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would be highly desirable in all respects - including moral effect on the patients themselves.  Of course few of the special comforts and conveniences for this class of unfortunates, which are secured in asylums built expressly for their use, can be secured the patients in this ward - We can at best only secure them as much general comfort as possible - proper medical treatment and security. But, here security, with the best exertions cannot be certainly secured.  Where so many are in one room night and day - even with the most careful observation that can be given them, some accident might occur from the well known danger that persons insane, although apparently quiet, and harmless, are liable to sudden changes in this respect - and may at an unexpected moment become furious, and destructive.  Of course all precautions against such accidents, which are possible, are provided.

Finally, it was not contemplated, when this ward was opened for the insane, that we should have many of them to provide for in it - or there for any sustainable length of time.  The building - even if repaired, cannot be made suitable for it's present use for any length of time - indeed never has been suitable for the purpose.  If the Bureau is likely to retain the charge of these persons long, I earnestly recommend that such slight repairs as will secure safety and something more

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---------- Reopened for Editing 2023-12-06 11:31:14