Opened on May 1, 1854, the State Almshouse at Tewksbury was a venture by the Commonwealth of Massachusetts to provide economical care for state paupers. Originally intended to accommodate 500 residents, by the end of 1854 the almshouse had admitted well over 2,200 paupers, thus necessitating future expansion. Although the virtue of the institution was called into question in 1883 by Gov. Benjamin Butler, who decried Supt. Thomas J. Marsh, the almshouse would continue to serve the destitute...

Environmental Medicine is an indispensable aid to the investigation, diagnosis and treatment of a wide variety of environmentally-acquired disorders. It brings into sharp focus the increasing importance of the practice of environmental medicine, drawing together the many different strands that make up this modern discipline, and putting topical and