HOSPITALS AND CHARITABLE AID IN THE DOMINION: REPORT THEREON BY THE INSPECTOR-GENERAL OF HOSPITALS AND CHARITABLE INSTITUTIONS.

Appendix to the Journals of the House of Representatives, 1908 Session I, H-22

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1908. NEW- ZEALAND.

HOSPITALS AND CHARITABLE AID IN THE DOMINION: REPORT THEREON BY THE INSPECTOR-GENERAL OF HOSPITALS AND CHARITABLE INSTITUTIONS.

Presented to both Houses of the General Assembly by Command of His Excellency. My Lord, Wellington, 25th August, 1908. I have the honour to submit to Your Excellency the report on Hospitals and Charitable Aid in the Dominion for the year 1907-8, by the Inspector-General of Hospitals and Charitable Institutions. I have, &c, Geo. Fowlds, Minister in Charge of the Hospitals and Charitable Aid Department.

The Inspector-General of Hospitals and Charitable Institutions to the Hon. the Minister in Charge of Hospitals and Charitable Aid Department. Sir,— Wellington, 6th July, 1908. I have the honour to lay before you the following report on the hospitals and charitable aid in the Dominion, for the year ending 31st March, 1908. The total expenditure for the year was, — £ , Hospitals ... ... y ... ... ... ... 210,780 211 Charitable aid ... ... ... ... . . ... 104,416 13 1 Total ... ... ... ... ... 315,196 16 3 The total expenditure last year was, — Hospitals ... ... ... ... ... ... 185,94119 10 Charitable aid ... ... ... ... ... ... 102,866 2 10 288,808 2 8 The increase for the year is,— Hospitals "... ... ... ... ... ... 24,838 3 1 Charitable aid ... ... ... ... ... ... 1,550 10 6 Total increase ~. ~. ~, ~. . 26,388 1-3 7

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The cost of hospital expenditure per head of the population in the United Kingdom is 7Jd., and including special hospitals Is. Id. per head. In Australia the hospital expenditure is 3s. per head, and the charitable-aid expenditure is ss. 3d. per head, or a total of Bs. 3d. per head on the population of the Commonwealth. In New Zealand the expenditure on hospitals is 4s. 6|d. per head and on charitable aid 2s. 3W., or a total of 6s. lOd. per head of the Dominion. In considering these figures it must not be forgotten that £325,199 was also distributed last year in old-age pensions. The sums distributed by private charity organizations cannot be estimated. The expenditure on charitable aid, as given above, simply represents the amount expended during the year by the various Charitable Aid Boards and separate institutions: it does not include grants made by the State to private institutions. Table XIV shows the cost per head of hospital and charitable-aid expenditure in each district on the population of the Dominion, and Table XV the percentage on, the rateable value in each district. Hospitals. The total hospital receipts for the year amounted to £247,045, as against £210,876 for the previous year, or an increase of £36,169. The chief items of increase were as follows:-— 1907-8. 1906-7. Increase. £ £ £ From Government ... ... ... 88,956 68,726 20,230 From local bodies ... ... ... G4,957 56,985 8,002 Bequests ... ... ... ... 3,273 2,329 944 Payments by patients ... ... 30,491 26,577 3,914 Receipts from other sources ... ... 15,096 5,599 9,497 Unfortunately there was a decrease of £1,510 in the amount received as voluntary contributions —viz., £12,127 —as against £13,637 of the previous year. I feel sure that this falling-off is due to the fact that in many districts no special efforts have been made to raise contributions. If properly approached the public is very generous about its local institutions, and I certainly think that if a special Saturday and Sunday were set aside throughout the Dominion for hospital collections, emulation between the various districts would be aroused and a splendid response made. The chief items in the increase of £24,838 in hospital expenditure are, — 1907-8. 1906-7. Increase. £ £ £ Rations, provisions ... ... ... 39,411 37,098 2,313 , Surgerv, dispensary ... ... ... 15,431 15,145 286 Fuel, light ... ... ... ... 13,248 11,616 1,632 Bedding, clothing ... ... ... 4,908 4,266 642 Furniture, crockery ... ... ... 6,649 4,700 1,949 Washing, laundry ... ... ... 1,708 1,639 69 Salaries, wages ... ... ... 63,171 55,653 7,518 Water-supply ... ... ... 1,757 1,543 214 Repairs ... ... ... ... 5,236 4,876 360 Additions to buildings, new buildings ... 39,499 31,508 7,991 Printing, advertising ... ... 2,021 1,861 160 Other expenses, including interest and commission ... ... ... 15,020 13,234 1,786 The only items in which there was a decrease in expenditure were, — 1907-8. 1906-7. Decrease. £ £ £ Wines, ales, <fcc. ... ... ... 1,084 1,174 90 Funerals ... ... ... ... 509 609 100 As regards this substantial increase it must be remembered that 1,639 more patients were treated in hospitals than in the year previous, and the total collective days' staj' was 553,119, against 549,371 ; the individual average days' stay in hospital, however, being 33"57 days, as against 34'71 in the previous year. The total expenditure on new buildings was £39,498 12s. 2d., the largest amounts being spent on the following hospitals, viz. : — „ Waikato ... ... ... ... ... ... ... 7,631 Masterton ... ... ... ... ... ... ... 5,448 Wellington ... ... ... ... ... ... ... 4,569 Palmerston ... ... ... ... ... ... ... 3,311 Nor is it probable that there will be any decrease in this expenditure for some time to come. The expenses of several recent additions to hospitals are not included in this year's accounts, and during the coming year considerable extensions are contemplated at no less than ten hospitals. An examination into the large increase in salaries —£63,171, as against £55,652 in 1906-7— shows that the salaries were increased at forty-four and reduced at five hospitals. At four institutions the salaries remained as they were last year. The chief cause of this increase is undoubtedly due to an extra demand and a difficulty in obtaining registered nurses. In many instances also the salaries of Medical Superintendents have been raised, and extra appointments have been made.

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Under the present circumstances a reduction in this expenditure cannot be looked for. Considering the larger number of patients treated in hospitals during the year the increase in expenditure on rations is only what might be expected, but if the hospitals of similar sizes are compared in Table 111, it will be seen that there is a vast difference in expenditure under this heading—a difference that requires considerable explanation. A similar comparison will show the difference under the expenditure on fuel and light. Many Superintendents are aware that there is a great waste in this, and find it very difficult to check, especially the waste in gas. Very few nurses know the cost per 1,000 ft. of the local gas-supply, nor do they know the cost of many articles which are in daily use, such as absorbent wool, gauze, antiseptics, &c, and in view of the fact that nurses when they become matrons are responsible for those articles, and in many instances have to order them, it would perhaps be as well to include a question on hospital economics in the final State examination. It might be mentioned here that it has been considered advisable to somewhat alter the original form of this report, and classify the hospitals according to the number of patients accommodated during the year, instead of placing them as heretofore in alphabetical order; consequently it is hoped that readers will be .the better able to compare the cost, &c, of those hospitals in which they are interested with institutions of similar size. Some of the tables appended to the report have also been extended, and some new tables of interesting statistics have been added. Table I shows particulars relating to the fifty-three hospitals in the Dominion. There are sixty-eight paid surgeons in the public-hospital service, and 593 nurses; of the latter, 188 are certificated. Therefore there is one trained nurse to every 2"1 untrained, or, in other words, 31 per cent, are trained nurses. The proportion, however, does not apply to all our larger hospitals, viz. : — Trained. Untrained. Proportion of Trained to Untrained. AVellington ... 18 68 Ito 3-7—20 per cent, trained. Auckland ... 33 46 1 to 1-4—46 Christchurch ... 9 34 1 to 3'7—20 Dunedin ... 13 50 1 to 3'8—20 Total ... 73 198 1 to 2"7 This proportion should not go below one trained to every three untrained. It is only reasonable to expect that with a large proportion of trained to untrained nurses the efficiency of the hospital should be increased, or at any rate maintained. But, as a matter of fact, in every hospital the proportion of trained to untrained nurses should largely depend upon the number of the latter. If there happens to be a large number of probationers in their first year of training there should naturally be a larger proportion of trained nurses to supervise their work, and, conversely, with a large proportion of probationers in their third year, so large a proportion of trained nurses would not be required. The proportion also depends upon the hospital buildings: with a number of small, scattered wards extra trained nurses are required, as wards, however small, cannot be left in charge of the untrained. Hospital authorities in the United Kingdom (where it must be remembered the eight-hours system is not wholly in force) state that the proportion of trained to untrained nurses should be as , follows :— Per Cent . Superintendents, Matrons, sisters, and fully trained nurses ... ... 25 Third-year probationers ... ... ... ... ... ... 25 Second-year probationers ... ... ... ... ... ... 25 First-year probationers ... ... ... ... ... ... 25 Considering therefore the eight-hours system, it would appear that as a whole the proportion of trained to untrained nurses in the hospitals of the Dominion is not an excessive one. It would be as well for hospital authorities in this country to keep this proportion in mind, so as to avoid as far as possible an undue proportion of probationers in their first year, during which period they hardly give a value equivalent to what they actually cost. As regards the large proportion of trained nurses in the Auckland Hospital, it must be remembered that a very great number of typhoid cases were admitted during the year, and of all diseases typhoid requires the most careful nursing. Statistics show that there is one nurse for every 3'9 beds in the Dominion, but, as the beds of some of our hospitals are never fully occupied, deductions drawn from these data would be misleading. A better idea can be gained by considering the proportion of nurses to the daily average of occupied beds, which for the Dominion amounts to one nurse for every 2'3 beds occupied. In our four large hospitals the average is a little below this. # Average NumberTof D ot y uple V d er B g ed;° f »—•»". e T^lT».y or Night Staff. Wellington ... ... 176 86 2 Auckland ... ... 194 79 2-4 Christchurch ... ... 11l 43 2'5 Dunedin ... 120 63 1-9

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Compare this proportion with four London hospitals of similar size : — Average Number of *»»*"■ D o^piS e d S ° f Cursing «* eaSlert Bay or Night Staff. King's College Hospital ... 185 81 2'2 .. University College Hospital 166 75 2"2 Charing Cross Hospital ... 150 73 2"03 Royal Free Hospital ... 124 51 2'4 The proportion of nurses to patients in the United Kingdom, naturally varies in different hospitals. It is generally conceded, however, that there should be one nurse for every three patients. The highest is in the London Hospital, where the proportion is one nurse to every I'7 patients; at St. Bartholomew's there is one nurse to every 2'2 patients. The total number of beds available in our hospitals is 2,347, of which 1,395 are for males and 873 for females (the remainder being isolation beds available for either sex or children's cots). This, roughly, is at the rate of one bed for every 394 of the mean population at the 31st March, 1908, or about 2| beds per 1,000 of the population; but this proportion varies in the various provincial districts considerably as the following table will show : — Provincial Population in Bound Number of Number of Beds per 1000 , • , Numbers according t, j „, u D iiDistrict. to 1906 Census. Beds - of the Population. Auckland ... 211,000 518 2'45, or, roughlv, 2| Taranaki ... 43,000 125 2'90, ~ ~ 3" Hawke's Bay ... 42,000 132 3'14, „ ~ 3 Wellington ... 180,000 503 2'79, „ ~ 24 Marlborough ... 14,000 75 5-35, ~ ~ 5| Nelson ... 43,000 203 4-72, ~ ~ 4# Westland ... 15,000 97 .6-46, ~ „. 6| Canterbury ... . 159,000 268 T6B, „ ~ if Otago ... ... 128,000 294 2-29, „ „ 2J Southland ... 53,000 152 2"49, ~ ~ 2| There were 19,160 patients under treatment in the hospitals during the year, an increase of 1,639 over the previous year, or about 2 per cent, of the population. The daily average number of patients was 1,403. As usual, the proportion of male to female admissions was two to one. There were 1,521 deaths, the average death-rate of the fifty-three hospitals being 7'9 per cent. I had hoped by means of a card system to show the various diseases from, which such patients suffered, and the number of operations performed, with the attendant mortality. Unfortunately, however, lam unable to give the details for the-whole year. It will be a matter of surprise to those interested to hear that these details, so essential towards furnishing an estimate of the work done in our hospitals, have not been regarded as of importance by some Boards who have been asked to supply them. Indeed, some opposition has been shown towards giving the desired information, That much of this has emanated from hospital secretaries I have no doubt—it must increase their work and many are but poorly paid, but nevertheless a report such as this is incomplete without such a summary. When once the card system is established it will entail little work, and I take this opportunity of thanking the majority of secretaries, medical men, and Matrons, who have cheerfully given the information required. The average days' stay in hospital was 33'57, as against 3'4'71 of the previous year. This should go. to show that not so many chronic cases were retained in hospital. A glance at this column of Table I will show where the chronic cases predominate. In my last year's report I commented strongly on the fact that so many chronic cases were beingtreated in our hospitals, and deplored the absence of institutions for the reception and treatment of chronic and incurable cases which occupy our hospital beds to the exclusion of the acutely ill. . The worst offenders in this respect are our larger hospitals and those of the West Coast; but now that an excellent chronic-ward has been provided at the Costley Home, Auckland, and theAshburton and North Canterbury Charitable Aid Board are about to build incurable-wards in connection with their institutions at Linwood and Ashburton, it is to be hoped that Auckland and Christchurch respectively will be able to free their hospitals of chronics and incurables. Through the generosit}' of the Wellington people, that hospital has an excellent ward for such unfortunates. It is to be hoped that the Caversham Benevolent Trustees will continue to relieve the Dunedin Hospital in the same direction: the former institution has four suitable wards, capable of accommodating sixty patients. Oamaru and Invercargill have excellent wards attached to their Old Men's Homes. Consequently, with the exception of the West Coast, there is no real need for an Additional chronic-ward in the South Island. In the North Island, beside the Costley Home, Auckland, and the Victoria Ward, Wellington, Napier is about to be provided with a chronic-ward, which is urgently needed. Though there is much to be said in favour of treating chronic and incurable cases in a special ward in the hospital grounds, I am personally against such a scheme, and much prefer such wards being established in connection with Old Men's Homes, .where there are many inmates, slightly paralysed, who badly need the ministrations of a female nurse, rather than, the rough but well-meant assistance of their co-inmates. "No charitable institution should be without a trained female nurse. Moreover, if the chronic cases be treated in wards connected with a charitable institution it would prevent a great deal of hospital abuse. Many people have no scruples in allowing their relatives to remain in the hospital from year's end to year's end without paying the hospital fees,

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but the same people would make a strenuous effort to keep them from the charitable institutions. Many of these patients could be treated at their own homes, with the occasional assistance of a district nurse. The average daily cost per patient was 7s. Ofd.; with the maintenance fees recovered from patients included it was ss. 7Jd., or exactly the same as it was last year. The average daily cost per patient in our four large hospitals was, — Hospital. - *f * ***&« A-age P Occupied Beds.? Cost. Patients'Fees s. d. s. d. Wellington ... ... 176 311 3 0 Auckland 194 4 10 3 9| Christchurch ... 11l 5 7 J 4 9| Dunedin ... ~.. 120 5 5 4 4§ Or a total of 8,726 patients treated at an average daily cost of 4s. lid. As compared with English hospitals of a similar size, viz. : — Daily Average of Daily Average Hospital. Occupied Beds. Cost. s. d. Leicester ... ... ... ... 172 45 King's College Hospital ... ... 185 5 10£ Leeds General Infirmary ... ... 11l 3 11J Royal Free Hospital ... ... ... 124 4 4| Norfolk Hospital .:. ... ... 169 36 Daily average cost equals 4s. 4d. Considering the larger salaries given our staff and the extra cost of many hospital necessaries, this comparison is somewhat in our favour. The average percentage of administration on expenditure (other than capital expenditure) for the general hospitals in the Dominion is 41'78, being an average of 40'25 for the twenty-six hospitals administered by District Boards and 43'31 for the twenty-seven separate institutions. Charitable Aid. The increase of £1,550 10s. 6d. in charitable-aid expenditure is more apparent than real, as all the returns last year were not sent in by the time the annual report was presented. Table VI shows the receipts and expenditure. As regards the receipts it will be seen that the Government contributed £48,862, as against £39,009 last year, but the amounts from local rates were almost the same as the year previous, viz. : — £ 1907-8 ... ... ... ... ... ... ... 39,220 1906-7 ... ... ... ... ... ... 39,009 Increase ... ... ... ... ... .. 211 Voluntary contributions were £3,972, as against £3,917 of 1906-7. There is, however, a falling-off of £2,553 in the payments of persons relieved. As regards expenditure, the returns this year make it a little difficult to compare with the previous year, as it was considered better to show the administrative expenses separately instead of including them as heretofore with the expenditure on indoor and outdoor relief, viz. : — Indoor Outdoor Administrative Other ,p , Relief. Relief. Expenses. Expenses. £ £ £ £ £ 1906-7 ... 64,560 38,305 No return No return 102,866 1907-8 ... 41,587 33,998 13,273 15,558 104,416 Unfortunately, therefore, there is no reduction in expenditure this year on indoor or outdoor relief. In apportioning the details which make up the amounts under the heading of " Administrative and Other Expenses," it is found that the slight increase in charitable relief is equal as regards indoor and outdoor relief. Details of the number of inmates at the Old People's Homes, with the average cost per head, number of staff, &c, are given in Table VIII. Of the £15,558 shown as "Other Expenses," some £9,300 was spent in land or new buildings. Table VII shows the children's portion of the expenditure set forth in Table VI. It will be seen that 1,137 children were either received into industrial schools or boarded out, at a total cost of £18,394, or 6s. 9d. per head per week, as against £16,133 expended in 1906-7. The percentage of cost of administration of charitable aid on the expenditure in the Dominion for the year was 12'70. The percentage varies considerably in the various districts; but in some cases the higher percentage is owing to the fact that in those districts are benevolent institutions for indoor relief, the salaries of the staffs of which.swell the cost of administration. In estimating the cost of administration of both hospitals and charitable institutions the usual practice has been followed of including under this heading salaries and wages. I intend in future, however, to show as administration the salary only of the secretary, office expenses, and general expenses of the Boards. Other salaries and wages will be shown under the heading of maintenance and treatment. •

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At the recent Hospital Conference I referred to the lavish manner in which charitable aid is dispensed by some Boards or local bodies. There is no need to reiterate that here, but during the coming year I hope to be able to devote a considerable portion of my time to further inquiries into this branch of my work, and I may yet be able to convince the people of the Dominion that an indiscriminate doling-out of charitable aid must in the long run have a bad effect on the country at large. It is the duty of those responsible to call attention to this, and to try and convince the controlling authorities that no recipient of charitable aid should be better placed as regards the necessaries and comforts of life than the struggling working-man, who manages with difficulty to maintain himself and those dependent upon him, though he has to contribute directly or indirectly to the support of his less self-reliant neighbour. Authorities on the subject agree that the only way to prevent abuse in the administration of outdoor relief is to throw the whole cost on the local rates, and with that end in view the Government subsidy for outdoor relief should be withdrawn. If this were done, it might be advisable for the State to take over the children now receivingaid from the Boards. It is only right and fair to give children the best start in life possible; they are recipients of charity through no fault of their own, and why should they start life handicapped by contact with pauperism that is known to be infectious The sooner they are withdrawn from a bad environment the better citizens are they likely to become. The children's portion of the expenditure on charitable aid for the past year was £18,394, and the cost of outdoor relief was £38,998, so that if the State took over the care of the children from the Charitable Aid Boards the stoppage of the Government subsidy of £19,499 on the £38,998 spent in outdoor relief would mean a loss of subsidy to the Charitable Aid Boards of only 5 or 6 per cent.; but in return for this the responsibility of the children would be taken over by a Department whose special function is the rearing and educating of children amidst the best environments, and the strongest lever would have been used in the direction of persuading Charitable Aid Boards to exercise a close supervision over the distribution of outdoor relief, by making them spend their own money instead of that of other people —a state of affairs that has the most surprising influence upon the aspect in which most people view charitable aid. I would point out that this loss of revenue to the Charitable Aid Boards by the loss of subsidy on outdoor relief of 5 or 6 per cent, should, by an economical administration on the part of the Boards themselves, be more than recovered—in fact, it may safely be said that the Boards themselves, as well as the Dominion as a whole, would be the gainers by the scheme. I am endeavouring to establish a uniform system of accounts for our hospitals and charitable institutions, as suggested by Sir Henry Burdett; because in compiling returns furnished by the different secretaries it is found that a great deal of the information is of a contradictory nature. Many secretaries are most painstaking in furnishing their returns; others, again, after considerable delay, give their information in such a careless and perfunctionary manner that their figures could scarcely be designated " roughly approximate." Such carelessness not only delays the compilation of the annual report and entails considerable work in this office, but also to a great extent nullifies the value of the compilation towards which other secretaries have devoted their earnest attention. Owing to the lack of uniformity in the returns supplied, I have been obliged for the present to defer the publication of a bulletin dealing with charitable relief. However, I hope to see become law the recommendation so strongly supported by the recent Conference, providing for one Board of Control alone in each district; and then probably, with the better standing and increased responsibility on the part of the secretaries, combined with detailed explanations on the part of the Department regarding the information to be supplied, I may yet have the pleasure of seeing correct and creditable returns furnished from each district. My opinions on the present system of administering our hospitals and charitable aid, and as to the direction in which reform is needed, are given fully in my speech to the delegates from the recent Conference of Hospital and Charitable Aid Boards and separate institutions, which is published in Parliamentary Paper H.-22a, 1908, page 15. St. Helens Hospitals, &c. Attached is a report by Miss Maclean, Assistant Inspector of the St. Helens Hospitals under the Midwives, Nurses Regulations, and Private Hospitals Acts. There were 662 patients admitted te the four St. Helens Hospitals during the year, and 667 infants born therein. There were four maternal deaths and four deaths of infants during the year. This is a satisfactory record, especially when it is remembered that cases have sometimes been sent to the St. Helens Hospitals when complications have set in and special treatment has been considered necessary. In addition to these indoor cases, 160 outdoor cases were attended by nurses from the St. Helens Hospitals. Of the 160 infants born, six died. There were no maternal deaths. It will be noticed that of the infants born in the St. Helens Hospital, Wellington, during the year no less than 97J per cent, were nursed by their mothers. This should go to show that the cry so often raised as to the inability of the modern mother to nurse her child is—at any rate as far as New Zealand is concerned—greatly exaggerated. The total cost of maintenance of the four St. Helens Hospitals was £3,667, of which £2850 was recouped in the shape of patients' payments and probationers' fees. The total cost to the Dominion of the four St. Helens institutions, exclusive of capital expenditure and expenses of Departmental administration, was therefore £817, or £1 a head for each child born. Initial expenses are always heavier than recurring expenses, and now that the patients are more numerous and the four Hospitals are in full "swing it is hoped that they will become practically selfsupporting. It must also be remembered that the St. Helens Hospitals act as training-schools for midwives, about thirty-five of whom complete their training annually.

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I would particularly draw the attention of those interested to Miss Maclean's remarks as to the training of midwives in the Dominion. It would indeed be a fatal mistake to initiate any alteration that might tend to lower the standard of the State examination, and to " let loose " on the public Inexperienced women with the brand of a State certificate. Far better than this would be to repeal the Midwives Act of 1904. Before this Act became law, the public at any rate knew what they were doing when they employed unqualified midwives. Midwifery cannot be taught by lectures, but only by actual attendance on cases. The Department is endeavouring to obtain for trainees the fullest experience in this direction that can be obtained under existing conditions, and no serious difficulty in meeting the requirements of this country is anticipated. In conclusion, I take this opportunity to express my thanks to Miss Maclean, Assistant Inspector, for much loyal help, and to Mr. Killick, chief clerk, who joined the Department in October last, for many valuable suggestions concerning the clerical work. T. H. A. Valintine, Inspector-General of Hospitals.

REPORT ON NURSES REGISTRATION, MIDWIVES, AND PRIVATE HOSPITALS ACTS.

Sir,— Wellington, 27th April, 1908. I have the honour to report concerning the administration of " The Nurses Registration Act, 1901," " The Midwives Act, 1904," and " The Private Hospitals Act, 1906." The Nurses Registration Act. Since the last report two examinations have been held under the Nurses Registration Act- — in June and December. One hundred and thirteen candidates came up for the preliminary examination in anatomy and physiology, and of these eighty-two passed. For the final examinations in general nursing there were seventy-six candidates, and sixty-three passed, and their names were placed on the register. It having been considered advisable by the Registrar of Nurses that a Board of Examiners should be appointed to act, when called upon, for a certain number of years, Drs. Young, Hogg, Bennett, and Shand, Wellington; Drs. Acland, Talbot, Irving, and Anderson, Christchurch; Drs. Williams, Blomfield, Riley, and Newlands, Dunedin ; Drs. Aubin, Purchas, McDowell, and Marsack, Auckland; Drs. Simpson, Scott, and Morice, West Coast; and Nurses Palmer, Holgate, Turner, Maude, Thomson, Tombe, Greene, Morrison, Thurston, and Gosling consented to undertake these duties. Their office being a continuous and settled one, it is hoped that they will study the question of nurse-training and examination, and that their advice and co-operation with the Department in these matters will be of great value. In order to obtain as uniform a standard of examination in practical work as possible, the centres for examinations were made five, being the four chief towns and the West Coast. It has been by some considered a hardship for the nurses to leave their own hospitals for examination, but when it is considered that the fee of £1 covers examination and registration, and includes certificate and badge, for which in many places an extra charge is made, and that the nurses have no further expense in keeping their names on the register, the advantage which is gained by passing a central and more university-like examination more than counterbalances the inconvenience of attending at a centre. -The fact of having to compete with nurses from other training-schools is a great incentive to both trainers and teachers to work up to as high a standard as possible. The probationers in country hospitals are paid at a higher rate than those in the larger towns, and should therefore be able to save during their three years the few pounds necessary to expend in attending the examination which admits them to a profession in which they can at once obtain employment at good fees. The receipts of fees for examination amounted to £91 10s. ; the expenses, in examiners' and supervisors' fees, to £102 17s. It is proposed, during the present y'ear, to make an alteration in the State examination for registration, by giving up the preliminary examination in anatomy and physiology which has been held at the end of the second year, and accepting the certificate of the training-school in these subjects, thus leaving for the final examination the more important and practical part of medical and surgical nursing, to which more time will now be devoted. The question of training probationers in private hospitals has been frequently brought up during the past year. It is felt that certain private hospitals of a recognised standing, with satisfactory equipment, and under the management of a fully certificated matron, should be able to give a better training than many of the smaller public hospitals. This is true to a certain extent, and in view of the great difficulty in this country of obtaining a sufficient number of trained nurses to carry on the work which awaits them, it is undesirable that any suitable means of bettering this state of affairs should be lost. At the same time, if it is wished that the nurses trained in the Dominion should be recognised throughout the world, the standard must not be lowered, but rather improved. At the present time the fact of hospitals of under forty, and even under twenty beds, being allowed to send up their trainees for State registration in the same period as the large hospitals has made the training of New Zealand nurses so unequal that the fact of holding a certifi-

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cate from the State is not sufficient to secure their recognition in other countries, and only those nurses from the hospitals of over forty beds are so recognised. In a longer term of years—say, four for under forty beds, five for under twenty beds—a nurse might obtain a knowledge and experience more equal to those trained in the large hospitals. Regarding the private hospitals the chief difficulty would be that these are mainly for surgical cases, and that many of them never admit a typhoid-fever case, which is the one above all others in which a nurse's skill and knowledge of symptoms are required. It will be necessary, therefore, if arrangements are made for the training of nurses in private hospitals, that they should obtain experience in the nursing of such cases before being eligible for registration as trained nurses, and it will be absolutely necessary that all nurses training in either private hospitals or in small public hospitals should be given a course of lectures and practical instruction as nearly as possible equivalent to that received in the larger hospitals. Maori Nurses. There are at present three Maori pupils training in the various hospitals as day-pupils with a view of being then drafted on to the staff of the other hospitals to complete their training. Among those who are going through the regular training two have passed the preliminary State examination, and are eligible for the final examination in June. This Department is now co-operating with the Education Department in the scheme for the training of the Maori nurses, and is now taking the responsibility of finding vacancies in a certain number of hospitals which have agreed to accept Maori nurses, and during the last few months, since this arrangement has been come to, three pupils have been placed, one in Wanganui Hospital, one in Hamilton, and one in Mangonui. Wellington and Napier Hospitals have already one pupil each in training. The Auckland Hospital has a day-pupil at present, but finds a difficulty, owing to lack of nurses' accommodation, in taking a resident trainee. The Maori nurses placed in the small hospitals complain that the instruction given them is nil, and that their time is occupied entirely with domestic duties; therefore it will be endeavoured to find places for them in other hospitals where there is a reasonable prospect of giving them some useful training. Mental Nurses. It is proposed in future to give mental trained nurses who have undergone a course of lectures and passed the Medico-psychological Examination, instituted by the Inspector-General of Mental Hospitals, a course of training in general work to fit them for positions of charge in the mental hospitals. It will be of great value to the asylums to have nurses qualified in both mental and general nursing. The large and medium-sized hospitals were circularised and asked to assist in this project by taking nurses from the mental hospitals specially recommended by the InspectorGeneral, for a course of two 3'ears' medical and surgical work. That,, added to three years in mental work, should give them a sufficient training to cope with cases of illness occurring in the asylum, and qualify them for positions of charge. Several of the hospitals have acceded to this request, and one mental trained nurse has commenced her course of two years' training. It would be a better arrangement, if possible, to give the mental course as a post-graduate one, and it is hoped to induce general trained nurses to enter the mental hospitals for a year's experience in the care of the insane. Midwives Registration Act. Maternity Hospitals and Homes. During the past year two examinations of nurses trained under " The Midwives Act, 1904," in the State maternity hospitals—the Medical School Maternity Hospital, Dunedin; the Alexandra Home, Wellington; and the Linwood Refuge, Christchurch (the two latter in conjunction with the course of lectures at the St. Helens Hospitals) — have been held, and twenty-nine candidates entered for examination, twenty-five of whom passed, and are now on the register as trained midwives. There was also an examination of a very elementary character for those women practising as midwives, but without training, who had hitherto neglected to register. Sixty-four entered, and fifty-six passed, and are now on the register, in the list of untrained women. This should have been the last examination of the kind, ample opportunity now having been given for registration of all women who had been practising>he required length of time: but a petition on behalf of one woman who had failed to satisfy the examiner was brought before Parliament, and it was arranged that those who had failed at the June examination should be given another chance. This was done, with the result that the candidates were passed, and are now registered. The receipts from fees from the St. Helens pupils for training and examination amounted to £564 15s. 6d. ; fees from outside pupils, £9 7s. : total, £574 2s. 6d. Expenses of the examination, £22 lis. 6d. The receipts of fees from the untrained midwives for examination and registration amounted to £58 18s. Expenses of examination, £35 17s. 6d. A Board of Examiners under "The Midwives Act, 1904," was appointed for three years: Drs. Ewart, Rawson, and Elizabeth Gunn, Wellington; Drs. Church and Fitchett, Dunedin ; Drs. Gibson and Westenra, Christchurch; Drs. Bull, Roberton, and Lindsay, Auckland. On the 31st March, 1908, there were on the Midwives Register 1,004 midwives. Of these 149 are trained and certificated, forty-three from the State maternity training-schools and institutions recognised as maternity schools in conjunction with lectures at the St. Helens Hospitals. During the last two years fifty-six trained and certificated midwives from England and the Australian States have also been registered in New Zealand.

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With the growth of the State Maternity Hospitals and the Medical School Maternity Home in Dunedin, which, with the Christchurch St. Helens Hospital, has been in existence for less than a year, and has therefore not had time to train more than one pupil for examination, a large number of midwifery nurses should be added to the register each year, the present average, with the number of pupils that can now be trained during twelve months in each place, being thirty-five. This, with the addition of nurses coming into the Dominion from elsewhere, should gradually and in an effectual manner meet the demand for properly trained women. A very important feature of the training of the midwives at the State maternity hospitals is the stress laid on the necessity of every possible means being used to induce mothers to nurse their infants. That efforts conscientiously and carefully made are attended with success is indicated by the fact that the number of mothers unable to nurse among the patients confined at St. Helens, Wellington, or attended by the nurses, in one year, is only 2J per cent., and in each case these women were incapacitated from performing their natural functions by disease. There have been instances in all these hospitals where patients confined of their fifth and sixth child, and previously unflble to nurse, have by the proper treatment been enabled to do so. This strongly emphasizes the fact that practical and theoretical teaching must be combined, and that practical training must be carried out under the close and constant supervision of a well-trained matron, rather than under a doctor, however efficient, whose time and for superintending is necessarily limited." It has been suggested that untrained registered midwives should be allowed to attend the course of lectures at the State maternity schools, in order to gain more knowledge of their work. This course was tried when the schools were first established, but, although a few women availed themselves of the opportunity, it was found not desirable to go on with it. The course of lectures being delivered in conjunction with study and practical work, under the supervision of doctor and matron in the hospitals, was not adapted either to the requirements or the understanding of the, for the greater part, uneducated women who were otherwise eligible. Moreover, as the nature of the work in the hospitals, and also the outside calls of the medical attendant, rendered it impossible to adhere always to times arranged for lectures, it would be extremely difficult to arrange for outsiders to attend. I may add, however, that the few applications that have been made by registered midwives to attend have not been refused. A more practicable and at the same time more valuable means of instruction for these midwives would be by a system of individual inspection and supervision, and lectures delivered at suitable tiroes and places to these women alone. In this connection may be quoted an extract from a letter addressed by the Central Midwives Board, London, to the Privy Council, concerning the training of midwives : — "It must be remembered that nothing but the course of training, with the attendance on twenty labours and puerperia, stands between what may be absolute ignorance and responsibility of the gravest and most vital character. Only those who have had on the one hand to deal with the raw material, and on the other hand with the same material after training, and in face of one of the grave complications of childbirth, can fully appreciate the extreme importance of making such, training, though strictly limited in scope, as thorough and practical as it can possibly ; be made. To place upon the roll women whose training had in any way been scamped would be to produce a state of things far worse than that which the Act was framed to abolish; for, whereas before the passing of the Act the name of ' midwife ' carried no official weight, since the passing of the Act the name ' certificated midwife ' carries with it the authority of Parliament, and implies that its holder has either been adequately trained, or (in the case of a bona fide midwife) has'at least avoided conviction for malpraxis and removal from the roll." Sf. Helens Hospital, Wellington. From the Ist April, 1907, to the 31st March, 1908, there were 132 patients admitted, and 135 births took place. There was one maternal death. Fifty patients were attended at their homes: there were 50 births and 2 deaths of infants. Receipts from patients' and pupils' fees, £548 lis. Bd. ; expenditure for maintenance, £825 Bs.; expenses, less fees, £276 16s. lljd. The work at this hospital has been carried out under very great difficulty throughout the year. An outbreak of scarlet fever occurred in July, and another in September, at the' time when the epidemic was raging in Wellington. The house was altogether in an insanitary condition, and it was realised that the attempt to disinJect it sufficiently for further use as a maternity hospital was useless. Therefore, at the commencement of the second outbreak, a house was taken to receive the incoming patients. A new house of twelve rooms was secured, and- has been in use ever since. In some ways, especially as regards the site, which is beautifully sunny and bright, this house is better suited for the purpose than the old one, but it' is too small (there is room for only ten patients), the nursing accommodation is most inadequate, there are no means of isolation for any case requiring it, and there are many other disadvantages. The new and up-to-date hospital building, for which the plans have been ready and the money voted for nearly two years, is most urgently needed, and is only being delayed by the difficulty of getting a suitable site. There have been several changes on the staff. Dr. Perkins, who was in charge for nearly three years, retired in February, and Dr. Agnes Bennett was appointed in his place. Miss Wyatt, Matron since the inception of the Hospital, resigned her position in October, 1907, and Miss Eleanor Brown, then acting as Sub-matron, was appointed to the matronship. Miss Edwards, Sub-matron up till April, 1907, was appointed Matron of the Napier Hospital at that time. There are six pupil-nurses in training at present, and thirteen have been turned out from this Hospital.

2—H. 22.

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St. Helens Hospital, Christchurch. From the 15th April, 1907, to the 3ist March, 1908, 150 patients were admitted, and-there were 148 births. Thirty-six patients were attended in their homes: there were 36 births, 2 deaths of infants. There were no maternal deaths either inside or out. Receipts from patients' and pupils' fees, £674 4s. lid.; expenditure for maintenance, £778 10s. 3d.; expenses, less fees, £104.55. 4d. This Hospital has been almost a year in working-order, having been opened by the Hon. Mr. Fowlds on the 15th April. It has proved to be equally as much needed as the three earlier hospitals. The beds have been constantly kept full, and a fair amount of outdoor work has been done. Owing to the more adaptable building and to the additions made to it in the shape of .operat-ing-rooms, bathrooms, and other offices, this Hospital is much more up to date and easier to work than any of the others. Here, also, is apparent the necessity for more room, every bed being frequently occupied; but it will be comparatively easy to remedy this, as a large room downstairs, now occupied as cubicles for nurses, can be converted into a ward, and proper quarters built for the nurses. There is no isolation ward, but a cottage in the garden occupied by the maid-servants could be used if occasion arose. The laundry at this hospital is convenient. It is a new building. The, grounds were nicely laid out and planted, and a large number of vegetables are grown, almost supplying the needs of the institution, and at very small expense—a man attending only once or twice a week. • i The staff appointed before the opening of the Hospital is still carrying on the work, and giving entire satisfaction—Dr. Alice Moorhouse as Ph3 r sician, Miss Inglis as Matron, and Miss Mackenzie as Sub-matron. The last-named, however, has resigned her post, and Miss Marion Hales has been appointed in her place. The work was commenced with four pupil-nurses, but there are now eight in residence. St. Helens Hospital, Dunedin. From the Ist April, 1907, to the 31st March, 1908, 201 patients were admitted, and there were 204 births, 1 maternal death, and 2 infant deaths. Twenty-three patients were attended in their homes : there were 23 births and 2 infant deaths. Receipts from patients' and pupils' fees, £850 16s. 6d. ; expenditure for maintenance, £1,100 12s. 7Jd. ; expenses, less fees, £250 16s. ljd. The property rented by the Government and used for the State Maternity Hospital in Dunedin was purchased in December for £2,250. The house, needs extensive alterations and additions to render it at all suitable for the work. -Some of these are to be undertaken at once, and will make a great improvement, but will not add to the accommodation, which, if the work is to proceed as it should, must shortly, be increased. The nurses' quarters are very cramped and unsuitable. There is room in the grounds for a nurses' cottage to be built, or rooms could be added to the house. It will also be en,sy to add more wards for the patients, so it is hoped that in the near future these necessary additions will be undertaken. An isolation ward is most urgently needed, as exemplified in Wellington and Auckland. The first and only death occurred in this Hospital in December, from nephritis. There have been no changes in the staff, Dr. Siedeburg, Miss Holford, and Miss Gow continuing to do excellent work in their respective offices. Eight pupil-nurses are in residence, and eleven have already been trained. Many patients have returned for a second confinement here. St. Helens Hospital, Auckland. From the Ist April, 1907, to the 31st March, 1908, 179 patients were admitted, and there were 180 births and 2 maternal deaths. Fifty-one patients were attended in their homes: there were 51 births, no deaths. Receipts from patients' and pupils' fees, £776 125.; expenditure for maintenance, £96.2 4s. 2d.;. expenses, less fees, £185 12s. 2d. During this second year of work St. Helens, Auckland, has proved a great source of help to the class of people for whom it was established. Mothers who have once been confined there have applied for admission a second time, sctiA one mother, whose circumstances had improved so much that she was no longer eligible for admission, wrote regretting the fact, and engaged, " as next best," one of the nurses trained during her time of treatment in the Hospital. Every available bed has frequently been in use in this Hospital, and it will be necessary, as soon as possible, to increase the accommodation for both patients and nurses. The means for carrying out asepsis are most primitive, and should be put on a more up-to-date basis. This can be done without very great expenditure, and it is hoped to put it in hand this year ; but nothing can alter the fact that an ordinary dwellinghouse, with its narrow passages and many inconveniences, cannot be made into a really suitable hospital. The isolation cottage which was erected at the end of 1906 was urgently needed during the last month, when an outbreak of septicaemia occurred in the Hospital. No cause could be assigned for this, but the disease has been largely prevalent in Auckland lately. The patients were removed to the isolation cottage, .. and are so far, with the exception of one, who had other complications and was in a very bad state of health when admitted, doing well, and it is to be hoped will all recover. The Hospital is being thoroughly disinfected, painted, and renovated, and will be ready for patients at an early date. The isolation cottage, not having been required before for patients, has been used for the accommodation of the night-nurses, but will no longer be available for them.

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It has been arranged that the patients at the "Door of Hope" institution for single girls, which is very near St. Helens, shall be attended in their confinements. This will aid the above charity, and be additional experience for the pupil-nurses. There have been no changes in the staff. Dr. Tracy Inglis, Miss Peiper, and Miss Paul have done excellent work. There are seven pupil-nurses and an eighth is now to be taken. Six have been trained here already. In calculating the expenses for maintenance of the St. Helens Hospitals the rents of the two hospitals at Wellington and Dunedin, one of which is not Government property, and the other is rented until December, were not included. The Medical School Maternity Hospital, Dunedin. From the 20th May, 1907, to the 31st March, 1908, 65 patients were admitted, and there were 65 births. Nine patients were attended in their homes: there were 2 maternal deaths, no deaths of infants. Receipts from patients, £73 18s. 4d.; expenditure for maintenance, £495 15s. Id. ; expenses, less fees, £421 16s. 9d. This institution was opened on the 20th May, 1908, and has been visited on several occasions. It has been very nicely done up, and adapted for a hospital, and has every convenience for work. A few nurses are there trained as midwives, and are eligible to sit for the.State examination under " The Midwives Act, 1904." They go through the same course of training as the pupils of the State maternity hospitals, and have a course of lectures on the same lines. This institution should be a valuable addition to our midwifery training-schools, but, owing to its being primarily intended for the instruction of the medical students, only a limited number of pupil-nurses can be taken. The Matron, Miss Hay, is a good manager-, and the Hospital is always in good order. The household work is largely done by one of the young women awaiting confinement. There is a -large room apart from the Hospital proper, in which two or three waiting patients can be taken, these being mostly unmarried women. The Home is essentially for single girls or those people who cannot afford to pay for medical attention, or who have not sufficient convenience in their own homes. Payment is according to the means of the patient. If the patient is destitute no payment is expected or asked for. Two medical practitioners—Drs. Batchelor and Ritchie —are associated with the institution, while there is one senior medical student to attend to each patient. A large percentage of cases sent to this Hospital, as to the State maternity hospitals, are women suffering from difficulties and complications in labour, and are often sent in too late for treatment. Alexandra Home, Wellington. Visited 7th August, 1907. This Home for single girls fills a great want, in that the girls are obliged to stay and care for their babies for six months. After that places are found for them, if possible with their babies. Unfortunately it is not availed of to its fullest extent, owing to the dislike the young women have to be kept in so long, and they often prefer to board their children out and go to work again as soon as possible outside. One or two pupil-midwives receive here their practical training, and attend lectures at the St. Helens Hospital, afterwards sitting for the State Examination in Midwifery. Salvation Army Maternity Home, Wellington. This Maternity Home, managed by the Salvation Army officers, was visited in December, 1907. There were 20 inmates, with 18 babies. The patients taken are single girls for their first confinement. They are often in some months before, and are engaged in the various household duties and in sewing. They are expected to stay at least three months, but sometimes leave earlier. The girls have every reasonable comfort, and the babies are well cared for. The chief drawback is a tendency to overcrowding, especially in the nursery and the dormitories. A registered midwife attends the confinements, and a doctor attends when called upon. It has been arranged that a pupil-nurse shall receive her training in midwifery here, in conjunction with St. Helens lectures. Salvation Army Maternity Home, Christchurch. This is a new and very comfortable house built for the purpose. The dormitories are fresh and well ventilated, and looked in beautiful order on my visit. The small labour-room was spotlessly clean and neat. The nursery, furnished with low cribs for the babies, was empty at the time, all the babies being outside. The single girls taken here for their first confinements are subjected to the same rules as to length of stay and nursing their infants as in the other Salvation Army Homes. There were 16 girls and 12 babies in. Salvation Army Maternity Home, Auckland. This Home is in a very unsuitable house, but is, fortunately, very soon to be moved into a new building. There were 14 girls and 13 babies in at the time of my visit, most of them looking well and healthy.

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Salvation Army Maternity Home, Duned/in. This Home was visited twice during the year. On the first occasion there was, especially in the dormitories, considerable overcrowding, but on my second visit I was glad to. see that bed's had been moved out of the upstairs rooms to one downstairs, and they were now much more airy. The girls were engaged in needlework and the care of the babies, which were all outside. The number of inmates on the 10th March was 9 girls and 11 babies. Door of Hope, Auckland. This Home for single girls is a very well-conducted place under the auspices of a committee of ladies. Miss Hutchinson, the Matron, exercises a good reforming influence over the girls, and many of them turn out quite well in after-life. It has been visited twice during the year, and each time was in excellent order. The girls work at a little laundry-work, and are also taught some household duties and cooking. There were 14 girls in. One awaiting confinement was to be attended by the nurses from St. Helens Hospital, there being no resident midwife. St. Mary's, Otahuhu. A similar Home to the above, and conducted under the Church of England, but non-sectarian in the inmates. Here the girls are kept for six months or a year, and are taught housework of all kinds in a very thorough way. They are placed in situations, and encouraged to return to the Home for their holidays and to correspond with the Superintendent. Miss Hudson has a great influence over the girls. The charity is not limited to girls who have only once fallen, but any are taken "who are likely to benefit by the teaching and care, so long as they are not confirmed in evil habits. The maternity part of the establishment is managed by a registered midwife, and a doctor attends when called upon. The place was in most excellent order when visited. From 20 to 30 girls are received. Victoria Home, Invercargill. This is a small Home for single girls with their first babies, and thej - are expected to stay for six months, when places are found for the girls and homes for the babies. They do a little laundrywork and gardening. There were 5 girls in at the time of my visit, with their babies. Linwood Refuge, Christchurch. This Home is under the Church of England, but is non-sectarian as regards inmates. Mrs. Scott is Honorary Superintendent. The girls are kept here for six months, or longer if possible. They do a little laundry-work. They are well cared for, and situations found for them, if possible with their infants. There were 16 girls in at the time of my last visit, and 14 babies. The Matron was absent for her holidays, and the nurse in charge of the maternity work had just left, so that the place was not in quite such good order as usual. This institution is recognised as a training-school for midwifery examination, giving the practical work under a registered midwife and -a doctor, and the pupils attending the St. Helens .lectures. One pupil is at present going through her course there. "The Private Hospitals Act, 1908." Since the last report on the working of this Act the time has expired for which the licenses for private hospitals granted under " The Public Health Amendment Act, 1903," were extended. As no qualification of nurses' or midwives' training and registration was required under that Act, many of the people holding licenses, being neither registered nurses nor midwives, were not eligible as licensees under the new Act, but were allowed a year of grace in which to make arrangements to comply with the regulations, and, if possible, to procure the services of a registered nurse or midwife as manager. A copy of the regulations was sent in June, 1907, to every holder of a license, these to come into force on the Ist May, 1908. New licenses were generally not issued except to those qualified to hold them, but, as it was found that to enforce the new law strictly at first in the country places would have caused great hardship to the residents, arrangements were made in places where there was no private nursing home eligible for registration under the Act, with a doctor in the neighbourhood to assume the responsibility of manager. A few new licenses were also issued under this arrangement, when it appeared necessary to provide accommodation for country patients. In the towns, as there were sufficient private hospitals for both general and maternity cases, there was no occasion to relax the regulations. On inspection, a very large number of the houses licensed proved to have accommodation for one patient only, and as these do not come under the heading of " private hospital," unless two patientare received during the month, a great many women otherwise not eligible to receive a new license are still able to continue to do as much work as they did before, some receiving not more than three or four patients in the year. These are almost all maternity homes, every woman who took an occasional patient having considered it necessary to obtain a license.

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At the beginning of 1907 there were 293 private hospitals licensed. At the present date there are 191. Of these, thirty-three have applied for, and been granted, licenses under the new Act. All the private hospitals, with the exception of one or two in the very far distance, were inspected during the year, many of them more than once. Some of those on the list when they were taken over by this Department had been given up, and the licensees had not troubled to notify the fact. As far as possible the regulations have been enforced, and the licensees have endeavoured to carry out directions given them; but the small amount of time to give to this inspection is not enough to do very much good. It is hoped, with more constant inspection and supervision, to improve the condition generally of the private hospitals, and, as so many of the smaller ones 'are for maternity cases, and are kept by registered midwives, the inspection, supervision, and instruction of midwives may very well be combined with the inspection of the accommodation for patients. The larger and better class of private hospitals for medical and surgical work are, foij the most part, conducted by properly trained and certificated nurses, and maintain a fair standard of efficiency. There are several of this description in each large town. What is really required now is the establishment of fairly well-equipped private hospitals in some of the smaller towns,,, In Tauranga one was opened during the year by Miss Ludwig, a fully trained nurse, which is of great use in that neighbourhood. In Te Kuiti a great want has also been supplied recently by Miss Hattaway, who has opened a home for general and midwifery cases. At. Marten Junction Miss Walton has a nice house for medical and surgical cases. At New Plymouth Miss Pike, a pupil trained at St. Helens, Wellington, has opened a maternity hospital, which was much needed there. Al Hawera Miss Pureed, a general trained nurse, and also a midwife trained at St. Helens, Wellington, has opened a hospital for general and maternity cases. At Hamilton Dr. Brewirf has built a private hospital for medical, surgical, and midwifery cases, and has, as Matron, a nurse trained in general work, and in midwifery at St. Helens, Auckland. Miss Bethune has a :good house at Hastings. In Auckland Mrs. Hughes Jones has a nice house for convalescent patients These are the principal additions during the year, though there have been a good many'smaller places started. '• • : --^ ><•->»■ ■ ■• One difficulty which has occurred in connection with the licensing of private hospitals has been that many women who have in good faith registered their houses have considered that they themselves were also registered. Others, again, have applied for registration as midwives'workirig under doctors, and were then informed that as they worked only under doctors there was no need for them to be registered. Until the new Private Hospitals Act came into force their position was safe as they did not require registration ; but the regulation that the licensee of a private hospital must be registered altered that position, and therefore in the case of anv woman who had applied during the proper time for registration as a midwife, and who was then eligible, but was informed that she need not be registered and rested secure in that information, her application was considered afresh, and if she were entitled under the Midwives Act to be placed on the Register at the time of her application, this was now done on payment of the fee. One woman only was found to be acting in defiance of the law, and continuing to take in patients after the expiration of her license Proceedings for the prosecution of this woman have been instituted. Others have been found Acting in ignorance or non-comprehension of the regulations, but on explanation, have promised 1 compliance. Some, also, have established hospitals without applying for a license, professing'ignorance of the necessity, but it has not been found necessary to institute proceedings against thehi _ A class of private hospital about which there has been a good deal of difficulty is that of the private sanatoria for consumptive cases. Of these there are three, one at Flagstaff Dunerfln belonging to Dr. Stevenson, non-resident, but who has a registered nurse as matron The other two are owned by unregistered and untrained women, and therefore are not eligible for relicensing In view, however, of the dearth of places in which phthisical patients who do" riot'wish to'enter a public institution can be taken, it has been found advisable to get a doctor in the neighbourhood to take the responsibility. Dr. Roberts, therefore, is responsible for Miss- Jackson's sanatorium at Cambridge. Ihe third belongs to a woman who has no training at all. She takes as many as twenty cases the greater number of these being sent to her by the Hospital and Charitable 1 Aid Board, Dunedin. The place and arrangements are not suitable for so large a number of patients and there is need of proper nursing for them, but that is difficult to obtain, and if the place' we're to be closed there is no place to send the patients. This place is at Rock and Pillar Central Qtago In connection with the private hospitals for maternity cases, it has been hoped that some of these which are managed by properly trained and registered midwives might have been able ] 'fo train a few pupils, either in conjunction with St. Helens lectures,, or by arranging a course : o'f lectures by a doctor attending. The number of beds specified in the regulations might be reduced so long as the pupils were able personally to conduct the necessary number of confinements th/fact of standing by the bedside of a patient while the doctor attended her not giving sufficient 'practical experience for a midwife-to understand how to conduct a case by herself. So far' however only one fully qualified matron of a private hospital for maternity cases has seen her way to'give tmml's this experience. Patients who enter these hospitals as a rule pay for the attendance of a doctor and a qualified nurse, and are therefore not inclined to allow one not so qualified' to attend them'. I have, &c, H. Maclean, ' T , , . n ,™ „. Deputy Registrar of Nurses and Mid-wives, and. .''■ The Inspector-General, Wellington. Assistant Inspector of Hospitals.

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14

HOSPITALS.

INDEX. For purposes of comparison the hospitals in the following reports have been placed in order of size (i.e., number of in-patients under treatment during year) instead of alphabetically. The following is the order in which they are placed:— Akaroa .. ' .. .. 46 i Lawrence .. .. 38 Southland .. .. 8 Arrowtown .. .. 40 Masterton .. .. 21 South Wairarapa .. .. 39 Ashburton .. .. 23 Mangonui .. .. 48 Stratford .. .. 36 Auckland .. .. .. 2 Mercury Bay .. .. 41 Te Puia (see Waiapu). Blenheim (see Wairau). Napier .. .. .. 6 Thames .. .. .. 10 Charleston .. .. 53 Naseby .. .. .. 28 Timaru .. .. .. 12 Ohristchurch .. .. 3 Nelson .. .. .. 15 Waiapu .. .. .. 51 Coromandel .. .. 42 New Plymouth .. .. 13 Waihi .. .. ; 16 Cromwell .. .. .. 44 Northern Wairoa.. .. 34 Waikato .. .. .. • 7 Dannevirke .. 27 Oamaru .. .. .. 19 Waimate .. .. .. 24 Dunedin .. .. .. 4 Otaki .. .. .. 30 Waipawa . .. .. 14 Dunstan .. .;.-... .. 45 Pahiatua .. .. 29 Wairau .. .. .. 18 Gisborne .. .. .. 11 Palmerscon North .. 9 Wairoa .. .. .. 47 Greymouth ... .. 17 Patea .. .. .. 32 Wakatipu .. .. 43 Hamilton (see Waikato). Pioton .. .. .. 31 Wallace and Fiord .. 22 Havelock .. .. .. 50 Queenstown (see Wakatipu). Wanganui ~ .. 5 Hawera .. .. .. 20 Rawene .. .. .. 49 Wellington .. .. 1 Hokitika (see Westland). Reefton .. .. 35 Westland .. .. 26 Invercargill (see Southland). Riverton (see Wallace and Fio'rd). Weßtport .. .. .. 25 Kumara .. .. .. 37 Ross .. .. .. 52 Whangarei .. .. 33

1. WELLINGTON HOSPITAL. Governing body: The Wellington Hospital Trustees. Honorary medical staff: Hon. consulting surgeon, Dr. Anson; hon. consulting physician, Dr. Adams; hon. surgeons, Drs. Collins, Faulke, James, and McLean; hon. physicians, Drs. Begg, Gibbs, Henry, and Herbert; hon. ophthalmic surgeon, Dr. Harty; hon. dental surgeon, Mr. Didsbury. Stipendiary medical staff: Dr. Ewart, MedicalSuperintendent; Dr. Gilray, Assistant Medical Superintendent; Dr. Patrick. Nursing staff: Matron, Miss Payne; 17 registered nurses and 68 probationers. Domestic staff : 4 cooks, 10 wardsmaids, 10 housemaids, 12 laundresses, 8 porters, 2 gardeners, 2 engineers and stokers, 1 carpenter, and 1 plumber. Number of beds available for males, 143; for females, 129: total, 272. Number of patients under treatment during year : In-patients—male 1,827, female 1,028 — total 2,855; out-patients, 2,017 (number of attendances, 8,807). In-patients: Average days' stay, 22'47; average daily cost per head, 3s. lid. (cost after deducting patients' payments, 35.). Percentage of cost of administration on maintenance expenditure, 39'9. Localities from which patients came: Wellington (City), 1,758; Wellington (Suburbs), 327; Petone, 118; Lower Hutt, 55; Uppef Hutt, 19; Levin, 1; Porirua, 2; sundry small places in district, 84: Wairarapa Hospital District, 26; Palmerston North, 55; Auckland, 9; Wanganui, 4; Taranakij 10; Hawke's Bay, 12 ; Marlborough, 4; North Canterbury, 6; South Canterbury, 3; Nelson, 4; Sydney, 1; ships in port, 63; Buller, 15; Westland, 3; Timaru, 1; locality not stated, 37. Nationalities of patients : New Zealand, 1,519; English, 480; Irish, 210; Australian, 155; Scotch, 143; Swedish, 20; German, 12; Danish, 12; Norwegian, 10; Italian, 7; Assyrian, 6; Austrian, 5; American, 5; Chinese, 5; Welsh, 4; Jewish, 3; Canadian, 3; Manxman, 3; Belgian, 2; Swiss, 2; Spanish, 2; Egyptian, 1; French, 1; Roumanian, 1; Russian, 1; Jamaican, 1; Scandinavian, 1; Dutch, 1; not stated, 2. Religion of patients: Church of England, 1,148; Roman Catholic, 62"8; Presbyterian, 416; Methodist and Wesleyan, 151; Baptist, 47; Salvation Army, 35; Church of Christ, 20; Primitive Methodist, 19; Congregationalist, 19; Hebrew, 12; Plymouth Brethren, 12; Lutheran, 11; Spiritualist, 6; Unitarian, 5; Brethren, 5; Catholic Apostolic, 4; Confucian, 3; Theosophist, 3; Christadelphian, 3; Quaker, 1; Confucian, 1; Mission, 1; not stated, 62.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. . Expenditure. £ s. d. Balance from last year ... 1,199 12 6 Rations ... ... ... 4,752 13 7 From Government ... ... 9,574 1 0 Wines, spirits, ale, and porter Local bodies ... ... 8,479 3 4 (and aerated waters, £66 Is. 3d.) 23717 3 Subscriptions and donations ... 804 6 0 Surgery and dispensary ... 1,363 0 7 Bequest ... ... ... 659 3 9 Fuel and light ... ... 1,732 9 7 Rents ... ... ... 2,646 011 Bedding and clothing ... 664 16 11 Patients' payments ... ... 2,955 11 0 Furniture, earthenware, and Other sources (principal items — ironmongery ... ... 437 1 7 Loans, £2,000; accident in- Washing and laundry ... 728 0 0 surance claim, £9 10s.; re- Salaries and wages ... ... 8,929 17 3 fund cost surgical instruments, Water-supply ... ... 290 8 0 £18 18s.; Court costs, £8; Funerals ... ... ... 38 6 0 sale of bottles, &c, £15) ... 2,142 18 5 Repairs ... ... "... 436 4 1 Additions to buildings ... 4,569 2 3 Printing, advertising, postage, and stationery ... ... 142 5 6 Interest ... ... ... ■ 893 11 8 Insurance ... ... ... 118 19 2 Other expenses (principal items —Legal expenses, £52 ; horsefeed, £40 ; duty, £80 ; refund old-age pensions, £18; petty cash, £19; Christinas goods, £75 ; plants, £24 ; rates, £15 ; telephone, £40 ; repayments loans, £1,500) ... ... 1,952 15 7 Total... ...£28,460 16 11 Total... ...£27,287 9 0

Visited several times.—The chief trouble during the year has been the want of proper accommodation for scarlet-fever cases. The present infectious-diseases ward is not only unsuitable, but too near the main building, and it says much for the management that the disease has not spread to the patients in the latter. It is hoped that the new infectious-diseases ward will be opeiied shortly. . ' ', Another great want in this Hospital is a children's ward : the present ward in use is altogether unsuitable. ' ;' Advantage is being taken of the consumptive shelters and the wards for chronic and incurable cases. The former has seventeen, the latter forty patients. This ward is always full. The need for additional accommodation for hospital cases proper has been recognised by the Hospital Trustees, and designs have been invited for adding new wards to the main block'. When the extensions are put into operation it is intended to thoroughly renovate the lavatory accoriifnoda-tio-n in the main block, which is by no means what it should be. Rooms for thirty nurses have been added in the new wing to the Nurses' Home. This Hospital still retains its name as one of the most efficiently conducted Hospitals in the Dominion. i.i. ■ ■ ■ liiq <j'i ' - . [,Bi

2. AUCKLAND HOSPITAL. V ton ' Governing body: Auckland Hospital and Charitable Aid Board. Honorary medical staff: Physicians, Drs. Frost, McDowell, and Sweet; surgeons,' Drs. Gore Gillou, Inglis, and Savage; aural surgeon, Dr. Neil; ophthalmic surgeon, Dr. Pabst; pathologist, Dr. Frost; anaesthetist, Dr. Goldstein; dental surgeon, Mr. Bennett; hon. masseuse, Miss Frost.'." Stipendiary medical staff: Dr. Ai#kin and two, assistants. Nursing staff : Matron, Mrs. Wootten; 32 registered nurses and 46 probationers. Domestic staff: 5 cooks, I, sewing-maid, 13 housemaids, 2 laundresses, 14 porters, 1 gardener, 2 engineers. Number of beds available for males, 122; for females, 101 : total, 223. Number of patients under treatment during year: In-patients—male 1,555, female 85'7— total 2,412; out-patients, 279 (number of attendances, 3,315). In-patients: Average days' stay, 29"51 ; average daily cost per head, 4s. lOd. (cost after deducting patients' payments, 3s. 9fd.). Percentage of cost of administration on maintenance expenditure, 31'7. Localities from which patients came : Auckland, 1,798; Auckland District, 419; North Auckland, 46; South Auckland, 73; shipping, 76. Nationality of patients: English, 465; Scotch, 105; Irish, 180; New-Zealanders, 1,366; Australian, 176; American, 21; French, 4; German, 16; Austrian, 11; African, 5;-Tndian, 6; Chinese, 4; Greek, 2; Scandinavian, 28; Canadian, 1; Spanish, 12; South-Sea L lslahders,' 10. Religion: Church of England, 1,240; Presbyterian, 266; Roman Catholic; 571; Wesleyari, : 213; Church of Christ, 8; Hebrew, 3; Salvation Army, 19; Baptist, 43; Congregationalist; 19; Lutheran, 3; Plymouth Brethren, 12; Unitarian, 4; Confucian, 3; Mormon, 2; Seventh" Day Adventist, 1; non-sectarian, 5.

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Receipts and Expenditure for t Receipts. £ s. d. From Government— • Ordinary ... It' ..... ... 7,340 12 10 ■■ Infectious ,-... K '" ... ,'. ..'.'... 594 6 0 bodies — Ordinary ... ... . 7,458 15 7 Infectious... 476 3 2 Subscriptions and donations— ■ Ordinary ... ... ...... 51 5 2 s Infectious ... ... ... 14 6 10 Bequest ~/... ... ... 1 17 5 Rents ~ " ... ... ... 8 14 9 ; Patients' payments— Ordinary ... ... . ... 3,371 8 7 \ Infectious... ~.. ... 249 4 6 j Qther sources (principal items— ■.Forfeited deposit, £10; sale of .grass, £3) ... ... ... 13 0 0 '?:il'tV£ ■ . r v Total ... ...£19,579 14 10

the Year ended 31st March, 1908. Expenditure. ■ , £ s. -d. Rations ... ... .... 5,064' 5 0 Wines, spirits, ale, and porter ... 123 4 8 Surgery and dispensary 1,782 17 4 Fuel and.light ... ... 1,329 17 11Bedding and clothing ... ... 777 3.2 Furniture and earthenware ... 406 2.6 Washing and laundry ... ... 533 17 . 6 Salaries and wages ... ... 5,456 9 i 5 Water-supply ... . .... 337 2 0 : Funerals ' ... ... .... 22 8 6 ] Repairs and material ... .... 419 5 2 i Additions to buildings ... ... 158 1 0 New buildings ... ... 1,716 5 1 [ Printing, advertising, postage, and stationery ... ... ... 168 15 11 Interest on loan for buildings ... 561 19 6 Insurance ... ... ... 41 19 6 Other expenses (principal items —Ambulance and cabs, £62 7s. 9d.; Point Chevalier, £22 9s. 6d.; refuse-removal, £16 18s. 3d.) ... ... ... 227 18 11 Proportion of office expenses .. 452 1 9 Total £19,579 14 10

Visited-several times during the year.—On the last occasion, 11th March, there were 204 patients iirhbspital, no less than forty-nine being cases of typhoid fever. This has been a tryingyear for-, all concerned with this Hospital. The alterations and extensions of the Costley wards have naturally.been the means of overcrowding other parts of the Hospital, consequently the condition ;of, some of the wards in the central block has not been as clean and tidy as one would have \jj#h#a«i -Oh/the top, of this came the typhoid epidemic, which has taxed the resources of all to their utmost, and it reflects credit on the management that there have not been more complaints. ■j ~, When ; I,visited; Auckland in October last the hospital expenditure was the question ofi the hour —the late Board were accused by some of extravagance. On inquiry, however, I could find little to; justify- the.icharge. It is true that, through a misapprehension, an observation ward had been erected which good deal more than was evidently contemplated by the Board. Though this thfe Casen the ,-Board seems to have received fair value, for the ward in question is undoubtedly thehefet ofl-itSkind in the Dominion. In a letter dated the 21st October, 1907, I intimated to the Bpardi:thatj:if:the Hospital is to maintain its proper position in the Dominion very extensive alterations are necessary. The condition of the basement, in which are treated septic and delirium tremens cases, and others of an' undesirable nature, is simply a disgrace to the Hospital. ' The whole; this abasement should be gutted, the pavement raised and levelled, and generally renovated throughout. To a less extent renovation in all the wards in the central block is necessary, and ageneral repair of the balconies. The erection of the new sanitary towers has greatly improved the appearance of these wards, and it will be interesting to see how the workmanship will stand the test of time. It is to be hoped that the extension of the Costley wards v, ill be finished in three months—not before they are needed. The typhoid ward being full, the unsatisfactory condition of the sanitary annexes was very apparent. If these wards are to be maintained for any time they should bftfput into thorough sanitary order. The walls and floors of the new operating-theatre have and shipped in several places. The question is how best to repair them, but certainly n\iihy* .other-niatters require putting, right before any considerable expenditure is sanctioned on the "theatre.' Additions are also wanted to the Nurses' Home —two, and at times three, nurses have to sleep in room.s. tjiat are not too large for one. In. ef the.wards there were ten cases that had been in hospital over six months, three about one year!"" 1 These were mostly cases of dead bone and consumption. One of the latter patients gave an interesting history. He landed in the Dominion on the 15th January, 1906, under a he, was them suffering from consumption. Within a fortnight he was treated in the New Plymouth''Hospital;' from there he went to the Hospital at Hawera, then to Napier Hospital, and finally he is now, being treated in this Hospital. The two years he has been in the Dominion have been passed in hospital.

... 3. CHRISTCHURCH HOSPITAL. : <)()?•, 1 . K'JoblTfi] ;; V : \) .Go.tftfflingibQdy::, North Canterbury Hospital Board. (Honor4ry.iined'io.al-staff: Surgeons, Drs. Westenra and Talbot; physicians, Drs. Mill and D\inQan.;r?Pphthalmic,surgeons, Drs. Manning and Stevenson. • f;iSt|ipepdiaiT,y>: m edical staff: Dr. Leslie Crooke and two assistants. Vj; , Nursing-staff : M atrOT ij Miss Ewart; 8 registered nurses and 34 probationers. Domestic staff : 6 cooks, 5 wardsmaids, 4 housemaids, 6 laundresses, 3 porters, 5 gardeners, 1 telephone attendant, 1 gatekeeper.

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Number of beds available for males, 79; for females, 37: total, 116. Number of patients under treatment during year: In-patients—male 1,099, female 716 total, 1,815; out-patients, 2,125 (number of attendances, 13,055). In-patients: Average days' stay, 22-30; average daily cost per head, ss. 7|d. (cost after deducting patients' payments, 4s. 9|d.). Percentage of cost of administration on maintenance expenditure, 41'9. Localities from which patients came: Christchurch and suburbs, 1,250; North Canterbury Hospital District, 368; Ashburton Hospital District, 5; Lyttelton, 55; Waimate, 2; Oamaru, 3; shipping, 21 ; various localities, under 3 each, 9; no fixed residence, 102. Nationality of patients : New-Zealanders,-904; English, 370; Irish, 142; Scotch, 85; Welsh, 14; Australian, 74; German, 9; Tasmanian, 12; Scandinavian, 7; Greek, 2; Swiss, 6; Chinese, 1; Italian, 2; Danish, 2; Austrian, 1; French, 1; United States, 2; various and unknown, 181. Religion of patients: Church of England, 804; Roman Catholic, 269; Presbyterian, 241; Methodist, 154; Lutheran, 12; Congregationalist, 6; Baptist, 28; Church of Christ, 10; Salvation Army, 14 ( ; Primitive Methodist, 8; various (1 each), 5; unknown, 261. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. dBalance from last year ... 1,134 1 1 Rations ... ... ... 2,665 19 8 From Government ... ... 7,228 12 10 Wines, spirits, ale, and porter ... 73 310 Local bodies ... ... ... 6,526 0 0 Surgery and dispensary ... 1,220 3 0 Subscriptions and donations ... 42 10 6 Fuel and light ... ... 1,373 16 6 Bequest ... ... ... 500 0 0 Bedding and clothing ... ... 363 2 9 Patients'payments ... ... 1,684 610 Furniture and earthenware ... 156 2 6 Interest ... ... ... 45 0 0 Salaries and wages ... ... 5,195 15 10 Sale of waste ... ... 28 18 0 Funerals ... ... ... 31 19 0 Refunds ... ... ... 32 7 5 Repairs ... ... ... 314 15 7 Additions to buildings... ... 2,918 0 0 Printing, advertising, postage, and stationery ... ... ... 87 18 9 Interest ... ... ... 4 11 0 Insurance ... ... ... 69 12 2 Commission ... ... ... 44 4 7 Other expenses (principal items —Mineral waters, £26 Bs. 7d. ; hard and engine ware, £335 18s. 4d. ; travelling-expenses, £50 18s. 2d. ; architect, £105 os. 3d. ; legal, £6 6s. ; refunds, £17 ss. 6d. ; miscellaneous, £218 19s. 4d.; electric-wiring, £123 4s. 6d.; laundry machinery, £129 3s. lid.) ' ... 1,013 4 7 Total ... £17,221 16 8 Total ... £15,532 9 9 Visited several times during the year.—The burning of the Marks Hyman wards was, fortunately, unattended with any accident to patients or staff, reflecting great credit on the latter. Naturally, with the above-mentioned wards out of action, the remainder were somewhat crowded when I visited the institution in January last. Advantage was taken of this to discharge some of the chronic cases, which have hitherto occupied so large a proportion of the beds. The recent decision of the North Canterbury Charitable Aid Board to erect wards for chronic and incurable cases in connection with their institutions at Linwood and Ashburton should relieve the Hospital authorities of such cases. Consequently no considerable extension of the hospital accommodation will be necessary; but a children's war.d is badly needed, and also a better out-patient department, the demands on which are gradually increasing. When I visited the institution in March last there were 114 patients in hospital. Though nearly three months had elapsed since the fire, the rebuilding of the new wards had not been put in hand. It is proposed to put a sun-room off the main corridor. It was pleasant to see so many patients taking advantage of the gardens. I would that all other hospitals were provided with such facilities for their patients being in the open air. On the whole the wards and annexes were in fair order, allowance, of course, being made for the makeshifts necessary to meet the overcrowding of some of the wards. Members of Hospitals Boards interested in laundry matters should certainly visit this laundry and see what energetic women can do with modern machinery.

4. DUNEDIN HOSPITAL. Governing body : Dunedin Hospital Trustees. Honorary medical staff: Physicians, Drs. Colquhoun, Macdonald, and Fitchett; surgeons, Drs. Gloss, Barnett, and Butement; ophthalmic surgeon, Dr. Ferguson; gynaecologist, Dr. Batchelor; pathologist, Dr. Roberts; radiologist, Dr. Newlands; anaesthetist, Dr. Ritchie; assistant surgeon, Dr. O'Neill; assistant physician, Dr, Williams; assistant gynaecologist, Dr. Riley; assistant ophthalmic surgeon, Dr. Burt. 3—H. 22.

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Resident medical staff: Dr. Falconer and two assistants. Nursing staff : Matron, Miss Fraser; 12 registered nurses and 50 probationers. Domestic staff : 3 cooks, 4 wardsmaids, 4 housemaids, 4 laundresses, 6 porters, 1 gardener. Number of beds available for males, 80; for females, 68; also 16 children's and 8 isolation: total, 172. Number of patients under treatment during the year : In-patients—male 956, female 688— total 1,644; out-patients, 2,167 (number of attendances, 4,967). In-patients: Average days' stay, 27; average daily cost per head, ss. sd. (cost after deducting patients' payments, 4s. 4|d.). Percentage of cost of administration on maintenance expenditure, 33'5. Localities from which patients came: Dunedin and suburbs, 1,034; Balclutha District, 10; Catlin's District, 23; Clinton District, 18; Green Island District, 45; Henley District, 20; Middlemarch District, 26; Milton District, 24; Mosgiel District, 47; Palmerston District, 67; Port Chalmers District, 44; Kaitangata District, 14; Tapanui District, 4; shipping, 21 : other hospital districts —Auckland, 1; Ashburton, 2; Arrowtown, 2; Buller, 2; Cromwell, 3; Grey, 3; Hawke's Bay, 1; Maniototo, 8; Nelson, 3; Oamaru, 15; Southland, 35; South Canterbury, 7; North Canterbury, 5; Taranaki, 4; Westland, 2; Vincent, 15. Nationality of patients: New Zealand, 855; England, 201; Scotland, 190; Ireland, 121; Australia, 87; Tasmania, 23; China, 16; Norway, 6; Shetland Islands, 4; Germany, 6; Syria, 3; Finland, 3; United States, 3; South Africa, 2; Denmark, 2; Jersey, 2; Sweden, 2; Newfoundland, 2; Italy, 1; Poland, 1; Solomon Islands, 1; Hong Kong, 1; West Indies, 1; Canada, 1; born at sea, 4. Religion of patients : Presbyterian, 559; Church of England, 457; Roman Catholic, 232; Wesleyan, 83; Methodist, 32; Baptist, 50; Church of Christ, 31; Congregationalist, 20; Salvation Army, 16; Plymouth Brethren, 15; Mission, 13; Confucian, 10; Greek, 4; Lutheran, 4; Jewish, 4; Apostolic, 1; Christadelphian, 1; no religion, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 402 5 3 Rations ... ... ... 3,020 17 3 From Government ... ... 4,953 13 6 Wines, spirits, ale, and porter ... 83 19 3 Local bodies... ... ... 4,000 0 0 Surgery and dispensary ... 1,639 16 11 Subscriptions and donations ... 1,217 19 6 Fuel and light ... ... 1,083 2 2 Patients'payments ... ... 2,175 14 3 Bedding and clothing ... ... 155 6 5 Other sources (principal items— Furniture and earthenware ... 501 110 Students' fees, £191 25.; sav- Salaries and wages ... ... 3,760 5 5 ings-bank interest, £39 18s.; Water-supply ... ... 205 1 6 medicine, £24 10s. 4d.) ... 298 18 1 Funerals ... ... ... 20 0 0 Repairs ... ... ... 484 8 2 Additions to buildings... ... 313 1 6 Printing, advertising, postage, and stationery ... ... 149 2 11 Insurance ... ... ... 78 11 11 Honorary medical staff ... 191 2 0 Incidentals ... .. ... 288 13 11 Bank charges ... ... 0 10 0 Total ... £13,048 10 7 Total ... ...£11,975 1 2 Visited 22nd and 27th January, 1908.—When 1 visited the Hospital on the 22nd January 1 found eleven cases of scarlet fever therein. With the assistance of Dr. Ogston, of the Health Department, and Mr. Stevenson, the Chairman of the Hospital Board, these cases were promptly removed to Pelichet Bay, where they were accommodated in tents kindly lent by Colonel Smythe, of the Defence Department. The promptness of the Hospital Board in dealing with these cases is much to be commended, especially the energy displayed in the matter by the Chairman. Fortunately no other cases developed. were 104 cases in hospital, quite 18 being chronic cases, some of which might be treated in the hospital wards of the Caversham institution. One patient had been in hospital since October, 1905. There were also two cases of advanced consumption, which after much discussion the Benevolent Trustees agreed to admit into a special ward at the Caversham Home. I was glad to come to a definite agreement with the Trustees with regard to the admission of chronic and incurable cases to the institution at Caversham. But at the same time it seems absurd that there should have been any difficulty. There are four excellent fifteenbed wards at the latter institution, which could accommodate almost all the indigent, incurable, and chronic cases of the district at far less cost to the ratepayers than if they were treated in the wards of a hospital staffed for acute cases. No better example of the absurdity of the present law can be furnished than by Dunedin, where there are four distinct authorities controlling hospital and charitable-aid affairs The Hospital itself was in fair order, but I think it is a great pity that there are not better facilities provided for patients being treated in the open air on verandahs or balconies. For the most part the existing balconies are practically used as smoking-rooms; they are badly ventilated, and consequently become exceedingly stuffy and unfit for the well, let alone the sick. As regards this, I was surprised to find no better arrangements in the new wards. I pointed this out to the Chairman and some of the Trustees, who promised to have these defects altered. Under existing conditions accident cases, fractures, &c, rarely get a chance of a change out-of-doors until they leave the institution.

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A new sterilising-room is badly needed, and also a better out-patient department. The former is an immediate necessity. The Chairman has in hand the question of facilities for escape in case of fire. The Trustees have agreed to the erection of a ward for delirium tremens cases. Extensions to the Nurses' Home are very necessary. As a medical school, the importance to the Dominion of keeping this Hospital thoroughly up to date in every department cannot be too strongly urged. Some of the Trustees recognise this, and a thorough renovation of the whole block is being considered. By the time the report is issued the new wards should be opened, which will allow a better classification of cases than has hitherto been the case.

5. WANGANUI HOSPITAL. Governing body : Wanganui Hospital Board. Honorary medical staff: Drs. Anderson, Reid, Wall, and Wilson. Resident medical staff: Dr. Fergus. Nursing Staff: Matron, Miss McKenny; 5 registered nurses and 17 probationers. Domestic staff : 2 cooks, 1 wardsmaid, 2 housemaids, 2 laundresses, 1 kitchenmaid, 2 porters, 1 gardener, and 1 engineer. Number of beds available for males, 47; for females, 29 : total, 76. Number of patients under treatment during year: In-patients—male 464, female 241—total 705 ; out-patients, 91 (number of attendances, 726). In-patients: Average days' stay, 30'92; average daily cost per head, 4s. sfd. (cost after deducting patients' payments, 3s. 9d.). Percentage of cost of administration on maintenance expenditure, 35'01. Localities from which patients came: Palmerston North, 7; Taranaki, 1; Hawera, 1; Gonville, 8; Auckland, 1; Wellington, 3; Taihape, 28; Bull's, 7; Eastbrook, 17; Taupo, 2; Napier, 1; Patea, 8; Wanganui Borough, 311; Wanganui County, 73; Waitotara County, 68; Rangitikei County, 62; Waimarino County, 54; Hunterville, 16; Marton Borough, 37. Nationality of patients,: New Zealand, 388;, Australia, 40; Tasmania, 10; England, 118; Scotland, 49; Ireland, 64; various nationalities (under 5 in each), 36. Religion: Church of England, 308; Presbyterian, 148; unspecified Protestants, 13; Roman Catholic, 137; Wesleyan, 40; Baptist, 12; Methodist, 10; Plymouth Brethren, 7; Salvation Army, 5; Lutheran, 6; Church of Christ, 3; Theosophists, 2; no religion, 11; various, 3. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 987 5 0 Rations ... ... ... 1,331 1 I From Government ... ... 2,561 1 4 Wines, spirits, ale, and porter ... 37 12 2 Local bodies ... ... . ... 1,711 4 9 Surgery and dispensary ... 553 15 6 Subscriptions and donations ... 29 8 0 Fuel and light ... ... 478 3 1 Bequest ... ... ... 3 8 10 Bedding and clothing ... ... 89 4 9 Rents ... ... ... 1,234 6 0 Furniture and earthenware ... 74 18 1 Patients'payments ... ... 754 4 7 Salaries and wages ... ... 1,664 2 0 Other sources (principal items — Water-supply ... ... 170 15 7 Charitable Aid Board — Half- Funerals ... ... ... 23 0 3 share office rent, £32 10s.; Repairs ... ... ... 192 6 0 medical attendance and medi- Additions to buildings ... ... 4 4 10 cine, £150) ... ... 185 1 3 Printing, advertising, postage, and stationery ... ... ... 42 14 2 Interest ... ... ... 75 0 0 Insurance ... ... ... 23 14 0 Other expenses (principal items— x-' Cab-hire and cartage, £26 18s. 3d.; installing gas for heaters, £14 17s. 2d.; road culverts, £12 75.; office-rent, £65) ... 144 11 11 Total ... £7,465 19 9 Total . . £4,905 3 5 Visited in October, 1907, and January, 1908. On the occasion of my second visit there were very few chronic cases. Some four consumptive patients were sleeping on the ward-verandahs. The wards are excellent in design and structure, this being quite one of the best-built hospitals in the Dominion. The women and children's ward is of more recent date; it contains twenty-two beds and some cots. A few alterations have been made in the theatre during the year. The fever wards were empty. The appointments of this Hospital throughout are excellent. The Hospital is very well managed. Dr. Fergus is extremely attentive and zealous in his duties, and as a Matron, Miss McKenny is all that can. be desired. There are twenty-one nurses, one of whom, Miss McMaster, passed first in the last State examination. Miss McKenny has not forgotten to instil into the nurses some of the first principles of hospital economics.

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6. NAPIER HOSPITAL. Governing body : Napier Hospital Trustees. Honorary medical staff: Drs. Bernau, Moore, Leahy, and Edgar. Stipendiary medical staff : Drs. Moore and Brett. Nursing staff: Matron, Miss Edwards; 3 registered nurses and* 13 probationers. Domestic staff : 1 cook, 3 wardsmaids, 2 housemaids, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 40; for females, 14: total 54 (and 9 beds in scarlet-fever ward). Number of patients under treatment during year: In-patients- —males 377, females 196 - total 573; out-patients, 360. In-patients : Average days' stay, 25; average daily cost per head, 6s. lid. (cost after deducting patients' payments, 6s. 4|d.). Percentage of cost of administration on maintenance expenditure, 39'5. Localities from which patients came : Hawke's Bay and surrounding districts. Nationality of patients: New-Zealanders, 294; English, 131; Scotch, 40; Irish, 57; Australian, 25; German, 3; Scandinavian, 8; Tasmanian, 4; various (under 2 each), 11. Religion: Church of England, 322; Roman Catholic, 115; Presbyterian, 84; Wesleyan, 21; Lutheran, 7; Salvation Army, 6; Baptist, 7; Congregationalist, 3; Seventh-day Adventists, 4; various, 4. Receipts and Expenditure for the Year ended 31sc March, 19u8. Receipts. £ s. d. Expenditure. £ s. d" Balance from last year ... ... 7,650 3 10 Rations ... ... ... 1,465 17 5 From Government ... ... 3,715 15 11 Wines, spirits, ale, and porter ... 65 15 6 Local bodies .. ... ... 1,475 0 0 Surgery and dispensary ... 664 14 10 Subscriptions and donations ... 1,194 5 3 Fuel and light ... ... 459 13 5 Bequest ... ... ... 200 Equipment ... ... ... 224 9 2 Rents ... ... ... 77 5 6 Salaries and wages ... ... 1,977 11 7 Patients' payments ... ... 375 15 6 Water-supply ... ... ... 81 11 3 Drugs, charitable aid ... ... 77 16 0 Additions to buildings ... ... 467 5 6 Deposit charges ... ... 200 0 0 New buildings... ... ... 411 13 6 Interest, borough debentures ... 216 0 0 -Printing, advertising, postage, and „ Post-office Savings-bank 316 8 stationery ... ... ... 70 1 9 Deposit „ ... 1,420 0 0 Insurance ... ... ... 55 6 4 Treasury (extra attendance) ... 10 0 Commission .... ... ... 10 0 0 Balance, Bequest Account ... 31 6 7 Removal of rubbish ... ... 10 0 0 House-rent (doctor) ... ... 25 0 0 Aerated waters ... ... 11 13 0 Contingencies ... ... ... 47 19 10 Total ... £16,440 5 3 Total ... ...£6,048 13 1 Visited 13th and 14th February, 1908.—A great many changes have been brought about at this Hospital during the year. Dr. Moore has succeeded Dr. Wilson, and Dr. Brett has also been appointed Assistant Superintendent to help Dr. Moore to attend to the patients in the Hospital, and also to attend those in the establishment at Park Island. lam not confident that there was any special need for two resident medical men, but the Trustees stated that they had at times some difficulty in getting members of the honorary staff to attend emergency cases. When I visited the Hospital there were thirty-nine acute cases under treatment, and ten patients, mostly cases of senility, in a cottage adjoining the Hospital. Such cases will only be so accommodated until the ward for chronic cases is available, when those who do not require special hospital treatment will be transferred to the " Home "at Park Island. Owing to the unsuitability of some of the wards, those in use were somewhat overcrowded, and there is no doubt that there is justification for the considerable extensions that the Trustees have in view. The ward for chronic cases should be available for patients within the next six months, but as regards this care must be taken that none but suitable cases are to be admitted, otherwise it may become the resting-place for hospital loafers. On the completion of this ward the other extensions will be placed in hand on the "bit-by-bit " principle. I was glad to see that the Trustees had taken my recommendation with regard to acquiring a public road adjoining the Hospital, and levelling the site recently occupied by the Old Men's Home. This site is an ideal one for a hospital. I found everything in connection with the institution working harmoniously: there is no sign' of any friction between the Hospital staff and the Trustees, who observe a broad-minded superintendence over the institution. I was glad to hear from Dr. Moore that he is well satisfied with the work of Miss Agnes Hei, a Maori nurse, and that he had decided, therefore, to put her in charge of the operating-room.

7. WAIKATO HOSPITAL (HAMILTON). Governing body : Waikato Hospital and Charitable Aid Board. Resident medical staff : Dr. Douglas. Nursing staff : Matron, Miss Rothwell; 2 registered nurses and 13 probationers. Domestic staff: 3 cooks, 1 housemaid, 3 laundresses, 1 charwoman, 1 porter, 1 gardener. Number of beds available for males, 42; for females, 22 : total, 64.

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Number of patients under treatment during year: In-patients —male, 394, female, 173— total 567; out-patients, nil. In-patients: Average days' stay, 303; average daily cost per head, ss. 9d. (cost after deducting patients' payments, 4s. 6|d.). Percentage of cost of administration on maintenance expenditure, 34'7. Localities from which patients came: Waipa County, 90; Waikato, 84; Piako, 54; Raglan, 42; Kawhia, 12; Te Aroha, 17; Hamilton, 63; Cambridge, 17; King-country and Rotorua, 115; Auckland, 12; other districts, 17. Nationality of patients : New-Zealanders, 272; English, 112; Scotch, 29; Irish, 46; Welsh, 2; Australian, 35; Austrian, 6; Tasmanian, 4; Danish, 3; various (2 or under, each), 14. Religion: Anglican, 265; Roman Catholic, 102; Presbyterian, 90; Wesleyan, 30; Baptist, 10; Lutheran, 4; Methodist, 4; no religion, 12; various religions, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 5,091 6 2 Rations ... ... ... 1,422 14 0 Local bodies ... ... ... 2,736 5 0 Wines, spirits, ale, and porter ... 27 0 0 Subscriptions and donations ... 125 15 4 Surgery and dispensary ... 498 5 9 Rents ... ... ... .129 15 6 Fuel and light ... ... 352 3 6 Patients'payments ... ... 1,028 7 11 Bedding and clothing ... ... 57 15 4 Other sources ... ... 22 8 0 Furniture and earthenware ... 146 19 10 Balance (Building Fund and De- Salaries and wages ... ... 1,836 18 9 posit) ... ... ... 5,499 8 4 Water-supply ... ... 77 14 4 Funerals ... ... ... 8 8 0 Repairs ... ... ... 64 18 2 Additions to buildings, and new • buildings ... ... ... 7,631 9 9 Printing, advertising, postage, and stationery ... ... ... 77 9 4 Interest ... ... ... 187 14 0 Insurance ... 34 17 4 Other expenses (principal items— Patients in other hospitals, £212 15s. ; carting, £74 14s. 5d.; grounds, £67 2s. 6d. ; anaesthetics, £224 14s ) ... 715 14 8 Total ... £14,633 6 3 Total ... £13,140 2 9 * Visited 23rd July, 1907, and 17th March, 1908.—There were fifty-five patients in hospital at the time of my visit; six being tubercular and three enteric patients. There were three chronic cases. The new buildings are proceeding apace, and the Hospital will soon be one of the best and most complete of its kind in the Dominion. The new wards were in excellent order. Naturally with all these alterations going on there was a certain amount of confusion in the old wards, but when the buildings are complete the Hospital will maintain its reputation as one of the best-managed Hospitals in the Dominion. The Nurses' Home recently erected is most comfortable, and seems well planned and carried out without undue elaboration and expense. It provides accommodation for the larger nursing staff which will be required when the new building is finished.

8. SOUTHLAND HOSPITAL (INVERCARGILL). Governing body : Southland Hospital Trustees. Stipendiary medical staff: Dr. Hendry. Nursing staff : Matron, Miss Ewart; 4 registered nurses and 10 probationers. Domestic staff : 2 cooks, 1 kitchenmaid, 2 housemaids, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 41; for females, 21: total, 62. Number of patients under treatment during year: In-patients—male 390, female 176—total 566; out-patients, 1,316 (number of attendances, 1,464). In-patients: Average days' stay, 33'5; average daily cost per head, 4s. B|d. (cost after deducting patients' payments, 3s. 10Jd.). Percentage of cost of administration on maintenance expenditure, 37'8. Localities from which patients came : Southland, Lake, Fiord, and Stewart Island. Nationality of patients: New-Zealanders, 299; English, 68; Scotch, 78; Irish, 64; Australian, 23; Tasmanian, 12; Scandinavian, 8; German, 5; various, 9. Religion: Church of England, 166; Presbyterian, 244; Roman Catholic, 100; Methodist, 25; Primitive Methodist, 12; Baptist, 5; Salvation Army, 3; Church of Christ, 3; various, 8.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. ' £ s. dProm Government ... ... 2,262 10 0 Rations ... ... .. 1,254 0 9 From Government (subsidy on Wines, spirits, ale, and porter ... 8 14 0 subscriptions) ... ... 848 5 6 Surgery and dispensary ... 390 19 10 Local bodies ... ... 2,262 10 0* Fuel and light ... ... 402 15 8 Subscriptions and donations ... 684 5 5 Bedding and clothing ... ... 218 16 3 Bequests ... ... ... 100 18 9 Furniture and earthenware ... 414 12 6 Rents ... ... ... 310 Salaries and wages ... ... 1,693 13 2 Patients' payments ... ... 761 1 7 Water-supply ... ... 52 2 0 Gaol attendance ... ... 50 0 0 Funerals ... ... ... 25 0 0 Attendance at Old Men's Home 65 0 0 Repairs ... ... ... 160 2 9 Rebate ... ... ... 0 18 4 New buildings ... ... 2,428 1 0 Printing, advertising, postage, and stationery ... ... 32 17 4 Insurance ... ... ... 29 911 Commission ... ... ... 0 10 0 Removal of ashes, sanitary ... 33 0 6 Extras ... 36 7 7 Total ... ... £7,038 10 7 Total ." £7,181 3 3 Visited 13th June, 1907, and 27th February, 1908. —There were forty-two cases in hospital— thirty-four men and eight women. The men's ward, containing sixteen beds, was occupied by fifteen patients, medical and surgical. As there is another ward of the same size upstairs it seemed a pity not to divide the medical and surgical cases.. The upstairs ward is used for convalescents, and as all the patients there are up and able to go downstairs to the men's dining-room it minimises the work considerably. There is a small ward with three beds downstairs worked in conjunction with the other wards. A bad feature in this small ward is a sink in one corner which is most unnecessary. The bathrooms and lavatories of these wards are fairly new and well fitted. A great inconvenience is that the nurses must carry the bed-pans to one place to empty them, then across the yard again to the washing-sink. The women's ward is smaller, containing eight beds, which are occupied with medical and surgical cases. The bathrooms here are not so modern, but are in excellent order. lam glad to hear that there is every probability of a new theatre being erected —it is badly needed. The outpatient department, with x-ray room attached, is very satisfactory, as are, indeed, all the offices connected with the institution. The Nurses' Home, opened a few months ago, is most comfortable, and is planned for the greatest convenience in working. Each nurse has her own room. There are good bathrooms and a pleasant sitting-room. The dining-room is ample, and tastefully furnished. The Matron's quarters are in the Home. t

9. PALMERSTON NORTH HOSPITAL. Governing body : Palmerston North Hospital and Charitable Aid Board. Stipendiary medical staff : Drs. Martin and Wilson, and Dr. Maclntyre, anaesthetist. Nursing staff: Matron, Miss McLaggan; 5 registered nurses and 10 probationers. Domestic staff: 1 cook, 2 wardsmaids, 2 laundresses, 1 porter, 2 gardeners. Number of beds available for males,'24; for females, 25: total, 49 (and 18 beds in fever hospital). * Number of patients under treatment during year : In-patients —male 332, female 205—total 537 : out-patients, nil. In-patients: Average days' stay, 26; average daily cost per head, 6s. (cost after deducting patients' payments, 4s. 6d.). Percentage of cost of administration on maintenance expenditure, 35'4. Localities from which patients came: Palmerston North, 457; Wanganui, 23; Wellington, 25; Hawera, 2; New Plymouth, 1; Stratford, 1; Auckland, 1; Napier, 12; Dannevirke, 6; Masterton, 1; Nelson, 2; Oamaru, 1; Christchurch, 3; Dunedin, 1; Reefton, 1. Nationality of patients: New-Zealanders, 312; English, 99; Scotch, 31; Irish, 26; Australian, 36; Canadian, 2; Danish, 7; Norwegian, 5; Swedish, 4; German, 4; Finn, 1; Swiss, 3; Spanish, 1; Assyrian, 3; Chinese, 3. : Religion: Church of England, 232; Presbyterian, 103; Wesleyan, 47; Methodist, 11; Congregationalist, 7; Lutheran, 14; Brethren, 12; Baptist, 6; Salvation Army, 4; Roman Catholic, 94; no religion, 2; various, 5. t ,

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Receipts and Expenditure for the Year ended 3.lst March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year... ...2,737 16 9 Rations ... ... 798 13 9 From Government ... ... 3,788 14 11 Wines, spirits, ale, and porter . . 24 5 0 Local bodies ... ... ... 1,780 1 2 Surgery and dispensary .., 455 2 6 Subscriptions and donations ... 301 16 5 Fuel and light ... 492 10 8 Bequest ... ... ... 3 810 Bedding and clothing ... ... 189 0 3 Patients'payments ... ... 1,046 0 2 Furniture and earthenware 272 0 10 Other sources (principal items — Washing and laundry ... ... 92 4 3 Hire of ambulance for private Salaries and wages ... ... 1,547 1 2 use, £10 lis. 6d.; sale of cow, Funerals ... ... ..- 13 18 0 £5 os. 9d. ; contractors' de- Repairs ... 89 12 0 posits, £37) ... ... 53 7 9 Additions to buildings ... ... 876 10 0 New buildings ... ... 2,435 2 10 Printing, advertising, postage, and stationery ... ... ... 70 6 2 Interest ... ... ... 0 14 0 Insurance ... ... ... 59 4 10 Other expenses (principal items— Deposit on purchase of land, £70 ; maintenance and improvement of grounds, £126 165.; working ambulance - van, £21 18s. 3d. ; repairs to ambulancevan, £27 lis. 6d.; members' travelling-expenses, £38 os. 4d.; contractors' deposits, £127 10s.) 458 19 2 Total ... ...£9,711 6 0 Total .., £7,875 5 5 Visited 24th April, 1907, and 25th December, 1907.—Great changes have been made at this Hospital during the year. The ward that was once used for gynaecological cases, and which was not suitable for operation cases, is now being used for old men, two malignant cases being there. The new wards were opened on the 25th September. They are very complete in every detail, as are also the bathrooms and lavatories. They are warmed by radiators, heated by steam from a small furnace. The erection of a new operating-room is under consideration. A new system for the sisters has been instituted by Miss Doherty, three being on day and one on night duty. It seems to work very satisfactorily. Improvements are projected in the kitchen and laundry : both are badly needed. I regret to state that Miss Doherty, who has done such splendid service for this institution, has resigned. The Hospital is very well managed.

io. Thames hospital. Governing body : Thames Hospital Trustees. Resident medical staff : Dr. Walsh. Nursing staff: Matron, Miss Stewart; 4 registered nurses and 7 probationers. Domestic staff : 1 cook, 1 housemaid, 1 laundress, 1 porter, 1 gardener. Number of beds available for males, 36; for females, 18 : total, 54. Number of patients under treatment during year : In-patients—male 358, female 155—total 513; out-patients, 430 (number of attendances, 2,959). In-patients: Average days' stay, 28; average daily cost per head, 3s. 4Jd. (cost after deducting patients' payments, 25.). Percentage of cost of administration on maintenance expenditure, 36'7. Localities from which patients came : Waihi Hospital District, 3; Waikato Hospital District, 5; Thames Hospital District, 505. Nationality of patients: New-Zealanders, 333; English, 82; Scotch, 22; Irish, 36; Australian, 19; Austrian, 3; United States, 4; Scandinavian, 2; various, 12. Religion : Church of England, 245; Roman Catholic, 118; Presbyterian, 69; Primitive Methodist, 9; Baptist, 10; Congregationalist, 5; Wesleyan, 46; Salvation Army, 4; various, 7,

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 1,440 10 6 Rations ... ... ... 532 1110 From Government ... ... 877 9 5 Wines, spirits, ale, and porter ... 7 7 6 Local bodies... ... ... 877 9 5 Surgery and dispensary ... 169 18 7 Subscriptions and donations ... 163 0 0 Fuel and light ... ... 155 611 Bequest ... ... ... 130 0 0 Bedding and clothing, furniture, Rents ... ... ... 40 4 0 and earthenware ... ... 163 4 6 Patients'payments ... ... 1,040 18 7 Salaries and wages ... ... 1,125- 5 5 Interest ... ... ... 22 9 9 Chloroform fees ... ... 136 10 0 Charitable Aid Board, for medi- Water-supply and rates ... 57 0 4 cine supplied to district Home 10 0 0 Funerals ... ... ... 2 16 6 Repairs ... ... 4 118 Additions to buildings... ... 388 17 2 Sanitary drainage - works, septic tank, and w.c.'s ... ... 288 6 9 Printing, advertising, postage, and stationery ... ... 58 12 4 Interest ... ... ... 026 Insurance ... ... ... 31 5 1 Purchase of land adjoining hos-pital-site ... ... ... 950 0 0 Garden and grounds ... ... 13 16 9 Miscellaneous ... ... 12 13 6 Rent ... ... ... 10 0 0 Sanitary service ... ... 16 0 0 Legal expenses ... ... 10 18 2 Travelling-expenses, members ... 34 4 0 Total ... . .£4,602 1 8 Total ... ... £4,169 9 6 Visited 14th March, 1908.—There were thirty-three patients in the Hospital at the time of my visit : one was a case of chronic neuritis which had been in hospital four years, but she makes herself very useful in helping the Matron with needlework, &c. Another patient with chronic gastritis had been in over a year : enterostomy had been recently performed. Another chronic case had been in over four months. There were five cases of typhoid. The Hospital was in excellent order. In fact, this Hospital may be safely regarded as one of the best-managed institutions in the Dominion. It stands in the centre of the town on a section of about 2 acres. This is naturally a great-drawback, but recently the Trustees have been fortunate enough to acquire about half an acre adjoining the Hospital. On this it is proposed to erect a small isolation building, and shelters for consumptive patients. A closed-in verandah has recently been erected off the women's ward. This is much used by convalescents. The drainage is treated in a septic tank, which seems to be working well.

11. GISBORNE HOSPITAL. Governing body : Gisborne Hospital Trustees. Stipendiary medical staff : Dr. Wilson. Nursing staff : Matron, Miss Stewart; 2 registered nurses and 8 probationers. Domestic staff: 1 cook, 1 wardsma-rd, 1 housemaid, 2 laundresses, N l gardener. Number of beds available for males, 33 ; for females, 20 : total, 53. Number of patients under treatment during year : In-patients—male 367, female 141—total 508; out-patients, nil. In-patients: Average days' stay, 24'33; average daily cost per head, ss. sfd. (cost after deducting patients' payments, 4s. 7d.). Percentage of cost of administration on maintenance expenditure, 34'9. Localities from which patients came : Cook County and Borough of Gisborne. Nationality of patients: English, 60; Irish, 41; Scotch, 24; Welsh, 4; Australian, 41; New-Zealanders, 317; Tasmanian, 11; Canadian, 2; American, 4; German, 2; Scandinavian, 1 ; Russian, 3.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 427 4 1 Rations ... "... ... 629 1 1 From Government ... ... 1,754 13 2 Wines, spirits, ale, and Dorter ... 9 4 6 Local bodies ... ... ... 1,428 15 0 Surgery and dispensary ' ... 446 19 6 Subscriptions and donations ... 298 16 0 Fuel and light ... ... 219 19 0 Rents ... ... ... 25 14 0 \ Bedding and clothing ... ... 13111 5 Patients'payments ... ... 565 410 j Furniture and earthenware ... 266 12 3 Interest on mortgage ... ... 24 0 0 Salaries and wages ... ... 1,361 9 3 Bank overdraft ... ... 272 710 j Repairs and improvements ... 236 11 4 Additions to buildings, and new buildings ... ... ... 279 15 6 Printing, advertising, postage, and stationery ... ... 79 7 2 Interest ..." ... ... 8.90 Insurance ... ... ... 43 17 5 Commission ... ... ... 2 19 0 Sanitation ... ... ... 30 911 Land-purchase ... 607 10 0 Miscellaneous ... ... 29 10 7 Rent ... ... ... 13 8 0 Total .. ... £4,796 14 111 Total ... ... £4,396 14 11 Visited 24th to 28th February, 1908. —There were forty-one cases in hospital—twenty-nine men and twelve women. Six patients were in various stages of enteric fever, one being a registered nurse. There were two chronic cases—a mental case and one of tabes dorsalis. The former had been in the institution two }-ears, the latter six months. I represented to the Trustees the desirability of discharging such patients, as the demand for the accommodation of acute cases is steadily increasing. In fact, under Dr. Wilson, the recently appointed Medical Superintendent, the Hospital is working so smoothly and is so well managed that it has already regained the confidence of the public, which it had lost in some measure under the old regime. I was occupied for some days in an inquiry into a case of alleged neglect of a patient under the old management, but the charge could not be sustained. The Hospital wards were in extremely good order, but the grounds were not well kept. I interviewed the Trustees regarding certain necessary improvements, which will doubtless be carried out.

12. TIMARU HOSPITAL. Governing body : South Canterbury Hospital and Charitable Aid Board. Honorary medical staff : Drs. Drew, Dryden, Talbot, and Gibson. Stipendiary medical staff : Dr. Bett. Nursing staff: Matron, Miss Todd; 5 registered nurses and 11 probationers. Domestic staff : 1 cook, 1 kitchenmaid, 3 wardsmaids, 3 housemaids, 1 laundress, 1 porter, 1 gardener, 1 laundry engineer, 1 carpenter. Number of beds available for males, 42; for females, 32 : total, 74. Number of patients under treatment during year: In-patients —male 309, female 155—total 464; out-patients, 282 (number of attendances, 615). In-patients: Average days' stay, 31*6; average daily cost per head, 7s. 3d. (cost after deducting patients' payments, 6s. 5d.). Percentage of cost of administration on maintenance expenditure, 36'7. Localities from which patients came: Counties of Levels, Geraldine, Waimate, and McKenzie, and Boroughs of Timaru, Temuka, Waimate, and Geraldine; shipping, 3; and casuals, 29. Nationality of patients : Australian, 16; Irish, 65; Scotch, 28: Tasmanian, 2; German, 5; Swiss, 2; English and New-Zealanders, 289 ; various, 6. Religion : Church of England, 151 ; Presbyterian, 98; Roman Catholic, 95: Salvation Army. 7; Methodist, 45; Brethren, 8; Church-of Christ, 4; various, 4. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 3,343 18 1 Rations ... ... ... 1,798 10 5 Local bodies ... ... ... 2,661 4 4 Wines, spirits, ale, and porter ... 16 13 0 Subscriptions and donations ... 360 11 6 Surgerv and dispensarv ... 346 4 4 Bequest .. ... ... 500 0 0 Fuel and light ' ... ..-. 466 18 9 Patients'payments ... ... 553 1 6 Bedding and clothing ... ... 42 5 4 Rent of morgue ... ... 3 0 0 Furniture and earthenware ... 88 17 11 Salaries and wages ... ... 1,695 5 8 Water-supply... ... ... 36 17 9 Funerals ... ... ... 1200 Repairs ... ... ... 178 15 8 New buildings... ... ... 2,662 7 0 Printing, advertising, postage, and stationery ... ... ... 53 6 0 Insurance ... ... ... 23 13 7 Total ... ...£7,421 15 5 Total ... ...£7,421 15 5

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Visited 27th March, 1908. —Owing to my representations to the Medical Officer to keep the Hospital as far as possible for acute cases only, there has been a falling-off in the admissions to this institution. There were thirty-five patients in hospital, including six patients in various stages of consumption, and four other tubercular cases. A case of hemiplaegia has been in the institution four and a half years. The new operating-theatre is not yet complete. A six-bed children's ward is in course of erection. An excellent laundry with modern plant is now in working-order, and it will be interesting to know if it will effect the economy anticipated. I was glad to note that better means had been taken to ventilate the wards. I have written to the Board suggesting that when the new operating-theatre is finished the out-patients' dressings should be prepared in the old operating-theatre, instead of in the ward bathroom, as is now the case. The institution was in admirable order; it is administered without friction, and is a credit to all concerned. As compared with other hospitals, the expenditure on rations seems very high.

13. NEW PLYMOUTH HOSPITAL. Governing body : Taranaki Hospital and Charitable Aid Board. Stipendiary medical staff : -Dr. Leatham and Dr. Walker. Nursing staff: Matron, Miss Browne; 4 registered nurses and 10 probationers. Domestic staff : 1 cook, 2 housemaids, 2 laundresses, 1 porter, 2 gardeners. Number of beds available for males, 28; for females, 24: total, 52 (and 6 beds in isolation ward). Number of patients under treatment during year : In-patients—male 263, female 168—total 431 ; out-patients, nil. In-patients: Average days' stay, 31"4; average daily cost per head, 6s. lfd. (cost after deducting patients' payments, 3s. OJd.). Percentage of cost of administration on maintenance expenditure, 32'9. Localities from which patients came: Taranaki County, 138; New Plymouth, 107; W'aitara, 34; Clifton. County, 17; Egmont County, 11; Fitzroy, 4; Inglewood, 31; Stratford, 32; Hawera, 39; Wellington, 4; Auckland, 4; Dunedin, 3; Nelson, 3; Canterbury, 2; Palmerston, 2. Nationality of patients: New-Zealanders, 280; English, 66; Irish, 28; Scotch, 20; Australian, 7; German, 4; Danish, 4; Madeira, 9; various (under 3 each), 13. Religion: Church of England, 229; Roman Catholic, 64; Presbyterian, 50; Wesleyan, 48: Methodist, 20; Baptist, 6; Salvationist, 7; Brethren, 5; Lutheran, 1; Church of Christ, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d' Balance from last year ... ... 984 611 Rations ... ... ... 844 16 11 From Government ... ... 2,398 4 1 Wines, spirits, ale, and porter ... 16 9 0 Local bodies ... ... ... 1,502 10 9 Surgery and dispensary ... 711 19 7 Subscriptions and donations ... 466 1 3 Fuel and light ... ... 389 710 Rents ... ... ... 57 8 0 Bedding and clothing ... ... 124 4 3 Patients'payments ... ... 2,104 8 8 Furniture and earthenware ... 119 7 2 Other sources (principal items— Washing and laundry ... ... 108 17 6 Refund provisions, £759 4s. 6d.; Salaries and wages ... ... 1,311 13 3 nurses' services, £10 125.; Water-supply ... ... 10 0 0 funerals, £10 19s. 2d.; con- Repairs ... 267 17 0 tractors' deposits, £37) ... 853 17 11 New buildings ... ... 838 13 9 Printing, advertising, postage, and stationery ... ... ... 50 1 10 Insurance ... . . ... 30 0 0 4 Commission ... ... ... 20 13 6 Other expenses ... ... 131 4 6 Total ... ...£8,36« 17 7 Total ... ...£4,975 6 l

Visited 4th and 6th January, 1908. —An excellently administered institution, directly under the control of the Taranaki Hospital and Charitable Aid Board. At the time of my visit there were twenty-three patients, all more or less acute cases. A good deal of operation-work of a high order is done here by Drs. Leatham, Walker, and Wylie, the two former being on the stipendiary staff. All concerned in the management are to be congratulated on the absence of friction with which the institution is conducted, and it rightly has the entire confidence of the district. The nursing staff consists of Miss Brown, four registered nurses and ten probationers. This seems somewhat large for a hospital of the size, but the extra staff for the consumptive, annexe and the infectious block must be taken into consideration; besides, the nature of the buildings and the size of the wards do not tend to an economical management. Though old, the building is sanitary in every particular; nevertheless, one would think that work of such a high order would be worthy of better buildings and accessories, arid it remains to be seen whether the Taranaki public will not rise to the occasion and subscribe generously towards a new building worthy of a go-ahead and prosperous district. At the time of my visit the House Committee consulted Dr. Frengley and myself with regard to increased accommodation for infectious cases; and after considerable discussion it was determined not to erect new buildings for such cases, but to build increased accommodation at the

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Nurses' Home, so that a building now used as a bedroom for four nurses could be used for infectious cases, until the Board was prepared to erect an up-to-date infectious-diseases hospital. For a hospital of this size the maintenance fees collected show the independence and thriftiness of the residents of the district, to say nothing of the energy and aptitude of the Secretary, Mr. Lepper

14. WAIPAWA HOSPITAL. Governing body: Waipawa District Hospital Board. Stipendiary medical staff : Dr. Godfray. Nursing staff: Matron, Miss Carston ; 4 registered nurses and 2 probationers. Domestic staff: 1 cook, 1 scullerymaid, 2 housemaids, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 30; for females, 12: total, 42. Number of patients under treatment during year : In-patients—male 264, female 85—total 349; out-patients, nil. In-patients: Average days' stay, 25'9; average daily cost per head, ss. 9£d. (cost after deducting patients' payments, 4s. B|d.). Percentage of cost of administration on maintenance expenditure, 45'3. Localities from which patients came: Bush, 85; Dannevirke, 18; Waipukurau, 72; Waipawa, 35; Kaikora and coast, 13; Te Aute, 11; Onga Onga, 7; Tikokino, 17; Woodville, 10j Porangahau, 22; Hastings, 19; Napier, 8; various localities, 23. Nationality of patients: English, 74; New-Zealanders, 168; Scotch, 25; Irish, 28; Australian, 18; Scandinavian, 11; German, 4; Danish, 4; various (under 2 each), 17. Religion: Church of England, 189; Salvationist, 7; Presbyterian, 52; Roman Catholic, 63; VVesleyan, 12; Methodist, 4j Lutheran, 18; Brethren, 3; Baptist, 1; Adventist, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. ] Expenditure. £ s. d. Balance from last year ... ... 174 5 4 ; Rations ... .. ... 700 4 2 From Government ... ... 3,000 9 0 I Wines, spirits, ale, and porter ... 611 6 Local bodies ... ... ... 1,456 1 3 Surgery and dispensary ... 178 4 6 Subscriptions and donations ... 131 17 1 Fuel and light ... ... 188 19 1 Patients'payments ... ... 473 7 1 Bedding and clothing ... ... 39 9 0 Other sources ... ... ... 11 10 11 Furniture and earthenware, includProceeds from bazaar ... ... 926 19 11 ing repairs ... ... ... 332 5 6 Washing and laundry ... ... 39 0 0 Salaries and wages ... ... 1,322 18 6 Funerals ... ... ... 17 3 0 Additions to buildings . ... 711 9 3 Printing, advertising, postage, and stationery ... ... ... 13 7 8 Insurance ... ... ... 24 6 1 Other expenses ... ... 33 3 0 Nightsoil contract ... ... 53 5 3 Total ... ...£6,174 10 6 Total ... ...£3,660 6 6 Visited 11th January, 1908.—As might be expected, the opening of a hospital at Dannevirke has somewhat lessened the demands on this Hospital, especially in regard to medical cases, though the surgery has in no way diminished, but the Hospital is nevertheless fulfilling a very useful purpose; in fact, so much so, that it was only to be expected that the Trustees are considering the erection of a new hospital in place of the present building. Since my last visit considerable improvements have been effected in the sanitary offices, and the plumbing and drainage arrangements, which had been a long-standing,reflection on the Hospital, have been materially improved, though even yet the sink-wastes in the operating-theatre are not trapped. The male-wards are quite good, but new women's wards are badly needed. A good many operations are done in this Hospital, and the results are good ; the number of eye-operations also is above the average. This institution is very well managed, and is deserving of a better building. Mr. Jull, the Chairman of the Board, takes a great interest in the institution, and his experience in hospital matters has been of great value to the district. Dr. Godfray has been granted nine months' leave of absence, during which his place will be taken by Drs. Reid and Wilson.

15. NELSON HOSPITAL. Governing body: Nelson Hospital and Charitable Aid Board. Resident medical staff : Dr. Mackay. Nursing staff: Matron, Miss Field; 3 registered nurses and 11 probationers. Domestic staff : 1 cook, 1 wardsmaid, 1 housemaid, 2 laundresses, 1 general servant, 1 porter, 1 gardener.

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Number of beds available for males, 36; for females, 30: total, 66. Number of patients under treatment during year: In-patients —males 212, females 131— total 343; out-patients, 157 (number of attendances, 861). In-patients: Average days' stay, 53£; average daily cost per head, 3s. sd. (cost after deducting patients' payments, 2s. 9£d.). Percentage of cost of administration on maintenance expenditure, 41*2. Localities from which patients came: Waimea, 321; Wellington, 6; Reefton, 2; Lyttelton, 2; Dunedin, 2; Palmerston North, 2; Greymouth, 2; Westport, 6. Nationality of patients: New-Zealanders, 228; English, 63; Scotch, 7; Australian, 10; Tasmanian, 3 ; Irish, 16 ; various nationalities (under two each), 16. Religion: Church of England, 169; Roman Catholic, 64; Baptist, 13; Presbyterian, 27; Wesleyan, 38; Congfegationalist, 6; Brethren, 8; Lutheran, 3; Salvation Army, 5; Church of Christ, 6; various, 4. Receipts and Expenditure I'ol- the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ...1,635 14 10 Rations ... "... ... 813 10 6 Local bodies ... .. ... 1,219 5 0 Wines, spirits, ale, and portei' ... 9 2 0 Subscriptions and donations ... 179 5 6 Surgery and dispensary ... 371 7 1 Rents ... ... ... 197 3 4 Fuel and light ... ... 250 0 1 Patients'payments ... ... 636 18 1 Bedding and clothing ... ... 135 0 8 Other sources ... ... ... 10 5 0 Furniture and earthenware ... 215 13 11 Salaries and wages ... ... 1,432 0 11 Water-supply... ... ... 17 0 0 Funerals ... ... ... 6 7 0 Repairs ... ... ... 208 19 7 Additions to buiiuiiigs ... ... 139 2 3 Printing, advertising, postage, and stationery ... ... ... 42 16 3 Insurance ... ... ... 17 15 0 Other expenses (principal items— Garden, £33 7s. 7d. ; consumptive annexe, £2 Bs. 6d. ; miscellaneous, £22 10s. 2d.) ... 58 6 3 Total ... - ...£3,878 11 9 Total ... ...£3,717 1 6 Visited 7th December, 1907.—At the time of my visit there were forty patients. Though old, the two main wards are in a fairly good state of preservation, but the verandahs show signs of decay. The wards were well kept, but the sanitary annexes were not so satisfactory on account of old apparatus, the baths being especially primitive. The operating-theatre is a room of no pretensions, and particularly ill situated as regards convenience to the main building. I believe the Board intend making some improvements in the operating-theatre, but this, I think, would be a waste of money, as a new theatre is badly needed. The kitchen has recently been provided with a new range. The consumptive annexe contained eight patients (five men and three women), there being accommodation for fourteen. It seems to be well kept, and has been a great benefit to the district. On account of the limited space the patients are somewhat hampered with regard to exercise. It is to be hoped that patients will assist the Board and nurses by keeping the grounds in good order, as light work can be done by some, with advantage to themselves. It is a pity that some of the walls in the annexe were papered instead of being lined with some readily washable substance. One mental case in the women's ward should be removed to the asylum.

16. WAIHI HOSPITAL. Governing body: Waihi Hospital Trustees. Stipendiary medical staff: Dr. Robertson. Nursing staff: Matron, Miss Macgregor; 2 registered nurses and 10 probationers. Domestic staff: 1 cook, 1 wardsmaid, 1 housemaid, 1 laundress, 1 porter, 1 gardener. Number of beds available for males, 20; for females, 16: total, 36. Number of patients under treatment during year : In-patients—male 210, female, 132—total, 342; out-patients, nil. In-patients: Average days' stay, 21*11; average daily cost per head, 7s. IOJd. (cost after deducting patients' payments, 6s. sfd.). Percentage of cost of administration on maintenance expenditure, 35'04. Localities from which patients came: Waihi, 237; Thames, 92; Tauranga, 9; Auckland, 1; Hamilton, 1; Gisborne, 1; AVhangarei, 1.

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Nationality of patients: New Zealand, 190; Australia, 44; England, 51; Ireland, 29; Scotland, 13; Wales, 2; America, 2; Tasmania, 6; Denmark, 3; Germany, 1; West Indies, 1. Religion: Anglican, 141; Roman Catholic, 85; Presbyterian, 64; Methodist, 38; Salvation Army,'6 ; Baptist, 5; Jewish, 1; Church of Christ, 1; Spiritualist, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 1,736 11 3 Rations ... ... ... 563 811 Local bodies ... ... ... 1,500 0 0 Wines, spirits, ale, and porter ... 34 8 6 Subscriptions and donations ... 224 7 4 Surgery and dispensary ... 376 15 9 Patients'payments ... ... 498 2 6 Fuel and light... ... ... 333 010 Contractors' deposits ... ... 7 0 0 Bedding and clothing ... ... 127 16 0 Sundry receipts ... ... 4 14 6 Furniture and earthenware ... 98 4 1 Salaries and wages ... ... 1,146 6 5 Water-supply ... ... 500 Funerals ... ... ... 3 0 0 Repairs, additions to buildings, and new buildings ... ... 225 12 2 Printing, advertising, postage, and stationery ... ... ... 49 8 6 Interest ... ... ... 11 0 0 Insurance ... 24 17 10 Other expenses (principal items — Grounds-improvement, £63 Bs. lOd , «-ray apparatus, £194 16s. lOd. ; water-power, £88 2s. 4d.; ambulance, £18 16s. Bd. ; anaesthetics, £90 65.) ... 539 4 5 Balance due to Bank, 31st March, 1907 ... ... ... 98 8 0 Total .... ...£3,970 15 7 Total ... ...£3,636 11 5 Visited 14th October, 1907, and 16th March, 1908.—There were thirty patients in hospital, all but one being acute cases. From the outside this is not a bad building, but it is ill constructed and difficult to work, needing a large staff. Considerable improvements are needed in the operating-room —in fact, the building of a new theatre is contemplated. Since its establishment in 1903 this Hospital has been the scene of dissensions, which gained it an unenviable notoriety throughout the Dominion. Last October these dissensions culminated in an inquiry. There is no need to go into details, but it was thought fit to make certain alterations in the personnel of the staff. Consequently Dr. Robertson, F.R.C.S., Eng., was appointed Superintendent, and Miss Janet Macgregor Matron. Since the appointment of these officers matters have gone smoothly and well. The admissions to the Hospital have doubled, and the Trustees, benefiting by previous experience, have evidently decided to give their officers the fullest scope possible. It was quite a pleasure to visit this Hospital last March, and note the difference in the institution under the present regime. With the present staff such a satisfactory state of affairs is bound to continue, provided there is no undue interference.

17. GREY RIVER HOSPITAL. Governing body: Grey River Hospital Trustees. Honorary medical staff : Drs. Mcßrearty and McKay. Stipendiary medical staff : Dr. Morice. Nursing staff: Matron, Miss Thurston ; 2 registered nurses and 8 probationers. Domestic staff: 2 cooks, 2 wardsmaids, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 50; for females, 10 : total, 60. Number of patients under treatment during year : In-patients—male 250, female 55—total 305; out-patients, 149 (number of attendances, 608). In-patients: Average days' stay, 66"44; average daily cost per head, 4s. Ofd. (cost after deducting patients' payments, 2s. llfd.). Percentage of cost of administration on maintenance expenditure, 36'3. Localities from which patients came: Grey County, 151; Grey Borough, 105; Brunner Borough, 19; shipping, and beyond county, 30. Nationality of patients: Great Britain and Ireland, 146; Europe, 22; New Zealand, 91; Australia, 30; America, 7; India, 2; China, 7. Religion: Church of England, 117; Roman Catholic, 105; Presbyterian, 52; Methodist, 13; Lutheran, 6; Salvation Army, 2; Hebrew, 1; Confucian, 7; Buddhist, 1; no religion, 1.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. i Expenditure. £ s. d. From Government — Dr. balance at beginning of year 287 15 3 Subsidy on donations ... 512 3 8 Rations ... ... ... 915 18 6 Through District Board ... 875 0 0 Wines, spirits, ale, and porter .. 33 13 9 Local bodies ... ... 875 0 0 Surgery and dispensary ... 276 5 5 Subscriptions and donations ... 361 12 11 Fuel and light ... ... 174 15 3 Bequest ... ... ... 326 17 0 Bedding and clothing ... ... 212 5 11 Patients'payments ... ... 1,099 8 6 Furniture and earthenware ... 81 19 9 Contributions for special purposes, Salaries and wages ... . . 1,332 7 0 including annual tickets ... 67 0 0 Funerals ... ... ... 25 4 0 Sundry ... ' ... ... 11 15 1 Repairs ... ... ... 236 15 9 Printing, advertising, postage, and stationery ... .... 82 10 9 Interest ... ... ... 30 3 9 Insurance ... ... ... 518 Cartage, freight, &c. ... ... 12 3 6 Sundries ... ... ... 6 14 1 Chimneys, garden, &c. ... 4 12 6 Refund to old-age pensioners ... 170 6 4 Total ... ...£4,128 17 2 Total. ... ...£3,888 13 2 Visited sth September and 16th December, 1907.—There were fifty-three patients in hospital, many of whom were chronic cases. The old part of this Hospital, mostly used for old-age pensioners and chronic cases, is very dilapidated and difficult to keep in order, but, under the circumstances, it was as clean as could be expected. The more modern part of the institution —begun in 1899 —was in excellent order. A room intended for convalescent patients was in use as a ward for female patients. The cell for delirium tremens cases is not well ventilated. Opening at the main corridor are the anaesthetic room and theatre, with walls of Keen's cement. The floors are of cement. The theatre is rather spoilt by two very large sinks and basins, supplied with hot and cold water, not sterilised. There is a good operating-table, which has been lent until a new one is imported. There was not a good steriliser for instruments and dressings. Along the corridor is a corresponding ward for surgical cases. Each ward has a kitchen attached, and a private room for special cases. One of these is at present used as the Matron's bedroom, pending the building of the administrative block and nurses' quarters. The kitchen and offices for the new hospital are finished, and will be a great improvement on the old ones. There are proper larders for meat and milk, a place for coals, and the boiler for hot-water supply is in this part. The laundry is fair; there is a good drying-room, with a stove for supplying the hot-water pipes. The laundress seemed a capable woman. The present nurses' quarters are scattered —some are accommodated in a little cottage formerly occupied by the Medical Superintendent; and there are cubicles in the old hospital. Here also are the maids' cubicles ; these will be utilised by the old-age pensioners when the new quarters are ready. I told the Medical Superintendent to keep the latter, as well as chronic cases, away from the new buildings as much as possible. This is a very well-managed institution.

18. WAIRAU HOSPITAL (BLENHEIM). Governing body: Wairau Hospital and Charitable Aid Board. Stipendiary medical staff: Dr. Bennett and Dr. Nairn (anaesthetist). Nursing staff: Matron, Miss Fulton; 3 registered nurses and 7 probationers. Domestic staff: 1 cook, 1 housemaid, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 31; for females, 13: total, 44. Number of patients under treatment during year: In-patients—male 185, female 88—total 273 ; out-patients, nil. In-patients: Average days' stay, 28; average daily cost per head, 7s. (cost after deducting patients' payments, ss. sfd.). Percentage of cost of administration on maintenance expenditure, 27*7. Localities from which patients came: Marlborough, 247; Nelson, 2; Wellington, 1; West Coast, 1 ; Christchurch, 1. Nationality of patients: New Zealand, 146; England, 44. Religion: Church of England, 145; Presbyterian, 30; Wesleyan, 10; Roman Catholic, 57; Salvation Army, 1 ; Mormon, 2; Church of Christ, 2; Baptist, 1 ; Freethinker, 2; Plymouth Brethren, 2.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. I Expenditure. £ s. d. Balance from last year ... 1,839 1 9 j Rations ... ... ... 639 7 8 From Government ... ... 1,624 2 2 I Wines, spirits, ale, and porter ... 45 16 9 Local bodies... ... ... 1,147 0 5 Surgery and dispensary ... 401 5 4 Subscriptions and donations ... 15 18 6 Fuel and light ... ... 268 19 7 Rents ... ... ... 600' Bedding, clothing, furniture, and Patients' payments ... ... 581 4 0 ! earthenware ... ... 459 17 4 Interest on fixed deposit ... 51 3 7 Salaries and wages ... ... 918 8 7 Miscellaneous ... ... 44 17 4 I Funerals ... ... ... 37 17 0 Repairs ... ... ... 569 1 2 Additions to buildings and improvements ... ... 384 10 0 Printing, advertising, postage, and stationery ... ... ... 43 13 10 Interest and insurance ... 3653 Cartage and cab-hire ... ... 26 14 6 Miscellaneous ... . . 18 10 0 Total , ... ... £5,309 7 9| Total ... ... £3,850 7 0 Visited 6th May, 1908.—There were nineteen patients on the occasion of my visit. The three male-wards, the female-ward, and side wards have recently been lined with Wunderlich steel, which gives them a good appearance, and seems to have answered well. There is now no talk of bugs. The Board has recently decided to provide the male and female wards with suitable sanitary conveniences. At present there is only one closet in the building. It is to be hoped that there is sufficient fall available to allow the installation of proper water-closets. There is no registered nurse in this institution other than the Matron, though I understand the Board have advertised for one. On the occasion of my visit the Hospital was in charge of a second-year probationer nurse. The wards were clean and well kept, but the closets inside and out were in an unsanitary state, suggesting that the pans were not emptied as often as could be desired. There is a well-found infectious-diseases ward here that can accommodate seven patients. There are seven shelters in the grounds, two of which were occupied.

19. OAMARU HOSPITAL. Governing body : Oamaru Hospital Trustees. Honorary medical staff: Drs. Whittnn, Douglas, McAdam, Stevens, and Liddle. Stipendiary medical staff: Dr. Garland. Nursing stafi: Matron, Mrs. Desmond; 1 registered nurse and 5 probationers. Domestic stafi : 1 cook, 1 kitchenmaid, 1 housemaid, 1 laundress, 1 gardener. Number of beds available for males, 24; for females, 14: total 38 (and 8 beds in children's ward). Number of patients under treatment during year: In-patients—male 179, female 70—total 249; out-patients, 78 (number of attendances, 785). In-patients: Average days' stay, 29 - 6; average daily cost per head, ss. (cost after deducting patients' payments, 3s. HJd.). Percentage of cost of administration on maintenance expenditure, 3708. Localities from which patients came: Waitaki County, 117; Oamaru, 94; north of Waitaki, 4; shipping, 3; Dunedin, 1; no residence, 2. Nationality of patients: New-Zealanders, 102; Irish, 37; Scotch, 32; English, 28; Australian, 13; Jerseymen, 2; Scandinavian, 3; sundry, 4. Religion: Presbyterian, 80; Church of England, 58; Roman Catholic, 53; Salvation Afmy, .4; Church of Christ, 5: Wesleyan, 13; Plymouth Brethren, 2; Baptist, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Beceipts. £ s. d. Expenditure. £ g. d. Balance from last year ... ... 389 14 8 Eations ... ... ... 562 7 6 Prom Government .. ... 466 18 4 Wines, spirits, ale, and porter ... 6 0 0 • Subscriptions and donations ... 359 16 8 Surgery and dispensary ... 203 12 0 Rents paid in advance, due Ist April 397 6 ] J Fuel and light (gas, £62 os. 3d; Rents to 31st October ... ... 837 7 9 fuel, £94 18s.) ... ... 156 18 3 Patients' payments ... ... 392 19 7 Bedding and clothing ... ... 39 15 5 Interest ... ... ... 142 6 3 Furniture and earthenware ... 94 0 3 Mortgage repaid ... ... 60 0 0 Salaries and wages ... ... 690 6 7 Sundries ... ... ... 47 8 7 Funerals ... .. ... - 6 18 0 Repairs—improvements to grounds 44 16 2 Additions to buildings ... ... 156 10 2 Printing, advertising, postage, and stationery ... ... ... 11 5 11 Interest ... ... ... 050 ! Insurance ... ... ... 927 Other expenses ... ... 67 12 7 Total £3,093 17 11 Total £2,049 10 5

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Visited by Miss Maclean on 15th May last. —There were only nine patients in the Hospital — seven men and two women —the smallest number of patients for some time. The improvements in No. 3 ward are shortly to be put in hand. The whole Hospital was in excellent order, but the septic tank did not seem to be working satisfactorily. This is one of the very few institutions in the Dominion which is independent of the local rates. It is very well managed, and it is only fair that, if the proposed Hospitals Bill becomes law, it should for the above reasons continue as a separate institution.

20. HAWERA HOSPITAL. Governing body : Hawera Hospital and Charitable Aid Board. Stipendiary medical staff: Dr. MacGibbon. Nursing staff : Matron, Miss Clapcott; 2 registered nurses and 4 probationers. Domestic staff: 1 cook, 1 housemaid, 2 laundresses, 1 porter, 1 gardener. Number of beds available for males, 21 ; for females, 15: total, 36. Number of patients under treatment during year: In-patients—male 145, female 90—total 235; out-patients, nil. In-patients: Average days' stay, 21; average daily cost per head, Bs. 3fcr. (cost after deducting patients' payments, ss. 9jd.). Percentage of cost of administration on maintenance expenditure, 43'5. Localities from which patients came: Hawera, Manaia, Opunake, Eltham, Kaponga. Nationality of patients: New-Zealanders, 149; English, 42; Scotch, 9; Irish, 23; Australian, 9; American, 1; Swiss, 1; Tasmanian, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 1 13 11 Rations ... ... ... 442 9 2 From Government ... ... 1,306 4 2 Wines, spirits, ale, and porter ... 10 6 6 Local bodies ... ... ... 1,101 16 6 Surgery and dispensary • ... 209 8 8 Subscriptions and donations ... 64 1 7 Fuel and light ... ... 208 16 1 Bequest ... ... ... 251 19 4 Bedding and clothing ... ... 70 4 11 Patients'.payments ... ... 616 13 11 Furniture and earthenware .. 98 4 4 Other sources .. ... 3 11 9 Washing and laundry ... ... 6 13 0 Salaries and wages ... ... 887 13 6 Water-supply ... ... 1 10 0 Repairs ... ... ... 65 8 9 Additions to buildings ... ... 292 1 6 Printing, advertising, postage, and stationery ... ... 7081 Interest ...' ... ... 0 12 0 Insurance ... ... ... 22 2 11 Other expenses (principal items — Travelling-expenses, £47 135.; law-costs, £11 7s. 7d.) ... 103 18 8 Total ... ... £3,346 1 2 Total ... ... £2,489 18 1 Visited Bth January, 1908.—There were ten patients in hospital, two being chronic cases. The wards were in excellent order ; the hangings round the beds to which I objected last year had been removed. Additional nurses' quarters "have been added. The laundry is excellent for a small hospital. This little Hospital, which had been so smoothly conducted by Dr. Westenra since its establishment, has had some troubles of a minor nature with its nursing staff. In December Miss Dunsford, who. had proved herself an excellent Matron, resigned, and she has been succeeded by Miss Clapcott, who, at the time of her appointment, was Matron of the Hokitika Hospital. It is early yet to speak of the working of this Hospital, but Dr. MacGibbon is well spoken of in the district, and there is little doubt that his work will give satisfaction to all concerned. As Chairman of the Board Mr. Sutton is most assiduous in his attendance at the Hospital, and, provided the Board backs up the Doctor and Matron in their efforts to maintain discipline, there is little fear but that the reputation of the institution will be maintained.

21. MASTERTON hospital. Governing body: Masterton Hospital Trustees. Honorary medical staff: Drs. Cook and Cowie. Stipendiary medical staff: Drs. Hosking and Ross. Nursing staff: Matron, Mrs. Morrison; 3 registered nurses and 7 probationers. Domestic staff: 1 cook, 1 assistant cook, 2 housemaids, 1 laundress, 1 porter. Number of beds available for males, 17 ; for females, 10 : total, 27 (and 10 beds in fever ward) Number of patients under treatment during year : In-patients—male 154, female 77—total 231 ; out-patients, 14 (number of attendances, 107).

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In-pa,tients : Average days' stay, 24* 113; average daily cost per head, 6s. llfd. (cost after deducting patients' payments, 6s. 2d.). Percentage of cost of administration on maintenance expenditure, 26*4. Localities from which patients came: Masterton and suburbs, 160; Mauriceville, 7; Eketahuna, 12; Alfredton, 6; Dannevirke, 2; Carterton, 2; east coast, 3; Sydney, 1; Kopuaranga, 4; Wellington, 4; Greytown, 1 ; Hawke's Bay, 1 ; Takaka, 1; Gisborne, 1; Featherston, 1; Palmerston North, 1; Te Nui and Blairlogie, 10; Brancepeth and Te Parae, 5; Wairarapa South Co-unty, 9. Nationality of patients: New-Zealanders, 106; English, 56; Irish, 29; Scotch, 13; Australian, 13; Danish, 2; Swedish, 4; various, 8. Religion: Church of England, 83; Roman Catholic, 64; Presbyterian, 38; Wesleyan, 18; Salvationist, 11; Lutheran, 4; no religion, 3; Methodist, 4; various, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. '■ Expenditure. £ s. d. Balance from last year ... ... 2,898 17 2 Rations ... ... ... 456 5 4 From Government ... ... 3,906 12 9 Wines, spirits, ale, and porter ... 14 7 6 Local bodies ... ... ... 1,135 0 0 j Surgery and dispensary ... 228 7 2 Subscriptions and donations ... 652 13 1 Fuel and light ... ... 173 5 9 Patients'payments ... ... 232 12 3 Bedding and clothing ... ... 230 11 8 Refund from infectious - diseases Furniture and earthenware ... 642 2 6 hospital ... ... ... 7456 Washing and laundry ... ... 12 210 Interest, Post-office Savings-bank , Salaries and wages ... ... 760 0 2 deposit ... ... ... 37 12 10 j Water-supply... .:. ... 71 13 1 \ Funerals ... ... ... 6 0 0 ' Repairs ... ... ... 24 2 9 Additions to buildings ... ... 162 15 6 ! New buildings ... ...5,285 8 0 Printing, advertising, postage, and stationery ... ... ... 33 0 4 Interest ... ... ... 050 Insurance ... ... ... 21 1 8 Commission ... ... ... 39 16 0 j Ambulance brougham and litter ... 204 14 4 : Telephones, £14 9s. Id. ; cartage, £9 10s. 3d. ... ... ... 23 19 4 Trustees' travelling-expenses, £6 6s. Bd.; rent, £45 16s. Bd. 52 3 4 Cheque-books, £2 ; incidentals, £3 Is. 2d. ... ... ... 5 12 Total ... ...£8,937 13 7| Total ... ...£8,447 3 5 i — Visited sth October and 3rd December, 1907.—There were twelve patients in hospital, three of whom were chronic cases. After the admission of a typhoid patient in December last two other cases broke out in hospital, one being a member of the nursing staff. The new Hospital for twenty-four beds was opened in December last—a very excellent addition to the Hospitals of the Dominion.

22. WALLACE AND FIORD HOSPITAL (RIVERTON). . Governing body: Wallace and Fiord Hospital Trustees. Stipendiary medical staff: Dr. Trotter. Nursing staff: Matron, Miss Bird; -*2'registered nurses and 4 probationers. ; Domestic staff: 1 cook, 1 kitchenman, 1 housemaid, 1 laundress, 1 gardener. Number of beds available for males, 19; for females, 12: total, 31. Number of patients under treatment during year: In-patients—male 135, female 83—total 218; out-patients, 74 (number of attendances, 180). In-patients: Average days' stay, 28; average daily cost per head, ss. 6d. (cost after deducting patients' payments, 4s. 3d.). Percentage of cost of administration on maintenance expenditure, 45*3. Localities from which patients came: Waiau, Orepuki, Colac, Rowhill, Riverton, Drummond, Wanatuku, Nightcaps, Wairio, Winton, Dipton, Tapanui. Nationality of patients: New-Zealanders, 107; English, 33; Scotch, 30; Irish, 25; Tasmanian, 4; Italian, 2; South American, 1; Australian, 5; Chinese, 2; Danish, 2; Swedish, 2; various, 5. Religion: Church of England, 56; Presbyterian, 87; Wesleyan, 18; Roman Catholic, 51; Confucian, 2; Salvation Army, 1; Freethinker, 1; Christadelphian, 2. 5—H. 22.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. I Expenditure. £ s. d. Balance from last year ... ... 197 9 5 i Rations ... ... ... 394 1 3 From Government ... ... 614 11 4 I Wines, spirits, ale, and porter ... 912 6 Local bodies ... ... ... 434 2 6 Surgery and dispensary ... 148 0 3 Subscriptions and donations ... 115 0 6 Fuel and light ... ... 104 0 6 Rents ... ... ... 2 10 0 Bedding and clothing ... ... 53 17 9 Patients'payments ... ... 398 10 8 Furniture and earthenware ... 812 9 Sale of pigs ... ... ... 13 19 1 Washing and laundry ... ... 17 18 7 Refund Account ... ... 115 9 Salaries and wages ... ... 768 18 8 Water-supply ... ... 5 2 2 Funerals ... ... ... 15 10 0 Repairs ... .. ... 73 16 0 Printing, advertising, postage, and stationery ... ... ... 16 12 3 Insurance ... ... ... 10 16 8 Medical assistance ... ... 48 6 0 Travelling-expenses ... ... 15 14 0 Fencing, &c. ... ... ... 19 5 11 Incidental expenses ... ... 22 910 Total ... ...£1,777 19 3 Total ... ...£1,732 15 1 Visited 14th June, 1907, and 28th February, 1908. —There were eleven patients under treatment. This little Hospital is very substantially built, and is, moreover, compact and easy to work. The northernmost ward rather keeps the sun from the other parts of the building. The lavatories and bathrooms are good, but the walls need repainting, which is to be done when the outside walls, which have recently been done, are dry. There is a good dispensary, and a fair theatre for so small a hospital. The latter is provided with a temporary table. The laundry is fair, and the ironing-room in a separate building. The fever cottage is now empty. The two Government probationers at the Hospital are giving every satisfaction.

23. ASHBURTON HOSPITAL. Governing body: Ashburton Hospital Board. Stipendiary medical staff : Dr. Hunter. Nursing staff: Matron, Miss Griffiths; 1 registered nurse and 4 probationers. Domestic staff: 1 cook, 1 housemaid, 1 laundress, 1 porter, 1 gardener. Number of beds available for males, 24; for females, 13: total, 37. Number of patients under treatment during year: In-patients—male 168, female 49— total 217; out-patients, nil. In-patients: Average days' stay, 30; average daily cost per head, ss. Bd. (cost after deducting patients' payments, 4s. 7d.). Percentage of cost of administration on maintenance expenditure, 39*03. Localities from which patients came : Ashburton, 209 ; Christchurch, 4 ; Timaru, 1; Oamaru, 1; Southland, 1 ; Palmerston North, I. Nationality of patients: English, 40; Scotch, 24; Irish, 55; Welsh, 2; New-Zealanders, 79; Australian, 7; German, 2; American, 1; Canadian, 2; Swedish, 2; Swiss, 1; Danish, 1; Austrian, 1. Religion: Church of England, 76; Presbyterian, 68; Roman Catholic, 45; Methodist, 7; Baptist, 6; Wesleyan, 6; Church of Christ, 4; Lutheran, 3; Adventist, 1; Salvation Army, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance frdm last year ... ... 221 10 9 Rations ... ... ... 356 12 9 From Government ... ... B§2 3 7 Wines, spirits, ale, and porter ... 816 0 Local bodies ... ... ... 840 0 0 Surgery and dispensary... ... 122 3 0 Subscriptions and donations ... 10 3 0 Fuel and light... ... ... 175 14 7 Patients'payments ... ... 365 18 4 Bedding and clothing ... ... 94 711 Other sources (principal items— Furniture and earthenware ... 72 0 2 Fees, inquests, Government, £2; Salaries and wages ... ... 714 17 8 sale of old timber, £9; em- Funerals ... ... 15 14 0 ployees' compensation, £14 ss. Repairs ... ... ... 71 10 4 6d-) ••• ••• ... 28 5 8 ' New buildings... ... ... 435 0 6 Printing, advertising, postage, and stationery ... ... ... 12 18 5 Interest ... ... ... 0 11 0 Insurance ... ... ... 9 13 9 Commission ... ... ... 38 11 0 Other expenses (principal items— Improvements, site, &c., £103 9s. 7d.; travelling-expenses, £6 Bs. 9d.) ... ... ... 171 17 4 Total ... £2,318 1 4 Total ... £2,300 8 5

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Visited 28th March, 1908.—There were seventeen patients in hospital. Of this number no less than six were typhoid cases, which were being accommodated in the scarlet-fever ward, a building which has been completed since my last visit. The present male medical ward.is not suitable for acute cases, though possibly so for those chronic cases which it now accommodates. I pointed this out to the Chairman, and again recommended that the ward now used for convalescent patients would make a suitable medical ward for at least four patients. I have no doubt that those generous persons who subscribed funds for this convalescent ward will see that the interests of the patients would be better met by using the ward for patients suffering from acute illness than for the convalescent patients. There was a vast improvement noticeable in the management of the institution since the date of my last visit. The wards and grounds show every evidence of careful supervision.

24. WAIMATE HOSPITAL. Governing body: Waimate Hospital Trustees. Stipendiary medical staff : Dr. Barclay. Nursing staff: Matron, Miss Cruden; 4 probationers. Domestic stafi : 1 cook, 1 housemaid, 1 porter, 1 gardener; laundress attends two days a week. Number of beds available for males, 17; for females, 16 : total, 33. Number of patients under treatment during year: In-patients—male 123, female 67--total 190: out-patients, 45 (number of attendances, 166). In-patients: Average days' stay, 255; average daily cost per head, 6s. Sd. (cost after deducting patients' payments, 6s. lfd.). Percentage of cost of administration on maintenance expenditure, 354. Localities from which patients came : Waimate Borough and County. Nationality of patients: New-Zealanders, 105; Australian, 4; Tasmanian, 5; English, 30; Irish, 30; Scotch, 12; Austrian, 2; German, 1. Receipts and Expenditure for the year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... , ... 66 15 2 Eations ... ... ... 378 17 5 From Government ... ... 123 13 4 Wines, spirits, ale, and porter ... 11 4 9 Local bodies ... ... ... 1,534 18 8 Surgery and dispensary ... 143 19 0 Subscriptions and donations ... 4215 0 Fuel and light ... ... 107 8 2 Patients'payments ... ... 126 9 2 Bedding and clothing ... ... 105 4 6 Services of hospital nurse ... 3 12 0 Furniture and earthenware ... 15 10 10 Sale of old tank ... .-.. 010 0 Salaries and wages ... ... 623 2 7 Refunds ... ... ... 2 10 5 Water-supply... ... ... 20 0 0 ,■.. a Funerals ... ... ... 1 19 6 Eepairs ... ... ... 18 0 2 Additions to buildings ... ... 114 11 0 Printing, advertising, postage, and stationery ... ... ... 23 9 7 Interest ... ... ... 0 18 0 Insurance ... .. ... 8 19 4 Commission ... ... ... 0 10 0 Other expenses (principal items— Gardening, ploughing, &c, £167 10s. 2d.; rents, £6 ss. Bd.; telephone, £5 135.; live-stock, £4 7s. Id. ; water-installation, £34 ss. ; gas-installation, £34 10s. 7d. ; exchange, £2 Is.; incidentals, £108 15s. lOd. ... 365 8 4 Total ... £1,901 8 9 Total .. £1,939 3 2 Visited 26th March, 1908.—Eighteen beds. There were fourteen patients at the time of my visit, including an incurable case of cancer, which had been six months in hospital. Considerable improvements are being effected here, notably the addition of two small wards and annexes, together with three rooms for nurses and a general renovation of the sanitary offices. It was probably due to the alterations which were in progress that the wards were not very clean and tidy, especially the infectious ward, which appeared to be partially used as a lumber-room. The patients spoke highly of the treatment afforded them by Dr. Barclay, who undoubtedly takes great interest in the institution. An agitation was started this year to enable the other medical men practising in Waimate to be appointed as honoraries. In hospitals of this size such a system has almost always been the occasion of dissensions. I therefore strongly urged the Trustees to let well alone, and leave Dr. Barclay in supreme charge.

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25. WESTPORT HOSPITAL. Governing body: Buller Hospital and Charitable Aid Board. Honorary medical staff : Westport—Drs. E. D. Dunn, James Simpson, sen., James Simpson, jun.; Denniston—Dr. H. Crann; Granity—Dr. W. Fitzgerald. Stipendiary medical staff ; Dr. McKenzie. Nursing staff: Matron, Miss Hayward; 1 registered nurse and 4 probationers. Domestic staff: 1 cook, 1 housemaid, 1 laundress, 1 porter. Number of beds available for males, 19; for females, 11 : total, 30. Number of patients under treatment during year : In-patients—male 145, female 26—total 171; out-patients, 212 (number of attendances, 383). In-patients : Average days' stay, 61; average daily cost per head, 4s. 6d. (cost after deduct, ing patients' payments, 4s. o|d.). Percentage of cost of administration on maintenance expenditure, 30*5. Localities from which patients came : Buller, 45 ; Wellington, 7 ; Dunedin, 2 ; Greymouth, 1 ; Nelson, 2; Reefton, 2; Wanganui, 1. Nationality of patients: English, 37; Irish, 25; Scotch, 18; German, 5; Russian, 3; Nor wegian, 2; French, 1; New-Zealanders, 60; Australian, 16; American, 4. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 821 3 1 Rations ... ... ... 811 8 7 Local bodies... ... ... 821 3 1 Wines, spirits, ale, and porter ... 76 4 0 Subscriptions and donations ... 180 010 Surgery and dispensary ... 326 14 0 Rents ... ... ..: 63 14 8 Fuel and light... ... ... 168 13 3 Patients'payments ... ... 259 3 0 Bedding and clothing ... ... 46 13 2 Sale of medicines ... ... 2 9 0 Furniture and earthenware ... 34 0 6 Old-age pensions ... ... 419 0 3 Salaries and wages ... ... 763 9 8 Miscellaneous ... ... 15 0 Water-supply ... ... ... 10 0 0 Funerals ... ... ... 17 9 6 Repairs ... ... ... 29 11 7 Printing, advertising, postage, and stationery ... ... ... 21 6 6 .!) , Interest .... ... ... 156 16 6 Insurance ... . ...* 14 13 4 Refund, old-age pensions ... 69 4 4 Legal expenses ... ... 166 Borough rates... ... ... 1. 1 0 Petty cash ... ..*■* ... 10 0 0 Telephone ... ... ... 3 0 0 Incidentals ... ... ... 6 66 Total ... ... £2,567 18 11 Total ... ...£2,567 18 11 Visited 27th August and 12th December, 1907.—There were twenty-five patients in hospital, twelve being old men or chronic cases. Taking all things into consideration, the old hospital was in fair order. The new hospital building was practically completed. The two main wards are well ventilated and bright, and are heated by stoves. There is room for frffft}*-' 0 beds in each, and there is a private room off each ward. For each ward there is a dining-room for patients—an unnecessary refinement; they should be used as wards if needed. There is a good day-room off each ward, and the ward closets and lavatories are off the main corridor. The theatre is a large room, with tiled floor, with a small sterilising room off it. -The dispensary, where the Superintendent is to see his patients, is just off the theatre—not a good place. The other appointments, including the Matron and nurses' quarters, are excellent. There has been great difficulty in getting nurses for this institution.

26. WESTLAND HOSPITAL (HOKITIKA). Governing body : Westland Hospital Trustees. Stipendiary medical staff : Dr. Teichelmann. .Nursing staff: Matron, Miss Sims; and 5 probationers. Domestic staff : 1 cook, 1 housemaid, 1 laundress, 1 laundryman, 1 porter, 1 gardener. Number of beds available for males, 36; for females, 11 : total, 47. Number of patients under treatment during year : In-patients—male 132, female 37—total 169; out-patients, 222 (number of attendances, 562). In-patients : Average days' stay, 75*64; average daily cost per head, 3s. 9fd. (cost after deducting patients' payments, 2s. 10fd.). Percentage of cost of administration on maintenance expenditure, 33*7.

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Localities from which patients came : Wanganui, 1; Auckland, 1; Hokitika, 47; Okura, 1 ; Kapitea, 1; Styx, 1; Bruce Bay, 1; Kanieri Forks, 2; Ross, 2; Awatuna, 1; Kanieri, '24; Rimu, 27; Koiterangi, 10; Goldsborough, 6; Okarito, 2; Woodstock, 14; Staffordtown, 13; Blue Spur, 5; Arahura, 5; Kumara, 2; Lake Mapourika, 1. Nationality of patients : England, 35 ; Ireland, 39 ; Scotland, 23 ; America, 2 ; Sweden, 2 ; Norway, 1; Australia, 8; New Zealand, 47; Austria, 2; Germany, 6; Portuguese, 2; Africa, 1* China, 1. Religion: Roman Catholic, 60; Church of England, 54; Presbyterian, 36; Plymouth Brethren, 2; Wesleyan, 1,2; Freethinker, 1; Lutheran, I; Congregationalist, 3. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s, d. Expenditure. . £ s. d. Balance from last year ... 749 15 8 Rations , ... ... 796 12 6 From Government ... ... 1,21111 6 Wines, spirits, ale, and porter ... 27 10 8 Local bodies ... ... ... 643 19 2 Surgery and dispensary ... 164 8 2 Subscriptions and donations ... 422 5 4 Fuel and light ... 184 11 5 Rents ••• ••• ..'•■' 27 12 0 Bedding and clothing ... 105 13 0 Patients' payments ... ... 588 4 7 Furniture and earthenware ... 916 Interest ... ... ... 20 5 7 Salaries and wages ... ... 886 10 10 Saleofpigs ... ... ... 38 12 1 Funerals ... .... ... 53 0 0 Repairs ... ... ... 81 13 5 New buildings ... ... 580 0 0 Printing, advertising, postage, and stationery ... ... 65 14 0 Interest ... ... ... 050 Insurance ... ... ... 32 4 1 ; Commission ... ... ... 15 4 0 Other expenses (principal items— Cartage and cab - hire, £23 ss. 6d.; ironmongery, £36 4s. lOd.; purchase of young pigs, £11 13s. 6d.) ... ... 103 1 9 Total £3,702 5 11 ! Total £3,105 10 4 Visited 29th August and 17th December, 1907.—There were thirty-seven inmates in hospital and eight "old men" in the quarters in the south wing. Of the thirty-seven inmates of the hospital wards, twenty-two were over seventy years of age, three being women. The Hospital is very rambling and inconvenient, and difficult to keep clean; but, despite many drawbacks, Dr. Teichelmann does excellent work here. The first ward of the new Hospital is nearly completed. It is of quite modern design. Off the ward there is a small room for special cases, and a day-room, linen-press, &c. It is not, however, provided with a bathroom and lavatories, but a covered way connects it with the male medical ward, where these offices are more modern than in the other wards in the old building. Miss Clapcott, the Matron, had just resigned to take up the matronship at the Hawera Hospital. The Trustees had appointed an unregistered nurse in her place. I pointed out to the Trustees that this was against the spirit and interests of the Nurses Registration Act. Accordingly, on the Department's recommendation, they have appointed Miss Sims, late Matron of the Mount View Hospital, who seems to be giving every satisfaction. This Hospital is well conducted, and the Trustees have decided to raise locally a quarter of the cost of the new Hospital.

27. DANNEVIRKE HOSPITAL. Governing body : Dannevirke Hospital Trustees. Stipendiary medical staff: Dr. Macallum. Nursing staff: Matron, Miss Godfray; and 2 probationers. Domestic staff : 1 cook, 1 housemaid, 1 laundress, 1 porter, 1 gardener. Number of beds available for males, 12; for females, 3 : total, 15. Number of patients under treatment during year: In-patients—male 122, female 24 total 146; out-patients, nil. In-patients : Average days' stay, 22*8; average daily cost per head, Bs. 7d. (cost after deducting patients' payments, 6s. lid.). Percentage of cost of administration on maintenance expenditure, 44*5. Localities from which patients came : Dannevirke, Tahoraite, Maharahara, Weber, Waione Mangatoro, Whetekura, Ormondville, Norsewood, Umutaoroa. Nationality of patients : New-Zealanders, 74; Australian, 23; Emglish, 21 ; Scotch, 6 * Irish 6; Indian, 1 ; Welsh, 7; Scandinavian, 7; Italian, 1. Religion: Church of England, 62; Presbyterian, 23; Lutheran, 13; Wesleyan, 13; Baptist, 2; Roman Catholic, 19; Salvation Army, 1; Spiritualist, 1; no religion, 2.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 117 3 7 Rations ... ... ... 283 2 9 From Government ... ... 861 1 3 Wines, spirits, ale, and porter ... 110 Local bodies... ... ... 691 10 0 Surgery and dispensary ... 127 6 2 Subscriptions and donations ... 181 10 0 Fuel and light ... ... 113 11 1 Patients' payments ... ... 257 12 6 Bedding and clothing ... 35 13 1 Government Accident Insurance 49 15 0 Salaries and wages ... ... 701 14 9 Tickets .. ... ... 1456 Repairs and grounds ... ... 302 11 1 Telephone .:. ... ... 030 Printing, advertising, postage, and stationery... ... ... 16 10 0 Insurance ... ... ... 23 4 2 Other expenses (principal items— Government Accident Insurance, Nurse McLarnon, injury to hand, £30; refund subsidy overpaid, £5 6s. 3d. ; ambu-lance-hire, £6 ; cow, £7) ... 84 15 4 Total ... ... £2,173 010 Total ... £1,689 9 5 Visited 11th January, 1908.—This Hospital was only opened in June, 1906, but already the Trustees talk of erecting an additional ward for not less than twelve beds. At the time of my visit there were twelve patients in the institution —ten men and two women. The women could only be accommodated in small side wards. With two exceptions, all the male patients were accident cases. There therefore seemed good grounds for a new ward; but I told the Chairman, Mr. Wratt, that a strong local effort should be made to provide the necessary funds. The Hospital is very well managed. The Trustees do not interfere unduly with the Hospital staff and Matron. The medical staff consists of the medical men practising in the town, who are allowed to attend their own cases there. It says much for the tact and judgment of the local practitioners that no friction is occasioned by this arrangement. As compared with hospitals of a similar size, there are few operations. The Matron, Miss Godfray, has been granted leave of absence to visit the Old Country.

28. NASEBY HOSPITAL. Governing body : Naseby Hospital Trustees. Stipendiary medical staff: Dr. MacKnight. Nursing staff: Matron, Miss Scolau ; and 3 probationers. Domestic staff : 1 cook, 1 laundress, 1 porter, 1 gardener. Number of beds available for males, 12; for females, 9: total, 21. Number of patients under treatment during year: In-patients—male 91, female 45—total 136; out-patients, 87 (number of attendances, 223). In-patients: Average days' stay, 21*4; average daily cost per head, Bs. (cost after deducting patients' payments, ss. 3d.). Percentage of cost of administration on maintenance expenditure, 51. Locality from which patients came: Maniototo County. Nationality of patients: New-Zealanders, 68; English, 10; Scotch, 27; Irish, 15; Australian, 5; Chinese, 6; various, 5. Religion: Church of England, 28; Roman Catholic, 28; Presbyterian, 72; others, 8. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 130 10 7 Rations ... ... ... 234 13 1 From Government ... ... 317 4 7 Wines, spirits, ale, and porter ... 4 16 Local bodies ... ... ... 15p 0 0 Surgery and dispensary ... 130 12 9 Subscriptions and donations ... 122 7 9 Fuel and light ... ... 89 4 0 Patients'payments ... ... 403 11 2 Bedding and clothing ... ... 7 8 0 Accident Insurance ... ... 9 15 4 Furniture and earthenware ... 31 4 6 Miscellaneous... ... ... 665 Washing and laundry ... ... 738 Salaries and wages ... ... 563 19 0 Water-supply... ... ... 800 Repairs ... ... ... 6 18 0 Alterations ... ... ... 28 0 0 Printing, advertising, postage, and stationery ... ... ... 21 13 1 Insurance ... ... ... 5 19 6 Newspapers ... ... ... 2 11 6 Accident payment ... ... 9 15 4 Legal expenses ... ... 5 14 0 Fowl-feed ... ... ... 3 2 6 Grounds ... ... ... 3 9 10 Private telephone ... ... 2 0 0 Miscellaneous... ... ... 10 4 0 Total ... ...£1,139 15 10! Total ... ...£1,175 14 3

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Visited 2nd February, 1908.—Nine beds were occupied. There were four patients in the seven-bedded male-ward, which was in excellent order, but poorly ventilated. The operatingtheatre is just off this loom. There were five patients in the six-bedded female-ward. The bathroom off this ward is not properly trapped, and the water-closet is not provided with a vent-pipe. Another ward, containing two beds, the Trustees propose to use as a maternity ward, and, as there is very poor accommodation for such cases in the district, there is no objection to the scheme, provided the patients are made to pay their full hospital, maintenance. The nurses have their quarters on the first floor of the Hospital, but are not provided with a separate water-closet or bathroom : this can easily be remedied by converting a store-room to meet the purpose. This little Hospital is very well managed. Dr. MacKnight, the Medical Superintendent, is District Secretary here, and attends to all the correspondence of the Hospital. His case and other books are well kept.

29. PAHIATUA HOSPITAL. Governing body: Pahiatua Hospital Trustees. Stipendiary medical staff: Dr. Dawson. Nursing staff : Matron, Miss Davis; 1 registered nurse and 2 probationers. Domestic staff : 1 cook, 1 housemaid, 1 laundress occasionally, 1 porter and gardener. Number of beds available for males, 12; for females, 8 : total, 20. Number of patients under treatment during year : In-patients—male 88, female 45—total 133; out-patients, nil. In-patients: Average days' stay, 25*5; average daily cost per head, 6s. 10}d. (cost after deducting patients' payments, ss. Of d.). Percentage of cost of administration on maintenance expenditure, 41*9. Localities from which patients came: Pahiatua, Kumeroa, Woodville, Mangatainoka, Mangatiti, Nikau, Palmerston North, Makuri, Ballance, Eketakuna, Konini, Mangahao, Rakaunui, Mangamaire, Kohinui, Kaitawa, Hukanui, Coonoor, Dannevirke. Nationality of patients: New Zealand, 83; England, 18; Australia, 6; Scotland, 5; Sweden, 5; Norway, 1; Denmark, 1; America, 4; Ireland, 10. Religion: Church of England, 83; Roman Catholic, 24; Presbyterian, 19; Salvation Army, 2; Methodist, 4; Lutheran, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year... ... 351 011 Rations ... ... ... 270 8 3 From Government ... ... 466 10 0 Wines, spirits, ale, and porter ... 3 6 0 Local bodies ... ... ... 359 0 0 Surgery and dispensary (including Subscriptions and donations ... 12 11 0 instruments) ... ... 11l 12 3 Bequest ... ... ... 366 10 0 Fuel and light ... ... 112 9 0 Rents ... ... ... 800 Bedding and clothing, furniture Patients'payments ... ... 287 3 9 and earthenware ... ... 149 3 4 Refund ... 2 12 8 Washing and laundry... ... 7 19 0 Sale of cow ... ... ... 316 9 Salaries and wages ... ... 541 5 0 Water-supply ... 10 0 0 Funerals ... ... ... 600 Additions to buildings... ... 351 17 6 Repairs ... ... ... 24 3 4 Printing, advertising, postage, stationery, and telephone ... 22 6 11 Interest, bank charges, chequebooks, and exchanges ... 11 3 2 Insurance ... ... ... 15 18 5 Electrical apparatus ... ... 37 9 10 Honorary surgeon's travelling-ex-penses ... ... ... 12 12 0 Painting buildings ... ... 155 10 0 Grounds ... ... ... 15 0 3 Cartage ... ... ... 2 2 10 Total ... ...£1,857 5 1 Total ... ...£1,860 7 1 Visited 15th November, 1907.—The new operating-theatre, fever-ward, and nurses' room are now completed. The wards were in good order. In the women's wards were three patients. New beds have recently been provided here. There were five patients in Jhe male-ward. The fever hospital is very complete, but does not give much accommodation for the money expended thereon. The electric-light plant is managed by the Secretary, Mr. Drew. Miss Miller, who has been Matron there for some time, has just resigned.

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30. OTAKI HOSPITAL. Governing body: Wellington District Hospital Board. Stipendiary medical staff: Dr. Huthwaite. Nursing staff: Matron, Miss Sealey; 2 registered nurses and 1 probationer. Domestic staff: 1 cook, 1 housemaid, 1 laundress, 1 porter, 1 gardener.. Number of beds available for males, 9; for females, 8 : total, 17. • Number of patients under treatment during year: In-patients —-male 92, female 37 —total 129; out-patients, nil. In-patients : Average days' stay, 32; average daily cost per head, ss. 2|d. (cost after deducting patients' payments, 4s. 2d.). Percentage of cost of administration on maintenance expenditure, 61*8. Localities from which patients came: Otaki, 19; Manakau, 13; Ohau, 8; Levin, 41; Shannon, 19; Te Horo, 8; Waikanae, 10; Wellington, 8; Foxton, 1; Palmerston, 1; Taihape, 1. Nationality of patients: New-Zealanders, 85; Maori, 14; English, 6; Irish, 11; Scotch, 4; Australian, 7; Norwegian, 1; Swedish, 1. Religion: Church of England, 70; Roman Catholic, 34; Presbyterian, 10; Wesleyan, 9; Salvation Army, 1; Adventist, 2; Dutch Church, 2; Baptist, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts £ s. d. Expenditure. £ s. d. From Government ... • ... 565 16 10 Rations ... : ... ..; 229 7 8 Local bodies ... ... ... 559 10 10 Wines, spirits, ale, and porter ... 14 0 Subscriptions and donations .... 14 14 0 Surgery and dispensary ... 57 13 4 Patients'payments ... ... 222 17 6 Fuel and light ... ... 60 14 4 Bedding and clothing ... ... 19 7 1 Salaries and wages ... ... 670 15 6 Printing, advertising, postage, and stationery ... ... ... 8 0 0 Insurance ... ... ... 16 9 0 Installation of electric light and water-supply ... ... 239 16 6 Drainage-extension ... ... 26 14 10 Other expenses ... ... 32 16 11 Total ... ...£1,362 19 2 Total ... ...£1,362 19 2 Visited 22nd April and sth December, 1907. —There were twelve patients—eight males and four females. The two wards were in excellent order, and are pleasant, well-ventilated rooms, each containing ten beds. The bathrooms were clean and well kept, but the baths are rather worn and old. The lavatories are good and well ventilated. The theatre is small and well equipped. Otaki Sanatorium.—This is an adjunct of the above, and had only been opened some six months. All the patients spoke highly of the treatment they were receiving. I was much impressed by the cheerfulness of the place. Many of the patients give considerable assistance to the staff in the various domestic arrangements, and also do work in the garden, which is in excellent order. Miss Sealey, the Matron, has interested the patients in beekeeping, and the Government Apiarist had just visited the institution to advise as to the site of the hives and give general directions to the patients as to the management of the bees. The whole place was in excellent order.

31. PICTON HOSPITAL. Governing body: Picton Hospital and Charitable Aid Board. Stipendiary medical staff: Dr. Redman. Nursing staff: Matron, Miss Scott; 1 registered nurse, 2 probationers, and one district nurse with midwifery certificate only. Domestic staff: 1 cook, 1 housemaid, 1 laundress (casual), 1 gardener (casual). Number of beds available for males, 12; for females, 12: total, 24. Number of patients under treatment during year: In-patients—male 89, female 38—total 127; out-patients, nil. In-patients: Average days' stay, 14; average daily cost per head, 9s. lOd. (cost after deducting patients' payments, Bs. s|d.). Percentage of cost of administration on maintenance expenditure, 32*4. Localities from which patients came: Picton, 87; Blenheim, 27; Wellington, 5; Nelson, 1; Auckland, 1; Taranaki, 1; Hawke's Bay, 2; Christchurch, 1; Greymouth, 1; shipping, 1. Nationality of patients: New-Zealanders, 79; English, 25; Scotch, 7; Irish, 4; Australian, 5; Tasmanian, 2; North American, 1; German, 2 ; Swiss, 1; Italian, 1. Religion: Church of England, 89; Roman Catholic, 20; Presb_yterian, 9; Wesleyan, 7; Lutheran, 1; Free Church, 1.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year... ... 135 18 4 Rations ... ... ... 229 210 From Government ... ... 899 6 3 Kitchen-garden ... ... 919 0 Local bodies ... ... .... 823 411 Surgery and dispensary ... 124 15 6 Subscriptions and donations ... 151 10 5 j x-ray outfit ... ... ... 71 11 8 Patients'payments ... ... 157 12 8 j Fuel and light (includes aeetylene--10 per cent, penalties on rates ... 116 5 gas installation) ... ... 141 16 5 Refund of fees paid ansesthetist ... 28 7 0 Bedding and clothing .... ... 26 8 7 Old-age pensions ... ... 119 15. 2 Furniture and earthenware ... 31 0 4 Refund, fees paid Wairau Board... 11 14 0 Salaries and wages ... ... 480 11 2 District nurse fees ... ... 5 0 0; Water-supply ... ... ... 3 10 0 Other sources ... .. ... 10 2 \ Allowances to old-age pensioners 17 16 4 Repairs ... ... ... 7 10 3 Additions to buildings—wood and coal house ... ... ... 10 5 0 New buildings—Balance on Hospital erection ... ... 210 0 0 Printing, advertising, postage, and stationery ... ... ... 16 5 0 Interest ... ... ... 18 13 0 Insurance ... ... ... 14 0 0 Commission, cost of levying and collecting Sounds rate ... 23 10 0 Freights, cartage, and general ... 17 8 9 Travelling-expenses ... ... 61 15 0 Fire-extinguishing plant, &c. ... 9 2 0 Patients in Wairau Hospital ... 80 12 0 Anaesthetise ... ... ... 96 12 0 Telephone, exchange ... ... 511 9 Fencing ... ... ... 40 1 0 Total ... ..,£2,335 5 4 Total ... ...£1,747 17 7 Visited 6th December, 1907.—This Hospital is pleasantly situated, and has accommodation for twenty-four patients, but at the time of my visit there were only twelve beds occupied. The two wards are well situated and ventilated, and were in perfect order, with a minimum of furniture; the side wards are rather too small. The building, which is otherwise of excellent design, is spoilt by a double corridor. The bathrooms are not in keeping with the rest of the establishment, but they were clean and well kept. The operating-theatre is of simple design, though rather small, and it is lined with glazed white tiles, with a ceiling of Keen's cement. The floor is paved with unglazed tiles. The building is lighted throughout with acetylene gas, which Dr. Redman states furnishes a most economical and efficient light; the gas is also used for heating the sterilisers and water for the operating-room. The institution is well managed by Dr. Redman and the Matron, and there seems to be an excellent relationship between these officers and the Board.

32. JPATEA HOSPITAL. Governing body: Patea Hospital Board. Stipendiary medical staff: Dr. Simmonds. Nursing staff : Matron, Miss Clarkson; 3 probationers. Domestic staff: 1 cook, 1 laundress, I gardener. Number of beds available for males, 8; for females, 8: total, 16. Number of patients under treatment during year : In-patients—male 80, female 44—total 124; out-patients, nil. In-patients: Average days' stay, 23|-; average daily cost per head, 6s. 6£d. (cost after deducting patients' payments, ss. 2jd.). Percentage of cost of administration on maintenance expenditure, 40*4. Localities from which patients came: From Manutahi to Waverley. Nationality of patients: New-Zealanders, 67: Irish, 14; English, 27; Scotch, 6; Australian, 3; Danish, 4; Welsh, 2; Swedish, 1. Religion: Church of England, 66; Roman Catholic, 28; Presbyterian, 19; Wesleyan, 6; Lutheran, 4; Brethren, 1.

6—H. 22.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 707 3 4 Rations ... ... ... 269 3 5 From Government ... ... 456 7 6 Wines, spirits, ale, and porter ... 4 5 6 Local bodies ... ... ... 335 0 0 Surgery and dispensary ... ... 125 1 3 Subscriptions and donations ... 40 4 2 Fuel and light ... ... ... 46 611 Bequest ... ... ... 155 6 0 Bedding and clothing ... ... 34 19 9 Rents... ... ... ... 6 10 0 Furniture and earthenware ... 12 5 8 Patients' payments .... ... 202 5 6 Washing and laundry ... .... 36 10 5 Interest on fixed deposit... ... 20 9 7 Salaries and wages ... ... 393 11 3 Sundries ... ... ... 310 10 Water-supply ... ... 60 0 0 Repairs and additions to buildings 92 17 8 Printing, advertising, postage, and stationery ... ... ... 15 18 1 Insurance ... ... ... 643 Telephone ... ... ... 5 0 0 Rates... ... ... ... 1 12 10 Bank charge ... ... ... 010 0 Sundries ... ... ... 045 Total ... ... £1,926 16 11 j Total ... ... £1,104 11 5 Visited 9th January, 1908.-—An old building in a poor state of repair, with several sanitary defects, principally as regards the position of the lavatories. The wards were neat and clean. There were ten patients, only one of whom could be styled "chronic." My predecessor rather doubted the need for this Hospital, but, as the Board is prepared to erect a new building, for which they have some £3,000 in hand, and as it Is well endowed and well supported by the district, I think it would be a pity to close it. Dr. Simmonds looks after the institution well, and is very well spoken of in the district.

33. WHANGAREI HOSPITAL. Governing body : North Auckland Hospital and Charitable Aid Board. Honorary consulting staff: Drs. Savage and Lewis, Auckland. Stipendiary medical staff: Drs. Hall and Baxter. Nursing staff : Matron, 1 registered nurse, and 2 probationers. Domestic staff : 1 cook, 1 housemaid, 1 porter. Number of beds available for males, 11; for females, 6 : total, 17. Number of patients under treatment during year: In-patients—male 96, female 24—total 120; out-patients, nil. In-patients: Average days' stay, 23*45; average daily cost per head, 7s. 6d. (cost after deducting patients' payments, 65.). Percentage of cost of administration on maintenance expenditure, 52*2. Localities from which patients came: Whangarei, 97; Bay of Islands, 13; Auckland, 3. Nationality of patients: New-Zealanders, 52; English, 24; Scotch, 13; Australian, 5; Austrian, 4; Irish, 3; Tasmanian, 2; German, 1; French, 1; American, 1; Dutch, 1; Norwegian, 1; Finn, 1; not described, 11. Religion: Church of England, 48; Roman Catholic, 22; Presbyterian, 18; Wesleyan, 15; Mormon, 2; Lutheran, 1; Brethren, 1; not given, 13. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 407 10 7 Rations ... ... ... 212 13 0 Local bodies ... ... ... 56 19 4 Wines, spirits, ale, and porter ... 10 0 Subscriptions and donations ... 186 10 2 Surgery and dispensary ... 112 12 1 Bequest ... ... ... 253 18 0 Fuel and light ... ... 41 14 1 Patients'payments ... ... 213 4 10 Bedding and clothing ... ... 30 19 2 Furniture and earthenware ... 26 17 2 Salaries and wages ... ... 548 17 4 Funerals ... ... ... 3 3 0 Repairs ... ... ... 16 5 7 Printing, advertising, postage, stationery, office-rent, telephone... 35 16 1 Insurance ... ... ... 12 0 8 Hospital grounds ... ... 76 4 9 i _ Total ... ... £1,118 211 Total ~, ~. £1,118 211

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Visited 3rd March, 1908.—There were eight patients at the time of my visit—five men and three'womeri. I was surprised to find the three female patients crowded into a small ward barely large enough for the patients, while the larger and better ventilated female-ward had no occupants. The operating-theatre should be better ventilated. With the above exceptions the wards and hospital were well kept and clean. Of the five male patients three were accident cases, and two were suffering from chronic ulcers. The three female cases were undoubtedly proper cases for hospital. The Board is contemplating the erection of a small infectious ward, which is badly needed. The Matron, Miss Stewart, who has held office for some years, is leaving. Drs. Hall and Baxter appear to work harmoniously together in the management of the Hospital.

34. NORTHERN WAIROA HOSPITAL. Governing body : Northern Wairoa Hospital Trustees. Stipendiary medical staff: Dr. Eleanor Baker. Nursing staff: Matron, Miss Rowles; I registered nurse and 2 probationers. Domestic staff: 1 cook, 1 housemaid, 1 porter. Number of beds available for males, 8; for females, 6: total, 14. Number of patients under treatment during year: In-patients—male 90, female 28—total 118; out-patients, 310 (number of attendances, 2,300). In-patients: Average days' stay, 30*17; average daily cost per head, 9s. 2|d. (cost after deducting patients' payments, 6s. Id.). Percentage of cost of administration on maintenance expenditure, 52*2. Localities from which patients came : Hobson and Otamatea Counties. Nationality of patients: New-Zealanders, 56; Maori, 9; English, 26; Irish, 6; Scotch, 8; Austrian, 4; American, 1; Greek, 1 ; French, 1; Swedish, 3; German, 3. Religion: Church of England, 54; Roman Catholic, 27; Wesleyan, 11; Presbyterian, 15; Plymouth Brethren, 1; Lutheran, 2; Baptist, 2; no religion, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 11l 4 5 Salaries ... ... ... 1,004 0 3 From Government ... ... 547 6 4 Rations ... .. ... 286 18 0 Local bodies... ... ... 269 0 0 Refund, patients' fees ... ... 12 10 0 Subscriptions and donations ... 318 4 0 Fuel and light ... ... 93 11 9 Patients'payments ... ... 552 8 0 Drugs, dressings, and instruments 144 15 10 Miscellaneous ... ... 12 7 3 Furniture ... ... ... 12 9 5 Contractors'deposits ... ... 6 0 0 Washing and laundry... ... 1 10 0 Hospital building ... ... 36 8 4 Government grant ... ... 77 14 0 Doctor's residence ... ... 8 5 0 , , Printing and advertising ... 14 14 3 Insurance ... ... ... 16 6 4 Water-supply ... ... 20 15 0 : Office expenses ... ... 10 0 0 Bank charges ... ... 0 18 6 Contractors'deposits ... ... 10 0 0 Uniforms ... ... ... 4 12 11 Hall-hire ... ... ... 10 0 Interest ... ... ... 1 15 0 Drainage ... ... ... 150 Land and improvements ... 0 9 6 Total £1,816.10 0 . Total £1,759 19 1 Visited Bth March, 1908. —There were eight patients in hospital. Dr. Marchesini was away and Dr. Eleanor Baker was in charge. I again interviewed the Trustees on the subject of the "ticket" system. Since my visit the Trustees have put the matter in front of the contributors, who, after much discussion, decided to alter the by-laws relating to the visiting of subscribers at their own homes. There is now every indication that the Trustees wish to work in conformity with the desires of toe Department,

35. REEFTON HOSPITAL. Governing body : Reef ton Hospital Trustees. Stipendiary medical staff: Dr. Conlon. Nursing staff: Matron, Miss Gosling; and 3 probationers. Domestic staff: 1 cook, 1 housemaid, 1 laundress, 1 gardener.

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Number of beds available for males, 30; for females, 6: total, 36. Number of patients under treatment during year: In-patients—male 91, female 20—total 111; out-patients, 116 (number of attendances, 223). In-patients: Average days' stay, 67; average daily cost per head, ss. (cost after deducting patients' payments, 4s. 2Jd.). Percentage of cost of administration on maintenance expenditure, 42*1. Localities from which patients came: Reefton, 62; Globe, 10; Capleston, 9; Murchison, 9; Blackwater, 5; Greyniouth, 8; Crushington, 5; Westport, 1; Ahaur-a, 1; Lyell, 1. Nationality of patients: Irish, 28; English, 20; Australian, 13; Canadian, 1; Scotch, 9; New-Zealanders, 28; Swiss, 3; Welsh, 4; German, 1; French, 1; Chinese, 2. Religion : Roman Catholic, 35; Church of England, 22; Presbyterian, 28; Methodist, 7; Lutheran, 2; Baptist, 2 : Confusian, 2 ; Hebrew, 1 ; unspecified, 12. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 78 7 2 Rations ... ... ... 612 11 6 From Government ... ... 887 14 10 Wines, spirits, ale, and porter ... 31 7 0 Local bodies ... ... ... 300 0 0 Surgery and dispensary ... 108 3 2 Subscriptions and donations ... 454 19 9 Fuel and light ... ... 120 12 11 Patients'payments ... ... 138 19 9 Bedding and clothing ... ... 53 18 6 Old-age pensions ... ... 323 310 Furniture and earthenware ... 94 2 6 Refund, wages and accident policy 3 3 8 Washing and laundry ... ... 1821 Salaries and wages ... ... • 806 18 4 Funerals ... ... ... 10 16 0 Repairs and additions to buildings 41 10 11 Printing, advertising, postage, and stationery ... ... ... 47 19 5 Refunds, old-age pensions ... 73 19 0 Insurance ... ... ... 10 16 7 Other expenses (principal items— Telephone charges, £5 4s. ; Imprest Account, Matron, £24) ... 38 11 8 Total ... ... £2,186 9 0 Total ... ...£2,069 9 7 Visited 28th August and 15th and 16th December, 1907.—There were twenty-five patients in Hospital, ten over seventy years of age; there were thirteen old-age pensioners, nine being in the chronic ward and four in the general wards. There were six patients in the male surgical ward and eight in the medical ward. Most of the latter were chronic cases. There were two patients in the women's ward. The wards were in excellent order, especially the surgical ward, which is comparatively new. The Trustees have decided to erect better nurses' quarters and a new kitchen—both badly needed. There has been much discussion about the plans. I did not think it advisable, as was suggested, to erect a new story over a comparatively old building, and suggested that the new buildings should be distinct from the old hospital, and part and parcel of a scheme of future hospital renovation. Finally, the Trustees wished to erect a new two-story building in place of part of the old hospital. This seemed reasonable, and has been agreed to. The Hospital is well managed and conducted, but the Trustees should give the Matron a free hand in selecting her own probationers.

36. STRATFORD HOSPITAL. Governing body: Stratford Hospital and Charitable Aid Board. Stipendiary medical staff : Dr. Paget. Nursing staff: Matron, Miss Bennett; 2 registered nurses and 1 probationer. Domestic staff: 1 cook, 1 wardsmaid, 1 laundress occasionally, 1 porter, 1 gardener occasionally. Number of beds available for males, 9 ; for females, 6 : total, 15. Number of patients under treatment during year: In-patients—-male 73, female 36—total 109; out-patients, nil. In-patients: Average days' stay, 23; average daily cost per head, 10s. lOd. (cost after deducting patients' payments, Bs. id.). Percentage of cost of administration on maintenance expenditure, 21*2. Locality from which patients came: Stratford County. Nationality of patients: English, 13; Irish, 11; Scotch, 4; French, 1; German, 2; Australian, 6; Tasmanian, 5; Canadian, 2; New-Zealanders, 64; American, 1. Religion: Church of England, 67; Roman Catholic, 14; Presbyterian, 16; Methodist, 1; Wesleyan, 8; Church of Christ, 2; Plymouth Brethren, 1.

H.-22.

Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ...1,10111 0 Rations ... ... ... 244 10 8 Local bodies ... ... ... 855 17 2 Wines, spirits, ale, and porter ... 6 4 3 Subscriptions and donations ... 61 19 7 Surgery and dispensary ... 101 711 Rents ... ... ... 2 5 0 Fuel and light... ... ... 99 16 8 Patients'payments ... ... 349 17 6 Bedding and clothing ... ... 120 0 0 Other sources (principal items— Furniture and earthenware ... 177 8 5 Government grants for furnish- Washing and laundry ... ... 21 8 2 ing, £300; balance of building Salaries and wages ... ... 450 16 2 grant, £250) ... ... 557 0 6 Funerals ... ... ... 1110 0 Repairs ... ... ... 420 New buildings... ... ... 379 10 0 Printing, advertising, postage, and stationery ... ... ... 58 4 5 Interest ... ... ... 120 2 1 Insurance ... ... ... 13 17 6 Other expenses (principal items — Surgical instruments, £242 15s. 4d.; laying-out grounds, £80 os. Id.; fees paid for Stratford patients in New Plymouth and Hawera Hospitals before opening of Stratford Hospital, £518 25.) ... ... ... 967 14 7 Total ... ...£2,928 10 9 Total ... ...£2,776 12 10 Visited in December, 1907, and again in January, 1908.—At first it was thought that little use would be made of this institution, but events have not justified that idea. On my previous visit there was not a bed unoccupied, and at my last there were eight patients. This little Hospital has made an excellent start. In design and structure it is all that can be desired, and the simplicity of the operating-room is a noticeable feature. It is a matter for regret that the Matron, Miss Fothergill, is leaving; Miss Bennett has been elected in her place. The Board has very wisely given Dr. Paget, the Medical Superintendent, the right to call in the medical assistance he may select. This should obviate friction.

37. KUMARA HOSPITAL. Governing body: Kumara Hospital Trustees. Stipendiary medical staff: Dr. Morkane. Nursing staff : Matron, Miss Stewart; and 3 probationers. Domestic staff: 1 cook, 1 housemaid, 1 porter, 1 gardener. Number of beds available for males, 24; for females, 10 (including children) : total, 34. Number of patients under treatment during year : In-patients—male 72, female 32—total 104; out-patients: Record not complete. In-patients : Average days' stay, 82; average daily cost per head, 3s. 101d. (cost after deducting patients' payments, 2s. 10|d.). Percentage of cost of administration on maintenance expenditure, 36*7. Localities from which patients came: Kumara, 37; Westland County, 45; Grey County, 14; other districts, 8. Nationality of patients: New-Zealanders, 33; Irish, 32; English, 16; Scotch, 7; Australian, 4; various (2 and under, each), 12. Religion: Roman Catholic, 56; Church of England, 28; Presbyterian, 13; Wesleyan, 4; Lutheran, 1; Confucian, 2. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 103 16 10 Rations ... ... 489 11 9 From Government— Wines, spirits, ale, and porter ... 17 19 6 Subsidies ... ... ... 503 8 2 Surgery and dispensary ... 153 10 8 State probationers'salaries ... 106 0 0 Fuel and light ... ... 88 13 9 Local bodies... ... ... 348 0 10 Bedding and clothing ... ... 6765 Subscriptions and donations ... 160 11 9 Furniture and earthenware ... 51 6 6 Bequest ... ... ... 1800 Washing and laundry ... ... 25134 Patients'payments ... ... 424 16 9 Salaries and wages ... ... 581 15 10 Sales of hut and sections ... 5 10 0 Funerals ... ... ... 15 0 0 Repairs ... ... ... 75 16 5 Printing and advertising ... 24 14 5 Insurance ... ... ... 719 3 Rent of office... ... ... 2 10 0 Fencing grounds, labour and material ... ... ... 26 13 0 Garden ... ... . 13 18 0 Bank and office expenses ... 8 17 Total ... ... £1„670 4 4 Total ... ... £1,650 10 5 |

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Visited 31st August and 17th December, 1907. —There were twenty patients and inmates. This institution is a curious mixture of outbuildings in which the old people are accommodated, and of wards into which old. men and hospital cases are taken, and of a new ward which is quite good, but which has been spoiled by one end being cut off for a pantry, which could just as easily have been built out, and so not have interfered with the shape of the ward. This latter, the " Seddon Ward," is well furnished, and should be kept for surgical cases only. The other wards are very old, especially the women's medical ward. There is quite a good theatre, which is well found.

38. LAWRENCE HOSPITAL. Governing body: Tuapeka Hospital Board. Stipendiary medical staff: Dr. Sutherland. Nursing staff: Matron, Miss Walker. Domestic staff : 1 cook, 1 wardsman, 1 gardener. Number of beds available for males, 22; for females, 6 : total, 28. Number of patients under treatment during year: In-patients—male 64, female 32—total 96; out-patients, 60 (number of attendances, 135). In-patients: Average days' stay, 20*7; average daily cost per head, Bs. 10|d. (cost after deducting patients' payments, 6s. 94d.). Percentage of cost of administration on maintenance expenditure, 51*9. Locality from which patients came : Tuapeka County. Nationality of patients: British, 47; New-Zealanders, 40; Australian, 2; American, 1; Chinese, 3; German, 2; Danish, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 173 14 1 Rations ... ... .. 235 2 11 From Government ...-:, ... 260 2 6 Surgery and dispensary ... 22 1 10 Local bodies ... ... ... 260 2 6 Fuel and light ... ... 63 13 0 Subscriptions and donations .... 6 0 0 Bedding and clothing ... ... 319 10 Rents... ... ... ... 2 0 0 Salaries and wages ... ... 404 10 0 Patients'payments .. ... 221 2 0 Water-supply ... ... 10 0 0 Other sources ... ... ... 3 18 11 Repairs ... ... 13 18 6 Printing, advertising, postage, and stationery ... ... ... 8 10 8 Insurance ... ... ... 8 18 Dunedin Hospital Trustees, for patients ... ... 7 4 0 Miscellaneous ... ... 16 11 11 Total ... ...£927 0 0 Total ... ...£793 14 4 Visited 28th January, 1908. —This Hospital has not the same demands on its accommodation as was the case when it was a mining centre. However, this pleasantly situated little town is well deserving of a hospital, though agriculture has replaced mining. Of the twenty-one beds, only three were occupied, the eleven-bedded male-ward having only two accident cases, and the sixbedded female-ward only one occupant. I was glad to note that Dr. Sutherland does not think it necessary, to justify the existence of the institution, to follow the practice of some other medical superintendents, and fill it with chronic cases and old-age pensioners. I pointed out to the Chairman and Treasurer, Mr. Simpson, that the bath and lavatory wastes should be properly trapped, and that the yard behind the main building should be asphalted. The staff consists of a Medical Superintendent, Dr. Sutherland, who lives in a house adjoining the Hospital, an unregistered nurse as Matron, and a gardener. Dr. Sutherland spoke highly of the assistance rendered him by the wardsman, and expressed himself satisfied with the work of the Matron. The wards inside the hospital were well kept, but the outside ward was very untidy, being.. used as a lumber-room. ...„",'.,.,''..

39. SOUTH WAIRARAPA HOSPITAL (GREYTOWN). Governing body : South Wairarapa Hospital Trustees. Honorary medical staff: Drs. Hosking and Johnston. ■ .-' Stipendiary medical staff: Dr. Bey. , Nursing staff: Matron, Miss Derry; 1 registered nurse and 2 probationers. Domestic staff : 1 cook, 1 housemaid, 1 laundress, 1 gardener. Number of beds available for males, 11; for females, 3: total, 14. Number of patients under treatment during y ear : In-patients—male 65, female 30—total 95; out-patients, nil. In-patients: Average days' stay, 28*157; average daily cost per head, 9s. sd. (cost after deducting patients' paynients, Bs. Ofd.). , Percentage of cost of administration on maintenance expenditure, 46*7. Locality from which patients came: Wairarapa. Nationality of patients: English, 14; Scotch, 4; Irish, 9; New-Zealanders, 62; Australian, 1; Welsh, 1; French, 1; German, 2; Danish, 1. ~.,.,.-■ Religion :'Church of England, 55; 20; Roman Catholic, 11"; Methodist, 4; various, 5.

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Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 319 6 1 Rations ... ... ... 246 1 6 From Government ... ... 532 13 8 Surgery and dispensary ... 54 15 4 Local bodies ... ... ... 366 10 0 Fuel and light... ... ... 198 910 Subscriptions and donations ... 73 0 11 Bedding and clothing ... ... 19 9 5 Rents ... ... ... 2 0 9 Furniture and earthenware ... 22 9 11 Patients' payments ... ... 186 11 0 Washing and laundry ... ... 13 0 0 Accident insurance ... ... 146 Salaries and wages ... ... 590 14 9 Repairs ... ... ... 74 2 1 Printing, advertising, postage, and stationery ... ... ... 13 2 6 Insurance ... ... ... 14 12 7 Commission ... ... ... 1 18 3 Other expenses ... ... 40 0 Freight and cartage ... ... 23 15 3 Telephone and telegrams ... ' 8 10 11 Lawn-mower ... ... ... 200 Surgical chart ... ... 550 Total ... ...£1,481 6 11 Total ... ...£1,292 7 4 Visited 3rd December, 1907. —There were only three patients in hospital at the time of my visit, but the new fever-ward until recently had been quite full. Extra accommodation is badly needed for the staff, but the Trustees recognise this, and plans are being prepared. The people of the district take a great interest in this pleasantly situated little Hospital, which is very well looked after by Dr. Bey.

40. ARROWTOWN HOSPITAL. Governing body : Arrow Hospital Trustees. Stipendiary medical staff : Dr. Thomson. Nursing staff : Matron, Miss Corrie. Domestic staff: 1 cook, 1 porter. Number of beds available for males, 9; for females, 8 (including 6 in isolation block): total, 17. Number of patients under treatment during year: In-patients—male 58, female 31—total 89; out-patients, 60 (number of attendances, 80). In-patients: Average days' stay, 24*6; average daily cost per head, 6s. s|d. (cost after deducting patients' payments, 3s. 7Jd.). Percentage of cost of administration on maintenance expenditure, 53*5. Localities from which patients came : Wanaka, Macetown, Skipper's, Waitiri, and Arrow districts. Nationality of patients: British, 83; Danish, 3; Chinese, 3. Religion: Wesleyan, 4; Presbyterian, 46; Anglican, 16; Roman Catholic, 20; Confucian, 3. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 245 14 2 Rations ... ... ... 226 8 0 From Government ... ... 366 8 7 Wines, spirits, ale, and porter ... 310 0 Local bodies ... ... ... 255 5 0 Surgery and dispensary ... ... 64 8 1 Subscriptions and donations ... 100 18 0 Fuel and light ... ... ... 23 10 3 Patients'payments ... ... 309 10 11 Bedding and clothing ... ... 12 9 7 Refund, drugs ... ... ... 780 Furniture and earthenware ... 47 17 10 Refund, old-age pensions... ... 6 10 0 Salaries and wages ... ... 571 19 4 Refund, fever-ward kitchen ... 110 0 Funerals ... ... ... 10 2 6 Repairs ... ... ... 53 5 3 New buildings ... ... ... 66 11 0 Printing, advertising, postage, and stationery ... ... ... 13 1 3 Interest ... ... ... 187 Insurance ... ... ... 962 Other expenses ... ... 25 4 5 Painting doctor's residence, &c. ; painting hospital ... ... 53 10 6 Travelling-expenses ... ... 29 10 0 Freight ... ... ... 5 0 6 Legal expenses... ... ... 7 8 0 Tree-planting ... ... ... 9 5 0 Telephone and post-office box ... 3 0 0 Refund, old-age pensions ... 6 10 0 Bank balance, Ist April, 1908, £126 9s. 6d.; less cheques unpresented, £76 lis. Id 49 18 5 Total ... £1,293 4 8 Total ... 4 8 ■======= i =====

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Visited 2nd March, 1908.—The Matron, Miss Corrie, is the only nurse. At the present time there are only five patients in, all of whom were up—four men, and one woman who was to undergo an operation the following day. There had been an addition made to the women's ward, where there are now six beds. A small bathroom had been added, and a bath put in, but, as it is not yet connected with any water-supply, it will not be of great use. The Hospital was all in excellent order.

41. MERCURY BAY HOSPITAL. Governing body: Mercury Bay Hospital Trustees. Stipendiary medical staff: Dr. Craig. Nursing staff : Matron, Miss Lambe; and 2 probationers. Domestic staff : 1 cook, 1 housemaid. Number of beds available for males, 5; for females, 3: total, 8, and 1 cot. Number of patients under treatment during year : In-patients—male 65, female 20—total 85 : out-patients, 444 (number of attendances, 1,164). In-patients: Average days' stay, 20*9; average daily cost per head, lis. 6Jd. (cost after deducting patients' payments, 10s. 3d.). Percentage of cost of administration on maintenance expenditure, 68*8. Localities from which patients came : Mercury Bay, Tairua, Kuaotunu, and Gumtown. Nationality of patients: British, 73: Austrian, 2; Maori, 7; Norwegian, 1; Tahitian, 1; American, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 629 3 6 Rations ... ... ... 154 14 2 Subscriptions and donations ... 353 15 2 Wines, spirits, ale, and porter ... 115 0 Rents ... ... ... 8 17 5 Surgery and dispensary ... 57 0 6 Patients'payments ... ... 112 18 4 Fuel and light '... ... 32 13 4 Other sources ... ... 0 3 0 Bedding and clothing ... ... 1 17 0 Balance from last year ... 39 12 0 Furniture and earthenware ... 11 9 8 Washing and laundry ... ... 6 12 0 Salaries and wages ... ... 703 6 3 Repairs ... ... ... 28 16 4 Printing, advertising, postage, and stationery ... ... 7 0 0 Insurance ... ... ... 6 18 10 Other expenses ... ... 19 15 4 Total ... ...£1,144 9 6-j Total ... ...£1,03118 5 Visited 13th March, 1908. —There were three patients in the Hospital, two men and one woman. The wards should certainly be provided with proper lavatories and sinks. With the exception of Oamaru, this is the only Hospital which does not derive assistance from local bodies, being entirely supported by subscriptions and the Government subsidy thereon. Though the subscribers to the Hospital are entitled to receive visits at their own homes from the Hospital surgeon, the system is not, abused. The district, moreover, is a very poor one, and this is the only means by which residents can obtain the services of a medical man. _

42. COROMANDEL HOSPITAL. Governing body : Coromandel Hospital Trustees. Stipendiary medical staff : Dr. Smith. Nursing staff: Matron, Miss Graham; and 3 probationers. Domestic staff: 1 cook, 1 porter and gardener. Number of beds available for males, 10; for females, 10: total, 20. Number of patients under treatment during year: In-patients—male 59, female 24—total 83; out-patients, 576 (number of attendances, 4,029). In-patients: Average days' stay, 29; average daily cost per head, lis. 7|d. (cost after deducting patients' payments, 9s. s|d.). Percentage of cost of administration on maintenance expenditure, 50*4. Localities from which patients came : Coromandel County, 80 ; Thames County, 1 ; Ohineinuri County, 2. Nationality of patients: New Zealand, 29: England, 24: Ireland, 15; Maoris, 8: Scotland, 3; Tasmania, 1; Finland, 2; Australia, 1,

H.—22.

Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... 981 Rations ... ... ... 215 5 4 From Government ... ... 749 13 4 Wines, spirits, ale, and porter ... 2 6 0 Local bodies... ... ... 225 0 0 Surgery and dispensary ... 200 0 11 Subscriptions and donations ... 358 16 10 Fuel, light, and hardware ... 93 6 3 Patients'payments ... ... 250 8 1 Bedding and clothing ... ... 40 16 8. Government grant ... ... 200 0 0 Washing and laundry ... ... 17 12 9 Contractors'deposits ... ... 3 0 0 Salaries and wages ... ... 682 14 4 Funerals ... ... ... 6 10 0 Repairs ... ... ... 44 1 9 New buildings ... ... 200 0 0 Printing, advertising, postage, and stationery ... ... 7 15 0 Interest ... ... ... 0 2 6 Insurance ... ... ... 6199 Other expenses (principal items —Consultations, £20 155.; legal expenses, £5 13s. 9d.; sanitary works, £13 10s.; gardening, &c, £3 175.; refund, 10s.; freight and cartage, £6 Is. 6d.; sundries, £1 19s. 7d.; bank fee, &c, 155.; telephone service, £33 3s. Id.; refund deposits, £6) ... '.'.. ... 92 4 11 Total ... ...£1,796 6 4, Total ... ...£1,609 16 2 Visited 13th March, 1908.—There are three wards, one of nine beds for men, a small ward with four beds usually used for surgical cases, and one with five beds for women. There is no theatre, but a room is used for out-patients, office, and surgical work. The offices, and, indeed, the whole Hospital, was in good order. A gardener is kept, no vegetables being purchased. Coromandel Hospital is largely kept going by contributions of subscribers, who obtain the services of the Hospital doctor at their own homes. This system has been objected to by the Department, but Coromandel is a poor district, and the system is not abused. Subscribers pay 6d. a week to the Hospital, for which they are entitled to be visited at their own homes and to medical treatment in hospital at IBs. per week, which is also extended to the members of their family under eighteen years of age, those under ten paying 10s. a week while in hospital. About four visits a day are paid outside the Hospital.

43. WAKATIPU HOSPITAL. Governing body : Wakatipu Hospital Trustees. Honorary medical staff : Dr. Thomson. Resident medical staff : Dr. Douglas. Nursing staff: Matron, Miss Clare. Domestic staff: 1 cook, I wardsman, 1 laundress (casual). Number of beds available for males, 14; for females, 8: total, 22. Number of patients under treatment during year: In-patients—male 53, female 28—total 81; out-patients, 55 (number of attendances, 1.96). In-patients: Average days' stay, 26*43; average daily cost per head, Bs. 3d. (cost after deducting patients' payments, ss. 7c1.). Percentage of cost of administration on maintenance expenditure, 55*07. Localities from which patients came : Lake, 77 ; Southland, 1 ; Dunedin, 3 Nationality of patients: New-Zealanders, 37; English, 11; Irish, 12; Scotch, 9; Australian, 3; Indian, 1; Fijian, 1; Swedish, 1; Dutch, 6. Religion: Roman Catholic, 32; Episcopalian, 22; Presbyterian, 22; Wesleyan, 3; Salvation Army, 2. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expendititre. £ s. d. Balance from last year... ... 103 6 9 Rations ... ... ... 174 1 4 From Government ... ... 303 12 2-J Wines, spirits, ale, and porter, surLocal bodies ... ... ... 266 16 2| gery and dispensary ... ... 4740 Subscriptions and donations ... 84 17 1 Fuel and light ... ... ... 53 13 11 Patients'payments ... ... 286 6 9 Furniture and earthenware ... 50 7 6 Social ... ... ... 6510 Salaries and wages ... ... 508 3 6 Repairs ... ... ... 32 9 7 Printing, advertising, postage, and stationery ... ... •... 13 6 6 Insurance ... ... ... 14 15 11 Commission ... ... ... 931 Stores .. ... ... 41 12 7 Incidental ... ... ... 21 3 6 Total ... £1,051 4 10 Total ... ...£966 1 5 7—H. 22.

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Visited 2nd March, 1908.—At the present time only five patients are in the Hospital —all male —the women's ward and fever cottage being empty. The men were all in bed. One was an operation case, one influenza, another an injury to the hip from a kick from a horse. The Hospital was in very fair order, and reflects credit on the Matron, who works singlehanded, or, rather, with some assistance from the wardsman. She has, however, night and day duty when there are serious cases.

44, CROMWELL HOSPITAL. Governing body: Cromwell Hospital Trustees. Honorary medical staff: Dr. Hyde. Stipendiary medical staff : Dr. Morris. Nursing staff: Matron, Mrs. Underwood. Domestic staff : 1 cook, 1 porter, and 1 gardener occasionally. Number of beds available for males, 7; for females, 4: total, 14 (including three in isolation ward). Number of patients under treatment during year: In-patients—male 50, female 9—total 59; out-patients, 56 (number of attendances, 140). In-patients: Average days' stay, 16*8; average daily cost per head, lis. (cost after deducting patients' payments, 7s. llfd.). Percentage of cost of administration on maintenance expenditure, 65*7. Localities from which patients came : Bannockburn, 16 ; Lowburn, 11 ; Cromwell, 10; Tarras, 8; Luggate, 3; Rocky Point, 2; Lake Wanaka, 2; Waenga, 2 ; Dunedin, 1 ; Albert Town, 1; Mount Pisa, 1; Gravelly Gully, 1; Hawera Flat, 1. Nationality of patients : New-Zealanders, 22; English, 17; Scotch, 10: Irish, 5: Chinese, 3; Danish, 1; American, 1. Religion: Presybterian, 28; Anglican, 15; Roman Catholic, 9; Confucian, 2; Methodist, 1; Deist, 1 ; Lutheran, 1 ; not stated, 2. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year ... ... 124 18 8 Rations ... ... ... 88 3 9 From Government ... ... 150 11 5 Wines, spirits, ale, and porter ... 518 0 Local bodies ... ... ... 150 11 5 Surgery and dispensary ... 40 18 6 Subscriptions and donations ... 200 311 Fuel and light ... ... 29 11. 0 Rents ... ... ... 31 5 0 Bedding and clothing, furniture Patients' payments ... ... 150 311 and earthenware ... ... 36 18 6 Government subsidy on £157 Is. Salaries and wages ... ... 463 7 6 2d. ... ... ... 188 9 5 Funerals ... ... ... 3 10 0 Miscellaneous... ... ... 20 10 0 Repairs ... ... ... 23 5 10 Printing, advertising, postage, and stationery . ... ... 15 12 0 Interest ... ... ... 0 8 6 Insurance ... ... ... 10 16 0 Commission ... ... ... 0 10 0 Miscellaneous... .. ... 30 4 3 Carriage, law-costs, rent, &c. ... 23 10 2 Total ~, £1,016 13 9 Total ... ... £772 14 0 Visited 30th January, 1908.—Stone building of fourteen beds. There were two patients in the five-bedded male-ward, one a bladder and the other a kidney case; the three-bedded femaleward was empty, as was the case with the isolation ward and a private ward. Mr. and Mrs. Underwood act respectively as wardsman and Matron; the latter is not registered, but Dr.. Morris expressed himself .satisfied with her work. Some 100 acres adjoining the Hospital belongs to the institution, so it is well provided with fruit and vegetables, the garden being a special feature of the establishment. The garden is looked after by the wardsman, with occasional outside assistance. The ticket system is in vogue here, but Dr. Morris assures me it is not abused.

45. DUNSTAN HOSPITAL. Governing body: Dunstan Hospital Trustees. Honorary medical staff: Dr. Gregg and Dr. Morris. Stipendiary medical staff: Dr. Hyde. Nursing staff: Matron, Miss Macleod. Domestic staff : 1 cook, 1 porter and gardener. Number of beds available for males, 9; for females, 4 : total, 13. Number of patients under treatment during year : In-patients—male 45, female 7 —total 52 ; out-patients, 28 (number of attendances, 35). In-patients: Average days' stay. 31*3; average daily cost per head, 7s. 2Jd. (cost after deducting patients' payments, ss. s|d.).

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Percentage of cost of administration on maintenance expenditure, 55*66. Localities from which patients came: Alexandra District, 18; Ophir District, 13; Earnscleugh District, 10; Clyde District, 6; Ida Valley District, 2; Cromwell District, 2; no abode, 1. Nationality of patients: New-Zealanders, 16;. Irish, 9; Chinese, 7; English, 6; Scotch, 6; Canadian, 3; Victorian, 2; Welsh, 2; German, 1. Religion: Presbyterian, 16; Church of England, 15; Roman Catholic, 15; Congregationalist, 6. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year... ... 9152 Rations ... ... ... 125 0 2 From Government ... ... 360 7 8 Wines, spirits, ale, and porter ... 912 6 Local bodies ... ... ... 194 13 3 Surgery and dispensary ... 46 5 5 Subscriptions and donations ... 129 7 8 Fuel and light' ... ... 30 910 Patients'payments ... ... 144 19 2 Bedding and clothing ... ... 2 9 0 Refund, Dr. Hyde ... .... 7 7 0 Furniture and earthenware, and Windmill and pump ... ... 10 1 0 repairs ... ... ...* 16 12 9 Miscellaneous... ... ... 811 8 Salaries and wages ... ... 456 12 0 Bank overdraft ... ... 0 4 4 Water-supply... ... ... 8 9 6 Funerals ... ... ... 17 10 0 Additions to buildings, waterclosets, and drainage... ... 32 2 8' Printing, advertising, postage, and stationery ... ... ... 18 3 2 Interest ... ... ... 3 18 0 Bank commission ... ... 0 10 0 Insurance ... ... ... 8 18 9 Commission ... ... ... 15 0 0 Bank Dr. balance, 31st March, 1907 71 4 4 Telephone ... ... ... 210 0 Grounds ... ... ... 1 17 1 Miscellaneous... ... ... 1 14 0 Total ... ... £865 6 11 Total ... ... £868 19 2 Visited 30th January, 1908. —The male-ward contains seven beds, with two occupants, one an old paralytic who has been in the Hospital a year. This ward should not contain more than six beds at the very most. The three-bedded female-ward was unoccupied. The Hospital is a wellbuilt building of stone, with a good operating-room, which is also used as a surgery and dispensary. The operating-table is of very ancient design.

46. AKAROA HOSPITAL. Governing body: North Canterbury Hospital Board. Stipendiary medical staff: Dr. Spong. Nursing staff : Matron, Mrs. Penrose. Number of beds available for males, 4; for females, 4: total, 8. Number of patients under treatment during year: In-patients-—male 27, female 20—total 47; out-patients, nil. In-patients: Average days' stay, 17*5; average daily cost per head, 10s. s|d. (cost after deducting patients' payments, Bs. Bd.). Percentage of cost of administration on maintenance expenditure, 42*8. Localities from which patients came: Akaroa and peninsula. Nationality of patients : British, 45: American, 1; Russian, 1. Religion: Church of England, 26; Roman Catholic, 8; Methodist, 1. ; Presbyterian, 8; Baptist, 1 ; Lutheran, 3. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Government ... ... 178 16 4 Rations ... ... ... 104 11 5 Local bodies ... ... ... 178 16 4 Wines, spirits, ale, and porter ... 417 6 Patients' payments ... ... 72 18 0 Surgery and dispensary ... ... 32 1 1 Fuel and light ... ... ... 28 0 6 Salaries and wages ... ... 170 19 2 Additions to buildings ... ... 31 17 11 Other expenses (principal items— Telephone, drapery, surgical dressings, and minor expenses) ... 58 3 1 Total ... ~. £430 10 8 Total ... ...£430 10 8 Visited by Miss Maclean on the 16th June, 1908.—There were two patients in hospital—both women. The Matron is assisted by one girl as cook and laundress. The Hospital was in excellent order.

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47. WAIROA HOSPITAL. Governing body : Hawke's Bay Hospital Board. - ' Stipendiary medical staff : Dr. Swanseger. Nursing staff: Wardsman and Matron. Domestic staff: 1 housemaid, 1 gardener. Number of beds available for males, 9; for females, 3: total, 12. Number of patients under treatment during year : In-patients—male 37, female 15—total 52 ; out-patients, nil. In-patients: Average days' stay, 20*8; average daily cost per head, 14s. OJd. (cost after deducting patients' payments, I3s. 2^d.). Percentage of cost of administration on maintenance expenditure, 55*4. Localities from which patients came: Wairoa County, 47; Cook County, 3; Hawke's Bay, 1; Gisborne, 1. Nationality of patients: New-Zealanders, 28; Maori, 1; English, 8; Scotch, 2; Irish, 3; Welsh, 1; 5; Norwegian, 1; Tasmanian, 2; Indian, 1. Religion: Church of England, 26; Presbyterian, 10; Roman Catholic, 16. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance from last year... ... 7 12 Rations ... ... ... 156 411 From Government ... ... 461 17 0 Wines, spirits, ale, and porter ... 2 9 0 Local bodies ... ... ... 232 3 4 Surgery and dispensa.ry ... 30 12 9 Subscriptions and donations ... 151 211 Fuel and light... ... ... 67 6 2 Patients'payments ... ... 46 0 6 Bedding and clothing ... ... 9 13 4 Sale of surplus vegetables ... 4 9 6 | Furniture and earthenware ... 12 14 0 Refunds for short deliveries ... 3 12 6 ; Washing and laundry ... ... 2 14 9 • j Salaries and wages ... ... 442 5 6 Water-supply ... ... 17 8 6 Additions to buildings ... ... 43 2 5 Printing, advertising, postage, and stationery ... ... ... 13 2 0 Interest ... ... ... 026 Insurance ... ... ... 7 15 0 Sanitation ... ... ... 30 0 0 Gramophone ... ... ... 800 Sundry small items ... ... 21 2 11 Total ... ... £906 6 11 Total ... ... £864 13 9 This Hospital consists of two six-bedded wards for male and female patients, and a fourbedded ward for Maoris. There is also a private ward. There were three patients in hospital--all males. The place was clean and in good order.

48. MANGONUI HOSPITAL. Governing body: The North Auckland Hospital and Charitable Aid Board. Stipendiary medical officer : Dr. Forbes. Nursing staff : Matron, Miss Dixon; 1 probationer. Domestic staff : 1 cook, 1 porter. Number of beds available for males, 6; for females, 6 : total, 12. Number of patients under treatment during year : In-patients—male 41, female 2—total 43. In-patients: Average days' stay, 18*46; average daily cost per head, lis. 5Jd. (cost after deducting patients' payments, 9s. 11-fd.). Percentage of cost of administration on maintenance expenditure, 53*5. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. , Expenditure. £ s. d. From Government ... ... 494 8 3 Rations ... ... ... 83 0 0 Local bodies... ... ... 494 8 3 Fuel and light ... ... 25 0 0 Patients' payments ... ... 56 0 0 Salaries and wages ... ... 305 0 0 Building ... ... ... 96 0 0 Printing, advertising, postage, and stationery ... ... ... 500 Carting ... ... ... 8 0 0 Telephone ... ... ... 700 Total ... ... £1,044 16 6 Total ... ... £529 0 0 Visited 4th March, 1908. —This Hospital was opened on the 20th April, 1907. Since that date thirty-five patients have been admitted. There were two male patients in the Hospital—one with a poisoned hand, and the other with a crushed foot. The male-ward was in ver}* good order, as was, in fact, the whole institution : but the female-ward is not large enough for six beds. The Matron, Miss Dixon, was away, and Nurse Beetham was in charge, assisted by the Maori probationer. The cooking and laundry-work is done by a girl of sixteen, of whom Nurse Beetham spoke highly.

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49. RAWENE HOSPITAL. Governing body: North Auckland Hospital and Charitable Aid Board. Stipendiary medical staff : Dr. Warneford. Nursing staff: Matron, Mrs. Lones. Domestic staff: 1 cook. Number of beds available for males, 6; for females, 2: total, 8. Number of patients under treatment during year: In-patients—male 15, female 15—total 30; out-patients, nil. In-patients: Average days' stay, 32*86; average daily cost per head, 9s. 6d. (cost after deducting patients' payments, 7s. O^d.). Percentage of cost of administration on maintenance expenditure, 39*2. Localities from which patients came: Gisborne, 1; America, 1; Fiji, 1; England, 1; Ireland, 2; Hokianga, 24. Nationality of patients: English, 3 ; New-Zealanders, 22; Irish, 2; American, 1 ; Fijian, 1 ; German, 1. Religion: Anglican, 11; Roman Catholic, 8; Wesleyan, 5; Presbyterian, 4; Freethinker, 1; Protestant, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Hospital Board ... ... 420 16 7 Salaries and wages ... ... 190 15 2 Patients' payments ... ... 122 5 2 Probationer's uniforms ... ... 2 6 8 Sale of drugs ... .. ... 112 2 Nurses'travelling-expenses ... 25 18 6 Refunds ... ... ... 170 Medical expenses (typhoid) ... 56 5 0 Maintenance ... ... ... 108 8. 2 Surgery and dispensary ... ... 41 4 4 Fuel and light ... ... ... 12 16 0 Spirits ... ... ... 6 5 6 Furniture ... ... ... 3 9 3 Tanks ... ... ... 5 15 9 Repairs ... ... ... 7 9 0 Nightsoil, &c. ... 23 16 6 Total ... ... £546 0 11 Total ... ... £484 9 10 Visited 6th March, 1908.—This Hospital has been opened 2J years, and has been useful tu the residents of Hokianga and neighbourhood. The present building —a converted publichouse— is, of course, altogether unsuitable for the purpose. Tenders for the new Hospital were being asked for, an excellent site having been chosen. There was one patient in the Hospital, a child with a burn. Despite the fact that, owing to an outbreak of typhoid, the Hospital was closed for three months last year thirty patients were treated, nine being cases of enteric fever. The Matron, Miss Joan Johnston, is leaving.

50. HAVELOCK HOSPITAL. Governing body: Picton Hospital and Charitable Aid Board. Stipendiary medical staff : Dr. Williams. Staff: Matron and wardsman. Number of beds available for males, 4; for females, 3 : total, 7. Number of patients under treatment during year : In-patients —male 19, female 9—total 28; out-patients, nil. In-patients: Average days' stay, 65; average daily cost per head, 3s. lid. (cost after deducting patients' payments, 3s. s|d.). Percentage of cost of administration on maintenance expenditure, 31*2. Locality from which patients canre: Picton district. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. From Picton Hospital... ... 329 7 7 Rations ... ... ... 177 0 0 Patients'payments ... ..." 41 1 11 Wines, spirits, ale, and porter ... 7 16 0 Fuel and light ... ... 14 1 6 Bedding and clothing ... ... 601 Furniture and earthenware ;.-,,'." 9 17 8 Salaries and wages ... ... 115 11 9 Funerals ... ... ... 6 10 0 Insurance ... ... ... 214 Metalling road ... ... 9 12 6 j Other expenses ... ... 21 18 8 Total ... ... £370 9 6 Total ... £370 9 6

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Visited 6th May, 1908.—There was one patient in this Hospital, a case of appendicitis. There has been some controversy between the residents and the Picton Board as to the scope of the institution. It was originally intended as a cottage hospital for first aid, but since the arrival of Dr. Williams patients have been retained for treatment there instead of being forwarded to Picton, thus the expenses of the institution have increased. I advised the Board to adhere strictly to the original understanding, otherwise it would be as well to close the institution

51. WAIAPU HOSPITAL. Governing body: Waiapu Hospital and Charitable Aid Board. Stipendiary medical staff : Dr. Davis. Nursing staff : Matron, Miss Shiliington ; 1 unregistered nurse. Domestic staff: 1 cook, 1 housemaid, 1 porter, 1 gardener. Number of beds available for males, 4; for females, 4: total, 8. Number of patients under treatment during year: In-patients—male 15, female 11—total 26; out-patients, nil. In-patients: Average days'stay, average daily cost per head, 14s. sd. (cost after deducting patients' payments, 13s. 5d.). Percentage of cost of administration on maintenance expenditure, 21*9. Locality from which patients came: Waiapu District. Nationality of patients : New-Zealanders, 14; Irish, 3; Maori, 3; British, 2; English, 2; Scotch, 1; Tasmanian, 1. Religion: Anglican, 13; Roman Catholic, 7; Methodist, 3; Presbyterian, 2; Church of England, 1. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d From Government ... ...1,269 5 4 Rations ... ... 118 19 10 Local bodies ... ...* ... 750 0 0 Wines, spirits, ale, and porter ... 014 0 Subscriptions and donations ... 24 18 2 Surgery and dispensary... ... 39 17 1 Patients'payments ... ... 53 12 0 Fuel and light... ... ... 83 4 0 Refunds on hospital buildings ... 17 4 4 Bedding and clothing ... ... 110 3 1 Furniture and earthenware ... 491 2 3 Washing and laundry ... ... 1 0 10 Salaries and wages ... ... 277 4 6 Water-supply ... ... ... 165 16 11 Additions to buildings ... ... 335 19 0 Printing, advertising, postage, and stationery ... ... '.. 22 2 10 Interest ... ... ... 0 19 0 Insurance ... ... ..'. 10 6 9 Commission ... ... ... 0 11 2 Auckland Hospital Board, patients' fees ... ... ... 31 10 0 Sundry accounts ... ... 13 6 7 Total ... ...£2,114 19 10 Total ... ...£1,702 17 10 Visited 21st February, 1908.—This little Hospital consists of two small wards, each containing three beds, with side rooms capable of accommodating two patients. There were five patients in hospital—three men and two women—all being hospital cases. Since the Hospital has been opened twenty-six patients have been admitted. The institution was in excellent order. Unfortunately the Matron is leaving. Miss Shiliington, late of Waihi, has been appointed in her place.

52. ROSS HOSPITAL. Governing body : Westland Hospital and Charitable Aid Board. Stipendiary medical staff: Dr. Telford. ' Nursing staff: Matron and wardsman. Domestic staff: 1 housemaid, 1 gardener. Number of beds available for males, 16; for females, 0: total, 16. Number of patients under treatment during year : In-patients—male 28, female 3-—total 31 ; out-patients, nil. In-patients: Average days' stay, 97*7; average daily cost per head, 4s. 6id. (cost after deducting patients' payments, 3s. 6Jd.).

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Percentage of cost of administration on maintenance expenditure, 39*6. Localities from which patients came: South Westland, 15; Ross, 15; Wellington, 1. Nationality of patients : New-Zealanders, 11; Irish, 10; English, 4; Scotch, 5; Italian, 1. Religion: Roman Catholic, 11; Church of England, 13; Presbyterian, 7. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ a. d. Expenditure. £ s. d. From Government ... ... 276 0 10 Rations or provisions, including Local bodies ... ... ... 276 010 wines, spirits, ale, and porter ... 216 5 4 Subscriptions and donations ... 325 4 3 Surgery and dispensary ... ... 47 1 7 Patients'payments ... ... 161 4 0 Fuel and light ... ... ... 38 16 3 Bedding and clothing ... ... 59 15 10 Furniture and earthenware ... 84 15 2 I Washing and laundry ... ... 914 0 Salaries and wages ... ... 371 3 7 i Water-supply ... ... ... 4-0 0 Funerals ... ... ... 9 0 0 Repairs ... ... ... 89 9 7 j New buildings ... ... ... 79 17 0 Printing, advertising, postage, and stationery ... ... ... 11 0 9 Insurance ... ... ... 4 15 4 Other expenses... ... ... 12 15 6 Total ... ... £1,038 911 Total ... ... £1,038 911 Visited 21st April, 1907.—There were then eight patients in hospital—all chronic cases or old men. I can only say what I said last year, that, although there is no real need for this Hospital, it would be a pity to do away with it, and thus remove an inducement for Dr. Telford to remain : he is an energetic and capable man.

53. CHARLESTON HOSPITAL. Governing body : Charleston Hospital Trustees. Stipendiary medical staff : Dr. Collins. Staff : 1 cook, 1 wardsman, and Matron. Number of beds available for males, 11; for females, 0: total, 11. Number of patients under treatment during year: In-patients—male, 24; out-patients, no record. In-patients: Average days' stay, 88 ; average daily cost per head, ss. sfd. (cost after deducting patients' payments, 4s. 3|d.). Percentage of cost of administration on maintenance expenditure, 39*6. Localities from which patients came: Charleston, Nine-mile, Addison's, Westport, and Brighton. Nationality of patients: Ireland, 9; England, 6; Scotland, 6; New Zealand, 3. Religion: Roman Catholic, 7; Church of England, 8; Presbyterian, 9. Receipts and Expenditure for the Year ended 31st March, 1908. Receipts. £ s. d. Expenditure. £ s. d. Balance .from last year ... ... 51 18 10 Rations ... ... ... 140 16 9 From Government ... ... 220 0 0 Wines, spirits, ale, and porter ... 9 13 Local bodies ... ... ... 100 0 0 Surgery and dispensary ... 15 3 2 Subscriptions and donations ... KfO 211 Fuel and light ... .. 13 14 6 Rents ... ... ... 500 Bedding and clothing ... ... 7 8 10 Patients'payments ... ... 131 0 0 Salaries and wages ... ... 213 2 6 Funerals ... ... ... 6 0 0 Repairs ... ... ... 158 18 9 Printing, advertising, postage, and stationery ... ... ... 21 9 3 Insurance ... ... ... 227 Other expenses ... ... 3 7 0 Total ... ... £608 1 9 Total ... ... £591 4 7 Visited 27th August, 1907. —There are twelve beds in this Hospital. The eight old men who were inmates were all senile and incurable cases. An accident case, a fractured clavicle, had been admitted the previous week. The married couple in charge are a respectable pair. Mrs. O'Donnell seemed a kindly good-hearted Irishwoman, who will doubtless do her best for the old men under her care. All the old men seemed comfortable and well fed.

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CHARITABLE INSTITUTIONS.

Whangarei Old Men's Home. Visited 3rd March, 1908.—There were eighteen males and three femalesseven of whom were old-age-pensioners, who are allowed 4s. per month out of their pensions, as well as a stick of tobacco per week. More cupboard-room is certainly needed in this institution: The place is well looked after by Mr. and Mrs. Harker, who have the assistance of a maid servant. Auckland Convalescent Home. Visited 11th March, 1908. —This should prove a useful adjunct to the Hospital, but of the forty-four patients admitted since the institution was opened a year ago only twenty-five were Hospital patients: the remainder being sent in by medical men, in some instances from outside the Hospital area. There were twelve patients in the Home when I visited it last March ; one patient had been in over three months—a long time for a Convalescent Home. The institution should be a great boon to children suffering from dead bone, &c, whose wounds require little dressing. It would be as well for one of the medical staff periodically to visit this place, which is very well managed by Miss Street. Costley Home. Visited 10th March, 1908.—There were about 180 inmates at the time of my visit, including five cases of consumption which were being treated in tents, including one case in the early stages of the disease, who had been admitted pending his removal to the Cambridge institution. The Board should be careful to see that such cases do a little light work in the grounds, provided there are no medical reasons to the contrary. Patients are often happier and better if their time is regularly occupied. The new chronic ward was full, and in very good order. It is a pity that there is not more balcony-room provided, so that the bedridden could be occasionally wheeled out into the open air. It is true that some such accommodation is provided, but it hardly meets the case. The patients seem very comfortable, and the whole institution is in excellent order. Thames Old People's Home. Visited 15th March, 1908.—There were twenty-eight men and four women in this institution. Quite a feature of this place is the farm, which seems to be fairly productive. There were no complaints. The old-age-pensioners receive ss. a, month. The institution seems to be very well managed by the Master and Matron, assisted by a cook and housemaid. Old Men's Home, Hamilton. Visited 18th March, 1908.—There were fourteen inmates, who seemed fairly comfortable, but the place needs improvement; it is built of wood, and is riddled with borers. The old Nurses' Home has been converted into a house for the Master and Matron : it seemed very comfortable. Park Island Old Men's Home. Visited 12th February, 1908, in company with the Chairman of the Board, Mr. Cranby.—There were fifty-seven men and ten women in the institution, twelve men being in the infirmary ward. There has been a marked difference in the discipline of the old men since this place was opened, the men thereby being removed from the influences of the town. The dormitories are excellent in design, as is, indeed, the whole institution, which is kept in first-class order by Mr. and Mrs. Mayo. The old-age-pensioners receive 10s. 4d. monthly. Nailer Children's Home. Girls' Home, Burlington Road. Visited 13th February, 1908. Here there were twenty-four girls from six to fifteen years of age. The children were well and happy, and all slept in the one dormitory, a small part being curtained off for the girl in charge. The Acting-Matron slept in a room adjoining. Boys' Home. Five boys are accommodated here, one room, for two boys, being large enough, but that for three is too small. Nelson Old Men's Home. Visited 7th December, 1907.—There were thirty-three patients in the Home, two of whom were women. The building is in a very dilapidated state, and it is said that it is bug-ridden, and though kept as clean as circumstances will allow, a new building is badly needed. I was shown over the institution by the Matron's assistant, quite a young woman, and, though she appeared quite capable, I am of the opinion that the Board incurred a grave responsibility in leaving the institute in the charge (temporarily) of one so young.

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Ashburton Old Men's Home. Visited 28th March, 1908.—There were sixty-five men in this institution, thirty-four of whom are old-age-pensioners, who, as well as the other inmates, receive 4s. a month as pocket-money. It is to be regretted that a similar allowance is not made to all inmates of Old Men's Homes. In most instances monthly allowances —of varying amounts, sometimes as much as 10s. —are made to old-age-pensioners only : this is not conducive to the discipline of the institutions, as the pensioners consider themselves on a better footing than their less fortunate companions. The institution was in excellent order, under the management of Mr. and Mrs. Knight. The staff consists of a Master and Matron, two male attendants, wardsmaid, laundress, housemaid, and cook. Benevolent Home, Caversham. Some controversy had taken place between the Hospital Board and the Trustees of this institution with regard to the admission of incurable cases to the Home. I met the representatives of the local bodies concerned in the matter, and the Trustees of the Benevolent Institution latterly agreed to admit incurable cases of ordinary diseases and incurable consumptives to the Home. I accordingly made arrangements for the admission of two cases of the latter disease. At this place there is a hospital with four excellent wards, which should be able to accommodate all the incurable and helpless cases of Otago, and it should therefore be a long time before a new special institution would be needed for such. One of the wards in the upper story could be easily divided off for cases of incurable consumption. At the time of my visit there were 230 inmates in the institution —170 men and 60 women— of which total 65 were old-age-pensioners; amongst the remainder were 18 Chinamen. The institution can easily accommodate 250 persons. The cost per head is 6s. 9Jd. per da}*. I was glad to notice that my recommendation that they should appoint two female nurses was carried into effect: I was assured by the Chairman, Mr. Talboys, that the alterations I suggested in the hospital would be put in hand at once, and that the two nurses would be placed in that part of the institution as soon as the next accommodation ward was ready. The place was very clean, and reflects great credit on Mr. and Mrs. Mee. Victoria Home for Friendless Girls, Invercargill. There were five girls in the home at the date of visit. These girls are kept with their babies for six months; the latter are boarded out when the girls go to service. This institution is well managed by a committee of ladies. Lorne Farm, Invercargill. Visited 13th June, 1907, and 27th February, 1908.—An excellently managed institution. The old people seemed content and well cared for. The babies in the children's part looked well and happy. Some of the older children were away at a school picnic. None of them showed any ill effects of " institution life." Though the wisdom of thus mixing young and old is questionable, no one could fail to appreciate the general air of content prevailing in this institution. Old Men's Home, New Plymouth. Visited 6th January, 1907. —There were 28 men and 3 women in the Home. There were no complaints. Mr. and Mrs. Farrar look after this place very well.

LIST OF GOVERNING BODIES.

Separate Institutions, Hospitals (27). Northern Wairoa. Reefton. Mercury Bay. Kumara. Thames. Westland (Hokitika). Waihi. Waimate. Coromandel. Oamaru. Gisborne. Dunedin. Wellington. Dunstan. South Wairarapa (Greytown). Cromwell. Masterton. Naseby. Pahiatua. Arrow. Dannevirke. Wakatipu (Queenstown). Napier. Southland (Invercargill). Charleston. Wallace and Fiord (Riverton). Grey River (Greymouth).

B—H. 22,

H.—22

58

Separate Institutions : Charitable Aid (14). Jubilee Institute for the Blind. St. Andrew's Orphanage (Nelson). Hawke's Bay Children's Home. Reefton Ladies' Benevolent Society. Wairarapa North Benevolent Society. Greymouth Benevolent Society. Wellington Benevolent Institution. Hokitika Benevolent Society. Wellington Convalescent Home. Samaritan Home (Christchurch). Wellington Ladies' Christian Association. North Otago Benevolent Society. Wellington Society for Relief of Aged Needy. Otago Benevolent Institution. Hospital Boards (13) — Charitable Aid Boards (6) — Thames. Thames and Coromandel. Coromandel. Patea and Wanganui. Patea. Wellington and Wairarapa. Wanganui. Hawke's Bay United (including Waipawa). Wellington. Ashburton and North Canterbury. Wairarapa. Central Otago, Tuapeka, and Otago. Waipawa. Hawke's Bay. Ashburton. North Canterbury. Otago. Vincent. Tuapeka. Hospital and Charitable Aid Boards (23). North Auckland. Wairau. Auckland.*" Nelson. Waihi. 00i..S 3 Buller. Bay of Plenty. Inangahua. Waiapu. Grey. Cook. Westland. Waikato. South Canterbury. ■ Taranaki. Waitaki. Stratford. Mauiototo. Hawera. Southland. Palmerston North. Wallace and Fiord. Picton.

TABLES. INDEX TO HOSPITALS. For purposes of comparison the hospitals in the following tables have been placed in order of size, (i.e., number of in-patients under treatment during year), instead of alphabetioally. The following is the order in which they are placed:— Akaroa .. .. .. 46 Lawrence .. .. 38 Southland .. .. 8 Arrowtown .. .. 40 Masterton .. .. 21 South Wairarapa .. .. 39 Ashburton .. .. 23 Mangonui .. .. 48 Stratford .. .. 36 Auckland .. .. .. 2 Mercury Bay .. .. 41 Te Puia (see Waiapu). Blenheim (see Wairau). Napier .. .. .. 6 Thames .. .. .. 10 Charleston .. .. 53 Nastby .. .. .. 28 Timaru .. .. .. 12 Christchurch .. .. 3 Nelson .. .. .. 15 Waiapu .. .. .. 51 Coromandel .. .. 42 New Plymouth .. .. 13 Waihi .. .. .. 16 Cromwell .. .. .. 44 Northern Wairoa.. .. 84 Waikato .. .. .. 7 Dannevirke .. .. 27 Oamaru.. .. .. 19 Waimate .. .. 24 Dunedin .. .. .. 4 Otaki .. .. .. 30 Waipawa .. .. 14 Dunstan .. .. .. 45 Pahiatua .. .. 29 Wairau .. .. .. 18 Gisborne .. .. .. 11 Palmerston North .. 9 Wairoa .. .. .. 47 Greymouth .. .. 17 P uea .. .. .. 32 Wakatipu .. .. 43 Hamilton (see Waikato). Picton .. .. .. 31 Wallace and Fiord .. 22 Havelock .. .. .. 50 Queenstown (see Wakatipu). Wanganui .. .. 5 Hawera .. .. .. 20 Kawene .. .. .. 49 Wellington .. .. 1 Hokitika (see Westland). R efton .. .. .. 35 ; Westland .. .. 26 Invercargill (see Southland). (see Wallace and Fiord). Westport .. .. 25 Kumara .. .. .. 37 Ross .. .. .. 52 Whangarei .. .. 33

H.—22

59

TABLE I.-Showing Size of Hospitals, Staff, Number of Patients, Administrative Cost, &c., for the Year ended 31st March, 1908.

Staff. Number of Beds. Number of Patients under Treatment during Year. 3 a Cd H . „co go •3 a Number of Outdoor Patients. ! s !ji! o £ Kumber and Name of Hospital. (Separate Institutions marked thus *.) 3.3 Sirs CC Nursing. cd co to 03 cd'cS co 4* e AC oi o a a n O CC 043 £r-r1 Domestic. fl fl c o ,4 .a H For Males. For Females. .So. 2 7i to.O oo*? 5a* Sex. Males. Females. Total under Treatment. qj.4 > Pi EH Daily Average Cost. CD 03 —I "eg 2 55 •43 3 44 ID a •C3 a 4i< gov &„ s a 44 x $ « a tn u <r -fl! J<!H S2-5PQ Oi Deaths. Trained Nurses. Probationers. 1. Wellington* 2. Auckland 3. Christchurch 4. Dunedin* 5. Wanganui 6. Napier* 7. Waikato.. 8. Southland* 9. Palmerston North 10. Thames* 11. Gisborne* 12. Timaru 13. New Plymouth .. 14. Waipawa 15. Nelson 16. Waihi* .. 17. Grey River* 18. Wairau 19. Oamaru* 20. Hawera 21. Masterton* 22. Wallace and Fiord* 23. Ashburton 24. Waimate* 25. Westport 26. Westland* 27. Dannevirke* 28. Naseby* 29. Pahiatua* 30. Otaki .. 31. Picton .. 32. Patea 33. Whangarei 34. Northern Wairoa* 35. Reefton* 36. Stratford 37. Kumara* 38. Lawrence 39. South Wairarapa* 40. Arrowtown* 41. Mercury Bay* 42. Coromandel* 43. Wakatipu* 44. Cromwell* 45. Dunstan* 46. Akaroa 47. Wairoa 48. Mangonui 49. Rawene 50. Havelock 51. Waiapu 52. Ross 53. Charleston* 3 3 3 3 1 2 1 1 3 1 1 1 2 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 18 33 9 13 6 4 3 5 6 5 3 6 5 5 4 3 3 3 2 3 4 2 2 1 2 1 1 1 2 3 3 1 2 2 1 3 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 68 46 34 50 17 13 13 10 10 7 8 11 10 2 11 10 8 7 5 4 7 4 4 4 4 5 2 3 2 1 2 3 2 2 3 1 3 36 21 21 15 8 8 8 7 5 3 5 9 5 6 6 4 6 i 4 4 4 5 4 3 2 3 4 3 2 3 3 3 2 2 2 3 3 2 2 3 1 2 1 3 1 1 i. 14 17 10 7 4 2 2 2 3 2 1. 4 3 2 2 2 2 2 1 2 1 1 2 2 1 2 2 2 1 2 1 1 1 1 1 1 2 1 1 1 143 122 79 80 47 40 42 41 24 36 33 42 28 30 36 20 50 31 .24 21 17 19 24 17 19 36 12 12 12 9 12 8 11 8 30 9 24 22 11 9 5 10 14 7 9 4 9 6 6 4 4 16 11 129 101 37 68 29 14 22 21 25 18 20 32 24 12 30 16 10 13 14 15 10 12 13 16 11 11 3 9 8 8 12 8 6 6 6 6 10 6 3 8 3 10 8 4 4 4 3 6 2 3 4 \ 272 223 116 172 76 63 64 62 67 54 53 74 58 42 66 36 60 44 46 36 37 31 37 33 30 47 15 21 20 17 24 16 17 14 36 15 34 28 14 17 9 20 22 14 13 8 12 12 8 7 8 16 11 176 194 HI 120 60 40 47 50 38 39 34 35 37 25 53 19 55 21 20 13 15 17 18 12 28 35 9 8 8 11 6 8 8 10 20 7 23 5 7 6 5 6 6 2 4 2 3 2 2 5 3 8 6 1,827 1,555 1,099 956 464 377 394 390 332 358 367 309 263 264 212 210 250 185 179 145 154 135 168 145 132 122 91 88 92 89 80 96 90 91 73 72 64 65 58 65 59 53 50 45 27 37 41 15 19 15 28 24 1,028 857 716 688 241 196 173 176 205 155 141 155 168 85 131 132 55 88 70 90 77 83 49 67 26 37 24 j 45 45 37 38 44 24 28 20 36 32 32 30 31 20 24' 28 9 7 20 15 2 15 9 11 3 2,855 2,412 1,815 1,644 705 573 567 566 537 513 508 464 431 349 343 342 305 273 249 235 231 218 217 190 171 169 146 136 133 129 127 124 120 118 111 109 104 96 95 89 85 83 81 59 52 47 52 43 30 28 26 31 24 64,158 70,802 40,470 44,026 21,803 14,825 17,218 18,437 13,956 14,546 12,361 13,023 13,547 9,033 19,532 7,221 20,264 7,617 7,370 4,949 5,607 6,296 6,513 4,850 10,448 12,783 3,3H6 2,920 3,191 4,200 2,273 2,913 2,805 3,557 7,431 2,508 8,527 2,097 2,745 2,188 1,780 2,317 2,141 992 1,639 822 1,084 757 986 1,838 1,088 3.127 2,152 22-47 2951 22-30 26-78 3092 25 30-3 33-5 26 2835 24-33 31-6 3L-4 259 553 21-11 6644 28 29-6 21 2411 28 30 25 5 610 7564 228 21-4 25-5 32 14 23-5 23-45 30-17 67 23 82 20-7 29-67 2416 20-9 29 26-43 168 31-3 17-5 20-8 18-46 32-86 65 215 97-7 88 s. d. 3 11 4 10 5 7i 5 5 4 5| 6 11 5 9 4 84 6 0 5 5f 7 3 6 If 5 9| 3 5 7 101 4 Of 7 0 5 0 8 3f 6 llf 5 6 5 8 6 8 4 6 3 9f 8 7 8 0 6 10J 5 2£ 9 10 6 6J 7 6 9 21 5 5A 10 10$ 3 101 8 10* 9 5 6 5J 11 64 11 7| 8 3 11 0 7 21 10 5| 14 04 11 51 9 6 3 11 14 5 4 6J 5 5f s. d. 3 0 3 9f 4 9J 4 4§ 3 94 6 4| 4 6f| 3 10| 4 6l| 2 0 4 7 6 5 3 OJ 4 8f 2 94 6 5f 2 11} 5 5f 3 111 5 10 6 21 4 3 4 64 6 If 4 01 2 lOf 6 11 5 3 5 Of 4 2 i 8 54 5 24 6 0 6 1 4 21 8 1 2 104 6 9j 8 OJ 3 74 10 3 9 54 5 7 7 llf 5 51 8 8 13 2* 9 llf 7 04 3 5f 13 5 3 61 4 34 2,017 279 2,125 2,167 91 360 1,316 430 282 157 149 '78 14 74 45 212 222 8,807 3,315 13,055 4,967 726 •-. 1,464 2,959 615 •• I 861 608 785 io7 ISO 1,666 383 562 399 31-7 41-9 335 3501 39-5 34-7 37-8 35-4 36-7 34-9 36-7 32-9 45-3 41-2 3504 36-3 . 27-7 37-08 435 26-4 45-3 39-03 354 30-5 337 44-5 51-2 419 61-8 32-4 40-4 522 62-2 42-1 21-2 te. 36-7 519 46-7 53-5 68-7 50-4 55 07 657 55-7 42-8 554 71-8 39-2 31-2 21-9 39 6 39-6 182 238 189 129 48 48 38 41 38 30 23 43 36 17 30 24 42 28 19 8 17 17 12 18 26 6 2 12 5 7 8 4 8 24 12 11 4 6 7 3 7 4 87 223 ! •• I •■ i I 310 116 2,300 223 Record n'i 60 J ot comple t 135 2 2 3 1 60 444 576 55 56 28 80 1,164 4,029 196 140 35 2 1 3 1 1 1 1 1 1 •' 1 2 1 1 1 2 2 " No re cord. 1,403 553,119 11,810 49,585 41-78 68 188 405 255 122 1,395 873 2,347 12,642 6,518 19,160 3357 7 Of S 7Ji 1,52:

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60

TABLE II.—Showing the Receipts on Account of Hospitals during the Year ended 31st March, 1908.

Hospital. (Separate Institutions marked * *.) j Balance from ! Government Last Year. ■ Contributions. : I *■ J i Contributions \ lutwfties Voluntary Contributions. Hospital Board. Bequests. i Bents, &c. Payments by | (r «g| r Patients. | %Tu lces Total Receipts. 1. Wellington* .. .. 2. Auckland .. 3. Christchurch 4. Dunedin* 5. Wanganui 6. Napier* 7. Waikato 8. Southland* 9. Palmerston North 10. Thames* 11. Gisborne* 12. Timaru 13. New Plymouth 14. Waipawa 15. Nelson 16. Waihi* 17. Grey River* 18. Wairau 19. Oamaru* 20. Hawera 21. Masterton* 22. Wallace and Fiord* .. 23. Ashburton 24. Waimate* 25. Westport 26. Westland* 27. Dannevirke* .. 28. Naseby* 29. Pahiatua* 30. Otaki 81. Picton 32. Patea 33. Whangarei 34. Northern Wairoa* 35. Reefton* 36. Stratford 37. Kumara* 38. Lawrence 39. South Wairarapa* 40. Arrowtown* 41. Mercury Bay* 42. Coromandel* 43. Wakatipu* 44. Cromwell* 45. Dunstan* .. 46. Akaroa 47. Wairoa 48. Mangonui 49. Rawene 50. Havelock 51. Waiapu 52. Ross 53. Charleston* .. ■\ £ s. d. .. j 1,199 12 6 ''.'..] 1,134" 1 1 .. ! 402 5 3 ..■ 987 5 0 .. ! 7,650 3 10 .'. ! 2,73716 9 .. 1 1,440 10 6 .... 427 4 1 .. i 984 6 11 .. | 174 5 4 .. ! 1,839 1 9 .. i 389 14 8 .. j 1 13 11 .. ! 2,898 17 2 197 9 5 221 10 9 66 15 2 .. i 749 15 8 .: I 117 3 7 130 10 7 .. j 351 0 11 '.'. \ 13518 4 .. ! 707 3 4 .. j 111' 4 5 :. 78 7 2; 103 16 10 173 14 1 319 6 1 .. I . 245 14 2 .. I 39 12 0 .. 9 8 1 103 6 9 124 18 8 9 15 2 .. 7 12 '.'. j 5118 10 £ s. d. 9,574 10 7,934 18 10 7,22S 12 10 4,953 13 6 2,561 1 4 3,715 15 11 5,091 6 2 3,110 15 6 3,788 14 11 877 9 5 1,754 13 2 3,343 18 1 2,398 4 1 3,000 9 0 1,635 14 10 1,736 11 3 1,387 3 8 1,624 2 2 466 18 4 1,306 4 2 3,906 12 9 614 11 4 852 3 7 123 13 4 821 3 1 1,211 11 6 861 1 3 317 4 7 466 10 0 565 16 10 899 6 3 456 7 6 407 10 7 547 6 4 887 14 10 I 1,101 11 0 609 8 2 260 2 6 532 13 8 366 8 7 629 3 6 749 13 4 303 12 2 339 0 10 360 7 8 178 16 4 461 17 0 494 8 3 210 8 3 164 13 10 1,269 5 4 276 0 10 220 0 0 £ s. d. 8,479 3 4 7,934 18 9 6,526 0 0 4,000 0 0 1,711 4 9 1,475 0 0 2,736 5 0 2,262 10 0 1.780 1 2 877 9 5 1,428 15 0 2,661 4 4 1,502 10 9 1,456 1 3 1,219 5 0 1,500 0 0 875 0 0 1,147 0 5 1,101 16 6 1,135 0 0 434 2 6 840 0 0 1,534 18 8 821 3 1 643 19 2 691 10 0 150 0 0! 359 0 0 559 10 10 823 4 11 335 0 0 56 19 4 269 0 0 300 0 0| 855 17 2 348 0 10 260 2 6 366 10 0 255 5 0 £ s. a. 804 6 0 65 12 0 42 10 6 1,217 19 6 29 8 0 1,194 5 3 125 15 4 684 5 5 301 16 5 163 0 0 298 16 0 360 11 6 466 1 3 131 17 1 179 5 6 224 7 4 361 12 11 15 18 6 359 16 8 64 1 7 652 13 1 115 0 6 10 3 0 42 15 0 ! 180 0 10J 422 5 4! 181 10 0 122 7 91 12 11 0 14 14 Oi 151 10 5 40 4 2 186 10 2 318 4 0 454 19 9 61 19 7 160 11 9 6 0 0 73 0 11! 100 18 0 353 15 21 358 16 10; 84 17 l! 200 3 ll 1 129 7 8 151 2 11 ( £ s. d. 659 3 9 1 17 5 500 0 0 3 8 10 2 0 0 IOO' 18 9 3 8 10 130 0 0 500 0 0 326 17 0 251 19 4 366 10 0 155 6 0 253 18 0 18' 0 0 £ s. d.i £ s. d. 2,646 0 ll! 2,955 11 0 8 14 9! 3,620 13 1 ! 1,684 6 10 2,175 14 3 1,234 6 0 754 4 7 77 5 6 375 15 6 129 15 6 1,028 7 11 3 10 761 1 7 1,046 0 2 40 4 0 1,040 18 7 25 14 0' 565 4 10 553 1 6 57 8 0 : 2,104 8 8 473 7 1 197 3 4 636 18 1 498 2 6 1,099 8 6 6 0 0 581 4 0 1,234 13 10 392 19 7 616 13 11 232 12 3 2 10 0 398 10 8 365 18 4 126 9 2 63 14 8 259 3 0 27 12 0 ; 588 4 7 257 12 6 403 11 2 8 0 0! 287 3 9 222 17 6 157 12 8 6 10 0: 202 5 6 213 4 10 552 8 0 I 138 19 9 2 5 0 349 17 6 424 16 9 2 0 0 221 2 0 2 0 9 186 11 0 309 10 11 8 17 5 112 18 4 250 8 1 j 286 6 9 31 5 0 : 150 3 11 ! 144 19 2 72 18 0 46 0 6 56 0 0 122 5 2 41 1 11 53 12 0 161 4 0 5 0 0 131 0 0 5,820 1 8 30,491 11 10 £ s. d. £ s. d. 2,142 18 5 28,460 16 11 13 0 0 19,579 14 10 106 5 5 17,221 16 8 298 18 1 13,048 10 7 185 1 3 7,465 19 9 1,949 19 3 16,440 5 3 5,521 16 4 14,633 6 3 115 18 4 7,038 10 7 53 7 9 9,711 6 0 32 9 9 4,602 1 8 296 7 10 4,796 14 11 3 0 0: 7,421 15 5 853 17 11 8,366 17 7938 10 9 6,174 10 6 10 5 0 3,878 11 9 11 14 6 3,970 15 7 78 15 1 4,128 17 2 96 0 11 5,309 7 9 249 14 10 3,093 17 11 3 11 9 3,346 1 2 111 18 4 8,937 13 7 15 14 10 1,777 19 3 28 5 8 2,318 1 4 6 12 5l 1,901 3 9 422 14 3 2,567 18 11 58 17 9 3,702 5 11 64 3 61 2,173. 0 10 16 1 9; 1,139 15 10 6 9 5i 1,857 5 -1 1,862 19 2 167 12 9 ! 2,335 5 4 24 0 5 1,926 16 11 1,118 2 11 18 7 3| 1,816 10 0 326 7 6 2,186 9 0 557 0 6 1 2,928 10 9 5 10 0! 1,670 4 4 3 18 111 927 0 0 1 4 61 1,481 6 11 15 8 0 1,293 4 8 0 3 0; 1,144 9 5 203 0 0 ! 1,796 6 4 6 5 10 1,051 4 10 20 10 0 1,016 13 9 26 4 0: 865 6 11 I 430 10 8 8 2 0i 906 6 11 1,044 16 6 2 19 2 546 0 11 370 9 6 17 4 4 2,114 19 10 1,038 9 11 608 1 9 15,096 9 2 247,045 10 0 225 0 0 266 16 31 150 11 5 194 13 3 178 16 4 232 3 4 494 8 3 210 8 4 164 13 9 750 0 0 276 0 10 100 0 0 24 18 2 325 4 3 ■ 100 2 11| Totals .. 26,322 9 11 88,956 13 2 64,957 1 5! 12,127 14 111 3,273 7 11'

61

H.H-22

TABLE III.—Showing the Expenditure on Hospitals during the Year ended 31st March, 1908.

Number and Name of. Hospital. (Separate Institutions marked thus*.) 5.S6 4 O U <S, Rations and Provisions. Wines, Ale, Surgery &c and Dispensary. Fuel and Light. Bedding and Clothing. Furniture and Crockery. Washing and Laundry. Watersupply. Funerals. Repairs. Printing, Advertising, Postage, ant! Stationery. Salaries and Wages. Insurance. | Other Expenses. Improvements to and Additions to Buildings, and New Buildings. Total. 1. Wellington* 2. Auckland 3. Christchurch .. 4. Dunedin* 5. Wanganui 6. Napier* 7. Waikato 8. Southland* 9. Palmerston N. .. 10. Thames* 11. Gisborne* 12. Timaru 13. New Plymouth.. 14. Waipawa 15. Nelson 16. Waihi* 17. Grey River* 18. Wairau 19. Oamaru* 20. Hawera 21. Masterton* 22. Wallace and Fiord 23. Ashburton 24. Waimate* 25. Westport 26. Westland* 27. Dannevirke* 28. Naseby* 29. Pahiatua* 30. Otaki 31. Picton 32. Patea 33. Whangarei 34. North'n Wairoa* 35. Reefton* 36. Stratford 37. Kumara* 38. Lawrence 39. S. Wairarapa* .. 40. Arrowtown* 41. Mercury Bay* .. 42. Coromandel* .. 43. Wakatipu* 44. Cromwell* 45. Dunstan* 46. Akaroa 47. Wairoa 48. Mangonui 49. Rawene" 50. Ha velock 51. Waiapu 52. Ross .. 53. Charleston* 176 194 in 120 60 40 47 38 39 34 35 37 53 55 21 20 13 * 17 18 12 28 35 9 8 8 11 6 8 8 £ s. d. 4,818 14 10 5,064 5 o 2,665 19 8 3,020 17 3 i,33i 1 1 1,422 14 o 1,254 a 9 798 13 9 532 11 10 629 1 1 1,798 10 5 844 16 11 700 4 2 813 10 6 563 8 11 915 18 6 639 7 8 562 7 6 442 9 2 456 5 4 394 1 3 356 12 9 378 17 5 811 8 7 796 12 6 283 2 9 234 1 3 I 270 8 3 229 7 8 229 2 10 269 3 5 212 13 o 286 18 o 612 11 6 244 10 8 489 11 9 235 2 11 246 1 6 226 8 o 154 14 2 215 5 4 174 1 4 88 3 9 125 o 2 104 11 5 156 4 11 83 o o 108 8 2 177 o o 118 19 10 216 5 4 140 16 9 171 16 o 123 4 8 73 3 io 83 19 3 37 12 2 65 15 6 27 o o 8 14 o 24 5 o 776 946 16 13 o 16 9 o 6 11 6 920 34 8 6 33 13 9 45 16 9 600 10 6 6 14 7 6 9 12 6 8 16 o 11 4 9 76 4 o 27 10 8 1 1 o 416 360 140 £ s. d. 1,363 o 7 1,782 17 4 1,220 3 o 1,639 16 II 553 15 6 ' 664 14 10 498 5 9 3go 19 10 455 2 6 169 18 7 446 19 6 346 4 4 7" 19 7 178 4 6 37i 7 1 37° 15 9 276 5 5 401 5 \ 203 12 0 209 8 8 228 7 2 148 o 3 122 3 o 143 19 o 326 14 o 164 8 2 127 6 2 130 12 9 in I2 3 57 13 4 124 15 6 125 1 3 112 12 1 144 15 1)0 108 3 2 101 7 11 153 10 8 22 1 10 i,732 9 7 1,329 17 11 i,373 i° 6 1,083 2 2 478 3 1 459 13 5 352 3 6 402 15 8 492 10 8 155 6 11 219 19 o 466 18 9 389 7 10 188 19 1 250 o I 333 ° 10 *74 15 3 268 19 7 156 18 3 208 16 1 173 5 9 104 o 6 175 14 7 107 8 2 168 13 3 184 11 5 113 11 1 89 4 o 112 9 o 60 14 4 141 16 5 46 6 11 41 14 1 93 11 9 120 12 11 99 16 8 88 13 9 63 13 o 198 9 10 23 10 3 32 13 4 93 6 3 53 13 11 29 11 o 30 9 10 28 o 6 67 6 2 25 o o 12 16 o 14 1 6 83 4 o 38 16 3 13 14 6 £ s. d. £ s. d. 664 16 n 437 1 7 777 3 2 406 2 6 363 29 156 2 6 155 6 5, 501 1 10 89 4 9 74 18 1 224 9 2 57 15 4 146 19 10 218 16 3I 414 12 6 189 o 3: 272 o 10 163 4 6 131 11 5 266 12 3 42 5 4 88 17 n 124 43 119 7 2 39 9 o 332 5 6 135 o 8 215 13 n 127 16 o 98 4 1 212 5 n 1 81 19 9 459 17 4 39 15 5 94 o 3 70 4 11 98 4 4 230 n 8 642 2 6 53 17 9| 8 12 9 94 7 11 j 72 o 2 105 4 6; 15 10 10 46 13 2 34 o 6 105 13 o: 916 35 13 il 780 31 4 6 149 3 4 19 7 1 26 8 7 31 o 4 34 19 9 12 5 8 30 19 2 26 17 2 12 9 5 53 18 6' 94 2 6 120 o o: 177 8 5 67 65; 51 6 6 3 19 ioi 19 95 22 9 n 12 9 7 47 17 10 1 17 o 11 9 8 40 16 8| £ s. d. 728 O Oj 533 17 °| 92 4 3 " ; 108 17 6 39 o 0 ■ " 6 13 o 12 2 10 17 18 7 '• •• I - i - I £ s. d. 290 8 o 337 2 o 205 1 6 170 15 7 81 11 3 77 14 4 52 2 o -• 57 o 4 3° 17 9 1000 •• 17 o o 500 i •• I IO o 71 13 I 522 •• 20 o o 10 o o ! •• 800 £ s. d. 38 6 o 22 8 6 31 19 o 20 o o 23 o 3 8 ~8 o 25 o o 13 18 o 2 16 6 •'• 12 O O - 17 3 o 670 300 25 4 o 37 17 o 6 18 o 600 15 IO o 15 14 o 1 19 6 17 9 6 53 o o £ s - d. 436 4 1 419 5 2 314 15 7 484 8 2 192 6 o 64 18 2 160 2 9 89 12 o 4 11 8 236 n 4 178 15 8 267 17 o 208 19 7 236 15 9 569 1 2 44 16 2 65 8 9 24 2 9 73 16 o 71 10 4 18 o 2 29 11 7 81 13 5 302 n 1 6 18 o 24 3 4 £ 8. d. 142 5 6 168 15 n 87 18 9 149 2 n • 42 14 2 70 1 9 77 9 4 32 17 4 70 6 2 58 12 4 79 7 2 53 6 o 50 1 10 13 7 8 42 16 3 49 8 6 82 10 9 43 13 10 11 5 11 70 8 1 33 o 4 16 12 3 12 18 5 23 9 7 2166 65 14 o 16 10 o £ s - d - 8,929 17 3 5,456 9 5 5,195 15 10 3,760 5 5 I , 664 -2 O 1,977 11 7 1,836 18 9 1,693 13 2 1,547 1 2 1,261 15 5 1,361 9 3 1,695 5 8 1,3" 13 3 1,322 18 6 1,432 o 11 1,146 6 5 i,332 7 o 918 . 8 7 690 6 7 887 13 6 760 o 2 768 18 8 714 17 8 623 2 7 763 9 8 886 10 10 701 14 9 563 19 o 54i 5 o 670 15 6 480 11 2 393 n 3 548 17 4 1,004 o 3 806 18 4 450 16 2 581 15 10 404 10 o i 590 14 9 571 19 4 7°3 6 3 703 9 4 508 3 6 463 7 6 456 12 o 170 19 2 442 5 6 305 o o 190 15 2 115 n 9 277 4 6 37 1 3 7 213 2 6 £ s. d. 118 19 2 41 19 6 69 12 2 78 II II 23 14 ° 55 6 4 34 17 4 29 9 11 59 4 10 31 5 1 43 17 5 23 13 7 30 o o 24 6 1 17 15 o 24 17 10 5 1 8 36 5 3 927 22 2 11 21 1 8 10 16 8 9 13 9 8 19 4 14 13 4 32 4 1 23 4 2 5 J 9 6 15 18 5 16 9 o 14 o o 643 12 o 8 16 6 4 10 16 7 13 17 6 7 19 3 8 1 8 14 12 7 962 6 18 10 6 19 9 14 15 11 10 16 o 8 18 9 £ s. d. 2,846 7 3 1,242 o 2 1,062 o 2 480 5 n 192 7 9 104 12 10 903 8 8 69 18 1 459 13 2 1,047 14 " 692 6 6 151 18 o 86 8 3 58 6 3 648 12 5 5ii 15 5 45 4 6 67 17 7 104 10 8 325 19 2 105 15 9 210 ig 4 366 16 4 247 14 10 118 10 9 84 15 4 36 17 2 78 8 1 32 16 n 452 12 6 ■ 7 7 3 76 4 9 42 10 11 112 10 8 1,087 16 8 51 2 7 23 15 11 45 9 5 87 6 6 19 15 4 71 12 5 71 19 2 54 12 11 96 13 5 58 3 1 59 5 5 15 00 108 6 8 31 " 2 46 6 9 12 15 6 3 7o 15,020 8 2 £ s - d - 4,569 2 3 1,874 6 1 2,918 o o 313 i 6 31 9 o 878 19 o 7,631 9 9 2,428 1 o 3,311 12 10 677 3 11 279 15 6 2,662 7 o 838 13 9 7" 9 3 139 2 3 225 12 2 384 10 o 156 10 2 292 1 6 5,448 3 6 435 o 6 114 11 o 580 o o 28 o o 507 7 6 266 11 4 220 5 o 92 17 8 £ ■■ d. 27,287 9 o 19,579 14 10 15,532 9 9 11,975 1 2 4,905 3 5 6.048 12 1 13,140 3 9 7,i8i 3 3 7,875 5 5 4,169 9 6 4,396 14 11 7,42i 15 5 4-975 6 1 3,660 6 6 3,717 1 6 3,636 11 5 3,888 13 2 3,850 7 o 2.049 10 5 2,489 18 1 8,447 3 5 i,732 15 5 2,300 8 1 i,939 3 2 2,567 18 n 3,105 10 4 1,689 9 5 i,i75 14 3 1,860 7 1 1,362 19 2 i,747 17 7 1,104 11 5 1,118 2 11 i,759 19 1 2,069 9 7 2,776 12 10 1,650 10 5 793 H 4 1,292 7 4 1,243 6 3 1,031 18 5 1,609 16 2 966 1 5 772 14 o 868 19 2 430 10 8 864 13 9 529 o o 484 9 10 37° 9 6 1,702 17 10 1,038 9 11 59i 4 7 7 3 8 7 19 o IO o o 600 21 13 1 22 6 n 800 16 5 o 15 18 1 35 16 1 14 14 3 47 19 5 58 4 5 24 14 5 8 10 8 13 2 6j 13 1 3 700 7 15 o 13 6 6 15 12 o 18 3 2 •• •• •• •• 4 5 6 IOO 36 10 5 3 10 o 60 o o - 7 10 3 J 6 5 7 I 10 o l8 2 I 21 8 2 25 13 4 20 15 o 3 3o 122 7 4 41 10 11 379 10 o 10 20 7 5 7 6 31 7 o 643 17 19 6 - 10 16 o 11 IO o 15 o o •■ 420 75 16 5 13 18 6 74 2 1 53 5 3 28 16 4 44 1 9 32 9 7 23 5 10 • ■• 5 6 6 2 3 10 o 1 15 o 260 5 18 o 9 12 6 4 17 6 290 54 15 4 64 8 1 57 ° 6 200 on 47 4 o 40 18 6 46 5 5 32 1 1 30 12 9 50 7 6 36 18 6 290 16 12 9 13 o o; 6 12 Ot 17 I2 9 •• - IO 2 6 6 10 0 3 10 0 17 10 o 120 1 6 200 o o 4 2 •• I 896 32 2 8 3i 17 11 43 2 5 96 o o 3 2 9 13 4 12 14 o •• 2 14 9 17 8 6 " " I •• 13 2 o 500 ■- ! 7 15 Oj 2 5 3 8 6 6"' 5 6 7 16 o o 14 o •• 41 4 4 ..I ! 950 601 9 17 8 no 3 1 491 2 3 59 15 10 84 15 2 7 8 10 ! •• " 165 16 11 400 •- 6 10 o 790 •• -• I 2 I 4 10 6 9 4 *5 4 227 335 19 o 79 17 o 9 1 3 39 17 1 47 1 7 15 3 2 1 o 10 9 14 o 900 600 - I - 89 9 7 158 18 9 22 2 10 II O 9 21 9 3 •• " - Totals I.403 39,410 14 9 1,083 12 4 15,430 14 1 1,707 14 8 1,756 17 II 509 9 9 ! 5.236 6 7 2,020 18 10 63,171 8 8 1,127 17 9 39,498 12 2 210,780 2 11 13.248 5 1 4,907 14 6 6,649 7 8j I

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62

TABLE IV.—Showing Amounts of Voluntary Contributions to Hospitals for the Five Years ended 31st March, 1908.

Summary. Average per Annum. Total amount received in voluntary contributions for the five c s. d. £ s. d. , years ended 31st March, 1908, by the 27 separate institutions . . . . . . . . . . .. 48,942 4 9 9,788 8 11 Total amount received in voluntary contributions for the five years ended 31st March, 1908, by the 26 hospitals under District Boards .. .. ' .. .. . . 18,327 12 7 3,665 10 6 £67,269 17 4 £13,453 19 5

Hospital. 1903. 1904. 1905. J 1906. 1907. 1908. Total. Wellington* .. Auckland Christchurch Dunedin* Wanganui Napier* Waikato Southland* . . Palmerston N. Thames* Gisborne* Timaru New Plymouth Waipawa Nelson Waihi* Grey River* .. Wairau £ . s. d. 225 1 7 96 0 0 29 7 0 257 9 4 41 5 7 613 9 5 £ s. d. 403 18 0 86 15 11 28 4 0 246 17 6 147 0 4 634 4 7 96 11 4 170 2 6 86 6 8 ; 75 6 7 286 2 0 34 12 0 188 13 11 194 0 1 46 14 0 1 412 5 5 232 0 1 103 3 9 62 13 8 220 1 9 15 10 8 £ s. d. 748 10 7 91 6 2 62 0 6 503 10 7 424 8 2 1,306 7 10 36 1 3 144 3 1 280 4 8 80 7 3 283 4 3 58 1 6 45 8 6 186 19 6 16 16 0 277 10 8 436 4 2 10 5 6 118 11 2 19 10 1 144 4 8 61 18 3 £ s. d. 3,451 0 0 34 14 0 228 7 0 563 17 0 325 8 10 689 5 10 41 13 0 27 2 9 2,028 12 0 118 11 1 339 9 0 140 12 0 899 8 8 186 8 1 753 17 6 176 12 0 243 7 10 13 11 8 162 11 4 88 1 8 650 16 7 19 11 0 £ s. d. 2,020 11 5 33 12 11 17 12 6 794 14 7 134 9 7 . 1,867 6 7 178 16 1 87 10 5 626 6 11 120 17 10 290 6 1 120 16 6 232 8 10 156 9 5 112 5 4 188 3 8 298 0 6 33 0 0 406 13 1 183 13 9 440 9 2 68 11 0 £ s. d. 804 6 0 65 12 0 42 10 6 1,217 19 6 29 8 0 1,194 5 3 125 15 4 684 5 5 301 16 5 163 0 0 298 16 0 360 11 6 466 1 3 131 17 1 179 5 6 224 7 4 361 12 11 15 18- 6 359 16 8 64 1 7 652 13 1 115 0 6 £ s. d. 7,653 7 7 408 1 0 408 1 6 3,584 8 6 1,102 0 6 6,304 19 6 478 17 0 1,188 14 4 3,393 2 8 653 9 9 1,596 4 9 2,412 6 6 1,868 8 6 984 5 10 1,364 10 10 2,012 12 0 1,965 14 10 103 7 8 1,261 7 0 486 10 9 2,246 9 0 310 19 5 75 10 2 69 16 0 95 7 0 98 7 5 1,696 13 0 36 7 4 128 11 8 255 12 6 733 12 11 394 9 4 30 12 0 110 11 0 68 10 0 138 3 9 30 8 0 Oamaru* Hawera Masterton* .. Wallace and Fiord* Ashburton .. Waimate* Westport Westland* .. Dannevirke*.. Naseby* Pahiatua* Otaki Picton Patea Whangarei .. N. Wairoa* .. Reefton* Stratford Kumara* 1 7 6 5 1 2 73 7 9 335 6 9 146 3 2 162 1 0 16 1 9 307 16 8 18 6 4 237 1 7 848 12 0 421 10 7 2 5 0 1 9 0 59 17 3 367 12 0 137 14 9 71 6 0 55 1 0 71 0 2 50 9 3 144 0 6 787 10 0 433 8 3 23 12 5 7 7 3 128 16 3 389 5 5 112 3 1 30 16 6 53 14 0 43 2 0 2 3 11 70 15 3 354 16 1 351 0 0 3 17 0 41 2 6 284 7 4 374 2 4 107 12 8 56 0 3 53 13 3 64 14 5 43 0 2 151 6 5 410 3 7 499 15 6 4 15 0 80 15 6 404 6 7 711 3 5 139 7 2 74 13 4 7 13 6 64 16 7 30 4 2 260 8 1 427 9 9 550 18 6 10 3 0 42 15 0 180 0 10 422. 5 4 181 10 0 122 7 9 12 11 0 14 14 0 151 10 5 40 4 2 186 10 2 318 4 0 454 19 9 61 19 7 160 11 9 6 0 0 73 0 11 100 18 0 353 15 2 358 16 10 84 17 1 200 3 11 129 7 8 41 4 11 102 9 11 807 4 11 2,292 18 5 892 13 5 765 8 7 407 8 1 200 17 6 703 0 3 184 8 0 1,050 2 0 3,146 15 5 2,711 12 7 61 19 7 1,009 16 2 32 13 9 1,706 5 0 649 16 0 2,288 9 3 1,384 16 4 409 18 7 967 1 6 829 1 2 Lawrence S. Wairarapa* Arrowtown* Mercury Bay* Coromandel*.. Wakatipu* .. Cromwell* Dunstan* Akaroa Wairoa Ross Rawene Havelock Waiapu Charleston* .. Mangonui 150 12 3 2 12 9 787 4 4 79 11 0 362 6 6 198 16 6 50 4 6 193 8 10 124 15 1 148 15 9 213 3 9 132 15 0 441 18 5 85 12 5 > 72 8 1 125 2 0 161 18 1 122 5 1 21 1 0 242 2 7 163 0 0 333 9 2 140 0 0 61 5 8 150 2 2 113 11 9 111 9 4 205 2 8 97 17 0 267 17 0 259 18 4 73 19 1 141 3 5 190 17 6 316 2 0 3 0 0 185 10 9 75 15 0 529 3 0 341 12 3 67 4 2 157 1 2 108 11 1 102 10 10 87 13 6 147 i9 0 227 19 11 143 2 0 227 9 7 106 10 0 87 10 0 225 5 9 124 6 6 95 1 3 151 2 11 325 4 3 934 9 0 934 15 3 182 11 3 79"7 6 119'"5 6 100 0 3 21 14 8 100 11 6 138° 0 7 100 0 0 24 18 2 100 2 11 184'13 5 599' 7 8 Totals .. 10,017 4 10 7,601 15 11 8,721 6 1 15,164 14 4 13,637 1 3 12,127 14 11 67,269 17 4 * Separate ii ititutions.

63

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TABLE V.—Showing Hospital Expenditure for Ten Years ending 31st March, 1908.

Bations and Provisions. Wines, Ale, &o. Surgery and Dispensary. Fuel and i Bedding Light. ' „». n , d & | Clothing. Furniture Washing and and Croekery. Laundry. Salaries and Wages. Watersupply. Funerals. Additions to Repairs. ! Buildings and iNew Buildings. Printing, Advertising, Postage, and Stationery For Interest. For Insurance. Cornmission. Other Expenses. Totals. 1898 £ s. d. 21,081 12 4 £ s. d. 1,214 3 9 £ s. d. 8,311 9 4 £ s. d. 6,599 4 0 £ s. d. 2,487 7 2 £ s. d. 1,938 3 7 £ s. d. 1,213 8 9 £ s. d. 31,612 3 2 £ s. d. 980 0 2 £ s. d. 414 16 5 £ s. d. 3,848 5 10 £ s. d. 8,624 18 2 £ s. d. 1,158 19 9 £ s. d. 852 0 8 £ s. d.j £ s. a. 657 4 11158 11 11 £ s. d. 4,547 8 0 £ 95,70( 1899 121,415 16 11 1,268 9 3 8,765 2 9 6,573 7 3 2,982',, 7 7 2,355 4 1 1,317 3 8 33,836 2 5 960 17 11 473 7 8 2,965 16 10 13,771 14 2 1,263 15 1 855 1 7 730 2 2|l73 2 2 6,044 16 8 105,755 1900 {21,645 10 6 1,284 8 1 8,485 3 3 6,959 16 4 2,313 18 6 4,062 17 8 1,378 9 6 35,278 10 2 1,070 0 1 490 17 10 4,481 17 6 9,087 2 11 1,220 7 11 730 3 6J 711 5 3181 2 2 8,874 19 7 108,25^ 1901 22,281 16 3 1,190 4 2 9,305 12 8 7,578 15 10 3,157 3 5 2,899 0 5 1,374 6 9 36,392 12 1 968 0 5 347 9 0 4,078 13 1 18,648 13 5 1,377 11 3 740 16 1 770 15 0172 0 10 6,251 17 6 117, 53i 1902 25,852 19 0 1,398 2 7 9,362 11 4 8,642 0 1 3,088 3 6 3,321 4 1 1,445 3 8 38,797 3 5 912 15 9| 433 18 9 3,905 19 3 15,095 16 2 1,267 6 1 497 14 2 976 10 7 209 4 11 8,159 5 6 123, 36( 1903 28,104 1 10 1,544 9 1 10,782 12 10 9,392 13 5 3,761 6 11 2,940 18 1 1,477 19 9 40,082 15 3 934 11 9 460 0 6 4,346 15 4 17,647 16 10 1,394 3 0 819 6 loj 1,007 9 7193 14 2 13,136 1 10 138, m\ 1904 29,933 10 10 1,355 2 0 11,639 18 9 9,847 10 1 3,385 4 9 4,778 0 8 1,874 4 6 43,963 6 7 1,224 0 1 442 1 0 5,178 1 3 27,507 18 10 1,521 2 10J 611 8 io; 1,161 8 11130 13 0 9,214 15 7 153, 76S 1905 30,725 17 2 1,219 12 7 12,567 5 11 10,374 8 6 3,905 5 7 3,322 8 0 1,481 15 10 46,515 18 0 1,366 18 7 527 17 0 5,315 13 0 28,640 9 6 1,413 18 8 809 16 9 1,249 13 5147 19 1 16,688 13 2 166, 27^ 1906 33,546 9 2 1,152 1 4 13,732 14 9 10,616 12 0 4,734 2 9 4,885 12 1 1,391 8 8 50,833 13 4 1,900 1 2 530 17 11 5,089 0 11 20,378 19 11 1,745 17 6 1,059 17 1 1,095 19 10 268 0 8 14,475 14 8 167,43^ 1907 i i 37,098 6 2 1,174 7 4 15,144 13 3 11,616 8 3 4,266 7 5 4,699 11 5 1,638 15 5 55,652 15 7 1,542 15 9 609 3 9 4,876 9 6 31,508 2 7 1,861 2 3 1,062 13 8 1,017 17 11216 1 4 1,270 0 11 11,956 8 3 185,94! 1908 39,410 14 9 1,083 12 4 15,430 14 1 13,248 5 1 4,907 14 6 6,649 7 8 1,707 14 8 63,171 8 8 1,756 17 11 509 9 9 5,236 6 7 39,498 12 2 2,020 18 10 t 15,020 8 2* 210,781 * Including interest and commission. t Included in oth her expenses. m

H.—22

64

TABLE VI.—Showing Receipts and Expenditure of Charitable Aid Boards and Benevolent Institutions under the Act in the undermentioned Charitable Aid Districts for the Year ended 31st March, 1908.

Charitable Aid District (including Separate Institutions). From Contributing Local Authorities. Receipts. Payments on Account of Persons relieved. Receipts from other Sources. Total. i EXPEENDXTURE. Other Expenses. Total. 0 4§1 0_g ft g-d O Balance from Previous Year. From Government. Voluntary Contributions. Bequests. Rents, &c. Indoor Relief. Outdoor Relief. Administration. • I North of Auckland Auckland Thames and Coromandel Waihi Waikato Bay of Plenty Waiapu Cook Hawke's Bay and Waipawa Taranaki Stratford Hawera Wanganui and Patea Palmerston N'th Wellington and Wairarapa Wairau Picton Nelson Buller Inangahua Grey Westland N. Canterbury and Ashburton S. Canterbury North Otago .. Otago Southland Wallace and Fiord £ s. d.j 680 3 3 £ s. d. 1,849 3 11 9,075 12 4 1,426 14 6| 100 0 0 263 4 11 130 2 6 £ s. »d. 2,256 14 6 4,785 8 10 806 19 1 100 0 0 263 5 0 173 2 5 50 1 0 0 479 14 5 3,004 14 0 £ s. d. 1,974 14 3 12 8 7 £ s. d. 25 0 0 £ s. d. 48 13 0 10 16 0 10 0 0 £ s. d. 258 13 2 916 18 7 8 13 5 107 15 3 18 9 0 £ s. d. £ s. d. 3 13 6 4,416 18 1 3 598 0 8 21,063 13 11 61 7 0 2,326 2 7 200 0 0 210 9 6 844 14 8 1 10 0 851 15 6 50 0 0 2 325 9 7 1,540 19 0 9,496 11 8 £ s. d. 779 3 11 6,476 8 11 1,042 19 2 426 13 11 121 5 2 £ s. d. £ s. d. 1,731 0 7 283 1] 0 3,849 8 11 3,466 14 10 833 6 4 259 17 11 113 11 5 24 3 1 240 12 5 162 10 0 115 3 11 31 1 11 2 2 0 360 0 3 73 8 10 763 3 4 1,515 17 0 £ s. d. 215 3 6 1,714 2 0 178 6 3 44 12 4 15 0 0 87 15 7 £ s. d3,008 19 0 15,506 14 8 2,314 9 8 182 6 10 844 16 4 355 6 7 2 2 0 932 2 5 9,483 7 10 9-4 22-36 11-23 1318 1917 8-73 497 11 7: .. 31 0 0 908 12 5, 216 8 41 789 14 5 3,623 6 8 415 14 6 i 8 0 0 147 8 4 687 9 2 498 13 4 1,741 10 5 •• 5,462 17 ll 7-8 1509 1 13 11 1,118 17 8 659 11 0 162 4 3 1,306 4 2 918 17 0 659 11 0 162 4 3 1,101 16 6 871 1 2 316 0 11 759 12 6 5 0 6 616 13 11 359 6 1 2,078 14 6 329 9 0 3 11 9| 3,346 1 2 40 16 11 3,308 18 10 806 1 2 128 15 1 194 16 2 1,208 5 8 717 6 7 555 6 9 174 2 6 22 0 0 243 4 2 30 0 0 482 3 0 187 13 9 4 11 5 2,078 14 6 329 9 0 468 0 4 1,878 2 5 26-22 6-7 6-4 9-8 I 158 12 10 9,917 5 3 500 10 0 6,317 2 11 500 10 0 5,420 0 0 631 1 10 350 0 0 126 12 11 99 12 5 1,330 13 3 1,259 5 3 1,993 11 5! 26,086 7 7 40 11 6 7,378 17 2 850 14 1 122 9 9 4,001 4 2 1,766 16 7 1,170 17 3 1,013 15 4 14,317 15 2 12 12-34 72 7 2 354 2 4 1 0 0 21 14 1 901 1 3 293 15 9 113 19 3 1,550 11 3 262 10 3 632 4 1 448 0 11 457 9 1 5,890 1 3 293 15 8 113 19 3 1,364 13 3 262 10 3 360 0 0 817 15 10 298 9 6 5,091 13 10 62 7 10 100 8 0 36 2 0 340 12 11 127 13 6 5"o 0 16 4 0 1,730 2 11 2 9 6 112 2 8 715 18 1 227 18 6 20 2 3 4,805 4 8 525 0 6 1,449 3 11 1,302 18 9 35 15 0 1 1,175 3 7 229 15 5 15,543 3 4 373 18 1 29 2 0 739 3 10 117 14 3 111 19 4 529 8 6 209 4 10 7,247 12 4 1 263 8 0 60 0 0 193 16 6 5 0 0 2,177 15 10 208 8 2 377 6 3 30 0 0 958 9 3 64 8 9 639 15 8 108 11 0 622 8 5 129 10 8 I 4,856 18 10 1,412 5 3 18 12 0J 166 9 9i 18 14 10 26 10 3 200 3 3 1,002 9 2 715 18 1 227 18 6 3,291 17 7 525 0 6 1,153 12 2 1,304 5 5 1,161 7 2 14,519 5 7 8-38 2-2 6-31 5-71 5-55 8-36 11-11 9-72 1,273 16 0 14 8 0 184 1 0 ! 6 15 0 1,845 1 1 529 11 1 1,826 2 11 1,260 9 3 752 5 10 5,744 6 4 3,775 14 0 558 11 0 1,260 9 3 592 15 6 5,947 6 2 1,623 7 6 558 11 0 ; ! 84 2 4 149 6 0 37 8 9 ••" 13 0 6 797 11 11 16 3 0 511 4 10 2,313 7 3 817 18 8 387 8 7 2,908 7 1 18 7 9 2,501 7 10 1,256 16 7 18,034 17 2 100 17 6 6,371 9 5 12 0 0 1,778 14 1 914 18 11 746 11 0 8,000 0 3 1,654 16 11 68 12 6 1,727 14 10 265 13 4 663 14 11 378 12 9 5,849 6 1 1,174 8 1 910 13 8 851 10 8 279 11 11 - 83 2 6 312 9 10 919 10 11 3,982 5 4 17 11 10 2,908 7 1 2,101 8 6 15,943 5 4 7,399 6 7 448 18 9 9-14 1803 7-35 11-5 18-48 649 12 1 •- •• •• -- Totals .. [ 41,587 4 4 . ! 33,998 3 10 ! 13,273 2 7 ! 15,558 2 7| | I 104,416 13 4 17,854 16 2 2 48,862 6 10 39,220 8 2 2 3,972 0 6 1,969 16 11 1,260 6 4 12,559 8 10 9,624 5 6 135,323 9 3| 12-71 I I !•- | I

65

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TABLE VII. —Showing Children's Portion of Expenditure set forth in Table VI.

9—H. 22.

Charitable Aid District {including Separate Institutions). ' SBriS o a -g ■§8.1 1 fc Cost. Average Weekly Cost per Head. r4t3 .-. o °s ■Sri ; lg« i gig 8 I Cost. Average Weekly Cost per Head. 83 . •2 a k © ■ EH Cost. Average Weekly Cost per Head. £ s. d. 54 12 0 2,286 0 5 212 8 7 |s. d. 7 0 11 51 5 10 £ s. d. s. d. £ s. d. 54 12 0 2,568 15 11 212 8 7 27 15 0 54 12 0 30 0 0 s. d. 7 0 10 6 5 10 7 6 7 0 5 9 North of Auckland Auckland Thames and Coromandel Waihi Waikato Bay of Plenty Waiapu Cook Hawke's Bay and Waipawa Taranaki Stratford Hawera Wanganui and Patea Palmerston North Wellington and Wairarapa Wairau Picton Nelson Buller Inangahua Grey Westland ., North Canterbury and Ashburton South Canterbury Waitaki Otago Southland Wallace and Fiord 3 80 14 'l8 282 15 6 6 "l 3 98 14 2 3 2 "2 2 39 0 0 30 0 0 7"6 5 9 2 1 2715 0 15 12 0 7"6 6 0 '27 695 io 0 8 " 9 "6 5 98" 1 0 45 6 0 6"3 7 0 "6 32 98"l 0 740 16 0 6-1'3 8 5 / 12 6 257 4 0 124 16 0 8 0 8 0 12 6 2 15 14 257 9 2 87 6 7 65 10 257 4 0 124 16 0 28 3 8 227 18 4 102 2 9 3,627 9 0 168 11 0 29 2 0 1,419 7 3 117 14 3 66 7 4 809 19 2 192 17 0 8 0 8 0 7 6 6 11J 6 10 5 4} 7 2 6 0 6 3} 7 4" 5 8} 4 6 7 oi 2 9 9 47 9 2 28 3 8 143 1 10 40 11 6 658 0 0 168 11 0 29 2 0 i 7 6 7 3 6 10} 5 4 7 2 6 0 6 5 210 84 16 6 61 11 3 2,969 9 0 6 6 6 8} 5 4§ '87 1,419"7 3 6 "3} 6 6 23 2 11161 8 15 42 3 117 14 3 56 9 4 498 3 6 39 0 0 1,969 1 3 j 111 17 1 254 7 3 745 3 6 45 15 0 7 4 5 8 7 3 7 6 10 8} 5 9J 5 4} 7 0 7 6 5 10J i .. 1 1 42 8 I}. 43 9 18 0 311 15 8 153 17 0 791 9 8 6 0 3 0 7 5 7 7 173 2,760 10 11 6 74 36 441 4 0 4 10} 44 15 249 4 553 1 1 254 7 3 3,795 18 2 71 15 0 4 11J 7 0 7 6 6 lOJ 207 1 3,050 H 8 26 0 0 7"6 10 0 ] 1 8,222 12 2 7 5J 696 10,171 12 6 441 6 3 1,137 18,394 4 8 6 9 y-- J

H.—22

TABLE VIII.—Showing Charitable Institutions under Control of either Separate Institutions under the Act or of District Boards.

66

Average Number of Inmates per Week. Average Weekly Lost per Head.* Cost. Percentage of Administration on Governing Body. Name of Institution. Staff. 1 Administration.f Maintenance. Non-recurrent Expenses. J Total. exclusive of Nonrecurrent Expenses. Old People's Homes — North Auckland Hospital and Charitable Aid Board Auckland Hospital and Charitable Aid Board Thames and Coromandel United Charitable Aid Board Waikato Hospital and Charitable Aid Board Cook Hospital and Charitable Aid Board Hawke's Bay and Waipawa Charitable Aid Board .. Whangarei Cottage Home Costley Home District Home, Tararu, Thames .. Old Men's Home, Hamilton Old Men's Home, Gisborne Old People's Home, Park Island (including chronic ward) Old People's Home, New Plymouth Jubilee Home, Ararnoho Institute for Relief of Aged Needy Ohiro Home Renall-Solway Home Old People's Home, Nelson Ashburton Home Memorial Home Old Men's Home, Timaru North Otago Benevolent Home Otago Benevolent Institution 24 182 33-14 15 14 77 s. d. 8 1 14 4 9 9f 14 1J 13 7 14 5 2 29|| 5 3 2 17|| £ s. d. 159 1 7 1,653 12 9 182 8 10 162 10 0 113 5 3 1,357 0 4 £ s. d. 346 9 3 5,153 13 4 693 11 6 387 12 3 394 13 4 1,537 8 6 £ s. d. 61 4 3 80 13 0 234 1 5 £ s. d. 566 15 1 6,887 19 1 1,110 1 9 550 2 3 I 507 18 7 ! 6,810 7 1 ' 31-48 24-28 16-4 29-45 22-24 19 3,915 18 3 Taranaki Hospital and Charitable Aid Board '■ Patea and Wanganui Charitable Aid Board Wellington Society for Relief of Aged Needy Wellington Benevolent Institution North Wairarapa Benevolent Society Nelson Hospital and Charitable Aid Board North Canterbury and Ashburton Charitable Aid Board North Canterbury and Ashburton Charitable Aid Board South Canterbury Hospital and Charitable Aid Board North Otago Benevolent Institution Otago Benevolent Institution Old People's and Children's Home — Southland Hospital and Charitable Aid Board Children's Homes — North Canterbury and Ashburton Charitable Aid Board Hawke's Bay Children's Home Reformatory Refuge, &c. — Samaritan Home Refuge — North Canterbury and Ashburton Charitable Aid Board Blind Institute — Jubilee Institute for the Blind Convalescent Home — Wellington Convalescent Home .. Lome Farm 301 30 40 99-5 6 40 67-2 57-1 31 31-2 239 103 15 10J 13 i\ 9 5 8 6 16 8 7 1 13 \\ 11 2£ 9 11 9 4J 7 0 7 6 6|| 4 4 6 1 8 9 3 5|| 13 12 438 6 10 214 15 0 309 14 5 415 16 3 61 0 2 171 2 6 585 9 10 567 15 8 120 0 0 267 17 10 888 18 5 628 10 8 693 1 2 829 17 7 686 6 9 1,777 18 9 159 8 5 568 1 4 1,664 14 10 1,092 10 7 683 3 6 492 3 6 3,508 7 7 1,379 0 0 125 1 6 20 11 3 182 7 9 40 0 7 273 19 6 104 12 2 232 1 3 3,839 8 8 1,256 9 6 1,065 3 10 1,178 8 11 2,193 15 0 260 9 2 739 3 10 2,524 4 2 1,764 18 5 803 3 6 i 992 2 7 4,397 6 0 36-3 20-55 31-12 18-9 27-72 23-33 35-2 51-a 14-94 35 20-44 5,846 19 4 I 31-27 Orphanage Hawke's Bay Children's Home 12-6 27 10 8f 9 6 3 4 166 14 2 158 16 8 184 15 6 537 6 10 64 5 9 28 1 8 415 15 5 724 5 2 , 90-4 22-S Samaritan Home 57 5 11 4 245 1 11 551 15 3 75 4 4 872 1 6 J 31 Female Refuge 14-7 9 4f II II 359 4 3 62 6 0 421 10 3 j i Jubilee Institute for the Blind 45 19 5 9 1,251 18 0 1,021 1 5 2,272 19 5 55 Wellington Convalescent Home 18 1 133 12 6 160 16 9 378 8 5 672 17 8 45-58 Note. —Old People's Home, Blenheim, sent no return. * This is gross, and is reducible by old-age pensions, Ac, received from inmates. t Salaries, wages, and office expenses. J Such as new buildings or additions to buildings, and such expenditure on furniture, <fcc., which is beyond the ordinary cost of maintenance. II Exclusive of Doctor and Secretary. § Also washerwoman not employed whole time. H Administered under contract by the St. Saviour's Guild.

67

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TABLE IX.—Showing Outdoor Relief given in Cash or Rations.

TABLE X.—Showing Applications for Relief for the Year 1907-8.

Charitable Aid District. Number of Kations issued during Year. I Amount given in Cash. Value and Description of Ration. Thames and Coromandel Waihi Waikato Waiapu Cook Hawke's Bay Stratford 192 " 6 I 43,627 £ s. d. 135 0 0 192 41 0 0 2 2 0 6 j 43,627 i 24 13 0 '.'. 7 "4 0 1,255 £ s. d. 135 0 0 41 0 0 2 "2 0 2413 0 I. 0 £689 0 Orde Fror 0 10s.0 4d.Orde £689 in orders for provisions. Orders on storekeei ers from 5s. to 10s. per week. From 2s. 6d. to 10s. per week in rations. 9 in orders for provisions. ers on storekeei ers from 5s. to 10s. m 2s. 6d. to 10s. per week in ratiom — groceries, &c. —groceries, bread, and meat. ers on storekeepers according to circi 10s.—groceries, &o. 4d.—groceries, bread, and meat. Orders on storekeepers according to circumstances. Hawera Palmerston North 1^255 7 4 0 0 i 4s. 11 4s, 2fd. weekly—three 21b. loaves, Jib. tea, lib. susar, 71b. potatoes, 51b. meat (without bone), 2} lb. oatmeal or fluur, Jib. oandles, J ib. soap, and J lb. salt. 3}d., Wellington Benevolent Institution ; 3s., tea, bread, and breakfasr, (also food and cothing), North Wairarapa Benevolent Institution. About 9s.—groceries, bread, and meat. 3s. 6J. per week. 2|d. weekly—three 21b. loaves, lb. sugar, 71b. potatoes, 51b. mea onpl 91 Ih nn.tmea.1 nr fliillr X\Y Wellington and Wairarapa 56,803 56,803 699 18 0 699 18 0 bo 3 3}d., te< one), 24 lb. oatmeal or flour, £lt ib. soap, and Jib. salt. ., Wellington Benevolent Institu la, bread, and breakfasr, (also food Nelson Buller Inangahua Westland 360 '634 ! 360 j 588 17 3 .. [ 783 - 18 9 634 219 1 2 588 17 3 783'18 9 219 1 2 inj 3 j Abor i 3s. 6 2 6s. i nfl. igj, North Wairarapa Benevolent In ut 9s.—groceries, bread, and meat. 3J. per week. 6d. —flour, potatoes, rice, bread, vtimen.l North Canterbury and Ashburton South Canterbury 138,737 1, 138,737 1,625 0 4 43 10 0 ,625 0 4 43 10 0 oa 4 i 3}d.3 ! Orde 6s. 6d. —flour, potatoes, rice, bread, meat, and oatmeal. 3}d.—bread, meat, and groceries. Orders on storekeepers for groceries, meat, and ooal. Necessaries at store, and orders on country storekeepers. Groceries. itmeal. .—bread, meat, and groceries. ers on storekeepers for groceries, lol 001 :>al. North Otago .. i 2 17 0 2 17 0 D Neoe kei essaries at store, and orders on cou: »eoers. Wallace 23 23 I Kei Groc nepers, ceries.

(A.) Decisions given on the Applications for Belief. (B.) Causes of Poverty. Continuous outdoor relief ... ... 436 intermittent outdoor relief ... ... 377 )utdoor relief on one occasion only ... 335 indoor relief (institutional) ... ... 789 transportation ... ... ... 96 iVork in lieu of relief ... ... ... 34 Declined to relieve ... ... ... 59 Lack of employment ... Physical defects Old age Sickness Accident Imprisonment of breadwinner ... Insanity of breadwinner Desertion of breadwinner Death of breadwinner Thriftlessness Intemperance Shiftlessness... Causes undetermined ... . 112 . 129 . 551 . 703 . 49 . 48 27 , 177 19 8 , 63 61 , 179 *2126 *2126 *Beturns not having been furnished by every Board, th: is does not represent the total number for the Dominion^

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68

TABLE XI.—Showing Nationalities of Persons in Receipt of Hospital or Charitable Relief during the Year ended 31st March, 1908.

Hospital Patients. Number of Persons in the Charitable-aid Dominion giving their Applicants. Birthplaces as under, at the 1906 Census. English... ... Welsh ... Scotch ... Irish 3,298 60 1,285 1,763 744 23 150 323 116,560 2,144 47,767 42,460 Total, United Kingdom 6,406 1,240 208,931 New-Zealanders ... Australians and Tasmanians Canadian Other British Possessions ... 10,004* 1,126 33 451* 38 5 606,247+ 47,536 I 4,280 Total, British 17,569 1,734 866,994 Austrians and Hungarians 40 64 24 114 21 26 20 170 28 34 68 12 18 77 53 1 2,212 2,277 624 4,174 574 615 186 3,014 464 431 2,602 Danes ... French ... ... 8 25 5 3 Germans Italians... Prussians and Poles Spanish and Portuguese ... Scandinavians Swiss ... Other Europeans... Chinese Syrian ... Other Asiatics ... .... American Miscellaneous Foreign 64 4 4 65 5 11 9 1 696 1,998 Total, Foreign 769 203 19,867 Unenumerated ... 822 189 1,717 Grand total 19,160 2,1261 887,578 •Including Maoris. t Exclusive of Maoris. j As complete returns were not furnished by ever; charitable-aid applicants, which is considerably greater. the figures are notwithstanding of interest. Of the landing in the Dominion and twenty-three within one ye r Board, this total does not represent the actual number of However, as the returns came from all parts of the Dominion 2,126 oases, sixty-seven received relief within five years of ar.

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TABLE XIa.—Number of Old-age Pensioners maintained in Hospitals and Charitable Institutions under the Act throughout the Dominion on the 31st March, 1908, together with the Amounts paid to such Institutions during the Year.

TABLE XII. —Showing Charitable-aid Expenditure for the Ten Years ended 31st March, 1908.

Controlling Body. Institution. Name. Controlling Body. Payments °lg?l to Institution on £ a 3 '1 h Account of ■§•§ g 5-= Pensioners, Ja-on Year 1807-8. | g®0.24j Amount banded to Pensioners after Deduction of Maintenance. Location. Name. _ ___ .._.._. _ Whangarei Auckland Thames Hamilton Gisb >rne Napier New Plymouth Wanganui Palmtrston N. Masterton Wellington .. Blenheim Picton Nelson Westport Charleston R efton Greymouth .. Hokitika Ross North of Auckland Charitable Aid Board.. I Old Men's Home .. Auckland Charitable Aid Board .. j Costley Home .. .. Thames and Coromandel Charitable Aid Old Men's Home .. Board Waikato Charitable Aid Board .. .. „ Cook Dis-riot Charitable Aid Board .. „ . Hawke's Bay United Charitable Aid Board Old People's Home j Taranaki Di-trict Charitable Aid Board .. Old Men's Home Patea and Wanganui Charitable Aid Board Jubilee Home Palm-rston North Charitable Aid Board.. No instituti >n North Wairarapa Benevolent Society . j Solwav Home Benevolent Institution Contributors .. Ohiro Home Society for Relief of Aged Needy .. Home Wairau Charitable Aid Board .. Old Men's Home .. Picton Charitable Aid B iard .. .. j Hospital .. Nelson Charitable Aid Board .. .. Ol 1 People's Home ! Buller Charitable Aid Board ... .. Hospital .. i Charleston Hospital Trustees .. .. „ Reefton Hospital Trustees .. i Greymouth Hospital Trustees .. Westland Hospital Trustees .. .. , Westland Criar>tahle Ad Board .. „ Kumara Hospital Trustees .. .. „ North Canterbury and Ashburton Chari- Jubilee Home table Aid Board Ditto .. .. .. .. Old Men's Home, Ashburton Samaritan Home Trustees .. .. Samaritan Home .. South Canterbury Chantab'e Aid Board.. Old Men's Home North O ago Benevolent Sjciety .. „ Otago Benevolent Society .. .. Benevolent Institution Soutnland Charitable Aid Board .. Bowmont Street Home £ s. d 213 6 11 7 1,568 13 8 1 60 304 12 6 10 193 16 3 8 120 7 6 6 530 3 0 23 455 3 10 : 17 249 3 4 7 91 3 8 I 4 17 6 8 ! 498 14 0 21 713 6 4 28 107 12 4 3 108 18 6 3 776 14 5 29 422 18 11 13 148 4 8 ! 5 323 3 10 11 694 16 0 28 661 6 1 25 114 16 8 5 330 14 1 17 693 13 7 28 4s. per month. 6s. 6d. per month. 5s. 4s. Is. per week. 10s.4d.permonth. 10s. 5-1. Nil. Is. 6d. per week. 7s. 7d. per month. Is. per week. 6-1. per month. 2s. per week. 2s. lis.4d.per month. 5s. 10s. 7s. 6d. 13s. 4d. 131. 4d. Is. per week. Kumara Cnriotchuroh . . Timaru Oamaru Dunedin 848 14 9 31 78 0 0 2 295 18 4 13 393 11 8 14 1,988 11 6 I 75 760 0 0 25 Is. 4s. per month. Is. 6d. per week. 8s. 8 i. per month. 13s. 4d. . 4s. 6d. Invercargill .. 13,703 18 0 i 518 Thames Gisborne Waipukurau .. Napier Stratford Hawera Wanganui Mast-rton Wellington Christchurch .. Ashburton Oamaru Dunedin Clyde Naseby* Invercargill .. Arrowtown Queenstown .. Riverton Hospital Patients only. Thames Hospital Trustees .. .. Hospital Gisborne Hospital Trustees Waipawa Hospital Trustees .. Napier Hospital Tm.-tees Stratford Charitable Aid Board.. . . Hawera Cha'itable Aid Board .. ..I Wanganui Hospital Board .. Masterton Hospital Trustees .. .. Wellington Hospital Trustees North Canterbury Hospital Board Ashburton Hospital Trustees Oamaru Hospital Trustees Dunedin Hospital Trus'ees Dunstan Hospital Trustees Naseby Hospital Trustees Southland Hospital Trustees .. Arrow D strict Hospital Trust .. ... Wakatipu Hospital Trust .. Wallace and Fiord Hospital Trust 27 11 8 ! 8 18 4 1 17 9 20 18 i 3 15 6 15 3 4 6 10 0 i 2 10 195 2 8 50 10 0 47 5 0 70 5 0 85 11 5 52 12 0 2 3 4 47 16 4 21 13 4 6 10 0 18 16 8 ■ 2 5 8 2 2 1 2 2 686 18 6 I 19 Total - — ~~jr- —- - - — £14,390 11 6 I L ■537

Year. Indoor Relief. t Outdoor Relief. Total. 1898-99 1899-1900 1900-1 1901-2 1902-3 1903-4 1904-5 1905-6 1906-7 1907-8 £ s. d. 42,220 0 7 35,812 3 11 37,692 13 4 49,914 0 3* 49,737 1 0 46,613 8 6 52,539 14 7 63,726 2 1 64,560 13 6 41,587 4 41 £ s. d. 50,850 15 1 41,790 10 7 42,181 1 2 38,934 15 10 43,421 1 6 42,618 10 3 40,798 15 11 39,546 11 11 38,305 9 4 33,998 3 10J £ s. d. 93,070 15 8 77,602 14 6 79,873 14 6 88,848 16 1 93,158 2 6 89,231 18 9 93,338 10 6 103,272 14 0+ 102,866 2 10 104,416 13 4§ 'Includes £9,099 expended on buildings. JExolusive of cost of administration, &o. t includes £1,662 Is. 9d. purchase of §Inoludes oost of administration anc land. 1 other expenses.

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70

TABLE XIII.—Showing Comparison of Hospital and Charitable-aid Expenditure since 1894-95 and the Cost per Head of the Population.

TABLE XIV.—Showing Cost per Head to the Population of Hospital Districts of Expenditure on Hospitals and Charitable Aid for the Year ended 31st March, 1907.

Year. Mean Population. | Hospital Expenditure. |5=] 3 o C Oi a •» P So* o t3 -a p. a* 3 a: 0 - 0 *1 a Charitable- o g "3 aid 0 ?o Expendi- , ogfi ture. "S.S 2 o -a -a O 0J 4-1 : if &o Hospital and Charitableaid Expenditure. 3-3 ■2 S'3 ■£M| °'«4 S 1 o a o 1894-95 1895-96 1896-97 1897-98 1898-99 1899-1900 1900-1 1901-2 1902-3 1903-4 1904-5 1905-6 1906-7 1907-8 683,111 696,331 710,418 724,681 739,193 752,644 765,668 781,356 802,419 826,902 851,964 877,469 901,920 925,727 £ s. d. 91,169 | 2 8* 92,927 I 2 8| 96,379 2 8^ 95,700 i 2 7f 105,752 | 2 10J 108,257 ! 2 104 117,535 ! 3 1 123,366 ' 3 If 138,027 3 5} 153,768 3 8+ 166,277 3 lOf 167,437 3 10 185,942 4 1} 210,780 4 6| £ ; s. 86,555 ! 2 106,536 3 89,668 ; 2 86,073 2 93,071 i 2 77,603 2 79,873 ! 2 88,849 > 2 93,158 | 2 89,232 ! 2 93,339 I 2 103,273 2 102,866 . 2 104,417 : 2 d. 6i 0} 6} 4} 6 Of Of 3} 3| 2 2} 4 3} 34 £ 177,724 199,463 186,047 181,773 198,823 185,860 197,408 212,215 231,185 243,000 259,616 270,710 288,808 315,197 s. d. 5 2i 5 8| 5 2f 5 0 5 4* 4 11} 5 If 5 5 5 9 5 104 6 1 6 2 6 44 6 10

Hospital District. Hospital Expenditure, exclusive Popula- of Extraordinary tion. Expenditure, i.e., Expenditure on Buildings, &c. WrH Charitable Aid Expenditure. 2a 4r1 4 0)44.2 4= C r4 Total Expenditure. rlfl g QJ 4» O &44+4 o'Sg KfH irSi a S".2 Outdoor Belief. B-S North Auckland .. Auckland Waikato Taranaki Stratford Hawera.. Patea Wanganui Palmerston North Wellington Wairarapa, Waipawa Hawke's Bay Cook Waiapu Bay of Plenty Waihi .. Thames Coromandel Unrepresented .. Nelson Buller Inangahua Grey Westland Southland Wallaoe Otago Tuapeka Vincent.. Maniototo Waitaki South Canterbury Ashburton North Canterbury Wairau Pioton £ s. d. 26,760 3.595 10 2 114,388 17,229 17 6 20,938 4,875 13 1 | 28,136 3,808 1 1 13,007 2,220 15 0 3.992 ' 816 if 9 30,781 j 4.961 15 10 30,771 I 3,868 2 11 87,993 ] 21,467 2 6 28.302 i 4,296 15 3 19,002 I 4,727 7 11 24.111 : 5,970 17 2 12,860 2,543 10 10 870 ! 75 7 8 6,245 5,594 ; 2,750 2 5 13,999 ; 2,436 11 9 2,925 2,419 16 8 5,405 - - 20,502 : 3,318 0 0 9,425 2,743 1 4 4,638 2,011 17 6 11,607 3,866 4 1 7,838 5,277 12 8 46,902 5,462 13 0 9,287 1,700 8 1 92,339 11,120 14 1 8,068 865 9 8 5,907 1,656 4 7 3,422 , 1,261 11 0 15.112 1,610 6 9 31,987 5,987 8 4 14,104 1,777 16 4 117,657 12,976 3 9 8,076 2,996 17 2 4,731 1,737 3 5 s. d. 2 8 3 0 4 8 2 8J 3 5 4 1 3 n 2 6j 4 101 3 01 4 11| 4 11J 3 11| 1 8J 9 9 , 3 5| 16 6J £ s. d. s. d. 2,487 5 0 ! 1 101 14,262 18 3 2 5| 851 11 4 ! 0 9J 2,847 2 10 2 01 550 3 3 0 10 t 2,218 17 3 1 31 I 1,055 10 0 8 i 12,233 3 10 2 11 I 9,741 5 9 4 6 I 1,444 2 5 2 2f 13 11 0 0 3f 261 18 6 0 11 180 0 0 0 8 I 2,192 8 10 2 71 £ s. d 6,082 15 2 31,492 15 9 5,725 4 5 6,655 3 11 2,770 18 3 7,997 10 10 4,923 3 11 37,997 1 7 20,439 10 10 3,987 13 3 88 18 8 261 18 6 2,980 2 5 7,048 17 3 s. d. 4 6J 5 5J 5 5J 4 8f 4 3 4 7 3 21 6 6 9 8 6 21 2 0 0 11 10 5 8 3f £ s. d. 1,413 0 10 4,774 6 7 322 16 4 1,504 0 1 304 16 9 685 3 9 975 9 4 4,664 11 9 1,294 13 2 434 13 4 13 11 0 261 18 6 180 0 0 1,055 2 4 s. d. 1 Of 0 10 0 3J 1 0 0 5f 0 4| | 0 7J ; o 9| ; o 7 0 8 0 3| 0 11 0 8 1 2f 3 2| 5 9| 8 8 6 7| 13 41 2 3§ 3 7f 2 4f 2 If 5 7 7 4J 2 1J 3 9 2 6 2 2J 7 5 7 4 3,761 13 2 3 8J 540 17 3 1 11 1,112 14 9 4 91 1,431 3 2 2 54 1,101 4 4 2 91 5,589 15 10 2 4| 318 12 3 0 8 7,079 13 2 3,283 18 7 3,124 12 3 5,297 7 3 6,378 17 0 11,052 8 10 2,019 0 4 6 10 6 114 13 5£ 9 1* 16 If 4 81 4 3f 1,313 15 11 356 16 10 1,009 19 9 774 8 11 913 5 0 1,745 14 9 259 5 3 1 3 0 9 4 4 1 4 2 8§ 0 8f 0 6| I 17,458 14 11 3 2 ) 32,362 14 3 5 10| 5,336 13 11 | 0 llf 4,320 0 0 j 5 81 2,928 2 2 | 1 9| I 13,071 0 0 1 llf 5,980 6 9 8,915 10 6 7 9f 5 6J 4 2J 9 11 8 2J 666 18 4 1,990 13 0 0 lOf 1 2f 27,825 0 1 5,559 7 11 0 10 681 18 11 1 81 210 16 10 0 10J 3,678 16 1 1,948 0 3 330 5 2 164 0 10 0 9# 0 8J

71

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TABLE XV.—Showing in Districts the Percentage of Hospital and Charitable-aid Expenditure on Rateable Value for the Year ended 31st March, 1907.

TABLE XVa.—Comparative Statement of Hospital and Charitable-aid Expenditure in the Four Large Districts, for the Year 1906-7.

District, Rateable Value. Hospital Expenditure. 4=" t> Charitable § 2 Aid ExQ penditure. H 4) ID §1 a Total Exes 3. penditure. »-< rn 9 <o -I g I Outside Cnaritable Relief. H « IS . c3 O-i « i I ~ North Auckland .. Auckland Coromandel Thames Waihi ... Waikato Bay of Plenty ... Waiapu Cook Hawke's Bay Taranaki Stratford Hawera Patea ... Wanganui •Palmerston North Wellington Wairarapa Wairau Picton ... Nelson... Buller ... Inangahua Grey ... Westland North Canterbury Ashburton South Canterbury Waitaki Otago ... Tuapeka Maniatoto Vincent Southland Wallace and Fiord £ 3,045,485 19,727,900 219,789 996,600 160,431 5,867,519 1,612,903 1,687,112 5,663,344 17,904,977 4,583,859 1,759,026 5,608,445 1,393,271 7,906,335 10,385,261 25,177,483 11,-92,344 2,936,360 961,531 3,185,528 909,447 348,925 877,745 575,964 30,140,826 7,169,074 10,135,918 3,790,192 16,351,651 1,318,657 727,723 534,477 8,441,760 1,917,721 £ 3,595 17,230 2,420 2,436 2,750 4,876 012 008 11 0-25 1-71 008 £ 012 2,487 008 14,263 £ 008 6,083 007 31,493 0-2 0-16 £ 1,413 4,774 0-05 002 S-25 1 2 ' 192 0-17 7,049 0-58 1,055 008 75 2,544 10,698 0004 0-04 006 1 71 180 008 852 262 0004 14 0-04 1,444 006 9,741 0-11 • 2,930 0-01 5,725 0-01 262 0-0008 89 0 02 3,988 0-054 20,439 1-81 009 001 0005 0 08 011 180 323 262 14 435 1,295 Oil 0-005 001 0 0008 00007 0-007 I 3,808 0-06 0-06 2,847 0-04 6,655 0104 1,504 002 2,221 817 4,962 3,868 21,467 4,296 2,997 1,737 3,318 2,743 2,012 3,866 5,278 12,976 1,7,8 5,987 1,610 11,120 865 1,262 1,656 5,463 1,700 004 0 06 0 06 004 0-09 003 0-10 0-18 0-104 030 0-57 0-44 0-91 004 0-02 0-06 0-04 007 0-06 0-17 0-30 006 0-08 004 550 0 009 2,771 0-05 008 305 0005 ggl I »•«• 002 7,998 685 0007 004 1,055 0-01 4,923 0-05 975 0009 0-03 f 12 - 233 0 03 37,997 0102 4,665 0-01 3-10 682 D-18 211 0104 3,762 330 540 3-57 1,113 3-44 1,431 3-91 1,101 0-02 3,679 0 02 1,918 012 7,080 005 3,284 032 3,125 0-16 5,297 019 6,379 012 020 022 0-13 009 0-63 111 330 164 1,314 357 1,010 774 913 0-01 0-01 0-04 0-04 0-03 009 016 >02 } 13 ' 071 004 27,825 007 5,559 002 3-06 2,928 3-04 4,320 3-07 \ 0-03 8,915 0-11 5,930 0-09 0-15 1,991 667 001 0-02 M7 17 ' 459 0-09 32,363 017 5,337 003 3-30 ) 3-06 5,590 3-08 319 0 07 11,052 0 01 2,019 013 010 1,746 259 0-02 001 Expenditure on buildings* 154,433 31,503 215,915,583 185,941 0-08t 102,866 J0-05J I i 102,866 0-05$ 288,808§ 0T3||| 38,305 0-01.1! i i i * Exclusive of repairs in the ordinary ( £31,508 spent lourse of mi on buildingi .intenance. t Or Jd. in the £1 I. || Or Jd. in the £1. 'I Or I Or j\jd. in the £ in the £1. a. § Incl iding o"" 1

Auckland Wellington* ... Canterbury ... Otagot Hospital and : Cbaritable-aid Expenditure. £ 31,493 37,997 27,825 . 32,363 Population. 114,388 116,295 131,761 109,736 Rateable Value. Cost per Head. £ s. d. 19,727,900 5 54 37,069,827 6 6 37,309,900 4 2* 18,932,506 5 10| Percentage on Capital Value. Equal to a Rate of: 0-16 0-102 0-07 0-17 Jd. in £1. id. „ id. „ 4d- . *Includinj Wairara; tlncluding Ashburton.

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72

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards.

District Boards. thoir separate Institutions within their Boundaries. Contributing Local Authorities. Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pounc on Rateable Capital Value. Eospital Boards — Coromandel Coromandel Hospital Mercury Bay Hospital Coromandel County Council Members. 8 £ s. d. 225 0 0 d. l-4th. Thames Thames Hospital Thames County Council Ohinemuri County Council Thames Borough Council .. 3 4 •• I 2 282 17 0 330 3 8 232 5 7 | ll-48th. Patea .. Patea .. Patea County Council Patea Borough Council 9 5 300 0 0 35 0 0 I l-17th. Wanganui Wanganui \ Wanganui County Council .. Waimarino County Council.. Waitotara County Council .. Rangitikei County Council .. Wanganui Borough Council Marton Borough Council Taihape Borough Council .. 2 1 2 4 3 1 1 for combined district j 348 3 2 96 17 7 273 8 6 605 15 8 296 9 10 45 18 5 18 9- 4 - l-18th. Wellington Otaki .. Wellington Hospital Horowhenua County Council Levin Borough Council Hutt County Council Wellington City Council Onslow Borough Council Karori Borough Council Eastbourne Borough Council Miramar Borough Council .. Petone Borough Council Lower Hutt Borough Council ::|1' ■■ ( l 4 • 1 for combined district ■ 981 18 4 63 2 0 1,163 6 0 9,136 15 0 297 15 8 333 13 8 95 3 8 205 4 4 657 9 4 539 4 0 l-7th. Wairarapa South Wairarapa Hospital Masterton Hospital Pahiatua Hospital Wairarapa South County Council Featherston County Council Pahiatua County Council .. Pahiatua Borough Council .. Eketahuna County Council Eketahuna Borough Council Mauriceville County Council Akitio County Council Castlepoint County Council Masterton County Council .. Masterton Borough Council Carterton Borough Council Greytown Borough Council.. .. j 3 i I 3 for combined district 3 2 [ 1 for combined district < 263 5 4 388 14 8 227 4 8 35 5 4 62 12 4 46 9 0 53 19 0 77 15 4 77 12 4 427 11 0 135 16 8 28 17 8 25 8 8 l-23rd.

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73

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

10—H. 22.

District Boards. Hospitals under their Control. Separate Institutions within their Boundaries. Contributing Local Authorities. Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pound on Rateable Capital Value. Hospital Boards —continued. Waipawa Waipawa Dannevirke Hospital m Woodville County Council Woodville Borough Council Patangata County Council Weber County Council Waipukurau County Council Waipawa County Council Dannevirke County Council Dannevirke Borough Council Members. 1 1 2 £ s. d. 147 19 8 20 6 4 565 0 4 75 1 9 d. l-24th. Hawke's Bay Wairoa 603 10 8 Napier Hospital Wairoa County Council Hawke's Bay County Council Napier Borough Council Hastings Borough Council .. .. 1 4 3 1 232 3 4 963 14 3 305 7 7 149 4 1 [ l-20th. Ashburton > Ashburton Ashburton County Council Ashburton Borough Council 9 10 720 0 0 120 0 0 l-38th. l-14th. North Canterbury Christchureh Akaroa Kaikoura County Council Amuri County Council Cheviot County Council Boards of the Road and Town Districts in Ashley County Akaroa Borough Council Akaroa County Council Mount Herbert County Council Selwyn County Council Christchureh City Council Kaiapoi Borough Council Lyttelton Borough Council Rangiora Borough Council .. W T oolston Borough Council Sumner Borough Council New Brighton Borough Council I 1 for combined district -I 2 113 8 0 319 14 9 208 17 6 1,200 13 3 j. 1 for combined district J ] 4 t 4 12 4 8 440 13 8 72 0 9 2,098 14 0 1,706 8 9 40 9 4 105 13 6 42 18 0 62 7 2 46 14 4 29 2 4 l-18th. y 1 for combined district -I Otago Dunedin Hospital Clutha County Council Balclutha Borough Council Bruce County Council Milton Borough Council Kaitangata Borough Council Dunedin City Council Taieri County Council Mosgiel Borough Council Green Island Borough Council 1 1 for combined district 386 14 0 28 16 0 312 1 0 37 8 0 31 16 0 1,631 2 0 433 2 0 45 6 0 13 12 0 4 ■ 2 for combined district J

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74

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

Distriot Boards. Hospitals under their Control. Separate Institutions within their Boundaries. _. Contributing Local Authorities. Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pound on Rateable Capital Value. Hospital Boards —continued. Otago —continued. Members. £ s. d. 66 0 0 125 2 0 193 8 0 119 6 0 115 7 0 147 10 0 85 4 0 d. Maori Hill Borough Council North-east Valley Borough Council Roslyn Borough Council Mornington Borough Council Waihemo County Council Waikouaiti County Council Boards of the Road and Town Districts in Peninsula County St. Kilda Borough Council West Harbour Borough Council Port Chalmers Borough Council Palmerston Borough Council Hawkesbury Borough Council - " I \ |. .. | }- " l-16th. V )■ ■ I 80 14 0 45 9 0 62 18 0 17 6 0 16 0 0 Vincent Dunstan Hospital Cromwell Hospital Vincent County Council Alexandra Borough Council Cromwell Borough Council 4 1 1 275 0 0 55 4 0 37 16 0 | 3-25th. Tuapeka Lawrence Tuapeka County Council .. Lawrence Borough Council Roxburgh Borough Council Tapanui Borough Council 2 4 228 8 6 21 5 0 4 11 6 5 17 6 - l-22th. 'haritable Aid Boards — Thames and Coromandel .. I 1 for combined district i Coromandel County Council Thames County Council Ohinemuri County Council Thames Borough Council 2 3 4 2 138 1 10 173 12 1 202 13 3 142 11 3 I l-7th. Patea and Wanganui Patea County Council Patea Borough Council Wanganui County Council Waimarino County Council Waitotara County Council Rangitikei County Council Wanganui Borough Council Marton Borough Council Taihape Borough Council [ 2 for combined district j 126 7 8 11 5 8 149 4 2 41 10 5 117 3 8 259 12 6 127 1 4 19 13 7 7 18 3 2 1 2 4 3 l-42nd. i « t 1 for combined district 1 Wellington and Wairarapa Wairarapa North Benevolent Society .. Wellington Benevolent Institution Wellington Convalescent Home Wellington Society for the Relief of the Aged Needy Horowhenua County Council Levin Borough Council Hutt County Council Wellington City Council }. „ j 269 13 4 17 6 8 319 9 8 2,509 5 4 4

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75

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

11—H. 22.

I ■ Representation on Board. Approximate Contribution for Rate per Pound Y'ear 1907-8. on Rateable Capital Value. ; District Boards. 1 Hospitals under their Control. Separate Institutions within their Boundaries. Contributing Looal Authorities. Charitable Aid Boards —contd. Wellington and Wairarapa — continued Wellington Ladies' Christian Association Onslow Borough Council Karori Borough Council Eastbourne Borough Council Miramar Borough Council Petone Borough Council Lower Hutt Borough Council Wairarapa South County Council Featherston County Council Masterton County Council Masterton Borough Council Carterton Borough Council Greytown Borough Council Eketahuna County Council Eketahuna Borough Council Akitio County Council Castlepoint County Council \ Mauriceville County Council Pahiatua County Council Pahiatua Borough Council Members. ] f y 1 for combined district I I I £ s. d. d. 81 15 8 91 12 8 26 2 8 56 7 4 180 11 0 148 1 8 1 26th 238 10 4 <~ l - Mh ' 352 3 8 387 7 0 123 1 4 26 3 4 23 0 8 56 14 8 42 1 8 70 9 0 70 6 4 48 17 8 205 17 4 31 19 4 d. - l-26th. \ J Hawke's Bay United Hawke's Bay Children's Home .. Wairoa County Council Hawke's Bay County Council Napier Borough Council Hastings Borough Council Waipawa County Council Woodville County Council Woodville Borough Council Dannevirke Borough Council Patangata County Council Weber County Council 1 4 3 1 3 1 185 14 8 \ 770 19 5 244 6 0 119 7 3 485 8 8 l 125th 118 18 4 > 1 - J5tn - 16 6 3 70 16 8 450 2 0 56 12 11 / l-25th. III for combined district - 1 2 1 | 2 „ j Ashburton and North Canterbury Samaritan Home, Christchureh .. Kaikoura County Council Amuri County Council Cheviot County Council Boards of the Road and Town Districts in Ashley County Akaroa County Council Mount Herbert County Council Akaroa Borough Council Selwyn County Council .. .. Rangiora Borough Council Kaiapoi Borough Council .-. ■ ■ '■'.. Lyttelton Borough Council Woolston Borough Council Sumner Borough Council ... .. .. New Brighton Borough Council * Christchureh City Council Ashburton County Council Ashburton Borough Council h - ! 2 > 1 for combined district J 4 69 7 4 ! 195 11 9 127 15 4 734 9 2 269 10 10 44 1 0 7 9 8 1,283 18 6 , „„., 26 4 11 ' 1 - 30th - 24 15 0 64 13 6 38 3 0 28 11 6 17 16 3 1,043 17 3 873 14 8 61 4 11 I 'I y 1 for combined district J J I ! 4 '- 2 for combined district j

H.—22

76

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

Bistrict Boards. their j S8parate institutions within their Boundaries. " I. Contributing Local Authorities. Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pound on Rateable Capital Value. Charitable Aid Boards —contd. Central Otago, Tuapeka, and Otago Otago Benevolent Institution.. Members. '. Vincent County Council .. .. .. \ ( Alexandra Borough Council .. .. j. 1 for combined distriot J Cromwell Borough Council .. .. • • J i Maniototo County Council .. .. .. I -. ( Naseby Borough Council .. .. • • I " 1 Tuapeka County Council .. .. • • ) ( Lawrence Borough Council.. .. .. I 1 Tapanui Borough Council .. .. - - I Roxburgh Borough Council .. .. j [ Bruce County Council .. .. • • } ( Milton Borough Council .. .. .,' 1 „ i Kaitangata Borough Council .... J t Clutha County Council .. .. .. 1 , j Balclutha Borough Council .. .'. I " I Taieri County Council .. .. ■ • ) f Green Island Borough Council .. .. j- 2 ,, -j Mosgiel Borough Council .. .. .. j I Waihemo County Council .. .. .. ) , J Waikouaiti County Council.. .. .. i I Dunedin City Council .. .. .. 4 Mornington Borough Council .. • • I) f Maori Hill Borough Council .. .. I [ 0 t _.. , -.. . . . at 4-u 4 tt ii t> \. n -l ' ■ 2 lor combined district J. .North-east Valley Borough Council .. Roslyn Borough Council .. .. .. J I Boards of the Road and Town Districts in ] ( Peninsula County L 1 „ St. Kilda Borough Council .. .. • • ) I Palmerston Borough Council .. .. , ( Port Chalmers Borough Council ..... J West Harbour Borough Council .. .. - " Hawkesbury Borough Council .... \ £ s. d. 179 3 0 34 15 0 23 15 0 221 15 0 12 0 0 397 2 0 44 9 0 11 5 0 10 3 0 384 19 0 46 4 0 39 4 0 476 19 0 35 11 0 534 3 0 16 15 0 55 17 0 142 5 0 181 18 0 2,011 15 0 147 2 0 81 9 0 154 5 0 238 12 0 105 2 0 d. \ l-13th. 99 12 0 21 6 0 77 12 0 56 1 0 19 15 0 'ospital and Charitable Aid Boards — North Auckland ... I Northern Wairoa Hospital i Mangonui County Council .. .. .. ) „ , , • , ,. , . . ( ,„, n 4 n -i - 2 tor combined district I Whangaroa County Council .. .. j | Bay of Islands County Council .. .. 2 Hokianga County Council .. .. .. 1 Whangarei County Council .. .. 4 Whangarei Borough Council .. .. I 1 Otamatea County Council .. .. .. I 2 Hobson County Council .. - .. .. ! 3 148 11 8 39 0 0 203 2 5 159 17 2 544 19 10 183 18 2 393 15 0 387 4 9 Whangarei Rawene Mangonui l-6th.

77

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TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

Diutoto* Boards. Hospitals under their Control. 8«parate Institutions within their Boundaries. Contributing Local Authorities. Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pound on Rateable Capital Value. I Hospital and Charitable Aid Boards —continued. Auckland Auckland Jubilee Institute for the Blind Rodney County Council Waitemata County Council Devonport Borough Council Boards of the Road and Town Districts in Eden County Boards of the Road and Town Districts in Manukau County Onehunga Borough Council Auckland City Council Parnell Borough Council Grey Lynn Borough Council Birkenhead Borough Council Newmarket Borough Council Mount Eden Borough Council Members. I 1 for combined district £ s. d. 353 4 9 668 11 10 443 3 9 2,759 11 5 d. - l-6th. 2 V 2 for combined district J 1,720 II 1 4 i 1 for combined district | ll 304 2 8 4,893 10 7 457 13 1 416 8 0 106 6 6 185 7 1 Waihi .,. \ J Waihi Hospital Waihi Borough Council 11 1,600 0 0 2 2-5th. Bay of Plenty Tauranga County Council Opotiki County Council Whakatane County Council Tauranga Borough Council 3 3 2 1 74 7 9 66 1 0 50 7 2 19 13 11 j- l-20th. Waiapu Te Puia Waiapu County Council 4 800 0 0 l-9th. Cook ... Gisborne Hospital Cook County Council Gisborne Borough Council 9 10 1,427 0 0 408 0 0 | l-9th. Waikato Hamilton Waikato County Council Waipa County Council Piako County Council Te Aroha Borough Council Raglan County Council Hamilton Borough Council Cambridge Borough Council Clifton County Council Taranaki County Council Egmont County Council New Plymouth Borough Council Waitara Borough Council Inglewood Borough Council 3 3 3 2 1 1 633 17 0 755 16 0 719 7 0 86 1 0 491 13 0 198 1 0 115 5 0 1 I Taranaki - l-6th. New Plymouth .. 1 3 1 2 226 17 6 672 9 6 152 14 8 359 17 8 41 9 10 41 14 5 - 1.12th. Stratford Stratford [ 1 for combined district j Stratford County Council .. Stratford Borough Council 4 1 645 13 1 144 12 1 | l-9th.

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78

TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

District Boards. j their s 9para t e Institutions within their Boundaries. Contributing Local Authorities. j ; Representation on Board. Contribution for Year 1907-8. Approximate Rate per Pound on Rateable Capital Value. 'ospital and Charitable Aid :>-..- Boards —continued. ,,-. Hawera .. .. Hawera Palmerston .. .. Palmerston .. ;! Hawera County Council Egmont County Council Eltham County Council Hawera Borough Council Eltham Borough Council Members. 2 1 2 1 1 £ s. d. 550 7 0 142 5 0 255 8 0 92 18 0 50 18 0 d. I 1.14th. ) Oroua County Council Manawatu County Council Kiwitea County Council Pohangina County Council Kairanga County Council Palmerston North Borough Council .. Foxton Borough Council Feilding Borough Council 2 2 380 18 6 359 14 2 368 16 11 191 7 2 395 5 10 399 13 3 33 14 3 136 14 9 |- l-17th. J I 2 for combined district - ...... ..... ; .... 2 3 I 1 for combined district j ■ Picton Borough Council Picton Road Board Pelorus Road Board Havelock Town Board Wairau Road Board 3 3 4 1 2 89 15 0 157 18 8 238 6 4 18 0 0 36 13 1 Picton .. „. .. Picton Havelock ) - l-5th. j Wairau.. .. .. Wairau (Blenheim) Blenheim Borough Council Awatere Road Board Spring Creek Road Board Wairau Road Board Omaka Road Board 4 4 1 2 3 230 18 8 480 19 4 170 15 8 238 15 8 315 19 0 - l-7th. Nelson .. .. .. Nelson .. St. Andrew's Orphanage Nelson City Council Richmond Borough Council Motueka Borough Council .. W'aimea County Council Collingwood County Council Takaka County Council I 4 for combined district \ 840 0 0 77 0 0 108 0 0 1,162 0 0 129 0 0 184 0 0 1 l-5th. 4 [ 1 for combined district j Buller .. .. .. We'stpbrt .. i Charleston Hospital .. Buller County Council Westport Borough Council 9 5 850 0 0 550 0 0 I 3-8th. Inangahua .. .. Reefton Hospital Reefton Ladies' Benevolent Society Inangahua County Council 7 660 0 0 4-9th. Grey .. '■".". .. ;.. Grey River Hospital Greymouth Benevolent Society Greymouth Borough Council Grey County Council Brunner Borough Council 5 7 ..... 2 800 0 0 633 15 3 116 4 9 7-16th. i ,..,.. I ,,,. . ,

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TABLE XVI.—Constitution of District Hospital and Charitable Aid Boards— continued.

79

District Boards. Hospitals under their Control. . . i ... Separate Institutions within their Boundaries. Contributing Local Authorities. j Representation on Board. Approximate Contribution for Rate per Pound Year 1907-8. on Rateable | Capital Value. Hospital and Charitable Aid Boards —continued. Westland .. Ross Members. 4 1 3 1 l£ s. d. 834 0 0 74 0 0 552 0 0 103 0 0 Westland Hospital (Hokitika) Kumara Hospital Hokitika Benevolent Society Westland County Council Ross Borough Council Hokitika Borough Council Kumara Borough Council [ 7-8th. . South Canterbury .. ' Timaru Waimate Hospital Geraldine County Council Geraldine Borough Council Temuka Borough Council Levels County Council Mackenzie County Council Waimate County Council Waimate Borough Council Timaru Borough Council 3 for combined district ■ 1,046 5 2 39 1 2 48 0 9 911 18 7 393 12 3 1,229 4 8 57 15 9 603 15 0 \ 2 1 7-64th. Waitaki .. .. Oamaru Hospital North Otago Benevolent Institution 3 for combined district - 492 8 0 97 7 6 3 0 0 - ' Waitaki County Council Oamaru Borough Council Hampden Borough Council 9 5 2 [ l-26th. ■ Maniototo Naseby Hospital Maniototo County Council Naseby Borough Council 4 1 274 4 1 15 7 9 j l-10th. . . Southland Southland (Invercargill) Hospital Arrow Hospital Wakatipu (Queenstown) Hospital Southland County Council Lake County Council Arrowtown Borough Council Queenstown Borough Council Winton Borough Council Mataura Borough Council Campbelltown Borough Council Gore Borough Council Stewart Island County Council Avenal Borough Council East Invercargill Borough Council .. North Invercargill Borough Counoil .. South Invercargill Borough Council Gladstone Borough Council Invercargill Borough Council 4 1 for combined district -j j, . ( 2,775 0 0 182 15 0 23 0 0 33 9 6 38 4 6 66 4 0 90 5 6 239 6 6 14 1 0 40 5 0 59 19 6 44 13 0 89 9 0 30 12 0 712 13 0 l-17th. i 1 Wallace and Fiord Hospital (Riverton) Wallace County Council Riverton Borough Council .. 4 1 956 0 0 37 0 0 ) l-8th. Wallace and Fiord i

H.—22.

TABLE XVll.—Constitution of Boards op Sepabate Institutions. Part I. — Summary. Total number of institutions ... ... ... ... ... 41 Total number of Trustees ... ... .. ... ... 329 Average number of Trustees for each institution ... ... ... 8 Number of Trustees representing contributors ... ... ... 131 Amount subscribed by such contributors ... ... ... ... £10,406 18s. 9d. Number of Trustees representing contributions of local authorities... ... 198* Amount contributed by such local authorities ... ... ... £20,351 16s. Id. * Of this number four Trustees of the Jubilee Institute for the Blind are chosen by the Governor in Council.

Part II.

80

Institution. =4. o 14 ® Si cc 8o sg cd O CO i £ a So go .3 r, CO ° CD 0-S a Si z; Amount subscribed by Contributors. <d a <& <n« to .2 Amount contributed by Local Authorities. Life Members. *4 O Si a s 65 a a o a ■m North Wairoa Hospital Jubilee Institute for the Blind Mercury Bay Hospital Coromandel Hospital .. Waihi District Hospital Thames Hospital .. Wellington District Hospital Wellington Benevolent Institute Wellington Convalescent Home Wellington Society for Relief of Aged Needy Wellington Ladies' Christian Association South Wairarapa Hospital Masterton Hospital .. .. North Wairarapa Benevolent Society .. Pahiatua Distriot Hospital .. Dannevirke Hospital Napier Hospital Gisborne Hospital Hawke's Bay Children's Home St. Andrew's Orphanage Reefton Ladies' Benevolent Sooiety Reefton Hospital Greymouth Benevolent Society Grey River Hospital Kumara Hospital .. .. Hokitika Benevolent Society Westland Hospital Oamaru Hospital Waimate County Hospital Samaritan Home, Christchureh North Otago Benevolent Sooiety Otago Benevolent Institution Dunedin Hospital Cromwell District Hospital Naseby Distriot Hospital Charleston Hospital Dunstan District Hospital Arrow Distriot Hospital Southland Hospital Wakatipu District Hospital Wallace and Fiord Hospital 9 9 6 9 9 9 9 9 6 6 6 9 9 6 9 6 11 9 6 6 9 9 6 9 9 7 9 6 9 9 9 9 9 7 9 9 6 9 7 9 6 6 5 6 3 2 2 2 2 6 6 6 2 2 Nil 2 6 3 2 6 6 9 3 Nil 3 3 3 3 6 2 2 2 2 2 2 2 3 2 3 Nil 2 2 £ s. d. 272 0 0 1,120 0 0 301 5 8 323 9 10 21 13 0 120 17 10 658 17 5 42 1 3 202 11 6 172 18 1 289 15 8 185 10 9 153 5 11 Nil 30 0 0 171 12 6 1,867 0 0 292 4 11 490 13 8 96 9 0 79 4 6 470 10 10 36 2 0 598 0 0 316 2 0 100 0 0 404 6 7 360 13 4 40 0 0 113 6 0 71 3 0 159 1 0 142 9 0 157 1 2 139 7 2 100 0 0 81 10 0 90 0 0 Nil 67 4 2 68 11 0 3 4* Nil 6 7 7 7 7 Nil Nil Nil 7 7 6 7 Nil 8 7 Nil Nil Nil 6 6 6 6 . 4 6 Nil 7 7 7 7 7 5 7 6 4 6 7 7 4 £ s. d. 269 0 0 Nil Nil 225 0 0 1,500 0 0 950 0 0 13,550 0 0 2,000 0 0 Nil Nil Nil 605 10 9 489 10 0 600 0 0 718 0 0 499 10 0 1,310 0 0 2,857 10 0 122 2 0 Nil Nil 500 0 0 200 0 0 1,560 0 0 378 0 10 190 0 0 682 17 6 Nil Nil 200 0 0 1,000 0 0 7,200 0 0 4,000 0 0 301 1 8 510 19 4 140 0 0 291 19 9 300 10 0 1,639 10 0 242 4 0 - 992 11 0 4 £ 10( "'l "2C 25 i 40£ 6 120 i 2,'i0C * These are ol tosen b; the Go -ernor in Counoil

81

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TABLE XVlll.—Diseases of Patients in the General Hospitals in the Dominion for the Quarter (roughly) ended 31st March, 1908 (classified according to the Bertillon System). Number Number Number Number „ of n ot^:i . oi oi Cases. Deaths. Cases. Deaths I. General Diseases. 11. Diseases of the Nervous System and of the Organs 1. Typhoid fever .. .. 158 32 °f Special Sense.— continued. 2. Typhus .. .. .... .. 70. Eclampsia (non-puerperal) ~. 7 3. Recurrent fever .. .. .. .. 71. Convulsions of children under 4. Intermittent fever and malaria 17 .. five years of age cachexia 72. Tetanus .. .. .. 9 4 5. Small-pox .. .. .... .. 73. Chorea .... .. 3 6. Measles .. ..... 56 2 74. Hysteria .. .. ..38 7. Scarlet fever .. ~ .. 158 1 74a. Neuralgia .. .. 16 8. Whooping-cough .. .. 14 .. 74b. Other diseases of the nervous 61 9. Croup .. .. .. 1 .. system 9a. Diphtheria .. .. ..201 10 75. Diseases of the eyes and their 191 1 10. Influenza .. .. .. 163 3 appendages 11. Miliary fever .. .... .. 76. Diseases of the ear .. ..35 12. Asiatic cholera 13. Cholera nostras .. .. 1 .. 111. Diseases of the Circulatory System. 14. Dysentery .. .. ..14 2 77- Pericarditis .. .. ..8 2 15. Plague .. .. .... .. 78> A cute endocarditis .. .. 5 3 16. Yellow fever .. .. .... .. 79. Organic diseases of the heart .. 235 76 17. Leprosy .. .. .... .. 8 0. Angina pectoris .. .. l 18. Erysipelas .. .. ..28 4 81 . Diseases of the arteries, atheroma, 4 19. Other epidemic diseases .. .. .. aneurism &o. 20. Purulent infection and septieEemia 13 8 g2. Embolism and'thrombosis ..7 3 21. Glanders and farcy .. .... .. g 3 . Diseases of the veins (varices, 146 22. Malignant pustule and" charbon" .. .. varicose, ulcers, haemorrhoids) 23. Rabies .. .. .... .. Diseases of the lymphatic system 7 24. Triohinosis .. .. .... .. 8 5. Haemorrhages ' .. .. 41 9 25. Pellagra .. .. .... .. 36, Other diseases of the circulatory 26. Tuberculosis of the larynx 13 2 system 27. Tuberoulosis of the lungs .. 225 60 28. Tuberculosis of the meninges .. 15 11 IV . Diseases of the Respiratory System. 29. Tuberculosis of the peruonseum 14 1 or? rv ~, , , „". 30. Pott's disease.. .. ..18 1 87. Diseases of the nasal fossae .79 31 Cold aiscess, symtomatio abscess .. .. f- *R , . seasas of f la v r > v , " *-J2 32. White swellings 89. Diseases of tlie thyroid body .18 1 33. Tuberculosis of bones .. .. 30 f- Acute bronchitis .. ..158 8 33a. Tuberculosis of other organs .. 5 .. 91. Chronic bronchitis .. 22 3 34. General tuberculosis .. .. .. .. 92. Bronclio-pneumoma .. ..154 12 35. Scrofula 93. Pneumonia 252 48 36 Svnhilis 34 94 * Pleuns y • ■ • • .. 151 12 36a. Softchancre" W -..4 \\ 95. Congestion of the lungs and pul- 3 2 37. Biennorrhagia of adults .. 28 .. QR _ m ° n "y apoplexy 38. Gonococcie diseases of children .. .. 96. Gangrene of tl.e lungs.. . under five vears of aee Ascnma .. .. ..do 1 39. Cancer, &c, of the mouth ..32 4 98. Pulmonary emphysema -;; 3 40. Cancer &c, of the stomach and 58 21 99. Other diseases of the respiratory 62 1 liver ' system (consumption excepted) 41. Cancer of the peritonaeum, the 7 1 T7 n j... * n n- +■ o . intestines, and the rectum F * Dlseas^s °f the Digestive System. 42. Cancer, &c, of the female genital 23 1 10 °- Diseases of the mouth and its 4 organs associated organs 43. Cancer, &c, of the breast ..13 1 101. Diseases of the pharynx ..20 44. Cancer, Ac, of the skin .. 7 .. 102 - Diseases of the oesophagus 45. Cancer, &c, of other organs .. 171 20 103 - uloer of the stomach .. 74 2 46. Other tumours (tumours of the 9 .. Wi - Other diseases of the stomach 233 16 female genital organs excepted) (cancer excluded) 47. Acute articular rheumatism .. 195 2 105 - Diarrhoea and enteritis .. 139 33 48. Chronic rheumatism and gout 24 .. 106. Intestinal parasites 49. Scurvy .. .. .. .. 107. Hernia, intestinal obstruction .. 189 14 50. Diabetes .. .. ..14 3 108. Other diseases of the intestines 19 51 Exophthalmic goitre .. .. 5 .. I°9- Diseases of the anus and fecal 16 52. Addison's disease .. .. 3 2 fistulas 53. Leucaemia .. .. .. 2 *" .. U°- Icterus gravis .. .. 4 54. Anaemia, chlorosis .. ..36 1 111. Hydatid tumours of the liver .. 3 55. Other general diseases .. .. .. H2- Cirrhosis of the liver .. .. 7 56. Acute and chronic alcoholism 16 1 1 13 - Biliary calculi 57. Lead-poisoning .. .. 5 .. H*- Other diseases of the liver 37 4 58. Other chronic poisonings due to 8 2 115. Diseases of the spleen .. occupations, necrosis phosporus 116. Simple peritonitis (non-puerperal) 18 7 59. Other chronic poisonings 16 .. H7- Other diseases of the digestive 2 system 11. Diseases of the Nervous System and of the Organs ns - Appendicitis and abscess of the 262 17 of Special Sense. iliao foss a 60. Enoephalatis .. .. .. 4 61. Simple meningitis .. 24 13 VI. Diseases of the Genito-urinary System and 62. Progressive locomotor ataxia .. .. ~ Adnexa. 63. Other diseases of the spinal cord 7 2 119. Acute nephritis .. .. 5 2 64. Congestion and hemorrhage of 15 9 120. Bright's disease .. 61 15 the brain 121. Other diseases of the kidneys and 36 3 65. Softening of the brain .. .. 4 3 their adnexa 66. Paralysis without indicated cause 42 5 122. Calculi of the urinary system 20 1 67. General paralysis .. 12 1 123. Diseases of the bladder .. 118 8 68. Other forms of mental alienation 53 .. 124. Other diseases of the uretha, 59 8 69. Epilepsy .. .. ... 31 3 urinary abscess, &c.

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82

Diseases of Patients in the General Hospitals in the Dominion, &c.— continued. Number Number | Number Number of of ol of Cases. Deaths. Cases. Deaths VI. Diseases of the Genito-urinary System and X. Malformations. Adnexa— oontinued. 150. Congenital malformations (exolu- 48 125. Diseases of the prostate 53 10 | sive of stillborn) 126. Non-venereal diseases of the male 96 genital organs XI. Infancy. 127. Metritis .. .. ..12 .. xgx. Congenital debility, ioterus and .. 128. Uterine haemorrhage (non-puer- 32 .. scleroma of ohildren under three peral) months of age 129. Uterine tumours (non-oancerous) 28 .. 152. Other diseases peculiar to infancy .. 130. Other diseases of the uterus .. 164 131. Cysts and other ovarian tumours 19 .. xil. Old Age. 132. Other diseases of the female 79 1 153, Senile debility .. 41 13 genital organs 133. Non-puerperal diseases of the 6 .. XIII. Violence. breast (cancer exoepted) 154. Fractures (unspeoified) .. 124 Femur .. .. 48 VII. Puerperal Condition. Th*°h " " "in 134. Aooidents of pregnancy .. 110 2 Lee 33 135. Puerperal haemorrhage .. .. .. Clavieal 21 136. Other accidents of childbirth 21 .. Skull 21 k 137. Puerperal septicaemia .. .. 200 2 Fibula 17 138. Puerperal albuminuria and ec- 6 .. Ankle 4 lampsia Ribs ;; ** " u - 139. Puerperal phlegmasia alba dolens .. .. Elbow 8 140. Other puerperal acoidents .. 1 1 Spine 5 141. Puerperal diseases of the breast .. .. Humerus 20 Tibia .. .. 33 " VIII. Diseases of the Skin and of the Cellular Tissue. Jaw .. .. .. 2 142. Gangrene .. .. ..11 3 Vertebrae .. .. ..1 1 143. Carbunole .. .. ..17 1 155- Sprains ... .. ..47 144. Phlegmon, acute abcess .. 222 5 1 56 . Dislocations .. .. 29 2 145. Tinea favosa .. .. .... .. 157. Other accidental injuries .. 647 10 145a. Other diseases of the skin and 94 1 158. Burning by fire .. ..49 6 adnexa 159. Insolation .. .. .. 4 160. Accidental drowning .. .. 1 1 IX. Diseases of the Organs of Locomotion. m ] inhalation of noxious gases '.'. .. 146. Non-tuberculous diseases of the 112 6 163. Other accidental poisonings 19 bones 164. Other external violence (foreign 5 3 147. Arthritis and other diseases of 21 .. body in larynx) the joints (tuberculosis and rheumatism excepted) XIV. 111-defined Diseases. 148. Amputationf .. .. .. .. 165. Dropsy .. .. 14 149. Other diseases of the organs of 61 .. 166. Unspecified cases of disease .. 136 19 locomotion 8,028 638*

tProbably included iu other accidental injuries. * 7'94 per cent.

By Authority : John Mackay, Government Printer, Wellington.—l9oB.