THE ST. LAWRENCE HOSPITAL FOR THE INSANE.
The St. Lawrence State Hospital at Ogdensburg, N.Y., is a center of public, professional, philanthropic, and legislative interest. Though projected in advance of the adoption of the system of State care for the insane, it was opened at a time to make it come under close observation in relation to the question of State care, and the friends of this departure from the inefficient, often almost barbarous provisions of county house confinement could have no better example to point the excellence of their theories than this new and progressively planned State hospital. The members of the State Lunacy Commission and Miss Schuyler and her colleagues of the State Charities Aid Society, who fought the State care bills through the Legislature this winter and in 1890, would be repaid for all of their trouble by contrasting the condition of the inmates of the St. Lawrence State Hospital with the state they were in under their former custodians, the county officers of the northern New York counties. At the best, even when these officials realized the responsibility of their charge and were actuated by humane impulses, the county houses offered no chance of remedial treatment. Custody and maintenance, the former mainly a reliance on force, the later often of scant provision, were the sum total of what was deemed necessary for the lunatics. In their new environment they find everything as different in accommodations and treatment as the word hospital in the title of the institution is different in sound and significance from the hope-dispelling, soul-chilling names of "asylum," "mad house," and "bedlam" formerly given to all retreats for the mentally afflicted. They find, and it is an encouraging feature of the plan that so many of them quickly see and appreciate it, that they are considered as sufferers from disease and not from demoniacal possession. The remarkable range of classification provided for, the adaptability of construction to the different classifications, the reliance on occupation, the dependence on treatment, and the subordination of the custodial feature, except where a wise conservatism demands its retention, are apparent alike to inmates and visitors.
This hospital is complete as to plans, and as to the power plant, drainage, and subway construction necessary for the 1,500 patients, that the legislature has provided for in its law establishing the institution. Buildings are already finished and occupied that accommodate 200 inmates, and the contractors have nearly finished part of the central group that will bring that number up to nearly 1,300. The appropriation asked for this year by the managers will be scaled down considerably by Mr. McClelland, the very economical chairman of the Ways and Means Committee of the Democratic Assembly. But, unless he has miscalculated, there will be money enough to carry on the work of construction to advantage for the year. An appropriation sufficient to complete the buildings at once was thought by many to be the wisest economy, but big figures in an appropriation bill have very little chance this year. The bill establishing the State Hospital district and providing for the building of the institution fixed the per capita cost of construction, including the purchase of land, at $1,150, and the plans have been made on that basis for 1,500 patients. But if the needs of the district should require it, the capacity could be increased by an almost indefinite extension of the system of outlying colony groups at a very small per capita cost, as the central group is by far the most expensive in construction.
The administration group in part, and one outlying group, with the general kitchen, bakery, workshop, laundry, employes' dwelling house, power house, and pumping station, are already erected, and have added a feature of architectural beauty to Point Airy. This point, of itself of picturesque and romantic beauty, juts into the St. Lawrence River at the head of the Galoup Rapids, three miles below Ogdensburg. It is a part of the hospital farm of 950 acres, which includes woodland, meadow, farm land, and a market garden tract of the $100 an acre grade. The location of the institution in these particulars and in reference to salubrity, sewerage facilities and abundance and excellence of water supply, is wonderfully advantageous.
In planning the hospital Dr. P.M. Wise, who has since become its medical superintendent, aimed to take the utmost advantage of the scenic and hygienic capabilities of the site, and to improve on all previous combinations of the two general divisions of a mixed asylum—a hospital department for the concentration of professional treatment, and a maintenance department for the separate care of the chronic insane. He was anxious to secure as much as possible of the compactness and ease of administration of the linear plan of construction, with wings on either side of the executive building of long corridors occupied as day rooms, with sleeping rooms opening out of them on both sides. But he wanted to avoid the depressing influence of this monotonous structure, as the better results of variety and increased opportunities of subdivision and classification are well recognized. He was not, however, prepared to accept wholly that abrupt departure from the linear plan known as the "cottage plan," which in some institutions has been carried to the extreme of erecting a detached building for every ward. The climate of St. Lawrence county forbade this. Her winters are as vigorous as those of her Canadian neighbors, even as her people are almost as ebullient in their politics as the vigorous warring liberals and conservatives across the river. And there are features of the linear plan that can only be left out of our asylum structure at the expense of efficiency. Other rules that he formulated from his experience were that a building for the insane should never exceed two stories in height; that fire proof construction and at least two stairways from the upper floors should be provided; that day rooms should be on the first and sleeping rooms on the second floor; that all buildings for the insane who suffer from sluggish and enfeebled circulation of the blood should be capable of being warmed to 70° in the coldest weather; that ample cubic space and ventilation should be provided; and that, as far as possible, without too great increase of the cost of maintenance or sacrificing essential provisions for treatment and necessary restraint, asylums should aim to reproduce the conditions of domestic life.
THE ST. LAWRENCE HOSPITAL FOR THE INSANE.
State Architect Isaac G. Perry planned the St. Lawrence State Hospital buildings on ideas suggested by medical experience, with a breadth of comprehension and a technical skill in combining adaptability, utility, and beauty that have accomplished wonders. The buildings are satisfactory in every particular to every one who has seen them, and even the most casual observer is impressed with the effect of beauty. This was accomplished without elaboration of material, expressive carving or finish. The ornamentation is purely structural and is obtained by a handling of the materials of construction which also yielded the largest promise of strength and durability.
The central hospital group, of which an idea is given in the cut, now consists of five buildings. The picture shows three, the center one and two of the flanking cottages on one side. They are matched on the other side. The central or administration building is a three story structure of Gouverneur marble, and, like all of the stone used, a native St. Lawrence county stone. The marble's bluish gray is relieved by sparkling crystallizations, and its unwrought blocks are handled with an ornamental effect in the piers, lintels, and arches, and well set off by a simple high-pitched slate roof, with terra-cotta hiprolls, crestings, and finials. The open porches are both ornamental and useful, taking the place of piazzas. The tower is embellished with a terra-cotta frieze. All accommodations for an executive staff for the 1,500 patients may be provided in this building.
Behind it on the south is a one story building whose ground plan is the segment of a circle. It contains sun rooms, medical offices, general library, laboratory and dispensary, and the corridor connecting the reception cottages, one for women, on one side, and one for men on the other, with the administration building. As this one story structure is 171 feet by 41, the buildings known as cottages of the central group are more than nominally separated. All the advantages of segregation and congregation are combined.
The reception cottages are of pale red Potsdam sandstone. Their simple construction is pleasing. The ground plan is in the form of a cross; the angles of the projections being flanked by heavy piers between which are recessed circular bays carried up to the attic and arched over in the gables. The cross plan affords abundant light to all the rooms, and as much of the irregular outline as possible is utilized with piazzas. With still another recourse to the combination corridor plan, the observation cottages are joined to the reception cottages on each side. The other utilization of the corridor in this case is for conservatories. The observation cottages are irregular in plan and vary from each other and from the other buildings in the group. Unwrought native bluestone is the building material. These cottages contain a preponderance of single rooms, the purpose being to keep patients separate until their classification is decided upon.
The buildings planned but not yet constructed of the central group include two cottages for convalescents and two one-story retreats for noisy and disturbed patients. In both cases the plans are the most complete and progressive ever made. In the first the degree of construction is reduced to the minimum. Convalescents are to have freedom from the irritations of hospital life that often retard recovery. Great reliance is placed upon that important element in treatment, the rousing of a hopeful feeling in the mind of the patient.
The retreat wards, with accommodations in each wing for eighteen patients, show in this particular how little the old method of strict confinement is to be employed in the new institution. That proportion of the total insane population of 1,500 is regarded as all that it is necessary to sequester to prevent the disturbance of the rest. Hollow walls, sleeping room windows opening into small areas, and corridor space between the several divisions are features which make the per capita cost of the construction comparatively large for these two cottages, but which, it is believed, will prove to be wise ones.
All of these buildings are as complete from a hospital standpoint as can possibly be devised. Outer walls wind and moisture proof, and inner walls of brick, with an absolutely protected air space between, insure strength and warmth. An interior wall finish of the hardest and most non-absorbent materials known for such uses is a valuable hygienic provision, and both safety and salubrity are further conserved by an absence of any hollow spaces between floors and ceilings, or in stud partitions. No vermin retreats, no harbors for rodents, no channels for flame exist. Heating is accomplished by indirect radiation with the steam supply from the power house, but there are many open fireplaces to add to the complete stack and flue system of ventilation.
Attached to the central group and completed are the kitchen building, the laundry building and a dwelling house for employes, which are so disposed in the rear of the group as to make a courtyard of value for the resort of patients, as the main buildings protect and shelter it. These buildings are ample for their work when the institution's full capacity is attained. The kitchen building is a particularly interesting one. All of the cooking is to be done there, and a system of subways, with tracks on which food cars are run, connects it with all of the groups. An idea of the magnitude of kitchen plans for such an institution may be got from one single fact. The pantry is a lofty room, 20x32 feet.
The calculation that 80 per cent. of the insane of the district would be in the chronic stages of the disease explains the provision in detached cottage groups for this proportion of the patients. A great proportion of these are feeble and helpless, requiring constant attendance night and day, but attendance that can be given cheaply and efficiently in associate day rooms, dining rooms and large dormitories. Detached group No. 1, which is completed, is an infirmary group for patients of both sexes of this class. It is chiefly one story in height, and the plan permits an abundance of sunlight and air for every room.
Detached group No. 2 is intended for 185 men of the chronic insane class, who require more than ordinary care and observation. Detached group No. 3 is composed of two-story buildings for 322 women. It has several large work-shops. Occupation is one of the main reliances of the planners of the institution as a part of the treatment there.
Detached group No. 4 is designed for both men and women, and will accommodate 150. A wholly different classification is here provided for, the actively industrious classes being intended for this group. Those who are able to do outdoor work, and for whom some diverting employment will be beneficial in making them contented and physically healthy, will live here. There is complete separation of day rooms, but the two sexes will dine together in an associate hall.
An amusement hall to harmonize with the central group, and to be built adjacent to it, is planned, and will be built this year if the appropriation will permit. It is a valuable and necessary adjunct to the other provisions for the care of a population of 1,500. Accommodations for entertainments, chapel exercises, dancing and a bathing establishment are included in the plans in a way that gives great results with great economy of construction.
Probably the feature in the scheme of the St. Lawrence State Hospital of the greatest popular and professional interest is Dr. Wise's plan to have there an Americanized and improved Gheel. The original Gheel in Belgium is a colony where for many years lunatics have been sent for domiciliary care. Its inhabitants, mostly of the peasant class, have grown accustomed to the presence and care of patients with disordered minds. The system is the outgrowth of a superstition founded in the presumed miraculous cure of a lunatic whose reason was restored by the shock of the sight of the killing of a beautiful girl by her pursuing father, whose fury had been roused by her choice of a husband. A monument to this unfortunate graces Gheel, and as St. Dymphna she is supposed to be in benign control of the lunatic-sheltering colony. Some of the features of the Gheel system of care are also distinctively known as the Scotch system. There the placing of patients in family care is common. Massachusetts has also adopted it to a considerable extent. But there are many objections to family care in isolated domiciles, as practiced in Massachusetts. Special medical attention and official visits are made expensive and inconvenient. Dr. Wise plans to get all the advantages of such a mode of life for patients whose condition retrogrades under institutional influence. Not the least of these advantages is that of economy in relieving the State from the per capita cost of construction for at least one-fourth of the insane of the district. He would utilize the families in the settlement which always grows up in the vicinity of a large hospital. It is composed of the households of employes, many of which are the result of marriages among the attendants and employes. On Point Airy, by the use of the buildings that were on the different plots bought by the State to make up the hospital farm, such a settlement can be easily made up. Its inhabitants would pay rent to the State. They would be particularly fit and proper persons to board and care for patients whose condition was suitable for that sort of a life, and the patients could have many privileges and benefits not possible in the hospital. Point Airy's little Gheel on such a plan would be a most interesting and valuable extension of the beneficent rule of St. Dymphna.
The St. Lawrence State Hospital was built and is operated under the supervision of a board of managers, whose fidelity to it is described as phenomenal by the people of Ogdensburg. The members of the executive committee, Chairman William L. Proctor, Secretary A.E. Smith, John Hannan and George Hall, especially Mr. Proctor and Mr. Smith, have given as much time and attention to it as most men would to a matter in which they had a business interest. The result has been a performance of contract obligations in which the State got its money's worth. The people of Ogdensburg, too, have taken a great interest in the institution. Such men as Mayor Edgar A. Newell, ex-Collector of the Port of New York Daniel Magone, Postmaster A.A. Smith, Assemblyman George R. Malby, and his predecessor, Gen. N.M. Curtis, who was the legislative father of the hospital scheme; Frank Tallman and Amasa Thornton take as much pride in the institution that the State has set down at the gates of their city as they do in their cherished and admired city hall, which combines a tidy little opera house with the quarters necessary for all public and department uses.
The executive staff of the hospital consists of Dr. P.M. Wise, medical superintendent; Dr. J. Montgomery Mosher, assistant: Dr. J.A. Barnette and Steward W.C. Hall.—N.Y. Sun.
THE ELECTRICAL PURIFICATION OF SEWAGE AND CONTAMINATED WATER.[[1]]
By WM. WEBSTER.
The term sewage many years ago was rightly applied to the excremental refuse of towns, but it is a most difficult matter to define the liquid that teems into our rivers under the name of sewage to-day; in most towns "chemical refuse" is the best name for the complex fluid running from the sewers.
It is now more than ten years since I first commenced a series of experiments with a view of thoroughly testing various methods of purifying sewage and water contaminated with putrefying organic matter. It was while investigating the action of iron salts upon organic matter in solution and splitting up the chlorides present by means of electrolysis, that I first became aware of the importance of precipitating the soluble organic matter in such manner that no chemical solution should take the place of the precipitated organic matter. If chemical matter is substituted for the organic compounds, the cure is worse than the disease, as the resulting solution in most cases sets up after precipitation in the river into which it flows.
My first electrolytical experiments were conducted with non-oxidizable plates of platinum and carbon, but the cost of the first and the impossibility of obtaining carbon plates that would stand long-continued action of nascent chlorine and oxygen made it desirable that some modification should be tried. I next tried the effect of electrolytic action when iron salts were present, but did not think of using iron electrodes until after trying aluminum. I found that the action of non-oxidizable electrodes was most efficacious after the temperature of the fluid acted upon rose 4° or 5°; but the cost of working made it impossible on a large scale.
After a long series of experiments, iron plates were used as electrodes, with remarkable results, for the compounds of iron formed not only deodorized the samples of sewage acted on, but produced complete precipitation of the matters in suspension, and also of the soluble organic matter; the resulting effluents remaining perfectly free from putrefaction. The first part of the process is well illustrated by the small experiments now shown; the organic matter in suspension and in solution separates into flocculent particles, which rise to the top of the liquid and remain until the bubbles of hydrogen which have carried them up escape, when the solid matter will precipitate. In the arrangement adopted on a working scale, the separated particles precipitate readily. As an illustration of the action upon organic matter in solution I take a small quantity of dye, mix it with water, and placing the connected iron electrodes in the mixture, the dye in solution separates into flocculent particles. The electrolytical action is of course easily understood, but the chemical changes that take place need an explanation. At the positive pole, hypochlorite of iron seems to be formed at first, but this is quickly changed into a protochloride, and as at the negative pole an alkaline reaction takes place, the iron salt is precipitated in the form of the ferrous hydrated oxide, together with the organic matters in suspension and solution. Owing to the carbonates that are always present in sewage, ferrous carbonate is also formed.
The success of these laboratory experiments led me to a trial of the process on a larger scale, for hitherto only a gallon at any one time had been treated.
Small brick tanks were erected at my wharf at Peckham and iron electrodes fitted to them.
Wrought iron plates were fixed about an inch apart, and connected in parallel in the tanks, forming one big cell. Sewage to the amount of about 200 gallons was run into the electrode tank and then treated, the results being so satisfactory that larger works were erected, when a supply of sewage equal to 20,000 gallons an hour could be obtained.
After a number of experiments had been carried out it was decided to run the sewage as rapidly as possible through electrodes, six cells or two rows in series fixed in a long channel or shoot, for experience showed that the motion of the liquid acted on reduced the back E.M.F. and hastened the formation of the precipitate.
A channel is kept at the bottom of the electrodes for the silt to collect, with a culvert at side to flush it into, so as to prevent any block occurring; the advantage of this is obvious. The plates in each section may be from half an inch to an inch thick, and can be of any length up to 6 ft. It may possibly be objected that a large number of plates is required. This may be so, but the larger the number of plates, the less the engine power required, and the longer they last. In each section the electrodes are in parallel, and any one section is in series with the other, the arrangement being exactly like that of a series of primary battery cells.
By actual experience I have been able to prove that at least 25 sections of electrodes should be in series and across any one of these sections the potential difference need not be greater than 1.8 volts, the current being of any desired amount, according to the surface of plates used.
The electrical measurements taken by Dr. John Hopkinson during these experiments for the Electrical Purification Association, to whom I had sold my patents, entirely corroborated my contentions as to E.H.P. used, and agreed with the measurements of the managing electrician, Mr. Octavius March.
The process was then thoroughly investigated by Sir Henry Roscoe, who had control of the works for one month. He reports as follows:
"The reduction of organic matter in solution is the crucial test of the value of a purifying agent, for unless the organic matter is reduced, the effluent will putrefy and rapidly become offensive.
"I have not observed in any of the unfiltered effluents from this process which I have examined any signs of putrefaction, but, on the contrary, a tendency to oxidize. The absence of sulphureted hydrogen in samples of unfiltered effluent, which have been kept for about six weeks in stoppered bottles, is also a fact of importance. The settled sewage was not in this condition, as it rapidly underwent putrefaction, even in contact with air, in two or three days.
"The results of this chemical investigation show that the chief advantages of this system of putrefaction are:
"First.—The active agent, hydrated ferrous oxide, is prepared within the sewage itself as a flocculent precipitate. (It is scarcely necessary to add that the inorganic salts in solution are not increased, as in the case where chemicals in solution are added to the sewage.) Not only does it act as a mechanical precipitant, but it possesses the property of combining chemically with some of the soluble organic matter and carrying it down in an insoluble form.
"Second.—Hydrated ferrous oxide is a deodorizer.
"Third.—By this process the soluble organic matter is reduced to a condition favorable to the further and complete purification by natural agencies.
"Fourth.—The effluent is not liable to secondary putrefaction."
Mr. Alfred E. Fletcher also investigated the process subsequently, and reports as follows:
"The treatment causes a reduction in the oxidizable matter in the sewage, varying from 60 to 80 per cent. The practical result of the process is a very rapid and complete clarification of the sewage, which enables the sludge to separate freely.
"It was noticed that while the raw sewage filters very slowly, so that 500 c.c. required 96 hours to pass through a paper filter, the electrically treated sewage settled well and filtered rapidly.
"Samples of the raw sewage, having but little smell when fresh, stank strongly on the third day. The treated samples, however, had no smell originally, and remain sweet, without putrefactive change.
"In producing this result two agencies are at work, there is the action of electrolysis and the formation of a hydrated oxide of iron. It is not possible, perhaps, to define the exact action, but as the formation of an iron oxide is part of it, it seemed desirable to ascertain whether the simple addition of a salt of iron with lime sufficient to neutralize the acid of the salt would produce results similar to those attained by Webster's process.
"In order to make these experiments, samples of fresh raw sewage were taken at Crossness at intervals of one hour during the day. As much as 10 grains of different salts of iron were added per gallon, plus 15.7 grains of lime in some cases and 125 grains of lime in another, and the treated sewage was allowed to settle twenty-four hours; the results obtained were not nearly as good as the electrical method."
During the present year a very searching investigation of the merits of various processes of sewage treatment has been made by the corporation of Salford; among others of my electrical process. As the matter is at present under discussion by the council, I am not in a position to give extracts from the reports of the engineers and chemists under whose supervision and control the work was done, but I may go so far as to say that the results of my system of electrical treatment have proved its efficiency and applicability to sewages of even such a foul nature as that of Salford and Pendleton. The system was controlled continuously for the corporation by Mr. A. Jacob, B.A., C.E., the borough engineer; Mr. J. Carter Bell, F.I.C., etc., county analyst; Messrs John Newton & Sons, engineers, Manchester; Mr. Giles, of Messrs. Mather & Pratt, electrical engineers, Manchester; Dr. Charles A. Burghardt, lecturer in mineralogy at Owens College.
I would also refer you to a paper recently read before the Manchester Section of this Society by Mr Carter Bell, the borough analyst for Salford, in whose remarks Dr. Burghardt, an independent authority, permits me to add that he concurs. He cannot give details until his report has gone in, which will be very shortly.
Mr. Carter Bell's report has gone in, and although he is precluded also from giving full details, he has kindly put at my disposal samples sealed by him of the effluents produced by the electrical treatment, which I now submit, together with the analyses in the table.
The samples are taken at random.
Whether the process will or will not be adopted by the Salford authorities I am of course unable to say, but I think I may safely say that the electrical process has now absolutely proved its case in regard to the solution of the sewage problem. It is simple, efficient and, I am sure, more economical than any other known process where duration is taken into account.
In regard to the Salford trials it may be interesting to give the following particulars:
______________________________________________________________________
|
| Parts in 100,000.
|________________________________________________
| | | |
| May 15. | June 7. | June 30. | July 25.
|_____________|___________|___________|__________
|Not filtered.| | |
Total solids. | 109 | 125 | 141 | 132
Loss on ignition. | 33 | 21 | 29 | 23
Chlorine. | 32 | 44 | 42 | 43
Oxygen required | | | |
for 15 minutes. | 2.56 | 0.76 | 0.27 | 0.79
Oxygen required | | | |
for three hours. | 4.27 | 0.79 | 0.50 | 1.00
Free ammonia. | 2.20 | 0.88 | 0.50 | 0.92
Albuminoid am- | | | |
monia. | 0.32 | 0.17 | 0.092 | 0.19
_____________________|_____________|___________|___________|__________
The electrical shoot was built in brick and contained 28 cells arranged in series.
Each cell contained 13 cast iron plates 4 in. × 2 ft. 8 in. × ½ in. thick connected in parallel.
The available electrode surface in each cell was 256 sq. ft.
The ampere hour treatment required for Salford was found to be about 0.37 ampere hours per gallon, and the I.H.P. per million gallons based on these figures would be 37.
NOTE.—In estimating for the plant necessary for treating the whole of the Salford sewage, a margin was allowed on above figures. The A.H.T. was taken at 0.4 and the I.H.P. per million at 39 to 39.5.
Mr. Octavius March, electrical engineer, who has followed the process from the commencement, and who superintended the electrical details both at Crossness and Salford, will give you on the blackboard a rough sketch of the above trial plant.
The Salford tanks are admirably adapted to the application of the electrical or in fact any process of precipitation. They are 12 in number, and it is proposed to take two end tanks for the electrical channels, in which the iron electrodes would be placed.
The total I.H.P. required for treating the whole of the Salford and Pendleton sewage, taken at 10,000,000 gallons per 24 hours, is calculated at 400 I.H.P., based on the actual work done during the trial. The electrical plant would consist of four engines and dynamos, any three of which could do the whole work, and three boilers, each of 200 I.H.P.
The total cost of plant, including alterations, is estimated at £16,000, to which must be added the cost of about 5,000 tons of iron plates—ordinary cast iron—at say £4 per ton. These plates would last for several years.
If filtration were required, there would be an extra expenditure for this, but it will be remarked that as the treated sewage is practically purified when it leaves the electrical channels, these filters would be only required for complete clarification, which for most places would not be a necessity.
The filtering material used could be gradually prepared from the sludge obtained after electrical treatment, unless it could be more profitably sold as a manure, and I am not a believer in the value of sewage sludge in large quantities. This sludge, a waste product, is converted into magnetic oxide of iron, of which I have here two small samples. This magnetic oxide is a good filtering material, but, like every other filtering material, it would of course require renewal. There would, however, always be a supply of the waste product—sewage sludge—on the spot, and the spent magnetic oxide recarbonized could be used indefinitely.
The annual cost for dealing with the Salford sewage is estimated at in round figures £2,500 for coal, labor, maintenance of engines, boilers and dynamos. To this must be added the consumption of iron and its replacement, which would have to be written off capital expenditure.
If a colorless effluent were required, absolutely free from suspended matter, the additional cost is estimated at from £1,200 to £1,500.
Recently read before the Chemical Society, London. From the Journal of the Society.