LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1901.

Appendix to the Journals of the House of Representatives, 1902 Session I, H-07

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1902. NKW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1901.

Presented to both Houses of tlie General Assembly by Command of His Excellency.

The Inspector-General of Asylums to the Hon. the Minister of Education. Sir,— Wellington, 18th February, 1902. I have the honour to lay before you the following report on the lunatic asylums of the colony for the year ended the 31st December, 1901: — The number of registered insane persons on the 31st December, 1901, was 2,773 —Males, 1,654; females, 1,119, being an increase of 101—males, 73; females, 28—over the previous year. The insane of the colony are distributed as follows: — Males. Females. Total. Auckland ... ... •■• 322 193 515 Christchurch ... ... ... ... .. 303 243 546 Dunedin (Seacliff) ... ... ... ... 423 226 649 Hokitika 85 31 116 Nelson ... ... ... ... ... 85 54 139 Porirua ... ... ... ... ... 264 251 515 Wellington 152 100 252 Ashburn Hall (privateasylum) ... ... ... 20 21 41 1,654 1,119 2,773 The proportion of the male insane to the male population is, — New Zealand (exclusive of Maoris) ... ... 397 per 1,000, or lin 252 New Zealand (inclusive of Maoris) ... ... 3-78 „ lin 264 The proportion of the ftmale insane to the female population,— Exclusive of Maoris ... ... ... ••• 2-96 „ lin 337 Inclusive of Maoris ... ... ... ... 2-84 „ lin 352 The proportion of the total insane to the total population,— Exclusive of Maoris ... ... ... ... 349 „ lin 286 Inclusive of Maoris ... ... ... ... 334 „ lin 300 Admissions. On the Ist January, 1901, the number of insane persons in our asylums was—Males, 1,581; females, 1,091: total, 2,672. The number of those admitted during the year for the first time was—Males, 281; females, 186: total, 467. The readmissions numbered—Males, 92 ; females, 38: total, 130. Deaths. The percentage of deaths on the average number resident during the year was 6-41, as compared with 561 for the previous year. The percentage of deaths on the admissions was—Males, 3187 ; females, 32-29 : total, 32-04.

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Eecoveries. The percentage of recoveries on the admissions was —Males, 39-06; females, 46-64 : total, 42-17, as compared with 39-64 for the previous year.

Financial Results of the Year. The following table gives the gross and net cost per patient for the year 1901, as compared with the previous year:—

The total receipts for the sale of produce, &c, from the farm for 1901 amounted to £3,178 10s. 3d., as against £2,498 Is. lOd. for the previous year.

ENTRIES OF VISITS TO THE DIFFERENT ASYLUMS. Auckland Asylum. 14th November, 1901. —To-day and yesterday I have been engaged in examining this Asylum. The accommodation on the female side is now full up, and overcrowding must be the result from this date. The Government not having seen their way to agree to my urgent appeal for a new asylum, I am now reduced to fall back on an alternative proposal—namely, to build a new laundry, so as to enable us to put a second story on the old laundry ; when on, the two floors thus set free, we could accommodate forty more female patients. This we could do ourselves, at a cost of £750, as estimated by Mr. Vickerman, and that without the necessity of employing any outside labour. I strongly urge the Minister to relieve the department of the threatened dangers by getting at once authority for this expenditure under Mr. Vickerman's supervision. The £750 is for the new laundry alone ; the second story I will get an estimate for. The patients this day number— males, 321; females, 192. I examined the food, clothing, bedding, &c, and found everything in a most satisfactory state. The new hospital wing on the male side is an excellent building, and is an immense advantage in the working of the institution. Dr. Beattie is carrying out the ventilation of the buildings, which was very much needed ; on the female side an immense improvement has been already effected. I found four men and two women only confined to bed, all under proper care. Since Dr. Webster left, Dr. Beattie has carried on the institution single-handed, and it is only due to him that I should record my admiration for the results of his admirable energy, care, and devotion to duty. The whole staff appears to be animated by an excellent spirit. Mr. Newport has gone back to his old asylum at Sunnyside. His work at this institution was excellent in all respects. He has been succeeded by Mr. Farrant, whose work at Mount View Asylum for many years marked him out for promotion. I hope he will fully justify the responsibility which has been cast on him by his promotion to Auckland. Visited by Deputy Inspector, 30th May, 1901, and 6th February, 1902.

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191 il. 1900. 1901. 1901. Asylum. Total Cost per Patient. Total Cost per Patient, less Receipts for Maintenance, Sales of Produce, &o. Total Cost per Patient. Total Cost per Patient, less Receipts for ; Maintenance, Sales of Produce, &o. Decrease. Increase. mckland Jhristchurch ... ieacliff lokitika Telson 'orirua Vellington £ s. d. 24 6 0 26 6 4£ 28 13 If 26 16 9 33 12 11£ 27 19 0 36 6 3* £ s. d. 17 6 2 17 12 llf 19 17 8 24 18 2 26 16 4£ 22 18 6J 28 6 0 £ s. d. 25 0 1 26 19 9 27 3 1 25 15 5 • 31 10 llf 27 6 11 33 19 2 £ s. d. 18 2 9J 20 7 5f 20 13 8 23 4 2 24 14 7f 23 18 9 24 19 10 £ s. d. £ s. d. 0 16 T: 2 14 6 0 16 0 1 U 0 2 1 8i 1 6" 2 3 6 2 Averages ... 28 1 11 20 16 11 27 11 llf 21 9 5 0 12 5

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Christchurch Asylum. 2nd December, 1901.—1 find this Asylum is working very satisfactorily in all its departments. All the clothing is suitable. The dinner to-day was excellent in quality and abundant in quantity. The total number of patients is 549—males, 304; females, 245. Those who are confined to bed under treatment number nine men and ten women. The amount of restraint shown by the register is very moderate, and each case is carefully recorded. The unemployed amount only to ninetythree males and sixty-one females. I think the time has arrived for removing the piggeries. The north house will serve its present purpose for some time longer, though it is a good deal worn out. The overcrowding on the male side, i.e., excess over the statutory accommodation, is eighty, and the female side is full. This state of things makes it very difficult to deal with the cases of erysipelas which occur here at intervals. The vigour and efficiency of Dr. Levinge's rule is everywhere manifest, and the staff on the whole is working well. Visited by Deputy Inspector, 9th September, 1901, and Bth and 10th January, 1902. Seacliff Asylum. 28th November, 1901.—1 found six males and five females in bed, all being carefully treated. I saw an excellent dinner served out, the distribution occupying exactly ten minutes. The plates were warm, and the order and quietness very satisfactory. The total number of males is 417; females, 223. Six males and eight females are wet or dirty cases. Two hundred and ten men are working outside, and 103 inside. Fifteen women are in the garden picking gooseberries. A very beautiful site has been chosen for the new nurses' home. The building is very suitable, and very picturesque in design. Both this and the row of new rooms on the female side will be ready for occupation as soon as the needful furniture can be procured. No further building operations ought to be undertaken here ; the overcrowding must be provided for elsewhere. Visited by Deputy Inspector, 30th June and 26th August, 1901. Hokitika Asylum Visited by Deputy Inspector, 29th April and 26th December, 1901. Nelson Asylum. 11th November, 1901.—1 found the whole Asylum in good working order. The patients are all carefully attended to by Dr. Mackie. The general discipline of the institution is good. Fifty male patients are working on the farm and garden. The porch at the cottage-building on the hill is now being built, and it will be a great protection from the north-east. The farm is rather backward owing to the unfavourable season. The new piggeries and workshops are very urgently needed. Many of the fruit-trees seem to me to be too old, and many of the apple-trees are useless from American blight. The patients are well clad, and all their beds are clean and comfortable. I found only one woman in bed. The chronic difficulty about the water-supply is causing much trouble and anxiety. Mr. Fell and Mr. Melhuish are very interested in all that concerns the good of the asylum, and I owe a great deal to their disinterested services. Visited by Deputy Inspector, 3rd July, 2nd November, and 16th December, 1901. Porirua Asylum. Bth July, 1901. —This Asylum is working well in all its departments. The patients are all warmly clad. Their dinner was abundant and good. Visited by Deputy Inspector, 22nd May, 17th August, and 2nd October, 1901. Wellington Asylum. 6th November, 1901.—The extension of the refractory day-room is a great boon to the female patients. I find everything in good order. Dr. Gow, notwithstanding Dr. Coker's absence on leave, has kept everything going smoothly. The patients are all very suitably clothed, and well cared for in every respect. 6th February, 1902.—1 have made a careful examination of this Asylum to-day. The number of patients is 256—males, 153; females, 103. Only three women are in bed, none seriously ill. I found the dinner excellent; broth first-rate, mutton, potatoes, and rice-pudding. The whole Asylum is kept scrupulously clean, and is in good order. The patients are all suitably clad. I found the stock carefully kept. A good spirit inspires the staff, though there is a good deal of dissatisfaction and some changes, which are attributable to the recent agitation for shorter hours and an increase of wages. Dr. Gow is absent enjoying his well-earned holiday, and his duties are very satisfactorily performed by Dr. Young. Visited by Deputy Inspector, 21st May, 15th August, 14th October, sth November, and 10th December, 1901. Ashburn Hall. 29th November, 1901. —I have gone all over this institution, and found everything in good order. The patients are—women, 22 ; men, 21. All are carefully looked after in every way. The

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buildings are clean and comfortable, the staff efficient, and the grounds and surroundings beautiful. All who have relatives here may rely on it chat they are well treated and cared for. The cottage has been made very attractive and comfortable. Visited by Deputy Inspector, 27th August, 1901, and 9th February, 1902.

MEDICAL SUPERINTENDENTS' REPORTS. AUCKLAND ASYLUM. Sib — I have the honour to forward my report for 1901. Our population increased during the year from 487 to 515. Unfortunately the admission-rate continues high. It is pleasing, however, to note that only thirty-seven female patients were admitted ; and it was fortunate, both for ourselves and for the patients, that that was so. Our accommodation for females is overtaxed, and with an average increase present discomforts and difficulties would have been intensified. The average number of patients resident for the year was 502-25 ; the percentage of recoveries, 40-7 —males, 32-89 ; females, 56-75—and the percentage of deaths, 7-17. Of those who died, 222 per cent, were tuberculous. I regret to record that four cases of typhoid fever came under treatment during the first three months of the year. These are the only cases I have had to deal with since I first became connected with the Asylum. One male and one female attendant and one male and one female patient were attacked. The male attendant, who had been ill for probably a fortnight before making complaint, died a few days afterwards. He was a young man of more than average ability and one of the best attendants I have had. His loss was severely felt by myself and by the whole staff, with whom he was a general favourite. lam of opinion that his condition was clearly traceable to the Auckland City nightsoil depot at Point Chevalier. The other three cases, which were probably due to the first, recovered. The general health of the patients has been good, although we have now a large number of old and feeble patients, who are gradually showing signs of more rapid decay. The usual work of the Asylum has progressed very favourably during the year, whilst a large amount of work has been done in the ventilation of the main building and in various unseen directions. The new female airing-court was opened early in the summer, and has proved a great acquisition. The female patients now having about 3 acres of ground for recreation, have become less difficult to control, and consequently less irksome to the nurses, whilst the general health has much improved, and the constant friction and irritations induced by more cramped confinement have been to a large extent removed. The new male hospital wing was opened in October. It is the most convenient portion of our Asylum. It is sun-exposed for the whole day, and commands an extensive view of the upper reaches of the harbour and many miles of landscape. I desire again to draw attention to the urgent need for increased female accommodation. We are unfortunate in this Asylum in having a very large refractory female population, and our indoor accommodation for these patients is quite inadequate. I am pleased that my suggestions for increasing the accommodation have been approved, and I trust that there will be no unnecessary delay in authorising the commencement of the work. My thanks are again due to the officers and staff for their loyalty and devotion to duty; to the Official Visitors, who exhibit unfailing interest in the welfare of the patients and the Asylum, and who are always ready to assist me with solicited advice ; and to the Fire-brigade's Band, and the proprietors of the Herald, for music and newspapers furnished gratuitously. I have, &c, E. M. Beattie, The Inspector-General of Asylums, Wellington. Medical Superintendent.

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SUNNYSIDE ASYLUM, CHRISTCHURCH. Sir — I have the honour to submit the annual report on this Asylum for the year ending 31st December, 1901, together with the usual statistics of the admissions, discharges, and deaths, as follows :—

Percentage of discharges of first cases on admissions ... ... ... 30^ „ all discharges on admissions ... ... ... .. 36 t 7 tj- „ deaths on admissions... ... ... ... ... 30^§ „ deaths on number under treatment ... ... ... 5JOn the Ist January there were 514 patients on the Asylum books, viz. : 283 males and 231 females, which, together with 104 admissions, gave a total of 618 under treatment for the year, being fifty in excess of the previous year. This augmentation is chiefly accounted for by the increased number of admissions—viz., thirty-eight, as compared with those of the year 1900, when they were remarkably low. Of those admitted for the first time during the year under review over 30 per cent, were released in the same period, while the percentage of all those discharged relieved or recovered on all admissions was over 36 per cent. If this percentage is not as high as that obtaining in the asylums of the Old Country, it must be remembered the difference in the class of patients committed to this Asylum, which has become a dumping-ground for defective troublesome children, and old people in their dotage, who elsewhere would be sent to other more suitable institutions or homes. In fact a very large proportion of the admissions, composed as they are of epileptic, imbecile youths and children, and senile cases, are most unfavourable as regards recovery, and have become a burden and clog on the proper functions of the Asylum, rendering it more of an alms-house than a hospital for the insane, preventing any proper efficient classification, and, I have no hesitation in saying, interfering with the recovery of curable cases. This abuse has been pointed out by myself and my colleagues in previous years, and last year was put before you very forcibly by Drs. Truby King and Gow, as well as myself, in connection with our respective Asylums. It is becoming more aggravated each year, but it seems a3 if some serious accident only will put a stop to the committal of such cases here, for it is highly dangerous to the old people, as it is quite impossible to classify them with due regard to their safety from the violence of their fellow patients. But the practice is not only wrong to the individuals themselves, it is also a needless slur on their posterity. The recovery-rate is thus much below that of the previous year, and this largely accounts for the increased accumulation referred to below. There were thirty-two deaths, against fifteen for the year 1900, which was much below the average ; and these, taken with the discharges, forty, and deducted from the total under treatment, gives the number remaining on the books at the end of the year 1901, viz., 546, which is an increase of thirty-two, or an excess of twenty over that of the previous year. Of the thirty-two deaths, twelve were of patients admitted during the year, of whom five were over seventy, and eight over sixty years of age. Four cases of enteric fever, one male and three females, occurred towards the end of the summer, but all made good recoveries, though one had several relapses and was thus prolonged. The male patient was not specially isolated for want of some proper accommodation, yet no further cases occurred in that division. The females were treated apart from the others as far as the means permitted, and the disease was thus confined to the few mentioned. I was quite unable to assign the cause of this outbreak, for the patients had had no communication with the outer world which could reasonably account for the infection ; and the fact that the disease was limited to so few was proof, I think, that it was not due to any insanitary condition in the Asylum itself. Two cases of scarlatina, one in the male and one in the female division, also developed; the latter was in a patient who had just given birth to a child, who, being mentally convalescent, was

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Male. Female. Total. Admissions. .dmitted first time Readmitted 47 10 38 9 85 19 Totals 57 47 104 Discharges. Recovered and relieved lot improved 15 1 23 1 38 2 Totals 16 24 40 lumber discharged who were admitted during year lumber died „ lumber remaining „ 10 10 37 L6 2 29 20 12 66 Totals ' 57 47 104 Deaths II 21 32

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removed by arrangement to the hospital, where she eventually recovered. The male patient was treated in the Asylum, and also recovered, and, though no special arrangement could be made for his isolation, the disease was confined to him. Scarlatina was at the time prevalent in Christchurch and the surrounding districts, and the fact that it did not spread further in the Asylum is additional evidence of the satisfactory sanitary condition of the institution. Two patients gave birth to children in the Asylum during the year : one (referred to above) during arrangements for her removal to her friends, subsequently contracted scarlatina; the other, the subject of acute mania, whose release was out of the question, and who was in very low physical condition from prolonged excitement, developed septicaemia from which she died. In both cases the children were removed as soon as practicable. There were no suicides, fractures, or serious accidents involving life. The overcrowding, especially of the male division, has become greatly aggravated, without any apparent prospect of relief, though it has been repeatedly brought under the notice of the Department by myself and others in their official reports of recent years, and its alarming nature pointed out. lam powerless to do more, and can only disclaim responsibility for the condition and the consequences. On the female side the single-room sleeping-accommodation is not nearly sufficient, so that the proper and safe classification of the patients at night is impossible, many of them occupying dormitories, who, from their objectionable habits or dangerous tendencies, are not fit associates for the better behaved inmates. This has arisen from two chief causes : the extension of the general accommodation from time to time without the provision of more single rooms, and the occupation of many of the latter, originally intended for patients, by extra female attendants, owing to the great increase of the staff in recent years. I have pointed out how this can be to a large extent relieved by the building of a small semi-detached block for the sleeping accommodation of a certain number of female attendants, thus rendering available for patients several rooms now occupied by the former. A Nurses' Home is now considered a necessary adjunct to all well-equipped hospitals and kindred institutions, and has been already provided at many asylums, so that I trust such an amelioration of the life and condition of our female attendants will shortly be accomplished here. If it is necessary at a general hospital, it should not require any argument to show its greater need in an institution of this kind, where the attendants have longer hours of duty in constant association with the insane, less interesting work, and more trying and exacting duties. In my report last year I drew special attention to the marked unrest and desire for change amongst the Asylum employees, and stated what were, in my opinion, the chief reasons thereof; the same state of things has continued more or less, and has been at times embarrassing, though I do not think it interfered to any extent with the efficient working of the institution. When the vastly improved condition as regards remuneration of this class of employee in the general labour market is considered, with the fact that there has not been any corresponding increase of the salaries of the ordinary male and female attendants for many years, it cannot cause surprise that there should be greater difficulty in getting and retaining the services of suitable persons. The salaries at which the female and the ordinary male (as distinguished from the tradesmen attendants) are now engaged, have not been altered for the last twenty years, and I think the time has now arrived for their revision, or for greater inducement of some kind. The farm is each year becoming a greater source of profit, and the increased yield of milk and butter, and of general produce for sale and home consumption, has a very marked effect on our maintenance rate. The expenditure thereon has been heavy, but was largely for permanent improvements, and will not recur. Of the receipts for produce sold, the sum of £1,190 was paid into the Public Account, the chief items being, roughly : Cattle, £249 ; horses, £73 ; pigs, £222; hams and bacon, £147 ; potatoes, £254 ; peas, £136; mangolds, £40; poultry, £26, &c.; while during the year 12,564 lb. of butter and 10,685 gallons of fresh milk were supplied to the building, besides a large amount of skim-milk used in cooking, &c. If the value of this dairy produce, at contract price, and if all the potatoes (85 tons), vegetables, fruit (8J tons), poultry, eggs, fresh pork, veal, &c, be added to the above it will, I think, be seen that if our labour is cheap it is advantageously employed. We have now, I believe, one of the largest and best dairy (Ayrshire) herds in the colony, and are able to sell our young stock, for which there are numerous inquiries, at highly remunerative prices. The yield of milk for the year 1901 amounted to 435,563 lb. as against 312,6531b. for 1900, an increase of 122,9101b., equal to about 12,290 gallons. During the year women cooks were substituted for men in the kitchen, giving, amongst other advantages, a greater variety of domestic employment to our female patients. In consequence of this change it will be necessary to cover in the kitchen-yard with a raised glass roof, open round the sides for ventilation, and to build rooms for the cooks in proximity to their work; as this can be carried out at very small cost (about £200) I trust no time will be lost, as the former will afford the patients much-needed protection from rain and inclement weather, and the latter relieve other accommodation for its more proper purpose. I cannot close this year's report without a reference to a practice which has come under my notice and exercised my mind a great deal for the last year or two—viz., the extent to which persons are now compulsorily placed and detained in homes, or so-called private hospitals, kept for the lucrative advantage of the proprietors. I feel the more justified in drawing your attention to this subject as some of these patients have, after longer or shorter periods of such confinement, been committed here in legal form when their prospect of recovery had become hopeless, and, it may be, the resources of their friends well nigh exhausted; whereas had they been sent to a properly equipped asylum under experienced management, and conducted with a primary view to the recovery of the patient, at an early stage of the malady, they might not have become permanent burdens of the State. I am aware of the reluctance of many persons to allow their relatives

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to be committed to public asylums, and their postponement of it as long as possible; but I think this might be largely overcome by such measures as I advocated in a former report—viz., a different mode of committal (other than through the police ; sometimes, even, in open Court), and by the disuse of the terms " lunacy " and " lunatic " as applied to our asylums and their inmates ; perhaps also by the reception of voluntary patients, as advocated by Dr. Truby King. If it is necessary to have such private homes, they should at least be under some form of Government control and inspection, and I am inclined to think that they would be much safer and better conducted as detached hospitals in connection with the several State asylums. Many persons who are reluctant to send their friends to a public institution, detaining them at home as long as possible, till the disease has become hopelessly confirmed, would, I believe, gladly avail themselves of the more private form of institutional treatment just referred to, in preference to that of the socalled homes. The late head-attendant, Mr. Chapman, severed his connection with this Asylum at the end of November, after nearly twenty years' faithful and arduous service, on his promotion to the charge of the male department of the inebriate home at Waitati. To him and my other fellow-officers, including my colleague Dr. Crosby, I am much indebted for hearty co-operation in the discharge of my duties. I have, &c, Edward G. Levinge, M.8., The Inspector-General of Asylums, Wellington. Medical Superintendent.

SEACLIFF ASYLUM. Sir — I have the honour to submit to you the following report on the Seacliff Asylum for the year 1901 :— In regard to the statistics, a point of special interest is the very large number of admissions, viz., 141; and although nearly the half of this number were discharged either relieved or recovered the number remaining is a serious charge. A great increase has been made in our accommodation during the last few years, but it has not been sufficient to overtake the pre-existing overcrowding and to provide for new-comers. We have now seventy more patients than the cubic space warrants, and this makes itself felt in an unduly high death-rate, especially from respiratory diseases, which caused twenty-two deaths during the year. Fifteen deaths were due to tuberculosis. The light and airy new buildings which have been erected of late maintain the health of the patients lodged in them, but in the main building it is impossible to secure a proper standard of light, air, and dryness; and when we have to contend with the sequelae of epidemics of influenza and measles, as has been the case during the past year, the effects of overcrowding are especially manifest. Various works in connection with the estate have been carried out, and the usual recreations have been provided during the year I regret to have to record a homicide by one of the patients, which is, however, the only accident of the kind which has happened at the Asylum during thirteen years. The act was a remarkable one, a suicidal melancholic patient killing a sleeping Chinaman with a stake wrenched from a flower-pot. The man had tried unsuccessfully to kill himself before coming to the Asylum, and, finding the direct road to death still closed to him, he sought to effect his purpose indirectly by committing murder, thinking that he would be hanged for doing so. There is a slight increase in the gross cost per head this year, but this is more than accounted for by the large sums which have to be refunded from the Public Works Department. Besides this, the necessary repairs and additions to buildings, &c, charged here against annual expenditure have been very heavy. The thanks of the authorities are due to the Otago Daily Times and Witness Company, and to the Evening Star Company, for copies of their journals (supplied free). Very acceptable donations of books, periodicals, &c, have also been received from private individuals. To my colleague, Dr. Falconer, and to the staff, I have to convey my thanks for their cordial assistance in carrying out the work of the institution. I have, &c, F. Teuby King, The Inspector-General of Asylums, Wellington. Medical Superintendent.

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PORIRUA ASYLUM. I have the honour to submit the following report on the Porirua Asylum for the year 1901 :— At the beginning of the year there were 463 inmates, and at the end 515. The average number resident was 501 (255 males and 246 females), and the total number under care 464. One hundred and one patients were admitted, of whom twenty males and twenty-five females were admitted for the first time, fifty-three males and one female were transferred from other asylums, and two females were readmitted. Twenty-four patients were discharged as recovered, three as improved, and one transferred to another asylum. Twenty-one died, making a death-rate of 41-9 per thousand on the average number resident. Nearly half of the deaths were of the aged and chronically insane, which form so large a proportion of the population in this asylum. Ten who died had been inmates for upwards of ten years; and of these, one had been twenty-eight years, one thirty-one years, and one nearly forty-eight years in this and other asylums of the colony. This last case probably forms a record of longevity in our asylums. His was the first case registered in the Wellington Province. He was admitted into the old Karori Asylum on the Ist January, 1854, was subsequently transferred to Mount View Asylum, and finally to Porirua Asylum, where he died in August last. Other Medical Superintendents have in former reports referred to the committal of helpless, infirm, and even bedridden patients to our asylums. Such cases, although demented, are quite harmless, and only require the care and nursing often demanded by the aged, and in no way require asylum treatment. Sometimes these patients are sent to the asylum on the initiation of their relatives, who, perhaps, are unwilling to bestow on them the necessary attention and trouble; but, in my experience, they sometimes come from some hospital or other charitable institution, where they are considered troublesome and .fit for asylum custody because they wander in their speech, or are somewhat irritable and garrulous. There seems to be an increasing tendency to shunt these cases on to the asylum. Several have been admitted here lately, and one arrived almost in a moribund state, and died a few days afterwards. Only one serious accident occurred in the course of the year. In November a female patient who was apparently convalescent, and was about to be discharged, drowned herself in the Asylum reservoir. She made her escape one Sunday forenoon while church service was being held. She had previously never shown the slightest suicidal tendency. What was the apparent motive of her conduct, and the whole of the circumstances in connection with this unfortunate case, I explained to you at the time. At the Coroner's inquest a verdict which did not attach any blame to the members of the staff was returned. In my report two years ago I recommended that both branches of the stream that flows through the Asylum property should be led into the main reservoir which supplies the Asylum with water. This has now been done, and I feel confident there is no longer any danger of the supply running short in a dry season. In the engineer's department important additions to the plant have been made. A large new ■boiler, generating steam for all purposes, has been erected ; an auxiliary direct-acting engine and dynamo, capable of running the electric-light independently has been installed, as well as a complete set of new cells for the storage of electricity. The electric-lighting plant is now ample and efficient, and the service works admirably under the able management of Mr. Anderson, the chief engineer, who has proved himself a most valuable officer. It was found that the septic tank for the reception of sewage from the main building was too small. Its capacity was only about 7,000 gallons, whereas the volume of sewage averages nearly 30,000 gallons daily. In consequence of this it happened that the flow through the tank was too rapid to allow the bacteriolytic process time to liquefy the solid constituents, which thus gradually accumulated and blocked the tank. I therefore recommended the construction of a new septic tank, having four times the capacity of the old one. This has been done, and I have no doubt but that the bacteria will now be able to do their work satisfactorily. A new poultry-farm has been formed on the estate. A suitable site has been selected, and a series of fowl-houses built on modern principles. We are now busy erecting a house for the incubators, and for the preparation and storage of fowl-food, as well as a building for fostering chickens. We shall have ample accommodation to raise 1,500 head next season. The old system of electric fire-alarms was not efficient, and an entirely new system has been installed, which greatly facilitates rapid concentration of the means of extinguishing an outbreak of fire should it occur. In various parts of the main building and in the more important buildings around there are switches, enclosed in boxes with glass lids, so that by breaking the glass and turning on the switch an alarm is raised. The effect of turning on the switch is to localize the alarm on an indicator at the central station, to ring a loud electric bell heard throughout the main building, and to sound a steam-whistle over the boiler-house. The arrangements for extinguishing a fire after alarm is given are efficient. Fixed hoses always ready for use both inside and outside can play water at high pressure on any point where a fire may occur. The danger from fire is further minimised by fireproof staircases, by fireproof partitions in the roof-space, and by steamheating of the wards, in which no fireplaces are used. Our two fire-brigades are drilled from time to time. The most pressing requirement now is additional airing-court accommodation for the patients. Plans have been prepared, which, when carried out, will give an extensive area for recreation for both the male and female patients, and will greatly improve the outlook on the north side of the asylum. Other requirements which I think should receive consideration are a separate building for recent and curable cases, and a home for the nurses. Some of the rooms now occupied by the

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latter are already too crowded, and if a home were built rooms would be available for such patients as would benefit by segregation. As to a separate building for recent and curable cases, there is no question it is desirable to separate such cases from the chronically insane. At present this is impracticable at this Asylum, and thus many on admission are placed under conditions and in surroundings which are not conducive to recovery. Throughout the year the general health of the patients has been good, and, considering the number of inmates, there has been very little sickness in the wards. The patients have been encouraged in every way to occupy themselves usefully, and much has been done by them in all departments inside the asylum and outside on the estate. Their amusements and recreations have been duly attended to. Greater variety to their evening entertainments has been effected by the formation'of a dramatic company, consisting of members of the staff, under the management of Dr. Barraclough, who has devoted much time to the matter and succeeded in bringing out a series of very creditable performances, which the patients have greatly enjoyed. I have to acknowledge the able assistance rendered by my colleague Dr. Barraclough, and the efficient manner in which the senior officers and others on the staff have carried out the duties entrusted to them. I have, &c, Gray Hassell, M.D., The Inspector-General of Asylums, Wellington. Medical Superintendent.

WELLINGTON ASYLUM. Sir — I have the honour to present to you the annual report of this Asylum for the year ending the 31st December, 1901. On the Ist January there were 278 patients resident: 188 males, and ninety females. As there is accommodation for only 141 males there was a great deal of overcrowding, but this was gradually diminished by sending batches to Porirua, and by the 15th March relief had been got in this way to the number of fifty-two. At the end of March, owing to a small admission rate and several discharges, the numbers on the male side had been reduced to 133. At the same time there were only eighty-one females, so that the congestion had been completely overcome. There has been a marked diminution in the number of admissions of male patients during the year, there being only sixty-nine, as compared with 102 in the previous year. On the other hand, the female rate has slightly increased—namely, thirty-eight, as compared with thirty-one. These figures do not furnish any indication of the incidence of insanity in the district, because the new wards at Porirua were finished, and patients were being admitted there as well as here. To get at the true history of the insanity of the year it would be necessary, therefore, to combine the statistics of the two asylums. The recovery-rate shows a very satisfactory condition of affairs. Of the males, 57-9 were discharged recovered, and 578 females. Comparing the recovery-rate with that of last year, it is impossible not to be struck with the marked improvement on the male side, and one is bound to give the credit of part at least of this improvement to the relief of congestion by the transfer of so many patients to Porirua ; and it is a strong argument in favour of the immediate building of another asylum, as the relief given was only temporary, and at the end of the year, owing to the natural increase of admissions over discharges, our numbers were again rising, and on the male side we were eleven and on the female side ten over our statutory number, making a total of 252 patients on the 31st December. There have been fewer readmissions during the year, nine males and seven females. The physical condition of the patients on admission has been similar to that of former years, and it is reflected on the death-rate. Of thirteen deaths on the male side, ten were of patients who had been in less than a year. Two of these were ever seventy years of age when admitted, and there were five general paralytics, who died within seven months of admission : one died of exhaustion from drink and dysentery, one of tuberculosis, and one from heart-failure. Of the other three cases one died of melancholia and exhaustion, another of general paralysis, after eighteen months, and the other of senile decay after a residence of fifteen months. These figures show a wonderful condition of the health of the patients who have lived some time in the asylum. Of the four deaths on the female side two died of heart disease, one from shock after operation for hernia, and the other of senile decay. None of these were recent cases. The percentage of deaths to admissions was 18-8 for males and 105 for females, or an average of about 15 over all. Calculated on the average number resident, the death-rate is 7-1 for the year. We have been very free from accidents during the year, there being only two cases of broken bones. One of these was in a patient who was persistently trying to get out through the door, and an attendant had a struggle with him, which resulted in the fracture of a rib and rupture of the urethra. The patient made an uninterrupted recovery; but an inquiry was held, and as there was at least the suspicion of rough usage the attendant was dismissed. In the other case, fracture of ribs was found at the autopsy, but no blame was attached to any one by the Coroner's jury, as the patient, who suffered from general paralysis, had been very restless and tumbled about a good deal, and his condition was of a nature that such an untoward event might have been expected. At one time there was a large amount of sickness owing to an epidemic of influenza, and immediately following this an epidemic of measles; but both were kept well under control, and no deaths resulted. The alterations in connection with the female refractory day-room have now been finished, and they conduce to the safety and comfort of the patients. A small dormitory added to this ward

2— H. 7 T

9

H.—7.

would be a great convenience, as there are patients in the ward who do not require single rooms, and who have to be conducted over to the wing every evening. The male refractory day-room is too small, and this is especially apparent in wet weather, and is a source of anxiety, as the patients are inclined to be quarrelsome, and it also has a detrimental effect on the recent cases who, unfortunately, have to be treated there. The danger of fire in the building is a serious consideration, and at my request the Public Works Department have begun to instal the May-Oatway automatic alarm, which will be connected direct with the Newtown Fire-station. In this connection I would beg to draw your attention to the poor supply of gas to the institution, and I would strongly recommend that, instead of patching up the existing pipes, which are corroded and leaking badly, electric light should be introduced, thus affording better light, as well as safety from fire. Towards the end of the year I began to photograph all patients on admission, and it affords a valuable aid to identity, and allows a comparison to be made of the patient's condition on admission and discharge. There are several idiot children among both the males and females, and it is a pity to see the chance of educating what little brain-power they have being lost for want of a separate institution, and officials who have been trained for this special work. It would be a boon to the children themselves if an idiot home were erected for the colony, and also a great relief to the adult population of the asylums, who are wearied and upset by the tricky and mischievous ways and mournful and monotonous cries of these unfortunates. The question of morality and heredity, as it bears on insanity and criminality, has been forcibly thrust upon me by one case admitted during the year. Herewith I give a statement of this patient's antecedents and progeny, and one is bound to wonder if there is no State remedy to prevent such an awful legacy being left to pollute the coming race : Mr. X married V, and the marriage produced Mrs. Z, the patient spoken of. Mr.' X also lived with a woman to whom he was. not married, and " the children followed father's footsteps " (Police report). Mrs. V lived with a man out of wedlock, and produced, with one or two exceptions, children similar to their parents, " generally immoral and depraved." Mrs. A lived at one time with Mr. A, but also lived with a Mr. B, and they produced B (boy) and B (girl). At the present time the afore-mentioned Mr. A is living with B (girl), his former paramour's daughter. There have been several attempts at escape during the year, and three men and one woman eluded pursuit at the time, principally owing to the proximity of the Asylum to the town, but all were recaptured except one man, who was concealed by friends, but was afterwards recommitted. Walking parties go outside the grounds every Sunday, and there are a large number of patients on parole, whilst others have been allowed out for a day in the care of their friends. This affords great pleasure, and is a bright spot on the horizon of some of the quiet and well-behaved, who are not yet well enough to be trusted with full liberty. There are the usual fortnightly dances, and these are varied at times by visits from musicians and singers from the town. The picnic was held at the Government grounds at the Upper Hutt, and was attended by over one hundred patients. There has been a feeling of unrest and many changes among the attendants, due principally to the small inducement to stay in the service. This might be overcome by either a bonus or a pension at the expiry of a certain number of years. To the officers and staff I have to convey my hearty thanks for their co-operation in carrying out the working of the institution for the past year. I have, &c, The Inspector-General of Asylums, Wellington. W. Baxter Gow, M.D.

D. MacGeegoe, M.A., M.8., Inspector-General of Asylums.

10

H.—7.

APPENDIX.

Table I.—Showing the Admissions, Readmissions, Discharges, and Deaths in Asylums during the Year 1901.

Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries at per Cent. on the Admissions, &c., during the Year 1901.

Table II.— continued.

Table II.— continued.

11

in asylums, 1st January, 1901 Admitted for the first time Readmitted m. 281 92 r\ 186 38 T. 467 130 1,581 1,091 2,672 } 373 224 597 Total under care during the year Discharged and removed— Recovered Relieved Not improved Died 125 40 33 102 104 17 3 72 229 57 36 174 1,954 1,315 3,269 300 196 496 Remaining in asylums, 31st December, 1901.. 1,654 1,119 2,773 increase over 31st December, 1900 73 28 101 Average number resident during the year 1,622 1,094 2,716 •

In Asylums issi Ions in Total Number of Asylums. Patients under Care. 1st January, 1901. Admitted for the First Time. Readmitted. Total. Auckland Christchurch Dunedin (Seacliff) Hokitika Nelson • .. Porirua Wellington Ashburn Hall (private asylum) M. P. T. M. 297 190 487 67 283 231 514 47 401 224 625 71 87 34 121 6 85 52 137 5 218 245 463 I 20 188 90 278 60 22 25 47 5 F. T. M. 32 99 9 38 85 10 48 119 9 3 9 4 9 2 25 45 53 31 91 9 5 10 F. 5 9 13 i 3 7 T. 14 19 22 3 56* 16 M. F. T. I M. 76 37 113 373 57 47 104 340 80 61 141 481 6 3 9 93 7 5 12 92 73 28 101 : 291 69 38 107 I 257 5 5 10 27 F. 227 278 285 37 57 273 128 30 T. 600 618 766 130 149 564 385 57 Totals .. 1,581 1,091 2,672 i 281 186 467 92 38 130 373 224 597 1,954 1,315 3,269 * Including 53 males and 1 female transferred from other asylums.

Patients Discharged and Died. In Asylums on the Asylums. Total Discharged and Died. Discharged recovered. Discharged not recovered. 31st December, 1901. Died. LUckland .. Jhristchurch lunedin (Seacliff) lokitika lelson 'orirua Vellington .. .shburn Hall (private asylum) M. 25 12 22 4 3 16 40 3 F. 21 19 28 1 1 8 22 4 T. 46 31 50 5 4 24 62 7 II. 3 4 9 F. 0 6 1 T. 3 9 15 1 M. 23 21 27 4 4 10 13 F. 13 11 25 4 2 11 4 2 T. ! 36 32 52 8 6 21 17 2 M. 51 37 58 8 7 27 105 7 F. T. 34 85 35 72 59 117 6 14 3 10 22 49 28 133 9 16 M. F. 322 193 303 243 423 226 85 31 85 54 264 251 152 100 20 21 T. 515 546 649 116 139 515 252 41 1 52 4 3 2 3 4 54 7 Totals 125 104 229 73 20 93 102 72 174 300 196 496 1,654 1,119 2,773

Asylums. Average Number resident during the Year. Percentage of Recoveries on Admissions during the Year. Percentage of Deaths on Average Number resident during the Year. Percentage of Deaths on the Admissions. .uckland Ihristchurch lunedin (Seacliff) lokitika lelson 'orirua Vellington ishburn Hall (private asylum) .. M. 314 294 416 84 86 255 152 21 F. 188 240 228 32 53 247 85 21 T. 502 534 644 116 139 502 237 42 M. F. T. 32-89 56-75 40-71 21-05 40-43 29-81 27-50 45-90 35-46 66-66 33-33 55-55 42-86 20-00 33-33 80-00 29-63 51-06* 57-97 57-89 57-94 60-00 80-00 70-00 M. F. T. 7-32 6-91 7-17 7-14 4-58 5-99 0-49 10-96 8-07 4-76 12-50 6-90 4-65 3-77 4-32 3-92 445 4-18 8-55 4-71 7-17 0-00 9-52 4-76 M. F. T. 30-26 35-14 31-86 36-84 23-40 30-77 33-75 40-98 36-88 6060 133-33 88-88 57-14 4000 50-00 50-00 40-74 44-68' 18-84 10-53 15-89 00-00 40-00 20-00 Totals 1,622 1,094 2,716 39-06 46-64 42-17*, 6-29 6-58 6-41 31-87 32-29 32-04 : "ill ii d 1 feuu

H.—7.

Table III.—Ages of Admissions.

Table IV.—Duration of Disorder on Admission.

Table V.—Ages of Patients discharged "Recovered" and "Not recovered."

12

Ages. Auckland. Christchurch. Dunedin (Seaoliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Inder 5 years 'rom 5 to 10 years „ 10 „ 15 „ ., 15 „ 20 „ „ 20 „ 30 „ 30 „ 40 „ . 40 , 50 „ . 50 , 60 „ . 60 „ 70 „ „ 70 „ 80 „ Ipwards of 80 years rnknown M. F. T. M. F. T. I M. F. T. M. F. T. ;m. p. t. M. F. T. M. F. T. M. F. T. M. F. T. 1 0 1 2 0 2 2 3 5 19 10 29 15 8 23 18 10 28 13 4 17 5 2 7 10 1 2 13 10 1 4 3 7 13 12 25! 13 16 29! 7 6 13 : 6 4 10| 6 2 8 3 3 6 1 0 1 0 2 2 4 6 10 10 21 31 il6 13 29 17 10 27 : 16 5 21 12 2 14 4 2 6i Oil 12 3 10 1 10 1 4 15 0 1 1 0 2 2 2 0 2 112! 0 11 15 4 19 16 9 25 20 8 28 15 5 20! 5 0 5: 2 18 12 3: 5 4 9 22 8 30j 13 5 18 16 12 28 8 4 12 112: 3 2 5 •• j 0 2 2 12 3 2 13 2 0 2 4 15 8 5 13 15 19 34 80 59 139 75 55 130 83 47 130 61 23 84 31 7 38 14 8 22 2 '6 2 10 1 i t 2 0 2 •• •• 2 "o 2 Totals 76 37 113 57 47 104 80 61 141 6 3 9 7 5 12 73 28 101 69 38 107 5 5 10! 373 224 59'

« Auckland. Christ- Dunedin church. (Seacliff). Hokitika. 1 Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. First Class (first attack, and within 3 mos. on admission) Second Class (first attack, above 3 mos. and within 12 mos. on admission) Third Class (not first attack, and within 12 mos. on admission) Fourth Class (first attack or not, but of more than 12 mos. on admission) Unknown II. F. T. 43 20 63 M. F. T. 20 18 38 M. F. T. 116 20 36 M. F. T. 3 3 6 , M. F. T. i 1 2 3 , .M. F. T. I 41 10 51 II. F. T. 40 11 51 M. F. T. 112 II. F. T. 165 85 250 8 5 13 5 5 10 H7 12 29 3 0 3 5 16 10 7 17 0 2 2 48 32 80 10 6 16 14 10. 24 14 8 22 1 1 2 17 10 27 10 8 18 4 2 6 70 45 115 15 6 21 15 10 25 33 21 54 5 2 7 •10 7 17 9 12 21 87 58 145 3 4 7 3 4 7 Totals 76 37 113 57 47 104 80 61 141 6 3 9 7 5 12 73 28 101 69 38 107 5 5 10 |373 224 597

Auckland. Christchurch. Recovered] rec^re d Reeovered| rec^red n-isi Lure] 'unci liu ieacJ Hokitika. Ages. , Not recovered Recovered Not , recovered. Recoverei M. F. T. M. P. T. M. P. T. M. P. T. m. p. T. M. P. T. M. P. T. M. p. T. 'rom 5 to 10 years . 10 „ 15 „ „' 15 „ 20 „ „ 20 „ 30 „ , 30 „ 40 „ ,. 40 „ 50 „ . 50 „ 60 „ . 60 „ 70 „ „ 70 „ 80 „ 0 2 2 12 8 20 4 4 8 8 5 13 112 0 1 1 1 0 1 2 0 2 10 1 3 6 9 3 7 10 2 4 6 112 112 1 0 1 0 2 2 0 2 2 1 0 1 112 2 0 2 1 1 2 15 6 6 10 16 7 5 12 5 2 7 2 5 7 Oil 12 3 2 13 5 16 0 1 1 2 0 2 0 1 1 1 1 2 1 0 1 1 0 1 Totals 25 21 46 3 0 3 112 19 31 4 5 9 22 28 51 9 6 15 4 15 0 1 1

Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Ages. Recovered. Not recovered. Re- Not recovered, covered. Re- Not covered. ' recovered. Re- Not recovered, covered. Recovered. . Not . | recovered. 'rom 5 to 10 years . 10 „ 15 . „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ .. 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ M. V. 1. M. f. t: M. P. T. M. F. T. M. P. T. M. F. T. M. P. T. M. P. T. M. F. T. M. P. T. CS 1 1 2 5 4 9 31 24 55 23 35 58 40 22 62 19 9 28 4 8 12 2 13 1 0 1 0 1 1 5 0 5 3 5 8 4 2 6 4 15 oil oil 4 15 9 3 12 7 7 14 16 5 21 4 4 8 0 1 1 Oil 12 0 12 10 2 12 14 0 14 11 0 11 4 0 4 1 0 1 Oil Oil Oil 112 2 0 2 10 1 12 3 1 0 1 10 1 0 11 0 1 1 14 5 19 14 9 23 23 1 24 13 2 15 8 2 10 1 0 1 2 0 2 oil 10 1 Totals 3 14 16 8 24 13 4 40 22 62: 52 2 54 3 4 7 4 3 7 125104 229 73 20 93

H.—7.

Table VI.—Ages of the Patients who died.

Table VII. —Condition as to Marriage.

13

Ages. Auckland. Christchurch. Dunedin Ti„i,itikn (Seacliff). HOKlllKa - Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. Oil M. F. T. M. F. T. M. F. T. ; M. F. 1. M. F. T. M. F. T. M. F. T. M. F. I. Oil 'rom 5 to 10 years . 10 „ 15 „ , 15 „ 20 „ ., 20 „ 30 „ ., 30 „ 40 „ , 40 „ 50 „ .. 50 „ 60 „ » 60 „ 70 „ .. 70 „ 80 „ „ 80 „ 90 „ )ver 90 years Jnknown 2 0 2 0 2 2 3 2 5 6 4 10 4 2 6 2 0 2 6 2 8 1 2 3 2 13 112 4 2 6 5 16 8 4 12 1 3 4 13 4 3 5 8 7 4 11 5 4 9 7 5 12 3 14 oil 0 22 4 15 •• •• 1 1 2 1 0 1 2 0 2 0 1 1 0 2 2 0 2 2 3 3 6 2 13 3 14 2 13 1 0 1 2 0 2 3 0 3 4 2 6 0 11 3 0 3 oil 3 4 7 3 9 12 10 10 20 20 13 33 20 12 32 18 11 29 28 9 37 0 1 1 oil o i' i 0 i 1 0 2 2 Totals 23 13 36 0 2 2! 102 72 174 21 11 32 27 25 52 4 4 8 4 2 6 10 11 21 13 4 17

Admissions. Discharges. Deaths. Auckland— Single Married Widowed M. F. T. 44 13 57 23 17 409 7 16 M. F. T. 20 8 28 6 10 16 2 3 5 H. F. T. 9 5 14 11 7 18 3 14 Totals 76 37 113 28 21 49 23 13 36 Chbistchurch— Single Married Widowed Unknown 33 21 54 22 23 45 13 4 1 0 1 8 12 20 8 11 19 0 11 7 10 3 1 3 10 4 14 4 7 0 1 Totals 57 47 104 16 24 40 21 11 32 Dunedin (Seacliff) — Single Married Widowed 49 31 80 28 22 50 3 8 11 16 9 25 15 20 35 0 5 5- • 15 13 28 11 9 20 13 4 Totals 80 61 141 31 34 65 27 25 52 Hokitika — Single Married Widowed 1 4 1 1 2 0 2 6 1 3 0 1 1 1 0 4 1 1 3 1 0 0 2 2 3 3 2 Totals 6 3 9 4 2 6 4 4 8 Nelson — Single Married Widowed 5 1 1 4 1 0 9 2 1 1 0 1 1 1 0 1 2 1 2 1 1 1 0 1 3 1 2 Totals 7 5 12 3 1 4 4 2 6 Pobieua — Single Married Widowed 46 10 56 22 15 37 5 3 8 10 6 1 3 13 7 13 1 2 7 3 0 3 10 7 10 1 1 Totals 73 28 101 17 11 28 10 11 21 Wellington— Single Married Widowed 48 13 61 18 19 37 3 6 9 58 3 61 30 17 47 4 4 8 7 5 1 0 2 2 7 7 3 Totals 69 38 107 92 24 116 13 4 17 Ashbuen Hall (Private Asylum)— Single Married Widowed 3 3 4 1 6 4 4 3 5 2 9 5 0 2 2 Totals 5 5 10 7 14 0 2 2 Totals — Single Married Widowed Unknown 228 97 325 121 100 221 23 -27 50 10 1 120 41 161 69 69 138 9 14 23 50 25 75 42 31 73 9 14 23 12 3 Totals 373 224 597 198 124 322 102 72 174

H.—7.

Table VIII.—Native Countries.

Table IX.—Ages of Patients in Asylums on 31st December, 1901.

Table X.—Length of Residence of Patients who died during 1901.

14

Countries. Auckland. Christchurch; »— Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum), j Total. I M. F. T. England .. Ill 66 177 Scotland .. 32 10 42 Ireland 56 46 102 New Zealand .. 80 58 138 Austral'n Colonies 4 4 8 France Germany .. 6 3 9 Norway .. 2 0 2 Sweden .. 2 0 2 Denmark .. 2 0 2 Italy .. 10 1 China .. 10 1 Maoris .. 5 6 11 Other countries .. 20 0 20 H. F. T. j 105 85 190 : 32 22 54! 69 61 130 63 49 112i 7 3 10' 1 0 1 4 0 4 4 0 4' j M. F. T. i 88 44 132' 120 76 196: 102 58 160: 50 32 82 1 ' 11 12 23' 0 2 2 11 0 11 8 19 4 0 4 ! 0 1 1 4 0 4 17 0 17 10 1 7 0 7. ill. F. T. 13 5 18! io i ii! 28 17 45 19 6 25 : 12 3 1 0 1 3 0 3 M. F. T. !25 12 37 6 4 10 19 8 27 28 26 54 1 3 4 1 0 1 M. F. T. 95 75 170 29 25 54 54 70 124 49 63 112 9 8 12 3 0 3 7 4 111 1 1 2 5 2 7 3 0 3 ! 2 2 41 10 1 2 3 5 4 3 71 M. F. T. i 44 25 69 16 9 25 27 14 41 53 41 94 2 2 4 2 5 7 0 2 2 2 0 2 1 2 0 2 I 1 0 1 1 0 1 1 1 2 112 M. F. T. 9 6 15 5 7 12 1 0 1 5 7 12 M. F. 490 318 250 154 356 274 347 282 35 29 5 2 34 12 15 4 16 3 11 1 13 2 24 0 10 12 48 26 T. 808 404 630 629 64 7 46 19 19 12 15 24 22 74 2 0 2 3 0 3 3 0 3 0 1 1 2 0 2 10 1 1 "6 1 4 0 4 12 3 12 21 33j 2 0 2 2 0 2 0 1 1 Totals :. 322 193 515 303 243 546 423 226 649; !85 31116i 85 54 139 264 251 515; 152 100 252 [20 21 41 1654 1119 2773

Ages. Auckland. Christ- Dunedin | Tx n vj t :i,,. church. (Seacliff). "ORitika. Nelson. Ashburn Porirua. Wellington. (p H»« e Asylum). Total. 1 to 5 years 5 „ 10 „ .0 „ 15 „ .5 „ 20 „ SO „ 30 „ >0 „ 40 „ 10 „ 50 „ iO „ 60 „ >0 „ 70 „ r 0 „ 80 „ Dver 80 „ Jnknown M. F. T. M. F. T. 10 1 10 13 14, 1 .2 3 2 1 3 3 5 8 9 7 16! 44 25 69 38 27 65! 60 33 93 55 61 116 86 53 139 65 53 118 67 39 106 63 48 111 45 25 70 48 29 77 13 7 20 14 13 27 1 3 4' 2 0 2 0 1 1 4 3 7i M. F. T. 10 1 112 1 8 4 7 5 12 I 53 40 93 78 48 126 107 50 157 79 49 128 77 23 100 14 6 20 5 1 6i M. F. T. Oil 0 1 1 13 4 17 12 0 12 7 4 11 21 8 29 ,22 11 33 6 0 6 10 1 3 2 5 M. F. T. 5 16 12 3! 11 4 15 9 16 25 19 10 29 21 12 33 13 8 21 6 17 M. F. T. 0 2 2 4 6 10 29 23 52 58 50 108 82 81 163 58 60 118 24 24 48 9 5 14 M. F. T. 4 2 6 3 3 6 36 25 61 27 22 49 85 23 58 35 18 53 9 5 14 3 2 5 M. F. T. M. F. 2 0 5 2 13 12 27 2') 0 2 2 224 150 4 3 7 303 283 4 4 8 405 278 6 5 11 350 239 4 4 8 242 129 1 2 8 66 36 1 1 2: 10 5 7 6 T. 2 7 25 56 374 536 683 589 371 102 15 13 Totals .. [322 193 515 303 243 546 85 31 116 85 54 139 264 251 515 r 1 20 21 411654 1119 2773 423 226 649. 152 100 252

Length of Residence. Auckland. Christ- Dunedin Hnkitikn church. (Seacliff). H°*"uca. Nelson. Porirua. Ashburn Wellington. (p^» 0 Asylum). Total. M. F. T. Under 1 month .. 12 3 From 1 to 3 months .. 5 0 5 „ 3 „ 6 „ .. 2 0 2 „ 6 „ 9 „ .. 3 0 3 „ 9 „ 12 „ .. 0 2 2 „ 1 „ 2 years .. 4 3 7 „ 2 ., 3 „ ... 0 2 2 ., 3 „ 5 „ 10 1 ., 5 „ 7 „ ..101 „ 7 „ 10 „ .. ! 2 1 3 „ 10 „ 12 „ .. 10 1 „ 12 „ 15 „ ..[Oil Over 15 years .. 3 2 5 Died while absent on trial ] M. F. T. M. F. T. 5 16 2 13 3 14 2 13 3 4 7 10 1 2 0 2 10 13 4 7 3 14 0 2 2 10 16 2 8 3 14 2 2 4 2 13 12 3 10 1 10 1 10 1 0 4 4 5 9 14 1 M. F. T. M. F. T. I M. F. T. ! 0 1 1 0 3 3 3 0 3 0 11 0 1 1 112 M. F. T. II. P. T. M. F. T. 6 4 10 14 5 19 14 5 19 7 18 4 8 12 13 7 20 11 5 16 6 6 12 4 2 6 3 6 9 4 2 6 2 3 5 14 18 32 10 1 3 0 3 4 0 4 10 1 .. 0 1 1 1 0 1 4 0 4 112 0 2 2 3 0 3 oil 1 1 2 0 3 3 2 13 0 1 1 4 2 6 oil o i l 0 i 1 2 0 2 Totals .. 23 13 36 21 11 32 27 25 52 4 4 8 4 2 6 10 11 21 13 4 17 0 2 2 102 72 174

H.—7.

Table XI.— Length of Residence of Patients discharged "Recovered" during 1901

Table XII.—Causes of Death.

15

Length of Residence. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Under 1 month From 1 to 3 months „ 3 „ 6 „ „ 6 „ 9 „ „ 9 „12 „ „ 1 „ 2 years.. „ 2 „ 3 „ .. „ 3 „ 5 „ .. „ 5 „ 7 . ... » 7 „10 „ .. „ 10 ,12 „ .. „ 12 „15 „ .. Over 15 years M. F. T. .. 7 6 18 .. 7 5 12 .. 6 2 8 .. 3 4 7 12 3 '.'. oil '.'. l i 2 .; I .. I M. F. T. 112 3 4 7 6 3 9 15 6 14 5 0 2 2 M. F. T. 1 2 6 8' 9 10 19 4 5 9 12 3 2 3 5 1 2 3 M. F. T. 2 0 2 1 0 1 0 1 1 10 1 M. F. T. 1 1 2 1 0 1 10 1 M. F. T. 3 14 12 3 5 2 7 2 13 3 0 3 2 0 2 0 11 0 1 1 M. F. T. 5 0 5 11 1 12 7 6 13 5 3 8 3 2 5 5 5 10 2 2 4 2 3 5 M. F. T. 10 1 2 2 4 0 1 1 0 1 1 M. F. I. 9 7 16 37 24 61 26 23 49 18 14 32 18 14 27 11 12 23 4 3 7 4 5 9 112 2 13 1 0 1 10 1 1 0 1 Totals .. | 25 21 46 12 19 31 22 2fj 50 4 1 5 3 14 16 8 24 40 22 62 3 4 7 ,125 104 22'

Causes. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. M. F.. T. M. F. T. M. F. T. Oil M. F. T. M. F. T. II. F. T. II. F. T. II. F. T. M. F. T. 0 1 1 0 1 1 Oil 2 0 2 10 1 3 14 1 1 2 1 0 1 0 1 1 3 5 8 2 2 4 112 1 0 1 0 1 1 0 1 1 3 14 1 1 2 2 3 5 1 0 1 1 0 1 1 0 1 4 2 6 1 0 1 2 0 2 1 0 1 22 2 24 0 1 1 3 5 8 2 0 2 0 1 1 1 0 1 0 1 1 1 0 1 0 1 1 9 13 22 0 1 1 12 3 15 0 1 1 10 1 0 1 1 Acute gastritis Acute mania (collapse) Apoplexy Asthenia Brain disease Bright's disease Bronchitis Bronchitis and asthma Bulbar paralysis Cancer Cardiac failure.. Cardiao fatty degeneration Cardiac valvular degeneration Cerebral embolism Cerebral thrombosis Chronic brain-disease Congestion of the lungs.. Diarrhoea Dilatation of heart Disseminated sclerosis Empyema Epilepsy .. .. .» Fracture of skull Gangrene of lungs General decay General paralysis Hsematemesis Heart-disease Influenzal broncho-pneumonia .. Intestinal strangulation Meningitis Myelitis, acute.. (Esophageal stricture Paralysis of bowels Phthisis pulmonalis Pleurisy Pneumonia Puerperal septiccemia Purulent cystitis Septiccemia, following ovarian tumour Senile decay Strangulated hernia Suicide Suppuration and hectic fever Syncope Tabes mesenterioa Tuberculosis Tumour of brain Ursemia, following renal cirrhosis oil oil i 6' i 10 1 1 0 1 1 6' 1 1 1 2 0 1 1 101 1 0 1 1 6' 1 1 i' 2 1 0 1 2 i' 3 0 1 1 0 3 3 12 3 0 1 1 1 0 1 Oil 1 0 1 0 l' 1 2 02 1 i' 2 oil 2 0 2 0 22 101 0 i' 1 10 1 1 0 1 1 0 1 2 6' 2 1 i' 2 10 1 101 o i i 2 6' 2 4 15 101 3 0 3 9 09 l i' 2 5 05 123 134 oil 10 1 2 0 2 0 1 1 1 6' 1 1 0 1. 0 l' 1 oil 3 3 6 1 1 2 4 8 12 Oil 3 1 4 1 1 2 3 14 5 i 6 Oil i 6 i 101 0 1 1 2 1 3 6 3 9 2 0 2 Oil 112' 12 3 2 13 0 1 1 Oil 14 9 23 0 2 2 1 1 2 0 1 1 112 0 2 2 13 4 10 1 10 1 101 oil 0 1 1 oil 1 0 1 i i' 2 oii; : 0 2 2 0 1 1 101 10 1 Totals •23 13 36 21 11 32 27 25 52 4 4 8 4 2 6 10 11 21 13 4 17 0 2 2 102 72 174

H.—7.

Table XIII.—Causes of Insanity.

16

Causes. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. »- Adolescence ., Adverse circumstances Alcoholic excess Child-bearing and puerperal Chorea (Huntingdon's) Climacteric Congenital and hereditary . . Cretinism Dissolute life Domestic troubles Drug habit Epilepsy Frequent pregnancies Fright .. General paralysis Goitre Grief Hvsteria Ill-health Influenza Injury .. Isolation and solitude Locomotor ataxy Love disappointment Masturbation Melancholia Menstrual Organic Overwork Phthisis Previous attack Religion Seduction Senility Shock .. Sunstroke Surgical operation Syphilis Tumour of brain Uterine trouble 11, F. T. II. F. T. . M. F. T. 12 3 M. F. T. M. F. T. M. F. T. 9 1 10 10 1 22 4 26 M. F. T. 2 0 2j M. F. T. 0 1 1 M. F. T. 12 4 16 1 0 1 75 16 91 0 12 12 10 1 1 14 15 54 43 97 Oil 6 2 8 4 10 14 1 1 2 16 9 25 0 2 2 1 0 1 3 0 3 1 0 1 112 0 2 2 4 4 8 4 6 10 15 0 15 12 0 12 10 1 Oil 26 2 28 0 3 3 Oil 4 15 1 1 2 112 23 18 36 3 4 7 0 2 2 21 10 31 3 5 8 3 3 6 2 2 4 9 3 12 10 1 0 1 1 14 13 27 49 31 80 |l9 3 22 0 5 5| 5 2 7; 0 1 1 '114 6 20 0 3 3 0 22 13 1 14 Oil 2 02 o a' a 14 10 24 0 4 4, 13 8 21 J o a 2 19 14 33 o i' i 2 24 1 0 1 1 3 4 112 0 1 1 0 8 8 4 6 10 1 i' 2 5 l' 6 1 i' 2] 2 5* 7 o i' i 2 3 5 o ;■ J 4 2 c! 0 2 2 J i 6' i 2 4 0 1 0 1 5 16 4 3 7 i 6' i 1 0 1 2 0 a 1 6' 1 10 1 Oil 0 2 2 1 0 1 2 46 0 1 1 1 0 1 2 3 5 1 0 1 2 0 2 10 1 6 6' 6 4 0 4 2 02 4 0 4 i 6" i 0 1 1 3 0 3 6 0 6 o i i 5 0 5 3 6' 3 oil 3 1 4 3 0 3 12 1 13 0 3 3 0 1 1 4 i' 5 Oil 10 1 112 4 0 4 2 2 4 •• ! : io tV 16 7 6 13 12 3 2 i' 3 1 0 1 i r 2 5 8 8 112] 0 2 2 6 3 9 0 2 2 12 3 10 1 Oil 8 6' 3 1 0 1 5 16 112 10 1 0 1 1 112 10 1 13 4 Oil 7 i' 8 " 112 10 1 0 1 1 1 6 7 9 4 13 2 13 7 8 15: i 6' i 24 14 38 0 22 1 3 14 3 3 6 7 18 5 4 9 Worry Unknown 10 1 Totals 76 37 113 1373 224 597 57 47 104; 80 61 141 0 3 9 7 5 12 73 28 101 69 38 107 5 5 10

17

H.—7.

Table XIV. —Former Occupations of Patients.

3—H. 7.

Occupation. fl o E E fl o +j 1/. fl o "3 1 a. E o q a n d o tr jjj 0} (8 .(; "C «s a 3 It « Occupation. 4 u a A o M fl 5 G c erf fi QQ a a P a o cc fl is CD +a "G a. "3 a| A m m •3 id a 3 o a M c w a o v B c Ph 3 o "0 a 2 O M 13 o X a o eq z B o Hi *2 o Ma: LE8. Aboriginal natives.. Assayer Bakers and confectioners Basketmaker Billiard - markers, night porters, &c. Blacksmiths Bootmakers Brewer Brickmaker Bushmen Butchers.. Carpenters, cabinetmakers, &c. Carters, expressmen, &c. Clerks and accountants Commercial travellers Commission agents Cordial - manufacturer Cooks Drapers Draughtsman Engineers and boilermakers Farmers Fishermen Gardeners, &c. Grocers and grocers' assistants Gum-diggers Hawker Hotelkeepers 3 1 a 1 '3 1 5| 1 1 a 1 2 '2 1 1 '3 i 1 2 i 1 '3 i 4 1 1 3 1 3 1 3 4 3 1 1 4 3 17 5 9 Insurance agent .. Journalist Labourers Medical practitioner Merchant Miners .'. No occupation Painters Pensioner Plumbers Prisoners Plasterer.. Platelayer Rabbiter Rope-worker Runholder Sailors Schoolboys School inspector .. Sea captain Shipwright Shepherds Solicitors Stockbrokers Storemen Storekeeper Student Tailor Tanner Teachers.. Telegraphist Vine-grower Warder (gaol) Weaver 1 12 3 5 1 1 1 27 1 2 1 i 34 1 6 8 1 1 5 1 1 4 8! 2 1 4 3i 2 4 i 1 i 1 1 1 137 1 1 16 21 3 1 2 2 1 1 1 1 1 7 5 1 1 1 3 3 2 3 1 1 1 1 6 1 1 1 1 5 1 1 1 1 1 1 3 1 1 a 1 1 a 1 1 1 l 1 i 1 3 2 1 4 1 '2 i 1 i i 3 4 (i 1 1 8 9 1 33 2 6 4 1 1 1 i i i 1 1 a 1 4 1 2 a a 1 i i 1 15 i 2 a 15 1 4 Totals .. 5 375 I 76| -57l I 801 ra 73 69 ..I Fem [ALES. 1 1 1 Aboriginal native .. Apprentice Charwoman Cook Domestic duties .. Dressmakers Gentlewomen Gum-digger Housewives Laundress Milliners No occupation Nurses 1 80 1 1 19 1 i 40 8 1 1 22 2 i 80 8 2 1 1 1 1 148 5 2 1 32 1 3 12 3 Prisoner Prostitute Salvation Army worker Saleswoman Sohool-girls Sister of Mercy .. Storekeeper Tailoresses, &c. Teachers Unknown 1 i 2 1 i l 1 2 1 1 2 2 1 1 i I 1 I 19 is2 1 i 4 2 3 "l 1 1 3 1 i Totals .. 37 47 61 3 28 38 5 224

H.—7.

Table XV.-Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries per Cent. of the Admissions for each Year since 1st January, 1876.

M. F. T. In Asylums, Ist January, 1876 .. .. .. .. .. .. 482 254 736 In Asylums, Ist January, 1902 .. .. .. .. .. .. .. 1,654 1,119 2,773

18

>iscl iarge< Percentage of Recoveries on Admissions. Year. Admitted. Died. Remaining 31st December in each Year. Average Numbers resident. Percentage of Deaths on Average Numbers resident. Recovered. Relieved. Not Improved. 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 M. 221 250 247 248 229 232 267 255 238 294 207 255 215 230 230 234 231 281 320 379 296 300 355 264 335 373 F. 117 112 131 151 149 127 152 166 153 160 165 161 146 161 160 201 158 179 256 302 170 244 258 247 263 224 T. 338 362 378 399 378 359 419 421 391 454 372 416 361 391 390 435 389 460 576 681 466 544 613 511 598 597 M. 129 123 121 112 100 93 95 102 89 95 99 103 116 93 98 88 89 101 107 105 104 102 114 88 103 125 19 57 68 76 67 65 59 78 77 76 60 78 92 53 88 74 76 89 76 77 70 73 110 99 96 104 T. 208 180 189 188 167 158 154 180 166 171 159 181 208 146 186 162 165 190 183 182 : 174 175 224 187 199 229 M. F. 17 8 20 9 14 14 15 13 36 25 41 36 49 32 13 20 17 9 10 5 11 17 34 17 31 28 31 30 23 17 33 24 21 17 17 12 15 11 I 24 19 25 16 26 32 13 23 15 25 39 10 40 17 T. 25 29 28 28 61 77 81 33 26 15 28 51 59 61 40 57 38 | 29 26 43 41 58 36 40 49 57 |1,116 M 6 7 3 8 5 8 5 10 18 73 12 2 3 12 14 8 9 55 128 20 17 j 104 7 I 25 33 F. 6 2 3 3 2 1 7 9 12 29 8 2 1 5 30 2 9 84 139 12 31 47 42 65 3 T. 12 9 6 11 7 9 12 19 30 102 20 4 4 17 44 10 18 139 267 32 48 151 49 90 36 M. 36 42 51 55 54 49 60 65 68 73 57 74 78 70 76 79 74 78 64 101 86 105 88 114 99 102 F. 12 21 17 16 20 14 19 18 24 22 19 27 26 30 35 41 34 23 35 42 32 43 60 43 46 72 T. 48 63 68 71 74 63 79 83 92 95 76 101 104 100 111 120 108 101 99 143 118 148 148 157 145 174 M. 519^ 581 638 695 729 769 827 892 938 981 1,009 1,053 1,041 1,074 1,095 1,115 1,154 1,229 1,308 1,329 1,390 1,440 1,472 1,512 1,581 1,654 F. 264 291 319 361 396 406 442 483 514 542 604 643 640 687 702 734 763 810 860 885 925 990 1,008 1,045 1,091 1,119 T. 783 872 957 1,056 1,125 1,175 1,269 1,375 1,452 1,523 1,613 1,696 1,681' 1,761 1,797, 1,849, 1,917 2,039 ! 2,168 2,214 2,315; 2,430 2,480| 2,557: 2,672: 2,773 M. 491 541 601 666 703 747 796 860 911 965 ' 984 1,034 1,045 1,046 J 1,078 1,089| 1,125 1,172 1,241 1,313 1,347 1,411 |l,438 1,487 1,534 .1,623 F. 357 277 303 337 371 388 421 475 497 528 559 613 641 660J 685 699J 714J 758 812 849 882 944 973 1,004 1,049 1,094 T. 748 818 904 1,003 1,074 1,135 1,217 1,335 1,408 1,493 1,543 1,647 1,686 1,707 1,763 1.789J 1,839§ 1,930 2,053 2,162 2,229 2,355 2,411 2,491 2,583 2,716 M. 54-53 49-20 48-98 45-16 43-66 4008 35-58 40-00 37-39 32-31 47-82 40-39 53-95 40-43 42-61 37-61 3853 35-94 3963 41-27 37-41 35-92 44-88 32-31 30-74 39-06 F. 66-01 5080 51-90 50-33 44-96 5110 38-81 46-98 50-32 47-50 36-36 48-75 63-01 32-92 55 00 36-82 48-10 49-72 45-18 46-66 4402 37-82 51-89 44 33 36-50 46-64 T. 57-56 4972 50-00 47-11 44-17 4401 36-75 42-75 42-45 37-66 42-74 43-61 57-62 37-34 47-69 37-24 42-42 41-30 41-03 43-40 39-82 36-69 4807 37-58 33-27 42-17 M. 8-21 7-76 8-48 8-25 7-68 6-29 7-53 7-55 7-46 7-56 5-79 7-15 7-56 6-69 7-05 7-25 6-58 6-66 5-16 7-69 6-38 7-44 6-12 7-67 6-45 6-29 F. 3-58 758 5-61 4-74 5-39 3-60 4-51 3-78 4-82 4-16 3-39 4-40 4-05 4-54 511 5-86 4-76 3-03 4-31 4-94 3-63 4-55 6-17 4-28 4-38 6-58 T. 6-70 770 7-52 7-07 6-89 5-55 6-49 6-21 6-53 6-36 4-91 613 6-16 5-86 6-29 6-71 5-87 5-23 4-82 6-61 5-29 628 6-14 6-30 5-61 6-41 6,986 11,699 2,694 '2,017 4,711 630 486 592 554 1,146 1,898 791 2,689 I ! •• ' ! •• ' ■• •• •• t •• : •• •- 4,713

H.—7.

Table XVI. —Showing the Admissions, Readmissions, Discharges, and Deaths from the 1st January, 1876, to the 31st December, 1901.

Table XVII. —Summary of Total Admissions. Percentage of Cases since the Year 1876.

Table XVIII.—Expenditure, out of Immigration and Public Works Loan, on Asylum Buildings during the Financial Year ended 31st March, 1902, and Liabilities at that Date.

Table XIX. —Total Expenditure, out of Immigration and Public Works Loan, for Repairs and Buildings at each Asylum from 1st July, 1877, to 31st March, 1902.

19

jyi. i?-. r. in. r. x. Persons admitted during period from 1st January, 1876, to 31st December, 1901 .... Readmissions 5,677 3,608 9,285 1,309 1,105 2,414 Total cases admitted Discharged cases— Recovered Relieved Not improved Died 6,986 4,713 11,699 2,694 2,017 4,711 630 486 1,116 592 554 1,146 1,898 791 2,689 5,814 3,848 9,662 Total cases discharged and died since January, 1876 Remaining in asylums, January 1st, 1876 482 254 736 Remaining in asylums, January 1st, 1901 1,654 1,119 2,773

Males. Females. Both Sexes. Recovered Relieved .. Not improved Died Remaining 38-51 9-02 8-47 27-17 16-83 42-84 10-31 11-75 16-71 18-39 40-25 9-54 9-79 22-98 17-44 100-00 100-00 100-00

Asylums. Net Expenditure for Year J ended 31st March, 1902. Liabilities on 31st March, 1902. Auckland Wellington Porirua Christchurch Dunedin (Seacliff) .. Nelson Hokitika £ s. d. 2,119 12 6 162 12 2 8,560 18 8 43 2 6 4,666 16 8 1,185 19 9 3 7 4 £ s. d. 885 4 0 424 10 5 1,450 2 8 56 17 6 3,016 16 5 159 19 6 76 12 8 £ s. d. 885 4 0 424 10 5 1,450 2 8 56 17 6 3,016 16 5 159 19 6 76 12 8 Totals 16,743 9 7 6,070 3 2

Asylums. 1877-94. 1894-95. 1895-96. 1896-97. 1897-98. Luckland Vellington Vellington (Porirua) Jhristchurch )unedm (Seacliff) Japier lokitika (elson £ 3. d. 71,746 0 8 19,958 18 7 39,325 13 9 94,207 18 0 117,837 16 0 147 0 0 1,164 19 8 5,110 9 4 £ s. d. 505 10 7 880 11 1 8,007 10 2 2,159 0 9 1,879 17 8 £ s. d. 2,994 10 4 275 4 0 768 15 5 4,863 10 1 1,810 11 2 £ s. d. 9,565 4 4 175 10 0 4,873 16 10 1,169 11 1 280 11 0 £ s. d. 3,177 14 6 133 11 4 8,655 10 0 821 18 4 222 13 6 200 0 0 22* 5 8 200 0 0 33817 3 1,118* 1 10 Totals 349,498 16 0 13,632 10 3 10,934 16 8 16,403 10 6 14,129 9 6 Asylums. Asylums. 1898-99. 1899-1900. 1900-1901. 1901-2. Total Net Expenditure, 1st July, 1877, to 31st March, 1902. luckland Vellington Vellington (Porirua) ihristchurch )unedin (Seacliff) Japier lokitika Jelson £ s. d. 208 7 2 1,606 18 10 .. 11,233 9 1 188 15 9 1,797 0 4 2,632* 2 4 £ s. d. 1,553 11 4 1,823 17 0 11,095 9 6 £ s. d. 3,038 17 11 1,616 2 0 10,587 3 7 75 16 8 2,227 16 10 £ s. d. 2,119 12 6 162 12 2 8,560 18 8 43 2 6 4,666 16 8 £ s. d. 94,909 9 4 26,633 5 0 103,108 7 0 103,529 13 2 132,110 0 9 147 0 0 1,284 6 7 13,870 9 7 1,386*17 7 1,852* 5 8 94* 3 11 1,231 13 5 3* 7 4 1,186 19 9 Totals .. .. 17,666 13 6 17,712 1 1 18,871 14 4 16,743 9 7 475,593 1 5

H.—7.

Table XX.— Showing the Expenditure for the Year 1901.

Table XXI.—Average Cost of each Patient per Annum.

Approximate Cost of Paper— Preparation, not given; printing (1,595 copies), ±'19 6s.

By Authority : John Mackay, Government Printer, Wellington.—l9o2.

Price 9d.]

20

Items. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Total. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. 1,000 0 0 210 0 0 215 0 0 1,110 5 0 247 11 8 126 0 0 357 4 5 3,422 18 4 1,104 3 4 756 0 6 638 15 0 22,748 0 1 19,181 17 2 4,617 12 3 5,561 4 5 667 2 3 139 2 6 4,605 12 5 11,208 7 2 77,916 16 6 19,384 9 8 Inspector* Assistant Inspector* Clerk* Medical fees* Contingencies* Official Visitors Visiting Medical Officers Superintendents Assistant Medical Officers Clerks Matrons Attendants and servants Rations Fuel and light Bedding and clothing Surgery and dispensary Wines, spirits, ale, and porter.. Farm Necessaries, incidental, and miscellaneous 25* 4 0 593 15 0 104 3 4 125 0 0 93 15 0 3,843 17 8 3,642 5 10 769 10 1 1,065 1 5 38 10 7 14 4 6 577 11 2 1,305 8 3 12,198 6 10 3,509 15 7 600 0 0 250 0 0 197 10 0 95 0 0 4,236 3 11 3,436 11 6 1,363 1 5 1,245 1 11 105 1 5 35 7 6 703 17 8 1,786 • 0 1 50* 8 0 600 0 0 250 0 0 133 19 2 100 0 0 5,611 9 2 4,097 17 2 536 1 10 1,237 3 8 150 4 10 20 16 3 1,778 18 6 3,888 7 4 12 12 0 150 0 0 300 0 0 85 0 0 1,077 3 5 977 12 6 44 10 1 171 0 8 0 3 6 5 0 0 207~ 4 5 200 0 0 75 0 0 1,217 8 3 1,199 2 4 329 8 3 158 15 1 68 19 10 16 7 6 509 0 1 695 13 10 25* 4 0 600 0 0 250 0 0 145 1 4 100 0 0 4,292 15 4 3,510 15 0 897 15 2 1,158 2 3 232 2 4 17 17 9 827 19 3 1,973 4 10 1212 0 529 3 4 250 0 0 154 10 0 90 0 0 2,469 2 4 2,317 12 10 677 5 5 525 19 5 71 19 9 29 9 0 208 5 9 1,269 13 1 289 19 9 Totals Repayments, sale of produce, &c. 14,053 15 5 4,629 5 1 18,455 5 11 5,650 13 4 3,113 1 11 223 15 7 4,676 19 7 949 8 3 14,030 17 3 2,522 3 1 8,605 12 11 1,899 8 9 Actual cost .. 8,688 11 3 9,424 10 4 12,804 12 7 2,889 6 4 3,727 11 4 11,508 14 2 6,706 4 2 58,532 6 10 * Not included in Table XXI.

Asylums. Provisions. Bedding Salaries. and Clothing. Fuel and Light. Surgery Wines, and : Spirits, Ale, Dispensary, i &c. Farm. Necessaries, Incidental, and Miscellaneous. Total Cost Repayments per for MainPatient, tenance. Total Cost per Head, less Repayments for Maintenance Total Cost I £g£JuE» per Head, less p £ r „f Bpppints I Receipts ot «ifont.wL all kinds proof all kinds. , vious Ye^ r Increase in 1901. Decrease in 1901. £ s. d. Auckland .. 7 5 1} Christchurch .. 6 8 8$ Dunedin (Seacliff) 6 7 3} Hokitika .. 8 8 6f Nelson .. .. 8 12 6$ Porirua .. 6 19 10$ Wellington .. 9 15 7 £ s. d. 9 10 8 10 1 5$ 10 9 6 14 0 1$ 12 4 6$ 10 15 8 14 15 9| £ s. d. £ s. d. £ s. d. £ s. d. 2 2 5} 1 10 8 , 0 1 6} 0 0 6f 2 6 7$ 2 11 OJ ! 0 3 ll| 0 14 1 18 5 0 16 7| 0 4 8 0 0 7| 1 9 5| 0 7 8 0 0 0$ 0 0 10J 1 2 10 2 7 4| 0 9 11} 0 2 4J 2 6 If 1 15 9} j 0 9 3 0 0 8J 2 4 4$ 2 17 If I 0 6 1 0 2 6f £ s. d. 1 3 0J 16 4} 2 15 3 £ s. d. 2 12 0 3 6 10| 6 0 9 2 10 0 5 0 1J 3 18 7} 5 7 If £ s. d. 24 6 0 26 6 4J 28 13 If 26 16 9 33 12 11$ 27 19 0 36 6 3$ 28 1 11$ £ s. d. 5 6 8 6 8 4f 7 0 11$ 1 14 0 6 5 0 4 5 2 7 1 2} 5 16 1 £ s. d. 18 19 4 19 17 11$ 21 12 2} 25 2 9 27 7 11$ 23 13 10 29 5 1J 22 5 10$ £ s. d. 17 6 2 17 12 llf 19 17 8 24 18 2 26 16 4} 22 18 6| 28 6 0 £ s. d. 18 2 9$ 20 7 5f 20 13 8 23 4 2 24 14 7| ! 23 18 9 1 24 19 10 £ s. d. - .. 1 li' 0 2 1 8$ £ s. d. 0 16 7$ 2 14 6 0 16 0 3 13 3 1 12 llf 0 17 7 1 0 2} 3 62 •• Averages .. 7 3 5f 2 1 7£ 1 14 6$ 0 4 llf 0 1 0$ 20 16 11$ 21 9 5} 0 12 5} 10 18 0$ 1 14 5J 4 3 10 -- Note. —Including the first five items in Table XX., the net cost per patient is £21 17s. 9Jd., as against £22 9s. 8d. lor the previous year, being a a decrease of lis. 10$d. per head.