From the annual report for the year ending May 15th, 1905, of Dr. W. A. Parker, Medical Superintendent of this asylum, we see that there were 683 patients on the asylum register on May 15th, 1905, and that on May 15th, 1906, there were 684. The total number of cases under care during the year was 971, and the average number resident 702.1. During the year 288 cases were admitted as compared with 297 for the previous twelve months. The majority of these were unfavourable cases, because now all the cases likely to recover speedily, transient alcoholic and delirium tremens cases, are treated at the mental block of the Duke Street Hospital. Of the total admissions 95 were the subjects of first attacks within three and 24 more within twelve months of admission, in 57 the attacks were not first attacks within twelve months of admission, in 87 the attacks were of more than twelve months’ duration on admission, and 25 cases were of congenital origin. Thus 169, or 58.3 per cent., had either been ill over a year on admission, were congenital imbeciles, or had suffered previous attacks, and even of the remaining 41 per cent., Dr. Parker says many were hopelessly senile cases, or general paralytics, or otherwise incurable. They were classified as to the forms of mental disorder into: Mania 49; melancholia 56; confusional, delusional, or adolescent insanity 78; dementia 36; general paralysis 26; epileptic insanity 16; congenital defect 25; and syphilitic and moral insanity each 1.