PUBLIC HEALTH AND HOSPITALS AND CHARITABLE AID: REPORT THEREON BY THE INSPECTOR-GENERAL OF HOSPITALS AND CHARITABLE INSTITUTIONS AND CHIEF HEALTH OFFICER.

Appendix to the Journals of the House of Representatives, 1914 Session I, H-31

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1914. NEW ZEALAND.

PUBLIC HEALTH AND HOSPITALS AND CHARITABLE AID: REPORT THEREON BY THE INSPECTOR-GENERAL OF HOSPITALS AND CHARITABLE INSTITUTIONS AND CHIEF HEALTH OFFICER.

Presented in •pursuance of Section 76 of the Hospitals and Charitable Institutions, Act, 1909.

CONTENTS.

Page I Page Report of Acting - Inspector - General and Chief Appendix II (Hospitals and Charitable Aid) — could. Health Officer: — A. Reports on Individual Institutions — could. Public Health .. .. •. .. 1 Hospitalß— continued. Hospitals and Charitable Aid .. .. .. 2 Blenheim (see Wairau). Assistant Inspector's Report: — Christohuroh, and Sanatorium and InfectiousThe Nurses Registration Act .. .. .. 5 diseases Hospital .. .. ..81 Maori Nui .. .. •• •• 7 Coromandel .. .. ..87 District Nurses .. .. .. . . 7 Cromwell .. .. .. .. 97 Plunks! Nurses .. .. .. 8 Dannevirko .. .. .. .. 90 Native Health Nurses .. ..7,61 Denniston .. .. .. .. 95 Midwives Act .. .. .. . . 11, 70 Dunedin, and Infectious-diseases Hospital .. 83 Private Hospitals Aot .. .. .. 9 Dun (an .. .. .. ..98 .Maternity Hospitals . . .. .. !> Gisborne .. .. .. .. 88 'IV Waikato Sanatorium .. .. .. 13 Gore .. .. .. .. ..98 Greytown (see South Wairarapa). Appendix I (Public Health): — Greymouth .. .. .. ..95 A. Vital Statistics, General .. .. .. 15 Hamilton (see Waikato). B. .. Local .. ..31 Havelock .. .. .. :il C. Climato and Meteorology .. ..32 Hawera .. (II I). General Reports of District Health Officers .. :!2 Hokitika (see West-land). E. Appendices to Roports.— Invercargill (see Southland). (I.) Infectious Diseases .. .. ..34 Kaikoura .. .. .82 (2.) Dangerous Infectious Diseases: Smallpox 50 Kaipara .. .. .. ..85 „ , „ Plague.. 56 Kaitangata .. .. .. .84 „ „ Leprosy 56 Kawakawa .. .. .. 89 (3.) Provision for Infectious Cases .. 57 Kumara .. .. .'. ..96 (4.) Sanitary Conditions .. .. .. 57 Ijawrehce (see Tuapeka). (5.) Sanitary Condition of Maoris . . .. 60 Lyttelton .. .. .. ..82 (6.) Sanitary Inspections .. .. 62 Masterton .. .. ..93 (7.) Offensive Trades .. .. ..67 Manganui .. .. .. .85 (8.) Insanitary Buildings .. .. 67 Mercury Bay .. .. .. ..99 (9.) By-laws .. .. .. ..67 Napier .. .. .. ..89 (10.) Legal Proceedings .. .. 68 Naseby .. .. .. 98 (II.) Quarantine.. .. .. ..68 Nelson .. .. .. ..94 (12.) Disinfection of Oversea Goods .. 69 New Plymouth .. .. ..90 (13.) Immigration Restriction Act .. .. 69 Northern Wairoa (see Kaipara). (14.) Vaccination .. 70 Oamaru (separate institution) .. 100 (15.) Midwives Act .. .. ..70 Opotiki .. .. .. ..87 (16.) Sale of Food and Drugs Act .. 71 Otaki, and Sanatorium .. .. ..80 P. Laboratory Work .. 74 Otira .. .. .. .. 96 Pahiatua .. .. .. 92 Appendix II (Hospitals and Charitable Aid): — Palmerston North .. .. .. 92 A. Reports on Individual Institutions, — Palmerston South Sanatorium ~ .. 88 Hospitals— Patea .. .. .. .. 91 Akaroa .. .. ..82 Picton.. .. .. .. ..93 Arrowtown .. .98 Port Chalmers .. .. .. 84 Ashburton .. .. ..96 Queenstown (see Wakatipu). Auckland .. .. .. 79 Rawene .. .. .. 85 Bay of Islands .. .. .. ..85 Reefton .. .. .. ..95

Page Appendix II (Hospitals and Charitable Aid) — contd. A. Reports on Individual Institutions— cunld. Hospitalfi— continued. Blenheim (see Wairau). Christcluircli. and Sanatorium and Infectiousdiseases Hospital .. .. .. ,sl ( 'oromandel . . .. .. 87 Cromwell .. .. .. .. !I7 Dannevirko .. .. .. .. 80 Demueton .. .. .. .. 95 Dunedin, and Infectious-diseases Hospital .. 8ti Dun tan .. .. .. ..98 Gisborne .. .. .. .. SH Gore .. .. .. . . '.is Greytown (see South Wairarapa). Greymouth .. .. .. . . !ir> Hamilton (see Waikato). Havelock .. .. .. . . !l I Hawera .. .. .. ill Hokitika (see Westland). [nvercargill (see .Southland). Kaikoura .. .. . . .82 Kaipara .. .. . . 86 Kaitangata .. .. .. .84 Kawakawa .. .. .. 89 Kumara .. .. .'. . . !l(i Lawrence (see Tuapeka). Lyttelton .. .. .. 82 Masterton .. .. .. .. '.)','• Manganui .. .. .. S~> Mercury Bay .. .. .. .. !)!! Napier .. .. .. . . s<1 Naseby .. .. .. 98 Nelson .. .. .. . . !I4 New Plymouth .. .. . . 90 Northern Wairoa (see Kaipara). Oamaru (separate institution) .. .. 100 Opotiki .. .. .. 87 Otaki, and Sanatorium .. .. 80 Otira .. .. .. .. 96 Pahiatua .. .. .. 92 Palmerston North .. .. 92 Palmerston South Sanatorium ., .. 88 Patea .. .. .. .. 91 Picton.. .. .. .. ..93 Port Chalmers .. .. .. 84 Queenstown (see Wakatipu). Rawene .. .. .. 85 Reefton .. .. .. .95

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Page Appendix II (Hospitals and Charitable Aid) — contd. A. Reports on Individual Institutions — continued. Hospitals— continued. Riverton (see Wallace and Fiord). Ross .. .. .. .. 96 Rotorua .. .. .. 88 Southland, and Infectious-diseases Hospital 98, 99 South Wairarapa .. .. 93 Stratford .. .. 91 Taihape .. .. 92 Tapanui .. .. .. 84 Taumarunui .. .. .. 87 Tauranga .. .. .. 87 Te Puia (see Waiapu). Totara (see Ross). Thames .. .. .. 86 Timaru, and Infectious-diseases Hospital !tii. !I7 'I'uapeka .. .. .. 84 Waiapu .. 88 Waihi .. .. 87 Waikato .. .. ..87 Waimatc .. . . 97 Waipawa 90 Wairau .. 94 Wairoa .. 89 Wakatipu .. .. 99 Wallace and Fiord .. .. 99 Wanganui .. 91 Wellington .. .. ..80 Westland .. .. 95 Westport .. 94 Whangarei .. .. .. 86 Charitable Institutions — Aged Needy Home for Women .. .. JOO Alexandra Home. Auckland .. 79 „ Nelson .. .. 94 „ Wellington .. 13 Armagh Street Depot .. .. 83 Costlcy Home .. .. 79 Door of Hope, Auckland . . 100 Gisborne Old Men's Home .. 89 Hamilton „ ..88 Hawke's Bay Children's Home .. 100 Jubilee Home, Aramoho .. .. .. 92 Karitane Home.. .. .. 100 Linwood Refuge .. . . 82

Page Appendix II (Hospitals and Charitable Aid) — contd. A. Reports on Individual Institutions — continued. Charitable Institutions— continued. Lome Farm .. .. .. .. 99 Memorial Home, Woolston .. .. N2 Mount Magdala .. .. 109 New Plymouth Old People's Home .. 90 North Otago Benevolent Institution .. 97 Ohiro Home .. .. .. 81 Otago Benevolent Institution .. .. 85 Park Island Old People's Homo .. .. 89 Remuera Home .. .. .. 108 Renall-Solway Home .. .. .. 93 St. Mary's Home, Auckland .. .. 13 Salvation Army Homes .. .. .. 12 Thames District Home .. .. ..86 Timaru Old People's Home .. .. 97 Tuarangi Home, Ashburton .. .. 83 Waltham Orphanage .. .. 82 Westport Old People's Home .. .. 95 for Relief of Aged Needy .. .. .. 100 Whangarei Cottage Home .. .. 86 B. Statistical,- —- Table I. —Hospital and Charitable-aid Receipts .. .. .. 101 la— Details of Table 1— (a.) Voluntary Contributions.. 102 (ft.) Recoveries from Persons assisted .. .. 102 ~ ll.—Hospital and Charitable-aid Expenditure .. .. .. 104 11a.—Details of Table II (Capital Expenditure) . . . . .. 106 „ Ilb.—Details of Table II (Administration Expenditure) .. 11l „ lll.—Hospital Statistics (General) .. 112 ~ IV. —Hospital Expenditure .. .. 114 ~ V. —Statistics of Government Hospitals 116 „ Vl.—Expenditure of Government Hospitals .. .. ..110 Vll.—Charitable Institutions (Statistical) 117 „ VIII. —Charitable institutions Expenditure .. .. 118 IX.—Old-age Pensions .. ..119 X.—Levies and Subsidies for 1913-14 120

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REPORT.

The Inspector-General of Hospitals and Chief Health Officer to the Hon. the Minister of Public Health, Hospitals, and Charitable Aid. Department of Public Health, Hospitals, and Charitable Aid, Sir, — Wellington, 3rd September, 1914. I have the honour, in the absence of Dr. Valintine, Inspector-General and Chief Health Officer, to lay before you the annual report of the Department for the year ending 31st March, 1914. Public Health. The past year has been a somewhat eventful one in the history of the Department, owing to the epidemic of smallpox which broke out amongst the Maoris north of Auckland in May, 1913, and which extended to Marsden, Kaipara, Auckland, Bay of Plenty, Thames, and Waikato. Further particulars of the epidemic will be found in the appendices to the report of the District Health Officer, Auckland. It is satisfactory to note that no case of the disease has been notified since the sth April, 1914. As a continuing precaution three specially appointed Medical Officers have been engaged in patrolling and vaccinating in the lately infected districts, and will continue to do so during the ensuing winter. Smallpox excepted, the general health of the Dominion has been good. The general death-rate is 9-47, as against 8-87 last year. The infantile-mortality rate for New Zealand was 59 deaths per 1,000 births, an increase upon that of the two previous years. The following table shows the rates of infantile mortality in New Zealand and four chief centres each year 1903-1913.

Number of Deaths per 1,000 Births.

Further particulars with regard to the vital statistics of the Dominion are attached, through the courtesy of the Government Statistician, as an appendix to this report. The following table shows the death-rates for the more prevalent infectious diseases per 10,000 of the population :— Proportion of 10,000 of Mean Population. 1000. 1910. 1911. 1912. 1913. Enteric .. .. .. .. 0-57 0-62 0-66 0-44 0-56 Scarlet fever .. .. .. 0-27 0-13 0-09 0-07 0-10 Diphtheria .. .. .. .. 0-66 0-76 0-61 0-44 0-57 Phthisis .. .. .. .. 6-05 5-54 5-28 5-04 5-41 Other forms of tuberculosis .. .. 2-18 1-82 1-99 1-85 2-19 The interest of the Hospital Boards and public regarding the care of sufferers from tubercular diseases, especially phthisis, and the precautionary measures against the spreading of such diseases augur well for a still more successful outcome being demonstrable in the future for the campaign that has been so well initiated generally throughout the Dominion.

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Year. New Zealand. Auckland Wellington and Suburban and Suburban Boroughs. Boroughs. (.'hristchurch and Suburban Boroughs. Dunedin and Suburban Boroughs. 121-48 70-12 91-52 85-80 97-19 81-87 61-85 79-02 63-02 56-95 80-81 92-76 95-33 96-21 71-88 117-80 81-67 84-21 84-59 73-36 61-32 60-23 I 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 81-08 70-98 67-52 62-10 88-78 67-88 61-60 67-73 56-31 51-22 59-17 100-52 102-96 88-99 74-37 126-16 67-82 62-78 69-40 62-90 60-03 63-49 62-30 93-02 67-13 72-60 95-36 74-54 48-52 79-08 43-42 38-11 73-42 I

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The King George V Coronation Memorial Hospital for Consumptives, forming an important addition to the Sanatorium of the North Canterbury Hospital Hoard, was opened by the Minister of the Department in June last. The campaign has been rigorously carried on in the Canterbury District- under the able direction of Dr. Blackmore, assisted by Miss Rochfort, late Matron of the Te Waikato Sanatorium, who lias been entrusted with much of the work of the Christchurch Tuberculosis Dispensary. A report by the Medical Superintendent of Te Waikato Sanatorium (Dr. Alfred Bernstein) will be found on page 13. Sale of Food and Druos Act. A very considerable amount of work has been involved in the administration of the regulations under the above Act, gazetted in 1912. On the whole it may be said that manufacturers and sellers have shown readiness to conform thereto. It is, as yet, too early to say what amendments may he required to render these regulations still more effective. So far, however, there has been little or no adverse criticism. In the matter of the adulteration of milk by the addition of water, prosecutions have been frequent ; nevertheless the continuation of interference with this most important of foodstuffs appears to demand still more stringent measures. It is hoped that the more recent infliction of severe penalties for such adulterations will have a salutary effect. Hospitals and Charitable Aid. Receipts. The total amount received by Boards, separate institutions, and Government institutions foi the past year on account, of hospitals, charitable aid, and public health was £660,4(11. an increase of £76,791 over the previous year, the receipts for the past four years being— £ 1910-11 .. .. .. .. .. .. 494,985 1911-12 .. .. .. .. .. .. 556,108 1912-13 .. .. .. .. .. .. .. 583,673 1913-14 .. .. .. .. .. .. .. 660,464 The receipts from the principal sources of revenue were as follows :— Government contributions— 1910-11 .. .. .. .. .. .. 167,941 1911-12 .. .. .. .. .. .. ... 189,011 1912-13 .. .. .. .. .. .. .. 200,256 1913-14 .. .. .. .. .. .. .. 219,520 Levies on local authorities— 1910-11 .. .. .. .. .. .. 131,524 1911-12 .. .. .. .. .. .. .. 149,203 1912-13 .. .. .. .. .. .. .. 166,281 1913-14 .. .. .. .. .. .. .. 175,120 Voluntary contributions— 1910-11 .. .. .. .. .. .. .. 35,433 1911-12 .. .. .. .. .. .. .. 31,656 1912-13 .. .. .. .. .. .. .. 25,930 1913-14 .. .. .. .. .. .. .. 49,856 Payments by persons relieved— 1910-11 .. .. .. .. .. .. .. 61,983 1911-12.. , .. .. .. .. .. .. 64,138 1912-13 .... .. .. .. .. 77.369 1913-14 .. .. .. .. .. .. 84.026 Voluntary contributions, though fluctuating considerably, show, in relation to the total expenditure, a downward tendency. Last year, however, the amount was swelled substantially by the uift of £15,000 from Mr. Cawthron, of Nelson. Payments by persons relieved last year exhibit an increase of £6,657 over those for the previous year, payments by hospital patients almost wholly accounting for the increase.

Year. Payments by Hospital j Payments by Inmates of Patients. Charitable Institutions. Total.* I 910-11 911-12 912-13 913-14 £ 42,714 47,338 56,255 62.680 £ 14,028 16,698 20,888 20.987 £ 56,742 64.138 77,369 84.026 *Ii icludes also district nursinf ; fees.

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Expenditure. The total expenditure of Hospital and Charitable Aid Boards was £549,830, and compares in detail with that of 1912-13 as follows:— 1912-13. 1913-14. £ £ Hospital maintenance* .. .. .. .. 228,337 249,911 Charitable aid .. ..* .. .. .. 90,687 94,735 Public health .. .. .. .. 7,803 11,867 Administration .. .. .. .. ..22,210 21,323 Capital expenditure .. .. .. .. .. 100,822 140,840 Other expenditure .. .. .. .. ..19.928 31,153 £469,787 £549,830 * Includes expenditure on pathological, dental, and tuberculosis out-patients departments. The total expenditure by separate institutions was, — 1912-13. 1913-14. £ £ Hospital maintenance .. .. .. .. 2,801 3,181 Charitable aid .. .. .. .. .. 6,784 8,315 Administration .. . . .. .. .. 590 951 Capita] expenditure .. .. .. .. .. 2,527 1,637 Other expenditure .. .. .. .. .. . 1,548 1,452 £14,249 £15,536 The expenditure on Government institutions (Te Waikato Sanatorium and St. Helens Hospitals) was, — 1912-13. 1913-14. £ £ Maintenance .. .. .. .. .. 10,979 12,176 Administration .. .. .. .. .. 524 445 Capital expenditure .. .. .. .. .. 4,813 1,051 Other expenditure .. .. .. .. .. 93 657 £16,407 £14,329 There was also expended by the Department on other means of medical and nursing assistance a sum of £5,241, made up of— £ (1.) Subsidies to medical men in the backblocks.. .. .. .. 864 (2.) Medical and nursing attendance on Maoris .. .. .. 4,377 The total expenditure by Hospital and Charitable Aid Boards, separate institutions, and the Department in the relief of the sick and needy was therefore £584,936 ; and this is apart from the expenditure of private charitable organizations.

Hospital Expenditure. The total expenditure on account of hospitals for the last four years was as follows :—

Hospital Maintenance Expenditure. The gross cost of hospital " maintenance " —for Boards, Government, and separate institutions— was last year £262,007, as against £240,527 the previous year : —

Year. Maintenance. Administration. Capital. Miscellaneous. Total. I 909-10 910-11 911-12 912-13 .913-14 m £ 187,922 I'.i!t. 573 225,796 240.527 262,007 £ 10,406 11,586 13,255 12,644 13,948 £ £ 59,213 4,699 70,814 5,830 84,798 5,663 98,051 3,598 130,343 4,856 £ 262,241 287,803 329,513 354.818 411,454

Patients under Treatment during Year. Average Number under Daily Treatment. Year. General Special T . . Hospitals. Hospitals. lota1, General Hospitals. l reatment. Special Hospitals. Total. 900-10 910-11 911-12 912-13 913-14 21,108 1,420 20,695 23,584 1,607 25,191 24,681 1,879 26,560 26,979 1,789 28,768 28,885 1,761 30,646 1,709 1,839 1,900 2,131 2.234 138 186 178 200 234 1,847 2,025 2,078 2,231 2,468

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General Hospitals. —-The expenditure on maintenance on general hospitals was £232,024, and this is equivalent to £105-1 per annum per occupied bed, against £100-3 for 1912-13. The average annual cost of maintenance per occupied bed for the last four years is set out below :—

Charitable-aid Expenditure. As compared with last year there is an increase of £5,581 in charitable-aid expenditure, the figures for the last four years being as follows: —

A Comparison of Hospital and Charitable-aid Expenditure for the past Ten Years.

In the above the figures for the last four years include infectious-diseases hospitals and consumptive sanatoria under Boards' control, also public health, subsidies to medical associations, and district nurses. In every year-Separate institutions have been included. The number of persons availing themselves of treatment in the general hospitals for the last ten years was as follows: —

Year. Provisions. Surgery and Dispensary. Domestic and Establishment. Salaries and Wages. Total Maintenance. 1910-11 1911-12 1912-13 1913-14 £ 22-8 24-2 23-8 24-9 £ 8-7 10-3 9-9 9-8 £ 26-7 29-5 26-3 27-4 £ 38-8 42-3 40-2 43-0 £ 97-0 106-3 100-3 1051

Year. • Indoor Relief. Outdoor Relief. Total. 1910-11 1911-12 1912-13 1913-14 £ 62,848 64,651 66,378 68,510 £ 33,051 34,171 31,092 34,541 £ 95,899 98,822 97,470 103,051

Year. 1904-5 1905-6 1906-7 1907-8 1908-9 1909-10 1910-11 .. 1911-12 1912-13 .. 1913-14 Hospital and Charitable-aid Expenditure. ♦ £ 259,616 270,710 288,808 315,197 359,941 375,075 .. - 416,384 482,645 500,443 579,695 Mean Population. 851,964 877,469 901,920 925,727 945,063 977,906 997,974 1,019,984 1,046,624 1,075,787 Cost per Head of Population. s. d. 6 1 6 2 6 4J 6 10 7 7£ 7 8 8 4| 9 5| 9 6} 10 9£

Year. Total Number of Persons under Treatment. Population. Proportion under Treatment per 1,000 of Population. Average Number of Occupied Beds per Diem. Proportion per 1,000 of Population. 904-5 . . 905-6 .. 906-7 .. 907-8 .. 908-9 .. 909-10 .. 910-11 .. 911-12 .. 912-13 .. 913-14 .. 15,278 16,216 17,521 19,160 18,653 21,108 23,584 24,681 26,979 28,885 851,964 877,469 901,920 925,727 945,063 977,906 997,974 1,019,984 1,046,624 1,075,787 17-9 18-5 19-4 20-7 20-8 21-6 23-6 241 25-8 26-8 1,290 1,354 1,505 1,511 1,566 1,709 1,839 1,900 2,131 2,234 1-51 1-54 1-67 1-66 1-66 1-75 1-81 1-83 2-04 208

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Capital expenditure on general hospitals is as follows :— £ 1904-5 .. .. .. .. .. .. .. 28,640 1905-6 .. .. .. .. .. .. .. 20,379 1906-7 .. .. .. .. .. .. .. 31,508 1907-8 .. .. .. .. .. .. 39,499 .. .. .. .. .. .. .. 55,837 1909-10 .. .. .. .. .. .. .. 52,341 1910-11 .. .. .. .. .. .. .. 62,237 1911-12 .. .. .. .. .. .. .. 70,331 1912-13 .. .. .. .. .. .. .. 87,042 1913-14 .. .. .. .. .. .. .. 113,353 General. 1. Hospital and charitable-aid expenditure has increased in the ten years ending 31st March, 1914, from 6s. Id. per head of population to 10s. 9Jd. 2. But 26-8 per 1,000 of the population availed themselves of hospital treatment in 1913-14, as against 17-9 in 1904-5. 3. And the average number of occupied beds per diem rose from 1,290 to 2,234, or from 1-51 to 2-08 per 1,000 of the population. 4. The resulting capital expenditure necessitated thereby has provided 3,292 beds, as against 2,048, or 3-06 per 1,000 of the population, as against 2-40 in 1904-5. 5. Capital expenditure was £28,640 in 1904-5 and £113,353 in 1913-14. 6. In addition to the necessity for providing additional wards, many of the old wooden hospitals have had to be rebuilt. 7. The cost per occupied bed in the general hospitals during the last five years has been, — t; .. .I. 1909-10 .. .. .. .. .. .. 100 7 0 1910-11 .. .. .. .. .. .. 96 19 0 1911-12 .. .. .. .. .. .. 106 6 0 1912-13 .. .. .. .. .. .. 100 6 0 1913-14 .. .. .. .. .. .. 105 2 0 8. Patients' payments have averaged, per occupied bed, — 1909-10 .. .. ' .. .. ' .. .. 21 10 1 1910-11 .. .. .. .. .. .. 20 17 8 1911-12 .. .. .. .. .. .. 21 12 0 1912-13 ' .. .. .. .. .. .. 22 8 0 1913-14 .. .. .. .. .. .. 23 i 0 0 Jos. P. Frengley, M.D., F.R.C.5.1., D.P.H., Acting Inspector-General and Chief Health Officer.

THE NURSES REGISTRATION ACT. MIDWIVES ACT, AND PART 111 OF THE HOSPITALS AM) CHARITABLE INSTITUTIONS ACT (PRIVATE HOSPITALS). REPORT BY MISS H. MACLEAN, ASSISTANT INSPECTOR. The Nurses Kegisthation Act. During the year two examinations under the Act have been held by the State in nine different centres. There were 17."> candidates, of whom 155 passed, and their names were placed on the register. Advisable as it would be to hold the oral ami practical examinations in a limited number of centres, preferably only the four chief towns, it is not practicable to do so. The long distances and length of time and expense of travelling to these centres prohibit it. Moreover, unlike students for other professions, probationer nurses are engaged in carrying on the

Year. Number of General Hospitals. Number of Bods. Proportion of Beds per 1,000 of Population. 1904-5 .. 1905-6 .. 1906-7 .. 1907-8 .. 1908-9 .. 1909-10 .. 1910-11 .. 1911-12 .. 1912-13 .. 1913-14 .. 47 52 53 53 53 . 56 57 60 63 63 2,048 2,186 2,331 2,347 2,502 2,689 2,863 3,057 3,176 3,292 2-40 2-49 2-58 2-54 2-65 2-75 2-87 3-00 3-03 306

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nursing-work of their respective hospitals while preparing for examination, and it would be a very serious disorganization of hospital duties were a number of senior pupils absent together for several days. Un this account it has been arranged, when possible, to make a centre for examination at a district hospital wherever there are live or more candidates from chat hospital. The chief difficulty in so arranging has been to find examiners who are not too intimately associated with the hospital and its staff to be quite unbiased in awarding marks at oral and practical examinations. it has been suggested by an examiner that the marks awarded lor practical work during the whole term of training, together with the personal report of tin.' Matron responsible for the training of the candidates, should be taken into consideration in the legist ration of nurses. While this uould be well done in awarding hospital certificates, 1 do not consider it would be just to the young women sitting lor the State examination to subject them 10 possible rejection on these reports, in which there would inevitably be lack of uniformity owing to the varying personality and standards of so many different Matrons. One with a very high standard might refuse to give a good report to a girl who was perhaps mediocre, but still above the one who would be recommended by a Matron with a lower standard or more lenient temperament. It is during the term of training that those who tire unsuitable lor the high profession of nursing should be weeded out, but when allowed m go through the lull term, nothing Inn the final tests should be taken into consideration. The manner in which to obtain some guarantee thai the nurses registered by the State will be the right stamp of women, is lor the Hospital Boards to realize the great power which is in their hands, and to make careful and judicious selection of the women they put in charge of theii training-schools. Having done this they should invest the Matron with sufficient responsibility, and allow her to select to the best of her judgment the material she is to train, and allow her also to reject the material which on trial she finds unsuitable. There appears to be a sufficient number of young women coming forward in the larger schools to train as nurses, but some hospital authorities have found it advisable to reduce the age for entrance from twenty-three to twenty-one or twenty years of age. This is a wise step. It is not so much the age as the personality, development, and circumstances which count. Many suitable applicants are lost because the time between completing education and entering a hospital is so long that the girl, perhaps obliged to achieve independence, drifts into some other occupation. Some remarks on the point made by a Matron at a conference of the New Zealand Trained Nurses Association are worthy of record:-— " first, I should like to ask. when should a girl begin ber nursing training I To answer this one naturally asks, when does a girl usually begin to train for her life's work.' We will be surprised to find that for every other profession she begins her training at school, while in her early teens. Does she intend to follow medicine, she selects her subjects for that career when studying lor her matriculation, probably at the age of fourteen years. Should law be the object of her ambition, or an arts degree Ik- her god. the same early period of her youth makes the select ion of her subjects, always bearing in mind that the subjects for each examination are all preliminaries to the highest position she can attain to in thai special profession. Why should the girl who early decides that nursing is to be her chosen vocation not be educated on these lines, and in the subjects which can and will be of most use to her in that profession? We now know that physiology, anatomy, hygiene, and cooking are to form big factors in modern teaching for the successful home life of tie- wives and mothers of the future, so also is the domestic-science course; therefore I claim that we should be prepared to select for the girls who intend to be nurses those subjects most necessary for the successful fulfilment of their ambition. Girls may marry and become mothers at eighteen years old, and yet we debar them from entering at that age upon a profession which, next to motherhood, is recognized as the highest ideal for women. A girl may enter for a medical course, go through the hospitals, and be a fully qualified medical practitioner at the age of twenty-one years. She is then permitted by law to prescribe for any ailment and treat any case, however critical, but she is debarred by an unwritten law from learning to nurse such a ease until after she is twenty-one years old." There has not during, this year been the former shortage of trained nurses for the staffs of the various hospitals. The output of the training-schools has been largely increased, and, as many of the registered nurses have agreed to remain after registration for a fourth year in their training-schools, there has not been the urgent call for outside nurses, 'fhe hospitals which exact this agreement from their probationers are now offering some special advantages for the nurses in this fourth year. The Auckland Hospital lias an excellent scheme to give post-graduate hiums in hospital management, dispensing, midwifery, massage, and electrical treatment. The Dunedin Hospital has a similar scheme, ami others are considering the same. The question of a uniform rate of salaries for hospital staffs has been much debated. The Department was requested to draw up such a scale and to circularize all Hospital Boards. The matter presents great difficulties owing to the varying conditions of the hospitals, and it is indeed quite impossible to attain any great degree of uniformity. Nurses frequently take into account the desirability of hospital positions from quite other than monetary conditions. Eventually a scale- was drawn up and sent to the Boards for consideration. For responsible positions it is the view of Ii le Department that the payment should be mi a higher basis than now prevails, in order to induce well-qualified women to remain in the Public Service. The nurses admitted during the year to the register froi itside numbered 35, from the Australian States 7. and from Croat Britain and Ireland 28. Very Few foreign nurses find (heir way to New Zealand, and the Few who do are usually not eligible- For registration owing to a short term id' training.

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Maori Nurses. There were four Maori candidates for examination during the year. Two passed very well, two others passed in all but one subject, and are sitting again with a fair prospect of success next June. There are now eight girls training in different hospitals. Four have been appointed to the Public Service as assistant Native Health nurses, one of whom married shortly after. One who has done good work nursing typhoid and smallpox for nearly three years has nowgone to St. Helens Hospital for midwifery training, after which she will probably be put in charge of a district. More Native nurses are required for country work, and it is hoped that the example of these mentioned may stimulate them to go through their training, and may also encourage the teachers to persevere in their rather uphill work. It is perhaps expecting a good deal to make these Maori girls pass Lhe same examinations as the European nurses, -but so far all who have been registered have done so and taken very fair places among their fellowtrainees, and therefore it would be inadvisable to accept any lower standard. The qualities the Maori girls are lacking in are not intelligence and adaptability, but application and reliability. District Nurses. Hospital Boards are beginning to recognize the benefit of posting nurses on the outskirts of the districts, and the settlers in the back country are awaking to the fact that if they cannot support a doctor a nurse may be by no means a bad substitute. During the year five new districts have been opened up, and there have been many inquiries as to steps to be taken to secure a nurse. There are now twelve district nurses working in the backblocks and country places. In a few instances these nurses are midwifery nurses only, it being difficult to secure the right type of woman with both certificates. After all, it is the women in the backblocks that are most in need of assistance, therefore a midwifery nur-e with experience in genera] nursing has sometimes been accept d. The Christchurch District Nursing Association, which for many years has done splendid work under Nurse Maude, has been extended to embrace the suburbs as well as the city, and is receiving a Government subsidy through the North Canterbury Hospital Board. It is intended to extend the work of the association to the country parts of the district also when the settlers make any application for such assistance. In the course of a few years it is probable the whole country will be linked up with a chain of nurses, working either as district nurses established by Hospital Boards, on the application of the settlers, who contribute a sum of money for their maintenance, Which is subsidized by the Government; as Plunket nurses, also subsidized by the Government, who are in the more populated places, and who. although engaged in special work, vet should always be available for any emergency outside the regular sco] f their duties; or Native Health nurses, who are Government servants placed at the disposal of the Hospital Boards, and who. although appointed specially for the benefit of the Natives, and paid out of the vote for the medical and nursing treatment of Maoris, yet are available for ihe need of European settlers also. Nurses are commencing to recognize that the work of district nursing in the backblocks is one of the most useful and satisfying means of carrying on their profession. In it they have more scope for individuality and initiative than in institutions (except in the higher posts) or ordinary private nursing. The district nurses iji the country tire now made public vaccinators, their services as vaccinators at the time of the smallpox epidemic having proved of great value. A cottage has been built for the nurse at I'ruti. which will render hi r much more comfort abli . the question of suitable accommodation being always a difficult <>ne. \ cottage is to be built at Waiutu by the [nangahua Hospital Hoard, and when ready a nurse is In lie settled there. At Opunake, Kawhia, and Ohaeawai there are district nurses paid or subsidized by the Boards. At Tangitu and at Herekino midwifery nurses are stationed. Nativt Health Nurses. During the year, there have been nurses stationed at live new districts. Nurse Anderson resigned early in the year, to the regret of the Department. Nurse Stephenson, who had done good work for the Department as a temporary nurse in fever camps, was appointed for tin.' Rotorua district. At Tuparoa Nurse McElligot! resigned on account of her marriage. Nurse Walker has been appointed to the same district, but has made her headquarters at likitiki, near Port Awanui. At Te Araroa there has also been a change, as Nurses Tail and Angus resigned and left the country. Nurse Winficld, for many years a Queen's Jubilee nurse in Ireland, took up the position. At Thames Nurse Dawson resigned after a year's work. It was decided i" send Nurse Ellen dare, a Maori nurse, to ihis station. The nurse stationed at Te Karaka. Nurse Cormack, litis been much required at Tolaga Bay. where there was an outbreak of typhoid, there being twelve cases, fortunately no deaths. Some of the cases were nursed in the houses, but this was a cause of so much anxiety on account of the relations interfering with the diet that the last five patients were nursed in the meeting-house. Nurse Cormack keeps two horses of her own. otherwise she would find it impossible to manage her large district. A nurse has now been stationed in the Taranaki district, with headquarters at Opunake. Nurse Mary Muir, trained at New Plymouth, was appointed. A nurse has been stationed in the Taumarunui district a! the special request of the settlers. Nurse Moore, trained at Wellington Hospital, was appointed. Nurse Ella Cooke, trained at Auckland, has been stationed at Ngaruawahia. in the Waikato district. In the Bay of Islands district Nurse Byrn, trained at Gisborne Hospital, was stationed ai Kawakawa. Nurse Blackie was transferred from the South Island to the Bay of Plenty, where there was an outbreak of enteric near Whakatane. Her

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headquarters are at Tauranga. Nurse Mataira, who was in this district, was given six months' leave of absence to undergo her midwifery training at St. Helens, Auckland. A great deal of the work of the Native Health nurses,»besides many other nurses temporarily engaged, was during the last year in nursing of smallpox cases in the camp hospitals, in enforcing quarantine in the affected districts, and vaccinating the Natives. As it is recognized that the work of these nurses in preventing the spread of infection, and by constant example and teaching, leading the Natives to live in a sanitary condition, is having a direct effect in reducing the need for hospital treatment, the Hospital Boards should feel it their duty to do more than some are at present doing to make the conditions of life comfortable for the nurses. Everywhere a nurse is stationed she should lie provided with comfortable quarters, other than a room in a hotel or boardinghouse, so that she can have some of the comforts of home, and also so that the Natives may freely come to see and consult her. She should also be provided with the means of getting about, and with means of communication. The Department provides a telephone, which is of great service. Plunket Nurses. Several new branches have been formed since the last report. There are now twenty-seven nurses at work, the new districts being Westport, Taihape, Hawera, Gisborne, Dannevirke, and Nelson. One nurse in a country district writes that great difficulty in keeping in touch with the mothers who have sought advice for the babies is the very busy lives they lead. In the dairyfarming districts, beside doing housework and looking after the children, they have to milk night and morning. Ihey are up at 4 a.m. and late to bed, working so hard that the milk-supply fails. The baby has to be weaned, for the mother must go to the niilking-sheds. and can nurse but irregularly. So it is put on patent foods, with abundance of fresh milk at hand. A printed form of report lias been issued by the Department, and from those so far received a great deal of diversity in the amount id' work in the various districts is apparent. The Department is of opinion that in these smaller country towns, where the time of these nurses is not fully occupied, the nurses might undertake a certain amount of district nursingwork; but this extension of the sphere of the Plunket nurses' duties is not in accordance with the ideas of the several committees of the Society for the Health of Women and Children, which is to be regretted. Tuberculosis Dispensary Nurse*. The work of tuberculosis nursing as a special branch has not so far been taken up by very mnny young women. At the North Canterbury Sanatorium a special course of training is being given, and trained nurses and others encouraged to take up the work of nursing consumptives as a speciality. For the Te Waikato Sanatorium it is hoped to have a permanent staff, and four nurses trained in tuberculosis nursing are being sent from Home. The probationers will be instructed in the theory and practice of tuberculosis nursing, and in time, if they remain long enough, will be promoted to charge positions. The dispensary established under the North Canterbury Hospital Board in Christchurch has now two nurses, the Sister in charge and an assistant, who manage the dispensary, visit the patients in their homes, advise them as to their living-conditions, and generally help them to attain favourable conditions. They also look out for incipient cases among the contacts with the patients they visit, and so bring them also under treatment. The patients are instructed how to prevent the spread of infection, and in cases when the patient leaves the house the Health authorities are informed so that proper disinfection can be carried out. This is a branch of work which in the future will probably appeal to many more nurses than at present, and will be on a par with other special nursing-work, such as midwifery and massage. Nein Zealand Army Nursing Reserve. Steps are l>eing taken to form a reserve of nurses attached to the Defence Department, and to l>e called upon for duty when required. The head of the nursing division of the Public Health Department has lieen appointed Matron-in-Chief. The four Matrons of the chief hospitals are to be Matrons of districts in Wellington. Auckland. Canterbury, Otago, and to enroll a number of Sisters and nurses. Regulations have been drawn up, and it is expected that shortly the corps will be complete. Massage. A Bill has been prepared for the registration of masseurs, which it is hoped to bring down during the session. The curriculum of training was drawn up by the Council of the University of Otago, in conjunction with the Inspector-General. The course is not to be a University one, with the exception of the necessary instruction in anatomy and physiology, in which for masseurs a more thorough knowledge is needed than for nursing in general. The practical work is to be carried out at the various larger hospitals and the Rotorua Sanatorium. An examination both theoretical and practical is to be arranged by the Department, and successful candidates registered on the same basis as nurses and midwives. Provision is made for registration of masseurs trained outside New Zealand, and also for those who have been in practice for some years before the Act comes into ferce. The first course has already started, and when the Bill becomes law there will be a number of trained masseurs and masseuses ready for regist ration.

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Private Hospitals. There have been 58 new private hospitals licensed during the year; 21 have changed hands. There are now 249 private hospitals, 51 for medical and surgical cases, 138 for maternity cases, and 60 for both classes. It is not considered desirable to issue licenses for medical, surgical, and maternity patients in one house. They cannot be sufficiently separate and apart from the risk to a lying-in woman of being in proximity to certain surgical eases. There is also for women expecting confinement a need of the privacy that cannot be obtained in a small hospital with no separate department. In country places, however, it is not expedient to restrict a private hospital to one class of case, as with the small fees charged in the country a nurse would not make a living. The practice of taking enteric cases under the heading of medical cases in a hospital not licensed for fever cases (there are none licensed for infectious cases) is not approved, though in view of the lack of accommodation at times in public hospitals in towns such as Gisborne, where for several years there has been each summer an epidemic of enteric, it has been allowed. With the erection of the new public hospital, with its fine wards, this will be no longer necessary. In the ordinary private hospital it is scarcely possible to take satisfactorily the necessary precautions against infection. Several times it has been necessary to take action against persons committing a breach of the Hospital Act in regard to private hospitals. Where no ill intention but ignorance has caused this only a warning has been given, and many persons have been so warned. Legal proceedings were taken against one woman who persistently carried on an unlicensed hospital. The licenses of two midwives were cancelled, they being suspected of carrying on illegal practices. The Midwives Act. During the last year were held two examinations of midwives, trained in the State Maternity Hospitals, the Medical School Maternity Hospital, the Linwood Refuge, the Alexandra Home, and the Townley Maternity Hospital. Sixty-two candidates came up for examination and 59 passed, and are now registered as midwives. There are no changes to report in this branch of nurse-training. So far none of the country hospitals with maternity winds attached have been able to turn out pupils, though every encouragement is given them to do so. While private tuition by medical practitioners and private midwives is not allowed as qualification for examination, the teaching of a trained midwife in a hospital with even a small number of midwifery beds, where she can make good use of the cases and personally instruct her pupils, is, in conjunction with lectures and practical teaching from a doctor, considered sufficient. It is hoped, now that many Hospital Boards have either erected maternity wards or are contemplating doing so. that ii may be possible to add considerably to the trained midwives each year. It must be clearly understood, however, that in a hospital with both general and midwifery cases the midwifery training must be either a post-graduate course of six months or a twelve-months course alone. It cannot be run concurrently with the general training, as is done in some English and American hospitals. The regulations under the Midwives Act have been amended. The 2s. renewal of license-to-practise fee, for non-payment of which no penalty was imposed, has been abandoned, and annual notification by practising midwives only has been made compulsory, with the penalty of removal from the register for neglect for two years in succession. The large number of midwives holding Government or hospital positions are absolved from the obligation, their occupation and whereabouts being known, while the object of notification is simply in order to keep in touch with the registered midwives. Thirty-two midwives from Home and from the Commonwealth have been registered. The number of trained midwives on the 31st March was 595. while 683 untrained still remain on the register in Class B, or those registered when the Act was passed. There has been one prosecution under the Act. Women have been warned for committing a breach of the Act. A woman untrained but registered when the Act was first passed was removed from the register for taking into her house and attending a case while under suspension by the District Health Officer after attending a»septic case. State Maternity Hospitals. St. Helens Hospital. Wellington. During the year 212 cases were confined, 204 children born alive and 4 still-births. There were 3 maternal deaths, 3 deaths of infants. The causes are given in the adjoined table. There were 113 outside cases, 49 for private doctors. No deaths of mothers, but one of those reported as inside was brought in after delivery to the isolation ward. The outside work of the hospitals has increased. There have been 6 fewer indoor cases and 25 more outdoor cases than last year. With regard to the former, the number greatly increased during the last half of the year. Many of the outdoor cases have engaged their own doctors and arranged to have a St. Helens Hospital nurse to carry on the nursing treatment, and find the great advantage of receiving this treatment for the ten days following confinement at a very small fee. The work of the Hospital lias gone on very satisfactorily under Dr. Bennett, Miss Inglis, and Miss Vida Maclean as Sub-Matron. The larger number of maternal deaths is accounted for in the report of the Medical Officer as 1 placenta praevia, 1 sepsis, 1 insanity. Fifteen pupils have been trained, and 15 are now in training. Note by Medical Officer. — The satisfactory statistics as regards albuminuria cases is undoubtedly largely due to increased accommodation, enabling patients to be taken into hospital for a few days during pregnancy. A mild epidemic of pemphigus gave a good deal of trouble

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during the year, coincident with several cases cf par. onychia among the nurses. Three pupils had to be sent away for a time —one of these had entered upon her training with the trouble.— Agnes L. Bennett, M.D. St. Helens Hospital. Dunedin. During the year from the Ist April, 1913, to the 31st March, 1914, 163 cases were confined, and 158 children were born alive. There were 6 still-births. There was I maternal death and 5 deaths of infants. In their own homes 59 patients were attended, and 59 children born alive. There were no maternal deaths and no infantile deaths. The Matron, Miss Holford, was on sick-leave for nine months, which she spent in England. Miss Gow, the Sub-Matron, managed the hospital excellently in her absence, with the assistance of Nurse Ingram. A Nurses' Home is very urgently required, the old cottage now occupied by some of the pupils being too small, inconvenient, and in bad need of repair. It is hoped to build quarters for the nursing staff during the year. Eleven pupils have been trained, and 9 are now in training. .Vote by Medical Officer. —Among the infants then- were 12 premature, varying from six months and a quarter to eight months; in addition there were 6 born at eight months and a half, these scarcely coming under the term " premature." Two of the premature ones were stillborn from ante-part urn haemorrhage, 4 died, 2 of them being born at six months and a quarter, and 2 at seven months. The other 6 premature children lived and throve. One child born at full term had congenital atresia of the intestines, was operated on at the general hospital on the fifth day, but died. Two of those still-born had died beforehand, no movement having been felt for three days. Labour was therefore induced by pituitrin. —Emily YV. Siedeberg, M.8., Ch.B. St. Helens Hospital, Auckland. During the year from the Ist April, 1913. to the 31st March, 1911, 176 eases were confined and 175 children were born alive. There were two still-births. There were no maternal deaths and no deaths of infants. In their own homes 211 patients were attended, and 241 children were born alive. There were no maternal or infantile deaths. There is no doubt the Hospital suffered for a time from the inquiry which terminated, with so little to justify its being held, early in 1913, the uncertainty and publicity preventing many women from booking to enter as they otherwise would have done. The old patients continued faithful to the Hospital, and either engaged nurses or entered as in-patients as usual. The matter of a new building has not far advanced. Many sites have been offered and inspected, but it has finally been decided to acquire, if possible at a reasonable price, the next section, on which is a small house now rented for the nursing staff. The present Hospital would be used as a Nurses' Home and administration offices, ami new wards would be erected. It is hoped to proceed with this during the year. Fourteen pupils have been trained, and 12 are noxv in training Dr. Inglis and Miss Ludwig continue in charge, with Miss Broadley as Sub-Matron. Note I)y Medical Officer. —This year has been a successful but uneventful one. The Matron and Sub-Matron have worked conscientiously and well. The number of in-patients was reduced during the early months, due probably to the attacks made on the Hospital- before the inquiry. Fourteen nurses were trained during the year, and of these two failed to qualify. Failures are mostly due to an insufficient primary education, and it would greatly help if a Fifth Standard certificate or proof's of a satisfactory education were required to qualify trainees for admission. Hyocin and morphia were used in Hi primipara, with good results; pituitary extract in 12 selected cases, also with good results. The want of proper equipment for sterilized water, the want of a sitting-room for convalescent patients and a larger nursery are great handicaps to good and satisfactory work. The staff are hoping that the new hospital will soon be commenced. The present site has proved very satisfactory, and if the adjacent allotment could be purchased ample room for building would be secured. 'Iliere have been several venereal cases treated during the year, and in a crowded and inconvenient building it is extremely difficult to treat them with/safety. —Tkacey Inglis, M.8., Ch.B. St. Helens Hospital. Christchurch. During the year from the Ist April, 1913, to the 31st March, 1911, 252 eases were confined and 243 children were born alive. There were 10 still-births. There was 1 maternal death and 3 deaths of infants. In their own homes 82 patients were attended and 80 children born alive. There were no maternal deaths and no infantile deaths. The work of the Hospital has proceeded as usual. The need of a new building is much felt, and at times the accommodation is overtaxed. The lack of proper means of isolation is also a source of anxiety. It has now been decided to proceed with the erection of the new building at the site purchased some time ago at Addington, and an additional piece of land has been acquired which will render it possible to improve the plan prepared before, and for which tenders were called. The plan is now in course of alteration in accordance with the larger area of the site. While a little farther out of town than the present place, the new site will be in the midst of a large number of working-people, and of easy access by tram and train from the people who have used the Hospital so far. Dr. Irving and Miss Cameron are still in charge, with Miss Newman as Sub-Matron. Eleven pupils have been trained, and 11 are now in training. Xote by Medical Officer. —An uneventful year. The only thing worthy of remark is the large number of patients admitted with albuminuria—over 18 per cent. Only 1 out of 45 cases caused any anxiety.— Wm. Irving, M.D. (Cantab.).

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Statistical Report of St. Helens Hospital from 1st April, 1913 to 31st March, 1914, by the Physicians and Lecturers at St. Helens Hospitals.

COMPLICATIONS.

11

No. Remarks. ! No. J Remarks. Total deliveries , Out ft. .. * Twins Presentations— L.O.A. R.O.A R.O.P L.O.I*. Breech .. Footling Transverse Face .. .. ; Brow CompoundHead and hand .. I nknown, outdoor Prolapse of cord.. Hydramnios .. : J°j|( Total, 1,298. gjjj Total, 1,311. 10 And 1 set triplets. 732 248 152 69 35 2 1 4 I 3 66 2 21 I Haemorrhage— Accidental Unavoidable Post partum Secondary Operation Induction Version Forceps Manual removal of placenta 4 6 24 2 6 2 93 2!) 2 marginal placenta prsevia ; 2 central adherent placenta ; albuminuria placenta prsevia ; Graves' disease; heart- disease ; phthisis; traumatic. An eighth month for contracted pelvis, at full time, ditto ; 2 for death of foetus for contracted pelvis; placenta praevia. k

Lacerated Perinseum. Primip. Miiltip. lustrum. First degree Second degree .. Third degree .. Other lacerations 62 82 1 12 55 1 27 7

Alb. pres. Alb. abs. No. on Dis- on Discharge, charge. Accompanying Complications. Albuminuria before labour.. I Kt 24 84 Causes —phthisis, acute gonorrhoea, chronic nephritis, ascites, chronic cardiac trouble, post-partum haemorrhage, placenta prrevia. With toxic symptoms ..12 I 5 The few cases of toxic symptoms are largely due to systematic examination of urine and treatment if necessary. One case, which showed acute toxaemia of pregnancy, was treated on and off for three months before confinement, which was normal, and recovery without complication. Another case had marked oedema and eyesight affected, but after one fit made good recovery. Sclampsia .. .. 2 1 emergency case admitted after labour ; 1 had four fits, and went home on fourteenth day ; urine free from albumen.

Central. Marg. with Hsem. Without Hsem. Placenta prsevia.. 2 4 No cases in Auckland ; 2 of the maternal deaths were due to [ilaoonta prsevia.

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MORBIDITY LIST.

MORTALITY.

INABILITY TO NURSE.

Othf.h Maternity Hospitals, Salvation Army Maternity Home, Wellington. Visited 13th May. The Home has been moved to a building in Kensington Street, which has been added to in accordance with the advice of the Department, and is now a very suitable place—spacious, bright, and well ventilated. 'I here is accommodation for 26 girls. There were 23 in at the time of my visit, and 11 babies. One mother still in bed in the hospital ward. The children, with the exception of one, all seemed very well. They were all outside on a balcony. The Home has been very well furnished with up-to-date labour and hospital lieds made in the Dominion; the walls papered with sanitary paper. The quarters for the officers, which were very uncomfortable in the old Home, are now all that can be desired. Salvation Army Home, Auckland. Visited 30th January, 1914. The new Home, the plans for which were submitted to the Department, is a very great improvement, and the work should be carried on in a much more satisfactory way than was possible before. There were 16 girls and 12 babies in. Everything was in excellent order.

it, 'ay o: 'ccurrences o: 'emperature.) Temp, for at least Two Consecuti/e Days. d I ■ s Causes. Days. 100 to 100-8 .. L8 4346 2 1 died of pelvic and lung tuberculosis ; 3 phthisis ; 3 sapreemia ; 1 syphilis ; 1 gonorrhoea. 2 4 1111 5 3 influenza ; 2 chronic cystitis ; several enlarged breasts; 2 offensive lochia ; I bronchitis ; 2 albuminuria. 1 3 I puerperal insanity (died). 3 3.. 1 I confined outside, admitted to isolation as septic. infection due to ill treatment by husband, died ; 1 acute gonorrhoea. (I.. 100-8 to 102 .. 12 1 1 102 to 103 .. Over 103 9 8 3 .. 1 .. 3 3

No. Remadts. Maternal Infantile Still-births, full term 5 12 12 1 advanced phthisis ; 2 placenta pravia : I sepsis : 1 puerperal insanity (had been insane before). 7 prematurity ; 1 congenital cardiac disease ; 1 stenosis of colon and rectum ; 1 exomphalos ; 1 haemorrhage from mouth and rectum ; I premature twins. 1 anencephalus ; 2 accidental haemorrhage : 1 pressure of cord over shoulder in large child. 3 triplets ; 2 twins ; 2 owing to ante-partum haemorrhage ; 1 placenta previa ; 1 macerated ; 2 probably syphilitic. Premature .. 13 Macerated II

No. Remarks. !ompletc 'artial 26 114 2 mental ; 2 inverted nipples ; one very stout with no breast tissue ; one acute rheumatism and debility ; 2 phthisis ; 15 albuminuria : several general debility and anaemia ; mastitis ; Graves' disease and oedema of the breast. 1 mental; 1 sepsis; others debilitated and anremia women with insufficient milk, requiring to be supplemented. It is noteworthy that a large number of these women were Dunedin patients. In Auckland, out of 176 patients, there were only 5 completely unable to nurse and 6 partially. In Christchurch, out of 252 cases, only 5 with complete inability and 36 partially. In Wellington 6 out of 212 with complete inability and 14 with; while in Dunedin 10 out of 163 patients could not nurse at all, and 58 were partially unable.

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Salvation Army Maternity Home, Vhristchurch. Visited Bth April. There were 22 girls in, and 10 babies. The place was, as usual, beautifully clean, but the dormitories overcrowded. The girls all looked well, and the babies well cared for and healthy. Salvation Army Maternity Home, Dunedin. Visited 3rd April, 1914. The new Home, now in occupation about eight months, is a great improvement on the old one. The Home stands in a large garden, and in a fine sunny position. There were 14 girls and 9 babies, and 2 older children; 2 girls in the maternity ward, with their babies. There is a tendency to put too many beds in the dormitories. St. Mary's, Otahuhu. Visited 29th January, 1914. There were 34 girls in; 14 of these in the Maternity Hospital. There were 22 babies in the Hospital and 26 children in the Children's Hospital, where a Karitane Children's nurse is now in charge under the superintendence of the trained nurse. Everything was in good order, and the children well and happy. Linwood Refuge, Christchurvh. (See institutions under North Canterbury Hospital Board.) Medical School Maternity Hospital. (See institutions under Otago Hospital and Charitable Aid Board.) Alexandra Home, Wellington. Visited 21st July. 1914. There were 17 girls in, and 10 babies. This institution has been made much more use of by married women than hitherto. There were 50 confinements during last year, of whom 20 were married women. There were also :!l) outdoor cases, this branch of the work being established of recent years. The place was in good order, but more accommodation for the lying-in patients is needed. H. Maclean, Assistant Inspector.

TE WAIKATO SANATORIUM. Medical Superintendent : Alfred Bernstein, M.8., 8.5., Bond. Consulting Medical Officer: E. E. Roberts, M.8., M.S. Matron : E. Nixon. localities, broadly, from which Patients came. Auckland, 51; Bay of Islands, 4; Becks, 1; Bull's, 1; Cambridge, 3; Eltham, 1; Fiji, 1; Gisborne, 7; Great Barrier, 1; Greymouth, 1; Hamilton, 6; Hawera, 3; Hunterville, 1; Hokitika, 1; Kaiwaka, 1; Matamata, 3; Morrinsville, 4; Masterton, 1; Marton, 2; Niue, 1; Napier, 6; Pukekohe, 2; Palmerston North, 6; Paeroa, 1; Rangiora, 1; Rotorua, 2; Timaru, 1; Thames, 3; Taumarunui. I; Wanganui, 9; Waipiro Bay, 4; Wellington, 8; Woodville, 1; Whangarei, 2: total. 141. In addition to the data supplied in the tables of the appendices the Medical Superintendent reports :— The site for the Sanatorium is eminently suited for the treatment of consumption. The buildings are all excellent, but badly in need of repair, and much painting is required, though some has been done in .the last three months. It is to be regretted that many cases are sent here at an advanced stage when there is no hope of arrest. These patients require more the comforts that can be obtained in a good town hospital if they are destitute, and if not they should be treated at home, for sooner or later they desire to go back to their friends, often when they reach such a stage that it is dangerous to let them travel. It is remarkable how fear of infection exists among the public, even so far as to be afraid of an institution in their neighbourhood. If the patient is too poor to have a separate room in his house, then it is quite cheap to provide him with a little wooden shelter in his garden or yard. He can easily be instructed in the disposal of his sputum by a district nurse, and the risk of infection to his family and the public is nil. and it seems cruel to deprive the poor dying consumptive of his relatives' company in his last days. Again, patients are often persuaded while in the early stages not to go to a. sanatorium. It seems also that some tire kept back till there is a positive report of tubercle bacilli in the sputum, and a false position of security is given to the patient if his sputum gives a negative report, and much valuable time is lost. I would strongly suggest that even suspected eases be sent to the sanatorium, wdiere they can be under observation till a definite diagnosis is made; and it would be greatly to the advantage of the country if pleurisy were generally regarded as tuberculosis, as it nearly always is. and these cases do remarkably well with sanatorium treatment. Many early cases also refuse to come to a sanatorium for fear of mixing with other cases. Patients cannot be sent to the sanatorium too early. I have also been struck with the indiscriminate use of tuberculin in the Dominion. There is no doubt that this is a dangerous remedy in the hands of those who have not had special training.

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The treatment 1 have adopted here is that which has been so successful in the past ten years at the Brompton Consumption Hospital and the Brompton Sanatorium —namely, that of graduated rest and exercise together with regular hours, regular meals, and healthy ventilated sleepingquarters. Ido not regard tuberculin as a specific, and use it only if indicated in certain selected cases which have been under observation for some time, and then only as an aid to the ordinary sanatorium treatment and not in place of it. The patients on graduated rest and exercise are much happier, and especially if put on useful work and they steadily see the improvement in themselves. The institution would be more satisfactory with a larger number of patients, for they are generally more content if there is a number on the same grade of exercise. The patients then appreciate the improvement in others, which greatly encourages them. With a larger number of patients the staff would not require to be increased, and the cost per head would be decreased accordingly. I have given the patients regular lectures, alter which they write excellent essays. I find that if they understand something of the nature of their illness they are more content to remain in the Sanatorium, especially as they generally feel quite well and often otherwise do not know why they are detained. Often the patient thinks he can treat himself, not appreciating the careful watch that is kept on him. Many (greatly to their harm) will thus leave before the disease is arrested. Patients are kept in bed so long as there are signs and symptoms of activity. If rest in bed alone does not reduce the activity, then absolute rest is tried —that is, the patient is treated much as a case of typhoid fever, in that he is kept in the recumbent posture and fed and washed and attended to absolutely, but is at the same time given a very liberal diet. I do not isolate the patient, as I find the\ do better if left in the ward with a few others and hear conversation around them. Gradually the patient is allowed to sit up, and later to get up, for an increasing number of hours daily, but not allowed to walk. Later he is put on gradually increasing walks at fixed times with definite times of rest between, the rest to be taken lying on his bed; then the patient is put on higher and higher grades of work, starting from light weeding and working up to the hardest navvy work, if possible, with rest-times. Daily records are kept of pulse. respiration, and quantity of sputum, &c, and the weight is regularly taken. The food is plain and wholesome, and chiefly meat, milk, eggs, butter, and vegetables, and is not given too frequently, and there is no attempt at overfeeding. A healthy appetite is encouraged. The intelligent patient who understands more or less what is being done looks forward to his weekly or fortnightly increase in grade of work. The patient's resistance to the disease is thus steadily raised. I was greatly surprised to find that the majority of patients had no hope of ever being fit for work, and many were surprised at their gradual and steady improvement and in their ability to work harder and harder. A patient is particularly instructed as to suspicious symptoms of a relapse, and is strongly recommended to seek immediate advice. A short return to the Sanatorium may then be invaluable. Quite a number of sanatorium cases have returned to work, but I legret very much that many of the best patients do not stay long enough. They feel so well and fit, and do not appreciate what another month or two of work under supervision means. As there are so many advanced cases sent here it would be much more convenient to treat these in centralized wards rather than in scattered shelters, and it is an advantage to keep them more or loss apart from sanatorium cases proper. I have used the main building for this purpose, but the accommodation is not sufficient for all. the rest being treated in the shelters. 1 have been struck with the large number of patients who have laryngeal affection. In the treatment of this I find absolute silence is of the greatest value. I have considered it important to allow no communication of any kind between the sexes, as I think it is detrimental to the patient's progress, and in such an institution as this intercourse is quickly abused. I have also considered it important that no distinction whatever should be made between paying and non-paying patients. All must receive the best treatment that can be given. The majority of patients have come from a few districts, showing an excellent co-operation and appreciation of the medical practitioners of those places. It is very desirable that properly trained sanatorium nurses only should be used, and not a staff consisting of muses who come for a few months and who do not stay long enough to learn the special work. A more or less permanent nursing staff is of prime importance. Our of the Uses of a sanatorium should be the training of nurses in this work, and these institutions should also serve the purpose of training medical students in their final year. The farm has greatly improved during the pas! year; much new laud has been opened and worked, but much more should be opened up in the immediate future. The fowls have also done well, showing a good result for the year. The garden has provided a good supply and variety of vegetables. An orchard is greatly needed. Finally. n will always be a great benefit to the institution that Dr. Roberts, who has been so long associated with the sanatorium, will remain as honorary physician. His assistance has been very great. Alfred Bernsthin. M.8., 8.5., Medical Superintendent.

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APPENDICES.

APPENDIX I.—PUBLIC HEALTH. General Statistics for the Year 1913. A. VITAL STATISTICS. GENERAL. For the following statistics relating to births, death-rates, infant mortality, and causes of death the Department is indebted to the Government Statistician. They relate to the year 1913. Births. The number of births registered during 1913 was 27,935, or 26-14 in every 1,000 persons living. The number is 427 more than that for the year 1912, an increase of 1-55 per cent., but the rate is lower by 0-34 per thousand. The births registered in the year numbered 19,846 in 1884, and, after falling to 17,876 n 1892, have risen to the number first stated above. The number of male children born during 1913 was 14,433, and of female children 13,502. The following table shows the number registered, the birth-rate calculated on the total populat on, and comparison with the average rate for 1882-86 taken as 100. Indications of a gradual increase are apparent, the improvement since 1899 being 4-06 per cent, on the rate per 1,000 in that year.

A. VITAL STATISTICS. GENERAL. For the following statistics relating to births, death-rates, infant mortality, and causes of death the Department is indebted to the Government Statistician. They relate to the year 1913. Births. The number of births registered during 1913 was 27,935, or 26-14 in every 1,000 persons living. The number is 427 more than that for the year 1912, an increase of 1-55 per cent., but the rate is lower by 0-34 per thousand. The births registered in the year numbered 19,846 in 1884, and, after falling to 17,876 n 1892, have risen to the number first stated above. The number of male children born during 1913 was 14,433, and of female children 13,502. The following table shows the number registered, the birth-rate calculated on the total populat on, and comparison with the average rate for 1882-86 taken as 100. Indications of a gradual increase are apparent, the improvement since 1899 being 4-06 per cent, on the rate per 1,000 in that year.

Births, Number and Rate.

The average number of children to a marriage may be ascertained by comparing the number of legitimate births for a series of years with the marriages, but commencing with the marriages in the year preceding that for which the first number of births is taken. Calculating in th's way the figures for the twenty-year period 1893-1912 show a decline from 4 37 to 2-98 as follows :— Proportion of Births Marriages. Legitimate to every Year. " Births. Marriage solemnized in the Preceding Year. 1892 ... ... ... ... 4,002 1893 ... ... ... ... 4,115 17,514 437 1894 ... ... ... ... 4,178 17,824 4-33 1895 ... ... ... ... 4,110 17,711 4-24 1896 ... ... ... ... 4,843 17,778 432 1897 ... ... ... ... 4,928 17,911 370 1898 ... ... ... ... 5,091 18,154 3-68 1899 ... ... ... ... 5,461 18,066 3-54 1900 ... ... ... ... 5,860 18,640 3-41 1901 ... ... ... ... 6,095 19,554 334 1902 ... ... ... ... 6,394 19,734 3-23 1903 ... . ... ... 6,748 20,835 326

Year. Total Number of Births registered. Birth-rate. I Population. ; ta £^oo. Year. Bir Total Number of Births registered. ?** V° 00 of , Population. Birth-rate. Compared with Rate in 1882-86 taken as 100. \ itllVIl »»-»j ■ \#vi 1882-86 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 19,410 19,135 18,902 18,457 18,278 18,273 17,876 18,187 18,528 18,546 18,612 18,737 18,955 18,835 - 35-40 100 32-09 91 31-22 88 30-07 85 29-44 83 29-01 82 27-83 79 27-50 78 27-28 77 26-78 76 26-33 74 25-96 73 25-74 73 . 25-12 71 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 19,546 25-60 20,491 26-34 20,655 25-89 21,829 26-61 22,766 26-94 23,682 27-22 24,252 27-08 25,094 27-30 25,940 27-45 26,524 27-29 25,984 26-17 26,354 25-97 27.508 2648 27.935 26-14 72 74 73 75 76 77 76 77 -.77 77 74 73 75 74

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Proportion of Births Marriaees Legitimate to every Year. 6 ' Births. Marriage solemnized in the Preceding Year. 1904 ... ... ... ... 6,983 21 ~737 3-22 1905 ... ... ... ... 7,200 . 22,600 3-24 1906 ... ... ... ... 7,592 23,120 321 1907 ... ... ... ... 8,192 23,937 3-15 1908 ... ... ... ... 8,339 24,835 3-03 1909 ... ... ... ... 8,094 25,301 303 1910 ... ... ... ... 8,236 24,822 307 1911 ... ... ... ... 8,825 25,276 3-07 1912 ... ... ... ... 9,149 26,331 298 1913 ... ... ... ... ... 26,754 2 81 New Zealand had in 1880 the highest birth-rate in Australasia (40-78) ; in 1900 the case was reversed : but in 1913 the New Zealand rate was higher than only that of Victoria. The movement over ten years is calculated as under :—

Birth-rates per 1,000 of Population.

Sexes of Children born. The figures show that during each year there has been a preponderance of births of male children. It would appear, however, that this excess of male births is not sufficient to compensate for the heavier mortality which occurs among that sex. Of the total population of New Zealand in 1871 there were 70-52 females to every 100 males, but at the census of 1911 the proportion of the females to 100 males had risen to 89-59.

Plural Births. There were 314 cases of twin births (628 children) and 1 case of triplets registered in 1913. The number of children born was 27,935 ; the number of mothers was 27,619 : thus, on an average, one mother in every 87 gave birth to twins, against 82 in 1912, 86 in 1911, 89 in 1910, and 99 in 1909

Country. 1904. 1906. 1906. 1907. 1908. 1909. 1910. 1911. 1912 1913. Queensland Slew South Wiiles Victoria South Australia Western Australia Tasmania Hew Zealand .. ... 26-99 25-76 ... 26-85 26-85 ... 24-74 24-96 ... 2529 24-36 ... 3067 3074 ... 28-92 28-50 ... 26-94 27-22 I > 26-15 ! 2679 26-79 27-21 I 27-34 { 26-99 25-41 25-59 25-07 24-37 24-86 2565 30-66 30-18 3008 28-94 28-63 i 29-95 27-08 27-30 27-45 27-29 27-40 25-01 25-74 28-87 28-91 27-29 27-33 27-65 2967 30-24 27-83 28-75 29-86 28-86 24-51 24-84 26 39 25-82 26-38 26-89 2865 2908 27-99 28-21 : 28-83 \ 29-36 29-25 28-57 ! 3053 I 30-03 2617 25-97 26 48 ' 2614

Number ol Births of Proportion of Births of Malee to every 100 Females. Year. Males. Females. 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 9,310 9,472 9,493 9,511 9,600 9,615 9,724 10,107 10,471 10,653 11,217 11,762 12,109 12,397 12,835 13,369 13,502 13,442 13,532 13,996 14,433 8,877 9,056 9,053 9,101 9,137 9,340 9,111 9,439 10,020 10,002 10,612 11,004 11,573 11,855 12,259 12,571 13,022 12,542 12,822 13,512 13,502 104-9 104-6 104-9 104-5 105-1 102-9 106-7 107-1 104-5 106-5 105-7 106-9 104-6 104-6 104-7 106-3 103-7 107-2 105-5 103-6 106-0

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The proportion of plural births per 1,000 of all births during the past five years was, — ('ases Cases Plural Births Year. All Births. of of per 1,000 of Twins. Triplets. all Births. 1909 .. .. .. 26,524 265 1 10-03 1910 .. .. 25,984 288 2 ITI6 1911 .. .. .. .. 26,354 300 2 11-46 1912 .. .. .. .. 27,508 329 3 12-07 1913 .. .. .. .. 27,935 314 1 IL2B Illegitimacy. The births of 1,181 children were illegitimate : thus 42 in every 1,000 children were born out of wedlock, against 43 in 1912, and 41 in 1911.

Proportion of Illegitimate Births in every 100 Births.

These figures show the proportion of illegitimate births to every KM) births for New Zealand to be Fairly steady during the period 1903-10 ; but the rates for 191 I and 1912 are below the average. Births and Birth-rates in the Four Chief Cities and their Suburbs. A little explanation is necessary in regard to the birth-rate of the four chief centres for 1913, as compared with previous years. Up to and including 1912 all births occurring in the four centres were treated as belonging to the centres. Owing chiefly to the fact that many women living in country districts go to the cities to enter public or private maternity homes, it was found that the birth-rates for the centres were usually well above the rate for the whole Dominion. For 1913 information as to the domicile of parents was obtained, and the births allocated accordingly, the result being that many births which in former years would have been included in the municipalized areas were excluded, the rates being reduced accordingly. No proper comparison is therefore possible as between 1913 and previous years, the apparent decrease in 1913 being due not to any falling-off in numbers, but to the alteration in system. The total number of births registered as belonging to the four chief centres and their suburban boroughs in 1913 was 7,341, as against 8,081 occurring in the municipalized areas for the previous year. The birth-rates for last year were, — Birth-rates per 1,000 of , Mean Population. Auckland City .. .. .. .. .. .. 23-23 ~ and eight suburban boroughs .. .. 25-93 Wellington City .. .. 24-88 ~ and four suburban boroughs . . .. 24-67 Christchurch City .. .. .. .. .. .. 23-56 ~ and four suburban boroughs . . .. 24-31 Dunedin City .. .. .. .. .. 21-61 „ and five suburban boroughs . . .. .. 22-53 By the inclusion of the suburbs the rate is lowered in the case of Wellington, but raised for I he other three centres. Excluding the suburbs, it will be observed that Wellington has the highest late. Christchurch next highest. Auckland and Dunedin following. The birth-rate for the Dominion last year was 26-14 per thousand, so that each of the four centres is below t he average, The rates for five years 1909 to 1913 are given below. As stated above, however, no proper comparison can be made between 1913 and previous years. , Births per 1,000 of Population. , 1909. 1910. 1911. 1912. 1913. Auckland (without suburbs) ... 2973 2775 3003 29-66 25-93 Wellington „ ... 26-62 2413 26-67 27-49 2467 Christchurch „ ... 2855 27-10 28-45 28-29 24-31 Dunedin „ ... 28-34 2722 29-45 2713 2253

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Year. Queensland. New South Wales. Victoria. South Australia. Western Australia. Tasmania. New Zealand. 1903 L904 1905 1906 1907 1908 1909 1910 1911 1912 6-79 6-90 6-97 7-68 7-68 7-54 705 6-39 6-22 6-14 6-71 7-12 7-37 7 04 6-9 6-80 6-44 6-28 614 5-64 5-73 5-74 5-61 5-58 5-62 5-76 5-92 5-59 5-96 5-72 416 4-02 4-35 4-00 4-09 4-47 4-22 4-38 4-21 4-71 4-70 436 4-19 4-78 3-86 4-35 395 4-13 4-47 4-39 5-61 5-82 5-52 5-78 5-78 5-24 5-45 5-33 5-33 4-78 4-55 4-52 4-57 4-67 4-61 4'26 4-61 4-47 409 4-28 I !

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Marriages. The marriages for 1913 show a decrease on the number for the previous year. The number was 8,813, or 336 less than in 1912. The rate per 1,000 of the population was 8-25, as against 8-81 in 1912. It is shown by the table following that there has been considerable increase n the marriage-rate, which has been above the standard during each of the last eighteen years :—

Marriages, Number and Rate.

The marriage-rate, measured by the total population, does not show the true position when, as in the case of New Zealand, the age-constitution of the people fluctuates considerably. A more satisfactory standard is found in the number of persons of marriageable age, defined as meaning the unmarried and widowed of males aged 20 years and upwards and of females aged 15 years and upwards. The rates are given for six census years : —

The total number of marriages solemnized does not include marriages where both parties are of the aboriginal Native race, such persons being exempted from the necessity of complying with the provisions of the Marriage Act. although at liberty to take advantage thereof. Thirty-four marriages in which both parties were Maoris were contracted in 1913 in terms of the Act. Ages of Persons Married. Of the persons married in 1918, 159 bridegrooms and 1,394 brides were under 21 years of age Of the bridegrooms, two were between 1(1 and 17. and one between 17 and 18, and eleven bet w 18 and 19. Of the brides, seven were between 15 and 16, and forty between 16 and 17 years of age. The proportion of men married is greatest at the ages of 25 to 30. and of women at from 21 to -25 years. Deaths. The deaths in 1913 numbered 10.119. a rate of 9-47 in every 1.000 persons living, as against 8-87 m 1912.

Marriage-rate. Marriage-rate. Year. Total Number of Marriages . Compared registered. rwi.uuu w ithRatein D , .. 1882-80 Population. tekcnas|00 Year. Total Number of Marriages registered. Perl. ('"Wpar,.,! with Rate in Population. JSZXn 1882-86 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 3.663 6-68 100 3,563 5-97 89 3,617 5-97 89 3.032 5*93 89 3,797 6-12 92 3.805 6-04 i>0 4,002 6-23 93 4,115 6-22 93 4,178 6-15 92 4,110 5-94 89 4,843 6-85 103 4,928 6-83 102 5,091 6-91 103 5,461 7-28 109 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 5,860 6,095 6.934 6,748 (5.983 7.200 7,592 8,192 8,339 8,094 8,236 8,825 9.149 8.8I-". 7-67 115 7-83 117 8-01 120 8-23 123 8-26 121 8-28 124 8-48 127 8-91 133 8-82 132 8-33 125 8-30 124 8-70 130 8-81 132 8-25 124

Year of Census, Proportion of Unmarried per 1 ,000 of Total. Mali's. Females. Proportion of Marriages per 1.000 of the Marriageable Marriageable Marriageable Total Men. Women. Persons. Population. :886 [891 896 1901 .906 911 •2350 238-2 258-8 275-5 291-3 286-5. 238-2 47-32 268-5 47-78 308-9 5014 331-8 5411 328-2 54-36 314-9 57-60 54-56 47-97 47-00 49-78 54-93 58-38 25-36 23-94 24-26 25-93 27-72 28-99 5-99 6-04 6-85 7-83 8-48 8-70

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The following table shows the number of deaths, and the death-rate per 1,000 of the living population ; also a comparison with the average rate for 1882-86 :—

The death-rates of males and females for the last ten years an- shown separately in the next table, and also the number of male deaths to every 100 female deaths :—

Males of tender years are more delicate than females, and, later in life, males are the more liable to accident. These disadvantages are partly compensated by the preponderance of male births, but were it not for the fact that excess of immigration over emigration gives the country many more males than females the tendency would be for the female population to exceed the male. For the purpose of considering the mortality in New Zealand more closely than can be done by means of crude death-rates, it is desirable to ascertain the rates at different age-periods of the population.

Death-rates per 1,000 living at Various Age-periods.

Death h-rate. Death-rate. Bar. Total Number of Deaths. For 1,000 of Population. Compared fear. with Rate in 1882-8<i taken us loo. Total Number of p . Compared Deaths. *W J ,WU u . it . h Rate i D , .. 1882-80 Population. taken a8 1(K> 882-86 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 5,944* 6.137 5,708 5,772 5,994 6,518 6.459 6.767 6,918 6,863 6,432 6,595 7,244 7.680 10-84 10-29 9-43 9-44 9-66 10-35 10-06 10-23 10-19 9-91 9-10 ii-ll 9-84 10-24 100 1900 1901 95 ' 1902 87 1903 87 1904 89 1905 95 1906 93 1907 94 1908 94 1909 91 1910 84 1911 84 1912 91 1913 94 7,200 9-43 87 7,634 9-81 90 8,375 10-50 97 8,528 10-40 96 8,087 9-57 88 8,061 9-27 86 8,339 9-31 86 10,066 10-95 101 9,043 9-57 88 8,959 9-22 85 9,639 9-7] 89 9,534 9-39 87 9.214 8-87 82 10,119 9-47 87 * Average for live yews.

Year. Deaths per 1,000 of the Total Population. Males. Females. Total. Deaths of .Male to every 100 Females. 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 • ■ • ■ 10-64 8-37 9-57 10-18 8-24 9-27 1040 808 9-31 11-81 9-98 10-95 10-62 8-38 9-57 10-18 814 9-22 10-67 8-63 9-71 10-46 8-21 9-39 9-83 7-79 8-87 10-46 8-38 9-47 143 139 145 133 143 141 139 142 140 138

Ages in Wars. tooHT 1909 - ''•""■ ""'• IB12. i9ia ! inl91:! , I compared Decrease per Cent. in 1913 compared with 1904-8. with 1!R)4-N. Under 5 5 and under 10 10 „ 15 15 „ 20 20 „ 25 25 „ 35 35 „ 45 45 „ 55 55 „ 65 65 „ 75 75 and upwards All ages 20-95 18-77 1948 16-67 1-83 1-96 1-85 1-89 1-71 1-35 1-21 1-48 2-56 2-23 2-06 2-19 3-55 ' 3-08 2-82 2-95 4-24 4-43 4-54 4-09 5-77 6-71 6-06 5-64 10-04 9-73 9-54 ' 9-82 2011 17-97 19-53 19-54 45-01 42-62 45-60 47-76 122-00 125-91 ' 162-03 126-53 9-73 9-22 9-71 9-39 14-3!» 1-62 1-33 211 2-77 3-48 5-76 9-13 18-96 46-09 130-02 8-87 1671 20-10 148 : 19-13 1-38 J 19-30 2-18 j 14-84 2-83 20-28 3-92 7-65 6-27 +8-67 10-25 + 2-09 19-82 ; 1-59 4439 1-38 136-00 +11-48 9-47 2-67

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Besides advantages of climate, New Zealand possesses a population younger in age-constitution than that of most other countries—conditions favourable to a low rate of mortality. Another table is given comparing death-rates at twelve age-periods for 1909 with those of England and Wales. Here the extremely low rate of mortality among children under five years of age is remarkable, and the difference at some of the groups at the more advanced ages is considerable. The New Zealand rate for males is higher than that for females at all groups excepting 15-20, 20-25, and 25-30 ; while for England and Wales the female rate is greater than that for males at 10-15 years, and is lower in every other instance.

Death-rate per 1,000 Persons living, according to Sex, for the Year 1911, compared with England and Wales.

Index of Mortality in New Zealand for 1913.

A similar calculation for the States of the Australian Commonwealth has been made for 1912. The results, when compared with the actual rates, exhibit to what degree the age-constitution of the population affects the death-rate. The figures for New Zealand are also given. Year 1912. Index. Actual. New South Wales ... ... ... ... ... 13-63 10-86 Victoria ... ... ... ... ... ... 14-94 12-23 Queensland... ... ... ... ... ... 1391 1096 South Australia ... ... ... ... ... 12-76 10-28 Western Australia ... ... ... ... ... 14-55 11-06 Tasmania ... ... ... ... ... ... 1369 1073 New Zealand ... ... ... ... ... 11-27 8-87

Comparative Death-rate for the Period 1904 to 1913.

per 'ersons living. Ages. New Y New Zealand. Zeali land. England and Wale;:. England 1 and .1 Wales. Males. Males. Fomales. Fomales. Males. Females. Males. Females. Under 5 years 5 years and under 10 years 10 „ 15 „ 15 „ 20 „ 20 „ 25 „ 25 „ 30 „ 30 .. 35 „ 35 „ tO „ 10 „ 45 .. 45 „ 50 „ 50 „ 55 „ 55 „ 60 „ 60 „ 65 „ 65 „ 70 „ 70 „ 75 „ 75 „ 80 „ 80 „ 85 „ 85 and upwards All ages i 1830 2-04 1-75 2-05 273 3-29 4-52 5-62 7-3,5 8-90 1371 17-01 2639 46-19 62-86 99-01 162-40 282-01 10-46 14-89 1-73 119 2.32 3-18 4.40 421 4-63 5-27 7-28 9-76 14-94 21-51 31-99 52-49 90-58 137-50 226-19 8-21 47-32 3-46 2-04 304 3-85 4-46 553 7-11 9-27 12-49 17-41 24-56 36-07 52-09 80-90 119-64 171-99 270-69 1558 40-14 337 2-07 2-72 3-21 3-73 456 5-90 7-41 9-86 13-24 19-09 27-73 39-47 66-72 99 53 151-58 23268 13-67

Ages. i . Estimated Mean Population. Number of Deaths. Death Percentage of Index of . " Population Mortality in _., i nnn of Sweden, 1890 New'Zealand per l.uou. ( Standard) . per ]0 00. Under 1 year 1 and under 20 years ... 20 and under 40 years 40 and under 60 years 60 years and upwards ... 25,82? ... 402,634 ... 385,234 ... I 179,885 75,064 1,653 971 1,550 1,821 4,124 64 00 2-41 4-02 10-12 54-94 2-55 39-80 26-96 19-23 11-46 1-63 0-96 1-08 1-95 6-30 Totals ... 1,068,644 10,119 10,119 9-47 10000 11-92

Country. 1904. 19(15. 1906. 1907. 1908. 1909. 1910. 1911. ! 1912. 1913. New Zealand ... Queensland New South Wales Victoria South Australia* Western Australia Tasmania I 1 9-57 ... 1006 ... 10-67 ... 11-97 ... 10-46 ... 1204 ... 10-79 9-27 9-31 10-95 9-57 9-22 10-40 9-50 10-31 10-26 9-70 1018 9-95 10-63 1020 9-89 12-17 12-55 11-86 12-71 11-45 1045 10-71 10-30 10-26 9-82 10-98 1212 11-47 11-17 1027 1000 10-91 1081; 1136 9 68j 971 9-39 887 9-71 10-65 10-96 9-89 10-37 10-86 11-49 11-45 12-23 1021 9-82 10-28 10-11 1019 11-06 11-10 10-13J 10-73 9-47 10-39 10-89 11-11 10-82 9-34 10-87 * Excluding the Northern Territory.

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Comparative Death-rate for the Period 1904 to 1912 —continued.

Considering the range of this statement New Zealand is conspicuous as showing the lowest deathrate. JThe rates for the principal Australian States are a little higher, but, generally speaking, far below those for the United Kingdom or the European Continental States mentioned in the table.

Ages at Death. The deaths occurring during 1913 are tabulated below in single years up to five years, and from thence in groups, showing males and females separately :—

Country. 1904. I9<)f». L0O6. 1907. 1908. 1909. 1910. 1911. 1912. England and Wales Scotland Ireland 16-8 15-8 170 16-2 18-0 17-1 13-9 14-9 14-3 14-8 15-3 15-6 23-8 j 25-1 24-8 278 17-5 17-6 19-5 19-8 15-9 I 15-8 169 165 19-4 196 211 21-9 25-7 25-8 15-5 16-4 16-9 13-5 13-6 14-4 22-6 24-8 16-6 18-2 14-8 164 19-9 20-8 26'1 151 14-8 14-6 13-5 14 6 133 16-6 16(5 15-9 15-3 151 15-3 17-6 17-6 , 171 17-1 16-5 16-5 14-1 14-6 133 12-9 134 130 14-2 14-3 13-4 135 13-2 134 14-6 14-9 13-7 140 138 14-2 22-7 22-4 230 21-2 21-9 20-5 25-2 24-8 25-1 23-5 24-9 23-3 16-4 16-2 161 151 15-8 18-0 180 17-1 16-2 173 14-6 15'0 13-7 13-6 145 12-3 15-8 16-5 158 15-2 16-4 20-2 18-9 19-1 178 196 17'6 20'8 22-6 21-4 19-6 21-4 18-2 24-5 23/K 24-0 ' 23-3 23-7 21-8 Denmark Norway Sweden Austria lungary ... «... Switzerland ... ierman Empire Netherlands 3elgium France Italy Spain

Ages. Males. Females. Total. Under 1 month 1 month and under 3 months . . 3 months „ 6 „ 6 „ „ 12 „ 487 153 151 151 • i< 343 130 87 151 830 283 238 302 Total under 1 year 1 year and under 2 years 2 years „ 3 „ 8 „ . „ 4 „ 1 „ „ 5 , 942 116 57 41 28 711 107 47 24 26 1,653 223 104 65 54 Total under 5 years 5 years and under 10 years 10 „ 15 „ 15 „ 20 „ 20 „ 25 „ 25 „ 30 30 „ 35- „ 35 „ 40 „ 40 „ 45 „ 45 „ 50 „ 50 „ 55 „ 55 „ 60 „ 60 „ 65 „ 65 „ 70 „ 70 „ 75 „ 75 „ 80 „ 80 „ 85 „ 85 „ 90 „ 90 „ 95 „ 95 „ 100 „ .00 years 03 „ 10 „ 1,184 98 64 106 136 L89 241 264 218 246 271 314 364 430 534 599 386 153 57 5 1 1 1 915 88 70 99 152 173 20] 189 202 188 181 201 214 295 354 305 266 114 31 13 1 2,099 186 134 205 288 362 447 453 420 434 452 515 578 725 888 904 652 267 88 18 1 2 1 Totals 5,867 4.252 ] 10,119 5,867 4,252 10,111)

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The average age at death of persons of either sex, in each of the ten years 1904- 13, was as follows :— Males. Females. Males. Females. 1904 ... 41-47 years 38-44 years. 1909 ... 42-76 years 38 78 years. 1905 ... 43-03 „ 39-13 „ '■ 1910 ... 44-47" „ 4225" „ 1906 ... 44-39 „ 39-35 „ 1911 ... 4617 „ 42-37 „ 1907 ... 4043 „ 36-66 „ 1912 ... 4719 „ 44-91 „ 1908 ... 42-50 „ 39-14 „ 1913 ... 46-26 „ 4304 „ Deaths and Death-rates in the Four Chief Cities awl their Suburbs. The total number of deaths registered for the four centres in 1913 was 3,062 —viz., 2,364 in the cities, and 698 in the suburbs. By including the suburbs the death-rate for last year is lowered at all of the four centres. The rates for the year are, — Death-rates per 1,000 of Mean Population. Auckland City ... ... ... ... ... 11-49 „ and seven suburban boroughs ... ... 10-61 Wellington City ... ... ... ... ... 9-30 „ and three suburban boroughs ... ... 9*oB Christchurch City ... ... ... ... ... 10-40 „ and three suburban boroughs ... ... 10-15 Dunedin City ... ... ... ... ... 1198 and five suburban boroughs ... ... 1103 The death-rates for the cities, including suburban boroughs, for five years are as below :— , Deaths per 1,000 of Population. . 1909. 11)10. 1911. 1912. 1913. Auckland (including suburbs) 930 9-73 1093 9-73 10-61 Wellington „ 9-11 8-95 10-08 9-13 9-08 Christchurch „ 933 1041 1036 1034 1015 Dunedin „ 995 10-24 10-43 10-43 1103 If the number of deaths of infants under one year be excluded, the mortality among the rest ol the population is found to have been for 1912 and 1913 in the following ratio to the 1,000 living :— 1912. 1913. Auckland (including suburbs) ... ... ... ... 8-04 8-74 Wellington „ ... ... ... ... 7-44 7-79 Christchurch „ ... ... ... ... 8-65 8-82 Dunedin „ ... ... ... ... 9-40 8-59 Infantile Mortality. Subjoined is a classified statement of the deaths of infants under one year during I 913. with the ratio of the deaths in each class to the 1,000 births during the year : —

Sixty-five out of every thousand of male children born, and fifty-three of every thousand females. are found to have died before attaining the age of one year. The mortality was thus one in fifteen of male children and one in nineteen of females in New Zealand. It will also be seen from the figures that the chances of living during the first year of age are greater for female than for male infants. Thus during the year 1913 there were, — 11 HI deaths of males to 70 deaths of females under 1 month of age ; 100 ~ 85 ~ from 1 to 3 months of age : 100 ~ 58 ~ from 3 to 6 months of age ; 100 „ 100 „ from 6 to 12 months of age : 100 ~ 75 „ under 12 months of age. Dealing with the result for ten years, the deaths of infants under one year are in the large proportion of three-fourths of the total deaths under five ; as might be expected, the first year being the tenderest period. (See notes to tables.)

So; Sex. x. Under 1 1 tut 4-u under d Month - Months. Under 1 Month. 3 and under G Months. 6 and under 12 Months. Total under 12 Months. i I Number of Deaths. dale female 187 153 343 130 151 87 151 151 942 711 Deaths to the 1,000 Births. dale 33-74 10-60 25-40 9-63 1046 6-45 10-46 11-18 I 65-26 52-66

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Deaths of Infants under One Year, and Proportion to Births.

Rate of Infantile Mortality.

The principal causes of mortality in children under one year for New Zealand are given, with the numbers of deaths for five years from such causes. Premature birth stands first in order of importance, congenital debility next, followed by diarrhoea and enteritis. Here it is seen how much mortality is attributed to these causes according to the medical certificates.

Year. Deaths of Infants under 1 Year of Age. 1 Month 3 Months 6 Months Total m iu anl * un^er an d under and under under 1 Month. 3 Months J 6 Months. 12 Months. 12 Months. Total Births Proportion registered of Deaths of in each Year, Infants and Mean of under 1 \ ear 10 Years. *° '**7 1,000 Births 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 669 714 717 763 810 794 786 751 827 830 260 285 247 446 242 285 298 217 188 283 356 290 244 500 347 258 333 234 192 238 331 310 298 519 362 297 343 282 202 302 1,616 1,599 1,506 2,228 1,761 1,634 1,760 1,484 J, 409 1,653 22,766 70-98 23,682 67-52 24,252 62-10 25,094 88-79 25,940 67-89 26,524 61-60 25,984 67-73 26,354 56-31 27,508 51-22 27,935 59- J 7 Means of ten years ... 766 275 299 325 1,665 25,604 6503 Note.—The total number of deaths of infants under 1 year for the period includ id in the table is 16,650.

Bate of [nfantile RirH . couutry or City. Year. Mortality ,'ir' Country ov City. perl,00O| lfttp ' Births. New Zealand . . . . 1013 59 26-1 Norway Auckland .. .. ,, 81 25-9 Christiank Wellington .. .. „ 60 24-7 Sweden Christchurch .. . . ,. 63 24-3 Stockholm . . Dunedin .. .. 73 22-5 Finland Australian Commonwealth 1912 72 28-7 Russia (European) Sydney .. .. 1913 79 28-9 St. Petersburg Melbourne .. .. „ 76 27-2 Moscow Adelaide .. .. ,, 78 31 "9 German Empire Brisbane .. . . „ 79 344 Berlin Perth .. .. „ 84 .. Hamburg Hobart .. . . ,. 81 341 Dresden United Kingdom .. 1910 105 25-0 Breslau England and Wales .. 1911 130 24-4 Munich London .. .. 1912 91 24-5 Switzerland Scotland .. .. 1910 108 26-2 Spain.. Edinburgh .. *.. 1912 113 20-9 Italy .. Glasgow .. ,- . . „ 124 28-1 Milan Ireland .. .. 1911 94 23-2 || Austria Dublin .. .. 1912 140 27-4 Vienna Belfast .. .. .. 129 27-8 Prague France .. .. 1910 111 19-6 Trieste Paris .. .. 1912 103 10-8 Hungary Belgium .. .. 1910 134 23-7 Budapest The Netherlands .. 1911 137 27-8 Servia .. The Hague .. .. 1912 66 23-6 Bulgaria Amsterdam .. .... 64 23-3 Ceylon Rotterdam . . . . ,, 7!> 29-0 Japan Denmark .. .. 1911 106 26-8 Ontario (Canada) Copenhagen .. .. 1912 108 24-9 Jamaica Chile .. Rate of Infantile „■ „ Year. Mortality Blrt '' pur 1.000 rate ' Births. .. 1910 67 26-1 .. 1912 107 22-7 .. 1910 75 24-7 .. 1912 82 210 .. 1911 114 29-1 .. 1904 232 48-5 .. 1912 249 26-5 333 28'9 .. 1911 192 28-6 . . 1912 142 20-4 130 21-8 „ 116 20-2 .. 163 26-3 111 21-9 ... 1910 105 25-0 .. I , JOT 158 33-6 .. 1910 142 33-3 .. 1912 102 23-4 .. 1911 207 31-4 .. 1912 ! 149 19-1 .. ! 139 19-9 184 29-7 ... 1911 207 35-0 .. 1912 141 25-3 . . 1910 j 138 38-5 .. 1908 j 170 40-4 .. 1911 ! 218 37-9 . . 1909 166 34-2 .. 1911 117 21-7 187 39-0 332 38-5

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Causes of Deaths of Children under One Year, 1909-13.

Causes of Death. A comparison of the causes of deaths in 1912 and 1913 arranged according to an abridged classification, the percentage of each group to the total deaths, and the proportion per 10.(KM) persons living is given in the following table : —

Number of Deaths from each Cause. Percentage of Total. Causes. 1909. 1910. 1911. 1912. 1913. 1909. 1910. 1911. 1012. 1-71 5-74 0-81 0-43 6-55 4-54 6-00 3-62 10-28 8-92 10-85 8-94 15-24 19-49 16-44 12-63 3-49 3-30 343 830 21-24 23-12 22-71 28-25 15-67 15-97 17-72 18-03 29-31 22-22 25-47 19-80 1913. IVhooping-cough Convulsions Bronchitis and pneumonia Diarrhoea and enteritis. . Malformations Premature birth Congenital debility Dther causes 28 101 107 80 168 157 249 343 57 58 347 407 256 281 479 391 12 89 161 244 51 337 263 378 6 87 51 71 126 157 178 214 117 8fl 398 418 254 296 279 321 5-26 4-29 9-50 12-95 538 25-211 17-91 19-42 Totals 1,634 1,760 1.484 1,409 1,653 100-00 10000 100-00 100-00 100-00

m v, t r> n. Proportion to Total Proport Number of Deaths. Doaths w^0 ion per living. Class. 1912. 1913. 1912. 191.!. 1912. 1913 Total. Total. PerCent. Per Cent. I. General diseases .. .. .. 2,202 2,511 23-90 24-81 21-19 II. Diseases of the nervous system and of the 937 1,008 10-17 9-96 9-02 organs of special sense III. Diseases of the circulatory system .. 1,580 1,557 17-15 15-39 15-21 IV. Diseases of the respiratory system .. 844 949 9-16 9-38 8-13 V. Diseases of the digestive system .. 718 836 7-79 S26 6-91 VI. Diseases of the genito-urinary system and 422 465 4-58 4-60 4-06 adnexa VII. Puerperal condition .< .. .. 100 100 1-09 0-99 0-96 VIII. Diseases of the skin and of the cellular 42 40 0-46 0-39 0-41 tissue IX. Diseases of the organs of locomotion .. 28 25 0-30 0-25 0-27 X. Malformations .. .. .. 130 97 1-41 0-96 1-25 XI. Infancy .. .. .. .. 740 797 8-03 7-88 ' 7-12 XII. Old Age .. .. .. .. 706 809 7-66 7-99 6-79 XIII. Violence .. .. .. .. 638 787 6-92 7-78 6-14 XIV. Ill-defined causes .. - .. .. 127 138 1-38 1-36 1-22 23-50 9-43 14-57 8-88 7-82 4-35 0-94 0-37 0-23 (J-91 7-46 7-57 7-37 1-29 Totals .. .. .. 9,214 I 10,119 100-00 100-00 88-68 9,214 10,119 100-00 100-00 88-68 94-69

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The next table shows the number of deaths from each principal cause for the five years 1909-13, and the proportion per 10,000 of the population.

TYPHOID FEVER. Deaths from this cause numbered 60 in 1913, against 46 in 1912. The rate remained steady during the quinquennium, except for a drop in 1912. MEASLES. Very few deaths occur from this cause. In 1913 the number was 26, as against 15 in 1912. In 1910 only 1 death was attributed to measles. SCARLET FEVER. The rate fell during the first four years of the quinquennium, but rose slightly last year. WHOOPING-COUGH. 128 deaths were recorded in 1913, as against only 10 in 1912. The average for the last five years was 69.

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Cauee. Number of •eaths. Proportion of 10,000 of J lean Population. 1913. .1909. 1910. 1911. 1912. 1913. I!)0!>. 1910. 1911. 1912. Typhoid Measles Scarlet fever Whooping-cough Diphtheria Influenza Phthisis Other forms of tuberculosis Cancer Diabetes Exophthalmic goitre Anaemia, chlorosis Simple meningitis Apoplexy Cerebral haemorrhage Epilepsy.. Convulsions of children under five years of age Organic heart-disease Arterio -sclerosis Embolism, thrombosis Bronchi! is Broncho-pneumonia Pneumonia Gastritis. . Diarrhoea and enteritis Appendicitis and typhlitis .. Intestinal obstruction Cirrhosis of liver Simple peritonitis. . Acute nephritis Bright's disease Ursemia Cystitis Diseases and accidents of puerperal condition Congenital debility Premature birth Senility Violence—(1) Suicide „ (2) Accident, &c. Other causes .. , 55 26 26 41 64 47 588 212 711 104 24 53 131 145 161 44 131 62 67 1 41 13 9 148 17 75 62 141 63 550 536 181 202 742 809 123 120 22 26 76 56 142 138 172 141 200 207 66 54 107 I (lit 46 15 7 10 46 65 524 192 812 147 40 53 136 168 221 69 57 60 0-57 0-62 0-66 26 0-27 0-01 0-41 11 0-27 0-13 0-09 128 0-42 1-49 0-17 61 066 0-76 0-61 56 0-48 1-42 0-62 578 6-05 5-54 5-28 234 2-18 1-82 1-99 856 7-32 7-47 7-97 150 ; 1-07 1-24 1-27 19 0-25 0-22 0-26 64 0-55 0-77 0-55 127 1-35 1-43 1-36 I 173 1-49 1-73 1-39 239 1-66 2-02 2-04 54 0-45 0-67 0-53 93 1-35 1-08 1-08 0-44 0-56 0-14 0-24 0-07 0-10 0-10 1-20 0-44 057 0-63 0-52 5-04 5-41 1-85 , 2-19 7-82 8-01 1-41 ; 1-40 0-39 ' 0-18 0-51 ! 0-60 1-31 Mil 1-62 : 1-62 2-13 2-24 0-66 j 0-51 0-55 i 0-87 1,170 27 45 206 134 293 65 351 66 45 47 54 52 190 30 29 135 1,154 1,205 44 54 67 56 297 295 135 158 300 349 53 53 500 404 98 103 58 63 38 44 66 i 62 50 68 195 193 26 32 38 50 117 114 1,271 74 80 238 114 297 48 271 72 55 48 65 35 195 40 40 100 1,227 12-04 11-62 11-87 89 0-28 0-44 0-53 63 0-46 0-68 0-55 281 2-12 2-99 2-91 154 [ 1-38 1-36 1-51 336 3-01 3-02 3-44 29 0-67 0-53 0-52 344 3-61 5-04 3-98 91 0-68 0-99 1-02 63 0-46 0-58 0-62 47 0-48 0-38 0-43 61 0-56 0-67 0-61 16 0-53 0-50 0-67 230 1-95 1-97 1-90 71 0-31 0-26 0-32 31 0-30 0-38 0-49 100 1-39 1-18 1-12 1223 11-48 0-71 0-83 0-77 0-59 2-29 2-63 1-10 1-44 2-86 3-15 0-46 0-27 2-61 3-22 0-69 0-85 0-53 0-59 0-46 0-44 0-62 0-57 0 34 0-15 1-88 2-15 0-38 0-66 0-38 0-29 0-96 0-94 264 347 556 118 660 1,576 283 268 407 337 660 661 100 12! 567 590 1,640 1,652 256 398 706 124 514 1.611 301 2-72 2-85 2-64 418 3-57 4-10 3-32 809 5-72 6-65 6-51 148 1-21 1-01 1-22 639 6-79 5-71 5-81 1,642 16-22 16-52 16-28 2-46 2-82 3-83 391 6-80 7-57 1-19 1-38 4-95 5-98 15-51 15-37 Totals 8,959 9,639 9,534 9,214 10,119 92-19 97-09 93-94 88-68 94-69

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DIPHTHERIA. Fifteen more deaths were attributed to this cause in 1913 than in 1912, but 14 less than in 1910. The average for the years was 62. influenza . As in the case of whooping-cough, the number of deaths in 1910 (141) was much above the average. Sixty-five deaths from influenza were registered in 1912, and the average for the five years 1908-12 was 76 tuberculosis. Deaths from phthisis numbered 578 or 5-41 per 1,000 of the population, aga nst 524 or 5-04 per 10,000 in 1912, and 588 deaths or 6-05 per 10,000 in 1909. The average for the past ten years was 564, or 5 per 10,000. v Deaths from Rate per „ Deaths from Rate per \ ear ' Phthisis. 10,000. lear ' Phthisis. 10,000. 1904 .. ..598 7-08 1909 .. ..588 6-05 1905 .. ..496 5-70 1910 .. .550 5-54 1906 .. ..556 6-21 1911 .. .536 5-28 1907 .. ..612 6-66 1912 .. ..524 504 1908 .. ..607 6-42 1913 .. .. 578 5-41 Reference to the following table will show that 372 persons known to have been born in the Dominion died during 1913 from phthisis, and 206 persons born elsewhere.

Deaths from Phthisis, 1913.

The mortality from all forms of tuberculosis has decreased from 9-46 per 10,000 of population in 1904 to 6-89 in 1912, but rose to 7-60 in 1913. The percentage of total deaths from all causes has decreased during the ten years from 9-88 to 8-02.

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Age ) at Dei .tb. Length of Residence in New Zealand. II - I 2 S i 8 2 S S I 8 1 o 45 »c CO 2 3 s * I |i I 1 s s «* * I— Males. Under 1 month ... 1 month and under 6 months 6 months and under 12 „ 1 year and under 2 years... 2 years and under 3 „ 3 „ 4 4 „ 5 5 „ 10 „ 10 „ 15 „ 15 „ 20 ... 20 „ 25 „ 25 years and upwards Not known ... Born in Dominion ... ... 2 ... 2 2 1 2 1 2 2 4 6 3 1 1 1 1 2 2 1 2 6 5 1 9 6 •37 1 1 1 , ! 1 1 ! 3 5 4 3 7 1 14 ■2 11 1 4 4 15 8 3 50 3 7 2 25 4 2 ... 146 1 ■2 1 i "3 18 5 12 ... 2 ... 2 I 37 52 15 3 4 37 Totals... ... 2 40 40 78 74 36 26 26 17 6 279 Females. Under 1 month ... 1 month and under 6 months 6 months and under 12 „ 1 year and under 2 years 2 years and under 3 „ 3 „ 4 4 „ 5 „ 5 „ 10 10 „ 15 „ .. 15 „ 20 ... 20 „ 25 „ 25 years and upwards Not known ... Born in Dominion ... .. ! 2 "2 "8 ... ! 1 1 1 ... ! i 1 1 2 1 i 1 i 2 1 1 4 ... 6 1 1 1 1 1 ! 1 1 1 2 1 1 1 11 2 12 7 3 2 1 ... 2 10 8 2 40 1 7 o 226 '.'.'. 3 1 6 3 47 10 1 71 1 71 79 5 Totals... ... ... 2 Totals of both sexes .. 2 2 4 2 8 8 77 77 91 61 30 16 16 9 3 299 4 117 117 169 135 66 42 42 26 0 578

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Deaths and Death-rates from Tuberculosis, and Percentage of Total Deaths, 1904 13. v * S Um u 6r « d . Percentage of Year. p M . ea , n of Deaths from Rate Total Deaths Population. T K B e r a°sel ar from all Causes. 1904 ... ... 845,022 799 ' 9-46 988 1905 ... ... 870,000 678 779 8-41 1906 ... ... 895,594 720 8-04 863 1907 ... 919,105 856 931 850 1908 ... ... 945,063 839 887 9-28 1909 ... 971,784 800 823 8-93 1910 ... ... 992,802 731 736 758 1911 ... ... 1,014,896 738 727 774 1912 ... ... 1,039,016 716 689 7-77 1913 ... ... 1,068,644 812 -7-60 802

Ages of Persons who died from Tubercular Diseases, 1913.

In comparison with England and Wales and the States of the Australian Commonwealth the deaths from tuberculosis per 1,000 of the population was lower in Queensland than in New Zealand

Death rates from Tuberculosis, and Percentage of Total Deaths, 1912. Death-rates D (per 1,000) Pontage Tuberculosis. Total Deaths - England and Wale.-(1911) .. .. .. T47 10-07 Queensland ' .. .. 062 5"69 New South Wales .. .. .. .. 0-71 655 Victoria .. .. .. 0-93 7-61 South Australia .. .. . - .. .. 0-92 8-95 Western Australia .. .. .. 0-85 765 Tasmania .. .. .. .. .. .. 080 7"44 New Zealand .. . . .. .. .. 0-69 777 CANCER. There were 856 deaths assigned to this cause in 1913, a proportion of 8-01 per 10,000 persons, the average number and rate for the five years 1909-13 being 786 and 7-72 respectively. Deaths of males numbered 446 and of females 410. The death-rate from cancer is greater than that from tubercular diseases, and its increasing tendency is a matter of grave concern.

Number of Persons who died from Cancer, the Proportion per 10,000 Persons living, and the Percentage of all Deaths, 1904-13.

Ages. Males. Females. Total. Ages. Males. Females. Total. Jnder 5 years .. 5 years and under 10 .. 0 „ 15 .. 5 „ 20 .. !0 „ 25 .. 15 „ 30 .. 10 „ 35 .. 15 „ 40 .. :0 „ 45 .. 26 12 5 26 40 54 57 59 39 20 46 8 20 16 21 47 73 53 93 56 110 56 113 39 98 33 72 45 years and under 50 50 „ 55 55 „ 60 60 „ 65 65 „ 70 70 „ 75 75 „ 80 80 years and upwards 20 24 17 15 11 9 6 1 15 17 8 10 7 3 2 1 35 41 25 25 18 12 8 2 Total deaths .. 121 39] 812

Year. Deaths from Cancel. Total Deaths from Deaths, all Cancer per 10,000 Causes. of Living Persons. ! Percentage of Total Deaths due to Cancer. .904 .905 .906 .907 .908 .909 .910 911 912 571 5fi6 623 674 657 711 742 809 812 856 8,087 8,061 8,339 10,066 9,043 8,959 9,639 9,534 9,214 10,119 6-76 6-51 6-96 733 6-95 7-32 7-47 7-97 782 8-01 7-06 702 7'47 6-70 7-27 7-94 770 8-49 8-8] 8-46

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The part of the body mostly affected is the stomach, and among females the generative and mammary organs. Cancer : Seal of Disease. Seat of Disease. Males. Females. Total. Mouth, lip, tongue, throat, neck .. .. 98 27 125 Stomach.. " .. .. .. ..130 63 193 Intestines, rectum .. .. .. 89 78 167 Kidneys, bladder, urethra, &c. . . .. 30 5 35 Liver .. .. .. .. 44 56 100 Female genital organs .. . . .... 78 78 Breast .. - .. .. .. .. 1 63 64 Other organs .. . . 54 40 94 446 410 856 Ninety-four per cent, of the deaths were at the ages 35 years and upwards, and 57 per cent, at the ages 60 years and upwards.

Ages of Persons who died from Cancer, 1913.

The proportion of deaths from cancer to the 1,000 persons living in some of the principal European countries as shown below leads to the conclusion that there is a general tendency to increase.

Cancer Death-rates per 1,000 living in some Principal Countries.

diabetes. There were 150 deaths in 1913, a rate of 1-40 per 10,000, the average for the five years being 131 and T2B respectively. Deaths from this cause appear to be on the increase. EXOPHTHALMIC GOITRE. Only 19 deaths from this cause were registered in 1913, as against 40 in 1912. ANEMIA AND CHLOROSIS. Seventy-six deaths were recorded in 1910, but in 1912 the number was only 53, and in 1913 6J. the average for the five years 1909-13 being 60, and the average rate per 10,000 being 060. SIMPLE MENINGITIS Very little fluctuation is shown as regards deaths from this canst' during the past five years. The number for 1913 was 127, while the rate per 10,000 was Tl9.

Ages. Males. Females. Ages. Total. Ages. Males. Females. Total. Under 5 years .. . . 6 2 5 years and under 10 .. 2 10 „ 15 .. 2 15 „ 20 .. 3 1 20 „ 25 . . 2 1 25 .. 30 .. 4 4 30 „ 35 .. 8 14 35 ,. 40 .. 16 16 40 ., 45 .. 19 27 8 2 2 4 3 8 22 32 46 15 years and under 50 25 16 71 50 „ 55 39 30 69 55 „ 60 51 58 109 60 „ 65 56 34 90 65 „ 70 59 66 125 70 „ • 75 68 51 119 75 „ 80 53 40 93 80 years and upwards 33 20 53 Totals .. 446 110 856

Country. Average 5 years: 1896-1900. Average • r > years: 1906-10. Increase per cent, dtmng 10 years. Rate for last year aseertainable. New Zealand Commonwealth of Australia England and Wales .. Scotland Ireland German Empire Austria Italy Norway Netherlands Switzerland 0-59 0-58 0-80 0-77 0-58 0-66 0-69 0-51 0-86 0-92 1-27 0-72 0-70 0-94 1-00 0-79 0-84 0-78 0-64 0-97 1-03 1-26 22-03 20-69 17-50 29-87 36-21 27-27 13-04 25-49 12-79 11-96 0-79* 0-80 (1913) 0-76 (1912) 0-99 (1911) 1-03 (1910) 0-82 (1911) 088 (1911) 0-82 (1911) 0-65 (1911) 0-93 (1910) 1-07(1911) 1-23 (1910) * Decrease.

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APOPLEXY. The number of deaths in 1913 (173) was an increase of 5 on that for 1912 of 32 when compared with 1911. The rate 1-62 per 10,000 was the same in 1912 as in 1913. CEREBRAL HEMORRHAGIC. Each of the five years 1909 to 1913 inclusive shows an increase in number and rate on the preceding year The averages for the years 1909-13 work out at 206 and 2-02. epilepsy. k The number of deaths from this cause (54) was lower in 1913 than in 1912 or 1910. CONVULSIONS OF CHILDREN. As regards both number and rate 1912 shows a great decrease on the years preceding. The rate fell from 1-35 per 10,000 in 1909 to 0-55 per X).(XX) in 1912. The figures for 1913 are higher than those for 1912, but much below the average. ORGANIC HEART-DISEASE. More deaths occur from this cause than from any other. Under the Bertillon classification deaths occurring from heart-disease combined with bronchitis, pneumonia, rheumatic fever, or Bright's disease must be allocated to heart-disease, this being the reverse of the system formerly followed. Number and rate of deaths from heart-disease show a tendency to increase, though the number and rate in L 913 was lower than in 1912. ARTERIO-SCLEROSIS. A rapid increase of deaths from this cause is apparent, the number in 1913 being 89, as against only 29 in 1909. EMBOLISM AND THROMBOSIS. In common with other diseases of the circulatory system, numbers and rates show a tendency to increase. The number of deaths in 1913 was 63, while the rate per 10,000 was 0-59. The figures for 1913, however, being lower than the average for the quinquennium. BRONCHITIS. The number (281) and rati- (2-63 per 10.000) of deaths from this cause in 1913 were about equal to the averages of the five years. The year 1910 shows the highest number as well as the highest rate. BRONCHO-PNEUMONIA. In 1911, 153 deaths from this cause were recorded, but in 1912 the number had fallen to 114, but in 1913 it rose agan to 154. PNEUMONIA. The number and rate in 1913 were higher than in 1912, but lower than in 1911. GASTRITIS. There were only 29 deaths from this cause in 1913, as compared with 48 in 1912 and 65 in 1909 DIARRHO3A AND ENTERITIS. Considerable fluctuation is shown as regards deaths from diarrhoea and enteritis. The number fell from 555 in 1908 to 351 in 1909, rose to 500 in 1910, and fell to 404 in 1911, while in 1912 the number was only 271. Last year 344 deaths were attributed to this cause. APPENDICITIS AND TYPHLITIS. Ninety-one deaths were registered in 1913, an increase of 19 on the figures for 1912. The average for the five years 1909-13 was 86, while the average rate per 10,000 was 0-85. INTESTINAL OBSTRUCTION. Sixty-three deaths (a rate of 0-59 per 10,000) were registered in 1913. Little movement is shown as regards deaths from this cause. CIRRHOSIS OF LIVER. The number of deaths in 1913 (47) was one less than in 1912. SIMPLE PERITONITIS. Very little fluctuation is shown here, 61 deaths being registered in 1913, as against an average of 62 for the five years. ACUTE NEPHRITIS. Only 16 deaths in 1913 were attributed to this cause, as against 68 in 1911 and 35 in 1912. The average rate for the five years 1909-13 was 0-44 per 10,000.

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BRIGHT'S DISEASE. In four years, 1909 to 1912, the number of deaths from this cause has remained practically stationary, between 190 and 195. The year 1913 shows an increase, 230 deaths being recorded. URAEMIA. Seventy-one deaths from this cause were registered in 1913, as against 40 in 1912 and 32 in 1911. CYSTITIS. The numjjer of deaths registered in 1913 (31) was 9 less than in 1912, but 19 less than in 1911. PUERPERAL DISEASES AND ACCIDENTS. In 1913, as in 1912, the deaths certified to these causes numbered 100. Included in the number in 1913 were: Accidents of pregnancy, 25; puerperal septicaemia, 29; puerperal albuminaria and convulsions, Hi ; puerperal haemorrhage, 14; other accidents of childbirth, 17. The number of deaths to every 1,000 confinements for each of ten years is shown. Deaths of Mothers Deaths of Mothers Year. to every 1,000 Year. to every 1,000 Confinements. Confinements. 1904 ... ... 4-66 1909 ... ... 514 1905 ... ... 4-22 1910 4-55 1906 ... 3-91 1911 ... ... 4-38 1907 ... ... 4-62 1912 ... ... 3-73 1908 ... ... 4-64 1913 ... • .. 362 CONGENITAL DEBILITY. The number and rate in 1913 was higher than in the four preceding years, the number being 301, as against 256 in 1912 and 268 in 1911. PREMATURE BIRTH. The number of deaths from this cause in 1912 and 1913 was considerably higher than in 1911 The rate per 1,000 births registered in 1913 was 14-96. SENILITY. No fewer than 809 deaths were attributed to this cause in 1913. The number for 1912 was 706. and for I*o9, 556. VIOLENCE. The deaths from external violence, apart from suicide, numbered 639 in 1913- -males 520, females 119. The rate per 10,000 living was 6-79 in 1909, 5-71 in 1910, 5-81 in 1911, 4-95 in 1912, and 5-98 in 1913. The various forms of violent deaths, excluding suicides, in 1913 are shown in the following table :—

Accidental Deaths, 1911.

SUICIDE. The suicidal deaths in 1913 were 148 —males 116, and females 32. The rate per 10,000 living was 1-38 in 1913, against an average of 1-20 for the past five years.

Cause of Death. Males. Females. Total. Poisoning Bums and scalds Suffocation, gas, &c. Drowning Shooting Falls In mines and quarries By machinery By vehicles, railways, &c. Injuries by animals Starvation Exposure Electrocution Homicide Fractures Other external violence 12 30 9 147 27 34 26 7 100 18 2 3 1 6 41 57 7 22 15 27 4 5 16 i 1 2 8 11 19 52 24 174 31 39 26 7 116 18 3 4 1 8 49 68 Total deaths 520 520 119 639

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B. LOCAL VITAL STATISTICS. Auckland Health District. The statistics dealing with births and deaths, the deaths and death-rates from infectious disease are those of the Registrar-General, and deal only with the City of Auckland and the seven surrounding boroughs—Birkenhead, Devonport, Grey Lynn, Mount Albert, Mount Eden, Newmarket, and Northcote, a population of 91,624 being an estimated mean for 1913. Parnell has disappeared as a separate local authority, having been absorbed by the City of Auckland. Population. The mean population for the year is taken to be, — Auckland City .. .. 50,116 Suburban boroughs .. .. .. .. 41,508 91,624 The population of Greater Auckland as at the 31st December, 1913, is given by the RegistrarGeneral as 113,334. or with the Borough of Onehunga, which is essentially a part of Greater Auckland, 118,000. Birth-rate. M v " f ' f Moan Population. Auckland City .. .. .. . . .. 23-23 Auckland and suburban'boroughs .. .. .. 25-93 The average birth-rates for ten years, 1903 12. are. Auckland City .. .. .. .. .. 30-11 Auckland and suburban boroughs .. .. 28-12 The rate for Auckland City has all along been higher than in the suburbs, but in 1913 the figures are reversed, and the rates in both are abnormally low. Death-rate. .. I-•-*«! ••' \r-an Populatl >n Auckland City .. .. .. 11-49 Auckland and suburban boroughs .. .. 10-61 The average death-rates for ten years, 1903-12, are, — Auckland City .. .. . . . . 12-30 Auckland and suburban boroughs .. . . .. 10-43 These figures do not suggest any special comment. Natural Increase of Population. Natural Increase per Births. Death. %££ 1,000 of Mean Population. Auckland City .. .1,164 576 588 11-7 Suburban boroughs .. 1,212 396 816 19-6 Auckland and suburban boroughs .. 2.376 972 1,401 15-3 The increases for ten years (Auckland and suburban boroughs) are. —■ 1903 18-67 1908 18-07 1904 19-60 1909 18-28 1905 17-36 1910 16-78 1906 .. 17-32 1911 16-32 1907 .. 16-03 1912 19-09 Infant Mortality. In Auckland and suburban boroughs— Deaths of infants under I year were .. .. .. .. ..192 Deaths of infants between I and 5 years . . . . . . . . 49 241 Deaths of children under 1 year per KM) births— Auckland City and suburban boroughs .. .. .. .. .. 8-08 Causes of Death. ZYMOTIC DISEASES. Death-. The deaths in Auckland and suburban boroughs . . . . . . . . 11-l The 114 deaths were from— Diarrhceal diseases . . . . . . . . . . . . . . 65 Diphtheria .. .. ..11 Enteric fever . . .. . . . . 3 Influenza .. .. .. .. 2 Whooping-cough .. . . . . .22 Puerperal septicaemia . . .. . . .. 4 Other zymotic diseases . . ~ .. .. .. 7 114

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CANCER. Auckland City and suburban boroughs . . .. .. .. 82 For the last five years,— 1908 .. .. .. .. . . .. 52 1909 58 1910 .......... 44 1911 51 1912 67 C. CLIMATE AND METEOROLOGY. This year it has been decided not to insert an extract from the article on the above subject by the Rev. D. C. Bates, Dominion Meteorologist. For information under this heading should be consulted ■Section II of the "New Zealand Official Year-book," 1914. D. GENERAL REPORTS OF THE DISTRICT HEALTH OFFICERS FOR THE YEAI! L 913. Auckland Health District.—Report by run District Health Officer (Dh. Makgill). I have the honour to present the thirteenth annual report on the Auckland Health District. The outbreak of smallpox during the latter half of the year was so widespread that all other sanitary questions had to take second place; but even apart from this the work of the year was uncommonly heavy, typhoid fever being exceptionally prevalent, while the gazetting of the regulations under the Sale of Food and Drugs Act made in itself a formidable increase in the duties the staff had to perform. In April possession was taken of the new offices in the Public Trust Building, which have proved in most respects a great improvement on the insanitary and primitive building which had been the home of the Auckland Office for the previous twelve years. Some inconvenience, however, results from the distance the new building is from the centre of the city and other Government Departments. As before, a very large .share of our attention was occupied in Native work and the efforts to establish nursing centres in various districts. The formation of two now Inspectors' districts —South Waikato and Marsden-Kaipara—and the consequent rearrangement of subsidies and so forth necessitated a great deal of correspondence. Much time was taken up over the inquiry into the administration of the St. Helens Hospital. Attention was given to the inspection of possible sites for a new location for this institution, and in all thirteen places were inspected and reports furnished. Five visits were made to Wellington, chiefly in connection with the Food and Drugs Regulations. During the latter half of the year I was absent on leave for five months, and my place was temporarily filled by Dr. H. G. H. Monk. Later, on account of the smallpox epidemic, Dr. H. K. Finch, District Health Officer, Christchurch, was also stationed at Auckland. During my leave the following departmental matters engaged my attention: — At Sydney I inspected the smallpox patients in the isolation hospital, and reported to you on the identity of the disease there with the type in New Zealand, and gave some account of the methods adoptee! in dealing with the disease. In Melbourne I met Dr. Cumpston, Director of Quarantine, and discussed the methods to be adopted between the Australian and New Zealand authorities for dealing with vaccination and inspection of the passenger traffic. The proposals then made you afterwards approved and adopted. I also met the officers at Sydney and Melbourne who were interested in the administration of the Food and Drugs Regulations. A report of my observations was submitted to you. I also visited the calf-lymph establishment at Melbourne. I gladly take this opportunity for recording my thanks for the kindly consideration and help I received from Dr. Cumpston, Dr. Paton, and indeed all the Public Service officers in Australia with whom I came in contact. On arriving in Europe I attended the International Society Congress at Antwerp as representative of New Zealand. Reports on the work done there have been furnished. I visited Hamburg and Berlin in connection with questions affecting certain food products exported to New Zealand. In England I visited Dr. Newsholme, President of the Local Government Board, who most courteously gave me an opportunity to visit the vaccine-lymph laboratory at Hendon. A report on the work I saw there has been furnished, containing, I believe, some valuable information as to the latest methods of treating the lymph. Proceeding to Ireland, I was kindly afforded by Mr. Dickenson an opportunity for studying the Fertilizers Limited methods for treating sewage at the Dublin sewer outfall and at a butterfactory at Tipperary, a report on which has been furnished. On my return by way of America I received from Dr. Maclaurin, President of the Technical Institute in Boston, much help in collecting information as to the prevalence of smallpox of the type characterizing the recent epidemic in this country. Professor Adami, of McGill College, in Montreal, was also most kind in giving me some account of their experience with the same disease. On the whole, I believe that my holiday was not without benefit also to the Department. Attached hereto are appendices dealing with infectious diseases. Native sanitation, hospital work, sanitary inspection, and the enforcement of the Food and Drugs Act. R. H. Makgill, M.D., D.P.H. (Camb.).

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Wellington, Hawke's Bay, anb Nelson-Mari.borodgh Health Districts.—Report by the District Health Officer (Dr. Cues son). I have the honour to submit my annual report for the above districts for the year ending 31st December, 1913. The outbreak of smallpox in the Auckland Health District rendered it necessary to put section 18 of the Public Health Act into operation, conferring special powers on the District Health Officer for the more effectual checking or preventing the spread of this dangerous infectious disease in the Wellington and Hawke's Hay portions of the district. Several orders were issued by me under this section, in consequence of the existence of actual or suspected cases of this disease, for the quarantining of premises or places, and the restriction of travelling or congregation of persons in places where such would be likely to cause a spread of infection. It speaks well for the tact of the Inspectors entrusted with the carrying-out of these orders, and for the law-abiding character of the community as a whole, and especially of the Maori race, who were particularly affected thereby, that though always effectively enforced, in no case was it necessary to take legal proceedings. T would also desire to draw attention to the willing and able assistance rendered by the officers of the Police Force in every instance when asked to co-operate, and for assistance rendered in many cases on their own initiative. A vaccination crusade was vigorously pursued, special attention being devoted to the vaccination of Maoris as being the more susceptible to the disease. and in whom it would naturally be expected that the disease might manifest itself. Special Medical Officers were employed for this work, who travelled through the various Maori settlements vaccinating everybody and looking for any cases of a suspicious nature. In some of the larger towns public vaccination stations were established in order to give all persons an opportunity of availing themselves of the protection from the disease to be derived from this simple operation. Particulars of the four cases which occurred in the district will be found under the heading of " Dangerous Infectious Diseases " in the appendix. Owing to the quarantine restrictions imposed by the Australian authorities all passengers proceeding to that Commonwealth had to be provided with a certificate of successful vaccination endorsed by the District Health Officer, and this work practically monopolized all my time for at least two days in each week prior to the despatch of the regular steamers, and, in fact, there was a fairly continuous stream of prospective passengers to and from the office during the period thai these restrictions were in force. Many persons were vaccinated in the office hy members of the staff. This work, together with the necessity for keeping in touch with and directing operations in all parts of the districts during the prevalence of the epidemic in the north, kept me practically confined to headquarters from July to the latter part of October, and attention to routine work was considerably interfered with. The concentration of all available officers in the affected parts of the Auckland District left me somewhat shorthanded. Inspector Middleton having been lent to the Auckland Office for smallpox duty. No cases of smallpox occurred in the Nelson-Marlborough District, and only one suspect— which soon proved negative—came under notice. During the latter part of the year, owing to a petition from Mr. Oreville. a parliamentary Committee investigated the conditions connected with the milk-supply of the City of Wellington, before which I was summoned to give evidence. The report of this Committee favoured the establishment of a municipal depot, a scheme which this Department has advocated for many years. It is to be hoped that this will now eventuate. During the year the Nelson Hospital Board agreed to the appointment of an Inspector for its district, and Inspector Coltman, recently employed in the service of the Public Works Department as a plumber, and the holder of the certificate of the Royal Sanitary Institute, was appointed to the position, and much useful and long-needed work has already been carried out by this officer in that district. Inspector Miller retired from the service of the Wairarapa Hospital Board for the southern portion of its district, and Inspector Keay was then appointed as assistant to Inspector Cairns, who was then made Chief Inspector for the entire Wairarapa. The camp established in Buckle Street in November for the accommodation of the special constables and their hru-scs during the strike was inspected daily by Inspector Middleton. and advice on sanitary matters offered to the responsible authorities. Attached hereto are anpendices, being tables and d»ta on the following matters relating to this district: Notifiable infectious diseases, dangerous infectious diseases, provision for infectious diseases, snnitarv condition, sanitary condition of Maoris, sanitf-v inspections, offensive trades, insanitary buildings, by-laws, legal proceedings, onarantine, disinfection of over«er> fjoods. Immigration Restriction Act. medical examinations. Midwives Act, and Sale of Food and Drucs Act. Herbert Chesson. M.R.G.S fEncr.'). L.R.C.P., D.P.H. (Lond.). Canterbury. Westt.anp. and Otaoo Health Districts".—Report by the District Health Officer (Dr. Finch). I have the honour to submit the following report for this district for the year ending 31st December, 1913. During the first four months of the year I was mainly occupied with the inspection of hospitals in the district, and for the last four months I was transferred to Auckland to take charge of the Auckland District owing to the smallpox epidemic and Dr. Makgill's absence on leave. Apart from routine work the most important matters dealt with were the inspection of hotels and reports to the Licensing Committees; the administration of the new regulations under the

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Sale of Food and Drugs Act, both as regards the correct labelling of foods and improvements to premises where foods were manufactured or sold. The issuing of permits to travel, and other matters incident to the prevention of smallpox from Australia and from the North Island, also occupied a considerable part of my time in July and August. There has been no change in the Inspectors in the district except that Inspector McKenzie was transferred from Oamaru to Christchurch at the end of the year, to take up the position of Inspector of Weights and Measures. There are very few cases of infectious disease in the Waitaki Hospital District, and Inspector Cameron was to come up from Dunedin when required. The Inspectors have continued to carry out their duties with enthusiasm and satisfaction. Sanitary Inspectors are somewhat unique in having to frequently work overtime without any additional remuneration. The working of overtime is admittedly necessary under exceptional conditions and is done cheerfully, but when it is frequently necessary under normal conditions it indicates that an additional Inspector is required. I attach hereto appendices dealing with the following: Notifiable infectious disease, dangerous infectious disease, provision for infectious disease, sanitary conditions of district, sanitary conditions of Maoris, sanitary inspections, offensive trades, insanitary buildings, by-laws, legal proceedings under Public Health Act and local by-laws, inspection of oversea goods, Immigration Restriction Act, Midwives Act, Sale of Foods and Drugs Act. H. E. I-'inch, M.B. (0x011.). D.P.H. (Camb.). Otago Hospital District.—Report by the District Health Officer (Dr. Champtai.oip). I have the honour to submit a report on infectious diseases for this district for the year ending 31st December, 1913, that part of the administration of the Public Health Act relating to sanitary matters being under the control of Dr. Finch (vide reports on each notifiable disease). As 1 pointed out last year, the accommodation in the laboratories is very fully taxed, and the attached class-rooms are quite inadequate to cope with the University classes. There is a movement on foot, however, to raise funds to provide a medical school block opposite the Hospital, in which the laboratories will be housed. I have every reason to believe that the movement will be successful. Negotiations have been in progress for some time between the University and the Department regarding the appointment of a Public Analyst for Dunedin. The University Council has agreed that the Analyst should be assistant to the Professor of Chemistry and have his laboratory at the University. This has, I believe, been favourably considered by the Department, and 1 hope the Analyst will take up his duties at an early date. In my last report I pointed out the necessity for a full-time District Health Officer for this district. Owing to a generous Government grant the University will shortly be in a position to establish the Chair of Bacteriology and Public Health on a full-time basis, so that the office of District Health Officer and the University Chair will be separated. Sydney T. Champtaloup, M.8., Ch.B., B.Sc. (P.H.). E. APPENDICES TO THE REPORTS OF THE DISTRICT HEALTH OFFICERS FOR THE YEAR 1913. (I.) INFECTIOUS DISEASES. The diseases declared to be infectious diseases in the meaning of the Public Health Act, and consequently notifiable, are as follows : Scarlet fever, scalatina, diphtheria, enteric fever, tuberculosis, puerperal fever (including milk-fever, sapnemia, acute sepsis, septictemia), plague, smallpox, leprosy, cholera, actinomycosis, hydatids, beri-beri, blood-poisoning, cerebo-spinal meningitis (including cerebro-spinal fever, cerebral typhus, spotted fever, petechial fever, malignant purpuric fever), typhus fever, chicken-pox. The following table shows the number of cases of infectious disease notified throughout the Dominion during the year ended 31st December, ! 9 I ■'! : —

• Health District. Nature of Disease. Auckland. Auckland. • Wellington, Canterbury. Hawke's Bay J Westland, Marlborough,' and and Nelson. Southland. Otago.* Total. I Scarlet fever Diphtheria Enteric fever Tuberculosis Blood-poisoning Chicken-pox Smallpox J 203 217 412 246 67 492 466 203 217 412 246 67 492 466 760 449 254 227 420 27 341 334 35 10 322 204 4 202 f-19 • I 119 1,614 747 863 1,018 118 1,137 470 Totals .. 2,133 2,133 2,136 1.251 447 5,967 • Otago Hos lital District.

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The following return shows the more important infectious diseases (smallpox excluded) notified per month in the health districts for the year ended 31st December, 1913: —

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Health District. •"9 11 lUlfi! Scarlet Fever or Scarlatina. O ■* Q Diphtheria. a z\z\Z £ Enteric or Typhoid Fever. i> « a, Tuberculosis. Blood-poisoning. II Jjfiffl I & i I a 3 c i ill i i Auckland Wellington, Hawke's Bay, Nelson, and Marl borough Canterbury, Westland, and Southland Otago* G 36 7 36 10 32 19 54 16 74 34 124 24 8S 18 58 s 8 25 66 43 11 71 :? 1312 1816 27 24 37 34 36 231 17 28 31 13 23 10 23 22 11 23 15 24 42: 31 57 78 41 54 129 1137 4121 40 18 25 21 '26 15 10 <m 18 16 17jl2 18J38 17 23J15 25 35 36 27 17112 19 37 29 17 29 32 24 20 32 15 37 32 28 8 14 75 111 3 8 8 13 3 41 5 4 11 S 3 5 3 7 7 2 3 •• I 28 18 40 50 48 37 40 36 149 38 18 27 15 139101 47 14: 15 19 26 26 28 36 11 20 13 10 4 4 .. 2 2 3 1 1 .. 55 3053 43 43 .. 2 122 .. 14 25! 26 27 10 3 8 77 87 86 2917 31 30 29 38 1 .. 1 2 .. 12 2 9 20 22 21 15 8 » 38 3 .. .. 9590 41 1 1 8 2 S ail 63 94 9 5 1112 I"": 4 2 2|2 ■■ 1 2 3 I 1 •• •• ■• ■■ ■• ■• •■ 2 21 Totals for Dominion.. - 63 91 143 160| 216 167 120 165 167 85 - 50 49 79-99 42 6G 49 52 78 103 137 171 56 58 55 30 36 86 83,73 80 103J 6 8 i 19 10 10 12 18 — — — I - _ - 1-1 - - 1 I 1 - l-l-l — — - - - 1,614 747 863 1,018 118 • Otago Hospital District.

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The following table shows the more prevalent infectious diseases in hospital districts during the year ended 31 sf December. 1913:—

The following tables show the notifications per month of the infectious diseases more prevalent in local authorities' districts during the year ended 31st December, 1913.

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Health District. „ .. i ... . . . Scarlet Diph- Enteric Hospital Distort Fever th / ria Fever Tuber- ™? od , . Poisonculoefc. ing Jμ a o Smallpox. Total. uckland . . Bay of Islands .. 3 26 57 Marsden-Kaipara .. 3 8 9 Auckland .. 145 143 106 Waikato .. . . 24 44 98 ! Thames .. .. 13 17 96 Ooromande] .. 2 Wailu .. .. 12 3 7 Bay of Plenty .. 1 6 39 26 5 15 2 148 11 25 16 26 1 ] 2 2 42 51 266 68 38 2 3 22 109 124 58 L46 7 23 268 212 907 420 197 4 30 95 Wellington, Hawke's Bay, Nelson, and .Mail borough 33 1 2 I 236 95 39 157 39 74 30 90 43 236 176 638 147 21 55 59 1 Cook .. .. 16 7 167 Waiapu .. .... 1 93 Wairoa . . . . 1 1 8 Hawke's Bay .. 53 17 27 Waipawa. . .. 9 4 14 Taranaki.. .. L9 5 3 Stratford.. .. I (> Hawera .. .. 57 3 12 Patea . . 30 3 8 Wnnganui .. 50 57 24 Palmerston North.. 71 33 20 Wellington .. 284 70 36 Wairarapa .. 10] 12 3 Picton . . .. 1 J 8 ! 3 Wairau .. .. 28 7 .. Nelson .. .. 24 26 2 Buller .. 13 27 1 46 .. 7 12 3 2 8 2 I 1 44 4 11 7 142 13 15 3 I (i 3 .. .. 1 13 5 32 12 8 57 34 '.il 15 2 14 4 1 o r t h Canterbury and Westland and Southland Westland .. .. 3 Inangaliua . . .. II Grey .. .. 2 2 3 North Canterbury. . 193 62 8 Ashburton .. 47 '■'< 1 South Canterbury.. 60 51 7 Wuit.-iki .. ..32 4 1 Wallace and Fiord.. 13 9 Vincent .. .. 4 .. 3 Maniototo .. .. .. I Southland .. 98 82 3 3 7 1 207 5 12, 1 33 2 20 .. 7 9 1 35 1 19 7 62 23 27 8 6 25 19 14 537 87 180 65 35 16 4 269 2 50 Otago Otago .. ..202 I , .) 4 97 6 119 447 Totals .. 1,614 747 863 1,614 747 863 1,018 118 1,018 118 1,137 470 5,967 i

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Summary of Principal Infectious Diseases notified in Local Authorities' Districts during the Year ended 31st December, 1913.

Scarlet Fever or Scarlatina. Diphtheria. Hospital and Local Authority's District. . . ... I Scarlet Fever or Scarlatina. Diphtheria. \ i i Enteric or Typhoid ¥< i — I! 't\i\s •er. 3 n Till ■Hi. its. 1 c 1-3 i ionmi i i - - Chicken-pox. ill Smallpox. I i 3 I ■z & — _>, z z 4 z to I i 8 s £ Auckland Hospital District — Auckland City Birkenhead Borough Devonport Borough Grey Lynn Borough Mount Albert Borough Mount Eden Borough Newmarket Borough Northcote Borough Onehunga Borough EUerslie Town District New Lynn Town District Arch Hill Road District Avondale Road District Eden Terrace Road District Epsom Road Distriot One-tree Hill Road Distriot Orakei Road District Remuera Road Distriot Mount Wellington Road District Hospital Mental Hospital Grreat Barrier Frankton County Manukau County Rodney County Waitemata County Shipping Helensville Town Board Otahuhu Borough Pukekohe Borough Tamaki West Road Distriot .. Tamaki East Road Distriot Point Chevalier Road District .. . . i 2 i 3 .. 'i 7 1 1 1 1 -2 i i 2 1 1 2 I i il 1 I i i "■2 ■■ ■• ':'{ 1 4 1 'i i 1(1 I 5 ■ 'i 1 2 ■i ■■ 2 I i! •• i i .. ■2 "il i 1 i i i i 3 2 • • 2 i i } 2 I 3 1 i 1 1 i i i i 3 2 2 2 4 2 I 1 2 i i 2 .. 3 2 ■i i| 1 1 2 I "\ 2 1 I 1 2 • ■ •1 '2 i I 1 1 :, •■ 2 ..I 6 - i i 'i 'i ':> ■3 :« I 6 2 2 1 i i •• i i i T I 1 I II 1 3 4 i 1 i i 7 1 2 il 2 "J i i 1 2 1 i i l •1 i •■ I 2 i ! 3 i ■• 'i i 23 2 2 1 I ■i 2 7 2 4 24 2 17 2 3 2 .. 1 1 1 1 ki 1 9 6 1 3 4 10 8 11 i 5 2 I 1 ii i "i 2 i i i '2 i 4 1 i i i 2 1 i i I i i 3 i i i i 2 I 2 2 2 4 ."1 i I ■ • •■ ■■ •■ ! " ■ ] i i I 2 4 I 1 I i I * .-) 2 Ii il 2 2 i ■ 2 I I i 'i i 3 4 1 'i 'i I 'i| i 'i i 2 : 2 1 '2 2 2 'i i i i i 8 I i II .. .. i l'i '2 i I i i. 2 1 1 i i I 'i '2 i i 'i ■■ l I .. •■ ... 1 I I I i .. i ■• ■• ■■ ■■ ■• ■■ •• •• ■• •• •■ ■• ■■ •' ■■ •■ ■■■ •• ■• .. ■■ ■■ ■■ ■• .. ■■ ■■ •■ •• ■■ ■■ •■ ■■ •I ■• ■■ ■ •■ ■• ■• - •■ ■• ■• •• ■■ ■■ •■ ■• ■• •• •• •• •■ -i -■ 12 24 - - 9 14 i:: H -: - - H - - - - ■2 3 - - 4 S 81 .-.il 35 Ki 1 :!:! 21 - Totals .. H i-; » 7. 28 - i : ii ,2 - .. ' 20 31 ii Hi II ,s 9 '.i II r, 4 1 !l 10 ! s » ii ir, 8 » 8 14 24 14 :t 4 ,, 5 i 4 4 4 ■■ -■ — lj - — - -' — _: — - : — — _ : - I— - - ; ■- -: -I ! — — _ - -I !- -\ —I -! !— I I— ! u — - — _ II— - — -4 M -! I— _ — M LJ _ u — Bay "f Islands Hospital District — Ki > l< ianga County H;iv of Islands County Hangonui County Wlringaroa County i> i 3 '■> I 3 I i .">' 1 4 2 2 1 2 ■2 4 2 1 1 2 2 3 Ii 1 2 '2 2 'a ."l .-) 111 S I i 28 37 24 • 2 ■• 5 • i i ■ • •• ■■ • 6 i V2 .. •• ■• ■I ■• ■■ ■■ •• •• ■• ■■ ■■ '■ •• ;■■ •• ■■ •• ■■ ■■ •■ •• •• •• •■ ■■ ■■ ■• ■■ •• ■• ■• •■ ■• •• •• ■■ LJ H -4 -i - - - : - — LJ -i — H -' 4 7 1 - — Id -! "i 2| - 2 1 U - !— LJ _J -4 - — - i^ , _ — Totals 2 i 2 2 7 7 4 i 4 ■• " .■) ■• •■ ■• 111 27 » 1 1 ' •• 4S 37 ■• •■ •• •• •■ •• ■■ ! ■•i I" ■■ •• •• ■4 - '-' — — M -J M LJ -J u - _ '-I -! !- - —I _J — u — :- - - -4 - -! !- : u u — i ; - -4 ■- LJ —\ u - 1 - -4 _ ,-! Buy of Plenty Hospital Hoard — Opotiki County Tauranga County Tauranga Borough Whakatane County 2 ■2 i i 4 12 7 2 'i ■ 'A :: 2 '2 . ii I ■ i i .. ■• i i I "» i i ' ■ i •• ■ • '2 I 2 ■• ■• ■• ■■ •• ■• ■• ■■ ■• •■ ■•! •• ■■ •• •• ■• ■■ ■■ •• ■• ■■ " ■• ■• ■• ■■ •■ •• ■■ •■ •■ ■■ •■ i -■ - 1 - - - LJ !- — - H i— - - 1 — ; u H - -i -i — — — u - - : _ :- - - - I -> -: 1 " - "I Totals .. : i .. i 3 2 2 r> i:; r i .. i i « 7 9 ■■ •• ..i •• •■ ■• ■• •■ •• •• ■• ■■ ;•■ •■ ■■ ■■; •• •■ •• •■ .. ■•I •• ■■ •■ •• ■■ •■ •• '■■ _ - _ : _j l_ ; _l j l_l _l i_ _ I I _J L_ -J l_l _l !._, i_j i_i _i -J —I i_j _ — i^ i_i _i L_ l_l — i i_j _i LJ ;_ - ! LJ !_: ;_ LJ -j _l _j i. i _ _ _

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38

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

:ospital and Local Authority's District. *l . Scarlet Fever or Scarlatina. Diphtheria. > 6 4 Enteric or Typhoid Fever. o o 3 — I Till ■111! lie. S c -poisi iniag. icken-pox. •I .K f|l|I ill Smallpox. I — "I I i a = hi a> ! i i - Hi J a Coromandel Hospital District — Coromandel County .. Marsden-Kalpara Hospital District— Dargaville Borough Whangarei Borough Hobson County Otamatea County Whangarei County •■ - ■■ U ■• W ••; -A ■■ — ■• - ■■ - ■• — ■• u •• - ■• ..' 1 ..I.. — ■■ - ■■ - ■■ ■■ ■■ -i ■• - ■• u ■• •■ — •■ - ■■ - ■■ -i ■■ — •■ - ■• - ■■ — ■• — ■• U- ■■ - ■■ — ■• — ■■ -: ■• - •■ — •■ — •■ — l> •• - •■ - ■■ —; •• .— ■• — i •i 'il l> I is :; 5 6 .'. \ ■ • i 1 2 'il I I *3 I •■ 4 l> (i i 3 5 'i Ill 37 i "l •■ i 2 ■• i 2 1 i ■ i :') 0 tili il ■■ ■• •■ ■• ■■ •■ ■• ■■ •• — - ■1 - -4 - — M i -A -' - — 1 « u l> Totals 1 ' 1 i :', .. 1 .. l> 1 1 2 2 l> L , ■• :i •■ •■ •• 1 3 Ill ,03 il 1 1 ■• •■ ■■ •■ ■■ •■ ■■ ■• ■■ ■• ■• ■■ •• ■■ ■■ — - \-A I—, — :— — - -J — — -\ -i - — M -\ - -■ u -J u - -I - U - - -i !- — - - — - I-, \-A i- -i ■—. - - Thames Hospital District — Thames Borough Thames County Ohinemuri County Te Aroha Borough Morrinsville Town Distriot il il i a 'i *> i l> 1 1 i 4 ii :>, l> l> il 4 i i ' 2 1 i 1 1 1 3 .. ■2 1 'i 1 ■2 1 4 L , i 5 ■i I IL , I 7 I :! i •• • ■ .. :i I i .. •• ■• i ■■ 1 1 ■■ ■■ ■ •I ■■ ■• •• ■• •• ■• •• •• •• ■■ •■ ■■ ■• ■• •• •■ ■■ '■ ■• ■■ ■■ ■■ ■■ ■■ ■■ ■• ■• ■■ ■■ ■• ■■ ■• ■• ■■ Totals .. - - :— 3 3 \- \ 2 - ' i - — i -, i r> * - ■1 I - — — :i - * :i - 3 H l> H 1 -J - - — - - - — - - -* L>O -> - 3 - 22 it 1 ■■ ■■ ■■ .') .-> •• ■■ •• '■ ■■ ■• ■• ■■ ■■ ■• ■■ ■■ •• -: — — u .—. M U ~ u - - :— -A - '-! — -J - — - - -A -; - .-! - M - — _ — - - - — - i— — -i u -, Waihi Hospital District — Waihi Borough i 3 1 1 l> 1 2 ] l> :i i i ■• •• I ■• •■ ■■ ■■ • • ■■ •■ •• ■• •• ■■ ■• ■■ ■■ ■■ ■■ ■• •■ •■ ■■ •■ ■ ■■ •■ ■• •■ ■• - - - -\ U - - - — - -; - - .„_ -; - -' — - - - - — - - - u U — -A I- , __ - -A -4 - - — — u Waikato Hospital Distrkt — ( unbridge Borough Hamilton Borough I'ukckohe Borough Te Kuiti Borough Taumarunui Borough Fmnkton Road District I Liintly Road District Morrinsville Road District Ngaruawahia Road Distriot Te Awamutu Town Diitriot Awakino County Kaitieke County Kawhia County Matamata County Ahura County Piako County Raglan County Rotorua County Taupo West County Waikato County Waipa County Waitomo County 'i i i '2 i i "2 '2 ■2 1 i "i i I ■2! ! 1 '2'i ..I.. 'i • i •■ i 1 i 1 1 1 ■ i l> 1 • • 1 l> i i 1 1 1 2 ■■ • • 1 1 2 3 1 l> 3 ■• 2 .. ' • 1 ■ •I i i i i 3 ■■ i l> i ■i :> i 2 2 3 2 '2 i l> I i •• .. 'i ■ • • i i i l> '2 ■• .. 7 1 j ■7 14 ii lit • l> i i , 1 1 1 i 2 il .. 2 ■2 2 1 1 2 1 ' I s 1 l> ■2 .. '■> ., i i I i :; i 4 'i 2 2 1 l> 2 3 i L> •■ i l> 1 .. 1 1 18 2 4 '■I 7 45 22 2 14 1 •• ■• •• ■• ■■ •• ! ■• ■■ ■■ ■• ■■ Totals 1 l> - 4 ; - 12 -. - i ti - 1 ■2 1 l> ; -' 1 96 3 — 2 4 :i 3 12 l>5 15 s 6 ■■ •• 1 2 I 1 •• !_ - I— - -\ - _ _ - - -. - — - -I _ --• M — u -

39

H.—3l

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Scarlet Fever or Scarlatina. Diphtheria. Ent»ri( or Typhoid Fen ■(-r. Till rcuK ■is. lood-poi; Ing. Hospital and local Authorlty** District. -: - == - - I d - i 0 Z 8 = b< it ill < i o * I i I # || i s - iRiji I = I 4 ill ii " d § I a & I 1 I Cook— Gisbome Borough Cook County Waikohu County 1 .. 2 .. 3 2 1 1 ■■ 2 .. 1 2 8 !1 7 (i 14 1 5212 13 7 5 1 i 1 4 !! 2 I 2 r i I 1 i .... i •• ■• - •• '• ■■ •■ ■■ ■• •■ ■■ ■■ ■■ ■■ •• ■• ■■ ■■ ■■ ■• ■• ■• ■■ ■■ ■■ ■■ ■■ ■■' ■■ ■• .. — - - - - - :> " - - - : : - >- ! 2^ h- - -I H - - U1 H H i--i — M -:- —! - H Totals ■i :i 1 2 1 • < ' ii l>4 7020 2(i .-) •■ 2 * ' i = I i i i i •' ■• ■• ■• ■■ ■■ •• ■■ •• ■•- •• ■■ ■■ •• ■■ Waiapu — Waiapu County .. — ,- - —, - - -J •- W - -! -i — — — M M _j - !- — -i u —< <— - -j >-• - — i—: -< — - -' M -: -. :— U I—i Hd i 2 13] 38 10 M :! 2 4 ■• ■• ■■ ■■ ■•, ■• •■ ■■ ■• •■ ■■ ■■ •■ ■■ '• " •• •■ ■■ ■• ■■ ■■ ■• •• ■' .. ■• - - - - - l I— i — i — - i- - : -i -A — I- 1 — - — — - : - - — ! - '- - - - — !— i— -• — - 1 '-' — - Wairoa — Wairoa Borough .. W;iiroa County 2 1 i 2 3 1 i 2 2 3 i 2 1 I 1 4 i i 2 i ■■ ■• ■■ ■■ ■■ •■ ■■ ■■ ■■ •• ;■• ■■ •• ■■ .... ■■ ■• ■' ■■ ■■ •• •• ■■ ■■ I-μ •■ ■■ ■• ■■ •■ : - - ; — - i— - - -4 — - - — [ - 3 - - - - H 3 4 H -, - 1 H I—I — —. H !— i U Totals .. .. 1 1 M I , 1 1 4 * 1 i •-■ 31 i •• ■•: •■ ' 'I •' ■■ •• ■• ■' •• ■■ ■• ■■ ■• ■■ ■• ■■ Hawke's Bay — Napier Borough Hawke's Bay County Taradale Town District Napier South Town District Hastings Borough "\\.\ —I - i 4 II 1 i I 1 — - _J 3 -J I \— 1 1 1 U I— _ — 1 — I . . I - 3 2 -■ 2 2 -i i I - 1 — 1 - o — ! — . . i i .. - -I 2 1 'i !— ' - 3 3 -' 3 — 1 .. 1 .. - _J ■'•\ .. .. - -i U :-' -, - '.'.[.'. ■1 2 7 ¥.: I 2 ■ ■ Totals dJ i.. •• -J •■ I 7 lit 5 ~> I 5 5.. ■■ - ■■ - •• 4 ■■ 1 2 'I 1 'i H > •• I ■■ ■■ - I ■■ i H i ■2 2 1 1 2; I • ■ 1 ■■ -' ■■ .-> ■■ — 1 1 i - 3 * s i .-. I 2 2 3 i i I 11 1 ■■ -J ■■ - _J •• _ ■• — : •• _j •■ (i 2 :: 3 • ■ ■• ■• •• ■• ■■ •• ■■ •• Wdipawa —• Waipukurau Borough Waipawa Borough Dannevirke Borough Woodville Borough ()rmondville Town District (Kane Town District Woodville County Waipawa County Dannevirke County — — - -■ — — - — - — -' - — :- — i i u — - _' — — -. _ M !— i i—i — i- . U — M -i -i 2 •• I .... 3 '.'. •*:: 1 i i i i i .. I:::: i 2 ■ Totals Taranaki — New Plymouth Borough .. Jnglewood Borough Waitara Borough Taranaki County Egmont County Opunake Town District ■■ - ■■ - ••i - '• - ■■ - ■■ - • ■• : 3 -■ ■• ■— •■ • i 3 i ■■ • ; — .. — ■■ » — i ■■ - 1 u ■■ - ■■ — ■■ - : ■• — 1 - •• -' — ■■ - •• ; — •■ _ •• - ; ■■ — •• - ■• -J •• — i B u 5 ■' T - 1 3 ■• 4 i ■■ • — ■• — ■ i- 1 ■■ _ .. ! - ■■ — •• -i i— 11 i ■■ — ■- 2 •• i -I •• U •• l- ■■ M ■• — .. - •• - i ■• — ~ 1 1 u .. i .. i ■• - 1 ■■ -A i ■• 3 -J \— U — — ■■ — •• u ■■ — •■ - 1 ■■ - ■ — ■■ _ — — _ •• — i i i> i .. I 1 i .. 1 i 1 I i l i I '.'."] i i •■ "I ■ •• ■■ I I ] I •• •• ■■ •'I ■■ •• •■ ■■ ■■ •• ■■ ■• ••i ■■ ■• ■■ •■ ■■ .... ■■ •• ■• ■■ •• •• ■• •■ ■■ ■■ ■• ■■ ■■ ■• ■■ •• •• •■ ■■ Totals -> - 2 -i 2 4 - i I — 4 - - 2 - - i — !- -J 1 :d - u u i_ 1 i 2 H ■ 1 3 U w - 1 '-! M -i :-■ _ - - I ■■ ' M 1 •• ■• ■■ •• I" •• •• ■■ •• ■■ ■■ •• _ -J i_ I_J _i !- _ _j l —I l_ l_l _i •■— i u - —; '._.. i i i i . . __ i_l i

H.— 3l

40

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Hospital and Local Authority's District. Scarlet Fever Scarlet Fever or Scarlatina. 15 ii Diphtheria. kmm ii Tic or Typhoid 'ever. I . I • ' ft «| 5 a Tubercul .siB. ill Ii Blood -poisuuiug. I to A kj I-. I-. •< , m O a -. ■■ I i z lii I i I 8 n j I I I I I •B i I Stratford — Stratford County.. Stratford Borough Whangamomona County .. '.'. 3 . I 1 I ■i • i i -2 !•■ ' I 1 ■ ■ :'s -2 •• ••i ■•I ■ • .... .... .... ■■ •I ■■ ■• •■ ■■' ■■ ■• ■■ •■ ■■ ■■ •■ '• '■ ■- 1 ■• ■■ ■• ■■ — ■■ ■■ ■■ ■■ ■■ ~< - H N 2 — _j — - : - — -J ■— ! — - — _J -■ 1 i — M i_ ! — -I - — — — -H — - - Totals :i i' ■■ ■■ ■■ ■• •• ■• •■ ■■ ■■ ■■ ■■ •• ■• ■■ ■• .. •• ' ...... i i ■2 2 2 l 1 ..111 i ...... : I .. .. I : .. 1 I I .... ■• ■■ ■■ •• ■■ ■■ ■■ ■■ ■■• ■■ ■• ■■ I— : -: - !— :-: - — \— - — -A - - — - ,— —, — U -: _ ! — - — :- i- — i -J ua u —. - -' — - Hawera — Hawera County Hawera Borough.. Kaponga Town District Wairaate West County Eltham County rcitham Borough Manaia Town District 8 2 2 ■2 :s 1 4 ! i I 2 1 i 1 2 2 L l> I I. . I i 1 1 .... 2 1 1 :: l> 2 2 3 1 .... ;• •1 ! :::; I i i •• ■■ ■■ •• •■ ■■ ■■ ■• ■■ ■' ■• ■■ •■ ■• ■■ ■■ ■• ■• •• ■■ ■• ■■ ■■ •■ -H u - 1 I- 1 H -■ I—' - !-! -J S - - -' -. - ; - -' -' •- - M - - U - :_ : - — — — '- ! ! - Totals ] 10 !t 2 i! i , I ' ■■ ■• ■■ ■■ ,■ 1 I 211 ■ i 1 • •• ■■ ■ - ■■ ■• ■• ■• •■ ■■ ■• ■• ... i- - — _J - — — - U — M — —' —— — :-! — - — -J u — _ ,- — -■ _ -J _ — - _ - - - —! Wanganui Borough Gonvillc Town District Castlecliff Town District .. Miirton Borough Taihape Borough Wanganui County Waimarino County Rangitikei County rlunterville Town District.. Mangaweka Town District.. Waitotara County '.'. 2 r< 2 1 I i 1 1 i ■ • ■ • i 2 •■ o ■■ 2 4 5 1 2 .. ..... .. ■i •") 3 I I 4 1 2 1 i 1 ■ - i .. i 2' 1 1 .. I i i 2 I Ii 2 1 I 2 I i : i l i I .... I .... 2 '.'. 2 i'i 31 i ■il-i I 2 3 ••!■■ \ ■■ ■■ • : -- •■ 6 I - ■■ - ■■ 1 ■ — i I ■'- H i - 3 'i V •• ■■ - ■• i 1 s i; i tA ■■ ■■': - - '.'. i '.'. ■ ':'; - ■• - ■• - — i ■■ _ ■■ I •■ — ■■ - Totals ■■■a :i :! s 2 i i ■■ 3 ■- 5 3 4 \ ! i 3 - ■"> => I I I i ■• ■■ i '-J -I - ! ._ — s — - _ -! ! — -: u - - ! - - — -I - —' _ — u - _! — - Palea— Patca County Waverley Town District .. Patca Borough .. i.... 3 .. i . .• i :i (i i.. ; 2 .... Palmerston North — I'almerston North Borough Feilding Borough Foxton Borough Kairanga County Manawatu County H .. i - 17 4 I 2 2 10 -- ■,:: i .. ... I 1 I i i V1 I .. 2 2 I " 2 - - . 2 I 1 .. — .. i l 2 I 3 i i 2 5 2 4 l> i i .'. .. i l> 1 .. '.'. i i I

H.—3l

41

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

t-T-l Hospital and Local Authority's District. § 4 i t Scarlet Fever or Sα S 3 e 5 ,iu:i. to a i\i Ill Diplitl rli - - i-s|-< 03 O leria. Enteric or Typhoid Fever. I £ 8 ill I !!i|l!l|i|i|i!ili Tuberculosis. Blood-poUouiug. 1 o I 4 ... I'nlmerston Xorth —continued. t—» Oroua County Kiwitea County .. Pohangina County Rnngotea Town District .. i 4 »2 i 1 • -I ■ ■ •■ ■ •■ 1 ■ ..I •• •■ ■■ ■■ ■' ■■ ■■ ■■ ■■ ■■ ■■ •• ■• ■■ ■■ •■ ■■ ■• ■• •■ ■■ •• ■■ ■• ■• ■■ ■■ ■■ ■■ ■■ •■ -• -I — - - - Totals i 1 .. -J « s -: ■ 2 2 ~ .-. 1 1 ' 2 I 2 2 H i 2 ' i -; !-i 3 - - — 1 ' 14 :i 3 ■ ■■ ■■■ •• •■ •• ■■ ■■ •■ : -- ■• ■■ _ - - - - : - - - ~ \— — -\ u - - - - - - - -' '—: u \- — i--J _: - - - u u !— Wellington City .. Horowhenua County Levin Borough .. Otaki Town District Hutt County Upper Hutt Town District Mikara ('mint} - .. bower Hutt Borough Petone Borough .. (Inslow Borough Miramar Borough Karori Borough . . .lohnsonville Town District Eastbourne Borough VI Ll I.", i i ;{4 2 I I 3 21 1 32 # . 32 ■■ i i 3 •■ i 10 • ■! 1 1 1 2 .. 2 .. 1 i 3 1 1 3 1 2 'i LO i 9 i i 11 i 14 i 2 ■• 12 2 •• 1 i Id ■■ i i i i "I i i 1 A i i ] i .... i 1 i i 2 I i 1 i ■i 'i 1 2 1 1 i 1 i i 2 1 1 ■ • i 2 1 .. i i 1 i i •■ i 1 ■ i •• •■ ■■ ■■ .... ■■ ■■ ■• ■• ■■ •• - ■■ ■ •■ ■• •■ •• ■■ ■• •• ■• •■ •• ■■ •• •• •■ . • ;■■ •• ■■ ■■ •■ •■ Totals - 14 H in |_, :)!> 21 22 - :)(> 32 - 3(i H i 13 L , 1 7 4 3 < H i i - 2 4 b ii » IS ! fl 7,, -I i-i -i 2 - I1 . * 1 i ,3 II * ' 2 ■■ ■• ■• " •■ !-: - :- ! _ —: _ - - - -I !-, \- - : . !— - - - _ - - - _ W U — - -1 - Wairarapa — Masterton Borough Eketahuna Borough I'ahhitua Borough Carterton Borough Greytown Borough Martinboruugh Town District Featherston Town District M istcrtoii County Eketahuna County Pahiatua County M uirici-ville County Akitio County South Wairarapa County .. Fe*therston County • 2 '2 3 ..I '2 1 Hi i 10 1 1 1 1 4 I 2 i i I •• 2 ■■ 1 ] i ] i I i 2 ... i i \ i 5 .-, • ; . i i 2 3 i i i i I 3 ■* '.'. 1 ■• * ' i I 3 r> 1 i i i .... :•• ■• ■• ■• ■■ ■• ■• .... •• ■■ ■■ ■■ ■• ■■ •■ ■■ •• ■' •• ■■ ■■■ ■• ••! ■■ ■■■ ■■ Totals ji ,; IS IV 3 \i 2 i I - > 2 — ] — - - - H 2 4 - 1 H ' H » 2 - ' - - .... _ _ — -i — -A 12 •■ •1 ■■ ■• •• ■■ •• - ■■ ■■ — — - - - i— — U ;- Iu !_ - _ '- u — — - - — - - — ■ \—\ _ -

H.—3l

42

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Ho-p:t.il anrl Local Authority's District. Blenheim Borough Spring Creek Boad Board .. Omaka Road Board Wairau Koad Board Awatere County Pelorus Road Board Havelock Town Board Totals a j —' Scarlt-t Fiver or Scarlatina. £ - - -. < -r. C >-. - 2 1 1 i\& £ 3 S Diphtheria. 1 7~— -\ — r^~r~ I Kut ri( or Typh( ,i.l !•'.•■ -j I 4 I I a it 1 1 5 i '- -■ .. i Tabercuk is. h 5 S 4 i. cfl - ? -. -. < ■/■: ; '. - Blood -p*)isoni iir. :t I 's 1 "■2 ■■ I i i .. .. ■ i ■• •• ■■ ■■ •■ ■■ •■ •■ ■• ■• ■• ■■ •■ ■■ •■ •■ ■■ ■• ■■ ■■ ■• ■• ■' ■■ •■ ■■ •■ ■• ■■ ■■ " ■■ ■• ■• ■■ ■• •• •■ •■ •■ ■■ •• - - - - - r> ~ — i -i — : ~ I-i-l H i- -; - - — - - — -, — - — •2 - .. l - — — - — ~ M — - - -4 -4 - ! s 2 2 !l 1 ■2 I 1 i i I i I ■• ■■ •■ ■■ ■■ ■■ ■■ ■• ■• ■• '• •• ■■ •■ ,.., ■• •• ■■ ■• •• •• ■■ ■• ■■ ■■j :•• - -4 -4 - - - — -' - - -4 u ■■— i — - - - - u - - u - — -J -! - -I I,_i i— , — i U I- _ —\ -4 Piclon — Picton Borough Picton Road Board Sounds County .. 1 ■■ 2 i .. .. .. .'. i .. .. i 1 :■ i .. I ■■ I l • ■■ ■• •■ ■• •• ■■ ■■ ■■ ■• ■■ ■• ■• ■■ ■■ ■■ •• ■■ •• ■• ■■ •• ■• •■ ■■ ■■ ■■ ■■ ■■ •• ■• - - - — i - " - i— - — - H ,— ■ - —! - - i— - - - - - -. I - - — - - - - - - _ - -i Totals i 2 i I I 1 I 3 l '■ ■■ '■ ■■ ■■ ■■ ■■ ■• ■• •■ ■• •■ •• ■■ •■ ■■ ■■ - ■• •• •• •■ •• ■•I ■• ■■ ■■ ■■ ■■ ■■ ■• - - - — _ - - — i - :— — - :- - — I— '-: - - — - — -i — - -: :_. — - I — — -J -4 — - - - LJ — Nelson — Nelson City Waimoa County Takaka County .. Richmond Borough Motueka Borough 2 -I (i 1 ■1 2 2 1 7 2 ■' .. i i i •■ •• ■ ■■ ■• •• •■ ■■ ■■ •• •■ ■• ■■ ■• ■■ ■• •• ■■ •■ ■■ •• ■■ ■■ •• •■ ■■ ■• ■■ ■■ •■ ■■ ■• •■ ■■ ■■ ■■ ■■ ■■ — -- - -i - i— -: l-l :- - - - - - - -: - - - -i " - - -: H -4 - _! Totals S -1 s ■2 1 r> -i ] i ■2 •■ ■■ •■ ■■ ■■ '■ ■' •• ■• ■• ■• ■• ■■ ■• ■• ■■ ■■ •■ ■■ ■■ ■• ■• - -4 — - - -: ,- - - - — - - - i--I ! : _ - ,—: -I - — — - - - - — -; u — !— i - : - ; - — -4 - -4 — Buller— Buller County Westport Borough Totals Inangahua — Inangahua County ... - ■ ■ ■ ■ ■• _ ■• _ - ■• - •• - •■ - ■• " ■■ ■■ -■ ■• - ■■ - ■■ - 2 .. ■■ - ■■ •■ ■■ - M -i .. ■' ■■ - •■ :-, ■■ - • - — ■■ U ■ — ■■ -i ■■ \— ■■ — ■ -J ■■ - •• - ■• — ■■ -4 ■■ — ■■ — ■■ -4 ■• - ■■ - ■• ■■ ■■ •• •• ■■ •■ ■• •■ •■ ■■ ' ■■ ■■ ■■ ■■ ■■ ■• ■■ ■■ ■■ •• •■ ■• ■• ■■ ■■ ■■ - — — - - —I — - - U — _.: - - - - - - - — - -i _ - -4 — — — -. — _ - - 1 , ■ ,, 2 1 ■■ ■• ■• '• •• •• ■■ ■• ■• ■• ■■ ■• ■• ■■ •• ■■ •■ ■• ■■ •■ ■■ •• ■• ■■ •■ ■■ ■• - -4 - - - - — -M U — — — - - - - - -, ;-: -4 - u -; :- -: — :— _ I— - -4 Grey — Grey County Greymouth Borough Brunnor Borough Rimanga Borough i ... .. . . .. 3 . .. 3 3 - ■■ - ■■ - ■• ■• - — '. 2 .'. •• - ■■ - ■■ - ■■ I— I — ■■ ■± •■ ! •■ ! -l ■■ — •■ u •• — •■ •• -■ •■ u ■• - •■ - I ■■ -j - •■ ;- • •• - •■ — •■ — ■■ - ■■ \— ■■ — •■ Totals i ' . r b. •• ■■ -!- •• -i i— !■• :-' ■• - •• _J •• - -4 ■■ ■• |_J ■■ _l ■• _ •■ u ■■ ■1 -4 ■■ - — ■■ U "I - •• ■■ -4 I ■■ :- —

43

fi.—3l

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Scarlet Fever or Scarlatina. Diphthcria. Enterii or Typhoid 'ever. Till uiosis. >od-poisouing. HwpitAl and Local Authority's District. 3 £ I I! & M ! I > 6 o S 4 J^ — 3 l<2 ij! ill I to I I Kumaia Borough Hokitika Borough ■ M I ■• •■ i ■i m i I •■ •• •• , ■• - tLUd - ■• i - 2 •• - ••! -i »~±~ ■■ - •■ — •• _ - •• — 1 -4 — "I U !•■ :— ■■ - ■' :_ - - -J. Totals - dd . 15.. I .. .. '■ ■■ •■ ■■ J+ .. ..i i •• ■■ ■■ 1 ■• ■■ ■• ■• ■• •• ■■ •• ■• ■• •• •• ■■ •• ■• -J — - — M — — - - — — — - — — — U - 1 -J ;~ -J M - '— -! -, -4 '■- ' Waitaki County .. Oamaru Borough tTampden Borough l i 3 1 1 I 1 4! 2 I ..I 1 . 1 .. 1 2 .... i ■i i 2 i i 2 2 -3 '2 i . . ■• ■• ■• - ■• _ "1 •■ 2 5 3 ■■ 'I" ■■ u •• H ■■ - •■ — ■• -' ■• '-i - _ ■■ -J •• 2 .idd- ■• - •I — .. .. ■■ - 2 ■ • ■• H ■• i— i i— i ■' -! I— I •• ! :— ■•■ '- Totals ! 4 2 i ! ■■ .... i > 2 '• I 2 i •• ■■ •• ■■ ■• ■■■ ; ■■ •■ ■■ ■■ ■■ •■: — i I — ; — _ I j ;— — - _ U4 -I :- — — - —. — —, ,— -: U — — - _ - I— i U-i Man iototo — Maniototo County i I ■M Vincent — Vincent County .. Alexandra Borough ■■ -; ± •■ - I— — ■■ -, rfft — ■■ ,— -! H - ■■ — ■• — •■ _ M ■■ l- : ----^ •• — — •• -: •• i- - •• -: ■■ — u ■■ UJ ■■ LJ ;•• I-: •• —, •■ — ■• — •■ — •■ — •■ — ■• LJ . .. 1 m #i 2 2 I i r ■ ■• •■ •• ■■ ■■ ■• ■■ ■■ ■■ ■■ •■ •• .. ■•: ■■ ■•! ■■ ■■ ■■ ■■ •I ■■ •■ ■■ •■ •■! •■ ■■ Totals - — - - I 2 2 . .. 1 1 6 215 : 2 4 5 1 .. 1 .... 81 7 20; 4 1, 4 1 2 .. 4 1 - - - — - - 1 \- - - 2 - 1 I -i — - ,-1 * - — H i i i - — -I — - i ■■ •• ■• ■■ ■■ ■■ •• •■ •• •■ •■ •■ ■■ +fr- ■■ ■■ ■■ •• ■■ :! - ■■ ■■ u !-! -! •• -i ■■ I •• ■■ ■■ — ■■ •■ - - — -! ... - - - -■ — :— - — — - - : - i I M ! ~: - - - - i~ M —I M — —! u Southland — Southland County Lake County lnvercargill Borough Gore Borough Bluff Borough Mataura Borough Wyiidham Borough Stewart Island 2 1 .. 4 ! .1 I 1 3 s'i 6 1 .. 3 i 1 i 2 S 3 3 '" 10 ■h 'I 2 ■i 2 ii:::::: i .. . 1 1 1 : I I 1 i 2 3 i l> 'a 4 2 i .. 2:: i .... i •• ■ .. ■ ■■ • i i .. • i " ■ i ■• ■• • 5 9 1 .. . 3.. . ■• ■• ■■ •■ •■, ■• ■■ •■ •• '• ■• •■ ■■ ■■ •• •■ ■■ ■■ ■• ■■ •■ ■■ ■■ ■■ -. i ii ii 2 in » -' - - -\ i- — - H — - ~ I- - ~ -: -i \-\ - - •— — -4 Totals « ,0 » in 15 M 5 131 M h ■ 1 i i 7 3 2 \ B 3 3 ... •■ ■■ : ■• ■■ ■■ ■• •■ ■■ .. '• ■■ ■• ~ - - - -i - - - - — _! ! - ! - _>____ - - j- — — - — - :-l - i !- - - -: — M — :- - —; - -A — Waiiace and Fiord — Wallace County .. Bivorton Borough Otautau Borough •■ 2 2 1 1 .... ■ •■ •• 2 ■ ■ •• Totals -J ■• ■■ - •■ _ 7 •• -' •• I •■ i •■ - •• H i ■■ -A 1 •• H >* ■• _j •• -j •• — ■■ _ ■• _ •■ — ' ■■ '— i .. _! !■■ — ■■ - 1111 nil — : I ■• _ i •■ 1 ■■ - ! — i ■■ H i ... u ... i ■■ — - 2 ■■ _J " -, ■• l- ■■ -J ■• — ■• i ■• i-i •• LJ l dd •I •■ ■■ ■■ ■■ ■■ •■ ■• ■• '■ •■ •• ■■ •■I ■■ ■■ " ■■ u i— ! -J — — _i !— I _i i— —i -i _i - 1 —I -J — I -j -i ;- -i i— : — i — u —I \-<

a.—si

44

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Hospital and Local Authority's District. Sα Scarlet Fever or Scarlatina. illlilllilill Diphtheria. ■i 5 4 * 'z. Enterk or Typhi .id Fever. Till ■rculi isis. Blood-poisoning. I d l'l I - a I I I I I 11 y 11! \ i 'orth Canterbury — Kaikoura County Amuri County ... Waipara County .. Kowai County Cheviot County . . Ashley County Oxford County Tawera County .. Silwyn County .. Malvern County .. Eyre County Rangiora County.. Waimairi County.. I'aparua County . . Heathcotr County Halswell County , . Mpnat County Akaroa County . . Wairewa County Springs County .. Ellesmere County Rangiora Borough Kaiapoi Borough. . Chri.-tehurch City Woolston Borough Spreydon Borough Riccarton Borough Sumner Borougli. . New Brighton Borough Lyttelton Borough Akaroa Borough . . i 'I •i :::: i "i:: 1 i I i .... .... i 2 i i i '.'. i ■■ .... i i i , . ■.:: i i I ■2 i i I 2 I r. s i 2 '! -i ' 4 3 i 3 2 2 '2 2 4 1 1 l i i .. 1 .. 'i .. .. .. i 1 i i i I 2 i .. 1 ■• i I ■i 1 I I "i I i .. L3 ;t I 4 "i • 7 l> i ■ ■i 1 I I I ■ 9 2 7 I '2 .. I . . . . .. I 4 I » in 7 It •« r> i 'a 4 i 4 4 1 2 I I i ."1 7 I 1 ,:, 9 2 1 'i i 1 i i I 1 ] .... i I i I t'i I 1 1 3 i I I 1 "2 i 4 i i 1.. % 2 I •• ■■ 'I ■• •• •• ■■ ■■ •■ •■ •■ ■■ ■■ ■' ■■ ■■ ■• ■■ ■■ ■■ •• •• ■■ •■ ••: •• •• •■ ■■ ■• ■• ■■ Totals H Hi - 21 H •20 - 1(1 51 - 2' - 5 - 3 i-i • - i - - .-> 7 H i L LJ I— - :- — II „ - ,n Id H 15 14 , 24 is — - - i H i - II: ,H I 14 21 16 8 .>: l i ' ■■ ■■ ■• ■■ ■• ■■ •■ ■■ - U M -J. - - !- : LJ LJ U l— I — — LJ u — M _ LJ -j -i __i LJ LJ - !- — —i I- 1 _ -J - u '-' -

H-31

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

45

I Scarlet Fever or Scarlatina. ia Enteric or T: rphoul Fever. Diphtheria. ia. TubiTcuhisi.s. looil-pi ii-nlUIlL r . Hospital and Local Authority's District. 1-9 ■8 J - — i t « i s g 4 lili = = r = I I ill s -, -. H»i-a<!!»0|«Oi-sfe ill In H I a z Askbiirlon — Ashburton County Ashburton Borough Hampetead Town Board .. Tinwald Town Board 4 1 I I 3 I 1 I . I! .. .. 1 4 2.. I! . . 2 2 .. I .... I.... 2 I .... .. i 2 .. i i 1 . . -2 1 .... I ..I ....11 .... :? .. 1 I 2 1 .. .. • ■ ■ i i.. •■ •■ M ■ •■ ■■ ■• " •■ ■■ ■■ ■■ •■ •■ ■• •• ■■ •• ■• ■• '• 'I 'I •■ Totals - -A - i n -H ' — - - — — — - — -! — -i :- -, T u — — _ u - - u I Ur> 2 :; in 2 4f: 2 i 3 1 I ■2 •• •■ ■■ ■• ■■ •• •■ ■■ ■■ ■• ■■! •• 'I 'I •• _ - — u u I— - - - — — — - _ !-l — H- - -, I-: !-: - — -! !-■ -! - - - i— : — — tioiitli Canterbury — Geraldine County Levels County Mackenzie County Wairaate County Geraldine Borough Temuka Borough Timaru Borough . . WaimateBorough J ■■ ■i :: 3 i 3 .. 4 .... !!!! i i!! 2 1 .... 1 .. 4 .. 3 1 3 1 I . 0 1 9J 3 5 ;' ,:::: i 2 i 2 ■ 7 ■3 i 1 . . I . . ..!.. .. 1 .. i !! '.'. 1 2.. I .. i 2!; 1.., 1 .. 2 ■■ 1 1 1 i I I i ■i :t 2 •• ■ 1 • 2 ;:-i .. 1 2 1 ' 2 7 .. 1 '2 2 2 3 i ■2 '2 ■■ •■ •■ Totals ■■ •■ - I .) 4 (I 7 i 2 2 ■ , a ■■ 9 .« in] i i i -I— I— .. i ■■ -i •• ' •• — ■■ _J ■■ - i 11 - :; 71 r> ■■ ~ ! 3 •• 1 ■■ U ■■ — -; ■ ;- ! ■■ - -: •• :- "I I •■ ■■ - ■■ •■ ■• ■■ •■ ■■ "I ■• ■■ - - -J -! M - - — _ -J — _ ! ~j -: UJ U 1 l-l -i M i- - _ u — - -4 - I

H.—3l

46

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Bca'j •lit Fever or Sci .rlatiiu I'M ihtl lu>ria. Ent.-ric or Typhoid Fever. TubeTculo-is. Blood-poii l1u| Hospital and Ixical Authority's Dirtrict. I ii e 4 v. C i 8 US Q -: •- - - & hi #1 1 -a I j I Ha I 111 1 1 s I i - — III I I 1 I « sis I I I J lago — Waihciiid County Palmerston Borougfa Waikouaiti County Waikouaiti Borough Port Chalmers Borough Taieri County WC-t Harbour Borough Dunedin City Maori Hill Borough Momington Borough St. Kilda Borough Green Island Borough Mosgiel Borough . . Outram Town District Peninsula County Bay Town District Bruce County Milton Borough .. Kaitangata Borough Clutha County Baleliilha Borough Clinton Town Board Tuapeka County .. Lawrence Borough Roxburgh Borough Tapanoi Borough 1 -1 '2 4 1 2 I .-> 2 s ••I 1 .. 71 1 3 iu ■h 4 4 :::: 1 2 4 1 2 ■ ■ 4 i 2 7 "j'i :• 3 4 '.'. 4 .... .!"i .... .. i .. i 1 i 1 1 1 . . '.'. '.'. :::: 2 3 .. .. 'i . .... i .. .. .. I .. I J ioi'3 i 2 2 .. 1 1 I •■ -I 1 -1 i i i ■k I I ■2 8 I r> I 1 3 1 . . :::: .... 8 .. :::: i.. •■ i i 2 •• '2 1.. 1 1 f .... .... J .... •■ I 1 1 I -3 I .... ■P .... i .... 1 .... 2 .. .. .. I 1 .... 2 ::'l 4 13 2 9 '2 I k '.'. • ■ '2 I 1 •.. r> '2 .. 2 ■ ■ 22 21 .... :|: '■II .... 2 i " .... .... i ;;r i i 1 :::::: .. .. .. .. 4 i 211 ■■ ■ .. • I Totals ■• r= ■> - » - „ 8 13 •• - •27 — 15 38 ■■ 1 :■• 1 7 3 ■■ I ■• I •■ I2 ■• - '■ ■• - i ■• - ] ii : •■ — - :•■ — ■• 10 ■■ 3 8 8 ■■ ■■ 8 "I H ■■ —: ■■ i— ■• - ■■ 2 ■■ -, ,, .. 9 ; s ■■ ■• ■• •• •• •• _ l._ __! I ! _1 l-l-l_l _i l_l |_| l_ _j l_ _ _ _ _j _j l_ l_l l_l _ _i i_' ,_! i_i i_ i_i LJ

47

H.—3l

Scarlet Fever. The District Health Officer, Auckland, reports: — The rases notified from the health district during the last rive years are— L 909 ... . 124 1912 ... ... ... 235 1910 ... ... ... 994 1913 ... ... ... 203 1911 ... ... ... 367 The cases are mostly from the city and suburbs, Waihi (12 cases) being the only country centre more than slightly affected. No mortality from this cause is recorded within the city and suburban area, the type generally remaining extremely mild, as in the last few years. r lhe District Health Officer, Wellington, reports : — There has been a slight increase in incidence of this disease during the year —760 cases as against 044 last year —but it shows a marked decrease on the 1911 returns, in which year there were 1,001 eases. As mentioned in my report two years ago, the difficulty of stamping out this disease is largely due to the fact that so many eases occur of such a mild nature as to escape detection —so mild, indeed, that parents, failing to recognize the disease, or thinking it to lie measles, have not deemed it necessary to call in medical assistance. Nevertheless such cases must disseminate infection, ami owing to them not coming under observation they mix freely with other children. It is practically impossible to deal with such cases. On the 24th November several eases were reported shortly after the arrival of the s.s. " Corinthic " amongst passengers by that steamer. According to the report of the steamer's medical officer no eases occurred on the yoyage, but relatives of some of the children where eases were investigated by our Inspectors made statements with regard to several cases of sore throat and rash having occurred amongst the children on board. Two domestic servants «lm came out by this steamer went direct to a doctor's household in the country, and within a few days of their arrival the doctor himself and four of his children developed this disease. As it often happens that scarlet fever and measles develop on these steamers carrying numbers of third-class passengers with families, it would seem desirable —in fact, necessary —that more adequate provision should lie made on these steamers for the effective isolation of cases or suspected eases of infectious disease. The District Health Officer, Dunedin. reports: — There has been a slight decrease in the number of eases notified as compared with last year —202, as against 272 last year. On the whole this disease continues to be exceedingly mild in this part of the Dominion. Diphtheria. The District Health Officer, Auckland reports: — The eases notified from the health district during the last five years are— 1909 ... ... ... 122 1912 ... ... 260 1910 ... ... ... 257 1913 ... ... ... 247 1911 ... ... ... 223 The epidemic referred to in lasi report as having occurred in the Bay of Islands district recurred this year, to a less extent, during the colder months, Hay of Islands having 19 cases and Whangaroa 7 cases; in the City of Auckland 55 eases, and in Mount Albert 13 eases. Tinremainder were pretty evenly distributed. The mortality within the city and suburbs was 11 cases. Tin' District Health Officer, Wellington, reports:— The incidence of this disease has steadily decreased within the last four years, 254 eases being notified in this district, as against 283 in 1912, 322 in 1911, and 341 in 1910, The District Health-Officer, Christchurch, reports: — '1 he increase in the number of eases of diphtheria in the Southland district can only be attributed to the wet autumn and winter. The epidemic was of a mild type. The District Health Officer, Dunedin, reports : — Last year 1 reported a steady decline in this disease, particularly in the cases notified from the Kaikorai Valley, in which district the disease will always be endemic until an adequate drainage scheme is instituted. Only 19 cases have been notified, and each case has been verified by a laboratory examination. Enteric Fever. The District Health Officer, Auckland, reports : — The cases notified from the Health District during the last five years are— 1909 ... ... ... 206 I 1912 ... ... ... 252 1910 ... ... ... 197 1913 ... ... 412 1911 ... ... ... 346 Although the province shows an exceptionally high return for enteric this year, Auckland City and suburbs were again no! seriously affected, only 96 cases being notified, as against 95 last year. Auckland City, with 28 cases, shows a most satisfactory diminution, being 13 below the previous year, although the suburb of Parnell is for the first time included in this list.

H.—3l

48

Mount Eden, with 12 cases, heads the list of the suburban districts. The mortality within the city and suburbs was .'i cases. In the country, Bay of Islands Hospital District, with 57 cases, shows a very serious increase, as only 8 cases were reported there in the previous year. This high return was chiefly due to epidemics among the Natives, I t cases having occurred in Bay of Islands County during March, and IS cases in Whangaroa in July and August—an unusual time for such outbreaks. Thames Hospital District, with 96 cases, half as many again as during the previous year, is another example of the influence of Native population on typhoid incidence rate. About 80 per cent, of these cases were Maoris, and chiefly in the Paeroa and Piako districts. They occurred chiefly in the first four months of the year, and were doubtless a result of the unusually dry summer. In the settlements along the Ohinemuri River practically all the Natives contracted the disease. Bay of Plenty and Waikato districts also suffered more severely than usual, the high rate in the former lx-ing due to Native outbreak at Taurang-a during winter. Out of the total of 112 cases some 230 are notified as being Maoris. It is probable lliat our more elaborate system of sanitary inspection and the work of the Native sanitary-service nurses bring to light a number of cases which formerly were not heard of. There does not seem to be any reason to believe that the Natives are any more susceptible to the disease than in the past. In almost every case these outbreaks could Ix , attributed to the drinking of water from polluted sources, rl k> usual supplies, tanks and so forth, having become exhausted during the drought. It is noticeable that Rotorua County escaped without a single case, despite the large Native population. I attribute this chiefly to the excellent work of the nurses among the Maori settlements. The accompanying chart and table show the relation of temperature, rainfall, and typhoid so far as Auckland and the suburban boroughs and road districts are concerned.

Typhoid Fever. Auckland and Suburban Boroughs and Road Districts. Typhoid, Temperature, and Rainfall curves.

The thin thphoid line exhibits the average monthly cases during five years 1908-12.

H.—3l

49

Rainfall and Temperature, 1913. (Auckland Museum Observations.)

Here, as in former years, the influence of the climate is apparent, December, 1913, being a very dry month, January also below the average rainfall, and February again very dry, resulting in a rising typhoid rate during the first four months. The colder weather in April and May and the heavy rain in the latter month checked the disease. Of the winter months June, July, and September show a low rainfall, and this with higher temperature of August. September, and October was followed by a rising typhoid incidence. November was a very wet month, and December, though the rainfall was normal, was below the average as regards temperature. There is a corresponding decline in the typhoid rate in the last month of the year. It was probably a result of the unusually dry June that we find outbreaks occurring among the Natives in the north and Bay of Plenty in July and August. The District Health Officer, Wellington, reports : — There has been a considerable increase in the number of cases notified during the year— 420 this year, as against 288 in 1912 and 357 in 1911. The bulk of these cases occurred in the northern parts of the east coast, a portion of the district which is always responsible for a large number of cases. There was a large epidemic in Gisborne, the cases numbering !>7, and was practically confined to the European population, the Maoris in that neighbourhood suffering very slightly this year. The outbreak was of a generally mild nature, but some deaths unfortunately occurred. The sanitary conditions of this borough are by no means satisfactory, although improvements have been effected within the last few years. The sewerage system has not yet been completed, although many houses are connected, but the work is being pushed on with, and it is to be hoped that with the final abolition of pan privies, together with improvements in refuse-removal and protection of foodstuffs from fly-infestation, now being carried on, a lessening of this disease will result. Including this outbreak in Gisborne the total numbers for the Cook Hospital District was 167. There was also an outbreak in Waiapu of 93 cases amongst the Maoris, which necessitated the reopening of the Manutahi isolation camp. The district nurse for Maoris in this district herself contracted the disease, and subsequently two nurses employed in the nursing of the cases. They, however, all recovered. A slight outbreak also occurred amongst the patients in one of the children's wards in the Wellington General Hospital. The District Health Officer, Dunedin, reports : — There have been only 4 cases notified this year, as against !) last year. Otago Central, from which most of the cases come, has been singularly free this year, owing in part to the attention which was given to the conditions obtaining on the dredges working in that district. Tuberculosis. The District Health Officer, Auckland, reports : — The cases notified from the health district during the last five years are-.--1909 ... ... ... 118 1912 ... ... ... 240 1910 ... ... ... 137 1913 ... ... ... 246 1911 ... ... ... 177 The number of deaths from tubercular disease during 1912 and 1913 show no increase over former years, despite the increasing population. The larger number of cases notified therefore does not appear to be more than the result of more careful notification,

7—H. 31,

Rainfall Average. Mean Temperature Average. 1913. Previous 45 Years. 1913. Previous 45 Years. anuary February larch Lpril .. lay une fuly Lugust ieptember )ctober November )ecember In. 2-64 1-38 2-34 148 4-37 147 4-37 5-74 1-76 3-69 6-16 2-80 In. 2-77 3-18 2-78 305 4-50 4-53 4-95 419 342 342 3-09 2-62 Deg. 65-5 654 65-1 58-1 524 49-8 51-7 53-0 54-6 57-5 60-0 60-2 Deg. 67-1 674 64-3 61-6 57-1 53-9 52-0 524 54-8 57-0 604 624 Totals and means 38-20 42-50 57-8 594

H.—3l

50

The District Health Officer, Wellington, reports : — The number of cases notified of this disease is practically the same as last year —341 cases, as against 347 in 1912, 278 in 1911, and 11)9 in 1910. As pointed out last year, Ido not think this necessarily indicates any increase in the number of cases, but that the cases are more freely notified. Then it must also be remembered that cases of this disease are, owing to their migratoryhabits, notified more than once. The District Health Officer, Dunedin, reports : — In 1912 there were 130 cases notified, this being the largest number for some years. This year 117 cases have been notified, and these were mostly cases of pulmonary tuberculosis. I have continued my investigation into the condition of the Dunedin milk-supplj- qua tubercle bacilli, and have still to report that no tubercle bacilli have been detected in the milk-samples examined to date. During the year 1 circularized the medical profession, asking for tubercular material from children under twelve years of age, but have so far received very few specimens. It is my intention to investigate the type of bacillus prevalent in juvenile tubercular lesions in this part of the Dominion. Blood-poisoning, ami other Infectious Diseases. The District Health Officer, Auckland, reports : — The cases notified from the health district during the last five years are—. 1909 ... ... ... 59 1912 ... ... 70 1910 ... ... ... '52 1913 ... ... ... 67 1911 ... ... ... 55 The 67 cases in 1913 were— Puerperal fever ... ... 22 Cerebro-spinal meningitis .. 7 Erysipelas. ... ... 15 . Tetanus ... ... ... 6 Hydatids ... ... ... 15 Unclassified ... ... 2 The increase in hydatids is probably owing to the fact that practitioners are now recognizing that this disease is notifiable. The number of tetanus cases is high, possibly a result of the dry warm summer. The District Health Officer, Dunedin, reports: — Six cases of puerperal fever have been notified, but several others of a mild nature have been investigated at the laboratory, and have not been notified. A small outbreak of 4 cases occurred in a nursing home, necessitating the closing of the home. In view of the outbreak, and the appearance of other cases in various jwts of the district about the same time, I circularized the profession, and prepared a number of intrauterine swabs after the method of Foulerton and Bonney. These were in considerable demand, and proved of great service to the practitioners, while diminishing our work in the laboratory. We found that almost without exception pure cultures were obtained from the interior of the uterus. With one or two exceptions sensitized autogenous vaccines were prepared for these cases, and were administered with good results. The chief value of these sensitized vaccines seems to lie in prophylaxis, and I have elsewhere published a paper on our experience of their use. Altogether 14 cases were investigated in the laboratory. I would suggest that the Department should be prepared to issue sensitized polyvalent streptococcal vaccines for use in puerperal sepsis. Chickkn-pox The District Health Officer, Auckland, reports : — The cases notified from the health district for 1913 number 492. This disease was only made notifiable in July, therefore the figures do not lend themselves to any deduct ions. There is no doubt that a widespread epidemic of varicella was coincident with the smallpox outbreak. DANGEROUS INFECTIOUS DISEASES. The infectious diseases declared to be dangerous infectious diseases within the meaning of the Public Health Act are —Plague, smallpox, leprosy, and cholera. Smallpox. The District Health Officer, Auckland, reports : — The cases notified from this health district in 11113 numbered 466. This, however, by no means gives a complete return of the cases, since the greater part of the outbreak was among Maoris, and in consequence only about a quarter of the cases were seen by medical men and reported. Also, during the earlier weeks of the outbreak the disease was not recognized as smallpox, and many cases even among Europeans were regarded as chicken-pox owing to the extraordinary mild type .which was the feature of the epidemic. There is now no doubt that the disease was introduced from America by a Mormon Native missionary who had contracted it on the voyage from Vancouver- on the s.s. " Zealandia " from a fellow-passenger who had a very mild attack which escaped notice. The disease developed in the Mormon at Te Hora about the 15th April. The earliest eases among the Natives with whom he was in contact probably occurred between the 27th April and the Ist May. The first cases notified were those seen by Dr. Ventre Smith at Whangarei upon the 10th May, so that these were probably infected from the first batch of cases. From this time the disease spread with great rapidity, and probably by the 6th July.

51

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when the nature of the disease was finally recognized, several hundreds of cases must have occurred. Confined as it was almost wholly to Natives in out-of-the-way kiangas, even after the campaign was fairly begun, many cases must have escaped notice. However, a fairly accurate estimate can be made as follows : Europeans, 111; Maoris, 1,777. The diminution in the number of cases in November was noticeable, but it rose again in December owing to the small outbreak in the lower Waikato, and a severe one at Te Teko, in the Hay of Plenty. The issue of travelling-passes to the Natives successfully vaccinated has thrown a great amount of work on the Department. The restriction on travelling has, however, served as a very effectual lever in removing any objections which the Maoris might have to undergoing the operation. It is estimated that 12,000 passes were issued. I attach a special report by Dr. Monk made at the end of the epidemic, and one made by myself furnishing particulars additional to those of the earlier stages. Report on the Earliei Stages of. the Epidemic. On the 2nd July two events gave me serious anxiety and raised grave doubts as to the correctness of our supposition that the disease was chicken-pox. The first of these events was the news from Sydney that a pustular disease which had been in existence since the 12th April had now been pronounced smallpox mi the evidence of the protection afforded by vaccination. The second was the report of the death of an elderly Maori at Mangere from this pustular epidemic. Dr. Monk and I visited the place and found that the Native had undoubtedly suffered from a severe attack of the same type of disease as the Native Kikutai. It had been more or less concurrent, but we were unable to get a definite history of the case from the other Natives. No medical man had been called in, and though the Natives said that the patient had died the day previously we found that the corpse was more or less decomposed, and was crawling with maggots at least three days old. This argued such a degree of neglect that it was not certain that the man died from the virulence of the attack. An elderly Native who had been thus left alone todays might readily have died from complications in an otherwise simple attack. We visited other houses in the neighbourhood. One adult male Native was found who had recovered from ■\ sharp attack. He showed no pitting. Two younger Natives were suffering from a disease which was clinically no more than chicken-pox, and a European girl who had worked in a store much visited by these Natives was also suffering from a disease which had all the clinical appearances of chicken-pox of no great severity and showing successive crops of papules. Df. Scott, of Onehunga, who was in attendance on this case, was satisfied that it was chicken-pox, more especially as she (like the Natives) had never been vaccinated. It is. however, of great interest to note that this girl was thereupon vaccinated and a partial reaction was seen about the fifth day, but on the sixth day the reaction ceased and the vaccination could be regarded as having failed. The evidence was still most conflicting, but on the 3rd July, the day after our visit to Mangere, I wired to Head Office conveying my suspicions that the epidemic in New Zealand was of the same nature as that in Sydney. Dr. Gordon's evidence as to the effect of vaccination being one of my principal reasons for this opinion. Dr. Good, of Whangarei, visited Auckland on the 4th July and gave details of some of the cases he had seen, and expressed tin- opinion that the disease was of a more serious nature than chicken-pox, and thought that it was spreading fairly freely among the white population near Whangarei. He was unable to give any details as to the influence of vaccination. On Saturday, the sth July, another Native was brought into the Auckland Hospital, this time with an attack of the more severe type, the pustules tending to be confluent and appearing on his lips, eyelids, and palate. He was not, however, dangerously ill in spite of the severity of the attack. This case made the fourth who had been brought in from the same boardinghouse, the first being a Native who had come down some three weeks before. On the Oth July Dr. Valintine visited Auckland, and a consultation was held at the Hospital upon the four Natives and three Europeans there. There were present at our invitation Dr. Gordon (of Auckland*), Dr. Robertson, Dr. Dudley. Dr. Maguire (the Medical Superintendent). Dr. Valintine, Dr. -Monk, and myself. The opinions held were very diverse, Drs. Gordon and Dudley being inclined to doubt the diagnosis of smallpox, although not denying its possibility. Dr. Robertson, on the other hand, was emphatically of the opinion that the cases were modified smallpox, and to this view Dr. Maguire inclined also. Dr. Valintine decided that there was sufficient evidence to warrant the Department in dealing with the outbreak as though it was definitely smallpox, and memo, to this effect was wired to the Minister, with tin- suggestion that it should be given to the Press for publication. He also decided to make chicken-pox a notifiable disease to give us the legal powers we have hitherto lacked. On the 7th and Bth July Dr. Monk and 1 proceeded to carry out Dr. Valintine's directions in accordance with this decision. Measures taken to check the Epidemic—Dm. Cawkwell and Eleanor Baker were engaged to travel about the northern districts vaccinating the Natives and all school-children, also any Europeans who would submit themselves. Dr. Cawkwell proceeded to Mangakahia Valley on Monday night (7th July), as it was here that the epidemic began and appeared to have gained most hold. Inspector Shenton was instructed to accompany him. Dr. Baker started work in the Northern Wairoa district, with directions to proceed northwards towards Hokianga, where several Native settlements had become infected. Dr. Good was asked to visit Poroti, a Native settlement near Whangarei, where the Native schoolmaster had reported the appearance of the disease. Dr. Maofarlane, of Rawene, was asked to visit the Native schools at Rahia for the same reason.

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Hearing that the disease had appeared in the Maungatautari Native settlement, near Cambridge, Dr. Stapley was asked to proceed there to vaccinate all Natives and report. We subsequently learned from him that the disease had broken out there and two Natives had died, one an old man and the other a child. Inspector Bennett was directed to proceed to Cambridge and take all precautions as to disinfection. Dr. Howden, of Waiuku, Dr. Wake, of Pukekohe, and Dr. Macdiarmid, of Huntly, were also asked to visit the Native settlements in their neighbourhoods and begin vaccination. The Auckland Hospital Board were instructed to reopen the Isolation Hospital at Point Chevalier. To assist them in this matter Miss Bagley secured nurses willing to undertake this special work, and went with them to the Hospital, where she assisted in getting matters put in order. The large marquee tent which had been used at the fever hospitals in Te Ahuahu was lent to the Board and erected at the Point, with a wooden flooring. Dr. Spedding, of Dunedin, was engaged to look after the patients at the Point, and to assist Dr. Monk in vaccination and inspection of contacts during the rest of the day—the Board and the Department sharing his salary. Pending his arrival Dr. I.awry was engaged to assist in the work of vaccination and inspection of Maori contacts in the boardinghouses, &c. On the 7th July three new cases were reported, all being Natives—one from a scow which arrived from Whangarei, another in a boardinghouse in Hobson Street, and the third in a boardinghouse in Beach Road. As soon as the Hospital at Point Chevalier was ready these cases were removed thither; all contacts vaccinated, and directed to remain in their boardinghouses, where they were daily inspected. To assist us in this work of isolating the cases the Inspector of Police kindly placed at,our disposal a special constable who had some knowledge of the Maori language, and who proved of great service. Section 18 of the Public Health Act having been brought into force on the Bth July, the Tramway Company and the Northern Shipping Company were warned not to carry Natives who could not produce a certificate of vaccination. Later this prohibitign was extended to smaller shipping companies and coaching companies in the province, and an inspection of coastal shipping began. This must offer many difficulties owing to the irregular arrival of the boats. The Borough Councils of Onehunga and Cambridge were notified that Natives were not to be allowed to come into the towns, and they were authorized to obtain police assistance in enforcing this order. The prohibition of Natives travelling by railway was, of course, referred to headquarters. Subsequently some thirty medical men in county districts throughout the province were asked to act on behalf of the Department in the matter of vaccination, inspection of Native pas, and sanitary measures generally. The Board of Education was asked to assist by refusing admittance to school of children who had not been vaccinated. They agreed to try and induce parents to adopt this course, though not wholly prohibiting the attendance of unvaccinated children. 1 left Auckland on the night of the Bth July and reported in person to Dr. Valintine next day. The experience in Trinidad, China, and Sydney shows the existence of a comparatively mild pustular infective disease of the nature of smallpox, since it is controlled by vaccination, and this is no doubt what we have to deal with in New Zealand. The probability is that the infective organism is an attenuated smallpox virus. That such an attenuated virus can exist we know from the fact that, so far as our knowledge extends, vaccine virus is of this nature. The point which concerns us is whether the virulence of the virus can be raised by passing it through a series of highly susceptible animals. We know from laboratory experiences that the virulence of many other organisms can be raised in this way, and we have in the Native race the susceptible animal. On the other hand, analagous vaccination virus is of a comparatively fixed type. It has never been known to work up in virulence even in the days of arm-to-ami vaccination. Possibly then the virus of this epidemic may remain permanently attenuated. It appears to have done so elsewhere. But we cannot afford to risk such an experiment, interesting as it would be to the scientist, and it is the obvious duty of the Department to avoid any possible factor tending to raise the virulence by supplying it so far as possible and as quickly as possible with only resistent individuals in which to develop, and this can most surely and most effectually be done by enforcing universal vaccination both on Europeans and Natives. It appears to me that haste in this matter is essential. It has had two months in which to spread in the receptive individual already, and so far has shown no great increase in infective power. If during the next two or three months we can vaccinate the majority of the Native race I believe we can afford to regard the outcome with equanimity. But no expense should be grudged and no measure, however harsh, avoided which may prevent the Natives travelling about the country carrying infection, and which will secure that, during the critical months, every Native in the country has been successfully vaccinated. Sanitary surroundings doubtless hold their due place in raising the resistance of the individual to infection of every kind, but to transform the Native into a sanitary race is a matter of slow progress covering generations. We cannot hope for such a miracle in a few months, and therefore must adopt the shorter and more direct methods of raising the resistance. General Remarks. —lt is of course customary in times of stress such as we are going through for the Press to adopt a severely critical tone and to revenge themselves for the anxiety and discomfort undergone by the public they affect to represent. They heap abuse on some persons selected as the scapegoat. As District Health Officer of the province in which the disease found footing I must accept this position. Yet I do so with a perfectly easy conscience. It is easy to sit in an armchair and say. in the light of subsequent events, what should or should not have been done. It is another matter to do the right thing before these events in their development have shown the right path. Newspaper critics know nothing of conflicting opinions of contradictory evidence, or of the limitation of sanitary legislation. We have been blamed, for

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example, for allowing Natives apparently suffering from chicken-pox to appear in public; but we have not been told how to limit the liberty of these subjects of the Crown when suffering from what was regarded as a non-notifiable disease, offering us no appeal to the powers under the Act. The gazetting of this disease as a notifiable one was finally forced on us by circumstances, but can only be regarded as an emergency action to combat the temporary peril. It could not be considered necessary under ordinary conditions to treat chicken-pox in this way, and it was only when we were fully satisfied that the conditions were far from ordinary that we felt justified in committing the country to the necessary expenditure which must follow the gazetting of this disease. Yet till it was done we were to a great extent powerless. On the other hand, when we took precautionary measures in the Rukitai case there was a great public outcry when it was believed that these measures had been to some extent unnecessary. Your armchair critic is usually one who from his ignorance steps in where better informed men fear to tread, and popular criticism is too illogical, hysterical, and peevish to carry much sting. Were it possible for similar conditions to arise again I do not think it would be possible to alter the course of action we adopted. I have at least the satisfaction of knowing that if I have erred in judgment I have had the companionship in my error of many better men in other parts of the world. (Note. —This was written on the voyage across to Australia. From my observations there I was able to conclude that the epidemic in Sydney was identical with that in New Zealand, and the cases I saw fully established the nature of the disease.) Report of Dr. 11. G. 11. Monk. On Saturday night, 10th May, at 9.45, I was called to the telephone and was told by the Matron of the Whangarei Hospital that two patients had been sent into hospital by Dr. Ventry Smith suffering from smallpox. The Medical Superintendent of the Hospital was in Auckland for a sitting of the Supreme Court at the time. As there was no means of getting to Whangarei until the 12th May I got into communication with the Sanitary Inspector, Mr. Shenton, who had already heard about these cases, and gave him necessary instructions. He informed me that the Natives had been sent down to the isolation ward of the Hospital, and upon arriving there were seen by the porter and ordered off the premises. They then proceeded to drive back to Nukutawhiti, a distance of about thirty miles. Meanwhile Inspector Shenton disinfected the boardinghouse in which these people had stayed, and on Sunday, the 11th May, started after them to Nukutawhiti. He overtook them and gave them full directions as to what they were to do, and returned to Whangarei, where I met him on Tuesday, 13th May. At 9 a.m. we started for the Native settlement, and reached Parakoa that night. On the 14th May we continued our journey and reached the settlement, and found that the two patients were located upon the opposite side of the river. The two patients, W. Boxer, aged nineteen, and Tuhi Penni, aged twenty-five, came to us, and I made a careful examination of the rash, their physical condition, &<■., as well as obtaining as accurate a history as possible from them. They presented what appeared to be typical .severe chicken-pox rashes, with the rash most abundantly appearing upon the chest. The rash was in all stages from the red initial spot, vesicles, pustules, and scabs. This had all occurred within ten days. The only prodromal symptoms I could elicit were headache and influenza, which would include pains in the limbs. There was no history of pains in the back before the appearance of the rash. As the cases had been called "smallpox" by one medical man and "chicken-pox" by another. I made careful inquiries about this particular symptom. T could only consider that I had to deal with cases of chicken-pox. After giving all directions as to remaining in separate whares, and also instructing the other Natives, through an interpreter, to keep awa\ from the two infected patients, I returned to Parakao, and telegraphed to the Auckland Health Office that I considered the cases were chicken-pox. From time to time we heard of fresh outbreaks in other settlements in the Mangakawhia Valley, and also obtained the information that the first person in that valley to suffer from a pustular eruption was. a Mormon missionary. His itinerary will afterwards be traced, as he without a doubt started the whole epidemic in New Zealand. On the 4th June a ease of smallpox was notified at a house in Onehunga by Dr. Harke, and the patient before notification had also been seen by Dr. C. Robertson, who has seen many eases of smallpox amongst Natives in Natal. I immediately went to Onehunga and found the patient covered with a fully pustular eruption, which he staled was eight days old. I had him removed to the isolation block of the Hospital, where he was seen by the members of the Hospital resident staff and also by the Chief Health Officer. Instructions were at once given to have him removed to Point Chevalier Isolation Hospital, which was hurriedly got ready for his reception. There seemed little room for doubt about the nature of his complaint, although for the amount of rash there was remarkably little constitutional disturbance, no delirium, and no smell such as is usual with true smallpox. Within three days he was asking for food, and the pustules were drying up rapidly, and within a week most of them had fallen off. In fact, the rash cleared up so quickly as to discount the diagnosis of smallpox. When questioned as to his movements he gave us the information that several Natives from Mangere and Onehunga had gone to a hui or meeting at Te Hora, within the Mangakawhia district, he among the number. Also that a Native who had been up there and who had had a rash had come to his billiard-saloon. He also stated that he had seen other Natives with a rash, but none had had it as severely as he himself. Examination of other Maori houses in Onehunga and Mangere the day after this man Rukitai was removed discovered three others who appeared to have typical chicken-pox. A few weeks later a Maori was reported to have died at Mangere,

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and Dr. Makgill and I visited the whare in which the body was lying. From appearances the man had evidently been dead three if not four days, and we learned that no one had looked after him. The body was covered with scabs and in places maggots, and the epithelium when touched peeled off, taking the scabs with it. This man had recently returned to Mangere from Maungatautari, near Cambridge, and had certainly infected that district, as he was a relative of one of those who died at Maungatautari. After the return from the hui at Mangakawhia a meeting was held at Mangere. I have not been able to ascertain the exact date upon which the bulk of the Natives returned from the liui. Learning from Rukitai that then were several infected who had been north, attention was again drawn to the two early cases in the Mangakawhia Valley, and inquiries and reports came to hand that the hist person to have this particular rash was the Mormon missionary. He was located at Awarua, where he was teaching at a school. His history is as follows: — Mr. Richard Shumway joined the s.s. " Zealandia " at Vancouver on the 19th March, having left Arizona on the Bth March, and landed in Auckland upon the Bth April. He stayed in Auckland four days and then went to Whangarei. where he landed about the 12th April; then went on to Maromaku. where he stayed with another Mormon, Elder Purser Going, and eventually travelled to Te Horn, where the hui was held on the 14th April. Mr. Shumway states that the day after reaching Te Hora he felt very ill, pains in the head and sore throat being the chief symptoms. A lash which he thought was measles appeared on his face, neck, body, and legs. He remained at Te Hora for a week and left for Awarua, and at the time of leaving scabs were dropping off him. At Awarua he commenced teaching, mixing freely with the Natives. After leaving Te Hora the inmates of Elder Purser Going's household sickened, the first appearances of rash being seen on the 2nd May. Reckoning the dates out —arrived Te Hora 14th April, sickened next day, remained one week —brings us in about the 22nd. and from the 22nd April to the 2nd May—ten days from the time of Shumway leaving whilst scabbing to the time of the rash (not invasion) Ixung noticed amongst Going's family, allowing the usual twelve or thirteen days incubation common to smallpox, we conclude that the infection was carried from Shumway during his stay at Te Hora. Course of tin Epidemic. —Owing to the wandering habits of the Maori race it naturally followed that settlement after settlement quickly became infected with what was still considered to be chicken-pox, and at the dispersal of the Natives attending the hui at Te Hora infection was carried in all directions. Wherever medical men saw any of the cases they were still considered to be chicken-pox. The Mangakawhia Valley from end to end was infected, and cases occurred at Kaihu. afterwards spreading to Karara. Kakanui district next suffered, followed shortly afterwards by Mangere ami Onehunga. From Mangere we have authentic information that one of the Natives from that district whilst sick went to Maungatautari, and so started the disease in that district. In the middle of June a Land Court was held in Auckland to which Maoris from all parts came, filling the Maori boardinghouses ami hotels in different parts of Auckland. They introduced the infection into these houses, from which all the first cases that occurred in Auckland were removed. At the close of the Court in Auckland many of the Natives journeyed to Thames, where another Court was held, and fresh centres were started again in the Thames district. Many Natives had gone to Te Kuiti in the expectation of a Court being held there, but a case being discovered at Thames amongst those attending the Court, further meetings were postponed. Inquiries made at Thames revealed the fact that whilst in Auckland many of these people had been staying at one of the three houses which supplied the early Auckland cases. At one of these houses, which usually accommodates about forty visitors, we found that during the two previous days over thirty had left Auckland for Thames and Waikato. Many Natives returning to the Waikato stopped ai Ngaruawahia and Taupiri, at both of which places outbreaks of smallpox were dealt with. The outbreak in the Tauranga district is also referred to Auckland, but I am not able to state definitely that this is the ease, as the house referred to in Auckland had been clear of disease for quite a month before the Tauranga first case was reported. In nearly all these early cases the disease was mild and referred to as chicken-pox, and it was not until the severe ibises al Parawera, Maungatautari. and Taupiri were seen that the doubt which had hung over the exact nature of the complaint was cleared. Gem nil Type of Disease. —Undoubtedly the general type of the epidemic up to the present time has been its mildness with but very few exceptions. The incubation period has been as a rule about twelve days, but there have been cases that have gone over this time. Some have gone as long as seventeen to twenty days; hence the fact that they have been considered to be chickenpox. Prodromal symptoms in the earlier cases were not very marked, but the bulk of the patients old enough to give an account of their illness said that they considered they were in for an attack of influenza. The backache, such a severe and constant symptom of ordinary smallpox, was not so marked as one would expect. The evanescent rashes on the lower part of the body have been few and far between. The character of the rash has been one of the most interesting features throughout. The macule first appeared, as usual, and. rapidly developing into the papule, has been fairly constant, but the rest of the development into the pustule has departed greatly from the usual condition. Often al the fifth day the rash has been fully pustular, and scabs on the seventh day have been quite common. The usual vesicular stage has been extremely short, and even on the third day I have seen the blebs filled with a milky-looking fluid. This early maturation has been the cause of endless misgivings when making a definite diagnosis, as it is quite different from the usual and accepted course of ordinary smallpox. Again, once the pustule has formed it seemed to have the usual characteristics of smallpox, being round and slightly umbilieated at the centre. The depth of skin invaded also presented differences to true smallpox. In the early stages definite pitting was rare, but instead the pigment of the skin seemed to have been

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collected and deposited at what would be the base of the pustule. This gave rise to a peculiar mottled appearance to the patient, and has been the cause of many visits to suspected smallpox patients, only to find that they had recovered from the disease weeks previously. One other symptom that was very marked in the earlier cases was the rapidity with which the scabs cleared off the patient, due I think to the fact that the skin was not so deeply invaded as is generally the case in cases of variola. Amongst Europeans attacked no deaths have been recorded, although many of them were unvaccinated. Amongst the Maoris there are estimated to have been 55 deaths, which is a very small number considering that fully 85 per cent, of them were unvaccinated. This certainly is the truest index to the mildness of the outbreak, and up to the present time the cases seem to be decreasing in virulence rather than otherwise. This is not exactly what one would have expected judging by other outbreaks. The absence of the many sequels of smallpox is another factor bearing testimony to the mildness of the epidemic. Distribution of the Rash. —In an epidemic of smallpox in which deviation from the commonly accepted symptoms has been one of the chief features, the distribution of the eruption has perhaps varied least. In every case that I have seen the rash has been present upon the forehead, the spots numbering from one or two to many. On the sides of the nose and around the lips the rash has generally been in evidence. On the wrists, especially on the dorsal surface, one or more spots have always been found. The chest and abdomen have had much less than the back, and in several cases the total number of spots upon the chest has not exceeded half a dozen. The lower extremities have usually shown evidence of the eruption, but not in every case. When affected the palms of the hands and soles of the feet have been the last places in which the rash has appeared. I think lam right in saying that throughout the epidemic the rash has appeared in the order mentioned above, and its regular mode of appearance has been of great assistance in coming to a definite diagnosis in cases where the usual appearances of the eruption, the absence of prodromal symptoms, and the history given by the patient have all been valueless in helping one to arrive at a definite conclusion as to whether or not it was a case of smallpox that was under consideration. The old statement that parts irritated by clothing such as a belt or garter has not been so regularly noticed, probably because the use of these articles of clothing is not so universal as in former days. The District Health Officer, Wellington, reports: — With an outbreak of smallpox of the dimensions of that which occurred in the Auckland Health District it might well have been expected that several cases would have broken out in some portion of the Wellington and Hawke's Bay Health Districts, especially along the tracks of communication between the two districts, and it is a matter for congratulation that only four actually occurred. This result may be attributed to the energetic measures adopted in the matter of wholesale vaccination, the restrictions placed on Maoris travelling, and the quarantining of affected areas. With regard to the action taken in this district, on the first appearance of any eases of a suspicious nature measures were at once taken to quarantine the affected premises until the true nature of the disease from which the suspects were suffering manifested itself, and steps taken to ensure the vaccination of all persons who had come in contact, however slightly, with the cases, if not already previously vaccinated. Consequently no spread of the disease occurred from these four cases, three of which were directly traceable to infected places in the north. It would be difficult to estimate the actual number of suspects investigated through the report of symptoms or circumstances giving rise to suspicion, as owing to stress of work at the time it was only possible to record the more important of these, and of those which were obviously of a negative character on first examination no further note was kept. Apart from the actual cases, only six of the suspects reported were sufficiently so to warrant keeping under observation for a short space of time. The four cases which occurred were as follows :— C.H.H., Wellington, European female. Brought under notice on the 17th July. Employed in domestic service in a family which had just come down from the Hay of Islands district. Last probable exposure to infection 21th June; onset 11th July, the symptoms being shivering, backache, and general malaise. The rash appeared on the 16th July, on the forehead, face, back, and a few spots scattered on the limbs. Reported by medical attendant on the 17th July, and seen by me on the same date, and removed to a special isolation block at the Infectious Diseases Hospital. Result complete recovery, but with slight signs of pitting. R.H., Mormon College, Bridge Pa. near Hastings. Maori male. Reported on the 14th July. He was then in an advanced stage of the disease, and had just arrived from Kaikohe, Auckland. Removed to Quarantine Island, Napier. The College placed in quarantine, all occupants vaccinated, and thorough disinfection of the premises carried out. Recovered. P.J.R., Pahiatua, European male. Reported on the 19th July. He had been on a holiday trip to Auckland and district, returning on the sth. Onset 16th —pyrexia, headache, and " a peculiar feeling down the back"; rash first appeared 18th, on forehead, and later on face. He had been much in contact with the Maoris on his holiday. Had never been vaccinated. Isolated at Pahiatua Hospital. Recovered. F.P., s.s. "Delphic," Wellington, European male. Reported 18th August. Quartermaster on this steamer. Onset 10th August—rigor and malaise. Papular rash appeared on the 13th August (as gathered from patient's description). Vaccinated in Auckland on the 13th, and shipped on board " Delphic," which left Auckland for Well i nut on on that date. Seen by medical man for first time on the 18th August in Wellington, who at once reported the case, and I visited forthwith. Patient then had a copious pustular rash, most marked on face and hands. Removed

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0 to special isolation block in the Infectious Diseases Hospital. Vaccination did not take. Result —recovered, but with marked pitting of face and back of hands. How this case escaped observation on board the steamer on the voyage down the coast it is difficult to understand, as being a quartermaster he was necessarily on the bridge for two hours at a time during his watch, and therefore right alongside the officers on duty. The vessel was of course placed in quarantine, all cargo workers on board at the time were detained until vaccinated, and as many others as could be traced as having had any connection with the case were offered vaccination. The coal-hulk which was alongside the vessel at the time, and the children of the caretaker who had been helped over the side by this man, were also placed in quarantine, and the children vaccinated as well as the others. The District Health Officer, Christchurch, reports : — Two suspicious cases were investigated, but neither turned out to be smallpox. Plauue. The District Health Officer, Auckland, reports : — It is again most satisfactory to report another year without any manifestations of plague in man or in rats. The examination of rats has been continued regularly, and 7,974 have been tested bacteriologically with negative results. The Harbour Board and the City Council continue to employ men poisoning and trapping, and their work keeps the rat nuisance in check to some extent. To the improved sanitary condition of the waterfront and neighbourhood, and of the cellars and sewers under Queen Street, the absence of plague may be attributed. Leprosy. Dr. C. H. Upham, Medical Officer in attendance at Quail Island Quarantine Station, Lyttelton, reports as follows : — C. is very frail and steadily getting worse. The disease was advanced when he came under treatment. Leprosy consists in a series of attacks of high fever (102 - 4 being registered at the height of attack). The emaciated feeble patient is quite prostrated during the attacks with headache and pains in the limbs; there is purulent rhinitis and pharyngitis, and patches of purulent nodules break out on face, shoulder, and hips; ulcers result, especially on the atrophied contracted feet. The leproma on the eye, which covers about two-thirds of cornea, has not advanced during 1913 : the remaining one-third of the cornea is nebulous, but patient can still perceive light. The attacks last two or three weeks. Patient had attacks (1) at the end of January, (2) beginning of April, (3) beginning of May. After this attack I pressed him to take antileprol, which has an undoubted beneficial effect, so that the next attack (4) was postponed till the 25th November. This last was long and severe, not yielding till the 20th December. The patient also suffers from a hydrocele, which has occasionally to be tapped. During the attacks I drop the antileprol, which produces reaction, and give salicylate of acetyl (Xaxa) when neuritis is the prominent feature, and salicine when the skin is attacked. Both these drugs have distinct effects, relieving pain and subduing suppuration in the skin. I also use an antiseptic ointment consisting of Hydrarg. amnion, gr. v, 01 Eucalypt. mm. xv, to the ounce of vaseline. I have used scarlet red ointment (according to directions), but E., who dresses C, declares the above antiseptic ointment heals the ulcers and subdues suppuration more rapidly. The extensive ulceration heals much more rapidly in this leper than indolent ulcers do in ordinary patients, large ulcers granulating and covering with soft skin in a few weeks. C. is bowed, weak, anaemic, lame, and blind. C. has now recovered from his albuminuria. D. is really better. He is stout and strong, ruddy-complexioned, and well. All the three men are quite cheerful when not suffering from attacks. In January ulnar neuritis was troublesome, but yielded to Xaxa. In February D. had much pain in the plantar arch. This gave him so much distress that on the 4th March E., who had been hitherto the blind leper's companion, took over the duty of dressing C. from D. Now the plainest record of D.'s case is given by stating that throughout the year he looked and felt quite well, except for the following short spells: (1.) On the 20th April he presented four nodules on one arm. These nodules are the signs of nodular leprosy, the macules appear in both anaesthetic and nodular leprosy. The macules in D.'s case steadily improve, and if he did not occasionally show the nodules the prognosis would be certain. But the periodical reappearance of these nodules is most disappointing. I have encouraged him to imitate the auto-inoculation treatment of tuberculosis. There is no need of graduating E., he is so lusty and strong; so he daily exerts'himself till the skin is thoroughly flushed with blood and glowing and sweating. He takes antileprol regularly: generally he flan only stomach a dram a day, but occasionally I can press him near the maximum dose of 2i drains a day. In June he complained of anaesthesia and tingling of the toes : his anterior tibial rather than peroneal nerves are affected. In September I found three nodules in the macula on the left arm, and on the 14th December the old original macula on the right cheek became inflamed, swollen, and red, and affected the glands on the opposite side of the neck. I treat him as a I treat C.—Xaxa for pain, salicine for the nodules, and antileprol between attacks. D.'s nodules never break down, and his eyes are bright and show no signs of disease. (This eye affection, however, is only to be expected in the ninth year of unsuccessfully treated disease.) As for E.. he is detained only to nurse C, but his feet are clubbed and anaesthetic as the result of past anaesthetic leprosy, and occasionally the perforating ulcer breaks down from unconscious rough usage, but it heals on draining and laying open of sinuses. E. also suffers from dyspepsia, which yields to abstinence and drugs. E.s urine was highly albuminous early in the year, but cleared up about May

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(3.) PROVISION FOR INFECTIOUS DISEASE. The District Health Officer, Auckland, reports: — Provision for Consumptives at Auckland. —Plans for the proposed sanatorium at Tamaki were prepared for the Hospital Board, but in the end the scheme has been indefinitely postponed, while the Board propose to increase the temporary accommodation at the Costley Home, and an increased number of cases are to be received at the Government Sanatorium. This may be sufficient for the present, but cannot be regarded as more than postponing the time when the problem of adequate provision for the consumptive must be faced. The scheme for co-operation with the trustees of the Knox Incurable Home was a sound one, and it is to be hoped may yet lead to a satisfactory issue. We require adequate local accommodation for the incurable and dying cases, and as a preliminary stage for the observation of cases possibly curable, and this must be easily accessible from Auckland. No provision now exists for supplying suitable work for consumptives discharged from treatment wholly or partially cured. Opportunity was taken of the sitting of the Forestry Commission in Auckland to lay before them the suitability of employing such persons in tree-planting in the high plateaus round Lake Taupo. The Knox Home is now well on its way towards completion, and promises to be most satisfactory as to situation and plans. Infectious Diseases Hospital at Point Chevalier. —The value of this property was fully demonstrated during the smallpox outbreak, when 117 patients were removed there for treatment. The numbers were too great for the former very primitive and limited accommodation, and considerable additions had to be made. The use of floored marquee tents enabled those in charge to deal with the patients. Rotorua Infectious Diseases Hospital. —This building was completed, and the old building stripped of any useful material and burned down. The District Health Officer, Wellington, reports:— The Pieton Hospital Board have provided accommodation for 8 cases in a new detached ward. Provision is also being made at the new Hospital buildings in Gisborne in a special isolation block. The special temporary Hospital at Manataha, Waiapu, was again put into order and used during the year. The District Health Officer, Christchurch, reports: — After full consideration whether to abandon Bottle Lake Hospital and put up a new building on a suitable site for scarlet fever and other cases of infectious disease, the North Canterbury Hospital Board decided to extend the accommodation of the Bottle Lake Hospital by putting up a building more suitable for the accommodation of patients who cannot be accommodated in the existing ward but for whom accommodation existed in the form of shelters. For diphtheria and cases of infectious disease other than scarlet fever the new isolation block which has recently been erected at Christchurch Hospital is now available. This contains accommodation for 24 cases. Accommodation for consumptives at the Cashmere Sanatorium, additional shelter accommodation was added for 10 women and 3 men. The completion of the King George V Coronation Memorial Hospital for consumptives unfit for admission to the Cashmere Sanatorium was delayed through the strike. It will probably be completed within the next few months and will contain accommodation for 44 cases. (4.) SANITARY CONDITION OF DISTRICTS. The District Health Officer, Auckland, reports: — Auckland City. The absence of any evidence of plague for the past two years, and the steady diminution in the cases of typhoid, form a good indication that the city sanitary service is doing effective work. The returns as regards typhoid show 58 cases in 1911, 41 in 1912, and 26 in 1913, the latter including the recently added Borough of Parnell. The inclusion of Parnell and more recently of the Arch Hill Road District in the city is satisfactory as indicating that the public are beginning to realize that the day when the petty local body could justify is existence is over. Other suburban bodies are beginning to feel the presence of public opinion, guided by common-sense, towards union into one powerful corporation; and though the petty local politician, who rightly foresees that he will drop out of the limelight when his district merges in the greater body, and the short-sighted individual who sees nothing beyond a possible rise in rates in the scheme are still able to obstruct, their power is waning, and Greater Auckland is becoming something more than a pleasing theory. The work of the Drainage Board continues steadily, and early in the present year the outfall works will be completed and the greater part of the city able to take full advantage of sewer connections. It would seem a matter for regret that the powers of this Board do not extend further and enable them to carry the sewer reticulation work through, both in city and suburbs. The work done would then be on a definite system, and could be completed more rapidly on much more economical terms than under the present system of linking together a number of wholly independent small schemes. Auckland Suburbs. The breakdown in the suburban nightsoil service, which has been foreseen for some years, occurred towards the end of the year owing to the owners of the land at Purewa on which the B—H. 31.

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depot was situated refusing to renew the lease to the contractors. This was natural owing to the spread ot population in those districts making the land too valuable for any but building purposes. Ihe result, however, was unfortunate, since the Drainage Board sewers were not sufficiently forward to enable them to be used by medium of flushing-tanks. The suburban bodies in whose districts suitable land was available for land disposal one and all refused to sanction a depot Within their boundaries, ami the districts requiring the depot had no land suitable Ihe result was a deadlock, inevitable under the present state of local government, when the needs ol the district as a whole are made subservient to the prejudices of small sections of the community. An attempt earlier in the year to secure a depot on part of a Government reserve in the Mount Roskill district, which from the poverty of the soil and the isolated position was extremely suitable tor the purpose, was frustrated by the influence of the local authority In order to place the safety ot some fifty thousand persons in a position independent of narrow pre .indices, a clause was inserted in the Lands Empowering Act temporarily enabling the Department to select a site and authorizing its use despite the objections of the'local authorities Unfor tunately this common-sens, provision was passed so hampered by conditions thai its use was lost while the Act threw on the Department the onus of finding a suitable depot under impossible circumstances. The only lands left available are not those which would be chosen were the Department to be guided by public welfare alone. The position of the Department is thus weakened in meeting the objections of the residents in the neighbourhood of the sites they are forced tc.select. Ihe service, however, is being maintained, though on a somewhat precarious basis subject to the physical opposition of the objectors. In this unsatisfactory manner we may be able to struggle along 1,11 the opening of the sewers enables a more reasonable scheme to be inaugurated lor this most important but unsavory branch of public service. There is little new to report as to the sanitary condition of the suburbs generally As before, the lower slope, „f Mount Eden, Mount Albert, and Eden Terrace show a somewhat high infectious-disease return, due to the difficulties of sewage-disposal on clay areas These districts are urgently in need of sewerage. Grey Lynn.—The Borough Council were well advised in securing the old nightsoil depot which after a period of rest was available again for use. This district was thus saved from any ot the troubles related above. Devonport.—' This borough can no longer claim freedom from infectious diseases as in the old days, this decline is due in part to overcrowding of houses and in part to the failure of the Council to carry out „s own by-laws relating to stables and the keeping of animals generally Onehungar-The sewerage system is now complete, and the reticulation extends throughout the larger part of the borough. The outfall into the harbour has so far produced no visible pollution ot the beaches. Sanitary Condition of Country Districts. As before, the country districts have suffered from the presence of the Maori—living as he does half in and half out of civilization-Waikato and Thames Valley especially being affected It is gratifying, however, to note that smallpox failed to establish itself in the towns James Borough.—Mr. Franklin reports satisfactory sanitary progress here The chief problem there is again the subdivision of local government, since a large part of what is the town ot Thames lies outside the borough and in the county. The result is that much-needed schemes as to water-supply and sewerage are hampered by jealousies and conflicting interests Several visits were pa,,l „, the Borough Council on this question, ami a rough scheme outlined in which both borough and county could take part. A Drainage Hoard, representing both bodies and controlling water and drainage, is greatly needed. Te Aroha.—Tlus is a model small town which keeps sanitary needs well to the fore The sewerage system has been extended 60 chains during the year. Hamilton. —The drainage-work in hand has been completed, and a loan is being provided tor further extensions. Municipal baths have been provided. The abattoir has not vet been established, though sites have been' under consideration. Cambridge also has extended its sewered areas, and municipal baths have been constructed te Airamulii. A water-supply is being supplied, and sewerage will follow shortly Jauinaninui has suffered to a small degree from a tendency to overcrowd buildings on small sections. By-laws dealing with the matter have now been established. Ngaruawahia .— The long-desired drainage system for the two hotels has at last been esra Wished, owing to the welcome co-operation of the Licensing Bench. Tauranga has adopted a gewerage scheme, which is now beim; installed. Pukekohe.— The need for a sewerage system here has been recognized by the Council A report on the matter was furnished dealing with the best means for disposal of the sewage. The District Health Officer, Wellington, reports:— r ?K? f u ]V l ,! " fl 'Z Th " ?" aduall y W »8 tended to the outlying parts of Greater Wellington. Ihe general health of the city remains good. From time to time especially during the autumn months, there has been slight trouble with regard to the water-sunolv many complaints having been made of its peculiar taste. This matter has received twnsideraWe fttteri mm. and every effort has been made by the City Engineer to remedy it. The milk-supply which or many reasons has not been quite as satisfactory as it should be. has received much' -itten turn, and the Council have under consideration the question of establishing a municipal depot Many insanitary buildings have been dealt with in the course of the car either by demoHf,™ or the remedying of defects. • ' Wairoa.—k few septic tanks have been installed in this borough by private owners the effluent being discharged into (he storm-water sewers. These sewers, however, discharge by

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several openings along the front of the town into the river, and the Council have been urged, if they are to be made use of to any great extent for the reception of household drainage and tank effluent, to run a main intercepting sewer to discharge some distance below the town. Feilding. —The borough septic tank seems to be now working satisfactorily, but there is need for the extension of the sewerage system to parts of the town not at present served by the system. Bunnythorpe. —Some trouble was experienced in connection with the pollution of a creek by milk-factory wastes. Remedies have been suggested and are being put into operation. Hastings. —Much trouble has been caused by the condition of the rubbish depot in this town. The Council have, however, taken action to prevent a nuisance arising. Millerton. —Owing to pollution of the river through the township by the emptying therein of nightsoil and refuse, approval was given to a system of nightsoil service and refuse-removal. With regard to the former, the ordinary means of disposal by burying being impracticable owing to rocky nature of the ground, a special system has been adopted. Granity, Ngakawau, "nil /he/or. —A nightsoil service was proposed, but owing to the scattered nature of the three settlements it was decided not to go on with it. but action was taken to prevent the pollution of a lagoon by drainage from various premises. Westport. —No further action has been taken with regard to the sewerage scheme for this borough. It is to be hoped that some satisfactory solution to overcome the special difficulties will be arrived at shortly. Petone. —The Petone Borough Council are preparing to instal a sewerage system. Many insanitary buildings wen- dealt with in this borough. Gisborne. —Considerable pollution has arisen in the Taraheru River, due principally to the discharge of meat-works drainage in the upper reaches, and to the fact that there has been no flood recently to scour the river out. Measures have been taken to prevent any further pollution. Action has also liccn taken to prevent the pollution of the foreshore at Kaiti from a similar source. Considerable improvements are being effected in the general sanitation of this borough. but there is yet much room for improvements. The sewerage system is being pushed on with. but has mil yet been fully completed. Many insanitary buildings were dealt with iii the borough, and foodstuff premises received much attention. Johnsonvllle. —The railway cattle-yards in this township caused some nuisance, but arrangements have been made for improvements, which are now being carried out. The Town Board was also advised to take action to improve the condition of privately owned saleyards. Main insanitary buildings in this township were dealt with. I.ansdowne. —Water-supply: Measures have been taken by the responsible authority to improve the condition of the race bringing the water to the reservoir, but other important work in connection with the improvements of the supply has not yet been carried out, owing to want of funds. Nelson. —The sewerage system of this town still gives considerable trouble owing to the fact that the subsoil water finds its way in in quantities sufficient to interfere with the action of the septic tank. Improvements are gradually being effected, but at the present rate of progress it will take some time to get this matter right, and at present all the sewerage passes direct into the harbour. Many insanitary buildings have received attention. Kaiwarra. —Several insanitary buildings have been dealt with. Otaki. —The Town Board is at present considering the question of a public water-supply and sewerage system. The District Health Officer, Christchurch, reports : — Kaikoura County. —Duplicate regulation nightsoil-pans adopted in place of oil-drums, <fee. Rangiora Borough. —ln place of the nightsoil being removed by private contractor, who collected his own fees, the Borough Council have the work done by contract, fees being payable to said Council. Sumner Borough. —aA new refuse-destructor has been built by the Borough Council to deaf with the house refuse collected in the borough, and has been working for six weeks. Spreydon. —A fortnightly service over the whole borough for the collection of household refuse has been instituted, the refuse being tipped at a special depot in the borough. Ashburton Borough. —The sewerage scheme is being prepared, but unfortunately the Borough Council does not intend to proceed any further at present, but a high pressure of water-supply is now available, so that the borough can be easily sewered. It is certainly time this scheme was proceeded with. Geraldine, Mataura, Invercargill, Cobden, Blackball, and Runanga have made no advances in obtaining water-supplies or sewerage schemes. Timaru Borough. —The new sewerage system for the borough is Hearing completion; the southern outfall has been completed, and the house connections in that area are mostly joined to the sewers. In regard to the northern outfall, some difficulty has been experienced with the Monier pipes which had been laid, especially those pipes which lie alongside the railway embankment. The vibration caused by the railway traffic seems to have broken most of the joints, necessitating this line of pipes to be lifted and relaid on a much stronger bed of concrete. This work is well in hand, and it is expected that house connections in the northern part of the borough will be allowed to join the sewer in the course of a few weeks. Plans are being prepared to instal a pumping plant at the north and south ends of the town to remove the sewage from a number of premises which cannot empty the sewage by gravitation into existing lines, and when this is completed the entire borough will be provided with a satisfactory sewerage system.

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II annate Borough. The house connections in the sewerage area are almost completed, only twenty remaining unconnected, and of these some contracts are let. The .siphons at the septic tanks have never given satisfaction, and repairs are Ixjing carried out at present to improve them, and a new sewer extension is being laid in Cameron Street to take the sewage from the Catholic Presbytery, Catholic School buildings, and the Convent. Temuka Borough. —The new high-pressure water-supply system was completed early in the year, and a huge number of connections ar< being made. The source of supply is the Waihi River at a point above Winchester, the water being conveyed to the borough by iron pipes, and is giving satisfaction. Caul,h,a Borough.— Owing to the Road Board posting up notices prohibiting the dumping of refuse on the river-bed, some difficulty is being experienced in householders getting rid of their refuse; but the Borough Council are corresponding with the Land Board officials to secure a vacant suitable site near the town for the purpose, which will considerably improve the position. Gore. Sewering of number of outlying streets now completed. Mataura. —Drainage scheme for the borough now completed, with exception of small section of •')« in. outfall sewer to river. Winton. —A system of collection of household refuse has been commenced here, rubbish being tipped in gravel-pit some distance from town. A ightcaps. —A nightsoil service has been inaugurated (sealed-pan system), and is working satisfactorily. Invercargill. —During the year splendid progress has been made with the Invercargill central drainage scheme, which is rapidly Hearing completion. It is hoped to commence house connections within the next lour months. Over twenty miles of cast-iron water-mains have been put down in the suburbs and outlying parts of Invercargill Borough. The bore for increased watersupply is now Hearing completion. The drainage and sanitary appliances of Southland Hospital, Invercargill, have been completely remodelled. Greymouth. —'l here is steady improvement in ihe general sanitation of Greymouth, house drainage receiving thorough inspection ami supervision. The Borough Council has cancelled al! drainlayers' licenses in the borough, and has appointed one man to do the whole of the drainlaying. The effect of this has been that there are no " jerry " drainlayers in the town, and the work is easier to supervise. A lieu sewerage scheme is urgently required for the borough, as the present sewers are badly laid and are practically useless, consequently sanitary progress is by no means what it ought to be, the want of finances in the borough being the primary block to such progress. The installation of a nightsoil-tank is a decided improvement on the old system. The tipping on to a paddock near the Hospital was a great nuisance, and a breeding-ground for flies. This has been done away with, and all the nightsoil is tipped into the tank at night and discharged into the river at half-ebb tide, being afterwards Hushed with water and sprinkled with disinfectant. There is not the slightest smell. Cobden. -During the year ihe Labour Department has erected several workers' dwellings in Cobden, the drainage for which was inspected and supervised by me at the request of the Labour Department. Owing to the absence of a sewerage scheme in Cobden the household wastes are collected into a 6 in. main and discharged into a small watercourse, and will cause trouble in the future, I am afraid. At the conclusion of the work I certified to the Department that the work had been carried out to my satisfaction, although I did not necessarily approve of the scheme by ihe issue of such certificate, but only in respect to the manner in which the work had been done. It is a matter for regret that the Labour Department did not submit the plan of the estate to the Health Department for a drainage scheme. If this had been done a septic tank could have been installed on the estate and each section loaded with their proportion of the cost, which would have been little more than the present scheme has cost. Water-closets could then have been installed in each house instead of the pan system. Reefton. —There has been a decided improvement in the general sanitary condition of this town, which is likely to be maintained in the future. One condemned building has been removed and replaced by an up-to*-date shop. Other substantial buildings have been erected, and altogether the prospects are very encouraging. (5.) SANITARY CONDITION OF THE NATIVES. The District Health Officer, Auckland, reports ; The welfare of the Maori has occupied the prinoipal share of the Department's attention in the Auckland Province during the year, owing to the epidemic of smallpox, which singled out these people in a most remarkable manner. It is pleasing to be able to put on record the fact that the Natives —backward as they are to take up sanitary matters on most occasions—showed a most exemplary willingness to comply with every requirement made on them in dealing with smallpox. Their willingness—indeed, eagerness —to undergo vaccination was a pleasant change from the indifference and opposition of the European, and the patience and thoroughness with which they observed the restrictions as -to travelling and isolation was an object-lesson to their white neighbours. That the disease was got in hand in four months must to a great extent be accredited to the whole-hearted co-operation of the chiefs and leading men in the various settlements. I am glad to take this opportunity for recognizing with gratitude the voluntary help the Department received from various persons interested in work among the Maoris. Among these the Rev. Archdeacon Hawkins stands out prominently, who by personal influence did much to encourage the Natives in observing the sanitary laws. At his own suggestion he received instruction in the method of vaccination, and on bis travels in outlying parts of the districts was able to operate on Natives who otherwise would have been difficult to reach.

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Of the value of Dr. Buck's work in the north it is impossible to speak too highly. His great influence with the Natives, as well as his professional skill, was a big factor in suppressing the outbreak there. Typhoid, as usual, has found only too encouraging a nidus in the Native settlements. Eight separate outbreaks have to be recorded, as follows :— Paeroa (Ohinemuri County)— January and February, spreading all through Thames Valley. Whakatane (Whakatane County)— February. Mataura Bay (Thames County) —March. Ohaeawai (Bay of Islands County) —March. Waahi (Raglan County) —March. Matakana Island (Tauranga County) —June. Whangaroa (Whangaroa County) —July. Oniania (Hokianga County) —November. There xvere thus serious epidemics in progress in different districts practically continuously throughout the year. It was necessary to establish temporary hospitals at Paeroa, Ohaeawai. Whangaroa, and Omanaia. The Paeroa and Thames Valley outbreak was the most serious, some 65 cases occurring during the first three months of the year. The outbreak at Whangaroa was also severe, 19 cases being under treatment in hospital. 1 visited the Thames and Piako Native settlements during the epidemic, and addressed meetings of Natives upon the causes and methods of avoiding the disease. To the very primitive ideas on water-supply one can attribute much of the trouble. At one Native settlement visited the supply was obtained from shallow wells. At some time the Natives had been instructed to dig a shallow trench round the top of the well to prevent surface water entering. The purpose of this trench had been forgotten, and we found that it had been utilized as a convenient place for the disposal of all the household filth. The reluctance of the' Native to relinquish the old custom of holding prolonged tangis over their dead also is a grave source of anxiety to the sanitary officer and the nurses. Much disease is spread at these meetings held over the departed, and unless the scheme for notification of deaths among the Natives is enforced it will be difficult to check this danger. The tohunga also continues to do harm. In otic case in which the lohunga proved to be a white woman a warning was issued. By her ignorance of the true nature of the disease, and the failure to take precautions. she had probably been the means of spreading infection. Native Nubsing Service. Under Miss Bagley's able management this important branch of our work is beginning to assume the importance it deserves. The Natives are at first suspicious, but soon learn to rely on the nurses and to welcome them and assist them in their work. During the smallpox epidemic Miss Bagley and her staff were untiring, and their organization of temporary hospitals for this and during the various typhoid outbreaks, at short notice, showed what systematic training can accomplish. That these camp hospitals could be established in a few days and be run without a hitch and give results equal to permanent institutions reflects the greatest credit on Miss Bagley's power of organization. In the Rotoiua district Nurse Anderson's work was rewarded by a most satisfactory absence of typhoid even during the outbreaks at Thames and Tauranga. During the earlierfpart id the year Nurse Dawson was appointed to the Thames district, and soon had established herself as a favourite with the Maoris. Her work was exceptionally heavy owing to the widespread typhoid outbreak. Nurse Mataira was occupied chiefly in the Bay of Plenty district, where she succeeded in getting the Natives to adopt modern methods in the Opotiki district. For Whakatane a satisfactory scheme of co-operation between the Church of England Native Mission and the Department was formulated, and Nurse North was appointed to the work. In the Bay of Islands district and at Paeroa arrangements for co-operation between the nurses engaged on mission work and the departmental nurses were made. Nurse Taare was occupied chiefly in dealing with epidemics of typhoid and smallpox in various parts, and did excellent work all through. Temporary appointments were made also for nursing during the epidemics of typhoid and smallpox. At Te Ahuahii camp Nurse Stephenson, who had done excellent service, had the misfortune to contract typhoid herself at the end of the outbreak; and. though very seriously ill, I am glad to say a good recovery was made. It, illustrates the dangers which our nurses face cheerfully and without fear. In the Bay of Islands Hospital District Nurse Hawken was appointed during the latter end of the year. It is unfortunate that the Hospital Boards generally do not appreciate the importance of the Native nursing service in their districts. Save at Thames the scheme is regarded with indifference or active opposition, although the only contribution asked of these bodies is that they should assist in the matter of travelling-expenses. The District Health Officer, Wellington, reports : — Improvements with regard to the sanitary conditions in the various pas are gradually being effected, especially ill the direction of enforcing the provision of more sanitary methods in con met ion with the privies. Many old insanitary whares have lieen condemned and new and more up-to-date habitations built. Muriwai Pa. in which last year many cases of enteric fever occurred,

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has now been almost rebuilt, several modern houses taking the place of old insanitary buildings which were condemned. During the prevalence of the smallpox epidemic in the north systematic vaccination of Maoris in this district has been carried out. The District Health Officer, Christchurch, reports : — Throughout the year tuberculin treatment was given in Tuahiwi and Little River pas. In Tuahiwi 67 children were under observation, and an average of 38 received tuberculin injections and iodine-painting every week. At the last examination in the year 25 per cent, of this number showed disease arrested. In Little River 9 children were treated, and with one exception made satisfactory progress. In these two pas special drill and breathing exercises were given in the schools, the children were weighed every week, and weekly visits paid to the homes and instruction given to the women about diet, ventilation, means of preventing spread of disease, &c. Frequent visits were paid to Te Waipounamu College for Maori girls, where several pupils were under observation. In Rapaki, Temuka, Port Levy, and Moeraki all the homes were visited and the school-children examined and treatment advised where necessary. During the year 43 children were taken to the Christchurch Hospital for the removal of tonsils and adenoids. July was spent assisting the doctors to vaccinate the Natives in the different settlements. (0.) SANITARY INSPEI TION. The District Health Officer, Auckland, reports : — The work of the Sanitary Inspectors resulting from the smallpox outbreak has been exceptionally heavy during the year, and without exception they have responded, with credit to themselves and to the Department, to the unusual call on their services. Their untiring efforts and their willingness to face any duties, no matter how dangerous or disagreeable, have provided the only satisfactory feature of the epidemic. Whatever criticism may be offered to the Department throughout this affair we can at least point to the work of these men with satisfaction as deserving the highest praise and the gratitude of the community generally. The formal records given below offer b :t a small indication of the heavy work which our Inspectors have done throughout an unsually busy year. Two changes in the permanent staff have been made (luring the year. The work in the north necessitated Hv» appointment of a second officer, therefore Mr. Skynner was detailed for duty in the Bay of Islands Hospital District, while Mr. Shenton was appointed for the MarsdenKaipara Board's work, and began his duties on the Ist March. The rapidly increasing population in the Waikato district necessitated the appointment of a second Inspector to relieve Mr. Bennett. Mr. Calderwood was appointed to the southern part of the Waikato Hospital District, with headquarters at Taumarunui. Mr. Bennett retains the northern district, and this decrease in area enabled us to accept the offer of the Hamilton Borough Council to appoint him Sanitary Inspector for the borough. The local authorities throughout the district have increased their subsidies to secure the services of the Inspectors for the local work. The District Health Officer, Christchurch, reports : — Both the Lyttelton and New Brighton Boroughs have delegated their powers of sanitary inspections to the North Canterbury Hospital Board, the former borough paying £50 for this inspection and also for the inspection of any drainage and plumbing work, and the latter borough paying £15. During the year the Oaniaru Borough notified the Department that it wished to discontinue the payment of £60 a year for the services of Inspector McKenzie. Inspector McKenzie was subsequently transferred to Christchurch as Inspector of Weights and Measures. Special inspections have been made by Inspectors in connection with the following matters : — North Canterbury : Seventy-four hotels were inspected in the Christchurch, Avon, Riccarton, and Lyttelton Licensing Districts. Drainage of Christchurch abattoirs. Offensive trade at Sockburn. Drainage from offensive trade into Heathcote and Avon Rivers. Yaldhurst camp, water-supply. Ashburton : Preparation of plans and specifications have been made of several private premises in the counties. Grey: Supervision of alterations to hospital buildings and installation of electric light and steam heating appliances. Invercargill : Supervision and testing of drainage at the Southland Hospital. i Hotel Inspections. The District Health Officer, Auckland, reports:— During the year 418 sanitary inspections have been made, and reports in many cases furnished to the Licensing Benches. 'I his system of co-operation with these licensing bodies has been productive of most satisfactory reforms as regards the condition of the building. The District Health Officer, Christchurch, reports: — In furtherance of the object of resolution 10, passed by the Conference on the Administrative Control and Treatment of Tuberculosis, " That it be a recommendation to the Licensing Com mittees that periodica] cleansing of hotels Ik- carried out," a circular letter was sent to all Licensing Committees in the district, suggesting that the best way to give effect to ibis recommendation would be' to instruct the reporting police officer to make a special note in his annual report as to the cleanliness or otherwise of the hotels, and an offer was made of the assistance of the Department's Sanitary Inspectors if required.

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The Licensing Committees of the Christchurch, Avon, Riccarton, and Lyttelton Districts accepted the assistance of the Department's tnspeotor, and an inspeotion was made in oompany with the police officers. From inquiries made regarding the use of disinfectants and methods of cleansing, ii was found thai almost without exception liquid disinfectants were added to the water used for cleansing, and that daily cleansing of public and sleeping rooms was carried out. Inspection revealed a comparatively large number of defective and inadequate public conveniences, which were reported on to the Committees concerned. In the majority of the houses where defects existed repairs were carried out before the annual meeting of the Licensing Committee. In the others the granting of licenses was deferred by the Committee till alterations were made, which in all cases have been satisfactorily carried out. Then' is, however, need fur improvement in the appliances used for glass-washing. The common practice found t<. exist was that of emptying the leavings from the glasses into a receptacle kept for the purpose, rinsing the glass in heated or cold water held in a small tub, ami standing the glasses to drain mi a perforated tray, and then wiping with a towel. The water in the tubs is supposed to be changed twice or thrice a day, but the contents of some tubs indicated gross pollution to exist before the water is changed, hence a needed improvement is that all public bars supplying drinks should be required to be provided with sinks having overflows and waste pipes fur discharging purposes, ami hot and cold-water taps fixed over them, and all glasses washed in running water. In oompany with the Inspector of Police I have inspected a large number of hotels in the district, and reported to the Licensing Committees of Grey and Westland all sanitary delects. In all eases the Committee ordered the work to be done to my satisfaction. The two Cobden hotels were condemned and reported by me as being unfit to hold licenses, and after inspection by the Committee it was unanimously decided to refuse the licenses until the houses hail been rendered fit to my satisfaction. The result was that one was practically rebuilt, and the other was entirely rebuilt. This decision is a very important one, and will create a splendid precedent for the future regulation of sanitation in hotels. I also reported to the Committee that overcrowding in bedrooms exists in several hotels, and the Chairman warded the trade that, although he did not see clear to take any action at present, he would seriously consider the matter at the next annual meeting. In this connection 1 should be glad of your advice in Ibis matter, and whether less than 000 cubic feet of space can be allowed per person where the only means of ventilation is by opening the windows.

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Summary of Sanitary Inspections, Auckland District.

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Food-sellers' Pn raises. Factories. G. eral. Nuisi ices. District. E § g I I I 1§ ! * t 1 I « W M i 1 1 I = ■ Si. »| J .1 m jo £ £ * I "S i i I S| 11 a l 1 I ' .. 10 5 .. I .. .. 1 .. .. I ■ 4 I 28 Auckland — Total number inspected Number in which defects existed Number requiring requisitions Bay of Islands — Total number inspected Number in which defects existed Number requiring requisitions .. Marsden-Kaipara — Total number inspected Number in which defects existed Number requiring requisitions Thames {including Coromandel and Waihi, — Total number inspected Number in which defects existed Number requiring requisitions Waikato North — Total number inspected Number in which defects existed Number requiring requisitions Waikato South — Total number inspected Number in which defects existed Number requiring requisitions Rotorua and District — Total number inspected Number in which defects existed Number requiring requisitions Bay of Plenty— Total number inspected Number in which defects existed Number requiring requisitions .. % .. 33 • 1 :: ! :: .. 38 4 . . 48 . . :: :: :: . . 106 20 e g 4 r> .. 223 250 .. to n 2 .. 4 2 4 2 55 14 ..27 I .. 21 1 .. 58 • ■ ■ ■ 2 7 1 1 8 25 8 6 2 33 5 4 50 40 17 1 5 3 20 31 30 170 6 23 2 . . 2 32 i 2 I h i.. 124 47 21 L6 13 10 0 13 4 .. .. 33 I .. . . . . 5 .. ...... .. 13 .. 34 I 2 .. .. 3 .. 13 .. .. ' 97 9 .. . 42 . . . . 39 . . .. 2,734 .. 217 217 ■ 1 7 1 .'.124 3 107 3 23 434 7 41il 3 137 61 9 17 1 I 1 43 29 15 6 . . 32 I 14 14 II 10 4 6 6 23 2 52 70 48 30 4 24 2 14 2 4 2 .. 5 49 3 7 2 7 1 1 1 8 3 1 1 1 13 13 10 4 4 1 1 20 16 14 18 3 50 32 24 73 ! S 41 I 10 33 ! 9 4ii 52 5 33 26 5 25 5 2i e 88 1 62 .. 45 . . 67 25 25 110 4 1 1 141 33 16 5 lid 4 1 1 126 10 7 5 88 228 27 14 11 3 61 1152 is 5 26 ] I .. 151 38 I 6 ., 51 4sl 4 32 2 32 Id 109 2 7 7 183 15 15 IS 4 4 2 2 2 12 0 6 54 3 54 3 54 3 66 <i7 " 50 2 2 01 17!) 11 102 2 2 36 9 8 17 .. .. 89 n .. .. ! 1 3 80 14 45 15 2 .. 7 I 2 .. 7 1 .. .. 90 4 29 682 2 li 7 12 306 3 2 .. 31 •• 12 12 12 72 Hi 72 Lβ 72 Hi 100 !lll 18 3 2 Iβ 49 3 8 I 7 27 12 7 7 0 1,568 2 2(i<l 2 127 . 27 98 1 23 1 5 162 48 39 5 14 2 .. 2 23 2 418 43 43 6 1 74 23 33 10 24 11 15 13 17 89 01 4 8 78 .. I .. 9 ■ 4(i 1 2 2,336 1 30 107 61 8 7 7 17 . . 15 .. 12 .. 22 17 . . .. I

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Summary of Sanitary Inspections, Wellington- Hawke's Bay- Nelson District.

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65

i Food-solleiV Premises. Factoli ies. mcral. Nuisances. District . I I I I.I I I I I ~h I a pq ! ?J ii j ii I 1 Q 1 3 O -r. to O 30 I I 5. < S Number inspected Number in which defects existed Cook— Number inspected ..„., Number id which defects existed Number insj>ected Number in which defects existed Hawke'eBay- Waipawa — Number inspected Number in which defects existed Number inspected Number in which defects existed Hawera-Stratford — Number inspected Number in which defects existed Number inspected Number in which defects existed Palmerston North — Number inspected Number in which defects existed Wellington — Number inspected Number in which defects existed South Witininijxi — Number inspected Number in which defects existed Number inspected Number in which defect- existed Number inspected Number in which defects existed Nelson — Number inspected Number in which defects existed • ■ * \ . . 23 3 .. 14 2 .. 11 .. 7 4 9 7 22 7 .. 3 .. 3 2 1 .. .. 1 .. 1 .. 6 .. .. 2 .. 1 .. .. 37 I 7 15 7 26 20 12 :!."> . . 9 3 4 1 .. .. 5 16 .. . . 96 12 48 26 63 45 60 8 .. ..113 .. .. 26 66 37 .. 51 1 .. 104 .. .. 22 97 11 37 .. .. 14 .. .. 2 4 .. 3 .. .. .. 34 4 20 17 21 17 16 8 .. .. 80 8 15 W 70 7 10 .. .. .. 2 .... 1 .. .. 2 .. .176 .. 106 63 158 50 107 IS .. .. 15 .. 10 7 15 .. 10 4 .. .. 68 i .. .. 14 98 24 51 25 2 1 .. 3 .. .. 6 .. 5 3 17 1 .. 7 .. 3 .. 1 23 14 11 :i 1 37 96 113 51 104 14 7 3 12 7 3 1 15 4 48 4 7 1 26 26 22 2 3 .. .. 2 .. .. i) 7 22 A .. .. 2 6 .. .. 26 20 12 5 63 4.") 60 Bβ 37 .. I .. .. 97 1 1 37 t .. 3 21 17 16 49 70 7 1 .. .. 7 22 2 • 7 1 2 . .1 36 8 8 1 2 9 III 2 4 24 6 8<S 54 3 87 1 2 2 . 1 I 17 12 121 3 3 4 3 27 271 4 363 37 34 2 731) 97 37 296 18 6 1 12 1 20 i ill 13 5 77 4 s 1 24 4 9 s 40 15 101 29 13 88 (i 12 3 Hi 1 2 27 II 4 (ill 3 2 L6 3 in 7 5 8 4 2 2 2 31 26 4 2 36 1 43 19 34 3 (I 9 ."> 3 14 38 14 38 .. 37 3 3 10 12 .. I .. 5 ii 30 1 .. 14 14 3 10 41 41 :i 21 Ii 93 i>2. !l 22 3 7(1 52 50 37 !• 20 49 L>!l 34 4 20 17 8 23 8 2.", 221 33 24 20 !) 7 Iβ :; 34 4.T 80 2 8 16 In 2 41 30 2 883 191 .") 11' 2 24 2 (I 9 14 47 ii r,2 3 60 a 56 52 .->.-, .. .. .. .. .. 1 T<» 15 106 10 63 7 158 50 H>7 15 .. 10 98 24 51 1 .. 3 18 4 166 (I !I4 7 11 1 L13 1.444 7(1 66 10 93 7 15 .. 135 I.", 36 22 80 61 217 2(11 .. 68 2 14 2.") 97 12 4:; 4 610 127 II I f><> 56 56 .. II .. 139 7 147 . . 141 .. 147 147 141 6 5 3 3 17 1 .. 1 .. .. 7 2 1 27 11 6 4 3 1 .. 1 .. 4 3 1 2 13 12 12 12 6 ■ ■

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Summary of Sanitary Inspections, Canterbury, Westland, and Southland District.

Fnni mDnm' Pi ■lnises. Ovneial. Nuih; laces. w<. District. i § i I 3 ■ = |l I - - - - I :r;I j i J > i i i. u i gi 1 1 as J? 3 e> m o III |_« 9 North Canterbury — , Total number inspected Number in which defects existed Number requiring requisitions .. Total number inspeoted Number in which defects existed Number requiring requisitions .. South Canterbu ry — Total number inspected Number in which defects existed Number requiring requisitions .. Total number inspected Number in which defects existed Number requiring requisitions .. i ..24 7 14 4 .. :: 2 7 :: .. 29 s i 7 2 4 It .. 10 13 IT .. 13 I . . . . 2 1 . . 1 . . 4 1 . . 1 2 2 4.". I S 18 93 :t 4 20 :t I .-> 21 17 10 2 10 (>3 'I .. .. ■2 I I I -2 .-.51' I -2 I I .". -21 2 9 .. 10 .. 10 .. 10 1 1 . . 2 . . 8 30 I 5 '.i . . 1 2 .. .. .. .. 3 5.. 2 2.. 4 4 12 l>54 Id 28 26 . . II 2"i .. 7 .. .. 5 34 I I II 2 15 Hi .. .. 1 3 I L 10 2 .. .. 1 .. :; 106 B 22 2 .. :! 1 . . 16 :t • I .. (i .. I ••!•• .. .. .. .. .. i .. .. Grey — Total number inspected Number in which defects existed Number requiring requisitions .. Total number inspected Number i" which defects existed Number requiring requisitions .. ManioMo — Total number Number in whicb defects existed Number requiring requisitions . . Vincent — Total number inspected Number in which defects existed Number requiring requisitions .. Otago — Total number inspected Number in which defects existed Number requiring requisitions .. Southland — Total number inspected Number in which defects existed Number requiring requisitions .. Wallace and Fiord — Total number inspected Number in which defects existed Number requiring requisitions .. .. 136 ti 7 .. .. 38 3 8 1 1 .16 1 .. IN .. 5 .. 115 28 .. 45 13 .. 13 .. .. 23 3 7 .. 3 .. 3 .. 6 4 17 14 .. 6 !l 4 3 10 IB IS 4 I 27 3 1 .. 4 (i I : .. :i .. 1 1 3 4 Ii II .. .. .. :i 3 4 .. I .. (i (i 10 14 .. .. :; :! 283 1 98 10 I 15 .. .. .. 319 23 10 22 .. I 5 .. 1 69 13 111 15 4 5 7 I I 9 29 36 .. . . ."> 3 -2 Hi (i 4 .. 16 (i 12 .. .. 16 20 (i 111 18 12 II 6 3 2S 13 28 13 48 80 49 17 7 411 .. 62 I 13 2 22 28 I! 2 :j, !) .. Ill .. .. .. 2 3 7 .. 12 .. 1 4 I 4 1 128 15 26 17 5 4 7 2 2 87fi 30 13 196 .. 11 131 .. 5 7 .. :; 7 .. 11 20 i .. 3 :i 1 .. .. 2 .. 6 8 ■ 1 . . . . 1 .. 3 5 8 2 .. 8 .. 15 20 .. :i 3 2 .. .. I .. 7 Id 1 . . . . 1 . . 5 ii 24 55 14 44 II 109 196 I 317 17 2 23 :i 9 I 59 I Id .. .. 5 1 6 .. * 28 (il 8 2 2 13 2 :> It) I 24 17 3 .. I 4 2 4 15 I .. .. 3 .... 4 1 2 12 .. 24 17 2 .. 3 7 .. in 7 2 . . 3 ."> .. .. 1 .. 3 3 . . 17 3 3 3 5 5 5 2 6 I .. 23 1 .... I .. 2 .. 2 1 .. 9 I .. .. ' 1 .. 2 . . . . 1 . . 4 1 1 I 5 1 I 5 1 1 433 17 19 201 4 2 lilt 2 2 17 17 2 7 .. :: :: :: :: :: :: :: :: :: ! :: 2 166 13 ' 10 41 .. .. 32 .. ..

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(7.) OFFENSIVE TRADES. The District Health Officer, Wellington, reports : — Special inspections with regard to offensive trades were made at Feilding, Petone, and Haiwarra, the boiling-down works at the latter place haying given rise to many complaints from residents in the neighbourhood owing to nuisance. This was largely due to the laok of an efficieni water-supply, bul work is m>« being undertaken to remedy the evil. .\n application For the establishment of a fellmongery at Petone was received, and plants lor the reconstruction of an existing building to make it suitable for the purpose were approved, The Distrioi Health Officer, Christohurch, reports: — North Cantekbi ri . No new permits have been granted in the district during the year. One firm treating sausage-oasings gave up a long-established factory and removed to other licensed premises in the neighbourhood. Several improvements were made in connection with drainage arrangements from offensivetrade premises in the Woolston district, which will tend to lessen the pollution of the Beathcotc Kiver. Otago. One application was received for the establishment of offal-treating plant in this district. The Cliristeliiireli Meat Company (Limited), ni the Burnside Works, are experimenting with ozone as a purifying agent in the treatment of noxious gases given of! from manure-driers, but so far the results have nut been entirely mtist'actory. (8.) INSANITARY BUILDINGS. The District Health Officer, Auckland, reports: — During the year the following condemnation certificates in respect to buildings were issued: Whangarei, I ; Hamilton, .'i ; Auckland, 2; Taumarunui. I : Thames. 1 ; Rotorua, I ; Otorohanga, 1 : Ohinemutu, I ; Maungatautare, I ; Matangi, I ; Murapara .1. Many old sheds and whares were destroyed in Native settlements as part of the measures taken to suppress smallpox. The District Health Offioer, Wellington, reports:— Many premises were inspected owing to insanitary conditions, and in connection with these condemnation certificates were issued for fifteen buildings, and a requisition for repairs in lieu i<l , demolition for L'(> buildings. The District Health Officer, Christohurch, supplies the following information:—

(ii.) BY-LAWS. The District Health Officer, Auckland, reports: — Sanitary by-laws were dealt with for the following bodies: Taumarunui (building areas); Kohiikohu (general sanitary matters); Mount Roskill (general sanitary matters): Pukekohe (general). The District Health Officer, Wellington, reports: — The Mangaweka Town Hoard passed sanitary and plumbing by-laws for their borough By-laws were also approved for the Rangitikei Countj Council and the Hawera Borough. The Horowhenua County Council wire recommended to adopt by-laws with regard to front ages for new premises in the township of Shannon.

Insanitary Buildings. Hospital District. Local Authority's District. Condemned. Repaired under Requisition. North Canterbury Otago Inangahiiii Grey Southland Wallace and Fiord 0 ( Ihratchuroh City Woolston Borough . . Riccarton Borough .. Sumner Boiough Heathcote County Kaiapoi Boiough Dunedin City Taieri County Eteefton Borough Greymouth Boiough Invercargill Wallace County 8 5 I I I I I 9 " ' i i 17 60 4 I I I I t> Totals 70 70 70 70

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The District Health Officer, Christchurch, reports:— Rangiora, Spreydon, Xow Brighton, and Mosgiel Boroughs, and the Waimairi County Council, have made improvements in their by-laws which give these boroughs more power in obtaining a better standard of drainage and plumbing-work and control over the installation of septic tanks. Temuka Borough Council has adopted i lern sanitary by-laws relating to all draiuage and plumbing-work in the drainage area.

(10.) LEGAL PROCEEDINGS UNDER THE PUBLIC HEALTH ACT OR LOCAL BY-LAWS. Auckland District.

The District Health Officer, Wellington, reports: — No special legal proceedings beyond those under the Sale of Food and Drugs Act were taken.

Canterbury, Westland, Otago, and Southland District.

(11.) QUARANTINE INSPECTION OF OVERSEA AND INTERCOLONIAL VESSELS. The District Health Officer, Auckland, supplies the following return:—

Result of Proceedings. Defendant. Offence Act or By-laws under which Proceedings taken. Bate of Hearing. -Name of Magistrate. Fines. ! Costs. I!.. Frankton l>.. Rotorua K., Thamee S., H.. \\\. I:.. Waahi I b. d. E s. (I. Unlicensed pig-keeping .. Frankton by-laws 24 2 13 Mr. Rawson 0 10 o 0 7 0 Pigs improperly kept .. ,, 24 2 13 .. Convicted o 7 o Non-provision of drain .. Rotorua by-laws 12 I 13 Mr. Dyer .. n •"> (I (I 7 n W.c. without window .. ,, 22 4 13 .. .. Convicted Defeotive sanitary work .. „ 22 1 13 .. .. i> 5 (i 0 7 0 .. Defective stable .. .. „ 22 4 13 .. .. 0 5 0 0 7 I) .. Stable too near dwelling .. ., 22/4/13 „ ..050070 Dung deposit near dwelling .. 22 4 l.'i „ .. 0 j> 0 0 7 0 . . Defective floor to stable .. .. ; 22/4 13 „ .. 0 5 0 0 7 0 Non-removal of dung .. .. i 22'4 13 ,, .. Convicted Plans not furnished .. .. 22 4 [3 .. .. o ."> n 0 7 0 Breach of quarantine .. Publio Health Aoi 8/9 13 Mr. Burgess 2 0 0 0 B 0 8/9/13 .. 2 (> ii (i 8 0 8/9/13 .. Convicted 5 Iβ 0 8/9/13 .. .. 5 16 ii failure to notify ■ .. .. 14/11/13 Mr. Rawson Conviction i "I

Defendant. Offence. "SVSS/ - Date Of Name ol IT"c- t ,,l,n«s. Hcaril.K. Magistrate. IlelualUFines. Costs. Name ol Magistrate. Rusiilt of I'l'ict'cdings. Defendant. ' iffenoe. Finns. Costs. L., Rangiora .. [nsanitarj building Public Health Ac! 8., Riccarton .. Constructing M'ptie Waimairi County taitk without pelmil S. \\\, Riccarton Ditto . .. „ I... Riccarton .. Failure to comply Public Health Act wit li notice I , '.. Riccarton Ditto .. .. ,, A. G., Riocarton Constructing septic Waimairi County tank without permit F. II. W., Kaia- Failure to pull down poi huililiti'j £ s. (I. £ s. d. I 2 i:< Mr. Bailey .. .. .. Withdrawn, premises altered. I s 13 „ ..200180 87/8/13 „ . . .. 110 Charge not pressed owing to promise to comply. Settled out of Court, defendant paid costs. Ditto. Sett led out of I lourt ; defendant paid cost e and took out permit. Withdrawn owing to 0 0 m p 1 i an ee after issue of summons. Ditto. li. II., Kaiapoi Ditto I!. M., Kaiapoi A. K.. Ashburton Exposure of infected Public Health Act Hut hin.Li N. H., Makikihi I Travelling in train ,, « li i I > t suffering Iγ (i in infectious disease I!. I". ('.. Gore.. Failure to comply with notice 20 ii 13 .Mi. Day .. .. 0 7 0 Convicted. 10 7 13 „ .. .. I o 7 0 Convioted and warned. I 13 Mr. Voung .. .. 0 7 0 Repairs carried out previous to hearing, iiut after issue of summons. K s 13 Mr. Cruickshanka .. n 7 o Convicted; work done aft e C s li til 111 o li .-. ■ issued. J. G., Makarewa Insufficient privy accommodation

Port. i'c.ri Health Officer. Number e>1 Vessels inspected. : Auckland Helens ville Kaipaia Russell . . Whaugarei Dr. Sharman Dr. Meinhold I),. Horton Dr. Eccles .. Dr. Good 305 16 I 2 1

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The District Health Ollicer. Wellington, reports: Vessels were inspected as under at ports in this health district: Wellington, 117; Gisborne, 36; Napier, 17; New Plymouth, 8; Wanganui, ti ; Westport, 6; Picton, 2. Port of Wellington. —The s.s. "Delphic." from Auckland, was placed in quarantine owing in the existence of a case of smallpox on thai steamer. Owing to the epidemic of smallpox all vessels arriving from Auckland were lor some time subjected to examination. Vessels from Sydney were examined at the anchorage, instead of being allowed up to the wharf prior to examination. Passengers leaving New Zealand for Australian States had to lie provided with a vaccination certificate endorsed by the District Health Officer. Tins necessitated a considerable amount of extra work. Owing to an outbreak of measles on board the s.s. " lonic" which arrived here on the 18th April, 1913, a number of the passengers and crew were quarantined on Souks Island. The District Health Officer, Christchurch, reports: — Oversea vessels were inspected as follows: Lyttelton. 54; Tiiuaru. 7; Oainarti, I; Port Chalmers, 8; Bluff, SI ; Greyuiouth, 3. (12.) DISINFECTION OF OVERSEA GOODS. The District Health Officer, Auckland, reports: — Twenty packages (oversea) clothing were dealt with by the Department. The District Health Officer, Wellington, reports: — Eighteen packages of second-hand clothing from oversea were fumigated. The District Health Officer, Christchurch, reports: — Seventy-one hales of cotton-mill waste, each weighing scwt., were imported, and after careful examination were allowed to go into use. 'I wo hales were prohibited altogether. (Li.) IMMIGRATION RESTRICTION ACT. The District Health Officer, Auckland, reports: — The usual steps were adopted for the protection of the port from the introduction of undesirable immigrants, as ihe following shows:— .lan. 17. — H.G., ex s.s. " Maloya —phthisis: Conditional permit. Jan. 20. —T.W., ex s.s. " Waihora " : Conditional permit; removed to hospital for treatment under shipper's guarantee; permitted to land for hospital treatment only ; deported upon discharge. Jan. '11. —15.. steerage passenger —heart-disease: Allowed lo land on proof of being a native of New Zealand. Jan. 30. —J.S.. ex s.s. " Westmeath " —mental ease: Landed upon shipper's guarantee. Keli. 7. —W.K., ex s.s. "Tyrone"—phthisis: Prohibited from landing al this port. Feb. 17.—Ten persons ex s.s. " Marama " —measles: En route for Sydney; one other allowed to land and removed to hospital. May 1. —H.F. and M.P., ex s.s. "Surrey"—both phthisis: Conditionally. May I.—r.W.W. and J.C., ex s.s. " Surrej contagious diseases: Prohibited. June 2.— T., ex s.s. " Navua " —phthisis: Allowed to land upon guarantee; proceeded to Waikato Sanatpri urn. Aug. 20. —L.C.J.D., ex s.s. "Suffolk " —epileptic: handed upon guarantee. Oct. Hi. —J. 1... ex s.s. " Dorset " —phthisis: Admitted to hospital, but subsequently deported. Dee. 22.—J.D.W., W.G., and J. 8., ex s.s. " Makura " Prohibited; with usual proviso. The District Health Officer, Wellington, supplies the following particulars of persons reported to Customs Department:— Jan. I. —J.Mi.'C. s.s. " Athenic " -consumptive: Deported to Sydney. Jan. 20. —A.F.S., s.s. " Corinthic " —embolism: Sent hack to London. Jan. 20. —P.E.P., s.s. "Corinthic" -mentally deficient : Sen) hack to London. Jan. 20.—D.J.T.. s.s. " Corinthic " —chest-disease : Returned to Sydney. Mar. 31. —J.W.H., s.s. " Rotorua "—consumptive: Returned to London. .May 1 3 —.M.l., s.s. " Surrey "—consumptive: New-Zealander; allowed to land. May 21. —M.C., s.s. " Willochra "—infirm : New-Zealander; allowed to land. May 23. —J.W., s.s. " Moeraki " —syphilitic: New-Zealander; allowed to land. May 28. —5.8., s.s. " .Maiinganiii "—infirm: Sent back lo Sydney. May 28. —W., s.s. " Keiiiuera "-syphilitic: Keturiied to London. Sept. 18. —T.McL., s.s. " Ruapehu " —infirm : Returned to London. Sept. 2i).—H.L.. s.s. "Athenic" consumptive: Died sth October, 1913. Oct. 28. —J. 8., s.s. " Dorset " consumptive: Deported to London. Dec. 12. —M.8., s.s. "Tahiti " deaf-mute: Deported to Sydney. Dec :i(). —N.l'., s.s. " Maisie " —syphilitic: Deported lo Newcastle. The District Health Officer, ('hristehiirch. reports: — The Port Health Ollicer, Lyttelton, supplies the following particulars of undesirable immigrants refused admission into the Dominion : — May 24.—11. and 1!.. s.s. " Dorset " —syphilis. Dec. IS.-—F.W.. s.s. " Turakina " —tuberculosis. Jan. 2:'.. 1914.— T.C., s.s. " Willochra "—syphilis. Mar. (i. 1914. —J.F.. s.s. " Rangatira " —syphilis.

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(14.) VACCINATION. Table showing the Number of Persons who were Successfully Vaccinated in each Quarter of the Year 1913.

Note. Between the l-'iih October, 1900 (the date on which the Public Health Act, 1900, came into operation), and the 'list of December, 1913, 16,519 certificates of exemption from liabilitylii vaccinate children had been issued by Registrars of Births, who register vaccinal ion certificates under the presenl law, to parents or custodians. Owing to an epidemic during the latter part of last year vaccination was carried out on an unusual scale. In most cases only names and numbers of vaccinees \w\-v available. Further small returns are probably still outstanding. (15.) MIDWIVES ACT. 1008. The District Health Ollicer. Auckland, reports: — It has not been necessary to suspend an\ registered midwives on account of the occurrence of puerperal septicaemia in patients attended by them, but three unregistered women have been warned not to attend any cases for the usual period of suspension. The District Health Ollicer. Wellington, reports: — No special action was necessary under the provisions of this Act. The District Health Officer, Christchurch, reports: — In several cases of puerperal septicaemia midwives wen- temporarily suspended for the usual period. One unregistered midwife practising at Blackball was prosecuted. One license for a' maternity hospital was revoked iii Christchurch. (16.) THE SALE OF FOOD AND DRUGS .Ml The District Health Ollicer. Auckland, reports: — The regulations under this Act came into force on the Ist April, and a large amount of work resulted, as we were daily in communication with manufacturers on ihe subject "i labelling. The year of grace enabling stock in hand to lie used up prevented any legal action being taken in this respect, hut in any case the majority of the manufacturers and importers have shown themselves eager to comply with ihe requirements. The amount of attention which should have been devoted to this work was unfortunately limited owing to tin- more pressing matter of the smallpox epidemic, so that in some cases matters in douhl had lo he allowed to stand over: thus we cannot hope to have all the new provisions iii operation at Ihe end of the period of exemption. That several important modifications in the regulations are still required has been revealed by the practical efforts to follow the regulations during the year. We cannot expect to get such far-reaching alterations in trade affairs accomplished in so brief a time. But great advances have In in made, one of lln most important being the labelling of all packages of goods with the net weight of the contents and the declaration of the maker or agent on the label. While in Australia I was able in get some useful information from the authorities there as lo their experience with these regulations, which is ihe more important to us as we are to a great extent obliged to follow Australia'- lead in so far as imported articles are concerned at least; and in America I secured a complete set of the regulations in force generally for the States and in Massachusetts. A circular was issued to butter-packers dealing with the requirements as regards labelling. An important point in regard to this commodity, which these regulations have raised, is the presence of s 11 amounts of carbonate of soda a result of the too liberal acceptation by factorymanagers of home-separated cream, which has been kept till excessive acidity has developed. The practice has been to counteract this acidity with soda bicarbonate, and. though a butter of reasonably sound appearance results, it has been found in he deficient in keeping qualities. That i his practice has had its influence on Ihe quality of butter exported I learned from conversations with authorities in England, who had noticed a deterioration in quality of some brands, and were frill\ aware of the cause. Tf it be unavoidable to accept unsound cream in isolated districts, ii would seem at least reasonable to require that butter subject to such drawbacks should be labelled differently from butter made wholly from fresh cream. In any ease, so far as the retail hade is concerned, the presence of bicarbonate insist lie regarded as a breach of ihe regtilat ions.

March Quarter. June (.) September luarter. and Dβ :ember Quarters. Total for Year 1913. Health District. ( Tiller Over Under I Year. ] fear. ] Year. iy£. aiia - ... , Exemptions A " Al — granted. Auckland « Wellington - Hawke'a Buy-Nelson iauterbury-Westland )tago 5 12 17 32 93 4 7 11 4 4 16 43 ( . ! 132. Tiki 4 i ,_ ii..{(X) 15 i 0 I 21 15 i i i i i i 132.Tiki 6,300 132.800 J ii. 150 132.800 ( j 6,450 J! 1,037 1.2-20 881 361 Totals 66 115 67 40 139,000 139,250 3,502

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Although his time during the latter part of the year was necessarily occupied with the smallpox work. Mr. Grieve was able to continue the campaign against milk-adulteration with good results, and indeed throughout the province the Inspectors have kepi in touch with this branch of their work in spite of difficulties., as the attached records show. Some experiments were made with tomato sauce to ascertain the need or otherwise for preservatives. It is a pleasure to record that the Magistrate's Bench in dealing with this part of our work evidently regards violation of the Sale of Food and Drugs Act as a serious offence against the public welfare. The fines have throughout been such as to discourage people from hoping to make a little extra profit by means of adulteration. The District Health Officer, Christchurch, reports:— A great deal of work has been carried out in connection with the new regulations under this Act : numerous interviews have been given and inquiries answered concerning food slan dards and particulars required on laliels. The posters giving specific regulations relating to milk, meat -products, and ice-cream have been distributed, and inspections made of premises, and owners and occupiers of premises which do not conform with the constructional and protective requirements of the regulations are now actively engaged in altering their premises to bring them into compliance.

Canterbury, Westland, Otago, and Southland Districts.

Samples taken. Results of Weighing and Analysis. \\ here purchased. j> si . fti —Sj2 Rendered Mmihi-r. Nature. Complying. Bg S 2 = difcctivc In jit |ll " Auckland (in and around) Uni orua (in and around i Thames (in ami around) Whakatane (in and around) Whangarei (in and around) Hamilton (in and avound) Dargaville (in s nd around) A I ( KI.ANII DlSTRIC I. 173 .Milk .. .. 12:! 13 36 I 3 Bread . . .. .. . . 3 I Dried peas .. .. • I :i Margarine .. .. .'! I ('cx'oa .. .. .. .. l 8 Milk .. . . 7 . . I 1 Bread .. .. I 2 Beer .. .. 2 7 Whisky . . .. :i . . ! .! lirandy .. .. :5 13 Milk .. .. II .. 2 2 Bread .. .. .. .. a 3 Milk .. . . 3 . . I ■">„.. . . 3 ! I 1 Whisky . . . . I 17 .Milk .. .. 12 3 .. -1 2 I Bread .. .. .. .. 2 Wellington (in and around) Wanganui (in and around) Palmerston Norl h Xcison . . ■ . . Marlborough District Napier (risborne Wellington (in and around) South Taranaki Marlborough Napier Waniranui Wellington Hastings Wanganui Wellington Wanganui Ww Plymoul li Wellington Hawke's Bat-Nelson District. 102 Milk .. .. 166 12 26 29 .. .. .. Lβ r, i .-, 6 .. .. .. ♦ 2 6 .. . . . . S 1 4 .. .. .. 2 I .... 4 .. .. .. 2 .. 2 3 I .. 2 59 Kit-art . . . . ">2 6 2 !ii .. .. .. Ki 3 .... 1 .... .. .. I 2 .. .. .. 2 2 Butter .. .. 2 I .... .. .. I 3 ....... 1 .. I i I Pepper . . .. I 8 Sardine* .. . . ii I Cod-liver oil .. I I Vanilla .. .. 1

Hospital District where purchased Samples taken. Number. Nature, Results ..I Weighing or Analysis ' ■ oomplytng. Action takiii Proeeoated. Earned Nori li Canterbury Ashburton Grey Sciuili Canterbury Dtago Soul bland 186 Milk .. 13 2 .... i 28 164 Bread . . I .... I Whisky i:t7 id II 2 2 ■4 I is in 120 ::i 3 I I IK 21 1 I 2 I 26 I

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Food Inspections from 1st January to 31st December, 1913, inclusive.

FckxI or Drags Inspected. Where. Date. Action taken. Action taken. w< eUington - Hawke's Bay - Nelson District. M\ sacks liran .") cases Bardin a 2 \ 1 allies !i casks lemon-skin. :>!i cases prim ia I cwt. walnuts ;}0 cases muscatel raisins . . 2 5 gallons milk 2,000 4.') 1.000 1(1 1.4(10 (i 1.112.") 930 1,1 HO 1,660 .In cases peaches ."► boxes walnuts j t on mixed fish :'. hams, :t head pouH ry (i cases eggs . . li :i cases poult ry :j 27 sinks walnuts Fruit 12 II,. lish 70 Ih. bacon |O(I cases sardines 53 gallons milk S sacks walnuts Hi Hi. bacon I III boxes apples I gallon ice-cream in Hi. bananas 30 overripe bananas I sack pippies Lower Mutt . . 3/3/13 Sound. Wellington .. 5/3 13 Tine in sound condition. n> 3 13 11/3 13 15 3 13 Allowed to be sold. Napier .. .. 23/6/1 :S Destroyed. Wellington .. 2K 13 Taken to destruotor. 24 10 i:i Destroyed. 4 12 i:t In Bound condition. 12 |2 13 Destroyed (cans patched with soap). 12 12 i:i Good. 16/12 13 Destroyed (cans patched with soap). I r> 12 i:i Good. Iti 12 13 Destroyed (cans patched with soap). „ .. Iβ 12 13 Good. ' 17 12 13 Destroyed (cans patohed with soap). ..17 13/13 Good. ' 20/12/1 :t 22 12/13 23/12/13 Fruit marked "Wgtn" Iβ I i:s Destroyed. Wellington wharf .. 28/e 13 Reshipped. Wellington .. 1H 4 13 Destroyed. 23/5 13 ..27 5 13 29 6 13 17/6/13 Destructor. 20/6/13 Destroyed. 28/6/13 Reshipped. S !l 13 Destroyed. 11/9/13 25 it 13 Not bad enough to seize, ijii <i 13 Soiled and relabelled. 2 10 13 Destroyed. :t ill 13 Resbipped. 15 in 13 -Not bad enough to seize. 12/11/13 Destroyed. Lower Hutt .. 18 12 13 Seized and de'troyed. Uasterton .. 5 1/13 Destroyed by owner's consent. Greytown .. 16/1/13 ,, Masterton .. 15/1/13 Taken away and buried with owner's oon sent. „ .. 20/1/13 Destroyed by owner's consent. Pahiatua .. 10/2/13 „ Carterton .. 20/2 13 20 German sausages 1 bundle lish Hi oranges, HI bananas, and 14 tomatoes 21 Hi. apples . . 2 bundle- rhubarb t Hi. raisins 11 bags potatoes 1 bag potatoes anil 1 bundle rhubarb 1 case mixed fruit 12 11). beef .. I ox-heart 1 1 puts shrimp-paste 10 smoked hams . . :! cases prunes 2 shoulders baoon I leu bacon .. 211 Hi. apples . . 4 dozen oranges 12 cases peaohes I 7 cases eggs :i bundles fish 11 cases and 2 tins eggs 1 case oranges 15 kits mutton-birds . . 2 tins whitebait Evaporated fruit Bacon and hams I sack fish r> cwt. tins anchovy Whitebait Kill bundle- mixed lish Martinborough .. 24/4/13 Carterton .. 14/11/13 Oreytown .. 20/11/13 1/12/13 Feathereton .. 12/12/13 Masterton .. 22/12/13 South Taranaki .. .. ,. >> Destroyed with agent's consent. Condemned and destroyed. Destroyed with owner's consent. No action taken. Wanganui 17 I 13 Destroyed, owner consenting. 14/3/13 Destroyed at rubbish heap. 27 5 13 Destroyed with owner's consent. 12/6/13 Sent to rubbish heap. 2/7/13 Burnt with auentV consent. 29/10/13 Destroyed without owner's consent. New Plymouth .. IS 3 13 Destroyed. Gisborn'e .. 24 10 18 Seized and destroyed with owner's consent. Palmerston North. . 7/3/13 Destroyed. :{| l| |:i Destroyed: HO< exposed for sale. Blenheim .. 29/5 13 Destroyed by burying.

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73

Food-inspections from 31st January to 31st December, 1913, inclusive — continued.

Legal Proceedings under Sale of Food and Drugs Act, 1908, for the Period from 1st January to 31st December, 1913, inclusive.

10— H. 31.

Foods or Drugs inspected. Wlieve. Date. Action taken. f 'mill i In <iry, Westland, Ota r/o, ami Southland Districts. 12 eases shelled walnuts 19 tins herrings 121b. dried apricots Quantity bananas ( !ase of fish 3 dozen selinappcr tons fish .. Kg oaroase (603 lb.) .. 2 dozen sehnapper, 4 dozen kawliai 2£ dozen schnapper Fruit and produce Hams and bacon l> rolls bacon 50 dozen ef«;s 30 1 roll bacon 2 sides and 1 roll bacon 60 hams 78 pork hams 180 casks lemons Christohuroh Qreymouth • tnveroargill Dunedin 7/10/13 Destroyed. 6/10/13 0/10/13 24/1/13 ,, and prosecuted. 20/3/13 11/7/13 12/8/13 27/8/13 26/9/13 11/10/13 31/1/13 Sound ; no action. 31/1/13 23/1/13 No action. 23/1/13 25 dozen destroyed. 8/2/13 H dozen destroyed. 8/2/13 No action. 7/2/13 1 roll bacon destroyed. 7/3/13 No action. 8/3/13 14/6/13 to 48 casks destroyed. 21/6/13 2/7/13 No action. 18/11/13 18/11/13 18/11/13 18/11/13 18/11/13 ' 8261b. destroyed. 22/11/13 Destroyed. 27/11/13 3/12 13 Palmerston Dunedin 32 :->,520 lb. cornflour 1,296 lb. cerebos salt 7201b. corebos health saline 112 lb. boracic acid 2.870 lb. biscuits 14 rolls baoon 2S „ 5

Defendant. Offence. Date of Hearing. Name of Magistrate. Result of Proceedings Fines. Costs. Auchlan tl Distric ■I . I £ s. d. i X, s " 5 0 0 0 17 f> 0 0 0 17 6 S 0 (I o 17 (i 2 0 0 I 0 !l I) 1 0 0 0 7 0 2 0 0 0 7 0 Conviction 4 ,'S (i 2 0 0 0 (I 0 5 o o 0 lii 8 2 0 o o 9 o 20 0 0 0 17 (i 6 0 0 0 17 (i Conviction o 17 ti 2 0 0 1 I li 2 0 0 0 17 li 5 0 0 0 17 6 5 0 0 0 17 6 5 0 0 0 17 (i 5 0 0 0 17 fi 2 0 0 110 Case diem issed. 5 0 0 0 17 fi 10 0 0 1 15 0 3 0 0 2 11 I) 5 (I 0 0 17 (I Conviction 18 6 1 0 0 0 18 0 20 0 0 14 0 20 0 0 20 0 0 ] 4 0 20 0 0 ! 20 0 0 I 0 19 6 10 0 0 ' 0 19 6 10 0 0 14 6 2 0 0 0 12 6 5 0 0 11 0 2 0 0 0 in li 5 0 0 0 lit 6 0 10 0 0 7 0 0 1(1 0 0 7 (I 2 0 0 1 0 (t 7 T., Auckland .. Coooa-adulteration .. B., Auckland _.. Milk-adulteration H., Auckland .. Bread, short weigh! .. ('., Dargaville .. .. ., St.G.. Daigavillq .. M., Whangarei .. Milk-adulteration McL., Auckland .. Bread, short weight .. B., Auckland .. Milk-adulteration S., Auckland .. Bread, short weight .. H., Auckland .. Milk-adulteration (!., Auckland .. „ F., Auckland W., Auckland .. „ M., Auckland .. * .. VV. and W., Auckland . „ C, Auckland . . ,, B., Auckland .. „ R., Auckland .. „ H., B., Auokland .. G., Auckland . . „ T., Auckland 8., Tftunmruiiiii .. Bread, below weight .•. K., Thames .. Milk-adulteration B., Rotorua .. » S., Auckland .. „ A., Cambridge .. „ G., Wairakei .. Brandy, below standard I '.'. 5/2/13 5/2/13 24/2/13 24/2/13 11/3/13 11/3 13 II 3/13 31/3/13 31/3 13 31 3 13 22/4, 13 22/4 1 3 3/5/13 12/5/13 13/6/13 13/6/13 13/6/13 13/6/13 13/6/13 13/6/13 30/6/13 30/6/13 24/6/13 3/7/13 7/7/13 I I 7/13 15/7/13 22/7/13 22/7/13 22/7/13 22/7/13 28/7/13 28/7/13 28/7/13 21/8 I.'! 18/8/13 18/8/13 22/10/13 10/11/13 a ia is 4/12 13 Mr. Cutten .. Mr. Burgees .. Mr. Fraser Mr. Burgees .. Mr. Dyer Mr. Frascr Mr. Rawson .. Mr. Dyer L., Taii|><> .. Whisk}', below standard I '.'. >> • • A., Auckland .. Milk-adulteration ('., Auckland .. „ H., Auckland .. ,, R., Waihi T., Auckland L.. Auckland .. „ C, Auckland E., Rotorua 8., Auokland .. | Bread, short weisilii . . ().. Hikurangi .. I „ „ Mr. Fraser Mr. Burgess .. Mr. Fraser Mr. Dyer Mr. Fraser Mr. Cutten ..

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74

Legal Proceedings under Sale of Food and Drugs Act, 1908, for the Period from 1st January to 31st December, 1913, inclusive — continued.

(F.) LABORATORY REPORTS. Report by Oh. Makgill, District Health Officeb and Pathologist. Tin- following examinations have been made on behalf of medical practitioners: Sputums, 120; bloods. 42; swalis. for diphtheria, 23 j swal>s. for gonoccoei, 2; urines. .'!; membrane, 1.

Defendant, Oflenoe. Hiring. N uiio of Magietrato. Kesult of Proceedings. Fines. Cost.-. j<:. A. I'., Wellington E. B., Wellington .. F. N., Wellington .. W.R., Wellington .. J. K., Wellington .. «J., Wellington W. D. (',., Wellington Melt.. Wellington .. \\\. Wellington A., Wellington B., Wellington G., Wellington 8., Wellington W., Wellington W., Wellington A. W., Wellington .. F., Wellington L., Wellington W., Wellington X. M.C., WeUington W. 'I'.. Wanganui I'., Wellington I , .. Wellington H.. Wellington W., Wellington IS., Wellington W., Wellington K., Wellingfbn J. (1. V., Qisbor.ne .. J. ('•.. Qisborne J. ('. J., Wanganui .. Wellington - Hawke'n /In// - Nelson District, Selling adulterated milk .. 20/1/13 Dr. MoArthur 3/3/13 Mr. Riddel] .. 3,:! 13 ..3/3/13 3/3/13 11/4/13 25/4/13 26/5/13 30/6/13 30/6/13 9/7/13 Dr. MoArthur 14/7/13 Mr. Riddcll .. .. 21/7/13 ,. .. 21/7/13 21/7/13 21/7/13 21/7/13 6/8/13 Dr. MoArthur 6/8/13 1/8/13 Mr. Riddel] .. 12/8/13 Mr. Kerr 11/8/13 Mr. Riddcll .. 11/8/13 13/8/13 Dr. Mi Arthur 13/8/13 13/8/13 23/8/13 Mr. Poynton . . 8 9/13 6/9/13 Mr. Barton .. 6 9/13 .. 12/10/13 Mr. Kerr £ s. d. (I 10 0 1 0 0 1 0 0 0 10 0 1 0 0 1 0 0 0 5 0 0 10 0 2 0 0 2 0 0 2 0 0 Dismii 2 (i 0 2 0 (i 1 6 o 2 0 0 2 0 0 2 0 0 3 0 0 5 0 0 2 0 0 2 0 (i 2 (I 0 3 0 0 2 0 0 r, 0 i) 5 0 0 2 0 0 2 0 0 Dismissed, incom] 20 0 0 8 0 (i 0 6 i) (t 5 0 £ s. <l. 1 11 6 1 18 6 1 18 ti 1 18 6 1 18 6 1 17 0 0 7 0 0 17 6 0 17 6 0 17 6 1 8 (i seed. 0 17 6 0 17 6 1 17 6 1 18 6 I 18 6 (i i9 a 0 19 6 (117 II 0 7 (I 0 17 6 0 17 (i 1 8 (i 1 8 .6 1 8 l> 1 17 8 1 17 l> 0 17 li 0 17 (i certificate ilete. 0 7 (» 0 7 0 0 7 0 1 i0 0 0 17 6 T. C, Wanganui A. C. E., Wanganui W., Wellington H. B., Wellington .. J.R.O., Martiriborough 29 9/13 8/10/13 Obstructing Inspector .. 25/4/13 Mr. Riddel! .. Selling short-weight bread .. 26/4/13 ,, Selling pepper adulterated with 21/1/13 Mr. Reid st arch Selling adulterated food without 6/9/13 Mr. Barton .. informing purchaser Ditto .. .. .. 6/9 I :s .. J. O. V., GBsbonre .. Convicted charf Ditt and disced. J. G., Gisborne 0. H. B., Christchurch.. G. C, Christchurcli .. C. C, Christchurch .. J. C.i Christchurch .. P. G., Christchurch .. F. H., Christehurch.. A. H., Christchurch.. E. H., Christchureh. . H..)., Christ church . . A. .1. J., Christchurch W.T, l>.. Christ church E. l>., Christchurch .. (J. L., Christchurch .. A. I!. M.. Chi-istclmrch W. M.. Christchurch M. Bros., ( hrist church J. I , ., Christchurch . . R, I). P., Christohuroh E.F. P., Christ chmvh • I. R., Christchurch . . J. H. R., Christchureh W. E., Cliristchurch A. T., Ashburton . . W. 8., Waimate .1. c, Oamaru G. ami S.. IJ i-cvniouth C. W., Runaaga E. N., Runanga H.. Dunedin W., Dunedin B., Dunedin B., Fairfield Canterbury, fVestland, Ota go, and Southland Districts. 0 17 li 0 17 li 0 17 6 0 17 l> 0 17 6 0 17 6 0 17 l> 0 17 l> 0 17 6 0 17 6 0 17 6 0 17 6 0 17 6 (I 17 li 0 17 l> O 17 6 0 17 l> 0 17 li I) 17 l> 14 6 0 17 6 0 17 6 1 3 6 0 17 6 0 17 6 0 7 0 0 17 6 0 17 6 :i i 8 8 1 8 3 18 3 1 8 Milk-adulteration .. .. 10/1/13 I Mr. Bailey .. Dirty cart .. .. .. 7/1/13 j Milk-adulteration .. .. 18/11/13 Mr. Bishop .. .. 25/11/13 .. 18/11/13 10/1/13 Mr. Bailey .. 3/10/13 .. 18/11/13 Mr. Bishop .. 21/2/13 Mr. Bailey .. ... .. .. 18/11/13 Mr. Bishop .. 10/1/13 Mr. Bailey .. •' - .. .. 10/1/13 .. 25/11/13 Mr. Bishop .. 21/2/13 Mr. Bailey .. ..3/10/13 ..25/11 13 Mr. Bishop . . Dirty cart .. .. .. 21/2 13 Mr. Bailey .. Milk-adulteration .. .. 21/2/13 Mr. Bishop .. .. 10/10/13 Tlr. Bailey .. :. 10/1/13 10/1 13 . . 28/10/13 Mr. Bishop . . .. 24/10/13 Mr. Day 7/10/13 Mr. Hutchison 8/10/13 Selling unsound bananas .. 10/3/13 Mr. Qewett .. Milk-adulteration .. .. 7/4, I. , ! ..7/4 13 .. 17/10/13 Mr. J. R. Bartholomew.. ..17/10/13 ..17 10 13 .. 17/10 13 :s 0 0 1 0 0 2 0 0 5 0 (I 2 0 0 3 0 0 2 0 0 2 0 0 3 0 0 2 0 0 :s o o 3 o (i 0 10 0 1 10 (t 2 0 0 0 Hi 0 0 10 0 0 10 0 2 0 0 110 0 <i 0 0 r> o 0 1 0 0 1 0 0 (I II) II 0 10 0 S 0 0 5 0 I) 10 0 0 2 0 0 2 0 0 2 0 0

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Bacteriological Laboratory, Wellington. Re port by Mr. J. A. Hurley, Government Bacteriologist, Wellington. 1 have flic honour to submit tabulated reports of the work carried onf at the Bacteriological Laboratory and at the Vaccine Station during the year ending the 31st March last. The number of examinations in the Bacteriological Laboratory shows an increase of 33 per cent. This has been the average increase for several years past. The work in the Vaccine Station presents a milch greater increase, and to keep up supplies of lymph there has often been a severe strain on the staff. This was especially the case during the epidemic of smallpox in the early part of the year, when the sudden demand for lymph was met without the employment of any extra assistance in the preparation of it. What this means is best shown by the fact that during the eleven weeks of the epidemic sufficient lymph was prepared to inoculate 734,000 persons. This amount does not include the lymph in stock when the first call for lymph to meet the epidemic was made. The lymph then in stock was sufficient to inoculate 60,000 persons, and was double the amount required to be in hand. To put the above facts on record is at least due to my staff, who. I have great pleasure in acknowledging, worked night and day with enthusiasm to carry out a seemingly impossible task. Summary of Work performed at ihe Vaccine Station for Year ending the 31st March. 1914. Calves inoculated .. .. .. . . .. .. .. 71 Total for 1913 .. .. .. .. .. .. 18 Post-mortem of calves .. .. .. .. .. .. 44 Total for 1913 .. .. .. .. .. .. 18 Bacterioscopical examination of Iviuph .. .. .. .. 153 Total for 1913 . . .. .. .. .. .. 54 Lymph prepared (cubic centimetres) .. .. .. .. .. 14,053 (sufficient for 1,006,480 inoculations) Total for 1913 .. .. .. .. .. ..23,158 Lymph issued sufficient for 347,614 inoculations.

Table showing Results of Examination of Pathological Specimens, 1st April, 1913, to 31st March, 1914.

• Object of Examination. Result. Positive. Negative. Material. Object of Examination. Total. Sputum Tubercle bacillus Other conditions Bacterioscopical examinations .. 137 214 402 41 539 255 86 Total for 1913 880 746 Purulent discharges Microscopical— For gonococcus „ tubercle bacillus.. ,, other pathogenic organisms Bacterioscopical examinations . . 27 10 204 211 52 30 35 2G 79 10 239 237 Total for 1913 .. 595 355 ■ Pleuritic fluid Microscopical— For tubercle bacillus.. „ other conditions.. Bacterioscopical examinations .. 3 5 12 14 2 4 17 7 16 Total for 1913 .. 40 34 Cerebrospinal fluid .. Microscopical Bacterioscopical 16 13 6 9 22 22 Total tor 1913 .. 44 . 31 Stomach-contents Total jor 1913 .. 7 5 Faeces Chemical Microscopical Bacterioscopical 2 6 5 14 7 20 4 Total for 1913 .. 31 36

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Table showing Results of Examination of Pathological Specimens, &c. —continued.

Object of Examination. Total. Material. To litive. Negative. , ■ ; Urine . • • ■ • • Chemical Microscopical Bacterioscopical 170 357 303 Total for 1913 .. 830 556 Blood Widala—Typhoid ,, Paratyphoid Cell counts; differential counts, estimate haemoglobin Wasserman Bacterioscopical 73 22 19 15 127 101 13 12 127 101 200 123 50 32 27 13 12 Totals for 1913 .. 432 311 Swabs .. .. ■ • For diphtheria „ other conditions 25 27 147 14 147 14 172 41 Total for 1913 .. 213 268 Parasites .. .. • • For hydatids— Sputa .. . ■ Other specimens For other parasites ■ 5 8 1 23 8 4 23 8 4 28 16 5 Total for 1913 .. 49 54 Animals examined .. .. Rats.. .. •. Babbits Guinea-pigs 45 20 8 Total for 1913 .. 73 58 Foodstuffs .. • • Meat Milk Total for 1913 .. ] 9 10 24 Water .. •■ . •• Total for 1913 .. 21 36 Unclassified — Soil •• •■ •• I Disinfectants Calculi Clothing.. Dressings (surgical) Vegetables for poison 4 3 2 5 3 7 2 2 Total for 1913 . 21 38 Vaccines (autogenous) Total for 1913 .. 303 138 Examinations of calf-lymph Total for 1913 153 54 Solid tissues requiring sections Total for 1913 214 200 3,916 . . ._ Totals for 1913 .. 2,936

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Details of Urinary Examinations.

Bacteriological and Public Health Laboratory, Dunedin. lie port on Specimens examined for the Public Health Department for the Year ending the 31st December, 1913, by the District Health Officer and Bacteriologist (Dr. S. T. Champtaloup). (Note. —This report does not include the work done in connection with University classes in bacteriology (three) and public health (two), or routine work other than public health of the Pathological and Bacteriological Laboratories). SPUTUM. 11)12. 1013. General bacteriological examinations other than for tubercle .. .. 16 57 Examination for tubercle (ordinary method) — Positive .. .. .. .. .. .. .. 166 146 Negative .. .. .. .. .. .. .. 343 331 Total .. .. .. .. .. .. 509 477 EXAMINATION of swabs for diphtheria. Positive .. .. .. .. .. .. ..87 48 Negative .. .. .. .. .. .. ..270 115 Suspicious .. .. .. .. .. ..11 2 Total .. .. .. .. .. ..368 168 WIDAL REACTION FOR TYPHOID. Positive .. .. .. .. ... 19 2 Negative .. .. .. .. .. .. 70 38 Doubtful .. .. .. .. .. 6 4 Total .. .. .. .. .. ..95 44 There having been no marked outbreaks of infectious disease, the number of public-health specimens shows a considerable decrease as compared with last year. 'I lie Dominion Analyst reports : — I have the honour to forward herewith returns of analyses made in this Laboratory for the Department of Public Health during the year ending 31st March, 1914. These returns show a total of 437 analyses of a varied character. A return showing the analyses made for the Police Department, some of which may interest you, is also supplied.

.esul Method. What sought. Total. Positive. Negative. Chemical analyses — Quantitative Estimation of urea ... sugar ... „ albumen ,, other substances 9 31 7 2 Qualitative 41 15 4 49 For albumen 18 30 13 59 45 17 „ sugar ... „ other substances Bacterioscopical For B. coli ... 103 1 42 68 31 2 25 31 121 184 3 67 99 ,, gonococcus ,, B. typhosus ,, other organisms... Microscopical For tubetcle bacillus... ,, casts, pus, epithelium, &c. 13 299 30 15 303 43 314 357 Total for 1913 830 588

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Summary of Analyses made in the Dominion Laboratory, Wellington.

Nature. Object of Analysis. Number FIJI! THE P l>1.1C HEALTH DEPARTMENT. Asparagus Butter-preservative Jutters _'od-liver oil .. team >eam-custard 'orn-cob punch Dried eggs leliitine linger, essence of jrlucose sland cofEee formalin tactometers dquozone Hilks STeave'a Eood Preservatives Nature Purity ») >t • • - • • • General ,, tt • • • • • • Purity Proof spirit.. Arsenic Caffeine Formaldehyde Heading General I I 10 >2 1 1 I 4 1 I I I I 3 I 'epper j'erry Davies' ] ainkiller Saffron yellow Cea Manilla Vanillin Vinegar >Vine, port .. Waters iVhiskys Purity Starch Purity General Colouring Adulterants Purity Analysis Acidity Adulterants General Adulterants I 333 I s I 1 1 1 I I I 13 8 437 FDR T] E POLICE DEPARTMENT. teer Adulteration L5 Lβ I (i 1 1 1 1 29 3 trandy 3ody " )isinfectante Poisons Carbolic and homologous acids Poison CO 2 (carbonic anhydride) Poisons General Adulteration General ilc.it Shells Stomach and contents kVater kVhi.sk}ianol 71 Total .. 503

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APPENDIX lI.—HOSPITALS AND CHARITABLE AID.

A. REPORTS OX INDIVIDUAL INSTITUTIONS. HOSPITALS AND CHARITABLE INSTITUTIONS UNDER THE CONTROL OF DISTRICT BOARDS. Auckland Hospital and Charitable Aid Board, Usual date of meeting : Third Tuesday in month. Chairman : James M. Mennie. Secretary : H. M. Garland. Public Health Inspectors: ('. M. .1. Fogarty, C. T. Haynes, M. P. Furness. Institutions under Hoard's control: Auckland Hospital. Alexandra Convalescent Home. Cost ley Home. Dental Hospital. Anchlanil Hospital. Medical staff, honorary: Helen Constance Frost, M.8., Bach. Surg. (N.Z.)j Alfred Clark. P.1!.U.5., L.R.C.P. (Edin'.); Joseph C. Pabst, Bach. Surg. (Melb.), M.D. (Melb.)j J. Bardic Neil. M.8.. Ch.B. (N.Z.); Ernest Robertson, M.D., .U.K.U.S. (Eng.); Berbert Mayer Goldstein, M.8., Bach. Surg. (Loud.); ti. Gore Gillon, M.D. (Glas.), F.R.C.S. (Edin.); Ernest 11. Williams. M.8., Ch.B. (N.Z.); Claude E. A. Coldicutt, -M.D. (Edin.), P.H.D. (Camb.), Ch.B. (Edin.); C. Tewsley, M.D.. F.R.C.S. (Edin.); Alex. Kinder, M.8., F.R.C.S. (Eng.); Robert Henry Walton. M.D., F.R.C.S. (Edin.); Lawrence Harke. M.8., Bach. Surg. (Cam.); Garrick Robertson, M.R.C.S. (Eng.), L.R.C.P.j Kenneth Mackenzie, M.D.. F.R.C.S.; Casement G. Aitken. M.8.. Ch.B. (N.Z.), F.R.C.S. (Eng.); .1. Falconer Brown, M.D., Ch.B. (Edin.). Medical staff, st lpendiarv : C. E. Maguire. M.D.; A. H. Grant, M.8., Bach. Surg.; \\. Abbott, M.8., Bach. Surg'.; A. B. McCutcheon, M.8.. Bach. Surg.; L. A. Spedding, M.8., Ch.B. ; A. S. Addison. MB.. Bach. Surg. Matron : Miss J. M. Orr, R.N. Localities from whence patients came: Rodney County, 18; Waitemata County, Ki-I ; Mount Eden, Mount Roskill, Mount Albert, 390; Grey Lynn,' Ponsonbv. Arch Hill, 526; Parnell, Remuera. Newmarket. 280; Onehunga and Epsom, 89; City of Auckland, 1,332; other contributory districts, 336; non-contributory districts, 113; vessels in harbour, 38. Visited several times. The Hospital was always well filled. The new kitchen block is in occupation, and is very well equipped. There is a staff of five in the kitchen—two cooks and three assistants. The dispensary is now moved to this block. It is proposed to turn the old dispensary, the Hour of which had rotted away owing to want of ventilation, into a massage department. Tin new storerooms are also in occupation, and aie well stocked with hospital requirements. The two new theatres were under course of construction. A large amount of surgical work is now done, each surgeon having two operating days. 'I here were fifty-three operations in one week recently, ten being emergencies. 1 observed very great improvement in the surroundings of the Hospital generally, the grounds and back premises being in very good order. The wards and sanitary blocks were all in excellent order. Alexandra Convalescent Home. EUerslie. Medical staff, honorary: H. \V. Murray. M.B. (Edin.), Bach. Surg. (Edin.). Master : E. J. Thomas. Matron : Miss J. M. Orr, R.N. Localities from whence patients came: Convalescents from Auckland Hospital District. Visited on 29th January, 1914. There were 12 patients, 2of these convalescent enteric cases. A nurse from the Hospital was in charge. The patients spoke very well of the comfort of Ihe Home, and everything was in excellent order. Cost ley Home. Medical staff, stipendiary: A. N. McKelvey, L.R.C.P. and S. (Irel.). Master: A. N. McKelvey. • Matron: Jane Forbes, R.N. Localities from whence patients came: Auckland Hospital District, except three from adjoining districts. Visited on 28th January, 1914. There were 188 men and 55 women in the home. Twelve of these were consumptive cases—B in ihe mail.' shelter and 4in the women's. In the chronic wards then' were two vacant beds. The married quarters do not seem to be very often occupied. There are at present only iwo married couples. Considering the very inadequate laundry accommodation, and equipment for washing for over six hundred individuals, the work is not badly done. Sufficient vegetables are grown for this establishment and the Hospital.

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Wellington Hospital and Charitable Aid Board. Usual elate of meeting: Third Thursday each month. Chairman : ltev. W. A. Evans. Secretary : John Coyle. Public Health Inspectors : B. S. Reed, J. 11. Cowdrey, Wellington District. Superintendent and Master Ohiro Home: A. H. Truebridge. Lady Visitor : Miss A. Kirk. Native Health Nurse: E. M. Lewis. Institutions under Board's control: General Hospital, Infect ions Diseases Hospital, Children's Hospital, Victoria Hospital, Seddon Annexes, Out-patients' and Pathological Block, Ohiro Home, Otaki Hospital, Otaki Sanatorium. Wellington Hospital. Medical staff, honorary: Consulting physician—H. Adams, M.R.C.S. (Eng.), L.R.C.P. (Lond.) : consulting surgeons—W. E. Collins. M.B. (Lond.J, M.R.C.S. (Eng.); J. Ewart, M.8., Mast. Surg., M.D. (Edin.); D. P. James, L.R.C.P, (Lond.), F.R.C.S. (Eng.): consulting ophthalmic surgeon—H. W. M. Kendall, L.S.A. (Lond.), M.R.C.S. (Eng.): physicians—W. K. l-'yffe, L.S.A. (Lond.), Bach. Surg.. M.R.C.P. (Loud.); E. W. Ciesen. M.R.C.S. (Eng.), L.R.C.P. (Lond.); C. D. Henry. M.8.. Bach. Surg, M.D. (Camb.); P. McEvedv, M.8., Bach. Surg. (Lond.). M.R.C.S. (Eng.). L.R.C.P. (Lond.): A. M. Tolhurst, M.R.C.S. (Eng.), L.R.C.P. (Lond.), Bach. Surg. (Lond.): surgeons 11. C. Faulke, F.R.C.S. (Eng.), L.R.C.P. (Edin.); W. J. H. Hislop. M.8.. Mast. Surg. (Edin.), F.R.C.S. (Eng.); M. Holmes, M.D., Bach. Surg. F.R.C.S. (Edin.); D. McGavin, M.D., L.R.C.P., F.R.C.S.; and W. Young. M.D., F.R.C.S.: ophthalmic surgeons -S. W. Harty. M.8., Bach. Surg.. F.R.C.S., and C. F. G. Webster, M.8., Bach. Surg.: dental surgeon —W. 11. Didsbury : masseur —J. \V. M. Harrison: masseuse, Miss Everitt. Children's Hospital: Physicians—Agnes Bennett, M.D., Mast. Surg. (Edin.); and E. Plat ts-M ills. M.8., Ch.B.: surgeons—H. J. McLean. M.8.. Ch.B.; and C. M. Begg. M.D., Bach. Surg., F.R.C.S., M.X.C.P. Medical staff, stipendiary : H. Hardwick Smith, M.8.. 8.5., B.A. (Cantab.), K.b'.C.S. (Eng.); T. C. Eraser. M.8.. Ch.B.;' W. C. McCaw. M.8.. Ch.B.: 1). G. Matheson, M.8.. Ch.B.; J. G. Mitchell, M.8., Ch.B.; J. A. Hurley, Bacteriologist. Matron : Miss Prances Keith Payne. R.N. Localities from whence patients came: Wellington City and suburbs, 3,718; Petone, Hi!': Lower Hint. 83; sundry small places. 34; ships in port, 129; Shannon, 4; Levin, 7; Tokoniaru, 2; Waikanae. .'5: Feilding, 5; Taibape, 5; Kaitoke, 2; Marton. 2; Palmerston. 10; Paekakariki, 1; Obakune. 2; Masterton, 9; Carterton, 3; Greytown, 5; Kaitoke, 4; Dannevirke. 2; Porirua. (i ; Hawera. 1; Westport, I; Pahiatua, 1; Taranaki, 5; Auckland, •'! : Wanganui. 2: Dunedin. 2; Ashburton, 2; Woodville, 2; Marlborough, 8; Christchurch, 5. Visited several times during the year. On each visil it was found that the beds were fully occupied, and that frequently there were extra beds made up in the wards. The veranda extensions are also made full use of. Tlh- Children's Hospital has not yet been fully occupied, the ground floor only having been used. A special baby department might with advantage be established in the upper wards, it being exceedingly difficult lo treat young infants in conjunction with older patients. The new out-patient department has been completed, and the bacteriological work for Wellington District is now carried on by a special arrangement between the Public Health Department and the Hospital Board. It is intended to build a new kitchen block, for which plans have been submitted, and also a ward for advanced venereal diseases. Infectious Diseases Hospital. Visited on 6th July, 1914. There were 26 patients in. Since the opening there have been 655 patients in the Hospital. No deaths till February. 1914. The scarlet-fever cases this year have been of a more severe and complicated type than hitherto. The Hospital was in good order; the grounds much improved since last visited. Otaki Hospital. Medical staff, honorary: H. C. Kaulke. Medical staff, stipendiary: W. H. Huthwaite, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : E. M. Scaly. K.N. Localities from whence patients came: Levin and Shannon. IT: Oban and Manakau, 7; Otaki, 50; Te Horo and Waikanae, 18; Weber. 11; Ashhurst, 1; Longburn. 1; Ormondville, I; unknown, 18. Visited on 13th October, 1913. There were 8 patients in the Hospital. The Hospital was in good order. Otaki Sanatorium. Medical staff, honorary: H. C. Faulke,'F.R.C.S.. L.R.C.P. (Edin.). Medical staff, stipendiary: W. H. Huthwaite. M.R.C.S. (Eng.), L.R.C.P. (Lond.), Matron : E. M. Scaly. R.N,

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Localities from whence patients came: Weber, 37 ; suburbs, 13; Petone, 8; Wairarapa, 1 : unknown, 8; Manawatu, 6; Wanganui, 1; Bull's, 1; Dannevirke, 1; Napier, 1; Levin, 1; Upper Hutt, 1; Westland, 1; Palmerston. 1; Gisborne, 1; Konini, 1; Christchurch, 1. Visited on 13th October, 1913. There were 18 patients in the institution —9 women and 9 men. Some of the shelters had recently been repainted, and all looked fresh and clean. The vegetable-garden in connection with these institutions might well be made more use of for the supply of fresh vegetables to the Hospital and other institutions under the control of the Board. Ohiro Home. Medical staff, stipendiary: H. Hardwick Smith. M.8.. 8.5.. B.A. (Cantab.), F.R.C.S. (Eng.). Master : A. H. Truebridge. Matron : Mrs. A. Truebridge. Localities from whence patients came : Wellington Hospital District. Visited on 13th May. There were 107 men, including 30 in the intermediate and casual ward, and 25 women. North Canterbury Hospital and Charitable Aid Board. Usual date of meeting: Fourth Wednesday in month. Chairman : Frederick Horrell. Secretary : W. S. Wharton. Public Health Inspectors: A. W. Nicol, G. A. Baker, W. J. Chappell, Christchurch. Charitable Aid Inspector : Mrs. S. G. Goring. Institutions under Board's control: Christchurch Hospital; Pathological Laboratory; Dental Department; Consumption Sanatorium; King George V Coronation Hospital; Tuberculosis Dispensary; Infectious Diseases Hospital, Bottle Lake; Lyttelton Casualty Ward; Tuarangi Old Men's Home, Ashburton; Female Refuge. Linwood; Queen's Jubilee Memorial Home, Woolston; Orphanage, Waltham; Armagh Street Depot. Christchurch Hospital. Medical staff, honorary : H. T. D. Ackland, L.R.C.P.; F. G. Westenra, M.8., CM. (Edin.), L.R.C.P. and S.; R. Neil Guthrie, M.8., Ch.B.; J. F. Duncan, M.8., Ch.B. (Edin.), F.R.C.S. (Eng.); H. M. Inglis, M.8., Cb.M. (Edin.); J. Stevenson, M.8., CM. (Edin.), F.R.C.S (Eng.); T. A. McGibbon, M.8., Ch.B. (Edin.). F.R.C.S. (Eng.); T. A. Crooke, M.D., L.R.CP.S.E. Medical staff, stipendiary: F. L. Scott, M.D. (Edin.), L.R.C.P.S. (Eng.); A. M. Trotter, M.8., Ch.B. (N.Z.); C. E. Hercus, M.8., Ch.B. (N.Z.); D. L. Sinclair, M.8., Ch.B. (N.Z.). Matron : Mabel Thurston, R.N. Localities from whence patients came: Christchurch City, 1,490; Kaiapoi Borough, 29; Lyttelton Borough, 73; New Brighton Borough, 44; Rangiora Borough, 45; Sumner Borough, 27; Woolston Borough, 50; Akaroa Borough, 4; Spreydon Borough, 60; Riccarton Borough, 91; other districts, 86; shipping, 27; no address, 18; Akaroa County, 10; Amuri County, 14; Ashley County, 2; Eyre, 17; Kowai, 14; Oxford County, 17; Rangiora County, 23; Cheviot, 18; Ellesmere, 55; Halswell County, 18 ; Heathcote, 17; Kaikora County, 14; Malvern County, 92; Mount Herbert County, 6; Paparua, 64; Selwyn. 27; Springs, 8: Tawera, 30; Waimairi, 190; Waipara, 16; Wairewa, 18. Visited several times during the year. There were 178 patients under treatment. The Medical Superintendent informs me that there have been great demands on the accomnmdation of the institution, and that many patients have to Ire kept waiting before they can be admitted. It seems, therefore, imperative that the work of renovating the old wards should be pushed on as soon as possible. The isolation ward, which had been in use for some few weeks prior to my visit, is proving most useful. The upper wards in this block were being used for cases of infantile paralysis. The building itself appears to have been very well carried out, although the Farma flooring is very much cracked in several places, as is also the plaster. The local agents have to see that this defect in the flooring is made good. I attended the meeting of the Board on Wednesday. 25th. and the Hospital committee on Thursday, 26th March. The institution was in excellent order. Christchurch Consumpiion Sanatorium. Medical staff, stipendiary: G. J. Blackmore, M.D.. CM., D.P.H. Matron : K. Benjamin, B.N. Localities from whence patients came: Christchurch. 70; Heathcote, 3; Lyttelton, 4; Riccarton, 4; Rangiora, 8; Spreydon, 3; Kaiapoi, 4; Woolston, 5; Malvern, 3; Waimairi, 5; Oxford, 2; Akaroa, 1; Wairewa, 2; Paparua, 2; Waipara, 1; Tawera, 2; other districts, 3; no address, 3. Visited the above on the 28th March with Dr. Bernstein. There were 57 patients in the Hospital. The whole place was as usual in excellent order, and it is a great pity that more accommodation cannot be provided in connection with this institution. I feel sure that the Board will do well to acquire additional land in the neighbourhood of the institution and, if necessary, acquire such land under the Public Works Act. By this means it might be possible to close other sanatoriums where the conditions and general advantages are not so evident.

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I also visited the King George Memorial Home for chronic consumptives. The building seems to have been well carried out. With the additional forty-four beds that this institution renders available the consumptive patients of North Canterbury should be amply provided for. The Board has very wisely decided to throw this institution 'open to patients from the West Coast and other Hospital Boards. The value of this institution, despite many statements to the contrary, will become more evident as time goes on, especially if it remains under the able control of Dr. Blackmore. Bottle Lake Infectious Diseases Hospital. Medical staff, stipendiary: J. F. Duncan, M.B. (Edin.), F.R.C.S. Sister in charge: L. M. Trumble, R.N. Localities from whence patients came: Christchurch City, 82; Ashburton District, 1; Lyttelton Borough, 5; Kaiapoi Borough, 3; Paparua County, I; Spreydon Borough, 3; Waimairi County, 8; Mount Herbert County, 1; New Brighton. 7; Riccarton Borough, 25; Tawera County, 1; Woolston Borough, 1; Wellington District, 1. Akaroa Hospital. Medical staff, stipendiary : C S. Cantrell, M.8., CM. (Edin.). Matron: Louisa E. Downer, R.N. Localities from whence patients came: Akaroa County. 15; Akaroa Borough, 2; Spreydon Borough, 1. Kaikoura Hospital. Medical staff, stipendiary: A. C. Thompson. M.8., Ch.B. (N.Z.), F.R.C.S. (Eng.). Matron: Isabel Ivey, R.N. Localities from whence patients came: Kaikoura County, 35; Lyttelton Borough, 1; Amuri County, 2; South Canterbury District, 1. Lyttelton Casualty Ward. Medical staff, stipendiary : J. A. Newall. M.8., Ch.B. Matron: Ethel Gooding, R.N. Localities from whence patients came: Lyttelton Borough, 7; shipping. 5; no address, 2; Akaroa County, 2; Malvern County, 1; Waimairi County, 1; Riccarton Borough, 1; Heathcote County, 2; Paparua County, 1; Woolston Borough, I; Ashburton County, 1; Mount Herbert County, 1; Kaikoura County, 1; New Brighton Borough, 1; Christchurch City, 8; Auckland District, 1. Visited on 9th April. Ihere were no patients in, but during the year there had been 50 cases of accident, 20 of these being at the time of the strike, and many quite minor eases. The Matron does some outside maternity and district work. The place was in good order, but needs to be repainted. Memorial Home, Woolston. Medical staff, stipendiary : J. F. Duncan, M.8., Ch.B. (Edin.), F.R.C.S. (Eng.). Matron : Margaret Higgins. Localities from whence patients came: Christchurch City, 74; Kowai County, 1; Waipara County, 1; Kaikoura County, I ; Malvern County, 3; Waimairi County, 1; Oxford County, 1; Lyttelton Borough, 3; Kaiapoi Borough, 1; Rangiora Borough, 1; New Brighton Borough, 2; Spreydon, 1; Woolston Borough, 1; Rangiora Borough, 1; New Brighton Borough, 2; Spreydon, 1; Woolston Borough, 1; Rangiora County, 3; Akaroa County, 1; Ashburton District, 2; no address given, 3. Visited on 9th April, 1914. The inmates were at dinner, and were very comfortable. The place was, as usual, in excellent order. In the chronic wards the patients are very well cared for. Miss Ewart, for many years Matron of the Christchurch Hospital, was in charge during the absence of Miss Higgins on leave. Halt/mm Orphanage. Medical staff, stipendiary: J. F. Duncan, M.B. (Edin.). F.R.C.S. (Eng.). Matron : Jean Donaldson. Localities from whence patients came: North Canterbury District. Linwood Refuge. Medical staff, stipendiary: J. F. Duncan, M.B. (Eng.), F.R.C.S. (Eng.). Matron: A. M. Chapman, R.M. Localities from whence patients came: Christchurch, 52; Malvern, 1 ; Waimairi. 2; Ellesmere, 1; Selwyn, 1 ; Woolston, I ; other districts, 2; no address, 4, Visited on 26th June, 1913. There were 30 inmates in all, All in good order, as usual.

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Armagh Street Depot. Medical stall, stipendiary: J. F. Duncan. M.D. (Edin.), F.R.C.S. (Eng.) Matron : M. Reeves. Master : William Reeves. Localities from whence patients came: Christchurch City, 38; Paparua County, 1; Cheviot County, 1; no address, 11. 'I unioni/i Hume. Ashburton. Medical staff, stipendiary: G. Lyon, M.8., CM. (Aberdeen). Master : F. H. Knight. ' Matron : E. Knight. Localities from whence patients came: Christchurch, SI; Waimairi, 3; Kaikoura, 3; Kaiapoi, 6; Akaroa, 2; Halswell, 2; Lyttelton, 4; New Brighton, 1; Rangiora, 5; Riccarton, 1; Malvern, 3; "Woolston, 2; Ellesmere, 2; Tawera, 1 ; Spreydon, 1; other districts, 19. Visited on 6th April, 1914, with Mr. Turnbull, the Chairman of the Institution's committee. Considerable additions and renovations had been made since my last visit, notably increased accommodation for nurses. There had recently been some difficulty with the electric-light apparatus. The Home and grounds were in good order. Otago Hospital and Charitable Aid Board. Usual date of meeting : Alternate Thursdays. Chairman : James Hamlin Walker. Secretary : John Jacobs. Public Health Inspectors : James Craighead, Dunedin; William Armour, Dunedin. Inspector, Inquiry Officer, and Collector : Michael Fraer. Inspector : Mrs. Flora Darroch. Controller of Stores : Walter Downs. Institutions under Board's control: Dunedin Public Hospital; Dunedin Chronic Hospital. Caversham; Otago Benevolent Institution; Forth Street Maternity Hospital; Infectious Diseases Hospital, Lake Logan; Porl Chalmers Cottage Hospital: Tuapeka Hospital, Lawrence; Pleasant Valley Sanatorium. Palmerston; Tapanui Hospital. Tapanui. Dunedin Hospital. Medical staff, honorary: D. Colquhoun, M.D.. F.R.C.P. (Lond.); M. Macdonald, B.Sc. (N.Z.), M.8., CM. (Edin.); F. Fitchett, M.D., M.S. (Edin.); L. E. Barnett. M.8.. P.Ii.CS. (Eng.); F. S. Batchelor, F.R.C.S. (Eng.); E. J. O'Neill. M.B. (N.Z.), M.R.C.S. (Eng.), F.U.C.S. (Edin.); 11. L. Ferguson. M.D.. F.R.C.S. (I.); F. I!. Riley, F.R.C.S. (Eng.); W. S. Roberts, M.R.C.S. (Eng.); W. Newlands. M.A., M.8.. F.R.C.S. (Edin.); H. P. Pickerill, M.8., Ch.B.. L.D.S. (Eng.); W. A. Fleming, M.8., CM. (Edin.); S. C Allen, M.D. (N.Z.), F.R.C.S. (Eng.); E. H. Williams. M.8.. Ch.B. (Eng.). D.R.H. (Cantab.); S. A. Moore, M.D.. CM. (Edin.); Charles North. M.8., Ch.B.; Winifred I. Bathgate, M.8., Ch.B.. B.Sc; li. Ritchie, M.8., M.R.C.S. (Eng.); A. J. Hall, M.8.. B.Ch. (X.Z.); S. Chamtaloup, M.8., Ch.B.. B.Sc. (P.H.); T. Fergus. M.8., B.Ch. (N.Z.), F.R.C.S. (Edin.): masseur, Mr. D. E. Booth; masseusses. Misses Lawson and Armstrong. Medical staff, stipendiary : A. It. Falconer, M.8., Ch.B.; C A. V. Baigent, M.8.; R. R. H. Fulton, M.8.; H. Short, M.B. Matron : Margaret Myitis, R.N. Localities from whence patients came: Dunedin and Suburbs, 1,937; Balclutha, 35; Cat lin's. 36; Clinton, 18; Creen Island, 40; Henley, 11; Middlemarch, 19; Lawrence, 28; Milton. 26; Taieri, 109; Palmerston, 48; Port Chalmers, 58; Roxburgh, 12; Kaitangata, 41: Seacliff. 16; Tapanui, 4; "shipping, 29; outside districts, 109. Visited several times-. On each occasion the Hospital was full, all veranda-space being made use of, including the balconies for consumptive patients. Ward I has been renovated and provided with lavatories, which were badly needed. The Board has decided to erect a new home for nurses on a site recently purchased in King Street, at an estimated cost of £13,700. On this site it is proposed to erect other buildings, such as the residents' quarters. &c, but these might well be provided in the present Nurses' Home when the new Home is ready. Part of the present home could Ik; converted into wards for special cases at a comparatively moderate cost, and this would appear to be the best use to make of the present Home. These matters were discussed, with many others, on those occasions when 1 interviewed the Board, and also the system of keeping accounts. On examination the apparent reduction in the cost per bed of the Hospital appearing in last year's report could not b* substantiated. and the Chairman frankly admitted that a mistake had been made. Emulation between Hospital Boards in the efficient and economical management of their institutions is much to be desired, but a great and sudden reduction in the cost per bed which cannot be verified by examination is, to put it mildy, somewhat inartistic. Pleasant Valley Sanatorium. Medical Staff, stipendiary : C E. W. Lytli, M.8., B.S. (Lond.). Matron : Mabel Valentine, R.N. Localities from whence patients came: Dunedin and suburbs, 49; Timaru, 14 ; Oamaru, 9; Taieri, 8 ; Riverton, 7 ; Otago Central, 6 ; Port Chalmers, 5 ; Temuka, 4 ; Ashburton, 4 ; Invercargill, 4 ;

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Milton, 2 ; Kelso, 2 ; Catlins, 2 ; Green Island, L; Heriot, 1 ; Wanaka, I; Greytown, 1 ; Hampden, 1 ; Palmerston, 1 ; Waitati, 1. Visited on 25th January and 29th March. On the first visit I was much disappointed with the general appearance of this institution. The grounds were untidy, and the only sign of recent activity noticeable was some recently fallen trees —a very doubtful improvement. On the occasion of my later visit the place was in much better order. On both occasions it was evident that the patients were contented and professionally well cared for. At a subsequent meeting of the Otago Board I did not support a proposal to enlarge this institution. It is reassuring to gather from the Medical Superintendent's report that a great deal of work has been done by the patients during the past year. Fever Hospital. Medical staff, stipendiary : H. Short, M.B. Matron : Elizabeth J. Young, R.N. Localities from whence patients came: Dunedin, 27 ; Suburbs, 12; Seacliff, 1; Taieri, 1; Anderson's Bay, 2 ; Middlemarch, 3 ; Milton, 2. Maternity Hospital. Medical staff, honorary : F. R. Riley, F.R.C.S. (Eng.). Medical staff, stipendiary : L. Russell Ritchie, M.8., M.R.C.S. (Eng.). Matron : R. M. Every, R.N., R.M. Localities from whence patients came : Oamaru, 3; Timaru, 1; Greymouth, 1; Mosgiel, 3 ; South Otago, 2 ; Invercargill, 2 ; Central, 3 ; Southland, 4 ; suburbs, 37 ; Dunedin, 116. Visited 27th March, 1914. Only 3 patients in bed. 4 waiting. There is great need of an isolation ward at this Hospital, there being no provision for isolating any infectious or suspicious case. Tapanui Hospital. Medical staff, honorary : William Robertson, M.R.C.S. (Eng.). Matron : Sister Naismith, R.N. Localities from whence patients came : Country, 50; town, 9. Visited on Ist April, 1914. There were eight patients. Since the opening in November, 1912, there had been 76 cases in this small Hospital. The building has not been very well carried out, and will shortly need renovation. Kaitangata Hospital. i Medical staff, honorary : Bruce Baird, M.8., Ch.B. Matron : Fanny Clements. Localities from whence patients came : Kaitangata Borough, Balcultha Borough, Bruce County, Clutha County. on 30th March, 1914. There was one patient. The Hospital is frequently empty. There had been 40 cases during the year, but many of these were adenoid cases which remained only a short time. The Hospital makes a good nucleus for a district nurse and for emergency accident cases, but is scarcely required for any other purpose. The place was in good order. Port Chalmers Hospital. Medical staff, honorary : W. H. Borrie, M.8., CM. ; G. Hodges, M.8., CM. Matron ; Amelia Veitch, R N. Localities from whence patients came : Port Chalmers, 3 ; Dunedin, 1; Wickliffe Bay. 1; Oamaru, 1. Visited on 31st March. 191 I. No patients. The Hospital has been made little use of. The number of patients has declined from 11 in 1911 to sin 1913. It serves a purpose as an emergency ward, but should have been much smaller. Tuapeka Hospital. Medical staff, stipendiary : William Sutherland, M.8., B.Ch. Matron : •). Drew. Locality from whence patients came : Tuapeka County. Visited on 31st January, 1914. Although there is room for some 27 patients in this Hospital, including isolation and maternity wards, there were only 4 patients in the institution at the time of my visit. The place was in excellent order, though considerable improvements are needed in the drainage. The town water-supply is not reliable, and the water used in the kitchen comes from an underground rain-water tank. I consider it will be possible for the Otago Board to make some further use of this institution. The Medical Officer receives £300 a year and also house, fuel, and light. This seems a large sum to pay a Medical Officer, who would be well recompensed at a salary of £1(X) per annum and his house.

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Otago Benevolent Institution. Medical staff, stipendiary : Robert V. Fulton, M.8., Ch.B. Master: George Sinclair. Matron : Lucy M. Mee. Localities from whence patients came: Dunedin, 158 ; Lawrence, 4 ; Invercargill, 5 ; Otago Central, 4 ; Brighton, 2 ; Milton, 2 ; Ophir, 2 ; Tapanui, 4 ; Palmerston, 2 ; Blueskin, 1 ; Outram, 2 ; Port Chalmers, 3 ; Clyde, 1 ; Naseby, 2 ; Cromwell, 4 ; Roxburgh, 2 ; Kaitangata, 1 ; Clinton, 1 ; Waitahuna, 1 ; Balclutha, 1 ; Taieri, 2. Visited on 30th March, 1914. There were 120 men and 56 women, and of these 25 women and 24 men were in the chronic wards. As usual, the women's part of the institution was beautifully clean, and in good order. The men's part, though in better order than on my last visit, shows need of more efficient work to keep Jit properly clean than that of the old men inmates who take charge of the dormitories and sanitary annexes. One dormitory only was in a good state. The chronic wards were well kept, and the nurses, of whom there are six, with a Sister in charge, keep their patients as comfortable as possible. The fowl-run and pig-sties are too near these wards. Bay op Islands Hospital and Charitable Aid Board. Usual date of meeting : Quarterly. Chairman : William Stewart. Secretary : H. C Blundell. Public Health Inspector : A. E. Skynner, Kawakawa. District Nurses : Eleanor E. Chappell, R.N., R.M.; Winifred Veale, R.M. ;T. Impey, R.M. Institutions under Board's control : Bay of Islands Hospital; Mangouni Hospital; Hokianga Hospital, Rawene. Bay of Islands Hospital. Medical staff, stipendiary : Horace Dorset Eccles, M.R.C.S., L.R.C.P. Matron : Ada G. Hawken, R.N. Locality from whence patients came : Bay of Islands County. Visited on 9th February, 1914. There were 6 patients, and 2 waiting-confinement cases. Patients from this district are very reluctant to go on to Whangarei, and the Hospital has been made much more use of for general cases than was intended. The Native health nurse occupies a tent and lives at the Hospital. Plans for the extension of this institution have been submitted to this Department. Mangonui Hospital. Medical staff, stipendiary : Percy W. Menzies, L.R.C.P., L.R.C.S.E. Matron : Edith M. Clark, R.N., R.M. Localities from whence patients came : Mangonui and Whangaroa Counties. Visited on 12th February, 1914. There were only 2 patients. During the year there had been 80 patients, out of which number 13 were midwifery.' Everything was in excellent order. Rawene (Hokianga) Hospital. Medical staff, stipendiary : Alexander A. Macfarlane, M.8., Ch.B. Matron : Norah L. Bennett, R.M. Locality from whence patients came : Hokianga County. Visited on 10th February, 1914. There were 13 patients in, 1 maternity case and 2 waiting patients. The new midwifery ward is quite convenient and suitable, but the ordinary women's ward has been spoilt by the veranda being enclosed with stained glass, thus shutting off light and air, as part only of the enclosure opens. The Hospital was in good order, but some painting and papering and new linoleum are required. During the year there had been 61 patients, of which 18 were midwifery. Marsden-Kaipara Hospital and Charitable Aid Board. Usual date of meeting : Second Thursday in month. Chairman : R. Y. Kernohan. Secretary : C McKinnon. Public Health Inspector : P. Shenton, Whangarei. District Nurses : A. Petersen, Paparoa ; L. Marshall, Waipu. Institutions under Board's control : Northern Wairoa Hospital, Te Kopuru ; Whangarei District Hospital, Whangarei; Whangarei Cottage Home. Kaipara Hospital. Medical staff, honorary : W. H. Horton, M.B. Medical staff, stipendiary : J. R. Closs, M.8., B.S. Matron : M. G. Atkinson, R.N.

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Localities from whence patients came : Hobson, 164 ; Dargaville, 29 ; Otamatea, 10; Auckland, 4 ; Shipping, 2 ; Whangarei, 1 ; Hokianga, 1. Not visited since last report. During the year this Hospital—formerly known as Te Kopuru or Northern Wairoa Hospital— has been separated from the Marsden-Kaipara or Whangarei Hospital, and a separate hospital and charitable aid district formed. Whangarei Hospital. Medical staff, stipendiary : J. L. Frazer-Hurst, 8.A., M.D., <fee. Matron : D. E.,Giffney, R.N., R.M. Localities from whence patients came : Whangarei County, 282 ; Whangarei Borough, 92 ; Bay of Islands, 63 : Hikurangi, 38 ; Auckland, 8 ; Hobson, 4 ; Otamatea, 2 ; Hawke's Bay, 2 ; Shipping. 2; Wellington, 1 ; Waikato, 1 ; Rodney, 1 ; Palmerston North. I. Visited on 7th February, 1914. There were 32 patients in the Hospital, 6 of these being women ; no cases in the isolation ward. The new ward is for sixteen beds. There is a day-room attached which will serve for a receptionroom for ambulance patients and a dressing-room for surgical cases that are up and for small operations, and a wide veranda on which patients can be put. The rest of the Hospital will require to be painted to be in accordance with this addition. The accommodation for the staff is now quite satisfactory. The laundry is not quite adequate for present requirements, and additions are under consideration. With the great increase of work the nursing staff has been increased and is now eleven including the Matron ; there are three Sisters and seven probationers. The Hospital was in good order. Cottage Home, Whangarei. Medical staff, stipendiary : J. L. Frazer-Hurst, 8.A., M.D., <fee. Master: J. Harker. Matron : F. Harker. Localities from whence patients came : Whangarei. 27 : Hobson, 7 ; Otamatea. (i ; Bay of Islands, 13. Visited on 7th February, 1914. There were 27 men in, and 1 woman. The place was, as usual, in excellent order. Thames Hospital and Charitable Aid Board. Usual date of meeting : First Wednesday in month. Chairman : William J. McCormick. Secretary : Richard R. Lloyd. Public Health Inspector : Bernard A. Franklin, Thames. Institutions under Board's control : Thames Hospital, District Home. Thames Hospital. Medical staff, stipendiary : D. B. Walshe, M.8., Ch.B. (Melb.). Matron : M. Wilson, R.N. Localities from whence patients came : Thames Hospital District, 642 ; Auckland, 14 ; Waikato, 29 ; Whangarei, 2 ; Bay of Plenty, 8 ; Coromandel, 1 ; Waiapu, 1 ; Waihi, 7. Visited on 13th January. • There were 50 patients in. The Board has decided upon considerable building extensions and renovations. Plans for the additions to the nurses' quarters and kitchen have been approved, and also a special ward for D.T. cases, and finally the Board has just acquired from the District High School land immediately adjoining the Hospital which should be of great value to the institution, as the site on which the Hospital stands is very limited in size. As usual, the institution and grounds were in excellent order. District Home, Tararu, Thames. Medical staff, stipendiary : D. B. Walshe, M.8., B.Ch. (Melb.). Master : R. Hay Chapman. Matron : Mrs. Hay Chapman. Localities from whence patients came : Waihi, 1 ; Waikato, 1 ; Thames and Ohinemuri, 35. Considerable improvements had been effected at this institution since my last visit, but female inmates could be accommodated with more safety on the ground floor. I wrote to the Chairman to this effect. Coromandel Hospital and Charitable Aid Board. Usual date of meeting : Third Monday in each month. Chairman : Samuel James. Secretary : Richard Simmonds. Public Health Inspectors : William Lee, Mercury Bay ; Frederick Franklin, Coromandel. Charitable Aid Inspector : Philip J. Brown. Institution under Board's control : Coromandel Hospital.

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Coromandel Hospital. Medical staff, honorary : John James Eade, M.8., Bach. Surg. Medical staff, stipendiary : John Craig. L.R.C.S.. L.R.C.P. Matron : Nina Black, R.N. Locality from whence patients came : Coromandel. Visited on 18th January. There were 6 patients, 3 being cases of a somewhat chronic nature. The Matron, Miss Black, has resigned, and Miss Mary Anderson has been appointed. Waihi Hospital and Charitable Aid Board. Usual date of meeting : Last Friday in each month. Chairman : Dawson Donaldson. Secretary : F. Bishop. Public Health Inspector : T. H. Erwin, Waihi. Charitable Aid Inspector : F. Bishop. Institution under Board's control : Waihi Hospital. Waihi Hospital. Medical staff, stipendiary : John M. Hyde, M.8., Ch.B. Matron : Ada Taylor, R.N. Localities from whence patients came : Waihi, 230 ; Thames, 106 ; Bay of Plenty, 25; Waikato, 7 : Auckland, 2. Visited on 20th January. The institution was in good order; it is now very differently appointed and managed to what it was when I first visited it at the latter end of 1907. Bay of Plenty Hospital and Charitable Aid Board. Usual date of meeting : Quarterly. Chairman : Alex. Peebles. Secretary : H. 0. Garaway. Public Health Inspector : John Landells, Whakatane. Institutions under Board's control : Opotiki Cottage Hospital and Tauranga Cottage Hospital. Tauranga. and Opotiki Cottage Hospitals. In January last I visited the Tauranga and Opotiki Cottage Hospitals, which had just been completed. The work at the latter had been very poorly carried out. These little hospitals have since been opened. The Department subsidizes the salary of the Mission nurse at Whakatane, and the Hospital Board have furnished a room at her home, so that emergency cases can be treated there pending admission to hospital. Waikato Hospital and Charitable Aid Board. Usual date of meeting : Every fourth Thursday. v Chairman : John P. Bailey. Secretary : W. I. Conradi. Public Health Inspectors : Inspector Bennett, Hamilton, and Inspector Calderwood, Taumarunui. District Nurses : E. M. Smith and L. Silvester. Institutions under Board's control : Waikato Hospital, Old Men's Home, and Taumarunui Hospital. Waikato Hospital. Medical staff, stipendiary : H. Douglas, M.8., CM. ; W. Findlay, M.8., Ch.B. ; F. Cameron, M.8., Ch.B. Matron : E. M. Rothwell, R.N. Localities from whence patients came : Waikato County. 130; Raglan, 54; Waipa, 127; Piako, 37 ; Matamata, 42 ; Hamilton Borough, 169 ; Waitomo County, 27 ; Kaitieke, 31 ; Awakino, 10; Rotorua Town, 15; Rotorua County, 12; Ohura, 12; Kawhia, 25; Frankton Borough, 66; East Taupo County. 17; Te Kuiti Borough, 54; West Taupo Borough, 41; Cambridge Borough, 41 ; Huntly Town, 77 ; Taumarunui Borough, 28 ; Te Awamutu Town, 18 ; Te Aroha Borough, 25 ; Ngaruawahia Town, 43; Morrinsville, 22 ; Manunu, 6 ; others, 85. Visited on 10th January. There were 92 patients in. It is quite evident that considerable additions to this Hospital will be needed at an early date, and the question is being considered by the Board, as well as a better water-supply. The recently erected ward for consumptive cases had not been occupied. As usual, this institution was in good order. Taumarunui Hospital. Medical staff, stipendiary: W. C. Macknight, M.8., CM.. F.R.C.S. (Edin.). Matron : Sister sent quarterly from Waikato Hospital. Localities from whence patients came : Taumarunui and surrounding district. Visited on 16th February, 1914.

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There were 11 patients : of these 7 were cases of enteric. The Hospital was crowded, there being only six beds. Considerable use is made of the wide verandas. Of the cases, none were fit to send to the Hamilton Hospital. A great many cases had been sent away. The Hospital undoubtedly needs enlargement. Waikato Old, Men's Home. Medical staff ; Same as Waikato Hospital. Master: L. Holmex. Matron : B. Holmex. Locality from whence patients came : Waikato Hospital District. Rotorua Cottage Hospital. Medical Staff, stipendiary: A. S. Wohlmann, M.R.C.S., M.D. Matron : M. Pown«ll, R.N. This Cottage Hospital is attached to and is under the same Medical Superintendent and Matron as the Government Sanatorium at Rotorua. Visited on 4th February, 1914. There were 11 patients in, 2 women and a child on the veranda on the female side. It is suggested that additional accommodation could "be obtained by building a wide veranda on the north-eastern side of the male ward, partially enclosed. There would be room for four beds. There has been an average number of 14 patients for some months. There had been 172 cases in since the institution was opened. The Hospital was in very good order, though in parts the paint-work is not very satisfactory. The equipment seems to be quite sufficient for the needs. Waiapu Hospital and Charitable Aid B. > Usual date of meeting : Fourth Monday in month. Chairman : A. B. Williams. Secretary : A. L. Temple. Public Health Inspector : J. P. Terry, Waipiro Bay. District Nurse : V. Macdonald, R.M. District Native Nurse : Nurse Walker, R.N. Institutions under Board's control: Te Araroa Nursing Home. (Nurse Winfield now in charge.) Waiapu Hospital. Medical staff, stipendiary : C. S. Davis, M.D., D.P.H., M.R.C.S. (Eng.). Matron : A. B. Allan, R.N. Localities from whence patients came : Waiapu and Cook. Not visited since last report. There have been no additions to this Hospital, and no changes in the staff. Dr. Davis returned to Waiapu Bay after absence in England and resumed charge of the Hospital. The maternity ward, for which plans were made in 1911, has not yet been erected, the maternity work being carried out by the district nurse resident at the Hospital. The Board has also been given the services of two nurses for Natives in their large and scattered district, and have co-operated with the Department in this branch of work in a very helpful manner. Cook Hospital and Charitable Aid Board. Usual date of meeting : Third Friday. Chairman : Hon. Capt. Ticker. Secretary : H. M. Porter. Public Health Inspector: F. 0. York, Gisborne. District Nurse : Nurse Greenslade, R.M., Matawai. Native District Nurse : Nurse Cormack, R.N., R.M., Te Karaka. Institutions under Board's control : Cook Hospital and Old People's Home. Cook Hospital. Medical staff, honorary: W. Reeve, M.R.C.S., L.R.C.P.; C. F. Scott, M.8., M.S. (Glasgow) ; J. W. Williams, M.D., M.S. (Edin.): anaesthetists—A. L. Singer, M.R.C.S., L.R.C.P.: W. P. Porter M.8., M.S. (Glas.); James Reid, M.A., M.8., Ch.B. ;R. We Repa, M.8., Bach. Surg. Matron : E. F. Godfray, R.N. Localities from which patients came : Gisborne Borough, Cook and Waikohu Counties. Visited on 20th April. There were 54 patients in. The new Hospital will not be ready before it is needed, for, despite the efforts of the staff, it is impossible to keep the old building in a proper state of cleanliness. There were only three cases of typhoid under treatment. There is no doubt that when the new hospital is available there will be a greater demand on the part of the public for hospital accommodation, a larger proportion of the public being treated in the private hospitals in this town than in any other town of its size in the Dominion. During my visit I met the Hospital Board and discussed hospital management with the members at some length.

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Old People's Home. Gisborne. Master : R. C. Vigis. Matron : Mrs. R. Vigis. Localities from which patients came : County. 18 : borough. 7 ; town, 5. Hawke's Bay Hospital and Charitable Aid Board. Usual date of meeting : Second Monday in month. Chairman : W. Shrimpton. Secretary : James Scheele. Public Health Inspector : F. B. Gardiner, Napier. Institutions under Board's control : Napier Hospital, Old People's Home. Park Island. Napier Hospital. Medical staff, honorary : H. F. Bernau. M.R.C.S., L.R.C.P. ; J.J. Edgar. M.D., CM. ; J. P. D. Leahy, M.8., Mast, Surg. ;' H. M. Wilson, 8.A., M.8., Ch.B. Medical staff, stipendiary : Thos. Qilrav. M.8.. Ch.B. (N.Z.), F.R.C.S. (Edin.) : Eric Faris. M.8., Ch.B. (N.Z.). Matron : Rose Macdonald, R.N. Localities from whence patients came : Napier, 433 ; Hastings, 236 ; Hawke's Bay County, 245 ; Napier South Town District. 29; Taradale Town District. 15: Havelock North Town District, 14; Park Island, 41 ; outside districts. 41 ; shipping, 10. Visited on 7th March, 1914. There were 95 patients. There have been as many as 112 patients in this Hospital. The ward now being built will relieve pressure. It should be read}' in May or June. The new women's surgical ward is very convenient. An extravagance in fittings has been a huge sink, costing £50. It is quite unnecessary and very cumbersome, and difficult to keep clean. The graduated electric lights work well, and are a great convenience, but the Manchester stoves smoke. The linen-rooms and patients' clothes-presses are very convenient, and good provision has been made for brooms and buckets. The laundry has been completed since last visited, and is a very well equipped part of the institution, with a drying-ground on the roof and a lift to bring the clothes up. The Hospital and grounds were in good order. The Board contemplates the erection of an administrative block, and the erection of other new wards at an early date. It is certain that the old wards are not satisfactory, especially the sanitary arrangements, which are very bad. Old People's Home, Park Island. Medical staff, stipendiary : Thos. Gilray, M.8., Ch.B. (N.Z.), F.R.C.S. (Edin.). Master : W. H. Hichens. Matron : Mrs. A. Hichens. Localities from whence patients came : Napier, 37 ; Hastings, 18 ; Hawke's Bay County, 29 ; Taradale, 4 ; Waipawa, 27 ; Waipukurau, 13 ; Dannevirke, 17 ; Woodville, 4 ; Weber, 3 ; Wairoa, 6 ; Patangata, 4 ; other districts, 2. Visited on 7th March, 1914. There were 90 inmates, 72 men and 8 women. The institution was in excellent order, and the inmates generally content and well. Wairoa Hospital and Charitable Aid Board. Usual date of meeting : Saturday following second Friday in each month. Chairman : John Hunter Brown. Secretary : William Taylor. Public Health Inspector : William Taylor, Wairoa. Institutions under Board's control : Wairoa County Hospital. Wairoa Hospital. Medical staff, stipendiary : John Miller, L.R.C.S. (E.), L.R.C.P. (E.). Matron : Louisa Higginson, R.N. Localities from whence patients came : Wairoa County, 92 ; Wairoa Borough, 84 ; Cook County, 3 ; Hawke's Bay County, 6 ; Wellington, 1. Visited on 25th April in company with the Chairman and Secretary. • Additional accommodation for the nurses and also for infectious cases is badly needed, especially the former, and the Board proposes to put the work in hand as soon as possible. It is also proposed to acquire additional land in the neighbourhood of th<* Hospital. Waipawa Hospital and Charitable Aid Board. Usual date of meeting : Second Thursday in month. Chairman : George E. Bickford. Secretary : G. B. Ashley. Public Health Inspector : Fred. B. Gardiner, Napier. Institutions under Board's control: Waipawa District Hospital. Waipukurau: Dannevirke District Hospital, Dannevirke.

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Dannevirke Hospital. Medical staff, stipendiary : Thomas Macallan, M.8., Mast. Surg. (Aberd.) ; W. H. Dawson, M.B. D.P.H., F.R.C.S. (Edin.). Matron : Georgiana Hopper, R.N. Localities from which patients came : Dannevirke, 210 ; Weber, 19 ; Woodville, 10 ; Akitio, 6 ; Auckland, 2 ; Masterton, 1 ; Gisborne, 2 ; Palmerston North, 1 ; Sandon, 1 ; Wanganui, 3 ; Napier, 3; Waipukurau, 1 ; New Plymouth, 3 ; Carterton, 2 ; Otaki, 1 ; Wellington, 6 ; Hamilton, 1 : Pahiatua, 1 ; Hutt, 2. Visited on sth March, 1914. There were 26 patients. The veranda at the end of the women's ward had been built out, and now forms a good ward with six beds and three cots. The new X-ray room is in good working-order. The Matron carries out the work with the assistance of an engineer from town. The Hospital was in good order, and the grounds, garden, and orchard very well kept. Waipawa District Hospital. Medical staff, stipendiary : Sidney C. Godfray, M.B. (deceased). Matron : M. E. Carston, R.N. Localities from whence patients came : Waipawa County, 72 ; Waipawa Borough, 32 ; Waipukurau Borough, 40; Patangata County, 47 ; Waipukurau County, 17 ; Dannevirke County, 58 ; Dannevirke Borough, 15 ; other places, 45. Visited on sth March, 1914. There were 28 patients. The verandas are made use of for a number of patients, both men and women sleeping out. The probationers are accommodated in a portion of the old women's ward, which has been partitioned up and is quite comfortable. Everything was in good order. Since writing this report the Department has received news of the death of Dr. Godfray, who for many years was Medical Superintendent of this institution. Dr. Godfray was much esteemed for his professional and personal qualities, and the Hospital and the district generally must deplore the early death of one who ever proved himself a most devoted servant to the public. Taranaki Hospital and Charitable Aid Board. Usual date of meeting : 3rd Wednesday in month. Chairman : Fred C J. Bellringer. Secretary : C. M. Lepper. Public Health'lnspectors :A. H. Kendall; Thomas G. Fielder, New Plymouth. District Nurse': Nora Kelly, R.N., R.M., Uruti. Institutions under Board's control : New Plymouth Hospital, Old People's Home. New Plymouth Hospital. Medical staff, stipendiary :E. A. Walker, M.D., CM.; D. S. Wylie, F.R.C.S. ; G. Home. M.8., M.D., D.P.H.; H. B. Leatham, M.D., M.R.C.S., L.R.C.P. Matron : Elizabeth Browne, R.N. Localities from whence patients came : Taranaki County, 124 ; Egmont, 70 ; Clifton, 65 ; New Plymouth Borough, 183 ; Waitara, 54 ; Inglewood, 31 ; Awakino, 15 ; Hawera, 8 ; Waikato, 7 ; Auckland, 8 ; Wanganui, 3 ; miscellaneous, 16. Visited in January and on 24th May, 1914. There were 49 patients in the Hospital. The walls of the new Hospital are going up. It is very badly needed, as the old Hospital is exceedingly out of date in arrangementjand getting very shabby. It is not desirable to spend money on the old building, but by the removal of old very worn linoleum (which is quite unnecessary) from the wards it might be improved. This has been done in the men's ward, the floor being stained. The new Hospital is not likely to be ready for nearly two years. A portion of the old Hospital is to be retained for chronic cases, for the Taranaki, Waitara, and Hawera Hospitaf Districts. Old People's Home. New Plymouth. Medical staff, stipendiary : G. Home, M.D. Matron : Annie Bayly. Localities from whence patients came : Hawera, Stratford, New Plymouth. Stratford Hospital and Charitable Aid Board. Chairman : John Smith. Usual date of meeting : First Tuesday in month. Secretary : I. Harry Perm. Public Health Inspector : A. Gray. Institution under the Board's control : Stratford Hospital.

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Stratford Hospital. Medical staff, stipendiary : David Steven, M.8., B.Ch. Matron : Meta O'Brien, R.N. Localities from whence patients came : Stratford County, 68 ; Stratford Borough, 78 ; Whangamomona County, 66 ; elsewhere, 13. Visited on 27th May, 1914. There were 10 patients. The small Nurses' Home is in course of erection, and will be an improvement for the staff, although the bath and lavatory accommodation is rather cramped. It is unfortunate that a site more remote from the women's ward could not be found for this Home, and after going carefully into the matter with the Board the site selected was reluctantly approved by the Department. The Hospital and surroundings were all in good order. Hawera Hospital and Charitable Aid Board. Usual date of meeting : Every third Monday. Chairman : G. W. Taylor. Secretary : C. E. Parrington. Public Health Inspector : A. Gray, Eltham. Native Nurses : Nurse Beetham ; Miss Anderson, Normanby. Institution under Board's control: Hawera Hospital. Hawera Hospital. Medical staff, stipendiary : W. M. Thomson, M.8., Ch.B. Matron : G. Broad, R.N., R.M. Localities from whence patients came : Mokoia, 7 ; Eltham, 35 ; Normanby, 16 ; Okaiawa, 13 ; Kaponga, 28 ; Hawera, 145 ; Manaia, 18. Visited on 26th May, 1914. There were 18 patients in the Hospital. New beds have been procured for the women's ward. The new ward for children is nearly completed. It partially blocks the light in the operating-theatre, and it will be necessary to put in an extra window. The theatre badly requires renovation ; the walls could be plastered and the floor covered with an aseptic material at a cost of about £50. The Hospital was in good order. Patea Hospital and Charitable Aid Board. Usual date of meeting : First Tuesday. Chairman : Herbert Onslow Clarke. Secretary : E. E. Homer. Public Health Inspector : Inspector Wilson, Marton. Institution under Board's control : Patea Hospital. Patea Hospital. Medical staff, honorary : A. G. Harvey, M.8., M.R.C.S. Medical staff, stipendiary : W. L. Simmons, M.B. Matron : L. Scolan, R.N. Localities from whence patients came: Waitotara to Normanby Patea Borough, 47 ; Patea County, 53 ; Hawera County, 9 ; Wanganui County, 1 ; Waitotara County, 1 ; Wellington, 1 ; Auckland, 1 ; Waverley Town, 25. Visited on 28th May. There were 8 patients. The average number of patients had increased during the year, there being at one time 23 patients under treatment. The hall and some of the small wards and the kitchen had been painted with Bon-Accord paint. Some rooms in the Nurses' Home have been done up ; others badly require it.' A good bath should be provided for the nurses. The Hospital was in good order. Wanganui Hospital and Charitable Aid Board. Usual date of meeting : Third Wednesday in month. Chairman : W. G. Bassett. Secretary : A. C. Ritchie. Public Health Inspectors : T. Pargeter, Wanganui. District Nurses : Margaret Anketell, R.N. ; C. E. Jackson, R.N., R.M., Marton. Institutions under Board's control: Wanganui Hospital, Jubilee Home, Taihape Hospital. Wanganui Hospital. Medical staff, honorary: C. B. Innes, M.8.; E. E. Porritt, M.D.; J. W. Anderson, M.D.CM. ; A. H. Wall, M.R.C.S., M.8.; A. J. Crawford, M.D., F.R.C.S.; M. M. Earle, M.R.C.S., L.R.C.P. Medical staff, stipendiary : H. Hutson, M.D.CM., F.R.C.S. Matron : Cecilia McKenny, R.N.

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Localities from whence patients came: Wanganui Borough. 524 : Wanganui County, 78: Waiinarino County, 12 ; Waitotara County, 7 ; Rangitikei County, 23 ; Marton Borough. 69 ; Taihape Borough, 5 ; Ohakune Borough, 14 ; Gonville Town District, 22 ; Castlecliff Town District, 22 ; llunterviHe Town District, 23 ; Bull's Town District, 27 ; Mangaweka Town District, 17 ; Shipping, 2 ; other places, 53 : total, 898. Visited on 18th February, 1914. There were 68 patients. The Department has agreed to alterations in the new ward, which the staff did not consider altogether adapted for the accommodation of patients in cold weather. The women's ward has just been repainted. The two new theatres are now completed. The small one intended for septic cases has not been used, and does not appear to have been urgently needed. A sterilizing-room has been added to the main theatre. In it is a huge sterilizer, far too large, and a great expense, as it requires to be boiled by a special furnace, while there is no means of providing sterilized water for operations except in jugs. A proper sterilizer for hot and cold water is needed. The Hospital was in good order. Taihape. Hospital. Medical staff, honorary : T. B. Whitton, M.D., L.R.C.S. ; R. B. Turnbull, M.8.. C.8., D.P.H. ; H. E. Owen. L.R.C.P. Medical staff, stipendiary : E. C. Barnett, M.R.C.S., L.R.C.P. ; R. J. Boyd, M.D., CM. Matron : E. Southall. Visited on the 10th March, 1914. There were 11 patients in—4 men, 4 women, and 3 children. N Though early in the morning, the Hospital was in excellent order. The grounds have been laid out and much improved since last visited. Jubilee Home Charitable Institution. Medical staff, stipendiary : H. Hutson, M.D., CM., F.R.C.S. Master : Samuel J. Allen. Matron : Mrs. C. H. Allen. Visited on 18th February, 1914. There were 31 inmates. The Home, as usual, was in excellent order. Palmerston North Hospital ami Charitable Am Board. Usual date of meeting : Second Thursday in month. Chairman : James Glenny Wilson. Secretary : William Stubbs. Public Health Inspector : Morgan O'Brien, Palmerston North. Charitable Aid Inspector : Frederick Aisher. District Nurse : Maud Eliza Lloyd, R.N. Institutions under Board's control : Palmerston North Hospital, Awapuni Old People's H me. Palmerston North Hospital. Medical staff, stipendiary: A. A. Martin, M.D., F.R.C.S.; P. T. Putnam, M.D., Ch.B : I . W. Peach, M.D. Matron : Mary McLagan, R.N. Localities from whence patients came : Palmerston North, 377 ; Kairanga County. 121: Feilding, 65 ; Oroua, 61 ; Foxton, 44 ; Manawatu, 66 ; Kiwitea, 43 ; Pohangina, 19 ; Rongotea, 26 ; Wellington, 47 ; Wanganui, 20 ; other districts, 23. Visited on 2nd March, 1914. There were 26 male patients—l 9 women and 3 children ; I patient in the consumptive annexe. The new ward is almost completed. The kitchen has been enlarged and made more convenient. A new Nurses' Home is to be erected, and many other improvements are being considered by the Board. Everything was in excellent order. The price paid for imported beds (£5 2s. 6d.), and for cots (£6 3s. 2d.), for the new wards is far too much. Equally good beds can be obtained in the Dominion at less cost. Wairarapa Hospital and Charitable Aid Board. Usual date of meeting : Second Wednesday in alternate months. Chairman : Edgar George Eton. Secretary : F. Fitzherbert Green. Public Health Inspectors : James Cairns, Masterton ; Harry H. Keay, Greytown. District Nurses : S. Carrie Jones. R.N., R.M.. Nellie Nickless, R.N., R.M.. Sadie E. Warnock R.N., R.M. Institutions under Board's control : Masterton Hospital, South Wairarapa Hospital. Pahiatua Hospital, Buchanan Home, Renall-Sohvay Home. Pahiatua Hospital. Medical staff, honorary: Hugh Paterson, M.B. ; J. P. Jamieson, M.8.. Ch.B.: \Y. A. Dunn M.R.C.S. (Eng.), L.R.C.P. (Lond.) ; P. H. Mules, L.R.C.P. and 8. (Edin.).

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Medical staff, stipendiary : H. T. Dawson, M.8.. Mast. Surg. Matron : Edith M. Davis, R.N. Localities from whence patients came: Pahiatua Borough, 46; Pahiatua County, t'i : Akitio County, 9 ; Eketahuna Borough, 5 ; Eketahuna County, 7 : VVoodville, 11 : unknown, 10. Visited on 2nd December. There were 5 patients in hospital, 4 males and 1 female. The place was in excellent order ; but the plaster in the female lavatories badly needs repair. The old-fashioned sinks will now need to be replaced with modern ones, and the main building will need repairing soon, especially the kitchen. Two bedrooms have been added for the staff. The grounds were in good order. The 11 acres in which the hospital stands runs sufficient cows to supply the Hospital with milk, thereby a considerable saving is effected. Masterton Hospital. Medical staff, honorary : P. R. Cook, M.8., Ch.B. ; J. A. Cowie, M.8., CM., B.Sc. ; N. H. Prior, M.8., Ch.B. Medical staff, stipendiary : Archer Hosking, M.8., CM. (Edin.). Matron : Isabel Mary Wilkinson, R.N. Localities from whence patients came : Masterton Borough, 184; Masterton County, 78 : Carterton Borough, 46 ; Martinborough, 14; Mauriceville County, 6; Eketahuna County, 19 ; South Wairarapa County, 7 ; Pahiatua County, 1 ; Wellington, 1 ; Auckland, 1 ; Taihape, 1 ; Foxton, I ; Dannevirke, 1 ; unknown, i 1 Visited on 4th March, 1914. There were 24 cases in—lo in male ward, 9 in women's, 1 in side ward, 4 in fever ward. The Hospital was in very good order ; the kitchen and scullery had recently been painted. The grounds were much improved. Cows are kept, also pigs and poultry, and some vegetables are grown. South Wairarapa Hospital, Greytown. Medical staff, honorary: D. G. Johnston, M.8.; A. Gunn, M.B. :H. E. Webb, M.8., Ch.B.; A. E. A. Palmer, M.B, Ch.B. Medical staff, stipendiary : W. Bey, M.B. (Aberdeen). Matron : Mary Bagley, R.N. Localities from whence patients came : Martinborough, 50 ; Carterton, 39 ; Greytown, 33 ; Palmerston North, 1 ; unknown, 14 ; Featherston, 45 ; South Wairarapa County, 15 ; Masterton, 6 ; Wellington, 3 ; Feilding, 1. Visited on 3rd December at 6.31 a.m. There were 18 patients at the Hospital, and 8 in the Buchanan Home. Though visited very early in the morning the institution was in good order, as was also the Dome, which should prove of great value to the district. Renall-Solway Home. Medical staff : Medical attendance as required. Matron : Mrs. Annie Johns. Visited on 4th March, 191 1. There were 13 men in, 2 in bed. The Home was in good order, and the old people expressed themselves as very content. "Picton Hospital and Charitable Aid Board. Usual date of meeting : Second Thursday. Chairman : Seymour Fell. Secretary : J. Blizzard. Public Health Inspector : James Johnston. Maternity Nurse : Eliza Wells, R.M. Institutions under Board's control : Picton Hospital. Fever Ward. Shelter-shed. Maternity Home. Picton Hospital. Medical staff, stipendiary : W. E. Redman, M.R.C.S.E. Matron : A. Hamann, R.N. Localities from whence patients came : Picton Hospital District, 163 : Nelson, 4 : Australia, 1 ; Wellington, 1 ; shipping, 1 ; Auckland, 1 ; Blenheim, 1 ; Christchurch, 1. Not visited since last report of June, 1913. There have been no alterations or additions at this Hospital, but in view of the great demand on the maternity beds it will probably soon be necessary to add to this department. There has been a change in the personnel of the staff;, Miss Burton having resigned the niationship and Miss Hannan been appointed, while more recently Dr. Redman, who had beieh in charge since the institution was built, has resigned. Dr. Hill was appointed in his place. Dr. Redman will continue his services to the institution as consultant and anaesthetist.

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Wairau Hospital and Charitable Aid Board. Usual date of meeting : Second Monday in each month. Chairman : J. J. Corry. Secretary : Alex. James Maclaive. Public Health Inspector : James Johnston, Blenheim. District Nurse : Mrs. C. A. Holgate, R.N, R.M, Seddon. Institutions under Board's control : Wairau Hospital, Blenheim; Cottage Hospital, Havelock. Wairau Hospital. Medical staff, stipendiary: James Freeborn Bennett, M.B, Bach. Surg.; D. M. Nairn, L.R.C.P. and S. (Edin.). Matron : W. S. Fulton, R.N. Localities from whence patients came : Blenheim, 105 ; Owaka Road District, 30 ; Awatere, 29 ; Picton Hospital and Charitable Aid Board, 20 ; Wairau Road District, 20 ; Pelorous Road District, 16 ; Spring Creek, 12 ; Havelock, 8 ; Wellington, 5 ; Christchurch, 3 ; Motueka, 2. Not visited since last report of June, 1913. It has been decided to erect a new hospital for the district. There was some opposition on the part of some of the contributory authorities, and a commission was set up to go into the matter, with the result that the Board was upheld in its decision to build the hospital, which is undoubtedly urgently needed. The present Hospital is to be converted into an Old People's Home for this and the Picton district. Havelock Hospital. Medical staff, stipendiary : Spencer H. Beard, M.R.C.S. (Eng.). Matron : Olive Peake. Localities from whence patients came : Pelorous Road District, 18 ; Havelock, 6 ; Sounds County, 8 ; Wellington, 2. Nelson Hospital and Charitable Aid Board. Usual date of meeting : First Wednesday in each month. Chairman: Henry Baigent. Secretary: Sidney Blomfield. Public Health Inspector : Henry Coltman, Nelson. Institutions under Board's control: Nelson Hospital, Alexandra Home. Nelson Hospital. Medical staff, stipendiary : Henry E. A. Washbourn, M.D. Matron : Julia S. Murray, R.N, R.M. Visited on 3rd March, 1914. There were some 50 patients in the institution, including 9 in the consumptive annexe and 3 in the infectious ward. In the side rooms attached to the male and female wards were 6 cases of diphtheria. Since I last visited this Hospital the place has fallen into disrepair, owing in some measure to the disinclination of the Board to make any improvements, in view of the new Hospital. Nevertheless, the consumptive annexe badly required repainting, and should be put in hand at once. I subsequently interviewed the Board with regard to Mr. Cawthron's generous and timely gift of £15,000 towards the erection of a new hospital. Old People's Home, Nelson. Master : William Crough. Matron : Mrs. Maria Crough. Locality from whence'patients came : Nelson Provincial District. Buller Hospital and Charitable Aid Board. Usual date of meeting : Second Tuesday alternate month. Chairman : James H. Greenwood. Secretary : Arthur Taylor. Institutions under Board's control: Old People's Home, Westport; Westport Hospital; and Denniston Hospital. Westport Hospital. Medical staff, honorary : E. D. Dunn, L.R.C.P, L.S.A. Medical staff, stipendiary: Guy Hallwright, M.R.C.S, L.R.C.P. ; Robert Bernard P. Monson, M.B, Ch.B. Matron : Edith Dunsford, R.N, R.M. Localities from whence patients came : Westport Borough, Buller County. Not visited since last report of June, 1913. There have been no great changes in this Hospital. The Nurses' Home has been completed and opened. Some accommodation for maternity cases is needed. The Medical Superintendent, Dr. Hallwright, is away on leave, Dr. Monson acting as locum.

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Denniston Hospital. Medical staff, stipendiary : Thomas Gordon Short, M.B, Ch.B. Matron : L. E. Smith, R.N. Localities from whence patients came : Denniston and Burnett's Face. There has been no change in this Hospital. Some assistance in nursing is given to the Matron when necessary from the staff of the Westport Hospital. It is proposed to instal an X-ray plant at the Hospital. Old People's Home, Westport. Medical staff, stipendiary : Guy Hallwright, M.R.C.S, L.R.C.P. : Robert Bernard Pearson Monson, M.B, Ch.B. (locum tenens). Master : John Stewart. Matron : Mrs. Stewart. Localities from whence patients came : Westport and Buller County. Grey Hospital and Charitable Aid Board. Usual date of meeting : Third Thursday in month. Chairman : Michael Hannan. Secretary : Michael Phillips. Public Health Inspector : Joseph Fletcher. Institution under Board's control : Grey River Hospital. Grey Hospital. Medical staff, honorary : J. Mcßrearty, L.F.P. & S. (Glas.) ; J. W. Mcßrearty, F.R.C.S. (Edin. L.11.C.P.; W. McKay, M.B, F.R.C.S. (Edin.), M.B, B.S. Medical staff, stipendiary : Charles G. Morice, F.R.C.S. (Edin.), M.R.C.S, L.R.C.P. (Eng.) Matron : Susan Kitto, R.N. Localities from whence patients came : Boroughs of Greymouth, Runanga, and Brunnerton; Counties of Grey and Westland : and shipping. Visited on 24th June, 1913. There were 20 male patients and 9 female patients in hospital; 36 men in Old People's Home, and 4 old women. The Hospital was in very good order, and the old peoples' quarter also clean and comfortable. A dairy had been built in the grounds, and cows are now kept. Inangahua Hospital and Charitable Aid Board. Usual date of meeting : Fourth Thursday in month. Chairman : Edward John Scantlebury. Secretary : Charles Nevin. Public Health Inspectors : Joseph Fletcher, Greymouth. Institution under Board's control : Reefton Hospital. Reefton Hospital. Medical staff, stipendiary : W. A. Conlon, M.B, Ch.B. Matron : Johanna Barry, R.N. Localities from whence patients came : Inangahua, 153 ; Grey, 3 ; Nelson, 1 ; Napier, 1. Visited on 21st June, 1913. There were 19 patients —only 3 women. Four cases were sleeping on veranda. There were 8 in the old men's ward. The Hospital was in very good order, and the grounds much improved. It is proposed to remove the old isolation ward and to erect a small cottage with three beds. The infectious cases usually received are diphtheria. Westland Hospital and Charitable Aid Board. Usual date of meeting : Second Tuesday. Chairman : Arthur Clifton. Secretary : Thomas Kennedy. Public Health Inspector : Thomas Kennedy, Hokitika. Charitable Aid Inspector : Thomas Kennedy. Institutions under Board's control : Westland Hospital, Kumara Hospital, Totara Hospital, Otira Cottage Hospital. Westland Hospital. Medical staff, stipendiary : E. Teichelmann, F.R.C.S. Matron : Marian P. Little, R.N. Localities from whence patients came : Westland County, 98 ; Hokitika Borough, 63 : Ross Borough, 5 ; Kumara Borough, 1 ; Grey County, 4 ; Taihape, 1. Visited on 23rd June, 1913. There were 10 patients in the men's surgical ward, 6 in the female ward, and 16 in the men's ward. Two diphtheria patients had been admitted, and as an epidemic had been expected one of the old wards had been hastily converted into isolation quarters, but no more patients had been received. The Hospital was in good order. The theatre had been in use since my last visit, but it is time some improvement should be made in the nurses' quarters.

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Kumara Hospital. Medical staff, stipendiary : George Phillips. M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : Helena K. Isdell, R.N. Localities from whence patients came : Greymouth, 18 ; Westland County, 26 ; Kumara Borough, 35 ; Hokitika Borough, 2. Visited on 23rd June. There were 5 patients and 12 old men in the outside cottages. This Hospital is very little used for acute cases, and the new wards are practically wasted. The detached cottages for the old men are not well kept, and compare very unfavourably with the old men's quarters at Reefton and Greymouth. Totara Hospital. Medical staff, stipendiary : J. A. Doctor, M.B., Ch.B. Matron : Ada C. Phillips. Localities from whence patients came: Ross Borough, 21 ; Westland County, 28; Westport, 1 ; Hokitika, 6 ; Kumara. 5 ; Greymouth, 2. Otira Cottage Hospital. Medical staff, stipendiary : W. Cairns, M.B., CM. Matron : Jean Muir, R.N, Localities from whence patients came : Westland, 23 ; Canterbury. 22 ; Greymouth, 2. Visited on 25th June, 1913. There were 3 patients. The Sister in charge, Miss Ziegler, has since resigned, and .Miss Jean Muir, from Westland Hospital, has been appointed. Ashburton Hospital and Charitable Aid Board. Usual date of meeting : First Monday in moTith. Chairman : Hugo Friedlander. Secretary : Arthur Clark. Public Health Inspector : Mark Kershaw, Christchurch. Institution under Board's control : Ashburton Hospital. Ashburton Hospital. Medical staff, stipendiary : G. Hunter, M.B., B.Ch., Surgeon Superintendent; J. Lyon, M.B., CM. (Aberdeen). Assistant Surgeon. Matron : S. E. Morley, R.N. Localities from whence patients came : Ashburton County, 140 ; Ashburton Borough, 70 : Hamp stead Town District, 9 ; Tinwald Town District, 11 ; North Canterbury, 5 ; Timaru, 4 ; Dunedin, I. Visited on 10th October, 1913. During the past year considerable additions have been made to this Hospital, which is capable of accommodating some 43 patients. Owing to the design of the old building it was particularly difficult to devise a good scheme for its extension, but the new buildings have remedied many of the old defects, including the old Memorial Ward, which was insanitary and altogether unsuitable for the purpose. South Canterbury Hospital and Charitable Aid Board. Usual date of meeting : Third Tuesday. Chairman : Francis Robert Gillingham. Secretary : H. S. Russell. Public Health Inspector : John Menzies, Timaru. Institutions under' Board's control : Timaru Hospital, Talbot Infectious Diseases Hospital, Old Men's Home, Waimate Hospital. Timaru Hospital. Medical staff, honorary: G. E. Gabites, Mast. Surg., F.R.C.S. (Edin.) ; W. H. Unwin, F.B.C.8. (Eng.), M.B.; F. Ulrick. M.B., Bach. Surg. ; G. H. Ussher, F.R.C.S. (Eng.). Medical staff, stipendiary : A. B. Lindsay, M.B., Ch.B. Matron : Jean Todd, R.N. Localities from whence patients came : Geraldine Borough, 19 ; Geraldine County, 33 ; Waimate Borough, 12; Waimate County, 14 ; Timaru Borough, 360; Temuka Borough, 38: Levels County, 101 ; Mackenzie County, 30 ; Casuals. 13. Visited on 7th April, 1914. There were 47 patients —24 male, 18 female, and 5 children—in the children's ward. The X-ray room near the theatre has been equipped. A new shelter has been built for consumptives. The design is not a good one. The windows are so high that a patient lying in bed cannot see out. It will be necessary to alter them. It is proposed to build another shelter shortly. There were only 2 male consumptives and 1 female. The Hospital was in good order, and the grounds well kept.

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Waimate Hospital. Medical staff, stipendiary : H. C. Barclay, M.D, F.R.C.S. (Edin.). Matron : Mabel Mander, R.N. Localities from whence patients came : Waimate County, 105 ; Waimate Borough, 76. Visited on 6th April, 1914. There were 19 patients. During the last twelve months there had been 175 patients. No patients in shelters or fever wards. The whole place had been newly painted, the grounds were in excellent order, and altogether the place was very well kept. Good use is made of the land, as all vegetables are grown, cows are kept, and fowls and pigs, which are sold at a good profit. A field is rented in which crops are grown to feed the cows. Talbot Infectious-diseases Hospital. Medical staff, stipendiary: A. B. Lindsay, M.B, Ch.B. Nursing staff : Nurses are supplied from Timaru Hospital as required. Locality from whence patients came : South Canterbury Hospital District. There were 5 cases —3 scarlet fever and 2 diphtheria. Old Men's Home, Timaru. Matron : Grace Young. Master : James Young. Locality from whence patients came : South Canterbury District. Visited on 7th April, 1914. The new Home is now occupied. There were 21 men and 3 women. The place is comfortable and convenient, but the work has been very badly carried out, and is very rough. The rough brick walls inside will not be easily kept clean, the plaster is cracking in many places and the woodwork splitting. Waitaki Hospital and Charitable Aid Board. Usual date of meeting : First Tuesday each month. Chairman : H. A. Dovey. Secretary : Walter Gibb. Public Health Inspector : K. Cameron, Dunedin. Institution under the Board's control : Victoria Home. Old People's Home, Oamaru. Medical staff, stipendiary : J. M. Scott, M.B, Ch.B. (Edin.) Matron : Margaret Dormer. Localities from whence patients came : Waitaki County, 42 ; Oamaru, 20 ; South Canterbury, 5 ; Otago, 2 ; North Canterbury, 1 ; no permanent address, 4. Visited on 6th April, 1914. There were 24 men and 9 women. A new lavatory has been added for the male inmates. The place was, as usual, clean and neat, and Miss Dormer manages the old men well. Vincent Hospital and Charitable Aid Board. Chairman: John Smith. Secretary : J. S. Dickie. Public Health Inspector : K. Cameron, Dunedin. Institutions under Board's control: Cromwell District Hospital, Dunstan District Hospital, and Ophir Cottage Hospital. Cromwell Hospital. Medical staff, honorary : J. G. Hyde, M.B, L.R.C.S. Medical staff, stipendiary: George A. Morris, M.B, CM. Matron : E. McShane, R.M. Localities from whence patients came : Kow Gorge, 1 ; Ness, 2 ; Warrington, 1 ; Albert Town, 1; Pembroke, 5 ; Cromwell, 16 ; Bannockburn, 10; other places, 29. Visited on 30th January. There were 3 patients in the Hospital—all males. Some cases have been admitted to the maternity ward, but at the time of my visit it was empty. An operating-theatre, which is much needed here, is about to be erected on the north side. Arrangements could be made for it to be erected on the south side. The gardens and grounds here were in excellent order. The staff consists of the Matron, two maids, and a gardener. The grounds produce all the fruit, vegetables, and milk needed. The institution has now an excellent water-supply.

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Dunstan Hospital. Medical staff, honorary : G. A. Morris, M.B, CM. ; Hugh Barr, M.B, Bach. Surg, D.P.H. ; J. Cowie Dick, M.B, Bach. Surg. Medical staff, stipendiary : John Galbraith Hyde, M.B, L.R.C.S. Matron : 0. Herdman, R.N. Localities from whence patients came : Alexandra, 10 ; Dunedin, 8 ; Clyde, 7 ; Ophir, 2 ; Earnscleugh, 2 ; Ida Valley, 2 ; Lauder, 2 ; Roxburgh, 2 ; Watakanui, 1 ; Bald Hill Flat, 1 ; Mount Pisa, 1. Visited on 30th January, 1914. There were 6 patients in the institution—3 females and 3 males. The whole place was in excellent order, and very different from what it was on the occasion of my last visit. Maniototo Hospital and Charitable Aid Board. Usual date of meeting : First Wednesday in each month. Chairman : Charles J. Inder. Secretary : H. Wilson. Public Health Inspector : K. Cameron, Dunedin. Institutions under Board's control : Naseby Hospital, and St. Bathans Cottage Hospital. Maniototo District Hospital Medical staff, stipendiary : C. 0. Lillie, M.B, M.R.C.S. Matron : A. M. Brawn, R.N. Localities from whence patients came : Maniototo County, 123 ; Palmerston South, 1 ; Wilton, 1. Not visited. The number of acute medical and surgical cases now received at this Hospital is so small that it is principally used as a maternity hospital, and the Board has decided to use it as a training-school for midwifery nurses. Miss Brawn resigned the position of Matron, and Miss Annie Maclean was appointed. Southland Hospital and Charitable Aid Board. Usual date of meeting : Thursday before second Friday in each month. Chairman : A. F. Hawke. Secretary : Thomas Pryde. Public Health Inspector : Ralph Bleakley, Invercargill. District Nurses : Alice Searell, R.N, Invercargill; Sarah Sommerville, R.N, R.M, Stewart Island. Institutions under Board's control : Southland Hospital, General, Gore Hospital, Wakatipu Hospital, Arrow Hospital, Kew Infectious-diseases Hospital, Lome Farm Home. Southland Hospital. Medical staff, honorary : A. F. Ritchie Crawford, M.B, Ch.B. ;W. Ewart, M.B, F.R.C.S.; R. H. Hogg, M.B, Ch.B, M.R.C.S, L.R.C.P. ;J. G. Mac Donald, M.R.C.S, L.R.C.P.; J. Hunter, M.D, CM. ; J. B. Sale, M.8.. Ch.B.; C. B. Snow, M.B, Ch.B. ;J. Young, M.D, CM. ; W. Stewart, M.B, Ch.B. ; J. Collins, M.B, Ch.B.; J. G. Crawford, M.B, Ch.B, F.R.C.S. ; J. A. Pottinger, M.B, F.R.C.S.; A. F. McCaw, M.B, Ch.B. ; Agnes A. Baird, M.B, Ch.B. Medical staff, stipendiary : W. J. Barclay, M.D, F.R.C.S, D.P.H. Matron : Jessie Ewart, R.N. Localities from whence patients came : Invercargill, 328 ; Southland County, 362 ; Bluff, Stewart Island, and shipping, 57 ; Winton, 16 ; Wallace County, 16 ; Lake County, 16 ; Wyndham, 3 ; Otautau, 1 ; Gore, 2. The above was visited on 31st March. There were 57 patients in Hospital, a large portion being chronic cases. Since my last visit here considerable improvements have been effected, notably the provision of modern sanitary arrangements in place of the old earth-closets ; the drainage system has been thoroughly renovated. The floors of the new sanitary arrangements are of Farma, which shows no signs of cracking at. present, although the floors have been down eight months. A new X-ray plant has just been provided. The whole institution was in excellent order. Although the Nurses' Home was only erected some four years ago, there is not sufficient accommwdation for the staff. Four are sleeping in one room at the Nurses' Home, and two in the main block. Arrow Hospital. Medical staff, honorary : J. Bell Thomson, M.B, CM. Matron : Ellen Spring. Localities from whence patients came : Arrowtown, 31 ; Lake County, 30; Queenstown, 3. Visited on 30th January, 1914. There were 4 patients in the Hospital. The institution was in excellent order, the wards being very clean. Gore Hospital. Medical staff, stipendiary : Joseph E. Rogers, M.D, CM. Matron : Madeline M. Smaill, R.N. Localities from whence patients came : Southland County, 86 ; Gore, 54 ; Mataura, 34 ; Wyndham, 9 ; Roxburgh, 2 ; Invercargill, 2 ; Dunedin, 1 ; no address, 1 ; Mosgiel, 1.

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Visited on 26th June, 1913. There were only 10 patients in—7 men and 3 women. An isolation room and a morgue have been added since my last visit. The Hospital was in good order. Wakeitipu Hospital. Medical staff, stipendiary : Alec. Stewart, M.B, CM. Matron : A. C. McKerchar, R.N. Localities from whence patients came: Queenstown, 13; Lake County, 28; Southland, 2; Invercargill, 1 ; Waimate, 1 ; Winton, 1. Visited on 29th January, 1914. There were 3 inmates. I drew the attention of the Board to the unsatisfactory state of this Hospital, and the members signified their intention to act on the recommendation of the Department. Kew Infectious-diseases Hospital. Medical staff, stipendiary : William J. Barclay, M.D, F.R.C.S, D.P.H. Matron : Mrs. M. Cowan. Localities from whence patients came : Invercargill, 17 ; Southland, 14 ; Mataura, 5. Lome Farm. Medical staff, stipendiary : W. J. Barclay, M.D. Master : Charles H. Cole. Matron : Mrs. C. H. Cole. Localities from whence patients came : Invercargill, 74 ; Southland County, 72 ; Winton, 3 ; Arrow, 1 ; Wallace County, 1 ; Queenstown, 2 ; Otautau, 1. Visited on 31st March. There were 112 inmates —viz , 71 children, 30 men, and 11 women. In previous reports I have referred to the unsatisfactory system of housing the indigent aged with children of tender years. Nevertheless, lam satisfied that though in principle the present system is a wrong one, it works out well in practice owing to Mrs. Cole's care and devotion to the children. A casual visitor could not fail to be impressed with the happy appearance of the children. The whole institution was in excellent order. I understand that arrangements are being made so that the farm can supply the various institutions under the Board's control with farm produce, including eggs, vegetables, butter, and milk ; with the land available this certainly should be accomplished without any difficulty. W t allace and Fiord Hospital and Charitable Aid Board. Usual date of meeting : Thursday preceding third Friday of each month. Chairman : Edward J. Stevens. Secretary : George Cassels. Public Health Inspector : R. Bleakley. Charitable Aid Inspector : George 0. Cassels. Institution under Board's control: Wallace and Fiord Hospital. Wallace ami Fiord Hospital. Medical staff, stipendiary : N. G. Trotter, M.D, CM. (Edin.). Matron : Janet McGregor, R.N. Localities from whence patients came : Wallace County, 208 ; Riverton Borough, 35; Southland County, 10. Visited on Ist April. There were 21 patients in the Hospital. Since I last visited this institution there have been considerable renovations, including the new ward and operating-theatre, which seem to have been well carried out. Despite my early visit I found the institution in excellent order; Miss McGregor, late Matron of the Waihi Hospital, being in charge. I was concerned to learn that the cottage recently used for the accommodation of infectious cases was being utilized for the accommodation of six old men. I trust this arragement is not regarded as a permanent one, and that the Board will continue to send their aged indigents to Lome Farm. SEPARATE INSTITUTIONS. Mercury Bay Hospital. Medical staff, stipendiary : James J. Eade, M.B, Ch.B. Matron : I. M. Hay, R.N. Localities from whence patients came: Mercury Bay, 67; Gumtown, 26 ; Tairua and Whenuakite, 24; Auckland, 1. Not visited during the year. There have been no changes in this Hospital, of which the ten beds have been occupied by a daily average number of 9 patients.

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Oamaru Hospital. . Medical staff, honorary: J. Whitton, M.D. ; R. G. S. Orbell, M.D. ; W. Hargreaves, M.D.. M.R.C.S. (Eng.). Medical staff, stipendiary : J. Scott, M.B, Ch.B. (Edin.). Matron : A. G. Keddie, R.N. Localities from whence patients came: Waitaki County, 128; Oamaru, 103; South Canterbury, 7 ; Shipping, 1 ; Wellington, 1 ; Southland, 1 ; North Canterbury, 1 ; Ashburton, 1 ; No address, 2. Visited on 6th April, 1914. There were 21 patients. There had been 245 patients during the last year. New American stoves had been put in the wards, which were found much better for heating and use less coal in the fireplaces. They are rather unsightly. The new shelter for consumption, in which were 2 patients, is not altogether a success. There is no ventilation on the south side, and the asbestos ceiling is not well put on, and will need refixing. The Hospital was in very good order. Other Charitable Institutions. Door of Hope, Auckland. Visited on 30th January, 1914. There were 14 girls in, and 13 babies for special treatment. A midwife trained at St. Helen's is assisting the Matron. The whole place is scrupulously clean, and is doing excellent work. The maternity work is carried out in conjunction with St. Mary's, Otahuhu. Home for Aged Needy, Wellington. Visited on 6th July, 1914. There were 42 inmates. The Home presented its usual very comfortable aspect, and the inmates —many of an advanced age —were in fair health. Karitane Harris Baby Hospital. Visited on 15th April. There were 17 babies. There is now room for 21. One room is to be made into an incubator for premature babies, heated by steam. Some rooms are to be added outside for the purpose of taking in a few nursing mothers with their babies. Hawke's Bay Children's Homes. Visited on 7th March. At the Girls' Home there were 33 girls, at the Boys' 17. This is a comfortable and well-kept Home. The children looked well and happy. A small building had been added for any epidemic of sickness, but had not yet been occupied. Mount Magdala, Christchurch. Visited on 11th April, 1914. There were 186 women. New baths and sanitary fittings are to be put in, and are badly needed. The old rooms in which epileptic and dirty inmates are housed should be pulled down. They are insanitary and badly ventilated. It is intended to build a new dormitory and dining-hall for inmates when funds are available. This Home is a boon for the class of women and girls who are taken in and cared for by the nuns. Many have spent numbers of years there. In the Children's Home, which is quite distinct, were 82 little girls from three years of age to fourteen. The elder ones were employed in the week-end cleaning. The chUdren are carefully educated, and the seven girls in the Sixth Standard all obtained a proficiency pass. *

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B. STATISTICAL. Table I.—Showing Receipts of Hospital and Charitable Aid Boards for the Year ended 31st March, 1914.

101

Governing Bodies. Balance from last Year. Contributed by Government. Contributed by Local Authorities: Ordinary Levies. Voluntary Contributions. Rente, Interests. and Dividends. Recoveries from Iln.se assisted (other than those included in Column 2). Payments on Account of Patients, (fee., made by other Hospital and 1 Charitable Aid Boards. Receipt* from other Sources. Total. Hospital and Charitable Aid Boards. Bay of Islands .. Marsden-Kaipara Auckland Waikato Thames Waihi .. Coromandel Bay of Plenty Cook Waiapu Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patea Wanganiii Palmerston North Wellington Wairarapa Wairau Picton Nelson West land Buller .. Inangahua Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord £ 1,348 3] 709 1,327 1,930 197 41 34 7,824 260 507 797 169 698 2,609 3,288 1,082 1,034 192 3,770 £ 2,552 5,847 21,686 5,731 2,508 1,060 739 1,777 14,262 880 991 12,767 2,630 4,014 1,350 2,251 625 4,298 3,392 25,850 4,265 2,800 1,218 3,540 2,799 5,432 1,332 3,186 31,825 2,112 5,329 866 14,969 1,313 124 6,427 1,735 £ 1,017 5,353 22,547 5,117 2,063 1,750 400 694 10,564 950 816 8,534 3,570 3,181 1,224 1,850 856 3,574 0,222 21,220 4,279 2,220 970 2,921 1,897 1,395 1,150 2,501 24,562 1,739 5,000 671 15,866 820 773* 5,401 1,351 £ 574 106 157 449 134 125 293 85 71 241 375 2,185 441 406 70 523 239 716 1,027 980 201 758 21 15,195 727 1,542 124 422 7,270 7 225 109 2,156 262 245 927 267 £ 1 2,082 400 58 "l2 239 95 45 5 1,132 28 3,045 8 29 17 344 110 40 £ 771 2,017 10,293 2,019 1,741 697 215 26 2,287 577 378 3,100 1,317 3,026 952 739 603 1,529 2,149 7,338 1,623 983 441 1,652 1,674 1,655 616 1,311 9,453 662 1,848 799 6,778 192 473 3,149 806 £ 140 374 994 70 40 1,150 39 53 £ 231 235 11,896 536 1,042 7 8 1,574 411 80 59 524 146 614 61 292 17 267 680 8,981 175 292 16 135 901 59 32 185 1,079 1,234 1,275 51 956 15 £ 7,243 14,024 70,364 15,579 9,475 4,505 1,736 4,203 35,658 2,988 2,625 28,360 8,946 11,338 3,832 6,354 2,340 11,515 16,707 71,454 11,634 8,115 2,878 27,557 8,108 10,575 3,404 7,000 87,546 9,038 13,837 3,002 59,447 2,759 1,897 19,102 4,301 153 4 445 152 3,217 745 07 21 4 953 5 45 464 15,899 95 282 2,050 98 140 38 1,872 56 209 114 766 43 Totals 40,318 63,114 205,089 175,120 10,358 75,887 5,297 34,871 610,053 Separate Institutions. Hospitals — Mercury Bay Oamaru 207 2,354 875 308 515 256 M26 231 432 86 134 153 1,963 4,695 Totals 2,561 1,183 771 1.126 663 66 287 6,658 Charitable, Institution* — • hiliilce Institute for the Blind Wellington Society for Relief Aged Needy Wellington Ladies' Christian Association Wellington Convalescent Home St. Andrew's Orphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home 560 JA, 082 583 1,227 3,054 487 147 206 7,381 368 131 191 1,491 340 52 2f)f> 641 63 271 20 55 23 670 13,012 7,974 885 2,430 34 122 148 5 644 364 24 1,341 186 124 132 8 440 881 712 963 425 121 518 164 2,903 Totals 9,384 5,103 8,768 2,017 2,561 654 936 29,423 Government Institutions. Maternity Homes — St. Helens Hospitals— Auckland Wellington Christchurch Dunedin Consumptive Sanatorium — Cambridge 559 942 1,334 699 788 841 749 627 205 212 228 KS6 1,552 1,990 2,311 1,492 4,610 1,910 457 0,978 Totals 8,146 4,915 1,268 14,329 Grand totals 75,059^ 219,520 175,120 49,856 13,501 84,026 6,017 37,363 660,464

H.—3l.

Table Ia.—Showing (a) Details of Voluntary Contributions and (b) Details of Recoveries from Persons assisted.

102

Vol intary Contributions. Recoveries froi Persons assisted. Ooreming Bodies. Subscriptions and Donations. Hospital Saturday and Sunday Collections. Net Proceeds of Baud Collections, Entertainments, Ac. Bequests. Total. Hospital Patients. District Nursing Fees. Charitable-aid Recipients. Total. Hospital and Charitable Aid Boards. Bay of Islands Marsden, Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty Cook Waiapu VVairoa Hawke's Bay .. Waipawa Taranaki Stratford Hawera .. .. Patea Wanganui Palmrrston North Wellington Wairarapa Wairau Picton Nelson Westland Buller Inangaluia Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord E e. (1. 386 13 0 32 19 0 1 157 8 7 448 12 3 25 19 10 46 5 0 278 10 9 50 10 6 70 11 8 241 4 5 25 3 0 72 14 0 372 14 2 382 8 8 14 1 10 520 7 0 £ s. d. £ b. d. 186 18 9 74 10 11 a b. d. £ s. d. 573 12 3 160 6 9 157 8 7 448 12 3 133 11 4 125 8 5 293 3 3 85 8 11 70 11 8 241 4 5 374 12 8 2,184 16 2 440 16 2 400 9 0 70 0 4 523 7 0 238 11 !) 716 2 4 1,627 9 8 979 17 4 200 19 9 758 3 7 21 0 6 15,194 1!) 3 720 15 II 1.542 9 5 123 10 9 422 3 7 7.270 8 3 7 7 0 225 0 10 109 2 10 2,155 10 0 262 9 9 245 6 1 927 2 10 266 16 11 t s. d. 770 10 4 1,020 5 8 5,721 16 5 1,683 2 10 1,375 1 9 696 17 6 215 0 1 £ s. d. £ B. d. £ s. d. 770 10 4 2,017 2 0 10,292 12 2 2,019 8 4 1,740 16 5 690 17 0 215 0 1 25 19 6 2,280 16 9 576 11 0 378 5 8 3,099 II 3 1,317 7 3 3,025 10 3 952 9 10 739 1 1 602 18 9 1,528 10 4 2,148 11 6 7.337 19 10 1,623 9 0 982 14 0 441 7 2 1,651 17 11 1,073 17 0 1,055 4 5 616 1 7 1.310 17 5 9,452 15 0 661 13 2 1,847 19 11 79!) 0 4 6,777 16 10 192 4 8 472 17 4 3,148 15 10 806 9 7 58 16 10 396 16 4 4,570 15 9 327 4 0 365 14 8 9 1 0 44 11 3 107 11 6 34 12 2 14 12 6 28J8 5 2,207 6 3 458 11 3 362 5 8 2,120 6 5 1,316 1 5 2.252 19 3 H41 7 0 706 0 1 602 18 9 1,023 3 8 2,051 8 8 •">.017 16 8 1,238 4 2 686 11 I 435 17 2 1,041 18 6 1,643 17 0 1,170 0 4 616 1 7 1,310 17 5 6,875 19 11 66] 13 2 1,185 1 1 78 0 0 4,326 7 6 192 4 8 472 17 4 2,378 16 10 506 4 6 59 16 0 118 0 3 25 19 6 19 14 0 558 6 7 42 15 0 349 9 8 169 15 5 25 7 0 24 0 4 2 15 6 3 0 0 1,384 0 2 - 16 0 0 979 4 10 1 5 10 772 11 0 11 2 10 32 15 0 53 9 0 630 2 4 816 2 10 370 6 6 50 19 9 25 19 0 21 6 6 15,159 19 3 726 15 11 1,401 5 11 98 10 9 71 0 7 4,239 5 0 7 7 0 100 15 10 109 2 10 1.264 18 1 262 9 9 224 18 1 574 2 10 37 7 7 330 1 6 4:; i 5 4 36 !) 5 238 11 9 80 0 0 50 0 0 574 1 5 150 0 0 4 14 0 6 0 6 136 15 6 24 11 n 500 12 8 97 2 10 1,714 2 8 248 9 4 271 11 2 5 10 0 609 19 5 30 0 0 485 4 1 732 4 1 35 0 0 105 0 0 36 :s 6 25 0 0 351 3 0 3,031 :) 3 2,576 15 1 118 5 0 662 18 10 721 0 4 2,451 9 4 890 12 5 20 8 0 100 0 0 76919 0 300 5 1 253 0 0 22(1 9 4 Totals 29,337 1 0 1.676 9 6 2,366 9 1 6,938 10 5 40,317 10 0 56,563 17 11 359 0 0 18,964 3 7 75,887 1

103

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Separate Institutions. Hospitals — Mercury Bay Oamaru 515 5 4 244 5 6 515 .-> 4 255 10 3 231 4 4 432 2 8 11 4 9 231 4 432 2 Totals 759 10 10 11 4 9 770 15 7 663 7 0 663 7 Charitable Institutions — Jubilee Institute for the Blind ... Wellington Society for the Relief of the Aged Needy Wellington Ladies' Christian Association .. Wellington Convalescent Home .. St. Andrew's Oiphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home 1,386 14 3 253 8 3 131 6 0 191 5 9 77 17 9 88 16 4 *424 18 2 5,994 8 5 114 17 9 7,381 2 8 368 6 0 131 6 0 191 5 9 147 17 9 123 4 9 424 18 2 19 10 0 255 2 0 621 7 10 62 11 6 643 17 9 440 6 11 255 2 0 640 17 10 62 11 6 643 17 9 440 6 11 517 18 10 34 "s 5 70 0 0 51718 10 Totals 2,554 6 6 34 8 5 6,179 6 2 8,768 1 1 537 8 10 2,023 6 0 2,560 14 li GOVEBNMENT INSTITUTIONS. Maternity Homes — St. Helens Hospital, Auckland .. ». Wellington ,, Christchurch » Dunedin Consumptive Sanatorium — Cambridge 787 17 1 841 4 4 748 10 6 627 5 0 787 17 1 841 4 4 748 10 6 627 5 0 1,910 4 3 1,910 4 3 Totals 4,915 1 l> 4,915 1 Grand totals 32,650 18 4 1,675 9 6 2,412 2 3 13,117 16 7 49,856 6 8 62,679 14 11 359 0 0 20,987 9 7 84,026 4

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Table II.—Showing the Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914.

104

Governing Bodies. Hospital Maintenance. Indoor Belief. Chi Charitable Aid. laritable Aid. Outdoor Belief. Total. Public Health. Subsidies to Medical Associations. District Nursing. Capital. Administration. Amounts paid to other Hospital and Charitable Aid Boards. BentBates, and Interest. Other Expenses. Total. Hospital and Charitable Aid Boards. Bay of Islands .. Marsden-Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty Cook Waiapu Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patca Wanganui Palmerston North Wellington Wairarapa Wairau Picton Nelson Westland Buller .. Inanyahua Grey .. North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord £ 3,072 4,912 "26,212 9,990 3,067 3,547 1,152 £ 20 1,261 12,484 1,032 234 295 651 8,100 524 526 405 79 172 234 £ 314 1,912 20,584 1,556 760 405 135 310 896 £ 663 636 2,041 840 125 3'i £ 453 468 £ 195 78 443 16 £ 1,375 3,580 10,608 682 1,301 188 170 2,521 26,875 £ 254 579 1,728 594 497 262 89 492 599 87 77 713 326 640 206 289 102 701 456 2,079 550 152 90 371 576 397 125 282 2,532 311 661 186 2,790 178 101 863 208 £ 496 212 116 109 £ 68 153 371 .37 32 3,475 17 £ 6,880 12,008 64,917 14,962 (i.416 4,442 1,595 3,813 34,692 2,926 2,357 26,415 9,295 10,006 3,101 4,716 1,988 13,138 13,730 59,357 10,969 5,249 2,696 9,397 8,888 9,087 3,291 7,273 84,189 7,625 13,343 2,200 61,903 2,319 1,959 18,720 3,970 56 138 662 5 435 933 265 580 128 280 47 336 161 1 2 2 150 185 63 11 125 21 173 335 91 103 259 252 2,200 5,242 1,573 1,426 10,671 5,449 5,822 1,878 2,743 1,425 8,411 4,663 31,972 6,757 3,088 1,805 4,399 7,342 3,921 2,267 5,608 31,402 2,047 7,577 19 191 263 89 7 48 3,154 1,027 1,494 213 589 26 1,716 158 8,426 710 822 35 1,622 360 766 41 234 10.766 74 1,273 1,008 6,913 88 764 971 227 265 138 255 1,029 2,701 1,093 407 158 1,417 419 248 495 762 3,600 142 1,574 520 3,765 333 219 753 155 136 3,918 1,999 1,721 477 589 164 1,971 1,186 11,127 1,803 1,230 193 3,039 779 1,014 535 996 14,307 216 2,846 1,528 10,678 333 219 4,182 798 335 101 315 264 473 372 137 38 155 58 15 190 163 156 50 75 358 182 320 10,178 988 940 33 670 1,323 6,608 10,585 9.52 443 398 1,153 25 2,003 256 121 152 139 73 65 215 177 5 22 63 78 56 194 107 94 37 846 "8 125 3 47 243 1,448 44 43 262 106 385 847 1 3 370 18 72 50 33,085 4,665 1,248 68 14,185 125 177 407 414 195 224 27 378 1,412 7 200 331 702 184 25.252 1,528 1,343 9,329 2,477 42 250 14 2,918 481 200 7,899 15 5 409 2 3,428 643 275 345 22 4 Totals 249,010 61.431 33,304 94,735 11,867 2,745 2,890 140,841 21,323 4,455 3,007 18,056 549,830

105

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J 4—H. 31

Separate Institutions. Hoi pit' lie — Mercury Bay Oam aru 1,402 1.77!) 74 260 135 I . 539 2.175 2 Totals .5. 181 3.181 333 108 ■5.714 ('/writable Institutions — Jubilee Institute for the Blind .. Wellington Society for Relief Aged Needy Wellington Ladies' Christian Association .. \\ ellington Convalescent Home St. Andrew's Orphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home .. I 3,098 1,031 525 1.207 85] 121 3,948 1 .031 121 525 1.207 265 1.218 lit:) 418 4.-S5 l>3 85 8 48 50 35 440 27 5,016 i . I 52 951 l. :soi> 440 2.751 » 265 122 571 51 4 927 1.218 Totals 7,078 1,237 8,315 1.304 753 1,450 1 1. 822 Government Institutions. .S'(. Helen's Hospitals — Auckland Wellington rhristchurch .. Dunedin ( 'onsumptive Sanatorium — Cambridge . . .. .. ;. 1.471 1,899 I . 589 1,316 5. i(»() 22 647 101 81 75 75 75 I . 552 1 ,996 2,311 1 .41)2 •• •• 281 139 657 6,978 Totals 12,176 1.051 445 t>57 14,329 Grand totals 265,267 68,510 34,45] 103.051 11,867 2,745 2.890 143,529 22,720 4.455 :i,007 20,166 579,695

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106

Table IIa. —Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914.

I Board, and Details of Capital Expenditure. Amount. Amount. Total. i Bay of Islands, — £ s. d. Bay of Islands Hospital —equipment of hospital, erection of out 935 19 11 buildings and Nurses' Home Mangonui Hospital —erection and equipment of maternity ward .. 177 19 7 Hokianga Hospital —equipment of maternity ward and installation 260 16 9 of acetylene gas £ s. d. 935 19 11 £ I, d. 177 19 7 260 16 9 1,374 16 3 Marsden- Kaifara'— Office safe and secretary's office .. .. .. .. 65 0 0 New water-supply and additions, Cottage Home .. . . 88 14 6 Fencing, tennis-court, operating-theatre, North Wairoa .. . . 142 9 10 New ward, additions to Nurses' Home, equipment of new ward, 3,284 2 8 new roadway, report on drainage scheme, Whangarei Hospital 65 0 0 88 14 6 142 9 10 3,284 2 8 A ncUand, — Hospital equipment .. .. .. .. . . 854 13 3 Fencing, roadmaking, &c. .. .. .. .. .. 87 2 4 Alexandra Home- equipment .. .. .. .. 4 15 4 Costley Home —enlargement manager's house .. .. .. 464 6 7 Purchase of land—Tamaki .. . . . . . . .. 1,131 3 10 Plans of building—Tamaki .. .. .. .. .. 282 10 0 Hospital —kitchen enlargement .. .. .. .. 3,400 3 0 Other buildings .. .. .. .. .. .. 1,732 14 7 Electric lighting .. .. .. .. .. .. 273 16 7 Steam-pipes .. .. .. .. 1,379 7 8 Nurses' Home—enlargement .. .. .. .. 547 5 0 New operating-rooms .. .. .. .. .. 400 0 0 Architect's fees .. .. .. .. .. .. 50 ] 1 1 854 13 3 87 2 4 4 15 4 464 6 7 1,131 3 10 282 10 0 3.400 3 0 1,732 14 7 273 16 7 1,379 7 8 547 5 0 400 0 0 50 11 1 3.580 7 0 10,608 9 3 Waikato, — New buildings- -Hospital .. .. .. .. .. 500 0 0 Water-supply . . .. .. .. .. .. 182 0 0 500 182 0 0 0 0 Thames, — Hospital Account balance new children's ward and plans .. 258 15 0 ,, furnishings, new children's ward .. .. 48 5 9 ,, alterations and additions, wash-house .. 63 1 3 „ water-meters .. .. .. .. 117 6 „ fire-escape and plans .. . . .. 97 2 0 ,, furnishing cottage, Native nurse . . .. 24 16 5 „ accounf, new operating-theatre, &c, and plans 301 3 9 „ surgical appliances (new operating-table) .. 19 14 6 ,, purchase of land (Ashby's). . .. .. 375 0 0 District Home Account —well, windmill, tanks, &c. .. .. 90 10 11 „ water-meters .. .. .. 11 10 0 682, 0 0 1,301 7 1 Waihi, — Additions and alterations .. .. .. .. ., ! 38 14 11 Equipment .. .. .. .. .. . . 54 19 5 C4round improvements .. .. .. .. .. 94 12 7 Coromandel, — On account of purchase of doctor's residence .. .. .. 114 0 0 Purchase of section. . .. .. .. .. ..I 800 Additions and improvements to nurses' bedrooms, concrete paths, &c. 47 16 4 188 6 11 169 16 4 Bay of Plenty, Opotiki Cottage Hospital .. .. .. .. .. 1,169 5 6 Tauranga Cottage FToRpifral .. .. .. .. .. 1,351 17 2 2,521 2 8

107

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Table IIa.—Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year Ending 31st March, 1913 — continued.

1,323 3 7

Board, and Detail! of Capital Expenditure. Amount. Total. Waiapu,— Nil. £ p. (1. £ s. d. £ s. d. Cook,— Buildings (£24,890 17s. lid.), equipment (£177 7s. 3d.) .. Fencing(£7116s. 8d.), roading(£6804s. 9d.), gardening(£866 7s. Id.) Grounds (£187 19s. 3d.) 25.068 5 2 1.018 8 6 187 19 3 25,068 6 1,618 s 187 19 2 6 3 26.874 12 11 Wairoa, — Survey of laud .. .. .. .. .. Building mortuary .. .. .. .. .. .. I New operating-room New wood-shed New septic tank and drainage 7 7 0 102 4 4 100 0 0 14 8 10 96 0 0 7 102 100 14 96 7 0 4 4 0 0 8 10 0 0 320 0 2 Hawke's Bay, — Napier Hospital—land (£86 Is. 7d.), buildings (£6,333 9s. Id.), electric light and power plant and laundry machinery (£1,895 7s. 5d.), equipment (£992 19s. 9d.), hot water "installation (£383 10s. 1 Id.), X-ray plant (£241 12s. 2d.), sundries (£43 3s. 9d.) Park Island Home—drainage (£172 4s. 3d.), fire appliances (£-' J ><>) .. '.|.!I76 4 8 202 I 3 10,178 8 II Waipawa, — Waipukurau—fire-prevention appliances „ hot-water installation . . ,, equipment „ additions and gas extension ,, tarring and asphalting .. .. .. .. „ tiles for theatre floor Dannevirke—land .. „ buildings .. .. .. .. .. ,, equipment .. .. .. .. 91 l<; 10 119 (I 7 68 9 0 164 1 5 40 0 0 30 19 11 60 5 0 335 18 8 77 6 10 Taranaki, — Architects' and surveyors' new hospital Implement-shed, Old People's Home Purchase land, Uruti (£10); building Cottage Hospital (£341 15s. 6d.) ; furnishing (£51 Is. 4d.) 473 16 0 63 16 0 402 16 10 988 4 3 473 16 0 63 16 0 402 16 10 940 8 10 Stratford, — Buildings Equipment .. .. .. .. .. Fencing and gates .. 1 0 0 10 2 10 21 15 0 32 17 10 Hawera, — New children's ward 670 0 0 Patea,— Nil. Wanganui, — Wanganui—building (£919 6s. 4d.), equipment (£201 9s. 6d.) Taihape—building(£94 5s.), grounds (£602s- 9d.), water-supply (£18) Office equipment .. .. .. .. .. .. 1,120 15 10 172 7 9 30 0 0

H.-31

108

Table IIa. —Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914 — continued.

Hoard, and Details of Capital Expenditure. Amount. Total. Pahnvrslon North, — ( iompleting women's consumptive annexe Equipment —furniture Children's ward Road formation Diphtheria ward Removal of fever ward Alterations to men's rooms and kitchen, &c. Additions and alterations at Hospital .. - .. Old People's Home—buildings ,, grounds „ water-supply ,, live-stock and implements, <kc. £ s. d. 422 2 0 142 3 7 1,025 0 0 49 9 9 965 16 2 15 2 0 65 14 10 50 15 6 3,613 2 4 54 10 11 127 7 0 76 16 6 £ s. H. 6,608 0 Wellington, — Out-patients' building (£8,325 Os. 4d.), maternity ward (£149 Is.).. Diphtheria ward (£320 11s. 7d.), general additions (£204 17s. 9d.), electric light (£11 11s.), Nurses' Home (£150 5s. 10d.), Children's Hospital (£93 16s. lid.) Laundry (£305 11s. 4d.), van (£18), motor ambulance (£444 17s. 6d.), veranda and balcony (£482 12s.) Additions —Otaki Hospital (£47 Is. 6d.), additions—Otaki Sanatorium (£31 18s. 7d.) 8,474 1 4 781 3 1 1,251 10 0 79 0 1 Wairarapa, — Masterton Hospital--X-ray plant (£240 7s. 10d.), engine-shed, tanks and tank-stand (£189 9s. 9d.), engine, dynamo, and rotary pump (£1L3 11s. 3d.), additions to buildings (£16 10s.), new furnishings (£14 19s. 6d.), final payment Nurses' Home (£10) Greytown Hospital —additions to buildings (£27 15s.), new furnishings (£30 8s. 9d.), laying out grounds (£47 19s. 7d.), Card memorial fence (£128 6s. 8d.) Pahiatua Hospital —additions to buildings (£43 15s. 10d.), new drainage (£5 12s. 8d.) Board offices —final payment on contract (£45), furnishing (£38 8s.) 10,585 5 I 584 18 4 • 234 10 0 49 8 6 83 8 0 952 4 10 Wwirau, — Purchase cottage for district nurse, Seddon ; repairs and alterations Repairs and alterations Cottage Hospital, Havelock 380 18 61 19 9 o Picton, — Alterations and additions to Maternity Home Furnishing and equipping Maternity Home Grounds and improvements Other expenditure 442 17 9 270 15 10 97 8 3 12 4 4 17 6 3 397 14 8 Nelson, — Children's wards and sanitary block at Hospital; fife-escape. Resident Surgeon's residence; two shelters at consumptive annexe; and .survey of grounds 1,153 6 1 Bullet — Nurses' Home X-ray room and morgue Denniston Hospital buildings and equipment Office fixtures 1,275 12 544 3 173 15 9 1 4 0 3 0 lnangahua, — Purchase of land Building band-stand 2,002 11 7 250 6 0 0 0 o 250 0 0

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Table IIa.—Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914 — continued.

109

Board, and Details of Capital Expenditure. Amount. Total. Westland. Building at Westland Hospital £ s. d. £ 8. d. 1,222 2 4 9,439 5 10 £ 8. d. £ B. fl. 25 0 o ♦ Qrey,— Nil. North Canterbury,Hospital —heating, laundry-machines, &c. Administration buildings Isolation block and equipment Sanatorium —shelters, drainage, excavations, and electric lighting.. j Doctor's house and equipment .. .. .. .. j Septic tank Coronation Hospital Kaikouia Hospital —drainage Bottle Lake Hospital Tuarangi—electric lighting, &o. ('liolinondelev Convalescent Home for Children _ 1,222 2 4 9,439 5 10 7.183 6 11 1,612 5 8 I.778 0 4 156 5 2 10,126 5 8 92 17 3 143 17 0 1,316 11 11 13 18 0 1,222 2 4 9,439 5 10 7.183 6 11 1,612 5 8 I.778 0 4 156 5 2 10,126 5 8 92 17 3 143 17 0 1,316 11 11 13 18 0 7.183 6 11 1,612 5 8 1.778 0 4 156 5 2 0,126 5 8 92 17 3 143 17 0 1,316 11 11 13 18 0 33,084 16 1 Ashbwrton, Building Equipment Drainage, concrete round buildings .. .. .. Laying out grounds .. .. .. .. .. Fencing .. .. .. .. .. .. Electric-lighi installation Horse implements, &c. 3.290 13 3 425 13 6 480 10 1 212 5 11 12 19 7 103 11 8 139 2 7 3.290 13 3 425 13 li 480 10 I 212 5 11 12 19 7 103 II s 139 2 7 ■ 4,664 16 7 Smith Canterbury, — Old Men's Home—building and equipment . . .. Timaru Hospital —padded cells and shelters .. .. Talbot Hospital- alterations and equipment .. .. .. : 802 13 2 401 6 9 43 13 0 802 13 2 401 6 •» 802 L3 401 6 43 13 ■2 9 o - 43 13 0 1,247 12 II Waitaki, New storeroom and tovvlhouse 68 7 6 Otago, Dunedin HospitalAlterations to laundry. Sashes and glazing corridors Architect's fees . . ' Installing telephones Linoleum in main hall Furniture, drapery, architect's fees, and sundries Fire-escapes I'a inting buildings Laundry machinery Office and kitchen alterations .. .. .. .. Corridor and X ray alterations .. .. .. .. Paving engine-room .. .. .. .. l<1 veeting sign-boards and tablets Sundry small works Cool stores and refrigerating plant Women's ward building Sanitary building .. .. .. . . Pleasant Valley Sanatorium — Medical Director's residence Furniture . . .. .. • • ■ • Installing electric light .. .. .. .. .. 123 5 6 41 10 0 9 1 (i 235 4 0 135 9 6 192 15 5 230 2 6 183 9 0 88 11 5 81 13 3 73 10 0 24 11 0 43 7 6 79 14 7 50 0 0 9,709 4 6 200 0 0 1.679 12 0 30 5 9 279 13 10

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110

Table IIa.—Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914 — continued.

Board, and Details of Capital Expenditure. Amount. Total. Otago —continued. Fever Hospital— Destructor .. .. . . .. .. Fire-extinguisher.. .. .. . .* .. Benevolent InstitutionAlterations roof and plumbing .. .. .. .. ; Painting buildings .. .. .. .. Drainage .. .. .. .. .. Architect's fees .. .. .. .. .. Maternity Hospital—architect's fees .. .. .. Tuapeka Hospital—furnishings .. .. .. .. Kaitangata Hospital—installation electric lijtlii Tapanui Hospital— Building (final payment) . . .. .. . . Bedsteads, furniture, and furnishings Gates, additions, veranda, &c. £ B. d. 20 0J) 5 16 0 139 l£0 70 8 0 83 8 0 20 8 0 31 4 6 8 11 0 148 2 10 100 0 0 43 12 8 23 8 0 £ s. d. 14,185 J 9 Maniototo, — Alterations 14 0 0 Clyde,— Nil. Southland, — Southland Hospital—sanitary drainage (£848 I (is. I Id.), X-ray installation (£143 16s. Id.)", new water-service (£80 12s. 7d.) Gore Hospital—boiler-house (£92 6s. Id.), drainage (£58 14s. 5d.), new water-service (£33 8s. Id.), new beds (£6) Wakatipu Hospital—veranda (£28 10s.), new gas plant (£83 12s. 7(1.) Arrow Hospital—new gas plant .. .. .. Lome Farm—implement-shed (£42 17s. 2d.), sun-room (£301 4s.), hot-water service (£117 4s.) — 2.073 5 7 L90 8 7 112 2 7 80 18 0 461 5 2 2.073 5 7 L90 8 112 2 80 18 461 5 7 7 0 2 2,917 19 11 Wallace arid Fiord, — Purchase of Section 4, Block VI, Jacobs River Hundred Riverton Hospital—equipment Roadway 275 0 0 79 6 9 126 9 0 275 79 126 0 6 9 0 9 0 480 15 9

111

H.—3l

Table IIb.—Showing Details of Administration Expenditure of Hospital and Charitable Aid Boards (vide Table II).

Hospital and Charitable Aid Board. Board's Travellingexpenses. Secretary's aud Assistants' Salaries. Office Priming and Stationery. Postage, Telegrams, and Telephone. Oftice-rent. Advertising Sundries. Total. Bay of Islands MaiadeD, Kaipara Auckland Waikato Thames Waihi Ooromandel .. Bay of Plenty Cook Waiapu Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patca Wanganui Palmerston North Wellington Wairarapa Wai ran Picton Nelson Buller lnangahua Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord •: s. (1. 75 0 0 m:; :s u 37 10 4 . 138 16 () r>7 17 2 15 ii 0 89 11 ii 13 11 0 3 18 0 43 ii 2 7(1 18 0 28 7 li 22 10 0 80 0 0 81 I 2 86 2 3 85 ii :i :i o 0 37 1!) (i r>:, 17 2 7 2(i 3] 17 8 230 li I 34 1 l> 42 Hi 8 130 14 li 5 5 0 17 0 0 62 10 7 5] 18 0 E s. d. 100 0 0 296 it 0 I .0112 13 0 300 0 0 320 (i 0 [86 0 0 60 0 0 334 7 9 251 10 0 54 3 4 39 11 8 423 1") 0 202 I) (I 386 1 8 Uβ 13 4 150 0 0 75 0 0 304 0 0 408 li 8 I ,388 0 10 223 6 11 110 17 9 42 0 0 283 0 0 :S40 10 0 184 3 0 75 0 0 175 9 0 I.595 12 5 175 0 0 373 15 0 121 0 0 1,800 17 8 105 0 0 45 0 I) 5] 7 2 2 125 0 0 t s. d. 12 !t 4 :S!I 6 7 1711 13 2 (ill I 2 8 4 1 12 3 11 4 7 1 18 14 9 73 l<) 3 4 !> 2 6 17 li l>7 li 9 20 18 5 8 14 7 4 5 !) 44 8 2 3 .-. 1 27 12 2 38 11 !l 1 53 5 7 52 4 7 8 II 6 (i li 3 12 1 li* 14 4 li 21 1!) 2 li Mi 3 26 3 0 230 4 9 22 1 1 20 17 7 4 11 9 165 3 5 7 11 0 3 16 0 83 14 11 2 5 0 t e. d. 35 15 0 4(i 2 I 2li7 15 6 57 It II 17 1 5 15 (I !» 4 (I II 14 14 S 4<i 11 9 11 4 11 (i 16 i> 77 0 :S 24 14 4 34 3 10 li 12 II 18 [9 II 7 9 II 30 16 :s 43 10 0 I Sβ 12 2 32 16 ii 12 2 8 20 0 7 £ 8. (1. s 5 0 44 5 (I 27 15 II 163 19 li 45 0 0 58 10 0 13 0 0 25 II II 5 (I 0 l>5 11 0 15(1 (I 0 10 0 0 25 II 0 63 11 0 2li 0 0 1 III II 9 15 0 £ s. d. 4 10 0 5 5 (i n> 18 u 20 0 0 3 7 li 5 2 1 1 27 II li 15 |() (i 48 l> li 19 5 l> 10 4 i> 2 II (i 13 12 6 37 14 3 18 11 6 12' 3 7 li 11 0 5 2 3 58 12 8 28 7 1; 23 17 3 19 2 3 25 111 5 0 13 0 7 8 6 18 14 7 Hi 15 l> 15 9 6 19 5 li 2 5 II £ 8. d. 26 11 0 40 9 7 158 4 4 9 7 8 90 18 7 Iβ 2 0 5 14 II 34 9 1 21 17 4 17 8 2 8 2 2 47 7 4 15 15 7 72 15 8 34 16 10 14 3 2 11 12 2 90 1 8 45 2 10 115 7 10 143 16 0 14 14 l> 13 15 3 37 12 4 29 15 7 59 7 11 8 0 0 48 1 4 340 7 5 II 17 8 141 15 5 16 15 0 486 8 3 20 14 4 11> 3 7 132 17 5 £ 8. .1. 254 5 4 578 11 9 1,728 0 9 594 3 10 497 8 ■ 9 262 3 8 89 1 1 491 17 9 598 17 4 87 5 7 76 18 4 712 13 10 326 5 0 640 8 3 206 7 HI 288 13 9 102 (i 3 701 3 4 l>35 3 11 2,078 14 8 .549 13 10 152 6 5 90 4 4 370 13 4 576 5 9 396 19 0 125 l> 0 281 11 0 2.532 0 7 311 0 7 660 15 8 186 7 7 2.790 li 5 177 19 8 101 1 4 862 14 6 207 12 7 76 5 10 37 14 3 4 10 0 111 7 8 1!) 0 11 17 18 0 10 12 4 182 8 0 21 3 10 3 12 3 47 :: 11 16 !l 7 Totals 740 19 l> 21,323 9 7 ] .842 18 8 12,840 3 8 1.470 12 (i 1.511 l> 7 509 19 8 2,401 il 0 • This includes postal !e. telei [rams, *c.

H. -31

112

Table III.—Showing Hospital Statistics for Year ending 31st March, 1914.

Staff. Number of Beds. 5 if ! ! 1 I .1 I J i Number of Patients §•5 under Treatment o w during Year. ° " Sex. Si ill I I I hi fir .,,—« 1-1 ■8 o a ills | 8 f| ills Out-patient-Medical. Nursing. Domestic. si 1 a i "o 'S I j 2 2 O Hospitals controlled by Boards. stipend!- ' «-„-» .- ii g III £ i g. 1, i i I 55; II § 1 I I |wa 11 1 i I . . N P 2 JB I™ Wellington Auckland Dunedin Chi ist church Napier Waikato .. Wanganui.. Southland.. Nelson Conk Palmerston North .. Thames New Plymouth Timaru Waihi Waipawa .. Whangarei .Mastcrton.. Dannevirke South Wairarapa 24 17 24 8 4 6 14 7 "J 4 3 ■■ * (6)6 .. (a)3 1 1 2 3 .. (6)1 .. (6)1 .. 3 4 1 .. #.. 1 1 I 2 .'ill :J2 211 22 Id II 7 6 4 s 6 II 5 4 4 4 4 4 60 7!) 4!) :i2 24 2! 14 14 15 II Hi 111 II 7 8 ii % 40 29 26 35 21 14 10 13 7 7 (i 5 11 6 6 (i 6 6 0 9 6 5 1 4 0 3 9 7 7 6 1 6 6 (i 6 6 36 155 28 153 15 118 22 121 7 61 4 40 3 39 2 2!) 2 :!2 4 30 2 23 3 34 4 39 2 20 2 17 2 9 2 20 3 17 2 18 118 163 102 56 65 42 40 33 38 29 411 28 43 34 30 18 17 24 10 112 92 92 73 52 30 23 26 31 18 33 18 19 34 19 20 14 11 16 (i 75 20 16 36 22 12 7 12 10 6 3 7 6 8 2 6 2 3 1 49 44 24 14 13 ]2 l> 6 8 18 l> 22 8 6 6 16 s 354 319 234 242 144 120 84 84 80 70 83 71 75 93 59 52 44 46 431 35 2!l."> 275 203 197 109 811 (>7 64 60 60 56 52 47 46 29 29 29 25 24 22 30 2-5 2-6 2-6 2-7 2-4 2-6 3-3 2-.1 2-3 3-3 1-8 1-9 2-3 3-2 2-6 21 2, 2-2 2,3201,916 2,1751.455 1,4521.124 1,5091.205 7(15 389 790 407 t>13 285; 525 283J 358 208 458 283 520 1 395 448: 256 353 23] 432 218 147 221 142 328 169 220 157 171 104 121 76 4,236 3,630 2,576 2,714 1,064 1,197 898 808 566 741 915 704 584 650 ,'i70 363 497 377 27.-) 197 260 344 229 234 102 86 71 68 44 49 67 37 39 55 26 16 27 17 9 11 2:> 28 211 2li 37 27 27 211 211 22 27 211 2I> 211 2il 22 24 32 42 96-2 99-2 93-3 112-5 100-3 107-8 114-2 88-8 73-5 92-2 90-3 70-7 I :S0-4 1180 130-3 103-5 122-1 135-2 108-2 1140 20-8 16-8 22-7 19-2 16-9 12-7 20-3 17-4 36-8 36-6 26-6 48-0 20-4 240 24-9 42-5 25-6 24-7 14-4 80-9 78-4 7l>-5 89-8 80-9 101-5 68-5 .1.1-4 44-1 82-4 97-6 106-3 78-6 79-6 109-6 83-5 99-6 112-9 99-9 120-4 112-3 86-3 64-7 89-4 75-6 124-3 163-9 117-6 173-8 110-3 96-5 154-8 165-3 123-6 139-9 t s. d. 1 10 0 5,857 2 2 0.. 1 15 0 2,534 2 2 0 2,870 1 8 0 609i 1 15 0 .. 110.. I Li 0 1,020 1 15 0 307 18 0 80 I 15 0 .. 1 1 0 338 2 2 0.. 1 15 0 :M7 110.. 18 0.. 18 0.. £1/1 to £3/3 18 0.. £1/1 to £3/3 1 5 0 r>2 14 6 25 2 2 0 5 1 11 6 .. £1/11/6 to 6 £2/12/6 1 15 0 2 2 2 0 2 2 2 0.. 18 0.. 1 16 0 60 110.. 1 11 6 .. 1 S 0 70 1 15 0 .. 2 2 0 .. 18 0.. 2 9 0 1,086 £1/1 to [18,934 11,656 14,867 I 568 1,864 2,104 1 .82;" 2^075: 2J6ee Buller Wallace and Fiord . . Hawera Wairau Ashburton 1 .. 2 .... I .. ..T 1 .. .. 2 2 4 2 4 ii !i 4 5 4 4 4 2 Hi I 14 1 14 :; 17 2 11 20 18 19 22 21 8 14 12 9 5 3 1 2 5 2 8 7 12 33 40 39 42 43 22 21 19-2 18-8 18-5 2-2 2-2 2-3 181 66 150 103 167 115 151 99 162 78 247 253 262 250 240 28 2.1 14 12 22 :i2 27 27 28 153-7 1240 157-2 153-2 1220 40-8 24 I 36-8 30-9 16) 51 7< 1! Gore Stratford Patea Northern Wairoa Waimate Taihape Picton Maniototo.. Rawene Otaki Wairoa ('oromandel Pahiatua .. .. .. i .. .. i i .. i i i .. .. .. i 3 2 .. .... 1 .... 1 .. .. 1 1 .. 1 ] .. 1 4 .. 1 2 2 2 i , i 4 2 2 2 3 4 3 2 4 2 4 2 2 3 3 2 2 2 3 1 3 1 8 2 1) 1 8 1 5 2 9 1 8 1 10 2 1 6 1 7 1 8 1 6 1 8 9 9 13 10 13 6 9 10 7 9 12 15 9 8 5 7 7 12 4 9 8 8 7 6 4 5 2 2 1 1 2 1 2 2 6 ii 12 10 2 21 22 27 18 39 11 30 20 16 18 18 24 11' 14-6 12-5 121 11-2 9-5 9-3 8-8 8-2 7-9 7-7 6-9 6-7 6-5 2-9 2-4 21 1-9 2-3 1-8 2-7 2-6 2-0 1-4 1-6 1-6 114 76 138 87 101 52 142 69 98 83 93 4(1 93 113 53 72 36 36 93 62 130 56 59 30 87 44 11)0 225 153 I'll 181 133 206 125 72 155 186 89 131 10 9 10 1) 14 S 4 24 2 11 7 4 7 28 2(1 :(2 111 111 21 i 17 s 411 IS 14 27 IS 109-8 164-2 125-4 157-3 1861 13(>-4 215-3 168-0 133-9 174-5 217-8 170-7 4.V] 74-8 49-8 330 22-2 ! 18-8 57 -7 37-4 19-7 52-fi 471 43-2 364 1 2 210 2 2 1 1 •■ I . 787 4 4 I I •j

113

H.—3l

15— H. 31.

rauniarunui Waiapu Arrow •• •■ 1 1 1 1 2 1 1 1 1 1 2 I 1 1 1 1 I I 3 1 1 2 1 2 2 2 (c)3 2 1 2 2 1 1 1 1 1 1 1 4 1 1 1 1 5 (i :s r> 4 4 2 4 3 3 2 2 2 2 1 1 2 2 4 6 6 1!) (i 4 ti 4 (i 4 4 4 4 4 2 3 5 10 9 4 2 4 6 1 3 4 3 2 11 *2 6 7 8 17 17 28 7 11 2:! 6 12 10 7 6 10 4 8 4 60 5-9 5-7 5-6 4-4 3-9 3-7 3-4 3-3 2-6 2-2 1-7 1-2 l-ll 1-5 20 5-7 1-8 4-4 3-9 1-9 1-7 3-3 2-6 2-2 1-7 1-2 11 92 48 48 43 58 23 36 20 33 32 45 29 27 44 5 9 33 4(i 25 16 :{7 28 15 32 32 13 II 10 1(1 7 3 14 3 138 73 64 80 86 38 67 61 46 43 55 39 34 47 29 6 18 36 6 8 4 7 12 1 1 6 4 15 29 33 25 19 37 20 21 26 22 15 16 14 159-4 281-3 181-0 158-2 1780 226-3 120-4 365-4 263-5 324-4 356-0 2171 256-3 881-3 28-8 57-8 35-8 471 33-2 19-6 31 1 62-1 j 46-5j 104-5 52-7 42-3 86-81 68-3 130-6 223-5 145-2 1011 144-8 206-7 89-3 303-3 2170 219-9 303-3 174-8 169-5 813-0 1 15 0 2 2 0 1 15 0 1 15 0 1 15 0 1 10 0 1 15 0 1 15 0 1 15 0 1 0 0 1 10 0 2 2 0 1 11 6 1 10 0 1 15 0 1 15 0 2 2 0 2 2 0 •• Mangonui Tuapeka Dunstan Tapanui Bay of Islands Wakatipu Denniston.. Cromwell Kaikoura Havelock Otira Cottage Kaitangata Port Chalmers Akaroa Lyttelton Casualty Ward 1 "2 1 1 71 3 1 1 "J 1 1 1 1 1 1 1 1 1 "7 1 1 306 1,21' •• 1 "3 1 3 1 •• 1 .. I 748 l^42; "i ■• •• 4 1 1 1 ■• 1 1 1 ■• 4 3 2 • • .. • • • • -. •• .. -- -. -• Hospitals which are also Old Men's Homes — Grey River Westland Reefton.. Kumara Ross .. 3 ■• 1 1 1 1 1 5 2 1 1 1 9 5 3 3 7 4 4 4 1 4 3 1 1 1 25 14 9 9 3 (iO 37 30 31 15 17 13 5 7 6 2 1 7 "2 1 86 50 38 39 20 6-0 3-5 2-8 2-1 12-6 4-3 50 7-0 5-2 12-6 304 117 138 66 57 115 53 20 15 6 419 170 158 81 63 4:s 30 9 9 7 52 74 64 94 73 96-3 94-8 84-9 98-9 96-8 21-8 22-1 220 24-6 19-3 74-5 72-7 62-9 74-3 76-5 1 10 0 1 10 0 1 10 0 1 10 0 1 10 0 131 95 75' 28( 12 • • Totals and averages .. 137 34 53 297 570 368 200 1,312 1,528 428 2,206-7 17,290 28 109-2 23-5 85-7 16,525 985! 289 3,230 2-/V 11232 28,522 2,147 63,42! ! 1 Special Hospitals. Infectious-disease Hospitals — Christchurch Dunedin Invercargill Timaru •• 1 1 1 1 2 1 2 1 1 1 6 2 3 4 •■ •• 38 12 12 22 38 12 12 22 17-4 5-6 3-8 3-7 4-3 1-4 3-8 59 2!t 15 18 BO 19 21 28 139 48 36J 461 1 1 45 43 39 29 79-9 9-8 970 20-8 152-8 5-7 164-7 9-0 701 76-2 147-1 155-7 1 11 6 2 2 0 1 1 0 1 15 0 1 1 1 -• ■ • Totals and averages .. 1 3 4 3 15 84 148 2 102-4 11-1 91-3 •• 84 30-5 121 269! 41 Consumptive Sanatoria — Christchurch Palmerston South Otaki .. H — — 1 1 •• 2 2 3 6 5 3 I 4 2 5 17 13 9 25 20 15 29 26 19 _ I 8 62 46 34 50-0 400 230 6-3 5-8 4-5 59 55 40 66 68 44 125 123 84 4 3 146 120 99 106-3 15-3 90-3 47-0 112-8 17-3 1020 21-4 121-7 45-7 109-2 24-8 1450 24-1 81 0 43-3 95-5 2 2 0 3 3 0 2 2 0 1 1 .. -. Totals and averages .. 2 1 7 14 12 11 39 > 142 80-6 1 60 74 113-0 154 178 332 7 12.-) -- •• Maternity Home — Dunedin .Medical School .. — — — M M — 1 2 3 7 8-0 Iβ 172 172 17 760 ■• •■ 2 If 14 1 10 0 Separate Institutions. — — — — — — — Oamaru Mercury Bay 3 1 2 1 6 2 4 2 1 1 13 6 25 5 11 4 8 1 17-4 9-6 2-2 3-2 103 38 245 118 26 1 0 0 18/ to £1/10 • • 1 8 52 10 142 80 25 7 84-4 120-9 41 420 251 1,46( ■ • (a) Atao two dispenser*. (6) Also one dispenser. (c) Two part time.

H.—3l

114

Table IV.—Showing Hospital Expenditure for the Year ending 31st March, 1914.

Hospital! controlled by Boards. I sit ■a go z* a < 2 Provil iions Cost per Ocoupied Bed. Cost per Total OccuCost. pied Bed. Surgery and Dispensary. Domestic and Establishment. Salaries and Wages. Total Maintenance. Administration. Maintenance and Administration. Cost per Total OccuCost. pied Bed. ■!.! J| Total. OP. go. Total Coet. Total Cost. Cost per Occupied Bed. Total Cost. Cost per; Occu- 1 pied Bed. Total Cost. Coet per Occupied Total Cost. Cost per Occupied Bed. Wellington Auckland Dunedin Christehuroh .. Napier Waikato Wamgsnni Southland Nelson Cook Palmerston North Thames New Plymouth Timaru Waihi Waij>awa Whangarei Mastvrton Dannevirku South Weirarapa Bailer Wallace and I'iord Wairau Gore Stratford Northern Wairoa 'L'ailiape Prcton BSsnioteto Otaki Wairoa Oeromandel IV.hiatua Tauniarunui . . Waiapu Arrow 2950 275-0 2030 1970 1(19-1) 89-0 67-0 04-0 60-0 60-0 560 52 0 470 460 29-0 290 290 250 240 220 220 21 0 19-2 18-8 I 8-5 14-6 12-5 12-1 11-2 9-5 9-3 8-8 8-2 7-9 7-7 6-7 0-5 i>0 5-9 5-7 26 28 20 20 :>7 27 27 2(1 39 2! 1 22 27 29 20 2(1 20 22 24 :;2 12 32 27 37 28 28 211 32 id 26 8 40 !4 27 IS 15 2(1 33 -155 15* 118 121 61 55 40 39 29 32 30 23 34 39 20 17 9 20 17 18 16 14 14 17 II 8 8 5 8 10 r> 6 7 6 8 5 3 6,788 l>. 72(1 3,865 5,270 2.580 2. S4S 1 ,658 I .2(11 I .252 987 1 .124 974 1.414 I .011 725 643 833 l>84 560 r>90 001 498 680 406 308 386 276 41 I 366 280 207 275 Ml 183 174 288 252 I 06 £ 230 24-4 190 26-7 23-6 32 0 24-7 19-7 20-8 16-4 201 18-7 301 22 0 31-7 250 22-2 33-3 28-5 26-3 271 32-9 25-9 361 21-9 211 30-8 22-8 33-8 43-3 28-5 32-9 32-5 30-7 40-7 27-3 26-8 479 42-7 290 £ 2,646 2,500 1,203 2,800 I .510 868 1.116 589 204 553 558 324 037 r>09 249 275 457 331 127 152 338 146 242 216 200 133 119 194 92 121 65 106 58 45 24 110 98 38 30 49 32 £ 8'9 9-1 5-9 14-2 13-8 9-7 I 6-0 9-2 3-4 9-2 9-9 6-2 13-5 111 8-6 9-4 15-7 13-2 5-8 0-9 I 5-3 6-9 12-6 11-5 10-8 91 9-5 160 8-2 12-7 6-9 120 7 0 5-7 3-2 15-9 14-6 5-8 4-9 8-3 5-7 7.500 7.300 5,452 5,198 2,768 1,799 2,089 1 .411 1.128 1,279 1,383 913 1,568 1 .851 884 004 779 777 607 541 638 643 819 765 471 347 405 285 326 527 289 514 337 2»7 236 250 1»7 216 107 482 339 £ 25-4 26-8 26-9 26-4 25-4 20-2 31 1 220 18-8 21-3 24-7 i 7-6 33-3 40-2 30-5 22-9 26-8 31 1 2.")-:; 24-1) 290 30-6 42-7 40-2 25-4 23-8 32-3 23-5 291 55-4 310 r>84 411 32-5 36-2 29-4 IT <► 83-4 59-5 £ II .4(1(1 9.024 7.047 8.461 3,807 3,565 2.305 2.204 1,815 2.423 1,598 1.396 2.203 1.942 I .493 1,174 I .420 1.327 I ,004 1,111 I .4(14 907 I . 1 S3 I .15(1 971 734 970 671 816 (S40 565 895 681 428 097 785 073 678 485 780 427 £ 38-7 35-0 37-7 42-9 34-9 40 0 35-3 35-4 30-3 40-3 28-5 26-8 40-9 42-2 51-5 -10-4 48-9 530 45-6 50-4 67-9 47-4 61-6 01-2 52-5 50-2 77-5 55-4 72-8 07-3 00-7 101-7 83-0 54- 1 90-5 113-9 100-5 104-2 80-8 132-2 74-9 £ 28.343 20.212 18,168 21 .728 10,671 9,080 7.228 5.525 4.390 5.242 4,663 3. i>07 5,822 5,313 3,547 2,838 3.300 3.268 2,511 2,384 3.060 2.477 2.743 2,801 2.047 1.522 I .878 1 .425 I .613 I . 69S I . 1 S3 1 .805 I .343 1 .020 1,232 1 .426 1.152 I .100 910 1 .r>73 9(U £ 960 95-3 89-5 110-3 97-8 1020 107-8 86-3 73-3 87-3 83-2 69-3 123-8 115-5 122-3 97-8 113-7 I 30-7 104-0 108-3 I 30-3 117-9 142-8 1490 1 10-0 104-2 150-2 117-7 1440 178-8 127-2 2051 I 63-7 1291 IB9-9 206-7 171-0 1701 151-6 200-0 160-1 £ 989 1,085 1,396 1.179 337 517 424 252 120 385 395 174 313 220 232 165 244 113 86 125 308 130 277 82 211 81 174 92 151 88 86 90 46 38 112 77 81 85 47 87 68 £ 3-3 3-9 0-0 6-0 31 5-8 6-3 3-9 2 0 6-4 7-6 3-3 00 4-8 80 5-7 8-4 4-5 3-6 5-0 140 0-2 14-4 4-4 11-4 5-6 13-9 7-6 13-4 9-2 9-2 10-2 6-6 4-8 14-0 III 121 130 7-8 14-7 11-9 £ 29,338 27.207 22.907 11 ,009 9,598 7.6.52 5,777 4,519 5.027 5.057 3.782 6,136 5,534 3,779 3,003 3,544 3,381 2,597 2,509 3,373 2,608 3,019 2,884 2,258 1 ,603 2,053 1 ,517 1 .7(13 I ,7S7 1 ,269 I ,896 1.388 1 .058 1 .344 1,503 1 ,233 1 .191 957 1 ,661 1 .032 £ 09-4 99-2 96-4 110-3 100-9 107-8 114-2 90-2 75-3 93-7 90-3 72-7 130-4 1203 130-3 103-5 1221 135-2 108-2 1140 153-3 1241 157-2 153-4 122 0 109-8 164-2 125-4 157-3 1880 136-4 215-3 169-2 133-0 174-5 217-8 1840 1831 150-4 281 -3 181-0 £ 12,108 S. t>75 11,501 17,859 9,976 682 1.121 2.073 I . 153 26,875 2.736 1 .1 99 401 188 515 3,284 557 474 235 1 .829 206 670 £ 1,353 33 282 125 371 2 238 04 130 35 2 58 40 5 204 2 £ 42,793 36,006 31.348 40.766 21 .110 10,661 8.773 7.852 5,910 32.566 7,930 4,981 6,170 5.(135 3,969 3,575 6,868 3,938 3,076 2.743 5.407 2,816 3,689 2,884 6.948 1.795 2,592 1,714 1 .921 1 .796 1 .442 2,466 1 .407 1 .319 I .414 1.834 1 .405 1.240 957 I .730 1.118 4.665 190 33 25 507 197 15 10 142 172 398 14 261 47 320 170 49 J72 5 23 II 3 HI 00 5

115

H.-31.

Mangonui Tuapekn Tapanui Bay of Islands Wakatipu Denniston Cromwcl 1 Kaikoura Havelock Otira Cottage . . Kaitanjflita Port Chalmers Akaroa Lyttelton Casualty Ward β-e 4-4 3-7 3-4 3-3 2-6 2-2 1-2 11 25 19 37 20 21 2(1 22 15 16 14 8 5 4 4 2 4 3 3 2 2 2 2 1 1 2 146 147 178 81 221 137 188 89 38 55 103 47 14 34 52 26- 1 33-3 4.V6 22-0 414 72-4 40-4 22-<> 4C- 1 53 37 25 81 30 t>2 35 i:s 151 38 7 15 9-4 1-3 9-5 ti-S 23-8 9'2 23-7 1(3-1 8-0 10-8 137-.") 125 2,200 122 195 33S 216 9.1 108 8il 42 135 39 44 54 70 22-4 ' 45-4 31-4 52-6 65-1 36-tt 48-9 52-2 351 122-9 380 483 113 558 420 509 47t» 209 I7(i 595 98. 84 192 150 86-4 123-8 1(>4I 127-2 195-9 216-2 123 2. 540-7 733 820 414 1,198 802 855 708 350 287 984 223, 149 286 207 166-4 210-3 1120 352-3 242-9 328-7 321-7 2060 238-9 894-6 55 62 31 4.", 68 49 .It 21 56 Iβ 8 15 16 12-4 160 8-4 131 20-6 19-0 24-3 111 17-:! 51 0 787 883 445 I .24:! 870 904 761 369 308 1.040 208 167 :soi 313 178-8 22(i-:; 120-4 365-4 263-5 347-8 3560 2171 256-3 945-6 178 9 167 936 112 174 io 3 ioi 806. 883616 2. 178 982 I .179 761 462 370 1 .040 387 157 301 313 03 62 148 Hospitals which are aim Old Peoples Homes — Grey River Westland Reefton Kumara Ross 35-0 28-0 21 0 12-6 52 74 64 04 73 14 9 9 3 1,274 97(1 751 563 292 21-2 28-0 26-8 23-2 360 309 169 77 91 6-0 8-8 6-0 7-2 1,971 870 478 653 237 32-8 24-8 17-1 31 1 18-8 2.004 1,013 869 722 551 33-4 28-9 31 0 34-4 43-7 5,608 3,172 2,267 2,015 1,171 93-4 90-6 80-0 95-0 92-9 210 161 113 64 49 3-5 4-6 4-0 3-0 3-0 5.819 3,333 2,381 2,079 1.220 96-9 95-2 84-9 98-9 96-8 2f> 266 3 5,821 3.358 2.1.37 2.079 1.220 Totals and averages 2.207 28 1.312 54,984 24-9 21,641 9-8 60,490 27-4 95,000 430 232.024 105- 1 12,308 5-6 244,332 110-7 113,019 4,109 361,460 Special Hosimtals. Infectioiis-disease Hospitals — Christ-church Dunedin [nvercargill Timariis I 17-4 3-8 3-7 45 43 39 29 6 2 3 4 309 104 108 111 17-7 18-6 28-3 29-9 .-)4 24 6 36 3-1 4-3 1-6 9-7 548 138 217 162 31 -4 24-6 57-0 43-8 409 242 186 257 23-5 43-2 490 69-4 I .320 50(1 517 565 75-8 90-8 135-9 152-8 12 38 64 41 41 6-2 16-9 11-9 1,392 543 581 609 79(1 970 152-8 164-7 144 26 22 1 .536 569 602 653 44 \ . Totals and averages 30-5 41 15 632 20-7 121 4 0 1,064 34-8 1,094 35-8 2,911 95-4 215 7-0 3,125 102-4 213 l>2 3,360 Consumptive. Sanatoria — Ohristehurch Palmerston South Otaki r>0 40 23 I4li 120 99 17 9 2,006 1.287 852 401 321 370 95 127 42 lit 3-2 IS 1,416 892 534 28-3 22-3 23-2 1.527 1,068 969 30-5 26-7 421 5,043 3,374 2,397 100-8 84-3 104-2 274 241 198 60 8-6 5,317 3,615 2.595 106-3 90-3 112-8 13,673 1,990 32 18,989 5,604 2,662 36 Totals and averages 113 125 30 4.144 36-7 263 2-3 2,843 251 3,564 :)!■.) 10.813 95-7 712 6-3 11,526 1020 15,694 :iii 27,256 Maternity Home — Dunedin Medical School 8 17 973 121-7 1 ,035 i 218 27-2 37 4-ti 3.17 44-7 291 :S(i-4 903 112-9 7(1 8-8 :si 31 Grand totals, Board's institutions 2,358 373 59.887 22,062 (>4.754 199,949 246,652 13,305 259,957 128,958 4,197 393,112 Sepabate Institutions. 2 2,175 1,539 Oamaru Mercury Bay 17-4 9-6 2(i 29 13 6 350 334 20-1 34-8 105 226 61 23-5 490 103 28-2 10-7 832 739 47-S 77-0 1 .77(t 1.402 102-2 1460 135 63 7-8 1,914 1,465 1100 151-5 260 74 .. Totals 27-0 •• 19 685 25-3 331 12-3 593 21-9 1,572 58-2 3.181 117-8 198 7-:s 3.379 1251 333 3.714

116

H.—3l

Table VI.—Showing Expenditure of Hospitals controlled by Government.

Table V.—Statistics of Government Hospitals.

Staff. pi Number if Be. s. 1 ■a s w.3 Number of Patients under Treatment during Year. Q > E q t f a B I Outpatients. i Government Institutions. iedical. Stipendiary. M SB N'urs 1 J ling. Domestic. 2 2 5S a'? 3'3 s a 1 o o SO a> tut Mb '3 ?!SZ j3 IX. 00 o "o s a a o I 3 I ft. i i Q I % Maternity Homes — St. Helens, Wellington . Christchuroh . Dunedin . Auckland 1 1 1 1 ■• 3 3 I 2 3 15 11 9 12 S 3 3 4 1 1 2 23 17 14 19 - 30 18 16 14 ■■ " 30 18 16 14 11-9 9-6 7-8 7-6 0-7 0-7 0-7 0-5 •• 230 260 172 185 230 260 172 185 4 1 1 19 13 17 15 £1 to £1 10s. • 114 87 60 243 •• Totals 4 11 I 47 IS 5 73 78 • ■ 78 36-9 847 847 6 16 504 " Consumptive Sanatorium — Cambridge I M 1 1 4 5 5 8 25 40 22 66 460 5-1 86 55 141 i I 8 118 £1 to £3 3a. * Casual.

Government Institutions. tJDOJ si in sis 4 ■a « P Provisu o mcs. s Surgery and Dispensary. O 2 1 8* Domestic and Establishment. rSalaries and Wages. "5 Total Maintenance. J S'S. A-lministi m o ition. I'i. Maintenance and Administration. O 3 I" Capital Expenditure. Other Expenditure. Total. Maternity Homes— St. Helens, Wellington . Christchurch ... a Dunedin ■ Auckland 11-9 9-6 7-8 369 460 23 17 14 19 13 17 15 £ 677 485 392 455 2,009 £ 569 50-6 50-2 59-9 544 £ 135 70 38 61 304 £ 11-3 73 49 8-0 8-2 £ 354 498 354 334 1,540 297 51-8 45-4 : 440 41-7 733 536 532 621 2,422 £ 616 55-8 68-2 81-7 656 1,899 1,589 1,316 1,471 6,275 £ 1596 1655 168-7 1936 170-0 £ 75 75 75 81 £ 6-3 7-8 9-6 106 8-3 £ 1,974 1,664 1,391 1,552 6,581 £ 165-9 1733 178-3 204-2 178-3 as f.47 101 £ 1,996 2,311 1,492 1,552 Totals and averages ... 16 306 770 7,351 Sanatorium for Consumptives — Cambridge ... 2,039 4,048 443 326 630 71 1,743 3,283 37-9 1,792 4,214 38'9 5,900 12,175 128-3 139 445 30 6,040 12,621 131-3 281 1,051 Totals... 82-9 j 657 657 6,978 ... ... ... ... ... ... ... ... ... 14,329

117

H.—3l

Table VII.— Charitable Institutions: Statistical.

Staff. III I SB 1 1 a "3 . Jl n Number of In during Yei a s< nates .r. 1 ■go go I Gorerning Hospital and Charitable Aid Boards. Institutions. Medical. Non-resident. I 2 i Domestic. I if IS 1 s IP o 1 If % i Auckland Otago Wellington Southland North Canterbury Hawke's Bay North Canterbury Wanganui Taranaki Waitaki Nelson Marsden, Kaipara South Canterbury Thames Buller Waikato Cook .. Wairarapa Old People's Homes — Costley Home, Auckland Otago Benevolent Institution, Dunedin Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Old People's Home, Park Island Memorial Home, Woolston Jubilee Home, Aramoho Old People's Home, New Plymouth Victoria Home, Oamaru Alexandra Home, Nelson Cottage Home, Whangarei Old Men's Home, Timaru District Home, Taruru Old People's Home, Westport Old Men's Home, Hamilton Old People's Home, Gisborne.. Renall-Solway Home, Masterton •• 1 1 1 1 1 12 1 2 3 5 1 1 1 1 1 1 1* 9 1* 4 1 3 1 8 1 4 1 2 1 I 1 1 1 2 1 2 1 4 1 1 1 3 1 2 1 1 1 1 1 1 18 55 12 3 3 3 3 8 3 3 1 30 4 9 14 12 12 16 5 5 4 6 4 5 7 3 3 3 1 279 216 147 149 107 108 99 38 57 48 54 31 45 38 30 21 26 15 256 141 119 105 91 79 75 35 35 35 34 28 26 23 21 17-3 15-4 11-6 299 127 234 10(> 138 151 9 60 57 60 44 51 65 33 39 38 28 25 95 76 40 48 13 91 4 11 14 6 2 11 4 3 394 203 274 154 138 164 100 68 74 50 53 76 37 42 38 30 25 55 j 11 14 25 3 12 8 15 8 10 12 2 1 2 7 2 237 253 159 249 240 176 276 201 189 171 245 196 126 227 187 166 187 169 £ 40-2 21-9 26-4 320 39-5 33-9 44-2 38-4 48-3 25-3 36-4 41-3 29-9 50-9 31-6 401 430 37-4 £ s. d. 0 10 0 0 8 0 0 10 0 0 10 0 0 8 3 0 10 0 0 12 0 0 8 9 0 10 0 0 ir> 0 0 8 6 0 10 0 0 15 0 0 15 0 1 1 1 1 1 1 1 1 1 1 1 1 3 2 0 14 0 ! ; 351 North Canterbury { Totals and averages 14 23 13 43 143 1,508 1147-0 1,564 420 1,984 191 i 215 Children's Home — Waltham Orphanage Female Refuge — Linwood Refuge Home Casual WardArmagh Street Depot, Christchuroh Convalescent Home — Alexandra Convalescent Home, Auckland — 1 1 2 3 ■1-2 19-8 13 15 28 258 34-7 1 1 1* 2 1 It 2 4 39 28 64 64 1 161 39-8 ■• 1 1 2 Iβ 2 51 51 H 87-0 0 14 Auckland 1 1 It 1 4 13 8-6 i 144 144 22 70-3 1 1 • Registered iurse. t Of the Auckland Hospital staff.

H.-31.

Table VIII. —Showing Expenditure of Charitable Institutions under the Control of Hospital and Charitable Aid Boards for the Year ending 31st March, 1914.

118

Governing Hospital and Charitable Aid Board. Institutions. a j? -n j i Surgery ! Domestic and I a rrovisions. aud D [ 8 pensary. Establishment. §"3 5 Total Sr&e Total »fti Total »f« I g g Cost. lopq Cost. gueq Cost. ggpcj ■5 ,cp ' Og Oq Oo Domestic and Establishment. Salaries and Wages. %O Total Cost. Auckland Otago Wellington Southland North Canterburv Hawke's Bay North Canterbury Wanganui Taranaki Waitaki Nelson.. Marsden, Kaipara South Canterbury Thames Buller Waikato Cook .. Wairarapa Old Peoplo's Homos — Costley Home, Auckland Otago Benevolont Institution, Dunedin .. Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Old People's Home, Park Island.. Memorial Home, Woolston ■lubilee Homo, Aramoho Old People's Home, New Plymouth Victoria Home, Oamam Alexandra Home, Nelson Cottage. Home. Whangaroi Old Men's Home, Timaru District Home, Taruru Old People's Homo, Westport Old Men's Home, Hamilton Old People's Homo, Gisborne Renall-Solway Home, Masterton 256 141 119 105 01 79 7r, 36 36 36 34 28 26 23 21 17-3 1.V4 11-6 £ 3,929 1,177 1,297 1.167 1.368 1,121 953 439 824 371 581 421 37li 420 :ioi :i(i:i 262 104 £ 15-3 8-3 10-9 III 150 14-2 12-7 12-5 23-5 km; 171 L6-0 14-5 18-3 14-3 200 16-0 16-7 £ 331 30 20 83 170 59 151 I 26 14 £ 1-3 0-3 0-2 0-6 1-8 0-7 20 0-7 0-4 £ 3,843 070 910 I ,269 I .(116 607 1.164 519 282 190 253 275 138 317 129 I. , ! I 166 12.-, £ 150 6-9 7-6 121 111 7-7 15-5 14-8 8-0 5-4 7-4 0-8 5-3 13-7 6-1 7-6 1(1-7 10-7 £ 2,081 537 722 765 867 731 880 295 36? 236 311 340 175 337 207 171 I I'.) 78 £ S-l 3-8 6-0 7-3 !)-.-> 9-3 11-7 8-4 1(1-4 6-7 01 121 6-7 14-6 il-S 00 0-7 6-7 II I 14 1 0-4 Oβ 3 3 6-2 0-2 Totals and averages 1,147 15,565 13-6 0(17 α-g 12.312 10-7 9,241 S-l North Canterbury ■ ( hildren's Home — Waltham Orphanage Female Refuge— Linwood Rofuge Homo Casual Ward — Armagh Street Depot. Chrietohuroh Convalescent Home— Alexandra Convalescent Homo, Auckland 19 28 178 441 9-4 16-7 (i (12 226 283 no 101 222 328 11-7 11-7 2 63 31-6 6 3-2 61 30-4 35 17-5 Auckland 8-6 213 24-7 4 (II 222 25-8 142 1 6-6 Totals .. 792 895 Hi 727 Governing Hospital and Charitable Aid Board. Institutions. Total Maintenance. Total a-a-d Cost. g 3 pq ■X.lmiiiiitration. ft '3.T! Maintenance and Administration. Total $ g. Cost. 8 g M aw |j Total. Total Cost. Auckland Otago Wellington Southland North Canterbury Hawke's Bay North Canterbury Wanganui Taranaki Waitaki Nolson. . \l.i,i den-Kaipara South Canterbury Thames BuUer.. Waikato Cook . . Wairaiapa Old People's Homes — Costley Home, Auckland Otago Benevolent Institution. Dunedin .. Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Homo, Ashburton Old Peoplo's Home, Park Island Memorial Home, Woolston ■lubilee Home, Aramoho Old People's Some, New Plymouth Victoria Home, Oamaru Alexandra Home, (fetoon Cottage Home, Whany" m Old Men's Homej'Tiniiini District Homo, Tnruru.. Old Peoplo's Some, WostportOld Men's Home, Hamilton Old People's Homo, Gisborne Renall-Sohvty Home, Masterton £ 10,184 2,734 2,948 3.264 3,422 2,518 3,148 1,254 I ,494 810 i. i m I JUT 896 1 ,088 n:ss 664 686 .-son E 39-8 19-4 24-7 31 I 37-5 31!) 4111 35-8 42-7 231 S36 37-3 26-5 47-3 :!<i-:s :ss-l 37-6 344 £ 120 360 198 102 IS6 166 171 91 198 71 03 III 88 83 25 30 84 36 £ 0-4 2-5 1-7 (l<1 20 20 2-3 2-6 r,<; 20 2-7 3-9 3-4 3-6 1-2 1-7 5-4 31 £ 10.304 3,094 3,147 3,366 3,608 2,674 3,319 1 . 345 1 ,692 SSI I ,238 I . I r.7 778 1.171 663 694 664 435 t 40-2 21-9 2(i-4 32 0 39-5 :t:s-o 44-2 38-4 48-3 2f>-1 36-4 41-3 29-!) 50-9 31-6 40-1 43-0 37-4 £ 464 313 iei 1,317 202 64 68 £ 67 24 2 4 262 £ 10,768 3,474 3.171 3,829 1,924 2,881 3,310 I . 346 2,018 960 I .264 1,261 1 ,581 I ,301 663 694 712 435 S!) 803 102 26 5 29 22 27 Totals and averages 38,028 44,582 33-2 2,203 L-9 40.231 36-1 3,906 446 Nortli Canterbury -I ('liildren's Homo — Waltham Orphanage Female Refuge — Linwood Refuge Home Casual Ward— Armagh Street Depot, Christchurch Convalescent Home — Alexandra Convalescent Home, Auckland 627 1,059 330 37-7 :u 57 1-7 2-1 661 1,116 34-7 39-8 Dill 1,116 165 82-6 9 4-1 174 87-0 174 Auckland 580 67-4 25 2-9 606 70-3 5 61 I Totals .. 2,431 126 2,557 5 2.562

H.—3l

Table IX.—Number of Old-age Pensioners maintained in Homes and Hospitals on the 31st March, 1914, together with the Amounts paid to such Institutions during the Year.

119

Governing Body. Location. Institution. Payments, Year 1913-14. pjJSSSSSln Amount handed t, InSuSon on Pensioners after £ a. d. Marsden-Kaipara Hospital and Charitable Aid Board .. Whangarei .. .. .. .. Old Men's Cottage Home .. .. 391 0 0 Auckland . .. Auckland .. .. .. .. Costley Home.. .. .; .. 2,852 4 6 Thames „ .. Thames .. .. .. .. Old Men's Home .. .. .. 337 1 4 Waikato „ .. Hamilton .. .. .. .. . .. .. .. 271 3 8 Cook „ .. Gisborne .. .. .. .. „ .. .. .. 208 4 2 Hawke's Bay „ . .. Napier .. .. .. .. Refuge, Park Island .. .. .. 1,034 5 0 T-ranaki , ' ,. New Plymouth .. .. ..! Old People's Home .. .. .. 4241010 Wai'ganui „ .. Wanganui .. .. .. .. | Jubilee Home .. .. .. 448 2 4 Wellington „ .. Wellington .. .. .. .. I Ohiro Home .. .. .. .. 576 10 3 Wellington Society for the Relief of the Aged Needy .. „ .. .. .. .. I Home for Aged Needy .. .. .. 749 9 1 Wellington Hospital and Charitable Aid Board .. .. „ .. .. .. .. Home for Incurables .. .. .. 267 16 7 Wairarapa , .... Masterton .. .. .. .. Renall-Solway Home .. .. .. 169 0 0 , . .... Greytown .. .. .. .. Buchanan Home .. .. .. 26 0 0 Nelson „ .... Nelson .. .. .. .. Alexandra Home .. .. .. 664 8 0 Wairau . .... Blenheim .. .. .. .. Old Men's Home .. .. .. 290 6 8 North Canterbury „ .... Christchuroh .. .. .. Jubilee Home .. .. .. 992 10 1 .. Armagh Street Depot .. .. .. 2 3 4 .. Female Refuge, Linwood .. .. 6 10 0 .. Ashburton .. .. .. .. Tuarangi Home .. .. .. 1,050 10 5 Soutu Canterbury „ .... Timaru .. .. .. .. Old Men's Home .. .. .. 439 11 5 Buller . .... Westport .. .. .. .. Old People's Home .. .. .. 583 16 5 luangahua „ ..... Reefton .. .. .. .. Hospital .. .. .. .. 222 12 7 Grey „ .... Greymouth.. .. .. .. . .. .. .. .. 935 4 2 Westland . .... Hokitika .. .. .. .. „ .. .. .. .. 633 6 11 . . .... Ross .. .. .. .. „ .. .. .. .. ' 261 17 2 .. Kumara .. .. .. .. „ .. .. .. .. 463 14 9 Waitaki . .... Oamaru .. .. .. .. Victoria Home .. .. .. 705 7 10 Otago „ .... Dunedin .. .. .. .. Otago Benevolent Institution .. .. 189 15 11 15 122 10 7 6 37 14 18 26 30 11 7 1 25 10 40 4e. per month. 6s. 6d. 5s. 4s. Is. per week. 7s. 4d. per month. 10s. 5s. 2s. to 6s. 7s. 7d. 6s. Nil. 2s. per week. 8s. 8d. per month. Is. per week. 1 39 13 ■21 8 28 20 10 16 26 75 Is. per week. 6s. 6d. per month. 8s. 10s. 10s. 10s. 13s. 4d. 13s. 4d. 6s. 2s. per week. j 4e. 6d. per mon. 18s. 6d. Southland . .... Invercargill .. .. .. Lome Farm .. .. .. .. 581 14 0 22 17,482 16 5 Hospital Patients only .. .. 1,469 9 0 657 65 Totals .. .. .. 18,952 5 5 722 Number of Military Pensioners maintained in Homes and Hospitals as above. 1 3 2 Whangarei Hospital and Charitable Aid Board .. .. Whangarei.. .. .: .. Old Men's Cottage Home .. .. 36 0 0 Auckland , .... Auckland .. .. .. .. Costley Home.. .. .. .. 177 0 0 Hawke's Bay . .... Napier .. .. .. .. Refuge, Park Island .. .. .. 93 0 0 Thames „ .... Thames .. .. .. .. Old Men's Home .. .. .. 9 0 0 Waikato „ .... Hamilton .. .. .. .. , .. .. .. 600 Taranaki „ .... New Plymouth .. .. .. Old People's Home .. .. .. 33 0 0 Wanganui . .... Wanganui .. .. .. .. Jubilee Home.. .. .. .. 42 0 0 Westland „ .... Kumara .. .. .. .. Hospital .. .. .. .. 30 0 0 OSago » .. .. Dunedin .. .. .. .. Otago Benevolent .. .. .. 27 0 0 3 2 1 1 453 0 0 j In hospitals .. .. .. .. 77 6 5 453 0 0 77 6 5 13 4 Totals .. .. .. 530 6 5 530 6 5 17

H.—3l

120

Table X.—Showing Estimated Expenditure of Hospital and Charitable Aid Boards for 1913-14, and the Amount of such Expenditure to be raised by Levies on Local Authorities and by Government Subsidy.

Authority : John Mackay, Government Printer, Wellington.—l9l4.

Net Amount per Head ol iture other than Capital Expenditure. Ci tpital Expenditure. Hospital and Charitable Aid Board. Population. Rateable Capital Value. tion required for Expenditure other than Capital Expenditure. Estimated Expenditure. Estimated Receipts. Net Estimated Expenditure. Amount to be levied on Local Authorities. Amount to be claimed as Subsidy. Bate oi Subsidy in Accordance with Fourth Schedule of Act. Estimated Expenditure. Estimated Receipts. Amount tn ha AtllOUXlt to be Net Estimated &£?. claimed as Expenditure. Authority Subsid y at 20s - Bay of Islands Whangarei Kaipara Auckland Coromandel Thames Waihi Bay of Plenty* Waikato Waiapu Cook Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North .. Wellington.. Wairarapa Picton Wairau Nelson Buller Inangahua Grey Westland North Canterbury . . A-iliburton South Canterbury Waitaki .. Maniototo . . Vincent Otago Southland Wallace and Fiord .. iiu;;i:s 12,250 10,860 155,436 3,435 16,379 5,475 14,400 58,872 4,815 21,745 5,886 30,117 21,536 26,855 10,953 16,243 5,296 44,291 37,329 106,612 32,176 3,820 11,828 24.771 12,595 4,956 14.704 8,427 136,784 15,992 38,931 16,172 3.277 5,343 113.001 55,826 11,528 £ 1,942,007 1,916,422 2,297,918 37,840,876 372,345 2,035,023 395,695 3,279,925 18,383,155 2,467,237 9,893,077 3,141,111 11,083,461 10,777,999 6,412,142 3,002,645 6,385,061 2,324,042 13,772,495 13,608,120 30.013,284 15,184,205 1,139,166 5,037,237 4,162,339 1,629,593 374,764 1,312,732 664,393 40,152,910 8,198,967 14,671,973 4,600,054 911,936 690,385 21,126,335 13.726,887 2,935,721 s. d. 3 8J 6 11 6 0 6 3J 3 0" 5 10 12 9J 2 11J 7 5f 6 5 2 8 5 7f 5 4J 4 10f 2 11$ 4 11 4 11J 3 8 2 8£ 6 11 4 5J 4 11 6 3 5 4$ 6 4j 6 0 6 4.1 9 llf 5 If 4 3 4 (U 1 9J 8 4J 5 5J 5 2} 3 Of 3 11 £ s. d. 4,330 0 0 6,163.17 8 3,670 ' 0, 0 71,233 7 11 1,692 17 6 7,187 16 7 4,700 0 0 15,608 0 0 2,500 0 0 9,820 0 0 2,243 6 8 10.155 0 0 8,438 0 0 10,750 0 0 2,950 0 0 6,037 0 0 2,000 0 0 13,529 15 4 7,750 13 3 50,440 0 0 11,274 0 0 2,000 0 0 4,472 11 6 8,680 0 0 5,310 0 0 3,079 10 9 6,720 0 0 8,670 0 0 55,500 0 0 4,262 0 0 13,219 0 0 3,174 7 2 1,973 15 4 2,486 0 0 45,308 0 0 17,000 0 0 3,470 0 0 £ s. d. 695 0 10 1.927 0 0 420 0 0 22,366 4 10 1,173 17 6 2,412 4 0 1,200 0 0 6,940 0 0 700 0 0 2,836 0 0 1,455 16 1 7,650 18 4 2,674 0 0 4.177 11 2 1,313 '8 8 2.037 0 0 685 0 0 4,839 9 5 2,684 9 8 13,631 0 0 4,090 0 0 1,060 0 0 772 0 0 2,000 0 0 1,310 0 0 1,594 5 9 2,015 0 0 4,468 0 0 15,333 0 0 867 13 7 4,346 0 0 1,702 7 2 596 7 6 1,034 7 7 15,808 0 0 8,445 11 !) 1,210 3 9 £ s. d. 3,634 19 2 4,236 17 8 3,250 0 0 48,867 3 1 519 0 0 4,775 12 7 3,500 0 0 8,668 0 0 1,800 0 0 6,984 0 0 787 10 7 8,504 1 8 5,764 0 0 6,572 8 10 1,636 11 4 4,000 0 0 1.315 0 0 8,690 5 11 5,066 3 7 36,809 0 0 7,184 0 0 940 0 0 3,700 11 6 6,680 0 0 4,000 0 0 1.485 5 0 4,705 0 0 4,202 0 0 40,167 0 0 3,394 6 5 8,873 0 0 1.472 0 0 1,377 7 10 1,451 12 5 29,500 0 0 8,554 8 3 2,259 16 3 £ s. d. 1,642 18 5 2,054 5 0 1,595 2 0 24,281 16 4 240 0 0 2,234 4 3 1,739 2 7 4,416 16 4 1,116 5 7 4,078 5 0 434 10 0 4,505 9 t> 3,224 12 2 3,206 1 5 813 4 0 2,119 4 2 715 12 11 4,428 3 0 2,648 19 4 19,246 2 10 3,991 2 2 470 0 0 2,099 12 4 3,200 0 0 1,871 6 11 678 19 5 2,150 17 2 2,087 19 3 20,209 16 3 1,885 14 8 4,670 0 0 731 8 7 759 18 10 679 2 5 14,047 12 5 4,147 11 8 1,122 17 9 £ s. d. 1,992 0 9 2,182 12 8 1,654 18 0 24,585 6 9 279 0 0 2,541 8 4 1.760 17 5 4.251 3 8 683 14 5 2.90.5 15 0 353 0 7 3,998 12 2 2,539 7 10 3,366 7 5 823 7 4 1.880 15 10 599 7 1 4,262 2 5 2,417 4 3 L7.S62 17 2 3.192 17 10 470 0 0 1,600 19 2 3,480 0 0 2,128 13 1 806 5 7 2.554 2 10 2,114 0 9 19,957 3 9 1,508 11 9 4.203 0 0 740 11 5 017 9 0 772 10 0 15,452 7 7 4,406 16 7 1,136 18 6 £ s. d. 1 4 3 1 1 3 1 0 9 1 0 3 1 3 3 1 2 9 1 0 3 0 19 3 0 12 3 0 14 3 0 16 3 0 17 9 0 15 9 1 1 0 1 0 3 0 17 9 0 16 9 0 19 3 0 18 3 0 18 3 0 16 0 1 0 0 0 15 3 1 1 9 1 2 9 1 3 9 1 3 9 1 0 3 0 19 9 0 16 0 0 18 0 1 0 3 0 16 3 1 2 9 1 2 0 1 1 3 1 0 3 £ s. d. 760 0 0 1,060 0 0 2,100 0 0 200 0 0 7,049 2 3 1,000 0 0 9,935 0 0 450 0 0 7li7 0 0 5,597 14 0 700 0 0 33,000 0 0 877 0 0 I 1.473 0 0 19,011 12 4 3,615 0 0 1.470 0 0 1,000 0 0 16,728 12 0 3,000 0 0 £ s. d. 1,350 0 0 3,038 .-> .-> 188 Iβ 0 14.70.5 12 8 411 0 0 770 0 0 £ s. d. £ b. d. 760 0 0 380 0 0 I .0(50 0 0 530 0 0 750 0 0 375 0 0 200 0 0 100 0 0 4.010 16 10 2.005 8 5 1.000 0 0 500 0 0 9,936 0 0 4.967 10 0 450 0 0 225 0 0 767 0 0 383 10 0 6,697 14 0 2,798 17 0 700 0 0 350 0 0 33.000 0 0 16,500 0 0 688 4 0 344 2 0 I .473 0 0 736 10 0 4.305 19 8 2,152 19 10 3,204 0 0 1,602 0 0 700 0 0 350 0 0 I ,000 0 0 500 0 0 13,117 16 0 6.558 18 0 3.000 0 0 1.500 0 0 £ s. d. 380 0 0 530 0 0 375 0 0 100 0 0 2,005 8 5 500 0 0 4,967 10 0 225 0 0 383 10 0 2,798 17 0 350 0 0 16,500 0 0 344 2 0 736 10 0 2,152 19 10 1.602 0 0 350 0 0 500 0 0 6,558 18 0 1,500 0 0 3,610 16 0 1,400 0 0 600 0 0 1 .400 0 0 700 0 0 600 0 0 300 0 0 700 0 0 300 0 0 23,480 0 0 450 0 0 1,160 0 0 6,874 0 0 16,606 0 0 ! 8,303 0 0 450 0 0 ! 225 0 0 1,160 0 0 580 0 0 8,303 0 0 225 0 0 580 0 0 .. 3,500 0 0 2,600 0 0 850 0 0 600 0 0 3,500 0 0 1,750 0 0 2,000 0 0 1,000 0 0 850 0 0 425 0 0 1,750 0 0 1,000 0 0 425 0 0 Totals 1,143,990 317,199,637 112.285 10 6 156,142 15 3 5 10J 443.798 19 8 148,471 17 7 J295.327 2 1 149. -",44 15 2 145.782 6 11 0 19 5j 143,834 0 7 31,548 10 1 56,142 15 3 • Not yet supplied.