religious influences exerted over them, but to the commonschool training they receive in the House of Reformation. Habits of cleanliness and discipline must produce a salutary influence upon all, but particularly upon those whose former life has been most irregular and filthy.

It is said, "Order is Heaven's first law;" and if so, you, as Superintendent of these institutions, are taking one very important step towards leading the inmates to a better and a higher life; for no one who has visited this Island can have failed to witness the most perfect order in every department.

Some parts of our libraries are in very good condition; others need replenishing very much. The books are distributed as follows:

Quite a number of the inmates of the almshouse are aged and infirm, and have nothing to do but to read. We try to supply them with reading matter, but find it very difficult with the limited supply we have on hand, or can obtain. We are grateful to the friends who have already contributed books and papers for this department, and hope others will be induced to do likewise.

Accept my sincere acknowledgments for the assistance you have so kindly rendered me in the discharge of the various duties of my office.

Very respectfully yours,

DEER ISLAND, April 29, 1871.

J. W. DADMUN,

Chaplain.

7

REPORT OF THE RESIDENT PHYSICIAN.

TO GUY C. UNDERWOOD, Esq., Superintendent of Deer Island Institutions:

SIR,The following is respectfully submitted as the Annual Report of the Medical Department of the institutions under your charge:

ALMSHOUSE.

Patients remaining in Almshouse Hospital, May 1,

1870, .

Admitted:

Males

Females

Discharged.
Died.

Remaining in Hospital, May 1, 1871.

Largest number in hospital at any one time
Smallest number in hospital at any one time
Daily average number of patients in hospital

DISEASES IN ALMSHOUSE.

36

167

103

270

306

217

51

268

38

50

18

29

Intemperance, 52; consumption, 29; pneumonia, 24; syphilis, 23; delirium tremens, 18; paralysis, 13; ophthalmia, 9; bronchitis, and Bright's disease, each 8; abscess and diarrhoea, each

7; old age, ulcer, measles, rheumatism, insanity and parturition, each 6; asthma, 5; chicken-pox, fracture, febricula, debility, erysipelas, epilepsy and heart disease, each 4; scrofula, neuralgia, pleurisy and sprain, each 3; dysentery, marasmus, apoplexy, typhoid fever, synovitis and fistula, each 2; croup, herpes, amputation (toe), mumps, scabies, burn, tonsillitis, cystitis, dislocation, stricture, piles, prolapsus uteri, hooping cough, cholera morbus, scald, hysteria, menorrhagia, ovarian tumor, contusion, softening of brain and chorea, each 1.

DEATHS AND THEIR CAUSES.

Consumption, 14; pneumonia, 8; Bright's diease, 5; paralysis, 4; heart disease and old age, each 3; dysentery, apoplexy, convulsions, softening of brain, and delirium tremens, each 2; marasmus, typhoid fever, chronic diarrhoea and measles, each 1. Males, 33; females, 18; under one year of age, 1; between 1 and 10, 4; between 10 and 20, 1; between 20 and 30, 8; between 30 and 40, 5; between 40 and 50, 5; between 50 and 60, 13; between 60 and 70, 7; between 70 and 80, 4; between 80 and 90, 3.

HOUSE OF INDUSTRY.

Patients remaining in this hospital, May 1, 1870 .

Admitted,

Males

Females.

Discharged
Died

26

248

701

949

975

. 937

8

945

30

Remaining in hospital May 1, 1871

Largest number in hospital at any one time, 35.

Daily average number of patients in hospital, 23.

DISEASES IN HOUSE OF INDUSTRY.

Intemperance, 460; syphilis, 58; febricula, 43; ulcers, 33; diarrhoea, 30; contusion and consumption, each 29; pneumonia, 26; bronchitis, 21; delirium tremens, 18; neuralgia, 17; heart disease, 13; rheumatism, ophthalmia, incised wound, abscess and sprain, each 12; menorrhagia, 10; insanity and fracture, each 9; epilepsy, 8; erysipelas and hemorrhoids, each 7; chicken-pox, asthma, anæmia, debility, Bright's disease and cholera morbus, each 6; pleurisy, 5; dyspepsia, dysentery, tonsillitis and parturition, each 4; colic and hydrocele, each 3; fistula, burn, intermittent fever, stricture, paralysis, synovitis, teething, carbuncle, eczema, miscarriage, dislocation and old age, each 2; measles, needle in hand, cancer, prolapsus uteri, jaundice, hooping cough, orchitis, pleurodynia, scrofula, fatty tumor (removal of), apoplexy, incontinence of urine, chorea pharyngitis, aneurism, pericarditis, acne, congestion of lungs, hernia and suppression of menses, each 1.

DEATHS AND THEIR CAUSES.

Consumption, 4; erysipelas, apoplexy, pneumonia and heart disease, each 1.

Males, 2; females, 6; under 20 years of age, 1; between 20 and 30, 5; between 40 and 50, 1; between 50 and 60, 1,

HOUSE OF REFORMATION.

Patients remaining in hospital, May 1, 1870.

Admitted,

Boys

Girls

Discharged.
Died .

Remaining in hospital, May 1, 1871

2

99

1

100

102

95

1

96

6

Largest number in hospital at any one time.
Smallest number in hospital at any one time
Daily average number of patients in hospital.

18

1

3.40

DISEASES IN HOUSE OF REFORMATION.

Mumps, 20; febricula, 16; Spanæmia, 13; diarrhoea, 11; abscess and pneumonia, each 7; ophthalmia, 6; tonsillitis, 5; sprain, 4; scrofula and typhoid fever, each 2; urticaria, lacerated wound, incontinence of urine, scabies, cholera morbus, rheumatic arthritis, fracture, contusion, heart disease and bronchitis, each 1.

Only one death has occurred in this department, Timothy Flynn, aged 9 years, of consumption, April 16.

RECAPITULATION.

Whole number of patients in Hospitals, May 1, 1870.