements for Maintenance
RECEIPTS
BALANCE FROM 1925
Treasurer 5049602
Steward 456590
Total 5506252
Less Due Special Appropriation 1308354 4197898
Appropriation 1926Regular 110000000
Appropriation 1925Part regular 08
Fire Insurance Loss 128745110128753
MISCELLANEOUS
Interest on Daily Balances 204597
VouchersReturned 101346
Board Officers and Employees 179442
WagesRefunded 75740
Phones and Telegrams 1773
TravelRefund 12042
Donations 3000 577940
SALES
Store Supplies 258958
Farm Products 24210
Dairy Products 13441
DrugsSundries Etc 4653
Dental Materials and Supplies 10955
Baskets Rugs Etc 90875
Scrap Iron Barrels Sacks Rags 155158
Soft Drinks Tobacco and Confectioneries 29OO0 587250
Grand total 11549184196
EIGHTYTHIRD ANNUAL REPORT
EXHIBIT No 5
Statement of Receipts and Disbursements Account
Special Appropriations
DISBURSEMENTS Brantley
Building
Ammonia
Belting
Cement and Lime 16320
Cork Insulation
ChlorideCalcium
Dining Room Equipment 60323
Electrical Equipment
Furniture 120690
Freight and Express 775
Housekeeping Supplies 10534
Insurance Premiums 64000
Kitchen Supplies and Equip
ment 10930
Lumber
Musical Instruments 30000
Machinery
Oils
Plumbing Supplies and
Equipment 06231
Roofing Contract
Structural Steel
Steam Piping and Fittings 21011
Sundries
Tiling
Vacuum Cleaner 7000
Ventilators
Wages
Total368014
Balance in Hand357973
Grand Total 725987
Balance from 1925725987
RECEIPTS
Balance Due on 1925Special
Appropriation
Total725987
Ice and
Cold
Storage Total
Plant
52647 52647
12758 10758
6800 23320
194713 194713
72352 72352
60323
94394 94394
120690
775
10534
64000
10930
198949 19S949
30000
1389234 1389234
1874 1874
67751 96982
86450 86450
37449 37449
21011
15738 15738
1690 1690
7000
3087 3087
308579 308579
2544465 2912479
37902 395875
2582367
582367
2000000
2582367
3308354
1308354
2000000
3308354GEORGIA STATE SANITARIUM
97
EXHIBIT No 6
Profit and Loss Statement Farm Garden and Dairy
DESCRIPTIVE
Farm
Garden
Dairy
Total
Inventory as of Jan 1st
Purchases During Year
Commercial Fertilizers
Commercial Feeds
Compost
Seed
Freight and Express
FeedsHome Grown
32L38566
739500
128376
300600
328912
43800
Total
Less Inventories as of December
31st 1926
4779754
4600213
Net Cost FeedSeed Fertilizer Etc
Gross Profit for Year
179541
7237158
Total
7416699
OPERATING EXPENSE
Wages Employees
Misc Supplies and Repairs
Live stock
TreatmentHogs
BoardEmployes
Net Profit for Year
Total
2337420
2106278
125036
1000000
5575986
739500
2234654
300600
328912
168836
1000000
5568734
2251520
10348488
6851733
3317214
1445242
4762456
1395031
346869
160000
27215
27630O
5031713
7237158
451158
209715
66000
718369
1445242
3496755
8682400
12179155
1846189
556584
160000
27215
342300
5750112
8682400
FURNISHED INSTITUTION
Food Supplies 10845844
Dairy Feeds 1000000
Compost 300600
Cash SaleSupplies 32711
ON HAND
Misc Farm Products2849050
Live Stock3526020
Vehicles and Implements 476663 6851733
Total 1903088898
EIGHTYTHIRD ANNUAL REPORT
EXHIBIT No 6 Continued
Profit and Loss Statement Farm Garden and Dairy
DESCRIPTIVE Farm Garden Dairy Total
Fruits and Vegetables Packing House Products 5088102 1060395 219710 1000000 14200 202849 4233496 300600 5088102 1263244 219710 4233496 1000000 300600 14200
Poultry and Eggs
Dairy Products
Dairy Feed
Compost
Misc Food Supplies

Total 7382407 7200 27092 4736945 11100 12856 1555 12119352 18300 27092 12856 1555
CASH SALES Live Stock
Misc Farm Products
Empty Bags
Sundries

Total 7416699 4762456 12179155

Gross Profit Brought Down 7237158 1445242 8682400
5 7237158 1445242 8682400
Investment as of Jan 1st e kk 7jq 8fi
Investment During Year 7704700
Net Profit for YearZ CTm
Total
19030888EXHIBIT Nos 7 AND 8
Comparative Statement Cash Expenditure Years 19251926
DESCRIPTIVE Amount 1925 Amount 1926 Increase Decrease PerCapita Per Diem
General Administration Wages and Labor 5891567 32832357 34456055 6818679 4761989 4656237 3735773 1106150 228962 1984586 2693765 6035482 105201602 6265642 35753934 35041121 7511866 4005634 4673831 5595717 944682 285991 2127147 2485807 7284590 374075 2921577 585066 693187 17594 1859944 57029 142561 1249109 756355 161468 207958 1311 7479 7328 1572 838 973 1170 198 59 445 519 1524 00352 2049
Pood Supplies 2010
Clothing and Dry Goods Furniture and Bedding FuelCoal and Coke Maintenance of Plant Medical Supplies Stationery and Postage 0432 0232 0266 0324 0055 0002 0122
Dairy 0143
Incidentals Contingencies 0428
111975962 7900142 1125781 23416 06415
STATEMENT OF OPERATING FUNDS
December 31st 1926
Cash and Cash Items
Cash Deficit at End of Year
54 15194
I 29916208406814
Due Special and Maintenance Funds2436376
DEMAND OBLIGATIONS
Accounts payable 2278302
Salaries and Wages3692136 5970438
a
H
o
o
w

H
H
w

H

ii
d
Total
8406814
Total8406814
100
EIGHTYTHIRD ANNUAL REPORT
EXHIBIT No 9
Comparative Statement Per Capita and Per Diem Cost
Years 19251926
Explanatory 1925 1906
Total Cash Expenditure105201612 111975962
Per Capita Cost 22914 23416
Per Diem Cost J2JZ 6415
Average Number Patients 4591 4782
Increase Over 1925 191GEORGIA STATE SANITARIUM
101
SCHEDULE No 1
Accounts Payable as of December 31st 1926
NAME Debits
Allen Bona Inc 858
American Bakeries Co
American District Steam Co 751
Am LaFrance Tire Engine Co
American Railway Express Co
Armour Co
Atlanta Blank Book Mfg Co
Atlantic Broom Supply Co 2039
Atlanta Dental Mtg Co
Babcock Wilcox Mfg Co
Barrett The Co 1950
Beck Gregg Hdw Co
Bell Dry Goods Co
Bell Grocery Co
Bensons Bakery
Bernd Co G
Block Company Erank E
Bothwell Webb Co
Brantley John T
BrightBrooks Lumber Co 7208
Brown Co D W
Brown Shoe Company 206
Callaways Dept Stores
Carr Company A J
Carter Electric Company
Carter White Lead Company 3263
Central of Ga Railway Co
Chicago White Lead Oil Co 538
Clark R E
Coleman Meadows Pate Drug Company
Columbus EnquirerSun
Collins W H
Conn O M Agent 200
Conklin Tin Plate Metal Co
Crane Company
Cudahy Packing Co 43
Culver Kidd Drug Co
Dean Col H H
Dunlap Hardware Co 182
Estes Surgical Supply Co
Ennis J H
Evans W C
Eay Eagan Co J A
Fisher Scientific Company
Eowler Elemister Coal Co
Eraleys Pharmacy
Frederick Disinfectant Co 3750
Gambrell P H
Georgia Railway Company
General Electric Company 211
Ga Carolina Oil Company
Gilham Electric Co
Credits
1400
650000
3160
288998
496
3277
183
2700
19792
53605
5200
6871
2160
1050
1250
900
7255
26020
2726
41852
17500
2658
600
14961
17245
12378
300
2500
267
86972
74800
779
5630
79055
65
1250
284
1547
402156102
EIGHTYTHIRD ANNUAL REPORT
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1926
NAME
Gilman J M Debits
Gilman W P
Graves Turner Mfg Company
Graybar Electric Company
Gulf Refining Company
games Jones Cadbury Co M
Hall Dr T M L62
Halliburton Company T H
Happ Brothers Co
garriman Brothers BroomCora 2M
Hatcher Hdw Company
Herf Frerich Chemical Co7i m
J I Halcomb Mfg Co 20000
Ivan Allen Marshall Co
Irwin J D
Ivey O E
Ivey W H
Jaques Tinsley Co
Jefferson Distilling Denaturing
Lee N Jordan
Kewanee Boiler Co I
Lester Book Sta Co
Lmdsey E E
Lombard Iron Wks SupCo 70
Long O C
Lowe Electric Co H E 1659
McArdle Walsh
McKinley G C 5256
MeKennon Motor Co I
Maconi Blue Print Company 3ae0
Malt Diastase Company
Mathieson Alkali Works I
iihiws Gas Machine Co 1010
Milledgeville Lighting Co 1212
Mi edgeville Products Co
Milledgeville Tel TeleeranlTrvT
Miller Rubber Company P
Mines Safety Appliance Co 598
Montgomery W H
National Biscuit Company
Newell A C
New Orleans Broom Mfg Co 1724
Newton Brother C E
Oconee Brick Tile Co
Peeler Hdw Company
Pierce Butler Pierce
Albert Pick Co 06
Poland Soap Works
Prior Co W F
Rawlings Dr William ril
Bay Lyon Company 1250
Regal Equip Co
468
Credits
2293
9915
20000
560
100
3750
14785
19992
25453
217
240
8820
15165
32652
141795
600
125
1170
9900
7245
180
78720
150
3868
2274
142056
33000
3937
2175
10850
4101
50
15450
5625
3478
12888
21000
1500
2400GEORGIA STATE SANITARIUM
103
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1926
NAME Det1s
BicWil Companyr 3314
Rich Brothers M
Richmond Dry Goods Co 265
Ridley Yates Company 180
Riley Drug Co J B
Richardson Mill Co O N
Robinson Company A M
Rosin Turpentine Export Co 5408
Rossville Company 600
David Rothschild Company 144
Samuel Bloom Broom Sup Co
Schlesinger Co Harry L
Schoflelds Sons J S
Scribners Chas Sons
Schwartz Paul 755
Selig Company 1000
SherwinWilliams Company 581
Smith L D
Smith R G
Solomon Company 19
Southern Belting Company
Standard Oil Company
Standard Extinguisher Co 158
Stovall Daniel Co 47
Swirt Company
Thomas Company Arthur H
UnionRecorder
Van Range Co John 9550
Vaughan Company
Veal O F
Victor XRay Corporation
Wappler Electric Co
WashburnCrosby Mill Company
Ward J D 8308
West Disinfecting Company 600
West Lumber Company 214
Western Union Tel Co
Westinghouse E Mfg Co
Whitman Co J R 1317
Whitfleld Grocery Company
Wilson Company
Wocher Sons Max 196
Wootten R H 155
Wyeth John Brother 1800
Yates Tabor Company 10670
Total103599
Credits
1595
3328
32430
94
5900
6182
13557
216
140
4200
9233
10200
64305
1046
2750
177
5400
700
644
900
1538
1250
54947
24748
2381901104
EIGHTYTHIRD ANNUAL REPORT
SCHEDULE No 2
Accounts Receivable as of December 31st 1926
NAME Debits
Andrews Eula C o kq
Allen Dr W H 0
Allen W K 25
Anderson J D iVg
Andrews Kate ZZZlilZZl i 77
Austin Jessie Lee o 07
Ashurst Sarah 1A
Beek Bethel
Braddoek Mrs Carrie cnS
Beekum Luoile Vn
Brantley Mary Leon aoi
Brantley C C Z
Blaekwell A N H
Bivins Mrs Homer YX
Bostwiek Dr W A Ww
Bowen Dr U S
Bradford Dr R W cc
Bell Minnie S
Brooks Mary fX
Bailey R E 425
Bloodworth J G IX
Brookins E ov
Coxwell Mrs T B Jl
Cole G C
Collins N A
Grooms R H Ai
Coats Margaret I S
Cooper Marie
cox Dr c g tS
Collins A J
Champion R L i
Durden D G
Durden Paul
Davis John
DeSaussure T H oSV
Dillard Minnie SSi
Dance Maggie f
Dunn L A 5
Davis J R
Echols Dr G L A
Epps R S li
Edwards B D
Ennis O M fnn
Fowler Dr A H H
Earrell Rena 05
Gilman E G YGEORGIA STATE SANITARIUM
105
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1926
NAME Debits
Gilman H E
Oilman J M
Gilman W E
Gladin B M
Gilbert Sarah gJ
Garrard Dr J I f
Green Dr George H W
Grantling Theodore
Gore J I Sr
Giles Liler
Happoldt Nellie
Harper Bertha 0
Herringdine Gussie
Head Eunice iu
Hudson Charles
Hollis Tom
Humphrey Otis l
Hawkins A J gV
Huff Robert
Holmes Louise jJg
Hitchcock Jose J
Hardy Lula f
Happoldt Mildred l
Harris E L 5
Harrison W S
Hattaway G W
Horton O D
Johnson Eugene 66
Jones H S 40
Jackson Lizzie J
Jackson Essie
Jones Annie 5
Johnson J C 6f
Josey J E f
Kemp Lucile 6
Kenny Dr C B J
Layfleld Lollie l
Lindsey E E 3d
Leonard Lila
Layfleld B L
Leonard E A yi
Lawson E L
Landrum Willie
Longino Dr L P 4Ud
Louther Bessie li
Lavender C B 55106
EIGHTYTHIRD ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1926
NAME Debits
MeCullar Lillian 9J
McKinley A C onn
McDade W C
Mason Fannie 0
Milines Lillian taa
McClain Carrie jn
Mobley Dr J W JJjS
Moses Ben zz2
Moore Lula Li
Martin Trudie Z
Morlock Anna Z
Murray Agnes 2XV
McCorkle Gladys j
Pattishall Jewel a
Penuel F C f
Pattishall Paul I 4J2
Polk J B fn
Poss Lucy i
Patterson W EI au
Preston Patsie
Pinkston Daisy fJS
Beid R R hH
Ross J D
Reese Matthew S
Resseau E C S
Rice Alva ll
Ray Scott 358
Rankin Dr D T
Renfroe Minnie o
Swint Dr R C H
Seals Mrs J S lliV
Swann Mary
Stembridge W W 7
Stephenson Dr J T H2
Saye Dr E B I
Seals John L
Simpson Roy
Switzer Alton V
Smith Eva
Speights Mary 5
Switzer A W 1 f
Sparks Wm iXX
Smith J R 50O
Simpson W I
Smith J T 200
Smith Simon 10GEORGIA STATE SANITARIUM
107
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1926
NAME Debits
State Anatomical Board 5000
State Farm Georgia 4650
Turner John 00
Tennille A S
Tennille W K f67
Thompson J M il
Thomas Annie l
Thornton Emma 231
Trawick Addie 414
Taylor R A 5
Thornton Bertha
United States Public Health Service 15069
Usery W J 4o
Vinson J T 40
Veal Louise 484
Veal Lillian 140
Veatch C N 120
Wade Susie
Watson B P C 150
Wright Andrew 245
Wright S E 100
Wright S E Jr 109
Wright D B 45
Walker Dr N P 74
Walker W A 200
Wheeler Dr G A 200
Yarbrough Dr Y H 631
Yarbrough O C 267
Total74805108
EIGHTYTHIRD ANNUAL REPORT
SCHEDULE No 3
ProductionFarm Garden and Dairy
FARM PRODUCTS Value
1000 tons Ensilage 10000 00
71 bus Peas 142001014200
FRUITS AND VEGETABLES
6229 bus Rape 311450
8588 bus Turnips and Greens 858800
262 bus Spinach 39300
3005 hds Lettuce 15025
202 bus Asparagus 60600
905 bus Onions 2 262 50
160 bus Kale so 00
43982 hds Cabbages 4 398 20
1309 bus Snap Beans 2618 00
212 bus English Peas 53000
404 bus Cucumbers 101000
30 gal Strawberries 12 00
31 bus Beets 94500
766 bus Okra 1049 75
2043 bus I Potatoes 408600
1106 bus Squash 276500
254 bus B Beans 76200
396 bus Peanuts 73300
26 bus Pepper 7800
390 bus Egg Plant 117000
3447 bus Sweet Potatoes 3447 00
5290 hds Collards 52900
56139 Cantaloupes 2 806 95
1195 crt Tomatoes 478000
16555 Melons 165550
75661 R Ears I 1576 27
1837 lbs Pecans 734803088102
PACKING HOUSE PRODUCTS
ms ork sS1060395
23316 lbs Dressed Beef 202849
Total 12r63244
DAIRY PRODUCTS
101743 gals Sweet Milk41777 20
262 gals Butter Milk 4715
684 lbs Butter 27360
118 gals Cream 23700
Total 49 00 q
Poultry and Eggs XM0
Compost 500600
Total 520310
Grand Total 12119352EIGHTYFOURTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siaie Sanitarium
MILLEDGEVILLE GA
For the Year Ending
December ThirtyFirst
Nineteen TwentySevenBoard of Trustees
President
John T Brantley Blackshear Ga
VicePresident
H H DeanGainesville Ga
Thos M Hall M DFrom Oct 1927Milledgeville Ga
Secretary
C C BrantleyValdosta Ga
E E LindseyRome Ga
J C JarnaginWarrenton Ga
A C NewellAtlanta Ga
Thos M Hall M DMilledgeville Ga
P H GambrellMacon Ga
Laetus Sanders M DCommerce Ga
Walter C Pitner From Sept 1927Athens Ga
DeceasedCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E E Lindsey Chairman
J C Jarnigan A C Newell
Thos M Hall C C Brantley
Finance and Auditing Committee
A C Newell Chairman
C C Brantley
Committee on Sanitation Medical and Dispensary
Service
Dr Thos M Hall Chairman
Dr Laetus Sanders P H Gambrell
Committee on Buildings and Grounds
H H Dean Chairman
E E Lindsey P H Gambrell
Committee on Farm and Outside Business
J C Jarnagin Chairman
H H Dean Laetus Sanders M D
DeceasedOfficers of the Sanitarium
R C Swint Superintendent and Resident Physician
N P Walker M D Clinical Director
L P Longino M D First Assistant Physician
Y H Yarbrough M D Second Assistant Phsician
J I Garrard M D Assistant Physician
Geo L Echols M D Assistant Physician
D T Rankin M DAssistant Physician
U S Bowen M DAssistant Physician
C G Cox M DAssistant Physician
R W Bradford M D Assistant Physician
W A Bostick M D Assistant Physician
J W Mobley M D Assistant Physician
W F Dobyns M D Junior Assistant Physician
A H Fowler M D Junior Assistant Physician
E B Saye M D Pathologist
J D Wiley M D Interne
G H Green D D S Dentist
J C Adcock D D S Dentist
J J Wooten Pharmacist
Mrs Mae M Jones R N Superintendent of Nurses
Otto M ConnTreasurer
Homer Bivins Steward
T H DeSaussure Engineer
W S Jett Jr Assistant Engineer
F C Penuel Farm Steward
H S Jones Secretary
Arthur FarellStorekeeper
W W Stembridge Sanitation Officer
Rev H D Warnock Chaplain
Leone Frederickson Dietitian
Mrs Geo L Echols From Nov 1st 1927 Dietitian
Cecil Humphrey From Nov 1st 1927 Social WorkerEightyFourth Annual Report
OF THE
Board of Trustees of the Georgia State Sanitarium
MlLLEDGEVlLLE GA JANUARY 1 1928
To His Excellency Lamartine G Hardman Governor
Sir
The annual report required by law to be made by
the Board of Trustees of the Georgia State Sanitarium
of the conduct and management of this institution is re
spectfully submitted herewith It covers the year ended
December 31 1927 and is the eightyfourth report to be
so made Its principal feature is the annual report to
the Board of the Superintendent and Resident Physician
in which is included like reports to him from the heads
of departments the whole setting out the work of the
year in substantial detail For the excellent showing
made due credit goes to this officer and his assistants
With a clear vision of the Sanitarium as it might be he
presses on with modest courage and calm judgment to
the conversion of his vision into terms of fact in which
effort he has the loyal support of each member of the
medical and business staffs This fine spirit is reflected
in the service rendered by nurses and attendants as well
as by other employes In this forward movement
the Board assumes its full share seeking by all means
in its power to make the Sanitarium a real sanctuary for
the insane The State has just cause for pride in this great
hospital
The year closed with a resident population of 4936
which is an increase of 83 over the preceding year The
daily average of 4931 shows a gain of 149 patients Ap
plications for admission reached a total of 1503 and of
these 1221 were admitted Because of the congested
condition of the Sanitarium admission was necessarily
denied to all cases deemed incurable and harmless but
every effort was made to receive recent and acute cases
and cases certified as dangerousEIGHTYFOURTH ANNUAL REPORT
Medical Department
The Board calls attention to the hopeful note found
in the report from the medical department which under
the leadership of the Clinical Director is slowly but
steadily growing in usefulness Evidences of good team
work are abundant Through personal instruction and
by means of informing bulletins issued monthly faith
ful effort is made to give nurses and attendants a clear
conception of the nature of their work and its import
ance to the patients in their care Through the intelli
gent and personal interest thus created much good has
been accomplished especially with excited and untidy
patients A new beginning in behalf of epileptic patients
will be noted The rate of recovery shows an increase
while the death rate has been lowered The pathological
laboratory plays its useful part as twelve thousand ex
aminations in the year attests The daily clinics indi
cate the thoroughness of the effort made to reach a correct
diagnosis and determine proper treatment for each of the
new admissions
The training school for nurses reflects increasing
credit on the Superintendent of Nurses by whom it is
conducted and continues to amply justify its existance
Apart from the marked betterment of the nursing service
for which it takes credit it attracts to the Sanitarium an
ample supply of higher grade applicants for training No
investment in recent years is paying such large dividends
in bettered and happier service as is the nurses home
The Board hopes the time is not far distant when some
like provision can be made for the attendants
The mental clinics conducted by members of the
medical staff at Macon and Elberton and the success
which has attended them point to a field of usefulness
which the Sanitarium should be permitted to fully de
velop It should also be permitted to give its discharged
patients some after care for which trained field agents
will be needed
Business Department
The current cash resources of the Sanitarium at the
close of the year were 5547052 and its cash liabilities
8492797 making an apparent cash deficit of 3245745
A partial offset to this is had in the purchase by theGEORGIA STATE SANITARIUM
Board of an improved automatic hook and ladder truck
with which to better safeguard the lives of the inmates
and of 32263 acres of additional pasturage land The
cost of these two items was 1643616 and is properly
charged to equipment account The total cash expen
ditures were 110733422 a decrease of 1242540 from
the expenditures in 1926 The per capita cost was
22457 a decrease of 959 from the cost last year The
per diem per capita cost was but 06152 This is a
gratifying showing and evidences the good work of the
business department
The farm gardens and dairy were so handled as to
make their usual substantial contribution to the support
of the Sanitarium The dairy sustained a heavy loss in
the necessary disposal of a large number of its best milch
cows because of tubercular infection Their replacement
will be undertaken only after a thorough disinfection has
been had and will be a matter of heavy expense
Engineering Department
The upkeep of the great physical plant is the duty
of the Engineers department and his report shows a
busy year The long and highly useful service ren
dered by this official is eloquent testimony to his worth
The addition to the water works made possible by
special appropriation had by the last General Assembly
will be done with Sanitarium labor under his capable
supervision The pipe for the duplicate water main has
been bought at an advantageous price and is now being
delivered The completion of this important work will
safeguard the water supply for years to come
New Buildings
The special appropriation of 50000000 had by
the last General Assembly will afford the Sanatarium
some measure of relief and its wise expenditure is now
receiving the careful study of the Board Plans have
already been adopted for a domitory building for negro
patients and bids are being solicited for its construction
It will be completed and occupied as quickly as possible
This building together with the proposed enlargement
of the colony farm will care for the present needs of this
department The second building to be errected willEIGHTYFOURTH ANNUAL REPORT
be used for a psychopathic and general hospital Its
use will permit the gathering under one roof of recent
and acute cases for closer observation and better atten
tion The physically ill will also be housed in this build
ing Good results are confidently expected to follow this
long needed addition to the equipment of the Sanitarium
In Conclusion
The Board makes grateful acknowledgement of the
generous treatment accorded the Sanitarium joy the
General Assembly and also of the continued courtesy of
the State Auditor A like acknowledgement is made to
his Excellency for the strong and interested support
given it in the discharge of its responsible duties If its
acts therein shall merit his approval it will be sufficiently
rewarded The helpful interest shown by the press in
the problems crowding upon it for solution is warmly
appreciated and now publicly acknowledged
By order of the Board
John T Brantley
President
C C
Brantley
SecretaryGEORGIA STATE SANITARIUM
Report of Superintendent
MlLLEDGEVILLE GA JANUARY 1 1928
The Hon Board of Trustees
Georgia State Sanitarium
Milledgeville Ga
Gentlemen
In accordance with your rules and statutory require
ments I respectfully submit the eightyfourth annual
report of the Georgia State Sanitarium for the fiscal year
ending December 31st 1927
This report composes the reports of the heads of
departments each giving a general review of the activi
ties of the institution throughout the year and are ap
pended hereto as follows
The Clinical Director
The Pathologist
The Dental Department
The Superintendent of Nurses
The Pharmacist
The Engineer
The Farm Steward
The Treasurer
The Steward
Table of General Information
1 Date of opening as an institution for
the insane Oct 12 1842
2 Type of institutionState
3 Hospital plant
Real estate including buildings188575000
Personal property 35045200
Total 223620200
Total acreage of hospital property owned 3772
Includes grounds occupied by buildings
farm and garden sites
Total acreage under cultivation previous year 150010
EIGHTYFOURTH ANNUAL REPORT
4 Officers and employes actually in service at the
end of the year
Males Females Total
Superintendent 10 1
Clinical Directors 10 1
Pathologist 10 1
Assistant Physicians 12 0 12
Medical Internes 2 0 2
Clinical Assistants 0 0 0
Resident Dentist 2 0 2
Steward 10 1
Graduate Nurses 1 13 14
Other nurses and attendants220 300 520
All other officers and employes186 7 193
Total Officers and employes427 320 747
General Statistics of Patient Population for the Year 1927
Patients on books first day of
year Male Female Total
Actual resident population 2189 2659 4848
On parole or otherwise absent
but still on books 323 323 646
Total 2512 2982 5492
Admitted during year Male Female Total
First admissions 501 466 967
Readmissions 119 135 254
Total received during the year 620 601 1221
Total on books during the year 3132 3583 6715
Discharged during the year Male Female Total
As Recovered 75 89 164
As improved 134 150 284
As unimproved 62 45 107
As without psychosis 8 6 14
Total discharged during the year 279 290 569
Total died during the year 236 198 434
Total discharged and died during
the year 515 488 1003GEORGIA STATE SANITARIUM
11
Patients on books last day of year
Actual resident population2248 2688 4936
On parole or otherwise absent 373 403 776
Total 2621 3091 5712
Average daily resident population
during the year 4931
During the year we received 1503 applications for ad
mission Of this number 1353 were notified that we
would receive them and 150 were refused on account of
the greatly overcrowded condition of the institution The
150 applications for admission that were refused ac
cording to their application histories were composed of
harmless seniles bedridden invalids and feebleminded
persons who were incurable and it seemed might be suc
cessfully cared for outside of the Sanitarium with some
extra attention
We hope by the end of another year to have com
pleted at least one of the buildings we plan for relief of
the Sanitariums overcrowded condition
The total first admissions during the year were 967
an increase of 13 over the previous year There were
254 readmissions compared to 228 the previous year or
an increase of 28 The total admissions during the year
were 1221 compared to 1180 the previous year an in
crease of 31
The term first admissions applies to those cases
that have never before been admitted to a hospital for
mental diseases for treatment Therefore the number
of cases in this group represents the new cases of mental
disease occurring within the State during the year with
the exception noted below
Readmissions comprises the group of cases who
have previously received treatment in a mental hospital
either state or private Not all of this group have had
previous admissions to this institution
321 of the total admissions during the year
were diagnostically grouped as manic depressive psy
choses Dementia praecox psychoses composed the next
largest grouping viz174 of the total admissions
Psychoses with cerebral arteriosclerosis composed the
third largest grouping or 96 of the total admissions12
EIGHTYFOURTH ANNUAL REPORT
It might be of interest to note that 324 Jo of the
total admissions were afflicted with organic or degene
rative psychoses and were incurable This does not in
clude the group of cases diagnosed as dementia praecox
psychoses It also should be of interest to note that of
the total admissions only 23 were diagnosed as alcoholic
psychoses and 9 as psychoses due to drugs compared to 17
and 24 respectively for the previous year It should be of
further interest to note that of 1225 routine blood wasser
mann tests on new admissions 117 or 95 were positive
according to race and sex as followsWhite females
28 white males 63 colored females 169 and col
ored males 188 A total average of 95
Also of the 117 positive blood wassermann reac
tions 83 or 709 had positive wassermann reaction of
the spinal fluid and other serological indications of neu
rosyphilis Of the 83 neurosyphilitic cases 6 were white
females 26 white males 15 colored females and 36 col
ored males A more detailed analysis of these findings
will be found in the report of the Pathologist
1100 of the 1221 patients admitted during the year
were native Georgians 113 were born in other States
of the United States and only 8 were foreign born Ad
missions were received from 156 Counties of the State
217 of the admissions were farmers 120 were laborers
263 housekeepers 20 cooks 20 textile workers 12 had
professions and 355 had no occupations according to ad
mission histories The occupations of the remainder
were varied and among the group were 13 students
A total of 569 patients were discharged during the
year Of this number 164 were restored 284 improved
108 unimproved and 14 not insane This group of cases
except the not insane had previously been furloughed
into the custody of their relatives and had remained out
of the Sanitarium over twelve months
During the year 974 patients were furloughed Of
this group 197 were restored 571 improved and 206
unimproved although we considered them harmless in
the custody of their relatives On account of the greatly
overcrowded condition of the Sanitarium we were rather
liberal in granting furloughs during the year to certain
chronic unimproved cases in order to make room forGEORGIA STATE SANITARIUM
13
more urgent acute cases who were applying for admis
sion and this in a measure is responsible for the in
crease in the number of patients furloughed but at the
same time an analysis of the records show that 628
of cases furloughed were restored or improved com
pared to 519 for the similar group the previous year
Therefore we feel gratified that results indicate due
credit should be given the medical and nursing service
rendered especially when the Sanitariums greatly over
crowded condition is considered
The following notation on psychiatric diagnostic
grouping with recorded mental condition of patients fur
loughed should be of interest
Traumatic psychosesimproved 1
Senile psychosisimproved 5
Senile psychosisunimproved 1
Psychoses with cerebral arteriosclerosisrestored 2
Psychoses with cerebral arteriosclerosisimproved 25
General paralysis of the insaneimproved 18
General paralysis of the insaneunimproved 3
Psychoses with cerebral syphilisrestored 2
Psychoses with cerebral syphilisimproved 4
Psychoses with Huntingtons Choreaunimproved 2
Psychoses with other brain and nervous disease
improved 5
Psychoses with other brain and nervous disease
unimproved 11
Psychoses due to alcoholrestored 15
Psychoses due to alcoholimproved 8
Psychoses due to drugsrestored 13
Psychoses due to drugsimproved 2
Psychoses with pellagrarestored 11
Psychoses with pellagraimproved 8
Psychoses with pellagraunimproved 1
Psychoses with other somatic diseaserestored 3
Psychoses with other somatic diseaseimproved 8
Psychoses with other somatic diseaseunimproved 1
Manic depressive psychosesrestored Ill
Manic depressive psychosesimproved 237
Manic depressive psychosesunimproved 38
Dementia praecox psychosesrestored 5
Dementia praecox psychosjesimproved 136
Dementia praecox psychosesunimproved 52
Paranoid conditionimproved 114
EIGHTYFOURTH ANNUAL REPORT
Psychoses with epilepsyunimproved 22
Psychoses with epilepsyimproved 12
Psychoneurosesrestored 4
Psychoneurosesimproved 14
Psychoneurosesunimproved 4
Psychoses with psychopathic personality
episodes restd 4
Psychoses with psychopathic personality
episodesimproved 8
Psychoses with psychopathic personality
episodesunimproved 3
Psychoses with mental deficiency episodes
restored 5
Psychoses with mental deficiency episodes
improved 32
Psychoses with mental deficiency episodes
unimproved 28
Unclassified grouprestored 22
Unclassified groupimproved 57
Unclassified groupunimproved 23
Just here it might be well to state that on account
of inadequate information concerning onset of mental
disorder and absence of definite and distinctive symp
toms for grouping under one of the previous groups men
tioned above certain patients are left unclassified at
least temporarily until further observation and progress
of the case
There were 434 deaths during the year an increase
of 2 compared to the previous year but the death rate
was 71 compared to 74 for the previous year based
on the total number of patients under treatment
Medical Service
The report of the Clinical Director gives a general
review of the medical service for the year also statisti
cal tables containing data concerning diagnostic group
ing of admissions also ages degree of education envir
onment civil condition etc of first admissions A sta
tistical study of first admissions gives important infor
mation bearing on the social and economic problems con
cerning the genesis of mental diseases
It might be of interest to note that the Sanitarium
has six reception wards for reception of all new admisGEORGIA STATE SANITARIUM
15
sions viztwo for white females two for white males
one for colored females and one for colored males When
patients are first admitted to the institution they are
received in one of these wards where they are kept un
der close observation and a physical and mental examina
tion is made of them When this examination is com
pletely written and an abstract or summary of it made
the patient is presented before the Medical Staff for re
view and discussion This requires daily Staff meetings
except on Sundays Also many cases are brought before
the Staff for discharge consideration
During the year a group of epileptics were segregat
ed for Ketogenic treatment by administration of a fat
diet This treatment is being continued and results
noted but we have not yet reached any conclusion as to
its merit also we continued the research treatment of
general paralysis of the insane by the intravenous ad
ministration of typhoid vaccine The results obtained
warrant a continued study of this method of treatment
and our experience would indicate its merit equal to or
superior to the malarial treatment of this fatal disease
No epidemic diseases of any consequence developed
among the patients during the year
Dr G A Wheeler of the United States Public Health
Service under the direction of Dr Joseph Goldberger of
Washington D C continued their research study of pel
lagra This study dealt largely with the prevention of
the disease through the use of certain food supplements
to the basic diet and the application of this as well as
previously acquired information to the routine care and
treatment of active cases It was shown that 1200 C C
per day of expressed juice of canned tomatoes used as a
supplement to routine diet will prevent a recurrence
among pellagrins Also 150 grams about 5 ounces of
commercial wheat germ when used as a supplement and
served as a cooked cereal will successfully prevent recur
rences These workers have published their findings
ana have recommended that tomatoes and whole wheat
flour be included in the dietary of those living in sec
tions where pellagra seems endemic
Some changes occurred in the Medical Staff during
the year Internes Drs J T Stephenson and C B Kin
ney resigned to enter general practice and Drs W E16 EIGHTYFOURTH ANNUAL REPORT
Brigman and J D Wiley were secured to fill their vacan
cies Drs W F Dobyns and A H Fowler were pro
moted from Internes to Junior Assistant Physicians and
Dr W A Bostick was promoted from Junior Assistant
Physician to Assistant Physician During the early part
of the year we secured the services of Miss Leona C
Frederickson of the United States Marine Hospital Bal
timore Md as dietian and Mrs G L Echols was elect
ed an additional dietitian in October Also beginning
September 1st the services of Miss Cecile Humphrey
was secured as psychiatric social worker
The Training School for Nurses under the direc
tion of Mrs Mae M Jones was kept at its usual stand
ard of excellence and her report gives a review of its
activities curriculum etc
The Sanitariums extra mural activities were limited
to the Macon and Elberton psychiatric clinics and a re
port of them is incorporated in the Clinical Directors
report Plans have been made to allow a member of our
Staff make regular visits to the Boys Training School
also we have under consideration the establishment of
Clinics at Columbus and Savannah Ga
The work of the Dental Department was done by
Drs Geo H Green and J C Adcock as previously All
new admissions had their mouths examined soon after
admission and immediate steps taken to put them in a
hygenic condition The report of these Dentists gives
a tabulation of the amount and character of work done
in this department
Amusements aud Diversions
Realizing from past experience that Occupational
Therapy was a valuable aid in the treatment of mental
disease we endeavored during the year to interest new
admissions as soon after admission as practicable by
sending them daily to Occupational Therapy classes We
expanded this activity in white female department by fix
ing up one of the day porticos between the 18th and 22nd
wards so that some of the more chronic type of cases
could be reached Also wood work shop was completed
at white male occupation park and equipped with mod
ern electrical machineryGEORGIA STATE SANITARIUM
17
The weekly dances in the amusement hall seem to
be greatly enjoyed by the patients also the moving pic
ture shows
We now have a fireproof room for our moving pic
ture machine built of brick and cement on the outside
of the west wall of amusement hall
The Sanitariujm Band gave concerts on the lawns
triweekly During the summer barbecues were given
the various working groups and during the Christmas
season Christmas trees were held and presents were
put on the trees for each patient of the groups repre
sented and delivered to them after an amusement pro
gram was completed with each tree
Religious services were held each Sunday afternoon
in the chapel by the Chaplain Rev H D Warnock Pas
tor First Baptist Church Milledgeville Ga until No
vember 1st and from that date by Rev J F Yarbrough
pastor First Methodist Church Milledgeville Ga They
also conducted funerals of remains of white patients in
terred in the Sanitarium cemetery
Improvements and Repairs
The report of the Engineer gives a detailed review
of the principal improvements and repairs made during
the year
The purchase of an American Lafranc Aerial Lad
der Truck during the latter part of the year gave us
quite an addition to our fire department
A badly needed addition of three rooms to the labora
tory is under construction and will soon be completed
More than ten thousand square feet of new flooring
have been laid on the wards during the year and consid
erably more repairs are needed that we hope to have
accomplished the coming year
Reconditioning of buildings at dry dairy for stables
is well under way and plans for removal of work shop
from back yard of Powell Building have been made
The completion of pasteurizing room adjoining the
cold storage plant and the installation of a three hun
dred gallon milk pasteurizer therein gave us a very use
ful equipment18 EIGHTYFOURTH ANNUAL REPORT
Business Department
The report of the Steward gives a detailed account
of receipts and disbursements of monies during the year
The total amount expended including every item of cost
for maintenance and upkeep of the institution was
110733422 compared to 111975962 the previous year
The annualper capita cost was 22457 daily per
capita cost 6153 cents compared to 23416 and 6415
cents respectively The above figures bespeak economy
in financial matters thoughout the year
Farm Stewards Department
The Farm Stewards report gives a tabulation of
vegetables and other products raised on the farm gar
den dairy and poultry yard during the year
The Colony farm made a fine crop of corn and peas
the largest harvest of corn ever made there We were
taxed for storage space We also had an abundant har
vest of sweet potatoes We had the misfortune how
ever to lose many of our best dairy cows from tubercular
infection also many hogs from swine plague and cholera
although they had received preventive inoculations
against cholera by representative from State Veterinar
ians office
Notable Events During the Year
April 20th and 21st
The Sanitarium was visited by Governor elect Dr
L G Hardman
August 25th
The Sanitarium was visited by the Georgia Weekly
Press Association and they were given a barbecue
at the white male occupation park
October 19th and 20th
The Sanitarium was visited by His Excellency Gov
ernor L G Hardman and Mrs HardmanGEORGIA STATE SANITARIUM
19
Conclusion
In conclusion I wish to express my cordial appre
ciation to the many friends of the institution for their
words of encouragement and thoughtful donations to pa
tients To your Honorable Body I wish to extend my
thanks for the cordial support you gave me and the con
stant interest you have devoted to the welfare of the in
stitution and to the Medical Staff other officers and em
ployes I wish to extend my grateful acknowledgement
for their loyal cooperation and faithfulness in the per
formance of their duties without which the successful
results of the year could not have been obtained
Respectfully submitted
R C Swint
Superintendent Etc
20
EIGHTYFOURTH ANNUAL REPORT
Report of Medical Department
January 1 1928
Dr R C Swint
Superintendent
Dear Sir
The following pages contain the report of the Medi
cal Department for the year 1927
Twelve hundred and twentyone 1221 patients
were received Of these nine hundred and sixtyfive
965 were first admissions and two hundred and fifty
six 256 were readmissions Of the latter sixtyseven
67 were first admitted to private hospitals or other
state institutions
In eleven 11 instances a diagnosis of not insane
was made Two of these were placed in psychopathic
group one was mentally deficient one was an alcoholic
one a drug habitue one epileptic and three were crimi
nals The remaining two could not be classified as in
sane for lack of symptoms
In the case of ten patients criminal acts appeared to
have been the immediate cause of commitment Three
of these were found to be not insane two were classified
as manic depressive one as psychosis with epilepsy and
four were left unclassified Of the last group one patient
charged with homicide was in the last stage of tubercu
losis when received and died seven days after admission
one was feeble minded and the remaining two belonged
to the psychopathic group
The criminal charges were as follows
Stealing 4
Forgery 3
Homicide 2
Felony not specified 1
Seven of these ten patients were sent by order of
the courtGEORGIA STATE SANITARIUM
21
Nine hundred and eightyeight 988 patients left
the institution on furlough This does not include a
number of patients who had their furloughs renewed or
who were returned a short while after escaping Of
these furloughs seven hundred and sixtyeight 768 had
been restored or had improved This gave a recovery
rate of 628 as against 511 for 1926 and 57 for
1925
There were four hundred and thirtyfour 434
deaths during the year The death rate was 68 as
against 74 for 1926 and 7 for 1925 Arteriosclero
sis or cerebral hemorrhage was the assigned cause of
death in one hundred and nine 109 instances This
constituted 25 of the deaths As a cause of death pare
sis was second with fiftynine 59 and tuberculosis third
with fiftyeight 58 Five patients committed suicide
all by strangulation This is unusual Three patients
who were extremely sick with typhoid at time of admis
sion died of that disease One patient died of hook worm
disease twentytwo 22 days after admission One
hundred and fiftythree 153 patients died within six
months after they were admitted Fiftyfour 54 of
these died within one month of the date of admission
All patients with the exception of the sick and feeble
were vaccinated against typhoid fever
During the year fortythree 43 patients suffering
from paresis were treated by the use of foreign protein
typhoid vaccine In addition the treatment was be
gun but not completed in six other cases It is not yet
possible to determine the value of this form of treatment
as insufficient time has elapsed These were not selected
cases except for the fact that in two or three instances the
patients were so feeble that it was not thought wise to
subject them to treatment It seems probable that much
better results will be had with white than with colored
patients Very satisfactory results were obtained in fif
teen cases treated in 1926 by the same method It has
been remarked before that paresis among the colored
males is either much more rapidly fatal than it is among
white males or else the disease in the colored patients is
much further advanced when they are received
In the latter nine months of the year some epileptics
were treated by dietary means but no results of conse
quence have been noted up to this time
22
EIGHTYFOURTH ANNUAL REPORT
Personal contact with patients has been emphasized
as a means of treatment and no doubt this has played a
part in such success as has come to the Medical Service
The influence of special attention to excited and untidy
patients has been as evident as in former years
Details of the work done in the laboratory will be
found in the report of the pathologist The fact that
more than twelve thousand 12000 examinations were
made in the laboratory indicates the amount of work
done in that department The laboratory is an indispens
able part of the Medical Service
The training school for nurses has as in former
years continued to fulfill its place of usefulness in the
institution Its graduates are filling many positions of
responsibility with credit to themselves and to the insti
tution
The Macon Clinic was held each Friday afternoon
with exception of one afternoon when offices were closed
on account of legal holiday A total of one hundred and
sixtythree 163 patients paid five hundred and four
504 calls at the headquarters Telephone calls to the
number of one hundred and fiftyseven 157 were re
ceived from or concerning patients The popularity of
this work has gradually gained since its inception eight
years ago
The monthly school clinic held at Elberton has also
been productive of good and has attracted some atten
tion A total of one hundred and eightynine 189 visits
were paid to this clinic In addition to this the attend
ing physician received a number of calls in the vicinity
in regard to frank psychoses in adults These two ex
tramural clinics bring us into contact with only a very
small portion of the states population but serve as in
dicators of what might be accomplished
Miss Cecile Humphrey B S Health began work
September first as Social Worker Up to the present
her time has been spent on the wards where she is ac
auirinc n first hand knowledge of abnormal psychology
and etiology of mental diseases She has also been ac
tive in directing plays games and other forms of inter
tainment Miss Humphrey is well qualified for her
work by reason of native ability and disposition and byGEORGIA STATE SANITARIUM
23
reasons of studies in physical education educational psy
chology and mental hygiene social policy in education
mental tests and measures and vocational guidance We
are in much need of work in these lines
Some needed improvements in the Medical Depart
ment have been recommended from time to time in
monthly reports and are a matter of record
Due acknowledgement is here made to all who have
assisted in the Medical work
The customary tabulations follow
Respectfully submitted
N P Walker
Clinical Director24
EIGHTYFOURTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1927
Psychosis
Traumatic
Senile
With cerebral arteriosclezosis
General paralysis of the insane
With cerebral syphilis
With Huntingdons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psychosis
Constitutional psychopathic inferiority
no psychosis
Alcoholism no psychosis
Drug habitue no psychosis
Epilepsy no psychosis
TOTAL 396 369 224 232 1221
White
M U
2
4
bj
24
2
0
0
8
IS
5
8
5
109
63
0
24
7
7
28
16
2
2
2
1
0
0
Colored
M I f I Total
2
15
15
0
0
0
0
0
0
0 1 0
15 1 8
13 36 10
5 33 13
1 0 2
1 0 0
1 1 0
6 1 1
1 3 1
4 0 0
14 1 4
5 0 4
126 79 79
74 16 60
0 0 0
18 20 6
11 0 0
3
28
118
75
5
1
2
16
23
9
27
14
393
213
0
68
16
C I 13
7 67
35 I 116
II 5
0 I 2GEORGIA STATE SANITARIUM
25
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1927
Psychosis
Traumatic
Senile
with cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chores
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psychosis
Constitutional psychopathic inferiority
no psychosis
Alcoholism no psychosis
Drug habitue no psychosis
Epilepsy no psychosis
TOTAL 305 264
White Colored
M F M F Total
1 0 1 0 2
4 15 1 7 27
53 12 35 9 109
23 5 32 13 73
1 1 0 1 3
0 1 0 0 1
0 1 1 0 2
7 6 1 1 15
12 1 2 1 16
2 2 0 0 4
8 14 1 4 27
5 4 0 4 13
74 72 64 62 272
43 44 10 53 150
0 0 0 0 0
20 14 20 5 59
6 9 0 0 15
5 4 2 0 11
22 14 12 6 54
13 42 14 32 101
2 2 0 1 5
1 0 0 0 1
2 0 0 0 2
1 0 0 0 1
0 1 0 0 1
0 0 0 1 1
305 264 196 200 965
26
EIGHTYFOURTH ANNUAL REPORT
TABLE III
Diagnostic Grouping of Readmissions During the Year 1927
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psychosis
TOTAL
White Colored
M IF M F
1 0 0 0
0 0 0 1
6 1 1 1
1 0 1 0
1 0 0 1
0 0 0 0
0 0 0 0
1 0 0 0
6 0 1 0
3 2 0 0
0 0 0 0
0 1 0 0
35 54 15 17
20 30 6 7
0 0 0 0
4 4 0 1
1 2 0 0
2 0 0 0
6 3 3 1
3 8 1 3
0 0 0 0
1 0 0 0
91 105 28 32
Total
1
1
9
2
2
0
0
1
7
5
0
1
121
63
0
9
3
2
13
15
0
1
256TABLE IV
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year 1927
WHITE
i
COLORED
Male
female
Male
R I U
SR
I lU
Rl I IUIS Rl I
Female
U
Total
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoid or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug addict no psychosis
Alcoholism no psychosis
Epilepsy no psychosis
Mental deficiency no psychosis
Constitutional psychopathic inferiority no psychosis
TOTAL
0 1 0
0 31 0
0 16 9
35 67
2 46
0
0
0
3
1
11
01
01
01
01
01
01
13141
141 5
01 0
01 0
01 0
01 0
0 0
0 0
801209164
0
0
1
0
n
0
0
0
1
4
2
1
43
0
0
0
4
1
3
5
0
0
01
01
01
0
01 0
01 0
0 0
0 0
01 5
141
0
0
0
0
0
0
0 6
0 01 0
01 0 0
0 01 01
01 01 0
0 01 01
0 0 0
1
01 6
0 0
01 0
0 0
0 0
0 0
0 0
I
9 6618589
0
0
1
2
1
0
0
0
1
0
3
1
46
32
0
3
0
0
5
11
0
0
0
0
0
61 0
0 0
2 0
0 0
0 0
31 0
2 0
01 1
0 0
0 0
01 1
01 1
0 01 0
1
6
43
21
6
2
0
16
23
15
20
12
386
183
1
34
22
15
65
102
6
1
1
1
3
2171132 0149 106120 31 988
O
H
O
W
a
w

H
M
w

H

II
a
11123
EIGHTYFOURTH ANNUAL REPORT
TABLE V
Causes of Deaths of Patients Who Died During the Year 1927
Amoebic dysentery
Arteriosclerosis
White
M I F
Anaemia agranulocytic
Brain tumor
Brain disease organic not specined
Brain concussion of
Carcinoma of orbit
Carcinoma of caecum
Carcinoma of brain
Carcinoma of colon
Carcinoma of ovary
Carcinoma of stomach
Carcinoma of uterus
Cerebral hemorrhage
Cerebral thrombosis
Cardiovascular disease
Cerebral syphilis
Exhaustion from acute mental disease
Endocarditis chronic
Erysipelas
Enteritis acutell
Enteritis chronic
Epilepsy
Encephalitis
Hook worm disease
Intestinal obstruction
Influenza
Myocarditis chronic1111
Nephritis chronic
Osteomyelitis
Peritonitis
Poisoning lye soap1I
Pneumonia lobar
Pneumonia broncho
Paresis
Pellagra
Suicide by strangulation
Septicemia
Tuberculosis pulmonary JJ
Tuberculosis intestinal
Typhoid fever
Tubercular peritonitisZZ1ZZZ
Uremic poisoning
Unknown
Valvular hert disease
0 2
27 I 17
0
0
0
0
1
0
0
0
0
0
0
13
TOTAL
0
0
1
1
1
2
1
11
0
0
1
0
5
4
0
1
0
6
18
13
0
2
2
11
0
0
0
1
2
1
0 I 0
1
0
1
0
0
3
0
6
2
1
3
0
5
0
0
0
0
3
6
2
8
3
0
9
01
3 I
0 I
H
2 1
II
Colored
M F
Total
0
27
0
1
0
1
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
12
1
0
0
1
7
1
0
1
0
5
4
33
0
l
01
12
01
o
11
o
01
0
1
10
1
0
0
0
0
0
0
0
1
0
1
2
1
o
2
8
01
0
4
0
4
1
0
0
0
2
3
1
0
1
2
6
11
6
01
31
24 I
l
II
II
01
71
II
3
81
1
2
3
1
1
1
1
1
1
I 1
2
20
I 1
I 1
2
5
1
1
9
1
33
4
1
4
1
19
8
1
2
1
16
34
59
14
5
5
56
1
4
2
2
11
3
125 97 111 101 434GEORGIA STATE SANITARIUM
29
TABLE VI
Surgical Operations for the Year 1927
Abcess ischiorectol drained
Abcess periurethral drained
Amputation arm
Amputation legI 1
Amputation fingers IZ 3
Amputation hand i
Amputation foot
Appendectomies 3
Carcinoma of intestine laparotomy 1
Cervical polypus removed
Cysj prostatic drained 1
Cystotomy 1
Circumcisions 4
Dilatation and curettage of uterus 7
Dislocation of shoulder reduced 1
Fracture femur treatment for 9
Fracture colles treatment for 1
Fracture humerus treatment for 1
Fracture metatarsal bones treatment for 1
Fracture radius treatment for 1
Fracture tibia treatment for 1
Hydrocele operation for 1
Hemorrhoidectomies 6
Herniotomies 10
Intestinal obstruction operation for 3
Laparotomy exploratory 1
Maxillary sinus irrigation of 1
Otitis media paracentesis 2
Orchidectomy 6
Perineorrhapie 3
Prolapsed rectum operation for 1
Prostatecomies 3
Pterygium transplantation 4
Strabismus operation for 1
Testicle tumor of removed 1
Tonsillectomies 51
Uterus suspension of 1
Varicocele operation for 1
Varicotomy 130
EIGHTYFOURTH ANNUAL REPORT
TABLE VII
Admissions From the Various Counties During the Year 1927
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Decatur
DeKalb
White
M F
4
1
2
0
3
1
2
3
2
2
11
5
2
1
2
0
3
1
1
3
2
5
0
1
1
21
3
4
4
0
0
0
6
2
3
1
4
2
1
1
0
3
1
0
0
0
3
4
3
5
1
3
10
1
0
1
1
5
1
1
1
1
2
5
1
1
0
16
2
2
4
0
0
0
2
2
1
2
1
6
0
0
2
2
Colored
M F
0
0
0
0
3
0
0
0
1
0
9
0
0
2
2
8
2
1
0
0
0
2
0
0
1
27
1
0
0
1
2
1
3
1
0
2
1
2
2
3
0
2
2
0
0
0
1
2
0
0
0
II
1
14
0
0
4
3
3
2
4
0
0
1
2
0
0
0
27
1
1
4
2
1
0
1
1
1
0
0
2
1
1
0
1
0
Total
5
1
2
1
11
5
5
8
5
6
44
6
2
8
8
16
8
7
2
4
5
14
1
2
2
91
7
7
12
3
3
1
12
6
5
5
6
12
4
5
2
8
18 GEORGIA STATE SANITARIUM 31
Admissions From the Various Counties During the Year 1927
Continued
I Wh M ite F Colored M F Total
Dodge 0 2 5 0 1 1 2 51 0 0 1 1 3 2 0 1 1 0 0 0 2 0 0 25 0 0 2 1 2 2 1 0 1 2 1 1 1 0 1 3 0 0 2 5 8 7 8 5 4 6 5 1 24 110 1 1 5 5 5 6 19 6 14 5 5 2 6 1 8 6 3 5 5
Dooly 2 0 4 1 0 2 2 0 4 0 10 4 3 35 1 0 1 2 2 3 8 2 8 1 3 3 1 1 1 3 1 0 0 0 0 2 0 0 15 0 0 1 0 0 0 2 2 2 2 0 0 0 0 4 0 1
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans 1
Fannin 3 2 10 2 4 35 0 1 1 2 1 1 8 2 3 0 1
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer

Glynn





Hall


II 0
Hart 4 0 2 1 1 1


1 2 II 1

1 1 0 0 1 0 2 3 2 4 0
1 0 0 6 0 3 2 1 0 1 0 3 1 1 0 0 1 0
0 0 0 3 11 9 21 3 0 5 01 5 0 4 01 1 11 3






1 0
01 2

32
EIGHTYFOURTH ANNUAL REPORT
Admissions Prom the Various Counties During the Year 1927
Continued
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Mclntosh
Newton
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Randolph
Rabun
Richmond
Rockdale
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
White
M F
1
0
4
1
1
4
0
2
2
1
2
1
1
1
3
11
2
0
3
1
2
4
2
0
1
5
2
4
2
1
3
1
10
1
1
1
6
3
0
2
2
1
2
3
3
II
51
71
3
2
01
4
0
01
2
1
2
1
1
1
01
1
2
3
11
4
0
3
0
1
3
1
0
0
2
4
2
2
0
4
0
2
1
1
4
1
1
0
2
1
0
2
1
2
3
0
4
0
9
0
2
0
1
0
3
3
1
0
1
2
1
3
0
2
1
Colored
M F
0 1
1 C
l
01
4
01
1
4
3
0
2
II
0
3
0
0
6
1
0
3
2
2
3
0
5
1
1
0
1
1
0
1
0
0
1
1
0
2
0
2
1
2
2
2
1
1
0
0
1
1
6
1
4
1
2
0
Total
4
1
14
1
5
6
2
14
7
2
8
4
4
9
6
29
8
2
10
3
5
7
6
1
1
10
8
8
9
1
13
1
35
4
5
3
17
4
5
6
3
3
5
13
8
8
12
15
5GEORGIA STATE SANITARIUM
33
Admissions From the Various Counties During the Year 1927
Continued
White M F Colored M F Total
Towns 1 0 4 1 4 3 3 0 2 1 1 3 3 0 1 3 4 0 6 4 2 1 2 4 0 1 4 0 2 4 5 1 6 2 1 2 0 4 0 3 4 1 01 0 2 3 14 2 7 7 5 3
Treutlen
Troup 2 0 2 0 1 1 1 3 0 1 1 0 1 0 0 2 1 0 3 4 1 0 0 1 0 1 1 0 2 0 0 0 0 1 1 3 1 1
Turner
Twiggs
Union
Upson
Walker
Walton g
Ware 10
Warren 2
Washington 12
Wayne g
Webster 1
Wheeler 4
White 3
Whitfield 9
Wilcox 3
Wilks 13
Wilkinson 9
Worth 7

TOTAL 396 369 224 232 1221
34
EIGHTYFOURTH ANNUAL REPORT
TABLE VIII
Nativity of all Patients Admitted During the Year 1927
Alabama
Arkansas
England
Florida
France
Georgia
Greece
Illinois
Ireland
Italy
Kentucky
Louisiana
Mississippi
Missouri
Massachusetts
New York
North Carolina
Ohio
Oregon
Poland
South Carolina
Sweden
Tennessee
Unknown
Virginia
Wisconsin
TOTAL
White
M F
15
1
1
4
0
347
2
1
0
1
0
1
0
0
1
2
4
0
1
0
8
0
4
0
1
2
Colored
M F
Total
6
1
0
5
1
332
0
0
1
0
1
0
0
1
0
1
4
1
0
1
4
1
7
1
1
0
5
0
0
0
0
211
0
0
0
0
0
0
1
0
0
0
1
0
0
0
3
0
0
3
01
6
0
0
2
0
210
0
0
0
0
0
0
0
0
0
0
3
0
0
0
10
0
0
1
0
0
396 369 224 232 1221
2
1
11
1
1100
2
1
1
1
1
1
1
1
1
3
12
1
1
1
25
1
11
5
2
2GEORGIA STATE SANITARIUM
35
TABLE IX
Classified Occupation of Patients Admitted During the Year 1927
Agricultural Pursuits
Farmers
Professional Service
Dentist
Druggist
Lawyers
Ministers
Physicians
Domestic and Personal Service
Barbers
Caddy
Delivery Boy
Hair dresser
House keepers
Insurance agents
Laundry workers
Laborers
Mail carriers
Photographer
Seamstress
Servants
Trade and Transportation
Bookkeepers
Bridge hands
Clerks
Collectors
Jewelers
Merchants
Post Office clerks
Railroad engineers
Salesmen
Shipping clerks
Stenographers
Teachers
Telegraph operators
White
M I F
140
1
1
4
1
4
0
0
0
0
2
0
24
2
2
0
6
0
9
2
1
8
0
5
13
1
1
0
1
0
0
0
0
0
0
0
0
1
201
0
1
0
0
0
1
0
1
0
0
0
0
0
1
0
0
0
3
7
0
Colored
M I F
Total
591 17
1
1
2
0
0
0
0
80
0
0
0
2
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
62
0
25
16
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
217
1
1
4
4
2
5
1
2
1
263
2
26
120
2
2
1
18
7
2
9
2
1
9
1
5
13
1
4
7
136
EIGHTYFOURTH ANNUAL REPORT
Classified Occupation of Patients Admitted During the Year 1927
Continued
Manufacturing and Mechanical Pursuits
Blacksmith
Brickmason
Carpenters
Chemical engineer
Compress superintendent
Coppersmith
Electrician
Gas fitter
Gunsmith
Line foreman
Machinists
Miner
Moulder
Painters
Plasterers
Printers
Road construction
Stone cutter
Truck driver
Upholsterer
Foods and its Kindred Products
Butcher
Cooks
Fisherman
Waiter
Textile Workers
Cotton mill workers
Lumber and its Manufacturers
Saw mill laborers
Plaining mill operator
Turpentine operator
Miscellaneous
Clerk of court
Convict
Fortune teller
Maker of artificial flowers
Peddler
Pumper
Students
No occupation
Not given
White
M I F
TOTAL 396 369 224 232 1221
3
0
1
1
11
4
1
0
1
0
0
0
3
1
6
92
2
Colored
M F Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
o
0
0
6
135
1
0
2
0
0
0
3
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
1
0
1
56
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
i
0
0
0
72
3
1
2
9
1
1
4
2
2
1
1
6
1
1
6
2
3
1
1
1
1
3
20
1
1
20
8
1
2
1
1
1
1
4
1
13
355
7GEORGIA STATE SANITARIUM
37
TABLE X
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
White Male Population
Phychosis
Under 2030405060
20 3040506070
Over Not
70 Given I
Total
Traumatic
Senile J
With cerebral arterios
clerois
General paralysis of
the insanei
With cerebral syphilisj
With Huntingtons chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional
psychopathic infer
iority
With mental deficiency
Unclassified
Not insane
Mental deficiency no
psychosis
Constitutional psycho
pathic inferiority no
phychosis
Alcoholism no psychosis
0 110 0 0 0
0 0 0 0 0 2
0 01 11121
101 6
1 0
0 0
0 0
3 1
2 2
81 5
4 1
21 0
0 1 0
I
1110
0 I 01 1
I
TOTAL 27 82155
0 0
11 0
5 2
0 0
01 0
0 0
01 0
0
2
20
0
0
0
0
1
0
0
0
0
0
0
0
0
o I
o 1
0
0
0
0
0
0
0
0
0
0
0
0
0
47140130 24
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
5
22
13
2
30538
EIGHTYFOURTH ANNUAL REPORT
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
White Female Population
Continued
Phychosis
Under 20 30 40 50 60 Over Not
20 30 40 50 60 70 70 Given
1 o 0 0 0 0 0 0 0
o 0 0 0 1 7 7 0
0 0 0 0 3 5 4 0
0 1 1 0 2 1 0 0
0 0 0 1 0 0 0 0
0 0 0 0 1 0 0 0
0 0 0 0 0 1 0 0
1 3 1 0 1 0 0 0
0 0 0 1 0 0 0 0
0 0 1 1 0 0 0 0
0 4 4 4 2 0 0 0
0 2 1 0 1 0 0 0
4 20 19 23 5 1 0 0
4 14 12 8 5 1 0 0
0 0 0 0 0 0 0 0
2 8 2 2 0 0 0 0
1 3 3 2 0 0 0 0
2 1 0 1 0 0 0 0
3 4 2 3 1 1 0 0
2 10 9 11 6 3 1 0
0 1 1 0 0 0 0 0
0 1 0 0 0 0 0 0
19 72 56 57 28 20 12 0
Traumatic
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug habitue no
psychosis
TOTAL
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
4
14
42
2
264GEORGIA STATE SANITARIUM
39
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
Colored Male Population
Phychosis
Under 2030405060Over
20 304050j6070 70
Not
Given
Total
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neurosesI
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
0
0
0
0
0
0
0
0
0
11
0
0 I 0
0 I 0
I o
I 6
I 4
I 0
TOTAL 24 56 33 3131115 4
0 0
1
1
35
32
0
0
1
1
2
0
1
0
64
10
20
2
12
14
0
19640
EIGHTYFOURTH ANNUAL REPORT
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
Colored Female Population
Phychosis
Under2030405060Over Not
2u j3U4050l60 70 70 j Given Total
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy no psychosis
0
0
0
0
0
0
0
0
0
6
3
0
2
0
0
6
0
0
TOTAL 17 76 5132 13 6 4
0 0 0
01 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
1
0
0
1
1
0
4
4
62
53
0
6
32
1
1
200GEORGIA STATE SANITARIUM
41
TABLE XI
Degree of Education of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
Vfith cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic
inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psychosis
Constitutional psychopathic in
inferiority no psychosis
Alcoholism no psychosis
0
01
8
0
0
0
0
1
0
0
5
1
2
3
0
9
0
0
12
0
0
0
1
0
0
0
0
2
3
1
1
3
22
6
0 0
0 0
II 4
0
0
0
18
11
0
0
0
4
6
1
2
1
39
30
0
4
3
4
5
7
o o i
II 0 0
I I I
01 01 01
0 01 0 1
II
01
a
o
CD
Ul h

fj a
o
U Z H
0 0 1
0 0 4
2 0 53
0 0 23
0 0 1
0 0 0
0 0 0
0 0 7
1 0 12
0 0 2
0 0 8
0 0 5
1 0 74
2 0 43
0 0 0
0 0 20
0 0 6
1 0 5
0 0 22
0 0 13
TOTALI 421 61 85138 27
01 01
01 0
I I
01 01
01 01
01 30542
EIGHTYFOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
M
o
H
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Drug habitue no psychosis
TOTALI 32 12 60 119
23
0
0
2
0
0
0
0
1
0
0
1
0
7
3
0
1
0
1
0
0
0
16
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
14
42
2
1
264GEORGIA STATE SANITARIUM
43
Degree of Education of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
o
iraumatic 1
Senile 1
With cerebral arteriosclerosis 25
General paralysis of the insane 17
With cerebral syphilis 0
With Huntingtons chorea 0
With brain tumor 1
With other brain and
nervous disease 1
Due to alcohol 1
Due to drugs 0
With pellagra 0
With somatic diseaseI 0
18
6
0
11
0
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
0 0
31 5
0 0
0 0
3 0
0 3
0 o

0
0
1
0
0
0
01 0
01 l 0
0 0 0
1 0 0
0 0 0
0 0 0
of of 0
TOTAL1100 9 67 15 2 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
35
32
0
0
1
1
2
0
1
0
64
10
0 0
01 20
0 0
2
12
14
0
19644
EIGHTYFOURTH ANNUAL REPORT
Degree of Education of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
Colored Female Population
Phychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy no pshchosis
CO
0
J
u o o o
n WJ o 3
a fi D
c o
o fJ 01
w VI a i bi o
o Tl cl u
n a hn
Zj u o
A o a a z
TOTAL 73
0
7
7
2
0
0
0
0
1
4
0
0
0
0
0
0
0
1
33
25
0
2
0
0
0
10
0
1
9 77 33
0
0
1
2
1
0
0
0
0
0
1
0
8
11
0
0
0
0
0
9
0
0
o
H
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
0 4 200GEORGIA STATE SANITARIUM
45
TABLE XII
Environment of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
White Population
Psychosis
Male
Female
O
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With Epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Drug habitue no psychosis
Constitutional psychopathic in
feriority no psychosis
Mental deficiency no psychosis
0
0
13
19
0
0
0
2
7
1
3
1
25
16
0
5
3
3
3
8
2
1
0
2
0
1
4
40
4
1
0
0
5
5
1
5
4
49
27
0
15
3
2
19
5
0
0
0
0
1
TOTAL 114191 0
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
5
22
13
2
1
0
2
1
305
98
164
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
14
42
2
0
1
0
0
2 264
46
EIGHTYFOURTH ANNUAL REPORT
Environment of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy no psychosis
Male
Female
0
0
10
10
0
0
1
1
2
0
1
0
24
4
01 0
7 13
0 0
I
II 1
41 8
I
TOTAL 74 121
1
1
35
32
0
0
1
1
2
o
1
0
64
10
0
20
0
211 0
1211 3
14 16
Oil II
01 l
19611131
01
2
16
01
0
0 0
0
0
0
0
0
Of 0
21 0
7
9
13
1
0
0
I I
1
1
0
4
4
62
53
0
5
0 0
0
0
ll
0 32
01 1
01 1
86 11200TABLE XIII
Econimic Condition of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
White Population
Psychosis
MALE
X
O
O
a
C3
So
a
T3
a

3
o
FEMALE
C3
5
Si
u
a
s
1
C
0
p
u
o
C

3
o
2
5
o
M
O
73
H
H
w

hl
H
w
II
S
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With other brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional Psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Alcoholism no psychosis
Mental deficiency no psychosis
Constitutional psychopathic inferiority no psychosis
Drug habitue no psychosis
TOTAL
0
0
11
10
1
0
0
1
5
2
2
1
43
11
0
4
4
2
3
7
0
0
0
0
0
1
4
40
12
0
0
0
6
6
0
6
4
28
31
0
16
2
3
19
6
2
1
1
2
0
7 107 190 1 305
1
4
53
23
1
0
0
7
12
2
8
5
74
43
0
20
6
5
22
13
2
1
1
2
0
0
2
1
1
1
1
0
1
1
2
3
1
38
12
0
5
1
0
0
10
1
0
0
0
0
0
13
11
4
0
0
1
5
0
0
11
3
33
29
0
9
7
4
14
31
1
0
0
0
1
6 81 177 0 264
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
14
42
2
0
0
0
1Economic Condition of First Admissions During1 the Year 1927
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy no psychosis
TOTAL
MALE
FEMALE
OS
u
u
o
s
o
u
C3
a

p a
13 U
V

a o
u
ft 4J
a o
Q
I
o
p a
c u
D t
a f
a O
01
D 4J
0 o
Q 125

o
O
a
i
o
c
w
H
w

z
d

o
w
0 I 1
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
1
0
0
0
23
3
0
0
0
0
0
0
0
0
1 0 1
1 0
34 0
30 0
0 0
0 0
1 0
1 0
1 0
0 0
1 0
0 0
41 0
7 0
0 0
20 0
0 0
2 0
12 0
14 0
0 0
0 0
1
1
35
32
0
0
1
1
2
0
1
0
64
10
0
20
0
2
12
14
0
0
I1111
0 0 0
0 7 0
1 8 0
2 11 0
1 0 0
0 0 0
0 0 0
0 1 0
0 1 0
0 0 0
0 4 0
0 4 0
14 48 0
16 37 0
0 0 0
0 5 0
0 0 0
0 0 0
0 5 1
6 26 0
0 1 0
0 1 0
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
0 30 166 0 196
0 41 158 1 200TABLE XIV
Civil Condition of Fist Admissions During the Year 1927
Classified With Reference to Principal Psychosis
White Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
Brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Mental deficiency no psychosis
Constitutional psychopathic inferiority no psychosis
Alcoholism no psychosis
Drug habitue no psychosis
TOTAL
MALE
be
g
0
0
7
6
1
0
0
4
2
0
1
2
23
27
0
3
34
13
0
0
0
1
7
1
6
2
42
9
0 0
4
41
2
3
6
16
0
1
18
31
2 0
01
II
01
0 0
124140
1
1
9
2
0
0
0
1
1
1
0
o
21
1
0 0
01 0
01 1
0 0
0 1
0 2
0 0
0 0
0 0
0
0
3
1
0
0
0
1
2
0
0
0
4
3
0
0
1
2
0
2
0
0
0
II 74
0 43
0 0
0 20
0 6
0 5
01 22
0 13
0 2
0 Of 0
01
o
01
FEMALE
0
3
4
1
0
1
0
3
1
2
7
4
161 43
20 16
0 0
71
4 4
3 0
81 3
12 21
0 2
0 0
0 0
0 0
0
9
6
2
1
0
1
1
0
0
3
0
9
3

2
1
o
1
4
o
0
0
o
01 01 0 0 0 1 0 0
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
21 3
of 0
01 0
0 0
0
1
0
1
0
0
0
0
0
0
0
0
3
4
0
1
0
1
2
01
01
0
15
12
5
1
1
1
6
1
2
14
4
72
44
0
14
9
4
0 14
0 42
0 2
01 0
0 0
01 0
01 1
a
H
O
W
a
H

H
H
m

2
5
B
19 12 19 1305 81119 43 5f 16 0264
Civil Condition of First Admissions During Year 1927
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General parplysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psychopathic inferiority
With mental deficiency
Unclassified
Not insane
Epilepsy no psychosis
TOTAL
MALE
bo
W
T3 n

o a o
i Q
FEMALE
a

3
o
Eh
M
II
O
X
h3

I
O

w
M
O
W
0
1
4
6
0
0
0
1
2
0
0
0
30
4
0
17
0
1
11
8
0
0
85 59 20
0
0
0
7
0
0
0
0
0
0
0
0
10
II
o
1
0
0
01
o
0
0
1
1
35
32
0
9 19 4196 62 761 26 4 30
0
7
9
13
1
0
0
1
1
0
4
4
62
53
0
5
0
0
6
32
1
1
3 200GEORGIA STATE SANITARIUM
51
TABLE XV
Ages of Patients at Time of Death During Year 1927
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Under
I 20
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneouroses or
neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
0
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
60
70
01 01 0
0 0 2
Over
70
Not
Given Total
12 1115 24 32 27
16
0
0
0
0
0
0
0
0
0
1
1
0
0
0
10
41
13
0
0
0
3
0
0
1
3
7
14
0
10
2
14
7
0
12552
EIGHTYFOURTH ANNUAL REPORT
Ages of First Admissions During the Year 1927
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Under
20
40 50j6u Over
50 607070
Not
I Given
Total
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psy
chopathic inferiority
With Mental deficiency
Unclassified
Not insane
TOTAL
0 0
0 0
0 0
0 0
21 0
0
0
0
0
0
0
0
0
0
2
3
0
1
0 0
I
7 13 14 14123 22
0
0
0
0
0
0
0
0
0
1
0
0
0
0
18
1
0
2
1
1
0
0
6
2
13
11
0
10
0
10
16
0
97GEORGIA STATE SANITARIUM
53
Ages of Patients at Time of Death During Year 1927
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Under
20
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
1
0
0
0
0
0
0
0
0
2
0
0
4
5060
6070
Over Not
70 Given Total
0 0
9 16 16 26 21 15 5
01 0
1 1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
3
20
34
0
0
0
1
1
0
0
0
8
9
0
14
0
6
15
0
11154
EIGHTY FOURTH ANNUAL REPORT
Ages of Patients at Time of Death During Year 1927
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Under 20 30 40 50 60
i 20 30 40 50 60 70
Over Not
70 Given
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and
nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneuroses or
neuroses
With constitutional psy
chopathic inferiority
With mental deficiency
Unclassified
Not insane
TOTAL
0 0
0 0
0 1
33125
Total
0
4
11
11
3
0
0
2
0
0
2
1
21
21
0
6
1
5
13
0
0 I 101GEORGIA STATE SANITARIUM
55
TABLE XVI
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
X
c rr C
r J
p c m u h
c c u U 1
0 g a i
rf s h

CD CM lO rH
T3 C 0 O 0
J J J j
T4 CO ri M in
0 0
3 4
01 0 1 01 II 3
01 0 0 0 01 0
TOTAL11029131717121017 125
0
10
41
13
0
3
0
0
1
3
7
14
0
10
0
2
14
7
05G
EIGHTYFOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With other brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneuroses or neuroses
With constitutional psycho
pathic inferiority
With mental deficiency
Unclassified
Not insane
0 0
01 0
0 0
0 1
II o
0 0
o o
3 2
0 0
2 0
0 0
o 0
01 0
0 0
I
TOTAL 112116 81 917 9lllll5l 97
0 0
01 II
61 4
01 01
I
0
0
1
0 3
0 0
2 1
0 0
I
0 0
01 01
0 01
01 01
01 0
of 0
H o
01 0
21 2
21 1
0 0
1 1
0 0
0
18
5
1
0
2
1
1
0
0
0 6
0 2
2 13
5 11
0 0
21 10
0 1
0 0 0 0 0
11 21 31 3 10
II 01 2 3 16
01 01 01 01 0GEORGIA STATE SANITARIUM
57
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
TraumaticI 0
Senil 0
With cerebral arteriosclerosis f
General paralysis of the insane
With cerebral syphilis I 0
With other brain and nervous diseases 0
Due to alcohol o
Due to drugs o
With pellagra 0
Wjth somatic disease 0
Manic depressive 0
Dementia praecox 0
Paranoi a or paranoid conditionI 0
With epilepsy 0
Psychoneuroses or neuroses 0
With constitutional psy
chopathic inferiority I 0
With mental deficiency 1
Unclassified j 4 2
Not insaneI 01 0
I
TOTAL119131
0 0
1
4
7
0
0
0
0
0
0
4
0
0
4
0
0 0
0
1
1
01 01 0
0 0
0 0
0 0
II 0
0 0
0 0
II 0
0 0
01 0
0 0
0 0
2 2
0 0
11 o
0 0
231 71101 71 7
0
3
20
34
0
1
1
0
0
0
8
9
0
14
0
0
6
15
0
11158
EIGHTYFOURTH ANNUAL REPORT
Duration of Hospital Residence of Patients Dying in Hospital
During Year 1927
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic I 0
Senile 1
With cerebral arterioscleroisis 1
General paralysis of the insane 5
With cerebral syphilis 0
With other brain and nervous diseases 0
Due to alcohol 0
Due to drugs 0
With pellagra 0
With somanic disease 1
Manic depressive 0
Dementia praecox 0
Paranoia or paranoid condition 0
With epilepsy 1
Psychoneuroses or neuroses 0
With constitutional psy
chopathic inferiority 0
With mental deficiency 0
Unclassified 4
Not insane 0
ll
TOTAL1323
10
31 0
0 0
0
4
11
11
3
2
0
0
2
1
21
21
0
6
0
1
5
13
0
14
281 8
101GEORGIA STATE SANITARIUM
59
Report of Pathologist
For the Year 1927
Dr R C Swint
Superintendent
Dear Sir
The Report of the Pathological Laboratory for the
Year 1927 follows
Summary
Serological Examinations
Blood Wassermann Noguchi reaction 1477
Cerebrospinal Fluid Wasserman reaction 353
Cerebrospinal Fluid Colloidal Gold test 353
Cerebrospinal Fluid Globulin estimation 353
Cerebrospinal Fluid Cell Count 353
Clinical Laboratory Examinations
Urine routine analysis 4243
Urine Special chemical examinations 2315
Feces for parasites or ova 1158
Feces for occult blood 5
Blood chemical examination 78
Blood for malaria parasites 106
Blood countsred white or differential 508
Blood coagulation time 6
Blood hemoglobin estimation 40
Blood type determination 6
Sputum for tubercle bacilli 188
Milk butter fat determination 133
Gastric Contents chemically and microscopically 5
Bacteriological Examinations
Blood culture 25
Blood agglutination test 254
Exudates culture 74
Exudates microscopically 87
Exudates dark field examination for T Pallidum 1

60
EIGHTYFOURTH ANNUAL REPORT
Exudates animal inoculation 10
Milk bacteria count 105
Vaccine Autogenous 32
Anatomical Examinations Gross and Microscopical
Necropsies 37
Postmortem examination of animals 15
Brain Cat for Negri Bodies 1
Surgical Tissue Gross and microscopical 43
Necropsy Tissue microscopically 144
Total Number of Examinations 12518
NoteIn addition to the total number of procedures
enumerated above 415 cadavers were embalmed by the
technicians who are also licensed embalmers
Serological Examinations
There were 1417 specimens of blood examined for
the Wassermann reaction of which number 1225 were
secured as a matter of routine frofri patients upon their
admission to the institution
There were 353 specimens of cerebrospinal fluid
examined of which number 306 were obtained from
patients admitted during the year A routine examina
tion of this fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test
TABLE L
Tests
Results of Routine Blood Wassermann
Race Sex Number Number Percentage
Examined Positive 4 plus Positive
White Female 386 11 28
White Male 377 26 69
Colored Female 239 40 167
Colored Male 223 42 188
Total 1225 119 95
GEORGIA STATE SANITARIUM
61
TABLE IIEstimate of Serological Neurosyphilis
in Patients Admitted During Year 1927
Race Sex Number Positive Spinal Percentage
Admitted Fluid Wassermann Positive
White Female 386 6 15
White Male 377 26 72
Colored Female 239 15 63
Colored Male 223 36 139
Total1225 83 68
Reference to Tables I and II will show that 545 per
cent of the white women 100 per cent of the white
men 375 per cent of the colored women and 857 per
cent of the colored men whose blood specimens reacted
positively to the Wassermann test also gave serological
evidence of syphilis of the nervous system
Respectfully
E B Saye
Pathologist62
EIGHTYFOURTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE GA JAN 1ST 1927
Superintendent
Dear Sir
We have the honor of offering the following report
of the work done in the Dental Department during the
year ending Dec 31st 1927
Extractions 5154
Infiltration anaesthesias 2463
Conductive anaesthesias 823
Ethyl chloride anaesthesias 21
Alveolotomies 97
Incisions suturedj 11
Postoperative treatments 143
Amalgam fillings 207
Cement fillings 94
Guttapercha fillings 14
Synthetic porcelain fillings 77
Gold inlays 21
Gold inlays reset 6
Nerve cappings 9
Nerve treatments 7
Nerves devitalized 6
Root treatments 29
Root fillings 25
Applications mummefying paste 1
Abcesses lanced 46
Abcesses treated 24
Abscesses aspirated 7
Lancing gums over third molar 9
Treating gums about third molar 7
Excessive hemorrhages arrested 9
Treatments for erosion 1
Treatment for pyorrhea alveolaris 19
Cleaning teeth number of patients 35
Scaling teeth number of patients 147
Applications silver nitrate 8
Treatments for acute odontalgia 30GEORGIA STATE SANITARIUM
63
Treating gums number of patients 125
Treatments for oral ulcers 10
Treatments for stomatitis 4
Curetting alveolar process number of patients 9
Plates made 74
Plates repaired 43
Plates milled 2
Gold crowns 2
Porcelain crowns 4
Castbase crowns gold 2
Castbase crowns acolite 2
Crowns removed 18
Crowns reset 2
Bridges removed 16
Bridges made 2
Bridges repaired 1
Bridges reset 5
Disfigured teeth shaped up number of patients 87
Impacted 3rd molars removed 31
Apicoectamies 1
Sequestra removed 1
Fractures reduced 1
Calls to wards 345
Number of new patients examined 1242
Number of patients treated 2326
Total number of operations and treatments 9992
Respectfully submitted
George H Green D D S
J C Adcock D D S64
EIGHTYFOURTH ANNUAL REPORT
Report of Superintendent of Nurses
January 1 1928
Dr R C Swint
Superintendent
Dear Sir
I have the honor of submitting the sixteenth annual
report of the Georgia State Sanitarium Training School
for Nurses for the year beginning January 1 1927 and
ending December 31 1927
The school has been in progress seventeen years and
has graduated one hundred and fortyone nurses
The records of the school show that forty per cent
of the students enrolled withdraw before completing the
full three year course Various reasons are given for
leaving but matrimony ranks first
The raising of the educational requirements to full
high school graduates has increased rather than de
creased the number of applications
The Alumnae Association has a membership of
eightyeight and continues to be of great benefit to the
school and Superintendent of Nurses
A Young Womans Christian Association was or
ganized April 4 1927 with twentythree members Ves
per service is held every Sunday evening in the lounge
of Brantley Hall Miss Myrtle Lomax class of 1927 is
president and has increased the membership to fifty
The Annual Commencement was held May 18 1927
at eight oclock in Amusement Hall twelve nurses receiv
ing diplomas
Dr M A Clark a prominent physician of Macon
gave a very pleasing address to the graduates
The diplomas were delivered by Mr John T Brant
ley president of the Board of Trustees and the hospital
pins by Dr T M Hall chairman of the Medical Com
mitteeGEORGIA STATE SANITARIUM 65
M Lovic Pierce Longino accompanied by Mrs
Wiles Homer Allen at the piano sang very sweetly
Untiland Answer by Terry
A Reception and dance followed music being fur
nished by the Sanitarium band
The following nurses received diplomas
mSSp16511Milledgeville Ga
Miss Muriel Copeland Milledgeville Ga
Miss Mane DukeDanville Ga
Miss Vashti DurdenStillmore Ga
Miss Janie Gertrude Gault Milstead Ga
Miss Mabry Grimes Milledgeville Ga
Miss Sarah Daisy Ivie Willard Ga
SS SB yrvtle Lomax Jeffersonville Ga
Miss Willie Webster MaddoxWillard Ga
Miss Lucile ParkerDubin Ga
Miss Sabryna Patterson Macon Ga
Miss Myrtle Posey Milledgeville Ga
PLAN OF INSTRUCTION
o The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education
The course extends over a period of three years in
cluding three months probation and six months affilia
tion in some large general hospital Classes are con
ducted eight months out of each year and consist of lec
tures recitations and laboratory work
A passing grade of 75 in all branches is necessarv
for graduation
CURRICULUM
First Year
Nursing Ethics 6 ho
Nursing Technique go
Anatomy and Physiology 60
History of Nursing 10
Bandaging g
Dietetics 4c 66
EIGHTYFOURTH ANNUAL REPORT
Second Year
Hydrotherapy j
Massage
Nursing Ethics
Nursing Technique
Bacteriology
Materia Medica
Solutions Jjj
Oral Hygiene j
Mental Diseases
Obstetrics
Medicine and Contagious Diseases 24
Third Year
Gynaecology
Pediatrics j
Surgery
Eye Ear Nose and Throat
Public Health
Diseases of Nervous System 1
NURSING STAFF
Superintendent of Nurses 1
Supervisors
Chief Operating Nurses
Occupation Therapy Nurses
Special Attendants
Senior Nurses in School 1
Junior Nurses in School jj
Freshmen Nurses in School 1
Total number of Student Nurses 9
Number of White Female Attendants 149
Number of Vacancies 2
I wish to thank you and all officers and nurses who
have contributed to the success of the school
Respectfully submitted
Mrs Mae M Jones R N
Superintendent of NursesGEORGIA STATE SANITARIUM
67
Report of Pharmaceutical Department
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
The following is the annual report of the Pharma
ceutical Department for the year ending December 31st
1927
Below is shown a condensed list of manufactured
products
Tinctures spirits and extracts 2091 pounds
Elixirs 1210
Syrups 748
Ointments 128
Liquors lotions and mixtures 1045
Library paste and mucilage 68
Medicated powder 82
Indelible ink 43
Glycerites 68
Liniments 312
Tonics Z 135
Tooth powder 2
Roach powder 32
Quinine anodyne and lagrippe
capsules filled 15900
Germicide 822 gallons
Fly and mosquito exterminator 595

STATEMENT
Debits
Jan 1 1927 Inventory as of Dec 31st 192656910563 EIGHTYFOURTH ANNUAL REPORT
Purchases During Year
Drugs chemical dental surgical and
laboratory supplies 1149330
Freight and Express 25712
Total1175042
Less Goods Returned 8354
Net Amount Goods Purchased 1166688
Total 1735793
Deduct Inventory Dec 31st 1927 530900
Amount of Goods to account for 1204893
Credits
Dec 31st 1927 Prescriptions
filled for wards 35044
aggregating 1143048
Sales to Officers and Employes 61845
Total 1204893
Respectfully submitted
J J WOOTTEN
PharmacistGEORGIA STATE SANITARIUM
69
Report of Treasurer
March 13th 1928
Dr R c Swint
Superintendent Georgia State Sanitarium
Milledgeville Ga
My Dear Sir
I beg to submit below a report of the receipts and
disbursements of the Treasurer of Georgia State Sani
tarium for the year 1927
Dec 31st 1926 Bal cash on
p had 4641150
Received from Homer Bivins
Steward during year 1927 1221397
Interest on balances 1 813 29
Requisitions paid by State
Treasurer 110000000
Total 116043876
Disbursements for the year on warrants
signed by Superintendent and Steward 1091547 80
Dec 31st 1927 Bal cash on hand 68i89096
Total 116043876
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank we certify that at close of busi
ness December 31st 1927 there was to the credit of Otto
onearer Georgia State Sanitarium the sum
of 6889096 Sixty Eight Thousand Eight Hundred
Ninety Dollars and Ninety Six Cents
Otto W Conn
Treas Ga S S
H G Banks
Cashier Exchange Bank
Witness
H H Herndon
N P B Co Ga70
EIGHTYFOURTH ANNUAL REPORT
Report of Farm Steward
February 9th 1928
Dr R C Swint
Superintendent
Dear Sir
I wish to submit my report for the fiscal year ending
December 31st 1927
The following is a list of food stuffs produced by my
department during the year
Asparagus Ill bushels
Beans Butter 627 JJ
Beans snap 1114
Beans ototan 40
Beets 1077
Cabbage 82307 heads
Collards 32422
Cantaloupes 12378
Corn19892 bushels
Corn roasting ears57360 ears
Corn silage 935 tons
Cucumbers 104 bushels
Fodder 97 tons
Hay oats arid vetch 201
Hay alfalfa 6
Lettuce 3761 heads
Oats shelled 400 bushels
Oat straw 718 bales
Okra 637 bushels
Onions 1560
Peas garden 348
Peas field green 566
Peas field dried 2700
Peppers 114
Peaches Ill crates
Pork dressed 38632 pounds
Potatoes Irish 830 bushels
Potatoes aweet13302
Radishes 79
Rape 3779GEORGIA STATE SANITARIUM
71
Rye 336
Spinich 252
Squashes 2883
up g80 gallons
Tomatoes 629i2 crates
Turnips 3556 bushels
Turnip salad 4659
Watermelons27810
Dairy
Sweet Milk78608 gallons
Butter milk 152
Butter 425 pounds
Sweet cream 37514 gallons
Beef 12249 pounds
Hides green 1542
Calves sold 6
Bulls sold 1 for 50
Manure 1481 loads
Sacks sent to storehouse 2256
Chicken Yard
Hens issued 247
Roosters issued 11
Friers issued 505
Eggs received 4632i2 dozen
Eggs issued 4139
Eggs set 49312
Turkeys issued 26
In addition to producing the above my department
has moved all the coal from the coal chutes to the boiler
rooms Have also kept up the entire road system around
the institution and have done several other things too
numerous to mention
I wish to thank you the Board of Trustees the Of
ficers and others for the gratitude and cooperation shown
me throughout the year

Respectfully yours
C Penuel
Farm Steward72 EIGHTYFOURTH ANNUAL REPORT
Report of Engineer
Dr R C Swint
Superintendent and Resident Physician
Dear Sir
Please find below the annual report of the Engineers
Department for the year ending December 31st 1927
Improvements
The toilet room on the first floor of the Powell Build
ing formerly for the use of men has been reconditioned
for the convenience of female visitors and a new toilet
room for white males and the use of the Officers has
been built in the basement The new room has a tile
floor and a full equipment of fixtures
The first floor hallway of the executive part of the
Powell Building has been surfaced stained and waxed
Runners of battleship linoleum have been placed through
the main hallways and the front hall and the Ushers
room have been covered entirely with this material
The floor of the public parlor in the Powell Build
ing has been taken up the joists leveled and a new sub
floor put in Over this subfloor has been laid a floor of
oak the surface of which has been surfaced shellaced
and waxed
A line of storm sewer has been placed in the back
yard of the colored female building Cast iron gratings
have been placed along this line to care for the surface
water
A porch has been built in front of the cold storage
plant This porch has a concrete floor and a Barrett
Specification roof
The last three of the cold storage rooms have been
completed
Electric lights and an electrically operated cloth
cutter have been installed in the sewing room at the
Negro BuildingGEORGIA STATE SANITARIUM
73
The open doorways leading from the water closet
rooms of the octagonal dormitories in the Twin Build
ings have been bricked up as suggested by the Under
writers Association
Wire guards have been put over the windows of the
pavilion for old men which was recently built near the
1 win Buildings and a room has been cut off from the
dormitory to serve as a toilet room for the female nurses
employed there A water closet and a lavatory have
been installed in this room
A1sTer one hundred eighty feet long has been run
through the yard of the 27th female ward
A cabinet containing locked mailed boxes has been
made and set up for the care of the mail of the Officers
A frame house twenty by eighty feet long has been
built on the outskirts of the grounds for caring for and
the baling of waste paper
The fire engine house has been wired for electric
lights and there has been installed a circuit for an elec
tric heater for keeping the engine warm and easy to
start in cold weather
Pantry sinks have been put on wards 4 5 and 6 in
the colored building
A one story wooden building thirty by sixty feet has
been built in the white male occupational therapy park
and six electrically operated wood working machines
placed in operation there
A heavy wire fence ten feet high with reinforced
concrete posts has been built around the recreation yard
of the colored females
All of the toilet rooms and bath rooms in the Twin
Buildings have now been worked over and have con
crete floors and reinforced cement plastered partitions
between the toilet rooms and the bath shower rooms
A brick moving picture booth has been built onto
the outside of the west end of the amusement hall and
a large plastered framework for holding the screen erect
ed in the hall on the east end This construction elimi
nates all danger from fire getting into the building
should the equipment in the operating booth catch on
74 EIGHTYFOURTH ANNUAL REPORT
fire A doorway has also been cut through the south
wall of the hall as a fire escape
A Cyclone wire gate eighteen feet wide and a
wire fence has been built betweeen the fire engine house
and the adjacent wall closing this opening into the back
yard Reinforced concrete posts were used
An additional room has been added to one of the
houses at the waterworks
A new set of sterilizing apparatus for water band
ages instruments and pans has been installed in the op
erating room of the white female department
The storehouse has been completely rewired for
electric lights and additional lights put in the newly
created departments
An improved type of lightning arrester of the oxide
film type has been installed at the waterworks for the
protection of the 2300 volt motor there
A concrete floor has been placed in the diet kitchen
in the Whittle Building in place of the old wooden floor
A brick tunnel runs under this floor to make accessible
the water main running under it
A new forty inch overdriven extractor has been in
stalled in the white laundry
Two of the boilers at the white laundry has been
reset the brickHvork around them entirely renewed
A four inch cast iron pipe has been run from the
bottom of the clear water basin at the water works to
the hillside This pipe is for facilitating the washing
out of the basin when this is required
Four standard firehose houses have been built
over as many firehydrants at danger points around the
the institution and a quantity of hose with nozzels and
spanners placed in each of them
A cqmplete set of new tubes has been put in one of
the boilers at the Male Convalescent Building and the
handholes of the three boilers there have been reinforced
by oxyAcetyline welding
An annex to the kitchen at the Twin Buildings has
been built This addition runs entirely across one end
of the kitchen A portion of the addition is enclosed andGEORGIA STATE SANITARIUM
75
is used as a pastry room the balance of it is open on one
side and is used as a vegetable cleaning and washing
piciCG
A small wooden house has been put up at the dairy
to accomodate the toilets and shower rooms installed
there for the use of the workmen in the dairy and a con
crete septic tank has been built to take care of the sew
age from this house and from that occupied by the dairy
man and his family
A brick addition with a concrete floor and a drain to
the sewer has been made to the boiler room at the Twin
Buildings and the hotwater tanks originally placed in
the kitchen have been removed from that place and in
stalled therein
A water sluice gate of substantial iron construction
and having two gate openings each fifteen by twenty
inches in area has been put in the intake well at the
river and the brickwork of the well has been raised four
feet to care for the rise in the river made by the placing
of a concrete dam across it lower down This gate fills
a long felt want and enables the cleaning out of the
well to be done when required as well as the control of
the depth from which the water is taken at times when
the river is filled up with sand
The underground steam pipe through the yard of
the female colored building has been replaced with a new
one and all of the return pipes from the heating appara
tus lying between the building and the boiler room have
been renewed
The old tank room of the abandoned ice plant has
been renovated by putting in new windows and doors
new plastering and a concrete floor In this room there
has been installed a three hundred gallon jmilk pasteur
izer and a sterilizing washer for the milk cans
A new fortytwo inch by eightyfour inch model
metal cascade washer has been added to the equipment
of the white laundry
Extensive repairs have been made on the first build
ing erected at the Colony New piers have been built un
der it and bins made for the storage and fumigation of
cow peas76 EIGHTYFOURTH ANNUAL REPORT
Duplicate electrically driven centrifugal pumps have
been placed in the ice plant one for the circulation of
water through the condenser and the other for the circu
lation of brine through the coldstorage rooms
A brick addition to the Laboratory building con
sisting of three rooms and a basement room has been
commenced This work is well under way and will be
completed early in the coming year
The location of the present water main from the
waterworks to the institution has been staked off and
the number of feet the line runs through the property
of the different owners along the line has been obtained
preparatory to beginning the securing the rightofway
for the new line
An aerial ladder truckgasoline drivenhas been
bought and added to the fire fighting equipment of the
institution A wooden extension to the present fireen
gine house has been made to accommodate the great length
of this apparatus A shuckpen roofed addition has been
built to care for the old handdrawn ladder truck which
was removed from the engine house to make room for
the aerial ladder truck
An additional water closet has been placed on wards
22 and 23 and a porcelain bath tub placed on these wards
instead of the old fashioned black iron ones which has
been there since the building was constructed
Work has been begun on reconditioning the build
ings once used as a drydairy to make them suitable for
the accomodation of the mules and the equipment of the
Farm Steward
Plans have been drawn for the proposed new car
penter shop the machine shop and the Wood working
machine shop which are to be built on the site now oc
cupied by The Lot
More than ten thousand square feet of flooring have
been laid on the wards during the year and many minor
improvements and repairs have been made
Plans and specifications have been made for the four
hundred twenty patient building to be errected in 1928
for the coloredGEORGIA STATE SANITARIUM
77
In addition to the ordinary repair work of the in
stitution the carpenter shop the furniture and harness
repair shop the shoe repair shop the paint shop and
broom factory have been kept busy in manufacturing
and repairing the various articles in the different de
partments
Respectfully submitted
T H DeSaussure
Engineer
78 EIGHTYFOURTH ANNUAL REPORT
Report of Steward
MlLLEDGEVILLE GA DEC 31ST 1927
Dr R C Swint
Superintendent
Dear Sir
I beg to submit herein a report of the financial con
dition of the Sanitarium at December 31st its income
and expenditure for the fiscal year together with other
information shown under the exhibits and schedules that
follow
EXHIBITS
1Balance SheetDecember 31st 1927
2Statement of Income and Expenditures for Year
3Consolidated Cash Statement of Receipts and Dis
bursements
4Analysis of Cash Receipts and Disbursements for
Maintenance
5Statement of Receipts and Disbursements Account
Special Appropriations
6Profit and Loss Statement Farm Garden and Dairy
7Comparative Statement Cash Expenditure Years
19261927
8Statement Operating Funds December 31st 1927
9Comparative Statement PerCapita and PerDiem
Cost Years 19261927
SCHEDULES
1Accounts Payable as of December 31st 1927
2Accounts Receivable as of December 31st 1927
3Production Farm Garden and Dairy
All accounts for supplies purchased during the year
were promptly settled in accordance with contracts and
receipted vouchers covering such disbursements are on
file in this office
I am grateful to our honorable Board yourself and
others for the assistance you have given and the kind
ness shown me in the performance of my duties
Respectfully submitted
Homer Bivins
StewardTreasurerGeneral Fund
TreasurerPatients Fund II
TreasurerOccupation Therapy De
partment
StewardWorking Fund1111
StewardTime Department Ex
change Bank
StewardTime Department Mer
chants Farmers Bank
TOTAL
ACCOUNTS RECEIVABLE
Officers and Employes
U S Public Health Service
TOTAL
STOCKSSUPPLIES
General Merchandies
Drugs Chemicals and Sundries
FuelCoal and Coke
Engineering Materials
Packing House Products
Clothing and Bedding in Manu
facture
Farm Supplies Fertilizers etc
Dairy Feeds etc
TOTAL
FREIGHT AND EXPRESS
Applicable to Mds Stocks
GRAND TOTAL
EXHIBIT No 1
Balance SheetDecember 31 1927
3371854
1058974
393341
300000
171664
136790
5432623
100481
13948
114429
4832023
530900
3277000
1221055
386684
136024
128375
118650
10630711
41443
16219206 I
DUE SPECIAL FUNDS
Occupation Therapy Male 573850
Occupation Therapy Female 33103
Occupation Therapy Special 393341
Brantley Building 242564
Ice and Cold Storage Plant 20483
Female Commissary Dept 136790
1400131
TOTAL
TRUST FUNDS
Patients Deposits t mcon
ACCOUNTS PAYABLE 1058974
Individuals and Corporations 22 0finifl
SALARIES WAGES AND LABOR Ulb
OfficersDecember 673322
EmployeesDecember 3153886
TOTAL
GROUP INSURANCE
Advance Collections
EXCESS ASSETS
Balance from 1926 8440944
Less Adjustments applicable to
1926 3422
3827208
468
Balance 8437522
Less Adjustments for 1927 711113
Balance
7726409
O
M
O
ft
O
to
H

H
M
to

H

W
II
a
g
GRAND TOTAL16219206EXHIBITNo2
Statement of Income and Expenditures for Year
EXPENDITURE
GENERAL ADMINISTRATION
75i82404
Officers Salaries
WAGES AND LABOR
Farm and Garden Department 1334948
Dairy Department 431866
Engineers Department 6010765
Stewards Department 4890202
Medical Department24408054
TOTAL 37075835
FOOD SUPPLIES
General Wards30785955
Nurses Home 1386170
Stewards Dining Room 470796
Supts Dining Room 130993
TOTAL 32773914
MISCELLANEOUS
Clothing and Dry Goods 6731008
Furniture and Bedding 4279600
Fuel 5641361
Medical Supplies 1177868
Stationery and Postage 230967
Farm and Garden 1621485
Dairy 1337465
TOTAL 21019754
INVESTMENTS
32263 Acres Land 443616
Fire Fighting Apparatus 1200000
INCOME
STATE APPROPRIATIONS
Regular
MISCELLANEOUS
Board of Officers 122940
Board of Special Attendants 155770
Board of Employees 390430
Fines 14950
Interest on Balances 184008
Miscellaneous Sales 197250
20507
51817
12530
13188
110000000
Miscellaneous Income
Sales Ice
Rents
Donations
Dairy Sales
TOTAL
DIFFERENCE
Adjustment Excess Assets for Year
1172390
711113
M
I
O
X
H
o

3
a
o
wEXHIBIT4N0 2 Continued
Statement of Income and Expenditures for Year
Pasteurizing Equipment 123770
Autos and Trucks 295000
Live Stock 40000
Laundry Equipment 505000
Picture Show Equipment 104419
Sterilizing Equipment 123300
TOTAL 2835106
MAINTENANCE OF PLANT
Brick 78225
Builders Hardware 261559
Cement 226310
Crushed Stone 33311
Cooking Apparatus 20650
Fire Apparatus 172578
Grading Supplies 5900
Ice Works 86337
Lime Hair and Mason Supplies 155859
Lumber and Building Materials 526158
Machinery Supplies 41450
Painters Supplies 437101
Plumbing Supplies 374632
Pump Repairs 21785
Range Repairs 47038
Sewer Supplies 20993
Steam Pipe Fittings 333061
Tinners Supplies 66930
Water Works Supplies 65453
Sundries 73682
TOTAL
3049012
EXHIBIT No 2 Continued
Statement of Income and Expenditures for Year
INCIDENTALS AND CONTINGENCIES
Advertising 62054
Amusements 30816
Barber Supplies 36521
Laundry Supplies 575488
Broom Factory Supplies 97356
Blacksmith Supplies 48094
Cemetery Supplies 90133
Dental Supplies and Equipment 46029
Dining Room Supplies 241291
Escaped Patients 19295
Electric Light Supplies 208665
Florists Supplies 16323
Gas and Oils 420168
Garage Supplies 6000
Electric Light and Power 1847201
Harness Repairs 4053
Housekeeping Supplies 875644
Interest Paid 74322
Insurance Premiums 226100
Kitchen Supplies 635928
Laboratory Supplies and Equipment 105047
Medical Books and Journals 25542
Musical Instruments 63804
Office Supplies and Equipment 191751
Printing 118330
Poultry Yards 77810
Repair Account Autos and Trucks 118407
Registration Autos and Trucks 4365
Surgical Instruments 8500
tI
a
a
K
I
J
o
3
w
W

2
d

r
w
u
o
w
HEXHIBIT No 2 Continued
Statement of Income and Eqpenditures for Year
Telephone Supplies 71583
Telephone and Telegraph Bills 37310
Tobaccos 640828
Tools and Implements 46558
Travel 235426
XRay Supplies and Equipment 86639
Sundries 154098
TOTAL 7547479
O
H
O
W
2

H

H
W
w

2

GRAND TOTAL 111883503
GRAND TOTAL111883503EXHIBIT No 3
Consolidated Cash Statement of Receipts and Disbursements
EXPLANATORY
Balance from 1926
Less Due Special Funds
O

is
pi

a
fa
3421077 1428636
RECEIPTS
Maintenance Appropriations
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales Store Supplies
l1000000i0
I
181329
25568
I
300000
I
1148998
2030760
Total 1 113627974
Transferred by Steward 11489981
Balances
Disbursed
1428636
20307601
on Vouchers
3479758
3179758
114776972
1114051181
Balances
Disbursed
3459396
24004221
300000
4572886
by Steward
Balances
3371854 10589741
I I
33718541 10589741
4872886
45728861
300000
w
o
o
190676
117778
308454
308454
308454
308454
jfe
3J3 CD
582265
529923
403967
1516145
1516145
5158511
1000294
a
2
3 fl
o P S
v o
HPw
403957
403957
403957
10616
393341
1000294 393341
W
O
a
i
o
d
ss
o
W
HEXHIBIT No 3 Continued
Consolidated Cash Statement of Receipts and Disbursements
EXPLANATORY
Cm

M
C8
be DQ
J D H
OJ C
4J 3 0w
fi 3
asm
M fe
0
o
3
H
O
O

H

H

Balance from 1926 Less Due Special Funds
RECEIPTSFUNDS
Maintenance Appropriation
Miscellaneous Sales
Interest on Balances
Checks Returned
Patients Deposits
Sales Store Supplies
Total
Transferred by Steward
Disbursed on Vouchers
Balances
Disbursed by Steward
Ralances
14286361
I
20307
34593
34593
24004
10589
60
I
96
I
I
96
22
74
37902
31760
69662
49179
20483
20483
357973
357973
115409
242564
242564
29000 2904613
109438317
1148998
181329
25568
109663
138663
1873
136790
166790
8115
113706940
108560958
5145982
2172464
2973518SUMMARY
DEBITS
General Fund 3371854
Patients Fund 1058974
Stewards Fund 300000
Time Deposits 308454
Occupation Therapy Depts 393341
Total 5432623
CKEDITS
Due Occupation Therapy Fund 1000294
Due Female Commissary 136790
Due PatientsDeposits 1058974
Due Ice and Cold Storage Plant 20483
Due Brantley Building 242564
Balance Due Maintenance Fund 2973518
Total 5432623

o
C
w
H

v

c
fa
O
wGEORGIA STATE SANITARIUM
87
EXHIBIT No 4
Analysis Cash Receipts and Disbursements for
Maintenance
DISBURSEMENTS
GENERAL ADMINISTRATION
Officers Salaries 7075296
WAGES AND LABOR
Medical Department 23740i625
Stewards Department 4785350
Engineers Department 5988360
Farm and Garden Department 1341661
Dairy Department 438566
Total 36294562
FOOD SUPPLIES
General Wards 31592526
Brantley Building 1386170
Officers Dining Rooms 601789
Total 33580485
MISCELLANEOUS
Clothing and Dry Goods 6731008
Furniture and Bedding 4279600
FuelCoal and Coke 5199402
Maintenance of Plant 3049012
Medical Supplies 1176034
Stationery and Postage 230967
Occupation Therapy Depts 561683
Incidentals 9829016
Total 31056722
FARM AND GARDEN
Fertilizer 707500
Seed 225630
Misc Supplies and Repairs 351989
Commercial Feeds 7749
Board of Employees 310666
Treating Hogs 17820
Freight and Express 5235
Total 1626589
DAIRY
Commercial Feeds 1345210
Misc Supplies and Repairs 140869
Freight and Express 95608
Board of Employees 79764
Total 1661451EIGHTYFOURTH ANNUAL REPORT
EXHIBIT No 4 Continued
Analysis Cash Receipts and Disbursements for
Maintenance
RECEIPTS
BALANCE IN HAND
TreasurerGeneral Fund 37 651 95
StewardWorking and Special FundI 6o8454
t Tal 5v 4373649
Less Due Special Funds 1400131
Balance in Hand for Maintenance 29 735 18
GRAND TOTAL 114268623
Balance from 192632904613
APPROPRIATION 1927
Regular 110000000
Board of Officers and Attendants 1 573 78
Checks Returned 25568
Telephones and Telegrams g03
Interest on Balances 1 900 41
Freight and Express l8L33
Total 110391922
ALL OTHER SOURCES
Ll stock v 330686
SalesStore Supplies 1555 39
SalesBaskets Rugs Chairs etc11 68113
SalesScrap Iron Paper Bones
Rags etc 280080
premiums on Group Insurance 100 24
Wages Refunded 59249
Dental Work and MaterialT 32730
Donations
Sales Drugs 1225
Jnnes 700
XRay Supplies 25
Sundries 7876
Total 972088
GRAND TOTAL Sl142fi8figaGEORGIA STATE SANITARIUM
EXHIBIT No 5
Statement of Receipts and Disbursements Account
Special Appropriations
RECEIPTS
EXPLANATORY Brantley
Building
Balance from 1926 357i73
Sales Empty Cement Bags
Grand Total 357973
DISBURSEMENTS
Caustic Soda
Cork Insulation
Expresss 50
Electrical Equipment
Housekeeping Supplies 18650
Hall Clock 12500
Hooks for Meat
Insurance Premiums 75750
Packing
Shrubbery for Yards 8000
Thermometers
Travel 459
Balance in Hand 242564
GRAND TOTAL 357973
Ice Cold
Storage
Plant
25824
31760
57584
2040
24122
2250
1272
561
6856
20483
57584

90
EIGHTYFOURTH ANNUAL REPORT
EXHIBIT No 6
Profit and Loss Statement Farm Garden and Dairy
DESCRIPTIVE Farm Garden Dairy Total
Inventory as of January 1st Purchases During Year Commercial Fertilizer Commercial Feeds 4600213 707500 7749 439600 225630 5235 42500 2251520 1345210 95608 1000000 6851733 707500 1352959 439600 2 256 30
Compost
SeedPlanting
Freight and Express 100843 425 00
Fence Posts
FeedsHome Grown 1000000

Total 6028427 4498520 4692338 1936000 10720765 6434520
Less Inventories as of December 31st 1927

Net Cost Feeds Fertilizer Etc Gross Profit for Year 1529907 9021452 2756338 1262299 4286245 10283751

Total 10551359 4018637 14569996

OPERATING EXPENSE Wages and Labor 1334948 309489 17820 310666 7048529 431866 130869 10000 79764 609800 1766814 440358 100 00
Misc Supplies and Repairs Rents
Treatment of Hogs 178 20
Board of Employees 390430 7658329
Net Profit for Year

GRAND TOTAL 9021452 1262299 10283751

FURNISHED INSTITUTION
Food Supplies 12802106
Dairy Feed 1000000
Compost 439600
Cash Sales 328290
Total
14569996
ON HAND
Misc Farm Products 3295000
Live Stock 2689520
Vehicles and Implements 450000
Total
GRAND TOTAL
6434520
21004516GEORGIA STATE SANITARIUM
91
EXHIBIT No 6
Profit and Loss Statement Farm Garden and Dairy
1 Farm DESCRIPTIVE Garden Dairy Total
Fruits and Vegetables Packing House Products Poultry and Eggs 7451655 570480 209620 1000000 120000 1194500 124235 3251616 319600 7451655 694715 209620
Dairy Products 3251616
Dairy Feeds 1000000
Compost 439600
Misc Food Supplies 1194500

Total 10546255 5104 3695451 323186 14241706
CASH SALES 323186
Misc Farm Products 5104

Total 10551359 4018637 14569996

Gross Profit Brought Down 9021452 1262299 10283751
Grand Total 9021452 1262299 10283751


Investment as of Beginning
Investment During Year
Net Profit for Year
of Year
6851733
6494454
7658329
Total
21004516

EXHIBIT No 7 AND 8
Comparative Statement Cash Expenditures Years 19261927
DESCRIPTIVE
Amount
1926
General Administration Salaries 0265642 7075296
Food Supplies 35753934 36294562
Wages and Labor 35041121 33580485
Clothing and Dry Goods 7511866 6731008
Furniture and Bedding 4005634 4279600
FuelCoal and Coke 4673831 5199402
Maintenance of Plant 5595717 3049012
Medical Supplies 944682 1176034
Stationery and Postage 285991 230967
Farm and Garden 2127147 1626589
Dairyf 2485807 1661451
Incidentals and Contingencies I 7284590 9829016
Totals j 111975962110733422
Amount
1927
Increase
809654
540628
273966
525571
221352
2544426
49255971
Decrease
STATEMENT OF OPERATING FUNDS
1460636
780858
2546705
55024
500558
824356
I
6168137
Per Capita
1927
Per Diem
1927
1453
7359
6809
1363
867
1050
617
238
46
328
1991
336
22457
00402
2022
1867
0374
0238
0288
0169
0065
0001
0089
0092
0546
06153
DEBITS
Cash and Cash Items 5547052
Cash Deficit at End of Year 2945277
CREDITS
Due Special and Maintenance Funds 2459105
DEMAND OBLIGATIONS
Accounts Payable 2206016
Salaries and Wages 3827208
o
K
O
w
H
W

2

w
O
w
Total 8492329
Total 8492329GEORGIA STATE SANITARIUM
93
EXHIBIT No 9
Comparative Statement Per Capita and Per Diem Cost
Years 19261927
EXPLANATORY 1926
Total Cash Expenditure 111975962
Per Capita Cost 23416
Per Diem Cost 6415
Average Number Patients 4782
Increase over 19261927 191
1927
110733422
22457
6152
4931
14994
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 1
Accounts Payable as of December 31st 1927
NAME DEBITS
Aetna Life Insurance Co
American LaFrance Fire Engine Co II
American Railway Express Co
Armour Co
Atlanta Journal Co TheII
Augusta Chronicle TheI
Banks Gaither
Bazanos E
Bell Dry Goods Co
Bell Grocery Co
Bensons Bakery
Boones Pharmacy
Brantley John T
Butler Provision Co i n
Carr Co A J
Carter Electric Co
ColemanMeadowsPate Drug Co
Collins W H
Conn Co John
Conklin Tin Plate Metal Co 50
Crane Co
Cudahy Packing Co j 50
Dairy Farm Supply Co
Dannenberg Waxelbaum Co
Dean H H
Duer Sons John j 73
Dunlap Hardware Co
Ennis J H
Epstein Bro I
Erwin J D
Estes Surgical Supply Co
Eureka Fire Hose Mfg Co
Evans W C
Frederick Disinfectant Co 54 1 r
Gambrell P H111
General Electric Co 3 99
Georgia Highway Express Co
Georgia Power Co
Gilham Electric Co
Oilman J M
Oilman W PIII
Goodyear Tire Rubber Co
Gulf Refining Co
Halliburton Co T H
Hamilton Brown Shoe Co
Hammett Co J L
Hapn Brothers Co I
Harrison W LII
Hatcher Hardware Co R W IIIIIIII
Herf Frerich Chemical Co 35000
CREDITS

16848
600000
4725
31644
1080
420
79000
3250
3254
7021
28250
100
16250
23800
738
4249
17274
29439
2007
238
150
13750
94
345
343
16940
252
168000
78000
1240
70
9492
11649
1219
13038
8070
7139
55065
111520
5100
193538
200 60
17000GEORGIA STATE SANITARIUM
95
SCHEDULE No 1 Continued
Accounts Payable as of December 31st 1927
NAME DEBITS CREDITS
Hollingshead G W 23580
Horner Brothers Woolen Mills 525 00
Ivey W H 2932
Kelly Bros 57
Kny Scheerer Co 203
Kuttner Sons J 445
Long O C 141
McKinnon Motor Co 7 78
McKinley G C 59340
Macmillan Co The 1920
McCray Refrigerator 1417
Macon Telegraph Publishing Co The 2 70
Marshall Field Co 165
Muthieson Alkali Works 2274
Michigan Wire Cloth Co 556
Milledgeville Lighting Co 20
Milledgeville Telephone Telegraph Co 3337
Montgomery W H 12390
Morris Co 8818
Newell A C 3750
Newton Bros C E 105
New Orleans Coffee Co 3127
Ray Lyon Co 900
Richmond Dry Goods Co 57
Rich BrothersM 3225
Richardson Milling Co O N 2034
Rice Son C W 26970
Riley Drug Co J B 4041
RobertsJohnson Rand 160
Rosin Turpentine Export Co 5408
Saxony Mills 144525
Scott Co 625
SherwinWilliams Co The 623
Shi Engineering Construction Co 35000
Southern Cotton Oil Trading Co 6750
Squibb Sons E R 219
Swift Co 11500
Taylor Iron Works 2608
Trawick Bros 54660
Trawick S B 5842
Troy Laundry Machinery Co 807
Union Recorder 450
Underwood Typewriter Co 5303
Veal O F 7425
Vitamin Food Co 2500
Washburn Crosby Milling Co 515
Western Union Telegram Co 1297
Whitfield Grocery Co 37202
Wilson Co 104279
Winchester Simmons Hardware Co 169
Total 96422 230243896
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME DEBITS CREDITS
Adcock Dr J C
Albert Rosa 179fQ
Alford Charlie Z
Alford Grover f
Alford Vandine f
Allen Bessie T
Allen T M
Allen W K
Anderson J D n
Anderson Mary HI ao
Andrews Wastein 9
Ashurst Sarah
Badger Annie Laura qV
Badger F D 1
Badger J S f
Bailey LaRue
Banks Martha
Battle BobI Xfn
Beal Lizzie Mae 2
Beck Bethel
Bell Minnie Lee H
Bivins Homer
Bivins Mrs Homer 5
Blackwell A N tn
Blackwell Helen 3
Bloodworth Inez V
Bloodworth Ruby R
Bonner A E
Bonner Mary I
Bostick Dr W A
Bowen Dr U S
Bowman Octavia I H
Boyer Eddie jl
Bradford Dr R W tIa
Brannan R F i
Brantley C C Rji
Brantley Mary Leon
Brantley T C
Brigman Dr W B
Brown Ben l
Brown Dan 00
Brown Emily
Brown Eva
Brown Lillian ab
Brown Luvie Rn 5l
Brown Richard
Brown Rufus
Brown Willie f
Burgamy Sadie
Butts Compton gGEORGIA STATE SANITARIUM
97
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME DEBITS CREDITS
Butts Rebecca 9 QQ
Califlf H GI 288
Carter Louise H
Carter LukeI tnn
Case Fowler Lumber Co 17Vq
Champion R L ri
Conn O M SZ
Cook Hattie J
Cooper Mrs A 5
Cox Dr C G roR
Coxwell Mrs T B nt
Criswell Wilmer
Crosby Daisy E n
Curry Eula I 187
Davis Cleveland 2 00
Davis Cora g69
Davis George 2nn
Davis Mildred E gp
Davis Rosa 443
Dawson Vallie 340
DeSaussure T H j2g
Dickerson A B on
Digby Annie 60
Dillard Joe 2 00
Dobyns Dr Wm F i33o
Doke Ruth g0
Dudley Mattie Lou 740
Dunn R D 150
Durden Degrafenreed G 35
Durden Paul 05
Durden W RII 35
Eaton Frank 200
Echols Mrs G L 300
Echols Dr G L 440
Edwards B D 20
Epps Roy S 1050
Evans Joseph 264
Evans Mattie L 274
Evans Thomas 37g
Farrell Arthur 90
Ferrell Geo L 70
Findley Robert 200
Fountain Bessie 15
Fowler Dr A H 1235
Frazier Maudie M 60
Frazier Annie Mary 64
Frederickson Leon C 107
Freeman Annie M 60
Freeman Rosevelt 200
Gambrell P H 135698
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME DEBITS
Garrard Dr J I lrrQ
Gibson Minnie J
Gilbert Sarah
Giles Ethel 4
Oilman A H 1U8
Gilman E G7 nS
Gilman H E
Gilman J M n
Goolsby Cora 9n
Gore j i fg
Grantling Arthur o7fl
Green Dr G H
Griffin Annie Will
Hall Dr T M x
Happoldt Nellie ra
Harden D E og
Hardin Eva 340
Harris Gladys 12
Harrison Alma B g10
Hartley Estelle uxo
Harville Willie Maude 169
Herringdine Elizabeth 413
Herringdine Joe 1fin
Hiii Willie 200
Hines Edward R 00
Hitchcock Minnie go
Holder J H i 7e
Hollis D H 10
Hollis J T 20
Hodger Pinkie Lou 60
Hall Bessie Lou gg
Holsey Mrs L S 45
Hopkins Ben jg
Horton O D 50
Hudson C E 35
Hudson Mary gg
Hudson Sarah 422
Humphrey A R 40
Humphrey Cecile O goo
Humphrey Otis 200
Hutchins Eulata 225
Ivey Odella gg
Jackson Essie i4g
Jackson Jesse g55
Jackson Ruby gg
Janes Geo 135
Janes L B 4g
Jarnigin Dr J C 01
Jenkins Jim 2 00
Jett W S IR70
CREDITS
60GEORGIA STATE SANITARIUM
99
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1917
NAME
Johnson B P
Johnson Ivy
Johnson James
Johnson Jesse
Johnson J C
Johnson R L
Jones Annie
Jones Ben
Jones Frank
Jones H S
Josey J E
Key Mary
Landrum Louise
Landrum Seaborn
Lavender C B
Lavender Mabel
Lawrence J M
Lawson E L
Layfield A W
Layfield B L
Leaptrott Lillian
Lee Joe
Leonard J A
Leonard Lila
Lindsey E E
Little F G
Lomax Myrtle
Longino Dr L P
Lynch Edward
McCoy Osie
McDade W W
McDaniel J T
McKinley A C
McKinley R L
McLane Clara
McLendon Eva
Marsh R L
Martin Irna
Maroney Gretha
Mathews Thelma
Mathews J W
Miles Eugene
Mitchell Berry
Mobley Dr J W
Moore S I
Moran Donie
Moses Salonia Mae
Mosley Dosh
Mosley Richard
DEBITS CREDITS
100
200
200
200
155
138
144
200
200
75
20
484
82
200
40
60
100
143
60
80
30
200
20
319
6597
410
60
912
200
156
40
75
300
430
274
190
137
60
60
170
198
200
90
1750
70
60
149
200
206100
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME
DEBITS CREDITS
Napier Willie o nn
Newell A CIIII 35
Norton Anna lgg
Osborne H L 25
Parham Oscar gg
Paul Nannie J go
Payne Leo I 35
Peacock Lwdia go
Pendleton Annie B go
Penuel F C 1 2206
Phillips Louise
Phillips Nathan 200
Pinkston Daisy 30
Pittman Shellie 60
Pitner W C 11 68B
Pounds Louise 60
Pritchard James 578
Preston J G 275
Quinn C J 35
Ransom Charlei 2 00
Rankin Dr D T 498
Ray Addie P 60
Ray Scott 50
Reeves C P 2 75
Reid R R 25
Renfroe Samantha 60
Resseau Frankie 60
Resseau Ola L 60
Reynolds Dumas 200
Rice Joe 200
Rice Walter 35
Richards John 455
Ricketts Ina 60
Rivers Will 200
Roach Mary Lou 733
Roberts H B 488
Robinson Lucile 60
Ross Mrs G W 90
Ross J D Sr 63
Ross J D Jr 60
Sams Essie 230
Rams Lewis 200
Sanders Dr Luctus lt70
Sanford A F 300
Sanford Charlie 200
Spnford Jerry 200
S GOGEORGIA STATE SANITARIUM
101
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME
DEBITS CREDITS

Satchel Frank 200
Saye Dr E B 85
Seals J D 180
Seals Mrs J S 135
Self Lillie Mae 2oO
Shurling Catherine 60
Simpson C H 45
Simpson Roscoe 50
Simpson Roy 325
Smith Arthur S 25
Smith Darrell D 60
Smith E L 40
Smith J H 180
Smith J T 375
Sparks G Mclntosh 900
Speights Annie 119
Speights Belford 200
Spivey C W 360
State Farm Georgia 1700
Stavely G C 20
Steonbridge Clifford F 45
Stembridge W W 495
Stephenson Dr J T 100
Stokes Ethel 256
Strozier Alma E 60
Swan Mrs Mary 30
Swint Dr R C 310
Switzer A W 18
Switzer T Alton 50
Taylor Hershal 200
Tennille A S 50
Thompson Felix 162
Thompson Nora 30
Thornton Bertha 60
Thornton Jim 200
Tompkins Katie 60
Trawick John 200
Tucker Joe 200
Tucker Tom 50
United States Public Health Service 13948
Veatch C N 60
Vinson Bertha Mae 330
Vinson Brack 200
Vinson J T 75
Walker N P 462
Wallace H B 25
Waller Squire 200102
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 2 Continued
Accounts Receivable as of December 31st 1927
NAME DEBITS CREDITS
Warnock H D 870
Watson B F 50
Watson Mozelle 585
Wheeler Dr G A 1329
Wiley Dr J D 65
Wilson Ernest 40
Williams Eugene 200
Williams Lillian S 255
Worsham J I 30
Wright Andrew 200
Wright D B 35
Wright Leola 55
Wright S E Sr 105
Wright S E Jr 125
Wright Willie 200
Yancy Bessie 1072
Yarbrough Irene 60
Yarbrough Rev J F 600
Yarbrough Dr Y H 630
Youngblood Lilly 283
Youngblood Rebecca 419
Youngblood Willie 40
Total 114600 171GEORGIA STATE SANITARIUM
103
SCHEDULE No 3
ProductionFarm Garden and Dairy
FRUITS AND VEGETABLES
2874 Bushels Squash 718500
1115 Bushels Snap Beans 356800
32063 Heads Collards 320630
5039 Bushels Rape 251950
7599 Bushels Turnips 759900
48131 Heads Cabbage 481310
252 Bushels Spinach 37800
111 Bushels Asparar ii 33300
3761 Heads Lettuce 18805
72 bushels Radishes 14400
1081 Bushels Beets 324300
1520 Bushels Onions 380000
3944 Bushels English Peas 1183200
830 Bushels Irish Potatoes 166000
234 Bushels Cucumbers 58500
637 Bushels Okra 95550
625 Bushels Butter Beans 187500
132 Crates Peaches 26400
114 Bushels Pepper 34200
530 Crates Tomatoes 212000
211 Bushels Egg Plants 63300
13272 Bushels Sweet Potatoes 1327200
880 Gallons Syrup 35200
12378 Cantaloupes 61890
27810 Water Melons 278100
12260 Roasting Ears 24920
PACKING HOUSE PRODUCTS
38032 Pounds Pork 570480
12549 Pounds Beef 124235
POULTRY AND EGGS
1012 Pounds Hens 20240
1211 Pounds Friers 36330
4129 Dozen Eggs 144515
260 Pounds Turkeys 7800
49 Pounds Roosters 735
VALUE
7451655
694715
209620104
EIGHTYFOURTH ANNUAL REPORT
SCHEDULE No 3Continued
ProductionFarm Garden and Dairy
DAIRY PRODUCTS
78953 Gallons Sweet Milk 3158120
161 Gallons Butter Milk 2916
36514 Gallons Cream 73100
437 Pounds Butter 17480 3251616
FARM PRODUCTS
1000 Tons Ensilage 1000000
COMPOST 439600
MISCELLANEOUS FOOD SUPPLIES
1631 Bushels Peas 327200
5362 Bushels Meal 536200
3311 Bushels Potatoes 331100 1194500
TOTAL VAUE 14241706EIGHTYFIFTH ANNUAL REPORT
BOARD OF TRUSTEES
Georgia Siafe Sanitarium
MILLEDGEVIIXE GA
For the Year Ending
December ThirtyFirst
Nineteen TwentyEightBoard of Trustees
President
John T BrantleyBlachshear Ga
VicePresident
Thos M Hall M DMilledgeville Ga
Secretary
C C BrantleyValdosta Ga
E E LlNDSEYRome Ga
J C JARNAGINWarrenton Ga
A C NewellAtlanta Ga
P H Gambrell Macon Ga
Laetus Sanders M DCommerce Ga
Walter C PitnerAthens Ga
DeceasedCommittees of the Board of Trustees
Georgia State Sanitarium
Executive Committee
E E Lindsey Chairman
J C Jarnagin
Thos M Hall M D
A C Newell
C C Brantley
Finance and Auditing Committee
P H Gambrell Chairman
Walter C Pitner C C Brantley
Committee on Sanitation Medical and Dispensary
Service
Thos M Hall Chairman
Laetus Sanders M D P H Gambrell
Committee on Buildings and Grounds
A C Newell Chairman
E E Lindsey Lateus Sanders M D
Committee on Farm and Outside Business
J C Jarnagin Chairman
Walter C Pitner Laetus Sanders M D
DeceasedOfficers of the Sanitarium
R C Swint M D Supt and Resident Physician
N P Walker M D Clinical Director
L P Longino M D First Assistant Physician
Y H Yarbrough M D Second Assistant Physician
J I Garrard M D Assistant Physician
Geo L Echols M D Assistant Physician
D T Rankin M D Assistant Physician
U S Bowen M D Assistant Physician
C G Cox M D Assistant Physician
R W Bradford M D Assistant Physician
W A Bostick M D Assistant Physician
J W Mobley M D Assistant Physician
W F Dobyns M D Junior Assistant Physician
A H Fdwler M D Resigned Junior Asst Physician
E B Saye M D Resigned Pathologist
W B Brigman M D Resigned Interne
J D Wiley M D Resigned Interne
J C Statham M D From Aug 1st 1928 Interne
C R Youmans M D From Aug 1st 1928 Interne
G H Green D D S Dentist
J C Adcock D D S Dentist
J J Wooten Pharmacist
Mrs Mae M Jones R N Superintendent of Nurses
Otto M Conn Treasurer
Homer Bivins Steward
T H DeSaussure Engineer
H S Jones Secretary
W S Jett Jr Assistant Engineer
F C Penuel Farm Steward
Arthur Farell Storekeeper
W W Stembridge Sanitation Officer
Rev Jno F Yarbrough Chaplain
Leone Frederickson Dietitian
Mrs Geo L Echols Dietitian
Cecile Humphrey Social WorkerEightyFifth Annual Report
OP THE
BOARD OF TRUSTEES
OF THE
GEORGIA STATE SANITARIUM
MlLLEDGEVILLE Ga JANUARY 1 1929
To His Excellency Lamartine G Hardman Governor
Sir
The eightyfifth annual report made mandatory by
law of the Board of Trustees of the Georgia State Sani
tarium covering the conduct and management of this in
stitution for the year 1928 is respectfully submitted
herewith together with such recommendations therein
as are pertinent and necessary to be made
Superintendents Report
The attached annual report of the Superintendent
and Resident Physician supported by similar reports of
department heads presents in comprehensive detail the
work of the year The results shown are such as to
merit for this responsibile officer and for those serving
under him the high praise of the Board
Encouraging Note
The Sanitarium is charged with the care of the
States insane who may be broadly divided into two class
es the acute or curable and the chonic or incurable It
is therefore both hospital and asylum and the Board
notes with deep satisfaction its slowly growing efficiency
in both these purposes The recovery rate for the year
shows a small increase The chronic insane offers the
medical profession what is doubtless its most discourag
ing field of endeavor and yet some progress is made
here A recent bulletin issued by the medical depart
ment for circulation among officers and employees
states that since the introduction in 1919 of habit train
ing there has been effected using the record of that year
as a basis of comparison a reduction of 61 per cent in
the total number of hours of seclusion and of 80 per
cent in the total number of hours of restraint in which it
has heretofore been found necessary to hold certain types
of this class both for their own and the protection ofEIGHTYFIFTH ANNUAL REPORT
others At the same time their destructive tendency has
been sharply reduced Such significant and happy re
sults are due to the clear vision and patient work of the
Clinical Director and his assistants and they testify
anew to the farsighted wisdom of a former beloved
Superintendent in being first to substitute kindness for
harshness in the care of the insane a policy which his
successors have steadily continued They demonstrate
conclusively that the mentally ill respond to good nursing
no less than do the physicially ill In this connection
the Training School for Nurses maintained by the Sani
tarium is a most valuable adjunct Because of these
things the new year is entered with hope and courage de
spite one serious handicap the overcrowded condition of
the Sanitarium
Population
The year closed with 5096 resident patients an in
crease for the year of 133 and for ten years of 1134
The number of patients parolled with the right of return
within twelve months was 698 making a total enroll
ment of 5794 patients The daily average number of
resident patients was 5046 an increase of 111 Appli
cations for admission numbered 1591 of whom 1090 were
admitted Others were granted admission but for some
reason were not presented Admission was necessarily
denied to harmless cases offering no hope of benefit and
easily cared for at home
The report of the Board for 1927 stated that the
Sanitarium was then overcrowded by 1241 patients and
this number has now grown to 1462 The gravity of this
condition needs no comment by the Board
Measure for Relief
Responding to that report the Legislature in that
year generously granted the Board an appropriation of
500000 available in 1927 and 1928 for the erection of
two additional buildings The first of these will be ready
for occupancy in February next and will accommodate
400 patients It will be used to relieve the congestion
where it is most acute the colored female department
This building will be as nearly fire proof as it is possible
to make it and will mark a distinct advance in the type ofGEORGIA STATE SANITARIUM
buildings heretofore had Sanitarium labor has been used
as much as possible to reduce its cost which up to this
time has been 19025572 The second building of the
same type of construction is now under way and should
be ready for occupancy in the late summer of 1929 It
will be used as a hospital for the treatment of the acute
insane and of the physically ill thus supplying the great
est need of the medical department It will contain 218
beds and be fitted with the best equipment it is possible
to give it In honor of the long and faithful service of
the late Superintendent and Resident Physician it will
be known as the L M Jones Building
The report of the Board for 1927 stated that five
new buildings were necessary to provide for the over
population and this estimate remains unchanged The
completion of the two buildings under way will leave
three yet to be supplied and these are needed to accom
modate 300 white female patients 200 white males and
200 colored males now in the Sanitarium No provision
will be had in them for the future
Other Building Needs
In addition to the three buildings just mentioned
there is urgent need for an amusement hall ample in
size for the present population The old one was built
many years ago and is much too small No loss will re
sult from its abandonment since it can easily be con
verted into dormitories for patients The very helpful
pleasures of the insane are not many and such a hall is
a primary need for this purpose
A second story should be added to the storehouse so
that sufficient room may be had in it for the storage of
supplies now necessary to be carried in stock
A suitable residence should be provided for the use
of the Superintendent and Resident Physician and his
present apartment in the Powell building used for ad
ministrative purposes Such a residence should be in
keeping with the dignity of the institution and large
enough to permit him to dispense the hospitality expect
ed of him as its official head
A water main should be laid from the Sanitarium
to its Colony Farm four miles away so that the patients
there may be assured of an ample supply of water
since the present source is unreliable The alternative
is an artesian well with uncertain results8
EIGHTYFIFTH ANNUAL REPORT
Fire is the nightmare of all who are charged with
the care of the insane The best protection is to be had
through fire proof buildings of which the Sanitarium
has none save the two new ones now under construction
Its principal buildings now in use are of brick and wood
construction with roofs of metal slate or tile and are
three stories high Save in the case of the nurses home
no fire escapes are had Escapes of the ladder type
would be as dangerous to insane persons as fire Re
liance has always been had on enclosed inside stairways
as a means of escape in case of fire and thus far no fa
talities have occurred For protection against fire re
liance is had on water mains distributed throughout the
grounds from which the buildings are reached through
fourinch headers a late model auto triple fire pumper
an auto extension ladder of ample height and a well
organized fire department As a further and safer
means of protecting both buildings and inmates from fire
they should be speedily equipped with automatic fire
sprinklers In calling attention to this ever present dan
ger the Board is painfully aware that the present con
gested condition of the Sanitarium very greatly multi
plies it
Attention is called to the attached report of the
heating engineer employed to make a survey of the pres
ent method and cost of heating the buildings in connec
tion with the present cost of electric current used for
lights and power in order to ascertain what saving if
any is possible through a consolidated heating plant in
which is combined one or more electric power units the
estimated cost of such etc No suffering is now had
from lack of heat or from shortage of electric current
had from the Georgia Power Company and the matter
is to be considered from the standpoint of economy alone
When these needs shall have been supplied it is the
deliberate judgment of the Board that the further en
largement of the Sanitarium should end
Provision for the Future
This judgment of the Board grows out of its knowl
edge that the Sanitarium is already one of the largest
institutions for the care of the insane in the United
States and that its wise management is a problem of the
first magnitude It believes that in it the safety limit
has been reached and passed This problem is not pecu
liar to Georgia and other States facing the future haveGEORGIA STATE SANITARIUM
found the only safe solution of it to be in a second hospi
tal This course the Board very earnestly urges upon
his Excellency and the Legislature There can be no
question of the dire need for such in the face of 501 ap
plications for admission to the Sanitarium on hand at
the end of the year Many other insane persons are
doubtless held at home or are cared for in private hospi
tals
Hospitals for Sane Epileptics
No hospital program of the State will be complete
without some provision for epileptics who are not in
sane and for whom no State provision is now had The
tendency of this malady is toward insanity and what
ever the State can do to avert such an end is most wise
and humane The distress of this class is the greater
because the nature of their malady with its repulsive
manifestation causes them to be shunned by the well
The colony type of hospital which seems to be indicated
for their care and treatment might be made partly self
sustaining through the self helpful work of its patients
and to this end ample ground for farm garden orchard
poultry yards etc should be had This class is not in
sane and such an hospital has no proper connection with
an hospital for the insane
Surgical Sterilization
Bearing on the general problem of the insane is the
need for a compulsory law which will operate to prevent
the unfit from reproducing their kind to the consequent
detriment of society and burden to the State This is to
be accomplished through surgical sterilization and such
a law if enacted should apply to certain types of the
insane the feeble minded syphilitics and criminal re
cidivists as it may define and should be compulsory un
der such regulations as may be provided The benefi
cial effect of such a law will not be immediately apparent
for obvious reasons but none who know the facts can
question its wisdom The report of the Superintendent
cites the California law as a safe model to follow
Widening Usefulness
The mental clinics established in Macon and Elber
ton by local physicians with the assistance of members
of the Sanitarium medical staff have justified themselves10
EIGHTYFIFTH ANNUAL REPORT
and might usefully be set up in all the large centers of
the State Cases of suspected mental disorder are
brought before them for examination and such advice as
will avert a mental collapse
The usefulness of the Sanitarium might be increased
by its assumption of some after care of its discharged
patients until such time as mental strength is had This
could be accomplished through especially trained field
workers who might also be used to gain fuller histories
of patients under treatment for the guidance of the
medical staff The means at its disposal do not now per
mit this additional work to be undertaken
Growing public interest in mental hygiene is shown
in visits to the Sanitarium during the year by classes in
psychology from several of the colleges and universities
in the State Lectures were had before them by mem
bers of the medical staff
Water Supply
The water supply of the Sanitarium is drawn from
the Oconee river An appropriation was had in 1927
available in 1928 for enlarging this supply by addition
al filters pump and water main For economical rea
sons this work is being done with Sanitarium labor and
because of heavy weather during the year as well as the
need for work elsewhere this work has been much re
tarded Pipe for the duplicate 12inch main is on the
ground and partly laid and a standpipe of 150000 gal
lon capacity has been erected and is in use The whole
work will be completed as rapidly as possible The ex
penditures to date for this work are 4261301
Although the pumping station is supposed to be lo
cated well above the highest water mark of record the
flood during the year put it under four feet of water
Only the great storage reservoir so wisely provided in
the past prevented a desperate situation A levee has
now been built for its protection
Milk Supply
An outbreak in the past of contagious abortion and
the prevalence of tuberculosis in the dairy herd have
served to greatly deplete its number Rigorous meas
ures were taken to stamp out both troubles and the re
mainder of the herd now appears to be free No replace
ments will be made until all danger of further infection
is passed In the meantime reliance must be had on out
side sources for an adequate supplyGEORGIA STATE SANITARIUM
11
Finances
The total expenditures in the year for the support
of the Sanitarium were 119187125 of which 1338854
was from sources other than the State
The cost per patient was 23355 an increase over
1927 of 863 and mainly accounted for in the increased
cost of food supplies The daily per capita cost was
06398
The year closed with working assets on hand of
18215994 invested in cash supplies etc The cash
liabilities were 8153449 The apparent cash deficit
was 1212215 as against a like deficit last year of 29
45277 To offset this a gain in the worth of supplies
on hand of 1996688 will be noted In this connection
it should be remembered that the Sanitarium can never
be without a safe margin of supplies with which to meet
any emergency
Supplies were bought as usual on competitive bids
open to all from samples submitted
The usual audit of the books by the State Auditor
was made with satisfactory results
The excellent work shown in the business depart
ment including farm garden and dairy and in the de
partment of upkeep of the vast physical plant is such as
to merit for the Steward Farm Steward and Engineer
the warm commendation of the Board
Legal Amendments
The Board once again calls attention to the impossi
bility of enforcing the law governing admissions to the
Sanitarium as shown in Michies Compilation of the
Code Chapter 3 Article 2 Section 3102 It should either
be clarified or repealed It seeks to define the classes
entitled to admission and to create both pay and pauper
patients the last being those whose estates are valued
under 3000 It provides no method of ascertaining the
value of the estate of those seeking admission nor for
the management of the estate of those admitted so as to
insure the payment to the Sanitarium of its reasonable
charge for board and keep It contains no provision
for those whose estates may fail to yield a sufficient in
come for their support nor for those whose estate may
be wasted or stolen after admission It is not made re
troactive and is applicable to new admissions only ThisEIGHTYFIFTH ANNUAL REPORT
problem was fought out in the Legislature many years
ago and the Sanitarium then made free to bona fide cit
izens of the State It was realized then that the State
must of necessity provide for her insane regardless of
their property holdings and that the patients of the
Sanitarium could not be discharged from its care because
of inability to pay It was realized too that the prop
erty of insane citizens bears it proportion of taxes for
the support of the State government One exception to
this general rule seems possible and it in the case of those
possessing an estate but having no family or near de
pendent relatives In such a case as this the estate might
properly vest in the Sanitarium to be expended for his
support it being expressly provided that any residue re
maining at his discharge shall be restored to him or that
at his death it shall become the property of the Sani
tarium In such cases the Sanitarium takes the place of
family and relatives Another serious objection to the
law is the unhappy and harmful effect on the patients
themselves through the class distinction the law would
create For these and for other reasons the Board rec
ommends the repeal of this section and the enactment
of the following
SANITARIUM FREE TO WHOM The said Sanitarium
shall be free to all bona fide citizens of the State who may be
insane or afflicted with mental disease No paralytic invalid
idiot imbecile epileptic drug or alcoholic addict who is not
insane shall be committed to or admitted to it
The history which must accompany all applications for
admission to the said Sanitarium shall contain just and ade
quate reasons why such admission should be had and if such
reasons are not given the Superintendent may refuse admis
sion
It shall be permitted the family or friends of any person
who may be admitted to the said Sanitarium to furnish such
person at their own cost such clothing extra food and other
luxuries as they may desire under such rules and regula
tions as may be prescribed by the Board of Trustees
If any person who may be admitted to the said Sani
tarium shall be possessed of an estate and shall be without
family or near dependent relatives such estate shall vest in
the Board of Trustees of the said Sanitarium to be managed
for his benefit and to be expended for his use and support
while a patient in the Sanitarium it being provided however
that in the event of his discharge any residue remaining of
such estate shall be put into his possession or that in the event
of his death it shall become the property of the said Sani
tarium
The Board also recommends the repeal of Section
1585 Article 2 Chapter 1 governing the examination ofGEORGIA STATE SANITARIUM
13
Assistant Physicians for the reason that it is no longer
necessary The State examination required of all physi
cians seeking the right to practice within her borders
should be sufficient assuming the required moral quali
fications to be had
Appropriations for 1930 and 1931
In submitting its estimates of the sum needed for
the support of the Sanitarium and for the special pur
poses stated herein the Board has not departed from its
invariable custom of asking only for what is actually
needed for the purpose stated
Appropriations will be required
For the support of the Sanitarium in
1930 providing for a population of
5300 123728500
For the support of the Sanitarium in
1931 providing for a population of
5450 127230200
For three new buildings for patients 50000000
For an amusement hall 5000000
For storehouse enlargement 1000000
For Farm Colony water main 1200000
For Superintendents residence 2500000
For automatic fire sprinklers 23000000
Death of Board Members
The Board has lost two of its oldest and most highly
esteemed members in the last biennial period and the
fact is recorded with a deep sense of personal loss
Mr H H Dean of Gainesville Vice President of
and for eighteen years a member of the Board died in
October 1927 following a surgical operation His fine
legal ability and wide business experience gave worth to
his counsel and made him a tower of strength to the
Board The benevolent purpose of the Sanitarium en
listed his whole heart and mind and caused him to give
it generously of his best The call of duty when its
interest were to be served never failed to be answered
The death of Mr J C Jarnagin of Warrenton oc
curred in December 1928 following a brief illness and14
EIGHTYFIFTH ANNUAL REPORT
brought a service of nineteen years as a member of the
Board to its close He brought to its sessions the wis
dom had from long business experience an understand
ing heart a willingness to work and a faithfulness to
duty beautiful to see Combined with his sterling quali
ties of heart and mind were a modest demeanor and a
happy disposition which won him many friends
Personal
The duties of the Board have been faithfully dis
charged and every effort made to protect the interests
of the State and of society It is grateful to his Excel
lency for his continued confidence and strong support
Its thanks are due to the State Auditor for helpful aid in
the solution of its financial problems to the Legislature
for its generous treatment and to the Press for the
kindly and helpful interest shown in the Sanitarium It
humbly prays that this great family of the helpless may
ever abide in the care of Almighty God
By order of the Board of Trustees
John T Brantley
President
C C Brantley
SecretaryGEORGIA STATE SANITARIUM
15
ESTIMATE FOR CENTRAL HEATING AND
POWER PLANT
GEORGIA STATE SANITARIUM
BY
The Markel Company Engineers Atlanta Georgia
In preparing an estimate on the cost of the pro
posed new plant we believe we are safe and that in actual
practice it will be possible to reduce this
Considerable of the construction especially the tun
nels could be done by the Sanitarium at a cost much less
than estimated
The detailed estimate for this plant follows and is
the basis for operating costs of the new plant
The new plant would handle a low grade of fuel
which we estimate to cost not over 83 cents per ton at
the mine The freight is estimated to be the same as at
present or 299 making a total cost of 382 per ton
For the plant labor for the new plant we include
Two engine room men 15000 per month360000
Two firemen 10000 per month240000
Labor 115000
715000
Regarding the extra coal for summer load we be
lieve this item will really disappear owing to the fact that
in the day time it will be absorbed by the laundry while
the balance of the time it will be used in keeping up the
temperature of the domestic water or in offsetting the
fuel that is now used in keeping pressure on the fire
pump
In each set of estimates we have used amounts which
we believe will be required during the next year when
buildings now under construction will be under full op
eration This applies to fuel material and labor In
estimating replacements in old plants we believe this
amount will be necessary owing to the great age of the
equipment
If we decided that no additions would be necessary
in the present plants during the next ten years then we
can reduce the size of the proposed new plant by at least
fifty thousand dollars16
EIGHTYFIFTH ANNUAL REPORT
COST OF CONSTRUCTING NEW PLANT
Three large boilers and two smaller ones total 12500
H P 1 7700000
Stokers 2730000
Breeching 200000
stack and foundation 8 200 00
Coal handling 20oOooo
Ash handling 450000
Generating equipment 3250000
Electrical work 2500 00
Piping etc 550000
17950000
Building for the plant 7500000
OUTSIDE WORK
Remodeling rail trackage and extending same 800
feet 750000
Repairing roadways 50000
Construction of pipe tunnels 72 000 00
Pipe lines to connect up central plant and buildings 3500ooo
Electric pumps with wiring to replace existing steam
pumps in existing plants 7 500 00
Electrical work to connect to existing lines 50000
TnTAT 12300000
1U1AL37750000
OPERATING COSTSNEW PLANT
Interest on total new investment 5 on
37750000 1887500
Depreciation on equipment4 8 880 00
In boiler house179500
Outside lines 42 500
222000
Coalincluding allowance for new buildings9 300
tons 382 3552600
Additional coal for summer electricity during hours
that steam will not be needed 4 000 00
Oil and supplies iooioo
Plant labor 715000
7593100
OPERATING COSTSOLD PLANT
Interest on investment175000 5 8 750 00
Depreciation4 on 100000 4000 00
Replacement during next ten years 2500000 there
fore per year 250000
New construction in next ten years 3500000 there
fore per year 3 500 00
Fuel for last year 12500 tons at 442 per ton5525000
General supplies 500 00
Labor1 738000
Power and light1650000
9838000GEORGIA STATE SANITARIUM
17
CONCLUSION
Operating costs of old plant9838000
Operating costs of new plant7593100
Difference in favor of new plant2344900
Total investment of new plant37750000
Sale value of old equipment 1000000
Net cost36750000
Return on investment 2344900
Per cent on investment approximate 6
Respectfullly submitted
THE MARKEL COMPANY EngineersEIGHTYFIFTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE Ga JAN 1 1929
The Honorable Board of Trustees
Georgia State Sanitarium
MlLLEDGEVILLE GA
Gentlemen
In accordance with your rules and statuatory re
quirements I respectfully submit the eightyfifth annual
report of the Georgia State Sanitarium for the fiscal year
ending December 31st 1928
The reports of the heads of Departments give a
general review of the activities of the institution through
out the year and are appended hereto as follows
The Clinical Director
The Dental Department
The Superintendent of Nurses
The Pharmacist
The Engineer
The Farm Steward
The Treasurer
The Steward
Table of General Information
1 Date of opening as an institution for
mental diseasesOct 12 1842
2 Type of institutionState
3 Hospital plant
Real estate including buildings205575000
Personal property 35045200
Total240620200
Total acreage of hospital property owned3772
Includes grounds occupied by buildings
farm and garden sites
Total acreage under cultivation previous year 1600GEORGIA STATE SANITARIUM
19
4 Officers and employees actually in service at the end
of the year
Males Females Total
Superintendents 10 1
Clinical Directors 10 1
Assistant Physicians 11 0 11
Medical Internes 3 0 3
Resident Dentists 2 0 2
Pharmacist 10 1
Stewards 1 0 1
Farm Stewards 10 1
Engineers 10 1
Assistant Engineers 10 1
Graduate nurses 1 13 14
Other nurses and attendants 223 321 544
All other officers and employees 175 7 182
Total officers and employees 422 341 763
General Statistics of Patient Population
for the Year 1928
Patients on books first day of year
Males Females Total
Actual resident population 2248 2688 4936
On parole or otherwise absent but
still on books 373 403 776
Total 2621 3091 5712
Admitted During the year
Males Females Total
First admissions 462 369 831
Readmissions 144 115 259
Total received during the year 606 484 1090
Total on books during the year 3227 3575 6802
Discharged from records during year
Males Females Total
As recovered 64 92 156
As improved 196 187 383
As unimproved 45 53 98
As without psychosis 8 19
Died during the year 217 172 389
Total discharged and died dur
ing year 530 505 103520
EIGHTYFIFTH ANNUAL REPORT
Patients on books last day of year
Males Females Total
Actual resident population 2332 2737 5069
On parole or otherwise absent 363 335 698
Total on records at end of year 2695 3072 5767
Average daily resident population 5046
A study of the above table shows an admission of
606 males and 484 females or a total of 1090 during the
year This number is 131 less than the previous year
but we received a total of 1591 applications for admis
sion compared to 1503 the previous year The greatly
overcrowded condition of the institution compelled us to
refuse admission to many who made application for ad
mission In passing on applications we endeavored to
give preference to the younger and more urgent type of
cases The information contained in applicants history
being the only criteria we had at hand except supple
mental letters from friends and relatives of those re
fused and later accepted We hope by the middle of
February the new building for colored females will be
ready for occupancy This building is constructed of
brick with concrete floors and is of fire resistant con
struction throughout and will accommodate about 400
patients allowing 50 square feet of floor space per pati
ent for dormitory purposes and 30 square feet per pati
ent additional for day porticos This will provide ade
quate quarters for the colored females for some time
Contractors begun work on the Psychopathic Hospi
tal Building in November and they plan to have it com
pleted by July 1st 1929 This building will have six
wards and will accommodate about 240 patients It will
be of fire resistant construction throughout and three
stories high with terrazo floors The north side of the
building will be four stories including the basement
which will compose gymnasium occupation therapy
room hydrotherapy room Xray quarters physiotherapy
rooms and work shop The first two floors will be recep
tion wards for new admissions and the top floor will be
hospital wards for sick and surgical cases with a modern
operating room and diet kitchen in connection therewith
This building has been long needed by the institution in
meeting the problems of the unfortunate charges com
mitted to her careGEORGIA STATE SANITARIUM
21
When these two buildings are completed and occu
pied the institution will still be overcrowded in the
white male white female and colored male departments
by about 700 patients Therefore it is important that
provisions be made as early as practicable for this over
crowding and to provide for the future growth of the
mental disease problem in this state This common
wealth has assumed the burden of this problem and it is
one that should be second to none of all of her responsi
bilities
Individuals afflicted with mental disorders have the
most serious of afflictions and are the most needful of
hospitalization of all who become sick because the very
nature of their illness causes them to have behavior that
sooner or later conflicts with society and the law Then
the law deprives them of their liberty A person only
physically sick may elect to take treatment at home or
some general hospital of their choice but if they become
mentally sick they have no choice in the matter There
fore an environment should be provided for these un
fortunates equipped with facilities for treatment to com
ply with all requirements that modern phychiatry and
medical science offers for their restoration to health and
useful citizenship
After many years of thought and study of this prob
lem we are convinced that another institution for men
tal disease should be founded in another section of the
State and located near one of the medical schools or
large cities so that a staff of consulting physicians and
surgeons Specialist would be available as consultants
with the resident staff Looking to the future we think
this would be wiser than to add more buildings to this
institution except those now needed
The above idea conforms to the opinions of most of
the leading and experienced superintendents of state Hos
pitals in the United States and Canada and is practiced
by those states most advanced in equipment for meeting
the needs of their mental disease problem Georgia is
the only State in the Union of its size population and
wealth that is attempting to provide for this tremendous
problem with one institution
The history of this institution since it was founded
convinces us that the problem will continue to grow with
the coming years as the population of the State increas22
EIGHTYFIFTH ANNUAL REPORT
es notwithstanding the progress being made in the meth
ods of treatment and the fact that we are learning more
and more about mental hygiene by a closer study of the
individual and his personal attributes in childhood and
adult life and the various factors that cause maladjust
ment
However much greater results might be accomplish
ed in the prevention of mental diseases during this mod
ern and stressful era if the public mind would concen
trate their energies to the problem of bad heredity It
does not matter whether legal restriction of marriage
surgical sterilization or segregation should be remedy
or remedies applied with other mental hygienic activi
ties the prescription is a long one and would require
many years before outstanding results might be obtain
ed I am convinced that surgical sterilization of those
afflicted with certain types of mental disease the feeble
minded syphilitics and criminal recidivists is the best
remedy medical science has to offer and would eventuate
in greatest results if made compulsory If not made com
pulsory I doubt the wisdom of such law California has
one of the simplest and best sterilization laws that I
have been able to find
Furloughs Discharges and Deaths
Of the 898 patients furloughed during the year 355
were white males 307 white females 116 colored males
and 120 colored females Of this group 188 were re
stored and 546 improved making a total of 673 per cent
restored and improved based on the total admissions for
the year
Of the 646 patients discharged during the year nine
were without psychosis 156 were restored 383 improved
and 98 unimproved but we regarded harmless This
group of cases except those without psychosis had pre
viously been furloughed into the custody of relatives and
remained out of the institution over twelve months the
furlough period allowed by law A few of the restored
cases soon after leaving the institution requested their
discharges for business reasons and they were given
Of the 389 deaths during the year 121 were white
males 82 white females 96 colored males and 90 colored
females The total deaths during the year were 45 less
than the previous year The average daily patient popGEORGIA STATE SANITARIUM
23
ulation was 5046 and the total number under treatment
exclusive of those on furlough were 6026 The death
rate during the year was 064 per cent of the total num
ber under treatment
Medical Service
No innovations in treatment were instituted during
the year but we endeavored to keep in mind the idea of
studying the origin and meaning of symptoms and nurs
ing attention While no great discoveries like insulin in
the treatment of diabetes has been made yet we think
that some progress is being made in the treatment of
mental disorders and one of the evidences of this is the
noted improvement on the wards of the destructive rate
seclusions and restraints of the disturbed cases While
we are gradually learning more and more about the prob
lems of the different type of cases yet we sometimes feel
that our progress is rather slow
We continued the use of foreign protein in the form
of typhoid vaccine in the treatment of general paralysis
of the insane Of the 84 cases treated 46 were white
males 3 were white females 27 were colored males and
8 colored females Of the 46 white males treated 21
improved 11 did not improve and 14 died Of the 3
white females treated none improvedall still living
Of the 27 colored males treated 1 improved 9 did not
improve and 17 died Of the 8 colored females treated
2 improved 4 did not improve and 2 died Ten of the
improved group have been furloughed into the custody
of relatives and the future alone can determine the final
result We discontinued the Ketogenic dietary treat
ment of the group of epileptics as results obtained did
not warrant its continuance
We continued occupation therapy as an aid in treat
ment but made no material advances in this department
as we have been unable to secure a properly trained in
dividual to take charge of this work in the white female
department In this connection I will state that the
many male patients that we encourage to work in the
gardens on the farm and the many activities about the
institution are greatly benefitted thereby It does not
matter so much whether an individual is engaged in arts
and crafts industrial or agricultural activities the re
sults obtained may be good if the proper approach is2AEIGHTYFIFTH ANNUAL REPORT
made under tactful and wise supervision When work
of any kind is employed as a therapeutic measure it
should be under the direction of the physician effect
noted and recorded
The general health of the patients during the year
has been very good no extensive contagious and infec
tious disease epidemic occurred although during the lat
ter part of the year a mild epidemic of influenza de
veloped with a few deaths from pneumonia complications
We were rather apprehensive when water works
was flooded by the river during the high water in Au
gust The bacteriological test of the water afterwards
showed evidence of slight pollution but no harmful re
sults followed
The institutions extra mural activities expanded
some during the year In addition to continuing the
Macon and Elberton Clinics a member of the Staff began
spending an afternoon of each week at the Georgia Train
ing School for Boys Also classes from Georgia State
College for Women Milledgeville Teachers College
Athens Emory University Atlanta Mercer University
Macon Morris Brown University colored Atlanta
visited the institution and were given lectures on ab
normal psychology and shown clinical cases Amuse
ments in the form of weekly dances moving pictures and
band concerts were provided as formerly
The record made by the Training School for Nurses
was unusually good A detailed report of the home
coming of the Alumnae graduating exercises list of
graduates plan of instruction and curriculum will be
found in the report of Superintendent of Nurses
A detailed review of the medical work with statis
tical tables will be found in the report of the Clinical
Director
Changes in Medical Staff
Junior Assistant Physician A H Fowler resigned to
enter private practice at Langley S C
Interne W B Brigman resigned on account of ill
healthGEORGIA STATE SANITARIUM
25
Interne J D Wiley resigned to accept position of
health officer of Jenkins County Ga
Pathologist E B Saye resigned to accept position of
pathologist to DavisFisher Sanitarium Atlanta Ga
Drs J C Statham and C R Youmans were appoint
ed as Internes
Pellagra Study
The studies on the treatment and prevention of pel
lagra conducted by the United States Public Health Serv
ice in conjunction with the medical staff were continued
under the general supervision of Dr Joseph Goldberger
with Dr G A Wheeler in local charge Several staple
foods have been studied and their pellagra prevention in
fluence determined
Fresh milk or buttermilk in quantities of 40 ounces
as a daily food supplement has been found satisfactory
in the prevention or treatment of the disease Also sev
en ounces of fresh beef six ounces of canned salmon and
one ounce of dry powdered yeast have each been found
satisfactory agents in prevention and treatment of the di
sease
Findings obtained by these workers in their dietary
studies have led them to the conclusion that pellagra is
due not to too much or too little protein carbohydrate
fat or mineral constituents but to a fault in some ac
cessary food principle of the class known as vitamins
that have been designated by Dr Goldberger and his
associates as the P P or pellagra preventive factor
Some students of nutrition have since classified it as
Vitamin F others as Vitamin G Meat fresh lean
meats salmon tomatoes wheat germ and yeast are
known to contain it in more or less abundance This
vitamin has been found to be soluble in water and alcohol
and not appreciably affected by heat It seems that the
pellagra problem as a result of these studies will become
more and more simple as the various foods are studied
and their values as sources of this vitamin be publicly
made known
Laboratory Report
The Pathologist having resigned in October the fol
lowing data for the years laboratory work was collected
by Mr D C Leaptrott laboratory technician26
EIGHTYFIFTH ANNUAL REPORT
Serological Examinations
Blood Wassermann Noguchi reaction1490
Cerebrospinal Fluid Wassermann reaction 456
Cerebrospinal Fluid Colloidal Gold reaction 456
Cerebrospinal Fluid Globulin estimation 456
Cerebrospinal Fluid Cell Count 456
Clinical Laboratory Examinations
Urine routine analysis1833
Urine special chemical examinations 716
Feces micro for parasites or ova 839
Feces Chemically for occult blood 3
Sputum micro for tubercle bacilli 124
Blood Chemical examinations 14
Blood films for malaria parasites 86
Blood countswhite red or differential 488
Blood coagulation time 3
Blood hemoglobin estimation 44
Blood type determination 13
Blood icterus index 1
Blood fragility test 1
Blood reticuloctyte count 1
Cerebrospical Fluid chemical examination 2
Milk butter fat percentage determination 376
Gastric Contents chemically and microscopically 5
Bacteriological Examinations
Blood culture 14
Blood agglutination test Widal 53
Cerebrospinal Fluid culture 2
Exudates cluture and microscopically 71
Exudates dark field illumination for T Pallidum 3
Exudates animal inoculation 4
Milk bacteria count 376
Vaccine autogenous 25
Anatomical Examinations
Necropsies 7
Postmortem examination of animals 4
Brain Dog for Negri Bodies 2
Surgical Tissue gross and microscopical 24
Serological Examinations
There were 1490 specimens of blood examined for
the Wassermann reaction of which number 1122 were
secured as a matter of routine from patients upon admis
sion to the institutionGEORGIA STATE SANITARIUM
27
There were 456 specimens of cerebrospinal fluid ex
amined for the Wassermann Colloidal Gold tests Globu
lin estimation and Cell Counts of which number 313
were obtained from patients admitted during the year
A routine examination of this fluid is made in the case of
each patient whose blood reacts positively to the Wasser
mann test or shows any other clinical indications to nec
essitate this examination
Table IResults of Routine Blood Wasserman Tests
Race Sex Number Examined Number Positive 4 plus Percentage Positive
White Female 318 18 56
White Male 442 26 58
Colored Female 178 32 179
Colored Male 184 34 184
Total 1122 110 98
Table Estimate of Serological Neurosyphilis in Patients Admitted During the Year
Race White Sex Female Number Positive Number Cerebrospinal Examined Fluid Wassn 70 7 Percentage Positive 22
White Male 94 26 58
Colored Female 67 11 61
Colored Male 82 24 130
Total 313 68 67
Engineering Department
A general review of the main improvements and re
pairs made during the year will be found in the report of
the Engineer
Deeds to the rightofway through the land of dif
ferent owners through which the duplicate water main
to the water works will be laid has been secured and
properly recorded at the County Court House and
nearly 2000 feet of this pipe line has been placed
The contractors Dupree Sons of Rome Ga com
pleted their part of the construction of the new building
for colored females November 20th Our Engineering
Department is doing the electrical wiring plumbing and
heating for this building and we hope to have it ready28
EIGHTYFIFTH ANNUAL REPORT
for occupancy by February 15th 1929 Mention has
been made of this building in a previous section of this
report
Two new pavilions for tubercular patients were con
structed of Wood one for white females and other at
tached as an addition to pavilion A for white males pro
vides adequate room for our tubercular patients for the
present
The erection of the 150000 gallon steel water tower
by J S Schofields Sons Company of Macon Ga to re
place the 40000 gallon tower that has been in use 52
years provides a much needed equipment
Some of the work laid out for this department had to
remain unfinished on account of effort to complete the
new building for colored females so that it could be oc
cupied as early as possible to relieve the greatly over
crowded condition in this department and to provide
room for others waiting admission
The Business Department
The report of the Steward shows a total disburse
ment for maintenance during the year of 119187125
including internal income of 1338804 On the basis of
deducted internal income the percapita cost for the year
was 23355 or 6398 cents a day compared to 6162 a
day the previous year
A detailed analysis of the receipts and disburse
ments both for maintenance and special appropriations
accounts payable and receivable at the end of the year
also statement concerning productions of farm garden
and dairy with estimated values and cost of operation
etc are included in the Stewards report
Farm Garden and Dairy
On account of the severe cold weather last winter
and the excessive rains throughout the year productions
of vegetables and farm products were not as good as the
previous year The pecan trees that we had budded four
years ago are beginning to grow and bear a little We
gathered 2900 pounds pecans enough to give every
patient some during ChristmasGEORGIA STATE SANITARIUM
29
The dairy herd has not yet become entirely negative
to tuberculin test as two reactors were found when last
test was made in November We are now milking about
onethird of the cows we were before we discovered the
infection in 1927 hence we have continued to buy milk
to make up our deficient supply
The Farm Stewards report gives a tabulation of the
amount of food stuffs and other products raised on the
farm garden and dairy during the year
Religious Services
Religious services were held each Sunday afternoon
at 3 oclock by the Chaplain Rev J F Yarbrough pas
tor of the Milledgeville First Methodist Church until
November 1st after which date these services were con
ducted by his successor Rev F H Harding the pastor
of the Milledgeville Episcopal Church
Funerals of remains of patients who were interred
in the Sanitarium cemetery were conducted by the Chap
lain
Needs of the Institution Requiring Special Legislation
1 The name Georgia State Sanitarium should be
changed to Georgia State Hospital or preferably Mill
edgeville State Hospital in order to conform to names of
similar institutions in other States and to keep it identi
fied from other similar institutions that may be founded
in other sections of the State in the future
2 An appropriation should be made available as
soon as possible for the erection of buildings to accom
modate 300 white females 200 white males and 200 col
ored males
3 Another State hospital should be founded near
Atlanta and the State divided into two zones to be served
by these institutions
4 An appropriation of 10000 should be provided
for making an addition to store house which is now too
small to serve the needs of the Sanitarium
5 An appropriation of 12000 should be provided
to buy piping and material to run water main to the
colony30
EIGHTYFIFTH ANNUAL REPORT
6 A central heating and power plant would be
more economical and more efficient and is most earn
estly recommended
7 Amusements and diversions are important aids
in the treatment of mental patients The present amuse
ment hall is too small It has been in use more than
forty years and could be made into an occupation therapy
room for white females An appropriation should now
be provided to erect a larger and fireproof amusement
hall estimated cost 50000
Conclusion
In conclusion I wish to thank the members of the
Board of Trustees for their constant and unfailing inter
est in the welfare of the institution I also wish to ex
press my appreciation and thanks to those officers and
employees of the Sanitarium who have been loyal in their
support and faithful in the discharge of duty because
they share greatly the credit for the success of carrying
on the work throughout the year
I also wish to thank the womens clubs and others
who were thoughtful enough to send various gifts to the
patients during Christmas season
Respectfully submitted
R C Swint
Superintendent EtcGEORGIA STATE SANITARIUM
31
Report of Medical Department
Dr R C Swint Superintendent
Dear Sir
The following pages contain the report of the medi
cal department for the year 1928
During the year one thousand and ninety 1090
patients were admitted Of these eight hundred and
thirtyone 831 were first admissions and two hundred
and fiftynine 259 were readmissions The percent
age for each in the classification scheme is given in tables
one and two Fourteen 14 were diagnosed as not in
sane Four of these were placed in the mental deficiency
group Two of these four were classified idiots Of the
remainder one was a drug addict a second was an alco
holic a third was a psychopath and seven did not present
sufficient symptoms to be classified Jas insane Some of
the histories received with patients are extremely poor
and this at times is a drawback to classification and even
to diagnosis of insanity The unclassified group is
rather large for the same reason
The percentage of readmissions is somewhat high
er than last year Of the two hundred and fiftynine
259 readmissions fiftyfour 54 had been previously
admitted to other hospitals either private or public
Twentytwo 22 patients were sent by order of
court The criminal charges were as follows
Murder 2
Shop lifting 1
Wife beating 1
Assault with intent to murder 5
Obtaining money under false pretenses 1
Assault 1
Sending threatening letters 1
Public indecency 2
Malicious mischief 1
Larceny 3
Assault with battery 2
Forgery 1
Burglary 1
2232
EIGHTYFIFTH ANNUAL REPORT
The mental diagnosis in the above cases were as fol
lows
Psychosis with mental deficiency 5
Manic depressive 4
Dementia praecox 4
Traumatic psychosis 1
Psychosis with epilepsy 1
Psychosis with cerebral arteriosclerosis 2
General paralysis of the insane 1
Senile 1
Not insane 3
22
The death rate for the year was 63 per cent of
those treated Arteriosclerosis was the leading cause of
death general paralysis of the insane was second while
epilepsy and broncho pneumonia occupied third place
Two patients committed suicide by hanging One pa
tient was attacked by another and died as a result of the
attack
Eight hundred and ninetyseven 897 patients were
furloughed Not included in this number were twenty
two 22 patients who returned to the institution to re
new their furloughs and ten 10 patients who were dis
charged as not insane One hundred and twentyeight
128 patients were furloughed as restored and five hun
dred and fortysix 546 as improved making the com
bined recovery rate 673 per cent as compared with 628
per cent for the previous year
The same general policies in treatment have been
followed that have been heretofore pursued
After nearly two years trial the ketogenic dietary
treatment of epilepsy has been discontinued because of
the lack of encouraging results
The treatment of general paralysis by the use of
foreign proteins has been continued The tabulation be
low gives some indication of the results In the number
are included all patients who were given full treatment
or who died before treatment was completed Not in
cluded are a few who are still under treatment and two
who escaped before treatment was completed No re
sults whatever were seen in the colored males It apGEORGIA STATE SANITARIUM
33
pears that a febrile reaction was obtained less easily in
this group than in some of the others In one instance
a dose of 40 billion dead bacilli were given intravenously
with a resulting temperature of 103 The improved
group included all degrees of improvement Ten of
these have been f urloughed and are now at home
Not
Dead Improved Improved Total
White male 14 30 11 23 21 45 46
White female 0 3 100 0 3
Colored male 17 62 9 33 1 3 27
Colored female 2 25 4 50 2 25 8
Total 33 39 27 30 24 28 84
The resignation of Dr Saye pathologist has badly
crippled the laboratory work The technicians however
are rendering valuable service in that department
A small pamplet which deals with some of the prac
tical points in nursing the insane has been prepared and
distributed to the attendants It is expected that short
courses will be given to all those who enter this service
It is thought twice per year will be sufficient Quizzes
will be supplemented by lectures and demonstrations
The need of such work has been long recognized but the
practical fulfillment of such a need is a matter of no
small difficulty Lectures alone do not fill the need
This will not be in conflict with the regular training
school which continues to operate as formerly
The weekly clinic in Macon has been held each Fri
day This work is in its tenth year and more and better
service has been given than ever before During the
year 109 new cases were seen and a total of 428 visits
were recorded The visiting physician is a member of
the Staff of the Macon City Hospital as consultant in
mental and nervous diseases and gives a course of in
struction in nursing mental and nervous diseases to the
nurses at the Macon City Hospital and the Middle Geor
gia Sanitarium
The Elberton School clinic has been held each month
during the school year A total of 192 visits have been
paid to this clinic This included 108 first visits The
cooperation of the local agencies has been splendid and
it is felt that this clinic not only offers an opportunity
34
EIGHTYFIFTH ANNUAL REPORT
for mental hygiene but it is also an educational oppor
tunity for the visiting physician The attention of the
Common Wealth Fund Board has been attracted and they
have made an offer of assistance in the sum of 1800 00
per year provided local agencies raise 60000 per year
This amount is to be used to pay a visiting teacher or
social service worker
One member of the staff has recently begun work
at the State Reformatory for Boys There is a very
large amount of work that might be done at that place
and we hope for some results
During the year classes in psychology from Teachers
college at Athens Emory University Mercer University
and Morris Brown colored visited the institution and
were given clinical demonstration and lectures in abnor
mal psychology The graduating class in medicine from
Emory University also paid us a visit
The Elberton clinic the work at the boys reforma
tory the visit from the college and university students
are all a result of a growing popular interest in psy
chology and mental diseases The requests for assist
ance were voluntary The institution is less isolated
than it once was and time seems right for judicious ex
pansion in mental hygiene
I wish to thank you and the Board for assistance
rendered and I make grateful acknowledgment to the
whole medical service for efforts at improvement
Respectfully
N P Walker M D
Clinical Director
GEORGIA STATE SANITARIUM
35
TABLE I
Diagnostic Grouping of Patients Admitted During the Year 1928
PSYCHOSIS
I White
I M F
Colored
M F Total
Traumatic
Senile
with cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic
personality
With mental deficiency
Unclassified
Not insane
Mental deficiency not insane
Drug addict not insane
Constitutional psychopathic person
ality not insane
Alcoholism not insane
3
2
42
28
0
0
0
9
13
11
22
2
122
69
0
18
2
11
25
33
5
4
0
1
1
TOTAL
0
4
9
6
0
0
0
7
0
5
10
1
120
70
0
20
14
2
17
24
1
0
1
0
0
0
1
23
24
0
0
0
3
1
0
6
1
72
23
0
12
0
0
0
7
7
11
0
0
0
2
0
0
7
1
49
48
0
7
0
0
6
28
0
0
0
0
0
423 311 183J173 10909989
3
14
81
69
l
0
0
21
14
16
45
5
363
210
0
57
16
13
56
93
7
4
1
1
1
27
128
743
633
0
0
0
192
128
146
412
45
3330
1926
0
522
146
119
513
853
64
36
09
09
093G
EIGHTYFIFTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1923
PSYCHOSIS
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic persoii
ality
With mental deficiency
Unclassified
Not insane
Alcoholism not insane
Drug addict not insane
Mental deficiency not insane
TOTAL30612231156146
White
M I F
Colored
M F
Total
0
0
9
10
8
19
2
68
51
0
13
2
1
41
25
01 0
0
0
6
0
2
91
1
691
51
0
17
1 13
5 1
14 15
28 20
4 1
1 0
0 1
4 0
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
0
0
0
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0
0
0
2
13
79
63
0
0
0
20
11
10
40
5
24
156
950
758
0
0
0
240
132
120
481
60
2252707
1581901
0
49
14
6
41
83
6
1
1
4
0
589
168
72
493
998
72
12
12
48
83119993GEORGIA STATE SANITARIUM
37
TABLE 3
Diagnostic Grouping of Readmissions Duiing the Year 1928
Psychosis
White Colored
M F M F Total
1 0 0 u 1
1 0 0 0 1
1 1 0 0 2
3 1 1 1 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 1
3 0 0 0 3
3 3 0 0 6
3 1 0 1 5
0 0 0 0 0
54 51 20 13 138
18 19 5 10 52
0 0 0 0 0
5 3 0 0 8
1 1 0 0 2
6 1 0 0 7
11 2 0 2 15
5 4 1 0 10
1 0 0 0 1
1 0 0 0 1
117 88 27 27 259
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With constitutional psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Constitutional psychopathic personality
not insane
TOTAL 117
TABLE 4
Diagnostic Grouping and Mental Condition of Patients Furloughed or Discharged During the Year
1928
WHITE
COLORED
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoid
With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency not insane
Psychopathic personality not insane
Alcoholism not insane
Drug addict not insane
Epilepsy not insane
TOTAL 1 811211163 76118065l 2 6
MALE FEMALE
MALE
FEMALE
I U S R I U Sl R I U S R I U S Total
1
0
7
6
1
0
0
7
6
3
9
1
66
58
1
8
1
8
16
12
0
0
0
0
0
0
3 58
0
0
0
0
1
0
0
0
0
0
0
0
4
0
29
2
0
0
0
1
1
2
0
1
0
0
0
0
0
0
4
5
0
0
0
0
0
0
0
1
32
15
0
2
0
0
3
10
0
0
0
0
I
0
8327 ll472
1
2
24
16
1
0
0
15
21
16
30
5
383
167
1
42
19
21
53
80
5
1
1
1
1
1
tI
a
w
H
I

ti
I
H
a

z
a

t1
w
O
w
i3
01 907GEORGIA STATE SANITARIUM
39
TABLE No 5
Causes of Deaths of Patients Who Died During the Year 1928
White
M F
Colored
M I F
Total
Amoebic dysentery
Arteriosclerosis
Brain tumor
Cancrum Oris
Carcinoma breast
Carcinoma jaw
Carcinoma liver
Carcinoma prostate
Carcinoma throat
Cerebral hemorrhage
Cirrhosis liver
Cholecystitis
Encephalitis
Erysipelas
Epilepsy
Enteritis actue
Exhaustion from acute mental disease
Fibroid tumor
Gangrene of lung
General paralysis of the insane
Homicide by patient
Huntingtons Chorea
Influenza
Intestinal obstruction
Meningitis staphylococcus
Myocarditis chronic
Nephritis acute
Pancreatitis
Pellagra
Pneumonia lobar
Pneumonia broncho
Suicide by hanging
Syphilis
Tuberculosis Pulmonary
Unknown
Valvular heart disease
TOTAL 121 I 82 96 90 389
0
19
0
0
0
0
0
0
0
10
1
0
3
1
4
i
0 I
01
18
1
0
0
0
1
5
3
0
2
7
25
1
0
9
4
2
1
14
0
0
0
0
0
0
1
5
0
1
0
0
8
2
1
0
1
4
0
1
1
0
0
4
0
0
10
4
6
1
0
11
4
2
0
24
1
0
0
0
0
1
0
4
0
0
0
0
18
0
2
0
0
25
0
0
0
0
0
3
5
0
3
1
1
0
0
8
0
0
0
11
0
1
1
1
1
0
0
2
0
0
0
1
8
3
1
1
0
7
0
0
1
1
0
7
7
1
4
1
6
0
1
19
4
0
1
68
1
1
1
1
1
1
1
21
1
1
3
2
38
9
5
1
1
54
1
1
2
1
1
19
15
1
19
13
38
2
1
47
12
440
EIGHTYFIFTH ANNUAL REPORT
TABLE 6
SURGICAL OPERATIONS FOR THE YEAR 1928
Amputation finger 1
Amputaton toes 2
Appendectomy 9
Cataract extraction 2
Cysts ovarian removed 1
CystJotomy i
Cellulitis operation for 2
Circumcision 2
Currettage i
Dilatation and curettage 2
Dislocation humerus 1
Eye enucleation i
Fracture femur treatment for 14
Fracture radius treatment for q
Fracture ulnar treatment for 1
Fracture humerus treatment for x
Fracture clavicle treatment for 1
Hernjotomies 5
Hemorrhoidectomy 2
Hysterectomy 4
Iridectomy j
Maxillary sinus irrigation 1
Paracentesis abdominal 2
Paracentisis thorax 2
Fhimosis operation for 1
Pterygium transplanted 2
Tonsillectomies 91
Uterus suspension of 2
Ulcer of cornea cauterized jGEORGIA STATE SANITARIUM
41
TABLE 7
Admissions from Various Counties During the Year 1928
Applmg
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Brtow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clark
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Decatur
DeKalb
White
M I F
Colored
M F
31 3 0 0
1 0 o 0
01 0 0 1
1 0 3 1
5 4 8 6
11 0 0 0
3 2 0 1
7 8 0 2
2 0 1 0
2 3 0 0
19 7 8 1
1 0 0 0
0 0 1 1
1 3 1 1
1 0 1 0
2 4 0 0
1 1 4 3
2 3 3 1
1 0 2 0
5 0 0 0
4 2 0 0
2 2 0 4
1 2 0 0
1 0 0 0
1 0 0 0
24 7 23 25
3 3 0 0
5 3 0 0
1 1 1 2
0 0 2 0
0 2 0 2
0 0 1 1
9 5 0 1
2 0 0 0
7 5 1 2
1 0 1 0
2 1 0 0
3 7 1 2
0 1 0 0
0 1 0 1 o
1 0 0 0
2 2 0 0
6 1 3 2 1
Total
6
1
1
5
23
1
6
17
3
5
35
1
2
6
2
6
9
9
3
5
6
8
3
1
1
79
6
8
5
2
4
2
15
2
15
2
o
O
13
1
1
1
4
12
42
EIGHTYFIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
Continued
White
M F
Dodge
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Green
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laureus
Lee
Liberty
0
2
2
1
0
0
5
1
1
2
4
11
2
4
45
6
1
0
3
4
3
4
4
5
2
5
3
4
3
0
2
2
11
II
8
2 I
21
1
31
II
4
II
01
Colored
M I F
Total
3
1
1
1

I
C
s
u
rt
3
S
18
1
0
0
0
4
2
1
2
6
1
6
1
1
1
2
0
3
1
II
21
II
2 I
01
II
01
II
01
11
1 0
3 2
1 0
3 1
2 2
0 0
3 0
5 0
7 1
3 0
3 0
38 16
1 0
0 0
0 0
0 1
4 0
2 0
1 0
2 0
6 0
1 1
6 0
1 2
1 2
1 0
2 1
0 1
3 2
2
1
0
c
2
C
1
C
c
0
1
0
0
L6
0
0
0
1
0
0
0
0
0
1
0
2
2
0
1
1
2
2
0
2
2
0
II
01
01
21
01
0 I
1
3
2
1
0
0
1
1
0
0
1
2
0
1
10
0
0
1
0
4
0
0
0
0
2
1
0
0
0
1
2
0
5
II
1 I
61
01
31
31
01
01
l
ol
6
7
5
3
5
1
10
6
1
5
10
21
5
8
109
7
1
1
4
12
5
5
6
11
6
12
6
7
4
4
5
7
9
3
8
11
4
5
7
1
7
1
1GEORGIA STATE SANITARIUM
43
Admissions from Various Counties During the Year 1928
Continued
White
M I F
Colored
M 1 F
Total
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Newton
Oconee
Oglethorpe
Paulding
Peach
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
2
0
4
3
0
2
3
5
0
0
5
1
1
4
4
11
01
4
1
0
1
0
2
2
5
0
2
0
4
1
8
1
1
1
7
3
1
0
2
0
4
3
1
1
1
1
3

0
1
2
2
1
0
1
0
1
1
4
0
2
31
H
3
2
0
0
4
3
0
a
i
i
3
9
0
1
0
2
1
1
1
1
2
1
2
2
2
2
1
0
1 0
0 0
5 11
1 1
0 2
2 0
1 2
1 1
0 0
0 0
4 3
8 6
0 0
1 0
3 0
2 1
0 0
1 1
2 4
0 1
0 2
0 1
1 0
0 0
0 1
0 3
1 2 0
0 1
4
1
11
6
5
3
3
9
2
1
9
9
1
9
5
18
4
10
2
4
3
6
4
8
10
3
6
1
5
11
31
1
3
4
12
4
4
7
4
4
6
6
3
4
6
4
444
EIGHTYFIFTH ANNUAL REPORT
Admissions from Various Counties During the Year 1928
Continued
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilks
Wilkinson
Worth
Total
TOTAL 423
GEORGIA STATE SANITARIUM
45
TABLE 8
Nativity of All Patients Admitted During the Year 1928
Alabama
Arkansas
Canada
England
Florida
Georgia
Indiana
Ireland
Kansas
Kentucky
Mississippi
New Mexico
North Carolina
Ohio
Oklahoma
Poland
Russia
South Carolina
Tennessee
Undetermined
Virginia
West Indies
White
M P
TOTAL 4231 3111 1831 1731 1090
11
0
1
1
4
380
1
0
1
1
2
0
3
1
0
ol
il
101
4
0
2
0
Colored
M I F
6
0
0
0
2
286
1
1
0
0
1
1
3
0
2
1
2
3
1
1
Oi
01
3
0
0
0
0
176
0
0
0
0
0
0
0
0
0
0
0
2
II
ol
01
ll
0
1
0
0
0
165
0
0
0
0
0
0
0
0
0
0
0
61
0
0
0
1
Total
20
1
1
1
6
1007
2
1
1
1
3
1
6
1
2
1
3
21
6
1
2
246
EIGHTYFIFTH ANNUAL REPORT
TABLE 9
Classified Occupations of Patients Admitted During the Year 1928
Agriculture Forestry and Animal
Industry
Farmers
Farmers wives
Farmers daughters
Farm laborers
Farm laborers wives
Lumber dealers
Box maker
Saw mill laborer
Saw mill laborers wives
Turpentine laborer
Live stock dealer
Dairymans wife
Professional
Dentist
Druggist
Lawyer
Lawyers wife
Minister
Ministers wife
Physician
Teacher
Teachers wives
Civil engineer
Editor
Photographer
Minerals
Oil company managers wife
Filling station manager
Filling station managers wife
Public Service
Bailiff
Policeman
Policemans wifer
Street cleaner 1
Watchmans wife
White Colored
M 1 F 1 M F
143
0
0
iii
0
2
1
2
0
0
1
0
1
1
1
0
1
0
1
2
0
1
1
1
0
1
0
1
1
0
1
0
0
60
1
0
0
0
0
0
2
0
0
1
0
0
0
1
0
1
0
2
2
0
0
0
50
0
0
26
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
I 0
0 0
II o
4
19
0
9
1
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
197
79
1
43
1
2
1
3
3
1
1
1
1
1
1
1
1
2
1
4
2
1
1
1
1
1
1
1
1
1
1
1GEORGIA STATE SANITARIUM
47
TABLE 9Continued
Classified Occupations of Patients Admitted During the Year 1928
White I Colored
M F 1 M F
Trade
Bank clerkI 2
Accountants wifeI 0
Bookkeeper 5
Merchant 7
Merchants wives 0
Bank solicitors wife 0
Salesmen 23
Salesmens wives 0
Salesladies 0
Sales manager 1
Stenographer 0
Manufacturing and Mechanical Pursuits
Baker 1
Blacksmith 1
Blacksmiths wife 0
Brickmason 1
Carpenters 8
Carpenters wives 0
Contractor 1
Electrician 2
Engineer stationary 1
Laborers 12
Laborers wives 0
Machinist 4
Machinists wives 1 0
Auto mechanic 3
Moulder 1
Moulders wife 0
Painters 5
Painters wife 0
Typewriter mechanic 1
Patent maker 1
Plasterer 1
Foundry worker 1
Printer 3
Candy maker 1
Bicycle mechanic 1
Marble polisher 1
Shoemaker 1
Shoemakers wife 0
Tinners wife 0
Tailor 0
Textile mill supts wife 0
Textile workers 15
Textile workers wives 0
0
1
0
2
5
1
0
2
7
0
1
0
0
1
0
0
2
0
0
0
0
3
0
3
0
0
1
0
1
0
0
0
0
0
0
0
0
0
1
1
0
1
6
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
45
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
Total
2
1
5
9
5
23
23
2
7
1
1
2
1
1
2
8
2
1
2
1
64
12
4
3
3
2
1
6
2
1
1
1
1
3
1
1
1
1
1
1
1
1
21
4

48
EIGHTYFIFTH ANNUAL REPORT
TABLE 9Continued
Classified Occupations of Patients Admitted During the Year 1928
Domestic and Personal Service
Barber
Barbers wife
Chauffeur
Housekeepers
Janitor
Laundry worker
Laundry operator
Porters
Butler
Servants
Clothes presser
Washerwomen
Cooks
Resturant proprietors wife
Waiter
Meat cutters
Transportation
Bridgeworkers wife
Depot agents wife
Express agents wife
Railroad fireman
Railroad conductor
Railroad flagman
Railroad porter
Section foremans wife
Street car conductors wife
Telegraph operator
Telephone operators wife
Truck driver
Ship steward
Transfer agent
Miscellaneous
Coast line guard
Insurance agents
Newsboy
Peddler
Students
White
M F
Colored
M 1 F Total
J J J J I
NOT GIVEN
None
TOTAL
0
1
0
2
0
0
4
117
423
0
1
0
50
0
0
0
0
0
4
0
0
0
1
0
1
1
1
0
0
0
0
3
1
0
1
0
0
0
0
0
0
0
5
0
125
311
0
0
0
1
2
0
42
183
0
0
o
25
o
1
0
0
0
13
0
22
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
3
47
173
3
1
1
75
1
1
1
2
1
17
1
22
11
1
1
2
1
1
1
1
1
1
1
3
1
1
1
5
1
1
1
2
1
1
14
7
331
1090GEORGIA STATE SANITARIUM
49
TABLE 10
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
White Male Population
Phychosis
Under203040
20 30140150
Traumatic
Senile
With cerebral arterios
clerois
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Mental deficiency not in
sane
Alcoholism not insane
TOTAL
01 1
oj 0
i
01 1
2210
29
0 0
0i 0
Over
70
Not
Given
216112
0 0 0
88154 59 45 19
0 0
0 0
I
10 0
11
Total
2
1
41
0
0
0
9
10
8
19
2
68
51
0
13
5
14
28
4
4
1
30650
EIGHTYFIFTH ANNUAL REPORT
TABLE 10Continued
Ages of First Admissions During the Year 1923
Classified With Reference to Principal Psychosis
White Female Population
Phychosis
Traumatic
Senile
With cerebral arterios
clerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
Under j2030405060Over
20 I30I40I50J60 70 70
Not
Given Total
u 01 u 0 0 0
0 0
o o
0
0
0
0
2
0
0
o
l
7
3
0
3
Oj 0 0 1 3
Mil
0 0 2 3 3
3
0
0
0
1
0
1
7
0
24
15
I I
I 01 0
I 3 4
i 2 4I
I
I 0
1 3 3
8 5
1 0 0
0 1
0 0
0
0
0 0
41 01
I
3 0
I I
0 0
01 0
0 2
ol 0
0 0
rrrr
27 496844ll9ll0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 i 0
0 4
I
0
0
0
0
0 I
I
0
0 I
0
0 I
0 I
0
0
5
0
0
0
6
0
2
9
1
69
51
0 I 17
I
0 13
0 15
20
1
1
0 I 223GEORGIA STATE SANITARIUM
51

TABLE 10Continued
Ages of First Admissions During ths Year 1923
Classified With Reference to Principal Psychosis
Colored Male Population
Phychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Under2030405060
20 30405016070
Over
70
Not
Given Total
0
0
0
0
0
0
0
0
0
13
1
0
1
I 0j 0 Oi 0 0
i o oi u o i
I I I I
0 1
311
0 0
0 0
0 0
oi 0
5 3
0 0
I
n
5
TOTAL 19 52 32122118 8 5
8 4
Oi 01 0
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
15652
EIGHTYFIFTH ANNUAL REPORT
TABLE 10Continued
Ages of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
Colored Female Population
Phychosis
Under 2030405060Over Not
20 3040
Traumatic
Senile
With cerebral
arteriosclerosis
Ceneral paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
diseases
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathc per
sonality
With mental deficiency
Unclassified
Not insane
0 0
0 I 0
I
0 I 0
0
0
0
0
0
0
0
0
0
4
4
0
4
0
1
4
0
50
2 31 4
JO
701 70 Given Total
0 0
01 0
ol 0
11 1
I 0 0
I 01 0
I ll 0
115111
1312
I I
I 01 0
II 1
i o
0 0
01 0 0
ll 01 0
Mini
01 0 01 01 01
I I I I I
01 01 01 0 0
21 0 11 01 01
610 5 1 2
01 0 0 0 0
II
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
2
0
0
6
1
36
33
0
7
0
4
28
0
TOTAL1 17 I44l4027l2l 51 1
146GEORGIA STATE SANITARIUM
53
TABLE 11
Degree of Education of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
Yfith cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Mental deficiency not insane
Alcoholism not insane
TOTAL
0
0
12
0
0
0
0
2
0
0
2
2
6
2
0
6
0
0
M
101 0
0
0
0
1
1
1
71
0
19
9
0
1
0
0
3
G
0
1
1
0
0
0
3
0
0
0
0
1
1
0
0
0
3
0
0
0
1
0
0
II 0
0 0
0 0
50 5 68 142 31 9 11 306
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
4
1
54
EIGHTYFIFTH ANNUAL REPORT
TABLE 11Continued
Degree of Education of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
White Female Population
Psvchosis
W
v


c o
S
B o T3 c c o o c
OT 0
m w s txi n
T n X 0
a a hl 1 43
o
A O a O 2
s 5
o
E
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
0
01
0
2
0
ol
o
2
0
o
0
0
5
el
o
5
01
ol
91
01
ol
ol
01 0
ol
o
0
0
0
ol
o
o
1
2
0
0
0
0
ol
ol 0
0 0 1
0 131 37
l ll 26
0 0 0
01
01
ol
1
ol
Oj
0
0
9
81
0 0
II o
II 1
41 121
Oi 1
4 01
ol 0
0 01 01 1 0
291 21 4411151 22l 10
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
1 223GEORGIA STATE SANITARIUM
55
TABLE 11Continued
Degree of EoucEtion of First Admissions During the Year 1923
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis



O

0 T3
a C3
o
55 M

Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0 0
1 0
15 2
12 0
0 0
0 0
0 0
1 1
0 0
0 0
6 0
1 0
20 1
4 0
0 0
9 3
0 0
0 0
7 0
5 0
1 0
82 7
II 1 156
o
H
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0

56
EIGHTYFIFTH ANNUAL REPORT
TABLE 11Continued
Degree of Education of First Admissions During th Year 1928
Classified With Reference to Principal Psychosis
Colored Female Population
Fhychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
m
0
j
o o J3
0
c VI o a
c X n
O C o
o D
xn w S rr O
c T3 T3 J2 P
M a zl JJ
0 01
A o K O
o
7
2
1
0
0
0
0
0
0
1
0

ol
41
0
0
l
14
0
o
I
7
01
0
0
1
0
0
3
o
21 18
31 14
0 01
l 21
0 0
0
0
0 0
2i 0
0
0
01 0
01 0
o
01
8 0
12 0
Oi 0
Oi 0
0
31
71
01
01
1
0
51
01
0 o1
0 0
0
0
ol
II
0
471 8 60 301 1 0
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
01 146GEORGIA STATE SANITARIUM
57
TABLE 12
Environment of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
White Population
Psvchosis
Male
Female
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With Epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Mental deficiency not insane
Alcoholism not insane
TOTAL 133 1721 1306 93 130
2
0
10
18
0
0
0
4
7
7
8
0
24
23
0
4
0
5
4
13
3
0
1
0
0
1
31
7
0
0
0
5
3
1
11
2
44
28
0
9
1
0
10
14
II
0
3
II
2
1
41
25
0
0
0
9
10
8
19
2
G8
51
0
13
1
5
14
28
4
0
4
1
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
0 22358
EIGHTYFIFTH ANNUAL REPORT
TABLE 12Continued
Environment of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Male
II
Female
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
0
1
12
12
0
0
0
2
0
0
5
1
38
8
0
7
0
0
5
3
0
c
TOTALI 62 94
0
1
23
23
0
0
0
3
1
0
6
1
52
18
Oil
o I2i
oi 0
01 0
01 81
0
3
3
6
0
0
0
2
0
0
1
0
13
22
0
3
0
0
1
c
9


s o
t
3 o
M
0
4
4
4
0
0
01
01
o
01
5
II
23
16i
01
1
01
0
31
ni it
ol o
0 156 65 si
o
H
0 0
0 7
01 7
0 10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
0l46TABLE 13
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
White Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Alcoholism not insane
Mental deficiency not insane
MALE
FEMALE
0

O
O
TOTAL
0
0
11
7
0
0
0
1
7
4
6
0
32
17
0
3
0
2
2
5
2
0
1
2
a
a
a
a
u
a
2
1
28
18
0
0
0
8
3
3
13
2
36
34
0
10
1
3
12
22
2
0
0
2
102 200 1
O
o
z
o
H
2
1
41
25
0
0
0
9
10
8
19
2
68
51
0
13
1
5
14
28
4
0
1
4
306

T3
C
0 I
0
2 I
1
0
0
0
0
0
0
5
1
12
9
0
3
3
0
0
1
0
1
0
0
0
4
6
3
0
0
0
6
0
2
4
0
54
40
0
14
8
1
15
18
1
0
0
0
o
o
z
o
38 176 2 223
0
4
8
5
0
0
0
6
0
2
9
1
69
51
0
17
13
1
15
20
1
1
0
0
o
w
o
w
a
w
H

H
H
m

ii
H
Economic Condition of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
MALE
FEMALE
TOTAL 0
u
a
Rl v
a T3
M fi
a ft
s Q
0 0
0 1
4 19
3 20
0 0
0 0
0 0
0 3
1 0
0 0
1 5
0 1
25 27 1
5 13 1
o
01
J3
nj

o g
4 s So
O O
H o s
0
1
23
23
0
0
0
3
1
0
6
1
52
18
0
12
0
0
8
7
1
43 113 0 I 156 1 0 26 120
e
a
ft
CD
Q
0
7
6
6
0
0
0
2
0
0
G
1
27
33
0
6
0
0
2
24
0
o
Eh
0
7
7
10
0
0
0
2
0
0
6
1
36
38
0
7
0
0
4
28
0
H
O
a
i
S3
w

t1
w
H
O
w
0 146TABLE 14
Civil Condition of First Admissions During the Year 1923
Classified With Reference to Principal Psychosis
White Population
Psychosis
MALE
FEMALE
M
0
O
o
H
O
M
O
O
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Mental deficiency not insane
Alcoholism not insane
TOTAL
0
0
0
7
3
1
2
0
27
36
0
9
1
2
14
5
3
0
4
0
1
1
I6 24
5 14
12711341 26 4 14
1306
76 98 29
1
69
51
C
11
i
l
15
20
1
1
0
0
H

H

E0
21 18
0 223TABLE 14Continued
Civil Conditions of First Admissions During the Year 1928
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
MA XE Fl m lLE
T3 G a a
T3 T3 0 TI O
T oj J a a 3
01 71 g in OS o a U o s 03 u p o W O o 3 71 c in u 03 is o o C o s 03 Sc 03 P a W O o 3 4 o Eh
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 2 1 3 0 1 0 7
4 6 10 0 3 0 23 1 5 1 0 0 0 7
5 13 2 0 3 0 23 2 4 1 0 3 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 0 3 1 0 1 0 0 0 2
1 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 4 0 0 1 0 6 0 2 2 0 2 0 6
0 0 1 0 0 0 1 0 1 0 0 0 0 1
25 21 1 0 5 0 52 7 16 4 0 9 0 36
11 5 0 0 2 0 18 12 10 3 3 10 0 38
0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 2 0 0 2 0 12 5 1 1 0 0 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 o 0 0 0 0
7 1 0 0 0 0 8 3 1 o 0 0 0 4
3 4 0 0 0 0 7 7 12 4 1 4 0 28
0 1 0 0 0 0 1 0 0 o 0 0 0 0
66 59 14 0 17 0 156 40 53 20 4 29 0 146
GEORGIA STATE SANITARIUM
63
TABLE 15
Ages of Patients at Time of Death During the Year 1928
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Epilepsy not insane
TOTAL
Under
20
3040 5060Over Not
40 50 60170 70 iGiven
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0 0
0
0 0
0 0
1 0 1
2 0 0
0 0 1
2 1 0
0 1 0
0 3 4
2 2 1
0j 0 0
2 3
I
131 12
01 0
o 0
01 0
0 0
0 0 01 01 01
I 1
0 I 0
I o
I 2
I 0
I 1
3 3
0 0
0 0 0
I
0 9 19202527l 21
0
5
30
21
0
0
0
7
2
1
3
1
11
11
0
9
2
6
10
0 I 12164
EIGHTYFIFTH ANNUAL REPORT
TABLE 15Continued
Ages of Patients at Time of Death During the Year 1928
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic per
sonality
With Mental deficiency
Unclassified
TOTAL
Under
20
Over Not
70 Given Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0 0 0
0 0 0 1 2
I I I I
0 01 01 0 1
2 0 0
0 2
1 o 0
1 o 0
0 0 1
1 0
0 0
0 1
0 5
0 0
1
0 1
0 0
4 6
01 01 0
01 0
9121
0
0
0
0
0
0
0
0
0
2
3
0
0
0
12
0 4
0 0
0 1
0 I 0
3
0
1
6
0
11
0
13
0
0 l
0 I 5
0 12
81011 23
0
82GEORGIA STATE SANITARIUM
65
TABLE 15Continued
Ages of Patients at Time of Death During the Year 1928
Classified with Reference to Principal Psychosis
Colored Male Population
Psychosis
Under 120
I 20 130
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopahic per
sonality
With mental deficiency
Unclassified
TOTAL
0 0 0 0 1
0 0 01 0 0
0 1 3
0 I 3 710
0 01 0 0
0
0
0
0
0
0
0
1
0
0
4
0 0
0 0
ol 0
51 4
Ol 0
I
0 0
21 0
01 3

Over Not
70 Given
0
0
01 0 0
01 0 0
Ol 01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 01 Ol 0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Total
6 14ll7l21ll8ll3l 6
1
2
18
26
0
0
1
1
0
0
2
0
10
0
14
0
4
9
9666
EIGHTYFIFTH ANNUAL REPORT
Ages of Patients at Time of Death During the Year 1928
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Underj20J3040
20 l304050
TOTAL
Over Not
70 Given Total
0 01 01 0 0
0 I 0 0 0 2
MM
0 I 0 01 2 1
0 I II 21 3
0 oj 01 0
0 I 01 Of 0
0 I 0 Oj 0
0
0
0
0
0
0
0
0
2
0
J 0
1 o 0
1 ol 0
1 2 0
1 o 0
1 21 71
1 4 6
0 0
61 3
6 4 1
01 0 01 0
31 11 01 ll
0 0 01 0 0
I I I I
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0 I 0 0 0 0 0 0
0 I 0 3 01 11 01 0
0 I 41 41 6 01 2 1
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
2
0
0
3
0
20
18
0
7
0
4
17
2 Il62322ill 91 7
90GEORGIA STATE SANITARIUM
67
TABLE 16
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox7
Paranoia or paranoid condition
With epilepsy
PSychoneurosis or neurosis
With Psychopathic Personality
With mental deficiency
Unclassified
Epilepsy not insane
TOTAL11 21 16120 20 16 7 10 121
0
2
G
4
0
0
0
1
2
0
21
0 1
H 1
0 1
0 0
11 0
01 0
01 0
0
2
0
0
1 1
o 0
01 0
01 0
3 2
oj 0
01 0
0
0
5
30
21
0
0
0
7
2
1
3
1
11
11
0
9
0
2
6
10
268
EIGHTYFIFTH ANNUAL REPORT
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
II 0
0
3
2
1
0
0
2
0
0
0
0 0
2 4
2 3
01 0
3 3
0 0
H o
li 0
H 0

0
0
0
0
0 0
0 0
0 0
0 0
0 0
01 0
TOTAL n 51 5 818 14 9 12 82
0
12
5
4
0
1
3
0
1
6
0
11
8
0
13
0
1
5
12GEORGIA STATE SANITARIUM
69
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Traumatic
Senile 7
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified

n ja
rn
c a Sh M
c fl
a
50 N1 M lO
o O o
t
Tt SO rH O
u to
c
ol o
0 0
2 7
410
0
0
0
I
0
2
0
0
0
0
Ol 0
0 0
0 0
Ol 0
II1
T0TAL 9ll9ll5ll420l 6 6 7 96
0 0
11 1
5
0
01 0
0 0
1
0
0 0
0 0
0 0 18
1 0 26
0 0
0
1
1
0
0
2
0
10
8
0
14
0
0
4
970
EIGHTYFIFTH ANNUAL REPORT
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1928
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
nervous disease
With cerebral arterioseleroisis
Generai paraiysis of the insane
With cerebral syphilis
With brain and nervoui
Due to alcohol
Due to drugs
With pellagra
With somanic diseaseI
Manic depressiveI
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
TOTAL
S O
01 0
II 2
0 0
01 1
0 0
0 0
i i
01 01
01 01
o 0
01 01
01 0
II 01
5 51
0 0
01 0
0 0
01 01
31 11
01 01
0 01
01 01
01 4
0
1
2
1
0
0
0
0
0
0
61
H 5
0 0
31 0 0
01 01 0
0 0 0
1 o
01
0
7
5
7
0
2
0
0
3
0
20
18
0
7
0
31 0
01 0
01 4
0 17
111151 8113119110 7 7 90GEORGIA STATE SANITARIUM
71
Report of Superintendent of Nurses

January 1 1929
Dr R C Swint
Superintendent
Dear Sir
The following is the annual report of the Georgia
State Sanitarium Training School for Nurses for the year
beginning January 1 1928 and ending December 31
1928
The record of the years work has been unusually
good the class work of high order and practical
The admission standards have been gradually raised
to require a full high school education We have had no
difficulty in obtaining sufficient students and have a long
waiting list
The Alumnae Association each year offers a prize
of all expenses to attend the State Nurses Association
Convention to the nurse making the highest average dur
ing her junior year The prize this year was won by
Miss Samantha Renfoe
A home coming for all graduates was held May
16 1928 and about fifty nurses returned to enjoy a re
union with friends and classmates An excellent bar
becue was served at six oclock P M in a park near the
hospital after which all attended the annual commence
ment held in the Amusement Hall
The Annual Commencement was held at eight thirty
P M May 16th
Dr Stewart Roberts a well known physician of At
lanta gave an excellent address on the Trend in Medicine
which was enjoyed by the class and large audience
Hon John T Brantley Blackshear Ga President
of the Board of Trustees who has delivered diplomas to
all of the sixteen graduating classes except one pre
sented the diplomas The hospital pins were presented
by Dr Leatus Sanders Commerce Ga a member of the
Board of Trustees

72
EIGHTYFIFTH ANNUAL REPORT
Mrs Eustace McKinney Jr Blackshear Ga ac
companied by Miss Anna Belle Pendleton on piano ren
dered two beautiful violin solos
The Georgia Military College orchestra played the
processional and several selections on the program
A reception and dance followed music being fur
nished by the Georgia Military College orchestra
The following nurses received dipflomas making
total number of graduates one hundred and fortvnine
Miss Bessie Thelma Allen Tvpv r
Miss Ruby Bloodworth IveV J
Miss Sallie Elizabeth Daniel Dublin Ga
Miss Thelma MathewsThomson Ga
Miss Rosa Lee Mathews Thomson Ga
Miss Annie Lou StanleyMilledgeville Ga
Miss Ethel Lottie TaylorCrawfordville Ga
Miss Lila Belle VealSandersville Ga
PLAN OF INSTRUCTION
The course extends over a period of three years in
cluding three months probation and six months affili
ation in some large general hospital for an additional
amount of obstetrics pediatrics and surgery Classes
are conducted eight months out of each year and consist
of lectures recitations and laboratory work
A passing grade of 75 in all branches is required for
graduation
CURRICULUM
First Year
Nursing Ethics 6 hourg
Nursing Technique 80
Anatomy and Physiology 6q
History of Nursing 10
Bandaging g
Dietetics 4c
Hygiene 16
Chemistry 9Q
GEORGIA STATE SANITARIUM
73
Second Year
Nursing Ethics 10 hours
Nursing Technique 32
Medicine and Contagious Diseases 24
Bacteriology 20
Massage 10
Solutions lb
Materia Medica 16
Oral Hygiene 16
Obstetrics 24
Third Year
Surgery 12 hours
Eye Ear Nose and Throat 16
Pediatrics
Gynaecology 16
Mental Diseases 16
Neurology
16
Public Health 10
NURSING STAFF
Superintendent of Nurses L
Supervisors
Graduate Nurses 12
Senior Nurses in School 8
Junior Nurses in School 13
Freshmen Nurses in School 10
Total Number of Student Nurses 31
Occupation Therapy Nurses 10
Special Attendants 9
White Female AttendantsI56
Vacancies
I am grateful to you and all officers and nurses who
have contributed to the success of the school
Respectfully submitted
Mrs Mae M Jones R N
Superintendent of Nurses
74
EIGHTYFIFTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE G
Jan 1st 1929
Dr R C Swint
Superintendent
Dear Sir
We have the honor of reporting the following work
done in the Dental Department during the year ending
December 31st 1928
Extractions 5 Qg4
Infiltration anaesthesias 2419
Conductive anaesthesias 808
Ethyl chloride anaesthesias 12
Alveolotomies Qg
Incisions sutured g
Postoperative treatments 144
Gold fillings g
Amalgam fillings 219
Cement fillings 72
Guttapercha fillings 13
Synthetic porcelain fillings 51
Gold inlays 24
Gold inlays reset 2
Nerve cappings jg
Nerve treatments 7
Nerves devitalized
Root treatments jg
Root fillings 29
Abscesses lanced 4g
Abscesses treated 22
Abscesses aspirated 12
Lancing gums over 3rd molar 15
Treating gums about 3rd molar ig
Excessive hemorrhages arrested j2
Treatments for pyorrhea alveolaris 21
Cleaning teeth 37
Scaling teeth ig4
Applications silver nitrate
Treatments for acute odontalgia 28
Treatments for pericementitis 3
Treating gums 2g7GEORGIA STATE SANITARIUM
75
Treatments for oral ulcers 20
Treatments for stomatitis 5
Curetting alveolar process 15
Plates made 75
Plates repaired 29
Gold crowns 4
Porcelain crowns 5
Castbase crowns gold 1
Crowns removed 28
Crowns reset 2
Bridges removed 26
Bridges made 2
Bridges repaired 4
Bridges reset 8
Disfigured teeth shaped up number of patients 82
Setting screws in roots 1
Impacted 3rd molars removed 28
Sequestra removed 4
Fractures reduced 5
Calls to wards 342
Number of new patients examined 1095
Number of patients treated 2319
Total number of operations and treatments 9930
Respectfully submitted
George H Green D D S
J C Adcock D D S76
EIGHTYFIFTH ANNUAL REPORT
Report of Pharmaceutical Department
Dr R C Swint
Superintendent Georgia State Sanitarium
Dear Sir
The following is the annual report of the Phar
maceutical Department for the year ending December
31st 1928
Below is shown a condensed list of manufactured
products
Tinctures spirits and extracts 2389 pounds
Elixirs 1060
Syrups 1041
Ointments J18
Liquors lotions and mixtures 1114
Library paste and mucilage 65
Medicated powder 79
Indelible ink 4g
Glycerites 43
Liniments 220
Tonics goQ
Tooth powder 3
Quinine anodyne and lagrippe capsules
fiIled 25300
2frmidde 866 gallons
Fly and mosquito exterminator 430GEORGIA STATE SANITARIUM77
STATEMENT
Debits
Jan 1 1928 Inventory as of Dec 31st 1927530900
Purchases During the Year
Drugs chemical dental surgical
and laboratory supplies1176844
Freight and express 21695
Total 1198539
Less goods returned 40174
Net amount goods purchased 1158365
T0TAL 1689265
Deduct Inventory Dec 31 1928 464150
Amount goods to account for 1225115
Credits
Dec 31 1928 Prescriptions filled
wards 36259 aggregatingll5bblU
Sales to officers and employees b8bua
Total 1225115
Respectfully submitted
J J Wootten Pharmacist78
EIGHTYFIFTH ANNUAL REPORT
Report of Engineer
DR R C Swint
Superintendent and Resident Physician
Dear Sir
Please find below the annual report of the Engineers
Department for the year ending December 31st 1928
Improvements
Thvf rihuf Way thugh the several properties
r3th thef w pipe line to the waterworkwS
be laid has been obtained and nearly two thousand feet
of the new 12inch pipe has been laid tnousand leet
rw Jh6 workf reconditioning the buildings of the old
dry dairy making them suitable for a horfe and mule
i fSHbeMn C0Ipleted A Wasksmith shop and an addi
tSSSfgeneral utility purpose has b
A rate for electric power current having been oh
gTenfor ligMs Tuf inStitUtin haTtht
fhl le of three Wlres has been run from
the meter pole of the Georgia Power company to Z
pump room with a branch line to the laundry
A11 of he buildings have been removed from the
old horse lot preparatory to moving the present wood
working shop to this location Present wood
f7hLrk edging the Laboratory consisting
of the addition of three rooms and a basement room with
other improvements about the building comrnenSdast
year has been completed wwmnencea last
Two new pavilions for tubercular patients havP he
T fs ssrua spritebee
these boilers at around 125 per cent cant ti GEORGIA STATE SANITARIUM
79
Two 1 000 gallonperminute motor driven centri
fugal pumps have been purchased and installed in the
pump room of the T 0 Powell Building A suction well
of brick construction has been built and connected to
the yard system of supply The pumps take suction
from this well
A telephone line has been run from the hospital to
the mule lot and a line of poles placed for electric lights
in and around the building there
The Cox cottage has been remodeled and painted
Two suites of rooms on the second and third floors
of the Female Convalescent Building have been painted
throughout
The sewing machines in the sewing room of the
negro building have been placed on a motor driven basis
A brick Dutch oven has been built adjacent to the
kitchen at the Colony This oven has the firing and
access doors in the kitchen
Two outside ladder all metal fire escapes have been
placed on the two rear ends of the wings of the John 1
Brantley Building
A 150 000gallon elevated steel tank the highest
point of which is 133 feet above the pumproom floor
has been erected in the backyard of the T O Powell
Building This tank is so connected that all of cne
pumps can deliver water into it and the outlets are con
nected to the mains serving the fire protection buildings
and the irrigation systems
A fortygallon cast iron jacketed steam kettle has
been placed in the kitchen of the Female Convalescent
Building
A new concrete floor has been put in the kitchen of
the Twin Buildings and the cooking apparatus has all
been reset using new piping and valves Thirty pounds
of metalic floor hardener to the square was used in lay
ing this floor
The RED BARN has been taken from the old horse
lot and rebuilt at the dairy Two sheds each with a
width equal to the width of the barn have been built the
full length of the barn one on each side Both barn and
sheds are covered with galvanized sheet iron80
EIGHTYFIFTH ANNUAL REPORT
The 10inch water main and the 6inch sewer ex
posed by the Georgia R R in lowering their tracks around
the storehouse have been cut and lowered out of the way
Two cottages have been moved from the site se
lected for the L M Jones Building and established in
new positions
A pipe tunnel three feet wide by fifty inches high
has been built between the boiler room of the negro
building and the new building The length of this tun
nel is seven hundred sixtyfive feet It has pipe sup
ports built in it every ten feet of its length and in it are
laid the 4 and 6inch steam pipes and the 2 inch re
turn feed line
A septic tank has been built to serve one of the cot
tages removed from the site of the L M Jones Building
The cottage occupied by Dr Longino has been re
modeled and painted
All of the slate roofs of the institution have been re
paired by a competent slater
The 10000gallon gasoline storage tank at the Store
house which was exposed by the lowering of the tracks
of the Georgia R R at that point has been lowered and
connected by piping with the pump and filling opening
The cottages occupied by Dr Walker and Dr Wheel
er have been recovered with shingles
Two garages have been built near the two cottages
removed from the site of the L M Jones Building
The eightyfoot potatocuringhouse at the Colon v
has been raised from its foundations new floor put in
and reconditioned generally for the curing of sweet po
tatoes in crates
The cottage occupied by Mr Couch has been recov
ered the piazza repaired and refloored
A hot bed 150 feet long with glass sash has been
built for the gardener
A new duplex coffee mill has been installed in the
storehouse
A Barrett twentyyearguarantee roof has been put
over the pump room of the Powell Building Two skv
lights Were placed in this roofGEORGIA STATE SANITARIUM
81

The grading of the site of the L M Jones Building
has been completed and the contractor has commenced
operations
Two garages each having divisions for four cars
have been built to replace those it became necessary to
move from the site of the L M Jones Building
A storm water sewer has been run from the back
yard of the Female Convalescent Building to the spur
track of the railroad running to the Twin Buildings
The contractor for the new colored building has
completed his work and our force of plumbers steam
fitters and electricians are now engaged in putting in
this part of the work
New tubes have been put in the two smaller boilers
at the laundry
The coal yard fence at the Female Convalescent
Building which was removed by the Georgia Railroad in
the changes made in their trackage around our store
house has been rebuilt and lengthened
The two cottages near the new colored building have
been overhauled and given new roofs The porches of
these houses have been widened and recovered and re
floored Small rooms have been built to these houses in
which water closets will be placed removing the neces
sity for yard closets
Two partitions have been built across the hallways
of the officers quarters in both the male and the female
convalescent buildings
A frost proof water closet for servants use has been
placed at one of the cottages
In addition to the ordinary repair work of the insti
tution the carpenter shop the furniture and shoe repair
shop the paint shop and the broom factory have been
kept busy in manufacturing and repairing the various
articles in the different departments
Respectfuly submitted
T H DeSaussure Engineer82
EIGHTYFIFTH ANNUAL REPORT
Report of Farm Steward
January 28 1929
Dr R C Swint Supt
Dear Sir
I wish to submit my report for the fiscal year end
ing December 31 1928
The following is a list of food stuffs produced dur
ing the year
Asparagus 124 bushels
Beans butter 116
Beans snap 911
Beets 339
Cabbage22811 heads
Collards 5410
Cantaloups 1940
Corn13474 bushels
Corn roasting ears95925 ears
Corn silage 705 tons
Corn meal 6140 bushels
Cucumbers 48
Fodder 40 tons
Hay oat and vetch 50
Hay peavine and grass 2811
Lettuce 700 heads
OVits 110 bushels
Okra 712
Onions 177
Peas garden 122
Peas field green 53
Peas field dried 250
Pecans 2900 pounds
Peppers 8 bushels
Peaches 179212
Pork dressed 32163 pounds
Potatoes Irish 804 bushels
Potatoes sweet 3300
Radishes 34
Rape 1243
Rye 147
Spinich 253
Squashes 458 GEORGIA STATE SANITARIUM
83
Tomatoes 3111 crates
Turnips 7174 bushels
Watermelons sent to patients10300
Watermelons fed to hogs15500
Dairy
Sweet milk 45246 gallons
Sweet cream 154
Beef dressed 7170 pounds
Hides green 233
Calves sold 1 200
Manure 897 loads
Chicken Yard
Hens issued 136
Roosters issued 15
Friers issued 402
Eggs received3300 dozen
Eggs set 394
Turkeys issued 21
In addition to producing these foods products I
haul all the coal from the coal chutes to the boiler
rooms moved all the cinders away from the boiler rooms
and have worked the entire road system of the institu
tion Have cut a new road from in front of Female
Convalescent Building through to the Park woods road
Have graded and filled in the yards around Dr Echols
and Dr Rankins houses and planted them in Bermuda
grass
I have also cut and distributed to officers houses
and kitchens about 600 cords of stove wood
I wish to thank you the Board of Trustees the of
ficers and others of the institution for the gratitude and
cooperation shown me throughout the year
Respectfuly yours
F C Penuel Farm Steward84
EIGHTYFIFTH ANNUAL REPORT
Report of Treasurer
MlLLEDGEVILLE Ga MARCH 5TH 1929
Dr R C Swint Superintendent
Georgia State Sanitarium
Milledgeville Ga
Dear Dr Swint
I beg to submit a report of the receipts and dis
bursements of the treasurer of Georgia State Sanitarium
for the year 1928
December 31st 1927 Bal cash
on hand 6889096
Received maintenance fund 120000000
Received special appropri
ations 24720615
Received Homer Bivins
Steward 862155
Received interest on balances 175895
152647761
Disbursements for the year per warrants
drawn by Superintendent and Steward 144232499
Dec 31st 1928 Bal cash on hand in Ex
change Bank 8415262
152647761
As Treasurer Georgia State Sanitarium and as
Cashier Exchange Bank we certify that at close of
business December 31st 1928 there was to the credit of
Otto M Conn Treasurer Georgia State Sanitarium the
sum of 8415262
Otto W Conn Treas Ga S S
H G Banks Cashier Exchange Bank
Witness
H H Herndon
N P B Co GaGEORGIA STATE SANITARIUM
85
Report of Steward
MlLLEDGEVILLE GA
December 31st 1928
Dr R C Swint Superintendent
Dear Sir
The receipts of the Sanitarium for support and
maintenance during the year 1928 were 120184427
Its expenditure for the year was 117848321 leaving
the sum of 2336136 in excess assets On this basis
its per capita cost was 23355 annually and 06398
daily as compared with 22492 annually and 06162
daily during the year 1927
The sum of 19022572 was spent within the year
for the erection and equipment of the New Negro build
ing 3252644 for the Psychopathic building and 42
61301 for a duplicate watermain tank tower etc leav
ing the sum of 31460483 available for the completion
and equipment of the three projects
Our demand obligations at the end of the year ex
ceeded our cash and cash items by 1212216 which fig
ure when compared with that of 1927 shows a decrease
of 1733061
In support of the foregoing figures the following ex
hibits and schedules are given
Exhibits
1Comparative Balance Sheet Dec 31st 192728
2Comparative Statement Receipts and Disbursements
Years 192728
3Consolidated Statement Cash Receipts and Disburse
ments
4Statement Cash Receipts and Disbursements for
Maintenance
5Statement of Receipts and Disbursements Account
Special Appropriations
6Profit and Loss Statement Farm Garden and Dairy
7Statement Operating Funds PerCapita Etc
Schedules
lAccounts Payable as of Dec 31st 1928
2Accounts Receivable as of Dec 31st 1928
3Production Farm Garden and Dairy
With a few exceptions bills throughout the year
have been promptly settled in accordance with contracts
and receipted voucherchecks covering disbursements
filed in this office
Respectfully submitted
Homer Bivins StewardEXHIBIT No 1
Comparative Bfclance Sheet December 31st 19271928
Explanatory
1927
CASH ASSETS
TreasurerGeneral Fund 33 718 54
TreasurerPatients Fund lo589 74
TreasurerOccupation Therapy Department 3 933 41
StewardWorking Fund 3000 00
StewardTime DepositMerchants Farmers Bank l36790
SvewardTime DepositExchange Bank i 71664
Accounts Receivable 114429
DUE BY TREASURY DEPARTMENT
Unpaid Requisitions Against Special Appropriations
New Buildirgs
STOCKS
General Merchantile 48 320 2
FuelCoal an Coke 3277000
Drugs Chemicals and Sundries 530900
Engineering Materials 1221o55
Packing House Products 386o84
Dry Goods Clothing Etcin Manufactured 136024
Farm Supplies l283 75
Dairy Feeds ll8650
FREIGHT AND EXPRESS
Applicable to Stocks 41443
TOTAL 16219206
1928
Increase
Decrease
2642935 728919 H
1112626 53652 O
407062 13721 w
300000 i
166667 29877
123002 48662 ljd
129288 14859 H X
2059653 2059653 z c
5876193 1044170
2639536 637464
464150 66750 H n
1424578 203523
328682 58002 0
189076 53052 to i
128375
118650
105521 64078
18215994 3536585 1539797
EXHIBIT No 1Continued
Comparative Balance Sheet December 31st 19271928
Explanatory 1927 1928
LIABILITIES
DUE SPECIAL FUNDS
Brantley Building 242564 96748
Occupation Therapy Department 393341 407162
Occupation Therapy DepartmentFemale 33103 28093
Occupation Therapy DepartmentMale 573850 545870
Female Commissary 136790 166117
Waterworks Appropriation 240671
Cold Storage Plant 20483
TRUST FUND
Patients Deposits 1058974 1112626
ACCOUNTS PAYABLE
Individuals and Corporaions 2206016 1690238
WAGES AND LABOR
Officers Salaries 673322 652989
Employees Wages 3153886 3212935
GROUP INSURANCE
Advance Premiums 468
EXCESS ASSETS
Net at End of Years 7726409 10062545
TOTAL 16219206 18215994
Increase
Decrease
13821
29327
240671
53652
59049
2336136
2732656
145816
5010
27980
20483
515778
20333
468
735868
O
M
O
W
O
in
H

H
H
w

EXHIBIT No 2
Comparative Statement Receipts and Disbursements Years 19271928
EXPLANATORY 1927 1928 Increase
State Appropriation Regular110000000 120000000 10000000
MISCELLANEOUS
Interest on Balances 184008 1774 89
Donations l3188 6968
Total Less Internal Ircome110197196 120184457 10000000
Internal Income
Board of Officers 122940 124790 1850
Board of Special Attendants 155770 196085 403 15
Board of Employees 390430 319633
Miscellaneous Sales 197250 172954
Rents 12530 5600
SalesIce 518 17 g61 44 343 27
SalesDairy Products 3 23986
SalesFarm Products 5i04 54730 496 26
Fines 14950 1500 3550
Sundries 29507 3003 330861
GRAND TOTAL Plus Internal Income 1115014 0 121523261 10460529
Decrease
6519
6220
12739
70797
24296
6930
323986
438748
2
o
w
H
1
H

z

r
w
w
o
o
w
HEXHIBIT No 2Continued
Comparative Statement Receipts and Disbursements Years 19271928
EXPLANATORY 1927 1928 Increase
DISBURSEMENTS
GENERAL ADMINISTRATION
Officers Salaries 7582404 8251786 669382
WAGES AND LABOR
Medical Department 24408054 25628767 1220713
Stewards Department 4890202 5016813 126611
Engineers Department 6010765 6748073 737308
Farm and Garden Department 1334948 1094437
Dairy Department 431866 309146
FOOD SUPPLIES
General Wards 30785955 35189285 4403330
Nurses Home 1386170 1500082 113912
Stewards Dining Room 470796 594622 123826
Superintendents Dining Room 130993 124406
MISCELLANEOUS
Clothing and Dry Goods 6731008 7524115 793107
Furniture and Bedding 4279600 4141793
Fuel 5641361 6457814 816453
Medical Supplies 1177868 1187676 9808
Stationery and Postage 230967 269556 38589
Advertising 62054 39071
Amusements 30816 25159
Repair AccountAutos and Trucks 118407 183968 65561
Barber Supplies 36521 40965 4444
Broom Factory Supplies 97356 172250 74894
Blacksmith Supplies 48094 45004
Cemetary Supplies 90133 8750
Decrease
240511
122720
6587
137807
22983
5657
3090
81383
o
M
O
ft
o
w
H

M
w

H

EXHIBIT No 2Continued
Comparative Statement Receipts and Disbursements Years 19271928
EXPLANATORY 1927 1928
DISBURSEMENTS Continued
Dental Supplies and Repairs 46029 57206
Dining Room Supplies 241291 234583
Electric Light Repairs and Supplies 208665 187254
Electric Power Supplies 150790
Escaped Patients 19295 21016
Florists Supplies 16323 3145
Gas and Oils 420168 394986
Garage Supplies 6000 16978
Housekeeping Supplies 875644 987531
Harness Supplies 4053
Insurance Premiums 226100 221945
Interest Paid 74322 49563
Kitchen Supplies 635928 341909
Laboratory Supplies 105047 124939
Laundry Supplies and Repairs 575488 567975
Light and Power 1847201 2536462
Medical Books and Journals 25542 20079
Libraries 55630
Musical Instruments 63804 3468
Office Supplies 191751 261619
Telephone and Telegraph Supplies 71583
Printing 118330 88947
Poultry Yards 77810 188755
Registration Autos 4365 5275
Surgical Instruments 8500 62010
Telephone and Telegrams 37310 55724
Tobaccos 640828 755532
Increase
Decrease
11177
6708 xj
21411 K
150790
1721 H
13178 k
25182 l
10978 1
111887 i3
4053 W
4155
24759 z
294019 A
19892 H
7513
689261
5463
55630 C
60336 o
69868 71583 29383
110945
910
53510
18414
114704
EXHIBIT No 2Continued
Comparative Statement Receipts and Disbursements Years 19271928
EXPLANATORY 1927 1928 Increase
DISBURSEMENT SContinued
Tools and Implements 46558 59100 125 42
Travel 235426 246585 11159
XRay Supplies 86639 21153
Sundries 154098 151227
FARM AND GARDEN
Freight and Express 5235 28070 22835
Miscellaneous Supplies and Repairs 309489 193685
Seed 225630 164735
Commercial Fertilizer 707500 755094 47594
Board of Employees 310666 269633
Treating Hogs 17820 14350
Fencing j 42500
Commercial Feeds 77 49
DAIRY
Board of Employees 79764 48000
Miscellaneous Supplies and Repairs 130869 21287
Freight and Express 956o8 17827
Commercial Feeds 1345210 1102154
Rents 10000
MAINTENANCE OF PLANT
Bri 78225 173841 95616
Builders Hardware 261559 305114 43555
Cement 226310 220224
Crushed Stone 333H 87 23
Cooking Apparatus 20650 29738 90 88
Fire Apparatus 172578 20491
Grading Supplies5900 39342 334 42
Decrease
65486 Q
2871 H
O
w
C
115804 r
60895
H
41033
3470 H
42500 W
7749 w

31764
109582 H
77781 w
243056
10000
6086
24588
152087EXHIBIT No 2Continued
Comparative Statement Receipts and Disbursement
EXPLANATORY 1927
DISBURSEMENTS ConJnued
Ice Works 86337
Lime Hair and Masons Supplies 155859
Lumber and Building Material 526158
Machinery Supplies 41450
Painters Supplies 437101
Plumbing Supplies 374632
Pump Repairs 21785
Range Repairs 47038
Sewer Supplies 20993
Steam Pipe Fittings 333061
Tinners Supplies 66930
Waterworks Supplies 65463
Sundries 73682
INVESTMENTS
Land onnonn
Fire Fighting Apparatus 1200000
Pasturizing Equipment 123770
Autos and Trucks 295000
Live Stock rnrnnn
Laundry Equipment o05000
Picture Show Equipment 104419
Sterilizing Equipment 123300
TOTAL DISBURSEMENTS Plus Inlernal Income
See Exhibit No 7 112212593
DIFFERENCE
Operating LossGain for Years 711113
GRAND TOTAL 111501480
Years 19271928
1928
Increase
20110
36667
1347650
10250
643796
400981
48624
41893
27286
91428
116949
80907
155852
821492
206695
26349
26839
6293
50019
15454
82170
Decrease
66227
119192
31200
5145
241633
443616
1200000
123770
207500 87500
100000 60000 505000
20000 84419 123300
119187125 12188767 5214235
2336136 2336136 14524903 711113
121523261 4503122
II
O
a
H
H

r
w
H
V
o
w
HEXHIBIT No 3
Consolidated Cash Statement of Receipts and Disbursements
EXPLANATORY
Balance from 1927
Less Due Special Funds
RECEIPTS
Maintenance Appropriation
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
SalesStore Supplies
CO T3
H P
cfa
O
S p
CO
fa
us P
a

a fa
W
p
a a
SQ
Regular
Total
Transferred by Steward
Balance
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
3371854
120000000
24720535
171895
149441
148413725
806525
149220250
146577315
1058974
1058974
2284039
3343013
2230387
26429351112626
26429351112626
300000
806525
2284039
3390564
3090564
308454
6968
43208
2 ft
ctj s
p a
3C
1000294
32250
358630
1032544
B
o

pa P
393341
13821
P p
fa
1058974
2284039
407162i3343013
300000 358630l1032544
46465261 6896l 65240
407162l3343013
4946526
4646526
289669
9673041 4071623343013
2230387
3000001 2896691 967304 4071621112626
O
B
O
W
o
CO
H
B
CO

W
d
BSUMMARY
DEBITS
General Fund 2642035
Patients Fund 1112626
Stewards Fund 300000
Time DepositsBanks 289669
Occupation Therapy Accounts 407162
New Negro Building 1809591
Psychopathic Building 250062
Total
6812045
CREDITS
Patients Deposits 1112676
Occupation Therapy Accounts 967304
Brantley Building 96748
Female Commissary 166117
Waterworks Appropriation 240671
Due Support and Maintenance 4228579
Total
6812045
H
a
a
H
2
H

f
w
w
O
W
HEXHIBIT No 3 Continued
Consolidated Cash Statement of Receipts and Disbursements
EXPLANATORY 2 u c C Pi tf CJ ti s 0t3 fi 3 d eg m u C3 p CO o zs o lb s PhP3 L tfi 0 o CJ a ll 3 00
Balance from 1927 20483 242564 136790 17215981 3002582 4501972 2973518
RECEIPTS Maintenance Appropriation 120000000
Interest on Balances 192684 149441 774275 6125
Miscellaneous Sales
SalesStore Supplies 49333
Total Transferred by Steward 20483 242564 18612317215981 1 3002582 4501972ll24083793
Balances Disbursed on Vouchers 20483 204S3 242564 145816 186123 17215981 20006 19025572 3002582 3252644 4501972 124083793 4261301 117439075
Balances Disbursed by Steward 96748 166117 1809591 250062 2406711 6644718 2416139
Balances 96748 1661171 1809591 250062 240671 4228579
a
o
w
o
H

H
H
w

2
H

296
EIGHTYFIFTH ANNUAL REPORT
EXHIBIT No 4
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY Amount Total
Balance from 1927 2973518
RECEIPTS
Maintenance Appropriation Regular120000000
Vouchers Returned 146441
Interest on Balances 175711
Accounts Receivable 192954
Accounts Payable 55296
Freight and Express 20533
Board of Employees 196085
Wages Refunded 78979
Phones and Telegrams 1474
Dental Supplies and Repairs 30292
Fines 500
Travel 23309
Salaries 3450
Refund on Insurance Premiums 10875
Rebates 2830
Impounding Live Stock 300
Sales Empty Bags 22022
Sales Barrels 43584
Sales Old Iron 477
Sales Egg Crates 1290
Sales Peas 1750
Sales Empty Cylinders 7500
Sales Food 2253
Sales Vacant Houses 12500
Sales Old Paper 5265
Sales Rags and Bones 50000
Sundries 24605
Total 124083793GEORGIA STATE SANITARIUM
97
EXHIBIT No 4Continued
Statement Cash Receipts and Disbursements for Maintenance
EXPLANATORY Amount Total
DISBURSEMENTS
General Administration
Officers Salaries 7659156
WagesMedical Department 24488182
WagesStewards Department 4851929
WagesEngineers Department 6576885
WagesFarm and Garden 1067648
WageSDairy 299270
FoodGeneral Wards 35709285
FoodBrantley Building 1500082
FoodOfficers Dining Rooms 719028
Clothing and Dry Goods 8048285
Furniture and Bedding 4650575
FuelCoal and Coke 6966596
Maintenance of Plant 4023389
Medical Supplies 1187676
Stationery and Fostage 269556
Investments 327500
Incidentals and Contingencies 8895337
Farm and GardenFertilizer 755094
Farm and GardenSeed 164735
Farm and GardenMisc Supplies and
Repairs 193685
Farm and GardenBoard Employees 269633
Farm and GardenTreating Hogs 14350
Farm and GardenFreight and Express 28070
DairyCommercial Feeds 1102154
DairyMisc Supplies and Repairs 21287
DairyBoard of Employees 48000
DairyFreight and Express 17827
Total 119855214
Balance in Hand 4228579
GRAND TOTAL 124083793EXHIBIT No 5
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY
RECEIPTS
Paid by Treasury Department
Requisitions in Transit
Requisitions to be Drawn
Total
DISBURSEMENTS
Bond Premiums
Brick Cement and Mortar
Bonus48 Days
Concrete Forms
Concrete Footings
Concrete Flooring
Concrete Stairways
Cement Floor Finish
Concrete WorkCash
Common and Fire Brick
Caulking Material
Crushed Stone
Capp Stone
Dynamite
Electrical Equipment
EquipmentMiscellaneous
Excavating and Filling
Electric Power
Form Work and Lumber
Finishing Hardware
New Negro
Building
17215981
1104046
705545
19025572
237300
4962824
120000
36950
39330
393500
134400
516220
273245
216654
104974
325000
6776
1483200
100000
Psychopathic
Building
Water
Works
3002582
34462
215600
3252644
380000
280546
124000
4501972
9829
4511801
4759
10889
38600
1310
137848
Total
24720535
1138508
930974
26790017
617300
4962824
120000
317496
39330
393500
134400
516220
273245
216654
4759
10889
38600
1310
242822
124000
325000
6776
1483200
100000
to
en
M
a
a
H

I

ft
l
H
w

2
2
C

P
W
M
0
o
w
HEXHIBIT No 5Continued
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY
DISBURSEMENTSContinued
Flanges and Gauges
Liability Insurance
Incidentals
Miscellaneous Material on Sites
Mill Work and Labor
Manholes
Moving Cottages
Motors Pumps Etc
Melting Furnace
Painting
Parapet Walls
Plastering
Plumbing and Heating
Plans
Pig Lead
Pipe Fittings
Pipe Joiners
Reinforced Concrete
Reinforced Steel
Roofing and Sheet Metal Work
Rough Carpenter Work
Right of Ways
Sheds and Preliminaries
Salaries
Structural Steel and Cast Iron Work
New Negro
Building
2000
1000
14950
32
1400
2000
5857
13696
500
16547
8005
5015
699
00
00
00
32
00
00
80
53
00
83
00
00
45
Psychopathic
Building
160000
514210
3603
215500
1052433 I
986072
L46300
126000
125000
84000
Water
Works
29113
180395
5465
262080
59819
1100
92970
Total
29113
360000
100000
514210
1495000
6835
215500
180395
5465
140000
200000
585780
1369653
1036072
262080
59819
1100
1801083
926500
501500
69945
92970
125000
84000
1052433
O
M
O
o
H

H
H

II
H

W
II
c
g
EXHIBIT No 5Continued
Statement of Receipts and Disbursements
Account Special Appropriations
EXPLANATORY
DISBURSEMNNTSContinued
Slab Tile
Shower Stalls
Stairways Studs and Risers
Storeroom
Sewer and Drain Pipe
Trench Excavation
Transportation
Tiling
Tanks Tower Etc
Twelveinch Piping
Valves
Wood Blocks
Wire Cloth
WagesEmployees
Withdrawn Balance
Total Expenditure
Withdrawn for wages
Total Appropriations for New Buildings Waterworks etc
Less Total Expenditure During 1928
Balance Available for Completion and Equipment
New Negro
Building
430675
20000
32585
23100
18599
15000
42700
333975
935739
19022572
Psychopathic
Building
Water
Works
30413
77000
3252344
Total
430675
20000
32585
23100
49012
77000
15000
42700
726627 726627
2622498 2622498
77921 77921
9227 9227
680 680
333975
935739
4511801 26539517
250500 250500
580000
265395
00
17
M
O
H
7
H
w

r
w
a
o
w
H
31460483GEORGIA STATE SANITARIUM
101
EXHIBIT No 6
Profit and Loss Statement Farm Garden and Dairy
EXPLANATORY
Farm and
I Garden I
Dairy Total
Inventories at beginning of year
PURCHASES DURING YEAR
Commercial Fertilizer
Commercial Feeds
Compost
Seed Planting
Freight and Express
FeedsHome Grown
4498520
755094
258250
164735
28070
Total
Deduct Inventories at End of Year
Net Cost
Gross Profit for Year
Total
OPERATING EXPENSE
Wages and Labor
Miscellaneous Supplies and Repairs
Treatment of Hogs
Board of Employees
Total
Net Profit for Year
Grand Total
1936000
1102154
17827
705000
5704669
3309500
2395169
2578492
4973661
1094437
193685
14350
269633
1572105
1015387
6434520
1102154
1102154
258250
164735
45897
705000
3760981
2046850
1714131
471217
2185348
309146
21287
48000
378433
92784
2587492 471217
9465650
5356350
4109300
3049709
7159009
1403583
214972
14350
317633
1950538
1108171
3058709102
EIGHTYFIFTH ANNUAL REPORT
EXHIBIT No 6Continued
Profit and Loss Statement Farm Garden and Dairy
EXPLANATORY
Farm and
Garden
Dairy
Total
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Dairy Feeds
Compost
Miscellaneous Food Supplies
Cash Sales
24320
3881
1503
705000
12433
547
81738
1845360
258250
2432070
469854
150395
1845360
705000
258250
1243350
54730
Total
Gross Profit Down
4973661
2185348
7159009
2578492 471217
3049709
SUMMARY
FURNISHED INSTITUTION
Food Supplies
Dairy Feed
Compost
Cash Sales
6141029
705000
258250
54730
7159009
ON HAND
Miscellaneous Farm Products2449850
Live Stock 2506500
Vehicles and Implements 400000
Total
5356350
12515359
Investment Beginning of Year6434520
Investment During Year4972668
Net Profit for Year1108171
Total
12515359EXHIBIT No 7
Statement Operating Funds Per Capita Etc
EXPLANATORY
1927
1928
Increase
Decrease
DEBITS
Cash and Cash Items
Cash Deficit at End of Years
5547052
2945277
6941233
1212216
1394181
1733061
Total
8492329
8153449
3127242
CREDITS
Due Special and Maintenance Funds
DEMAND OBLIGATIONS
Accounts Payable
Salaries and Wages
2459105
2206016
3827208
2597287
1690238
3865924
138182
38716
5T5778
Total
8492329
8153449
176898
515778
a
M
O
w
o
II

H
M
w

25

COMPARATIVE PER CAPITA COST YEARS 192728
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
Per Capita Cost for Year
Per Capita Cost for Day
1927
112212593
1304284
110908309
4931
22492
06162
1928
119187125
1338804
117848321
5046
23355
06398104
EIGHTYFIFTH ANNUAL REPORT
SCHEDULE No 1
Accounts Payable as of December 31st 1928
NAME Debit Credit
American Railway Express Co 4950
American Oil Pump Tank Co The 173
American Radiator Co 3321
Armour Co 88046
Atlanta Constitution The 972
Atlanta Dental Supply Co 2312
Atlanta Journal Co The 1080
Augusta Chronicle The 420
Banks H G 93220
Barnhouse C L 108
Barrett Co The 4500
Bell Dry Goods Co 8148
Bell Grocery Co 3340
Bensons Bakery 11250
Brantley John T 1250
Brown Co D W 1090
Brown R P 6746
Burroughs Adding Machine Co 2905
Butler Provision Co 111
Calumet Baking Powder Co 2180
Carr Co A J 12074
Central of Georgia Railway Co 27689
ColemanMeadowsPate Drug Co 2251
Collins W H 10260
Conn Co John 30816
Conn Otto M Agt 1885
Cooper J C Clerk 6420
Crandall Packing Co 959
Cudahy Packing Co 25517
Crane Co 399
Culver Kidd Drug Co 25
DavidsonFaxon Co 2282
Dean H H 13750
Dixie Seal Stamp Co 290
Dunlap Hardware Co 91
Eastman Kodak Stores Inc 3860
Eatonton Oil Auto Co 7070
Ehrmann Strauss Co 4500
Ennis J H 131604
Enquirer Sun The 600
Erwin J D 188J3
Estes Surgical Supply Co 799
Evans W C 61000
Federal Motor Truck Sales Co 1570
Fischer Scientific Co 6167
Fleischmann Co The 4016
Frederick Disinfectant Co 3000
Friedman Specialty Co 3662
Fulton Supply Co 194
Gambrell P H 3740
Georgia Power Co 12915GEORGIA STATE SANITARIUM
105
SCHEDULE No 1Continued
Accounts Payable as of December 31st 1928
NAME Debit Credit
Georgia Power Co 216823
Georgia Railroad Co 82049
Gilham Electric Co 3408
Gilman J M 3014
Gilman W P 8767
Graybar Electric Co 1060
Gulf Refining Co 3200
Hall Dr T M 7500
Hall Milling Co 183000
Halliburton Co T H 43500
Hammett Co J L 4140
Happ Bros Co 21040
Harrington Bros 1600
Hatcher Hardware Co R W 4444
Herf Frerich Chemical Co 25000
Hollinshead G W 66720
IvanAllen Marshall Co 213
Ivey W H 35740
Jarnagin Dr J C 2500
Jenkins Sons J W 53
Johnson Johnson 5100
Kelly Bros 57
Lee J C 7536
LeonardRooke Co 13280
Logan Co The 7420
Lombard Iron Works Supply Co 3750
Long O C 141
LooseWiles Biscuit Co 3761
McKinley G C 76070
McKinnon Motor Co 550
McCray Refrigerator 1417
Macon Pure Milk Co 9625
Marshall Field Co 164
Mathieson Alkali Works 6124
MeadorPasley Co 83
Milledgeville Lighting Co 20
Milledgeville Telephone Telegraph Co 5039
Montgomery W H 9888
National Comjmittee for Mental Hygiene 300
Newell A C 3750
NewsTribune The 108
Newton Bros C E 105
Packard Service Station 597
Parke Davis Co 5600
Peeler Hardware Co 21225
Pepper Son J W 225
Pick Co Albert 14805
Pitner W C 2500
Platt Iron Works 7000
Powers Regulator Co The 2330
Prior Co Inc W F 1500106
EIGHTYFIFTH ANNUAL REPORT
SCHEDULE No 1Continued
Accounts Payable as of December 31st 1928
NAME Debit Credit
Rice C W Son 3301
RayLyon Co Inc 3150
Richmond Dry Goods Co 57
Riley J B Drug Co 14330
Rosin Turpentine Export Co 5408
Sanders Dr Lactus 15000
Scott Co 625
Schofields Sons Co J S 7781
Selig Co The 450
Shapiro Bernstein Co 38
Shi Engineering Construction Co400000
Slusky David Sons 263
Solomon Steve M Jr 2093
Southern Paint Varnish Co 101
Stembridge Co 47
Surgical Selling Co 919
Trawick Bros 79888
Veal O F 10888
Van Range Co John 5100
Wager Co 302476
Watson F E 15135
Western Union Telegraph Co 1833
Whitman Ward Lee 7854
Whitfield Grocery Co 64187
Wilson Co 87934
Winchester Simmons Hardware Co 169
Year Book Publishing Co The 300
TOTAL448635 2138873GEORGIA STATE SANITARIUM
107
SCHEDULE No 2
Accounts Receivable as of December 31st 1928

NAME Debit
Adams Ophelia 337
Adcock Dr J C 1950
Albert Rosa 89
Alford Eddie 50
Alford Lillie 65
Alford Vandine 202
Allen L E 30
Allen Lillie Mae 464
Allen W K 125
Anderson J D 50
Babb Mrs W R 25
Badger J S 35
Bailey R F 175
Bell Francis 202
Bennett Ruby 78
Berry W T 269
Bivins Homer 3040
Blackwell A N 75
Blackwell Helen 225
Bloodworth J G 319
Bonner A E 163
Bostick Dr W A 107
Bowdion Pauline 120
Bowen Dr U S 450
Boyer Eddie 600
Bradford Dr R W 565
Brantley C C 13783
Brantley T C 83
Brookins Beatrice 161
Brookins Mollie 56
Broome Annie 136
Brown Emily 82
Burgamy C E 50
Burgaany Mozelle 92
Butts Rebecca 190
Califf D C 50
Califf Doris 30
Califf H G 60
Carter Arthur 500
Carter Louise 264
CaseFowler Lumber Co 1719
Champion R L 15
Chitwood Grace 131
Cole G C 35
Collins A J 140
Collins Virginia 852
Conn O M 4500
Cook O D 403
Cooper Mrs Annie 75
Couch J G 268
Couch T A 25
Cox Dr C G 349
Crenshaw J B 269
Credit108
EIGHTYFIFTH ANNUAL REPORT
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1928
NAME Debit
Criswell Wilmer
Davis Cora 61
Davis J R 100
Davis Rosa 30
Dawson Hamp 222
Dennis Wm English 274
DeSaussure T H 638
Dickerson A B 50
Dickerson R G 75
Digby W L 15
Dillard Joe 192
Dobyns Dr Wm F 1565
Dunn L A 50
Durden B W 15
Durden D G 40
Durden Paul 100
Durden W R 75
Echols Dr Geo L 383
Edwards B D 80
Edwards Minnie
Elliott Gertrude 138
English Mrs Eillie 60
Epps R S 225
Evans Joseph 264
Farell Arthur 20
Fendley Edith 60
Finsley Ellison 176
Flurry Julius 25
Fountain Bessie 163
Frederickson Leone C 45
Fuller I L 225
Gambrell P H 8102
Garrard Dr J I 2097
Gilbert Sarah 203
Oilman H E 45
Gilman J M 50
Gladin B M 50
Glenn Lumpkin 25
Gore J I 100
Hall Dr T M 3490
Hardy J B 269
Hardy J P 195
Hardy Mrs A B 60
Hardy Louise 209
Hardy Sallie Mae 221
Hardy Lula 193
Hardy Marion 50
Hardin D E 35
Harper Bryson 300
Harris I L 40
Harrison Alma B 255
Credit
117
92GEORGIA STATE SANITARIUM
109
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1928
NAME Debit
Harton J C 85
Hartley Estelle 669
Hattaway G W 40
Hemphill W A 60
Herringdine Elizabeth 193
Hitchcock Minnie 97
Hobgood Susie 77
Holder J H 61
Hooks Vita 60
Hopkins Ben 176
Horton 0 D 175
Hubbard Carrie 124
Hudson C E 25
Hudson J E 35
Humphrey A R 40
Humphrey Otis 200
Jackson Elizabeth 193
Janes L B 60
Jarnagin Dr J C 01
Jett W S Jr 2853
Johnson A W 289
Johnson Glen H 100
Johnson Ida Mae 182
Johnson J C 150
Johnson Nettie 155
Jones Annie 115
Josey J E 125
Josey L R 15
Kemp Maude 272
Key Mary 225
Landrum Louise 213
Landrum Mattie 230
Lavender C B 150
Lawson E L 65
Layfield B L 215
Layfield R G 15
Leaptrott D C 38
Lee Dorothy 640
Leonard Lila 20
Lomax Myrtle 30
Longino Dr L F 215
Loyd Alice 60
McCorkle Gladys 225
McCoy Ocie 140
McDade W C 230
McDade W W 75
McDaniel James T 100
McKinley A C 300
McKinley R L 255
McMichael Hattie 60
Marsh J F 15
Matthews John W 25
Credit110
EIGHTYFIFTH ANNUAL REPORT
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1928
NAME Debit
Matthews T W 50
Mathis Mrs S R 60
Mitchell Berry 90
Mobley Dr J W 1810
Moore Lena 620
Moore Lula 50
Moore S I 375
Moye W E 537
Murray Agnes
Newell A C 6450
Nichols Estelle 60
Nolan Ruby 540
Osborn H L 50
Osborn R W 85
Palmer Ruby 15
Parham Ella 96
Parham Oscar 578
Peacock Lydiaj 30
Perry Fred H 115
Penuel F C 553
Phillips Annie 161
Pierce Anderson 30
Pinkston Daisy 30
Pitts Alice 97
Pitner W C 4660
Pounds S F 25
Powers W B 25
Prescott Agnes 76
Quinn C J 125
Rankin Dr D T 440
Reese Ollie 180
Reid R R 50
Renfroe Samantha 225
Resseau Frankie 225
Reynolds J Alfred 245
Rivers Fannie 382
Roberts H B 38
Rogers W E 60
Ross Mrs G W 70
Ross J D Sr 38
Sanders Dr Lactus 8170
Sanford A Fleming 50
Saulsberry Sam 192
Simmons Clem 30
Simpson Charlie E 35
Simpson C H 90
Simpson Roscoe 45
Smith E L 15
Smith J Roger 50
Smith J T 450
Smith Oreta 121
Credit
30GEORGIA STATE SANITARIUM
111
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1928
NAME Debit Credit
Snellgrove Cecil 60
Snellgrove Jewel 155
Sparks George Mclntosh 4500
Speights Annie 119
Statham Dr J C 1980
Georgia State Farm 3500
Stavely G C 35
Stembridge W W 173
Stephens Thomas 138
Steveson Lewis 230
Swan Mrs Mary 50
Swint Dr R C 72
Switzer T Alton 113
Taylor Ora 180
Taylor R A 25
Tennille A S 35
Thompson M L 1700
Tooel E F 232
Trawick Addie Kate 30
Trawick John 25
Tucker Rufus 139
Twilly Birdie 60
U S Public Healh Service 15735
Veal Joe 75
Veal Louise 221
Veal M M 537
Veal W A 269
Beatch C N 200
Vinson J T 40
Wade Susie 170
Walker Dr N P 40
Wallace Mattie Lena 180
Warren Mari L 180
Wheeler Dr G A 1077
Wiley Dr Jno D 765
Wilson Ernest 75
Williams Lillian S 255
Willoughby Gertrude 180
Wood B F 75
Worsham J I 75
Wright D B 73
Wright S E Sr 38
Wright S E Jr 78
Yarbrough Rev J F 575
Yarbrough Dr Y H 449
Young G W 269
Youngblood J M 50
Youngblood P J 50
TOTAL129527 239112
EIGHTYFIFTH ANNUAL REPORT
SCHEDULE No 3
ProductionFarm Garden and Dairy
FRUITS AND VEGETABLES
18 Bushels Asparagus 3 5400
116 Bushels Butter Beans 34800
911 Bushels BeansSnap 296075
44 Bushels Beets 11000
15925 Heads Cabbage 159250
12197 Heads Collards 121970
1940 Cantaloupes 19400
95925 Ears Corn 287775
48 Bushels Cucumbers 12000
700 Heads Lettuce 3500
712 Bushels Okra 106800
143 Bushels Onions 35750
122 Bushels PeasEnglish 12200
71 Bushels PeasField 10650
8 Bushels Peppers 2400
1792 Bushels leaches 358500
838 Bushels PotatoesIrish 83800
3300 Bushels PotatoesSweet
34 Bushels Radishes 6800
1278 Bushels Rape 63900
253 Bushels Spinach 12650
458 Bushels Squash 114500
62 Crates Tomatoes 25000
6159 Bushels Turnip Salad 307950
25300 Watermelons 253000
2900 Founds Pecans 870002432070
PACKING HOUSE PRODUCTS
32343 Pounds Dressed Pork388116
7170 Pounds Dressed Beef 81738 469854
POULTRY AND EGGS
761 Founds Hens 15230
908 Pounds Friers 27240
83 Pounds Roosters 1245
210 Pounds Turkeys 7560
3304 Dozen Eggs 99120 150395
DAIRY PRODDCTS
45369 Gallons Sweet Milk1814760
153 Gallons Cream 306001845360
FARM PRODUCTS
705 Tons Ensilage705000
1033 Founds Compost 258250 963250
MISC FOOD PRODUCTS
1193 Bushels Peas 238600
6114 Bushels Meal 764250
2405 Bushels Sweet Potatoes 2405001243350
Total 7104279THE PSYCHOPATHIC HOSPITAL BUILDING RECENTLY COMPLETEDEIGHTYSIXTH ANNUAL REPORT
BOARD OF TRUSTEES
Milledgeville State Hospital
Formerly Georgia State Sanitarium
MILLEDGEVILLE GEORGIA

For The Year Ending
December ThirtyFirst
Nineteen TwentyNineBOARD OF TRUSTEES
President
John T BrantleyBlackshear Ga
VicePresident
Thos M Hall M DMilledgeville Ga
Secretary
C C BrantleyValdosta Ga
E E Lindsey Rome Ga
A C NewellAtlanta Ga
1 H GambrellMacon Ga
Laetus Sanders M DCommerce Ga
Walter C Pitner Athens Cri
H W Shaw M DAugusta GaCOMMITTEES OF THE BOARD OF TRUSTEES
Milledgeville State Hospital
Executive Committee
E E Lindsey Chairman
A C Newell
Thos M Hall
C C Brantlej
H W Shaw
Finance and Auditing Committee
P H Gambrell Chairman
W C Pitner C C Brantlev
Committee on Sanitation Medical and Dispensary Service
Thos M Hall Chairman
Laetus Sanders
A C Newell
Committee on Buildings and Grounds
A C Newell Chairman
E li Lindsey
H W Shaw
Committee on Farm Outside Business
W C Pitner Chairman
Laetus Sanders
P H GambrellOFFICERS OF THE HOSPITAL
R C Swint M D Supt and Resident Physician
N P Walker M D Clinical Director
L P Longino M DFirst Assistant Physician
Y H Yarborough M DSecond Assistant Physician
J I Garrard M DAssistant Physician
Geo L Echols M D Assistant Physician
D T Rankin M DAssistant Physician
U S Bowen M D Assistant Physician
C G Cox M D Assistant Physician
R W Bradford M D Assistant Physician
W A Bostick M D Assistant Physician
J W Mobley M D Assistant Physician
W F Dobyns M D Resigned Jr Assistant Physician
J C Statham M DInterne
C R Youmans M D Interne
E W Schwall M D Interne
G H Green D D S Dentist
J C Adcock D D S Dentist
J J Wooten Pharmacist
Mrs Mae M Jones R NSuperintendent of Nurses
Otto M Conn Treasurer
Homer Bivins Steward
T H DeSaussure To October 1929 Engineer
H S Jones Secretary
S Jett Jr Assistant Engineer
W
F C Penuel Farm Steward
Arthur Farell Storekeeper
W W Stembridge Sanitation Officer
Rev F H Harding Chaplin
Leone FredericksonDietitian
Mrs Geo L Echols Dietitian
Cecile Humphrey Social Worker
E R Hines Attorney
Geo M Sparks Publicity
DeceasedEIGHTY SIXTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
Milledgeville Georgia January 1 1930
To his Excellency Lamartine G Hardman Governor
Sir
The Beard of Trustees of the Milledgeville State Hos
pital formerly known as Georgia State Sanitarium respect
fully submits herewith its report on the conduct and man
agement of this institution for the year ended December 31
1929 it being the eightysixth consecutive report to be so
made
The usual quarterly meetings of the Board were held at
the Hospital during the year and its committees visited it
monthly The well being of the patients as well as the
financial interests of the State have received its careful
thought Every wise economy has been practiced and the
Board is happy to believe that the Hospital is slowly but
steadily advancing in efficiency It observes in the officers
of the Hospital that which evidences a full appreciation of
their responsibility and of their opportunity to render a ser
vice of distinct value in its humane purpose
Report of Superintendent
The annual report of the Superintendent and Resident
Physician hereto attached will supply essential details of the
movement of population work of the medical department
expenditures for the support of the Hospital etc The du
ties of this officer have been well and faithfully discharged
and he merits as do the officers serving under him the
warm commendation of the Board for the excellent record
of the year
Patient Population
The resident patient population at the end of the year
was 5291 a gain over the preceding year of 222 The pa
roled patients numbered 678 thus bringing the total enroll
ment up to 5969 and establishing a new record for the Hos
pital The pressure on the Hospital for admission shows
no abatement the applications numbering 1683 as againstEIGHTYSIXTH ANNUAL REPORT
1591 last year Admission was denied to 379 applicants
because of the unrelieved congested condition of the Hospi
tal which makes it imperative that admission be restricted
to cases offering hope of benefit from hospital care and to
dangerous cases
Congested Buildings
The situation of the Hospital in the matter of room grows
more and more serious One of the new buildings provided
for in the appropriation of 1927 is completed and occupied
The second is practically completed but must be furnished
before it can be used An appropriation of 5000000 was had
in 1929 for this purpose and for the payment of interest due
its contractors and when this is paid the building can be
utilized At the same time an appropriation was had to
provide additional dormitory buildings for the use of pa
tients three such being needed for the relief of the present
congestion The uncertainty surrounding the payment of
this last appropriation is such that the Board does not feel
authorized in going forward with plans for their erection
sore as is the need for them The Hospital must therefore
continue to crowd 5300 and more patients into buildings
which can safely accomodate but 4000 The danger of this
condition needs no comment for it is painfully apparent
Cost of Maintaining the Hospital
The daily average number of patients in the Hospital dur
ing the year was 5219 while that for 1928 was 5046 an
increase of 173 patients These were cared for at a cost
to the State of 22956 each which covers every expense
connected with the Hospital This cost is 399 less than
that of 1928 The daily per capita cost was 06289
The Hospital has lived within its income assuming the
appropriation for maintenance to have been paid in full and
has on hand an unexpended cash balance of 277007 in ad
dition to the usual quantity of supplies The farm and gar
den operations were of substantial assistance to this end
So satisfactory a result is witness to the vigilant work of
the business officers headed by the Steward
Financial Condition
The year was one of grave anxiety because of the inabil
ity of tiie State Treasury to meet the demands on it Pay
ments to the Hospital were not made at regular intervals
nor in equal monthly installments as has been the customMILLEDGEVILLE STATE HOSPITAL

for many years and because of this it has not been possible
to carry on its business in orderly fashion The year clos
ed with 25000000 due the Hospital for maintenance and
unpaid The ability and willingness of the Hospital Treas
urer to come to its aid saved a situation which bade fair
to become tragic and for this disinterested service the
Board makes to this valued officer its grateful acknowl
edgement The overdraft with the Hospital Treasurer is
now 20383267 and in addition there is due for supplies
and accumulated payrolls the sum of 8233591 To the
usual items in the Boards estimates of cost interest must
now be included
The continued failure of the State through lack of
funds to complete the payment of the building appropria
tion had in 1927 due for payment in 1928 and 1929 gives
the Board great embarrassment for it is thus unable to dis
charge the debt due the contractors of the second building
erected thereunder There is due on this appropriation a
balance of 28774642 which must be paid in full before
the Board can come to the well deserved relief of the con
tractors In the meantime the interest cost on this debt
is mounting It will be recalled that authority was given
the Board to proceed with the erection of this building and
that payment of this and other past due appropriations was
legalized at the last session of the Legislature
In the same year was had another appropriation to be
used for a much needed enlargement of the Hospital water
supply and on it there is still to be paid a balance of
3405242 For economical reasons the work under this
appropriation is being done by the Hospital and not by con
tract The payments received have permitted the purchase
and laying of a duplicate 12 inch water main three and three
quarter miles long and also the erection of a steel stand
pipe There remains to be purchased and installed settl
ing basins filters and electric pumps and this can only be
done when payment is had of the balance due on this ap
propriation The speedy completion of this work has be
come a matter of first importance so that a danger which
now threatens the water supply may be averted This dan
ger is in the age of the niters now in use whose walls wea
kened from long constant use show signs of collapse
There are two of these and both are worked to capacity to
keep the Hospital supplied The new ones will have to be
installed and put into use before the old ones can be torn
down and rebuilt The Board very earnest urges theEIGHTYSIXTH ANNUAL REPORT
quick payment of this balance so that this work may be
completed
Death of Engineer DeSaussure
The Hospital was deprived by death on October 25 1929
of the services of one of its most useful and capable officers
Engineer T H DeSaussure For fortyfive years he gave
it of his best His work was characterized by its thorough
ness He was remarkably proficient in the fields of civil
hydraulic mechanical electrical and sanitary engineering
and in addition he was an architect of no mean ability
Many of the present buildings of the Hospital were erected
under his supervision and its only fireproof building recent
ly added was built to his plans and specifications He has
left behind him many monuments to his skill As fire chief
he was responsible for the safety of the buildings and their
inmates from fire and the good record of the Hospital in this
respect is history He merited and enjoyed the full confi
dence of the Board of Trustees He gave to the Superin
tendent a ready obedience and an unquestioned loyalty
He was held in affectionate esteem by all His death is a
distinct loss to the Hospital
Second Hospital for the Insane
There can be but little doubt but that the time is at hand
when the State must found a second hospital for her insane
whose number grows steadily larger The present hospital
even with the new buildings provided for in the appropria
tion referred to herein erected and put into use can not
properly care for more than its present population of pa
tients nor is it wise that it should attempt to do so Pro
vision must be made for the steady increase and wisdom
points to a second hospital as the only solution The Board
urges that due consideration should be given this important
matter for it is important alike to society and to the afflict
ed
Hospital for Epileptics not Insane
The States hospital program for the future should in
clude suitable provision for the epileptics who are not in
sane The Hospital receives those who are insane but no
provision is had by the State for the sane among them
Their condition is indeed pitiful for the nature of this mal
ady due to its repulsive manifestations is such as to cause
them to be shunned and avoided by the well Its tendencyMILLEDGEVILLE STATE HOSPITAL9
is toward insanity and unless it is checked those who suffer
from it must ultimately become charges upon the State for
life Because the self helpful labor of the inmates of such a
hospital as is suggested can be made to contribute substan
tially to its support the burden to the State for such support
should not be heavy The interest of this Board arises from
its knowledge of the pitiful condition of these sufferers
In Conclusion
The Board is well aware of his Excellencys interest and
sympathy in the work committed to its care It has done its
best to cope with a most unusual financial situation This
great family of the afflicted for which it is responsible must
be fed clothed and tended and funds to this end must come
from the State It knows of no way by which the Hospital
can support its present population on any sum materially
less than the appropriation made for this purpose It can but
hope that the State will be able to make full payments to
the Hospital regularly and punctually throughout the com
ing year but if for any reason it should appear that such
payments can not be made then his Excellency is asked for
instructions as to how the Board is to proceed to meet such
a condition Any substantial reduction in the cost of main
taining the Hospital necessarily means a substantial reduc
tion in the number of its patients To bring this about will
involve so much human suffering and want that it should
not be considered until every possible resource of the State
has first been exhausted
In submitting this report the Board does so in the hope
its acts are such as to warrant his Excellencys approval It
has been a privilege to the members of the Board to serve
the Hospital to the best of their ability
Commending this house of mercy to the protection of the
Great Physician this report is respectfully submitted
JOHN T BRANTLEY
President
C C BRANTLEY
Secretary10
EIGHTYSIXTH ANNUAL REPORT
Report of Superintendent
MlLLEDGEVILLE Ga Jan I I93O
The Honorable Board of Trustees
mllledgeville state hospital
MlLLEDGEVILLE Ga
Gentlemen
In accordance with your rules I have the honor of submit
ting the eightysixth annual report of the Milledgeville
State Hospital for the fiscal year ending December 31 1929
In this connection you will recall that the Legislature
changed the name of the Georgia State Sanitarium to Mil
ledgeville State Hospital during the biennial session the
past summer The present name conforms to good psychia
tric nomenclature and definitely identifies the hospital from
any other state institution that now exists or may be found
ed in the future
The reports of the heads of Departments give a general
review of the activities of the hospital throughout the year
by departments and these reports are appended hereto as
follows
The Clinical Director
The Dental Department
The Superintendent of Nurses
The Pharmacist
The Engineer
The Farm Steward
The Treasurer
The Steward
Table of General Information
1 Date of opening as an institution for
mental diseasesOct 12 1842
2 Type of institutionState
3 Hospital plant
Estimated value of hospital property
Real estate including buildings240575000
Personal Property 37545200
Total 278120200
Total acreage of hospital property owned3772
Includes grounds occupied by buildings
farm and garden sitesMILLEDGEVILLE STATE HOSPITAL
11
Total acreage under cultivation previous year1700
4 Officers and employees actually in service at the end of
the year
Males Females Total
Superintendents 10 1
Clinical Directors 10 1
Assistant Physicians 12 0 12
Medical Internes 2 0 2
Resident Dentists 2 0 2
Pharmacists 10 1
Stewards 1 0 1
Farm Stewards 10 1
Engineers 1 0 1
Superintendent of Nurses 0 11
Social Workers 0 11
Graduate Nurses 1 13 14
Occupational Therapists 6 15 21
Other nurses and attendants 217 306 523
All other officers and employees 175 7 182
Total officers and employees 422 341 763
General Statistics of Patient Population
For The Year IQ2Q
Patients on books first day of year
Males Females Total
Actual resident population 2332 2737 5069
On parole or otherwise absent but still
on books 363 335 698
Total 2695 3072 5767
Admitted during the year
First admissions 476 471 947
Readmissions 132 150 282
Total received during the year 608 621 1229
Total on books during year3303 3693 6996
Discharged from books during year
As recovered 71 77 148
As improved 186 157 343
As unimproved 39 34 73
As without psychosis 7 3 10
Total discharged during year 303 271 574
Total died during year 251 202 453
Total discharged and died during
year 554 473 102712
EIGHTYSIXTH ANNUAL REPORT
Patients on books last day of year
Actual resident population 2402 2
On parole or otherwise absent 346 332
5291
678
Total 2748 3221 5969
Average daily population during year5219
Applications for admission received during year 1683
Applications for admission refused during year 379
The overcrowded condition of the hospital caused the re
fusal of admission of many urgent cases that necessarily re
sulted in considerable suffering on account of the delay in
admission but the total admissions for the year were 139
greater than the previous year and the total applications for
admission were 1683 compared to 1591 the previous year
The building for colored females described in eightyfifth
annual report was completed and opened on February 18
1929 This provided room for 420 colored females and re
lieved the greatly overcrowded wards in that department
and since the opening of this building we have had room to
admit all colored female applicants Before the completion
of this building the colored female wards were more greatly
overcrowded than other wards of the hospital
We now anticipate completion and opening in two or
three months the Psychopathic Hospital L M Jones
Building This will provide room for about 240 white pa
tients accommodating both males and females This build
ing has been referred to and described in eightyfifth annual
report We are proud of this building It has long been
needed and we think it will make quite a contribution to the
hospitals facilities for meeting the very complex problems
of the unfortunate charges committed to the hospitals care
and treatment
The mental disease problem in this state as in other
states is gradually growing The 50000000 appropriated
by the legislature last summer for additional buildings if
available now would provide buildings adequate for the
present overcrowded wards but it will not provide for the
future growth of the problem Therefore this feature of the
problem must be anticipated if we ever expect to relieve the
present overcrowded wards so that we may have adequate
room so essential for the proper care and treatment of men
tal patients In this connection it might be of interest to
note some facts about the growth of the problem The fol
lowing tabulation gives the growth of the hospital and the
state by decades since 1846 when state care was adoptedMILLEDGEVILLE STATE HOSPITAL
13
Date Population of Hospital Increase States Population
18461856 72 161 89 691000
18561866 161 299 138 906000
18661876 299 604 405 1057286
18761886 6041238 634 1184109
18861896 12382002 764 1542180
18961906 20023018 1016 1837353
19061916 30184115 1097 2216331
19161926 41154848 733 2609121
19261930 48485291 443 3000000
A study of the above tabulation gives an idea of what may
be anticipated What is to be done about it
I am personally convinced that we have enough statisti
cal information to prove that psychopathic inheritance is a
predisposing cause of mental disease and no mistake will be
made if we concentrate our energies on the problem of pre
vention of bad heredity There are many psychiatrists and
other scientists who do not place so great emphasis on he
redity but rather emphasize environment Every student of
the subject realizes the importance of both and the most
optimistic environmentalists cannot disprove the many facts
that are known concerning the laws of heredity while there
are many things concerning inheritance not yet fully under
stood If an individual is born of good inheritance the envi
ronment problem will be partly solved because every indiv
idual is a part of and contributes to the making of his envir
onment It seems that we might at least pay as much atten
tion to human betterment as we do to animal and plant life
The best and most practical remedy that medical science
has to offer toward the prevention of bad heredity is surgi
cal sterilization of those afflicted with certain types of men
tal diseasethe feebleminded syphilitics and criminal re
cidivists Legal restriction of marriage is not practical Seg
regation is too tremendous an economic problem to con
sider Twentythree states have already enacted a steriliza
tion law and has not enlightenment and civilization ad
vanced far enough in Georgia for the public mind to face
and solve this problem in keeping with the times
Another mental hygiene measure that would prove help
ful to the problem would be the establishment of psycho
pathic wards to general hospitals and creating a psychiatric
department of these hospitals The experience of some gen
eral hospitals has demonstrated that this may be done suc
cessfully and without much expense or much change in
hospital structure It seems that this might be successfully
done in Atlanta Augusta Savannah Macon and probably14
EIGHTYSIXTH ANNUAL REPORT
other larger cities of the state The general hospital could
occupy a most strategic position in the field of mental hy
giene making quite a contribution to a program of cure and
prevention A well equipped general hospital already has
many facilities needed for the diagnosis and treatment of
mental disorders They would form earlier contact with pa
tients and particularly so called nervous patients with
vague mental symptoms and also extend benefits to the lo
cal community in helping to educate the public to look upon
mental disease in the same way it regards physical disease
thereby giving the individual afflicted with mental disease
the equal opportunity to get well that the less unfortunate
individual with only physical affliction Also such a pro
gram would be of value in educating the general practi
tioner to some of the problems of mental patients thereby
rendering him more interested and efficient in the treatment
of them
Medical Service
The report of the Clinical Director gives a general review
of the activities of the medical work with statistical tables
that contain much information of interest
I am pleased to state that the medical work of the hospital
was carried on in the usual efficient manner and that the
general health of the patients were as good as could be reas
onably expected and that the population did not suffer With
any epidemic disease With the greatly overcrowded wards
the responsibilities and work of the medical staff nurses
and attendants have necessarily been greater and only care
ful attention and faithful performance of duty made possible
the results obtained
850 patients were furloughed during the year and of this
number 364 were white males 287 were white females 86
colored males and 113 colored females 219 of this group
were restored and 500 improved making a total of 719 fur
loughed as restored and improved or 576 per cent based on
the total admissions for the year
574 patients were discharged from the records during the
year This does not refer to deaths but patients who had
been furloughed and were not returned to the hospital be
fore the expiration of twelve months Of this group 303
were males and 271 females 148 were restored 343 were
improved 77 unimproved and 10 as without psychosis
There were 453 deaths during the year Of this group 117
were white males 104 were white females 134 were colored
males and 98 were colored females Based on 6298 the totalM1LLEDGEVILLE STATE HOSPITAL
IS
number under treatment during the year the discharge rate
was 09 per cent and the death rate 07 per cent
We feel that we made a little progress in occupation ther
apy work during the year Three new occupation rooms
were fixed up and put into operation in the white female de
partment two in the Powell Building and one in the female
convalescent building A renewed interest and activity in
this work was also shown in the white male department
with work rooms on the fourth floors of the Whittle and
Cabaniss Buildings and the work shop at the white male
occupation park made a creditable showing in furniture
making
Quite a bit of interest and activity was directed toward
amusement of patientsdances moving picture shows
band concerts group picnics and walks Quite an interest
was taken by patients in Field Day conducted by Miss Ce
cile Humphrey Social Worker Many contests were en
gaged in by patients and they greatly enjoyed them
The Training School for the feebleminded was contin
ued in operation with Misses Bonner and Pendleton as
teachers This school in addition to teaching the children
something provides a play ground for them
The Hospitals extra mural activities were continued dur
ing the year with the psychiatric clinics at Macon Elberton
and Georgia Training School for Boys Classes from the
University of Georgia Emory University Mercer Univers
ity and Georgia State College for Women visited the hos
pital and were given clinics and practical demonstrations
of abnormal psychology Also the Superintendent ad
dressed the Kiwanis and Rotary Clubs at Macon and the
Kiwanis Club in Atlanta and the Rotary Club of Americus
and the Second Assistant Physician gave two addresses to
ParentTeachers Associations at Macon
A few changes occurred in the medical staff during the
year Junior Assistant Physician W F Dobyns resigned to
accept position with Veterans Bureau at Memphis Tenn
and we secured the services of Drs E W Schwall and C R
Smith as Medical Internes
The Training School for Nurses was kept up to its usual
efficiency and its successful operation is due mainly to our
efficient Superintendent of Nurses and her report gives pu
pil admission requirements plan of instruction an outline
of curriculum and other information
We hope that the training course for attendants begun
this year will prove of great value to the medical service
and we are looking forward to the time when every ward in16
EIGHTYSIXTH ANNUAL REPORT
the hospital will be in charge of a graduate nurse or grad
uate attendant
Religious services for patients were held as formerly each
Sunday afternoon at 3 oclock by Rev F H Harding until
November 1 at which time the four Protestant pastors of
the Baptist Episcopal Methodist and Presbyterian
churches of Milledgeville begun to rotate monthly as Chap
lains to conform to resolution passed by the Board of Trus
tees at their quarterly meeting in October
Pellagra Study
The dietary study of pellagra begun by the United States
Public Health Service 1914 under the general supervision
of Dr Joseph Goldberger was continued during the year
But medical science and societv suffered a great loss in the
death of Dr Goldberger January 17 1929 He was one of
the most unassuming and yet one of the greatest medical
men I ever came in contact with He was peculiarly pos
sessed of those qualities so essential for a research worker
We were fortunate to have this work continued under the
charge of Dr G A Wheeler who has been working with
Dr Goldberger for many years
The work completed the past year has included tests of
superheated dry yeast and canned Haddock as pellagra
preventatives The yeast was first exposed to the heaf of
the autoclave at fifteen pounds pressure for three and one
half hours By this process the antineuritic factor or Vita
min B was destroyed The finding that the pellagra preven
tive value of yeast is not noticeably affected by this heat
confirms previous studies along this line and paves the way
for a study of the value of the various canned foods in res
pect to their value in pellagra The Haddock study has
shown that eight ounces per day as a dietary supplement is
hardly sufficient to prevent a recurrence but that twelve is
quite adequate
During the latter part of the year in cooperation with
the Clinical Director Dr Wheeler begun a preliminarv
study of the influence of diet on epilepsy
Dental Department
Two full time dentists were employed during the year
nli reprt giveS a tabulaion of the work done Of the
866 operations and treatments given by them 5129 were
extractions They made 362 calls to the wards examined
il new admissions and treated 2305 patientsMILLEDGEVILLE STATE HOSPITAL17
Laboratory Report
The position of Pathologist being still vacant the follow
ing data for the years laboratory work was submitted by
Mr D C Leaptrott who has been laboratory Technician
for many years and has carried on the routine laboratory
work in a satisfactory way
Serological Examinations
Blood Wassermann Noguchi reaction1569
Cerebrospinal Fluid Wassermann reaction 468
Cerebrospinal Fluid Colloidal Gold test 470
Cerebrospinal Fluid Globulin estimation 471
Cerebrospinal Fluid Cell Count 474
Clinical Laboratory Examinations
Urine routine analysis 2308
Urine Renal Function test P S P 13
Urine Special chemical test 114
Feces for Parasites or ova 1073
Feces for occult blood 2
Cerebrospinal Fluid for occult blood 1
Blood Chemical examination 52
Blood for Malaria parasites 208
Blood Countsred white or differential 535
Blood Platelet count 1
Blood Hemoglobin estimation 76
Blood Coagulation time 8
Sputum for tubercle bacilli 141
Milk butter fat determination 288
Gastric Contents chemically and microscopically 6
Bacteriological Examinations
Blood culture 14
Blood agglutination test Widal 26
Cerebrospinal Fluid culture 3
Cerebrospinal Fluid film micro 2
Exudate film micro 40
Exudate culture 26
Exudate animal inoculation 2
Urine culture 2
Feces culture 1
Milk bacteria count 288
Vaccine autogenous prepared 3618
EIGHTYSIXTH ANNUAL REPORT
Anatomical Examinations Gross and Microscopical
ly
Necropsies 5
Surgical Tissue Gross and microscopical 10
Postmortem examination of animals 1781
Total number of examinations10514
Note In addition to the total number of procedures enumerated above 446
cadavers were embalmed making a total of 10960 procedures
Serological Examinations
There were 1569 specimens of blood examined for the
Wassermann reaction of which number 1214 were secured
as a matter of routine from patients upon their admission to
the hospital
Table IResults of Routine Blood Wassermann Tests
Number Number Percentage
Race Se Examined Positive Positive
4 plus 4 plus
White Female 339 11 32
White Male 396 22 55
Colored Female 283 63 220
Colored Male 196 60 306
Total 1234 156 128
There were 468 specimens of cerebrospinal fluid exam
ined of which number 358 were routine specimens secured
from patients referred to in Table I A routine examination
of the cerebrospinal fluid is made in the case of each patient
whose blood reacts positively to the Wassermann test Of
the 11 white females in above tabulation with 4 plus posi
tive blood Wassermann 5 or 454 per cent had positive re
actions in spinal fluid Of the 22 white males with 4 plus
positive blood Wassermann 19 or 863 per cent had posi
tive reactions in spinal fluid Of the 63 colored females with
4 plus positive blood Wassermann 15 or 238 per cent had
positive reaction in spinal fluid Of the 60 colored males
with 4 plus Wassermann of the blood 41 or 683 per cent
had positive reaction in spinal fluid General average 559
per cent positive serological reactions This gives an idea
of the incidence of neurosyphilis in patients admitted to the
hospital with syphilis
Engineering Department
The sudden death of Engineer T H DeSaussure October
25 1929 caused a great loss to the hospital He was dependMILLEDGEVILLE STATE HOSPITAL
19
able and efficient and rendered fortysix years of efficient
and faithful service to the hospital Since his death the
work of this department has been satisfactorily carried on
by Assistant Engineer W S Jett and his report gives a
general review of the principal activities of the department
during the year The upkeep and repairs of the physical
plant of the hospital requires quite a number of more or less
skilled workmen and a large amount of varied work As in
previous years quite a bit of authorized and outlined work
remains unfinished and will be carried to completion the
next year
The Business Department
The report of the Steward gives a detailed analysis of in
come and expenditures during the year The exhibits and
schedules give in detail the condition of all accounts The
annual per capita cost was 22956 compared to 23355 the
previous year The daily per capita cost 6289 cents com
pared to 6398 the previous year
The hospital experienced a very difficult year financing
the construction of the L M Jones Building without the
funds appropriated for this purpose also during the latter
part of the year the State Treasury was unable to make
prompt payment of maintenance hence the year ended with
the Treasury owing the hospital quite a sum and the hos
pital owing many unpaid bills
Farm Gardens and Dairy
The Farm Stewards report gives a tabulation of the food
stuffs produced during the year We had rather favorable
seasons for food crops during the year and were fairly suc
cessful Among the items produced were 21532 bushels of
corn and this should be enough to feed our stock and pro
vide meal for the hospital for the year
Conclusion
In concluding this report T wish to thank the members
of the Board of Trustees for their support and interest in the
hospital I also desire at this time to express my apprecia
tion for the valuable assistance rendered by the officers and
employes of the hospital throughout the year
Also the womens clubs of the various districts of the
state and many others are due the thanks of the hospital for20
EIGHTYSIXTH ANNUAL REPORT
their thoughtfulness in remembering the patients with many
gifts during the Christmas season
Respectfully submitted
R C SWINT
Superintendent
Dr R C Swint Superintendent
Dear Sir
The following pages contain the medical report for the
year 1929
Twelve hundred and twentynine 1229 patients were
received one hundred and thirtynine 139 more than the
previous year Of these nine hundred and fortyseven 947
were first admissions and two hundred and eightytwo
282 readmissions Many of those readmitted had been in
other institutions either public or private
The larger groups manic depressive and dementia prae
cox were in about the same ratio as for the previous year
Among the smaller groups there was an actual increase of
29 or 35 in the number of cases classified as psychosis
with cerebral arteriosclerosis and actual increase of 25 or
55 in the number diagnosed as psychosis due to pellagra
Nineteen 19 patients suffering from encephalitis were ad
mitted These form but a small part of the number of pa
tients received but they are of a pitiable nature Stramo
nium seems to have given best results in treatment
Six 6 patients three 3 of whom were criminals were
considered not insane Three 3 of these six appeared to
belong to the psychopathic group
Seventeen 17 patients were sent by order of the court
The criminal charges were as follows arson 2 assault and
battery 1 accusation for escape 1 assault with intent to
murder 2 assault with intent to rape 1 burglary 1 giving
worthless checks 1 larceny 4 murder 3 vagrancy 1 Three
of these were classified as not insane
The recovery rate does not have a very definite meaning
unless the length of the furlough period is considered As
heretofore the recovery rate is the ratio of those furloughed
as improved or restored to the number received The recov
ery rate for the year was 5850 under the twelve months
furlough regime For 1928 it was 673 Had the furlough pe
riod been three months as it was some years ago the recov
ery rate would have been lower for the reason that one hun
dred and twentysix 126 patients were returned after more
than three months but in less than twelve months UnderMILLEDGEVILLE STATE HOSPITAL
21
the three months rule these patients 126 would necessar
ily have been recommitted and thus the number of patients
received by admission increased by this number The dis
charge rate would have been affected in the opposite way
since these patients 126 would have been discharged after
being away from the institution for three months
The recovery rate was lower than for the previous year
This seems to be accounted for in part at least by the in
creased proportion of colored patients received In 1928 the
colored patients constituted 3266 of those received while
in 1929 they made up 3930 The recovery rate for the
whites in 1929 was 739 against 726 for 1928 For the
colored the rate for 1929 was 345 against 564 for 1928
The average rate for the two races for the past seven years
has been 655 and 450 respectively The increase in the ra
tio of colored patients received is not to be taken to mean
that there has been a corresponding increase in insanity
among the colored race but is due rather to increased capac
ity in the colored department
There were four hundred and fiftythree 453 deaths
706 of all patients actually under treatment For 1928 the
death rate was 63 The leading assigned causes of death
were arteriosclerosis ninetythree 93 general paralysis
of the insane seventythree 73 tuberculosis fiftyseven
57 pellagra thirtyfour 34 cerebral hemorrhage thirty
three 33
The treatment of paresis by the use of foreign proteids
has been continued Malaria has been given a second trial
and is still being used We have been unable to secure the
favorable results reported by others but there has been
enough encouragement to continue the methods of treat
ment
In September and March short courses of instruction in
nursing the insane were given the attendants who had en
tered the service in the preceding six months This con
sisted of quizzes lectures and clinical demonstrations with
patients This is considered a matter of much importance
but up to this time it has been difficult to organize the work
on a satisfactory basis If it were possible to put each new
attendant under an experienced and capable head it would
probably help considerably The above course was given to
159 attendants Dr Yarbrough lent valuable assistance in
the matter
The weekly clinic held in Macon on each Friday after
noon has been continued by a member of the staff One
hundred and fortynine 149 patients reported at thite22
EIGHTYSIXTH ANNUAL REPORT
clinic The total number of patients visits were four hun
dred and ninetyeight 498 The visiting psychiatrist con
tinues lectures on nervous and mental diseases for the three
nurses training schools in Macon and holds clinical dem
onstrations for these nurses in this hospital He has been
called on to give talks before various civic church and
school organizations in that city
Five 5 monthly school clinics were held at Elberton
A total of one hundred and four 104 patientvisits were
paid to this clinic fifty 50 of which were first visits The
patients presented problems of delinquency physical handi
caps finance and home situations The visiting staff mem
ber was called on in a number of instances to see adult
psychotic cases at Elberton or in its vicinity
The examination of the inmates of the State Reformatory
for boys has continued by a member of the staff
The activity of the laboratory technicians is testified to by
the fact that more than 10000 examinations were made in
that department The details are given in their report
The customary tabulations will be found on following
pages
I here make grateful acknowledgement to all who have
contributed towards making our medical service an efficient
one
Respectfully
X P WALKER M D
Clinical DirectorMILLEDGEVILLE STATE HOSPITAL
23
TABLE 1
Diagnostic Grouping of Patients Admitted During the Year 1929
PSYCHOSIS
White
M F
Oolored
M F Totl
Traumatic
Senile
With cerebral arterio sclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality not insane
2
3
60
23
1
1
0
12
11
4
21
4
131
48
0
26
S
7
21
21
1
3
0
0
0
6
1
6
17
2
131
89
1
17
12
3
18
110
84
4
2
0
26
16
10
70
11
399
232
1
73
17
17
43
87
3
3
24
146
895
683
32
16
0
211
130
81
569
89
3246
1887
08
593
138
138
349
708
24
24
TOTAL
405 341203 280 1229 999124
EIGHTYSIXTH ANNUAL REPORT
TABLE 2
Diagnostic Grouping of First Admissions During the Year 1929
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality not insane
TOTAL
White
M F
Colored
M F
Total
2
3
51
20
1
1
0
11
7
3
13
2
79
31
0
22
4
3
14
17
0
2
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
0
0
0
22
43
0
0
0
5
2
0
10
1
53
17
0
17
0
0
8
12
0
0
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
0
3
18
99
77
4
1
0
23
12
7
61
8
265
165
1
65
13
10
34
77
2
2
286 230
190 241 947MILLEDGEVILLE STATE HOSPITAL
25
TABLE 3
Diagnostic Grouping of Readmissions During the Year 1929
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality not insane
TOTAL
White
M F
Colored
M F Total
0
0
9
3
0
0
0
1
4
1
8
2
52
17
0
4
1
4
7
4
1
1
0
0
0
2
0
0
0
2
0
2
1
1
55
34
0
3
3
3
1
4
0
0
0
0
1
0
0
0
0
0
0
0
0
0
9
1
0
1
0
0
0
1
0
0
0
0
1
2
0
1
0
0
0
0
0
0
18
15
0
0
0
0
1
1
0
0
0
0
11
7
0
1
0
3
4
3
9
3
134
67
0
8
4
7
9
10
1
1
119 111
13 39 282TABLE 4
Diagnostic Grouping And Mental Condition of Patients Furloughed or Discharged During the Year 1929
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtans chorea
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychonaurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality not insane
Mental deficiency not insane
Male
R I U
White
Female
R I U S
TOTAL 1119200 45j 7 57J176 54
Colored
2 13
Male
I U S
511 22
Female
R I U
0 30
73 10
Total
3
1
27
13
1
00
14
23
15
32
6
379
155
0
41
16
28
38
01 59
1
0
01
o
X
X

ss
c

r
ss
w
n
o
H
11860MILLEDGEVILLE STATE HOSPITAL
27
TABLE 5
Causes of Deaths of Patients Who Died During The Year 1929
Psychosis
White
MI F
Abscess of lung
Acute poisoning from eating filth
Acute yellow atrophy of liver
Arteriosclerosis
Asthma
Carcinoma breast
Cellulitis
Cerebral hemorrhage
Cerebral syphilis
Cholecystitis
Cirrhosis liver
Encephalitis
Endocarditis
Enteritis acute
Enteritis chronic
Epilepsy
Erysipelas
Exhaustion from acute mental disease
Fracture femur
Fracture skull
Gastric ulcer
Gastritis acute
Gangrene foot
General paralysis of the insane
Influenza
Intestinal obstruction
Meningitis
Myocarditis chronic
Nephritis acute
Nephritis chronic
Organic brain disease
Pellagra
Pericarditis
Peritonitis
Pneumonia broncho
Pneumonia lobar
Pneumonia tubercular
Pulmonary tuberculosis
Pyelitis
Sarcoma
Suicide by strangulation
Syphilis
Tuberculosis of intestines
Tuberculosis of spine
Unknown
Valvular heart disease
TOTAL
0
0
1
25
0
0
1
9
1
0
0
2
4
0
3
1
1
1
1
1
24
0
0
0
8
3
1
0
4
0
1
10
3
0
9
0
0
1
0
0
0
0
0
0
1
0
25
0
1
0
11
0
1
0
1
0
3
0
4
0
1
0
0
0
0
0
2
0
1
1
4
2
1
0
9
0
1
9
7
0
12
0
1
2
0
0
0
1
3
Colored
M F Total
1
117 104
0
0
0
28
0
0
0
8
0
0
0
1
0
0
0
11
1
3
0
0
0
0
0
34
0
0
0
6
0
2
0
17
0
0
0
0
1
3
4
0
134
1
0
0
15
1
0
0
5
0
0
1
0
1
3
0
4
0
0
0
0
1
13
1
0
0
7
2
1
1
12
0
0
4
1
0
14
1
0
1
3
0
0
3
0
1
1
93
1
1
1
33
1
1
1
2
2
7
2
20
2
11
1
1
1
1
2
73
1
1
1
25
7
5
1
34
1
2
25
13
1
52
1
1
4
3
1
3
981 45328
EIGHTYSIXTH ANNUAL REPORT
TABLE 6
Surgical Operations For The Year 1929
Abscess of brain drainage 1
Amputation breast 2
Amputation thumb 2
Amputation leg j
Appendectomy 2
Carbuncle incised and drained 4
Circumcision i
Cyst inguinal removed
Dilation and curettage uterus 2
Eye enucleation 1
Eardrum incised
External urethrotomy
Fixation of uterus and sterilization 1
Fixation of uterus
Fracture femur treatment for I 10
Fracture humerus treatment for 2
Fracture jaw treatment for 1
Fracture finger treatment for 3
Fracture clavicle treatment for 2
Fracture Colles treatment for 4
Fracture radius treatment for
Fracture toe treatment for 2
Fracture ulna treatment for 1
Gastric ulcer operation for
Herniotomy 13
Hemorrhoidectomy 4
Hydrocele operation for 1
Hysterectomy
Laparotomy exploratory 2
Laparotomy tubercular peritonitis 2
Lipoma removal of 1
Mastoiditis radical operation for 2
Maxillary sinus drainage of 1
Orchidectomy
Ovarian cyst removal
Paracentesis thorax 2
Perineorrhaphy 3
Prolapse of rectum operation for
Prostatectomy suprapubic
Submucous resection
Squint operation for
Tonsillectomies egMILLEDGEVILLE STATE HOSPITAL
29
TABLE 7
Admissions From Various Counties During The Year 1929
Psychosis
White
MI F
Colored
M F
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chattahoochee
Chatham
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquit
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Effingham
Elbert
Emanuel
Evans
7
1
1
5
2
2
10
2
2
3
0
2
3
0
2
1
2
2
1
2
0
15
4
7
1
0
1
1
9
2
5
1
3
6
1
5
2
1
4
1
0
1
1
4
2
4
C
1
0
6
0
2
2
0
4
3
1
1
1
1
1
12
2
1
1
12
4
2
1
1
1
0
6
1
4
1
5
5
1
1
0
0
4
8
2
0
0
2
1
1
4
1
1
Total
2
0
0
0
2
0
0
1
0
1
6
0
1
1
0
0
1
1
0
0
0
0
1
0
0
0
29
1
0
0
0
3
0
2
1
0
0
0
1
0
0
2
0
0
1
4
0
1
1
0
1
1
0
0
0
31
1
1
0
2
1
1
1
1
2
3
0
2
0
1
0
0
2
0
1
s
7
1
2
1
8
2
0
6
2
1
1
19
4
6
12
6
4
29
2
S
7
0
7
13
2
4
3
3
4
15
4
1
3
87
10
10
2
4
4
2
19
4
13
6
8
13
2
8
2
1
12
15
5
6
15
4
4
3
1830
EIGHTYSIXTH ANNUAL REPORT
TABLE 7Continued Admissions From Various Counties During The Year 1929
Psychosis W M hite F Col M Dred F Total
Fannin 6 1 10 1 4 30 5 2 0 2 3 2 4 1 7 3 S 1 4 3 1 0 1 2 1 0 2 2 4 1 1 0 2 0 1 2 1 5 2 1 3 0 3 0 2 1 0 2 0 5 8 2 1 4 1 8 1 2 38 0 0 3 5 2 2 6 4 6 0 2 0 1 0 2 0 2 3 0 1 0 3 1 0 3 1 3 0 0 0 0 3 0 1 0 0 6 0 2 1 0 0 1 5 10 2 5 0 2 2 0 1 12 0 1 1 0 1 0 0 0 1 0 0 0 0 0 1 1 0 1 0 0 2 4 2 1 1 0 5 1 1 0 0 1 0 2 0 3 2 0 0 1 1 1 2 0 1 2 2 0 0 0 0 1 28 0 1 1 0 1 0 2 0 0 1 0 4 2 0 0 3 0 1 5 0 0 0 2 2 2 0 4 3 0 0 0 3 0 0 1 0 7 1 0 3 1 0 4 0 4 0 2 10
Fayette 4
Floyd 20
Forsyth 2
Franklin g
Fulton 108
Gilmer 5
Glascock 4
Gordon 5 7
Grady 7
4
Gwinnett 12
Habersham 5
Hall 14
Hancock 4
Haralson 7
5
Hart 7
3 4

Houston 4
Irwin 3
7
6
Jeff Davis
Jefferson 4
Jenkins 9
9
Jones i 4
Lamar 7
Lanier 1
Laurens 14
4
2
2
1
Lowndes 12
Lumpkin 2
Macon 4
Madison 4
Marion 3
Meriwether 18
Milier 1
Milton 4
Mitchell 5
Monroe 2
Montgomery 3 7 10 23
Morgan
Murray
Muscogee
McDuffie 6
Newton 10
MILLEDGEVILLE STATE HOSPITAL
31
TABLE 7Continued
Admissions From Various Counties During The Year 1929
White I Colored
Psychosis
M
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stevens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlin
Troup
Turner
Twiggs
LTnion
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Wortli
M
TOTAL
0
3
3
2
3
0
3
5
3
0
0
0
1
8
2
1
2
0
4
1
2
3
2
1
4
1
1
3
1
1
1
0
0
2
3
3
1
5
2
2
2
2
4
0
4
2
3
2
5
1
3
3
405
1
0
21
II
1
0
1
3
2
2
0
0
0
7
0
0
2
0
5
2
0
0
1
0
1
4
1
1
7
0
3
0
0
4
0
3
0
2
2
2
1
0
1
0
0
1
3
5
2
0
1
0
F
Total
0
0
1
0
0
1
0
0
4
7
2
2
3
0
3
1
3
4
2
0
0
3
3
2
0
0
2
2
1
0
0
0
1
2
0
2
0
0
2
0
1
0
0
2
0
1
0
3
1
3
3
0
4
5
1
2
5
2
S
0
3
2
1
2
0
2
2
3
3
0
0
0
0
6
1
2
0
0
0
1
3
0
2
6
6
6
4
1
5
11
6
6
3
0
9
27
5
S
12
2
17
4
8
9
6
3
5
8
6
10
14
4
6
0
0
14
6
9
1
7
4
6
8
2
11
1
5
7
7
9
9
5
7
4
3411 203j 2801122932
eightysixth annual report
TABLE 8
Nativity of All Patients Admitted During The Year 1929
Psychosis
Alabama
Austria
California
Florida
Georgia
Greece
Illinois
Iowa
Kansas
Kentucky
Louisiana
Michigan
Mississippi
Missouri
North Carolina
New York
Not given
Ohio
Russia
South Carolina
Tennessee
Texas
Virginia
TOTAL
White
M F
13
1
1
3
363
2
1
0
1
0
1
0
0
1
3
1
1
0
1
8
2
1
1
10
0
0
0
309
0
0
1
0
1
2
1
2
0
3
0
1
1
0
5
5
0
0
405 341
Colored
M F
2
0
0
2
179
0
0
0
0
0
0
0
0
0
5
0
3
0
0
11
1
0
0
5
0
0
4
253
0
1
0
0
0
0
0
0
0
3
0
3
0
0
10
1
0
0
203 2801229
Total
30
1
1
9
1104
2
2
1
1
1
3
1
2
1
14
1
8
1
1
34
9
1
1M1LLEDGEVILLE STATE HOSPITAL
33
TABLE 9
Classified Occupations of Patients Admitted During The Year J929
Psychosis
Agriculture Forestry And Animal
Industry
Box maker
Cross tie cutter
Farmers
Farmers daughters
Farmers wives
Farm laborers
Farm laborers wives
Lumber dealer
Saw mill laborer
Saw mill laborers wives
Saw mill operators wives
Turpentine laborers
Turpentine still operator
Turpentine still operators wives
Wood cutter
Professional
Dentists wife
Druggist
Lawyer
Lawyers wives
Minister
Ministers wives
Newspaper man
Physician
Physicians wives
Teachers
Minerals
Filling station operator
Garage mans wife
Public Service
Post office clerk
Mail carriers wife
Watchman
Watchmens wives
Trade
Accountant
Auditors wives
Bankers wives
Broker
Insurance agent
Clerks
Clerks wives
Merchants
Merchants wives
Salesmen
Salesmens wives
Shipping clerk
White
M I F
1
0
161
0
0
14
0
2
2
0
0
0
1
0
0
0
2
3
0
2
0
Colored
MI F
Total
0
0
1
2
64
0
0
0
0
0
1
0
1
0
0
1
2
5
0
12
0
12
0
1
0
0 0
0 2
0
2
62
0
0
24
0
0
0
0
0
1
0
0
1
0
0
0
0
4
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
35
26
7
0
0
1
0
0
0
2
0
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
1
2
224
2
99
64
7
2
2
1
1
1
1
3
1
1
2
3
1
6
1
1
1
1
3
1
1
1
1
1
2
1
2
1
1
3
9
1
13
7
12
2
134
EIGHTYSIXTH ANNUAL REPORT
TABLE 9Continued
Classified Occupations of Patients Admitted During The Year 1929
Psychosis
White
M F
Colored
M F
Total
Manufacturing And Mechanical Pursuits
Automobile mechanic
Blacksmith
Blacksmiths wives
Boiler maker
Brick mason
Carpenters
Carpenters wives
Casket makers wife
Coal crane operator
Contractor
Contractors wives
Chemists wife
Electrician
Gun smith
Laborers
Laborers wives
Match factory superintendent
Mechanic
Mechanics wives
Moulder
Moving picture machine operator
Painters
Plasterer
Plasterers wife
Plumber
Saw filers wife
Shoe makers wives
Steam fitter
Steel workers wife
Stone cutters wife
Textile workers
Textile workers wives
Domestic and Personal Service
Baker
Barbers
Barbers wives
Butchers
Butchers wives
Clothes presser
Cooks
Cooks wife
Decorators wife
Housekeepers
Ice mans wife
Maid
Photographers wife
Porter
Restaurant proprietors wife
0
0
2
0
0
0
2
1
0
0
1
1
0
0
0
7
0
0
3
0
0
0
0
0
0
1
2
0
1
1
10
7
0
0
2
0
1
0
6
0
1
49
1
1
1
i
0
1
0
0
0
0
0
0
0
0
65
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
10
16
0
0
1
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
16
1
0
22
0
0
0
0
0
2
3
2
2
2
8
3
1
1
2
1
1
1
1
94
23
1
10
4
1
1
6
1
1
1
1
2
1
1
1
20
7
1
3
2
3
1
3
23
1
1
71
1
1
1
1
1MILLEDGEV1LLE STATE HOSPITAL
35
TABLE 9Continued
Classified Occupations of Patients Admitted During The Year1929
Psychosis
Seamstress
Servants
Tailor
Tailors wife
Telephone managers wife
Waiters
Washerwomen
Transportation
Chauffeurs wife
Elevator operator
Railroad conductors wife
Railroad construction foreman
Railroad flagman
Railroad foreman
Railroad foremens wives
Railroad laborer
Railroad laborers wives
Street car conductor
Telegraph operator
Taxi driver
Truck drivers
Truck drivers wife
Miscellaneous
Attendants wife
Convict guards wife
Experiment station directors wife
Junk dealer
Real estate agent
Students
NOT GIVEN
None
White Colored
M 1 F I M F Total
TOTAL
4
0
0
1
1
0
0
0
0
1
0
0
0
2
0
2
0
0
0
0
0
1
1
1
0
0
4
1
131
I
0
0
0
0
0
2
0
0
1
0
1
1
1
0
0
0
1
1
1
1
0
0
0
0
1
1
5
0
0
1
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
2
0
25
1
34
0
0
0
0
17
1
0
0
0
0
0
0
0
2
0
0
0
0
1
0
0
0
0
0
3
3
76
5
34
14
4
320
122936
EIGHTYSIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Psychopathic personality not
insane
Under
20
TOTAL 31 164
43
55
I
1
0
0
01 0
7 0
0 0
0 0
4824
Over
70
0
2
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
Not
Given
Total
2
3
51
20
1
1
11
7
3
13
2
79
31
0
22
4
3
14
17
0
286MILLEDGEV1LLE STATE HOSPITAL
37
TABLE 10
Ages of Eirst Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Under
I 20
20 30
30 40
50160
60 70
Over
70
Not I
Given Total
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
0
0
0
0
0
0
0
0
0
0
0
7
1
0
s
0
2
1
2
0
1
0
0
7
0
17
21
0
2
2
0
3
5
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
6
7
4
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
TOTAL 18
54584729120 4 0
23038
EIGHTYSIXTH ANNUAL REPORT
TABLE 10
Ages of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Under
I 20
40150 60
50 60 70
Over
70
Not
Given
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
0
0
0
1
0
0
0
0
0
0
0
9
3
0
5
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
0
0
22
43
0
0
5
2
0
10
1
53
17
0
17
0
0
8
12
0
TOTAL 21 50353026121 7 0 190M1LLEDGEVILLE STATE HOSPITAL
39
TABLE 10
Ages of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General parolysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under
20
Over
70
Not
Given Total
0
0
0
0
0
0
0
0
0
0
0
1
4
s
0
2
0
0
0
2
0
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
14
79
0
41
12
15
10
24140
EIGHTYSIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Male Population
en V u 3 0
Psychosis o o
2 Tl ixi o c
D O VI a a V T c o B S o ID 3
rt rt hn 1
V V o ft o 0
A Oi u X u H
Traumatic 1 0 0 0 0 1 1 0 0 0 n 0 n
Senile 3
With cerebral arteriosclerosis 9 0 18 17 7 0 0 SI
7 0 4 6 S 7 i n
With cerebral svphilis n n 0 1 0 0 0 i
n 0 0 0 1 0 n i
With brain and nervous disease 1 1 7 n n n 11
Due to alcohol n 0 4 1 0 0 7
Due to drugs n n 1 0 0 0 3
With pellagra n n 7 S n 1 0 13
With somatic disease 0 s 0 0 2 18 0 44 0 11 0 i 0 n
Manic depressive 79
Dementia praecox 1 0 8 16 4 n 31
0 n n 0 n 0 n 0
With epilepsy 4 8 8 0 0 n
Psychoneurosis or neurosis 1 0 0 1 0 n 0 4
n 0 1 9 n n n
With mental deficiencv 13 2 0 0 0 0 1 6 0 0 7 0 0 l 2 0 l 0 0 0 0 14
Unclassified 17
Not insane

TOTAL 40 3 79 124 32 7 l 86

MILLEDGEVILLE STATE HOSPITAL
41
TABLE 11
Degree of Education of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
4
X
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
20 4
55 110
28 7
6 23042
EIGHTYSIXTH ANNUAL REPORT
TABLE 11
Degree of Education of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecoix
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
18
20
0
0
0
1
1
0
s
l
11
6
0
9
0
0
5
7
0
95
K
x
6 68
b
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
1
J
5 0
0
0
22
43
0
0
0
s
2
0
10
1
S3
17
0
17
0
0
8
12
0
01190MILLEDGEVILLE STATE HOSPITAL
43
TABLE 11
Degree of Education of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Pi

Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons choreaI 0
With brain tumor 0
With brain and nervous disease 1
Due to alcohol j 0
Due to drugs 0
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
ho
TotalI oj 2112
2
0
0
2
1
0
11
2
33
34
0
5
0
0
0
14
1
0 0 0
0 0 0
0 1 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
2 0 0
0 0 0
9 1 0
9 2 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
7 1 0
0 0 0
32 5
0 0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
01 30
0 1
0 024144
EIGHTYSIXTH ANNUAL REPORT
TABLE 12
Environment of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Male
TOTAL
0
0
34
15
0
0
0
4
3
1
2
0
22
9
0
8
0
2
5
7
2
2
3
17
1
1
0
7
4
2
11
2
57
22
0
14
4
1
9
10
0
114 172
3
51
ti 2ti
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Female
0
2
3
4
0
0
0
1
0
3
8
0
40
29
1
9
4
3
4
6
1
0 286 118 111
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
1230MILLEDGEV1LLE STATE HOSPITAL
45
TABLE 12Continued
Environment of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Male
78
0
0
14
25
0
0
0
3
0
0
7
1
29
11
12
0
0
0
4
6
0
0
22
43
0
0
0
5
2
0
10
1
53
17
17
0
0
Female
0
4
10
8
2
0
0
1
2
0
7
0
21
28
0
2
0
2
1
14
1
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
112 0 19011103 138 0J24146
EIGHTYSIXTH ANNUAL REPORT
TABLE 13
Economic Condition of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Population
Psychosis
Male
Female
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingdons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane I
TOTAL I 5
0
0
9
2
1
1
0
2
S
1
3
0
20
9
0
3
0
0
2
4
1
2
2
41
17
0
0
0
9
2
2
10
2
58
22
0
19
4
3
12
12
II
63
218 0 286
1
4
6
4
0
0
0
4
1
3
12
1
63
46
0
12
8
4
6
IS
1
1
6
7
4
0
0
0
4
1
4
16
1
76
55
1
14
9
5
7
18
1
7 23 191 9 230MILLEDGEV1LLE STATE HOSPITAL
47
TABLE 13Continued
Economic Condition of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Female
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingdons chorea
With brain tumor
With brain nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
1
3
0
0
0
2
1
0
0
0
8
2
0
2
0
0
0
3
0
0
0
21
40
0
0
0
3
1
0
10
1
45
15
0
15
0
Male
0 221680190
0
0
22
43
0
0
0
5
2
0
10
1
53
17
0
17
0
0
8
12
0
0
9
18
9
3
0
0
3
2
0
21
3
46
52
0
11
0
2
4
29
1
0
9
19
0 10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
0 281213J 0241TABLE 14
Civil Condition of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
White Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Male
TOTAL 1112 1311 22
2
2
26
14
0
0
0
6
4
0
6
1
44
8
0
7
2
1
0
8
I
0
0
1
0
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
o
11
Female
0
1
6
0
12
22
1
10
3
4
7
5
0
II
0
0
0
2
0
0
2
0
8
5
0
1
0
0
0
5
0
181 2 286 741081 28 3
c


tf

OJ o
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 01
1
6
7
4
0
0
0
4
1
4
16
0 76
Oj 55
01 1
01 14
0 9
01 5
0 7
Oj 18
Ol 1
K
O
X
H
X
H

G

r
w
o
H
17 0230TABLE 14Continued
Civil Condition of First Admissions During The Year 1929
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Male
Female
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
10
23
0
0
0
0
1
0
4
1
IS
3
0
3
0
0
0
4
0
0 0
0
6
4
0
0
0
0 0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
63 16 2 19 4 190
22
Oj 43
0 0
3
0
0
5
s
2
0 0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
1
0
56 881 481 3 45
0
9
19
10
3
0
0
3
2
0
22
4
57
62
0
12
0
2
5
30
1
r
r
w
c
o
w

tI
r
r
w
en
H

H
M
a
o
w
H

r
124150
EIGHTYSIXTH ANNUAL REPORT
TABLE 15
Ages of Patients at Time of Death During The Year 1929
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
Under
20
30 40
40 50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1 121523 2017 27
Over
70
0
6
13
1
0
1
0
1
0
0
0
0
1
2
0
0
0
0
0
2
0
Not
Given Total
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
7
27
24
1
2
0
2
0
0
6
4
8
9
1
9
1
0
6
9
0
117MILLEDGEVILLE STATE HOSPITAL
51
TABLE ISContinued
Ages of Patients at Time of Death During The Year 1929
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Under20
20 30
3040
40150
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid conditn
With epilepsy v
Psychoneurosis or neurosis
With psychopathic personaly
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
5060Over
60170
70
11I14I16I11
0
15
4
1
0
0
0
0
0
0
0
0
6
4
0
0
1
0
0
2
0
Not
Given
16 33
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
Total
0
17
8
3
0
0
0
2
0
0
8
1
21
19
0
10
1
2
2
10
0
10452
EIGHTYSIXTH ANNUAL REPORT
TABLE ISContinued
Ages of Patients at Time of Death During The Year 1929
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Underl20
20 30
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of th insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid conditn
With epilepsy
Psychoneurosis or neurosis
With psychopathic personaly
With mental deficiency
Unclassified I
Not insaneI
TOTAL 1
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
0
0
0
2
0
0
5 18
01 0
Over
70
Not
Given Total
21 25 2326
0
1
10
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
25
37
0
0
0
1
0
0
6
1
21
8
0
17
0
0
6
11
0
134MILLEDGEVILLE STATE HOSPITAL
55
TABLE ISContinued
Ages of Patients at Time of Death During The Year 1929
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
JU
nder20304050
20 130140150160
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid couditn
With epilepsy
Psychoneurosis or neurosis
With psychopathic personaly
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
19
27
0
4
7
1
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
Over I
70 1
Not 1
GivenTotal
10
14
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
5
13
13
1
0
0
2
0
0
7
0
19
21
0
3
0
0
2
12
0
9854
EIGHTYSIXTH ANNUAL REPORT
TABLE 16
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
3
1
0
1
0
0
0
0
0
1
2
0
0
2
0
0
1
2
0
1
7
27
24
1
2
0
2
0
0
6
4
8
9
1
9
1
0
6
9
0
15 25
5 16
22 13 15
6 117M1LLEDGEVILLE STATE HOSPITAL
55
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingdons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With Psychopathic personality
With mental deficiency
Unclassified
Not insane
0 0
0 0
1
0
0
TOTAL I 81 16l 2
0
3
0
1
0
0
0
0
o
0
0
0
3
3
0
3
1
2
0
2
0
0
4
1
0
0
0
0
1
0
0
0
1
3
1
0
2
0
0
1
0
01 0
0
17
8
3
0
0
0
2
0
0
8
1
21
19
0
10
1
2
2
10
0
251 18 141 1410456
EIGHTYSIXTH ANNUAL REPORT
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
7
8
0
0
0
0
0
0
5
0
0
0
0
1
0
0
0
3
0
24
0
0
6
16
0
0
0
0
0
0
1
1
5
0
o
3
0
0
0
2
0
34 13
0
0
4
5
0
0
0
0
0
0
0
0
4
2
0
2
0
0
1
1
0
0
0
2
3
0
0
0
0
0
0
0
0
6
4
0
6
0
0
3
1
0
0
0
3
1
0
0
0
0
0
0
0
0
2
0
0
3
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
1
0
0
19 25
10 5
0
1
25
37
0
0
0
1
0
0
6
1
21
8
0
17
0
0
6
11
0
4134MILLEDGEVILLE STATE HOSPITAL
57
TABLE 16Continued
Duration of Hospital Residence of Patients Dying in The Hospital
During The Year 1929
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0
0
0
1
0
0
0
0
0
0
4
0
0
1
0
0
0
0
0
5
0
o
3
6
5
0
0
0
0
0
0
3
0
2
4
0
1
0
0
1
3
0
111 28
0 0
0
0
2
0
0
0
1
0
0
0
0
3
0
0
0
0
0
0
0
o
SI
4
2
0
0
0
1
0
6J10J17J3
0
5
13
13
1
0
0
2
0
0
7
0
19
21
0
3
0
0
2
12
0 0
51 9858
EIGHTYSIXTH ANNUAL REPORT
Report of Superintendent of Nurses
Dr R C Swint
Superintendent
Dear Sir
January 1 1930
The following is a report of the Training School for
Nurses for the year beginning January 1 1929 and ending
December 31 1929
We have had a greater number of applications for en
trance to the school this year than ever before therefore
could be more select in our choice of students The selec
tions were made according to age physique and standing
in high school
Thirtythree applications were received from which eigh
teen were admitted Four of these withdrew for various rea
sons two failed in examinations and one was not accepted
after serving part of the probationary period
One junior and one senior withdrew from school during
the year
Miss Ora Blanche Taylor Milledgeville Ga made the
highest average during her junior year As a reward the
Alumnae of the school paid her expenses to the Georgia
State Nurses Association Convention which met in Rome
Ga in November
The Alumnae with a membership of fiftyfive continued
its loyal support to the school and participated in all the ac
tivities of the Sixth District Nurses Association as well as
the State Association
The Annual Commencement was held May 23 in the
Amusement Hall Dr R C Swint Superintendent presided
The processional was played by the Hospital Band and
Miss Gladys McMichael Beuna Vista Ga sang two beauti
ful solos accompanied on the piano by Mrs Lovic Pierce
Longino
Dr Richard Orme Flinn pastor of the North Avenue
Presbyterian Church Atlanta Ga gave a most interesting
address to the class and large audience Hon John T Brant
ley Blackshear Ga President of the Board of Trustees in
his usual charming manner delivered the diplomas and Dr
T M Hall Milledgeville Ga VicePresident of the Board
in a few well chosen words presented the hospital pins
The following nurses received diplomasMiLLEDGEVlUJTATEJIOSPITAL59
Miss Helen BlackwellTnwH S
Miss Mary Hazel Key n r
Miss Gladys McCorkle Thomson Ga
Miss Oreta Smithi rl
Miss Samantha Renfoe Milledgeville Ga
Miss Frankie Resseau Hardwick Ga
Miss Elva Louise VealSandersville Ga
Miss Susie Mae WadeByron fa
Total number of graduatesiD
Plan of Instruction
The curriculum conforms as near as possible to the Stand
ard Curriculum planned by the National League of Nursing
The course extends over a period of three years including
three months probation and six months affiliation in some
large general hospital for additional experience in surgery
pediatrics and obstetrics Classes are conducted eight
months out of each year and consist of lectures recitations
and laboratory work
A passing grade of 75 in all branches is required for
grA short course in Nursing Mental Diseases was con
ducted in March and October by Dr N P Walker Clinical
Director for all new attendants
Nursing Staff
Superintendent of Nurses 4
Supervisors
Graduate Nurses 1Q
Senior Nurses in School
Junior Nurses in School
Freshmen Nurses in School
Total Number Student Nurses
Occupation Therapy Nurses
Special Attendants 1fin
White Female Attendants i0
Vacancies i
I wish to thank you for your constant support and all
physicians and other officers who have contributed to the
success of the school
Respectfully submitted
Mrs Mae M Jones R N
Superintendent of Nurses60
EIGHTYSIXTH ANNUAL REPORT
Dentists Report For 1929
Milledgeville Ga
January 1 1930
Dr R C Swint
Superintendent
Dear Sir
I have the honor of handing you herewith an itemized
report of the work done in the Dental Department during
the year 1929 s
Extractions 5129
Infiltration anaesthesias 2421
Conductive anaesthesias 897
Ethyl chloride anaesthesias 9
Alveolotomies 127
Incisions sutured 5
Postoperative treatments 129
Gold fillings 2
Amalgam fillings I44
Cement fillings 57
Guttapercha fillings 5
Synthetic porcelain fillings 38
Gold inlays 20
Gold inlays reset 2
Nerve cappings 5
Nerve treatments 4
Nerves devitalized 5
Root treatments 15
Root fillings 10
Abscesses lanced 40
Abscesses treated 23
Lancing gums over 3rd molar 18
Treating gums about 3rd molor 15
Excessive hemorrhages arrested 8
Treatments for erosion 1
Treatments for pyorrhea alveolaris 32
Cleaning teeth number of patients 33
Scaling teeth number of patients Z 155
Applications silver nitrate 2
Treatments for acute odontalgia 35
Treatments for pericementitis 1
Treating gums number of patients 170
Treatments for oral ulcers 13MILLEDGEVILLE STATE HOSPITAL
61
Treatments for stomatitis 9
Curetting alveolar process 29
Plates made
Plates repaired 4
Gold crowns 2
Porcelain crowns
Crowns removed 12
Crowns reset
Bridges removed 20
Bridges made jj
Bridges reset
Disfigured teeth shaped up number of patients 58
Impacted 3rd molars removed 26
Dislocations reduced 2
Sequestra removed
Fractures reduced
Calls to wards 362
Number of new patients examined1327
Number of patients treated 2305
Total number of operations and treatments 9866
Respectfully submitted
GEORGE H GREEN D D S
J C ADCOCK D D S62
EIGHTYSIXTH ANNUAL REPORT
Report of Pharmaceutical Department
Dr R C Swint
Superintendent Milledgeville State Hospital
Dear Sir
The following is the annual report of the Pharmaceutical
Department for the year ending December 31 1929
Below is shown a condensed list of manufactured prod
ucts
Tinctures spirits and extracts 2764 Pounds
Elixirs 1189 pounds
Syrups 1127 pounds
Ointments 162 pounds
Liquors lotions and mixtures 1131 pounds
Library paste and mucilage48 pounds
Medicated powder 58 pounds
Indelible ink 48 pounds
Glycerites 139 pounds
Liniments320 pounds
Tonics 248 pounds
Tooth powder2 pounds
Quinine anodyne and lagrippe capsules filled 41950
Germicide 922 gallons
Fly and mosquito exterminator490 gallonsM
ILLEDGEVILLE STATE HOSPITAL
63
Statement
Debits
Jan 1 1929 Inventory as o Dec 31 1928 464150
Purchases During Year
Drugs chemical dental surgical and
laboratory supplies 11
Freight and express lylii
Total1189407
Less goods returned 38372
Net amount goods purchased 1151035
Total 1615185
Deduct Inventory Dec 31 1929 558185
Amount goods to account for 1057000
Credits
Dec 31 1929 Prescriptions tilled for
wards 37 661 aggregating 9ff
Sales to officers and employees Z14U
Total 10S7a0
Respectfully submitted
Pharmacist64
EIGHTYSIXTH ANNUAL REPORT
Report of Engineer
Dr R C Swint
Superintendent and Resident Physician
Dear Sir
Please find below the annual report of the Engineering
Department for the year ending December 31 1929
The new negro building has been completed and is now
occupied All plumbing steam fitting and electrical work in
this building was done by this department The steam for
this building is supplied from the old negro building boiler
room the efficiency of the boilers in this place having been
increased by placing hand stokers under them An 8 water
main has been run from near the old negro building boiler
room to the new building Sixinch branches have been run
from this main to four fireplugs placed around the building
in accordance to the recommendation of the Southeastern
Underwriters Association
Water closets have been installed in the two cottages near
the new negro building These two cottages have been
painted on the outside
All of the barns and outhouses at the dairy have been
given a coat of whitewash
The cottage at the dairy and the one at the mule lot have
been reconditioned Two rooms have been added to each
Two ventilating fans have been installed in the Amuse
ment Hall These fans were paid for by the Occupational
Therapy Department
The cottage located at the south end of the front yard of
the Green Building has been renovated and painted A por
tion of two rooms has been partitioned off to form a toilet
room and a water closet and lavatory installed therein
The steps from the railroad level to the lawn level in front
of the Green Building have been relaid Some of the treads
in this flight are of concrete there not being enough of the
old granite treads to make the increased height caused by
the lowering of the railroad tracks
Two cafeteria units have been installed in the dining
rooms of the Twin Buildings This includes two electrically
operated dishwashers
The old concrete floor in the negro building kitchen has
been taken up and a new one laid All of the cooking equip
ment was reset new pipe fittings valves and a steam trapMILLEDGEVILLE STATE HOSPITAL
65
being used One of the old cast iron kettles was replaced by
a new aluminum kettle of the same capacity
A brick room 16 feet by 20 feet for use as a pastry room
has been built on the east side of the negro budding kitchen
This room has a concrete floor with a center floor dram and
is connected to the main kitchen by a tenfoot arch
A bath room containing a sink a shower and two water
closets has been built between the negro building kitchen
and the boiler room This room connects directly to the
kitchen and is for the use of the patients and negro em
ployees that work in the kitchen
The officers quarters on the third floor of the Male Con
valescent Building have been painted throughout
A plaster partition has been built in the hall on the third
floor of the officers quarters in the Female Convalescent
Building
A corrugated galvanized iron garage has been built in
the rear of the L M Jones Building This garage has three
car stalls Two of these stalls replace the two garages that
were located between the Female Convalescent Building
and the L M Jones Building
A tile stormsewer drainage system has been installed
around the front and the west side of the 1917 negro
building This system takes off all of the storm water that
falls on and around this part of the building
All of the floors in the old negro building with the excep
tion of the bathroom floors have been repaired or renewed
Also all windows and door frames have been repaired or re
newed This same work is now being done in the Green
Building The floors in the Green Building are being stained
and waxed as soon as completed
A flight of concrete steps thirteen treads high has been
built from the Twin Building Road to one of the officer s
cottages on this road
One unit of the Twin Buildings water heating apparatus
has been retubed Also the water heater at the Green Build
ing and the water heater that supplies the center portion of
the T O Powell Building have been retubed
The work of laying the duplicate 12 cast iron water mam
from the waterworks to the Sanitarium will be completed
about the first of March 1930 Quite a lot of time has been
lost from this work due to the fact that the labor was re
quired to do the steam work at the new negro building and
also to do the work around the Female Convalescent Build
ing preparatory to supplying steam to the L M Jones
Building66
EIGHTYSIXTH ANNUAL REPORT
A new 1000 gallonperminute motordriven centrifugal
pump has been purchased for the waterworks This pump
will deliver the clear water to the storage reservoir at the
Sanitarium As soon as the necessary valves and fittings are
secured this pump will be put in service
A brick suction well has been built at the waterworks to
be used in connection with the new clear water pump
Anticipating the lowering of the water in the river on ac
count of the breaking of the dam at the power plant by the
city of Milledgeville the intake well at the river has been
remodeled to receive two cast iron sluice gates These gates
will be placed in the well at a lower level than the present
openings This will allow the flow of water in the well to be
controlled from the top of the well no matter how much the
river is lowered by the breaking of the above mentioned
dam The two gates have been purchased and will be in
stalled during the coming summer
Once a month during the year samples of our water were
sent to the State Board of Health for bacteriological analy
sis The Board of Health states that to be safe for drinking
a water should not show pollution in over 10 of the total
number of samples examined During this year 190 10 c c
portions of our water were examined Of this number a
fraction over 4 showed pollution
The Plumbing and Electrical Contractors have completed
their work on the L M Jones Building The General Con
tractor has also completed his work with the exception of a
few minor jobs
The main sewer line from the Jones Building was in
stalled under contract under the supervision of this Depart
ment This sewer line is 1475 feet long and has a maximum
depth of 36 feet 6 inches The sewer is laid with a 1 grade
The steam for the L M Jones Building is supplied from
the Female Convalescent Building boiler room In order to
accomplish this the following work was done
A concrete tunnel was constructed between the Female
Convalescent and the Jones Buildings This tunnel carries
the steam and the steamreturn pipes
A new hand stoker boiler was installed in the boiler
room This necessitated the enlargement of the boiler room
building and the erection of a larger chimney The chimney
erected was a radial tile chimney 100 feet high
A new pumppit was built at one side of the boiler room
and two motordriven centrifugal boiler feed pumps in
stalled therein
An 8inch cast iron water main has been run from theMILLEDGEVILLE STATE HOSPITAL
Building
to the Jones
rear of the Female Convalescent
Building
In addition to the ordinary repair work required contin
ually throughout the institution the carpenter shop the fur
niture shop the shoe repair shop the broom factory and the
paint shop have been kept busy making and repairing the
various articles required in the different departments
Respectfully submitted
W S JETT JR
Engineer68
EIGHTYSIXTH ANNUAL REPORT
Report of Farm Steward
Dr R C Swint Superintendent
Dear Sir
I wish to submit my report for the fiscal year ending De
cember 31 1929
The following is a list of food stuffs produced during the
year
Beans Otonton 200 Bushels
Beans butter 1018 Bushels
Beans snap975 Bushels
Beets 445 Bushels
Cabbage 28026 Heads
Collards 22750 Heads
Cantaloups 25438 Heads
Corn 21532 Bushels
Corn roasting ears 26415 Bushels
Corn meal 1037 Bushels
Cucumbers 196 Bushels
Fodder 99 Tons
Egg Plant74y2 Bushels
Lettuce690 Heads
Oats 807 Bushels
Oats and vetch hay 37 Tons
Okra 1324 Bushels
Onions 1246 Bushels
Peas garden 58 Bushels
Peas green field 400 Bushels
Peas field dried 250 Bushels
Pecans 1350 Pounds
Peppers 171 Bushels
Peaches 1589 Baskets
Pork dressed 59385 Pounds
Potatoes Irish 727V2 Bushels
Potatoes sweet 14182 Bushels
Rape 1809 Bushels
Rye 11 Bushels
Spinach 290 Bushels
Squashes 1424 Bushels
Tomatoes 1066 Crates
Turnips and turnip salad 2919 Bushels
Watermelons 27591
Ensilage 433 TonsMILLEDGEVILLE STATE HOSPITAL
69
Dairy
Sweet milk 50425 Gallons
Sweet cream344 Gallons
Beef dressed4425 Pounds
Calves sold Three calves and one bull for11300
Manure sent to fields1258 Loads
Chicken Yard
Hens issued
Roosters issued 9
Friers issued 4y
Eggs received 2610 Doz
In addition to producing these food products I have
moved all the coal from the chutes to the Center Building
Colored Building and the shop boiler rooms distributed
coal to officers houses and all the pavilions that are not
heated from the boiler rooms Have moved the cinders from
the boiler rooms and have maintained the entire road system
of the institution
I have also cut and distributed to the Officers houses and
various kitchens about 600 to 700 cords of stove wood
I wish to thank you the Board of Trustees the Officers
and others of the institution for the gratitude and coopera
tion shown me throughout the year
Respectfully yours
F C PENUEL
Farm Steward70
EIGHTYSIXTH ANNUAL REPORT
Report of Treasurer
March 13 1930
Dr R C Swint Supt
Milledgeville Ga
My dear Sir
I beg to submit below a report of the receipts and dis
bursements of the treasurer of Georgia State Sanitarium
for the year 1929
Dec 31 1928 Bal cash on hand 8415262
Special Appropriations 6065908
Regular maintenance fund 95000000
Homer Bivins Std 568923
Interest 60127
110110220
Disbursements for the year 109967595
Dec 31 1929 Bal cash on hand 142625
110110220
The above report is correct
OTTO M CONN
Treasurer Georgia State Sanitarium
Witness
H H HERNDON
N P B Co GaMILLEDGEVILLE STATE HOSPITAL
71
Report of Steward
Fiscal Year Ended December 31 1929
Milledgeville Ga
December 31 1929
Dr R C Swint Supt
Milledgeville State Hospital
Dear Sir
I submit herein a comparative financial report of the con
dition of the
MILLEDGEVILLE STATE HOSPITAL
for the fiscal years ended December 31 192829 also com
parative detailed statements of receipts and disbursements
and other data for these periods
It appears that the operation of the hospital during these
years was confined within its income by narrow margins
but that its cash deficit of 1212216 at the end of the 1928
period was displaced with a balance of 277007 at the close
of 1929 provided its maintenance appropriation had been
paid in full to the end of the year
According to the books and accounts in this office the in
come of the hospital for the year 1929 less INTERNAL
INCOME was 120063517 and its expenditure 1198
06483 a difference of 257034 in excess assets On this
basis its percapita cost compared favorably with that of
1928 The appropriations for the two years being the same
and is as follows
1928 1929
Annual percapita cost23355 22956
Daily percapita cost 6398 6289
The daily average number of patients increased from
5046 in 1928 to 5219 in 1929 a difference of 173 and while
supported at a lower annual cost than in 1928 necessitated
an increased expenditure for the year of 3971388
A total of 32590658 was spent during the years 192829
in the construction of the Psychopathic or Jones building
29338014 of which was in 1929 and 20230017 in the
construction and equipment of the new negro building
1204545 of which was spent during 1929 making a total
expenditure of 52820675 against special appropriations
made in 192729 for new buildings and leaving an available
balance of 2179325 for completion equipment etc11
EIGHTYSIXTH ANNUAL REPORT
Of the appropriations for new buildings aggregating
55000000 the state has paid the sum of 26274642 leav
ing an unpaid balance of 28725358 now due The payment
of 26274642 made by the state against these appropria
tions when applied to the sum expended for the construc
tion and equipment of new buildings leaves a balance of
26546033 the greater part of whicn has been temporarily
borrowed from banks by contractors and others with re
quisitions on the Governor used as collateral A further pay
ment has been made on this expenditure by a disbursement
of some 3992767 from the regular maintenance fund and
the balance is still due contractors individuals and corpo
rations for labor and material supplied
The sum of 4594758 was spent during 192829 against a
special appropriation of 8000000 made in 1927 for the erec
tion of a lank and tower the enlargement of the water
works system the laying of a duplicate watermain etc
leaving a balance of 3405242 available for the completion
of this work Of this expenditure of 4594758 the state has
paid the sum of 4511801
The following exhibits and schedules set forth in detail
the condition of all accounts and are used in support of the
figures above given
Exhibits
No 1 Comparative Balance Sheets December 31 192829
No 2 Comparative Statements Receipts and Disburse
ments 192829
No 3 Consolidated Cash Statement Receipts and Dis
bursements for 1929
No 4 Statement Receipts and Disbursements Account
Special Appropriations
No 5 Statement of Special Appropriations Expenditure
and Balance Available
No 6 Profit and Loss Statement Farm Garden and
Dairy
No 7 Statement of Operating Funds Percapita etc
Schedules
No 1 Accounts Payable as of December 31 1929
No 2 Accounts Receivable as of December 31 1929
No 3 Production Farm Garden and Dairy
We have been financially embarrassed throughout the
year not alone because of our inability to promptly pay our
officers and employees but our creditors as well
The financial condition of the state treasury and its fail
ure to pay our maintenance fund when due has made it im
possible for us to promptly pay our current obligations andMILLEDGEVILLE STATE HOSPITAL
73
we closed the year with more than 20000000 in unpaid ac
counts payrolls etc many of which were more than three
months past due and all payable from our regular mamten
ance We also closed the year with more than AUUUUU
due us on special appropriations the greater part of which
had been borrowed and spent
The nonpayment of our appropriations both regular and
specials upon their due dates has further handicapped us in
that it has necessitated the payment of interest on borrowed
money and on past due accounts Since there is no provision
made for the payment of this item of expense it must of
necessity be incorporated in OUR EXPENDITURE and
deductsfrom our maintenance The failure of our creditors
to invoice accrued interest at end of fiscal year accounts for
the small amount shown in report and the full amount of
this unforeseen item of expense must appear in report for
1930
Strict economy has been practiced throughout the year
and such distribution made of the limited funds available
for our support as would best tend to maintain the confi
dence and good will of our officers and employees as well
as that the hospital has always heretofore enjoyed from the
business people of this and other states
Respectfully submitted
HOMER BIVINS StewardEXHIBIT NO 1
Comparative Balance Sheet December 31 192829
Explanatory
1928
1929
CASH
TreasurerGeneral Fund 2642935
TreasurerPatients Fund 1112626
TreasurerOccupation Therapy Department 407062
StewardWorking Fund 300000
StewardTime Deposit Merchants Farmers Bank 166667
StewardTime Deposit Exchange Bank 123002
ACCOUNTS RECEIVABLE
Officers Employees and Others 129288
DUE BY TREASURY DEPARTMENT
Unpaid Expenditure against Special Appropriations 2059653
Unpaid Requisitions Against Maintenance Appropriation
STOCKS
General Merchandise 5876193
FuelCoal and Coke 2639536
DrugsChemicals and Sundries 464150
Engineering Materials 1424578
Packing House Products 328682
Drygoods Clothing EtcIn Manufacture 189076
Farm Supplies 128375
Dairy Feeds 118650
FREIGHT AND EXPRESS
Applicable to Stocks 105521
TOTALS 18215994
Increase
Decreas
2642935
1230255 117629 X H
421440 14378
300000 k
144038 22629 r
123002 X
131630 2342 H
26629090 24569437 X X
25000000 25000000
5337530 538663
2025729 613807 r
558185 94035 w
1186296 238282 w
550425 221743 d
83348 105728 O
28470 99905
45070 73580
323264 217743
64117772 50237307 4335529
wEXHIBIT NO 1
Comparative Balance Sheet December 31192829Continued
Explanatory
1928
Due Special Funds Amf
Brantley Building fin
Occupation Therapy Department Tiam
Occupation Therapy DepartmentFemale u
Occupation Therapy DepartmentMale i0011
Female Commissary m
Water Works
TRUST FUNDS 2fi
Patients Deposits
DUE TREASURER
Overdraft General Fund
ACCOUNTS PAYABLE
Individuals and Corporations
WAGES AND LABOR
Officers Salaries 2 129 35
Employees Wages
Due Contractors and Others for labor and materials in
construction of new building Temporarily paid with
requisitions on Governor and discounted by banks
EXCESS ASSETS innaitAt
Net at End of Years 10062545
1690238
1929
77950
421740
40590
578628
144038
1230255
20383267
4299797
629072
3304722
22592389
10415324
Increase
14578
12497
32758
117629
20383267
2609559
91787
22592389
352779
Decrease
18798
22079
240671
23917
r
r
w
o
o
r
r
w
w

H
W
X
o
IV

r
TOTALS
18215994 64117772 46207243 305465EXHIBIT NO 2
Comparative Statement Receipts and Disbursements Years 192829
Explanatory 1928 1929 Increase
State AppropriationRegular 120000000 120000000
MISCELLANEOUS
Interest on Balances 177489 63517
Donations 6968
i
Total Less Internal Income120184457 120063517
INTERNAL INCOME
Board of Officers 124790 122361
Board Special Attendants 196085 204402 8317
Board of Employees 319633 319597
Miscellaneous Sales 172954 168252
Rents 5600 4200
Sales Ice 86144 92574 6430
SaleFarm Products 54730 5771428 5716698
SalesDairy Products 2421815 2421815
Fines 18500 14601
Sundries 360368 26509
GRAND TOTAL 121523261 129209256 8153260
GENERAL ADMINISTRATION
Officers Salaries 8251786 7899163
WAGES AND LABOR
Medical Department 25628767 26688373 1059606
Stewards Department 5016813 5131786 114973
Engineering Department 6748073 6559873
Farm and Garden 1094437 1081864
Dairy Department 309146 321710 12564
Decrease
1139
69
1209
24
47
14
38
3338
72
68
40
29
36
02
00
99
59
467265
352623
188200
12573
5
o
a
H
X
H
X

c

r
w
oEXHIBIT NO 2
Comparative Statement ReceipsndDisbursejrrrtsYears
1928
Z T89T85
FOOD SUPPLIES 1S00082
General Wards 594622
Nurses Home 124406
Stewards Dining Room
Supts Dining Room 75 241 15
MISCELLANEOUS 4l41793
Clothing and Dry Goods 6457814
Furniture and Bedding 1187676
Fuel 269556
Medical Supplies 39071
Stationery and Postage 25159
Advertising 183968
Amusements 40965
RepairsAutos and Trucks 172250
Barber Supplies 450 04
Broom Factory Supplies g7 50
Blacksmith Supplies 57206
Cemetery Supplies 345 33
Dental Supplies and Repairs 187254
Dining Room Supplies 507 90
Electric Light Repairs and Supplies 21016
Electric Power Supplies 31 45
Escaped Patients 394986
Florists Supplies 16978
Gas and Oils 987531
Garage Supplies
Housekeeping Supplies
19281929Continued
1929
Increase
Decrease
45155799
2034451
557910
132026
7841844
4047978
5274837
985595
237894
14014
21750
141098
30118
146294
55523
12600
54428
235604
182774
19335
26486
8105
341649
650
1100236
9590
9966514
534369
7620
317729
10519
3850
1021
5470
4960
112705
9590
36712
93815
1182977
202081
31662
25057
3409
42870
10847
25956
2778
4480
131455
33337
16328
r
r
w
o
o
w

r
r
M
w
H

H
W
ffi
O
w
H

rEXHIBIT NO 2
Comparative Statement Receipts and Disbursements Years 19281929Continued
Explanatory 1928 1929 Increase
Harness Repairs 221945 241390 19445
Insurance Premiums 49563 160291 110728
Interest Paid 341909 390970 49061
Kitchen Supplies 124939 62815
Laboratory Supplies
Laundry Supplies and Repairs 567975 507174
Light and Power 2536462 2805435 268973
Medical Books and Journals 20079 18860
Libraries 55630 200
Musical Instruments 3468 3233
Office Supplies 261619 95845
Telephone and Telegraph Supplies 19056 19056
Printing 88947 131255 42308
Poultry Yards 188755 78209
RegistrationAutos 5275 4750
Surgical Instruments 62010 15810
Telephone and Telegraph 55724 65004 9280
Tobaccos 755532 910057 154525
Tools and Implements 59100 51002
Travel 246585 185357
XRay Supplies 21153 17670
Sundries 151227 116424
FARM AND GARDEN
Freight and Express 28070 5590
Misc Supplies and Repairs 193685 180296
Seed 164735 158856
Decrease
62124
60801
12
554
2
1657
19
30
35
74
1105
5
462
46
25
00
80
612
34
348
98
28
83
03
22480
13389
5879
W
o
a
H
X
H

Z
a

M
d
OEXHIBIT NO 2
Comparative Statement Receipts and Disbursements Years
Explanatoryl
Fertilizer Commercial 9fir
Board of Employees win
Treating Hogs and Mules mow
DAIRY nnn
Board of Employees ir7
Misc Supplies and Repairs 17827
Freight and Express 1102154
Commercial Feeds
MAINTENANCE OF PLANT 73S4
Brick VnSIU
Builders Hardware 2 202 24
Cement on o
Crushed Stone 207 e
Cooking Apparatus 204 91
Fire Apparatus 30 V4
Grading Supplies 01 10
Ice Works xefea
Lime Hair and Masons Supplies ncri
Lumber and Building Materials 102 SO
Machinery Supplies 43796
Painting Supplies Vmo1
Plumbing Supplies 486 24
Pump Repairs
Range Repairs 272 86
Sewer Supplies R
Steam Pipe Fittings yi
19281929Continued
1929
Increase
1294164
268148
12625
51449
30472
22232
1026235
70996
224858
132750
83540
4601
11985
49524
61637
740495
23993
342764
243572
8675
63204
17594
109730
539070
3449
9185
4405
53802
29414
24970
13743
21311
18302
Decrease
1485
1725
75919
102845
80256
87474
8723
15890
27357
607155
301032
157409
39949
9692
r
r
w
d
o
w
r
en
H

H
W
X
O
w
n
H

rEXHIBIT NO 2
Comparative Statement Receipts and Disbursements Years 19281929Continued
Explanatory 1928 1929 Increase
Tinners Supplies 116949 78234
Waterworks Supplies 80907 132888 51981
Sundries 155852 95097
INVESTMENTS
Autos and Trucks 207500 219100 11600
Live Stock 100000 167500 67500
Picture Show Equipment 20000
Cafeteria Equipment 387254 387254
Topographical Map 400000 400000
TOTAL DISBURSEMENTS Plus Internal Income 119187125 128952222 14470852
DIFFERENCE
Operating LossGain for Years 2336136 257034
GRAND TOTAL 121523261 129209256 14470852
o
X
H
X
H
X

d

r
j
M
d
O
90
H
Decrease
38715
60755
20000
4705755
2079102
6784857EXHIBIT No 3
Consolidated Cash Statement of Receipts and Disbursements
EXPLANATORY
Balance from 1928
Less Due Special Funds
RECEIPTS
Maintenance Appropriation
Regular
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
Sales Store Supplies
Totals
Transferred by Steward
Balances
Disbursed
on Vouchers
2 2
V C
C 3
O
2642935
95000000
6065908
64133
2814287
106587263
734485
107321748
5g
5 3
1112626
300000
1112626
2527408
3640034
1277050151 2409779
Balances 20383267
Disbursed by Steward
1230255
e
a
c
3
in
733935
2527408
550
3561893
3261893
Q
289669
7027
98509
395205
300000i
46278291
395205
128165
4927829
46278291
267040
c
o
c2
o o
X i
rt
am
3
u
u
981125
14578
101220
407162
14578
10969231 421740
10969231 421740
55965
10409581 421740
t
C in
D O
3 Gi
rt u
1112626
2527408
3640034
3640034
3640034
2409779
Balances I 20383267j1230255 3000001 26704Ol1040958 42174011230255
r
M
C
o
M

r
f
w
52
H
W
a
o
en
T
i
H

r
SUMMARY
DEBITS
TreasurerPatients Fund 1230255
StewardWorking Fund 300000
StewardTime Deposits 267040
TreasOccupation Dept Special 421740
Due by New Negro Building 1204545
Due by Psychopathic Building 25341588
Due by Waterworks 82957
TOTAL
28848125
CREDITS
Due TreasurerOverdraft 20383267
Occupation TherapyDepts 1040958
Due Patients Deposits 1230255
Due Brantley Building 77950
Due Female Commissary 144038
Due Maintenance Fund 5971657
TOTAL
28848125
W
O
X
H
X
H
X

c

r
w
o
EXHIBIT No 3
Consolidated Cash Statement of Receipts and DisbursementsContinued
EXPLANATORY
Balance from 1928
Less Due Special Funds
RECEIPTS
Maintenance Appropriation
Regular
Special Appropriations
Interest on Balances
Checks Returned
Miscellaneous Sales
Sales Store Supplies
Totals
i ho
3 c
2
CQffi
ir
o
U
96748
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
166117
96748
18798
77950
7027
99059
272203
128165
144038
779501 144038
ho
23
boo
m
1809591
a m
J35
CO
rt o

S B
t C
o
o c
c3
1809591
250062
4246488
3996426
1204545
1204545
1204545
29338014
25341588
240671
9829
250500
333457
82957
253415
4214758
95000000
64133
2814287
632715
102725893
94536186
8189707
2218050
82957 5971657
r
r
w
a
o
w

II
r
r
pi
H

H
W
K
O
HJ
II
H

r
EXHIBIT No 4
Statement of Receipts and DisbursementsAccount of Special Appropriations
EXPLANATORY
U O
o2
o

o
h
o
H
H

a

r
w
V
O
J
H
Balance Cash in Hand from 1928
Cash Receipts from State Treasury During Year
Less Balance due on 1928 Expenditure
1809591
1809591
4246488
250062
240671
9829
240671
6065908
2059653
Balance to Apply on 1929 Expenditure
Balance due by State Treasury on 1929 Expenditure
3996426
1204545l 25341588
250500
82957
4246926
26629090
TOTALS 120454529338014 333457 30876016
EXPENDITURE 47301 10544 4387 39050 51716 5014 171798 2223700 89315 1016954 37354 199880 696880 58700 40000 1028836 56801 350000 263449 70107 51716 5014
171798 2223700
89315 1016954
47301 37354
199880
696880
58700
40000
10544
1033223 165958
350000
263449
EXHIBIT No 4
Statement of Receipts and DisbursementsAccount of Special Appropriations Continued
EXPLANATORY
Foreman
Floor Hardener
Face Brick
Furniture and Bedding
Finishing Hardware
Glass and Glazing
Grounds
Heating Equipment
Hollow Tile
EXPENDITURE
Housekeeping Supplies
Interest and Discount
InspectionArchitects
Kitchen Supplies
Limestone and Granite
Labor
Laundry Chutes
Light and Power
Mill Work
Marble Tile and Terrazo
Metal Cabinets
Metal Bucks and Doors
Ornamental and Sundry Iron
Pumps
Paintingr
i SO
4 O
65000
400159
rt ho
cm

2860
290831
198000
1272396
409400
30000
20000
1473900
1091150
828748
240571
658600
20000
139959
1489200
1569309
35000
421400
564100
40000

44600
218000
O
H
1980 00
65000
1272396
400159
409400
30000
20000
1473900
1091150
2860
828748
240571
290831
658600
44600
20000
139959
1489200
1569309
35000
421400
564100
218000
40000
r
r1
w
a
o

it
P
w
en
H

H
W
X
O
in
d
II
H

rEXHIBIT No 4
Statement of Receipts and DisbursementsAccount of Special AppropriationsContinued
EXPLANATORY New Negro Bldg Psychopathic Bldg U A O H
Plastering 211034 35112 97161 1106 2105700 152000 2241471 2007990 65000 1182900 156000 216200 931700 25000 117075 659149 307299 178300 34800 9600 1933000 112000 39000 20500 51200 750 2105700
Plain Concrete 152000
Plumbing 2452505
Right of Ways 2007990 750
Roof Sheathing Roofing and Sheet Metal 65000 1182900
Screens 156000 216200
931700
25000 117075 694261
404460
178300
34800
9600
T C Trim 1933000
EXPENDITURE 112000
1106
39000
20500 51200
TOTALS 1204545 29338014 33345730876016
M
O
X
H
X
H
X

a

W
hj
O
HEXHIBIT No 5
Statement Special Appropriations Expenditure and Balances Available
EXPLANATORY
to
ffi
Appropriated During 1927 for New Buildings 50000
AlaS
TOTALS 52820675
Less Expenditure to Date 2179325
Balances Available for Completion and Equipment 1
rt o
O
H
8000000
8000000
4594758
3405242
50000000
8000000
5000000
63000000
57415433
5584567
r
r
w
o
o
w

r
r
w

W
o
EIGHTYSIXTH ANNUAL REPORT
EXHIBIT No 6
Profit and Loss Statement Farm Garden and Dairy
Explanatory
8 c
Q
o
H
Inventories Beginning of Year
PURCHASES DURING YEAR
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
FeedsHome Grown
3309500 2046850
944264
349900
158856
5590
702890
22232
705000
5356350
944264
702890
349900
158856
27822
705000
TOTALS
Deduct Inventories at End of Year
4768110
4525000
3476972
1489080
8245082
6014080
Net
Gross Profit for Year
243110
5717078
1987892
433923
2231002
6151001
Grand Totals5960188
2421815
8382003
OPERATING EXPENSE
Wages and Labor
Miscellaneous Supplies and Repairs
Treatment of Live Stock
Board of Employees
1081864 321710
180296 30472
12625
268148
51449
1403574
210768
12625
319597
TOTALS
Net Profit for Year
15429331
41741451
403631
30292
1946564
4204437
Grand Total
57170781 433923
6151001
PRODUCTION
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Products
Compost
Miscellaneous Food Supplies
Cash Sales
TOTALS
4781768
850055
133425
188760
6180
5960188
64605
1996310
349900
11000
2421815
4781768
914660
133425
1996310
349900
188760
17180
8382003
Gross Profit down
5717078
433923
6151001EXPLANATORY
EXHIBIT No 7
Statement ofOperating Funds PerCapita Etc
I 1928 I
1929
Cash and Cash Items
Cash Deficit at End of Years
TOTALS
6941233
1212216
53979455
8153449 53979455
Increase Decrease
47038222
Due Special and Maintenance Funds
DEMAND OBLIGATIONS
Accounts Payable
Salaries and Wages
Due Treasurer Overdraft General Fund
Balance
TOTALS
2597287
1690238
3865924
8153449
25085590
4299797
3933794
20383267
277007
22488303
2609559
67870
20383267
277007
53979455j 45826006
COMPARATIVE PERCAPITA YEARS 19281929
Total Expenditure
Less Internal Income
Net Expenditure
Average Number Patients
PerCapita Cost for Year
PerCapita Cost for Day
119187125
1338804
1289522221
9145739
117848321
5046
23355
06398
119806483
5219
22956
06289
9765097
7806935
1958162
173
1212216
47038222 1212216
399
r
r1
w
b
o
w

ti
r
r
w
in
H

H
W
K
O
in
xl
it
H

r90
EIGHTYSIXTH ANNUAL REPORT
SCHEDULE No 1
Accounts Payable as of December 31st 1929
NAME Debits Credits
Adams Clifton 120
Aetna Life Insurance Co 93844
Allen Bona 790
Alphons Custodis Chimney Construction Co 1236
American Bakeries Co 23000
American Railway Express Co 485
Armour Co 43976
Atlanta Constitution The 864
Atlanta Dental Supply Co The 1722
AtlantaGodman Shoe Co The 262
Atlanta Journal Co The 1680
Banks H G 94880
Barnhouse C L 19
BarrettWatson Co 5730
Beck Gregg Hardware Co 2330
Bell Dry Goods Co E E 1225
Bell Grocery Co 136862
Bland Lumber Co 5772
Bone Shy Agents 10000
Bowen Brothers Hdw Co 57
Brantley John T 41083
Brown Co D W 955
Burford Hall Smith 109000
Burke Co J W 1017
Burke Inc T C 12560
Campbell Coal Co 22328
Capitol Electric Co 79168
CarithersWallaceCourtney 30
Carr Co A J 36475
Central of Georgia Railway Co 471702
Chandlers Variety Store 711
ColemanMeadowsPate Drug Co 9474
Collins W H 10080
Conn Agt O M 1350
Conn Co John 40527
Crane Co 6024
Culver Kidd Drug Co 200
Dairy Farm Supply Co 1377
Dunlap Hardware Co 51
Electric Vacuum Cleaner Co Inc 1007
Ennis J H 140274
Erwin J D 15663
Estes Surgical Supply Co 602
Evans W C 62000
Evansville Packing Co The 78750
Fillman Co John W 150
Foley Co Howard P 47930
Fowler Flemister Coal Co 31850
Frederick Disinfectant Co 1500
Friedman Shelby International Shoe Co 1437
Fulton Electric Co 4387
Gambrell P H 2500MILLEDGEVILLE STATE HOSPITAL
91
SCHEDULE No 1Continued
Accounts Payable as of December 31st 1929
NAME Debits
General Electric Supply Corp
General Electric Co
Georgia Banana Co
Georgia Power Co
Georgia Railroad Co
Gilham Electric Co
Gilman j M
Gilman W P
Graybar Electric Co
Grinnell Co
Gulf Refining Co
Hall Dr T M
Halliburton Co T H
Hatcher Hardware Co R W
Herf Frerich Chemical Co 2500U
Herring Frank S
Hollinshead G W
Ivey W H
Jakes Shoe Store
Jordan L N B
Joel Manufacturing Co
JohnsManville
Lombard Iron Works Supply Co
McKessonRiley Drug Co
McKinnon Motor Co
McKinley G C
McMillan R W
McCray Refrigerator 14
Macon Electric Co
Macon Telegraph Publishing Co The
Malt Diastase Co
Manufacturers Record
Mathieson Alkali Works
Metz Laboratories H A
Milledgeville Telephone Telegraph Co
Milledgeville Brick Works
Nash Engineering Co The
Newell A C
Oconee Clay Products
Peeler Hardware Co
Pitner W C
Pick Co Albert
Pocahontas Finishing Commission Co
Rambo Co R K
RayLyon Co Inc
Rhoads Co
Richardson Milling Co O N
Robinson A M Co 2040
Rothschild David Co
Sanders Laetus
Schofields J S Sons Co
Sefton Manufacturing Co
Credits
26065
649
10042
307177
1242546
3048
2153
6983
2826
10837
11374
3750
83441
14024
100000
55761
39580
10890
52
47301
4502
10326
475
68920
23664
102
1350
3563
1120
4287
6000
5199
1730
92907
2500
17669
401
2500
44608
91
8197
120
86
12300
14370
15000
7294
390092
EIGHTYSIXTH ANNUAL REPORT
SCHEDULE No 1Continued
Accounts Payable as of December 31st 1929
NAME Debits
Selig Co 9S0
Shaw Dr H M
Silvermans Bakery
Slusky David Son
Southern Paint Varnish Co 101
Sparta Crushed Stone Co
Spillers Cannery W A
Standard Sanitary Mfg Co 4872
Stembridge Co
Stephens Inc
Swift CoZZZZZ
Taylor Iron Works
Thomas County Produce Exchange 19 U
Tidweii l e
Trawick S B
Tropical Paint Oil CoZZZZZZ
Truscon Steel Co
Union Recorder
Veal O FZZZZZZ
Wager Co
Washburn Crosby Milling Co 10 00
Warren Webster Co
White Provision Co
Whitfield Grocery Co
Wood R D Co 2304
Youngblood J M
TOTAL 43711
Credits
16250
12500
10450
15398
11850
1691
13950
4937
19952
24081
88780
4748
5178
3000
19338
55301
13303
425
33998
3720
4343508
UTT TFncEVlLLE STATE HOSPITAL
93
SCHEDULE No 2
Accounts Receivable as of December 31st 1929
NAME Debits Credits
Adams Eula
Adams Lois
Adams Leila n
Adcock Dr J C 1
Allen L E
Allen T M
Allen W K L
Anderson Mary H
Andrews Kate
Austin Augustus
Austin Jessie Lee
Badger F D
Bailev La Rue Ji
Bailey R F
Baugh W E
Beck Bethel
Beck Ophelia i
Berry W T f
Bivins Homer
Blackwell A N
Blount Cleo oc
Bonner A E 7f
Bonner M M
Bonner R B
Bostick Dr W A 1ZU 340
Bowen Dr U S r
Bradford Dr R W
Brannan Mrs Belle
Brantley Clara 5
Brantley C L c
Brantley T C
Brookins E ji
Brooks Arline
Brooks Mary Sr
Brooks Mary Jr 70
Brown Dan q
Brundage Ellie
Butts Compton
Califf D C
Califf H G
Calloway Naomi
Carter Josephine
CaseFowler Lumber Co ify
Champion R L q
Clay Laura
Coats Margaret
Collins A J r
Collins Virginia
Combes Louise 20
Cooper Annie 94
EIGHTYSIXTH ANNUAL REPORT

250
9968
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1929
NAME Debits Credits
Cox Dr C G 1716
Cox Willie Mae 230
Coxwell Mrs T B 315
Criswell I G 2 72
Crumby Gladys 99
Curtis J L 45
Davis J Roy 70
DeSaussure T H
Dickerson A B 10
Dobyns Dr W FZ gQO
Durden Paul go
gden W RZZZ 2L00
Echols Marie 60
Echols Dr G LZZZZZZ
Edwards G W 70
Edwards Mary A 52
Edwards Minnie 34
English Mrs Rillie 25
Epps R S 200
Evans Sarah 30
Farell Arthur 1 85
Finsley Ellison 1 76
Frederickson Miss L C 1 15
Gambrell P HZZZZ 65 70
Garland Lillie 2 95
Garland Rosa ZZ
Garrard Dr J I
Gay Thetus 1 33
Gilman H E 35
Gilman James Jr 55
Gilman J M 25
Gilman W F 70
Golden Bell 42
Golden Willie n
Haj Dr T MZZIIZZZZZZ 69T0
Hall Mattie 345
Hamlin Vallie Mae 60
Harding F H 30
Harden Dovie 500
Harden Donnie Mae 45
Hardie Blanche ZZZ 1 0
Hardy James Preston 35
Hardy Mrs A B 25
Hardy LulaZZZ 60
Harris I L V
Harris Leonora 01
Harrison I VZZ 2 94
Harrison W S i7r
Hemphill W AZZZ 90
Herringdine Joe jqq
Hicks Audry 7qo
Hilburn Ophelia ZZZZZZZZZZZ L20
1060mtt T FDGFVILLE STATE HOSPITAL

95
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1929
NAME Debits CreditS
Hilbun Pauline H
Hitson Linnie 3q
Hobgood Susie o
Holland Louise Eva
Hollis D H j
Holsenbeck J B
Holsey L S
Hubbard Carrie 20
Hudson C E n
Hudson Mary j
Humphrey Cecile O qo
Humphrey Otis pg
Hunt Sadie 2
Jackson Dovie
Janes George A
Jett W S 60
Johnson A W 215
Johnson F J 6g
Johnson J C 1193
Johnson Myrtle
Johnson Nancy Lorene
Johnson R L qo
Joiner Pauline jjs
Jones H S
Kelsey Mariah 26n
Kemp Maude lg0
Kitchens Idel q
Knowles Sarah L
Lavender C B j
Lawson E L en
Layfield A W
Lavfield B L
Layfield J A
Layfield R G j
Lee Lutitia 264
Lenderman Lois 25
Leonard W H jg
Little F G 740
Lingold Pearl 10 30
Longino Dr L V
Lundy E J q
Lyons Julia yg
Lyons Sallie Mae R
McCorkle Kitty
McDade A C 1ftn
McDade W C
McDade W W 3
McKinley A C 2 1 j
McKinley R L
McManus Louise gj
McMichael Geo L
96
EIGHTYSIXTH ANNUAL REPORT
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1929
NAME Debits Credits
Mahoney Fannie 30
Manson Evelyn 142
Marsh J F jq
Martin Janie 138
Mathews T W 50
Medlin C P 2 72
Mobley Dr J WZZZZZZZZ SJS
Moore Lula 49
Morris Addie Mae 51
Moses Will gQ
Mullinix D W 70
Newell A CZZZZZZ 69A0
Nelson Nicie jo
Olliff EstellZZZZZZZ 66
Osborn H L 25
Overton Minnie 1 gQ
Payne Leo 35
Peacock Lydia 3Q
Penuel F C 475
Peeler Lorene 47
Pendleton Annie B 30
Perry Fred H ir
Pitner W CZZZZZZZZ 1160
Phillips Louis jq
Pitmann Shellie 59
Pounds S F j95
Power W B 70
Quinn C J or
Rankin Dr D T
Reeves C F r lM
Reed R RZZZZZZZZ 20
Renfroe Edna ZZZ 60
Renfroe Samantha 2 24
Reynolds G B Joc
Reynolds J Alfred 7fc
Reynolds T JZZZZZZZZZZZZZ 75
Rhodes Laurice Q
Rice Walter ZZZZZZZZ 100
Richardson Janie cnn
Roberts H BZZZZZZZZ 50
Robinson Johnnie E 3Q
Robinson Lucile j30
Rogers J A
Rogers W E 7
Ross G W 1fiCo
Ross j d sr 16
Ross J D JrZZZ 35
Sanders Laetus Dr 1 cnon
Sanford Willie ZZZ 144
Satcher Maggie o0
Satcher Mattie ZZ 30MILLEDGEVILLE STATE HOSPITAL 97
97
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1929
NAME Debits CreditS
2 07
Saulsberry Sam
Schwall Dr E W 1J 3Q
Scott Sallie 17ft
Shaw Dr H M uTi
Shepard Ruth 2 75
Simpson B C Vq
Simpson Charles E
Simpson C H
Skinner Sallie Mae
Smith Arthur S 1Q
Smith Dr l K
Smith E L 7q
Smith J Roger 65
Smith Jewell 390
Smith J T j
Snellings Corene 5q
Snow W H nft
Sparks George Mclntosh
Sparks Wm n
Spinks Nora Elizabeth
Statham Dr J C 7S
State Farm Ga j
Stavely G C Qn
Stembridge W W
Stinson J F g0
Stubbs Cleo 2Q
Taylor Hershal
Taylor Ora 125
Tennille A S n9
Tennille W K
Thomas Annie M
Thompson F 7
Tooel Elias F 5
Toulson John R 5
Toulson W S 207
Tucker Martha 1W7
U S Public Health Service lzo
Usery W J j5
Vinson J T jq
Warnock H D
Walker Carrie B
Walker Dr N P
Waller Robert j
Watson Mozelle jg
West Maggie
Wheeler Dr G A 8
White James j
Wilson Ernest c
Wood B F
Worsham Dora oc
Worsham J I98
EIGHTYSIXTH ANNUAL REPORT
SCHEDULE No 2Continued
Accounts Receivable as of December 31st 1929
NAME Debits Credits
Wright D B 20
Wright S R Jr 540
Yancey Bessie 712
Yarbrough J F 1725
Yarbrough Dr Y H 500
Youmans Dr C R 3410
Young D V 339
Youngblood C A 20
Youngblood C E 70
TOTAL 144996 13366MILLEDGEVILLE STATE HOSPITAL
99
SCHEDULE No 3
ProductionFarm Garden and Dairy
FRUITS AND VEGETABLES
1018 Bushels Butter Beans 305400
975 Bushels Snap Beans V
315 Bushels Beets 65250
22 Bushels Carrots 3300
30860 Heads Cabbage en
33685 Heads Collards Y o5
25538 Cantaloupes InZ
5356 Roasting Ears 16068
169 Bushels Cucumbers noen
890 Heads Lettuce 9f0
26 Bushels Egg Plants 7800
1324 Bushels Okra ImScn
1245 Bushels Onions T
420 Bushels Garden Peas MXX
171 Bushels Pepper 46800
100 Bushels Irish Potatoes innoX
14182 Bushels Sweet Potatoes tH
1734 Bushels Rape 8200
265 Bushels Spinach 16750
1424 Bushels Squash 35WUU
1060 Crates Tomatoes 7 en
2979 Bushels Turnip Greens Mnn
26496 Watermelons
1589 Bushels Peaches 317800
1350 Pounds Pecans 33750 4781768
PACKING HOUSE PRODUCTS
4425 Pounds Dressed Beef 64605
58491 Pounds Pork 850055 814660
POULTRY AND EGGS
741 Lbs Hens 14646
1050 Lbs Friers 36106
119 Lbs Roosters 1795
2549 Dozen Eggs 80878 1334
DAIRY PRODUCTS 0n
49729 Gallons Sweef milk 1989160
3554 Gallons Cream 7150 1996310
FARM PRODUCTS
1356 Loads Compost 349900 34yyUU
FARM SALES
3 Bushels Corn 600
100 Pounds Vetch If0
200iSdzanzzzzzzzzzzz 4a2 6iso
DAIRY SALES
1 Bull zzzzzz 1000 no00
MISCELLANEOUS FOOD SUPPLIES
Meal and Potatoes 188760 188760JOHN T BRANTLEY
President of the Board of Trustees and a member of it from 1901
EIGHTYSEVENTH ANNUAL REPORT
BOARD OF TRUSTEES

Milledgeville State Hospital
Formerly Georgia State Sanitarium
MILLEDGEVILLE GA
For the Year Ending
December ThirtyFirst
Nineteen Thirty Board of Trustees
President
John T BrantleyBlackshear Ga
VicePresident
Thos M Hall M DMilledgeville Ga
Secretary
xC C BrantleyValdosta Ga
E E LindseyRome Ga
Alfred C NewellAtlanta Ga
P H GambrellMacon Ga
Laetus Sanders M DCommerce Ga
Walter C PitnerAthens Ga
H W Shaw M DAugusta Ga
Richard Binion M DMilledgeville Ga
From August 1930
Mrs Fannie Peeples PattersonValdosta Ga
From October 1930
Resigned
xDeceasedCommittees of the Board of Trustees
MlLLEDGEVILLE STATE HOSPITAL
Executive Committee
Alfred C Newell Chairman
E E Lindsey Thos M Hall
Walter C Pitner xC C Brantley
Finance and Auditing Committee
E E Lindsey Chairman
P H Gambrell C C Brantley
Committee on Sanitation Medical and Dispensary
Service
Thos M Hall Chairman
H W Shaw Laetus Sanders
Committee on Buildings and Grounds
H W Shaw Chairman
P H Gambrell Alfred C Newell
Committee on Farm and Outside Business
Walter C Pitner Chairman
Laetus Sanders P H Gambrell
Resigned
xDeceasedOfficers of the Hospital
R C Swint M DSupt and Resident Physician
N P Walker M DClinical Director
L P Longino M DFirst Assistant Physician
Y H Yarbrough M DSecond Assistant Physician
J I Garrard M DAssistant Physician
Geo L Echols M DAssistant Physician
D T Rankin M DAssistant Physician
US Bowen M D Resigned 102130 Asst Physician
R W Bradford M DAssistant Physician
C G Cox M DAssistant Physician
W A Bostick M DAssistant Physician
J W Mobley M DAssistant Physician
CRYoumansMD Resigned7130 Jr Asst Physician
JCStathamMD Resigned 123130 Jr AsstPhysician
E W Schwall M DJunior Assistant Physician
J D Wiley M D From 111530 Assistant Physician
W J Burdashaw M D Resigned 6130Interne
G K Cornwell M D From 91530Interne
Raymond Suarez M DFrom 101530Interne
Geo H Green D D SDentist
J C Adcock D D SDentist
J J WootenPharmacist
Mrs Mae M Jones R NSuperintendent of Nurses
Otto M ConnTreasurer
Homer BivinsSteward
W S Jett JrEngineer
H S JonesSecretary
F C PenuelFarm Steward
Arthur FarellStorekeeper
W W StembridgeSanitation Officer
Leone Frederickson Resigned 4 30Dietitian
Mrs Geo L EcholsDietitian
Cecil HumphreySocial Worker
Hines CarpenterAttorneysEIGHTYSEVENTH ANNUAL REPORT
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
MlLLEDGEVILLE GA JANUARY 1 1931
To His Excellency Lamartine G Hardman Governor
Sm
The Board of Trustees of Milledgeville State Hospital
charged with the care of the States insane respectfully
submits herewith its eightyseventh annual report
covering the conduct and management of inrtitafaon
for the year 1930 The annual report of the Superin
tendent and Resident Physician accompanied by those ot
the heads of departments forms its principal part and
presents the history of the year nteresting d M
The record made is an excellent one and justly entitles this
official and his assistants to high praise The Hospital
continues to make steady progress even though it be slow
toward a greater efficiency in the humane purpose tor
which it exists
The Patients
The year closed with 5320 resident patients in the
Hospital The average daily number of such was 529
an increase of 110 over the previous year It was
necessary to deny admission to 458 applicants while 1052
were granted admission Lack both of room and of funds
for their support made such denials imperative The rule
of the Board severely restricting admissons to dangerous
cases and to recent or acute cases and even these
to vacancies caused by death or discharge has occasioned
much distress in many instances but hasbeen unavoid
able The reports reaching the Board would indicate that
many of those to whom admission was denied are being
cared for in the county jails in the absence of local
hospital facilities The Board deeply egrets this con
dition and again urges that the funds appropriated for
relieving it be made available at onceEIGHTYSEVENTH ANNUAL REPORT
Cost to the State
The operation of the Hospital in 1930 cost the State
124591200 or 23380 for each patient based on the
average daily number resident in it Assuming the
appropriations made to it for maintenance to have been
paid in full it would appear to have lived within its means
and to have closed the year with a surplus of supplies and
cash on hand of 15761900 Its good business manage
ment is thus attested Unfortunately however these
appropriations have not been paid in full and the year
closed with 38000000 yet due the Hospital on them
and with it in turn due its creditors a correspondingly
large sum on which interest is now accumulating It has
been able to pay few supply bills since June last The
Board now records its appreciation of the generout treat
ment accorded the Hospital by its creditors in the ex
tension of time of payment granted and which has made
it possible to keep the Hospital open
The problem of maintenance because of the inability
of the State to discharge its obligations to the Hospital
punctually and in full was not the only one to confront
the Board for it was also faced by liabilities it could not
discharge incurred under the new building appropriation
of 1927 due for payment in 1928 and 1929 and which has
still not been paid in full A second appropriation for
new buildings was made in 1929 and on the two the State
was due the Hospital at the close of the year 59713500
There was also due it on the appropriation for enlarge
ment of the pumping station made in 1927 a balance of
3488100 In this situation the Board felt justified in
using a payment of 20500000 made on the 1929
appropriation to reduce the indebtedness incurred under
the older one and this was done This payment left a
balance yet due on this indebtedness of 6712900 When
payment is made of the 1927 balance the Board will be
able to pay this debt in full and to restore the funds
borrowed from the new appropriation It can take no
steps for the construction of buildings under the new
appropriation until this has been done
In all the State would appear to be due the Hospital
under all these appropriations the sum of 97713300
Provision for 1932 and 1933
At its present rate of growth and with the new
buildings completed and in use the Board estimates that
provisions must be made for 5700 patients in 1932 andMILLEDGEVILLE STATE HOSPITAL
for 5900 in 1933 Because of the downward tendency in
the cost of supplies it believes that this increased number
of patients can be cared for within the estimated cost for
1931 and therefore recommends that an appropriation
for the next biennial period of 280000000 be granted
one half of which shall be made available in 1932 and one
half in 1933
The Plant
The Hospital continues overcrowded its equipment
being unequal to the demand on it This serious situation
is not new nor has the Legislature faikd to act for its
relief as the building appropriation had in 1927 and 199
testifv Three buildings were thus provided for one ot
which is completed and in use and a second completed
but not yet in use because of a lack of funds with which
to furnish and operate it This second building is de
signed for use as a hospital and promises to be of great
worth to the medical department The appropriation of
1929 orovides in error for but one building and not lor
the three asked by the Board The sum appropriated is
sufficient for the three and permission should be granted
the Board to erect them as soon as the appropriation is
paid The completion of all these buildings will relieve
the present congestion but will provide little room for
fUtUThfrgreat physical plant has been kept in the best
repair possible with the limited funds available to the
Board The great age of many of the buildings makes
this expense an item of no mean proportions
A consolidated or central heating plant combined
with an electric power and light plant offers attractive
economical possibilities and might wisely be given care
Si consideration by the Legislature The report of the
Board for 1928 presented an estimate of the cost ot
building and operation of such prepared by irs f
experience The cost was then estimated at 36750000
and the saving to be effected by it at 23449 00 per
annum No doubt the cost could now be revised down
WarCThere should be a revision of the value on which the
fire insurance carried by the State on the plant is based
The replacement cost of the buildings is far in excess of
the original cost now the basis for this insurance and
the State should be more fully protected for its own sake
as well as for the sake of the Hospital10
EIGHTYSEVENTH ANNUAL REPORT
The water supply of the Hospital is seriously
endangered because of the failure to complete the enlarge
ment of the pumping station made possible by the
appropriation for this purpose had in 1927 This is due
to the failure to make payment to the Board of the balance
due on this appropriation A part of this work has been
completed and is in use but additional settling basins
filters and pumps are yet to be installed Water con
sumption by the Hospital now nears the capacity of the
present plant and is seriously endangered by the weakened
condition of the filters in use The Board cannot too
strongly urge the necessity for making the balance due on
the appropriation available to it at once
Other Building Needs
The report of the Clinical Director gives some in
dication of the growing use by the medical department of
occupation thereapy in the treatment given Its worth
has been so abundantly demonstrated that the needs of
the department looking to its wider use should be fullv
supplied The most important of the present needs is for
a larger amusement hall the old one having long since
become too small for the present population It is located
in one of the dormitory buildings and can be readily
utilized so that its abandonment will occasion no loss A
new building of ample size and suitably equipped is
estimated to cost 5000000
The Hospital in all the years of its existence has
never possessed a home for its Superintendent and to
which he is entitled The need for more room for admini
strative purposes and the fact that his present apart
ments are located on the second floor of the administration
building and are convenient for such use impels the Board
to ask an appropriation in the sum of 2500000 with
which to build such a home He is the official host of
the Hospital and his residence should be ample in size and
in keeping with the dignity of his position
Protection From Fire
The danger of fire is ever present in the Hospital
One such was had during the year but without serious
results With the exceptions of simple frame bulidings in
use on the farm and as tuburcular wards and one
building of fire resistant construction the buildings
housing patients are of brick and wood construction andMILLEDGEVILLE STATE HOSPITAL
11
covered with metal roois Practically all are three
stories in height The Hospital has no fire escapes on
the outside Those of the ladder type would be dangerous
to insane persons and those of the tube type of dubious
value Reliance is placed on inside stair ways of wood
properly enclosed and on fire doors for the protection ot
the inmates The Hospital has an organized well
equipped fire department and is supplied with water
mains well distributed throughout the grounds A water
storage reservoir of 1000000 gallons capacity is kept con
stantly filled The most practical form of protection
against fire other than those had is through sprinklers
and to install these in all the buildings will entail a cost
estimated at 23000000
Widening the Work of the Hospital
The Board continues to grant the use of members of
the medical staff to clinics in Macon and Elberton con
ducted by the local medical bodies to aid in the diagnosis
of persons showing signs of mental disorder and in pre
scribing proper care and treatment for them The success
attending these clinics has led to the establishment ot
another in Athens from which good results are expected
The expense thus far has been small This work might
usefully be extended to all the large centers in the State
and should be when funds to defray the cost are had The
advice of the Hospital physician in such cases may not
infrequently serve to prevent a later commitment to the
Insufficient funds and not lack of interest has kept
the Hospital out of another field of usefulness which
should be occupied and this the after care of its dis
charged patients until mental strength is fully restored
The newly restored mental case does not differ greatly
from the newly restored physical case and both require
watchful oversight for a time To subject such cases too
soon to the stress and strain of life is most unwise The
Board hopes that through the organization of the smaller
counties into health districts to be supervised by health
officers that the way may be opened for this supervision
at the minimum of cost In the larger counties in which
a well organized health service now exists this supervision
should not be difficult when once installed
The Hospital School of Nursing is conducted with
such success as to keep the Hospital well supplied with
graduate nUrSes well trained in the care of mental and12
EIGHTYSEVENTH ANNUAL REPORT
nervous cases and in addition to send forth into private
practice many others so trained A service of distinct
value is thus rendered society
Second Hospital for the Insane
It is very evident that the founding of a second
hospital for the insane is inevitable This is shown in the
great and growing population of this Hospital and in the
unceasing demand on it for admission In addition there
are problems of management which make too large a
hospital most unwise The founding of such second
hospital is a matter of such major importance as to
demand that its founding be preceded by careful study
not only of the need but also of type and location The
Board suggests the unwisdom of a much longer delay
Law Amendment
The present provision for admission to the Hospital
as shown in Michies Code Chapter 3 Article 2
Section 3102 because of the confusion in its terms should
be repealed It seeks to create two classes of patients
pay and pauper the last being those possessed of estates
of less than 3000 in value It sets up no method for
ascertaining the value of any property owned by those
seeking admission and provides no means of collecting
from the estate of pay patients its reasonable charge
for board and keep No provision is had for those whose
estates may be exhausted in their support or whose in
come may be unequal to the cost of such It is not
retroactive and applies only to new cases Its terms are
such as to prevent its enforcement The Board does not
believe the law wise and for these reasons
a The State must of necessity place under
custodial care its insane citizens regardless of any
property they may possess The best interest of society
are so served
b Patients possessed of property are already
taxed for the support of the State government including
the Hospital
c It is conceivable there may be cases whose
relatives will prefer to keep them out of the Hospital in
order to save the expense involved and so endanger the
interest of society
d It will serve to create within the Hospital a
class distinction among the patients capable of working
a great harm to those of the pauper classMILLEDGEVILLE STATE HOSPITAL
13
It is the well considered opinion of the Board that the
wise policy of the State is to admit free of charge all bona
fide citizens of the State If any citizen is to be taxed for
the cost of his support therein it might well be those who
possess an ample estate with no one dependent on them
These however will be few in number and the income
from such source will be small Of the admissions in
the year just ended only 11 are reported as having an
ample estate and all of these doubtless had dependents
Should the burden of supporting the Hospital be too great
a tax on the income of the State then the Board suggests
that consideration might be given to the policy prevailing
in many of the States of prorating the cost on some
equitable basis between the State and the County com
mitting
For these and other reasons the Board recommends
the repeal of the law cited and the enactment ot the
following as a substitute
STATE HOSPITAL FREE TO WHOM The said State
Wrnital shall be free to all bona fide citizens of the State
wmay be legally adjudged insane or afflicted with mental
diseaseNo paralytic invalid epileptic idiot imbecile drug
addict or alcoholic addict shall be committed or admitted
to it
A history must accompany all applications for admission
to the said State Hospital which shall show a just and adequate
reason why such admission should be had and if such reason
is not given the Superintendent may refuse admission
The relatives or friends of any person admitted to the
said State Hospital who may desire to furnish them with
clothing extra food and other creature comforts shall be
allowed the privilege of doing so at their own cost but under
sucT rules and regulations as the Board of Trustees may
prescribe
If any person committed and admitted to the said State
Hospital shall be possessed of an estate equa to his support
and sha 1 be without near and dependent relatives such estate
shalfvest in the Board of Trustees to be expended for his use
and support provided however that in the event of his dis
charge any residue remaining of such estate shall be restored to
him and it being further provided that injhe event of his
death the title to such estate shall then vest m the btate
Hospital
In view of the biennial sessions of the Legislature
some expense might be saved the Hospital by the sub
stitution of biennial for the annual reports now re
quired by law to be made by this Board The Board
recommends that the law be so amended14
EIGHTYSEVENTH ANNUAL REPORT
Resignation of Trustee Thomas M Hall
The resignation from the Board of its VicePresident
Dr Thomas M Hall of Milledgeville because of ill health
deprives it of the services of one of its most useful
members and it records the fact with deep regret The
demands of a large practice did not prevent the punctual
discharge of his every duty to the Hospital In his search
for renewed health the kindly interest of trustees and
officers alike follow him
Death of Trustee C C Brantley
It is the sad duty of the Board to record the passing
of one of its members the death of Mr Charles Conn
Brantley of Valdosta having occurred on July 28 1930
after a brief illness He became such member by appoint
ment of Governor Joseph M Brown in 1913 and in 1921
was made its Secretary His wise judgment of men and
matters a faithful service ably rendered and a warm
heart gave him high place in the esteem of his associates
and cause him to be greatly missed
In Conclusion
In submitting this report of its stewardship the
Board thanks his Excellency for the support given it in a
most trying year Responsibility for the well being of
so many of the helpless and dependent is not a light one
especially so when funds for their support is lacking but
the Board has made a most faithful effort to meet it It
can but hope the dark days of the Hospital are safely
passed and that the coming year will see its financial
needs fully supplied It makes due acknowledgement of
the courtesy shown it by the State Auditor and of the
sympathetic attitude of the State press Its members
esteem it a high privilege to have rendered this service to
humanity and once more unite in commending this great
family of the afflicted to the protection of the Heavenly
Father
By order of the Board of Trustees
John T Brantley
PresidentMILLEDGEVILLE STATE HOSPITAL
15
EightySeventh Annual Report
of the
BOARD OF TRUSTEES OF
MILLEDGEVILLE STATE HOSPITAL
The Honorable Board of Trustees
MILLEDGEVILLE STATE HOSPITAL
MILLEDGEVILLE GA
Gentlemen
In accordance with your rules and statutory re
quirements I have the honor of submitting the eighty
seventh annual report of the Milledgeville State Hospital
for the fiscal year ending December 31 1930
The reports of the heads of Departments give a
general review of the work of the hospital during the year
and the reports are appended hereto as follows
The Clinical Director
The Dental Department
The Superintendent of Nurses
The Laboratory
The Pharmacist
The Engineer
The Farm Steward
The Treasurer
The Steward
General Statistics of Patient Population
for the year 1930
Patients on books first day of year
Actual resident population 2402 2889 5291
On parole or otherwise absent 34b 6te b5
Total 2748 3221 5969
Admitted during the year
First admissions 6
Readmissions J f UU
Total admissions during the year 465 487 952
Total on books during the year 3213 3708 Wi16
EIGHTYSEVENTH ANNUAL REPORT
Discharged from records during
the year
As restored
As improved
As unimproved
As without psychosis 6
Total discharged during the year
Total died during the year
292
227
73
157
28
3
261
196
164
319
61
9
553
423
Total discharged and died
Patients on books last day of year
Actual resident population
On parole or otherwise absent
519 457 976
2365 2955 5320
331 294 625
Total 2696 3249 5945
Average daily population 5329
Applications received during the year lolJJ
Applications refused account overcrowding 458
Of the 5320 patients in the Hospital December 31
1930 8 are clinically grouped as Traumatic psychoses
composed of 6 white males 1 colored male and 1 colored
female
75 are grouped as Senile psychoses composed ot J
white males 33 white females 5 colored males and 28
colored females
164 are grouped as psychoses with Cerebral Arterio
sclerosis composed of 68 white males 22 white females
42 colored males and 32 colored females
128 are grouped as Dementia Paralytica composed
of 62 white males 11 white females 33 colored males and
22 colored females
25 are grouped as psychoses with Cerebral Syphilis
composed of 14 white males 5 colored males and 6 colored
females
7 are grouped as psychoses with Huntington s
Chorea composed of 3 white males 3 white females and
1 colored female
71 are grouped as psychoses with other Brain and
Nervous Disease composed of 29 white males 22 white
females 16 colored males and 4 colored females
14 are grouped as psychoses due to Alcohol composed
of 11 white males and 3 colored males
10 are grouped as psychoses due to Drugs composed
of 7 white males 2 white females and 1 colored femaleMILLEDGEVILLE STATE HOSPITAL
17
38 are grouped as psychoses with Pellagra composed
of 8 white males 4 white females 1 colored male and 15
colored females
32 are grouped as psychoses with other bomatic
Disease composed of 9 white males 11 white females 6
colored males and 6 colored females
1092 are grouped as ManicDepressive psychoses
composed of 228 white males 454 white females 165
colored males and 245 colored females
1 993 are grouped as Dementia Praecox composed of
556 white males 719 white females 249 colored males and
469 colored females
36 are grouped as Paranoia or Paranoid Condition
composed of 12 white males 20 white females and 4
colored females
414 are grouped as psychoses with Epilepsy com
posed of 131 white males 148 white females 89 colored
males and 46 colored females
30 are grouped as Psychoneurosis composed of J
white males 19 white females and 2 colored males
37 are grouped as psychoses with Psychopathic
Personality composed of 15 white males 12 white
females 8 colored males and 2 colored females
708 are grouped as psychoses with Mental Deficiency
composed of 259 white males 265 white females 119
colored males and 65 colored females
445 are left Unclassified composed of 98 white males
179 white females 84 colored males and 84 colored
females A further study of this group will doubtless
find that the majority of them have developed symptoms
that will put them in the Dementia Praecox group
1 white male is provisionally grouped as Mental Defi
ciency without Psychosis 1 white female and 1 colored
male are grouped as Epileptics without psychoses
It is noted from the above information that 1993
patients or 374 of the Hospital population are afflicted
with Dementia Praecox and 1092 or 205 with Mamc
Depressive psychoses and that these two mental dis
orders comprise over onehalf or 579 of the Hospital
Population When it is further noted that these two
mental disorders constitute 543 of the total admissions
the location of the clinical groups containing the major
problems in mental disease is more clearly indicated
The total number of patients in the Hospital at the
end of the year is only 29 more than at the beginning but
the daily average was 5329 compared to 5219 the
previous year or an increase of 11018
EIGHTYSEVENTH ANNUAL REPORT
Admissions
1510 applications for admission were received com
pared to 1683 the previous year a decrease of 173 We
think this decrease probably due to the Ordinaries of the
various Counties having knowledge of the overcrowded
condition of the institution rather than a decrease in the
incidence of mental disease in the State
Account of overcrowding 458 were refused admis
sion compared to 379 the previous year an increase of
79
952 were admitted compared to 1229 the previous
year a decrease of 277 Of the 952 admitted 752 were
first admissions and 200 were readmissions i e had
previously received treatment in this institution other
State hospitals or private mental hospitals
It might be of interest to note also that 337 or 353
of the admissions had been engaged in some form of
agricultural occupation 26 or 27 had professions 140
or 147 had occupations of domestic and personal
service 6 previously employed in public service 45 in
trades and transportations and the remainder had
miscellaneous occupations
848 or 89 of the total admissions were native
Georgians and only 5 were born in foreign Countries
Of the 752 first admissions 214 had a common school
education 44 high school and 15 college 265 had urban
and 487 rural environments 11 were said to be in
comfortable financial circumstances 127 marginal and the
remainder financially dependent or unascertained
Furloughs Discharges and Deaths
We are sometimes asked if there are not many
patients in the Hospital who might be discharged Of
course this is a question that daily confronts us especially
as the Hospital is now so greatly overcrowded and many
applicants are awaiting admission Each member of the
Medical Staff is charged with the responsibility of
promptly reporting the names of patients as soon as they
are well enough to leave the Hospital so that the matter
of their furlough or discharge may be brought up for
consideration
A recent diagnostic tabulation of the patients in the
Hospital shows only one patient provisionally grouped as
mentally deficient feebleminded without psychosis and
two others as epileptics without psychosesMILLEDGEVILLE STATE HOSPITAL 19
During the year 779 patients were furloughed and
of this number 194 were restored composed of 97 white
males 43 white females 28 colored males and 26 colored
females 451 were improved and of this number 162
were white males 145 white females 61 colored males
and 83 colored females Based on total admissions
203 were furloughed as restored and 473 improved
making a total of 676 restored and improved compared
to 576 the previous year an increase of 10
553 patients remained out of the Hospital beyond the
12 months furlough period and were discharged from the
records Of this number 164 were restored composed of
91 males and 73 females 319 were improved composed
162 males and 157 females Based on total admissions
17 2 were discharged as restored and 355 as im
proved making a total of 507 discharged as restored
and improved
A total of 423 deaths occurred during the year a de
crease of 30 compared to the previous year
Capacity of the Hospital
It seems that the overcrowded condition of the wards
of the institution which has existed for many years and
the necessity for the refusal of admission on account of
overcrowding to many very urgent applications should
be sufficient proof that the capacity of the plant is in
adequate to meet the needs of the States mental disease
problem At the close of the year there were over 100
patients in the County jails and more than that number
being cared for by relatives and friends awaiting
admission because of overcrowding and no room Such
a condition necessarily results in considerable suffering
and is poor business from an economical standpoint as we
have learned from experience that the sooner the
hospitalization of individuals afflicted with mental
disease the better chance they have for recovery
Another and recent study of the capacity of the
Hospital making a liberal estimate but complying with
sanitary and other hospitalization requirements shows
that the population of the Hospital should not exceed
4403 exclusive of the new Psychopathic Hospital L M
Jones Building This building was completed in April
and partly furnished during the Summer but could not
be occupied on account of inability to obtain maintenance
appropriation When this building becomes occupied it
will add 240 beds to the capacity of the institution20
EIGHTYSEVENTH ANNUAL REPORT
As the institution is now operated the following
tabulation gives information as to capacity present
actual resident patient population and overcrowding in
each of the four departments
Patient Over
Capacity Population crowded
White Males 1250 1537 287
White Females 1500 1925 425
Colored Males 665 828 163
Colored Females 988 1030 42
Total 4403 5320 919
The greatest overcrowding is now 425 in the White
Female Department next the white male then colored
males and colored females When the new colored female
building was opened in February 1929 there was enough
overcrowding in that department to fill it up leaving
some vacancies on wards in the older buildings These
vacancies have been filled and this department is now
beginning to again overcrowd
Medical Service
The report of the Clinical Director gives a review of
the medical work during the year No serious epidemic
occurred among the Hospital population No marked
changes were made in the routine and methods of treat
ment We are gradually expanding Occupation Therapy
Staff meetings were conducted daily at 9 A M
except on Sundays by the Clinical Director on reception
wards where a summary of the mental and physical
examinations of new admissions were read and the
various problems of the cases discussed Also sometimes
abstracts of histories of patients to be furloughed or dis
charged were reviewed and discussed
While a great many scientific investigations from
various viewpoints have been and are now being made of
the most common types of mental disease yet their etiology
and pathology still remain problematical and therefore
their treatment is largely empirical hence in their treat
ment we utilize psychotherapy occupation therapy
drug therapy organotherapy and other therapeutic re
sources of medical science Until one has made a serious
and prolonged study of human behavior and its dynamic
problems in relation to mental disease he can have no
adequate conception of its complexity In no other branch
of the medical science is it so essential that the humanMILLEDGEVILLE STATE HOSPITAL
21
organism be studied as a whole i e body and mind
keeping in mind that mans greatness and sanity is not
determined by his physical body alone but mainly by
virtue of his ability for creative thinking constructive
acting and capacity for adjustment Furthermore that
bodily conditions and diseases may effect ones mind or
hinder the restoration of a mental disorder and that a
fair test of mental health obtains when one does adjust
to environment and has that state of mind which permits
him to approach his maximum efficiency and happiness
with the minimum amount of friction and effort
In the treatment of mental disease the old adage
An ounce of prevention is worth a pound of cure is
beyond doubt true Therefore preventive measures
should not be neglected and they may be found in mental
hygiene and eugenics A mental hygiene program should
include the home the school social life and business
activities Eugenic measures should be adopted looking
to the prevention of bad heredity We have enough con
vincing information to indicate that an inherited pre
disposition is the foundation for mental disorder and that
modern medicine teaches that the condition necessary for
a good mind is the inheritance of such germ plasm from
ones progenitors as will yield a brain and nervous organi
zation capable of high grade development to individual
and social usefulness and the protection of that brain and
nervous organization from injury and the submission of
it to influences favorable to the development of its
powers The best remedy that medical science has to
offer at this time for the prevention of bad heredity is
surgical sterilization of those afflicted with certain types
of mental diseasethe feebleminded syphilitics and
criminal recidivists as recommended in a previous re
port
Pellagra Study
The dietary study of pellagra begun by the United
States Public Health Service in 1914 was continued
during the year under the supervision and direct charge
of Dr G A Wheeler of the United States Public Health
Service
This study during the year has consisted of a con
tinuation of the test of individual food stuffs for their
pellagra preventive value A study of the mature onion
was completed and showed no appreciable protection A
study of canned turnip greens canned spinach canned
EIGHTYSEVENTH ANNUAL REPORT
english peas and canned string beans was begun and
while these studies are still in progress those pertaining
to turnip greens and spinich have advanced far enough
to indicate that they possess some capacity for protection
In addition to the above cooperation was extended
to the Clinical Director in the study of the influence on
epilepsy of a diet low in the antipellagric vitamin A
group of ten epileptics were brought under observation
eight of whom showed a pronounced reduction in the
number of epileptic seizures while on a diet of this
character While the therapeutic value of such a diet is
limited by the fact that symptoms of pellagra will in
time appear the results obtained however constitute
an important contribution to the study relating to the
influence of metabolism on epilepsy in which many
students of neuropsychiatry are interested
Changes in Medical Staff
Dr Chas E Dowman of Atlanta was added to the
Staff as Consulting Neurological Surgeon
Interne W J Burdashaw resigned to accept position
with United States Veterans Bureau
Junior Assistant Physician C R Youmans resigned
to engage in general practice
Junior Assistant Physician J C Statham resigned
to accept position with United States Veterans Bureau
Assistant Physician U S Bowen resigned to accept
position with United States Veterans Bureau
Dr J D Wiley Interne but later employed by United
States Public Health Service was elected Assistant
Physician
Drs G K Cornwell Raymond Suarez and M F
Langston were appointed Internes
Dr Langston will report for duty January 5 1931
as Dr Stathams resignation does not become effective
until January 3 1931
After Dr Bowens resignation the Clinic at Boys
Training School was temporarily discontinued but will
be resumed soon after the beginning of the new year
Training School for Nurses
There are 32 student nurses in the School of Nursing
10 of whom were in the Senior Class 11 in the Junior and
11 in the Freshman Since the establishment of the School
of Nursing we have graduated 165 women and 2 men
making a total of 167MILLEDGEVILLE STATE HOSPITAL
23
The School was kept up to its usual standard during
the year and detailed report will be found in Superinten
dent of Nurses report in subsequent pages
Dental Department
Two full time dentists were employed during the
year and their report shows 8607 total number of
operations and treatments Of the 8607 operations 4187
were extractions 2083 patients treated and 360 calls
to wards
We regard the dental work as an important aid in
treatment thereforewe have them to examine the mouths
and teeth of new admissions soon after they are admitted
School for Feebleminded
The School for the feebleminded children was con
tinued in operation during the year with Miss Mary
Bonner and Miss Anna Belle Pendleton as teachers The
average daily attendance was 18
The children were taught simple mental work such
as reading writing writing numbers cutting pasting
and color work as well as industrial work such as sewing
etc
Improvement and Repairs
A detailed review of the repairs and improvements
to the physical plant is given in the Engineers report
On accout of lack of funds much needed repair work
had to be postponed
The Business Department
On account of the State Treasury being unable to
meet the requirements of the maintenance appropriation
and the added 25000000 indebtedness to maintenance
for the previous year a very difficult year for the
operation of the Hospital has resulted The bills for
supplies and other expenses could not be met in the usual
orderly way thereby causing considerable embarrass
ment to the creditors and the Hospital and in addition
has cost the institution considerable interest on delayed
payments The institution was operated within the
appropriation
The per capita cost for the year was 23380 the
daily cost 6405 cents compared to 6289 the previous year24
EIGHTYSEVENTH ANNUAL REPORT
an icrease of 0116 cents per day The Stewards report
in subsequent pages has exhibits and schedules that give
an analysis of income and expenditures and other detailed
information
Farm Garden and Dairy
The Farm Stewards report gives information con
cerning the food stuffs raised during the year The
drouth during the Summer reduced the amount of farm
and garden products that probably would have been made
if the seasons had been more favorable
Religious Services
The religious services for patients were conducted as
formerly on Sunday afternoons at 3 P M by the pastors
of the Baptist Episcopal Methodist and Presbyterian
Churches of Milledgeville as Chaplains rotating monthly
In addition to holding religious services the Chaplains
conducted funeral services and performed other duties
that were required of them
Needs of the Hospital
1 If the institution is to be orderly and successfully
operated it is necessary that provisions be made for the
prompt monthly payment of the maintenance appropri
ation
2 There is an urgent need for all unpaid special
appropriations for buildings and other improvements so
that balance on Psychopathic Hospital L M
Jones Building may be paid the waterworks addition
completed as present wooden filter tubs are decaying
and filter capacity inadequate for needs of the growth of
the Hospital and to erect new buildings to provide room
for overcrowding and new admissions
3 A new and larger amusement hall is needed to
comply with the growth and modern requirements of the
institution
4 A central heating and power plant
5 Automatic Sprinkler system in certain buildings
for fire protection as recommended in previous reports
6 Immediate steps should be taken looking to the
founding of another State hospital in another section of
the State as recommended in a previous report It seems
that this is impertative if the mental disease problem in
the State is to be humanely and modernly provided forMILLEDGEVILLE STATE HOSPITAL
25
7 Change in the law clarifying section 3 Acts
1918 and eliminating the hinted at pay feature Every
thing considered we believe it would be wiser for the
Hospital to remain free to all resident citizens of the
State afflicted with mental disease
8 It seems that according to present laws if a
person is committed to the Hospital and even though dis
charged as recovered or not insane he is still legally in
sane unless judicially decided otherwise and persons
having business dealings with the person formerly com
mitted must bear the burden of showing him sane at time
of contract I therefore recommend that a law be enacted
to read somewhat as follows Whenevera person who
has been committed to the Milledgeville State Hospital
shall be discharged therefrom as recovered or as not
insane he shall be presumed to have been restored to
sanity and capacity to manage his or her estate
Conclusion
In concluding this report I desire to express my
appreciation to the Board of Trustees for their encourage
ment support and unselfish devotion to the welfare of the
Hospital I also desire at this time to thank the officers
and employees who have been faithful in the discharge
of their duties and other friends and organizations who
have manifested an interest in the welfare of the in
stitution
Respectfully submitted
R C SWINT
Superintendent
m26
EIGHTYSEVENTH ANNUAL REPORT
Report of Clinical Director
January 1st 1931
Dr R C Swint
Superintendent
Dear Sir
The following pages contain the report for the Medi
cal Department for the year 1930
A total of nine hundred and fifytwo 952 patients
were admitted Table No 2 shows the actual number
classified under each group and the percentage of each
Seven hundred and fiftytwo 752 were first admissions
and two hundred 200 were readmissions A considerable
number of the readmissions had been admitted to either
private hospitals or other state hospitals Table No 3 gives
actual number and percentage of each group of the first
admssions
Ten 10 criminal patients were sent by order of
court The charges were as follows
Assault and battery 1
Assault with intent to kill 1
Aiding other prisoners to escape 1
Forgery 2
Larceny 1
Murder 2
Rape 1
Not given 1
One of these ten patients was found to be not insane
Of the total of seven diagnosed as not insane two were
drug habitues two were mentally deficient and one be
longed to the psychopathic group
The actual number of patients treated was 6349 and
was made up as follows
Resident population at end of previous year 5291
Admitted 952
Returned furloughed in 1929 106
The deaths numbered four hundred and twentythree
423 or 66 per cent of those treated The average of the
death rates for the five year period ending with and in
cluding 1929 was 691 The leading causes of death for
the year and the number assigned to each were as follows
Arteriosclerosis and cerebral hemorrhage 95 general
paralysis 50 tuberculosis 50 epilepsy 36 pellagra 27
On an average there are from 60 to 80 patients confined
to bed on account of tuberculosis From 90 to 100 othersMILLEDGEVILLE STATE HOSPITAL
27
are bedridden for the most part on account of arterio
sclerosis and cerebral hemorrhage In addition the in
firmaries are well filled with acute medical and surgical
cases
For purposes of comparison the recovery rate is
estimated in the same way as in years past and consists
of the ratio of those improved and restored at the time of
furlough to the number of patients received Of the
seven hundred and eightysevein 787 patients
furloughed six hundred and fortyfive 645 had either
improved or recovered giving a recovery rate of 677
The average of the recovery rates for the five year period
ending with and including 1929 was 5934 The above
figures do not include twentynine 29 extensions of
furlough
The discharge rate presents a different set of figures
This is made up of the number of patients who remained
out of the institution for the length of the furlough period
which is twelve 12 months The ratio of those dis
charged as recovered or improved to the number received
was 507
The treatment of general paralysis by the use of
typhoid vaccine has been continued While we have not
obtained the results reported by other institutions and
clinics we have not thought it wise to abandon its use
Malaria has been used from time to time but its superiority
over nonspecific protein therapy has not been demon
strated in our hands In December the serology blood
and spinal fluid of twentyone 21 general paralytics
was repeated These patients had been in the institution
for periods varying from seven months to 17 years The
blood and spinal fluid were completely negative in ten In
one other the blood was two plus and the globulin test was
one plus otherwise the examination was negative In
still another there was no abnormality other than a two
plus spinal fluid Three of these patients had been in the
hospital for less than ten months and as might be ex
pected the findings were still positive throughout Ten of
the remaining eighteen were negative throughout All
twentyone of these patients are still general paralytics
despite any serological changes In at least one large
clinic in the United States patients who have no mental
symptoms but do show serological changes are classed as
asymptomatic paresis The criterion of improvement is
the clearing up of the blood and spinal fluid there are
obviously no mental symptoms to clear up The patients28
EIGHTYSEVENTH ANNUAL REPORT
that we class as general paralysis are of quite a different
type and are not necessarily well though the serology may
be rendered entirely negative Various forms of therapy
have been used in the treatment of these patients in
cluding malaria typhoid vaccine mercury arsenic and
iodides
One may with a reasonable degree of accuracy assert
that in recent years the amount of literature dealing with
the treatment of general paralysis is five times as great
as that dealing with the treatment of manic depressive
and dementia praecox combined General paralytics de
serve the best that can be done for them but so do those
sufferng from manic depressive and dementia praecox
The number of general paralytics in other hospitals is
doubtless higher proportionately than in ours The
following figures illustrate the comparison in our own
hospital
G P MDDP
Percentage of all admissions 1930 714 5440
Percentage of total population
Dec 1930 204 5790
Percentage of increase in population
in five years95 7600
The patients suffering from general paralysis have
received vigorous treatment perhaps too vigorous in
certain instances From a strictly numerical and
economic point of view general paralysis in our hospital
is not in the same category with manic depressive and de
mentia praecox and the economic side of our work has
and will continue to play an important part The sub
stance of the above is that while we are obligated to give
our general paralytics the best possible treatment other
larger groups have not been neglected The actual
number of cases of general paralysis in the institution at
the end of the year was 128 the number of manics and
dementia praecox combined 3085
The short courses given the new attendants in
preparation for their work has been continued As here
tofore the course consisted of quizzes lectures and demon
strations The course was given in March and September
Seventytwo 72 attended Instruction in the same line
but based on a somewhat better principal is the habit
of one of the physicians who for two years has had weekly
conferences with his head attendants At these meetings
various problems both general and specific have beenMILLEDGEVILLE STATE HOSPITAL
29
discussed Particular attention has been given to sympto
matic treatment with some very happy results in cure
and amelioration that cannot be attributed to any
other source This is after all the real source of knowl
edge concerning the teatment of mental diseases per se
It is intensely practical and deals directly with individuals
as well as with groups Successful nursing of mental
diseases is bound to be more a matter of nursing in
dviduals than in the case of physical diseases
Another effort not required by rule but undertaken
as extra work is that of a small group of nurses who four
years ago opened a small commissary This has been
patronized by patients and employees Up to the present
time more than four thousand dollars 400000 in
profits have been spent for such things and occassions as
seemed wise Hundreds of dollars have been spent for
music for dances which the patients ask for Nine
portable victrolas with records to correspond eight
radios prizes and refreshments for card parties seasonal
parties subscription to thewtythree 23 magazines and
papers outfits for baseball and volley ball are some of
the things provided During Christmas 1930 inexpensive
but acceptable gifts were provided for more than one
thousand lOOO patients from this source These par
ticular patients were selected because they were not ex
pected to receive anything from home The gifts went
to both white and colored and were not bought in a hap
hazard way The wishes of the patients were ascertained
in every possible instance The child like simplicity of
the things asked for was quite striking and shows that the
Wishes of the patients may be easily overshot Fifty
three 53 asked for strings of beads twelve 12 wished
for dolls two hundred and fifteen 215 desired snuff
and tobacco and nearly all asked for candy
Others have gone beyond the prescribed limits of
their duties to help in some way to lighten the burdens of
the patients or promote their recovery It augurs well
for the hospital that these things are so There can be
nothing cold blooded in such work The personal attitude
of those in the medical service towards the patients is a
factor that cannot be put on paper nor can its effect
be tested in the laboratory but there should be just as
much satisfaction in bringing a socalled deteriorated
dementia praecox to a state of remission as doing the
same thing for a case of general paralysis and the
physician or nurse who helps to do this in the one case30
EIGHTYSEVENTH ANNUAL REPORT
deserves credit as well as he who brings it about in the
other
No machine can run forever without repairs and a
continuous supply of energy Occupation therapy can
not successfully continue without the added energy that
comes from interest and stimulation For this reason
this form of treatment is apt to lag As a whole there has
been an improvement in this direction The best results
have been obtained in those instances where patients
were carefully selected and occupation combined with
other forms of treatment such as diversion and personal
contact The articles produced in the various depart
ments are of considerable moment In the female de
partment among other things made were 26544 garments
992 pieces of embroidery 679 paper flowers 506 hand
painted pieces 276 crocheted pieces 268 reed baskets and
30 rugs In the white male department at the Park 1541
articles were made and 294 repaired Among the most
important articles made were 128 substantial rocking
and straight chairs made of oak 369 basket containers
14 ironing boards 478 basket bottoms 52 hoe handles 63
axe handles and 41 settees From the garden connected
with the park were gathered 6846 pounds of butter beans
6676 pounds of tomatoes and 264 quarts of strawberries
The dry weather cut the vegetables quite short Among
the articles repaired were 21 chairs and 143 wheel
barrows In the other male departments 882 chairs were
reconstructed rebottomed or painted From willow
grown on the premises 251 baskets were made There
has been a marked increase in amusements and other
forms of entertainment This is due almost entirely to
the funds derived from the commissary already mentioned
This form of treatment has a place that is just as definite
as occupation
The work at the State Reformatory for boys has been
temporarily discontinued The clinics at Elberton and
Macon have been continued In November another
monthly school clinic was opened at Athens and although
only two sessions have been held prospects for usefulness
are encouraging At Elberton clinics were held for six
of the school months There were 67 first visits and 50
return visits At request the visiting psychiatrist saw
a number of frank mental cases in the vicinity At Athens
there were 19 first visits by school children Six adult
mental cases were also seen in the city and the vicinityMILLEDGEVILLE STATE HOSPITAL
31
At the Macon Clinic which is held each Frday after
noon there were 484 visits first visits 156 return visits
328 The visiting staff member has been called upon to
act in an advisory capacity to the juvenile court of that
city He delivered five addresses before various organi
zations
The technicians at the laboratory has continued to
do good work An inspection of their report shows some
interesting things The total procedures numbered
10074
The training school for nurses has been operated by
the superintendent of nurses with the cooperation of the
members of the medical staff and others
Six classes from the colleges and universities of the
state visited the hospital for clinical instruction in ab
normal psychology and allied subjects A number of
addresses were delivered by different members of the staff
before P T A associations and other civic organizations
The calls for this kind of service seem to increase Three
training school for nurses receive their instruction in
psychiatric nursing from a member of the staff and the
student nurses visit this hospital for clinical demonstra
tion
Successful administration of the medical department
depends on cooperation and due acknowledgement is
here made for such cooperation
Respectfully
N P Walker M D
Clinical Director32
EIGHTYSEVENTH ANNUAL REPORT
TABLE I
Diagnostic Grouping of all Patients in Institution January 1st 1931
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drug
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Epilepsy not insane
TOTAL
White 1 Colored
M F M 1 F 1 Total
6 0 1 1 8
9 33 5 28 75
68 22 42 32 164
62 11 33 22 128
14 0 5 6 25
3 3 0 1 7
0 0 0 0 0
29 22 16 4 71
11 0 3 0 14
7 2 0 1 10
8 4 1 15 38
9 11 6 6 32
228 454 165 245 1092
556 719 249 469 1993
12 20 i o 4 36
131 148 89 46 414
9 19 2 0 30
IB 12 8 2 37
259 265 119 651 708
98 179 84 84 445
H o 1 o 1 0 1
01 1 1 0 2
153519251 829110311 5320MILLEDGEVILLE STATE HOSPITAL
33
TABLE 2
Diagnostic Grouping of Patients Admitted During the Year 1930
PSYCHOSIS
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Mental deficiency not insane
Psychopathic personality not insane
TOTAL
White
M I F
Colored
M F Total
2

31
29
0
1
i
3
11
6
0
2
82
53
0
IV
6
2
13
19
i
31
6
0
0
0
4
0
5
5
0
113
68
0
9
10
2
4
19
0
1
0
1 0
0
1
25
22
4
0
0
3
0
oi
2
2
55
20
0
16
0
0
11
13
0
0
0
0
11
7
11
1
0
0
3
1
0
20
3
60
67
0
7
1
1
22
1
0
1
0 0
2
21
71
68
5
1
1
13
12
11
351
71
310
208
0
49
17
5
36
73
2
2
2
1

21
220
735
714
52
10
10
136
126
115
367
73
3256
2184
0
514
178
52
378
766
21
21
21
10
291I262H74I225I 952134
EIGHTYSEVENTH ANNUAL REPORT
TABLE 3
Diagnostic Grouping of First Admissions During the Year 1J30
psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathif personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
White
I M F
ed F Total
0 2 26
11 20 265
7 67 890
11 61 811
1 5 66
0 1 13
0 1 13
3 12 159
1 9 119
0 7 93
18 32 425
3 7 93
47 215 2859
58 154 2047
0 0 0
6 44 585
1 13 172
0 4 53
7 32 425
21 64 851
1 1 13
0 1 13
21
o
301
24
0
i
i
3
8
4
9
5
5
0
0
0
3
0
31
41
o
55 71
37 44
0 0
16 61
4 8
2 2
12 41
161 161
0 0
1 0
226179151H96 7521MILLEDGEVILLE STATE HOSPITAL
35
TABLE 4
Diagnostic Grouping of Readmissions During the Year 1930
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox 7
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Mental deficiency not insane
Psychopathic personality not insane
TOTAL
White
M
0
1
1
5
0
0
0
0
3
2
0
0
27
16
0
1
2
0
1
3
0
1
1
1
F
0
0
3
1
0
0
0
1
0
2
1
0
42
2i
0
3
2
0
0
3
0
1
0
0
Colored
M I F
Total
0 0
I 0
I o
I 1
0
I o
0
I 0
0
0
0
0
13
5
o I
0
0 I 0
0
ff5 83 23
0
1
4
7
0
0
0
1
3
4
3
0
95
54
0
5
4
1
4
9
0
2
2
1
29 200TABLE 5
FURL OUGHS
Traumatic
Senile
Arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Vii nil COLORED
MALE FEMALE MALE FEMALE
R I I U S R I U SIRI I U S K I u SLTotal
0 a o o u u OJ 01 0 0 0 0 0 0 01 3
0 o 0 0 0 1 2 01 0 0 1 0 0 0 0 0 4
0 12 2 0 0 2 o o 21 2 0 0 0 3 1 0 24
0 2 2 0 0 2 0 01 0 5 1 0 0 2 0 0 14
0 0 0 0 0 0 I Oj 0 2 0 0 0 0 0 0 2
0 5 0 0 0 6 2 0 0 0 1 0 0 0 0 0 14
7 5 0 0 0 2 0 01 0 0 0 0 2 0 0 0 16
11 1 0 0 5 2 0 01 0 0 0 0 0 0 0 0 19
9 4 0 0 3 2 0 o 21 1 0 0 7 3 0 0 31
1 2 0 0 0 1 0 01 0 0 1 0 0 0 0 0 5
58 54 12 0 27 71 19 0 18 35 8 0 12 32 2 0 348
1 31 8 0 1 25 19 01 1 5 11 0 3 23 9 0 137
0 6 8 0 0 6 3 o 0 1 2 0 0 4 0 0 30
0 5 0 0 4 4 2 Oi 0 0 0 0 0 1 0 0 16
1 3 1 0 0 3 2 o 0 0 0 0 1 2 0 0 13
0 14 3 0 2 6 1 o 1 1 1 0 0 2 0 0 31
9 17 15 162 4 10 0 0 1 43 12 145 3 53 0 ol 4 9 1 0 1 11 2 0 72
28 61 27 0 26 83 14 0 779
O
a
M

H
a

t1
w
O
W
H
RRestored
IImproved
UUnimproved
SNot insaneTABLE 6
DISCH ARGES
Traumatic
Arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
With epilepsy
Psychoneurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Psychopathic personality not insane
TOTAL
li
OOLOKED
FEMALE MALE
FEMALE
R I U S R I I UI S h R I U S Rl I U S 1 Total
2
l
01
o
0
10
41
91
01
40
0
0
1
6
1
5
0
0
0
0
10
5
0
4
4
0
3
1
54
16
6
2
3
4
10
0
0
0
0 0
4
0
0
0
0
0
0
1
0
4
2
1
2
2
2
0
2
0
0
3
0
3
3
0
48
21
3
5
7
3
4
0
0
0
0
0
0 01
0
3
1
0
0
0
0
0
0
23
3
2
0
0
5
7911221181 54910222 211 421131 0 28151 61 1 551
0
1
2
0
0
0
0
0
0
2
5
2
0
0
1
0
0 01
01 0
0 o
1121
1
0
0
0 0 0 0 01
3
24
10
1
7
18
8
24
4
259
79
19
12
22
18
35
4
2
2
r
f
H
D
O
H

r
c1
a
w

H
a
o
w

RRestored
IImproved
UUnimproved
SNot insane38
EIGHTYSEVENTH ANNUAL REPORT
TABLE 7 Causes of Deaths of Patients Who Died During the Year 1930
White M F Colored M F Total
Abscess jaw Abscess perineal Accidental burn Accidental suffocation Arteriosclerosis Asthma bronchial Brain tumor Carcinoma Cerebral hemorrhage 1 0 1 2 21 1 2 1 12 1 1 2 3 12 1 1 0 1 0 1 16 0 0 0 1 0 7 4 0 0 3 0 11 4 0 1 0 9 0 0 1 0 0 2 4 0 1 0 14 0 0 7 8 0 0 2 8 10 1 2 2 0 1 0 8 0 1 1 0 2 3 3 1 0 5 0 B 5 4 0 0 7 1 0 0 1 0 0 2 1 0 0 0 0 18 0 0 0 8 0 1 2 0 13 0 0 0 0 0 0 22 1 0 0 0 0 5 4 0 0 6 0 0 2 0 0 1 12 0 1 o 1 0 0 9 0 0 2 5 0 0 1 3 1 0 1 0 0 0 0 4 1 0 0 0 0 6 1 0 1 13 1 4 1 0 0 1 22 0 0 i 1 1 2 2 62 1 2 10 33
Colitis 1
Dysentery 2
Encephalitis Enteritis 7 14
Epilepsy 36
Erysipelas 2
Exhaustion from acute mental disease Fracture femur Gangrene large instestine Gangrene leg 4 2 1 1
Gastric ulcer 1
General paralysis of the insane Homicide by another patient 50 2
Huntingtons chorea 1
Influenza 1
Intestinal obstruction 1
Myocarditis acute 2
Myocarditis chronic 21
Nephritis chronic 12
Organic brain disease 1
Paratyphoid fever 1
Pellagra 27
Peritonitis 1
Pneumonia broncho 20
Pneumonia lobar 12
Pneumonia not differentiated Prostatitis chronic 4 1
Pulmonary hemorrhage 2
Pulmonary tuberculosis 50
Sarcoma 1
Septicemia 1
Suicide by hanging 0 n 1
Suicide by strangulation 0 0 0 1 2 1 1 0 2 10 0 0 l 2
Syphilis 2
Tuberculosis hip joint 1
Unknown 16
Valvular heart disease 5
TOTAL 128 106 99 1 90 423
MlfLEDGEVILLE STATE HOSPITAL
39
TABLE 8
SURGERY
Abscess palmar drained
Abscess axillary drained
Abscess rectal drained
Abscess peritonsillar drained
Amputation breast
Amputation finger
Appendectomies
Bladder suprapubic drainage
Fracture metacarpal bone treatment for 1
Fracture Colles treatment for
Fracture femur treatment for
Fracture olecranon process treatment for 1
Fracture humerus treatment for
Fracture jaw treatment for
Fracture fibula treatment for
Fracture radius treatment for
Herniotomies
Iridectomies
Cataract extraction
Dilatation and curettage uterus
Infected knee drainage of
Circumcisions
Hemorrhoidectomies
Laporatomy exploratory
Parancentesis thoracis
Hydrocele operation for
Hysterectomy
Tonsillectomies
Salpingectomies
Sebaceous cyst enucleation of
Uterus suspension of
Pterygium transplanted
Urethra removal of foreign bodies from
Nasal polypus removal of
Maxillary sinus operation on
Maxillary sinus irrigation of
Submucous resection
Turbinectomy
Mastoidectomy
Parascentesis abdominalis
Strabisimus operation for
Ear drum incised40
EIGHTYSEVENTH ANNUAL REPORT
TABLE 9
Admissions from Various Counties During the Year 1930
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Brtow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Campbell
Candler
Carroll
Catoosa
Charlton
Chatham
Chattooga
Cherokee
Clark
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Decatux
DeKalb
Dodge
Dooly
White
M I F
Colored
M I F
2
1
2
1
6
0
1
2
1
3
7
0
0
1
0
1
0
1
0
0
2
1
o
It
2
1
i
3
5
1
1
0
5
0
6
2
3
2
Total
3 1 o 1 6
0 1 o 0 1
2 1 1 1 6
1 1 5 0 7
2 5 2 15
1 0 1 2
3 1 0 5
4 1 1 8
1 0 1 3
0 0 0 3
3 7 7 24
2 0 1 3
2 1 0 3
1 2 4 8
0 0 2 2
1 1 1 4
1 3 5 9
1 1 1 4
0 1 1 2
1 0 2 3
1 1 1 5
1 2 0 4
4 1 1 9
0 0 0 2
0 0 1 2
13 21 25 68
2 0 0 5
3 0 1 9
3 0 3 7
2 1 0 4
2 1 0 3
7 0 3 15
0 0 1 1
2 0 1 9
0 5 3 10
0 0 0 3
2 1 1 1 6
0 0 0 1 2
0 1 1 4 1 5
1 2 0 1 4
2 1 1 2 1 14
0 I 1 3 1 7
1 1 0 4 1 7
MILLEDGEVILLE STATE HOSPITAL
TABLE 9Continued
41
Admissions from Various Counties During the Year 1930
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
White
M I F
Colored
M F
I
1
1
0
0
4
2
2
1
1
11
2
2
22
2
i
2
1
1
5
1
4
2
4
1
a
o
2
0
0
4
1
0
2
1
2
0
2
1
4
1
1
0
2
0
0
3
4
0
0
0
0
7
1
2
22
1
0
2
1
1
3
0
3
2
2
1
2
1
2
0
1
2
1
1
3
2
0 I
0
0
4
0
1
3
0
0
1
1
1
0
0
0
1
1
0
0
5
0
0
0
0
0
1
0
0
1
0
1
0
1
2
1
0
0
2
1
1
0
0
4
2
0
0 l
2
0
2
0
1
2
2
1
0
0
1
0
1
13
0
1
0
1
1
0
1
3
3
1
1
0
0
1
3
0
0
3
0
0
1
0
2
0
0
3
1 I o
I
0
Total
7
3
3
1
5
11
4
3
1
2
20
3
5
62
3
2
4
3
3
9
2
10
8
7
4
5
2
7
4
1
6
7
1
5
5
4
6
4
1
11
2
342
EIGHTYSEVENTH ANNUAL REPORT
TABLE 9Continued
Admissions from Various Counties During the Year 1930
White
M I F
Lincoln
Lowndes
Lumpkin
Macon
Madison
Marion
Meriwether
Miller
Milton
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
McDuffie
Newton
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Putnam
Quifcman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlin
Colored
M F
1 l
2 I
1 I
3
2 I
0
1
0 0
I 0 i
2 I
1 1 0 o 1 1
3 4 0 0
0 0 1 2
0 2 0 0
4 1 1 1
1 1 1 3
1 0 1 4
1 1 2 3
2 4 0 0
3 8 7 1
2 3 1 1
1 2 0 2
1 1 0 1
1 1 0 0
A 4 1 0
1 0 0 2
2 1 0 0
0 2 2 0
0 0 2 2
3 3 0 0
1 0 4 3
0 1 1 0
1 2 0 0
3 2 5 3
6 6 4 12
1 0 0 1
0 0 0 1
o 3 3 1
4 3 2 1
1 0 1 0
1 2 3 0
1 2 3 4
0 2 1 1
0 0 0 1
0 1 2 0
1 1 1 0
3 1 1 4
2 4 1 4
4 0 0 0
2 4 1 0
I 2 0 0
1 2 1 1
Total
2
7
1
4
7
2
7
3
2
7
6
6
7
6
19
7
5
3
2
9
3
3
4
4
6
8
2
3
13
28
2
1
7
10
2
6
10
4
1
3
3
9
11
4
7
3
BMILLEDGEVILLE STATE HOSPITAL
43
TABLE 9Continued
Admissions from Various Counties During the Year 1928
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
White
M I F
0 I
0 I
1
1
2
2
0
3
0
1
0
0
5
4
3
3
0
1
1
Colored
M
3
1
0
2
2
4
0 I
2 1
3
1
0
0
2
5
2
1
1
0
TOTAL
291 262
174
Total
225
13
1
2
3
5
9
3
8
2
6
3
2
5
6
8
8
5
5
95244
EIGHTYSEVENTH ANNUAL REPORT
TABLE 10
Nativity of all Patients Admitted During the Year 1930
Alabama
Arkansas
California
Colorado
England
Florida
Georgia
Germany
Greece
Illinois
Indiana
Italy
Kansas
Kentucky
Mississippi
Missouri
New York
North Carolina
Norway
Not given
Ohio
Oklahoma
Pennsylvania
Russia
South Carolina
Tennessee
Texas
Virginia
Washington D C
White
M F
8 12
0 I 1
Colored
M F
TOTAL391 1262 1174 1225 I
1
0
1
0
254
1
0
1
2
1
1
1
1
1
0
4
0
4
0
0 I
2 I
1 I
4 I
1 I
0 I
1 i
1 I
0
0
0
1
226
0
1
0
0
0
0
1
0
0
1
5
1
2
1
1
1
0
5
1
1
1
0
4
0
0
1
0
1
159
0
0
0
0
0
0
0
0
0
0
2
0
I 2
0
I 0 I 0
00
10 10
5 6
0 I 1
3
0
0
0
0
2
209
0
0
0
0
0
0
0
0
0
0
1
0
2
0
0 I 0
0 I 0
0 I 1
I
Total
27
1
1
1
1
4
848
1
1
1
2
1
1
2
1
1
1
12
1
10
1
1
3
1
20
3
1
2
2
952MILLEDGEVILLE STATE HOSPITAL
45
T A RT V 11
fiWified Occupation of Patients Admitted During the Year 1930
White
M I F
Colored
M I F
Total
Agriculture Forestry and Animal
Industry
Box maker
Dairyman
Farm laborer
Farm laborers wives
Farmer
Farmers daughter
Farmers son
Farmers wives
Landscape gardner
Saw mill operators wife
Stock dealers wife
Timber grader
Turpentine laborer
Turpentine laborers wives
Wood cutter
Professional
Druggist
Druggists wife
Lawyer
Lawyers wife
Minister
Ministers wife
Newspaper managers wife
Nurse
Physician
Stenographer
Teacher
Domestic and Personal Service
Barber
Barbers wife
Bellboy
Butlers wife
Cook
Hotel clerk
Housekeeper
Janitor
Laundrymans wife
Meat cutter
Meat cutters wife
Porter
Restaurant proprietors wiie
Restaurant workers
Servants
Truck driver
Truck drivers wife
Waiters wife
Waitress
Washerwoman
Manufacturing and Mechanical Pursuits
Auto dealers wife
Blacksmiths wife
Boiler maker
1 1 0 i 0 1 1 1 1 0
1 0 0 0
11 0 24 27
0 1 0 3
112 0 39 1
0 1 0 1
0 0 1 0
0 73 0 29
1 0 0 0
0 1 0 0
0 1 0 0
2 0 0 0
1 0 3 0
0 0 0 2
0 0 1 1 0 1
1
0
6
0
2
0
0
0
1
0
3
I
21
0
0
0
0
0
0
0
0
2
0
1
01
41
01
21
01
01
01
01
Oi
1
01
1
0
1
1
1
0
1
5
oi
II
01
l
0
o
33
01
21
0
1
0
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
1
0
0
II
0
1
1
0
1
0
01
01
61
01
01
2 27
0
0
01
1
14
0
14
0
01
o
01
01
01
01
01
01 20
1
1
62
4
152
2
1
102
1
1
1
2
4
2
1
1
1
6
1
2
1
1
1
2
1
9
2
1
1
1
15
1
47
1
2
2
1
6
1
4
29
2
2
1
1
20
n II 01 01 1
01 II 0 01 1
II 01 01 01 146 EIGHTYSEVENTH ANNUAL REPORT
TABLE 11Continued
Classified Occupation of Patients Admitted During the Year 1930
White
M I F
Brick masoi
Brick masons wife
Carpenter
Carpenters vife
Electrician
Electricians wife
Ice mans wife
Laborer
Laborers wife
Mechanic
Mechanics wife
Painter
Plumber
Plumbers wife
Shoe maker
Stone cutter
Textile operator
Textile operators wife
Minerals
Filling station operators wife
Public Service
Cuty firemans wife
Mail carrier
Mail carriers wife
Radio station operators wife
Telephone supervisor
Trades
Auditor
Bank cashier
Bank cashiers wife
Bookkeeper
Bookkeepers wife
Merchant
Salesman
Salesmans wife
Watchmaker
Transportation
Construction foremans wife
Engineers wife
Garage helper
Railroad laborers wife
Train dispatcher
Miscellaneous
Collector
Life insurance agent
Life insurance agents wife
NewsboyI
None
Not fiven
PeddTer
Printers wife
Sailor
Soldier
Student
Theater manager
Time keeper
TOTAL
Colored
M F Total
0
2
0
5
18
0
2
0
0
0
0
1
1
0
2
47
2
1
0
1
1
6
1
1
0
0
1
0
1
0
0
7
0
0
0
0
0
0
0
0
0
0
0
1
841 24
0 0 1 1 o
0 1 0 0
8 0 o 0
0 1 0 0
2 0 0 0
0 1 0 0
0 o 0 11
7 0 61 5
b 4 0 13
6 0 0 o
0 6 0 o
2 0 1 o
2 0 0 0
0 1 0 0
3 0 1 0
3 o 0 0
12 8 0 0
0 1 0 0
0 0
0
0
0
0
0
0
0
0
0
I
01
01
01
o
01
I
01
0
01
01
6o
2
01
0
01
o
1
01
01
1
1
8
1
2
1
1
73
17
6
6
3
2
1
2
3
15
7
1
1
1
1
2
1
1
1
2
1
5
18
7
2
1
2
2
1
1
1
1
1
3
215
4
1
2
1
1
12
1
1
2911 2621 1741 2251 952MILLEDGEVILLE STATE HOSPITAL
47
TABLE 12
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chore
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
Under
1 20
TOTAL 21
0
0
0
0
1
0
0
0
0
5
1
0
6
2
4
2
0
0
60Over
70 70
Not
Given Total
0 1 Oj 1 0
0 0 0
I I
01 II 0
0
0 0 0
8il4 7
Oj 6J10 51 31
Oj 0 0 0 0
0 0 0 1 o
o i o o o
I 2 4
I 1 0
0 2
01 1
20 7
20
01 0 0
01 1
01 0
o 0
0 0
0 0
0 0
1 2
0 0
01 01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5939413623
2
0
30
24
0
1
1
3
8
4
8
2
55
37
0
16
2
12
16
0
1
22648
EIGHTYSEVENTH ANNUAL REPORT
TABLE 12 Continued
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral arterio
sclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
TOTAL
Under 120
20 130
60Over Not
70 70 Given I Total
0 0 01 0
0 0 0 0
0
0
0
0
1
0
0
0
0
3
3
0
1
1
2
1
0
0 0 0
I1
o
11
11
0
10
0 0
01 II
11021
I I
I 0 0
3 0
I I
I 3 0
i I
I 1 0
I II 1
H 5
1
0
0
0
0
0
2
1
0
18
0
0
0
0
01 0
0 0
01 0
0
0
51 3
0J 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
01 01 0
0
0
0
0
0
0
0
0
0
0
0
I
o I
o I
14 33594018 6 9
5
0
0
0
3
0
3
4
0
71
44
0
6
0 2
0 4
0 16
0 0
179MILLEDGEVILLE STATE HOSPITAL
49
TABLE 12Continued
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of the
insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
TOTAL
Under 120
20 30
3040
40150
601 Over
70 70
Not I
Given I Total
0 I 0 0
0 I 0 0
o1
I I I
I 1 51
I 0 l
01 01
0 I 01 0 j
0 I 01 0
I 0 0
I 2 1
I 2 1
I 0 0
0 0 0 0
01 0 0 1
f I I
2 9 9 5
31 7
1 1
0 0
0 0
I I
li 0
0
17 323322
0 0
II 0
I
0 0
I
0 0
0 0
0 0
01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
9
11
0
2516 6
0 I 15150
EIGHTYSEVENTH ANNUAL REPORT
TABLE 12Continued
Ages of first Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Under2030405060Over Not
20 3040506070 70 Given Total
Traumatic
Senile
With cerebral
arteriosclerosis
Ceneral paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
Not insane
TOTAL
1
0
0
0
1
0
0
0
0
9
4
0
2
0
4
2
0
u u
0 0
0 0
0 2
0 0
0 0 0 0
0 1
u 0 0 0
0
0
3
1
8110
191 9
0 4 7
01 0 0
2 01 0
0 0 0 01 0
21 0
51 3
i o o
51 4 21
1 01 01 01 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
o I
o
0
0 I
0
11
11
1
0
0
3
1
0
18
3
47
58
0
6
0
7
21
1
23 I55I39I42I21 91 7
0 I 196MILLEDGEVILLE STATE HOSPITAL
51
TABLE 13
Degree of Education of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
tfl
a
tJ
u o o i
T3 w o S3
c C fi
O a o o u
m s s be o
fl T3 a 03 13 Ml t
D o
05 05 a ffi O X
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
0 0
II 01
i ol
0 0
01 0
01
21
2
0
6 01
0 01
o 0
61 1
11 0
n 0
01 0
21
0
10
4
0
0
1
0
2
1
3
0
18
14
0
51
0
01
41
6
0
01
261 31 691100 191 9
0 01
0 o
11 1 4
13 2 2
0 0 0
1 0 0
0 0 0
2 0 0
3 1 1
1 2 0
4 1 0
2 0 0
27 7 0
17 1 2
0 0 0
2
0
30
24
0
1
1
3
2
55
37
0
16
4
2
12
16
0
1
01 22652
EIGHTYSEVENTH ANNUAL REPORT
TABLE 13Continued
Degree of Education of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
xn
0


u o
is rC
O S3 o o J3 S3
o u O
CO CO S Ml O
o Tl J 0
Ji fid
0 o o
A O W 0 25
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
01
II
li
01
o
0
o
II
01
0
01
01
71
21
0
01
01
01
31
21
01
0 0 0 0 0 0
0 2 2 3 0 0 8
01 1 2 0 1 0 5
o 1 4 0 0 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 1 0 0 0 3
0 0 0 0 0 0 0
o 1 1 1 0 0 3
0 3 1 0 0 0 4
0 0 0 0 0 0 0
1 15 38 8 1 1 71
01 9 25 6 2 0 44
0 0 0 0 0 0 0
1 2 2 1 0 0 6
0 8 3 2 0 0 8
0 1 0 1 0 0 2
0 0 1 0 0 0 4
01 4 6 2 1 1 16
01 0 1 0 0 0 0 1 0
171 21 431 86 241 5 21 179MILLEDGEVILLE STATE HOSPITAL
53
TABLE 13Continued
Degree of Education of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Male Population
Psychosis
w I Pi
o
C
Q


M CJ
U
3 t
o o
U
o
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL 761 61 591 81 0
0
1
20
91
1
0
0
0
01
01
II
01
181
51
0
101
01
01
71
4
01
0 0
0 0
1L
l
0
0
ol
0
01 0
0
Il
II
0
o
11
1 22
1 6
0 0
II 51
0J 0
0 0
1
7
0
0 0
01 0
0
0
II o
3
0
0
0 0
0
0
0
0
0 0
0
01 0
Ql
01
01
0
1 0 0
01 0 0
0 01 0
0
1
25
21
4
0
0
3
0
0
2
2
42
15
0
16
0
0
9
11
0
II 15154
EIGHTYSEVENTH ANNUAL REPORT
TABLE 13Continued
Degree of Education of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
w
a
m
T O
X
o
i w o B
c X aj
e o
o rj Q O
m S 1 bo
T3 73 J3 t
c C3 ctf Ml 4J

55 w W u W o 55
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to Drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
01 0
10
6
6
1
0
0
3
0
0
4
II
9f
16
01
4
0
0
1
2
0
0
0
0
1
0
9
1
33
24
0
2
1
0 0
0 2
0
0
5
7 1 11
0 0 1
I
72 91 88
0 0 0 0
0 0 0 0
0 0 0 0
3 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 2
0 0 0 1
2 0 0 0
14 0 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 0 0 1
0 0 0 0
1 20 1 0 6
o
0
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1MILLEDGEVILLE STATE HOSPITAL
55
TABLE 14
Environment of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Population
Psychosis
Male
O
Z H
Female
c
o


c rn
CO
a Jj
u 3 o
P M 55
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
01
o
01 01 0
3 27
14 10
01 0
0
01
21
II
II
21
01
TOTAL
10 45
131 24
01 0
21 14 0
1 3
II 1
2 10
10 6
01 0
II 0
2
0
30
24
0
1
1
3
8
4
8
2
551
37
01
16
41
2
12
16
0
i
o
7
1
3
0
0
o
0
0
2
0
0
26
21
0
1
3
1
1
01
o
4
2
0
0
0
3
0
1
4
0
41
21
0
4
3
1
3
0 0
II
6 10
0 0
0 0
6311621 112261 72l 99 8 179
5
5
0
0
0
3
0
3
4
0
71
44
0
2
4
16
0
056
EIGHTYSEVENTH ANNUAL REPORT
TABLE 14Continued
Environment of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Male Female
a c
a 0

3 So O 1
h j m J2
3 o o H p o J
Z H 1 M H
01 151
01 0
0 161
01 0
01 0
01 91
0 111
0 Oj
TOTAL 1311061 2151
o U
01 1
8 16
7 14
31 1
0 0
01 0
11 2
0 0
01 0
01 2
0 2
0 31
41 11
01 0
41 12
li 0
01 0
31 6
31 8
0 01
0 0
1
25
21
4
0
0
3
0
0
21
2
42
0 0
5
6
5
0
0
0
1
0
0
10
1
29
29 281
01 0
0
11
7
11
1
0
0
3
1
0
31
l
ol 0
31 4
91 11
1 0
87 104
01 18
0 3
1 47
II 58
0 0
01 0
0 7
1 21
01 1
51196TABLE 15
Econ mic Condition cf First Admisions During the Year 1930
Classified With Reference to Principal Psychosis
White Population
Psychosis
MALE
a
S3
U

Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
0 11
0 0
0 8
0 8
0 0
0 0
0 0
0 2
0 6
o 2
0 1
0 0
1 18
0 13
0 0
0 3
0 2
0 0
0 0
0 3
0 01
0 01 1
1 I 671
13
a
l
0
22
15
0
1
1
1
2
2
7
2
36
24
0
13
2
2
12
13
0
1

s
o
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
01
01
o
FEMALE
2
0
30
24
0
1
1
3
8
4
8
2
55
37
0
16
4
2
12
161
0
1
a
g
a
g
g
p
a

3
oi
0
0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
6 9
2 6
0 0
0 1
0 1
0 0
0 0
1 2
o
8
4
5
0
01
oi
31
01
2
4
01
551
34
0
51
21
41
131
01
01
II 22611 101 191 146 4 179
o
0
8
5
5
0
0
0
3
0
3
4
0
71
44
0
6
8
2
4
16
0
0
f
f
w
O
a

f
c1
H
w

M
w
o
w

c1TABLE 15Continued
Economic Condition of First Admissions During the Year 193l
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
MALE
FEMALE
o
a
a
a
o
55
B
o
O
3
c
o
o
55
o
H
II
O
X
Kj
M

H
a
w
d
o
w
H
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
0 u 0 0
0 1 o 1
l 24 o 25
2 19 0 21
1 3 o 4
0 0 o 0
0 0 0 0
0 3 0 3
0 0 0 0
0 0 0 0
0 2 0 2
0 2 0 2
7 34 1 42
3 12 0 15
0 0 0 0
2 14 0 16
0 0 0 0
0 0 0 0
1 8 0 9
1 10 0 11
0 0 1 o 1 0
IS 132 1 1 151
0
0
0
1
1
o
0
0
1
0
0
0
12
5
0
0
0
0
0
3
0
U
11
7
10
0
0
0
3
0
0
18
3
35
52
0
6
1
0
7
17
1
01 23 171
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
u
11
7
11
1
0
0
3
1
0
18
3
47
58
0
6
1
0
7
21
1
2 196TABLE 16
Civil Condition of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
White Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
Drug addict not insane
TOTAL
MALE
FEMALE
T3 a T3 a a s T3 T3 o 4 c
a s 35 1 o a o u o s a u at a a W o O 3 o a B ea s o o 5 u a p CD o 2 01 o Ei
0 i 0 1 0 0 21 o 0 0 0 0 0 0
0 0 0 0 0 0 0 1 1 5 0 1 0 8
3 23 0 1 1 30 1 1 3 0 0 0 b
3 14 1 2 4 0 24 0 2 0 0 3 0 b
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0 0 0 0 0 0 0
1 0 0 0 0 3 1 2 0 0 0 0 3
0 5 0 1 2 0 8 0 0 0 0 0 0 0
0 4 0 0 0 0 4 0 3 0 0 0 0 3
1 7 0 0 0 0 8 0 3 1 0 0 0 4
0 1 0 0 1 0 2 0 0 0 0 0 0 0
27 23 3 0 1 1 55 9 49 9 2 2 0 71
25 10 2 0 0 0 37 15 25 2 0 1 1 44
0 0 0 0 0 0 0 0 0 o 0 0 0 0
12 4 0 0 0 0 16 2 3 1 0 0 0 6
1 31 0 0 0 0 4 3 4 0 1 0 0 8
2 0 I 0 01 0 2 2 0 0 0 0 0 2
10 0 0 0 2 o 12 3 1 0 o 0 0 4
81 1 1 01 0 1 1 o 9 71 0 1 o 1 o 0 0 V
01 01 0 0 0 0 o 0 0 0 o 0 0 0
ii oi oi o o o 1 i 0 0 0 0 0 01 0
9411051 9 4 121 21226 401102 231 4 9 11179
c
H
a
o
M

tt
f
t1
H
m

H
a
o
H
TABLE 16Continud
Civil Condition of First Admissions During the Year 1930
Classified With Reference to Principal Psychosis
Colored Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
Not insane
TOTAL
MALE FEMALE
Tf a a
O T3 V a X
a 0 p T1 0 p
a xa u u a I o T3 Q U o s u w o 4 o o c is o a u o s a u a p m 3 o 2 p o
U 0 o 0 0 o 0 0 o 0 0 0 01 0
0 0 1 0 o 0 1 0 1 8 0 2 0 11
4 12 5 0 3 1 25 0 3 3 0 1 0 7
7 10 2 0 2 0 21 4 3 3 0 1 0 11
1 3 0 0 0 0 4 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 3 1 1 1 0 0 0 3
0 0 0 0 0 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Oi 1 0 0 1 0 2 4 2 2 2 6 2 18
2 0 0 0 0 0 2 1 2 0 0 0 0 3
19 2J 0 0 2 1 42 10 23 4 0 10 0 47
6 5 0 0 3 1 15 17 19 8 0 12 2 58
0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 2 1 0 2 0 16 3 2 0 0 1 0 6
0 0 0 0 0 0 0 1 0 0 0 0 0 1
0 01 0 0 0 0 0 0 0 0 0 0 0 0
8 l 0 0 0 o 9 7 0 0 0 0 0 7
5 5 1 0 0 o 11 5 5 5 0 5 1 21
01 0 0 0 0 01 0 0 0 1 0 0 0 1
66 591 10 0 13 31511 53 62 36 2 38 5196
M
O
W
h3
K
I
in
H

H

z

w
H
O
W
HMILLEDGEVILLE STATE HOSPITAL
61
TABLE 17
Ages of Patients at Time of Death During the Year 1930
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid
condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
TOTAL
Under
20
20 30
30 40
5060
60170
Over Not
70 Given
0 01 0 0 0
0 0 0 0 0
0 0
i
0 I 0
0 I 0
o I
0
0
o
0 I 0
0 I 1
0 II 9
I I
31 9 3
0 0 0
0 01 0
II 0 0
0 1
0 0
01 0
0
0 0 II 0
5 31 3 2
Total
1 0
7 0
0 o
0 0
0 0
0 0
1 0
0 0
0 0
1 0
1 0
2 0
5 1 0
o I
o I
0 1 0 0 1 01 1 1 o 0
0 0 0 1 1 I i o 1 il i 1 0 0 1 1 0 1 1 01 0 0 2 1 3 o 1 o o 0 0 1
0
1
25
18
0
0
1
5
0
0
6
1
18
19
2
18
9115I21I29I33I 19
1
5
6
12862
EIGHTYSEVENTH ANNUAL REPORT
TABLE 17Continued
Ages of Patients at Time of Death During the Year 1930
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneourosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
TOTAL
Under
I 20
20130
3040
60 Over Not
70 70 I Given
Total
O i 0 0 0 0
0 I 0 01 01 0
0 1 0 0 o 1 1 5 0
o 1 4 0 1 1 0 0
0 01 01 01 0 0 0 0
0 0 0 0 0 0 0 0
0 01 0 0 o 0 0 0
1 11 1 0 0 0 0 0
0 0 0 01 0 0 0 0
0 0 0 0 0 0 0 0
0 0 2 01 0 0 0 0
0 0 0 0 0 0 0 0
0 0 5 11 2 8 7 0
0 11 3 5 0 6 4 1
0 01 0 01 0 1 1 0
1 21 4 11 2 3 1 0
0 0 0 1 0 1 0 0
0 0 1 01 0 1 0 0 0
1 1 1 1 1 3 0 0
0 0 3 1 1 2 0 0
0
10
7
0
0
0
3
0
0
2
0
23
20
2
14
3 6123110 91291 25
106MILLEDGEVILLE STATE HOSPITAL
63
TABLE 17Continued
Ages of Patients at Time of Death During the Year 1930
Classified with Reference to Principal Psychosis
Colored Male Population
Psychosis
Under2030
20 3040
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
TOTAL
50160 Over Not
60170 70 IGivenl Total
i 0
I 0
0 I 0
1
I o
I o
I 0
01 0
0 0
0 I 0 01 0 0 0 0
2 I 31 el II 1 01 0
0 0 01 0 0 0
I 01 0
I II 2
I 0 1
01 0
1 1
3 0
0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0
0 0 0 0 0 1 0 0
0 8 0 1 3 3 0 0
0 2 1 0 2 1 1 0
3 172013I17I20 9
0
2
17
24
0
0
0
2
0
0
3
1
15
7
0
13
0
6
9
9964
EIGHTYSEVENTH ANNUAL REPORT
TABLE 17Continued
Ages of Patients at Time of Death During the Year 1930
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral
arteriosclerosis
General paralysis of
the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous
disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or para
noid condition
With epilepsy
Psychoneurosis or
neurosis
With psychopathic per
sonality
With mental deficiency
Unclassified
TOTAL
Under
I 20
Over Not
70 Given Total
0 0 0 0 0 0 0
0 0 01 0 5i 2 0
I I I I I I
01 01 1 3 21 0 0
0 1 2 0 0
01 0 0 0 0i
Oi 0 0 0 0
01 01 Of 0 01
01
01
01
o
0
3
21
II 0
01 0
0 0 01 0
3 3 5 0
21 01 0 0
2 61 II 3
4 51 81 4
01 01 01 01 01
Mill
01 01 01 01 01
1 01 3 0 0
51 31 1 31 1
1I11I
1 I18I18I21I15I13I
01 0 01 01 01 0
01 01 0 It 01 0
0
0
0
0
0
0
0
0
0
0
0
I
0 I
0 I
0 I
0 I
4
0
0
0
2
0
0
11
2
15
25
0
1
0
4
13
90MILLEDGEVILLE STATE HOSPITAL
65
TABLE 18
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930
Classified With Reference to Principal Psychosis
White Male Population
Psychosis
Traumatic
Senile 7
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
PSychoneurosis or neurosis
With Psychopathic personality
With mental deficiency
Unclassified
T3
Ifl
p
n
Ifl H OS
h El 01
cfl ca C1J h
u CJ
0
M M
CO LO rH O
0 4J O S 0
H N IO H
o
H
0
1
0 0 0 25
01 01 Oj 0 01 0 01 0
0 0 01 0 1 01 01 0
3 71 4 9 2
1 6
01 0
0
0
0
31 51 0
0 0 0
0 01 0
01
0
0
0
1
II 0
o 0
01 0
0 0 0
11 0 1
0 o o 0
21 31 11 2
01 0 01 0
0 0 0 0 01 0
21 01 II 31 1
01 11 0 Oj l1
0 01 0 0 0
01 ol 01 01 11
1 2 01 0 0
21 1
01 0
0 0
01 0
0
01
0
0
0
0
0
0
0
51 0
6111
2 0
TOTAL
1220 6116117114126 171128
18
0
0
1
5
0
0
6
1
18
19
2
18
2
1
5
666
EIGHTYSEVENTH ANNUAL REPORT
TABLE 18Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930
Classified With Reference to Principal Psychosis
White Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
C
m
c fi X m tl P
n m rj r 0
e li an g C1J
0 03 r
a H O
o a c c Cfvl CM 0 in o 0 CM O CM M w O
a M
P CO rH CM LO H
rt O H
01 0
3 0
4 0
21 0
0 0
0 0
0 0
II 1
of 0
Oi 0
2 0
0
1
0
3
0
0
01 01
0 0
01 0
0
0
0
2
1
0
0
0
0
2
0
I
0 01
2 2
3 0
oj 0
01 0
01 0
01 0
0 0
01 0
0 0
0 0
0
10
7
7
0
0
0
3
0
0
2
0
23
20
2
14
2
1
TOTAL 81171 21 7I10I23I21I18I106MILLKDGEVILLE STATE HOSPITAL
67
TABLE 18Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930
Classified Wdth Reference to Principal Psychosis
Colored Male Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified

S O f
0 0
01 0
5 1
11
0 0
01 0
01 0
0 0
0 0
01 0
1
0
0
0
0
1
0
0
0
0
0
01 0
01 1
0
0
2
2
0
0
0
1
0 0
01 0
01 01 01 01
0 1 o o
5 1 0
41 0 01
0 0
01 0
01 Ol 0
0
1
0
0
0
0
4
1
o
4
0 0
0 17
01 24
0 0
0
0
1 6
0
0
2
0
0
3
1
15
7
0
13
0
0
6
9
TOTAL
22112 61211111121 71 9968
EIGHTYSEVENTH ANNUAL REPORT
TABLE 18Continued
Duration of Hospital Residence of Patients Dying in Hospital
During the Year 1930
Classified With Reference to Principal Psychosis
Colored Female Population
Psychosis
Traumatic
Senile
With cerebral arteriosclerosis
General paralysis of the insane
With cerebral syphilis
With Huntingtons chorea
With brain tumor
With brain and nervous disease
Due to alcohol
Due to drugs
With pellagra
With somatic disease
Manic depressive
Dementia praecox
Paranoia or paranoid condition
With epilepsy
Psychoneurosis or neurosis
With psychopathic personality
With mental deficiency
Unclassified
A rn
4 X r m
c m h
11 C o c m 00 U Bl Si
a a 01 H sj 01 a 01 03 Cl 1
H o
u CO rH CM in rH CM CM
73 o Q Q o 0 C 4J h
c 4J
is rH CO rH CM us Ti O
01 0
1 51
0 l
1 3
01 0
0 01
01 01
01 1
01 0
0 01
7 31
2 0
01 2
0 2
01 01
0 01
01 0
01 0
0 01
21 51
0 0
0 0
ll 1
0 0
0 0
0 0
01 0
II 0
01 01 0
01 01 0
01 1 0
0 0 01
1 0 4
2 4 61
0 01 01
01 01 0
0 01 01
o o o
01 0 0
1 II 2
01 0
0
0
0
0
0
0
0
0
0
3
4
0
H o
01 0
0 0
H 3
II 1
0
7
6
4
0
0
0
2
0
0
11
2
15
41 25
0 0
01 1
01 0
01 o
0 4
01 13
TOTAL 131221 81 8I14I11 81 61 90MILLEDGEVILLE STATE HOSPITAL
69
Report of Laboratory
Dr R C Swint Superintendent
Dear Sir
A condensed tabulated report of the work done in
the Pathological Laboratory for the Year 1930 follows
Summary
Serological Examinations
Blood Wassermann Noguchi reaction 1444
Cerebrospinal Fluid Wassermann reaction 41
Cerebrospinal Fluid Collidal Gold Test 41
Cerebrospinal Fluid Globulin estimation 41
Cerebrospinal Fluid Cell Count 41
Clinical Laboratory Examinations
Urine routine analysis i9
Urine Renal Function test P S P
Urine Special chemical test J
Feces for parasites or ova y4
Feces for occult blood
Cerebrospinal Fluid for occult blood i
Blood Chemical examination 4U
Blood for malaria parasites
Blood Counts red white or differential
Blood Hemoglobin estimation 4U
Blood Coagulation time
Blood Color index
Sputum for tubercle bacilli
Milk butter fat determination v
Gastric Contents Chemically and microscopically 4
Bacteriological Examination
19
Blood culture 9K
Blood agglutination test Widal
Cerebrospinal Fluid Culture
Cerebrospinal Fluid Film Micro jj
Exudate film Micro
Exudate Culture 6
Exudate animal inoculation
Urine Culture
Feces Culture 2q
Milk bacteria count
Vaccine Autogenous prepared70
EIGHTYSEVENTH ANNUAL REPORT
Anatomical Examinations Gross
and Microscopically
Necropsies 10
Surgical Tissue Gross and miscroscopical 4
Necropsy Tissue 2
Total Number of Examinations 8693
Note In addition to the total number of procedures enumerated
above 413 cadavers were embalmed and 968 beeves inspected
making a grand total of 10074 procedures
Serological Examinations
There were 1444 specimens of blood examined for
the Wassermann reaction of which number 989 were
secured as a matter of routine from patients upon their
admission to the hospital
Table IResults of Routine Blood Wassermann Tests
Race
White
White
Colored
Colored
Sex
Female
Male
Female
Male
Number
Examined
280
306
228
175
Number
Positive
4 plus
11
30
47
40
Percentage
Positive
4 plus
39
98
206
228
Total 989
128
129
There were 417 specimens of cerebrospinal fluid
examined of which number 228 were routine specimens
secured from patients referred to in Table I A routine
examination of the cerebrospinal fluid is made in the case
of each patient whose blood reacts positively to the
Wassermann test
Table IIEstimate of Serological Neurosyphillis in
Patients Admitted During Year 1930
Race White Sex Female
White Male
Colored Female
Colored Male
Number Admitted 280 Number Positive Spinal Fluid 9 Percenta Posith 32
306 29 94
228 8 35
175 28 160
Total 989
74
74MILLEDGEVILLE STATE HOSPITAL
71
Reference to Tables I and II will show that 818 per
cent of the white women 966 per cent of the white men
17 per cent of the colored women and 142 per cent of
the colored men or a total of 593 per cent of all whose
blood specimens reacted positively to the Wassermann
test also gave serological evidence of syphillis of the
nervous system
In conclusion I wish to thank you the Clinical
Director and all concerned in this work for your generous
cooperation and confidence
Respectfully submitted
D C Leaptrott
Laboratory Technician72
EIGHTYSEVENTH ANNUAL REPORT
Report of Superintendent of Nurses
January 1st 1931
Dr R C Swint
Superintendent
Dear Sir
The following is a report of the Training School for
Nurses from January 1 1930 to December 31 1930
Every effort has been made to keep the school up to
the highest standard The addition of a part time in
structor has been very beneficial to the school and of
material assistance to the Superintendent of Nurses
One hundred and sixtyfive 165 applications for en
trance to the school were received during the year
Ninetyfive per cent were graduates of accredited high
schools
A class of twelve was selected all graduates of ac
credited high schools three of whom had one or more
years in college
Expenses to the Georgia State Nurses Association
offered by the Alumnae of the School to the nurse making
the highest average in her junior year was won by Miss
Bernice Henry of Stillmore Ga who made a general
average of 95 16
The Annual Commencement was held in the
Amusement Hall the evening of May 21st
The processional was played by the Hospital Band
and Miss Irma Vaughan Cartersville Ga accompanied
by Mrs Lovic Pierce Longino on the piano rendered two
beautiful vocal solos
Senator J M Pittner Washington Ga made an
eloquent and instructive address to the class and large
audience
The diplomas were delivered by Hon John T
Brantley President of the Board of Trustees and the
hospital pins by Dr T M Hall VicePresident of the
Board
A reception and dance followed
The following nurses received diplomas making the
total number of graduates one hundred and sixtyseven
Miss Frances Eudelle EvansChauncey Ga
Miss Louise Idelle GilesSandersville Ga
Miss Ethel Paine GilesSandersville Ga
Miss Elizabeth HeringdineMilledgeville Ga
Miss Cecyle Hope KennedyArnoldsville GaMILLEDGEVILLE STATE HOSPITAL 73
Miss Louise Ima MartinMilledgeville Ga
Miss Ollie Adelia ReeseWarrenton Ga
Miss Ora Blanche TaylorMilledgeville Ga
Miss Mattie Lena WallaceSparta Ga
Miss Gertrude WilloughbyPhenix City Ala
Plan of Instruction
The curriculum conforms as near as possible to the
Standard Curriculum planned by the National League of
Nursing Education
The course extends over a period of three years in
cluding three months probation and six months affiliation
in some large general hospital for additional experience
in surgery pediatrics and obstetrics Classes are con
ducted eight months out of each year and consists of
lectures recitations and laboratory work
A passing grade of 75 in all branches is required for
graduation
A short course in Nursing Mental Diseases was con
ducted in March and October by Dr N P Walker Clinical
Director for all new attendants
Nursing Staff
Superintendent of Nurses 1
Instructor 1
Supervisors
Head Nurses Graduates
Dietitian
Senior Nurses in School jy
Junior Nurses in School 11
Freshmen Nurses in School 11
Total Number Student Nurses 32
Occupation Therapy Nurses 13
Special Attendants
White Female Attendants
Vacancies
I wish to thank you for your constant support and
all officers for cooperation and contributions to the
success of the school
Respectfully submitted
Mrs Mae M Jones R N
Superintendent of Nurses74
EIGHTYSEVENTH ANNUAL REPORT
Report of Dental Department
MlLLEDGEVILLE GA
Jan 1st 1931
Dr R C Swint
Superintendent
Dear Sir
We beg to offer the following report of the work done
in the Dental Department of the Milledgeville State
Hospital during the year ending Dec 31st 1930
Extractions 4187
Infiltration anaesthesias 2048
Conductive anaesthesias 785
Ethyl chloride anaesthesias 10
Alveolotomies 126
Incisions sutured 6
Postoperative treatments 171
Amalgam fillings 212
Cement fillings 68
Guttapercha fillings 5
Synthetic porcelain fillings 54
Gold inlays 16
Gold inlays reset 3
Nerve cappings 4
Nerve treatments 8
Nerves devitalized 5
Root treatments 18
Root fillings 12
Abscesses lanced 33
Abscesses treated 19
Lancing gums about 3rd molar 12
Treating gums about 3rd molar 47
Excessive hemorrhages arrested 6
Treatments for erosion 2
Treatments for pyorrhea alveolaris number
of patients 38
Cleaning teeth number of patients 44
Scaling teeth number of patients 148
Applications silver nitrate 1
Treatments for acute odontalgia 31
Treating gums number of patients 148
Treatments for oral ulcers 27
Treatments for stomatitis 7
Curetting aveolar process 18
Plates made Q2
Plates repaired 47MILLEDGEVILLE STATE HOSPITAL75
c
Plates milled
Plates rebased
Gold crowns
Porcelain crowns
Crowns removed
Bridges removed
Bridges made
Bridges repaired
Bridges reset
Disfigured teeth shaped up number of patients 10
Impacted 3rd molars removed 24
Dislocations reduced
Sequestra removed
Calls to wards 60
Number of new and returned patients examined 1101
Number of patients treated 283
Total number of operations and treatments8607
Respectfully submitted
George H Green D D S
J C Adcock D D S76
EIGHTYSEVENTH ANNUAL REPORT

Report of Pharmaceutical Department
Dr R C Swint January 1st 1931
Superintendent Milledgeville State Hospital
Dear Sir
The following is the annual report of the Phar
maceutical Department for the year ending December
Below is shown a condensed list of manufactured
products
Tinctures spirits and extracts 2958 pounds
tZl I 940
Ointments
Liquors lotions and mixtures
Library paste and mucilage
Medicated powder
Indelible ink
Glycerites
Liniments
Tonics
Tooth powder
Quinine anodyne and lagrippe capsules
r fiIed33800
Germicide
Fly and mosquito exterminator 445
935
126
1600
48
83
48
188
334
560
2
STATEMENT
Debits
January 1 1930 Inventory as of Dec 31 1929558185
January i puRCHASES DuRING Year
Drugs chemical dental surgical
and laboratory supplies1198178
Freight and express
1221949
Total 2g5 34
Less goods returned
j 1193415
Net amount goods purchased J
1751600
Totalmiqto 509540
Deduct Inventory Dec 31 1930
Amount goods to be accounted for 1242060
Credits
Dec 311930 Prescriptions filled
for wards 37915 aggregating11jr 1005
Sales to officers and employeesuoo
1242060
Total
Respectfully submitted
J J WOOTTEN
Pharmacist78
THANNUAREP
Report of Engineer
Dr r c swint
January 1 1931
DEAnSmrintendent ReSident Phian
March The new dear wS 3S comPleted early in
time later TMsW L PUmp Was coected a short
alternately ColTZiTZZlT uJd
was Xleted L fM nes Building
Plumbing and steam lines tX in ApriL The
equipment were instaSS hvth P and kitchen
ating room 51
Thirty Stops weSdTo remod
switching framfwinnfarcred nG SWltfhboard The
the switchboard to the Isement mvedr behind
switchboard All cables wtw dlrectIy under the
going to the Twin Bri din n A ecPtion of those
Building were enlarged Sdnl Convalescent
wooden conduit Twenty sevpn UIder ground
stalled These teleXET ew telephones were in
Building the newenPegTo LI drmf L M Jon
kitchen and several ofthT g e old negro building
out telephones the negro wards that were with
the Femfe ctvaeS1 WJ located between
Building was torntownandtl T the U M es
cottage occupied by Dr g0s4 m the rear of the
occupledTD wSr8 in the rear of the cottage
the GTrIennSiadnf re installed in
FemalnCot3escemntttachen0aSter WaS instalIed the
roomie tKwirBundingr inStalled ta the dining
entSS ftr in the
Building cne tront lobby of the PowellMILLEDGEVILLE STATE HOSPITAL
79
Two brick rooms were built onto the Twin Building
dining rooms The dishwashing machines were moved
to these rooms and a slop sink was installed in each room
The old brick floor in the washroom section of the
negro laundry was torn out and a concrete floor put down
in its place
One of the old washing machines from the White
Laundry was overhauled and installed in the Negro
Laundry This machine is powered by an electric motor
installed for the purpose The motor and shafting was
installed with sufficient capacity to operate two more
washing machines
It has required the whole time of one mechanic and
one helper the entire year to keep the old machines in the
White Laundry in running condition
The cottage occupied by Dr Yarbrough was recovered
with red cedar shingles
The old shingle roof on the 27th White Female Ward
was torn off and replaced with a 5V Crimp galvanized
iron roof
A room five feet square was added to the mattress
factory and a frostproof closet installed therein
A new electric powered morticing machine was in
stalled in the carpenter shop
The following places were repainted during the year
The interior of the Officers quarters on the ground
floor of the Female Convalescent Building
The interior of the Powell Building kitchen
The interior and exterior of the cottage occupied by
Mr Bivins
The exterior of the cottage occupied by Dr Walker
The exterior and interior of the cottage occupied by
Miss Humphrey
The interior of the cottage formerly occupied by
Dr Cox
Four Rooms of the cottage formerly occupied by
Dr Bowen
The hall ways at each side of the center part of the
Powell Building
The dome on the Powell Building
The White Female Infirmary The back wing of the
Infirmary was also replastered before painting
The operating room on D Ward
The woodwork and the dining rooms and sitting
rooms of several of the White Female Wards80
EIGHTYSEVENTH ANNUAL REPORT
A concrete loading platform was built along the
entire west side of the Store House
Two cast iron sluice gates were installed in the in
take well at the water works These gates were installed
at a lower elevation than the ones installed in 1927 The
lower elevation of the openings was made necessary by
the breaking of the dam at the old power house of the
Milldgeville Lighting Co
The threeinch cast iron water main that ran from
the Colony Pond to the elevated tank at the Colony was
dug up and relaid on a direct line from the Colony Spring
to the tank
A new Myers Bull Dozier power pump was in
stalled at the Colony Spring This pump delivers 48
gallons of water per minute to the elevated tank at the
Colony
Under the supervision of the Farm Steward the
Grade Gang of this Department graded all the
shoulders of the roads that were paved by the Highway
Department
With the help of the wagons from the Farm De
partment the ground around the L M Jones Building
was graded and sodded
The old wooden pavilions on each side of the old
Negro Building were torn down The west side yard of
this building was filled in and graded to a one per cent
grade This necessitated building three brick retaining
walls across this yard
The southwest corner of the wall enclosing the back
yard of the West Detached Building was torn down and
rebuilt on a curve This eliminates a Blind Corner at
this point This work was done by attendants and patients
from the Negro Department
An eighteenhole minature golf course was con
structed in the south side yard of the Green Building
On the 6th of November the dining room and
kitchen of the 24th White Male Ward caught on fire from
a rat nest between the studding of the wall between the
kitchen and dining room Owing to the prompt action
of the fire department the fire was extinguished after
doing very little damage to the building
A 40gallon Childs Soda and Acid Chemical engine
was installed at the Colony Farm and the supervisors
and attendants were instructed in its operationMILLEDGEVILLE STATE HOSPITAL
81
Four 2igallon Foamite Fire Extinguishers were
purchased One was installed in the paint shop one in
the garage and the other two were mounted on the
apparatus
All of the electric light circuits in the Powell
Building with the exception of the center part were re
wired the insulation on the old wire having rotted to such
an extent that a number of grounds had developed on
the several circuits This same work was done in the 1st
and 2nd Negro Female Wards
In addition to the ordinary repair work required
continually throughout the institution the carpenter
shop the furniture repair shop the shoe repair shop and
the broom factory have been kept busy during the year
making and repairing the various articles required in the
different departments
Respectfully submitted
W S Jett Jr Engineer82
EIGHTYSEVENTH ANNUAL REPORT
Report of Farm Steward
February 2 1931
Dr R C Swint Superintendent
Dear Sir
I wish to submit my report for the fiscal year ending
December 31st 1930
The following is a list of food stuffs produced by my
department during the year
Beans butter 924
Beans snap 207
Beans ototon ioo
Beets 2260
Cabbage 2890
Collards13209
Cantaloupes10000
Corn 979
Corn roasting ears 1000
Corn silage 162
Cucumbers 150
Fodder igu
Hay oats vetch 960
Lettuce 1020
Oats shelled 280
Oat straw 749
Okra 505
Onions 508
Peas garden 202
Peas field green 695
Peas field dried 800
Peaches 862
Pork dressed26466
Potatoes irish 899
Potatoes sweet 8500
Rape 1520
Rye 81
Spinish 126
Squashes 1884
Syrup 1215
Tomatoes 535
Turnips and turnip salad 4879
Watermelons26940
Heads
Bu
Tons
Bu
Tons
u
Heads
Bu
Bales
Bu
Bu
Baskets
Lbs
Bu
Gal
Crates
BuMILLEDGEVILLE STATE HOSPITAL
83
Dairy
Sweet milk57988 Gal
Sweet cream 26
Beef 3873 Lbs
Calvessold 1 or f600
Manure 1316 Loads
Chicken Farm
Hens issued 134
Roosters issued 5
Friers issued 0qqi r
Eggs received 214 f
Eggs issued 1891
Eggs set f
Turkeys issued 139 Lbs
In addition to producing the above my department
has cut about 500 cords of stove wood and distributed to
houses and kitchens We have moved all the coal from
the chutes to the boiler rooms Have also kept up the
entire road system around the institution and have done
several other things too numerous to mention
I wish to thank you the Board of Trustees the
officers and others for the gratitude and cooperation
shown me throughout the year
Respectfully
F C Penuel
Farm Steward84EIGHTYSEVENTH ANNUAL REPORT
Report of Treasurer
March 24th 1931
Dr R C Swint Superintendent
Milledgeville State Hospital
Milledgeville Ga
My Dear Dr Swint
Agreeable your request I beg to submit statements of
accounts as treasurer Milledgeville State Hospital for
fiscal year ending December 31st 1930
Dec 31st 1929 Bal cash
on hand 142625
Requisitions received 1930 117000000
Misc collections from
Homer Bivins Steward 1056196
Interest on account 69707
118268528
Disbursements for year 1930113497420
Dec 31st 1930 Bal cash on hand 4771108
118268528
Building and Equipment and Special Appropriation
Accounts
Requisitions received during
year 193022500000
Interest received on accounts 56460
22556460
Disbursements during year 193018476587
Dec 31st 1930 Bal cash on hand 4079873
22556460
As treasurer Milledgeville State Hospital and as
cashier Exchange Bank we certify that the above
accounts are correct
Otto M Conn Treas Milledgeville S H
H G Banks Cashier Exchange Bank
Witness
H H Herndon
N P B Co GaMILLEDGEVILLE STATE HOSPITAL
85
Report of Steward
DR R C Swint Superintendent
Milledgeville State Hospital
Dear Sir
I submit herein a comparative financial report of the
condition of the Milledgeville State Hospital for the fiscal
years ended December 31 19291930 together with com
parative detailed statements of receipts and disburse
ments and other data for these periods
The year of 1930 as well as that of 1929 has been
most unusual in the history of the Hospital in that the
States inability to promptly pay our appropriations has
seriously handicapped us in its proper operation and pre
vented the opening of our Psychopathic building com
pleted early in the year
On December 31 the State was indebted to us for
maintenance in the amount of 25000000 for the year
1929 and 13000000 for 1930 the nonpayment of which
sumscontinues to embarrass us since it prevents the pay
ment of the greater number of our supply bills since
June first
The Hospital was operated within its appropriations
during both the year 1929 and 1930 and at the end of
1930 had excess assets of 15761925 an increase of
5346601 over 1929 Our expenditure for maintenance
for 1930 less internal income was 124591262 and on
this basis our annual cost per patient for care and treat
ment was 23380 a slight increase over 1929 ot 44
and our perdiem 06405 and increase of 0116
The State was also indebted to us on December 31 in
the sum of 59713557 which amount represented unpaid
balances on special appropriations 562253581 of which
was for new buildings and the balance of 3488199 for
the enlargement of our Waterworks
Our experditure on the New Negro and Psychopathic
buildings at the end of the year totalled the sum of
55487555 including interest of 2392905 and that
of the Waterworks 4617860 including interest of
117 39 On the expenditure of 55487555 for new
buildings the State has paid the sum of 48774642
205 000 00 of which was paid on an appropriation made
in 1929 of 50000000 for additional new buildings TheEIGHTYSEVENTH ANNUAL REPORT
balance of 6712913 is being carried by banks and in
open accounts subject to eight percent interest On the
expenditure of 4617860 for Waterworks the State has
paid the sum of 4511801 leaving an unpaid balance of
106059
The following exhibits and schedules set forth the
condition of all accounts in detail and are offered in
support of the above statements
Exhibits
1Comparative Balance Sheet December 31 19291930
2Comparative Statement Receipts and Disbursements
Years 19291930
3Consolidated Cash Statement Receipts and Disburse
ments
4Statement Receipts and Disbursements Account
Special Appropriations
5Statement Special Appropriations Expenditures and
Balances Available
6Profit and Loss Statement Farm Garden and Dairy
7Statement Operating Funds Percapita Etc
Schedules
1Accounts Payable as of December 31 1930
2Accounts Receivable as of December 31 1930
3Production Farm Garden and Dairy
Vouchers have been drawn throughout the year in
the payment of all accounts promptly upon their due
dates but because of a lack of funds were held in the
office from month to month and on December 31
amounted to 26080093 for maintenance alone
All paid vouchers and all bills for purchases made
during the year are regularly filed and of record in this
office
Respectfully submitted
Homer Bivins StewardEXHIBIT No 1
Comparative Balance Sheet December 31
19291930
EXPLANATORY
1929
CASH loQnoKR
TreasurerPatients Fund f
TreasurerOccupation Therapy fund 4u
TreasurerBuilding and Equipment Fund
TreasurerSpecial App Building Fund 3 000 00
StewardWorking Fund 1a An in
StewardTime DepositMerchants Farmers Bank 1440 38
StewardTime DepositExchange Bank 1duuz
ACCCOUNTS RECEIVABLE iqiS0
Officers Employees and Others xoxoo
DUE BY TREASURY DEPARTMENT
Unpaid Expenditures Against Special Appropriafons 22629090
Unpaid Requisitions Against Maintenance Appropriations 25000000
STOCKS ro 07c on
General Merchandise 20 25729
FuelCoal and Coke R
Drugs Chemicals and Sundries 1186296
Engineering Materials 5504 25
Packing House Products sqqih
Dry Goods Clothing in Manufacture
Farm Supplies 45070
Dairy Feeds
FREIGHT AND EXPRESS
Applicable to Stocks 32b4
TOTAL 4M772
1930
Increase
1247718
439057
153032
39 26841
300000
46387
130686
184516
6780948
38000000
5832673
2025729
550508
1160806
509540
17463
17617
153032
3926841
7684
52886
13000000
495143
Decrease
97651
19848142
7677
25490
40885
199269 115921 28470
85800 40730
188747 134517
61762257 178 27317 S20182832
H
O
O
M

II
tr1
f
M
w
H

M
a
o
w
EXHIBIT No 1Continued
Comparative Balance Sheet December 31 19291930
EXPLANATORY 1929 1930
DUE SPECIAL FUNDS
Brantley Building 77950 34200
Occupation Therapy Department 421740 439057
Occupation Therapy DepartmentFemale 40590 52500
Occupation Therapy DepartmentMale 578628 920464
Female Commissary 144038 46387
TRUST FUND
Patients Deposits 1230255 1247718
ACCOUNTS PAYABLE
Individuals and Corporations 4299797 6194106
DUE TREASURER
Overdraft General Fund 20383267 21194755
SALARIES WAGES AND LABOR
Officers Salaries 629072 685698
Employees Wages 3304722 3739236
Due contractors for labor and materials in construction
of New Building Temporary paid with Requisitions
on Governor and discounted by banks 22592389 114440 30
GROUP INSURANCE
Advancements 21 81
EXCESS ASSETS
Net at End of Years 10415324 15761925
TOTAL64117772 61762257
lisrease
17317
11910
341836
17463
1894309
811488
56626
434514
2181
5346601
89 34245
Decrease
4375J
97651
11148353
11289760
M
O
W
H

m

M
H

z
ej

w
W
V
O
W
HEXHIBIT No 2
Comparative Statement Receipts and Disbursements Years 19291930
EXPLANATORY 1929 1930 IncrT
State Appropriation Regular120000000 130000000 10000000
MISCELLANEOUS 723 3 8846
Interest on Balances vo 10132 10132
Donations
Total Less Internal Income1 20063517 130082495 10018978
INTERNAL INCOME 104129
Board of Officers Sn 176151
Board of Special Attendants 204402 io
Board of Employees f 12
Miscellaneous Sales 42 00 38 50
Rents 92574 111432 18858
SalesIce 265 09 29146 2637
Sundries 5771428 3634282
SaesFarm Products 24 218 15 2767687 345872
SalesDairy Products 146 01 21800 7199
Pines
GRAND TOTAL 129209256 137370833 10426196
Decreass
18232
28251
80640
350
2137146
22 64619
t1
H
D
O
H

t4
C
f
M
w
H

H
H
K
o
w
EXHIBIT No 2Continued
Comparative Statement Receipts and Disbursements Years 19291930
EXPLANATORY
1929
1930
Increase
Decrease
GENERAL ADMINISTRATION
Officers Salaries 9 7899163
WAGES AND LABOR
Medical Department 20688373
Stewards Department 5131786
Engineers Department 6559873
Farm and Garden Department 1081864
Dairy Department 321710
FOOD SUPPLIES
General Wards 45155799
Nurses Home Dining Room 2034451
Stewards Dining Room 557910
Superintendents Dining Room 132026
MISCELLANEOUS
Clothing and Dry Goods 7841844
Furniture and Bedding 4047978
Fuel 5274837
Medical Supplies 985595
Stationery and Postage 237894
Advertising 14014
Amusements 21750
Repairs Autos and Trucks 141098
Barber Supplies 30118
Broom Factory Supplies 146294
Blacksmith Supplies 55523
Dental Supplies and Repairs 54428
8428964 529801
30882212 4193839
5766169 634383
6117879 441994
1233456 151592
424451 102741
42635276 2520523
1944856 89595
565135 7225
112449 19577
7281621 560223
3503734 544244
6690439 1415602
1155249 169654
213393 24501
22786 8772
17897 3853
111889 29209
34158 4040
131699 14595
72115 16592
41040 13388
II
O
a
H
Hi
I
Ul

3
a

W
M
O
i3EXHIBIT No 2
Comparative Statement Receipts and
Continued
Disbursements Years 19291930
EXPLANATORY
1929
1930
1400
Demurrage 2 35604 213768
Dining Room Supplies i827 74 186870
Electric Light Repairs and Supplies l9335 81494
Electric Power Supplies 26486 16667
Escaped Patients 8105 4238
Florists Supplies 3 41649 376044
Gas and Oils 6 50 8690
Garage Supplies 11002 36 1086887
Housekeeping Supplies 95 90 10838
Hanressl Repairs 12600 6600
Cemetery Supplies 2 413 90 380864
Insurance Premiums l602 91 8 08047
Interest Paid 390970 l78242
Kitchen Supplies 628 15 71544
Laboratory Supplies 5 07174 516129
Laundry Supplies and Repairs 2805435 23 21068
Light and Power l8860 50425
Medical Books and Journals 2 00 18 48
Libraries 3233 153
Musical Instruments 958 45 140257
Office Supplies rS 19056 497l45
Telephone and Telegraph Supplies 1312 55 87546
Printing 782o9 100504
Poultry Yards 22351
Publicity Work gl25
Registration Autos iM0 43 64
Surgical Instruments100
Increase
1400
4096
62159
34395
8040
1248
139474
647756
8729
8955
31565
1648
44412
478089
22295
22351
3375
Decrease
21836
9819
3867
13349
6000
212728
484367
1640
43709
11446
tr1
tr1
K
O
O
a

tr1
H
ui
H

H
W
o
w
H
EXHIBIT NO 2Continued
Comparative Statement Receipts and Disbursements Years 19291930
EXPLANATORY
1929
1930
Increase
Decrease
Telephone and Telegrams 65004
Tobaccos 910057
Tools and Implements 51002
Travel 185357
XRay Supplies and Repairs 17670
Sundries 116424
FARM AND GARDEN
Freight and Express 5590
Miscellaneous Supplies and RepaLs 180296
Seed 158856
Fertilizers 1294164
Board of Employees 268148
Treating Live Stock 126 25
DAIRY
Board of Employees 51449
Miscellaneous Supplies and Repairs 30472
Freight and Express 22232
Feed 1026235
FencingPost
MAINTENANCE OF PLANT
Brick 70996
Builders Hardware 224858
Cement 132750
Crushed Stone
Cooking Apparatus 83540
Electrical Equipment
Fire Apparatus 4601
60151
793998
31493
137050
22320
97700
6296
170159
141235
1108970
280749
71500
30194
39800
1142954
20440
84728
102083
113550
21882
114286
79168
30972
4650
706
12601
20051
17568
116719
20440
13732
21882
30746
79168
26371
4853
116059
19509
48307
18724
10137
17621
185194
12625
278
122775
19200
O
K
3
k
I
w

x

d

F
W
w
o
w
HEXHIBIT NO 2Continued
Comparative Statement Receipts and Disbursements Years 19291930
EXPLANATORY
1929
1930
Grading Supplies Vf
Ice Works Supplies 4954
Lime Hair and Masons Supplies r AaL
Lumber and Building Material b
Machinery Repairs and Supplies iWA
Painting Supplies tAVnt
Plumbing Supplies o7r
Pump Repairs
Range Repairs nrTQA
Sewer Supplies nintn
Steam Pipe Fittings 7091
Tinners Supplies Zoqqq
Waterworks Supplies idsa
Sundries 95097
INVESTMENTS
Automobiles and Trucks 219100
Live Stock 167500
Cafeteria Equipment 387254
Topographical Map 400000
TOTAL DISBURSEMENTS Plus Internal Income 128952222
DIFFERENCE
Operating Gain for Years 257034
GRAND TOTAL129209256
509675
131889732
5481101
Increase
685
25033
110940 49303
535122
240272 216279
215130
264232 20660
17284 8609
36264
85133 67539
119717 9987
46367
183404 50516
228381 133284
290575
9965614
5224067
Decrease
11300
24491
205373
127634
26940
31867
167500
3 87254
400000
7028104
r
c1
M
O
a
H

c1
a
m
H

3
H
W
o
in
H

137370833 15189681 70 28104EXHIBIT No 3
Consolidated Cash Statement Receipts and Disbursements
EXPLANATORY
Balance from 1929
Less Due Special Funds
RECEIPTS
Maintenance Appropriation
Special Appropriation
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
SalesStore Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
CJ

a
81
be
SJrf

a
o
Sh P
H
c
c
0 Tj
CS U 3
ho
c
0
o
3 ho
Ojh2
gM
P
o
J3 ho
h ft r
i oSs
4217401230255 300000120454525341588
20500000 2000000
139651 42495
369488
17317
I
22500000
5466J
1006814
2382951
205139652411983 43905712 30255l36897651204545 2785128
23829511 33897651I
20513965l2411983
165 87124 22589511
43905736132061 30000012045
I 23654881 2705067i 183
45
361
2785128
2666880
3926841 153032i
I I
439057I12477183005067IS12228811 5452008
27050671I
3926841 153032 439057 12 477181 30000012228811 5452008
II
O

w
W

M
H
a

c

t1
w
H
13
OSUMMARY
DEBITS
TreasurerBuilding Fund3926841
TreasurerBuilding Equipment
Fund 153032
TreasurerOccupational Therapy
Fund 439057
TreasurerPatients Fund 1247718
StewardWorking Fund 300000
StewardTime Deposits 177073
Unpaid Requisitions
Negro Building1222881
Unpaid Requisitions
Psychopathic Building 5452008
Unpaid Requisitions
Water Works 106059
OverdraftMaintenance Fund 10910412
Total
23935081
CREDITS
TreasurerGeneral Fund
Overdrafts 21194755
Occupation Therapy Department 1412021
Patients Deposits 1247718
Brantley Building 34200
Female Commissary 46387
Total 23935081
r
M
O
o

ii
tr1
r
H
w
H

H
M
w
o
m
H

tr1EXHIBIT No 3Continued
Consolidated Cash Statement Receipts and Disbursements
EXPLANATORY Steward Time Deposits Treasurer General Fund Occupation Therapy Depts
OJ o
S
2 3
g2
cs
h 3
mm
03
in
s s
w
a
u
0 0
t
rs 09
n s 0 a
ft C
3
C
Balance from 1929
Less Due Special Funds
RECEIPTS
Maintenance Appropriation
Special Appropriations
Interest on Balances
Checks Returned
Miscellaneous Sales
Patients Deposits
SalesStore Supplies
Total
Transferred by Steward
Balances
Disbursed on Vouchers
Balances
Disbursed by Steward
Balances
267040
j 203832671040958l
101321
I 117000000
I i
69707
4513107
1230255
17317
427795j
2382951
1268791
404051l01199547148607Oj3613206
I 10068141
40405110220636114J860743613206
2269781 1234011161 740491
1770731 21 l947551412021l3613206
I 2365488
1770731 21194755l14120211247718
1 829 5V
779501 144038 1 5971657
I I I
117000000
I I 80139
I 4882595
578719
I 126879
77950
I
2709171 82957128513110
I I
779501 2 70917 82957128513110
437501 2245301 2310211390 83943
342001 46387l06059l
105 70833
339579
342001 463871060 59 109104 12
to
o
H
O
a
H
k
CQ

2
H

v
c

w
H
O
wStatement Receipts an
EXHIBIT No 4
ld Disbursements Account Special Appropriations
EXPLANATORY
RKCBIPTST
stot Treasury on 1929 Appropriations
SSS State TSK on 1927 Appropriations
easssSisj
Totals
Balance due on 19291930 Expenditure
DISBURSEMENTS 1930
Office Equipment
Kitchen Equipment
Dining Room Equipment
Furniture and Bedding
Plumbing
Miscellaneous Supplies
12228811
122288lji
20500000
2000000
564601
5452008
106059
20500000
2000000
56460
6780948
28008468
12045451
1
5861
17750
253415881
130040
490236
36500
360341
11798
74394
1563571
1060591 29337408
26629900
82957
I
1
11739
11363
130040
490236
36500
360341
11798
74394
1575896
29113
tr1
f
O
o

f
H
m
H

a
lw
o
CO
t
H

to
I aEXHIBIT No 5
Statement of Special Appropriations Expenditure and Balances Available
EXPLANATORY
Appropriated in 1927
Appropriated in 1929
TOTALS11
Excess Expenditure Over Appropriation
Balances
Expenditure for years 192819291930
Balances Available
Totals
be
C
O 3
50000000
50000001
550000001
4875551
554875551
554875551
I

93 w
2 s
8000000
50000000
1
80U0000
58000000
55000000
80000001
46178601
33821401
500000001 113000000
I 487555
500 00000 113487555
500000001
1
60105415
53382140
554vaob 8000000 5000OQO0 i13487Bsb
to
00
o
a
H

I
H

H
w

w
M
w
HMILLEDGEVILLE STATE HOSPITAL
99
Profit and Loss
EXHIBIT No 6
Statement Farm Garden and Dairy
Inventories at beginning of year
PURCHASES DURING YEAR
Commercial Fertilizer
Commercial Feeds
Compost
Seed for Planting
Freight and Express
FeedsHome Grown
452500014890806014080
682970
Total
Less Inventories at End of Year
Net
426000
141235
6296
992954
39800
150000
682970
992954
426000
141235
46096
150000
Gross Profit for Year
Grand Total
operatTngxpense
Wages and Labor
Miscellaneous Supplies and Repairs
Board of Employees
57815012671834845333d
3386000 1569300 4955300
2395501pi02534j3498035
iWljljJj65153 3465334
S4l956822767687i6963369
12334561 424451111667901
1701591 50634 220793
280749
715001 352249
Total 1ft8T
tjWrtnrJfear1 11587
Grand Total
PRODUCTION
Dairy Products
Fruits and Vegetables
Packing House Products
Poultry and Eggs
Dairy Feeds
Compost
Miscellaneous Food Supplies
Cash Sales
546585
1118568
2230949
1234385
1800181l16651533465334
2936960
318252
94770
239560
606140
122876402287640
534471
I
I
4260001
6001
2936960
371699
94770
239560
426000
606140
600
friTQfifi82l827676876963369
1 00L821S166515313465334EXHIBIT No 7
Statement of Operating Funds Per Capita Etc
EXPLANATORY
Cash and Cash Items
Total
VJZi
1930
Due Special and Maintenance Funds
DEMAND OBLIGATIONS
Accounts Payable
Accrued Salaries and Wages
TreasurerGeneral Fund Overdraft
Balances
Total
5397945551209185
1 I
5397945551209185i
I I
p2508559014184356I
I
f 42997971 619410618943
3933794 44249341 4911
20383267 21194755 8114
2770071 52110341 49340
Increase Decrease
09
40
88
27
2770270
I 2770270
10901234
IS5397945551209185I813096410901234
COMPARATIVE PERCAPITA YEARS 19291930
Total Expenditure
Less Internal Income
1929
128952222
9145739
1930
131889732
7298470
Net Expenditure
Average Number Patients 119806483 1124591262
Per Capita Cost for Years Jl9 5329
Per Diem Cost 22956 23380
S 6289 6405
ti
o
a
H
I
W

H
S5
H

t1
W
O
W
HMILLEDGEVILLE STATE HOSPITAL
101
SCHEDULE No 1
AxcountsJyablesofDecen
T Debits
NAME
Aetna Life Insurance Company
American Bakeries Co g g 1Q
American Disinfection Co
Armour Company
Atlanta Dentai Supply Jo
Banks H G
Barnhouse C L
Barrett Watson Co
Bedford Tobacco Co
Bell City Manufacturing Oo
Belknap Hardware Co
Bell Dry Goods Co
Bell Grocery Co
Binion Dr Richard
Brantley John T
Brown Company D W
Burford Hall Smith
Burroughs Adding Machine Co
Campbell Coal Company
Carr Company A J
Carithers Wallace Courtney
Central of Ga Railway Co
Coleman P H
Coleman Medows Pate Co
Collins W H
Conn Company John
Conn Agent Otto M
Container Corporation of America
Conklin Tin Plate Metal Co
Crane Company 10 00
Cudahy Packing Company
Dairy Products Co The
Duer Sons John
DunlapPeeler Hardware Co
Eatonton Oil Auto Co
Ennis J H
Erwin J D
Evans W C
Eureka Fire Hose Mfg Co
Everhart Surgical Supply Co
Fay Egan Co J A
FowlerFlemister Coal Co
Foy Paint Company
FreemanDent Company
Fulton Supply Company
General ElectricSupply Corporation
General Electric XRay Corporation
Georgia Power Company
Georgia Railroad Company
Gilham Electric Company
Gilman J M
Gilman W P
Credits
95047
31900
113910
271
117800
1215
1998
700
14233
8630
3583
6250
16250
380
118810
2905
6903
191925
1903
1145119
2312
6190
9094
157060
18150
3575
6655
55491
335
410
1275
7050
323025
15221
54250
332
856
14979
4600
47300
6486
1250
1084
1260
185839
2288871
23127
1943
7928102
EIGHTYSEVENTH ANNUAY REPORT
SCHEDULE No 1Continued
Accounts Payable as of December 31 1930
name
Debits Credits
Green Milam
Grinnell Company
Hajoca Corporation so
Hall Dr T M
Halliburton Co T H
Hatcher Hardware Co R W
Herf Frerich Chemical Co 25000
Hofmayer Dry Goods Company
Holcomb J I Mfg Co
Hollinshed George W
Hosch Brothers
Ivey W H
Ivey J C 1125
Johnson S C Son
JohnsonPluker Co
Johnson Hardware CompanyI
Kutter J Sons
Lea Pebiger
Lombard Iron Works Supply Co II
McKinnon Motor Co
McKessonRiley Drug Co
McKinley G C
McGrawHill Book Co Inc
McMillan R W
McMillan Co TheII
McCray Refrigerator 14 17
Macon Electric Co
MaltDiastase Co
Matthews Gas Machine Co 14 00
Mathieson Alkali Works 17 32
Milledgeville Brick Works
Milledgeville Telephone Telegraph Co
National Committee for Mental Hvsjiene
Newell A C
Noland Company
Oconee Clay Products Company
Patterson Miss Fannie
PeasleeGaulbert Co
Albert PickBarth Company 8750
Pocahontas Finishing Commission Company 12 83
Postal Cable Telephone Co
QurmMarshall Co
Railway Express Co 2840
Roberts Filter Mfg Co 72 15
Robinson Co A MI 2040
Rossville Commercial Alcohol Corporation
Sanders Lactus
Sargent E H CoZ
Saxonv Mills
Schofields Sons Co J S
Scheurer Harry Son
Selig Company
22131
4854
12500
2207
14741
3250
34125
35460
13209
47580
10913
5111
361
17
600
750
463
10600
71500
1300
7581
328
102
3437
17372
5879
300
2500
241
6793
3750
4358
421
395
5864
15000
1759
132500
3650
40
15599MILLEDGEVILLE STATE HOSPITAL
103
NAME
SCHEDULE No 1Continued
Accounts Payable as of December 31 1930
Debits
Shaw Dr H W
Singer Sewing Machine Co
Silvey John Co ioi
Southern Paint Varnish Co
Springfield Woolen Mills Inc Du
Standard Oil Company
Standard Sanitary Mfg Co
Stembridge Co
Swift Company
Teasdale J W Co
Tidwell L E
Thomas Chas C Publishers
Thomas County Produce Exchange i1J
Trawick S B
Union Recorder
Veal O F
Wade Company 10 00
Washburn Crosby Milling Co iuuu
Western Union Telegraph Co
Whitfield Grocery Co
Williams Wilkins Co
Youngblood Brothers
Youngblood J M
TOTAL58740
Credits
3750
3645
7235
2024
8737
266394
2236
57327
1000
93840
14325
19663
1015
1199
116883
500
4835
3017
6252846104
EIGHTYSEVENTH ANNUAY REPORT
SCHEDULE No 2
Accounts Payable as of December 31 1930
NAME
Adams Ophelia 191
Adcock Dr J C 1972
Alford Eddie 113
Alford Vandine j83
Allen George 45
Allen L E qn
Allen W KZZZZZZZZZZZZZZZZZZZ 75
Anderson J D qc
Badger F DZZZ
Bailey R P11 50
Beal Lizzie Mae 5
Beck BethelJ J 89
Beck J C i
Berry W TZZZZZZZZZ I 60
Bivins Homer 5509
Bloodworth W L q
Bonner R B 2n
Bostick Dr W A 70
Bowdion Pauline E 25
Boyer Eddie co
Bowen Dr U SZZZZZZZZZZZ 11 50
Boys Training School cnnn
Bradford Dr R W
Brantley C C ao
Brantley T C 25
Brantley Tom 57
Bray Addie 2 30
Brookins E en
Brooks Mary jog
Brown Dan an
Brown Eula ai
Burgamy C E 30
Bustin Kate 670
Cheaves Evelyn ona
Collins N AZZZZZZZZZZZZ 75
Combes Leo gQ
Combes Velva qfi
Cornwell Dr G K 233
conn o mzzzzzzzzzzzzzzzz 91W
Cooper Annie 1 c
Couch J G or
Couch T A o2
Cox Dr C G Z oik
Coxwell Mrs T B 9n
Crooms R H
Curtis J L 4f
Daniel OpheliaZ rq4
Davis Bertha i
Davis J Roy J i
Davis Ruby
Dean Grace I ZZ
DeSaussure T H
Debits Credits
580
250MIUEDGEVIUATEJIOSPITAL i5
SCHEDULE No 2Continued
Accounts PablefDeceinberl930
Debits Credits
NAME
20
Dunn L A 346
Durden Florence 15
Durden Paul 30
Durden W R 562
Echols Dr G L 35
Echols Mrs G L 100
Edwerds B D 60
Eidson Otis 115
Eskew Olene 20
English Mrs RiHia 235
Epps R S 85
Farell Annie 50
Parell Arthur 1000
Farell Bob 50
Flurry Julius 1892
Gambrell P H 147
Garland Mrs Eugene 90
Garland R L n40
Garrard Dr J I 115
Gearheart C E 110
Gilman James 50
Gilman J M 30
Gilman W P 25
Goodson L A 75
Gore J I 347
Grantland Arthur 462
Griffin Lilly 25
Haddock C H 13860
Hall Dr T M 575
Hardin Rev F H in
Harden Dovie 10OO
Harper Bryson 70
Harper Jennie Mae 65
Harris I L 60
Harton J C 40
Hattaway G W 50
Hawkins A J 50
Hemphill W A 620
Herringdine Joe 1550
Herringdine O C 573
Hilburn Ruby 346
Hinton Elizabeth 655
Hitson Emmie 147
Hitchcock Minnie 534
Hogan J C 50
Holder J H 60
Hollis D H 25
Hooks Ernest 377
Horton O D 115
Hudson Arthur 25
Hudson C E 810
Humphries Madeline106
EIGHTYSEVENTH ANNUAY REPORT
SCHEDULE No 2Continued
Accounts Payable as of December 31 1930
NAME
Humphrey Otis 91n
Ingram Joe ft
Janes G A 4f0
Janes L B no
Jenkins Iduma jj
jett w s h
Johnson A W qn
Johnson Bennie 9
Johnson F J tau
Johnson Jessie
Johnson J C x
Johnson R L
Josey J E
Kemp Hazel
Kemp MaudeI
Kitchen Nellie
Lavender C B
Lawson E L L
Layfield A W J
Layfield B L
Leaptrott D C 1
Lee Lutitia
Leonard Lila 4
Lindsey E E mco
Little F G 11152
Longino Dr L P 5ft
Lyons Sallie Mae 7 Q
Lyons Julia XX
McCook Idell 2
McCoy Ocie 4
McDade W W f
McKinley A C
McKinley R L g00
Marsh Mrs Irma
Martin Mattie Lou
Mason Mamie 4
Matthews John W
Matthews T W 50
May G C A5
Medlin C P 60
Middlebrooks Leola 025
Mills Martha 274
MobleyDr J W
Moore Lula ilil
Mullinix D W 5
Newell A C 6o
Nelson Roxie 6950
Norman Andrew 57
Norris HubieI
Norton Anna 0
Olliff Estelle XSL
Pace Carrie sn
58
Debits Credits
4800
58MILLEDGEVILLB STATE HOSPITAL
107
SCHEDULE No 2Continued
Accounts Payable as of December 31 1930
AME editS
25
Parker S H Qg
Pattishall Jewell 2g00
fattishali Paul 412
Penuel V C 53
Phillips Pinkie 50
Prosser W B 60
Quinn C J 567
kabun Myrtice 2 95
Kankin Dr D T gg
Ransom Maggie 200
Randolph Mat 5g
Reese Matthew 180
Reaves Mary Jane
Reaves Neshantia gg
Reeves Odessa 50
Reed R R
Resseau W L g
Reynolds Mary 57g
Rhodes Laurice 308
Richardson Annie Lee 171
Rkrardson Willie g
Roberts H B 4g
Robinson Lucile
Rogers J A 248
Ross Bessie gg
Ross Beulah 50
Ross Geo W g0
Ross J D 14880
Sanders Dr Laetus 2 44
Sanford Katie gg
Saulsberry Laura 1010
Saulsberry Sam
Scarbrough Ruby 706
Schwall Mertice 2646
Schwalh Dr E W n50
Shaw Dr H W 1 15
Simpson Corme 3g
Simpson C E gg
Simpson C H jgO
Simpson Roscoe 9g
Simpson Roy 250
Simpson Tom Hall 60
Smith Albert S 75
Smith E L 60
Smith Freddie 3 25
Smith J Roger in
Smith Maude t5
Smith Simon n 6n
Sparks Geo Mclntosn lg
Stanley Rachel g95
Statham Dr J C 96 7g
State Farm Georgia
Stembridge W W
Credits
242
155108
EIGHTYSEVENTH ANNUAY REPORT
SCHEDULE No 2Continued
Accounts Payable as of December 31 1930
NAME
Credits Credits
Steverson Essie 555
Stinson J F 59
Stubbs Cleo 71 27
Suarez Dr Raymond 8 60
Swint Dr R C 72
Switzer Alton 14Q
Tanner Gussie lg5
Taylor Hattie j eq
Tennille W C n
Tennille W K
Terrell Alma 2 80
Thompson J M 27 00
Thompson M L gg
Toole Luella 7gQ
Tucker Sarah 147
Tuft Susie gg
Turner Nina n
U S Public Health Service 504 37
Veatch C N 50
Vinson J T 1in
Walker Dr N P 1
Waller Lillie BVSJllZ I 1 86
Warren Jewell 1 c
Wheeler Dr G A 163g
White James 4qq
Wiley Dr John D 15 94
Williams Sylvia 72
Wilson Ernest 140
Wilson Odessa gg
Wooten J J jgg
Worsham Dora 25
Worsham J I go
Worsham L D oc
Wright D BII in
Wright s e 50
Yancey Bessie 346
Yarbroueh Dr Y H 400
Young D V g0
Youngblood C A g0
Yjungblood C E 70
Younfblood P T gn
Youngblood Lillian 1I 45
TOTALS 191165
02
6649MILLEDGEVILLE STATE HOSPITAL
WJ
SCHEDULE No 3
ProductionFarm Garden and Dairy
FRUITS AND VEGETABLES
515 Bushels Butter Beans IJi
894 Bushels Snap Beans fnnnn
100 Bushels Beets
960 Heads Cabbage ionn
1260 Heads Collards
13209 Cantaloupes oqpk
975 Roasting Ears onn
170 Bushels Cucumbers Kon
811 Bushels Okra ITTsnn
502 Bushels Onions Isqn
786 Bushels Garden Peas fQ
689 Bushels Irish Potatoes innnn
6500 Bushels Sweet Potatoes VHn
844 Bushels Peaches Ilnfinn
2812 Bushels Rape onn
66 Bushels Spinach f
1884 Bushels Squash
530 Bushels Tomatoes Ioilnn
4248 Bushels Turnip Greens J 4u
20694 Watermelons innnn S29 369 60
1000 Heads Lettuce 10000 29b9bu
PACKING HOUSE PRODUCTS
3873 Pounds Beef o 716 99
261466 Pounds Pork 318252 lbyy
POULTRY AND EGGS
4914 Pounds Hens D4
949 Pounds Friers oik
21 Pounds Roosters j
183 Pounds Turkeys 4D
18834 Dozen Eggs 65776 94U
DAIRY PRODUCTS
57066 Gallons Sweet Milk nn fi22 876 40
26 Gallons Cream 5200 b4U
FARM PRODUCTS
IS Toa tlooioo 576000
FARM SALES
111 Bushels Soy Beans 6lb
122 Bushels Peas oou
DAIRY SALES 655
1 Bull
MISCELLANEOUS FOOD SUPPLIES
1215 Gallons Syrup EIGHTYSEVENTH ANNUAL REPORT
OF THE
BOARD OF TRUSTEES
OF THE
MILLEDGEVILLE
STATE HOSPITAL
MILLEDGEVILLE GEORGIA
GENERAL LIBRARY
THE U 7Y OF GEORGIA
GIFT OF tC uyK vm
GENERAL LIBRAE
OCT 7 1939
UNIVERSITY OF GEORGlJ
For The Year Ending
December ThirtyFirst
Nineteen Thirty
BYCK CO PRINTERS SAVHn 0220

DATE DUE
fUXUXZ JXUZ
















DEMCO 38297
ffifrr ifai
UNIVERSITY OF GEORGIA LIBRAHIES
3 ElDfi DSbfl3 OOSS