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(title page) Annual Report of the Board of Public Charities of North Carolina, 1910
(caption) Report of the Board of Public Charities for the Year 1910
North Carolina Board of Public Charities
181 p.
Raleigh, N.C.
Edwards & Broughton Printing Company, State Printers
[1911?]
Call number NCC C360 N87p 1910 c.2 (North Carolina Collection, University of North Carolina at Chapel Hill)
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Documenting the American South.
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[Title Page Image]
OFFICE IN THE CAPITOL.
RALEIGH, N. C., December 28, 1910.
HON. W. W. KITCHIN,
Governor of North Carolina.
SIR:--We have the honor to present herewith the Annual Report of this Board for the year ending December 31, 1910.
A careful perusal of the information contained herein will, we believe, show the deficiencies as well as the excellences of the charitable and penal institutions and their comparative cost; and we bespeak a careful investigation of the matters contained in the report and your interest and aid in developing the institutions according to the highest and best ideals.
Most respectfully,
W. A. BLAIR,
Chairman,
CAREY J. HUNTER,
Vice-Chairman,
A. C. MCALISTER,
HENRY C. DOCKERY,
JOSEPH G. BROWN,
Commissioners of the Board of Public Charities of North
THE CAPITOL,
RALEIGH, N. C., December 27, 1910.
MR. W. A. BLAIR, Chairman, and MESSRS. CAREY J. HUNTER, A. C. MCALISTER, HENRY C. DOCKERY AND JOSEPH G. BROWN, Commissioners.
GENTLEMEN:--I have the honor to present the following report of the condition and management of the charitable and penal institutions of the State for the year 1910.
The voluntary reports of the eleemosynary institutions supported by county and municipal aid and by private charity are also included for the general information of our citizens.
The law requires of the Board an annual report to the Governor and a biennial to the General Assembly. For convenience and for dispatch in getting the report quickly to the public and in printed form, it has been published in two parts, one for 1909 and one for 1910, but they should be considered together as the two constitute the biennial report to the Legislature.
The needs of the several State institutions and of improved general policies for county institutions are fully discussed in part first and are followed by these recommendations which we repeat here, desiring to emphasize them, and to ask their earnest consideration by the lawmakers.
1. A building for the observation and treatment of acute and recent cases at the Morganton Hospital, cost $50,000.
2. Additional room for patients at the Goldsboro Hospital. Better fire protection, renewed flooring in some of the wards, and an officers' dining room. (Since the above was recommended the Goldsboro Hospital has built the dining room from proceeds of surplus farm products.)
3. The establishment of an epileptic village with buildings for the feeble-minded and idiots, entirely separate from any existing institution.
4. A special appropriation not exceeding $500 per annum for the services of a specialist to examine the throat, ears, eyes and nose of newly admitted pupils at the School for the Deaf, Morganton.
5. New and permanent sleeping quarters and dining room at the Tillery Farm. Better arrangements for fire protection, bathing facilities and sewerage. (Improvements have been made during 1910 in sleeping quarters, bathing facilities and sewerage.)
6. Place the county convict camps under a State Board of Supervisors.
7. Liberal support to the Tuberculosis Sanatorium, Soldiers' Home and Stonewall Jackson Training School.
8. Appropriation and Directors on the part of the State for the Colored Reform School, chartered by the Assembly of 1909.
9. Cultivation of more acreage at the County Homes and more land for these Homes deficient in this respect.
10. Temporary aid only to the county poor in their own homes (outdoor relief) as far as possible, to prevent pauperization, and to spend this money now used for outdoor relief to adequately equip the County Homes.
11. That the Board of Public Charities be authorized to employ an inspector to visit the several county charitable and penal institutions and make detailed reports.
12. That the laws in regard to voluntary commitment of patients and those relating to private licensed hospitals be amended.
13. A law looking toward the prevention of blindness from ophthalmia neonatorum (in co-operation with the State Board of Health and the Superintendent of the School for the Blind).
14. That institutions hereafter established for the care of helpless children be not chartered or allowed to receive children except upon certificate from the Board of Public Charities after a thorough investigation as to means of support and reliability of the person or persons desiring to establish such institution.
15. State Camp for all tuberculous prisoners (From State's Prison, camps and jails).
16. Change the end of the fiscal year from November 30 to an earlier date. (To give sufficient time for preparation and printing of biennial reports for the Assembly.)
17. A suggestion for private philanthropy; the establishment of a ward or of a hospital for the treatment of crippled and congenitally deformed and diseased children such as are now successfully treated in the orthopædic hospitals.
Special attention is again called to the need of more room for epileptics (most decidedly a separate institution for them). To the want of room for women at the Raleigh Hospital and the pressing need of more room at the Goldsboro Hospital.
There is no provision for idiots no matter how dangerous they may be and notwithstanding the declared policy of the State in the law for care "of all mental defectives." A number of letters have come to this office asking for some place to properly care for the idiots and feeble-minded. Most especially should the feeble-minded women be provided for, and guarded against the unmentionable horrors which some have undergone, entailing money loss to the counties and suffering and weakness to their unfortunate progeny who can not hope to be anything but feeble-minded and dependent upon the counties for support.
Our Hospitals and some of the other institutions fail in their highest usefulness for the want of the necessary equipment and expert help. There should be receiving buildings at the hospitals for the new and acute cases where patients could have the advantage of close study and the latest medical knowledge be made available through special pathological examinations, laboratory work, baths, etc.
The physical condition of our hospitals is fine, the foundations are excellent for good results and the small added expenditure of this special medical and research work is the capstone
to the institution. It means more cures and quick cures and a money saving expenditure. To properly equip the institutions for the medical care of the patients is the greatest present need. This should be done at all the hospitals, but the special recommendation has been made and is most earnestly repeated that $50,000 be appropriated for the Hospital at Morganton for such a building. The Morganton Hospital has a capacity of 1,250 beds and yet this need for special medical treatment can only be partially met and in scattered wards.
It is "penny wise and pound foolish" to have expensive buildings closed for want of furniture and equipment, and beds empty for want of support fund when the afflicted are clamoring for admission and the room has already been made for them.
The annual support fund for the charitable institutions last year was $545,000 (not including the $5,000 for support of the Dangerous Insane Department which is maintained by the State's Prison). This year the amount asked for by the officials in charge to fill the rooms now available is $685,750, an increase of $140,750 per annum for maintenance.
The normal capacity of all the charitable institutions is 4,812; if we take from this number the available beds at the two orphanages (525) and the Dangerous Insane Department (70) we have left for the other institutions 4,197. Taking out the $15,000, the annual amount given the two orphanages, there will be needed for the other institutions the sum of $670,750 for maintenance. This gives an average per capita of only $159.81, which is low compared with many States. To get the utmost good of the enormous sums invested in these plants we should certainly supply adequate support to fill them and also the necessary equipment to quickly cure or improve so the inmates may return to their homes and cease to be a burden to the taxpayer. (Tables follow giving the amounts asked for by each institution.) There is indebtedness to the amount of $21,744.05 which would have to be added to the above amount. The needs for special appropriations are given in the reports of the Superintendents which follow this summary.
The Secretary was appointed a delegate by Governor W. W. Kitchin to the Prison Association meeting and she attended the deliberations of that most notable body. The two societies met at the same time and place. The International meets once in five years and this was its first session in America. The next will be held in London by invitation of that world power. Thirty-nine countries were represented, delegates having come from China, Japan, Africa and far distant lands.
The Congress was divided into committees who met each morning and discussed a series of prepared questions, the consensus of opinions being crystallized into resolutions which were submitted to the General Assembly each afternoon and finally adopted as the opinions of the Congress. French and English were the official languages and everything was translated from one to the other. The following subjects were discussed, "Juvenile Offenders," "Idle and Vagabond Children," "Children Born out of Wedlock," "Probation," "Release on Parole," "The Indeterminate Sentence," "The Criminal Abroad," "Complicity in Crime."
(The conclusions of the Congress will be found as an appendix to this report.)
It must be remembered that the conclusions are the unanimous opinions of the representatives of thirty-nine countries of varying codes and civilizations. We would call attention to the conclusion on
"Accepting the principle of conditional liberation on parole as an indispensable aid to the reformation of the prisoner, the Congress approves of the following resolutions:
1. Conditional release should be given not by favor, but in accordance with definite rules. Prisoners of all classes, including workhouse prisoners, should be eligible for conditional release after serving for a definite minimum period.
2. Conditional liberation should be given on the recommendation of a properly constituted board, but reserving always the control of government. This board should have the power of recalling the prisoner in case of unsatisfactory conduct.
3. The duty of caring for conditionally liberated prisoners should be undertaken by State agents, specially approved associations, or individuals who will undertake to befriend and supervise them and to report on their conduct for a sufficiently long period.
4. Where the ordinary rules for parole are not applicable to life prisoners, their cases should be dealt with by the supreme government as a matter of clemency."
We have the conditional release law, but the burden of its execution falls upon the Governor of the State. He should be relieved of this by appointing the prison board of directors to serve also as a parole board and every prisoner except life prisoners, should have the benefit of the release after serving the minimum sentence and showing by good conduct and otherwise their readiness to be so trusted. Of course, the pardoning power of the Governor would still remain and he would be the final arbiter in all cases. This would give every prisoner an even chance for liberty, when he had shown himself capable of becoming a useful citizen. But there should certainly be a State agent or special official to see that the paroled men keep their parole and that the public be protected by summarily remanding them to prison when parole is violated.
The following seven counties do not maintain Homes for the Aged and Infirm but give outdoor relief: Carteret, Clay, Currituck, Graham, Lee, Mitchell, and Onslow.
Fifty-four counties give as present at time of report: Whites, 453; colored, 254; color not given, 33; total, 740. Twelve additional counties from the Visitors' reports give in sixty-six county homes, 932. Of these, insane, 59; epileptic, 66; feebleminded, 225; total mental defectives, 350. Confined, 28.
Died during the year, 204.
Childen in charge, 31; most of these infants.
As there are ninety-eight counties and ninety-one maintaining Homes, this leaves one-fourth not reporting the number cared for and only two-thirds have reported the cost of county poor.
Cared for in the County Homes (Commissioners' reports only), 740, at a cost of $60,002.30. Outdoor relief to 2,356 persons at a cost of $52,652.19; grand total, $112,654.49.
The farms add materially to the support of the Homes and are not included in the reports.
New sites purchased in Ashe and Haywood. Jones is building. Caswell, Granville, New Hanover and Vance have been improved. Lincoln, Madison and Tyrrell have erected new buildings.
The Homes are inferior in Davie, Cabarrus, Iredell, Transylvania, Wilson, Yadkin, Yancey.
Attention is called to part first of this report in regard to the growing amount of outdoor relief at the expense of properly and adequately equipped Homes.
Commissioners have reported sixty-two jails. Present at time of report: White men, 75; colored men, 194; white women, 9; colored women, 28; total, 306. Sixteen additional counties taken from Visitors' reports, making seventy-eight counties, increase the above sum to 107 white men; 261 colored men; grand total, 368. Insane confined, 12.
Prisoners died during the year, 6. Boys under sixteen, 16.
Generally speaking, the prisons are not kept in as cleanly a condition as they should be. The bedding and cells more particularly should be especially cleansed whenever not occupied and ready for the next comer. The great difficulty is the fact that prisoners wear their own old clothing into the jail and thus introduce dirt and vermin which require a continual fight from those in charge. A limited number of suits could be provided by the county and the men required to bathe and put these on while their own are fumigated. There is no excuse for the filth in some of our jails. Cleveland, Gaston and New Hanover jails are too small. Anson, Burke, Cabarrus, Clay and Mecklenburg are inferior buildings. Dare, Iredell and Perquimans are new. Rockingham and Richmond are building. Those of Pitt and Camden were burned during the year, but plans are under way for new jails.
There are forty counties which maintain camps, some of these more than one. Twenty-one Commissioners' reports have been received and four are added from the Visitors' reports, making twenty-five camps, reporting as follows: White men, 100; colored men, 738; colored women, 2; total, 840. Ten boys under sixteen. Died during the year, 10. Several of these were shot or accidentally killed.
(Recommendations for camps will be found in part first, report of 1909. Later figures give total No. 1383. See page 39.)
The four regular meetings of the Board have been held, three in Raleigh and one at Greensboro. The one at Greensboro was held at the same time as the annual meeting of the State Anti-Tuberculosis Society so the members might participate in the deliberations of that body. Tuberculosis is a house disease and the problem of the care of cases and the prevention of infection of the well arises in all institutions. Careful examination for this disease should be made of all inmates in the institutions and those afflicted segregated.
Inspections have been made during 1910 of the Hospital and Epileptic Colony at Raleigh, Dangerous Insane Department and Penitentiary, School for the Blind and the Department for Colored Blind and Deaf, Soldiers' Home, Stonewall Jackson Training School, Sanatorium for Treatment of Tuberculosis, the Tarheel and Elkin Railroad Camps, Williams' Private Sanatorium, and Telfair Institute. All the institutions except the Goldsboro Hospital and the two orphanages at Oxford have been visited during the biennium. All licensed hospitals except Dr. McKanna's. The jails of Cabarrus, Guilford and Mecklenburg, the Guilford Workhouse for Women and Boys, and the County Homes of Guilford and Wake. Also Watts' Hospital has been visited by one of the Commissioners.
The details of the work can be found in the monthly reports to the Chairman and the quarterly reports to the Board which are on file in the office. The work includes sending out
blanks, preparation of inquiries, statistics and reports, and correspondence with most of the States as well as our own citizens.
We have many requests for reports, statistics and copies of laws.
Many special cases arise during the year which must be met, but the details take too much space to be enumerated here.
To the Boards of County Visitors we extend our thanks and appreciation of their self-sacrificing helpfulness in their care of the county institutions.
Thanks are due the Governor and State officials for their aid. To the superintendents of the institutions for their cordial attitude towards the Board.
With personal thanks of the Secretary to the Commissioners for their unvarying courtesy and kindness.
Respectfully,
DAISY DENSON,
Secretary.
Adopted by the Board December 27, 1910.
CAREY J. HUNTER,
Chairman Pro tem.
The population of the institutions was distributed during the year ending November 30, 1910, as follows:
| Total number cared for. | |
| Hospital at Morganton | 1,500 |
| Hospital at Raleigh | 1,009 |
| Hospital at Goldsboro | 916 |
| Dangerous Insane Department | 66 |
| Epileptic Colony (State Hospital at Raleigh) | 159 |
| School for the White Blind | 215 |
| School for the Colored Blind and Deaf | 213 |
| School for the White Deaf | 282 |
| Soldiers' Home | 167 |
| Oxford Orphanage for White Children | 376 |
| Oxford Orphanage for Colored Children | 205 |
| Stonewall Jackson Manual Training and Industrial School | 60 |
| North Carolina Tuberculosis Sanatorium | 85 |
| Total | 5,253 |
Insane in Hospitals, 3,381; epileptics in Hospitals, 110; in colony, 159--total, 269.
| Insane and epileptics in charge during the year | 3,650 |
| Present November 30, 1910, insane and epileptics | 2,847 |
Present in the institutions November 30, 1910:
| Hospital at Morganton | 1,224 |
| Hospital at Raleigh | 694 |
| Hospital at Goldsboro | 729 |
| Dangerous Insane Department | 52 |
| School for White Blind | 189 |
| School for Colored Blind and Deaf | 174 |
| School for the White Deaf | 247 |
| Soldiers' Home | 125 |
| Oxford Orphanage for White Children | 314 |
| Oxford Orphanage for Colored Children | 201 |
| Stonewall Jackson Manual Training and Industrial School | 53 |
| North Carolina Tuberculosis Sanatorium | 30 |
| Epileptic Colony (State Hospital at Raleigh) | 148 |
| Total | 4,180 |
Per capita cost per annum for maintenance during the year 1910:
| State Hospital at Morganton | $160.37 |
| State Hospital at Raleigh | 176.46 |
| State Hospital at Goldsboro | 117.37 |
| Dangerous Insane Department (under same management as Prison) | 100.00 |
| Epileptic Colony (State Hospital at Raleigh) | 190.03 |
| School for the White Blind | 198.01 |
| School for the Colored Blind and Deaf | 198.01 |
| School for the White Deaf | 200.00 |
| North Carolina Soldiers' Home | 136.00 |
| Oxford Orphanage for White Children (not including earnings and contributions in kind) | 80.00 |
| Oxford Orphanage for Colored Children | 72.00 |
| Stonewall Jackson Manual Training and Industrial School | 150.00 |
| North Carolina Tuberculosis Sanatorium, for year, $636.00; stay of patients averages two months, each therefore costs | 106.00 |
Present normal capacity of institutions:
| Hospital at Morganton | 1,250 |
| Hospital at Raleigh | 1,050 |
| Epileptic Colony | 192 |
| Hospital at Goldsboro | 735 |
| Dangerous Insane Department | 70 |
| School for the Deaf | 300 |
| School for the White Blind | 200 |
| School for the Colored Blind and Deaf | 200 |
| Soldiers' Home, about | 150 |
| Oxford Orphanage for White Children | 325 |
| Oxford Orphanage for Colored Children | 200 |
| Stonewall Jackson Training School | 60 |
| Tuberculosis Sanatorium | 60 |
| Total | 4,812 |
Maintenance for the biennial period 1911-1912:
| Annual amount asked for for support. | |
| Hospital at Morganton | $200,000.00 |
| Hospital at Raleigh and Epileptic Colony | 183,750.00 |
| Hospital at Goldsboro | 87,000.00 |
| Dangerous Insane Department | 6,000.00 |
| School for Deaf and Dumb | 60,000.00 |
| School for the Blind and the Colored Department | 80,000.00 |
| Soldiers' Home | 30,000.00 |
| Oxford Orphanage for White Children | 10,000.00 |
| Oxford Orphanage for Colored Children | 5,000.00 |
| Stonewall Jackson Training School | 15,000.00 |
| Tuberculosis Sanatorium | 15,000.00 |
| Total | $691,750.00 |
| Hospital at Raleigh | $7,266.61 |
| Epileptic Colony | 2,750.80 |
| School for the Deaf and Dumb | 36.05 |
| School for the Blind | 5,690.59 |
| Soldiers' Home | 6,000.00 |
| Total | $21,744.05 |
| Normal capacity, 1,250. | Men. | Women. | Total. |
| Number of inmates at the beginning of the fiscal year | 449 | 727 | 1,176 |
| Number received during the year | 167 | 157 | 324 |
| Whole number in charge during the year | 616 | 884 | 1,500 |
| Number at the end of the fiscal year | 502 | 722 | 1,224 |
| Died | 38 | 36 | 74 |
| Daily average attendance | 442 | 672 | 1,114 |
| Discharged recovered | 39 | 51 | 90 |
| Discharged improved | 14 | 19 | 33 |
| Discharged not improved | 1 | 7 | 8 |
Per capita cost, $160.37. Estimated net value of farm and dairy products, $29,014.39. There is no outstanding indebtedness. Thirty pay or part-pay patients. We have sufficient room for the immediate future if idiots and extreme senile cases are rejected. Our most urgent need is a receiving department properly equipped with modern appliances for the treatment of mental diseases. 90 to 95 per cent are chronic cases. Twenty-five have been refused admission; they were idiots, epileptics, not citizens, criminal, and others were senile cases. No room at the Epileptic Colony, and the epileptics in the Hospital have not been transferred. There are 37 patients from the Eastern District. Percentage of mortality upon the whole number in charge was 4.9 per cent. Cures upon admissions, 27.7 per cent. No case of suicide. General health has been very good. Four cases of pellagra, sick when admitted. One ward is set apart for sick patients. There is an operating
room. Original work is done. A complete physical and mental examination is made upon admission, and special examination for tuberculosis. Four cases of tuberculosis. They are kept separate from others where practicable. Seven to eight hundred are employed. We have special crafts taught the women. A few books have been added to the library, and a small sum could be well expended for this purpose. There are 41 male and 52 female attendants. Attendants are selected for general fitness, certain educational requirements, and recommendations. We can not get an altogether desirable class for the wages now paid.
JOHN MCCAMPBELL, M.D.,
Superintendent.
| Normal capacity, 1,050. | Men. | Women. | Total. |
| Remaining October 31, 1909 | 335 | 342 | 677 |
| Admitted during the fiscal year ending November 30, 1910 | 147 | 199 | 346 |
| Total under treatment during the year | ... | ... | 1,009 |
| Discharged recovered | 130 | 109 | 239 |
| Discharged improved | 1 | 1 | 2 |
| Discharged unimproved | 3 | 2 | 5 |
| Discharged not insane | 9 | 3 | 12 |
| Died | 23 | 26 | 49 |
| Total removed | 170 | 145 | 315 |
| Remaining November 30, 1910 | 310 | 384 | 694 |
| Daily average attendance during the year | ... | ... | 818 |
| Average number of officers and employees | ... | ... | 154 |
Percentage of mortality upon the whole number treated, 4+. Cures upon admissions, 69 per cent. Patients from the Western District, 26. Pay and part-pay patients, 22. Amount received from patients for the year, $6,896.13. Ninety per cent of the cases are chronic. Sixty applications have been refused for following causes: old age, idiots, imbeciles, paralytics, drug and inebriates, not insane, and for want of room in the female wards. The epileptics in the Hospital have not been transferred to the Colony. There are 14 men and 7 women. There was no room for them in the Colony. There have been three cases of suicide--one man and two women. Coroner was called at once and necessary permit given. Some of the new buildings have not yet been occupied. The wards for tuberculous patients have not been occupied because window guards must be supplied. General health of the patients is good. We have no infirmary for sick patients to amount to anything; no operating room. Tubercular wards for both sexes. No original research work done, and only the physical examination made. No special or rigid examination for tuberculosis. We have five women with the disease. Sixty cases of pellagra. There are 350 patients working in the garden, laundry, sewing, knitting, and helping to keep the wards in order. No books added this year. No special arts or crafts taught the women. Twenty-one escapes. There are 31 male and 25 female attendants. These are selected by letter of testimonial of good moral character. Attendants do have opportunities for treating patients roughly without the knowledge of the superintendent. We have not sufficient room for the women.
Receipts, $115,000.00. Disbursements, $140,760.30. Outstanding indebtedness, $7,266.61. Per capita cost, $176.46. Estimated net value of farm and dairy, $29,280.77. We will need for support for each year of the next biennial period, 1911-1912, $183,750.00.
JAMES MCKEE, M.D.,
Superintendent.
| Normal capacity, 192. | Men. | Women. | Boys. | Girls. | Total. |
| Number of inmates received during the year | 82 | 43 | 17 | 17 | 159 |
| Discharged improved | .. | 1 | .. | .. | 1 |
| Discharged not improved | 3 | .. | .. | .. | 3 |
| Discharged as cured | .. | .. | .. | .. | .. |
| Died | 2 | 4 | .. | .. | 6 |
| Remaining November 30 1910 | 76 | 38 | 17 | 17 | 148 |
The first patient was admitted to the Colony on December 29, 1909, from Wilkes County. The buildings were not completed at that time. No epileptics have been transferred from the two Hospitals as yet. General health of the patients has been good; mental condition has been bad. Fifty have been refused admission, as follows: paralytics, old age, not epileptic. Some refused to come. On file, 126 applications. We have some applications on file because the counties have more than their proportional quota and we are holding these back to give other counties an opportunity, as the number of rooms is limited. Eight attendants. Five employees. No special medical research work or investigation of phases of epilepsy. Chiefly custodial. The patients work on the farm, and the women sew and knit. Walking and games for recreation. Adequate heat, light and water supply. Sufficient fire protection. Insurance. Receipts have been $17,234.80. Disbursements, $19,995.60. Outstanding indebtedness, $2,750.80. Per capita cost, $196.035. No religious services. Chapel, amusement hall and laboratory are the special needs. It would be better to place the children in separate cottages. No serious accident or epidemic.
CHARLES L. JENKINS,
Superintendent in Charge.
| Normal capacity, 735. | Men. | Women. | Total. |
| Number of patients at the beginning of the fiscal year | 270 | 410 | 680 |
| Admitted during the year | 103 | 133 | 236 |
| Total number discharged or died | 90 | 99 | 189 |
| Discharged as recovered | 25 | 50 | 75 |
| Discharged as improved | 10 | 14 | 24 |
| Discharged as not improved | 2 | ... | 2 |
| Discharged as not insane | 2 | ... | 2 |
| Died | 50 | 35 | 85 |
| Total under treatment | 373 | 543 | 916 |
| Daily average attendance | ... | ... | 715 |
| Daily average number of officers and employees | ... | ... | 97 |
| Number remaining November 30, 1910 | 285 | 444 | 729 |
Extraordinary expenses:
Receipts, $80,000.00; disbursements, $79,998.78. No indebtedness. Per capita cost, $117.37.
The extraordinary expenses were paid with proceeds of cotton raised on the farm. This includes a building to be used for dining room, sewing room and steward's office.
Percentage of mortality upon whole number treated was 9.52. Percentage of cures upon admissions, 31.77. No pay patients. Ninety-three per cent are chronic cases. Thirty-five have been refused for want of room. Applications on file, 81. There are 52 epileptics and some idiots and feeble-minded. No epidemic or serious accident. No case of suicide. General health of the patients is fairly good. There are wards set apart for the sick, and there is an operating room. No original research work done. A general examination upon admission, but no special examination for tuberculosis. There are 29 cases of tuberculosis, some of them arrested cases. They are separated from others by day as well as in their sleeping quarters. Nearly half of the patients are employed. They work on the farm, cut wood, in the laundry, kitchen, sewing room, and ward work. Ten cases of pellagra. Though not well marked, two-thirds of the cases had it upon admission. Several escapes, though all have been returned except two. Male attendants, 24; female attendants, 32. These are chosen from applicants. It is difficult to get desirable attendants. There are opportunities for attendants to ill-treat patients, because they are in charge of the attendants; but if patients are cruelly treated it is generally found out.
We will need $87,000.00 per annum for maintenance during the coming biennium. We need additional room for both the insane and the epileptic insane, fire escapes, renewed flooring in some of the old buildings, and additional heating coils for two buildings not sufficiently heated.
W. W. FAISON, M.D.,
Superintendent.
| Normal capacity, 70. | Men. | Women. | Total. |
| Inmates at the beginning of the fiscal year | 40 | 10 | 50 |
| Received during the year | 14 | 2 | 16 |
| Men. | Women. | Total. | |
| Number discharged as cured | ... | ... | 8 |
| Died | ... | ... | 3 |
| Number at the end of the fiscal year | 41 | 11 | 52 |
| Daily average attendance | ... | ... | 50 |
| Average number of officers and employees | ... | ... | 4 |
Percentage of mortality, 5; of cures, 10. Daily employed, 6. Two escaped, but one has been recaptured. No tuberculosis. General health good. No epidemic or serious accident. The expenses of the department are defrayed by the State's Prison. Disbursements have been $5,719.98. Per capita cost, $100.00. Few are capable of attending religious services. Recreation is outdoor exercise in the prison yard. Care is mainly custodial. Necessary for support per annum for the next two years, $6,000.
J. J. LAUGHINGHOUSE,
Superintendent.
The Sanatorium is most beautifully situated eight miles from Aberdeen, on the Aberdeen and Rockfish Railroad. Thirteen hundred acres of high, sandy land and also fertile acres for the farm, about fifty acres being in cultivation. Two deep wells, 210 and 214 feet, give good supply of fine water. Sewerage and electricity. Open fires.
There are two nurses and one attendant. Patients are charged one dollar per day, which is half of the expense of care. No charity patients taken. Some applications have been refused because of poverty and of the advanced stage of the disease.
Six buildings have been completed, and the dining room and kitchen building is now in course of construction. These buildings are all frame and inexpensive, and exit is easily made in case of fire, but no special arrangement for checking fire except the distance between the cottages.
Receipts from patients have been $5,314.10, and this has been expended. No outstanding indebtedness. The per capita cost of maintaining
a patient for a year is $636.00, but it must be borne in mind that the average stay of a patient is 56 days, and therefore this yearly per capita serves for the training in self-care of six persons. We will need $15,000 per annum for support and $10,000 per annum for the development of the institution for the next two years.
JAMES E. BROOKS,
Superintendent.
| Normal capacity, 300. | Boys. | Girls. | Total. |
| Number on the roll November 30, 1909 | 136 | 115 | 251 |
| Admitted during the year | ... | ... | 36 |
| Whole number on the roll | ... | ... | 282 |
| Discharged or left voluntarily | ... | ... | 35 |
| Died | ... | ... | 1 |
| Number on the roll December 30, 1910 | ... | ... | 247 |
Receipts for the fiscal year were: $50,000.00 for support; $15,000.00 for new building and repairs; earnings, $5,488.22; total, $70,488.22. Outstanding indebtedness, $36.05. Per capita cost of maintenance, $200.00. The compulsory attendance law has been enforced only to a limited extent; solicitors assisting in seven cases. Some applications refused for want of room and because of feeblemindedness. Two expulsions for flagrant disobedience of rules and attempt at running away. Some scarlet fever in a light form at present; general health is good. A physical examination is required, but no special examination for tuberculosis. One suspicious case, and we will send the child home. No specialist for the examination of the eyes, nose and throat, and no
dentist except for extraordinary cases. No physical culture teacher. Attention is given to correct standing, sitting, breathing, etc. We have outdoor exercises for the boys, and the girls take outdoor exercise, but not systematically. No changes in the literary or industrial courses. Printing, carpentry, woodwork, shoemaking, farming and gardening are taught. Children become self-supporting. We have chapel exercises, Sunday School, and Christian Endeavor Society. We use the manual method for 63 and both oral and manual for 188. The new primary building is about completed, but is without furnishing. It will take $4,000 to complete and equip the building. It will take $60,000 per annum for the support of three hundred children. We also need a hospital building, cost about $10,000, and a water plant for the school, cost $20,000. About one hundred books have been added to the library. Miss Leatherman, of the State Library Commission, has advised and offered her services. The Superintendent of Public Instruction has visited the school, and we hope for a closer relation with that department. The superintendent is affiliated with the National Association of Schools for the Deaf and similar organizations, attending the annual meetings.
The following table gives the cause of deafness, age at onset of the trouble, of the 36 new pupils received in 1910:
| Cause. | Number of Children. | Age of Onset. |
| Congenital | 26 | |
| Typhoid fever | 1 | Two years. |
| Meningitis | 1 | Four years. |
| Whooping cough | 1 | Eighteen months. |
| Bronchitis | 1 | One year. |
| Cold in the head | 1 | Eighteen months. |
| Abscess in the head | 1 | One year. |
| Adenoids | 1 | Eighteen months. |
| Fever and earache | 1 | Eight months. |
| Unknown | 2 |
E. McK. GOODWIN,
Superintendent.
Normal capacity of white and colored departments, 400.
| Normal capacity, 200. | Boys. | Girls. | Total. |
| Number on the roll November 30, 1909 | 97 | 75 | 172 |
| Admitted during the fiscal year | 23 | 20 | 43 |
| Whole number during the year | 120 | 95 | 215 |
| Discharged | 10 | 16 | 26 |
| Died | ... | ... | ... |
| Daily average attendance | 105 | 77 | 182 |
| Number on the roll November 30, 1910 | 110 | 79 | 189 |
The per capita cost has been $198.01, based on figures for both departments, as accounts are not kept separately; but the per capita for the colored is smaller than the per capita cost for the whites. Outstanding indebtedness is $5,690.59. We will need $80,000 per annum for support and more land and new buildings. Improvements during the year have been granolithic pavements on two sides of the square; outdoor gymnasium, woodwork of the buildings repainted. At the colored department metal ceilings have been placed in the auditorium, boys' building, and the remaining rooms of the girls' building. Several rooms replastered with fiber plastering and the plumbing in the main building has been entirely renewed. Our new library building is meeting our needs nicely; we have added a hundred books during the year. The compulsory attendance law has only been partially enforced. None have been refused admission. No epidemic or serious accident. Health has been fairly good. A physical examination is always made upon admission, and also examination for tuberculosis. None reported this year. There are specialists for treatment of eyes, ears, throat and nose. Some attention given to the teeth. Two physical culture teachers. Regular outdoor exercise. No additions to the literary or industrial courses. As trade or occupation for support the following are taught: Broom and mattress making, chair seating, piano tuning and repairing for the boys; sewing, fancy work, dressmaking, etc., for the girls. It is estimated that eighty-five per cent of our pupils become self-supporting after leaving the institution.
| Normal capacity, 200. | Boys. | Girls. | Total. |
| Number on the roll November 30, 1909 | 41 | 41 | 82 |
| Admitted during the fiscal year | 8 | 8 | 16 |
| Whole number in charge | 49 | 49 | 98 |
| Discharged | 7 | 9 | 16 |
| Died | ... | ... | ... |
| Daily average attendance | 41 | 41 | 82 |
| Number on the roll November 30, 1910 | 42 | 40 | 82 |
| Boys. | Girls. | Total. | |
| Number on the roll November 30, 1909 | 54 | 45 | 99 |
| Admitted during the fiscal year | 4 | 12 | 16 |
| Whole number in charge | 58 | 57 | 115 |
| Discharged | 14 | 6 | 20 |
| Died | 2 | 1 | 3 |
| Daily average attendance | 50 | 47 | 97 |
| Number on the roll November 30, 1910 | 42 | 50 | 92 |
We had an epidemic of measles last spring. Present health is fairly good. We have about thirty-five acres of farm land, value $5,000.
The following tables are for the newly admitted pupils of both departments:
| CAUSES OF BLINDNESS. | AGE AT WHICH BLIND. | AGE OF ADMISSION. | |||
| Unknown | 14 | At Birth | 22 | Thirty-one years | 1 |
| Ophthalmia neonatorum | 12 | Unknown | 5 | Thirty years | 1 |
| Congenital | 6 | Twenty-four years | 1 | Twenty-nine years | 1 |
| Albino | 3 | Twenty years | 1 | Twenty-five years | 1 |
| Ulcer | 2 | Seventeen years | 1 | Twenty-three years | 1 |
| Gun shot | 2 | Fifteen years | 1 | Twenty years | 1 |
| Explosion | 1 | Ten years | 3 | Nineteen years | 1 |
| Glaucoma | 1 | Nine years | 1 | Eighteen years | 1 |
| Poison oak | 1 | Eight years | 3 | Seventeen years | 2 |
| Cold | 1 | Seven years | 1 | Sixteen years | 2 |
| Small splinter | 1 | Six years | 3 | Fifteen years | 5 |
| Accident | 1 | Six and one-half years | 1 | Fourteen years | 3 |
| Fall | 1 | Four years | 1 | Thirteen years | 4 |
| Rising in head | 1 | One year | 1 | Twelve years | 1 |
| Irido cyclitis | 1 | Eight months | 1 | Eleven years | 1 |
| Spasms | 1 | Four months | 1 | Ten years | 7 |
| Inflammation | 1 | Five weeks | 1 | Nine years | 2 |
| Measles | 1 | One month | 1 | Eight years | 6 |
| A few weeks | 1 | Seven years | 5 | ||
| Ten days | 1 | Six years | 5 | ||
| 51 | 51 | 51 |
| CAUSES OF DEAFNESS. | AGE AT WHICH DEAF. | AGE OF ADMISSION. | |||
| Congenital | 10 | At birth | 10 | Fourteen years | 3 |
| Fever | 2 | Unknown | 1 | Twelve years | 2 |
| Bronchitis | 2 | Very young | 1 | Ten years | 5 |
| Syphilis | 1 | Twelve years | 1 | Nine years | 9 |
| Rheumatism | 1 | Nine years | 1 | Eight years | 3 |
| Measles | 1 | Three years | 1 | Six years | 2 |
| Unknown | 1 | Two and one-half years | 1 | ||
| Whooping cough | 1 | Two years | 2 | ||
| One year | 1 | ||||
| 19 | 19 | 19 |
The experiment of work shops for the adult blind has proven very successful in a number of States, and I see no reason why it should not be so in North Carolina. Yes, we are affiliated with the National Associations and attend the annual meetings.
JOHN E. RAY, Principal.
There are twenty-two in the hospital with three white nurses and three colored orderlies to care for them. The physician is Dr. R. S. McGeachy. Veterans suffering with tuberculosis occupy a separate cottage. General health has been very good. The average age is seventy-five. Eighty-five applications on file, refused for want of room.
The appropriation for support for the last biennial period was $20,000 per annum. Disbursements have been about $23,600 and $1,000 for uniforms under special law. Outstanding indebtedness is about $6,000. Per capita cost of maintenance, $136. We will need $30,000 per year for support and special appropriation to meet the indebtedness.
W. S. LINEBERRY, Superintendent.
Normal capacity, 60.
Fifty-three boys now present. Applications have been refused for lack of room in most cases, but some were not suitable subjects. We have a regular physician, and all suspicious cases of throat, ear and eye troubles are especially examined.
The health of the children has been remarkably good. We have had one unfortunate and fatal accident. The literary course reaches about the seventh grade. For recreation the boys have outdoor sports. Receipts have been $21,000; disbursements, $18,000. No outstanding indebtedness. Two hundred and ninety acres. Bored well. Sewerage. Insurance. No special fire protection, but the cottages are built of brick and have stairways on both sides leading from the second story to the ground floor.
WALTER THOMPSON, Superintendent.
| Normal capacity, 325. | Boys. | Girls. | Total. |
| Number of children at the beginning of the fiscal year | 160 | 164 | 324 |
| Admitted during the year ending October 31, 1910 | 24 | 27 | 51 |
| Readmitted | 1 | ... | 1 |
| Whole number in charge | 184 | 192 | 376 |
| Placed in families | 9 | 4 | 13 |
| Returned to own people | 21 | 13 | 34 |
| Went to school | ... | 3 | 3 |
| To positions | 2 | 5 | 7 |
| Ran away | 5 | ... | 5 |
| Died | ... | ... | ... |
| Remaining October 31, 1910 | 147 | 167 | 314 |
| Appropriations and contributions | $18,926.14 |
| Singing class | 11,443.95 |
| Shoe shop, sundry sales, etc | 1,655.85 |
| Balance November 1, 1909 | 3,227.05 |
| $35,253.19 |
| Salaries and wages (27 workers) | $12,749.99 |
| Clothing | 1,578.45 |
| Ordinary repairs and minor improvements | 1,462.01 |
| Office expenses, outdoor and domestic expenses | 7,434.56 |
| Singing class | 1,666.09 |
| Transfer to special cash | 1,000.00 |
| $33,117.36 | |
| Special receipts | 22,867.71 |
| Extraordinary disbursements | 17,548.61 |
| Balance special cash November 1, 1910 | $6,827.29 |
Special receipts included a bequest of $1,000 by will of C. H. Belvin, of Raleigh. Children are received not younger than six years of age, and the age for the discharge of boys is sixteen; of girls, at eighteen. No epidemic or serious accident. The health of the children is excellent. There is reasonable fire protection, but we hope to improve the equipment. Good water supply. Sewerage, but there are three dry closets for day use. These are regularly and carefully looked after. Instruction in industrial work is given in the cottage homes, cook room, dining rooms, laundry, sewing rooms, the hospital, farm, dairy, shoe shop, printing office and woodworking shop. Literary courses are taught in the school. We place a few children in private homes when we are convinced, after careful investigation, that this action will most likely subserve the interests of the children. In this delicate and important work we endeavor to make a more and more thorough investigation and have better supervision.
Any apparent defect of the eyes, throat, ears or nose would be referred to our physician for attention, and he takes the action deemed necessary.
Special attention is given to the use of tooth brushes and to the care of the teeth of the children. The dentists of Oxford and other dentists of the State have done much valuable work on the children's teeth. We have not now the regular system for the care of the teeth which we hope and expect to have. Examination for tuberculosis is made only by regular physician of the orphanage. Before admission, a certificate is required from a reputable physician that the child is sound in mind and body.
No changes to buildings this year; several improvements are contemplated as soon as we have sufficient funds. By strict economy and careful handling, the funds with which the institution has been provided in recent years have sustained it without debt, though we now need a larger income if the work is to be kept up to its present standard or is to be improved.
W. J. HICKS, Superintendent.
| Normal capacity, 200. | Boys. | Girls. | Total. |
| Number remaining November 30, 1909 | 66 | 99 | 165 |
| Admitted during the year | 20 | 16 | 36 |
| Whole number in charge | 87 | 118 | 205 |
| Placed in families | ... | ... | ... |
| Become self-supporting | ... | ... | ... |
| Died | 1 | 3 | 4 |
| Remaining November 30, 1910 | 86 | 115 | 201 |
Per capita cost, $72. Receipts (not including building fund), $6,696.86; disbursements, $8,465.28. Ages of admission and discharge, from five to eighteen. No epidemic or serious accident. Present health of the children is good. We have no sewerage or adequate fire protection. Excreta hauled off daily. Good water supply, two wells and three pumps. Children are placed in private homes for only short periods. Care of eyes, throat and ears and teeth only by the matron. No examination for tuberculosis; children suffering from the disease would be declined. Examination for hookworm. Literary and industrial courses taught. Our main support is from the State. We need a building for dining room and chapel, and shall ask the State to help us by making a special appropriation for this. Our large brick dormitory for girls is nearing completion. One end of this is to take the place of the Infants' Department, which was destroyed by fire. The other part is for the large girls, teachers and matrons whose present quarters are dilapidated and came near going up in flames last winter. The new building is 165½ feet long and 40 feet wide; main part three stories, and two wings of two stories each. This building will cost $18,000; of this amount the State was kind enough to give us $5,000. From the public by subscriptions and labor from the orphans $5,212.16. All the brick was made at the brickyard by the boys, and nearly all the lumber is from the woods belonging to the institution and cut by the orphan boys with their own sawmill. We realize a great saving by using our own labor in hauling brick, sand and lumber. While we undertake to give each child here as far as possible elementary training in books, our chief aim is to give them thorough industrial training; and while our farm, shoe shop, blacksmith and wood shops have been blessings to them, the brickyard, sawmill, and the handling of brick and mortar in the construction of these
new buildings are greater opportunities. It is surprising how aptly they catch on and how willingly they work, inspired with the belief that some day they will be masters of the same trades.
The results from the farm and trucking departments have been equally satisfactory. The girls rendered cheerful assistance in the cultivation and harvesting of the crops. They are also given a careful and rigid training in domestic science. There never was an appropriation made to the colored people by the State which has done more good and which has been as much appreciated as the $5,000 given annually to help in the maintenance of this Home and the special amount, $5,000, given to aid in the erection of the new building. Our object and desire is to rescue, to save and make this element of the race a blessing to themselves and a credit to our great State. We are determined that the good people of the State shall not only realize our appreciation by our kind words and friendly acts, but that they shall see the good and actual fruits.
HENRY P. CHEATHAM, Superintendent.
| Normal capacity, 1,000. | |
| Received from the counties during the year | 186 |
| Pardoned | 29 |
| Escaped | 14 |
| Died | 15 |
| Recaptured | 8 |
| Remaining end of fiscal year | 785 |
| Daily average number in charge | About 700 |
Of the total number given, 41 are colored women and 8 are white women.
Daily average number of officers and employees, 140.
Of those admitted during the year 43 whites and 62 blacks can read and write, and 18 whites and 63 blacks can neither read nor write.
| Number under sixteen years of age | 2 |
| From 16 to 19 | 36 |
| From 20 to 29 | 82 |
| From 30 to 39 | 36 |
| From 40 to 49 | 13 |
| From 50 to 59 | 11 |
| From 60 to 69 | 6 |
| Total | 186 |
| Men. | |
| Camp at Elkin | 75 |
| Camp at Elizabethtown | 75 |
| Camp at Statesville | 50 |
| Camp at Rocky Mount | 50 |
| Camp in Hyde County | 25 |
| Total | 275 |
| Current expenses: | |
| 1. Salaries and wages | $56,764.99 |
| 2. Clothing | 10,500.00 |
| 3. Subsistence | 35,200.00 |
| 4. Ordinary repairs | 650.00 |
| 5. Office, domestic and outdoor expenses | 1,000.00 |
| Total | $103,614.99 |
| Extraordinary expenses: | |
| 1. New buildings | $25,000.00 |
Receipts for the year, $249,250.65; disbursements, $200,520. Value of assets (crops, etc.) is about $100,000. Amount to the credit of the prison in bonds this year, $54,000. Nothing to the credit of the prison in cash. The per capita cost of providing for a convict is $250 per annum. There are religious services at the prison, farm and camps. A room has been fitted up at the central prison as a library with the library fund, which has been on hand several years. There are about twelve hundred books, some of them gifts. About 5 per cent use the library at present. Blacks and whites have been separated in their sleeping quarters at the farm and camps, as the law provides.
A number of minor improvements in the central prison. The dining room windows have been screened, plank flooring placed there in lieu of the dirt floor; iron bars instead of wooden slats to these windows so as to give more air and light. The general health has been unusually good. Discipline of the men fine. Three cases of tuberculosis; no deaths from this disease during the year. Prisoners are especially examined for tuberculosis upon admission. There is no celebration of holidays, but prisoners are given privileges and are not required to work on those days. Yes, we favor parole for prisoners. Great improvements have been made at the Tillery farm in sleeping quarters, bathing facilities and sewerage. No improvement in fire protection at the farm. Also improvements in the prison infirmary.
J. J. LAUGHINGHOUSE,
Superintendent.
This camp is two miles northwest of Elkin. Work is being done on the Elkin and Alleghany Railroad. The Supervisor has been in charge eight months. Served in charge of men for twelve or fourteen years in mining work. Guards, 13. Prisoners, 76. Salary of Supervisor, $100. Guards, $25. Monthly cost of running the camp is from $1,000 to $1,100, clothing not included. The State receives $1.50 per day for each man. The camp has been visited twice by the Superintendent of the Prison since February, once each by the representative of the Board of Internal Improvements and by the Board of Charities. It has been visited three times by Mr. Doughton, Director, and he will make a fourth visit this year; also by representatives of the State Board of Health.
A record is kept of the condition of the prisoners. A daily report of the time made, sickness, etc.
Obedience is required, no profane or indecent language allowed. Sixty days a year are allowed for good behavior. Five days deducted from good time made for each punishment with the lash. Leather strap two to three inches wide, and from six to twenty-five licks given ordinarily. A record is kept of corporal punishments. It is administered by the Supervisor or under his direction. None so punished in the last thirty days. No religious services except occasionally in the summer, about twice a month then. Voluntary services, ministers do not receive any pay. No Sunday School. A few magazines have been sent in and read. No instruction in reading or writing of the illiterate. No form of recreation. They spend Sunday in camp. They are allowed to see relatives or friends and to write to them. The health of the prisoners is good, they look well. The sick were on bedsteads in the end of the cell. One with cold, one with Bright's disease, two recovering from rock hurt. They are attended by Drs. Ring and Reece when sent for. Good well in the stockade and spring at safe distance away. Windows and transoms for ventilation. Stoves for heat and kerosene lamps for light. Required to bathe weekly, three prisoners using the same water in a thirty-gallon tub. Clothing changed weekly. Blankets washed every two months. Meat, vegetables and molasses and fresh meat one day in the week.
This camp is located at Tar Heel, Bladen County. Work is being done on the Elizabethtown Railroad. One supervisor and twenty guards.
Twenty-two white and 118 colored prisoners; total, 140. Supervisor's salary $75, and guards $25. Monthly running expenses about $2,100. The State receives $1.50 per day for each convict. The Superintendent visits the camp regularly. Directors occasionally. Representative of the Board of Health and of the Board of Charities once each during the year. Records are kept of the men, time made, health and other matters of interest. We are very good to those who do their duty. Those who can not be persuaded have to be thrashed. Corporal punishment is inflicted and a record kept of the same. Five have been whipped in the last thirty days. Administered by the Supervisor. Common leather strap, from ten to twenty-five licks. Preachers come in. We have six preachers who are convicts, and they hold forth every Sunday. No regular Sunday School. No minister paid for his services. Yes, they have magazines and read them. No literary instruction. Not more than six who can not read and write; two of these are white men.
On Sundays some of the negro preachers read the Bible and some listen. Others are plotting to escape. More escapes on Monday or after two or three days of rain than any other time. They are allowed to see friends or relatives only in the presence of an officer or guard. Blacks and whites in separate sleeping quarters. General appearance of the prisoners as to health is good. Bathe weekly. We have a fine pump, well sixty feet deep and furnishes bountiful supply. Special provision for excreta which is buried. Dr. Northrop is called in when any one is sick. Ventilation good. Heated by stoves; kerosene light. No vermin. If sent direct to the camp they are bathed and cleaned before entering our camp. Grounds good; kitchen, etc., adequate. Bedding changed as often as good weather will permit. Clothes changed once or twice a week and oftener if they get wet. Amount and kind of clothes depends upon the roughness of the work; at all times an abundance. No special sleeping clothes. They are allowed from one-half pound to three-quarters of good meat, peas, beans, rice and vegetables when they can be gotten. Fresh meat from time to time, and diet changed as often as possible.
The health of my camp has been remarkably good; not one-fourth the sickness that there is in the same number outside. This is attributable to the fact that they are well fed with good, wholesome food, made to go to bed early and keep clean, and a physician sent for as soon as one gets sick. Our doctor says there is no comparison between the health of our convict camp and the outside negroes.
W. L. CHAFFIN, Supervisor.
(The Tar Heel Camp was inspected by Commissioner Carey J. Hunter and found in good condition. New canvas tents and new bedticks were being placed. The men looked well, except one or two who were allowed to do only part of a day's work because not strong. General impression as to physical conditions very favorable.)
This sanitarium for insane and inebriates and other nervous conditions was opened in July, 1904. Dr. Robert S. Carroll is president, Dr. W. L. Dunn, vice-president, and Miss L. R. Guffin, graduate nurse, acting superintendent of nurses.
The following table gives the movement of population for the six months ending July 1, 1910:
| Normal capacity, 32. | Men. | Women. | Total. |
| Number of patients remaining January 1, 1910 | 12 | 10 | 22 |
| Admitted during the six months | 27 | 19 | 46 |
| Total number treated | 39 | 29 | 68 |
| Discharged as cured | 22 | 8 | 30 |
| Discharged as improved | 3 | 5 | 8 |
| Discharged as unimproved | 1 | 3 | 4 |
| Daily average number of patients | 16 | 9 | 25 |
| Daily average number of officers and employees | 10 | 21 | 31 |
| Died | .. | 1 | 1 |
There are five male attendants and sixteen nurses. No epidemic or serious accident. No suicide. One escape, but returned to the hospital. Insane, 11; drug cases, 19; other nervous cases, 16. The resident States were: Arizona, 1; Arkansas, 1; District of Columbia, 1; Georgia, 1; Illinois, 1; Indiana, 2; Mexico, 1; Missouri, 1; New York, 1; North Carolina, 14; Ohio, 1; Pennsylvania, 1; South Carolina, 15; Tennessee, 4; Virginia, 1.
Excellent city fire department; two fire plugs on the premises; hand extinguishers on each floor. Rates of charges, $25 to $75 per week.
The Central building has been erected since the last report. It is a splendid four-story structure; basement and first floor of stone, containing sixty-four rooms and will be ready for occupancy by October. The down-town Sanitarium will then be closed and all work concentrated on the Highland Home property.
ROBERT S. CARROLL, M.D.,
President.
This sanatorium was opened September 15, 1901.
The following table gives the movement of population for the six months ending July 1, 1910:
| Normal capacity, 50. | Men. | Women. | Total. |
| Number remaining January 1, 1910 | 13 | 16 | 29 |
| Admitted during the six months | 29 | 23 | 52 |
| Discharged as cured | 12 | 5 | 17 |
| Discharged as improved | 8 | 3 | 11 |
| Discharged unimproved | 9 | 1 | 10 |
| Daily average number of patients | .. | .. | 30 |
| Died | 1 | .. | 1 |
| Average number of officers and employees | .. | .. | 19 |
Officers in charge are: Dr. Isaac M. Taylor, superintendent and resident physician; Dr. Louis G. Beall, resident assistant physician; Mrs. Sallie C. Taylor, matron. Now employed in ward service five men and five women. A night attendant of each sex is employed constantly.
No sickness has developed in the sanatorium. One male patient set fire to his bed in May and was severely burned. Death resulted from complications.
Resident States were as follows: North Carolina, 46; South Carolina, 21; Virginia, 4; Georgia, 4; Tennessee, 3; West Virginia, 1; Mississippi, 1; Illinois, 1. Of these cases fifty-three were insane; drug cases, 24; other conditions, 4.
Charges as heretofore reported. We have recently purchased a house which we propose to use for sanatorium purposes for those who belong to the strictly nervous class, excluding drug and insane patients. A few patients are received by commitment, but most of them are voluntary patients.
ISAAC M. TAYLOR, M.D.,
Superintendent.
This sanitarium for the treatment of inebriates was opened in Greensboro July 30, 1907.
The following is the table of movement of population for the six months ending July 1, 1910:
| Normal capacity, 20. | Men. | Women. | Total. |
| Number remaining January 1, 1910 | 2 | 2 | 4 |
| Admitted during the six months | 35 | 14 | 49 |
| Discharged as cured | 21 | 11 | 32 |
| Discharged as improved | 5 | 3 | 8 |
| Discharged as unimproved | 2 | .. | 2 |
| Daily average number of patients | .. | .. | 12 |
| Average number of officers and employees | .. | .. | 8 |
| Died | .. | .. | .. |
Five attendants, one man and four women. No epidemic, serious accident or suicide. No person ran away from the institution. Twenty-one drug cases and thirty-two other nervous conditions. Good fire protection. New apparatus has been added to the equipment in the medical department. Rates of charges, $15 to $40 per week. Residence States: North Carolina, South Carolina, Virginia, New York, Pennsylvania, Georgia, Florida, Louisiana and Tennessee. Patients rarely received by legal commitment; almost altogether they are here voluntarily. When commitment is made it is by regular process of law, before officer or magistrate within whose jurisdiction the case comes up.
W. C. ASHWORTH, M.D.,
Superintendent.
This institution for the care and treatment of inebriates was opened June 1, 1906. Dr. J. M. McGeehee is the resident physician; Dr. J. J. McKanna, superintendent; J. J. McKanna, Jr., manager.
The following is the table of the movement of population for the six months ending July 1, 1910:
| Normal capacity, 20. | Men. | Women. | Total. |
| Admitted during the six months | 180 | .. | 180 |
| Discharged as cured | 175 | .. | 175 |
| Discharged as improved | .. | .. | 5 |
| Discharged as unimproved | .. | .. | .. |
| Daily average number of patients | .. | .. | 1 |
| Average number of officers and employees | .. | .. | 10 |
| Died | .. | .. | .. |
Employed as attendants, four men and three women. No epidemic, accident or suicide. Residence States were North Carolina, South Carolina, Georgia, Tennessee, Virginia, Florida, West Virginia, Alabama, Kentucky, District of Columbia.
No insane. Ten drug cases; others alcoholism. Good fire protection. Rates of charges: Alcoholism, $100; drug cases, $35 per week. Slight improvements made. Patients come voluntarily.
J. J. McKANNA, JR., Manager.
This institution was opened April 13, 1908. Alcoholism, morphine and other drug addictions treated.
The following table gives the movement of population for the six months ending July 1, 1910:
| Normal capacity, 14. | Men. | Women. | Total. |
| Number remaining January 1, 1910 | 6 | 2 | 8 |
| Admitted during the six months | 60 | 9 | 69 |
| Discharged as cured | 50 | 9 | 59 |
| Discharged as improved | 10 | .. | 10 |
| Discharged as unimproved | .. | .. | .. |
| Daily average number of patients | .. | .. | 6 |
| Daily average number of officers and employees | .. | .. | 3 |
| Died | .. | .. | .. |
One attendant for each sex. No epidemic, serious accident or suicide. No escape. Residence States were Pennsylvania, Virginia, West Virginia, Georgia, South Carolina, Florida and North Carolina.
Twenty drug cases, others for alcoholism. Fair fire protection. City fire department. Alcoholism, $100; drug cases, $125. No changes since last report in buildings.
B. B. WILLIAMS, M.D.,
Superintendent.
The condition of Home buildings has been classed as follows:
No County Home in Carteret, Currituck, Clay, Graham, Lee, Mitchell and Onslow.
Inferior--Davie (to be improved), Cabarrus, Iredell, Transylvania, Wilson, Yadkin, Yancey.
Fair--Ashe (new site purchased), Dare, Haywood (new site to be purchased), Jones (building), Macon, Pitt, Rockingham and Watauga.
Good--Alamance, Alleghany, Anson, Bertie, Burke, Caldwell, Camden, Caswell (improved), Catawba, Chowan, Cleveland, Duplin, Edgecombe, Durham, Forsyth, Gaston, Gates, Granville (improved), Halifax, Harnett, Henderson, Hertford, Lenoir, Lincoln (new), Madison (new), Martin, McDowell, Montgomery, Moore, New Hanover (improved), Orange, Pasquotank, Perquimans, Person, Robeson, Rowan, Rutherford, Sampson, Scotland, Tyrrell (new), Vance (improved), Wake, Warren, Washington.
Fair--Alleghany, Davie, Gaston, Iredell, Macon, McDowell, Rockingham, Transylvania, Wilson, Yancey.
Good--Alamance, Ashe, Anson, Bertie, Burke, Cabarrus, Caldwell, Camden, Catawba, Chowan, Cleveland, Dare, Duplin, Durham, Edgecombe, Forsyth, Gates, Granville, Halifax, Haywood, Harnett, Henderson, Hertford, Jones, Lenoir, Lincoln, Madison, Martin, Montgomery, Moore, New Hanover, Orange, Pasquotank, Perquimans, Person, Pitt, Robeson, Rowan, Rutherford, Sampson, Scotland, Tyrrell, Vance, Wake, Warren, Watauga and Washington.
Fair--Alleghany, Cleveland (too small), Durham, Gaston (too small), Granville (improved), Lincoln, Montgomery, New Hanover (too small), Orange, Person, Sampson, and Wilson.
Inferior--Anson, Burke, Cabarrus, Clay, Mecklenburg, and Rockingham (building).
Good--Alamance, Ashe, Bertie, Caldwell, Carteret, Caswell, Catawba, Chowan, Dare (new), Davie, Duplin, Edgecombe, Forsyth, Gates, Halifax, Harnett, Haywood, Henderson, Hertford, Iredell (new), Jones, Lenoir, Lee, Macon, Madison, Martin, McDowell, Moore, Onslow, Pasquotank, Perquimans (new), Robeson, Rowan, Rutherford, Scotland, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, and Yancey.
The jails of Pitt and of Camden were burned. Plans for new buildings are under way.
Inferior--Anson and Mecklenburg.
Fair--Burke, Clay, Montgomery, New Hanover, Sampson and Wake.
Good--Alamance, Alleghany, Ashe, Bertie, Cabarrus, Caldwell, Carteret, Caswell, Catawba, Chowan, Cleveland, Dare, Davie, Duplin, Durham, Edgecombe, Forsyth, Gaston, Gates, Granville, Halifax, Harnett, Haywood, Hertford, Henderson, Iredell, Jones, Lenoir, Lee, Macon, Madison, Martin, McDowell, Mitchell, Moore, Onslow, Orange, Pasquotank, Person, Perquimans, Rockingham, Robeson, Rowan, Rutherford, Scotland, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wilson and Yancey.
(Blanks were sent to all Boards of Commissioners August 1, 1910, but failure of some to reply after repeated efforts on part of the Secretary to obtain answers necessitated requesting the information of visitors and sheriffs. However, the information is correct and gives the average number in charge for thirty-eight counties as 1,383. Total number during the year would, of course, be much larger. Terms, thirty days and up to ten years.)
| Date report was received. | County. | Number in Charge. |
| Jan. 5 | Anson | 30 |
| Sept. 19 | Alamance | 15 |
| Aug. 30 | Bertie | 6 |
| Jan. 4 | Beaufort | 32 |
| 5 | Buncombe | 66 |
| Aug. 17 | Cabarrus | 23 |
| Jan. 1 | Cleveland | 40 |
| Dec. 30 | Craven | 16 |
| Columbus (Report of 1909) | 43 | |
| Dec. 2 | Cumberland | 24 |
| Jan. 4 | Davidson | 12 |
| Sept. 7 | Durham | 73 |
| Oct. 24 | Edgecombe | 34 |
| Nov. 5 | Forsyth | 93 |
| Aug. 14 | Franklin | 9 |
| Jan. 10 | Gaston | 54 |
| Nov. 21 | Granville | 14 |
| Sept. 29 | Halifax | 44 |
| Jan. 5 | Haywood | 21 |
| Nov. 14 | Henderson | 25 |
| 19 | Iredell | 24 |
| Jan. 9 | Johnston | 23 |
| Date report was received. | County. | Number in Charge. |
| Aug. 22 | Lenoir | 15 |
| Sept. 11 | McDowell | 16 |
| Jan. 5 | Mecklenburg | 125 |
| Dec. 30 | Nash | 27 |
| Aug. 13 | New Hanover (two camps) | 88 |
| Nov. 11 | Pasquotank | 43 |
| Aug. 13 | Person | 4 |
| Nov. 26 | Pitt | 42 |
| Sept. 11 | Robeson | 23 |
| Nov. 22 | Rockingham | 35 |
| Dec. 1 | Rowan | 64 |
| Rutherford | ||
| Stanly (Report of 1909) | 19 | |
| Jan. 10 | Sampson | 16 |
| Union | ||
| 5 | Wake | 80 |
| 4 | Wayne | 29 |
| 5 | Wilson | 36 |
| Aug., 1910, to Jan., 1911 | 40 | 1,383 |
| Alamance | Rev. J. W. Holt | Burlington. |
| Hon. J. A. Turrentine | Burlington. | |
| P. H. Fleming | Burlington. | |
| Alleghany | W. F. Jones | Stratford. |
| Alexander | ||
| Anson | Dr. J. M. Boyette | Wadesboro. |
| Mrs. W. J. Huntley | Wadesboro. | |
| Ashe | W. H. Worth | Jefferson. |
| Beaufort | Dr. J. M. Gallagher | Washington. |
| Rev. J. A. Sullivan | Washington. | |
| Rev. Robert V. Hope | Washington. | |
| Bertle | J. H. Matthews | Windsor. |
| Mrs. Francis D. Winston | Windsor. | |
| Bladen | Mrs. William Whitted | Elizabethtown. |
| Mrs. John A. McDowell | Elizabethtown. | |
| Brunswick | George F. Drew | Southport. |
| Dr. Arthur Dosher | Southport. | |
| Buncombe | Dr. L. M. Stevens | Asheville. |
| Mrs. William Turner | Asheville. | |
| Burke | Robert T. Claywell | Morganton. |
| Miss Wilhelmina Tate | Morganton. | |
| Mrs. Gaither | Morganton. | |
| Cabarrus | J. M. Hendrix | Concord. |
| C. R. Andrews | Concord. | |
| Caldwell | Dr. C. L. Wilson | Lenoir. |
| J. W. Curtis | Lenoir. | |
| J. L. Nelson | Lenoir. | |
| Camden | Geo. H. Riggs | South Mills. |
| Carteret | Mrs. W. H. Hendricks | Beaufort. |
| Mrs. H. H. Willis | Beaufort. | |
| Caswell | Dr. S. A. Malloy | Yanceyville. |
| Catawba | Rev. M. A. Abernethy | Newton. |
| Chatham | Geo. Pilkington | Pittsboro. |
| James L. Griffin | Pittsboro. | |
| Mrs. H. A. London | Pittsboro. | |
| Cherokee | Mrs. R. H. Hyatt | Murphy. |
| Dr. N. B. Adams | Murphy. |
| Chowan | Rev. Robert B. Drane | Edenton. |
| W. B. Shepard | Edenton. | |
| Mrs. W. D. Pruden | Edenton. | |
| Clay | L. F. Shuford | Hayesville. |
| Cleveland | J. A. Anthony | Shelby. |
| Geo. A. Hoyle | Shelby. | |
| E. M. Beam | Shelby. | |
| Columbus | Jackson Greer | Whiteville. |
| Rev. Charles C. Smith | Whiteville. | |
| Mrs. J. J. Williamson | Whiteville. | |
| Craven | S. M. Brinson | New Bern. |
| Harold Whitehurst | New Bern. | |
| Cumberland | Rev. J. J. Hall | Fayetteville. |
| Rev. W. M. Fairley | Fayetteville. | |
| Rev. Chas. Noyes Tyndall | Fayetteville. | |
| Currituck | ||
| Dare | Charles L. Mann | East Lake. |
| Davidson | Mrs. Charles A. Hunt, Sr | Lexington. |
| Davie | Mrs. A. M. Nail | Mocksville. |
| Duplin | A. P. Farrior | Kenansville. |
| J. A. Powell | Warsaw. | |
| Mrs. A. P. Farrior | Kenansville. | |
| Durham | Rev. A. P. Barbee | Durham. |
| Edgecombe | James R. Gaskill | Tarboro. |
| F. H. Pender | Tarboro. | |
| W. L. Speight | Tarboro. | |
| Forsyth | Rev. Edward S. Crosland | Winston-Salem. |
| W. P Hill | Winston-Salem. | |
| H. W. Foltz | Winston-Salem. | |
| Mrs. H. W. Foltz | Winston-Salem. | |
| Mrs. Henry E. Fries | Winston-Salem. | |
| Franklin | M. S. Davis | Louisburg. |
| Frank B. McKinne | Louisburg. | |
| Gaston | J. P. Reid | Gastonia. |
| Gates | R. R. Taylor | Gatesville. |
| S. P. Cross | Gatesville. | |
| Graham | W. H. Garrison | Yellow Creek. |
| W. M. Taylor | Robbinsville. | |
| G. B. Walker | Robbinsville. | |
| Granville | D. N. Hunt | Oxford. |
| Granville | Rev. W. S. Hester | Oxford. |
| John H. Bullock | Oxford. | |
| Greene | L. V. Morrill | Snow Hill. |
| James T. Sugg | Snow Hill. | |
| Guilford | A. M. Scales | Greensboro. |
| Rev. Melton Clark | Greensboro. | |
| R. C. Hood | Greensboro. | |
| Mrs. W. H. Osborne | Greensboro. | |
| Halifax | D. R. Anderson | Halifax. |
| W. F. Coppedge | Halifax. | |
| Harnett | Dr. J. A. Withers | Lillington. |
| C. McArtan | Lillington. | |
| H. T. Faucett | Summerville. | |
| Haywood | Mrs. M. J. Branner | Waynesville. |
| Dr. J. E. Wilson, R. F. D. No. 2 | Canton. | |
| Henderson | Dr. J. G. Waldrop | Hendersonville. |
| Thos. J. Rickman | Hendersonville. | |
| Mrs. Lila R. Barnwell | Hendersonville. | |
| Hertford | John A. Northcott | Winton. |
| Geo. Cowper | Winton. | |
| John E. Vann | Winton. | |
| W. P. Shaw | Winton. | |
| Hyde | Dr. R. E. Windley | Swan Quarter. |
| Iredell | Dr. L. Harrill | Statesville. |
| Mrs. A. L. Coble | Statesville. | |
| Mrs. D. A. Miller | Statesville. | |
| Jackson | Rev. A. W. Davis | Webster. |
| W. D. Frizell | Webster. | |
| Robt. L. Madison | Webster. | |
| Lee T. Wild | Webster. | |
| Johnston | ||
| Jones | Julian K. Warren | Trenton. |
| F. W. Foscue | Trenton. | |
| C. C. May | Trenton. | |
| Lenoir | Rev. John H. Griffith | Kinston. |
| Geo. V. Cowper | Kinston. | |
| J. R. Rountree | Kinston. | |
| Mrs. C. B. Woodley | Kinston. | |
| Miss May Oettinger | Kinston. | |
| Lee | Dr. Lynn McIver | Sanford. |
| Lee | A. W. Huntley | Jonesboro. |
| Lincoln | Rev. W. R. Minter | Lincolnton. |
| Dr. I. R. Self | Lincolnton. | |
| Miss Kate Shipp | Lincolnton. | |
| Mrs. R. S. Reinhardt | Lincolnton. | |
| McDowell | J. M. Houck | Marion. |
| Dr. B. L. Ashworth | Marion. | |
| Mrs. E. H. Dysart | Marion. | |
| Mrs. E. A. Thomas | Marion. | |
| Macon | Rev. J. A. Deal | Franklin. |
| Dr. Higgins | Franklin. | |
| R. F. Jarrett | Franklin. | |
| Theodore Andrews | Franklin. | |
| Mrs. John C. Wright | Franklin. | |
| Mrs. L. M. Rankin | Franklin. | |
| Mrs. Ethel Deal Johnston | Franklin. | |
| Madison | Rev. W. E. Finley | Marshall. |
| J. H. White | Marshall. | |
| W. J. Weaver | Marshall. | |
| Martin | Wilson G. Lamb | Williamston. |
| Dr. William E. Warren | Williamston. | |
| Miss Hattie K. Thrower | Williamston. | |
| Mecklenburg | John McDowell | Charlotte. |
| Rev. Francis M. Osborne | Charlotte. | |
| F. S. Neal, R. F. D. No. 8 | Charlotte. | |
| Mrs. S. W. Reid | Charlotte. | |
| Mrs. H. M. Wilder | Charlotte. | |
| Mitchell | W. H. Ollis | Ingalls. |
| Montgomery | R. T. Poole | Troy. |
| Dr. Charles Deligny | Troy. | |
| O. B. Deaton | Troy. | |
| Moore | John Campbell | Carthage. |
| Geo. Humber | Carthage. | |
| Nash | J. B. Boddie | Nashville. |
| New Hanover | A. G. Hankins | Wilmington. |
| J. T. Kerr | Wilmington. | |
| Northampton | J. S. Grant | Jackson. |
| Paul J. Long | Jackson. | |
| Onslow | G. H. Simmons | Jacksonville. |
| Orange | N. W. Brown | Hillsboro. |
| Orange | Miss Mary Tinnin | Hillsboro. |
| Pamlico | D. B. Hooker | Bayboro. |
| Geo. Farrell | Bayboro. | |
| Pasquotank | Rev. E. W. Stone | Elizabeth City. |
| Pender | ||
| Perquimans | Dr. T. O. McMullen | Hertford. |
| B. S. Lassiter | Hertford. | |
| Person | Rev. E. W. Snipes | Roxboro. |
| J. A. Long, Jr | Roxboro. | |
| Pitt | J. W. Smith | Greenville. |
| E. W. Braxton, R. F. D. No. 2 | Greenville. | |
| R. N. Nichols, R. F. D. No. 6 | Greenville. | |
| Polk | John R. Foster | Tryon. |
| Randolph | Henry C. Moffitt | Asheboro. |
| Mrs. Jean Rush | Asheboro. | |
| Mrs. R. R. Ross | Asheboro. | |
| Richmond | Robert A. Johnson | Rockingham. |
| J. S. Ledbetter | Rockingham. | |
| Robeson | J. P. McNeill | Lumberton. |
| Rockingham | Ira R. Humphreys | Reidsville. |
| William Cummings | Wentworth. | |
| Mrs. N. R. Reid | Wentworth. | |
| Rowan | James D. Heilig | Salisbury. |
| W. W. Taylor | Salisbury. | |
| Rutherford | Dr. E. B. Harris | Rutherfordton. |
| W. A. Thompson | Rutherfordton. | |
| Mrs. S. E. Wolfe | Rutherfordton. | |
| Mrs. A. L. Grayson | Rutherfordton. | |
| Sampson | F. B. Johnson | Clinton. |
| Rev. Walter R. Noe | Clinton. | |
| Rev. P. L. Clark | Clinton. | |
| Mrs. T. L. Hubbard | Clinton. | |
| Scotland | Mrs. Walter McEachin | Laurinburg. |
| Miss Effie McRae | Laurinburg. | |
| Stanly | S. H. Milton | Albemarle. |
| R. E. Austin | Albemarle. | |
| Stokes | M. T. Chilton | Danbury. |
| Mrs. R. H. R. Blair | Danbury. | |
| Surry | H. F. Comer | Dobson. |
| Swain |
| Transylvania | Rev. Chalmers D. Chapman | Brevard. |
| Rev. R. C. Kirkpatrick | Brevard. | |
| Rev. Paul F. Brown | Brevard. | |
| Tyrrell | J. C. Meekins, Sr. | Columbia. |
| T. L. Jones | Columbia. | |
| Union | A. W. Biggers | Monroe. |
| Mrs. F. B. Ashcraft | Monroe. | |
| Rev. R. L. Kirkpatrick | Monroe. | |
| Vance | Dr. F. R. Harris | Henderson. |
| Wake | Prof. I. C. Blair | Raleigh. |
| John A. Mills | Raleigh. | |
| Warren | P. H. Allen | Warrenton. |
| H. J. White | Warrenton. | |
| H. B. Hunter | Warrenton. | |
| Mrs. Henry A. Boyd | Warrenton. | |
| Mrs. J. B. W. Jones | Warrenton. | |
| Washington | Col. W. F. Beasley | Plymouth. |
| W. Fletcher Ausbon | Plymouth. | |
| Watauga | J. F. Church | Foscoe. |
| Wayne | M. L. Lee | Goldsboro. |
| Miss Mary C. Borden | Goldsboro. | |
| Mrs. W. R. Hollowell | Goldsboro. | |
| Wilkes | Rev. Z. Paris | N. Wilkesboro. |
| Mrs. W. F. Troyden | N. Wilkesboro. | |
| Wilson | J. M. Leath | Wilson. |
| E. B. Mayo | Wilson. | |
| &n |