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According to historical documents, the hospital had admitted a total of 5,046 patients since its opening, 1,243 of which had been "released as recovered," 1,051 "improved," while at least 1,058 had died in the hospital.A narrow gauge railroad was established on the grounds of the hospital during its construction, leading into different tunnels and buildings.These tunnels allowed the hospital to move patients between buildings without the public observing and are marked by purple-colored The tunnels connect different buildings of the State Hospital together.The narrow gauge railroad did extend to the penitentiary but not within a tunnel; remnants of this line still existed as of February 2009.The canisters were brought to public attention after senator Peter Courtney came across them while touring the hospital in 2004; the canisters had been relocated to Building 60 on the hospital campus, many of which were corroded and oxidized from moisture exposure.A subsequent report criticizing the hospital was largely focused on the death of Moises Perez, a paranoid schizophrenic who had been admitted to the hospital in 1995 after being found "guilty except for insanity" of attempted murder. Department of Justice criticized the hospital's care of Perez and his health, to which the hospital responded with a list of twenty-five significant improvements that had been implemented, including "enhanced patient monitoring, increased medical and nursing staff levels, and new standards for dispensing medication." the board and trustees put forth a 8 million plan approved by the Oregon Legislative Assembly in 2007, which called for the construction of a replacement hospital in Salem with as many as 620 beds, as well as a 360-bed facility in Junction City.Oregon State Hospital is a public psychiatric hospital in the U. state of Oregon, located in the state's capital city of Salem.

Instead of powdered milk, sodium fluoride, a poison to kill cockroaches, had been used in the cooking process.The hospital's population began to steadily increase in the middle of the century; this led to the opening of Dammasch State Hospital in Clackamas County, near Portland, which was established to help mitigate overcrowding problems.The reduction in patient numbers further allowed the hospital to introduce other programs, including a training program for psychiatric nurses, as well as a two-year residency program for physicians to study psychiatry.The newly-built, state-funded hospital opened as the Oregon State Insane Asylum on October 23, 1883, and was constructed based on the Kirkbride Plan for a total of 4,000 (equivalent to ,729,457 in 2016).By 1891, the hospital housed a total of 478 male and 212 female patients; the growing influx of patients led to two additional wings being added onto the hospital, followed by a conversion from gas to electric lighting.

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