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TRUSTEES' REPORT.

DAYTON, OHIO, November 15, 1901. To the Honorable George K. Nash, Governor of Ohio:

We the undersigned Trustees of the Dayton State Hospital, most respectfuly submit for your consideration, this our annual report, showing the management and physical condition of said institution for the fiscal year, ending on the 15th day of November, 1901.

Also mention and recommendation of what in our opinion will be needed for the benefit and proper management of said Hospital for the next fiscal year.

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The contracts for fuel during the present year were as follows: On the first day of April, 1901, we contracted with the Dayton Gas and Fuel Company to furnish fuel (natural gas) for steam purpose for the sum of seven hundred ($700) dollars per month, commencing on the Ist day of May, and ending on the ist day of November, 1901. Also fuel (natural gas) for the kitchen range at twenty (20) cents per one thousand (1,000) cubic feet.

Other supplies have been purchased in the open market at the lowest possible price, and were of excellent quality.

BUILDINGS.

The contract for the erection of the Portcochere were awarded as follows:

Carpenter work, Thomas C. Owens, for the sum of $2,500. Foundation and stone work, Geo. Dodds and Sons, $1,270.40.

S. Haniford and Sons were selected as architects and supervisors of work.

PAINTING.

The entire exterior of the buildings have been given two coats of paint. The work was done under the supervision of our painter.

WATER PLANT.

The contracts made and entered into for the erection of a water plant were reported in the 46th Annual Report of this institution. Said contracts have been fully carried into effect, and we now have an abundant

supply of excellent water which is obtained from a series of deep wells situate on the land owned by the State, and about 4,000 feet south of the institution, and are guaranteed to furnish 500,000 gallons of water each 24 hours for the term of one '(I) year. A test of six (6) months has now been made with satisfactory result.

NEEDED IMPROVEMENTS.

This institution is again confronted with the problem of "How shall we care for and accommodate the many insane patients, now in the several County Infirmaries and the ever increasing number of such unfortunates in this District?"

The present capacity of this Hospital is 840 patients. We are now carrying an average of 886.

Most likely we will be called upon at an early date to receive quite an addition to our population which we cannot accommodate, unless additional buildings be erected therefor. And in this connection we desire to call the attention of your Excellency to the very desirable location of this institution, the large and beautiful tract of land now owned by the State, and adaptability for the care and treatment of insane patients and that by the erection of suitable buildings on said lands contiguous to the administration building, this institution could at a very moderate cost, be made to accomodate 1,400 patients.

The horse and carriage barns here, were erected nearly a half century ago. They are badly racked and ready to tumble down. The proper care and protection of the horses, carriages, forage and farming implements cannot be had without a new barn, the erection of which we respectfully recommend.

The vegetable greenhouse authorized by the General Assembly, was an experiment in that direction, but their wisdom has been made manifest Our vegetable greenhouse under the management of our Steward, is a success beyond our expectation. In mid-winter when vegetables are sold at fabulous prices, we are furnished a very superior quality of such luxuries at a mere nominal cost. We respectfully recommend that our vegetable greenhouse be enlarged to at least double its present capacity.

One steam boiler in the battery is worn out, and beyond repair, and will need to be replaced by a new one. Other additions including water heater, should be made in the steam plant.

Floors in several wards are badly worn, and should be replaced with

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new ones.

Carpets and furniture in several wards are badly worn, and should be replaced by new.

A fire department has been organized of the employes, under the control of the chief engineer, and when the appropriation asked for is available, the institution will be put under effective fire protection.

All of which and other repairs, are badly needed. Wherefore, we respectfully ask that suitable appropriation be made for all such improvements as may be found necessary for the proper care and maintenance of this institution.

VACANCIES IN THIS BOARD.

March 1901, Mr. Isaac N. Walker, a member of the Board of Trustees, died, thus causing a vacancy. It is due Mr. Walker to say, that he was a gentleman of sterling integrity and much ability. His faithfulness, honesty and fidelity to his trust, as Trustee of this institution for more than a decade, together with a genial and ever-happy nature, endeared him to this Board and Officers.

Mr. L. D. Lesh was appointed and installed as Trustee to fill the vacancy.

The term of office of Mr. George H. Smith, a Trustee of this institution having expired April 1901, Mr. William C. Lyon was appointed and installed as Trustee of this institution.

MANAGEMENT.

The management and supervision of this Hospital has been under the direction of Dr. J. M. Ratliff and his estimable wife, both of whom have given their entire attention to the work, and the institution speaks well for their ability.

The farm, gardens, stock and dairy and financial management under the care of the Steward, standis unsurpassed in the records of this institution, and in further commendation, we desire to say, that the very efficient medical staff, and all officers and employees of this institution have performed their several duties in the most satisfactory and approved manner, all of which is most respectfully submitted.

L. D. LESH, President,
F. W. WHITAKER,
W. W. ROACH,
THOMAS A. BURNS,
WILLIAM C. LYON,

Board of Trustees.

SUPERINTENDENT'S REPORT.

To the Honorable Board of Trustees of the Dayton State Hospital:

GENTLEMEN: --- The forty-seventh annual report of the Dayton State Hospital for the fiscal year ending November 15, 1901, is herewith respectfully submitted. The accompanying statistical tables show the movement of population during the period, to which I respectfully call your attention.

The number admitted during the year was 311, of which number 192 were males and 119 were females, an increase of 84 males and 24 females, a total of 108 more than were admitted in 1900.

The daily average in the hospital was 17:31 more than last year.

The least number in the hospital during the year was 761, and the greatest number was 906; remaining November 15, 1901, males 474, females 412, total 886.

The form of mental disease of the patients on admission was as follows: 34 acute mania; 17 mania; 29 mania periodic; 48 chronic mania; 3 mania with epilepsy; 5 dipsomania; 2 imbecility; 4 paresis; 39 melancholia; 94 dementia; 32 dementia senile; i dementia with paralysis; 1 paranoia ; 2 not insane.

The percentage of recoveries for males was 15.10; for females 32.77; and for both 21.86 per cent. The great number of patients received from the county infirmaries are largely responsible for the low rate of recoveries.

The death rate for the total number under treatment for males, 7.65 per cent., for females, 6.10 per cent., and for both 6.92 per cent.

The percentage of deaths on the daily average number under treatment was for the males 10.49 per cent., for females 7.83 per cent., and for both 9.19 per cent.

During the year. we had a great many deaths of persons of advanced age; 36 per cent. of the deaths were aged from 60 to 85 years.

We have had nothing unusual or remarkable to occur during the year. The county coroner was called four times to the hospital, on account of sudden deaths, all of which were found to be the result of natural cause.

The current expense for the year 1901 was one hundred and twelve thousand one hundred and ninety dollars and twenty-one cents ($112,190.21).

Including officers' salaries and trustees' expenses one hundred and eighteen thousand two hundred and eight dollars and two cents ($118,208.02)

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The per capita cost for current expenses on the daily average number in the hospital was one hundred and thirty-three dollars and ninety cents ($133.90).

The per capita cost for current expenses on the daily average number in the hospital including officers' salaries and trustees' expenses was one hundred and forty-one dollars and nine cents ($141.09).

The per capita cost for current expenses on the daily average number on the hospital register was one hundred and twenty-eight dollars and fifty-one cents ($128.51).

The per capita cost for current expenses on the daily average number on the hospital register, including officers' salaries and trustees' expenses, was one hundred and thirty-five dollars and forty cents ($135.40).

The new water works contracted for with the Kinney Water Supply Co. of Bellaire, Ohio, was completed during the summer, with a guarantee of not less than 500,000 gallons of water in each twenty-four hours. The water is from three 10-inch wells, with average depth of 125 feet; the water is lifted with air from the compressor located at the boiler house. The wells are on the state grounds, about 4,000 feet from the compressor. At no time since the plant was installed has the amount of water fell short of the guarantee. We feel that the question of water supply for the hospital has been settled for all time.

The porte cochere at the entrance to the administration building is :inder process of construction; when completed, it will add very much to the appearance of the building, besides being of utility.

The exterior of the entire building was painted during the year, also all of the out buildings.

The vegetable green house was built during the summer, and we hope to receive much benefit from it during the coming winter.

A small building 10 x 12 feet adjoining the laundry was built and equipped for the purpose of manufacturing soft soap.

An addition 20 x 35 feet was built adjoining the boiler house for the machinery for the air compressor.

A new boiler was installed, besides all of the boilers in the battery overhauled, and new breeching for the entire front of battery.

During the summer the emergency board granted the Board of Trustees permission to create a deficiency in the sum of fifteen hundred dollars ($1500.00) to remodel and equip the brick building near administration building, formerly occupied by employees for a dwelling, for the use of patients. The building is now occupied by 40 male patients, their meals being served in the congregate dining rooms.

New carpets were purchased for wards six and eight.
New iron beds and rockers were purchased for ward ten.

Three hundred feather pillows were purchased for front and middle svards, also new bedding for the annex.

One hundred new books were purchased for the patients' library.

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