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HOSPITALS. Number who have been cared for in hospital during the year, 424, against 444 the previous year. Average daily number cared for in hospital during the year, 88.7. Diseases of those treated in hospital : Abscess.

5 Icterus ........ Alcoholisin ...

Incised wounds.... Asthma .......

5 Impaired vision.....

3 Amputation.

Iritis........ Blind .......

4 Locomotor ataxia .. Burns ..

1 Loss of both hands... Bronchitis, chronic

Malaria ..... Cardiac disease..

Mania, acute ..... Carbuncle.

Monomania .. Cancer ...

Necrosis ....... Caries.......

Nephritis.... Catarth, acute.....

Neuralgia....... Cholera morbus...

Opiumism .... Chorea .--.

Ophthalmia...... Circumcision .....

Orchitis, acute........ Contusions ......

Paralysis ....... Constipation.......

Pleurodynia ..... Conjunctivitis ....

1 Pneumonia..... Cystitis, chronic....

5 Pyelitis......... Dementia....

Renal disease .......... Debility.........

16 Rheumatism....... Diarrhea ......

4 Rheumatisın, acute .... Diarrhea, chronic.......

Retention of urine..... Diphtheria, malignant ...

Salivation ....... Diphtheria.......

1 Senility ....... . Epilepsy..........

18 Skin disease.......

. Epistaxis........

Sprains........ Ferer, continued....

Spermatorrhæa.... Fractures......

Spinal disease ...... . Frost-bite .......

Stricture urethra ... Fistula, urinary......

Sunstroke ......... Fistula, in ano......

Synovitis......... Gastritis, chronic ....

Syphilis ......... Gastralgia...

1 Tuberculosis pulmonalis.... Gonorrhea ....

1 | Ulcers varicose ........ Haemoptysis ...

4 Varicose veins..... Hernia .......

7 Vertigo........ Hemorrhoids..... Hepatic disease........

.. il Total........................ 424 Number of beneficiaries carried sick in quarters during the year, 198, against 261 the previous year. Average daily number sick in quarters, 12. Diseases of those carried sick in quarters: Abscess

... 6 Gonorrhea ......... Alcoholism .........

Hernia ... Albuminuria ......

Hemorrhoids .... Amputation of finger.

Injuries, slight ..... Bronchitis, chronic ....

Intermittent fever ... Cardiac disease........

Malaria ......... Carbuncle.........

Neuralgia ............ Cholera morbus......

Ophthalmia ........... Circumcision .........

Paralysis, partial ....... Contusions ....

Renal disease........ Constipation ... ....

Rheumatism, chronic .... Convalescing from fever

Senility ......... Conjunctivitis .......

Scrofula ......... Crippled hand ......

Skin disease .............. Cystitis, chronic...

Spermatorrhæa ....... Debility...

Sprains ........ Dementia ..

Syphilis .. Diarrhea, chronie.....

Tuberculosis ...... Dyspepsia ...

Ulcers.... Epilepsy ......

Wounds, lacerated........ ... Frost-bite .....

Total Fractured ribs....

198

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The number of beneficiaries who were medically treated in hospital and quarters during the year constituted 48 per cent. of the whole number cared for in the Home, against 54 per cent. during the previous year; and the average number of sick in hospital and quarters during the year 1878 was 11.8 per cent, of the average number of beneficiaries cared for in the Home, while in 1877 it was 10.5 per cent., and in 1876 it was 10 per cent., indicating a gradual increase, but no marked difference in the ratio of the number of sick to the whole number of beneficiaries during. the three years.

The ratio of sick in hospital to the whole number of beneficiaries has for several years been very much larger at this branch than at any other branch of the Home; and two-thirds of the cases in our hospital have been chronic and incurable. During the year just closed the average number of sick in hospital, as shown by the quarterly post-returns, has been nearly as great at this branch as at both the Southern and Eastern Branches, to wit: Average number sick in hospital at Southern Branch, 37; average number sick in hospital at Eastern Branch, 55; average number of sick in hospital at Northwestern Branch, 89.

The most pressing need of this Home is a new hospital building of sufficient capacity to accommodate one hundred and twenty patients, allowing to each one thousand cubic feet of space; a structure at least one hundred by forty feet and three stories high, which, at the present low rates of material and labor, can be built for about fifteen thousand dollars.

The whole number of cases prescribed for at 6 sick call” during the year (including 3,729 cases requiring surgical dressing and not including those borne upon the report of sick in hospital) was 8,455. Number of prescriptions for same, 6,840. Number of accouchements among the wives of beneficiaries attended by the surgeon during the year, 13.

The assistant surgeon, Dr. C. E. Richards, who during the year has performed the principal duties of medical officer, and since September last has had sole charge of the hospital (the surgeon, Dr. John L. Page, having recently resigned on account of continued ill health), submits the following general observations upon the hygienic condition of the Home, the sanitary state of the hospital, and the care of beneficiaries:

The hygienic condition of the Home is excellent. The hospital is in as good condition for comfort and health as it is possible to put it, considering that it was not originally intended for a hospital. The somewhat crowded condition of the wards is the only thing to be regretted. But considering the fact that we have not had the least appearance of an epidemic of any kind, we are justified in saying that the hospital is as well managed as any similar institution in the country. Patients are as comfortable as though cared for by friends or relatives at their homes. The food is amply sufficient and of good quality. In addition to the regular bill of fare, the sick are supplied with all the delicacies of the season, such as canned fruits, oranges, lemons, jellies, oysters, and in fact anything that the appetite of the most fastidious would crave; and it is worthy of special mention that the sick are not limited or stinted in this respect. The wards are kept clean and tidy by competent nurses, and are also well warmed. Meals are sent to the bedside of the patients when they are unable to go to the dining-room. Arrangements for thorough bathing in hospital are excellent. All patients are subjected to a bath before they are allowed to occupy their beds, and are required to bathe regularly. once a week while they are in hospital. In cases where the exposure inci. dent to taking a full-length bath is not admissible they are subjected to a sponge bath as often as it is necessary. The results of this hygienic measure are highly beneficial and satisfactory. The patients are clean and free from all verniin, and, in consequence of their cleanliness, the beds are always neat and tidy. During the year the Home has been remarkably free from all epidemics or contagious diseases of any kind, but one case of contagious disease having occurred, and that was developing itself when the man was admitted to the Home; and by thorough hygienic measures successfully carried out the disease was limited to the patient who was afflicted with it. There has not been a single case of malaria that has originated in or near the Home. Those that have been treated for malaria have had it for years. The intermittent fever cases that are reported were all among the new admissions, and the disease was contracted

in other States. The Home is, as it should be, particularly free from diseases of unalarious origin, from the fact that it is situated upon high undulating land. The buildings and grounds are thoroughly and effectually drained, and all the modern improvements, together with good and warm clothing, well-ventilated cormitories, a fine, library, amusements of many kinds, &c., tend to make it highly conducive to the happiness and comfort of the beneficiaries.

and Co

V

Bronchitis..........................

DEATIIS. Number of beneficiaries who have died during the year, 47; of which 6 deceased outside of the Home premises. Causes of the deaths: Accidents: Run over by cars while Diphtheria, malignant......

absent on furlough..... 1 Epileptic convulsions.....
Found dead from exposure Heart, rupture of .......

while ab eat without Hepatitis........
leave........... .....

1 ' Insanity......
Fell from ladder while on Paralysis and rheumatism

furlough; died in Home Pneumonia ...
hospital...............

1 Rheumatic carditis ...... Alcoholism ................... .....

3 Senility .......

2 Spermatorrhoa ....... Cancer ..........::.

3 Syphilis, tertiary ... Cardiac disease (died while on fur Unknown (died while on furlough).. i

lough) ........ . Cystitis, chronie....................

Total..........

............ 47 Consumption(2died while onfurlough) 14

The ratio of deaths during the year to the whole number of beneficiaries cared for was 3,62 per cent.; to the average number present and absent it was 5.18 per cent. In 1877 the death rate was 3.75 per cent. of the whole number cared for, and 5.76 per cent. of the average number present and absent. The ratio of deaths in the Home to the average number actually present in the Hone during the year 1878, was 5.93 per cent. against 5.31 per cent. the previous year.

The following tabular statement exhibits the number of beneficiaries of this branch who have died during each month and year since its organization, together with the average annual strength of the command, and the ratio of deaths to the average number of beneficiaries each year, The greatest mortality since the occupation of the new building, September 20, 1869, was during the year 1872, when the death-rate reached 82 to 1,000 of the average number of beneficiaries present and absent; the smallest was in 1876, when the ratio fell to 46 to 1,000.

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* Eight months. On the following page will be found a list of those who have died during the year, with date, place, and cause of death, and military history, &c., of each.

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Deaths in 1878 (including one in 1877 not previously reported).

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Dec. 15, 1877 Consumption

Pittsburg, Pa. (furlough).. Dec. 20, 1876
Jan. 17, 1878 Pneumonia..

Home hospital...

Jan. 28, 1876 Jan. 14, 1878
Jan. 20, 1878 Senile decay..

... do ..

May 7, 1877 May 8,1877
Jan. 22, 1878 Syphilis ......

June 1, 1876 Nov. 8. 1877
Feb. 6, 1878 Rupture of heart

Quarters

Sept. 2, 1873
Feb. 15, 1878 Consumption ..

Home hospital.

Jan. 23, 1878 Jan. 23, 1878
Mar. 2, 1878 Senility...........

. do

May 8, 1876 May 26, 1876
Mar. 7, 1878 Spermatorrhoea

Mar. 8, 1877 Apr. 27, 1877
Mar. 9, 1878
Senility ........:

Oct. 16, 1874 Oct. 11, 1875
Mar. 16, 1878 Epileptic convulsions. . do .

Jan. 30, 1878 Jan. 31, 1878
Mar. 24, 1878 Alcoholism ........ Guard-house

Dec. 29, 1873
Mar. 10, 1878 Cardiac disease.... Evansville, Wis. (furlough) Aug. 28, 1877
Apr. 6, 1878 Senile decay ....

Home hospital.....

May 1, 1873 Apr. 25, 1877
Apr. 6, 1878 Consumption...

.... do ....

Dec. 26, 1876 Oct. 12, 1877
Apr. 14, 1878 Accident by railroad cars Davis Station, Ill. (fur. Mar. 20, 1878

lough).
Apr. 14, 1878 Consumption..

Milwaukee (furlough)...... Nov. 27, 1877
Apr. 22, 1878
Senile decay ....

Home hospital....... Apr. 29, 1873 Jan. 18, 1877
Apr. 25, 1878
Insanity .......

do.

June 19, 1877 Apr. 11, 1878
Apr. 29, 1878 Consumption .....

. do

Jan. 4, 1876 Feb. 22, 1878
May 25, 1878 Hepatitis and paralysis.

Jan. 17, 1878 Jan. 17, 1878
May 27, 1878 Chronic bronchitis ...

.. do

Nov. 23, 1876 Nov. 25, 1876
June 21, 1878 Consumption .....

... do ....

June 20, 1878 June 20, 1878
71 June 22, 1878 Senile decay .....

Jan. 3, 1876 Mar. 30, 1878
July 14, 1878 Pulmonary consumption

July 6, 1878 July 6, 1878
July 28, 1878 Chronic bronchitiş ..

Jan. 8, 1868 Oct. 6, 1876
July 28, 1878 Consumption....

June 30, 1873 July 8, 1878
July 28, 1878 Exposure.....

Found dead near the Home. Sept. 8, 1877
Alcoholism....
Home hospital......

July 31, 1878 Aug. 1, 1878
Aug. 13, 1878
...... do ....
... do ....

Jan. 21, 1873

Aug. 12, 1878
Aug. 13, 1878 Senility...

do.

Oct. 6, 1868 Mar. 18, 1878
Aug. 27, 1878 Hepatitis ..

Aug. 2, 1869 Aug. 22, 1878
Aug. 31, 1873 Consumption

do

Oct. 30, 1877 Apr. 23, 1878
Aug. 31, 1878 ....do ..

.. do

Oct. 16, 1877 Oct. 20, 1877 Sept. 1, 1878 ..... do

.. do ..

July 25, 1878 Aug. 26, 1878
Sept. 22, 1878 Hepatitis ..

June 29, 1878 June 29, 1878
Sept. 27, 1878 Chronic cystitis.

May 23, 1867 Sept. 8, 1878
Oct. 3, 1878 Consumption ..

do

Aug. 6, 1878 Sept. 28, 1878 Oct. 4, 1878 Cancer.......

Sept. 8. 1875 June 5, 1878 Oct. 27, 1878 Rheumatism, paralysis..

June 30, 1870 Oct. 26, 1878 Nov. 10, 1878 Consumption .......

Sept. 16, 1876 Dec. 14, 1877

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Nov. 13, 1878 ! Accident in Milwaukee ....... lo .... .....

. Jan. 15, 1872 Nov, 12, 1878 Nov. 7. 1878 Consumption ...........

Lexington, Mich. (farlongl). Apr. 9, 1878. | Nov. 20, 1878. Cancer.......

Home hospital....

June 1, 1878 June 1, 1878 | Nov. 24, 1878 Consumption.

..... do ...........

Sept. 16. 1878 Sept. 16, 1878
Prob. Sept... Unknowi ....

Unknown, while on

Oct, 16, 1877
40 i Dec. 4, 1878 Diphtheria.....

Home hospital.....

Nov. 26, 1878 Dec. 3, 1878 67 | Dec. 9, 1878 Cancer......

..... do ..........

Mar. 22, 1878 Apr. 29, 1878 57 Dec. 23, 1878 Rheumatic carditis em.. do ..

Mar. 24, 1869 Nov. 22, 1878

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