North Texas Hospital for the Insane. GEO. F. POWELL, M. D., SUPERINTENDENT. The North Texas Hospital for the Insane is located at Terrell, Kaufman County, on the Texas & Pacific railway, thirty-two miles east of the city of Dallas. The hospital buildings are situated on a beautiful anticline about one mile northeast of the town. Number of patients treated during the year ending August 31, 1920 Average daily population. ..2455 .1886 RESIDENT OFFICERS. GEO. F. POWELL, M. D....... J. C. ANDERSON. MISS LILLIAN YEAGER. T. H. HART.. MISS LUCILE LITTLEJOHN. MISS FANNIE TEKELL... O. F. JONES. P. B. DAILEY. REV. M. B. HARRIS. REV. F. W. ZOOK. REV. G. M. BENNETT. . Superintendent. .First Assistant Physician. .Second Assistant Physician. .Third Assistant Physician. . Fourth Assistant Physician. .Dentist. Pharmacist. Storekeeper and Accountant. Assistant Storekeeper and Accountant. Stenographer. .. Matron. .. Supervisor. Supervisor. . Supervisoress. . Supervisoress. . Outside Supervisor and Head Farmer. ...Chief Engineer. *Chaplain 1 month. Chaplain 1 month. ..Chaplain 1 month. *The chaplaincy is rotated among the ministers of the various churches of the city. North Texas Hospital for the Insane. REPORT OF SUPERINTENDENT. Hon. S. B. Cowell, Chairman, the State Board of Control, Austin, Texas. DEAR SIR: Herewith I hand you annual report for the year beginning September 1, 1919, to August 31, 1920. We began the year with 1899 patients, 962 males and 937 females, in Hospital. There were away on furlough and escape 108 males and 145 females, a total of 253. We admitted 303 patients and discharged 162, 176 died, and 251 were out on furlough and escape at the end of the fiscal year, leaving 1866 in Hospital. With the exception of 1908, 1911, and 1919, our mortality was the largest in the history of the Institution, 1919 being the largest, due to epidemic of influenza. The mortality for the present year, we think, is largely the result of lowered vitality of those who had influenza and never entirely recovered from its effects. Their lack of resistance had made them especially susceptible to the ravages of pellagra and tuberculosis. There has never been a day when the labor problem was so acute as now, the period of the draft for the great World War not excepted. At this writing we see hopeful signs for better days in this respect. The appended report of storekeeper and accountant, embracing operation of farm, garden, dairy, and so forth, is submitted for your inspection. If we are to be abreast with the times, we should have a well equipped laboratory and a pathologist. There should be a modern dairy building and a new laundry, or the old laundry should be remodeled. I believe, however, that the better plan would be to have a new laundry building, and have the present one converted for other purposes. For twenty years a large portion of the laundry has been carried by hand up a narrow flight of stairs. All of this work should be on one floor in which there are no partition. walls, so that all parts of it could be, at all times, under supervision of party in charge. Our steam heating system has deteriorated. Pipes from the powerhouse to buildings, never properly insulated, are rusting, and must soon be replaced by new pipes. We are assured by experts that a great saving of fuel would result from a properly installed and modern insulated system of steam pipes. We believe there is opportunity for economy and increased efficiency in a number of instances, if provisions can be made for the extensive. rearrangement under direction of a competent architect. It will be our pleasure to supplement this report with any specific information desired. We wish to thank you for past courtesies and consideration, and wish to assure you of our desire to cheerfully co-operate with you as long as we continue in the service. Respectfully, GEO. F. POWELL, M. D., |