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Number died in Oct 2 Loss in Oct 23 Remaining under care Oct 31 80 Asylum for the Insane The only one in the Dist Va under charge of the Bureau is a ward of Howard Grove Hospital Number of insane inmates remaining under care Sept 30 72 Number of insane inmates received under care in Oct 4 Number of insane under care in Oct 76 Number discharged in Oct 1 Number died in Oct 3 Loss in Oct 4 Remaining under charge Oct 31st 72 The same favorable sanitary condition reported last month still continues. No infections, epidemic or contagious disease is prevailing among freedmen in Virginia. The general condition of health has been better than could have been expected under the circumstances. With the approach of cold weather, however, a moderate increase of disease is noticed, and as the weather becomes more severe, owing to the unprotected condition of many freedmen and their want of means, there must be much suffering, while there is little preparation on the part of the civil authorities to [[?]] it. In vi of the actual conditions of thousands of freedmen in the Dist Va it is a misfortune that the time fixed for closing the freedmen's "Bureau" is mid winter, a time when there persons are usually almost without means, and without opportunity to earn them. I am with much respect Your obt Servt JJ De Lamater Surg in Chf Dist Va