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UNITED STATESDEPARTMENT OF THE INTERIOR

INDIAN FIELD SERVICE

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Asylum for Insane Indians,

Canton, South Dakota,

July 19, 1926.

Me. MM, Sanger,

Saint Elizabeths Hospital,

Washington, D. C.

Dear Mr, Sanger:

The Indian Office, several years ago, declined

to have the annual reports of this institution

printed. However, as an evidence of our desire to

comform with your request, I am enclosing a carbon

edpyof the ann.al report of this Asylum, for

filein your library.»

_Sent Elizabeth. saat

My very best regards to my friends at

Sincerely yours,

Aamnety (Y

Superintendent.

HRH*HRE

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Cireular No. 2219,

annual Reportend Census, 1926,isylum for Insane Indians,

Canton, South Dekota,

duly 1, 1926.

The Commissioner of Indian Affairs, :

onebtugten, Bs Oe © 0° OOore,

Sirs

In conformity with instructions conteined in Officecircular dated May 7, 1926, 1 have the honor to submitthe annual report of this .sylum for the fisesl yoar 1926,v@ began the year with a population of 97 patients,51 mles end 46 females. Three males and three femaleswere sdmitted during the your making a total of 10% undertreatment, 54 males end 49 females, of these, 4 males and1 female were discharged, 2 males eseaped, 5 males and 1female died, making a totel of 9 moles and 2 females analeaving 45 males and 47 fomeales under treatment dune 30,1926. Application for the admiasion of twenty patients,18 males end two females, heve been declined during theyear beceuse of lack of accommodations. I do not know☁what steps have been taken for their eare ond I wonder oe

of ourprecautions. jie vaccinated the unprotected againstemellpox, a8 is tee and mo Geses developeds,, Cur milk supply hes been sdequate for purposes ofcon~sumption of milk end oream end the manufacture of butterfor our employees, bat we were compelled to purchase oleo- aF - margerine for the patients. It is my Sincere desire to ie. continue to inerease the dairy herd to the point where we 2might be eble to meke butter for the patients, a =thie connection, it is with great Pleasure thet I have toreport the completion of an additional Sile, which willaiasreatly in the eare of our dairy herd. : on ome☜@ heve experienced en extromely dry year, which re-sulted in our water-supply being dangerously affected, butwe finslly were fortunste in reeciving one good rain andSeveral light showers which remedied this Situation,

☁bedlding end the award mefe for the

Your Office, re@ognizing the dancer of this situation, heetaken the necessery steps to remedy this situation by enteringinte contract with Mr. Arohibeld, of Gouneil Bluffs, Iowa, toeonstruct a deep, soft-water weld om our premises, whieh shouldnot only remedy this situation, but cleo give us a supply ofsoft water, which will be of inestimable benefit to theplumbing of the institution. Through a systematic flushing ofour sewer line, even though the state of our weter-supply @lmostprohibited it, wo were able to prevent the annuel freezing ofthis line end thereby avoided much unfavorable comment from theSsalong this line.

The usnal recreational pursuits heve been continued duringthe year with mach resultant benefit to the pstionts. The mostbeneficial of these was the series of moving picture entertain-monte which heve been heldweetey, Bince October 1, 1925. onecen hordly estimatethe amount benefitofthis feature, but=~it is worth considersbly more, to us, than the 710.00 per weekexpended te obtein it. This should be continued, if possible.

é@ eontinue to sloughter eows, calves and hogs, reised onthe Asylum farm, st &@ nominal cost to the ♥♥♥ and mechmoney hee been thereby saved. It was neeessary to purchaseabout $5,600.00 worth ofgrain and hay for them, bat we madethis beck in the food the stoek gave ud. with the ;purchase ofon farm, south of the institution, it is believed that, after

present year, it being thought that we cannot get possession=☁thet farm prior to Mereh 1, 1927, it will be unneeessary to

☁ghase any grein or hay, 28 this farm should produce enough®ll ef our purposes ond pey for iteclf within a period of

tem years. This appears to be a splemdid investment even asidefom the fect that lend values appear to heave reached the lowest[ce appareatly, evon now, on the increase in this

Aside from several 014 frame sheds, our buildt ere inexeellent condition. A new ice-bex has been heses ☁the actn

Saeeawhiehco hetteofdeedecidedimpr

sertian- aaiarof the mein paliding, the six beth-rooms in the hospite] building and the bath end kitehen of thesuperintendent's residenee, which will be a great improvement.

Assuming thet your Office, does not desire to erect newreneegp refrain from any recommendation along this line,a 1 the same os im the paste

ing your Office for pest cou®tesies, I am

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fable i.

ipaenepacarapaho,Arickaree,Bannoek,

Creek,CrowPiathesd,Gros Ventres,

Here 6/80/26.

GpenoobincoroccsunoosorHocoowHoHonnHooHHe

OPKrOTKKRONeoo

Since opening.

BE

nendannnntnatinentionntnunBiwenvenmmanatnntvncnscn

fable 2. Fopulation by sex.Sex. Here adame $imee opening.

Poaale, Totals, ♥r r-

fable 3. eeebyre 6/5078 of Indian Blood.De ° /26.i Since opening.

i☜then72, F ae88

fable 4 Number of admissions divided inte yearly periods.♥ year, umber. Fiseal year. _♥ a year. Wumber,L903» 15, 1904. Rae1906. 2. 1907. 19. 1908. 13.

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1912. sta | ase Be1915, i. 10d 1B. «1917. 20.1918, 29, 1919, 22. 1920. Lhe1921. 21. 1922. 15. 1923. a...1924, 14. 1986. "Be 1988s bs

fotel, ☜SIT.

fable & Wumber of discharges divided into yearly periods.1905. year. Deaths. Recoveries. aapeox unimp. Ese

1a56&57665566

59

1919. 1110128

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fable 6. CGamses of death since opening.

eeeet aystem: ☁☜ T4.ereulosis,ewesiaryuseel;Pneumonia,Pneumonia, Srteslens.Pneumonia, tuberuular,Pneumonia, hypostetic,Bronchitis herelPulmonary rrhage,

Diseases of circulatory system: VeFailure of compensetion, .Heart failure,Pericarditis,General anasares,

Diseases of stive system: BeEntero-eolitis, ♥Gangrenous eolitis,Cirrho@hé of liver,Vleerative biliary☂ ealeulil,Starvation andaIntestinal hemorr☂Intestinal obstructCercinoma of liver,Careinoma ofa

Diseases of osseous system: lePaberculosis of bones,

Diseases of system: 37.Status epileptSyaaetere¢convulsions,

ter convalsions,insene,Seof

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62OF

wo00

108

perked

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nephritis, toLiewedowere

ninesLeaeeee diseases: 16.

senilescebility,fractured femur

oesPiggaAy :Peritonitis,Aneseres and eanGlandular tabereulosis,

Grand Total, 150,

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SSS

\1 5

Senne 9 | iets af mented Sdetnen,TMs i

| he epilepsies,Dementia praecox, 32

☜Imbecility, 19bthagehedl 9.omgunmaIntoxication psychoses,Senile psychotesInfeetion-exhaustion psychoses,Arterio-selerotic dementia,Eysteria, :Perenoia,

Paranoidstate,General paralysis of the insane,Cretinism, sporadic,Dementia, traumatic,Dementia, organic,

Unelassified,

Here 6/50/26. Sinee opening.ys oe

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fn !Totals,fable 8 Age of patients.Age. Here 6/30/26, Since opening. Age. Here 6/30/26. Sines op.

9 50-59 10 &2Under 10, 1 ☁10-19, 16 46 60-69, 5 1?20-29, 26 95 '10=99) & 16mo S <8.. Beesover f

: Rotels, ve♥8ITfable 9, Maritel condition of patients here 6/50/26. y

Single 59Married, 21.eaeewees ;☝ f

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Divereed,Total, ° et

e) ☁Galifornia,2 .lew lexico. 16Colorade, 6 North Dekote, 27Dist. of Cole, 1 Okishoma, 40Idaho, 3 Oregon, 6

♥_, 8 a☝ 8 :@

♥ : a Fenrea j yN Carolina 8 Canton Asylum 5. . ♥ yr