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Referring to the insane of the state, Dr. Howard said that the total number of insane patients in the thirteen state hospitals at the close of the fiscal year was 29,362. The' net increase during the year was 1,014, as against 1,346 in the preceding year. It could not be denied that the enormous immigration of the past ten years had unduly swelled the number of insane. The temporary care provided for insane persons in most communities presented conditions not unlike those which led to thedoi:10.1056/nejm190912021612310 fatcat:t6fjtpe5uzc4jamc4fejhzf4dm