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HOSPITALS.

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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..

1 Alcoholism 50 Incised wounds.

4 Asthma .... 5 | Impaired vision.

2 Amputation

3 Iritis.... Blind... 4 Locomotor ataxia

1 Burns 1 Loss of both hands.

2 Bronchitis, chronic. 8 Malaria

12 Cardiac disease 9 Mania, acute

1 Carbuncle 1 Monomania

1 Cancer 3 Necrosis

2 Caries... 1 Nephritis.

1 Catarrh, acute. 3 Neuralgia.

4 Cholera morbus. 3 Opiumism

2 Chorea 3! Ophthalmia..

8 Cireumcision 2 Orchitis, acute.

1 Contusions 10 Paralysis ..

25 Constipation. 2 Pleurodynia

1 Conjunctivitis 1 Pneumonia.

1 Cystitis, chronic 5 Pyelitis...

1 Dementia... 9 Renal disease

3 Debility

16 Rheumatism.. Diarrhea 4 Rheumatism, acute

4 Diarrhea, chronic. 1 | Retention of urine

1 Diphtheria, malignant 1 Salivation ....

1 Diphtheria.

1 Senility ... Epilepsy..

18 Skin disease. Epistaxis.

Sprains.... Fever, continued

7 Spermatorrhæa.. Fractures

9 Spinal disease Frost-bite

2 Stricture urethra. Fistula, urinary

3 Sunstroke Fistula, in ano.

1 Synovitis... Gastritis, chronic

1 Syphilis . Gastralgia.

1 | Tuberculosis pulmonalis. Gonorrhea

1 Ulcers varicose Hæmoptysis

4 Varicose veins. Hernia

7 Vertigo..... Hemorrhoids ...

1 Hepatic disease.

1
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

2 Alcoholism 21 Hernia

8 Albuminuria 1 Hemorrhoids

2 Amputation of finger

1 Injuries, slight Bronchitis, chronic 14 Intermittent fever

4 Cardiac disease...

6 Malaria Carbuncle... 1 Neuralgia

3 Cholera morbus. 1 Ophthalmia

2 Circumcision 1 Paralysis, partial

7 Contusions .. 6 Renal disease..

7 Constipation

1 Rheumatism,
chronic

19 Convalescing from fever

4 Senility Conjunctivitis. 1 Scrofula.

2 Crippled hand 1 Skin disease

2 Cystitis, chronic.

Spermatorrhea

1 Debility ........

Sprains

4 Dementia ..

Syphilis ...

4 Diarrhea, chronic.

Tuberculosis

14 Dyspepsia

Ulcers...

2 Epilepsy 3 Wounds, lacerated.

4 Frost-bite.

1 Fractured ribs.

1
Total

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 “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 vernin, 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

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

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

1' absent on furlough..... 1 Epileptic convulsions. Found dead from exposure Heart, rupture of while abseat without Hepatitis

3 leave... 1 Insanity

1 Fell from ladder while on Paralysis and rheumatism.

1 furlough; died in Home Pneumonia

1 hospital 1 Rheumatic carditis.

1 Ilcoholism 3 Senility

7 Bronchitis.. 2 Spermatorrhea

1 Cancer .. 3: Syphilis, tertiary...

1 Cardiac disease (ilied while on fur- Unknown (died while on furlough).. 1

lough). Cystitis, chronic.

Total.... 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 5.48 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 rumber present and absent. The ratio of deaths in the Home to the average number actually present in the Home 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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536

Average annual strength of the command ... *84 137 215 468 584 558 524 522 614 710 -50 857
Number of deaths each year to 1,000 average
strength

89 102 79

68 82 59 53 46 38 55

60

66

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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).

38 Dec. 15, 1877 Consumption

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

Home hospital.

Jan. 28, 1876 Jan. 14, 1878 72 Jan. 20, 1878 Senile decay

do

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

do ..

June 1, 1876 | Nov. 8, 1877 59 Feb. 6,1878 Rupture of heart. Quarters

Sept. 2, 1873 37 Feb. 15, 1878 Consumption

Home hospital.

Jan. 23, 1878 Jan. 23, 1878 72 Mar. 2, 1878 Senility

do

May 8, 1876 May 26, 1876 34 Mar. 7,1878 Spermatorrhea

do

Mar. 8, 1877 Apr. 27, 1877 66 Mar. 9, 1878 Senility

do

Oct. 16, 1874 | Oct. 11, 1875
39 Mar. 16, 1878 Epileptic convulsions

Jan. 30, 1878 Jan. 31, 1878
35 Mar. 24, 1878 Alcoholism .....

Guard-house

Dec. 29, 1873
38 Mar. 10, 1878 Cardiac disease

Evansville, Wis. (furlough) Aug. 28, 1877
58 Apr. 6, 1878 Senile decay

Home hospital.

May 1, 1873 Apr. 25, 1877 52 Apr. 6, 1878 Consumption

do

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

lough).
29 Apr. 14, 1878 Consumption

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

Home hospital.

Apr. 29, 1873 Jan. 18, 1877
47 Apr. 25, 1878 Insanity

do

June 19, 1877 Apr. 11, 1878 54 Apr. 29, 1878 Consumption

do

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

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

do

Nov. 23, 1876 Nov. 25, 1876 37 June 21, 1878 Consumption

do

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

do

Jan. 3, 1876 Mar. 30, 1878 51 July 14, 1878 Pulmonary consumption do

July 6, 1878 July 6, 1878 69 July 28, 1878 Chronic bronchitiş

do

Jan. 8, 1868 Oct. 6, 1876 57 July 28, 1878 Consumption

do

June 30, 1873 July 8, 1878 58 July 28, 1878 Exposure

Found dead near the Home. Sept. 8, 1877 40 Aug. 3, 1878 Alcoholism

Home hospital.

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

do

Jan. 21, 1873 Aug. 12, 1878 72 Aug. 13, 1878 Senility.

do

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

do

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

do

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

do

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

do

July 25, 1878 Aug. 26, 1878 73 Sept. 22, 1878 Hepatitis

do

June 29, 1878 June 29, 1878 63 Sept. 27, 1878 Chronic cystitis.

do

May 23, 1867 Sept. 8, 1878 32 Oet. -3, 1878 Consumption

do

Aug. 6, 1878 Sept. 28, 1878 43 Oct. 4. 1878 Cancer.

do

Sept. 8. 1875 June 5, 1878 45 Oct. 27, 1878 Rheumatism, paralysis. do

June 30, 1870 Oct. 26, 1878 52 Nov. 10, 1878 Consumption

do

Sept. 16, 1876 Dec. 14, 1877

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Michael Cline
James Stewart
William Riebling
Patrick Molloy
Charles Trudell
Charles H. Knight.
Ferdinand Naue
William Henry

1, 17th Wis
B, 37th Mich
C, 9th Wis
D, lut m. Lt. Art.
B, 7th Pa, Cav
B, 5th N. Y. Art.
A, 75th Pa
G, 19th U. S. Inf..

Ireland

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Germany
Ireland
Canada
New York
Germany
Ireland

40
67
57

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