The "Journal of the American Medical Association" tells us that a special census of 372 institutions for the care of the insane was taken by the United States Census Bureau in 1910, showing that there were 187,454 inmates on January 1 of that year. A census taken in 1904 showed the number in institutions to be 150,151. From 1904 to 1910, six years, there was an increase of 10,981, or 22 1-10% of the number annually committed to such asylums. The number of insane in asylums per 100,000 of the population in 1904 was 186 2-10; in 1910 it was 203 8-10. Massachusetts has the largest proportion, 344 6-10 per 100,000 of population; New York a close second, with 343 1-10 per 100,000; but it is thought that this showing comes because there are more of the insane in such institutions in these States on account of their having better provisions for this class of patients. The increase in insanity is certainly not hopeful.