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

Appendix to the Journals of the House of Representatives, 1898 Session I, H-22

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1898. NEW ZEALAND.

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

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

The Inspector of Hospitals and Charitable Institutions to the Hon. the Minister of Education. Sir,— In studying year after year the working of our hospital and charitable-aid system I am more and more struck with two things : First, the tendency in every charitable movement to look to the initiative of the State; and, second, the consequent ostracism of charity. I desire to draw attention to the genesis and effects of that extraordinary development among us of the sentiment of benevolence so impulsive in its character, and so strongly vicarious in its methods, and which I consider to be one of the greatest characteristics and one of the chiefest dangers of our colonial communities. In searching for causes we must often go far afield. In tracing down the stream of tendency the chief thing is to make sure that you have got into the main current. There is no doubt that the main current of this impulsive humanitarianism, so markedly vicarious, of our people has its main source in the Christian doctrine of the brotherhood of man that, like sunrise on the sea, marked the inauguration of our era. Up to the great reaction of the sixteenth century the king's justice, supplemented by Christian charity, covered the functions of law and (optional) morality. That part of conduct which society has to make compulsory if it would secure its own existence is law. Now, among us, the wonderful thing is, that we seem to have despaired of charity and duty, and perhaps our most marked tendency is to place under legal compulsion as large an area of human conduct as possible. Up to almost our own time the movement of progress was in the contrary direction. The goal was to confine the State's action so far as possible to the security of person and property, and the measure of Britain's superiority over other nations was held to lie in the extent to which the activity of her citizens could with safety be left free from compulsion. How has it come about that our idea of freedom has been so transformed ? The Protestant reaction was against the supremacy of the Church and the king. Private judgment in matters of faith and private enterprise in action were the new ideals of freedom. The whole movement which culminated in England just before the birth of her younger colonies meant the reinstatement of the individual, and the curtailment of community. Once it was admitted that in matters of faith every man was free, it became manifest that this freedom carried with it the right and duty of every free agent to provide also for himself and his family. If, however, the worker so takes his destiny upon himself here as well as hereafter it must be at his own peril. Success may, indeed, crown his efforts—he may become a millionaire; but then, on the other hand, what if he fail ? Oh, that is another matter. Then, indeed, he must be handed over to the minimum compulsory charity whose symbol is Bumble. Surely this can never be what our fathers meant by freedom. This means for most of us simply freedom to starve. Just so, but you would have it; and that is the alternative offered by justice from the basis of your own claim for the right of the individual to think what he likes and do what he likes. Hume, Adam Smith, and Mill were the prophets of this individualistic dispensation. Under it private judgment, emancipated from the restraint of authority, rushed headlong into sectarianism, and while the sects were quarrelling the capitalist ran away with the profits of the whole period of England's industrial supremacy, and the masses of her people lapsed. Lassalle, like a new Peter the Hermit, had proclaimed a new crusade to recover the Promised Land, for had not the Chartists made it clear that there was no road thither through individualism. Civilisation had got into a cul-de-sac, like the Nile, the river of civilisation, where it is imprisoned and its current lost in the Central African morasses. Wordsworth said of this time, "England, thou art become a fen of stagnant waters." The outlet for which England was tentatively groping she found through the colonies. The colonial system of Wakefield contained germinal ideas secreted from the blood of an individualistic civilisation, which were destined to inoculate the whole maternal

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system with a generative impulse issuing in an amazing transfiguration, first of the colonies, and then, reflexively, of the empire itself. Britain was painfully, yet obscurely, conscious that something was very much amiss in her organization, some grievous maladjustment between the workers and their environment, and, behold, she was already in labour with a new birth, a renovating idea. That is nature's method of reformation. Somewhere in the organism, and somehow impregnated, a vital germ is lodged without observation and waits till the time is ripe. In this new idea of the true relation of the individual to the community,- which found expression through Kant and Darwin, there lay latent portentous presages of change. The great popularising writers, as, for instance, Carlyle and Buskin, and the poets, transformed the dismal view of society presented by the economists. A new revelation was given of the peril to the nation of an inadequate view of the nature of the individual. It was not safe to substitute the frying-pan for the censer. The old idea, self-love, as defined by " each man for himself," had led to chaos. It was not true that, given security by law for person and property, the individual reason and conscience might be safely trusted "for all the rest. It was not true that charity would supplement the shortcomings of justice, and that national harmony would result from that ideal of freedom. This the majority were driven at length to see meant for them that each man must work out his own salvation or damnation, as the case might be. That theory had actually issued in damnation for large masses of the people. Men must recast'their ideas of freedom and justice, for was it not clear at length that in capitalistic England freedom had come to mean freedom to go to the devil each in his own way, and that justice meant " Devil take the hindmost"? Not merely justice, but faith and hope and charity, must be recast in another mould. Of the sister graces, Faith, Hope, and Charity, Hope alone is always inextinguishable: she springs eternal. Faith has always been liable to periods of eclipse during which the timorous, the real infidels, are terrified she may expire in the clutch of the dragon. The reason is that because of her unappeasable yearning for systematic completeness Faith will persist in crystallizing herself too soon. She is impatient of the slow march of science with its exhaustive method. Life is too short, so she takes the selective method of the poet—selective for a purpose discernible by the individual—and accordingly her reign is catastrophic. The socialist has despaired of her last individualistic construction where heaven is defined as a deferred consolation for the injustice and misery of life. He will have none of this bourgeois ideal of heaven by doubleentry, so he is going to found a new heaven and a new earth, from which faith is to be excluded just as Plato banished the poets from his republic, for did they not calumniate the gods ? Faith is discredited in his eyes, and Charity must bundle and go with her sister, for did she not cling to her like ivy round a ruined tower ? The democracy hate her, for was it not she with her meretricious allurements that glorified the sanctuary of Mammon ? In the early life of the colonies, while the traditional spirit of laissez faire was still powerful, it was gradually found that the social sanction (richesse oblige) was too weak to enable commercial charity to make up for the defects of justice. The social sanction, in spite of its power in an old country, had failed with all its hold upon the past, "the heroic wealth of hall and bower." Some of its most potent elements at Home were incapable of transplantation here, while others were slow growing and took too long to mature. So it came to pass that the inadequately restrained rapacity of the individual in the "early days" was allowed to appropriate our most valuable lands in unreasonable quantities. This gradually brought about an acute struggle between the old ideas of property and the new colonial spirit of collective community with its resolve to nationalise the lands. The example of the colonies in this department of public policy reacted most powerfully on the legislation of the Empire, for did it not array the national conscience against its own policy in Ireland ? Here we find ourselves, then, in the midst of a violent recoil, of our majority against the bourgeois construction of earth and heaven. The humanitarian reaction which began, approximately, with the Victorian era has armed itself here in New Zealand with the trident of taxation in despair of Justice, for has not her bandage simply prevented her from seeing the capitalist sitting in the scale of her balance, and is not her sword rusted through? This three-pronged taxation, our new-found means of social salvation for the democracy, is to raise revenue, but also to foster native industries and nationalise the land. I believe that my experience of the working of our charitable-aid and hospital system has shown such dangerous elements in this humanitarian reaction as makes it dangerous to go further in the direction of using taxation not merely for revenue, but also as an instrument for social reform. I crave indulgence if I seem to introduce matters which may be considered irrelevant, but let us ponder this new departure, for the question is vital. What is the one thing needful for our humanitarian reaction arming itself with the trident of taxation as its great means of social reform? The old prescription, " Know thyself." What means this new spirit, and what are its elements of danger? As I have indicated, charity has among us become vicarious, and therefore hateful to the working-classes. Even an old-age pension becomes offensive if she is allowed to touch it. And can we wonder at it ? Was not she, as well as Faith, her sister grace, seduced into an improper intimacy with Mammon ? But society has now to face the demands for their rights in the name of Justice of those who heretofore asked only for a dole from Charity. The whole of the helpless and dependent poor have so effectually been taught to consider themselves members of the family, and such undoubtedly they must be acknowledged by their mother society to be, however degenerate they have become. She is their mother. They will no longer be kept in ignorance of their rights in such a nursery as State Charity kept. What if we are weak, deformed, vicious, criminal, insane, idiots, imbeciles, inebriates, many of us incorrigible? Did we ask you, 0 mother, to bring us into the world? Why have you farmed us out so long to the salaried tenderness of Charity, who is no better than she should be, and, besides, has brutally ill-treated us, earning her wages by simply keeping us out of sight? The time has come when the clay can and does say to the potter, Why hast thou made me thus ?

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Charity must be discharged, we demand justice. A seat at the board and by the fireside of our mother. Even if we are bad, you, at any rate, must put up with us, for your neglect has made us what we are. At any rate, you have got to keep us. Society, convicted of sin, stands aghast at the appalling task which her own neglect in the past has set her. At first, as was natural, her distress was hysterical and paroxysmal. She would rush headlong into all sorts of irrational and fantastic atonements. She has actually spent in harebrained and futile schemes much more a thousandfold than would have prevented these Helots from ever existing. Observe, her immediate impulse was merely to recover her self-respect, and not to show any intelligent regard for the outcasts. This was the characteristic of that movement of social reform which coincides roughly with the Victorian era, and which may be called modern humanitarianism. The first fruits of the frantic repentance of society were subtly and spiritually selfish. Gradually reason and common-sense are beginning to interpenetrate her remorse, and it is becoming apparent to the reflecting among philanthropists that Charity's new alliance with science shows signs of emerging in a rational philanthropy. Society's remorse and repentance must cease to be merely self-regarding. She must think more of her victims and less of herself. Above all, she must form a clear idea of the magnitude of her mission of amelioration. She must try to understand her victims and the influences which have made them what they are. This axiom of rational remedy she is now almost prepared to hear discussed. She will accept it as her postulate by-and-by. The Victorian era, as I have said, may be taken as coextensive with this reforming reaction. Though a hundred and twenty-four years have elapsed since John Howard began his crusade, yet it was as late as 1813 when Elizabeth Fry revealed the state of things in the Newgate of her day. She found " women chained to the ground lying in a dark cell, on straw changed only once a week, clothed only in a petticoat hardly visible for vermin." That was a harrowing sermon, containing seed which, however slow to germinate, at length sprang up as in the parable. The reforming movement went on, gathering in volume as it went. The long peace, the #apid multiplication of wealth and luxury, generally softened down the indifference to pain which accompanied the rugged strength of our grandfathers. They were careless of the infliction of pain, but then they were willing to endure it. Meredith has given us an immortal type of this masculine age in " Kirby the Old Buccaneer." Dickens and Eeade were, however, the more congenial prophets of sympathy, and they have largely formed the public sentiment of our time. It would take me too far to analyse the incalculable effects on our sympathy with pain, of the abolition of surgical pain by anaesthetics, or to show (as no good can come to man but evil shadows it) how our rapidly intensifying sensitiveness to pain (hyperesthesia) has at length developed in us an intolerance of, and a shrinking from, pain so great and even effeminate that our grandfathers would scornfully deny that they could have had anything to do with the begetting of us. Hard on the advent of the anaesthetic came the widespread craving for narcotics, a most momentous and influential ingredient in our neurotic pathology to-day. Consider in this connection Exeter Hall, and all that it symbolizes, whilst the old Adam is at work among Matabeles (Trooper Halkett), Soudanese, and Afridis. Consider, also, how nature is trying unconsciously, through the tremendous invasion of athletics, to save herself from total emasculation. She is afraid, without being clear as to the meaning of it, that the rough animal may disappear before she can afford it. Will even war be required to save our manhood ? Who can estimate the loss or gain in the exchange we seem to be making when we replace our grandfathers' carelessness in inflicting and enduring pain with a far smoother but deadlier unscrupulousness, such, for instance, as lately marked the action of some South African syndicators. It is to the full as perilous to our national welfare to make passionate pity for all pain our guide as we have found it to be to erect the individual as an end for himself. This gives rise to many evils which, I fear, we are shutting our eyes to, and these evils I would sum up in our fostering those tendencies that make for degeneration. The central fact in organic nature, and the fact which makes the whole intelligible, is the struggle for existence, if we will only look at it in its twofold aspect. Looking on the one we see in it nature's provision for all kinds of superiorities, without which all goodness would rot off the earth. The other side (separable only by the conditions of our intelligence) shows us nature's method of eliminating all incompetence by the slow process of degeneration. The dread alternative is nakedly faced. No humanitarian sentiment here. The universe of life could not exist on any other terms. To be strong is happiness ; to be weak is misery. So far as nature goes, without human co-operation justice means success, and mercy is called forth by failure, with its various stages of vice and disease. Before the advent of man, on whom nature has laid the whole burden of amelioration, justice and mercy meant this simply: Succeed and be blessed; fail and be damned. Degeneration takes charge of the elimination of the unfit; vice and disease, its ministers, marshal the recalcitrants to death. With the graving-tool of destiny God is disclosing the statue immanent in the block. But what of the chips and the shavings ? Is there no mercy for them ? The mercy of God must flow through the intellect and conscience of man. God made man in his own image, his coadjutor and fellow-worker. Happiness for man is the unfolding of this Divine kinship. Man's reward is the smile on the stern face of Duty, and his proper work to raise the fallen. But how ? By patient investigation of the laws of degeneration. Thus, Degeneration is the awful minister of Justice, and her processes are slow and hidden as the evolution she subserves. This face has always been known to the wise, but science at length is able to decipher the processes of decay. Ceasing to aspire we begin to die; decomposition sets in the moment the vital force begins to ebb. Decay begins at the top in the dissolution of our latest and most precious acquisitions. We can demonstrate, at any rate, its grosser effects in the cortical cells and fibres of the brain. On the mental side it is easier to grasp the significance of the facts with which every one is familiar. At any rate, no intricate scientific apparatus is required. Degeneration first manifests its insidious effects in diminished resisting-power under temptation. All mental superiority has for its elements vivid sensations, vividly recalled as images by memory; and all inferiority, conversely, has dulled and blurred feelings, dimly recalled as images or motives. This is

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the fundamental fact both on the intellectual and moral side. Vividness or dulness of feeling in all varying degrees is the common measure of excellence or defect. All education has for its end to stimulate the dull into vividness both in thought and conduct. Omitting the intellectual side of the fact, consider the rationale of motives to action (assuming the instinctive simply as such). The power that deters from, or urges to, an action under deliberation depends on our vivid grasp of the consequences of former deeds. A man's action is vigorous according as his memories are vivid and clear. Feebleness of original impression and distance in time are the enemies of vivid recall. The strong man in thought and conduct is he who can allow for this diminishing effect of distance, who has a high endowment for moral perspective, and who has a keen appreciation of the relative greatness and real attractiveness of things. As a great sage once said, "The good man is he who is able now to realise what he will feel in the retrospect" —when the chickens have come home to roost. This diminishing effect of distance in thought and conduct is most easily resisted by those whose feelings are keen. Their powers alike of appreciation and resistance when temptation assails depends on the degree in which former experience returns vividly. The able man, then, whether in thought or action, in science or conduct, is he whose vision is vivid. This is the point at which degeneration grips us. For its essence is that it blunts the feelings and blurs the image under recall. The drunkard resolves mightily while as yet his head aches and his mouth is like a lime-kiln, but, alas, it is a vanishing gleam. Vice generally thus means callous and blunted feelings, and that means weakening will, requiring ever a stronger and stronger dose of stimulant to make it respond: that is why man never is but always to be blest. The whole significance of stimulation is here— i.e., in the law of fading vividness—and the wise know that man's proneness to the use of stimulants lies in the power of certain things to brighten and recall the gleam that vanishes with such accelerating rapidity each time we avail ourselves of their influence. Failing alcohol, men will fall back on an alkaloid. The cells of all our bodily tissues obey the same universal law, and all disease is essentially loss of power in these cells to respond to normal stimulation. It is habit that corroborates every acquisition of power, and it is habit that is the agent of degeneration with its inveterate accumulation into vice and disease, whether bodily or mental. " Can we prohibit degeneration? " is like asking, Can we prohibit excretion? Can we retard it ? Yes, up to a certain point; beyond that, reason bids us to facilitate the process. But how ? By secluding degenerates from the possibility of procreation. I have traced in outline the great movements that have resulted in making charity vicarious and therefore abhorred of the democracy. The new demand is for the legal enforcement of the rights of the "submerged tenth," the means —taxation. This is the key-note of our legislation. It behoves us, therefore, to make clear to ourselves above all things what exactly is meant by this demand for justice. Are we on the basis of an extended municipal and county franchise to give a legal right to maintenance, without restraint on propagation, to all who can successfully simulate inability to earn their own living ? That is the question of questions for our legislators to ponder. This sentimental philanthropy operating through taxation prevails among us to an extent that has probably never been equalled anywhere. Nowhere is this spirit so plainly manifested as in our charitable-aid and hospital administration. As long ago as 1888 I wrote in my report as follows: "The law of competition, being co-extensive 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. 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 be good-natured at the expense of justice? Our circumstances have stimulated our good-nature to an unnatural degree, and we will soon be in the midst of another reaction. We are 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 ? " To the cold-blooded question of Cain—" Am Imy brother's keeper ? " —the best of our race in all generations have instinctively replied, We at any rate feel ourselves to be so, and, if we would escape bloodguiltiness, we must be. Every heroic deed has its root in this. To what is due the forlorn struggle of the trades-unionist ? Is not even our co-operative worker trying to carry his weaker brother on his back ? Surely in past reports I have made it obtrusively clear that our subsidised propagation of the unfit is grotesquely absurd. If want of keen feeling, inherited or acquired, is the beginning of degeneration, and vice is due to increasing bluntness, intellectual and moral; if want of vividness in sensation passing into stupidity is vice merging into crime, then surely whatever tends to petrify feeling is condemned. Could human ingenuity invent a system so perversely adapted to blind all feeling of self-respect and independence in our people as our subsidised charity? My experience as a public officer whose chief business is to analyse the social significance of the tendencies manifested within my departmental scope leads me to say, with all the emphasis at my command, that any community that attempts to concede the right of the degenerate to procreate without restraint is merely subsidising the survival of the unfit. A law tacitly admitting, as ours does, not the right to a bare subsistence merely, but even to modest comfort of all who can assume a sufficiently plausible appearance of poverty is simple delirium. Our lavish and indiscriminate outdoor relief, whose evils I am tired of recapitulating—our shameless abuse of the hospital system—

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the crowding of our asylums by people in their dotage, kept there because there is no suitable place to send them to, and many of them sent by friends anxious only to be relieved of the duty of supporting and caring for them—what is it all coming to ? If society is to be saved from breaking down under the tremendous load of degenerates in esse and posse that it will persist in carrying on the taxes we most accept the portentous significance of degeneration. We must try to grasp its rationale, and see to it that our attempts at palliation no longer are permitted to intensify the process of blunting the people's self-respect. To use taxation as we are doing—as an instrument of social reform —with any safety, we must somehow provide for the elimination of the unworthy who have become incorrigible. Otherwise the burden will become too heavy for the whole available motive-power of all the religion, all the virtue, and all the goodfellowship extant among men. It will simply leave the field clear to the predaceous demagogue. It is the old task of Sisyphus : You must alter the grade of that hill, else for ever that " shameless" stone will continue to roll back. Is it not time that, on the hustings, in Parliament, the Press, and the pulpit, this mawkish sentimentalism should be made ashamed of its imbecility ? Is there no longer extant among us enough robust manhood and common-sense to cease this sickening cant of cheap philanthrophy—cheap, i.e., to our private pockets,but insanely lavish with the taxes? As if all this were not enough, we have enfranchised woman, and it remains to be seen whether she will prove herself the apostle of common-sense amidst this abyss of insincerity and humbug. Surely they as a sex are interested in purifying the fountains of life. Must the mother always weep alone ? I used to be hopeful of the sobering effect of Direct Taxation, but now the outlook is less promising. Until we make up our minds to seclude—till they become safe —our degenerates and incorrigibles even direct taxation in the interests of the " have-nots " can only bring universal beggary. Taxation of the few by the many in their own interest is the rock ahead of our democracy, especially with our notions of tridental reform. As if the State had a vested interest in the degradation of its people, I find that they, as fathers, mothers, brothers, sisters, are responding to our efforts to sap their self-respect by doing their utmost to throw the cost of maintaining their relatives on the taxpayers. I constantly hear the plea urged that as taxpayers and old colonists they have a right to send their relatives to State institutions. One of the heaviest and most thankless of my multifarious duties is to resist to the best of my ability the swelling tide of pauperisation. Given on one side the full current of our vicarious philanthropy, all the believers in our sympathetic taxation, with direct access to members and Ministers by those who do not like compulsion to pay what they see their neighbours so easily get out of, and on the other a public officer of whose duty it is a mere trifling addendum that the whole onus of resistance should rest on him, and what can the democracy expect? Consider that nobody cares whether the officer collects the money or not, but that anybody who can be got at cares a great deal indeed, and takes care that he shall feel it if he is too persistent in his exactions, and who can wonder if the time be approaching when the public shall have such servants as its supineness deserves ? In all our hospitals and charitable institutions the enforcing of payment for maintenance is left to local bodies, many of whose members are full of this humanitarian zeal, while they are absolutely ignorant of the evils which attend its exercise. Many more of these members are ambitious of a public career, and utilise our charities as stepping-stones to popularity. All the inmates of our charitable institutions and all the adult recipients of outdoor relief have votes, and that, I say, is a great evil in such circumstances as ours. We have the worst possible form of administration for our charities. The local bodies are multiplied so absurdly that the ratepayers and contributors are absolutely tired of voting at the endiess elections, and their representatives are year after year elected in the most haphazard fashion. Nobody cares anything about it. I endeavoured last year, with the help of Mrs. Neill, to let in a little light on the proceedings of the Wellington Benevolent Trustees, with little effect. This year, indeed, some little care was taken to see that some contributors were present at the annual meeting besides the candidates, who for so many years past practically elected each other. Another serious evil is that these members are appointed annually. Now, universal experience proves that there is no public office where inexperience is so mischievous and its effects so terribly expensive as in dispensing public charity. Even the shrewdest and hardest-headed defenders of the public purse are unable to resist the appeals and the sights of misery, real and feigned, that come before them, and by the time they are beginning to understand a little their year is up and they mostly retire in despair. Let there be but one or two persistent men on the Board, and nothing is more certain than that, in the present comatose condition of public feeling, they, with the secretary, will get control of the whole expenditure. The evil results of such a state of things are infinite, and nobody takes the slightest trouble to even notice them. Some day the Demos will cry out in its dreams, and some poor official victim will be sacrificed to its repose. One of these evil results has often thrust itself on my attention. I mean the impossibility of enforcing any discipline whatever in these institutions. There are so many in search of a mission to secure popularity, and there is no means so cheap and effectual to this end as an agitation to expose some abuse of authority—as if it were still anywhere extant—or, if possible, something like cruelty. Any drunken old reprobate, quite incapable of truth, can easily be found to bring horrible charges against the officers. A letter or two in the papers act like a spark in a magazine, so susceptible and inflammable is our humanity, so explosive our virtue, and so cheap. Nothing short of a Boyal Commission will serve as a sop to Cerberus. I have seen dozens of them, and never one worth a penny of the money squandered on them. There is hardly a week that some Commission or other is not at work keeping up turmoil in one or other of our institutions. At a certain hospital a short time ago (one of many such experiences) I had a series of the most horrible charges made to me against the master and matron, which I took down in writing and carefully investigated, I

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found every one of them to be malignant fabrications. The man who made them was a depraved, disreputable villain, an habitual liar, without a trace of shame, and was well known to be so. He had been dismissed from the institution many times for being drunk and abusive, and making gross charges against the officers, yet so afraid were the Board and the secretary of the man's plausibility and the proneness of the public to fits of raving on this subject that he was constantly readmitted in spite of the officers. At last he practically took charge. I happened to be inside the building, with the window lifted a little way, and I heard him insult everybody, especially the officers, in the most outrageous way. He threatened what he could do to them, and defied them with insult. They jvere afraid, the Board were afraid, and the secretary. The position was a scandal. I wrote to the Board describing the state of affairs. The Board, as soon as I became responsible, acted at once, and now there is peace. They wrote to thank me for my letter, which relieved them of such a difficulty. Such are the experiences that have convinced me that in the existing mood of public sentiment no popularly elected body can govern these institutions, and much less can any public officer, until these incorrigibles and degenerates are restrained. Our hospital system is also greatly abused. The trustees, everywhere except in Auckland, are lax in enforcing payment from persons who are able to pay their maintenance. In Auckland last year £3,140 was collected, in Dunedin £1,393, in Wellington £1,617, in Christchurch £524. The column of figures in the reports on this subject ought to be seriously pondered, for it is very significant. The outdoor department in some of our hospitals, and especially in Wellington, is attaining alarming proportions. I have drawn attention to it year after year, and I have personally remonstrated with members of the Board. They, too, are naturally afraid of resisting the popular demand for cheap medical treatment, and are apt to forget that they are administrators of a public charity. They say they do their best, and perhaps it would be unreasonable to expect them to resist the current of vicarious humanitarianism that runs so high in this town. Here, whenever any movement of a philanthropic kind is started, the first thing as a matter of course is to get up a deputation to wait on the Minister for a subsidy. Medical fees are so high and the hospital doctor so popular that it is difficult to refuse a permit to the hospital. I am glad to find that this year the doctors are beginning to try to check this evil. It never seems to occur to people that medical fees must be high wherever a doctor has sufficient standing to enable him to exact them. For the rest, what with friendly societies on the one hand and the hospital on the other, the pressure on the profession is very great. In all our centres of any size this pressure creates a demand for hospitals, in order that an existing doctor may be subsidised or a new one induced to settle. The usual procedure is : The doctor suggests to some of his influential friends that the district is entitled to a hospital quite as much as such-and-such a place. The local editor is enlisted, letters appear in the paper, some active and ambitious member of the local body sees possibilities in the movement. He heads a deputation to the Minister. Nobody counts the cost. I have resisted to the utmost in such cases, but always in vain. At this moment claims on claims are being urged, and all the obstruction naturally falls to me, and everybody who is interested knows the fact. If things go on as they have been doing, I see nothing for it but that the practice of medicine be taken bodily over by the Government. Certainly this is the point at which the tide of socialism can most easily break through, for the gap in the bank is a big one already. The question is very serious, and is daily becoming more so. Ever since Lister taught the world the part that is played by the microbe and sepsis in disease, it is clear that to operate successfully in serious cases the doctor must have the fullest control of the conditions of treatment. It cannot be denied that hospitals properly constructed, drained, lighted, and ventilated, with skilled nurses and suitable appliances, offer, both to the patient and the doctor, such advantages as no private house can afford. The plea for the extension of the State's functions in this direction is therefore becoming steadily more irresistible. This is what the argument comes to. Why not in every place where a doctor can settle found at least a cottage-hospital, that we may get his services cheap; and, where one cannot yet make a living, also found a hospital to enable him to do so? What does it matter if there be no longer any prizes in the profession worth struggling for? That, they think, is no concern of theirs. There are always plenty more doctors. Little do they know that there is no such dangerous enemy of society as an unscrupulous doctor, nor one that the State ought to look after more sharply. This would be going a long way towards taking over the whole practice of medicine by the State. We are half-way there already. Has not the State control of the medical register, and can it not regulate fees far more easily than it can fix the living-wage ? It can be done by a Bill, just as you can regulate the weather by fixing the barometer at " Set fair." Still another phase of this complex question may justify a few words. Our hospitals have practically ceased to be charitable institutions. We have done our best to teach people that it is now a matter of justice, and tridental justice at that. All modern hospitals must have private wards for those who can pay for them. Very good ; why not ? How many persons from a distance have to come to our large towns for medical treatment ? How many lodgers in private houses and hotels who cannot be properly cared for except in a hospital ? Are we not to make any provision for these ? Admit them to the hospital, then. Are you prepared to allow the doctor to charge for operations done in the hospital a fair fee over and above all hospital charges ? Are you prepared to face the consequences of this and allow hospital rooms, hospital nurses, hospital medicines, and other public appliances to be used for the doctor's private patients. If you are not, do you expect men of any standing in the then conditions of practice to give their services for nothing, or for a mere paltry salary, to persons who would, in ordinary circumstances, be their private patients outside ? One of the inevitable consequences of this tendency will be to throw all our hospitals into the hands of inferior men. And then, how are you to prevent a doctor in practice and who is also attached to a hospital from foisting on it any patient from whom he has taken all he can get in fees, in the well-assured confidence that he will not be asked to pay there; or, if by chance he should be, all he need say is that he cannot pay ? If it be replied

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that the Board of Trustees have full power to fix the doctor's salary, either these extra payments must be matter of private arrangement, or they must be included in the salary, which must then be enlarged. How could a case like this be met ? A certain district hospital had an energetic trustee who lived at a centre some miles away. He wanted to raise the doctor's salary, paid out of taxes mostly, by £50, provided the doctor would visit the village once a week at his own cost, and charge the same fee as in the hospital town. In short, the ways and devices are numberless in which our hospitals must continue to be abused even as they are now; and what can we expect if the stigma of charity be removed, and justice takes her place ? This is where we are drifting to. I only ask that we should do it with our eyes open. The real difficulty in this as in all our other institutions is that, in the present state of public sentiment, the right men—the men who in point of ability and integrity can be safely trusted with such functions—are not available. We are like the swine of Gadara plunging down a steep place into the sea, possessed by this devil of vicarious charity masquerading as one of the Christian graces. Even the Churches have become infected. For their rescue-work the Anglican and the Catholic Churches, as well as the Salvation Army, are subsidised. The Presbyterian Church of Otago tried it, but, reminded of their traditions, they retired. Again, look at the leaps and bounds by which our system of female nursing is growing. Stimulated by the demand for an eight-hours day, so desirable in itself if we could only organize society so as to get it, our hospital trustees show a tendency to grant this even where it is not required—l mean in such hospitals as must have a considerable staff to cope with the typhoid season. This happens in some hospitals which, yet, as a rule have easy times because the patients are few. I know hospitals where the nurses are increasing far too rapidly in number—during the slack times they are simply in each other's way—where their demands for every comfort are so loud and persistent in the mouths of their humanitarian champions that it looks as if the whole system must break down of its own weight. In all these things I have pointed out, together with much that no one sympathizes with more than I, there is still to be discerned much that comes of thoughtless extravagance fostered by State subsidies, and a very great deal of a corrupting and degenerate philanthropy. The practical outcome of our overlooking the continued accumulation of degenerates among our people by our fostering of all kinds of weakness will necessarily be, if it continues, that society will itself degenerate. Taxation will increase by leaps and bounds, and the industrious and selfrespecting citizens will rebel, especially if taxation is expected to meet all the demands of a Legislature that puts our modern humanitarian idea of justice in the place of charity. Even if the socialist does come, there is a hope that he will see the absolute necessity of preventing the present subsidised propagation of the unfit. He may be expected to see what degeneration means, and to insist that its increase shall stop. While the State is bound to admit that these unfortunates are her children, for whose birth and parentage her own selfish neglect in the past is responsible, yet she must in self-defence take control of them. All of a certain degree of inveteracy must be committed to State institutions, where they shall be kindly but firmly treated—well fed, well lodged, well clothed. Their faculties for improvement must be carefully estimated, and tasks set them which are not beyond their strength. Their lives, left to themselves, have been hopeless failures, because their passions are beyond, their control. By our former and existing treatment they are only made worse at enormous expense, attempting their punishment, their control, or their cure by methods confessedly absurd. I venture to agree with President Alexander Johnson, of the American National Congress of America last year, that the time has come when every civilised State must say to the degenerate, " I have tried punishing, curing, reforming you, and I have failed ; you are incurable, a degenerate, a being unfit for free social life. Henceforth I shall care for you ; I will feed and clothe you, and give you a reasonably comfortable life. In return you will do the work I set for you, and you will abstain from interference with your neighbour to his detriment; and one other thing you will abstain from—you will no longer procreate your kind; you must be the last among your feeble and degenerate family." As for the cost of all this—we are already wasting far more by our present foolish methods than wise and complete care would cost. 'This was contained in embryo in die Bill of 1890.

ABEOWTOWN HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 10 Admitted during the year ... ... ... ... 87 Total under treatment ... ... ... 97 Discharged ... ... ... ... .. ... 90 Died ... ... ... ... .:. ... ... 5 Bemaining on 31st March, 1898 ... ... ... ... 2 Sex. —6l males, 36 females. Localities from which Patients came. — Arrow, Macetown, Cardrona, Skipper's, Wanaka, Gibbston, Lower Shotover. Goitntry. —England and Wales, 15; Ireland, 7; Scotland, 20; New Zealand, 41; Switzerland, 2; Prussia, 1; Tasmania, 3; Victoria, 6; Denmark, 1; Germany, 1.

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Beligion. —Church of England, 27; Presbyterian, 55; Wesleyan, 4 ; Boman Catholic, 10 ; Lutheran, 1. Total collective days' stay in hospital, 1,880; individual average days' stay, 19-38. Daily average cost per head, 7s. 6Jd.; less patients' payments, ss. lid. Outdoor Patients. —lndividual cases, 117; attendances, 157. Eevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 173 3 0 Bations ... ... ... 148 4 5 Local bodies ... ... ... 152 15 0 Wines, spirits, ale, &c. ... ... 6176 Subscriptions and donations ... 170 17 1 Surgery and dispensary ... ... 43 12 6 Patients'payments ... ... 147 9 9 Fuel and light ... ... ... 27 15 0 Balance from last year ... ... 168 6 9 Bedding and clothing ... ... 613 0 Furniture and earthenware ... 22 4 9 Salaries and wages ... ... 368 11 8 Funerals ... ... ... 2 0 0 Bepairs ... ... ... 11 10 0 Additions to buildings ... ... 39 15 0 Printing, advertising, postage, and stationery ... ... ... 614 0 Insurance ... ... ... 8 14 9 Other expenses... ... ... 5144 Total ... ... £812 11 7 Total ... ... £743 16 11 Inspected 9th March, 1898. Dr. Thomson resides in the grounds, and I heard everywhere of his attention to his work. In this district there is an outlying mining centre called Macetown, lying high upon the ranges, and a proposal was mooted that the doctor's salary should be increased by £50 on condition that he should visit Macetown once a week, and treat patients there on the same terms as at the centre—Arrowtown. I pointed out that this would be an ingenious way of providing the people of Macetown with cheap medical advice at the cost of the colony. I understand that this view of the case has now been admitted. The Arrowtown Hospital is well managed in every respect.

ASHBUBTON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 12 Admitted during the year ... ' ... ... ... 183 Total under treatment ... ... ... 195 Discharged ... ... ... ... ... ... 175 Died ... ... 8 Bemaining on 31st March, 1898 ... ... ... ... 12 Sex. —170 males, 25 females. Localities from which Patients came. —Ashburton County, 190; Lake Heron, 1; Timaru, 1; Christchurch, 1; Hanmer Plains, 1 ; Bangiora, 1. Nationality. —English, 52 ; Irish, 53 ; Scotch, 19; New Zealand, 58; Australians, 7; Welsh, 2; others, 4. Beligion. —Church of England, 74; Presbyterian, 41; Boman Catholic, 48; Wesleyans, 18; others, 14. Total collective days' stay in hospital, 4,291; individual average days' stay, 22. Daily average cost per head, ss. 6fd. ; less patients' payments, 4s. lid. Outdoor Patients. —None. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d From Government ... ... 508 7 1 Bations ... ... ... 304 9 4 Local bodies ... ... ... 490 0 0 Wines, spirits, ale, &c. ... ... 14 6 6 Patients' payments ... ... 138 9 0 Surgery and dispensary ... ... 151 3 0 Other sources ... ... ... 8 0 0 Fuel and light ... ... ... 53 12 1 Balance from last year ... ... 155 11 1 Bedding and clothing ... ... 1886 Furniture and earthenware ... 51 9 4 Washing and laundry ... ... 2 5 0 Salaries and wages ... ... 441 18 10 Funerals ... ... ... 15 1 6 Bepairs ... ... ... 25 110 Printing, advertising, postage, and stationery ... ... ... 867 Interest ... ... ... 026 Insurance ... ... ... 15 15 0 Other expenses ... ... ... 91 18 11 Total ... £1,300 7 2 Total ... £1,193 18 11

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Inspected 23rd September, 1897, and 31st March, 1898. Three of the single private rooms are being converted into one long ward, and there has also been added a room for the use of convalescent patients, with a library attached. These have been erected by local subscriptions subsidised by Government. Mrs. Mackay has had some difficulty in getting a suitable assistant nurse during the past year, but the housekeeping department of this hospital is admirable —managed with economy.

AUCKLAND HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 138 Admitted during the year ... ... ... ... 1,300 Total under treatment ... ... ... 1,438 Discharged ... ... ... ... ... ... 1,181 Died ... 118 Bemaining on 31st March, 1898 ... ... ... ... 139 Sex. —1,006 males, 432 females. Localities from ivhich Patients came. —Auckland City and suburbs, 869; Auckland District, 353 ; North Auckland, 62 ; South of New Zealand, 48; Coromandel, 32 ; Thames, 27 ; shipping, 47. Nationality. —English, 382 ; Scotch, 80 ; Irish, 192 ; New Zealand, 618; Australian, 57 ; Canadian, 10; American, 10; German, 20; Swedish, 18; Indian, 8; Japanese, 4; Belgian, 2; Italian, 1; Maltese, 3; Spanish, 2 ; Portuguese, 4 ; Mauritius, 2 ; Ceylonese, 2 ; Swiss, 1; Newfoundland, 1; South Sea Islands, 7 ; French, 3 ; South African, 3 ; Greek, 1; Dutch, 4; Danish, 3. Beligion. —Church of England, 708 ; Boman Catholic, 329 ; Presbyterian, 188 ; Wesleyan, 115; Baptist, 28; Lutheran, 21; Congregationalist, 10; Salvationist, 11; Church of Christ, 9; Hebrew, 9; Unitarian, 1 ; Plymouth Brethren, 8; Freethinker, 1. Total collective days' stay in hospital, 44,132; individual average days' stay, 30-69. Daily average cost per head, 4s. l|d.; less patients' payments, 2s. lid. Outdoor Patients. —lndividual eases, 389 ; attendances, 5,276. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 3,085 0 2 Bations ... ... ... 2,258 12 2 Local bodies ... ... ... 3,085 0 2 Nurses' Home maintenance ... 607 1 7 Subscriptions and donations ... 28 11 3 Wines, spirits, ale, and porter ... 43 6 9 Bequests ... ... ... 350 410 Surgery and dispensary ... 963 15 10 Patients'payments ... ... 2,686 18 7 Fuel and light ... ... 745 16 10 Bents ... ... ... 107 17 2 Bedding and clothing ... ... 200 3 5 Furniture and earthenware ... 108 17 7 Washing and laundry ... ... 276 11 10 Salaries and wages ... ... 2,819 15 6 Water-supply ... ... 211 14 9 Funerals ... ... ... 32 2 3 Maintenance of grounds ... 124 6 4 Bepairs ... ... ... 516 0 6 Printing, advertising, postage, and stationery ... ... ... 107 15 1 Legal expenses ... ... 11 11 9 Insurance ... ... ... 21 18 9 Proportion of office expenses ... 227 15 0 Interest .. ... ... 7 5 9 Other expenses ... ... 59 0 6 Total ... ... £9,343 12 2 Total ... ... £9,343 12 2 This hospital has been inspected by me three times during the year. The turmoil among the nursing staff which had prevailed for a considerable time seems to have settled down. On my last visit it appeared as if a feeling of good-will between the nurses and the matron was beginning to emerge, and that the vexed question of the proper authorities to appoint probationers would gradually settle itself. Some years ago, when the present system of having a medical superintendent to take charge of the hospital was being discussed, I was obliged to express my doubts of the wisdom of the plan. Ever since I have been actuated by a desire to indulge in no criticism that I could avoid, in order to give every opportunity of proving itself successful to the new method of government; and I call attention to the matter now simply in order to urge the necessity for caution regarding the recent proposal to have two resident assistants to Dr. Baldwin. What with attempts to limit the nursing staff to eight hours' work a day, and a well-paid medical superintendent with two assistants, there is a great danger that the organization will break down of its own weight. The alarming prevalence of typhoid fever in this district ought to cause great searchings of heart to those who are responsible for the water-supply and the sanitary arrangements of Auckland and its suburbs. The actual working of the hospital, apart from the problems arising from the organization of the medical and nursing staff, is satisfactory. The greatest credit is due to the Board for the careful way in which the patients' payments for maintenance is looked after. In this respect their example is a credit to the district and a guide to the colony. 2—H. 22.

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BLENHEIM HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 28 Admitted daring the year... ... ... ... ... 164 Total under treatment ... ... ... 192 Discharged ... ... ... ... ... ... 153 Died ... ... ..: ... ... ... ... 14 Bemaining on 31st March, 1898 ... ... ... ... 25 Sex. —ll7 males, 75 females. Localities from which Patients came. —Marlborough, Nelson, West Coast, Canterbury, Napier, Wanganui, Wellington, Auckland. Country. —England, 48; Ireland, 8; Scotland, 20; New Zealand, 102; Germany, 4 ; Wales, 1; Australia, 5; France, 1; China, 1; aboriginal, 2. Beligion. —Church of England, 99; Boman Catholic, 23; Presbyterian, 35; Wesleyan, 24 ; Salvationist, 2; Lutheran, 3; Plymouth Brethren, 5; Freethinker, 1. Total collective days' stay in hospital, 9,984; individual average days' stay, 52. Daily average cost per head, 4s. 4d.; less patients' payments, 3s. 9d. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 912 5 10 Bations ... ... ... 522 11 0 Local bodies ... ... ... 524 19 5 Wines, spirits, ale, &c... ... 27 2 0 Subscriptions and donations ... 418 11 6 Surgery and dispensary ... 253 710 Bents ... ... ... 8 8 0 Fuel and light ... ... 218 17 3 Patients' payments ... ... 293 17 0 Furniture, earthenware, and draOther sources ... ... 2 7 6 pery ... ... ... 229 4 5 Salaries and wages ... ... 658 18 5 Water-supply... ... ... 63 6 9 Funerals ... ... ... 14 0 0 Bepairs ... ... ... 75 17 4 Printing, advertising, postage, and stationery ... ... ... 40 15 6 Interest ... ... ... 12 9 Insurance ... ... ... 15 17 9 Other expenses ... ... 39 8 3 Total ... ...£2,160 9 3 Total ... ...£2,160 9 3 This hospital was visited by me on the 27th January. Everything was found in good order. For years I have felt called upon to acknowledge the exceptional surgical activity of this hospital. A practice has gradually grown up, largely in consequence of Dr. Cleghorn's reputation, of persons from a distance able and willing to pay entering here as private patients. In addition to paying all hospital charges, some persons have paid the surgeon direct for operations. From many points of view this may seem to be quite fair, and for a time Dr. Cleghorn could not admit the reasonableness of my remonstrances; but he has written since my visit to say that he accepts my view of the matter. With regard to the site for the new fever hospital, I made certain suggestions with a view to facility for working it, but I am not disposed to press them against the wishes of the Board. The accommodation for the nurses, formerly so unsatisfactory, is now good; but the old surgery is now a useless room. It would be an improvement if the passage were carried through, and the remaining space used for a ward kitchen. The raising of the water-tower has resulted in a good supply of water.

CHABLESTON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 5 Admitted during the year ... ... ... ... ... 31 Total under treatment ... ... ... 36 Discharged ... ... ... ... ... ... 27 Died ... ... ... ... ... ... ... 2 Bemaining on 31st March, 1898 ... ... ... ... 7 Sex. —36 males. Localities from which Patients came. —Charleston district and Nelson, Westport, and Cape Foul wind. Nationality. —lrish, 14; Scotch, 5 ; English, 2 ; New Zealand, 13 ; Norwegian, 1; Swedish, 1. Beligion. —Church of England, 12; Presbyterian, 5 ; Boman Catholic, 19. Total collective days' stay in hospital, 1,784; individual average days' stay, 49-55. Daily average cost per head, ss. 6Jd.; less patients' payments, ss. 3d.

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Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 237 14 1 Bations ... ... ... 17116 7 Local bodies ... ... ... 123 6 8 Wines, spirits, ale, &c... ... 3 9 0 Subscriptions and donations ... 115 2 2 Surgery and dispensary ... 3 17 Patients'payments ... ... 2110 4 Fuel and light ... ... 2116 11 Bedding and clothing ... ... 12 17 4 Furniture and earthenware ... 0120 Salaries and wages ... ... 240 0 0 Funerals ... ... ... 6 0 0 Bepairs ... ... ... 11 12 0 Printing, advertising, postage, and stationery ... ... ... 8 16 2 Insurance ... ... ... 2 7 3 Other expenses ... ... 11 18 9 Total ... ... £497 13 3 Total ... ... £494 7 7 Visited 24th January, 1898. I have no change to report in this institution. It still continues to be a comfortable old diggers' home. The doctor is very kind and attentive.

CHBISTCHUECH HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 96 Admitted during the year ... ... ... ... 1,229 Total under treatment ... ... ... 1,325 Discharged ... ... ... ... ... ... 1,149 Died 105 Bemaining on 31st March, 1898 ... ... ... ... 71 Sex. —844 males, 481 females. Localities from which Patients came. —Christchurch, 557; Suburbs, 393; North Canterbury district, 173 ; Lyttelton, 86; Otago, 1 ; Ashburton, 4 ; Timaru, 1; Waterton, 1; Wellington, 1; unknown, 108. Country. —New Zealand, 578; England, 347 ; Ireland, 188 ; Scotland, 83 ; Australia, 32; America, 13; Germany, 12; Sweden, 9; Norway, 8 ; Italy, 6; Denmark, 6; Tasmania, 5; France, 3 ; Syria, 2 ; Wales, 2; Austria, 1; Canada, 1; Guernsey, 1; Spain, 1; Belgium, 1; China, 1; others, 25. Beligion. —Church of England, 589; Boman Catholic, 197 ; Presbyterian, 171; Wesleyan, 69; Methodist, 40; Lutheran, 24; Baptist, 19; Salvation Army, 17; Bible Christian, 6; Congregational, 5 ; Church of Christ, 3 ; Plymouth Brethren, 3 ; Jewish, 2 ; unknown, 180. Total collective days' stay in hospital, 27,786 ; individual average days' stay, 20-97. Daily average cost per head, ss. 7Jd.; less patients' payments, ss. 2fd. Outdoor Patients. —lndividual cases, 886 ; attendances, 4,160. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 5,506 6 8 Bations ... ... ... 1,882 16 0 Local bodies ... ... ... 4,84117 3 Wines, spirits, &c. ... ... 74 10 4 Subscriptions and donations ... 34 2 0 Surgery and dispensary ... 585 19 5 Bequest ... ... ... 3,800 0 0 Fuel and light ... ... 876 3 0 Patients'payments ... ... 555 10 0 Bedding and clothing ... ... 268 10 5 Other sources ... ... 44 6 4 Furniture and earthenware ... 42 19 0 Balance from last year .. 2,197 6 3 Salaries and wages ... ... 3,234 15 7 Funerals ... ... ... 29 3 0 Bepairs and additions to buildings 5,078 0 11 Printing, advertising, postage, and stationery ... ... ... 52 1 1 Commission ... ... ... 8 15 0 Insurance ... ... ... 73 14 11 Casual ward, Lyttelton ... 87 17 4 Other expenses ... ... 320 18 11 Total ... £16,979 8 6 Total .... £12,616 4 11

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Mrs. Neill and myself have frequently visited this institution during the year, and on each occasion have found it to be well administered. I am disappointed to find that the new Marks Ward, owing to delays from various causes, is not yet in occupation. The slates, which had been ordered from Home, caused a long delay, and now the plastering has been so bungled, either by the architect or the contractor, that, in my opinion, it will all have to be broken down and done over again. Nothing short of that can be satisfactory. I hope the Board will not tolerate any patchwork. As, I pointed out when the plan was adopted, the cost of this ward addition has amounted to nearly double the architect's estimate. The beautiful view of the river and grounds could not, unfortunately, be taken advantage of for the large wards, and it seems a grim sort of irony that such an outlook should be reserved for the opthalmic, who are better in the dark. The position of the matron in this hospital seems for various reasons difficult to define, and is, I think, one of peculiar difficulty. The former matron seemed to have little to do with the nursing staff, and did not appear to have a friendly acquaintance with the patients. I hope the new matron's duties will be carefully determined in relation to those of the house surgeon and steward respectively.

Akaroa Hospital. Number of patients on 31st March, 1897 ... ... ... 1 Admitted during the year ... ... ... ... 35 Total under treatment ... ... ... 36 Discharged ... ... ... ... ... ... 34 Died... ... ... ... ... ... ... 2 Bemaining on 31st March, 1898 ... Sex. —26 males, 10 females. Locality from which Patients came. —Akaroa County. Country. —New Zealand, 14; England, 4 ; Scotland, 2 ; Ireland, 6; France, 2 ; Denmark, 2 ; Italy, 3; China, 3. ' Beligion. —Church of England, 18 ; Presbyterian, 5 ; Boman Catholic, 11 ; Lutheran, 2. Total collective days' stay in hospital, 574; individual average days' stay, 16. Daily average cost per head, lis. 7d.; less patients' payments, 10s. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 143 15 3 Bations ... ... ... 112 6 4 Derived from North Canterbury Wines, spirits, ale, and porter ... 376 Hospital Board, of which it is a Surgery and dispensary ... ... 2780 branch hospital ... ... 143 15 3 Fuel and light ... ... ... 25 15 9 Patients' payments ... ... 44 12 0 Salaries and wages ... ... 150 0 0 Other expenses ... ... ... 13 411 Total ... ... £332 2 6 Total ... ... £332 2 6 I inspected this hospital on the 22nd March, 1898. There happened to be no patients on that date. Everything was in good order. The matron, Mrs. Penrose, is capable and careful, and Dr. Hargraves is very attentive.

COBOMANDEL HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 7 Admitted during the year ... ... ... ... 96 Total under treatment ... ... ... 103 Discharged ... ... ... ... ... ... 86 Died ... ... ... ... ... ... ... 10 Bemaining on 31st March, 1898 ... ... ... ... 7 Sex. —96 males, 7 females. Localities from which Patients came. —Coromandel, 22 ; Auckland, 4 ; Waikato, 5; Opitonui, 2; Australia, 6; Napier, 3; Hawke's Bay, 3; Cabbage Bay, 2; Whangapoua, 5; Kennedy's Bay, 5 ; Otago, 8; other places, 28. Nationality. —English, 16 ; Irish, 17 ; Scotch, 9 ; New Zealand, 42 ; Australian, 5 ; other places, 14. Total collective days' stay in hospital, 2,767 ; individual average days' stay, 26-86. Dailyaverage cost per head, Bs. 6fd. ; less patients' payments, 7s. lOd. Outdoor Patients. —Individual cases, 120; attendances, 443.

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Bevenue and Expenditure. Bevenue. ... £ s. d. Expenditure. £ s. d. From Government ... ... 903 0 11 Bations ... ... ... 24117 11 Local bodies ... ... ... 400 0 0 Wines, &c. ... ... ... 20 11 0 Subscriptions and donations ... 413 3 10 Surgery and dispensary ... 66 0 10 Patients'payments ... ... 100 18. 9 Fuel and light ... ... 50 19 11 Other sources ... ... 0 15 0 Bedding and,clothing ... ... 14 1 3 Balance from last year... ... 494 18 1 Washing and laundry ... . , 23 1 10 Salaries and wages ... ... 461 8 0 Bepairs ... ... ... 13 17 8 Printing, advertising, postage, and stationery ... ... ... 4 18 4 Insurance .., ... ... 2 14 3 Other expenses ... ... 285 11 10 Total ... ...£2,312 16 7 Total .. ... ... £1,185 2 10 ======' saaEBBBas __ E Inspected 14th February, 1898. The arrangements for management and nursing are greatly improved since my last visit. There is now a resident Caretaker and an assistant night attendant. There were nine patients resident, five of whom were chronic cases. I inquired into the circumstances under which the property of a deceased patient's effects were dealt with by the caretaker, and could find no satisfactory proof that the goods had been sent to the father, who complained that he never received them. I think the Board are bound to take some action in this case for their own reputations' sake. At any rate, they ought to insist on proof that the goods were sent. A new hospital is now being built on a suitable site. I made a suggestion which seems to have roused the opposition of the Board —viz., that it was more important that the wards should face the sun than that the building should look well from the road.

CBOMWELL HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 3 Admitted during the year ... ... ... ... 50 Total under treatment ... ... ... 53 Discharged ... ... ... ... ... ... 47 Died ... ... ... ... ... ... ... 4 Bemaining on 31st March, 1898 ... ... ... ... 2 Sex. —47 males, 6 females. Localities from which Patients came. —Bannockburn, 15; Cromwell, 7; Lowburn, 2; Hawea, 4; Mount Pisa, 2; Pembroke, &c, 5; Bendigo, 3; Kawarau, 6; Clyde, 2; Tarras, 3; Dunedin, 1; Nevis, 2 ; Luggate, 1. Country. —England, 16 ; Scotland, 11; Ireland, 3 ; New Zealand, 16 ; China, 1; America, 1; Tasmania, 1; Norway, 2 ; India, 1; Germany, 1. Beligion. —Boman Catholic, 4; Confucian, 1; Protestant, 47; Mahometan, 1. Total collective days' stay in hospital, 1,331; individual average days' stay, 25-11. Daily average cost per head, 10s. 3Jd.; less patients' payments, 9s. 2fd. Outdoor Patients. —lndividual cases, 31; attendances, 55. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 369 9 5 Bations ... ... ... 101 12 7 Local bodies ... ... ... 270 2 3 Wines, spirits, ale, &c. ... ... 9 0 0 Subscriptions and donations ... 83 15 6 Surgery and dispensary ... ... 44 5 4 Patients' payments ... ... 69 6 5 Fuel and light ... ... ... 2676 Other sources ... ... ... 13 0 6 Bedding, clothing, furniture, and earthenware ... ... ... 26 17 3 Salaries and wages ... ... 387 1 4 Water-supply ... ... ... 25 0 0 Funerals ... ... ... 4 18 0 Bepairs ... ... ... 9 13 3 Printing, advertising, postage, and stationery ... ... ... 14 6 9 Interest ... ... 0 17 0 Insurance ... ... ... 8 12 6 Commission ... ... ... 4 10 9 Other expenses ... ... ... 21 710 Total ... ... £805 14 1 Total ... ... £684 10 1 Inspected 10th March, 1898. This institution is one of the most comfortable cottage-hospitals in the colony. It is well looked after by the committee, and the caretakers are capable and trustworthy.

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DUNEDIN HOSPITAL. Number of patients on 31st March, 1897 ... ... 83 Admitted during the year ... ... ... ... 1,054 Total under treatment ... ... ... 1,137 Discharged ... ... ... ... ... ... 932 Died ... ... ... ... ... ... 106 Bemaining on 31st March, 1898 ... ... ... 99 Sex. —693 males, 444 females. Localities from which Patients came. —Dunedin and suburbs, 696; Allanton, 5; Burnside, 5; Brighton, 5; Christchurch, 4; Clinton, 9; Clutha, 12; Catlin's, 8; Clyde, 2; Green Island, 9; Gore, 6 ; Hyde, 5 ; Hindon, 6; Inchclutha, 3; Kaitangata, 12 ; Lawrence, 5; Milton, 14 ; Mosgiel, 22; Middlemarch, 4; Maungatua, 4 ; Outram, 7; Port Chalmers, 22 ; Palmerston, 9; Peninsula, 12; Boxburgh, 6; Bavensbourne, 13; Seacliff, 9; East Taieri, 9; Waikouaiti, 15; Waitati, 9; shipping, 22 ; others, 168. Country. —New Zealand, 484; Scotland, 198; England, 197 ; Ireland, 127; Victoria, 30 ; New South Wales, 9; South Australia, 5; Tasmania, 5; Canada, 4 ; China, 21; Jersey, 5; Shetland, 5 ; Norway, 4 ; Sweden, 7 ; Germany, 7 ; United States, 4; France, 3 ; East Indies, 2; Denmark, 2 ; Finland, 2 ; Bussia, 2; others, 14. Beligion. —Presbyterian, 408; Church of England, 318; Boman Catholic, 207; Baptist, 44; Confucian, 21; Congregationalist, 14; Church of Christ, 18; Church Brethren, 5 ; Freethinker, 1; Greek Church, 1; Jewish, 6 ; Lutheran, 13; Methodist, 5; Mahometan, 1; Primitive Methodist, 5; Plymouth Brethren, 5 ; Salvationist, 10; Wesleyan, 46; Society of Friends, 1; Latter-day Saints, 1; no religion, 7. Total collective days' stay in hospital, 36,688 ; individual average days' stay, 32-26. Daily average cost per head, 3s. lljd.; less patients' payments, 3s. 4Jd. Outdoor Patients. —Individual cases, 1,918; attendances, 6,943. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 2,972 11 8 Bations ... ... ... 1,866 18 2 Local bodies ... ... ... 2,700 0 0 Wines, spirits, ale, &c... ... 150 14 6 Subscriptions and donations ... 216 9 2 Surgery and dispensary ... 888 2 6 Patients'payments ... ... 1,168 14 8 Fuel and light ... ... 784 6 7 Other sources ... .... 321 16 6 Bedding and clothing ... ... 59 1 6 Balance from last year ... 81 3 7 Furniture, earthenware, &c. ... 285 3 9 Salaries and wages ... ... 2,307 14 9 Water-supply ... ... 105 1 0 Funerals ... ... ... 6 15 0 Bepairs ... ... ... 305 14 10 Printing, advertising, postage, and stationery ... ... 66 1 2 Interest ... ... ... 10 6 Insurance ... ... ... 24 4 0 Commission ... ... ... 11 2 6 Honorary medical staff ... 110 5 3 Other expenses ... ... 256 4 4 Total ... ... £7,460 15 7 Total ... ... £7,228 10 4 Mrs. Neill and myself have made several visits to this hospital during the year. The management is good, the Trustees keenly interested in all that concerns the welfare of the patients and the staff, Mr. Burns is an excellent steward, the nursing staff is efficient, while the medical and surgical work is kept up to date by the stimulating influence of the Medical School. The Nurses' Home is a building admirably designed for comfort and stability. The one drawback to this hospital is that it never as a whole can be anything but an unsystematic collection of incongruous and experimental excrescences from an administrative centre designed originally for a radically different purpose. The money that has been spent here since the Commission of 1890 would have gone far towards providing a modern hospital on a healthy site. The new operating theatre is an up-to-date feature of this hospital, and the most perfect of its kind in New Zealand. A new kitchen is being built to replace the former unsatisfactory quarters allotted to the culinary department, and the foundations of a new children's ward cover a portion of the space between the Nurses' Home and the main building.

DUNSTAN HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 3 Admitted during the year ... .. ... ... 45 Total under treatment ... ... ... 48 Discharged ... ... ... ... ... ... 42 Died ... ... ... ... ... ... ... 4 Bemaining on 31st March, 1898 ... "... ... ... 2

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Sex. —4o males, 8 females. Localities from which Patients came. —Clyde, 13; Alexandra, 11; Matakanui, 1; Baldhill Flat, 2 ; Ida Valley, 1; Earnscleugh, 2 ; Black's, 6 ; Cambrian's, 1; Hawea Flat, 1; Kawarau, 1; Nelson, 1; Nevis, 1; Boxburgh, 1; Waikerikeri, 3; Blackman's, 1; Queenstown, 1 ; Drybread, 1. Country. —England, 13; Ireland, 12; Scotland, 2; New Zealand, 14; Australia, 1; Tasmania, 2 ; China, 3 ; Orkney Islands, 1. Beligion. —Church of England, 23; Boman Catholic, 12; Presbyterian, 9; Confucian, 3; Lutheran, 1. Total collective days' stay in hospital, 1,750; individual average days' stay, 36-46. Daily average cost per head, 9s. Bfd.; less patients' payments, Bs. 9d. Outdoor Patients. —36; attendances, 54. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 346 1 6 Bations ... ... ... 120 6 8 Local bodies ... ... ... 270 2 8 Wines, spirits, ale, &c. ... ... 9 16 Subscriptions and donations ... 153 17 5 Surgery and dispensary ... ... 18 011 Patients' payments ... ... 85 3 8 Fuel and light ... ... ... 34 12 5 Balance from last year ... ... 4100 Bedding and clothing ... ... 1310 Furniture and earthenware ... 91 6 6 Salaries and wages ... ... 399 7 6 Water-supply ... ... ... 39 9 0 Funerals ... ... ... 13 10 0 Printing, advertising, postage, and stationery ... ... ... 24 8 0 Interest ... ... ... 040 Insurance ... ... ... 9 10 6 Commission ... ... ... 26 18 5 Other expenses ... ... ... 51 9 0 Total ... ... £859 15 3 Total ... ... £851 5 5 Inspected 10th March, 1898. Notwithstanding the recent addition of an excellent new ward solidly built of stone, I was disappointed with this hospital. Mrs. Wilson had everything very clean, but her husband did not seem to me to be a suitable man for his position. The doctor is allowed by the Trustees to manage the hospital vicariously while he devotes his mind to other pursuits. The patients, lam bound to say, made no complaints, and they appear, when Dr. Hyde is otherwise occupied, to be well looked after by Dr. Gregg, of Alexandra, who attends to the hospital as a sort of supplementary medical officer.

GISBOBNE HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 13 Admitted during the year ... ... ... ... 158 Total under treatment ... ... ... 171 Discharged ... ... ... ... ... ... 137 Died ... ... ... -v.. '•.-.. 8 Bemaining on 31st March, 1898 ... ... ... ... 26 Sex. —l 27 males, 44 females. Localities from which Patients came. —Cook and Waiapu Counties, and Borough of Gisborne. Nationality. —British, 154; foreign, 17. Total collective days' stay in hospital, 4,970; individual average days' stay, 29-06. Daily average cost per head, 4s. 2-|d.; less patients' payments, 3s. 6Jd. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 522 9 11 Bations ... ... ... 183 17 2 Local bodies ... ... ... 320 0 0 Wines, spirits, ale, &c.... ... 15 12 0 Subscriptions and donations ... 122 2 8 Surgery and dispensary ... 39 11 8 Bents ... ... ... 25 0 0 Fuel and light ... ... 94 6 8 Patients' payments ... ... 169 2 0 Bedding and clothing ... ... 3113 Interest ... ... ... 32 0 0 Furniture and earthenware ... 17 2 9 Balance from last year ... 59 19 11 Salaries and wages ... ... 543 13 4 Bepairs ... ... ... 57 6 0 Printing, advertising, postage, and stationery ... ... ... 10 19 2 Interest ... ... ... 033 Insurance ... ... ... 18 14 9 Sanitation ... . ... ... 18 17 0 Other expenses ... ... 15 10 2 Total ... ... £1,250 14 6 Total ... ... £1,046 15 2

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This hospital contained nine patients on the date of my visit, 13th July, 1897. Owing to the time of the steamer's arrival, I had to make my inspection very early in the morning. I found the night nurse on duty carefully attending to her work. Everything was in most gratifying order. The patients were very comfortable, and evidently well attended to.

GEEY BIVEB HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 52 Admitted during the year ... ... ... ... 152 Total under treatment ... ... ... 204 Discharged ... ... ... ... ... ... 126 Died ... ... ... ... ... ... 26 Bemaining on 31st March, 1898 ... ... ... 52 Sex. —lBo males, 24 females. Localities from which Patients came. — Grey Hospital District, 192; Christchurch, 1; Wellington, 1; Jackson, 6; Nelson, 1; Otira, 2; shipping, 1. Nationality. —British, 175; French, 1; German, 1; Spanish, 2; Danish, 3; Chinese, 10; Norwegian, 1; Swedish, 5 ; American, 1 ; West Indian, 2 ; Italian, 1; Finn, 1 ; Maltese, 1. Beligion. —Church of England, 65; Boman Catholic, 84; Lutheran, 8; Confucian, 10; Wesleyan, 30; Quaker, 1; Freethinker, 6. Total collective days' stay in hospital, 18,023 ; individual average days' stay, 88-34. Daily average cost per head, 2s. 9d.; less patients' payments, 2s. 7-J-d. Outdoor Patients. —Individual cases, 150; attendances, 231. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government .... ..,.. 1,769 310 Bations ... ... ... 745 2 2 Local bodies ... ... ... 650 0 0 Wines, spirits, ale, &c.... ... 80 3 8 Subscriptions and donations ... 932 0 2 Surgery and dispensary ... 75 8 0 Patients' payments ... ... 105 6 1 Fuel and light ... ... 151 19 6 Other sources ... ... 2 0 0 Bedding and clothing ... ... 102 2 2 Furniture and earthenware ... 49 10 9 Washing and laundry ... ... 93 0 0 Salaries and wages ... ... 793 1 4 Water-supply... ... ... 6 15 0 Funerals ... ... ... 40 10 0 Bepairs ... ... ... 181 3 10 Printing, advertising, postage, and stationery ... ... ... 67 13 10 Interest ... ... ... 9 17 9 Insurance ... ... ... 30 0 0 Other expenses ... ... 60 7 3 Total ... ... £3,458 10 1 Total ... ... £2,486 15 3 Inspected 19th January, 1898. On the date of my visit this institution contained fifty male patients and two females, both chronics. Three-fourths of the total were refuge cases. Dr. Matthews is acting as locum tenens for Dr. C. Morice, with the benefit of Dr. Moriee's (sen.) advice and assistance. It goes without saying, therefore, that the patients are well cared for in every respect. It did not, however, seem to me that the head nurse took her proper position as the head of the nursing staff. A very much-needed supply of surgical instruments has been ordered, at a cost of £60. Three-fourths of the patients are chronic cases. A serious effort ought to be made to convert the existing building into an old men's home for the whole district from Boss to Beef ton. A new hospital ought to be built for hospital cases proper. The abortive attempt to build an old men's home at Hokitika has served only to complicate the difficulties surrounding the problem of dealing rationally with the aged poor on this coast. It is now more hopeless to effect any satisfactory solution than it was some years ago, when I recommended a new refuge on a piece of suitable land somewhere in the Grey Valley. The line of least resistance now would probably be the suggested conversion of the Greymouth Hospital.

HAWEBA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 4 Admitted during the year ... ... ... ... 53 Total under treatment ... ... ... 57 Discharged ... ... ... ... ... ... 48 Died ... ... ... ... ... ... ... 6 Bemaining on 31st March, 1898 ... ... ... ... 3

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Sex. —42 males, 15 females. Localities from which Patients came. —Hawera, 46 ; Stratford, 4 ; Wellington, 1; Gisborne, 3; Nelson, 1; Taranaki County, 2. Country. —England, 11; Scotland, 4; Ireland, 10; New Zealand, 28; Germany, 2; America, 1; Switzerland, 1. • : Beligion. —No record. Total collective days' stay in hospital, 1,374 ; individual average days' stay, 24-10. Daily average cost per head, 12s. Bd. ; less patients' payments, 10s. lOd. Outdoor Patients. —No record. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure: £ s. d. From Government ... ... 372 4 6 Bations .. ... ... 156 6 4 Local bodies ... ... ... 372 4 6 Surgery and dispensary ... 7920 Patients' payments ... ... 127 5 2 Fuel and light ... ... 45 13 6 Bedding and clothing ... ... 23 13 11 Furniture and earthenware ... 16 12 2 Washing and laundry ... ... 11 10 0 Salaries and wages ... ... 373 16 10 Bepairs and additions ... ... 80 9 1 Printing, advertising, postage, and stationery ... ... ... 58 15- 11 Interest ... ... ... 17 17 5 Insurance ... .. ... 7 17 0 Total ... ... £871 14 2 Total ... ... £871 14 2 Inspected 17th April, 1898. A good deal of discussion has taken place in the district over the question as to whether this institution is not unnecessarily expensive. It is characteristic of local government in New Zealand to encourage all sorts of extravagant demands for public conveniences of all kinds when they could quite well do without them. The New Plymouth Hospital and the Wanganui Hospital furnish ample accommodation for this whole coast. Some years ago I urged this view on the Chairman and Secretary of the New Plymouth Board, in whose district Hawera is; but I might as well have talked to the south-west wind. The Hawera people would have a hospital, and now the local bodies grumble at its cost. It is now too late to do so. It must be kept in a state of efficiency, and after careful consideration I do not see how they can reduce the staff unless they shut it up altogether. Stratford and Hunterville are beginning to agitate for hospitals as well, and where this movement is going to stop I cannot see. It would seem that wherever an enterprising doctor settles a State subsidy must be got for him by means -of a hospital. The Hawera Hospital is well managed, and good medical and surgical work is being done there. Unless a water-supply and drainage system is provided soon for Hawera, the hospital, if I am not mistaken, will have plenty to do without waiting very long.

HOKITIKA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 37 Admitted during the year ... ... ... ... 163 Total under treatment ... .... ... 200 Discharged ... ... ... ... ... ... 138 Died ... ... ... ... 28 Bemaining on 31st March, 1898 ... ... ... ... 34. Sex. —l4B males, 52 females. Locality from which Patients came. —Westland. Country. —England, 37 ; Scotland, 22 ; Ireland, 43 ; Germany, 11; Italy, 5 ; New Zealand and Australia, 63 ; China, 2; Austria, 6; Switzerland, 4; Denmark, 2 ; Sweden, 4 ; France, 1. Beligion. —Church of England, 64; Presbyterian, 50; Boman Catholic, 58; Lutheran, 10; Salvationist, 4 ; Wesleyan, 5 ; Baptist, 5 ; Freethinker, 4. Total collective days' stay in hospital, 12,055 ; individual average days' stay, 60-27. Daily average cost per head, 3s. 9d.; less patients' payments, 3s. 7d. Outdoor Patients. —lndividual cases, 370 ; attendances, 937. 3—H. 22.

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Bevenue and Expenditure. Bevenue. £ s. d. [ Expenditure. £ s. d. From Government ... ... 1,155 7 41 Bations ... ... ... 645 12 4 Local bodies ... ... ... 687 10 0 Wines, spirits, ale, &c... ... 58 15 10 Subscriptions and donations ... 372 1 1 Surgery and dispensary ... 200 5 2 Bequest ... ... ... 35 0 0 Fuel and light ... ... 98 2 8 Patients'payments ... ... 68 15 0 Bedding and clothing ... ... 57 7 7 Other sources ... ... 36 13 0 Furniture and earthenware ... 25 12 9 Balance from last year... ... 10 19 9 Salaries and wages ... ... 755 15 0 Funerals ... ... ... 7 15 6 Bepairs ... ... ... 172 12 7 Printing, advertising, postage, and stationery ... ... ... 49 8 10 Interest ... ... ... 0 2 0 Insurance ... ... ... 24 4 0 Commission ... ... ... 16 0 6 Other expenses ... ... 126 19 11 Total ... ... £2,366 6 2 Total ... ... £2,238 14 8 The advent of Dr. Teichelman has given a great impulse to this institution. The nursing has also been thoroughly modernised, and on the whole the state of affairs is very satisfactory. I would suggest, however, that, being so far from town, it is not desirable that the dispenser and the matron should be absent from the hospital at the same time. Owing to suspicious erysipelatous symptoms found on some wounds as soon as the first dressing was removed it was necessary to thoroughly clean and paint the wards. This has been done, and the result is a great improvement. The old battered bath and lavatory appliances attached to the medical ward are to be replaced as soon as possible. The difficulty about the Old Men's Home, which is built quite close to the hospital, continues insoluble, and will remain so until the Benevolent Society take steps to make it possible for the Hospital Trustees to undertake the management under proper financial arrangements. I was present at a meeting of the Benevolent Society Trustees, and from the spirit they manifested I am hopeful that a modus vivendi will be found.

INVEBCABGILL HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 23 Admitted during the year ... ... ... ... 352 Total under treatment ... ... ... 375 Discharged ... ... ... ... ... ... 333 Died ... ... ... ... ... ... ... 28 Bemaining on 31st March, 1898 ... ... ... ... 14 Sex. —249 males, 126 females. Localities from which Patients came. —Southland County, Wallace County, Lake County. Country. —England, 75; Scotland, 63; Ireland, 55; New Zealand, 137; Tasmania, 5; Germany, 5 ; Victoria, 14; China, 4 ; India, 2; Denmark, 1; Wales, 1; West Indies, 1; Austria, 1; Holland, 3; Finland, 2; Italy, 1; Jersey, 2; Canada, 1; New South Wales, 1; Egypt, 1. Beligion. —Church of England, 132 ; Boman Catholic, 64; Presbyterian, 132; Wesleyan, 8 ; Salvationist, 9; Lutheran, 1 ; Baptist, 4; Confucian, 4; Plymouth Brethren, 5; Methodist, 6; Christian Disciples, 4 ; Congregationalist, 2 ; Evangelist, 1; Swedenborgian, 1; Unitarian, 1; no religion, 1. Total collective days' stay in hospital 10,598; individual average days' stay, 28-26. Daily average cost per head, ss. llf d.; less patients' payments, ss. 9d. Outdoor Patients. cases, 933; attendances, 2,037.

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Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 1,513 17 5 Bations ... ... .. 749 18 2 Local bodies ... ... ... 1,482 13 0 Wines, spirits, ale, &c. ... ... 62 9 6 Subscriptions and donations ... 13 2 1 Surgery and dispensary ... 321 0 6 Patients'payments ... .. 128 9 2" Fuel anddight ... ... 26112 10 Other sources ... ... 176 14 0 Bedding and clothing ... ... 85 0 0 Furniture and earthenware ... 124 16 1 Washing and laundry ... ... 8426 Salaries and wages ... ... 1,010 19 9 Water-supply ... ... 2 6 0 Funerals ... ... ... 25 12 0 Bepairs ... ... ... 219 1 6 Additions ... ... ... 55 0 0 Printing, advertising, postage, and stationery ... ... ... 63 0 0 Interest ... ... ... 9 15 6 Insurance ... ... ... 14 4 6 Other expenses ... ... 84 7 11 Total ... ... £3,314 15 8 Total ... ... £3,173 6 9 — —- — I inspected this hospital on the 4th March. I was pleased to find that at last the old wards on the male side had been pulled down. The new wing is well designed, and when it is finished this institution will be abreast of modern requirements. All the available ward space was occupied, and the usual work of the hospital was being carried on satisfactorily. I found the nursing staff in a state of turmoil, but after reconnoitring the position I thought it best to reserve the matter for Mrs. Neill's consideration. The matters at issue were such as to require a woman's touch to insure a correct diagnosis. Mrs. Neill made a special visit, and has written a special report for the Board, containing suggestions which seemed to me likely to meet the difficulty. I have come to the conclusion that there is a centre of disturbance in this institution, and I recommend the Board to watch it narrowly; and, having once ascertained the facts precisely, they should act with vigour.

KUMABA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 9 Admitted during the year ... ... ... ... 80 Total under treatment ... ... ... 89 Discharged ... ... ... ... ... ... 68 Died ... ... ... ... ... ... ' ... 5 Bemaining on 31st March, 1898 ... ... .... ... 16 Sex. —71 males, 18 females. Localities from which Patients came. —Kumara, 40; Dillman's, 22 ; Greenstone, 7; Callaghahs, 5; Stafford, 3; Cape Terrace, 5; Jackson, 5; Christchurch Boad, 2. Nationality. —English, 22 ; Irish, 18 ; Scotch, 13; New Zealand, 21; Welsh, 1; Chinese, 2 ; German, 5 ; Italian, 1; Swiss, 1; Swedish, 1; Australian, 3 ; Belgian, 1. Religion. —Church of England, 28; Boman Catholic, 33; Presbyterian, 19; Wesleyan, 4; Confucian, 2 ; Lutheran, 3. Total collective days' stay in hospital, 4,909 ; individual average days' stay, 55-15. Daily average cost per head, 3s. 6fd.; less patients' payments, 3s. lfd. Outdoor Patients. —lndividual cases, 110 ; attendances, 227. Bevenue and Expenditure. Revenue. £ s. d. ; Expenditure. £ s. d. Prom Government ... ... 464 4 101 Bations ... ... ... 239 3 3 Local bodies ... ... ... 266 5 1 j Wines, spirits, ale, &c... ... 10 13 0 Subscriptions and donations ... 169 19 6 Surgery and dispensary ... 89 9 3 Patients'payments ... ... 102 11 0 Fuel and light ... ... 67 19 9 • Bedding, clothing, furniture, &c... 53 2 11 Salaries and wages ... ... 333 14 6 Funerals ... ... ... 10 0 0 Bepairs ... ... ... 43 6 0 Printing, advertising, postage, and stationery ... ... ... 12 16 0 Interest ... ... ... 6 12 6 Insurance ... ... ... 690 Total „. ... £1,003 0 5 Total ~, ... £873 6 2 ..... iiiiui.ihi.ii.. ii.iiia

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The medical and nursing arrangements at this institution are thoroughly satisfactory. Great interest is taken by the public in its welfare. Indeed, I am inclined to think the committee, if anything, err on the side of over-solicitude. The garden is in its usual creditable condition.

LAWBENCE HOSPITAL. Number of patients on 31st March, 1897 ... ~. ... 9 Admitted during the year ... ... ... ... 106 Total under treatment ... ... ... 115 Discharged ... ... ... ... ... ... 100 Died ... ... ... ... ... ... ... 9 Bemaining on 31st March, 1898 ... ... ... ... 6 Sex. —77 males, 38 females. Locality from which Patients came. —Tuapeka County. Country. —New Zealand, 50; England, 15 ; Scotland, 19 ; Ireland, 23; China, 3 ; Victoria, 1; Italy, 1; Canada, 1; America, 1; Norway, 1. Beligion. —No record. Total collective days' stay in hospital, 3,385; individual average days' stay, 29-43. Daily average cost per head, ss. ljd.; less patients' payments, 4s. sd. Outdoor Patients. —lndividual cases, 60. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 260 8 6 Bations ... ... ... 275 17 5 Local bodies ... ... ... 520 5 0 Wines, spirits, ale, &c. ... ... 3 9 0 Subscriptions and donations ... 70 2 0 Surgery and dispensary ... ... 47 7 7 Bents... ... ... ... 111 3 Fuel and light ... ... ... 60 18 9 Patients'payments ... ... 120 12 0 Bedding and clothing ... ... 15 11 5 Other sources ... ... ... 12 5 6 Salaries and wages ... ... 376 18 5 Balance from last year ... ... 149 15 2 Water-supply ... ... ... 10 0 0 Bepairs ... ... ... 14 0 0 Printing, advertising, postage, and stationery ... ... ... 516 0 Insurance ... ... ... 340 Interest ... ... ... 0 2 6 Other expenses... ... ... 57 3 5 Total ... £1,134 19 5 Total ... ... £870 8 6 Inspected 4th April, 1898. This hospital is progressing under the superintendence of Dr. Newell. Several improvements have been made ; notably, asphalting of the courtyard and a more satisfactory water-supply. The patients' comfort seems well looked after by matron and wardsman, and the order and cleanliness throughout were most excellent. The hospital is well supplied with fresh vegetables and fruit from its own garden.

MASTEBTON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 7 Admitted during the year ... ... ... ... 81 Total under treatment ... ... ... 88 Discharged ... ... ... . . ... ... 74 Died ... ... ... ... ... ... ... 8 Bemaining on 31st March, 1898 ... ... ... ... 6 Sex. —ss males, 33 females. Localities from which Patients came. —Masterton, 49 ; Pahiatua, 3 ; Eketahuna, 7; Mauriceville, 1; Tenui, 7 ; Taueru, 1; Carterton, 1; Brancepeth, 6 ; Mangamahoe, 3; Wellington, 2; Bideford, 2; Mangatainoka, 2; Tupurupuru, 1; East Coast, 1; Mangahao, 1; Dreyerton, 1. Country.— England, 27; Ireland, 7; New Zealand, 36; Scotland, 4; New South Wales, 1; Victoria, 1; Germany, 2; China, 1; Denmark, 2; France, 1; Tasmania, 1; South Africa,'l; Belgium, 1; Jersey, 1; India, 1; Sweden, 1. Beligion. —Church of England, 37 ; Boman Catholic, 14; Presbyterian, 21; Wesleyan, 8; Salvation Army, 5 ; Lutheran, 1 ; heathen, 1; no religion, 2. Total collective days' stay in hospital, 2,464 ; individual average days' stay, 28. Daily average cost per head, 7s. 4-Jd. ; less patients' payments, 6s. 84-d.

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Bevenue and Expenditure. Bevenue. £ s. d. ! Expenditure. £ s. d. From Government ... ... 403 9 9 Bations ... ... ... 197 10 7 Subscriptions and donations ... 222 1 10 Wines, spirits, ale, &c. ... ... 6 2 3 Patients' payments ... ... 80 6 7 Surgery and dispensary ... ... 60 10 5 Other sources ... ... ... 26 0 0 Fuel and light ... ... ... 40 12 6 Bedding and clothing ... ... 57 12 6 Furniture and earthenware ... 50 11 2 Washing and laundry ... ... 15100 Salaries and wages ... ... 288 10 8 Water-supply ... 58 15 0 Funerals ... ... ... 3 0 0 Bepairs ... ... ... 31 13 6 Additions ... ... ... 45 0 0 Printing, advertising, postage, and stationery ... ... ... 15 3 0 Interest ... ... ... 9 16 3 Insurance ... ... ... 13 10 0 Commission ... ... ... 25 3 4 Other expenses... ... ... 31 14 0 Total ... ... £731 18 2 Total ... £950 15 2 I was pleased to find an efficient staff of nurses established here since my last visit. The nursing proper was good. The matron, Miss Heath, whom I had favourably known at Wellington Hospital, was on night duty attending a serious case, so I did not disturb her. I had occasion, however, to write, calling her attention pointedly to certain oversights which I have no doubt will be at once remedied. The male assistant did not seem to me to be of much use. The grounds and the garden show a falling-off from their former condition.

NAPIEB HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 29 Admitted during the year ... ... ... ... 386 Total under treatment ... ... ... 415 Discharged ... ... ... ... ... ... 362 Died ... ... ... ... ... ... 24 Bemaining on 31st March, 1898... ... ... ... 29 Sex. —281 males, 134 females. Localities from which Patients came. —Hawke's Bay and adjoining districts. Country. —England, 112 ; Scotland, 24; Ireland, 37 ; New Zealand, 215; Australia, 3 ; Tasmania, 1; Germany, 2; Norway, 4; America, 3; Denmark, 3 ; Sweden, 2; Canada, 2; India, 2 ; France, 2 ; Chili, 1; Guernsey, 1; Chatham Islands, 1. Religion. —Church of England, 205; Boman Catholic, 96; Presbyterian, 65; Wesleyan, 28; Jewish, 1; Lutheran, 4; Salvation Army, 2; Methodist, 2; Adventist, 2; Congregationalist, 5; Plymouth Brethren, 1; Baptist, 3 ; Freethinker, 1. Total collective days' stay in hospital, 9,482; individual average days' stay, 22-85. Daily average cost per head, 6s. lljd.; less patients' payments, ss. llfd. Outdoor Patients. —Individual cases, 1,055. Bevenue and Expenditure. Revenue. £ s. d. Expenditure. £ s. d. From Government ... ...1,050 810 Bations ... ... ... 746 18 1 Local bodies ... ... ... 675 0 0 Wines, spirits, ale, &c. ... ... 19 1 0 Subscriptions and donations ... 401 19 1 Surgery and dispensary... ... 265 1 4 Bequest ... ... ... 232 11 9 Fuel and light... ... ... 196 19 6 Bents ... ... ... 50 8 6 Bedding and clothing, furniture, and Patients' payments ... ... 458 16 2 earthenware... ... ... 267 6 1 Other sources ... ... ... 329 Salaries and wages ... ... 1,192 14 9 Balance from last year ... ... 435 7 6 Water-supply ... ... ... 29 0 0 Additions to buildings, and repairs 390 510 Printing, advertising, postage, and stationery ... ... ... 47 5 4 Insurance ... ... ... 60 11 6 Commission ... ... ... 19 6 6 Other expenses ... ... 61 3 2 Total ... ...£3,307 14 7 Total ... ...£3,295 13 1

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This hospital is managed very carefully, and is in a thoroughly satisfactory condition, both as regards the medical and surgical work, and the nursing is admirable. In one respect, however, 1 am obliged to make a grave protest against the custom which the honorary staff, by connivance of the Board, have allowed to grow up. Private patients are charged £3 3s. per week, and over and above this the patient is allowed to pay his doctor for operations, &c, any sum they may agree on. But further than this, and even worse from my point of view, any doctor in the district can send a patient into a private ward, attend the patient himself, and charge what he likes. I wrote the Board pointing out the manifest evils of this practice, and I intend, unless it is put a stop to at once, to move the Government to stop the subsidy.

NASEBY HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 7 Admitted during the year ... ... ... ... 167 Total under treatment ... ... ... 174 Discharged ... ... ... ... ... ... 152 Died ... ... ... ... ... ... 12 Bemaining on 31st March, 1898 ... ... ... ... 10 Sex. —ll9 males, 55 females. Localities from which Patients came. —Hyde, 9 ; Bough Bidge, 3 ; Wedderburn, 5 ; Naseby, 42; Limeburn, 1; Kyeburn, 14 ; St. Bathan's, 15 ; Hamilton's, 7; Ida Valley, 8 ; Gimmerburn, 9 ; Patearoa, 15 ; Blackstone Hill, 11; Eweburn, 15 ; Invercargill, 2 ; Ophir, 2 ; Kokonga, 7 ; Dunedin, 1; Waihemo, 1; Cambrian's, 1; Waipiata, 3 ; Vinegar Hill, 1; Alexandra, 1; Matakanui, 1. Country. —England, 27; Scotland, 25; Ireland, 33; New Zealand, 74; China, 4; Victoria, 4; Tasmania, 2 ; Germany, 4 ; Malta, 1. Beligion. —Church of England, 60; Boman Catholic, 43; Presbyterian, 61; Confucian, 4; Salvationist, 4 ; Wesleyan, 2. Total collective days' stay in hospital, 3,135; individual average days' stay, 18. Daily average cost per head, Bs. 7f d.; less patients' payments, 6s. Bd. Outdoor Patients. —lndividual cases, 34 ; attendances, 60. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 504 11 6 Bations ... ... ... 245 8 4 Local bodies ... ... ... 332 13 6 Wines, spirits, ale, &c. ... ... 22 19 6 Subscriptions and donations ... 130 3 9 Surgery and dispensary... .;. 180 0 9 Patients'payments ... ... 313 5 4 Fuel and light... ... ... 56 11 2 Other sources ... ... ... 749 Bedding and clothing ... ... 36 10 5 Balance from last year ... ... 291 10 0 Furniture and earthenware ... 23 210 Washing and laundry ... ... 350 Salaries and wages ... ... 549 710 Water-supply ... ... ... 800 Funerals ... ... ... 4 12 6 Bepairs and additions ... ... 146 2 4 Printing, advertising, postage, and stationery ... ... . ... 20 3 10 Interest ... ... ... 0 8 3 Insurance ... ... ... 23 10 0 Commission ... ... ... 14 5 9 Other expenses ... ... 23 9 8 Total ... ...£1,579 810 Total ... ...£1,357 18 2 Inspected 11th March, 1898. It is always a pleasure to visit this hospital. The doctor is all that I could wish, and his treatment of and kindness to his patients are universally appreciated in the district. The nursing by Mrs. and Miss King is admirably done. A beautiful new operatingroom has been provided, and several other improvements have been effected.

NELSON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 24 Admitted during the year ... ... ... ... 166 Total under treatment ... ... ... 190 Discharged ... ... ... ... ... ... 147 Died ... ... ... ... ... ... 19 * Bemaining on 31st March, 1898 ... ... ... 24

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Sex. —116 males, 74 females. Localities from tohich Patients came.—County of Waimea, 186; Buller, 2 ; Wanganui, 1 ; Greymouth, 1. Country.—New Zealand, 89; England, 55; Scotland, 9; Ireland, 16; America, 1; Germany, 3; Bussia, 1 ; Victoria, 3 ; Norway, 4; Austria, 2; France, 1; India, 2; Wales, 4. Beligion.— Church of England, 97 ; Boman Catholic, 25; Presbyterian, 15; Lutheran, 7; W'esleyan, 20; Baptist, 9; Plymouth Brethren, 3; Hebrew, 1; Adventist, 3; Methodist, 1; Church of Christ, 4 ; Unitarian, 1 ; no religion, 4. Total collective days' stay in hospital, 9,958 ; individual average days' stay, 52-41. Daily average cost per head, 4s. 2d. ; less patients' payments, 3s. Outdoor Patients. —Individual cases, 926; attendances, 3,241. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 924 14 9 Bations ... ... ... 386 4 1 Local bodies ... .. ... 1,005 12 6 Wines, spirits, ale, &c. ... ... 10 9 0 Subscriptions and donations ... 11 14 9 Surgery and dispensary ... ... 234 0 9 Bents ... ... ... 114 0 0 Fuel and light ... ... ... 152 511 Patients'payments ... ... 276 14 3 Furniture and earthenware ... 129 13 8 Other sources ... ... ... 2876 Salaries and wages ... ... 987 13 10 Water-supply ... ... ... 34 0 0 Funerals ... ... ... 8 12 0 Bepairs ... ... ... 16 9 6 Printing, advertising, postage, and stationery ... ... ... 10 17 6 Interest ... ... ... 7 4 10 Insurance ... ... ... 25 0 0 Other expenses ... ... ... 70 5 6 Total ... ...£2,361 3 9 Total £2,072 16 7 This hospital has been visited by Mrs. Neill and myself four times in course of the year, and on each occasion everything was going on satisfactorily. Dr. Talbot has proved himself a worthy successor to Dr. Boor, and that is high praise. The accommodation at this institution was provided originally on a very large scale—indeed, with the exception of Timaru, no district in the colony had such large ideas of the future they anticipated. The large and airy wards are well kept, but their size must involve a great amount of labour for the staff. The situation and surroundings are very beautiful.

NEW PLYMOUTH HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 17 Admitted during the year ... ... ... ... 194 Total under treatment ... ... ... 211 Discharged ... ... ... ... ... ... 172 Died ... ... ... ... ... ... 21 Bemaining on 31st March, 1898... ... ... ... 18 Sex. —ls4 males, 57 females. Localities from which Patients came. —Taranaki County, 81; Hawera, 12 ; Stratford County, 52 ; New Plymouth, 53; Clifton County, 9 ; Wanganui, 1; Auckland, 1; Patea, 1; Wairarapa, 1. Nationality. —English, 58; Scotch, 10; Irish, 25; Colonial, 109; German, 7; American, 2. Beligion. —No record kept. Total collective days' stay in hospital, 7,812 ; individual average days' stay, 3702. Daily average cost per head, 4s. BJd.; less patients' payments, 3s. sfd. Outdoor Patients. —-No record kept. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 666 4 7 Bations ... ... ... 268 18 11 Local bodies ... ... ... 630 7 0 Wines, spirits, ale, &c. ... ... 58 3 8 Subscriptions and donations ... 1419 0 Surgery and dispensary... ... 192 10 10 Bents... ... ... ... 3 7 0 Fuel and light,.. ... ... 160 3 0 Patients' payments ... ... 475 8 9 Bedding and clothing ... ... 59 8 1 Other sources ... ... ... 40 0 0 Furniture and earthenware ... 61 17 3 Washing and laundry ... ... 121 16 TO Salaries and wages ... ... 663 810 Water-supply ... ... ... 10 0 0 Bepairs and additions ... ... 70 6 5 Printing, advertising, postage, and stationery ... ... ... 34 8 7 Interest ... ... ... 26 16 2 Insurance ... ... ... 19 4 0 Other expenses ... ... 83 3 9 Total ... ... £1,830 6 4 Total ... ...£1.,830_j6 4

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Visited 15th December, 1897, and 16th April, 1898. This hospital is large and spacious in its accommodation, and involves a good deal of unnecessary labour to keep it clean. Dr. O'Carroll and Dr. Leatham work harmoniously as colleagues in charge of the medical and surgical work. Miss Fernandez, the matron, is absent on leave for six months, owing to ill-health. Her place is very satisfactorily filled by Miss Brown, who had a good training at Gisborne under one of the best matrons in New Zealand. I felt it my duty to bring the case of a convict patient under the notice of the Minister of Justice, and I have communicated with the Board regarding the matter. A modification of the'eight-hour system has been introduced into this hospital, largely at the instance of the Chairman, who has very advanced views on this question. For my part, lam of opinion that, whatever may be necessary in the larger hospitals of the colony, it is a mistake in the small centres to limit the nurses' day to eight hours ; for it means that, though they are at times worked hard, yet for the larger part of the time they have little to do, and are simply in each others' way. .

OAMABU HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 11 Admitted during the year ... ... ... ... 125 Total under treatment ... ... ... 136 Discharged ... ... ... ... ... ... 105 Died 12 Bemaining on 31st March, 1898 ... ~ ... ... 19 Sex. —96 males, 40 females. Localities from which Patients came. —Oamaru and Waitaki County. Country. —England, 33; Scotland, 19; Ireland, 25; New Zealand, 35; Australia, 9; Continent of Europe and America, 15. Beligion. —Church of England, 50 ; Boman Catholic, 36 ; Presbyterian, 38; Wesleyan and others, 12. Total collective days' stay in hospital, 3,617; individual average days' stay, 26-59. Daily average cost per head, 7s. 3d.; less patients' payments, 7s. Outdoor Patients. —lndividual cases, 148 ; attendances, 679. Bevenue and Expenditure. Bevenue. £ s. d. [ Expenditure. £ s. d. From Government ... .... 87 16 10 1 Bations ... ... ... 249 5 4 Subscriptions and donations ... 80 8 8 Wines, spirits, ale, &c. ... ... 35 8 0 Bents ... ... ... ... 915 14 6 Surgery and dispensary ... ... 92 1 8 Patients' payments ... ... 52 5 0 Fuel and light ... ... ... 68 7 7 Other sources ... ... ... 293 18 3 Bedding and clothing ... ... 51 19 3 Balance from last year ... ... 116 19 11 Furniture and earthenware .. 55 7 3 Salaries and wages ... ... 538 7 6 Funerals ... ... ... 26 11 0 Bepairs ... ... ... 149 18 4 Additions ... ... ... 276 12 11 Printing, advertising, postage, and stationery .. ... ... 859 Insurance ... ... ... 5 15 0 Other expenses ... ... ... 33 2 7 Total ... ... £1,547 3 2 Total ... ... £1,591 2 2 This is an admirably conducted hospital. The medical officer is capable and attentive. Mr. and Mrs. Desmond have everything in perfect order. I heard nothing but praise from the patients for the way they are treated.

PALMEBSTON NOBTH HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 21 Admitted during year ... ... ... ... ... 191 Total under treatment ... ... ... 212 Discharged ... ... ... ... ... ... 166 Died ... ... ... ... ... ... ... 22 Bemaining on 31st March, 1898 ... ... ... ... 24 Sex. —147 males, 65 females. Localities from which Patients came. —Palmerston North, 177; Masterton, 6; Wanganui, 7 ; Wellington, 5; Waipawa, 8; Dunedin, 1; Napier, 4; New Plymouth, 2; Patea, 1; Christchurch, 1. ■ Nationality. —English, 57 ; Scotch, 16; Irish, 26; New Zealand, 80; Australian, 9 ; German, 7 ; Canadian,' 1; Danish, 4; Swedish, 2; Norwegian, 5; Tasmanian, 2; Finn, 1; West Indian, 1; Arab, 1.

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Beligion. —Church of England, 89; Boman Catholic, 34 ; Presbyterian, 27 ; Wesleyan, 24; Lutheran, 9; Salvation Army, 6; Baptist, 4; Brethren, 11; Seventh Day Adventists, 1; Independent, 1; Unitarian, 1; no religion, 5. Total collective days' stay in hospital, 8,236 ; individual average days' stay, 38-61. Daily average cost per head, ss. Id.; less patients' payments, 4s. 2Jd. Outdoor Patients. —None. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 847 7 1 Bations ... ... ... 431 18 3 Local bodies ... ... ... 777 5 6 Wines, spirits, ale, &c. ... .... 30 10 6 Subscriptions and donations ... 65 7 8 Surgery and dispensary... ... 221 14 6 Bequest ... ... ... 154 1 1 Fuel and light... ... ... 159 11 6 Patients' payments ... ... 378 88! Bedding and clothing ... ... 39 19 1 Other sources ... .. ... 57149 Furniture and earthenware 6171 Washing and laundry ... ... 38 0 0 Salaries and wages ... ... 791 15 6 Water-supply ... ... ... 28 6 1 Funerals ... ... .. 9 10 0 Bepairs ... ... ... 39 16 8 Additions to buildings ... ... 32150 Printing, advertising, postage, and stationery ... ... ... 23 16 8 Interest ... ... ... 11 5 9 Insurance ... ... ..... 31 6 3 Other expenses ... ... 151 6 1 Total ... ...£2,280 4 9 Total ... £2,102 18 11 Inspected 22nd December, 1897. Twenty-one patients on day of visit. There is always a comfortable homelike air about this hospital, combined with efficient nursing. The garden was in splendid condition, sweet and brilliant with summer flowers.

PATEA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 1 Admitted during the year ... ... ... ... 39 Total under treatment ... ... ... 40 Discharged ... ... ... ... ... ••• 31 Died 3 Bemaining on 31st March, 1898 ... ... ... ... 6 Sex. —30 males, 10 females. Locality from which Patients came. —Wanganui to Hurleyville. Nationality. —English, 11 ; Irish, 8; New Zealand, 16; Scotch, 2; American, 1; Australian, 1; Chinese, 1. Beligion. —No record. Total collective days' stay in hospital, 1,302 ; individual average days' stay, 32-55. Daily average cost per head, 6s. llfd.; less patients' payments, ss. lOd. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 175 6 4 Bations ... ... ... 90 19 1 Local bodies ... ... ... 150 0 0 Wines, spirits, &c. ... - ... 6 8 6 Subscriptions and donations ... 23 3 6 Surgery and dispensary ... ... 19 9 Bents... ... ... ... 3 0 0 Fuel and light ... ... ... 23 0 6 Patients'payments ... ... 74 17 0 Bedding and clothing ... ... 16 14 0 Other sources ... ... .. 231 Furniture and earthenware ... 14 14 1 Balance from last year ... ... 44 510 Washing and laundry ... ... 110 6 Salaries and wages ... ... 197 5 0 Funerals ... ... ... 4 8 0 Bepairs ... ... ... 28 16 8 Additions ... ... ... 45 15 6 Printing, advertising, postage, and stationery ... .. ... 12 19 7 Insurance ... ... ... 1 12 6 Other expenses ... ... ... 972 Total ... ... £472 15 9 Total ... ... £455 0 10

Visited 18th April, 1898. This hospital is now at last in a thoroughly satisfactory condition, both as regards medical care and nursing. Dr. Harvey is thoroughly attentive to his work, and Miss Allan is a highly efficient certificated nurse. I am glad to find that all through the district great interest is being aroused in all that concerns the welfare of the institution. 4—H. 22.

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PICTON HOSPITAL. Number of patients on 31st March, 1897 ... Admitted during the year ... ... ... . . 18 Total under treatment ... ... ... 30 Discharged ... ... ... ... ... ... 17 Died ... ... ... ... ... ... ... 3 Bemaining on 31st March, 1898 ... ... ... ... 10 Sea;. —24 males, 6 females. Localities from which Patients came. —Pelorus Eoad District, Havelock, Cullensville, Kaituna, Tuamarina, Sounds, Picton. Country. —No record. Beligion. —No record. Total collective days' stay in hospital, 3,863; individual average days' stay, 128-76. Daily average cost per head, 3s. 2£d.; less patients' payments, 3s. Ofd. Outdoor Patients. —lndividual cases, 7. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 274 3 1 Bations ... ... ... 147 18 1 Local bodies ... ... ... 274 3 0 Wines, spirits, ale, &c. ... ... 15 14 0 Donations ... ... ... 100 Surgery and dispensary... ... 20 14 3 Patients'payments ... ... 24 0 0 Fuel and light... ... ... 35 911 Other sources ... ... ... 43 12 7 Bedding and clothing ... ... 17 8 8 Salaries and wages ... ... 268 16 0 Water-supply ... ... ... 3 10 0 Bepairs ... ... ... 12 14 6 Printing, advertising, postage, and stationery ... ... ... 11 11 11 Interest ... ... ... 0 2 6 Insurance ... ... ... 500 Other expenses ... ... 77 18 10 Total ... ... £616 18 8 Total £616 18 8 Date of inspection, 28th January, 1898. After years of friction between two parties in the district, one favourable to the retention of Dr. Scott, the other anxious to get rid of him, a solution of the difficulty seems at last to have been hit upon, which, I hope, will have the effect of healing this chronic sore. Dr. Scott has entered into partnership, with equal interest in the practice as well as the surgeonship to the hospital, though, so far as the Secretary, Mr. Blizzard, could inform me, there was some vagueness as regards the exact terms of the agreement. At any rate, Dr. Scott was re-elected on the understanding that Dr. Anderson's services should be available for the hospital. I found a great deal of ill-feeling among the patients, most of whom are simply brokendown old men. This was, I concluded after careful inquiry, entirely due to the slackness of the Board, who time after time readmitted a disreputable, drunken old ruffian to the hospital, where he made the most odious charges against the management without any foundation, and treated the caretaker and doctor in my hearing with the most shameful insolence. I wrote a letter to the Trustees, and lam glad to find that they at once turned him out, and now there is peace. It is impossible to maintain discipline in a hospital where the Trustees are deterred by fear of popular clamour from doing their duty.

QUEENSTOWN HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 13 Admitted during the year ... ... ... ... 99 Total under treatment ... ... ... 112 Discharged ... ... ... ... ... ... 91 Died 10 Bemaining on 31st March, 1898 ... ... ... ... 11 Sex. —87 males, 25 females. Localities from which Patients came. —Lake, Vincent, Southland, and Clutha Counties, Dunedin, England, Ireland. Country. —New Zealand, 42; England, 12; Ireland, 20; Scotland, 18; Australia, 8; Holland, 1; Prussia, 1; Tasmania, 2 ; Denmark, 1; Canada, 2 ; China, 2; Germany, 1; France, 1; Sweden, 1. Beligion. —Church of England, 31; Boman Catholic, 26; Presbyterian, 47; Wesleyan, 3 ; Lutheran, 2 ; Buddhist, 2 ; Baptist, 1. Total collective days' stay in hospital, 3,800; individual average days' stay, 33-93. Daily average cost per head, ss. 2d. ; less patients' payments, 3s. B£d. Outdoor Patients.— lndividual cases, 81; attendances, 154.

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Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 462 4 5 Bations ... ... ... 250 7 7 Local bodies ... ... ... 275 2 0 Wines, spirits, ale, &c. ... ... 711 0 Subscriptions and donations ... 114 5 3 Surgery and dispensary ... ... 57 16 0 Patients'payments ... ... 280 15 0 : Fuel and light ... ... ... 65 17 7 Balance from last year ... ... 123 16 5 ; Bedding and clothing, &c. ... 112 1 10 Salaries and wages ... ... 421 0 0 Printing, advertising, postage, and stationery ... ... ... 716 Insurance ... ... ... 13 16 3 Commission ... ... ... 21 16 2 Other expenses ... ... ... 26 5 3 Total ... £1,256 3 1 Total ... £983 13 2 The state of things commented on last year has been improved, and this is once more a comfortable and well-cared-for institution. Dr. Douglas is always careful and attentive, and is one of the kindest of men. The situation, though somewhat inconvenient, is extremely salubrious, and makes it a favourite resort for pulmonary cases, for whom the climate is unrivalled.

BEEFTON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 16 Admitted during the year ... ... ... ... 146 Total under treatment ... ... ... 162 Discharged ... ... ... ... ... ... 128 Died ... 15 Bemaining on 31st March, 1898 ... ... ... ... 19 Sex. —lso males, 12 females. Locality from which Patients came. —lnangahua and Buller Counties, Auckland. Country. —England, 33 ; Scotland, 22; Ireland, 46 ; New Zealand, 34; New South Wales, 1 ; Tasmania, 2 ; Wales, 2 ; Shetland Isles, 1; Orkney Isles, 1; lonian Isles, i ; China, 5 ; Germany, 5; Victoria, 7 ; Sweden, 1 ; Finland, 1. Beligion. —Church of England, 59; Boman Catholic, 50 ; Presbyterian, 39; Wesleyan, 4 ; Confucian, 4 ; Lutheran, 3 ; nil, 3. Total collective days' stay in hospital, 7,663; individual average days' stay, 47-30. Daily average cost per head, 4s. 4Jd.; less patients' payments, 4s. 2d. Outdoor Patients. —Individual cases, 126; attendances, 800. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 635 13 8 Bations ... ... ... 425 6 5 Local bodies ... ... ... 100 0 0 Wines, spirits, ale, &c. ... ... 56 1 7 Subscriptions and donations ... 467 15 10 Surgery and dispensary... ... 135 13 8 Patients'payments ... ... 79 10 0 Fuel and light... ... ... 81 12 5 Other sources ... ... ... 700 Bedding and clothing ... ... 92 13 2 Balance from last year ... ... 397 13 3 Furniture and earthenware ... 80 13 10 Washing and laundry ... ... 6129 Salaries and wages ... ... 641 11 4 Funerals ... ... ... 5 18 0 Bepairs ... ... ... 69 1 4 Additions to buildings ... ... 57 4 3 Printing, advertising, postage, and stationery ... ... ... 48 12 6 Interest ... ... ... 086 Insurance ... ... ... 3 15 0 Commission ... ... ... 10 13 0 Other expenses ... ... 23 1 8 Total £1,687 12 9 Total £1,738 19 5 Inspected 24th April, 1898. The additional accommodation afforded by the Ziman Ward has greatly increased the comfort of this hospital. A woman far advanced in cancer was being carefully tended by Mrs. Preshaw. Everything seemed in excellent order,, and all the patients spoken to were contented and happy.

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BIVEBTON HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 18 Admitted during the year ... .. ... ... 122 Total under treatment ... ... ... 140 Discharged ... ... ... ... ... ... 124 Died ... ... ... ... ... ... 7 Bemaining on 31st March, 1898 ... ... ... ... 9 Sea;. —101 males, 39 females. Locality from which Patients came. —Biverton district. Country. —England, 15; Scotland, 10; Ireland, 25; New Zealand, 54; Tasmania, 1; Victoria, 2 ; China, 5 , India, 1; Canada, 1; Austria, 2 ; aboriginal, 5 ; Sweden, 1. Beligion. —Church of England, 48; Presbyterian, 29; Boman Catholic, 31; Wesleyan, 8; Evangelist, 1; Confucian, 5. Total collective days' stay in hospital, 4,538; individual average days' stay, 32-41. Daily average cost per head, ss. 3Jd.; less patients' payments, ss. Outdoor Patients. —lndividual cases, 68; attendances, 75. Bevenue and Expenditure. Bevenue. * £ s. d. Expenditure. £ s. d. From Government ... ... 613 15 7 Bations ... ... ... 342 18 0 Local bodies ... ... ... 526 15 0 Wines, spirits, ale, &c. ... ' ... 15 16 11 Subscriptions and donations ... 101 13 0 Surgery and dispensary ... 65 9 9 Bents ... ... ... 10 0 Fuel and light ... ... 66 16 0 Patients' payments ... ... 62 10 0 Bedding and clothing ... ... 20 12 8 Other sources ... ... ... 2 10 0 Furniture and earthenware ... 29 17 0 Balance from last year ... ... 135 8 9 Washing and laundry ... ... 11 10 0 Salaries and wages ... ... 519 4 0 Funerals ... ... ... 550 Water-supply ... ... ... 600 Bepairs ... ... ... 13 6 0 Additions ... ... ... 285 13 6 Printing, advertising, postage, and stationery ... ... ... 20 1 9 Insurance '... ... ... 7 17 0 Other expenses ... ... 73 7 5 Total .., ...£1,443 12 4 Total ... ...£1,483 15 0 Visited sth March, 1898. This hospital was in good order; but the dual management seems to me unlikely to continue to work well. The female side, which requires comparatively little skill to manage because of the small number of patients, is in charge of a skilful certificated nurse, while the male side is under the co-ordinate authority of a male warder, who has had no experience beyond Biverton. Miss Williams should be placed in full control of both sides, and Mr. Fearn, if the Board are resolved to retain his services, should be her assistant. I found the old diningroom was being converted into a ward, for which it is quite unsuitable, for it has no direct light or ventilation. In fact, to attempt to use it for a hospital ward is absurd, and lam surprised that Dr. Nelson has not pointed this out to the Trustees.

BOSS HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 8 Admitted during the year ... ... ... ... 14 Total under treatment ... ... ... 22 Discharged ... ... ... ... ... ... 12 Died ... ... ... ... ... ... 2 Bemaining on 31st March, 1898... ... ... ... 8 Sea;. —22 males. Localities from which Patients came. —Boss, 16; South Westland, 6. Country. —England, 7 ; Scotland, 6 ; Ireland, 5 ; Germany, 2 ; Italy, 1; France, 1. Beligion. —Church of England, 12 ; Boman Catholic, 4 ; Presbyterian, 6. Total collective days' stay in hospital, 3,081; individual average days' stay, 140. Daily average cost per head, 3s. 9d.

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Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 247 1 0 Bations, wine, spirits, ale, &c. ... 174 3 1 Local bodies ... ... ... 222 18 11 Surgery and dispensary ... ... 11 410 Subscriptions and donations ... 100 10 0 Fuel and light ... ... ... 21 17 3 Patients'payments ... .... 810 0 Bedding and clothing ... ... 16 7 3 Furniture and earthenware ... 4 2. 0 Salaries and wages ... ... 315 0 0 Funerals ... .. ... 7 0 6 Bepairs ... ... ... 14 8 6 Printing, advertising, postage, and stationery ... ... ... 317 0 Insurance ... ... ... 536 Other expenses ... ... 5 16 0 Total ... ...£578 19 1i Total ... ...£578 19 11 Date of inspection, 20th January, 1898. Considerable improvements have been effected since my last visit. One of the wards has been cleaned, painted, and papered. The whole outside of the building as well as the roof ought to be painted at once, for it is not creditable to allow a public building to perish through neglect. The patients consisted of eight chronic cases. All spoke in the highest terms of the care and kindness they experienced at the hand of Dr. Bossetti and Mr. and Mrs. Meeson. * _ >

SOUTH WAIEABAPA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 1 Admitted during the year ... ... ... ... 48 Total under treatment ... ... ... 49 Discharged ... ... ... .. ... ... 40 Died ... ... ... ... .., ... ... 6 Bemaining on 31st March, 1898 ... ... ... ... 3 Sex. —37 males, 12 females. Localities from which Patients came. —Carterton, 13; Greytown, 8; Featherston, 1; Martinborough, 10; Morrison's Bush, 2; Lower Valley, 2 ; Woodside, 1; Gladstone, 7 ; Ngahauranga, 1; Kaiwaiwai, 1; Dannevirke, 1; Matarawa, 2. Country. —England, 14 ; Scotland, 2 ; Ireland, 4; New Zealand, 25; Germany, 2; Bussia, 1; Mexico, 1. Beligion. —Church of England, 36; Boman Catholic, 3; Presbyterian, 6; Wesleyan, 3; Lutheran, 1. Total collective days' stay in hospital, 1,054; individual average days' stay, 21-51. Daily average cost per head, Bs. 3Jd.; less patients' payments, 7s. 10£ d. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 239 0 3 Bations ... ... ... 121 12 1 Subscriptions and donations ... 180 3 9 Wines, spirits, ale, &c. ... ... 17 3 Bents ... ... ... ... 14 0 Surgery and dispensary ... ... 25 8 2 Patients'payments ... ... 22 1 0 Fuel and light ... ... ... 13 210 Other sources ... ... ... 518 6 Bedding and clothing ... ... 211 3 Balance from last year ... ... 83 1 5 Furniture and earthenware ... 718 0 Salaries and wages ... ... 213 12 0 Funerals . ... ... 3 0 0 Bepairs and additions ... ... 26 2 5 Printing, advertising, postage, and stationery ... ... ... 876 Interest ... ... ... 18 0 Insurance ... ... ... 6 11 9 Other expenses ... ... ... 649 Total ... ... £531 8 11 Total ... ... £437 6 0 Inspected 19th December, 1897. This is a comfortable cottage-hospital, which is well looked after in every respect. There were three patients on the date of my visit, one of them a very remarkable case of recovery from a dangerous gunshot wound right into the body of the sacrum. A four-roomed cottage makes a suitable fever ward.

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THAMES HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 23 Admitted during the year ... ... ... ... 288 Total under treatment ... ... ... 311 Discharged ... ... ... ... ... ... 259 Died . . ... ... ... ... ... 28 Bemaining on 31st March, 1898... ... ... ... 24 Sex. —24o males, 71 females. Localities from which Patients came. —Thames and Ohinemuri Counties and Thames Borough. Country.— England, 56; Scotland, 13; Ireland, 41; New Zealand, 161; Australia, 16 ; Germany, 3; America, 2 ; Italy, 2 ; Sweden, 3; Tasmania, 3; South Africa, 3; Canada, 2 ; Finland, 2 ; Jamaica, 1; Nova Scotia, 1; Portugal, 1; Fiji, 1. Beligion. —Church of England, 105; Boman Catholic, 70; Presbyterian, 46 ; Wesleyan, 24; Plymouth Brethren, 2; Lutheran, 1; Primitive Methodist, 4; Congregationalist, 2; Salvation Army, 1; Baptist, 7 ; unknown, 49. Total collective days' stay in hospital, 7,464; individual average days' stay, 24. Daily average cost per head, 4s. ljd. ; less patients' payments, 3s. lfd. Outdoor Patients. —lndividual cases, 350 ; attendances, 760. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 605 6 2 Bations, fuel, and light ... ... 378 19 8 Local bodies ... ... ... 575 0 0 Wines, spirits, ale, &c. ... ... 6 0 6 Subscriptions and donations ... 72 5 8 Surgery and dispensary ... ... 119 11 0 Bents... ... ... ... 18 0 0 Bedding and clothing, furniture, and Patients' payments ... ... 368 19 1 earthenware ... ... ... 53 14 9 Balance from last year ... ... 60 4 8 Salaries and wages ... ... 764 18 9 Water-supply and rates ... ... 32 510 Funerals ... ... ... 15 8 0 Bepairs ... ... ... 20 4 0 Printing, advertising, postage, and stationery ... ... ... 25 4 3 Insurance ... ... ... 15 8 9 Other expenses ... ... 107 15 0 Total ... . .£1,699 15 7 Total ... ...£1,539 10 6 Visited Ist February, 1898. This hospital is in an unsatisfactory and difficult position. The building as a whole is badly arranged, and badly built of bad materials. Its situation is on the flat on a corner section, with houses close up and streets on two sides. The Trustees have for years been pressing the Government to spend £1,000 in repairing and extending this building. I have been compelled to advise against any attempt to spend any more money in patching up so manifestly bad and unsuitable a structure. The local authorities plead inability to make any effort to raise money, which the Government would willingly subsidise, for a new hospital if possible on a new site. The result is a deadlock from which I can see no immediate prospect of relief. So far as the medical and surgical arrangements and the nursing staff is concerned they deserve the highest commendation.

TIMAEU HOSPITAL. Number of patients on 31st March, 1897 .. ... ... 25 Admitted during the year ... ... ... ... 325 Total under treatment ... ... ... 350 Discharged ... ... ... ... ... ... 290 Died ... ... ... ... ... ... 34 Bemaining on 31st March, 1898 ... ... ... ... 26 Sex. —2ll males, 139 females. Localities from which Patients came. —Hospital district, 321; outside hospital district, 29. Nationality.— -English, 62; Scotch, 38; Irish, 47; Colonial, 189; Swedish, 3; Welsh, 4; American, 1; German, 4; Pole, 1; Belgian, 1. Beligion. —Church of England, 136; Boman Catholic, 73 ; Presbyterian, 68; Wesleyan, 38; Salvation Army, 5; Baptist, 2 ; Congregationalist, 2 ; Methodist, 24; Lutheran, 1; Jewish, 1. Total collective days' stay in hospital, 9,678; individual average days' stay, 27-65. Daily average cost per head, 4s. 7d.; less patients' payments, 4s. 2Jd. Outdoor Patients. —Individual cases, 177 ; attendances, 403.

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31

Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ...1,120 13 2 Bations ... ' ... ... 550 18 11 Local bodies ... ... ...1,120 13 1 Wines, spirits, ale, &c. ... ... 43 1 0 Subscriptions and donations ... 34 511 Surgery and dispensary... ... 258 1 2 Bents... ... ... ... 10 0 0 Fuel and light ... ... 209 9 1 Patients'payments ... ... 172 14 0 Bedding and clothing ... ... 52 5 0 Furniture and earthenware ... 106 11 0 Washing and laundry ... ... 26 14 8 Salaries and wages ... ... 764 11 3 Water-supply ... ... ... 800 Bepairs ... ... ... 68 11 4 Additions ... ... ... 248 14 7 Printing, advertising, postage, and stationery ... ... ... 46 10 0 Insurance ... ... ... 14 12 6 Members' travelling-expenses ... 12 19 1 Other expenses ... ... 47 6 7 Total ... ...£2,458 6 2 Total . . £2,458 6 2 I made a night and a morning visit to this hospital. The nurses on my night visit were carefully attending to their duties, but I found that one of the wards was dangerously overcrowded with typhoid cases, especially as the new closets are not yet available. The atmosphere was distinctly close, and greater attention ought to be paid to regulating the ventilation. The fan-lights which were fixed up some time ago ought to be opened and closed by means of a screw and lever apparatus. I regret, though lam not surprised to find, that the cordial co-operation of the medical staff, three doctors practising in the town and visiting daily, seems to have broken down. I always thought this breakdown was inevitable. What to do is a difficult problem, but it is certain that when harmony goes the present system is doomed. In all other respects the management of this hospital is all that can be desired.

WAIKATO HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 27 Admitted during the year ... ... ... ... 349 Total under treatment ... ... ... 376 Discharged ... ... ... ... ... ... 335 Died ... ... ... ... ... ... 15 Bemaining on 31st March, 1898... ... ... ... 26 Sex. —261 males, 115 females. Localities from which Patients came. —Waikato, 68 ; Waipa, 79 ; Piako, 58 ; Baglan, 11; King-country, 21; Eotorua, 11; Auckland, 12; Hamilton, 65; Cambridge, 29; Ohinemuri, 15; Kawhia, 5; Dunedin, 1; Canterbury, 1. Country. —England, 76; Scotland, 20; Ireland, 51; New Zealand, 208; Australia, 11; Denmark, 3 ; Tasmania, 2 ; Prussia, 3; Holland, 1; America, 1. Beligion. —Church of England, 194; Boman Catholic, 74; Presbyterian, 62; Wesleyan, 30; Lutheran, 3 ; Baptist, 5 ; Mormon, 1; nil, 6. Total collective days' stay in hospital, 7,144; individual average days' stay, 19. Daily average cost per head, 75.; less patients' payments, ss. 3^d. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 1,050 10 0 Bations . ... ... 523 18 2 Local bodies ... ... ... 750 0 0 Wines, spirits, ale, &c... ... 18 10 0 Subscriptions and donations ... 811 0 Surgery and dispensary ... 248 13 8 Bents ... ... ... 52 19 6 Fuel and light ... ... 134 4 9 Patients'payments ... ... 614 13 6 Bedding and clothing ... ... 42 12 1 Other sources ... ... 21 16 0 Furniture and earthenware ... 1968 Washing and laundry ... ... 71 17 0 Salaries and wages ... ... 796 10 7 Water-supply ... ... 31 2 3 Funerals ... ... ... 13 5 0 Bepairs ... ... ... 148 17 10 Additions to buildings ... .... 74 7 9 Printing, advertising, postage, and stationery ... ... ... 52 15 0 Interest ... ... ... 0 4 8 Insurance ... ... ... 21 7 6 Other expenses ... ... 300 17 1 Total ... ... £2,498 10 0 Total ' '..'. ... £2,498 10 0

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Inspected 21st February, 1898. This hospital continues to deserve great credit for the energetic and progressive character of its management. I would, however, suggest that, now that the kitchen has been extended and a new range added, the ratepayers' pockets should get a rest— at any rate, so far as further building is concerned. The eight-hour system of nurses' work is in operation, I think, unnecessarily. It would be sufficient to get what assistance is required at specially busy times. I am convinced that in hospitals of this size too large a staff has many serious drawbacks. I would also suggest that it ought not to be necessary to send to Morrinsville every time that professional assistance is required.

WAIMATE HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 12 Admitted during the year ... ... ... ... 130 Total under treatment ... ... ... 142 Discharged ... ... ... ... ... ... 118 Died 10 • Bemaining on 31st March, 1898 ... ... ... ... 14 Sex. —96 males, 46 females. Locality from which Patients came. —Waimate County. Country. — England, 34 ; Scotland, 17 ; Ireland, 28 ; New Zealand, 53 ; Germany, 2 ; Australian Colonies, 4 ; America, 1; Austria, 1; South Africa, 1; Belgium, 1. Total collective days' stay in hospital, 3,139; individual average days' stay, 22-10. Daily average cost per head, 6s. 3Jd. ; less patients' payments, ss. B|d. Outdoor Patients. —Individual cases, 36 ; attendances, 153. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 293 13 5 Bations ... ... ... 136 17 2 Local bodies ... ... ... 250 0 0 Wines, spirits, ale, &c. ... ... 12 9 6 Subscriptions and donations ... 37 2 0 Surgery and dispensary ... ... 117 11 9 Patients'payments ... ... 89 0 0 Fuel and light ... ... ... 54 12 0 Other sources ... ... ... 712 0 Bedding and clothing ... ... 22 15 11 Balance from last year ... ... 327 3 5 Furniture and earthenware ... 7 15 10 Salaries and wages ... ... 474 14 6 Funerals ... ... ... 426 Bepairs ... ... ... 17 19 6 Printing, advertising, postage, and stationery ... ... ... 20 7 9 Insurance ... .. ... 13 9 0 Other expenses ... ... ... 99 15 11 Total ... £1,004 10 10 Total ... ... £982 11 4 I regret to find that the Boyal Commission does not seem to have quite removed the causes of friction between the Waimate and Timaru Hospital Trustees. Last year I pointed out that in some respects the Waimate people wanted too much. lam now, however, bound to admit that they do need new beds and a more abundant supply of bedding. The doctor is energetic and determined not to be content without the most complete surgical appliances. I found the nursing good, and the hospital as a whole in a very satisfactory state.

WAIPAWA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 26 Admitted during the year ... ... ... ... 272 Total under treatment ... ... ... 298 Discharged ... ... ... ... ... ... 257 Died ... ... ... ... ... ... ... 15 Bemaining on 31st March, 1898 ... ... ... ... 26 Sex. —231 males, 67 females. Localities from whch Patients came. —Napier, 6 ; Waipukurau, 15; Waipawa, 33 ; Te Aute, 19 ; Bush, 97; Makaretu, 24 ; Wairarapa, 2 ; Coast, 24; Patangata, l 0 ; Dannevirke, 47 ; Feilding, 1; Palmerston, 2; Wellington, 2; Auckland, 4; Woodville, 2; Wanganui, 2; Hastings, 2; Weber, 6. Country. —England, 77 ; Ireland, 34; Scotland, 17; New Zealand, 109; Tasmania, 5; Australia, 10; Norway, 14; Sweden, 14; Canada, 2 ; California, 2 ; Germany, 6; Bohemia, 1; America, 2 ; France, 2; Finland, 1; Africa, 1; India, 1. Beligion. —■ Boman Catholic, .58 ; Church of England, 142 ; Presbyterian, 33 ; Lutheran, 33 ; Salvationist, 13 ; Freethinker, 2 ; Wesleyan, 8 ; Adventist, 2; Christadelphian, 2 ; Methodist, 2 ; .Baptist,. 1; no religion, 2.

H.—22.

Total collective days' stay in hospital, 10,183; individual average days' stay, 34-17. Daily average cost per head, 3s. Bd.; less patients' payments, 3s. 3fd. Bevenue and Expenditure. Bevenue. £ s. d. . Expenditure. £ s. d. From Government ... ... 966 11 2 Bations ... ... ... 578 16 0 Local bodies ... ... ... 728 0 0 Wines, spirits, ale, and porter ... 31 10 0 Subscriptions and donations ... 283 15 2 Surgery and dispensary... ... 182 16 5 Patients'payments ... ... 175 9 4 Fuel and light. . ... ... 112 17 9 Other sources ... ... ... 0180 Bedding and clothing ... ... 46 12 10 Balance from last year ... ... 101 19 8 Washing and laundry ... ... 31 5 0 Salaries and wages ... ... 686 5 6 Water-supply ... ... ... 18 14 6 Funerals ... ... ... 13 13 6 Furniture, &c, and repairs ... 63 9 7 Additions to buildings ... ... 196 19 6 Printing, advertising, postage, and stationery ... ... ... 21 11 3 Interest ... ... ... 0 13 6 Insurance ... ... ... 33 6 0 Other expenses ... ... 49 6 8 Total ... ...£2,256 13 4 Total ... ~.£2,067 18 0 On the date of my visit, 9th September, 1897, this hospital contained twenty male and seven female patients. All spoke in the highest terms both of the doctor and the nurses ; and, indeed, it is evident, even to the casual observer, that this is a well-managed institution. The new matron is a great acquisition.

WAIBOA HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 3 Admitted during the year ... ... ... ... 34 Total under treatment ... ... ... 37 Discharged ... ... ... ... ... ... 34 Died... ... ... ... ... ... ... 2 Bemaining on 31st March, 1898 ... ... ... 1 Sea;.—3l males, 6 females. Localities from which Patients came. —Wairoa and adjacent counties, and Waikaremoana co-operative roadworks. Nationality. —European, 26; Native, 11. Total collective days' stay in hospital, 1,022; individual average days' stay, 27-62 Daily average cost per head, 9s. 7fd. ; less patients' payments, Bs. ljd. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 195 12 1 Bations ... .. ... 108 18 8 Local bodies ... ... ... 167 7 1 Surgery and dispensary... ... 58 3 7 Subscriptions and donations ... 23 10 10 Fuel and light... ... ... 38 15 9 Patients' payments ... ... 39 3 5 Bedding and clothing ... ... 2123 Other sources ... ... ... 10 0 0 Furniture and earthenware ... 1444 Balance from last year ... ... 73 610 Salaries and wages ... ... 221 5 4 Bepairs and additions to buildings 11 8 9 Printing, advertising, postage, and stationery ... ... ... 114 Other expenses ... ... 36 9 10 £509 0 3 £492 19 10

WANGANUI HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 18 Admitted during the year ... ... ... ... 276 Total under treatment ... ... ... 294 Discharged ... ... ... ... ... ... 249 Died ... ... ... ... ... ... 17 Bemaining on 31st March, 1898 ... ... ... ... 28 5—H. 22.

33

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34

Sex. —2o7 males, 87 males. Localities from which Patients came. —Wanganui Borough, 139; Wanganui Couny, 35; Waitotara County, 34 ; Bangitikei County, 58 ; Marton Borough, 18 ; Halcombe, 2; Stratford, 1; Waverley, 7. Nationality. —English, 60; Scotch, 24; Irish, 60; Welsh, 7; Colonial, 139; American, 1 ; German, 1; Norwegian, 1 ; Italian, 1. Beligion. —Church of England, 131; Boman Catholic, 85; Presbyterian, 51; Wesleyan, 20; Church of Christ, 1 ; Baptist, 1; Plymouth Brethren, 1; Salvation Army, 1; Lutheran, 2 ; unknown, 1. Total collective days' stay in hospital, 9,352 ; individual average days' stay, 31-80. Daily average cost per head, ss. 4Jd. ; less patients' payments, 4s. 64d. Outdoor Patients. —lndividual cases, 105 ; attendances, 611. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 966 11 4 Bations ... ... ... 422 5 8 Local bodies ... ... ... 657 6 4 Wines, spirits, ale, &c. ... ... 39 0 3 Subscriptions and donations ... 20 0 Surgery and dispensary... ... 308 4 9 Bequest ... ... ... 500 0 0 Fuel and light ... ... ... 295 711 Bents :.: ... ... 728 17 6 Washing and laundry ... ... 87 19 0 Patients'payments ... ... 396 7 6 Salaries and wages ... ... 781 011 Other sources ... ... ... 65 0 0 Water-supply ... ... ... 50 0 0 Balance from last year ... ... 985 7 4 Funerals ... ... ... 738 New hospital ... ... ... 1,414 15 0 Printing* advertising, postage, and stationery ... ... ... 37 14 2 Interest re new hospital loan ... 334 16 10 Other expenses ... ... 145 17 1 Total ... ...£4,320 2 0 Total ... ...£3,924 5 3 Inspected 7th December, 1897. This hospital is, in every point of view, most satisfactory. The Trustees are liberal and progressive in their ideas, the medical staff capable and attentive, and the nursing good. A modification of the eight-hour system has been introduced, without any apparent necessity. Except at very long intervals, the amount and character of the work required of the nurses is not excessive. Unless the public mind resolves that all labour, whether continuous or not, shall be limited to an eight-hours day, I think the nurses in hospitals of this size should work as formerly. Under the eight-hours system, if all or the majority of the nurses are certificated, the expense is too great, while, if probationers be appointed for the sake of cheapness, their training is inadequate. lam a thorough believer in limiting the hours of heavy labour to the utmost, but I fear that, to make the experiment with our hospitals of this class, will ultimately prove a hindrance to a most beneficent movement. The cost will be found too burdensome, and I am apprehensive that the whole system of female nursing will collapse under its own weight.

WELLINGTON HOSPITAL. Number of patients on 31st March, 1897 ... ... 170 Admitted during the year ... ... ... ... 1,562 Total under treatment ... ... ... 1,732 Discharged... ... ... ... ... ... 1,469 Died ... ... ... ... ... ... 110 Bemaining on 31st March, 1898 ... ... ... 153 5ex. —1,032 males, 700 females. Localities from which Patients came. —Wellington, 1,263; suburbs, 144; Pahautanui, 2; Tokomaru, 1 ; Dannevirke, 3 ; Beefton, 1; Kereru, 4 ; Hunterville, 4 ; Shannon, 3; Masterton, 16 ; Wanganui, 9 ; Eketahuna, 4 ; Westport, 4 ; Picton, 1 ; Foxton, 6 ; Mauriceville, 4 ; Onehunga, 2; Marlborough, 1; Levin, 6; Waituna, 1; Hawke's Bay, 2; ships, 46; Otaki, 10; Auckland, 1; Plimmerton, 1 ; Horokiwi, 2; Featherston, 7; Wairarapa, 1; Martinborough, 8; New Plymouth, 4; Nelson, 5; Pahiatua, 10; Patea, 3; Kumara, 1; Waikanae, 3; Normanby, 2; Waipawa, 1; Summit, 2; Paikakariki, 2; Tawa Flat, 1; Tutaekara, 1; Feilding, 16 ; Upper and Lower Hutt, 47; Palmerston, 8; Greytown, 4; Whakataki, 1; Mungaroa, 2; Napier, 3; Oamaru, 1 ; London, 1; Waiwetu, 1; Sydney, 3 ; Christchurch, 6 ; Paraparaumu, 4 ; Turakina, 1 ; Makarui, 1; Greymouth, 2 ; Bongotea, 1 ; Carterton, 6 ; Ashburton, 1 ; Kaitoke, 3 ; Ormondville, 1; Newman, 1; Woodville, 3; Ballance, 1; Hastings, 3; Bangitikei, 5; Blenheim, 2; Longburn, 1■; Kaikoura, 2; Pukarua, 1 ; Dunedin,2; Toko, 1 ; Paremata, 1; Sandon, 1; Opiti, 1 ; Queensland, 1; Mangatainoka, 1. Nationality.— English, 446 ; Irish, 246; Scotch, 138 ; Colonial, 775 ; Welsh, 10 ; Australian, 22 ; Assyrian, 1; Danish, 7; Italian, 4; Swedish, 13; French, 5; German, 19; Indian, 4 ; American, 9; Norwegian, 9; African, 1; Greek, 1; Bussian, 2; Chinese, 9; Canadian, 3; Belgian, 2 ; Spanish, 1; Finns, 1 ; Channel Islanders, 4.

35

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Beligion.— Church of England, 860; Boman Catholic, 404; Wesleyan, 165; Presbyterian, 150; Baptist, 39; Confucian, 2 ; Lutheran, 19; Salvation Army, 25; Hebrew, 2; Brethren, 15; Seventh Day Adventist, 2; Greek Church, 2 ; Catholic Apostolic, 2 ; Congregational, 8; Church of Christ, 10 ; Methodist, 11; none, 16. Total collective days' stay in hospital, 59,939 ; individual average days' stay, 34-60. Daily average cost per head, 3s. 7fd.; less patients' payments, 2s. llfd. Outdoor Patients. —lndividual cases, 2,534 ; attendances, 13,244. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 4,335 0 0 Bations ... ... ... 3,257 14 9 Local bodies ... ... 4,335 0 0 Wines, spirits, ale, &c. ... 157 1 9 Subscriptions and donations ... 125 2 0 Surgery and dispensary ... 1,386 611 Bequest ... ... ... 500 0 0 Fuel and light ... ... 825 19 1 Bents ... ... ... 2,01112 11 Bedding and clothing... ... 426 0 2 Patients'payments ... ... 2,041 17 5 Furniture and earthenware ... 84 5 6 Other sources ... ... 76 7 10 Washing and laundry ... 306 16 10 Balance from last year ... 1,827 13 4 i Salaries and wages ... ... 3,345 6 0 Water-supply ... ... 198 14 0 Funerals ... ... ... 58 14 6 Bepairs ... ... ... 489 14 9 Additions to buildings ... 770 9 3 Printing, advertising, postage, and stationery ... ... 57 11 11 Interest and principal ... 403 12 0 Insurance ... ... ... 40 10 6 Other expenses ... ... 315 7 9 Total ... ... £15,252 13 6 Total ... ... £12,124 5 8 This is the most popular institution in Wellington, and its defects are chiefly due to this fact. If only the Trustees could-be induced to emulate, even to a small extent, the excellent example set by Auckland, there would be less anxiety felt by thoughtful observers as to the evil effects of our indiscriminate lavishness in administering what is, after all, a public charity. I have nothing but admiration for the zeal, ability, and sympathetic feeling with which the Wellington Hospital is administered. I only deplore its efficiency in blunting the self-respect and independence of so many of our people. A popular hospital administration means, among other things not apparent on the surface, high doctor's fees for all who are too proud to accept medical services gratis.

WESTPOBT HOSPITAL. Number of patients on 31st March, 1897 ... ... ... 24 Admitted during the year ... ... ... ... 116 Total under treatment ... ... ... 140 Discharged ... ... ... ... ... ... 100 Died 11 Bemaining on 31st March, 1898 ... "... ... ... 29 Sex. —l2l males, 19 females. Locality from which Patients came. —Buller County and Borough of Westport. Country. —England, 27 ; Ireland, 40; Scotland, 29; New Zealand, 29; Australia, 3; America, 4; Germany, 8. Beligion.— Church of England, 47 ; Boman Catholic, 52 ; Presbyterian, 31; Wesleyan, 5 ; Lutheran, 5. Total collective days' stay in hospital, 13,910; individual average days' stay, 99-36. Daily average cost per head, 2s. s|d. ; less patients' payments, 2s. 3fd. Bevenue and Expenditure. Bevenue. £ s. d. Expenditure. £ s. d. From Government ... ... 805 10 9 Bations ... ... ... 316 7 5 Local bodies ... ... ... 669 17 4 Wines, spirits, ale, &c. ... ... 27 8 0 Subscriptions and donations ... 115 0 3 Surgery and dispensary... ... 171 1 6 Patients'payments ... ... 108 1 4 Fuel and light... ... ... 138 13 1 Other sources ... ... ... 21 16 6 Bedding and clothing ... ... 61 17 0 Furniture and earthenware ... 57 14 8 Salaries and wages ... ... 531 12 4 Funerals ... ... ... 17 5 0 Bepairs and additions ... ... 348 16 3 Printing, advertising, postage, and stationery, &c. ... ... 20 19 3 Insurance ... ... ... 7 15 0 Other expenses ... ... 20 16 8 Total ... ... £1,720 6 2 Total ... ...£1,720 6 2

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Visited 19th January, 1898. The governing body of this hospital have had cause to regret they did not accept and act on the advice I gave at my last visit about reorganizing their staff. They have at last made up their minds to make an end of the old system, and I think Miss McCarthy will make an excellent matron if properly supported. The male assistant ought to be got rid of, and the " chamber of horrors," a.s the small lean-to ward is called, ought either to be pulled down or properly cleaned and ventilated.

BOTOBUA SANATOEIUM. Expenditure for the Year ended 31st March, 1898. £ s. d. Besident medical officer ... ... ... ... ... 400 0 0 Matron ... ... ... ... ... ... ... 105 0 0 Bath attendants and servants ... ... ... ... 418 17 0 Bations ... ... ... ... ... ... ... 249 11 3 Fuel and light ... ... ... ... ... ... 66 14 11 Bedding, &c. ... ... ... ... ... ... 20 4 6 Surgery and dispensary .. ... ... ... ... 2714 Wines, &c. ... " ... ... ... ... ... 0 19 0 Furniture and crockery ... ... ... ... ... 830 Miscellaneous ... ... ... ... ... ... 32 17 0 1,329 8 0 Beceived for maintenance ... ... ... ... 427 15 6 £901 12 6 Number of patients on 31st March, 1897 ... ... ... 13 Admitted during the year ... ... ... ... 79 Total under treatment ... ... ... 92 Discharged .. ... ... ... ... ... 80 Died... ... ... ... ... ... Bemaining on 31st March, 1898... ... ... ... 12 Localities from which Patients came. —New Zealand, 77 ; Victoria, 1; West Australia, 1. Country. —New Zealand, 23 ; England, 19 ; Scotland, 9; Ireland, 19 ; Australia, 2 : Germany, 2; Isle of Man, 1; India, 1; Holland, 1; Italy, 1; Denmark, 1. Total collective days'stay in sanatorium, 4,065; individual average days' stay, 44-18. Daily average cost per head, 6s. 6-|d.; less patients' payments, 4s. sd. The Government have determined to appoint an expert in hydrotherapeutics to take charge of the organization of our thermal springs district. Pending this appointment the Government have contented themselves with carrying out the drainage system so essential for the future development of Botorua. The other developments in contemplation it was felt ought to be carried out, under the guidance of an officer who had special knowledge of similar undertakings in other parts of the world. The hospital building at Botorua must necessarily form an integral part of any scheme that may be adopted for turning to account the marvellous resources of this district; so that before long we may expect to see the chaotic state of things which has hitherto prevailed, owing to divided responsibility, entirely superseded and replaced by an intelligible organization, for which one man shall be responsible. So far as the organization of the hospital itself is concerned, there is little to find fault with. The patients are comfortable and well attended to, and for the matron, Miss Thompson, I have nothing but the highest praise. The bath-keepers also have fulfilled their duties, often very onerous, very creditably.

D. MacGbeqob, M.A., M.8., M.C., Inspector of Asylums and Hospitals.

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Table showing Admissions, Discharges, &c., of Patients at Hospitals for Year ended 31st March, 1898.

37

Hospitals. Number of Patients on March SI, 1897. Number of Patients admitted during Year. Total under Treatment. Number r>„„ ths discharged. uea ™ B - Number remaining on March 31,1898. Sex. Total Collective Days' Stay M. F. in Hospital. Individual [ Average Average iDaily Cost per Days' Stay. Patient. Percentage of Cost of Administration on Total Expenditure. Number of Outdoor Patients Individual Cases. Attendances. Akaroa Arrowtown Ashburton Auckland Blenheim Charleston Christchurch Coromandel Cromwell Dunedin Dunstan Gisborne Greymouth Hawera Hokitika Invercargill Kumara Lawrence Masterton Napier Naseby Nelson New Plymouth .. Oamaru Palmerston North Patea Picton Queenstown Reef ton Riverton Ross South Wairarapa Thames Timaru Waikato Waimate Waipawa Wairoa Wanganui Wellington Westport 1 10 12 138 28 5 96 7 3 83 3 13 52 4 37 23 9 9 7 29 7 24 17 11 21 1 12 13 16 18 8 1 23 25 27 12 26 3 18 170 24 35 87 183 1,300 164 31 1,229 96 50 1,054 45 158 152 53 163 352 80 106 81 386 167 - 166 194 125 191 39 18 99 146 122 14 48 288 325 349 130 272 34 276 1,562 116 36 97 195 1,438 192 36 1,325 103 53 1,137 48 171 204 57 200 375 89 115 88 415 174 190 211 136 212 40 30 112 162 140 22 49 311 350 376 142 298 37 294 1,732 140 34 90 175 1,181 153 27 1,149 86 47 932 42 137 126 48 138 333 68 100 74 362 152 147 172 105 166 31 17 ■ 91 128 124 12 40 259 290 335 118 257 34 249 1,469 100 2 5 8 118 14 2 105 10 4 106 4 8 26 6 28 28 5 9 8 24 12 19 21 12 22 3 3 10 15 7 2 6 28 34 15 10 15 2 17 110 11 2 12 139 25 7 71 7 99 2 26 52 3 34 14 16 6 6 29 10 24 18 19 24 6 10 11 19 9 8 3 24 26 26 14 26 1 28 153 29 26 61 170 1,006 117 36 844 96 47 693 40 127 180 42 148 249 71 77 55 281 119 116 154 96 147 30 24 87 150 101 22 37 240 211 261 96 231 31 207 1,032 121 10 36 25 432 75 481 7 6 444 8 44 24 15 52 126 18 38 33 134 55 74 57 40 65 10 6 25 12 39 12 71 139 115 46 67 6 87 700 19 574 1,880 4,291 44,132 9,984 1,784 27,786 2,767 1,331 36,688 1,750 4,970 18,023 1,374 12,055 10,598 4,909 3,385 2,464 9,482 3,135 9,958 7,812 3,617 8,236 1,302 3,863 3,800 7,663 4,538 3,081 1,054 7,464 ■ 9,678 7,144 3,139 10,183 1,022 9,352 59,939 13,910 16-00 19-38 22-00 30-69 52-00 49-55 20-97 26-86 25-11 32-26 36-46 29-06 88-34 24-10 60-27 28-26 55-15 29-43 28-00 22-85 18-00 52-41 37-02 26-59 38-61 32-55 128-76 33-93 47-30 32-41 140-00 21-51 24-00 27-65 19-00 22-10 34-17 27-62 31-80 34-60 99-36 32-96 I £ s. d. 0 11 7 45T8 0 7 6| 53-11 0 5 6| 37-68 0 4 li 32-06 0 4 4 30-09 0 5 6| 50-40 0 5 7J 44-11 0 8 11 39-32 0 10 3| 58-54 0 3 ll| 32-84 0 9 8| 49-82 0 4 2} 53-00 0 2 9 34-62 0 12 8 49-65 0 3 9 35-95 0 5 11| 33-84 0 3 61 38-60 0 5 l| 44-02 0 7 4| 33-55 0 6 ll| 37-62 0 8 7f 49-33 0 4 2 48-14 0 4 8£ 38-14 0 7 3 41-62 0 5 1 38-80 0 6 llf 46-15 0 3 2| 45-38 0 5 2 43-49 0 4 4J 39-69 0 5 3J 45-00 0 3 9 55-09 0 8 3} 50-80 0 4 If 51-30 0 4 7 36-70 0 7 0 31-80 0 6 3| 50-35 0 3 8 32-49 0 9 7f : 45-03 0 5 4i 33-32 0 3 7| 31-08 0 2 5! 32-15 0 4 7 37-63 117 389 19 886 120 31 1,918 36 150 370 933 110 60 1,055 34 926 157 5,276 468 4,160 443 55 6,943 54 231 937 2,037 227 60 3,241 148 679 7 81 126 68 154 800 75 350 177 760 403 36 153 105 2,534 611 13,244 •• - Totals 1,046 10,486 11,532 653 380,117 10,786 j 41,168 9,598 894 1,040 7,879 3,653

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38

Table showing Receipts on Account of Hospitals during the Year ended 31st March, 1898.

Hospitals. From Government. From Hospital Boards Voluntary „ and Local Contributions. Be 1 ues t s - Authorities. Rents, &c. Payments by Patients. Other Sources. Balance from Last Year. Total Receipts. Akaroa Arrowtown Ashburton Auckland Blenheim Charleston Christchurch Coromandel Cromwell Dunedin Dunstan Gisborne Greymou th .. Hawera Hokitika Invercargill Kumara Lawrence Masterton Napier Naseby Nelson New Plymouth Oamaru Palmerston North Patea Picton Queenstown Reefton Riverton Ross South Wairarapa Thames Timaru Waikato Waimate Waipawa Wairoa Wanganui Wellington Westport £ s. a. 143 15 3 173 3 0 508 7 1 3,085 0 2 912 5 10 237 14 1 5,506 6 8 903 0 11 369 9 5 2,972 11 8 346 1 6 522 9 11 1,769 3 10 372 4 6 1,155 7 4 1,513 17 5 464 4 10 260 8 6 403 9 9 1,050 8 10 504 11 6 924 14 9 666 4 7 87 16 10 847 7 1 175 6 4 274 3 1 462 4 5 635 13 8 613 15 7 247 1 0 239 0 3 605 6 2 1,120 13 2 1,050 10 0 293 13 5 966 11 2 195 12 1 966 11 4 4,335 0 0 805 10 9 £ s. d. 143 15 3 152 15 0 490 0 0 3,085 0 2 524 19 5 123 6 8 4,841 17 3 400 0 0 270 2 3 2,700 0 0 270 2 8 320 0 0 650 0 0 372 4 6 687 10 0 1,482 13 0 266 5 1 520 5 0 £ s. d. £ a. a. £ s. d. £ s. d. 44 12 0 147 9 9 138 9 0 2,686 18 7 " 293 17 0 21 10 4 555 10 0 100 18 9 69 6 5 1,168 14 8 85 3 8 169 2 0 105 6 1 127 5 2 68 15 0 128 9 2 102 11 0 120 12 0 80 6 7 458 16 2 313 5 4 276 14 3 475 8 9 52 5 0 378 8 8 74 17 0 24 0 0 280 15 0 79 10 0 62 10 0 8 10 0 22 1 0 368 19 1 172 14 0 614 13 6 89 0 0 175 9 4 39 3 5 396 7 6 2,041 17 5 108 1 4 £ s. d. £ s. d. £ s. d. 332 2 6 812 11 7 1,300 7 2 9,343 12 2 2,160 9 3 497 13 3 16,979 8 6 2,312 16 7 805 14 1 7,460 15 7 859 15 3 1,250 14 6 3,458 10 1 871 14 2 2,366 6 2 3,314 15 8 1.003 0 5 1,134 19 5 731 18 2 3,307 14 7 1,579 8 10 2,361 3 9 1,830 6 4 1,547 3 2 2,280 4 9 472 15 9 616 18 8 1,256 3 1 1,687 12 9 1,443 12 4 578 19 11 531 8 11 1,699 15 7 2,458 6 2 2,498 10 0 1.004 10 10 2,256 13 4 509 0 3 4,320 2 0 15,252 13 6 1,720 6 2 170 17 1 8 0 0 168' 6 9 155 11 1 - 28 11 3 I 418 11 6 115 2 2 34 2 0 413 3 10 83 15 6 216 9 2 153 17 5 122 2 8 932 0 2 350 "i 10 •• 3,800 0 0 ! 107 17 2 8 8 0 '• .. 2 7 6 44 6 4 0 15 0 13 0 6 321 16 6 4 10 0 32 0 0 2 0 0 2,197 6 3 494 18 1 81' 3 7 59 19 11 - - •• 25 0 0 ■• 675 0 0 332 13 6 1,005 12 6 630 7 0 777 5 6 150 0 0 274 3 0 275 2 0 100 0 0 526 15 0 222 18 11 372 1 1 13 2 1 169 19 6 70 2 0 222 1 10 401 19 1 130 3 9 11 14 9 14 19 0 80 8 8 65 7 8 23 3 6 10 0 114 5 3 467 15 10 101 13 0 100 10 0 180 3 9 72 5 8 34 5 11 8 11 0 37 2 0 283 15 2 23 10 10 20 12 0 125 2 0 115 0 3 35*0 0 232 'il 9 " .- 154*'l 1 " •• i il 3 50"8 6 114 0 0 3 7 0 915 14 6 3 0 0 - 36 13 0 176 14 0 12 5 6 26 0 0 3 2 9 7 4 9 28 7 6 40 0 0 293 18 3 57 14 9 2 3 1 43 12 7 7 0 0 2 10 0 10 19 9 149 15 2 435 7 6 291 10 0 11619 11 44' 5 10 123 16 5 397 13 3 135 8 9 i"o 0 575 0 0 1,120 13 1 750 0 0 250 0 0 728 0 0 167 7 1 657 6 4 4,335 0 0 669 17 4 14 0 18 0 0 10 0 0 52 19 6 5 18 6 83' 1 5 60 4 8 21 16 0 7 12 0 0 18 0 10 0 0 65 0 0 76 7 10 21 16 6 327 3 5 101 19 8 73 6 10 985 7 4 1,827 13 4 i 500 0 0 500 0 0 728 17 6 2,011 12 11 •• Totals .. 38,686 17 8 31,523 17 6 5,949 8 4 5,571 17 8 4,053 0 4 12,728 3 11 1,375 10 10 8,321 18 11 108,210 15 2

H.—22.

Table showing the Expenditure on Hospitals during the Year ended 31st March, 1898.

39

Hospitals. Rations and Provisions. Wine. Ale. &c. Surgery and Dispensary. Fuel and Light. Bedding and Clothing. Furniture, Crockerv, &c. Washing Salarics and , .,, Laundry. and Watersupply. Funerals. Repairs. . Additions to Buildings, &c, and NewButidings. Printing, Advertising. Postage, and Stationery. For Interest. For Insurance. For Commission. Other Expenses. Total. Akaroa Arrowtown .. Ashburton .. Auckland Blenheim Charleston .. Christchurch Coromandel.. Cromwell Dunedin Dunstan Gisborne Greymouth .. Hawera Hokitika Invercargill .. Kumara Lawrence Masterton Napier Naseby Nelson New Plymouth Oamaru Palmerston N. Patea Picton Queenstown .. Reefton Riverton Ross Wairarapa S. Thames . . Timaru Waikato Waimate Waipawa Wairoa Wanganui Wellington .. Westport £ s - ciii 2 6 4 1.4.8 4 5 3°4 9.4 2,258 12 2 522 11 o 171 16 7 1,882 16 o 241 17 11 IOI 12 7 1,866 18 2 120 6 8 183 17 2 745 2 2 156 6 4 645 12 4 749 18 2 239 3 3 275 17 5 197 10 7 746 18 1 245 8 4 386 4 1 268 18 11 249 5 4 43i 18 3 90 19 1 147 18 1 250 7 7 425 6 5 342 18 o "174 3 1 121 12 1 e 37» 19 8 550 18 11 523 18 2 136 17 2 578 16 o 108 18 8 422 5 8 3.257 14 9 316 7 5 21,081 12 4: £ s. d. : £ s. d. 376 27 8 o 6 17 6 43 12 6 14 6 6 151 3 o 43 6 9 963 15 10 27 2 o 253 7 10 3 9o 317 74 10 4 585 19 5 20 11 o' 66 o 10 900 44 5 4 150 14 6 888 2 6 916: 18 o 11 15 12 o ; 39 11 8 80 3 8 75 8 o 79 2 o 58 15 101 200 5 2 62 9 6| 321 o 6 10 13 o 89 9 3 390 47 7 7 623: 60 10 5 19 1 o 265 1 4 22 19 6] 180 o 9 10 9 o\ 234 o 9 58 3 8- 192 10 10 35 8 o 92 1 8 30 10 6| 221 14 6 6 8 6 199 15 14 o' 20 14 3 7 11 o 57 16 o 56 1 7: 135 13 8 15 16 n 65 9 9 .. 11 4 10 17 3: 25 8 2, 606 119 11 01 43 1 6 258 1 2 18 10 0| 248 13 81 12 9 6 117 11 gj 31 10 o 182 16 5 1 39 o 3 3°8 4 9 157 1 9:1,386 6 11 27 8 o: 171 I 61 £ s. d. 25 15 9 27 15 o 53 12 1 745 16 10 218 17 3 21 16 11 876 3 o 50 19 11 26 7 6 784 6 7 34 12 5 94 6 8 151 19 6 45 13 6 98 2 8 261 12 10 67 19 9 60 18 9 40 12 6 196 19 6 56 11 2 152 5 11 160 3 o 68 7 7 159 11 6 23 o 6 35 9 11 65 17 7 81 12 5 66 16 o 21 17 3 13 2 10 £ s. d. 6 13 o 18 8 6 200 3 5 12 17 4 268 10 5 14 1 3 "26 17 3 59 1 6 13 1 o 3i 1 3 102 2 2 23 13 11 57 7 7 85 o o b 53 2 11 15 11 5 57 12 6 ■ "267 6 1 36 10 5 £ s - i •• 22 4 9 51 9 4 108 17 7 229 4 5 O 12 O 42 19 O .. 28j 3 9 91 6 6 17 2 9 49 10 9 16 12 2 25 12 9 124 16 1 50 11 2 •• £ «. d. \ - 250 276 11 10 ! 1 23 1 10' I 1 93 o o II IO o 84 2 6 •- 1,5 IO °i £ S. d. 150 o o 368 11 8 441 18 IO 2,819 15 6 658 18 S 240 O o 3.234 15 7 461 8 o 387 1 4 2,307 14 9 399 7 6 543 i'3 4 793 1 4 373 i° 10 755 15 o 1,010 19 9 333 14 6 376 18 5 288 10 8 1,192 14 9 549 7 10 987 13 10 663 8 10 538 7 6 791 15 6 197 5 o 268 16 o 421 o o 641 11 4 519 4 o 315 o o 213 12 o 764 18 9 7 6 4 11 3 796 10 7 474 14 ° 686 5 6 221 5 4! 781 o 11 3,345 6 °' 53i 12 4 31,612 3 2( £ a. d. £ s. d. •• I •■ 200 15 1 6 211 14 9 32 2 3 63 6 9 14 o o j 6 o o j 29 3 o 25 o o 4 18 oi 105 1 o 6 15 o 39 9 o 13 10 o 6 15 o' 40 10 o 7 15 6 1 2 6 o 25 12 o IO O O; IO o o 58 15 o 300 29 o o . . i 8 o o; 4 12 6 1 34 o o 8 12 o 1 IO o o 26 11 o 28 6 1 9 10 o 480 1 3 10 o| £ s. d. £ s. d. 11 10 o 39 15 o 25 I IO 516 06 75 17 4 II 12 Oj 5,078 O II 13 17 8 9 13 3 305 14 10 57 6 o 181 3 10 80 g 1 172 12 7 219 16 55 o o 43 6 o 14 o o 31 13 6 45 o o 390 5 10 146 24 16 9 6 70 6 5 149 18 4 276 12 11 39 16 8 32 15 o 28 16 8 45 15 6 12 14 6 £ s. d. £ a. d.j 6 14 o 867 026 107 15 1 7 5 9 40 15 6 1 29 8 16 2j 52 1 1 1 4 18 4 14 6 9 o 17 o 66 I 2; I o 6 24 8 o| o 4 o 10 19 2 o 3 3 67 13 10 9 17 9 58 15 11 17 17 5 49 8 ioi o 2 o 63 o o 9 15 6 12 16 oi 6 12 6 5 16 o o 2 6 15 3 o; 9 16 3 47 5 4i 20 3 10 o 8 3 10 17 6 7 4 10 34 8 7 26 16 2 8 5 9' 23 16 8: II 5 9: 12 19 7; 11 II II O 2 6; 716 48 12 6 o 8 61 20 1 9 3 17 o 8 7 6 ; 1 8 o 25 4 3! 46 10 o 52 15 o 048: 20 7 9 ( 21 11 3i o 13 6 114 37 14 2334 16 10 57 11 11403 12 o 20 19 3 1,158 19 9852 o 8 j £ s. d.j £ s. d. 8 14 9! 15 15 oj 21 18 gi 15 17 9 2 7 3 73 14 11 8 15 o 2 14 3! 8 12 6] 4 10 9 24 4 oi 11 2 6 9 10 6| 26 18 5 18 14 9J 30 o o 7 17 o 24 4 o 16 o 6 14 4 6 690 340 ... 13 i° °! 2 5 3 4 60 11 6! 19 6 6 23 10 o 14 5 9 25 o o 19 4 oi 5 15 o: : 31 6 3 ■ 1 12 6 ; 5 O O: I 13 16 3! 21 16 2 I 3 15 o 10 13 o ; 7 17 o: 5 3 6; 611 9 15 8 9; 14 12 6i : 21 7 6 .. I 13 9 o I 33 6 o £ s - d - 13 4 11 5i 4 4 91 18 11 1,029 15 2 39 8 3 11 18 9 408 16 3 285 11 10 21 7 10 366 9 7 51 9 o 34 7 2. 60 7 3 126 19 11 84 7 II 57 3 5; 31 H ° 61 3 2 23 9 8 70 5 6 83 3 9 33 2 7 151 6 1 9 7 2 77 18 10 26 5 3 23 1 8 73 7 5 5 16 o 649 107 15 o 60 5 8 300 17 1 99 15 11 49 6 8 36 9 10 145 17 1 315 7 9 20 16 8 £ s. d. 332 2 6 743 16 11 1,193 18 11 9,343 12 2 2,160 9 3 494 7 7 12,616 4 11 1,185 2 10 684 10 1 7,228 10 4 851 5 5 . 1,046 15 2 2,486 15 3 871 14 2 j 2,238 14 8 : 3.173 6 9 873 6 2 870 8 6 950 15 2 3,295 13 < 1.357 18 2 2,072 16 7 1,830 6 4 1,591 2 2 : 2,102 18 II 455 o 10 616 18 8 983 13 2 1-738 19 5 1.483 15 o 578 19 11 437 6 0 1,539 10 6 2,458 6 2 2,498 10 o 982 11 4 2,067 18 o 492 19 10 3.924 5 3 12,124 5 8 1,720 6 2 59 8 1 51 19 3 39 19 1 16 14 o 17 8 8 C II2 I IO 92 13 2 20 12 8 16 7 3 2 il 3 a 53 14 9 52 5 o 42 12 1 22 15 11 46 12 10 2 12 3 23 2 IO; 129 13 8; 6l 17 3 55 7 3 61 7 1 14 14 1 3 5o 121 16 IO j 38 O O 1 10 6 80 13 10: 29 17 o 420 7 18 o 1 r" ! 6 12 9 11 10 o .. 5 18 o 600550 706 300 32 5 10 15 8 o 800 31 2 3 13 5 o j 4 2 6 ! 18 14 6; 13 13 6 ' 50 o o. 7 3 8 198 14 58 14 6 17 5 o 980 o 2414 16 5 69 1 4 57 4 3 13 6 o 285 13 6 14 8 6 . 26 2 5 20 4 o 68 11 4 248 14 7 148 17 10 74 7 9 17 19 6 196 19 6 7 13 9 3 15 o 1,414 15 o 489 14 9 770 9 3 348 16 3 209 9 T 134 4 9 54 12 o 112 17 9 38 15 9 295 7 11 825 19 1 13 8 13 1 106 II o 19 6 8 7 15 TO 63 9 7! 14 4 4 ; 26 14 8 71 17 o' 31 5 o 426 O 2 61 17 O 8 4 " 5 6 57 14 8 | i>938 3 7 87 19 o 306 16 IO 40 10 6; 7 15 o 657 4 11 158 11 11 • • Totals .. 2,487 7 2 1213 8 9 3,848 5 108,624 18 2 4.547 8 o 195. 6 99 17 " 1,214 3 918,311 9 4 16,599 4 o 1 a Incudiug furniture, etc. Including furniture, etc., and washing and laundry '■ Includinf furniture and repairs. d Includinf wines <fcc. e Includini fuel and light.

H—22

40

Table showing the Receipts and Expenditure of the under-mentioned Charitable. Institutions during the Year ended 31st March, 1898.

Receipts. Expenditure. District. Balance from Last Year. From Government. From Rates. Payments Voluntary by or on Con- Bequests. behalf of i Rents, &c. tributkms. Persons relieved. Other Sources. Indoor Relief. Outdoor Relief. Total. Children's Portion of Expenses. ■32* Average Total Cost Weekly of j Cost of Children j Children boarded out.; boarded out. Total. III North of Auckland Auckland Thames and Coromandel Waikato .. ., Bay of Plentv Cook Hawke's Bay Taranaki Patea and Wanganui Palmerston North Wellington Wairau Picton Nelson Buller Inangahua Grey Westland .. N. Canterbury and Ashburton South Canterbury North Otago Otago United ... Southland £ a. d. 171 12 2 598 6 3 243 10 11 50 - 6 4 115' 2 6 502*12 4 3,904 7 9 227 1 0 407 17 8 143 13 11 199 4 2 231 1 8 32 6 1 £ a. d. 961 7 6 5,847 19 3 919 3 0 292 5 2 191 0 0 523 10 0 1,937 14 4 938 5 3 578 14 10 380 0 0 5,992 17 9 718 16 1 51 19 6 1,035 10 10 323 2 8 500 0 0 1,162 7 9 1,615 6 4 7,972 12 7 1,698 3 0 1,238 6 6 7,619 8 0 2,076 6 0 £ a. d. £ a. d. I £ s. d. 1,187 11 10 3,996 2 3 857 10 8 700 2 2 997 5 2 67 19 6 550 0 0 164 13 3 21 19 0 406 0 0 1,399 17 5 92 9 11 890 8 5 578 14 10 : 380 0 0 i 5,430 8 8 611 11 3 12,750 0 0 363 9 0 43 18 8 ' 1,005 12 6 i 75 7 3 5 0 0 205 2 8 500 0 0 i 101 15 1 j 1,078 9 10 38 7 7 ' 3 9 0 921 2 5 I 208 11 0 6,526 13 9 i 898 7 1 | 554 10 0 1,602 7 7 i 47 10 0 : 967 15 2 386 13 1 i 6,828 10 1 344 15 2 2,164 4 1 14 7 0 105 11 3 38,188 7 7 3,767 3 7 4,118 12 5 £ s. d. 86 2 6 1,619 8 0 5 4 2 28 13 1 14 16 4 5 2 1 158 8 11 94 16 8 26 0 5 567 19 6 .. £ a. d. 54 12 0 5 0 0 6 0 0 £ a. d. 3 6 0 980 14 6 7 19 0 6 7 6 946 11 2 £ a. d. £ s. d. 2,410 0 0 21 8 0 14,654 15 1 5,898 15 4 2,246 1 9 857 12 5 877 5 9 400 7 6 448 14 11 934 12 1 270 0 7 3,703 13 1 870 9 10 1,828 13 8 557 18 9 1,754 18 8 718 7 3 786 0 5 71 8 9 20,203 16 1 5,513 13 7 1,309 6 1 41 0 0 . 503 15 5 2,698 19 5 1,654 5 10 727 9 6 46 16 0 1,338 5 9 172 19 6 2,315 0 3 733 8 8 2,746 2 3 101 0 0 17,088 10 7 6,385 10 3 4,836 6 9 533 8 2 2,681 12 8 559 15 5 16,212 9 8 8,247 12 3 5,130 8 5 1,595 10 1 £ s. d. i £ s. d. 1,035 9 7 i 1,056 17 7* 6,286 9 7 ! 12,185 4 11 1,096 15 11 | 1,954 8 4 351 3 0 751 10 6 408 13 4 408 13 4 438 18 3 708 18 10 1,904 18 3 2,775 8 1 1,191 3 9 1,749 2 6 655 10 3 1,373 17 6 707 12 8 779 1 5 8,664 18 0 14,178 11 7 455 5 3 496 5 3 176 12 8 176 12 8 1,401 13 4 3,055 19 2 755 11 11 802 7 11 849 1 8 i 1,022 1 2 1,547 16 5 ! 2,281 5 1 1,907-. 9 1 2,008 9 1 8,375 18 0 14,761 8 3 2,235 8 2 2,768 16 4 1,329 14 3 1,889 9 8 6,767 3 7 15,014 15 10 2,278 3 1 3,873 13 2 £ s. d. 68 4 0 1,019 17 9 261 11 9 81 16 5 33 16 0 191 4 2 170 6 6 168 11 8 84 8 9 2,680 3 4 51 8 0 16 5 0 706 6 0 86 16 0 125 14 6 762 17 7 251 12 6 1,889 5 9 769 4 9 357 16 0 3,956 13 5 334 3 5 5 42 9 3 3 17 13 10 1 s 84 1 i 1 45 3 £ s. d.j s. d. 46 16 0i 5 4| 555 2 6; 6 0 37 4 0 3 7 54 15 0 7 0 33 16 0 4 4 124 18 4l 5 0 170 6 6 ; 5 0 87 2 0 5 4 13 0 0 5 0 i 994 18 0 6 6 10 8 0 4 0 16 5 Ol 5 0 512 4 Oi 4 6 40 0 Oi 5 8 i 121 5 8 312 9 3 4 10 0 0 19 0 785 11 1 1,392 0 9 24 8 5 514 2 5 712 9 2 198i3 6 46 6 0 12 6 105 16 7 96 5 5 43 5 0 16 19 8 42 10 11 6 26 82 49 79 5 0i 5 0 150 12 6' 5 6 575 17 11 6 0 678 8 111 5 4 152 - 7 0 56 142 6 3 6 0 4,475 12 11 21 4 6 206 4 10 12 0 0 682 9 6 3 0 0 io 9 Totals 10,255 14 2 44,574 16 4 50,821 10 0 j 86,072 18 2 419 3,170 10 2 797 7 6 2,564 6 6 107,436 18 3 35,251 8 2 14,068 3 3 * Also £437 4s. 8d. paid to Auckland Hospital and Charitable Aid Board for hoe .ital treatment.

H.—22.

Table showing Number of Children for whom Maintenance is paid by Charitable Aid Boards, &c., at 31st March, 1897, and 31st March, 1898.

In pursuance of the plan carried out for the last two years, in order to obtain statistics as to outdoor relief in New Zealand, the department again issued the following forms to sixteen local bodies, with a request that the figures be given. Out of this number six have returned the forms filled in, including Auckland, Christchurch, and Wellington. The Dunedin Benevolent Society, a separate institution disbursing over £6,000 per annum on outdoor relief, is again unable to supply the information required.

Table I.—Causes of Poverty (Chief Causes, not Tributary Causes).

6—H. 22.

41

Table showing Number of Children for whom Maintenance is paid by C at 31st March, 1897, and 31st March, 1898. •itable id Boards t &c.j loarded out. Paii Insti 3 for itutioi Totals i IS. y u . eg ty © r5 CO «^ co S c »H . CO CO rH CO CD co c3 a> rH O a rH CU M c5 CD u o CD A 4 M c3 tZ g© -4J rH CO CO SH . 5: © « CO CO rH CO CD co c3 CD SH CO a H CD CO cJ CD u o CD A r-< . c3 fc- *£ © CO CO CO r-l CO CO CO aJ co 1 § 2 2 o P 5 A North of Auckland Auckland Coromandel and Thames... Waikato Bay of Plenty ... Cook ... Hawke's Bay ... Taranaki Patea and Wanganui Palmerston North Wellington Charitable Aid Board ... Wellington Benevolent Trustees ... North Wairarapa Benevolent Society Wairau ... Picton Nelson Buller... Inangahua Grey ... Westland Ashburton and North Canterbury... South Canterbury North Otago Otago United ... Otago Benevolent Institution Southland 2 47 • 3 3 3 9 13 13 1 62 6 1 3 1 36 ! ... 9 6 3 I ... 3 i ... 15 6 13 ... 1 ... 1 ... 65 ! 3 5 ... ii 12 'i 1 2 39 19 2 "3 6 7 97 19 3 2 31 5 10 44 8 61 46 21 218 2 38 26 4 3 15 6 105 14 2 1 31 4 8 42 6 69 5 22 203 7 2 "9 "8 1 "i '5 1 1 4 86 22 5 3 12 13 19 8 1 184 4 2 42 8 10 49 26 137 106 21 5 74 35 7 3 18 13 16 7 189 2 1 40 7 8 46 25 111 52 22 1 13 2 6 5 12 3 1 2 1 2 1 2 3 1 26 54 11 3 9 .'.. 3 ... "2 5 18 76 60 4 ... 19 I 1 42 ... 47 ... "i 1 2 2 2 34 13 "8 41 ' 1 15 "1 15 10 10 ... 12 2 -'5 I 233 213 20 16 14 2 26 26 Totals 361 ! 300 19 80 659 620 35 71 1,020 920 28 128 In pursuance of the plan carried out for the last two years to outdoor relief in New Zealand, the department again issued local bodies, with a request that the figures be given. Out of tb forms filied in, including Auckland, Christchurch, and Welling Society, a separate institution disbursing over £6,000 per annum < to supply the information required. , in I the lis ni ;ton. order to obtain statistic following forms to sixt imber six have returned The Dunedin Benevo! itdoor relief, is again urn s as ;eeti the lent ible on oTable I.—Causes op Poverty (Chief Causes, not Tbii iutary Causes). a CD s rl o ft, 3 H "3 Al o ri A T3 03 CO M ■J-H O . >s CO £ a a a co E? a M tH 43 CO a a CD a a | a T O rrt .3 * H £0 Q. S4 a" rH 13 3 CO u MH o 43 U o &. cu 3 CO co "5 rH o CD a Sh CD a Q M CO CO s a 00 CO CD •+H CO co ! o CD CO A -3 o "S3 »-> 4h Ph CD a 1 >H CD H CD a a CO <D co a o a o o co a c3 fH o Eh ■£- t— a g,H . S a § -PH« 03 43 CO CO Cfi rH c8 CO O "S "0 - 0 «rS -r- CJi CO T3 00 *OH a <" a - rid J o QQ CD a M O 02 +3 a CD 'o o a " -u a *■« a CO -rH ft coco < O Auckland Charitable Aid Board 1 Wellington Benevolent Trust ... L Slorth Canterbury and Ashbur- ' ton Charitable Aid Board 3-reymouth Benevolent Society ELokitika Benevolent Society ... iVaipawa and Hawke's Bay 1! Charitable Aid Board 113 159 ! 75J LIS .59 ! 75J 1 3 .29 31 ii) 115 1 364 -184 121 16 .8 2 7^ i. 1 A A 1 3 5 5 5 12 11 28 13 11 29 11 4 126 38 44 290 132 134 27 ! 20 12 ...! 80 7 37 7 33 ... 3 ... 1 2 17 397 73 226 1 52 47 1,548 1,515 779 688 756 730 1 3 129 3 5 75 2 6 11 63 1 101 62 69 108 117 73! 82 400 393 10 " - 8 20 I 6—H. 22.

Table showing Number of Children for whom Maintenance is paid by C at 31st March, 1897, and 31st March, 1898. •itable id Boards t &c.j loarded out. Paii Insti 3 for itutioi Totals i IS. y u . eg ty © r5 CO «^ co S c »H . CO CO rH CO CD co c3 a> rH O a rH CU M c5 CD u o CD A 4 M c3 tZ g© -4J rH CO CO SH . 5: © « CO CO rH CO CD co c3 CD SH CO a H CD CO cJ CD u o CD A r-< . c3 fc- *£ © CO CO CO r-l CO CO CO aJ co 1 § 2 2 o P 5 A North of Auckland Auckland Coromandel and Thames... Waikato Bay of Plenty ... Cook ... Hawke's Bay ... Taranaki Patea and Wanganui Palmerston North Wellington Charitable Aid Board ... Wellington Benevolent Trustees ... North Wairarapa Benevolent Society Wairau ... Picton Nelson Buller... Inangahua Grey ... Westland Ashburton and North Canterbury... South Canterbury North Otago Otago United ... Otago Benevolent Institution Southland 2 47 • 3 3 3 9 13 13 1 62 6 1 3 1 36 ! ... 9 6 3 I ... 3 i ... 15 6 13 ... 1 ... 1 ... 65 ! 3 5 ... ii 12 'i 1 2 39 19 2 "3 6 7 97 19 3 2 31 5 10 44 8 61 46 21 218 2 38 26 4 3 15 6 105 14 2 1 31 4 8 42 6 69 5 22 203 7 2 "9 "8 1 "i '5 1 1 4 86 22 5 3 12 13 19 8 1 184 4 2 42 8 10 49 26 137 106 21 5 74 35 7 3 18 13 16 7 189 2 1 40 7 8 46 25 111 52 22 1 13 2 6 5 12 3 1 2 1 2 1 2 3 1 26 54 11 3 9 .'.. 3 ... "2 5 18 76 60 4 ... 19 I 1 42 ... 47 ... "i 1 2 2 2 34 13 "8 41 ' 1 15 "1 15 10 10 ... 12 2 -'5 I 233 213 20 16 14 2 26 26 Totals 361 ! 300 19 80 659 620 35 71 1,020 920 28 128 In pursuance of the plan carried out for the last two years to outdoor relief in New Zealand, the department again issued local bodies, with a request that the figures be given. Out of tb forms filied in, including Auckland, Christchurch, and Welling Society, a separate institution disbursing over £6,000 per annum < to supply the information required. , in I the lis ni ;ton. order to obtain statistic following forms to sixt imber six have returned The Dunedin Benevo! itdoor relief, is again urn s as ;eeti the lent ible on oTable I.—Causes op Poverty (Chief Causes, not Tbii iutary Causes). a CD s rl o ft, 3 H "3 Al o ri A T3 03 CO M ■J-H O . >s CO £ a a a co E? a M tH 43 CO a a CD a a | a T O rrt .3 * H £0 Q. S4 a" rH 13 3 CO u MH o 43 U o &. cu 3 CO co "5 rH o CD a Sh CD a Q M CO CO s a 00 CO CD •+H CO co ! o CD CO A -3 o "S3 »-> 4h Ph CD a 1 >H CD H CD a a CO <D co a o a o o co a c3 fH o Eh ■£- t— a g,H . S a § -PH« 03 43 CO CO Cfi rH c8 CO O "S "0 - 0 «rS -r- CJi CO T3 00 *OH a <" a - rid J o QQ CD a M O 02 +3 a CD 'o o a " -u a *■« a CO -rH ft coco < O Auckland Charitable Aid Board 1 Wellington Benevolent Trust ... L Slorth Canterbury and Ashbur- ' ton Charitable Aid Board 3-reymouth Benevolent Society ELokitika Benevolent Society ... iVaipawa and Hawke's Bay 1! Charitable Aid Board 113 159 ! 75J LIS .59 ! 75J 1 3 .29 31 ii) 115 1 364 -184 121 16 .8 2 7^ i. 1 A A 1 3 5 5 5 12 11 28 13 11 29 11 4 126 38 44 290 132 134 27 ! 20 12 ...! 80 7 37 7 33 ... 3 ... 1 2 17 397 73 226 1 52 47 1,548 1,515 779 688 756 730 1 3 129 3 5 75 2 6 11 63 1 101 62 69 108 117 73! 82 400 393 10 " - 8 20 I 6—H. 22.

H.—22

42

Table II.—Decisions in Cases of Applicants for Relief.

Table III.—Number of Rations issued, etc., Year ending 31st March, 1898.

Description of Daily Bation. Auckland. —Bread, lib.; tea, ; sugar, 3 oz.; rice, 20z.; oatmeal, 2 oz.; to the sick and to persons over sixty years, fib. meat. Value, from 2Jd. to 3^- e d. Wellington. —Bread, 1 lb. ; tea, Joz.; sugar, If. oz.; potatoes, Ilb ; meat, 8 oz. Value, 2 T 9 n d. Christchurch. —Meat; also choice of groceries given out at Board's offices, including bread, potatoes, oatmeal, tea, sugar, rice, candles, soap, matches, flour, treacle, &c, to the value of 3T6d. per daily ration. Waipawa and Haw he's Bay. —Bread, 12 oz.; tea, & oz.; sugar, 2Joz.; potatoes, lib.; meat, 12 oz. Value, 3fd.

p o . II -« CD gtf o 43 a .- CD a i—i 5.2 CD EH M • Ph M 5 O ro CD P3 u o o a H JO P3 M O o a O a o .3 c3 4S hi o d efi a =3 U © qj tH CO 3 - M e? " erl <"g Auckland Charitable Aid Board... ... Wellington Benevolent Trust ... North Canterbury and Ashburton Charitable Aid Board* 148 117 128 70 892! 501 47t 36 289 192 1,179 47 496 1 43 ... 1,515 83 1,538 Greymouth Benevolent Society ... Hokitika Benevolent Society Waipawa and Hawke's Bay Charitable Aid Board... 55 45 150 2 18 79 11 19 471 117 ... ! 5 190 82 713 137 256! 44 * North Canterbury and Ashburton Charitable Aid Board is unabli to fill in this return. f Transportation.

DQ a .2 cS Kh OJ «- CO O rH "CO CD CD As a m M Cfl S --h CO a © "3 . cm •+H oo o CD S a co a ■- |zi Amount given in Cash, 1897. • Amount given in Cash, 1898. CD CD as a rH CD ,-H J> c6 CD O <0 as 3 rt _ 'A HZ CD "3 > CO CD •-. O "* EH Remarks. Auckland Charitable Aid279,706199,141 Board Wellington Benevolent 1182,378(164,962 Trust North Canterbury and 263,399j244,767 Ashburton Charitable Aid Board Greymouth Benevolent Society Hokitika Benevolent ... Society £ s. d. 1,224 8 6 3,128 4 9 3,377 13 2 £ s. d. 2,004 0 8 2,742 0 8 3,342 1 3 1,548 2,578 2,468 1,468 1,661 2,158 169 11 0 173 11 6 73 82 Relief given by orders on storekeepers. Relief given by orders on storekeepers to value of £450. Waipawa and Hawke's 74,735 82,427 Bay Charitable Aid j Board 111 6 10 149 5 4 393 400

43

H.—22

[These Tables are compiled in the Registrar General's Office.] 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 1897.

0-0 CJ CI O co en co X CO CO o a C o rG 5 X 2 f, S X rt v 'a. a. U 1 a c ft c .T) II o _ 0 5 O o aen ct o o a Orders, Diseases, &c. 1 l O Q «; 1 x ct 1> u 1 Q U Q —— -r. JZ CO i u — J h-iH 50 Cfl CO U — cO U 3 at a CO u in l - J= a, ■ s D ! Q co « co : « U i Q u a co CO U u a 7. Si en ! rS en ci 0 . a X CO co i u Cfl : « ■j> CO rt cj u a I 1 s CO : <U u a 50 ■n O 5 a Order i.— Miasmatic. to en CO i. Small-pox 2. Chicken-pqx 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. Typhoid Fever ,. 15. Other Miasmatic Diseases •• 29 •• 1 1 - 7 • 1 ■■ • • • • • • •■ •■ 1 16 • • •• 1 ■• 6 " " •• '& • 1 • " - " ■• •• - 5 • • ■• • - •• - •• • • • ■ ■ • •• ■■ "I __ •I ■• " •• A • • • • - - - - •• 13 • • • • • • • ■ .. • • • ■ ■ • ■ • 1 17 - - •• 1 •■ - - - - - •• •• 9 • " •1 -• •• ■ - - • - •■ 2 •• •• ■• •• - •• 3 ■■ -! ■■ ..!.. .. ... .. .. ..,., "•• .. .. H" .. .. 3 •• - • !•• • -I - •• • - .. • • ■■ ■■ • " •• • ■■ ■• •• - - • •• •• - 2 •■ ■ • 6 "1 • H 34 2 6 1 " ! ■•■■•• - " - - - - I .. ■ ■ •• - ■ " .. ., ■■ - ■■ - •■ ■■• I • 1 26 • 1 9 •• - •■ ■ 9 62 ■■ - • ■ - .. 22 95 1 2 A •• ■ •■ 5 '23 1 ■ 1 3 9 1 -I 36 - S 1 2 • 4 1 I 26 • ■• •• - ■■ ■••: • 10 14 2 17 2 2 3 .. O rg N ■■ 1 4 12 2 I ■" .. .. 1 1 • ■ •• • • •• ■ - - •• •• .. - • ■ - - • • • • - • •• •• •■ •• - • • 1 •• .. ... • — — — - — — — — - - — H M - h~ •• Total Order 1 .. 190 13 16 A 301 5 37 -2 35 1 16 3 9 .. 45| 3 21 95 4 1 35 3 hH 3 •• H 1 2 12 2 3 — — — — — •1 Ph O Order 2.— Diarrheal. 1. Simple Cholera 2. Diarrhoea 3. Dysentery •■ ■• •■ •• •• •• •• •• •• •• •• •• I •• • •• •• •• •1 • • — •• •• — • ••!- — 3 4 - •■ 4 1 1 .. A 1 •• !•• 1 - - A A - - - •• - ■■ I - •• 3 .. • • ■■ •• - •• •■ ..; - » •• •• " • ■• - •• • - r— I cq fa • • - • •• •• - Total Order 2 .. — — hH — — H H - H H —\ H H "I H H — H - H 7 • 5 3 1 3 H ■• - - • ■• •• 3 • - .. •• ■• -. •• • •• .. • • • •■ "I • • •■ ..\ — — — — -— — — — — — — •• Order 3.— Malarial. 1. Remittent Fever 2. Ague 3. Beriberi •• ■■ •• •• •• "■ "I •• — • •• ■■ •• — 'I — •• — •■ — •• — •• .. .. —! fa fa r— 4 4 ■•' - - - - ■ • - " - ■■ - - • •1 I" ■•■ I •• - ■■ • - - •-• •• • •• - -. .. .. 1 - •• •• ••!•• - .. 1 Total Order 3 .. — M 1 i— H H H - H H H H - __ —- -- H •• .. •• - .. - •• •• .. .. ■ • •• !•• •• .. • 1 .. 1 -■ ■• •• •• ■ •• •• •• • *l • • ■■ — ~ !— — i— — — — Order 4.— Zoogenous. 1. Hydrophobia .. .. 2. Glanders 3. Splenic Fever 4. Cow-pox and other Effects of Vaccination - ■• - - •■ ■• - - •• ■■ - "I - - -i •• • I H •■ - ■• • •• - •• - "I •• -I •• I- — — — !— •• - - ■■ !— •• '• •• • - •• - ■■ •• - - - •• • - - • • - " - •• *" - - - • • • ■ 1 - •• - - • ••I - •■ .. •• • • •• • • ■■ "I - ..I - I •• .. Total Order 4 .. M — - H ~ H H H H H H H H H H -iiLii • - •• H i ■ ■ - .. - •• • •• •• • • .. .. • - •• .. .. .. ■ • • - — ••: • •■ "•I — — — — — - — — H Order 5.— Venereal. — !— — — — H-\ — — 1. Syphilis 2. Gonorrhoea, Stricture of Urethra, Ulcer of Groin 2 23 " 3 20 2: 23 1 7 55 1 •• — — •• 3 •• 1 ■• 1 ■• A • •• 1 1 •• • • - ••I •• •• •• Total Order 5 .. H — — H — ! — — _j H - H - H 1 •• 46: 2 1 .. 4 1 •1 1 9 1 H 10 - .. 1 1 .. .. .. • • 75! .. .. • • ••

H.—22

44

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 1897— continued.

ra rt 5 re o in rt rt M < rt rt .rt £ rt O Vi y rt ill I- a -3 c CJ 01" E- o X c a re 5 Totals. _co y Orders, Diseases, &c. % I et 6 I D — I Lo rt rt X U - <a et rt 3? c rt 5 \ a 'et rt co co U i r. et 0 S ■ rt et '■ X u a do "rt et X V) et rt « CO I I rt 3 : Q rt CJ rt rt u u j a rt rt rt rt cy 1 — 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. Typhoid Fever 15. Other Miasmatic Diseases •1 ■ " •• ■ " •• •■ • •• •1 I •• •• •• • •• ■• •• •■ •• •1 •1 ■ • 1 " •• •• ■• ■ I • .. ... • - ■ ••! - 1 "i • 2 " • •• ■• .. ■■ • • • ■■ ■ I • • ••: ■ 2 - - 1 17 I •■ • 2 • 1 • 3 • • • ■ 3 7 •• ■• j • -■ - • - 'is •• • 3 20 • 6 •• 6 - 2 • 3 222 I i 3 i 1 21 ■ • I 2 4 4, .. -I 3 i • i fa fa NH fa "" ■• i •• • - - ■■ • •• - I- - '26 hh 17 2 " hh " - 1 2 ' • • - 6 38 6 •• 3 1 • ■ ■■ ■ • 1 1 • 1 - - • - - - - •• •• ■■ ■■ .. •• .. 1 'I •• 3 7 •• •■ - .. .1 5 •- ••! 7 - - 1 •• - • ■■ - •• ■■ 97 •• 44' 420 2| 7 49 i •• ••I • •• •■ - 3 - 7 i 1 2 - • ■■ - - ■■ - 1 - I••I I- .. Ih- I I--I • •I •• ■ •I -- • ■1 • - • I-.-i -I •-I I••I • !•• Total Order 1 .. - — — H — — h- - - H — - H HH — !— — H - ii I .. 63 i 1 2 4 55 6 r 4 24 1 - 6 1 6 J 4 - -- 1 - '3 1 3 - 808J 58 58 •• ■• •• — — — — — — — - — — __ — — — — — :— u O N Order 2.— Diarrhceal. 1. Simple Cholera 2. Diarrhoea .. .. 3. Dysentery •• ■•• •• •• ■■ •• ■• •• •• •• •■ ■ •• •• •• •■ 1 1 •• ..!.. •• •• 3 2 4 15 i ■■ " * - 2 ■■ - • - - • 1 •■ •■ - - •■ I " 1 - - 2 - - 1 - - • - - - - A • • •• — - !— — H ! H H H M ~ - H H - — — Total Order 2 .. 1 •■ .. - !•• 2 - h 1 i- •• • 1 .. • .. -!- - 1 5 4^ • •• •• •• •• fa O —! — i— — — _ — —j — — — — _ — — -- h-!H — — — fa fa fa fa Order 3.— Malarial. 1. Remittent Fever 2. Ague 3. Beriberi •• •• •■ •• •• •• • •■ •• •• ■• ■• •• •• " •• "I •1 •• •• •• •• •• H •• 3 - • - •• ■■ •• - - h - 2 •• - 9 1 ■■ '••". - •• - - - - •• - - - •• - ! - - ■■ I Total Order 3 .. H -H — H I H hH - h~ H H - — H 1— h- - H !- •■ .... - - ..I I •• • .. - - - - • ••I .. .. .. 2 i - ••I IO •• •• •• •• •• •■ •• •• " •• — — i— ! I— ~~ — — — — — \— -— — — — — _ . — — — '— 1 I—fa fa CO Order 4.— Zoogenous. 1. Hydrophobia .. 2. Glanders 3. Splenic Fever 4. Cow-pox and other Effects of Vaccination •! • I •• - •• " • - •• • •• - " •• - •• •■ • •• - • ■■■ "I - •• - •■ - • • •'• ■■ - •• •1 - ■1 - •1 - hi- ■■ - - ■■ !•• •• ■■ " !•• - • - •• -! " - " - ■• ■•■ - ■■ - • •• - ■■ - - • - - - - - h- - - .. - - - - - - - ■■ • - - - !- ■• - •• •■ - •• Total Order 4 .. H ! ~ — — I — H H H H H — - H H H H H — H H - H —- .. h- - .. - • ... ■• - - - ■■ - - .. .. - • • - .. •• - ■■ • • •• •• •• •• :— — —J — — — — —i .__ — — — I— — —— — — i~72 166 238 — — Order 5.— Venereal. 1. Syphilis 2. Gonorrhoea, Stricture of Urethra, Ulcer of Groin I 2 " - 1 22 2 •• • ■• •• •• * •• - 3° •• 3 •• •• ■• • ■■ •• — - hh— H H H H H H — H H - M H ~ Total Order 5 .. .. 2 .. .. 23 .. .. 7 .. .. 38 .. 3 .. ;.. .. • • .. .. .. • •

45

H.— 22

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 1897— continued.

I Orders, Diseases, &c. 0 rt < « £ rt X rt i cy .0 .a to 2E rt rt X rt — "a. ra 'rt t ei ■ rt CO S rt rt i! o 1 a d 5 ~et C rt ; rt B * i rt -3 i q 11 0 1 "« ■a tn xs ■ji et et v. rt OJ l( « I w i rt ra v U '' re ra ■ v m et et v r/3 rt % i re I I re co co rt cj a S rt re jj U i Q K "it et X S u re rt Q I* ! X y a % "et ' 3 a 00 X3 c/i I rt u i Q cy rt c. Q <3 la I - I - [ Order 6.— Septic. 1. Phagedaena H 2. Erysipelas ■5 3- Pyaemia, Septicaemia a J 4. Puerperal Fever, Pyaemia, Septicaemia Total Order 6 .. Total Class I. .. H;/ 1. Thrush 00 (y 2. Other Diseases from Vegetable Parasites .. Iv S? - 3- Hydatid Disease "Z\ y 4. Other Diseases from Animal Parasites I q { Total Class II. .. •■ 2 A 3 — 6 h253 •• h1 " — ! - hH 3 •• - - - M .. ■■ 3 r— 45 •■ 3 •• • I — •• — 2 • • ■■ • •• !- I-- - — 1 1 •■ ■■ h- ■■ H - H 3 •• - • • H • M IO " - i H •■ h1 1 1 1 H 1 2 1 H 3 •' - - ~ - h" 4 •1 I hhi • H .. h - H - h5 ■■ ■• ■■ ■■ H •■ -H 1 7 6 2 h~ h5 3 8 I 3 •- •• 1 1 __ 1 - 1 !~ 2 1 ■ -1 1 •• H 4 •■ 1 • H 1 •1 x 1 •■ - 1 ■• - - - H H 2 2 4 8 2 — 2 l-H 2 --1 : ! - ■■ H 1 H 1 • - H !•■ H .. -■ 1 h • H 1 K 1 1 - - " A -H 1 1 •• : lH - H - • - ..j.. L 3 •• •• h • •• 1 . - LI. 2 » 22 49 A 38 18 54 34 185 8 36] 14 - •• H — H H H H H - — H — I H ~ _ h-l - H - H - - ■• - h • -! I - 2 1 1 • • - •• - ■• • •• • • •• •• •1 2 3 3 'I *" •• - I 3 2 •■ 1 - ■■ ■ - •■! ■■ - •• - - 1 1 - -• 3 - - 2 •■ • - •■ - •• " -■■ • - •• •- ■■• i- ■■ ■■ ..! • - •• •• 1 - •• - - ..!.. - - -i .. 1 A .. .. .. ■ - •• •■ ■J ■■ - - • - • • •• .. ■• .. •• - _nL: hM — — — H H H — H H H - - H H H - - H 5 1 •- .. 1 1 - .. - ■ • 1 - 1 .. - 2 - .. .... ■■ •• ••! — — — ~ — __ -- — — — — — — hM 1 y f 1. Starvation H ceo Want of Breast-milk gW 2. Scurvy y <; _ T j. (a. Chronic Alcoholism g fa ; 3 ' P (J. Delirium Tremens I J2 I 4. Other Dietetic Diseases .. K [ j Total Class III. •■ 16 •• •■ i •■ •• ■• 1 • •• - - •■ 1 •• •• •• ■-. " " ■ - 1 - H - •• - - • •• h 3 •I - 4 I- • •• 1 1 •• 1 12 'I 1 "'I hi hH - • • •I - 2 • • • - •■ - 1 • ■■ • - - - •• h 2 I " • • •• 1 1 •• - - - •I h - " ■• - - I- .. .. !•• 23 •• ■■ - - ■• - • 2 • - •• - h • - - - - • • - ■■ ■■ V - •• - •■ • • ■ .. •■ - - • • - ■■ .. ■■ •• -I •• -I - — M -H — 1 - !- - H H i- - - - - H 1H - H H H H i -I I • 1 - 1 h I 3 • 2 38 2 - • .. - - 2 • ■ .. 2 - - - •• 39 •• i •• •• 4 ■ 1 ( 1. Rheumatic Fever .. 2. Rheumatism fa 3- Gout ..' -< 4. Rickets fc 5. Cancer fa . 6. Tabes Mesenterica, Tubercular Peritonitis 7- Tubercular Meningitis, Acute Hydro- ? 3j cephalus G <! - 8. Phthisis 55 W g. Other Forms of Tuberculosis, Scrofula, Jz; i-H Cachexia O fa 10. Purpura, Haemorrhagic Diathesis V j 11. Anaemia, Chlorosis, Leucocythaemia I 12. Diabetes Mellitus .. 13. Other Constitutional Diseases H M H — M H H I- - H H - - " H iH H H H -! H 8 28 6 1 ■ 8| • * • • A 4 6 1 18 ■ 1 16 35 4 1 1 • 2 1 •• ■■ 6 .. 2 .. '8 A - 3 ■■ •* •• 'A 1 ■■ 13 1 3 5 1 • - 2! h • 1 - 7 • 11 h 1 i ' - 5 3 - •• 3 •• •■ • •■ •• ■• • ■■ ■■ h ■• h - ■• - - h 3 - - ••! - I 42 3 ioj 4 2 •• I ■A 2 • 2 - 2 - - 1 11 1 1 2 I .5 1 7 2 56 19 3 • • ■• 5 .. 1 - 2 -• « 1 10 J. - 4 2 1 .. 3 .. .. .. .. .. ■• .. -■ .. • - ■• ■ ■ ■ • ! •• .. •■ • ■ ■• .. ..; .. .. .. .. .. .. .. 29 i 5 2 ••_ 6 '*8 •• 2 2 1 '3 4 5| 1 •• 2 ii 11 1 3 5 •• 5 41 5 '7 51 ■• 2 's 4 2 I 2 •• 1 " ■• 4 1 1 1 7 23 17 2 6 7 1 • 2 2 1 1 • • ■■1 1 2 I 1 1 1 3 1 •• 2 •■ " 'I • ■• •• • ■• ■• •• •• "I ■ • - • 1 - - - - ■■ •• ■■■ •• • h •• •■ - - __ ■• - - - h 11 3 - 1 •• » -■ I • "I • 4 3 ■■ ■■ ■■ ■■ 1 - 5 1 2 • • h 3 1 I ■ 1 - - - - 1 •• ■• 3 •■I - h h -■ •• - • h h I1 - - •• .. • h •• 2 h- - •• • • - •• - ■• •• - h - •■ - - - 3 2 - - - - ■■ • - — — — — — H - - H — - M - - - H hH hH H H H H - — h-l 8 .. — - H Total Class IV... 138 20 11 4 19 2 31 9 1 3. 6 16 3 8 1 40J 6 5 5 .. 201! 42 231 3 30 5 ! 5 2 2 4| 36 6 h4 .. hi 34

H.—22

46

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 1897— continued.

5 1 rt re ■2 rt X ■ BO o Ou rt c rt < rt rt -5 rt rt 0 rt 0 w rt rt u p CO . 3 O rt u 5 Totals. rt 5 Orders, Diseases, &c. if) S3 <fl et rt i> CO CU H rt i; y a H re zz re CO JZ s rt y a 0! rt rt i CO CJ y re Q et — if) V I ~rt <* X y a ey rt X y a i il 01 I X rt ■ rt •3 rS 1 ! S rt w 3 a co i rt rt I X ■J ; a co j 'rt rt I cu cj a re ■i: re ■j) et et v co I J= co ' rt y i a i ? Order 6.— Septic. 1 1 1 1. Phagedaena 2. Erysipelas 3. Pyaemia, Septicaemia 4. Puerperal Fever, Pyaemia, Septicaemia ■ ■■ 1 • •• ! 2! - h; h1 •■ 10: 2 3 •• 1 ■• 2 i •• - - ■• 1 1 •• - - 3 1 2 .. 1 1 61 2 69. 3 ■• ■•• - " - - I I •■ •• •■ •• - • •• 1 h •• •• - •1 - h •■ - - •• - •• - •• 1 •• 1 •• - 42 20 12 • - - "I - - - - • • 1 - - •• •• - - •• •• - - - - ■■ I- - H -I H N^ - hH H H H , h-l H - hH H - hH ~ H Total Order 6 .. • A !- 2 J 5 2 .. •• 2 2 •• - ■• 2 .. - 1 - • - .. - 1 •• •• ' Total Class I. .. H h-l H -— ~ — — H M H H H H - - H H H Hc/5 f fa2 I 1 - 4 !•• 5. 1. » •■ 1071 9 1 - 26 .. 66 6 16 A - ■■ 10 1 7 6 - 17 .. 11 •• - -'i 1 9 - i,i73 r - !H Lj hH h~ H - H H ~ H H H - H 1. Thrush 2. Other Diseases from Vegetable Parasites .. 3. Hydatid Disease 4. Other Diseases from Animal Parasites • ■•• ••! h h • - • •• •• ■■ - - •• - - •• • '' I •• " - ■A ■ i6| 1 il .. •• •■ - 1 1 •• - •• • •• - ■■ - •• • • - •• - ■A A •• - h h - 4 43 io_ 57 i 1 4 1 6 • - • ! ■■ 3 i • -! !•• il 1 ..! - ■ si il - •• 1 - h •■ • - il ■A 21 - - - - •• ■ ■ ! I--I I- ••! .. • •I !- !•• 1 ■• I- •■ - - -I - - .. ii .. - Total Class II. .. - H - M — ■ M H IH i - H H H H H H — H .. - .. • • 4 ■■I - - 1 1 - ■ U!l 1 si 1 1 - • - h .. - 1 ■• •■ •• •■ •• •"• ■• ■• — i — — H — — — — 1— — —j —A fa~ k— l— ! — —i — — — — i— -— Wfa Hco faA M C 1. Starvation Want of Breast-milk 2. Scurvy .. d IntemDerance \ a - Chronic Alcoholism .. 3. intemperance | & De , ir j um Tremens 4. Other Dietetic Diseases •• ■■ ■• - 1; •• ■• - h- •■ 1 •• h- • •• ; hh - 3 " •• •■ - •• •I - - • - - •■ •• 9 12 •■ •• - - ■• ■■ •• 'I - 5 ■• - " I I ■■ • • •• •■ • - •• - 1 •• •• •• •• •• - •1 - - •■ 7 1 - - I- - - • •• - - 6 •• 4 78' 72 1 1 5 I ■•! 2 - 7 3 A A - • 1 I- - h - 1 •• A - - I •■ i 2 • ■■• •• •■ ■■ •• -I - - - - - - " - •• - - • - •■ •• - • 1 - - - - - ..... - •• .. - ! - ■• - - .. 1 •• - - • - •• - ■■ ■• - .. -I !- •■ h- — H — — H hIH H H H - hH H H H - H H H H hH H H H Total Class III. 1 * 2 H 11 2 1 - 4 ■■ - .. .. 2! 1 2 • 5 - I 2 -. - - - - 1 • - 161 • •• 1. Rheumatic Fever 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, Cachexia 10. Purpura, Haemorrhagic Diathesis 11. Anaemia, Chlorosis, Leucocythaemia 12. Diabetes Mellitus .. 13. Other Constitutional Diseases H — H — H H H H H H H H hH H H H — H — H 80 : 2 2 21 4 2 ! I - 18 4 2 - 8 - J l 4 1 2 3 1 6 I 5 1 6 4 4 • 2 15 • 9 I • 7 - h 12 •■ s| 40 8 1 - hr • J9 ■• 24 6 2 8 - - • ■■ - - - - 374 4°i 5 288 II! i 3 1 85 6 fa fc o £hCO u t— I 1 • •■ • ■■ I - ■• 2! - - .. • • h- ■ H ■■ " - hh - - ■ •: •• ■ • • ■ - - I 2 I 20 A h- - h■•I 2 1 - - I * ••I "3 - h1 •• - ■■ h- •• - •• •• 1 7 3 • • 7 1 1 3 3 ■ 1 •• 4 3 1 I" '"I 2| 1 1 ■■ 3 - 7 4 15 7 1 • • .. • ■ • ■ .. ■■ • ■ •■ • • •• • • •• • • •■ •• •■ •■ •• .. .. • • .. 1 •• ■ • ■ ■ • • • • 1 8 ■ '46 11 2 ■■ 2 1 •■ •■ 3 16 3 •■ •• ■■I " 2 •• 2 3 •• 2 5 2 13 1 12 14 282 1 !3 84 • - 4 1 ■• 7i 1 3 2 I 4 5 5 2I •■ 12 3 ■• 3 109 9 168 27 8 i.4 J 5 6 2 3 7 1 213 •• ! •• •• ! 'I ■■ ••I 1 •1 •• 33 3 13 7 2 •• ■• 1 1 6 1 ' 1 •• •• •1 ■■ •• ■• •• •I ■•- •• "I ■■ 1 1 1 h h •• 2 •■ 32 3 T -• A 5 •• - 3 1 • 1 A 3 •• 2 " !•• - •• - 2 - - 3 2 •• I 23 - - 13 - h • 1 - 4 - h - ■• •• - - - • • h • ■ •■ 1 ! - h ■• A - h h - - •• ■■ - - - - ■• - -I •• ■■ - - -■ - .. - •• •• - - - .. - - - - ■■ — -! H — H i— — H H — — - IH — — - H — — 8 — Total Class IV... 9 1 19 19 .. 4 H 1 32 15 2 II 3 1 hi 2 15 2 27 71 33 I 1 32! 42 173 34 h? 20J

47

H.—22

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 1897— continued.

rt cu £ fa. O 'I rt 4J "S co *" "S " rt rt u rt « CO rt PL. et z re .L rt rt u rt* rt rt w y a to rt2 Qs CO J= 3 |a et ei a 3 je c S3 S v CO M S3 et JJ c co rt rt " y a 5 Z o a, is « s in sz it) et rt jj o eo rt y Orders, Diseases. &c. 1 3 rt cu y a if) S3 U rt et X U Ci it, ■ S3 ei I w y ;Q co jc: rt X u a CO J= % i 3 3 a hrco co i rt rt i X u a sj rt y if) S3 % rt rt X CJ Q cu Ji rt a; o a — CU rt i y a CO CO y rt a (t. S3 % 3 rt v y a I tco >'fc W 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 14. 6 - - - - - 1 .. 1 •• I 1 •• .. • ■ •• — 1 1 "I - - ..I .. •■ 2 h- •• • ■■ ■ •• •• ••! "I ■• •• ■■ •• •■ •• •• i- - 4 2 •■ - ■■ •• •• •• •• • ■■ - - l- •• ■■• ..1 ■ • ••! ••I ■• •• -I h 7 5 9 "I - - I '6 1 .. •■ •• .. .. ..:.. •■ - ■■ - - - - -, • • •■ • • ■ • 1- •• • • • h 1 - •• • • ■■ ■ ' • • - •• •■ 1 14 •■ • - • i •• •■ ■■ •• • ■ •• 2 •1 •■I • ' • • 1 •• •• 3 3 'I • • • ■ • 2 6 •• " I- ■■ •• ■■ •• - •• - - - - - - •• •• •• *'; -\ Total Class V. .. H h- — H - H H H — — 6 — H H hH H - H H 15 6 .. j i ! • * • 2 l— ■• .. .. .. .. •• i— - — • • • hi .. - 1 L_ •• -- • ■ - — !5 4 6 ■ — A •• — 7 ico t/3 w t/3 Q Jo fa 1—" > 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 (undescribed) 6. Paralysis Agitans 7. Insanity, General Paralysis of Insane 8. Chorea 9. Epilepsy 10. Convulsions 11. Laryngismus Stridulus 12. Idiopathic Tetanus 13. Paraplegia, Diseases of Spinal Cord 14. Locomotor Ataxia 15. Other Diseases of Nervous System 8 8 "8 '"2 2 .. 3 •• 3 ■ 4 3 9 2 30 1 83 18 - - - hh - - 2 - 2! i — •I 2 - ■" - — 1 •• I 1 4! •■ 1 2 I * 1 ..! i— 1 1 2 7 I 1 2 ••! 1 — 1 •• ■■ -I -i h 1 • ■■ •■ i ■■ • 1 2 - I I "I 1 h h h h h •• 2 2 1 1 4 • 2 • • • • ■ h ••! ■• h - h l _j 12 8 1 4 13 7 2 13 1 — 4 4 - •• - ■• - 3 4 1 3 1 - - •• ■• •• - 1 ■• 2 — •■ 1 - - h " "I - - h ' hi h: 1 - ■■• - • ■" h - - - hi - - 1 h ■■ • 1 I 1 4 1 1 h 1 1 1 1 6 h h hi - - •• - ■■ •• 2 3 3 1 • .. I 1 ' 'I -I • ■A •• - h 1 - 1 ■■ 1 .. - ■ H - H •• - ••I •• I ■ 4 • h - - 1 • - 2 - •• • •• I ■■ •• I- - h - •• " ■■ h- • - - - - •'I 1 - I- ■ - h h- - - - • ■ •■ .. - - - • ■• ■A •■ • - - •• — •• ••I - - • • - - 2 I - 2 1 6 - 2 • 1 • ■A •• ■ 4 - h 5 1 2 !- 1 - - • ■ - - - ■• • - ■■ - - ■A ■- h * - - •• 1 ■■■ 2 - - - ■ - - h- - •• 6 •■ 1 3 IO — i - - ■A ■A - r 9 • 5 - h-l j . I 19 A 7 •• - 1! - • 1 - 1 4 - •• Total Order 1 .. — — H H —I — H H H H — — H H H H hH — H - -: 1 2 19 I 9 1 17 3 * A 1 - 24 x 23 2 • 86 12 20; 1 A - - 3 - 2 *4 2 12! - 17 ■ - — — — — _-_j — U- — J U— — -- — —A — — — _j — — Order 2.—Diseases of Organs of Special Sense. 1. Otitis, Otorrhoea 2. Epistaxis and Disease of Nose 3. Ophthalmia and Disease of Eye n 5 ■• 2.. 46! .. •■ •• 2 Zj . . "I ■1 •• •• ■• 1 ■• 1 ■• 5 1 3 1 ■■ •• 9 45 •• ■■ •• •• • •• •■ 2 ! •■ •• 4 4 " "I •• •• 1 2 - A 4 1 ■• 4| - - 2 - ■• • - - • - • h- ■• •• - - I - - 7 - 1 - 2 Total Order 2 .. - H .. .. j .. h H - H 4 6 - 1 2 - H - H 3 in •■• - 1 - H ■■ H 2; - - H 3 — ■ H I - H - H H -I H — H - IH - H 53; •• !•• 6 .. -I .. - 2 .. I - 9 15 ■A - I2IJ - 2 - 3 - .. .. .. 8 - 7 .. 1 - 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 — j u— —I 1 — — — — — i— — — — fa- — 30 8 3 2 2, . . 2! I 2 • 1 1 3: 1 ij .. 3 1 1 1 1 3 "' •', 2 2 1 17 3 • 5 " .. ••I ••! 35 14 •! 8 2 ■ 1 ••! "I •■I •1 2 1 I ••1 1 1 ■■1 • " ■•I 6 1 "I •• • 3 7 1 • • 1 1 ■ 1 1 - 2 " 1 -• 1 2 - 1 ' - - . . • ••I • ■ - ■■ 2 1 • • ■ .. .. ■• ■■ • •■ - 1 ■ • 2 ■ - I •• ..1 :: ■ • 2 5 1 - ■ • 1 • •IH • 1 ■ ..I • - - - I • • 1 1 • .. .. • • .. • • 1 1 •• • • •• •• •• •• •• • • • • • • ■ - •■ ■• ■• •- -• 1 • • .. • ■ •■ ■ • ■ • ••: .. .. .. 1

H.—22

48

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 1897— continued.

to rt • cu' S rt ei B et O c VL y! re re c 1 re rt X CJ I Q cu rt 'rt , i u £ ei z y c CO co rt rt ij y a 3 C V c V Tot; Orders, &c. i . re « cj O re & CJ Q 1 i I I . I— Ioj rt CJ Q oi (/) S3 V, rt rt u CJ G ft ; et it. S3 i) *■; re v CJ G « j . rt rt I 3i CJ ! C co He rt X cj - re v co rt rt y a x '/; S3 rt ju y a If) if. . S3 OJ i rt rt : " 0 j a 'ir 'et rt 2i "rt co i. y a rt J rt a 1. S3 it) ei et u tn rt rt v J Q rt y CO rt a , fa fat" fa w >fc w i. Premature Birth 2. Atelectasis .. .. .. .. 3. Cyanosis 4. Spina Bifida 5. Imperforate Anus 6. Cleft Palate, Hare-lip 7. Other Congenital Defects 8. Old Age h - I .. .. • •• •• • ■' .. .. ! •■ •• •■ •• •■ ■• •• •• " ■■ .. .. J - ■■• hhh .. • - ■■ 'I ■ •1 - •• - •■•■ ..; •■ • • 1 I • - ■■■ - h - - - •••• - 1 1 • - -■■•••■ " I ■■ - -- - ■■ ■ - I- •••• - - ■■:■ ••■■■■ ■• - " h-h- •• • ••! •■ " •••■ - - ■■:■• - •■ 18I ■• - ••- - h- ! ■ ■■ ■'• 1 •• • -• - - 9 39 100 5, •• d •• - - 4 3 ... .. h - IO - I II - - - 3 ■• 1 1 -• 5 — 2 ■■ •• I I- ■• - .... 1 __ - 1 .. •■ - 1 - •• 1 h- ■••■ 26 Total Class V. .. H h-h" H H hH - - — ! H — — -A 5 ■• i A - • • ■• 29 2 .. 3 •■ 1 5 .. •• h ■A -• 1 •• .. - 149 !— — — —\ ' •• 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 (undescribed) 6. Paralysis Agitans 7. Insanity, General Paralysis of Insane 8. Chorea 9. Epilepsy 10. Convulsions 11. Laryngismus Stridulus .. 12. Idiopathic Tetanus 13. Paraplegia, Diseases of Spinal Cord 14. Locomotor Ataxia 15. Other Diseases of Nervous System 1 1 5 1 2 1 3 •■ 1 .. •■ • - H H ■■• ■■■ • •• • 3 4 •• - •• ■'■ 2 •■ ■'■ ■■• - - 4 ■ ■■ - - - - 7 2 8 5 3 4 5 5 2 ■ 1 - ■■ - 1 ■•; 2 2 2 •• 4 2 2 1 2 • • • 1 1 1 •• 2 - 7 h5 1 6 ■I 1 ■ • • • 1 1 — 1 — - •■ 1 "I - " - • •■ - 1 - h - • - - - ■■ 1 - 'I • 1 " hl - '■■ ■•• h 1 — ■• •• - •• - 3 1 1 1 6 3 • ' ' - •• — hi - - ■■■ - 41 38 13 47 60 8 49 13 55 4 . j 21 25 1 ■1 • h2 • h - •• I ■■ 1 •■■• H •• - m - 1 - - 1 • • 1 - • h 1 •■ ■ - •• ■••• ■ 2 - - 1 3 2 1 - - 1 - • ■■• •■ - •■ 2 ■ - 3 h-h H •■ - - h- ■• - hh • - - h- ■ - •• 1 •• - - " • •■ cc fa CO fa IT. c - ■■ - - •• • hh • - - - ■ •• • - ■ •• •■ ••■• H - •• - hh •■ - 1 - ■ ■ • " h2 - H h - • •• ■ ■• 5 39 19 252 1 .. 3 •• •• •• ■■ - - - 3 1 6 5 4 3i 61 • - 2 • ■ • - - ■ 1 2 • 1 ■ I 3 - 2 • A - - h- ■■ 8 " - • 2 2 2 7 - 1 I- - •• 1 ■• • •• ■ - 4 4 - 50 84 -• -. 4J 1 2 - - •■ 2 5 1 - 3 18 ■• ■■ Total Order 1 .. H H H H H — H 16 3 <4 H fa o fa > .. ■• 17 22 ! •• 6 .. • 6 A 9 3 13 • 2 5 6 2 • .. 643 Order 2.— Diseases of Organs of Special Sense. 1. Otitis, Otorrhoea 2. Epistaxis and Disease of Nose 3. Ophthalmia and Disease of Eye •• " I 5 ■• 4 33 62 1 •• 1 6 8 — ■■• 2 3" 79 •1 — •• — \— - — — — — — 33 162 3°3 • •■ " • •■ •• •• •• 1 - - - ■■ I - - • - - - - •• 3 3 •• - •• - - - -- - - • ■ 2 3| - h3 h- •• •■ 2 ..I Total Order 2 .. H H — H - H H H -A hH — .. .. .. 99: - 1 - .. •• 498 15 117 3 ■A .. .. 6 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 .. — — — —\ fa- —\ 12, 4 3 8 3 I 2 1 1 40 I 12 3 1 26 8| 4 1 1 4 I 3 2 1 1 3 2 1 A I I 3 2 I 261 ••! ••! ■-I --I •• I I •• ! ■ •• ■■1 1 1 •• ■I 1 ■•I "i •• ••I ••i 11 ■■ - I •■! • 1 1 2 • 1 • 4 1 h9 16 3 5 20 5 5 1 1 1 •• • • •• - I • - 1 1 1 2 2 I • • ■ • 2 hh 2 . . 1 2 - • 2 I •• ■ ... • hh - I I ■ 3 1 1 A .. • hh • ■• • • ■ 1 ■ "' - ..; ■ • •• -■ •• • • .. • • • • .. .. .. ■- •• .. 2 2 -.. 1 .. •• • ■ .. ■■

49

H.—22

7—H. 22.

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 1897— continued.

et P-3 ° g re -G o rt X G O 6 % rt cj Q 1 3 rt i? u I a rt rt rt cu 'a. co 1 3 rt «; y a . 3 rt ~ rt o rt jr &•* rt rt « rt X cj G O G c I' re fan o rt G ra rt C c s c* o Z a. cu i rt o CJ o CU CU Orders, Diseases, &c. CU j co rt ■rt X y a i if) S3 % 3 rt ! X u a —H -0 rt y rt y rt Q in rt rt a 1 rt rt X y a * I ■£ rt I X K I 1 3 |a rt rt G in If) et CJ rt G rt CJ ? I . 0! rt rt X CJ G cu rt y rt I ■ 3 rt j 1* y I a y I a CU H 3 X y a S 3 u a 1 I rt rt I i; y ' a Order 3.— Diseases of Circulatory System —contd. 10. Phlebitis 11. Varicose Veins, Piles 12. Other Diseases of Circulatory System 2 29 2 •■ 2 •■ .. •• 2 ■ • •• * I 'I h •• 1 • • ■■ h 1 5 • •■ 3 •■ - •I - "I 2 44 1 ■• 2 •■ •• 3 6 ■• •• •' • •• •• " •■ 1 - • h - •• h - • h 6 1 h: - •• - • A •• - - • • h- - h - - ■■ h-l " - - - • - h - - • Total Order 3 .. H — 8 — hH hH H — H hH hH H M H h" h- - H h" H - -- H h" H - H h70 II 3 2 5 1 5 1 3 • 2 1 24 3 10 - 1 1 89 15 IO 2 5 1 :• 8 1 3 2 3 1 .. 9 3 8 2 4 u 1 •■ •• — -j — j— 1 — fa- — — — — — — — — -- a L— — i—\ — — — —\ — Order 4.— Diseases of Respiratory System. 1. Laryngitis 2. Croup 3. Other Diseases of Larynx and Trachea .. 4. Asthma, Emphysema 5. Bronchitis 6. Pneumonia 7. Pleurisy 8. Other Diseases of Respiratory System 3 4 29 23 10 19 •• •■ - 1 3 6 •• - - 6 3 5 •• •• ■■ ■• - •• 1 ■ • A •• 2 2 1 •■ •• 2 - •• •• •• ■ • ■ • ■• - - •• ■■ ■■ 1 - ■•• - 2 • • 3 10 7 6 12 • • • •I - 2 •• I- •• •• •■ - - 5 .. •• • ■ 2' J | I 12 5 5 1 •• - - •• - 3 2 7 5' 2 ! •1 ■• ■■ ■• ■• h - ■■ • ■ "I h - • ■■ • •• - •• •1 1 h - • .. - •1 - - •I h - ••: •• ■• • •• •• •• •• - • - hI- - h • - ■■ 2 9 3 I 12 2 - 2 h 15 2 "I - - - •• 3° 4 2 - 7 1 TO !4 4 3 - 3 •• 2! 1 6 .. A 9 2 3 - 4 • ■ 1 2 ■■ - - - - ■ 3 • 1 7 6 2 - 1 - - - 5° 24 14 96 4 3 •• ! A ■■ •• 2 - 2 1 • 1 1 1 2 1 • ■ • - - - • • ■ •■ h hA A ■A - - - - - 2 1 h hh ■■ - Hd - - - -- - - - - .. 1 • " • - h 3 18 ■A - " •• •• CO fa CO fa CO fa u O fa > Total Order 4 .. H h- — — — —1 rH H h" H H — — h-i H - H H H - —J -i - 36 - H 88 10 14 - 37 4 14 1 15 4 3 - 1 •• j 40 3 16! 2 1 • 7 27 1 23I 2 A 4 .. .. • M 2 2 • 19 1 2 — — — I— ! I \—\ — — — — — t— — — — — i — — — — — — — — Order 5.— Diseases of Digestive System. 1. Stomatitis, Cancrum Oris 2. Dentition 3. Sore Throat, Quinsy 4. Dyspepsia .. 5. Haematemesis 6. Melasna 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. Gall-stones 18. Cirrhosis of Liver 19. Other Diseases of Liver, Hepatitis, Jaundice 20. Other Diseases of Digestive System •• 10 6 I 23 I 12 I •• • ■ • • • • 3 1 ■• - 2 • ■■ - H •• H •• - - - •• •■ I 6 •• 2 •■I I ■' •• ■ • • ■ • • • • •• 6 18 1 3 •• 1 ••• ..!. 3 •• 1 .. •' 16 •• 1 - 1 A •• I ■■ •• •■ 2 •• •• ■• 1 1 1 • • • • •■ 2 7 9 1 5 4 2 1 • - - - h - " h • •• 1 15 •• ■• 2 " ! ° 14 5 1 - 20 2 3 2 2 ■ - h •■■ • - ■ - 1 •I 4 2 •• - - - ■■ ■ • • - - •• •• h-i ♦l ••1 •• •• •• •• ■• 2 - 1 2 .. 2 •• •• - - - - - ■■ - ■• 2 2 ■■ •1 •• h h h h h2 h h h •■ 2 •■ 1 • 9 - 7 2 • • ' • ' • - ■ " 2 I •1 • • ■ ■ 1 1 ■• - 3 1 3 •• • • •• • ■• • h A 3 1 •• ■• h ■ ■ ■ • •1 - - ■• ■ • I - •• h- - - I A - - 1 - 1 - h- " • ' • 20 2 ■• 2 • 3 • 3 2 I • 5 A 5 2 23 9 3 ■A - 2 •■• 1 A 1 10 - I • • .. ■• • •• • I . . •• • •• ■ 1 - •• ■■ 3 4 1 1 1 • • 1 I 3 ! 3 - 2 2 I - 2 A •• ■• 1 • 1 1 •• H A - ■• •■ •• •• 1 1 1 3 1 ■ • •• I • - A 1 •• ■■ •• 1 6 1 2 6 ■A - - - - 2 1 1 ■ • 3I 4 7 A 1 1 ■• - 2 1 - 2 6 - A Ajl •• -! - • - 3| 1 I- ■• •• 1 3 h h '•I ■A 1 1 - ■ •• •■ •• •■ •• 1 - ■ 1 1 • 3 - 2 A 1! •• - " ;■■ 1 A - - • .. • h 3! 3 16 3 6 3 1 •• • •■ • 1 ! ! 1 • - 2 3 46 - -1 - - '' i •• ■• - • - •• - 5 18 ■ • 1 • • •• .. Total Order 5 .. — H — — — H hH H H — — — H hH H - ■• H • 101 12 2 .. 19 1 2 13! •■ 27 4 4 •• 31 ■•■ 40 i 2 26 1 6 ino 6 1 I5 i 1 - 9 A 2 4 I 11 291 7 8 — fa— -A — h— 1 1 !— — - — — fa--J — — 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 .. .. fa—i 1 — — — — — — •• •• •■ 1 ■■ ■• •• " •• •■ •I •■ • •• •• •■ ■■ •• •• h- - - •• - - •■ ■• h •■ " •• 2! - - i • H - 1 1 - ■•• 2 1 ■■ h - j 1 1 ■■ - ■• •• 1 1 - ••hi ■• •1 .. - ■• .. " h -I - - A - - - - - h -I I- - • -• - Total Order 6 .. — — H H r— — H - H H 1 - H - H H H 2 hH ■- I .. 1 2 .. • - .. •• .. 2 .. • • ■• 11 1 .. •• .. .. .. .. 2 .. • • • ..

H.—22

50

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 1897— continued.

CO ■CO rt Cu Orders, Diseases, &c. I 5| rt p rt 3 a c rt X rt H 1 3 rt x y a 1 'rt a! rt CJ ' G I re o rt z U 3 rt cu y a -a it) rt rt X CJ G G c G V G O oj re ra u cj G rt i " re c s h-h-Totals. I CO rt y p rt y 3 CO 3 ra X oj rt rt v U G if) rt rt JrJ a rt ra v if) ■ S3 oj ! et rt 1 ■*> CJ ■ G (O i J3 05 j re cj " G CO y S3 ~et G it) S3 it) rt ct JJ CJ G 1) -fa rt 0) S3 it) et 3 a oj "et et v U G I ! Order 3.— Diseases of Circulatory System —contd. 10. Phlebitis 11. Varicose Veins, Piles 12. Other Diseases of Circulatory System •• 1 " - - i - A .. .-. 5 ■ • •■ 1 11 •■ ... "I ■: - 1 'I il .. •• •■ ■• - "I •• 3 1 •• •• •• 12 ■• - •■•• - .. 1, j 12 • - h-h-h - - !■ h - 1 5 135 23 - - •• - - • - - • s 1 1 9 I •• 41 1 •• ■■ - •■ - •• .. 1 2 is; 5 h- — — ~ H — hH H h— h8 4 H H Total Order 3 .. 15 4 5 .. 2 55 - 3 1 1 hl 58 13 10 3 - - H .. - 1 IH A H 2 H • • 7 I — 7 H 9 — 6 505 99 1— •• -H — — fa- — —A — \— Order 4.— Diseases of Respiratory System. 1. Laryngitis 2. Croup 3. Other Diseases of Larynx and Trachea .. 4. Asthma, Emphysema 5. Bronchitis 6. Pneumonia 7. Pleurisy 8. Other Diseases of Respiratory System •• - - 2 I 'I h 2 ii 1 .. .. 1 .. i6| 3 6 .. •• •■ - ■■ 5 46 14 22 •• 1 •• • • •• •• ■■ ■■ 2 - - • 1 .. - • - • 5 -• 13 •■ 8 3 6 .. 2 . . 2 . . 8\ 1 2 6 26 17 10 •• h- •• •■ - ■■ •• 3 6 •• •• - •1 h h •• ■■ •■ 1 1 ■• - 1 16 i - • • •■ - 2 ■■ ■1 •• •• 1 •• 1 7 1 'I ■ • 20 10 56 386 226 156 69 2 •• 22 2 - • h3 15 1 ■■ - 1 i - ... I 4 22 • 2 27 47 7 4 3 - 2 3 2 2 - 3 17 6 I - 1 - 4 IO 1 5 1 A h- - 1 ■A 4 •■ 4 5 7 •• 5 2 1 5 6 1 5 h3 i 2 .. !• 1 ■A A •■ h- - - h 1 ■■ 2 I 7 1 2 • 2 .... J ■• •• - - ■ i6| 1 2 1 A ■■ h-i 1 1 " ■• 26 4 •■ •- - - h- .. T CO fa co fa co .-H fa fa u Q fa Total Order 4 .. H h" I— 88 rH — H — — — H —' H H - H h" — •• 29: 5 9 ■■ 7 4I .. 28 A 35 3J 63 20 - 29 1 1- • 20! 2 20 1 8 x 37 H 7 h" 11 925 89 • •• 2 i 7 !— — — — ! — - — — — — —4 — — — — — Order 5.— -Diseases of Digestive System. 1. Stomatitis, Cancrum Oris 2. Dentition 3. Sore Throat, Quinsy 4. Dyspepsia 5. Haematemesis 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. Gall-stones 18. Cirrhosis of Liver 19. Other Diseases of Liver, Hepatitis, Jaundice 20. Other Diseases of Digestive System 2 I •V h- - i - h h •I h •I i i ■■ i " - 14 •• 4 •■ ... .. •• I ! 1 2 18 24 •• 1 16 2 2 1 •• - - - - - - I .. .. 2 . 2.. .. ... h- h- ■••• .. .. 3 3 •• •• h h h h h h h h 3 •• 7 •■ 1 .. 7 1 1 .. ..I .. 5 ■• 3 •• 4 •• 1 .. •■ hh 14 14 "I II 15 3 3 i ■■ 3 1 •• 2 •• ! ■■ h- •• - - - - - •• h-h-5 •• 1 .. - 3 1 ••I ■• 1 1 •• •1 • 3 3 - h - •■ • • ■ - • • • • - - A 5 2 •• 3 • • "I •• - 1 6 - h7 1 hh •1 1 •1 •• hA 10 •• h5 6 h- " - - - - - - " - •• •• 4 6 - ■■■ - - - ■■ ■ • h h h h h 15 103 198 8 2 142 43 9 3° 11 1 1 1 •• 4 1 1 6 6 ... .. •■ 3 h 1 1 1 .. 2 .. 1 .. 1 ■■ h h • • hh 3 - " ■ ii.. .. .. h 3 2 .. .. •• h hh - 3 •■ h - • h hh " - • h .. 28 - 3| h h- •■ A 1 8 ■• •• •■ h ■ • hh 6 1 " • 4 - .. I .. .. • 25 3 6 1 2 1 - h h - • hh 1 4 • 143 41 46 19 30 68 ..I 2 " 2 - 1 ■■ 1 j 1 h • 1 • • - • 2 ■I •■ 2 ■1 1 I 1 3 - 4 1 1 .. h • 1 2 ■■• 18 1 •• hh ■• • h- hh- - ■■ •• " ■ -I • ■ - ■■ - hH • - hi 5 - - - h h h- ... .. 1 1 3 •• 3 10 16 •■ 2 A .. .. .. .. ... .. 6 hi - •:•■ 2 .. 2 .. 28 2 ■ • 1 .. 6 .. 20 .. 2 2 1 - ■■ 1 .. 2 .. 1 .. 18 1 1 1 - - h h ■■ h ■ h- * 1 - h- - 1 •• 1 1 15 8 " h h I I : •■•• h 2 8 1 1 - h • 3 2 ' - • - - h •• I ■■ •• 5 ■• •• - 1 - - • •• ■•"■ - 2 ■• - • 74 •• •• Total Order 5 .. H H — H 14 .1 h8 H 108 H H H H h- - - — hs - — H — H r 3 4 I 1 132 19 A 9 :o - 1 4 i 6 • 15 19 A 36 1 16 1 990 73 •• Order 6.— Diseases of Lymphatic System and Ductless Glands. 1. Diseases of Lymphatic System 2. Diseases of Spleen 3. Bronchocele 4. Addison's Disease — — 1 — —i — — — —A — — —A i I :: :: •■ 1 •1 1 .. 7 ■I ■• ■• "I ■• •• •■ ■■ - 20 - .. .. 1 1 1 .. •■ - 1 .. 5 - - - •■ ■• •• - - •• • .. .. 9 1 9 1 2 •- h - 2 2 •• •■ h42 3 3 6 •■ 1 .. - .. - •• •• .. 1 A - 5 67 — • Total Order 6 .. 16 — H 1 .. - H -I H — — H ■• *7 .. • • 2I 3 1 •• .. .. .. •- • ■ .. • • M

51

H.—22

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 1897— continued.

rt < o 5 Ort 1 CO H o re cu c 5 S3 a. ei rt X rt rt Oh fa rt Z I 3 rt i; y a fa rt > G 'rt v 2 CO . sz rt S CO 3 rt X o a re c ra S 1 3 1 j rt w rt cu u a u q 1 lit J3 05 rt U Q (E o Z 0 re -G CJ c o V It) rt 0 Orders, Diseases, &c. rt y 3 cu a i . ") rt v CJ j Q S3 rt Q 05 rt 05 rt Q cu rt y 3 a m rt rt i> U Q if. S3 re « G oj' JS % re re jj (fl j S3 5j rt rt u y |a oj 05 rt rt X U G . 111 rt jy y |a to J2 05 I rt rt X co rt rt X y a I 3 rt X u a rt —: rt G rt y re 6 — 1 i « rt i i; y i a Order 7.— Diseases of Urinary System. 1. Acute Nephritis 2. Bright's Disease 3. Uraemia 4. Suppression of Urine .. 5. Calculus 6. Hematuria 7. Diseases of Bladder and Prostate 8. Other Diseases of Urinary System 4 5 3 •• 3 4 1 ■ •• i •• •• •• • H 'I • • H H H 1 • • A ■A 1 h h 1 ■ • ■• •• ■• - • 2 1 •• 1 •1 1 h h ■1 ■••• .. - cS 8 1 6 2 3 • -• 3 4 .. 1 2 - 1 1 h I •1 1 .. 1 - •• 1 - 1 1 ■• ■• h h 2 h 2 .. 4 I ■■ I •• h - 2 •■• 10 16 •• •• A I •• 1 1 H - 2 1 ■• 2] H ■■ •• " ■A •A ■A h h1 6 • •• - - ■■ 16 1 ■■■ 1 • • •• h h h ■■ - - - 17 4 • ■• 2 4 5 2 - 3 4 1 .. 1 - - - •' 4 1 2 6 1 h h h h •• A • 1 I: 3 1 " - - - - - •• 4 - •• 1 ■■ 2 ■A ■ ■ • - 1 - •• - - 1 - .. •• 3 8 h- —\ — — ■" Total Order 7 .. 40 IO 2 •• — .. - ■A 8 H • • H •• h" 20 - - 1 H H 5 M ho — A - H A 1 - •• 44 7! 16 2 I 4 • 11 A 4 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 Convulsions 10. Placenta Previa (Flooding) 11. Phlegmasia Dolens 12. Other Accidents of Childbirth (c.) Childbirth (Lying-in Patients) — — — — •■ • • — — — — fa- — i — —\ — — fa- -- 7 44 1 2 2 16 *6 4 5 1 •• •• 1 41 10 1 •1 "I 4 •• 2 8 87 4 19 24 I 5 3 1 7 1 •1 1 6 1 3 19 1 *1 1 8 •• •• •• fa fa co 2 •• " 3 2 2 .. - •• •• " I 28 .. I 6 4 ••; •• - .. •• .. • • 3 •• 3 1 1 4I 1 1 .. 5 • •■ 1 2 • "I •1 "I •• •■ •• •• •• • "I " •I •• ■• •• ■• • ••• H •• h - ■■ - •■ - ■• - •■ • h h - h h ■1 ■■ •• •■• H - ■■ h h - •• -I h •■ - - • ••- - h _ 1 - h - - ••• H •• •■ h - •■ - h h - - ■■ • - h - h • ■■ " hh H I •• •• hh ■■ - - - •• h - - •■•■ hh - 13 1 • h hh •• • H - I h •• - 1 h - h ■■ •• • •- h h !•■ •■ h fa fa o fa h-i > 2 ■• - •• - - •• •• - - •• •• 5 ■ H^ • h •• ■■ •• •• - .. Total Order 8 .. — hH H H H H H H hH - H . H 9° H H 38 H — H - •• .. 19 - 11 3 •• .. N 7 • 2 .. F54 1 1 112 1 h 7 I- .. 1 ■■ •• • ■• 11 2 12 •• Order 9.— Diseases of Organs of Locomotion. 1. Caries, Necrosis 2. Arthritis, Ostitis, Periostitis 3. Other Diseases of Organs of Locomotion .. 17 3 — 5 6 6 — • 8 — — fa18 3 4 — 7 — 1 — 9 1 5 13 — r l — l— 4 5°i 52 14 116 1 h-lH 11 .. 1 • ■ 9 3 8 — — — — —A \—• •• ■ • •■ ■• •• ■• ■• •• 3 1 13 •• •• 1 6 1 1 1 1 •• 1 ■ 4 5 H 4 2 •• - h 1 - 2 6 - h- •• ■ •• h 1 - h •• ■■ 2 •• •• H 1 •• - - ■•■■ •• •• • •• •■ h- •• ■ ■ 9 •■ 2: • •• ■ ■ I - 7 •• •• •• Total Order 9 .. — — H — h6 H — H - - — H - H i 12! . . — H — H - 35 .. 1 M H — H H 17! •• •■■■ •• 25 7 • 2 ■■ 27J 9 ■• 4 • 20 9I • •• .. •• •• ho -I . •• 17 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 .. "8 34 7 2 9 62 I - •• •■ • 6 14 3 — 1 ■• — 2 3 1 —A •I I- ■• h - •I — •■ 6 ■1 h h — — ■• — 9 —! 2 5 14 7i — - h - — — —! 5 3 10; 3° 10 I . . 3 •• ■:■■ I 16 2 •1 "I - A i— •1 1 2 — 1 •• •• !•• 3 3 1 — i •• h •• • — 1 1 7 3 — ■• h- - 2i 2^ — •• • 7 ■• ■• A IO 4 2 •• 2 •• ..I 5 4 1.. 1 - 1 5 1 4 h h 10! " 4 •■ 1 .. 10 .. 126 11 1 4 5 ■■ 3 I- •• I • h - I--I ■■ •• ■• - - • - 1 6 h - - - ■• - I- ... - • - 3 - - •■ • - • •■ •• - A •■ ■• • ■• .. - .. 7 65 892 : 3 •• •• .. - •• •• h •■ •• • • • .. Total Order 10 .. — H hH - " I- - — 4 H — — H H H 1 • 21 • 7 6 •■ - 25 28! - 23 1 5 •■■ 3 12 •• •• • ■• 11 1 .. I6i .. Total Class VI... I — H H — — H — H H ~ H 62 — H h-l h- — 8 — 624! 29 2 > 3 178 62^ 3 I2I[ 29 1 1 5 te 1 6 471 1 4 in 116 1 J 3 10 236 11 137: 117 29 - 1 xol S3 9 74

H.--22

52

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 1897— continued.

i.-S 51 rt rt E rt Ci rt X CO o i S3 to u rt rt < G C SZ S3 rt CO 3 rt w u a rt rt (0 X! u rt 3 a G a G 05 S3 to et rt X £ rt O S3 et z it) -G oj rt rt v O G cu 0 co" j: cu rt cu u a o y CO CO cu t. co rt rt i u a 05 , G £ t o £ 3 O 5 Totals. re Orders, Diseases, &c. if S3 CJ Q co' Jrt % 3 rt v y a in S3 rt ju CJ C CO CO JZ CU H rt v y a to* J= in et rt X CJ C . I i to oj : rt rt X U i G If) rt « oi J^ oi rt rt « OJ J3 oi re rt « oj S3 U rt ei v U G rt y rt a io y S3 et G rt U co S3 re a cu U si rt G Order 7.— Diseases of Urinary System. 1. Acute Nephritis 2. Bright's Disease 3. Uraemia 4. Suppression of Urine 5. Calculus 6. Hematuria 7. Diseases of Bladder and Prostate 8. Other Diseases of Urinary System 1 4 - - i i •■ H 1 • ■ h •• •• 4 •• 1 ■• 2 - ■ •• 2 1 H •• 1 H 4 9 1 •• A H 2 2 ■■ h-i " - •• ■■ - •• •• h h •• •1 1 1 1 2 1 1 • A A A I •■ •• 1 •• 16 •• •■ 3 •• I 1 h h 2 1 .. 1 •• •■ I- - •• - •• • •• ■• - •■ 1 " •• 1 •• ■■•• - - •• 1 I 1 •• I • 3 ■• 1 2 1 • ! 37 68 10 9 25 9 117 76 h - h - - H 2 1 13 3 i H - - 1 • - 5 3 12 2 •• h •• - - •■ - • 2 i •■ " ■ - H •• - •• 1 10 1 • •■ 2 1 2 h 3 3 •• 2 • 1 - hh • 1 H A 1 ■• H 3 1 - 3 - 1 h - •• •■ ■•• ■■ • 14 4 h • •• .. •■ 1 H •• - - • • •• 9 •• I- •• •■ "I - !•• •• .. 4 8 - h Total Order 7 .. - H H h- — 8 — H H 6 - — H hH H H H H — 7 3 2 •• 14 3 4 1 33 1 •• 2 U1 1 45 8 1 to ■■ 2 • 1 • ■ 2 •■ 1 .. 351 63 ■■ •• — — — — 1 — — — — -— — — — — i — — — — CO fa CO CO fa fa O fa > 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 Convulsions 10. Placenta Praavia (Flooding) 11. Phlegmasia Dolens 12. Other Accidents of Childbirth (c.) Childbirth (Lying-in Patients) i •• 4 ••i • • 1 1 1 7 1 2 •• 1 4 22 10 4 6 1 - •• 2 - ■■ 1 2 ••! 3 __ .. 2 8 1 3 2 5 3 9 75 5 2 3 •• 1 2 2 ■■ !i 31 3 1 3 1 4 2 4 I 2 •■ 1 1 1 2 . 2 ■■ ■ ■ 2 II 5 •• •• 1 2 • • 57 368 40 40 11 in 4 1 •• 1 2 8 8 28 1 1 •• ■■ •1 • •• •■ •• •• •' •• 1 'I 1 •• •• ■• •• •I •• ■■ 1 •1 1 h • - H 1 1 H •■ - h - - •■ - h •• h - - A A h - H H ■■I - h • 1 - •■ - •• hi - - h •• - ■■■ •• - ■■ - h • - 1 1 -•• • - hhh - 1 - 2 4 29 12 h - •• - H 2 6 - ■■ •■ " - • - - 1 2 •• h ■■ h " • il - ! •• 2 h • 1 1 H - •• - - • - IH 5 ■■ 1 •• 1 I - h - •■ • - 1 .., - ■■ - H " •• •■ - •• - - - ■ • •• I- - H ■• ■• h - - — H - i I— — 64 H — H — — H h" !- — —I H - H H h-l H H h" Total Order 8 .. 5 • 3 r 3 • - 3 1 •• 5 14 .. 12 •• 109 2 7 13 •• 2 1 10 •■ • 71 H 20 A 3 I •■ 704 9 ■• ■■ —\ — — 1 1 - — — — — — — i— — — i— — — — Order 9.— Diseases of Organs of Locomotion. 1. Caries, Necrosis 2. Arthritis, Ostitis, Periostitis 3. Other Diseases of Organs of Locomotion .. 2 1 •• 1 • •• 33 15 33 81 1 1 3 ■• 2 2 13 4 8 •• 1 5 4 •I 21 18 •• 6 9 2 1 •• •• •• •• 10 4 3 1 1 2 •■ 236 157 192 7 1 2 2 - 1 • A 3 - H H • - 4 h 20 - 2 ■• - ■• - 1 ■• hh hh • •I h - ■■ - hh H - - - - - •• ■ - - H H — M — — — H H H 1 — H — — H 1 H -A — H 8 Total Order 9 .. 6 i H 5 H •• •• A 4 I" -I 8 25 .. io| 59 •• 17 3 - •• •■ 1 I •• hh 17 2 2 .. 585 I ••! ■• — — 1— I I : 1 — I— — — — L_ h— 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 .. A 8 ■ • H 2 hh - IH H H H 7 1 34 9 ■• i "1 1 2 •• •1 1 41 •• 5 2 " 3 6 3 "I ■• 1 2 2 19 5 1 8 •• ■• •• 1 •■ 4 2 1 5 ■• 7 1 •■ •• •• h h I • H ..1 I I ■• *■ ..1 1 •• h ■• •• ■■ •• 2 **l 3 - 14 1 - - I ■• 1 " h 26 70 20 285 87 77 1 2 2 • 2 3 2 • IH H - - •• - ■• - I •• •• 1 - - 1 hI 1 h - h ■■ H H - •'j •• " h 5 - H H h1 - 7 - 1 1 H h J - I •• 2 - •• 1 h 1 1 - 2 I .. 1 • H 9 60 " •• •• • • •• • • •• • •■ ■• 3 ..I 1 - !•• Total Order 10 .. H 1 — H I 38 H H H H — H H h 16 H A H H 2 3 •■ 14 12 ■■ 15 ■"■ .. .. 4 •• •• •• 6 20 A 2 • 570 5,838 5 ! •• Total Class VI. .. — — — 1— — H H 96 — H — H 1. H H — H — H H no 19 3° 116 16 11 2 712 52 22 A 179 19 87 3 675 43 §4 10 109 3 '3' N 2' 4 54i 2 54 4 ! 74 18 49 3 430

53

H.—22

B—H. 22,

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 1897— continued.

re < o c O rt £ re G z X o S3 61 co SZ cu rt uV y a rt cu rt X rt rt CL et Z . ■. eo rt 3 o. 'rt to G 5 "Z rt o rt c a 11 rt 5 c i "53 S3 C c o o Z 0 ■J > CU . rt 2 (0 '/l re Orders, Diseases, fee. £ 3 rt : t> y a co .c to rt et X U G rt y 1 3 cu a CO Ul S3 in re U G tn S3 U re rt X CJ G hTT co Jrt CO 3 o a 05 rt rt ir! U G tr* S3 rt X O G oj rt U I Q Vi 3 rt cu y a rt CJ G v ■ rt rt I J; to J3 cu *i rt X y a rt y rt cu a rt " (O S3 05 ri rt CJ Q u I Q CO J05 rt rt X cj G re U fa: re a to rt rt X y a cu rt CJ CO 3 cu a I I Order i.— Accident or Negligence. i. Fractures, Contusions .. 2. Gunshot Wounds 3. Cut, Stab 4. Burn, Scald 5. Sunstroke 6. Poison 7. Drowning 8. Suffocation 9. Exposure 10. Otherwise 160 4 68 12 6 6 " • 4 - 22 IO 46 12 IO 2 1 I39 1 13 4 1 ■■ I 21 3 3 1 27 IO 7 1 1 5 •■ 5 1 1 3 •■ A ■A •1 ■ 3s ■• 5 2 1 • • • • 26 8 2 1 1 ■ • • • 4 2 •■ 123 22 12 •• 4 36 6 4 2 3S 8 3 - • 1 10 1 1 • - • ■ • • 11 1 1 1 - ■■ •■ - 9 1 3 2 • • - - r l 1 •■ 15 1 1 .. 15 •• 1 •• •• • • 1 •• 6 - 3 •1 24 7 - - •• - H ■A - • 2 - •• IH ... • " .. 1 H !■• •• " - •• • - - -I •• • - •• • •• h •• I I •• I -■•■ •■ - " •1 ■A ..! •■ 1 1.. • ••I ' ■ 1.. 1 H " 1 1 • .. .. -I - I •• 6 ••I I - I IH I I - .. - - ■• 11 h H -I •• 'I IH -1 • -I ' 6 -I 1 .. 9 7 38 1 1 A H - 9i 5 1 ..! •• - •• .. : • • • •• - 3 • 5 ■• 4 16 1 •■ - .. fa fa fa fa O r— 1 > Total Order 1 .. — — H — hH 48 H — H IIH - H H H i 262 17 33 ■• 69 3 66| 33 : 45 2 11 A 4 46 .. 1 A .. 162 4 49 Li 54 1 14 A 21 • 17 1 25 1 ■• — — —A fa- —. — — —A —A Order 2.— Homicide. 1. Murder, Manslaughter .. 2. Wounds in Battle •• •• I I •• I •• ■1 • • • ••I •• • •• •• I ••I •1 •• •• I- !- H .. h- - .. •• - ••I •• - • •■ - .. .. Total Order 2 .. — 1— 1 H H H H H H H - 1 H H H H H H -H I hh- .. .. .. .. • H ■■ •• .. .. •• • • •• .. • • ••! •• •• •• ■• •• 'I ■1 •• •• •• ■1 — — — — fa—4 — — — — faI— I — — — — H i— — h-!- — — Order 3.— Suicide. 1. Gunshot Wounds 2. Cut, Stab 3. Poison 4. Drowning .. .. 5. Hanging 6. Otherwise - 2 A •• - •• - - •• 2 •• H ■A ■• 1 ■• - h-l .. •1 •• •• •• •• - - •1 • " - • ■■ ■ "I •• 1 6 • I ■• •• • •■ ■• - 1 ■■ ■■ - • •• • •• ■■; • •• •• "• - - •• H • H ■A .. ... •• - - ■ - •• - - " H H - H •• - H •• - - • - - •• h - - .. H H H •• • H •■ - - • " ■• ■■ .. • • • h Total Order 3 .. — — H — H — H hH H H H H H — H H 2 1 H .. 2 ■A * .. •• .. ■■ • .. A .. .. 1 • • . h. •• •• •• •1 ■■ •• •• •■• ■• • • — 18 — H e? H — 46 H 48 - — H H - 17 - - 1 Total Class VII. 264 33 7 1 3 ! 2 33 • 45j 11 A A .. 6 •■ 169 A 49j 3 54 1 te 1 15 1 21 .. 2! 1 25 9 3s; 1 •• •• 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 — — H H H - H H H H h" H — H — - - H - H E a fa H re o • H - 14I 42 •• • H H - « H H 1 •• I 4 7 h h I ■•' -I 1 i 1.. i 8 15 !•■ •• •• •• ■■ ■■ h ..I 8 h 1 ..1 1 1 •• "I ..I 4| 3 • •■ I- ■ h ■■ • 2 ■• ••I 1 H •• 3 1.. h h ■A ■A ■A ■A ■A ■A 8 ..I 4 10 •■ !•• - 1 10 •• 2 6 1 • • • ■■ •• •■ •• 3 -! 2 9 2 36 59 4 1 I - 3 1 - A A 8 1 h ■■ I i •• •• 1 h -1 4 9 • 1 ..1 I ••! 1 •• • I.. •• 3 1 'I • •I 3 ■• I A h - •• h - Ih 3 ..I 5 4 •• 1 1 h - 2 8 " h •■ • Ih 2 - •I 3 •■ • • •1 2 hI •• l-l 1 h ■1 ..I 1 1 - h 3 •• - H H H H •■ • - -I ■■ •• •• ■ h h - - •• - ■■ •• ■• • • • ■•• h ■A - ■• h • ••! 2 •■ h h • h I 1 *s - h • ■■ - I .. 4 ••■ ' 2 2 •■ ■• 3 • ■• • •! ■A 3 •• h H •• • • • •• .. - •• • h .. ■ - .. • 1 .. •• .. ij • • Total Class VIIL — — — H - - H H — — H - H - 1— H hH H h—i 60 H 4 13! 2 5 | .. A ■■ to 2 ■ .. 25 1 18 1 3 •I 112 5 i5 A 14' 4 89 4 .. 12 1 to •■ • • 3 ! -1 5 — — H — H H — H — H h-l — - H — H h-l . H H General Totals .. 1398 122 IOO 281 348: 1521 5 228^ 2 4 681 MI3I 2 3 275 37 2 1626, l ir 7 ho 60 F93I 190 20 136 28 147 24 19 27 '3 :2 4 2 53 13 3 ■ rcw *Pau] iers.

H.—22

54

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 1897— continued.

Approximate Cost of Paper.— Preparation, not given; printing (1,700 copies), £46 10s. 6d.

By Authority : John Maokay, Government Printer, Wellington.—lB9B.

Price 2s.]

t sz rt £ ei o X ■n S3 o *L S3 ei o ei oi SZ U G o re G rt 're G G oj rt et u CJ I P rt rt O CO rt z rt X y I a -G u y e» Si s 3 o >- o •is J3 g c g 0 Tot ,!s. I CO CO rt Orders, Diseases, &c. 05 S3 05 rt et v CJ C co 23 % 3 05* 05 oj rt O Q rt il y a -rH CO CO J3 io 3 rt X u a CO CU rt u re G re CJ S3 re G co J3 cu 3 X y a I in S3 »5 i rt rt : i; O j G rt Cu SD 3 a CO co -S cu % rt i y i a OJ SO S3 it) rt U G co — lo rt rt X co' u= % rt rt X y a ■r. — S rt rt X y a re cj g: rt 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 15 7 1 12 •• 18 •• .. .. •■■ •• •■ •• • •• •• ■■ •• 115 5 34 5 •• • •• - - •• 7 •• •• 31 2 1 •1 - - h h 23 10 1 1 .. 9 3 2 ■• 91 3 13 11 ■• I 4 H 2 • 14 ■• 3 1 •• •• • 1 • to, 1 3 2 II - 3 •1 10 I I •• • • 13 •• 3 •• 2 .. 9 1 1 1 •• 16 .. 1 .. 4 •• 85 1 2 1 • 1 ■ • 11 3 8 . •• 1 ■ • 1,179; 31! 281 92 24 1 1 106 30 I I 16 - •• • 5 1 1 2 h 2 - •• • 3 .. I • • • •• 1 __ - ■•i • • I - H 1 "I ■ ..I .. ..1 .. I - - •■ 1 • • • .,... • •• "' .. .. •• 1 •• - 20 •• - 2 - •• - 2 • 7 •• I I • • .. 2 I2 • • • .. - A •• • • •• 1 .. •• 6 fa o 1—( I. l-H Total Order 1 .. UA — 8 H .. - 37; hH — 122 — 6 r— 20 18 .. 56 2 4 ! 12; .. 184 S^ •• 21 3 I14 13 13 21 .. 88 25 1 1.723 Order 2.— Homicide. 1. Murder, Manslaughter .. 2. Wounds in Battle r—hH — — — - •• •• • •■ ■• "I •• •• •I ■• •1 •• •• ••1 •• •I - • H •• H .. .. •• .. .,.. •• •• •• •• Total Order 2 .. H H — H — H h-H • • .. .'. •■ •■ •• .. •• — fa- — - ■—] — Order 3.— Suicide. 1. Gunshot Wounds 2. Cut, Stab 3. Poison 4. Drowning 5. Hanging 6. Otherwise h-h- .. ... I I •• H -! •■ - •• •• * 2 •• H H •• h h I __ •1 1 •• A ■A •• •• 4 1 •• •• A •■ - - •• ••I •1 •• 1 ■• •• 9j 15 2 1 H •• hh ■•• h ■A 1 ■A ■■ •••• I .. .. H - hh •• h ti ■A ■A ■■ •• .. en r-H W I en G H G O Total Order 3 .. Total Class VII. 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 ■• 2 4 s •• ■■ H •■ H • H •• 12: — •• •■I • 22; — 1 2 1 1 9j H — .. H — H — •■ — - H -I hh h" 3 187 3 51 2 8 36 3 h7 1 H h- •• — 8 — H H - H .. ■• H • ■A ■A •• 10 ■■ 37, • H • • - •• 10 - 38 # _ • H A H 1 •1 h- " - 14 •• 2 ■ H h - • •• H 6 — 128 .. I 5 1 ■■ H 1 •1 1 •" h— 20 1 hh - •• H ■■ H 1 • h •■ — 21 •• •• H • • • • 2 3 14 •■ •• ..I •• 13 •• H 1 A ■A ' is: ■• H !•• •■ 13 ■■ 1 .. "■• ';; .. 1 .. h-H 21 .. 2 .. .. .. •• A A .. 89; •• • •• A •1 - N •• 13 - ■■ iH I I " 26 — 1.749 18 136 7 142 329 7 61 .. .. 5 4 .. .. .. !• •• -I •• ■ H ■A ' 6 - 3 - •• 14 29 1 •■ - H 9i 4 I I • .. .. A 9! 2 1 A A 4 • 2 H • - ■A - - •• 4 •• • • • ■• 9! •• •• ■• hh H H H ■A • - - h •• • H - ■ h •• - h •• • •• 1 5 h. H •• - - •• ■A h - 1 h ■■ 13 2 - • • h • ••• 1 • h A .. hh H 3 •• ■• ■A - •■ - •■ •• • .- .. •• .. •■•• •• h .. •• 48 687 3 - — H 8 — H 16 H — H H H hH — I H —H — H hH Total Class VIIL 14 A 2 13 H I03 - .. - 28 .. 2 l h 64 3 5 .. 14 180 1 4 4 •• 21 ho 29 •• • •■I General Totals - H — — H 38 h- — hH — 48 h- — —H 388 187 H 73; 2 20 4| 28 22 2 1326 95 1 199 348 3° 37 1136 92 131 .4 11 49 107 I 6 99| 4 115 10 34 137 11,229 852