suited to them than they now have, while the wards they now occupy can be used for the general purpose of the hospital population. The estimated cost on a basis of $1,000 per capita is considered under all conditions to be reasonable, while $100 per capita has been allowed for equipment. The additional $6,000 is intended to include the cost of the plans, the architects' fees, advertising, etc. To enable the Secretary of the Interior to purchase additional land for the Government Hospital for the Insane, $100,000, or so much thereof as may be necessary. In the event of his inability to make such purchase, the Secretary of the Interior shall proceed in the manner prescribed for providing a site for the Government Printing Office, in so much of the act of July 1, 1898, as is set forth on pages 648 and 649 of volume 30 of the Statutes at Large, to acquire the land desired; and for the purpose of such acquisition the Secretary of the Interior shall have and exercise all the power conferred upon the Public Printer in such act; the appropriation to be disbursed by the Secretary of the Interior. The need of additional land by the hospital has been appreciated for some time and each successive superintendent for many years past has requested appropriations for its purchase. The need of land has become more acute of late because all of the new construction has been placed upon land previously used for farming purposes, thus restricting the output of the farm to such an extent that it is now impossible to raise enough fodder for the dairy herd. The hospital is increasing in size at the rate of upward of 100 patients per annum, and more buildings must be added in the near future, which will still further infringe upon the land used for farming. For new barns and piggeries, $65,000. The present buildings comprising the barns and piggeries, are located on the east side of Nichols Avenue and immediately fronting on it. All of these buildings are very old, and many of them in extremely dilapidated and disgraceful condition. It is desired to construct entirely new buildings to take their place. The buildings are not only old and dilapidated, but it is impossible because of these conditions to keep them in proper sanitary condition, while one of the barns is positively unsafe. It is desired to construct a dairy barn consisting of 4 units, each to accommodate 50 cows, and piggeries to accommodate 600 pigs. A recent investigation of the dairy conditions by an expert from the Agricultural Department showed them in a very unfavorable light, and indicated very clearly that steps should be taken to improve them. Milk is one of the most important and staple articles of diet in the hospital, and should be produced in a way to insure its freedom from even the suspicion of disease. The Agricultural Department has cooperated with the hospital and has prepared plans for a dairy barn which are in accordance with the latest ideas of what such a structure should be. For new entrance and gatehouse $8,000 is needed. The building of the hospital extension, with the location of the offices in the new administration building, has removed the center of the institution from the old main building to the present administration building, and makes it desirable to provide a new main entrance at the northern extremity of the administration group. For a fence to be placed along the frontage of the hospital grounds on the east side of Nichols Avenue the sum of $14,000 is needed. This portion of the hospital grounds is occupied by four buildings of the hospital extension, which contain approximately 400 patients. There is now along the thoroughfare a dilapidated, unsightly wooden fence, which it is desired to replace with a substantial one. For general repairs and improvements the sum of $60,000 is needed. The increase in this estimate is rendered necessary by recent decisions of the auditor and comptroller, who are placing a very much more rigid interpretation upon what expenditures come under the designation of repairs and improvements than ever before. As a result many things which for years have been expended from the support fund have had to come from the repair fund, and this fund necessarily, therefore, has to be augmented. Support____ Summary of appropriations recommended. Roadways, walks, and grading....... Provision for criminal insane, and shop and storehouse building. House for the superintendent_-_. Remodeling of the chapel and the superintendent's present quarters__ Construction and equipment of an epileptic group_. Additional land____ New barns and piggeries New entrance and gatehouse_. Fence Repairs and improvements.. $334, 000 5,000 55, 209 40,000 10,000 160, 000 100,000 65, 000 8,000 14,000 60, 000 Admissions and discharges, classified according to sex, for the year ended June 30, 1911, and since opening of the hospital in 1855. 9 11 6 8 8 646278 543369 397 212 Admissions, discharges, and deaths, with the mean annual mortality and proportion of recoveries, per cent of the discharges, including deaths, for each year since the opening of the hospital. 26 34 60 : 47 3 13 5 65 16 5 21 36 147 65 212 61 203 76 279 53 186 96 282 19.35 20.65 40.00 100.00 100.00 33 188 92 280 27 226 102 328 33 66 46 600 193 793 70. 18 37.50 33.33 35.71 12. 13 7.09 10. 10 700. 63 42. 13 8. 49 10. 87 9.04 6.68 8.45 7.09 |