THE NINTH ANNUAL REPORT COMMISSIONER
OF HEALTH COMMONWEALTH OF PENNSYLVANIA 1914
PENNSYLVANIA STATE SANATORIUM FOR TUBERCULOSIS
WILLIAM G. TURNBULL, M. D.. Medical Director.
Daring the year 1914, one thousand and sixty-seven patients have
been treated in the Cresson Sanatorium. Of these, three hundred and
were in the institution on January first, and eleven hundred and
were admitted during the year. Six hundred and sixteen
patients were discharged alive,
and eighty-eight were removed by
death, leaving three hundred and sixty-three
patients in the institution at the end of December. The average daily census during the year was three hundred and fifty,
and the average length of stay of patients was one hundred and thirty-six days.
Of the seven hundred and fifty-eight patients admitted in the coarse
of the year, one hundred and twenty-nine or seventeen per cent., were
incipient; two hundred and ninety-live, or thirty -eight and nine-tenths per cent., moderately
advanced ; and three hundred and thirty -four, or forty-four and one-tenth per cent., far advanced.
Of the seven hundred and four patients discharged
in the coarse
of the year, one hundred and sixteen were classified as incipient
admission, two hundred and seventy-six as moderately advanced, and
three hundred and twelve as far advanced.
Of the one hundred and sixteen incipient cases, twelve, or ten and
three-tenths per cent., were discharged as apparently cured; seventy-
three, or sixty-two and nine-tenths per cent., as arrested; thirty or
twenty-five and nine-tenths per cent., as improved; and one, or nine
tenths of one per cent., as progressive.
Of the two hundred and seventy-six moderately advanced cases,
four, or one and four tenths per cent., were discharged as apparently
one hundred, or thirty-six and two-tenths per cent., arrested; one hundred and thirty-eight, or fifty per cent., as improved;
thirty-two, or eleven and six-tenths per cent., as progressive; and two, or seven-tenths of one per cent., had died.
Of the three hundred and twelve far advanced
cases, nineteen, or
six and one-tenth per cent., were discharged as arrested ;
ninety-six, or thirty and eight-tenths per cent., as improved; one hundred and
or thirty -five and six-tenths per cent., as progressive; and
or twenty-seven and five-tenths per cent., had died.
Altogether, then, of the seven hundred and four patients discharged
within the year, sixteen, or two and three-tenths per cent, were dis
charged as apparently cured; one hundred and ninety-two, or twenty
seven and three-tenths per cent., as arrested; two hundred and sixty-
four, or thirty-seven and five-tenths per cent., as improved ; one hundred and forty-four, or twenty
and four-tenths percent., as progressive; and eighty-eight, or twelve and five-tenths per cent, had died.
The average age of the incipient cases discharged
alive during the
year was eighteen and five-tenths years; of the moderately
twenty-nine and one-tenth years; of the far advanced twenty
and two-tenths years ; and of patients dying in the institution
thirty- two and three-tenths years. The average age of all classes was
and seven-tenths years.
average patient came from a house with three and three tenths
and belonged to a family of four and five-tenths members.
The average monthly income of
this average family was $53.18.
Of the incipient cases discharged alive in 1914, one hundred and
gained in weight, nine lost weight, and two were stationary.
average gain was nine and four-tenths pounds. Of the moderately
cases discharged alive, two hundred and eighteen gained in
weight, forty-seven lost weight,
and nine were stationary. The aver-
age gain was eleven pounds. Of the far advanced
alive, one hundred and nineteen gained in weight, ninety-four
weight, and thirteen were stationary. The average gain was nine'
and four-tenths pounds.
In the early summer of 1914 the Health Colony Club was organized
at Pittsburgh with the object of assisting the State in the work with
patients of the Pittsburgh Dispensary. According to an arrange-
with the Commissioner of Health this club purchased and
equipped ten tents (each fourteen
feet square with a double length
fly) to be erected on the grounds of the Sanatorium.
were used for especially needy cases making application at
burgh Dispensary for admission to the Sanatorium and unable
cared for at home during the period of waiting for their regular
turn of admission. By arrangement with the Commissioner of Health
the State furnished all care for these patients after they were ad-
mitted to the tents. When their regular turn for admission to the
Sanatorium arrived they were transferred to State beds and other
needy ones were sent by the Pittsburgh Dispensary to take their
in the tents.
on these cases is of peculiar interest because it empha-
sizes tie advantage and in some
instances the vital necessity of the
immediate admission of cases after application.
Inasmuch as these
cases were selected by the Pittsburgh Dispensary as especially
cases it is fair to assume that they were in the opinion of
the Dispensary physician patients who were not doing well under Dispensary
and who in all probability would have continued doing
badly during the necessary time
of waiting for their regular turn of
admission to the Sanatorium.
Eighty-six patients have been cared for in these
tents and after-
wards admitted to the Sanatorium or died in the tents. The
stay of these patients in the tents before admission to the
inm was sixty-six and two-thirds days. At the time of regular
sion to the Sanatorium sixty-five of these patients were improved,
fifteen were unimproved and six had died as tent patients. The sixty
five improved patients had gained six hundred and fifty-five pounds
an average gain of ten pounds each. In short, oat of
eighty-six patients who were
doing badly at home and most of whom
would probably have continued to do badly for
an average time of nine
and a half weeks, while waiting for admission to the Sanatorium,
sixty-five were admitted to the Sanatorium at the regular time mach
Improved and with an average gain in weight of ten pounds.
A society of friends of the Monessen Dispensary has also brought
and equipped two tents to be used in the same way as the Pittsburgh
During the year attention has been paid to improving the social
of our patients and furnishing them with harmless recrea-
tion or employment. Results
are already evident in a better feeling
on the part of the patients toward the institution,
nests and an increased length of stay in the institution. The
have been organized into a school under the care of capable
who are also patients, and an outdoor school house has been
for their use. The school work has been carefully graded according
to the physical condition of each child, no child being allowed to
woi^ more than two hours a day. All idea of competitive work ban
been kept out of the school. All the ordinary branches have been
to a necessary extent but particular attention has been paid to
work and manual training. The study of flowers, trees, birds,
and insects has been attractive and beneficial.
During the season when such out -door work is impossible, basketry,
nig weaving, cutting and sewing, darning and patching, have been
subjects receiving special attention.
Glasses in sewing, fancy work, quilting, rug-weaving, and knitting
have been organized for the women.
Wood working has been introduced to a limited extent for the bovH
and men and it is hoped that with increased equipment it may be pos-
sible to develop this occupation still further during the coming year
By their own efforts our patients and employees
have raised money
for the purchase of an excellent moving picture machine and
• Through the kindness of the Pittsburg Photoplay Company
been famished four reels of interesting pictures each week
therefore been able to enjoy a moving picture entertainment
to this, several amateur dramatic entertainments have
been given by the patients daring
the year. There is need of a special
bailding to be used for amusement purposes.
At present the only
available place is the lai^ dining room for patients, and the
this room is inconvenient and causes a great amount of extra
the part of the housekeeping department.
An effort is being made to place the patients
of the institution more
and more on a self-governing basis. The conduct and discipline
patients in all social gatherings has been successfully entrusted
committee selected by the patients themselves.
In the children's department the self-governing
idea has been far-
ther developed and practically all matters of discipline are
tled by the children themselves under proper guidance in their
An account of the important changes in our medical staff together
with a full list of the staff and the other employees of the Sanatorium during the past year may
be found in that part of the general report of the Commissioner which is reserved for these matters.
The patients of the institution have reason
to thank their many
friends for the numerous and useful donations which have been
ceived during the year. Not merely at Christmas time but all through
the year we have received many gifts that have shown not only good
will and liberality but also Intelligent thought for the real needs of
our patients. In several places societies have been organized for the
purpose of helping and we have been asked to report all personal
needs of our patients to these societies.
The following is a partial list of donors, as it is quite impracticable to include all the small
gifts which have come to us.
for the Tear 1M4, to the Cresson Sanatorium (or Tuberculosis,
Hilda Bard, Cresson— Stockings.
H. H. Carter, Bloomberg — Magazines.
Mrs. Samuel G. Dixon, Bryn Maw r— Clothing, books and games.
Mrs. Sylvester Eckenrode, Turtle Creek— Magazines.
Bpworth League (Miss Pender), Blaireville— Literature.
Myrtle EhrenFeld, Lilley—Clothing and onting flannel.
Idiss Rachd Krfe, Vandergrift—
First Presbyterian Church (Rev. C. C. Hayes, Pastor), Johnstown—
games, candy and oranges.
Hr. Jesse Pay, Altoona— Stockings.
Mrs. Gabler, MoneBsen — Clothing.
H. B. Garland, Jeanette— Flowers.
B. Gross, cresson— Clothing,
Mrs. John Herr, Cresson— Stockings and outing flanod.
Mrs. Hildebrand, Cresson — Clothing.
John B. Hoyt, Cresson—
William H. HoTStmaun Co., Philadelphia—Copies of Knitting
Manuel. Uis. 0. J. Ht«ne, Cresson— Clothing and
Mrs. Fred J. Kammerer, Cresson— Clothing, ,-, .
Mai. H. E. LovDUDi Cresson— Clothing, onting flannl and literature, n AjOOQ C
Mrs. John A. Lewis, Bbessbarg— Clothing and literature.
Mrs, Bllia Lewis, I.*trobe— literature.
Miss Marseret McUuUin, Johnstown—
William Mallingly, Wilmington , Del.— Shoes. <
Methodist Episcopal Church, Johnstown— Literature.
Mrs. H. I , McGirk, Cresson— Clothing. ,
Mrs. O. B. fllcFail,, Pittsburgh—
Tarns and clothing. I
Mrs. G. S. Mitchell, Cresson- Magazines, stockings and outing
Epworth league (Mise Orgill), Jennette— Copies of New
Mrs. H. M. Potter, Cresson— Clothing.
Miss Janet Simpson, (Epworth Ijeagiie), Indiana— Bibles and reading material
Mrs. Charles Sleep, Johnstown —-Subscription "Woman's Missionary Frienil "
Mrs. John Smith. Cresson- Clothing.
Nathao Stoiick, Cresson— Candy boxes.
Mrg. Blair C. Seeds, Cresson—
Flowers and orsngea.
Mrs. A. T. Sohleigh, CraEton— Clothing, books and toys.
Rev. Paul Wejand. Jeannette— Reading matter.
Wm. F. Gable. Altoona— Flags.
Johnstown Democrat, Johnstown— Flags and bunting.
Geo, K. Kline, Johnstown— Flags.
American, Philadelphia— Flags.
for Moving Picture Machine and Piano
Mrs Kate Brady. Butler.
J. M, Buck, Cresson.
Miss Lizzie Conley, Cresson.
E. D. Clark, Altoona.
H. P. Davis, Cresson.
First National Bank, Cresson.
Dr. Joseph D. Fiudley.
Miss Hheta Freiburger. Pittsburg.
D. L. Oilleipie, Plittsburg
Dr. S. P. Glover, Altoona.
B. Gross, Cresson.
Dr. H. D. Hockenberry, Butler.
Mr. T. R. Hartley, Pittsburgh.
Mrs. David Kirk, Pittsburgh.
Kleper Brothers. Altoona.
James H. Lockhart, Pittsburgh
Miss Minnie Mobley, Pittsburgh.
Mrs. L. H. Mason, Jr. Pittsburgh.
Carl Olines, Altoona.
O. J. Pensyl. Altoona,
Ms. Thos. E. Pollard. Pittsburgh.
Miss Anna Reyraer, Pittsburgh.
E. L. Study. Cresson.
Miss Helen C. Trump. Pitsburgh,
Miss Margaret S. Walker, Pulaski.
attention has been paid during the year to the utilization
of by-products of the institution.
A soap factory has been built when*
all the soap used in scrubbing and cleaning
the establishment is now
made from the waste grease of the kitchen and butcher shop.-
AU the bones from the butcher
shop, kitchen, and dining rooms are
now saved and ground. Part of this is needed
as feed on the poultry
farm, the rest is stored and used in mixing fertilizer for
the farm and
The pig farm has been so developed that it consumes all the garbage
from the kitchen and dining room Two tanks of Ave hundred
gallons capacity each have been installed at the pig farm in connec-
with a Steam boiler, and all the garbage is hauled to these tanks
it la thoroughly mixed and boiled before being fed to the pigs.
a hundred pigs have been raised during the year.
The following work has been done in the course of the year:
The stone entrance gate and gate house have been completed
an ornamental stone watering trough has been built on the
State Highway opposite our entrance
of twisted ribbon wire has been built around our property
and a fence run across our land
so as to shut off the area used for
the collection of spring water.
The conduit for the power wires and telephone
line to the pumping
station has been finished and put in service.
Several other springs have been piped and added
to our spring
A vegetable cellar of good appearance and capable of holding
two thousand bushels has been built about a hundred feet back of
house to take care of a thousand bens has been added
to the poultry farm. A brooder
house with a capacity of a thousand
chicks, and twelve colony houses, each eight
by ten feet in size, have also been built. The results with the poultry farm have been en-
couraging and it is hoped that further additions may be made during
farm has been made in the field near the sewage disposal
plant. Extensive runs have been
laid out and fenced, and portable
houses about six by twelve feet in size, have
been placed in these runs. A concrete feeding floor a hundred and twenty feet long with concrete troughs has been built and
a suitable roof built over it, A feed house with boiler and tanks and a slaughter house adjacent to it have been built.
An out-door school house has been put up for
the use of the chil-
The plaster walls in the hospital, connecting corridor, dining rooms
and first floor of the administration building have been much im-
proved by two coats of buff paint. The floors in the same parts
of the buildings have been reflUed, a strip of congoleum laid where
is much walking, and the remainder of the floor finished with
Much improvement has been made
in the appearance of our
grounds by grading, sodding, and planting the parts adjacent
hospital and administration building and the two camps. The
flower beds in the women's camp were much admired by every one
visiting this and much enjoyed by oar patients. Fifteen hundred and
thirty feet of concrete walk were built in the men's camp and along
the connecting corridor. A board walk was built from the entrance
gate to the power and laundry building. Considerable fallen and
dead timber was cleared out of our woods and sawed at a. mill in-
on our grounds. Id all, 167,796 board feet of lumber were
sawed here during the year and
used in the construction work. Stone
drains have£ been placed in the hillside
adjacent to the State Hi^-
way and the numerous springs making this unfit for cultivation
have been drained away. This field has been broken up and will
be added to our tillable land.
Two teams of horses were purchased daring the year and will be
used in hauling the coal to the institution.