------------------+-------------+-----------------+--------------- | | | Admissions per Age. | Number of | Population by | 100,000 of | Admissions. | Census of 1875. | Population. ------------------+-------------+-----------------+--------------- 15 and under | 366 | 312,103[6] | 117 15 to 20 | 1,380 | 165,936 | 832 20 to 30 | 5,269 | 310,861 | 1695 30 to 40 | 4,632 | 240,966 | 1922 40 to 50 | 3,372 | 182,823 | 1789 50 to 60 | 1,797 | 126,430 | 1421 60 to 70 | 976 | 79,186 | 1106 70 to 80 | 382 | 38,283 | 997 Over 80 | 58 | 11,167 | 519 Age not reported | 190 | 10,302 | +-------------+-----------------+-------------- Total | 18,422 | 1,478,057[6] | 1246 +---------------------------------------------- Total of all ages | —— | 1,651,912 | 1115 ----------------------------------------------------------------- [Footnote 6: Excluding those under five years of age.] Of the 36,762 persons of unsound mind known to the English lunacy commission in 1859, there were 31,782 paupers, or 86.45 per cent., as compared with 4980, or 13.55 per cent., supported by themselves or their relatives. At the close of 1880, of 73,113 insane, 65,372, or 89.41 per cent., were paupers, and 7741, or 10.59 per cent., were private patients or self-supporting. The increase in the number of the latter from 1859 to 1883 was from 2.53 to 2.96 per 10,000 of the population, or 17 per cent., and of the pauper insane from 16.14 to 25.72, or 59 per cent., while general pauperism had rapidly diminished from 43.7 to 29.5 per 1000 inhabitants. Similarly, of 9541 admissions to the State hospitals for the insane in Massachusetts from 1871 to 1880 inclusive, there were 4166 State patients, 4050 supported by cities and towns, and 1325 private patients; in other words, 86 per cent. were supported by public charity. Of 7963 admissions in the same time in which the nationality was stated, 4532 were natives and 3431 foreigners, respectively 57 and 43 per cent., whereas by the census of 1875 the natives were 74.64 per cent. of the population, showing more than twice as great a percentage among foreigners (chiefly laborers) as among natives. It is quite clear, therefore, that insanity is more prevalent, or at least increasing more rapidly, {118} among the lower parts of the social scale than higher up; but it is impossible to say how many people have dropped from higher planes of life to lower.