ror, Los Angeles; Index, Sonoma; The Advance and Enterprise, Hollister; Republican, Fresno; Ledger, Antioch; Reporter, San Leandro; Sentinel, Lodi; Republican, Suisun; Wheat-Grower, Oakdale; Enterprise, Anderson; Press and Horticulturist, Riverside: Reporter, Plymouth; Tribune, Independent and Journal, Oakland; Amador Dispatch and Amador Sentinel, Jackson; Union Democrat, Sonora; Colusa Sun, Colusa; Yolo Mail and Woodland Democrat, Woodland; Gazette, Martinez; Herald, Stockton; Herald, San José Record-Union, Daily Bee, Sacramento; Union, Grass Valley; Tran script, Nevada City; Sentinel, Courier and Transcript, Santa Cruz; Argus, Petaluma; Sonoma Democrat, Santa Rosa; Reporter, Napa; Star, St. Helena; Calistogian, Calistoga; Yreka Union, Yreka; Journal, San Rafael; Argus, Merced; Chronicle and The StandardNews, Bodie; Union, Bridgeport; Democrat, Salinas City; Republican, Truckee; Union, San Diego; Review, Lodi; Argus, Auburn; Independent, Redding; Messenger, Downieville; News, Modesto; Tocsin, Tehama; Delta and Times, Visalia; Times, Eureka; Expositor, Fresno; Yreka Journal, Yreka; Democrat, Lakeport; Árgus, Adin; Evening Sentinel, Red Bluff; Foothill Tidings, Grass Valley; People's Cause, Red Bluff; Ukiah Press, Ukiah; Democrat, Hollister; Republican, Placerville; Beacon, Mendocino; Placer Times, Dutch Flat; Courier, Petaluma; Russian River Flag, Healdsburg; Chronicle, Vallejo; Tribune, Forest City; The Alpha, Washington City; Tribune, Dixon; New Era, Benicia; Banner, Stockton; Journal, Santa Clara; Advocate, Susanville; Gazette, Georgetown; Times, San Bernardino; Express, Merced; Californian, Bakersfield; Sutter County Farmer, Yuba City; Tribune, San Luis Obispo; Free Press, San Buenaventura; Trinity Journal, Weaverville; also several German, French, Italian and Spanish publications.

I am especially under obligations to my Assistants for the cheerful and efficient aid they have at all times rendered in the discharge of my duties and their own, and to all the officers and employés, who have faithfully performed the sometimes trying and delicate duties assigned to them, and regret that duty has, in a few instances, compelled me to discharge or suspend an attendant for unnecessary harshness in the management of patients, or the neglect of duties assigned them; but I am glad to say that these instances have been less frequent than in former years, and I trust will grow less and less with the coming years.

With the Board of Trustees my relations have been so extremely pleasant, that I look forward to its monthly meetings and its monthly visits with satisfaction and pleasure. The friendly counsel, judicious suggestions, and generous support received from the Board at all times have been fully appreciated, and is my greatest reward.

Very respectfully,

E. T. WILKINS.
Resident Physician.

APPENDICES.

NUMBER OF ADMISSIONS, RECOVERIES, DEATHS, ETC.

The following table exhibits the number of admissions, recoveries, discharges, deaths, elopements, number resident at the close of each year, the increase for each year, whole number treated each year and in the aggregate; also, the ratio of recoveries and deaths each year, and for the whole time, from November 15, 1875, to July 1, 1882:

APPENDIX “A.”

RESIDENT PHYSICIAN'S REPORT.

To the Board of Trustees of the Napa State Asylum for the Insane: GENTLEMEN: I have the honor to submit to you my annual report for the year ending with June 30, 1881.

ANNUAL SUMMARY.

The following summary exhibits the number of patients in the Asylum June 30, 1880, number admitted, number under care and treatment, number discharged, eloped, and died during the year, and the number remaining in the Asylum June 30, 1881: