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Pages 1-20 of 35

Pages 1-20 of 35

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Pages 1-20 of 35

Pages 1-20 of 35

H.—9

1888. NEW ZEALAND.

HOSPITALS AND CHARITABLE INSTITUTIONS OF THE COLONY (REPORT ON).

Presented to both Houses of the General Assembly by Command of His Excellency.

The Inspectok of Hospitals to the Hon. the Colonial Seceetaey. Sib,— Wellington, 25th June, 1888. In my last year's report on the hospitals of the colony I gave a detailed account of their organization, and structure, and the accommodation each provided. This year, during my visits of inspection, the conviction was gradually forced upon mo that no comprehensive examination of our hospital-system was possible which did not rest upon and presuppose a careful analysis of the various methods by which the charitable impulses of the community find expression in our charitable institutions. I need not say that I was rather overwhelmed to find that zny office of Inspector of Hospitals committed me to such a task as I have found this to be. In examining the working of the outdoor department of our hospitals it became evident that they could not bo isolated from our general charitable system if I were to give any useful account of their operations, and that to find a base-line for this I must make up my mind to. acquire a direct personal knowledge of our various modes of outdoor relief by personally visiting and examining in their homes the recipients of charitable aid. The exceptional duties I had to undertake as Inspector of Asylums last year prevented me from accomplishing so much in this direction as I hoped; and it is only the urgency and magnitude of this problem of charitable organization that can excuse this fragmentary report on such a subject,. To show how the question of the outdoor department of our hospitals is involved with and merges in the general problem of charitable aid, I cannot do better than describe the state of things I found in operation in the two hospital districts of the Thames and Hokitika. The Thames Hospital is a separate institution under the Act. I)r. Williams, the surgeon, receives a salary of £450 a year and a house, without the right of private practice ; the head nurse gets £50; four nurses get £40 each; a cook, laundress, and an old patient who acts as gardener complete the staff, which cost last year £868 6s 4d in salaries alone. The total expenditure for the year was £2,210 15s. 7d., from which must be deducted £317 17s. Id. for real estate and buildings, leaving £1,024 12s. 2d. for supplies, &c, and of this the drug-bill amounted to £100 18s. 8(1. At the time of my visit there were ten patients in the hospital, but it must bo added that at times this number is increased considerably. The mere juxtaposition of these figures for salaries and supplies reveals a most extraordinary state of things, the explanation of which is to be found in the fact that the Trustees have thrown open the outdoor department of the hospital to all persons whatsoever, whether rich or poor, who are willing to pay ss. per week for advice and medicine. The result is that the general body of the taxpayers of the colony have, through the Government subsidy, to contribute towards giving cheap medical advice to the Thames people, by enabling the Trustees to undersell the local medical men by the competition of a salaried officer, and by the same moans towards injuring the druggists and undermining the self-respect of the people. During 1887 there were treated on these terms 1,339 individual patients with 3,357 attendances. I am informed that, in order to leave Dr. Williams free to overtake this rapidly-increasing demand for his services on these terms, the Trustees desire to relieve him of all charitable-aid work, which they want the local doctors, whom they are starving out, to undertake ! A somewhat analogous, though less mischievous, practice has grown up in the Westland Hospital District. The Trustees, by their by-law 18, say : " District Committees shall have the power to make a rule by which persons paying an annual amount to its funds shall Le entitled to admission into the hospital or to outdoor treatment free of charge during the year covered by such subscriptions ; but no such annual ticket shall be granted by any Committee for a less sum than ten shillings for each year." It is evident that these tickets are of the nature of insurance or benefit contracts, and cannot, therefore, by any ingenuity of argument be shown to be voluntary subscriptions, such as are contemplated by the Act. Yet I find that the Government has been paying without question £1 4s. in the pound subsidy on those payments. I find also that it is the custom for patients, no matter how long they may have been inmates of the hospital or receiving I—H. 9.

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2

outdoor treatment, or however well off they may be, to consider that their 10s. ticket clears them of all liability. It will not surprise any one to find that in tlicso circumstances the number of outpatients is unusually great, the drug-bill unusually high, the local rate exceedingly heavy, especially on town property, and that every device is exhausted to get the Government to pay the persistent deficit. As showing how heavily this system falls on the local ratepayers, as well as on the general body of the taxpayers, I quote a statement made to the Hon. Mr. Mitchelson by a deputation from the Hokitika Borough Council on the 20th February last, complaining of the excessive outlay required to comply with the provisions of the Hospitals and Charitable Institutions Act. The deputation say : " By the appended figures you will perceive how exceedingly heavy this tax has been upon the Borough of Hokitika, which for the year 1886-87 had to levy a rate of 6d. in the pound, and for 1887-88 a rate of 9d. in the pound, in order to raise £000 towards the sum in which this borough was mulcted for the current financial year. As you are aware, the provisions of " Tlio Hospitals and Charitable Institutions Act Amendment Act, 1886," permit a grant of £1 4s. for every pound of voluntary subscriptions, and, as the citizens of Hokitika have, through their representatives, -voluntarily taxed themselves, we venture to urge that the Cabinet will not be exceeding its functions in subsidising the sum of £1,000 levied on the borough (luring the past two years by the 4s. over and above the subsidy of £1 paid or payable to the Hospital Board of Westland. Other boroughs, you will notice, only pay from 6 to 20 per cent of their ordinary rates, while Hokitika is called upon to pay 80 per cent." I have singled out these two hospitals simply to illustrate a tendency that pervades the whole hospital-system of this country in a more or less marked degree. All our hospitals, with a few honourable exceptions, as conducted prior to the introduction of the Hospitals and Charitable Institutions- Act, were powerful, though indirect agencies, in pauperising the people. In almost every part of New Zealand persons who were well able to pay for medical advice and medicine had no hesitation in accepting aid in forma pauperis, and, while the old system continued, there was no difficulty in getting the Government to make good the deficiency. The extent to which this was allowed to go in New Zealand can only be understood when taken as a phase of the social fever that attended the rise, the culmination, and the wane of our public-works policy. The following tables, which tell their own story, form a very striking commentary on this anomalous period of our history : —

Summary of Hospitals, &c., Expenditure under Provincial Districts out of the Public Works Fund from 1877-78 to 1887-88.

Statement showing the Amount of Expenditure for Unproductive Works out of Votes for "Grants-in-aid —Work for Unemployed" under the several Provincial Districts, for the Years from 1884-85 to 1887-88.

Provincial District of Total Expenditure, 1877-73 to 1887-88. Auckland .. Taranaki .. Hawke's Bay Wellington Nelson Marlborough Canterbury Westland .. Otago £ s. a. 3,418 3 5 3,025 13 1 3,103 14 1 4,440 17 5 905 2 3 1,450 18 10 5,7G9 3 7 2,009 2 0 7,202 9 0 Total 32,051 4 2

Yoar. Auckland. Hawkc's Bay. Wellington. Canterbury. Otago. Total. 884-85 .885-86 .886-87 .887-88 £ s. a. 722'19 10 1,007 18 11 £ s. a. 23 SI 7 £ s. a. £ s. a. 697 1 8 4,770 7 3 9,607 7 11 4,337 14 1 £ s. d. 127 13 8 6,238"5 7 4 3 11 £ s. cl 824 15 4 4,793 9 1C 10,628 13 4 5,300 11 11 10 is 0 Total 1,730 18 9 23 2 7 10 15 0 10,472 10 11 6,370 3 2 27,G07 10

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H.—9

Summary of Amounts paid on account of Hospitals and Charitable Aid from 1st January, 1876 to 31st March, 1887.

Return showing the Amounts paid in each Provincial District on account of Hospitals and Charitable Aid, for the Year 1884-85. (This year is given as an example; the others, 1876 to 1886, appear in Appendix.)

A sufficient time has not yet elapsed to enable any one to estimate properly the extremly complex results that are gradually making themselves felt as the outcome of the new Act. In order, however, to lay before Parliament the best provisional report I could of the process of transition from the old to the new system of charitable aid locally administered, subject only to Government inspection, I began to investigate the system of outdoor relief in the various centres of population. Circumstances led me to begin my examination at Auckland in July last, and it speedily became clear to me that if I wanted to get at the facts I must ascertain them for myself. I found the Charitable Aid Board was thoroughly anxious to grapple with the great evils of which they were becoming aware in the distribution of outdoor relief. After consultation with members of the Board, and getting all the information I could from their officers, I found there was no person in Auckland who had anything like a sufficient personal knowledge of the character and circumstances of the recipients of charitable aid. I found it necessary therefore to engage the services of ex-Detective Strathearn, who was thoroughly familiar with the town and its inhabitants. In his company I made a house-to-house examination of all the cases of outdoor relief in the most populous parts of the city, and found that, during the period when the General Government provided most of the money, a state of things had grown up that in a young country like this was simply dreadful. I will give two cases by way of illustration, with tho understanding, however, that Auckland was not worse in this matter than several other parts of the colony. Mrs. A., a widow who had been receiving rations for many years, bought a property for £300, and paid off that amount, with the exception of £70, while in receipt of rations. Mrs. B. was living on her own freehold, and receiving 7s. 6d. per week interest on money invested, and had been getting rations for years, and so on with many other cases. A good many persons were found to be in receipt of rations who had relatives in good circumstances, and who were liable for their support. Besides all these, there was the usual mass of vicious and fraudulent impostors, who, whatever claims they had to be kept from actual starvation, had no right to receive outdoor relief. As many as a hundred persons were struck off the list shortly after my visit, and the determination with which the Board performed their arduous and unpleasant duties resulted in a very marked diminution of this mischievous expenditure of public money. During tho quarter ending the 31st December last the amount expended in outdoor relief in Auckland and suburbs was £167 lls. 5d ; whereas in the corresponding period of 1886, when the times were better and the struggle for a living less severe, the amount was £842 18s. lid., equal to a decrease of £375 7s. 4d. On my way home from Auckland I found that a still worse state of things existed at Napier, and at my last visit I was glad to see that the expenditure had been reduced by about 50 per cent. Finding myself committed to the duties of a sort of Poor-law Inspector for the colony from my conviction of the urgency of this great evil, I visited as opportunity offered all persons who were receiving aid in Nelson, Now Plymouth, Wanganui, Wellington, and Dunedin. In all the other districts I made careful inquiries of the local authorities, so as to enable me to get a general view of the conditions under which the Act is administered.

Year. Hospitals. Benevolent Institutions and Out-door lielief. Orphanages and Industrial Schools. Female Kefuges. Totals. £ s. a. 12,790 8 7 38,104 5 11 38,088 5 4 30,398 7 1 30,719 7 10 37,017 19 4 45,395 15 0 49,884 18 7 53,087 6 7 48,300 11 0 £ s. cl. 0,983 4 2 17,768 i 10 19,948 6 9 15,472 10 2 21,280 9 10 23,735 1 10 26,812 9 0 2G.817 9 8 34,393 3 8 32,183 15 3 £ s. a. 1,841 1G C 4,542 19 3 3,840 17 5 ' 3,970 1 2 5,771 4 2 0,404 16 5 6,423 18 11 7,401 7 2 8,954 13 0 7,078 0 4 £ s. a. £ s. a. 21,615 9 3 00,645 10 0 02,340 14 3 50,189 15 5 04,485 4 6 67,538 3 3 79,756 14 4 84,533 11 7 97,822 16 9 89,184 2 0 .876-77 .. .877-78 .. .878-79 .. .879-80 .. .880-81 .. .881-82 .. .882-83 .. .883-84 .. .884-85 .. 885-86 .. .880-87 .. 230 0 0 4C9 4 9 348 17 0 714 2 8 380 5 8 1,124 11 5 430 1 2 787 13 G 1,021 15 5 Totals 390,387 0 3 225,395 2 2 56,829 14 4 5,506 11 7 078,118 1 4

District. Hospitals, Benevolent and Out-door Belief. Orphanages and Industrial Schools. Female Refuges. Totals. Auckland Earanaki Wellington Hawko's Bay kelson Marlborough Canterbury Westland Otago 9,100 10 9 1,123 17 4 8,755 10 10 3,737 15 1 3,308 3 4 1,379 12 2 9,341 8 9 4,911 7 10 11,908 8 0 G,558 9 4 903 10 3 3,065 6 9 923 0 8 1,573 2 G 200 14 G 13,707 18 10 798 17 3 5,930 3 7 2,350 17 2 486 7 0 19 12 0 3,48G 9 5 45 0 0 2,40G 7 5 95 17 8 438"o 0 18,166 0 11 2,027 7 7 13,345 10 7 4,G80 7 9 8,307 15 3 1,691 6 8 25,829 10 10 5,710 5 1 18,004 12 1 253 15 10 100' 0 0 Totals 53,087 G 7 34,393 3 8 8,954 13 0 787 13 6 97,822 1G 9

H.—9

4

As a rule I found, notwithstanding the very serious evils which have accompanied the introduction of a poor-law for New Zealand, that there was almost everywhere appearing this saving effect: The Boards finding themselves face to face with the tax-gatherer were beginning at last to realise the situation, and with the best results. I have said that, as a rule, this was the tendency ; but in the two districts of Napier and Wairarapa North, owing to causes which are peculiar, I found a most anomalous state of affairs. Mr. Mahon, the Secretary, informs me regarding the state of things at Napier as follows : " So far as I can ascertain, from the very imperfect books of the office, I find that the expenditure for the year 1884-85 was all absorbed in the Borough of Napier. For the year 1886, of the sum £3,321 7s. lid., as much as £300 was expended in the Waipawa County, £75 in the Patangata County, and a similar sum in the Wairoa County. For 1887, out of the total expenditure of £4,217 2s. 9d., £470 was expended in Waipawa County, £75 in the Patangata County, and £100 in Wairoa County." Briefly it comes to this: For 1883 no records, for 1884 the amount expended was £501 ss. 3d., for 1885 £361 Bs. 7d., for 1886 £3,321 7s. 11, and for 1887 £4,217 2s. 9d. I think it will be admitted that the extraordinary increase in 1886 demands some kind of explanation. It is some comfort, however, to get such an assurance as Mr. Mahon gives: " I think I can promise that the current year's expenditure will be considerably less than half of that for last year" — i.e., a saving of £2,108 for the year. The modus operandi of the North Wairarapa Benevolent Society was so extraordinary that I hesitate to describe it, and therefore confine myself as much as possible to a simple statement of the facts so far as I could ascertain them. For the year ending the 31st August, 1883, the Government paid pound for pound on £25 10s. 6d. ; for 1884 the subsidy was £16 9s. In 1885 a special effort was made to get the society made a separate institution under the Act, and subscriptions amounting to £222 18s. 9d. were received. The society was incorporated on the 26th April, 1886. For 1886-87 the voluntary subscriptions were £92 18s. 6d., and for 1887-88 they fell to £9 135., contributed by eleven persons; although it was a condition of incorporation that they should contribute £100 a year. Some idea of the significance of the facts may be gained by showing that no increase of population took place to justify the difference of expenditure on outdoor relief between the trifling amount required in 1884 and the £500 spent last year and the year before. The County of Wairarapa North contained in 1886 4,184 persons, which, together with the Borough of Masterton, containing 3,160, made the total for the district 7,344. That there was no sudden increase of population to account for the enormous increase of charitable aid is apparent from the fact that in 1883 the borough contained 2,241 persons, which by 1885 had increased to 3,000, and at the census of 1886 to 3,160. The contrast between North and South Wairarapa is made still more effective when it is observed that the neighbouring County of Wairarapa South, with its population of 5,404 persons, exclusive of Greytown, containing 1,105 persons, spent last year in charitable aid £2 10s. I ! ! When I visited Masterton on the 2nd February, 1888, I found the Secretary so indisposed that he would not meet me, and he had been in the same condition for months before. To get at the books I had to get a friend to hunt him up and persuade him to give up the keys of the office. Except in the minute-book, which had not been kept by him for many months, there were no entries in any other book since the 9th June. I made a copy of-all the entries in the minute-book, from which I make the following extracts : At the meeting of the 3rd August, 1887, there is a standing list of ten females, mostly widows and deserted wives (some of whom were supposed to be in collusion with their husbands). Five of these deserted wives, with about twenty-five children among them, are in receipt of sums of from 12s. 6d. to £1 ss. per week outdoor relief, and three of them, as the police informed me, are well known to be leading immoral lives. One of these who had seven children when deserted by her husband, and was openly leading an immoral life, came to the Board when with child by another man, declaring that if her relief was not increased from £1 to £1 ss. a week she would forsake her family, and the Board would be compelled to send them to the Industrial School. Her demand was agreed to. There was another still more glaring case, which I refrain from detailing, although it illustrates nearly all the evils of the outdoor-relief system in this country. lamat a loss to account for the gathering of such cases in Masterton as a sort of harbour of refuge, and can only surmise that the softness of the trustees attracted from other places persons to prey on their good-nature, or that they actually pauperised their own people by guaranteeing deserted wives and families against suffering. The crowning fact of this strange history is that the Chairman gave notice at the meeting of the 14th December last as follows: " That now, as the society has ceased to be supported by voluntary contributions, and has become a Government institution, it was not his intention to continue his connection with it after the present year." As illustrating the methods of easy-going charity, I extract the following from the minutes of the 14th December: " A letter was read from Mrs. .asking that she should be allowed something beyond the 14s. a week paid for Louis P's. board (P. was a helpless, weak-minded creature), as she had much extra trouble in attendance upon him. Resolved, That no recompense of the kind be allowed if it was found P. had still a separate attendant, it being understood that a man engaged by the society was with him at any rate at first, and might still be there. The Secretary to inquire." (The italics are mine.) In Nelson, New Plymouth, Wanganui, and Dunedin I found the Boards took an immense deal of trouble in endeavouring to make the best of what I have been driven to conclude is a very vicious system. In Wellington, where I made a house-to-house visitation, I found the Board's Believing Officer was thoroughly acquainted with the circumstances and character of all the the recipients of aid. To show, however, the inherent vice of this outdoor-relief system, even where it is best administered, I found in different places such cases as the following: Mrs. A., a widow having a Government pension of 10s. a week, for many years lived an immoral life ; is now confined to bed with the consequences, and cannot recover. The Benevolent Society of the district took over her pension, claimed and received the Government subsidy on it as a voluntary contribution, and gave the old woman 15s. a week, thus clearing £18 4s. by the transaction. An old man who had married a,

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young wife, by whom he had a large family, was getting outdoor relief. By the first wife he had a son and two daughters, all married. His present wife has six children. Their weekly aid consists of 141b. of meat, 6oz. tea, l-|lb. sugar, and 281b. flour. I noticed in a corner of the room two bags of flour, each containing 1001b., which I was told was allowed to accumulate in the store till it was worth hiring an express to bring it home. The rent paid was 6s. 6d. a week. In another town I found a man who had been injured many years ago, and had ever since been confined to bed paralysed. His wife and mother-in-law, two strong women, with six children, constituted the family. l(1our of- the children were begotten after the father's injury. The allowance from the Benevolent Society was £1 a week. Afterwards I found out that a sum of £19 was paid annually by a friend for the rent. This was passed through the books of the society so as to get the subsidy, and the whole was returned to the family. I could give many cases similarly illustrative of the vices of this outdoor system of relief were I not afraid of causing needless pain, and so I confine"myself to what will suffice to found my argument upon. The following table shows the total amounts spent for various charitable purposes in the four chief united districts of the colony for 1887, including both indoor and outdoor relief. Unfortunately, in Otago no separate accounts were kept for the different parts of the united district for outdoor relief, because the Otago Benevolent Institution looked after the outdoor relief of the whole united district, and did not keep the town and suburbs separate from the rest. Accordingly I found it impossible to compare all the centres in respect of their outdoor-relief expenditure.

The total cost of administration in the four chief districts, so far as I can make out, is: Otago United District, £791 6s. 9d., including cost of management of the benevolent institution; Canterbury North and Ashburton United District, £1,464, including Armagh Street Depot and Ashburton Home ; Wellington United District, £220 ; Auckland North and Auckland United_ District, £917, including the refuges. Number op Individuals receiving Outdoor Belief in the Chief Centres. Otago Benevolent {whole district). —August, 1884 : 245 cases, consisting of 79 men, 219 women, and 693 children. August, 1887 : 137 men, 396 women, and 1,021 children = 431 cases. Ghristchwrch and Suburbs. —August, 1887 : 317 cases—4ls adults and 802 children = 1,217 parsons (exclusive of infirm and invalid persons or children boarded out). June, 1884 : Adults, 350; children, 739 = 1,089. Auckland and Suburbs.— August, 1884: Adults, 237; children, 304 = 541. August, 1887: Adults, 413 ; children, 651 = 1,064. Wellington and Suburbs. —August, 1884: Cases, 115—adults, 125; children, 227 = 352. August, 1887 : Cases, 174—adults, 173; children, 248 = 421. Napier. —August, 1884: 3 adults and 9 children--: 12. August, 1887: 79 adults and 173 children = 252. May, 1887 :61 adults and 149 children = 210. ' May, 1888 :24 adults and 43 children = 67. I have found, in course of my examination of this system, as any one does who gives it any real study, that, like every one of our chief social problems, it runs down to the central question, Am I my brother's keeper ? and, if so, to what extent and why ? What, precisely, is the nature and extent of the kinship or community that binds men into the unity we call a commonwealth ? Is every man a self-contained, self-centred agent, entitled, because of this, to resist all attempts to limit beyond a certain minimum his private right to judge and act for himself, with the corollary that, having demanded his full liberty, he shall be fully responsible for the success or failure of his life; having succeeded, he has the right to scllishly enjoy ; but, having failed, he must silently suffer ? The best of all possible worlds it is said results from the untrammelled action of individual self-love. The orthodox economists were the propaganda of this plan of salvation, and our English poor-law legislation reflects, in its varying phases, their struggle with the strong heresy of unscientific and sympathetic human nature. I have found that nothing in the world so rapidly freezes the genial current of the human soul as a house-to-house visitation of the recipients of our outdoor relief. Such an experience soon convinces the most sympathetic philanthropist, if ho have any sufficient intelligence to grasp the causes of things, that justice, and not mere good-nature, must be the principle of the State's conduct in dealing with the poor. Many causes have conspired in our history as a colony to intensify the good-nature of our people, at any rate so far as extravagance in vicarious charity is concerned. Our sensitiveness to suffering has been greatly stimulated by the comparative absence from our towns of those sights of misery and squalor that deaden the feelings by familiarity; and the lavish life we have led since 1870 has made us free-handed to the poor, and impatient of the trouble required to find out whether our charity was wisely or mischievously given. During our years of plenty, when borrowed money was being largely spent, and the prices of wool, &c, were high, I was in

United District. Total Population in United District. Amount expended on Charitable Aid in United District. Population in Town and Suburbs. Amount expended in Towns, &c, on Outdoor Belief. Cost per Head of Outdoor Belief in Towns, &c. Total Cost per Head of Charitabli Aid. Luckland Vellington ... Ihristchurch >tago 108,728 53,246 101,765 83,690 £ 11,553 6,614 17,259 11,232 59,825 30,123 45,769 £ 3,788 2,332 6,025 s. 1 1 2 a. 3-19 6-57 7-59 s. 2 2 3 2 a. 1-5 5-81 4-66 8-202

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charge of the Dunedin Asylum, and remember with what forebodings I regarded the quality of the immigrants that were being poured into the country after the despatch of instructions in October, 1873, to the Agent-General, " to grant free passages, and also, if necessary, advance expenses to port of embarkation, and outfit." Twenty thousand immigrants were, if possible, to be sent out in six months. With wonderful rapidity the results became apparent. From all parts came reports of the evil quality of the immigrants. The Immigration Minister, writing to the Agent-General in June, 1874, says: " I have already called your attention to the fact that the shipment by the included a number of girls out of the Cork workhouse, and I took the opportunity of remarking on the very undesirable character of such immigration. A perusal of the report of the Immigration Officer at Dunedin will, I think, convince you how very disastrous it is likely to prove to the cause of immigration if such modes of selection as those adopted by Mrs. " (who was paid per emigrant) " are under any circumstances permitted. The result in the colony of the landing and distribution of such women as these complained of, and of such immigrants as the " young men " whom Mr. Allan states he has ascertained to be professed thieves, and one of them a ticket-of-leave man, is naturally a feeling of indignation and dismay." No doubt this was an extreme ease ; but nevertheless it is plain that, what with the great influx of a low class of navvies during the height of our public works, and the vicious and degenerate people of whom so many were introduced at this time, the average of our population in point of quality was considerably deteriorated. My experience as medical officer of our largest asylum for so many years has convinced me that the ultimate cost of this degraded class of people to this country is enormous. For instance, here is an account of two families and their asylum history.

Such people and their offspring are at this moment a fruitful source of those idle and useless persons who bring discredit on the cause of that portion of our people who cannot find employment. They fill our gaols, our hospitals, and our asylums, and, like a swarm of low parasitical organisms, they have, to an extent that is almost incredible, absorbed the outdoor relief that was meant for the self-respecting and the struggling poor. lam sure that by far the largest proportion of the aid that has been so abundantly distributed by the various charitable agencies, especially in our large towns, has been spent in supporting a great many idle and vicious persons whose example has had the most pernicious effect in pauperising the people. It should never be forgotten that the evil caused by the introduction of this class is never finished. The impaired health, low morality, and insanity descend to the offspring, and are a continual drain on the community. An enormous proportion of the recipients of outdoor relief consists of wives with families, who have been deserted by their husbands. Many of these I believe to have been ill-assorted unions and intimacies struck up among shipmates; and a considerable proportion of them are duo to the reasonable assurance with which both the wives and husbands found they could depend on their families being well cared for by the public charities. lam inclined also to think that the disproportionate sums that were spent in Christchurch and the surrounding districts during the period between 1876 and 1886 must, in part, at any rate, bo accounted for by the well-known tendency of the pauper class to congregate in those places where an easy-going charity prevails. The North Canterbury Charitable Aid Board consists of a number of public-spirited gentlemen, who have, perhaps, taken more pains, since the introduction of the Act, than any other Jioard in the colony to cut down the immense charitable expenditure that had become customary in Christchurch; and, notwithstanding all their efforts, it will be seen by the preceding tables that the expenditure is still excessive—partly, as I have suggested, because in former years a large proportion of thriftless people found an easy harbour there. The report and appendices of the English Poor-law Commission of 1832 is the most authoritative document extant on all questions affecting the administration and practical operation of the poor-laws, and my observation and experience of the outdoor-relief system in New Zealand and its evil effects could not be more forcibly expressed than in their general remarks on outdoor relief. " We have dwelt at some length on outdoor relief, because it appears to be the relief which is nowmost extensively given, and because it appears to contain in itself the elements of an almost indefinite extension —of an extension, in short, which may ultimately absorb the whole fund out of

Number. Name. Cost per Head. Rate, £1 per week. Total Cost. I. II. III. IV. V. Family op B (Bbothees). A. B. ... C. B. ... D. 13. ... E. B P. B & 80 274 230 8 8 s. d. 2 0 4 0 2 0 2 0 2 0 & 8. d 600 12 C I. II. III. IV. V. VI. Family of C. A. C. (wife) B. G. (husband of A. C.) ... D. C. (daughter of A. 0. and B. C.)... E. C. (ditto) P. C. (illegitimate daughter of E. C.) G. C. (husband of F. C, but no blood-relation) 472 418 834 1,318 169 5 2 0 2 2 8 2 0 0 0 0 0 0 3,216 16 £3,817 8

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which it arises. Among tho elements of extension are tho constantly diminishing reluctance to claim an apparent benefit, the receipt of which imposes no sacrifice except a sensation of shame, quickly obliterated by habit, even if not prevented by example; the difficulty, often amounting to impossibility, on the part of those who administer and award relief of ascertaining whether any and what necessity for it exists, and the existence in many cases of positive motives on their parts to grant it when unnecessary, or themselves to create the necessity. From the preceding evidence it will be seen how zealous must bo the agency and how intense the vigilance to prevent fraudulent claims crowding in under such a system of relief. But it would require still greater vigilance to prevent the bond fide claimants degenerating into impostors, and it is an aphorism amongst the active parish officers that ' cases which are good to-day are bad to-morrow' unless they are incessantly watched. A person obtains relief on the ground of sickness; when he has become capable of returning to moderate work ho is tempted by tho enjoyment of subsistence without labour to conceal his convalescence, and fraudulently extend the period of relief. When it really depends on the receivers whether the relief shall cease with the occasion for it, it is too much to expect of their virtue that they shall in any considerable number of instances voluntarily forego the pension." " It appears to the pauper that the Government has undertaken to repeal in his favour the ordinary laws of nature —to enact that the children shall not suffer for the misconduct of their parents, the wife for that of the husband, or tho husband for that of the wife—that no one shall lose the means of comfortable subsistence, whatever be his indolence, prodigality, or vice—in short, that the penalty, which, after all, must be paid by some one for idleness and improvidence is to fall not on the guilty person or on his family. Can wo wonder if the uneducated are seduced into approving a system which aims its allurements at all the weakest parts of our nature, which offers marriage to the young, security to tho anxious, case to the lazy, and impunity to the profligate?" But it will be said, " This is not England, but the Colony of New Zealand, where the necessaries # of life are so cheap." Tho answer is that even in_New Zealand the baneful system of outdoor I relief is pauperising our people to an extent that is incredible to any except those who Enow the I facts and are able to estimate their significance. Every one of the chief evil results in England I could abundantly illustrate in any of our large towns ; and I am certain that a very little personal study of the facts would convert tho most sympathetic philanthropist in tho world, if only he had as much intellect as feeling, into an uncompromising enemy of this system. Speaking for England, Sir G. Trevelyan said the other day : "By far the most demoralising influence of our time and country is poor-law outdoor relief. Upon indoor relief there is a natural check. Nobody asks for it as a favour, and there is a strong presumption that everybody who accepts it is really in need of it. Upon outdoor relief, on tho contrary, there is no self-acting check, for it is a pension comfortably enjoyed at home in addition to every other advantage and source of income, and everybody is glad to have it. The more a man saves the less he gets of outdoor relief; if by industry and self-denial he entirely provides for himself he gets nothing; if ho spends-everything at the publichouso or in any other kind of indulgence lie entitles himself to the full measure of outdoor relief at the expense of tho honest and self-denying. It is useless to exhort to industry and thrift while in practice we hold out this lifelong encouragement to idleness and prodigality." Speaking for America, Superintendent McGonegal, of New York State, says: " Families are furnished a stated amount weekly or monthly, and this is continued week after week and year after year" (just as in New Zealand), j " and I know of nothing which does so much to encourage pauperism and educate paupers for tho I next generation as this system, which I think is in operation in most of the counties, cities, and/ towns of this State. There is nothing except intemperance which is more demoralising to the head of a family, or more ruinous to children, than to become imbued with the idea that tho public is bound to provide for them. And if people could only realise when they recommend, bring, or send a family of bright, intelligent children to the Poor-law Superintendent, and insist on aid being furnished, that such an act was almost sure to ruin them and educate them as paupers, it seems to me'that such people should exhaust every other resource to provide a way for such a family to overcome its immediate difficulty before incurring tho fearful responsibility of being instrumental in making them paupers. People very soon after commencing to receive public aid lose their energy and self-respect, find it easier to rely upon the industry of others to furnish them their daily bread than to exert themselves to gain a livelihood. Their children learn to think that getting provisions and fuel from the overseer is perfectly right and proper, and they are almost certain to follow in the footsteps of their parents, especially as it requires a great deal less exertion than to earn their living by honest labour." " There are cases where temporary relief is undoubtedly necessary ; and if' judiciously disbursed, and discontinued at the earliest possible moment, before it becomes permanent relief and the recipients become chronic paupers, then I have no doubt it is a real benefit to.those who receive it. But after an experience of nearly twelve years in the care of the poor, and carefully studying during that time the effects of this so-called temporary relief, I am thoroughly convinced that the harm done by means of it greatly overbalances the good, and I think it is a question well worth considering whether it would not be better to abolish it entirely. I believe that threefourths of what is called temporary or outdoor relief furnished in tho State of New York is not only a direct injury to those who receive it, but is a great damage to society by encouraging indolence, and is an enormous unnecessary burden upon the industrious provident class, which is compelled to pay the expense." The law of competition, being coextensive with organic life, has for its maxim, " The wages of sin is death," no matter whether the sin be individual shortcoming or inherited defect. Without this as its fundamental law, human society would either never have originated or, having, like Minerva, been miraculously born full-grown, it would straightway have rotted out of existence. This is the condition—namely, that each should be able to hold its own —that nature has made the test of survival or mere existence, as distinguished from well-being. In human society, however, this law, that each herring must hang by its own neck, is modified and controlled by a higher law on which depends the possibility of the family, the tribe, the nation— i.e., the golden rule of conscience.

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All our social problems—charity, land-nationalisation, sanitation, Protection, education, come to nothing more than this : How far is it safe and salutary to suspend the former in favour of the latter — i.e., to bo good-natured at the expense of justice? Our circumstances have stimulated our good-nature to an unnatural degree, and we are now in the midst of the reaction. We arc beginning to find that we cannot shelter our weakly plants from the wind of selfishness by any hedge that does not induce the still more deadly blight : nay, more, finding the hedge inefficient, must we not pray for the abolition of the wind itself, and demand prohibition of all temptation, because we are too weak to stand it ? Precisely thus we are situated with regard to the problem of poverty, and how to deal with it. Inheriting the outdoor-relief practice of England, with the circumstances magnified and intensified by the good-nature resulting from our magnificent estate during the period of spending the money we have borrowed on it, we have done our best, by lavish, official, and vicarious charity, to abrogate the fundamental law of Nature in favour of our idle and vicious classes, with consequences sufficiently alarming to all who have eyes to see. The figures I have given above explain the whole process; but it must be borne in mind that the tables showing the expenditure from 1876 to 1886 show only the amount of public money expended in charity, and take no account of the equal if not larger amounts which, at any /ate in some districts, were voluntarily contributed. I The introduction of the Hospitals and Charitable Institutions Act marks the first step towards returning rationality in this business. So long as the central Government was willing to find the money, men, women, and children were taught to disbelieve the scripture, " He that will not work, neither shall he eat; " and we mortals have the capacity to consume the solar system on such terms. What is the remedy for all this ? After much consideration and study the following is the best answer I can give to that question : I believe the system of outdoor relief, as at present conducted, to bo contrary to first principles in two ways—it violates the first law, of Nature, that he who will not or cannot work, neither shall ho eat, which is Nature's provision for mere being or existence ; and it does not obey the second law, of human society, or on which human society is based, which says, " Love thy neighbour as thyself," which is Nature's provision for well-being or happiness. Society attempts to cheat both God and the Devil by giving money out of the taxes, and soothes its conscience by thinking it is providing for the poor ; whereas in sober fact it is merely I drugging itself and poisoning them. Once for all, it is not possible to leave the care of our poor to State officials distributing taxes. The charity that is divorced from human sympathy and fellowfeeling both. jCurscsJiim thai_giyes and him that takes.' Our outdoor-relief system is an attempt to separate cause and effect, and isTtherefore for ever impossible, and must bo abolished. Experience also demonstrates what theory indicates regarding outdoor relief. Wherever it has been tried it has failed, and produced incalculable evils. "All experience shows that a large amount officially expended in outdoor relief does not indicate a large amount of suffering requiring relief, but a large amount of laxity on the part of officials, and an amount of willingness indefinitely incroasablo on the part of able-bodied idlers to be fed at the public cost." The maxim of all intermediary agency, Quod J'acit per alium faait per se, however applicable elsewhere, is here fatally misleading. It is I absurd to call that charity which is not free, voluntary, and sympathetic. All our existing machinery, therefore, is condemned. It is simply a device by which a general tax is made to relieve us of a duty laid upon us individually, and it is a device foredoomed to failure. To stop it at all costs is clearly our duty ; but how are we to replace it ? 1. We must assume that in a civilised community no one must be allowed to starve, however degraded, improvident, or vicious he may be. The State must, without regard to desert, provide bare subsistence and no more, under a rigid workhouse test, whose principle must be that no State pauper can be better treated than the poorest of the people who are taxed to support him. 2. The following classes of cases ought to receive relief that is based on a thorough knowledge of their circumstances, and is adequate : Old people who, through no fault of their own, have become objects of charity, and have no friends; widows with young children, each case of which must be treated on its merits under the kindly eye of a judicious and discriminating visitor; cases of temporary lack of employment or sickness, and persons who are convalescents. All these should j be taken in hand by a Charity Organization Society in each of our centres. 3. The third class contains all those where the poverty and consequent suffering of innocent wives and children arises from immorality and misconduct on the part of the breadwinner; and the question is, shall we permit the innocent to suffer with the guilty ? In the case of the drunkard, for instance, shall we encourage him to persevere in his vicious indulgence, and expose his wife and children to the miseries and evils of such a home, by aid of charity ? And so with regard to deserted wives who may have driven away their husbands by neglect or misconduct, expecting, reasonably enough, that they will be quite as well off " on the Benevolent," and receive all the more consideration the more numerous the family, besides being free to eke out their receipts in more questionable ways. Other cases I have met with where the husband deserts the wife, knowing she will be better off in his absence, or where the two may be in collusion, he working at a distance while she and the family get, say, £1 a week and her rent. These and all similar cases require the most constant and vigilant oversight during the time they are in receipt of aid, and nothing but a voluntary organization of charitable persons can do any good in dealing with them. For the first class the State must provide in each centre, or near it, a workhouse, managed under the most stringent provisions. For the second and third classes what is needed is a Charity Organization Society that shall bring to a focus all the existing benevolent agencies in our large towns, so as to provide against overlapping. I believe that if twenty philanthropic ladies and gentlemen in each of our towns were to band themselves together on the model of the societies of

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London or New York, full details of which may be got in "The Charities Eegister and Digest, 1884 " (Longmans, Green, and Co.), they could reduce by more than one-half the money that is now being spent mainly in pauperising the people, and at the same time provide adequate assistance to all deserving cases. It is not yet too lato to stamp out the pauper class that has risen among us owing to our own apathetic folly in dealing with it. The State cannot do this, but lam certain that a Charity Organization Society in each of our large centres can do it if it be taken in hand now. How far such a society ought to be subsidised, and from what sources, is a matter of public policy. In conclusion, I may say that the reason why the North Island almost alone furnishes the examples I have given is that the winter was over before I had time to overtake the South; and to compare the two properly the facts must be collected at about the same time of the year. I may also say that I have in my possession written notes of hundreds of illustrative cases observed by myself, of which I have only given enough to point my moral. In order not to make this report too long, I content myself this year with the following brief statements regarding the hospitals of the colony.

AKAEOA HOSPITAL. This hospital continues to be well managed. It contained two patients at the time of my visit, with one old man who has been there for several years, and makes the hospital his home. The drug bill is most exorbitant, amounting to over £6 last month. Evidently the local druggist knows the value of a monopoly. Considerable improvements have been effected; the colonial oven in the kitchen has been replaced by a capital Leamington range. A small lean-to has provided a muchneeded extension of the sleeping-accommodation as well as a small scullery and sink. The tanks have been connected, the drainage greatly improved, and the back roughly laid down in concrete. 17th January, 1888.

AEEOWTOWN HOSPITAL. This hospital is one of the most comfortable and best managed hospitals in the country; yet at the time of my visit it contained only one patient, the total for the year being sixty-three in-patients ; out-patients numbered fourteen. The charge to non-subscribers is £1 10s. per week; but most qualify at entering, and thus escape with a charge of £1. Females and children are charged 10s. Subscriptions and donations amounted to £170 19s. Bd., and patients' maintenance amounted to £91. 16th March, 1888.

ASHBUKTON HOSPITAL. Notwithstanding the unsuitable structure and arrangement of this hospital, which I commented on in my last report, it is so comfortably furnished, and so well managed, that patients are evidently attracted to it. At my visit they numbered fourteen, ten being males and four females. There were 127 in-patients during the year, who paid £82 7s. 9d. for maintenance; while the subscriptions and donations amounted to £1.

AUCKLAND HOSPITAL. This hospital, after a long period of strife, has entered on what I trust will long continue to be a peaceful course of public usefulness. The new Board, by appointing Drs. Lindsay and Bell, have secured most trustworthy and capable officers, and the condition of the hospital in all its parts is most satisfactory. The in-patients for the year numbered —males, 659; females, 242 : total, 901. The outdoor patients are provided for by means of a dispensary, which last year cost £295.

BLENHEIM HOSPITAL. Since my last years' visit, the new hospital, about two miles and a half from the town, has been opened. Except that it is too far from the town, this hospital is situated very suitably, on a gravelly bank or shingle-bed, providing admirable drainage, but very bare and shelterless. The building, I find, is badly designed. The large ward opposite the front door has been divided into two divisions, each 33ft. by 30ft. by 16ft., one opening directly out of the other. The awkwardness of this arrangement is greatly increased by the fact that the ten beds in the far ward are all occupied by old men who are not hospital patients at all, but simply old worn-out people who are supported by the Board, and who nevertheless grumble if they are not as well fed and cared for as the patients in the adjoining ward. A second great defect in the plan is that the only means of conveying things from the kitchen to the wards is through the dispensary. Last, and worst of all, the only access to the bath-room, lavatory, and closets on the male side is either_ round by the back or through this pauper-ward. The hospital is plainly but suitably furnished. To right and left of the front door are two private wards, male and female respectively. In the male private ward I found a most successful case of suprapubic lithotomy, which was very creditable to Dr. Cleghorn. The back yards in the male and female sides are well laid out, and the outhouses and other appliances are very suitable. The whole inside of the institution is well kept, and all the patients expressed themselves as well satisfied with their treatment. Miss Eees, the matron, struck me as being a very capable woman. She is assisted in the nursing by her sister, who gets £30 salary, while she herself gets £100. A cook and laundress and housemaid complete the staff. 3rd April, 1888. 2—H. 9.

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CHAELESTON HOSPITAL. Theee is no change in either the structure or working of this hospital since last year. The patients, four in number, one a chronic case of four years standing, are treated with the utmost kindness and attention. The in-patients for the year numbered twenty-two. Of these, thirteen have paid their maintenance, and nine have not paid. I observed a great improvement in the bedding since last visit. Locally they raised £102, and received £237 from the Westport Board. The doctor's salary is £150. The warder gets 30s. a week, and he has an assistant who gets 10s. and found. 28th January, 1888.

CHBISTCHTJECH HOSPITAL. Since my last report on this hospital all the three large wards have been made similar, and there is nothing like them in the colony, being warmed with hot air on plans prepared and most successfully carried out by Mr. Seager. The old beds, which gave such an untidy look to the wards, have been replaced by new beds with wire mattresses. The defects which I pointed out last year have been remedied, and the whole institution is in a highly satisfactory condition. I was sorry to find that the drying-closet, which cost something like £200, is a complete failure. The in-patients for the year amounted to 542, and the out-patients to 465, with 1,251 attendances.

COEOMANDEL HOSPITAL. Thbee was no change either in the structural arrangements or the management of this hospit a since my last year's visit, except that I found the whole rather untidy, owing to the warder and his wife, and two children being allowed temporarily to occupy the kitchen and one of the rooms while his own house was being built. In all other respects I was satisfied. I was especially struck with the unusually skilful and ingenious way in which Dr. Atterburg succeeded in healing a difficult case of urethral injury. There were four patients at the time of my visit, and they all spoke in the highest terms both of the doctor and the warder. 15th February, 1888.

CEOMWELL HOSPITAL. This hospital continues to be most satisfactorily administered in every respect. It is a credit to the district. 18th March, 1888.

DUNEDIN HOSPITAL. I have nothing to add to my last year's detailed report of this hospital except to notice the new additional accommodation that has been provided, at a cost of £1,516. The new block contains a splendid operating-room, suitable for the rapidly-increasing number of medical students ; 'provision has also been made for a chloroform-room, a surgeons' consulting-room, and a students' room. The proposal to build a nurses' home had to be postponed for lack of funds, but no doubt this desirable change will be carried out at the earliest opportunity. A most important feature of the management of this hospital is the invaluable practice that prevails of always keeping one of the wards empty for the purpose of thorough disinfection and cleansing. A very great improvement has been effected in removing the lying-in ward, and devoting the space to a children's ( ward, which contains twelve beds. As I pointed out last year, the existence of a flourishing medical school in connection with this hospital gives a completeness and thoroughness to its medical and surgical arrangements that we look for in vain anywhere else in New Zealand. It would, however, be very desirable if proper reports of all operations were regularly supplied by the house surgeon. The number of patients treated during the year were 510 males and 400 females. The outdoor patients amounted to 948 males and 1,165 females, and the number of reapplications was 5,935.

DUNSTAN HOSPITAL. The neglected appearance this hospital presented at my last visit has quite disappeared. All the surroundings are now trim and neat, while much of the interior has been nicely painted. I found everything scrupulously clean, and the whole appearance of the institution was homelike and comfortable. It was disappointing, however, to find that, owing to the unsuitable timber employed, as, for instance, in the passage leading from the female ward, the seams and planks were so warped and twisted that the whole must be replaced. The whole air of the institution, as well as the accounts given by the patients, are conclusive regarding the attention of the doctor and the warder. There were four patients at the time of my visit, and thirty-seven was the number for the year. 18th March, 1888.

GISBOENE HOSPITAL. I found that the trustees had awakened to a sense of their duty in the matter of the drainage and other things which required attention at my last visit; and the condition of the institution, as regards the comfort of the patients and the attention of the doctor and nurses, left nothing to be desired. The whole of the wards and back offices need repainting very badly. 29th July, 1887.

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GEEYMOUTH HOSPITAL. Last year I made a detailed report of the structure and furnishing of this hospital, and there is nothing calling for further remark except that the space in front of the building has been nicely laid down with gravel and surrounded by young trees and a neat picket-fence. New benches also have been added for the use of the patients. The new building at the southern end has been completed, and contains a fine laundry and drying-room, as well as a room for the gardener, and a store. The demand for accommodation for persons suffering from delirium tremens has been met by providing a suitable room, 12ft. by lift., containing two beds and a fireplace. It has not yet been occupied, and I understand there is no provision made for nursing them. With regard to the internal arrangements, the care and skill of Dr. Morice, and the comfort and kindly treatment of the patients, I can only repeat that they are entirely satisfactory. I pointed out that the warder on the male side has too much to do, and that there was a good deal of untidiness in consequence. This has since been rectified. There were thirty-nine patients when I visited the hospital—thirty-four males and five females. 25th January, 1888.

[GEEYTOWN HOSPITAL. This hospital has been greatly improved both as regards the buildings and fts surroundings since my last visit. The ground in front has been nicely laid out and the paths gravelled. The two patients which the hospital contained at my visit were very carefully looked after in every respect. There were twenty-three patients treated during the year. Four of these were subscribers of ss. for a ticket, and nine were destitute. The maintenance-money paid was £22 12s. The total expenditure for the year was £332, and voluntary subscriptions amounting to £148 were received. 2nd February, 1888.

MOUNT IDA-NASEBY HOSPITAL. This hospital is the pride of the miners, and their satisfaction with it is thoroughly justified. A new male ward, 29ft by 20ft., has been added to the north end of the building. Mrs. Fitzgerald, wife of the wardman, was the only patient, and I was sorry to find her illness compelled their resignation. I found everything in perfect order. 19th March, 1888.

NAPIEE HOSPITAL. It is not necessary this year to give a detailed account of this admirable hospital. Its financial administration is careful to the borders of parsimony, and the kindliness and attention of Dr. Menzies and his staff have secured universal commendation. In former times it is easy to see the people of Hawke's Bay had very large ideas of what a hospital ought to be ; but I think that to have two fever hospitals, one for ordinary fevers, and one, as I was told, for scarlatina, is carrying things too far. In plain terms, I think the recent expenditure on the scarlet-fever hospital utterly unjustifiable. If the trustees have any money to spare they would be spending it usefully by laying on hot water to the bath-room of the surgical ward. The patients on the day of my last visit numbered ten males and six females. 6th April, 1888.

HOKITIKA HOSPITAL. This hospital has been immensely improved both within and without since my last visit. The dismal dingy look is entirely gone, and it is now airy, cheerful, and tidy. I found, however, that the blankets are, for the most part, worn very thin : the trustees ought to supply, before winter at least, fifty pairs of good Kaiapoi blankets. The salaries are as follows : Doctor, £300; dispenser and house steward, £156; secretary, £150; day-wardsman and dresser, £150 and rations, including a bottle of whisky a week, equal altogether to £200; night-wardsman, £100 and found ; cook, £90; female nurse, £78; laundress, £65 and found; housemaid, £56 and found ; gardener and messenger, £90 and rations. On the day of my visit there were in the hospital twenty-two male patients and one female. Dr. Collins is most assiduous and attentive to his patients, and I heard all the other officers highly commended.

INVEECAEGILL HOSPITAL. The wards of this hospital have been cleaned and distempered, and look much more cheerful than when I last saw them. The ventilation of No. 2 Male Ward has been much improved, and the comfort of the patients greatly increased by the new folding-doors opening on the verandah. A new Towsey-Jackson bed, costing £18, has been added to No. 1 Ward for paralytic cases, and also a new bed with adjustable back-rest, furnished with a hinged mattress of hair resting on a wire frame. Arnold's patent patients-raising apparatus is very handy for enabling weak persons to be removed without fatigue. The new stair is a great improvement, but the narrow tortuous divisions at the top are very awkward when a patient has to bo carried to No. 5 Ward. The central block contains a magnificent new dispensary on the right of the entrance, with a convenient board- and consultationroom on the left. There is also a fine large instrument press well stocked. In Mr. Wolfe's office a splendid bookcase, well furnished with new books well bound, has been added, and it is intended to transform the western block in the same style as the central block as soon as the funds will permit of it. The attention and kindness of Dr. Lowe and his staff are spoken of in the highest terms by the patients, of whom there were thirteen in the hospital on the day of my visit—nine males and four females. 13th March, 1888.

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HAMILTON HOSPITAL. This hospital, which had just been opened, I inspected on the 21st February. It is situated very suitably on the brow of a hill about a mile from town. It consists of an ordinary six-roomed house with a kitchen, washhouse, and porter's room behind. There is also a small mortuary, and an old outhouse contains a coal-house and a two-stalled stable. There were eleven patients on the day of my visit, and one of them was a very severe accident case, which was being carefully and skilfully treated. I formed the highest opinion of Nurse Sandison's fitness for having charge of the hospital, though I found she and her assistant were overwhelmed with work owing to the amount of nursing required by some of the patients. The building is evidently much too small to meet the requirements of this wide district, and steps must soon be taken to enlarge it. 21st February, 1888.

KUMAEA HOSPITAL. I was glad to find a change had taken place in the mastership of this hospital since my last visitMr. and Mrs. O'Connell, who are now in charge, have had large hospital experience both in Dunedin and Thames hospitals; and, so far as I could judge, a great change for the better has taken place. I found the baths on both sides of the house so badly constructed that they could not bo emptied, so that there was constantly a pool in the bottom. The closet, to which I objected at my last visit, has been removed and a now one, properly ventilated, has been built. There were three patients in the hospital at the time of my visit, two males suffering from eye affections and one female with ulcerated legs. This is a very comfortable cottage hospital, and it is well managed in every respect. 21st January, 1888.

TUAPEKA-LAWEENCE HOSPITAL. Since Dr. Withers's return the surroundings of this hospital have been greatly smartened up. There is no change in the internal arrangements. The beds are old wooden or inferior iron beds with two or three patent Monckton beds. There were fifteen male and six female patients, who were all loud in their praises of the doctor and his staff. The in-patients for the year numbered 150 and the out-patients 60. 21st March, 1888.

MASTEETON. This is one of the most comfortable hospitals in the country, and at my former visit it was, perhaps, the best kept. This year I noticed a falling-off in this respect. There were three patients at the time of my visit. For the year ending the 31st December there were thirty-five patients in all. The total expenditure was £475, with £111 of liabilities.

OAMAEU HOSPITAL. I was glad to find that a change had been made in the custodians of this hospital. Mr. and MrsDesmond are a great improvement on their predecessors. The hospital, notwitstanding the unnecessary labour entailed by its being divided into so many wards, is perfectly clean and cheerful throughout. The patients number seven males and three females. I found that many of the patients came from remote stations, where their diet is usually monotonous, being especially deficient in vegetables, and tea is consumed in excessive quantities. Nothing is more valuable in such circumstances than a well-stocked vegetable garden. It was objected that vegetables can be bought more cheaply than than they can be grown; but then I found that they were not bought, and I was glad at my last visit to see a portion of the large reserve being prepared for a garden. Of course, unless the trustees keep up the pressure, the garden will be found to cost more than it is worth. It is very creditable to find that voluntary subscriptions for the year amounted to £353, and that patients' maintenance was £81; while rents brought in £200, and interest on mortgages, and deposits, £129, showing careful and provident management in the past. 27th March, 1888.

NELSON HOSPITAL. Gkeat improvements have been effected in the surroundings of this hospital since my last visitA lawn has been sown down in front, asphalt channelling and drainage have been provided al^ round the building. A new laundry has been erected, fitted with two new coppers, at a cost of £110. The sholter-shed for the fire-hose seems needlessly elaborate, and too far from the building. The radical fact that this hospital was built in anticipation of a future that never came must not be forgotten in any criticism of its present condition. This hospital, like that of Timaru and those now in course of construction at New Plymouth and Eiverton, are monuments of the extravagant ideas that seem to be endemic. Except for this great drawback, this is one of the most homelike, comfortable, and kindly-managed institutions in the country; and it keeps up its character in this respect, for I find seven out of the sixteen male patients and two females might quite well be cared for in the refuge—at any rate, they are not proper hospital cases. The in-patients last year numbered, 102; out-patients, 398; while the reapplications were 796. 16th June, 1887.

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NEW PLYMOUTH HOSPITAL. I found no change in the old hospital since last visit, all interest being centred in the new building now in course of erection. There were nine patients, all males, on the day of my visit. Tho new hospital is nearly twice as large as there is any occasion for, at any rate, for the present, and there is an immense deal of waste space ; but the greatest extravagance is in the waste of space and waste of money in tho bath-rooms, closets, and lavatories. The contract price for the new hospital is £3,300, of which £3,000 was paid by the Government. The chairman of the board and Mr. J. T. Davis are sureties for the contractor. The son of the former, who is employed in his father's business, is doing the painting, and the latter is doing tho plumbing work. 31st March, 1888.

PATEA HOSPITAL. This hospital since my last visit has been converted from a wretched two-storied, ill-arranged, illfurnished shed into a comfortable one-story cottage, containing three small wards, kitchen, surgery, and warder's room. The whole is furnished with exceeding plainness, not to say meagreness; but every part is clean and comfortable. There was only one patient when I visited. The total cost last year was £379, of which £100 went to tho doctor and £100 to the warder and his wife. Twelve persons had been treated since the alterations were completed in August. 9th April, 1888.

PIGTON HOSPITAL. Here I found six male patients and one female. Of the former, four were suffering simply from old ago. The number of patients for 1887 were sixteen. There were twelve out-patients. The total cost for the year was £468; salaries amount to £231. 2nd April, 1888.

BEEFTON HOSPITAL. This hospital, still keeps up its high reputation :in all respects it is admirably managed; in fact there is no more excellent institution in New Zealand. Last year there were sixty-nine patients, of whom thirty-five paid; the rest were destitute. The sum received for patients' maintenance was £117. The system in vogue here is to charge £1 for an annual ticket, of which the holders are entitled, after a month's currency, to be kept on at 15s. a week. At the time of my visit there were seven male patients. 26th January, 1888.

EIVEETON HOSPITAL. At the time of my visit there were in this hospital ten males and one female ; all very comfortable and treated with extreme kindness in a plain homely way. The actual disbursements for the last year amounted to £660 15s. 5d., and out of this £414 17s. 7d. went as salaries and wages. This being the point of departure, it is somewhat surprising to find in this little town such a soaring spirit that, though they are within twenty-five-miles of Invercargill by rail, they have determined to have a new brick hospital, capable of containing about thirty beds. Anxious to moderate their enthusiasm I put as many difficulties in the way of carrying out their original extravagant plans as possible, only to find on my visit on the 14th March last that, though under compulsion, the trustees had cut down the expenditure, yet the new contract provided only for the external walls, roof, windows, and doors; even the floors and plastering were not included. By hook or by crook it is clear they will have a handsome hospital in Riverton, though it is only justice to say that the district will provide its share of the money. The new building is a parallelogram, 128 ft. by 23ft., from which project backwards throe blocks : one containing the male ward and its accessories, 40ft. by 24ft, at the southern end; the middle or kitchen block is 35ft. by 34ft.; the female ward, 40-J-ft. by 24ft., with its accessories, forms the northern wing. The front is divided into a surgeon's room, a dispensary, a dispenser's bedroom, four private wards for paying patients, two of which will be occupied by the warder and his wife ; to the right and left of entrance are the office and the boardroom. 14th March, 1888.

BOSS HOSPITAL. This hospital contained five patients at the time of my visit. It is a small cottage plainly but suitably furnished, and answers well its purpose as a goldfields hospital in a remote district. All the suggestions I made at my last visit have been carried out, and I find the state of the patients and their treatment very satisfactory. 23rd January, 1888.

THAMES HOSPITAL. In another part of this report I called attention to what I may call tho very astuto theory of management adopted by the Hospital Trustees in this town, and felt called upon to make some remarks thereupon. Here, however, lam bound to say that since my last visit the institution is not like the same place. It has been completely transformed both in its surroundings and its internal arrangements, which are alike admirable. The introduction of lady nurses has greatly helped to produce the present improved state of things; and, if only one could justify the means, the results reflect the greatest credit on all concerned. 17th February, 1888.

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14

TIMAEU HOSPITAL. The number of patients treated last year in this hospital was—males, 158; females, 68 : total, 225. The daily average was 26-63. The number of out-patients was—males, 267 ; females, 314 : total, 581. The number of deaths was fourteen. The total sum paid for patients' maintenance was £163 9d. 9d. The daily average cost of patients was, making allowance for repayments, 4s. Bd. The drug bill amounted to £240 Bs. 5d., which includes £54 12s. Bd. for ice: total for the year, £2,424. This does not include a sum of £458 ss. 4d. for building, &c. Having last year commented unfavourably on the cost of the staff required by the area over which the buildings are spread, I feel bound to call attention this year to the fact that the cost of the staff for salaries was £849, as against £868 in the much smaller hospital of the Thames. As regards the comfort of the patients and the care and attention with which they are treated, they are such as to make the institution only too attractive. 28th March, 1888.

WAIMATE HOSPITAL. This hospital is one of the best in the colony, and the administration is satisfactory in every respect. The in-patients for the year numbered 96, and the out-patients 100. The amount of maintenancemoney received for the year was £95, and the amount of money due by patients is £146. All out-patients are required to produce an order signed by two trustees. 17th March, 1888.

WAIPAWA HOSPITAL. A splendid new ward, containing fifteen beds and admirably furnished, has been added to this hospital since my last report. The ventilation of the old part of the building, which I reported to be so defective, has been so thoroughly attended to that now there is far too much of it. The beds are very clean and comfortable, and an air of cosiness and tidiness pervades the whole institution. On the day of my visit there were ten male patients and one female. The number admitted during the year was 154. The maintenance-money received was £70; the number of 10s. tickets sold was 240; voluntary subscriptions amounted to £40. The total expenditure for the year was £1,804, from which £235, spent in buildings, must be deducted. 6th April, 1888.

WAKATIPU HOSPITAL. Though the oldest of all the Southland hospitals, and, with the exception, of course, of Invercargill, the most important, this hospital has had less money spent on it in proportion to its usefulness than any other. Surely the Board having put up such hospitals at Eiverton and Arrowtown will not any longer delay doing justice to this one. With regard to the management of Dr. Douglass and his staff I have nothing but praises to offer.

WANGANUI HOSPITAL. I inspected this hospital twice during the year, and on each occasion I found everything going on most satisfactorily. The amount received from patients for the year was £114 ; the total expenditure for the year was £1,405. The number of patients on the day of my visit was twenty-one. Bth April, 1888.

WELLINGTON HOSPITAL. The management of the hospital continues to deserve the highest commendation. The new wing, which has been suitably furnished by the ladies of the city, contains a children's ward, and suitable accommodation for the nursing staff, as well as an office and a waiting-room for out-patients. The defective sanitary arrangements have been remedied, so that now there is almost nothing left to wish for, and, certainly, nothing to find fault with. The in-patients for the year were 614. The out-patients were 911, with 50 re-applications; total 961.

"WESTPOET HOSPITAL. This hospital contained twelve patients on the date of my inspection. The in-patients for the year numbered seventy, and the out-patients forty. I find considerable expense was incurred uselessly in sending three cancer cases to Nelson. The Borough and County Council are somewhat tardy in aying their contributions, and considerable inconvenience results. For instance, of the levy of £470 on the county and £321 on the borough made last April only £130 was paid till this month of January. The introduction of gas would be a great boon to the hospital. Dr. Thorpe is very attentive to his patients, and the warder and his wife are highly commended by all the inmates. 27th January, 1888.

15

H.—9

APPENDIX.

Table showing Receipts on Account of Hospitals during the Year 1887.

Hospitals. Subscriptions, Donations, and Bequests. Received from Patients. Received from Government. Received from Hospital Boards and Local Bodies. From Rents and other Revenue. Total. £ s- d- £ •> d- £ s. A. £ »■ d. £ *. d. £ B. d. 573 18 7 994 16 9 9>65° 5 7 1.545 15 4 363 13 5 8,328 6 11 1,153 14 5 761 11 10 8,127 12 9 990 o 8 i,477 7 5 2,296 6 7 356 6 2 3,iO5 5 9 1,665 4 ° 765 14 10 862 16 8 488 7 4 2,042 15 5 1,090 1 9 2,054 1 o 7,121 7 7 1,260 4 1 432 9 11 645 9 9 867 3 6 1,252 o 7 710 17 7 697 10 o 2,031 19 6 2,424 10 5 535 2 10 1,952 6 6 1,904 8 10 5,990 14 6 1,088 6 o Akaroa* Arrowtown Ashburton Auckland! Blenheim Charleston Chrisfcchurch Coromandel Cromwell Dunedin Dunstan Gisborne Greymoufch Greytown Hokitika Invercargill Kumara Lawrence Masterton Napier Naseby Nelson New Plymouth .. Oamaru Patea .. Picton.. Queenstown Keefton Eiverton Ross Thames Timaru Waimate Waipawa Wanganui Wellington Westport t • 170 19 8 100 125 o 8 32 7 7 103 7 oj 45 ° ° 367 11 7 100 18 6 482 11 10 188 11 5 189 19 10 677 7 21 158 18 4' 330 12 o 324 15 11 232 4 6 7 16 2 203 6 6 478 12 o 359 13 5 91 o 1 82 7 9 1,414 17 6 79 4 6 55 12 6 316 15 4 266 5 6 601 4 o 2,847 o o 783 5 6 122 16 5 4,910 6 2 686 2 10 133 o 7 557 7 8 246 9 8 639 9 1 698 2 1 174 15 10 477 2 5 497 13 5 150 12 4 345 5 6 285 o 10 85G 4 5 101 1 10 919 o 0 1i565 3 9 49° 3 7 211 18 2 3°o 3 3 212 2 8 622 5 4 202 o 8 38 3 4 310 o o 3,046 o 0 650 17 9 80 o o 3>°5° 5 5 100 o 0 443 ° ° 6,199 14 1 373 5 ° 300 o o 808 6 8 7 10 o 050 2,217 7 5 1 17 6 73 19 6 777 16 o 33 14 7 236 18 6 93 12 8 22 12 o 198 8 7 118 4 0 67 10 o 126 5 3 10 13 3 no 3 2 14S o o in o o 18 18 0 1,636 13 4 649 4 2 3 J3 3 ° 347 6 8 522 9 5 75 6 6 250 36 3 1 452 19 o 180 15 6 162 16 o 251 9 2 81 14 9 16 2 o 17 14 9 228 6 11 117 12 6 54 J4 8 150 o o 439 10 o 953 10 ° 1,318 15 o 105 o o g 1 0 18 15 o {3,780 12 4 335 o 8 205 7 4 353 5 1 1 3 0 1 3 4 159 3 11 480 17 9 147 I2 3 27 10 o 63 6 4 24 9 o 82 14 2 178 6 4 195 19 8 323 12 C 800 351 10 o 120 9 7 1,118 o 10 203 6 3 323 3 5 267 10 o 31 5 0 285 o o 318 10 o 1,517 14 o 1,118 o 10 390 o o 550 o o 591 11 9 3,710 o o 500 o 0 3 5 0 21 10 o 46 10 7 283 19 o 163 19 9 59 16 2 102 13 o 104 12 7 486 14 5 80 6 o 786 19 8 616 8 11 318 2 II 500 o o 2 12 6 §334 7 6 395 15 11 1,152 4 8 Totals 9,466 13 6 77,668 14 9 6,833 5 3 6,635 4 11 23>7i3 15 5 31,019 15 8 * No return ; receipts included J Including special grant from Govi for furnishing and laying out grounc in Christchui :rnment of £■ Is. § Inclm ■ch Hospital [,ooo to new ling special £ return. t Return for hospital, and also 5: jrant from Government of ended 31st March, 1888. :. 2d. (not from Government) £250 towards new building.

16

11.—19

Table showing the Expenditure on account of Hospitals during the Year 1887.

Hospitals. Provisions. Wine, Ale, &c. Drugs and Instruments. Fuel and Light. Bedding and Clothing. Furniture, Crockery, &c. Washing. Salaries and Wages. Water Supply. Funerals. Repairs. Printing, Advertising, and Stationery. For Interest. For Insurance. For Commission. Addition to Buildings. Other Expenses. Total. Akaroa Arrowtown .. Ashburton .. Auckland (3) .. Blenheim Charleston .. Christchurch Coromandel .. Cromwell Dunedin Dunstan Gisborne Grej'mouth .. Greytown Hokitika Invercargill .. Kumara Lawrence Masterton .. Napier Naseby Nelson New Plymouth Oamaru Patea Picton Queenstown .. Reefton Riverton Ross Thames Timaru Waimate Waipawa Wanganui "Wellington .. AVestport no 7 7 117 16 2 316 2 1 1,825 o 9 412 16 2 91 14 9 1,078 13 5 184 o 1 161 3 3^ 1,669 12 7; 91 19 11 213 6 11 7!5 4 5 93 o 7 797 I 5, 310 1 10! 236 8 o| 302 1 10! 108 o 7 1 527 9 II 188 19 7 45T 15 8: 386 18 6 184 10 2 63 7 1 98 3 7 228 17 7 254 9 11 142 15 8 199 13 2 3S1 15 8 575 16 5 138 9 7 418 16 6 263 10 1 2,025 18 6 24° !5 3 £ s. d. 17 10 o 13 5 o 26 14 C 100 18 9 10 16 o 12 4 o 167 11 8 19 2 oj 172 14 1 19 15 10 24 19 7 97 T7 3 100 13 4 16 16 o 10 16 6 2S 17 2 55 5 9 20 6 7j 102 16 71 660 12 10 175 15 10 4 6' oj 45O 4 7 45 17 7 47 8 o; 979 16 7] 28 16 5; 84 12 ij 44 19 8 J7 15 4 225 13 10 147 16 6, 42 12 o 83 16 9 20 5 5 72 15 4! 63 14 4i 156 2 8 212 15 10 104 14 9 2 12 5 1 16 o 73 5 7 79 6 1 41 5 6 28 3 4 155 4 6 257 5 9 46 10 10 171 8 11 "3 13 9 6gi o 7 20 16 6 37 18 o 42 18 6 470 5 10 60 10 6' 300! 521 8 oj 18 18 10I 40 17 6 349 15 1 26 1 6 65 10 10 53 7 5 118 15 10 129 16 2 49 5 C 86 18 1 15 10 11 118 17 6 44 2 6 165 13 10 44 16 4 C7 14 5 8 15 3 49 15 9 105 18 7 51 8 o 25 6 o 14 12 2 88 9 7 173 11 8 52 13 4 88 10 10 98 12 8 535 14 4 46 o o £ 8. d 18 6 61 5 8 1 42 9 8 19S o. 8 15 5 3 in 1710 o 13 9 120 1 6 91 18 9 35 19 2 3°9 4 9 46 5 6 117 15 2 30 10 6 34 15 11 5 10 o £ *• d. ■• 51 5 6 57 9 3 144 18 oj; 313 12 1 1 18 o 376 9 3 34 10 10 198 3 9 121 18 11 2 18 o 10 4 8 (c) 28 18 o 610 490 4 12 o 30 o 7 44 1 3 160 7 8 48 1 5 (G) 2 19 10 12 14 5 30 15 1 9 11 o 57 17 " 147 4 6 9 5 4 115 10 o 18 14 8 175 1 10 31 2 81 £ * d. 23 5 o 329 on (4) 14 11 o 8 18 9 " (4) 8 1 7 (4) 1 15 o £ »■ d. 130 19 6 360 o o 359 18 4 1,875 Io o: 183 17 6 192 10 o 2,204 10 5 447 14 10 406 1 4 2,162 15 o 380 6 2 414 o 9 1,112 3 8 169 10 o 1,320 13 4 848 13 6 509 9 6 401 14 10 227 5 10 1,038 13 1 365 11 o 843 9 10 686 1 8 387 14 4 194 3 ° 231 5 o 417 o 11 515 13 o 302 6 o 336 o 4 865 10 4 849 5 o 456 16 8 436 10 2 524 10 9 2,068 6 3 378 10 oj £ *• d. 246 1 o •• I 52 O O| 32 14 6 __ •• 10 o o £ s. d. 4 10 o 5 13 6 74 3 o 41 1 7 500 22 7 o •• 500 34 17 ° 400 18 o o 51 o o 33 9 o 11 10 6 £ s. d. 0 310 13 5 242 14 5 (5) 552 46 7 4 (5) 228 o 6 243 6 5 175 19 o 203 5 11 481 19 5 46 10 o 345 S 3 (5) 97 2 6 57 o 2 360 13 11 7 26 19 9 20 18 5 41 18 9 20 4 o 93 1 2 n 2 6 52 8 n 17 16 o 9 13 3 21 2 6 215 11 11 81 2 9 50 11 8 39 o 8 45 3 6 628 7 1 47 16 4 £ *• d. 976 13 1 8 105 10 7 24 15 S 3 15 ° 94 19 6 5 12 7 8 10 6 102 19 5 22 17 5 25 7 4 62 1 9 788 51 6 o 65 5 3 30 19 o 15 19 7 32 2 9 29 19 8 12 12 6 3 17 o 61 8 o 29 10 9 7 18 11 624 16 7 o 37 o 6 £ s d. o 14 6 2 1 6 •• o 2 6j I I o 2 6J o S 9 2 10 6 1 4 10 400 £ s- d- •• 2 10 o 12 I 6 850 10 15 o 24 12 6 256 550 25 12 6 16 4 6 20 13 11 25 o o 3 7 6 35 7 6 946 8 15 o 3 15 o 8 10 o 43 18 3 090 £ s- d6 7 6: 42 o 9: - ■■ 17 o o 25 9 10 (4) 190 32 2 o n 8 6 9 11 3 5 5O £ s. d. 1,089 7 8 246 18 1 2,258 17 2 226 8 11 •• 190 19 10 •■ 120 o o 857 16 9 109 4 o •• £ s. d. 74 5 4 5 5 7 20 12 1 44 o 5 846 •• 13 19 6 20 1 8| 312 12 2 137 17 1 19 8 10 no 18 6 4 4 °i 50 15 o 50 18 8 3 12 6 6 3 11 830 22 o o £ *. d. 37° 7 4 658 14 2 I,3i9 4 I 7,397 9 o 1,527 o 4 357 13 8 7,399 19 5 957 i° 4 976 3 J 6,615 5 11 1,045 13 7 1,392 14 1 3,oi3 5 7 344 14 1 3,i65 5 9 2,587 13 4 1,170 8 4 1,068 17 4 475 12 11 1,950 14 7 1,108 o 8 2,099 8 1 5,540 14 11 1,010 5 1 384 12 7 468 11 7 946 17 o 1,127 C 7 660 17 1 697 10 o 2,012 8 4 2,424 10 5 8S0 16 6 2,129 I ° i°i,S 74 10 4 7,241 8 10 912 12 4 I 30 5 6 41 2 o 48 12 4 52 5 4 32 12 9 1 15 o 27 4 o 22 13 9 J5 o 5 22 19 6 86 18 II •• 1 6 18 o| (4) 41 12 o 13 o o 37 7 6 14 13 ° 300 15 10 o 440 5 4O 3 17 C 38 16 6 2 12 6 626 - - - 2G6 10 1 14 19 4 51 18 o 32 10 o 47 o 5 180 1 13 o 5 '3 6 - 5 10 4 •• 22 10 o 600 13 o o '3,746" 8 6 307 15 1 36 11 o 17 5 7 7 19 3 12 o 2 28 8 5 50 16 II 36 17 2 26 16 o 131 11 10 115 12 8 64 5 10 97 3 8 589 10 2 196 1 2 946 100 - 15 6 11 14 15 o 500 9 15 o 10 10 o 760 626 14 o 6 - 45 7 10 8 16 4 34 4 o 508 250 3 12 6 300 20 17 o 35 10 8 ■• •■ 1 •• I 7 10 o •• 13 15 o 31 7 1 20 19 2 19 16 6 20 1 6 11 6 o 55 6 3 11 7 1 24 3 9 10 13 6 30 o o no 18 8 14 16 6 •• 77 1 1 13 13 o 37 3 o 66 14 7 250 7 3 9 4 8 39 o o 1 23 19 2 ) 14 O O i 42 11 3 '334 18 5 > 47 10 o 1 9 18 8 I 37 6 11 [ 95 17 o 7 10 6 5 14 8 4 10 o 30 o o 24 1 o 46 14 o 45 o o 1 g o - o 8 10 - 25 3 C 8 15 o 26 17 6 10 o o 27 16 4 596 13 7 " o 8 10 " - >: - -• Totals .. 15,636 15 2 '3,871 11 3 418 12 2 247 17 10 1,412 13 7 5,534 n o 1,876 3 6 2,250 16 5 971 13 8 24,605 I 10 J548 12 1 560 1 3! :3,923 9 3 1,070 15 5 34 17 I 9,709 4 7 2,641 2 2 75,313 lS (!) Included in provisions, hospital and laying out grounds. (2) Included in furniture. (R) Included in surgery, &c. (2) Return for year ended the 31st March, 1888. (3) Included in repairs. (10) Including j. (4) Included in salaries. '415 for hospital site. (6) Included in additions, &c. (6) Included in bedding. (■) New

H.—9.

17

Statement showing the Expenditure on Hospitals, &c., out of the Public Works Fund, 1877-78 to 1887-88.

3—H. 9.

Name of Hospital, &c. Provincial District of 1877-78. 1878-79. 1S79-60. 1880-81. 1881-82. 1882-E3. 1883-84. 1884-85. 1885-86. 188(5-87. 1887-8S. Total. £ s. d. 4 7 11 £ s. a. 479 6 0 £ s. d. £ S. d. £ s. d. £ s. a. £ S. d. £ s. a. £ S. d. £ s. d. £ s. d. £ s. d. 483 13 11 393 2 0 2,228 0 0 1,965 9 11 Akaroa .. Arrowtown .. ;. Ashburton Auckland Charleston Christohurch and Lyttelton Coromandel Cromwell Dunedin and Caversham .. Dunstan Gisbomo Greymouth Greytown Kuinara Masterton Napier Nelson New Plymouth .. Oamaru.. Patea Piofcon Reefton .. Eiverton Southland Thames Timaru .. ., Totara Tuapeka. Waimate Waipawa Wairau .. War.ganui Wakatipu Wellington Westland . ,. Westport Canterbury Otago Canterbury Auckland Nelson Canterbury Auckland Otago Auckland Westland Wellington Westland Wellington Hawke's Bay .. Nelson Taranaki Otago Taranaki Marlborough .. Nelson ■. Otago 274 C 2 409 4 10 250 0 0 lOu" 3 6 29 5 6 2 10 0 758"2 11 589 17 3 371 11 6 200 0 0 400 0 0 442 IS 0 1,000' 0 0 0 18 0 .. •■ 393 2 0 458'l2 10 37*10 0 400"o 0 818 "0 0 233 0 10 3G9 13 7 27l"8 0 328*14 7 94 5 2 140 *4 11 •• I " I 57 15 1 2 '6 0 133 ii 9 120 '6 0 315**1 10 161 16 0 148 0 0 100 0 0 500 0 0 78l"7 7 1,600 0 0 eo'io 1 26"8 6 1,410*0 0 150*0 0 500 0 0 25 0 0 ,, • •! 3,000 0 0 3,057' 9 8 250 0 0 1,971 11 6 350 0 0 542 13 6 442 18 0 2,413 14 1 55 3 G 3,296 18 6 328 14 7 222 5 2 400 0 0 28"o 0 400 0 0 " I •• 350"o 0 700"0 0 495 0 0 500"0 0 .. 165 0 0 1,550 0 0 660 0 0 Auckland Canterbury Westland Otago Canterbury Hawke's Bay .. Marlborough .. Wellington Otago Wellington Westland Nelson 100 0 0 578 0 0 500"0 0 622"o 0 593*13 0 104 "2 6 304*'8 0 500 0 0 45 15 0 . •• ■ 312**6 0 250*0 0 894 8 8 Cr.17 16 0 404 8 0 2,397 15 6 756' 0 0 1,252 9 8 i,ooo"o 0 588"4 11 200" 0 0 1,942 0 0 6 15 0 400 0 0 569 19 0 496 16 6 249 18 9 Cr.U 10 0 15 0 0 177 2 11 250 0 0 200 0 0 1,173*6 7 600 0 0 4,457 7 5 1,761 16 6 449 18 9 •• •• • • I 3,315 12 2 Cr.16 10 0 4,173 5 7 Cr.17 16 0 32,685 10 Cr. 34 6 Total .. 3,252 17 11 5,802 18 7 140 4 11 64 10 1 3,299 2 2 4,155 9 7 5,247 17 10 2,219 4 8 255 11 9 3,791 15 1 4,421 11 7 32,651 4

H.—9

18

Return showing Amount paid in each Provincial District on account of Hospitals and Charitable Aid since the Abolition of the Provinces.

District. Hospitals. Benevolent and Out-door Belief. Orphanages and Industrial Schools. Female Refuges. Totals. Ye .r 1876-77 (six months). Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago £ s. d. 1,477 17 9 332 1 6 1,102 1 9 313 19 11 1,803 10 0 338 7 8 3,518 1 9 1,229 6 4 3,114 15 11 £ s. a. 1,554 5 11 138 18 1 343 7 2 250 0 0 342 18 1 230 18 11 3,415 14 2 259 15 2 441 6 7 £ s. d. 772 8 1 9* 0 0 255* 0 0 £ s. d. £ s. d. 3,804 11 9 470 19 7 1,454 8 11 503 19 11 1,901 14 1 575 6 7 7,739 4 5 1,489 1 6 3,556 2 6 80S' 8 5 Totals .. 12,790 8 7 6,983 4 2 1,841 10 0 21,015 9 3 Year 1877-7! Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 5,478 14 7 1,143 14 2 4,146 12 1 679 17 4 2,773 4 3 1,154 3 7 8,405 9 0 4,484 7 0 9,838 3 5 3,944 10 5 363 8 7 721 0 5 396 0 0 731 2 3 562 8 2 8,509 0 0 190 0 3 2,290 14 3 1,916 17 9 11,340 2 9 1,507 2 9 4,867 12 6 1,075 17 4 4,125 15 6 1,722 19 9 19,080 4 6 4,674 7 3 12,251 7 8 621 9 0 0 8 0 1,975 14 0 130 "0 0 22 10 0 100 "0 0 Totals 38,104 5 11 17,768 4 10 4,542 19 3 230 0 0 60,645 10 0 Yeah 1878-7! Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 3,900 13 5 1,049 2 7 4,840 17 8 717 4 1 2,892 4 7 338 16 7 9,226 4 4 4,319 3 1 10,731 19 0 3,841 13 8 410 6 0 1,400 7 11 223 19 0 785 14 0 175 10 3 8,144 15 7 527 4 9 4,488 15 7 1,665 6 9 9,473 13 10 1,459 8 7 0,378 14 7 948 7 7 4,282 8 7 576 14 10 18,995 13 10 4,840 7 10 15,385 4 7 131 9 0 7 4 6 654 10 0 62 8 0 1,255 9 2 369" 4 9 64 10 0 100 "0 0 Totals 38,088 5 4 19,948 0 9 3,840 17 5 469 4 9 62,346 14 3 Year 1879-81 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 3,052 10 1 1,128 17 10 3,121 8 10 751 3 0 1,972 9 1 691 1 4 8,554 7 11 3,670 0 2 7,450 8 10 3,219 0 1 481 9 3 1,550 14 1 334 10 0 669 2 7 9 18 0 7,174 7 1 566 18 6 1,466 6 7 1,926 8 6 42* 0 0 683' 4 0 oo'io 6 8,198 4 8 1,610 7 1 4,775 2 5 1,085 13 0 3,324 15 8 700 17 4 17,193 1 2 4,236 18 8 9,064 15 5 1,276* 8 8 187*17 6 42* 0 0 ioo"o 0 Totals .. 30,398 7 1 15,472 10 2 3,970 1 2 348 17 0 50,189 15 5 Year 1880-8: Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 5,205 8 10 2,201 9 0 3,415 19 1 2,255 18 0 1,959 2 1 561 14 9 8,429 14 10 3,358 19 3 9,331 2 0 3,659 8 0 1,162 17 11 2,602 10 5 310 15 11 636 7 3 95 2 9 8,055 5 6 492 19 11 4,265 2 2 2,345 16 8 1,326' 3 6 19711 11 11,210 13 6 3,364 6 11 6,216 1 5 2,566 13 11 3,921 12 10 656 17 6 19,000 15 1 3,851 19 2 13,696 4 2 2,099* 4 0 416'10 9 ioo"o 0 Totals 36,719 7 10 21,280 9 10 5,771 4 2 714 2 8 64,485 4 6

19

H.—9.

Return showing the Amounts paid in each Provincial District on account of Hospitals and Charitable Aid, &c. — continued. HOSPITALS AND CHARITABLE AID—continued.

District. Hospitals. Benevolent and Out-door Belief. Orphanages and Industrial Schools. Female Befuges. Totals. Year 1881-8! £ B. d. 4,334 10 10 1,526 15 4 3,315 8 9 1,392 5 7 3,169 15 0 394 9 6 8,112 11 2 3,998 4 8 10,575 18 6 £ s. a. 4,050 18 6 810 1 1 2,785 13 9 419 9 0 742 0 4 104 15 0 10,020 15 9 022 1 9 2,973 6 2 £ s. d. 2,811 5 10 £ B. a. £ s. d. 11,802 15 2 2,330 16 5 6,580 7 0 1,811 15 1 5,382 7 9 499 4 6 20,855 6 3 4,620 6 5 13,649 4 8 67,538 3 3 Auckland .. Taranaki Wellington Hawke's Bay .. Nelson Marlborough Canterbury .. Westland .. Otago 183* 0 0 1,470'12 5 98"4 6 1,939*18 2 182**1 2 ioo"o 0 Totals .. 37,017 19 4 23,735 1 10 0,404 10 5 380 5 8 Year 1882-8! Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 0,238 2 5 780 19 2 7,402 9 3 2,034 2 0 3,524 15 10 1,054 11 11 8,763 2 11 5,250 19 8 9,740 11 4 4,732 8 3 798 15 2 2,345 2 7 970 1 9 903 0 11 94 12 9 11,040 5 0 982 3 3 4,939 19 4 1,8G1 4 8 12,831 15 4 1,585 14 4 10,000 13 4 3,004 4 3 0,798 18 11 1,149 4 8 22,172 9 11 0,233 2 11 14,780 10 8 87* 8 0 705'13 6 2,371* 2 2 2,104' 4 1 258'l7 11 100 "0 0 Totals 45,395 15 0 26,812 9 0 6,423 18 11 1,124 11 5 79,750 14 4 Year 1883-8-Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 8,934 2 3 1,570 19 10 7,823 13 2 4,594 17 4 3,103 4 7 1,329 7 8 8,350 5 5 3,007 0 2 10,505 3 2 4,316 12 6 917 18 11 2,803 4 8 1,041 7 10 924 10 4 70 13 3 11,703 9 10 794 0 0 3,519 5 10 1,913 11 1 375 9 0 2,833 3 7 90"2 0 15,164 5 10 2,438 18 9 11,152 8 10 0,230 5 2 6,801 4 0 1,406 0 11 22,038 17 11 4,401 0 8 14,124 9 0 2,279' 3 6 239 19 2 ioo' 0 0 Totals 49,884 13 7 20,817 9 8 7,401 7 2 430 1 2 84,533 11 7 Year 1S84-8. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 9,100 16 9 1,123 17 4 8,755 16 10 3,737 15 1 3,308 3 4 1,379 12 2 9,341 8 9 4,911 7 10 11,968 8 6 6,558 9 4 903 10 3 3,005 0 9 923 0 8 1,573 2 0 200 14 0 13,707 18 10 798 17 3 5,930 3 7 2,350 17 2 95 17 8 18,160 0 11 2,027 7 7 13,345 10 7 4,080 7 9 8,307 15 3 1,691 6 8 25,829 10 10 5,710 5 1 18,004 12 1 480 7 0 19 12 0 3,480 9 5 45 0 0 2,406 7 5 438"o 0 253*15 10 106' 0 0 Totals 53,687 6 7 34,393 3 8 8,954 13 0. 787 13 6 97,822 10 9 Year 1885-SG. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 7,668 6 9 1,175 8 9 8,787 4 1 3,311 6 8 3,045 18 7 1,380 10 9 8,109 18 0 4,770 10 3 9,991 1 2 5,794 14 1 070 0 10 3,748 7 9 2,450 7 4 1,745 6 9 139 6 4 10,517 14 4 920 10 11 0,185 6 11 1,043 19 6 295 12 0 15,402 12 4 1,851 9 7 13,509 19 1 5,903 0 0 8,410 5 4 1,564 17 1 20,507 17 4 5,097 7 2 10,270 8 1 550 10 4 201 12 0 3,619 0 0 45 0 0 1,617 13 6 423 10 11 202 6 6 100 "0 0 Totals .. 48,300 11 0 32,183 15 3 7,078 0 4 1,021 15 5 89,184 2 0

H.—9

20

Return showing the Amounts paid in each Provincial District on Account of Hospitals and Charitable Aid, &c.— continued. HOSPITALS.

District. Amount. District. Amount. Year 1876-77. £ s. d. 1,477 17 9 332 1 6 1,102 1 9 313 19 11 1,303 16 0 338 7 8 3,518 1 9 1,229 6 4 3,114 15 11 Year 1881-82. £ b. d. 4,334 10 10 1,526 15 i 3,315 8 9 1,392 5 7 3,109 15 0 394 9 6 8,112 11 2 3,998 4 8 10,575 18 6 Auckland Taranaki Wellington ,. Hawke's Bay Nelson Marlborough Canterbury Wescland Otago Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago Total .. £12,790 8 7 Total .. £37,017 19 i Year 1877-78. £ s. d. 5,478 14 7 1,143 14 2 4,146 12 1 679 17 4 2,773 4 3 1,154 3 7 8,405 9 6 4,484 7 0 9,838 3 5 Year 1882-83. £ s. d. 6,238 2 5 786 19 2 7,402 9 3 2,634 2 6 3,524 15 10 1,054 11 11 8,763 2 11 5,250 19 8 9,740 11 4 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago Auckland Taranaki Wellington Hawko's Bay Nelson Marlborough Canterbury Westland Otago Total .. £38,104 5 11 Total .. .'. £45,395 15 0 Year 1878-79. £ s. d. 3,966 13 5 1,049 2 7 4,846 17 8 717 4 1 2,892 4 7 338 16 7 9,226 4 4 4,319 3 1 10,731 19 0 Year 1883-84. \ Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago £ s. d. 8,934 2 3 1,570 19 10 7,823 13 2 4,594 17 4 3,103 4 7 1,329 7 8 8,356 5 5 3,667 0 2 10,505 3 2 £49,884 13 7 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago Total .. £38,088 5 4 Total .. Yeae 1879-80. £ s. d. 3,052 10 1 1,128 17 10 3,121 8 10 751 3 0 1,972 9 1 691 1 4 8,554 7 11 3,670 0 2 7,456 8 10 Year 1884-85. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago Auckland .. .. ., Taranaki .. .. ,, Wellington Hawke's Bay Nelson .. .. . , Marlborough Canterbury Westland Otago £ s. d. 9,160 16 9 1,123 17 4 8,755 16 10 3,737 15 1 3,308 3 4 1,379 12 2 9,341 8 9 4,911 7 10 11,968 8 6 Total £30,398 7 1 Total .. £53,687 6 7 Year 1880-81. £ s. d. 5,205 8 10 2,201 9 0 3,415 19 1 2,255 18 0 1,959 2 1 561 14 9 8,429 14 10 3,358 19 3 9,331 2 0 Year 1885-86. £ s. d. 7,668 C 9 1,175 8 9 8,787 4 1 3,311 6 8 3,045 18 7 1,380 10 9 8,169 18 0 4,770 16 3 9,991 1 2 £48,300 11 0 Auckland Taranaki Wellington Hawko's Bay Nelson Marlborough Canterbury Westland .. .. Otago Auckland Taranaki Wellington Hawke's Bay Nelson .. .. ,. Marlborough .. , * Canterbury Westland Otago % * t * Total .. £36,719 7 10 Total .. t I benevole: S AND OUT-DOOR BELIEF. T INSTITUTIO: Year 1876-77. £ s. d. 1,554 5 11 138 18 1 343 7 2 250 0 0 342 18 1 23.6 18 11 3,415 14 2 259 15 2 441 6 7 Yeah 1877-78. £ a. d. 3,944 10 5 363 8 7 721 0 5 396 0 0 731 2 3 562 8 2 8,569 0 6 190 0 3 2,290 14 3 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago Auckland Taranaki Wellington Hawko's Bay Nelson Marlborough .. . * Canterbury .. . s Westland .. .. . 4 Otago .. .. .. Total .. £6,983 4 2 Total .. .: £17,768 4 10

21

H.—9.

Return showing the Amounts paid in each Provincial District on Account of Hospitals and Charitable Aid, &c.— continued. BENEVOLENT INSTITUTIONS AND OUT-DOOR RELIEF—continued.

District. Amount. District. Amount. Year 1878-79. Auckland .. Taranaki .. Wellington -.. Hawke's Bay .. Nelson Marlborongh Canterbury Westland Otago £ s. d. 3,841 13 8 410 6 0 1,400 7 11 223 19 0 735 14 0 175 10 3 8,144 15 7 527 4 9 4,488 15 7 £19,948 6 9 Year 1882-83. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough .. Canterbury Westland Otago £ s. d. 4,732 8 3 798 15 2 2,345 2 7 970 1 9 903 0 11 94 12 9 11,016 5 0 982 3 3 4,939 19 4 Total .. Total £26,812 9 0 Year 1879-80. £ s. d. 3,219 6 1 481 9 3 1,550 14 1 334 10 0 669 2 7 9 16 0 7,174 7 1 506 18 6 1,460 0 7 £15,472 10 2 Year 1883-84. £ s. d. 4,316 12 6 917 18 11 2,863 4 8 1,641 7 10 924 16 4 70 13 3 11,763 9 10 794 0 0 3,519 5 10 Auckland .. .. .. 1'aranaki .. Wellington Hawko's Bay Nelson Marlborongh Canterbury Westland Otago Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago Total .. Total .. £2G,817 9 8 Year 1880-81. £ s. d. 3,059 8 0 1,162 17 11 2,G02 10 5 310 15 11 636 7 3 95 2 9 8,055 5 6 492 19 11 4,265 2 2 Year 1884-85. £ s. d. 0,558 9 4 903 10 3 3,065 6 9 923 0 8 1,573 2 6 266 14 6 13,707 18 10 798 17 3 5,936 3 7 Auckland .. .. Taranaki Wellington Hawke's Bay Nelson .. .. Marlborough Canterbury Westland Otago Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago Total .. £21,280 9 10 Total .. £34,393 3 8 Year 1881-82. £ s. d. 4,C5G 18 6 810 1 1 2,785 13 9 419 9 6 • 742 0 4 104 15 0 10,620 15 9 022 1 9 2,973 0 2 Year 1885-188G. £ s. d. 5,794 14 1 676 0 10 3,748 7 9 2,450 7 4 1,745 0 9 139 6 4 10,517 14 4 926 10 11 0,185 0 11 Auckland .. Taranaki Wellington Hawko's Bay Nelson Marlborough Canterbury Westland Otago Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago Total .. £23,735 1 10 Total .. £32,183 15 3 OEPH. DUSTRIAL SCHOOLS. .NAGES AND I Year 187G-77. £ s. d. 772 8 1 Year 1878-79. £ s. d. 1,GC5 0 9 Auckland .. 1'aranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 9 0 0 255 0 0 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago 131 9 0 7 4 G G54 10 0 62 8 0 1,255 9 2 805 8 5 G4 10 0 Total .. £1,841 10 0 Total .. £3,840 17 5 Yeab 1877-78. £ s. d. 1,916 17 9 Year 1879-80. s s. a. 1,926 8 G Auckland 1'aranaki Wellington Hawko's Bay Nelson Marlborough .. .. Canterbury Westland .. .. .. Otago .. .. .. 021 9 0 6 8 0 1,975 14 6 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 42 0 0 083 4 0 1,27G 8 8 22 10 0 42 0 0 Total .. .. £4,542 19 3 Total .. £3,970 1 2

H.—9

22

Return showing the Amounts paid in each Provincial District on Account of Hospitals and Charitable Aid, &c. — continued. ORPHANAGES AND INDUSTRIAL SCHOOLS— continued.

Districts. Amount. Districts. Amount. Year 1880-81. £ s. a. 2,345 10 8 Year 1883-84. £ s. d. 1,913 11 1 Auckland .. Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago 1,326 3 6 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 375 9 0 2,833 3 7 2,099 4 0 2,279 3 6 Total .. £5,771 4 2 Total .. £7,401 7 2 Yeae 1881-82. £ s. d. 2,811 5 10 Yeab 1884-85. £ s. a. 2,350 17 2 Auckland Taranaki Wellington Hawke'a Bay Nelson Marlborough Canterbury Wostland Otago 183 0 0 1,470 12 5 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago 486 7 0 19 12 0 3,486 9 5 45 0 0 2,466 7 5 1,939 18 2 100 0 0 Total .. £6,404 10 5 Total £8,954 13 0 Year 1882-83. £ s. d. 1,861 4 8 Year 1885-86. £ s. a. 1,643 19 6 Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Ofcago 87 8 0 2,371 2 2 Auckland .. Taranaki .. .. .. Wellington Hawko's Bay Neison Marlborough Canterbury Westland .. Otago 550 10 4 201 12 0 3,619 0 0 45 0 0 1,617 18 6 2,104 4 1 Total .. £6,423 18 11 Total £7,678 0 4 Year 187G-77. Nil 1EFUGES. FEMALE £ s. a. Year 1880-81. £ s. a. Year 1877-78. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland .. Otago £ s. a. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 197 11 11 416 10 9 100 0 0 130 0 0 £714 2 8 100 0 0 Total Total Year 1881-82. £230 0 0 £ b. d. Year 1878-79. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago £ s. d. Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 98 4 0 182 1 2 36'J 4 9 166 0 0 100 0 0 Total £380 5 8 Total £469 4 9 Year 1882-83. £ s. d. Yeah 1879-80. £ s. d. Auckland Taranaki Wellington .. . • Hawke's Bay Nelson Marlborough .. .. Canterbury Westland Otago Auckland Taranaki Wellington Hawke's Bay Nelson Marlborough Canterbury Westland Otago 60 19 6 765 13 6 258 17 11 187 17 6 100 0 0 100 0 0 Total £1,124 11 5 Total £348 17 0

H.—9,

Return showing the Amounts paid in each Provincial District on Account of Hospitals and Charitable Aid, &c. — continued. FEMALE REFUGES— continued.

23

Districts. Amount. Districts. Amount. Yeab 1883-84. £ s. d. £ s. d. 253 15 10 Auckland .. faranaki Wellington Hawke's Bay kelson Marlborough Canterbury Westland .. Dtago 90 2 0 Canterbury Westland .. Otago Total £787 13 6 239 19 2 Yeab 1885-86. £ s. d. 295 12 0 Total Yeab 1884-85. 100 0 0 430 1 2 Auckland Taranaki Wellington llawke's Bay Nelson Maryborough Canterbury Westland .. Otago 423 16 11 Auckland .. Earanaki Wellington Elawke's Bay Nelson Marlborough £ s. a. 95 17 8 202 6 G 438 0 0 100 0 0 Total £1,021 15 5

H.—9

24

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887. [Prepared in the Registrar-General's Office.]

0 Orders, Diseases, &c. < rt u U C 4? 3 & 3 u C 2 '5< go a. <r, JZ c I o I A a it cd c a o o Q a V, S <3 Q c s 5 d Q O Kto 6 a c o p' c i • c3 Q I d U Q U I Q nl U oj ffl a i Q ■3 £ Q 5 & rt ~. Order i.— Miasmatic 1. Small-pox 2. Chicken-pox 3. Measles 4. Epidemic Rose-rash 5. Scarlet Fever (Scarlatina) 6. Typhus Fever 7. Relapsing Fever 8. Influenza 9. Whooping-cough 10. Mumps 11. Diphtheria 12. Cerebro-spinal Fever 13. Simple and Ill-defined Fever 14. Enteric Fever (Typhoid) 15. Other Miasmatic Diseases •• i i • • •• ■■ • • ■■ • i - " "I • " - - - - - " • ■ • • - • ** •• •• ■• 2 'I • • • - • ■ • •• - " " - " - •■■ •• •• "I "I - 2 • ■ - ■ ■ • ■ • 9 I •1 • • • • • • I ■1 " • " ■ ■ ■ • • - - • • • • • •• - - - - - - - •• •• 3 •1 •• •• •• •• - •■ •• - ■• •• 1 •• ..! •• 3 •• •• - •• - • •■ •• •• - •• •I 1 4 1 • " • ' 2 • • • - ■ •■ •• ■• " - - - • • • •■ - • - - 2 • • - . I - •• ■ I ■ - - 1 • • - 6 in • "A ■ I- • - - - 3 23 ■ ■ - 6 •• •■ ■• 3 34 • • 2 6 42 I •■ 11 II • 1 I • • I • - •I ■• 1 2 - •• 2 •• - 1 - • 10 • - •■ i 10 • 1 - * • •• - ■ "I .. • - •■ - •■ •• .. .- ■ - - .- ■ •■ • .- •• Total Order 1 .. — H ! M - - — — H H - - N J29J i 18 8 • 28 6 .. 4 1 21 5° 11 12 • I " 8 1 - 3 •• 3 - ■ 16 ■■ Order 2.— Diarrhoeal, 1. Simple Cholera 2. Diarrhoea 3. Dysentery — — — — _i — O 4 i " " •• •■ ■■ •• * * I "I •« .. •" 2 • - •• " • • " • •" I • ■• •; 1 ■• ■■ • • •• • ■• •• ii ■ 1 n A •• •• 5 I 2! • • - - ■ "" • ■ Total Order 2 .. \—\ M M H H I H h5 I 1 H .. •• 5 6 2 ■ • • - " • 1 • ■ •■ • • • • •• - .. ■• 1 Order 3,— Malarial. 1. Remittent Fever 2. Ague 3. Beriberi 1 i — ■• 1 — — — —! 2 "I •• * * "I •1 •" "I • •I O o cn ■\ ■; I ■• •■ ■1 • •• .. - ■ - - " • - •■ !■• - ■ •• - • " - .. • •• • • Total Order 3 .. : q - ' I iH - -\ _3 i •• •• .. .. - • " •• 1 • • • • •• • • -• •• Order 4.— Zoogenous. 1. Hydrophobia 2. Glanders 3. Splenic Fever .. 4. Cow-pox and other Effects of Vaccination •• • • - '•I ■■ ■■ 'I • " — •I — — •• — I I •• !— •■ — • - - " •■ • • • •• • - - - - ■• • - • • ■ - •• - - - •• - - ■ •• - Total Order 4 .. I — - •• H H - H - I •• - • - - •■ •• - •■ 'I •• .. • • • •• : 1 1 — [ •• ■• — -^ I Order 5.— Venereal. 1 — — — — — 1 1. Syphilis 2. Gonorrhoea, Stricture of Urethra, Ulcer of Groin 21 1 1 •• • • • • 15 21 u k 2 ■• I 1 •• • • •• 2 • • 1 I • • •• •• •• ■■ •• Total Order 5 .. ! 4^: 3 1 — H H H H .. 5! 47 •■ 1 a • • 13' •• .. .. .. .. • • •■ • • ••

H.—9.

Diseases and Deaths in Hospitals— continued.

I— .— CO"

25

i \ 0 I Orders, Diseases, &c. 'SI a 'it. rt U Q t» u rt i O I in -C 5 & rt 0. rt in U Q c 0 I ■ rt rt a o I c iJ u o rt u u rt u Order i.— Miasmatic 1. Small-pox .. .. .. .. : .. 2. Chicken-pox .. .. .. .. ! .. 3. Measles .. .. .. .. 1 4. Epidemic Rose-rash .. .. .... 5. Scarlet Fever (Scarlatina) 6. Typhus Fever .. .. .. .... 7. Relapsing Fever .. .. .... 8. Influenza .. .. .. .. 2 9. Whooping-cough .. .. .... 10. Mumps .. .. .. .... 11. Diphtheria .. .. .. .... 12. Cerebro-spinal Fever .. .. .... 13. Simple and Ill-defined Fever .. .. I .. 14. Enteric Fever, Typhoid .. .. j .. 15. Other Miasmatic Diseases .. .. 1 • • • • • "" • • • • • • • ■ • •■ • • ■ • ■ •• - - - - • • I • I • - " • - •• '' ••I •• •• • !• •• •■ - !• •• •• • - - • ■ 1 •• - !•• •■ •• ■■ •• • " - • • - • - •• - - - - 1 • - • • - • • • •■ ■• ■■ ■■ ■■ •• • •• •• - • •• •• •• 2 11 J ■ • - - - -1 ■ •■ "' "1 I • - ■ I •• 4 2 8 in ■ • ■• I •• - - 1 ■■ I1 • •• •• •• 2] •■ H ■ • I - - h - •• •• • •■ • - •• •■ ■■ ■■ - - - - " - • - • - •• ■■ - •• •■ •■ •• •■ • •• I • 1 •• 4 28 •• 2 • - 2 1 - "is 1 - 1 1 ■■ 1 A " •■ • •• •• •• 48 309 2 • I - •■ - I • - • _j •• - - H • I 1 1 •• 49 ■ .. •• H ■•i I"" !•■ -I I- • • ! • ■ - - ■• • • 1 .. ■ •• •• O Total Order 1 .. .. .. 4 Order 2.— Diarrhaal. 1. Simple Cholera .. .. .... 2. Diarrhoea .. .. .. .. 6 3. Dysentery .. .. .. .... - 1 z! 1 .. 33 — H - .. 4 •■ H .. H — — ' 1 - — 18 — 2 H • — 1 _i '— 1 — I 5 — ' — — H — H - 3 h— • — - H •■ — 415 52 •■ •• •■ •• •• •• •• ■■ ■ ■■ •• ■• •I • I •• i •• ■• •• •• ■■ •• O - ■• 2 2 1 .. 3 5 I 4 ■■ 1 << - - I I .. •• 35 32, I •• I .. 1 •• 4 1 1 • • •• 1 •• ! ■■ 1 •• - - w — 1 H — H 1 H - — - Total Order 2 .. .. .. 6 •■ 1 3: 2 • 1 4 1 - 1 1 2 - I.. - •• .. •• 6 7 •• : 1 i 1 1 I — — ■~ — 1 __ — — — — — — Order 3.— Malarial. 1. Remittent Fever .. .. .... 2. Ague .. .. .. .. .. i .. 3. Beriberi .. .. .. .. .. i •• • •• • •■ •■ • ! •• • " •• 'I •• ■• •• - • •■ ■■ 3 • • !•• - - - •• i— ■ i. I— ' • •• • ■ • - ■• •■ •• •• -■ — 1 — H i — H __! 1 1 - — - I Total Order 3 .. .. .... - ••! • - ■ ■ 3 • - - - ■ •• - •■ ■• 1 •• •• ■■ 1 ■ ! — — — — t 1— —! !— !— — — i — Order 4,— Zoogenous. 1. Hydrophobia .. .. .. .... 2. Glanders .. .. .. .... 3. Splenic Fever .. .. .. .... 4. Cow-pox and other Effects of Vaccination •• ■ •• • • .. ■• - " • •• •• ■■ •■ •1 - " ■ ■■ •• ■■ •■ •• - • • H •• •• ■ •■ - - •• - •• • • • •■ •• • •• .. i 1 1 H I H I - iH i ; Total Order 4 .. .. .... .- 1 .. .. - .. ■ ■ " - - •• •• •• •• •• •■ •• •• ■■ Order 5.— Venereal. i — ! " I — — — — — 1. Syphilis .. .. .. .... 2. Gonorrhoea, Stricture of Urethra, Ulcer of Groin .. .. .. .. 2 12 20 I 86 i " •• •• •• •• •• • • ■ • • • •• 2 13 A 2 120 ■ • 2 - ■• •■ •• •I 2! 3 •• I "I • •• •• Total Order 5 .. .. ... 2! I — 1 1 1 1 - - I - H —; H _ — H • 2 ■ • *5 .. .. 5 •■ .. 44 •■ .. .. .. • • 2 ! .. 2 .. t .. 206? 5 • • ••

H.-9

26

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887— continued.

I Orders, Diseases, &c. U j Q S a o a C o 1— i— — rt 2 j . cC 0 a C c I S O c 5 a a o U a: 0 I E 1 1 I 3 3 1 j I '§. I 3 c o a 5 I i\i 5 I I Q 0 S 3 a u a d i e f Order 6.— Septic. 1. Phagedaena 2. Erysipelas 3. Pyaemia, Septicaemia 4. Puerperal Fever, Pyaemia, Peritonitis •• 3 2 • • 2 •• • • l " .. __ 2 • • 2 2 'I 1 4 1 1 1 •• • 6 •• ■• • ■ 1 ■ • • 1 • • - •1 • • I 1 •■ • - - .. - • • ■ .. .. .. • ■ •■ ■ • • Total Order 6 .. — H 6 H - 5 i - I H .. " .. • 1 •• 1 • ■ • • • • 2 • t 1 •• • • • ■• •• •• 1 Total Class I. .. H - H — — H H — ~ 184 24 1 2 35 3 *7 5i i 30 x 105 26 A 1 .. 3 • 2 3 I •• ■■ "I 12 3 10 •• - 2O 1 "• • • •• — — — — 1. Thrush 2. Other Diseases from Vegetable Parasites .. 3. Hydatid Disease 4. Worms 5. Other Diseases from Animal Farasites — — _l •• •• • ■• •■ ■ 2 "• •■ • • •• •■ •• ■ ■■ •■ - ■ " - ■ • i 1 • ■ " !- ■ - __ • ■ ■ - !- 1 • • "2 ■ 1 • • • • ■ i •• • ■ •• ■■ •• 'I • • ■ I Total Class II. .. 1 1 - H — - - 2 1 .. I ■ ■ • - •■ .. .. " "I ■• •• - • ■ • ■ r Wo) 1. Starvation Want of Breast-milk 2. Scurvy 3. Intemperance if Chronic Alcoholism .. r {0. Delirium Tremens 4. Other Dietetic Diseases — H H H M ■• . •■ ■ H - H •• - !- • ■ - • " • - ..I .. •■ •1 •• •1 • - - •■ - 16 5 I 2 ■ ■ ■ - • . . I • .. .. • •■ •• ■■ b- •■ ■• - •■ • ■ ■■ ■ ■ I 3 2 - • .. • • • 2 ■• 2 •• 4 4 ■ 1 • - 4 • I 5 3 1 13 • I- - ■ 1 1 •• • •■! ■ • 12 ■ - • • .. •• • • - •■ * * • ■• • ■ ..; ■ -. .. ■• • ■ .. Total Class III. ~ 1 1 i H — H i— 1 1 14 ■• .. 3 .. • I - 'I • • j 2 12 - • • •• • • ■• •• 1. Rheumatic Fever, Rheumatism of Heart .. 2. Rheumatism 3. Gout 4. Rickets 5. Cancer 6. Tabes Mesenterica, Tubercular Peritonitis 7. Tubercular Meningitis, Acute Hydrocephalus 8. Phthisis 9. Other Forms of Tuberculosis, Scrofula .. 10. Purpura, Haemorrhagic Diathesis 11. Anaemia, Chlorosis, Leucocythaemia 12. Diabetes Mellitus 13. Other Constitutional Diseases I — — o 1-1 <q - CAJCO U 7 27 •• \'H •■ 4 •■ 1 M 12 3 6 1 4 6 1 ..! 3 •" •■ ■■ •1 •1 1 ■■ 3 5 4 • ■ I - ..I 21 • • 20 • 1 2 ■• •• 4 'I • 5 ■■ •• 1 ■■ 3 'I 'I 2 .. •• • • " ••1 ■ • 1 • •■ • • • • " • • ■ • 1 .. •• • •■ • I I • 6 •• • I •• ■• __ 34 1 9 1 1 1 7 • ■ '8 - 2 1 1 • •■ - 1 • • 1 1 ■ 2 i mm • 3 • 3 4 • 7 2 • • - • •• ••! • ■ 2 21 5 ■ ■ "■ • - •■ • - ■ 1 12 1 9 •• 2 ■ 1 - 4 I 5 2 9 • 3 2 1 29 A A 7 ■ 3 ■ » 3 • - •• ■■ • •• • - • •• •■ A 5 2 2 • *' • 3 1 1 A ■ - ■ 2 A - • • - • • •■ d • • • • • - • •• ■■ ■■ 3 I ■ • • • • I 1 •• 6 • • • 2 • • - • 1 • 1 ■ - - ■! ■ •• 1 • - 2 • •• • - • • •■ •• • - - • - - - 4 • • • • .. ■ - • - •• • • •■ - " .. .. - - .. •• -. • ■ • ■ ■■ ■ ■ - • • .. •■ Total Class IV... I 1 — H H 80 1 130 21 H ! — 5' 2 25 J5 3 Go hs 4 12 *5 ■• 2 .. 4 2 2O 20 34

27

H.—9

Diseases and Deaths in Hospitals— continued.

rt C o O-5 O < o rt 'rt w rt 0 >- o 7L •S3 5 2 rt r- 1 rt o u Orders, Diseases, &c. 6 a — I I en rt 5 B 0 IQ rt rt i rt 1 rt rt I I O - I I Order 6.— Septic. a 1. Phagedaena 2. Erysipelas 3. Pyaemia, Septicaemia 4. Puerperal Fever, Pyaemia, Peritonitis •• ■• 1 ■ ■ " •• 3 3 1 ■■ ••! •• • • " - - •• ■• i "I •'I - - ■ •• 3 3 1 ■• : • ! 2 •■ 1 2 •I • - 1 •• 1 1 •• 1 " - •• •• •• - •■ - •• 3 •• • - I •• 3 ■1 • • •• •■ • •• •• •• 1 140 2 S 2 •• •■ • • • •■I •• ■• •• •I •I • • • • • 1 •■ •• — H I H H ;h H H — Total Order 6 .. 1 .. 7 1 .. .. .. •• • !■ I 2 3 - 2 1 •• •• 3 • A .. ■ •• 5S 10 •• I •• •• Total Class I. .. r ! \—\ - __ -- — H hH M - 8 M " - 8 — — » > I 1 I I 13 I -. 0<) H • 8 10 3 • 1 • 3 < ■ 1 10 1 •• 754 I 74 I 75 ■• • •• — — — — — — P 1 l.o 1. Thrush 2. Other Diseases from Vegetable Parasites .. 3. Hydatid Disease 4. Worms 5. Other Diseases from Animal Parasites •• I .. •• I .. - • "■ 1 ■ ■■ - • • • • ■• - •■ • - ■■ ■■ ■• i I ■■• 1 ■• • "I •• •• - - .. • 1 •• 1 •1 •• • * 9 1 6 •• 2 •• • - - - - ■ - - - - - - 1 • •■ I • ■ 1 - • •• •■ •• • - 1 •• Total Class II. .. — — — — 1 ~ H H 1 H H H — h^i 1 • ■ ■ * - ■ - - .. • 5 .. ■• • 2 .. "■ i •• ■! ■■ •• 1. Starvation Want of Breast -milk 2. Scurvy 3. Intemperance |j ggjfcAgtaJ- .. 4. Other Dietetic Diseases M —\ H H I H H - I H • - • ' • • - - • 1 •■ •■ ■■ •• •• ■■ •■• '■I " •• •• •• •■ 1— t - - • " • • •• ! H - - ■ ■ •■ •■ ■ •• - •• • ■ • 2 • 2 2 1 3 8 • - I- ■ • 1 1 ■■ - 2 - •• • 6 77 60 I 4 - 15 2 •• I3 2 • ■ • 1 ■ •• ■ ■■ •• ■ •• - " I - - • 1 ■ • • •■• 2 2 • •• •• 2 •■ •• -■ i.. •■ ■ • ., ■■ ■■ • • • •■ • • - • ... - •• Total Class III. ! I 1 H H 1 — 1 I i H - 1 - H — — H H 4 •■ - — J I 1 33 U-J I 1 ■• L_ • — _ 1 - — 2 — - — 2 - — Lj .. .. •• 144 'A O Peri l-H < o 1. Rheumatic Fever, Rheumatism of Heart.. 2. Rheumatism 3. Gout 4. Rickets 5. Cancer 6. Tabes Mesenterica, Tubercular Peritonitis 7. Tubercular Meningitis, Acute Hydrocephalus 8. Phthisis 9. Other Forms of Tuberculosis, Scrofula .. 10. Purpura, Haemorrhagic Diathesis 11. Anaemia, Chlorosis, Leucocythaemia 12. Diabetes Mellitus 13. Other Constitutional Diseases 7 30 6 - - ■•■• ■■ 2 - •• 2l Z \ I - - •■ i I 2 15 1 19 2 ■ A •• • •• - •■■ - - "I 2 12 3 •• I 4 7 4 *8 ■ • ' - 3 I 1 ■ • • - • " • 4 3| 2 - - 9 21 •• 4 2 6 4 3° • •! • 6 d •• 1 1 •I 2 1 •■I "■I • • ■ ■ • I 2 2 I 1 1 1 •! •• 1 - S1 1 •• ■ 5 • « ■ •• ■ • •• 1 1 3| 7| " 6 - 15 2 - • 8 •• I - •• I 1 • 83 261 13 150 7 242! 2I| 3' I " - - - 4 i 5 • 8 * 1 3 S( - - •■ •■ ■■ ■• ••! h • •• I •! - ■• ■ - - - ■■ - •• "\ • •• • • ■■ •• •• " •• 7 1 1 • A 10 • * •• ■ 2 ■i = ■ 12 - 2 " . ■■ ■ 1 • •• 77 12 23 •■ ! • .'. • • - 1 :! •■ • • A - •■ - " - • - " ■ •• 51 ■ • ■ • - 1 " 2 • • • • - • - • •• ■ Total Class IV... — I 48 I ! 1 i ! H " 1 — hH — H __ I 1 — 8 - 5S 4 11 23 3O U7 - 19 139! I 24 2 | 9 1 7 2 9 .. 3° 32 11 .. 899! i;(

H.—9

28

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887— continued.

E 0 Orders, Diseases, &c. -3 o S X! o Z I '5. re U Q *rt S to w re ■5 a a "tin O c 1 3 a g I I l U o o i r II 5 a E c. 3 5 Q U d & 6 I U 43 in U <$ (3 Q 6 S 5 I rt 3d 1. Premature Birth 2. Atelectasis 3. Cyanosis 4. Spina Bifida 5. Imperforate Anus 6. Cleft Palate, Hare-lip 7. Other Congenital Defects 8. Old Age •• •• •• • • • • ■ ■■ • " "I •" •1 •■ • • • • •• •■ • • • • ■• - - - • ■• - - - - " ,, __ • • • " ■ •■ I ■ - 3 - •1 • •■ • ■ • • :| .. 2 I 7 • 3 1 h 2 2 1 1 I • • •• I •• 1 •• mm • • Total Class V. .. — 1 1 6 — 3 •• •• 2 7 •■ •• •■ 1 I •■ 2 — 1 — ' 1 — en o h-4 Order i.— Diseases of Nervous System. 1. Inflammation of Brain or its Membranes.. Cerebro-spinal Meningitis 2. Apoplexy 3. Softening of Brain 4. Hemiplegia, Brain Paralysis 5. Paralysis Agitans 6. Insanity, General Paralysis of Insane 7. Chorea 8. Epilepsy 9. Convulsions 10. Laryngismus Stridulus 11. Idiopathic Tetanus 12. Paraplegia, Diseases of Spinal Cord 13. Other Diseases of Nervous System 1 1 7 9 6 1 ■• 1 - • • • ■■ 1 •■ •• - ■• •• - •• ■■ ■• 2 1 1 2 I I •• 1 " 1 1 " 2 1 1 4 3 1 1 1 1 1 - •• 1 - 1 •I 1 'I •• • - • ■ • - ■• ■■ .. "I •• " __ 3 2 I I •• • 1 1 1 - . . I 1 1 I •• 1 2 •1 • •■! ■ ■ ••I : I • - 1 I •• ■■ ■■ 2 - •■! •• - •• " 1 3 •• j 1 - - ■ ••■ - •• • • • - .. • • - - • .- - " ■ •■ 2 18 - - •• •• 6 1 1 6 I 5 2O 1 I s J I • •■ 6 •! 1 * * " 2 ■ • I •• •• • • 3 6 4 .. • • • • 2 5 .. I Total Order 1 .. .. .. M ~ i H 46 4 1 .. . . • • 11 •• 1 40 4 h7 ■ ■ 7 2 4 < 11 •I Order 2.— Diseases of Organs of Special Sense. 1. Otitis, Otorrhoea 2. Epistaxis and Diseases of Nose .. 3. Ophthalmia and Diseases of Eye ■• • I 2 •• I •• I 2 •• 'I •■ - •• •■ Total Order 2 .. 1 37 3» • ■ — 1 3 I 3 — 4 1 H 27 •• 3 1 • - ? 4 •J ~ 2 •• - •• H • • 3 3 4 J 3 4 •■ •• 29 •■ ■• •• 4 2 -■ •• •• • • Order 3.— Diseases of Circulatory System. 1. Endocarditis, Valvular Disease .. 2. Pericarditis 3. Hypertrophy of Heart 4. Fatty Degeneration of Heart 5. Angina Pectoris 6. Syncope 7. Aneurism 8. Senile Gangrene 9. Embolism, Thrombosis 10. Phlebitis 31 I •" I •• xd ■ • 5 ■■ I 1 — .1 2 •■ 1 "I I 5 1 -j - " 8 J 1 ■ "i ■ I — 1 1 — o ~ " 4. 1 • • " 3 2 6 _i ; " - • I •• I •■ • • __ 1 • ■• I 3 1 I 1 A - '; | 1 •■ ■ 3 i 2 1 1 1 1 1 1 .. •i ■ • I ■ " • ■ ■ • • - • • ■ •• .. •■ .. • ■ ■ ■ •• •■ 2 ■- ■ ■ .. .. .- .. ■• .. • • • • • •■ • ••

11.—9

29

Diseases and Deaths in Hospitals— continued.

rt I s 5-3 o .5 u a 6 Q rt 3 o C Jj rt d rt > 9 II u _rt 5 Orders, Diseases, &c. 1 0 rt a in a 6 o -d o el u — ri 4J i uo rt U 3 c 1 rt rt o rt rt o rt w I 1. Premature Birth 2. Atelectasis 3. Cyanosis 4. Spina Bifida ■",. Imperforate Anus 6. Cleft Palate, Hare-lip .. 7. Other Congenital Defects 8. Old Age •• "■ • • •• • ■• •• •• I ■■ •1 •• •• •■ •• 4 •1 • 1 • ■ •1 4 •• • 'I " •• •1 •• •• " •• •■ 'I • 'I • • ■■ 5 •• 4 ■■ ■• - h 1 " 4 8 - 1 2 I • "l " 9 22 •■ • - I - ■ 1 ■• 4 2 •• - •• 1 1 II - ■• I "1 • • 1 - 1 32 6 Total Class V. .. — M — — h- - H H — H 4 .. .. - 11 2 - 16 ■ - 2 .. • 72 6 ■■ ■■ Order i.— Diseases of Nervous System. 1. Inflammation of Brain or its Membranes.. Cerebro-spinal Meningitis 2. Apoplexy 3. Softening of Brain 4. Hemiplegia, Biain Paralysis 5. Paralysis Agitans 6. Insanity, General Paralysis of Insane 7. Chorea 8. Epilepsy 9. Convulsions 10. Laryngismus Stridulus 11. Idiopathic Tetanus 12. Paraplegia, Diseases of Spinal Cord 13. Other Diseases of Nervous System I 1 M — — — — L_ — —! I •• ■• ■■ 1 il ■1 1 •■ •• • 7 3 •• 'I •I ■ •• ■• •• 'I I •• •■ 1 ■■ •• 19 8 9 •• - 4 1 ■ •■ __ .. • • • ■ 1 1 ■• •• ■• ■• 4 3 2 A 2 I I • 3 i 2 1 I 1 1 20 II A 3 3 •• •■ ■ 1 ■• I - "8 - •• 1 •■ 13 1 32 10 1 3 7 •• A I 5 1 1 " 1 1 I 1 •• •• ■■ •• ..1 ■■! •• •■ •• 1 1 • 1 ■ 1 • 3 1 1 1 ■ ■ 2 1 1 - 1 1 1 • • 2 • 1 I ■ I ■ - •• 2 9 ■ A I • • 1 ■ 5 I • - • 2 •• - • " ■■ - ! ■• ■■ • ■■ ..1 •• I • ■ •• • • ••■ •■ Q A A ■ !• "I •• • " • - 1 35 J47 1 6 - 1 4 1 "\ 1 - 3 TO •■ •• 7 16 1 .. 1 ■■• ..1 2 1 .. - 1 < U 1 - .. 2 4 - - 1 ■• 3 • • Total Order 1 .. — i 1 H M H 8 hH 20 _J 4 37 •A ■■ 10 .. 22 2 U 1 50 10 "I * 3 7 1 3| 3 4 374 1 !— — — — — ! —A — o > Order 2.— Diseases of Organs of Special Sense. 1. Otitis, Otorrhoea 2. Epistaxis and Diseases of Nose .. 3. Ophthalmia and Diseases of Eye •• ■• •• "I 5 •■I 8 3 192 ■I ■■ •• •• •• ■■ ■■ •• 1 2 - 2 I • I •• •• 5 - 3* ■ • 40 - 1 Li -- I ■• Total Order 2 .. — h~H — - 5 •■ - 33 4 ■■ 2 I 45 - • 1 4! 4 1 203 ■• • • •■ ■• I 1 — — — 1 ! I H Order 3.— Diseases of Circulatory System. 1. Endocarditis, Valvular Disease .. 2. Pericarditis 3. Hypertrophy of Heart 4. Fatty Degeneration of Heart 5. Angina Pectoris 0. Syncope 7. Aneurism 8. Senile Gangrene 9. Embolism, Thrombosis 10. Phlebitis 6 4 - •• 3 10 I 1 • ■ - 3 4 3 •• " 1 1 •■i 1 1 J3! 1 " ■i ■ • • 16 •• • •i 1 I 1 1 1 * "I 2 " ; . . -. - 1 9 •• • •1 5 •• I ■ 1 e| 4 •• 1 il 144 11 13 ■• •• I ■■• • 2 - 7 26 4 I 5 •• •• ■■ 1 ■ 2 j I • •• ';! I 1 3 2 • 4 1 I 1 1 I - • ■ - - ■• ■ - • • ■■ •• .. .. 2 .. .. .. • • .. ■ ■ .. ■■ .. • • ..!

11.—9

30

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887 — continued.

n Orders, Diseases, &c. "I e o "EL I rt i X 'a s to > tn._: c s c o 6 a 1 E i 1 3 1 c Pa w I rt ■5 \& * 2 i I o I CO Q 1 s 3 j Q 5 i Q "i ! a 3 a u ; Q I Q III u Q 5 G u — •^ ' Order 3.— Diseases of Circulatory System —contd. 11. Varicose Veins, Piles 12. Other Diseases of Circulatory System 5 4J •■ •• ■• 4 I ■1 •• ■■ •• 10 i • •• •• 3 •• •• •• •• •1 ■• •■ 1 •• •• •• • • •■ • *l •• •• • • - ■■ 2 ■ ■• - - • • M 1 ■• 1 ■ - • 1 ■• — — — 1 H — i— i 1 - H H H H H H — 1 I Total Order 3 .. 43 11 • IO I 5 • 3 •■ .. 17 i 2 i H ! H 9 i - 1 1 !•• 4 I 3 ' 7 L - • 3 - 11 3 •• ■ Order 4.— Diseases of Respiratoty System. 1. Laryngitis 2. Croup 3. Other Diseases of Larynx and Trachea 4. Emphysema, Asthma 5. Bronchitis 6. Pneumonia 7. Pleurisy 8. Other Diseases of Respiratory System 1 - — — —! — '— j — — i — — — — — — — i ' ■• 3 5 1 "• I I •• ■• •• ■■ •■ •• . . I • •■ ■• ■• ■• •• •• •• "I "I •• "I •• "I - - • •• 1 • • - • • • • - • • • * • • I j ■ ..I I • I 12 9 1 - 1 1 1 1 - ■• • 2 3 1 1 6 3 9 1 8 15 •• 3! •• 2 ■ 20 6 •■ 11 8 ' 2 • 1 3 1 • • • 1 •■ ■■! 4 ll • • • 1 1 I 3 3 2 1 2 13 6 • - 4 1 I4 •! 4 1 4 - 1 • 1 1 ■ "i 3 1 ■■ " I *' 1 ••! I '■ •• •■ • .. 2 .. I •• - - - • ■ • ■• .. I • ■• 2 •■ 3 1 — — — — H 1 I - - — H - ! 8 H en s Total Order 4 .. 4 1 2 2 - 15 1 10 14 rf -1 9 1 37 ! A H ! 2 5 • 3 1 H 9 .. 1 j 1 24 5 7! •• •• •■ — I — ' — — — —' 1 1 ' 1— — o I > Order 5.— Diseases of Digestive System. 1. Stomatitis, Cancrum Oris 2. Dentition 3. Sore Throat, Quinsy 4. Dyspepsia 5. Ha?matemesis .. 6. Melaena 7. Diseases of Stomach, Gastritis .. 8. Enteritis 9. Ulceration, Perforation of Intestine 10. Ileus, Obstruction of Intestine 11. Stricture or Strangulation of Intestine 12. Intussusception of Intestine 13. Hernia 14. Fistula 15. Peritonitis 16. Ascites 17. Gallstones 18. Cirrhosis of Liver 19. Other Diseases of Liver, Hepatitis, Jaundice 20. Other Diseases of Digestive System 1 5 6 .. I 7 1 1 1 •• 1 1 ■• 1 1 1 •• - ■• ■ - - •• ! 3 2 "I I "I •• 2 _ 1 ■ • - • - - •• 1 - 2 5 2 ■• • • • ■ •• ' • • ■ 3 7 '" ..! •• I •1 • ■ • Ii ii 2 2 [k J! - • •■! •■! • - ■ • • - • 3 ■ i i •■! •■ ■• 1 "1 •• I I ■ I I - • • - - • • I •• ■■ ! < < 1 1 •• 1 1 •• ■ I- • • - • • • 1 2 • • 2 m% tm 1 •• • • ■ • • • • • • 3 j 1 " " .. •• 5 2 ' ■ 1 1 'I •• ■ • •■ A 2 I I - 2 1 ■■ • • • 3 • • ■• 1 • •■ I •■ ■• • • -•I • • 1 • • • - •1 I .. - i • " • •• 1 - • ■ • I ■ • •• • ■" - • ■ 2 • - 2 - • - A •• ■ • •• •■i •■ :■ • ■■ ■ ..I 1 ■ I •• 2 3 •• 1 - 2 • ■ ■•I A ■■ •• ■ - - • • - • 1 ■ • I •• I! • - ■ ■• " 1 6 2 - 1 • - - 1 • •• • - ■ • ■ ■• - • •• i I I ■■ •■! • •' 1 "o !■ • 8 ■ •• •■! - ■ - i A 1 1 1 1 1 1 ■■ ' ■■ ■ - ■• 3 • • * 1 2 " 1 1 - 3 I \ \ T! 1 21 - • •I 1 2 •• "i 1 •• .. ■ .- ■ • ■ 2' • ■ 1 - ■ ■ 3 1! - ■• 1 • •■ • •■ •• ■■ •• ■• — ! 1 — — M H — H - H — 1 I M — -H \— — - H — H M Total Order 5 .. 45 4 3 .. IO 1 U 1 _3 1 19 1 13 1 62 1 1 4 1 2 4 h 1 i ! A ! * 6 if. 3 I 3 ■ ■ •• — — — — — — — _\ ! ' Order C.— Diseases of Lymphatic System and Ductless Glands. 1. Diseases of Lymphatic System .. 2. Diseases of Spleen 3. Bronchocele 4. Addison's Disease •• •• •• •• ■• "I " •• •• 4 1 ■• •■ ""i •• •■ • 1 I • - • 1 • •■ • •■ • H • - - •• • •• •• •• ■- •■ - •• Total Order 6 .. — — H — - H H I I ■ • • • .. .. •■ .. .. 3 • • • ■ • • • • ■ 1 •■ •• .. ■• •• • •

31

H.—9

Diseases and Deaths in Hospitals— continued.

s 5 a 6 S-g M 1 i 1 5 a O a Q Q o U 2 £ o < U rt U 2 a rt m rt u a t» M 5 U 8 13 Orders, Diseases, &c. rt o U 3 c3 a 3 a I ui rt u a « rt U Q 5 D 1 rt 1 i> O rt ~ 1 - II Order 3.— Diseases of Circulatory System —coutd. 11. Varicose Veins, Piles 12. Other Diseases of Circulatory System 12 •M ■• •• - • 2 3 •• A •■ i ■• •■ •■ • ••!- 2 .. ■■ i "I • 2 |. i6| 5 i 1 ... • •■ 1 ■' ■•; •■ •• •• 1 1 • • I .. .. 2j. 2 •• •■' •• • iS 2 — M s — -\ —i— 3»1 H H • H —' Total Order 3 .. i 3 • 24 3! i A jj 2 A 2! r~\ 2 • 6 12 4 6 i 1 2S 5 79 - 1 1 •• 1 ■• 1 9| Order 4.— Diseases of Respiratory System. 1. Laryngitis 2. Croup 3. Other Diseases of Larynx and Trachea .. 4. Emphysema, Asthma 5. Bronchitis 6. Pneumonia 7. Pleurisy 8. Other Diseases of Respiratory System — h— — A ! — H — - — W ■I I ! 1 3il 1 1 .. 2 .. 7j •■ 20! .. I 2 . . .. 1 I •■ 117 1 21 2 " •• 1 ■• • • •■ ■■ ■\ "I 1 •• - •• •• - - • "I • .. ..! - • t •• •• •■ 1 < > 1 5 5 - 1 .. 27 1 23 3 21 2 • • ii • • .. .. 5 •• 45. 1 197 16 151 28 74 5 40 1 1 53i| 54 • ■• .. 5 7 10 9 11 • , 2 1 - • 1 •• .. 1 I 2 2 . . 8i 2 5 1 3 •• I 1 A •■ '! 1 1 i, ■• 2 1 . :: .. .. il .. •• • 4 1 • ■ 12 1 •• 3 5 1 1 4 7 4 2 1 2 I- • - 1 1 •• • ■■ 1 ■I •• ! 3 1 ■■ 1 - \ ■■ 20 •• i .. I • 1 ■ !•• • 1 • .1 I ••! 1 .. 1 ... Total Order 4 .. ! H H H H ;— 1 8 3 2 44 5 5 b 3j • 9 I 511 : 2 19 3 12 I 1 •• ! 1 — —' w < Order 5.— Diseases of Digestive System. 1. Stomatitis, Cancrum Oris 2. Dentition 3. Sore Throat, Quinsy 4. Dyspepsia 5. Haematemesis .. 6. Meleena 7. Diseases of Stomach, Gastritis 8. Enteritis 9. Ulceration, Perforation of Intestine 10. Ileus, Obstruction of Intestine 11. Stricture or Strangulation of Intestine 12. Intussusception of Intestina 13. Hernia 14. Fistula 15. Peritonitis 16. Ascites 17. Gallstones 18. Cirrhosis of Liver 19. Other Diseases of Liver, Hepatitis, Jaundice 20. Other Diseases of Digestive System •■ •■ I 1 9 •• 3 •• •• •• •• •• •• •• •• •• • " • 2 1 6 9 2 •• - • - - - - - - " 2 3 •1 • ..I • • ■ 1 • • • ■ ■ - 1 1 1 l A • 5 1 I I • - • • 2 "; I 'i - - 14 3 ■•! • .. I *' I •• 3 A 1 20 ■■• ••- 12 3 ! •1 1 1 1 •■ — 1 ■■ •• ■■ 1 1 •■ ..I i •• • •I 2 1 •1 > 1 • • ■■ •• 1 5 I! I I 1 1 - !— ■■ • 2 * • •■ 1 - - •■ • • 91 •• .. .. 441 •• 120I .. 6| .. 1! 57 6 27 6 4 2 81 1 13 6 - •• • •• " - " • .... ■ - 1 1 • 1 1 - •• • 3 1 •• 7 4 1 3 " • • •: ■ • I 1 • • I "I I • • i - •• • .. .. I. • •• ■■ - " - •• •• I H 3 4 4 • • •• • • • - 2 - •• ■ 30 1 20 21 2 I" - • ■■ •: •■ ■; A - • • • 1 ■ ■ - - •• • " 6 i ■■ • - • • 1 i - • • .. • • - - 1 •• • •• • • - • 1 •: ■• ■■ ■■ • • • •' • •■ • - •• " - - • ..... - I "" •• • J i 1 1 • • • •■ - ■• 3 ■• 9 7 69 8 35 5 487 44 ■■ • I I- • • 11 '6 i •; •• •:! • •• "I •• 1 i - 1 2 •• • ""I • •• - 1 ■' 1 1 •■! ii ■■ 2 1 2 A • • • 6 ! - 3 4 12 2 3 • 2 1 4 • A ■ 3 • • 3 • - 31 A - - 1 1 .. !• .. • • ■ .. • - 1 !•■ ■• •• -■ .. ■ Total Order 5 .. 28 — — — — - — M H H H - — — 1 8 H H 4 35 2 5 i 13 1 2O[ J7 ■ ■ 67 J 7 • 1 8 •■ i ! 1 13 _A • ■ !J u .. ' — ! — — — 1 — Order 6.— Diseases of Lymphatic System and Ductless Glands. 1. Diseases of Lymphatic System .. 2. Diseases of Spleen 3. Bronchocele 4. Addison's Disease •• 6 1 3 3 1 2 7 13 1 r - •• ■• •1 •• "I •1 •■ "I ■• ••1 •■ •• •• •■ ■• •• • " " • 1 • h - • ■ I ••! •• 1 I ■ 1 3 - • 3 • • - I • • • • 1 Ii •• • •• • - - - .. 1 - .. .. ■ - I Total Order 6 .. I — —\ — I 1 1 H I ! 8 H H H — L_ I - — H 3 •• •• 9 .. 2I 2 -■ ! 1 .. .. 2 1 .. I 1 • • 39 .. • • • • • •I

H.—9

32

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887— continued.

< a g m J= 8 a c '6 5 I a) EL is k c o 1 _ O a I rt o Orders, Diseases, &c. i I I I % 1 rt u ! a 1 1 I i~ i ■ 5 j Q 1 tA 1 £ O I G So ; et o3 ; ~-J rt D o Q U Q Q I o o 3 Q 1 3 a Order 7.— Diseases of Urinary System. 1. Acute Nephritis 2. Bright 's Disease 3. Ursemia 4. Suppression of Urine 5. Calculus 6. Haematuria 7. Diseases of Bladder and Prostate S. Other Diseases of Urinary System 1 1 4 6 •• 2 ■ ■• - ■• •■ • 1 [•■ •• _ 1 •■ •1 s 1 •• ■■ 4 2 IO I 1 i •■I 1 ;; ■•! . 1 •• 'I I •• ■■ 11 1 • 2! 1 - • •• I • • •• 1 ;. "" •• 1 •• 2 •I . .. .. .. .. ;; ;; •• - • ■ - - 12 1 "I *■ •• •• 1 • 1 1 1 3 • ■• - 3 1 2 • • j ■ "i 1 • "I •■ "" 1 i ■■ H " - 1 • ..1 • 1 3 1 - ,_ .. •• !• "I Total Order 7 .. — — — — H H -! H H I H H - h — — i L_L_- - 1 .. 1 1 . 129 I - 1 I Iij • : 1 u I ij • • 3 3 A ' ■• 1 ; •• i ■ M •• i — — —! — — 1 1 — 1 —' 1— en 1— Order 8.— Diseases of Reproductive System. (a.) Diseases of Organs of Generation, — 1. Ovarian Disease 2. Diseases of Uterus and Vagina ,. 3. Disorders of Menstruation 4. Pelvic Abscess .. 5. Perineal Abscess 6. Diseases of Testes, Penis, Scrotum, &c. .. (b.) Diseases of Parturition, — 7. Abortion, Miscarriage 8. Puerperal Mania 9. Puerperal Metritis I 10. Placenta Prsvia, Flooding 1 1, Phlegmasia Dolens 12. Other Accidents of Childbirth .. (c.) Childbirth (Lying-in Patients) 1 1 7 1 15 1 ■• •■ 1 1 .. 3 •• ! 5 ■■ __ 2 3 2 •1 I 1 •• "I ••I » • 8 6 9! ■- * " I 1 "I 4! •■ 1 19 4 2 • ■ ■• ' ' i " ' 'I " •■ m _ I I •1 1 1 •• ■■ 4 1 1 • * 1 — .. — I 2 ' " < 2 —— 1 • • •■ •I •■ •• •• • •• •■ •■ ' . . •1 •• i "I ■• •• • •■ •■ ■• . . •• • .. I ;•■ • ..1 •■ " 1 • ■•■ • ■■1 •1 - I - •• ■ ■■ H !•■ • .. •■ - - • • I •• •■ •■ ■ h - - •■I - -I "" J! • •■ • ■ ■ - • 1 • ■• • - •• c ■ .. - •■ ■ • ■ - - - ■■ I •I Total Order 8 .. — — — — - H — H — ~ H H — j H — - H — — - 43 3 - .. H 7 ■ I3 ■ H H !•• 31 ! A 1 I I • •I 2 ■ 1 1 • • 2 il i • i •• i • •• •• 1 • • Order 9.— Diseases of Organs of Locomotion. 1. Caries, Necrosis 2. Arthritis, Ostitis, Periostitis 3. Other Diseases of Organs of Locomotion .. I 22, — •• •• 1 1 5 1 ■■ — •• - •• — 13 11 — •• •• ' — — j i 1 — 1 •■ — 1 • — 27, 10 —\ 1 3 .- 'I 'I — ■• 4 1 5 1 — " 2 — — — — ■■ - - •• - - •• •• 1 ■■ • •• 5 - 1 • • •• I •• 2 • • •■ 4 2' - • - •• 3 4 - • - ■ •• •• ■• ..1 I- - •• - 2 • • •■ Total Order 9 .. 1 — M H H I - H M — H H - H - *7 I -. •• ' 4 N .. - - ? .. 1 - 62 4 • - ro ■ 5 • I 1 • • .. 4l ■' •■ 2 • •• Order 10. — Diseases of Integumentary System. 1. Carbuncle 2. Phlegmon, Cellulitis 3. Lupus 4. Ulcer, Bed-sore 5. Eczema 6. Pemphigus 7. Other Diseases of Integumentary System .. 14 5 •• ■• 3 •• 5 - !■• '' i ■• •• • — " ■• •■ •■ i — •• — ■5 2 26 " ■■ " 8 8 I ! — "I ■• 2 I — I ■• __ 1 - 5 1 — •• ■ • 2 — •• — — . . •• ■ • " " 2 7 1 •• 5 •• 5 1 * *l - 2 : ! 71 4 .. I3 10 • ■• • •• 3 I 2 • 1 •• 2 ■■ 3 •• - 2 42 6 - • •■ 3 4 3 .. .. 1 • "■ ■ •■ Total Order 10 .. 1 — H 7 H .. - H 7 — hi 1 48| 15 I _i 8 • • 17 i H — _3! ■ •• 2 __ .. ■ • •• • • • Total Class VI... — ~ 1 I H M M 76 ! 1 H — 326 4 7 78 3 5i 66 9 4 112 350! ! 7 5 2 58 56 XO 94 29; 10 52 30] -I 17 3,: i?

H.—9.

Diseases and Deaths in Hospitals— continued.

5— H. 9.

33

1 o Orders, Diseases, &c. o -3 I 2 r 1 "c^ o-g — n! ■ 2 5 a S q H V s o ■5 - i * 1 Q 5 Q o 1 3 c id 1 2 !^~ 0 J Q I u I I I rt I u ro C3 U O U C3 U D 5 II Order 7.— Discuses of Urinary System. 1. Acute Nephritis 2. Bright's Disease 3. Uraemia 4. Suppression of Urine 5. Calculus 6. Haematuria 7. Diseases of Bladder and Prostate 8. Other Diseases of Urinary System •■ 3 • 1 • ■ •• • 1 3 •■ i 4 • • • • ■• •1 I 2 2 • • •• 2 2 - 1 "1 1 5 3 1 ' 3 - I • • • • ••1 "I • I • i •• • • • •• •1 I - - - •I • • • I 1 1 1 1 - 1 * * I ■• ■■ x X2 37 6 5 13 5 54 39 1 • • • - - I • • • - 1 h •• ■■ ■• - •• !•• • • 11 - • 1 .. • 3 1 1 2 12 8 2 1 • - ■• • • • •• - - •• 3 1 • • ■■ 2 2 ad •• • ••I ■ 1 A • - I - •• Total Order 7 .. 6 — •• •■ 1 1 1 H H — 32 7 — 2 — x H H 4 3 3 171 2O 2 5 8 3 ■ ■ .. .. •• • • •• :— — ! 1 1 o I w Order S.— Diseases of Reproductive- System. (a.) Diseases of Organs of Generation, — 1. Ovarian Disease 2. Diseases of Uterus and Vagina 3. Disorders of Menstruation 4. Pelvic Abscess 5. Perineal Abscess 6. Diseases of Testes, Penis, Scrotum, &c. (b.) Diseases of Parturition, — 7. Abortion, Miscarriage 8. Puerperal Mania 9. Puerperal Metritis 10. Placenta Praevia, Flooding 11. Phlegmasia Dolens 12. Other Accidents of Childbirth (c) Childbirth (Lying-in Patients) 2 3 1 9 2 17 1 •• " " • • * * •1 * * 1 3 1 1 1 4 __ 2 1 •1 IIO 16 5 1 - 12I I •• 1 " 5 1 7 2 • • ■■ • • 2 2 1 1 •• 2 .. I • ■ .. 1 2 I 22 3O 10 6 94 1 I x 14 2 • '■ ' ■■ •1 •• •• •I • •I i •1 • •■ ■• •• •• •• •• •■ •■ ■ " - .. - - • I I • ■ •■ 1 ■ ■ * j 1 " - - • ••I • • - •• - - • - • 1 - ■ • •■ - • I ll - • • - •• • • ■' 1 I- — - •• - • - . I "s - •■ • - • • - 3 20 35 • 3 - • • - •■ •• ■ I <\ I- ■• - - ■ •• - U o Total Order 8 .. I • M ■ M • ! — - — ■ - - - 6 ••! i— j IH 35 89 .- I [ • H - H — ! - • ■ ■ •■ H 9 i i • ! •• ! • I I 301 * • ' — » — •• - H - i— ! 1 — '— — a 2 13 2 — .. H I 3 x • 332 Order 9.— Diseases of Organs of Locomotion. 1. Caries, Necrosis 2. Arthritis, Ostitis, Periostitis 3. Other Diseases of Organs of Locomotion .. i I - II 9 31 I I •• 1 •• 2 7 6 •■ 2 21 ■■ — 2 14 33 9 •• ■• •1 3 •• 1 1 4 4 1 — 2 123 131 69 ! • Ii !•■ - 3 •• - ■ • • 1 •• 10 5 3 ■ ■ - !•• ■ ■ ■ • • • • • - • 1 - - ■ 1 I 1 H — H - I I [ —! - I I Total Order 9 .. _!£i < H P ■ 4 •I '5 • • 4; \ - • 56 - 1 u 10 -. • 2 323! •• •■ •• ■• ■■ Order 10. — Diseases of Integumentary System. 1. Carbuncle 2. Phlegmon, Cellulitis 3. Lupus 4. Ulcer, Bed-sore 5. Eczema 6. Pemphigus 7. Other Diseases of Integumentary System .. H — — — — 1 1 — - ••! !•• 2 S - J! 1 9 21 ■• 1 • •1 I *■ •• •I •'I ■• 1 ■■ ■I 1 ■ • - * • 4! •• - - •• • • I " 2 • - . J ■ • - ■ • • • ■■ i •■ 6 - ! ■■ 3 •• 2! .. 1 2 •' I '-I 9 • 3 I 3 • • ■! ! •• 1 ■ •■ • 7 X35 72 •■ 1 !•• 2 l! 2 " • 8 •I 1 3 3 - 3 3 - •• ! • - - - • - •• I •• ■ - 1 .. -!•• 5 - - ■• - 1 •• - ! - "63 i •■ 1 •• 4 26 • - .. 44 .. !- i .. ■• ■ • •• • .1 3 .. - 2 ■ Total Order 10 .. i i — — 1 H — 1 i 1 1 8 M I2| ;•■ - 4 I xo|. W •■ I 4 ! ••! - 307 •• ■• 7 •• •• Total Class VI... I 1 ! ! ;— -I — H 63 2! 7 6°! — — — 1 ~ H -1 147 H 18 x 281 19 3 109 73 7 470 3C x? "7 20 1 54 36: I S5. xo 55 xo 44 3.052 275

34

H.—9

DISEASES AND DEATHS IN HOSPITALS. Table showing the Number of Cases of Disease and of Deaths from each Cause in the various Hospitals in the Colony during the Year 1887— continued.

5 Orders, Diseases, &c. 5 a a 1 rt vj rt o a 1 c S rt _j a (j rt 1 1 rt ri Si O Q S.rt 'rt c c . —ztJ:.-" c 4^ % rt u : a o a. H C rt o U rt ju .' s: rt At rt rl I rt JS I O 5 in X « rt rt « rt ' o u a K rt o a a a rt rt Q rt rt Q rt U rt rt rt V. rt u j a Order i.— Accident or Negligence. 1. Fractures, Contusions .. .. .. 2. Gunshot Wounds .. .. 3. Cut, Stab 4. Burn, Scald 5. Sunstroke 6. Poison 7. Drowning 8. Suffocation 9. Exposure 10. Otherwise 178 4 "8 3 1 i « "6 • • 18 2 7 i •• • •• •; • "I 18 .. 1 .. -! ■ ■ 33 •• » i 2 1 4 • • • • • 33j 18 II • • • 20 •• 13 1 • • • • • 61 1 15 4 •• • 3 ■■; 1 ■ •! 16 1 " -I "i • ■ 91 •• 3 3 • • 9 1 • • • • 5 I • • • • 7 ■• 3 .. • 7 ■• 3 18 1 2 1 1 • • " • 5 .. • • • • • 10 '8 •• 1 • ■ • - 59 •• 14 2 - 2 • 1 • 10 • • •• -i • • ..' • • - 1 • • •1 I" - • • - • 2 • • - • - - • • • • •• •• • - •• - - • •■ • • h I" • " • • - - - - • • - ..I ■1 • - • ..I i " •■ I 1 h ■ • io - 4 - • !•• " - •• .. 1 1 1 • - •■ ■ 2 • •• ..! h - - .. •■ •• • •• I- - • .. I- •• — M M — H H H H 3S H M H — H H - — H H — H - - Total Order 1 .. I 19 2 \ 1 10 •• 28 J3 47 1 • 72 .- .. 8, 4 17 N • 10 .. 7 11 1 10I 1.. 221 1 5 •• 18 1 77 3 10 c T Order 2.— Homicide. 1. Murder, Manslaughter .. 2. Wounds in Battle •• • • — •• •• — •• • •• •• .. — .. — • H —! •1 • • •• "! — "i i •• .. •• ■ • — • H :— •1 iH I— •• .. I - I •• H "I •■' — •1 H-! •• •• H — - • H — ••• - H •• .. !— • - H — •• •■ •• .. — Total Order 2 .. i 1 M H H .. .. I--I •• •• • - • I- • .. .. • - .. .. ■ •• ! •• •• • •• •• Order 3.— Suicide. 1. Gunshot Wounds 2. Cut, Stab 3. Poison 4. Drowning 5. Hanging 6. Otherwise i — — — l— — —\ — — \— —J — — 1 I • •• 1 •• •• •1 •• •• •• •• •• ■• •• •• •1 ■I •• 'I •• ■■ - 1 • • • .. •- • - •• • • • - • - ■ - a 1 * 1 • • - •• ■ - - 2 •• • • - • ■ - • • - •1 •• • •• I" ■ - - • - ■■ I - " - - • •• - - • • •■ • " .. - •• ■ • - •■ # . • - • .. • • - l- • • - •• ■• - - •• - •• • • ■■ • - - •• •• - •• Total Order 3 .. ... — — — — - H hH H H H H H H H - H - - 3 1 •• — • -I — I—A -- .. .. •• — • — .. 2 | — 1 •• • — • — ••1 — .. - — ■ —! .. ■ ■ •• — •• — •■ :— • — •■ — • — ■ • Order 4.— Execution. Hanging .. •■ •• • ■• •• -■ ■• •• •• •• " ■■ •• •• •• •• — — — — - — — H 33 - I— - H 18 - 1 Total Class VII. 195 i 10 .. a8 19 47 1 72 • • £3 !- *5 10 7 I" 10 22 77 10 • • •■1 ■•I E c 4-1' H 1. Dropsy 2. Debility, Atrophy, Inanition 3. Mortification, Gangrene 4. Tumour 5. Abscess 6. Haemorrhage 7. Sudden (cause unascertained) 8. Other Ill-defined and Not-specified Causes 1— — — H 1 i 1 i ' H H - - 2 4 1 1 4 • 1 1 I- • ••I • 1 •1 11 1 2 1 2 *■ 1 •■ " .. ■ ■• - "1 2 •• •■ .. •• - •• - • .. 3 - •• - - 3 13 21 •• 3 1 ■■ ■■ - "! 1 •• 3 10 - ■ 7 13 1 7 — 4| 18 1 6 •■ 1 "1 •-! - • 1 - •■ !i 2 •• 5 - - ••I I •• 1 ..1 •• " • • .. • - - " •• •■• - ••! • - • • .. - . - - .. •• • • ■■ •• - "I • - • " .. - .. • • • • .j ••! • •• 22 ..! 1.. .. - •• •• •• .. •I .. " 2 •• .. 1 • • .. • .. .. •• .. • ■ 1 — — — — 1 H - H - — H — I H Total Class VIII. 47 — 0 1 4* 1 N .. 22 10 33 H • 3i 1 1 • •• • •• •• •• — H — H M i164 — H IS - — H — - — General Totals .. 901 91 22I i8a| 7 no 161 5 19 318 24 686; 62] M 37 N 120 ■A 102' 70 9 z 3 hsl 4 36 2* 47 1

H.—9.

D. MacGbegoe, M.A., M.B. [Approximate Cost of Taper.— Preparation, nil; printing (1,575 copies), £21 lGs.] Inspector 01 Hospitals.

Diseases and Deaths in Hospitals— continued.

By Authority: Geoege Didsbuey, Government Printer, Wellington.— ISSB.

35

o g < B u a ii rt 'rt ■z •3 Q 3 a C < % 3 5 a I u 1 a o K 3 =3 C Orders, Diseases, &c. S 3 a rt 5 1 a 5 a 1 ft re '-J U Q D o 5 - 3 a u n rt rt i U U rt Order i.— Accident or Negligence. 1. Fractures, Contusions .. 2. Gunshot Wounds 3. Cut, Stab 4. Burn, Scald 5. Sunstroke 6. Poison 7. Drowning 8. Suffocation 9. Exposure 10. Otherwise •• 25 •• 9 I - • • • 6 ■■ •■ • • • 51 2 5 3 •• i ■ \ ■ \ •• 5 10 1 3 1 •■: ■ ■ 37 • 8 3 1 12 1 ■ •• • • 9| 2 2 • • • 71 3 15 1 .. a 6 1 •• • " i • 12 • -! • •■! 14 • • * 7 . \ • • • 14 ■■ 2 2 • 9 • ■ 12 1 •• I 32 2 I 1 1 ' • ■ • i .: 4 i. 1.. 1.. •• - 858 20 171 64 2 2! ■8 1 2 5 • 1 • 1 • • • ••I • • • J! .. .. 4 2 •• •■ • • • • • I - ■ ■ •• - • • •• • .. I • ■ • • I- " M- 32 18 ■• • 16 - • • ■•• ■" 6 2 - •• •• •• •• 2 - • - • • I Total Order 1 .. I I ! 1 - h~ — 1 — — H H 16J 1 —, H 37 •• 8 " 100 i 5 - 16 48 i 17 1 27 3 103 3 7 12 A M • 19 - A 2 3 i ■• 43^ 16 1 q: 1,204 38 |S u o "" — I I — ! — — i— 1 — ! — Order 2.— Homicide. 1. Murder, Manslaughter .. 2. Wounds in Battle •• - •• ■ •• •• •• ■ •■ •• •1 ■• •• ■■ ! 'I "I •• •• - • •• •■ :: :: - - •• - ■ ■ • - •• ■ ••! !•• • • ■■ •• •• Total Order 2 .. I !— H I - I 1 - H — H H H •• .. •• - •• ■ • • • • • - .. ■ ■ • ■ • • •• 1 •• ••1 •• Order 3.— Suicide. 1. Gunshot Wounds 2. Cut, Stab 3. Poison 4. Drowning 5. Hanging 6. Otherwise -1 ] — — 1 — — H — — — — — — ! "1 ! I ■■ •• •• •• •• "I . . "I • .1 2 •• •• •■ • •• ••! •• 2 4 5 I •• - I- •• 1 - • 'i • ■ - - 1 - ■ •• - ■ * * 1 I - •■ •• •• I •■ - • - • ■ •• I " •• •" - •■ ■• " •• •• ■ -:•• - ■ •• - .. •• • •• 1 •• .. Total Order 3 .. — — 1 I H H 1 H ! 1 » - - 1 •- 4 .. 1 - •■ 12 " •• •• •• • • i •■ •• •■ • • • - — — I — — — — — — — — • — ' I Order 4.— Execution. Hanging •• •• •■! • •• •■ •• ■• •• •• ••I I I ■• •• • ■■ Total Class VII. —I 8 — —! H 4 sj !— 1 — H — — H 1 1 i— i 1,216 37 - 101 5 M .. I 1 '7 1 27 3 107 3 8 I • I2; r4' 1 I ,. I9| id 2 23 • 43 16 ! A 1. Dropsy 2. Debility, Atrophy, Inanition 3. Mortification, Gangrene 4. Tumour 5. Abscess 6. Haemorrhage .. 7. Sudden (cause unascertained) 8. Other Ill-defined and Not-specified Causes — — - — - H ! ! I H a p 25 4 3 1 • - " •■• •■• 1 7 1 10 15 1 1 2 - 1 1 6 • II 1 3 2 4 1 '■ 1 ■ • • ■ 3 4 ■■ • • • ■• "s 3 15 29 ■■; H 1 ' • H • 1 • ■• ■ ■ - I ■ * 9! 4 6 2 I " • ■■ 2 1 • ■ • 1 2! 3 8 A ;| • ••! 1 1 1 1 ; •■ 16 107 8 70 177 2 • • - ■ • ■ " • • " • *8o " "I • 10 •• ■ 13 I 2 — • • * * 146 .. " 3 •• 5 • • ..! .. .. • • Total Class VIII. — I 1 — — 29 4 114 4 5 17 I5 i 7 • 65 ' 1 14 13 10 ■■ 9 1 166 526 6,681 " •• • • • • • • •• • • • • General Totals .. — — I 1 — N - — h— 293 21 35 2 621 60 29 3 J33 22 5j H 102 1139 20 910 7<1 35 57 101 i 2 74 150 *5 76 57'

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Permanent link to this item

https://paperspast.natlib.govt.nz/parliamentary/AJHR1888-I.2.3.2.9

Bibliographic details

HOSPITALS AND CHARITABLE INSTITUTIONS OF THE COLONY (REPORT ON)., Appendix to the Journals of the House of Representatives, 1888 Session I, H-09

Word Count
25,295

HOSPITALS AND CHARITABLE INSTITUTIONS OF THE COLONY (REPORT ON). Appendix to the Journals of the House of Representatives, 1888 Session I, H-09

HOSPITALS AND CHARITABLE INSTITUTIONS OF THE COLONY (REPORT ON). Appendix to the Journals of the House of Representatives, 1888 Session I, H-09