~ 
 
 BLACKWELL'^S ISLAND HOSPITALS; 
 
 ' - . NEW YORK CITY, N. Y. 
 
 ffHE REPORT 
 
 OF THB 
 
 RESIDENT PHYSICIAN 
 
 OF 
 
 BLACK WELL'S ISLAND 
 
 FOR THE YEAR 1858. 
 
 NEW YORK: 
 
 1859. 
 
lEx ICtbrtB 
 
 SEYMOUR DURST 
 
 When you leave, please leave this book 
 
 Because it has been said 
 "Sver'thing comes t' bim who waits 
 
 Except a loaned book." 
 
 Avery Architectural and Fine Arts Library 
 Gift of Seymour B. Durst Old York Library 
 
REPORT 
 
 OF THE 
 
 lesiaxnt ||j)skian of SlathtotH's fslatifo 
 
 TO THE 
 
 GOVERNORS OF THE ALMS HOUSE, 
 
 ON THE 
 
 SEVERAL HOSPITALS UNDER HIS CHARGE, 
 
 FOK TUK YEAR * S.jS. 
 
 NEW YORK. 
 
 1859. 
 
BLACKW ELL'S ISLAND HOSPITALS. 
 
 Kesident Physician's Office, 
 
 Blackwell's Island, 
 
 January 1, 1859. 
 
 To the Governors of the Alms House: 
 
 Gentlemen, — I have the pleasure to submit here- 
 with the Medical and Statistical Reports of the various de- 
 partments under mj charge, during the year 1858, in- 
 cluding the Island Hospital, Small Pox Hospital, 
 Alms House, Work House, and Penitentiary, and I 
 gladly avail myself of the opportunity to congratulate 
 your Honorable Board on the continued healthfulness of 
 the institutions on Blackwell's Island. 
 
 ISLAND HOSPITAL. 
 
 The year 1858 will long be a memorable one in the an- 
 nals of this hospital. In the early part of February fur- 
 ther action was taken on the proposition mentioned in my 
 last report, and a series of resolutions were adopted which, 
 although not so complete as could be desired, practically 
 severed this medical institution from the adjacent punitive 
 establishments, and formally declared a plan by which the 
 
4 
 
 suffering poor of New York could obtain professional re- 
 lief without undergoing the preliminary torture of a va- 
 grancy commitment. Such action deserves the acknowl- 
 edgments of all who feel an interest in the sick poor, 
 especially when considered as the precursor of more effect- 
 ual measures for extending the efficiency and removing the 
 restrictions of the Island Hospital of Blackwell's Island. 
 
 But the ink with which your resolutions were written 
 was scarcely dry when an accident entirely destroyed the 
 building. I need not recount the particulars of the fire of 
 February 13, 1858, that in less than four hours reduced 
 to a pile of smoking ruins the edifice which on the previous 
 night had been the home of nearly six hundred persons. 
 The investigations ordered by your Honorable Board, 
 and the general publicity given to the event at the time, 
 render minute details unnecessary. But I should not dis- 
 charge my duty if I omitted to tender my thanks for the 
 promptitude evinced in finding temporary accommodations 
 for the patients, and the kindness displayed by yourselves 
 and the heads of departments and officers on the Island. 
 Your sympathy and assistance to myself and family at the 
 time of the fire and subsequently thereto is thoroughly ap- 
 preciated, and will be gratefully remembered. 
 
 During the year 1858 the total number of admissions to 
 the Island Hospital was 4,141 
 
5 
 
 The admissions during 1857 were 2,810 
 
 1856 " 1,733 
 
 " 1855 " 2,158 
 
 " 1854 " 3,744 
 
 " 1853 " 3,136 
 
 The increase of admissions in 1858 as compared with 1857 
 was 1,331, or 47 T \ per cent. As compared with the average 
 of the preceding five years, the increase is 1,425, or 52 T 4 „ 
 per cent. The total number of patients under treatment 
 in 1858 was 4,676, against 3,158 treated in 1857, or 2,083 
 treated in 1856, — an increase of 1, 418on the one, and 2,593 
 on the other year. 
 
 The annexed tables are constructed on the same model 
 as those submitted last year. The first or large table 
 gives a succinct account of the sickness treated in the 
 Island Hospital, each line being a complete history of the 
 malady to which it is devoted, so far as the number, sex, 
 age, education and nativity of patients, and the result and 
 duration of treatment, are concerned. It is, in short, an 
 epitomised record of the year's medical business. 
 
 The " Comparative Statement ; ' is worthy your consider- 
 ation. I have hitherto availed myself of my annual report 
 to give prominence to the statistics of Venereal disease, and 
 the figures now presented bear a mournful aspect, show- 
 ing but a slight diminution of the ratio reported in 1857. 
 
6 
 
 Of the total number of patients under treatment, 63 T 7 o per 
 cent, received medical assistance for Venereal affections. 
 In 1857 the proportion was 65 T Vper cent., and in 1856 it 
 was 73 T \ per cent. I explained last year that the large 
 increase of patients laboring under other diseases made 
 " the decrease of Venereal affections apparent and not 
 real," and in the present instance, notwithstanding the 
 slightly reduced proportions, it would be contrary to the 
 fact to infer that Syphilis is decreasing. It is steadily ad- 
 vancing, and will continue to advance until effective meas- 
 ures are taken to check it in its earliest stages. I have 
 presented my views on this matter so recently that it is 
 needless to repeat them here. 
 
 To the series of tables marked from A to Aa inclusive, 
 I request your earnest attention. They were projected with 
 a view to ascertain precisely who and what constituted the 
 largest share of the recipients of the public charities of 
 New York, and have been carefully continued during the 
 space of five years in the confidence that a time would 
 come when reliable statistics could be effectually used in 
 the discussion of the questions arising from pauperism and 
 vagrancy; questions which have agitated the public mind 
 from the earliest ages, and are, even now, enveloped in a 
 darkness which prevents us knowing airy thing more than 
 the existence of a large amount of poverty which common 
 humanity forces us to relieve. There would be animpor- 
 
\ 
 
 7 
 
 priety in theorizing now upon the causes of this destitu- 
 tion ; it is sufficient to draw }^our attention to some few of 
 the facts evolved. 
 
 The particulars of Table A have been given already ; 
 but Table B must not be passed without notice. In 1857 
 there were 306 prisoners fr^m the Penitentiary treated in 
 the Hospital ; in 1858 but 56 of that class have received 
 medical assistance, and of that reduced number 28 were 
 remaining in the Hospital at the close of 1857, and 28 
 were admitted prior to the resolution severing the Hos 
 pital from the Penitentiary. This is one happy result of 
 your action ; another shows it in a still more gratifying 
 light In 1857 there were 250 patients from the Alms 
 House on Blackwell's Island or the Office of the Depart- 
 ment in New York. In 1858 this class of inmates had in- 
 creased to 493. The proportion of patients who did not 
 reach the Hospital through a penal sentence or vagrancy 
 commitment was, in 
 
 1857 7 T !) - per cent. 
 
 1858 10-V " " 
 
 Increased ratio in 1858 2 A " " 
 
 Table C gives a monthly recapitulation of Admissions, 
 Deaths, and Discharges, and requires no special notice. 
 Table D shows the- number of days treatment devoted to 
 
8 
 
 each class of inmates, and confirms the facts mentioned as 
 to the decrease of the criminal class. Passing to table E 7 
 we find the nativities of those admitted during 1858 to be 
 
 Natives 24 A per cent. 
 
 Foreigners 75 A " 
 
 100 
 
 The relative proportions in the last five years were 
 
 
 1854. 
 
 1855. 
 
 1856. 
 
 1857. 
 
 1858. 
 
 Natives, 
 Formers, 
 
 23vVp. ct. 
 76 - 3 - " 
 
 29 T Vp. ct. 
 70 T V " 
 
 29A P. ct. 
 70 T V " 
 
 28 T \ p. ct. 
 71 T V " 
 
 24 A p. ct. 
 
 
 100 
 
 100 
 
 100 
 
 100 
 
 100 . 
 
 The mean of five years is 
 
 Natives 27 A per cent. 
 
 Foreigners 72 A M 
 
 100 
 
 The proportion of natives admitted in 1858 is therefore 
 2A per cent, below the average. 
 
 The proportion of natives of the several States is : 
 
 New York 69 A P er cent » 
 
9 
 
 New Jersey . , 
 Massachusetts 
 Connecticut . . 
 Pennsylvania 
 Maine , 
 
 4 
 
 lA 
 
 per cent. 
 
 South Carolina 
 
 1 
 
 Ohio 
 
 Delaware 
 
 Xew Hampshire 
 
 2sorth Carolina 
 
 Vermont 
 
 Maryland 
 
 Rhode Island 
 
 Georgia 
 
 Missouri 
 
 Indiana 
 
 Virginia 
 
 Illinois 
 
 Louisiana 
 
 Michigan 
 
 The ratio of foreigners is : 
 
 100 
 
 Ireland . 
 England 
 
10 
 
 Scotland 3 T % per cent. 
 
 Canada j u 
 
 Wales J 
 
 Total from British Dominions 91 T 8 F per cent. 
 
 Germany 6 T \ per cent. 
 
 France T % " 
 
 Other European Nations. .. . T 6 ff " 
 
 Total from Continental Europe 7 r 7 5 per cent. 
 
 Other countries, at sea and unascertained . T \ " 
 
 100 
 
 In immediate connection with the subject of nativities, 
 is the length of time foreign born patients have resided in 
 the United States. The following results are exhibited bj 
 Table F : 
 
 Eesided under five years 19 tV per cent 
 
 " from 5 years to 10 years 31 T \ 
 
 " 10 " 15 M .... 23 T 5 o 
 
 " 15 " 20 " .... 14 T 8 T 
 
 " u 20 " and upwards 10 T V 
 
 Length of residence unascertained. ... T \ 
 
 100 
 
11 
 
 A comparison of the results of five years' observations is 
 as follows : 
 
 LENGTH OF RESIDENCE. 
 
 1854 
 
 1855 
 
 1856 
 
 1857 
 
 1858 
 
 Under 5 years 
 
 21 T \ 
 
 24 T \ 
 
 88* 
 
 17A 
 
 19- 
 
 " 
 
 From 5 yrs. to 10 yrs. 
 
 24A 
 
 28^ 
 
 33 ft 
 
 32 A 
 
 31- 
 
 8 
 
 
 
 u iQ ii 15 u 
 
 19 T \ 
 
 20A 
 
 19ft 
 
 23 
 
 23- 
 
 5 
 
 
 
 " 15 11 20 " 
 
 13A 
 
 ISA 
 
 14ft 
 
 loA 
 
 14- 
 
 8 
 
 
 
 20 yrs. and upwards 
 
 
 ll- 3 - 
 
 AX 1 
 
 9 To 
 
 lift 
 
 10- 
 
 i"o 
 
 Unascertained 
 
 §A 
 
 1 To 
 
 To 
 
 8 
 1 
 
 
 l 
 
 
 
 
 100 
 
 100 
 
 100 
 
 100 
 
 100 
 
 Table G shows the rges of patients admitted during '58. 
 
 16 years and under 3 A per cent. 
 
 17 " to 20 years 24 A " 
 
 21 " "25 u 26A w 
 
 26 u h 30 <• 19A <; 
 
 31 " "40 " 12A " 
 
 41 H "50 " 7A " • 
 
 51 " and upwards 6 A " 
 
 Unascertained A " 
 
 100 
 
 This table shows but very little decrease in juvenile de- 
 pravity. In my report for 1857 I stated as the mean re- 
 salt of four years' inquiries that 74A P er cent, of the 
 patients admitted to this hospital were under thirty years 
 of age, and the experience of the year just closed verifies 
 
12 
 
 that remark, the number received nnder thirty years of age 
 forming 74 T V per cent, of the aggregate. While the rising 
 generation, those who have not yet reached the meridian 
 of life, are the victims of dissipation and disease to such an 
 extent, can it be any matter of surprise that your Alms 
 Houses are crowded with the prematurely aged and de- 
 crepid ? 
 
 Table H shows the degree of education of each patient 
 admitted. 
 
 Can read and write well 5 T 3 o per cent. 
 
 " " " imperfectly 25 T V 
 
 l ! " only 36 T V 
 
 Uneducated 32 T \ " 
 
 Unascertained J f u 
 
 100 
 
 The importance of the subject of Education T and the 
 evident connection between ignorance and juvenile de- 
 pravity, will warrant the introduction of the following 
 summary of my observations during the last five years : 
 
 EDUCATION. 
 
 1851 
 
 1355 
 
 1856 
 
 18-Y7 
 
 1858 
 
 Read and write well 
 
 HA 
 
 13 T 5 o 
 
 ISA 
 
 7_3_ 
 ' 1 
 
 5fV 
 
 Do. do. imperfectly 
 
 o0 7 \ 
 
 
 
 31 To 
 
 2o T % 
 
 
 
 
 
 
 36 T V 
 
 Uneducated 
 
 
 33 
 
 
 27 
 
 
 Unascertained 
 
 1 
 
 1t 2 o- 
 
 7 
 
 r. 
 
 1 
 
 T 
 
 1 
 
 
 100 
 
 100 
 
 100 
 
 100 
 
 100 
 
13 
 
 Table K gives the civil condition of each patient. 
 
 Single 59 T V per cent. 
 
 Married 19 T » ¥ " 
 
 Widowed 20 T * ¥ 
 
 Unascertained T V " 
 
 100 
 
 Table L is a continuation of the same subject, giving the 
 age of each patient in connection with the civil condition. 
 Thus the ratio of those who are married is: 
 
 16 years and under 2 T \ per cent. 
 
 17 " H to 20 years 21 " 
 
 21 " "25 " 18 T % « 
 
 26 41 11 30 u 15 T v M 
 
 31 l< "40 M 25 T \ u 
 
 41 " " 50 " 8 T \ " 
 
 51 11 and upwards 9 T % 11 
 
 100 
 
 The ratio of widowed patients is: 
 
 16 years and under / ¥ per cent. 
 
 17 " to 20 years 18 x s ¥ " 
 
 21 " " 25 " 13 T v u 
 
 26 M 11 30 u 22 " 
 
 31 " "40 " 14 T V 11 
 
14 
 
 41 years to 50 years 18 T %- per cent. 
 
 51 u and upwards 12 T 8 o " 
 
 100 
 
 The facts of juvenile depravity and ignorance already 
 exhibited are fitting preludes to the statements of intem- 
 perance developed by Table M, which shows the habits of 
 patients admitted during 1858 in the following proportions : 
 
 Temperate 
 
 Moderate Drinkers . 
 
 Intemperate 
 
 Habitual Drunkards 
 Unascertained 
 
 100 
 
 Eighty-five of every one hundred persons confess the use 
 of intoxicating drinks in a greater or less degree ! Sixty- 
 one in every one hundred admit they are intemperate 
 drinkers, or habitual drunkards ! 
 
 Table N gives the social habits of patients in conjunc- 
 tion with their ages. In other words, it is a further expo- 
 sition of juvenile depravity. Of the 628 Temperate per- 
 sons, there were 
 
 15 T V per cent. 
 23 T V " 
 39 A « 
 21-°- " 
 
 1 
 
 16 years and under 
 
 13fV per cent. 
 
17 years to 20 years 23 T 6 o per cent. 
 
 21 " " 25 " 18 T 2 o " 
 
 26 11 " 30 11 16 T 9 „ 
 
 31 11 " 40 " 14 
 
 41 11 " 50 " 8 T V 41 
 
 51 " and upwards 5 T S „ 1 
 
 100 
 
 Of 972 Moderate Drinkers, there were 
 
 16 years and under 3 percent. 
 
 17 " to 20 years 34 T v " 
 
 21 14 "25 " 26W 11 
 
 26 11 "30 " 16 T % " 
 
 31 « " 40 " 8/ ¥ " 
 
 41 11 "50 " 7 
 
 i . 
 
 51 " and upwards '. . 3 T 2 „ *' 
 
 100 
 
 Of 1,629 Intemperate Drinkers, there were 
 
 16 years and under 1 T ^ per cent. 
 
 17 " to 20 years 19 T % 
 
 91 11 " 9^ u 97j> " 
 
 26 " "30 " 26^ M 
 
 31 " "40 " *..... 12 T V u 
 
 41 " "50 " 7 T V 11 
 
 51 " and upwards 5 T 9 - " 
 
 100 
 
16 
 
 Of 898 Habitual Drunkards, there were 
 
 16 years and under 1 T \ per cent. 
 
 17 " to 20 years 23 T 4 ¥ 
 
 21 " "25 " 30 T 6 o " 
 
 26 « "30 " 12 T v u 
 
 31 " "40 " U T % " 
 
 41 f "50 " 6 T \ M 
 
 51 " and up wards lOyV " 
 
 100 
 
 I will take the same facts from another point of view, and 
 exhibit the social habits of patients under thirty years of 
 age. They amounted in number to 3,070, and the propor- 
 tions are as follows : 
 
 Temperate 
 
 Moderate Drinkers . 
 
 Intemperate , 
 
 Habitual drunkards 
 
 100 
 
 14 T v per cent. 
 25A " 
 39 T V « 
 19 T \ " 
 
 Table O shows the social habits and education of each 
 patient in conjunction. It will be necessary to analyze 
 the columns separately. Commencing with those who 
 can read and write well, it appears there were 
 
17 
 
 Temperate 50 r V per cent. 
 
 Moderate Drinkers 19 T 2 F " 
 
 Intemperate 17 T 8 o " 
 
 Habitual Drunkards 12^ " 
 
 100 
 
 Of those who can read and write imperfectly, there were 
 
 Temperate 16 T % per cent. 
 
 Moderate Drinkers 21 T \ " 
 
 Intemperate 37 T %- " 
 
 Habitual Drunkards 23 T 6 „ " 
 
 100 
 
 Of those who can read only, there were 
 
 Temperate 3 per cent. 
 
 Moderate Drinkers 31 T 6 o " 
 
 Intemperate 43 T s s " 
 
 Habitual Drunkards 21 T % " 
 
 100 
 
 Of those entirely uneducated, there were 
 
 Temperate 22 per cent. 
 
 Moderate Drinkers 16 to " 
 
 Intemperate 40 T V " 
 
 Habitual Drunkards 21 T \ " 
 
 100 
 
 2 
 
18 
 
 In the next table (P) is exhibited the parental examples 
 to which patients were exposed, and which unquestiona- 
 bly influenced their subsequent career. From the volun- 
 tary admissions of the children, we learn that of their 
 parents there were 
 
 Temperate 25 per cent. 
 
 Moderate Drinkers 36 T \ " 
 
 Intemperate 21 T 6 o " 
 
 Habitual Drunkards 9 " 
 
 Of unascertained habits 8 T V " 
 
 100 
 
 Table Q continues the subject, and shows the effect of 
 parental influences as follows. Of the children of temper- 
 ate parents, there were 
 
 Temperate 
 
 Moderate Drinkers . 
 
 Intemperate 
 
 Habitual Drunkards 
 
 100 
 
 Of the children of Moderate Drinkers, there were 
 
 Temperate 9 T V per cent. 
 
 Moderate Drinkers 29 " 
 
 30 T 8 o per cent. 
 
 27 T \ " 
 16 T V " 
 
19 
 
 Intemperate 41 T \ per cent. 
 
 Habitual Drunkards 19 T 4 ¥ " 
 
 100 
 
 Of the children of Intemperate parents, there were 
 
 Temperate 7 T 6 o per cent. 
 
 Moderate Drinkers 19 T 5 o " 
 
 Intemperate ^ to " 
 
 Habitual Drunkards 25 T 7 ¥ " 
 
 100 
 
 Of the children of Habitual Drunkards, there were 
 
 Temperate 13 T 4 o P er cent. 
 
 Moderate Drinkers 8 T 6 o " 
 
 Intemperate 52 " 
 
 Habitual Drunkards 26 " 
 
 100 
 
 Of the children of parents whose habits were unascer- 
 tained, there were 
 
 Temperate 13 per cent. 
 
 Moderate Drinkers 20 T \ " 
 
 Intemperate 32 T \ " 
 
 Habitual Drunkards 32 T V " 
 
 Unascertained Habits 1 T 2 „ " 
 
 100 
 
20 
 
 Table K gives the profession of Keligion, as stated by 
 the patients admitted during 1858. The per centages are 
 
 Protestants 32 T \ per cent. 
 
 Eoman Catholics 62 T \ :l 
 
 Jews T % " 
 
 Non-Professors 4 
 
 Unascertained , 
 
 
 
 To 
 
 100 
 
 Table T. The occupations of patients are as follows : 
 
 Kequiring mental ability T % per cent. 
 
 " mechanical or trade knowledge. 30 T 7 o " 
 
 u physical strength merely 68 T % " 
 
 Unascertained , . T V w 
 
 100 
 
 Of the inmates, there 
 
 Worked until committed 23 per cent. 
 
 Have been idle for 3 months 16 T V 11 
 
 from 
 
 6 
 
 1 year . 
 
 1 " to 2 years 
 
 2 " " 4 " 
 
 7 " " 10 " 
 
 14-'- 
 
 9A 
 10rV 
 
 7 
 
 4-5- 
 Q 9 
 
21 
 
 Have been idle over ten years ....... T 9 o per cent. 
 
 " " an unascertained time T V " 
 
 100 
 
 Table U. The number of times each patient has been 
 an inmate of the Island Hospital. 
 
 1st time of Admission 52 T V per cent 
 
 2nd " " 16 T \ " 
 
 3rd « " 7 T 9 o 44 
 
 4th " " 6 T V 44 
 
 5th " " 4 T \ « 
 
 6th " « 4 T V 44 
 
 7th " u 2 T % 44 
 
 8th " M 1 5 " 
 
 1 
 
 u 
 
 1 
 
 9th 44 " 
 
 10th « " T V " 
 
 11th " « T V " 
 
 12th 44 44 r \ " 
 
 Over 12 times 2 T 9 ¥ " 
 
 Unascertained T \ " 
 
 100 
 
 Table V shows the duration of treatment in the case of 
 each patient discharged during 1858. 
 
 5 days and under 10 T 5 „ per cent. 
 
 6 " to 10 days 
 
 _7_ u 
 1 o 
 
22 
 
 11 days to 20 days 10 T V per cent. 
 
 21 " "30 " 11 T V " 
 
 1 month to 2 months 18 T 3 „ " 
 
 2 " " 3 " U T % " 
 
 3 u " 4 " 12 T V " 
 
 4 " " and upwards 11 T 4 T " 
 
 Helpers and improper subjects 1 T \ " 
 
 100 
 
 Table "W gives the result of Treatment as follows : 
 
 Cured 75 T \ per cent. 
 
 Believed 19 T \ 11 
 
 Not Relieved T V a 
 
 Died 2 T V u 
 
 Transferred ) 
 
 > l- 2 - " 
 Helpers and improper subjects ) 10 
 
 100 
 
 Calculating the result upon the whole number under 
 treatment, the proportions are 
 
 Cured 69 T \ per cent. 
 
 Relieved 18 T V " 
 
 Not Relieved T V " 
 
 Died.... 2 T V " 
 
 Transferred 
 
 Helpers and improper subjects . 
 Remaining in Hospital 
 
 100 
 
 3_ U 
 I 
 
23 
 
 The ratio of mortality (2 T 4 o per cent.) given in this table 
 
 does not present a fair statement, as several deaths are not 
 fairly chargeable to the institution. 
 
 From the total number of deaths as reported . . 113 
 must be deducted 
 
 Coroners' Cases 6 
 
 Pneumonia, died 12 hours after admission . . 1 
 
 Erysipelas, " 15 " " " 1 
 
 Hypertrophy of Heart, died 60 hours after ad- 
 mission 1 
 
 Valvular Disease of Heart, died 48 hours after 
 
 admission 1 
 
 Pneumonia, " 14 " " 1 
 
 Ascites, " 6- ' M " 1 
 
 Phthisis Pulmonalis, " 70 " " 1 
 
 Phthisis Pulmonalis, " 42 " " 1 
 
 14 
 
 Number of deaths legitimately accruing in Hospi- 
 tal practice — 99 
 
 Net ratio of mortality on patients under treat- 
 ment 2 T V per cent. 
 
 More than one third of the cases which resulted fatally 
 were Consumption, and the general class of diseases thus 
 terminating may be perceived by table X, which gives the 
 time each patient who died was under treatment, as fol- 
 lows : 
 
24 
 
 5 days and under 33 T v per cent. 
 
 6 " to 10 days 8 T 8 T « 
 
 11 " " 20 " 15 T V " 
 
 21 " "30 " ll T 5 o " 
 
 Under treatment less than 1 month . 69 T V " 
 
 1 month to 2 months 14 r 2 „ " 
 
 2 u " 3 » 5 T \ " 
 
 3 " "4 " 4 T V " 
 
 4 " and upward 7 
 
 100 
 
 The ratio of mortality for the last six years is as fol- 
 lows : 
 
 1853 3 T 5 o per cent. 
 
 1854 S T \ 11 
 
 1855 2 T \ 11 
 
 1856 l T % « 
 
 1857 2 T V " 
 
 1858 * 2 T V " 
 
 Mean ratio for six years 2 T \ " 
 
 Ratio in 1858 2 T \ 11 
 
 Reduction in 1858 T 4 ¥ " 
 
 Table Y is a continuation of the mortality statistics, and 
 shows at w r hat hour in the day or night death occurred. 
 It will be observed that the preponderance is in the early 
 
25 
 
 hours of the morning. I have noted these facts during 
 the last four years with the following results : 
 
 YEARS. 
 
 FORENOON. 
 
 AFTERNOON 
 
 TOTAL. 
 
 1855 
 
 41 
 
 25 
 
 66 
 
 1856 
 
 23 
 
 15 
 
 38 
 
 1857 
 
 41 
 
 S3 
 
 74 
 
 1858 
 
 79 
 
 34 
 
 113 
 
 
 184 
 
 107 
 
 291 
 
 The proportions are : 
 
 Died from 1 A. M. to 12 M 63 T \ per cent. 
 
 " 12 M. to midnight 36 T V " 
 
 100 
 
 Table Z is a condensed statement of the net current ex- 
 penses of the hospital during 1858. Of course the large 
 outlay rendered necessary by the fire does not appear. 
 My endeavor has been so to arrange the accounts as to 
 introduce in this statement nothing which belongs to the 
 expenditure for replacing destroyed furniture, etc. : but to 
 allow a reasonable per centage for depreciation of wearing 
 apparel, bedding and utensils, as calculated from the ex- 
 perience of former years. 
 
 Table Aa shows the amount of bills rendered during 
 the year to the Commissioners of Emigration for the Medi- 
 
26 
 
 cal attendance and Board of patients chargeable to the 
 Emigration fund. 
 
 I am unable to present any Meteorological tables, the 
 Observatory and records having been destroyed. 
 
 SMALL POX HOSPITAL. 
 
 The tables marked from A to E inclusive give the 
 record of the year's medical business in this institution. 
 The aggregate number of patients treated was 243, an in- 
 crease of 35 (16 T 8 o per cent.) on the number treated in 
 1857. The ratio of mortality is slightly in advance of 
 last year, but still less than the average of five preceding 
 years. In 1858 it amounted to 13 T 5 o per cent., and in the 
 five years from 1853 to 1857 it averaged 17 T V per cent. 
 This gratifying result must be partly attributed to the 
 superior accommodations provided in the Hospital build- 
 ing. It is matter of regret that its advantages are not 
 more widely understood, and I have little doubt that if 
 such were the case there would be a large decrease in the 
 number of persons who die of Small Pox in the city of 
 New York. 
 
 ALMS HOUSE. 
 
 The tables A, B and C give the history of the Medical 
 business and a statement of the mortality during the year. 
 The total number of deaths was 393, or 4 per cent, upon 
 
27 
 
 the number treated. Table B gives a summary of the 
 mortality, and shows that 41 patients who died here were 
 transferred direct from Bellevue Hospital. This is about 
 10^ per cent., being a decrease upon the number transfer- 
 red in 1857, but yet much too large for the best interests 
 of the Alms House. The over-crowded condition of the 
 Alms House largely contributes to the sickness prevalent 
 in this department. 
 
 WORK HOUSE. 
 
 The table shows the amount of sickness and mortality 
 in this department, the latter being only 1 T \ per cent. 
 It must be remembered that all serious cases of disease 
 are transferred to the Island Hospital. 
 
 PENITENTIARY. 
 
 The sickness and mortality in the Penitentiary is shown 
 in the table. The description of prisoners sentenced to 
 that institution is such that only a small amount of mor- 
 tality must be expected, yet still the very low ratio (0 T V 
 per cent.) is a circumstance very gratifying to all connected 
 with the department. 
 
 AGGREGATE STATEMENT. 
 
 The last table in the series is an aggregate statement of 
 the year's proceedings, and I beg to call your attention to 
 
28 
 
 the fact that nearly twenty-three thousand cases of disease 
 have been treated in the medical department under my 
 charge during the last year. It must be a pleasurable 
 thought to you that so much sickness and misery finds its 
 relief through your agency. 
 
 The gentlemen on my medical staff during the last 
 year, Doctors Greenlee, O'Neil, Cooper, Van Wagner, Cox, 
 Ware, Neff, Gallagher, Smith, Hodgman, Peugnet, Fox, 
 Brisbane, Merchant, and Malone, have performed their 
 duties in a manner satisfactory to me and creditable to 
 themselves, and I gladly avail myself of this opportunity 
 to tender them my acknowledgments. By virtue of a 
 resolution of your Honorable Board authorizing me to 
 nominate a Senior Assistant or Deputy Resident Physician, 
 I have appointed Dr. C. W. Packard to that position, the 
 duties thereof commencing this day. From his medical 
 skill, and the experience he has acquired in the Hospitals 
 under my charge and also in the Lunatic Asylum, I hope 
 to find him a valuable assistant in the task of carrying out 
 your wishes. 
 
 The Apothecary, Mr. John Atkinson, continues to per- 
 form his duties in the satisfactory manner I have men- 
 tioned in former years, and merits a renewal of my com- 
 mendations. 
 
 The varied duties devolving upon the Steward of the 
 
29 
 
 Hospital have been performed by Mr. B. B. Sibell, with 
 his accustomed assiduity and integrity. I am happy to 
 repeat my former remarks as to his peculiar fitness for the 
 position he occupies. 
 
 The Clerk of the Hospital, Mr. S. G. Butler, has given 
 me every satisfaction by his manner of performing his 
 duties. 
 
 I cannot forbear expressing my sincere acknowledg- 
 ments to all my officers, medical and non-medical, for the 
 energy displayed on the morning the Hospital was burned. 
 To their promptitude I attribute the saving of the lives 
 endangered on that occasion. 
 
 For your many kindnesses to myself during the year, 
 and for the interest evinced in the institutions under my 
 charge, be pleased to accept my cordial acknowledgments. 
 I am, Gentlemen, 
 
 Yours respectfully, 
 
 WM. W. SANGEE, 
 
 Resident Physician, 
 
 BlachweWs Island. 
 
30 
 
 Island Hospital, Blackwell's Island, 
 
 January 1, 1859. 
 
 COMPARATIVE STATEMENT 
 
 Of the Diseases treated in t/ie Island Hospital, BlackwelPs 
 Island, during the years 1857 and 1858, showing the 
 Increase or Decrease in the latter year. 
 
 DISEASES. 
 
 Treated 
 in 1857. 
 
 Treated 
 in 1858. 
 
 Increase 
 in 1858. 
 
 Decrease 
 in 1858. 
 
 
 3 
 36 
 
 2 
 15 
 
 9 
 
 7 
 43 
 
 4 
 
 7 
 
 
 
 
 
 2 
 
 
 19 
 
 12 
 4 
 
 74 
 2 
 3 
 5 
 5 
 1 
 6 
 9 
 
 58 
 1 
 
 "121 
 338 
 9 
 6 
 13 
 
 4 
 3 
 4 
 33 
 
 
 
 
 
 
 41 
 
 2 
 
 
 
 
 
 3 
 1 
 
 2 
 
 
 
 4 
 3 
 1 
 
 5 
 6 
 32 
 
 
 
 
 
 
 
 1 
 
 3 
 26 
 1 
 
 48 
 115 
 3 
 
 
 
 
 
 
 Brain, Inflammation of 
 
 
 
 73 
 233 
 6 
 6 
 8 
 
 
 Buboes 
 
 
 Burns 
 
 
 Carbuncle 
 
 
 Caries 
 
 5 
 
 
31 
 
 DISEASES. 
 
 Cervix Uteri, Hypertrophy of 
 " Inflammation oi 
 
 " " Induration of. . 
 " ** Induration and 
 Ulceration of 
 " " Ulceration of. 
 
 Cholera Infantum 
 
 Cholera Morbus 
 
 Chorea 
 
 Colic 
 
 Cond} 7 lomata 
 
 Conjunctivitis 
 
 Constipation 
 
 Convulsions 
 
 Corneitis 
 
 Coroners' cases 
 
 Coup de Soliel 
 
 Croup 
 
 Cystitis 
 
 Debauch 
 
 Debility 
 
 Delirium Tremens 
 
 Diarrhoea 
 
 Dysentery 
 
 Eczema 
 
 Endocarditis 
 
 Enteritis . . 
 
 Erysipelas 
 
 Epididymitis 
 
 Epilepsy 
 
 Fever, Chagres 
 
 Intermittent 
 
 Puerperal 
 
 " Remittent 
 
 Typhoid 
 
 Typhus 
 
 Fistula in Ano 
 
 Treated 
 in 1857. 
 
 39 
 36 
 34 
 
 27 
 166 
 
 2 
 2 
 1 
 44 
 29 
 13 
 
 2 
 58 
 22 
 22 
 89 
 26 
 
 5 
 
 1 
 17 
 
 1 
 16 
 
 1 
 71 
 
 Treated 
 in 1858. 
 
 53 
 64 
 27 
 
 30 
 218 
 4 
 1 
 1 
 
 73 
 34 
 15 
 1 
 4 
 6 
 
 1 
 
 976 
 15 
 305 
 116 
 30 
 8 
 1 
 2 
 25 
 
 22 
 
 85 
 2 
 6 
 3 
 
 Increase 
 ,in 1858 
 
 14 
 
 28 
 
 3 
 52 
 4 
 5 
 
 29 
 5 
 2 
 1 
 1 
 4 
 
 1 
 
 918 
 
 283 
 27 
 4 
 3 
 1 
 1 
 
 14 
 
 2 
 
32 
 
 DISEASES. 
 
 Fistula-Recto-Vaginal 
 
 Fracture 
 
 Frost Bite 
 
 Furuncles .... 
 
 Gastritis 
 
 Gonorrhoea . . . 
 Granular Lids 
 
 Cornea 
 
 Hemiplegia 
 Hemorrhage . . . 
 " Uterine 
 
 and Vascular 
 
 " from Syphilitic Ulcera- 
 tion 
 
 Hemoptysis 
 
 Heart, Fatty degeneration of. 
 
 " Hypertrophy of. 
 
 " Valvular Disease of. . 
 
 Hepatitis 
 
 Hernia 
 
 Herpes 
 
 Hemorrhoids 
 
 Hysteria 
 
 Icterus 
 
 Impetigo 
 
 Injuries r 
 
 Iritis 
 
 Kidneys, Fatty degeneration of 
 
 Leucorrhcea 
 
 Liver, Cirrhosis of 
 
 " Fatty degeneration of. . 
 
 Marasmus 
 
 Meningitis 
 
 Menorrhagia 
 
 Necrosis 
 
 Nephritis 
 
 Neuralgia 
 
 (Edema 
 
 Treated 
 in 1857. 
 
 6 
 13 
 10 
 
 4 
 
 8 
 
 162 
 
 6 
 7 
 1 
 
 26 
 2 
 
 62 
 2 
 5 
 3 
 
 115 
 49 
 
 12 
 1 
 
 9 
 
 6 
 7 
 1 
 12 
 
 Treated 
 in 1858. 
 
 6 
 18 
 
 14 
 
 28 
 9 
 
 221 
 
 7 
 1 
 
 2 
 1 
 4 
 14 
 
 2 
 34 
 9 
 83 
 1 
 5 
 6 
 
 138 
 58 
 2 
 36 
 2 
 
 2 
 6 
 15 
 9 
 3 
 11 
 12 
 
 Increase 
 in 1358. 
 
 5 
 4 
 24 
 1 
 
 59 
 
 1 
 1 
 
 h 
 i 
 
 8 
 7 
 21 
 
 3 
 23 
 
 9 
 
 2 
 24 
 
 1 
 
33 
 
 DISEASES. 
 
 Treated 
 in 1857. 
 
 Opthalmia 
 
 Orchitis 
 
 Otorrhoea 
 
 Otitis 
 
 Paralysis 
 
 Paronychia 
 
 Parturition 
 
 Pericarditis 
 
 Periostitis 
 
 Peritonitis 
 
 Fhagadcenic Chancre 
 Phthisis Pulmonalis. 
 Phymosis, Congenital 
 
 Pleurodynia 
 
 Pleuritis 
 
 Pneumonia 
 
 Pleuro .... 
 Typhoid... 
 
 Porrigo Favosa 
 
 Prolapsus Uteri , 
 
 Psoriasis 
 
 Purpura 
 
 Ptyalism 
 
 Rheumatism , 
 
 Roseola 
 
 Rubeola 
 
 Rupia 
 
 Scabies 
 
 Scarlatina 
 
 Scrofula 
 
 Senectus 
 
 Spermatorrhoea 
 
 Stricture of Urethra.. 
 
 Synovitis 
 
 Syphilis, Primary 
 
 " Secondary. . . 
 
 " Tertiary 
 
 17 
 27 
 1 
 2 
 
 19 
 13 
 
 33 
 3 
 2 
 
 1 
 
 44 
 159 
 4 
 
 61 
 IT 
 1 
 
 5 
 19 
 17 
 
 o 
 
 219 
 
 1 
 
 33 
 14 
 1 
 8 
 2 
 1 
 25 
 
 It 
 I 
 
 882 
 352 
 74 
 
 Treated 
 in 1S58. 
 
 19 
 31 
 
 24 
 16 
 19 
 4 
 
 5 
 
 58 
 239 
 8 
 17 
 82 
 46 
 1 
 2 
 7 
 99 
 
 10 
 
 280 
 
 9 
 
 41 
 19 
 
 11 
 
 28 
 7 
 
 1206 
 453 
 128 
 
 Increa«e 
 in 185S. 
 
 14 
 
 tO 
 4 
 
 21 
 
 29 
 
 61 
 
 9 
 
 324 
 101 
 54 
 
 Decrease 
 in 1S5S. 
 
 14 
 
34 
 
 DISEASES. 
 
 Treated 
 
 Treated 
 
 Increase 
 
 in 1S57. 
 
 in 1858. 
 
 in 1858. 
 
 
 83 
 
 140 
 
 56 
 
 
 6 
 
 18 
 
 12 
 
 
 242 
 
 301 
 
 59 
 
 Urine, Incontinence of. 
 
 6 
 
 7 
 
 1 
 
 " Retention of 
 
 5 
 
 3 
 
 
 
 105 
 
 138 
 
 33 
 
 Totals 
 
 
 
 2811 
 
 
 
 
 96 
 
 
 
 
 2715 
 
 Decrease 
 in 1858. 
 
 96 
 
35 
 
 
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 398 
 
 3113 
 
 3511 
 
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 137 
 1028 
 
 1165 
 
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 Total. 
 
 535 
 4141 
 
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 113 
 
 4175 
 
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 January 1, 1859. 
 
 STATEMENT OF THE PLACE OF NATIVITY AND AGE OF EACH 
 PATIENT UNDER TREATMENT IN 1858. 
 
 
 r 
 
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 3 
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 4 
 
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 4 
 
 64 
 
 102 
 
 31 
 
 9 
 
 4 
 
64 
 
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 Small Pox Hospital, B. L, 
 
 January 1, 1859. 
 
 STATEMENT OF THE DISEASED CAUSING THE DEATH OF 
 PATIENTS DURING 1858. 
 
 Confluent Small Pox 28 
 
 Distinct Small Pox 5 
 
 Delirium Tremens 2 
 
 Abscess , 1 
 
 Cholera Infantum 1 
 
 Coroner's Case 1 
 
 Pneumonia 1 
 
 Scrofula 1 
 
 Total 40 
 
 Ratio of Mortality from Small Pox in 1858, 13^ per cent. 
 
 Ratio of Mortality in 1857 
 " ' 1856 
 1855 
 1854 
 1853 
 
 12 • per cent. 
 
 18ft " 
 
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 23 fV " 
 
 Mean ratio of Mortality for five years 
 
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 Ratio of Mortality in 1858 13ft 
 
 Decrease in ratio 1858 4 
 
65 
 
 D. 
 
 Small Pox Hospital, B. I., 
 
 January 1, 1859. 
 
 STATEMENT OF THE AGES OF PATIENTS WHO DIED DURING 
 
 1858. 
 
 1 year and under 2 
 
 1 " to 5 years 6 
 
 6 " " 10 " 
 
 11 " " 20 " 7 
 
 21 " " 30 " 16 
 
 31 " " 40 " 7 
 
 60 " and upwards 2 
 
 Total ' 40 
 
 E. 
 
 Small Pox Hospital, B. I., 
 
 January 1, 1859. 
 
 STATEMENT OF THE TIME THAT PATIENTS WHO DIED IN 1858 
 WERE UNDER TREATMENT. 
 
 From 12 hours to 3 days 8 
 
 3 days to 6 " 11 
 
 7 " " 14 " 13 
 
 " 14 " " 21 " 4 
 
 " 21 " " 28 " 3 
 
 1 month to 2 months 1 
 
 Total 40 
 
 5 
 
66 
 
 Island Hospital Office, B. I., 
 
 January 1, 1859. 
 
 STATEMENT 
 
 OF THE 
 
 DISEASES TREATED, 
 
 WITH THE MORTALITY, IN THE ALMS HOUSE, BLACKWELL's ISLAND, 
 DURING THE YEAR ENDING DECEMBER 31, 1858. 
 
 DISEASES. 
 
 Abscess 
 
 Adenitis 
 
 Albuminuria 
 
 Amaurosis 
 
 Amenorrhea a 
 
 Anaemia 
 
 Anasarca 
 
 Apoplexy 
 
 Aptlise 
 
 Ascites 
 
 Asthma 
 
 Balanitis 
 
 Brain, Congestion of 
 " Inflammation of 
 Bronchitis, Chronic . 
 
 Burns 
 
 Cancer 
 
 Carbuncle 
 
 Caries 
 
 Cholera Infantum. . . 
 
 172 
 44 
 
 5 
 15 
 38 
 
 9 
 11 
 
 4 
 22 
 20 
 14 
 37 
 2 
 7 
 
 834 
 35 
 4 
 2 
 1 
 
 115 
 
 11 
 
 Cholera Morbus 
 
 Chorea 
 
 Conjunctivitis 
 
 Convulsions 
 
 Coroner's Cases 
 
 Croup , 
 
 Cystitis 
 
 Debauch , 
 
 Debility 
 
 Delirium Tremens.. , 
 
 Diarrhoea 
 
 Dysentery , 
 
 Dysmenorrhea .... 
 
 Dyspepsia 
 
 Eczema 
 
 Emphysema 
 
 Enteritis , 
 
 Epilepsy 
 
 Erysipelas 
 
 Fever, Intermittent 
 
 231 
 7 
 
 441 
 
 25 
 
 10 
 7 
 63 
 324 
 41 
 1785 
 196 
 2 
 4 
 
 195 
 12 
 16 
 42 
 
 48 
 392 
 
 3 
 15 
 
 18 
 2 
 
 40 
 1 
 
67 
 
 DISEASES. 
 
 Fever, Remittent . . 
 " Typhoid 
 
 Fistula 
 
 Fracture 
 
 Furuncles 
 
 Gastritis 
 
 Gr angular Lids and 
 Vascular Cornea . 
 
 Heart, Hypertrophy 
 of 
 
 Heart, Valvular dis- 
 ease of 
 
 Hematemesis 
 
 Hemiplegia 
 
 Hemorrhoids 
 
 Hernia 
 
 Herpes 
 
 Hepatitis 
 
 Hydrocephalus 
 
 Hysteria 
 
 Injuries 
 
 Iritis 
 
 Liver, Cirrhosis of. . 
 
 Marasmus 
 
 Meningitis 
 
 Menorrhagia 
 
 Necrosis 
 
 Nephritis 
 
 Neuralgia 
 
 Odontalgia 
 
 Opthalmia 
 
 Orchitis 
 
 Otitis 
 
 Paralysis 
 
 4 
 4 
 
 5 
 1 
 6 
 18 
 
 25 
 
 11 
 
 37 
 4 
 
 11 
 115 
 
 61 
 
 50 
 6 
 
 13 
 3 
 
 113 
 111 
 4 
 
 192 
 9 
 
 32 
 4 
 7 
 
 27 
 3 
 
 232 
 8 
 19 
 118 
 
 DISEASES. 
 
 2 
 
 o II 
 
 12 
 
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 I Parotitis 
 
 Pericarditis 
 
 ■ Pertussis 
 
 j Phthisis Pulmonalis. 
 
 ' Pleuritis 
 
 ; Pleurodynia 
 
 ; Pneumonia 
 
 " Typhoid. 
 
 Porrigo Favosa . . . . 
 ' Prolapsus Uteri .... 
 1 Psoriasis 
 
 Purpura 
 
 1 Rheumatism 
 
 Rubeola 
 
 I Rupia 
 
 Scabies 
 
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 2 
 39 
 6 
 
 10 Scorbutus 
 
 Scrofula 
 
 Senectus 
 
 Spermatorrhoea 
 Spine, Pott's dis'se of 
 
 Stomatitis 
 
 Stricture of Urethra. 
 
 Synovitis 
 
 Syphilis, Secondary. 
 " Tertiary... 
 
 Tetanus 
 
 Tonsillitis 
 
 Ulcers 
 
 Urine, Incontinence 
 
 of 
 
 Varicella 
 
 Total number of Deaths 
 
 Ratio of mortality on cases treated, 4 per cent. 
 
 393 
 
68 
 B. 
 
 Island Hospital Office, B. I., 
 
 January 1, 1859. 
 
 SUMMARY OF THE MORTALITY AT THE ALMS HOUSE, BLACK- 
 WELL'S ISLAND, DURING THE YEAR 1858. 
 
 Sex. 
 
 Nativity. 
 
 Age. 
 
 Total number of deaths 
 
 Males. . . 
 Females 
 
 Whence Received. 
 
 Length of Residence 
 in Alms House. 
 
 Natives . . . 
 Foreigners 
 
 Under 1 year 
 
 1 year to 5 years 
 
 6 
 11 
 21 
 31 
 41 
 51 
 61 
 71 
 81 
 91 
 
 10 
 
 " 20 " .. 
 
 " 30 " .. 
 
 " 40 " .. 
 
 " 50 » .. 
 
 60 44 .. 
 
 44 70 » .. 
 
 44 80 " .. 
 
 44 90 " .. 
 and upwards. 
 
 New York City. 
 
 Bellevue Hospital , 
 
 Institution on Blackwell's Island. 
 
 Under 3 days. 
 3 days to 6 
 
 6 " 
 
 " 10 
 
 10 " 
 
 " 20 
 
 20 " 
 
 14 30 
 
 1 month 
 
 to 2 
 
 2 " 
 
 14 3 
 
 3 " 
 
 " ! 
 
 4 " 
 
 " 5 
 
 5 44 
 
 44 6 
 
 6 " 
 
 44 7 
 
 7 " 
 
 44 8 
 
 8 " 
 
 " 9 
 
 9 " 
 
 44 10 
 
 10 " 
 
 44 11 
 
 11 " 
 
 44 12 
 
 day 
 
 1 year and upwards. 
 
 209 
 184 
 
 164 
 
 229 
 
 351 
 41 
 1 
 
 16 
 4 
 
 6 
 
 2 
 
 21 
 
 47 
 30 
 27 
 26 
 17 
 19 
 7 
 6 
 9 
 16 
 6 
 
 109 
 
 393 
 
 593 
 
 30 : 
 
 593 
 
 393 
 
 393 
 
[To Face Paob CS.J 
 
 TABLE C 
 
 Statement of the Mortality at the Alms House, Blackwell's Island, during 1858. 
 
 Island Hospital Office, B. I., 
 
 January 1, 1859. 
 
 DISEASES. 
 
 Albuminuria 
 
 Apoplexy 
 
 Ascites 
 
 Brain, Congestion of. 
 
 " Inflammation of 
 
 Cancer 
 
 Cholera Infantum 
 
 Convulsions 
 
 Coroner's Cases 
 
 Cystitis 
 
 Debility 
 
 Delirium Tremens 
 
 Diarrhoea 
 
 Dysentery 
 
 Enteritis 
 
 Erysipelas 
 
 Fever, Typhoid , 
 
 Heart, Hypertrophy of. ... . 
 
 " Valvular Disease of. 
 
 Hydrocephalus 
 
 Liver, Cirrhosis of 
 
 Marasmus 
 
 Meningitis 
 
 Paralysis 
 
 Phthisis Pulmonalis 
 
 Pneumonia 
 
 Typhoid 
 
 Purpura 
 
 Rubeola 
 
 Senectus 
 
 Syphilis, Tertiary 
 
 Tetanus 
 
 Ulcers 
 
 Totals . 
 
 209 
 
 184 
 
 2 
 
 106 
 50 
 2 
 5 
 1 
 37 
 2 
 1 
 1 
 
 393 161 
 
 229 
 
 221 
 1 
 
 i 
 
 2116 
 
 72 51 
 
 12 28 23 2410 
 
 4 
 2 
 
 414 
 
 3 2122 43 51 6341 1312 351 
 
 218 
 
 611 
 
 WHERE 
 FROM 
 
 a S 
 
 O jn 
 2^ 
 
 pq 
 
 TIME IN ALMS HOUSE. 
 
 ) 27 26 1 
 
 1 I 
 
 9 16 
 
 6 109 
 
69 
 
 Island Hospital Office, B. I. 
 
 January 1, 1859. 
 
 STATEMENT 
 
 OF THE 
 
 DISEASES TREATED, 
 
 WITH THE MORTALITY, IN THE PENITENTIARY, BLACKWELL's ISLAND, 
 DURING THE YEAR ENDING DECEMBER 31, 1858. 
 
 DISEASES. 
 
 Abortion 
 
 Abscess 
 
 Adenitis 
 
 Amaurosis 
 
 Amenorrhcea 
 
 Apoplexy 
 
 Balanitis 
 
 Brain, Congestion of 
 Bronchitis, Chronic. 
 
 Buboes 
 
 Burns 
 
 Cancer 
 
 Carbuncle 
 
 Cholera Morbus.... 
 
 Conjunctivitis 
 
 Debauch 
 
 Delirium Tremens.. 
 
 Diarrhoea 
 
 Dysentery 
 
 Eczema 
 
 Enteritis 
 
 3 
 41 
 9 
 4 
 8 
 1 
 13 
 2 
 39 
 13 
 3 
 4 
 2 
 41 
 60 
 5 
 2 
 
 104 
 13 
 7 
 1 
 
 DISEASES. 
 
 Epilepsy 
 
 Erysipelas 
 
 Fever Intermittent. 
 Typhoid 
 
 Fractures 
 
 Frost Bite 
 
 Gastritis 
 
 Gonorrhoea 
 
 Granular Lids and 
 Vascular Cornea. 
 
 Heart, Valvular Di- 
 sease of 
 
 Hemiplegia 
 
 Hemorrhoids 
 
 Hepatitis 
 
 Herpes 
 
 Icterus 
 
 Impetigo 
 
 Injuries 
 
 Iritis 
 
 Meningitis 
 
 1 
 
 4 
 65 
 1 
 
 17 
 3 
 11 
 103 
 
 1 
 
 1 
 
 2 
 37 
 1 
 5 
 6 
 1 
 
 176 
 5 
 1 
 
70 
 
 DISEASES. 
 
 Menorrhagia 
 
 Nephritis 
 
 Neuralgia 
 
 Op thai mi a 
 
 Orchitis 
 
 Otorrhea a 
 
 Paronychia 
 
 Paraplegia 
 
 Phagadoanio Chancre 
 Phthisis Pulmonalis. 
 
 Pleuritis 
 
 Pleurodynia, 
 
 Pneumonia 
 
 2 
 1 
 
 5 
 12 
 
 32 
 3 
 
 28 
 
 2 
 
 1 
 U 
 15 
 
 t 
 25 
 
 DISEASES. 
 
 Pyrosis 
 
 Rheumatism 
 
 Scabies 
 
 Scrofula 
 
 Stricture of Urethra 
 
 Synovitis 
 
 Syphilis, Primary.. 
 " Secondary 
 " Tertiary » 
 
 Syphilitic Vegetat'ns 
 
 Tonsillitis 
 
 Ulcers 
 
 Urine, Tncontin'ce of 
 
 3 
 40 
 13 
 
 7 
 22 
 
 9 
 
 279 
 
 202 
 8 
 18 
 6 
 
 174 
 
 2 
 
 Number of Deaths 
 
 Patio of Mortality on cases treated T 4 ^ per cent. 
 
71 
 
 Island Hospital Office. B. I., 
 
 January 1, 1859. 
 
 STATEMENT 
 
 OF THE 
 
 DISEASES TREATED, 
 
 WITH THE MORTALITY, IN THE WORK HOUSE, BLACKWELL's ISLAND, 
 DURING THE FAR ENDING DECEMBER 31, 1858. 
 
 DISEASES. 
 
 Abortion 
 
 Abscess 
 
 Adenitis 
 
 Albuminuria 
 
 Amenorrhcea 
 
 Apoplexy 
 
 Arachnitis , 
 
 Balanitis 
 
 Brain, Congestion of 
 Bronchitis, -Chronic. 
 
 Burns 
 
 Cholera Infantum.. 
 Cholera Morbus .... 
 
 Chorea 
 
 Conjunctivitis 
 
 Convulsions 
 
 Corneitis 
 
 Coroner's Cases 
 Debauch 
 
 <U 
 
 
 
 
 H 
 
 
 1 
 
 
 43 
 
 
 25 
 
 
 1 
 
 1 
 
 39 
 
 
 6 
 
 3 
 
 1 
 
 1 
 
 16 
 
 
 1 
 
 1 
 
 143 
 
 
 4 
 
 
 4 
 
 
 108 
 
 
 1 
 
 
 36 
 
 
 2 
 
 2 
 
 2 
 
 
 
 15 
 
 871 
 
 DISEASES. 
 
 Debility 
 
 Delirium Tremens . . 
 
 Diarrhoea 
 
 Dysentery 
 
 Dysmenorrhea 
 
 Eczema 
 
 Enteritis 
 
 Epilepsy 
 
 Erysipelas 
 
 Fever, Intermittent 
 
 Fractures 
 
 Gastritis 
 
 Heart, Hypertrophy 
 
 of , 
 
 Hemorrhoids 
 
 Hernia 
 
 Herpes 
 
 Impetigo 
 
 Injuries 
 
 14 
 241 
 316 
 54 
 2 
 25 
 6 
 21 
 1 
 
 66 
 o 
 
 69 
 
 2 
 124 
 20 
 
 140 
 
72 
 
 DISEASES. 
 
 Iritis 
 
 Laryngitis 
 
 Marasmus 
 
 Meningitis 
 
 Menorrhagia 
 
 Neuralgia 
 
 Opthalmia 
 
 Otorrhea a 
 
 Paronychia 
 
 Phthisis Pulmonalis 
 
 Pleuritis 
 
 Pleurodynia 
 
 Pneumonia 
 
 1 
 
 2 
 9 
 4 
 
 10 
 
 13 
 8 
 1 
 
 24 
 265 
 
 28 
 5 
 
 21 
 
 DISEASES. 
 
 Purpura 
 
 Rheumatism, Chron- 
 ic 
 
 Scabies 
 
 Scrofula 
 
 Senectus 
 
 Stricture of Urethra 
 
 Stomatitis 
 
 Synovitis 
 
 Tonsillitis 
 
 Ulcers 
 
 Urine, Incontinence 
 of 
 
 384 
 12 
 
 3 
 
 3 
 
 2 
 
 4 
 
 3 
 29 
 247 
 
 Number of Deaths 50 
 
 Ratio of mortality on cases treated 1 jo per cent. 
 
73 
 
 Island Hospital Office, B. I., 
 
 January 1, 1859. 
 
 AGGREGATE STATEMENT 
 
 OF THE 
 
 DISEASES TREATED 
 
 [ THE ISLAND HOSPITAL, PENITENTIARY, ALMS HOUSE, 
 AND WORK HOUSE, BLACKWELL'S ISLAND, DURING THE 
 YEAR 1858. 
 
 Diseases. 
 
 Abortion 
 
 Abscess 
 
 Adenitis 
 
 Albuminuria 
 
 Amaurosis 
 
 Amenorrhoea 
 
 Anasarca 
 
 Anaemia 
 
 Anchylosis 
 
 Aneurism 
 
 Apoplexy 
 
 Apthse 
 
 Arachnitis 
 
 Ascites 
 
 Asthma 
 
 Balanitis 
 
 Brain, Congestion of. . . 
 " Inflammation of. 
 
 Bronchitis 
 
 Buboes 
 
 Island 
 Hos- 
 pital. 
 
 Peni- 
 ten- 
 tiary. 
 
 Alms 
 House 
 
 Work 
 House. 
 
 7 
 
 3 
 
 
 1 
 
 43 
 
 41 
 
 H2 
 
 43 
 
 19 
 
 9 
 
 44 
 
 25 
 
 12 
 
 
 5 
 
 1 
 
 4 
 
 4 
 
 15 
 
 
 74 
 
 . 8 
 
 3b 
 
 39 
 
 
 
 11 
 
 
 2 
 
 
 2 
 
 
 3 
 
 
 
 
 5 
 
 
 
 
 5 
 
 1 
 
 4 
 
 6 
 
 
 
 22 
 
 
 1 
 
 
 1 
 
 6 
 
 
 20 
 
 9 
 
 
 14 
 
 
 58 
 
 13 
 
 O i 
 
 16 
 
 
 2 
 
 2 
 
 1 
 
 1 
 
 
 7 
 
 121 
 
 39* 
 
 834 
 
 143 
 
 338 
 
 13 
 
 
 
 11 
 
 299 
 97 
 18 
 23 
 159 
 11 
 4 
 3 
 5 
 16 
 22 
 2 
 26 
 23 
 124 
 5 
 8 
 
 1137 
 351 
 
74 
 
 Diseases. 
 
 Burns 
 
 Cancer 
 
 Carbuncle .. 
 
 Caries 
 
 Cervix Uteri 
 
 Hypertrophy of. 
 " " Inflammation of. 
 " " Induration of. . . 
 " * " Induration and 
 Ulceration of. 
 " " Ulceration of. . . 
 
 Cholera Infantum 
 
 Cholera Morbus 
 
 Chorea 
 
 Condylomata 
 
 Conjunctivitis 
 
 Constipation 
 
 Convulsions 
 
 Corneitis 
 
 Coroners' Cases 
 
 Croup 
 
 Cystitis 
 
 Debauch 
 
 Debility , 
 
 Delirium Tremens 
 
 Diarrhoea 
 
 Dysentery 
 
 Dysmenorrhea 
 
 Dyspepsia 
 
 Eczema 
 
 Emphysema 
 
 Endocarditis 
 
 Enteritis 
 
 Erysipelas 
 
 Epilepsy 
 
 Fever, Intermittent 
 
 " Puerperal 
 
 " Remittent 
 
 Island Peni- 
 Hos ten- 
 pital. tiary. 
 
 6 
 13 
 
 53 
 64 
 27 
 
 30 
 
 4 
 7 
 1 
 73 
 34 
 15 
 1 
 4 
 6 
 1 
 
 976 
 15 
 305 
 116 
 30 
 
 25 
 22 
 85 
 2 
 6 
 
 41 
 
 Alms 
 House 
 
 2 
 
 104 
 13 
 
 4 
 1 
 
 65 
 
 115 
 231 
 7 
 
 Work 
 House. 
 
 25 
 
 15 
 10 
 7 
 63 
 324 
 41 
 1785 
 196 
 2 
 4 
 
 195 
 12 
 
 16 
 
 48 
 42 
 392 
 
 4 
 
 108 
 1 
 
 60 441 36 
 
 2 
 2 
 15 
 
 877 
 14 
 241 
 316 
 54 
 2 
 
 25 
 
 6 
 1 
 21 
 
 66 
 
75 
 
 Diseases. 
 
 Island 
 Hos- 
 pital. 
 
 Fever, Typhoid 
 
 Fistula in Ano 
 
 " Recto-Vaginal 
 
 Fractures 
 
 Frost Bite 
 
 Furuncles 
 
 Gastritis 
 
 Gonorrhoea 
 
 Granular Lids and Vasculai 
 
 Cornea 
 
 Hematemesis 
 
 Hemiplegia 
 
 Hemorrhage, Uterine 
 
 Hemoptysis 
 
 Hemorrhoids 
 
 Heart, Fatty Degeneration of. 
 
 " Hypertrophy of 
 
 " Valvular Disease of . . . 
 
 Hepatitis 
 
 Hernia 
 
 Herpes 
 
 Hydrocephalus 
 
 Hysteria 
 
 Icterus 
 
 Impetigo 
 
 Injuries 
 
 Iritis 
 
 Kidneys, Fatty Degeneration of 
 
 Laryngitis 
 
 Leucorrheea 
 
 Liver, Cirrhosis of 
 
 Marasmus 
 
 Meningitis 
 
 Menorrhagia 
 
 Necrosis 
 
 Nephritis 
 
 Neuralgia 
 
 3 
 7 
 6 
 18 
 14 
 28 
 9 
 
 221 
 7 
 
 1 
 
 2 
 2 
 
 83 
 1 
 4 
 
 14 
 2 
 
 34 
 9 
 
 1 
 
 5 
 6 
 138 
 
 58 
 2 
 
 Peni 
 ten- 
 tiarv. 
 
 17 
 
 3 
 
 ii 
 
 103 
 
 Alms 
 House 
 
 36 
 2 
 2 
 
 6 
 15 
 9 
 3 
 11 
 
 37 
 
 6 
 1 
 
 176 
 
 5 
 
 18 
 
 US 
 
 118 
 111 
 
 4 
 
 192 
 
 9 
 32 
 4 
 
 Work 
 House. 
 
 69 
 
 124 
 
 20 
 
 8 
 
 8 
 
 140 
 1 
 
 9 
 4 
 10 
 
 13 
 
76 
 
 Diseases. 
 
 Odontalgia 
 
 (Edema 
 
 Ophthalmia 
 
 Orchitis 
 
 Otitis 
 
 Otorrhcea 
 
 Paralysis 
 
 Paraplegia 
 
 Paronychia 
 
 Parotitis 
 
 Parturition 
 
 Pericarditis 
 
 Periostitis 
 
 Pertussis 
 
 Phagadoenic Chancre 
 Phthisis Pulmonalis . 
 Phymosis, Congenita 
 
 Pleurodynia 
 
 Pleuritis 
 
 Pneumonia 
 
 Pleuro . . . 
 
 Typhoid . 
 
 Porrigo Favosa 
 
 Prolapsus Uteri 
 
 Psoriasis 
 
 Purpura 
 
 P3 r rosis 
 
 Rheumatism 
 
 Roseola 
 
 Rubeola 
 
 Rupia , 
 
 Scabies 
 
 Sciatica 
 
 Scorbutus 
 
 Scrofula 
 
 Senectns 
 
 Spermatorrhoea 
 
 Island 
 Hos- 
 pital. 
 
 12 
 19 
 31 
 
 24 
 
 16 
 
 19 
 4 
 
 5 
 
 58 
 239 
 8 
 11 
 82 
 46 
 1 
 2 
 7 
 22 
 
 10 
 
 280 
 2 
 
 ii 
 
 19 
 
 11 
 
 Peni 
 ten- 
 tiary. 
 
 12 
 
 32 
 
 2 
 28 
 
 1 
 
 74 
 
 1 
 
 15 
 
 25 
 
 3 
 40 
 
 13 
 
 Alms 
 House 
 
 3 
 
 2o2 
 8 
 19 
 
 iis 
 
 79 
 
 9 
 1 
 
 72 
 
 737 
 
 "7 
 151 
 
 294 
 
 2 
 13 
 3 
 2 
 
 228 
 
 690 
 
 85 
 2 
 57 
 7 
 66 
 16 
 37 
 3 
 
 Work 
 House. 
 
 24 
 
 265 
 
 5 
 28 
 21 
 
 3 
 
 384 
 12 
 
77 
 
 Diseases. 
 
 Spine, Potts' Disease of 
 Stricture of Urethra . . . 
 
 Stomatitis 
 
 Synovitis 
 
 Syphilis, Primary 
 
 " Secondary 
 
 Tertiary ' 
 
 Syphilitic Vegetations . 
 
 Tonsillitis 
 
 Ulcers 
 
 Urine, Incontinence of . , 
 " Retention of ... . 
 
 Vaginitis 
 
 Varicella , 
 
 Island 
 Hos- 
 pital. 
 
 28 
 
 7 
 
 1206 
 453 
 128 
 140 
 18 
 301 
 7 
 3 
 
 138 
 
 Peni- 
 ten- 
 tiary. 
 
 9 
 
 279 
 292 
 8 
 18 
 
 5 
 
 174 
 
 9 
 
 Alms 
 House 
 
 156 
 25 
 
 28 
 913 
 2 
 
 39 
 
 Work 
 House. 
 
 29 
 247 
 
 o 
 o 
 
 7 
 
 146 
 83 
 107 
 1485 
 901 
 161 
 158 
 80 
 1635 
 14 
 3 
 
 138 
 39 
 
I 
 
Ex Ctbrtfi 
 
 SEYMOUR DURST 
 
 "When you leave, please leave this book 
 
 Because it has been said 
 "Sver'thing comes t' him who waits 
 
 Except a loaned book." 
 
STATEMENT OF THE DISEASES TREATED AT THE ISLAND HOSPITAL. BLACKWELLS ISLAND, DURING THE Y^AR 1858. 
 
 WITH THK AGE, EDUCATION. AND PLACE OF NATIVITY UF EACH PATIENT AND THE RESULT AND DURATION OF TREATMENT IX EACH COMPLETE CASE. 
 
 
 
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 Except a loaned book." 
 
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