REPORT

OF THE

MEDICAL SUPERINTENDENT,
For 1865 and 1866.

To THE PRESIDENT AND VISITORS :—
GENTLEMEN :

The tables, respecting the patients who have been in the
Hospital in the years 1865 and 1866, are appended to this
report:

The whole number under care in the two years has been
three hundred and seventy-four. There have been two
hundred and fifty-three discharges; one hundred and sixty-
three, including cases of mania-a-potu, have been discharged
as recovered; twenty-one as improved; nineteen as not im-
proved; and, in addition to the discharges, the number of
deaths has been twenty.

Among the discharged, ten males and seven females were
transferred to the Bay-View Asylum by authority of the
Trustees thereof in the month of October last.

The Commissioners of all the counties in the State, and
the Visitors of the Hospital, representing the same, have been
officially informed that, in consequence of the vacancies made
by these removals, the Courts of the counties can now send
a larger number of insane to the 'Hospital than it has been
possible heretofore to admit. In the last two years patients
have been sent by the Circuit Courts from the following
counties : Allegany, Baltimore, Cecil, Dorchester, Frederick,
Harford, Kent, Prince George's Queen Anne, Somerset,
Talbot and Washingion.

As soon aa the Baltimore City patients were removed,
measures were adopted to reduce the expenditures, especially
in the particulars of provisions and groceries. It was found
that the services of three attendants could be dispensed with;
two happened opportunely to vacate their places for engage-
ments elsewhere; a third was in impaired health, and found
it expedient to seek its restoration by leaving; and there has
been no occasion to fill the three vacancies so far, and there