There are six portable houses, which are set on posts and can be
taken apart and transferred to any location desired. The houses all
measure ten by sixty feet, and are divided into five rooms. The
center room, heated on cold days, is used as a bathing and dressing
room, as well as a sitting room in inclement weather. Those on
either side are used as bed rooms. Each room has four windows, two of
which are always open and so arranged as to avoid all draughts. Each
room contains one bed. The two rooms on either end are entirely open
on the three sides, a fine screen only enclosing to keep out insects,
etc. Heavy canvas curtains are folded in a roll outside, and can be
dropped in stormy weather. These end rooms each accommodates two
patients, thus making a capacity of six to each house.
In the latter part of 1906 a one-story and a two-story shack were
erected for the additional accommodation of patients; and during 1907
two single-story shacks and one small house were built.
The shacks are built in the form of the letter T. The stem of the T
consists of a room containing the washstands, lockers for each
patient, and toilets and baths. In front of this is a sitting room,
and opening from either side of this are the sleeping rooms. The
latter are practically only verandas, being open in front and on the
side, while for protection against storms and severe winds there is a
similar provision to that used on the portable houses; that is, the
curtains ordinarily rolled up are lowered, shutting off the verandas
from the outside. A single-story shack accommodates twelve patients,
six on each veranda. The two-story shack accommodates just double
that number, being exactly alike in its two stories.
A feature of considerable importance in an institution of this kind
is the manner in which the different patients are segregated. As
nearly as possible patients in the same physical condition as well as
those who are apt to be congenial are assigned to the same quarters.
Every patient is closely observed for about ten days after admission.
The amount and frequency of rest, exercise and work is determined at
all times by the condition of the patients. They are assigned to work
according to their strength and capabilities. All dining-room duties,
such as waiting on the table, washing dishes, and preparing
vegetables, are performed by selected patients who show but slight
lesions, negative sputum, and have no cough. Many of the patients are
able to do farm work, and this keeps them out in the air and relieves
their ennui.
In a large institution of this kind the problem of sewage disposal is
not an easy matter. But by the aid of expert sanitary engineers this
has been satisfactorily overcome. Thousands of feet of pipe have been
laid, and an up-to-date disposal plant has been erected. The effluent
from this plant will have been so purified as to be practically
indistinguishable from pure water.
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