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End of July. The number of insane in the ward for the insane at Howards grove Hospital where all under the care of the Bureau are provided for has increased four (4) since June 30th.
Under the new provisions for the insane at the Hospital the patients are very comfortable and many of them rapidly improving. Indeed the treatment of the insane under the Medical charge of the Bureau has produced highly satisfactory results when compared with the report of the asylum for the insane.

I am with much respect Your Obt Sert 
J J. De Lamater Sug in Chief Bur R.F. & AL Dist Va.

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---------- Reopened for Editing 2023-12-06 16:19:49