154 CARNEGIE INSTITUTION OF WASHINGTON. 



less tuberculosis, much less venereal disease, more variocele and more 

 varicose veins, more valvular disease of the heart and cardiac hyper- 

 trophy and dilation, more deficient teeth, more psychasthenia and 

 constitutional psychopathic states. It is characterized by more 

 otitis media, errors of refraction, diabetes, curvature of the spine, 

 defects of genitalia, and weak feet, but less epilepsy, blindness of one 

 eye, pellagra, loss of upper extremity, bullet and other recent wounds, 

 underweight, and deficient chest measurement. 



STERILIZATION LAWS. 



Dr. H. H. Laughlin, superintendent of the Office, completed in 

 April a manuscript comprising 1,300 pages on "Eugenical sterilization 

 in the United States," and this is now awaiting pubhcation. This 

 work treats the historical, legislative, legal, administrative, surgical, 

 physiological, and eugenical phases of the subject. It contains a 

 complete record and a careful analysis of all legislation and litigation 

 relative to the matter; it provides, also, a complete statistical and 

 historical, and, so far as possible, a physiological record of all cases of 

 eugenical sterilization under the several statutes. 



STATISTICAL STUDIES OF STATE INSTITUTIONS. 



The statistical study of State institutions for the defective, de- 

 pendent, and delinquent classes which was planned by Dr. H. H. 

 Laughlin, who, as special agent of the Bureau of the Census, had 

 charge of the collection of the data, appeared in the year under re- 

 view. This directory is important for the work of the Office, since 

 we have extensive correspondence with State institutions and much of 

 our field-work has hitherto been done in connection with them. The 

 number of persons cared for in State institutions has a eugenical 

 importance, since the basis of the defect which has made such State 

 institutions necessary is largely hereditary. The total number of 

 inmates of such State institutions in January 1916 was approximately 

 400,000, of whom half were in institutions for the insane, one-fourth 

 in State institutions for criminalistic, about an eighth in State 

 institutions for dependents, about 5 per cent in State institutions for 

 the feeble-minded, and the rest in institutions for epileptics, tubercu- 

 losis, blind and deaf, and still other minor causes. The total expendi- 

 tures by the States for maintenance and operation of these institutions 

 was, in 1918, $81,000,000. The directory includes a number of 

 summary tables for the United States, and then takes up for each State 

 the general statistics for the State which bear upon its ability to care 

 for defectives, and gives a list of the institutions in the State, together 

 with a map showing the location of each. This is followed by a 

 detailed statement for each individual institution, concerning its 

 controlling body, its chief executive officer, the number of employees, 

 income and expenditures, character of persons provided for, and the 

 number of inmates. 



